{"id": "GAO-18-373T", "url": "https://www.gao.gov/products/GAO-18-373T", "title": "Commonwealth of the Northern Mariana Islands: Recent Economic Trends and Preliminary Observations on Workforce Data", "published_date": "2018-02-06T00:00:00", "released_date": "2018-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Pub. L. No. 110-229, enacted in 2008, amended the U.S.-CNMI covenant to apply federal immigration law to the CNMI after a transition period. The law required the Department of Homeland Security (DHS) to establish a temporary work permit program for foreign workers. DHS is required to decrease the number of permits issued annually, reducing them to zero by the end of the transition period, scheduled for December 31, 2019.", "To implement the law, DHS established a new work permit program in 2011. Under the program, foreign workers can obtain, through their employers, nonimmigrant CW-1 status that allows them to work in the CNMI. The law was amended in August 2017 to, among other things, restrict future permits for workers in construction and extraction occupations.", "Proposed legislation\u2014Senate bill S. 2325\u2014would, among other things, extend the transition period through December 31, 2029; increase the number of available permits from the 2018 level; and set required decreases in the annual numerical limit for the permits. (See figure for past numerical limits established by DHS and future limits proposed by S. 2325.)", "This testimony discusses (1) recent trends in the CNMI economy and (2) preliminary observations about the number of approved CW-1 permits and characteristics of permit holders, drawn from GAO's ongoing work. GAO updated information about the CNMI's economy that it reported in May 2017 (see GAO-17-437 ). GAO also analyzed data and documents from U.S. agencies and the CNMI government."]}, {"section_title": "What GAO Found", "paragraphs": ["The Commonwealth of the Northern Mariana Islands' (CNMI) inflation-adjusted gross domestic product (GDP) has grown each year since 2012, according to the Bureau of Economic Analysis. In 2016, the CNMI's GDP rose by 29 percent, partly as a result of construction investment. While tourism has fluctuated in recent years, visitor arrivals in the CNMI rose by nearly a third from 2016 to 2017. After nearly a decade of annual decline, the total number of workers employed in the CNMI increased from 2013 through 2016, according to the most recent available CNMI tax data. Foreign workers made up 53 percent of those employed in 2016, compared with roughly 75 percent in 2002.", "GAO's preliminary analysis indicates that the number of approved CNMI-Only Transitional Worker (CW-1) permits for foreign workers in the CNMI grew from over 7,100 for fiscal year 2012 to nearly 13,000 for fiscal year 2017. In addition, GAO identified trends in the country of birth, occupation, and employment duration of foreign workers with CW-1 permits approved for fiscal years 2012 through 2018. Workers born in the Philippines received the highest number of CW-1 permits each year. As of January 2018, 750 CW-1 permits had been granted to construction workers for fiscal year 2018\u2014a 75 percent decline from the prior fiscal year. GAO estimated that approximately 2,350 foreign workers with approved CW-1 permits maintained continuous employment in the CNMI from fiscal year 2014 through January 2018. About 80 percent of these workers were born in the Philippines."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss preliminary observations from our ongoing review of workforce data on the Commonwealth of the Northern Mariana Islands (CNMI).", "The 1976 covenant defining the political relationship between the CNMI and the United States exempted the CNMI from certain federal immigration laws but reserved the right of the U.S. government to apply federal law in these exempted areas without the consent of the CNMI government.", "The Consolidated Natural Resources Act of 2008 amended the U.S.\u2013 CNMI covenant to establish federal control of CNMI immigration beginning in 2009. The act required, among other things, that the U.S. Department of Homeland Security (DHS) establish a temporary work permit program for foreign workers and decrease annually the number of permits issued, reducing them to zero by the end of a transition period now set to occur on December 31, 2019. This program enables foreign workers to obtain, through their employers, CNMI-Only Transitional Worker (CW-1) permits that allow them to work temporarily in the CNMI. Senate bill S. 2325 would modify the law by, among other things, extending the transition period by 10 years, or through December 31, 2029, and increasing the number of available permits from the fiscal year 2018 level.", "As we reported in May 2017, the CNMI\u2019s economy is dependent on foreign labor. Although the number of foreign workers fell by nearly two thirds\u2014from over 36,000 to fewer than 13,000\u2014in 2001 through 2015, foreign workers represented the majority of the CNMI workforce in 2015. We found that the number of unemployed domestic workers in the CNMI, estimated at nearly 2,400 in 2016, was insufficient to replace the foreign workers who had CW-1 permits. We estimated\u2014using the CNMI\u2019s 2015 gross domestic product (GDP) and workforce information\u2014that removing all CW-1 workers by 2019 could reduce the CNMI\u2019s 2015 GDP by between 26 and 62 percent.", "In my statement today, I will discuss (1) recent trends in the CNMI economy and (2) preliminary observations about the number of approved CW-1 permits and characteristics of permit holders from our ongoing work for a forthcoming report.", "To identify recent trends in the CNMI economy, we analyzed data from the U.S. Department of Commerce and the CNMI government. We updated our prior analysis of CNMI GDP data for 2002 through 2015 with GDP data for 2016. We added CNMI tourism data for 2017 to our prior analysis of tourism data for 1990 through 2016. To show employment trends, we updated our prior analysis of CNMI tax records for 2001 through 2015 with tax records for 2016. We determined that the data used in our analyses were sufficiently reliable for our purposes.", "To provide preliminary observations on the numbers of CW-1 permits granted for fiscal years 2012 through 2018 and characteristics of foreign workers who held them, we analyzed record-level data for fiscal years 2012 through 2018 provided by DHS\u2019s U.S. Citizenship and Immigration Services (USCIS), which administers the CNMI-Only Transitional Worker program (CW program). According to USCIS officials, as of January 26, 2018, USCIS was continuing to adjudicate CW-1 petitions for fiscal year 2018. To determine the reliability of the data, we interviewed cognizant USCIS officials in Washington, D.C., and at the USCIS California Service Center, where petitions for CW-1 permits are adjudicated. We also discussed our methodologies and assumptions for data processing and the results of our preliminary analysis with officials in Washington, D.C., who used their own methodologies to conduct a technical review of our tables showing numbers of permits approved and permit holders\u2019 countries of birth and occupations (see tables 2, 3, and 4). We also conducted electronic testing of the data to identify and resolve inconsistencies in personally identifiable information for permit holders, to ensure accuracy in tracking these individuals over time. We determined that the USCIS CW-1 permit data were sufficiently reliable for our purposes.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Part of the Mariana Islands Archipelago, the CNMI is a chain of 14 islands in the western Pacific Ocean, just north of Guam and about 3,200 miles west of Hawaii. The CNMI has a total population of 53,890, according to the CNMI\u2019s 2016 Household, Income, and Expenditures Survey. Almost 90 percent of the population (48,200) resided on the island of Saipan, with an additional 6 percent (3,056) on the island of Tinian and 5 percent (2,635) on the island of Rota."], "subsections": [{"section_title": "Application of Federal Immigration Laws to the CNMI", "paragraphs": ["The Consolidated Natural Resources Act of 2008 amended the U.S.\u2013 CNMI covenant to apply federal immigration law to the CNMI after a transition period. To provide for an orderly transition from the CNMI immigration system to the U.S. federal immigration system under the immigration laws of the United States, DHS established the CW program in 2011. Under the program, foreign workers are able to obtain, through their employers, nonimmigrant CW-1 status that allows them to work in the CNMI for up to a year.", "The Consolidated Natural Resources Act of 2008 requires DHS to annually reduce the number of CW-1 permits until the number reaches zero by the end of the transition period. The act was amended in December 2014 to extend the transition period through December 31, 2019. The act was further amended in August 2017 to, among other things, (1) add 350 CW-1 permits to the fiscal year 2017 cap; (2) restrict future permits for workers in construction and extraction occupations; and (3) increase the CNMI education funding fee that employers must pay for each permit from $150 to $200.", "DHS determines the annual cap on CW-1 permits and the terms and conditions of the CW program. In November 2017, DHS set the cap for CW-1 permits for fiscal year 2018 through the end of the program (see table 1)."], "subsections": []}, {"section_title": "Proposed Legislative Changes Affecting the CW Program", "paragraphs": ["The proposed bill, the Northern Mariana Islands U.S. Workforce Act (S. 2325), includes the following provisions, among others, that would affect the CW program: (1) the number of permits to be allocated each year, (2) the distribution of the permits, and (3) a new CW-3 worker designation."], "subsections": [{"section_title": "Number of Permits Allocated", "paragraphs": ["Under the terms of S. 2325, the number of permits issued may not exceed 13,000 during fiscal year 2019. Starting in fiscal year 2020, the number of permits issued may not exceed a number that is 500 fewer than the number issued during the immediately preceding fiscal year.", "Figure 1 shows the past and future numerical limits on CNMI-Only Transitional Worker permits established by DHS and the proposed numerical limits for permits under S. 2325. The limits shown for S. 2325 in figure 1 assume that employers would petition for, and DHS would issue, the maximum number of available permits for fiscal year 2019 and for each subsequent year."], "subsections": []}]}, {"section_title": "Distribution of Permits", "paragraphs": ["Under S. 2325, as under the current law, a permit for construction and extraction occupations would be issued only to extend a permit that was first issued before October 1, 2015. Also, S. 2325 would require the Secretary of Homeland Security to consider, in good faith, any comments or advice submitted by the CNMI governor, including any recommendation to reserve a number of permits each year for occupational categories necessary to maintain public health or safety in the commonwealth."], "subsections": []}, {"section_title": "CW-3 Permits", "paragraphs": ["S. 2325 proposes a new CW-3 worker designation. Foreign workers who are otherwise admissible would be eligible for CW-3 permits if they were admitted to the CNMI as CW-1 workers during fiscal year 2014 and every subsequent fiscal year beginning before the date of the enactment of S. 2325. These workers would receive a permit to remain in the CNMI for a 3-year period beginning on the date of S. 2325\u2019s enactment. CW-3 permits could be renewed in 3-year increments during the transition period for workers who remain outside the United States for a continuous period of not less than 30 days during the 180-day period immediately preceding each such renewal. CW-3 permits would count against the numerical caps specified in S. 2325."], "subsections": []}]}, {"section_title": "Recent Trends in the the CNMI Economy", "paragraphs": ["The CNMI\u2019s inflation-adjusted gross domestic product (GDP) has grown each year since 2012. The U.S. Department of Commerce\u2019s Bureau of Economic Analysis (BEA) estimates that the CNMI\u2019s GDP increased by almost 29 percent in 2016 after increasing by about 4 percent in 2015. BEA attributes this economic growth to a significant increase in visitor spending, particularly for casino gambling, and investment in the construction of a casino resort in Saipan and other hotel construction. Figure 2 shows the casino\u2019s development site in Saipan before and during construction. The new casino opened for business on July 6, 2017."], "subsections": [{"section_title": "CNMI Tourism Trends", "paragraphs": ["Since 1990, the CNMI\u2019s tourism market has experienced considerable fluctuation, as evidenced by total annual visitor arrivals (see fig. 3). Visitor arrivals to the CNMI declined from a peak of 726,690 in fiscal year 1997 to a low of 338,106 in fiscal year 2011, or by 53 percent. However, since 2011, visitor arrivals have nearly doubled, reaching 653,150 in fiscal year 2017, and increased by 30 percent from 2016 to 2017.", "Data from the Marianas Visitors Authority show that the downward trend in Japanese arrivals from 2013 to 2017 was offset by the growth in arrivals from China and South Korea. While eligible Japanese and South Korean visitors enter the CNMI under the U.S. visa waiver program, Chinese visitors are not eligible for the program and are allowed to be temporarily present in the CNMI under DHS\u2019s discretionary parole authority, according to DHS officials. DHS exercises parole authority to allow, on a case-by-case basis, eligible nationals of China to enter the CNMI temporarily as tourists when there is significant public benefit, according to DHS."], "subsections": []}, {"section_title": "CNMI Labor Market", "paragraphs": ["Following consecutive annual decreases in the total number of employed workers from 2005 through 2013, employment has increased annually since 2014, according to CNMI tax data. Figure 4 shows the numbers of employed workers, both foreign and domestic, in the CNMI from 2001 through 2016. From 2013 to 2016, the number of employed workers increased by approximately 25 percent, from 23,344 to 29,215.", "As figure 4 shows, while the number and percentage of foreign workers fell between 2001 and 2016, foreign workers still constitute the majority of the CNMI workforce. Of the nearly 30,000 employed workers in the CNMI in 2016, more than half were foreign workers, according to CNMI tax data. The number of foreign workers fell from a peak of over 38,000 in 2002\u2014roughly 75 percent of employed workers\u2014to fewer than 16,000 in 2016. In contrast, since 2002, the number of domestic workers has fluctuated from year to year, ranging from about 10,500 to almost 13,700, but increased by 28 percent from 2013 to 2016."], "subsections": []}]}, {"section_title": "Preliminary Observations on CW- 1 Permits for Fiscal Years 2012-2018", "paragraphs": [], "subsections": [{"section_title": "Numbers of CW-1 Permits", "paragraphs": ["The CNMI economy continues to experience growing demand for workers. In fiscal years 2012 through 2016, the number of CW-1 permits almost doubled, and since fiscal year 2016, the number of permits has approached the numerical limits on permits for those years. Our preliminary analysis indicates that the number of approved CW-1 permits grew from 7,127 in fiscal year 2012 to more than 13,000 in fiscal year 2016. On October 14, 2016\u20142 weeks into fiscal year 2017\u2014USCIS announced that it had received enough petitions to reach the CW-1 cap for fiscal year 2017 and would not accept requests for new permits for that year during the remaining 11 months. In May 2017, USCIS announced that it had received a sufficient number of petitions to reach the CW-1 cap for fiscal year 2018. Table 2 shows the CW-1 permit caps and numbers of permits approved for fiscal years 2012 through 2018.", "According to USCIS officials, as of January 26, 2018, fiscal year 2018 petitions were still being adjudicated."], "subsections": []}, {"section_title": "Characteristics of Foreign Workers with CW-1 Permits", "paragraphs": ["Our preliminary analysis of USCIS CW-1 permit data for fiscal years 2012 through 2018 identified trends in CW-1 workers\u2019 country of birth, occupation, and duration of employment."], "subsections": [{"section_title": "Country of Birth", "paragraphs": ["USCIS data showed a decline in the numbers of CW-1 permits for fiscal years 2017 through 2018 for workers born in each of the five countries listed most frequently on the petitions\u2014the Philippines, China, South Korea, Bangladesh, and Japan (see table 3). As of January 17, 2018, the number of permits approved for workers born in the Philippines, who received the most permits for all 7 years of the CW program, had declined by 13 percent from fiscal year 2017 to fiscal year 2018 and by 26 percent from fiscal year 2015 to fiscal year 2018. Concurrent with construction of the casino and other tourism infrastructure, the number of CW-1 permits for workers born in China increased by almost 3,800 from fiscal year 2015 to fiscal year 2016 and declined by about 3,500 from fiscal year 2017 to fiscal year 2018.", "Our preliminary analysis indicates that as of January 17, 2018, USCIS had approved 750 CW-1 permits for construction workers for fiscal year 2018. This number represents a 75 percent decline from the nearly 3,000 permits approved for fiscal year 2017 (see table 4). This decline reflects new restrictions on future permits for workers in construction occupations.", "Of the 8,228 foreign workers who had been granted fiscal year 2018 permits as of January 17, 2018, 2,352 had maintained continuous employment in the CNMI since fiscal year 2014 (see table 5).", "Of the 2,352 workers with continuous employment in fiscal years 2014 through 2018, 1,905 workers (81 percent) were born in the Philippines.", "Chairman Murkowski, Ranking Member Cantwell, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}]}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For further information regarding this statement, please contact David Gootnick, Director, International Affairs and Trade at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony included Emil Friberg (Assistant Director), Julia Ann Roberts (Analyst-in-Charge), Sada Aksartova, Andrew Kurtzman, Reid Lowe, Moon Parks, and John Yee. Technical support was provided by Chris Keblitis, Mary Moutsos, and Alexander Welsh.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Department of Homeland Security issues temporary work permits to eligible foreign workers in the Commonwealth of the Northern Mariana Islands. Current U.S. law requires DHS to set annual limits on the number of permits it issues and to stop issuing them by the end of calendar year 2019. Proposed legislation would make the permits available through the end of calendar year 2029.", "We testified that the Commonwealth's economy relies on foreign workers\u2014they made up 53% of all workers in 2016\u2014and demand for these workers continues to rise. In 2016 and 2017, DHS issued about as many permits as the limits allowed."]} {"id": "GAO-18-461", "url": "https://www.gao.gov/products/GAO-18-461", "title": "Interstate Pipeline Inspections: Additional Planning Could Help DOT Determine Appropriate Level of State Participation", "published_date": "2018-05-29T00:00:00", "released_date": "2018-05-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["PHMSA oversees the safety of interstate and intrastate natural gas and hazardous liquid pipelines. PHMSA certifies states to oversee intrastate pipelines, and some states also act as PHMSA's \u201cagents\u201d to supplement the federal inspection workforce for interstate pipelines. In recent years PHMSA has signaled a move away from using interstate agent agreements. Recent funding increases have enabled PHMSA to hire additional federal inspectors. States may receive annual grants to reimburse up to 80 percent of the cost of their pipeline safety activities.", "Congress included a provision in statute for GAO to review the federal and state responsibilities and resources used to inspect interstate pipelines. This report addresses (1) how state participation has affected interstate pipeline oversight and (2) PHMSA's assessment of the resources needed to conduct interstate pipeline inspections. GAO reviewed relevant laws and PHMSA guidance on state participation in these inspections; analyzed the most recent 6 years of PHMSA funding and inspector staffing data; and interviewed pipeline safety officials from PHMSA and 22 states selected based on level of participation in interstate inspections."]}, {"section_title": "What GAO Found", "paragraphs": ["State involvement in interstate pipeline inspections can enhance oversight, although the three types of agreements that the Pipeline and Hazardous Materials Safety Administration (PHMSA) uses to allow state participation are not used extensively. Annual interstate agent agreements \u2014held by 9 states\u2014allow states to participate in all inspection activities and can bolster interstate pipeline oversight. For instance, an inspection conducted in 2014 by New York state officials led to $61,900 in federal civil penalties. Temporary interstate agreements \u2014used in 6 states to date\u2014allow PHMSA to request states to participate in specific interstate pipeline inspections. PHMSA officials said these agreements provide the agency greater flexibility. Some current interstate agents GAO interviewed said that temporary interstate agreements are useful, but are not substitutes for interstate agent status because states do not participate in the full range of inspections. Finally, PHMSA as authorized by federal law recently established joint inspections allowing states to request to participate in interstate inspections. However, state officials were concerned that their role is limited and that they must bear the full cost to participate. PHMSA officials said they intend to clarify the state inspector role in joint inspections and acknowledged that federal grants cannot be used by states to support joint inspection activities.", "PHMSA allocated recently hired inspectors based on regional workload, but has not assessed future resource needs. From fiscal years 2012 to 2017, PHMSA's appropriations increased over 40 percent, allowing the agency to expand its inspector workforce by about 25 percent. PHMSA allocated the additional inspectors across the agency's five regions based on workload. For example, PHMSA's central region received a greater percentage of inspectors than other regions to help oversee a number of new pipeline construction projects. However, PHMSA has not planned for future workforce needs for interstate pipeline inspections. In particular, it has not assessed the resources and benefits that states can provide through the three types of agreements. Leading practices for workforce planning indicate that such forward-looking analyses are essential for effective workforce planning. Without such analyses, PHMSA cannot proactively plan for future inspection needs to ensure that federal and state resources are in place to provide effective oversight of interstate pipelines."]}, {"section_title": "What GAO Recommends", "paragraphs": ["PHMSA should develop a workforce plan for interstate pipeline inspections, considering, among other things, the additional resources and safety oversight that state pipeline officials can provide. DOT concurred with our recommendation and provided technical comments, which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. energy pipeline network is composed of over 2.7 million miles of pipeline transporting gas, oil, and other hazardous liquids both within states (intrastate) and from one state to another (interstate). Inspections of pipeline operator programs and facilities are key oversight activities at both the federal and state level. At the federal level, the Pipeline and Hazardous Materials Safety Administration (PHMSA) is responsible for developing safety-related regulations for these pipelines. In general, PHMSA conducts inspections and enforces regulations for interstate pipelines, while certified states generally oversee intrastate pipelines. Historically, PHMSA has also entered into agreements with some state pipeline safety offices to act as \u201cagents\u201d to supplement the federal inspection workforce for interstate pipelines. Over the years, however, the number of interstate agents has declined from 22 in 1973 to 9 today. In recent years, PHMSA has not accepted additional applications for interstate agent agreements and has signaled a move away from these agreements. Instead, PHMSA has introduced other means of participation for states interested in pursuing an interstate agreement.", "The Protecting our Infrastructure of Pipelines and Enhancing Safety Act of 2016 included a provision that GAO assess and report on the resources used in carrying out interstate pipeline safety agreements. This report examines (1) how state participation has affected interstate pipeline oversight and (2) PHMSA\u2019s assessment of the resources it needs to conduct future interstate pipeline inspections.", "To address both objectives, we reviewed relevant statutes, literature related to pipeline safety agreements and PHMSA guidance on state participation. To determine the effects of state participation in interstate pipeline oversight, we interviewed officials from PHMSA headquarters and 5 regional offices and 22 state pipeline safety offices. (See table 1). For our sample, we selected the following: Our interviews provide a range of views, but are not generalizable across all state pipeline safety offices.", "To analyze PHMSA\u2019s assessments of interstate pipeline inspection resources needed, we obtained information on PHMSA\u2019s appropriations and inspector staffing levels for fiscal years 2012 through 2017. We interviewed PHMSA officials on their data collection and verification procedures and based on these steps determined the data was reliable for our purposes. We also interviewed PHMSA officials about the agency\u2019s staffing allocation analyses on inspection staff required to conduct interstate pipeline inspections. We assessed the extent to which PHMSA\u2019s inspector staffing activities and processes met leading practices for workforce planning that we have identified in our prior work.", "We conducted this performance audit from June 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The U.S. pipeline network includes both interstate and intrastate pipelines, the vast majority of which fall into the latter category: Interstate pipelines: Interstate pipelines are primarily large-volume transmission pipelines that carry gas or hazardous liquid\u2013sometimes over hundreds of miles\u2014to communities and large-volume users (e.g., factories). At the start of 2017, there were about 340,000 miles of interstate transmission pipelines nationwide. Newly tapped domestic gas and oil deposits have resulted in an increase in the existing pipeline infrastructure to transport natural gas and oil.", "Intrastate pipelines: Intrastate pipelines are primarily composed of gas distribution and some transmission pipelines that transport natural gas pipelines to residential, commercial, and industrial customers. As of 2015, there were about 2.2 million miles of distribution pipelines nationwide. In addition, an estimated 18,000 miles of federally regulated gathering pipelines carry natural gas or hazardous liquids from production areas to processing facilities where the product is refined before continuing in transmission pipelines.", "At the federal level, PHMSA is responsible for developing regulations for domestic interstate and intrastate natural gas and hazardous liquid pipelines. Its regulatory programs are focused on ensuring safety in the design, construction, operation, and maintenance of pipelines. Inspectors from PHMSA\u2019s five regional offices and states are responsible for inspecting nearly 3,000 companies that operate 2.7 million miles of pipelines.", "Each year, PHMSA uses its Risk Ranking Index Model (RRIM) as one input to determine its annual inspection priorities. RRIM categorizes each of the nation\u2019s pipeline systems regulated by PHMSA into high, medium, and low-risk tiers. Pipeline risk are proposedbased on a combination of categories, such as the type of pipeline material and time since last inspection. PHMSA\u2019s guidance specifies that high-risk pipelines should be inspected at least once every 3 years, medium-risk pipelines every 5 years, and low-risk pipelines every 7 years. PHMSA\u2019s goal each year is to inspect, at a minimum, pipeline systems where the time since last inspection meets or exceeds the PHMSA guidance for the tier.", "Under federal pipeline safety laws, states may assume inspection and enforcement responsibilities for intrastate gas and hazardous liquid pipelines, which are primarily natural gas distribution pipelines. States assume that responsibility by annually certifying their state pipeline safety program to PHMSA, which PHMSA must validate. As part of a state\u2019s certification, states must establish pipeline laws similar to federal pipeline safety regulations for intrastate pipelines, but may also impose more stringent pipeline safety regulations. PHMSA reimburses certified state agencies up to 80 percent of the total cost of operating their pipeline safety program through an annual grant.", "PHMSA may permit certified states to participate in interstate inspections through three types of agreements. (See fig.1): Interstate agent agreement: At PHMSA\u2019s discretion, certified states may enter into an interstate agent agreement for either their natural gas program, hazardous liquid program, or both on an annual basis. As of April, 2018, nine state pipeline agencies hold these agreements. On PHMSA\u2019s behalf, these agencies assume inspection responsibilities for the range of interstate inspection activities, as agreed upon by PHMSA and prioritized by PHMSA during the agency\u2019s annual inspection planning process. States may also propose and conduct additional inspections as they believe necessary. While state inspectors can identify violations, PHMSA is ultimately responsible for enforcement of interstate pipeline regulations and uses a range of enforcement tools from Warning Letters to more stringent Notices of Probable Violation with either proposed compliance orders or proposed civil penalties.", "Temporary interstate agreement: These agreements allow PHMSA to request a state that has had its certification validated by PHMSA to perform interstate pipeline inspections on a temporary basis. According to PHMSA guidelines, these agreements are used typically for new construction inspections, but may include assistance such as inspection of specific operators, witness to repairs or testing, or investigation of incidents. Since 2010, PHMSA has entered into temporary interstate agreements with six states.", "Joint inspection: The Pipes Act of 2016 included a requirement for PHMSA to allow certified states to participate in the inspection of an interstate pipeline safety facility, if requested by the state pipeline safety agency. As of April, 2018, no states have requested to participate in joint inspections."], "subsections": []}, {"section_title": "State Involvement in Interstate Pipeline Inspections, While Not Extensive, Can Enhance Oversight Activities", "paragraphs": [], "subsections": [{"section_title": "Interstate Agent Agreements Can Bolster Oversight in Participating States", "paragraphs": ["According to PHMSA regional officials we met with, interstate agents conduct high-quality inspections of interstate pipelines and provide an important supplement to the federal inspection workforce. PHMSA regional officials generally agreed that interstate agents have well-trained staff and leverage their local knowledge to enhance interstate pipeline inspections within their state. Additionally, interstate agents, if authorized by PHMSA, may conduct inspections of interstate pipelines within their state more frequently than PHMSA. For instance, officials in one PHMSA region noted that an interstate agent in their jurisdiction ensured each interstate operator was inspected once every 2 years, regardless of PHMSA\u2019s risk ranking. Similarly, in two of 5 regions that have interstate agents, PHMSA regional officials stated that they needed interstate agents to supplement their current allocation of federal inspectors. For instance, in one region, PHMSA officials said that if interstate agent agreements were discontinued, the region would need to hire 3 to 4 additional inspectors. In another region, officials said that interstate agents provided the equivalent of 5 to 10 additional inspectors. Officials in one PHMSA region said that, although the region could absorb the interstate agent workload if needed, doing so would lead to less extensive inspections because there would more pipelines to inspect with fewer federal inspectors.", "Interstate agents may also enhance pipeline safety oversight within their state by going above and beyond the annual interstate inspection activities required under their agreement with PHMSA. Specifically, as part of the annual inspection planning process, PHMSA\u2019s regional offices work with interstate agents to develop an annual inspection plan. While interstate agents must prioritize PHMSA\u2019s inspection priorities, such as participation in new construction inspections and PHMSA-led systems inspections, they can also propose additional inspections of interstate pipelines within their state. Officials in half of the nine states with interstate agent agreements stated that they proposed and obtained PHMSA\u2019s approval for additional interstate pipeline inspections that would not otherwise have been included in PHMSA\u2019s annual inspection plan. For instance, PHMSA\u2019s Western Region reported that between January 1, 2015 and December 31, 2016 Washington State\u2019s pipeline safety agency\u2014which holds an interstate agent agreement\u2014proposed and conducted 13 inspections beyond those identified in PHMSA\u2019s inspection plans.", "During these additional inspections conducted by interstate agents, state officials have identified violations of pipeline safety regulations. Some violations, including the four illustrative examples below, were deemed serious enough that PHMSA imposed civil penalties.", "In 2015, the Connecticut Department of Energy and Environmental Protection inspected an interstate pipeline that traverses the state. During the inspection, Connecticut inspectors found the pipeline operator had failed to employ properly qualified welders in constructing a section of the pipeline. As a result, PHMSA issued a civil penalty of $26,200 to the pipeline operator. In response to the findings, the operator ensured its welders were properly qualified and replaced the 14 welds completed by improperly qualified welders.", "In 2014, the New York Department of Public Service\u2019s Pipeline Division inspected an interstate pipeline that traverses the state. During that inspection, New York inspectors identified violations related to the operator\u2019s corrosion-control practices. Inspectors also found that the operator failed to prepare, and follow, a manual for conducting operations and maintenance activities, as well as for emergency response. As a result, PHMSA issued a civil penalty of $61,900. In response to the findings, the operator took action to address the corrosion control-related violations and revised its operations and maintenance manual.", "In 2011, the New York Department of Public Service\u2019s Pipeline Division inspected an interstate pipeline that traverses the state. During that inspection, a New York inspector identified violations related to corrosion-control practices. As a result, PHMSA issued a civil penalty of $78,900. PHMSA also issued a Compliance Order, requiring the operator to remediate the identified violations, or face an additional civil penalty.", "In 2014, Arizona\u2019s Corporation Commission\u2019s Pipeline Safety Section inspected two interstate gas transmission lines that traverse the state. During the inspection, PHMSA and Arizona inspectors found that the operator had committed probable violations by not properly odorizing its pipeline, and providing insufficient information to the public about its pipeline odorization methods. As a result, PHMSA issued a Notice of Probable Violation, proposed civil penalties totaling $162,700, and issued a Proposed Compliance Order.", "Although state involvement in interstate inspections can enhance oversight, officials from almost all of our selected states that do not currently have an interstate agent agreement expressed little interest in pursuing such an agreement. Specifically, some officials in we spoke with plan to focus their limited resources on intrastate pipeline safety oversight activities. For example, although Texas has over 50,000 miles of interstate pipeline, officials in that state have focused exclusively on intrastate inspection activity, citing the heavy workload of their inspection staff, as well as challenges in recruiting and retaining additional inspectors. In another instance, California\u2019s state pipeline safety agency responsible for hazardous liquid oversight voluntarily withdrew from the interstate agent program in 2013, citing staffing shortages stemming from a difficult economic climate.", "Although PHMSA\u2019s current policy stance does not prohibit the agency from entering into a formal interstate agent agreement if the circumstances warrant, the agency prefers that state agencies enter into temporary interstate agreements. PHMSA officials explained that, historically, PHMSA has used interstate agents to supplement federal inspection resources and that the current nine interstate agents supplement the federal workforce by approximately 10\u201315 inspectors. PHMSA officials stated that they do not intend to discontinue current interstate agent agreements, but due in part to a recent staff increase the agency has sufficient staff to meet its inspection needs without adding additional interstate agents. PHMSA officials also told us that intrastate pipelines pose the highest safety risk to states and, consequently, state pipeline safety agencies should focus their efforts on intrastate pipeline oversight rather than participating in interstate pipeline inspections. During the last 7 years, four states that applied for an agent agreement\u2014 New Hampshire, Virginia, Maryland, and Nevada\u2014were not accepted by PHMSA for these reasons. (See app. I.) In 2013, PHMSA decided not to renew another state pipeline safety agency\u2019s interstate agent agreement, citing the state agency\u2019s inability to staff its program properly, among other things."], "subsections": []}, {"section_title": "PHMSA\u2019s Other Means of State Participation in Interstate Inspections Have Not Been Used Extensively", "paragraphs": [], "subsections": [{"section_title": "Temporary Interstate Agreements", "paragraphs": ["While temporary interstate agreements provide an opportunity to participate in interstate pipeline oversight, officials from some state agencies told us that the agreement\u2019s limited scope and ad hoc nature can create obstacles to state participation. For instance, in states without an interstate agent agreement, state inspectors\u2019 day-to-day work focuses exclusively on intrastate pipeline oversight activities. In the event PHMSA requested assistance with certain interstate inspections, state inspectors may be unfamiliar with the interstate pipeline systems and operators. As a result, some state officials said that their inspectors may have a steep learning curve when conducting inspections under a temporary interstate agreement. However, PHMSA officials disagreed that most interstate agent states would have such steep learning curve because they currently inspect intrastate transmission pipelines; the regulations for interstate and intrastate pipelines are for the most part identical. Another obstacle some state officials identified relates to the fact that state pipeline safety agencies may not have sufficient inspection staff available, when needed, to participate in ad hoc interstate inspections.", "Due to the limited state role and competing priorities, state pipeline safety agencies rarely enter into temporary interstate agreements. According to officials in five of the 6 states that have that have entered into temporary interstate agreements, the agreements were used for limited, ad hoc inspections that were initiated by PHMSA. The sixth temporary interstate agreement was initiated by PHMSA in lieu of the Virginia pipeline safety agency\u2019s 2017 application for an interstate agent agreement for natural gas. PHMSA offered to enter into a longer-term, temporary interstate agreement, which would permit the state agency to inspect the installation of two large interstate pipeline systems. The state agency accepted the temporary interstate agreement, which may be extended annually until the completion of the pipeline construction. To meet its new interstate inspection obligations, the state agency told us it hired two additional inspectors. According to state officials, those two inspectors will be dedicated to intrastate pipeline inspection, which will allow two of the state agency\u2019s more experienced inspectors to conduct interstate pipeline inspections.", "Current interstate agents do not consider temporary interstate agreements to be an adequate substitute for an interstate agent agreement. According to officials we spoke with that are currently interstate agents, an interstate agent agreement allows state agencies and their inspectors to develop a strong understanding of operators and pipelines within their state. A few state officials stressed that the greatest benefit of interstate agent status was the ability to leverage their local knowledge\u2014such as the proximity and familiarity with interstate pipelines within their states\u2014to allow for quick responses to public concerns and pipeline incidents. PHMSA officials emphasized that temporary interstate agreements are not intended to replicate an interstate agent agreement; instead, these agreements are designed to provide PHMSA the flexibility to request targeted, short-term assistance from state pipeline safety agencies with interstate pipeline inspections."], "subsections": []}, {"section_title": "Joint Inspections", "paragraphs": ["Joint inspections offer states the most limited role in interstate pipeline inspections and may be entered into only if the state meets certain conditions. In response to the requirement in the PIPES Act, PHMSA created joint inspections and established certain criteria for state participation. For instance, to ensure that participation in joint inspections does not compromise intrastate pipeline safety, PHMSA only allows state inspectors to participate if the state agency has accomplished the required minimum number of inspection days during the preceding calendar year. PHMSA also requires state agencies to bear the cost of participating in joint inspections\u2014including travel and inspection time for the state inspectors\u2014rather than allowing states to include this activity in their annual pipeline safety program grant reimbursement. According to PHMSA officials, this requirement is designed to focus limited federal funds intended to support states\u2019 intrastate pipeline safety programs.", "While it is too early to know whether states will participate in joint inspections over the long term, no states have participated to date. Despite general agreement among some state pipeline safety officials that collaborating with PHMSA on interstate pipeline inspections could be beneficial, they noted that PHMSA\u2019s criteria reduces the incentive to participate. For instance, a few of the state officials we spoke to generally expressed concern over the requirement that states bear the entire cost of their participation. Additionally, state officials perceive the current joint inspection policy as restricting state inspectors to an observer role. However, PHMSA officials we spoke with noted that the role of state inspectors can vary based on the levels of training and knowledge among state inspectors. PHMSA officials told us they intend to clarify this role for states."], "subsections": []}]}]}, {"section_title": "PHMSA Used a Regional Workload Analysis to Allocate Inspection Resources, but Has Not Assessed Future Resource Needs", "paragraphs": [], "subsections": [{"section_title": "PHMSA Has Allocated Increased Inspection Resources Based on Regional Workload", "paragraphs": ["From fiscal year 2012 to 2017, PHMSA\u2019s funding increased by nearly 40 percent, allowing the agency to hire additional pipeline inspectors. Specifically, PHMSA\u2019s funding increased from $110 million in fiscal year 2012 to $154 million in fiscal year 2017. PHMSA\u2019s inspection and enforcement division received the majority of the increased funding, allowing that division to hire additional staff. From fiscal year 2012 through 2017, the number of inspectors hired increased by over 25 percent, from 107 to 147 across the five PHMSA regions. (See fig. 2).", "In recent years, PHMSA has improved its analysis of the number of pipeline inspectors needed to address the inspection workload in each region. Before 2014, PHMSA allocated inspectors evenly across the agency\u2019s five regions. Since 2014, PHMSA has used a regional workload analysis to allocate its interstate inspectors. Unlike the previous analysis, the regional workload analysis takes into account federal inspector workload, pipeline construction, and the amount of pipeline mileage in areas where the consequences of an accident are greater (such as populated and environmentally sensitive areas) to help ensure that PMHSA has appropriate resources in each region. For example, PHMSA\u2019s central region received a greater percentage of inspectors than most other regions to help oversee a number of new pipeline construction projects. (See table 2). According to PHMSA officials, the regional workload analysis has resulted in a better match between workforce staffing and needs."], "subsections": []}, {"section_title": "PHMSA Lacks an Inspection Workforce Plan That Assesses Future Resource Needs for Interstate Pipeline Inspections", "paragraphs": ["While PHMSA has improved how it allocates its current inspection staff among the regions, the agency lacks a forward-looking workforce plan for interstate pipeline inspections. Workforce planning helps agencies take a strategic, forward-looking approach to put the right people with the right skills in the right places at the right time. We have previously identified leading practices for effective strategic workforce planning. These approaches may vary with each agency\u2019s particular needs and mission, but share certain principles. These may include: identifying skills and competencies to fill critical workforce gaps and the strategies needed to recruit them; developing specific strategies that are tailored to address gaps in number, deployment, and alignment of human capital; and monitoring and evaluating the agency\u2019s progress toward its human capital goals.", "However, PHMSA has not developed a plan that systematically identifies the anticipated interstate pipeline inspection workload or the number of inspection staff needed to meet that workload. In light of the diminishing role that interstate agents currently provide in bolstering PHMSA\u2019s inspection workforce, a plan for conducting future interstate pipeline inspections should also account for the reduction in resources and expertise state inspectors can potentially provide.", "According to PHMSA officials, they have not developed a workforce plan for interstate pipeline inspections because the agency\u2019s focus has been on allocating and training the recently hired inspectors and ensuring that pipeline inspections are completed. Further, the lack of an inspector workforce plan may be symptomatic of a wider-ranging workforce planning issue. A November, 2017 DOT Inspector General (IG) report found that PHMSA had not developed a comprehensive workforce plan since 2005 and recommended that PHMSA develop such a plan. PHMSA agreed with the recommendation and anticipates completing the plan by the end of December 2018. Of note, PHMSA\u2019s 2005 workforce plan did not include an analysis of federal and state inspectors needed for interstate pipeline inspections. In the absence of a workforce plan for interstate inspections, PHMSA cannot proactively plan for future inspection needs to ensure that federal and state resources are in place to provide effective pipeline oversight."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["PHMSA has an important role in overseeing interstate pipelines and operators to ensure pipeline safety, and the agency\u2019s partnership with interstate agents has proven beneficial in fulfilling that role. Recent increases in funding have allowed PHMSA to increase its own inspection workforce and reduce its reliance on state agents. However, the agency does not have an inspection workforce plan to ensure that it is making the correct decisions regarding its mix of federal inspectors versus state resources. Therefore, it does not have reasonable assurance that it will be able to provide adequate oversight of interstate pipelines going forward."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["PHMSA should develop a workforce plan for interstate pipeline inspections that is consistent with leading practices in workforce planning, which should include a consideration of the additional resources and safety oversight that state pipeline officials can provide. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided DOT with a draft of this report for review and comment. In its comments, reproduced in appendix II, the Department of Transportation concurred with our recommendation. The Department of Transportation also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to relevant congressional committees, the Secretary of Transportation, and other interested parties. In addition, this report will also be available at no charge on GAO\u2019s website at http://www.gao.gov If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: States That Have Applied and Have Not Been Accepted for Interstate Agent Status", "paragraphs": ["In the past 7 years, four additional state pipeline safety agencies have applied for interstate agent agreements:", "New Hampshire: In 2014, the state legislature passed a law requiring the state\u2019s pipeline safety agency to apply for interstate agent status on an annual basis. State pipeline safety officials cited New Hampshire inspectors\u2019 local knowledge of interstate pipelines, as well as concerns over the frequency of PHMSA\u2019s interstate pipeline inspection activity, as reasons for seeking an agreement. To date, PHMSA has not accepted the state agency\u2019s annual applications for interstate agent status citing an increase in the federal inspection workforce, a preference for states to focus on intrastate pipeline oversight, and the ability for state agencies to participate in interstate inspections through other means, such as temporary interstate agreements.", "Virginia: In 2016, the Virginia General Assembly passed legislation requiring the state pipeline safety agency to apply for interstate agent status for natural gas. The state agency applied the following year, citing the need to conduct construction inspections of the Virginia section of two large interstate natural gas transmission pipelines. PHMSA did not accept the state agency\u2019s application, citing increasing federal inspection resources as well the agency\u2019s lack of full authority over its intrastate gas operators. Instead, PHMSA provided the state agency a temporary interstate agreement, renewable on an annual basis, to conduct the desired inspections.", "Maryland: Maryland\u2019s pipeline safety agency applied for interstate agent status in 2014 in response to public concern over proposed construction of a new interstate pipeline. PHMSA did not accept the agency\u2019s application for interstate agent status, citing an increase in federal resources and PHMSA\u2019s preference that the state agency focus its inspection efforts on intrastate pipelines. According to state agency officials, public interest has waned and the state has no plans to reapply.", "Nevada: Nevada\u2019s pipeline safety agency applied for interstate agent status in 2011. According to state pipeline safety officials, they did so to help retain staff, rather than as a result of pipeline safety concerns. PHMSA did not accept the agency\u2019s request, citing a preference only to enter into new interstate agreements when additional state support was needed, as well as the preference for states to focus on intrastate pipeline facilities. According to state officials, they do not plan to reapply."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Sara Vermillion (Assistant Director), Nick Nadarski (Analyst-in-Charge), Mike Duane, David Hooper, Delwen Jones, Malika Rice, and Kelly Rubin made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Pipeline and Hazardous Materials Safety Administration (PHMSA) oversees the safety of natural gas and hazardous liquid pipelines. States sometimes work with PHMSA to inspect and oversee these pipelines.", "We looked into federal and state responsibilities for interstate pipeline inspections, and found that PHMSA expanded its inspector workforce by 25% between 2012 and 2017. However, the agency hasn't planned for future workforce needs\u2014for example, it hasn't assessed how states can help with pipeline inspections and safety oversight. We recommended that they do so."]} {"id": "GAO-18-636T", "url": "https://www.gao.gov/products/GAO-18-636T", "title": "VA IT Modernization: Preparations for Transitioning to a New Electronic Health Record System Are Ongoing", "published_date": "2018-06-26T00:00:00", "released_date": "2018-06-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA provides health care services to almost 9 million veterans and their families and relies on its health information system\u2014VistA\u2014to do so. However, the system is more than 30 years old, is costly to maintain, and does not support interoperability with DOD and private health care providers. Since 2001, VA has pursued multiple efforts to modernize the system. In June 2017, VA announced plans to acquire the same system\u2014the Cerner system\u2014that DOD is implementing.", "GAO was asked to summarize preliminary observations from its ongoing review of VistA and the department's efforts to acquire a new system to replace VistA. Specifically, the statement summarizes preliminary observations regarding (1) costs incurred for the system and related activities during the last 3 fiscal years; (2) key components that comprise VistA and are to be replaced; and (3) actions VA has taken to prepare for its transition to the Cerner system. The statement also discusses common factors critical to the success of IT acquisitions that GAO has previously identified.", "GAO reviewed its prior reports on the VistA modernization and on critical success factors of major IT acquisitions. GAO also reviewed records of obligations for VistA for fiscal years 2015, 2016, and 2017; analyzed VA documentation that describes the scope of VistA, and reviewed program documentation."]}, {"section_title": "What GAO Found", "paragraphs": ["According to the Department of Veterans Affairs (VA), the Veterans Health Information Systems and Technology Architecture (VistA) and related costs, as approximated by funding obligations, were approximately $1.1 billion, $899 million, and $946 million in fiscal years 2015, 2016 and 2017, respectively. These obligations total about $3.0 billion over 3 years to support the system. As identified by the department, the obligations were to cover the costs for three programs (VistA Evolution, Interoperability, and Virtual Lifetime Electronic Record Health) and other supporting investments for activities such as networks and infrastructure sustainment. The following table provides a summary of the total VistA and VistA-related obligations.", "GAO's preliminary results indicate that VA is working to define VistA and identify system components to be replaced by the new system. However, according to VA officials, there is no single information source that fully defines the scope of VistA. This situation is partly due to differences in VistA at various facilities. In the absence of a complete definition of VistA, program officials have taken a number of steps to define the system's scope and identify the components that the new system will replace. These steps have included conducting analyses, performing preliminary site (medical facility) assessments, and planning for a detailed assessment of each site where the new system will be deployed.", "Since VA announced in June 2017 that the department would acquire the same electronic health record system as the Department of Defense (DOD), GAO's preliminary results indicate that VA has begun taking actions to prepare for the transition from VistA. These actions have included standardizing VistA, clarifying the department's approach to interoperability, establishing governance for the new program and the framework for joint governance with DOD, and preparing initial program plans. VA is early in its effort to transition from VistA to the Cerner system and the department's actions are ongoing.", "In 2011, GAO reported on nine common factors critical to the success of major IT acquisitions. Such factors include ensuring active engagement of senior officials with stakeholders and having qualified, experienced program staff. These critical success factors can serve as a model of best practices that VA could apply to enhance the likelihood that the acquisition of a new electronic health record system will be successfully achieved."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to participate in today\u2019s hearing on the planned implementation of the Department of Veterans Affairs\u2019 (VA) Electronic Health Record Modernization (EHRM) program.", "As you know, the use of information technology (IT) is crucial to helping VA effectively serve the nation\u2019s veterans and, each year, the department spends billions of dollars on its information systems and assets. Over many years, however, VA has experienced challenges in managing its IT projects and programs. These challenges have spanned a number of critical initiatives related to modernizing major systems within the department, including its electronic health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA).", "We have issued numerous reports on the challenges that the department has faced in managing VistA and working to increase the interoperability of health information. We also have ongoing work for the Committee on Veterans\u2019 Affairs to review VistA and the department\u2019s transitional efforts to replace the system with a new, commercial-off-the-shelf (COTS) system that it is acquiring from Cerner Government Services, Inc. (Cerner) under the EHRM program.", "At your request, my testimony today summarizes preliminary observations from our ongoing review. Specifically, the statement discusses our preliminary observations regarding (1) costs incurred for the system and related activities during the last 3 fiscal years; (2) key components that comprise VistA and are to be replaced; and (3) actions VA has taken to prepare for its transition to the Cerner system. In addition, the statement discusses critical success factors related to major information technology acquisitions. We have previously reported that these success factors could enhance the likelihood that the new electronic health record system acquisition will be successful.", "In developing this testimony, we considered our previously published reports that discussed the history of the department\u2019s VistA modernization efforts. In addition, we relied on our prior report that discussed critical success factors of major IT acquisitions. The reports cited throughout this statement include detailed information on the scope and methodology for our prior reviews.", "Further, we considered preliminary observations from our ongoing review of VistA\u2019s costs, components, and the actions VA has taken to prepare for transitioning from VistA to the Cerner system. With regard to the total costs of VistA, we obtained records of obligations for VistA-related programs for fiscal years 2015, 2016, and 2017, as tracked by the Veterans Health Administration (VHA) and VA\u2019s Office of Information and Technology (OI&T). We then combined the amount of those obligations with the amount of other obligations, such as those for supporting interoperability and infrastructure, identified by VA as being closely related to the development and operation of VistA. We interviewed VA officials to understand the source and relevance of the obligations identified by the department and determined that the data were reliable for our purposes.", "To identify the key components of VistA and the extent to which they support health record capabilities for the department, we analyzed VA documentation that describes the scope of the system. This documentation included the department\u2019s Health Information System Diagram, the VA Monograph, the VA Systems Inventory, and the VistA Product Roadmap. We also reviewed program documentation identifying components of VistA to be replaced by the Cerner system. We analyzed these documents for consistency to provide a reasonable basis for our observations.", "To summarize the actions VA has taken to prepare for its transition from VistA to the Cerner system under the EHRM program, we reviewed available program briefings, governance documents, and draft plans for the EHRM program related to, for example, interoperability, data migration, change management, and requirements. We supplemented our analysis with information obtained through interviews with relevant VA officials.", "The work upon which this statement is based is being or was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA\u2019s mission is to promote the health, welfare, and dignity of all veterans in recognition of their service to the nation by ensuring that they receive medical care, benefits, social support, and lasting memorials. In carrying out this mission, the department operates one of the largest health care delivery systems in the United States, providing health care services to approximately 9 million veterans throughout the United States, Philippines, Virgin Islands, Puerto Rico, American Samoa, and Guam.", "In 2015, we designated VA health care as a high-risk area for the federal government, and we continue to be concerned about the department\u2019s ability to ensure that its resources are being used cost-effectively and efficiently to improve veterans\u2019 timely access to health care. In part, we identified limitations in the capacity of VA\u2019s existing IT systems, including the outdated, inefficient nature of certain systems and a lack of system interoperability as contributors to the department\u2019s challenges related to health care.", "Providing health care to veterans requires a complex set of clinical and administrative capabilities supported by IT. VA\u2019s health information system\u2014VistA\u2014has been essential to the department\u2019s ability to deliver health care to veterans. VistA contains an electronic health record for each patient that supports clinical settings throughout the department. For example, clinicians can use the system to enter and review patient information; order lab tests, medications, diets, radiology tests, and procedures; record a patient\u2019s allergies or adverse reactions to medications; request and track consults; enter progress notes, diagnoses, and treatments for encounters; and enter discharge summaries.", "VistA was developed in house by clinicians and IT personnel in various VA medical facilities and has been in operation since the early 1980s. Over the last several decades, VistA has evolved into a technically complex system comprised of about 170 modules that support health care delivery at 152 VA Medical Centers and over 1,200 outpatient sites. In addition, customization of VistA, such as changes to the modules by the various medical facilities, has resulted in about 130 versions of the system\u2014referred to as instances.", "According to VA, VistA modules are comprised of one or more software applications that support various health care functions, such as providing care coordination and mental health services. In addition to VistA, the department has other health information systems that must interface with VistA to send, exchange, or store related health (e.g., clinical and patient) data.", "Since 2001, VA has identified the need for enhancements and modifications to VistA and has pursued multiple efforts to modernize the system. Two major efforts have included the VistA Evolution program and, most recently, the planned acquisition of the same electronic health record system that the Department of Defense (DOD) is acquiring.", "In 2013, VA established VistA Evolution as a joint program between OI&T and VHA that was comprised of a collection of projects and efforts focused on improving the efficiency and quality of veterans\u2019 health care. This program was to modernize the department\u2019s health information systems, increase VA\u2019s data exchange and interoperability capabilities with DOD and private sector health care partners, and reduce VA\u2019s time to deploy new health information management capabilities.", "In June 2017, the former VA Secretary announced a significant shift in the department\u2019s approach to modernizing VistA. Specifically, rather than continue to use VistA, the Secretary stated that the department planned to acquire the same Cerner electronic health record system that DOD has been acquiring.", "Accordingly, the department awarded a contract to Cerner in May 2018 for a maximum of $10 billion over 10 years. Cerner is to replace VistA with a commercial electronic health record system. This new system is to support a broad range of health care functions that include, for example, acute care, clinical decision support, dental care, and emergency medicine. When implemented, the new system will be expected to provide access to authoritative clinical data sources and become the authoritative source of clinical data to support improved health, patient safety, and quality of care provided by VA.", "As previously mentioned, this acquisition is being managed by VA\u2019s EHRM program. According to program documentation, EHRM is also to deliver program management support and the infrastructure modernization required to install and operate the new system.", "According to EHRM program documentation, the department has estimated that an additional $5.8 billion in funding, above the contract amount, would be needed to fund project management support and infrastructure improvements over the 10-year period. This amount does not fully include government employee costs.", "Deployment of the new electronic health record system at the initial sites is planned for within 18 months of October 1, 2018, with a phased implementation of the remaining sites over the next decade. Each VA medical facility is expected to continue using VistA until the new system has been deployed at that location."], "subsections": []}, {"section_title": "VA Has Reported Obligating about $3.0 Billion to VistA and Related Activities from Fiscal Years 2015 through 2017", "paragraphs": ["According to VA, the department\u2019s costs for VistA and related activities are approximated by funding obligations of about $1.1 billion, $899 million, and $946 million in fiscal years 2015, 2016 and 2017, respectively, for a total of about $3.0 billion over 3 years to support the system. Specifically, VHA and OI&T reported obligations to cover the costs for the VistA Evolution program, including costs for development, operation and maintenance, and payroll for government employees over the 3 fiscal years.", "Further, in their efforts to fully determine the costs associated with VistA, VA officials also reported obligations for activities that supported VistA, but were not included in the VistA Evolution program. These other obligations were for investments in interoperability initiatives, such as increasing data standardization and data sharing between VA, DOD, and other government and non-government entities, and the Virtual Lifetime Electronic Record Health. These obligations also include other VistA- related technology investments, such as networks and infrastructure sustainment, continuation of legacy systems, and overall patient safety, security, and system reliability.", "Table 1 provides a summary of the total VistA and related obligations that VA identified for fiscal years 2015 through 2017."], "subsections": []}, {"section_title": "VA Is Working to Define VistA\u2019s Scope and Identify Components to Be Replaced by the Cerner System", "paragraphs": ["Understanding the scope of VA\u2019s current health information system is essential to effectively planning for the new system. However, according to VA officials, there is no single information source that fully defines the scope of VistA. Instead, existing definitions of the system, including the components that comprise it, are identified by multiple sources. These sources include the VA Systems Inventory, VistA Document Library, and VA Monograph.", "Each of these sources describes VistA from a different perspective. For example, the VA Monograph provides an overview of VistA and non-VistA applications used by VHA. The monograph also describes modules and their associated business functions, but does not document all customization at local facilities. The VA Systems Inventory is a database that identifies current IT systems at VA, including systems and interfaces that are related to VistA. The VA Document Library is an online resource for accessing documentation on VA\u2019s nationally released software applications, including VistA.", "In the absence of a complete definition of VistA, EHRM program officials have taken a number of steps to define the system\u2019s scope and identify the components that the Cerner system will replace. These steps have included conducting two analyses, performing preliminary site assessments, and planning for Cerner to perform a detailed assessment of each site where the new system will be deployed.", "Specifically, EHRM program subject-matter experts undertook an analysis that identified 143 VistA modules and 35 software applications as representing the scope of the system. They then compared the functionality provided by the VistA modules to the Cerner system\u2019s capabilities to identify the VistA components that are expected to be replaced by the Cerner system. The analysis identified 131 (92 percent) of the 143 VistA modules and 32 (91 percent) of the 35 applications that are expected to be replaced by the Cerner system. For example, the analysis determined that the Care Management and Mental Health modules would be replaced by the new system.", "EHRM program officials also undertook a subsequent, broader analysis to identify, among other things, the scope of VistA, as well as the department\u2019s other health IT systems that could also be replaced by the Cerner system. These other systems include, for example, dentistry and oncology applications. As part of this analysis, the department combined data from the VA Systems Inventory, the VistA Document Library, the VA Monograph, and other sources to identify the health information technology environment at a typical VA medical center.", "The resulting analysis of VA\u2019s health IT environment identified a total of 330 applications that support health care delivery at a medical center, of which 119 applications (approximately 36 percent) have been identified as having similar functionality as a capability of the Cerner system. Further, 128 of the 330 applications are identified as VistA applications. Of the 128 applications designated as VistA, 58 (approximately 45 percent) have been identified as having similar functionality as a capability of the Cerner system, including pharmacy, laboratory, and scheduling capabilities.", "In addition to the analyses discussed above, VA has taken steps to understand differences in VistA at individual facilities. Specifically, according to EHRM officials, representatives from VA and Cerner have visited 17 VA medical facilities to conduct preliminary site assessments. The intent of these assessments is to obtain a broad perspective of the current state of the systems, applications, integration points, reporting, and workflows being utilized at individual facilities. These site visits identified VistA customization that may be site specific. The identification of such site specific customization is intended to help Cerner plan for implementation of its system at each location. According to EHRM program officials, full site assessments that are planned at each location in preparation for implementation of the Cerner system are expected to identify the full extent of VistA customization."], "subsections": []}, {"section_title": "VA\u2019s Preparations for Transitioning from VistA to the Cerner System Are Ongoing", "paragraphs": ["Since the former VA Secretary announced in June 2017 that the department would acquire the same electronic health record system as DOD, VA has taken steps to position the department for the transition to the new system. These actions, which are ongoing, have included standardizing VistA, assessing the department\u2019s approach to increasing interoperability, establishing governance for the new program and the framework for joint governance with DOD, and preparing initial program plans."], "subsections": [{"section_title": "Standardizing VistA", "paragraphs": ["VA\u2019s goal is for all instances of VistA being used in its medical facilities to be standardized where practical. Such standardization is intended to better position the department to switch to the Cerner system. To increase standardization, the VistA Evolution program has been focused over the last 5 years on standardizing a core set of VistA modules related to interoperability which, according to the department, accounts for about 60 percent of VistA.", "In addition, the program has focused on identifying software that is common to each VistA instance. VA refers to this collection of standard software as the gold instance. As part of its effort to standardize VistA, VA has implemented a process to compare the system at each site with the gold instance. Sites that are identified as having variations from the gold instance must apply for a waiver to gain approval for continuing to operate a non-standard VistA instance. OI&T and VHA assess the waivers, which may be approved if a site needs non-standard functionality that is deemed critical to that site. Alternatively, waivers are not approved if the assessment determines that a site\u2019s needs can be met by reverting to the gold instance of VistA."], "subsections": []}, {"section_title": "Assessing the Approach to Increasing Interoperability", "paragraphs": ["VA has identified increased interoperability as a key expected outcome of its decision to switch from VistA to the Cerner system. To ensure that the contract with Cerner will improve interoperability with community care providers (i.e., non-VA and third party providers), the former VA Secretary announced in December 2017 that the department had taken a \u201cstrategic pause\u201d on the electronic health record acquisition process. During the pause, an independent study was undertaken to assess the approach to interoperability with the new acquisition. The assessment made recommendations to improve imported data, address data rights and patient safety risks, and improve data access for patients. VA agreed with all of the resulting recommendations and, according to EHRM program officials, included provisions in the contract with Cerner to address the recommendations."], "subsections": []}, {"section_title": "Establishing a Program Office and Governance", "paragraphs": ["Our prior work has identified strong agency leadership support and governance as factors that can increase the likelihood of a program\u2019s success. Such leadership and governance can come from the establishment of an effective program management organization and a related governance structure.", "VA has taken steps to establish a program management office and drafted a structure for technology, functional, and joint governance of the electronic health record implementation. Specifically, in January 2018, the former VA Secretary established the EHRM Program Executive Office (PEO) that reports directly to the VA Deputy Secretary. According to EHRM program officials, this office supported the contract negotiations with the Cerner Corporation and is expected to continue to manage the program going forward.", "Program officials stated that the office is beginning the process of hiring full-time employees. In addition, to support the program office, the department has awarded a contract for project management support and has also reassigned a number of VA staff to the PEO.", "Further, VA has drafted a memorandum that describes the role of governance bodies within VA, as well as governance intended to facilitate coordination between DOD and VA. For example, according to the draft memorandum, within VA, the EHRM Steering Committee is expected to provide strategic direction for the efforts while monitoring progresses toward goals and advising the Secretary on the progress and performance of the EHRM efforts. This committee is to include the Deputy Secretary, the Undersecretary for Health, and the Chief Information Officer, among others, and is to meet quarterly or as necessary to make its reports to the Secretary.", "Additionally, according to EHRM program documentation, VA is in the process of establishing a Functional Governance Board, a Technical Governance Board, and a Governance Integration Board comprised of program officials intended to provide guidance; coordinate with DOD, as appropriate; and inform the Steering Committee. Further, a joint governance structure between VA and DOD has been proposed that would be expected to leverage existing joint governance facilitated by the DOD/VA Interagency Program Office.", "Nevertheless, while the department\u2019s plans for governance of the EHRM program provide a framework for high-level oversight for program decisions moving forward, EHRM officials have noted that the governance bodies will not be finalized until October 2018."], "subsections": []}, {"section_title": "Preparing Initial Program Plans", "paragraphs": ["Program planning is an activity for ensuring effective management of key aspects of an IT program. These key aspects include identification of the program\u2019s scope, responsible organizations, costs, and schedules.", "VA has prepared initial program plans, including a preliminary timeline for deploying the new electronic health record system to its medical facilities. The department also has a proposed 90-day schedule that depicts key program activities currently underway now that the contract has been awarded. For example, the department\u2019s preliminary plans include an 8- year deployment schedule beginning with planned implementation at initial sites within 18 months of October 1, 2018.", "According to the executive director for the EHRM program, the department also intends to complete a full suite of planning and acquisition management documents to guide the program. These documents include, for example, a life cycle cost estimate, a data migration plan, a change management plan, and an integrated master schedule to establish key milestones over the life of the project. EHRM PEO officials have stated that the department intends to complete the development of its initial plans for the program within 30 to 90 days of awarding the contract (between mid-June and mid-August 2018), and intends to update those plans as the program matures. The plans are to be reviewed during the milestone reviews identified in the department\u2019s formal project management framework."], "subsections": []}]}, {"section_title": "Critical Factors Underlying Successful Major Acquisitions", "paragraphs": ["Our prior work has determined that successfully overcoming major IT acquisition challenges can best be achieved when critical success factors are applied. Specifically, we reported in 2011 on common factors critical to the success of IT acquisitions, based on seven agencies having each identified the acquisition that best achieved the agency\u2019s respective cost, schedule, scope, and performance goals. These factors remain relevant today and can serve as a model of best practices that VA could apply to enhance the likelihood that the acquisition of a new electronic health record system will be successfully achieved.", "Among the agencies\u2019 seven IT investments, agency officials identified nine factors as having been critical to the success of three or more of the seven investments. These nine critical success factors are consistent with leading industry practices for IT acquisition. The factors are:", "Active engagement of senior officials with stakeholders.", "Qualified and experienced program staff.", "Support of senior department and agency executives.", "Involvement of end users and stakeholders in the development of requirements.", "Participation of end users in testing system functionality prior to formal end user acceptance testing.", "Consistency and stability of government and contractor staff.", "Prioritization of requirements by program staff.", "Regular communication maintained between program officials and the prime contractor.", "Sufficient funding.", "Officials for all seven selected investments cited active engagement with program stakeholders\u2014individuals or groups (including, in some cases, end users) with an interest in the success of the acquisition\u2014as a critical factor to the success of those investments. Agency officials stated that stakeholders, among other things, reviewed contractor proposals during the procurement process, regularly attended program management office sponsored meetings, were working members of integrated project teams, and were notified of problems and concerns as soon as possible. In addition, officials from two investments noted that actively engaging with stakeholders created transparency and trust, and increased the support from the stakeholders.", "Additionally, officials for six of the seven selected investments indicated that the knowledge and skills of the program staff were critical to the success of the program. This included knowledge of acquisitions and procurement processes, monitoring of contracts, large-scale organizational transformation, Agile software development concepts, and areas of program management such as earned value management and technical monitoring.", "Finally, officials for five of the seven selected investments identified having the end users test and validate the system components prior to formal end user acceptance testing for deployment as critical to the success of their program. Similar to this factor, leading guidance recommends testing selected products and product components throughout the program life cycle. Testing of functionality by end users prior to acceptance demonstrates, earlier rather than later in the program life cycle, that the functionality will fulfill its intended use. If problems are found during this testing, programs are typically positioned to make changes that would be less costly and disruptive than ones made later in the life cycle.", "Use of the critical success factors described above can serve as a model of best practices for VA. Application of these acquisition best practices presents opportunities for the department to increase the likelihood that its planned acquisition of a new electronic health record system will meet its cost, schedule, scope, and performance goals.", "In conclusion, VA continued to obligate billions of dollars for its VistA system. Recently, the department has undertaken important analyses to better understand the scope of the system and identify capabilities that can be provided by the Cerner electronic health record system it is acquiring. VA has additional key activities underway, such as establishing program governance and EHRM program planning. Based on these preliminary observations and as the department continues its activities to transition from VistA to the Cerner electronic health record system, critical success factors can serve as a model of best practices that VA could apply to enhance the likelihood that the acquisition of the new system will be successfully achieved. While it is early in VA\u2019s acquisition of the Cerner system, it will be important for the department to leverage all available opportunities to ensure that its transition to a new system is carried out in the most effective manner possible. Our experience has shown that challenges can successfully be overcome through using a disciplined approach to IT acquisition management.", "Chairman Roe, Ranking Member Walz, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact David A. Powner at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this statement are Mark Bird (Assistant Director), Jennifer Stavros-Turner (Analyst in Charge), John Bailey, Rebecca Eyler, Jacqueline Mai, Scott Pettis, and Charles Youman.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-273", "url": "https://www.gao.gov/products/GAO-18-273", "title": "James Webb Space Telescope: Integration and Test Challenges Have Delayed Launch and Threaten to Push Costs Over Cap", "published_date": "2018-02-28T00:00:00", "released_date": "2018-02-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["JWST, a large, deployable telescope intended to be the successor to the Hubble Space Telescope, is one of NASA's most complex and expensive projects, at an anticipated cost of $8.8 billion. Congress set an $8 billion JWST development cost cap in 2011, and the remaining $837 million is for its operations costs. JWST is intended to revolutionize our understanding of star and planet formation and advance the search for the origins of our universe. With significant integration and testing planned for the remaining period until launch, the JWST project will still need to address many challenges during the remainder of integration and testing.", "Conference Report No. 112-284, accompanying the Consolidated and Further Continuing Appropriations Act, 2012, included a provision for GAO to assess the project annually and report on its progress. This is the sixth such report. This report assesses the extent to which JWST is (1) meeting its schedule commitments, and (2) able to meet its cost commitments. GAO reviewed monthly JWST reports, reviewed relevant policies, conducted independent analysis of NASA and contractor data, and interviewed NASA and contractor officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2017, the National Aeronautics and Space Administration's (NASA) James Webb Space Telescope (JWST) project delayed its launch readiness date by at least 5 months, and further delays are likely. The delay\u2014from October 2018 to a launch window between March and June 2019\u2014was primarily caused by components of JWST's spacecraft taking longer to integrate than planned. JWST made considerable progress toward the completion of integration and test activities in the past year. However, the project used all remaining schedule reserve\u2014or extra time set aside in the schedule in the event of delays or unforeseen risks\u2014to address technical issues, including an anomaly on the telescope found during vibration testing. Extending the launch window provided the project up to 4 months of schedule reserve. However, shortly after requesting the new launch window in September 2017, the project determined that several months of schedule reserve would be needed to address lessons learned from the initial folding and deployment of the observatory's sunshield (see image). Given remaining integration and test work ahead\u2014the phase in development where problems are most likely to be found and schedules tend to slip\u2014coupled with only 1.5 months of schedule reserves remaining to the end of the launch window, additional launch delays are likely. The project's Standing Review Board will conduct an independent review of JWST's schedule status in early 2018 to determine if the June 2019 launch window can be met.", "JWST will also have limited cost reserves to address future challenges, such as further launch delays, and is at risk of breaching its $8 billion cost cap for formulation and development set by Congress in 2011. For several years, the prime contractor has overestimated workforce reductions, and technical challenges have prevented these planned reductions, necessitating the use of cost reserves. Program officials said that existing program resources will accommodate the new launch window\u2014provided remaining integration and testing proceeds as planned without any long delays. However, JWST is still resolving technical challenges and work continues to take longer than planned to complete. As a result, the project is at risk of exceeding its $8 billion formulation and development cost cap."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made recommendations on the project in previous reports. NASA agreed with and took action on many of GAO's prior recommendations, but not on others\u2014some of which may have provided insight to the current schedule delays. For example, in December 2012, GAO recommended that the JWST project perform an updated integrated cost/schedule risk analysis."]}], "report": [{"section_title": "Letter", "paragraphs": ["The James Webb Space Telescope (JWST) is one of the National Aeronautics and Space Administration\u2019s (NASA) most complex projects and top priorities, which is intended to revolutionize our understanding of star and planet formation and advance the search for the origins of our universe. The innovative technologies within the telescope, as well as the sheer size of some of its components\u2014such as the tennis-court-sized sunshield\u2014illustrate some of the immense development challenges. The project is now in the midst of a period of significant integration and test activities for its elements and major subsystems. During this period, unforeseen challenges could arise and affect the cost and schedule for the project, as evidenced by a recent announcement that JWST delayed its launch readiness date by 5 to 8 months because of technical challenges. Until its launch, NASA and its contractors\u2019 continued ability to identify and respond to challenges in a timely and cost-effective manner will likely influence whether JWST can meet its cost commitments to Congress and avoid further schedule delays.", "The on-time and on-budget delivery of JWST is also a high congressional priority, as Conference Report No. 112-284 included a provision for GAO to assess the JWST program annually and to report to the Committees on Appropriations on key issues relating to program and risk management, achievement of cost and schedule goals, program technical status, and oversight mechanisms. This report is our sixth in response to that provision. For this report, we assessed the extent to which (1) the JWST project is managing technical challenges and integration risks in order to meet its schedule commitments, and (2) technical challenges and higher- than-planned contractor workforce levels are affecting the JWST project\u2019s ability to meet its cost commitments.", "To address these objectives, we examined the schedule, technical, and cost performance of the project since our last report in December 2016\u2014 which also focused on the project\u2019s cost and schedule commitments. To assess the extent to which the JWST project is managing technical challenges and integration risks in order to meet its schedule commitments, we reviewed project and contractor schedule documentation, and held interviews with program, project, and contractor officials on the progress made and any challenges faced building and integrating the different components of the observatory. We examined and analyzed monthly project status reports to management to monitor schedule reserve levels and usage and potential risks and technical challenges that may impact the project\u2019s schedule, and to gain insights on the project\u2019s progress since our last report in December 2016. Further, we attended flight program reviews at the National Aeronautics and Space Administration (NASA) headquarters on a quarterly basis, where the current status of the program was briefed to NASA headquarters officials outside of the project. We examined selected individual risks for elements and major subsystems from monthly risk registers prepared by the project to understand the likelihood of occurrence and impacts to the schedule based on steps the project is taking to mitigate the risks. We examined the project\u2019s schedule risk assessment to determine the impact of technical challenges and schedule execution rates on the project\u2019s planned launch readiness date. Furthermore, we interviewed project officials at Goddard Space Flight Center, contractor officials from the Northrop Grumman Corporation, and the Association of Universities for Research in Astronomy\u2019s Space Telescope Science Institute concerning technological challenges that have had an impact on schedule, and the project\u2019s and contractor\u2019s plans to address these challenges. We also obtained information from independent NASA reviewers on the status of project software and challenges.", "To assess the extent to which technical challenges and higher-than- planned contractor workforce levels are affecting the JWST project\u2019s ability to meet its cost commitments, we reviewed and analyzed program, project, and contractor data and documentation and held interviews with officials from these organizations. We reviewed JWST project status reports on cost issues to determine the risks that could impact cost. We analyzed contractor workforce plans against workforce actuals to determine whether contractors are meeting their workforce plans. We monitored and analyzed the status of program and project cost reserves in current and future fiscal years to determine the project\u2019s financial posture. We examined and analyzed earned value management data from the project\u2019s observatory contractor to identify trends in performance, whether tasks were completed as planned, and likely estimates at completion.", "Our work was performed primarily at NASA headquarters in Washington, D.C.; Goddard Space Flight Center in Greenbelt, Maryland; Northrop Grumman Corporation in Redondo Beach, California; and the Space Telescope Science Institute in Baltimore, Maryland. We also obtained information from officials at the Independent Verification and Validation facility in Fairmont, West Virginia.", "We conducted this performance audit from March 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["JWST is envisioned to be a large deployable space telescope, optimized for infrared observations, and the scientific successor to the aging Hubble Space Telescope. JWST is being designed for a 5-year mission to find the first stars, study planets in other solar systems to search for the building blocks of life elsewhere in the universe, and trace the evolution of galaxies from their beginning to their current formation. JWST is intended to operate in an orbit approximately 1.5 million kilometers\u2014or 1 million miles\u2014from the Earth. With a 6.5-meter primary mirror, JWST is expected to operate at about 100 times the sensitivity of the Hubble Space Telescope. JWST\u2019s science instruments are designed to observe very faint infrared sources and therefore are required to operate at extremely cold temperatures. To help keep these instruments cold, a multi-layered tennis court-sized sunshield is being developed to protect the mirrors and instruments from the sun\u2019s heat.", "The JWST project is divided into three major segments: the observatory segment, the ground segment, and the launch segment. When complete, the observatory segment of JWST is to include several elements (Optical Telescope Element (OTE), Integrated Science Instrument Module (ISIM), and spacecraft) and major subsystems (sunshield and cryocooler). The hardware configuration created when the Optical Telescope Element and the Integrated Science Instrument Module were integrated, referred to as OTIS, is not considered an element by NASA, but we categorize it as such for ease of discussion. Additionally, JWST is dependent on software to deploy and control various components of the telescope, and to collect and transmit data back to Earth. The elements, major subsystems, and software are being developed through a mixture of NASA, contractor, and international partner efforts. See figure 1 for an interactive graphic that depicts the elements and major subsystems of JWST.", "For the majority of work remaining, the JWST project is relying on two contractors: Northrop Grumman Corporation and the Association of Universities for Research in Astronomy\u2019s Space Telescope Science Institute (STScI). Northrop Grumman plays the largest role, developing the sunshield, the Optical Telescope Element, the spacecraft, and the Mid-Infrared Instrument\u2019s cryocooler, in addition to integrating and testing the observatory. STScI\u2019s role includes soliciting and evaluating research proposals from the scientific community, and receiving and storing the scientific data collected, both of which are services that it currently provides for the Hubble Space Telescope. Additionally, STScI is developing the ground system that manages and controls the telescope\u2019s observations and will operate the observatory on behalf of NASA. JWST will be launched on an Ariane 5 rocket, provided by the European Space Agency.", "JWST depends on 22 deployment events\u2014more than a typical science mission\u2014to prepare the observatory for normal operations on orbit. For example, the sunshield and primary mirror are designed to fold and stow for launch and deploy once in space. Due to its large size, it is nearly impossible to perform deployment tests of the fully assembled observatory, so the verification of deployment elements is accomplished by a combination of lower level component tests in flight-simulated environments; ambient deployment tests for assembly, element, and observatory levels; and detailed analysis and simulations at various levels of assembly."], "subsections": [{"section_title": "Schedule and Cost Reserves for NASA Projects", "paragraphs": ["We have previously reported that complex development efforts like JWST face numerous risks and unforeseen technical challenges, which oftentimes can become apparent during integration and testing. To accommodate unanticipated challenges and manage risk, projects reserve extra time in their schedules, which is referred to as schedule reserve, and extra money in their budgets, which is referred to as cost reserve.", "Schedule reserve is allocated to specific activities, elements, and major subsystems in the event of delays or to address unforeseen risks. Each JWST element and major subsystem has been allocated schedule reserve. When an element or major subsystem exhausts schedule reserve, it may begin to affect schedule reserve on other elements or major subsystems whose progress is dependent on prior work being finished for its activities to proceed. The element or major subsystem with the least amount of schedule reserve determines the critical path for the project. Any delay to an activity that is on the critical path will reduce schedule reserve for the whole project, and could ultimately impact the overall project schedule.", "Cost reserves are additional funds within the project manager\u2019s budget that can be used to address unanticipated issues for any element or major subsystem, and are used to mitigate issues during the development of a project. For example, cost reserves can be used to buy additional materials to replace a component or, if a project needs to preserve schedule reserve, reserves can be used to accelerate work by adding shifts to expedite manufacturing. NASA\u2019s Goddard Space Flight Center (Goddard)\u2014the NASA center with responsibility for managing JWST\u2014 has issued procedural requirements that establish the levels of both cost and schedule reserves that projects must hold at various phases of development. In addition to cost reserves held by the project manager, management reserves are funds held by the contractors that allow them to address cost increases throughout development. We have found that management reserves should contain 10 percent or more of the cost to complete a project and are generally used to address various issues tied to the contract\u2019s scope."], "subsections": []}, {"section_title": "History of Cost Growth and Schedule Delays", "paragraphs": ["JWST has experienced significant cost increases and schedule delays. Prior to being approved for development, cost estimates of the project ranged from $1 billion to $3.5 billion, with expected launch dates ranging from 2007 to 2011. Before 2011, early technical and management challenges, contractor performance issues, low level cost reserves, and poorly phased funding levels caused JWST to delay work after cost and schedule baselines were established, which contributed to significant cost and schedule overruns, including launch delays. The Chair of the Senate Subcommittee on Commerce, Justice, Science, and Related Agencies requested from NASA an independent review of JWST in June 2010.", "NASA commissioned the Independent Comprehensive Review Panel, which issued its report in October 2010, and concluded that the baseline funding did not allot adequate reserves, resulting in an unexecutable project. Following this review, the JWST program underwent a replan in September 2011, and in November of that same year, Congress placed an $8 billion cap on the formulation and development costs for the project. On the basis of the replan, NASA rebaselined JWST with a life- cycle cost estimate of $8.835 billion which included additional money for operations and a planned launch in October 2018. The revised life-cycle cost estimate included a total of 13 months of funded schedule reserve."], "subsections": []}, {"section_title": "Previous GAO Reviews of JWST Project", "paragraphs": ["We have previously found that since the project\u2019s replan in 2011, the JWST project has met its cost and schedule commitments. In our most recent report in December 2016, we found that the project was still operating within its committed schedule while in its riskiest phase of development\u2014integration and test\u2014but had used about 3 months of schedule reserve since our previous December 2015 report. In addition, we found that the project was facing numerous risks and single points of failure before launch. Finally, we found that while the project was meeting its cost commitments despite technical and workforce challenges, the observatory contractor had continued to maintain a larger workforce for longer than planned in order to address technical issues. In these prior reports, we have made recommendations with regard to improving cost and schedule estimating, updating risk assessments, and strengthening management oversight. NASA has generally agreed and taken steps to implement a number of our recommendations. For example, in December 2015, we recommended that the JWST project require contractors to identify, explain, and document anomalies in contractor-delivered monthly earned value management reports. NASA concurred with this recommendation and, in February 2016, directed the contractors to implement the actions stated in the recommendation. However, NASA did not implement some recommendations, which if implemented, may have provided insight into the challenges it now faces. For example, in December 2012, we recommended the JWST project update its joint cost and schedule confidence level (JCL), a point-in-time estimate that, among other things, includes all cost and schedule elements and incorporates and quantifies known risks. NASA policy requires projects to establish commitment baselines at a 70 percent confidence level. Although NASA concurred with this recommendation, it did not take steps to implement it. An updated JCL may have portended the current schedule delays, which could have been proactively addressed by the project."], "subsections": []}]}, {"section_title": "Considerable Progress Made Across JWST Project, but Integration and Test Challenges Have Delayed Launch at Least 5 Months with Further Delays Likely", "paragraphs": ["While much progress on hardware integration and testing and several risk reduction efforts have occurred over the past several months, the JWST project also used all of its schedule reserves established at the replan in 2011 to address various technical issues, including a test anomaly on the telescope and sunshield hardware challenges. In September 2017, the JWST project requested a launch window at least 5 to 8 months later than the planned October 2018 launch readiness date, based on the results of a schedule risk assessment that showed that various components of the spacecraft element integration were taking longer to complete than expected. The new launch window included up to 4 months of additional schedule reserves. However, shortly after requesting the revised launch window from the European Space Agency (ESA), which will contribute the launch vehicle, the project learned from Northrop Grumman that up to another 3 months of schedule reserve use was expected, due to lessons learned from conducting deployment exercises of the spacecraft element and sunshield. After incorporating some schedule efficiencies, the project now has 1.5 months of schedule reserve remaining. Given the remaining integration and test work ahead\u2014the phase in development where problems are most likely to be found and schedules tend to slip\u2014and risks remaining to be reduced to acceptable levels, coupled with a low level of schedule reserves, we believe that additional delays to the project\u2019s launch readiness date are likely."], "subsections": [{"section_title": "JWST Project Completed Significant Integration and Test Work", "paragraphs": ["Since our last report, the JWST project has made considerable progress toward completing its third and fourth of five total integration and test phases for the combined optical telescope element and integrated science instrument module (OTIS) and the spacecraft elements, respectively. Previously, the project and Northrop Grumman completed the Integrated Science Instrument Module and the Optical Telescope Element integration phases in March 2016, as shown in Figure 2 below.", "OTIS progress: Hardware integration and two of three key environmental tests\u2014acoustics and vibration\u2014were completed in 2016 and early 2017, respectively. The third key test, cryovacuum\u2014 which was conducted in a large cryovacuum chamber to ensure the telescope can operate at the near-absolute zero cryogenic temperatures of space\u2014began in July 2017 at Johnson Space Center and successfully concluded in October 2017. The project identified a technical issue with the stability of the optical mirror that affects image quality, and by conducting some additional testing, determined that it was caused by a test equipment setup issue and not related to the flight hardware itself. Project officials stated that they plan to delay shipping the completed OTIS element to the Northrop Grumman facility in California for final integration with the spacecraft element from late December 2017 to February 2018. According to project officials, the delay allows the project to shift some of the work to prepare OTIS for integration with the spacecraft\u2014such as cleaning the mirrors\u2014to Johnson Space Center where it will not have to share space in the crowded clean room at Northrop Grumman as sunshield fold and stow activities are ongoing. OTIS is expected to arrive at Northrop Grumman months ahead of its need date for integration into the observatory.", "Spacecraft element progress: All spacecraft element hardware has been delivered and mechanical integration of spacecraft hardware\u2014 including the five layers of the sunshield\u2014is largely complete. Northrop Grumman has also completed a folding operation and the first full deployment of the integrated spacecraft element. Northrop Grumman plans to refold the sunshield and complete one more deployment cycle, after environmental testing, in this phase of integration and testing.", "The project and its contractors conducted risk reduction testing on OTIS and the spacecraft elements to reduce risk for challenging environmental tests on flight hardware. These tests allowed the project and its contractors to practice processes and procedures for testing on flight hardware to create a more efficient test flow and proactively address issues before flight hardware tests commenced. For example, the second risk reduction test on the OTIS pathfinder hardware showed that vibration levels inside the test chamber were too high, and adjustments to the ground support equipment were implemented to address this issue. Additionally, Northrop Grumman officials noted that risk reduction tests on the spacecraft element have helped demonstrate facility capability and logistics for the upcoming tests of flight hardware.", "The project has also progressed in preparing the software and ground systems that will operate the observatory and manage and control the telescope\u2019s observations. According to NASA\u2019s Independent Verification and Validation group, the overall status of JWST software development and integration efforts is very positive with minimal development remaining, and the group has significant confidence that the mission software will support the mission objectives. Additionally, the Space Telescope Science Institute has made considerable progress in preparing JWST\u2019s ground systems, such as preparing the Mission Operations Center and conducting the Mission Operations Review in April 2017.", "The project has made notable progress in reducing and closing numerous tracked risks. In December 2016, we reported that the project maintained a risk list with 73 items. Currently, the list of tracked risks has 47 items to be closed or mitigated to acceptable levels. The completion of the OTIS cryovacuum test enabled the project to recently close several risks. For example, the project previously tracked a risk that the instrument module and telescope element might have to be de-integrated if OTIS testing revealed workmanship issues. With the successful completion of the testing, this risk was closed in fall 2017. The project also obtained a waiver from the Office of Safety and Mission Assurance to NASA\u2019s risk policy for its over 300 single point failures throughout the observatory, the majority of which are related to the sunshield. Project officials reported that the elimination of all single point failures on the JWST Mission is not practical or even feasible, due mainly to the large number of deployments, and that all mitigations practical to address and minimize them have been implemented."], "subsections": []}, {"section_title": "JWST Delayed Launch Due to Integration Challenges on the Spacecraft Element, Avoiding a Potential Launch Site Conflict", "paragraphs": ["In the summer of 2017, the JWST project conducted a schedule risk assessment that showed that the October 2018 launch readiness date was unachievable, primarily due to the various components of spacecraft element integration taking longer to complete than planned. The project performed the schedule risk assessment in order to provide ESA a desired launch window about one year prior to the expected launch date. The assessment took into account remaining work to be completed, lessons learned from environmental testing, and the current performance rates of integrating the spacecraft element. As a result of the assessment, in September 2017 NASA requested from ESA a launch window of March 2019 to June 2019. The requested launch window represents a 5- to 8- month delay from the previously planned October 2018 launch readiness date.", "The schedule risk assessment incorporated input from Northrop Grumman on expected durations for remaining spacecraft and observatory level integration activities. However, the project\u2019s analysis determined that the expected durations provided by Northrop Grumman were overly optimistic. As a result, the project incorporated uncertainty factors into the analysis, which added 2 to 3 months to the schedule. The project also estimated an additional 5 to 8 weeks would be needed because of emerging technical issues not specifically accounted for by the schedule risk assessment. Additionally, the project updated the expected time required at the launch site for processing activities and added about 1.25 months. According to project officials, the confidence in the launch window identified is in line with that of a typical NASA JCL at 70 percent. NASA\u2019s independent Standing Review Board reviewed the assessment and found that it was a thorough approach for reviewing the schedule, risks, and uncertainties and that the new proposed launch readiness range is technically feasible with reasonable risk.", "NASA\u2019s request for a March to June 2019 launch window was driven by its own schedule and technical issues, but also avoids potential conflicts with other mission launches. Regardless of JWST\u2019s launch readiness, and prior to undertaking the schedule risk assessment, the project learned in November 2016 of potential scheduling conflicts at the launch site in French Guiana. After numerous delays, BepiColombo, a joint ESA/Japan Aerospace Exploration Agency mission to Mercury, is currently forecasted to have an October 2018 launch readiness date. According to program officials, that mission could have taken precedence over JWST given that planetary missions generally have more limited launch windows. Additionally, Arianespace, a commercial company, currently has a commercial launch scheduled for the December 2018 timeframe."], "subsections": []}, {"section_title": "JWST Project Consumed all of its Planned Schedule Reserve to Address Technical Challenges", "paragraphs": ["While much progress has been made since we last reported in December 2016, the project and Northrop Grumman consumed the remaining 6 months of schedule reserves established at the 2011 replan to address technical challenges that arose during the OTIS and the spacecraft element integration and test work, as well as additional challenges identified by the schedule risk assessment. Specifically: In February 2017, a vibration anomaly during OTIS vibration testing at Goddard Space Flight Center, occurring in parallel with spacecraft and sunshield issues, consumed 1.25 months and delayed the start of cryovacuum testing, the final event in the OTIS integration and test phase, by several weeks.", "In April 2017, spacecraft and sunshield issues consumed an additional 1.25 months. Specifically, a contractor technician applied too much voltage and irreparably damaged the spacecraft\u2019s pressure transducers, components of the propulsion system, which help monitor spacecraft fuel levels. The transducers had to be replaced and reattached in a complicated welding process. At the same time, Northrop Grumman also addressed several challenges with integrating sunshield hardware such as the mid-boom assemblies and membrane tensioning system, which help deploy the sunshield and maintain its correct shape.", "Finally, in September 2017, the remaining 3.5 months of previously planned schedule reserves was consumed as a result of the contractor having underestimated the time required to complete integration and test work on the spacecraft and other risks identified in the schedule risk analysis. Specifically, execution of spacecraft integration and test tasks, due to the complexity of work and cautious handling given sensitivity of flight hardware, was slower than planned. For example, the installation of numerous membrane retention devices slowed the pace of the work. According to Northrop Grumman officials, the sunshield is elevated off the ground for installation work and the size and quantity of the work lifts necessary for the technicians to access the sunshield requires more maneuvering and prevents the technicians from working on the forward and aft sunshield assemblies simultaneously.", "Taking into account the consumption of planned reserves and the establishment of the revised launch window, the project expected to have up to 4 months of schedule reserve extending to the end of the launch window range, or June 2019. However, shortly after the project notified ESA of the launch delay in September 2017, the project received updated information from Northrop Grumman and determined that up to 3 months of schedule reserve would be needed based upon lessons learned from Northrop Grumman\u2019s initial sunshield folding operation and implications for remaining deployment test activities. After incorporating some schedule efficiencies, the project now has 1.5 months of schedule reserve remaining. This level of schedule reserve is below the standards established by Goddard Space Flight Center for a project at this stage of development. The project is working with Northrop Grumman to determine if any further schedule reserve can be regained by incorporating schedule efficiencies and adjusting integration and test plans. As shown in the figure below, Northrop Grumman\u2019s work on the spacecraft element remains on the project\u2019s critical path\u2014the schedule with the least amount of reserve, which determines the overall schedule reserve for the project\u2014now with an estimated 1.5 months of schedule reserve to the end of the launch window in June 2019."], "subsections": []}, {"section_title": "Ongoing Spacecraft Integration and Test Issues, Challenging Remaining Work, and Slow Contractor Performance Make Additional Launch Delays Likely", "paragraphs": ["Given several ongoing technical issues, and the work remaining to test the spacecraft element and complete integration of the telescope and spacecraft, combined with continuing slower than planned work at Northrop Grumman, we believe that the rescheduled launch window is likely unachievable. For example, in May 2017, Northrop Grumman found that 8 of 16 valves in the spacecraft propulsion system\u2019s thruster modules were leaking beyond allowable levels. The project and Northrop Grumman were unable to definitively isolate the root cause of the leaks; however, Northrop Grumman determined that the most likely cause is a handling error at their facility. Specifically, the material around the valves deteriorated due to a solvent used for cleaning. All of the thruster modules were returned to the vendor for investigation and refurbishment. According to project officials, the refurbished thruster modules were returned to the contractor facility in late 2017 for reattachment. However, reattaching the repaired modules is a challenge because of the close proximity of electronics and other concerns. The project included about one month in the schedule risk assessment to account for the time spent investigating and determining the path forward for the thruster issue; however, the full schedule impact of reattaching the thruster modules to the spacecraft element had not yet been determined and was not incorporated into the analysis. In November 2017, the project and Northrop Grumman chose a reattachment method that project officials stated is expected to require less time to complete and pose fewer risks to the hardware than a traditional welding approach.", "In October 2017, when conducting folding and deployment exercises on the sunshield, Northrop Grumman discovered several tears in the sunshield membrane layers. According to program officials, a workmanship error contributed to the tears. The tears can be repaired; however, some schedule reserve may be required to repair them. Additionally, during the deployment exercise, one of the sunshield\u2019s six membrane tensioning systems experienced a snag. Northrop Grumman is planning to implement a slight design modification to prevent the issue from occurring again. Northrop Grumman officials have not yet determined if the schedule will be affected as a result.", "Beyond mitigating the specific spacecraft thruster module valve leak and sunshield issues, the project faces significant work ahead, and numerous risks remain to be mitigated to acceptable levels. For example, the project and Northrop Grumman must:", "Resolve lingering technical issues from the OTIS cryovacuum test and prepare and ship OTIS to the Northrop Grumman facility in California for integration with the spacecraft.", "Complete integration of spacecraft hardware, and conduct spacecraft element environmental tests and remaining deployments of the spacecraft and sunshield\u2014activities which, to date, have taken considerably longer than planned.", "Integrate the completed OTIS element with the spacecraft element and test the full observatory in the fifth and final integration phase, which includes another set of challenging environmental tests.", "Mitigate approximately 47 remaining tracked hardware and software risks to acceptable levels and continue to address the project\u2019s 300+ potential single point failures to the extent possible.", "Prepare and ship the observatory to the launch site and complete final launch site processing, including installation of critical release mechanisms.", "Project officials have expressed concern with Northrop Grumman\u2019s ability to prevent further schedule erosion as the project moves through remaining integration and test work. With the project\u2019s current low level of schedule reserves, even a relatively minor disruption could cause the project to miss its revised launch window. According to program officials, the contractor has increased its daily work shifts from two to three and is now working 24 hours per day on spacecraft integration, which further limits schedule flexibility. In early 2018, the project\u2019s independent Standing Review Board will review the latest schedule inputs based on updated knowledge about spacecraft integration and test activity durations. For example, according to project officials, by early 2018, the contractor is expected to have completed the second of four planned fold and stow sequences on the sunshield, which will provide more insight into whether the current planned schedule is realistic. The Standing Review Board will also examine the project\u2019s plans for schedule efficiencies and potential integration and test adjustments to determine if the June 2019 launch window can be met. Project officials stated that following this review, NASA senior management will be briefed on the Standing Review Board\u2019s findings and will then formally identify a new launch readiness window.", "Our prior work has shown that integration and testing is the phase in which problems are most likely to be found and schedules tend to slip. For a uniquely complex project such as JWST, this risk is magnified. Now that the project is well into its complex integration and test efforts, events are sequential in nature and there are fewer opportunities to mitigate issues in parallel. Since the replan, the project has used about 2.5 months of schedule reserve per year to address technical issues, but, as discussed above, it now has only approximately 1.5 months of schedule reserve to last until the end of the revised launch window in June 2019. Thus, past experience with technical issues in earlier integration phases suggests that this amount of reserve will not be adequate for the challenging work ahead, and further delays to launch readiness are likely. We will continue to monitor the project\u2019s progress in meeting its revised schedule as more information is available during this critical integration and test phase."], "subsections": []}]}, {"section_title": "Higher Contractor Workforce Levels to Address Continuing Technical Challenges Places JWST at Risk of Exceeding Cost Commitments", "paragraphs": ["Northrop Grumman continued to maintain higher than planned workforce levels in the past year and, as a result, NASA will have limited cost reserves to address future challenges. Northrop Grumman\u2019s ability to control costs and decrease its workforce is central to JWST\u2019s capacity to meet its long-term cost commitments. For the past 44 months, Northrop Grumman\u2019s actual workforce has exceeded its projections and the company is not expected to significantly reduce its workforce until the spring of 2019, when NASA plans to ship the completed observatory to the launch site. Northrop Grumman had planned to reduce its workforce in fiscal years 2016 and 2017 as work was planned to be completed, but has needed to maintain higher workforce levels due to technical challenges and the work taking longer than expected. Figure 6 illustrates the difference between the workforce levels that Northrop Grumman projected for fiscal years 2016 and 2017, and its actual workforce levels during that period.", "As shown in figure 6, Northrop Grumman has slightly reduced its workforce since the beginning of fiscal year 2016. However, staffing levels remain higher than projected as a result of previously noted technical challenges including spacecraft and sunshield integration and test challenges, to keep specialized engineers available when needed during final assembly, and to complete required testing activities. Projections made at the beginning of fiscal year 2017\u2014when the expected launch readiness date was October 2018\u2014expected workforce levels to begin at 472 full-time equivalent staff and drop to 109 at the end of the fiscal year. However, technical challenges and delays in completing scheduled work did not allow for the planned workforce reduction and Northrop Grumman reported 496 full-time equivalent staff in September 2017, or 387 more than planned. According to JWST project officials and similar to previous years, Northrop Grumman\u2019s priority for fiscal year 2018 is to maintain schedule in order to ensure that the new launch window set from March to June 2019 can be met. As a result, Northrop Grumman\u2019s contractor workforce levels are expected to continue to be elevated through JWST\u2019s final integration and test phase in fiscal year 2019 where the spacecraft and OTIS will be integrated before shipment to the launch site.", "Northrop Grumman submitted a cost overrun proposal to NASA in July 2016, primarily to address costs associated with sustaining its workforce at higher levels than planned in fiscal year 2017. An overrun proposal seeks to increase the value of a cost-reimbursement contract when the total estimated cost is less than the contract\u2019s estimated cost to complete the performance of the contract. In addition to higher workforce levels, the overrun proposal replenished contractor management reserves that had been used to address technical issues, and addressed projected growth in the contractor\u2019s cost to complete work. NASA and the contractor completed negotiations in September 2017 and executed a contract modification that added $179.9 million to the value of the contract to cover Northrop Grumman\u2019s cost overrun and additional negotiated items, such as particle dampers. This amount was intended to cover the cost of the remaining work through the expected launch date of October 2018. However, by September 2017 Northrop Grumman had no remaining schedule reserves and a limited amount of cost reserves with which to address future costs.", "Furthermore, the project determined\u2014as discussed above\u2014that the October 2018 launch window was not feasible and established a new launch window. According to JWST project officials, the project expects to issue a request for proposal in early 2018 to cover the costs for the remaining work through the new launch window. The project plans to use a significant portion of fiscal years 2018 and 2019 program cost reserves to address Northrop Grumman costs and unanticipated technical challenges. According to JWST program officials, if the contractor does not improve its schedule efficiency, the remaining reserves will be used to offset increased cost resulting from taking longer to complete the work.", "For the sixth consecutive year, the JWST project managed spending within its allocated budget in fiscal year 2017. However, JWST is still resolving technical challenges and planned work continues to take longer to complete. Prudent management of its resources allowed the project to carry into fiscal year 2018 about a third more carry over funding than it had projected at the beginning of the fiscal year. Program officials said that assuming the remaining integration and tests proceed as planned and no long delays are encountered, the existing program resources accommodate the new launch window of March to June 2019. The project continues to identify funding options in the event of a delay of beyond the end of the launch window. Under the 2011 replan, Congress placed an $8 billion cap on formulation and development costs, but any long delays beyond the new launch window\u2014which, as noted above, are likely\u2014 place the project at risk of exceeding this cap."], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We requested comments from NASA, but agency officials determined that no formal comments were necessary. NASA provided technical comments, which were incorporated as appropriate.", "We are sending copies of the report to NASA\u2019s Administrator and interested congressional committees. In addition, the report is available at no charge on GAO\u2019s website and http://www.gao.gov.", "If you or your staff have any questions on matters discussed in this report, please contact me at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Elements and Major Subsystems of the James Webb Space Telescope (JWST) Observatory", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Richard Cederholm, (Assistant Director); Karen Richey, (Assistant Director); Jay Tallon, (Assistant Director); Brian Bothwell, Laura Greifner, Daniel Kuhn, Katherine Lenane, Jose Ramos, Carrie Rogers, Sylvia Schatz, and Roxanna Sun made key contributions to this report."], "subsections": []}]}], "fastfact": ["The James Webb Space Telescope, the planned successor to the Hubble Telescope, is one of NASA\u2019s most complex and expensive projects.", "NASA recently announced that JWST's launch would be delayed several months, from October 2018 to no later than June 2019, because components of the telescope are taking longer to integrate than planned.", "Based on the amount of work NASA has to complete before JWST is ready to launch, we found that it's likely the launch date will be delayed again. If that happens, the project will be at risk of exceeding the $8 billion cost cap set by Congress."]} {"id": "GAO-18-252", "url": "https://www.gao.gov/products/GAO-18-252", "title": "Next Generation 911: National 911 Program Could Strengthen Efforts to Assist States", "published_date": "2018-01-31T00:00:00", "released_date": "2018-02-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, millions of Americans call 911 for help during emergencies. However, the nation's legacy 911 system relies on aging infrastructure that is not designed to accommodate modern communications technologies. As a result, states and localities are upgrading to NG911, which offers improved capabilities, such as the ability to process images, audio files, and video. While deploying NG911 is the responsibility of state and local entities, federal agencies also support implementation, led by NHTSA's National 911 Program, which facilitates collaboration among federal, state, and local 911 stakeholders.", "GAO was asked to review NG911 implementation nationwide. This report examines: (1) state and local progress and challenges in implementing NG911 and (2) federal actions to address challenges and planned next steps. GAO reviewed relevant statutes, regulations, and federal agency reports and plans. GAO also analyzed NHTSA's survey data on state 911 implementation for calendar year 2015, the most recent year for which data were available, and interviewed federal officials, state and local officials from nine states (selected to represent different regions and various phases of NG911 implementation), and officials from industry and advocacy groups."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Highway Traffic Safety Administration's (NHTSA) National 911 Program's most recent national survey on Next Generation 911 (NG911) implementation indicated that about half of states were in some phase of transition to NG911 in 2015, but that state and local progress varied. Specifically, 10 states reported that all 911 authorities in their state processed calls using NG911 systems; however, 18 states reported having no state or local NG911 transition plans in place\u2014which may indicate these states were in the early phases of planning for the transition to NG911 or had not yet begun. GAO spoke with state and local 911 officials in 9 states, which were in various phases of implementing NG911, and found that none of the 9 selected states were accepting images, audio files, or video. State and local 911 officials identified a number of challenges to implementing NG911. Such challenges are related to funding, evolving technology and operations, and governance. For example, officials in 3 states said that the current funding they collect from telephone service subscribers may not be sufficient to support NG911's transition costs while simultaneously funding the operation of existing 911 systems.", "Federal agencies\u2014including NHTSA, the National Telecommunications and Information Administration, the Federal Communications Commission, and the U.S. Department of Homeland Security\u2014have responsibilities to support NG911 implementation, such as through coordinating activities and administering grants, and are taking actions to assist state and local entities in addressing challenges to NG911's implementation. Such actions include developing resources, offering technical assistance, and convening stakeholders to explore emerging NG911 issues. For example, as the lead entity for coordinating federal NG911 efforts, NHTSA's National 911 Program is developing resources on NG911 topics, such as federal funding and governance structures. While the National 911 Program is taking steps to facilitate the state and local transition to NG911, the program lacks specific performance goals and measures to assess its progress. Without such goals and measures, it is not clear to what extent the program is effectively achieving its mission.", "In 2018, the National 911 Program plans to establish an interagency initiative tasked with creating a National NG911 Roadmap. This roadmap is intended to identify next steps for the federal government in supporting the creation of a national, interconnected NG911 system. While the National 911 Program is taking steps to develop a list of national-level tasks as part of its roadmap initiative, the program does not have a plan to identify: (1) roles or responsibilities for federal entities to carry out these tasks or (2) how the program plans to achieve the roadmap's objectives. Collaborating with the appropriate federal agencies to determine federal roles and responsibilities to carry out the roadmap's national-level tasks could reduce barriers to agencies effectively working together to achieve those tasks. Furthermore, developing an implementation plan that details how the roadmap's tasks will be achieved would place the National 911 Program in a better position to effectively lead interagency efforts to implement NG911 nationwide."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NHTSA's National 911 Program develop performance goals and measures and, for the National NG911 Roadmap, determine agencies' roles and responsibilities and develop an implementation plan. NHTSA agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, millions of Americans call 911 for help during emergencies. According to the National Emergency Number Association, approximately 240 million calls are made to 911 in the United States each year, with over 80 percent of these calls made from wireless devices. However, the nation\u2019s legacy 911 systems rely on aging infrastructure that is not designed to accommodate modern communications technologies. As a result, states and localities\u2014the primary providers of 911 services through approximately 6,000 call centers nationwide\u2014are working to upgrade their 911 systems to the next generation of services, commonly known as Next Generation 911 (NG911). Benefits of NG911 systems include improved capabilities to communicate with callers, increased resiliency of 911 operations, and enhanced information sharing among 911 call centers and first responders. Call centers using NG911 will be able to receive voice calls and accept various forms of data, such as text messages, images, video, and vehicle crash data. Such information can help to facilitate quick and accurate dispatch of emergency responders (such as police, firefighters, and ambulance crews) and can be beneficial in situations where a 911 caller is unable to speak.", "The transition to NG911 includes replacing the existing legacy 911 networks\u2014which carry voice calls and limited data\u2014with NG911 systems that use Internet Protocol (IP)-based technology. As we have previously reported, modernizing communications networks can improve customers\u2019 access and services. The Federal Communications Commission (FCC) notes that as legacy infrastructure is retired, the transition period in which multiple technologies may be used simultaneously raises potential challenges for 911 services. To assist states and localities in this transition, the Next Generation 911 Advancement Act of 2012 (2012 Act) outlined federal agencies\u2019 roles and responsibilities related to NG911. The 2012 Act required the National Highway Traffic Safety Administration (NHTSA) within the U.S. Department of Transportation and the National Telecommunications and Information Administration (NTIA) within the U.S. Department of Commerce to create a national program to improve coordination and communication among federal, state, and local stakeholders. This initiative is known as the National 911 Program, which serves as the federal point of coordination for activities among 911 stakeholders and leads the national effort to eventually connect approximately 6,000 independently operated 911 call centers into an interconnected, nationwide NG911 system. The 2012 Act also required FCC\u2014which has regulatory authority over telecommunications carriers\u2014 to issue specific recommendations to support the NG911 transition, among other responsibilities. In addition, the 2012 Act required the U.S. Department of Homeland Security (DHS)\u2014which has responsibilities related to ensuring the security and interoperability of emergency communications nationwide\u2014to work with FCC, NHTSA, and NTIA on specific NG911 activities.", "You asked us to review the status of implementation of NG911 nationwide. This report examines: (1) progress states and localities are making to implement NG911 and the challenges they have faced and (2) how federal agencies have addressed state and local implementation challenges and planned next steps.", "To address these objectives, we analyzed survey data provided by NHTSA\u2019s National 911 Program on the status of statewide 911 systems for calendar year 2015, the most recent year for which data were available. We also reviewed FCC\u2019s data on state collection and distribution of 911 fees and charges for calendar year 2015. According to our review of the survey data, relevant documentation, and conversations with staff responsible for the data, we determined that the data were sufficiently reliable to generally describe states\u2019 progress in implementing NG911 and to provide background on 911 fee collection and costs.", "We also selected a non-generalizable sample of 10 states for case studies, based upon a variety of factors, including variation in geographic location, reported progress in implementing NG911, number of annual 911 calls, and whether states diverted 911 fees to other uses. We requested interviews with and documentation from state and local 911 officials from the 10 selected states about NG911 implementation progress, challenges, federal actions, and any additional assistance needed. We obtained documentation from and interviewed officials from nine states; one of the selected states did not respond to our requests. While not generalizable to all states, the information obtained from our case studies provides examples of broader issues faced by states and localities in managing the transition to NG911.", "In addition to our case study work, we reviewed relevant statutes, regulations, our prior reports, and documentation of federal agency actions and plans. We also interviewed officials from federal agencies, including NHTSA, NTIA, FCC, and DHS, and officials from national associations representing emergency-response-technology companies, wireless and wireline phone carriers, emergency-communications entities, and consumer groups. We identified guidance on leading practices for performance management, and reviewed interagency collaboration practices from our prior work. We also applied relevant federal standards for internal control that are key to helping agencies better achieve their missions and desired program results. We assessed NHTSA\u2019s efforts to set goals and achieve desired results for the National 911 Program using these standards, this guidance, and selected collaboration practices from our prior work. A more detailed summary of our scope and methodology appears in appendix I.", "We conducted our work from January 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["As we have previously reported, 911 services have evolved from basic 911\u2014which provided Americans with a universally recognized emergency number\u2014to Enhanced 911 which also routes calls to the appropriate call center and provides information about the caller\u2019s location and a call back number. NG911 represents the next evolution in 911 services by using IP-based technology to deliver and process 911 traffic. Under NG911, call centers will continue to receive voice calls and location information, but will also be able to accommodate emergency communications from the range of technologies in use today. In addition, NG911 systems provide call centers with enhanced capabilities to route and transfer calls and data, which could improve call centers\u2019 abilities to handle overflow calls and increase information sharing with first responders."], "subsections": [{"section_title": "911 Communications Process", "paragraphs": ["Generally speaking, 911 communications begin when a caller dials 911 using a landline, wireless, or Voice over Internet Protocol (VoIP) system. Once a 911 caller places an emergency call, a communications provider receives and routes the call to the appropriate call center, along with the caller\u2019s phone number and location (i.e., street address for a landline caller, approximate geographic location for a wireless caller, and the subscriber\u2019s address for VoIP). Calls and data may be routed to 911 call centers using legacy methods (i.e., routing calls across traditional telephone networks) or NG911 methods (i.e., routing calls and other data through IP-networks). Once the call reaches a call center, trained call takers and dispatchers determine the nature of the emergency and dispatch first responders, typically using a variety of equipment and systems, including call handling systems, mapping programs, and computer aided dispatch. Figure 1 illustrates the 911 communications and dispatch process.", "As illustrated in figure 1, NG911 systems use IP-networks capable of carrying voice plus large amounts of data. These emergency-services networks are typically deployed at the state or regional level with multiple call centers connecting to the network. However, the existence of an IP- network alone does not constitute an NG911 system. As defined by standards developed by the emergency communications community, an NG911 system should have the capability to, among other things: provide a secure environment for emergency communications; acquire and integrate additional data for routing and answering calls; process all types of emergency calls, including multimedia messages; transfer calls with added data to other call centers or first responders.", "While NG911 systems must possess certain capabilities, it is important to note that states and localities may make decisions about which capabilities they intend to use to best meet their needs. In addition, states and localities have the authority to make decisions about what NG911 equipment, systems, and vendors to use; thus, the configurations of these systems vary."], "subsections": []}, {"section_title": "NG911 Implementation", "paragraphs": ["According to a panel of experts convened by the National 911 Program, the transition to NG911 may require a variety of technical and operational changes to current 911 systems and processes. For example, technical changes can include upgrades to networks or installing new hardware or software in 911 call centers. Operational changes can include the need for additional training or the development of new policies and procedures (e.g., new procedures for processing or storing multimedia). These technical and operational changes may also have effects on 911 funding and state and local governance structures, which we will discuss in more detail later in this report.", "According to an FCC advisory body that examined NG911 systems architecture in 2016, while NG911 systems are implemented in a variety of ways at the state or local level, NG911 implementation can occur gradually and in phases. According to this model, NG911 implementation occurs on a continuum that begins with legacy 911 systems and ends with a fully deployed NG911 national end-state where all individual 911 call centers nationwide would be connected. The NG911 implementation model identifies activities that take place as part of the NG911 transition, many of which occur concurrently, such as: planning (e.g., conducting feasibility studies, preparing databases, establishing governance models); acquiring, testing, and implementing NG911 system elements (e.g., establishing an emergency-services IP-network, location-based call routing, processing multimedia); connecting call centers within a jurisdiction (i.e., jurisdictional end- state in which all call centers are fully NG911 operational, supported by agreements, policies, and procedures); and connecting NG911 systems nationwide (i.e., national end-state in which all call centers in the nation are fully NG911 operational, supported by agreements, policies, and procedures).", "In addition, because 911 services provide an essential function, the implementation of NG911 generally involves using both the legacy system and the NG911 system simultaneously for a period of time, according to the FCC advisory body, to ensure 911 services are not disrupted as new system elements are tested and implemented."], "subsections": []}, {"section_title": "State and Local Roles", "paragraphs": ["Deploying and operating 911 is the responsibility of 911 authorities at the state and local level. As we have previously reported, all 50 states and the District of Columbia collect\u2014or have authorized local entities to collect\u2014funding for 911 from telephone service subscribers, and methods within each state for collecting funds vary. FCC, as required by statute, reports to Congress annually on the states\u2019 collection and distribution of 911 fees and charges. There are approximately 6,000 call centers nationwide that process 911 calls, often at the county or city level, and these centers can vary greatly in size and technical sophistication. The state and local governance structures that oversee 911 operations also vary by location. For example, we previously reported that some states collect fees or charges for 911 and administer a statewide 911 program. Other states authorize local entities to collect fees or charges for 911 and administer 911 programs at the local level. Still other states use a combination of these approaches. According to a panel of experts convened by the National 911 Program, historically, 911 authority has been coordinated and maintained locally with no requirement to coordinate with other jurisdictions. However, the transition to NG911 enables connection of 911 systems. Thus, as previously mentioned, the NG911 transition may require technological and operational changes, as well as changes to 911 policies and governance responsibilities for states and localities."], "subsections": []}, {"section_title": "Federal Roles", "paragraphs": ["While deploying and operating 911 is the responsibility of entities at the state and local level, federal agencies\u2014including NHTSA, NTIA, FCC, and DHS\u2014have responsibilities to support state and local implementation, including through facilitating coordination of activities among 911 stakeholders and administering federal grants, for example:", "NHTSA houses the National 911 Program as part of its Office of Emergency Medical Services (Office of EMS) to provide national leadership and coordination for the NG911 transition throughout the United States, as previously mentioned. According to NHTSA, the fiscal year 2017 budget for the National 911 Program was $2.74 million. Among other activities, which we will discuss later in this report, the National 911 Program surveys states on progress implementing NG911 and reports this survey data annually.", "FCC issues orders and regulations for 911 service providers on topics relevant to NG911, such as 911 reliability, location accuracy, and text- to-911. FCC also sponsors advisory bodies comprised of government and industry experts that study relevant topics and provide recommendations related to NG911, such as the Task Force on Optimal Public Safety Answering Point Architecture and the Communications, Security, Reliability, and Interoperability Council.", "While there are no federally mandated time frames for implementing NG911, the Next Generation 911 Advancement Act of 2012 requires specific actions of some federal agencies as outlined in table 1, below.", "In addition, according to the National 911 Program, as states and localities continue to implement NG911, and begin to explore interconnection with other states\u2019 911 systems, federal agencies may need to take steps to help ensure state NG911 networks are interoperable and connected. We will discuss actions taken by federal agencies to assist states and localities to implement NG911 later in this report."], "subsections": []}]}, {"section_title": "States and Localities Have Reported Varied Progress in Implementing NG911 and Identified Funding, Technology, and Governance Challenges", "paragraphs": [], "subsections": [{"section_title": "Reported Progress among States Varies in Implementing Next Generation 911", "paragraphs": ["According to NHTSA\u2019s most recent national survey, state and local progress implementing NG911 varies, and about half of all states reported being in some phase of transition to NG911 in 2015. While a few states are well into statewide implementation, NHTSA officials told us that no state had completely implemented all NG911 functions. Additionally, as of the fall of 2017, none of the selected states we spoke with were processing multimedia\u2014such as images or audio/video recordings\u2014through their 911 systems due to concerns related to privacy, liability, and the ability to store and manage these types of data, among other things. The national survey data, based on responses from 45 states, measured the extent to which NG911 planning and acquisition of NG911 equipment and services were occurring, and the extent to which basic NG911 functions were operational at the state and local levels in 2015.", "Planning: This measure includes state and local NG911 plans for governance, funding, system components, and operations. In this context, system components refer to an emergency services IP-based network, NG911 software, system and information security, and databases, among other things, according to NHTSA\u2019s survey. In total, 25 of 45 states reported having a state or at least one local NG911 plan in place; conversely, 18 states reported having no NG911 plan in place at either the state or local level\u2014which may indicate they are in the early stages of planning for the NG911 transition or have not yet begun the transition to NG911.", "Acquisition: These measures identify states or local entities that have defined their NG911 needs and awarded contracts, and then installed and tested acquired NG911 components and services. Twenty-four states reported awarding at least one contract at the state or local level for NG911 components and services. Twenty-three states reported having installed and tested NG911 components and services at either the state or local level.", "NG911 services: This is a measure of 911 authorities that have some basic, functioning NG911 infrastructure in place. In total, 21 states reported having some level of basic NG911 services in place at the state or local level. Of these 21 states, 10 reported that all 911 authorities within the state were using NG911 technology to process emergency calls. Another 7 of these states reported that 25 percent or less of their state\u2019s 911 authorities were using NG911 technology to process emergency calls."], "subsections": []}, {"section_title": "Officials Identified State and Local Funding, Technology, and Governance Challenges to Implementing NG911", "paragraphs": ["Federal officials, industry stakeholders, and state and local 911 officials we interviewed from nine states identified a number of challenges to implementing NG911, including challenges related to funding, evolving technology and operations, and governance.", "Funding: State and local officials in four of nine selected states identified insufficient funding as one of the challenges they face in implementing NG911. Additionally, FCC, NHTSA, and industry reports noted that state and local financing strategies are generally insufficient to fully implement NG911. Specifically, these reports note that the need to provide new capital for NG911 implementation while simultaneously funding legacy operational costs during the transition can strain state and local funding.", "Limited funding: Officials in three states told us that their current funding may not be able to support the upfront costs of infrastructure and equipment acquisitions associated with the transition to NG911. Further, officials said they will need to simultaneously fund both the new NG911 and legacy 911 systems currently in operation until the NG911 systems are fully operational. To address these challenges, a Minnesota official told us about how the state leveraged economies of scale to reduce overall costs through cost sharing between multiple call centers and of call centers consolidating operations from 114 to 104 call centers. Additionally, a Virginia official told us that to cover the upfront costs of transitioning to NG911, the state plans to borrow from the state treasury and then repay the treasury with future-year fee collections.", "Fee diversion: Diversion of fees intended for 911 costs to non-911 activities may affect a state\u2019s or locality\u2019s ability to cover NG911 transition costs and necessitate identifying alternative funding sources. The FCC\u2019s 2016 annual report on 911 fees indicates that for calendar year 2015, all but two of the states that responded to FCC\u2019s 911 fee survey affirmed that their state or jurisdiction collects fees from phone users to support or implement 911 services. State and local authorities also determine how these 911 fees can be used. FCC\u2019s report also indicated that eight states and Puerto Rico reported diverting a total of more than $220 million (or approximately 8.4 percent) of 911 fees collected to non-911 purposes. Some of these diverted funds were directed to other public safety programs, and others were diverted to either non-public safety or unspecified purposes. According to one state official, had it not been for 911 fees being diverted to non-911 purposes, funding would have been sufficient to cover the NG911 transition without having to go to the state legislature for additional funding. However, officials in the other eight selected states told us that either fee diversion was not an issue in their state or that the diversion of funds had not affected their state\u2019s ability to implement NG911.", "Evolving technology and operations: Officials in eight states told us that the retirement of legacy infrastructure and the transition to IP-based systems introduces new technical and operational challenges for call centers and states, as well as for equipment and service providers.", "Interoperability: Officials in three selected states mentioned that connecting to neighboring networks\u2014whether within or between states\u2014could pose challenges. For example, officials mentioned that states and localities may have obtained different equipment, software applications, or service providers \u2013 all of which can make interconnections difficult. Officials in Maine and New Hampshire told us that differences in service providers can also be a challenge to seamlessly connecting to neighboring systems. In an instance where two states (Minnesota and North Dakota) have worked to connect their 911 systems, both states used the same service provider, which officials said allowed for fewer barriers to connection.", "Cyber risks: Officials in three states told us that the transition from a traditional system that only transmits voice traffic to an IP-based system that transmits voice and data traffic has significantly increased the risk of a cyber-attack. This can be a challenge because managing cyber risks is a new and evolving role for state and local 911 authorities. Approaching the transition to NG911 without managing these risks could result in disrupted or disabled call center operations and ultimately a delayed response to an emergency situation.", "Multimedia: Officials in three states mentioned potential implementation challenges related to accepting and processing multimedia such as audio recordings, images, and videos. More specifically, one official said they did not have procedures to manage or store these multimedia files once received. In addition, another official raised privacy and liability concerns.", "Call routing: One of the core services of an NG911 system is the ability to have calls routed to the appropriate call center based on a wireless caller\u2019s physical location, instead of the location of the cellular tower that receives and transmits the call. An FCC-sponsored working group reported that there are several options for achieving this and each option has unique positive and negative aspects. One challenge officials in two states noted was that rather than a single, nationwide approach to routing these calls, state and local 911 authorities would need to work individually with the wireless carriers to determine how to best implement location-based call routing.", "Governance: FCC has noted that transitioning to NG911 will likely result in new roles and levels of coordination between state 911 authorities, local 911 authorities, 911 call centers, and 911 service providers. Further, relationships among authorities at the state and local level may change as states work to interconnect NG911 systems. State and local officials noted that these types of governance challenges can apply in a variety of situations, including within or between states.", "Evolving roles: As previously mentioned, 911 governance structures vary among states. These varying governance structures may pose different challenges. For example, some states have a centralized structure in which a single government agency is responsible for statewide 911 system\u2019s administration and policy. Officials in two states told us that although they faced challenges transitioning to NG911, their states\u2019 centralized 911 structure eased the transition in their states because there was uniformity in policy and technology, among other things, coming from a single statewide authority. In other states, 911 systems are primarily a local responsibility and organized with decentralized authorities and resources. In these instances, there may be specific challenges related to transitioning to an interconnected NG911 system. Such challenges may include the need for increased levels of coordination among numerous jurisdictions with potentially disparate organizational structures, levels of funding, and priorities. An official also noted that there are governance challenges related to connecting states and evolving relationships between 911 authorities and service providers.", "Informing decision makers: One of the challenges identified by officials in two states is differing levels of experience and understanding by state and local officials as to what NG911 priorities should be for timely implementation. To help with this understanding, the federal government is making efforts to educate state and local authorities on how to facilitate policymaker understanding as well as provide regular updates to stakeholders on recent NG911 developments. We discuss some of these efforts later in this report."], "subsections": []}]}, {"section_title": "Federal Agencies Are Addressing NG911 Implementation Challenges, but the National 911 Program Lacks Measurable Goals and Next Steps for the NG911 Roadmap Initiative", "paragraphs": [], "subsections": [{"section_title": "Federal Agencies Are Taking Actions to Address NG911 Implementation Challenges", "paragraphs": ["While state and local entities have the primary responsibility for implementing NG911 technology and services, federal agencies are taking actions to assist state and local 911 entities to address NG911 implementation challenges. Actions taken include developing resources, offering technical assistance, and convening stakeholders. More specifically, we identified selected activities that were taken by NHTSA, NTIA, FCC, and DHS that address some of the funding, technology, and governance challenges raised by state and local 911 stakeholders, for example:", "Cost study: NHTSA\u2019s National 911 Program and NTIA, in consultation with FCC and DHS, plan to issue a study of the range of costs for 911 call centers and service providers to implement NG911 systems. According to NHTSA officials, the cost study will present a nationwide view, rather than a state-by-state view, on the progress of NG911 implementation and its associated costs.", "Grant program: NHTSA and NTIA are preparing to jointly administer a $115 million grant program to improve 911 services, including the adoption and operation of NG911 services. In September 2017, NHTSA and NTIA issued a notice of proposed rulemaking outlining implementing regulations for the grant program. NHTSA and NTIA expect to award the grants in 2018.", "Technology standards: The National 911 Program issued an annual guide in 2017 that stressed the importance of using open technology standards for NG911 services. The guide provides a list of standards that have been recently updated and an analysis that identifies whether existing standards fully address NG911 processes and protocols.", "Cybersecurity guides: DHS issued a guide in 2016 that identified cybersecurity risks for NG911 and risk mitigation strategies. According to DHS officials, the National 911 Program provided input on this guide. In addition, an advisory body tasked by FCC to examine 911 call-centers\u2019 architecture issued a report in 2016 that provided a cybersecurity self-assessment tool for call centers and guidance on cybersecurity strategies.", "Governance plans: To address challenges related to the evolving roles for state and local 911 authorities, the National 911 Program issued a guide in 2016 that provided practices for states to consider when interconnecting NG911 networks, and DHS issued a guide in 2015 for emergency communications officials for establishing, assessing, and updating their governance structures. In addition, an FCC advisory body issued a report in 2016 that identified NG911 governance approaches, issues, and recommendations for states, localities, and call centers to consider when planning for the deployment of NG911.", "In addition to federal agency efforts to assist the state and local 911 community, the National 911 Program is in the early stages of establishing an interagency initiative to create a National NG911 Roadmap. As part of this initiative, the National 911 Program plans to convene the 911 stakeholder community to identify tasks that need to be completed at the national level by the federal government and other public and private-sector organizations to support the creation of a national, interconnected NG911 system. Additional details regarding this planned activity are described in further detail later in this report. For additional information on federal actions to address state and local NG911 challenges, see appendix II."], "subsections": []}, {"section_title": "National 911 Program Lacks Goals and Performance Measures", "paragraphs": ["As the lead entity for coordinating federal NG911 activities, the National 911 Program has taken a variety of actions to assist the state and local 911 community, in collaboration with other federal agencies. However, the program lacks goals and performance measures to assess whether these activities are achieving desired results. National 911 Program officials stated that they initiate program activities based on feedback received from the 911 community. In addition, officials said the program\u2019s activities fall within the tasks established in the Next Generation 911 Advancement Act of 2012. However, the National 911 Program does not have a means to assess its progress toward meeting its responsibilities established in the 2012 Act. National 911 Program officials said the Office of EMS\u2014the office within NHTSA in which the program is housed\u2014has a strategic plan, but it is outdated and does not contain specific goals or performance measures related to 911 or NG911 implementation. Officials said the Office of EMS has held preliminary discussions to begin updating its strategic plan by January 2019 and plans to include goals and performance measures related to 911 and NG911 services. Office of EMS officials told us the Office of EMS strategic plan will be jointly developed with the National 911 Program. However the Office of EMS had not yet developed a draft strategic plan during the time of our review.", "Federal internal control standards call for management to clearly define objectives in order to achieve desired results. According to these standards, an entity determines its mission, establishes specific measurable objectives, and formulates plans to achieve its objectives. These standards state that management sets objectives in order to meet the entity\u2019s mission, strategic plan, and goals and requirements of applicable laws and regulations. In addition, our work on leading practices for managing for results indicated that an agency\u2019s strategic goals should also explain what results are expected from the agency and when to expect those results. Further, these goals form a basis for an entity to identify strategies to fulfill its mission and improve its operations to support the achievement of that mission.", "As the lead entity for coordinating federal NG911 efforts, the National 911 Program faces a complex and challenging task of assisting the 911 community while the nation\u2019s 911 systems undergo a major transformation. However, without specific goals and related performance measures, the National 911 Program is unable to assess how well its activities are achieving results in relation to its responsibilities identified in the 2012 Act. As the National 911 Program and the Office of EMS consider creating a strategic plan, ensuring that the plan includes specific goals and related measures for the National 911 Program would help officials better understand whether the program\u2019s activities are effectively assisting states and localities in transitioning to a fully integrated national NG911 system, and help identify any programmatic changes that might be needed."], "subsections": []}, {"section_title": "National 911 Program Lacks Plans to Identify Roles and Responsibilities for the NG911 Roadmap Initiative and an Implementation Plan to Achieve Objectives", "paragraphs": ["As previously mentioned, the National 911 Program is in the early stages of establishing an interagency initiative to create a National NG911 Roadmap. This initiative will convene the 911 stakeholder community to identify national-level tasks that need to be completed by federal agencies and other organizations to realize a national, interconnected NG911 system. According to the National 911 Program, a list of the national-level tasks needed to advance NG911 implementation nationwide has not been created to date. In addition, state officials we spoke with said there are certain issues related to interoperability and cybersecurity that federal agencies need to address before states can connect their respective state NG911 systems. To address these issues, NHTSA\u2019s National 911 Program issued a request for proposal (RFP) in August 2017 for managing the roadmap development process and awarded a contract in September 2017. While the National 911 Program is taking steps to develop a National NG911 Roadmap, the program does not have a plan to identify: (1) roles or responsibilities for federal entities to carry out national-level tasks or (2) how the program plans to achieve the roadmap\u2019s objectives."], "subsections": [{"section_title": "Clarifying Roles and Responsibilities", "paragraphs": ["NHTSA\u2019s NG911 roadmap RFP specifies that by identifying a list of national-level tasks that are developed and adopted by the 911 stakeholder community, the roadmap could serve as a blueprint to carry out these tasks and thereby ensure the interoperability of the nation\u2019s NG911 system. However, the National 911 Program does not have plans for the entities participating in the development of the roadmap to be assigned roles and responsibilities for executing the roadmap\u2019s national- level tasks. National 911 Program officials told us the National 911 Program does not plan to assign roles and responsibilities because NHTSA does not have the authority to require or assign tasks for other entities. Additionally, program officials view the simultaneous identification of tasks and assignments of responsibility for those tasks as a risk to facilitating a candid and productive discussion with entities participating in the roadmap initiative. However, officials stated it may be appropriate for agencies participating in the roadmap initiative to perform specific tasks after the roadmap is finalized. We have previously examined interagency collaborative mechanisms and identified certain key issues for federal agencies to consider when using these mechanisms to achieve results. Our prior work has found that following leading collaboration practices, such as clarifying roles and responsibilities of agencies engaged in collaboration, can enhance and sustain collaboration among agencies and provide an understanding of who will do what in support of meeting the aims of the collaborative group.", "As stated above, the RFP specifies that a roadmap developed by and adopted by 911 stakeholders could serve as a blueprint to carry out the roadmap\u2019s tasks. Securing the commitment of agencies to assigned roles could help organize the collaborative group\u2019s joint and individual efforts and thereby better facilitate decision making. As we have previously found, a lack of clarity on the roles and responsibilities of agencies participating in an interagency effort\u2014such as the execution of the roadmap\u2019s tasks\u2014may limit agencies\u2019 abilities to effectively achieve shared objectives. Given the complexity of the task and the number of agencies that could be involved, following selected leading collaboration practices for the roadmap initiative\u2014particularly with regard to collaborating with roadmap stakeholders to clarify their roles and responsibilities (whether during the creation of the task list or afterwards)\u2014could reduce barriers to agencies effectively working together to achieve the national-level tasks."], "subsections": []}, {"section_title": "Developing an Implementation Plan to Achieve Objectives", "paragraphs": ["While clarifying the roles and responsibilities of roadmap stakeholders for the execution of the roadmap\u2019s tasks is an important collaborative step, the National 911 Program has additional responsibilities as the lead entity for the initiative. However, National 911 Program officials are unable to clearly articulate how the program will proceed following the completion of the roadmap. National 911 Program officials said without knowing the contents of the roadmap, it would be premature to specify how the roadmap\u2019s national-level tasks would be completed. Officials stated that once the roadmap is completed, possible next steps may include identification of timelines, deadlines, and a mechanism for tracking progress, among other things, but officials stated that these steps are not required in the roadmap RFP. As stated above, federal internal control standards call for management to clearly define objectives in specific terms. According to these standards, management defines what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement.", "Without a clear plan for how the National 911 Program would take next steps to support the implementation of the roadmap\u2019s objectives and tasks, the National 911 Program may not be prepared to take effective action once the roadmap is completed. We have previously found that having an implementation plan can assist agencies to better focus and prioritize goals and objectives, and align planned activities. Once the roadmap is completed, developing an implementation plan that details what is to be achieved and how it will be accomplished will place the National 911 Program in a better position moving forward to support the completion of the national-level tasks."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The current 911 system is undergoing a historic transition. With no federal requirement that states transition to NG911 services, federal leadership is critical to addressing interoperability challenges and promoting the goal of an interconnected national system. As the lead federal entity for fostering coordination and collaboration among federal, state, and local 911 authorities, the National 911 Program plays a critical role in coordinating NG911 implementation efforts to improve the nation\u2019s 911 services. However, this program\u2014in collaboration with other federal agencies\u2014 faces a complex and challenging task to help move approximately 6,000 independent 911 call centers toward an interconnected national NG911 system. In addition, given that the NG911 transition is still in its early stages and is an ongoing effort, it is difficult to assess the effectiveness of various federal actions to assist states and localities in the transition. In light of these challenges, without specific goals and related measures to assess effectiveness, the National 911 Program may be hindered in determining whether it is making progress towards its stated mission.", "Through the roadmap initiative, the National 911 Program has taken important first steps in identifying the need for actions at the national level, in order to fully realize the desired end-state of a national, interconnected NG911 system. However, while identifying needed next steps is essential, equally important to the collaborative effort\u2019s success is (1) defining and agreeing on the roles and responsibilities of the entities best suited to undertake these actions, and (2) developing plans for how the National 911 Program will support implementation to achieve the roadmap\u2019s objectives. If taken, these actions could help further NG911 implementation nationwide and help the National 911 Program and federal agencies in assisting states and localities to improve these lifesaving services."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Administrator of NHTSA regarding the National 911 Program: develop specific program goals and performance measures related to NG911 implementation. (Recommendation 1) in collaboration with the appropriate federal agencies, determine roles and responsibilities of federal agencies participating in the National NG911 Roadmap initiative in order to carry out the national-level tasks over which each agency has jurisdiction. (Recommendation 2) develop an implementation plan to support the completion of the National NG911 Roadmap\u2019s national-level tasks. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Transportation, Commerce, and Homeland Security and FCC for their review and comment. In its comments, reproduced in appendix III, the Department of Transportation agreed with the recommendations. The Departments of Transportation and Homeland Security also provided technical comments, which we incorporated as appropriate. The Department of Commerce and FCC had no comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of the Department of Transportation, the Secretary of the Department of Commerce, the Secretary of the Department of Homeland Security, the Managing Director of the FCC, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) progress states and localities are making to implement Next Generation 911 (NG911) and the challenges they have faced and (2) how federal agencies have addressed state and local implementation challenges and planned next steps.", "To describe state and local progress in implementing NG911 and background information on fee collection and costs, we analyzed select survey data elements from the 2016 National 911 Progress Report and the Eighth Annual Report to Congress on State Collection and Distribution of 911 and Enhanced 911 Fees and Charges, maintained by the National Highway Traffic Safety Administration (NHTSA) and the Federal Communications Commission (FCC) respectively. More specifically, we analyzed the most recent state-provided data (from calendar year 2015) related to the planning and implementation of NG911 at the state and local levels, as well as NG911 cost and 911-related revenue data. We assessed the reliability of these data by reviewing relevant documents and discussing data elements with staff responsible for collecting and analyzing the data. We also conducted our own testing to check the consistency of the data. We found the data from both sources to be sufficiently reliable for our purposes to describe states\u2019 progress in implementing NG911 and provide background on 911 fee collection and costs. While these data provide the best nationwide picture of NG911 implementation and fee collection, and are reliable for our purposes, there are some limitations on how the data can be used. Since we did not validate the state-reported responses, our findings based on these data are limited to what states reported. Additionally, regarding the 2016 National 911 Progress Report data, there are limitations to (1) making comparisons between states because states have different approaches to implementing NG911 and (2) ascertaining year-over-year progress because reporting is voluntary and states\u2019 response rates can vary year to year.", "To describe implementation challenges that states and local authorities may be encountering, we selected a non-generalizable sample of 10 states as case studies, based upon a variety of factors, including reported progress in implementing NG911, statewide planning and coordination, reported number of annual 911 calls, whether states diverted 911 fees to other uses, and variation in geographic location. We selected these states, in part, based on their responses to the two aforementioned surveys. Based on the aforementioned criteria, we selected the following states to include as case studies: California, Maine, Maryland, Minnesota, Nevada, New Hampshire, North Dakota, South Dakota, Vermont, and Virginia. We reviewed documents and interviewed state officials from all of these states except Nevada about NG911 implementation progress, challenges, federal actions, and any additional assistance needed. We contacted 911 officials in Nevada but did not receive responses. We also interviewed local officials in four of the selected states. While not generalizable to all states, the information obtained from our case studies provides examples of broader issues faced by states and localities in managing the NG911 transition.", "To determine how federal agencies have addressed state and local implementation challenges and planned next steps, we reviewed relevant statutes, regulations, and documentation of federal agency actions and plans, and our prior reports. We also interviewed officials from federal agencies, including NHTSA, the National Telecommunications and Information Administration (NTIA), FCC, and the U.S. Department of Homeland Security (DHS), about federal actions taken and plans for next steps. To understand planning activities undertaken by NHTSA\u2019s National 911 Program, and its planned project to develop a National NG911 Roadmap, we reviewed the National 911 Program\u2019s internal planning documents, the program\u2019s request for proposal to develop a national roadmap, the program\u2019s written responses to our questions, and interviewed National 911 Program officials. In addition, we interviewed officials from national associations representing emergency-response- technology companies, wireless and wireline phone carriers, emergency- communications entities, and groups representing deaf and hard-of- hearing consumers to gain their perspectives on federal actions taken and next steps. We assessed the National 911 Program\u2019s strategic- planning activities against leading practices for performance management found in our prior work on strategic planning and goal setting and federal internal control standards. We assessed the National 911 Program\u2019s planned activities for the national roadmap project against federal internal control standards and selected key practices to enhance interagency collaboration identified in our prior work.", "We conducted our work from January 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Selected Federal Actions since 2013 to Address State and Local Challenges in Implementing Next Generation 911 (NG911), as of October 2017", "paragraphs": [], "subsections": [{"section_title": "Challenges Funding", "paragraphs": ["Description of challenge State and local funding may not be sufficient to support costs associated with transitioning to NG911 equipment and infrastructure.", "Transitioning from legacy infrastructure to Internet Protocol-based systems presents technical and operational challenges such as interoperability and cybersecurity risks.", "Federal actions Grant resources: The National Highway Traffic Safety Administration\u2019s (NHTSA) National 911 Program issued on its website a list clarifying which of the fiscal year 2016 emergency-communications grants may be used for NG911 services. Program officials said they developed this list in collaboration with the Department of Homeland Security (DHS). Cost study: NHTSA\u2019s National 911 Program and the National Telecommunications and Information Administration (NTIA), in consultation with the Federal Communications Commission (FCC) and DHS, plan to issue a study of the range of costs for 911 call centers and service providers to implement NG911 systems and on the nationwide progress of implementing NG911 services. Grant program: NHTSA and NTIA are preparing to jointly administer a $115 million grant program to improve 911 services, including the adoption and operation of NG911 services. NHTSA and NTIA expect to award the grants in 2018. Funding mechanisms: An advisory body tasked by FCC issued a report in 2016 that identified common costs and funding mechanisms for 911 officials to consider. The report also introduced a 911 funding sustainment model designed for use by 911 officials to calculate their financial needs to support a transition to NG911 implementation. Guides on technology standards and procurement practices: In 2017, NHTSA\u2019s National 911 Program issued an annual guide on emergency- communications technology standards that stressed the importance of using open technology standards for NG911 services. The National 911 Program issued another guide in 2016 that provides information on procuring goods and services related to NG911 such as practices for call centers to consider when developing their request for proposals and contracts. Examining emerging technology issues: In 2017, FCC tasked a public- private advisory council to recommend how FCC can promote the NG911 transition, enhance the reliability of NG911, and mitigate the threat of 911 outages. Prior to that tasking, the FCC advisory council issued a report in 2016 that explored location-based routing issues and discussed transition considerations from legacy 911 to NG911. NG911 cybersecurity guide and technical assistance: DHS, with input from NHTSA\u2019s National 911 Program according to DHS officials, issued a guide in 2016 that identifies cybersecurity risks for NG911 and risk mitigation strategies. In addition, DHS provides NG911 technical assistance for states seeking assistance with strategic planning and technology integration. In a separate effort, an advisory body tasked by FCC to examine 911 call center architecture issued a report in 2016 that provides a cybersecurity self- assessment tool for call centers and guidance on cybersecurity strategies."], "subsections": []}, {"section_title": "Challenges Governance", "paragraphs": ["Description of challenge States may face a range of challenges related to evolving roles for state and local 911 authorities that could hinder NG911 implementation.", "Federal actions Guides on state and legislative planning: NHTSA\u2019s National 911 Program issued guides on state 911 planning and legislative issues to consider for NG911 and awarded a contract in September 2017 to update those guides. In 2016, the National 911 Program issued a guidebased on the experiences of Iowa, Minnesota, North Dakota, and South Dakota that identifies practices to consider for states interconnecting NG911 networks across state lines. Exploring NG911 governance implementation issues: In 2016, an advisory body tasked by FCC issued a report that identifies NG911 governance approaches, issues, and recommendations for states, localities, and call centers to consider when planning for the deployment of NG911. In 2013, FCC also issued a report that details recommendations to Congress for transitioning from legacy 911 to NG911 networks. Guide on emergency communications governance structures: In 2015, DHS and the National Council of Statewide Interoperability Coordinators issued a guide that provides characteristics of effective governance approaches and best practices for officials to establish, assess, and update their governance structures."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the U.S. Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Andrew Huddleston (Assistant Director), Jean Cook (Analyst in Charge), Camilo Flores, Steven Rabinowitz, Malika Rice, Kelly L. Rubin, Michael Sweet, Hai Tran, Marika Van Laan, and Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-598T", "url": "https://www.gao.gov/products/GAO-18-598T", "title": "Medicaid: Actions Needed to Mitigate Billions in Improper Payments and Program Integrity Risks", "published_date": "2018-06-27T00:00:00", "released_date": "2018-06-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Medicaid, a joint federal-state health care program overseen by CMS, is a significant component of federal and state budgets, with total estimated expenditures of $596 billion in fiscal year 2017.", "Medicaid allows significant flexibility for states to design and implement program innovations based on their unique needs. The resulting diversity of the program and its size, make the program particularly challenging to oversee at the federal level and also vulnerable to improper payments. In fiscal year 2017, estimated improper payments were $36.7 billion in Medicaid, up from $29.1 billion in fiscal year 2015. Further, the Medicaid program accounted for about 26 percent of the fiscal year 2017 government-wide improper payment estimate.", "This testimony focuses on the (1) major risks to the integrity of the Medicaid program, and (2) actions needed to manage these risks. This testimony draws on GAO's reports issued between November 2012 and May 2018 on the Medicaid program."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's work has identified three broad areas of risk in Medicaid that also contribute to overall growth in program spending, projected to exceed $900 billion in fiscal year 2025.", "1) Improper payments , including payments made for services not actually provided. Regarding managed care payments, which were nearly half (or $280 billion) of Medicaid spending in fiscal year 2017, GAO has found that the full extent of program risk due to overpayments and unallowable costs is unknown.", "2) Supplemental payments , which are payments made to providers\u2014such as local government hospitals\u2014that are in addition to regular, claims-based payments made to providers for specific services. These payments totaled more than $48 billion in fiscal year 2016 and in some cases have shifted expenditures from the states to the federal government.", "3) Demonstrations , which allow states to test new approaches to coverage. Comprising about one-third of total Medicaid expenditures in fiscal year 2015, GAO has found that demonstrations have increased federal costs without providing results that can be used to inform policy decisions.", "GAO's work has recommended numerous actions to strengthen oversight and manage program risks.", "Improve data. The Centers for Medicare & Medicaid Services (CMS), which oversees Medicaid, needs to make sustained efforts to ensure Medicaid data are timely, complete, and comparable from all states, and useful for program oversight. Data are also needed for oversight of supplemental payments and ensuring that demonstrations are meeting their stated goals.", "Target fraud. CMS needs to conduct a fraud risk assessment for Medicaid, and design and implement a risk-based antifraud strategy for the program.", "Collaborate. There is a need for a collaborative approach to Medicaid oversight. State auditors have conducted evaluations that identified significant improper payments and outlined deficiencies in Medicaid processes that require resolution."]}, {"section_title": "What GAO Recommends", "paragraphs": ["As a part of this body of work, GAO has made 83 recommendations to address shortcomings in Medicaid oversight and suggested four matters for congressional consideration. The Department of Health and Human Services and CMS have generally agreed with these recommendations and have implemented 25 of them. GAO will continue to monitor implementation of the remaining recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I appreciate the opportunity to be here today to discuss areas of risk to the Medicaid program and oversight efforts that can help prevent improper payments and ensure the program\u2019s fiscal integrity. The federal-state Medicaid program is one of the nation\u2019s largest sources of funding for medical and health-related services. In fiscal year 2017, the program covered acute health care, long-term care, and other services for over 73 million low income and medically needy individuals. In that same year, estimated federal and state Medicaid expenditures were $596 billion.", "Medicaid has been on our high-risk list since 2003, in part, because of concerns about the adequacy of fiscal oversight and the program\u2019s improper payments\u2014including payments made for people not eligible for Medicaid or services not actually provided. The Medicaid program accounted for 26.1 percent of the fiscal year 2017 government-wide improper payment estimate. While efforts to reduce improper payments have been made by the Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that oversees Medicaid, overall improper payments continue to increase. In fiscal year 2017, improper payments accounted for $36.7 billion of Medicaid spending, up from $29.1 billion in fiscal year 2015. Of the $36.7 billion in improper payments, $36.4 billion were overpayments and $283 million were underpayments.", "The size, complexity, and diversity of Medicaid make the program particularly challenging to oversee at the federal level. Medicaid allows significant flexibility for states to design and implement program innovations based on their unique needs; however, our prior work has found that these innovations have grown considerably over time, lack complete and accurate reporting, and do not always ensure the efficient use of federal dollars. It is critical that CMS and states take appropriate measures to reduce improper payments and ensure the fiscal integrity of Medicaid; as dollars wasted detract from the program\u2019s ability to ensure that the individuals who rely on Medicaid\u2014including low-income children and individuals who are elderly or disabled\u2014are provided adequate care.", "My testimony today will focus on 1. major risks to the integrity of the Medicaid program, and 2. actions needed to manage these risks.", "My remarks are based on our large body of work examining the Medicaid program, particularly reports issued and recommendations made from November 2012 to May 2018; these reports provide further details on our scope and methodology. (A list of related reports is included at the end of this statement.) For further context, my remarks also reference information reported by state auditors and the HHS Office of Inspector General (HHS-OIG), including information from two meetings with state auditors and Inspectors General we hosted in March and May 2018. We conducted all of the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Among health care programs, Medicaid is the largest as measured by enrollment (over 73 million in fiscal year 2017) and the second largest as measured by expenditures ($596 billion in fiscal year 2017), second only to Medicare. The CMS Office of the Actuary projected that Medicaid spending would grow at an average rate of 5.7 percent per year, from fiscal years 2016 to 2025, with projected Medicaid expenditures reaching $958 billion by fiscal year 2025. This projected growth in expenditures reflects both expected increases in expenditures per enrollee and in levels of Medicaid enrollment. Beneficiaries with disabilities and those who are elderly constitute the highest per enrollee expenditures, which are projected to increase by almost 50 percent from fiscal year 2016 to 2025. Medicaid enrollment is also expected to grow by as many as 13.2 million newly eligible adults by 2025\u2014as additional states may expand their Medicaid programs to cover certain low-income adults under the Patient Protection and Affordable Care Act (PPACA). (See fig. 1.)", "The partnership between the federal government and states is a central tenet of the Medicaid program. CMS provides oversight and technical assistance for the program, and states are responsible for administering their respective Medicaid programs\u2019 day-to-day operations\u2014including determining eligibility, enrolling individuals and providers, and adjudicating claims\u2014within broad federal requirements. Federal oversight includes ensuring that the design and operation of state programs meet federal requirements and that Medicaid payments are made appropriately. (See fig. 2 for a diagram of the federal-state Medicaid partnership framework.) Joint financing of Medicaid is also a fixture of the federal-state partnership, with the federal government matching most state Medicaid expenditures using a statutory formula based, in part, on each state\u2019s per capita income in relation to the national average per capita income.", "States have flexibility in determining how their Medicaid benefits are delivered. For example, states may (1) contract with managed care organizations to provide a specific set of Medicaid-covered services to beneficiaries and pay the organizations a set amount, generally on a per beneficiary per month basis; (2) pay health care providers for each service they provide on a fee-for-service basis; or (3) rely on a combination of both delivery systems. Managed care continues to be a growing component of the Medicaid program. In fiscal year 2017, expenditures for managed care were $280 billion, representing almost half of total program expenditures, compared with 42 percent in fiscal year 2015. (See fig. 3.)", "States also have the flexibility to innovate outside of many of Medicaid\u2019s otherwise applicable requirements through Medicaid demonstrations approved under section 1115 of the Social Security Act. These demonstrations allow states to test new approaches to coverage and to improve quality and access, or generate savings or efficiencies. For example, under demonstrations, states have extended coverage to certain populations, provided services not otherwise eligible for federal matching funds, made incentive payments to providers for delivery system improvements.", "As of November 2016, nearly three-quarters of states have CMS- approved demonstrations. In fiscal year 2015, total spending under demonstrations represented a third of all Medicaid spending nationwide. (See fig. 4.)", "In addition to other types of improper payments, Medicaid presents opportunities for fraud, because of the size, expenditures, and complexities of the program\u2014including the variation in states\u2019 design and implementation. Medicaid Fraud Control Units (MFCU)\u2014state entities responsible for investigating and prosecuting Medicaid fraud\u2014have reported on Medicaid fraud convictions and recovered monies, in their annual reports. For example, over the past 5 years, MFCUs have reported an average of 1,072 yearly Medicaid fraud convictions. They also reported about $680 million in recoveries related to fraud in fiscal year 2017\u2014almost double the recoveries from fiscal year 2016."], "subsections": []}, {"section_title": "Three Broad Areas of Risk Threaten the Fiscal Integrity of Medicaid", "paragraphs": ["Our prior work has identified three broad areas of risk to the fiscal integrity of Medicaid: improper payment rates, state use of supplemental payments, and oversight of demonstration programs."], "subsections": [{"section_title": "Estimated Improper Payments Exceed 10 Percent, and Do Not Fully Account for All Program Risks", "paragraphs": ["CMS annually computes the national Medicaid improper payment estimate as a weighted average of states\u2019 improper payment estimates for three component parts\u2014fee-for-service, beneficiary eligibility determinations, and managed care. The improper payment estimate for each component is developed under its own methodology. The national rate in fiscal year 2017 was 10.1 percent, or $36.7 billion. Since 2016, Medicaid has exceeded the 10 percent criterion set in statute. As such, the program was not fully compliant with the Improper Payments Elimination and Recovery Act of 2010.", "In May 2018, we reported that the Medicaid managed care component of the improper payment estimate does not fully account for all program risks in managed care. We identified 10 federal and state audits and investigations (out of 27 focused on Medicaid managed care) that cited about $68 million in overpayments and unallowable managed care organization costs that were not accounted for by the managed care improper payment estimate. Another of these investigations resulted in a $137.5 million settlement to resolve allegations of false claims. We further noted that the full extent of overpayments and unallowable costs is unknown, because the 27 audits and investigations we reviewed were conducted over more than 5 years and involved a small fraction of the more than 270 managed care organizations operating nationwide as of September 2017.", "Some examples of the state audits that identified overpayments and unallowable costs include the following:", "The Washington State Auditor\u2019s Office found that two managed care organizations made $17.5 million in overpayments to providers in 2010, which may have increased the state\u2019s 2013 capitation rates.", "The Texas State Auditor\u2019s Office found that one managed care organization reported $3.8 million in unallowable costs for advertising, company events, gifts, and stock options, along with $34 million in other questionable costs in 2015.", "The New York State Comptroller found that two managed care organizations paid over $6.6 million to excluded and deceased providers from 2011 through 2014.", "To the extent that such overpayments and unallowable costs are unidentified and not removed from the cost data used to set managed care payment rates, they may allow inflated future payments and minimize the appearance of program risks in Medicaid managed care. This potential understatement of the program risks in managed care also may curtail investigations into the appropriateness of managed care spending. The continued growth of Medicaid managed care makes ensuring the accuracy of managed care improper payment estimates increasingly important.", "In May 2018, we acknowledged that although CMS has increased its focus on and worked with states to improve oversight of Medicaid managed care; its efforts\u2014for example, updated regulations and audits of managed care providers\u2014did not ensure the identification and reporting of overpayments and unallowable costs. In May 2016, CMS updated its regulations for managed care programs, including that states arrange an independent audit of the data submitted by MCOs, at least once every 3 years. We found that although this requirement has the potential to enhance state oversight of managed care; CMS was reviewing the rule for possible revision of its requirements. We also noted that another effort to address program risks in managed care\u2014the use of CMS program integrity contractors to audit providers that are paid by managed care organizations\u2014has been limited. To address the program risks that are not measured as a part of CMS\u2019s methodology to estimate improper payments, in May 2018 we recommended that CMS take steps to mitigate such risks, which could include revising its methodology or focusing additional audit resources on managed care. HHS concurred with this recommendation.", "Our prior work on Medicaid has also identified other program risks associated with provider enrollment and beneficiary eligibility that may contribute to improper payments. In table 1 below, we identify some examples of the previous recommendations we have made to address these types of program risks, and what, if any, steps CMS has taken in response to our recommendations."], "subsections": []}, {"section_title": "Lack of Transparency and Federal Oversight of States\u2019 Use of Supplemental Payments Increase Program Risk", "paragraphs": ["Supplemental payments are payments made to providers\u2014such as local government hospitals and other providers\u2014that are in addition to the regular, claims-based payments made to providers for services they provided. Like all Medicaid payments, supplemental payments are required to be economical and efficient.", "Supplemental payments have been growing and totaled more than $48 billion in 2016. Our prior work has identified several concerns related to supplemental payments, including the need for more complete and accurate reporting, criteria for economical and efficient payments, and written guidance on the distribution of payments.", "Complete and accurate reporting. Our prior work has identified increased use of provider taxes and transfers from local government providers to finance the states\u2019 share of supplemental payments, which, although allowed under federal law, effectively shift Medicaid costs from the states to the federal government. In particular, we previously reported in July 2014 that states\u2019 share of Medicaid supplemental payments financed with funds from providers and local governments increased the federal share from 57 percent in state fiscal year 2008 to 70 percent in state fiscal year 2012. The full extent of this shift in states\u2019 financing structure was unknown, because CMS had not ensured that states report complete and accurate data on the sources of funds they use to finance their share of Medicaid payments, and CMS\u2019s efforts had fallen short of obtaining complete data. (See table 2 below for our recommendation and actions CMS has taken.) For example, in July 2014, we reported that in one state, a $220 million payment increase for nursing facilities resulted in an estimated $110 million increase in federal matching funds to the state, and a net payment increase to the facilities of $105 million. (See fig. 5.)", "Criteria for economical and efficient payments. Our prior work has demonstrated that CMS lacks the criteria, data, and review processes to ensure that one type of supplemental payments\u2014non-DSH supplemental payments\u2014are economical and efficient. For example, in April 2015, we identified public hospitals in one state that received such supplemental and regular Medicaid payments that, when combined, were hundreds of millions in excess of the hospitals\u2019 total Medicaid costs and tens of millions in excess of their total operating costs\u2014unbeknownst to CMS. Accordingly, we concluded that CMS\u2019s criteria and review processes did not ensure that it can identify excessive payments and determine if supplemental payments are economical and efficient. (See table 2 below for our recommendations and actions CMS has taken.)", "Written guidance on the distribution of payments. According to CMS policy, Medicaid payments, including supplemental payments, should be linked to the provision of Medicaid services and not contingent on the provision of local funds. However, in February 2016 we reported that CMS did not have written guidance that clarifies this policy. In February 2016, we found examples of hospitals with large uncompensated costs associated with serving the low-income and Medicaid population that received relatively little in supplemental payments, while other hospitals with relatively low uncompensated care costs\u2014but that were able to contribute a large amount of funds for the state\u2019s Medicaid share\u2014 received large supplemental payments relative to those costs, raising questions as to whether CMS policies are being followed. (See table 2 for our recommendation and actions CMS has taken.)", "Recognizing that Congress could help address some of the program risks associated with supplemental payments, in November 2012, we suggested that Congress consider requiring CMS to improve state reporting of supplemental payments, including requiring annual reporting of facility-specific payment amounts; clarify permissible methods for calculating these supplemental payments; and implement annual independent certified audits to verify state compliance with methods for calculating supplemental payments.", "Subsequent to our work highlighting the need for complete and accurate reporting, in January 2017 a bill was introduced in the House of Representatives that, if enacted, would require annual state reporting of non-DSH supplemental payments made to individual facilities, require CMS to issue guidance to states that identifies permissible methods for calculating non-DSH supplemental payments to providers, and establish requirements for such annual independent audits. Another bill was introduced in October 2017 that would require states to submit annual reports that identify the sources and amount of funds used to finance the state share of Medicaid payments. As of May 2018, no action had been taken on either proposed bill."], "subsections": []}, {"section_title": "Absent Better Oversight, Demonstrations May Increase Federal Fiscal Liability", "paragraphs": ["Demonstration programs, comprising about one-third of total Medicaid expenditures in fiscal year 2015, can be a powerful tool for states and CMS to test new approaches to providing coverage and delivering services that could reduce costs and improve outcomes. However, our prior work has identified several concerns related to demonstrations, including the need for ensuring that (1) demonstrations meet the policy requirements of budget neutrality\u2014that is, they must not increase federal costs\u2014and (2) evaluations are used to determine whether demonstrations are having their intended effects.", "Budget neutrality of Medicaid demonstrations. Demonstration spending limits, by HHS policy, should not exceed spending that would have occurred in the absence of a demonstration. In multiple reports examining more than a dozen demonstrations between 2002 and 2017, we have identified a number of questionable methods and assumptions that HHS has permitted states to use when estimating costs. We found that federal spending on Medicaid demonstrations could be reduced by billions of dollars if HHS were required to improve the process for reviewing, approving, and making transparent the basis for spending limits approved for Medicaid demonstrations. The following are some examples of what we have previously found: In August 2014, we reported that HHS had approved a spending limit for Arkansas\u2019s demonstration\u2014to test whether providing premium assistance to purchase private coverage through the health insurance exchange would improve access for newly eligible Medicaid beneficiaries\u2014that was based, in part, on hypothetical, not actual, costs. Specifically, the spending limit was based on significantly higher payment amounts the state assumed it would have to make to providers if it expanded coverage under the traditional Medicaid program, and HHS did not request any data to support the state\u2019s assumptions. We estimated that by allowing the state to use hypothetical costs, HHS approved a demonstration spending limit that was over $775 million more than what it would have been if the limit was based on the state\u2019s actual payment rates for services under the traditional Medicaid program.", "We also reported in August 2014 that HHS officials told us it granted Arkansas and 11 other states additional flexibility in their demonstrations in order to increase spending limits if costs proved higher than expected. We concluded that granting this flexibility to the states to adjust the spending limit increased the fiscal risk to the federal government.", "More recently, in April 2017, we reported that two states used unspent federal funds from their previous demonstrations to expand the scope of subsequent demonstrations by $8 billion and $600 million, respectively. We concluded that inflating the spending limits in this way inappropriately increased the federal government\u2019s fiscal liability for Medicaid.", "We have previously made recommendations to improve oversight of spending on demonstrations, and HHS recently took action that partially responds to one of these recommendations. (See table 3 for examples of the recommendations and actions HHS has taken.) Specifically, under a policy implemented in 2016, HHS restricted the amount of unspent funds states can accrue for each year of a demonstration, and has also reduced the amount of unspent funds that states can carry forward to new demonstrations. For 10 demonstrations it has recently approved, HHS estimated that the new policy has reduced total demonstration spending limits by $109 billion for 2016 through 2018, the federal share of which is $62.9 billion. These limits reduce the effect, but do not specifically address all, of the questionable methods and assumptions that we have identified regarding how HHS sets demonstration spending limits.", "Evaluation of Medicaid demonstrations. In a January 2018 report, we questioned the usefulness of both state-led and federal evaluations of section 1115 demonstrations, particularly with regard to how these evaluation results may inform policy decisions.", "State-led evaluations. We identified significant limitations among selected state-led demonstration evaluations, including gaps in reported evaluation results for important parts of the demonstrations. (See table 4.) These gaps resulted, in part, from CMS requiring final, comprehensive evaluation reports after the expiration of the demonstrations rather than at the end of each 3- to 5-year demonstration cycle. In October 2017, CMS officials stated that the agency planned to require final reports at the end of each demonstration cycle for all demonstrations, although it had not established written procedures for implementing this new policy. We concluded in January 2018 that without written procedures for implementing such requirements, gaps in oversight could continue.", "Federal evaluations. Evaluations of federal demonstrations led by CMS have also been limited due to data challenges and a lack of transparent reporting. For example, delays obtaining data directly from states, among other things, led CMS to considerably reduce the scope of a large, multi-state evaluation, which was initiated in 2014 to examine the impact of state demonstrations in four policy areas deemed to be federal priorities. In our January 2018 report, we found that although CMS had made progress in obtaining needed data, CMS had no policy for making the results public. By not making these results public in a timely manner, we concluded that CMS was missing an opportunity to inform important federal and state policy discussions.", "In light of our concerns about state-led and federal demonstration evaluations, in January 2018, we recommended that CMS (1) establish written procedures for requiring final evaluation reports at the end of each demonstration cycle, (2) issue criteria for when it will allow limited evaluations of demonstrations, and (3) establish a policy for publicly releasing findings from federal evaluations of demonstrations. HHS concurred with these recommendations."], "subsections": []}]}, {"section_title": "Fundamental Actions Needed to Strengthen Oversight and Manage Program Risks", "paragraphs": ["Across our body of work, we have made 83 recommendations to CMS and HHS and suggested 4 matters for congressional consideration to address a variety of concerns about the Medicaid program. The agencies generally agreed with our recommendations and have implemented 25 of these recommendations to date, and CMS still needs to take fundamental actions in three areas\u2014having more timely, complete, and reliable data; conducting fraud risk assessments; and strengthening federal-state collaboration\u2014to strengthen Medicaid oversight and better manage program risks."], "subsections": [{"section_title": "More Complete, Timely, Reliable Data for Oversight", "paragraphs": ["An overarching challenge for CMS oversight of the Medicaid program is the lack of accurate, complete, and timely data. Our work has demonstrated how insufficient data have affected CMS\u2019s ability to ensure proper payments, assess beneficiaries\u2019 access to services, and oversee states\u2019 financing strategies.", "As part of its efforts to address longstanding data concerns, CMS has taken some steps toward developing a reliable national repository for Medicaid data, most notably the Transformed Medicaid Statistical Information System (T-MSIS). Through T-MSIS, CMS will collect detailed information on Medicaid beneficiaries\u2014such as their citizenship, immigration, and disability status\u2014as well as any expanded diagnosis and procedure codes associated with their treatments. States are to report data more frequently\u2014and in a timelier manner\u2014than they have previously, and T-MSIS includes approximately 2,800 automated quality checks. The T-MSIS initiative has the potential to improve CMS\u2019s ability to identify improper payments, help ensure beneficiaries\u2019 access to services, and improve program transparency, among other benefits.", "As we reported in December 2017, implementing the T-MSIS initiative has been\u2014and will continue to be\u2014a multi-year effort. CMS has worked closely with states and has reached a point where nearly all states are reporting T-MSIS data. While recognizing the progress made, we noted that more work needs to be done before CMS or states can use these data for program oversight:", "All states need to report complete T-MSIS data. For our December 2017 report, we reviewed a sample of six states and found that none were reporting complete data.", "T-MSIS data should be formatted in a manner that allows for state data to be compared nationally. In December 2017, we reported that state officials had expressed concerns that states did not convert their data to the T-MSIS format in the same ways, which could limit cross- state comparisons.", "In our December 2017 report, we recommended that CMS take steps to expedite the use of T-MSIS data, including efforts to (1) obtain complete information from all states; (2) identify and share information across states to improve data comparability; and (3) implement mechanisms by which states can collaborate on an ongoing basis to improve the completeness, comparability, and utility of T-MSIS data. We also recommended that CMS articulate a specific plan and associated time frames for using T-MSIS data for oversight. The agency concurred with our recommendations, but has not yet implemented them.", "Our prior work has also noted areas where other data improvements are critical to program oversight: In July 2014, we found that there was a need for data on supplemental payments that states make to individual hospitals and other providers. In particular, our findings and related recommendation from July 2014 indicate that CMS should develop a data collection strategy that ensures that states report accurate and complete data on all sources of funds used to finance the states\u2019 share of Medicaid payments.", "In January 2017, we found limitations in the data CMS collects to monitor the provision of, and spending on, personal care services\u2014 services that are at a high risk for improper payments, including fraud. In particular, data on the provision of personal care services were often not timely, complete, or consistent. Data on states\u2019 spending on these services were also not accurate or complete. In January 2017, we recommended that CMS improve personal care services data by (1) establishing standard reporting guidance for key data, (2) ensuring linkage between data on the provision of services and reported expenditures, (3) ensuring state compliance with reporting requirements, and (4) developing plans to use data for oversight. The agency concurred with two recommendations and neither agreed nor disagreed with the other two recommendations, and has not yet implemented any."], "subsections": []}, {"section_title": "More Complete Fraud Risk Assessment and Better Fraud Targeting", "paragraphs": ["In December 2017, we examined CMS\u2019s efforts managing fraud risks in Medicaid and compared it with our Fraud Risk Framework, which provides a comprehensive set of key components and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. This framework describes leading practices in four components: commit, assess, design and implement, and evaluate and adapt. (See fig. 6.) The Fraud Reduction and Data Analytics Act of 2015, enacted in June 2016, requires the Office of Management and Budget (OMB) to establish guidelines incorporating the leading practices from our Fraud Risk Framework for federal agencies to create controls to identify and assess fraud risks, and design and implement antifraud control activities. In July 2016, OMB published guidance, and among other things, this guidance affirms that managers should adhere to the leading practices identified in our Fraud Risk Framework.", "In a December 2017 report, we found that CMS\u2019s efforts partially aligned with our fraud risk framework. In particular, CMS had shown a commitment to combating fraud, in part, by establishing a dedicated entity\u2014the Center for Program Integrity\u2014to lead antifraud efforts, and offering and requiring antifraud training for stakeholder groups, such as providers, beneficiaries, and health-insurance plans; and taken steps to identify fraud risks, such as by designating specific provider types as high risk and developing associated control activities.", "However, CMS had not conducted a fraud risk assessment for Medicaid, and had not designed and implemented a risk-based antifraud strategy. A fraud risk assessment allows managers to fully consider fraud risks to their programs, analyze their likelihood and impact, and prioritize risks. Managers can then design and implement a strategy with specific control activities to mitigate these fraud risks, as well as design and implement an appropriate evaluation. We concluded that through these actions, CMS could better ensure that it is addressing the full portfolio of risks and strategically targeting the most-significant fraud risks facing Medicaid. As a result, in December 2017 we made three recommendations to CMS, two of which were to conduct fraud risk assessments, and create an antifraud strategy for Medicaid, including an approach for evaluation. HHS concurred with our recommendations, but has not yet implemented them."], "subsections": []}, {"section_title": "Greater Federal-State Collaboration to Strengthen Program Oversight", "paragraphs": ["The federal government and the states play important roles in reducing improper payments and overseeing the Medicaid program, including overseeing spending on Medicaid supplemental payments and demonstrations. Our prior work shows that oversight of the Medicaid program could be further improved through leveraging and coordinating program integrity efforts with state agencies, state auditors, and other partners.", "Collaborative audits with state agencies. As we have previously reported, CMS has made changes to its Medicaid program integrity efforts, including a shift to collaborative audits\u2014in which CMS\u2019s contractors and states work in partnership to audit Medicaid providers. In March 2017, we reported that collaborative audits had identified substantial potential overpayments to providers, but barriers\u2014such as staff burden or problems communicating with contractors\u2014had limited their use and prevented states from seeking audits or hindered the success of audits. We recommended that CMS address the barriers that limit state participation in collaborative audits, including their use in managed care delivery systems. CMS concurred with this recommendation and has taken steps to address them for a number of states, but has not yet made such changes accessible to a majority of states.", "State auditors and federal partners. We have found that state auditors and the HHS-OIG offer additional oversight and information that can help identify program risks. To that end, we routinely coordinate our audit efforts with the state auditors and the HHS-OIG. For example, we have convened and facilitated meetings between CMS and state audit officials to discuss specific areas of concern in Medicaid and future opportunities for collaboration. The state auditors and CMS officials commented on the benefits of such coordination, with the state auditors noting that they can assist CMS\u2019s state program integrity reviews by identifying program risks.", "State auditors also have conducted program integrity reviews to identify improper payments and deficiencies in the processes used to identify them. We believe that these reviews could provide insights into program weaknesses that CMS could learn from and potentially address nationally. Coordination also provides an opportunity for state auditors to learn methods for conducting program integrity reviews. The following are recent examples of reviews conducted: In 2017, the Oregon Secretary of State Audits Division found approximately 31,300 questionable payments to Coordinated Care Organizations (which receive capitated monthly payments for beneficiaries, similar to managed care organizations), based on a review of 15 months of data. In addition, the state auditor found that approximately 47,600 individuals enrolled in Oregon\u2019s Medicaid program were ineligible, equating to $88 million in avoidable expenditures.", "Massachusetts\u2019 Medicaid Audit Unit\u2019s recent annual report (covering the time period from March 15, 2017, through March 14, 2018) reported that the state auditor identified more than $211 million in unallowable, questionable, duplicative, unauthorized, or potentially fraudulent billing in the program.", "A 2017 report released by the Louisiana Legislative Auditor\u2019s Office stated that the office reviewed Medicaid eligibility files and claims data covering January 2011 through October 2016, and found $1.4 million in questionable duplicate payments.", "In fiscal year 2017, the Mississippi Division of Medicaid reported that they recovered more than $8.6 million through various audits of medical claims paid to health care providers. The division also referred seven cases to the state\u2019s attorney general\u2019s office, in which the division had identified $3.1 million in improper billing.", "At a May 2018 federal and state auditor coordination meeting that we participated in, the HHS-OIG provided examples of the financial impact of its work related to improper payments, including one review of managed care long term services and supports that identified $717 million potential federal savings, three reviews of managed care payments made after beneficiaries\u2019 death that identified $18.2 million in federal funds to be recovered, and two reviews of managed care payments made for beneficiaries with multiple Medicaid IDs that identified $4.3 million in federal funds to be recovered.", "Healthcare Fraud Prevention Partnership. The Healthcare Fraud Prevention Partnership (HFPP) is an important tool to help combat Medicaid fraud. In 2012, CMS created the HFPP to share information with public and private stakeholders, and to conduct studies related to health care fraud, waste, and abuse. According to CMS, as of October 2017, the HFPP included 89 public and private partners\u2014including Medicare\u2014and Medicaid-related federal and state agencies, law enforcement agencies, private health insurance plans, and antifraud and other health care organizations. The HFPP has conducted studies that pool and analyze multiple payers\u2019 claims data to identify providers with patterns of suspect billing across private health insurance plans. In August 2017, we reported that the partnership participants separately told us the HFPP\u2019s studies helped them identify and take action against potentially fraudulent providers and payment vulnerabilities of which they might not otherwise have been aware, and fostered both formal and informal information sharing.", "Chairman Johnson, Ranking Member McCaskill, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact Carolyn L. Yocom, who may be reached at 202-512-7114 or yocomc@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Leslie V. Gordon (Assistant Director), Deirdre Gleeson Brown (Analyst-in-Charge), Muriel Brown, Helen Desaulniers, Melissa Duong, Julianne Flowers, Sandra George, Giselle C. Hicks, Drew Long, Perry Parsons, Russell Voth, and Jennifer Whitworth."], "subsections": []}]}, {"section_title": "Related GAO Reports", "paragraphs": ["Improper Payments: Actions and Guidance Could Help Address Issues and Inconsistencies in Estimation Processes. GAO-18-377. Washington, D.C.: May 31, 2018.", "Medicaid: CMS Should Take Steps to Mitigate Program Risks in Managed Care. GAO-18-291. Washington, D.C.: May 7, 2018.", "Medicaid: Opportunities for Improving Program Oversight. GAO-18-444T. Washington, D.C.: April 12, 2018.", "Medicaid Demonstrations: Evaluations Yielded Limited Results, Underscoring Need for Changes to Federal Policies and Procedures. GAO-18-220. Washington, D.C.: January 19, 2018.", "Medicaid: Further Action Needed to Expedite Use of National Data for Program Oversight. GAO-18-70. Washington, D.C.: December 8, 2017.", "Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework. GAO-18-88. Washington, D.C.: December 5, 2017.", "Improper Payments: Additional Guidance Could Provide More Consistent Compliance Determinations and Reporting by Inspectors General. GAO-17-484. Washington, D.C.: May 31, 2017.", "Medicaid Demonstrations: Federal Action Needed to Improve Oversight of Spending. GAO-17-312. Washington, D.C.: April 3, 2017.", "Medicaid Program Integrity: CMS Should Build on Current Oversight Efforts by Further Enhancing Collaboration with States. GAO-17-277. Washington, D.C.: March 15, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Medicaid: CMS Needs Better Data to Monitor the Provision of and Spending on Personal Care Services. GAO-17-169. Washington, D.C.: January 12, 2017.", "Medicaid: Program Oversight Hampered by Data Challenges, Underscoring Need for Continued Improvement. GAO-17-173. Washington, D.C.: January 6, 2017.", "Improper Payments: Strategy and Additional Actions Needed to Help Ensure Agencies Use the Do Not Pay Working System as Intended. GAO-17-15. Washington, D.C.: October 14, 2016.", "Medicaid Program Integrity: Improved Guidance Needed to Better Support Efforts to Screen Managed Care Providers. GAO-16-402. Washington, D.C.: April 22, 2016.", "Medicaid: Federal Guidance Needed to Address Concerns About Distribution of Supplemental Payments. GAO-16-108. Washington, D.C.: February 5, 2016.", "Medicaid: Additional Efforts Needed to Ensure that State Spending is Appropriately Matched with Federal Funds. GAO-16-53. Washington, D.C.: October 16, 2015.", "Medicaid: Service Utilization Patterns for Beneficiaries in Managed Care. GAO-15-481. Washington, D.C.: May 29, 2015.", "Medicaid: Additional Actions Needed to Help Improve Provider and Beneficiary Fraud Controls. GAO-15-313. Washington, D.C.: May 14, 2015.", "Medicaid: CMS Oversight of Provider Payments Is Hampered by Limited Data and Unclear Policy. GAO-15-322. Washington, D.C.: April 10, 2015.", "Medicaid Demonstrations: HHS\u2019s Approval Process for Arkansas\u2019s Medicaid Expansion Waiver Raises Cost Concerns. GAO-14-689R. Washington, D.C.: August 8, 2014.", "Medicaid Financing: States\u2019 Increased Reliance on Funds from Health Care Providers and Local Governments Warrants Improved CMS Data Collection. GAO-14-627. Washington, D.C.: July 29, 2014.", "Medicaid Demonstration Waivers: Approval Process Raises Cost Concerns and Lacks Transparency. GAO-13-384. Washington, D.C.: June 25, 2013.", "Medicaid: More Transparency of and Accountability for Supplemental Payments Are Needed. GAO-13-48. Washington, D.C.: November 26, 2012.", "Medicaid Demonstration Waivers: Recent HHS Approvals Continue to Raise Cost and Oversight Concerns. GAO-08-87. Washington, D.C.: January 31, 2008.", "Medicaid and SCHIP: Recent HHS Approvals of Demonstration Waiver Projects Raise Concerns. GAO-02-817. Washington, D.C.: July 12, 2002.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["The Medicaid program helped provide health care to an estimated 73 million people in fiscal 2017 at a cost of about $596 billion. This joint federal and state program continues to grow, and remains on our high risk list due to concerns about the adequacy of federal oversight and the program's vulnerability to fraud.", "This testimony focuses on the major risks to the integrity of Medicaid. Efforts needed to strengthen oversight include:", "expansion of a national Medicaid data system that will allow comparisons across states,", "a national anti-fraud strategy,", "greater collaboration between state and federal auditors."]} {"id": "GAO-19-208SP", "url": "https://www.gao.gov/products/GAO-19-208SP", "title": "State and Local Governments' Fiscal Outlook: 2018 Update", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Fiscal sustainability presents a national challenge shared by all levels of government. Since 2007, GAO has published simulations of long-term fiscal trends in the state and local government sector, which have consistently shown that the sector faces long-term fiscal pressures. While most states have requirements related to balancing their budgets, deficits can arise because the planned annual revenues are not generated at the expected rate, demand for services exceeds planned expenditures, or both, resulting in a near-term operating deficit.", "This report updates GAO's state and local fiscal model to simulate the fiscal outlook for the state and local government sector. This includes identifying the components of state and local expenditures likely to contribute to the sector's fiscal pressures. In addition, this report identifies considerations related to federal policy and other factors that could contribute to uncertainties in the state and local government sector's long-term fiscal outlook.", "GAO's model uses the Bureau of Economic Analysis's National Income and Product Accounts as the primary data source and presents the results in the aggregate for the state and local sector as a whole. The model shows the level of receipts and expenditures for the sector until 2067, based on current and historical spending and revenue patterns. In addition, the model assumes that the current set of policies in place across state and local government remains constant to show a simulated long-term outlook."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's simulations suggest that the state and local government sector will likely face an increasing difference between revenues and expenditures during the next 50 years as reflected by the operating balance--a measure of the sector's ability to cover its current expenditures out of its current receipts. While both expenditures and revenues are projected to increase as a percentage of gross domestic product (GDP), a difference between the two is projected to persist because expenditures are expected to grow faster than revenues throughout the simulation period.", "GAO's simulations also suggest that growth in the sector's overall spending is largely driven by health care expenditures--in particular, Medicaid spending and spending on health benefits for state and local government employees and retirees. These expenditures are projected to grow as a share of GDP during the simulation period. GAO's simulations also suggest that revenues from personal income taxes and federal grants to states and localities will increase during the simulation period. However, revenues will grow more slowly than expenditures such that the sector faces a declining fiscal outlook.", "GAO also identified federal policy changes that could affect the state and local government sector's fiscal outlook. For example, the effects of the recently-enacted Tax Cuts and Jobs Act will likely depend on how states incorporate the Act into their state income tax rules. In addition, other factors, such as economic growth and rates of return on pension assets, could shift future fiscal outcomes for the sector."]}], "report": [{"section_title": "Letter", "paragraphs": ["Fiscal sustainability presents a national challenge shared by all levels of government. The federal government and state and local governments share responsibility in fulfilling important national goals and providing essential services to citizens. State and local governments provide primary and secondary education, health care, libraries, police and fire protection services, social programs, roads and other infrastructure, public colleges and universities, and more. These subnational governments rely on the federal government for significant portions of their revenue. Given the nature of the partnership among levels of government in providing services, understanding potential future fiscal conditions of the state and local government sector is important for federal policymaking.", "To provide Congress and the public with this broader context, we developed a fiscal model of the state and local government sector, which we first reported on in 2007 and have regularly updated since. This report updates our state and local fiscal model to simulate the fiscal outlook for the state and local government sector. This includes identifying the components of state and local expenditures that are likely to contribute to the sector\u2019s fiscal pressures. This report also identifies considerations related to federal policy and other factors that could contribute to uncertainties in the state and local government sector\u2019s fiscal outlook.", "To develop simulations of the fiscal outlook for the state and local government sector, we use the Department of Commerce\u2019s Bureau of Economic Analysis\u2019s (BEA) National Income and Product Accounts (NIPA) as the primary data source and project the level of receipts and expenditures for the sector until 2067, based on current and historical spending and revenue patterns. Our model assumes that historical relationships between taxes and their tax bases persist, that the federal government continues to provide services to people at a level consistent with current policies, and that other current policies and relationships affecting revenues do not change. Our model also assumes that the state and local government sector continues to provide levels of services to each resident consistent with current government policies. The model presents results in the aggregate for the state and local government sector as a whole, consistent with the nature of the NIPA source data. Because of this, the fiscal outlook for individual states and localities cannot be identified.", "As part of our simulations, we also assess potential fiscal outcomes for the sector using an indicator of fiscal balance called the operating balance. The state and local government sector\u2019s operating balance is a measure of its ability to cover expenditures in a given year using revenues collected in the same year. Because subnational governments are generally required to balance or nearly balance their operating budgets, the design of our operating balance measure reflects this characteristic of subnational governments\u2019 operating budgets. For additional information on the model\u2019s key assumptions, see appendix I.", "To identify considerations related to federal policy that could contribute to uncertainties in the sector\u2019s fiscal outlook, we reviewed recent legislation, relevant legal precedents, economic literature, our prior reports, and reports from selected think tanks that analyze aspects of fiscal federalism. These think tanks include the Nelson A. Rockefeller Institute of Government, the Pew Charitable Trusts, the Tax Foundation Center for Federal Tax Policy, and the Urban Institute and Brookings Institution Tax Policy Center. We also conducted semistructured interviews on federal and intergovernmental policy issues and related data with associations representing state government officials, including the National Association of State Budget Officers, the National Conference of State Legislatures, the National Association of State Auditors, Comptrollers and Treasurers; specialists from credit rating agencies and their research divisions, such as Moody\u2019s Analytics and Standard & Poor\u2019s Global Ratings; and senior officials from the Federal Reserve Bank of Chicago, BEA, and the Congressional Budget Office (CBO). We selected these organizations and related reports based on a literature review and our prior work on state and local government fiscal issues. These interviews primarily focused on tax- and health-related federal policies because of their relevance to our simulation results. Specifically, our simulations have continually suggested that trends in tax revenues and health care spending have contributed to large and recurring fiscal challenges for the sector. The policy considerations we identified are not exhaustive. That is, we did not fully analyze every federal tax- and health-related policy that could create uncertainties for the state and local government sectors\u2019 fiscal outlook.", "Further, to identify other factors that could contribute to uncertainties in the sector\u2019s fiscal outlook, we developed simulations using alternative assumptions of the growth of key model variables to describe how the operating balance measure would respond to changes in the growth projections of key variables over the simulation period. For additional information on our methodology for developing these simulations, see appendix II.", "We conducted our work for this model update from February 2018 to December 2018 in accordance with all sections of our Quality Assurance Framework that are relevant to our objectives. The framework requires that we plan and perform the engagement to obtain sufficient and appropriate evidence to meet our stated objectives, and to discuss any limitations in our work. We believe that the information and data obtained, and the analysis conducted, provide a reasonable basis for any findings and conclusions in this product."], "subsections": [{"section_title": "State and Local Governments Will Need to Make Policy Changes to Maintain Long-Term Fiscal Balance", "paragraphs": ["Our simulations suggest that the sector will likely continue to face a difference between revenue and spending during the next 50 years. This long-term outlook is measured by the operating balance\u2014a measure of the sector\u2019s ability to cover its current expenditures out of current receipts. While both expenditures and revenues are projected to increase as a percentage of gross domestic product (GDP) during the simulation period, a difference between the two is projected to persist because expenditures are generally expected to grow at a faster rate than revenues. (see figure 1). Absent any policy changes by state and local governments, revenues are likely to be insufficient to maintain the sector\u2019s capacity to provide services at levels consistent with current policies during the next 50 years. Our simulations suggest that state and local governments will need to make policy changes to avoid fiscal imbalances before then and assure that revenues are at least equal to expenditures.", "We simulated the state and local government sector\u2019s operating balance (the difference between the sector\u2019s operating revenues and operating expenditures) in order to understand the sector\u2019s long-term fiscal outlook. The sector\u2019s operating expenditures were 15.1 percent of GDP in 2017. As shown in figure 2, these state and local government sector operating expenditures are comprised of employee compensation, social benefit payments, interest payments, capital outlays, and other expenditures. The sector\u2019s operating revenues were 13.8 percent of GDP in 2017. As shown in figure 3, these state and local government sector operating revenues are comprised of taxes, transfer receipts, and other types of revenues.", "One way of measuring the long-term fiscal challenges faced by the state and local government sector is through an indicator known as the \u201cfiscal gap.\u201d The fiscal gap is an estimate of actions\u2014such as revenue increases or expenditure reductions\u2014that must be taken today and maintained for each year going forward to achieve fiscal balance during the simulation period. While we measured the gap as the amount of reductions in expenditures needed to prevent negative operating balances, increases in revenues, reductions in expenditures, or a combination of the two of sufficient magnitude would allow the sector to close the fiscal gap.", "Our simulations suggest that the fiscal gap is about 14.7 percent of total expenditures or about 2.4 percent of GDP. That is, assuming no change in projected total revenues, eliminating the difference between the sector\u2019s expenditures and revenues during the 50-year simulation period would likely require action to be taken today, and maintained for each year equivalent to a 14.7 percent reduction in the sector\u2019s total expenditures (see figure 4). Alternatively, assuming no change in projected total expenditures, closing the fiscal gap by increasing revenue would also likely require actions of similar magnitude. More likely, eliminating the difference between expenditures and revenues would involve some combination of spending reductions and revenue increases."], "subsections": []}, {"section_title": "Health Care Cost Growth and Other Factors Contribute to the State and Local Sector\u2019s Fiscal Imbalance", "paragraphs": [], "subsections": [{"section_title": "Medicaid and Employee Health Benefits Are Key Drivers of Long-Term Spending", "paragraphs": ["Our simulations suggest that growth in the sector\u2019s overall spending is largely driven by health care expenditures. As shown in figure 5, these expenditures are projected to increase from about 4.1 percent of GDP in 2018 to 6.3 percent of GDP in 2067. Two types of health care expenditures\u2014Medicaid spending and spending on health benefits for state and local government employees and retirees\u2014will likely constitute a growing expenditure for state and local governments during the simulation period. Medicaid expenditures are expected to rise, on average, by 1 percentage point more than GDP each year.", "According to CBO, growth in Medicaid spending reflects growth in both the number of people receiving Medicaid benefits and the cost of Medicaid benefits each person receives. Specifically, CBO reported that between 2019 and 2028, Medicaid spending is projected to grow at an average rate of 5.5 percent per year\u2014nearly 5 percentage points of this growth is due to an increase in per capita costs and about 1 percentage point of this growth is due to an increase in enrollment. Data from CBO and the Centers for Medicare & Medicaid Services (CMS) also suggest that growth in Medicaid spending per capita is generally expected to outpace GDP growth in the future\u2014referred to as excess cost growth. Our estimates of Medicaid excess cost growth using CMS data suggest that Medicaid spending per capita will grow, on average, about 0.5 percent faster than GDP per capita for the period from 2018 through 2067.", "Our simulations also suggest that health benefits for state and local government employees and retirees\u2014a type of employee compensation spending\u2014are likely to rise, on average, by 0.9 percentage points more than GDP each year. Growth in these health benefits also reflects growth in the projected number of employees and retirees and growth in the projected amount of health benefits for each employee and retiree. Growth in spending by states and local governments on health care per capita, which includes spending on employee and retiree health benefits, is generally expected to outpace GDP per capita. Data from CMS suggest that national health expenditures per capita are likely to grow on average about 0.8 percent faster than GDP per capita each year during the simulation period from 2018 through 2067. If employee and retiree health benefits follow trends in overall national health spending, they will likely make up an increasingly large share of total employee compensation going forward (see figure 6).", "While state and local government contributions to employee pension plans\u2014another type of employee compensation spending\u2014will likely decline as a percentage of GDP, as shown in figure 6, our simulations nonetheless suggest that state and local governments may need to take steps to manage their pension obligations in the future. From 1998 through 2007, state and local governments\u2019 pension contributions amounted to about 8 percent of wages and salaries on average. In addition, for the period from 2008 through 2017, pension contributions amounted to about 12.3 percent of wages and salaries on average. Our simulations suggest that those pension contributions will need to be about 12.9 percent of wages and salaries for state and local governments to meet their long-term pension obligations. This is the case even though pension asset values have increased in recent years, from about $2.4 trillion in 2008 to about $4.2 trillion in 2017 (adjusted for inflation and measured in 2012 dollars). This suggests that state and local governments may need to take additional steps to manage their pension obligations by reducing benefits or increasing employees\u2019 contributions.", "Along with pension contributions, other types of state and local government expenditures are projected to grow more slowly than GDP. For example, in 2017, wages and salaries of state and local government employees constituted a large expenditure for the sector. However, these expenditures are projected to decline as a percentage of GDP during the simulation period. Our simulations also suggest that state and local governments\u2019 capital outlays\u2014which include spending on infrastructure, such as buildings, highways and streets, sewer systems, and water systems, as well as equipment and land\u2014 will grow more slowly than GDP if state and local governments continue to provide current levels of capital per resident."], "subsections": []}, {"section_title": "Growth in Medicaid Grants and Personal Income Taxes Drive Revenues", "paragraphs": ["Our simulations suggest that federal grants overall will increase as a share of GDP, while Medicaid grants will likely grow more quickly than other types of federal grants (see figure 7). Thus, Medicaid grants will likely make up an increasing share of revenues in the future. Since Medicaid is a matching formula grant program, the projected increase in federal Medicaid grants, therefore, reflects expected increased Medicaid expenditures that will be shared by state governments. Our simulations also suggest that federal investment grants (i.e., grants intended to finance capital infrastructure investments) and other federal grants unrelated to Medicaid (i.e., grants intended to finance education, social services, housing, and community investment) are likely to decline as a share of GDP.", "Further, our simulations suggest that if historical relationships between state and local governments\u2019 tax revenues and tax bases persist, total tax revenues for the state and local government sector will increase from 8.8 percent of GDP in 2018 to 9.4 percent of GDP by the end of the simulation period. This increase is driven largely by the growth in personal income taxes, as shown in figure 8. Specifically, our simulations suggest that personal income tax revenues will increase as a share of GDP by about 1 percentage point during the simulation period. Sales taxes and property taxes, on the other hand, are projected to remain relatively constant as a share of GDP during the simulation period through 2067."], "subsections": []}]}, {"section_title": "Policy Changes and Other Considerations Could Affect the State and Local Government Sector\u2019s Fiscal Outlook", "paragraphs": ["While our long-term simulations do not account for pending or future federal policy changes that will result in changes to expenditures and revenues, an understanding of several recent federal policy changes related to taxes and health care are important to note because they present sources of uncertainty for the state and local government sector\u2019s long-term fiscal outlook. In addition, as is the case in any model that is reliant on historical data to simulate a long-term outlook, other considerations, such as economic growth and rates of return on pension assets, could shift future fiscal outcomes. These policy changes and uncertainties are discussed below and may help federal policy makers and state and local governments consider how these changes could affect the long-term outlook."], "subsections": [{"section_title": "Tax-and Health-Related Policies Could Affect the Sector\u2019s Long-Term Fiscal Outlook", "paragraphs": [], "subsections": [{"section_title": "Tax Policies", "paragraphs": ["Recently enacted legislation, such as Public Law 115-97, commonly referred to by the President and administrative documents as the Tax Cuts and Jobs Act (TCJA), could affect the sector\u2019s revenues over the long-term. Enacted in December 2017, TCJA included significant changes to corporate and individual tax law, with implications for state and local government tax collections. In particular, for individual taxpayers, for tax years 2018 through 2025, tax rates were lowered for nearly all income levels, some deductions from taxable income were changed (personal exemptions were eliminated, while the standard deduction was increased), and certain credits, such as the child tax credit, were expanded.", "The effect of TCJA on the long-term state and local fiscal outlook is still evolving, and will likely depend on how states incorporate the law\u2019s changes into their state income tax rules. That is, because some states link their state income taxes to federal income tax rules, states must decide whether to let the changes from TCJA flow through to their state income tax systems, or establish new state income tax rules. For example, some states have adopted the federal definition of taxable income as a starting point for state tax calculations, while other states use the federal definition of adjusted gross income as a starting point. The choices states make to continue to link to these definitions could have long-term implications for their state tax revenues. In addition, under TCJA, the amount of the federal itemized deductions allowed for all state and local income, sales, and property taxes (commonly referred to as the state and local tax (SALT) deduction) is now capped at $10,000 for tax years 2018 to 2025. The magnitude or net effect of these changes is uncertain in that states are still working to understand the impact of the tax laws on their revenues. It remains to be seen whether and how states will see changes in their revenues in the future.", "Moreover, a recent U.S. Supreme Court decision involving state sales taxes could have implications for states\u2019 ability to collect revenue. Specifically, the court\u2019s ruling in June 2018 in South Dakota v. Wayfair, Inc. held that states could require out-of-state sellers to collect and remit sales taxes on purchases made from those out-of-state sellers, even if the seller does not have a substantial physical presence in the taxing state. Prior to this ruling, a seller that did not have a substantial physical presence in a state could not be required to collect and remit a sales tax on goods sold into the state. Instead, a purchaser may have been required to pay a use tax (i.e., a tax levied on the consumer for the privilege of use, ownership, or possession of taxable goods and services) in the same amount to his or her state government. In 2017, we reported that states could realize between an estimated $8.5 billion and $13.4 billion in additional state sales tax revenue across all states if all sellers were required to collect taxes on all remote sales at current rates. The extent to which states realize changes in sales tax revenue will likely depend on how they revise their state laws and enforcement efforts in response to this June 2018 ruling."], "subsections": []}, {"section_title": "Health Care Policies", "paragraphs": ["Enacted health care legislation could also affect the long-term fiscal position of state and local governments. As we have reported in prior work, the effect of the Patient Protection and Affordable Care Act (PPACA) on the long-term state and local fiscal outlook could depend on how states implement PPACA, and on future rates of health care cost growth. For example, consider the states that have opted, under PPACA, to expand Medicaid program coverage to millions of lower income adults. While the federal government is expected to cover a large share of the costs of the Medicaid expansion, these states are ultimately expected to bear some of the costs. Specifically, the federal government reimbursed 100 percent of the costs of the expanded population beginning in 2014. This reimbursement rate will decline from the 2018 reimbursement rate of 94 percent to 90 percent by 2020. As such, the reduced federal reimbursement rate may affect those states that expanded their Medicaid populations in recent years.", "As discussed earlier in this report, our simulations suggest that Medicaid spending will make up an increasing share of the state and local government sector\u2019s operating expenditures in the future. A weakening of the economy could add to the fiscal pressures states face in funding these Medicaid obligations. As our prior work has shown, past recessions in 2001 and 2007 hampered states\u2019 ability to fund increased Medicaid enrollment and maintain their existing services. Specifically, Medicaid enrollment increased during these recessions, in part due to increased unemployment, which led more individuals to become eligible for the program.", "We have also reported on the use of Medicaid demonstrations, which allow states to test new approaches to coverage to improve quality and access, or generate savings or efficiencies. Specifically, CMS may waive certain Medicaid requirements and approve new types of expenditures that would not otherwise be eligible for federal Medicaid matching funds. For example, under demonstrations, states have extended coverage to certain populations, provided services not otherwise eligible for Medicaid, and made payments to providers to incentivize delivery system improvements. We previously reported that, as of November 2016, nearly three-quarters of states have CMS- approved demonstrations. In fiscal year 2015, federal spending under demonstrations represented a third of all Medicaid spending nationwide. We also reported that in 10 states, federal spending on demonstrations represented 75 percent or more of all federal spending on Medicaid. Joint financing of Medicaid is a fixture of this federal-state partnership. Demonstration waivers hold the potential for changing state Medicaid spending. However, as we have reported, these demonstrations are required, under HHS policy, to achieve budget neutrality and not raise costs for the federal government."], "subsections": []}]}, {"section_title": "Economic Growth and Other Factors Could Affect the Sector\u2019s Fiscal Outlook", "paragraphs": ["In addition to federal tax- and health-related policy changes, a number of other factors could affect the state and local government sector\u2019s long- term fiscal outlook. Specifically, we developed simulations using alternative assumptions of the growth of key model variables\u2014which include economic growth, health care excess cost growth, and the rate of return on pension assets. We determined that changes in the growth projections of these key variables could affect the operating balance of state and local governments, thereby shifting future fiscal outcomes for the sector."], "subsections": [{"section_title": "Economic Growth", "paragraphs": ["Future trends in GDP growth could affect the state and local government sector\u2019s fiscal outlook. Data from CBO and the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds (OASDI Trustees) project real GDP to grow by 1.9 percent per year on average from 2018 through 2028, and by 2.1 percent per year on average after 2028, respectively. Using these projections, our simulations suggest that maintaining current policies would cause the sector\u2019s expenditures to exceed its revenues and that the difference between revenues and expenditures would become increasingly negative during the next several decades. However, simulations we developed using the OASDI Trustees\u2019 alternative projections of real GDP growth suggest that the difference between revenues and expenditures would expand before narrowing toward the end of the simulation period if real GDP were to grow at a faster rate\u20142.8 percent per year on average\u2014as shown in figure 9. Our simulations also show that if GDP were to grow at a slower rate\u20141.5 percent per year on average\u2014the difference between revenues and expenditures would expand. This would result in an increasingly negative operating balance during the simulation period.", "As discussed earlier in this report, excess cost growth in health care is another key determinant of the sector\u2019s fiscal balance. Data from CBO project Medicaid spending per capita to grow about 1.5 percent faster than GDP per capita on average for the period from 2019 through 2028. Data from CMS project Medicaid spending per capita to grow about 0.6 percent faster on average for the period from 2029 through 2067. Data from CMS also project national health expenditures per capita to grow about 0.8 percent faster than GDP per capita for the period from 2018 through 2067. Using these projections, our simulations suggest that maintaining current policies will cause the sector\u2019s expenditures to exceed its revenues, and that the difference between revenues and expenditures will become increasingly negative during the next several decades. However, simulations developed using alternative projections of excess cost growth in Medicaid and national health expenditures suggest that the difference between revenues and expenditures may be reduced but not eliminated within the simulation period if excess cost growth in health care is zero. In the scenario where excess cost growth rises faster\u20140.7 percent on average for Medicaid for the period from 2029 through 2067 and 1 percent for national health expenditures for the period from 2018 through 2067\u2014our simulations show that the difference between revenues and expenditures will persist for the remainder of the simulation period (see figure 10).", "The rate of return on pension assets could also affect the state and local government sector\u2019s fiscal outlook. Based on an inflation-adjusted rate of return on pension assets of 5 percent, our simulations suggest that state and local governments will need to make pension contributions equivalent to about 12.9 percent of their wages and salaries to meet their long-term pension obligations. However, this estimate is sensitive to the rate of return on state and local governments\u2019 pension assets. Simulations we developed using a higher rate of return\u20147.5 percent\u2014suggest that pension contributions needed to meet pension obligations would be about 3 percent of state and local government employees\u2019 wages and salaries. In addition, under this scenario, our simulations suggest that the difference between revenues and expenditures will be reduced, but not eliminated within the simulation period. Alternatively, we estimated that if the rate of return on pension assets is relatively low\u2014at 2.5 percent\u2014 required pension contributions would need to be about 23 percent of state and local government employees\u2019 wages and salaries during the simulation period. Under this scenario, our simulations show that the sector\u2019s negative operating balance will continue to grow larger throughout the simulation period. It follows therefore, that high rates of return on pension assets are associated with an improved outlook for state and local governments, and vice versa (see figure 11).", "This report was prepared under the direction of Michelle A. Sager, Director, Strategic Issues, who can be reached at (202) 512-6806 or sagerm@gao.gov, and Oliver M. Richard, Director, Center for Economics, who can be reached at (202) 512-8424 or richardo@gao.gov if there are any questions. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}]}]}, {"section_title": "Appendix I: State and Local Government Fiscal Model Simulation Methodology", "paragraphs": [], "subsections": [{"section_title": "Data", "paragraphs": ["To simulate measures of fiscal balance for the state and local government sector for the long term, we used aggregate data on the state and local government sector and national data on other variables from the following sources:", "Agency for Healthcare Research and Quality;", "Board of Governors of the Federal Reserve System;", "Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds (OASDI Trustees);", "Bureau of Economic Analysis (BEA);", "Bureau of Labor Statistics;", "Centers for Medicare & Medicaid Services (CMS);", "Congressional Budget Office (CBO); and", "Federal Reserve Bank of St. Louis."], "subsections": []}, {"section_title": "Model Specification", "paragraphs": [], "subsections": [{"section_title": "Overview", "paragraphs": ["Our approach generally follows the approach used in GAO-08-317 and in subsequent updates of that report. Specifically, we developed a model that projects the levels of receipts and expenditures of the state and local government sector (henceforth, the sector) in future years based on current and historical spending and revenue patterns. We use table 3.3 of the National Income and Product Accounts (NIPA)\u2014State and Local Government Current Receipts and Expenditures\u2014prepared by BEA at the U.S. Department of Commerce as an organizing framework for developing our model of the sector\u2019s revenues and expenditures (see table 1). In this table, current revenues are grouped in five main categories.", "Current tax receipts. These receipts are tax payments made by persons or businesses to state and local governments. They include income taxes, general sales taxes, property taxes, and excise taxes. Current taxes also include fees for motor vehicle licenses, drivers\u2019 licenses, and business licenses.", "Social insurance contributions. These contributions finance the provision of certain social benefits to qualified persons, and include contributions from employers and employees for temporary disability insurance, worker\u2019s compensation insurance, and other programs.", "Income receipts from government assets. These receipts include interest, dividends, and rental income, such as royalties paid on drilling on the outer continental shelf. Also, state and local governments earn interest and dividend income on financial assets.", "Current transfer receipts. Transfer receipts are receipts for which state and local governments provide nothing of value in return. Current transfer receipts include federal grants, fines, fees, donations, and tobacco settlements. Also included are net insurance settlements, certain penalty taxes, court fees, and other miscellaneous transfers.", "Current surplus of government enterprises. This surplus is a profit- type measure for state and local government enterprises, such as water, sewer, gas, and electricity providers; toll providers; liquor stores; air and water terminals; public transit; and state lotteries. Some types of enterprises, such as state lotteries, consistently earn surpluses which are used to fund general government activities. In contrast, many enterprises run deficits, which, in turn, reduce receipts.", "State and local governments also receive income from the sale of goods and services, such as school tuition. In the NIPAs, this income is treated as an offset against expenditures, not revenue. This income comes from voluntary purchases that might have been made from a private sector provider of such services.", "In addition to current receipts, state and local governments receive capital transfer receipts. These receipts include estate and gift taxes, and federal government investment grants for capital such as highways, transit, air transportation, and water treatment plants.", "State and local government current expenditures are grouped into four main categories.", "Consumption expenditures. Generally, spending for which some value is provided in return. State and local government consumption spending is the sum of inputs used to provide goods and services, including compensation of general government employees, consumption of general government fixed capital (depreciation), and intermediate goods and services purchased, less sales to other sectors and own-account investment.", "Current transfer payments. Payments for which nothing of value is provided in return. For state and local governments, current transfer payments consist primarily of social benefits, which are payments to persons to provide for needs that arise from circumstances such as sickness, unemployment, retirement, and poverty. There are two kinds of social benefits\u2014benefits from social insurance funds, such as temporary disability insurance and workers\u2019 compensation, and other social benefits, such as medical benefits from Medicaid and the state Children\u2019s Health Insurance Program (CHIP), family assistance from Temporary Assistance to Needy Families, education assistance, and other public assistance programs. While NIPA table 3.3 also includes other current transfer payments to the rest of the world as part of current transfer payments, these amounts are generally equal to zero.", "Interest payments. These include actual and imputed interest and represent the cost of borrowing by state and local governments to finance their capital and operational costs.", "Subsidies. State and local government subsidies are largely payments to railroads.", "State and local government spending also includes gross investment, capital transfer payments, and net purchases of nonproduced assets. Gross investment is spending on capital goods like structures, equipment, and intellectual property\u2014items that are called fixed assets or capital because of their repeated or continuous use in providing government services for more than 1 year. Structures include residential and commercial buildings, highways and streets, sewer systems, and water systems. State and local government capital transfer payments include disaster-related insurance benefits paid to the U.S. territories and the Commonwealths of Puerto Rico and Northern Mariana Islands. Net purchases of nonproduced assets are composed of net purchases of land less oil bonuses (payments to states for the long-term rights to extract oil).", "Our main indicator of the sector\u2019s fiscal balance is its operating balance net of funds for capital expenditures (henceforth, operating balance), which is a measure of the sector\u2019s ability to cover its current expenditures out of current revenues. The operating balance is defined as total receipts minus (1) capital outlays not financed by medium- and long-term debt issuance, (2) total current expenditures less depreciation, (3) current surplus of state and local government enterprises, and (4) net social insurance fund balance.", "Alternative indicators of fiscal balance include net saving and net lending or borrowing.", "Net saving is the difference between current receipts and current expenditures. Since current expenditures exclude capital investment but include a depreciation measure, net saving can be thought of as a measure of the extent to which governments are covering their current operations from current receipts.", "Net lending or borrowing is the difference between total receipts and total expenditures, and is analogous to the federal unified surplus or deficit. Total receipts differ from current receipts because they include capital transfer receipts. Total expenditures differ from current expenditures because they include capital investment, capital transfer payments, and net purchases of nonproduced assets. However, they exclude fixed capital consumption. The former three categories are cash expenditures, while the latter is a noncash charge. Net lending or net borrowing represents the governments\u2019 cash surplus or borrowing requirement. This measure is normally negative because governments borrow to finance their capital investment (and sometimes to finance current operations as well).", "The following equations describe how we simulated state and local government receipts and expenditures, as well as the intermediate variables used in those simulations. For this update, we started with historical data for 2017, or the most recent year available, and then simulated each variable for each year from 2018 through 2092 (the simulation period)."], "subsections": []}, {"section_title": "National Demographic, Macroeconomic, and Health Care Variables", "paragraphs": ["To simulate state and local government receipts and expenditures, we use simulations of various national-level demographic, macroeconomic, and health care variables derived from projections produced by CBO, CMS, and the OASDI Trustees, and otherwise derived using our own assumptions (see table 2). This approach is similar to the approach we have used in prior model updates."], "subsections": []}, {"section_title": "State and Local Government Defined Benefit Pension Contribution Rate", "paragraphs": ["To simulate state and local government spending on defined benefit pensions, we first estimate the contribution rate (as a fraction of state and local government general government wages and salaries) that state and local governments would need to make each year going forward to ensure that their pension systems are fully funded on an ongoing basis. Our goal is to estimate the financial commitments to employees that have been and are likely to continue to be made by the state and local sector to better understand the full fiscal outlook for the sector. As such, our analysis projects the liabilities that the sector is likely to continue to incur in the future based on simulations of future numbers of retirees receiving pension benefits and their benefit amounts; future numbers of employees, their wages and salaries, and their pension contributions; and assets in state and local government defined benefit pension funds. Although we are only interested in applying contribution rates over the simulation time frame, we actually have to derive the contribution rate for a longer time frame in order to find the steady-state level of necessary contributions. This longer time frame is required because the estimated contribution rate increases as the projection horizon increases and eventually converges to a steady state. If the projection period is of insufficient length, the steady-state level of contribution is not attained, and the necessary contribution rate is understated. We simulated variables used to estimate the pension contribution rate using the approach summarized in table 3.", "This approach is similar to the approach we have used in prior model updates.", "Future growth in the number of state and local government retirees\u2014 many of whom will be entitled to pension and health care benefits\u2014is largely driven by the size of the workforce in earlier years. We simulated the number of state and local government retirees by assuming that the growth rate in the number of retirees is a weighted average of the growth rates in lagged general government and government enterprise employment. We estimated the weights using a regression of the percent change in the number of retirees on the percent change in employment 1, 6, 11, 16, 21, 26, 31, 36, and 41 years in the past. The coefficients on the past percentage changes in employment were constrained to be non- negative and to sum to 1. For this regression, we removed cyclical swings in employment using the Hodrick-Prescott filter.", "Similarly, future changes in the real amount of pension benefits will be a function of past changes in real wages and salaries. As indicated in table 3, we used a weighted average of past values of the state and local government employment cost index to simulate the employment cost index for state and local government retirees. We chose the weights to reflect changes in the share and average real benefit level of three subsets of the retiree population over time: (1) new retirees entering the beneficiary pool, (2) deceased retirees leaving the pool, and (3) continuing retirees from the previous year.", "We simulated the weight for new retirees in a year as the number of retirees less the number of continuing retirees divided by the number of retirees.", "We simulated the weight for deceased retirees as the mortality rate multiplied by last year\u2019s retirees divided by this year\u2019s retirees.", "We simulated the weight for continuing retirees as last year\u2019s retirees divided by this year\u2019s retirees.", "Finally, we simulated the employment cost index for state and local government retirees as the sum of the weight on new retirees multiplied by the state and local government employment cost index and the weight on continuing retirees multiplied by the state and local government employment cost index 8 years prior, less the weight on deceased retirees multiplied by the state and local government employment cost index 21 years prior.", "As discussed above, we started with historical data for 2017, or the most recent year available, simulated all of the variables in table 3 over the long run, and then used the consumer price index (CPI) and the real return on pension assets to calculate the total present value of wages and salaries for state and local government general government and government enterprise employees, the total present value of real pension benefits paid to state and local government retirees, and the total present value of state and local government employees\u2019 pension contributions. Then, we calculated the total present value of state and local governments\u2019 pension liabilities as the total present value of real pension benefits paid to state and local government retirees less the total present value of state and local government employees\u2019 pension contributions, and the value of assets in state and local government defined benefit pension funds in 2017. Finally, we estimated state and local governments\u2019 pension contribution rate as the ratio of the total present value of their pension liabilities to the total present value of wages and salaries for state and local government employees."], "subsections": []}, {"section_title": "Interest Rates on State and Local Government Financial Assets and Liabilities", "paragraphs": ["Table 4 summarizes the approach we used to simulate interest rates on state and local government financial assets and liabilities. This approach is similar to the approach we have used in prior model updates."], "subsections": []}, {"section_title": "State and Local Government Receipts", "paragraphs": ["Table 5 summarizes our approach to simulating state and local government receipts. This approach is similar to the approach we have used in prior model updates.", "These variables track state and local government receipts in table 1 above as follows:", "State and local government personal income tax revenue is the sum of state personal income tax revenue and local personal income tax revenue;", "State and local government personal tax revenue is the sum of personal income tax revenue and other personal tax revenue;", "State and local government revenue from taxes on production and imports is the sum of general sales tax revenue, excise tax revenue, property tax revenue, and revenue from other taxes on production and imports;", "State and local government current tax revenue is the sum of personal tax revenue, revenue from taxes on production and imports, and corporate income tax revenue;", "State and local government current transfer receipts are equal to federal Medicaid grants minus Medicare Part D payments to the federal government, plus other federal grants (excluding investment grants), transfer receipts from businesses, and transfer receipts from persons;", "State and local government current receipts are the sum of current tax revenue, current transfer receipts, income on assets, social insurance contributions, and government enterprise surplus;", "State and local government capital transfer receipts are the sum of federal investment grants and estate and gift tax revenue; and", "State and local government total receipts are the sum of current receipts and capital transfer receipts."], "subsections": []}, {"section_title": "State and Local Government Expenditures", "paragraphs": ["Our general approach to simulating state and local government expenditures is to assume that state and local governments maintain the current level of public goods and services provision per capita (see table 6). Thus, we generally assume that expenditures keep up with U.S. population growth and some measure of inflation, where the relevant rate of inflation varies depending on the specific type of expenditure. However, we use alternative approaches\u2014described below\u2014to simulate depreciation, interest payments, and social benefits for health care. This approach is similar to the approach we have used in prior model updates.", "These variables correspond to state and local government expenditures in table 1 as follows:", "Employee compensation is the sum of wages and salaries, pension contributions, health benefits for current employees, health benefits for retirees, and other compensation, for state and local government general government employees.", "Consumption expenditures are the sum of employee compensation, general government fixed capital consumption, and other general government consumption expenditures.", "Social benefit payments are the sum of Medicaid benefits, non- Medicaid health benefits, and non-health social benefits.", "Current expenditures are the sum of consumption expenditures, social benefit payments, interest payments, and subsidy payments.", "Total expenditures are the sum of current expenditures, gross investment, capital transfer payments, and purchases of nonproduced assets, minus general government and government enterprise fixed capital consumption."], "subsections": []}, {"section_title": "State and Local Government Financial Assets and Liabilities", "paragraphs": ["Table 7 summarizes our approach for simulating state and local government financial assets and liabilities. This approach is similar to the approach we have used in prior model updates.", "Our method for simulating the sectors\u2019 short-term debt outstanding leverages the fact that for any entity, there is a direct relationship between budget outcomes and changes in financial position. Specifically, if expenditures exceed receipts, the gap needs to be financed by some combination of changes in financial assets and changes in financial liabilities. If governments spend more than they take in, they must pay for it by issuing debt, cashing in assets, or some combination of the two. Conversely, if receipts exceed expenditures and the sector is a net lender, its net financial investment (the net change in financial assets minus the net change in financial liabilities) must equal the budget surplus. The relationship between budget outcomes and the sector\u2019s financial position is shown in the following accounting identity: total receipts \u2013 total expenditures = change in financial assets \u2013 change in financial liabilities.", "The sector\u2019s financial liabilities include short-, medium-, and long-term debt; trade payables; and loans from the federal government, so the accounting identity can be rewritten as follows: total receipts \u2013 total expenditures = change in financial assets \u2013 change in medium- and long-term debt \u2013 change in trade payables \u2013 change in federal government loans \u2013 change in short term debt.", "For a given difference between total receipts and total expenditures, various combinations of changes in financial assets and changes in financial liabilities can satisfy this identity. However, we assumed that financial assets grow at the same rate as U.S. GDP, that medium- and long-term debt outstanding is determined using the historical relationship described in table 7, that federal government loans to state and local governments are determined using the historical relationship described in table 7, and that trade payables grow at the same rate as other state and local government consumption spending. If the first four terms on the right hand side of the identity are already determined, then only the fifth term\u2014 the change in short-term debt\u2014is free to satisfy this identity."], "subsections": []}, {"section_title": "State and Local Government Fiscal Balance", "paragraphs": ["As discussed above, our indicators of fiscal balance are operating balance, net saving, and net lending or borrowing. This approach is similar to the approach we have used in prior model updates. Recall that we defined operating balance as follows: operating balance = total receipts \u2013 (gross investment + capital transfer payments + net purchases of nonproduced assets \u2013 medium- and long-term debt issuance) \u2013 (current expenditures \u2013 consumption of general government fixed assets) \u2013 current surplus of state and local government enterprises \u2013 net social insurance fund balance.", "By substituting for total receipts and current expenditures using the relationships described above and rearranging terms, we can also calculate operating balance using a formula that more easily identifies its revenue components\u2014the items in the first set of parentheses\u2014and expenditure components\u2014the items in the second set of parentheses: operating balance = (current tax revenues + estate and gift tax revenues + social insurance fund contributions + income receipts from assets + current transfers + federal investment grants + medium- and long-term debt issuance) \u2013 (compensation of general government employees + social benefit payments + interest payments + gross investment + capital transfer payments + net purchases of nonproduced assets + other general government consumption expenditures + subsidy payments + net social insurance fund balance)."], "subsections": []}]}, {"section_title": "Estimated Historical Relationships", "paragraphs": ["Some of our simulations are based on estimated historical relationships between pairs of variables:", "Elasticity of real personal consumption expenditures less food and services with respect to real wages and salaries;", "Elasticity of the real U.S. market value of real estate with respect to", "Relationship between effective interest rates on financial assets and", "Relationship between state and local government bond yields and 10- year Treasury rates;", "Relationship between effective interest rates on long-term state and local government debt and federal government loans and state and local government bond yields;", "Elasticity of real state personal income tax revenue with respect to", "Elasticity of real state and local government excise tax revenue with respect to real wages and salaries;", "Relationship between long-term debt issuance as a fraction of gross investment and nonproduced asset purchases in excess of federal investment grants and the change in state and local government bond yields; and", "Relationship between real federal government lending to state and local governments and real U.S. GDP.", "To estimate each of these historical relationships, we used the following approach: first, we assessed the order of integration of both variables using unit root tests of the levels and the first differences, where a variable is integrated of order 0 (I(0) or stationary) if we rejected the null hypothesis of a unit root in the levels at standard significance levels, and is integrated of order 1 (I(1) or first-order nonstationary) if we could not reject the null hypothesis of a unit root in the levels but we could do so for the first differences. For relationships between variables that were both stationary, we estimated an autoregressive distributed lag model, where y is the dependent variable, x is the independent variable, and \u03b5 is an independent, identically distributed error term. The long-run impact on y of a one unit change in x is given by \u2211 .", "We initially chose the number of lags based on the Bayesian Information Criteria and then added additional lags of the dependent variable, if needed, until the residuals were consistent with a white noise process at standard significance levels. For relationships between variables that were both first-order nonstationary, we used the same approach but also used the Pesaran, Shin, and Smith bounds test for the existence of a cointegrating (long-run equilibrium) relationship. We concluded that the variables were cointegrated if we rejected the null hypothesis of no relationship at standard significance levels. Tables 8 and 9 summarize the estimated regression models as well as the results of the unit root, white noise, and cointegration tests."], "subsections": []}, {"section_title": "Indicators of Fiscal Balance for the State and Local Government Sector", "paragraphs": ["We simulated the model for the 75-year period from 2018 through 2092, and we used the results to calculate the operating balance for the state and local government sector as a percentage of U.S. GDP. Our results suggest that if the sector maintains current policy and continues to provide current per capita levels of public goods and services, then its operating balance will decline from about -1 percent of U.S. GDP to about -3 percent of U.S. GDP over the next 50 years.", "To shed light on how maintaining the operating balance at or above zero would affect the state and local government sector, we used the model to simulate the level of total expenditures that would keep the operating balance greater than or equal to zero. We then calculated the difference between the present value of total expenditures simulated assuming the sector maintains balance, and the present value of total expenditures simulated assuming the sector maintains current policies, both as a percentage of the present value of total expenditures assuming the sector maintains current policies, and as a percentage of the present value of U.S. GDP. We calculated all of the present values for the 50-year period from 2018 through 2067, and we used a discount rate equal to the average of the 3-month Treasury rate and the 10-year Treasury rate for each year. Our results suggest that the difference between the present value of total expenditures that maintain balance and the present value of total expenditures that maintain current policies is about -14.7 percent of the present value of total expenditures that maintain current policies, or about -2.4 percent of the present value of U.S. GDP. That is, our simulations suggest that maintaining balance would require the sector to spend about 14.7 percent less than it would spend each year to maintain current policies. We note that a similar exercise based on simulating total revenues required to maintain the operating balance at or above zero would generate a similar result."], "subsections": []}, {"section_title": "Caveats and Limitations", "paragraphs": ["Our approach has a number of limitations and the results should be interpreted with caution:", "The state and local government fiscal model is not designed for certain types of analyses. The simulations are not intended to provide precise predictions. Even though we know that these governments regularly make changes to tax laws and expenditures, the model essentially holds current policy in place and analyzes the fiscal future for the sector as if those policies were maintained because it would be highly speculative to make any assumptions about future policy adjustments.", "Fiscal outcomes, as related to the state and local government sector\u2019s financial position and solvency, may not reflect all aspects of the sector\u2019s fiscal health. Other indicators include economic indicators that go beyond the sector\u2019s financial position to include economic growth, income, or distributional equity, as well as indicators of the quality of services provided by the sector, including education, health care, infrastructure, and other public goods and services.", "Our unit of analysis is the state and local government sector as a whole, so our results provide an assessment of the sector\u2019s fiscal outlook. However, individual state and local governments likely exhibit significant heterogeneity in their expenditure and revenue patterns, so their fiscal outlooks will likely differ from that for the sector. Nevertheless, it is informative to assess the overall fiscal outlook of the sector because doing so reveals the outlook for the average state or local government. In addition, aggregate data on the sector are available on a more timely basis than data for individual state and local governments. This allows for a better assessment of the sector\u2019s current fiscal outlook. Our results for the sector also provide a baseline from which to view the experiences of individual state and local governments. Finally, assessing the fiscal outlook of the sector as a whole can help mitigate the tendency to extrapolate from the most visible, but potentially not representative, experiences of individual states or localities."], "subsections": []}]}, {"section_title": "Appendix II: State and Local Government Fiscal Model Alternative Simulations", "paragraphs": ["Our baseline approach to simulating the fiscal outlook for the state and local government sector is described in appendix I. As part of our simulation approach, we used five variables with values for the simulation period\u2014the period from 2018 through 2092\u2014that are projected outside the model and that do not rely on maintaining historical relationships: U.S. population, real U.S. gross domestic product (GDP) growth, national health care excess cost growth, Medicaid excess cost growth, and the real rate of return on pension assets.", "U.S. population. For our baseline simulations, we used the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds\u2019 (OASDI Trustees) intermediate population projections.", "Real U.S. GDP. For our baseline simulations, we projected real U.S.", "GDP to grow at the same rate as Congressional Budget Office (CBO) projections for the period from 2018 through 2028 and to grow at the same rate as the OASDI Trustees\u2019 intermediate projections of real U.S. GDP growth for the period from 2029 through 2092.", "National health expenditures excess cost growth. For our baseline simulations, we used Centers for Medicare & Medicaid Services\u2019 (CMS) baseline projection of national health expenditures excess cost growth.", "Medicaid excess cost growth. For our baseline simulations, for the period from 2029 through 2092, we used Medicaid excess cost growth derived from CMS\u2019s baseline projections.", "Real rate of return on state and local government pension assets. For our baseline simulations, we assumed a 5 percent real rate of return on state and local government pension assets.", "To assess the sensitivity of our results to changes in these baseline projections, we selected two alternative projections of each of these variables, one associated with a faster growth rate or rate of return and one associated with a slower growth rate or rate of return.", "U.S. population. For our alternative simulations, we used the OASDI Trustees\u2019 high cost and low cost population projections.", "Real U.S. GDP. For our alternative simulations, we used the OASDI Trustees\u2019 high cost and low cost projections of real U.S. GDP growth.", "National health expenditures excess cost growth. For our alternative simulations, we used CMS\u2019s alternative projection of national health expenditures excess cost growth. As another alternative, we simulated the model assuming excess cost growth for national health expenditures is zero.", "Medicaid excess cost growth. For our alternative simulations, for the period from 2029 through 2092, we used Medicaid excess cost growth derived from CMS\u2019s alternative projections for the period from 2029 through 2092. As another alternative, we simulated the model assuming Medicaid excess cost growth is zero for the period from 2029 through 2092.", "Real rate of return on state and local government pension assets. For our sensitivity analysis, we used real rates of return of 2.5 percent and 7.5 percent.", "Table 10 shows the average annual growth rate or rate of return associated with the baseline and alternative projections of each variable for the simulation period.", "For our simulations based on alternative assumptions about U.S. population growth and real U.S. GDP growth, as well as simulations based on alternative assumptions about real pension asset returns, we simulated the model changing one variable at a time and leaving the others fixed at their baseline values. For example, for one simulation we used the slower assumption for real U.S. GDP growth and the baseline assumptions for all other variables. For our simulations based on alternative assumptions about excess cost growth for national health expenditures and for Medicaid, we changed both variables in the same direction and left the others fixed at their baseline values. For example, for one simulation we used zero excess cost growth for both national health expenditures and for Medicaid, and made the baseline assumption for the other variables. Thus, our sensitivity analysis is in the spirit of a partial equilibrium comparative statics analysis that sheds light on how each of the individual variables may affect the state and local government sector\u2019s fiscal outlook. However, these variables are likely to be correlated so future changes in one would likely be associated with changes in others."], "subsections": []}, {"section_title": "Appendix III: Related GAO Products", "paragraphs": ["State and Local Governments\u2019 Fiscal Outlook: December 2016 Update, GAO-17-213SP. Washington, D.C.: Dec. 8, 2016.", "State and Local Governments\u2019 Fiscal Outlook: December 2015 Update, GAO-16-260SP. Washington, D.C.: Dec. 16, 2015.", "State and Local Governments\u2019 Fiscal Outlook: December 2014 Update, GAO-15-224SP. Washington, D.C.: Dec. 17, 2014.", "State and Local Governments\u2019 Fiscal Outlook: April 2013 Update, GAO-13-546SP. Washington, D.C.: Apr. 29, 2013.", "State and Local Governments\u2019 Fiscal Outlook: April 2012 Update, GAO-12-523SP. Washington, D.C.: Apr. 5, 2012.", "State and Local Government Pension Plans: Economic Downturn Spurs Efforts to Address Costs and Sustainability, GAO-12-322. Washington, D.C.: Mar. 2, 2012.", "State and Local Governments\u2019 Fiscal Outlook: April 2011 Update, GAO-11-495SP. Washington, D.C.: Apr. 6, 2011.", "State and Local Governments: Knowledge of Past Recessions Can Inform Future Federal Fiscal Assistance, GAO-11-401. Washington, D.C.: Mar. 31, 2011.", "State and Local Governments: Fiscal Pressures Could Have Implications for Future Delivery of Intergovernmental Programs, GAO-10-899. Washington, D.C.: July 30, 2010.", "State and Local Governments\u2019 Fiscal Outlook: March 2010 Update, GAO-10-358. Washington, D.C.: Mar. 2, 2010.", "Update of State and Local Government Fiscal Pressures, GAO-09-320R. Washington, D.C.: Jan. 26, 2009.", "State and Local Fiscal Challenges: Rising Health Care Costs Drive Long- term and Immediate Pressures, GAO-09-210T. Washington, D.C.: Nov. 19, 2008.", "State and Local Governments: Growing Fiscal Challenges Will Emerge during the Next 10 Years, GAO-08-317. Washington, D.C.: Jan. 22, 2008.", "Our Nation\u2019s Long-Term Fiscal Challenge: State and Local Governments Will Likely Face Persistent Fiscal Challenges in the Next Decade, GAO-07-1113CG. Washington, D.C.: July 18, 2007.", "State and Local Governments: Persistent Fiscal Challenges Will Likely Emerge within the Next Decade, GAO-07-1080SP. Washington, D.C.: July 18, 2007."], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contacts listed above, Brenda Rabinowitz and Courtney LaFountain (Assistant Directors), David Aja, Brett Caloia, Ann Czapiewski, Joe Silvestri, Stewart Small, Andrew J. Stephens, Frank Todisco, Walter Vance, and Chris Woika made significant contributions to this report."], "subsections": []}]}], "fastfact": ["What's the prognosis for the fiscal health of state and local governments across the nation?", "Our annual outlook suggests the sector will have an increasingly tough time covering their bills over the next 50 years. Our model shows both revenue and spending will increase; however, spending will rise faster. Revenues may be insufficient to sustain the amount of government service currently provided.", "Our model also suggests health care costs will largely drive the spending increases\u2014in particular, Medicaid spending and spending on health benefits for state and local government employees and retirees."]} {"id": "GAO-18-190", "url": "https://www.gao.gov/products/GAO-18-190", "title": "Force Structure: F-22 Organization and Utilization Changes Could Improve Aircraft Availability and Pilot Training", "published_date": "2018-07-19T00:00:00", "released_date": "2018-07-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The F-22 was designed and fielded as the Air Force's premier air-to-air fighter. The small fleet of 186 F-22s is central to the Air Force's ability to accomplish its air superiority mission in high threat areas. While the Air Force has focused on other missions over the last 15 years of conflict, it is now trying to refocus on overcoming advanced threats, even as it continues to support ongoing operations. Though the recent introduction of the F-35 gives the Air Force another advanced fighter, the F-35 is primarily designed for the air-to-ground missions and so is intended to complement but not replace the F-22.", "Senate Report 114-255 included a provision for GAO to review a variety of issues related to Air Force F-22 fighter squadrons. This report examines the extent to which the Air Force's (1) organization of its F-22 fleet maximizes availability of aircraft and (2) utilization of its F-22 fleet affects pilot air superiority training. GAO reviewed Department of Defense (DOD) guidance, analyzed maintenance data and training information for the F-22, evaluated the use of F-22s during deployments, and interviewed agency officials. This is a public version of a classified report issued in April 2018. Information DOD deemed classified or sensitive has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["The Air Force's organization of its small F-22 fleet has not maximized the availability of these 186 aircraft. Availability is constrained by maintenance challenges and unit organization. For example, stealth is a central feature of the F-22 and, according to Air Force officials, maintaining the stealth coating on the outside of the aircraft is time consuming and significantly reduces the time F-22s are available for missions. Maintenance availability challenges are exacerbated by the Air Force's decision to organize the F-22 fleet into small units\u201418 or 21 primary mission aircraft per squadron and one or two squadrons per wing. Traditional fighter wings have three squadrons per wing with 24 aircraft in each squadron, which creates maintenance efficiencies because people, equipment, and parts can be shared, according to Air Force officials. Moreover, the Air Force organized F-22 squadrons to operate from a single location. However, it generally deploys only a part of a squadron, and the remaining part struggles to keep aircraft available for missions at home. Larger, traditional Air Force squadrons and deployable units provide a better balance of equipment and personnel, according to service officials. The Air Force has not reassessed the structure of its F-22 fleet since 2010. Without conducting a comprehensive assessment to identify and assess F-22 organization, the Air Force may be foregoing opportunities to improve the availability of its small yet critical F-22 fleet, and support combatant commander air superiority needs in high threat environments.", "The Air Force's utilization of its F-22 fleet has limited pilot opportunities to train for air superiority missions in high threat environments. To complete the annual training requirements for air superiority missions, F-22 pilots must train almost the entire year. However, F-22 pilots are not meeting their minimum yearly training requirements for the air superiority missions, according to Air Force training reports and service officials. Moreover, the utilization of F-22s for exercises and operational missions that do not require the F-22's unique capabilities interrupt pilot training and lead to reduced proficiency. For example, F-22 units are often directed to participate in partnership building exercises. However, during these exercises, F-22 pilots may be restricted from flying the F-22 the way they would fly it in combat\u2014due to security concerns about exposing the F-22's unique capabilities. These restrictions limit the value of the exercises and can result in pilots developing bad habits, according to Air Force officials. The Air Force also uses F-22s to support alert missions\u2014a mission that requires certain bases to have jets ready at all times to respond to threats from civil or military aviation. The alert mission does not require the advanced capabilities of the F-22, but there are no other operational Air Force fighter squadrons currently based at the F-22 locations in Alaska and Hawaii, so the alert mission falls to the F-22 units. Pilots and aircraft assigned to the alert mission cannot be used for any other purposes, including training. This limits opportunities for pilots to enhance air superiority skills. Without examining and implementing options to improve F-22 pilot training opportunities, the Air Force may be foregoing opportunities to improve its capability to address the high-end air superiority challenges it expects to face."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Air Force reassess its F-22 organizational structure to determine alternative approaches to organizing F-22 squadrons, and identify ways to increase F-22 pilot training opportunities for high-end air superiority missions. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Widely regarded as the best air superiority fighter aircraft in the world, the F-22 is an integral part of the U.S. military\u2019s ability to defeat high-end adversaries. Potential adversaries around the world are pursuing technologies and strategies that are reducing the Department of Defense\u2019s (DOD) relative advantage in a number of areas, according to the department, including air superiority\u2014a primary mission for the Air Force. Air superiority is established when the air and missile threat is reduced to a degree that other operations can occur without significant interference. As such, the Air Force considers it a precondition for success of combat operations, and therefore a mission it must address first. However, fourth generation fighters are increasingly unable to operate in highly contested environments where advanced air defense systems render them ineffective, according to the Air Force. A linchpin in the Air Force\u2019s ability to establish air superiority in highly contested environments is its small fleet of F-22s. With a unique combination of advanced stealth and maneuvering capabilities, the F-22 is designed to achieve air superiority against the most advanced air and surface threats. The Air Force currently uses a variety of fourth generation fighters, and plans to use F-35s for the air superiority mission since F-22 units constitute only 6 of the Air Force\u2019s 55 combat coded fighter squadrons.", "Over the past 15 years, U.S. air superiority has largely gone unchallenged, so it has not been a main focus during ongoing operations. Instead, the focus has been on attacking ground targets in support of ground operations. With little slowdown in the pace of operations, the Air Force finds itself in a position where it must balance ongoing operational demands with the growing need to be prepared for current and future threats to air superiority.", "To meet its assigned air superiority responsibility, the Air Force needs to provide the combatant commanders with, at a minimum: 1) mission- capable aircraft, and 2) pilots who are trained to fly those aircraft in the expected threat environments. The Senate Armed Services Committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 questioned whether the Air Force\u2019s fleet of F-22s is optimized to deter, and if necessary, quickly defeat increasingly capable potential adversaries. The Senate report also included a provision for us to review a variety of issues related to Air Force F-22 fighter squadrons. This report evaluates the extent to which the Air Force\u2019s (1) organization of its F-22 fleet maximizes aircraft availability, and (2) utilization of the F- 22 fleet affects pilot air superiority training.", "To address our objectives, we analyzed aircraft inventory data and maintenance data from the Integrated Maintenance Data System from 2012 through 2016. We used that date range so that we could observe any trends and because the force structure has been relatively stable since 2012. We performed data reliability procedures on the information by taking steps including comparing that information against related documentation and testimonial evidence, performing logic checks, and interviewing knowledgeable officials on controls over the reporting systems. We determined that the reliability of these data were sufficient for the purposes of describing general trends and making proximate comparisons. We also analyzed pilot training information, including yearly memorandums produced by the F-22 operational squadrons for years 2012 through 2016. We also conducted on-site interviews with Air Force officials from Air Force Headquarters; Air Combat Command; Air National Guard; Air Force Reserve Command; the four locations with operational F-22 squadrons; the training unit; and the operational test and evaluation unit. We discussed how unit organization affects aircraft availability and the units\u2019 abilities to maintain their aircraft in both the short and long term, as well as how F-22 utilization affects pilot training for the air superiority mission. We also discussed issues regarding the need for aircraft that play the role of adversaries for F-22 training purposes, known as adversary air. To examine how operational utilization of the F-22 affects the fleet\u2019s ability to support air superiority, we reviewed mission assignments and deployment information for F-22 squadrons. We also interviewed officials from U.S. Central Command, U.S. European Command, U.S. Northern Command/North American Aerospace Defense Command, and U.S. Pacific Command, regarding F-22 requirements and utilization. Finally, we reviewed DOD and Air Force guidance as well as reports and other documentation relevant to our review, such as Air Superiority 2030 Flight Plan and various briefings.", "This report is a public version of a classified report that we issued on April 27, 2018. The classified report included an appendix describing current and projected operational requirements for the F-22. DOD deemed the information in the appendix to be classified, which must be protected from loss, compromise, or inadvertent disclosure. Consequently, this public version excludes that appendix. Further, this public report omits certain information that DOD deemed to be sensitive related to (1) the inventory of F-22, F-35, F-15C, F-15E, F-16, and A-10 primary mission aircraft (aircraft authorized to perform combat), (2) maintenance data on aircraft availability and cannibalization rates, (3) maintenance challenges related to the F-22\u2019s low observable coating, (4) F-22 squadron organization into deployable units and related issues, (5) F-22 annual training sortie standards, (6) effects on pilot training of F-22 operational deployments, and (7) F-22 spare engine shortfalls. Although the information provided in this report is more limited, it addresses the same objectives and uses the same methodology as the classified report.", "The performance audit upon which this report is based was conducted from July 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We worked with DOD from April 2018 to July 2018 to prepare this unclassified version of the report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD guidance states that the Air Force and other services are responsible for providing trained and ready forces to fulfill the current and future operational requirements of the combatant commands. The Air Force is specifically responsible for gaining and maintaining air superiority. The Air Force Strategic Master Plan states that the Air Force must focus clearly on the capabilities that will allow freedom of maneuver and decisive action in highly contested spaces, including high-end air capabilities. Fifth generation fighter capabilities and ready and trained Airmen who are properly equipped for their missions are central components of the Air Force\u2019s ability to provide air superiority in contested environments.", "The F-22 is the Air Force\u2019s fifth generation, air superiority fighter that incorporates a stealthy and highly maneuverable airframe, advanced integrated avionics, and engines capable of sustained supersonic flight. The F-22 is optimized for air-to-air combat, able to carry up to eight air-to- air missiles, and equipped with a 20-millimeter cannon. After development began, the Air Force also added air-to-ground capabilities to the F-22. Air Force officials emphasized the synergistic benefits of the F-22 to the joint force. Specifically, the F-22\u2019s individual capabilities, like its stealth and sensors, help it to coordinate and improve the performance of other aircraft during operations, including fourth generation fighters. The Air Force views the F-22 and the F-35\u2014its other fifth generation fighter\u2014as complementary platforms with some overlapping capabilities. For example, the F-22 is focused on, and more capable in, air-to-air missions and the F-35 is focused on, and more capable in, air-to-ground missions. The Air Force announced in its fiscal year 2018 budget request that it now intends to retain the F-22 until 2060. It has also begun an effort to define and develop the next generation of air superiority capabilities that it plans to field in 2030 and beyond. Figure 1 shows a picture of an F-22.", "The F-22 and the F-15C are the two operational fighters in the Air Force\u2019s Air Superiority Core Function. The Air Force assigns two primary (air-to- air focused) missions and one secondary (air-to-ground focused) mission to the F-22. These missions are described in table 1. The Air Force requires its pilots to be proficient in their primary missions and familiar with their secondary missions.", "The size of the current F-22 fleet is smaller than the Air Force originally planned. The Air Force F-22 acquisition program began in 1991 with an intended development period of 12 years and a planned quantity of 648 aircraft. The Air Force had intended to station 40 percent of the operational fleet outside of the United States. However, schedule delays, cost increases, and changes to threats, missions, and requirements led DOD to reduce the number of F-22s it eventually purchased. The Air Force identified a requirement for 381 F-22s in 2002, but ended aircraft production in 2012 with approximately half of that number. As of May 2018, the Air Force had a total of 186 F-22s, as shown in figure 2. The total aircraft inventory includes primary mission aircraft in each community\u2014those authorized to perform combat\u2014as well as aircraft that are designated for other purposes.", "The operational portion of the F-22 fleet is organized into 6 operational squadrons at four locations. According to Air Force officials, the small number of F-22s provides a less than ideal fifth generation fighter capacity until F-35 numbers grow. However, in a June 2017 report to Congress, the Air Force stated that it would not make economic or operational sense to reopen the F-22 production line, and reported that it would cost approximately $50 billion to procure an additional 194 F-22s. The Air Force is continuing to fund programs to modernize the F-22 and make reliability improvements.", "Figure 3 shows the basing locations of the F-22 fleet, and the numbers of aircraft at each base."], "subsections": []}, {"section_title": "F-22 Unit Size and Organizational Structure Constrain Aircraft Availability and Have Not Been Reviewed by the Air Force since 2010", "paragraphs": ["The size and structure of F-22 units diminishes the Air Force\u2019s ability to maximize the number of F-22s available for operations and have not been reviewed since 2010. The F-22 has sustainment issues due to the fleet\u2019s maintenance and supply challenges. These challenges have affected aircraft availability rates, which have remained below Air Force standards. The small size of F-22 squadrons and wings has contributed to low aircraft availability rates. Further, the Air Force practice of deploying a small portion of a squadron makes it difficult for F-22 squadrons, as currently organized, to make aircraft available for their missions at home station. The Air Force would also face difficulties generating aircraft to support DOD\u2019s concepts for using distributed operations in high threat environments with its current F-22 squadron organization. Although in 2016 it assessed its future air superiority capability needs, the Air Force has not comprehensively assessed whether the current F-22 organizational structure is optimized to support combatant commander needs."], "subsections": [{"section_title": "Sustainment Issues Limit F-22 Aircraft Availability", "paragraphs": ["The F-22 has sustainment issues due to the fleet\u2019s maintenance and supply challenges that have affected aircraft availability rates. In fiscal year 2016, this resulted in the fleet having an average of 80 F-22s available for operations, as shown in figure 4. According to the Air Force, from fiscal year 2012 through 2016, the F-22 fleet availability rate was below the Air Force\u2019s annual F-22 availability standard by 4 to 19 percent.", "First, the F-22 has some unique maintenance challenges, which have affected aircraft availability rates. The maintenance demands of the F- 22\u2019s Low Observable (LO) coating, a critical component of its stealth characteristic, reduces aircraft availability. Without the LO maintenance issues, availability would have been significantly closer to meeting the annual availability standard, according to the Air Force officials. Fourth generation fighters do not have to contend with this maintenance issue. The F-22\u2019s LO coating is actually a series of coatings that require diligent and time-consuming application and curing, which results in extended periods of time when the aircraft are not available, according to Air Force officials. The F-22\u2019s LO coating is also beginning to reach the end of its service live, requiring maintenance actions that further reduce aircraft availability. The Air Force has begun to address these maintenance issues by using a more durable coating and standing up additional repair facilities.", "Second, the F-22 faces a number of supply challenges that have contributed to reduced and unpredictable aircraft availability. Officials from all four operational locations expressed concerns over low supply levels and difficulties with obtaining needed parts. The F-22 fleet\u2019s small size and resulting low demand for parts contributes to this problem. Obtaining missing parts can be a time-consuming and costly process because some original manufacturers no longer make the parts or are completely out of business, according to Air Force officials. When this is the case, the Air Force may need to find the original aircraft and parts design plans, and obtain a new contractor to produce a small number of parts. Officials at one operational location said a simple wiring harness required a 30-week lead time.", "Appendix I contains additional information on F-22 maintenance and supply issues."], "subsections": []}, {"section_title": "Small F-22 Squadrons and Wings Exacerbate Aircraft Availability Challenges", "paragraphs": ["With 18 to 21 primary mission aircraft per F-22 squadron, and 1 or 2 F-22 squadrons per wing, the Air Force has been unable to gain the maintenance and supply efficiencies associated with its larger traditional squadrons and wings, and this has contributed to low aircraft availability rates. According to service officials, the Air Force has traditionally structured its fighter wings to have 3 squadrons with 24 primary mission aircraft per squadron to optimize maintenance efficiency and combat power. The Air Force is planning to organize its active duty F-35 fleet into traditional sized squadrons with 2 or 3 squadrons per wing. A RAND study also concluded that larger squadrons and multiple squadrons per wing create efficiencies. Larger squadrons and wings create efficiencies because people, equipment, and parts can be shared, according to Air Force officials. Having a multi-squadron wing is also beneficial when one squadron deploys a portion of its aircraft, pilots, and maintenance personnel and leaves another portion of the squadron at the squadron\u2019s home station. In these cases, collocated squadron(s) can help backfill shortfalls for the portion of the squadron that remained at home station.", "The Air Force recognizes that smaller F-22 operational squadrons and wings face sustainment challenges due to their size. Facing cuts in the total number of aircraft purchased, the Air Force decided in 2006 to organize its F-22s into 7 operational squadrons, each with 18 primary mission aircraft. However, in 2010, the Air Force found that this plan was unsustainable because operational squadrons were not able to produce adequate sorties. The Air Force then decided to eliminate 1 squadron and used some of the aircraft from that squadron to increase the number of primary mission aircraft to 21 in its 5 remaining active duty squadrons. The Air Force left its one F-22 National Guard squadron with only 18 primary mission aircraft. The Air Force\u2019s intent with this restructuring was to increase fleet sustainability while retaining enough squadrons for force projection needs.", "F-22 aircraft availability metrics have fluctuated, but have generally been better for operational locations with more aircraft per squadron and more squadrons per wing. For example, table 2 shows that the operational locations in Alaska and Virginia\u2014locations with 2 operational squadrons\u2014have higher aircraft availability rates than the locations with only 1 operational squadron. Although Air Force maintenance data shows that the Florida operational squadron had a lower availability rate than the locations with 2 operational squadrons in fiscal years 2014, 2015, and 2016, Air Force officials noted that this squadron should be able to leverage the maintenance benefits of having the F-22 training squadron on base. However, a major maintenance backlog for the training squadron currently limits that benefit, according to the officials.", "The F-22 units in Alaska and Virginia are also generally able to produce more sorties per month. Further, F-22 squadron officials in Hawaii stated that increasing their squadron\u2014the smallest in the fleet\u2014by 4 additional aircraft would allow the squadron to generate 32 percent more sorties. Air Force officials cautioned that there are many factors that influence maintenance metrics for the F-22, including the age of the aircraft, climate and leadership. However, they agreed that larger squadrons and wings increase maintenance performance."], "subsections": []}, {"section_title": "Partial Unit Deployments Hinder the F-22 Squadrons\u2019 Abilities to Maximize the Aircraft Available for Operations", "paragraphs": ["Further, the Air Force practice of deploying a small portion of a squadron forward makes it difficult for F-22 squadrons as currently organized to make aircraft available for their missions at home station, according to officials from all four operational locations. The Air Force organizes its F- 22 squadrons and other fighter squadrons based on a model where a squadron deploys to a single forward location, according to Air Force officials. In order to facilitate deployments, the Air Force has for approximately the last two decades organized squadrons into smaller deployable pieces called Unit Type Codes (UTCs). However, the UTCs are not the same size. For example, one of the F-22\u2019s UTCs is designed to have only 6 of a squadron\u2019s 21 aircraft but contains almost 50 percent of the squadron\u2019s equipment, approximately 40 percent of the squadron\u2019s maintenance personnel and 60 percent of its operational personnel. This organizational approach therefore creates a disproportionate split among UTCs in terms of equipment and personnel, making it more difficult for the underserved portions of the squadron to maintain readiness or generate sorties.", "Furthermore, different UTCs will not only have unequal amounts of equipment and personnel, but will also tend to unevenly apportion their best aircraft, more experienced personnel, and critical parts, according to Air Force officials. The officials noted that during \u201csplit operations,\u201d the portion of the squadron remaining at home struggles to keep aircraft available for missions. According to Air Force officials, traditional fighter squadrons have larger UTCs, which provides a better balance in equipment and personnel that lessens the strain of split operations."], "subsections": []}, {"section_title": "Organizing for New Operational Concepts Poses Additional Aircraft Availability Challenges", "paragraphs": ["With its current F-22 squadron organization, the Air Force would also face difficulties generating aircraft to support DOD\u2019s concepts for using distributed operations in high threat environments. According to DOD, potential adversaries are increasingly capable of challenging U.S. access to operational areas by, for example, developing cruise and ballistic missiles that are able to reach U.S. forward air bases. In its Air Superiority 2030 Flight Plan, the Air Force states that the ability to deploy and operate forces in non-permissive environments is essential to air superiority. One approach for doing this is to use distributed bases. Instead of operating from well-developed and vulnerable forward air bases, squadrons would break up into smaller units and operate independently from multiple locations, moving around so as to complicate enemy targeting. The Air Force is drafting an adaptive basing concept and implementation plan to help guide its efforts in this area.", "Sustaining and maintaining multiple independent deployable units so that they have operational aircraft available for the combatant commander is not possible with the current F-22 squadron structure and would require significant investment, according to Air Force officials. F-22 squadrons have made a number of short exercise deployments, with small numbers of aircraft to provide forward presence and examine the units\u2019 abilities to conduct distributed operations. These deployments showed that rapidly deploying small numbers of F-22s for short durations is possible. The deployments also identified a number of challenges the Air Force needs to address if it implements a distributed operations concept, including maintenance, logistics, spare parts, and tanker support challenges, according to after-action reports and service officials. Furthermore, according to the Commander of U.S. Pacific Command, distributed operations requires a dynamic logistics system that is more responsive, agile, and flexible than DOD is used to employing. Air Force officials told us that the Air Force is early in the process of examining the implications of distributed operations and has not determined the extent to which F-22 squadron organization should be adjusted to support distributed operations."], "subsections": []}, {"section_title": "The Air Force Has Not Comprehensively Assessed F-22 Organizational Structure since 2010", "paragraphs": ["While the Air Force reviews F-22 operations and sustainment needs as part of the annual programming and budgeting process within DOD, the Air Force has not comprehensively assessed whether the current F-22 organizational structure is the optimal structure to support combatant commander needs since 2010, according to Air Force officials. As previously discussed, the Air Force found in 2010 that operational squadrons were not able to produce adequate sorties and so eliminated 1 squadron and used some of the aircraft from that squadron to increase the number of primary mission aircraft in its 5 remaining active duty squadrons DOD\u2019s Joint Publication 3-0, Joint Operations, states that risk management is the process to identify, assess, and control hazards arising from operational factors and make decisions that balance risk and cost with mission benefits. It assists organizations and individuals in making informed decisions to reduce or offset risk, thereby increasing operational effectiveness and the probability of mission success. Furthermore, Standards for Internal Control in the Federal Government states that management should periodically evaluate the organizational structure so that it meets the entity\u2019s objectives and has adapted to any new objectives for the entity. Furthermore, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks.", "However, the Air Force has not conducted a comprehensive assessment of the F-22 organizational structure since 2010, according to Air Force officials. As previously discussed, while the larger squadrons and wings created after the 2010 restructuring have generally had higher availability rates than smaller ones, fleet aircraft availability rates remain below the Air Force standard for what is needed. Further, the F-22\u2019s role has also evolved since 2010. For example, F-22s have begun participating in combat operations in Iraq and Syria. Additionally, potential adversaries are increasingly able to challenge U.S. air superiority, according to the Air Force. In 2016, the Air Force examined its future air superiority capability needs in its Air Superiority 2030 Flight Plan, but that review did not include an assessment of organizational structure, according to officials involved with the review. Such an assessment could consider a number of alternatives, such as consolidating the F-22 fleet into larger squadrons and/or wings to improve aircraft availability or revising the design of the deployable units in squadrons to better support current deployment practices and future operational concepts, as well as any risks associated with those alternatives. Without conducting a comprehensive assessment of the F-22 organizational structure that identifies and assesses alternative approaches to organizing F-22 squadrons, the Air Force may be forgoing opportunities to improve the availability of its small yet critical F-22 fleet to support current and future combatant commander high-end air superiority needs."], "subsections": []}]}, {"section_title": "Air Force Utilization of F-22s Reduces Pilot High-End Air Superiority Training Opportunities", "paragraphs": ["The Air Force\u2019s utilization of its F-22 fleet has limited its pilots\u2019 opportunities to train for their high-end air superiority missions, and contributed to F-22 pilots not meeting their training requirements. F-22 pilots need extensive training in order to be prepared to execute their high-end air superiority missions. However, Air Force utilization of F-22 units for exercises, the low supply of adversary air training capabilities, and the use of F-22s to meet combatant commander needs, including the alert mission, affects the ability of pilots to meet those requirements."], "subsections": [{"section_title": "F-22 Pilots Are Not Meeting Minimum Training Requirements Necessary for Their Air Superiority Missions", "paragraphs": ["F-22 pilots are not meeting their minimum yearly training requirements for the air superiority missions, according to Air Force training reports and service officials. F-22 pilots need extensive training for F-22 units to fulfill their air superiority role. Air Force guidance notes that a key to maintaining air superiority is trained and ready Airmen that must possess a well-honed combat edge so that they are ready to prevail even against the most advanced opponents. The Air Force strategy also notes that the training of Airmen must be relevant and responsive if they are to maintain superior agility in the future. Through its Ready Aircrew Program, the Air Force establishes annual continuation training requirements for F-22 pilots. These requirements focus on the training needed to accomplish the core missions of F-22 units. They define the minimum required mix of annual sorties, simulator missions, and training events aircrews must accomplish to sustain combat mission readiness. Air Force officials emphasized that the requirements outlined in the Ready Aircrew Program are minimums and noted that some pilots may need additional sorties to achieve proficiency.", "In 2016, GAO reported that combat fighter squadrons were unable to meet annual training requirements across the full range of core missions. Further, an Air Force analysis conducted in 2016 determined that, based on current aircraft availability rates, pilots in an F-22 squadron with 21 primary mission aircraft need 270 days of home station training each year to meet their minimum annual continuation training requirements. However, F-22 pilots are generally not meeting those minimums, according to the officials, and F-22 operational squadrons have reported numerous shortfalls. For example, one squadron identified training shortfalls in its primary missions for four consecutive years in its annual training reports. Another squadron identified training shortfalls in one of its primary missions, offensive counter-air, in three of the last four annual training reports."], "subsections": []}, {"section_title": "F-22 Pilots Benefit from Exercises, but Exercise Quality and Quantity Can Detract from Training Needs", "paragraphs": ["Although participation in exercises is an important component of F-22 pilot training, multiple exercises can interrupt pilot training cycles and restrictions in some exercises can detract from F-22 pilot training for the high threat environment. Exercises provide pilots an opportunity to train in a more realistic setting. At the same time, frequent participation in exercises can take time away from the home station training that is required to maintain combat mission readiness for high-end air superiority missions. Although high demand for exercise participation is causing stress across the Air Force, the problem is particularly acute for F-22 pilots, according to a 2016 Air Force analysis. While F-22 pilots require 270 days at home each year, they are getting only 191 days on average, according to the analysis. Pilots from other fighter aircraft, such as the F- 16 and F-15E, are also experiencing home station training shortfalls, but not as great as those faced by F-22 pilots, according to the analysis.", "Furthermore, F-22 units are often directed to participate in exercises as part of Air Force efforts to build relationships with partners. However, due to security concerns regarding exposing the F-22\u2019s unique capabilities, F- 22 pilots may be restricted from flying the aircraft the way they would in combat, according to Air Force officials. As a result, the value of the training is reduced and these types of exercises can result in the F-22 pilots developing bad habits that must be corrected in future training, according to Air Force officials.", "The Air Force recognizes that exercise demands on F-22 units and other fighter units make it difficult for pilots to complete their required training. Based on its analysis, the Air Force is planning to increase the time pilots have available to conduct home station training, including by establishing a goal of no more than 1 day on travel for every 5 days at home station. As a result, the Air Force will be reducing total exercise participation and thereby increasing the number of days F-22 pilots are at home station in fiscal year 2018 by 8 days. However, the Air Force projects that F-22 pilots in fiscal year 2018 will still fall 71 days short of the 270 days they need to meet their yearly training requirement, based on current aircraft availability rates. Without exploring further reductions in exercise events that do not contribute to high-end air superiority training, at current aircraft availability rates F-22 pilots may not be fully prepared to effectively support combatant commander needs against the most advanced threats."], "subsections": []}, {"section_title": "Adversary Air Demands for F-22s Detract from the Ability of Pilots to Meet Training Requirements", "paragraphs": ["F-22 pilot training requires flying against aircraft playing the role of adversaries, but high demand and low supply of adversary air resources have resulted in training shortfalls. Due to the F-22\u2019s unique air superiority role and high-end capabilities, the Air Force expects F-22 pilots to face and defeat numerically superior adversaries. This results in an annual demand of between 145 and 171 adversary air sorties for every operational F-22 pilot. The adversary air demand for fourth generation fighters is much lower. For example, continuation training for the Air Force\u2019s other air superiority fighter\u2014the F-15C\u2014results in an annual demand of between 45 and 73 adversary air sorties. To support F-22 training requirements, the Air Force has provided two of the four operational locations (Virginia and Florida) with a squadron of T-38s to provide dedicated adversary air support for use in training. In Alaska, an adversary air squadron is located at a nearby base that is able to provide some support for F-22 training, according to officials. The F-22s in Hawaii have no adversary air support on base or nearby. Figure 5 shows F-22 operational locations and their adversary air support.", "All F-22 operational locations report that insufficient adversary air caused pilots to have shortfalls in their training. For example, the operational F-22 squadron in Florida, which shares an adversary air squadron with a collocated F-22 training unit, reported that F-22 pilot training deficiencies in fiscal year 2016 were caused in part by limited adversary air support. Specifically, adversary air shortfalls negatively impacted the training of 83 percent of the squadron\u2019s pilots for the offensive counter-air mission and 54 percent of the pilots for the defensive counter-air mission. Operational squadrons at other locations reported similar negative effects on training caused in part by the limited adversary air.", "Moreover, the limited supply of dedicated adversary aircraft means that often F-22 pilots must fly their aircraft in an adversary aircraft role to support the training of the squadron\u2019s other F-22 pilots. For example, according to a 2017 Air Force memo, 55 percent of all sorties generated by F-22s based in Hawaii were dedicated to adversary air. The F-22 squadron in Hawaii reported that this practice negatively affected the combat readiness of all of the squadron\u2019s pilots. The Air Force categorizes adversary air sorties as useful only for maintaining basic flying proficiency. Officials from the Virginia unit explained that F-22 pilots flying adversary air do not fly like they would during combat missions and so these sorties are wasteful, having no or negative training value. An official representing the Hawaii unit indicated that the high percentage of sorties dedicated to adversary air leads to wasteful training and declines in readiness against potential threats. Air Force officials expect competing demands for limited adversary air to grow as the Air Force stands up more F-35 squadrons.", "The Air Force recognizes and is attempting to mitigate adversary air shortfalls. For example, the Air Force has hired contractors to address Air Force adversary air shortfalls at exercises, as we previously reported. In addition, the Air Force has outlined a plan to provide additional adversary air support for its fighter units, including contract adversary air support for the F-22 training squadron in Florida and the operational squadrons at two of the four operational locations (Virginia and Hawaii) in the 2019 timeframe. However, the Air Force must first complete additional analysis and finalize funding before additional adversary support is provided to these locations, according to an August 2017 Air Force briefing on the plan. Until the Air Force explores additional alternatives for increasing external adversary air training support at all of the operational locations, F-22 pilots will likely continue to face training shortfalls and use limited sorties on flying adversary air themselves. Furthermore, this may result in the F-22 squadrons not being fully prepared to execute the high-end air superiority missions."], "subsections": []}, {"section_title": "Current Operations Reduce F-22 Pilot High- End Air Superiority Training Opportunities", "paragraphs": ["The Air Force is providing F-22s in support of current combatant commander needs, including alert missions and operational deployments, but the alert mission and these operational deployments take time away from air superiority training. Although these missions are important, they take no or limited advantage of the unique capabilities provided by the F- 22, as figure 6 illustrates. Classified details regarding the current and projected operational requirements for the F-22 are included in the classified version of this report.", "DOD has an established risk-informed process to distribute the service\u2019s operational forces to the combatant commanders. Air Force officials told us that combatant commanders can request a general fighter capability or a very specific capability that only an F-22 can provide. Air Force officials also said the Air Force does not set aside F-22 units for only the most advanced threat missions, and it does not set aside any other fighter units for unique missions. The Air Force provides F-22 units to the combatant commands when those units address the combatant commander\u2019s capability requirement and are available, according to service officials."], "subsections": [{"section_title": "Use of F-22s for Alert Missions Diminishes Pilots\u2019 Ability to Train for High-End Air Superiority Missions", "paragraphs": ["F-22 support for ongoing air sovereignty alert missions further reduces F- 22 pilots\u2019 abilities to train for the high-end air superiority mission. The alert mission supports homeland defense, DOD\u2019s top priority. This mission requires certain air bases have fully fueled, fully armed jets ready at all times to respond to threats from civil or military aviation. Two F-22 operational locations have full time alert mission responsibilities (Alaska and Hawaii) and one location (Virginia) performs alert missions on an as- needed basis. According to Air Force officials, the alert mission does not require the high-end capabilities provided by the F-22 and currently F- 15C and F-16 squadrons are filling alert mission requirements in other parts of the United States. F-35s could also conduct this mission if they were assigned it, according to Air Force officials. The Air Force plans to start fielding 2 F-35 squadrons in Alaska beginning in 2020. However, there are currently no plans to use F-35s for the alert mission, according to U.S. Northern Command. With no other operational Air Force fighter squadrons currently based in Hawaii and Alaska, the alert mission falls to the F-22 units.", "Dedicating F-22s to the alert mission reduces the ability of F-22 pilots to train for their primary missions. Operational squadrons in Alaska and Hawaii have F-22 pilots sitting alert in order to address the 24-hour per day alert commitment. During this time they are not able to train for their high-end air superiority missions. Further, the squadrons must dedicate a number of mission-capable aircraft to this mission, which is more challenging for squadrons with a smaller number of aircraft. Squadron officials from one location estimated that they could generate hundreds of additional training sorties on an annual basis if they could use the aircraft that are currently dedicated to the alert mission."], "subsections": []}, {"section_title": "Operational Deployments Diminish F-22 Pilots\u2019 Ability to Train for High-End Air Superiority Missions", "paragraphs": ["The Air Force also deploys F-22s outside of the United States to address combatant commander requirements and these deployments also reduce the time available for F-22 pilots to conduct home station training for their high-end air superiority missions. Since 2007, the Air Force has deployed F-22s to a number of combatant commands to address a variety of needs, including providing assurance to friends and allies and deterring potential adversaries. F-22s deployed to U.S. Central Command have also been supporting ongoing operations against ISIS in Iraq and Syria.", "F-22 pilots can gain valuable experience from deployments but their ability to train for the high-end air superiority mission can suffer. For example, F-22 involvement in current combat operations against ISIS provides pilots with experience deploying for combat, integrating with coalition forces, and conducting air-to-ground attack operations, according to Air Force officials. Although its high-end capabilities provide some benefits in current operations against ISIS, F-22s have primarily been used for close air support (CAS) missions in operations against ISIS, according to Air Force officials. However, CAS is not a primary or secondary mission for the F-22. As such, F-22 pilot air superiority skills degrade while on deployment because they are conducting CAS missions and not able to train for their air superiority missions, according to Air Force officials."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The F-22\u2019s current availability and pilot training challenges will likely become more significant as fourth generation fighters become less survivable and the Air Force\u2019s reliance on its small fleet of F-22s to execute the air superiority mission grows. Limitations on F-22 availability are due in part to maintenance challenges inherent to the F-22, including maintaining its LO coating. It is also due in part to Air Force decisions to organize the F-22 fleet into small wings and squadrons, resulting in lost efficiencies that come with larger organizations. Further, F-22 squadrons, designed to operate from one location, face challenges generating available aircraft when they are split, as current Air Force practices and future concepts require. The Air Force also requires well-trained pilots in order to take full advantage of the F-22\u2019s high-end capabilities. However, F-22 pilots\u2019 ability to train for its air superiority missions and meet associated training requirements is constrained by factors including adversary air limitations and participation in exercises with limited training value. Operational use of the F-22 for missions that have no or limited need for the F-22\u2019s unique capabilities, such as the alert mission, further limit the ability of pilots to prepare for the high-end air superiority challenges the nation increasingly faces.", "One option for addressing these challenges would be to purchase more F-22s. However, the Air Force\u2019s determination that it does not make economic or operational sense to restart F-22 production means that the Air Force has to find other ways to improve its F-22 fleet\u2019s ability to address high-end air superiority challenges. Air Force efforts to improve F-22 capabilities and maintainability and wider efforts to address high exercise demand and adversary air shortfalls are examples of positive steps the service is taking. The Air Force has also shown a prior willingness to consolidate its F-22 fleet. Further, the Air Force outlined its commitment to addressing high-end air superiority challenges in its Air Superiority 2030 Flight Plan. This effort, along with the planned fielding of a large number of F-35s provides the Air Force with the opportunity to more comprehensively review and, if necessary, transform how it should best organize, posture, train, and utilize its fifth generation assets, including the F-22. However, unless the Air Force takes steps to assess and make necessary adjustments to the current organization and use of its F-22s, F-22 units are likely to continue to experience aircraft availability and pilot training rates that are below what they could be. As a result, the Air Force may be incurring increased risks in future operations in high threat areas."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Air Force: The Secretary of the Air Force should conduct a comprehensive assessment of the F-22 organizational structure that identifies and assesses alternative approaches to organizing F-22 squadrons. The assessment could at a minimum assess the following two alternatives: consolidating the fleet into larger squadrons and/or wings in order to improve aircraft availability, and revising the design of the deployable units in squadrons to better support current deployment practices and future operational concepts. (Recommendation 1)", "The Secretary of the Air Force should identify and assess actions to increase F-22 pilot training opportunities for the high-end air superiority missions. This effort could consider alternatives such as: reducing exercise events that do not contribute to F-22 pilot high-end air superiority training, increasing external adversary air support so all F-22 pilots can use their available limited sorties to conduct high-end air superiority training rather than having a significant portion of the F-22 pilots providing training support, and finding alternatives to using F-22 units for alert missions, and other missions that do not require the jet\u2019s unique capabilities or prepare F-22 pilots for their primary missions. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the classified version of the report to DOD for review and comment. That draft contained the same recommendations as this unclassified version. In written comments (reproduced in appendix II), DOD concurred with our recommendations and noted planned actions to address each recommendation. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Senate Armed Services Committee and the House Armed Services Committee and the Secretary of Defense; the Chairman of the Joint Chiefs of Staff; and the Secretary of the Air Force, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-3489 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: F-22 Maintenance and Supply Challenges Limit Aircraft Availability", "paragraphs": ["Maintenance demands of the F-22\u2019s unique Low Observable (LO) coating, along with supply challenges exacerbated by the fleet\u2019s small size, limit the number of aircraft available for missions. In part because of these challenges, the Air Force had an average of 80 F-22s available for operations during fiscal year 2016."], "subsections": [{"section_title": "Maintenance of the F-22\u2019s Unique Low Observable Coating Reduces Aircraft Availability", "paragraphs": ["Maintenance demands of the F-22\u2019s unique LO coating, a critical component that gives the F-22 its stealth characteristics, reduces aircraft availability. Without the LO maintenance issues, availability would have been significantly closer to meeting the annual availability standard, according to Air Force officials. Fourth generation fighters, lacking a full LO coating, do not have to contend with this maintenance issue. The LO coating is actually a series of coatings that require diligent and time- consuming application and curing, resulting in extended periods of time during which aircraft are not available, according to Air Force officials. Further, the LO coating for each F-22 requires regular and thorough inspection to ensure that any damaged or degraded areas are identified and repaired. If damage to the LO coating exceeds a threshold, the F-22 is considered not capable of conducting its mission. An Air Force report summarizing fiscal year 2016 maintenance issues reported that LO maintenance was the primary reason F-22s were not considered mission capable due to maintenance.", "Maintaining the integrity of the LO coating complicates other F-22 maintenance actions because the LO coating must be removed and then restored. According to Air Force officials, removing and replacing a part on an F-22 and a fourth generation fighter, like an F-15C, could take a similar amount of time. However, the F-22 would require additional time at the beginning and end of the maintenance action to gain access to the part through the LO coating and then restore the integrity of the coating, significantly increasing the time aircraft would be unavailable due to maintenance. The Air Force is taking steps to reduce the impact of LO maintenance by, for example, creating panels that can be removed without requiring a full recoating procedure and by developing a more durable coating. Additionally, Air Force officials told us that the LO coating for its other fifth generation fighter\u2014the F-35\u2014uses different materials and processes and should be easier to maintain than the F-22\u2019s LO.", "The F-22\u2019s LO coating is also beginning to reach the end of its service life, requiring maintenance actions that further reduce aircraft availability. According to Air Force officials, the LO coating has an 8-to-10 year life span, but environmental factors such as high temperatures, humidity, and salinity can reduce that span by 2 to 3 years. Further, the Air Force does not house its F-22s in climate-controlled hangars at 3 of the 4 operational locations (Florida, Hawaii, and Virginia), thus exposing them to these LO- degrading environmental factors. The Air Force has taken action to address maintenance challenges by using a more durable coating and standing up additional repair facilities. The Air Force also plans to use more durable materials to make long-term corrective repairs beginning in calendar year 2019, but this will constitute a costly long-term effort, according to the Air Force."], "subsections": []}, {"section_title": "The F-22\u2019s Small Fleet Size Exacerbates Spare Part Supply Challenges", "paragraphs": ["As a result of the F-22 fleet\u2019s small size and resulting low demand for parts, the F-22 faces a number of supply challenges that have contributed to reduced and unpredictable aircraft availability. Officials from all four operational locations identified low supply levels and difficulty obtaining needed parts as a concern. Obtaining parts can be a time-consuming and costly process because some original manufacturers no longer make the parts or are completely out of business, according to Air Force officials. When this is the case, the Air Force may need to find the original aircraft and parts design plans, and obtain a new contractor to produce a small number of parts. Officials at one operational location said a simple wiring harness required a 30-week lead time. Air Force maintenance statistics for fiscal year 2016 show that 14 percent of the F-22 fleet was not mission capable, and therefore not available, due to supply issues. According to Air Force officials, the F-22 fleet\u2019s small size and resulting low demand for parts makes this problem more acute.", "F-22 squadrons face an unenviable choice when necessary parts are not available, according to Air Force officials: they can make the aircraft unavailable until the spare part arrives and can be installed or they can take the part from another aircraft that may be broken for a different reason. The second option, called cannibalization, is an inefficient way to conduct maintenance because it doubles the work. A good part needs to be removed from one aircraft and put into another. Once the replacement part arrives, it needs to be installed on the cannibalized aircraft. There is also a chance that the cannibalized part could get damaged in the process or just not work. Further, cannibalization could result in additional LO repairs on the donor aircraft. An Air Force report summarizing fiscal year 2016 maintenance issues reported that F-22 cannibalization rates have grown by 6 percent between fiscal years 2012 and 2016.", "The F-22\u2019s small fleet size also exacerbates supply challenges it is facing with its engines, potentially falling below minimum spare part requirements for multiple calendar years. Further, an increase in flying hours in 2014 resulted in engines requiring overhauls sooner than previously anticipated. It is taking time for the engine maintenance contractor to build up enough capacity to deal with this increased demand. The officials said that the F-22\u2019s small fleet size contributed to this problem because, as was the case with other parts issues, low early demand meant that many of the vendors that built parts for those engines no longer build the parts or are not in business. Additionally, it takes time to find vendors and skilled people to build those parts again. The Air Force is implementing a mitigation plan that includes increasing production, overflying the standard engine maintenance interval, and borrowing engines from aircraft in long-term maintenance. According to Air Force officials, this kind of engine issue is not unique to the F-22. They noted that there was a time when B-1s, another small fleet, had a major engine shortfall that resulted in aircraft parked without engines in them. An Air Force forecast shows that mitigation efforts will avoid that problem, barring unanticipated increases in demand or maintenance problems."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Michael Ferren, Assistant Director; Vincent Buquicchio; Nicolaas Cornelisse, Analyst-in-Charge; Patricia Donahue; Amie Lesser; Tamiya Lunsford; Matthew Jacobs; Travis Masters; Richard Powelson; Walter Vance; and Nicole Volchko made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-242", "url": "https://www.gao.gov/products/GAO-18-242", "title": "Foreign Military Sales: DOD Should Take Additional Steps to Streamline Process for Assessing Potential Recovery of Certain Acquisition Costs", "published_date": "2018-01-31T00:00:00", "released_date": "2018-01-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Under the Arms Export Control Act and its implementing regulations, DOD is required to recover nonrecurring costs\u2014unique one-time program-wide expenditures\u2014for certain major defense equipment sold under the FMS program. These costs include research, development, and one-time production costs, such as expenses for testing equipment. The Act also permits those costs to be waived under certain circumstances, such as to standardize equipment with select allies or to avoid a loss of sale.", "GAO was asked to review DOD's use of nonrecurring cost waivers. This report addresses the (1) nonrecurring cost waivers approved by DOD from fiscal years 2012 through 2017, (2) factors DOD considers when reviewing waivers, and (3) efficiency of the waiver review process.", "To conduct this work, GAO analyzed DOD data of nonrecurring cost waivers for fiscal years 2012 through 2017, the most recent and complete data, to identify the value of waivers. GAO then reviewed a non-generalizable sample of 24 of these waivers that included a mix of justifications and geographic regions. GAO reviewed relevant DOD policy and interviewed DOD officials about the process to assess these waivers."]}, {"section_title": "What GAO Found", "paragraphs": ["In the past 6 years, the Department of Defense (DOD) approved waivers valued at nearly $16 billion that it might otherwise have collected from foreign governments as part of its sales of major defense equipment through the Foreign Military Sales (FMS) program. The Arms Export Control Act, as delegated, authorizes the Defense Security Cooperation Agency (DSCA) within DOD to waive nonrecurring costs under certain circumstances, such as to standardize equipment with allies. From fiscal years 2012 through 2017, DSCA reviewed 813 waivers and denied 3, resulting in an approval rate of 99 percent. As shown in the figure below, the value of approved waivers significantly increased to nearly $6 billion last year, which is due to 2 waivers totaling nearly $3.5 billion for sales of missiles and related support systems.", "Total Value of Approved Foreign Military Sales Nonrecurring Cost Waivers from Fiscal Years 2012 through 2017", "When reviewing waivers, DSCA considers foreign policy and national security factors, such as interoperability with allies, and economic factors, such as support for the U.S. defense industrial base. Agency officials stated that approving waivers helps ensure sales go through and such broader benefits are realized. DSCA's practice to approve waivers is consistent with the authority it has been delegated under the Arms Export Control Act and is influenced by these benefits.", "The process DOD has established to consider waivers is, at times, inefficient and repetitive. DSCA has final approval authority; however, multiple DOD offices must review and provide input on each waiver, with some offices reviewing waivers for the same purpose. Federal standards for internal control call for agencies to allocate resources and assign responsibilities to achieve efficiency and effectiveness. DOD has already taken steps to improve the efficiency of the waiver review process; for example, by reducing the time a few offices take to review the waivers. Nonrecurring cost waivers are one part of the larger FMS process, and continuing to streamline the waiver review process would better position DSCA and the military departments to identify opportunities to maximize efficiencies."]}, {"section_title": "What GAO Recommends", "paragraphs": ["DSCA should continue to identify opportunities to streamline the waiver review process. DSCA concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) invests billions of dollars to research, develop, and produce defense equipment for weapons programs. Part of DOD\u2019s investment typically includes nonrecurring research, development, test, evaluation, and production costs, such as DOD expenditures for testing equipment. In cases where major defense equipment, which has nonrecurring research and development costs greater than $50 million or total production costs greater than $200 million, is sold to foreign governments and international organizations through the Foreign Military Sales (FMS) program, DOD is required under the Arms Export Control Act and its implementing regulations to recover nonrecurring costs. For fiscal years 2012 through 2017, DOD reported sales under the FMS program totaling over $250 billion. These sales, which include major defense equipment, create the potential for DOD to charge and recover billions of dollars of nonrecurring costs from foreign governments. The Arms Export Control Act, as delegated, also authorizes DOD to waive collection of nonrecurring costs based on one of three primary justifications: (1) to standardize U.S. military equipment with the North Atlantic Treaty Organization (NATO) and select U.S. allies, (2) to achieve cost savings for the U.S. government, or (3) to avoid a loss of sale.", "Within DOD, the Defense Security Cooperation Agency (DSCA) is principally responsible for overseeing and administering the FMS program. In recent years, we have made recommendations to address concerns about timeliness and other program management functions within the FMS program. In light of these recommendations and ongoing congressional oversight, DSCA has undertaken a number of initiatives aimed at enhancing the FMS program. For example, DSCA adopted digital signatures to help improve timeliness after examining its process for reviewing requests from foreign governments to waive nonrecurring costs.", "You asked us to review DOD\u2019s use of its authority to waive nonrecurring costs. This report addresses the (1) nonrecurring cost waivers approved by DOD from fiscal years 2012 through 2017, (2) factors DOD considers when reviewing waivers, and (3) efficiency of the waiver review process.", "To address our objectives, we reviewed DSCA data on FMS nonrecurring cost waivers requested by foreign governments from fiscal years 2012 through 2017, the years for which data are the most complete. To determine the nonrecurring cost waivers approved by DOD during this time frame, we analyzed the data to determine the number and dollar value of waivers requested and approved by fiscal year and geographic region. We also analyzed the data to determine the number of waivers that were denied. Due to certain data limitations, we were unable to determine the percentage of all eligible sales that included a waiver request and the total amount of nonrecurring costs that DOD actually waived after the waiver was approved and the sale was finalized. To assess the reliability of the data, we compared them to waiver documentation we obtained from DSCA and interviewed DSCA officials responsible for the data. Based on these steps, we determined the data were sufficiently reliable for the purposes of our reporting objectives.", "To determine the factors that DOD considers when reviewing waiver requests, we selected a non-generalizable sample of 24 waiver requests to identify the information the foreign government submitted as part of the request. The sample included a mix of waiver justifications and geographic regions. After reviewing the waiver requests, we interviewed officials from the military departments\u2014Air Force, Army, and Navy\u2014to discuss them. We also interviewed officials from DSCA, the Office of the Undersecretary of Defense (OUSD) Comptroller, OUSD for Policy, and OUSD for Acquisition, Technology, and Logistics (AT&L) to discuss the factors they consider when reviewing nonrecurring cost waiver requests.", "To determine the efficiency of the waiver review process, we identified offices that review waiver requests for the same or similar information and reviewed the 24 waiver requests to identify the steps taken by these offices during the review. In addition, we reviewed relevant DOD policy and interviewed officials from all of the offices involved in the waiver process to discuss the steps they take during their review. We compared these offices\u2019 practices for reviewing the waivers with the Standards for Internal Control in the Federal Government, which calls for agencies to assign and delegate responsibilities in a manner that maximizes efficiency and effectiveness. Appendix I contains additional detail on our objectives, scope, and methodology.", "We conducted this performance audit from March 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Arms Export Control Act of 1976 gives the President authority to sell defense articles and services to eligible foreign governments and international organizations. This Act is the basis of the FMS program, which the U.S. government considers to be an integral component of U.S. national security and foreign policy. Under the FMS program, foreign governments pay the U.S. government to administer the acquisition of defense articles and services on their behalf. Typically, defense equipment made available for transfer or sale to foreign governments falls under an acquisition program managed by one or more of the U.S. military departments. Generally, this equipment has gone through operational testing and has entered or is entering full-rate production.", "Multiple federal entities have a role in the FMS program, including DOD and the Department of State (State). Within DOD, DSCA and the military departments play an extensive role in administering the program and managing FMS acquisitions, respectively. DSCA carries out key administrative functions, such as coordinating the development and execution of sales through the FMS program and conducting negotiations with foreign governments. The military departments are involved early in the development of the potential sale when the foreign government identifies the defense equipment it needs to buy to achieve a desired capability. Congressional oversight of the FMS program has resulted in amendments to the Arms Export Control Act and other relevant legislation to improve the FMS program.", "The first phase of the FMS process generally involves a foreign government submitting a request, usually to State or DOD, to express interest in purchasing defense articles or services. Depending on the size and complexity of the items being purchased and the foreign government\u2019s available budget, the process to finalize the terms of a sale can take from a few days to years. In response to concerns that the FMS process is slow and burdensome, Congress has increased oversight of the program and recently passed legislation intended to improve the timeliness of the FMS process. For example, in the National Defense Authorization Act for Fiscal Year 2017, Congress required DOD to revise its acquisition regulations to place new requirements on FMS contracting and to establish a pilot program to seek ways to accelerate contracting and pricing processes for FMS.", "According to DSCA officials, foreign governments interested in having nonrecurring costs waived must request a waiver before DOD develops and sends the sales agreement to the foreign government for acceptance and signature. The sales agreement\u2014formally referred to as a letter of offer and acceptance\u2014details the specific items, quantities, and total estimated costs, among other things. The sales agreement, once signed, is commonly referred to as a FMS case. For a given FMS case, DSCA\u2019s decision regarding whether or not to waive nonrecurring costs would also be articulated in the agreement.", "Consistent with the Arms Export Control Act and DOD policy, foreign governments may request that nonrecurring costs be waived based on one of three justifications:", "To achieve equipment standardization with NATO and select allies (Australia, Israel, Japan, Jordan, New Zealand, and the Republic of Korea). In addition to NATO itself, there are currently 34 countries that qualify for the equipment standardization waiver justification, as shown in figure 1.", "To avoid a potential loss of sale that could likely result from imposing nonrecurring costs.", "To obtain cost savings through economies of scale on major defense equipment also procured for the U.S. military that substantially offsets the revenue that will be lost if the nonrecurring costs are waived.", "The Code of Federal Regulations states that all waiver requests should originate with the foreign government and must specify the reasons or justifications for the requests. A foreign government generally initiates the process by submitting a written request to waive the nonrecurring costs for the major defense equipment it plans to purchase. For example, a NATO member country planning to purchase P-8A patrol aircraft would submit a request to waive nonrecurring costs for that equipment to the Navy, stating that the purchase would promote equipment standardization.", "The letter of offer and acceptance the military department sends to the foreign government states the estimated costs and the quantity of major defense equipment for which nonrecurring costs will be waived. Once the letter of offer and acceptance has been signed by the foreign government, any increase in the quantity of items requires that the foreign government submit a request to waive nonrecurring costs for the additional equipment. If equipment quantities are reduced after the waiver is approved, the total amount of nonrecurring costs waived will be less than the value at the time the waiver was approved. For example, in 2013, DSCA approved a waiver for up to $799 million in nonrecurring costs for 768 Patriot missiles. However, the foreign government reduced its planned procurement to 248 missiles. As of December 2017, DSCA estimated that the amount of nonrecurring costs that will be waived decreased to $258 million\u2014about two-thirds less than was originally approved."], "subsections": [{"section_title": "Congressional and DOD Actions Regarding Nonrecurring Costs", "paragraphs": ["The laws, regulations, and policies regarding nonrecurring costs have been revised several times over the past 50 years. DOD has had a process in place to recover nonrecurring research and development and production costs on sales of major defense equipment to foreign governments and international organizations since 1967. The requirement to recover a proportionate amount of these costs was codified in the Arms Export Control Act of 1976, which authorizes arms sales in furtherance of U.S. security objectives. Significant legal, regulatory, and policy changes regarding the justifications that can be used to waive nonrecurring costs are summarized in figure 2."], "subsections": []}, {"section_title": "Determining Nonrecurring Costs for Sales of Major Defense Equipment under the FMS Program", "paragraphs": ["The Arms Export Control Act requires recovery of a proportionate amount of nonrecurring research, development, and production costs for foreign sales of major defense equipment. For example, in the F-35 Joint Strike Fighter program, costs for production testing and tooling equipment are considered nonrecurring costs. The military departments, as delegated under the Code of Federal Regulations, are responsible for determining the per-unit nonrecurring cost for each type of major defense equipment. In practice, DOD components submit requests to establish nonrecurring costs to DSCA, which\u2014if approved by DSCA\u2014are made publicly available on the agency\u2019s website.", "In practice, determining what nonrecurring costs will be charged entails the following steps: 1. Charges are calculated by dividing total program nonrecurring costs by the total number of planned production units. For example, the Air Force determined that the nonrecurring costs for a sensor program were $660 million and estimated that a total of 250,000 units would be procured by DOD and from sales under the FMS program. Based on these estimates, the Air Force calculated a nonrecurring cost charge of $2,640 per unit. 2. For each individual FMS case that includes major defense equipment, the military department calculates the amount of nonrecurring costs for the sale by multiplying the quantity of items by the per-unit nonrecurring cost charge. For instance, in the example described above, if a foreign government wants to purchase 10 sensors, a nonrecurring cost charge of $26,400 would be added as part of the sale."], "subsections": []}, {"section_title": "Roles and Responsibilities of DOD Offices in Reviewing Nonrecurring Cost Waiver Requests", "paragraphs": ["DOD policy requires that waivers also be reviewed on a case-by-case basis and tied to a specific sale that defines the quantities of each item to be procured. This policy prohibits blanket waivers, those that would waive nonrecurring costs on all sales to a particular country or all sales pertaining to specific equipment. For example, DSCA cannot grant a blanket waiver for the Patriot missile that would automatically waive nonrecurring costs on all subsequent sales of that missile.", "Within DOD, the Director of DSCA has been delegated authority to waive nonrecurring costs for sales of major defense equipment to foreign governments and international organizations. While DSCA has primary responsibility for determining whether waiver requests meet all legal and regulatory criteria, we observed that multiple DOD offices are involved in the waiver review process, as illustrated in figure 3.", "In practice, the military departments receive waiver requests from a foreign government or international organization and ensure that all required information is submitted, including the equipment type and quantity, as well as the justification for the waiver. Based on this information, the military department determines whether or not to endorse the waiver request. The military department then compiles a package of relevant documentation, including calculation of the estimated total amount of nonrecurring costs to be waived, the original waiver request, and a memo documenting its decision regarding the waiver request. In the course of our work, we found that, within each military department, the offices involved in the waiver review process include:", "The U.S. Army Security Assistance Command, which initially reviews the waiver request, and the Office of the Deputy Assistant Secretary of the Army for Defense Exports and Cooperation, which provides the Army\u2019s decision whether to endorse the waiver request;", "The Navy International Program Office, which reviews the waiver request and provides the Navy\u2019s decision whether to endorse the waiver request; and", "The Air Force Security Assistance and Cooperation Directorate, which initially reviews the waiver request, and the Office of the Secretary of the Air Force, International Affairs, which provides the Air Force\u2019s decision whether to endorse the waiver request.", "Apart from DSCA, all waiver requests are reviewed by the OUSD (AT&L) and OUSD (Comptroller), while the OUSD for Policy only reviews waivers that cite the loss of sale justification."], "subsections": []}]}, {"section_title": "DOD Approved Nonrecurring Cost Waivers Valued at Billions of Dollars over the Past 6 Years", "paragraphs": ["From fiscal years 2012 through 2017, DOD approved nonrecurring cost waivers valued at nearly $16 billion that it might otherwise have collected from foreign governments as part of its major defense equipment sales. Over this period, DSCA approved 810 of the 813 waiver requests it received, resulting in an approval rate of more than 99 percent. However, the dollar value of the approved waivers does not, in all instances, reflect the total amount that will ultimately be waived once sales are finalized. Rather, it reflects a ceiling for the nonrecurring costs that DOD could waive. During this time frame, DSCA collected $106 million in nonrecurring costs; however, this amount may be associated with FMS cases prior to fiscal year 2012. We were not able to determine the exact amount actually waived once sales agreements were finalized due to data limitations."], "subsections": [{"section_title": "DOD Approved Nearly All Requested Nonrecurring Cost Waivers", "paragraphs": ["From fiscal years 2012 through 2017, DOD approved 99 percent of the 813 nonrecurring cost waiver requests for major defense equipment sold through the FMS program. In our analysis of DSCA\u2019s data on waivers requested for the 6-year period, we found that:", "DOD approved all 471 waiver requests that cited equipment standardization submitted by 25 countries and NATO, totaling approximately $6.7 billion.", "DOD approved all but 2 of the 340 waiver requests that cited loss of sale submitted by 34 countries, totaling almost $9.2 billion.", "DOD also approved a waiver of $460,000 for one of the two cost savings waiver requests it received.", "In total, these approved nonrecurring cost waivers amounted to nearly $16 billion over the past 6 years. The value of approved waivers increased more in fiscal year 2017 than in prior years, as shown in figure 4. The increase is primarily due to 2 approved waivers totaling nearly $3.5 billion for sales of missiles and related support systems.", "From fiscal years 2012 through 2017, approximately 93 percent of nonrecurring cost waivers were approved for countries in Europe, the Middle East, and the Pacific region. Based on our review of data obtained from DSCA, we found that countries eligible for equipment standardization waivers always cited this justification in their waiver requests, with one exception. We found that only eligible countries received a waiver for equipment standardization. All other countries that did not qualify for equipment standardization submitted waiver requests for loss of sale, except for 2 waiver requests that cited cost savings to the U.S. government. As shown in figure 5, all countries that utilized the equipment standardization justification are located in Europe and the Pacific region, and nearly all the $9.2 billion approved loss of sale waivers were for countries in the Middle East."], "subsections": []}, {"section_title": "Various Factors Limit Insight about the Extent of Total Nonrecurring Costs DOD Waived and Collected", "paragraphs": ["Currently, DSCA uses the Defense Security Assistance Management System (DSAMS) to maintain records on FMS case initiation and execution, but an official stated the system was not designed to track nonrecurring cost data, such as data on waivers requested or actual costs waived, for each individual FMS case. DSCA uses separate methods for tracking data on approved waivers and the equipment that was purchased as part of an individual FMS case. DSCA officials stated that to calculate the amount of nonrecurring costs actually waived for each approved waiver, they manually review DSAMS records for individual FMS cases to identify the planned quantity of items to be purchased. While DSCA provided data on actual costs waived, we were unable to independently verify these calculations and, as a result, are unable to report on the actual costs waived for waivers that were approved for fiscal years 2012 through 2017. Other complexities make it difficult to conclusively determine how much has been waived, including:", "Approved waivers do not have expiration dates but are tied to a specific sale. DSCA officials stated that waivers are generally used within 5 years, which coincides with the expiration date of the sales agreement.", "The lag time between when a waiver is approved and when the amount of equipment is finalized can take years.", "According to DSCA officials, nearly all nonrecurring costs are waived rather than collected. Officials also noted that DSCA has collected approximately $106 million in nonrecurring costs for fiscal years 2012 through 2017; however; this amount may include costs collected from FMS cases that were finalized prior to our time frame. DSCA officials could not confirm whether the 813 waiver requests that they received during fiscal years 2012 through 2017 represented the universe of all sales eligible for waivers under the FMS program, as DSAMS does not consistently track whether an individual FMS case includes major defense equipment and therefore would be eligible for a waiver or subject to the collection of nonrecurring costs. According to DSCA officials, foreign governments rarely forego submitting waiver requests and, invariably, submission of these requests is considered a standard practice. As a result, with few exceptions, DSCA officials said that DOD waives nearly all nonrecurring costs associated with eligible sales in the FMS program.", "We have previously reported that DSCA has efforts underway to develop a new system, the Security Cooperation Enterprise Solution, which is expected to address longstanding information management challenges. The new system is being developed with the goal of aggregating data from multiple information management systems in order to provide increased insight into the acquisition process, among other things. During our current review, DSCA officials noted that the new system will include requirements to incorporate nonrecurring cost data, but it is unclear whether the system will automate reporting of nonrecurring costs actually waived. We previously reported that the deployment schedule for the new system has been delayed and is being revised. DSCA officials were uncertain of a new deployment date as system requirements are currently being re-validated and expected to continue through 2020."], "subsections": []}]}, {"section_title": "DOD Considers Foreign Policy, National Security, and Economic Factors When Reviewing Waiver Requests", "paragraphs": ["Our review found that DOD considers a variety of factors when reviewing nonrecurring cost waiver requests, but, ultimately, the department wants to ensure that sales are not jeopardized. Individually and collectively, these sales complement various foreign policy, national security, and economic objectives. The ability to waive nonrecurring costs assists in keeping FMS competitive and ensuring sales are not jeopardized, according to DSCA and other DOD officials.", "While there is a decades-old requirement to recover the U.S. government\u2019s investment in the nonrecurring costs of major defense equipment it develops and later sells to foreign governments, DOD is authorized to waive collection of these costs, which it implements through DSCA. Under the Arms Export Control Act and its implementing regulations, DSCA has considerable latitude to approve all waivers that meet the criteria for each justification. DSCA\u2019s approval of nearly all waivers is in accordance with statutory requirements. When reviewing nonrecurring cost waiver requests, DSCA, consistent with DOD guidance, factors the legal requirements for the justification cited for a waiver request, in addition to broader benefits to achieve foreign policy, national security, and economic objectives, which are interrelated. DOD offices that play a role in reviewing and deciding on waiver requests may also consider these factors.", "Foreign policy and national security benefits: DSCA and other DOD officials weigh the effect of equipment sales under the FMS program on foreign policy and national security objectives. DSCA officials stated that avoiding a potential lost sale is paramount and outweighs the benefits of collecting nonrecurring costs, which may only be a small fraction of the overall sale. DSCA officials added that if a waiver request is not approved, U.S. relations with the foreign government could become strained or otherwise be negatively affected. DSCA officials indicated that one of the goals of the FMS program is to facilitate building and maintaining international relationships. Further, officials added that nonrecurring cost waivers help achieve that goal by making the FMS program competitive.", "The precedent for waiving nonrecurring costs has existed for decades, and foreign governments know to request waivers and expect they will be approved, according to DOD officials. In addition, Air Force officials stated that foreign governments seek to negotiate the price when purchasing U.S. defense equipment. DSCA officials stated that foreign governments view the nonrecurring cost waivers as a way to realize some form of cost savings when purchasing defense equipment under the FMS program. DSCA officials stated that, regardless of the amount, waiving nonrecurring costs can be viewed as significant because it gives the appearance of the foreign government achieving some cost savings.", "The U.S. National Military Strategy prioritizes increasing U.S. interoperability with coalition partners. Sales of defense equipment to U.S. allies are a means to achieve these interoperability goals. Equipment standardization with NATO member countries and other select allies is one of the available justifications for which a waiver can be requested and approved. Interoperability helps strengthen relationships with allies and advances U.S. and allied security interests in these regions. Navy officials stated that increasing the capabilities available to U.S. allies through FMS reduces the need to locate U.S. military forces and equipment in proximity to these allies.", "Economic benefits: Sales through the FMS program can result in cost savings for the U.S. government, which is also one of the permissible justifications in the Arms Export Control Act for foregoing collection of nonrecurring costs. Both the U.S. and foreign governments can benefit from economies of scale where increasing the volume of defense equipment purchased decreases the cost per unit. Navy officials also explained that they always consider the possibility of cost savings in sales through the FMS program, and added that they coordinate their own procurement plans with FMS purchases to achieve cost savings. However, DSCA officials stated that the efforts to obtain required data and conduct analysis to quantify the amount of cost savings are extensive. As a result, this analysis is generally only performed when required to justify cost savings waiver requests.", "In addition to the potential for lower unit prices, the FMS program helps to sustain the U.S. defense industrial base and allows it to remain globally competitive. This level of competition has increased as NATO allies also sell their military equipment. Navy officials stated there are always competing items, since foreign governments can purchase more equipment with less capability at a lower price from another country, which can expand the foreign government\u2019s buying power relative to what it can afford when buying from the United States. In addition to competing offers, budget constraints may pose a challenge for some foreign governments seeking to purchase U.S. defense equipment and the added expense of paying nonrecurring costs could threaten a potential sale. DOD officials stated that risking a lost sale if a waiver is not approved could have potentially negative effects for the U.S. companies that manufacture defense equipment sold under the FMS program. Specifically, DOD officials indicated that if the sale is lost, U.S. jobs and economic viability could be affected, particularly because some FMS cases can be valued at billions of dollars in equipment purchases."], "subsections": []}, {"section_title": "DOD Could Take Steps to Enhance Efficiency of Waiver Review Process", "paragraphs": ["DOD\u2019s waiver review process is, at times, inefficient, includes repetitive steps, and does not account for the value of the waiver request. Waiver justifications are broadly defined in the Arms Export Control Act, which\u2014 as delegated\u2014gives DSCA flexibility to determine how to review requests and grant waivers. DSCA has implemented a review process that involves up to 12 offices including the military departments, DSCA, and various OUSD offices. In some cases, these offices are reviewing waivers to verify similar information, at times leading to repetitive reviews. The same process is applied despite the amount of nonrecurring costs requested to be waived, complexity of the case, or ease (or difficulty) in assessing the validity of the justification cited in the waiver request. DOD has taken steps to reduce the time for a few offices to review waivers, but we found there are opportunities for additional efficiencies to be realized.", "For 23 of the 24 waiver requests we reviewed, on average, the military departments determined whether to endorse requested waivers around 270 days after they were submitted by the foreign government. DSCA then, on average, took less than 60 days to decide whether to approve the waiver, which is consistent with its policy to respond to waiver requests within 60 days of receipt. There is no policy regarding the time frame for military departments to review a waiver request, as military officials stated the review time can vary depending on whether additional information must be obtained from the foreign government. However, recognizing an opportunity to streamline the review process, DSCA has worked with the Air Force to identify one office that did not add value, reducing the Air Force review process from three offices to two. Officials stated this action decreased the amount of time required for review. DSCA officials also stated that they have improved their review times by using digital signatures when concurring on waiver decisions. Our prior work has indicated that concerns have been raised about the timeliness of the FMS program, and a DSCA official stated that these efforts were part of a DSCA initiative to increase efficiencies in the overall FMS process.", "Further, we found repetitive steps in the process for assessing potential U.S. foreign policy and national security benefits from a sale where equipment standardization is cited as the justification for the requested waiver. These benefits are already assessed for certain FMS cases by an in-country team that is comprised of officials from State and the relevant DOD combatant command that manages military operations in designated areas of responsibility. Once the waiver is requested by the foreign government, DSCA and OUSD (AT&L) officials review the waiver request to assess these benefits, even though military officials stated an assessment has already been conducted to determine how the proposed sale will advance U.S. national security objectives within the region. In addition, DSCA officials stated that since foreign governments are procuring equipment also used by the U.S. military, by default, purchasing the equipment would result in standardization. After a potential sale has received a favorable country team assessment, the only additional requirement is to determine whether the customer is NATO or among the 34 countries eligible for the standardization waiver. Yet while this requirement is easily confirmed, the waiver request may still be reviewed by as many as 11 offices within the military department and DSCA, as well as at the OUSD level.", "However, we found, for example, DSCA did not adjust its review process based on the value of the nonrecurring costs to be waived. In one case, for a cost savings waiver request with estimated nonrecurring costs just under $12,000, the Air Force took 112 days to coordinate its review and endorsement of the waiver before submitting it to DSCA. DSCA then took 47 days to coordinate input from various OUSD offices to reach a final decision on the requested waiver. Similarly, in another instance where the value of the requested loss of sale waiver was substantially higher\u2014$337 million\u2014it took the Army 160 days to coordinate its review before passing it on to DSCA, which took 29 days to finalize its decision. Other than OUSD Policy\u2019s review of the loss of sale waiver, both of these waiver requests required the same review process despite the substantial difference in costs.", "For waiver requests that cite the loss of sale justification, DSCA and military department officials told us that it is difficult to prove or disprove a foreign government\u2019s claim that not waiving nonrecurring costs will likely lead to a loss of sale. DOD guidance states these waiver requests should include information on competing items and their cost, if available; however, the guidance does not specify the type of information or level of detail that should be provided. DSCA officials stated that they interpret this guidance to mean this information is optional and therefore not required. According to DOD officials, a foreign government\u2019s budget constraints could limit its ability to pay nonrecurring costs. Of the 18 loss of sale waiver requests that we reviewed, none included any additional information on competing offers or spending limits, beyond the basic loss of sale statement. Even if DOD received this type of information from the foreign government, DSCA officials told us that corroborating this information would be difficult. Therefore, DOD officials stated that they do not assess the likelihood of loss of sale beyond the minimum criteria. Although this assessment requires no additional analysis, loss of sale waiver requests are subject to the same review process, but with OUSD Policy as another required layer of review, bringing the possible total up to 12 offices. DSCA and OUSD Policy officials were unsure of the origin of the requirement for OUSD Policy to weigh in on waiver requests that cite loss of sale. Further, OUSD Policy officials stated that they review waiver requests for similar elements as other DOD entities, such as whether the sale will support security objectives in the region.", "DSCA officials have acknowledged that identifying further opportunities to streamline waiver reviews through a risk-based approach could enhance efficiencies in the FMS program. Federal standards for internal controls state that agencies should assign and delegate responsibilities in a manner that maximizes efficiency and effectiveness. In light of the significant growth in the FMS program in recent years, as well as the resulting workload for DSCA and other cognizant DOD components, continuing to streamline the waiver review process would better position DSCA and the military departments in maximizing efficiencies in the FMS process."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The FMS program is a central component of U.S. foreign policy. Our work has shown it enhances the capabilities of our allies, fosters interoperability with foreign militaries, helps sustain our defense industrial base, and serves our national security interests. In 1976, Congress codified the requirement for DOD to recoup nonrecurring costs on sales of major defense equipment to help ensure that FMS customers pay their share of the full cost of this equipment. At the same time, Congress provided for waiving nonrecurring costs for specified reasons. Over the past 6 years, DOD has prioritized the benefits of the FMS program and has typically waived rather than collected nonrecurring costs under these specified reasons.", "Within DOD, there are opportunities to consider streamlining the waiver review process to eliminate efforts that are potentially repetitive or inefficient. The review process for waiver requests requires that multiple offices review all waiver requests, regardless of the amount of nonrecurring costs to be waived or the complexity of the specific circumstances. The FMS program has been criticized for being slow and burdensome. To create efficiencies in the overall FMS program, DOD could take additional steps to streamline the FMS waivers review process."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to DSCA: The DSCA Director should continue to identify opportunities to streamline the review process for nonrecurring cost waiver requests. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. In its comments, reproduced in appendix II, DOD concurred with our recommendation. DOD also provided technical comments, which we incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Defense. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or MakM@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["In this report, we addressed the (1) nonrecurring cost waivers approved by the Department of Defense (DOD) from fiscal years 2012 through 2017, (2) factors DOD considers when reviewing waivers, and (3) efficiency of the waiver review process.", "To address all objectives, we analyzed data from the Defense Security Cooperation Agency (DSCA) on requests made by foreign governments to waive nonrecurring costs on purchases of major defense equipment under the Foreign Military Sales (FMS) program. We reviewed data for fiscal years 2012 through 2017, as these years provided the most complete data available to facilitate our analysis and gain insights about the waivers requested based on the three allowable justifications within the scope of our review\u2014equipment standardization, loss of sale avoidance, and cost savings to the U.S. government. DSCA uses the Defense Security Assistance Management System (DSAMS) to maintain records on FMS case data from the time the case is initiated; however, the system does not track nonrecurring cost data, such as data on waivers requested or costs waived, for each individual FMS case. Instead, DSCA provided a dataset on waivers requested that is maintained in a spreadsheet. To assess the reliability of DSCA\u2019s data, we tested for missing data, inconsistent coding, and compared data on selected waiver requests to waiver documentation we obtained from DSCA. In reviewing the documentation relative to the dataset we obtained, we found a small amount of data that were incorrectly coded, but these miscodings had minimal potential to affect our analysis. DSCA corrected these miscodings when we brought the errors to their attention. Overall, we found that the documentation for the selected waiver requests generally matched the data DSCA provided. We interviewed DSCA officials responsible for the data to identify the quality controls in place to ensure the data are accurate and reliable. Based on these steps, we determined the data were sufficiently reliable to identify the extent to which DOD approved nonrecurring cost waivers and to select a sample of waiver requests to review.", "To identify the extent to which DOD approved nonrecurring cost waivers for fiscal years 2012 through 2017, we analyzed data on nonrecurring cost waiver requests, which included: the country requesting the waiver, the justification under which the waiver was requested, the requested amount of the waiver, whether or not the waiver was approved, the approved value of the waiver, and the military department responsible for managing the procurement of the major defense equipment associated with the requested waiver. We analyzed the data to determine the number and dollar value of waivers requested for each waiver justification in total and by fiscal year. We also analyzed the data to determine the value of nonrecurring cost waivers approved by geographic region.", "DSCA has various information management systems and methods to track data related to FMS cases. However, these systems are not integrated and data limitations precluded certain analysis:", "A DSCA official stated that DSCA does not track which FMS cases include major defense equipment, which impeded our ability to conclusively report on the total universe of all eligible FMS cases during fiscal years 2012 through 2017 for which a nonrecurring cost waiver could have been requested, and the percentage of cases represented by the 813 requested waivers. DSCA processes thousands of FMS cases each year; however, not all FMS cases meet the threshold for collecting or waiving nonrecurring costs as this requirement only applies to FMS cases where major defense equipment is being purchased. We interviewed DSCA officials to obtain information on how major defense equipment is recorded in DSAMS and the process they use to determine whether a FMS case includes major defense equipment. To identify the universe of eligible FMS cases would have required a manual review of thousands of cases to match the nonrecurring cost waiver data that DSCA maintains in a separate spreadsheet with the case data captured in DSAMS that itemizes the equipment purchased for each individual FMS case. Because a FMS case can have multiple waivers, there is an added challenge to accurately match the waiver with the corresponding case.", "While DSCA maintains internal records that track the extent to which waivers are used to their fullest value, we were unable to fully validate certain data elements on equipment quantities. This precluded our ability to report on the amount of total costs waived relative to the value of the approved waiver. DSCA officials stated that when DSCA grants a waiver there is a ceiling on the value of the waiver, which functions similar to a coupon in that it cannot be used to waive nonrecurring costs that exceed the value of the approved waiver. DSCA maintains information on the equipment quantities for each FMS case in DSAMS. However, in order to estimate the costs waived, DSCA officials stated that they manually review each FMS case associated with a waiver to identify the quantities purchased, which may change through amendments to the FMS case. DSCA provided a dataset that compares approved waivers to costs waived; however, we could not verify equipment quantities from DSAMS. We also interviewed DSCA officials to gain insight about their quality control process to ensure the data are reliable. Our ability to verify equipment quantities made it difficult to report on actual costs waived.", "To determine the factors DOD considers when reviewing waiver requests, we selected a non-generalizable sample of 24 waiver requests and the related documentation and files to identify the information the foreign government submitted as part of the request, including any information on competing items, and how these waivers are considered as part of the overall FMS program. We selected the sample from the dataset provided by DSCA on the total waiver requests from fiscal years 2012 through April 2017. The sample included waiver requests citing each of the three justifications and represented different geographical regions. To enhance our understanding of how anomaly waivers are processed, we selected 5 waiver requests to include in our sample because of their unique characteristics:", "The only 2 waiver requests that cited cost savings to the U.S.", "The only 2 loss of sale waiver requests that were denied.", "One waiver request from a foreign government that would have been eligible to use the equipment standardization justification but cited the loss of sale justification in its waiver request.", "To select the remaining 19 waivers, we set a threshold for waivers approved where the value of the nonrecurring cost was over $20 million to capture high-value waivers, as these waivers represented 80 percent of the total value of approved waivers within our time frame for our sample selection. Next, we selected at least 2 waiver requests from each fiscal year for the 6-year period included in our review and ensured a mix of waivers requested by various foreign governments, including those that had the highest value of waivers approved. We also ensured that the waivers reflected a mix of FMS cases to be managed by the Air Force, Army, and Navy, which also review and provide input to DSCA on the waiver requests. Our sample includes a higher number of loss of sale justifications to provide greater insight about how DOD considers these requests given the minimal requirements and that these requests represent the majority of costs requested to be waived. While our findings are based on a non-generalizable sample and cannot be used to make inferences about all FMS nonrecurring cost waivers requested, the sample provides insight on the specific circumstances of waiver requests and DSCA\u2019s decision in these cases.", "We recorded the information obtained from our review of the waiver request files in a data collection instrument. One analyst entered information in the data collection instrument and another analyst independently reviewed the information to ensure accuracy. After reviewing the waiver requests, we interviewed officials from military departments associated with the waiver request files that we reviewed to obtain clarifying information about specific waiver requests.", "To determine the efficiency of the waiver review process, we reviewed documentation for the 24 selected waiver requests to identify the offices involved in the review process, and the length of time taken to review and decide on the waiver request from the time of submission. We used the same data collection instrument to record this information as part of the two analysts\u2019 reviews. We compared these offices\u2019 practices to review the waivers with the Standards for Internal Control in the Federal Government, which calls for agencies to assign and delegate responsibilities in a manner that maximizes efficiency and effectiveness. In addition, we reviewed relevant DOD policy and interviewed officials from the military departments, DSCA, the Office of the Undersecretary of Defense (OUSD) Comptroller, OUSD for Policy, and OUSD for Acquisition, Technology, and Logistics (AT&L) to discuss their roles in reviewing nonrecurring cost waiver requests and the steps they take during their review.", "We conducted this performance audit from March 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Candice Wright (Assistant Director), Jessica Karnis (Analyst-in-Charge), Emily Bond, Lorraine Ettaro, Cale Jones, William Lamping, Miranda Riemer, and Roxanna Sun made key contributions to this report."], "subsections": []}]}], "fastfact": ["Foreign governments buy billions of dollars of defense equipment through the Department of Defense's foreign military sales program. They are required to reimburse DOD for certain research, development, and other one-time costs related to the equipment.", "However, governments may ask DOD to waive those costs. DOD has granted $16 billion in waivers over the last 6 years to help these sales go through.", "We found that DOD has prioritized the benefits of making sales over recouping costs, and that it serves U.S. interests to do so. We also found that the waiver review process can be repetitive, so we made a recommendation to address that."]} {"id": "GAO-18-287", "url": "https://www.gao.gov/products/GAO-18-287", "title": "Railroad Retirement Board: Actions Needed to Improve the Effectiveness and Oversight of Continuing Disability Reviews", "published_date": "2018-02-21T00:00:00", "released_date": "2018-02-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["RRB is an independent agency that administers disability benefits for railroad workers. In fiscal year 2016, about 31,000 railroad workers with disabilities received $1.1 billion in disability benefits. RRB is generally required to periodically assess beneficiaries' medical condition or earnings through continuing disability reviews (CDRs) to verify that they remain eligible for disability benefits.", "This report examines the extent to which RRB (1) conducts medical and earnings CDRs to ensure the continued eligibility of disability beneficiaries, and (2) oversees the CDR program. GAO analyzed data provided by RRB for CDRs completed in fiscal years 2014-2016, the only years for which complete data were available. GAO also reviewed RRB's policies and procedures, a nongeneralizable random sample of 14 CDR cases that were completed in fiscal year 2016, and relevant federal laws and regulations; and interviewed RRB officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal years 2014-2016, the Railroad Retirement Board (RRB) completed continuing disability reviews (CDRs) of various types for 427 beneficiaries (see figure below), covering slightly more than 1 percent of the railroad workers who received disability benefits during that period. These reviews included:", "Scheduled Medical Reviews \u2013These are scheduled at different intervals depending on the likelihood of medical improvement. RRB data suggest that most beneficiaries are not subject to these CDRs because they are older than 54\u00bd, which RRB defines as the age at which they are unlikely to return to work. Of 43 medical CDRs that were scheduled, RRB identified 3 ineligible beneficiaries and 1 overpayment of about $28,000.", "High-Risk Reviews \u2013 In fiscal year 2015, RRB began conducting medical CDRs on cases it considered to be at high risk for fraud. It completed 166 of these reviews in fiscal years 2015 and 2016, but none identified any ineligible beneficiaries or overpayments.", "Earnings Reviews \u2013 During fiscal years 2014-2016, 163 earnings CDRs identified 47 ineligible beneficiaries and at least $970,550 in overpayments. However, RRB uses earnings information that can be up to 2 years old, thereby delaying the detection of ineligible beneficiaries and increasing the potential for lost federal dollars. Other federal agencies have access to a national federal database with more recent earnings data. Providing RRB access to these data would enable it to identify overpayments sooner.", "Medical + Earnings Reviews \u2013 In some cases, RRB conducts both a medical and earnings CDR. RRB's data do not allow GAO to attribute the outcome to either type of CDR.", "RRB oversight has primarily been limited to conducting two internal reviews of high-risk medical CDRs, one of which concluded, consistent with the above results, that these CDRs demonstrated no return on investment. Nevertheless, RRB continues to do them. RRB does not routinely compile and analyze data for all of the CDRs it conducts, which limits its ability to identify potential gaps in oversight and to monitor program performance. For example, RRB lacks data that would help it determine how many medical CDRs it should expect to conduct. RRB officials said compiling data can be challenging because it uses multiple data systems. However, by more efficiently collecting and compiling key CDR data, RRB could enhance its capability to routinely assess program performance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider giving RRB access to the National Directory of New Hires, a national database of wage and employment information that would enable it to identify potential overpayments sooner. GAO is also making three recommendations to RRB, including that it reconsider the purpose and value of high-risk CDRs, and routinely compile and analyze CDR data to improve oversight. RRB agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Railroad Retirement Board (RRB) is responsible for administering retirement, disability, and survivor benefits for the nation\u2019s railroad workers and their families under the Railroad Retirement Act of 1974, as amended. RRB\u2019s disability program provides financial benefits to workers who are unable to perform their railroad jobs. In fiscal year 2016, about 31,000 railroad workers with disabilities received $1.1 billion in disability benefits from RRB.", "To ensure ongoing eligibility for benefits, RRB conducts continuing disability reviews (CDR). These reviews assess the extent to which a beneficiary\u2019s medical condition has improved, or the extent to which a beneficiary is earning above program limits, either of which could make them ineligible for disability benefits. While recent reviews by our office and RRB\u2019s Office of Inspector General (OIG), as well as an investigation by the Department of Justice, have examined RRB\u2019s oversight and administration of its disability program, GAO has not previously focused on the role of CDRs in RRB\u2019s internal controls of its disability program.", "You asked us to examine the RRB\u2019s CDR processes for its disability program. This report examines the extent to which RRB (1) conducts medical and earnings CDRs to ensure the continued eligibility of disability beneficiaries, and (2) oversees the CDR program.", "To address the first objective, we obtained and analyzed data from RRB for the universe of CDRs completed for railroad workers during fiscal years 2014-2016, the most recent data available, to determine the number, types, and outcomes of CDRs completed. RRB also uses CDRs to target certain disability beneficiaries whom they consider to be at high risk of potential fraud based on several characteristics. A subset of the CDR universe, we analyzed these high-risk CDRs to assess RRB\u2019s ability to determine a recipient\u2019s continued eligibility for benefits and to identify potential instances of fraud. To obtain more detail about the CDRs RRB conducted, we analyzed CDR records for reviews completed in fiscal year 2016 from a nongeneralizable sample of 14 randomly selected case files.", "We assessed the reliability of the CDR data provided by RRB for fiscal years 2014-2016 by reviewing existing information about the data and the systems that produced them, interviewing knowledgeable agency officials, performing basic electronic data testing for missing data, outliers, or obvious errors, and tracing information for selected variables to source documents for the nongeneralizable random sample of 14 case files. We determined that the data were sufficiently reliable for purposes of this report, and we describe certain limitations with the data in the report, as applicable.", "To address the second objective, we reviewed management strategies and tools used to oversee CDR processes and assessed them against federal internal control standards. We also analyzed medical improvement category data provided by RRB. We describe certain limitations with these data in the report.", "To address both objectives, we examined prior relevant reviews by RRB, GAO, and RRB\u2019s Office of Inspector General, and interviewed managers and staff in RRB headquarters. We also reviewed relevant federal laws, regulations, and guidance as well as agency policies and procedures for conducting CDRs. To provide information on RRB\u2019s finances, we examined detailed internal financial records of RRB revenues and expenditures from fiscal years 2007 to 2016.", "We conducted our work from May 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["RRB administers retirement, survivor, disability, unemployment, and sickness benefits for railroad workers and their families under the provisions of the Railroad Retirement Act of 1974, as amended (RRA) and the Railroad Unemployment Insurance Act of 1938, as amended (RUIA). Individuals who work for railroads engaged in interstate commerce, for railroad associations, and for railroad labor organizations are among those covered by RRB\u2019s benefits system instead of Social Security or the federal-state unemployment insurance system. During fiscal year 2016, RRB received approximately $12 billion in funding, about half of which came from payroll taxes levied on railroad workers and their employers. Almost all of the funding was used to pay benefits, including unemployment benefits. In addition, RRB administers Medicare coverage for railroad workers.", "The railroad retirement system and Social Security system are separate but linked with regard to benefit payments and taxes. Railroad workers and their employers pay the same payroll taxes as other workers covered by Social Security for comparable retirement, disability, unemployment insurance, and Medicare benefits. RRB also collects taxes to cover additional benefits. A financial interchange between the two systems allows funds to be transferred between RRB and Social Security accounts based on the amount of Social Security benefits that workers would have received if they were covered by Social Security, as well as the payroll taxes that would have been collected if the railroad workers were covered by Social Security instead of their own system. According to RRB data, the railroad retirement, survivor, and disability system is projected to remain solvent over at least the next 25 years."], "subsections": [{"section_title": "Railroad Retirement Act Disability Benefits", "paragraphs": ["Under the RRA, RRB provides two distinct disability benefits for railroad workers\u2014total and permanent (T&P) disability and occupational disability. For T&P disability, RRB makes determinations about railroad workers\u2019 disability claims independent of but using the same general criteria that the Social Security Administration (SSA) uses to administer its Disability Insurance program. That is, a worker must have a medically determinable physical or mental impairment that (1) has lasted (or is expected to last) at least 1 year or is expected to result in death, and (2) prevents them from engaging in substantial gainful activity, defined as work activity that involves significant physical or mental activities performed for pay or profit. In other words, these workers are essentially deemed unable to engage in any regular employment. According to RRB\u2019s 2017 Annual Report, at the end of fiscal year 2016, the agency was paying 10,300 T&P disability beneficiaries an average of $1,911 each per month for a total of about $236 million annually. In fiscal year 2016, data provided by RRB indicate that the agency approved about 78 percent of the 843 applications for T&P disability benefits it received.", "Occupational disability is a unique benefit for railroad workers. RRB provides these benefits to workers who have physical or mental impairments that prevent them from performing their specific railroad job, even though they may be able to perform other kinds of work. For example, a railroad engineer who cannot frequently climb, bend, or reach, as required by the job, may be found to be occupationally disabled. To be eligible for occupational disability benefits, workers must meet certain labor- and management-negotiated disability criteria as well as certain age and service requirements. Railroad workers age 60 and older with at least 10 years of service are eligible to apply, as well as workers of any age with at least 20 years of service. Workers determined to be eligible for occupational disability benefits may be able to return to the workforce, but generally not to their original occupation. According to RRB, at the end of fiscal year 2016, the agency was paying 21,000 occupational disability beneficiaries an average of $3,053 each per month for a total of about $769 million annually. In fiscal year 2016, data provided by RRB indicate that the agency approved about 98 percent of the 984 applications for occupational disability benefits it received."], "subsections": []}, {"section_title": "Continuing Disability Reviews", "paragraphs": ["Federal law generally requires RRB to conduct CDRs to determine if beneficiaries continue to meet the disability requirements of the law. RRB conducts two overall types of CDRs: medical and earnings. In a medical CDR, disability examiners review a beneficiary\u2019s medical records and may order additional examinations to determine whether the individual\u2019s medical condition has improved to the point where it is no longer considered disabling. In an earnings CDR, disability examiners review earnings to determine whether beneficiaries are earning income that exceeds program limits, which could make them ineligible for benefits. If the agency, while conducting an earnings review, obtains information that indicates the beneficiary\u2019s medical condition has improved, RRB can initiate a medical CDR as well. Similarly, if RRB discovers earnings above program limits while developing evidence for a medical review, the agency may initiate an earnings CDR."], "subsections": [{"section_title": "Medical Continuing Disability Reviews", "paragraphs": ["RRB generally conducts medical reviews with a frequency determined by the beneficiary\u2019s likelihood of medical improvement, which may fall into one of three categories: medical improvement expected (MIE)\u2014when a beneficiary\u2019s impairment demonstrates medical improvement, when improvement is unpredictable, or when medical intervention may change the impairment\u2019s severity, among other reasons; medical improvement possible (MIP)\u2014when a beneficiary\u2019s disability may improve, or the likelihood of medical improvement within 3 years is not probable; or medical improvement not expected (MINE)\u2014when a beneficiary\u2019s impairment meets certain listings such as blindness or hearing loss and generally when a beneficiary has attained 54 \u00bd years of age.", "If a beneficiary\u2019s disability is classified as MIE, RRB generally reviews the beneficiary\u2019s continuing eligibility for disability benefits at intervals from 6 months to 18 months. For MIP cases, RRB mails a questionnaire at least once every 3 years that asks a beneficiary to update medical and earnings information. If the self-reported information indicates medical improvement or a return to work, RRB may conduct a CDR. For MINE cases, RRB\u2019s regulations state that it will not routinely review the beneficiary\u2019s continuing eligibility. (See fig. 1.) According to RRB\u2019s guidance, factors such as age and work experience may also affect how and when RRB classifies a beneficiary as MINE, or whether it should schedule (or \u201cdiary\u201d) a CDR. RRB maintains a list of scheduled CDRs in its CDR Call-Up program. It uses this program to both identify CDRs that require completion and to schedule CDRs based on the likelihood of medical improvement.", "RRB also started conducting CDRs in 2015 that target cases at high risk of potential fraud and which officials said could result in the termination of benefits."], "subsections": []}, {"section_title": "Earnings Continuing Disability Reviews", "paragraphs": ["In addition to medical reviews, RRB conducts earnings CDRs for beneficiaries detected with earnings that exceed disability program limits. Most earnings CDRs are triggered by unreported earnings detected through RRB\u2019s policing operation. Policing for earnings involves an annual data match by SSA in which it uses RRB\u2019s disability beneficiary database and Internal Revenue Service (IRS) earnings data to detect unreported earnings. (See fig. 2.) In this process, RRB provides SSA with a record of all disability beneficiaries, and SSA matches these beneficiaries against IRS earnings data. For those cases in which earnings are identified, RRB has an earnings reconciliation process to determine which beneficiaries may be excluded from an earnings CDR and which should receive one. For example, RRB considers whether a beneficiary has any disability-related work expenses, such as the cost of special transportation or medication, which are deducted from any earnings, or if the beneficiary has reached full retirement age. (See fig. 2.) In addition, a beneficiary who returns to work or has earnings from employment is required to report that information to RRB, and the agency may initiate a CDR depending on the circumstances. If a potential overpayment is identified as a result of a CDR, the Disability Benefits Division refers the case to another division within RRB to calculate the overpayment amount."], "subsections": []}]}]}, {"section_title": "Most Beneficiaries Are Not Subject to Medical CDRs, and Data Used to Identify Unreported Earnings and Potential Overpayments Are Outdated", "paragraphs": [], "subsections": [{"section_title": "RRB Completed CDRs for Slightly More Than 1 Percent of Disability Beneficiaries in Fiscal Years 2014-2016", "paragraphs": ["Over the 3 years for which RRB was able to provide us with complete data, the agency completed 427 CDRs. This number represents CDRs for slightly more than 1 percent of the railroad workers who received disability benefits during that period, an average of about 35,000, including both occupational and T&P beneficiaries. Most of the reviews it completed from fiscal years 2014 through 2016 were medical CDRs, but earnings CDRs identified most of the ineligible beneficiaries and overpayments. Of the 427 CDRs completed, 209 were medical CDRs and 163 were earnings CDRs. In 55 cases, both a medical and an earnings CDR were completed.", "Forty-three of the scheduled medical CDRs completed were based on medical improvement criteria. Another 166 of the medical CDRs completed were based on \u201chigh-risk\u201d selection criteria that were developed after fraudulent activities came to light among Long Island Rail Road (LIRR) beneficiaries in the late 1990s through 2008. RRB uses the high-risk selection criteria to target occupational disability beneficiaries who share certain characteristics that are common to the employees who participated in the LIRR fraud scheme. Overall, RRB determined that about 86 percent of beneficiaries remained eligible for benefits as a result of all of the CDRs completed in fiscal years 2014-2016. (See fig. 3.)"], "subsections": []}, {"section_title": "Medical CDRs Identified Few Ineligible Beneficiaries and Overpayments", "paragraphs": ["During fiscal years 2014-2016, RRB completed a total of 43 medical CDRs for beneficiaries\u2013about 0.1 percent of disability beneficiaries\u2013that were scheduled based on beneficiaries\u2019 medical improvement category. Our analysis of RRB\u2019s data and policies suggests that RRB completes few medical CDRs relative to the total number of disability beneficiaries because it has a high percentage of older disability beneficiaries who may not be subject to a medical CDR. According to the data provided by RRB, about 90 percent of individuals who received a disability payment in fiscal year 2016 were age 55 or older (see fig. 4), and RRB\u2019s Disability Claims Manual states that at age 54\u00bd, a combination of medical and vocational factors, such as medical condition, age, and work experience, may preclude a return to work. More specifically, the manual instructs disability examiners to classify beneficiaries over age 54\u00bd as \u201cmedical improvement not expected\u201d because of the remote likelihood that they will be able to engage in medium or heavy work.", "Scheduled medical CDRs resulted in few terminations and identified few overpayments. Data provided by RRB indicate that of the 43 medical CDRs completed during fiscal years 2014-2016, 3 ineligible beneficiaries were identified and 1 overpayment of $28,000 was identified and calculated. RRB determined that 40 of the 43 beneficiaries (93 percent) continued to meet the appropriate disability criteria for occupational or T&P disability, as applicable, and qualify for benefits (see sidebar). These results largely mirror RRB\u2019s initial approval rates for disability benefits. In fiscal year 2016, 89 percent of all disability applicants were approved for benefits."], "subsections": []}, {"section_title": "RRB Developed Criteria for Conducting Additional Medical CDRs to Target Cases at Risk for Fraud, but These CDRs Identified No Ineligible Beneficiaries in Two Years", "paragraphs": ["In fiscal year 2015, RRB expanded the use of medical CDRs to include certain high-risk occupational disability cases that would previously only have been selected for a CDR if RRB received a report of medical recovery or identified earnings that could affect entitlement to benefits. As part of its Disability Program Improvement Plan, RRB developed selection criteria to target cases at high risk for potential fraud that could result in termination of benefits. According to RRB officials, the criteria for targeting these cases are based on characteristics common to the employees who participated in the LIRR fraud scheme. In order to fall within the high-risk group, a beneficiary must (1) have an occupational disability, (2) have an orthopedic or psychological impairment, (3) be under age 55, and (4) not have a disability freeze.", "Despite these targeted criteria, the 166 high-risk CDRs completed in fiscal years 2015 and 2016 identified no ineligible beneficiaries and no overpayments. According to a senior RRB official, the agency is not yet ready to abandon its high-risk CDR effort, and it continues to consider these reviews as potentially effective. However, high-risk CDR outcomes raise questions about the value and benefit of RRB dedicating resources to conduct these additional reviews."], "subsections": []}, {"section_title": "Earnings CDRs Identified the Greatest Number of Ineligible Beneficiaries and Overpayments, but Outdated Earnings Information Limits Their Effectiveness", "paragraphs": ["Earnings CDRs resulted in a higher percentage of terminations and identified more overpayments than scheduled and high-risk medical CDRs combined. During fiscal years 2014-2016, RRB completed 163 earnings CDRs. Most of these earnings CDRs (127) were initiated as a result of RRB\u2019s annual earnings policing effort, in which RRB\u2019s beneficiary database is matched against Internal Revenue Service earnings data. Other CDRs were initiated as a result of self-reported earnings information from beneficiaries. Over this 3-year period, earnings CDRs identified 47 ineligible beneficiaries and terminated their benefits. During this same time period, earnings CDRs identified at least $970,550 in overpayments that had been calculated for CDRs completed during fiscal years 2014-2016.", "However, earnings CDRs that were conducted may identify additional overpayments but RRB is slow to calculate overpayments. We determined that the overpayment data RRB provided for CDRs completed during 2014-2016 were incomplete. For example, a case file review of six randomly selected earnings CDRs completed in fiscal year 2016 found that in three of the cases, the Retirement and Survivor Benefits Division (RSBD), the office responsible for calculating overpayments, had not calculated the overpayments identified by those 2016 reviews as of July 2017. RRB officials acknowledged delays of a year or more in calculating overpayments for disability beneficiaries identified by CDRs, and that RRB lacks a standard time frame for doing so. The officials attributed the delays to competing priorities and staffing shortages within RSBD. RRB has no plans to establish a standard time frame for processing overpayments identified through CDRs.", "Identifying and calculating overpayments in a timely manner are important to RRB\u2019s long-term performance goal related to payment accuracy, as outlined in its strategic plan. Further, federal internal control standards state that transactions should be recorded promptly to maintain their relevance and value to management in controlling operations.", "In addition, although RRB\u2019s annual earnings policing effort has identified numerous beneficiaries with earnings over program limits as well as overpayments, the data RRB uses for its policing effort can be up to 2 years old. The data RRB uses to identify unreported earnings and determine whether it should initiate a CDR are based on outdated IRS earnings information. For example, income earned in calendar year 2014 that is filed with the IRS in 2015 would not become available for earnings policing until 2016.", "Further, the earnings discovered during the course of a CDR may be even older than 2 years. Our review of the six earnings CDRs completed in fiscal year 2016 found the earned income in question ranged from 2011 through 2013. RRB officials acknowledged that the data it currently uses for its policing effort cause delays in identifying earnings. When overpayments are not identified in a timely manner, RRB\u2019s ability to detect when a beneficiary is not eligible for benefits is hindered, thereby increasing the potential for lost federal dollars. In addition, the delay may also cause larger overpayments since undetected overpayments can accrue over several years.", "We previously recommended that RRB explore options to obtain more timely earnings data for use in making disability benefit eligibility determinations, which includes CDRs. In response, RRB officials said one step they have recently taken is to use The Work Number, which includes payroll data from over 5,500 employers nationwide, on a case- by-case basis for CDRs to obtain more recent earnings information from employers for a specific beneficiary. In addition, RRB contacts employers directly to obtain earnings information needed for CDRs. However, according to a RRB official, IRS earnings data are currently the only source to which RRB has access for earnings policing that includes all of its disability beneficiaries.", "RRB has considered conducting earnings policing using the Department of Health and Human Services\u2019 quarterly earnings data from the National Directory of New Hires, which includes the most recent eight quarters of wages reported from all states. In its budget submissions for fiscal years 2017-2019, RRB included a legislative proposal seeking access to these quarterly earnings data, since access is limited by statute. Several federal agencies, including the Departments of the Treasury, Education, Housing and Urban Development, and the Social Security Administration, are currently authorized by law to use data from the National Directory of New Hires to verify program eligibility and detect and prevent overpayments. Providing RRB with similar access to more recent earnings data would enable it to identify potential overpayments sooner than is currently possible.", "SSA has legal authority to access quarterly wage data from the National Directory of New Hires for the purpose of making disability benefit eligibility determinations, which includes CDRs. In March 2017, SSA implemented the Quarterly Earnings Project in which it matched certain Social Security Disability Insurance beneficiaries against these earnings data with the goal of reducing overpayments. According to SSA officials, the project identified beneficiaries with substantial earnings, on average, 1 year earlier when using quarterly wage data instead of earnings data from the IRS\u2014the data RRB currently uses to conduct its annual earnings match. SSA officials project that the Quarterly Earnings Project will achieve an estimated $10.3 million in savings and benefit terminations in 22 percent of the roughly 10,000 cases selected for review in fiscal year 2017."], "subsections": []}]}, {"section_title": "RRB\u2019s Oversight of Its CDR Program Has Focused on High- Risk Reviews Rather Than Overall Program Data", "paragraphs": [], "subsections": [{"section_title": "RRB Has Reviewed High- Risk CDRs, but Outcomes Call This Effort into Question", "paragraphs": ["RRB\u2019s Program Evaluation and Management Services (PEMS), which is tasked with conducting reviews to ensure efficient program performance, has conducted two internal reviews of the high-risk medical CDRs since they were first implemented in 2015. PEMS concluded in its 2016 report that conducting high-risk CDRs based solely on the likelihood of medical improvement demonstrated no return on investment. PEMS officials recommended that the Disability Benefits Division focus its resources on investigating non-reported work and earnings rather than on developing medical evidence; however, RRB continues to dedicate resources to developing medical evidence for high-risk CDRs, and a senior RRB official said the agency is not ready to abandon its high-risk CDR effort. RRB officials said they plan to track certain annual measures for high-risk CDRs, such as the number of cases referred to the OIG for potential fraud, CDR outcomes (continuances, suspensions, and terminations), and any overpayments identified.", "Our findings and PEMS\u2019s 2016 conclusions indicate that these high-risk medical CDRs have not been effective in identifying ineligible beneficiaries, or identifying potential fraud. High initial approval rates for occupational disability benefits\u2014over 96 percent for fiscal years 2008- 2016\u2014may be an indication that high-risk CDRs for occupational beneficiaries would result in most beneficiaries continuing to qualify for benefits, since the same disability criteria are used to evaluate medical condition for initial decisions and CDRs. By continuing to conduct high- risk CDRs, RRB may be expending resources that could be used for other purposes that are more effective in identifying ineligible beneficiaries."], "subsections": []}, {"section_title": "RRB Does Not Routinely Compile and Analyze CDR Program Data for All CDRs", "paragraphs": ["Aside from RRB\u2019s efforts to oversee its high-risk medical reviews, it does not routinely analyze program data for its CDR operations as a whole. The lack of routine data collection and analysis limits its ability to identify potential gaps in oversight and monitor program performance. RRB officials said compiling comprehensive information for the CDR program can be challenging because CDR data are housed in multiple systems, some of which use outdated software and are not compatible with each other. For example, information related to CDR overpayments is housed in at least three separate systems. Further, according to RRB officials, some case information is only available in paper files.", "RRB has taken some steps to improve its ability to access information, such as converting its paper files to electronic images, but the information in the images cannot easily be analyzed. RRB was able to compile data for fiscal years 2014-2016 for our review that made it possible for us to analyze different aspects of the CDR program, such as the number of medical and earnings CDRs completed each year, the amount of overpayments identified as a result of CDRs, and CDR outcomes. However, RRB was unable to provide complete historical data for CDRs completed before fiscal year 2014. If RRB routinely compiled and analyzed these data for its own purposes, it could better monitor CDR program performance. This would be consistent with federal internal control standards, which state that management should use program data for effective program monitoring.", "Routinely compiling and analyzing CDR program data would also allow RRB to identify potential gaps in oversight. For example, our analysis of the data provided by RRB indicated that 10 percent of the 427 cases for which it completed a CDR during fiscal years 2014-2016 lacked a valid initial medical improvement category\u2014medical improvement expected, possible, or not expected\u2014which is assigned when beneficiaries are first awarded benefits. Since RRB schedules medical CDRs based on medical improvement category information, and we found that medical improvement category data are incomplete for 10 percent of the CDRs completed during fiscal years 2014-2016, this raises questions as to whether RRB is scheduling and conducting medical CDRs for everyone it should be. RRB officials said the only way to verify a beneficiary\u2019s medical improvement category is to perform an individual query in the CDR Call-Up program or check the paper files, which could be very time- consuming and labor-intensive to do for all beneficiaries.", "RRB also lacks data on the total number of beneficiaries currently in each medical improvement category. Without these data, RRB cannot anticipate how many medical CDRs it should expect to conduct and when. Federal internal control standards state that management should use quality information to make informed decisions, and that quality information is current, complete, and accurate.", "RRB\u2019s ability to monitor the performance of its CDR program is also limited because it does not track all costs or benefits of conducting CDRs. For example, RRB officials told us they do not analyze certain program data, such as administrative costs and recovered overpayments for CDRs. Analyzing these program data would enable RRB to compare any savings produced by CDRs against the cost of administering them. RRB\u2019s strategic plan states that the agency measures the efficiency of its agency-wide program integrity efforts by comparing any savings they produce against the cost of administering the activities. According to the plan, program integrity efforts that can identify savings include computer matching to prevent payments to deceased beneficiaries and referring suspected fraud to the OIG. In its fiscal year 2017 Performance and Accountability Report, RRB reported a return on investment of $4.18 for each dollar spent on combined program integrity efforts in fiscal year 2016. However, we do not know how CDRs contributed to this return on investment or the savings resulting from CDRs specifically."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As a steward of tax dollars, it is important that RRB take all necessary steps to operate and manage its disability program effectively and efficiently, while minimizing overpayments. RRB\u2019s continued reliance on outdated earnings information to identify beneficiaries who, at the time a CDR is conducted, may no longer be eligible for benefits, increases the likelihood of making improper benefit payments and having to try to recover the money in the future. In addition, even for those overpayments that RRB identifies, it lacks a standard for processing them in a timely manner, which increases the potential loss of federal dollars. Furthermore, despite a RRB report that high-risk medical CDRs have not been effective, the agency expends resources on these reviews that could be used for other purposes that are more effective in identifying ineligible beneficiaries.", "RRB\u2019s lack of routine data collection and analysis hampers its ability to monitor program performance and determine what changes, if any, should be made to improve the CDR program, including determining the number of beneficiaries in each medical improvement category and the costs and benefits of conducting the various types of reviews. While paper files and disparate data systems present challenges to collecting and analyzing program data and may hinder oversight efforts, RRB could be doing more with the data it has to identify potential gaps in oversight."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["To improve RRB\u2019s ability to make accurate disability benefit eligibility determinations, including CDRs, and to decrease the potential for making improper payments, Congress should consider granting RRB access to the Department of Health and Human Services\u2019 quarterly earnings information from the National Directory of New Hires database. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To enhance RRB\u2019s ability to manage and oversee its CDR program, we are making the following three recommendations to the Railroad Retirement Board: RRB should develop a standard for the timely processing of disability program overpayments identified through CDRs. (Recommendation 1)", "RRB should consider whether to reallocate resources used for high-risk CDRs to other CDR efforts that produce more effective outcomes. (Recommendation 2)", "RRB should routinely compile and analyze CDR program data, such as the number of cases selected for review, the number of beneficiaries in each medical improvement category, outcomes, and the costs and benefits of conducting CDRs, to improve program oversight. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to RRB for review and comment. RRB provided written comments, which are reproduced in appendix II. The agency also provided additional technical comments, which have been incorporated as appropriate. RRB agreed with all three of the recommendations and noted that it has already taken initial steps to implement them.", "We are sending copies of this report to the appropriate congressional committees, the Railroad Retirement Board, and other interested parties. In addition, the report will be will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Railroad Retirement Board Funding and Expenditures, Fiscal Years 2007 Through 2016", "paragraphs": [], "subsections": [{"section_title": "Railroad Retirement Board (RRB) Funding", "paragraphs": ["In fiscal years 2007 through 2016, RRB received, on average, approximately $11.6 billion annually from multiple sources to fund its programs. RRB\u2019s budget in fiscal year 2016, the most recent year for which data are available, was $12.4 billion. (See table 1.)", "Railroad retirement, survivor, disability, unemployment, and sickness benefit payroll taxes are the primary funding source for RRB and totaled $5.9 billion in fiscal year 2016. In fiscal years 2007-2016, these taxes averaged $5.2 billion annually. Railroad employers and employees pay Tier I taxes, which are the same as taxes levied on Social Security- covered employers and workers. The taxes fund benefits similar to Social Security retirement and disability. Employers and employees also pay Tier II taxes to finance additional railroad retirement benefits. According to RRB data, Tier I and Tier II taxes for fiscal year 2016 amounted to $2.8 billion and $3.1 billion, respectively. Railroad employers also paid approximately $117.2 million in unemployment insurance taxes in fiscal year 2016.", "The second major source of RRB funding consists of transfers from the Social Security trust funds under a financial interchange between the two systems. The financial interchange is intended to place the Social Security Old-Age and Survivors Insurance Trust Fund and the federal Hospital Insurance Trust Fund in the same condition they would have been in had railroad employees been covered by the Social Security Act and Federal Insurance Contributions Act, and the Railroad Retirement Act had not been enacted. The financial interchange calculation involves computing the amount of Social Security taxes that would have been collected on railroad employment and computing the amount of benefits which Social Security would have paid to railroad retirement beneficiaries during the same fiscal year. When benefit reimbursements exceed payroll taxes, the difference, with an allowance for interest and administrative expenses, is transferred from the Social Security Trust Funds to RRB. If taxes exceed benefit reimbursements, which has not happened since 1951, a transfer would be made in favor of the Social Security Trust Funds. According to RRB data, the net financial transfer to the Social Security Equivalent Benefit Account during fiscal year 2016 amounted to about $4.1 billion; in fiscal years 2007-2016, these transfers averaged $4.0 billion annually.", "The third major source of RRB funding is transfers from the National Railroad Retirement Investment Trust, the trust fund that holds assets to help pay a portion of RRB benefits. The Trust was established pursuant to Section 105 of the Railroad Retirement and Survivors\u2019 Improvement Act of 2001, and is the vehicle for investing RRB retirement benefit assets in non-government securities. Under the Trust\u2019s investment guidelines, assets are invested in both government securities and private equities, unlike the Social Security Trust Funds, which are only invested in government securities. The Trust also provided for the transfer of excess RRB retirement, survivor, and disability benefit payroll taxes that are not needed to pay benefits to the Trust for investment, and for transfers from the Trust to the Treasury to assist the RRB in meeting its benefit obligations. The Trust has not received transfers from the RRB since the end of fiscal year 2004. During fiscal year 2016, however, the Trust transferred a total of $1.4 billion to the Treasury for payment of RRB benefit obligations; for fiscal years 2007-2016, these transfers averaged $1.6 billion annually. According to RRB data, the value of Trust-managed assets at the end of fiscal year 2016 was $25.1 billion.", "The fourth major source of RRB funding is appropriations. According to RRB officials, most of these appropriations are derived from the taxation of railroad retiree benefits and primarily fund benefit payments. These appropriations also fund specific efforts such as administrative costs. In fiscal year 2016, RRB received $790.6 million in federal appropriations; for fiscal years 2007-2016, RRB\u2019s annual appropriation averaged $655.4 million."], "subsections": []}, {"section_title": "Railroad Retirement Board Expenditures", "paragraphs": ["In fiscal years 2007-2016, RRB expended, on average, approximately $11.6 billion annually to fund its programs. (See table 2.)", "RRB\u2019s expenditures in fiscal year 2016, the most recent year for which data are available, were $12.8 billion, which included approximately $12.5 billion for benefit payments, $156.0 million for salaries and expenses, and $98.0 million for interest expenses due to borrowing from Treasury for the financial interchange."], "subsections": []}, {"section_title": "Railroad Retirement System Solvency", "paragraphs": ["By law, RRB is required to prepare an annual report to the President and Congress containing a 5-year projection on revenues to and payments from the Railroad Retirement Account (RRA). In its June 2017 report, RRB projected that cash flow problems would not occur during the 25- year projection period (calendar years 2017-2041). The report also recommended no change in employer and employee tax rates and no diversion of taxes from the RRA to the Railroad Unemployment Insurance Account (RUIA)."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Railroad Retirement Board", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mark Glickman (Assistant Director), Arthur T. Merriam Jr. (Analyst-In-Charge), Meredith Moore, and Jill Yost made significant contributions to this report. Also contributing to this report were Daniel Concepcion, Erin Godtland, Joel Green, Nicole Jarvis, David Lehrer, Emei Li, Olivia Lopez, Sheila McCoy, Phillip McIntyre, Jean McSween, Mimi Nguyen, James Rebbe, Anjali Tekchandani, Frank Todisco, and Kathleen van Gelder."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Social Security Disability: SSA Could Increase Savings by Refining Its Selection of Cases for Disability Review. GAO-16-250. Washington, D.C.: February 11, 2016.", "Railroad Retirement Board: Actions Needed to Reduce Continued Risk of Fraud and Improper Payments. GAO-15-535T. Washington, D.C.: May 1, 2015.", "Railroad Retirement Board: Total and Permanent Disability Program at Risk of Improper Payments. GAO-14-418. Washington, D.C.: June 26, 2014.", "Use of the Railroad Retirement Board Occupational Disability Program across the Rail Industry. GAO-10-351R. Washington, D.C.: February 4, 2010.", "Railroad Retirement Board: Review of Commuter Railroad Occupational Disability Claims Reveals Potential Program Vulnerabilities. GAO-09-821R. Washington, D.C.: September 9, 2009."], "subsections": []}], "fastfact": []} {"id": "GAO-18-408T", "url": "https://www.gao.gov/products/GAO-18-408T", "title": "Coast Guard: Actions Needed to Improve Data Quality and Transparency for Reporting on Mission Performance and Capital Planning", "published_date": "2018-03-07T00:00:00", "released_date": "2018-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Coast Guard, a component of DHS, serves as the principal federal agency responsible for maritime safety, security, and environmental stewardship in U.S. ports and waterways. To ensure that the Coast Guard is effectively fulfilling its missions, agency managers must have accurate information and base decisions on sound analyses for effective program management.", "This statement discusses Coast Guard actions needed to (1) improve the quality of data used for program management and (2) improve the transparency of its data for reporting on mission performance and planning.", "This statement is based on relevant products GAO issued from June 2014 through December 2017 on Coast Guard strategic planning and management issues, as well as related recommendation follow-up conducted through February 2018. GAO reviewed applicable laws, regulations, policies and guidance. GAO also interviewed Coast Guard officials responsible for administering these programs and obtained information on how they used data to inform decisionmaking. GAO interviewed a range of stakeholders, including federal and industry officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work recommended multiple actions to improve the Coast Guard's program management by improving the quality of data it uses to manage and report on its mission performance. Specifically, GAO recommended actions such as collecting more complete data and clarifying the data limitations to facilitate more effective program management. For example, in December 2017, GAO found that more information is needed to calculate vessel safety statistics that could enhance the Coast Guard's knowledge about accident, injury, and fatality trends involving commercial fishing vessels. Having more complete information could be useful to carrying out its marine safety mission, and GAO recommended, among other things, that the Coast Guard ensure that data collected during commercial fishing vessel incident investigations is accurately captured. In 2018, the Coast Guard reported taking initial steps to capture more accurate data.", "GAO's prior work also identified areas where the Coast Guard could improve the transparency of the data it uses for reporting on its mission performance as well its capital planning purposes. For example, in an October 2017 report on performance goals, GAO found the Coast Guard's Annual Performance Report (APR) has not been released publicly since 2011. Consequently, there has not been full visibility over performance across all of the Coast Guard's missions. Coast Guard officials stated that a decision by Department of Homeland Security (DHS) leadership to limit the number of performance goals shared publicly had deterred the Coast Guard from public release of its APR. GAO recommended that APRs be available on the Coast Guard's website; the Coast Guard plans to publicly release future APRs. In addition, previous GAO reports found that the Coast Guard's annual 5-year capital investment plan, which projects acquisition funding needs for the upcoming 5 years, did not consistently reflect current total cost estimates or the effects of tradeoffs made as part of the annual budget cycle. GAO made recommendations to help the Coast Guard plan for future acquisitions and the difficult trade off decisions it will face given funding constraints. The Coast Guard agreed, but it is unclear when it will complete the 20-year plan."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making new recommendations in this statement but has made them to the Coast Guard and DHS in the past on improving its program management through, among other things, better quality and more transparent data. DHS and the Coast Guard agreed with these recommendations and reported actions or plans to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss U.S. Coast Guard (Coast Guard) actions that could improve its program management by improving the quality and transparency of the data it uses to manage its mission performance and capital planning. The Coast Guard, within the Department of Homeland Security (DHS), serves as the principal federal agency responsible for maritime safety, security, and environmental stewardship in U.S. ports and waterways. The Coast Guard\u2019s 11 primary statutory missions identified in the Homeland Security Act of 2002, as amended, encompass the agency\u2019s important roles and responsibilities. For example, as part of its marine safety mission, the Coast Guard performs mandatory safety inspections, conducts accident investigations, and promotes accident prevention involving vessels at sea, including for commercial fishing vessels.", "To ensure that the Coast Guard is effectively fulfilling its missions, agency managers must have accurate and reliable mission performance information to monitor and track the progress the agency is making toward achieving its goals. We have previously reported that evaluation can play a key role in strategic planning and program management, and that findings supported by sound analyses strengthen decision making. Our findings are consistent with Office of Management and Budget (OMB) guidance on assessing an agency\u2019s performance, which emphasizes the need for frequent, data-driven reviews, including data analyses, and identifying steps necessary to increase agency performance. However, we have previously raised questions about whether annual performance goals and reported performance information accurately reflect the extent to which the Coast Guard is accomplishing its mission goals. We have also raised concerns about the Coast Guard\u2019s management of its capital asset acquisitions given the impact these assets can have on the Coast Guard\u2019s ability to conduct some of its missions.", "In 2014, we reported that better information on performance and funding was needed to address Coast Guard acquisition shortfalls.", "In 2016, we reported that the Coast Guard did not provide field units with realistic strategic goals to allocate their limited resources, and testified on Coast Guard actions to improve its asset allocation process.", "In 2017, we issued five reports and testimonies that collectively underscore the importance of collecting good data and addressing its limitations and being transparent about it for the benefit of congressional decisionmakers and the public.", "My testimony today describes some of the findings and recommendations from these reports. Specifically, I will discuss Coast Guard actions needed to (1) improve the quality of data used for program management and (2) improve the transparency of data used for reporting on its mission performance and capital planning.", "This statement is based on eight products we issued from June 2014 through December 2017 on Coast Guard strategic planning and performance management, and recommendation follow-up activities conducted through February 2018. To perform the work for our previous reports, among other things, we reviewed applicable laws, regulations, policies and guidance for selected performance goals. We interviewed Coast Guard officials responsible for administering these programs and obtained information on their processes for ensuring data reliability, including performing electronic testing for obvious errors in accuracy and completeness. We determined that data were sufficiently reliable for reporting some information, but in other instances, data reliability limitations precluded us from reporting information, which we describe later in this statement. We also conducted site visits and interviewed a range of other stakeholders, including federal officials and industry representatives. Further details on the scope and methodology for the previously issued reports are available within each of the published products. In addition, after the issuance of our reports and through February 2018 we contacted the Coast Guard to obtain updated information and documentation, as appropriate, on the status of recommendations we made.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["With a staff of over 47,000 members, the Coast Guard operates a multimission fleet of 201 fixed and rotary-wing aircraft and over 1,400 boats and ships. Operational control of surface and air assets is divided into two geographic Areas (Pacific and Atlantic), within which are nine Districts consisting of 37 sectors and the stations within them. The Coast Guard\u2019s program oversight, policy development, and personnel administration are carried out at the Coast Guard\u2019s headquarters. As shown in table 1, the Coast Guard is responsible for 11 statutory missions identified in the Homeland Security Act of 2002, as amended. The Coast Guard manages these missions through six mission programs, also listed in table 1. As part of its marine safety mission, for example, the Coast Guard conducts, among other activities, safety inspections and vessel accident investigations, including those involving commercial fishing vessels, which are part of an industry with one of the highest death rates of any industry in the United States.", "For each of its 11 missions, the Coast Guard has developed goals and targets to assess and communicate agency performance. The Coast Guard\u2019s performance assessment process also includes identifying performance gaps and implementing corrective actions to address unmet performance goals. As part of its process, the Coast Guard is to establish targets for the current and subsequent 2 fiscal years, according to Coast Guard officials. Each target is set by the Coast Guard, but according to the Coast Guard\u2019s Annual Performance Report (APR), some are derived from external factors. For example, DHS requires that Coast Guard set a 100 percent target for the percent of people in imminent danger saved in the maritime environment. Further, several of the Coast Guard\u2019s assets used to conduct these missions are approaching the end of their intended service lives. As part of its efforts to modernize its assets used to carry out various missions, the Coast Guard has begun acquiring new vessels, such as the National Security Cutter, the Fast Response Cutter as well as other assets. However, concerns surrounding the affordability of this effort remain as the Coast Guard continues to pursue multiple new acquisitions without long-term planning to guide the affordability of its acquisition portfolio. Figure 1 shows the Coast Guard\u2019s Fast Response Cutter and National Security Cutter."], "subsections": []}, {"section_title": "Coast Guard Actions that Could Improve Data Quality", "paragraphs": ["We previously reported on actions the Coast Guard could take to ensure that, among other things, it addresses limitations posed by incomplete data, the use of unrealistic asset performance data, and limitations with its performance goal data, for more effective program management. Examples of data limitations that we have recommended that the Coast Guard take action on are below.", "Improve completeness of mission data. In December 2017, we found that several different federal agencies play a role in overseeing and promoting commercial fishing vessel safety, including the Coast Guard. As part of its marine safety activities, the Coast Guard conducts, among other activities, safety inspections and vessel accident investigations. Commercial fishing has one of the highest death rates of any industry in the United States and vessel disasters are the leading cause of fatalities among fishers, according to the National Institute for Occupational Safety and Health. However, our December 2017 review found that more information is needed to calculate vessel safety statistics that could enhance the Coast Guard\u2019s knowledge about accident, injury, and fatality trends involving commercial fishing vessels.", "The Coast Guard collects some data on commercial fishing vessels that operate in federal waters\u2014including a vessel\u2019s length and construction date\u2014but data on the population of the active U.S. commercial fishing vessel fleet are not complete. Between 2006 and 2015, the Coast Guard investigated 2,101 commercial fishing vessel accidents that were identified as occurring in federal waters. While the number of accidents generally increased over this time period, the number of injuries and fatalities declined over the same 10-year period. However, we could not assess the number of accidents, injuries, and fatalities by fishery\u2014 meaning the area in which a certain type of fish (e.g., shrimp, salmon, crab) is caught\u2014because the Coast Guard\u2019s data is not complete. Further, we were unable to calculate the rates of commercial fishing vessel accidents, injuries, and fatalities, because reliable data on certain information needed to do so\u2014including the total number of vessels that are actively fishing and the fishery or region in which the vessel operates\u2014are either not maintained or are not collected by the Coast Guard or other federal agencies. Having this information could be useful to carrying out the Coast Guard\u2019s marine safety mission, which includes enforcing laws to prevent death, injury and property loss in the marine environment.", "We recommended in our December 2017 report that the Coast Guard ensure that data it collects during commercial fishing vessel incident investigations is accurately captured. We also recommended that the Coast Guard work with stakeholders to form a working group to determine an efficient means to establish a reliable estimate of the population of active commercial fishing vessels. The Coast Guard agreed with both recommendations, and in February 2018 informed us that it is in the process of developing additional data fields to capture more information, such as the fishery in which the commercial fishing is involved, and is engaging stakeholders to establish an appropriate working group. We will continue to monitor these actions.", "Use more realistic asset performance data. In our May 2016 report on Coast Guard strategic planning, we found that the Coast Guard did not provide field units with realistic goals for allocating assets, by mission. We reported that the Coast Guard\u2019s strategic allocations of assets were based on unrealistic assumptions about the performance capacity of its assets and did not reflect asset condition and unscheduled maintenance. This was due, in part, to the Coast Guard not including information from its field units on the actual performance of its assets. For example, agency officials noted that one of its classes of cutters was 50 years old and these cutters were hampered by mechanical failures requiring emergency dry dock repairs, which resulted in reduced availability to carry out their missions during the year. In another example, a field unit stated that based on historical use, it planned for 575 hours per vessel for one type of cutter instead of the 825 hours performance capacity.", "Because actual asset use has consistently fallen below asset performance capacities, there is not a direct alignment between the Coast Guard\u2019s strategic operational goals and its prospects for achieving those goals. As a result, the headquarters\u2019 strategic intent, which is based on asset capacity rather than actual performance, did not provide the field with strategic, realistic goals for allocating assets by mission. Agencies should use quality information that is appropriate, current, complete, accurate, accessible, and timely to achieve objectives and address related risks. We recommended that the Coast Guard incorporate field unit input, such as information on assets\u2019 actual performance, to inform more realistic asset allocation decisions. The Coast Guard concurred with this recommendation, and in February 2018 informed us that it plans to address this recommendation through changes to two process documents that are under revision, with an expected completion date in March 2018.", "Improve performance goal data. In our October 2017 review of Coast Guard performance goals, we reported that the Coast Guard and DHS identified limitations with two of the seven selected performance goals we reviewed, including the five year average number of recreational boating deaths and injuries. In particular, officials believe that many recreational boating injuries that do not require hospitalization are not reported to the Coast Guard. These officials believe that the amount of underreporting may vary over time due to changes in industry trends, making it difficult to accurately determine actual injury rates and program performance. We determined that the data for this performance goal was not sufficiently reliable for the purposes of our reporting objectives due to these likely limitations. We found that the Coast Guard did not report the possible extent of these limitations with this performance goal in its fiscal year 2016 APR.", "For the other performance goal, the Coast Guard and DHS identified limitations with the number of detected incursions of foreign fishing vessels violating U.S. waters, which is publicly reported in DHS\u2019s APR. DHS\u2019s review of this performance goal, reported in August 2015, raised questions about the validity of this goal\u2014that is, whether it provides a useful measure of the Coast Guard\u2019s performance. Specifically, the review noted that this performance goal is intended to measure a deterrence effect, but doing so is inherently difficult and may lead to contradictory interpretations of performance. In October 2017, we found that the data for this performance goal was sufficiently reliable for our reporting objective purposes, but questions remain about its validity. Reliable data is not a useful indication of performance unless it is also a valid representation of the goal being addressed. DHS officials reported that they did not include a discussion of the limitations for this performance goal in DHS\u2019s fiscal year 2015 APR because the performance goal met the minimum threshold for data reliability despite the goal\u2019s limitations. Coast Guard officials reported they were aware of these limitations and were working with DHS and OMB to improve the performance goal and implement corrective actions within 1 to 2 years. We recommended that the Coast Guard assess the extent to which documentation on performance data reliability contains appropriate information on known data reliability limitations and update these documents, as needed, based on the results of the assessment. The Coast Guard concurred and in February 2018, informed us that it had taken initial actions to address our recommendation. However, our preliminary review of these actions indicates that further action will be needed to fully address our recommendation, such as documenting and reporting the limitations of performance data."], "subsections": []}, {"section_title": "Coast Guard Actions that Could Improve Transparency of Data for Reporting on Its Mission Performance and Capital Planning", "paragraphs": ["Our previous reports have identified areas in which the Coast Guard could improve the transparency of its data used for reporting on its mission performance and planning.", "Improve transparency of data on mission performance. In our October 2017 report on performance goals, we found that the Coast Guard\u2019s APR has not been released publicly since 2011 due to a previous DHS leadership decision. Consequently, there has not been full visibility over performance across all of the Coast Guard\u2019s missions. For example, one of the Coast Guard\u2019s missions\u2014defense readiness\u2014has no goals that are publicly reported or shared with Congress, even though measures related to defense readiness are included in the Coast Guard\u2019s APR.", "Coast Guard officials stated that they could see the benefit of publicly releasing their APR; however, DHS\u2019s decision to limit the number of performance goals shared publicly has so far deterred the Coast Guard from pursuing the public release of its APR. DHS officials told us that the department is concerned about conflicting information that a component\u2019s APR might present because it is vetted and produced separately from the DHS APR. However, the lack of transparency regarding performance data shared publicly and with Congress can result in an incomplete picture of mission performance and can limit effective oversight of Coast Guard operations. As a result, the public and Congress may be unable to determine the extent to which the Coast Guard is meeting its missions. We recommended that future Coast Guard APRs be available on the Coast Guard\u2019s public website. The Coast Guard concurred with this recommendation and in February 2018, the Coast Guard informed us that it had completed its 2017 APR and are determining an appropriate approach for making it publicly available.", "Improve capital planning transparency. In our previously issued work on the Coast Guard\u2019s annual 5-year capital investment plan (CIP), we found that the CIP does not consistently reflect current total cost estimates or the effects of tradeoffs that are made as part of the annual budget cycle. We made several recommendations in recent years intended to help the Coast Guard plan for future acquisitions and the difficult tradeoff decisions it will likely face. The Coast Guard generally concurred with these recommendations and is in various stages of implementation. For example, in 2017 we reported that we have made recommendations that DHS and the Coast Guard take several actions to gain an understanding of what the Coast Guard needs to meet its mission within its likely acquisition funding levels. These recommended actions included the Coast Guard: (1) conducting a comprehensive portfolio review across all its acquisitions to develop revised baselines that meet mission needs and reflect realistic funding scenarios and (2) developing a 20-year plan that identifies all necessary recapitalization efforts and any fiscal resources likely necessary to complete these efforts. For example, in 2014 we recommended the Coast Guard develop a 20-year fleet modernization plan that identifies all acquisitions needed to maintain the current level of service and the fiscal resources needed to acquire them. Without these efforts, the Coast Guard will continue, as it has in recent years, to plan its future acquisitions through the annual budgeting process, an approach that has led to delayed and reduced capabilities.", "In 2016, the Coast Guard revised its 2005 Mission Needs Statement, which provides a basic foundation for long-term investment planning that is to serve as the basis for evaluating the effectiveness of various fleet mixes, and inform the Coast Guard\u2019s CIP. However, the 2016 Mission Needs Statement did not identify specific assets the Coast Guard needs to achieve its missions, nor did it update the annual hours it needs from each asset class to satisfactorily complete its missions. The Coast Guard has stated it is developing a 20-year Long-term Major Acquisition Plan, but it has not stated when the plan will be completed or what will be included in this plan, such as potential trade-offs that could be made across the Coast Guard\u2019s portfolio of acquisitions to better meet mission needs within realistic funding levels. A long-term plan with a tradeoff analysis would facilitate a full understanding of the affordability challenges facing the Coast Guard while it builds the Offshore Patrol Cutter. DHS concurred with our 2014 recommendation, but it is unclear when the Coast Guard plans to complete the 20-year plan.", "Chairman Hunter, Ranking Member Garamendi, and members of the sub- committee, this completes my prepared statement. I would be happy to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact Nathan Anderson at (202) 512-3841 or andersonn@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals making key contributions to this work, and the underlying reports on which it is based, include Dawn Hoff (Assistant Director); Andrew Curry (Analyst-in-Charge); Chuck Bausell; David Bieler; Richard Cederholm; John Crawford; Timothy J. DiNapoli; Michele Fejfar; Laurier R. Fish; Peter Haderlein; Eric Hauswirth; Laura Jezewski; Tracey King; Benjamin Licht; Marie A. Mak; Gary Malavenda; Diana Moldafsky; Heidi Nielson; Meg Ullengren; and Kayli Westling.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["In the past, we've reported on ways to improve Coast Guard programs, performance, and capital planning by increasing data quality and transparency.", "For example, in December 2017, we found that the Coast Guard needs more information to calculate commercial fishing vessel safety statistics. Knowing more about related accidents, injuries, and fatalities could help the Coast Guard accomplish its maritime safety mission.", "We testified before Congress on this and other data issues affecting the Coast Guard."]} {"id": "GAO-18-318", "url": "https://www.gao.gov/products/GAO-18-318", "title": "Nuclear Regulatory Commission: Additional Action Needed to Improve Process for Billing Licensees", "published_date": "2018-03-08T00:00:00", "released_date": "2018-03-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NRC is responsible for regulating the commercial nuclear industry, including nuclear power plants. NRC provides services, such as inspections, for regulated entities that hold licenses\u2014that is, licensees. NRC recovers the costs for these services by assessing fees and billing licensees quarterly. In fiscal year 2016, NRC collected about $321 million in service fees. From 2006 to 2016, audits of NRC's fees identified problems with NRC's billing process. For example, a 2012 audit identified about $24 million in unbilled fees from fiscal years 2011 and 2012.", "GAO was asked to review NRC's billing process for service fees. This report examines (1) the actions NRC is taking to address problems with its billing process identified by internal reviews and (2) the challenges selected licensees identified with NRC's billing process and the extent to which NRC's actions are addressing them.", "GAO reviewed audits of NRC's billing process and other documents related to this process. GAO also interviewed NRC staff and a nongeneralizable sample of 13 licensees, selected based on the amount of service fees charged from October 2015 through July 2017, and compared NRC's actions against criteria on internal controls and project planning."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of the Inspector General for the Nuclear Regulatory Commission (NRC) and internal reviews conducted by NRC identified several problems with the agency's billing process, and NRC has implemented or plans to implement several changes to address the recommendations. For example, the codes that NRC staff use to record their work hours on time cards\u2014referred to as activity codes\u2014did not describe the work and did not have a consistent naming convention, which increased the risk of staff charging their time to the wrong activity codes. This could lead, in some cases, to billing errors. To address these problems, NRC created a standard naming convention for activity codes that provides more information about the activity. See the figure below for the steps in NRC's billing process for work that NRC or contractor staff performed.", "Some of the 13 licensees that GAO interviewed identified challenges with NRC's billing process, including its method for delivering paper invoices by mail. For example, two of these licensees stated that with invoices taking up to 10 days to arrive in the mail, they sometimes do not have sufficient time to properly review charges and remit payment to NRC within the 30-day deadline for paying the invoice. One licensee said that delays in receiving an invoice resulted in late fees. NRC is undertaking an initiative to transition to electronic billing, which may address the challenges the licensees identified and, according to NRC staff, improve the agency's billing process. However, NRC has not developed planning documents for this initiative and, according to staff, the planning phase is already past its original deadline of October 2017. The Project Management Institute has identified standards related to project management processes, including project planning. By developing a project management plan that is consistent with best practices and includes steps for involving licensees in system development and assessing results of the project, NRC would have reasonable assurance that it can better manage its electronic billing initiative."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that NRC develop a project management plan for its electronic billing initiative that follows project management standards and includes steps for involving licensees and assessing results. NRC agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Nuclear Regulatory Commission (NRC) is the federal agency responsible for regulating the commercial nuclear industry\u2014including nuclear power plants and other civilian uses of radioactive material\u2014 through licensing, inspection, and enforcement of its regulations. NRC provides licensing services, including conducting inspections, reviewing applications for new licenses, and renewing licenses, to regulated entities that hold a license or are applying for a license, referred to as licensees and applicants, respectively. NRC recovers the full costs for providing these services by assessing fees to licensees and applicants\u2014called service fees\u2014and billing licensees and applicants each quarter using a billing process that includes aggregating all the charges to be billed; reviewing the charges and correcting errors, if any; mailing quarterly invoices; and then addressing disputes from licensees and applicants, if any. In fiscal year 2016, NRC collected about $321 million in service fees from licensees and applicants. Since 2006, internal audits of NRC\u2019s revenue from fees have identified problems with the agency\u2019s billing process, some of which resulted in significant billing errors to licensees. In fiscal year 2012, for example, an internal NRC audit identified approximately $24 million in unbilled fees from fiscal years 2011 and 2012 that went undetected by NRC staff involved in the agency\u2019s billing process.", "The Omnibus Budget Reconciliation Act of 1990, as amended, requires NRC to annually assess and collect fees totaling about 90 percent of its annual budget authority. To reach this amount, NRC assesses two types of fees\u2014service fees and annual fees\u2014that are set through an annual rulemaking process. Service fees encompass reimbursable contract costs and reimbursable NRC staff time costs, which include time spent performing work for a specific licensee and certain overhead costs. In cases where NRC hires a contractor to perform work related to a specific licensee, NRC pays the contractor for the work and then bills the licensee for reimbursement. NRC assesses service fees for agency staff time by establishing an hourly rate to recover the full cost of specific regulatory services. In cases where the cost of an activity will change very little from licensee to licensee, NRC has established flat service fees based on the hourly rate. For service fees, charges on the invoice are to recover the costs for work completed in the previous quarter up to the date of the invoice and invoices are mailed to licensees quarterly via the U.S. Postal Service to collect service fees. NRC assesses annual fees to recover regulatory costs that are not otherwise recovered through service fees in order to meet the 90 percent statutory requirement. Licensees\u2019 payments for service and annual fees are due to NRC within 30 days of the invoice date so licensees can avoid paying interest on the charges. This report focuses on the billing process for service fees assessed to licensees.", "You asked us to review NRC\u2019s process for billing licensees for service fees. This report examines (1) the actions NRC is taking to address problems with its billing process identified by internal reviews and (2) the challenges selected licensees identified with NRC\u2019s billing process and the extent to which NRC\u2019s actions address these challenges.", "To determine what actions NRC is taking to address problems with its billing process for service fees, we reviewed agency documents and interviewed NRC staff. Specifically, we reviewed assessments of NRC\u2019s billing process from 2006 to 2016, including two audits by NRC\u2019s Office of the Inspector General (OIG) and NRC\u2019s Business Process Improvement Project, which was an internal review completed in March 2014 that focused on eliminating or greatly reducing billing errors for service fees and improving overall efficiency and effectiveness of the billing process. We also reviewed NRC\u2019s planning documents related to the actions it is taking to address the problems, and NRC policy and guidance related to its billing process. We interviewed NRC staff in the Office of the Chief Financial Officer who are working on projects and initiatives that are designed to address problems with NRC\u2019s billing process. We also interviewed NRC staff in the agency\u2019s four regional offices (Region 1 near Philadelphia, Pennsylvania; Region 2 in Atlanta, Georgia; Region 3 near Chicago, Illinois; and Region 4 in Arlington, Texas) and eight offices (Advisory Committee on Reactor Safeguards; Atomic Safety and Licensing Board Panel; and the Offices of General Counsel, New Reactors, Nuclear Material Safety and Safeguards, Nuclear Reactor Regulation, Nuclear Security and Incident Response, and Nuclear Regulatory Research) that are responsible for reviewing charges as part of the billing process, including staff who review contractor charges.", "To determine the challenges licensees have with NRC\u2019s billing process and the extent to which NRC is addressing them, we reviewed agency documents related to its billing process; interviewed a stratified, nongeneralizable sample of 13 non-federal licensees; and interviewed NRC staff. To select licensees for our sample, we used service fee- collection data produced by NRC\u2019s financial management system, called the Financial Accounting and Integrated Management Information System. From seven of NRC\u2019s nine fee classes, we selected to interview the 2 licensees that held the licenses that were assessed the highest amount of service fees from October 2015 through July 2017. However, one of the seven fee classes had only 1 licensee that was assessed service fees in that class during this established period. Also, two fee classes were excluded from our sample. Our selection process resulted in 13 licensees of varying size and scope, including 1 holding multiple licenses that was assessed service fees of almost $28 million during the established period, and another holding a single license that was assessed service fees of almost $420,000 during the same period. If a licensee meeting our selection criteria was unwilling or unable to participate, we elected to interview the licensee that held the license that was assessed the next highest amount of service fees during this period. We interviewed licensees using a standard set of questions to collect consistent information. We analyzed licensee responses to our standard set of questions to identify key themes and grouped their responses into common categories. We interviewed NRC staff and reviewed related documentation to determine whether the agency\u2019s recent or planned actions to address problems with its billing process could address licensees\u2019 challenges. We compared NRC\u2019s current billing practices against the agency\u2019s Organizational Values and Standards for Internal Control in the Federal Government, as applicable. We also identified leading practices for project planning in the Project Management Institute\u2019s A Guide to the Project Management Body of Knowledge.", "We conducted this performance audit from March 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NRC is an independent agency established by the Energy Reorganization Act of 1974 to license and regulate civilian uses of nuclear materials in the United States for commercial, industrial, medical, and academic purposes. Under the Atomic Energy Act of 1954, as amended, NRC is responsible for issuing licenses for civilian uses of radioactive material and conducting oversight activities under such licenses to protect the health and safety of the public, among other things. NRC regulates commercial nuclear power plants; research, test, and training reactors; nuclear fuel cycle facilities; the transport, storage, and disposal of radioactive materials and waste; and the use of radioactive materials in medical, academic, and industrial settings. NRC is authorized to conduct inspections and investigations; enforce regulatory requirements by, among other things, issuing orders and imposing civil (monetary) penalties; and revoke licenses. NRC is headed by a five-member Commission, with members appointed by the President and confirmed by the Senate; one commissioner is designated by the President to serve as the Chair and official spokesperson of the Commission. NRC staff from headquarters and the four regional offices implement the agency\u2019s programs for developing regulations, licensing, inspection, enforcement, and emergency response, among other responsibilities. NRC\u2019s Office of the Chief Financial Officer establishes, maintains, and oversees the implementation and interpretation of the agency\u2019s regulatory user fee policies and regulations, among other responsibilities.", "The Office of the Chief Financial Officer is responsible for assessing service fees to licensees for each license they hold and sending licensees invoices quarterly. The quarterly invoices for service fees may include costs in the following three categories:", "NRC staff work. NRC staff record their time related to services, such as licensing, inspections, special projects, and license reviews, which is then billed to licensees to recover the full cost of these services. To calculate the cost of work performed by NRC staff, NRC applies an hourly rate\u2014as established during the agency\u2019s annual rulemaking process\u2014to the number of staff hours spent on work that is directly attributable to a specific licensee.", "Overhead costs for project managers and resident inspectors.", "Some licensees work with an NRC project manager or resident inspector, and NRC allocates the overhead costs for these NRC staff to the licensees. Overhead costs cover the costs of these staff doing tasks that are not assigned to a specific licensee, but that benefit licensees, such as training, according to NRC staff. Project manager and resident inspector overhead costs are calculated for each relevant licensee as 6 percent of the licensee\u2019s total NRC staff time charges for the quarter.", "Contractor charges. NRC sometimes hires a commercial contractor or other federal agency, such as the Department of Energy (referred to collectively as contractors), to perform services that are directly attributable to a licensee, such as reviewing license applications. In these cases, NRC pays the contractor for the work and then bills the licensee for reimbursement of the contractor\u2019s charges.", "NRC\u2019s billing process for service fees begins by identifying work that can be billed to a specific licensee and ends when the licensee pays the quarterly invoice. Once NRC determines that billable work needs to be done, the agency follows the steps in the billing process shown in figure 1.", "The steps in NRC\u2019s billing process are described in more detail below.", "NRC assigns activity code: After billable work is identified, NRC assigns an activity code, which is a project code to which NRC employees charge time for billable work performed.", "NRC performs work: NRC staff perform work that is billable to a licensee and record their time biweekly in electronic time cards in NRC\u2019s time and labor management system. If NRC staff discover that they have recorded time incorrectly in a previous pay period, such as by charging time to an incorrect activity code, they can correct the error by making a prior-period adjustment. Adjustments that are made within 6 weeks of the date of the error can be made directly in the time and labor management system; adjustments made 6 weeks or more after the date of the error require a memo with justification from the employee\u2019s office director to NRC\u2019s Controller.", "Supervisors review hours: At the end of each 2-week pay period, NRC supervisors review and approve the time cards for the staff they supervise, including the hours charged to activity codes.", "Contractor performs work: If work is done by a contractor, the contractor submits a status report and invoice to NRC each month. Each monthly status report includes a description of the work done, the planned completion date, the total charges for the current invoice, the cumulative charges to date, and an estimate of future charges.", "NRC reviews charges: NRC staff responsible for managing the agency\u2019s contracts review the monthly status reports and invoices and must approve invoices before paying the contractor. After paying a contractor\u2019s invoice, NRC bills the licensee for reimbursement of the amount NRC paid to the contractor. Contractor charges are included on a licensee\u2019s quarterly invoice, and NRC may bill a licensee for contractor charges after the quarter in which the work was performed.", "NRC aggregates charges: NRC\u2019s financial management system aggregates all NRC staff hours and charges from contractors biweekly for each licensee. The financial management system obtains data on staff hours from NRC\u2019s time and labor management system. Contractor charges are entered manually into the financial management system.", "NRC validates charges: NRC regional and program offices review and certify all charges to licensees after the end of each quarter. To accomplish this, the Office of the Chief Financial Officer produces quarterly validation reports\u2014one for staff charges and one for contractor charges\u2014from NRC\u2019s financial management system.", "NRC invoices licensees: NRC creates invoices each quarter and sends them to licensees via the U.S. Postal Service. Licensees\u2019 payments are due to NRC within 30 days of the invoice date to avoid paying interest on the charges.", "Licensee reviews and pays invoice: Licensees review the invoice and may pay the invoice, request that NRC review the fees assessed, or dispute the fees. These billing disputes generally start informally with the licensee contacting NRC. According to NRC staff, most disputes are handled informally and generally entail explanations of the agency\u2019s billing or licensing policies. If NRC staff are unable to resolve a licensee\u2019s concern informally, the licensee can write a letter to the Chief Financial Officer, which begins a formal dispute process. According to NRC staff, to address a licensee\u2019s concerns with the charges, the Office of the Chief Financial Officer reviews the charges on the invoice and may involve the relevant regional or program offices to determine whether the charges are valid for the work performed. Additionally, NRC\u2019s Office of the General Counsel may be included in disputes regarding NRC\u2019s fee policy. After the dispute is resolved, the licensee pays the invoice.", "NRC\u2019s OIG and internal reviews conducted by NRC in the last 5 years identified problems with the agency\u2019s billing process. In 2012 and 2015, for example, OIG audits identified problems with NRC\u2019s management and review of billable charges and recommended changes to the agency\u2019s internal processes and procedures\u2014called internal controls\u2014to improve the accuracy of invoices. In 2013, NRC launched the Business Process Improvement Project to determine the root causes of billing errors, many of which were discovered during the quarterly validation step of the billing process. The project was completed in 2014 and made recommendations focused on strengthening internal controls and improving efficiency and effectiveness of the billing process. Additionally, in 2016 NRC requested feedback from the public, including licensees and other stakeholders, on the general communications the agency provides about its fees, intending to use the feedback to improve the transparency of its fees development and invoicing practices. Following this effort, NRC launched its Fees Transformation initiative to improve transparency of its fee-setting and billing processes."], "subsections": []}, {"section_title": "NRC Has Taken Action in Four Main Areas to Improve Its Billing Process", "paragraphs": ["NRC has recently implemented or plans to implement changes in four main areas of its billing process to address problems identified by NRC\u2019s OIG and NRC internal reviews: controls over activity codes, guidance and training for NRC staff, quarterly validation of charges, and charging licensees for billable overhead costs."], "subsections": [{"section_title": "Controls over Activity Codes", "paragraphs": ["NRC\u2019s OIG and internal reviews found problems with NRC\u2019s internal controls over activity codes, which affected the quality of data used for billing and other agency processes. The management of activity codes was decentralized, meaning that staff in NRC\u2019s offices generated the codes and each office followed its own policies and procedures regarding the setup and use of these codes. NRC also did not have a standardized set of activity codes to be used across the agency. Activity codes were instead linked to specific licensees, meaning that identical work activities for two licensees would require two different activity codes. These conditions resulted in an excessive number of activity codes in the agency\u2019s time and labor management system. According to an internal NRC review, the decentralized management and absence of standardized activity codes weakened internal controls and put NRC at risk for incomplete or inaccurate billing. Further, there was no consistent naming convention, and activity code titles often lacked the specificity necessary for NRC staff to readily identify the correct code for the work activity performed, according to the OIG. NRC staff could also search and access the entire inventory of activity codes, including those unrelated to their work. According to the OIG, these conditions increased risk for staff to inadvertently select the wrong activity codes when recording their time; in such cases, the wrong licensee could be billed for the work.", "Starting in fiscal year 2016, the Office of the Chief Financial Officer began taking responsibility for overseeing and managing activity codes, including establishing, maintaining, and closing activity codes available in the agency\u2019s time and labor management system. Further, NRC developed a set of standardized activity codes with titles related to the specific work activities completed. The transition to centralized activity code management and standardized activity codes was completed in October 2017, according to NRC staff. Also in October 2017, the agency implemented controls that prevent a staff member from charging time to an activity code unless a project manager has granted that staff member access to the code."], "subsections": []}, {"section_title": "Guidance and Training", "paragraphs": ["NRC\u2019s OIG and internal reviews found problems with staff\u2019s understanding of their roles and responsibilities for accurate time and labor reporting and management of billable contracts, which, according to NRC documents, contributed to avoidable time card errors and billing errors. To address these problems, NRC provided training and updated guidance for staff covering the following two areas:", "Time and labor reporting. According to an internal NRC review, staff were making avoidable data entry errors in time cards that supervisors who approved the timecards were not identifying, meaning incorrect time cards were sent to the Office of the Chief Financial Officer for billing. In late fiscal year 2015, NRC provided training to all agency staff to emphasize the importance of accurate time reporting, the process for selecting correct activity codes, and the relationship of time card entry to billing. According to NRC officials, the agency also provided specialized training to staff in offices where errors were common. Additionally, the agency updated its time and labor reporting guidance and provided supplemental guidance to staff related to time and labor reporting. Furthermore, in preparation for changes to activity codes that were implemented in October 2017, NRC provided additional training to staff on the new activity code structure and making corrections to their time cards.", "Management of contracts. According to an internal NRC review, approximately one-third of the billing errors identified during the quarterly validation step of the billing process resulted from administrative errors in managing contracts. NRC\u2019s OIG also found that agency guidance related to the invoice review process was outdated and did not provide staff with sufficient criteria for verifying information contained in contractor invoices. Without such criteria, NRC could not ensure that it was evaluating contractor charges consistently and appropriately before billing those charges to licensees. In 2015, NRC provided training to staff who manage contracts, which, according to NRC officials, resulted in an immediate decrease in associated billing errors. NRC also revised its guidance to clarify responsibilities, procedures, and instructions for reviewing and approving contractor invoices."], "subsections": []}, {"section_title": "Quarterly Validation", "paragraphs": ["NRC\u2019s OIG and internal reviews identified conditions that made the quarterly validation step in the billing process challenging for staff to perform and that led to inconsistent validation procedures among program and regional offices. NRC has taken or plans to take the following two actions to address these problems: Improving validation reports. According to NRC documents, the quarterly validation reports contained billing data for all program and regional offices\u2014sometimes amounting to more than 4,000 pages of data\u2014and the reports did not have the sorting functionality or querying capability that would allow NRC staff to extract relevant information. Staff in program and regional offices instead relied on manually generated reports to compile information they needed. Additionally, according to the OIG, the quarterly validation reports did not include sufficient detail on contractor charges for NRC\u2019s staff to properly review them. To address these problems, in 2014 NRC started providing the quarterly validation report in electronic spreadsheet format, which gave staff the sorting and filtering capabilities needed to extract data relevant to their respective reviews and eliminated the need for manually generated reports, according to NRC staff. Further, NRC began providing validation information for contractor charges in a separate report. The new validation report for contractor charges has more detailed information and specific instructions for NRC staff for verifying the accuracy of the charges.", "Standardizing the quarterly validation process. According to NRC, the current quarterly validation process is not standardized across the regional and program offices and there is no agency guidance to ensure that staff in different offices conduct the process consistently. Further, there is currently no way to ensure that an adequately trained person in each program or regional office is conducting the validation, according to NRC staff. To address these problems, NRC is planning to standardize the quarterly validation process and to establish clear roles and responsibilities for staff participating in the process. One key change NRC is planning is to have the individual leading the work validate the accuracy of the charges. According to NRC\u2019s planning documents\u2014dated August 2017\u2014NRC expects to pilot the new validation process in June 2018 and to implement it agency-wide by October 2018."], "subsections": []}, {"section_title": "Charging for Billable Overhead Costs", "paragraphs": ["At the end of fiscal year 2012, an internal NRC audit identified approximately $24 million in unbilled overhead hours. NRC staff explained that the hours went unbilled because project managers and resident inspectors charged billable overhead time to nonbillable activity codes, rather than to the billable activity codes associated with licensees.", "According to an internal NRC review, these errors accounted for approximately two-thirds of the billing errors identified during the quarterly validation process. At the beginning of fiscal year 2016, NRC started billing this overhead time as a separate fee on invoices that is calculated as 6 percent of all NRC billable hours on an invoice, which eliminated the billing errors related to overhead. However, NRC analyzed this billing method again in fiscal year 2017 and determined that eliminating the percentage charge and having staff charge their billable overhead time to billable activity codes would be more equitable. NRC intends to implement a new process for charging billable overhead time at the start of fiscal year 2019. According to NRC staff, the agency has made administrative changes to address the factors that contributed to project managers and resident inspectors incorrectly charging overhead time in the past."], "subsections": []}]}, {"section_title": "Licensees We Interviewed Identified Several Challenges with NRC\u2019s Billing Process, and NRC\u2019s Recent and Planned Changes May Not Fully Address Them", "paragraphs": ["Licensees we interviewed identified challenges with the amount of information available about NRC\u2019s billable work, and NRC\u2019s recent changes have made more information available, but some licensees are not aware of the information. Licensees also identified challenges with NRC\u2019s method of delivering paper invoices by mail, and although NRC\u2019s recent and planned changes may help address these challenges, NRC\u2019s plans are incomplete."], "subsections": [{"section_title": "Licensees Identified Challenges with the Information Available about NRC\u2019s Billable Work, and NRC Has Made More Information Available, but Some Licensees Are Not Aware of It", "paragraphs": ["Licensees we interviewed identified challenges with the amount of information available about NRC\u2019s billable work, including challenges related to planning and budgeting for NRC work and verifying charges on invoices. NRC has recently implemented changes that may address some of the challenges."], "subsections": [{"section_title": "Planning and Budgeting for NRC Work", "paragraphs": ["Licensees we interviewed identified challenges with planning for future work and budgeting to pay future costs because NRC does not provide certain information about the agency\u2019s billable work. Specifically, NRC does not formally provide information on timeframes for completing billable work, customized cost estimates for projects, or the status of ongoing work. Eleven of the 13 licensees we interviewed indicated that having timeframes, cost estimates, status reports, or a combination of these would be useful. One licensee explained that when it receives an invoice for work that NRC staff have performed, the licensee does not know how much work remains and cannot budget for future expenses.", "This challenge may be addressed, in part, by NRC\u2019s Fees Transformation initiative. Under this initiative, NRC began reporting on its public website in September 2017 resource estimates for various licensing actions, such as site permitting, design certifications, inspections, license amendments, and license renewals, among others. These resource estimates include the low, high, and average number of NRC staff hours billed for each action, as well as some estimates for contractor charges for certain tasks. These resource estimates are based on historical expenses and were calculated using a sample of licensing and oversight actions, though they may still be useful to licensees to help plan and budget for future NRC costs. According to NRC\u2019s website, the agency will update most of the resource estimates every 2 years."], "subsections": []}, {"section_title": "Verifying Charges on Invoices", "paragraphs": ["Licensees we interviewed said that they have challenges verifying charges on their invoices because NRC\u2019s invoices do not provide enough information on work that NRC staff or contractors perform. For NRC staff work, invoices include the total hours charged by NRC staff for each activity code. However, activity codes often cover broad topics rather than specific work activities. Also, activity codes have a 120-character limit, according to NRC staff, and NRC uses some of those characters to list each licensee\u2019s name and other identifying information, which means that there is limited remaining space to identify the specific work activity. Nine of the 13 licensees we interviewed explained that more descriptive activity codes on invoices would be helpful. One licensee said that it is difficult to know what project it is being billed for because the activity code descriptions are cryptic and sometimes nondescript. In addition, all 13 licensees we interviewed indicated that having NRC staff names or their positions would be helpful in verifying the accuracy of charges. For example, 2 of these licensees explained that they are familiar with the NRC staff who consistently work on their projects, so they could consider questioning charges if the invoice showed a new person working on a project.", "Additionally, licensees said that it is difficult to verify charges on their invoices because NRC\u2019s invoices also do not contain detailed information on contractor charges. Invoices indicate that work was done by a contractor and provide the total cost of the work, but they do not include the contractor\u2019s name or describe the work performed. Five of the licensees we interviewed said that invoices do not have enough information about the contractor and the work performed. Additionally, 4 of these licensees stated that they cannot determine whether the amounts charged were accurate or reasonable without more information.", "Challenges related to verifying charges may be addressed by some of NRC\u2019s recent changes to its billing process, which include updating invoices. NRC is updating its invoices to include (1) standardized activity codes that have titles describing the specific work activity completed, (2) the names of the NRC staff charging time to the licensee, and (3) the name of the contractor that performed the work for which the licensee is being billed. NRC staff expected to issue the updated invoices to licensees in January 2018, after we completed our audit work. Therefore, we could not assess licensees\u2019 satisfaction with the updated invoices. According to a planning document for some of NRC\u2019s recent changes, the agency intends to solicit feedback from licensees in fiscal year 2018 on whether the updated invoices have addressed licensees\u2019 challenges. However, NRC staff told us that they are not certain when the agency will solicit feedback.", "In addition to updating invoices, NRC can provide supplemental information to licensees to help them verify the accuracy of the following charges:", "NRC staff charges: NRC created biweekly reports on staff charges that it sends to licensees, when requested. These biweekly reports provide more frequent cost data and include a level of detail that is not provided on the quarterly invoices. For example, the biweekly reports include NRC staff names and the charges, by employee, for that 2- week period. Three of the 13 licensees we interviewed that receive the biweekly reports said that they use the reports to check the quarterly invoice for accuracy by adding up the costs from the biweekly reports and comparing them to the quarterly invoice. For example, a licensee told us that if the biweekly reports and quarterly invoice have similar totals, it does not raise any questions about the charges.", "Contractor charges: NRC has supplemental contractor information that it can provide to licensees. NRC receives monthly status reports from contractors on charges that are ultimately billed to licensees on their quarterly invoices. These monthly status reports include current work performed and associated charges, as well as remaining work to be performed and an estimate of future charges. In 2015, NRC developed a process to review and provide to licensees certain information from the monthly status reports when licensees request it.", "Although this supplemental information on staff charges and contractor charges is available, not all licensees know it is available. Specifically, 6 of the 13 licensees we interviewed told us that the biweekly reports would be useful, but did not know the reports are available and can be requested. Also, 10 of the 13 licensees we interviewed told us that detailed information on contract work would be useful, but 9 of them did not know this information is available and can be requested.", "Not all licensees know the supplemental information is available because, according to NRC staff in the Office of the Chief Financial Officer, the agency has not instituted a formal process to inform all licensees of its availability. These staff added that the agency has announced the availability of this supplemental information at industry conferences or has told individual licensees about it. NRC staff explained that the agency is meeting statutory requirements for issuing invoices and provides the supplemental information as a courtesy to licensees, but is not required to do so. According to NRC staff in the Office of the Chief Financial Officer, the agency has not formally notified all licensees about the availability of this supplemental information because it is time-consuming to provide it to licensees. These staff also said that they have found that not all licensees may need this information. This is consistent with information from the licensees we interviewed. For example, 2 licensees told us that they do not need biweekly reports; one said that it operates on a fixed annual budget, so additional information on biweekly costs would not be useful. In contrast, NRC staff noted that licensees with more complex invoices\u2014such as multiple sites and multiple inspections and licensing actions\u2014may find the supplemental information useful. Standards for Internal Control in the Federal Government explains that management should communicate quality information externally so that external parties can help the entity achieve its objectives and address related risks. Furthermore, being open and transparent in communications is part of NRC\u2019s Organizational Values, which guide every action it takes, how it performs administrative tasks, and how it interacts with stakeholders. Communicating to licensees about what information is available could help improve the transparency of NRC\u2019s invoices, in accordance with the agency\u2019s values.", "Additionally, 2 licensees told us that they requested information on work being done by a contractor but NRC staff told them that the information could not be provided. NRC staff in the Office of the Chief Financial Officer acknowledged that some NRC project managers may not be aware that licensees can request contract information because there is no policy or guidance to instruct NRC staff on what information they can provide or how to do so. Standards for Internal Control in the Federal Government states that agency management should clearly document\u2014 in management directives, administrative policies, or operating manuals\u2014 the processes it uses to ensure that it is achieving its objectives. By developing a policy and guidance for NRC staff, the agency could help ensure that staff are aware of the agency\u2019s processes and provide quality information consistently."], "subsections": []}]}, {"section_title": "Licensees Identified Challenges with NRC\u2019s Method for Delivering Invoices, and NRC\u2019s Recent and Planned Changes May Address These Challenges, but Its Plans Are Incomplete", "paragraphs": ["Licensees we interviewed said that NRC\u2019s method for delivering paper invoices by mail created challenges related to the format and timeliness of the invoice, though NRC\u2019s recent and planned changes may help address these challenges. For example, one licensee told us that, without the sorting and filtering capabilities of an electronic spreadsheet, this licensee is not able to verify the accuracy of charges for specific components of the work that NRC is doing. Another licensee told us that it is difficult to track costs of projects to completion without an electronic spreadsheet of charges. NRC now provides biweekly reports in an electronic spreadsheet format, which may help address the challenges these licensees cited. However, as discussed above, NRC does not provide these biweekly reports unless they are requested, and some licensees do not know that they are available.", "Licensees also cited challenges with the timeliness of invoices they receive via mail. For example, 2 licensees stated that, with invoices taking up to 10 days to arrive in the mail, licensees sometimes do not have sufficient time to conduct a proper review of charges and remit payment to NRC within the 30-day deadline. According to one licensee we interviewed, delays in receiving the invoices have resulted in late fees. To address the challenge of timeliness, NRC will, upon request from a licensee, e-mail a copy of the invoice to the licensee after the hardcopy invoice has been mailed. This practice allows the licensee to begin reviewing its charges while waiting for the mailed copy to arrive. However, of the 11 licensees that told us an e-mailed copy of the invoice would be useful, 4 of them did not know this option was available.", "NRC staff said the agency intends to transition to electronic billing\u2014that is, sending invoices in electronic format via e-mail or providing licensees with web access to review and pay invoices. According to NRC staff, the agency\u2019s transition to electronic billing is being done to improve efficiency and internal controls in NRC\u2019s billing process. However, doing so may also help address challenges that some licensees experience with the format and timeliness of invoices. For example, 11 of the 13 licensees we interviewed affirmed that receiving electronic invoices or periodic statements of charges electronically would be beneficial.", "In October 2016, NRC\u2019s Commission directed NRC staff to examine opportunities to accelerate the transition to an electronic billing system. The agency has indicated its intent to complete the planning phase by October 2017 and fully implement a new system by October 2019. However, according to NRC staff, the planning phase was not completed because the agency needed to fully implement the recent changes to its billing process before planning for the transition to electronic billing. As a result, the agency has not yet developed any planning documents to help ensure that it meets its deadlines, achieves its goal of increasing efficiency, or addresses licensees\u2019 challenges. NRC staff in the Office of the Chief Financial Officer said that they recognize there could be delays in planning, but still expect to implement electronic billing by October 2019.", "We have previously found that federal information technology projects too frequently incur cost overruns and schedule slippages, but that proper planning\u2014including incorporating best practices for project planning and scheduling\u2014may help mitigate these effects. The Project Management Institute\u2019s A Guide to the Project Management Body of Knowledge identifies standards related to project management processes, including project planning. In particular, the guide explains that the project plan is a comprehensive document that defines the basis of all project work and describes how the project will be executed, monitored, and controlled. The project plan integrates and consolidates plans for project components, such as plans for managing the project\u2019s scope, schedule, cost, quality, and risk, among others. Among other things, the project management plan may also include requirements and techniques for communication among stakeholders and key reviews by management. By developing a project management plan that is consistent with best practices, NRC would have more reasonable assurance that it is better managing its transition to electronic billing.", "Furthermore, Standards for Internal Control in the Federal Government also states that, in deciding what information is required to achieve objectives, management should consider the needs of both internal and external users. Additionally, we have previously identified common factors critical to successful information technology acquisitions. Among these factors are (1) involving end users and stakeholders in developing requirements and (2) including end users in testing of system functionality prior to formal end user acceptance testing. As NRC develops a project management plan, by involving licensees in developing system capabilities for electronic billing, which includes soliciting and considering licensees\u2019 information needs, the agency would have better assurance of a successful transition to electronic billing.", "Additionally, Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives. Control activities may include establishing performance measures and indicators and management reviews that compare actual performance to planned or expected results and analyze significant differences. As NRC develops a project management plan, including steps to assess the results of implementing electronic billing, which includes comparing actual performance of the new electronic billing system to planned results, would provide the agency more reasonable assurance that the project meets desired outcomes."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["NRC has recently implemented or plans to implement a number of changes to its billing process that\u2014if implemented as intended\u2014could address challenges that licensees identified in our interviews. However, additional steps could enhance NRC\u2019s efforts to improve its billing process. Licensees told us that they could use more detailed information, more timely information, and information in an electronic format. NRC has made more detailed information on staff charges available in biweekly reports and has developed a process to provide detailed information on contractor work, upon request from a licensee. NRC is also providing invoices in electronic format to some licensees, when requested. However, some licensees that would find the information on staff and contractor charges useful do not know that it is available, and some NRC staff are not aware that they can provide it or how to do so. Until NRC communicates to all licensees about what information is available and develops a policy and guidance for agency staff, the agency cannot ensure that it is providing quality information consistently.", "Further, NRC intends to take additional action toward improving its billing process and invoices by transitioning to electronic billing. As NRC moves forward with this project, developing a project management plan that is consistent with best practices, to include establishing plans for the project\u2019s schedule and cost, as well as involving licensees in developing the plan and assessing the results of implementation, will give the agency more reasonable assurance that it is better managing its transition to electronic billing and could help ensure that the project meets desired outcomes."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to NRC: The Chief Financial Officer of NRC should formally communicate to all licensees that supplemental billing information\u2014including biweekly reports and monthly status reports on contractor charges\u2014is available and how to request it. Formal communication that would reach all licensees could include adding information to their quarterly invoices. (Recommendation 1)", "The Chief Financial Officer of NRC should develop agency policy and guidance for staff on what billing information related to contractor charges NRC staff can provide to licensees and how it should be provided. (Recommendation 2)", "As NRC plans its transition to electronic billing, the Chief Financial Officer of NRC should develop a project plan that incorporates standards for project management, which includes establishing plans for schedule and cost. (Recommendation 3)", "In developing the project plan for electronic billing, the Chief Financial Officer of NRC should include steps to involve licensees in developing system capabilities, which includes soliciting and considering licensees\u2019 information needs. (Recommendation 4)", "In developing the project plan for electronic billing, the Chief Financial Officer of NRC should include steps to assess the results of implementing electronic billing, which includes comparing the actual performance to intended outcomes. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to NRC for review and comment. NRC provided written comments, which are reproduced in appendix I. In its written comments, NRC agreed with our findings and recommendations.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Chairman of the Nuclear Regulatory Commission, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hilary Benedict (Assistant Director), Wyatt R. Hundrup (Analyst in Charge), and Breanna Trexler made key contributions to this report. Also contributing to this report were Ellen Fried, Cindy Gilbert, Heather Keister, Benjamin Licht, Laurel Plume, Dan C. Royer, and Barbara Timmerman."], "subsections": []}]}], "fastfact": ["The Nuclear Regulatory Commission inspects and licenses nuclear power plants and other civilian uses of radioactive material. It charges licensees to recover the cost of these efforts. In fiscal 2016, for example, it collected about $321 million in related fees.", "We reviewed NRC's billing process and found it is taking steps to address problems that earlier audits and some licensees identified, such as a paper billing process that did not allow sufficient review time.", "We recommended, among other things, that NRC follow best practices to establish electronic billing and more fully communicate to licensees what billing information is available."]} {"id": "GAO-18-75", "url": "https://www.gao.gov/products/GAO-18-75", "title": "F-35 Aircraft Sustainment: DOD Needs to Address Challenges Affecting Readiness and Cost Transparency", "published_date": "2017-10-26T00:00:00", "released_date": "2017-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The F-35 aircraft represents the future of tactical aviation for the U.S. military, and is DOD's most expensive weapon system, with sustainment costs alone estimated at more than $1 trillion over a 60-year life cycle. As the F-35 program approaches full-rate production, DOD is working to deliver an affordable sustainment strategy that is able to meet the needs of the military services. This strategy is being tested as DOD stands up military depots, trains personnel, and supports its first operational squadrons\u2014with plans to establish multi-year, performance-based contracts by 2020.", "The National Defense Authorization Act for fiscal year 2017 includes a provision for GAO to review the F-35 program's sustainment support structure. This report assesses (1) the status of DOD's efforts to sustain the F-35 fleet and any challenges it has faced; (2) the extent to which DOD is positioned to enter into multi-year, performance-based F-35 sustainment contracts; and (3) the progress, if any, DOD has made toward reducing F-35 sustainment costs and the extent to which costs are transparent. GAO reviewed DOD and contractor documentation, analyzed data, and interviewed relevant officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) is sustaining over 250 F-35 aircraft (F-35) and plans to triple the fleet by the end of 2021, but is facing sustainment challenges that are affecting warfighter readiness (see table). These challenges are largely the result of sustainment plans that do not fully include key requirements or aligned (timely and sufficient) funding. DOD is taking steps to address some challenges, but without more comprehensive plans and aligned funding, DOD risks being unable to fully leverage the F-35's capabilities and sustain a rapidly expanding fleet.", "DOD's plan to enter into multi-year, performance-based F-35 sustainment contracts with the prime contractor has the potential to produce costs savings and other benefits, but DOD may not be well positioned to enter into such contracts by 2020. To date, DOD has not yet achieved its desired aircraft performance under pilot (i.e., trial) performance-based agreements with the prime contractor. In addition, the level of performance DOD has contracted for is generally below what the services desire (see figure 2 for Marine Corps example). Also, the three performance metrics DOD is using to incentivize the contractor under these pilot agreements may not be the appropriate metrics to achieve desired outcomes, in part because they are not fully reflective of processes for which the contractor has control. This can make it difficult for DOD to hold the contractor accountable. Further, due to system immaturity, DOD does not have full information on F-35 sustainment costs and technical characteristics such as reliability and maintainability, which could hinder its ability to effectively negotiate performance-based contracts with the contractor by 2020. Without examining whether it has the appropriate metrics to incentivize the contractor or a full understanding of the actual costs and technical characteristics of the aircraft before entering into multi-year, performance-based contracts, DOD risks overpaying the contractor for sustainment support that does not meet warfighter requirements.", "DOD has taken actions to reduce F-35 sustainment costs, but estimated life cycle costs have increased and are not fully transparent to the military services (see figure 3). Specifically, the services do not fully understand how the costs they are being charged by the program office are linked to the capabilities they are receiving, citing unexplained cost increases and difficulty in tracking their requirements to contracts. For example, the Marine Corps received an initial funding requirement for fiscal year 2017 sustainment of $293 million, which then increased to $364 million in the execution year. This lack of transparency is due in part to insufficient communication between the program office and the services, and it puts the services in a difficult position as they consider critical trade-offs that may make F-35 sustainment more affordable. Without improving communication with the services about the costs they are being charged, the services may not be able to effectively budget for long-term sustainment."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD revise sustainment plans, re-examine metrics and ensure that it has sufficient knowledge of costs and technical characteristics before entering into performance-based contracts, and improve communication with the services about sustainment costs. DOD concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The F-35 Lightning II aircraft (F-35) represents the future of tactical aviation for the Department of Defense (DOD), and is intended to replace a variety of legacy fighter aircraft in the Air Force, Navy, and Marine Corps. The F-35 is also DOD\u2019s most ambitious and costly weapon system in history, with sustainment costs alone for the three U.S. military services estimated at $1.12 trillion over a 60-year life cycle. These sustainment costs provide for requirements such as a supply chain for the delivery of spare parts, technical data to perform maintenance, engineering support, and other functions critical to support the fleet. The sustainment contract signed in fiscal year 2017 to support such requirements amounted to almost $1.1 billion. Because DOD has pursued a highly concurrent acquisition strategy for the F-35 with significant overlap among development, testing, and manufacturing activities, it must stretch its resources to meet the needs of continued system development and production while at the same time sustaining the more than 250 aircraft it has already fielded. As the F-35 program approaches planned milestones such as operational testing in 2018 and full-rate production in 2019, DOD is working to deliver a sustainment strategy that will be both affordable and able to meet the needs of the military services, its international partners, and the nearly 3,200 F-35 aircraft expected to be fielded globally over the life cycle of the program. This strategy is now being tested as DOD stands up military depots, trains personnel, and supports the first three operational F-35 squadrons, with an eye toward establishing multi-year, performance-based contracts with the prime contractor and rapidly expanding its fleet.", "In 2014, we reported that annual F-35 operating and support costs were estimated to be considerably higher than the combined annual costs of several legacy aircraft, and that while DOD had begun some cost-savings efforts and established sustainment affordability targets, DOD did not use the military services\u2019 budgets to set these targets. In 2016, we found that DOD faced risks that could affect the F-35\u2019s Autonomic Logistics Information System (ALIS)\u2014a complex system supporting operations, mission planning, supply-chain management, maintenance, and other processes. We recommended that DOD develop affordability constraints linked to the military services\u2019 budgets, develop a plan to address ALIS risks, and improve its sustainment cost estimates, among other things. The department generally concurred with our recommendations, and has taken some actions in response. See the Related GAO Products page at the end of this report for a list of our previous F-35 products.", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for us to review the sustainment support structure of the F-35 program. This report assesses (1) the status of DOD\u2019s efforts to sustain the F-35 fleet and any challenges it has faced; (2) the extent to which DOD is positioned to enter into multi-year performance-based F-35 sustainment contracts; and (3) the progress, if any, DOD has made toward reducing F-35 sustainment costs, and the extent to which costs are transparent to the military services.", "In support of these objectives, we gathered various data related to F-35 sustainment, such as supply chain and repair data and aircraft performance data. To determine the reliability of these data, we collected information on how the data were collected, managed, and used through a questionnaire and interviews with relevant DOD officials and the prime contractor. In our assessment, we identified some limitations in the way that certain data are collected and reported, such as data related to aircraft performance, aircraft that are not mission-capable due to supply issues, and parts cannibalization rates that could potentially result in inaccuracies. However, these data come from the program\u2019s data systems of record, and are the same data used by the program office and prime contractor to monitor the health of the supply chain and assess aircraft performance against contract requirements and program objectives. As such, they are the best source of data available to provide information on the progress and challenges within the program. We determined that the data presented in our findings were sufficiently reliable for how we reported them. Specifically, the parts cannibalization rates that we reported are consistent with the trends observed across other key data elements within the program, and with the testimonial evidence provided to us by the units with whom we met during our review, and they are sufficiently reliable to report as a data trend relative to program objectives. All other performance data presented in our report are sufficiently reliable to present as specific data points, in order to describe the status of sustainment requirements and measured aircraft performance across key metrics as reported by the prime contractor and DOD.", "To assess the status of DOD\u2019s efforts to sustain the F-35 fleet and any challenges it has faced, we reviewed DOD and contractor plans, briefings, and schedules to determine the current status of key requirements and decision points necessary to establish F-35 sustainment capabilities and compared actual data about F-35 repair and supply chain capabilities with DOD\u2019s objectives for these capabilities to identify areas of challenge for the program. Specifically, we obtained data on aircraft that were not mission-capable due to supply issues from January 2017 through August 7, 2017, and on average repair times as of May 2017, in order to provide the most recently available information about the health of the supply chain. As discussed above, we determined that these data were sufficiently reliable to present as specific data points. In addition, we identified key acquisition program management practices that can improve program outcomes if implemented, and we assessed DOD\u2019s sustainment planning efforts against these criteria.", "To assess the extent to which DOD is positioned to enter into multi-year performance-based F-35 sustainment contracts, we reviewed documentation related to DOD\u2019s pilot\u2014or trial\u2014 performance-based agreements for F-35 sustainment, reviewed performance management guidance and processes, and interviewed officials to determine how performance data were being collected and assessed. We also obtained aircraft performance data from the Sustainment Performance Management System for the 2016 pilot performance-based agreement (March 2016 \u2013 December 2016) and the 2017 pilot performance-based agreement (March 2017\u2013June 2017) to the extent available at the time we completed our audit work. These time periods are the only time periods for which the program office has assessed contractor performance under these pilot arrangements. As discussed above, we determined that these data were sufficiently reliable to present as specific data points. In addition, we reviewed aircraft maturity, reliability, and maintainability data, reviewed documentation related to cost visibility issues, and spoke to relevant officials to determine DOD\u2019s level of understanding of the costs and technical characteristics that will affect future sustainment support. Further, we reviewed DOD guidance and best practices to identify attributes of ideal performance metrics and effective performance-based agreements, and we used those attributes as a basis for determining whether DOD has the appropriate metrics to achieve desired outcomes, and the necessary information to effectively negotiate multi-year, fixed-price, performance-based contracts with the prime contractor by 2020, as planned.", "To assess the progress, if any, DOD has made toward reducing F-35 sustainment costs and the extent to which costs are transparent to the military services, we reviewed documentation related to cost-reduction efforts, sustainment contracts, F-35 cost-sharing rules, and budget documentation from both the program office and the military services. We also reviewed F-35 Joint Program Office sustainment cost estimates from fiscal year 2012 through fiscal year 2016 in order to identify changes made to the estimate since the program\u2019s sustainment cost baseline was established in 2012. The fiscal year 2016 sustainment cost estimate is the most current cost estimate conducted by the program office. In addition, we interviewed relevant officials from the program office and military services to discuss how the program office informs the military services of F-35 sustainment costs, and the degree to which the services understand these costs and the sustainment capabilities provided. We compared this information with program guidance, and with key operating principles for programs that involve multiple government customers identified in our prior work, in order to assess the transparency of F-35 sustainment costs for the military services. Appendix I describes our objectives, scope, and methodology in greater detail, including more information about our data reliability assessment and a complete list of the organizations with whom we met during this review.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The F-35 Lightning II program, also known as the Joint Strike Fighter program, is a joint, multinational acquisition intended to develop and field a family of next-generation strike fighter aircraft for the U.S. Air Force, Navy, and Marine Corps (hereinafter referred to as the services), eight international partners, and foreign military sales customers. There are three F-35 variants and each will be a multi-role, stealthy strike aircraft replacement for or complement to legacy fighter aircraft, as seen in figure 1."], "subsections": [{"section_title": "F-35 Milestones and Stakeholders", "paragraphs": ["DOD initiated the F-35 program in October 2001, and it is nearing the end of system development and preparing for operational testing. DOD has also been concurrently fielding and operating a growing fleet of aircraft as part of low-rate initial production. As of August 2017, 253 aircraft have been fielded and are flying from nine locations in the United States and three international locations. The Marine Corps and Air Force declared initial operational capability in 2015 and 2016, respectively, and the Navy is scheduled to declare initial operational capability in 2018. In 2019, DOD plans to begin full-rate production of the aircraft. See figure 2 for a timeline of major events and anticipated fleet growth in the F-35 program.", "By full-rate production, DOD would generally be required to establish adequate sustainment and support systems for the F-35. Per DOD guidance for weapon system acquisitions, these sustainment and support systems should be defined in a support concept that is incorporated into a sustainment strategy. For the F-35, this concept should comprise the necessary plans to conduct operations, maintenance, and sustainment throughout the system\u2019s life cycle, with the F-35 Life Cycle Sustainment Plan serving as the principal document governing F-35 sustainment. According to F-35 operational requirements, this concept must provide warfighting and peacetime capability with the lowest cost of ownership, and all variants must be able to deploy rapidly, sustain high mission reliability, and sustain a high sortie-generation rate.", "Sustainment for the F-35 aircraft is a large and complex undertaking with many stakeholders. The F-35 Joint Program Office is responsible for managing and overseeing the support functions required to field and maintain the readiness and operational capability of the F-35 aircraft across the enterprise. The F-35 program currently relies heavily on contractors to provide sustainment support and has two product support integrators. As the product support integrator for the aircraft system, Lockheed Martin is charged with integrating sustainment support for the system, including that for the F-35 supply chain, depot maintenance, and pilot and maintainer training, as well as providing engineering and technical support. Currently, DOD is contracting for sustainment support with Lockheed Martin largely through annual contracts, and according to F-35 program officials, plans to transition to 5-year, fixed-price, performance-based sustainment contracts in 2020.", "DOD has established a Hybrid Product Support Integrator organization\u2014 a collaboration of government and contractor organizations tasked with managing product support to meet the F-35 strategy and performance outcomes. This organization was initially established in 2016 as a part of the F-35 Joint Program Office, and is expected to be fully implemented by 2019. According to program officials, the establishment of the Hybrid Product Support Integrator is an acknowledgement that DOD needs to take a more significant role in providing sustainment support for the F-35. In addition, the U.S. Air Force, Navy, and Marine Corps have each established an F-35 integration office or cell focused on how the services will operate and afford the F-35, among other things."], "subsections": []}, {"section_title": "The F-35 Global Support Solution", "paragraphs": ["DOD is planning to meet the sustainment requirements of its F-35 customers by providing a common, global support solution. As part of this common solution, participants share critical aspects of sustainment support, some of which are discussed below, and which are in various stages of implementation to support the growing fleet.", "Depot maintenance: The F-35 sustainment strategy has a two-level maintenance concept, consisting of organizational-level maintenance performed by squadron-level personnel, and depot-level maintenance. Depot-level maintenance includes structural repair, software upgrades, engine system overhaul and repair, component repair, and other activities that require specialized skills, facilities, or tooling to conduct the repairs. DOD is establishing modification and repair capabilities at six military service depots in the United States and additional repair facilities overseas.", "Supply chain: All F-35 customers, including the U.S. military services and international partners, share a global pool of spare parts, which is managed by Lockheed Martin. According to program officials, these pooled assets are unique to the F-35 and include consumable and repairable spare parts for the airframe, support equipment, pilot flight equipment, and training devices. The services and international partners can also purchase packages of spare parts that are tailored to their individual deployment and shipboard operational requirements.", "Training: Currently, the F-35 program is conducting pilot and maintainer training at Eglin Air Force Base, Luke Air Force Base, Marine Corps Air Station Beaufort, and Naval Air Station Lemoore. The F-35 program\u2019s training system includes pilot and maintenance training devices and courseware that are tailored to multiple variants and services.", "Infrastructure: F-35 customers are responsible for setting up their own F-35 facilities\u2014hangars, training facilities, and depots, among other things\u2014and the program office works with them in a supporting role. Sustainment infrastructure requirements to support the F-35 are defined in a series of facility requirement documents that are updated and provided to all customers annually."], "subsections": []}, {"section_title": "F-35 Costs and Technical Characteristics", "paragraphs": ["Many of the costs of F-35 sustainment\u2014also known as operating and support costs\u2014are allocated across the military services and international partners based upon a number of factors, including the number of aircraft that each customer owns and their operational requirements. Such operating and support costs consist of sustainment costs incurred from the initial system deployment through the end-of-system operations, and they include all costs of operating, maintaining, and supporting a fielded system. The Office of the Director for Cost Assessment and Program Evaluation develops independent cost estimates for F-35 operating and support costs, which are reported in DOD\u2019s annual F-35 Selected Acquisition Report as the official operating and support cost estimates for the program. Additionally, the program office develops an annual estimate for the operating and support costs of maintaining and supporting the F- 35 over its 60-year life cycle, which can differ from the estimate conducted by the Office of the Director for Cost Assessment and Program Evaluation, due in part to differences in assumptions between the two estimates. Additionally, there are numerous factors that will affect life- cycle operating and support costs for the F-35, including aspects of the F- 35 program that are still maturing. These include the following:", "Reliability and maintainability: Reliability and maintainability data measure aircraft performance to determine how often the aircraft experiences failures and how much time it takes to repair those failures. These data are monitored through a series of metrics that measure the intended performance of the aircraft in meeting its requirements as it progresses toward maturity at a cumulative 200,000 flight hours, with at least 75,000 flight hours each for the F- 35A and F-35B, and 50,000 flight hours for the F-35C. Reliability and maintainability drive sortie-generation rates and the size of the logistics footprint for the F-35, as well as inform program operating and support costs, which are tied to the performance of the system at maturity.", "Technical data: Technical data for weapon systems include the details necessary to ensure the adequacy of performance, as well as instruction, maintenance, and other actions needed to support weapon systems. Technical data constitute an important part of a weapon system program, such as the F-35. Identifying technical data needs, costs, and ownership are essential for DOD to effectively consider and maximize competition for future product support of F-35 sustainment."], "subsections": []}]}, {"section_title": "DOD Is Currently Sustaining More Than 250 F-35 Aircraft, but Insufficient Planning Has Led to Significant Challenges That Pose Risk to Its Growing Fleet", "paragraphs": [], "subsections": [{"section_title": "DOD Is Sustaining More Than 250 F-35 Aircraft, but Faces Significant Challenges That Are Affecting Readiness", "paragraphs": ["DOD has currently fielded and is sustaining more than 250 F-35 aircraft, and the number is expected to triple by the end of 2021 and keep growing as the program moves into full-rate production. DOD has also supported significant F-35 milestones such as the initial operational capability declarations of the Marine Corps and Air Force in 2015 and 2016, respectively, and the transfer of an operational squadron to Japan in early 2017. As a fifth generation aircraft, the F-35 is intended to improve situational awareness through sensor fusion and will enhance the ability of legacy aircraft to conduct various missions while flying together with it. The F-35 was also designed with increased stealth capabilities, the capacity to carry weapons internally instead of externally to reduce drag and enable stealth, and advanced sensor systems. In particular, the aircraft is designed to execute missions in high-threat areas, requiring fewer support assets and possessing a greater survivability rate as compared with fourth generation aircraft such as the Air Force\u2019s F-16s and the Navy\u2019s and Marine Corps\u2019 F/A-18s. Squadron officials at multiple F-35 locations that we visited expressed enthusiasm for the unique capabilities of the aircraft, such as the increased situational awareness that the F-35 provides pilots relative to legacy aircraft and the relative ease with which pilots are able to learn how to employ its tactical capabilities. They also noted improvement in the performance of the aircraft as it has been continuously developed.", "However, DOD is facing several key sustainment challenges that pose risks to its ability to meet current and future warfighter readiness requirements, and these could limit the ability of the military services to fully leverage the capabilities of the aircraft. Table 1 summarizes these challenges, which are largely attributable to insufficient planning, as discussed in more detail below.", "Repair capacity: DOD does not have enough capacity to repair F-35 aircraft parts because the establishment of repair capabilities at the military depots is 6 years behind schedule. There are many different components of the F-35 aircraft that DOD plans to repair at the six military depots within the United States, as documented in an F-35 Depot Implementation Plan. Repair capabilities at the military depots were originally planned to be completed by 2016, but program officials told us that some capabilities have now been delayed until 2022. Program officials in part attributed these delays to the military services not providing enough funding for depot requirements; however, service officials told us that the program office did not clearly identify some depot requirements in a timely manner necessary for the services to fund those requirements.", "In addition, DOD did not plan for and fund the stocks of material needed to repair parts at the depots\u2014referred to as \u201clay-in material.\u201d Program officials said that they had incorrectly assumed that lay-in material would be included as part of the contracts for establishing repair capabilities at the military depots. As a result, DOD has had to fund and negotiate additional contracts with the prime contractor for the lay-in material. Currently, moreover, due in part to the late identification of requirements and funding, the lay-in material to support repairs for more than a dozen different aircraft components is not expected to be delivered to the depots until months\u2014or in some cases, years\u2014after the technical capabilities to conduct the repairs have been established. As seen in figure 3, for certain F-35 parts, these delays have resulted in repair times that are significantly longer than those the program had projected, leading to repair backlogs. According to prime contractor officials, because of these capacity shortfalls, DOD is currently relying on the original equipment manufacturers to repair parts, but the capacity of these manufacturers is already strained by requirements to produce the parts needed to support aircraft production.", "Program officials said that establishing the depot repair capabilities is now the F-35 Joint Program Office Product Support Manager\u2019s top priority. As such, the program is working to implement several different initiatives to accelerate the development of repair capabilities, including trying to better align lay-in material requirements with the activation of repair capabilities, prioritizing the establishment of certain repair capabilities to align with the readiness requirements of the fleet, and looking at options to decrease the amount of time that it takes to establish repair capabilities for each component line. However, program officials said that plans are still preliminary, and that they are unsure how much funding will be available to implement these initiatives.", "Spare parts: DOD is experiencing shortages of spare parts in the F-35 supply chain, resulting in lower than expected readiness. From January through August 7, 2017, the prime contractor reported that the average percentage of time that F-35 aircraft were unable to fly because they were awaiting parts was about 22 percent\u2014more than double that of DOD\u2019s objective of 10 percent, as seen in figure 4.", "According to program office and contractor officials, the shortages of spare parts are due in part to the delays in the establishment of depot repair capabilities, incomplete plans and funding that did not account for the long lead time for parts, insufficient amounts of service funding, and poor reliability of certain parts. For instance, 19 percent of F-35 parts have a lead time of more than 2 years. The 2 to 3 years that it takes to procure these parts includes both a lengthy period for contracting and a period for the production of the parts once contracts have been established. However, program office and military service officials told us that the timing of prior service funding authorizations and contract awards did not account for this long lead time to procure parts, resulting in parts that were late to meet the military services\u2019 operational needs. According to DOD officials, the parts within the F-35 global pool of spare parts are unique to the F-35 system and generally cannot be obtained from other sources.", "The program office and prime contractor have identified steps needed to increase the availability of spare parts to prevent these challenges from worsening as the number of aircraft in the fleet grows, such as improving the production and repair capacity of suppliers and aligning the timing of the military services\u2019 funding authorizations with the required lead time for parts. However, according to DOD documentation, planned funding and contract awards for fiscal years 2018 and 2019 are still forecasted to be later than needed to meet demand for new parts, and the program\u2019s ability to accelerate this timeline is uncertain. Thus, parts shortages are expected to continue for several years and may worsen if DOD and the contractor are not able to fully implement these actions."], "subsections": [{"section_title": "DOD Has Not Fully Defined Future Technical Data Needs, and Some Technical Data Are Immature", "paragraphs": ["DOD has not fully defined all of the technical data it needs from the prime contractor to maximize the potential for future competition of contracts among providers for sustainment requirements, nor does it know the associated costs of these data. In 2014, we recommended that the program office develop a long-term Intellectual Property Strategy to include the identification of all critical technical data needs and their associated costs. As of September 2017, the program has taken some steps to develop an Intellectual Property Strategy, but it has not identified all critical needs and their associated costs. Program officials said that they are currently working with the prime contractor to develop a list of technical data requirements. Program officials said that once this effort is complete, DOD will be in position to begin prioritizing and negotiating for specific data rights that the program needs to facilitate its sustainment plans. Officials acknowledged, however, that there is risk associated with efforts to obtain required technical data rights for F-35 sustainment to promote increased competition because the contractors may not be willing to provide these rights, or the costs may be too high. They also told us that the program office deals with such risks on a case-by-case basis, and that if a data right needed by the program office to implement the sustainment strategy cannot be obtained, then plans will have to be adjusted accordingly. Program officials said that, in some cases, they will likely have to make legal claims against the prime contractor\u2019s technical data rights assertions, based on government funding of such products.", "Moreover, the technical data needed to repair F-35 aircraft, such as maintenance instructions, are still not fully developed. According to contractor officials, the contractor and DOD have developed and verified more than 84 percent of the unit-level technical data needed to address known maintenance requirements, such as instructions for how to replace specific parts on the aircraft. However, according to program and contractor officials, the technical data needed for maintainers to troubleshoot issues with the aircraft are lagging behind planned development. Such data are intended to help maintainers when the source of a maintenance issue is unclear, by providing guidance on the actions needed to isolate the most likely problems. In the absence of troubleshooting instructions, maintainers sometimes incorrectly identify what needs to be fixed on the aircraft. For instance, officials from one squadron said that the troubleshooting data are sometimes insufficient to pinpoint the issue with the aircraft, which can lead the maintainer to remove a component, order a new part from the contractor, and subsequently find that the new part does not fix the issue\u2014a scenario that is both inefficient and costly. According to program and contractor officials, the immaturity of technical data for troubleshooting maintenance issues could be contributing to the high rate of parts that the F-35 squadrons are sending to the depots for repair that do not actually need to be repaired, resulting in inefficiencies at the depots. For example, officials at one depot we visited said that 68 percent of the parts they receive from F-35 squadrons do not need to be repaired and that the process for testing such parts usually takes nearly 10 hours to complete, which is both inefficient and can add to repair backlogs."], "subsections": []}, {"section_title": "DOD Has Not Developed a Plan for Intermediate-level Maintenance Capabilities", "paragraphs": ["The Navy and Marine Corps require intermediate-level maintenance capabilities for shipboard deployments because it is more difficult and time-consuming to obtain spare parts, or to send parts to the depots for repair, when onboard a ship. DOD has been conducting analyses to support the requirement and has recently identified the initial intermediate-level repair capabilities that it plans to implement, including select avionics, support equipment, and hydraulic repairs. These decisions will trigger other requirements and related costs that must be planned for\u2014such as for personnel, technical data, support equipment, and updates to policies governing the maintenance of spare parts\u2014 before the capability can be implemented. For example, program officials told us that once determinations are made about intermediate-level maintenance, the program will have to develop a plan that specifies what technical data rights are needed, and when, to facilitate intermediate-level maintenance, and will then have to negotiate with the contractor to obtain those technical data rights. In August 2017, the program office identified new funding requirements for DOD to implement initial intermediate-level maintenance capabilities for fiscal years 2019 through 2023. However, these requirements are not currently funded in DOD\u2019s budget, leaving a projected shortfall of $267 million over this time period.", "Because a funded plan for intermediate-level maintenance is not yet in place, the Marine Corps will not have the desired level of intermediate- level maintenance capabilities for its initial shipboard deployments planned for 2018. Accordingly, it will be highly reliant on the currently challenged F-35 supply chain and depot repair capabilities for support, and will likely experience degraded readiness. In addition, without such a plan, it is unclear whether such capabilities will be available to support the Navy\u2019s first planned F-35 shipboard deployments in 2021."], "subsections": []}, {"section_title": "DOD Faces Delays in Required ALIS Development, and Its Development Plan Is Not Fully Funded", "paragraphs": ["Central to F-35 sustainment is the Autonomic Logistics Information System (ALIS)\u2014a complex system supporting operations, mission planning, supply-chain management, maintenance, and other processes. However, ALIS is in continuous development, with planned updates that support required sustainment capabilities for years to come. For example, future versions of ALIS are intended to improve data collection and reporting, and to provide capabilities to support intermediate-level maintenance. Historically, ALIS has experienced delays. For instance, an ALIS version that was initially planned to be completed for testing in 2010, is now being tested in 2017. In 2016 we found that DOD did not have a plan to ensure that ALIS was fully functional as key program milestones approached, and we recommended that DOD develop a plan to prioritize and address ALIS risks. Since that time, the program office has implemented this recommendation through the development of an ALIS Technical Roadmap to plan for these requirements. However, emerging requirements, such as to address cyber security vulnerabilities and system obsolescence, will likely lead to changes in the Roadmap that could further delay the date when these sustainment capabilities are provided. Furthermore, the requirements and associated timelines for ALIS development that are identified in this plan may not be realistic because the requirements are not fully funded in upcoming service budgets, resulting in additional risks to the program\u2019s plan."], "subsections": []}]}, {"section_title": "DOD\u2019s Sustainment Plans Do Not Fully Include Key Requirements, Associated Timelines, and Aligned Funding, but Some Initial Steps Are Being Taken", "paragraphs": ["As discussed above, DOD\u2019s challenges are due in large part to sustainment plans that do not fully include key requirements, associated timelines, and aligned (that is, timely and sufficient) funding to support those requirements. F-35 program stakeholders have long recognized the program\u2019s need for more comprehensive and detailed planning documents to identify the key activities and decision points necessary to establish sustainment capabilities and guide the F-35 sustainment strategy. For instance, in 2009 an Independent Logistics Assessment team recommended, among other things, that DOD develop a program- wide integrated master schedule that includes key governmental activities and tasks necessary to establish F-35 logistics capabilities required through full-rate production, but the program did not develop such a tool. In 2014 the program office identified the need to establish a road map with clear decision points to prepare the F-35 enterprise for long-term sustainment. Finally, in December 2016 the Under Secretary of Defense for Acquisition, Technology, and Logistics directed the program office to submit an integrated master schedule for the deployment of global F-35 sustainment capabilities by January 2017, which is not yet completed.", "Program officials said that they are now developing an integrated master schedule, and that this schedule will incorporate major sustainment milestones required to implement the program\u2019s sustainment strategy. DOD is also updating sustainment strategy documents, including the F-35 Life Cycle Sustainment Plan and Acquisition Strategy, to include an Intellectual Property Strategy. However, the timeframes for completion of these documents are uncertain, in part due to ongoing DOD efforts to refine its follow-on modernization plans for the F-35, which will affect the sustainment plans. Thus, the scope and the degree to which these updates will address the challenges that DOD is facing are unclear. For instance, an Office of the Secretary of Defense official charged with reviewing these plans said that there is still significant work to be done by the military services and the program office to identify and align sustainment requirements with funding in order to support the fiscal year 2019 budget process, which will ultimately be necessary to inform these plans. Military service headquarters officials told us that, as customers of the program, they need to better understand from the program office when sustainment capabilities\u2014such as military depots\u2014will be established, and when associated funding is needed to support that schedule. In August 2017, the program office identified some specific funding requirements for the military services, beyond what they have already budgeted for F-35 sustainment, which are needed to address some of the sustainment challenges discussed above\u2014including spare parts shortages, gaps in depot lay-in material, and ALIS development. While this is a positive step by the program office, it also demonstrates that DOD faces a funding shortage of approximately $1.5 billion between fiscal years 2018 and 2023 for F-35 sustainment, as well as significant readiness risks associated with this lack of alignment between requirements and funding.", "The different elements of F-35 sustainment support are highly integrated, and challenges or delays in one area can significantly affect outcomes in other areas. For example, the delays in established repair capacity at the depots constitute one of the reasons why the program has an insufficient supply of spare parts. Procurement decisions can also significantly affect sustainment outcomes. The Air Force and Marine Corps are considering an acceleration of their purchases of F-35 aircraft, thus creating more demand on the already strained sustainment enterprise, for which DOD has not always provided timely funding (for example, funding for spare parts).", "Our prior work on acquisition program management has identified a number of key program management practices that can improve program outcomes if implemented, such as clearly establishing well-defined requirements, developing realistic cost estimates and schedules, and securing stable funding that matches resources to requirements. As DOD prepares for the growth of the fleet and attempts to address existing sustainment challenges, its effort to develop an integrated master schedule is a positive step. Such a schedule, if comprehensive and realistic, could be a critical tool to guide the revision of DOD\u2019s sustainment plans to better ensure that the plans that form the basis of its strategy are sufficient to meet warfighter requirements. Ultimately, however, without plans that include all key requirements and decision points with aligned funding, the F-35 program will likely face continual challenges in providing timely sustainment support to the warfighter, and may have difficulties in fully implementing its F-35 sustainment strategy in time to meet the needs of a growing fleet. Further, as the services consider accelerating their purchases of F-35 aircraft, DOD risks purchasing aircraft that the program and the services are not ready to sustain."], "subsections": []}]}, {"section_title": "DOD Is Testing Agreements with the Contractor but May Not Be Well Positioned to Enter into Multi-year, Performance-based Sustainment Contracts by 2020", "paragraphs": [], "subsections": [{"section_title": "DOD Is Testing Performance-based Agreements to Incentivize the Prime Contractor", "paragraphs": ["DOD is conducting pilot\u2014or trial\u2014performance-based agreements with the prime contractor as a part of its annual cost-reimbursable sustainment contracts, in order to test metrics and performance-management processes. According to F-35 program officials, DOD plans to transition to multi-year, fixed-price, performance-based contracts in fiscal year 2020. Performance-based logistics is a support strategy that emphasizes performance in contracts, rather than delivery of goods and services, and payment is related to the degree to which performance meets contracted standards. In 2012, the Under Secretary of Defense for Acquisition, Technology, and Logistics directed an increased use of performance- based logistics agreements, stating that such agreements can yield significant cost and performance benefits if effectively implemented.", "DOD has developed a series of performance objectives to provide insight into the level of sustainment support that the prime contractor is providing to the military services. From these objectives, DOD has selected three system-level metrics, listed below, to incentivize the contractor under the pilot performance-based agreements:", "Air Vehicle Availability (AVA): measures the percentage of total time during which aircraft are safe to fly, available for use, and able to perform at least one tasked mission;", "Full Mission Capable (FMC): measures the percentage of time during which aircraft are fully capable of accomplishing all tasked missions;", "Mission Effectiveness (ME): measures the extent to which the F-35 components and mission systems affected the successful completion of each assigned mission.", "In these pilot agreements, DOD and the contractor together negotiated minimum and objective targets against which the performance of the aircraft\u2014and the support provided by the contractor to enable that performance\u2014is measured. For fiscal years 2016 and 2017, these agreements were 1-year, cost-reimbursable contracts with potential incentives for the contractor based on assessed performance of the aircraft across the three system-level metrics. According to F-35 program officials and documentation we reviewed, DOD plans to establish a 2-year contract for fiscal years 2018 through 2019, with select elements that are performance-based, in preparation to transition to a 5- year, fixed-price, performance-based contract for the 2020\u20142024 time period. Program officials said that this 5-year contract is planned to include 2 base years and 3 pre-negotiated option years."], "subsections": []}, {"section_title": "DOD Has Not Achieved Most of Its Performance Targets for the Pilot Agreements and May Not Be Using the Appropriate Metrics to Achieve Desired Outcomes", "paragraphs": [], "subsections": [{"section_title": "DOD Has Not Achieved Most of Its Performance Targets", "paragraphs": ["DOD did not achieve most of the performance targets that it set for the pilot performance-based agreements for the 2016 sustainment contract. Subsequently, DOD negotiated lower targets for some metrics in the 2017 sustainment contract. As of June 2017, DOD was meeting several of the minimum targets established in the 2017 sustainment contract, but none of the objective targets. According to program and contractor officials, the failure to meet these targets is largely due to the sustainment challenges that we discussed previously in this report. For example, the limited availability of spare parts within the F-35 supply chain is contributing to lower than expected AVA and FMC rates. Figure 5 below shows the actual fleet performance results for the 2016 and 2017 (through June 2017) pilot performance-based agreements. The 2016 pilot performance- based agreement began in March 2016 and spanned a 10-month period, through December 2016. The 2017 agreement began in March 2017, and program officials said that it is expected to continue through February 2018.", "Furthermore, the performance targets established in the sustainment contracts for the pilot performance-based agreements are lower than the desired aircraft performance targets that the services have identified for their aircraft. As part of the pilot performance-based agreements, each of the military services has established individual agreements with the program office that identify their respective required levels of minimum and objective aircraft performance for their units, across key metrics. Program officials said that while they try to meet the services\u2019 performance requirements when negotiating the contracts, the agreements with the services are not binding. The performance targets that have been negotiated on the sustainment contracts are generally lower than those required by the services. For instance, the Marine Corps established a minimum performance target for non-deployed units of 60 percent FMC aircraft for 2017, but the minimum target established in the contract for that same metric was 14 percent. Similarly, the Air Force identified a minimum performance target for non-deployed units of 65 percent AVA, but the minimum target established in the contract for that same metric was 52 percent. Program officials said that the costs of meeting the services\u2019 performance requirements would be too high given the current supply chain challenges across the fleet. Figure 6 shows the differences between the performance targets required by the Marine Corps and those that DOD was able to negotiate under the pilot performance-based agreement in 2017.", "DOD may not be using the appropriate metrics under the pilot performance-based agreements to achieve desired outcomes. DOD guidance states that optimal performance-based contracts use objective, measurable, and manageable metrics that accurately assess the support provider\u2019s performance against the delivery of targeted warfighter outcomes. It also defines ideal metrics as those that are, among other things: (1) reflective of processes over which the contractor has control, and (2) able to motivate desired behavior. We found the following:", "The contractor does not have full control over the performance outcomes for which it is paid: The system-level metrics that the prime contractor is being assessed against are not fully reflective of processes over which the contractor has control, because actions that the F-35 squadrons take when maintaining or operating the aircraft affect the metric outcomes being measured. For example, a contractor official at one site that we visited cited an instance when a military service maintainer towed an aircraft into a hangar and broke a surface panel, resulting in the aircraft not being able to fly for 60 days because there was no surface panel replacement available in the supply chain. Thus, the contractor could be held accountable for a lack of performance that the customer created. Conversely, to keep aircraft flying, military service maintainers have taken actions that mask contractor failures to provide support\u2014for example, cannibalizing parts from other aircraft at rates significantly higher than DOD intends, based on data provided by the prime contractor and shown in figure 7. Because the contractor does not fully control the outcomes for which it is being assessed, prime contractor and military service officials said that contentious negotiations have occurred at times about how to assign responsibility for performance. This ultimately makes it difficult for DOD to hold the contractor accountable. Further, one of the three system-level metrics\u2014Mission Effectiveness\u2014is assessed by pilots subjectively after each flight. Some pilots and service officials whom we spoke to said that different pilots may make differing determinations about the effectiveness of the mission, which could affect the measured performance outcomes.", "DOD has established performance review groups to review and reconcile data in instances where the contractor does not believe that it should be held responsible for certain metric outcomes, but this process requires both DOD and the contractor to make subjective determinations about the root causes of particular performance failures in order to determine whether the contractor or the military services are to blame. Figure 8 shows how this reconciliation process can result in adjustments to the measured performance data when assessing the level of support provided by the contractor. Under the pilot performance-based agreements, the reconciled data points serve as the basis for calculating contractor incentive fees.", "Additionally, DOD is working to implement agreements that define lower- level metrics for which the military services will be held responsible, such as defining how long it should take for maintainers to conduct maintenance, but these agreements have not yet been fully implemented. Ultimately, service officials told us that the complexity of these adjudication efforts indicates that DOD may not be holding the contractor accountable for the appropriate metrics.", "Current metrics may not motivate the desired behaviors from all stakeholders. The current metrics may not consistently motivate the necessary behaviors from all stakeholders to either achieve desired warfighter outcomes or meet the current metrics on contract. For example, DOD has established AVA as its primary metric, and it provides greater incentive fees to the contractor for meeting the AVA targets as compared with the other two metrics. However, Marine Corps and Navy officials told us that FMC aircraft are more important for operational deployments, as they represent aircraft that are ready for war. DOD\u2019s performance-based logistics guidance states that it is important to exercise caution when selecting a combination of metrics, to ensure that they do not create undesirable conflicts. The achievement of the AVA and FMC metrics may at times be in conflict with one another. For instance, according to contractor and program officials, an aircraft is still considered to be available if its low observable\u2014or stealth\u2014systems are not working, but for it to be considered a fully-mission capable aircraft, a military service would have to ground the aircraft for several days to repair the low observable system. Contractor officials have also expressed concern that the metrics they are being paid for may not be as important to the services as other factors\u2014such as achievement of flying hours or the ability to train pilots\u2014and that this could affect whether the services will take all necessary actions to meet the targets for which the contractor is paid. Officials from a training unit we visited said that they were focused on training pilots, not on achieving the metric targets identified in the contract. This unit was able to exceed its required flight hours to support pilot training in April 2017, even though the performance of its aircraft fell well below desired Marine Corps performance levels for AVA and FMC.", "Program office and contractor officials noted that pilot performance-based agreements were put in place to gather lessons learned and ensure that DOD has the appropriate metrics before entering into 5-year, fixed-price contracts. However, contractor officials said that the performance review process does not include a step to review how the metrics are driving behaviors or to determine whether DOD has the appropriate metrics in place, and they suggested that a more robust effort to consider lessons learned from the pilot agreements is needed. Service officials have suggested that incentivizing simpler metrics that focus on individual aspects of F-35 sustainment for which the contractor has more control\u2014 such as supply chain responsiveness or depot-level repair\u2014instead of system-level performance metrics may be more appropriate. Without reexamining the metrics to ensure that they are objectively measurable, reflective of processes that the contractor can control, and able to motivate desired behaviors, DOD may not be well positioned to accurately assess contractor performance or achieve optimal outcomes across future performance-based sustainment contracts that will likely cost tens of billions of dollars."], "subsections": []}]}, {"section_title": "DOD Does Not Yet Have Full Information on F-35 Sustainment Costs or Technical Aircraft Characteristics", "paragraphs": ["DOD does not yet have full information on F-35 sustainment costs or technical characteristics such as reliability and maintainability, and this could pose risks to its ability to effectively negotiate 5-year, fixed-price performance-based contracts with the prime contractor by 2020. Although DOD has fielded more than 250 aircraft, the aircraft system remains immature. DOD has established a target for system maturity of 200,000 total flight hours, with minimum flight hours for each variant. DOD reached 100,000 total F-35 flight hours in July 2017, and it does not expect to reach its maturity targets for all variants until fiscal year 2024.", "Specifically, we found that DOD does not have full visibility into the actual costs for some key sustainment requirements that are considered cost- drivers within the program, such as the actual costs of parts and repairs. Given the immaturity of the system, DOD has relied on projected parts reliability and pricing to formulate cost estimates, but officials said that actual costs are needed to improve both their confidence in the estimates and their understanding of how cost is related to performance. There is potential for the actual costs of sustainment requirements to change significantly from initial projections. For instance, the costs of initial spare parts over the life cycle increased by $447 million in the program\u2019s estimate from the 2014 estimate to the 2015 estimate, due largely to increases in unit prices from those initially projected. According to program officials, their understanding of actual costs is limited in part because of the immaturity of the system. Program officials said that they are taking steps to obtain more actual cost information as the aircraft matures, and to determine how much repairs should cost, in order to better position themselves for contract negotiations. However, in addition to system immaturity, program officials said that they are experiencing challenges in obtaining important details about existing cost data needed to inform their cost models from the contractor, such as the costs of the individual parts and repairs that the contractor purchases from its suppliers.", "Further, we found that there are a number of technical aspects of the aircraft that are immature or uncertain. While the F-35 is meeting expectations for some measurements of reliability and maintainability, other measurements are still lagging behind operational requirements. For example, aircraft are experiencing failures that result in the loss of a capability to perform a mission-essential function at more than twice the rate expected across all variants. Mean repair times for critical components that fail are also more than twice as long as the operational requirements dictate. Additionally, the significant software releases required to complete F-35 system development\u2014referred to as Block 3F\u2014are planned to be tested and released in 2017. However in April 2017 we reported that the program\u2019s schedule for completion of Block 3F and associated testing would likely be delayed due in part to software issues and system instability. Additionally, as of June 2017, the DOD Office of the Director for Operational Test and Evaluation predicted that required initial operational test and evaluation for Block 3F would likely not begin until late 2018 or early 2019. According to operational testing officials, such software releases can lead to different reliability and maintainability issues than were previously known, as the aircraft becomes capable of flying at higher speeds and altitudes. According to these officials, there would be inherent risk in signing a fixed-price, performance-based contract before the reliability and maintainability data for Block 3F are more fully known, as those data will influence how much aircraft performance should cost at maturity.", "DOD guidance states that in order for performance-based arrangements to be effective, the government must clearly understand program requirements, costs, and technical characteristics; and that systems should achieve a level of maturity and design stability. Program officials said they believe that DOD can gain sufficient knowledge of the costs and technical characteristics of the aircraft prior to 2020, and that they will seek to write options into the multi-year, performance-based contract if there are still risks that need to be mitigated. However, program officials said that the program office has not established criteria addressing the extent of the cost and technical data that it will require prior to entering into the planned agreements. While the program still has a few years until that date, program officials said that the process to develop this contract is expected to begin in late 2017. In April 2017 we reported on the risks of moving forward with additional F-35 program development before DOD has a full understanding of the aircraft\u2019s baseline Block 3F capabilities, specifically citing difficulties in presenting a sound business case for soliciting contractor proposals without such knowledge. The program office could face similar challenges preparing for a fixed-price, performance-based sustainment contract amid existing uncertainty.", "Without a full understanding of F-35 costs and technical characteristics at maturity, DOD may not be well positioned to accurately determine how much fleet performance should cost over a 5-year, fixed-price, performance-based contract, and thus may be at risk of overpaying the contractor while not receiving the expected level of sustainment support."], "subsections": []}]}, {"section_title": "DOD Has Taken Some Actions Aimed at Reducing F-35 Sustainment Costs, but These Costs Continue to Rise and Are Not Fully Transparent to the Military Services", "paragraphs": [], "subsections": [{"section_title": "DOD Has Undertaken Some Initiatives to Reduce Rising F-35 Sustainment Costs but Has Not Established Affordability Constraints Based on the Military Services\u2019 Budgets", "paragraphs": ["DOD has taken some actions to try to reduce estimated sustainment costs for F-35 operating and support, which, according to the program office\u2019s fiscal year 2016 cost estimate, are projected to cost $1.06 trillion in then-year dollars (see figure 9 below). For example, the program office has established a Cost War Room to identify and implement cost- reduction initiatives with the goal of reducing the program office\u2019s 2012 operating and support cost estimate by 30 percent by 2022. These initiatives include updating assumptions about fuel usage, among others. According to program documentation, such efforts are projected to result in a cost avoidance of $60.7 billion. The program office also has an effort targeted at improving reliability and maintainability of F-35 components. As of May 2017, the program office had completed 38 improvement projects that are expected to result in $1.7 billion in operating and support cost avoidance. However, at the same time, the projected operating and support costs estimated by the program office have increased from fiscal year 2012 to fiscal year 2016, due to an increase in projected flying hours, an extension of the aircraft\u2019s life cycle from 56 to 60 years, and refinements to the cost models, among other factors. Figure 9 shows the increase to the program office\u2019s life cycle operating and support cost estimate since fiscal year 2012.", "In addition, DOD has not established affordability constraints for the F-35 program that are linked to the military services\u2019 budgets, as we recommended in September 2014. In our prior work, we found that the program\u2019s affordability targets may not be reflective of what the services can actually afford because it did not use the military services\u2019 budgets to establish the targets. At that time, the annual F-35 operating and support costs were estimated to be considerably higher than the combined annual costs of several legacy aircraft, and according to DOD officials, the sustainment strategy was not affordable. We recommended that DOD establish affordability targets linked to the services\u2019 budgets, because without such targets DOD cannot be sure whether the cost savings they are pursuing will lead to an affordable sustainment strategy. The department concurred with this recommendation but has not taken specific action on it at the program level. We made this a priority recommendation for DOD in July 2017. The Senate Armed Services Committee also directed DOD to provide it with a plan for improving the transparency and affordability of the F-35 sustainment strategy, to include identifying affordability constraints linked to, and informed by, the military services\u2019 budgets. The Marine Corps has recently taken steps to develop budget-based affordability targets for their portion of F-35 sustainment costs. The Marine Corps identified the need to reduce steady-state sustainment costs per aircraft by at least 20 percent through cost modeling efforts and budget analysis, and Marine Corps officials said they believe that such a reduction would make the program affordable for the Marine Corps. Marine Corps officials stated that to achieve such reductions, they are exploring options to reduce costs\u2014such as transitioning maintenance tasks from depots to operational units, and revising sustainment support personnel requirements\u2014in coordination with the program office and prime contractor. The program office could use this service target to inform the establishment of program-level affordability constraints.", "As previously discussed, the program is experiencing sustainment challenges due in part to some requirements not being fully funded, and this could present a continued risk going forward if sustainment for the F- 35 is not affordable within the services\u2019 budgets. Program officials also told us that if the services cannot fully fund sustainment requirements, DOD will have to prioritize funding and defer requirements to later years. However, given the F-35\u2019s global sustainment strategy of providing support across the military services and the international partners through shared pools of funding, a single customer that cannot fully fund requirements may affect the ability of DOD and the contractor to provide adequate sustainment support across the global F-35 fleet."], "subsections": []}, {"section_title": "Actual F-35 Sustainment Costs Are Not Fully Transparent to the Military Services", "paragraphs": ["F-35 actual sustainment costs that are being charged by the program office to the military services, as well as the capabilities associated with those costs, are not fully transparent to the services. In addition to estimating projected costs for F-35 sustainment over the aircraft\u2019s life cycle as described above, the program office also calculates the actual F- 35 sustainment costs that will be charged to the military services on an annual basis. To determine these actual sustainment costs, the military services first submit their F-35 sustainment capability requirements to the program office for approval. The program office approves requirements as a basis for its annual life-cycle operating and support cost estimate, which is used to provide each of the military services with an estimate for their respective portion of F-35 sustainment costs to support the services\u2019 budget planning process. The program office then negotiates with the prime contractor the level of support the contractor will provide to meet service sustainment requirements. It is at this point that the program office informs the services of the actual costs that they will be charged for contracted sustainment. According to program officials, the contracted level of support may not include all the requirements initially submitted by the military services for a given contract period, and the associated costs of the contract services may not align with initial estimates given to the military services, because support is negotiated between the program office and the prime contractor.", "Air Force, Navy, and Marine Corps officials told us that they do not fully understand how the actual costs that they are charged by the program office for F-35 sustainment are clearly linked to the capabilities that they are receiving. They cited issues related to unexplained cost increases, difficulty in tracking their requirements to the contracts, and concerns about how to track their dollars to shared pools of sustainment assets, as discussed in detail below.", "Unexplained or unexpected growth in actual sustainment costs: Service headquarters officials cited concerns about unexplained or unexpected growth in sustainment costs, particularly between the cost estimate that they were quoted for budget planning purposes and what they are actually charged by the program office in the budget execution year. For example, according to program documentation, the Marine Corps was initially given a funding requirement for fiscal year 2017 sustainment support of $293 million, which then increased to $364 million in the execution year, largely due to increases in contractor personnel costs. Marine Corps officials said that the reasons behind this growth in personnel costs were not clearly substantiated for the Marine Corps by the program office. In order to afford these increased costs for sustainment support, Marine Corps officials said that the Marine Corps had to reduce its planned flying hours. In another instance, documents provided by the Navy show that the program office increased the cost of the Navy\u2019s and Marine Corps\u2019 combined spare parts requirements for fiscal year 2017 from an original estimate of $261 million to $402 million over the course of the execution year. In addition, service officials told us that they sometimes become aware of the growth in sustainment costs late in the services\u2019 budgeting process, making it difficult for them to find additional funding for such changes.", "Tracking requirements to negotiated contract services and costs: Officials from two of the services told us that they have had difficulty in tracking their respective services\u2019 requirements to the costs being charged by the program and the capabilities that are negotiated on the contract. For instance, Air Force officials stated that the Air Force specified a desired performance level for AVA of 65 percent to the program office as a minimum target for its squadrons, but ultimately the program office contracted for a target of 52 percent. Air Force officials said they were not aware of this change until after the contract was negotiated. Similarly, Navy officials also told us that the program office does not notify the Navy of changes from the estimated costs to the actual contract costs or the requirements that are included during negotiations for sustainment contracts, even when the requirements differ from what the Navy intended. As a result, officials said that the services often have limited visibility into the support that the contractor will provide along with the actual costs for which the services are responsible, until after the contract is signed.", "Shared pools of F-35 sustainment assets: These transparency concerns are complicated by the fact that the services are paying into shared pools for F-35 sustainment, and the costs they are being charged for some requirements\u2014such as for spare parts\u2014cannot be directly tracked to an item that the services own or support that is specifically provided to an individual service. Service officials said that the funds they have contributed to the shared sustainment support have not resulted in the expected sustainment support. Specifically, Air Force officials questioned why key performance points in the program\u2014such as depot repair capabilities and supply availability\u2014 are lagging by several years in some instances, and said that they need better accounting from the program office on how the money the Air Force has contributed to the program has been spent, and why those funds have not resulted in improved performance. Furthermore, Air Force officials raised questions about whether all program participants are paying for their required shares of F-35 sustainment costs, and said that they have not been able to obtain such information from the program office.", "This lack of transparency is due in part to insufficient communication between the program office and the services, particularly as requirements and costs change. Program officials have acknowledged that the program office has not always provided the services with the level of detail and clarity around costs that the services would like, but said that recently the program has been more focused on communicating with the military services. Program officials also told us that the services are free to contact the program office should they have any concerns regarding F-35 sustainment costs and how they are shared. However, given the consistent concerns expressed to us across the services, it appears that this level of dialogue has not been adequate to facilitate the services\u2019 understanding of sustainment costs. Two of the services have requested organizations external to the F-35 program to conduct reviews of the program to better understand their respective portions of F-35 sustainment costs and, in some cases, identify potential opportunities for cost savings. While these studies will likely provide valuable information to the services and the program office, they also add costs to an already expensive weapon system. For example, according to program officials, the contract for the study requested by the Marine Corps has cost the program office at least $2.7 million. Further, reliance on one-time studies by external organizations to help program participants understand their F- 35 sustainment costs and associated capabilities is not a practical substitute for the effective communication needed in a program of this magnitude.", "F-35 program guidance has emphasized the need to ensure that costs are transparent to stakeholders. Further, our prior work examining programs with multiple governmental customers found that when customers understand how costs and underlying assumptions are determined, they can better anticipate potential changes to those assumptions, identify their effects on costs, and incorporate that information into their budget plans. Without better communication on the relationship between the costs and the associated capabilities delivered for F-35 sustainment support, the military services may not be able to appropriately plan for sustainment costs over the life cycle of the F-35 or to make affordability trade-offs between requirements, as they try to prioritize funding within their budgets."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD\u2019s F-35 program is at a critical juncture. With aircraft development nearing completion within the next few years, DOD must now shift its attention and resources to sustaining the growing F-35 fleet. While production accelerates, DOD\u2019s reactive approach to planning for and funding the capabilities needed to sustain the F-35 has resulted in significant readiness challenges\u2014including multi-year delays in establishing repair capabilities and spare parts shortages. There is little doubt that the F-35 brings unique capabilities to the U.S. military, but without revising sustainment plans to include the key requirements and decision points needed to fully implement the F-35 sustainment strategy, and without aligned funding plans to meet those requirements, DOD is at risk of being unable to leverage the capabilities of the aircraft it has recently purchased. Furthermore, until it improves its plans, DOD faces a larger uncertainty as to whether it can successfully sustain a rapidly expanding fleet.", "DOD\u2019s plan to enter into multi-year, performance-based contracts with the prime contractor has the potential to produce cost savings and other benefits. However, important lessons are emerging from its pilot agreements with the contractor that are intended to inform the upcoming multi-year contract negotiations. To date, DOD has not achieved the desired aircraft performance under the pilot agreements, but it continues to move quickly toward negotiating longer-term contracts\u2014which are likely to cost tens of billions of dollars\u2014by 2020. Without examining whether it has the appropriate metrics to incentivize the contractor or a sufficient understanding of the actual costs and technical characteristics of the aircraft before entering into multi-year, performance-based contracts, DOD could find itself overpaying for sustainment support that is not sufficient to meet warfighter requirements.", "Finally, on a broader level, DOD\u2019s projected costs to sustain the F-35 fleet over its life cycle have risen since 2012 despite the department\u2019s concerted efforts to reduce costs. Already the most expensive weapon system in DOD\u2019s history, these rising costs are particularly concerning because the military services do not fully understand what they are paying for. This puts them in a precarious position as they consider critical trade-offs that might make F-35 sustainment more affordable. Without improving communication with the services to help them better understand how the sustainment costs they are being charged relate to the capabilities that they receive, the services may not be able to effectively budget for the F-35 over the long term."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DOD.", "The Under Secretary of Defense for Acquisition, Technology, and Logistics, in coordination with the F-35 Program Executive Officer, should revise sustainment plans to ensure that they include the key requirements and decision points needed to fully implement the F-35 sustainment strategy and aligned funding plans to meet those requirements. (Recommendation 1)", "The Under Secretary of Defense for Acquisition, Technology, and Logistics, in coordination with the F-35 Program Executive Officer, should re-examine the metrics that it will use to hold the contractor accountable under the fixed-price, performance-based contracts to ensure that such metrics are objectively measurable, are fully reflective of processes over which the contractor has control, and drive desired behaviors by all stakeholders. (Recommendation 2)", "The Under Secretary of Defense for Acquisition, Technology, and Logistics, in coordination with the F-35 Program Executive Officer, should, prior to entering into multi-year, fixed-price, performance- based contracts, ensure that DOD has sufficient knowledge of the actual costs of sustainment and technical characteristics of the aircraft after baseline development is complete and the system reaches maturity. (Recommendation 3)", "The Under Secretary of Defense for Acquisition, Technology, and Logistics, in coordination with the F-35 Program Executive Officer, should take steps to improve communication with the services and provide more information about how the F-35 sustainment costs they are being charged relate to the capabilities received. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix II, DOD concurred with our recommendations and identified actions that it would take in response.", "We are sending copies of this report to appropriate congressional committees; the Secretary of Defense; the Under Secretary of Defense for Acquisition, Technology, and Logistics; the F-35 Program Executive Officer; the Secretaries of the Air Force and Navy; and the Commandant of the Marine Corps. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-5431 or russellc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Staff members making key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["For each of our objectives, we reviewed relevant sustainment plans, guidance, and program documentation, and collected information by interviewing officials from the Office of the Assistant Secretary of Defense (Logistics and Materiel Readiness), the F-35 Joint Program Office, the U.S. Air Force, the U.S. Navy, the U.S. Marine Corps, and the prime contractor, Lockheed Martin. To interview officials and observe F-35 operations, maintenance, and training, we conducted visits to two F-35 operational locations\u2014Hill Air Force Base, Utah, and Marine Corps Air Station Iwakuni, Japan; two F-35 training locations\u2014Eglin Air Force Base, Florida, which also includes a Navy F-35 training squadron, and Marine Corps Air Station Beaufort, South Carolina; and two F-35 maintenance depots\u2014Ogden Air Logistics Complex, Utah, and Fleet Readiness Center Southeast, Florida. A full listing of organizations with whom we met is provided later in this appendix.", "We also gathered various data related to F-35 sustainment, such as supply chain and repair data and aircraft performance data. To determine the reliability of these data, we collected information on how the data were collected, managed, and used through a questionnaire and interviews with cognizant Department of Defense (DOD) officials and the prime contractor. In our assessment, we identified some limitations in the way that certain data are collected and reported, such as data related to aircraft performance (Air Vehicle Availability, Full Mission Capable, and Mission Effectiveness metrics), data related to aircraft that are not mission capable due to supply issues, and parts cannibalization rates that could potentially result in inaccuracies. However, these data come from the program\u2019s data systems of record, and are the same data used by the program office and prime contractor to monitor the health of the supply chain and assess aircraft performance against contract requirements and program objectives. As such, they are the best source of data available to provide information on the progress and challenges within the program. We determined that these data presented in our findings are sufficiently reliable for the way in which we report them. Specifically, the parts cannibalization rates are consistent with the trends observed across other key data elements within the program, and with the testimonial evidence provided to us by the units with whom we met during our review, and are sufficiently reliable to report as a data trend relative to program objectives. All other performance data presented in our report are sufficiently reliable to present as specific data points, in order to describe the status of sustainment requirements and measured aircraft performance across key metrics as reported by the prime contractor and DOD.", "To assess the status of DOD\u2019s efforts to sustain the F-35 fleet and any challenges it has faced, we reviewed DOD and contractor plans, briefings, and schedules to determine the current status of key requirements and decision points necessary to establish F-35 sustainment capabilities, such as depot and other maintenance capabilities, the supply chain, technical data, and development of key software systems, among other things, and spoke with cognizant officials about these issues. We also compared actual data obtained about F-35 repair and supply chain capabilities with DOD\u2019s objectives for these capabilities to identify areas of challenge for the program. Specifically, we obtained data on aircraft that were not mission capable due to supply issues from January 2017 through August 7, 2017 and average repair times as of May 2017, in order to provide the most recently available information about the health of the supply chain. As discussed above, we determined that these data are sufficiently reliable to present as specific data points. In addition, we identified key acquisition program management practices that can improve program outcomes if implemented\u2014such as clearly establishing well-defined requirements, developing realistic cost estimates and schedules, and securing stable funding that matches resources to requirements\u2014and assessed DOD\u2019s sustainment planning efforts against these criteria.", "To assess the extent to which DOD is positioned to enter into multi-year performance-based F-35 sustainment contracts, we reviewed documentation related to DOD\u2019s pilot\u2014or trial\u2014 performance-based agreements for F-35 sustainment, such as sustainment contracts, readiness data provided by the military services, metric taxonomies, and agreements between the program office and the military services that identify the services\u2019 desired performance targets. We also obtained aircraft performance data from the Sustainment Performance Management System for the 2016 pilot performance-based agreement (March 2016 \u2013 December 2016) and the 2017 pilot performance-based agreement (March 2017 \u2013 June 2017) to the extent available at the time we completed our audit work. As discussed above, we determined that these data are sufficiently reliable to present as specific data points. These time periods are the only time periods for which the program office has assessed contractor performance under these pilot arrangements. We also reviewed performance-management guidance and processes and interviewed officials to determine how performance data are being collected and assessed. In addition, we reviewed aircraft maturity, reliability, and maintainability data, and documentation related to cost- visibility issues, and we spoke with cognizant officials about these issues to determine DOD\u2019s level of understanding of the costs and technical characteristics that will affect future sustainment support. In addition, we obtained cannibalization data from March 2016 to March 2017 in order to review and report recent trends in cannibalization rates over a time in which the program has introduced a significant amount of aircraft to the fleet. As discussed above, we determined that these data are sufficiently reliable to present as trend data relative to the program objective. Further, we reviewed DOD guidance and best practices related to performance- based agreements to identify attributes of ideal performance metrics and effective performance-based agreements. We then compared these attributes with the information described above to determine whether DOD has the appropriate metrics to achieve desired outcomes and the necessary information to effectively negotiate multi-year, fixed-price, performance-based contracts with the prime contractor by 2020, as planned.", "To assess the progress, if any, DOD has made toward reducing F-35 sustainment costs, and the extent to which costs are transparent to the military services, we reviewed F-35 Joint Program Office sustainment- cost estimates from fiscal year 2012 to fiscal year 2016 in order to identify changes to the estimate since the program\u2019s sustainment cost baseline was established in 2012; documentation related to program office and service cost-reduction efforts; sustainment contracts; F-35 cost-sharing rules; and budget documentation from both the program office and the military services. The fiscal year 2016 sustainment-cost estimate is the most current cost estimate conducted by the program office. In addition, we interviewed cognizant officials from the F-35 Joint Program Office and military services to discuss how the program office informs the military services of F-35 sustainment costs, and the degree to which the services understand these costs and the sustainment capabilities provided for those costs. We compared this information with program guidance and with key operating principles for programs that involve multiple governmental customers identified in our prior work in order to assess the transparency of F-35 sustainment costs for the military services.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives.", "We met with officials from the following Department of Defense (DOD) and contractor organizations during our review. We selected these organizations based on their oversight, planning, and execution roles in support of F-35 sustainment and operations."], "subsections": [{"section_title": "DOD Organizations", "paragraphs": [], "subsections": []}, {"section_title": "Other Organizations", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Alissa Czyz (Assistant Director), Vincent Buquicchio, Kasea Hamar, Jeff Hubbard, Amie Lesser, Sean Manzano, Carol Petersen, Clarice Ransom, Michael Silver, Maria Staunton, Cheryl Weissman, and Delia Zee made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["F-35 Joint Strike Fighter: DOD\u2019s Proposed Follow-on Modernization Acquisition Strategy Reflects an Incremental Approach Although Plans Are Not Yet Finalized. GAO-17-690R. Washington, D.C.: August 8, 2017.", "F-35 Joint Strike Fighter: DOD Needs to Complete Developmental Testing Before Making Significant New Investments. GAO-17-351. Washington, D.C.: April 24, 2017.", "F-35 Joint Strike Fighter: Continued Oversight Needed as Program Plans to Begin Development of New Capabilities. GAO-16-390. Washington, D.C.: April 14, 2016.", "F-35 Sustainment: DOD Needs a Plan to Address Risks Related to Its Central Logistics System. GAO-16-439. Washington, D.C.: April 14, 2016.", "F-35 Joint Strike Fighter: Preliminary Observations on Program Progress. GAO-16-489T. Washington, D.C.: March 23, 2016.", "F-35 Joint Strike Fighter: Assessment Needed to Address Affordability Challenges. GAO-15-364. Washington, D.C.: April 14, 2015.", "F-35 Sustainment: Need for Affordable Strategy, Greater Attention to Risks, and Improved Cost Estimates. GAO-14-778. Washington, D.C.: September 23, 2014.", "F-35 Joint Strike Fighter: Slower Than Expected Progress in Software Testing May Limit Initial Warfighting Capabilities. GAO-14-468T. Washington, D.C.: March 26, 2014.", "F-35 Joint Strike Fighter: Problems Completing Software Testing May Hinder Delivery of Expected Warfighting Capabilities. GAO-14-322. Washington, D.C.: March 24, 2014.", "F-35 Joint Strike Fighter: Restructuring Has Improved the Program, but Affordability Challenges and Other Risks Remain. GAO-13-690T. Washington, D.C.: June 19, 2013.", "F-35 Joint Strike Fighter: Program Has Improved in Some Areas, but Affordability Challenges and Other Risks Remain. GAO-13-500T. Washington, D.C.: April 17, 2013.", "F-35 Joint Strike Fighter: Current Outlook Is Improved, but Long-Term Affordability Is a Major Concern. GAO-13-309. Washington, D.C.: March 11, 2013.", "Joint Strike Fighter: DOD Actions Needed to Further Enhance Restructuring and Address Affordability Risks. GAO-12-437. Washington, D.C.: June 14, 2012.", "Joint Strike Fighter: Restructuring Added Resources and Reduced Risk, but Concurrency Is Still a Major Concern. GAO-12-525T. Washington, D.C.: March 20, 2012.", "Joint Strike Fighter: Implications of Program Restructuring and Other Recent Developments on Key Aspects of DOD\u2019s Prior Alternate Engine Analyses. GAO-11-903R. Washington, D.C.: September 14, 2011.", "Joint Strike Fighter: Restructuring Places Program on Firmer Footing, but Progress Is Still Lagging. GAO-11-677T. Washington, D.C.: May 19, 2011.", "Joint Strike Fighter: Restructuring Places Program on Firmer Footing, but Progress Still Lags. GAO-11-325. Washington, D.C.: April 7, 2011.", "Joint Strike Fighter: Restructuring Should Improve Outcomes, but Progress Is Still Lagging Overall. GAO-11-450T. Washington, D.C.: March 15, 2011."], "subsections": []}], "fastfact": []} {"id": "GAO-18-652", "url": "https://www.gao.gov/products/GAO-18-652", "title": "Indian Health Service: Considerations Related to Providing Advance Appropriation Authority", "published_date": "2018-09-13T00:00:00", "released_date": "2018-09-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IHS, an agency within the Department of Health and Human Services (HHS), receives an annual appropriation from Congress to provide health care services to over 2 million American Indians and Alaska Natives (AI/AN) who are members of 573 tribes. IHS generally provides services through direct care at facilities such as hospitals and health centers. Some tribes receive IHS funding to operate their own health care facilities. Tribal representatives have sought legislative approval to provide IHS advance appropriation authority stating that it would facilitate planning and more efficient spending. Experts have reported that agencies can use the authority to prevent funding gaps, and avoid uncertainties associated with receiving funds through CRs.", "House Report 114-632 included a provision for GAO to review the use of advance appropriations authority and applications to IHS. Among other things, this report (1) describes advance appropriation authority considerations identified by stakeholders for providing IHS-funded health care services, and (2) identifies other considerations for policymakers related to providing the authority to IHS. GAO reviewed its prior reports related to IHS, VA, government shutdowns, and CRs, and interviewed officials from IHS, several tribes and other organizations representing AI/AN interests, the Office of Management and Budget, VA and other experts.", "GAO provided a draft of this report to HHS, which had no comments; to VA, which provided general comments; and to tribal representatives, which provided technical comments that were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Indian Health Service (IHS), like most federal agencies, must use appropriations in the year for which they are enacted. However, there has been interest in providing IHS with advance appropriation authority, which would give the agency authority to spend a specific amount 1 or more fiscal years after the fiscal year for which the appropriation providing it is enacted. Currently, the Department of Veterans Affairs (VA) is the only federal provider of health care services to have such authority.", "Stakeholders interviewed by GAO, including IHS officials and tribal representatives, identified effects of budget uncertainty on the provision of IHS-funded health care as considerations for providing IHS with advance appropriation authority. Budget uncertainty arises during continuing resolutions (CR)\u2014temporary funding periods during which the federal government has not passed a budget\u2014and during government shutdowns. Officials said that advance appropriation authority could mitigate the effects of this uncertainty. IHS officials and tribal representatives specifically described several effects of budget uncertainty on their health care programs and operations, including the following:", "Provider recruitment and retention. Existing challenges related to the recruitment and retention of health care providers\u2014such as difficulty recruiting providers in rural locations\u2014are exacerbated by funding uncertainty. For example, CRs and government shutdowns can disrupt recruitment activities like application reviews and interviews.", "Administrative burden and costs. Both IHS and tribes incur additional administrative burden and costs as IHS staff calculate proportional allocations for each tribally operated health care program and modify hundreds of tribal contracts each time a new CR is enacted by Congress to conform to limits on available funding.", "Financial effects on tribes. Funding uncertainty resulting from recurring CRs and from government shutdowns has led to adverse financial effects on tribes and their health care programs. For instance, one tribe incurred higher interest on loans when the uncertainty of the availability of federal funds led to a downgraded credit rating, as it was financing construction of a health care facility.", "GAO identified various considerations for policymakers to take into account for any proposal to change the availability of the appropriations that IHS receives. These considerations include operational considerations, such as what proportion of the agency's budget would be provided in the advance appropriation and under what conditions changes to the funding provided through advance appropriations would be permitted in the following year. Additionally, congressional flexibility considerations arise because advance appropriation authority reduces what is left for the overall budget for the rest of the government. Another consideration is agency capacity and leadership, including whether IHS has the processes in place to develop and manage an advance appropriation. GAO has reported that proposals to change the availability of appropriations deserve careful scrutiny, an issue underscored by concerns raised when GAO added IHS to its High-Risk List in 2017."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Indian Health Service (IHS), an agency within the Department of Health and Human Services (HHS), receives an annual appropriation from Congress to provide certain health care services to over 2 million American Indians and Alaska Natives (AI/AN) who are members of federally recognized tribes. IHS services are generally provided through direct care at IHS facilities such as hospitals and health centers, and when services are unavailable at these facilities, the facilities may pay for patients to obtain services, including specialty care, from external providers. In addition to federally operated IHS facilities, some federally recognized tribes choose to operate their own health care facilities, for which they receive at least partial support through IHS funding.", "IHS, like most federal agencies, receives appropriations through annual appropriations acts and the appropriations become available upon enactment, not at some future date. However, there has been interest in providing IHS with advance appropriation authority\u2014an appropriation of new budget authority that becomes available one or more fiscal years after the fiscal year for which the appropriation providing it is enacted. Organizations representing AI/AN people have advocated for Congress to provide IHS with advance appropriation authority, stating that advance appropriations would allow for greater planning, more efficient spending, and higher quality of care for AI/AN individuals. Although not commonly provided for federal programs, experts have reported that advance appropriations have implications for agencies\u2019 ability to manage during periods of budget uncertainty, in terms of preventing funding gaps, and avoiding issues associated with receiving short-term funds through continuing resolutions (CR). The Department of Veterans Affairs (VA) is the only federal agency that currently receives advance appropriations for its health care program, which is administered by its Veterans Health Administration (VHA).", "House Report 114-632 included a provision for us to report on the use of advance appropriation authority for health care programs across the federal government, and applications to IHS. This report 1. describes the advance appropriation authority that VA has for its 2. describes the advance appropriation authority considerations identified by stakeholders for providing IHS-funded health care services; and 3. identifies other considerations for policymakers related to providing advance appropriation authority to IHS.", "To describe the advance appropriation authority that VA has for its health care program, we reviewed statutes related to VA\u2019s specific advance appropriation authority and interviewed VHA officials, including headquarters officials from the Office of Finance and the Office of Rural Health. In addition, we interviewed officials from the Office of Management and Budget (OMB) who work with VA in planning for advance appropriations. We also reviewed our prior reports examining VHA budget processes and experience with advance appropriations.", "To describe the advance appropriation authority considerations identified by stakeholders for providing IHS-funded health care services, we reviewed our prior reports that examined the effects of CRs and government shutdowns on federal agencies, and interviewed IHS officials and tribal representatives. Specifically, we interviewed IHS officials and tribal representatives about their perceptions of the potential advantages or disadvantages of advance appropriations for IHS, including their perceptions of the effects of budget uncertainty on the provision of IHS- funded health care. IHS officials we interviewed included individuals from the Office of the Director, the Office of Finance and Accounting, the Office of Direct Service and Contracting Tribes, the Office of Tribal-Self Governance, and the Division of Acquisition Policy, among others.", "Additionally, we interviewed tribal officials, including those who currently serve as co-chairs for IHS\u2019s National Tribal Budget Formulation Workgroup (who collectively represent multiple individual tribes and groups of tribes). We selected tribal officials to interview to help ensure a range of experiences and different types of funding agreements with IHS. We also obtained information from representatives of several additional tribes and tribal organizations. Our interviews and other information obtained from representatives of these tribes and tribal organizations are not generalizable to all federally recognized tribes. We also interviewed officials from associations representing tribal and AI/AN interests, including the National Indian Health Board and the National Council of Urban Indian Health. For context, we also spoke with VA officials from two regional networks\u2014Veterans Integrated Service Networks (VISN)\u2014 about their experience with advance appropriations; VA officials indicated that these VISNs have extensive experience in serving rural populations, including AI/AN veterans.", "To identify other considerations for Congress and agency officials related to providing advance appropriation authority to IHS, we reviewed materials documenting past efforts to obtain advance appropriation authority for IHS\u2014including proposed legislation and documents from advocacy groups such as the National Indian Health Board, as well as our prior work related to the consideration of advance appropriations for VA. For context, we also reviewed our past reports and those from the Congressional Research Service on various aspects of IHS\u2014including budgeting processes. We interviewed IHS officials regarding their processes for budget planning and VA officials regarding their experiences planning for advance appropriations. In addition, we interviewed officials from OMB, the Congressional Research Service, and the Congressional Budget Office.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "IHS Health Care System and Tribal Health Care", "paragraphs": ["IHS was established within the Public Health Service in 1955 to provide certain health services to members of federally recognized AI/AN tribes, primarily in rural areas on or near reservations. IHS provides services directly through a network of hospitals, clinics, and health stations operated by IHS, and also funds services provided at tribally operated facilities.", "As of October 2017, IHS, tribes, and tribal organizations operated 168 service units, 48 hospitals, and 560 ambulatory care centers\u2014including health centers, school health centers, health stations, and Alaska village clinics. See table 1.", "According to IHS officials, the agency provides services almost exclusively in locations designated as Health Professional Shortage Areas, with most locations identified as extreme shortage areas. In addition, IHS data indicate that about 35 percent of certain IHS facilities, including four hospitals, were identified as isolated hardship posts in 2016.", "IHS oversees its health care facilities through a decentralized system of 12 area offices, which are led by area directors; 10 of these 12 IHS areas have federally operated IHS facilities. IHS\u2019s headquarters office is responsible for setting health care policy, helping to ensure the delivery of quality comprehensive health services, and advocating for the health needs and concerns of AI/AN people. The IHS area offices are responsible for distributing funds to the facilities in their areas, monitoring their operation, and providing guidance and technical assistance.", "IHS\u2019s estimated budget authority for fiscal year 2018 is over $5.6 billion, an increase of almost $580 million from its enacted budget authority of just over $5 billion in fiscal year 2017. IHS has agreements with tribes and tribal organizations by which it transfers a substantial portion of its budget authority to tribes and tribal organizations. For example, in 2017, the agency transferred approximately 54 percent of its total budget authority to tribes and tribal organizations to operate part or all of their own health care programs through self-determination contracts and self- governance compacts.", "Self-determination contracts: IHS had 373 self-determination contracts in place with 220 tribes in 2017.", "Self-governance compacts: IHS had 98 self-governance compacts in place\u2014including 124 funding agreements\u2014with 360 tribes in 2017. See figure 1 for the percentage of IHS\u2019s total budget authority transferred to tribes in fiscal year 2017.", "According to IHS officials, over the last few years an increasing number of tribes have sought to enter into contracts and compacts with IHS to assume responsibility for some or all of their health care programs, and thereby receive funding from IHS."], "subsections": []}, {"section_title": "Federal Budget Environment", "paragraphs": ["Unless otherwise specified in law, funding included in annual appropriation acts is available for obligation during a single fiscal year, after which it expires. For this reason, the continuation of normal government operations depends upon the enactment each fiscal year of a new appropriations act. Any lapse in appropriations\u2014a funding gap\u2014 causes most government functions to shut down. To avert a government shutdown, Congress may enact one or more CRs. CRs are spending bills that provide funds to allow agencies to operate during a specified period of time while Congress works to pass an annual appropriations act. Relevant aspects of the federal budget environment include the following.", "Frequency of CRs and shutdowns. In all but 4 of the last 40 fiscal years\u2014including fiscal year 2018\u2014Congress has enacted CRs. Since fiscal year 1999, CRs have varied greatly in their number and duration\u2014 the number of CRs enacted in each year ranged from 2 to 21, and the duration of CRs has ranged from 1 to 187 days. Regarding lapses in appropriations that resulted in government shutdowns, in January 2018 the government partially shut down for 3 calendar days after the CR in place expired. Other shutdowns have lasted longer\u201416 calendar days in October 2013 and 21 calendar days in December 1995 through January 1996. We have previously reported on the effects of CRs and shutdowns for federal agencies.", "Budget authority during a CR. CRs provide \u201csuch amounts as may be necessary\u201d to maintain operations consistent with the prior fiscal year\u2019s appropriations and authorities. To control spending in this manner, CRs generally prohibit agencies from initiating new activities and projects for which appropriations, funds, or other authorities were not available in the prior fiscal year. They also require agencies to take the most limited funding actions necessary to maintain operations at the prior fiscal year\u2019s level.", "Budget authority during a funding gap. Certain federal health care programs have various budget authorities that can allow for continued operations during a funding gap. For example, VA\u2019s advance appropriations authority for its health care programs allows operations to continue after one appropriation expires, using the previously enacted budget for the next year. Although IHS does not have this authority, Congress has enacted longer periods of availability for certain IHS appropriations that would allow the activities they support to continue during a funding gap, assuming the appropriation has not run out. For example, IHS\u2019s appropriation for Indian health facilities remains available until expended, in contrast to its appropriation for Indian health services, which is generally available for a single fiscal year.", "In this regard, funds for Indian health services that IHS transfers to tribes and tribal organizations during the 1-year period of availability are deemed to be obligated at the time of the award and thereafter remain available to the tribes to operate their own health care programs without fiscal year limitation. Thus, to the extent sufficient funding remained available from federal or other sources during a lapse in appropriations, a tribe could continue to operate its own health care programs during a shutdown. To operate IHS\u2019s health care system on an emergency basis during a funding gap, IHS would need to determine what programs and activities qualified for an emergency exception under the law.", "Contingency planning for government shutdowns. Federal agencies must determine what activities and programs they are permitted or required to continue prior to a potential shutdown. This includes designating certain employees as \u201cexcepted\u201d employees who would be expected to continue to work during the shutdown and who would be paid upon the enactment of an appropriation. Employees who are not \u201cexcepted\u201d would be subject to furlough."], "subsections": []}, {"section_title": "Interest in Advance Appropriation Authority for IHS", "paragraphs": ["Citing funding uncertainty associated with continued use of CRs, AI/AN advocacy groups such as the National Indian Health Board have requested that Congress grant IHS advance appropriation authority; legislation to provide IHS this authority has been introduced more than once. The most recent such legislation, H.R. 235, introduced in January 2017 (not enacted), would have provided IHS with 2-year fiscal budget authority for its Indian health services and Indian health facilities accounts, similar to the authority that VA currently has for its health care appropriation accounts. HHS, on behalf of IHS, has not requested that IHS be granted advance appropriation authority during its annual budget submissions to Congress."], "subsections": []}]}, {"section_title": "VA\u2019s Advance Appropriation Authority for Health Care", "paragraphs": ["VA, through the VHA, operates one of the nation\u2019s largest health care systems, with 171 VA medical centers, more than 1,000 outpatient facilities, and total health care budget authority of about $69 billion in fiscal year 2017. VA provided health care services to about 6.8 million veterans in fiscal year 2017, and the agency forecasts that demand for its services is expected to grow in the coming years.", "VA was granted advance appropriation authority for specified medical care accounts in the Veterans Health Administration in 2009. Currently, VA\u2019s annual appropriations for health care include advance appropriations that become available in the fiscal year after the fiscal year for which the appropriations act was enacted. Under this authority, VA receives advance appropriations for VHA\u2019s Medical Services, Medical Support and Compliance, Medical Facilities, and Medical Community Care appropriations accounts and is required to provide Congress with detailed estimates of funds needed to provide its health care services for the fiscal year for which advance appropriations are to be provided. According to VA officials, veterans service organizations were the primary advocates who sought advance appropriation authority for VA\u2019s health care program.", "In its health care budget proposal each year, VA submits a request for the upcoming fiscal year, as well as an advance appropriation request for the following year. In early 2018, for example, VA submitted a request for fiscal year 2019, as well as a fiscal year 2020 advance appropriation request. According to VA, more than 90 percent of its budget request is developed using an actuarial model that is based in part on VA\u2019s actual health care utilization data from prior years; for example, the 2020 advance appropriation request used fiscal year 2016 data. VHA officials said that the agency calculates its advance appropriation request to fund needed care as estimated by its actuarial model, with less funding requested for other expenses (such as non-recurring maintenance) and officials told us this is consistent with direction provided by OMB. OMB officials told us that the amount provided in the advance appropriation is intended to provide VA with some assurances that it will be able to continue health care operations seamlessly across fiscal years.", "In the subsequent year (the year during which the advance appropriation can be used), VA may request an adjustment to the amount previously provided through advance appropriations\u2014referred to by agency officials as a \u201csecond bite\u201d\u2014an arrangement that is intended by design to help respond to more recent policy changes or significant events. For example, VA requested a \u201csecond bite\u201d increase of $2.65 billion for fiscal year 2018, to the $66.4 billion initially provided to its VHA accounts through its advance appropriation. Both OMB and VHA officials said this \u201csecond bite\u201d provides an opportunity to make an adjustment to VA\u2019s advance appropriation using updated utilization data. VHA officials told us that changes in policy (such as determining which veterans or what health benefits can be covered) sometimes drive changes from the initial budget request. For example, policy changes can include adding an additional presumptive condition\u2014such as health conditions associated with Agent Orange exposure\u2014resulting in a new health benefit, or a costly new drug treatment, as in the case of the addition to the drug formulary of a new Hepatitis C drug treatment.", "Despite having advance appropriation authority, VA has faced challenges in budget formulation, in addition to the general management and oversight challenges we cited in adding VA to our High-Risk List in 2015. Specifically, we reported in our 2017 update to the High-Risk List that VA faces challenges regarding the reliability, transparency, and consistency of its budget estimates for medical services, as well as weaknesses in tracking obligations for medical services and estimating budgetary needs for future years. These challenges were evident in June 2015, when VA requested authority from Congress to move funds from another appropriation account because agency officials projected a fiscal year 2015 funding gap of about $3 billion in its medical services appropriation account."], "subsections": []}, {"section_title": "Budget Uncertainty Effects on the Provision of IHS- Funded Health Care That Were Cited by Stakeholders", "paragraphs": ["IHS officials, tribal representatives, and other stakeholders we spoke with described how budget uncertainty resulting from CRs and government shutdowns can have a variety of effects on the provision of IHS-funded health care services for AI/ANs. The following summarizes these effects, along with the views of IHS officials, tribal representatives, and other stakeholders on how advance appropriation authority could mitigate them, and VA\u2019s related experiences: Provision of health care services. IHS officials said that, in general, most health care services would be expected to continue at IHS-operated facilities during a shutdown, as health care providers would be deemed \u201cexcepted\u201d personnel under the agency\u2019s contingency plan. However, officials noted some health care procedures could be delayed, as determined on a case-by-case basis at the local level. IHS officials also acknowledged that tribal health care programs may not have access to furloughed IHS staff who do not work during a shutdown, such as support staff at local IHS area offices, who may carry out administrative duties on their behalf. For example, tribal representatives told us that during a previous government shutdown, finance employees from the local IHS area offices were furloughed (and thus not permitted to work), which created challenges for tribal health care operations that depended on these IHS employees to process payments and agreements.", "IHS officials stated they believe advance appropriations could help ensure continuity of health care services through certainty of funding. IHS officials also said that while lapses in appropriations do not halt patient care, they do create complications\u2014such as the determination of excepted personnel as described above\u2014that could be eliminated by funding provided through advance appropriations. Tribal representatives said the certainty of funding that would come with IHS having advance appropriations would create a sense of stability in tribal health care programs as well.", "VA VISN officials we spoke to said having advance appropriations has improved their ability to manage resources for continuity of services and allowed them to avoid the substantial additional planning that occurs before a potential government shutdown when agencies are determining which providers and staff would be deemed excepted. According to the VISN officials, knowing that funding is coming\u2014as opposed to having less certainty\u2014would allow an agency to plan and prioritize its services more efficiently.", "Health care program planning. Tribal representatives said operating health care programs with short-term funding provided through a series of CRs\u2014and facing potential government shutdowns\u2014rather than a full year\u2019s apportionment hinders their ability to plan for new programs and for improvements that need to be carried out across budget years or that require large up-front investments, such as an electronic medical records system or other significant information technology purchases. Tribal representatives said there are often plans that they have to set aside because they don\u2019t have enough funds to start a project during a CR, and\u2014if there are multiple CRs\u2014there is not enough time left in the budget year to start bigger projects once an annual appropriation is passed. Tribal representatives also told us that they believe that advance appropriations would help tribal health care programs plan for current and future needs. For example, one tribal official told us advance appropriations would allow tribes to plan for long-term health initiatives. The official\u2019s specific tribe has a gestational diabetes program in conjunction with a local university that the tribe could plan to take full responsibility for if they had more funding stability.", "VA VISN officials we interviewed provided several examples of how they believe advance appropriations facilitate their planning. For example, VISN officials told us advance appropriations allow them to plan strategically for equipment purchases: if they need to buy a CT scanner, they would plan to do site preparation in one year\u2014for example, reconfiguring the space for the new equipment by moving walls, electrical rewiring, etc.\u2014and buy the scanner in the next year. With advance appropriations, they know they are going to have funds for an expensive equipment purchase available the next year; without an advance appropriation, they would not be sure, and could spend funds on preparation and then ultimately not have the funds to make the equipment purchase. These officials also said having advance appropriations gave them confidence in making current plans to provide the new shingles vaccine for their over-50 population in 2019, including the ability to secure an adequate supply of the vaccine from the manufacturer.", "Provider recruitment and retention. IHS officials and tribal representatives said existing challenges related to their recruitment and retention of health care providers\u2014many of which are related to the rural and remote locations of many of IHS\u2019s facilities\u2014are exacerbated by funding uncertainty resulting from CRs or potential government shutdowns. IHS officials said CRs and government shutdowns can disrupt recruitment activities such as IHS marketing efforts, job advertisements, application review, interviews, and candidate site visits. Additionally, when recruiting health care providers, IHS officials said CRs and potential government shutdowns create doubt about the stability of employment at IHS amongst potential candidates, which may result in reduced numbers of candidates or withdrawals from candidates during the pre-employment process. IHS officials said that many providers in rural and remote locations are the sole source of income for their families, and the potential for delays in pay resulting from a government shutdown can serve as a disincentive for employees considering public service in critical shortage areas that do not offer adequate spousal employment opportunities. Tribal representatives said CRs create challenges for tribes in funding planned pay increases\u2014such as cost-of-living adjustments\u2014 for health care staff at their facilities, and they may, as a result, defer increases.", "IHS officials and tribal representatives stated they believe advance appropriations could mitigate these challenges. For example, IHS officials said that with advance appropriations, recruitment and outreach activities could continue without disruption, and selected candidates could be brought on board as scheduled. One tribal representative stated that advance appropriations could help with recruitment by providing perceived job stability that is similar to VA or the private sector.", "According to VA VISN officials, the agency\u2019s experience with advance appropriation authority suggests that advance appropriations can facilitate physician recruitment, including hiring. If, for example, they were far along in the hiring process at the end of a fiscal year, but could not finalize the hire before the end of the year, having advance appropriations for the next fiscal year provides the certainty that they will be able to make the hire in the new fiscal year.", "Commercial contracts and vendor negotiations. IHS officials and tribal representatives said budget uncertainty can lead to vendor reluctance to provide services to IHS and tribally operated facilities. IHS officials said they have heard from vendors\u2014who are typically Indian- or veteran- owned small businesses in the communities being served by IHS\u2014that they lose trust in IHS and federally-funded tribal health care programs when they are affected by budget uncertainty. One tribal organization told us delays in receiving full funding because of CRs has inhibited its ability to pay invoices for pharmaceuticals in a timely manner, which has harmed its relationship with its vendors.", "VISN officials told us that advance appropriations can provide an element of stability to agency funding that may serve to reassure potential vendors. According to VISN officials, vendors can be hard to find in remote and rural areas, and their perception of funding certainty can play a role in encouraging their participation as government contractors. As contracting with the federal government can be burdensome, particularly for smaller vendors, VISN officials said, any measures\u2014such as advance appropriations\u2014that could enhance the stability of agency contracting could make these vendors more likely to participate in government contracting.", "Administrative burden and costs. IHS officials and tribal representatives said the agency and tribes incur additional administrative burden and costs when the government is funded through multiple CRs, due to the high proportion of IHS funding that is transferred to tribes through contracts and compacts. Specifically, IHS officials said there is an additional administrative burden generated by each CR that results in the distribution of funds to tribes. For each CR period, IHS headquarters staff generate proportional funding allotments, which they provide to individual area offices, which then also conduct processing activities to generate payments from these allotments to the tribes in their areas. As part of this process, IHS officials said they modify hundreds of tribal contracts and make amendments to funding agreements associated with tribal compacts, and those efforts represent a significant administrative burden for IHS staff. Tribal representatives also described administrative burden associated with CRs. As one representative of a group representing several tribes told us, each CR requires the same processing and manpower for each partial payment as for a full apportionment, and moreover, CRs require tracking and reconciliation that is not necessary for a single, full apportionment. IHS officials and tribal representatives noted that time and money spent on these additional administrative activities detract from other priorities, including patient care.", "IHS officials said that advance appropriations would reduce this administrative burden, and added that having advance appropriations would allow for more efficiency in processing payments to tribes. IHS officials suggested that the agency would have to do less administrative work overall, because currently, under a single year appropriation (with recurrent CRs), they may modify or amend agreements 7 or 8 times within a fiscal year. Although acknowledging that advance appropriation authority would entail the additional burden of preparing budget requests for more than one fiscal year, they expect this administrative burden to be less than those under repeated CRs.", "Financial effects on tribes. According to tribal representatives we spoke with, funding uncertainty from recurring CRs and from government shutdowns has led to particular adverse financial effects on tribes that operate their own health care programs with funding from IHS. For example, according to tribal representatives,", "Funding uncertainty surrounding a CR results in more expensive commercial loans (with higher interest rates) to finance construction of new health care facilities. Specifically, a tribal representative said the uncertainty of the availability of funds due to a CR resulted in a downgrading of the tribe\u2019s credit rating, and hence higher interest rates, as it was planning a clinic expansion.", "During a government shutdown, some tribes must redistribute funds from other budget categories to replace health care funding from IHS in order to continue providing health care services. Some tribes have economic development activities that provide additional funding and facilitate this redistribution, but others do not. For example, one tribal organization said that during the 2013 government shutdown, it had to take out loans and maintain a line of credit in order to pay for services and make payroll. Subsequently, that tribal organization had to pay interest on those loans, causing greater financial hardship.", "Tribes attempt to mitigate the challenge of not knowing their final annual payment from IHS under recurrent CRs by keeping extra funds in reserve for emergencies, which limits the remaining funds available for providing health care services.", "Short-term funding under CRs or delayed funding after a lapse in appropriations can limit the ability of tribes and tribal organizations to invest funds from IHS and generate interest that can be reinvested in tribal health care programs.", "CRs have affected the ability of tribes to reduce costs by planning for bulk purchases at favorable rates. For example, some tribes in Alaska prefer to make bulk purchases of heating oil during \u201cbarge season\u2019\u2019\u2014 when waterways are still navigable and not frozen. If they do not have enough money for a bulk purchase because of a CR\u2019s limited funding, they must purchase fuel in smaller quantities, which is ultimately significantly more expensive. Tribal representatives told us one beneficial financial effect of advance appropriations for tribes could be providing opportunities for longer term contracts with vendors, which could result in cost savings that could be used for tribal health care programs."], "subsections": []}, {"section_title": "Considerations for Policymakers Related to Providing Advance Appropriation Authority to IHS", "paragraphs": ["We identified three types of considerations for policymakers related to providing advanced appropriation authority to IHS\u2014operational, congressional flexibility, and agency capacity and leadership considerations. We identified these considerations based on a review of our 2009 testimony that examined considerations for granting VA advance appropriation authority, in which we identified key questions that would be applicable to any agency being granted such authority, and our interviews with VA, IHS, and other officials. In our 2009 testimony, we noted that proposals to change the availability of the appropriations for VA deserved careful scrutiny, given the challenges the agency faces in formulating its health care budget and the changing nature of health care. Similar consideration would apply to IHS.", "Operational considerations. If Congress were to grant IHS advance appropriation authority, it would need to make operational decisions regarding what amount of IHS funding would be provided in advance appropriations, with input from OMB and IHS as appropriate. Specifically, Congress could consider the following questions: (1) What proportion of IHS\u2019s estimated budget would be provided in the advance appropriation\u2014the full amount, or less (as is the case for VA)? Which appropriations accounts would be included? Further, would funds intended for transfer to tribes be handled differently? (2) Under what conditions, if any, would there be changes to funding provided through advance appropriations during the next budget cycle? For example, would Congress expect to adjust the advance appropriation amount through a \u201csecond bite,\u201d as is the case with VA?", "Congressional flexibility considerations. We reported in 2009 that consideration of any proposal to change the availability of the appropriations VA receives for health care should take into account the impact of any change on congressional flexibility and oversight. These same considerations hold merit regarding potential changes to the appropriation status of any federal agency, including IHS. Specifically, advance appropriation authority reduces flexibility for congressional appropriators, because it reduces what is left for the overall budget for the rest of the government\u2014meaning the total available for appropriations for a budget year is reduced by the amount of advance appropriations for that year, when budgets have caps.", "Agency capacity and leadership considerations. IHS officials told us they believe the agency\u2019s current budget planning processes would be adequate for estimating advance appropriation budget requests, because IHS begins planning for its budget request 3 years in advance. Officials added that IHS plans its budget so far in advance to have sufficient time to work with tribes in formulating recommendations for its budget request. IHS officials said that a downside to planning so far in advance is that they do not necessarily have the most current information while formulating the budget request. In addition, we noted prior to VA receiving advance appropriation authority that advance appropriation authority could potentially exacerbate existing challenges when developing or managing a budget, generally, due in part to the higher risk of uncertainty when developing estimates that are an additional 12 months out from the actual budget year (e.g., 30 months out instead of 18 months).", "We raised certain capacity and leadership concerns based on our previous work when we added IHS to our High-Risk List in 2017. Further, in June 2018, we found that while IHS had taken some actions to partially address these concerns, additional progress was needed to fully address these management weaknesses. For example, IHS still does not have permanent leadership\u2014including a Director of IHS\u2014which is necessary for the agency to demonstrate its commitment to improvement. Additionally, while the agency has made some progress in demonstrating it has the capacity and resources necessary to address the program risks we identified in our reports, there are still vacancies in several key positions, including in the Office of Finance and Accounting. While not directly related to consideration of advance appropriations, IHS\u2019s high-risk designation and continuing challenges in mitigating the deficiencies in its program point to questions about the agency\u2019s capacity to implement such a change to its budget formulation process."], "subsections": []}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a draft of this report to HHS and VA for review and comment. HHS did not have any comments. We received general comments from VA that are reprinted in appendix I.", "We also provided relevant draft portions of this report to NIHB, which represents tribal and AI/AN interests. NIHB provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Secretaries of the Department of Health and Human Services and the Department of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or farbj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kathleen M. King (Director), Karen Doran (Assistant Director), Julie T. Stewart (Analyst-in-Charge), Kristen J. Anderson, and Leonard S. Brown made key contributions to this report. Also contributing were Sam Amrhein, George Bogart, Christine Davis, and Vikki Porter."], "subsections": []}]}], "fastfact": ["The Indian Health Service (IHS) funds health care for over 2 million American Indians and Alaska Natives. Currently, IHS receives its funding as part of the annual fiscal year appropriations cycle.", "Delays in passing appropriations create uncertainty and disrupt operations. For example, tribal representatives told us that such delays have led them to pay invoices late\u2014hurting their relationship with a pharmaceutical vendor.", "We identified issues and questions for policymakers to consider when deciding whether to give IHS an uncommon type of budget authority that would fund an additional year."]} {"id": "GAO-18-566T", "url": "https://www.gao.gov/products/GAO-18-566T", "title": "Information Technology: Continued Implementation of High-Risk Recommendations Is Needed to Better Manage Acquisitions Operations and Cybersecurity", "published_date": "2018-05-23T00:00:00", "released_date": "2018-05-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government plans to invest almost $96 billion in IT in fiscal year 2018. Historically, IT investments have too often failed or contributed little to mission-related outcomes. Further, increasingly sophisticated threats and frequent cyber incidents underscore the need for effective information security. As a result, GAO added two areas to its high-risk list: IT security in 1997 and the management of IT acquisitions and operations in 2015.", "This statement summarizes agencies' progress in improving IT management and ensuring the security of federal IT. It is primarily based on GAO's prior reports issued between February 1997 and May 2018 (and an ongoing review) on (1) CIO responsibilities, (2) agency CIOs' involvement in approving IT contracts, (3) data center consolidation efforts, (4) the management of software licenses, and (5) compliance with cybersecurity requirements."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget (OMB) and federal agencies have taken steps to improve the management of information technology (IT) acquisitions and operations and ensure the security of federal IT through a series of initiatives. As of May 2018, agencies had fully implemented about 61 percent of the approximately 800 IT management-related recommendations that GAO made from fiscal years 2010 through 2015. Likewise, since 2010, agencies had implemented about 66 percent of the approximately 2,700 security-related recommendations as of May 2018. Even with this progress, significant actions remain to be completed.", "Chief Information Officer (CIO) responsibilities . Laws such as the Federal Information Technology Acquisition Reform Act (FITARA) and related guidance assigned 35 key IT management responsibilities to CIOs to help address longstanding challenges. However, in a draft report on CIO responsibilities, GAO's preliminary results suggest that none of the 24 selected agencies have policies that fully address the role of their CIO, as called for by federal laws and guidance. GAO intends to recommend that OMB and each of the selected 24 agencies take actions to improve the effectiveness of CIO's implementation of their responsibilities.", "IT contract approval . According to FITARA, covered agencies' CIOs are required to review and approve IT contracts. Nevertheless, in January 2018, GAO reported that most of the CIOs at 22 selected agencies were not adequately involved in reviewing billions of dollars of IT acquisitions. Consequently, GAO made 39 recommendations to improve CIO oversight over IT acquisitions.", "Consolidating data centers . OMB launched an initiative in 2010 to reduce data centers, which was codified and expanded in FITARA. According to agencies, data center consolidation and optimization efforts have resulted in approximately $3.9 billion of cost savings through 2018. Even so, additional work remains. GAO has made 160 recommendations to OMB and agencies to improve the reporting of related cost savings and to achieve optimization targets; however, as of May 2018, 80 of the recommendations have not been fully addressed.", "Managing software licenses . Effective management of software licenses can help avoid purchasing too many licenses that result in unused software. In May 2014, GAO reported that better management of licenses was needed to achieve savings, and made 135 recommendations to improve such management. Four years later, 78 of the recommendations remained open.", "Improving the security of federal IT systems . While the government has acted to protect federal information systems, agencies need to improve security programs, cyber capabilities, and the protection of personally identifiable information. Over the last several years, GAO has made about 2,700 recommendations to agencies aimed at improving the security of federal systems and information. These recommendations identified actions for agencies to take to strengthen their information security programs and technical controls over their computer networks and systems. As of May 2018, about 800 of the information security-related recommendations had not been implemented."]}, {"section_title": "What GAO Recommends", "paragraphs": ["From fiscal years 2010 through 2015, GAO made about 800 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations. Since 2010, GAO also made about 2,700 recommendations to federal agencies to improve the security of federal systems. These recommendations include those to improve the implementation of CIO responsibilities, the oversight of the data center consolidation initiative, software license management efforts, and the strength of security programs and technical controls. Most agencies agreed with these recommendations, and GAO will continue to monitor their implementation."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to provide an update on federal agencies\u2019 efforts to address our high-risk areas on improving the management of information technology (IT) acquisitions and operations, as well as ensuring the security of federal IT. The federal government has spent billions of dollars on failed and poorly performing IT investments, which often suffered from ineffective management. Consequently, we added improving the management of IT acquisitions and operations to our high- risk areas for the federal government in February 2015. We recently noted that, while progress has been made in addressing the high-risk area of IT acquisitions and operations, significant work remains to be completed.", "With regard to cybersecurity, the increasingly sophisticated threats and frequent cyber incidents underscore the continuing and urgent need for effective information security. Consequently, we first identified federal IT security as a government-wide high-risk area in 1997. Subsequently, in 2003, we expanded this area to include computerized systems supporting the nation\u2019s critical infrastructure and, in 2015, we further expanded this area to include protecting the privacy of personally identifiable information. We continued to identify federal information security as a government-wide high-risk area in our February 2017 high- risk update report.", "My statement today provides an update on agencies\u2019 progress in improving the management of IT acquisitions and operations and the security of federal IT. The statement is based on our prior reports issued between February1997 and May 2018 that discuss federal agencies\u2019 (1) implementation of Chief Information Officer (CIO) responsibilities, (2) fulfillment of CIO IT acquisition review requirements, (3) data center consolidation efforts, (4) management of software licenses, and (5) compliance with federal cybersecurity requirements. A more detailed discussion of the objectives, scope, and methodology for this work is included in each of the reports that are cited throughout this statement. In addition, we have included preliminary results from our ongoing work reviewing the authorities of federal CIOs. The draft report related to this work is currently being reviewed by the agencies and we expect to issue it in June 2018.", "We conducted the work upon which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to the President\u2019s budget, the federal government plans to invest more than $96 billion for IT in fiscal year 2018\u2014the largest amount ever budgeted. Despite such large IT expenditures, we have previously reported that investments in federal IT too often result in failed projects that incur cost overruns and schedule slippages, while contributing little to the desired mission-related outcomes. For example:", "The tri-agency National Polar-orbiting Operational Environmental Satellite System was disbanded in February 2010 by the White House\u2019s Office of Science and Technology Policy after the program spent 16 years and almost $5 billion.", "The Department of Homeland Security\u2019s (DHS) Secure Border Initiative Network program was ended in January 2011, after the department obligated more than $1 billion for the program.", "The Department of Veterans Affairs\u2019 Financial and Logistics Integrated Technology Enterprise program was intended to be delivered by 2014 at a total estimated cost of $609 million, but was terminated in October 2011.", "The Department of Defense\u2019s Expeditionary Combat Support System was canceled in December 2012 after spending more than a billion dollars and failing to deploy within 5 years of initially obligating funds.", "The United States Coast Guard (Coast Guard) decided to terminate its Integrated Health Information System project in 2015. As reported by the agency in August 2017, the Coast Guard spent approximately $60 million over 7 years on this project, which resulted in no equipment or software that could be used for future efforts.", "Our past work has found that these and other failed IT projects often suffered from a lack of disciplined and effective management, such as project planning, requirements definition, and program oversight and governance. In many instances, agencies had not consistently applied best practices that are critical to successfully acquiring IT.", "Such projects have also failed due to a lack of oversight and governance. Executive-level governance and oversight across the government has often been ineffective, specifically from CIOs. For example, we have reported that some CIOs\u2019 roles were limited because they did not have the authority to review and approve the entire agency IT portfolio.", "In addition to failures when acquiring IT, security deficiencies can threaten systems once they become operational. As we previously reported, in order to counter security threats, 23 civilian Chief Financial Officers Act agencies spent a combined total of approximately $4 billion on IT security-related activities in fiscal year 2016. Even so, our cybersecurity work at federal agencies continues to highlight information security deficiencies. The following examples describe the types of risks we have found at federal agencies.", "In November 2017, we reported that the Department of Education\u2019s Office of Federal Student Aid did not consistently analyze privacy risks for its electronic information systems, and policies and procedures for protecting information systems were not always up to date.", "In August 2017, we reported that, since the 2015 data breaches, the Office of Personnel Management (OPM) had taken actions to prevent, mitigate, and respond to data breaches involving sensitive personal and background investigation information. However, we noted that the agency had not fully implemented recommendations made to OPM by DHS\u2019s United States Computer Emergency Readiness Team to help the agency improve its overall security posture and improve its ability to protect its systems and information from security breaches.", "In July 2017, we reported that IT security at the Internal Revenue Service had weaknesses that limited its effectiveness in protecting the confidentiality, integrity, and availability of financial and sensitive taxpayer data. An underlying reason for these weaknesses was that the Internal Revenue Service had not effectively implemented elements of its information security program.", "In May 2016, we reported that the National Aeronautics and Space Administration, the Nuclear Regulatory Commission, OPM, and the Department of Veteran Affairs did not always control access to selected high-impact systems, patch known software vulnerabilities, and plan for contingencies. An underlying reason for these weaknesses was that the agencies had not fully implemented key elements of their information security programs.", "In August 2016, we reported that the IT security of the Food and Drug Administration had significant weaknesses that jeopardized the confidentiality, integrity, and availability of its information systems and industry and public health data."], "subsections": [{"section_title": "FITARA Increases CIO Authorities and Responsibilities", "paragraphs": ["Congress and the President have enacted various key pieces of reform legislation to address IT management issues. These include the federal IT acquisition reform legislation commonly referred to as the Federal Information Technology Acquisition Reform Act (FITARA). This legislation was intended to improve covered agencies\u2019 acquisitions of IT and enable Congress to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. The law includes specific requirements related to seven areas:", "Agency CIO authority enhancements. CIOs at covered agencies have the authority to, among other things, (1) approve the IT budget requests of their respective agencies and (2) review and approve IT contracts.", "Federal data center consolidation initiative (FDCCI). Agencies covered by FITARA are required, among other things, to provide a strategy for consolidating and optimizing their data centers and issue quarterly updates on the progress made.", "Enhanced transparency and improved risk management. The Office of Management and Budget (OMB) and covered agencies are to make detailed information on federal IT investments publicly available, and agency CIOs are to categorize their investments by level of risk.", "Portfolio review. Covered agencies are to annually review IT investment portfolios in order to, among other things, increase efficiency and effectiveness and identify potential waste and duplication.", "Expansion of training and use of IT acquisition cadres. Covered agencies are to update their acquisition human capital plans to support timely and effective IT acquisitions. In doing so, the law calls for agencies to consider, among other things, establishing IT acquisition cadres (i.e., multi-functional groups of professionals to acquire and manage complex programs), or developing agreements with other agencies that have such cadres.", "Government-wide software purchasing program. The General Services Administration is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law requires that, to the maximum extent practicable, the General Services Administration should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user.", "Maximizing the benefit of the Federal Strategic Sourcing Initiative. Federal agencies are required to compare their purchases of services and supplies to what is offered under the Federal Strategic Sourcing Initiative.", "In June 2015, OMB released guidance describing how agencies are to implement FITARA. This guidance is intended to, among other things: assist agencies in aligning their IT resources with statutory establish government-wide IT management controls to meet the law\u2019s requirements, while providing agencies with flexibility to adapt to unique agency processes and requirements; strengthen the relationship between agency CIOs and bureau CIOs; strengthen CIO accountability for IT costs, schedules, performance, and security.", "The guidance identifies a number of actions that agencies are to take to establish a basic set of roles and responsibilities (referred to as the common baseline) for CIOs and other senior agency officials; and thus, to implement the authorities described in the law. For example, agencies are to conduct a self-assessment and submit a plan describing the changes they intend to make to ensure that common baseline responsibilities are implemented.", "In addition, in August 2016, OMB released guidance intended to, among other things, define a framework for achieving the data center consolidation and optimization requirements of FITARA. The guidance directs agencies to develop a data center consolidation and optimization strategic plan that defines the agency\u2019s data center strategy for fiscal years 2016, 2017, and 2018. This strategy is to include, among other things, a statement from the agency CIO indicating whether the agency has complied with all data center reporting requirements in FITARA. Further, the guidance indicates that OMB is to maintain a public dashboard to display consolidation-related costs savings and optimization performance information for the agencies."], "subsections": []}, {"section_title": "Congress Has Undertaken Efforts to Continue Selected FITARA Provisions and Modernize Federal IT", "paragraphs": ["Congress has recognized the importance of agencies\u2019 continued implementation of FITARA provisions, and has taken legislative action to extend selected provisions beyond their original dates of expiration. Specifically, Congress and the President enacted laws to: remove the expiration date for enhanced transparency and improved risk management provisions, which were set to expire in 2019; remove the expiration date for portfolio review, which was set to expire in 2019; and extend the expiration date for FDCCI from 2018 to 2020.", "In addition, Congress and the President enacted a law to authorize the availability of funding mechanisms to help further agencies\u2019 efforts to modernize IT. The law, known as the Modernizing Government Technology (MGT) Act, authorizes agencies to establish working capital funds for use in transitioning from legacy IT systems, as well as for addressing evolving threats to information security. The law also creates the Technology Modernization Fund, within the Department of the Treasury, from which agencies can \u201cborrow\u201d money to retire and replace legacy systems, as well as acquire or develop systems.", "Further, in February 2018, OMB issued guidance for agencies to implement the MGT Act. The guidance was intended to provide agencies additional information regarding the Technology Modernization Fund, and the administration and funding of the related IT working capital funds. Specifically, the guidance allowed agencies to begin submitting initial project proposals for modernization on February 27, 2018. In addition, in accordance with the MGT Act, the guidance provides details regarding a Technology Modernization Board, which is to consist of (1) the Federal CIO; (2) a senior official from the General Services Administration; (3) a member of DHS\u2019s National Protection and Program Directorate; and (4) four federal employees with technical expertise in IT development, financial management, cybersecurity and privacy, and acquisition, appointed by the Director of OMB."], "subsections": []}, {"section_title": "FISMA Establishes Responsibilities for Agencies to Address Federal Cybersecurity", "paragraphs": ["Congress and the President enacted the Federal Information Security Modernization Act of 2014 (FISMA) to improve federal cybersecurity and clarify government-wide responsibilities. The act addresses the increasing sophistication of cybersecurity attacks, promotes the use of automated security tools with the ability to continuously monitor and diagnose the security posture of federal agencies, and provides for improved oversight of federal agencies\u2019 information security programs.", "Specifically, the act clarifies and assigns additional responsibilities to entities such as OMB, DHS, and the federal agencies. Table 1 describes a selection of OMB, DHS, and agency responsibilities."], "subsections": []}, {"section_title": "The Current Administration Has Undertaken Efforts to Improve, Modernize, and Strengthen the Security of Federal IT", "paragraphs": ["Beyond the implementation of FITARA, FISMA, and related actions, the current administration has also initiated other efforts intended to improve federal IT. Specifically, in March 2017, the administration established the Office of American Innovation, which has a mission to, among other things, make recommendations to the President on policies and plans aimed at improving federal government operations and services. In doing so, the office is to consult with both OMB and the Office of Science and Technology Policy on policies and plans intended to improve government operations and services, improve the quality of life for Americans, and spur job creation.", "In May 2017, the Administration also established the American Technology Council, which has a goal of helping to transform and modernize federal agency IT and how the federal government uses and delivers digital services. The President is the chairman of this council, and the Federal CIO and the United States Digital Service Administrator are among the members.", "In addition, on May 11, 2017, the President signed Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure. This executive order outlined actions to enhance cybersecurity across federal agencies and critical infrastructure to improve the nation\u2019s cyber posture and capabilities against cyber security threats. Among other things, the order tasked the Director of the American Technology Council to coordinate a report to the President from the Secretary of DHS, the Director of OMB, and the Administrator of the General Services Administration, in consultation with the Secretary of Commerce, regarding the modernization of federal IT. As a result, the Report to the President on Federal IT Modernization was issued on December 13, 2017, and outlined the current and envisioned state of federal IT. The report focused on modernization efforts to improve the security posture of federal IT and recognized that agencies have attempted to modernize systems but have been stymied by a variety of factors, including resource prioritization, ability to procure services quickly, and technical issues. The report provided multiple recommendations intended to address these issues through the modernization and consolidation of networks and the use of shared services to enable future network architectures.", "Further, in March 2018, the Administration issued the President\u2019s Management Agenda, which lays out a long-term vision for modernizing the federal government. The agenda identifies three related drivers of transformation\u2014IT modernization; data, accountability, and transparency; and the workforce of the future\u2014that are intended to push change across the federal government.", "The Administration also established 14 related Cross-Agency Priority goals, many of which have elements that involve IT. In particular, the Cross-Agency Priority goal on IT modernization states that modern IT must function as the backbone of how government serves the public in the digital age and provides three priorities that are to guide the Administration\u2019s efforts to modernize federal IT: (1) enhancing mission effectiveness by improving the quality and efficiency of critical services, including the increased utilization of cloud-based solutions; (2) reducing cybersecurity risks to the federal mission by leveraging current commercial capabilities and implementing cutting edge cybersecurity capabilities; and (3) building a modern IT workforce by recruiting, reskilling, and retaining professionals able to help drive modernization with up-to-date technology.", "Most recently, on May 15, 2018, the President signed Executive Order 13833, Enhancing the Effectiveness of Agency Chief Information Officers. Among other things, this executive order is intended to better position agencies to modernize their IT systems, execute IT programs more efficiently, and reduce cybersecurity risks. The order pertains to 22 of the 24 Chief Financial Officer Act agencies: the Department of Defense and the Nuclear Regulatory Commission are exempt.", "For the covered agencies, the executive order strengthens the role of agency CIOs by, among other things, requiring to report directly to their agency head; to serve as their agency head\u2019s primary IT strategic advisor; and to have a significant role in all management, governance, and oversight processes related to IT. In addition, one of the cybersecurity requirements directs agencies to ensure that the CIO works closely with an integrated team of senior executives, including those with expertise in IT, security, and privacy, to implement appropriate risk management measures."], "subsections": []}]}, {"section_title": "Agencies Have Not Fully Addressed the IT Acquisitions and Operations High-Risk Area", "paragraphs": ["In the February 2017 update to our high-risk series, we reported that agencies still needed to complete significant work related to the management of IT acquisitions and operations We stressed that OMB and federal agencies should continue to expeditiously implement FITARA and OMB\u2019s related guidance, which include enhancing CIO authority, consolidating data centers, and acquiring and managing software licenses.", "Our update to this high-risk area also stressed that OMB and agencies needed to continue to implement our prior recommendations in order to improve their ability to effectively and efficiently invest in IT. Specifically, from fiscal years 2010 through 2015, we made 803 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations. In addition, in fiscal year 2016, we made 202 new recommendations, thus, further reinforcing the need for OMB and agencies to address the shortcomings in IT acquisitions and operations.", "As stated in the update, OMB and agencies should demonstrate government-wide progress in the management of IT investments by, among other things, implementing at least 80 percent of our recommendations related to managing IT acquisitions and operations within 4 years. As of May 2018, OMB and agencies had fully implemented 489 (or about 61 percent) of the 803 recommendations. Figure 1 summarizes the progress that OMB and agencies have made in addressing our recommendations as compared to the 80 percent target.", "Overall, federal agencies would be better positioned to realize billions in cost savings and additional management improvements if they address these recommendations, including those aimed at implementing CIO responsibilities, review of IT acquisitions; improving data center consolidation; and managing software licenses."], "subsections": [{"section_title": "Agencies Need to Address Shortcomings and Challenges in Implementing CIO Responsibilities", "paragraphs": ["In all, the various laws, such as FITARA, and related guidance assign 35 IT management responsibilities to CIOs in six key areas. These areas are: leadership and accountability, budgeting, information security, investment management, workforce, and strategic planning.", "In a draft report on CIO responsibilities that we have provided to the agencies for comment and plan to issue in June 2018, our preliminary results suggest that none of the 24 agencies we reviewed had policies that fully addressed the role of their CIO, as called for by federal laws and guidance. In this regard, a majority of the agencies fully or substantially addressed the role of their CIOs for the area of leadership and accountability. In addition, a majority of the agencies substantially or partially addressed the role of their CIOs for two areas: information security and IT budgeting. However, most agencies partially or minimally addressed the role of their CIOs for two areas: investment management and strategic planning. These preliminary results are shown in figure 2.", "Despite these shortfalls, most agency officials stated that their CIOs are implementing the responsibilities even if the agencies do not have policies requiring implementation.", "Nevertheless, the CIOs of the 24 selected agencies acknowledged in responses to a survey that we administered for our draft report that they were not always very effective in implementing the six IT management areas. Specifically, our preliminary results show that at least 10 of the CIOs indicated that they were less than very effective for each of the six areas of responsibility. We believe that until agencies fully address the role of CIOs in their policies, agencies will be limited in addressing longstanding IT management challenges.", "Figure 3 depicts that extent to which the CIOs reported their effectiveness in implementing the six areas of responsibility.", "Beyond the actions of the agencies, however, our preliminary results indicate that shortcomings in agencies\u2019 policies also are partially attributable to two weaknesses in OMB\u2019s FITARA implementation guidance. First, the guidance does not comprehensively address all CIO responsibilities, such as those related to assessing the extent to which personnel meet IT management knowledge and skill requirements, and ensuring that personnel are held accountable for complying with the information security program. Correspondingly, the majority of the agencies\u2019 policies did not fully address nearly all of the responsibilities that were not included in OMB\u2019s guidance.", "Second, OMB\u2019s guidance does not ensure that CIOs have a significant role in (1) IT planning, programming, and budgeting decisions and (2) execution decisions and the management, governance, and oversight processes related to IT, as required by federal law and guidance. In the absence of comprehensive guidance, CIOs will not be positioned to effectively acquire, maintain, and secure their IT systems.", "Based on our preliminary results, 24 agency CIOs also identified a number of factors that enabled and challenged their ability to effectively manage IT. As shown in figure 4, five factors were identified by at least half of the 24 CIOs as major enablers and three factors were identified by at least half of the CIOs as major challenges. Specifically, most agency CIOs cited five factors as being enablers to effectively carry out their responsibilities: (1) NIST guidance, (2) the CIO\u2019s position in the agency hierarchy, (3) OMB guidance, (4) coordination with the Chief Acquisition Officer (CAO), and (5) legal authority. Further, three factors were cited by CIOs as major factors that have challenged their ability to effectively carry out responsibilities: (1) processes for hiring, recruiting, and retaining IT personnel; (2) financial resources; and (3) the availability of personnel/staff resources.", "As our draft report states, although OMB has issued guidance aimed at addressing the three factors that were identified by at least half of the CIOs as major challenges, the guidance does not fully address those challenges. Further, regarding the financial resources challenge, OMB recently required agencies to provide data on CIO authority over IT spending; however, its guidance does not provide a complete definition of the authority. We believe that in the absence of such guidance, agencies have created varying definitions of CIO authority. Further, until OMB updates its guidance to include a complete definition of the authority that CIOs are to have over IT spending, it will be difficult for OMB to identify any deficiencies in this area and to help agencies make any needed improvements.", "In order to address challenges in implementing CIO responsibilities, we intend to include in our draft report recommendations to OMB and each of the selected 24 federal agencies to improve the effectiveness of CIOs\u2019 implementation of their responsibilities for each of the six IT management areas."], "subsections": []}, {"section_title": "Agencies Need to Ensure That IT Acquisitions Are Reviewed and Approved by CIOs", "paragraphs": ["FITARA includes a provision to enhance covered agency CIOs\u2019 authority through, among other things, requiring agency heads to ensure that CIOs review and approve IT contracts. OMB\u2019s FITARA implementation guidance expanded upon this aspect of the legislation in a number of ways. Specifically, according to the guidance:", "CIOs may review and approve IT acquisition strategies and plans, rather than individual IT contracts;", "CIOs can designate other agency officials to act as their representatives, but the CIOs must retain accountability;", "CAOs are responsible for ensuring that all IT contract actions are consistent with CIO-approved acquisition strategies and plans; and", "CAOs are to indicate to the CIOs when planned acquisition strategies and acquisition plans include IT.", "In January 2018, we reported that most of the CIOs at 22 selected agencies were not adequately involved in reviewing billions of dollars of IT acquisitions. For instance, most of the 22 agencies did not identify all of their IT contracts. In this regard, the agencies identified 78,249 IT- related contracts, to which they obligated $14.7 billion in fiscal year 2016. However, we identified 31,493 additional contracts with $4.5 billion obligated, raising the total amount obligated by these agencies to IT contracts in fiscal year 2016 to at least $19.2 billion. Figure 5 reflects the obligations that the 22 selected agencies reported to us relative to the obligations we identified.", "The percentage of additional IT contract obligations we identified varied among the selected agencies. For example, the Department of State did not identify 1 percent of its IT contract obligations. Conversely, 8 agencies did not identify over 40 percent of their IT contract obligations.", "Many of the selected agencies that did not identify these IT contract obligations did not follow OMB guidance. Specifically, 14 of the 22 agencies did not involve the acquisition office in their process to identify IT acquisitions for CIO review, as required by OMB. In addition, 7 agencies did not establish guidance to aid officials in recognizing IT. We concluded that until these agencies involve the acquisitions office in their IT acquisition identification processes and establish supporting guidance, they cannot ensure that they will identify all IT acquisitions. Without proper identification of IT acquisitions, these agencies and CIOs cannot effectively provide oversight of these acquisitions.", "In addition to not identifying all IT contracts, 14 of the 22 selected agencies did not fully satisfy OMB\u2019s requirement that the CIO review and approve IT acquisition plans or strategies. Further, only 11 of 96 randomly selected IT contracts at 10 agencies that we evaluated were CIO-reviewed and approved as required by OMB\u2019s guidance. The 85 IT contracts not reviewed had a total possible value of approximately $23.8 billion.", "We believe that until agencies ensure that CIOs are able to review and approve all IT acquisitions, CIOs will continue to have limited visibility and input into their agencies\u2019 planned IT expenditures and will not be able to use the increased authority that FITARA\u2019s contract approval provision is intended to provide. Further, agencies will likely miss an opportunity to strengthen CIOs\u2019 authority and the oversight of IT acquisitions. As a result, agencies may award IT contracts that are duplicative, wasteful, or poorly conceived.", "As a result of these findings, we made 39 recommendations in our January 2018 report. The recommendations included that agencies ensure that their acquisition offices are involved in identifying IT acquisitions and issuing related guidance, and that IT acquisitions are reviewed in accordance with OMB guidance. OMB and the majority of the agencies generally agreed with or did not comment on the recommendations."], "subsections": []}, {"section_title": "Agencies Have Made Progress in Consolidating Data Centers, but Need to Take Action to Achieve Planned Cost Savings", "paragraphs": ["In our February 2017 high-risk update, we stated that OMB and agencies needed to demonstrate additional progress on achieving data center consolidation savings in order to improve the management of IT acquisitions and operations. Further, data center consolidation efforts are key to implementing FITARA. Specifically, OMB established the FDCCI in February 2010 to improve the efficiency, performance, and environmental footprint of federal data center activities. The enactment of FITARA in 2014 codified and expanded the initiative.", "In a series of reports that we issued from July 2011 through August 2017, we noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in several areas, including agencies\u2019 data center consolidation plans, data center optimization, and OMB\u2019s tracking and reporting on related cost savings. In these reports, we made a total of 160 recommendations to OMB and 24 agencies to improve the execution and oversight of the initiative. Most agencies and OMB agreed with our recommendations or had no comments. As of May 2018, 80 of these 160 recommendations remained unimplemented.", "Further, we recently reported in May 2018 that the 24 agencies participating in OMB\u2019s Data Center Optimization Initiative (DCOI) had communicated mixed progress toward achieving OMB\u2019s goals for closing data centers by September 2018. Over half of the agencies reported that they had either already met, or planned to meet, all of their OMB- assigned goals by the deadline. This would result in the closure of 7,221 of the 12,062 centers that agencies reported in August 2017. However, 4 agencies reported that they do not have plans to meet all of their assigned goals and 2 agencies are working with OMB to establish revised targets. With regard to agencies\u2019 progress in achieving cost savings, 24 agencies reported $3.9 billion in cost savings through 2018.", "The 24 agencies also reported limited progress against OMB\u2019s five data center optimization targets for server utilization and automated monitoring, energy metering, power usage effectiveness, facility utilization, and virtualization. As of August 2017, 1 agency reported that it had met four targets, 1 agency reported that it had met three targets, 6 agencies reported having met either one or two targets, and 14 agencies reported meeting none of the targets.", "Further, as of August 2017, most agencies were not planning to meet OMB\u2019s fiscal year 2018 optimization targets. Specifically, 4 agencies reported plans to meet all of their applicable targets by the end of fiscal year 2018; 14 agencies reported plans to meet some of the targets; and 4 reported that they did not plan to meet any targets. Figure 6 summarizes agency-reported plans to meet or exceed the OMB\u2019s data center optimization targets, as of August 2017.", "In 2016 and 2017, we made 81 recommendations to OMB and the 24 DCOI agencies to help improve the reporting of data center-related cost savings and to achieve optimization targets. As of May 2018, 71 of these 81 recommendations have not been fully addressed."], "subsections": []}, {"section_title": "Agencies Need to Better Manage Software Licenses to Achieve Savings", "paragraphs": ["In our 2015 high-risk report\u2019s discussion of IT acquisitions and operations, we identified the management of software licenses as an area of concern, in part because of the potential for cost savings. Federal agencies engage in thousands of software licensing agreements annually. The objective of software license management is to manage, control, and protect an organization\u2019s software assets. Effective management of these licenses can help avoid purchasing too many licenses, which can result in unused software, as well as too few licenses, which can result in noncompliance with license terms and cause the imposition of additional fees.", "As part of its PortfolioStat initiative, OMB has developed policy that addresses software licenses. This policy requires agencies to conduct an annual, agency-wide IT portfolio review to, among other things, reduce commodity IT spending. Such areas of spending could include software licenses.", "In May 2014, we reported on federal agencies\u2019 management of software licenses and determined that better management was needed to achieve significant savings government-wide. Of the 24 selected agencies we reviewed, only 2 had comprehensive policies that included the establishment of clear roles and central oversight authority for managing enterprise software license agreements, among other things. Of the remaining 22 agencies, 18 had policies that were not comprehensive, and 4 had not developed any policies.", "Further, we found that only 2 of the 24 selected agencies had established comprehensive software license inventories, a leading practice that would help them to adequately manage their software licenses. The inadequate implementation of this and other leading practices in software license management was partially due to weaknesses in agencies\u2019 policies. As a result, we concluded that agencies\u2019 oversight of software license spending was limited or lacking, thus potentially leading to missed savings. However, the potential savings could be significant considering that, in fiscal year 2012, 1 major federal agency reported saving approximately $181 million by consolidating its enterprise license agreements, even when its oversight process was ad hoc.", "Accordingly, we recommended that OMB issue a directive to help guide agencies in managing software licenses. We also made 135 recommendations to the 24 agencies to improve their policies and practices for managing licenses. Among other things, we recommended that the agencies regularly track and maintain a comprehensive inventory of software licenses and analyze the inventory to identify opportunities to reduce costs and better inform investment decision making.", "Most agencies generally agreed with the recommendations or had no comments. As of May 2018, 78 of the 135 recommendations had not been implemented. Table 2 reflects the extent to which the 24 agencies implemented the recommendations in these two areas."], "subsections": []}]}, {"section_title": "Agencies Need to Address Shortcomings in Information Security Area", "paragraphs": ["Since information security was added to the high-risk list in 1997, we have consistently identified shortcomings in the federal government\u2019s approach to cybersecurity. We have previously testified that, even though agencies have acted to improve the protections over federal and critical infrastructure information and information systems, the federal government needs to take the following actions to strengthen U.S. cybersecurity:", "Effectively implement risk-based entity-wide information security programs consistently over time. Among other things, agencies need to (1) implement sustainable processes for securely configuring operating systems, applications, workstations, servers, and network devices; (2) patch vulnerable systems and replace unsupported software; (3) develop comprehensive security test and evaluation procedures and conduct examinations on a regular and recurring basis; and (4) strengthen oversight of contractors providing IT services. Improve its cyber incident detection, response, and mitigation capabilities. DHS needs to expand the capabilities and support wider adoption of its government-wide intrusion detection and prevention system. In addition, the federal government needs to improve cyber incident response practices, update guidance on reporting data breaches, and develop consistent responses to breaches of personally identifiable information.", "Expand its cyber workforce planning and training efforts. The federal government needs to (1) enhance efforts for recruiting and retaining a qualified cybersecurity workforce and (2) improve cybersecurity workforce planning activities.", "Expand efforts to strengthen cybersecurity of the nation\u2019s critical infrastructures. The federal government needs to develop metrics to (1) assess the effectiveness of efforts promoting the National Institute of Standards and Technology\u2019s (NIST) Framework for Improving Critical Infrastructure Cybersecurity and (2) measure and report on the effectiveness of cyber risk mitigation activities and the cybersecurity posture of critical infrastructure sectors.", "Better oversee protection of personally identifiable information. The federal government needs to (1) protect the security and privacy of electronic health information, (2) ensure privacy when face recognition systems are used, and (3) protect the privacy of users\u2019 data on state-based health insurance marketplaces.", "As we have previously noted, in order to take the preceding actions and strengthen the federal government\u2019s cybersecurity posture, agencies should implement the information security programs required by FISMA. In this regard, FISMA provides a framework for ensuring the effectiveness of information security controls for federal information resources. The law requires each agency to develop, document, and implement an agency- wide information security program. Such a program includes risk assessments; the development and implementation of policies and procedures to cost-effectively reduce risks; plans for providing adequate information security for networks, facilities, and systems; security awareness and specialized training; the testing and evaluation of the effectiveness of controls; the planning, implementation, evaluation, and documentation of remedial actions to address information security deficiencies; procedures for detecting, reporting, and responding to security incidents; and plans and procedures to ensure continuity of operations.", "Since 2010, we have made 2,733 recommendations to agencies aimed at improving the security of federal systems and information. These recommendations have identified actions for agencies to take to strengthen technical security controls over their computer networks and systems. They also have included recommendations for agencies to fully implement aspects of their information security programs, as mandated by FISMA. Nevertheless, many agencies continue to be challenged in safeguarding their information systems and information, in part because many of these recommendations have not been implemented. As of May 2018, 793 of information security-related recommendations we have made have not been implemented."], "subsections": [{"section_title": "Agencies\u2019 Inspectors General Are to Identify Information Security Program Weaknesses", "paragraphs": ["In order to determine the effectiveness of the agencies\u2019 information security programs and practices, FISMA requires that federal agencies\u2019 inspectors general conduct annual independent evaluations. The agencies are to report the results of these evaluations to OMB, and OMB is to summarize the results in annual reports to Congress.", "In these evaluations, the inspectors general frame the scope of their analysis, identify key findings, and detail recommendations to address the findings. The evaluations also are to capture maturity model ratings for their respective agencies. Toward this end, in fiscal year 2017, the inspector general community, in partnership with OMB and DHS, finalized a 3-year effort to create a maturity model for FISMA metrics that align to the five function areas in the NIST Framework for Improving Critical Infrastructure Cybersecurity (Cybersecurity Framework): identify, protect, detect, respond, and recover. This alignment is intended to help promote consistent and comparable metrics and criteria and provides agencies with a meaningful independent assessment of their information security programs.", "This maturity model is designed to summarize the status of agencies\u2019 information security programs on a five-level capability maturity scale. The five maturity levels are defined as follows:", "Level 1 Ad-hoc: Policies, procedures, and strategy are not formalized; activities are performed in an ad-hoc, reactive manner.", "Level 2 Defined: Policies, procedures, and strategy are formalized and documented but not consistently implemented.", "Level 3 Consistently Implemented: Policies, procedures, and strategy are consistently implemented, but quantitative and qualitative effectiveness measures are lacking.", "Level 4 Managed and Measurable: Quantitative and qualitative measures on the effectiveness of policies, procedures, and strategy are collected across the organizations and used to assess them and make necessary changes.", "Level 5 Optimized: Policies, procedures, and strategy are fully institutionalized, repeatable, self-generating, consistently implemented and regularly updated based on a changing threat and technology landscape and business/mission needs.", "In March 2018, OMB issued its annual FISMA report to Congress, which showed the combined results of the inspectors general\u2019s fiscal year 2017 evaluations. Based on data from 76 agency inspector general and independent auditor assessments, OMB determined that the government-wide median maturity model ratings across the five NIST Cybersecurity Framework areas did not exceed a level 3 (consistently implemented). Table 3 shows the inspectors general\u2019s median ratings for each of the NIST Cybersecurity Framework areas."], "subsections": []}, {"section_title": "OMB Requires Agencies to Meet Targets for Cybersecurity Metrics", "paragraphs": ["In its efforts toward strengthening the federal government\u2019s cybersecurity, OMB also requires agencies to submit related cybersecurity metrics as part of its Cross-Agency Priority goals. In particular, OMB developed the IT modernization goal so that federal agencies will be able to build and maintain more modern, secure, and resilient IT. A key part of this goal is to reduce cybersecurity risks to the federal mission through three strategies: manage asset security, protect networks and data, and limit personnel access. The key targets supporting each of these strategies correspond to areas within the FISMA metrics. Table 4 outlines the strategies and their associated targets.", "In conclusion, FITARA and FISMA present opportunities for the federal government to address the high-risk areas on improving the management of IT acquisitions and operations, and ensuring the security of federal IT, thereby saving billions of dollars. Most agencies have taken steps to execute key IT management and cybersecurity initiatives, including implementing CIO responsibilities, requiring CIO review of IT acquisitions, realizing data center consolidation cost savings, managing software assets, and complying with FISMA requirements. The agencies have also continued to address the recommendations that we have made over the past several years. However, further efforts by OMB and federal agencies to implement our previous recommendations would better position them to improve the management and security of federal IT. To help ensure that these efforts succeed, we will continue to monitor agencies\u2019 efforts toward implementing these recommendations.", "Chairmen Meadows and Hurd, Ranking Members Connolly and Kelly, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact David A. Powner, Director, Information Technology, at (202) 512- 9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Kevin Walsh (Assistant Director), Chris Businsky, Rebecca Eyler, Meredith Raymond, and Jessica Waselkow (Analyst in Charge).", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-126", "url": "https://www.gao.gov/products/GAO-18-126", "title": "Nuclear Weapons: NNSA Should Clarify Long-Term Uranium Enrichment Mission Needs and Improve Technology Cost Estimates", "published_date": "2018-02-16T00:00:00", "released_date": "2018-02-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NNSA has several mission needs for enriched uranium, including providing LEU to fuel a nuclear reactor that produces tritium\u2014a key isotope used in nuclear weapons. NNSA has a pressing defense need for unobligated LEU to fuel this reactor, meaning the uranium, technology and equipment used to produce the LEU, must be U.S. in origin. Because the United States lost its only source of unobligated LEU production in 2013, the supply is finite.", "A House Armed Services Committee report included a provision for GAO to assess NNSA's plans to manage tritium and enriched uranium. This report examines (1) the actions NNSA is taking to extend its existing LEU inventories to address near-term tritium needs; (2) the extent to which NNSA's plan to analyze long-term options for supplying enriched uranium is consistent with DOE directives; and (3) NNSA's preliminary cost estimates for long-term uranium enrichment technology options and the extent to which they meet best practices for reliable estimates. GAO analyzed NNSA plans on costs, schedules, and risks; compared them with its guide on best practices in cost estimating; and interviewed NNSA and other officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Nuclear Security Administration (NNSA), a separately organized agency within the Department of Energy (DOE), is taking or plans to take four actions to extend inventories of low-enriched uranium (LEU) that is unobligated, or carries no promises or peaceful use to foreign trade partners until about 2038 to 2041. Two of the actions involve preserving supplies of LEU, and the other two involve diluting highly enriched uranium (HEU) with lower enriched forms of uranium to produce LEU. GAO reviewed these actions and found the actual costs and schedules for those taken to date generally align with estimates. NNSA and GAO have identified risks associated with two of these actions. One of these risks has been resolved; NNSA is taking steps to mitigate another, while others, such as uncertainty of future appropriations, are unresolved.", "NNSA's preliminary plan for analyzing options to supply unobligated enriched uranium in the long term is inconsistent with DOE directives for the acquisition of capital assets, which state that the mission need statement should be a clear and concise description of the gap between current capabilities and the mission need. The scope of the mission need statement that NNSA has developed can be interpreted to meet two different mission needs: (1) a need for enriched uranium for multiple national security needs, including tritium, and (2) a specific need for enriched uranium to produce tritium. The DOE directives also state that mission need should be independent of and not defined by a particular solution. However, NNSA is showing preference toward a particular solution\u2014building a new uranium enrichment capability\u2014and the agency has not included other technology options for analysis. Without (1) revising the scope of the mission need statement to clarify the mission need it seeks to achieve and (2) adjusting the range of options it considers in the analysis of alternatives process, NNSA may not consider all options to satisfy its mission need.", "Although the scope of the mission need statement is unclear, NNSA has prepared preliminary cost estimates for the two uranium enrichment technology options\u2014the large and small centrifuge\u2014that the agency considers to be the most feasible. However, these estimates are limited in scope and do not fully meet best practices for reliable cost estimates. Based on GAO's review of NNSA documents, NNSA appears to favor an incremental approach to reestablishing an enrichment capability that could ultimately meet all national security needs for enriched uranium. The estimates' scope is limited, however, in that they reflect only the costs of the first increment\u2014producing LEU for tritium\u2014and do not reflect the full costs of building a uranium enrichment facility that could meet the range of enriched uranium needs. GAO's cost guide\u2014which provides cost estimating best practices\u2014states that the scope of preliminary cost estimates should reflect full life-cycle costs. Also, NNSA's estimates for the two options minimally or partially met best practice characteristics for reliable cost estimates even when assessed for the more limited mission scope. For example, the estimates excluded certain costs and did not describe the calculations used. NNSA officials said that the cost estimates are preliminary and will be revised. By developing reliable cost estimates that are aligned with the revised mission need statement and consistent with best practices, NNSA will reasonably ensure that it has reliable information to make a decision about which option to select."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, including that NNSA revise the scope of its mission need statement and ensure that the scope of its cost estimates are aligned with the revised statement while developing estimates consistent with best practices. NNSA described actions planned and in process to address both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The National Nuclear Security Administration (NNSA), a separately organized agency within the Department of Energy (DOE), is responsible for the management and security of the nation\u2019s nuclear weapons, as well as nonproliferation programs and the Naval Nuclear Propulsion program, which supports reactor design and production for the U.S. nuclear- powered naval fleet. Uranium, at various levels of enrichment, is important for the achievement of all of these missions. Specifically, NNSA has identified several national security and other needs for enriched uranium, including: (1) producing tritium which is a necessary component of nuclear weapons, through an existing process in a Tennessee Valley Authority (TVA) reactor that uses low enriched uranium (LEU) as fuel; (2) supplying highly enriched uranium (HEU) to meet the U.S. Navy\u2019s needs for its nuclear powered aircraft carriers and submarines; and (3) providing \u201chigh assay\u201d LEU for medical isotope production and research reactor fuel. According to DOE, only unobligated uranium can be used to achieve NNSA\u2019s national security missions. All uranium is considered unobligated when neither the uranium nor the technology or equipment used to enrich it carries an \u201cobligation\u201d to a foreign country. These obligations are established under international agreements that describe the conditions for civilian nuclear cooperation between the United States and foreign partners. Uranium or uranium- related technology subject to peaceful-use obligations under such agreements cannot be used for military purposes by the United States. The United States lost its sole supplier of unobligated enrichment services when the last operating enrichment plant using U.S. technology ceased enriching uranium in May 2013. As a result, NNSA\u2019s supply of unobligated LEU is finite and becoming increasingly scarce. In May 2014, NNSA projected that its inventory of unobligated LEU fuel for tritium production would last through 2027.", "In 2014 and 2015, Congress required NNSA to submit analyses of its options to meet tritium and enriched uranium needs for national security purposes. In October 2015, NNSA released its Tritium and Enriched Uranium Management Plan Through 2060, which presented several actions\u2014along with their projected costs, schedules, and risks\u2014to extend its existing inventories of enriched uranium to address its near-term need for tritium. In addition, NNSA identified technical and other options to ensure an adequate long term supply of tritium and enriched uranium in support of national security and other needs.", "The House Armed Services Committee report accompanying H.R. 4909, a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision for GAO to assess NNSA\u2019s October 2015 plan and subsequent actions to manage tritium and enriched uranium. This report examines: (1) the actions NNSA is taking to extend its existing inventories of enriched uranium to address near term tritium needs and the costs, schedules, and risks of those actions; (2) the extent to which NNSA\u2019s plan to analyze options for supplying enriched uranium in the long term is consistent with DOE directives; and (3) NNSA\u2019s preliminary cost estimates for long-term uranium enrichment technology options and the extent to which they meet best practices for reliable estimates.", "To address all three objectives, we analyzed NNSA planning documents\u2014as well as other key agency strategies and implementation plans\u2014and interviewed officials from NNSA and DOE, the Department of Defense (DOD), the Department of State (State), TVA, and private companies that play a role in the production of enriched uranium. We also visited DOE\u2019s Oak Ridge National Laboratory (ORNL), where work continues on uranium enrichment technology; NNSA\u2019s Y-12 National Security Complex in Tennessee, which is involved in the management of enriched uranium; and the American Centrifuge demonstration plant in Ohio, where an advanced uranium enrichment technology was in development until 2016, to understand the technical and policy issues that affect the current LEU inventory and that may affect the future supply of unobligated LEU.", "To examine the actions that NNSA is taking to extend its existing inventories of enriched uranium to address its near-term tritium needs and the costs, schedules, and risks of those actions, we reviewed agency documents pertaining to these actions. We also obtained and analyzed NNSA information on actual costs and schedules for each action, where available, and compared that information against estimated costs and schedules. We identified risks associated with each action by reviewing NNSA documentation and interviewing NNSA and TVA officials and a representative of a private company involved in the actions.", "To examine the extent to which NNSA\u2019s plan to analyze options for supplying enriched uranium in the long term is consistent with DOE directives, we reviewed NNSA and ORNL documentation and interviewed federal officials from NNSA and the State Department as well as ORNL and NNSA contractor representatives regarding efforts NNSA has taken to identify potential options and preliminarily assess their feasibility. We evaluated NNSA\u2019s plan against DOE directives, such as DOE Order 413.3B Program and Project Management for the Acquisition of Capital Assets and associated guidance, such as G 413.3-4A Technology Readiness Assessment Guide, and G 413.3-17 Mission Need Statement Guide.", "To examine NNSA\u2019s preliminary cost estimates for long-term uranium enrichment technology options and the extent to which they meet best practices for reliable estimates, we reviewed NNSA and contractor planning, analysis, and cost documents. We compared the information in those documents to GAO\u2019s Cost Estimating and Assessment Guide (cost guide), which is a compilation of best practices for federal cost estimating organizations and industry to use, develop, and maintain reliable cost estimates throughout the life of an acquisition program. According to the cost guide, reliable cost estimates feature four characteristics\u2014 comprehensive, well-documented, accurate, and credible. These best practices apply to cost estimates throughout a project\u2019s life cycle, including early, rough-order-of-magnitude estimates developed at or before project initiation. We interviewed an NNSA official and a representative from the contractor who prepared the preliminary cost estimates about their methodologies and the results that were used to support the preliminary cost estimates. We assessed the information we gathered against best practices and shared our preliminary analysis with NNSA officials to obtain their perspectives and identify reasons for any observed shortfalls compared with cost-estimating best practices. We reviewed their comments and any additional information they provided and incorporated them to finalize our assessment. See appendix I for additional information on our objectives, scope, and methodology.", "We conducted this performance audit from August 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Nuclear Fuel Production and Uranium Enrichment Technologies", "paragraphs": ["Uranium is a naturally occurring radioactive element that is enriched to fuel nuclear power plants and that can also be used to meet certain national security purposes. Natural uranium is comprised of approximately 99.3 percent of the uranium-238 isotope and 0.7 percent of the uranium-235 isotope\u2014which undergoes fission to release energy. Uranium enrichment is the process of increasing the concentration of uranium-235 in a quantity of natural uranium to make LEU to fuel nuclear power plants, or to make HEU, which is used in nuclear weapons and as fuel by the U.S. Navy. Generally, to produce enriched uranium, uranium is extracted or mined from underground deposits, converted from a solid to a gas, enriched to increase its concentration of uranium-235, and then fabricated into fuel elements, such as rods for commercial nuclear reactors, appropriate for their ultimate use. These steps make up the nuclear fuel cycle (see fig. 1). After the fuel has been irradiated in a nuclear power reactor, it is considered \u201cspent\u201d nuclear fuel. Spent fuel can be chemically reprocessed, and the enriched uranium recycled for reuse. The United States used to reprocess spent nuclear fuel but has not done so since the mid-1970s, primarily to discourage other countries from pursuing reprocessing because of concerns over nuclear proliferation, as we have previously reported. Currently, in the United States, spent fuel is stored as waste.", "LEU can also be produced by downblending HEU to LEU. This involves mixing HEU with a \u201cdiluent\u201d or other forms of uranium\u2014such as natural uranium\u2014to reduce the concentration of the uranium-235 isotope in the uranium and produce an overall lower level of enrichment.", "Until 2013, uranium was enriched in the United States both for national security and commercial purposes. Beginning in the 1940s, DOE and its predecessor agencies provided uranium enrichment services\u2014first for national security purposes and later for the emerging commercial nuclear power industry\u2014using government-owned gaseous diffusion plants. In 1992, the U.S. government established the United States Enrichment Corporation (USEC) as a government corporation to take over operations of DOE\u2019s enrichment facilities and to provide uranium enrichment services for the U.S. government and utilities that operate nuclear power plants. In 1998, the corporation was privatized under the USEC Privatization Act. From 1998 until 2013, DOE relied exclusively on USEC to obtain enrichment services for the production of LEU needed to produce tritium. In May 2013, USEC ceased enrichment at its last commercially active enrichment plant in Paducah, Kentucky, which it had leased from DOE since the time of USEC\u2019s establishment. USEC has been the only company to enrich uranium with U.S. technology.", "Gas centrifuge technology, rather than gaseous diffusion technology, is currently used around the world to enrich uranium. Gas centrifuges work by spinning uranium hexafluoride in a gas form inside a centrifuge rotor at an extremely high speed. The rotation creates a strong centrifugal force, which separates the lighter uranium-235 molecules from the heavier uranium-238 molecules. The enrichment achieved by a single gas centrifuge is not sufficient to achieve the desired assay, so a series of centrifuges are connected together in a configuration called a cascade. In the United States, URENCO\u2014a European enrichment consortium\u2014 operates a gas centrifuge enrichment plant in New Mexico.", "The obligations governing the use of foreign uranium enrichment technology and nuclear material in the United States are established under international agreements between the United States and foreign partners. These agreements generally impose certain terms and conditions on transfers of nuclear material and equipment, including, among other things, requiring peaceful use of the material and equipment. The agreements\u2019 peaceful-use provisions generally state that material, equipment, and components subject to the agreements will not be used for any nuclear explosive device, for research on or development of any nuclear explosive device, or for any military purposes."], "subsections": []}, {"section_title": "National Security and Other Uses for Enriched Uranium", "paragraphs": ["This section discusses national security and other uses for enriched uranium, such as tritium production, highly enriched uranium, and high- assay low enriched uranium.", "Tritium is a key isotope used in nuclear weapons. NNSA needs an assured source of tritium to maintain the capabilities of the nuclear stockpile and has called tritium a \u201cpressing\u201d defense need. However, tritium has a relatively short half-life of 12.3 years and decays at a rate of about 5.5 percent per year. It must be periodically replenished to maintain the designed capability of the weapons. Some tritium may be recycled from dismantled weapons, but the inventory must also be replenished through the production of new tritium.", "At present, NNSA produces tritium through the use of one of TVA\u2019s electricity-producing nuclear reactors fueled with unobligated LEU. Small quantities of tritium are the normal by-products of electricity-producing nuclear power plants, such as those owned and operated by TVA. To produce more tritium than usual and later collect it, specially designed targets\u2014called tritium-producing burnable absorber rods (TPBAR)\u2014are loaded with the unobligated LEU and irradiated in TVA\u2019s Watts Bar 1 reactor. Irradiated TPBARs are unloaded during normal fuel reloading and shipped to NNSA\u2019s Tritium Extraction Facility at the Savannah River Site in South Carolina. There the tritium is extracted and prepared for use in nuclear warheads and bombs (see fig. 2 for NNSA\u2019s tritium production process).", "Prior to the use of TVA\u2019s reactor, the United States used other government-owned reactors to produce tritium (see sidebar). In 1999, TVA signed an interagency agreement with DOE to produce tritium at its Watts Bar and Sequoyah commercial nuclear reactors. Since 2003, TVA has been producing tritium for NNSA at its Watts Bar 1 reactor. TVA does not have plans to use the Sequoyah reactors for tritium production in the near term, according to a TVA document.", "History of U.S. Tritium Production From 1954 until 1988, the United States produced the majority of its tritium using nuclear reactors at the Savannah River Site in South Carolina. Smaller amounts of tritium were also produced using nuclear reactors at the Department of Energy\u2019s (DOE) Hanford Site in Washington. When the site\u2019s last operating reactor\u2014known as K Reactor\u2014was shut down due to safety concerns in 1988, the United States lost its capability to produce tritium for the nuclear weapons stockpile.", "The amount of tritium that NNSA needs changes based on national security requirements. In fiscal year 2015, NNSA conducted a review of the tritium inventory and anticipated future demand. At that time, NNSA determined that to meet future tritium demand a second TVA reactor would be required to irradiate TPBARs and produce additional tritium. Using a second TVA reactor would increase the amount of unobligated LEU needed for tritium production using this process, according to NNSA documents.", "NNSA also supplies HEU for national security and other missions. NNSA provides HEU to fuel reactors for the U.S. Navy\u2019s aircraft carriers and submarines. NNSA recovers HEU from excess dismantled nuclear weapons. According to NNSA\u2019s October 2015 plan, HEU from these sources will meet naval reactors\u2019 demand through 2060. After this time, NNSA will need additional sources of HEU for naval nuclear reactors. To satisfy non-defense demands, NNSA also supplies HEU to, among other things, fuel research reactors for medical isotope production and other research applications.", "In 1998, the Secretary of Energy announced that DOE would turn to commercial light water reactors as the sole means of meeting the future demand for tritium. From 1988 to 1998, DOE was able to meet its tritium requirements by harvesting and recycling it from dismantled nuclear warheads, as the United States decreased the size of its nuclear arsenal. However, because of tritium\u2019s short half-life, DOE could not meet its long-term tritium needs in this manner indefinitely. Since 2003, the Tennessee Valley Authority (TVA) has been producing tritium for National Nuclear Security Administration (NNSA) at its Watts Bar 1 commercial nuclear power reactor.", "NNSA\u2019s nonproliferation mission requires \u201chigh assay\u201d LEU\u2014meaning LEU enriched in the uranium-235 isotope to below 20 percent but above the standard 3 to 5 percent used in most commercial reactors\u2014for research and isotope production reactor fuel. Since there are no commercial uranium enrichment facilities licensed to produce high-assay LEU, it must be produced by downblending HEU. According to NNSA documents, the HEU inventory allocated for research and isotope production reactors using high-assay LEU is projected to be exhausted by around 2030. After this time, a new supply of high-assay LEU for research and isotope production reactors will need to be identified."], "subsections": []}, {"section_title": "DOE Project Management", "paragraphs": ["NNSA has initiated a process to determine a long-term solution for obtaining enriched uranium and tritium. DOE\u2019s Order 413.3B, Program and Project Management for the Acquisition of Capital Assets, governs how NNSA acquires capital assets with total project costs greater than $50 million, which could include a new uranium enrichment capability or other new capability to produce tritium. The stated goal of the order is to deliver fully capable projects within the planned cost, schedule, and performance baseline.", "Order 413.3B also establishes DOE\u2019s critical decision (CD) process. This process divides the capital asset acquisition into five project phases that progress from a broad statement of mission need, to requirements that guide project execution, through design and construction, and concludes with an operational facility. Each phase ends with a major approval milestone\u2014or \u201ccritical decision\u201d\u2014that marks the successful completion of that phase.", "A key activity during CD-0, the preconceptual design phase is the preparation of a mission need statement. A mission need statement identifies the capability gap between the current state of a program\u2019s mission and the mission plan. DOE\u2019s Order 413.3B provides direction for preparing a mission need statement, including that it be independent of a particular solution, and that it should not be defined by equipment, facility, technological solution, or physical end-item. This approach is to allow the agency the flexibility to explore a variety of approaches and not prematurely limit potential solutions.", "Under Order 413.3B, an analysis and selection of alternatives\u2014which builds off the mission need\u2014should be conducted during the CD-1 phase, the conceptual design phase. In addition to the requirements of Order 413.3B, DOE has guidance for identifying, analyzing, and selecting alternatives that is found throughout the seven guides associated with the order. Conducting the analysis of alternatives is a key first step to help ensure that the selected alternative best meets the agency\u2019s mission need and that this alternative is chosen on the basis of selection criteria, such as safety, cost, or schedule. Figure 3 illustrates when DOE conducts the analysis of alternatives as part of its project management process for capital asset projects.", "In October 2016, NNSA approved a mission need statement for long-term capability to supply unobligated enriched uranium for tritium production and presented a preliminary set of options to meet that need. In December 2016, DOE approved CD-0 to begin the acquisition of such a capability. Consistent with direction in DOE Order 413.3B, NNSA has begun conducting an analysis of alternatives that is to identify the option that would best meet the mission need for a domestic uranium enrichment capability. In August 2017, DOE and NNSA officials stated that the analysis of alternatives will be completed by the end of 2019.", "Also, under DOE Order 413.3B, DOE\u2019s technology readiness levels (TRL) are incorporated into the CD process. TRLs are used by federal agencies and industry to assess the maturity of evolving technologies. TRLs are measured along a scale of 1 to 9, beginning with TRL 1 (or basic principles observed and reported) and ending with TRL 9 (or actual system operated over the full range of expected mission conditions). DOE guidance states that a TRL of 4\u2014system or component validation at laboratory scale\u2014is recommended for CD-1 (conceptual design process). Projects are encouraged to achieve a TRL of 7\u2014full scale demonstration of a prototypical system in a relevant environment\u2014prior to CD-3 (final design phase)."], "subsections": []}, {"section_title": "Best Practices for Project Cost Estimating", "paragraphs": ["In March 2009, we issued our cost guide to provide assistance to federal agencies with preparing cost estimates, among other things. Drawing from federal cost estimating organizations and industry, the cost guide describes best practices for ensuring development of high-quality\u2014that is, reliable\u2014cost estimates. A reliable cost estimate helps ensure that management is given the information it needs to make informed decisions. The cost guide identifies four characteristics of a reliable cost estimate: (1) comprehensive, (2) well documented, (3) accurate, and (4) credible. DOE\u2019s Order 413.3B states, among other things, that its cost estimates shall be developed, maintained, and documented in a manner consistent with methods and best practices identified in our cost guide, DOE guidance, and applicable acquisition regulations and Office of Management and Budget guidance.", "Our cost guide can be used to evaluate the reliability of rough-order-of- magnitude estimates. Rough-order-of-magnitude estimates are typically used to support \u201cwhat-if\u201d analyses and are helpful in examining initial differences in alternatives to identify which are most feasible. However, the nature of a rough-order-of-magnitude estimate means that it is not as robust as a detailed, budget-quality, life-cycle estimate and, according to the guide, its results should not be considered or used with the same level of confidence. Further, the cost guide states that because this estimate is developed from limited data and in a short time, it should never be considered a budget-quality cost estimate."], "subsections": []}]}, {"section_title": "NNSA Is Taking or Plans to Take Four Actions to Extend Existing Inventories of Enriched Uranium to Address its Near-term Tritium Needs", "paragraphs": ["NNSA is taking or plans to take four actions to extend its existing inventories of unobligated enriched uranium to address its near-term need for tritium and has generally identified the costs, schedules, and risks for these actions. These actions would together extend the supply of unobligated LEU from 2027 until approximately 2038 to 2041, according to NNSA documents. NNSA first identified the actions to extend its unobligated LEU supply based on an analysis completed by the DOE Uranium Inventory Working Group, which was convened by NNSA in September 2014 to analyze the department\u2019s uranium inventory and identify material and options to provide unobligated LEU for tritium production reactors. These actions were later presented in NNSA\u2019s October 2015 plan.", "Of the four actions NNSA is taking or plans to take, two actions involve nuclear material accounting practices that help preserve supplies of unobligated LEU, and two of the actions involve downblending HEU. NNSA has generally identified the costs and schedules for these actions.", "Specifically, NNSA estimated in its October 2015 plan that the total cost of the four actions would be approximately $1.1 billion from fiscal years 2016 through 2025 and would provide additional quantities of unobligated LEU for TVA to meet NNSA\u2019s tritium needs through 2038 to 2041. Based on our review, the actual costs and schedules through October 2017 generally align with the estimates in NNSA\u2019s October 2015 plan. NNSA and GAO have identified some risks associated with two of these actions. One of these risks has been resolved; NNSA is taking steps to mitigate another; while other risks, such as the uncertainty of future appropriations, are unresolved.", "The following are the four actions, and their costs, schedules, and risks."], "subsections": [{"section_title": "Book Storage of TVA LEU", "paragraphs": ["Book storage is an industry-wide nuclear material accounting practice, where a nuclear material supplier\u2014such as a uranium enrichment plant or nuclear fuel fabricator\u2014can record in its accounts, or books, the amount of enriched uranium in its inventory belonging to a customer, such as a nuclear power plant operator, and hold that material for future delivery to the customer. TVA has entered into contracts with two nuclear fuel suppliers to conduct book storage to preserve unobligated LEU for TVA on behalf of NNSA. This practice effectively parks the unobligated LEU into a separate account so that the material is not inadvertently loaded into a non-tritium producing reactor. Book storage helps TVA preserve limited quantities of unobligated LEU for the future; it will eventually be used for tritium production at the Watts Bar reactor. According to agency officials, a key benefit of using book storage for LEU is that TVA does not have to physically store the material. According to these officials, book storage is significantly less expensive than paying to set up a physical storage facility.", "The terms of TVA\u2019s book storage contracts, including the parties involved, schedules, and values, are proprietary and business sensitive, according to TVA officials. Based on our analysis, the actual fees paid by TVA under its book storage contracts align with NNSA\u2019s projected costs for book storage in its October 2015 plan. NNSA is reimbursing TVA for the book storage fees it is paying. According to NNSA, the obligations preserved from using book storage for unobligated LEU through these contracts extend the LEU fuel need date by 3 years. NNSA\u2019s October 2015 plan did not identify any specific risks for these existing book storage contracts."], "subsections": []}, {"section_title": "Obligation Exchanges of LEU", "paragraphs": ["Obligation exchanges are another industry-wide nuclear material accounting practice, which involves the transfer of obligations on nuclear material\u2014such as LEU\u2014between two entities without physically moving the material. Similar to book storage, TVA may conduct obligation exchanges on behalf of NNSA to increase the inventory of unobligated LEU available for tritium production. According to NNSA\u2019s October 2015 plan, TVA may conduct additional obligation exchanges in the future on behalf of NNSA. According to NNSA and TVA officials, at least one future obligation exchange is anticipated but has not been scheduled. According to these officials, there are no specific costs associated with transferring the obligations on LEU between entities. In addition, if additional inventories of unobligated LEU are identified, NNSA officials told us they will encourage TVA to conduct additional obligation exchanges to preserve the material. NNSA\u2019s October 2015 plan did not identify any specific risks for obligation exchanges."], "subsections": []}, {"section_title": "Repurposed Excess Uranium (REU) Downblending", "paragraphs": ["NNSA\u2019s first downblending action involves downblending 10.4 metric tons of HEU that was previously declared excess to national security needs. NNSA initiated the 3-year REU program in 2015 and, according to NNSA officials, the last shipment of HEU for downblending is expected in December 2018. According to these officials, close-out and final operations of the contract will end in early 2019. The REU downblending is being performed through a contract between NNSA and WesDyne, which subcontracts with another company, Nuclear Fuel Services, according to DOE documents we reviewed and officials we interviewed.", "According to NNSA documents, NNSA is the sole customer for this downblending effort. The estimated costs for the REU downblending program are $373 million, according to NNSA\u2019s October 2015 plan. According to NNSA and contractor officials, the fixed price of the contract is $333.8 million, and the invoiced costs for the REU downblending program through October 2017 are $141.4 million, which aligns with the terms of the contract. According to an NNSA official, NNSA is paying for the REU program through a combination of funds provided through annual appropriations and what the parties refer to as a \u201cbarter\u201d arrangement, according to NNSA officials and documents. Under this arrangement, NNSA is compensating the downblending contractor by transferring title of the derived LEU to WesDyne, which will be retained as unobligated LEU and eventually sold to TVA for tritium production purposes. The REU downblending program will generate approximately five reactor reloads of unobligated fuel for TVA, and will likely be used in the early to mid-2030s, according to NNSA documents.", "Regarding the risks for the REU program, NNSA identified the uncertainty of whether NNSA would be able to continue to conduct barters of derived LEU to pay for downblending services. For example, the 2015 plan notes that, while such transactions had worked well for previous downblending campaigns, declining markets values for enriched uranium in recent years had reduced industry\u2019s interest in being compensated for services with a portion of the derived LEU. In addition, NNSA officials identified a lawsuit challenging the legality of barters as a risk. This suit was dismissed in July 2016. As a result, this specific risk no longer affects the Department, and according to NNSA officials, the agency anticipates being able to continue compensating Nuclear Fuel Services with derived LEU for the duration of the REU program."], "subsections": []}, {"section_title": "Downblending Offering for Tritium (DBOT)", "paragraphs": ["NNSA\u2019s second downblending action, which is planned to begin in 2019, will involve HEU mainly composed of undesirable scrap, primarily in the form of oxides, left over from uranium processing activities. NNSA estimates that the planned DBOT program will generate approximately 10 reloads of unobligated fuel for TVA, likely to be used in the mid-2030s. According to an NNSA document, the program is expected to run for a 6- year period from 2019 through 2025. However, the schedule for HEU downblending under the DBOT action has not yet been finalized. According to NNSA officials, as of January 2018 the agreement is still being negotiated, but NNSA officials told us they anticipate that TVA will manage Nuclear Fuel Services\u2019 down-blending activities in support of the DBOT program as well as the resulting unobligated LEU and its associated flags. NNSA\u2019s estimated costs for the DBOT downblending program are $770 million, according to NNSA\u2019s October 2015 plan. NNSA plans to pay for the DBOT program solely with funds provided through annual appropriations. NNSA does not currently plan to transfer any LEU resulting from this downblending program as payment to the contractor and will instead keep all the LEU for future tritium production.", "The DBOT program has not been initiated, so we could not assess whether the program\u2019s actual costs and schedule align with the estimates in NNSA\u2019s October 2015 plan. However, NNSA officials said they have confidence in the projected costs for the DBOT program since the estimates are based on previous downblending programs that NNSA has conducted over the past decade.", "NNSA identified two risks, and we identified one additional risk, facing the DBOT program. First, NNSA\u2019s October 2015 plan identified the uncertainty of annual appropriations in the amount of $770 million to support this program. In addition, NNSA\u2019s October 2015 plan identified a second risk associated with the availability of material for the DBOT program. The DBOT material will consist largely of scrap oxide left over from weapons production processes, some to be generated in future years. Because the schedules for those processes may change, the amounts of material available for DBOT and the dates when it will be available are subject to some uncertainty. Furthermore, we identified an additional risk to the DBOT program that is not addressed in NNSA\u2019s October 2015 plan. Specifically, NNSA did not indicate which nuclear fuel cycle company would be used for the book storage of the LEU resulting from the DBOT program, and there is no guarantee that a company would be willing to engage in book storage for NNSA. A senior NNSA official stated that this detail will be worked out once the DBOT contract is finalized. NNSA and TVA officials noted that other fuel cycle facilities have previously been uninterested in conducting book storage for NNSA, so options may be limited. According to NNSA officials, if book storage was unavailable in the future, NNSA could pay for the physical storage of the LEU for the DBOT program. Since the costs of physically storing LEU for the DBOT program are not included in NNSA\u2019s cost estimates, this could increase the overall costs of the program."], "subsections": []}]}, {"section_title": "NNSA\u2019s Preliminary Plan to Analyze Options to Supply Enriched Uranium in the Long Term is Inconsistent with DOE Directives", "paragraphs": ["NNSA\u2019s preliminary plan\u2014as outlined in its domestic uranium enrichment mission need statement\u2014to analyze options for supplying enriched uranium in the long term is inconsistent with DOE directives. This is because the scope of the mission need statement can be interpreted to fulfill multiple mission needs, which is inconsistent with DOE directives that such a statement should be a clear and concise description of the gap between current capabilities and the mission need. Under either interpretation of the mission need statement, NNSA is not complying with these directives because it is showing preference toward a particular solution\u2014building a new uranium enrichment capability\u2014and the agency has not included other options for analysis. In the mission need statement, NNSA has preliminarily identified two uranium enrichment technologies as the most feasible options for reestablishing a uranium enrichment capability, but both face deployment challenges."], "subsections": [{"section_title": "NNSA\u2019s Domestic Uranium Mission Need Statement Can Be Interpreted to Fulfill Multiple Mission Needs, Making it Inconsistent with DOE Directives", "paragraphs": ["NNSA\u2019s preliminary plan\u2014as outlined in its domestic uranium enrichment mission need statement\u2014for analyzing options to supply enriched uranium in the long term is unclear because the scope of the mission need statement can be interpreted to fulfill more than one mission need, and this is inconsistent with DOE directives. Specifically, NNSA\u2019s October 2016 mission need statement\u2014developed by NNSA\u2019s Office of Domestic Uranium Enrichment\u2014identified two mission needs: (1) a need for enriched uranium for a range of national security and other missions, including LEU for tritium production, HEU for the U.S. Navy, and high- assay LEU for research needs; and (2) a specific need for tritium. Because the mission need is not clearly stated, it is not clear whether NNSA intends to identify a future source of enriched uranium that could meet a range of mission needs, or only meet the specific mission need for tritium. According to DOE guidance for the mission need statement, the mission need statement should be a clear and concise description of the gap between current capabilities and the mission need. A senior NNSA official acknowledged that the mission need statement was ambiguously written because there are a range of mission needs for enriched uranium, and the ultimate mission need that the analysis of alternatives process will meet is unclear. Under either interpretation of the intent of the mission need statement, the document does not fully comply with DOE directives. According to DOE Order 413.3B, the mission need should be independent of a particular solution and should not be defined by the equipment, facility, technological solution, or physical end-item. This approach allows the Office of Domestic Uranium Enrichment the flexibility to explore a variety of solutions and not limit potential solutions.", "Under the first interpretation of NNSA\u2019s mission need statement (which appears to be its preferred interpretation, according to NNSA documents), NNSA needs a future source of enriched uranium for a range of missions\u2014initially LEU to produce tritium, but later also to produce high- assay LEU for research needs and HEU for the U.S. Navy. Specifically, the document states that if the United States decided to reestablish a domestic uranium enrichment capability, it \u201ccould meet several national security missions.\u201d Further, it states that \u201cfuture demand for additional enrichment assays and volumes should be considered in the selection of the enrichment capacity to meet national security needs.\u201d This suggests that NNSA may be missing opportunities to consider options for providing additional enriched uranium that do not entail reestablishing a uranium enrichment plant.", "For example, while the mission need statement discusses some policy options that would provide NNSA with a new source of enriched uranium without building a new enrichment capability, it excludes at least one policy option that was originally identified in NNSA\u2019s October 2015 plan\u2014 reprocessing DOE-owned spent nuclear fuel to recover HEU (which could also be downblended to produce LEU). Reprocessing spent nuclear fuel could provide a significant quantity of enriched uranium without the need for a new enrichment capability. It is not clear why NNSA excluded this option from the mission need statement at this early point in the development of alternatives. See appendix II for a discussion of other options NNSA includes in its mission need statement that could provide NNSA with a new source of enriched uranium without building a new enrichment capability.", "Under the second, narrower interpretation of the mission need statement, NNSA would need to obtain LEU solely to meet its mission need for tritium. However, contrary to DOE directives that a mission need statement be independent of a particular solution and not be defined by equipment, facility, technological solution, or physical end-item, NNSA is showing preference for a particular end-item\u2014enriched uranium\u2014to continue the tritium production mission. The mission need statement indicates a preference for using enriched uranium to continue the tritium production mission, as it only identifies options to obtain additional enriched uranium. This approach would exclude consideration of certain technology options, such as one that may have the potential to produce tritium without the need for enriched uranium. Specifically, during our review, we identified a technology capable of producing tritium that does not require enriched uranium and is being developed by Global Medical Isotope Systems (GMIS). This technology was not included in NNSA\u2019s mission need statement as an option to help NNSA meet its tritium production requirements. An NNSA office separate from the Office of Domestic Uranium Enrichment\u2014the Office of Nuclear Materials Integration\u2014has funded the GMIS technology in a demonstration effort to determine whether it can produce tritium in sufficient quantities to support NNSA\u2019s needs.", "The GMIS technology is currently at a low TRL, and the tritium production estimates have not been independently verified, but a senior NNSA official and GMIS representatives told us that it produced \u201cappreciable amounts of tritium\u201d during the demonstration. However, another senior NNSA official stated that it would be more appropriate to consider the GMIS technology in a process being conducted by another NNSA office\u2014 the Tritium Sustainment Office\u2014which is currently examining potential options to meet tritium needs in 2055 and beyond, when TVA\u2019s Watts Bar reactors may no longer be operating. This official, however, told us that the program office has no plans to update its last technology evaluation from 2014, which did not include consideration of the GMIS technology. If the purpose of NNSA\u2019s mission need statement is to meet tritium requirements, then NNSA may be missing the opportunity to assess a technology that could meet the mission need without the need for enriched uranium. Without revising the scope of the mission need statement to clarify which mission need it seeks to achieve and adjusting, as appropriate, the range of preliminary options being considered in the analysis of alternatives, NNSA may not consider all options that could satisfy its ultimate mission need."], "subsections": []}]}, {"section_title": "NNSA Has Identified Two Uranium Enrichment Technologies as Most Feasible for Reestablishing a Uranium Enrichment Capability, but Both Face Challenges", "paragraphs": ["The mission need statement identifies six potential enrichment technology options for reestablishing an unobligated uranium enrichment capability. The technology selected could be used first to produce LEU to support the tritium production mission, and potentially later used to produce high- assay LEU for research needs and HEU for the U.S. Navy, according to NNSA documents. According to NNSA\u2019s mission need statement, these six technologies were identified by a team of federal, national laboratory, and contractor experts in uranium enrichment technologies in December 2014, later presented in the October 2015 plan, and then included in the mission need statement.", "Among the six technologies, four\u2014restart of the Paducah Gaseous Diffusion Plant, electromagnetic isotope separation, atomic vapor laser isotope separation, and separation of isotopes by laser excitation\u2014are unlikely to be feasible, according to NNSA documents (app. III provides additional information on these four enrichment technologies). Some of these technologies have produced enriched uranium in the past, but extraordinary technical or financial barriers, past research failures, or peaceful-use restrictions would likely preclude further consideration by NNSA, according to NNSA documents.", "According to NNSA documents, NNSA has preliminarily identified the two remaining uranium enrichment technologies as the most feasible options to supply unobligated LEU for tritium production: the AC100 (\u201clarge\u201d) centrifuge and a \u201csmall\u201d centrifuge design. However, both of these options face challenges to deployment.", "Of the identified options, the AC100, or large centrifuge, is the technology that is furthest along in development. Centrus Energy Corp.\u2014the private company known as USEC Inc. prior to its bankruptcy in 2014\u2014developed a large (about 40 feet tall) advanced centrifuge for uranium enrichment. From June 2012 through September 2015, DOE invested approximately $397 million to financially support a research, development, and demonstration program for the large centrifuge technology at Centrus\u2019 demonstration facility\u2014the American Centrifuge Plant\u2014in Ohio (See fig. 4). However, in September 2015, DOE announced that it would not continue funding the demonstration plant in Ohio past the end of that month. According to a September 2015 DOE memorandum, the department had obtained the testing data it needed and determined that there was \u201cminimal incremental value\u201d in continuing demonstration operations. Centrus was unable to continue operation of the demonstration plant without further government support and, in February 2016, announced its intent to demobilize it. Appendix IV provides additional information on the development of Centrus\u2019 AC100 large centrifuge technology.", "According to NNSA\u2019s October 2015 report, at the conclusion of DOE\u2019s support, Centrus had successfully demonstrated that the large centrifuge technology had achieved a TRL of 7 to 8\u2014or the generally successful demonstration of a test facility. DOE has continued funding, at a lower level, Centrus\u2019 further development of the large centrifuge technology at a test facility in Oak Ridge, Tennessee, through September 2018. The October 2016 mission need statement estimated that it would take 2 to 5 years to complete development of the technology. According to a senior DOE official, though DOE has discontinued the majority of its funding, the department has taken two actions to preserve the large centrifuge technology\u2014preserving the intellectual property for this technology and hiring some former Centrus employees\u2014to ensure that the technology can be deployed if it is selected in the analysis of alternatives.", "However, we identified several challenges that could complicate future efforts to deploy the large centrifuge technology\u2014challenges related to the preservation of intellectual property, royalty costs for commercial deployment, and the weakening of Centrus\u2019 U.S. supplier and knowledge base.", "Intellectual property. A senior DOE official stated that there were two issues with DOE\u2019s Office of Nuclear Energy original preservation of the information. First, preservation of the schematics began before certain technical issues with the demonstration plant were discovered, and consequently, Centrus\u2019 proposed resolution of those issues was not included in the documentation, according to DOE and NNSA officials. Second, a DOE official and Centrus representatives stated that DOE\u2019s contract with Centrus did not specify how the schematics were to be preserved. Rather than preserving the schematics in an electronic engineering format, Centrus preserved them in a different format that will require them to be reconstructed in an engineering program, according to the DOE official. NNSA officials acknowledged there were issues with the 2014 preservation effort and stated that negotiations were under way to contract with Centrus for a second preservation effort that would include updated schematics in the correct format and the documentation on the proposed resolution of the technical issues.", "Royalty costs. Although DOE owns the intellectual property, by agreement, Centrus is owed royalties if the large centrifuge technology is deployed for commercial purposes. According to a June 2002 agreement between DOE and USEC, these royalties would be capped at $665 million. In a January 2017 request for information from industry, NNSA expressed interest in obtaining enriched uranium through a federal government-private industry partnership. In January 2017, NNSA officials said that they were not sure how royalties might affect such a partnership. It is possible that if a private industry partner was only interested in producing enriched uranium for the government alongside a commercial operation, the royalties could discourage such a partnership, or that some of the costs might be passed on to the government. However, the royalties may be less than the cost of developing a new enrichment capability, so such an arrangement may also attract partners interested in entering the market but not in developing new technology.", "Supplier base. Centrus representatives told us that Centrus assembled an extensive domestic supplier base during the demonstration program to show that enrichment services could be unobligated. According to Centrus representatives and a Centrus document, the company had sourced components for the demonstration plant from over 900 different suppliers and manufacturers in 28 states, and that following its closure, many of these companies would go out of business or lose the capability to produce the necessary parts. As a result, if the large centrifuge option is selected, a domestic supplier base will have to be rebuilt, according to Centrus representatives. NNSA officials acknowledged that\u2014as NNSA conducts the analysis of alternatives process\u2014Centrus\u2019 supplier and manufacturing base will continue to diminish.", "Knowledge base. Centrus representatives have raised concerns that the closure of the American Centrifuge Plant and associated layoffs of qualified workers may make it difficult to re-hire experienced centrifuge workers in the future. According to a cost estimate review prepared by a contractor for NNSA, the American Centrifuge Plant employed 370 full- time equivalent workers during the demonstration program. However, as of January 2017, it employed approximately 117 staff, according to a Centrus document. NNSA officials acknowledged that the loss of skilled workers is a concern and stated that, as a mitigating measure, ORNL has hired knowledgeable former Centrus personnel for further centrifuge research projects at ORNL.", "The second most feasible option to supply unobligated LEU for tritium production is the design for a small centrifuge technology. NNSA is funding an experiment to develop a centrifuge design that it anticipates will be smaller (from 6 to 14 feet tall), simpler, and potentially less expensive to build and maintain than the large centrifuge, according to an NNSA document. The experiment began at ORNL in 2016 and is based on prior ORNL experience with centrifuges. According to NNSA and ORNL documents, the small centrifuge experiment will take 3.5 years to achieve a TRL of 3 to 4\u2014successful validation at laboratory scale\u2014and cost approximately $42 million for this validation effort. During our visit to ORNL in December 2016, laboratory representatives told us that prototypes had not yet been constructed and showed us their preliminary design work and initial construction of their facility. As of December 2017, the first prototype of three or four planned sizes had been built and tested, according to NNSA officials and ORNL representatives. Following completion of the experiment, the mission need statement estimates that it could take another 4 to 7 years to bring the technology to a TRL of 9 (ready to deploy).", "Like the large centrifuge technology, the small centrifuge technology faces challenges that could complicate its deployment. For example, according to NNSA officials and ORNL representatives, the small centrifuge experiment is on an aggressive testing schedule to demonstrate results and potential scalability to meet NNSA\u2019s planned 2019 deadline to select a preferred alternative in the analysis of alternatives process. Further, according to NNSA officials and ORNL representatives, if the small centrifuge design is selected, ORNL would not build and operate the plant because it is focused on research and development. Instead, NNSA would have to identify and contract with another entity to license, transfer, and deploy the technology, according to NNSA officials and ORNL representatives. NNSA officials also stated that there will be challenges in establishing a U.S. manufacturing base of suppliers for the small centrifuge and associated equipment."], "subsections": []}, {"section_title": "NNSA\u2019s Preliminary Cost Estimates for the Most Feasible Uranium Enrichment Technologies Are Limited in Scope and Do Not Fully Meet Best Practices", "paragraphs": ["Though the scope of the mission need statement is unclear, NNSA has prepared preliminary cost estimates for the two uranium technologies it considers most feasible: the large and small centrifuge. These estimates are limited in scope and the estimate for the large centrifuge was premised on assumptions that were no longer valid. In addition, even when assessed for a more limited scope\u2014producing LEU for tritium\u2014the cost estimates do not fully meet best practices for reliable estimates applicable to all cost estimates."], "subsections": [{"section_title": "NNSA\u2019s Preliminary Cost Estimates for the Uranium Enrichment Technologies it Considers Most Feasible Are Limited in Scope, and One Is Premised on Invalid Assumptions", "paragraphs": ["Though the scope of the mission need statement is unclear, NNSA\u2019s preliminary cost estimates for the two uranium technologies it considers most feasible\u2014the large and small centrifuge\u2014are limited in scope, and the estimate for the large centrifuge was premised on assumptions that were no longer valid. Specifically, the limited scope of the cost estimates mean that they do not reflect the full costs of building a uranium enrichment facility that could eventually provide the capacity to enrich enough uranium to meet multiple needs, not just tritium. As previously noted, NNSA identified two mission needs: (1) a need for enriched uranium for a range of national security and other missions, including LEU for tritium production, HEU for the U.S. Navy, and high-assay LEU for research needs; and (2) a specific need for tritium.", "According to DOE and NNSA documents and NNSA officials, NNSA appears to favor an incremental approach to reestablishing a domestic uranium enrichment capability. This incremental approach would start with the selection of an enrichment technology in an enrichment plant capable of meeting tritium production requirements but could be expanded to meet the other governmental enriched uranium needs over time, according to our review of NNSA documents. Best practices for cost estimating state that programs following such an approach should clearly define the characteristics of each increment of capability so that a rigorous life cycle cost estimate can be developed. In addition, we have recommended that agencies conducting incremental acquisitions consider establishing each increment of increased capability with its own cost and schedule baseline. However, the scope of NNSA\u2019s cost estimates for the large and small centrifuges are limited only to an enrichment plant capable of meeting the tritium production requirements, according to DOE and NNSA documents. The cost estimates do not estimate the incremental costs of the additional enrichment capacity necessary to meet additional enriched uranium needs such as HEU. NNSA officials stated that the cost estimates were preliminary in nature and that they anticipate developing more in-depth cost estimates as NNSA progresses further in the analysis of alternatives process. By limiting the scope of the cost estimates to one mission need\u2014LEU for tritium\u2014and not addressing the additional costs to meet other enriched uranium mission needs, NNSA\u2019s cost estimates may be underestimating the life cycle costs of the technology options under evaluation\u2014which could lead the agency to select a less cost-effective technology option.", "We also found that NNSA relied on a Centrus-provided scenario for the large centrifuge cost estimate that was premised on assumptions that were no longer valid, rather than using a scenario that more accurately reflected conditions at the demonstration plant at the time of the analysis. We found that the large centrifuge cost estimate had not been substantially updated since fall 2014. According to DOE documents, NNSA officials, and Centrus representatives, the estimate was originally prepared by Centrus in the fall of 2014, and NNSA and its contractor made minimal updates to this estimate in January 2015 and again in fall 2016. However, this meant that NNSA officials used a scenario that assumed conditions that were no longer accurate as of October 2016, the date of the mission need statement.", "This scenario, for example, assumed that the demonstration plant would be left intact for 5 years\u2014in a cold standby state\u2014followed by a restart of operations. However, in February 2016, Centrus had already publicly announced that it would begin decontamination and decommissioning the demonstration plant in spring 2016. An alternate scenario\u2014complete demobilization of the demonstration plant followed by a restart of operations after 10 years\u2014may have more closely reflected conditions at the time. According to a December 2014 estimate provided by Centrus to DOE and NNSA, this scenario presented the most risk, as it meant that the site, staff, and supplier base would all have to be reconstituted after a significant break\u2014which could be very difficult. According to this estimate, the cost of the alternate scenario would likely be $2.6 billion greater. NNSA officials stated that they had used the scenario that they thought best fit the conditions at the time, and Centrus officials agreed that cold standby was an appropriate scenario to use. However, by using the cold standby scenario rather than the demobilization scenario, NNSA appears to have underestimated the costs to build an enrichment facility by several billion dollars. A senior NNSA official noted that, for the large centrifuge, they intend to create a new estimate that does not rely on Centrus."], "subsections": []}, {"section_title": "NNSA\u2019s Preliminary Cost Estimates for the Uranium Enrichment Technologies it Considers Most Feasible Do Not Fully Meet Best Practices for Reliable Estimates", "paragraphs": ["Even when assessed for a more limited scope\u2014producing LEU for tritium\u2014NNSA\u2019s preliminary cost estimates for the two uranium enrichment technology options that the agency considers to be the most feasible\u2014the large and small centrifuge technologies\u2014do not fully meet best practices for reliable cost estimates, including those for early stages of acquisition. Our cost guide\u2014which presents best practices for cost estimates\u2014states that high-quality, or reliable, cost estimates\u2014including preliminary and rough-order-of-magnitude estimates\u2014must meet four characteristics: they must be comprehensive, well-documented, accurate, and credible. DOE Order 413.3B states that cost estimates must be developed, maintained, and documented in a manner consistent with the methods and best practices identified in, among other things, our cost guide. Reliable cost estimates are crucial tools for decision makers, according to best practices. According to the cost guide best practices, cost estimates are considered reliable if each of the four characteristics is substantially or fully met. If any of the characteristics is not met, minimally met, or partially met, then the estimates cannot be considered to be reliable. Office of Management and Budget guidance notes the importance of reliable cost estimates at the early stages of project initiation, stating that early emphasis on cost estimating during the planning phase is critical to successful life cycle management\u2014in short, determining whether benefits outweigh costs.", "NNSA\u2019s mission need statement presented rough-order-of-magnitude cost estimates of $7.5 to $14 billion to build a national security enrichment plant using the large centrifuge technology, and an estimate of $3.8 to $8.3 billion to build such a plant using the small centrifuge technology. We found that the large centrifuge cost estimate only partially met the characteristics of being comprehensive and credible, and minimally met the characteristics of being well-documented and accurate. The small centrifuge cost estimate only partially met the characteristic of being comprehensive, and minimally met the characteristics of being well- documented, accurate, and credible. Because the large and small centrifuge cost estimates do not fully meet the best practices characteristics of reliable cost estimates, we concluded that they are not reliable. We shared our assessments with NNSA officials and a representative from an NNSA contractor and discussed the findings. We reviewed their comments and any additional information they provided and incorporated them to finalize our assessments. NNSA officials explained that the cost estimates are preliminary and are intended only to be rough-order-of-magnitude estimates since the process is only in the early stages and will be revised as the analysis of alternatives process moves forward. NNSA officials stated that they are aware of the limitations of the preliminary large and small centrifuge cost estimates. By developing reliable cost estimates consistent with best practices, NNSA will reasonably ensure that it has reliable information to make an informed decision about its options. The following is a summary of our assessments.", "Comprehensive. Best practices state that\u2014to be considered comprehensive\u2014a cost estimate should include both government and contractor costs of the project over its full life cycle, from \u201ccradle to grave.\u201d This includes costs from the inception of the project through design, development, deployment, and operation and maintenance, to retirement of the project. A life cycle cost estimate can support budgetary decisions, key decision points, milestone reviews, and investment decisions. DOE Order 413.3B does not specifically require a life cycle cost estimate at CD-0. Nonetheless, according to best practices, having a complete life cycle cost estimate helps ensure that all costs are fully accounted for and that resources are efficiently allocated to support the project.", "We found that the cost estimate to build a large centrifuge facility partially met the comprehensive characteristic because it included a high-level description of the work to be performed, and presented a brief summary description of the schedule, number of machines, and activities. However, the estimate was not a life cycle cost estimate because it excluded certain costs, such as retirement and close-out costs. In addition, other than noting a government oversight fee, the documentation does not specify whether the estimated costs are government or contractor costs. The estimate contains a 17 percent add-on, which an NNSA contractor told us accounts for DOE and contractor oversight costs, but the estimate does not specify how those costs are allocated.", "We found that the cost estimate to build a small centrifuge facility also partially met the comprehensive characteristic. We found that the estimate included costs for manufacturing, design, testing of the centrifuges, and 11 years of operations but, similar to the large centrifuge facility estimate, did not include retirement and close-out costs.", "Well-documented. Best practices state that data are the foundation of every cost estimate and that the quality of the data affects an estimate\u2019s overall credibility. Thus, the supporting documentation for an estimate should capture in writing the source data used, an assessment of the reliability of the data, and how the data were normalized to make them consistent with and comparable to other data used in the estimate. The documentation should describe in sufficient detail the calculations performed and the estimating methodology used to derive each project element\u2019s cost such that any cost analyst could understand what was done and replicate it. Without good documentation, management may not be convinced that the estimate is credible; supporting data will not be available for creating a historical database; questions about the approach or data used to create the estimate cannot be answered; lessons learned and a history for tracking why costs changed cannot be recorded; and the scope of the analysis cannot be thoroughly defined.", "We found that the cost estimate to build a large centrifuge facility minimally met this characteristic. NNSA\u2019s contractor adjusted estimates previously provided by Centrus for inflation and added an estimate for DOE\u2019s oversight and fees. The documentation does not provide any of the supporting cost data or include descriptions of adjustments or normalization made to the data. We found that the estimate\u2019s supporting documentation does not provide a description of the specific calculations and presents methodologies in only broad terms. The documentation does not describe the steps taken to develop the estimates and does not provide enough information or supporting data to enable an analyst unfamiliar with the program to replicate the cost estimates. We were unable to trace the calculations to assess the accuracy and suitability of the methodology.", "Similarly, we found the cost estimate to build a small centrifuge facility minimally met this characteristic. We found that the supporting documentation does not include information about the supporting data underlying the cost estimate. The sources of the data are not documented, and no information is included about how the data were normalized to make them comparable to other data used in the estimate. We found that it would be difficult to recreate this estimate because no supporting data or electronic cost models were documented.", "Accurate. According to best practices, a cost estimate should provide results that are unbiased; that is, the estimate should not be overly conservative or optimistic. An estimate is accurate when, among other things, it is based on an assessment of most likely costs, adjusted properly for inflation, and contains few, if any, mathematical mistakes. Best practices state that unless an estimate is based on an assessment of the most likely costs and reflects the degree of uncertainty given all of the risks considered, management will not be able to make good decisions. Not adequately addressing risk, especially risk that is outside the estimator\u2019s control or that were never conceived to be possible, can result in point estimates that give decision makers no information about their likelihood of success or give them meaningless confidence intervals.", "We found the cost estimate to build a large centrifuge facility minimally met this characteristic. We could not determine whether the estimate is unbiased because no risk and uncertainty analysis had been performed. Portions of the work breakdown structure\u2019s elements are based on historical costs, but neither the historical data were provided, nor was there a thorough description of how those historical costs were adjusted or used. The contractor applied a 2 percent inflation factor but did not document the source of this factor; a representative of NNSA\u2019s contractor stated that another DOE office recommended using that factor. We found no mathematical mistakes in the overall calculations, but the model was not available to evaluate the methodologies used.", "For the small centrifuge, we found the cost estimate minimally met this characteristic. We found that no risk or uncertainty analysis had been performed. The estimate uses a 2.4 percent inflation factor, but there is no documentation about the origin of this factor. An independent cost review performed by DOE\u2019s Office of Project Management Oversight and Assessments stated that this inflation factor was overly optimistic and recommended the use of a 4 percent factor. We did not detect any mathematical errors in the overall calculations, but the model was not available to evaluate the methodologies.", "Credible. The credible characteristic reflects the extent to which a cost estimate can be trusted, according to our cost guide. For example, to be considered credible, the cost estimate should include a sensitivity analysis that examines how changes to key assumptions, parameters, and inputs affect the estimate. This analysis helps ensure that a range of possible costs are identified, as well as risks and their effects that may affect those costs. In addition, major cost elements should be cross-checked by the estimator to validate the results, and an independent cost estimate should be conducted by an outside group. The absence of a sensitivity analysis increases the chance that decisions will be made without a clear understanding of the impacts on costs, and the estimate will lose credibility.", "The cost estimate to build a large centrifuge facility partially meets this characteristic. NNSA presents several case studies rather than conducting a sensitivity analysis. These case studies only differ in one key assumption\u2014schedule\u2014but do not differ in any other major assumptions. The cost estimate documentation identified some major cost elements as cost drivers, but no cross-check information had been documented. DOE performed cross-checks in an independent cost review.", "The cost estimate to build a small centrifuge facility minimally meets this characteristic. There is no evidence in the supporting documentation that a sensitivity analysis was completed. Some programmatic risks were identified in the documentation. No cross- check information had been documented. DOE performed an independent cost review which adjusted the project management cost to make it consistent with the large centrifuge project management cost estimate.", "Regarding the large centrifuge, an NNSA official said that the agency had requested the supporting documentation that formed the basis of the estimate Centrus prepared in 2014, but that Centrus did not provide the information, stating that it was proprietary. However, according to Centrus representatives, Centrus offered to provide updated cost estimates and supporting data\u2014provided that they were appropriately protected\u2014but NNSA declined the offer. According to an NNSA official, the agency has not made a renewed effort to obtain this information because Centrus is still a publicly-traded company that would like to commercialize the large centrifuge technology.", "Regarding the small centrifuge, an NNSA official told us that the agency did not have sufficient data to create a reliable preliminary cost estimate because the small centrifuge experiment is still in the preliminary design and development stages. In the absence of such data, ORNL based its estimate on its decades-long expertise and experience with centrifuges, as well as on the cost structure of the large centrifuge, according to NNSA documents. NNSA and DOE officials stated that they expect to have data by mid-2019 that would support a reliable cost estimate for inclusion in the analysis of alternatives process, which is expected to conclude in 2019. The officials said that they are still developing the technology and intend to create a new cost estimate."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Tritium is a key isotope used in U.S. nuclear weapons, and the United States requires an ongoing supply of tritium to sustain the nuclear stockpile. Since 2013, the United States has not had a supplier of unobligated LEU, which under the current approach is necessary to power the TVA reactor that produces tritium. NNSA recognizes that its unobligated LEU inventory is finite and declining and has taken actions to extend existing supplies of unobligated LEU in the near term. These actions have effectively bought the agency some time while it initiates an analysis of alternatives process to develop a long-term solution.", "However, the scope of the mission need statement underpinning the analysis of alternatives is unclear because it can be interpreted to fulfill more than one mission, which is inconsistent with DOE directives that such a statement should be a clear and concise description of the gap between current capabilities and the mission need. The mission need statement is also inconsistent with the directives\u2019 requirement that the mission need should be independent of a particular solution and not be defined by a technological solution or physical end-item. In addition, the mission need statement indicates a preference for using enriched uranium to continue the tritium production mission and excludes consideration of certain technology options, such as one that may have the potential to produce tritium without the need for enriched uranium. Without revising the scope of the mission need statement to clarify which mission need it seeks to achieve and adjusting, as appropriate, the range of options being considered in the analysis of alternatives, NNSA may not consider all options that could satisfy its ultimate mission need.", "Further, the preliminary cost estimates developed by NNSA for the large centrifuge and small centrifuge technology options were limited in scope\u2014sized for a capacity to enrich uranium only for tritium production\u2014and do not reflect the full costs of building a uranium enrichment facility that could eventually meet a range of enriched uranium mission needs. By ensuring that the scope of the cost estimates address additional costs that align with other mission needs that the enrichment capability may be intended to fulfill, NNSA can select a more effective option. In addition, we found that the cost estimates produced for this more limited scope do not fully meet the best practice characteristics of reliable cost estimates. By developing reliable cost estimates consistent with best practices, NNSA will ensure that it has quality information to make an informed decision about which option to select."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to NNSA: The NNSA Administrator should revise the scope of the mission need statement to clarify which mission need it seeks to achieve and, as appropriate, adjust the range of options considered in the analysis of alternatives process. (Recommendation 1)", "The NNSA Administrator should\u2014following clarification of the scope of the mission need statement\u2014ensure that the agency\u2019s cost estimates for whichever options it considers going forward are aligned with the scope of the mission need that the enrichment capability is intended to fulfill and that they are developed consistent with best practices. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided drafts of this report to NNSA, State, DOD, and TVA for review and comment. In written comments, which are summarized below and reproduced in appendix V, NNSA neither agreed nor disagreed with our recommendations. However, NNSA stated that it will take future actions consistent with our recommendations. NNSA also provided technical comments, which we considered and incorporated as appropriate. The State Department provided technical comments, which we incorporated as appropriate. The Department of Defense stated that it did not have any written or technical comments and TVA did not provide written or technical comments. We also provided a technical statement of facts to the following entities: Centrus, ConverDyn, GMIS, and URENCO. We received technical comments and incorporated them, as appropriate.", "In its written comments, NNSA clarified that its mission need statement is written to support a range of requirements, the most urgent of which is LEU for tritium production. Further, NNSA stated that it will evaluate a broader range of options to meet its mission need during the analysis of alternatives process, which has begun and which NNSA has targeted for completion by December 2019. Because the analysis and selection of alternatives in the CD-1 phase builds off of the mission need statement, we believe NNSA\u2019s clarification of its mission need statement is positive and will help result in an analysis of alternatives that does not limit potential solutions.", "NNSA also stated that it will produce higher fidelity cost estimates leading up to the CD-1 phase, which we agree is consistent with our recommendation. NNSA stated that the preliminary cost estimates it developed do not include the full life cycle cost of building an enrichment facility to meet the range of enriched uranium missions it has now clarified as its mission need, but it stated that such estimates are neither required nor cost beneficial at this early stage. As we noted, best practices\u2014which can be used to evaluate preliminary cost estimates\u2014recommend having complete life cycle cost estimates even at this early stage because they help ensure that all costs are considered to support decision-making and that resources are efficiently allocated to support the project. As NNSA develops its higher fidelity estimates, following cost estimating best practices\u2014such as, by ensuring that the cost estimates for the alternatives being evaluated align with the broad range of uranium mission needs that those alternatives are intended to address, and that full life cycle cost estimates are developed for each option\u2014would better position NNSA to select an option going forward.", "We are sending copies of this report to the appropriate congressional committees, Secretary of Energy, Secretary of State, Secretary of Defense, Vice President for Government Relations of TVA, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or at bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to assess (1) the actions the National Nuclear Security Administration (NNSA) is taking to extend its existing inventories of enriched uranium to address near-term tritium needs and the costs, schedules, and risks of those actions; (2) the extent to which NNSA\u2019s plan to analyze options for supplying enriched uranium in the long term is consistent with Department of Energy (DOE) directives; and (3) NNSA\u2019s preliminary cost estimates for long-term uranium enrichment technology options and the extent to which they meet best practices for reliable estimates.", "To inform all three objectives, we analyzed NNSA planning documents, such as NNSA\u2019s October 2015 Tritium and Enriched Uranium Management Plan Through 2060 and other documents from NNSA and DOE pertaining to the management of enriched uranium and tritium. We also interviewed officials from NNSA, DOE, the Department of Defense (DOD), the Department of State (State), the Tennessee Valley Authority (TVA) and representatives of companies participating in different stages of the nuclear fuel cycle. We conducted site visits to the Oak Ridge National Laboratory (ORNL), the Y-12 National Security Complex in Oak Ridge, Tennessee, and the American Centrifuge Plant, in Piketon, Ohio, to understand the technology and nonproliferation policy issues that affect the current inventory and future supply of unobligated enriched uranium.", "To describe the actions NNSA is taking or plans to take to extend its existing inventories of enriched uranium to address near-term tritium needs and the costs, schedules, and risks of those actions, we reviewed and analyzed agency documents pertaining to NNSA\u2019s estimates of the costs, schedules, and risks for the actions. Namely, we analyzed NNSA\u2019s October 2015 Tritium and Enriched Uranium Management Plan Through 2060 and other NNSA strategies and implementation plans, including a 2014 Uranium Inventory Working Group assessment of near-term NNSA actions to extend the supply of unobligated LEU. We interviewed NNSA and TVA officials to validate the cost and schedule information for the action NNSA is taking to extend its LEU inventory. To compare the estimated costs to the actual costs for the actions NNSA is taking or plans to take to extend the unobligated LEU fuel supply for tritium production, we analyzed contracts between TVA and fuel cycle facilities for book storage and associated documentation. We then spoke with representatives from NNSA\u2019s downblending contractor, and compared that information to the costs that had been invoiced through July 2017. To identify risks of the options that NNSA has identified, we reviewed NNSA documents and interviewed NNSA officials.", "To assess the extent to which NNSA\u2019s plan to analyze options for supplying enriched uranium in the long term is consistent with DOE directives, we reviewed DOE and NNSA documents including: documents associated with DOE\u2019s critical decision process, such as the uranium enrichment mission need statement, project requirements, and the CD-0 approval memo; DOE memos on the department\u2019s uranium management strategy; and an intellectual property transfer contract between DOE and the United States Enrichment Corporation (USEC). We compared these documents to DOE directives, including DOE Order 413.3B Program and Project Management for the Acquisition of Capital Assets and 413. 3-4A Technology Readiness Assessment Guide, and associated guidance, such as DOE 413.3-17 Mission Need Statement Guide.", "ORNL and its subcontractor manage the contracts to develop and preserve the large centrifuge technology (AC100), and the contract to develop the small centrifuge technology; therefore, we also reviewed ORNL documents including a uranium enrichment production technology study, project management plans for the large and small centrifuge projects, and large centrifuge experiment test results.", "We interviewed DOE officials and ORNL representatives regarding efforts to assess the feasibility of other technology options identified in NNSA\u2019s October 2015 plan\u2014large centrifuge, small centrifuge, Atomic Vapor Laser Isotope Separation (AVLIS), Electromagnetic Isotope Separation (EMIS), Separation of Isotopes by Laser Excitation (SILEX), and the Paducah Gaseous Diffusion Plant. We also reviewed documents and interviewed representatives from Centrus and Global Laser Enrichment (GLE)\u2014a joint venture that developed SILEX\u2014regarding the development of the large centrifuge, AVLIS, and SILEX technologies. In addition, we reviewed industry responses to NNSA\u2019s request for information regarding proposals for meeting NNSA\u2019s future enriched uranium needs. We also interviewed NNSA and DOE officials, and industry representatives, to learn about any recent alternative tritium production technology developments. We conducted a site visit to an isotope production facility in Henderson, Nevada, to observe a NNSA- funded demonstration project with Global Medical Isotope Systems that is currently testing an alternative tritium production technology. To review the feasibility of policy and other options that NNSA is evaluating, we analyzed NNSA planning documents, and interviewed officials from NNSA and State to determine the extent to which the costs, schedules, and risks for these options were known.", "To examine NNSA\u2019s preliminary cost estimates for long-term uranium enrichment technology options\u2014the large and small centrifuges\u2014and the extent to which they meet best practices for reliable estimates we compared these estimates to GAO\u2019s Cost Estimating and Assessment Guide (cost guide), which is a compilation of best practices that federal cost estimating organizations and industry use to develop and maintain reliable cost estimates throughout the life of an acquisition program. According to the cost guide\u2019s best practices, four characteristics make up reliable cost estimates\u2014they are comprehensive, well-documented, accurate, and credible. To develop our assessments, we interviewed an NNSA official and a representative of an NNSA contractor who prepared the cost estimates about their methodologies and the findings that were used to support the cost estimates presented in NNSA\u2019s mission need statement. We analyzed the cost estimating practices used by NNSA against the four characteristics of reliable cost estimates. We performed a summary analysis because NNSA\u2019s cost estimates were at the rough- order-of-magnitude level. After conducting our initial analyses, we shared them with NNSA officials to provide them an opportunity to comment and identify reasons for observed shortfalls in cost estimating best practices. We took their comments and any additional information they provided and incorporated them to finalize our assessment. While rough-order-of- magnitude estimates should never be considered high-quality estimates, rough-order-of-magnitude estimates can be considered reliable by fully or substantially meeting industry best practices. For example, we have found that other rough-order-of-magnitude estimates substantially or fully met various characteristics of a reliable cost estimate, such as cost estimates prepared by the DOD and the U.S. Customs and Border Protection within the Department of Homeland Security. Moreover, DOE\u2019s cost guidance states that, \u201cregardless of purpose, classification, or technique,\u201d the agency\u2019s cost estimates should demonstrate quality sufficient for its intended use, be complete, and follow accepted standards such as our cost guide. DOE\u2019s cost guidance also describes good cost estimates as including a full life-cycle cost estimate, among other things. These best practices should result in reliable and valid cost estimates that management can use for making informed decisions.", "We conducted this performance audit from August 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Other Options for Obtaining Enriched Uranium without Acquiring a New Uranium Enrichment Capability", "paragraphs": ["The National Nuclear Security Administration (NNSA) has identified other options for obtaining enriched uranium to evaluate in its analysis of alternatives process, but these options pose significant challenges and are likely to be eliminated during this process, according to NNSA and Department of State (State) officials. These options may require changes in policy and could have significant costs, risks, or technical challenges, according to NNSA and State officials. These options include revising domestic policy and international agreements to allow the use of foreign- obligated enriched uranium and technology for producing tritium; obtaining low enriched uranium (LEU) through the Mutual Defense Agreement between the United States and the United Kingdom; downblending highly enriched uranium (HEU) from the defense programs inventory; and reprocessing spent U.S. nuclear fuel. NNSA officials stated that they do not plan to pursue these options at this time."], "subsections": [{"section_title": "Revising Domestic Policy and International Agreements to Allow the Use of Foreign-Obligated Uranium and Technology for Producing Tritium", "paragraphs": ["Over the years, questions have been raised as to whether using foreign- obligated material and technology to produce LEU, which produces tritium that can be harvested for weapons, when irradiated in a power reactor, constitutes a peaceful use. However, according to DOE, it has been the agency\u2019s long-standing practice to use only unobligated material for tritium production. NNSA\u2019s mission need statement includes the option to revise domestic policy and seek to renegotiate international agreements to allow foreign-obligated LEU\u2014that is, LEU either sourced from foreign countries or produced using non-U.S. equipment or technology\u2014for tritium production for nuclear weapons.", "Specifically, NNSA discussed three variations of the option of using foreign-obligated LEU for tritium production for use in nuclear weapons:", "Using obligated LEU from URENCO\u2014a European enrichment consortium operating an enrichment plant in New Mexico. The LEU produced by URENCO is enriched using foreign technology and is subject to a peaceful use provision in an international agreement between the United States and Germany, the Netherlands, and the United Kingdom.", "Loading TVA reactor cores with a mix of unobligated and obligated LEU fuel proportional to the extent that the reactor core is used for tritium production for commercial electricity production.", "Renegotiating international agreements to allow the use of foreign technologies to produce LEU for tritium production.", "According to NNSA and State Department officials, longstanding U.S. policy will likely preclude the use of these options. A 1998 interagency review\u2014led by DOE\u2014considered the nonproliferation issues associated with establishing a new means for tritium production. The 1998 review concluded that DOE should exclusively use LEU that is unobligated by peaceful-use restrictions to preserve the \u201cmilitary/civilian dichotomy.\u201d Since that time, NNSA has adhered to this policy and used only unobligated LEU for tritium production, as we reported in 2015. Various U.S. interagency policy committees\u2014which provide national security policy analysis within the National Security Council\u2014met several times between 2014 and 2016 to reexamine the policy and consider whether to allow obligated LEU to be used for tritium production for nuclear weapons. However, the committees concluded that this is not permissible either by the United States or partner countries under applicable international agreements. Revising the policy and agreements would have significant repercussions on U.S. nonproliferation policy as well as on international agreements, according to NNSA and State officials. In addition, according to the mission need statement, U.S. partners have repeatedly requested assurances that materials supplied to the United States not be used for tritium production.", "In addition, NNSA and State officials stated that using only unobligated LEU for national security purposes supports U.S. nonproliferation policy goals by, for example, avoiding setting a precedent for other countries that may seek to use U.S. obligated LEU for military purposes. State officials stated that even using a mix of unobligated and obligated LEU fuel would still essentially be asking a foreign partner for the use of its material for tritium production for nuclear weapons. Revising policy to allow for the use of obligated LEU in tritium production could \u201cblur the line\u201d between using LEU for peaceful energy purposes and national security purposes, according to these officials."], "subsections": []}, {"section_title": "Mutual Defense Agreement", "paragraphs": ["NNSA also considered obtaining LEU from the United Kingdom under our mutual defense agreement with that country. The agreement provides for the transfer of special nuclear material between the two countries. In 2014, the Senate Armed Services Committee directed DOE to evaluate whether it would be possible to obtain LEU for the purposes of tritium production from the United Kingdom under the mutual defense agreement. According to State officials, the mutual defense agreement does not preclude the United States from obtaining LEU directly from the United Kingdom for the purposes of tritium production. However, this option is not likely to be pursued by the federal government, according to NNSA officials. Aside from the mutual defense agreement, State officials said that they are not aware of any other such agreements that would potentially allow the United States to obtain tritium from another country."], "subsections": []}, {"section_title": "Downblending of HEU from the Strategic Reserve", "paragraphs": ["NNSA\u2019s October 2015 plan identifies a Strategic Reserve of HEU maintained by NNSA as a potential source of HEU for downblending to obtain unobligated LEU for use in tritium production. The Strategic Reserve consists of HEU metal and HEU in nuclear weapon components that are held as a backup for weapons in the U.S. nuclear stockpile. According to the October 2015 plan, this option could provide unobligated LEU for tritium production for many years. However, the October 2015 plan states that changing the quantity of HEU held in the Strategic Reserve inventory would require presidential approval.", "NNSA officials indicated that the agency is assessing the costs and risks of this option. According to these officials, pursuing this option would involve significant costs and risks associated with lowering the material in the Strategic Reserve, as well as accelerating the dismantlement of nuclear weapons and the disassembly of their components. While this option is currently being assessed for costs and risks, NNSA officials noted that there is currently \u201cno plan\u201d to access material from the Strategic Reserve.", "Finally, the United States\u2019 inventory of HEU is finite; the United States has not had a domestic capability to produce HEU since 1992 and instead meets national security needs using an inventory of HEU that was enriched prior to 1992. Using this inventory for HEU downblending would consume HEU that could be used to meet other national security missions, such as providing HEU fuel for the U.S. Navy\u2019s propulsion reactors. Consequently, this option could accelerate the date when a new enrichment capability for HEU production would be needed."], "subsections": []}, {"section_title": "Reprocessing Spent U.S. Nuclear Fuel", "paragraphs": ["In its October 2015 plan, NNSA identified an option of reprocessing spent U.S. nuclear fuel to obtain unobligated HEU that could be downblended to LEU and used for tritium production. However, this option was not ultimately included in NNSA\u2019s October 2016 mission need statement. This material is spent reactor fuel from the U.S. Navy and other sources, and represents a potentially significant source of unobligated LEU that could be used for tritium production. DOE maintains a large inventory of such fuel, which includes both aluminum-clad and non-aluminum clad fuel, such as zirconium-clad fuel. Most of the aluminum-clad fuel is stored at the Savannah River Site, in South Carolina, while most of the zirconium-clad fuel is stored at the Idaho National Laboratory.", "Options for recovering HEU from either type of spent fuel are limited. The United States can only process and recover HEU from aluminum-clad spent nuclear fuel using the Savannah River Site\u2019s H-Canyon facility, which is the only hardened nuclear chemical separations plant still in operation in the United States. There is a small amount of aluminum- clad fuel at the Idaho National Laboratory that would need to be shipped to the Savannah River Site. However, according to NNSA officials, it would be expensive to transport the material from the Idaho National Laboratory to the Savannah River Site, and the costs to operate H- Canyon to process the material would be high. Further, receipts of all nuclear material at H-Canyon have been halted by Savannah River Site\u2019s management and operations contractor due to the facility\u2019s degraded conditions and seismic risks. Even if H-Canyon were to resume operations, NNSA officials stated that processing aluminum-clad spent fuel would yield relatively small quantities of LEU usable for tritium production, as a considerable portion of the spent fuel is encumbered under a 1994 Presidential declaration. Therefore, NNSA officials reported that this is considered a long-term option due to the high costs and risks involved.", "DOE\u2019s Office of Nuclear Energy is researching a process that could recover HEU from the zirconium-clad spent naval reactor fuel. In May 2017, Idaho National Laboratory completed a study examining the feasibility of processing a portion of its zirconium-clad spent fuel inventory through a new process called \u201cZIRCEX.\u201d The report concluded that ZIRCEX showed promise; however, it also noted that pilot-scale testing was needed to prove that it can be used effectively at production scale. According to DOE officials, a pilot-scale demonstration is planned using ZIRCEX, with limited testing planned in fiscal year 2018. DOE officials told us the costs and schedules to implement a full-scale production plant using ZIRCEX to recover HEU from zirconium clad spent fuel are not known. Furthermore, additional processing and downblending would be needed to produce unobligated LEU. DOE considers recovering unobligated HEU for tritium production for use in nuclear weapons through the ZIRCEX process a long-term possibility that could be re- evaluated as the technology matures."], "subsections": []}]}, {"section_title": "Appendix III: Other Uranium Enrichment Technologies", "paragraphs": ["In addition to the large and small centrifuges, four other enrichment options were presented in the National Nuclear Security Administration\u2019s (NNSA) October 2015 plan and its October 2016 mission need statement. However, these options are unlikely to be pursued, according to NNSA documents. Some of these options have produced enriched uranium in the past, but extraordinary technical or financial barriers, past research failures, or peaceful use restrictions will likely preclude further consideration by NNSA, according to agency documents. These options include:", "Restart of the Paducah Gaseous Diffusion Plant (GDP). Gaseous diffusion was the first uranium enrichment technology used for both national security and commercial enriched uranium needs in the United States, and involves passing uranium hexafluoride in a gaseous form through a series of filters that is then cooled into a solid. The Paducah GDP produced low enriched uranium (LEU) from the mid-1950s until 2013. It was originally operated by the Department of Energy (DOE), but leased to the United States Enrichment Corporation (USEC) beginning in 1993. Gaseous diffusion facilities used very large amounts of electricity, making them costly to operate. According to DOE, by May 2012, it became clear that USEC was no longer in a financial position to continue enrichment activities at the Paducah GDP, and\u2014through a series of transactions\u2014DOE transferred enough material to keep it operating long enough to produce an additional 15-year supply of LEU for future tritium production. In May 2013, USEC ceased enrichment at the Paducah GDP citing the high costs of maintaining and operating an aging plant. In October 2014, the Paducah GDP was returned to DOE, and DOE is currently deactivating the plant in preparation for decontamination and decommissioning, while it continues to complete environmental cleanup that began in the late 1980s.", "In April 2015, when NNSA produced a technical evaluation of uranium enrichment technology options, restarting the Paducah GDP was still a hypothetical possibility. At that time, NNSA estimated that the technology readiness level (TRL) for this option rated 7-8 on the TRL scale. Restarting the Paducah GDP was advantageous, according to NNSA, because of the facility\u2019s high production rate. For example, according to DOE officials, if it had been operated for a relatively brief period of time after May 2013, a significant stockpile of unobligated LEU could have been produced to support tritium production for a number of years. Since 2015, the plant and equipment have significantly deteriorated, and restart of the Paducah GDP is no longer a feasible option, according to NNSA documents and Oak Ridge National Laboratory (ORNL) representatives. Due to degradation of the equipment, the expected rate of equipment failure, a lack of replacement parts, the dispersion of trained and qualified personnel, and ongoing decontamination and demolition activities, a major effort would be required to reconstitute the plant, according to NNSA\u2019s 2015 technical evaluation and the 2015 plan. NNSA\u2019s 2015 evaluation estimated that it would cost $425 million to $797 million to restart the plant, and between $554 million to $1 billion annually to operate it. In addition, even if the Paducah GDP were successfully restarted without major failures, the plant could likely operate at full capacity for only 1 to 3 years before incurring additional significant costs for repairs, and obtaining replacement parts for critical process equipment would be difficult. According to NNSA\u2019s April 2015 evaluation, operating the Paducah GDP beyond 1 to 3 years would require major investments in the plant\u2019s facilities and infrastructure.", "Electromagnetic Isotope Separation (EMIS). Electromagnetic isotope separation was used in the United States to enrich uranium for the Manhattan Project, but was abandoned in favor of the then- less-costly gaseous diffusion technology. Electromagnetic separation used magnetic and electronic forces to manipulate and separate charged isotopes. An updated EMIS machine has been developed by ORNL that was successful at the laboratory scale, and which had a TRL of 7, according to NNSA documents and ORNL representatives. However, when scaled to production levels, NNSA estimated that an enrichment facility using EMIS would require over 60,000 machines and cost approximately $150 billion to construct. Due to the exorbitant estimated costs, this option is unlikely to be pursued by NNSA, according to agency documents.", "Atomic Vapor Laser Isotope Separation (AVLIS). Lawrence Livermore National Laboratory and later, USEC, developed the AVLIS technology from 1973 through 1999. This technology relies on the phenomenon that different isotopes of uranium absorb laser light at different wavelengths. Because lasers can be finely tuned, the ability to separate the uranium-235 isotope from the uranium-238 isotope is potentially much greater than with gaseous diffusion or the gas centrifuge process. However, despite the federal government spending $1.7 billion on the technology, and USEC investing an additional $100 million, it was not successful at the pilot scale stage and USEC ended research and funding in 1999. According to NNSA\u2019s October 2015 plan, AVLIS\u2019 TRL was estimated to be 5-6. If development were restarted, AVLIS could reach a TRL of 9\u2014 ready to deploy\u2014in 5 to 15 years, according to NNSA\u2019s October 2015 plan. However, this would likely be too late to meet NNSA\u2019s 2038 to 2041 need date for additional unobligated LEU, and there is no estimate for the cost of such a plant, according to agency documents. According to NNSA\u2019s 2015 plan, there is no current effort to develop the AVLIS technology.", "Separation of Isotopes by Laser Excitation (SILEX). Global Laser Enrichment (GLE)\u2014a joint venture between General Electric, Hitachi, and Cameco\u2014is developing this uranium enrichment technology that also uses lasers to separate isotopes. The technology is proprietary and was developed, in part, by an Australian company. In November 2016, DOE reached an agreement to sell its depleted uranium tails to GLE for re-enrichment to natural uranium. According to a senior SILEX official, GLE intends to build an enrichment plant by 2025 adjacent to the site of the former Paducah GDP to re-enrich these tails. However, we previously found that the SILEX agreement between the United States and Australia likely prohibits using LEU produced using GLE\u2019s process for the subsequent production of tritium, and the executive branch has long interpreted it as such."], "subsections": []}, {"section_title": "Appendix IV: Centrus\u2019 Centrifuge Development", "paragraphs": ["The AC100 centrifuge (large centrifuge) design was developed by USEC Inc. (now Centrus), based off Department of Energy (DOE) centrifuge research that was terminated in the 1980s. Standing about 40 feet tall, its size means that it can produce more separative work units (SWU) per centrifuge than other centrifuge designs\u2014making it the most advanced centrifuge design in the world, according to Centrus. In contrast to European and Japanese centrifuge designs, which are relatively small (2 to 4 meters long) and have separative work capacities in the range of 5 SWU per year to 100 SWU per year, the AC100 demonstrated a SWU production rate greater than 340 per year.", "When it leased a DOE site at Piketon, Ohio, for its American Centrifuge demonstration plant starting in 2004, USEC originally intended to build a 3.8 million SWU commercial uranium enrichment plant at that site with enough land nearby to expand the facility to meet total U.S. low enriched uranium (LEU) demand, including enough to meet national security needs. The planned facility would have included over 14,400 centrifuges in a facility covering over 2 million square feet. In 2010, and again in 2012, DOE and USEC signed cooperative agreements to share the cost of supporting a research, development, and demonstration program for the large centrifuge technology. DOE provided $280 million, or 80 percent of the investment in the program, with the remaining $70 million, or 20 percent, provided by USEC. With this support, USEC began operating a 120-machine commercial demonstration cascade in October 2013.", "In the wake of significant adverse uranium market impacts resulting from the Fukushima Daiichi accident in Japan in 2011, and in light of difficulties in securing DOE loan guarantees for deploying a commercial plant, USEC declared bankruptcy in March 2014 and later emerged as Centrus. In April 2014, following the conclusion of the cooperative agreement, the Secretary of Energy stated that DOE\u2019s Oak Ridge National Laboratory would place Centrus under contract to operate the demonstration plant and technology with a focus on meeting national security needs. In May 2014, Centrus entered into a contract with UT-Battelle\u2014DOE\u2019s contractor for Oak Ridge National Laboratory\u2014to run a program to preserve and further advance the technology readiness of the AC100 technology. Also, since 2002, Centrus has maintained a lease on a smaller test research facility, K-1600, at Oak Ridge, Tennessee, from DOE. According to a DOE document, centrifuges can be assembled and balanced at K-1600, and the test facility allows verification of centrifuge operations beyond what was possible at the demonstration plant. The K-1600 facility is located near Centrus\u2019 manufacturing hub, the American Centrifuge Technology & Manufacturing Center, also in Oak Ridge, Tennessee.", "Because the May 2014 contract was set to expire in September 2015, Centrus and UT-Battelle began negotiating a new contract to support operations at the demonstration plant, the Technology and Manufacturing Center, and K-1600 in early 2015. UT-Battelle and Centrus agreed to an extension of research operations at K-1600 and the Technology and Manufacturing Center until September 2016 for $35 million annually. In addition, the Centrus lease of K-1600 was renewed until the end of calendar year 2017. However, the parties were unable to agree on further funding for the demonstration plant. On September 11, 2015, DOE announced that it would not fund the demonstration plant in Piketon, Ohio, after September 30 of that year. Centrus\u2014unable to operate the demonstration plant without further government support\u2014announced its intention to demobilize the plant in February 2016. Decontamination and decommissioning of the demonstration plant began in April 2016. As part of this work, Centrus is removing all of the equipment\u2014including the centrifuges\u2014from the demonstration plant, and will finish disposing of the machines at a secure government facility in October 2017, according to Centrus officials. However, according to DOE officials, DOE has preserved a number of the centrifuges and associated components at the Technology & Manufacturing Center. Centrus documents anticipate that the decontamination and decommissioning work will be substantially complete by the end of 2017. According to NNSA officials, Centrus has given verbal notice to DOE that it intends to terminate its American Centrifuge demonstration plant site lease in 2019.", "An August 2015 DOE memo states that technical issues with the existing centrifuges, peaceful-use restrictions on key components and DOE\u2019s acquisition timeline meant that there was limited value in continuing to support the demonstration cascade after 2015. Specifically, during operation of the demonstration cascade, two technical issues were identified that made the existing centrifuges undesirable for future use. Rehabilitation of the centrifuges would have been cost prohibitive, according to NNSA officials. In addition, key components of the existing machines were constructed using foreign-sourced materials, which were subject to peaceful-use restrictions. According to an August 2015 DOE memo, the second cooperative agreement with Centrus did not require that Centrus use unobligated materials, and Centrus initially assumed it would use those machines in a larger commercial plant and not for national security. Centrus representatives and DOE officials told us that the company had since identified U.S. suppliers or workarounds for these components. However, to be used in a national security facility, these components would need to be remanufactured using those suppliers, since not all components in the demonstration cascade were unobligated. Further, under NNSA\u2019s timeline for a domestic uranium enrichment capability, it could take until 2027 to begin construction of a uranium enrichment plant. Thus, according to an August 2015 memo, DOE concluded that it would not be economical to keep the demonstration cascade operational, and that, after the passage of so much time, parts of the centrifuges and the balance of the plant would also need to be replaced during construction."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Energy / National Nuclear Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Shelby S. Oakley, Director; William Hoehn, Assistant Director; Eric Bachhuber, Analyst in Charge; Julia Coulter; and Katrina Pekar-Carpenter made key contributions to this report. Also contributing to this report were Antoinette C. Capaccio, Jeff Cherwonik, Jennifer Echard, Robert S. Fletcher, Ellen Fried, Cindy Gilbert, Amanda K. Kolling, Jason Lee, Jennifer Leotta, Dan C. Royer, Anne Stevens, and Kiki Theodoropoulos."], "subsections": []}]}], "fastfact": ["The National Nuclear Security Administration manages U.S.-origin enriched uranium for certain needs such as for the production of tritium, which is used in nuclear weapons. After losing its last source of U.S.-origin enriched uranium in 2013, NNSA projected that its supply would run out in 2027.", "We found that NNSA has extended its supply through 2038 but it has not clearly defined longer term enriched uranium needs. We also found that NNSA's preliminary cost estimates for building a new enrichment capability are not reliable.", "We recommended that NNSA clarify the scope of its mission need statement and create new cost estimates."]} {"id": "GAO-18-61", "url": "https://www.gao.gov/products/GAO-18-61", "title": "Sunscreen: FDA Reviewed Applications for Additional Active Ingredients and Determined More Data Needed", "published_date": "2017-11-15T00:00:00", "released_date": "2017-11-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Using sunscreen as directed with other sun protective measures may help reduce the risk of skin cancer\u2014the most common form of cancer in the United States. In the United States, sunscreen is considered an over-the-counter drug, which is a drug available to consumers without a prescription. Some sunscreen active ingredients not currently marketed in the United States have been available in products in other countries for more than a decade. Companies that manufacture some of these ingredients have sought to market them in the United States by applying to add the ingredients to the sunscreen monograph, which lists ingredients that can be used in sunscreens without FDA's premarket approval. FDA reviews the applications and corresponding safety and effectiveness data for the ingredients.", "The Sunscreen Innovation Act includes a provision for GAO to examine FDA's implementation of the act. This report examines (1) the extent to which FDA implemented requirements for reviewing applications for sunscreen active ingredients within mandated time frames, and (2) the status of the sunscreen applications. GAO reviewed FDA regulations and guidance documents, Federal Register notices, and FDA and sponsor documents for all eight sunscreen applications. GAO also interviewed FDA officials; sponsors of sunscreen applications; and stakeholders with interests in sunscreen, including health care providers, researchers, and industry groups. Stakeholders were selected based on knowledge of the monograph process and sunscreen active ingredients. The perspectives of these stakeholders are not generalizable."]}, {"section_title": "What GAO Found", "paragraphs": ["The Food and Drug Administration (FDA), within the Department of Health and Human Services, implemented requirements for reviewing applications for sunscreen active ingredients within time frames set by the Sunscreen Innovation Act, which was enacted in November 2014. For example, the agency issued a guidance document on safety and effectiveness testing in November 2016.", "As of August 2017, all applications for sunscreen active ingredients remain pending after the agency determined more safety and effectiveness data are needed. By February 2015, FDA completed its initial review of the safety and effectiveness data for each of the eight pending applications, as required by the act. FDA concluded that additional data are needed to determine that the ingredients are generally recognized as safe and effective (GRASE), which is needed so that products using the ingredients can subsequently be marketed in the United States without FDA's premarket approval. To make a GRASE determination, FDA requested that the application sponsors provide additional data, including human clinical studies, animal studies, and efficacy studies.", "Sponsors of some of the sunscreen applications and some stakeholders GAO interviewed questioned FDA's requests, stating, for example, that the agency's recommended absorption test has never been conducted on sunscreen ingredients and there is a lack of knowledge on how to conduct it. At the same time, other stakeholders support the additional testing FDA requested. FDA reports that the increase in the amount and frequency of sunscreen usage, coupled with advances in scientific understanding and safety evaluation methods, has informed the agency's perspective that it needs additional data to determine that sunscreen active ingredients are GRASE. However, none of the sponsors reported current plans to provide the requested information\u2014that is, they are either still considering whether to conduct the additional tests or they do not plan to do so. They cited the following reasons:", "Return on investment. The testing FDA requested is extensive, would cost millions of dollars, or take several years to conduct, according to sponsor representatives. Some stakeholders and sponsor representatives said that sponsors are currently working to develop newer sunscreen ingredients and are therefore reluctant to invest in the testing FDA requested for the older ingredients covered by the pending applications.", "Alternatives not accepted. Some sponsor representatives and stakeholders said that when they proposed alternative testing methods for absorption, for example, the agency rejected the alternatives.", "Animal testing. One stakeholder and some sponsor representatives reported concerns about the effect that the animal testing requested by FDA may have on companies' marketing of sunscreen products worldwide. Additionally, one stakeholder and representatives from one sponsor expressed concern that sunscreen manufacturers may face backlash from animal rights groups and shareholders if animal testing is conducted.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["With nearly 5 million people treated each year, skin cancer is the most common form of cancer in the United States and rates are rising. To help reduce the risk of skin cancer, the U.S. Surgeon General and other authorities recommend using sunscreen in conjunction with other preventive measures. Given this recommendation, there is interest in ensuring Americans have access to the most effective sunscreen products. Furthermore, authorities encourage people to apply sunscreen liberally and frequently when out in the sun; and Americans are using sunscreen more often and in larger quantities than in the past. However, heightened concerns about possible adverse effects from absorbing sunscreen ingredients through the skin have accompanied this increase in sunscreen use.", "Some sunscreen active ingredients not currently marketed in the United States have been available in products in other countries for more than a decade, and companies that manufacture some of these sunscreen ingredients have sought to bring these ingredients to the U.S. market. In the United States, sunscreen is considered an over-the-counter (OTC) drug, which is a drug available to consumers without a prescription. The Federal Food, Drug, and Cosmetic Act authorizes the Food and Drug Administration (FDA), an agency within the Department of Health and Human Services, to ensure that OTC drugs, such as sunscreens, are safe and effective in order to be marketed in the United States. There are two routes that can be used to market an OTC drug:", "One route is through FDA\u2019s OTC monograph process, which focuses on the conditions, such as active ingredients, dosage forms, and labeling for OTC drug products. Under the OTC monograph process, FDA reviews active ingredients and other conditions to determine whether they are generally recognized as safe and effective (GRASE) for use in an OTC drug, such as sunscreen. If FDA finds an active ingredient to be GRASE for use in a particular category of OTC drugs, OTC drug products that contain such ingredients do not need individual preapproval from FDA to be marketed, assuming compliance with applicable regulations.", "The other route is through the new drug application (NDA) process, under which FDA determines the safety and effectiveness of an individual drug product. FDA must review and approve an NDA before a product can be marketed.", "For active ingredients that have previously been marketed only in other countries or in drug products individually approved for the U.S. market through an NDA, FDA\u2019s time and extent application (TEA) process provides a pathway for FDA to determine whether an ingredient is GRASE and can be marketed under the OTC monograph process. To be eligible for review under the TEA process, an active ingredient must be shown to have been marketed for a material time and material extent in an OTC product, as described in FDA regulations. Once the agency determines that a TEA is eligible for review, sponsors\u2014such as the manufacturers of these ingredients\u2014and other interested parties may submit safety and effectiveness data for FDA to review and make a GRASE determination.", "Sponsors submitted TEAs for eight sunscreen active ingredients between 2002 and 2009. Amid concerns that these TEAs had been pending with FDA for several years, Congress enacted the Sunscreen Innovation Act (SIA) in November 2014. SIA altered the process FDA uses to determine whether a sunscreen active ingredient is GRASE and established time frames for the agency\u2019s review. The act also included requirements for the agency related to this new process, such as developing guidance. Additionally, the act included a provision for GAO to report on FDA\u2019s implementation of the act. This report examines 1. the extent to which FDA has implemented requirements for reviewing applications for sunscreen active ingredients within mandated time frames, and 2. the status of FDA\u2019s review of applications for sunscreen active ingredients.", "This report also describes information about the steps FDA has taken to review TEAs for non-sunscreen active ingredients. (See app. I.)", "To examine the extent to which FDA has implemented requirements for reviewing applications for sunscreen active ingredients (sunscreen applications) within mandated time frames, we reviewed the Federal Food, Drug, and Cosmetic Act (as amended by SIA), applicable FDA regulations, and agency guidance related to the TEA process and sunscreen active ingredients. We also reviewed agency documentation regarding SIA implementation, such as a May 2016 report to Congress required by SIA, and interviewed agency officials.", "To examine the status of FDA\u2019s review of applications for sunscreen active ingredients, we reviewed documentation associated with each sunscreen application from regulations.gov and FDA. This documentation included the TEA submitted by each sponsor of a sunscreen active ingredient, Federal Register notices of eligibility, feedback letters, and minutes from meetings between FDA and sponsors, when applicable. We also reviewed applicable FDA regulations and guidance, and interviewed FDA officials. Additionally, we interviewed representatives from five sponsors, which represent all eight sunscreen applications submitted to FDA (all of which were submitted prior to the enactment of SIA). We also interviewed nine stakeholders with interest in sunscreens, including industry groups, researchers, and health care providers. We identified stakeholders through our interviews with and review of key documents from FDA, sponsors, and other stakeholders. We selected stakeholders knowledgeable with the OTC monograph process for sunscreen active ingredients, including stakeholders who commented on FDA draft guidance and participated in FDA advisory committee and SIA implementation meetings. These selected stakeholder organizations provided their own insights on these issues, and their perspectives are not generalizable.", "To examine the steps FDA has taken to review TEAs for non-sunscreen active ingredients, we reviewed SIA, applicable FDA regulations and guidance, and other relevant documentation associated with the non- sunscreen TEAs. We also interviewed FDA officials and representatives of the sponsors associated with the six non-sunscreen TEAs submitted prior to the enactment of SIA in 2014.", "We conducted this performance audit from December 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Skin Cancer and Sunscreen", "paragraphs": ["How Sunscreen Works Most sunscreen products work by absorbing, reflecting, or scattering sunlight. Sunscreen contains chemicals that interact with the skin to protect it from ultraviolet (UV) rays. UV rays are an invisible form of radiation from the sun, tanning beds, and sunlamps that can penetrate the skin and change skin cells.", "The most common kinds of skin cancer, including the deadliest kind of skin cancer (melanoma), are associated with exposure to ultraviolet (UV) light. Sunscreen is one of the most common methods of protection against UV exposure used by Americans. To lower the risk of skin cancer, the Centers for Disease Control and Prevention and FDA recommend that consumers use broad spectrum sunscreens with a sun protection factor (SPF) of 15 or more as directed and in conjunction with other sun- protective measures, such as seeking shade and wearing protective clothing, hats, and sunglasses. Current recommendations also state that sunscreen should be reapplied every 2 hours and after swimming, sweating, and toweling off. When used incorrectly, sunscreen may provide a false sense of protection, which can ultimately lead to increased UV exposure."], "subsections": []}, {"section_title": "FDA Regulation of Sunscreens and Other OTC Drugs", "paragraphs": ["Because sunscreens are intended to help prevent sunburn and, in some cases, decrease the risks of skin cancer and early skin aging caused by the sun, these products are considered drugs under the Federal Food, Drug, and Cosmetic Act. Sunscreens are regulated as OTC (i.e., nonprescription) drugs, which are drugs considered to be safe for use by consumers without the intervention of a health care professional, such as a physician.", "Broad Spectrum Sunscreen and Sun Protection Factor (SPF) There are two types of ultraviolet (UV) radiation from which one needs protection\u2014 UVA and UVB. UVA radiation penetrates the skin more deeply and can cause skin cancer and other skin damage. UVB radiation can cause sunburn and result in skin damage. Broad spectrum sunscreens provide protection against both UVA and UVB rays. Products labeled as \u201cbroad spectrum\u201d have been tested for both UVA and UVB protection. Sunscreens are made in a wide range of SPFs. The SPF value indicates the level of sunburn protection provided by the sunscreen product. Higher SPF values (up to 50) provide greater sunburn protection. Because SPF values are determined from a test that measures protection against sunburn, SPF values primarily indicate a sunscreen\u2019s UVB protection.", "Most OTC drugs, including nearly all sunscreen products, are marketed in the United States by following the OTC monograph process. An OTC monograph is a regulation that specifies the active ingredients that may be used to treat certain diseases or conditions without a prescription, and the appropriate dose and labeling for use, among other things. OTC drugs that meet a monograph\u2019s requirements may be marketed without FDA\u2019s prior approval, assuming compliance with all other applicable regulations.", "FDA regulations designate categories of OTC drugs, including antacids, cough and cold products, and sunscreens, to be covered by OTC monographs. OTC drug products that do not fit under an existing monograph must be approved under an NDA to be marketed, which is an application also used for new prescription drugs. See table 1 for a summary of the differences between marketing an OTC drug product, such as a sunscreen product, under the OTC monograph process compared to under an NDA. According to FDA officials, more than 100,000 OTC drugs are marketed under the OTC monograph process, and about 400 are approved to be marketed under NDAs.", "The sunscreen monograph currently includes 16 active ingredients. The last active ingredients (avobenzone and zinc oxide) were added to the sunscreen monograph in the late 1990s. FDA issued a final sunscreen OTC monograph in 1999; before it could go into effect, however, FDA stayed its effective date indefinitely, because the agency had not yet established UVA/broad spectrum testing and labeling requirements for sunscreen products. To date, the sunscreen monograph is not in effect.", "While the sunscreen monograph\u2019s effective date is stayed, FDA has indicated that it will not take enforcement action against the marketing of sunscreens using the 16 active ingredients included in the stayed final monograph or some combination thereof, provided the products are marketed in compliance with other applicable regulations and consistent with FDA\u2019s 2011 draft guidance."], "subsections": []}, {"section_title": "TEA Process", "paragraphs": ["In 2002, FDA created a two-part process, referred to as the TEA process, by which an active ingredient that was not included in OTC drugs marketed in the United States prior to the beginning of the monograph process in the 1970s can be considered for marketing under the OTC monograph process by receiving a GRASE determination.", "Part 1: Eligibility determination. To be eligible for review under the TEA process, the sponsor must submit an application showing that the active ingredient has been marketed in OTC drugs for a material time and to a material extent, as shown by, for example a minimum of 5 continuous years in the same country, or multiple countries outside the United States, or in an OTC product with an approved NDA in the United States; and a sufficient quantity as measured by the total number of dosage units or weight of active ingredient sold, and in a population reasonably extrapolated to the population of the United States.", "For ingredients found to meet the eligibility requirements, FDA publically posts this determination in the Federal Register and requests safety and effectiveness data to be submitted for the agency\u2019s review.", "Part 2: GRASE determination. FDA reviews the safety and effectiveness data submitted by sponsors and other interested parties to determine whether the ingredient is generally recognized as safe and effective for OTC use. Standards for GRASE determinations are established in FDA regulations.", "General recognition is based upon published studies, which may be corroborated by unpublished studies and other data.", "Safety means a low incidence of adverse reactions or significant side effects under adequate directions for use and warnings against unsafe use, as well as low potential for harm, which may result from abuse that can occur when the drug is widely available.", "Effectiveness means a reasonable expectation that, in a significant proportion of the target population, the pharmacological effect of the drug, when used under adequate directions for use and warnings against unsafe use, will provide clinically significant relief of the type claimed.", "Based on its review, FDA may initially determine that the active ingredient is GRASE or not GRASE for OTC use; a not GRASE determination could result from FDA\u2019s determination that the safety and effectiveness data submitted are insufficient. FDA issues its initial GRASE determination in the Federal Register and provides a period of time for public comments. The agency then reviews any comments received and issues its final GRASE determination in the Federal Register.", "SIA altered the process FDA is required to use for its review of sunscreen active ingredients and established time frames for the agency\u2019s review. It also established a process for convening the agency\u2019s Nonprescription Drugs Advisory Committee to review and provide recommendations regarding sunscreen applications at certain points in the process, and created a mechanism for sponsors to request FDA\u2019s Office of the Commissioner to review sunscreen applications. At the time SIA was enacted in November 2014, FDA had received TEAs for eight sunscreen active ingredients. For all eight of these ingredients, FDA had deemed the applications eligible for review under the TEA process (that is, the sponsors demonstrated that the ingredients had been marketed for a material time and to a material extent), and the agency had requested data to demonstrate safety and effectiveness."], "subsections": []}]}, {"section_title": "FDA Implemented SIA Requirements for Reviewing Applications for Sunscreen Active Ingredients within Mandated Time Frames", "paragraphs": ["FDA implemented requirements for reviewing applications for sunscreen active ingredients within the time frames required by SIA. For example, by November 2016, FDA issued final guidance for applications for sunscreen active ingredients, such as guidance on safety and effectiveness testing standards and on convening the Nonprescription Drugs Advisory Committee to discuss sunscreen active ingredients. In May 2016, FDA also issued its first required report to Congress on specific performance metrics, such as the number of sunscreen applications with pending GRASE determinations. In addition to requiring FDA to issue two additional reports to Congress in 2018 and 2020, SIA requires FDA to finalize the sunscreen monograph by November 26, 2019. See table 2 for the status of FDA\u2019s implementation of SIA requirements and corresponding time frames.", "FDA also implemented changes to the process for reviewing sunscreen applications as required by SIA.", "Administrative orders. SIA changed the process for issuing initial and final GRASE determinations for sunscreen applications to administrative orders. FDA officials stated that this approach is more efficient than rulemaking. Agency officials noted that administrative orders are not subject to multiple-stage rulemaking procedures, and generally undergo fewer levels of review outside of FDA.", "Time frames. SIA established time frames for each step in the review process for sunscreen applications. For example, the agency is required to determine whether a new application for a sunscreen active ingredient is eligible for review and notify the sponsor within 60 days of receipt by the agency. These time frames only include FDA\u2019s review, and do not include the time for the sponsor or other interested parties to prepare and submit safety and effectiveness data, or respond to additional FDA requests.", "Filing determination. SIA added a step, known as a filing determination, in which FDA reviews the safety and effectiveness data to determine whether it is sufficiently complete for the agency to begin its more substantive review to determine whether an active ingredient is GRASE. If FDA determines that the data are sufficiently complete to determine whether the active ingredient is GRASE, the agency will file the application and further analyze the data. If FDA determines that the data are not sufficiently complete, the agency can refuse-to-file the application, which involves notifying the sponsor and providing reasons for the refusal. Sponsors can protest FDA\u2019s decision to refuse-to-file the application, known as \u201cfile over protest,\u201d in which case FDA will proceed with its more substantial review to determine if the active ingredient is GRASE.", "Office of the Commissioner review. SIA established a mechanism for sponsors to request the Office of the Commissioner to issue GRASE determinations if FDA does not meet required time frames. The mechanism has not been employed to date, because, as of August 2017, FDA had met its required time frames for reviewing and initially responding to sunscreen applications.", "Figure 1 illustrates the post-SIA process for FDA\u2019s review of pending and new applications for sunscreen active ingredients, including time frames."], "subsections": []}, {"section_title": "All Eight Sunscreen Active Ingredient Applications Pending After FDA Determined More Safety and Effectiveness Data Needed; Sponsors Questioned Need for Additional Data", "paragraphs": ["FDA completed its review of the safety and effectiveness data for each of the eight sunscreen active ingredient applications that it received prior to the enactment of SIA. The agency concluded that the ingredients were not GRASE because the data were insufficient and additional safety and effectiveness data are needed to determine otherwise. Sponsors questioned FDA\u2019s request for additional data and no data have been provided."], "subsections": [{"section_title": "FDA\u2019s Review of Sunscreen Active Ingredient Applications Determined Additional Safety and Effectiveness Data Needed, and Most Took More than 8 Years", "paragraphs": ["As of February 2015, FDA completed its review of the safety and effectiveness data\u2014that is, the initial GRASE determination\u2014for each of the eight sunscreen applications submitted between the creation of the TEA process in 2002 and SIA\u2019s enactment in 2014. FDA\u2019s review concluded that the eight sunscreen active ingredients were not GRASE, because the data were insufficient to make a determination, and that additional data are needed to determine otherwise. (See fig. 2.)", "For all eight pending sunscreen applications, FDA requested additional safety and effectiveness data to support a GRASE determination. The data FDA requested include", "Human clinical safety studies including skin irritation, sensitization, and photosafety studies, as well as human pharmacokinetic tests (which measure the amount of absorption of a drug into the body). Among other studies, FDA specifically recommends that sponsors conduct a Maximal Usage Trial (MUsT), a type of human pharmacokinetic study, to support an adequate assessment of safety.", "Human safety data from adverse event reports and other safety- related information from marketed products that contain the active ingredient. This includes a summary of all available reported adverse events potentially associated with the ingredient, all available documented case reports of serious side effects, any available safety information from studies of the safety and effectiveness of sunscreen products containing the ingredient in humans, and relevant medical literature describing adverse events.", "Nonclinical animal studies that characterize the potential long-term dermal and systemic effects of exposure to the active ingredient. These tests include dermal and systemic carcinogenicity studies, as well as toxicokinetic tests (to help determine the relationship between exposure in toxicology studies in animals and the corresponding exposure in humans). In most cases, FDA also recommended developmental and reproductive toxicity studies to evaluate the potential effects of the active ingredient on developing offspring. FDA\u2019s guidance states that if the ingredient is not absorbed into the body past an identified threshold, some of these studies will not be needed.", "Effectiveness data from at least two SPF studies showing that the active ingredient prevents sunburn. FDA stated these studies should demonstrate protection at an SPF of 2 or higher.", "FDA\u2019s 2016 guidance on safety and effectiveness data for sunscreen states that its approach for evaluating the safety of sunscreen active ingredients is based on the agency\u2019s current scientific understanding of topical products for chronic use. According to FDA, the standard for determining GRASE has remained the same over time. However, FDA reports that the increase in the amount and frequency of sunscreen usage, coupled with advances in scientific understanding and safety evaluation methods, has changed the agency\u2019s perspective on what it needs to determine if sunscreen active ingredients are GRASE. As a result, the agency stated that these additional tests, such as the MUsT, are necessary to determine whether a sunscreen active ingredient is safe for chronic use. FDA reported that the studies it is requesting are not novel and are consistent with the requirements for chronically used topical drug products approved through the NDA process.", "For the eight sunscreen applications FDA received since 2002, FDA took between approximately 6 and 13 years to issue initial GRASE determinations starting from the date that the application was submitted. For six of the eight sunscreen applications, it took FDA more than 8 years to issue an initial GRASE determination. (See table 3.) Sponsors or other parties may submit safety and effectiveness data after FDA determines the application is eligible for review. From the most recent date that safety and effectiveness data were submitted for each application, the range of time for FDA to issue an initial GRASE determination was between about 4 and 11 years.", "According to FDA officials, the delays in reviewing sunscreen applications can be attributed to inadequate resources to carry out the agency\u2019s OTC drug responsibilities and a lengthy multi-step rulemaking process, which the applications were subject to prior to SIA. The officials added that the delays in FDA\u2019s review of sunscreen applications are indicative of the larger issues affecting the OTC monograph process more generally. For example, though the OTC monograph process began over 40 years ago, FDA officials said that the agency has still not been able to complete many monographs, or make timely changes based on emerging safety issues and evolving science, because of the burdensome regulatory process and inadequate resources. FDA officials estimate that as of October 2017 approximately one third of the monographs are not yet final, and several hundred active ingredients, including those used in sunscreen products, do not have a final GRASE determination.", "Some stakeholders and sponsor representatives said that one effect associated with SIA was that FDA took action on the sunscreen applications that had been pending for many years. Without the act, some of them questioned whether FDA would have reviewed the sunscreen applications or provided feedback to the sponsors. Though the agency has made an initial GRASE determination, the timing of FDA\u2019s final GRASE determination for each of the eight sunscreen active ingredients will be determined, in part, by when each ingredient\u2019s sponsor provides FDA with the additional safety and effectiveness data the agency requested."], "subsections": []}, {"section_title": "Sponsors Questioned FDA\u2019s Request for Additional Safety and Effectiveness Data; No Additional Data Have Been Provided", "paragraphs": ["Sponsor representatives and some stakeholders questioned the additional safety and effectiveness data requested by FDA citing the following reasons", "Requested test not previously conducted on sunscreen. Some of the sponsor representatives and stakeholders we interviewed stated that they were not aware of one of the tests FDA requested, the MUsT, ever being conducted on sunscreen active ingredients. Some of these sponsor representatives and stakeholders said there is a lack of knowledge by sponsors and testing laboratories on how to conduct this test, as well as a lack of testing protocols. Further, representatives from some of the sponsors said that the thresholds set by FDA for these test results, which affects whether FDA will recommend additional testing, were unreasonably low or unrealistic. FDA officials stated that a MUsT is a fairly recent term for a pharmacokinetic test under maximum use, which is a test that has been used for dermal products since the 1990s. They added that the threshold FDA established for this test is considered by the agency to minimize risk, and that at or above this threshold, the risk for cancer may increase. According to agency officials, FDA\u2019s draft guidance on conducting a MUsT is expected to be issued in 2018.", "Equal to or more rigorous than NDA testing requirements. Some of the sponsor representatives and stakeholders said that the additional safety and effectiveness data FDA requested are equal to or more rigorous than what are submitted for an NDA. In particular, a stakeholder noted that FDA requested additional safety and effectiveness testing for an application to market the ingredient under the OTC monograph process from a company that already had an approved NDA for a product containing the same active ingredient (ecamsule). FDA officials indicated that active ingredients under consideration for inclusion in an OTC monograph may require some studies to demonstrate that the ingredient is GRASE for OTC use that would not be required for approval of an individual drug product through an NDA. Specifically, FDA officials said such studies may be needed because once an ingredient is found to be GRASE it can be formulated in many ways (in accordance with the monograph) and marketed in multiple sunscreen products without further agency review. Additionally, the combination of sunscreen active ingredients with other inactive ingredients in a sunscreen spray, for example, may affect the absorption of the sunscreen active ingredient, according to FDA officials. In contrast, NDAs are product-specific and once approved, further changes to the products require FDA approval.", "Raising the bar. Some of the sponsor representatives and stakeholders said that FDA\u2019s requests for additional safety and effectiveness data equate to FDA raising the bar or otherwise changing what is required to demonstrate GRASE for additional active ingredients in sunscreen. Some stakeholders noted that sunscreen active ingredients that are currently marketed are not subject to this level of scrutiny. According to FDA officials, given the increased usage of sunscreen, coupled with increased knowledge of how drugs are absorbed into the skin, the agency has changed its perspective on what it needs to determine if sunscreen active ingredients are GRASE. FDA officials said that when the OTC monographs first started in the 1970s, it was thought that topical products would remain on the skin rather than be absorbed, but science has shown that some topical drugs, including some active ingredients used in sunscreens, are absorbed through the skin. Because of this knowledge, FDA officials said that the agency now considers potential dermal absorption for every topically applied drug.", "Lack of access to some requested data. In some cases, the sponsor or another interested party submitted a study\u2019s summary results or summary information on adverse events associated with an active ingredient, but FDA requested more detailed data behind the study or detailed data on adverse events. However, some sponsor representatives and stakeholders said that the sponsor may not have access to this level of detail if it had not conducted the study itself or received the associated adverse event reports. For example, if the sponsor is the company that manufactures the active ingredient, it would not necessarily have access to adverse event reports for specific sunscreen products, because these reports would instead be submitted to the company that manufactures the actual sunscreen product used by consumers. One stakeholder also questioned why FDA has not attempted to obtain relevant adverse event data directly from regulatory agencies in other countries. FDA officials said that the agency does not generally have access to adverse event reports from foreign regulatory agencies, and that the agency relies on sponsors to provide adequate information to support a GRASE determination.", "Some stakeholders supported FDA\u2019s request that sponsors provide additional safety and effectiveness data to determine if an active ingredient is GRASE for use in sunscreens. In particular, some of the stakeholders we interviewed stated that FDA is justified in requesting additional safety and effectiveness data from the sponsors given that science has evolved and the recommended use of sunscreen has changed over time.", "As of October 2017, FDA officials said that the agency has not received any of the additional safety and effectiveness data requested for the eight sunscreen active ingredients seeking a GRASE determination. According to sponsor representatives we spoke with, the sponsors are either still considering whether to conduct the additional tests FDA requested or they do not plan to do so. The reasons cited by the sponsor representatives and stakeholders included", "Return on investment. Sponsor representatives said the testing FDA requested is extensive, would cost millions of dollars, or take several years to conduct. Some of the stakeholders said the profit margins for these types of products can be low, and other stakeholders and sponsors said that once an active ingredient is determined to be GRASE and added to the OTC monograph, then anyone can market products using that active ingredient, as there is no period of market exclusivity granted to sponsors. Additionally, some stakeholders and sponsors added that the sponsors are reluctant to spend money on additional testing, because many of these sunscreen active ingredients have been on the market in other countries for many years. Instead, according to one sponsor representative, sponsors may choose to devote their resources into developing a newer generation of sunscreen active ingredients.", "Alternatives not accepted. Some sponsor representatives and stakeholders said that when alternative testing methods were proposed to FDA in place of the MUsT and other tests recommended by the agency, FDA rejected the alternatives. Further, when a sponsor asked the agency if the ingredient\u2019s experience being marketed in other countries could be used to waive some of the carcinogenicity studies requested by FDA, the agency said that marketing experience can guide the design of studies, but it is not sufficient to appropriately assess carcinogenicity. The main purpose of carcinogenicity studies, according to FDA, is to detect the potential for cancer risks associated with lifelong exposure to the active ingredient, which are difficult to detect through the adverse event data associated with marketing experience.", "Animal testing. Some sponsor representatives and one stakeholder mentioned concerns about conducting tests on animals, because of the effect it may have on a company\u2019s ability to market products worldwide. For example, European regulations prohibit cosmetics, including sunscreens, from being tested on animals, though they would not prohibit such testing as required by other countries. Additionally, one sponsor and one stakeholder expressed concern that sunscreen manufacturers may face backlash from animal rights groups and shareholders if animal testing is conducted.", "Uncertainty if more tests will be requested by FDA in the future.", "One sponsor representative said that there is uncertainty whether FDA may request additional studies in the future based on the outcomes of the FDA-recommended tests. According to one stakeholder, there is concern that sponsors may spend additional time and money on conducting the tests requested by FDA and the sunscreen active ingredient may still not be determined to be GRASE.", "Sponsor representatives for the pending sunscreen applications and most stakeholders said that the sponsors and FDA are essentially at a standstill about adding more sunscreen active ingredients to the U.S. market through the OTC monograph process. Sponsor representatives acknowledged that they could have submitted an NDA to market a new sunscreen product instead of seeking a GRASE determination for a sunscreen active ingredient. However, some sponsor representatives and a stakeholder said that NDAs are impractical for sunscreen products, because the formulations are continually changing; for example, sunscreen products may have a new fragrance based on the season. Additionally, many of the sponsors that submitted sunscreen applications manufacture the active ingredient, but not the finished sunscreen products; yet, it is the finished products that receive approval through the NDA process.", "Though FDA stated that it needs additional resources to complete its work related to the OTC monograph process\u2014and most stakeholders agree\u2014additional resources alone will not lead to additional sunscreen active ingredients on the U.S. market. Movement on sunscreen active ingredients will also depend on sponsors and other interested parties submitting data that FDA determines are sufficient for a GRASE determination. Some stakeholders said that they agree with FDA on the need for testing to ensure the safety and effectiveness of sunscreen ingredients, but some of them said the agency should also consider the potential benefit of preventing skin cancer if new ingredients\u2014which could offer better protection against UVA rays\u2014become available for the U.S. market."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services for review and comment. The department provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of the Department of Health and Human Services, appropriate congressional committees, as well as other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If your staff have any questions about this report, please contact me at (202) 512-7114 or crossem@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Steps the FDA Has Taken To Review Applications for Non-Sunscreen Active Ingredients", "paragraphs": ["To examine the steps the Food and Drug Administration (FDA) has taken to review time and extent (TEA) applications for non-sunscreen active ingredients, we reviewed the Sunscreen Innovation Act (SIA), applicable FDA regulations and guidance, and other relevant documentation associated with the non-sunscreen TEAs. We also interviewed FDA officials and representatives of the sponsors associated with the six non- sunscreen TEAs submitted prior to the enactment of SIA in 2014."], "subsections": [{"section_title": "SIA Requirements and FDA Implementation", "paragraphs": ["SIA included requirements related to FDA\u2019s review of non-sunscreen TEAs. Specifically, SIA required FDA to provide sponsors of certain non-sunscreen TEAs submitted prior to the enactment of SIA, upon request, with the opportunity to select from among different options for FDA\u2019s review (called a review framework), including corresponding time frames; issue regulations establishing time frames for reviewing non- sunscreen TEAs submitted after SIA was enacted, as well as metrics for tracking the extent to which the time frames are met; and submit a letter to Congress that includes a report on the status of FDA\u2019s review of non-sunscreen TEAs that were pending before SIA\u2019s enactment.", "FDA implemented these requirements associated with non-sunscreen TEAs by November 2016. For example, FDA provided each sponsor that requested review framework options with the ability to select the process and corresponding time frames to be applied to its pending TEA. The review framework options included FDA using an administrative order or rulemaking process, with or without a filing determination. The time frames FDA established to initially respond to the pending non-sunscreen TEAs ranged from 90 days (when an option with a filing determination is selected) to 3.5 years (when an option without a filing determination is selected) from the date the sponsor selected a review framework. For example, when a sponsor chooses to receive a filing determination with the administrative order process, FDA is to determine within 90 days whether the safety and effectiveness data provided by the sponsor or other interested party are sufficiently complete for the agency to begin its substantive review and issue a filing determination. If FDA determines that the application can be filed, the agency then has 2 years after the filing date to issue a proposed order determining whether the ingredient is generally recognized as safe and effective (GRASE). When a sponsor chooses to not receive a filing determination with the rulemaking process, FDA has 3.5 years to issue a proposed rule with the GRASE determination.", "Additionally, FDA issued a final rule in November 2016 outlining the process and time frames by which the agency will review and take action on new non-sunscreen TEAs submitted after the enactment of SIA, including time frames for each step in the review process. (See fig. 3.) In establishing these time frames, FDA noted that it considered the agency\u2019s public health priorities and available resources, as required by SIA, and accounted for the anticipated variations in the content, complexity, and format of submissions, as permitted by SIA. The overall time frames for FDA\u2019s review are estimated to be about 6 years from the date FDA receives a TEA to the date a final GRASE determination is issued. Specifically, the approximately 6 years consists of 180 days for an eligibility determination, 90 days for a filing determination, 1,095 days for an initial GRASE determination, and 912 days for a final GRASE determination. These time frames only include FDA\u2019s review, and do not include time for the sponsor or other interested parties to submit safety and effectiveness data, respond to additional FDA requests, or request meetings with the agency before such filing.", "FDA also established metrics for tracking the extent to which the agency meets the time frames set forth in the regulations, and sent a letter to Congress reporting on the status of the non-sunscreen TEAs submitted prior to SIA. These metrics are included in FDA\u2019s regulation for non- sunscreen TEAs. The metrics include the number of non-sunscreen TEAs that have been submitted post SIA, and the number and percent of these TEAs to which FDA has responded within its required time frames. Agency officials said that FDA has not received any additional non- sunscreen TEAs as of August 2017 beyond the six that were submitted prior to the enactment of SIA, and therefore has not publicly reported metrics for non-sunscreen TEAs. Lastly, FDA submitted a letter to Congress in May 2016 describing the status of the six non-sunscreen TEAs submitted prior to SIA, including the review framework selected by each sponsor, when applicable."], "subsections": []}, {"section_title": "Non-Sunscreen Active Ingredient TEAs Submitted before SIA Was Enacted", "paragraphs": ["As of August 2017, FDA had not issued a GRASE determination for any of the six TEAs for non-sunscreen active ingredients that were submitted before SIA was enacted. FDA has not made a GRASE determination because", "FDA refused to file the applications. Two non-sunscreen TEAs were determined by FDA to contain insufficient information to be filed for review in 2016. FDA requested that the sponsors for these applications provide a detailed chemical description of the active ingredients, assessments of carcinogenicity, and safety and efficacy data, among other things. Representatives of sponsors for both ingredients said they do not plan on conducting the additional tests that FDA requested, because of concerns about return on investment. According to FDA officials, the sponsors of these applications did not elect to \u201cfile over protest.\u201d", "Sponsors withdrew their applications. Three non-sunscreen TEAs were withdrawn in 2016. Representatives of the sponsors of these three applications said the companies did so because of increased regulatory scrutiny of the active ingredient, and the additional safety and effectiveness data requested by FDA.", "TEA is still pending FDA\u2019s initial GRASE determination. One non- sunscreen TEA that was submitted in 2004 to add an anti-dandruff ingredient to the over-the-counter monograph was pending FDA review as of August 2017. The sponsor for this application did not request to select a review framework from the agency and so the application is subject to the regulations that FDA issued in November 2016. In accordance with the time frames established in the regulations, FDA officials expect to issue a proposed rule with a GRASE determination for this TEA in 2019\u2014within 1,095 days (3 years) of when the regulation was finalized. This date is nearly 15 years after the application was originally submitted.", "For those two non-sunscreen TEAs for which FDA refused to file the applications, FDA\u2019s determination came about 8 and 13 years after the TEA was originally submitted. Sponsors that withdrew the three non- sunscreen TEAs did so 11 or more years after submitting the application. (See table 4.)"], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kim Yamane (Assistant Director), Rebecca Hendrickson (Analyst-in-Charge), Kristin Ekelund, and Toni Harrison made key contributions to this report. Also contributing were George Bogart, Karen Howard, Drew Long, and Vikki Porter."], "subsections": []}]}], "fastfact": ["Some sunscreen active ingredients are not used in products marketed in the United States, although they have been available in other countries for more than a decade. Companies that manufacture some of these sunscreen ingredients have sought to bring them to the U.S. market by submitting applications to FDA between 2002 and 2009.", "We looked at the status of the applications and found that, as of August 2017, all remain pending after FDA determined that more data are needed to determine that the ingredients are safe and effective. Some of the companies questioned FDA\u2019s requests for more data, and no additional data have been provided."]} {"id": "GAO-19-228", "url": "https://www.gao.gov/products/GAO-19-228", "title": "Federal Housing Administration: Opportunities Exist to Improve Defaulted Single-Family Loan Sales", "published_date": "2019-07-03T00:00:00", "released_date": "2019-08-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HUD insures single-family mortgage loans and is authorized to sell defaulted loans under the National Housing Act. In fiscal years 2010\u20132016, FHA auctioned off approximately 111,000 loans to private purchasers under DASP. DASP helped reduce a backlog of federally insured defaulted loans stemming from the 2007\u20132011 financial crisis and was intended to protect the MMI Fund by paying insurance claims before the costly foreclosure process.", "GAO was asked to evaluate DASP. This report examines, among other things, certain DASP procedures, including verifying loan eligibility criteria, and documentation; FHA's evaluation of the identified outcomes of sold loans and how these compare with similar, unsold loans; and the potential effects that changes to DASP might have on the MMI Fund. GAO reviewed FHA policies, contracts, and reports, and interviewed FHA officials, selected servicers and purchasers based on sales participation, and other stakeholders. GAO also conducted a statistical analysis comparing outcome data for sold loans and similar loans that remained FHA-insured and analyzed the effect of loan pool characteristics on bidder participation."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Housing and Urban Development's (HUD) Federal Housing Administration (FHA) uses multiple entities to check loan eligibility for the Distressed Asset Stabilization Program (DASP)\u2014in which FHA accepts assignment of eligible, defaulted single-family loans from servicers in exchange for claim payments and sells the loans in competitive auctions. After servicers submit loans for sale, FHA and its contractors concurrently check loan data for completeness, validity, and eligibility. FHA relies on servicers to check eligibility a few weeks before and again after the bid date. The status of delinquent loans can be fluid, and a change in eligibility status close to this date may not be detected. GAO's analysis of fiscal year 2016 default data indicates about 2.67 percent of loans that FHA sold were ineligible based on length of delinquency or loss mitigation status. Without checking loan eligibility closer to bidding, FHA risks selling ineligible loans, and borrowers could lose access to benefits.", "FHA does not evaluate outcomes for sold loans against similar unsold loans. GAO found that, in aggregate, sold defaulted loans were more likely to experience foreclosure than comparable unsold defaulted loans (see figure). However, GAO's analysis identified varying outcomes by purchasers and sales. For example, some purchasers' loans had higher probabilities of avoiding foreclosure, with borrowers making regular payments again by 24 months after the transfer of loans. Also, loans sold in 2016 sales were less likely to experience foreclosure compared to unsold loans. HUD policy states that the agency's evaluations isolate program effects from other influences. Evaluating outcomes for sold loans against similar unsold loans could help FHA determine whether DASP is meeting its objective of maximizing recoveries to the Mutual Mortgage Insurance Fund (MMI Fund) and understand the extent to which DASP helps borrowers.", "Changing some of FHA's auction processes may help the MMI Fund. FHA could increase participation and MMI Fund recoveries in its auctions by communicating upcoming sales earlier. One purchaser said that additional notice would allow it time to plan for the capital needed to bid. Also, FHA set reserve prices (minimum acceptable price) based on the amount it expected to recover after loans completed foreclosure\u2014yet GAO estimates that some of these loans will avoid foreclosure (see figure). As a result, FHA risks recovering less for the MMI Fund in loan sales than if the loans had not been sold."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making nine recommendations to FHA, including establishing specific time frames to check loan eligibility, evaluating loan outcome data, and changing auction processes to help protect the MMI Fund. FHA generally agreed with seven recommendations, and neither agreed nor disagreed with two. GAO maintains that all the recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Housing and Urban Development\u2019s (HUD) Federal Housing Administration (FHA) helps to broaden homeownership by insuring single-family mortgage loans with less strict underwriting standards and lower down payments compared with conventional loans. The mortgage insurance allows FHA-approved private lenders to provide qualified borrowers with mortgages and generally compensates them for nearly all of the losses incurred on such loans. The Mutual Mortgage Insurance Fund (MMI Fund), which covers almost all FHA single-family mortgages, is statutorily required to maintain at least a 2 percent capital ratio, defined as the economic value of the fund divided by the amortized insurance-in-force.", "The housing crisis of 2007\u20132011 resulted in historic rates of mortgage defaults and foreclosures. Since the beginning of the crisis, the federal government has directly or indirectly supported more than two-thirds of the value of new mortgage originations in the single-family housing market. For example, many of these defaulted mortgages were insured by FHA or securitized by the government-sponsored enterprises (the enterprises) Fannie Mae and Freddie Mac. FHA sold pools of defaulted loans in auctions through the Distressed Asset Stabilization Program (DASP). DASP is a program in which FHA accepts assignment of eligible, defaulted single-family mortgage loans in exchange for claim payments to servicers\u2014which cover the unpaid mortgage balance and associated costs\u2014and terminates FHA insurance. FHA then sells the loans in competitive auctions to qualified purchasers. DASP has helped to reduce FHA\u2019s backlog of defaulted loans and was intended to help maximize recoveries to the MMI Fund by avoiding the costly foreclosure process. According to a HUD Office of Inspector General (OIG) report, from 2010 through 2016 FHA used DASP to sell approximately 111,000 defaulted mortgage loans with an unpaid principal balance of about $19 billion. Insurance claims for sales from 2013 through 2016 accounted for about 20 percent of FHA claims to lenders over the period.", "You asked us to review DASP. This report examines (1) the changes FHA has made to the program over time; (2) certain DASP procedures, including those associated with loan eligibility, and documentation; (3) FHA\u2019s evaluation of the identified outcomes for loans that have been sold through DASP and how these compare with similar, unsold loans; and (4) the potential effects that changes to DASP might have on the MMI Fund.", "To address all of the objectives, we reviewed relevant laws, FHA policies, contracts, and agency reports. We interviewed officials of FHA and its contractors, the Federal Housing Finance Agency (FHFA), and the enterprises, as well as representatives of companies that service or purchase mortgages and other industry stakeholders. To address the first objective, we examined Participating Servicer Agreements (servicer agreements) and Conveyance, Assignment, and Assumption Agreements (purchaser agreements) from 2010 through 2016\u2014the last year in which a DASP sale was held; HUD\u2019s OIG Reports on DASP; and press releases on HUD\u2019s website regarding changes to the program. We also interviewed FHA staff and asked them to provide us with a list of changes to the program from 2010 through 2016.", "To address the second objective, we reviewed agreements between FHA and mortgage servicers and statements of work for FHA\u2019s contractors to identify procedures in place to monitor loan eligibility. We analyzed the default status data for loans sold in 2016 at the submission and bid dates to determine whether loans had eligible status for sale. To assess the reliability of the default status data, we performed electronic checks for consistency and validity. We found the data to be sufficiently reliable for determining default status and length of delinquency. Additionally, we interviewed FHA and contractor officials to discuss their procedures for monitoring loan eligibility.", "To address the third objective, we used multiple FHA data sources to match loans sold through DASP to similar, unsold loans and compare outcomes across the groups. Specifically, we identified a comparison group of unsold loans that closely resembled sold loans on characteristics that could affect the likelihood of foreclosure. To compare outcomes, we identified common categories of possible outcomes for sold and unsold loans. Using postsale reports from purchasers for sold loans and default status reports from servicers for unsold loans, we tracked the outcomes at monthly intervals. To assess the reliability of loan and outcome status data, we performed various electronic tests on the logic of the data. We excluded a small percentage of loans with invalid data and found the remaining data to be sufficiently reliable for matching sold loans to unsold loans and comparing outcomes. We also evaluated the loan modifications offered by individual purchasers from the 2013\u20132016 DASP sales. We obtained pre- and postmodification payment data from FHA and calculated the change in borrowers\u2019 monthly mortgage payments. To assess the reliability of the modification data, we checked for missing and invalid data entries across different modification fields. We found the data to be sufficiently reliable for the purpose of assessing the modifications.", "To address the fourth objective, we identified key characteristics that may make loan pools attractive to certain purchasers from interviews with industry stakeholders. We built regression models to determine the extent to which loan pool characteristics were associated with bidder participation for FHA loan sales and the enterprises\u2019 defaulted loan sales. We obtained data from FHA and the enterprises on bids and the timing of sales. We generated FHA pool characteristics from loan level data in the Aggregate Loan Database (submitted loan database) and supplemented them with FHA default status data. For the enterprises, we used pool characteristics from a published FHFA report. This report provided a range of characteristics to compare to those of FHA\u2019s pools. To assess the reliability of the FHA data, we performed reasonableness checks, which resulted in the removal of 4 percent of FHA\u2019s pools. We determined that data for the remaining pools were sufficiently reliable for the purposes of examining association with bidder participation. To calculate pool reserve prices, we obtained FHA quarterly loss severity data by disposition method for 2013\u20132016. Using our results from the outcomes comparison analysis, we calculated pool-level reserve prices and compared them to the winning pool-level bids.", "To assess the effect that changing FHA\u2019s auction design could have on the MMI Fund, we reviewed economics literature on auction structures and auction descriptions in business and commercial literature. We developed a detailed description of FHA\u2019s current auction structure and participants and assessed the benefits and drawbacks of various auction design details. We interviewed DASP stakeholders about potential changes to FHA auctions. We interviewed purchasers on their potential interest in these changes and examined FHA sale data following an instance of a single purchaser winning all the pools in a sale. In addition, we compared FHA\u2019s DASP auction structure against key characteristics of successful auctions that we identified in economics and business literature. Appendix I provides additional details about our objectives, scope, and methodology, and appendix V provides more information on our matching and outcomes analysis.", "We conducted this performance audit from January 2017 to July 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of the Distressed Asset Stabilization Program", "paragraphs": ["The National Housing Act authorized HUD\u2019s Office of Housing to accept assignment of and sell defaulted single-family mortgage loans. Additionally, Office of Management and Budget (OMB) Circular No. A-11 (2016) states that under the Debt Collection Improvement Act of 1996, credit agencies with over $100 million in loan assets are expected to sell defaulted loan assets that are more than 1 year delinquent, with some exceptions. The OMB Circular further states that the agency may not be required to sell loan assets if a serious conflict exists between selling loans and policy goals. In 2017, FHA insured over $1 trillion in single- family mortgage loans, including more than 200,000 loans in default.", "Consistent with the National Housing Act and OMB Circular, FHA uses DASP to reduce its backlog of defaulted loans by selling loans that are severely delinquent. As of 2016, loans must be at least 8 months delinquent to be eligible for sale through DASP. In addition, servicers must evaluate borrowers for all FHA loss mitigation options in order for loans to be eligible for sale through DASP.", "FHA has called its single-family forward loan sales program by different names over the years, but it became known as DASP beginning with FHA\u2019s third loan sale in 2012. We use DASP throughout this report to refer to FHA loan sales, regardless of the timing or the program name. Between 2010 and 2016, FHA held a total of 16 sales, with between one and four sales annually. As seen in figure 1, the number of loans sold varied significantly among the sales.", "Figure 2 shows the extent to which FHA has sold defaulted loans in each state in 2013-2016. The map also indicates states with longer expected foreclosure timelines. The foreclosure process is governed by state laws and differs across states. FHA establishes expected timelines for completing foreclosure and acquiring title to the property in each state. As discussed later, the foreclosure process involves a number of costs, which may be higher in states with longer expected foreclosure timelines. Additional information on the loans sold through DASP can be found in appendix II."], "subsections": []}, {"section_title": "Loan Delinquency, Loss Mitigation, and Costs to the Mutual Mortgage Insurance Fund Associated with Different Loan Disposition Methods", "paragraphs": ["A loan becomes delinquent after the borrower misses a single payment and goes into default after it is at least 31 days\u2014two full payments\u2014past due, including when a borrower may miss payments sporadically over time without repaying the missed amount. Loan servicers\u2014which can be large mortgage finance companies or commercial banks\u2014are responsible for accepting payments from borrowers and managing mortgages. FHA requires the servicers to provide monthly reports on each loan with one or more missed payments through its Single Family Default Monitoring System (default monitoring system). Before initiating foreclosure actions, FHA requires servicers to contact the borrower, collect information on the borrower\u2019s finances, and evaluate the borrower using the following ordered steps, referred to as the waterfall of loss mitigation priorities: informal forbearance through an oral agreement allowing for reduced or suspended payments for a period of 3 months or less; formal forbearance with written repayment plans, which combine a suspension or reduction in monthly mortgage payments with a repayment period; special forbearance of up to 12 months for borrowers who are unemployed;", "FHA-Home Affordable Modification Program (HAMP), which works to get a borrower to return to making regular payments (reperforming); FHA-HAMP offers qualified borrowers a loan modification that results in an affordable monthly payment amount that does not exceed 40 percent of the borrower\u2019s gross monthly income by reamortizing the debt for a new 30-year term at a fixed interest rate at or below the market rate and, under certain circumstances, deferring the payment of principal through the use of a partial claim; and non-retention disposition methods, including a preforeclosure sale (also known as a short sale) in which the borrower sells a property and the mortgage is satisfied for less than the amount that is owed, or deed-in-lieu of foreclosure in which the borrower voluntarily transfers a property to FHA to release all mortgage obligations; FHA may also provide move-out incentive payments to borrowers for short sales and deeds-in-lieu of foreclosure.", "To qualify for most of these actions, borrowers must be in default. A servicer must evaluate a borrower for the loss mitigation options monthly, but a borrower may not qualify for any option. However, a borrower\u2019s circumstances are fluid and eligibility can change. For example, borrowers who previously did not qualify for any loss mitigation options could be eligible to be evaluated for loss mitigation options again after starting a new job. FHA provides servicers with incentive payments of varying size for taking certain loss mitigation actions.", "FHA generally requires servicers to either use a loss mitigation option for which a borrower qualifies or initiate foreclosure within 6 months of the default date, but a loan also may become eligible for disposition through a DASP sale when loss mitigation has been exhausted and it meets other eligibility criteria. FHA provides servicers with a list of loan eligibility criteria in the servicer agreement for each sale. Servicers use the criteria to identify which loans are eligible for a DASP sale. For example, eligibility criteria include that a loan must be FHA-insured, have no more than four dwelling units, and have an unpaid principal balance (amount owed) greater than $20,000. Other criteria relate to length of delinquency, loan-to-value (LTV) ratio, and the condition of the property. Loans that qualify for loss mitigation or have a foreclosure date scheduled or completed during the sale period are not eligible for DASP. Information on changes to loan eligibility criteria throughout the history of the program can be found later in this report.", "Each of the disposition methods FHA uses when loss mitigation on defaulted loans is exhausted has different costs to FHA\u2019s MMI Fund (see table 1). For the nonretention disposition methods of short sale, deed-in- lieu of foreclosure, third-party sale, or foreclosure\u2014which we refer to as \u201cout of home\u201d methods\u2014FHA pays a claim to the servicer in the amount of the unpaid mortgage balance and other expenses. In addition, for a deed-in-lieu of foreclosure or foreclosure\u2014in which the property enters HUD\u2019s inventory of real estate owned (REO) property\u2014FHA also incurs costs associated with maintaining, repairing, and selling the property. This generally results in a greater loss to the MMI Fund. In the case of a DASP sale, FHA avoids interest and servicing costs during the foreclosure period as well as REO-related expenses, but incurs the cost of the difference between the unpaid balance and expenses and the amount FHA receives for the loan it sells."], "subsections": []}, {"section_title": "Process of the Distressed Asset Stabilization Program", "paragraphs": ["The loan sale process has three distinct phases: presale, due diligence and bid, and postsale (see figs. 3, 4, and 5, respectively). FHA contractors (the transaction specialist, the compliance analytics contractor, and the program financial advisor) facilitate and perform various tasks throughout these phases. The summary below reflects the process according to 2016 sales documents (the most recent DASP sales documents available), other supplemental information, and interviews with FHA officials and contractors.", "Figure 3 shows the presale phase. During this phase, FHA or its contractor notifies interested servicers and communicates loan eligibility criteria to servicers through the servicer agreement. Servicers that plan to participate in the sale identify a list of eligible loans, certify the accuracy and eligibility of the loans, and provide the list to FHA for review through the Claim Submission Report. The servicer uploads information on the loans submitted to FHA. FHA creates the submitted loan database, which includes each accepted loan\u2019s current unpaid balance, payment history, and an estimate of the underlying property value. According to FHA staff, FHA reviews the eligible loans submitted by servicers and, with the advice of its transaction specialist contractor, groups them into pools based on geography and other factors. FHA sells loans in national pools or Neighborhood Stabilization Outcome (NSO) pools, for which purchasers must meet specific neighborhood stabilization outcomes for 50 percent or more of the properties in the pool.", "Next, an FHA contractor notifies prospective purchasers about the upcoming sale via email, and notices are posted in the Federal Register, industry publications, and newspapers. Purchasers can include private equity firms, hedge funds, rental housing companies, and nonprofit organizations. Prospective purchasers must submit to FHA a Confidentiality Agreement and a Qualification Statement. FHA reviews the documentation to determine whether the purchaser qualifies to participate in the sale.", "Figure 4 depicts the due diligence and bid phase of a DASP sale. During this phase, prospective purchasers receive access to the data room\u2014a shared data website\u2014to review materials including the loan information provided by servicers (due diligence materials); bid instructions; and sale agreement that describes representations, warranties, and postsale requirements, among other things. The servicer, FHA staff, and FHA contractors continue to verify the eligibility of the loans. Prospective purchasers place bids on each loan in a pool and deposit a percentage of their total bid amount. FHA evaluates the bids and selects the highest bidder for each pool based on the total of the loan-level bids. FHA then notifies that bidder and provides an executed purchaser agreement that describes postsale servicing and reporting requirements. Purchasers must agree to follow the terms of the purchaser agreement including avoiding finalizing foreclosures for 6 or 12 months (depending on whether the sale occurred prior to July 2015), evaluating borrowers for loan modification, and reporting outcomes to FHA.", "Figure 5 depicts the postsale phase. During the postsale phase, FHA provides the list of sold loans to the servicer and winning purchaser, which together determine servicing transfer dates. After bid day, servicers verify that loans continue to meet eligibility criteria for the sale and begin submitting insurance claims to FHA. Purchasers pay FHA for the loans that are sold, and servicers transfer loan information and complete mortgage files to the purchasers. When servicers submit claims to FHA for sold loans, they must report the reason any loans are not transferred. For example, a loan might not be transferred due to ongoing loss mitigation activity or another reason, such as no longer meeting delinquency eligibility criteria, and would remain with the servicer and FHA insured. Following the final transfer of loan documentation, servicing is transferred from the servicer to the purchaser. The servicer notifies the borrowers of the transfer of servicing and termination of their FHA mortgage insurance. Following the transfer, the purchaser sends the borrowers a similar notice of transfer and any required disclosures.", "Following the final settlement date, the purchaser submits the first of 16 quarterly reports on the status of the sale portfolio using the format provided in FHA\u2019s Post-Sale Reporting tool. If a purchaser demonstrates a pattern of failing to report, FHA may disqualify the purchaser from future sales. During the first 12 months of the reporting period, purchasers must evaluate borrowers for a HAMP modification or a substantially similar modification. Additionally, the purchaser must avoid foreclosure for 12 months unless the home is vacant or there are extenuating circumstances.", "The purchaser agreement allows the purchaser 10 months starting with the servicing transfer date to notify HUD of any alleged breach of FHA\u2019s representations and warranties on purchased loans. For example, a breach could be that a loan does not meet eligibility requirements, is not covered by a valid hazard insurance policy, or has an outstanding mechanic\u2019s lien. After notifying the original servicer and reviewing any response, FHA determines whether there is a breach and the appropriate remedy. The breach remedy can include a cure of the breach (such as by the servicer paying an outstanding lien), reduction in claim payment, or repurchase by the servicer. The servicer has 60 days to comply with the remedy. If a breach results in the repurchase of the loan by the original servicer, the purchaser will transfer servicing back to the original servicer."], "subsections": []}]}, {"section_title": "Program Requirements and Processes for DASP Have Changed over Time", "paragraphs": ["FHA made changes to DASP by adding borrower protections and made efforts to increase the participation of nonprofit organizations. FHA also changed loan eligibility criteria and bidding processes to increase recoveries to the MMI Fund. Other changes included automating and streamlining processes."], "subsections": [{"section_title": "Some Changes Responded to Concerns about Borrower Protections and Nonprofit Participation", "paragraphs": ["FHA has added to DASP protections for borrowers and requirements to help stabilize neighborhoods in response to concerns raised by various stakeholders. For example, borrower protections included extending the moratorium on foreclosures from 6 months to 12 months and requiring the purchaser to offer a HAMP or substantially similar modification to qualified borrowers beginning with its July 2015 loan sale. In September 2016, FHA also added payment shock protection, which limited increases in a borrower\u2019s interest rate to 1 percent per year following a 5-year reduced rate period. In an effort to stabilize neighborhoods, FHA added a requirement in 2016 prohibiting purchasers from walking away from vacant properties. In a hearing before the House Committee on Financial Services in July 2016, the HUD Secretary stated that the changes that FHA made to the program in 2015 and 2016 were designed with input from a broad range of stakeholders and were assessed for how well the changes would fulfill the agency\u2019s goal of strengthening neighborhoods.", "In 2015, FHA made several outreach efforts to expand the participation of nonprofit organizations in DASP. These efforts included offering nonprofit organizations a \u201cfirst look\u201d at vacant REO properties, allowing purchasers to resell to nonprofit organizations, and conducting a webinar to educate and encourage the participation of nonprofit organizations. These efforts came about following a September 2014 report from the Center for American Progress and suggestions from other stakeholders that FHA make it easier for nonprofit organizations to participate in DASP. In 2016, FHA set a target that 10 percent of bids come from nonprofit organizations and local governments, including offering loans in targeted distressed areas. In 2015 and 2016, FHA offered nine pool sales directed at nonprofit organizations only. Some members of Congress expressed concern over FHA\u2019s efforts to encourage participation of nonprofit organizations, stating that FHA would likely get lower bids than it would normally receive from private companies."], "subsections": []}, {"section_title": "Changes to Loan Eligibility Criteria and Bidding Were Intended to Increase Recoveries", "paragraphs": ["According to FHA officials, FHA changed its loan eligibility criteria for inclusion in DASP sales in order to decrease losses to the MMI Fund and to give servicers more time to work with borrowers on loss mitigation. FHA lists the eligibility criteria to qualify loans for FHA\u2019s loan sale program in each servicer agreement. Our analysis of the servicer agreements from 2010 through 2016 showed that some criteria remained the same during the period, such as the requirement that servicers must have evaluated borrowers for all loss mitigation actions in accordance with FHA regulations or that loans in certain types of bankruptcy were ineligible. Other criteria changed during that period, including the following examples:", "Delinquency requirements for eligible loans changed from six full payments past due to eight full payments past due beginning with the first DASP sale in 2016; and", "FHA changed its eligible LTV ratio. Between the 2010 sale and the second DASP sale in 2012, FHA set a minimum LTV ratio for loan sales at 85 percent or higher\u2014meaning that to qualify for sale, the ratio of the amount owed on the loan to the estimated value of the property was required to be 85 percent or higher. Beginning with the first DASP sale in 2015, FHA set minimum eligible LTV ratios by state\u201470 percent in New York and New Jersey and 85 or 100 percent for other states, with about half the states in each percentage category.", "FHA officials said that they analyzed loan-level bid amounts and found that they had greater recoveries relative to REO disposition on loans with shorter delinquencies and higher LTV ratios. According to the officials, this was because these loans had a higher probability of modification by purchasers. Further, they said that the changes in eligibility criteria related to delinquency and LTV ratio were intended to decrease losses to the MMI Fund.", "In addition, FHA lowered limits on loan-level bid pricing to minimize the potential negative effects of ineligible loans being removed from sales after bidding. Purchasers could use loan-level bid pricing to strategically take advantage of the expected removal of ineligible loans after bidding. Because a purchaser pays only for the loans that are actually transferred and some loans are removed from sales due to ineligibility, such as due to changes in loss mitigation or foreclosure status, FHA receives less in actual returns on the sale than the winning\u2014highest\u2014bid. For selected loan pools in the second sale in 2013 and the first sale in 2014, FHA analyzed the bid amounts of loans that became ineligible after purchasers had bid. Before the 2015 sale, FHA lowered its maximum purchasers\u2019 loan-level bid amount from 200 to 175 percent of the unpaid balance of a loan."], "subsections": []}, {"section_title": "Other Changes Included Automating and Streamlining Processes", "paragraphs": ["FHA contractors deployed tools in 2015 and 2016 to automate previously manually intensive processes of collecting data and emails from about 30 different purchasers and tracking the status of sold loans. FHA, contractors, and purchasers we interviewed said that these processes improved data quality, efficiency, and communication among parties.", "A postsale reporting tool and data repository enables the contractor to send mass emails and target email reminders of upcoming due dates, including report deadlines, to purchasers that have not submitted required documents. In addition, the tool validates data by checking for logic and data type.", "A loan sale system conducts automated checks of data in the submitted loan database for completeness and accurate file layout. The system also checks whether all required documents are included on the shared data website that purchasers use to perform due diligence and determine bid amounts. The system automatically generates a report of errors that is sent to servicers.", "A web-based breach tracking tool that streamlines and centralizes tracking of loans that breach\u2014that is, were transferred to purchasers but did not meet eligibility standards. The tool allows the purchasers to submit breach requests, notifies servicers automatically about pending breaches, and allows auction stakeholders to review breaches and update the status of the loan."], "subsections": []}]}, {"section_title": "FHA Lacks Specific Time Frames for Its Loan Eligibility Checks, Criteria for Holding Sales, and Documentation of Key Procedures and Performance Measures", "paragraphs": [], "subsections": [{"section_title": "Multiple Entities Check Loan Eligibility, but the Timing of FHA\u2019s Checks May Allow Ineligible Loans to Be Sold", "paragraphs": ["Servicers identify eligible loans for inclusion in a DASP sale, certify eligibility, and update loan information and remove ineligible loans prior to bid day. FHA staff and contractors described the various checks they conduct to generally verify a loan\u2019s continued eligibility by reviewing the loan\u2019s default status in FHA\u2019s default monitoring system and in some cases other servicer data before a sale. Specifically, both FHA staff and the compliance analytics contractor conduct eligibility tests by checking each submitted loan\u2019s default status. The transaction specialist contractor told us it conducts automated checks of the loan submission and related data that servicers submit to check for data completeness and valid formatting. Additionally, this contractor also checks that the loans match eligibility criteria and that all required documents were submitted. Starting in 2015, FHA officials told us that FHA and its three primary contractors began to verify that all loans submitted for sale had an eligible default status as part of their quality-control process. FHA officials said that any updates or changes servicers make to the status of submitted loans require the program financial advisor contractor to repeat its quality- control procedures.", "In addition, servicers are expected to ensure that loans meet eligibility criteria until the loan is sold and servicing responsibilities are transferred to the purchaser. The servicer agreement states that an eligible mortgage loan meets all eligibility criteria as of the date it is submitted for sale and continues to meet all such requirements as of the claim date. FHA officials said that servicers check eligibility at the loan submission date, approximately 3 weeks prior to the bid day when they update loan information, and at the claim date. Servicers should remove ineligible loans from the sale. In 2014, FHA required servicers to self-certify the accuracy of the default status of loans. FHA officials told us that it also has absolute discretion to exclude one or more loans from the sale.", "According to FHA officials, FHA has two different provisions in place to correct when a loan should not have been sold. One provision, as described earlier, allows the purchaser to initiate the breach process and the servicer either corrects the reason for the breach or FHA repurchases the loan. Another provision is the \u201cclaw-back\u201d provision. Under this provision, FHA or the former servicer can require the purchaser to return the loan to FHA in exchange for the amount the purchaser paid for the loan.", "However, we found examples of potentially ineligible loans that were submitted for sale and were sold in DASP auctions. Of the 12,210 loans sold in 2016, a small percentage of loans (about 2.65 percent) did not meet eligibility criteria based on their default status on the date loans were submitted. The error rate was similar at the bid date for the 12,210 loans sold in 2016. In particular, about 2.67 percent of these loans did not meet eligibility criteria based on their default status on the bid date. These loans were ineligible for varied reasons, including because they did not meet FHA\u2019s length of delinquency requirement, were involved in certain types of bankruptcy, or were undergoing loss mitigation and therefore should have remained under FHA insurance protection.", "Ineligible loans may have been sold because the status of loans changed after the servicer and FHA completed their eligibility checks. FHA\u2019s staff and contractors conduct multiple eligibility checks concurrently during the presale and due diligence and bid phases\u2014about 12 to 14 weeks before bid day according to FHA officials. These early checks conducted by FHA\u2019s staff and contractors do not necessarily occur in a specific order or according to specific timelines. FHA officials told us that FHA relies on the servicers to perform eligibility checks a few weeks before bid day and again after the sale when the servicer submits the claim. However, the status of delinquent loans can be very fluid. According to our analysis of FHA data, 23 percent of loans from 2010 to 2016 were removed between the bid date and the claim date. FHA officials told us that servicers remove loans after FHA\u2019s reviews to maintain compliance with representations and warranties under the servicer agreement. FHA officials also explained that loan removal was due to changes in loans\u2019 eligibility status, such as entering into loss mitigation or the scheduling of a foreclosure sale.", "We reviewed a nongeneralizable sample of 10 loans that appeared to be ineligible and interviewed FHA officials about these loans. We found that some changes in the eligibility of loans could be missed due to the length of time between eligibility checks and data updates. The status of loans can change multiple times during a sale process. FHA requires servicers to self-report the status of defaulted loans on a monthly basis to the default monitoring system, usually within the first 5 days of the month, but servicers may report changes throughout the month if a loan\u2019s status changes. However, FHA officials told us that the system updates once a month. FHA\u2019s eligibility checks may have occurred before the updates were posted to the default monitoring system. FHA officials told us that FHA relies on the controls in place and contractual agreements with the servicers that require them to ensure that loans are eligible when submitted to FHA for sale and when they file a claim with FHA. As a result, FHA may not be aware of a change in loan eligibility that was reported in the default monitoring system after its eligibility checks were completed.", "Federal internal control standards require that management design control activities to achieve objectives and respond to risks. Control activities can be either preventive or detective. A preventive control activity prevents an entity from failing to achieve an objective or address a risk. Although FHA has implemented a number of controls to prevent ineligible loans from being sold, these controls may miss loans that change status after the eligibility check because FHA staff and contractors do not have a designated time in the process to conduct the eligibility check. Without spacing the timing of the various checks throughout the process, including some checks that occur closer to the bid date, FHA staff and contractors do not have the most reliable and updated data from which to make decisions regarding loan eligibility, and FHA could be selling some ineligible loans. If FHA sells a loan that is ineligible to be sold because of ongoing loss mitigation, it pays a claim for a loan that may become reperforming and never require a claim. Likewise, borrowers could lose access to benefits such as reevaluation for the suite of FHA loss mitigation options."], "subsections": []}, {"section_title": "FHA Has Not Documented All of Its Policies", "paragraphs": ["FHA has begun to centralize its existing written guidance, but policies for when program changes should be evaluated are not documented in this guidance. A July 2017 report from the HUD OIG found that HUD did not develop formal guidance or procedures for its single-family note sales program and recommended that the agency develop and implement formal procedures and guidance for DASP. FHA responded to the OIG that the operations of the DASP sales were documented in a series of procedures used internally by staff and externally by stakeholders.", "In May 2018, FHA officials told us that in response to the OIG\u2019s recommendation, they were consolidating their current written procedures and guidance into one Asset Sales Handbook to centralize the information for internal and external stakeholders. (See app. III for a description of these documents.) FHA officials told us the key documents governing a DASP sale include the servicer agreement, purchaser agreement, detailed instructions for bid day, and specific requirements for qualified servicers.", "However, we found that if FHA were to compile these existing documents into an Asset Sales Handbook, it would still be missing some important program policies. As of February 2019, FHA officials confirmed that they had no written policies documenting when program changes should be evaluated. When FHA described its process for evaluating program changes, officials stated that the informal practice was to consider changes when planning for a new sale. However, as stated earlier, FHA made a number of changes in 2015 and 2016 but has not held a DASP sale since 2016. FHA officials said the date of the next DASP sale is unknown. FHA also experienced another period when no sales were conducted between 2005 and 2009.", "Federal internal control standards require that management implement control activities through policies. This includes documenting in policies the internal control responsibilities of the organization and periodically reviewing policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives. For example, the standards state that if there is a significant change in an entity\u2019s process, management reviews the process in a timely manner after the change to determine that the control activities are designed and implemented appropriately. However, FHA officials told us that they had not evaluated whether the most recent program changes were effective or should be revised because they were not planning a new sale yet. With several years between sales, written policies for regular consideration and review of program changes can help to ensure that FHA is reviewing the effectiveness of previous changes and controls and considering potential new changes in a timely manner."], "subsections": []}, {"section_title": "FHA Has Not Provided Clear Objectives or Measurable Performance Targets for DASP", "paragraphs": ["FHA has a DASP program objective of maximizing recoveries to the MMI Fund and has some specific targets to assess whether it is meeting this objective. On a quarterly basis, FHA measures how recovery for asset sales compares to foreclosure with REO dispositions and other disposition types, such as short sales and claims without conveyance of title. FHA officials explained that they maximize recovery by holding open and competitive auctions for nonperforming single-family loans, with the highest bidder as the winner. In addition, the Office of Risk develops a reserve price\u2014an estimate of the expected REO recovery value of each loan in a sale and a benchmark for comparison with the bids received\u2014to minimize the risk that FHA will not get the best recovery for the loan. In the past, when FHA received a bid below the reserve price, it opted to not sell the pool. As a result, the reserve price serves as a critical target in the agency\u2019s determination of whether to sell.", "In contrast, FHA has not developed specific targets for meeting what appear to be additional DASP objectives, based on a variety of program documents and recent program changes. In 2016, for example, the HUD Secretary testified before Congress that DASP has a dual goal\u2014 \u201dsupport recoveries to the Fund while preserving homeownership and help stabilize neighborhoods.\u201d Similarly, in HUD\u2019s 2016 Post-Sale Report to the FHA Commissioner, HUD explained that it designed DASP \u201cto maximize recoveries to the , and when possible, help keep borrowers\u2014otherwise headed to foreclosure\u2014 in the home.\u201d HUD\u2019s recent changes to DASP likewise appear to recognize program objectives in addition to maximizing recoveries to the MMI Fund. When HUD extended the prohibition against foreclosure from 6 months to 12 months in 2015, for instance, a HUD press release stated that such changes \u201cnot only strengthen the program but help to ensure it continues to serve its intended purposes of supporting the MMI Fund and offering borrowers a second chance at avoiding foreclosure.\u201d And when HUD changed DASP in 2016 to prohibit purchasers from abandoning low- value properties in high-foreclosure neighborhoods, it declared that this was done to help stabilize neighborhoods.", "Despite these repeated department statements that DASP has a \u201ctwo- fold\u201d goal and multiple \u201cintended purposes,\u201d FHA officials told us that preserving homeownership and stabilizing neighborhoods are \u201cancillary benefits\u201d\u2014positive consequences that flow from DASP\u2019s objective of maximizing recoveries for the MMI Fund\u2014but not objectives themselves. Because FHA does not consider homeownership preservation and neighborhood stabilization to be program objectives, the agency has not developed targets to meet them. FHA officials explained that they measure and monitor the extent to which purchasers meet requirements for NSO pools, for instance, by collecting loan outcome data from purchasers for 4 years. These purchasers must have no less than 50 percent of the loans in each NSO pool achieve outcomes such as keeping borrowers in their homes and properties occupied through rentals. However, FHA does not have a similar target for national pools, which represent about 80 percent of the sold loans. FHA requires purchasers of national pools to report on borrower outcomes quarterly for 4 years, but does not measure the extent to which these outcomes meet a specific target and are achieving program objectives.", "Prior GAO work identified key attributes of successful performance measures and indicated that performance measures should be clear, have measurable numerical targets, and demonstrate results. In addition, according to federal internal control standards, management should define objectives clearly to enable the identification of risks and define risk tolerances. This includes, for example, defining objectives in specific and measurable terms to allow for the assessment of performance toward achieving objectives. Although FHA officials told us that DASP has one objective with resulting \u201cancillary benefits,\u201d it also cited these same benefits as additional program goals and purposes in the recent past. Without clarifying the program\u2019s objectives in light of relevant laws, regulations, and agency statements and setting measurable targets to achieve these objectives, particularly for national pools, FHA cannot ensure that DASP is achieving optimal results."], "subsections": []}, {"section_title": "The Timing of DASP Sales Is Not Informed by Performance Data", "paragraphs": ["FHA has not used performance data to establish criteria for the timing of DASP sales. FHA officials said they have not set criteria for when to hold sales, such as the size of the portfolio of defaulted loans or other considerations. In contrast, Fannie Mae estimates the number of defaulted loans needed to be sold to achieve its goals and assesses market conditions to produce a detailed schedule of sales for the year. Our analysis of FHA\u2019s default monitoring system data shows that several years after the housing crisis, FHA continues to insure a backlog of defaulted loans with six or more missed payments (see fig. 6). FHA officials stated that, in July 2018, FHA had about 300,000 defaulted loans, which is similar to the number of loans as in years when the DASP program was active. Most servicers we talked to told us that they preferred selling defaulted loans through DASP rather than taking them through the REO disposition process due to the servicing responsibility and costs associated with foreclosure. However, FHA officials told us that they did not know when the next sale would be.", "The GPRA Modernization Act of 2010 established an expectation that agencies use evidence and performance data in decision making.", "Specifically, the act changed agency performance management roles, planning and review processes, and reporting to ensure that agencies use evidence and performance data in decision making. Our prior work has stated that although the act\u2019s requirements apply at the agency-wide level, they can also serve as leading practices at other organizational levels, such as component agencies, offices, programs, and projects.", "Because specific criteria for when to hold sales are not in place, FHA\u2019s timing of and decisions to hold DASP sales were inconsistent. FHA held 16 DASP sales between 2010 and 2016. These sales occurred at varying frequencies. For example, FHA held between one and four sales per year, and the number of months between sales ranged from 2 to 10 months. Officials stated that DASP should be used to address a large buildup of defaulted loans and because of its lower loss severity compared with REO dispositions. Officials also told us they have not developed criteria because FHA operates DASP as a pilot program and continues to make changes after each sale. However, without analyzing the performance data of the portfolio of defaulted loans to identify criteria for the timing of DASP sales\u2014even as a pilot program\u2014FHA cannot make fully informed decisions about when to hold sales and may not be optimizing its use of the program in achieving its objectives."], "subsections": []}]}, {"section_title": "FHA Does Not Evaluate Loan Outcomes, and Sold Loans Experienced Foreclosure at a Higher Rate Than Unsold Loans in Some Cases", "paragraphs": ["FHA does not evaluate loan outcomes for loans sold through DASP and does not monitor the modifications offered by individual purchasers. Our analysis of FHA outcome data found that in aggregate, sold loans were less likely to avoid foreclosure than similar, unsold loans. However, our analysis also found that for some sales and some purchasers, sold loans were more likely to avoid foreclosure compared to unsold loans. A number of factors may contribute to differences in outcomes between sold and unsold loans by sale and purchaser, including increased postsale servicing and reporting requirements and the types of modifications offered by individual purchasers."], "subsections": [{"section_title": "FHA Does Not Compare Outcomes for Sold Defaulted Loans to Similar, Unsold Loans", "paragraphs": ["FHA does not use the data it collects to evaluate outcomes for loans sold through DASP compared to outcomes for similar, unsold loans. We reviewed a contractor report and FHA\u2019s periodic reports on DASP outcomes and found that they lacked critical outcome information. Specifically, in 2017, a contractor analyzed home equity preserved as a result of the foreclosures avoided through DASP, and then estimated the effect of avoided foreclosures on surrounding areas. However, the contractor did not estimate the effect of foreclosure avoidance relative to unsold loans. Borrowers with unsold loans may also avoid foreclosure, for example, if their circumstances change and they become eligible for foreclosure mitigation options again. FHA\u2019s periodic reports on outcomes also do not compare outcomes between sold and unsold loans.", "FHA officials told us they had not conducted such a comparison because they expect all loans eligible for sale to be foreclosed. A foreclosed mortgage with an REO property disposition results in the greatest losses to the MMI Fund. However, our analysis of FHA data does not support these claims. When we compared loans sold through DASP to unsold loans with similar characteristics, we found that some unsold loans achieved an outcome other than foreclosure\u201421 to about 34 percent at various times within a 4-year period.", "FHA officials also told us that they evaluate loan outcomes by tracking the extent to which purchasers are meeting NSO requirements. However, because about 80 percent of loans were not sold through NSO pools, FHA\u2019s evaluation covers only about 20 percent of DASP loans. In addition, FHA\u2019s NSO requirements are targeted toward achieving specific outcomes for a property or community\u2014such as donating the property to a land bank\u2014rather than an individual loan or borrower. Our analysis indicates that sold loans had higher foreclosure rates than unsold loans regardless of whether they were sold through national or NSO pools. estimated current loan-to-value ratio, and", "The matched comparison attempted to minimize differences between sold and unsold loans across these factors in order to isolate the effect on outcomes of being sold out of FHA\u2019s insurance program.", "We have previously found that evaluations often involve creating a comparison group. Furthermore, HUD policy states that its evaluations use methods that isolate to the greatest extent possible the effects of the program from other influences. FHA could use loans not sold through DASP to estimate what outcomes would have been observed in the absence of the program and the associated losses to the MMI Fund. A process to evaluate outcomes for sold loans relative to similar, unsold loans could help FHA determine whether DASP is meeting its financial objective of maximizing recoveries to the MMI Fund and understand the extent to which DASP is helping struggling homeowners."], "subsections": []}, {"section_title": "FHA Does Not Monitor the Modifications Offered by Individual Purchasers or Collect All Data Needed to Evaluate Their Sustainability", "paragraphs": ["In its reports on DASP outcomes, FHA periodically reports at an aggregate level the change in monthly payments resulting from the modifications offered by purchasers. However, FHA does not track or report the change in payments by individual purchasers. A 2016 white paper prepared by the Department of the Treasury in conjunction with HUD and FHFA defined loss mitigation sustainability as offering solutions that work the first time. It further stated that modifications that provide meaningful payment reduction will decrease the chance of a homeowner redefaulting. Additionally, we reported in 2012 that the change in a borrower\u2019s monthly mortgage payment is among the factors that can significantly influence the success of a modification. Since 2015, FHA has required purchasers to offer eligible borrowers HAMP-like modifications or substantially similar modifications designed to lower borrowers\u2019 monthly payments to an affordable and sustainable amount.", "However, FHA does not monitor the extent to which individual purchasers complied with the requirement to offer payment-lowering modifications to eligible borrowers. We found that while the majority of the modifications offered to borrowers whose loans were sold in 2015 or later decreased monthly payments by more than 20 percent, about 8 percent of modifications increased or did not result in a change in payment. Not all borrowers are eligible for a payment-lowering modification, and, according to FHA officials, some modifications could increase monthly payments for borrowers with a large number of missed payments. As discussed later, our analysis found that outcomes can vary greatly by purchaser, and purchasers may not offer comparable modification options. See appendix IV for information on the types of modifications purchasers have used.", "Furthermore, FHA may not have the data it needs to evaluate whether payment-lowering modifications offered by purchasers remain sustainable. In the second 2016 sale, FHA began requiring that modified interest rates be fixed for at least 5 years and thereafter that they not increase by more than 1 percent per year. FHA also began requiring purchasers to report data related to interest rates for modified loans, including the modified interest rate and the number of years it would remain fixed. However, based on our review of reported modification information, none of the purchasers from this sale reported these data. Additionally, about 22 percent of the modifications offered to borrowers whose loans were sold in the 2015 sale or later included a deferment. Under deferment, borrowers are allowed to temporarily stop making payments toward some or all of their principal balance, interest, or other indebtedness, and deferment may result in a balloon payment at a later date. Other than type of deferment, FHA does not require purchasers to report details of the deferment or the effect on payments following the deferral period. As a result, we could not determine the long-term effect on monthly payments for many modifications offered by purchasers. Some advocacy group representatives we spoke with expressed concerns about purchasers offering unsustainable modifications. For example, one advocacy group representative told us that some purchasers may offer modifications that initially lower monthly payments but later adjust to levels that are higher than what they were prior to modification.", "FHA requires purchasers to report some information that would allow it to determine the types of modifications offered by individual purchasers as well as the sustainability of these modifications. As mentioned previously, FHA officials said they expect all loans eligible for sale to be foreclosed and consider any nonforeclosure outcome achieved by purchasers to be an improvement. This expectation may deter FHA from evaluating the modifications offered by individual purchasers or the sustainability of modifications. Federal internal control standards state that management should use quality information to achieve its objectives, which includes identifying information requirements needed to achieve the objectives, evaluating the data it receives from internal and external sources to ensure they are sufficiently reliable for use in making informed decisions, and using the data for effective monitoring. Without monitoring individual purchasers\u2019 modifications or collecting key data elements, FHA cannot determine whether purchasers are meeting the postsale requirements or the extent to which eligible homeowners obtain sustainable modifications."], "subsections": []}, {"section_title": "Sold Loans Were More Likely to Experience Foreclosure Than Unsold Loans in the Aggregate, but Not for Later Sales and Some Purchasers", "paragraphs": ["Our analysis showed that sold loans were more likely to experience foreclosure than similar, unsold loans overall within a 48-month period after servicing transfer (see fig. 7). In the aggregate, the probability of experiencing foreclosure was greater overall for sold loans compared to unsold loans. For example, the probability of foreclosure 24 months after the servicing transfer date was 43 percent for sold loans and about 36 percent for unsold loans, a statistically significant difference. Additionally, we analyzed the probability that a borrower reperformed, received a temporary action such as forbearance or a trial modification, or received a short sale or deed-in-lieu of foreclosure\u2014foreclosure avoidance outcomes. In the aggregate, the probability that sold loans avoided foreclosure ranged from about 15 to 24 percent at various times within a 3-year period beginning 12 months after the servicing transfer date. Foreclosure avoidance rates for unsold loans were higher, ranging from 21 to about 34 percent during this period.", "We found that sold loans were less likely to result in owners staying in their homes compared to unsold loans due to out-of-home actions (see fig. 8). The probability of reperforming was greater overall for unsold loans compared to sold loans. Additionally, unsold loans were more likely to receive an in-home temporary action. In contrast, sold loans were more likely to result in a short sale or a deed-in-lieu of foreclosure, through which borrowers avoid foreclosure but lose the title to their homes. See appendix VI for a comparison of reperforming, short sale or deed-in-lieu of foreclosure, and temporary action outcomes between sold loans and unsold loans.", "Although we found that sold loans were more likely to experience foreclosure in aggregate, for later sales, after about 12 months, rates of avoiding foreclosure were similar or greater for sold loans compared to unsold loans, and for some purchasers rates of foreclosure were similar or smaller for sold loans compared to unsold loans. For the second 2013 sale through the 2015 sale, we found that sold loans were less likely to avoid foreclosure compared to unsold loans (see fig. 9). In the 2016 sales, however, after about 12 months the sold loans were more likely to avoid foreclosure compared to similar unsold loans. Further, after an additional 12 months\u201424 months after the servicing transfer date\u2014loans sold in the first sale in 2016 avoided foreclosure at a rate that was 5 percentage points greater than unsold loans. Loans sold in the second sale in 2016 were also consistently less likely to foreclose compared to unsold loans. We discuss potential explanations for these differences among sales in the section that follows.", "We also found differences in the rates of foreclosure and some outcomes that avoid foreclosure achieved by different purchasers (see fig. 10). For example, the probability of a loan reperforming 24 months after the servicing transfer date ranged from about 0.2 to about 25 percent for selected DASP purchasers. While most of these purchasers fell below the reperforming estimate of 18 percent for similar, unsold loans, one purchaser exceeded this rate. Foreclosure and short sale or deed-in-lieu of foreclosure probabilities 24 months after the servicing transfer date also differed among these purchasers, ranging from 31 to about 90 percent and from 8 to about 30 percent, respectively. These rates generally exceeded the foreclosure and short sale or deed-in-lieu of foreclosure estimates for similar, unsold loans (34 and about 9 percent, respectively).", "Purchasers told us that the outcome they pursue for a loan depends in part on the borrower\u2019s preference. According to purchasers, for borrowers who want to keep their homes, the best option is to try to modify the loan and achieve reperformance status. Purchasers also said that for borrowers who do not want a modification or for whom a modification is not possible, they may pursue a short sale or deed-in-lieu of foreclosure, which have a less negative effect on borrowers\u2019 credit than a foreclosure. Representatives of a consumer advocacy group and a research organization told us that foreclosure has the most negative effect on the borrower\u2019s credit. A Fair Isaac Corporation (FICO) study found that, in some cases, foreclosure had a more negative effect on comparable borrowers\u2019 credit profiles than a short sale or deed-in-lieu of foreclosure.", "FHA officials, purchasers, and servicers said that purchasers have more flexibility and are in a better position than FHA servicers to provide more generous mitigation options. A senior FHA official emphasized that purchasers have more financial flexibility because they generally buy the defaulted loans at a discount from FHA (that is, less than the unpaid principal balance). According to different DASP stakeholders, purchasers can forgive a portion of the principal, offer a deferment that is greater than 30 percent of unpaid principal extend the term of a loan beyond 30 years, reduce the interest rate below the current market rate, offer more than one modification in a 2-year period, and offer more generous terms for deeds-in-lieu of foreclosure and short sales.", "In contrast, FHA is restricted in the loss mitigation options it can offer. FHA officials told us that it does not offer debt forgiveness, but may defer a limited amount of principal through a partial claim. FHA officials also said they generally set loan term ranges to meet requirements for securitization in the secondary mortgage market, including a fixed interest rate and a 30-year term. In addition, FHA\u2019s loss mitigation alternatives to foreclosure, such as short sales and deeds-in-lieu of foreclosure, are restricted or approved by FHA based on their chance of success and the associated financial effect on the MMI Fund.", "However, representatives of some advocacy groups told us that borrowers generally benefit from their loans remaining insured and unsold because FHA\u2019s loss mitigation process is more transparent. They said that information on the loss mitigation process under FHA is publicly available, while it can be difficult to access information about some purchasers\u2019 loss mitigation processes. Also, starting in 2012, FHA policies attempted to provide a more consistent loss mitigation process for borrowers across all FHA servicers. In contrast, purchasers can have varying processes for offering loss mitigation options."], "subsections": []}, {"section_title": "Various Factors May Contribute to Differences in Outcomes by DASP Sale and Purchaser", "paragraphs": ["A number of factors may contribute to differences in outcomes between sold and unsold loans by DASP sale and purchaser, such as increased postsale servicing and reporting requirements, variations in purchaser participation across sales, and differences in the modifications offered by purchasers."], "subsections": [{"section_title": "FHA Has Expanded Postsale Requirements and Use of NSO Pools", "paragraphs": ["Changes in postsale servicing requirements may account for higher reperforming rates for sold loans in the 2016 sales. As discussed previously, FHA introduced additional servicing requirements in 2015 aimed at offering additional protections to borrowers whose loans were sold through DASP. For example, FHA began requiring purchasers to evaluate borrowers for HAMP or substantially similar modifications aimed at lowering borrowers\u2019 monthly payments and offer these modifications to eligible borrowers.", "Further, the share of loans sold through NSO pools relative to national pools has increased, which may also account for higher reperforming rates for sold loans in the 2016 sales. As noted previously, NSO and nonprofit pools have additional postsale outcome requirements. We compared outcomes for loans sold in NSO pools to outcomes for loans sold in national pools and found that loans sold in NSO pools were more likely to reperform, possibly due to higher occupancy rates in NSO pools compared with national pools. As shown in figure 11, the share of loans sold through NSO and nonprofit pools relative to loans sold through national pools increased between 2013 and 2016, from about 12 percent of the total loans in our scope for the 2013 sales to about 45 percent of loans in the 2016 sales.", "In addition, FHA introduced a reporting requirement in 2015 that purchasers continue reporting the outcome status of loans even after selling them to new buyers, as opposed to reporting the loans as resold with no further outcome updates. Purchasers may have returned these loans to performing status before selling them because performing loans are more profitable, but the performing status would not have been reported before 2015. The use of resales as a status was substantially lower in the second sale in 2016 compared to the first sale in 2013\u20140.04 percent of reported statuses compared to 29 percent of reported statuses. This change could be reflected in the higher reperforming outcomes we observed for sold loans in 2016."], "subsections": []}, {"section_title": "Purchasers Varied across Individual Sales and May Not Have Offered Comparable Modifications", "paragraphs": ["Our analysis indicated that individual purchasers did not consistently buy loans across sales and the share of loans bought by individual purchasers varied. For example, about 42 percent of the purchasers in our scope bought loans in one sale, while about 27 percent of purchasers bought loans in three or more sales. The share of loans bought by individual purchasers has also varied by sale (fig. 12). For example, one purchaser bought about 4 percent of the loans sold in the second sale in 2013 but about 82 percent of the loans sold in the first sale in 2016. This purchaser had higher reperforming and lower foreclosure outcomes compared to other purchasers.", "In addition, purchasers may not consistently offer modification options. Approximately 18 percent of the sold loans in our scope received one or more modifications. However, individual purchasers offered modifications at varying rates, from no modifications to 46 percent of the loans they purchased. Our analysis also indicates that the type of modifications offered may differ by purchaser. For example, we found that about 88 percent of the modifications that had decreased monthly payments by 30 percent or more were offered by two of the 25 purchasers that reported modifying loans. In addition, the share of modifications offered by individual purchasers that resulted in no payment change or an increase in payment varied. For example, eight purchasers reported either no change or an increase in payment in 51 to 75 percent of the modifications they offered. In contrast, three other purchasers reported either no change in payment or an increase in payment in less than 10 percent of their modifications.", "Purchasers\u2019 investment goals and expertise could affect borrower outcomes. DASP purchasers include investment firms, rental housing companies, and nonprofit organizations with varying investment goals. In interviews, purchasers cited various goals for purchased loans. For example, an executive of a nonprofit organization said its primary goal was to help borrowers avoid foreclosure, while representatives of an investment firm told us that their goal was to maximize the return for each purchased loan. A representative of one advocacy group told us that purchasers\u2019 different areas of expertise could make different foreclosure and foreclosure avoidance options more or less profitable for them. For example, purchasers with an extensive background in loan servicing may be able to offer modifications at a lower cost, while rental companies may consider DASP as a source for inventory for properties to rent if loss mitigation fails.", "Additionally, purchasers can have varying levels of success in contacting borrowers to discuss modifications or disposition options for the loans they purchased. Most purchasers noted that it was often difficult to make contact with borrowers because houses were vacant or borrowers avoided contact. For example, one purchaser said it was unable to reach about 25 percent of borrowers for the loans it purchased. Another purchaser said it was unable to reach about half of the borrowers. Furthermore, while several purchasers said they primarily contacted borrowers via the notice of servicing transfer and by phone, one purchaser also said that a more successful outreach method involved in- person visits to borrowers\u2019 homes, but that such visits may not always be feasible due to resource constraints."], "subsections": []}]}]}, {"section_title": "FHA\u2019s Current Practices May Not Optimize Savings to the MMI Fund, and the Effect of Some Changes Is Unclear", "paragraphs": [], "subsections": [{"section_title": "FHA May Be Recovering Less for the MMI Fund Than It Could Due to Its Scheduling and Reserve Pricing Practices", "paragraphs": [], "subsections": [{"section_title": "Scheduling", "paragraphs": ["FHA announces bid dates in the Federal Register and industry publications but does not communicate long-range notice of upcoming sales. FHA held multiple sales in 2011, 2012, 2013, 2014, and 2016, but the sales were not held at set intervals or at set dates throughout the years. FHA has not held any DASP sales since September 2016, and officials stated that they do not know when FHA will hold another sale.", "Our interviews indicate that communicating long-range notice of sales could help keep participation robust and increase bid amounts. One purchaser told us that it was eager for FHA to restart DASP sales. However, purchasers would like to receive additional notice of sales. One purchaser told us that additional notice of FHA sales would allow it the time to plan or raise additional capital needed to participate in a DASP sale. Another purchaser said that, without knowledge of when another sale will occur, it will invest elsewhere. Losing bidders to other entities\u2019 sales could affect bid amounts in DASP sales. According to economic literature, increasing the number of bidders in an auction generally should increase bid amounts\u2014a financial objective for the program.", "Federal internal control standards state that management should externally communicate the necessary quality information so that external parties can help the entity achieve its objectives and address related risks. For example, although Fannie Mae does not publish an annual schedule, market participants know when to expect Fannie Mae sales because it has held them multiple times a year. In contrast, FHA does not hold regular sales or signal to the market when it will hold its next sale through its outreach because DASP remains a pilot program. FHA officials said they change program parameters with each sale, so it is difficult to schedule sales in advance. We previously noted that, even implementing DASP as a pilot program, FHA could use performance data to establish criteria for the timing of sales and to help optimize the use of the program to achieve its objectives. Similarly, by communicating long- range notice of upcoming sales to market participants, FHA could encourage bidder participation and potentially help meet its objective of maximizing recoveries to the MMI Fund. As discussed in appendix VII, characteristics of successful auctions include attracting sufficient interest in the auction and in designing the auction to meet its objectives. Without communicating long-range notice, FHA may be recovering less than it could for the MMI Fund."], "subsections": []}, {"section_title": "Reserve Pricing", "paragraphs": ["FHA sets reserve prices\u2014a minimum amount that it is willing to accept as the winning bid\u2014to help ensure that the MMI Fund is minimally affected by the sale. FHA generates a reserve price for each loan and adds those prices together to generate a pool reserve price. If FHA does not receive a bid on a pool that is at or above its reserve price, FHA may choose not to sell the pool. Any amount of the bid above the reserve price represents additional potential proceeds to the MMI Fund.", "FHA officials stated that they expect that all DASP loans would be foreclosed and the properties placed in its REO inventory had they not been sold. FHA officials stated that they establish each loan\u2019s reserve price considering the percentage of the unpaid balance FHA expects to recover through foreclosure and REO disposition. A recent HUD OIG report found that for loans sold in 2015 and 2016, FHA experienced a 3 percent lower loss rate compared with similar loans that were foreclosed and the associated property placed into FHA\u2019s REO inventory. Loss estimates have varied over time and by location of the property associated with the loan, but generally an REO disposition results in the greatest loss to the MMI Fund. For example, FHA\u2019s Office of Risk estimated that from fiscal year 2013 through the first quarter of 2017, FHA lost 61 percent (recovering about 39 percent) of the unpaid balance on REO dispositions compared to about 46 percent (recovering 54 percent) of the unpaid balance on other nonloan sale dispositions.", "FHA officials stated that unsold defaulted loans would likely result in foreclosure and being placed in the REO inventory. However, our analysis of outcomes showed that comparable unsold loans resulted in a range of outcomes, not just foreclosure and REO disposition. Specifically, our analysis of outcomes in sales between 2013 and 2016 showed that about 66 percent of unsold loans with characteristics similar to sold loans resulted in foreclosure or remained unresolved. The remaining 34 percent of these unsold loans resulted in a range of nonforeclosure outcomes (including returning the loan to performing status), all of which could produce smaller losses to the MMI Fund compared with REO disposition. Further, our analysis found that about 14 percent of the loans returned to performing status or were terminated as paid in full, thereby generating very little to no loss to the MMI Fund.", "FHA may be setting its reserve prices too low in some cases. FHA sets a loan\u2019s reserve price considering the percentage of the unpaid balance it expects to recover through an REO disposition to guarantee the minimum recovery proceeds to the MMI Fund. However, when the expected losses to the MMI Fund for some loans are smaller\u2014such as in the case of a different disposition method or a terminated loan\u2014the reserve price would need to be higher to guarantee the minimum recovery proceeds to the MMI Fund. If FHA could recover more of the unpaid loan balance through a non-REO disposition method, setting the reserve price at the expected recovery of the unpaid balance from an REO disposition would be too low. See figure 13 for an illustrative example of how reserve prices could be affected based on different expectations of loan dispositions.", "The extent to which the MMI Fund could be negatively affected depends on how reserve prices compare to the actual winning bids. In figure 13, if FHA set the reserve price of pool A at $3,900,000, FHA would sell the pool to the highest bidder that bid at least $3,900,000. If the highest bid was less than $3,900,000, FHA may not sell the pool. If the highest bid for the pool was at least $3,900,000 but less than $5,054,000, the MMI Fund would be negatively affected because FHA could have recovered more by not selling the pool. If the highest bid was at least $5,054,000, the MMI Fund may not be negatively affected by the sale. Using a simplified method to calculate reserve prices that does not consider differences in local housing markets, we estimate that 31 percent of the loan pools FHA sold in its 2013\u20132016 sales had winning bids greater than FHA reserve prices but less than our calculated reserve prices. For about 14 percent of the pools, our calculated reserve price was 10 percent or more below the winning bid, and for 7 percent of the pools, our calculated reserve price was 25 percent or more below the winning bid.", "Federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. This includes designing a process that uses the entity\u2019s objectives and related risks to identify the information requirements needed to achieve the objectives and address the risks. However, FHA is not considering information on the range of potential outcomes for loans in setting its reserve pricing because it expects all sold loans to result in foreclosure and REO disposition. Without considering other disposition methods in its reserve pricing, FHA risks recovering less for the MMI Fund in loan sales than if the loans had not been sold and risks not meeting its objective."], "subsections": []}]}, {"section_title": "FHA Does Not Analyze Key Information before Setting Eligibility Criteria", "paragraphs": ["FHA\u2019s eligibility criteria specify the characteristics of the loans that can be selected for a loan sale, but FHA does not analyze its portfolio to identify loan characteristics for which DASP would be the lowest-cost disposition method or consider market information before setting the criteria. FHA has analyzed bid amounts from previous sales and made changes to eligibility criteria related to length of delinquency and LTV ratio, in part, intended to increase MMI Fund recoveries. For example, using analysis of its 2014 sales, FHA determined the LTV ratios that produced the highest loan-level recoveries relative to REO dispositions and changed the loan eligibility criteria for the minimum LTV ratios by state for its 2015 sale. According to FHA, this change was intended to make more loans eligible for disposition through DASP sales in certain states that had long foreclosure processes.", "However, FHA does not analyze its portfolio of defaulted loans to identify characteristics of loans that, if sold, would minimize the loss to the MMI Fund relative to all other disposition methods to inform eligibility criteria for sales. FHA may have missed an opportunity to evaluate when loan sales would be the most effective disposition method to maximize recoveries to the MMI Fund\u2014a financial objective of the program. FHA contracted with CoreLogic in 2016 to develop a tool to determine the lowest-cost disposition for defaulted loans in FHA\u2019s portfolio but did not include loan sales as a potential disposition method. The tool is intended to generate estimates of property values and holding costs and determine the lowest cost disposition method for a given loan at a given time. Used broadly, this information could help FHA identify loan criteria for which DASP sales would be the most effective disposition method and set loan eligibility criteria for DASP loans. However, FHA excluded DASP because, according to the contractor, the data on DASP had been too inconsistent to be reliably included in the CoreLogic tool. Therefore, FHA cannot use the tool to identify loan characteristics for which DASP could be the lowest-cost disposition method or to inform its decisions in setting loan eligibility criteria.", "Further, FHA determines eligibility criteria before considering current market information. FHA\u2019s transaction specialist gathers market information before the sale, but FHA does not consider it before setting eligibility criteria and soliciting eligible loans from servicers. The transaction specialist analyzes the market and develops a sales strategy report using the loans submitted by the servicers. The report contains information on available capital for key purchasers, the number and type of loans purchasers are interested in buying, other entities\u2019 upcoming sales, and potential pooling strategies for the loans submitted. FHA uses the information to develop pools intended to maximize the sale proceeds, but not to identify characteristics of loans meeting purchasers\u2019 preferences and inform decisions in setting eligibility criteria.", "FHA\u2019s current approach risks setting criteria that may not maximize recovery to the MMI Fund because it may be selling loans that could result in a smaller loss to the MMI Fund than if they had remained under FHA insurance. FHA generally analyzes how to maximize sales proceeds after setting loan eligibility criteria and reviewing the servicers\u2019 submitted loans because servicers select the loans, voluntarily participate, and may not submit all eligible loans. Further, setting loan eligibility criteria that increase servicers\u2019 cost to identify loans may reduce servicer participation. In addition, FHA does not use current market information because, according to officials, they use data from past sales to determine market preferences and their primary concern is the effect on the MMI Fund. However, FHA has not held a sale since 2016, so market preferences may have changed. Additionally, purchaser participation may decline if loans do not match their preferences. Generally, fewer bidders indicate less interest in the pools and could result in decreased prices, which would reduce returns to the MMI Fund.", "By implementing DASP, HUD intended to maximize recoveries to the MMI Fund. Without analyzing its loan portfolio to identify when loan sales would be the most cost-effective disposition method and considering market information before setting loan eligibility criteria, FHA cannot appropriately calibrate its loan eligibility criteria to maximize recovery to the MMI Fund."], "subsections": []}, {"section_title": "The Effects on the MMI Fund of Changes to Auction Structure and Pooling Strategies Are Unclear", "paragraphs": [], "subsections": [{"section_title": "Auction Structure", "paragraphs": ["Based on our analysis of comparable mortgage industry auctions, FHA\u2019s auction structure mirrors the industry standards of pooled, highest bidder, sealed bid auctions. Other auction structures we examined, such as single loan sales and adding a winner-take-all option, would involve tradeoffs. For example, an analysis by DebtX, a loan sale advisor, showed that FHA would have earned higher proceeds in a prior DASP sale if it had awarded based on single-loan bids rather than the pool-level bids. However, our interviews with FHA officials and purchasers revealed uncertainty in how proceeds from single-loan bids would compare to bids for pooled loans. For example, FHA officials said they benefit from economies of scale when offering larger pools and that administrative costs associated with servicing transfers would be higher if FHA sold loans individually. Furthermore, purchasers may decline to bid on individual loans. Purchasers we interviewed expressed interest in sets of loans rather than individual loans, in part to manage risk. When asked about smaller pools, FHA officials stated that they have used small pools to attract nonprofit bidders, but we found that these pools had a low number of bidders and many were not traded.", "The effect on the MMI Fund of adding a winner-take-all option to FHA\u2019s auction structure is uncertain. Such a structure could result in increased bid amounts. In a winner-take-all option, each bidder would choose to either participate at the sale level or pool level in the winner-take-all option. In either case, the bidder would place loan-level bids that would be rolled up to the pool or sale level. If a winner-take-all bid exceeds the aggregate of the highest pool-level bid for each pool, all pools are awarded to the winner-take-all bidder. By definition, if a winner-take-all bidder won the auction, the resulting bid would increase FHA\u2019s overall sale proceeds.", "However, a winner-take-all structure could discourage bidder participation, which could lead to reduced bid amounts. Smaller entities and larger nonwinning bidders may be less likely to participate in future sales because of the costs associated with participating. According to auction theory, the higher the cost of performing due diligence and qualifying for and participating in the auction, the more bidder participation will be discouraged. Although the extent of purchasers\u2019 due diligence checks differed, all the purchasers we interviewed told us that they expend funds to purchase property valuations on at least a sample of loans to check whether the valuations listed in the servicer data were reasonable. Some purchasers also expend funds to examine servicing records or perform legal searches related to the loans. Additionally, bidders are required to submit deposits with their bids that FHA will return if the bidder is not awarded the pool or pools. One purchaser told us it was reluctant to spend the money on due diligence if it did not have a reasonable chance at winning the pool or pools. According to economic literature, having fewer bidders in an auction generally results in decreased prices and an increased opportunity for bidders to form strategic partnerships that would decrease competition.", "See appendix VII for more information on auction structures."], "subsections": []}, {"section_title": "Pooling Strategy", "paragraphs": ["It is unclear whether changes to FHA\u2019s pooling strategy\u2014that is, its approach for selecting loans to include in its loan sale pools\u2014would result in more bidders or higher bid amounts. We compared the pooling practices and pool-level data of FHA with those of Freddie Mac and Fannie Mae (the enterprises) to determine whether pooling strategy affected the number of bids. The enterprises started selling defaulted loans in 2015\u2014much later than FHA\u2014and have continued to do so, with Freddie Mac and Fannie Mae both holding sales in October 2018. FHA held three DASP sales in fiscal years 2015 and 2016 that overlapped with the time frame of the enterprises\u2019 sales. FHA and enterprise pools had different financial characteristics\u2014loans in FHA pools were less delinquent, the properties were more likely to be occupied, and the loans had lower underlying property values compared to loans in enterprise pools (see fig. 14). Nonetheless, FHA received similar numbers of bids and bid amounts relative to the estimated property values as the enterprises. Generally, the number of bidders for FHA and the enterprises was between three and six, and bid amounts were typically between 58 and 71 percent of the underlying estimated property value. Many of the purchasers of FHA\u2019s DASP loan pools also purchased the enterprises\u2019 pools of defaulted loans.", "It is unclear whether adjusting the pooling strategy to focus on specific loan characteristics would increase the number of bidders for FHA. Enterprise officials told us that they pool by geography, occupancy, and LTV ratio and also try to create loan pools such that all loans have the same servicer. Unlike the enterprises, FHA does not pool loans by similar characteristics, and pools frequently have loans from more than one servicer. FHA officials told us they primarily use geography and pool size to pool loans. However, FHA officials also told us they try to include loans to make the pools attractive to different types of purchasers. Loans may be valued differently by bidders with unique strengths\u2014such as strong default servicing infrastructures or experience rehabilitating properties\u2014that would make the loans more profitable to them compared to other bidders. FHA officials stated that they encourage higher, outlier bids by structuring pools to attract different types of bidders.", "We found differences in the extent to which loan-pool characteristics were associated with bidder participation for FHA\u2019s and the enterprises\u2019 defaulted loan sales. Our multiple variable regression analyses of how loan-pool characteristics predict the number of bidders showed the following:", "Pools with a higher percentage of occupied properties were associated with an increase in the number of bidders in FHA pools but a decrease in the number of bidders in enterprise pools.", "Average LTV ratio was not associated with the number of bidders for FHA or the enterprises.", "National pools were associated with more bidders for FHA. This result may be due to fewer FHA postsale requirements for national pools.", "For FHA pools, more servicers was associated with fewer bidders, possibly due to higher transaction costs. Although 86 percent of FHA pools had fewer than five servicers, the number of servicers for FHA pools ranged from one to 21. In contrast, all enterprise pools were single-servicer pools, except for four out of 101 pools (about 4 percent) that each had two servicers.", "See appendix I for a detailed description of these analyses.", "Setting aside pools for nonprofit organizations has not significantly expanded bidder participation in FHA loan sales. FHA performs market outreach to educate potential purchasers about the DASP process, but barriers to entry exist in terms of qualifications and the underlying capital required. In its 2015 sale, FHA began offering nonprofit-only pools. In 2016, FHA established a goal of selling 10 percent of assets to nonprofits and local governments. In 2015\u20132016, FHA offered nine pools exclusively to nonprofits, of which five (about 56 percent) received bids at or above FHA\u2019s reserve price and were traded. Each pool received between one and three bids. Despite heavy marketing, all traded pools were awarded to two organizations, including one first-time purchaser. In comparison, from 2010\u20132016, FHA offered 191 national and NSO pools, and 185 (about 97 percent) received bids at or above FHA\u2019s reserve price and were traded. Several stakeholders told us that most nonprofit organizations do not have the capacity to service delinquent loans, but they may be able to participate in the program in a different capacity. For example, two purchasers partnered with nonprofit organizations to perform outreach to borrowers."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2002, FHA has used loan sales intermittently to reduce its backlog of defaulted mortgages and preserve the financial health of the MMI Fund. In addition, some homeowners have received additional opportunities to modify their loans and retain their homes through the program. Yet, our review found several areas where FHA can improve its management of DASP through more formalized procedures and analyses, as follows.", "Improving controls. By evaluating eligibility at various points throughout the 3-month period prior to the sales, including after the servicer update, FHA could better prevent the sale of ineligible loans. Additionally, as FHA finalizes its comprehensive procedures, it can better ensure that it is considering the effects of previous changes on the program by including procedures for reviewing and documenting program changes in a timely manner.", "Using performance data. FHA has not developed key performance measures for DASP. Without measurable targets related to clear program objectives, FHA is not well-positioned to assess the effectiveness of DASP\u2014which is still considered a pilot program\u2014in achieving its objectives. Furthermore, by using performance data to determine the optimal timing of DASP sales, FHA could help the program achieve higher recoveries.", "Evaluating outcomes. FHA has not conducted an analysis that compares the extent to which sold loans help avoid foreclosure, as compared to similar, unsold loans. Such an analysis would help assess DASP\u2019s effectiveness in meeting a program objective.", "Monitoring and evaluating purchasers\u2019 modifications. FHA does not monitor purchasers of defaulted loans to ensure they are complying with FHA\u2019s requirement to offer payment-lowering modifications to eligible borrowers. Additionally, FHA may not collect the data it needs to evaluate whether modifications offered by purchasers remain sustainable. With better monitoring, FHA could determine whether individual purchasers are meeting these requirements.", "Maximizing benefits of loan sales. FHA has opportunities to make changes in how loan sales are held and structured that could enhance bidder participation and better meet the DASP objective of maximizing recoveries to the MMI Fund\u2014which are two characteristics of successful auctions. Providing better advance notice to prospective bidders, setting reserve prices based on realistic expectations, and setting loan eligibility requirements that encourage more bidding could improve the results of DASP sales and thereby reduce losses to the MMI Fund."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following nine recommendations to FHA: The Commissioner of FHA should ensure that its eligibility checks are conducted throughout the DASP sale process, such as by establishing a schedule to check for eligibility at certain milestones. (Recommendation 1)", "In formalizing procedures for DASP, the Commissioner of FHA should document processes for timely consideration and review of program changes. (Recommendation 2)", "The Commissioner of FHA should clearly define DASP objectives and develop measurable targets for all program objectives. (Recommendation 3)", "The Commissioner of FHA should use performance data to develop criteria for when to hold DASP sales. (Recommendation 4)", "The Commissioner of FHA should evaluate loan outcomes under DASP compared to outcomes for similar, unsold loans. (Recommendation 5)", "The Commissioner of FHA should monitor individual purchasers\u2019 compliance with FHA\u2019s modification requirements and ensure the purchasers submit the data needed to evaluate the sustainability of modifications. (Recommendation 6)", "The Commissioner of FHA should communicate long-range notice to prospective bidders of upcoming DASP sales. (Recommendation 7)", "The Commissioner of FHA should develop a methodology to assess the range of possible outcomes for loans when setting DASP reserve prices. (Recommendation 8)", "The Commissioner of FHA should analyze FHA\u2019s loan portfolio and market information before setting loan eligibility criteria. (Recommendation 9)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to HUD and FHFA. HUD provided written comments, which have been reproduced in appendix VIII, that communicate FHA\u2019s response to the report. Both HUD and FHFA provided technical comments, which we have incorporated, as appropriate.", "In its written response, FHA\u2019s management generally agreed that opportunities exist for improvement to single-family loans through more formalized procedures and analyses, as the defaulted loan disposition option transitions to a permanent disposition alternative. FHA generally agreed with seven recommendations and did not explicitly agree or disagree with two recommendations.", "FHA neither agreed nor disagreed with our recommendation that FHA should ensure that its eligibility checks are conducted throughout the DASP sale process, such as by establishing a schedule to check for eligibility at certain milestones. FHA stated that it works with the servicers and relies on them to determine eligibility throughout the DASP sale process. FHA also stated that its management agrees to include a schedule of eligibility checks in its procedures. We acknowledge that servicers check loan eligibility throughout the process, as stated in the report. However, we maintain that FHA and its contractors should also space their own checks throughout the process, specifically scheduling some closer to the bid date, and not rely exclusively on the servicers for this function at the end of the sale process.", "FHA neither agreed nor disagreed with our recommendation that FHA should clearly define DASP objectives and develop measurable targets for all program objectives. FHA management stated that it believes it already has clear objectives and performance management in place for its DASP objective to maximize recoveries to the MMI Fund and that it measures whether it is meeting this objective. We acknowledge that FHA\u2019s objective to maximize recoveries to the MMI Fund is clear and that it has a measureable target. However, as stated in the report, agency documents and program changes reflect additional program objectives related to preserving homeownership, helping to stabilize neighborhoods, and offering borrowers a second chance at avoiding foreclosure that do not have measurable targets. We maintain that FHA should clarify its program\u2019s objectives in agency documents, whether that be one objective or several, and ensure that each objective has a measurable target.", "FHA also took issue with aspects of our comparison of sold and unsold loans in its written response and technical comments.", "In its written response, FHA noted that the unsold loans in our analysis are invalid for comparison to sold loans because these unsold loans had not been deemed by servicers as having completed all applicable loss mitigation activities prior to being included in the analysis the way sold loans had. We attempted to minimize differences between the sold and unsold loans by matching loans across several variables that could affect the likelihood of foreclosure or foreclosure avoidance. We found a high rate of similarity between the two groups and indirectly controlled for any differences in the extent of loss mitigation by including length of delinquency as one of the matching variables. According to the FHA servicing handbook, servicers are generally required to either use a loss mitigation option for which a borrower qualifies or initiate foreclosure within 6 months of the default date.", "In its technical comments, FHA also noted that our matching of comparison loans omitted important variables. In particular, FHA noted that the analysis did not hold constant several factors related to the risk of foreclosure, including default risk as measured by FICO scores, debt-to-income ratios, home price appreciation, and loan amount and term. However, we indirectly controlled for loan term and home prices by matching loans by origination years and indirectly controlled for loan amount and home prices by matching on categories of LTV ratios. We did not control for debt-to-income ratios or FICO scores, but FHA\u2019s data systems did not contain them for unsold loans and FHA does not include them as criteria for DASP eligibility. Further, these variables may not be substantially different between the sold and unsold loans because the loans in both groups are severely delinquent. We revised the report to clarify that we estimated the LTV ratio at the time of the DASP sale. We calculated the LTV ratio using the outstanding loan amount and estimating current property values by adjusting the original sale values for regional changes in home prices over time.", "In addition, FHA stated in technical comments that our comparison group is invalid because 100 percent of loans in DASP sales would end in foreclosure if they were not included in a sale. FHA stated that the only loans eligible for sale are those for which the only alternative remaining to the borrower is foreclosure. However, we disagree that all sold loans would have ended in foreclosure had they not been sold. As discussed in the report, unsold loans with characteristics similar to sold loans experience a range of outcomes, including up to 34 percent experiencing outcomes other than foreclosure following sales. In addition, the status of delinquent loans can be very fluid throughout the sale process, even after purchasers place bids on them, and borrowers who previously did not qualify for a loss mitigation option could become eligible to be evaluated again (and their loan could become ineligible for sale) if their circumstances change. For example, our analysis of FHA data found that from 2010 through 2016 about 23 percent of loans were removed from sales between the bid and claims dates due to, among other things, loans entering into loss mitigation. Furthermore, we found that for five individual loan pools, more than half of the loans were removed from the sales between the bid and claims dates. These results argue against the validity of FHA\u2019s presumption that all loans selected for sales would have ended in foreclosure.", "Although our matching process does not capture all potential foreclosure risk characteristics and our results should be interpreted accordingly, our analysis supports our assumption that the pools of sold and unsold loans are generally comparable and describes relationships between DASP participation and loan outcomes. We maintain that our approach is reasonable using the available data and forms a sound basis for the findings and recommendations in the report. As FHA considers actions in response to our recommendations about evaluating loan outcomes and assessing its methodology for setting reserve prices, we encourage it to further enhance the robustness of these analytical methods. . As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of HUD, the Director of FHFA, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our report were to examine (1) the changes the Federal Housing Administration (FHA) has made to the Distressed Asset Stabilization Program (DASP) over time; (2) certain DASP procedures, including those associated with loan eligibility, and documentation; (3) FHA\u2019s evaluation of the identified outcomes for loans that have been sold through DASP and how these compare with similar, unsold loans; and (4) the potential effects that changes to DASP might have on the Mutual Mortgage Insurance Fund (MMI Fund)."], "subsections": [{"section_title": "Databases Used in Analyses throughout the Report", "paragraphs": ["To conduct the data analyses discussed in the sections below, we used the FHA data sets listed in table 2. (We discuss the use and reliability of these data sets in the sections that follow this table.)"], "subsections": []}, {"section_title": "Document Review and Interviews", "paragraphs": ["To address all the objectives, we reviewed relevant laws, agency documents, and agreements. We reviewed the National Housing Act, Department of Housing and Urban Development (HUD) program evaluation policy and sale notices in the Federal Register, and Office of Management and Budget (OMB) Circular A-11. We reviewed HUD\u2019s contractual agreements with servicers and purchasers for each DASP sale from 2010 to 2016, which are called, respectively, Participating Servicer Agreements (servicer agreements) and Conveyance, Assignment, and Assumption Agreements (purchaser agreements). We also reviewed other agency documents, including HUD\u2019s Fiscal Year 2017 Annual Performance Report, FHA\u2019s DASP sale results, FHA\u2019s Actuarial Reports, HUD\u2019s Reports to the Commissioner on Post Sale Reporting, and the Federal Housing Finance Agency\u2019s (FHFA) Enterprise Non-performing Loan Sales Reports. We also reviewed prior GAO work on related topics.", "We interviewed officials from multiple offices within HUD, including the Offices of Asset Sales, Single Family Asset Management, Risk Management and Assessment, Finance and Budget, and the National Servicing Center. We also interviewed HUD\u2019s three primary contractors for DASP at the time of our review\u2014transaction specialist: Verdi Consulting; compliance analytics: SP Group; and program financial adviser: NOVAD Management Consulting. We interviewed officials from FHFA and the government-sponsored enterprises (enterprises)\u2014Freddie Mac and Fannie Mae\u2014as they also auction defaulted loans. We interviewed and reviewed reports from selected consumer advocacy organizations and industry stakeholders that included five servicers, seven purchasers, and two loan-sale advisory firms. In interviews, we generally discussed with participants the following topics: changes to DASP over time; what works well and what could be improved in DASP; foreclosure avoidance options that purchasers offer; the effectiveness of FHA\u2019s 2015 and 2016 DASP reforms; communication to borrowers whose loans are selected for a DASP sale; and the auction process and effect of alternative auction structures on the MMI Fund.", "To select servicers and purchasers to interview, we analyzed the bid day pool-level data and postsale data, respectively. We selected and interviewed five servicers from a universe of 56 servicers based on high and low participation in terms of number of sales, loans sold, and the unpaid balance of the loans and type of institution (bank and nonbank). We selected and interviewed seven purchasers from a universe of 29 purchasers based on participation, postsale foreclosure rate, and type of institution (for-profit and nonprofit). The views and practices of the servicers and purchasers we selected may not represent those of the servicers or purchasers not selected."], "subsections": []}, {"section_title": "Identifying and Mapping Loans Sold through DASP", "paragraphs": ["To identify a complete list of the loans sold through DASP (sold loans), as described in the background section of the report and used in analyses throughout, we obtained and analyzed postsale reporting data. Per the purchaser agreements, purchasers are required to report the outcome status of sold loans on a quarterly basis for 4 years following the transfer of loan servicing responsibilities. The quarterly postsale reports did not always include data for every purchased loan. We therefore compared the number of loans included in each quarterly postsale report for each pool and used the quarterly reports with the highest loan count to develop a complete list of the loans sold through DASP.", "To develop the map showing the concentration of sold loans by state, we used data from the Single Family Default Monitoring System (default monitoring system) to calculate the ratio of loans sold through DASP to FHA-insured, defaulted loans with six or more missed payments in July of each year. We then categorized states into five ratio categories based on the distribution of ratios across states. We limited our review of participants and characteristics to the loans included in our comparison analysis of outcomes to provide descriptive context for this analysis.", "To assess the reliability of the data sources above, we interviewed FHA officials about how the data were collected, processed, and accessed. We also identified the sold loans that were not reported in the default monitoring system at the time servicers submitted the loans to FHA for sale. We found that less than 0.1 percent of the sold loans in our scope were not reported as delinquent by servicers and determined that, due to their small percentage, excluding these loans would not bias our results. Based on our interviews and review of unreported loans, we concluded that servicers generally reported sold loans in the default monitoring system, and we found the data to be sufficiently reliable for the purpose of identifying and describing sold loans."], "subsections": []}, {"section_title": "Examining DASP\u2019s Current Process and How It Changed over Time", "paragraphs": ["To describe the DASP process and changes to the program over time, we reviewed FHA documentation, legislation, and other reports. To describe how DASP currently works, we analyzed the 2016 servicer and purchaser agreements and interviewed FHA officials and servicers. To describe how the program changed over time and the type of changes that FHA made, we reviewed HUD\u2019s authorizing legislation to accept assignment and sell loans, program requirements under OMB Circular No. A-11, and HUD press releases that announced the program\u2019s initiation and changes. To identify changes in servicer agreements and purchaser agreements since 2010, we performed a content analysis identifying differences from sale- to-sale (one servicer agreement and one purchaser agreement for each sale between 2010 and 2016). One analyst performed the review, and a second analyst verified the selected content. To gather additional background information on the program and the changes over time, we reviewed reports issued by the HUD Office of Inspector General (OIG) and consumer advocacy and other research organizations such as the National Consumer Law Center, Center for American Progress, and Urban Institute. To corroborate our information on the program and changes, we asked FHA to provide us a list of changes to the program between 2010 and 2016, and we interviewed FHA officials in HUD headquarters and at the National Servicing Center. We further corroborated our understanding of DASP through interviews with the servicers and purchasers."], "subsections": []}, {"section_title": "Evaluation of Certain DASP Procedures and Documentation", "paragraphs": ["To identify FHA\u2019s procedures for monitoring loan eligibility, we examined procedures identified in the servicer agreements and contracts and statements of work for entities assisting in oversight of DASP sales. We assessed the extent to which these procedures existed and were working effectively by reviewing status codes from FHA\u2019s default monitoring system and examining relevant findings from HUD OIG audit reports. We found limited information in agency documentation on steps conducted to verify loan eligibility and had to rely on discussions with FHA staff and contractors on monitoring processes. We also interviewed servicers on their process for selecting loans and certifying loan eligibility for DASP. We further corroborated this information by providing a combined list of steps to FHA officials to verify accuracy.", "To assess whether FHA\u2019s procedures for assessing loan eligibility were working, we determined the extent to which FHA\u2019s sold loans appeared to be ineligible in its 2016 sales. To identify the ineligible loans, we compared the eligibility criteria listed in the 2016 servicer agreements to the data in the default monitoring system. We obtained the default information for sold loans for the period 2 months prior to the bid date\u2014 the period when servicers generally submit loans for sale\u2014and at the bid date. We limited our analysis to loans sold in 2016 because FHA\u2019s loan eligibility criteria changed from sale to sale and 2016 was the most recent year a sale occurred. We selected a nongeneralizable sample of 10 loans with ineligible default codes in the default monitoring system as of the bid date. To determine why FHA sold loans that appeared to be ineligible, we provided list of sold loans with ineligible codes to FHA staff for them to research and provide their explanations.", "We followed up in interviews with officials from FHA\u2019s Office of Asset Sales to further clarify their responses. We also interviewed FHA officials regarding data reliability and to ensure that our understanding of the default codes and their corresponding eligibility or ineligibility for sale was accurate. We also performed electronic checks for consistency and validity and found the data to be sufficiently reliable for the purpose of determining default status, length of delinquency, and the extent to which loans that FHA sold in 2016 appeared to be ineligible."], "subsections": []}, {"section_title": "Analysis of Loan Modifications", "paragraphs": ["To assess whether DASP purchasers offered borrowers payment- lowering modifications, we evaluated the loan modifications offered by individual purchasers by comparing borrowers\u2019 monthly mortgage payments prior to being modified to their monthly payments after being modified. We obtained postmodification payment data from the postsale reports and premodification payment data from the submitted loan database. Using the most recent postsale record for each modified loan, we calculated the change in payment resulting from the modifications offered by DASP purchasers. To confirm that we used the appropriate data sources and variables for our analysis, we contacted FHA\u2019s Program Financial Advisor, who collects postsale reporting data and reports some information on modifications. Our analysis included all loans sold in DASP sales that occurred between 2013 and 2016, with some exceptions, in line with the scope of our comparison analysis of outcomes. We selected this scope because it represented the period for which FHA was generally able to provide consistent postsale quarterly reports.", "In addition, to assess the sustainability of the modifications offered by DASP purchasers, we used data on modification type from the postsale reports to calculate the number of modifications that included a deferment. We identified loan modification characteristics from prior GAO work. We also reviewed the purchaser agreements and postsale reports to examine the information available on modified interest rates. Our analysis was limited to modifications that were reported using the more expansive list of characteristic codes introduced in 2016, which accounted for about 95 percent of the modifications in our scope.", "To assess the reliability of the modification data, we checked for missing or invalid data entries across different modification fields, including modification date, modification type, and monthly payment before and after a modification. We found that purchasers generally reported consistent information on modifications for loans sold in DASP sales that occurred between 2013 and 2016 and determined the data to be sufficiently reliable for the purpose of calculating payment change and assessing the sustainability of modifications."], "subsections": []}, {"section_title": "Comparison Analysis of Outcomes for Sold Loans and Unsold Loans", "paragraphs": [], "subsections": [{"section_title": "Scope of the Data", "paragraphs": ["We used multiple FHA data sources to match sold loans to similar unsold loans and compare outcomes across the groups. We used data from FHA\u2019s default monitoring system and integrated database to obtain information on loan-level characteristics for both sold and unsold loans, such as length of delinquency. However, FHA data did not contain loans\u2019 current property value or current loan-to-value (LTV) ratio. To calculate the current property value, we generated property values for sold and unsold loans based on data in the integrated database, including property value at origination, date of origination, and location information. We then aged the property values to the matching month and year using FHFA\u2019s House Price Index data, which considers geography. We calculated the LTV ratio for sold and unsold loans by dividing the current unpaid principal balance obtained from the default monitoring system by the calculated current property value. To identify the loans sold through DASP and to determine their outcomes, we used postsale reporting data reported by DASP purchasers. To determine monthly outcome statuses for unsold loans, we used FHA\u2019s default monitoring system and integrated database.", "Our analysis generally included loans sold in DASP sales that occurred between 2013 and 2016, but we excluded some sales and pools for various reasons. We excluded loans sold in the DASP sales that occurred from 2010 through 2012 because FHA could not provide semiannual or quarterly postsale reports for these loans. We excluded loans sold in Neighborhood Stabilization Outcome (NSO) pools in the first sale in 2013 because FHA had not yet implemented reporting requirements for more detailed information on loan status for NSO pools. We excluded Direct Sales, through which FHA directly transfers loans to government entities, as well as Aged Delinquent Portfolio Loan Sales, because these sales do not follow normal DASP procedures. Lastly, we excluded loans in pools that were offered for sale but not traded and loans that dropped out before transfer and were never sold. FHA was generally able to provide quarterly reports for the remaining sales and pools within the required reporting time frame."], "subsections": []}, {"section_title": "Data Preparation and Reliability", "paragraphs": ["We took a number of steps to prepare and ensure the reliability of the data used to match sold loans to similar, unsold loans and compare outcomes. We generated seven datasets corresponding to the seven DASP sales in our scope. Each dataset was made up of the records in the default monitoring system 2 months prior to the bid date for the corresponding DASP sale\u2014the time servicers submit eligible loans for sale to FHA, according to FHA officials. We eliminated duplicate case numbers as well as erroneous submissions, and we added sale and pool variables to identify sold loans based on the master list of sold loans. We also excluded unsold loans that were ineligible for sale at the time of matching. Specifically, we reviewed FHA\u2019s servicer agreements and developed criteria for excluding unsold loans from matching based on sale eligibility requirements outlined in these agreements. We interviewed FHA officials to ensure that our understanding of the default status codes and their corresponding ineligibility for sale was accurate. We then used this information to identify and exclude ineligible loans.", "We performed a variety of electronic checks to test the completeness, consistency, and logic of outcome statuses for sold and unsold loans as reported by servicers. We excluded or corrected, where possible, a small percentage of sold and unsold loans (2 percent excluded and about 11 percent corrected) that had invalid or illogical reported statuses. We also excluded loans with invalid case numbers, loans erroneously reported as sold by purchasers, and other problem records. These exclusions accounted for less than 1 percent of the sold loans in our scope.", "We found that three pools were missing more than half of the expected number of postsale reports. Because these pools accounted for less than 2 percent of the sold loans in our scope, we decided to keep these pools in our analysis as they provided additional data points for estimating outcome probabilities, and including them would not significantly bias our results.", "Finally, when assessing data reliability, we consulted relevant documentation on the default monitoring system, integrated database, and postsale reporting systems and the specific fields used from these systems. We also interviewed officials knowledgeable about how data from these systems were collected, maintained, and accessed. Based on these steps, we determined that the data were sufficiently reliable for the purpose of matching sold loans to similar, unsold loans and comparing outcomes."], "subsections": []}, {"section_title": "Matching Analysis", "paragraphs": ["We used statistical matching methods to identify a comparison group of unsold loans that closely resembled sold loans on loan characteristics that could affect the likelihood of foreclosure. Unsold loans were matched to sold loans for each sale, resulting in seven groups of unsold loans corresponding to loans sold in the seven DASP sales that occurred in 2013\u20132016. We matched unsold to sold loans 2 months prior to the bid date across the following characteristics:", "Length of delinquency. Number of missed payments at matching.", "Occupancy status. Whether property was occupied or vacant at matching.", "Location. Location of the property, based on latitude and longitude.", "Servicer. FHA-approved, mortgage servicer.", "Loan-to-Value (LTV) ratio category. Value of the property relative to the outstanding unpaid balance on the loan at matching.", "Loan origination. Year of the loan\u2019s origination.", "We excluded modification status from the matching criteria. While there is some indication that loans that have been modified once are more likely to redefault in the future, this is largely dependent on the quality of the modification. However, modification quality could not be determined based on the FHA data we received.", "Our analysis did not seek to conduct a definitive evaluation of the causal effects on outcomes of being sold through DASP. Instead we sought to improve on simple comparisons of outcomes between sold and unsold loans by constructing a comparison group of unsold loans that were similar to sold loans on loan-level characteristics known to affect the likelihood of foreclosure. For example, matching sold and unsold loans by location minimized variation in neighborhood characteristics and local housing markets that could be associated with a higher or lower likelihood of foreclosure. We selected these factors based on our previous work on foreclosure mitigation and on consultations with subject-matter experts within GAO. See appendix V for more information on our statistical matching analysis."], "subsections": []}, {"section_title": "Outcome Analysis", "paragraphs": ["To compare outcomes for sold and unsold loans, we identified outcomes using postsale reporting data dictionaries in FHA\u2019s purchaser agreements as well as FHA\u2019s status codes used in its default monitoring system and integrated database data dictionaries. We grouped the outcomes into six outcome categories. To assign sold loans to a category, we used FHA\u2019s postsale reporting data, and to assign unsold loans to a category, we used FHA\u2019s default monitoring system and integrated database data. The outcome categories were as follows:", "Foreclosure. Loans terminated with foreclosure.", "Reperforming. Loans restored to performing status either under the original mortgage terms or through a permanent modification. In this outcome, the borrower retains ownership of the home.", "Temporary Action. Loans with temporary action that allow the borrower to retain ownership of the home\u2014for example, an agreement for paying the loan balance or restoring it to performing status has been reached but has not met FHA\u2019s time requirement to meet FHA\u2019s definition of performing. This category may also include other interventions that have the intent of keeping the borrower in the home, such as forbearance.", "Short sale/deed-in-lieu of foreclosure. Loans that avoid foreclosure through short sales and deeds-in-lieu of foreclosure. In this outcome the borrower loses ownership of the home.", "Unresolved. Loans remaining in default status and whose outcomes were unresolved.", "Other. Loans whose outcomes do not fit into these other categories.", "A number of sold loans were reported by purchasers as resold, with no further outcome updates, and we decided to categorize these separately. Purchasers had the option of reporting on loans as resold until 2015, when FHA introduced a reporting requirement that purchasers continue reporting the outcome status of loans even after selling them to new buyers. For the loans in our scope, the percentage of postsale reports that included a status of resold ranged from 7 to 35 percent for the 2013 and 2014 sales, before dropping to less than 1 percent beginning with the 2015 sale. Purchasers may have returned resold loans to performing status before selling them because performing loans are more profitable, and, by categorizing these loans separately, we may have undercounted performing loans for the earlier DASP sales. While we considered classifying loans reported as resold as performing, our review of status sequences for loans with at least one resold status showed that purchasers reported a range of nonperforming outcomes before and after the resold status, indicating that not all resold loans were performing. We therefore determined that categorizing resold loans separately would result in more reliable estimates for sold loans.", "Using data from the default monitoring system to classify outcomes for the matched, unsold loans in our analysis required us to make some assumptions that may have resulted in overcounting performing, unsold loans. Because the default monitoring system only contains data on delinquent loans and does not include status information on performing loans, our classification of performing, unsold loans was based on whether or not a servicer reported the loan in the default monitoring system in a given month. As a result, we assumed that unreported loans were performing. However, a missing report could also be the result of a reporting omission by the servicer, rather than an indication of a performing status. To mitigate the risk of overcounting performing, unsold loans, we used a variable indicating the length of a loan\u2019s current default episode to help us distinguish between performing loans and servicer omissions. Specifically, we counted unsold loans as performing only if the default episode length in the most recent default monitoring system report was less than the reported episode length in the default monitoring system report preceding the period of no reporting. We assumed that a lower default episode length in the most recent default monitoring system report meant that the borrower was making payments during the period of no reporting. Otherwise, we classified periods of no reporting as missing.", "We compared monthly outcomes for sold loans and unsold loans after servicing transferred to the purchaser. We set the origin of the observation period to the latest servicing transfer date in each pool of sold loans and their associated matched unsold loans. Because the latest servicing transfer date varied across these groups, the number of observations and the associated dates varied across pools and sales. We measured outcomes for up to a maximum of 48 months, from January 2013 through December 2017, the most recent full quarter of postsale reporting data available at the time of our review. The follow-up periods ranged from the full, 4-year reporting period required by FHA for loans sold in the 2013 sales to 1 year for loans sold in the second sale in 2016. See appendix V for more information on our statistical analysis of outcomes for sold loans and unsold loans."], "subsections": []}]}, {"section_title": "Potential Effects of Changes to DASP on the MMI Fund", "paragraphs": [], "subsections": [{"section_title": "Association of Pool-Level Characteristics with Bidder Participation", "paragraphs": ["To examine the extent to which loan-pool characteristics were associated with bidder participation for FHA loan sales and the enterprises\u2019 nonperforming loan sales, we built regression models. We identified from interviews key characteristics (independent variables) that may make loan pools attractive to certain bidders, such as having a single servicer or low vacancy. We obtained bid-day data from FHA and the enterprises that included the number of bidders (dependent variable) and the winning bid amounts, as well as the timing of the sale. We generated FHA pool characteristics from the loan level data in FHA\u2019s submitted loan database and supplemented it with FHA default status data (see table 2 above for further information about FHA\u2019s data sets). For the enterprises, we obtained pool characteristics from a published FHFA report. This report provided a range of characteristics to compare to those of FHA\u2019s pools.", "See table 3 for our regression estimates of the relationship between pool characteristics and the number of bidders in FHA\u2019s DASP sales and the enterprises\u2019 sales. The associated p-values are presented in parentheses, and *, **, and *** denote significance at 10 percent, 5 percent, and 1 percent or better, respectively. In the report body we use the 95 percent confidence level as indicating significance of the regression estimates.", "To assess the reliability of the FHA data, we performed reasonableness checks that resulted in the removal of FHA\u2019s 2010 sale due to a large number of invalid case numbers and two additional pools from later sales, we also removed pools based on missing or invalid date\u2014in total 4 percent of FHA\u2019s pools. We did not independently verify the data in the FHFA reports, but we interviewed the FHFA staff that generated the report about the reliability of the data. Some limitations stem from the differences between FHA\u2019s and the enterprises\u2019 pools and the underlying loans as well as the data available on the pools. For example, we use data from FHA sales from 2011\u20132016 and from sales in 2015\u20132017 for the enterprises. We use the time variables to control for housing market differences as well as the defaulted loan sale market. Additionally, we included FHA\u2019s nontraded pools but not the enterprises\u2019 nontraded pools because the FHFA reports did not present data on these pools. We showed the differences and similarities across the entities in figure 14 in the report. We determined that data for the remaining pools were sufficiently reliable for examining the association of pool characteristics with bidder participation and for comparison between the enterprises\u2019 and FHA\u2019s sales.", "To calculate pool reserve prices, we obtained FHA data on quarterly loss severity by disposition method for 2013\u20132016. Using our results from the outcomes comparison analysis, we calculated pool-level reserve prices and compared them to winning pool-level bids."], "subsections": []}, {"section_title": "Auction Structure Analysis", "paragraphs": ["To assess the effect that changing FHA\u2019s auction design could have on the MMI Fund and to identify elements of a successful auction structure, we reviewed economic literature on auction structures and auction descriptions in business and commercial literature. To compare the DASP auction structure with the enterprises as well as mortgage auctions in the private market, we analyzed agency and enterprise documents and interviewed market participants. We developed a detailed description of FHA\u2019s and the enterprises\u2019 current auction structures, including information about the nature of the loan pools being auctioned; about sellers, purchasers, and other auction stakeholders; and about the benefits and drawbacks of the auction design.", "In interviews, we received suggestions about aspects of FHA auctions that, if changed, may increase bidder participation. To examine these aspects, we interviewed purchasers on their potential interest in these changes and examined FHA sale data following an instance of a single purchaser winning all the pools in a sale. To assess the DASP auction structure, we compared it to selected characteristics of successful auctions and determined the extent to which the characteristics were used by FHA.", "We conducted this performance audit from January 2017 to July 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}]}, {"section_title": "Appendix II: DASP Servicers, Purchasers, and Characteristics of Sold Loans", "paragraphs": ["This appendix includes descriptive information about the Federal Housing Administration\u2019s (FHA) Distressed Asset Stabilization Program (DASP) servicers, purchasers, and sold loans. The information presented is generally based on loans sold in DASP sales that occurred between 2013 and 2016."], "subsections": [{"section_title": "DASP Servicers and Purchasers", "paragraphs": ["Thirty-two servicers participated in DASP sales between fiscal years 2013 and 2016, with the largest participating servicer offering 48 percent (more than 44,000) of the loans sold. As seen in figure 15, the number of servicers increased from nine in the first sale in 2013 to 22 in the second sale in 2016. During this same period, 26 purchasers participated in the DASP sales, with the largest participating purchaser buying 27 percent (about 25,000) of the loans sold.", "The share of loans offered by individual servicers also varied over time and by sale. One or two servicers offered the majority of sold loans in earlier sales, but more servicers offered a greater share of the loans sold in later sales (see fig. 16). For example, one servicer offered 89 percent of the loans sold in the first sale in 2013, about 51 percent of the loans sold in the second sale in 2014, and about 8 percent of the loans sold in the second sale in 2016. During this time, new servicers began offering loans for sale, and servicers that had offered a smaller share of the loans sold in earlier sales began offering a larger share of loans for sale."], "subsections": []}, {"section_title": "Characteristics of Loans Sold through DASP", "paragraphs": ["Occupancy status. The majority of properties sold through DASP were occupied by the borrower, with a smaller portion having been vacated (see fig. 17). DASP purchasers told us that their ability to contact and engage borrowers is one determinant in whether they are able to offer loss mitigation options to avoid foreclosure. One purchaser noted that in cases where it is unable to contact the borrower, which may indicate that the property is vacant, it tries to foreclose as quickly as possible.", "Delinquency. The majority of loans sold through DASP had missed 12 or more payments (see fig. 18). As discussed earlier, a loan becomes delinquent after a borrower misses a single payment, and goes into default after it is two payments past due. Generally, servicers must utilize a loss-mitigation option or initiate foreclosure within 6 months of default. As we previously reported, serious delinquency is among the factors associated with an increased likelihood of foreclosure.", "Loan-to-Value (LTV) ratio. About 18 percent of sold loans had an LTV ratio of 110 or greater (see fig. 19). The LTV ratio represents the unpaid principal balance of a loan as a percentage of the current property value. As we previously reported, negative equity or a high LTV ratio is among the factors associated with an increased likelihood of foreclosure.", "Origination. As figure 20 shows, sold loans were more likely to have originated at the peak of the housing crisis in 2008 and 2009. FHA officials told us that they used DASP to reduce the significant backlog of defaulted loans they were faced with following the housing crisis."], "subsections": []}]}, {"section_title": "Appendix III: Federal Housing Administration Documents Guiding the Distressed Asset Stabilization Program", "paragraphs": ["In this appendix, we describe the documents the Federal Housing Administration (FHA) uses to guide the Distressed Asset Stabilization Program. The documents listed in table 4 represent the current written procedures and guidance that FHA planned, as of May 2018, to incorporate into a single document\u2014the Asset Sales Handbook\u2014to centralize the information for internal and external stakeholders."], "subsections": []}, {"section_title": "Appendix IV: Reported Postsale Modification Actions", "paragraphs": ["We examined the different types of actions purchasers have used to modify loans they purchased through the Distressed Asset Stabilization Program (DASP) and the expected effect of each type of action on borrowers\u2019 payments. Table 5 summarizes our findings on postsale modification actions. Our analysis was limited to modifications reported using reporting codes introduced in the purchaser agreement for the first sale in 2016, and included loans sold between fiscal years 2013 and 2016. We found that the Federal Housing Administration (FHA) may not have the data it needs to determine whether payment-lowering modifications offered by purchasers were sustainable\u2014for example, a modification in which a low payment was later adjusted to higher than what it was prior to modification. Therefore, we could not determine the long-term effect on payment for many modifications offered by purchasers, as noted by \u201cunclear\u201d in the last column of table 5."], "subsections": []}, {"section_title": "Appendix V: Additional Information on Matching and Outcomes Analysis", "paragraphs": ["This appendix provides additional methodological details on our analysis to compare outcomes between loans sold through the Distressed Asset Stabilization Program (DASP) and a comparison group of similar unsold loans. The analysis consisted of two parts: (1) applying statistical methods for constructing matched comparison groups and (2) estimating a statistical model of loan outcomes using the matched sample of loans."], "subsections": [{"section_title": "Additional Information on Matching Analysis", "paragraphs": ["We matched one unsold loan to each sold loan, using exact and Mahalanobis distance matching methods. We matched exactly on occupancy status, state, and loan servicer, and we matched the distributions of loan delinquency period, loan-to-value ratio (divided into five categories), geographic coordinate, and origination year. Unsold loans could be matched multiple times in order to maximize the degree of similarity between the sold and unsold loans, given constrained sample sizes of potential comparison loans. (That is, we used one-to-one matching with replacement.) Matching occurred separately for each loan sale in order to measure the matching variables 2 months before each sale occurred. We assessed the quality of candidate matched samples by consulting univariate empirical-QQ plots, descriptive statistics, and multivariate Kolmogorov-Smirnov tests of equal distributions for each of the matching variables, as implemented in the \u201cMatching\u201d package for the statistical software, R, version 3.5.1.", "We attempted to match exactly within the smallest geographical area that sample sizes allowed. Location is important for the outcomes of Federal Housing Administration (FHA) loans and is potentially correlated with many unobserved variables, such as local housing market conditions. After experimenting with multiple geographic areas, such as the census tract and county, we chose a strategy of matching exactly on state and matching in distribution on latitude, longitude, and product. This ensured that the comparison loans were in the same states as the sold loans, which held constant differences in foreclosure processes and other political and legal differences. Although the matched loans were potentially in different counties or municipalities than the sold loans, generally they were still close to each other, as measured by the geographic coordinates.", "We obtained a similar matched sample of comparison loans for each loan sale, as summarized in table 6 and figures 21 and 22. Although we conducted the matching separately for each sale (exactly matched), we combined the sales and their matched comparison loans for the purpose of summarizing their similarity across the matching variables."], "subsections": []}, {"section_title": "Additional Information on Outcome Analysis", "paragraphs": ["We used statistical modeling methods designed for longitudinal time-to- event or \u201cduration\u201d data to compare outcomes for sold and matched unsold loans. Conventional duration methods, such as \u201ccompeting risks\u201d models, would estimate the probability that a loan experienced one or more terminal outcomes by a certain follow-up time. These methods assume that event times are observed exactly, and that no outcome can occur more than once. These assumptions were not realistic for our analysis. Loans could transition among several nonterminal outcomes over time, such as reperforming or temporary action, before experiencing a terminal outcome, such as foreclosure. Our data sources measured the status of unsold loans monthly and sold loans quarterly. However, events could occur on any date, in continuous time, so the status of each loan was unknown between pairs of reporting times (or interval-censored).", "We used Multi-State Markov models to account for these features of the data. Our models assumed a directed graphical structure for how loans could transition among events between observed follow-up times, as described in figure 23. We developed our model of possible transitions based on FHA\u2019s typical process for managing unsold delinquent loans and DASP program rules for managing sold delinquent loans. To simplify the model, we did not allow paths for transitions that were infrequently observed, illogical, or inconsistent with prior knowledge about loan management. These unusual transitions in the data may reflect misclassified outcomes or transitions through unobserved outcomes between observation times. Table 7 gives the sample counts of the transitions in the matched sample of loan-month observations.", "The graphical version of our model implied a matrix of modeled transitions among outcomes, with transition probabilities set to 0 for paths between outcomes not shown in the graph. Specifically, we defined the loan outcomes at time t, Y, as a stochastic process, taking values according to an underlying model of transition probabilities from time 0 to t: where r and s denoted two outcomes from the set of outcomes above in table 7, such as unresolved and reperforming. Consistent with existing literature, we assumed that the outcome process was a time- homogenous Markov chain. This assumption made the model mathematically tractable, but required the transition probability at any follow-up time to be independent of prior outcomes and constant over the observation period. (We estimated versions of the model that relaxed this assumption, as described below.) Under this assumption, we modeled the transition hazard rate from outcome r to s as: where x and \u03b2rs were vectors of covariates and transition-specific parameters (excluding an intercept) and qrs was an unspecified proportional baseline hazard. All covariates were time-invariant characteristics of the loans measured at baseline, 2 months prior to the loan\u2019s bid date, used to create the matched sample. We estimated \u03b2rs using maximum likelihood estimation methods, as implemented by the \u201cmsm\u201d package in R 3.5.1.", "The body of this report provides estimated transition probabilities for various groups of loans, including loans that were sold or unsold. We estimated the probability of a loan\u2019s transitioning from unresolved at t = 0 to some other outcome at t using the estimated parameters and the matrix exponential P(t) = exp(tQ), where P and Q are the matrices of transition probabilities and hazards, respectively, for all outcomes r and s. We used Monte Carlo simulation from the fitted multivariate normal distribution of the parameters to estimate 95 percent confidence intervals for the transition probabilities, using 1,000 draws. In appendix VI, we provide more detailed estimates of these transition probabilities and their confidence intervals for key findings discussed in the body of this report.", "Our models estimated the difference in transition probabilities between sold and unsold loans in the matched sample by including an indicator for sold status in x. We estimated transition probabilities for certain subpopulations of loans, like specific purchasers or loan sales, by estimating separate models for each subpopulation. This approach allowed the models to be fully stratified and reduced computational burdens associated with estimating many parameters using a sample of 1 million or more observed transitions, as a fully interactive specification between sold status and the subpopulation variables would have required. However, this approach prevented us from estimating the partial interactions between sold loan status and the subpopulation variables.", "We conducted several validation and robustness checks of the analyses reported in the body of this report. These included the following:", "Predictive fit. We did not design our models to predict future outcomes but rather to make inferences about the difference in transition probabilities between sold and matched unsold loans. However, to identify substantial problems with model fit, we compared the observed prevalence of each outcome to the estimated prevalence expected under our models. Figure 24 shows the predictive fit for models with a covariate in x for sold status and a piecewise-constant indicator for the period after month 12. The estimated and observed prevalence are generally close for most outcomes before month 40. After that month, the model underestimates the prevalence of foreclosure and overestimates the prevalence of unresolved. This lack of fit late in the observation period may reflect the substantial effect of sales cohort, which we modeled through separate models stratified by sale rather than as a covariate. In any case, the model fit was acceptable, given our nonpredictive use of the model and the limitations of using observed outcome prevalence rates to validate predictions of a process with interval censoring.", "Time-inhomogenous models. We relaxed our assumption that the transition intensities were constant throughout the observation period by including indicators in x for whether the observation fell before or after 12 months. FHA changed DASP rules before the 2015 sales to extend the moratorium on foreclosures from 6 months to 12 months. Outcome transition estimates from a model including these time indicators plus a sold indicator appear in table 8, along with our base estimates from a time-homogenous model with only the sold indicator. Although Akaike Information Criterion values showed that the piecewise model improved the fit, the estimated transition probabilities generally supported the same substantive conclusions. The piecewise model estimated that sold loans were somewhat more likely to transition to a short sale or deed-in-lieu outcome, and somewhat less likely to transition to reperforming, but the direction of the association was the same as in the time-homogenous model. We used the time- homogenous model to provide results in the body of this report and in appendix VI, due to the considerable computing time required to estimate models with piecewise-constant covariates."], "subsections": []}]}, {"section_title": "Appendix VI: Data for Selected Outcome Figures and Additional Outcome Estimates", "paragraphs": ["In this appendix, we provide data for selected borrower outcome figures presented in this report. We also provide additional outcome figures and data, as well as outcome data for sold loans and unsold loans by some loan-level characteristics. These figures and data are based on the statistical matching and modeling analysis of loans sold through the Distressed Asset Stabilization Program (DASP) and similar, unsold loans described in appendix I and appendix V of this report."], "subsections": [{"section_title": "Data for Outcome Figures", "paragraphs": ["Tables 9\u201312 present data for selected outcome figures shown in the report. Table 9 presents estimates of foreclosure and foreclosure avoidance outcome rates for sold loans and similar, unsold loans, based on statistical models (fig. 7). Table 10 presents these estimates for out-of- home and in-home outcomes (fig. 8). Figure 9 in the body of this report shows the foreclosure and foreclosure avoidance outcomes by DASP sale, and tables 11 and 12 present these estimates for all outcomes by DASP sale, 12 and 24 months following the servicing transfer date, respectively."], "subsections": []}, {"section_title": "Additional Outcomes", "paragraphs": ["As discussed in appendix I, to compare foreclosure and foreclosure avoidance outcomes for sold and unsold loans, we assigned loans to one of six outcome categories. Figure 25 and table 13 present the outcome figures and associated data for sold and unsold loans across all six categories."], "subsections": []}, {"section_title": "Loan-Level Characteristics", "paragraphs": ["Figures 26\u201329 compare specific outcomes for sold and unsold loans across different loan characteristics. We selected characteristics and outcomes that showed clear patterns or differences between sold and unsold loans. Our analysis showed that the loan-to-value (LTV) ratio was less strongly associated with reperforming rates for sold loans compared to similar, unsold loans (see fig. 26). For example, while the probability of reperforming varied across different LTV ratio categories for unsold loans, the probability varied less for sold loans.", "Our analysis of outcomes by different delinquency categories showed that length of delinquency was less strongly associated with reperforming rates for sold loans compared to similar, unsold loans (see fig. 27). For example, while the probability of reperforming 12 months after the servicing transfer date ranged from 8 to 29 percent across different delinquency lengths for unsold loans, this range was smaller for sold loans\u2014about 9 to about 16 percent.", "Our analysis of outcomes by year of loan origination showed that length of delinquency was less strongly associated with reperforming rates for sold loans compared to similar, unsold loans (see fig. 28). For example, the year of loan origination did not affect the probability of reperforming for sold loans. However, for unsold loans the probability of reperforming was lowest for loans originating in 2007\u20132008 at the beginning of the housing crisis.", "Our analysis of outcomes by occupancy showed that, for occupied properties, sold loans were more likely to experience foreclosure compared with similar, unsold loans (see fig. 29). However, for vacant properties, sold loans experience foreclosure at equal or smaller rates compared to similar, unsold loans."], "subsections": []}]}, {"section_title": "Appendix VII: Additional Auction Structure Information and Evaluation", "paragraphs": ["The Federal Housing Administration (FHA) uses a pooled, highest-bidder, sealed-bid auction structure to sell its single-family defaulted residential mortgages through the Distressed Asset Stabilization Program (DASP). This auction structure is consistent with industry standards and private market practices for selling these mortgages and includes many characteristics of a successful auction. We identified characteristics of successful auctions by reviewing economics literature on auction structures and auction descriptions in business and commercial literature, and we obtained information about the nature of the loans being auctioned, about sellers, purchasers and other auction stakeholders, and about the benefits and drawbacks to each of various details of the auction design. Table 14 shows some auction characteristics and an evaluation of FHA\u2019s DASP design."], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jill Naamane (Assistant Director), Rhonda Rose (Analyst in Charge), Abigail Brown, Stephen Brown, Karen Jarzynka-Hernandez, John Karikari, May Lee, Ned Malone, Paulina Maqueda-Escamilla, John McGrail, Samuel Portnow, Tovah Rom, Jena Sinkfield, Anne Stevens, Jeff Tessin, Jim Vitarello, Sarah Wilson, and Elisa Yoshiara made key contributions to this report. Also contributing to this report were DuEwa Kumara and Jason Rodriguez."], "subsections": []}]}], "fastfact": ["The Federal Housing Administration helps increase homeownership by insuring mortgage loans that have less strict standards and lower down payments than conventional loans. The housing crisis of 2007-2011 led to historic rates of mortgage defaults, many of which were insured by FHA.", "FHA can sell these loans in order to limit its losses from defaults. We found that the defaulted loans FHA sold were more likely to go into foreclosure than the defaulted loans FHA kept. In addition, about 3% of the loans FHA sold were not actually eligible for sale.", "We made 9 recommendations, including that FHA establish a schedule for its eligibility checks.", "[Map updated to correct the legend.]"]} {"id": "GAO-18-630", "url": "https://www.gao.gov/products/GAO-18-630", "title": "Broadband Internet: FCC's Data Overstate Access on Tribal Lands", "published_date": "2018-09-07T00:00:00", "released_date": "2018-09-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Broadband furthers economic development, educational attainment, and public health and safety; however, residents of tribal lands have lower levels of broadband access relative to the U.S. population. Congress has prioritized identifying and targeting funds to unserved areas. FCC uses data from broadband providers to develop maps and reports depicting broadband availability in the United States, with specific information on tribal lands. GAO was asked to review FCC's efforts to collect broadband data for tribal lands.", "This report examines the extent to which: (1) FCC's approach to collecting broadband data accurately captures broadband access on tribal lands and (2) FCC obtains tribal input on the data. GAO interviewed stakeholders from 25 tribal governments or tribally owned providers, and visited nine tribal lands. The selected tribes varied geographically and in levels of broadband availability, among other characteristics. GAO also reviewed FCC's rulemakings on broadband data and interviewed other tribal stakeholders, FCC officials, and 13 non-tribal broadband providers selected to include a diversity of technologies. Provider and tribal interviews were based on non-generalizable samples."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Communications Commission (FCC) collects data on broadband availability from providers, but these data do not accurately or completely capture broadband access on tribal lands. Specifically, FCC collects data on broadband availability; these data capture where providers may have broadband infrastructure. However, FCC considers broadband to be \u201cavailable\u201d for an entire census block if the provider could serve at least one location in the census block. This leads to overstatements of service for specific locations like tribal lands (see figure). FCC, tribal stakeholders, and providers have noted that this approach leads to overstatements of broadband availability. Because FCC uses these data to measure broadband access, it also overstates broadband access\u2014the ability to obtain service\u2014on tribal lands.", "Additionally, FCC does not collect information on several factors\u2014such as affordability, quality, and denials of service\u2014that FCC and tribal stakeholders stated can affect the extent to which Americans living on tribal lands can access broadband services. FCC provides broadband funding for unserved areas based on its broadband data. Overstatements of access limit FCC's and tribal stakeholders' abilities to target broadband funding to such areas. For example, some tribal officials stated that inaccurate data have affected their ability to plan their own broadband networks and obtain funding to address broadband gaps on their lands. By developing and implementing methods for collecting and reporting accurate and complete data on broadband access specific to tribal lands, FCC would be better able to target federal broadband funding to tribal areas that need it the most and to more accurately assess FCC's progress toward its goal of increasing all Americans' access to affordable broadband.", "FCC does not have a formal process to obtain tribal input on the accuracy of provider-submitted broadband data. In the National Broadband Plan , FCC highlighted the need for a targeted approach to improve broadband availability data for tribal lands. As outlined in the plan, such an approach would include working with tribes to ensure that information is accurate and useful. About half of the tribal stakeholders GAO interviewed raised concerns that FCC relies solely on data from providers, and most stated FCC should work with tribes to improve the accuracy of FCC's data. Establishing a formal process to obtain input from tribal governments on the accuracy of provider-submitted broadband data could help improve the accuracy of FCC's broadband data for tribal lands."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to FCC, including that it collect and report data that accurately measure tribal broadband access as well as develop a process to obtain tribal input on the accuracy of the data. FCC agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Broadband infrastructure is critical for economic development, educational and job opportunities, and public health and safety. In 2016, we reported that tribal lands are generally in remote and rugged areas and that broadband access can help residents develop online businesses, access telemedicine services, and use online educational tools. However, residents of tribal lands have lower levels of broadband access than residents of non-tribal lands; a reflection of what is often called the \u201cdigital divide,\u201d or disparate levels of broadband access among different socioeconomic, racial, or rural groups. According to the Federal Communications Commission (FCC), as of December 2016, 35.4 percent of Americans residing on tribal lands lacked access to fixed broadband services, compared to 7.7 percent of all Americans. FCC has reported that the lack of service in tribal lands presents impediments to the efforts of tribal nations related to self-governance, economic opportunity, education, public safety, and cultural preservation.", "One barrier to increasing access to broadband on tribal lands is the cost of deploying infrastructure to tribal lands located in rugged, sparsely populated areas. In an attempt to address this and other issues, the federal and some state governments have administered a number of programs to incentivize companies to build broadband infrastructure in unserved and underserved areas. In addition, policy makers have noted the need for accurate information in order to target these programs to the areas lacking access, and FCC has identified the need to work with tribes to ensure such data are accurate for tribal lands. However, in 2016 we reported that tribal and federal officials had concerns that the federal map of broadband availability at the time (the National Broadband Map) did not accurately depict broadband availability on tribal lands.", "The federal government has not updated the National Broadband Map since April 2015, with the last update containing data as of June 30, 2014. Currently, the primary source of information regarding where broadband is and is not available is the FCC, which collects this information from broadband providers. You asked us to review FCC\u2019s efforts to collect broadband data for tribal lands. This report examines: the extent to which FCC\u2019s approach to collecting broadband availability data accurately captures the ability of Americans living on tribal lands to access broadband Internet services, and the extent to which FCC obtains tribal input on the accuracy of provider-submitted broadband data for tribal lands.", "To address both objectives, we analyzed FCC\u2019s December 2016\u2014the most recent data at the time of our review\u2014fixed and mobile broadband- availability data for federally recognized tribal lands. Providers currently report this information to FCC by filing a Form 477, twice a year. We also used 2010 U.S. Census data to identify census blocks on tribal lands. To assess the reliability of FCC and Census data, we reviewed a previous GAO reliability assessment and performed additional work, such as electronic testing of the data and interviews with agency officials. Based on the results of our analysis, we determined the data to be reliable for our purposes, which were to (1) inform our selection of tribal governments and providers for interviews and visits and (2) develop maps of fixed and mobile broadband availability for the 9 tribal lands we selected for visits, in order to obtain tribal representatives\u2019 feedback on the accuracy of the data. For both objectives, we also reviewed FCC documents regarding the Form 477 process and interviewed FCC officials as well as stakeholders representing tribal governments and broadband providers. These interviews included representatives from 25 tribal governments or tribally owned providers, including visits to 9 tribal lands. When we selected these tribes, we considered variation in location, level of broadband deployment according to FCC, land mass, and population size and density. The results of our interviews are not generalizable to all tribal governments or tribally owned broadband providers. In addition to tribal governments and tribally owned providers, we interviewed six organizations that include tribal entities and four stakeholders who work with tribes on broadband issues. For reporting purposes, we developed the following series of indefinite quantifiers to describe the tribal responses from the 35 entities representing tribal stakeholders we interviewed.", "3 to 7 is defined as \u201ca few.\u201d", "8 to 15 is described as \u201csome,\u201d", "16 to 20 is described as \u201cabout half,\u201d", "21 to 27 is described as \u201cmost\u201d; and", "28 to 34 is described as \u201calmost all.\u201d", "Further, to obtain industry perspectives, we reviewed public comments submitted by providers and industry associations in relevant FCC rulemaking proceedings and interviewed 10 non-tribally owned fixed and mobile broadband providers and three industry associations. We selected providers to reflect a range of carrier size, as well as the technologies used to provide broadband service. In addition, we interviewed representatives from other government entities, as well as private companies that collect and report broadband data. The results of these interviews are not generalizable. A full list of the stakeholders we interviewed can be found in appendix I.", "In addition, to identify the extent to which FCC\u2019s approach to collecting broadband data accurately captures Americans\u2019 ability to access broadband Internet services on tribal lands, we identified factors that affect broadband access by interviewing tribal stakeholders, as described above, and reviewing FCC documents and previous GAO work. We also reviewed relevant statutes and FCC\u2019s proceedings, plans, and broadband deployment and progress reports. We compared the Form 477 process to FCC\u2019s strategic goals and to factors affecting broadband access to determine the extent to which the Form 477 collects information on those factors and aligns with FCC\u2019s goals. We further evaluated this information against the Government Performance and Results Act (GPRA), as enhanced by the GPRA Modernization Act of 2010 (GPRAMA) and Standards for Internal Control in the Federal Government.", "To determine the extent to which FCC obtains tribal input on the accuracy of provider-submitted broadband data for tribal lands, we reviewed FCC\u2019s policies for working with tribal governments and interviewed tribal stakeholders, among other entities. We compared this information to recommendations from FCC\u2019s National Broadband Plan, and Standards for Internal Control in the Federal Government. For additional details on our scope and methodology, see appendix II.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government has recognized 573 Indian tribes as distinct, independent political communities with tribal sovereignty. There are different categories of tribal lands, with differing implications with respect to ownership and administration. Reservations are defined geographic areas with established boundaries recognized by the United States. Tribal lands vary in size, demographics, and location. For example, those lands smallest in size are less than one square mile, and the largest, the Navajo Nation, is more than 24,000 square miles (the size of West Virginia). Tribal land locations can range from extremely remote, rural locations to urban areas. Figure 1 shows tribal lands in the United States according to the 2010 Census.", "The term \u201cbroadband\u201d commonly refers to Internet access that is high speed and provides an \u201calways-on\u201d connection, so users do not have to reestablish a connection each time they access the Internet. Broadband service may be \u201cfixed\u201d\u2014that is, providing service to a single location, such as a customer\u2019s home\u2014or \u201cmobile,\u201d that is, providing service wherever a customer has access to a mobile wireless network, including while on the move, through a mobile device, such as a smartphone. Fixed and mobile broadband providers deploy and maintain infrastructure to connect consumers to the Internet.", "Providers offer fixed Internet service through a number of technologies, such as copper phone lines, fiber-optic lines, coaxial cables, wireless antennas, satellites, or a mix of technologies (see fig. 2). To install fixed or wireless infrastructure, providers must obtain permits from government entities with jurisdiction over the land or permission from public utilities to deploy infrastructure on existing utility poles.", "The federal government has emphasized the importance of ensuring Americans have access to broadband, and a number of agencies, including FCC, currently provide funding to subsidize broadband deployment in areas in which the return on investment has not attracted private investment. The Communications Act of 1934, as amended by the Telecommunications Act of 1996, specifies that consumers in \u201crural, insular, and high-cost areas\u201d should have access to telecommunication services and rates that are \u201creasonably comparable\u201d to consumers in urban areas. To achieve this goal, FCC administers the High-Cost program, which provides subsidies to providers of phone service in rural, insular, and other remote areas.", "In 2011, FCC launched a series of reforms to its High-Cost program, including adding support for broadband services, and created the Connect America Fund, which provides subsidies to fixed and mobile providers of telecommunications and broadband services in rural, insular, and other remote areas where the costs of providing service is high. To be eligible for Universal Service Fund support from FCC, a provider must be designated an Eligible Telecommunications Carrier by the appropriate state or by FCC and must meet certain service obligations. The Connect America Fund has distributed approximately $4.5 billion per year, and has separate funding mechanisms targeted to specific goals. For example, there are funds for fixed-phone and broadband service and funds for mobile service, including a Tribal Mobility Fund (Phase 1) that awarded nearly $50 million in 2014 for the provision of 3G and 4G service to unserved tribal areas.", "In addition to FCC, a number of other agencies provide funding for broadband deployment in unserved or underserved areas. For example, the United States Department of Agriculture\u2019s Community Connect Program, which provides grants to rural communities to provide high- speed Internet service to unserved areas.", "The American Recovery and Reinvestment Act of 2009 (Recovery Act) mandated the development of a nationwide map of broadband availability. To implement the act, the National Telecommunications & Information Administration (NTIA)\u2014an agency within the Department of Commerce\u2014established a grant program to enable U.S. states and territories to collect state-level broadband mapping data. NTIA used these data to launch the National Broadband Map (www.broadbandmap.gov) in February 2011. As the funding for the NTIA\u2019s program came to an end in 2014, NTIA stopped collecting data to update the map and, according to FCC officials, created a memorandum of understanding with FCC through which FCC agreed to maintain public access to the last version of the map. FCC issued rules in 2013 to begin collecting broadband deployment data, in addition to the broadband subscription data it had collected from providers since 2000. FCC sought, but did not receive, $3 million to update the National Broadband Map in its fiscal year 2015 and fiscal year 2016 budgets. In 2018, Congress directed FCC to develop a report by March 23, 2019, evaluating broadband coverage in certain tribal lands (to include an assessment of areas that have adequate broadband coverage, as well as an assessment of unserved areas), and to complete a proceeding to address unserved areas by September 23, 2020. Currently, FCC requires broadband providers to report on their broadband deployment by filing a form twice a year (Form 477).", "Fixed broadband providers submit a list of the census blocks in which their broadband service is available, and mobile providers submit \u201cshapefiles\u201d\u2014a geospatial depiction of the coverage area, which FCC refers to as \u201cpolygons\u201d\u2014of their coverage areas.", "FCC uses providers\u2019 477 data to develop a statutorily mandated annual report on advanced telecommunications capability. In addition, in 2016, FCC began publishing its own maps of broadband deployment, using the information from providers\u2019 Form 477 filings. In February 2018, FCC launched an updated map of fixed broadband deployment (https://broadbandmap.fcc.gov/#/). This map allows users to search for broadband deployment by address and provides summary-level statistics regarding broadband deployment in specific tribal lands (see fig. 3). According to FCC officials, this new map format will support more frequent data updates.", "FCC also provides national maps of mobile LTE coverage; these maps do not allow users to access data at the same level of granularity as the maps of fixed broadband (see fig. 4)."], "subsections": []}, {"section_title": "FCC Collects Data on Broadband Availability but Lacks Accurate and Complete Data on Broadband Access on Tribal Lands", "paragraphs": ["FCC collects and uses data that capture broadband availability to measure broadband access on tribal lands, leading to overstatements of broadband access on tribal lands. Specifically, FCC\u2019s method of collecting mobile and fixed broadband data from providers (the Form 477) does not accurately or completely capture broadband access on tribal lands because it (1) captures nationwide broadband availability data\u2014 areas where providers may have broadband infrastructure\u2014but does so in a way that leads to overstatements of availability, and (2) does not capture information on factors that FCC and tribal stakeholders have stated can affect broadband access on tribal lands, such as affordability, service quality, and denials of service. Nonetheless, FCC uses its Form 477 broadband availability data in annual broadband deployment reports to measure the percentage of Americans living on tribal lands with or without access to broadband, and to measure progress toward FCC\u2019s strategic goal of increasing all Americans\u2019 access to affordable broadband. By using broadband availability data to measure broadband access on tribal lands, FCC overstates broadband access on tribal lands."], "subsections": [{"section_title": "FCC Collects Broadband Availability Data, but Its Collection Method Leads to Overstatement of Availability on Tribal Lands", "paragraphs": ["FCC\u2019s Form 477, its primary method of collecting nationwide broadband data, collects information on broadband availability, which identifies where providers have broadband infrastructure and could potentially provide broadband services but not where consumers can actually access those services. Moreover, the Form 477\u2019s mobile broadband data- collection methods are not standardized, and its fixed broadband data- collection methods are not sufficiently granular to provide information about broadband availability on tribal lands."], "subsections": [{"section_title": "Mobile Broadband Data Collection", "paragraphs": ["FCC\u2019s Form 477 requires mobile broadband providers to report their coverage areas by submitting geospatial data depicting the areas in which consumers could expect to receive the minimum advertised speed. FCC has previously noted the importance of collecting nationally standardized, uniform broadband data from providers to assess broadband availability and allow for easy comparison across providers. However, the Form 477 does not require that providers use a standardized method with defined technical parameters (such as signal strength, or amount of interference) when determining their coverage area, resulting in data that cannot be meaningfully compared across providers, according to FCC. To map their coverage areas, providers may use predictive models based on different measurement methods and a variety of factors known to affect mobile broadband service such as topography, tree cover, and buildings, among other factors.", "Providers and tribal stakeholders have expressed concern with the accuracy of FCC\u2019s mobile broadband data, and FCC has acknowledged concerns that the lack of a standardized method resulted in data that were unreliable for the purposes of determining mobile broadband coverage for specific geographic areas, such as tribal lands. About half of the tribal government representatives we interviewed told us that they believe FCC\u2019s data overstate mobile LTE broadband availability on their lands. For example, a few representatives expressed concerns with the accuracy of the mobile data in areas with varied terrain, such as mountains and valleys. In comments to FCC, broadband providers have also raised concerns regarding the accuracy of the mobile coverage data generated by the Form 477 for the purposes of identifying areas eligible for funding through FCC\u2019s Mobility Fund Phase II program, which provides federal funding to increase mobile broadband services in unserved areas. In 2017, in response to such concerns, FCC reversed its prior decision to use the Form 477 data to identify specific areas eligible for federal funding through the Mobility Fund Phase II program. Instead, FCC undertook a one-time special data collection, for which it required providers to measure their coverage based on a common set of standards, in order to better identify unserved areas that would be presumptively eligible for funding. FCC plans to allow parties, including tribal governments, to challenge the data where they believe the data overstate mobile broadband coverage through August, 2018. Additionally, in an August 2017 Notice of Proposed Rulemaking, FCC requested comment on potential changes to modernize its Form 477 data collection, including whether it should require all providers to use a standardized method when submitting mobile coverage data on the form. FCC officials told us that they do not have a timeline for the development of a final rule, and as of August 2018, FCC had not yet issued a final rule on modernizing the Form 477."], "subsections": []}, {"section_title": "Fixed Broadband Data Collection", "paragraphs": ["The Form 477 collects fixed broadband data that are not sufficiently granular to accurately depict broadband availability on tribal lands. Specifically, FCC directs fixed broadband providers to submit a list of census blocks where service is available on the Form 477. FCC defines \u201cavailable\u201d as whether the provider does\u2014or could, within a typical service interval or without an extraordinary commitment of resources\u2014 provide service to at least one end-user premises in a census block. Thus, in its annual reports and maps of fixed broadband service, FCC considers an entire block to be served if a provider reports that it does, or could offer, service to at least one household in the census block. FCC does not define a typical service interval or an extraordinary commitment of resources in its Form 477 instructions. However, FCC officials stated that providers should not report service in areas in which major construction would be required to provide service. A few providers told us that the lack of clear guidance from FCC regarding how to determine where broadband is available has led different providers to interpret the Form 477 directions in different ways, which can affect the accuracy and consistency of reporting from provider to provider. For example, in a filing with FCC, one provider stated that it had misapplied the definition of \u201cavailable\u201d and, as a result, overstated the availability of its services by almost 3,000 census blocks. As shown in figure 5, FCC\u2019s definition of availability leads to overstatements of fixed broadband availability on tribal lands by: (1) counting an entire census block as served if only one location has broadband, and (2) allowing providers to report availability in blocks where they do not have any infrastructure connecting homes to their networks if the providers determine they could offer service to at least one household. Almost all the providers and private companies, and most of the representatives of tribal governments and organizations we spoke with told us that due to these issues, FCC\u2019s definition of availability results in data that overstate broadband availability.", "According to FCC officials, FCC requires providers to report fixed broadband availability where they could provide service within a \u201ctypical service interval\u201d and without \u201can extraordinary commitment of resources\u201d in order to: (1) ensure that it captures instances in which a provider has a network nearby but has not installed the last connection to the homes, and (2) identify where service is connected to homes, but homes have not subscribed. FCC officials also told us that FCC measures availability at the census block level because sub-census block data may be costly to collect. In 2013, FCC considered collecting more granular nationwide data on broadband deployment but decided against collecting these data because it determined that the burden would outweigh the benefit.", "However, FCC, tribal stakeholders, and providers have noted that FCC\u2019s approach leads to overstatements of availability. For example, in its 2017 Notice of Proposed Rulemaking on modernizing the Form 477 data collection, FCC acknowledged that by requiring a provider to report where it could provide service, it is impossible to tell whether the provider would be unable or unwilling to take on additional subscribers in a census block it lists as served. According to FCC, this limits the value of the data to inform FCC policies. In addition, several providers and tribal stakeholders we interviewed said that some \u201cdigital subscriber line\u201d (DSL) and fixed wireless providers may overstate their service areas on the Form 477 because they may not take into account technological or terrain limitations that would affect their ability to actually provide service. FCC has also recognized that by measuring availability at the census block level, not every person will have access to broadband in a block that the data show as served, and FCC has noted that in rural areas, such as tribal lands, census blocks can be large and providers may only deploy service to a portion of the census block. A few representatives for tribal governments and organizations noted that the use of census blocks may uniquely overstate broadband availability on tribal lands when census blocks contain both tribal and non-tribal areas, because availability in the non-tribal portion of the block can result in the tribal area of the census block also being counted as served.", "FCC is considering requiring providers to report whether they are willing and able to serve additional customers in a census block and collecting sub-census block data in its 2017 proposed rulemaking on modernizing the Form 477. About one-third of the parties that commented on FCC\u2019s proposals were not in favor of FCC collecting these more granular data on the Form 477, stating that the data would be less accurate and more burdensome for providers to collect and report, among other reasons, and questioned whether more detailed information on nationwide broadband availability is necessary. We heard similar concerns from a few of the providers and trade associations we interviewed. However, about one- third of the parties that commented on FCC\u2019s proposals were in favor of collecting more granular data, stating that such data would be more useful for policymakers and more accurate. Additionally, a few tribally owned and non-tribal providers we interviewed told us that providers already maintain data for business purposes that would allow them to report more granular information on broadband availability. One stakeholder we spoke with pointed out that, as the federal government and states work to ensure the last remaining unserved areas\u2014rural, low- population density areas including tribal lands\u2014have service, sub- census-block-level data are needed to ensure that governments are making wise and accurate investments."], "subsections": []}]}, {"section_title": "FCC Does Not Collect Data on Several Factors That Affect Broadband Access on Tribal Lands", "paragraphs": ["FCC does not collect information on several factors that FCC and tribal stakeholders have stated can affect broadband access. FCC and tribal stakeholders have noted that broadband access can be affected by factors such as the affordability and quality of the broadband services being offered, and the extent to which providers deny service to those who request it. By collecting and using data on factors that can affect broadband access, FCC would have more complete information on the extent to which Americans living on tribal lands have access to broadband Internet services.", "Affordability: FCC has noted that affordability of broadband services can affect broadband access but does not collect information on the cost of broadband service on tribal lands on the Form 477. For example, in the National Broadband Plan, FCC cited affordable access to robust broadband service as a long-term goal, and in its Strategic Plan 2018\u20132022, FCC acknowledged that affordability is an important factor affecting broadband access and a key driver of the digital divide. Moreover, most of the representatives of tribal governments and organizations we spoke to told us that the affordability of broadband services is an important factor for understanding whether or not people on tribal lands could realistically access broadband services. Tribal government officials from one tribe we spoke with told us that residents on their lands cannot access broadband because it is too costly. For example, a provider that advertises services on the tribe\u2019s land charges $130 per month for broadband services, approximately one-and-a-half times the average rate providers charge for comparable services in urban areas, according to FCC (see fig. 6).", "In the 2018 Broadband Deployment Report, FCC acknowledged that affordability can influence a consumer\u2019s decision on whether to purchase broadband, but FCC did not consider cost in its assessment of broadband access on tribal lands, stating that pricing does not go to the congressional requirement to assess deployment and availability in conducting its inquiry as required by Congress under section 706 of the Telecommunications Act and also citing a lack of reliable comprehensive data on this issue. In addition, FCC officials we interviewed acknowledged that while broadband service may be technically available, it may be prohibitively expensive for some, which may make availability alone an incomplete indicator of broadband access.", "Quality of Service: In the Telecommunications Act of 1996 Congress recognized the importance of service quality by defining advanced telecommunications capability as any technology that enables users to originate and receive high-quality voice, data, graphics, and video telecommunications. In keeping with this legislation, FCC has consistently set thresholds for speeds that qualify as broadband services and has stated that \u201clatency\u201d and consistency of service figure prominently into whether a broadband service is able to provide advanced capabilities and thus whether users can access high-quality telecommunications. Likewise, almost all of the representatives for tribal governments or organizations we interviewed told us that quality of service is a key component of access to broadband and that routine outages, slow speeds, and high latency keep people on tribal lands from consistently accessing the Internet. Most tribal stakeholders and a few providers we interviewed told us that factors such as terrain, weather, and type of technology can all affect the quality of service an end user receives and, ultimately, the subscribers\u2019 ability to access the Internet (see fig. 7). For example, some representatives of tribal governments and organizations told us issues like oversubscription\u2014 when a provider signs up more customers than its equipment can handle\u2014and outdated or limited infrastructure result in low-quality services that cannot support advanced and, in some cases, basic functions.", "Though FCC uses the Form 477 to collect some data on advertised speeds from providers, FCC does not collect data on actual speeds, service outages, and latency on the form. In its 2018 Broadband Deployment Report, FCC stated that it did not consider FCC data on actual speed, latency, or consistency of service when evaluating broadband access due to the lack of appropriate data. FCC noted that the lack of Form 477 data on actual speeds in particular constrained evaluation of mobile broadband access.", "Service Denials: FCC has recognized that information on denials of service is pertinent to understanding actual broadband access but does not collect data on service denials in the Form 477. Specifically, in the National Broadband Plan, FCC recommended that FCC collect data to determine whether broadband service is being denied to potential residential customers based on the income of the residents in a particular geographic area. Some representatives of the tribal governments or organizations told us that that they were aware of a provider denying service to residents of tribal lands, despite the provider reporting broadband availability on at least a portion of those lands, according to our analysis of the Form 477 data. These representatives told us that they believed service was denied because of disputes with the tribal government, low demand for service, or the high costs of extending services to the home on tribal lands. Some representatives of tribal governments or organizations we spoke with also told us that providers may have denied service because their equipment was at capacity and could not accommodate new users (see fig. 8).", "For example, on three of the tribal lands we visited, we observed fiber optic cable located close to government and residential structures that did not have broadband access via fiber. According to tribal government officials, despite the physical proximity of the fiber optic cable, the tribal government and residents could not access it because the provider was not offering service or was unwilling or unable to build to the structures. A few providers we interviewed stated that they may not provide services to individuals who request them because of high-costs, administrative barriers, or technical limitations. However, FCC does not collect data on service denials on the Form 477."], "subsections": []}, {"section_title": "FCC Uses Broadband Availability Data to Measure Broadband Access on Tribal Lands, Overstating Access on Tribal Lands", "paragraphs": ["In its Strategic Plan 2018\u20132022 and the National Broadband Plan, FCC identified increasing all Americans\u2019 access to affordable broadband as a long-term, strategic goal. Congress has similarly directed FCC to develop policies and programs aimed at increasing access to affordable broadband in all regions of the United States, including tribal lands, and required FCC to report annually on its progress. According to the Government Performance and Results Act (GPRA), as enhanced by the GPRA Modernization Act of 2010 (GPRAMA), agencies should use accurate and reliable data to measure progress toward achieving their goals. Additionally, Standards for Internal Control in the Federal Government state that agencies should use quality information\u2014 information that is complete, appropriate, and reliable\u2014to inform decision-making processes and evaluate the agency\u2019s performance in achieving goals. According to these standards, agencies should also communicate quality information externally to achieve the agency\u2019s goals.", "However, FCC has used its Form 477 data, which do not accurately or completely measure broadband access on tribal lands, as its primary source to evaluate progress toward FCC\u2019s strategic goal of increasing broadband access and to develop maps and reports intended to depict broadband access on tribal lands. For example, in its 2018 Broadband Deployment Report, FCC found that 64.6 percent of Americans residing on tribal lands have access to fixed broadband services. By using these data, FCC has overstated the extent to which Americans living on tribal lands can actually access broadband Internet services and FCC\u2019s progress toward increasing broadband access. As a result, the digital divide may appear less significant as a national challenge, and FCC and tribal stakeholders working to target broadband funding to unserved or underserved tribal lands will be limited in their ability to make informed decisions. This increases the risk that residents living on tribal lands will continue to lack broadband access. Some tribal officials stated that inaccurate data have affected their ability to plan their own broadband networks and obtain federal broadband funding, and most of the tribal stakeholders we interviewed identified a pressing need for accurate data on the gaps in broadband access on tribal lands in order to ensure that tribes can qualify for federal funding and to effectively target the areas that need it most. For example, representatives for one tribal government that is providing broadband services said the government will not be able to use a federal grant to build broadband infrastructure in areas of their reservation that lack access, because the Form 477 data overstate actual access on the tribe\u2019s land. As more than three quarters of the tribal governments we spoke to are working to provide broadband services on their lands in some capacity, overstating broadband access on tribal lands could affect the ability of a number of tribes to access federal funding to increase broadband access on their lands.", "As previously discussed, FCC is considering proposals to modify its Form 477 data collection as part of a 2017 Notice of Proposed Rulemaking, but FCC officials told us that the Commission does not have a timeline for issuance of a final rule. While some of FCC\u2019s proposals could help address some of the limitations identified above by, for example, collecting more granular nationwide broadband availability data, FCC has not addressed specifically the collection of more accurate and complete data on broadband access for tribal lands in this proceeding. FCC has identified the need to improve broadband data for tribal lands in particular, and as previously noted, in 2018 Congress directed FCC to develop a report evaluating broadband coverage in certain tribal lands and initiate a proceeding to address the unserved areas identified in the report. FCC officials told us that FCC has not determined how it will address this requirement, but it is currently considering its options, including potentially addressing the requirement as part of its ongoing proposed rulemaking on modernizing the Form 477 data collection. An evaluation of broadband coverage on tribal lands that relies on the current Form 477 data would be subject to the limitations described above, including the overstatement of broadband access on tribal lands.", "Additionally, FCC has demonstrated that it is possible in some circumstances to collect more granular data when such data collection is targeted to a specific need or area. For example, in 2017 FCC began requiring certain providers that receive funding through the Connect America Fund to report the latitude and longitude of locations where broadband is available, and FCC has noted that these more granular data are extremely useful to the Commission, especially for rural areas where census blocks can be quite large. A few large providers and trade associations similarly stated in public comments on FCC\u2019s proposed rulemaking to modernize the Form 477 process that FCC should target its collection of more granular broadband data to areas where the data are most likely to be overstated\u2014specifically, large, rural census blocks with low population densities, such as those on tribal lands. Additionally, as discussed above, FCC undertook a one-time special data collection for Mobility Fund II to ensure that the mobile broadband data it collected would be reliable for the intended use. By developing and implementing methods for collecting and reporting accurate and complete data on broadband access specific to tribal lands, FCC would be able to better identify tribal areas without access to broadband and to target federal broadband funding to the tribal areas most in need."], "subsections": []}]}, {"section_title": "FCC Does Not Have a Formal Process to Obtain Tribal Input on Its Broadband Data, and Tribal Stakeholders Reported a Lack of Provider Engagement", "paragraphs": [], "subsections": [{"section_title": "FCC Does Not Have a Formal Process to Obtain Tribal Input on Its Broadband Data", "paragraphs": ["FCC uses data submitted by broadband providers via the Form 477 process to develop maps and datasets depicting broadband services nationwide, and in specific locations, such as tribal lands, but does not have a formal process to obtain input from tribes on the accuracy of the broadband data. FCC\u2019s 2010 National Broadband Plan noted the need for the federal government to improve the quality of data regarding broadband on tribal lands and recommended that FCC work with tribes to ensure that any information collected is accurate and useful. It also noted that tribal representatives should have the opportunity to review mapping data about tribal lands and offer supplemental data or corrections. Similarly, federal internal control standards note the need for federal agencies to communicate with external entities, such as tribal governments, and to enable these entities to provide quality information to the agency that will help it achieve its objectives. FCC officials told us that they address questions and concerns regarding provider coverage claims submitted to the Office of Native Affairs and Policy, which will work with tribal governments to help them identify inaccurate broadband data for tribal lands, and share tribal questions and concerns with the appropriate FCC bureaus. However, FCC does not have a formal process for tribes (or other governmental entities) to provide input to ensure that the broadband data FCC collects through the 477 process, or the resulting maps that FCC creates to depict broadband on tribal lands, are accurate. Similarly, FCC does not use other methods to verify provider-submitted Form 477 data on tribal lands against other sources of information, such as on-site tests or data collected by other agencies.", "When discussing the lack of a formal process for tribal representatives or other governmental entities to provide feedback on the accuracy of the 477 broadband data, FCC officials noted that if consumers and local officials have information on individual locations that lack broadband service, such information does not indicate that the entire census block lacks broadband service. Additionally, FCC officials noted that providers attest to the accuracy of the data and that FCC staff validate the data by conducting internal checks to identify possible errors, such as unlikely changes in a providers\u2019 coverage area, and may follow-up with a provider to discuss such changes. However, these checks do not include soliciting input from tribes.", "About half of the tribal stakeholders we spoke to raised concerns that FCC\u2019s broadband deployment data rely solely on unverified information submitted by providers. Additionally, most tribal stakeholders we interviewed told us that consistent with the recommendations in the National Broadband Plan, FCC should work directly with tribes to obtain information from them to improve the accuracy of its broadband deployment data for tribal lands. These stakeholders identified several ways in which FCC could work with tribes on this issue, including: conducting on-site visits with tribal stakeholders to observe the extent to which broadband infrastructure and services are present; conducting outreach and technical assistance for tribal stakeholders to raise awareness and use of FCC\u2019s broadband data; and providing opportunities for the tribes to collect their own data or submit feedback regarding the accuracy of FCC\u2019s data.", "FCC\u2019s National Broadband Plan notes the importance of supporting tribal efforts to build technical expertise with respect to broadband issues, and federal internal control standards state that federal agencies should obtain quality information from external entities. Officials we interviewed in FCC\u2019s Office of Native Affairs and Policy told us that they provide some outreach and technical assistance to tribal officials at regional and national workshops, and FCC officials stated that they conducted specific outreach to tribal entities regarding the Mobility Fund Phase II challenge process, while, about half of the tribal representatives we spoke to stated that they were not aware of the Form 477 data or corresponding maps, or raised concerns about a lack of outreach from FCC to inform tribes about the data. Some tribal stakeholders stated that if FCC were to solicit tribal input as part of its verification of the broadband data and maps, technical training and assistance could help tribes use and provide feedback on the data, or improve the collection and submission of their own data. A few of the stakeholders we interviewed noted that tribes can face difficulties when they attempt to challenge FCC\u2019s broadband availability data. For example, in 2013, prior to the auction that distributed Tribal Mobility Fund Phase 1 support, FCC allowed interested parties to challenge FCC\u2019s preliminary determinations regarding which census blocks lacked 3G or better service and would be eligible for support in the auctions. However, all of the tribal entities that challenged the accuracy of FCC\u2019s data were unsuccessful in increasing the number of eligible areas. According to FCC officials, the tribal entities did not provide sufficient or sufficiently verifiable information to support their challenges. A few tribal stakeholders provided varying reasons for this, one of which was the need for more technical expertise to help the tribe meet FCC\u2019s requirements.", "Because FCC lacks a formal process to obtain tribal input on its broadband data, FCC is missing an important source of information regarding areas in which the data may overstate broadband service on tribal lands. Tribal stakeholders are able to provide a first-hand perspective on the extent to which service is available within their lands and the extent to which factors like affordability, service quality, and service denials affect residents\u2019 ability to access broadband. FCC plans to award nearly $2 billion in support from the Connect America Fund to areas that it has identified as lacking broadband, including tribal lands. Any inaccuracies in its broadband data could affect FCC\u2019s funding decisions and the ability of tribal lands to access broadband in the future. Additionally, in its 2017 report on tribal infrastructure, the National Congress of American Indians stressed the importance of including tribal governments in a leadership role with respect to collecting data on local infrastructure needs. Specifically, it stressed the need for the federal government to invest in tribal data systems and researchers to generate useful, locally specific data that can inform the development and implementation of infrastructure development projects and assess the effectiveness of those projects over time. By establishing a process to obtain input from tribal governments on the accuracy of provider- submitted broadband data that includes outreach and technical assistance, as recommended in the National Broadband Plan, FCC could help tribes develop and share locally specific information on broadband access, which would in turn improve the accuracy of FCC\u2019s broadband data for tribal lands. The success of such an effort may rely on the tribes\u2019 knowledge of, and technical ability to participate in, the process."], "subsections": []}, {"section_title": "Half of the Tribal Stakeholders We Interviewed Reported a Lack of Provider Engagement", "paragraphs": ["When discussing the need to improve data regarding broadband on tribal lands, FCC\u2019s 2010 National Broadband Plan recommended that FCC develop a process for tribes to receive information from providers about broadband services on tribal lands. In 2011, FCC required that Eligible Telecommunications Carriers (providers receiving Universal Service Funds from FCC) serving tribal lands meaningfully engage with tribes regarding communications services (including broadband). Specifically, the providers must file an annual report documenting that this engagement included a discussion of, among other things, a needs assessment and deployment planning for communications services, including broadband. FCC\u2019s 2012 guidance on fulfilling the engagement obligations, which FCC officials confirmed is still in effect, noted that the stated goal of the engagement requirement was to benefit tribal government leaders, providers, and consumers by fostering a dialogue between tribal governments and providers that would lead to improved services on tribal lands. The guidance further noted that the tribal engagement process \u201ccannot be viewed as simply another \u2018check the box\u2019 requirement by either party,\u201d and states that a provider should \u201cdemonstrate repeated good faith efforts to meaningfully engage with the tribal government.\u201d Finally, FCC noted in its 2012 guidance that the guidance would evolve over time based on the feedback of both tribal governments and broadband providers and that FCC would develop further guidance and best practices. This approach is consistent with federal internal control standards, which call for agencies to communicate with, and obtain quality information from, external parties.", "About half of the tribal stakeholders we interviewed raised concerns about difficulties accessing information from providers regarding broadband deployment on their tribe\u2019s lands, a key part of the provider engagement process, according to FCC\u2019s guidance. For example, a representative from one tribe stated that a provider declined his requests to meet more than once a year to discuss the provider\u2019s deployment of broadband services on the tribe\u2019s land. A representative from another tribal government stated that some providers are very focused and transparent about their broadband plans and work with the tribe, while other providers treat tribal engagement as a \u201cbox to check\u201d and send the tribe broadband deployment information that is not useful because it is redacted. Similarly, some tribal stakeholders stated that providers heavily redacted deployment information (which providers may consider proprietary) or required the tribe sign non-disclosure agreements to access deployment data. According to one tribal stakeholder, these non-disclosure agreements could possibly require tribes to waive tribal sovereign immunity in order to view the data.", "Some of the industry stakeholders we interviewed stated that they attempt to engage with tribes but the level of responsiveness from tribes varies. For example, some stakeholders stated that they send letters and do not hear back from tribes. One stakeholder stated that they make repeated attempts to contact tribes when they do not hear back after their initial contact, while another stated that a provider meets regularly with some tribes.", "Although FCC stated in its 2012 guidance that it would update the tribal engagement guidance and develop best practices based on feedback from tribal governments and broadband providers, it has taken limited steps to obtain such feedback from providers and tribal governments to determine whether its guidance is enabling meaningful tribal engagement. Additionally, FCC has not updated the guidance or issued best practices. Thus, FCC has limited information regarding whether its tribal engagement requirement is fulfilling its intended purpose. FCC officials we interviewed said that the Office of Native Affairs and Policy (ONAP) provided information and, in some cases, held training sessions about the tribal engagement obligation during workshops with tribal representatives, and encouraged representatives to contact ONAP with any concerns. ONAP officials also noted that they handle complaints from tribes regarding a lack of provider engagement and reach out to providers to address tribal concerns. ONAP officials stated that they have had internal discussions about whether the guidance is clear or needs revision, but this has not gone beyond internal discussions. A few of the tribal stakeholders provided examples of the benefits of providers engaging with tribes to ensure tribal representatives have access to information regarding broadband availability on their lands. For example, one representative stated that this information could help the tribes plan deployments by focusing on areas that they know the provider does not plan to serve. Another representative stated that tribal engagement could help improve the accuracy of FCC\u2019s broadband maps. By obtaining feedback from both tribal stakeholders and providers on the effectiveness of FCC\u2019s tribal engagement guidance to determine whether changes are needed, FCC would be better positioned to ensure that tribal governments and providers are sharing information in a manner that will lead to improved services on tribal lands."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FCC has collected data and developed maps and reports depicting broadband on tribal lands and has noted the lower levels of broadband access on tribal lands, in comparison to other areas. However, limitations in FCC\u2019s existing process for collecting and reporting broadband data have led FCC to overstate broadband access on tribal lands. By taking steps to address these limitations and to collect data that more accurately and completely depict broadband access on tribal lands, FCC would have greater assurance that it is making progress on reducing the digital divide on tribal lands and targeting broadband funding to tribal lands most in need. Without taking these steps, FCC increases the risk that residents living on tribal lands will continue to lack broadband access.", "Compounding the limitations in FCC\u2019s data collection process is FCC\u2019s lack of a formal process to obtain tribal input on the accuracy of provider- submitted broadband data for tribal lands. By developing a process to solicit tribal input and ensuring that tribes know about the process and are equipped with the technical skills and abilities necessary to provide this information, FCC would be better able to ensure the accuracy of its broadband data for tribal lands. Moreover, FCC would be able to obtain firsthand, locally specific information on broadband access that could inform FCC\u2019s policies and funding decisions and help FCC achieve its goal of increasing broadband access for all Americans, including those living on tribal lands. Finally, by obtaining feedback from providers and tribal stakeholders on the effectiveness of FCC\u2019s tribal engagement guidance, FCC would be better positioned to assess whether its guidance is helping providers meet requirements and ultimately whether providers\u2019 engagement is fulling its intended purpose of fostering a dialogue between tribal governments and providers that would lead to improved services on tribal lands."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following three recommendations to the Chairman of the Federal Communications Commission.", "The Chairman of the Federal Communications Commission should develop and implement methods\u2014such as a targeted data collection\u2014for collecting and reporting accurate and complete data on broadband access specific to tribal lands. (Recommendation 1)", "The Chairman of the Federal Communications Commission should develop a formal process to obtain tribal input on the accuracy of provider-submitted broadband data that includes outreach and technical assistance to help tribes participate in the process. (Recommendation 2)", "The Chairman of the Federal Communications Commission should obtain feedback from tribal stakeholders and providers on the effectiveness of FCC\u2019s 2012 statement to providers on how to fulfill their tribal engagement requirements to determine whether FCC needs to clarify the agency\u2019s tribal engagement statement. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FCC for review and comment. In written comments provided by FCC (reproduced in appendix III), FCC agreed with our findings and recommendations. In its written comments, FCC described efforts, some of which are already under way, that it felt would address each recommendation and stated its intent to build upon those efforts. For example, FCC explained that it is exploring methods to collect more granular broadband deployment data and noted the need to balance the burden on Form 477 filers. FCC also noted that it is starting work to address a statutorily-required evaluation of broadband coverage on certain tribal lands. We agree that increasing the granularity of deployment data is helpful in addressing data accuracy issues, but we also note that it is important to collect data related to factors that affect broadband access on tribal lands.", "FCC also described informal efforts to collect tribal feedback on providers\u2019 broadband data and stated it would explore options for a formal process to collect feedback. Regarding our recommendation related to providers\u2019 engagement efforts, FCC outlined its existing methods by which tribal stakeholders can provide feedback on providers\u2019 engagement efforts and agreed that seeking additional feedback from tribal stakeholders and providers would be desirable. We agree that improving feedback in these ways could help FCC determine whether it needs to clarify its tribal engagement statement. FCC also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Chairman of the Federal Communications Commission, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or GoldsteinM@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: List of Interviewees", "paragraphs": ["Appendix I: List of Interviewees Representatives from tribal governments or tribally owned broadband providers Choctaw Nation of Oklahoma (OK)", "Confederated Tribes of the Colville Reservation (WA)", "Fond du Lac Band of Lake Superior Chippewa (MN)", "Fort Belknap Indian Community (MT)", "Gila River Telecommunications, Inc. (AZ)", "Hopi Telecommunications, Inc. (AZ)", "Jamestown S\u2019Klallam Tribe (WA)", "Karuk Tribe (CA)", "Leech Lake Band of Ojibwe (MN)", "Makah Tribe (WA)", "Navajo Tribal Utility Authority (AZ, NM, UT)", "Nez Perce Tribe (ID)", "Osage Nation (OK)", "Pueblo of Acoma (NM)", "Pueblo of Pojoaque (NM)", "Pueblo of San Ildefonso (NM)", "Taos Pueblo (NM)", "Red Spectrum Communications (Coeur d\u2019Alene Tribe (ID))", "Saint Regis Mohawk Tribe and Mohawk Networks, LLC (NY)", "San Carlos Apache Telecommunications Utility, Inc. (AZ)", "Southern California Tribal Chairmen\u2019s Association - Tribal Digital Village Network (CA)", "Spokane Tribe of Indians and Spokane Tribe Telecom Exchange (WA)", "Standing Rock Telecommunications, Inc. (ND, SD)", "Warm Springs Telecommunications Co. (OR)", "Yurok Tribe and Yurok Connect (CA) Representatives from tribal associations/consortiums that include tribes Affiliated Tribes of Northwest Indians Middle Rio Grande Pueblo Consortium National Congress of American Indians Native American Finance Officers Association (NAFOA)", "REDINet Representatives from companies/academic groups that work with tribes AMERIND Risk Arizona State University, American Indian Policy Institute and School of Public Affairs Turtle Island Communications Representatives from providers/trade associations (non-tribally owned) AT&T Representatives from companies that collect broadband data Alexicon Connected Nation Government Agencies (non-tribal) Census Bureau U.S. Department of Agriculture\u2019s Rural Utilities Service Department of Interior\u2019s Bureau of Indian Affairs National Telecommunications and Information Administration Minnesota Office of Broadband Development One broadband provider we interviewed did not want to be included in this appendix."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report discusses the extent to which: (1) the Federal Communications Commission\u2019s (FCC) approach to collecting broadband availability data accurately captures the ability of Americans living on tribal lands to access broadband Internet services and (2) FCC obtains tribal input on the accuracy of provider-submitted broadband data for tribal lands.", "To address both objectives, we analyzed FCC\u2019s December 2016 fixed and mobile broadband availability data\u2014the most recent data at the time of our review\u2014to identify the speeds, technologies, and availability providers reported for federally recognized tribal lands. Providers currently report this information to FCC by filing a \u201cForm 477,\u201d twice a year. We also used 2010 U.S. Census data to identify census blocks completely or partially on tribal lands. To assess the reliability of FCC\u2019s data and 2010 U.S. Census data, we reviewed a previous GAO reliability assessment, and for FCC\u2019s data we conducted electronic testing and analysis of the data, reviewed FCC guidance and documentation, and interviewed FCC officials. Based on the results of our analysis, we determined the data to be reliable for our purposes, which were: (1) to inform our selection of tribal governments and providers for interviews and visits, as described below, and (2) to develop maps depicting fixed and mobile broadband availability for the nine tribal lands we selected for visits, in order to obtain tribal representatives\u2019 feedback on the data. Specifically, we mapped; fixed broadband data according to speed and technology, and mobile data for long-term evolution (LTE) services by provider for each tribal land.", "We used those maps during our visits to discuss the accuracy of the data with representatives for each tribal government or tribally owned provider. Though we analyzed all up and download speeds that providers reported in the Form 477, for the purposes of this report we defined \u201cbroadband\u201d as fixed Internet service reaching at least 25 megabits per second (Mbps) download and 3 Mbps upload speeds, in accordance with FCC\u2019s advanced telecommunications capability benchmark in its 2018 Broadband Deployment Report. We also report on the availability of mobile broadband, which, for the purposes of this report, does not have a speed threshold and refers to long-term evolution (LTE) services.", "To address both objectives and obtain tribal government representatives\u2019 feedback on the accuracy of FCC\u2019s broadband data for their lands, we interviewed representatives from 25 tribal governments or tribally owned providers, including visits to 9 tribal lands. We considered a range of factors when we selected tribal governments and tribally owned providers for interviews, including our analysis of Form 477 data, recommendations from tribal, industry, or government stakeholders regarding tribal and non- tribal representatives familiar with broadband data issues, and demographic and geographic characteristics, among others. For example, we considered demographic characteristics such as unemployment rate from the 2011\u2013 2015 American Community Survey data, and geographic characteristics such as rurality from the United States Department of Agriculture (USDA) Rural-Urban Commuting Area Codes data. The tribes included in our review vary with respect to location, level of broadband availability according to FCC, land mass, and population size and density. The results of our interviews are not generalizable to all tribal governments or tribally owned broadband providers. In addition to tribal governments and tribally owned providers, we interviewed six tribal organizations and four stakeholders who work with tribes on broadband issues. For reporting purposes, we developed the following series of indefinite quantifiers to describe the tribal responses from the 35 entities representing tribal stakeholders we interviewed:", "3 to 7 is defined as \u201ca few;\u201d", "8 to 15 is described as \u201csome;\u201d", "16 to 20 is described as \u201cabout half;\u201d", "21 to 27 is described as \u201cmost;\u201d and", "28 to 34 is described as \u201calmost all.\u201d", "A full list of the tribal stakeholders we interviewed can be found in appendix I.", "Further, to obtain industry perspectives, we reviewed public comments submitted by providers and industry associations in FCC\u2019s ongoing 2017 Notice of Proposed Rulemaking on Modernizing the Form 477 Data Program. We also interviewed 10 non-tribally owned fixed and mobile broadband providers and three industry associations to understand providers\u2019 views on the Form 477 and how providers interact with tribal governments. When selecting providers for interviews, we included providers that reported serving the lands of tribal governments we interviewed and selected providers that varied in the percentage of tribal lands they reported serving. The providers we interviewed represent large, nationwide carriers as well as small, local carriers, and offer broadband via a variety of technologies, including fiber optics, digital subscriber line (DSL), fixed wireless, and mobile LTE. The results of our interviews with providers are not generalizable to all broadband providers. In addition, to address both objectives, we interviewed representatives from other government entities, as well as private companies that collect and report broadband data. A full list of the industry stakeholders we interviewed can be found in appendix I.", "To identify the extent to which FCC\u2019s approach to collecting broadband availability data reflects the ability of Americans living on tribal lands to actually access broadband Internet services, we reviewed documentation of the Form 477 process, including submission guidance, and FCC\u2019s proposals and public comments in its 2017 Notice of Proposed Rulemaking on Modernizing the Form 477 Data Program and Mobility Fund Phase II proceedings. We also interviewed FCC officials, industry stakeholders, and tribally owned broadband providers to understand FCC\u2019s current process for collecting broadband data. To understand the purpose of the Form 477 data collection process and FCC\u2019s strategic goals, we reviewed relevant statutes, and FCC documents, including FCC\u2019s Strategic Plan 2018\u2013\u20132022, the National Broadband Plan, and FCC\u2019s broadband deployment and progress reports. Given the importance placed on broadband access in these documents, we interviewed tribal stakeholders, as described above and reviewed FCC documents to identify factors affecting the ability of Americans living on tribal lands to access broadband Internet services. We also reviewed previous GAO work that identified barriers to broadband access on tribal lands. We compared the Form 477 process to FCC\u2019s strategic goals and to factors affecting broadband access to determine the extent to which the Form 477 was designed to collect information on those factors and to meet FCC\u2019s goals. We further evaluated this information against the Government Performance and Results Act, as enhanced by the GPRA Modernization Act of 2010 and Standards for Internal Control in the Federal Government. We also reviewed documentation for other FCC data collection programs, including the Measuring Broadband America program and the Urban Rate Survey, to determine the extent to which FCC collected data on factors affecting broadband access outside of the Form 477 process.", "To determine the extent to which FCC obtains tribal input on the accuracy of provider-submitted broadband data for tribal lands, we interviewed FCC officials and analyzed FCC documents regarding the collection procedures for the Form 477 data and FCC\u2019s policies for working with tribal governments, as well as Connect America Fund documents regarding requirements for providers to share information with tribal governments. We also reviewed documents on past FCC Universal Service Fund processes to challenge broadband data and identified prior instances in which tribal governments or tribally owned providers challenged FCC\u2019s broadband data and the outcomes of those challenges. Additionally, we interviewed tribal stakeholders, as described above, to understand the extent to which: (1) FCC involves tribal governments and other stakeholders in the validation of Form 477 broadband data, (2) tribal governments can access broadband data from FCC or providers, and (3) FCC\u2019s Form 477 data accurately reflected broadband access on their lands. For the nine tribal lands we visited, we asked tribal governments or tribally owned providers to identify where the data do or do not accurately reflect broadband access on maps of FCC\u2019s data. Further, to identify how providers complied with FCC\u2019s tribal engagement requirement and obtain their perspectives, we interviewed providers and industry associations. We compared FCC\u2019s data validation procedures and tribal stakeholders\u2019 feedback on the process to FCC\u2019s policies for working with tribal governments, FCC recommendations from the National Broadband Plan and Standards for Internal Control in the Federal Government. We also interviewed and received written comments from officials from other federal agencies that have broadband programs, including USDA Rural Utilities Service, the National Telecommunications and Information Administration (NTIA), and others, in addition to a state agency and three private companies that collect and report broadband data to understand how other entities collect and validate broadband data.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Comments from the Federal Communications Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Mark L. Goldstein, (202) 512-2834 or GoldsteinM@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Keith Cunningham (Assistant Director); Crystal Huggins (Analyst in Charge); Katherine Blair; Lilia Chaidez; Camilo Flores; Adam Gomez; Serena Lo; Jeffery Malcolm; John Mingus; Joshua Ormond; Jay Spaan; James Sweetman, Jr.; Elaine Vaurio; and Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Federal Communications Commission collects data on where broadband (high-speed) Internet access is available in the U.S. This access aids economic growth and education.", "Residents of tribal lands have lower levels of broadband Internet access relative to the U.S. as a whole, but the digital divide may be greater than currently thought. FCC data overstated tribes' broadband availability and access to broadband service. These overstatements limit FCC and tribal users' ability to target broadband funding to tribal lands.", "We made three recommendations to FCC to improve the accuracy of its broadband data and better engage tribes."]} {"id": "GAO-18-467", "url": "https://www.gao.gov/products/GAO-18-467", "title": "Defense Contracts: DOD Should Develop a Strategy for Assessing Contract Award Time Frames", "published_date": "2018-07-16T00:00:00", "released_date": "2018-07-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD's contracting process is designed to protect taxpayers' interests, among other things, and can take time. DOD leadership and contractors have expressed concern about the length of time to award contracts and DOD has proposed reducing that time.", "GAO was asked to evaluate the length of time to award weapon systems contracts. This report examines (1) DOD's efforts to determine the time it takes to award contracts; (2) data on the time interval from solicitation to contract award for selected contracts; and (3) factors identified as contributing to contract award time frames.", "GAO used the Federal Procurement Data System-Next Generation to identify new weapon systems-related contracts awarded in fiscal years 2014 through 2016, valued over $5 million, among other factors. GAO selected a nongeneralizable sample of 129 contracts at four DOD components with the highest total dollar value and highest number of contracts from those fiscal years for further analysis. GAO analyzed contract documentation and surveyed contracting officials on a subset of contracts to determine the factors affecting the time between solicitation issuance and award."]}, {"section_title": "What GAO Found", "paragraphs": ["Although the Department of Defense (DOD) has proposed reducing the time it takes to award contracts related to weapon systems, the department has a limited understanding of how long it currently takes and therefore lacks a baseline to measure success. The DOD components GAO reviewed\u2014Air Force, Army, Defense Logistics Agency, and Navy\u2014collect data on their time frames for awarding contracts. However, they do so in different ways in the absence of a DOD-wide strategy for what information should be collected. For example, the Air Force measures the time to award beginning with solicitation issuance, while the other components use a different starting point. As a result, information the components collect is not comparable and is of limited use for understanding contract award time frames department-wide. Determining what information is needed to monitor time taken to award contracts consistently across components should help DOD assess its progress toward reducing the time.", "GAO analyzed the time from solicitation issuance to award for 129 weapon systems-related contracts and found it ranged from less than a month to over 4 years. Although some DOD and industry officials stated that contract value could affect contract award time frames, GAO observed a wide range of time intervals and did not observe any patterns based on this characteristic. (See figure below.)", "According to DOD contracting officials GAO surveyed, factors that can help reduce\u2014or, alternatively lengthen\u2014the time between when a solicitation is issued to when a contract is awarded include a decision to make the contract award an office priority and how quickly contractors respond to requests for additional information after initial proposals are received."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD develop a strategy that identifies the information it needs to collect and how it will use the information to assess contract award time frames. DOD concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) uses contracts to procure many different types of supplies and services\u2014including weapon systems. Because DOD spends billions of dollars annually to support the warfighter\u2019s missions, having an efficient contract award process is critical. DOD leadership, as well as contractors, has expressed concern about the length of time it takes to award contracts, and Congress has directed DOD to take steps to define and report on these times. DOD leadership has also proposed reducing that time.", "You asked us to review the time frames involved in awarding weapon systems-related contracts. This report examines (1) DOD\u2019s efforts to determine the time it takes to award weapon systems contracts; (2) what available data show regarding the time between solicitation issuance and award for selected weapon systems-related contracts; and (3) factors identified as contributing to contract award time frames. For the purposes of our review, we considered the time it takes to award contracts as the time from solicitation issuance through contract award.", "To examine DOD\u2019s efforts to determine the time it takes to award contracts, we selected four DOD components (Air Force, Army, Defense Logistics Agency, and Navy) based on the highest total number of contracts awarded and highest total contract value. We analyzed DOD and component-level guidance, policies, memorandums, and studies on the contract award process. We interviewed acquisition officials at DOD and the selected components regarding data related to the time to award contracts, such as quarterly or monthly management briefings.", "To examine what available data show regarding the time between solicitation issuance and award, we used the Federal Procurement Data System-Next Generation (FPDS-NG) to identify newly awarded DOD weapon systems-related contracts from fiscal years 2014 through 2016, with a contract value of $5 million or more, among other factors. From the selected components, we selected contracts from the largest commands (Air Force Materiel Command, the Army Contracting Command, Defense Logistics Agency-Aviation, the Naval Air Systems Command, and the Naval Sea Systems Command) based on the highest total number and highest total value of the contracts awarded. We identified a nongeneralizable selection of 129 new contracts awarded at these five commands. We verified the contract data in the contract documentation based on value, extent competed, and contract type, and compared the data reported in FPDS-NG. We determined that the FPDS- NG data were sufficiently reliable for identifying and analyzing the nongeneralizable sample of contracts.", "To identify factors that affected the time it took DOD commands to award weapon systems-related contracts, we randomly selected a nongeneralizable sample of 60 contracts, which is a sub-set of the 129 selected contracts, for a more in-depth web-based survey of contracting officials, such as contracting officers or contracting specialists. Our analysis is based on 37 eligible responses from the 60 contracts we surveyed. We then selected 7 of the 37 surveyed contracts as case studies to assess how the various factors affected the contract award time frames. For the 7 case studies, we reviewed contract documentation and conducted interviews with available contracting officials, program office officials, and contractor representatives. For additional information on our scope and methodology, see appendix I.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD\u2019s contracting process\u2014governed by laws and regulations\u2014seeks to promote competition, be transparent in conducting business and ultimately satisfy DOD users in terms of cost, quality, and timeliness to protect taxpayers\u2019 interests. DOD\u2019s acquisition process begins at the point when agency needs are established; it includes requirements development and acquisition planning, a process for awarding contracts, and contract administration. While we recognize that requirements development and acquisition planning can affect the time it takes to award a contract, this review focuses on the time from solicitation issuance to contract award. An overview of competition in contracting, contract phases, and DOD initiatives follows."], "subsections": [{"section_title": "Competition", "paragraphs": ["Federal statutes and the Federal Acquisition Regulation (FAR) generally require that federal agencies award contracts through full and open competition, but recognize that such competition is not always feasible or desirable, and authorize the use of other than full and open competition under certain conditions. The exceptions include: only one responsible source exists and no other supplies or services will satisfy agency requirements; unusual and compelling urgency exists; or when authorized or required by statute (for example, statutorily allowed sole-source awards to small businesses).", "Even when using other than full and open competition, agencies must solicit offers from as many potential sources as is practicable. Generally, contracts awarded using other than full and open competition must be supported by written justifications and approvals that contain sufficient facts and rationale to justify the use of the specific exception to full and open competition. The approval level for these types of contracts varies according to the dollar value of the procurement."], "subsections": []}, {"section_title": "Contract Phases We Identified", "paragraphs": ["The acquisition planning phase includes pre-solicitation activities such as market research and defining requirements, among others. We identified four contract phases subsequent to acquisition planning: solicitation, initial evaluation, discussion/negotiation, and contract award. See figure 1.", "Solicitation: Agencies solicit offers from prospective contractors by issuing a request for proposals. The request for proposals informs the prospective contractors of the government\u2019s requirements, the anticipated terms and conditions that will apply to the contract, the information required in a proposal and, in a competitive acquisition, the factors used to evaluate proposals and their relative importance. Those who wish to respond must submit their proposal to the government office in the time and manner stated in the request for proposals. We consider the solicitation phase to begin with solicitation issuance and end at the deadline to submit the initial proposals.", "Initial Evaluation: Proposal evaluation is an assessment of the proposals and the offerors\u2019 ability to perform the prospective contract successfully. For example, proposals undergo technical evaluation to determine offerors\u2019 ability to meet the technical requirements and cost or price evaluation to determine whether the price is fair and reasonable. Agencies also evaluate proposals when using other than full and open competition as part of agency preparation for negotiation with the offerors. We consider the evaluation phase to begin when contractors submit initial proposals and to end once government contracting personnel receive approval to enter into negotiations or discussions.", "Discussion/Negotiation: Negotiations are exchanges, in either a competitive or sole-source environment, between the government and offerors that are undertaken with the intent of allowing the offerors to revise the proposals. Negotiations allow the offerors to address any concerns with the proposals or provide additional information on relevant past performance, among other things. We consider this phase to start when the contracting officer receives approval to enter into negotiations and end when contracting personnel receive approval to award the contract.", "Contract Award: We consider the contract award phase to start when the approval to award the contract is given and end when the contracting officer signs the contract."], "subsections": []}, {"section_title": "DOD Initiatives: Source Selection Procedures and Peer Reviews", "paragraphs": ["The following DOD initiatives identify certain tasks that contracting officials should address between solicitation issuance and contract award:", "Source Selection Procedures: DOD updated its source selection procedures in April 2016 to help standardize the process to deliver products at the best value. These procedures outline a common set of principles and procedures for conducting acquisitions in accordance with applicable statutes and regulations. Unless waived, the source selection procedures apply to all acquisitions conducted as part of a major system acquisition and all competitively negotiated acquisitions with an estimated value of more than $10 million.", "Peer Reviews: The Office of Defense Procurement and Acquisition Policy is responsible for all pricing, contracting, and procurement policy matters within DOD and has required peer reviews of certain DOD acquisitions since 2009. The office currently conducts peer reviews for all procurements with an estimated value of over $1 billion and for noncompetitive procurements for new contract actions valued at $500 million or more. The office generally conducts peer reviews prior to issuance of the solicitation, prior to request for final proposal revisions, and prior to contract award, as well as periodic post-award reviews. Peer review teams include contracting officials from the military departments and defense agencies as well as legal advisors. For acquisitions below $1 billion, the military components must establish their own policies for conducting reviews based on expected acquisition value and the extent of competition."], "subsections": []}]}, {"section_title": "DOD Components Have Taken Steps to Track the Time Frames for Awarding Contracts, but DOD Does Not Have a Strategy for Assessing the Information", "paragraphs": ["DOD components in our review have efforts underway to track and reduce the time to award contracts, but these efforts are not coordinated across the department. The DOD components collect information on the time to award contracts, but differ on what information they collect and how they use it. DOD is taking a number of actions to understand the information the components collect such as determining what events are tracked, but DOD does not have a department-wide strategy for collecting and assessing the components\u2019 information. DOD has proposed reducing how long it takes to award contracts."], "subsections": [{"section_title": "DOD Components Collect Varying Levels of Information about the Time Frames for Awarding Contracts", "paragraphs": ["Each component we reviewed collected information on the length of time to award certain contracts, but the information varied. The differences include: (1) the types of contract actions tracked; (2) the start of the period measured; (3) whether components track interim dates between solicitation issuance and award; and (4) how goals to reduce the length of time are determined. For example, the Air Force limits its scope to discrete contract value ranges while the other components include broader dollar ranges. The components also use different starting points to measure the time frames. For example, the Army Contracting Command currently tracks time starting from the submission of an adequate requirements package to contracting officials, which occurs before solicitation issuance. The Air Force, however, tracks how long it takes to award a contract starting from solicitation issuance. The selected components in our review also differ in collecting data for interim phases of the contract award process\u2014such as evaluation or negotiation. Both Navy commands capture multiple data points, such as when negotiations begin, among other events, but there is no common practice for including certain data across the commands that is provided to DOD. Table 1 shows the broad categories of information collected.", "Concerns within the Air Force about the length of time taken to award contracts led to a process, begun in 2014, for tracking award times for sole-source contracts, including identifying practices and procedures that contributed to the time, according to Air Force contracting officials. The officials stated that this effort helped to reduce the average time to award sole-source contracts between $50 million and $500 million from about 16 months in fiscal year 2014 to about 12 months in fiscal year 2017. Air Force officials attributed the reductions in time to various streamlining initiatives, such as asking for contractors\u2019 feedback on draft solicitations and clarifying as needed.", "Beginning with new contracts awarded in fiscal year 2014, the Air Force collected information on sole-source contracts between $50 million and $500 million. In early fiscal year 2018, the Air Force expanded its data collection to include competitive contracts from $50 million to $1 billion.", "The Air Force tracks the time starting from solicitation issuance to contract award. It also tracks interim phases of contract awards such as the start of evaluation or negotiation.", "According to Air Force officials, they establish fiscal year goals to measure progress based on the average of schedule dates.", "The data for both the sole-source contracts and now the competitive contracts are collected through a manual data call and are entered into a spreadsheet. The data are reported to the Office of the Assistant Secretary of the Air Force for Acquisition."], "subsections": [{"section_title": "Army", "paragraphs": ["In November 2017, the Deputy Assistant Secretary of the Army (Procurement) called for the formation of an Army-wide team to examine approaches for improving procurement time frames similar to one already underway at the Army Contracting Command. The command began tracking the lengths of time to award contracts in 2015, and expanded the effort across the command in January 2017. The Army Contracting Command:", "Tracks all procurements based on dollar thresholds, dividing the contracts by competitive and non-competitive actions.", "Tracks the time from the receipt of the requirements package to contract award. The process does not capture interim phases of contract award such as the start of evaluation or negotiation.", "Establishes goals by averaging historical data. For instance, a competitively awarded contract between $50 million and $250 million is estimated to take 600 days. Army officials stated that they track actual performance against their goals on a quarterly basis.", "Collects data through its Virtual Contracting Enterprise system, which includes electronic contract files that can be used to obtain contract data such as solicitation issuance date. The command computes averages by aggregating the data by dollar threshold, contracting organization, and portfolios\u2014such as weapon systems or services contracts."], "subsections": []}, {"section_title": "Defense Logistics Agency", "paragraphs": ["In November 2014, the Defense Logistics Agency examined awards from 2011 to 2013 to determine areas to focus on to make the contract award process more efficient. Defense Logistics Agency contracting officials stated that they have reduced the award time since they began their assessment by streamlining their procedures. The agency:", "Collects contract data for all of its procurements.", "Measures the time period from receipt of purchase requirement package to contract award, but not the phases in between solicitation and contract award\u2014such as evaluation or negotiation.", "Establishes a goal based on historical averages for the various contract types, such as long-term contracts or delivery orders, in order to aggregate contracts with similar characteristics. The agency varies the goals according to the kind of contract, such as those using simplified acquisition procedures or larger value contracts. For example, the Aviation command\u2019s goal is to award contracts that require certified cost or pricing data with a period of performance that exceeds 3 years within 315 days for fiscal year 2018. For those contracts that do not require certified cost or pricing data, the goal is 215 days.", "Collects contract data using its contract management systems, continues to assess whether it is meeting timeliness goals on a monthly basis, and revises goals each fiscal year to reflect changes in trends and volume of contract actions."], "subsections": []}, {"section_title": "Navy", "paragraphs": ["Starting in May 2015, the Navy contracting commands presented data quarterly on execution of contracts and areas for improvement within the contract award process to the Office of the Assistant Secretary of the Navy, (Research, Development, and Acquisition) in response to concerns about the length of time for contract awards. The Navy commands we selected have made efforts to identify bottlenecks within the contract award process. For example, their analysis of the data highlighted the timeliness and quality of the procurement request as a common issue among the Navy contracting commands as well as the justification and approval cycle for sole-source awards. The analyses also included areas for improvement during the process, such as improving guidance and training for technical evaluation teams and exploring opportunities to streamline or waive some peer reviews.", "Naval Air Systems Command piloted the Procurement Management Tool in fiscal year 2013. The Procurement Management Tool is an electronic system to collect information on contracts, which allows contracting officials to forecast and manage procurement time frames. The system:", "Maintains data from all of the Naval Air Systems Command\u2019s contracts, starting from acquisition planning (pre-solicitation efforts), in addition to various interim dates such as proposal receipt. The tool allows contracting officials to compare planned, revised, and actual dates.", "Tracks the overall length of time to award contracts. Navy contracting officials said they use the planned dates as the baseline to compare to the actual dates to determine the variance. Their goal is to reduce the variance between the dates.", "Uses data from the Command\u2019s contract writing systems, but updates are done manually. Data are made available to Naval Air Systems Command officials and provide them a high-level view of the cost and cycle time drivers that may be selected for further investigation. Reports can be generated at any time, on an as- needed basis.", "Naval Sea Systems Command, starting in 2005, conducted analyses on the contract award phases that were used to identify problem areas that added time beyond what was anticipated. The analyses also capture data from entities outside of the contracting office, such as program offices. Naval Sea Systems Command has used the analyses to implement streamlining initiatives as well as establish performance measures to assess progress on a quarterly basis. A Naval Sea Systems Command official told us that the command has reduced the average length of time to award contracts above $750,000. Specifically, for competitive contracts, the average was reduced from 467 days to 387 days (about 18 percent), and for sole- source contracts the average was reduced from 336 to days to 278 days (about 18 percent) from fiscal year 2013 through fiscal year 2017.", "The Naval Sea Systems Command tracks its contracts valued at $750,000 or greater using an electronic data base\u2014E-milestone\u2014 to collect contract information. The data base collects information starting from pre-solicitation efforts, which includes the purchase request to contract award. The system includes interim dates within the contract award process, such as the beginning of evaluation.", "Contracting officials are responsible for capturing both planned and actual dates in the system. Analysis of the variation between the planned and actual dates can be used to identify areas where difficulties occur.", "Command officials stated that their goal is to reduce the variance between the planned and actual dates. The system reports performance metrics monthly to program executive offices as well as to higher offices. The metrics the command collects reveal acquisition process bottlenecks and facilitate corrective action and acquisition streamlining."], "subsections": []}]}, {"section_title": "DOD Has Proposed Reducing the Length of Time to Award Contracts but Does Not Yet Have a Strategy for Assessing the Information Components Collect", "paragraphs": ["According to Defense Procurement and Acquisition Policy officials, DOD is taking steps to address its concerns about the time to issue sole-source contract awards for major weapon systems. DOD has proposed reducing this time by 50 percent over a 3-year period, as measured from the receipt of the requirements to contract award. DOD officials also plan to expand this effort to include competitively awarded contracts.", "While DOD has proposed reducing the length of time to award contracts by as much as 50 percent, according to DOD officials, it does not have a department-wide strategy for the information components are to collect and report because it has not defined what is to be measured. Internal control standards for the federal government state that management should use relevant information to make informed decisions and evaluate an agency\u2019s performance in achieving key objectives and establish a baseline as a measure to assess progress in achieving its goals.", "As discussed above, DOD components have made some efforts to collect information to understand the length of time to award contracts for their own management purposes. Since the components differ on when they start measuring the time to award contracts and whether they collect data on interim dates between solicitation issuance and contract award, it is difficult for DOD to ensure that the data from the various components are comparable and comprehensive. This issue was highlighted in the National Defense Authorization Act for Fiscal Year 2018, which contained a provision for DOD to develop a definition of \u201cprocurement administrative lead time\u201d to be used throughout the department and a plan for measuring and publicly reporting data on procurement administrative lead time. DOD proposed a definition for the procurement administrative lead time as the time between the date on which DOD issues the initial solicitation for a contract or task order and the date of the award in a February 2018 notice in the Federal Register. The proposed definition applies to DOD contracts and task orders above the Simplified Acquisition Threshold. In addition to issuing the Federal Register notice, Defense Procurement and Acquisition Policy officials have started working with the military components (Army, Navy, and Air Force) to understand the information they have on the time frames for awarding contracts. Further, DOD officials stated that they are starting to identify events common across the components, relative to contract award time frames. According to DOD officials, DOD plans to include pre-solicitation events and some interim events between solicitation issuance and contract award in its DOD-wide data collection efforts. Because DOD\u2019s efforts are in the early stages, they have not established which specific events to measure and how they will use the information collected. Without a strategy for data collection and assessment, DOD will be limited in its ability to assess progress toward achieving its proposed goal and addressing challenges across components."], "subsections": []}]}, {"section_title": "Most of the Selected Weapon Systems- Related Contracts Were Awarded within a Year", "paragraphs": ["Our review of a nongeneralizable selection of 129 weapon systems- related contracts had a wide range of time intervals from solicitation issuance to award. The time intervals from solicitation to award ranged from less than a month to more than 4 years, with a median of about 9 months. Based on our analysis, 88 of the 129 contracts were awarded less than a year from the solicitation issuance date, while 38 were awarded between 1 and 2 years. The remaining 3 selected contracts took more than 2 years to award. We analyzed the time taken to award contracts based on three characteristics identified by some DOD officials and contractor representatives that may affect the time taken to award contracts: contract value, extent competed, and contract type. We did not observe any patterns based on these characteristics. The results of our analysis are as follows."], "subsections": [{"section_title": "Contract Value", "paragraphs": ["We found a wide range of time intervals for the 129 contract awards we reviewed, which ranged from about $5 million to over $12 billion. We observed that both shortest and the longest time intervals from solicitation to contract award were for contracts valued under $50 million. One of the two contracts that were awarded within 20 days had a contract value of about $7 million for commercial software services. Figure 2 summarizes information on the time interval based on contract value."], "subsections": []}, {"section_title": "Extent Competed", "paragraphs": ["DOD contracting officials and industry representatives we interviewed stated that contracts awarded using full and open competition could have a longer time interval than contracts awarded using other than full and open competition due to the need to evaluate proposals from multiple offerors. Twenty-seven of the 129 contracts in our review used full and open competition, and the remaining 102 contracts used other than full and open competition. Based on our analysis, roughly two-thirds of the selected contracts in either group took less than 1 year to award. Specifically:", "Eighteen of the 27 selected contracts awarded using full and open competition were awarded within a year of solicitation issuance, and the remaining 9 were awarded between 1 and 2 years.", "Seventy of the 102 selected contracts awarded using other than full and open competition were awarded within a year and 29 of the 102 were awarded between 1 and 2 years."], "subsections": []}, {"section_title": "Contract Type", "paragraphs": ["DOD contracting officials and industry representatives we interviewed asserted that firm-fixed-priced contracts would generally take a shorter amount of time to award. For example, Navy contracting officials told us that other than firm-fixed-priced contracts\u2014such as contracts with award or incentive fees\u2014could take longer to award because the government would need to negotiate the fee structure with the contractor. We found a wide range of time intervals based on contract type. Roughly two-thirds of the 129 selected contracts were awarded in less than 1 year regardless of contract type. Specifically:", "Thirty-eight of the 53 firm-fixed-price contracts were awarded within a year of when the solicitation was issued and 50 of the 76 other contracts were awarded within a year of solicitation issuance."], "subsections": []}]}, {"section_title": "Survey Respondents Identified Several Factors Affecting the Time Frame for Awarding Contracts", "paragraphs": ["The results of our survey of contracting officials for 37 contracts showed that contracting officials cited a number of factors\u2014such as the quality of the proposal\u2014that helped reduce or increase the time to award the selected contracts. They did not identify any one factor that consistently affected the time to award. Officials for more than half of the contracts reported needing more time to award the contracts than they initially anticipated."], "subsections": [{"section_title": "Survey Respondents Reported that Most of the Contracts Took Longer than Anticipated to Award and Identified Various Factors That Affected Overall Length of Time to Award Contracts", "paragraphs": ["DOD contracting officials we surveyed for 23 of 37 contracts reported needing more time to award their contract than anticipated at the time they issued their solicitation. Table 2 summarizes how respondents in our survey characterized differences between the anticipated contract award date and the actual date.", "DOD contracting officials cited the decision to make the award an office priority and contractor responsiveness as factors helping to decrease the overall time. In addition, contracting officials for four contracts awarded using full and open competition cited receiving waivers or deviations from relevant federal and service-level acquisition regulations as a factor that reduced the time. In case study interviews, contracting officials for two of these four contracts added that peer review waivers and delegation of the decision authority level to a lower level helped decrease the overall time. According to these contracting officials, they received these waivers because the procurements were considered low risk since the requirements that the offerors needed to meet were straightforward. DOD policy officials said peer review waivers are infrequently requested and granted on case-by-case bases. According to these officials, as of March 2018, 14 peer review waivers had been requested since fiscal year 2016 and all of them were granted.", "In contrast, contracting officials responding to our survey cited several factors that lengthened the time for contracts that were awarded later than anticipated. For example, in the solicitation phase, contracting officials for contracts awarded using full and open competition cited the lack of quality of the solicitation as a factor that lengthened the time needed, while contracting officials for contracts awarded using other than full and open competition cited the contractor\u2019s inability to provide a timely proposal and government changes in requirements. In an Air Force cost-plus-award-fee contract awarded using other than full and open competition for a ballistic missile-related system valued over $400 million, a contracting official noted that the government changed some of the requirements after solicitation issuance. This resulted in amendments to the solicitation and revisions to the contractor\u2019s proposal, which increased the time needed in the solicitation phase, and led to the contract being awarded later than anticipated."], "subsections": []}, {"section_title": "Various Factors Affected Specific Phases from Solicitation Issuance to Contract Award", "paragraphs": ["Based on survey responses, we also found variation in the factors that shortened or lengthened the time needed in the different phases\u2014 solicitation, initial evaluation, and negotiation. Contracting officials pointed out, however, that additional time needed in one phase could result in less time being needed in other phases."], "subsections": [{"section_title": "Solicitation Phase", "paragraphs": ["Contracting officials cited factors related to the quality of the solicitation and whether there were government changes in requirements as shortening or lengthening the time in this phase.", "Contracting officials for contracts awarded using other than full and open competition cited the contractor\u2019s inability to provide a timely proposal as a factor that lengthened this phase. For an Army sole- source contract for aircraft maintenance and sustainment support, contracting officials told us that the solicitation phase took longer than anticipated. This phase took over 10 months from the solicitation issuance to when the contractor submitted a proposal. According to the contractor, after solicitation issuance, the government made some changes to the requirements, including the quantities of items. During that period, labor rates had changed, which increased the time needed to submit a proposal so that these changes could be incorporated."], "subsections": []}, {"section_title": "Evaluation Phase", "paragraphs": ["Some of the factors cited by contracting officials as shortening or lengthening the evaluation phase included those related to the quality of the proposal, the acquisition workforce, or the staff performing evaluations or approving the analyses. Technical and cost or price evaluations, among others, assess the offerors\u2019 ability to perform successfully, ensure that offerors\u2019 proposals meet the requirements listed in the solicitation, and establish that the price is fair and reasonable. Contracting officials we surveyed cited different factors based on the cost or price evaluation, technical evaluations, and the extent competed.", "Contracting officials with contracts awarded using full and open competition cited the number and quality of the proposals\u2014whether they needed revisions or not\u2014as shortening or lengthening the time needed to complete technical evaluations. For cost or price evaluations, they cited the number of proposals received and the completeness of the information provided by the contractor.", "Contracting officials with contracts awarded using other than full and open competition cited contractor responsiveness to requests for additional information as a factor regardless of the time needed to complete both types of evaluations. For cost or price evaluations, contracting officials cited factors related to the proposal, such as its quality and timeliness, as among the factors that helped shorten the time. In a case study involving a Navy sole-source research and development contract valued over $1 billion for the Next Generation Jammer, contracting and program officials said it took the contractor about 4 months after submitting the initial proposal to provide the contracting office a complete proposal due to delays in getting subcontractor information. According to these officials, despite the delay, they did not need more time in this phase since they were able to start evaluating the initial proposal consisting of the prime contractor\u2019s technical and cost information, and incorporate analyses for the subcontractor information once they received it.", "Contracting officials that used other than full and open competition also cited requesting audit assistance from the Defense Contract Audit Agency as a factor that lengthened the time needed for cost or price evaluations. For example, in a Navy firm-fixed-price contract that was awarded using other than full and open competition for radar engineering services valued at $221 million, an audit took longer than anticipated\u2014 about 5 months\u2014due in part to a complex pricing model and delays in receiving subcontractor pricing data. While the Defense Contract Audit Agency and the contractor communicated on the pricing data and cost structure, the agency was unable to complete its audit without the subcontractor data."], "subsections": []}, {"section_title": "Negotiation Phase", "paragraphs": ["In addition to agreeing on the price of a contract, the negotiation phase also includes any additional evaluations of revised proposals. Contracting officials cited the need for subsequent evaluations due to revised proposals as a factor that lengthened this phase. Among other factors, contracting officials cited the contract approval authority level and the approving authority\u2019s availability or responsiveness as factors that shortened this phase. In contrast, contracting officials also cited bid protests or agreement on fees as factors that lengthened it.", "A contracting official for an Air Force contract awarded using full and open competition cited pre-award bid protests as a factor that lengthened the discussion phase. One of the offerors protested the evaluation of its proposal, which was found technically unacceptable. The offeror\u2019s protest was denied because it was found that the evaluation of the proposal was reasonable and consistent with the terms of the solicitation. In addition, the offeror initially selected for award of the approximately $17 million contract was the lowest priced proposal that was found technically acceptable. However, the contracting officer subsequently found the offeror nonresponsive due to several challenges. These challenges and the pre-award bid protest resulted in a longer than anticipated discussion phase, and the award was made to the next lowest priced offeror.", "Contracting officials for 2 contracts awarded using other than full and open competition cited obtaining agreement on profit or fee as a factor that lengthened the negotiation phase. For example, in an Army contract for spares, maintenance, and overhaul of an airframe, the government and the contractor disagreed over the profit margin. Negotiations for the approximately $54 million contract stalled until the issue was elevated to higher levels at both the contractor and the government. This contract took about 22 months from solicitation issuance to contract award, with the negotiations phase taking about 8 months from approval to enter into negotiations to approval for contract award.", "For additional information on the survey results, see appendix II."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["DOD has proposed reducing the time to award contracts in order to address concerns that it is taking too long. To measure progress against its goal, DOD will need relevant information about the time frames involved. DOD components are collecting information on the length of time to award contracts, but their efforts differ. DOD does not have a comprehensive strategy to use the component information already available or to collect other information that may be needed to assess contract award time frames. Having a DOD-wide strategy could enable DOD to consistently and comprehensively track contract award time, assess the factors contributing to this time, leverage the various efforts that the components have taken, identify any best practices, and measure progress toward any goals for reducing the time to award contracts. Currently, DOD does not define the events that should be measured occurring prior to solicitation or those that occur between solicitation issuance and contract award. While the military components collect various information about the length of time to award contracts based on their specific needs and organizational structures, at a minimum, DOD should have relevant information for its own management purposes. As DOD implements provisions in the National Defense Authorization Act for Fiscal Year 2018, the department has an opportunity to identify what data, if any, beyond just the overall procurement administrative lead time should be collected and reported. Identifying the information that is to be collected is a necessary first step for DOD to assess its progress in reducing the time taken to award contracts."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Secretary of Defense direct the Director, Defense Procurement and Acquisition Policy to develop a strategy regarding contract award time frames that identifies: the information the department needs to collect; and how the department will use the information to assess the time it takes to award contracts.", "The strategy should seek to communicate the department\u2019s goals related to contract award time frames, seek to leverage ongoing data collection efforts by the various components, and specify the events prior to solicitation and between solicitation issuance and contract award that the department believes should be tracked. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD concurred with the recommendation. DOD provided written comments which have been reproduced in appendix III. DOD also provided technical comments which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of Defense; the Under Secretary of Defense for Acquisition, Technology and Logistics; the Secretaries of the Army, Navy, and Air Force; the Director, Defense Logistics Agency; appropriate congressional committees; and other interested parties. This report will also be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or by e-mail at woodsw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We were asked to evaluate the length of time taken to award weapon systems-related contracts. This report examines (1) the Department of Defense\u2019s (DOD) efforts to determine the time it takes to award weapon systems contracts; (2) what available data show regarding the time between solicitation issuance and award for selected weapon systems- related contracts; and (3) factors identified as contributing to contract award time frames.", "To understand the procedures DOD follows to award contracts and DOD\u2019s efforts to determine the time it takes to award contracts, we reviewed relevant sections of the Federal Acquisition Regulation (FAR), such as Part 6: Competition Requirements, and Part 15: Contracting by Negotiation, and relevant sections of the Defense Federal Acquisition Regulation Supplement. In addition, we analyzed DOD-level and component-level guidance, policies, memorandums, and training materials on the contract award process. We also reviewed Standards for Internal Control in the Federal Government and prior GAO reports.", "To determine the extent DOD components (Air Force, Army, Navy and the Defense Logistics Agency) collected and analyzed data and how they are managing the time from solicitation issuance to contract award, we analyzed relevant documentation, such as monthly or quarterly management reviews and briefings. We interviewed acquisition officials at DOD and the components regarding studies or analysis conducted related to the time to award contracts. We selected the components based on the highest total number of contracts and highest total contract value. We discussed contract award time frames included in studies or analysis to determine the selected components\u2019 or commands\u2019 reasons for conducting the analysis, any challenges identified, actions taken to address those challenges, and ongoing efforts to reduce the time needed to complete the contract award process. We also discussed their data collection and verification process, but we did not independently verify the data that were reported in the studies and analyses. We determined that the data reported by the military components were reliable for the purposes of describing data collection and analyses done by DOD components. We also met with industry associations for their perspective regarding the length of time to award weapon systems-related contracts."], "subsections": [{"section_title": "Identifying Weapon Systems-Related Contracts", "paragraphs": ["To understand the length of time taken to award DOD weapon systems- related contracts, and how contract value, extent competed, and contract type relate to that time, we analyzed contract data for a nongeneralizable sample of weapon systems-related contracts from the Federal Procurement Data System-Next Generation (FPDS-NG). We used FPDS- NG to identify DOD weapon systems-related contracts that were newly awarded from fiscal year 2014 through fiscal year 2016, with a contract value of $5 million or more. To include weapon systems-related contracts, we initially selected major defense weapon systems contracts as identified by DOD and identified the supplies or service codes (Product Service Code and North American Industry Classification Systems codes). We then compared the list of contracts with contract information in FPDS-NG to identify the contracts that contain the same codes to identify similar supplies and services. We narrowed the number of contracts using the DOD acquisition program field in FPDS-NG as a proxy to identify weapon systems-related contracts. For multiple award contracts, we selected the first contract awarded among those that were awarded under the same solicitation as indicated by the contract number. We excluded contracts that were awarded under specific circumstances that use different acquisition procedures, such as contracts awarded under simplified acquisition procedures. In addition, we excluded basic ordering agreements; blanket purchase agreements; orders of any type, including task and delivery orders; and extensions of existing contracts. We excluded undefinitized contract actions and contracts that included foreign funds or foreign military sales because of the peculiarities associated with these procurements. We also excluded contracts coded as Ballistic Missile Defense Organization in FPDS-NG because this field was used broadly to include contracts for both weapon systems and non- weapon systems.", "We further limited our selection of contracts to selected military components\u2014Air Force, Army, Navy and the Defense Logistics Agency based on the highest number of contracts and highest total contract value. We then identified the largest commands within these components also based on the number of contracts and total contract value.", "Air Force- Air Force Materiel Command,", "Army- Army Contracting Command", "Defense Logistics Agency- Aviation", "Navy- Naval Air Systems Command", "Navy- Naval Sea Systems Command Defense Logistics Agency-Aviation, Air Force Materiel Command, and the Army Contracting Command awarded the higher number of contracts and the highest total value within their respective components. For Navy, the Naval Air Systems Command awarded the higher number of contracts, but the Naval Sea Systems Command awarded a higher total value, so we included both.", "For multiple award contracts, we selected the first contract awarded among those that were awarded under the same solicitation as indicated by the contract number. We excluded contracts that were awarded under specific circumstances that use different acquisition procedures, such as contracts awarded under simplified acquisition procedures. In addition, we excluded basic ordering agreements; blanket purchase agreements; orders of any time, including task and delivery orders; and extensions of existing contracts. We excluded undefinitized contract actions and contracts that included foreign funds or foreign military sales because of the peculiarities associated with these procurements. We also excluded contracts coded as Ballistic Missile Defense Organization in FPDS-NG because this field was used broadly to include contracts for both weapon systems and non-weapon systems. As a result, we initially identified a nongeneralizable sample of 145 contracts. In addition, we used the information contracting officials reported in our web-based survey to confirm whether the 60 contracts we surveyed met our selection criteria, and excluded those that did not. These exclusions resulted in a nongeneralizable selection of 129 weapon systems-related contracts.", "To assess FPDS-NG data reliability, we compared the FPDS-NG data to the contract documentation that we obtained for the solicitation issuance and contract award dates to verify the dates. We verified the contract value, extent competed, and contract type by comparing the data reported in FPDS-NG, such as the contract number and award value, to information in the contract documentation. We also verified the solicitation and contract award dates using contract documentation. We determined that the FPDS-NG data was reliable for the purposes of identifying a nongeneralizable sample of contracts and analyzing time between solicitation and contract award dates, contract value, extent competed, and contract type."], "subsections": []}, {"section_title": "Survey Methodology", "paragraphs": ["To obtain information on the factors that helped or hindered the length of time to award contracts, we conducted a web-based survey of contracting officials\u2014such as contracting officers or contract specialists\u2014for 60 contracts. The survey collected information from contracting officials on the start and end dates of the solicitation, initial evaluation, discussion or negotiation, and contract award phases. We also collected information on factors that helped mitigate the time interval or hindered contracting officials from completing the solicitation, initial evaluation, and discussion or negotiation phases. For the survey, we additionally screened out contracts awarded using sealed bidding. We also did not include the Defense Logistics Agency-Aviation as part of the survey because it is a combat support agency providing weapon systems parts for the military services. From 145 of the 171 selected weapon systems-related contracts, we randomly selected 20 contracts from the Air Force Materiel Command, 20 from the Army Contracting Command, 10 from the Naval Air Systems Command, and 10 from the Naval Sea Systems Command for a nongeneralizable survey sample.", "For the survey, we identified the time to award contracts by phases, from solicitation issuance to contract award. These phases are based on discrete events found in the FAR or component-specific guidance as necessary steps in awarding a contract by negotiation.", "The 4 phases we identified are:", "Solicitation: from solicitation issuance to solicitation closing date or Initial Evaluation: from solicitation closing date or receipt of initial proposal to when contracting personnel receive approval to enter into discussion or negotiation", "Discussions/negotiations: from approval to enter into discussion or negotiation to approval to award the contract", "Contract award: from approval to award the contract to the date the contract was signed by the contracting officer.", "We conducted a total of eight telephone pre-tests on the contents and format of the survey with officials from the Air Force Materiel Command, Army Contracting Command, Naval Air Systems Command, and Naval Sea Systems Command to determine if the questions were understandable and answerable, in addition to verifying that the terminology used in the survey was accurate, and that the survey was unbiased. As a result of the pre-tests, we refined the survey as appropriate. We emailed a link to the web-based survey to contracting officials for the 60 selected weapon systems-related contracts on October 19, 2017. To encourage respondents to complete the survey, we sent reminder emails and made telephone calls to contracting officials after the initial email was sent. We closed the survey on January 10, 2018. Of the 60 contracts we surveyed, we excluded 18 contracts that did not meet our selection criteria based on the responses from the contracting officials. These included contracts that were not newly awarded, used sealed bid procedures, or contained foreign funding or foreign military sales. Of the 42 remaining contracts, we received responses from contracting officials for 37 contracts, for an overall response rate of 88 percent.", "The survey included event dates, which differentiate between the phases. We did not verify the start and end dates of the phases reported in the survey and relied on contracting officials\u2019 responses. We did, however, verify the dates for solicitation issuance and contract award against the FPDS-NG reported data and contract documentation as part of the verification process for the 129 selected contracts. We emailed contracting officials in certain instances where we needed clarification on survey responses. For example, we followed-up on responses that differed from FPDS-NG reported data and responses that indicated that a contract was awarded using both full and open and other than full and open competition, among others. We made corrections to the data as needed."], "subsections": []}, {"section_title": "Case Study Methodology", "paragraphs": ["For more in-depth information on the factors and circumstances that affected the time from solicitation issuance to contract award, we selected 7 contracts from the survey for further analysis. To obtain a variety of contract characteristics, we selected the case studies based on certain criteria including: (1) representation of different DOD components; (2) a range of longer and shorter time intervals between solicitation and contract award date; (3) contracts with larger contract value; and (4) the extent the contracts were competed. We selected 4 contracts awarded using other than full and open competition and 3 awarded using full and open competition. For the purposes of our report, full and open competition after exclusion of sources is considered to be full and open competition. We did not select contracts from the Naval Sea Systems Command as part of our case study because the extent of competition was not confirmed at the time of selection.", "For these 7 contracts, we reviewed the survey results, analyzed contract file documentation, and conducted interviews with available contracting officials and program office officials, as well as contractor representatives to obtain their perspectives on the factors that helped or hindered the time from solicitation issuance to contract award.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Supplemental Survey Results for Selected Questions from GAO\u2019s Survey of Factors Affecting the Length of Time to Award Contracts", "paragraphs": ["We distributed a web-based survey to a random sample of contracting officials for 60 weapon systems-related contracts and reviewed responses for 37 contracts. The survey results presented in tables 4 through 13 are nongeneralizable. For more information on our methodology for designing and distributing the survey, see appendix I."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Penny Berrier (Assistant Director), Peter Anderson, David Ballard, Sonja Bensen, Lorraine Ettaro, Kurt Gurka, Gina Hoover, Julia Kennon, Carol Mebane, Anh Nguyen, Bonita Oden, Jenny Shinn, Abby Volk, and Robin Wilson made major contributions to this report."], "subsections": []}]}], "fastfact": ["Department of Defense leadership and defense contractors have expressed concerns about the length of time it takes to award contracts, and DOD has proposed reducing that time.", "We found DOD does not know how long it currently takes to award contracts and therefore does not have a baseline to measure progress in reducing time frames. DOD components\u2014for example, the Air Force\u2014collect some data on award time frames. But varying scopes and methods limit the usefulness of those data across DOD.", "We recommended that, to assess time frames for awarding contracts, DOD determine what information it should collect and how to use that information."]} {"id": "GAO-18-269", "url": "https://www.gao.gov/products/GAO-18-269", "title": "Federal Health Insurance Exchange: CMS Needs to Ensure Complete Accurate Data on Terminations of Coverage for Nonpayment of Premiums", "published_date": "2018-03-09T00:00:00", "released_date": "2018-04-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CMS has noted that it is important for enrollees to maintain continuous health insurance coverage to ensure the stability of the FFE. Certain rules allow for enrollment flexibilities\u2014such as special enrollment periods and a 3-month grace period that is allowed before coverage is terminated for recipients of federal income-based subsidies who default on their premiums. However, some issuers have stated that these rules could be misused, resulting in non-continuous coverage. There are little data on the extent to which enrollees maintain continuous coverage during a year and, more specifically, on the extent to which coverage is terminated for nonpayment of premiums.", "GAO examined (1) the extent to which FFE enrollees maintained coverage in 2015 and (2) the extent to which CMS has reliable data on termination of enrollees' coverage for nonpayment of premiums. GAO analyzed CMS's 2015 FFE enrollment data (the most recent year of available data); interviewed CMS officials and selected issuers; and reviewed applicable laws and guidance from CMS."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2015, 9.2 million individuals enrolled in the federal health insurance exchange in 37 states. Eligible individuals (e.g., U.S. citizens or those lawfully present in the United States) are able to enroll in health coverage during the annual open enrollment period. Outside of open enrollment, eligible individuals may enroll in coverage or change their coverage selection during special enrollment periods. Individuals may enroll under a special enrollment period if, for example, they lost their coverage from another source, such as Medicaid or an employer, or due to relocation. Under federal regulations, enrollees may not sign up for coverage under a special enrollment period citing loss of coverage if the coverage was lost due to nonpayment of premiums.", "About half (53 percent) of the 2015 federally facilitated exchange (FFE) enrollees maintained continuous health insurance coverage throughout the year\u2014that is, they began coverage between January 1 and March 1, 2015, and maintained it through December 31, 2015. These individuals had an average of 11.6 months of coverage. The remaining 47 percent of FFE enrollees started their coverage later or ended it during the year; they averaged 5.0 months of coverage. Enrollees could have voluntarily ended coverage\u2014due to gaining other coverage, for example\u2014or have had it terminated by the Centers for Medicare & Medicaid Services (CMS) or the issuers of coverage for valid reasons, including losing eligibility for exchange coverage or for nonpayment of premiums.", "CMS does not have reliable data on issuer-generated terminations of coverage for enrollees' nonpayment of premiums. Although CMS and issuers share data on the terminations each generates and reconcile their data on a monthly basis to ensure data accuracy, the agency does not require issuers to consistently report data on the reasons for terminations. Officials told us they do not track these data because they are not critical to ensure the accuracy of the federal subsidy amounts\u2014which is the main function of the monthly reconciliation process. Further, CMS lacks a transparent process to ensure the accuracy of these data, as the monthly reconciliation files transmitted between CMS and issuers do not include a place to capture data on termination reasons. Issuers said that they are therefore unable to ascertain whether data they provide on the reasons for termination match CMS's data, and thus they cannot make corrections where necessary.", "The agency's lack of reliable data on terminations for nonpayment limits its ability to effectively oversee certain federal regulations. For example, because CMS is not systematically tracking these data, it cannot tell whether enrollees applying for coverage under a special enrollment period had lost their coverage for nonpayment of premiums\u2014in which case they would be ineligible for the special enrollment period per federal regulations. CMS could capitalize on its existing process, already familiar to issuers, by adding a variable that captures data on termination reasons to the monthly reconciliation file. By taking this step, in addition to requiring issuers to report these data, CMS could help ensure it has reliable and transparent data on terminations of enrollee coverage for nonpayment of premiums, and it could use these data to assess the effects of CMS policies and the overall stability of the exchange."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS ensures it has (1) complete data on terminations of coverage for nonpayment of premiums; and (2) a transparent process to reconcile discrepancies and ensure the accuracy of these data. The Department of Health and Human Services concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Patient Protection and Affordable Care Act (PPACA) required, beginning in 2014, the establishment of exchanges (or marketplaces) in each state where eligible consumers can directly compare and select among a variety of qualified health plans offered by participating private issuers. The Centers for Medicare & Medicaid Services (CMS)\u2014the agency within the Department of Health and Human Services (HHS) that oversees the federally facilitated exchange (FFE) in 39 states that elected to use the FFE in 2017\u2014has noted that, while consumers enrolled in health insurance need to maintain continuous coverage for the entire year to ensure a stable and affordable marketplace, exchange rules should also allow individuals the flexibility to make changes to their enrollment in response to life circumstances. However, some issuers offering health insurance plans in the FFE have noted that certain of these rules could also undermine enrollees\u2019 incentives to maintain continuous coverage.", "Specifically, issuers have raised concerns about enrollment that occurs outside of the open enrollment period (OEP), which generally runs near the start of the coverage year, and about enrollees ending their coverage before the end of the year. Individuals may use special enrollment periods (SEP) to sign up for coverage outside of open enrollment if they experience a triggering event, such as losing coverage from another source including Medicaid or an employer. However, issuers have noted that an SEP could be misused if individuals, instead of signing up during OEP, delayed enrollment until they were sick and had imminent health care costs to be covered. Some issuers also noted that CMS could be allowing individuals whose coverage was terminated due to nonpayment of premiums to re-enroll under an SEP due to loss of coverage although, under federal regulations, this is not allowed. Finally, some issuers have stated that enrollees receiving Advance Premium Tax Credits (APTC), which reduce the cost of coverage for eligible individuals, may intentionally stop paying their premiums before the end of the year to take advantage of the 3-month coverage grace period allowed by law while still meeting requirements for PPACA\u2019s individual mandate.", "There is, however, little data about the extent to which these specific problems have occurred. Further, enrollees may stop paying premiums and terminate their coverage for valid reasons including unexpected reductions in household income or gaining other government or employer-sponsored coverage, and other research has found that short periods of coverage were common in the individual market even prior to PPACA. Officials from both CMS and issuers indicated that individuals often do not provide notification that they are ending their coverage due to a change of circumstance. Instead, they stop paying premiums and let their exchange policies \u201cpassively\u201d terminate.", "You asked us to examine the extent to which exchange enrollees maintained coverage and paid their premiums during the plan year. This report: 1. describes the extent to which enrollees who purchased health insurance coverage through the FFE in 2015 maintained their coverage during the plan year; and 2. evaluates the extent to which CMS has reliable data on the rate at which enrollees in the FFE are terminated from coverage due to nonpayment of premiums.", "To describe the extent to which enrollees who purchased health insurance coverage through the FFE in 2015 maintained their coverage during the plan year, we obtained and analyzed enrollment and demographic data from CMS. According to CMS officials, 2015 was the most recent full year of data available at the time of our review. Specifically, CMS provided us with data from its centralized enrollment system, the Multidimensional Insurance Data Analytics System, for each enrollee who obtained health insurance coverage\u2014that is, selected a plan and paid their first premium\u2014through the FFE for coverage year 2015. These data included, among other information, the enrollees\u2019 coverage start and end dates; type of plan, premium, and any APTC amounts; and demographic information reported by enrollees, including gender, state of residence, and household income. We used these to analyze the extent to which enrollees maintained continuous FFE coverage throughout 2015\u2014which we defined as coverage that began from January 1, 2015, to March 1, 2015, and ended on December 31, 2015. We compared the demographic and coverage characteristics of enrollees who maintained continuous coverage throughout 2015 with those of all other enrollees. We also examined the demographic and coverage characteristics of all FFE enrollees in 2015. Further, CMS provided us with FFE enrollment data for the time period of January 1, 2016, through June 30, 2016, which we used to analyze the extent to which the 2015 FFE enrollees re-enrolled for coverage year 2016. We assessed the reliability of the data provided by CMS in several ways, including discussing the reliability of the data with CMS officials, reviewing relevant CMS data manuals and other documentation, performing manual and electronic tests of the data to identify any outliers or anomalies, and comparing the data with data from published sources. We also interviewed representatives from a small selection of issuers to discuss the reliability of relevant issuer-reported data maintained in CMS\u2019s centralized enrollment system. We determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "To evaluate the extent to which CMS has reliable data on the rate at which FFE enrollees are terminated from coverage due to nonpayment of premiums, we examined data from CMS\u2019s enrollment system on the reported reasons for termination of enrollee coverage in 2015. For a small selection of enrollees identified by CMS as having their coverage terminated for nonpayment, we examined the termination reasons listed in issuer data. We also interviewed officials from CMS, industry stakeholders, and selected issuers to learn about how the data on termination reasons are collected. In addition, we reviewed relevant PPACA provisions and federal regulations and guidance, including technical guidance from CMS governing the transfer of information between CMS and issuers participating in the FFE, and determined whether the agency\u2019s relevant policies and procedures are consistent with standards for internal control in the federal government.", "We conducted this performance audit from July 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The exchanges (including the FFE and those operated by individual states) provide a seamless, single point of access for eligible individuals to enroll in qualified health plans. For the FFE, CMS established a website\u2014Healthcare.gov\u2014as the public portal through which individuals may apply for coverage and select and enroll in health plans, which are offered at different levels of coverage, or \u201cmetal tiers\u201d\u2014bronze, silver, gold, and platinum\u2014that reflect the percentage of covered medical expenses estimated to be paid by the insurer. The data that individuals provide in their application is stored in the FFE\u2019s centralized enrollment system, which is maintained by CMS.", "Although CMS oversees the centralized enrollment system, both CMS and issuers have shared responsibility for enrollment and coverage functions once individuals apply for coverage:", "CMS is responsible for determining an individual\u2019s eligibility for coverage and income-based federal subsidies, enrolling the individual, and processing subsequent coverage changes or terminations. For example, individuals may change their existing coverage by signing up under an SEP due to the birth of a child or relocation, or they may voluntarily terminate their coverage, or CMS may terminate coverage if the agency is unable to verify key information such as citizenship status. CMS is also responsible for making payments for APTCs and determining whether an enrollee is eligible for any cost-sharing reductions that lower enrollees\u2019 out-of- pocket costs for expenses, such as deductibles and copayments.", "Issuers are responsible for, among other things, collecting premiums from enrollees, arranging for coverage through provider networks, and paying claims. Issuers are also responsible for processing, and notifying CMS of, terminations related to nonpayment of premiums or fraud.", "As a result of this shared responsibility, CMS and issuers notify each other of coverage updates by transferring data back and forth through electronic files known as \u201ctransaction files.\u201d It is critical that both issuers and CMS have consistent, accurate, and current information on enrollees, because monthly APTC payments are based on enrollment data in CMS\u2019s centralized system. Federal regulations require CMS to reconcile enrollment information with issuers on at least a monthly basis. Accordingly, CMS and issuers reconcile certain key data elements on a monthly basis through an automated enrollment reconciliation process, in which issuer and CMS data are compared and discrepancies are resolved. Through this process, APTC amounts and their effective dates are compared and reconciled. CMS\u2019s data system is considered to be correct when considering discrepancies on overall enrollment counts or with key data elements, such as coverage start and end dates between issuer and CMS data. Therefore, CMS will not change the APTC payments based on issuers\u2019 data that may differ from CMS\u2019s data unless there are significant discrepancies.", "There are several specific steps involved in transferring data between CMS and issuers for initial enrollment, subsequent updates, and reconciliation (see fig. 1 for a high-level overview of the data transfer process): Initial enrollment: CMS forwards an outbound electronic transaction file to the issuer with information on the applicant, the plan selection, the premium, and the APTC amount. Once the issuer receives the initial premium payment, the issuer sends an inbound electronic transaction file back to CMS to confirm the enrollment. Issuers may not refuse to issue coverage to an individual CMS has deemed eligible once that individual has made the initial premium payment. Transaction files are transmitted electronically on a daily basis.", "Subsequent changes/terminations: Subsequent changes to the individual\u2019s coverage may be initiated by enrollees, CMS, or issuers. For example, enrollees may request changes to their coverage through the portal if they experience a change in circumstance (such as needing to enroll under an SEP due to the birth of a child, or to terminate their coverage if they move to a different state); CMS may terminate coverage if the agency cannot verify key eligibility information (such as citizenship status); or issuers may terminate coverage if enrollees fail to pay their premiums. If CMS initiates changes in coverage, it notifies issuers through subsequent outbound transaction files, and similarly, if issuers initiate changes they notify CMS through subsequent inbound transaction files.", "Monthly reconciliation: CMS sends issuers a snapshot of key elements of the enrollment data in its centralized enrollment system in an outbound reconciliation file. Issuers compare the data from the file to their enrollment systems and identify missing enrollments or other discrepancies. Issuers make updates as necessary and send CMS an inbound reconciliation file with information about current enrollees, cancellations, and terminations in their systems. CMS then performs an automated comparison of the data in the inbound reconciliation files with its centralized enrollment system and identifies any further discrepancies that may need to be resolved either by CMS or issuers. If necessary, CMS makes further updates to its data.", "In an April 2017 final rule, CMS implemented several actions that, in part, responded to issuer concerns about special enrollment periods and stability of enrollment. Specifically, CMS stated that the agency would require documentation from all individuals applying to enroll in coverage under an SEP to verify their eligibility for the SEP prior to enrollment. CMS also stated that, starting in June 2017, it would allow issuers, subject to state law, to apply a new premium payment to an individual\u2019s past due payments before applying that premium towards a new enrollment. CMS stated that issuers would be allowed to refuse to provide coverage to an enrollee applying under an SEP due to loss of existing coverage if the issuer had previously terminated the enrollee\u2019s coverage for nonpayment of premiums, unless the enrollee paid the past due premiums. CMS further stated that this provision was intended to encourage individuals to maintain continuous coverage rather than start and stop coverage (and thereby avoid incurring past due premiums)."], "subsections": []}, {"section_title": "Just over Half of FFE Enrollees Maintained Continuous Coverage throughout 2015; Length of Coverage Varied by Enrollee Characteristics", "paragraphs": ["Approximately 4.9 million enrollees (53 percent of the 9.2 million FFE enrollees in 2015) maintained continuous coverage throughout the year\u2014 that is, their coverage began between January 1 and March 1, 2015, and lasted through December 31, 2015. These individuals therefore had 10 or more months of continuous coverage, with an average length of coverage of 11.6 months. Most of these enrollees (83 percent) re-enrolled in coverage by June 2016.", "The remaining 4.3 million enrollees (47 percent of the FFE enrollees in 2015) did not maintain continuous FFE coverage throughout the year, as defined above. The average length of coverage for these enrollees was about 5.0 months and, for most (72 percent), coverage ended prior to the end of the year. (See fig. 2 for information on enrollee length of coverage.)", "Of the 4.3 million enrollees, 38 percent re-enrolled in exchange coverage for 2016, although enrollees that held coverage through the end of the year\u2014regardless of their length of coverage\u2014were far more likely to have re-enrolled than enrollees whose coverage ended prior to the year\u2019s end.", "In general, we did not find notable differences in attributes of enrollees\u2019 coverage (for example, by benefit level of selected plan or monthly premium after APTC) or enrollee demographics when comparing the two groups of enrollees\u2014those who maintained continuous coverage throughout 2015, and those who did not. (For data on coverage and demographics of FFE enrollees who did maintain continuous coverage throughout 2015 and those who did not, see app. I.)", "However, in examining the demographic and coverage characteristics of all FFE enrollees, we found that enrollees with certain characteristics tended to remain covered for a longer period of time in 2015 compared to other enrollees. For example:", "Enrollment period. Enrollees who enrolled during the open enrollment period had a higher average length of coverage than enrollees who enrolled through an SEP\u20149.1 months compared to 5.2 months (see fig. 3). However, more individuals who enrolled through an SEP remained enrolled through December 31, 2015, compared to individuals who enrolled during open enrollment\u201472 percent compared to 64 percent.", "Age. Enrollees aged 55 or older had the highest average length of coverage, while those aged 25 to 34 had the lowest\u20149.2 months compared to 7.8 months.", "Reported household income. APTC-eligible enrollees who reported having a household income between 301 and 400 percent of the federal poverty level had the highest average length of coverage, while those who reported having a household income less than, or equal to, 100 percent of the federal poverty level had the lowest\u20148.9 months compared to 8.0 months.", "Eligibility for APTC. Enrollees who were eligible for APTC had a higher average length of coverage than enrollees who were not eligible for APTC\u20148.6 months compared to 7.8 months", "Benefit level of selected plan. Enrollees who selected higher- benefit, gold plans had the highest average length of coverage, while enrollees who selected lower-benefit catastrophic, plans had the lowest\u20148.8 months compared to 6.7 months. Enrollees who selected silver plans\u2014the most common plan selection\u2014had an average length of coverage of 8.6 months.", "State of residence. Enrollees residing in Maine had the highest average length of coverage, while enrollees residing in Mississippi had the lowest\u20149.4 months compared to 8.0 months.", "See appendix II for additional data on the average length of coverage for enrollees by various characteristics."], "subsections": []}, {"section_title": "CMS Lacks Complete and Transparent Data on Terminations of Enrollee Coverage for Nonpayment of Premiums", "paragraphs": ["CMS\u2019s data on terminations of enrollee coverage due to nonpayment of premiums are not complete and accurate. CMS officials told us that they collect some information from issuers on their terminations of enrollee coverage for nonpayment of premiums. When issuers terminate policies, the inbound transaction files they send to CMS must include, among other elements, a revised coverage end date taking the termination into account. CMS uploads these data into its centralized FFE enrollment system. However, while the issuers may also include codes that designate the reasons for the terminations, there is no requirement for them to consistently do so. Data on termination codes may therefore not be consistently reported by issuers. CMS officials told us that data on reasons for termination are not tracked because they are not critical to ensure the accuracy of APTC payments\u2014which is the main function of the reconciliation process. Officials stated that key essential variables that CMS does track are whether coverage is effectuated (that is, whether the first premium payment has been made), whether the enrollee is eligible for APTC payments, and whether coverage was terminated.", "In addition, when issuers do report termination reason codes, these data are not always accurate. Specifically, CMS told us that, historically, issuers may have incorrectly used the nonpayment termination code for other types of terminations, and two issuers we interviewed acknowledged having done so. We compared data on terminations for nonpayment from CMS\u2019s centralized enrollment system with data we obtained from three issuers for a small selection of enrollees. We found that for one large issuer operating in multiple states, the CMS data indicated that coverage for 18 of the 26 enrollees that we examined had been terminated for nonpayment of premiums, while the issuer data indicated that coverage had been terminated for other reasons, in most cases because it had expired at the end of the year. The issuer indicated that it likely reported these year-end terminations to CMS incorrectly as terminations for nonpayment of premiums.", "CMS has recently taken actions that may improve the reliability of data on terminations for nonpayment, but these actions do not ensure the data are consistently reported and recorded by CMS. Specifically, in July 2017, CMS indicated that it would add new codes to the transaction files for issuers to use to help prevent inaccurate reporting of the nonpayment termination code. CMS told us that it expects issuers to begin using the new codes in 2018. CMS\u2019s data on terminations for nonpayment therefore may be more reliable beginning in 2018. However, CMS has not required issuers to report the termination reasons in the transaction files because, according to CMS officials, these data are not essential to tracking the accuracy of APTC payments. The agency also does not have plans in the near future to use the data in tracking trends in enrollment and termination of enrollee coverage in the FFE to assess the overall stability of the exchange.", "Further, CMS does not have a transparent, systematic process for issuers to ensure that data on terminations they initiate due to nonpayment are complete and accurate in the CMS system. Issuers we interviewed told us that they are unable to ascertain whether CMS is correctly updating the FFE enrollment system with the termination reason codes issuers provide when policies are terminated. While issuers can determine from the monthly reconciliation files whether CMS has updated certain issuer data for enrollees whose coverage was terminated (for example, the revised coverage end date), the files do not capture data on reasons for termination. Therefore, issuers are unable to determine if the CMS FFE data on termination reason codes matches theirs and make corrections where necessary. Some issuers told us they had requested that CMS add a variable to capture data on termination reasons in the monthly reconciliation files sent to issuers. CMS officials stated that the agency is in the initial stages of exploring whether this would be feasible for CMS and issuers, but that it will require significant resources and time to develop.", "Although CMS\u2019s recent changes may improve its data, they do not ensure the agency will have complete and transparent data on terminations for nonpayment of premiums. According to federal internal control standards, federal agencies should obtain and use relevant, reliable data to achieve their objectives. Without complete and accurate data, CMS may be allowing enrollees who lost exchange coverage for nonpayment of premiums to re-enroll under SEPs although, under federal regulations, these individuals are ineligible to do so. Issuers reported that this had occurred. CMS officials told us that the agency is exploring options to have its system automatically prevent certain enrollees with prior terminations for nonpayment from enrolling in coverage under an SEP for loss of existing coverage, but noted that this functionality would depend on receiving reliable data on terminations for nonpayment from issuers. Further, without reliable data, CMS may not be able to assess the effects of its April 2017 policy allowing issuers to apply enrollees\u2019 new premium payments toward unpaid premiums over the past 12 months. This is because the agency lacks the complete and accurate data that would be necessary to ensure that issuers are correctly identifying enrollees terminated for nonpayment."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["In its role as administrator of the FFE, it is important for CMS to assess the overall stability of the exchange by, among other things, tracking trends in enrollment and termination of enrollee coverage and addressing issuers\u2019 concerns, where appropriate, to ensure their continued participation in the exchange. Issuers have raised concerns that the SEP regulations potentially allow individuals to enroll in coverage despite having their coverage terminated for nonpayment of premiums. However, CMS does not have the data needed to determine the extent of these problems. While CMS has made some efforts to improve the accuracy of the agency\u2019s data on terminations for nonpayment, it has not indicated whether the agency will require issuers to consistently and accurately report these data. Moreover, CMS has no way to ensure the reliability and transparency of the data, because the existing process\u2014the exchange of monthly reconciliation files between CMS and issuers\u2014does not have a place to capture these data. CMS could capitalize on this existing process, already familiar to issuers, by adding a variable that captures data on termination reasons to the monthly reconciliation file and tracking its accuracy. By taking this step, in addition to requiring issuers to report these data, CMS could help ensure it has reliable and transparent data on terminations of enrollee coverage for nonpayment of premiums, and it could use these data to assess the effects of CMS policies and the overall stability of the exchange."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following two recommendations to CMS:", "The Administrator of CMS should ensure that CMS has complete data on terminations of enrollee coverage for nonpayment of premiums by requiring issuers to report these data. (Recommendation 1)", "The Administrator of CMS should provide a transparent process for issuers and CMS to systematically reconcile discrepancies in their data on terminations of enrollee coverage for nonpayment of premiums. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS. HHS provided written comments, which are reprinted in appendix III. HHS concurred with our first recommendation to require issuers to report data on terminations of enrollee coverage for nonpayment of premiums. HHS noted that it currently collects information on termination reasons on enrollment transactions with issuers, and that it would review the requirements for collection of these data to identify possible improvements. HHS also concurred with our second recommendation to ensure a transparent process for issuers and CMS to systematically reconcile discrepancies in their data on terminations of enrollee coverage for nonpayment of premiums. HHS stated that it would consider how to incorporate reconciliation of these data into its existing monthly data reconciliation process with issuers, balancing issuer and agency burdens against the benefits of doing so.", "As agreed with your office, unless you publically announce the contents of the report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Demographic and Coverage Characteristics of Federally Facilitated Exchange Enrollees, 2015", "paragraphs": ["Table 1 provides information on demographic characteristics for federally facilitated exchange (FFE) enrollees that maintained continuous coverage throughout 2015\u2014defined as beginning coverage by March 1, 2015, and maintaining it without any gaps through December 31, 2015\u2014and for all other 2015 FFE enrollees. Table 2 provides information on the characteristics of these enrollees\u2019 coverage. Table 3 provides the extent to which enrollees maintained continuous coverage throughout 2015 by their state of residence."], "subsections": []}, {"section_title": "Appendix II: Average Length of Coverage for Federally Facilitated Exchange Enrollees, 2015", "paragraphs": ["Table 4 provides information on average length of coverage for all 9.2 million federally facilitated exchange enrollees in 2015 by various demographic characteristics. Table 5 provides information on average length of coverage for these enrollees by characteristics of the enrollees\u2019 coverage. Table 6 provides information on average length of coverage for enrollees by their state of residence."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, William Hadley (Assistant Director), Iola D\u2019Souza (Analyst in Charge), Richard Lipinski, Peter Mann- King, and Priyanka Sethi Bansal made key contributions to this report. Also contributing were Muriel Brown, Laurie Pachter, and Emily Wilson."], "subsections": []}]}], "fastfact": ["The Affordable Care Act federal health insurance exchange allows people to enroll outside of the annual open enrollment period under certain circumstances, such as losing coverage from an employer.", "Insurers are concerned that some people are misusing this flexibility by reenrolling after their coverage was terminated for nonpayment of premiums. Not only is this against the rules, but it undermines the stability of the exchange.", "The Centers for Medicare & Medicaid Services doesn't collect complete data that would allow it to gauge the extent of the problem. We recommended gathering data on coverage terminations for nonpayment of premiums."]} {"id": "GAO-18-112", "url": "https://www.gao.gov/products/GAO-18-112", "title": "International Mail: Information on Changes and Alternatives to the Terminal Dues System", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2016, USPS handled over 1 billion pieces of international mail\u2014both inbound (received from other countries) and outbound (sent to other countries). International mail is governed by the UPU, which is comprised of over 190 member countries, including the United States. The UPU establishes remuneration rates, called terminal dues, for certain types of international mail exchanged between member countries. Questions have been raised about how current and future planned rates for terminal dues affect USPS and other stakeholders that are involved in international mail. GAO was asked to review the terminal dues system.", "Among other issues, this report examines the financial effects of: (1) the current UPU rates for terminal dues and (2) the planned changes to those rates on USPS and mail stakeholders. GAO analyzed USPS's mail data for fiscal years 2012\u20132016; USPS's, the Postal Regulatory Commission's (PRC), and UPU's policies and documents; and applicable U.S. statutes. GAO interviewed USPS, PRC, and Department of State officials, and mail stakeholders, including U.S. companies, such as FedEx and UPS, and consultants. These stakeholders were identified through public comments made to PRC on proposals related to terminal dues. While not generalizable, the views provide illustrative examples.", "This is a public version of a sensitive but unclassified report issued in August 2017. Information related to USPS's revenues, costs, and volumes for international mail that USPS has deemed proprietary has been omitted from this report."]}, {"section_title": "What GAO Found", "paragraphs": ["The Universal Postal Union (UPU), a specialized agency of the United Nations, created the terminal dues system so that designated postal operators in member countries could compensate designated postal operators in other countries for delivering mail in those countries. GAO found that it is not possible to quantify the financial effects of the terminal dues system on various U.S. mail stakeholders because the data needed to conduct such an analysis are not readily available. However, stakeholders GAO spoke with and literature GAO reviewed described differing impacts of the terminal dues system on U.S. stakeholders. For example,", "Analysis by the United States Postal Service (USPS)\u2014the U.S. designated postal operator\u2014found that the rates for inbound international terminal dues mail does not cover its costs for delivering that mail in the United States. As a result, USPS's net losses on this type of mail more than doubled between 2012 and 2016. In contrast, USPS analysis indicates that the rates for outbound international terminal dues mail has resulted in net positive revenues for USPS, which offset the losses from inbound terminal dues mail.", "U.S. businesses that send outbound terminal dues mail may benefit to the extent that their costs to mail items to certain countries through USPS may be lower than the actual mail delivery costs in those countries.", "U.S. consumers who receive imported products may pay lower mailing costs for products originating from low terminal dues rate countries.", "Express consignment operators such as FedEx and the United Parcel Service said the terminal dues system creates a competitive disadvantage for them. Representatives from these companies said that they have difficulty competing for some international mail business because they cannot offer pricing as low as the postage based on the terminal dues rates offered by designated postal operators.", "The UPU adopted increased terminal dues rates for member countries starting in 2018. GAO found that these planned changes could affect U.S. stakeholders differently, but the effects are also difficult to quantify because of limited information and forecasting variability. Nevertheless, stakeholders identified examples of the potential effects that the planned changes could have on them. For example:", "For USPS, an increase in inbound terminal dues rates should reduce related losses for delivering this mail; although USPS's costs may increase from paying higher terminal dues rates to countries where USPS sends most of its outbound terminal dues mail.", "U.S. businesses that send outbound terminal dues mail may have to pay higher postage to USPS to cover the increase in terminal dues rates to send mail to other countries, thus increasing costs to them.", "U.S. consumers who receive lower-priced imported products may experience a reduced benefit because of the higher terminal dues rates for inbound mail.", "The increased rates for inbound terminal dues mail may allow rates offered by express consignment operators to become more competitive as they may be able to offer their mail products at more comparable costs."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2016, the United States Postal Service (USPS) handled over 1 billion pieces of international mail\u2014either \u201cinbound\u201d mail that was sent to the United States from foreign countries or \u201coutbound\u201d mail that was sent to foreign countries. The movement of international mail is facilitated by the Universal Postal Union (UPU), a specialized agency within the United Nations that includes over 190 member countries. UPU member countries designate postal operators, which must collect, receive and deliver mail to and from other countries at set rates. These rates for letter mail are called \u201cterminal dues.\u201d", "Questions have been raised regarding these dues and the overall effect of the UPU\u2019s terminal dues system on USPS and other U.S. stakeholders, such as domestic e-commerce businesses and consumers. Specifically, some have argued that the current terminal dues rates USPS receives from other countries may not cover USPS\u2019s costs to deliver some mail from certain countries or may be less than the postage charged to a domestic U.S. customer for similarly sized mail. For these reasons, some argue that this system may create competitive disadvantages for some businesses such as: 1. express consignment operators (ECO)\u2014such as FedEx and the United Parcel Service (UPS), which compete with USPS and designated postal operators for some international business\u2014and 2. U.S. businesses that compete with foreign businesses that send mail under the terminal dues system (or \u201cterminal dues mail\u201d).", "While UPU terminal dues rates will increase starting in 2018, some stakeholders have questioned if these changes will be sufficient to address the competitive disadvantages created by the terminal dues system. Not all international mail is subject to the terminal dues system. Mailers can use alternatives, such as USPS expedited mail for inbound and outbound international mail.", "You asked us to review issues related to the UPU\u2019s terminal dues system. This report describes the financial effects on domestic stakeholders of the following: (1) the rates under the current UPU terminal dues system, (2) planned changes to those rates, and (3) alternatives to the terminal dues system.", "To describe the effects of the current UPU terminal dues system on stakeholders, we first identified the relevant stakeholders affected by terminal dues based on our reviews of comments submitted to the Postal Regulatory Commission (PRC) on proposals related to terminal dues for the 2016 UPU congress, as well as interviews with USPS, PRC, Department of State (State), and industry consultants. We reviewed six economic models and analyses that estimated effects of the current terminal dues system on various stakeholders. We determined that each of these analyses appropriately include, though with certain limitations, the key elements of an economic analysis.", "To determine the current rates under the UPU\u2019s terminal dues system and the effects of these rates on selected stakeholders, we analyzed USPS data and reports on inbound and outbound international mail, including volume, weight, costs and revenue from fiscal years 2012 through 2016 and UPU information on the current terminal dues system. We assessed the reliability of USPS\u2019s data on the volume, costs and revenue for international mail by reviewing documentation related to how the data are collected and processed. We found these data to be sufficiently reliable for the limited purpose of presenting this descriptive information. We reviewed federal statutes, PRC reports, USPS and UPU mail manuals, and other studies on international mail and terminal dues impacts. We also interviewed stakeholders such as USPS officials, representatives from ECOs and U.S. businesses, and consultants.", "To assess the effect of planned changes to the current terminal dues system on domestic stakeholders, we analyzed UPU documents detailing the planned changes to the terminal dues system. We reviewed estimates of the financial effects of the planned changes to the terminal dues system prepared by USPS and others. USPS based its estimates on information from the UPU on the changes and USPS\u2019s historical revenues, costs, and volume of terminal dues mail.", "To describe alternatives to the terminal dues system and estimate the effects of those alternatives on domestic stakeholders, we reviewed USPS documents, such as:", "USPS\u2019s international mail manual,", "USPS\u2019s agreements with other designated postal operators, and", "PRC\u2019s documentation of its reviews of USPS\u2019s bilateral and multilateral agreements and of USPS\u2019s international mail products.", "Likewise, we analyzed USPS\u2019s revenue, cost, and volume information from fiscal years 2012 through 2016 on alternatives to the terminal dues system. We assessed the reliability of USPS\u2019s information on the volume, costs and revenue associated with its alternatives to the terminal dues system for international mail by reviewing documentation related to how the data are collected and processed. We found this information to be sufficiently reliable for the limited purpose of presenting this descriptive information.", "For all of our objectives, we interviewed USPS, PRC and Department of State (State) officials, representatives of nine U.S. businesses or business associations affected by terminal dues, and three consultants for their views. We selected the businesses and consultants based on published reports documenting their knowledge of international mail and terminal dues issues, recommendations from stakeholders interviewed and comments submitted to PRC dockets soliciting public comments prior to the 2016 UPU congress. The views of these interviewees are not generalizable but illustrative of the issues faced by stakeholders affected by the terminal dues system. We also applied standard economic principles to describe effects on domestic stakeholders. For more details on our scope and methodology, see appendix I.", "The performance audit on which this report is based was conducted from May 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with USPS from June to October 2017 to prepare this public version of the original sensitive report. This public version was also prepared in accordance with these standards.", "This is a public version of GAO-17-571SU that we issued in August 2017. This report excludes information that was deemed to be proprietary by USPS and that must be protected from public disclosure. Therefore, this report omits proprietary information and certain data related to USPS\u2019s revenues, costs and volumes for international mail. Although the information provided in this report is more limited in scope, it addresses the same objectives as the sensitive report and the methodology used for both reports is the same."], "subsections": [{"section_title": "Background", "paragraphs": ["In fiscal year 2016, USPS handled over 1 billion pieces of international mail, which included over 976 million pieces of letter mail. According to USPS statistics, about 371 million pieces of letter mail (38 percent) was sent to other countries or \u201coutbound\u201d mail, while the majority of international letter mail, 605 million pieces (62 percent), was sent to the United States from other countries or \u201cinbound\u201d mail.", "UPU member nations agree to provide a \u201csingle postal territory\u201d for international mail, meaning designated postal operators must deliver inbound international mail to the recipient in their own country (i.e., provide universal service). The UPU created the terminal dues system in 1969 to establish a means for paying destination countries\u2019 designated postal operators for the cost of delivering the mail that originated in another UPU member country. UPU member countries vote every 4 years on the annual payment rates.", "The current terminal dues system was designed as a single rate structure for the delivery of letter mail, regardless of shape (i.e., letters, flats or packets). The system takes into account that this rate varies based on UPU\u2019s estimation of each nation\u2019s postal cost structure and economic development. As such, the UPU divides its member countries into country groups based on the UPU\u2019s \u201cpostal development indicator,\u201d which is largely based on gross national income per capita and attempts to factor in the cost to deliver a letter based on statistics from the United Nations, the World Bank, and the UPU. Designated postal operators from transitional (formerly called \u201cdeveloping\u201d) countries generally pay a lower terminal dues rate for their mail to be delivered by designated postal operators in target (formerly called \u201cindustrialized\u201d) countries (see app. II for a list of the countries in each UPU country group). UPU limits the rates through caps and floors to minimize year-over-year variability.", "In addition to USPS, numerous domestic stakeholders are affected by the terminal dues system, for example:", "ECOs, such as FedEx and UPS, that collect, transport, and deliver documents and packages sent to the United States from other countries. As they are not designated postal operators under the UPU, ECOs are not part of the terminal dues system and do not have access to terminal dues rates.", "Some U.S. businesses that compete with foreign companies for U.S. customers, including large e-commerce businesses, such as Amazon, and much smaller e-commerce related businesses, as well as U.S. businesses that obtain goods from other countries via international mail.", "U.S. businesses that send mail to other countries\u2014such as business correspondence, advertisements, or e-commerce packages\u2014and that have an interest in paying the lowest postage rate.", "U.S. consumers\u2014mainly individuals who send or receive correspondence, gifts, or commercial goods through international mail.", "Government also plays a role in the terminal dues system. The Department of State (State) represents the United States to the UPU, and State officials participate in the negotiations at the UPU congress, held every 4 years, that determine terminal dues rates. State also solicits input on terminal dues and other international postal issues through a Federal Advisory Committee on international mail that consists of USPS and PRC officials, other federal agencies with jurisdiction over related issues (e.g., the U.S. Department of Commerce), and representatives from affected businesses.", "PRC also has a role in international mail issues including terminal dues, USPS bilateral agreements, and USPS international mail products. First, State is required by statute to request PRC\u2019s views on terminal dues proposals before they are adopted by the UPU every 4 years to ensure that the U.S. positions on the relevant UPU proposals are consistent with PRC\u2019s standards and criteria for regulating USPS rates (or if not consistent, provide a foreign policy or national security interest justification). State then is required to ensure that the terminal dues proposals for market-dominant mail are consistent with PRC\u2019s views unless there is a foreign policy or national security concern. Second, PRC is required by statute to review USPS proposals for international mail products to ensure compliance with legal requirements, such as requirements relating to cost coverage. Third, PRC has also sponsored studies on terminal dues issues in recent years.", "USPS officials stated that designated postal operators send mail to USPS for delivery to U.S. addresses under the UPU\u2019s Universal Postal Convention. Designated postal operators pay for the collection and transportation of mail to the United States and hand off mail to USPS at a USPS International Service Center (ISC) for sorting and final delivery (see fig. 1). USPS presents the inbound mail to U.S. Customs and Border Protection (CBP) for inspection at the ISC. Once the mail clears CBP inspection, the mail enters USPS\u2019s domestic mail stream for delivery. The process is reversed for outbound international mail collected by USPS for delivery to foreign addresses."], "subsections": []}, {"section_title": "Current Terminal Dues Rates Benefit USPS despite Revenue Losses on Inbound Mail and Have Mixed Effects on Other U.S. Stakeholders", "paragraphs": [], "subsections": [{"section_title": "The Current Rates Benefit USPS, as Increasing Gains from Outbound Mail Outweigh the Increasing Losses on Inbound Mail", "paragraphs": ["According to USPS analysis, USPS has generated positive net revenue from all terminal dues mail, which has increased from fiscal year 2012 to fiscal year 2016. This occurred even though losses from inbound mail more than doubled from $66 million to $135 million from fiscal year 2012 to fiscal year 2016 (see fig.2). Net revenue for outbound terminal dues mail increased during the same time period.", "To understand this trend of declining net revenue for inbound terminal dues mail, it is important to understand the differences in inbound versus outbound mail. As USPS is the designated postal operator for the United States responsible for ensuring universal service under UPU agreements, it is required to accept and deliver all mail tendered to it from other designated postal operators (inbound mail), including mail sent under the terminal dues rates adopted by the UPU."], "subsections": [{"section_title": "Losses on Inbound Terminal Dues Mail", "paragraphs": ["USPS\u2019s recent losses on inbound terminal dues mail are due in part to the shift in this mail from primarily letters and flats to more packets (which are more costly for USPS to handle and deliver)\u2014which outpaced the corresponding terminal dues revenue earned by USPS (see fig. 3).", "These losses are exacerbated by the rising volume of inbound terminal dues mail. According to USPS, there has been an 86 percent increase in all inbound terminal dues mail between fiscal year 2012 and 2016\u2014 including a 19 percent increase between fiscal year 2015 and 2016 alone\u2014with much of the increase attributable to international e- commerce. E-commerce mail consists mainly of packets that are heavier and irregular (see fig. 4 for examples). Most inbound letter mail to the United States in fiscal year 2016 was \u201cpackets,\u201d defined by the UPU as small packages that weigh no more than 2 kilograms (about 4.4 pounds), often generated by e-commerce. USPS officials stated that packets generate higher costs as USPS\u2019s delivery and processing costs for packets are higher than they are for letters. The current terminal dues system does not distinguish mail based on shape, and there is no separate rate for packets. A recent report commissioned by PRC found that the current terminal dues system, by reducing the price of international packet mail below what it would be without the system, is responsible for increasing the demand (and hence volume) of packets sent through USPS. According to the report, this increase in terminal dues packets reduces the demand for other types of international mail and ECOs.", "As mentioned above, losses occur because USPS\u2019s costs to deliver inbound terminal dues mail are higher than the terminal dues revenues for that mail. Specifically, PRC has recognized that terminal dues have not covered USPS\u2019s costs to deliver inbound letter mail since fiscal year 1998 and has reiterated this recently. USPS recently stated that the failure to cover USPS\u2019s costs for inbound mail was caused by the terminal dues system. For example, currently, USPS is paid between $1.13 and $1.87 in terminal dues to deliver a 10-ounce packet from a developing country, an amount that does not include any additional surcharges for tracking and other features. Conversely, USPS officials told us that the published domestic rates for a 10-ounce piece of mail range from $1.61 to the highest commercial rate of $3.46. However, comparing these products is complicated, because they offer different features. According to USPS officials, packets sent under the terminal dues system do not include any tracking and have a delivery time of up to 3 weeks from some countries, while all USPS domestic mail products include tracking and have delivery times from as short as one day to an average of 2 to 3 days. In addition, 85 percent of USPS domestic mail receives discounted rates for mail that is entered in bulk and prepared in a way that reduces USPS\u2019s costs, including barcoding, presorting, and being entered into USPS\u2019s system closer to its final destination."], "subsections": []}, {"section_title": "Net Revenue Increases for Outbound Terminal Dues Mail", "paragraphs": ["USPS reports show that net revenue for outbound terminal dues mail increased from fiscal year 2012 to fiscal year 2016. The increased net revenue allowed USPS to more than offset its losses from inbound terminal dues mail. The increase in net revenue came despite a decrease in outbound terminal dues mail volume over the same period."], "subsections": []}]}, {"section_title": "The Current Terminal Dues System Also Benefits U.S. Businesses That Rely on Outbound International Mail and U.S. Consumers", "paragraphs": ["According to stakeholders we interviewed as well as our economic analysis, businesses that send outbound international mail and U.S. consumers also benefit from the current terminal dues system similar to USPS (see table 1).", "These stakeholders benefit for the following reasons:", "U.S. businesses that send outbound terminal dues mail, for example, e-commerce shippers or magazine publishers, may pay lower postal rates than what would be set by the destination country\u2019s designated postal operator to deliver that mail. This is the case for mail sent to many developed countries, such as in Europe, where most U.S. outbound international mail is sent. In this case, the postage charged by USPS to the business reflects the relatively low terminal dues rate paid by USPS to those designated postal operators, rather than a higher rate that better reflects the designated postal operator\u2019s delivery costs.", "U.S. consumers also benefit from the current terminal dues system.", "As described above, U.S. consumers have spurred a significant increase in inbound international mail, especially from Asia where terminal dues rates are lower than USPS\u2019s costs, which contributes to low shipping prices for U.S. consumers. For example, the USPS\u2019s Office of Inspector General (OIG) conducted a case study in 2015 that found that five low-cost items shipped from China cost about $1.60 per item in shipping charges, while equivalent published domestic postage for the same items cost between $2.04 and $2.22 per item, depending on their exact weight. Studies by the USPS OIG and WIK-Consult GmbH (WIK Consultants) have found similar benefits for consumers from the current terminal dues system. U.S. consumers may also see the same kind of benefit from lower mailing prices as do U.S. businesses that send terminal dues mail to certain outbound countries, such as in Europe, that have higher delivery costs than the terminal dues paid to them by USPS."], "subsections": []}, {"section_title": "Current Terminal Dues System Results in Competitive Disadvantages for Some Stakeholders", "paragraphs": ["Despite creating some benefits for some U.S. stakeholders, the current terminal dues system also creates competitive disadvantages for other U.S. stakeholders (see table 2).", "The terminal dues system puts ECOs at a disadvantage because according to representatives from ECOs we spoke with, their volume for international items that are similar to those currently shipped at terminal dues rates is low, and they cannot compete on price with designated postal operators. Instead, they compete using other features such as tracking and delivery speed. Businesses overseas, like e-commerce companies such as Alibaba, can use the terminal dues system as a low- cost alternative to ECO service for items which have much slower delivery standards than offered by ECOs. This disadvantage is especially pronounced when ECOs compete with designated postal operators for business from countries with relatively low terminal dues rates, such as many countries in Asia.", "U.S. businesses that compete with foreign companies that use inbound terminal dues mail are also disadvantaged by the current terminal dues system. Foreign businesses that send products from countries with low terminal dues to U.S. consumers through USPS may have a competitive advantage over domestic businesses, which may have to pay a higher domestic postage. Representatives from two small U.S. businesses we spoke with stated that the disparity between postage charges available to foreign mailers under the terminal dues system versus the domestic postage available to them was a significant factor in reduced sales in recent years, although the disparity between postage charges is not the only disadvantage they faced from foreign competition. We found this outcome may be less of a competitive disadvantage for larger businesses, such as Amazon, which may be able to obtain discounts on the domestic mailing prices from USPS based on volume, presorting, and other worksharing arrangements while smaller domestic mailers may not be able to secure such discounts. Even with discounting, the domestic- mailing price may still be higher than the foreign-mailing price charged by a designated postal operator a price that is based on, in part, a lower terminal dues rate. However, USPS officials cautioned that such comparisons are complicated because: 1. Terminal dues rates do not include other costs, such as the cost of collection, international transportation, and other costs that may be included in the price charged to the foreign mailer by the designated postal operator. 2. Significant amounts of international mail are sent in large quantities from foreign designated postal operators to USPS, making this mail not analogous to USPS\u2019s single-piece mail rates. 3. U.S. commercial customers may pay non-published rates established in negotiated service agreements that may be lower than USPS\u2019s single-piece published rates.", "While we described above how different stakeholders are affected by the terminal dues system, it is not possible to quantify the system\u2019s impacts. For example, according to USPS officials, while the current system has a single rate for three shapes of terminal dues mail, USPS has over 3,000 rates for domestic mail, making rate comparisons of terminal dues mail products to domestic mail products imprecise. In addition, the terminal dues rate is a payment between designated postal operators, not the price paid by the foreign mailer. This price information may not be publicly available as designated postal operators in other countries might also have non-published prices."], "subsections": []}]}, {"section_title": "Planned Changes to Terminal Dues Rates Should Reduce USPS\u2019s Losses and Could Affect Other Stakeholders", "paragraphs": [], "subsections": [{"section_title": "Changes Should Reduce USPS\u2019s Losses from Terminal Dues System", "paragraphs": ["Based on our analysis of the changes to the terminal dues system recently adopted by the UPU and of USPS\u2019s estimates of the financial impact of those changes, increased terminal dues rates should help reduce USPS\u2019s losses for inbound mail. All terminal dues rates will increase for inbound mail starting on January 1, 2018\u2014especially for certain countries, which will increase by 13 percent per year specifically for packets. By 2021, all but the least developed countries will have the same terminal dues rates for packets. As the majority of terminal dues mail handled by USPS is inbound, the increase in revenue resulting from higher terminal dues may likely more than offset the increase in USPS\u2019s costs that will result from increases in terminal dues rates to the countries where most USPS outbound terminal dues mail is sent.", "The UPU also created a new rate category for packets, in addition to a new tracked-packet surcharge, which will increase USPS\u2019s revenue. As described previously, the current terminal dues rates do not distinguish between letters, flats, or packets\u2014even though packets are more expensive to handle and deliver due to their irregular size and heavier weight. This change should lead to higher terminal dues revenue for USPS. In addition, the UPU adopted the Integrated Product Plan (IPP) at the 2016 UPU congress; that, among other things, will require commercial goods to be sent under the terminal dues system as packets. According to USPS officials, this change could also increase terminal dues revenues, as all commercial items will be sent via packets, which will have higher terminal dues rates starting in 2018. However, decisions on other aspects of the IPP are expected to be made at a special UPU congress in 2018.", "According to USPS projections, USPS will start earning positive net revenues for inbound terminal dues mail as a result of these changes. As terminal dues rates increase, USPS projections show that USPS will cover costs for inbound terminal dues mail from the 15 countries that sent most of the inbound terminal dues mail to the United States in fiscal year 2015. The State Department official who coordinated the U.S. delegation to the 2016 UPU congress stated that these changes will achieve the government\u2019s goal of dramatically improving USPS\u2019s cost coverage for the delivery of inbound terminal dues mail, such as packets, from China and other developing countries, when the changes take effect in 2018.", "However, other stakeholders we spoke with disagree on the extent of improvement. While PRC staff officials stated that the UPU has made some progress in closing the gap between terminal dues rates and domestic rates for equivalent domestic mail, they also stated that there is still a way to go to make the rates equivalent to each other. Similarly, PRC\u2019s Chairman stated that while the changes will improve USPS\u2019s cost coverage, they will not eliminate the negative impacts of the current terminal dues system and may in fact exacerbate them over the 2018\u2013 2021 period. In addition, he stated that while USPS projected that terminal dues proposals in 2008 and 2012 would increase USPS\u2019s cost coverage for inbound terminal dues mail, the improvement was negligible, casting doubt on the accuracy of USPS\u2019s projections for the planned changes for the 2018\u20132021 period. A consultant who has experience in international mail issues stated that, given some assumptions about changes in international mail volume, the terminal dues increases will still not be equal to the delivery costs for domestic postage for inbound terminal dues mail to countries such as the United States. He estimated that the difference between the new terminal dues rates and equivalent domestic postage for packets will be reduced from about 57 to 73 percent (depending on the sending country) in 2016 to about 50 percent by 2021."], "subsections": []}, {"section_title": "Changes Could Affect U.S. Stakeholders Differently, but Effects Are Difficult to Quantify", "paragraphs": ["According to stakeholders we interviewed as well as our analysis of UPU\u2019s terminal dues rates, the projected increase in terminal dues rates caused by the planned changes to the terminal dues system may negatively affect U.S. businesses that send outbound terminal dues mail and U.S. consumers (see table 3). U.S. businesses and U.S. consumers that send mail to other countries will pay higher postage rates for terminal dues mail, to the extent that USPS increases its prices to reflect the higher terminal dues USPS must pay to designated postal operators. However, increased terminal dues rates may still be less than the cost to deliver that mail for designated postal operators in relatively high cost countries, such as Norway and Germany. U.S. businesses and consumers benefit from this disparity as the postage they pay USPS to send mail to those countries is based on the terminal dues rates to those countries, not the delivery costs, which may be higher. U.S. consumers may also see shipping prices increase for inbound terminal dues mail, for example e-commerce packets, to the extent that any increases in postage charged to foreign mailers resulting from increased terminal dues rates are passed along to U.S. consumers.", "ECOs and U.S. businesses affected by inbound terminal dues mail should become more cost-competitive due to the planned increased terminal dues rates, although the planned changes may not eliminate all of the existing competitive disadvantages (see table 4). A State Department official stated that these new rates may still not fully cover the cost of delivery in some countries with very high postal delivery costs, potentially impacting ECOs\u2019 competitiveness in those countries. A representative from a small business that competes with overseas e- commerce businesses for U.S. consumers stated that any increase in terminal dues would make his business more price-competitive with foreign competitors. However, a representative from one small business affected by inbound terminal dues mail we spoke with stated that his business had already suffered due to the terminal dues system. He added that other factors also make it harder to compete and therefore it would be harder to recover even with higher terminal dues rates.", "While these changes may have different effects on U.S. stakeholders, it is difficult to quantify the future effects because of limited information and forecasting variability. As a result, it remains to be seen what the effects of these changes to this system will be on domestic stakeholders. USPS, USPS OIG, PRC, and others have developed or adapted models and analyses that try to show the economic impacts of the terminal dues system on different stakeholders and estimate the impact of any changes to that system. We analyzed six recent models and analyses\u2014including the USPS\u2019s, USPS OIG\u2019s, and PRC\u2019s models\u2014that describe either different effects of the terminal dues system on USPS, all designated postal operators, or other stakeholders. Some of these studies also try to measure how terminal dues rate increases may affect these stakeholders. Our review determined that these models and analyses can help inform stakeholders about the different overall effects of terminal dues. However, we also found that the analyses are limited in how they can predict or describe the effect of the terminal dues system, in part due to a lack of complete information on the following issues: the volume of mail, including its type and weight, that flows between each UPU member country; equivalent domestic postage rates that would be charged to domestic mailers for service equivalent to inbound terminal dues mail; the presence of alternative international mail agreements, such as bilateral and multilateral agreements; the number of U.S. businesses and consumers that receive or send international mail covered by terminal dues rates; the number and market characteristics of U.S. businesses that currently compete with imported products that are sent under terminal dues; how terminal dues rates and changes in those rates would affect supply chains between businesses in the U.S. and other countries; and, the share of postage costs of U.S. businesses for outbound mail that is covered by the terminal dues system and the proportion of total business costs; how important postage and shipping costs are to total costs of doing business, domestically and globally.", "Our analysis also found that some of the models and analyses we reviewed did not make adjustments to factor in some or all of these potential mail-related changes, such as changes in: volume of international mail reimbursed by terminal dues changes in response to increases in terminal dues rates or changes in other international mail products offered by USPS or express consignment operators; monetary exchange rates, as all terminal dues are denominated in Special Drawing Rights, a combination of five major currencies, which all vary over time, introducing uncertainty to any projection of terminal dues rates; and, other international trade issues, such as customs duties, tariffs, labor costs, other shipping costs, and regulatory costs.", "In the absence of models or analyses that take these factors into account, it is difficult to quantify the impact of terminal dues rate increases on other domestic stakeholders."], "subsections": []}]}, {"section_title": "Alternatives to the Terminal Dues System Mainly Benefit USPS, While the Effects on Other Stakeholders Are Unclear", "paragraphs": [], "subsections": [{"section_title": "USPS Offers Several Alternatives to the Terminal Dues System for International Mail", "paragraphs": ["Not all international mail is sent through the terminal dues system. USPS officials and mail stakeholders told us and USPS data indicate that mailers send a significant portion of U.S. inbound and outbound international mail using the following alternatives: bilateral and multilateral agreements, parcels, express mail service, and direct entry. USPS data show that that while terminal dues as a percentage of inbound international mail volume increased from about 50 percent in fiscal year 2012 to about 60 percent in fiscal year 2016, a significant portion of international mail comes into the United States via these alternatives.", "Each of these alternatives is described in greater detail below.", "USPS negotiates bilateral and multilateral agreements for a number of countries, wherein USPS and other designated postal operators both pay higher rates for different mail products (inbound and outbound) with desirable features not available for terminal dues mail, such as tracking and faster delivery. For example, USPS is party to the multilateral PRIME agreement, which gives priority delivery and performance bonuses (paid in addition to terminal dues) to mail from 31 countries. According to USPS officials, bilateral and multilateral agreements have improved USPS\u2019s financial position. In reviewing these agreements, PRC has found that they improve USPS\u2019s financial position relative to what it would have been in the absence of these agreements.", "USPS offers products that provide UPU parcel service for both inbound and outbound mail, which includes tracking, liability insurance, and signature confirmation at delivery. Parcels are sent under UPU parcel rates, which are higher than what USPS would receive under the terminal dues system for comparable letter mail. USPS also offers \u201ce-Commerce Parcel,\u201d a new parcel service established by the UPU in 2016. The e-Commerce Parcel product is aimed at the e-commerce marketplace and provides tracking, but no liability or signature confirmation. Under e-Commerce Parcel, designated postal operators determine the inbound delivery rates, which are expected to be lower than parcel service due to the service limitations. USPS officials stated that they are implementing the e- Commerce parcel service and reviewing its pricing strategy.", "USPS also provides Express Mail Service (also referred to as EMS) for both inbound and outbound international mail. Express Mail Service products provide express delivery of documents and merchandise, which take priority over other postal services and include signature confirmation and liability insurance for damaged or lost mail. Express Mail Service rates for inbound products can be set by bilateral agreements or determined by the receiving designated postal operator. During fiscal year 2016, inbound Express Mail Service products included shipments from 149 countries, including China, Japan, Korea, Canada, and France. Express Mail Service products for outbound U.S. mail include Priority Mail Express International service, a high-speed USPS mail service available to certain countries and available at designated USPS facilities, and Global Express Guaranteed service, a USPS international expedited delivery service provided through an alliance with FedEx.", "Mailers use direct entry as a way of accessing USPS domestic mail services from foreign countries without sending the item through a foreign designated postal operator. Under USPS\u2019s Global Direct Entry Wholesaler Program, third party companies, such as foreign e- commerce businesses selling products in the United States, send the items to the United States as cargo that bypasses designated postal operators, circumventing the terminal dues system entirely. Once the items clear customs, they are entered to USPS\u2019s system at domestic postage rates. Some of these items are entered into USPS\u2019s system outside of USPS\u2019s Global Direct Entry Wholesaler Program. For example, we spoke with a representative of a U.S. company that provides direct entry services for foreign mailers, preparing items for easier entry through customs, for example by labeling items with barcodes that describe the product, and for USPS by applying U.S. domestic postage. The company representative stated that once the items clear customs, the company transports the items to one of 140 USPS distribution points (i.e. USPS\u2019s domestic mail processing facilities) to facilitate timely and efficient delivery.", "As we discuss in more detail later, these alternatives may offer various benefits and disadvantages to customers that may choose them based on a combination of price, available features, and speed of delivery."], "subsections": []}, {"section_title": "Alternatives to the Terminal Dues System Mainly Benefit USPS and U.S. Consumers, While the Effects on Other Stakeholders Are Unclear and Difficult to Quantify", "paragraphs": ["USPS officials stated that alternatives to the terminal dues system earn increased net revenue for USPS, for example,", "Rates negotiated as part of bilateral and multilateral agreements, UPU parcel rates, and Express Mail Service product rates set by USPS are higher than terminal dues rates; this difference means negotiated rates provide better cost coverage and generate higher net revenues than terminal dues rates.", "Direct entry mail generates greater net revenue for USPS, because shippers enter the mail directly into USPS\u2019s domestic mail stream at domestic postal rates. USPS also realizes operational efficiencies from these alternatives due to mail entry and preparation requirements, leading to lower USPS costs. Direct entry mail is subject to the same preparation requirements as domestic mail entered in bulk quantities, such as being presorted and entered close to its final destination.", "Although alternatives to the terminal dues system account for a significant portion of international mail handled by USPS, terminal dues mail continues to grow at a higher rate. From fiscal year 2012 to fiscal year 2016, the volumes of (1) USPS terminal dues mail, (2) mail covered by bilateral and multilateral agreements, and (3) parcels increased, while Express Mail Service volume decreased.", "U.S. consumers may also benefit from all four alternatives due to faster delivery than under the terminal dues system and from special features such as tracking, especially for higher-value items. However, U.S. consumers may pay more to use these alternatives given the special features they offer.", "The effects of the alternatives on ECOs are unclear. Representatives from ECOs told us that USPS bilateral and multilateral agreement mail products and Express Mail Service products enjoy certain advantages, such as easier customs clearance, that make USPS\u2019s products more attractive to customers. However, the representatives added that the effects of USPS bilateral agreements on their business are unclear, because USPS considers the rates to be proprietary information that is not publicly available. The representatives also noted that they did not believe their products are able to compete directly with USPS bilateral and multilateral mail products because the rates for these products are based on comparatively low terminal dues rates. A 2015 USPS OIG study found that ECOs\u2019 rates are generally much higher than rates for USPS bilateral agreement and direct entry products, therefore ECOs\u2019 products are not price competitive with USPS\u2019s products. Express Mail Service and parcel products are priced higher than terminal dues rates and offer special features similar to those offered by ECOs, such as priority shipping and tracking, making those products more attractive for higher value and time sensitive items, and thus may compete with ECOs\u2019 products.", "The effects of the alternatives on other international mail stakeholders, such as U.S. businesses that are affected by inbound or outbound international mail, are also unclear. For example, USPS bilateral agreements may increase mailer options by providing faster service and more product features, all at a lower price that discourages competition from ECOs. However, the full effects of bilateral agreements are unclear, in part because these rates are not public. The extent that U.S. businesses related to outbound mail have access to and use direct entry options into other countries is also unclear. In addition, other non-postal related factors such as monetary exchange rates and product prices affect the competitiveness of U.S. businesses that are affected by inbound or outbound mail could be more important than mailing prices to their international competitiveness.", "It is also difficult to quantify the effects of alternatives to the terminal dues system because of limited information. The information needed to determine the effects on domestic stakeholders from Express Mail Service products and bilateral agreements are not publicly available, as USPS regards this information as business proprietary. Effects on stakeholders from direct entry mail are also unclear, in part because this type of inbound mail may be difficult to distinguish from other domestic USPS mail, and information on direct entry mail is not collected by USPS. Use of alternatives also depends on terminal dues rates and other factors, such as overall mail volume trends, and the models and analyses we reviewed do not take these alternatives into account when modeling international mail trends. For example, none of the models and analyses we reviewed took into account bilateral agreements due to the lack of publicly available information."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to USPS, PRC, and the Department of State for their review and comment. In USPS\u2019s comments, reproduced in appendix IV, USPS generally agreed with our findings, described the impact of upcoming terminal dues changes, and emphasized that USPS has been taking efforts to improve its cost coverage and collect more revenue for international mail. In PRC\u2019s comments, reproduced in appendix V, PRC generally agreed with our findings. State did not provide any formal comments. USPS also provided technical comments, which we incorporated as appropriate. PRC and State did not provide any technical comments.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report describes the financial effects on domestic stakeholders of the following: (1) the rates under the current UPU terminal dues system, (2) planned changes to those rates, and (3) alternatives to the terminal dues system. For all of our objectives, we interviewed officials at the U.S. Postal Service (USPS), the Department of State (State), U.S. Customs and Border Protection (CBP), and the Postal Regulatory Commission (PRC); industry consultants; and selected mail stakeholders affected by terminal dues. We selected stakeholders affected by terminal dues based on our reviews of comments submitted to PRC on proposals related to terminal dues for the 2016 UPU congress, as well as interviews with USPS, PRC, State officials, and industry consultants.", "To obtain background information and provide context for this report, we reviewed relevant federal statutes and U.S. policies; documentation from the UPU, State, USPS, USPS Office of Inspector General (USPS OIG); and knowledgeable consultants. Relevant legal sources that we reviewed include Title 39 of the U.S. Code and the 2006 Postal Accountability and Enhancement Act. In addition, we reviewed the UPU constitution, UPU general regulations, and UPU agreements reached at the 2016 UPU congress, which define the terminal dues system. We reviewed documents of State\u2019s Advisory Committee on International Postal and Delivery Services under the Federal Advisory Committee Act, including minutes and proposals, and USPS and USPS OIG reports on terminal dues and international mail flows. We also reviewed related studies by third parties, including PRC-sponsored reports by Copenhagen Economics on the economic impacts of terminal dues and other terminal dues related reports. In addition, we reviewed GAO reports on related postal issues, as well as relevant academic literature, industry journals, books, and other publications, including news articles. We analyzed available USPS information for fiscal years 2015 and 2016 on international mail to and from the United States and to and from UPU- designated target and transitional countries to determine the most significant mail flows. USPS information for inbound and outbound international mail by country was only available beginning in fiscal year 2015.", "To determine the current rates under the UPU terminal dues system and the effects of these rates on selected stakeholders, we reviewed and analyzed UPU documentation on terminal dues rates, and we identified and interviewed affected domestic mail stakeholders to obtain their views on the potential impacts of the current terminal dues system. We judgmentally selected stakeholders through interviews with USPS, State, PRC, and industry group officials and consultants and our review of mail stakeholder comments submitted to PRC pursuant to PRC proceedings on terminal dues and international mail related proposals and agreements. In addition, to select business and consultant stakeholders, we also reviewed published reports documenting their knowledge of international mail and terminal dues issues. We interviewed USPS and CBP officials and observed international mail processing by USPS and CBP at two USPS International Service Centers (ISC). We applied standard economic principles to describe effects of the current terminal dues system on domestic stakeholders.", "To describe the effects of the current terminal dues system on USPS specifically, we reviewed USPS position papers, analyses, and reviewed and analyzed terminal dues models and analyses showing the effects of terminal dues, and reviewed UPU documents describing the terminal dues system, relevant USPS OIG reports, and PRC proceedings and Annual Compliance Determination Reports. We analyzed USPS information and reports on inbound and outbound international mail, including volume, costs, and revenue from fiscal years 2012 to 2016 and UPU information describing the terminal dues system and rates from 2014 to 2017. We assessed the reliability of USPS\u2019s information on the volume, costs, and revenue for international mail by reviewing documentation related to how the data are collected and processed. We found this information to be sufficiently reliable for the limited purpose of presenting this descriptive information. We also visited the Chicago O\u2019Hare International Airport and the New York John F. Kennedy International Airport International Service Centers to observe how USPS processes inbound and outbound international mail and how USPS interacts with CBP to clear international mail for delivery to U.S. addressees. We selected the Chicago O\u2019Hare International Airport and the New York John F. Kennedy International Airport International Service Centers because they process most inbound international mail volume, as well as their location and interviews with USPS and CBP officials.", "To determine planned changes to UPU terminal dues rates, we reviewed UPU documents that described the changes to the terminal dues system resulting from the 2016 UPU congress, including the 2018 through 2021 terminal dues rate structure. We also reviewed USPS and State proposals to the 2016 UPU congress and stakeholder comments submitted to PRC on proposals to the 2016 UPU congress. We applied standard economic principles to describe effects of the planned changes on domestic stakeholders.", "We reviewed six economic models and analyses estimating different effects of the current and future terminal dues system on global postal flows and on various stakeholders. We selected the six models and analyses for analysis based on how current they were and whether they produced empirical findings related to the effects of terminal dues or changes in terminal dues. These models and analyses were taken from the published academic literature, economic papers, government reports, and government analyses. The studies used a range of methodologies from simulation modeling to experimental methods, in part due to the paucity of data on a number of variables such as trade flows or how terminal dues affect certain stakeholders, such as consumers and businesses. Our overall review of the studies was based on economic criteria and GAO guidance which included: the purpose of the model, the assumptions used, the data or lack of data, model validation methods, transparency of the model and data, sensitivity analysis, and peer review. Where appropriate, we also compared the results of the models or analyses to other similar modeling results. The analyses we assessed address different questions relating to various mail stakeholders. We determined that these analyses appropriately include, though with certain limitations, the key elements of an economic analysis. Our overall assessment is that while these models and analyses include limitations and caveats, they still inform decision-makers and stakeholders about the different economic effects of terminal dues.", "To determine the alternatives to the terminal dues system used by U.S. mail stakeholders and the implications of those alternatives for stakeholders, we interviewed USPS, PRC, and State officials, representatives from mailing industry companies, express consignment operators and other selected stakeholders affected by the terminal dues system, international mail consultants, and freight shipping and forwarding firms. We analyzed USPS information and reports on inbound and outbound international mail from fiscal year 2012 through fiscal year 2016, including volume, cost, and revenue data. We assessed the reliability of USPS\u2019s information on the volume, costs, and revenue for international mail by reviewing documentation related to how the data are collected and processed. We found this information to be sufficiently reliable for the limited purpose of presenting this descriptive information. We selected the four alternatives offered by USPS to the terminal dues system, including USPS bilateral and multilateral agreements with other designated postal operators, Express Mail Service products, parcels, and direct entry mail.", "To describe these alternatives and determine their implications for mail stakeholders, we reviewed and analyzed USPS bilateral agreements with other designated postal operators, stakeholder comments on proposed bilateral agreements, PRC decisions on the proposed agreements, and USPS and USPS OIG documents and reports describing our selected alternatives. We reviewed USPS\u2019s bilateral agreements with China Post, Canada Post, Hong Kong Post, Korea Post, and Royal PostNL in the Netherlands, which were in force during the course of our work.", "We applied standard economic principles to describe effects of these alternatives on domestic stakeholders.", "The performance audit on which this report is based was conducted from May 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with USPS from June to October 2017 to prepare this public version of the original sensitive report. This public version was also prepared in accordance with these standards.", "This is a public version of GAO-17-571SU that we issued in August 2017. This report excludes information that was deemed to be proprietary by USPS and that must be protected from public disclosure. Therefore, this report omits proprietary information and certain data related to USPS\u2019s revenues, costs and volumes for international mail. Although the information provided in this report is more limited in scope, it addresses the same objectives as the sensitive report and the methodology used for both reports is the same."], "subsections": []}, {"section_title": "Appendix II: List of Countries by Universal Postal Union\u2019s (UPU) Country Groups from 2014\u20132017 and from 2018\u20132021", "paragraphs": ["The UPU divides its member countries into country groups based on the UPU\u2019s \u201cpostal development indicator,\u201d which is largely based on gross national income per capita and attempts to factor in the cost to deliver a letter based on statistics from the United Nations, the World Bank, and the UPU. The UPU uses the country groups to, among other things, apply terminal dues rates to international letter mail sent between member countries. The UPU consolidated its five country groups for the 2014\u2013 2017 period into four country groups for the 2018\u20132021 period: Group I includes the most developed countries, Groups II and III include developing countries, and Group IV includes the least developed countries."], "subsections": []}, {"section_title": "Appendix III: Average Annual Rate-Cap Increases of the Universal Postal Union\u2019s (UPU) Terminal Dues", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the United States Postal Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Postal Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Derrick Collins (Assistant Director); Greg Hanna (Analyst-in-Charge); Barbara El Osta; Camilo Flores; Kenneth John; Mike Mgebroff; Malika Rice; and Amy Rosewarne made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-700T", "url": "https://www.gao.gov/products/GAO-18-700T", "title": "Drinking Water: Status of DOD Efforts to Address Drinking Water Contaminants Used in Firefighting Foam", "published_date": "2018-09-26T00:00:00", "released_date": "2018-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to health experts, exposure to elevated levels of PFOS and PFOA could cause increased cancer risk and other health issues in humans. DOD has used firefighting foam containing PFOS, PFOA, and other PFAS since the 1970s to quickly extinguish fires and ensure they do not reignite. EPA has found elevated levels of PFOS and PFOA in drinking water across the United States, including in drinking water at or near DOD installations.", "This statement provides information on actions DOD has taken to address elevated levels of PFOS and PFOA in drinking water at or near military installations and to address concerns with firefighting foam.", "This statement is largely based on a GAO report issued in October 2017 ( GAO-18-78 ). To perform the review for that report, GAO reviewed DOD policies and guidance related to PFOS and PFOA and firefighting foam, analyzed DOD data on testing and response activities for PFOS and PFOA, reviewed the four administrative orders issued by EPA and state regulators to DOD on addressing PFOS and PFOA in drinking water, visited seven installations, and interviewed DOD and EPA officials. This statement also includes updated information based on two 2018 DOD reports to Congress\u2014one on PFOS and PFOA response and one on firefighting foam\u2014as well as discussions with DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO reported in October 2017 that the Department of Defense (DOD) had initiated actions to address elevated levels of perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) in drinking water at or near military installations. PFOS and PFOA are part of a larger class of chemicals called per- and polyfluoroalkyl substances (PFAS), which can be found in firefighting foam used by DOD. In May 2016, the Environmental Protection Agency (EPA) issued nonenforceable drinking water health advisories for those two chemicals. Health advisories include recommended levels of contaminants that can be present in drinking water at which adverse health effects are not anticipated to occur over specific exposure durations.", "In response to those health advisories, DOD's military departments directed their military installations to (1) identify locations with a known or suspected release of PFOS and PFOA and address any releases that pose a risk to human health, which can include people living outside DOD installations, and (2) test for PFOS and PFOA in installation drinking water and address any contamination above the levels in EPA's health advisories. For example:", "As of August 2017, DOD had identified 401 active or closed military installations with known or suspected releases of PFOS or PFOA.", "The military departments had reported spending approximately $200 million at or near 263 installations for environmental investigations and responses related to PFOS and PFOA, as of December 2016. According to DOD, it may take several years for the department to determine how much it will cost to clean up PFOS and PFOA contamination at or near its military installations.", "DOD reported taking actions (such as providing alternative drinking water and installing treatment systems) as of August 2017 to address PFOS and PFOA levels exceeding those recommended in EPA's health advisories for drinking water for people (1) on 13 military installations in the United States and (2) outside 22 military installations in the United States.", "In addition to actions initiated by DOD, GAO reported in October 2017 that the department also had received and responded to four orders from EPA and state regulators that required DOD to address PFOS and PFOA levels that exceeded EPA's health advisory levels for drinking water at or near four installations.", "GAO also reported in October 2017 that DOD was taking steps to address health and environmental concerns with its use of firefighting foam that contains PFAS. These steps included restricting the use of existing foams that contain PFAS; testing foams to identify the amount of PFAS they contain; and funding research on developing PFAS-free foam that can meet DOD's performance requirements, which specify how long it should take for foam to extinguish a fire and keep it from reigniting. In a June 2018 report to Congress, DOD stated that no commercially available PFAS-free foam has met DOD's performance requirements and that research to develop such a PFAS-free foam is ongoing."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss our report on the Department of Defense\u2019s (DOD) attention to drinking water contaminants, part of our body of work on the federal government\u2019s environmental liabilities. The federal government is financially liable for cleaning up areas where federal activities have contaminated the environment. Today\u2019s hearing addresses federal liability for and procurement of per- and polyfluoroalkyl substances (PFAS), a large group of man-made chemicals that include perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA). PFOS, PFOA, and other PFAS can be found in firefighting foam used by DOD since the 1970s for training and emergency response activities to put fires out quickly while also ensuring that they do not reignite.", "Exposure to elevated levels of PFOS and PFOA could cause increased cancer risk and other health issues in humans, according to the Agency for Toxic Substances and Disease Registry. The Environmental Protection Agency (EPA) has found PFOS and PFOA in drinking water across the United States, including in drinking water at or near DOD installations. EPA has not regulated PFOS and PFOA in drinking water, but EPA did issue nonenforceable drinking water health advisories for these contaminants in May 2016, which we discuss further in this statement. Addressing PFOS and PFOA contamination represents a potentially significant environmental liability for DOD because the regulatory requirements are still evolving, the scientific community is still developing the underlying science, and the scope of work needed for cleanup is not yet known.", "In our statement today, we discuss actions DOD has taken to address elevated levels of PFOS and PFOA in drinking water at or near military installations and to address concerns with DOD\u2019s firefighting foam. This statement is largely based on our October 2017 report on DOD\u2019s efforts to manage contaminants in drinking water. To perform our review for the October 2017 report, we reviewed DOD policies and guidance related to PFOS and PFOA and firefighting foam; analyzed DOD data on testing and response activities for PFOS and PFOA; reviewed four administrative orders issued by EPA and state regulators; visited seven installations; and interviewed DOD and EPA officials. More detailed information on the scope and methodology for that work can be found in the issued report. This statement also includes updated information since our October 2017 report, based on our review of two 2018 DOD reports to Congress\u2014a March 2018 report on the department\u2019s response to PFOS and PFOA contamination and a June 2018 report on firefighting foam alternatives\u2014 and on our discussions with DOD officials about these issues and their actions in September 2018.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["EPA regulates drinking water contaminants by issuing legally enforceable standards under the Safe Drinking Water Act that generally limit the levels of these contaminants in public water systems. EPA has issued such regulations for approximately 90 drinking water contaminants. Public water systems, including the DOD public water systems that provide drinking water to about 3 million people living and working on military installations, are required to comply with EPA and state drinking water regulations.", "While EPA has not issued legally enforceable standards for PFAS in drinking water, the agency has monitored water systems in the United States for six types of PFAS chemicals\u2014including PFOS and PFOA\u2014in order to understand the nationwide occurrence of these chemicals. This monitoring effort was part of a larger framework established by the Safe Drinking Water Act to assess unregulated contaminants. Under this framework, EPA is to select for consideration from a list (called the contaminant candidate list) those unregulated contaminants that present the greatest public health concern, establish a program to monitor drinking water for unregulated contaminants, and decide whether or not to regulate at least 5 such contaminants every 5 years (called a regulatory determination).", "EPA\u2019s regulatory determinations are to be based on the following three broad statutory criteria, all of which must be met for EPA to decide that a drinking water regulation is needed: the contaminant may have an adverse effect on the health of persons; the contaminant is known to occur or there is a substantial likelihood that the contaminant will occur in public water systems with a frequency and at levels of public health concern; and in the sole judgment of the EPA Administrator, regulation of such contaminant presents a meaningful opportunity for health risk reduction for persons served by public water systems.", "To date, PFOS and PFOA are unregulated because EPA has not made a positive regulatory determination for these chemicals.", "Even when EPA has not issued a regulation, EPA may publish drinking water health advisories. In contrast to drinking water regulations, health advisories are nonenforceable. Health advisories recommend the amount of contaminants that can be present in drinking water\u2014\u201chealth advisory levels\u201d\u2014at which adverse health effects are not anticipated to occur over specific exposure durations. Most recently, in May 2016 EPA issued lifetime health advisories for PFOS and PFOA. These advisories set the recommended health advisory level for each contaminant\u2014or both contaminants combined\u2014at 70 parts per trillion in drinking water. According to DOD, the department also considers information in these health advisories when determining the need for cleanup action at installations with PFOS and PFOA contamination."], "subsections": []}, {"section_title": "DOD Has Initiated Actions to Address Elevated Levels of PFOS and PFOA in Drinking Water and Concerns with Firefighting Foam", "paragraphs": [], "subsections": [{"section_title": "DOD Has Initiated Actions to Identify, Test, Address, and Respond to Orders from Regulators Regarding PFOS and PFOA in Drinking Water", "paragraphs": ["We reported in October 2017 that, following the release of EPA\u2019s lifetime health advisory for PFOS and PFOA in May 2016, each of the military departments directed their installations to identify locations with any known or suspected prior release of PFOS and PFOA and to address any releases that pose a risk to human health\u2014which can include people living outside DOD installations; and test for PFOS and PFOA in their drinking water and address any contamination above EPA\u2019s lifetime health advisory level.", "We further reported that, as of December 2016, DOD had identified 393 active or closed military installations with any known or suspected releases of PFOS or PFOA. Since we issued our report, DOD has updated that number to 401 active or closed installations, according to August 2017 data provided in a March 2018 report to Congress on the department\u2019s response to PFOS and PFOA contamination.", "We stated in our October 2017 report that the military departments had reported spending approximately $200 million at or near 263 installations for environmental investigations and response actions, such as installing treatment systems or supplying bottled water, as of December 2016.", "The Air Force had identified 203 installations with known or suspected releases of PFOS and PFOA and had spent about $153 million on environmental investigations and response actions (accounting for about 77 percent of what the military departments had spent on PFOS and PFOA activities as of December 2016). For example, the Air Force reported spending over $5 million at Peterson Air Force Base in Colorado. During our visit to that installation in November 2016, officials showed us the current and former fire training areas that they were investigating to determine the extent to which prior use of firefighting foam may have contributed to PFOS and PFOA found in the drinking water of three nearby communities. Additionally, the Air Force had awarded a contract for, among other things, installing treatment systems in those communities.", "The Navy had identified 127 installations with known or suspected releases of PFOS and PFOA and had spent about $44.5 million on environmental investigations and response actions (accounting for about 22 percent of what the military departments had spent on PFOS and PFOA activities as of December 2016). For example, the Navy reported spending about $15 million at the former Naval Air Station Joint Reserve Base Willow Grove in Pennsylvania. During our visit to that installation in August 2016, officials told us that the Navy was investigating the extent to which PFOS and PFOA on the installation may have contaminated a nearby town\u2019s drinking water. At the time, the Navy had agreed to pay for installing treatment systems and connecting private well owners to the town\u2019s drinking water system, among other things.", "The Army had identified 61 installations with known or suspected releases of PFOS and PFOA and had spent about $1.6 million on environmental investigations (accounting for less than 1 percent of what the military departments had spent on PFOS and PFOA activities as of December 2016), but had not yet begun any response actions. At the time of our October 2017 report, the Army had not yet completed testing its drinking water for PFOS and PFOA.", "DOD\u2019s March 2018 report to Congress provided updated information on actions taken (such as providing alternative drinking water or installing treatment systems) to address PFOS and PFOA in drinking water at or near military installations in the United States, as shown in figure 1 below. Specifically, DOD reported taking action as of August 2017 to address PFOS and PFOA levels exceeding those recommended in EPA\u2019s health advisories for drinking water for people (1) on 13 military installations and (2) outside 22 military installations.", "We reported in October 2017 that, in addition to actions initiated by DOD, the department also took action in response to state and federal regulators. DOD responded to four administrative orders requiring that DOD address PFOS and PFOA levels that exceeded EPA\u2019s health advisory levels for drinking water. One order was issued by the Ohio Environmental Protection Agency at Wright-Patterson Air Force Base in Ohio, and three orders were issued by EPA at the former Pease Air Force Base in New Hampshire; Horsham Air Guard Station in Pennsylvania; and the former Naval Air Warfare Center Warminster in Pennsylvania. For example, at Wright-Patterson Air Force Base, levels of PFOS and PFOA that exceeded EPA\u2019s lifetime health advisory levels were found at two wells on the installation in 2016. In response to the order from the Ohio Environmental Protection Agency, the Air Force closed drinking water wells, installed new monitoring wells, and provided bottled water to vulnerable populations on the installation. Additional details on each order and examples of actions by DOD to address the orders were reported on in our October 2017 report.", "According to DOD, it may take several years for the department to determine how much it will cost to clean up PFOS and PFOA contamination at or near its military installations. Additionally, DOD officials told us in September 2018 that they believe a legally enforceable EPA drinking water cleanup standard would ensure greater consistency and confidence in their cost estimates because such a standard would give them a consistent target to clean up to. In a January 2017 report on environmental cleanup at closed installations, we recommended that DOD include in future annual reports to Congress best estimates of the environmental cleanup costs for contaminants such as PFOS and PFOA as additional information becomes available. DOD implemented this recommendation by including in its fiscal year 2016 environmental report to Congress (issued in June 2018) an estimate of the costs to respond to PFOS and PFOA."], "subsections": []}, {"section_title": "DOD Has Taken Steps to Address Health and Environmental Concerns with Its Firefighting Foam", "paragraphs": ["In our October 2017 report, we found that DOD was taking steps to address health and environmental concerns with its use of firefighting foam that contains PFAS. These steps included restricting the use of existing foams that contain PFAS, testing DOD\u2019s current foams to identify the amount of PFAS they contain, and funding research into the future development of PFAS-free foam that can meet DOD\u2019s performance and compatibility requirements (see table 1). Some of these steps, such as limiting the use of firefighting foam containing PFAS, were in place. Others, such as researching potential PFAS-free firefighting foams, were in progress at the time of our review.", "DOD\u2019s military specification for firefighting foam, which outlines performance and compatibility requirements, also requires that firefighting foam purchased by the department contain PFAS. We reported in October 2017 that, according to DOD, there was no PFAS-free firefighting foam that could meet DOD\u2019s performance and compatibility requirements. As a result, the Navy\u2014which is the author of the military specification\u2014 had no plans to remove the requirement for firefighting foam to contain PFAS. However, Navy officials told us during our review that if a PFAS- free foam were to be developed that could meet DOD performance and compatibility requirements the Navy would make any necessary revisions to the military specification at that time. Navy officials also said during our review that they were planning to revise the military specification to set limits for the amount of PFAS that are allowed in firefighting foam, following their testing on the amounts of PFOS, PFOA, and other PFAS found in foam used by DOD.", "In June 2018, DOD reported to Congress that its military specification for firefighting foam was amended to set a maximum level of PFOS and PFOA (800 parts per billion). DOD officials told us in September 2018 this maximum level applies to the amount of those chemicals in firefighting foam concentrate before it is mixed and diluted with water to create firefighting foam. The DOD officials also said that 800 parts per billion is the lowest level of PFOS and PFOA that can be detected in firefighting foam concentrate by current testing methods and technologies, but DOD is working with foam manufacturers and laboratories to achieve lower detection limits. According to the June 2018 report, DOD plans to establish lower limits for PFOS and PFOA in firefighting foam in late 2018. The June 2018 report reiterated that, according to DOD, no commercially available PFAS-free foam has met the performance requirements of the military specification, and the report also stated that DOD-funded research efforts to develop a PFAS-free foam that can meet performance requirements are still ongoing.", "Chairman Paul, Ranking Member Peters, and Members of the Subcommittee, this completes our prepared statement. We would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this report, please contact us at Brian J. Lepore, (202) 512-4523 or leporeb@gao.gov or J. Alfredo G\u00f3mez, (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this statement include Maria Storts (Assistant Director), Diane B. Raynes (Assistant Director), Michele Fejfar, Karen Howard, Richard P. Johnson, Mae Jones, Amie Lesser, Summer Lingard-Smith, Felicia Lopez, and Geoffrey Peck.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The firefighting foam DOD has used for decades contains chemicals that, at elevated exposure levels, can increase risks of cancer or other health issues. As a result, DOD:", "spent about $200 million on investigations and response (as of December 2016)", "identified 401 installations with known or potential releases of these chemicals", "took actions, like providing alternative drinking water, at 32 locations (as of August 2017)", "This testimony is largely based on our report on DOD's response to such contamination in drinking water, and is a part of our body of work on the federal government\u2019s environmental liabilities, an issue on our High Risk list."]} {"id": "GAO-18-245", "url": "https://www.gao.gov/products/GAO-18-245", "title": "Commercial Real Estate Lending: Banks Potentially Face Increased Risk; Regulators Generally Are Assessing Banks' Risk Management Practices", "published_date": "2018-03-15T00:00:00", "released_date": "2018-03-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2006, federal banking regulators jointly issued guidance that described their expectations for sound risk management practices for banks with CRE concentrations. The guidance includes two CRE thresholds that regulators use to identify banks that are potentially exposed to significant CRE concentration risk and could be subject to greater supervisory scrutiny. Concentrations in CRE loans at U.S. banks have been steadily increasing\u2014raising safety and soundness concerns. In December 2015, the regulators jointly issued a public statement to remind banks of the 2006 CRE guidance.", "In light of the joint 2015 statement and GAO's ongoing monitoring of regulatory efforts to identify and respond to emerging threats to the banking system, GAO examined (1) trends in the CRE lending market, including changes in risk, and (2) actions taken by regulators to help ensure that banks with CRE concentrations are effectively managing the related risks. To address these issues, GAO analyzed CRE-related data; reviewed agency policies and guidance; and reviewed a nongeneralizable sample of 54 bank examinations conducted from 2013 through 2016 based on the banks' CRE concentrations, total assets, primary regulator, and geographic location. GAO also interviewed officials from the federal banking regulators."]}, {"section_title": "What GAO Found", "paragraphs": ["While the commercial real estate (CRE) sector has recovered since the 2007\u20132009 financial crisis, GAO's trend and econometric analyses generally indicate that risk in CRE lending by banks has increased over the past several years. Since the early 2000s, community banks have tended toward providing CRE loans more than other kinds of loans. Indicators of CRE market conditions and loan performance have been improving since 2011. At the same time, GAO's analyses of changes in CRE underwriting standards, property prices, and other data suggest that credit and concentration risks have increased in bank CRE lending. For example, the number of banks with relatively high CRE concentrations\u2014measured by the ratio of a bank's CRE loans to its total capital\u2014has been increasing. In addition, commercial property prices have been increasing rapidly, and property valuations also have risen in recent years. Similarly, GAO's predictive econometric models of CRE loan performance suggest that risk has increased, based largely on the simultaneous increase in bank CRE lending and CRE prices observed over the last several years, but is lower than the level associated with the 2007\u20132009 financial crisis.", "GAO found that federal banking regulators subjected banks with relatively high CRE concentrations to greater supervisory scrutiny based on its review of a nongeneralizable sample of 54 bank examinations covering 40 banks done by the Federal Deposit Insurance Corporation, Board of Governors of the Federal Reserve System, and Office of the Comptroller of the Currency from 2013 through 2016. Of the 54 examinations that GAO reviewed, 41 of them covered banks with relatively high CRE concentrations. In all of these examinations, regulators examined whether the banks had adequate risk management practices and capital to manage their CRE concentration risk. In 26 of the 41 examinations, regulators did not find any risk management weaknesses. However, in 15 of the 41 examinations, regulators found the banks had weaknesses in one or more risk management areas, such as board and management oversight, management information systems, or underwriting. The regulators generally communicated their findings to the banks in the reports of examination and directed the banks to correct their risk management weaknesses."]}], "report": [{"section_title": "Letter", "paragraphs": ["Concentrations in commercial real estate (CRE) loans at U.S. banks have been steadily increasing, raising safety and soundness concerns because of the potential for such concentrations to make the banks more susceptible to failure. As an asset class, CRE is prone to volatility and cyclical behavior, as illustrated by the sharp downturn in the CRE market generally following the 2007\u20132009 financial crisis. A bank\u2019s CRE concentration can be measured by its ratio of CRE loans to its total capital. Since the early 2000s, community banks have trended toward providing CRE loans more than other kinds of loans. Following this trend, the Federal Deposit Insurance Corporation (FDIC), the Board of Governors of the Federal Reserve System (Federal Reserve), and Office of the Comptroller of the Currency (OCC) jointly issued guidance in 2006 (hereafter referred to as the 2006 CRE guidance) that described their expectations for sound risk management practices for banks with concentrations in CRE loans. In December 2015, the federal banking regulators jointly issued a public statement to remind banks of the 2006 CRE guidance. According to the statement, the regulators observed that (1) many CRE asset and lending markets were experiencing substantial growth; and (2) certain risk management practices at some banks were causing concern, including a greater number of underwriting policy exceptions and insufficient monitoring of market conditions to assess the risks associated with these concentrations.", "In our prior work, federal banking regulators told us that they have taken steps intended to improve their ability to identify and respond to emerging risks based on lessons learned from past banking crises. Our review of failed banks also found that regulators frequently identified weak management practices at banks involved in higher-risk activities early on in each crisis and before the banks began experiencing declines in capital. However, regulators were not always effective in directing bank management to address underlying problems before bank capital began to decline, and it was often too late to avoid failure. We have incorporated these and other regulatory lessons learned into a framework for monitoring federal banking regulators\u2019 efforts to identify and respond to emerging risks to the banking system. Through such monitoring, we identified CRE for a targeted assessment of the federal banking regulators\u2019 supervisory efforts.", "We prepared this report under the authority of the Comptroller General to assist Congress with its oversight responsibilities. Given the federal banking regulators\u2019 joint 2015 statement on CRE lending and our ongoing monitoring of their efforts to identify and respond to emerging threats to the banking system, this report examines trends in the CRE lending markets, including changes in the level of credit and concentration risk in the markets, and actions taken by federal banking regulators through their examinations to help ensure that banks with CRE concentrations are effectively managing the related risks.", "To address our objective on trends in the CRE lending markets, we reviewed academic literature and prior GAO work, analyzed FDIC, Federal Reserve, and other data on CRE markets and lending, and interviewed officials from federal banking agencies and CRE data providers. We evaluated trends in these data and used a subset of these data to estimate several predictive models of aggregate losses on bank CRE loans. For more information on our predictive models, see appendix II.", "To address our objective on actions taken by federal banking regulators, we analyzed Consolidated Reports of Condition and Income (Call Report) data from SNL Financial for the period from 2011 through 2016 to calculate banks\u2019 construction and land development (CLD) and CRE concentrations and identify banks whose concentrations exceeded, in full or in part, the 2006 CRE guidance during part or all of the period. Using such analysis, we selected a nongeneralizable sample of 40 banks that underwent full-scope examinations from 2013 through 2016 based on their CLD and total CRE concentrations, total assets, primary regulator, and geographic location. More specifically, we selected 20 FDIC- supervised banks, 10 Federal Reserve-supervised banks, and 10 OCC- supervised banks. We requested from FDIC the reports of examination and related workpapers that covered its full-scope examinations of the 20 banks conducted in 2013 or 2014 (20 examinations). We requested from the Federal Reserve and OCC the reports of examination and related workpapers that covered their two consecutive full-scope examinations of the 20 banks conducted from 2013 through 2016 (40 examinations). Although we requested a total of 60 bank examinations, we reviewed 54 because 6 were not applicable to our review. We also interviewed officials from FDIC, Federal Reserve, and OCC regarding the CRE regulatory guidance and oversight by the federal banking regulators.", "For the data that we used in our analyses under both of our objectives, we assessed the reliability of the data by, among other things, interviewing knowledgeable officials, reviewing relevant documentation, and corroborating trends across multiple data sources. We determined the data were sufficiently reliable for our reporting objectives. For more information on our scope and methodologies, see appendix I.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Banking Supervision", "paragraphs": ["The purpose of federal banking supervision is to help ensure that banks throughout the financial system are operating in a safe and sound manner and are complying with banking laws and regulations in the provision of financial services. Banks in the United States are supervised by one of the following three federal regulators:", "FDIC supervises all FDIC-insured state-chartered banks that are not members of the Federal Reserve System and insured state savings associations and insured state chartered branches of foreign banks.", "The Federal Reserve supervises commercial banks that are state- chartered and members of the Federal Reserve System.", "OCC supervises federally chartered national banks and savings associations (also known as federal thrifts).", "FDIC, the Federal Reserve, and OCC are required to conduct a full- scope, on-site examination of each of their supervised banks at least once during each 12-month period. The regulators may extend the examination interval to 18 months, generally for banks and thrifts that have less than $1 billion in total assets and that meet certain conditions, such as satisfactory ratings, are well capitalized, and are not being subject to a formal enforcement action. As part of a full-scope examination, examiners review a bank\u2019s risk exposure within a number of components using the Uniform Financial Institutions Rating System, which also is referred to as the CAMELS rating system (capital adequacy, asset quality, management, earnings, liquidity, and sensitivity to market risk). Evaluations of CAMELS components consider a bank\u2019s size and sophistication, the nature and complexity of its activities, and its risk profile.", "The end result of a full-scope, on-site examination is a report of examination, which includes the CAMELS ratings and other findings and is provided to the bank\u2019s management and board of directors. A report of examination may include deficiencies or other issues that examiners found and that a bank is expected to address within specific time frames. Such issues generally are called supervisory recommendations by FDIC, supervisory findings by the Federal Reserve, and supervisory concerns by OCC. For purposes of this report, we collectively refer to such issues as supervisory concerns. Supervisory concerns may be designed to correct practices that deviate from sound risk management principles or noncompliance with laws and regulations. Supervisory concerns that involve more significant issues are brought to the attention of a bank\u2019s board of directors and senior management in the report of examination as matters requiring immediate attention (MRIA) or matters requiring attention (MRA) under the Federal Reserve\u2019s policies, matters requiring board attention (MRBA) under FDIC\u2019s policies, and MRAs under OCC\u2019s policies. If a bank were to fail to address a supervisory concern, its regulator could subject the bank to enhanced supervision, downgrade of a component or composite rating, or other supervisory actions, such as informal or formal enforcement actions."], "subsections": []}, {"section_title": "CRE Lending and Associated Risks", "paragraphs": ["Under their 2006 guidance, regulators define CRE loans to include construction loans, loans to finance CRE that are not secured by CRE, loans secured by multifamily property, and loans secured by nonfarm, nonresidential property in which the primary source of repayment derives from the rental income associated with the property or the proceeds of the sale, refinancing, or permanent financing of the property. CRE loans in which the primary source of repayment is not the property itself are called owner-occupied loans and can include loans to businesses for working capital purposes that use real estate as collateral. For example, a line of credit for a business\u2019s operating expenses might be secured in part by commercial property, such as an office.", "Construction and land development (CLD) loans generally are considered to be the riskiest class of CRE, due to their long development times and because they can include properties (such as housing developments or retail space in a shopping mall) that are built before having firm commitments from buyers or lessees. In addition, by the time the construction phase is completed, market demand may have fallen, putting downward pressure on sales prices or rents\u2014making this type of loan more risky."], "subsections": []}, {"section_title": "Regulatory Guidance on CRE Concentrations and Risk Management Practices", "paragraphs": ["Based on concerns about the increase in CRE concentrations at community banks and the risks associated with such concentrations, FDIC, the Federal Reserve, and OCC jointly issued guidance in December 2006 on CRE concentrations and sound risk management practices. The guidance described the regulators\u2019 expectations for sound risk management practices for banks with concentrations in CRE loans. Specifically, the guidance identified seven key elements, or internal control areas, that a bank\u2019s risk management practices should address to identify, monitor, and control its CRE concentration risk (see fig. 1).", "The 2006 CRE guidance also sets forth three criteria to identify banks with CRE loan concentrations that could be subject to greater supervisory scrutiny. According to the guidance, a bank that has experienced rapid growth in CRE lending, has notable exposure to a specific type of CRE, or is approaching or exceeds the following supervisory criteria may be identified for further supervisory analysis of the level and nature of its CRE concentration risk:", "CLD concentration threshold: CLD loans represent 100 percent or more of a bank\u2019s total capital.", "Total CRE concentration threshold: Total nonowner-occupied CRE loans (including CLD loans) represent 300 percent or more of a bank\u2019s total capital and total CRE lending increased by 50 percent or more during the previous 36 months.", "According to the guidance, the CLD and CRE thresholds do not constitute limits on a bank\u2019s CRE lending activity but rather serve as high-level indicators to identify banks potentially exposed to CRE concentration risk.", "In 2011, we reported on how the federal banking regulators had responded to the potential risks of growing CRE concentrations at community banks, including by jointly issuing the 2006 CRE concentration guidance. We recommended that the regulators should enhance or supplement the 2006 CRE guidance and take steps to better ensure that such guidance is consistently applied. The regulators have taken steps to address our recommendation.", "Out of the approximately 5,900 banks that had a CRE loan portfolio as of the end of June 2017, a total of 504 banks exceeded either 100 percent in CLD loans as a percentage of total risk-based capital, or 300 percent in CRE loans as a percentage of total-risk based capital and had seen 50 percent CRE portfolio growth during the previous 36 months. Of these 504 banks, a total of 69 banks exceeded both the CLD criteria and the total CRE criteria (including the growth component).", "In December 2015, federal banking regulators issued a joint statement to remind banks of the 2006 regulatory guidance on prudent risk management practices for CRE lending activity through economic cycles. The regulators noted, among other trends, that many banks\u2019 CRE concentration levels had been rising. According to the statement, regulators would continue to pay special attention to potential risks associated with CRE lending during 2016. Specifically, the regulators stated that when conducting examinations that include a review of CRE lending activities, they would focus on banks\u2019 implementation of the prudent principles in the 2006 CRE guidance and other applicable guidance relative to identifying, measuring, monitoring, and managing concentration risk in CRE lending activities.", "According to officials from FDIC, the Federal Reserve, and OCC, their agencies use a variety of formal and informal processes to monitor the condition of banks and identify risks, including CRE concentration risk. For example, The Federal Reserve has a National Risk Council and FDIC and OCC have National Risk Committees that meet routinely to identify and evaluate risks facing banks and are supported by a number of other committees or other groups. FDIC officials told us that analysis done by FDIC\u2019s Regional Risk Committees identified growth in CRE concentrations in 2015 and brought the issue to the National Risk Committee\u2019s attention. OCC began actively monitoring CRE loan growth in the middle of 2014 and began focusing on CRE concentration risk management during bank examinations in 2015. OCC officials also stated that CRE concentration risk has been a key risk issue for the agency\u2019s National Risk Committee since early 2016. Federal Reserve officials told us that the agency, including the Federal Reserve banks, began to monitor bank CRE concentrations more closely around mid-2013 after identifying an increase in CRE concentrations. According to FDIC, Federal Reserve, and OCC officials, they met together in early 2015 to discuss CRE lending growth and the rise in bank CRE loan concentrations and held subsequent meetings throughout the year, in part to discuss policy options for helping to ensure that banks were appropriately managing their CRE concentration risks. One of the outcomes of such interagency coordination was the December 2015 joint statement on CRE concentrations."], "subsections": []}]}, {"section_title": "Credit and Other Risks Related to Bank CRE Lending Have Increased over the Past Several Years", "paragraphs": ["Although the CRE sector has recovered since the 2007\u20132009 financial crisis, our trend and econometric analyses generally indicate that credit and other risks related to bank CRE lending have increased over the past several years.", "Based on indicators of CRE market conditions and loan performance, the CRE sector has recovered from the 2007\u20132009 financial crisis. For example, spending on CRE construction projects\u2014a source of demand for bank financing\u2014has rebounded. Vacancy rates for apartments, office buildings, and other CRE properties have declined. Similarly, as shown in figure 2, delinquency and charge-off rates on bank CRE loans have fallen from their post-crisis peaks and are at or below their lowest levels since 2002. Although these rates provide information on the current performance of bank CRE loans, they provide little or no information about potential future risks faced by banks. For example, high-risk loans made to less creditworthy borrowers could perform well when property markets and the economy are doing well but may perform poorly when property markets or the economy begin to slow.", "At the same time, our analyses of other market, underwriting, and lending data and forecasts from predictive econometric models we developed suggest that banks\u2019 credit and concentration risks related to their CRE lending have increased. As shown in figure 3, according to a Federal Reserve survey, banks lowered their CRE loan underwriting standards\u2014 terms and conditions under which banks extend loans\u2014after the financial crisis, but more banks began to tighten their underwriting standards since late 2015. In general, tightening underwriting standards may indicate that loan officers are reevaluating the degree of risk in CRE markets served by banks. According to Federal Reserve data, a larger share of banks has tightened underwriting standards on multifamily properties, such as apartments.", "CRE property prices, particularly for multifamily properties, have increased rapidly in recent years, and CRE property valuations have similarly increased. For example, as shown in figure 4, capitalization rates (the ratio of income generated by a property to the property\u2019s price) on CRE properties have trended downward since around 2010\u2014indicating that borrowers (i.e., property owners) may be earning less of a return on their CRE properties. Capitalization rates can be indicative of expected future price changes\u2014for example, low capitalization rates may reflect expectations of future price increase, but can also be driven by investor sentiment not associated with fundamental aspects of properties.", "In addition, as shown in figure 5, the number of banks with concentrated portfolios in CLD or total CRE loans has been gradually increasing since around 2014. Greater concentrations in a particular lending sector (e.g., commercial real estate, residential real estate, or business lending) leave banks more vulnerable to a sectoral downturn, all else equal.", "To further assess risk in bank CRE lending, we developed and estimated several predictive models of aggregate losses on bank CRE loans. The models incorporate measures of CRE property prices, bank lending, and underwriting standards. The models generally found that, historically, higher future losses are predicted when CRE lending and prices are simultaneously high relative to gross domestic product, and when banks are tightening underwriting standards. Based largely on the simultaneous increase in bank CRE lending and CRE prices observed over the last several years, these models suggest that credit risk has increased, though it remains lower than the level of risk associated with the 2007\u2013 2009 financial crisis. As we noted earlier, high property valuations and substantial increases in lending can simultaneously weaken collateral protections and indicate lower borrower quality, both of which can raise the risk of losses should the economy or CRE sector weaken. (See app. II for additional information on our models.)"], "subsections": []}, {"section_title": "Regulators Examined Risk Management Practices of Banks with CRE Concentrations", "paragraphs": ["We found that regulators generally subjected banks with relatively high concentrations in CRE loans to greater supervisory scrutiny in comparison to banks with relatively lower concentrations in CRE loans in our review of 54 examinations for 40 banks conducted from 2013 through 2016. In all of these examinations, the regulators specifically assessed whether each bank had adequate risk management practices and capital for managing its CRE concentration risk and generally found that the banks had adequate risk management practices and capital. In a few examinations, regulators differed in how they addressed supervisory concerns about a bank\u2019s CRE-related risk management practices."], "subsections": [{"section_title": "Regulators Examined Whether Banks with Relatively High CRE Concentrations Had Adequate Practices and Capital to Manage Their CRE Concentration Risk", "paragraphs": ["In our review of a nongeneralizable sample of 54 examinations conducted from 2013 through 2016, we found that FDIC, Federal Reserve, and OCC subjected banks with relatively high concentrations in CRE loans to greater supervisory scrutiny. In both their 2006 CRE guidance and 2015 CRE statement, the regulators indicated that banks with relatively high CLD or total CRE concentrations should maintain risk management practices commensurate with the level and nature of their concentration risk. The 2006 CRE guidance recognized that the sophistication of a bank\u2019s CRE risk management practices depends on, among other things, the level and nature of its CRE concentrations and associated risk. As noted earlier, the guidance notes that a bank\u2019s risk management practices should address seven internal control areas: (1) board and management oversight; (2) portfolio management; (3) management information systems; (4) market analysis; (5) credit underwriting standards; (6) portfolio stress testing and sensitivity analysis; and (7) credit risk review function. Based on our analyses, we found that the 2006 CRE guidance\u2019s risk management framework is adequately designed to help ensure that banks effectively identify, measure, monitor, and control their CRE concentration risk. For example, the guidance is consistent with credit and concentration risk principles issued by international standard- setting bodies.", "Of the 54 reports of examination that we reviewed, 41 of them covered banks whose CLD or total CRE concentrations exceeded the CLD concentration threshold, total CRE concentration threshold, or both thresholds set forth in the 2006 guidance. In all of these examinations, we found that FDIC, Federal Reserve, and OCC examiners generally assessed whether each bank had implemented adequate risk management practices to manage their concentration risk. As shown in figure 6, in 26 of the 41 examinations, FDIC, Federal Reserve, and OCC examiners did not find any weaknesses in the banks\u2019 CRE risk management practices across the seven internal control areas, but did find weaknesses in the remaining 15 examinations.", "In 15 of the 41 examinations we reviewed, FDIC, Federal Reserve, and OCC examiners found the banks had CRE-related risk management weaknesses in at least one of the seven internal control areas. Examiners most frequently found risk management weakness in three internal control areas: board and management oversight (11 instances), management information systems (8 instances), and stress testing (7 instances). To a slightly lesser extent, examiners found weaknesses in portfolio management, credit underwriting standards, and credit risk review function. Examiners communicated their supervisory concerns to these 15 banks in their reports of examinations.", "In 12 of the examinations, examiners included MRAs, MRBAs, or MRIAs in their reports of examination that directed the banks to correct their risk management weaknesses.", "In the other three examinations, examiners included recommendations or other notes in their reports of examination that generally directed the banks to correct their risk management weaknesses.", "Consistent with the 2006 CRE guidance, we found that examiners generally did not use the CLD or total CRE concentration thresholds as limits on bank CRE lending. With two exceptions, examiners did not direct banks that exceeded the CLD or CRE threshold to reduce their concentrations but rather focused on ensuring that the banks\u2019 risk management practices were commensurate with the nature and level of their concentration risk. In the two exceptions, examiners found the banks\u2019 practices and capital inadequate for managing their CLD or CRE concentration risk and directed the banks to reduce their concentrations and improve their risk management practices.", "We found that FDIC, Federal Reserve, and OCC examiners varied in the extent to which they documented\u2014in the reports of examination and supporting workpapers\u2014the scope of their review of banks\u2019 CRE-related risk management practices and findings. For example, we were not always able to determine whether examiners found a bank\u2019s practices adequate in one or more of the seven internal control areas based on our review of the report of examination and, if available, supporting workpapers. According to the regulators, reports of examinations are used primarily to document practices found to be inadequate and not practices found to be adequate. Moreover, the regulators told us that their examiners recently have been required to use a CRE examination module to document their assessment and findings of banks with concentrations exceeding the CLD or CRE threshold."], "subsections": [{"section_title": "Capital and Concentration Risk", "paragraphs": ["In the 41 examinations we reviewed where banks exceed one of the concentration thresholds, FDIC, Federal Reserve, and OCC examiners assessed whether the banks generally had capital commensurate with their CRE concentration risk. In 34 of the examinations, examiners determined that the banks\u2019 capital levels were adequate for managing their CLD or total CRE concentration risk. In 7 of the examinations, examiners determined that the banks\u2019 capital levels were inadequate. For six of the seven banks, examiners directed the banks in the reports of examination to reduce or manage their CRE concentrations in light of inadequate capital. In the case of one bank, examiners required the bank to comply with a previous formal enforcement action that addressed the need for the bank to adhere to its board-approved capital plan."], "subsections": []}]}, {"section_title": "Review of CRE-Related Risk Management Practices in Subsequent Examination Cycles", "paragraphs": ["For banks with relatively high CLD or total CRE concentrations, we found that Federal Reserve and OCC examiners assessed the banks\u2019 CRE- related risk management practices in subsequent examinations. In our review of 41 examinations of banks that exceeded the CLD or CRE threshold, 26 of them covered two examination cycles of 13 banks conducted from 2013 through 2016. We found that examiners assessed the banks\u2019 practices for managing their concentration risk in both examinations.", "In 14 examinations (covering 7 banks), examiners found that the banks had adequate risk management practices in both examinations.", "In six examinations (covering three banks), examiners found aspects of the banks\u2019 risk management practices to be inadequate in their 2013 or 2014 examination and noted their supervisory concerns in the reports of examination. In the subsequent examinations, the examiners found that the banks had adequately addressed the previously identified risk management weaknesses.", "In six examinations (covering three banks), examiners found the banks\u2019 practices for managing their CRE concentration risk to be adequate in the 2013 or 2014 examinations but inadequate in the subsequent examinations. The examiners issued the banks MRAs or MRIAs or took an informal enforcement action."], "subsections": []}, {"section_title": "Regulators Generally Did Not Examine CRE-Related Risk Management Practices of Banks with Concentrations below the CLD or Total CRE Threshold", "paragraphs": ["For banks with concentrations below the CLD or total CRE threshold, we found that regulators generally did not examine the banks\u2019 CRE-related risk management practices. Thirteen of the 54 examinations we reviewed covered banks that did not exceed the CLD or CRE thresholds. Although the banks did not exceed either threshold, OCC examiners assessed the banks\u2019 CRE-related risk management practices in 3 of the examinations. In 1 examination, examiners determined that the bank\u2019s CRE-related risk management practices were adequate. The other 2 examinations covered subsequent cycle examinations of the same bank. In the first examination, examiners found that the bank had adequate practices for managing risk associated with its CRE loans but directed the bank through an MRA to incorporate stress testing of the loan portfolio into its monitoring. In the subsequent examination, the examiners found that the bank had addressed the MRA. In the other 10 examinations, FDIC, Federal Reserve, and OCC examiners did not mention in the report of examination the banks\u2019 practices for managing the risk associated with their CRE loans.", "FDIC, Federal Reserve, and OCC officials told us that examiners use their professional judgment in determining whether to review a bank\u2019s CRE-related risk management practices if the bank\u2019s concentration is below the CLD and CRE threshold. This approach is consistent with the overall risk-based supervisory process used by the regulators, which focuses examiner resources on assessing bank management\u2019s ability to identify and control risks. For example, FDIC\u2019s examination guidelines note that examiners should focus their resources on a bank\u2019s highest risk areas when assessing risk management programs, financial conditions, and internal controls. According to the guidance, the exercise of examiner judgment to determine the scope and depth of review in each functional area is crucial to the success of the risk-focused supervisory process."], "subsections": []}, {"section_title": "Regulators Differed in How They Addressed a Few Supervisory Concerns about Banks\u2019 CRE-Related Risk Management Practices", "paragraphs": ["In a few examinations, we found differences across regulators in how they addressed supervisory concerns about banks\u2019 CRE-related risk management practices because of differences in the regulators\u2019 policies. In our nongeneralizable sample of 54 examinations, Federal Reserve, FDIC, and OCC examiners included CRE-related supervisory concerns, such as recommendations, MRAs, or MRBAs, in 22 of the reports of examinations. Although the regulators have policies for identifying and communicating supervisory concerns, their policies use different criteria. For example, OCC\u2019s policies instruct examiners to use MRAs to describe practices that a bank must implement or correct to address a deficiency and not to use MRAs to require enhancements to bank practices that meet acceptable standards. However, the Federal Reserve\u2019s and FDIC\u2019s policies do not expressly include such criteria. Consistent with their policies, OCC examiners included MRAs in the reports of examination that we reviewed only when they found a bank\u2019s CRE-related risk-management practices to be inadequate. In contrast, in 2 reports of examination, we found that FDIC examiners did not find the banks\u2019 CRE- related risk management practices to be inadequate but included MRBAs to direct the banks to enhance or sustain certain CRE-related risk management practices. Similarly, in 1 report of examination, Federal Reserve examiners found that the bank\u2019s risk management practices and capital were adequate for its CRE concentrations but included an MRA to require the bank to enhance its capital plan to include concentration risk considerations."], "subsections": []}, {"section_title": "FDIC, Federal Reserve, and OCC Have Recently Taken Formal Enforcement Actions against Banks for Not Adequately Managing Their CRE Concentration Risk", "paragraphs": ["In addition to their examinations, federal banking regulators have taken informal and formal enforcement actions against banks for not adequately managing their CRE concentration risk. In general, initial consideration and determination of whether informal or formal action is required usually results from examination findings. Unlike informal enforcement actions, formal enforcement actions are published or publicly available. From 2013 through 2016, FDIC, the Federal Reserve, and OCC took formal enforcement actions against banks for not adequately managing risks related to their CRE concentrations, including those outlined in the jointly issued 2006 CRE guidance.", "FDIC took 22 formal enforcement actions against banks for matters related to their CRE concentrations during this period.", "The Federal Reserve took 2 formal enforcement actions against banks for matters related to their risk management of CRE lending.", "OCC took 11 formal enforcement actions against banks for matters related to their CRE concentrations during this same period.", "The majority of these formal enforcement actions discussed the 2006 CRE guidance and directed the banks to improve their practices for managing their CRE concentration risk. For example, in a number of formal enforcement actions, the regulators ordered the banks to revise their written concentration risk management programs for identifying, monitoring, and controlling risks associated with concentrations of credit, consistent with the 2006 CRE guidance."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FDIC, the Federal Reserve, and, OCC for review and comment. The agencies provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and FDIC, the Federal Reserve, and OCC. This report will also be available at no charge on our website at http://www.gao.gov.", "Should you or your staff have questions concerning this report, please contact me at (202) 512-8678 or evansl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives in this report were to examine: (1) trends in the commercial real estate (CRE) lending markets, including changes in the level of credit and concentration risk in the markets, and (2) actions federal banking regulators took through their examinations to help ensure that banks with CRE concentrations are effectively managing the related risks.", "To examine trends in the CRE lending markets, we reviewed academic literature and prior GAO work and interviewed officials from the federal banking regulators and private data providers. Specifically, we interviewed officials at the Board of Governors of the Federal Reserve System (Federal Reserve), the Federal Deposit Insurance Corporation (FDIC), and the Office of the Comptroller of the Currency (OCC) to help identify potential indicators of risk in CRE markets. To further inform our assessment of risk, we reviewed prior GAO work on the lessons learned from prior banking crises and the use of early warning models for monitoring the financial system. We also reviewed academic research on early warning models of banking and real estate-related crises.", "To report trends and assess risk, we reviewed and analyzed a range of data that we considered to be reflective of various aspects of risk in CRE lending markets. Specifically, we reviewed and analyzed commercial property vacancy data from REIS (a private commercial real estate data provider); commercial property construction data from the U.S. Census Bureau; data on delinquencies and charge-offs on bank CRE loans from the Federal Reserve; data on commercial property prices and capitalization rates from Real Capital Analytics (a private commercial real estate data provider); FDIC data on bank CRE lending; and Federal Reserve data on underwriting standards. We evaluated trends in these data and used a subset of these data to estimate several predictive models of aggregate losses on bank CRE loans. (See app. II for more information on our predictive models.)", "To examine actions taken by federal regulators to help ensure that banks with high CRE concentrations are effectively managing the related risks, we reviewed and analyzed their relevant guidance and regulations on bank CRE lending, examination policies and procedures (e.g., examination manuals and modules), studies and other publications on risks in the banking industry, and formal enforcement actions taken from 2013 through 2016 for CRE-related matters. In addition, we analyzed Consolidated Reports of Condition and Income data from SNL Financial for the period from 2011 through 2016 to calculate banks\u2019 construction and land development (CLD) and CRE concentrations during the period. Specifically, we used the concentration formulas in the 2006 CRE concentration guidance (jointly issued by the federal banking regulators) to calculate banks\u2019 CLD and CRE concentrations and identify banks whose CRE concentrations exceeded, in full or in part, the guidance\u2019s CRE concentration thresholds during part or all of the time frame. Based on whether the banks\u2019 CRE concentrations exceeded the thresholds and other criteria discussed below, we selected a nongeneralizable sample of 40 banks overseen by FDIC, the Federal Reserve, or OCC. For the banks in our sample, we requested from the regulators copies of the reports of examination and, if available, related workpapers prepared by the regulators based on their full-scope examinations of the banks done from 2013 through 2014, and from 2015 through 2016.", "In addition to using banks\u2019 CRE concentrations as a basis to select examinations, we judgmentally selected a nonprobability sample of banks based on the following criteria:", "Total asset size: We considered the size of the banks based on their total assets and selected banks from each of the following three ranges: (1) banks with $1 billion or more in total assets, (2) banks with $100 million or more but less than $1 billion in total assets, and (3) banks with less than $100 million in total assets.", "Primary regulator: We considered the primarily regulator of the banks and selected a sample of 40 banks that resulted in a total of 20 examinations to review from each regulator.", "Geographic distribution: We selected banks to ensure that at least one bank was from each of the four regions of the U.S. Census and each of the nine divisions within those regions.", "Based on the 40 banks we selected, we reviewed and analyzed 54 reports of examination and, if available, the related workpapers. We analyzed the examinations using criteria or other requirements specified in the 2006 CRE guidance jointly issued by the regulators and their examination policies and procedures. We did not review six examinations of banks supervised by the Federal Reserve. We also interviewed officials from FDIC, Federal Reserve, and OCC, and from a national banking association about bank CRE lending and applicable CRE guidance and requirements.", "For the data we analyzed under both of our objectives, we took a number of steps to assess the reliability of the data, including interviewing data providers; corroborating trends across multiple data sources; reviewing related documentation; inspecting data for missing values, outliers, or other errors; and reviewing relevant, prior GAO work. We determined that these data were sufficiently reliable for our reporting objectives.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Predictive Models of Aggregate Losses on Bank Commercial Real Estate Loans", "paragraphs": ["We developed and estimated several models of aggregate losses on bank commercial real estate (CRE) loans. These models attempt to predict future aggregate charge-offs using contemporary indicators of potential risks. We incorporated indicators of risk based on the cross- country research literature on early warning models of banking risk and prior GAO work on identifying early warning models as tools that could assist financial regulators in assessing risk. One study summarized the overall intuition for models of this class in the following way: \u201cimbalances manifest themselves in the coexistence of unusually rapid cumulative growth in private sector credit and asset prices.\u201d Our results were consistent with this concept and extend the aggregate early warning model literature to a sectoral model. As such, our models incorporate measures of CRE property prices, bank lending volumes, and bank loan underwriting standards.", "The models predict charge-offs 2\u20133 years into the future (the dependent variable is the average charge-off rate for 8 through 11 quarters into the future), using commercial bank charge-off rates from the Board of Governors of the Federal Reserve System (Federal Reserve), first quarter 1991 to second quarter 2017. (See below for an illustrative regression equation for one of these models.)", "We began with two model variations, one based on the levels of key variables and the other based on their growth rates, using the following independent variables, respectively: \u201cLevel\u201d model: Level of CRE prices to gross domestic product (GDP), level of bank CRE lending to GDP, the interaction of the level of CRE prices and lending, and the net percentage of banks tightening underwriting standards on CRE loans. \u201cGrowth\u201d model: Growth rate of CRE prices over the last year, growth rate of bank CRE lending over the last year, interaction of price and lending growth, and the net percentage of banks tightening underwriting standards on CRE loans.", "By inspection, the model based on levels also captured key aspects of the evolution of aggregate losses on bank CRE loans in recent decades\u2014for example, low charge-offs prior to the crisis, the rapid increase during crisis, and very low charge-offs in recent years. In this model higher losses are predicted by tightening underwriting standards, and the interaction of (i.e., simultaneous increase in) the level of CRE prices and the level of CRE lending. The bulk of the explanatory power of the model appears to come from the interaction of the level of CRE prices and the level of CRE lending\u2014consistent with Borio and Drehmann\u2019s view that the coexistence of rapidly increasing credit and prices is associated with greater risk. These results are also consistent with a more general theory, for example, that periods of economic stability induce greater risk-taking over time, bidding up asset prices and loosening underwriting standards until ultimately increased valuations become unsustainable, prices fall, and borrowers begin to default.", "We estimated a number of additional models for robustness, to determine if goodness-of-fit and forecasts could be improved markedly, and to assess the degree of forecast uncertainty. For example we estimated a model with a censored dependent variable and used information criteria to select models that combined elements from our initially separate models based on growth rates and levels as well as a model that includes current charge-offs. In figure 7, we report the general trend in expected future charge-offs as well as convey forecast uncertainty based on differences in the forecasts of three of these models.", "In figure 8, we convey forecast uncertainty based on the 75 percent confidence interval for a combined model that we selected based on information criteria.", "Implicit in this exercise is the assumption that the data-generating process is reasonably stable\u2014as a result, structural change associated with new financial products, new risk management tools, and new legal and regulatory frameworks could reduce the stability of the data- generating process. We interpret our results and forecasts in light of these potential limitations. Specifically, we do not interpret model results as concrete, precise predictions of aggregate commercial real estate losses but rather as an additional, general indication of the degree of risk in bank CRE lending.", "We mitigate risks associated with estimating this type of model with appropriate diagnostics, out-of-sample testing, and by developing the model in the context of the well-established early warning literature. That said, some inevitable limitations remain, including the potential omission of important risk factors and other approximations associated with our specification (e.g., our choice of a linear functional form). In addition, diagnostics for detecting nonstationary time series are imperfect, especially with small sample sizes, which may inflate our measures of statistical significance and traditional goodness-of-fit measures like r- squared. These biases may be present, however, in models that still generate useful predictions. In this \u201csmall data\u201d context there is also risk of fitting (or over-fitting) the model to predict a particular credit event\u2014 though, again, this risk is mitigated somewhat in the context of the broad cross-country early warning literature and the use of out-of-sample testing."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Richard Tsuhara (Assistant Director), Tarek Mahmassani (Analyst in Charge), Abigail Brown, Tarik Carter, M\u2019Baye Diagne, Michael Hoffman, Risto Laboski, Marc Molino, Jessica Sandler, Jennifer Schwartz, and Andrew Stavisky made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-232", "url": "https://www.gao.gov/products/GAO-19-232", "title": "Disaster Recovery: Better Monitoring of Block Grant Funds Is Needed", "published_date": "2019-03-25T00:00:00", "released_date": "2019-03-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The 2017 hurricanes (Harvey, Irma, and Maria) caused an estimated $265 billion in damage, primarily in Texas, Florida, Puerto Rico, and the U.S. Virgin Islands. As of February 2019, Congress had provided over $35 billion to HUD for CDBG-DR grants to help communities recover. Communities may use these funds to address unmet needs for housing, infrastructure, and economic revitalization. GAO was asked to evaluate the federal government's response to the 2017 hurricanes. In this initial review of CDBG-DR, GAO examined, among other things, (1) the status of the 2017 grants, (2) HUD's review of the initial steps grantees have taken and its plans for future monitoring, and (3) challenges HUD and grantees face in administering grants.", "GAO reviewed documentation from the four largest 2017 CDBG-DR grantees and HUD. GAO also reviewed prior work on CDBG-DR and interviewed officials from HUD and the four grantees."]}, {"section_title": "What GAO Found", "paragraphs": ["As of September 2018, the four states and territories that received the most 2017 Community Development Block Grant Disaster Recovery (CDBG-DR) funds had signed grant agreements with the Department of Housing and Urban Development (HUD). Before signing the agreements, HUD certified the grantees' financial processes and procedures. It also approved the grantees' assessments of their capacity to carry out the recovery and of unmet needs (losses not met with insurance or other forms of assistance). Before funding begins to reach disaster victims, the grantees need to take additional steps, such as finalizing plans for individual activities. As of January 2019, Texas had drawn down about $18 million (of $5 billion) for administration and planning only, and Florida had drawn down about $1 million (of $616 million) for administration, planning, and housing activities. Puerto Rico and the U.S. Virgin Islands had not drawn down any of the $1.5 billion and $243 million, respectively, they had been allocated.", "HUD lacks adequate guidance for staff reviewing the quality of grantees' financial processes and procedures and assessments of capacity and unmet needs, and has not completed monitoring or workforce plans. The checklists used to review grantees' financial processes and procedures and assessments ask the reviewer to determine if the grantee included certain information, such as its procurement processes, but not to evaluate the adequacy of that information. In addition, the checklists, which include a series of \u201cyes\u201d or \u201cno\u201d questions, do not include guidance that the HUD reviewer must consider. HUD also does not have a monitoring plan that identifies the risk factors for each grantee and outlines the scope of monitoring. Further, HUD has not developed a workforce plan that identifies the critical skills and competencies HUD needs and includes strategies to address any staffing gaps. Adequate review guidance, a monitoring plan, and strategic workforce planning would improve HUD's ability to oversee CDBG-DR grants.", "Without permanent statutory authority and regulations such as those that govern other disaster assistance programs, CDBG-DR appropriations require HUD to customize grant requirements for each disaster in Federal Register notices\u2014a time-consuming process that has delayed the disbursement of funds. In a July 2018 report, the HUD Office of Inspector General found that as of September 2017, HUD used 61 notices to oversee 112 active CDBG-DR grants. Officials from one of the 2017 grantees told us that it was challenging to manage the multiple CDBG-DR grants it has received over the years because of the different rules. CDBG-DR grantees have faced additional challenges such as the need to coordinate the use of CDBG-DR funds with other disaster recovery programs that are initiated at different times and administered by other agencies. HUD officials said that permanently authorizing CDBG-DR would allow HUD to issue permanent regulations for disaster recovery. Permanent statutory authority could help address the challenges grantees face in meeting customized grant requirements for each disaster, such as funding lags, varying requirements, and coordination with multiple programs. The expected increase in the frequency and intensity of extreme weather events underscores the need for a permanent program to address unmet disaster needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider permanently authorizing a disaster assistance program that meets unmet needs in a timely manner. GAO also makes five recommendations to HUD, which include developing guidance for HUD staff to use in assessing grantees, developing a monitoring plan, and conducting workforce planning. HUD generally agreed with three recommendations and partially agreed with two, which GAO clarified to address HUD's comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["Three historic hurricanes made landfall in the United States in 2017 and affected nearly 26 million people. Hurricanes Harvey and Irma marked the first time two Category 4 hurricanes hit the continental United States during the same season, and Hurricane Maria was the first Category 4 hurricane to make landfall on the main island of Puerto Rico in 85 years. The National Oceanic and Atmospheric Administration has estimated the total cost of these three major 2017 hurricanes at $265 billion, placing them among the top five costliest hurricanes on record in the United States, along with Hurricanes Katrina and Sandy.", "In response to the damage caused by the 2017 hurricanes, Congress has provided $35.4 billion in supplemental appropriations through the Department of Housing and Urban Development\u2019s (HUD) Community Development Block Grant (CDBG) program to help affected communities recover. Communities are allowed to use their CDBG Disaster Recovery (CDBG-DR) grants to address a wide range of unmet recovery needs\u2014 losses not met with insurance or other forms of assistance, including federal disaster assistance\u2014related to housing, infrastructure, and economic revitalization. Congress also appropriated funds for agencies such as the Federal Emergency Management Agency (FEMA) and the Small Business Administration (SBA) to provide grants and loans for disaster recovery.", "The 2017 hurricanes caused the most damage in Puerto Rico, Texas, the U.S. Virgin Islands, and Florida. As of February 2019, HUD had awarded approximately $19.9 billion of the CDBG-DR funds to Puerto Rico, $9.8 billion to Texas, $1.9 billion to the U.S. Virgin Islands, and $1.3 billion to Florida. Congress required that HUD certify, in advance of making a grant, that the designated grantees had sufficient financial controls, procurement processes, and procedures to prevent duplication of benefits. Some questions have been raised about the administration of CDBG-DR funds for prior disasters, including grantees\u2019 capacity to administer the funds and ability to adhere to procurement requirements.", "You asked us to review the federal government\u2019s response to the 2017 hurricanes. This is our first report on CDBG-DR funds in response to your request, and it focuses primarily on the early stages of the grant process for the four largest 2017 CDBG-DR grants. Specifically, this report examines (1) the status of the 2017 CDBG-DR grants; (2) the steps the 2017 CDBG-DR grantees have taken to establish financial processes and procedures, build capacity, and estimate unmet needs; (3) the extent to which HUD has reviewed the steps that grantees have taken and developed plans for future monitoring; and (4) the challenges HUD and grantees have faced in administering grants.", "To determine the status of the 2017 CDBG-DR grants, we reviewed relevant laws and the Federal Register notices allocating the CDBG-DR funds and interviewed HUD officials to determine the steps grantees were required to take before signing a grant agreement and expending their 2017 CDBG-DR funds. We reviewed documents, such as action plans describing how grantees planned to use their funds, to determine when they were submitted and approved. To determine how much CDBG-DR funding the 2017 grantees had drawn down, we examined data from the Disaster Recovery Grant Reporting system, a HUD database of CDBG- DR funding, reported expenditures, and other information. We reviewed data as of January 2019 (the most recent month available during our review). To assess the reliability of these data, we reviewed relevant documentation on the system and interviewed HUD officials knowledgeable about the data. We determined that the data were sufficiently reliable for reporting CDBG-DR draw down information.", "To determine the steps the 2017 CDBG-DR grantees have taken to establish financial processes and procedures, build capacity, and estimate unmet needs, we reviewed grantees\u2019 documents, such as their organizational charts and capacity assessments, to determine how grantees plan to administer the CDBG-DR grants. To determine how grantees calculated their unmet housing needs for homeowners and renters, we reviewed grantees\u2019 descriptions of their methodologies in their approved action plans and interviewed grantee officials. Although we did not conduct an extensive review of the grantees\u2019 methodologies, we compared their methodologies to HUD\u2019s methodology (described in Federal Register notices), identifying any differences. We also visited Puerto Rico and Texas\u2014the 2017 grantees that received the largest amounts of CDBG-DR funds\u2014and conducted phone interviews with officials from the U.S. Virgin Islands and Florida.", "To examine the extent to which HUD has reviewed the steps that grantees have taken and developed plans for future monitoring, we reviewed HUD documents, such as the completed checklists it used to review grantees\u2019 documentation. We compared these checklists against relevant statutory and regulatory requirements and federal internal control standards. To determine how HUD planned to monitor the CDBG-DR grantees, we reviewed HUD documents, such as its monitoring handbook and monitoring schedule for fiscal year 2019. We also interviewed HUD officials about their resource needs, hiring plans, and plans to monitor the 2017 CDBG-DR grants. We compared HUD\u2019s monitoring guidance against internal control standards and its hiring plans against key principles we developed for workforce planning.", "To determine the challenges that HUD and grantees have faced in administering grants, we conducted a literature search for GAO, HUD Office of Inspector General (OIG), and other reports on CDBG-DR funds used to recover from the 2005 Gulf Coast hurricanes and Hurricane Sandy and reviewed relevant reports. We also interviewed HUD officials and the 2017 CDBG-DR grantees to obtain their perspectives on the challenges in administering the 2017 grants. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Federal Disaster Response", "paragraphs": ["Federal agencies can respond to a disaster when effective response and recovery are beyond the capabilities of the affected state and local governments. In such cases, the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act) permits the President to declare a major disaster in response to a request by the governor of a state or territory or by the chief executive of a tribal government. Such a declaration is the mechanism by which the federal government becomes involved in funding and coordinating response and recovery activities.", "At least 30 federal agencies administer disaster assistance programs and activities. Under the National Response Framework, which governs any type of federal disaster or emergency response, the Department of Homeland Security (DHS) is the federal department with primary responsibility for coordinating disaster response. Within DHS, FEMA has lead responsibility and provides three principal forms of funding for disaster recovery\u2014Individual Assistance, Public Assistance, and Hazard Mitigation.", "The Individual Assistance Program provides financial assistance directly to survivors for expenses that cannot be met through insurance or low-interest loans, such as temporary housing, counseling, unemployment compensation, or medical expenses.", "The Public Assistance Program provides federal disaster grant assistance to state, local, tribal, and territorial governments and certain types of nonprofit organizations for debris removal, emergency protection, and the restoration of facilities.", "The Hazard Mitigation Program is designed to help communities prepare for and recover from future disasters. It funds a wide range of projects, such as purchasing properties in flood-prone areas, adding shutters to windows, and rebuilding culverts in drainage ditches.", "The Small Business Act also authorizes SBA to make direct loans to help businesses, nonprofit organizations, homeowners, and renters repair or replace property damaged or destroyed in a federally declared disaster. HUD uses data from FEMA and SBA to make decisions on the amount of CDBG-DR funding to allocate to affected communities."], "subsections": []}, {"section_title": "History of CDBG-DR", "paragraphs": ["The Housing and Community Development Act of 1974 created the CDBG program to develop viable urban communities by providing decent housing and a suitable living environment and by expanding economic opportunities, principally for low- and moderate-income persons. Program funds can be used for housing, economic development, neighborhood revitalization, and other community development activities. Because the CDBG program already has a mechanism to provide federal funds to states and localities, the program is widely viewed as a flexible solution to disburse federal funds to address unmet needs in emergency situations. When disasters occur, Congress often appropriates additional CDBG funding (CDBG-DR) through supplemental appropriations. These appropriations often provide HUD the authority to waive or modify many of the statutory and regulatory provisions governing the CDBG program, thus providing states with greater flexibility and discretion to address recovery needs. Eligible activities that grantees have undertaken with CDBG-DR funds include relocation payments to displaced residents, acquisition of damaged properties, rehabilitation of damaged homes, rehabilitation of public facilities such as neighborhood centers and roads, and hazard mitigation.", "In numerous appropriations from fiscal year 1993 to 2018, Congress provided more than $86 billion in CDBG-DR funds to help states recover from federal disasters. For example, Congress directed CDBG-DR funds toward recovery and rebuilding efforts in the Gulf Coast after Hurricanes Katrina, Rita, and Wilma in 2005; New York after the September 11th terrorist attacks in 2001; North Dakota, South Dakota, and Minnesota after the floods in 1997; Oklahoma City after the 1995 bombing of the Alfred Murrah Building; Southern California after the 1994 Northridge earthquake; and Florida after Hurricane Andrew in 1992. As of January 2019, HUD was overseeing 106 CDBG-DR grants totaling more than $54 billion."], "subsections": []}, {"section_title": "CDBG-DR Funds Allocated to 2017 Grantees", "paragraphs": ["Once Congress appropriates CDBG-DR funds, HUD publishes notices in the Federal Register to allocate the funding appropriated to affected communities based on unmet need, and to outline the grant process and requirements for the grantees\u2019 use of the funds. In 2018, HUD allocated the vast majority of the 2017 funds to four agencies: Puerto Rico\u2019s Department of Housing (Departamento de la Vivienda), the Texas General Land Office, the U.S. Virgin Islands Housing Finance Authority, and Florida\u2019s Department of Economic Opportunity. Table 1 shows the CDBG-DR funding that HUD had allocated to the 2017 grantees as of February 2019 and the remaining funds to be allocated. The funding was allocated in two portions, one in February 2018 and one in August 2018.", "The nearly $33 billion in funding that Puerto Rico, Texas, the U.S. Virgin Islands, and Florida are to receive for recovery from Hurricanes Harvey, Irma, and Maria is almost 60 times more than the total amount of traditional CDBG funds they received in the last 5 years (see table 2).", "The 2017 CDBG-DR funding that Puerto Rico, Texas, and Florida received also greatly exceeded their most recent prior CDBG-DR grants. In 2008, Puerto Rico was allocated approximately $30 million in CDBG-DR funds in response to Hurricane Ike. Between 2016 and 2017, Texas was allocated approximately $313.5 million in CDBG-DR funds in response to floods that occurred in 2015 and 2016. In 2016, Florida was allocated approximately $117.9 million in CDBG-DR funds in response to Hurricanes Hermine and Matthew. The U.S. Virgin Islands had not previously received CDBG-DR funds."], "subsections": []}, {"section_title": "Administration of CDBG- DR Funds", "paragraphs": ["HUD\u2019s Office of Community Planning and Development (CPD) administers the traditional CDBG program and CDBG-DR funds. Before 2004, existing CPD staff administered CDBG-DR. In 2004, HUD established the Disaster Recovery and Special Issues Division within CPD\u2019s Office of Block Grant Assistance to manage large CDBG-DR grantees with allocations of $500 million or more. CPD field office staff generally manage all other grantees.", "Other HUD officials are also involved with CDBG-DR, including the Departmental Enforcement Center and Office of Policy Development and Research. The Departmental Enforcement Center works with several of HUD\u2019s program areas, including CPD, to ensure that federally funded programs operate according to program guidelines and regulations. For example, center staff help CPD review grantees\u2019 financial processes and procedures. The Office of Policy Development and Research maintains current information on housing needs, market conditions, and existing programs and conducts research on community development issues. Its staff use this information to help CPD award CDBG-DR funds."], "subsections": []}]}, {"section_title": "All Grantees Have Signed Grant Agreements but Need to Take Additional Steps before Funds Reach Disaster Victims", "paragraphs": ["As of January 2019, all four grantees had entered into grant agreements with HUD for their initial 2017 CDBG-DR funds, but they needed to take additional steps before disbursing funds to individuals affected by the 2017 hurricanes. According to the February 2018 Federal Register notice allocating the initial $7.4 billion in CDBG-DR funds, grantees were required to take a number of steps before they could enter into a grant agreement with HUD and begin expending funds (see fig.1). These steps had associated deadlines, which the four grantees generally met.", "The steps grantees were required to take before they could enter into a grant agreement included the following:", "Financial processes and procedures. Grantees were required to document their financial controls, procurement processes, and grant management procedures (including those for preventing the duplication of benefits, ensuring timely expenditures, and preventing and detecting fraud, waste, and abuse). By the end of September 2018, HUD had certified that all four grantees had proficient financial controls, procurement processes, and grant management procedures.", "Implementation plan. Grantees were required to submit an implementation plan that describes their capacity to carry out the recovery and how they will address any capacity gaps. By the end of September 2018, HUD had approved the implementation plans and capacity assessments of all four grantees.", "Action plan. Finally, grantees were required to submit an action plan for disaster recovery that includes an assessment of unmet needs for housing, infrastructure, and economic revitalization and a description of activities intended to meet these needs. By the end of July 2018, all four grantees had approved action plans.", "Once these steps were completed, HUD and the grantees could sign grant agreements, and the grantees could begin drawing down funds. All four of the grantees had signed grant agreements with HUD by the end of September 2018. The February 2018 Federal Register notice required grantees to begin drawing down funds by August 13, 2018, but a HUD official told us that the grantees were unable to meet this requirement because HUD had not yet finalized an agreement with three grantees by that date and had just entered into a grant agreement with Florida.", "The grant agreements require grantees to expend their entire CDBG-DR allocations on eligible activities within 6 years of signing their grant agreements. According to HUD officials, this requirement has been included in grant agreements since 2015 to help speed up the expenditure of funds. (As discussed in the last section of this report, some CDBG-DR grantees have been slow to expend their funds.) As of January 2019, the grantees had generally not drawn down funds for individuals affected by the 2017 hurricanes because they were designing and setting up the activities to assist these individuals. Specifically, as of January 2019, Texas had drawn down approximately $18 million and Florida had drawn down approximately $1 million of their allocations generally for administrative and planning expenses. The other two grantees had not drawn down any of their February 2018 allocations (see table 3).", "As of the end of 2018, the grantees were taking steps to design and set up the activities approved in their action plans and planned to implement activities in stages.", "Florida. On September 24, 2018, Florida opened the registration period for a program that provides rehabilitation or replacement assistance to owner-occupied homes and rental properties impacted by Hurricane Irma. According to Florida officials, residents have until March 29, 2019, to register. The purpose of the registration process is for Florida to evaluate the potentially eligible population. According to Florida officials, Florida began taking applications from registrants on November 27, 2018, and staff were conducting eligibility reviews on completed applications as of late December 2018.", "Puerto Rico. Puerto Rico officials said they planned to stagger the implementation of their approved CDBG-DR activities. They would begin with activities they considered to be critical such as providing assistance for the rehabilitation, reconstruction, or relocation of owner-occupied units and gap financing for properties being developed with Low-Income Housing Tax Credits. Officials said they planned to begin taking applications by the end of calendar year 2018 or early 2019 but that the start dates depended on HUD\u2019s approval of the activities\u2019 policies and procedures.", "Texas. On July 23, 2018, Texas began taking applications for a program that provides assistance for the rehabilitation, reconstruction, and new construction of affordable multifamily rental housing. Texas officials said they expected to begin signing agreements with selected developers early in calendar year 2019. In addition, on November 27, 2018, Texas began taking applications for a program that provides assistance for the rehabilitation and reconstruction of owner-occupied single-family homes. In late December 2018, Texas officials told us they were reviewing the more than 1,500 completed applications for program eligibility.", "U.S. Virgin Islands. The U.S. Virgin Islands planned to first implement two housing programs that provide assistance for the rehabilitation or reconstruction of storm-damaged residential owner- occupied units and for the construction of new homes for first-time homebuyers. U.S. Virgin Islands officials stated that as of November 2018, they were working on policies and procedures for the subrecipients that will help administer these programs and that they planned to launch both programs early in calendar year 2019. The U.S. Virgin Islands also planned to provide assistance for the rehabilitation or construction of affordable rental housing units but did not provide information on when it planned to implement this activity. In addition, officials said they anticipate funding some infrastructure projects in early 2019."], "subsections": []}, {"section_title": "Grantees Have Taken Some Steps to Establish Financial Processes and Assess Capacity and Unmet Needs", "paragraphs": [], "subsections": [{"section_title": "Grantees Generally Used Existing Financial Processes and Procedures for Certification", "paragraphs": ["To meet the requirement for certification of financial controls, procurement processes, and grant management procedures (financial processes and procedures), all four 2017 grantees told us that they generally used processes and procedures that were already in place to administer prior CDBG-DR grants or other HUD funds. For example, Texas and Florida asked HUD to generally rely on the certification and supporting documentation of financial processes and procedures that they had submitted for previous CDBG-DR grants. U.S. Virgin Islands officials told us they generally relied on the financial processes and procedures they have in place for the administration of the traditional CDBG program. Similarly, Puerto Rico officials told us that they relied on existing financial processes and procedures they have in place for other federal funds, including other HUD and FEMA funds.", "We and the HUD OIG have ongoing or completed work on controls over CDBG-DR funds. We have ongoing work examining, among other things, HUD\u2019s internal control plan for the 2017 appropriated disaster funds, including CDBG-DR funds. In response to a congressional request, the HUD OIG reviewed the ability of the grantees in Texas and Florida to follow applicable federal regulations and requirements. In its reports on Texas and Florida, the HUD OIG identified concerns with grantees\u2019 financial processes and procedures.", "Texas. In a May 2018 report, the HUD OIG stated that Texas had prior audit findings related to procurement that the agency should avoid repeating. For example, for a prior CDBG-DR grant, the HUD OIG found that Texas did not show how its procurement process was equivalent to federal requirements. Among other things, the HUD OIG recommended that HUD require Texas to ensure that its procurement and expenditure policies and procedures are implemented and working as designed. Texas responded that it would clarify the procurement processes in its financial submission if needed.", "Florida. In September 2018, the HUD OIG found weaknesses in Florida\u2019s controls over its drawdown of funds and classification of costs. For example, it found that for a prior CDBG-DR grant, Florida drew down more funds than it expended on administrative and planning costs, and that the grantee charged $30,000 to a prior CDBG-DR grant that should have been charged to its 2017 CDBG-DR grant. The report acknowledged that Florida had taken steps to address this concern, but the OIG recommended, among other things, that the grantee establish adequate financial controls to ensure that its disaster funds are properly classified and allocated to the correct grant. Florida agreed with the recommendation, noting that it had corrected the discrepancy the HUD OIG identified during the audit and stating that it would continue to improve its internal controls. In addition, Florida officials told us that they have worked with HUD staff to ensure that financial and programmatic staff are trained to correctly classify costs and verify that they are accurately allocated and recorded.", "According to HUD OIG officials, they plan to begin similar reviews of Puerto Rico and the U.S. Virgin Islands in early calendar year 2019."], "subsections": []}, {"section_title": "Grantees Made Organizational Changes to Increase Capacity and Identified Significant Staffing Needs", "paragraphs": ["The February 2018 Federal Register notice required grantees to assess staff capacity and identify necessary personnel for the administration of CDBG-DR funds. To increase their capacity to manage the 2017 CDBG-DR funds, grantees made changes to their organizational structure.", "Florida. The Florida Department of Economic Opportunity created a disaster recovery office to administer the 2017 CDBG-DR grants because, according to Florida officials, the grants were significantly larger than its traditional CDBG grant and prior CDBG-DR grants.", "Puerto Rico. The Puerto Rico Department of Housing, which had not administered prior CDBG or CDBG-DR funding, created a disaster recovery division to manage its CDBG-DR allocation.", "Texas. The Texas General Land Office, the lead state agency for long-term disaster recovery, established a single point of contact for its subrecipients and created a planning team.", "Authority, which administers the territory\u2019s traditional CDBG program, created a division to manage its CDBG-DR allocation.", "Grantees still need to fill many vacant positions to administer the 2017 CDBG-DR funds. All of the grantees planned to hire more in-house staff (see table 4). As of December 2018, about 48 percent of the needed full- time equivalent positions at the four grantees were vacant\u2014with vacancies at individual grantees ranging from about 15 percent for Texas to about 78 percent for Puerto Rico. These positions will be funded with CDBG-DR funds.", "All four 2017 grantees also planned to use contractors to help fill gaps in expertise and operational capacity.", "Florida. According to Florida officials, Florida had hired three vendors to help administer its CDBG-DR funds as of December 2018. They stated that the first vendor employed two staff to conduct an organizational study for Florida to help improve staffing efficiencies, the second vendor had 250 staff working to implement Hurricane Irma programs and activities, and the third vendor supplied five project management staff to support CDBG-DR activities. The officials also stated Florida plans to procure third-party monitoring services, contract staff services, and additional support to meet audit and compliance requirements.", "Puerto Rico. Puerto Rico hired two contractors to help it set up the grant. Specifically, 20 contract staff assisted Puerto Rico with development of its action plan. Puerto Rico also planned to hire vendors to help administer the territory\u2019s CDBG-DR activities, but they had not yet determined the number of contract staff needed.", "Texas. According to Texas officials, Texas hired eight vendors to, among other things, administer the state\u2019s housing assistance activities and track the progress of its CDBG-DR activities. As of December 2018, these vendors had 192 staff.", "U.S. Virgin Islands. According to a U.S. Virgin Islands official, the U.S. Virgin Islands hired a contractor to help set up the grant, including assisting with the development of its action plan. The official also told us that the U.S. Virgin Islands planned to hire contractors to help support the implementation of its CDBG-DR activities but it had not yet determined the number of contract staff needed.", "The HUD OIG has raised concerns about the capacity of two of the 2017 CDBG-DR grantees. In a May 2018 report, the HUD OIG found that Texas did not have enough staff to adequately administer its 2017 CDBG- DR funds. At the time of its review, the HUD OIG found that 37 percent of the grantee\u2019s full-time positions were vacant. Texas responded that it had been actively determining optimal staffing levels and hiring timeframes, but did not have a reserve budget to hire staff before receiving its 2017 allocation. Similarly, in a September 2018 report, the HUD OIG recommended that Florida continue to fill its vacancies and assess staffing resources as it prepared for additional disaster funds. Florida accepted the recommendation and stated that it was taking steps to assess and address staffing needs. As discussed in the last section of this report, building the capacity needed to manage large grants has historically been a challenge for CDBG-DR grantees."], "subsections": []}, {"section_title": "Grantees Generally Used the Same Data as HUD to Estimate Unmet Housing Needs, but Their Methodologies Varied", "paragraphs": ["Grantees were also required to submit an action plan for disaster recovery that includes an assessment of unmet needs in housing, infrastructure, and economic revitalization. The purpose of these unmet needs assessments was to help grantees understand the type and location of community needs and to target their CDBG-DR funds to those areas with the greatest need. We focused on grantees\u2019 estimates of unmet housing needs because the February 2018 Federal Register notice required grantees to primarily use their initial CDBG-DR allocation to address their unmet housing needs."], "subsections": [{"section_title": "HUD\u2019s Estimation of Unmet Needs", "paragraphs": ["Before grantees developed their unmet needs assessments, HUD estimated their unmet needs to allocate the appropriated CDBG-DR funds. HUD calculated unmet housing needs as the number of housing units with unmet needs times the average estimated cost to repair those units less repair funds already provided by FEMA and SBA. HUD relied on FEMA Individual Assistance data to estimate the number of affected owner-occupied and rental units and used SBA data on disaster loans to estimate repair costs. HUD developed five damage categories to determine the level of damage housing units sustained: minor-low, minor- high, major-low, major-high, and severe. Because both acts that appropriated the CDBG-DR funds require HUD to allocate funding to the \u201cmost impacted and distressed areas,\u201d the agency only included owner- occupied and rental units that had major or severe damages in its estimate of unmet housing needs.", "To determine the average cost of repairs for owner-occupied and rental units in each damage category, HUD used SBA data rather than FEMA data. HUD said SBA damage assessments better reflect the full cost to repair a unit because the assessments are based on the total physical loss to the unit. In contrast, FEMA assesses damage based on the cost to make the unit habitable, and therefore its estimates are generally lower than SBA\u2019s estimates. To estimate unmet needs, HUD then multiplied the number of units it identified as having major-low, major-high, and severe damage by corresponding SBA average cost-of-repair amounts (see table 5).", "To estimate the needs of owner-occupied and rental units for their unmet needs assessments, the four grantees generally used FEMA and SBA data but used different methodologies to analyze these data. Below is an overview of the methodology each of the 2017 CDBG-DR grantees used to estimate housing needs for owner-occupied and rental units.", "Florida. Florida included all SBA applicants and FEMA applicants with units that incurred minor damage as defined by HUD\u2019s two lowest damage categories, neither of which was included in HUD\u2019s estimate. Florida did not use HUD repair estimates; instead, it developed its own estimates using SBA data.", "Puerto Rico. Like Florida, Puerto Rico included all SBA applicants and FEMA applicants with minor damage. Puerto Rico also included an estimate of units with \u201cpotential unmet needs.\u201d Puerto Rico calculated its own cost-of-repair estimates based on SBA data.", "Texas. Texas\u2019 methodology was the same as HUD\u2019s methodology.", "Specifically, Texas included FEMA applicants with major and severe damage and used the repair estimates HUD provided in the February 2018 Federal Register notice.", "U.S. Virgin Islands. The U.S. Virgin Islands included units that FEMA did not inspect and units with minor damage, neither of which HUD included in its estimate. The U.S. Virgin Islands used estimates HUD provided in an April 2018 memorandum to determine the repair costs.", "Because three of the grantees tailored their unmet needs estimates for their individual planning purposes, aggregating these estimates would not be appropriate because the estimates do not provide comparable measures of unmet housing needs. Although we did not conduct an extensive assessment of the estimates, we performed some limited analysis to illustrate the impact of some of the grantees\u2019 methodological decisions. The three grantees\u2019 decisions expanded the definition of unmet housing needs, which resulted in higher estimates compared to HUD\u2019s methodology.", "Including FEMA applicants with minor damage. Florida, Puerto Rico, and the U.S. Virgin Islands included FEMA applicants with minor damages that fell into HUD\u2019s two lowest categories of damage. Including these applicants increased the needs estimate for the U.S. Virgin Islands by approximately $431 million. Our analysis showed that including these applicants increased Puerto Rico\u2019s needs estimate by at least $1.5 billion. Grantees said that including FEMA applicants with the two lowest levels of damages provided a more accurate representation of the needs for owner-occupied and rental units. For example, Puerto Rico\u2019s action plan states that these applicants were unlikely to receive other federal or local assistance to repair their homes, and therefore would have needs. HUD officials told us that grantees have the discretion to use allocated funds to assist applicants with less severe damage as long as those individuals have unmet needs.", "Including SBA applicants that were denied assistance. Florida and Puerto Rico included SBA applicants whose units were not inspected because they were denied disaster loans, although the extent to which these units sustained damages was unknown. Florida estimated approximately $1.8 billion and Puerto Rico approximately $1.5 billion in housing needs for these SBA applicants. Florida and Puerto Rico officials told us that they included these applicants because being denied did not necessarily mean that these applicants did not experience losses. For example, SBA applicants can be denied loan assistance based on their inability to repay, despite potentially having unmet needs. Similarly, HUD officials explained that they consider applications that SBA has denied as a potential indicator of unmet needs.", "Including FEMA applicants without verified losses. Florida included FEMA applicants without verified losses and the U.S. Virgin Islands included units that FEMA did not inspect. Absent verified losses and inspections, they assumed the FEMA applicants had some level of unmet needs. Florida\u2019s action plan states that it included FEMA applicants without verified losses, but the plan did not include the number of such applicants or their associated housing needs. The U.S. Virgin Islands\u2019 action plan states that it included 3,774 such FEMA applicants in its estimate of damaged homes, but the plan did not include the associated repair costs. According to Florida and Virgin Islands officials, they included these applicants to account for what they determined was underrepresentation of impacted populations. According to HUD officials, grantees typically conduct their own inspections or rely on SBA inspections in an effort to capture more comprehensive damage estimates.", "Including owner-occupied and rental units with \u201cpotential unmet needs.\u201d Puerto Rico included an estimate of \u201cpotential unmet housing needs\u201d to account for owners and renters that did not apply to FEMA and FEMA applicants without verified losses. Absent applications or verified losses, Puerto Rico assumed that nonapplicants and applicants without verified losses had some level of unmet needs. Puerto Rico estimated these potential unmet needs to be approximately $5.8 billion. HUD officials told us that there were a significant number of FEMA applicants who were denied in Puerto Rico due to an inability to prove property ownership.", "In general, HUD officials stated that the methodologies HUD and grantees used to develop unmet needs estimates did not need to be the same. This is because HUD\u2019s estimate of unmet needs was used to allocate funds to grantees and grantees\u2019 estimates were used to target their funding. They also noted that there was more than one way to determine unmet needs and that it was acceptable for grantees to use different methodologies to reflect their local circumstances. Although grantees\u2019 estimates of unmet needs do not affect the amount of CDBG- DR funds that they are allocated, the flexibility grantees have in defining unmet needs increases the importance of HUD\u2019s review of these estimates. As discussed in the next section of this report, HUD\u2019s review of these estimates was limited."], "subsections": []}]}]}, {"section_title": "HUD\u2019s Review of Grantees\u2019 Initial Steps Was Limited, and It Has Not Developed Monitoring or Workforce Plans", "paragraphs": [], "subsections": [{"section_title": "HUD Does Not Have Adequate Guidance for Reviewing Financial Processes and Procedures and Assessments of Capacity and Unmet Needs", "paragraphs": ["HUD lacks adequate guidance for its staff to use when determining the adequacy of a grantee\u2019s financial processes and procedures and assessments of its capacity and unmet needs.", "Financial processes and procedures. HUD staff use a checklist to assess a grantee\u2019s financial controls, procurement processes, and procedures for prevention of duplication of payments to detect fraud, waste, and abuse of funds (financial certification checklist). The questions on this checklist focus on whether certain information required in the February 2018 Federal Register notice was included. For example, as figure 2 shows, the financial certification checklist asks HUD staff to determine whether a grantee has attached its procedures for preventing duplication of benefits and verifying all sources of disaster assistance received. However, it does not ask HUD staff to assess the adequacy of the grantee\u2019s approach for verifying all sources of disaster assistance. In addition, the financial certification checklist, which is framed as a series of \u201cyes\u201d or \u201cno\u201d questions, does not include guidance that the HUD reviewer must consider. For example, the certification checklist asks whether the grantee has standards to maintain \u201cadequate control\u201d over all CDBG-DR funds but does not define what it means to maintain adequate control. HUD officials told us that HUD reviewers do assess the quality of grantees\u2019 submissions during their reviews. They stated that they request additional information from grantees if they deem the information initially submitted to be incomplete or unclear. However, in the absence of additional guidance for HUD staff, it is unclear how they assess quality on a consistent basis.", "Capacity assessments. HUD\u2019s checklist for reviewing management capacity (capacity checklist) assesses whether the grantee included certain information required in the February 2018 Federal Register notice. For example, the capacity checklist asks whether a grantee provided a timeline for addressing the gaps it identified in its capacity assessment. However, it does not require the reviewer to evaluate the adequacy of the assessment or the timeline (see fig. 3). Similarly, the capacity checklist asks whether the grantee planned to designate personnel for program management, procurement, monitoring, and other functions but does not require the reviewer to assess the adequacy of the number of personnel. One question asks whether the personnel will be \u201cin proportion to applicant population\u201d but does not cite the required proportion. As discussed above, HUD officials told us that HUD reviewers do assess the quality of grantees\u2019 submissions during their reviews, but in the absence of additional guidance for staff, it was unclear how they determine that documents are adequate.", "Unmet needs assessments. HUD staff also use a checklist to assess the grantees\u2019 action plans, including their assessments of unmet needs (see fig. 4). The questions ask the reviewer to determine whether the needs assessment covers housing, infrastructure, and economic revitalization and to estimate the portion of those three areas to be funded from other sources, as required in the February 2018 Federal Register notice. However, the reviewer is not required to evaluate the reliability of the grantees\u2019 assessments or estimates, and HUD does not provide additional guidance for staff to help assess the reliability of the information provided.", "HUD officials said they have other documentation that supplements the checklists. However, we found that documentation lacked sufficient information for assessing the submissions. For example:", "February 2018 Federal Register notice. According to HUD officials, the notice is the primary source of guidance for HUD reviewers. They stated that the notice defines \u201cproficient financial processes and procedures.\u201d However, the February 2018 notice states that grantees must submit certain audits, financial reports, and their financial standards but does not describe how HUD reviewers should assess the quality of those financial standards. In addition, the vague language in the checklist often mirrors the February 2018 notice. For example, neither document tells staff how to determine whether \u201cthe overall effect of the standards provide for full and open competition.\u201d", "Regulations for the traditional CDBG program. According to HUD officials, reviewers can consult existing federal regulations governing the development and review of plans required under the traditional CDBG program when reviewing grantees\u2019 action plans, including unmet needs assessments. However, both the February 2018 and August 2018 Federal Register notices waive the requirement for an action plan under the CDBG regulation. The notices instead require CDBG-DR grantees to submit an action plan for disaster recovery specifically that includes an unmet needs assessment.", "Another reason HUD cited for not having additional guidance is the reviewers\u2019 years of professional experience. A senior HUD official said the staff members who reviewed Florida and Texas\u2019 submissions were senior CPD staff who had been CDBG-DR grant managers since at least 2014. The same senior official, a CPD specialist since 1998, told us that she reviewed the submissions from Puerto Rico and the U.S. Virgin Islands. However, experienced staff may leave their positions, while the guidance for reviewing grantees\u2019 submissions would remain.", "The acts appropriating CDBG-DR funds for the 2017 disasters require HUD to certify that a grantee has proficient financial controls, processes, and procedures. In addition, both acts require grantees to submit action plans to the HUD Secretary. The February 2018 Federal Register notice requires that grantees demonstrate that they have capacity to effectively manage the CDBG-DR funds and that their action plans include an assessment of unmet needs. Further, federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. For example, management is to obtain relevant data from reliable internal and external sources in a timely manner based on the identified information requirements. Federal internal control standards also state that management should (1) internally communicate the necessary quality information to achieve the entity\u2019s objectives and (2) establish and operate monitoring activities to monitor the internal control system and evaluate the results.", "As discussed in the last section of this report, prior grantees\u2019 lack of adequate financial processes and procedures and capacity led to challenges, such as improper payments and the need to acquire additional expertise. Further, all four grantees\u2019 initial assessments showed that their CDBG-DR allocations will not meet their unmet needs. Having reliable estimates of unmet needs that will not be met with the appropriated $35.4 billion is important because Congress could use these estimates to determine if further appropriations are necessary. Further, grantees need accurate information to appropriately address unmet needs. Without additional guidance for HUD staff to use in assessing the quality of grantees\u2019 submissions, HUD cannot provide reasonable assurance that its reviews of these submissions are thorough and consistent."], "subsections": []}, {"section_title": "HUD Lacks Documentation Supporting Its Conclusion That Grantees\u2019 Submissions Were Sufficient", "paragraphs": ["In their reviews of the 2017 grantees\u2019 financial processes and procedures and assessments of capacity and unmet needs, HUD\u2019s reviewers did not document their conclusions. According to a HUD official, the final completed checklists are the official records of the agency\u2019s certification of grantees\u2019 financial processes and procedures and its review of capacity and unmet needs assessments. However, the checklists do not require a description of the basis for answering \u201cyes\u201d to a question. The checklists require HUD reviewers to describe the basis for their conclusion for \u201cno\u201d answers only. As a result, the final checklists that we reviewed, which showed a \u201cyes\u201d to each question, did not explain how the reviewer concluded that grantees\u2019 submissions were sufficient.", "A HUD official told us that outside of the official administrative record, there is documentation on the agency\u2019s communication with grantees. However, because this documentation was not readily available for all four grantees, HUD provided examples of written feedback given to one grantee. Our review of this documentation showed variation in the extent to which the reviewer requested information about the quality of the information provided. In written feedback that HUD provided to the grantee on its capacity assessment, the HUD reviewer asked for more comprehensive analysis of staffing needs and to include a rationale for the number of staff to be assigned to each function. Yet, other feedback HUD provided focused on whether certain information was included rather than on the quality of the information. For example, when reviewing the grantee\u2019s financial processes and procedures, the reviewer pointed out that the grantee had not shown that it had addressed prior audit findings. In another instance, the reviewer asked the grantee to include additional information in the section of its action plan on unmet needs, but did not focus on the grantee\u2019s methodology.", "According to a HUD official, this documentation was not readily available for each grantee because it is not part of the official administrative record. Even if readily available, such documentation likely would not substantiate HUD\u2019s conclusions that grantees\u2019 submissions and estimates were sufficient. CPD\u2019s monitoring handbook states that staff must document the basis for their conclusions during a monitoring review because \u201cmonitoring conclusions must be clear to persons unfamiliar with the participant, program, or technical area.\u201d In addition, federal internal control standards require management to design control activities to achieve objectives in response to risk. One example of a control activity is clearly documenting transactions and other significant events in a manner that allows the documentation to be readily available for examination.", "According to a HUD official, documentation is limited and not readily available because CPD staff have many responsibilities in addition to the review of grantees\u2019 submissions, such as assisting in the monitoring of prior CDBG-DR grants. However, it is important that HUD prioritize the documentation of its reviews. Without documenting the basis for its conclusions when reviewing grantees\u2019 submissions, stakeholders and decision makers lack information on why HUD concluded that grantees\u2019 financial processes and procedures and capacity and unmet needs assessments were adequate. HUD also misses an opportunity to leverage this information later to mitigate risk and inform its monitoring of grantees."], "subsections": []}, {"section_title": "HUD Does Not Have a Comprehensive Monitoring Plan for the 2017 CDBG-DR Grants", "paragraphs": ["HUD determined that the 2017 CDBG-DR grants posed high risk due to the size of the grants, but did not have a comprehensive plan to monitor these grants. First, HUD had not identified any unique risk factors associated with the 2017 grants that required additional attention. For example, HUD had not analyzed the potential risk of awarding a large grant to an entity that had little or no experience administering CDBG-DR funds. The agency also had not used any potential risks identified during its reviews of grantees\u2019 financial processes and capacity assessments to inform its monitoring. Second, although HUD had plans to conduct onsite monitoring, it had not defined the scope of this monitoring. HUD provided a monitoring schedule that showed that the agency intended to conduct two monitoring visits and two technical assistance visits each to Florida, Texas, and the U.S. Virgin Islands in fiscal year 2019. Although the schedule shows only one monitoring visit for Puerto Rico, HUD officials told us that they also plan to conduct two monitoring visits and two technical assistance visits to Puerto Rico. Regarding the scope of monitoring visits, HUD officials said that staff consider where the CDBG- DR grantee is in the recovery process when identifying areas to be reviewed during monitoring. For example, they said that they tend to focus on grantees\u2019 efforts to hire staff and develop policies and procedures during the first year and on grantees\u2019 implementation of specific activities in the second year. Although HUD had these tentative plans for the early years of the grants, the agency had not documented them.", "According to HUD officials, as of November 2018 HUD had not developed a comprehensive monitoring plan because it had not yet completed the annual risk analysis process that it uses to determine the extent of monitoring for programs such as CDBG and CDBG-DR. According to HUD officials, this process is undertaken during the first quarter of each fiscal year. HUD guidance states that the purpose of this analysis is to provide the information needed for HUD to effectively target its resources to grantees that pose the greatest risk to the integrity of CDBG-DR, including identification of the program areas to be covered and the depth of the review. In comments on the draft report, HUD stated that it had completed its risk analysis and updated its monitoring schedule to include all the grantees it planned to visit in fiscal year 2019. HUD also stated that it had begun identifying monitoring strategies for all monitoring reviews that would occur from March 2019 through May 2019 and would develop the remaining strategies after the initial monitoring reviews.", "However, the risk analysis is of limited usefulness for new CDBG-DR grants because, based on HUD guidance, the risk analysis assumes that the grant has been active for several years. For example, a reviewer is to select the high-risk category if, within the past 3 grant years, the grantee had received two or more findings that are open, overdue, and unresolved; sanctions have been imposed on the grantee; or the grantee had not been monitored\u2014all considerations that currently are moot for the 2017 grantees. Further, the risk analysis does not formally incorporate information HUD gleaned from its reviews of grantees\u2019 financial processes and capacity assessments. For example, the risk analysis worksheet does not include questions about the extent to which HUD\u2019s review of a grantee\u2019s procurement processes and procedures raised any concerns.", "According to the February 2018 Federal Register notice, HUD will undertake an annual risk analysis and conduct on-site monitoring. Further, federal internal control standards state that management should establish and operate monitoring activities and evaluate results. The standards suggest that as part of monitoring, management identify changes that have occurred or are needed because of changes in the entity or environment. However, HUD does not have a monitoring plan that identifies the specific risk factors for each grantee and outlines the scope of its monitoring. A comprehensive monitoring plan would help HUD ensure that its oversight of grantees\u2019 compliance with grant requirements focused on grantees\u2019 areas of greatest risk."], "subsections": []}, {"section_title": "HUD Has Not Conducted Workforce Planning to Determine the Staff It Needs to Oversee CDBG- DR", "paragraphs": ["HUD has not conducted workforce planning to determine the number of staff it needs to monitor the large 2017 CDBG-DR grants and other outstanding grants. The growth in the number and dollar amount of CDBG-DR grants has created workforce challenges for HUD. The more than $35 billion in CDBG-DR funds Congress appropriated for the 2017 hurricanes was almost as much as HUD\u2019s entire budget for fiscal year 2018. In addition, Congress appropriated more CDBG-DR funds to help with recovery from the 2018 Hurricanes Florence and Michael, and will likely appropriate more. As of October 2018, CPD\u2019s Disaster Recovery and Special Issues Division had 24 permanent full-time staff. However, division officials told us that staffing had not increased at a rate commensurate with the increase in CDBG-DR grants due to budget constraints. Although the 2017 grants would be their priority for monitoring, they said that they still had a responsibility to oversee other grants.", "HUD officials told us that they planned to hire additional staff for the Disaster Recovery and Special Issues Division but that they had not finalized their hiring plans. In October 2018, a CPD official told us that in fiscal year 2018 HUD approved the hiring of 17 limited-term hires to be paid with supplemental disaster funds appropriated for HUD salaries and expenses. Division officials also told us that HUD had approved two permanent hires in fiscal year 2018, a financial analyst and a team leader for oversight of the Puerto Rico grantee. For fiscal year 2019, the CPD official said HUD was considering hiring five additional permanent staff for the division but that if approved, the division had estimated that it would need five more staff. In November 2018, division officials said that the number of additional staff we were told had been approved for fiscal year 2018 seemed high and that as of November 2018, HUD had not finalized its hiring plans for the division. In comments on the draft report, HUD stated that the division had developed a staffing plan to address long- term oversight and management of the CDBG-DR portfolio and, as of March 1, 2019, expected to fill 14 positions over the next 3 months. In addition, it stated that the agency had identified an approach to secure 20 additional positions to support CDBG-DR, and expected the agency\u2019s financial and human capital officials to approve it in the next few weeks.", "Federal internal control standards state that management should design control activities, including management of human capital, to achieve objectives and respond to risks. Management is to continually assess the knowledge, skills, and ability needs of the entity so that the entity is able to obtain a workforce that has the required knowledge, skills, and abilities to achieve organizational goals. In previous work on human capital, we identified key principles for effective strategic workforce planning, including determining the critical skills and competencies needed to achieve current and future programmatic results and developing strategies that are tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies.", "However, as of March 1, 2019, HUD had not hired any additional staff; provided documentation showing that the number of staff it planned to hire would be sufficient to oversee current CDBG-DR funds and funds appropriated for Hurricanes Florence and Michael; or determined that staff have the needed knowledge, skills, or abilities. HUD did not have this information because it had not conducted strategic workforce planning. According to HUD officials, they were in the process of evaluating the division\u2019s organizational structure. Without strategic workforce planning that determines if the number of staff HUD plans to hire is sufficient to oversee the growing number of CDBG-DR grants, identifies the critical skills and competencies needed, and includes strategies to address any gaps, HUD will not be able to identify the staffing resources necessary to oversee CDBG-DR grants."], "subsections": []}]}, {"section_title": "HUD and CDBG-DR Grantees Face Challenges with Program Design and Administration", "paragraphs": ["Due to the lack of permanent statutory authority for CDBG-DR, CDBG-DR appropriations require HUD to customize grantee requirements for each disaster. The ad hoc nature of CDBG-DR has created challenges for CDBG-DR grantees, such as lags in accessing funding and varying requirements. CDBG-DR grantees have also experienced administrative challenges not related to the lack of permanent statutory authority, such as challenges with grantee capacity, procurement, and improper payments."], "subsections": [{"section_title": "Lack of Permanent Statutory Authority Has Led to Challenges Such as Lags in Accessing Funding and Varying Requirements", "paragraphs": ["Although Congress has used CDBG to meet unmet disaster recovery needs since 1993, it has not established permanent statutory authority for CDBG-DR. Because of its flexibility, Congress has relied on CDBG and provided numerous supplemental appropriations for more than $86 billion in CDBG-DR funds to HUD. When Congress appropriates CDBG-DR funds, it also grants HUD broad authority to waive CDBG program requirements and establish alternative requirements for CDBG-DR funds via Federal Register notices. For example, in consecutive notices for disasters that occurred from 2001-2016, HUD waived the requirement that 70 percent of CDBG funds received by the state over a 1- to 3-year period be for activities that benefit persons of low and moderate income.", "For disasters from 2004-2017, it issued a waiver permitting states to directly administer CDBG-DR funds, rather than distributing all funds to local governments as is required under the traditional CDBG program. Also, since 2001 HUD has waived the requirement for CDBG action plans and instead required grantees to submit to HUD an action plan for disaster recovery.", "Because CDBG-DR is not a permanently authorized program, HUD officials stated that they have not established permanent regulations. Legislation was proposed in the 115th Congress that would have permanently authorized the CDBG-DR program, but was not enacted. According to HUD officials, they provided technical drafting assistance on this bill. As of February 2019, Congress had not permanently authorized CDBG-DR or any other program to meet unmet disaster needs.", "Unlike CDBG-DR, other federal disaster assistance programs, such as those administered by FEMA and SBA, are permanently authorized. In 1988, the Stafford Act created permanent statutory authority for much of the disaster assistance system in place today. Under this act, FEMA has multiple mechanisms for providing assistance. For example, FEMA\u2019s Individual Assistance program provides various forms of help following a disaster, such as financial assistance for housing, unemployment, and crisis counseling assistance. In the late 1950s, the Small Business Act permanently authorized the SBA Disaster Loan Program, which provides low-interest direct loans to businesses, homeowners, and renters to repair or replace property.", "A recent report on climate change supports a growing need for a permanent program to address unmet disaster needs. According to a 2018 report from the U.S. Global Change Research Program, the frequency and intensity of extreme weather and climate-related events are expected to increase. The report noted that as hurricane damage can be attributed to warmer atmosphere and warmer, higher seas, there is a need to rebuild to more resilient infrastructure and develop new frameworks for disaster recovery.", "In part because Congress has not established permanent statutory authority for CDBG-DR or some other program to address unmet needs, GAO, the HUD OIG, and some of the 2017 grantees have cited a number of challenges. These include lags in accessing funding and varying requirements.", "Lags in accessing funding. For earlier hurricanes, it took at least a month for HUD to issue the Federal Register notices that outlined the CDBG-DR requirements for each disaster. For the 2017 disasters, it took longer. As noted previously, these notices lay out the steps that grantees must take before they can enter into grant agreements with HUD and begin expending funds. As shown in figure 5, it took 45 days for HUD to issue the requisite Federal Register notice after the first appropriation for the 2005 Gulf Coast hurricanes, 35 days after the first appropriation for Hurricane Sandy, and 154 days (or 5 months) after the first appropriation for the 2017 hurricanes. According to HUD officials, they delayed issuance of the first notice for the 2017 hurricanes because they expected a second appropriation and wanted to allocate those funds in the same notice. After HUD issued the Federal Register notices, it generally took the grantees months to complete all of the required steps to enter into grant agreements. For example, it took each of the 2017 grantees over 6 months to execute grant agreements with HUD.", "Two 2017 grantees that we interviewed suggested that the CDBG-DR process could be shortened if there were an established set of rules for states to follow instead of waiting months for a new Federal Register notice to be published for each allocation. One grantee told us that CDBG-DR should be codified as a formal program with basic rules in place so that grantees do not have to wait months for a notice to be published before they begin planning. In a May 2018 hearing on CDBG- DR, a 2017 grantee testified that disaster recovery could be greatly expedited if HUD had written regulations that governed CDBG-DR allocations. The official stated that states would not have to wait for the Federal Register notice to be published to begin designing activities and developing action plans.", "Similarly, for our January 2010 report on the Gulf Coast hurricanes, HUD officials told us that a permanently authorized CDBG-DR program would allow HUD to issue permanent regulations and require less need for Federal Register notices and the use of waivers after each disaster, thereby allowing funds to be available for providing assistance sooner. As part of our current review, HUD officials reiterated that a permanently authorized CDBG-DR program would allow HUD to issue permanent regulations. They stressed that for a permanently authorized CDBG-DR program to be effective, Congress would need to provide HUD the flexibility to waive traditional CDBG statutory requirements and adopt alternative requirements to help address recovery needs.", "Varying requirements. CDBG-DR grant requirements vary from notice to notice. In a July 2018 report, the HUD OIG found that as of September 2017, HUD used 61 notices to oversee 112 active disaster recovery grants totaling more than $47.4 billion, and would issue additional notices for funding provided in 2017 and 2018. The HUD OIG also noted that as of February 2017, Louisiana had seven open grants and had to follow 45 Federal Register notices, and that Texas had 6 open grants and had to follow 48 Federal Register notices. Officials from one of the 2017 grantees we interviewed said it was challenging to manage seven different CDBG-DR grants, each with different rules. As an example, they noted that 2015 grant funds cannot be used on levees, while funds from other years can be. To help manage these different requirements, they stated that they must tie each grant to the relevant public law in their grant management system. To further ensure compliance with the various notices, their legal department prepares a new template for the agreement that the states signs with subrecipients for each public law. Officials from another 2017 grantee stated that it was difficult to build an infrastructure for the management of current and future CDBG-DR funds, as the rules often could be different for each allocation. They also noted that variations across different allocations can make it more difficult for grantees to manage and comply with differing requirements. According to HUD officials, the requirements have varied due to differences in appropriations language and policies across administrations and changes made in response to input from the HUD OIG.", "In addition, the July 2018 HUD OIG report identified 59 duplicative or similar requirements in most of the notices that could benefit from a permanent framework. For example, the following rules or waivers were consistently repeated: allowing states to directly administer grants and carry out eligible activities, requiring grantees to submit an action plan, requiring grantees to review for duplication of benefits, allowing states to use subrecipients, and allowing flood buyouts. The HUD OIG recommended that the Office of Block Grant Assistance work with its Office of General Counsel to codify CDBG-DR in regulations. HUD disagreed with this recommendation, stating that it lacked statutory authority to create a permanent CDBG-DR program. In commenting on the report, HUD acknowledged that the current process of changing appropriations requirements, which results in waivers and alternative requirements, can be challenging. It further stated that congressional direction would be needed for a more standard, regulation-governed program.", "Further, we and others have cited four additional challenges that could be addressed in a statute permanently authorizing CDBG-DR or another disaster assistance program for unmet needs.", "Lag between a disaster and appropriation of CDBG-DR funds. In a July 2015 report on Hurricane Sandy, we found that the unpredictable timing of the appropriation for CDBG-DR challenged grantees\u2019 recovery planning. As shown in figure 6, the first CDBG-DR supplemental appropriation for the Gulf Coast hurricanes was enacted 4 months after the first Gulf Coast hurricane occurred. Less time elapsed between Hurricane Sandy and Hurricane Harvey (the first of the 2017 hurricanes) and Congress\u2019 appropriation of funds, 3 months and 2 weeks, respectively. In contrast, a presidential disaster declaration activates the provision of funds from FEMA\u2019s Disaster Relief Fund. The SBA Disaster Loan Program is also activated by a presidential disaster declaration. Congress funds both programs through annual appropriations.", "Lag in spending funds once grant agreements have been signed. Once grantees have entered into grant agreements with HUD, it can take years for them to implement activities and expend all of their CDBG-DR funds. There is no consensus on the amount of time it should take grantees to expend their funds. Congress has established obligation and expenditure deadlines, such as through a provision in the Disaster Relief Appropriations Act, 2013. In that act, which applies to 47 grants, grantees are required to spend the funds within 24 months of obligation unless the Office of Management and Budget (OMB) provides a waiver. Similarly, the appropriations for the 2017 disasters also must be expended within 24 months of the date of obligation, and OMB is authorized to provide a waiver of this requirement. In addition, legislation has been proposed that would require funds to be expended within 6 years, with the possibility of an extension up to 3 years upon a waiver by OMB.", "Since 2015, HUD has imposed a requirement that grantees expend their funds within 6 years of signing a grant agreement. According to HUD officials, they chose 6 years because their research showed that most expenditure activity occurs within the first 6 years of the grant. However, of the 50 grants awarded in fiscal years 2012 and 2013 that are at or approaching the original 6-year mark, 9 grantees (18 percent) had expended less than half of the funds. Some of these grantees have received extensions that allow their grants to remain open until September 2022. According to HUD, a number of factors can delay recovery efforts, including subsequent disasters, litigation, and limited constructions seasons due to weather. See appendix III for more information on these grants.", "Housing programs that are not aligned with unmet needs. In past work, we found that CDBG-DR grantees are not required to align their housing activities with the needs of the affected communities. In a January 2010 report on the Gulf Coast hurricanes, we found that states used their broad discretion and additional flexibility to decide what proportion of their CDBG-DR funds went to homeowner units and rental units. In Louisiana and Mississippi, more homeowner units were damaged than rental units, but the proportional damage to rental stock was generally greater. However, 62 percent of damaged homeowner units were assisted and 18 percent of rental units were assisted. We recommended that Congress consider providing more specific direction regarding the distribution of disaster-related CDBG assistance that states are to provide for homeowners and renters. Since the Gulf Coast hurricanes, Congress has appropriated funding for subsequent disasters; however, as of February 2019, no appropriations had addressed this issue.", "Coordination with multiple federal agencies. In our July 2015 report on Hurricane Sandy, we found that different federal disaster response programs are initiated at different times, making it challenging for state and local officials to determine how to use federal funds in a comprehensive manner. In response to a survey that we conducted for that report, 12 of 13 states and cities reported that navigating the multiple funding streams and various regulations was a challenge that affected their ability to maximize disaster resilience opportunities. For example, state officials we interviewed for that report noted the redundancy of some federal requirements for receiving disaster assistance such as the duplication of environmental reviews, which are required by both HUD and FEMA. In our January 2010 report on the Gulf Coast hurricanes, we noted that a Department of Homeland Security study indicated that experts should discuss how challenges associated with the different federal efforts that provide disaster recovery assistance\u2014such as CDBG- DR and those administered by FEMA\u2014could be addressed. The study also suggested that experts explore new methods for delivering assistance.", "In our June 2009 report on CDBG-DR, we also found that guidance for the Gulf Coast disaster recovery was insufficient and that conflicting federal decisions hindered coordination of CDBG-DR and FEMA\u2019s Hazard Mitigation Grant Program funds. We recommended that HUD coordinate with FEMA to ensure that new guidance clarified the potential options, and limitations, available to states when using CDBG disaster assistance funds alongside other disaster-related federal funding streams. HUD issued the guidance, and the recommendation was closed in November 2011.", "Without permanent statutory authority for a disaster assistance program that meets verified unmet needs, grantees will likely continue to encounter the challenges associated with needing customized grant requirements for each disaster, such as funding lags and varying requirements. Permanent statutory authority could also improve coordination among federal agencies that administer disaster funds."], "subsections": []}, {"section_title": "Grantees Have Faced Administrative Challenges, Such as Building Capacity and Avoiding Improper Payments", "paragraphs": ["In addition to the challenges experienced because CDBG-DR is not permanently authorized, reports on prior disasters cited CDBG-DR administrative challenges such as building capacity, avoiding improper payments, and following procurement processes.", "Grantee capacity. Grantees have experienced difficulties establishing the necessary capacity to manage large CDBG-DR grants. An Urban Institute testimony described constraints on grantees\u2019 comprehensive capacity building. Specifically, it noted levels of expertise and program management as a repeated source of challenges, citing limitations on the availability of skilled staff. In addition, a paper on large-scale disaster recovery reported that large-scale CDBG-DR programs are significantly larger than traditional CDBG programs, and that many grantees need to hire private contractors to fill gaps in expertise and operational capacity.", "We also found in our June 2009 report on Gulf Coast disaster recovery that Louisiana and Mississippi lacked sufficient capacity to administer and manage CDBG-DR programs of such unprecedented size. As discussed previously, the 2017 grantees plan to hire more staff to administer CDBG-DR funds. However, officials of one grantee and HUD officials said they are all competing for the same small pool of potential applicants with CDBG-DR expertise. HUD officials said grantees in Puerto Rico and the U.S. Virgin Islands face the additional challenge of relocating potential candidates, and in the case of Puerto Rico finding bilingual candidates.", "Improper payments. Our prior reports and those of the HUD OIG have identified improper payments as an ongoing challenge for HUD and CDBG-DR grantees. In February 2015, we found that HUD\u2019s policies and procedures did not address all key requirements for estimating improper payments for Hurricane Sandy CDBG-DR funds. To help ensure that HUD produced reliable estimates of its improper payments, we recommended that HUD revise its policies and procedures by (1) requiring payments to federal employees to be included in populations for testing as required by the Improper Payments Information Act of 2002, as amended, and (2) including steps to assess the completeness of the population of transactions used for selecting the samples to be tested. HUD concurred with our recommendation and has since updated its policies and procedures to require that payments to federal employees be included in the improper payment testing for the program. However, because it has not yet taken steps to ensure that all grantee files are included in the population for testing improper payments, this recommendation remained open as of February 2019.", "The HUD OIG also has conducted numerous audits of the internal controls of prior CDBG-DR grantees, a number of which resulted in findings related to improper payments. For example, in an August 2017 report on the State of New Jersey, the OIG found that the state disbursed Sandy CDBG-DR funds to homebuyers who did not meet all of the program eligibility requirements. It also found in a December 2016 report that the City of New York disbursed more than $18.2 million in CDBG-DR funds for state sales tax on program repairs and maintenance services that the city was not legally required to pay under New York state law. In a July 2016 report on the administration of SBA and CDBG-DR disaster assistance, the Congressional Research Service noted that the availability and timing of disaster assistance from different sources can result in agencies providing duplicative assistance. In addition, according to SBA data we reviewed for our July 2010 report on the Gulf Coast hurricanes, SBA determined that 76 small businesses approved for loans under Louisiana\u2019s Business Recovery Grant and Loan Program, funded by CDBG-DR, received duplicate benefits under SBA\u2019s Disaster Loan Program.", "In the appropriations acts for the 2017 disasters, Congress required federal agencies, including HUD, to submit their plans for ensuring internal control over disaster relief funding to Congress, among others. HUD submitted its plan to Congress on November 2, 2018. As previously noted, we are conducting a separate review on, among other things, HUD\u2019s internal control plan.", "Procurement. The HUD OIG has issued nearly 20 audits on disaster recovery grantees that contained findings related to procurement, including reviews of grantees that received funds to recover from the Gulf Coast hurricanes and Hurricane Sandy. In a September 2017 report, the HUD OIG found that HUD did not provide sufficient guidance and oversight to ensure that state disaster grantees followed proficient procurement processes. The OIG focused on whether HUD staff had ensured that the grantee had adopted federal procurement standards or had a procurement process that was equivalent to those standards. It made four recommendations to help ensure that products and services are purchased competitively at fair and reasonable prices in future disaster allocations.", "In a September 2016 report, the HUD OIG described the results of an initiative by the Council of the Inspectors General on Integrity and Efficiency to review funds provided by the Disaster Relief Appropriations Act, 2013. This review was conducted by the HUD OIG and the OIGs for seven other agencies that received funds for Hurricane Sandy and other disasters under the act. The HUD OIG pointed out a range of contracting issues that HUD grantees faced, including that they billed outside the scope of work, lacked competitive procedures or full and open competition, and had unsupported labor costs. It attributed these challenges to HUD and the grantees (1) not understanding federal contracting regulations and cost principles and (2) lacking internal controls over procurement processes. As a result, the HUD OIG stated that HUD and grantees did not know whether they received the best value and greatest overall benefit from their various disaster relief procurement contracts, amendments, and change orders. The OIG concluded that the Council of the Inspectors General on Integrity and Efficiency should work with HUD to ensure the agency, grantees, and contractors complied with federal contracting requirements.", "The HUD OIG also recommended in a May 2018 report that Texas adhere more closely to federal procurement regulations in applying for and expending CDBG-DR grants. It recommended that HUD require the grantee to (1) ensure that its procurement and expenditure policies and procedures are implemented and working as designed and (2) ensure that warnings about false statements and false claims are included in all of its contract-related forms. Texas responded that it would continue to strengthen its current program structure.", "Monitoring. In our June 2009 report on CDBG-DR guidance for the Gulf Coast disaster recovery, we found that in addition to HUD\u2019s four to five on-site monitoring and technical assistance visits per year, a number of state officials needed clarification of federal regulations, environmental requirements, and waivers related to the use of CDBG-DR funds in disaster recovery. Although HUD had field offices in both Louisiana and Mississippi, the CDBG-DR grant management responsibilities were handled by HUD headquarters staff. Grantees in both states emphasized that an additional onsite presence from HUD would have been beneficial to their recovery efforts. In addition, in a May 2018 report on CPD\u2019s monitoring of grantees\u2019 compliance with requirements contained in the Disaster Relief Appropriations Act, 2013, the HUD OIG found a lack of monitoring of grantees\u2019 drawdown transactions. The OIG recommended that CPD monitor these transactions to ensure that grantees appropriately record transactions. HUD agreed to open an investigation to review the transactions before responding to the recommendation."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["CDBG has been widely viewed as a convenient, expedient, and accessible tool for meeting needs in disaster-impacted communities that are not met by other federal and private sources, but CDBG-DR has proven to be slow for HUD and grantees to implement. Over a year after Congress first appropriated CDBG-DR funds for recovery from the 2017 hurricanes, grantees have generally not drawn down these funds to aid disaster hurricane victims because they continue to plan and design their activities. While it is important to provide disaster assistance promptly, HUD also needs to ensure that grantees are well positioned to administer the funds.", "Before expending funds, HUD required grantees to submit planning documentation, but its review of this documentation was limited. Specifically, HUD did not have adequate guidance for staff to use when assessing the adequacy of grantees\u2019 financial controls, procurement processes, and grant management procedures and of their capacity and unmet needs assessments. HUD also did not maintain documentation to substantiate staff\u2019s conclusions that the grantees\u2019 submissions were sufficient. By developing additional guidance for staff to use in evaluating the quality of grantees\u2019 financial processes and procedures and capacity and unmet needs assessments, HUD can provide better assurance that its reviews are thorough and consistent. Further, without documenting the basis for its conclusions when reviewing future grantees\u2019 submissions, stakeholders and decision makers lack information on why HUD concluded that grantees\u2019 financial processes and procedures and capacity and unmet needs assessments were adequate. HUD also misses an opportunity to leverage this information later to mitigate risk and inform its monitoring of grantees.", "HUD\u2019s monitoring of the 2017 grantees will be critical given challenges that the HUD OIG has identified with grantees\u2019 procedures and our concerns about HUD\u2019s reviews of grantees\u2019 initial submissions. But HUD did not have a monitoring plan that reflected the specific risk factors of each grantee and outlined the scope of its monitoring. A comprehensive monitoring plan would help HUD ensure that its oversight of grantees\u2019 compliance with grant requirements focused on grantees\u2019 areas of greatest risks. Further, HUD did not yet have the staff in place to effectively oversee CDBG-DR funds. Without strategic workforce planning that determines if the number of staff the agency will be able to hire is sufficient to oversee the growing number of CDBG-DR grants, identifies the critical skills and competencies needed, and includes strategies to address any gaps, HUD will not be able to identify the staffing resources necessary to oversee CDBG-DR grants.", "Finally, if the federal government continues to use the CDBG program for federal disaster assistance, grantees will likely encounter many of the same challenges they have in the past\u2014including lags in accessing funding, requirements that may vary for each disaster, and difficulties coordinating with multiple federal agencies. Establishing permanent statutory authority for a disaster assistance program that meets verified unmet needs in a timely manner would provide a consistent framework for administering funds for unmet needs going forward. The program could be administered either by HUD or another agency that had authority to issue associated regulations. Such a statute and regulations could create consistent requirements for grantees and specify how the program would fit into the federal government\u2019s disaster assistance framework. The importance of establishing permanent statutory authority for such a program is underscored by the expected increase in the frequency and intensity of extreme weather and climate-related events."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider legislation establishing permanent statutory authority for a disaster assistance program administered by HUD or another agency that responds to unmet needs in a timely manner and directing the applicable agency to issue implementing regulations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to HUD: The Assistant Secretary for Community Planning and Development should develop additional guidance for HUD staff to use when assessing the adequacy of the financial controls, procurement processes, and grant management procedures that grantees develop. (Recommendation 1)", "The Assistant Secretary for Community Planning and Development should develop additional guidance for HUD staff to use when assessing the adequacy of the capacity and unmet needs assessments that grantees develop. (Recommendation 2)", "The Assistant Secretary for Community Planning and Development should require staff to document the basis for their conclusions during reviews of grantees\u2019 financial controls, procurement processes, and grant management procedures and capacity and unmet needs assessments. (Recommendation 3)", "The Assistant Secretary for Community Planning and Development should develop and implement a comprehensive monitoring plan for the 2017 grants. (Recommendation 4)", "The Assistant Secretary for Community Planning and Development should conduct workforce planning for the Disaster Recovery and Special Issues Division to help ensure that it has sufficient staff with appropriate skills and competencies to manage a growing portfolio of grants. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HUD for comment. In written comments, which are summarized below and reproduced in appendix IV, HUD partially agreed with two of our recommendations and generally agreed with the remaining three.", "HUD partially agreed with the draft report\u2019s first recommendation to develop standards for HUD staff to use when assessing the adequacy of the financial controls, procurement processes, and grant management procedures that grantees develop. HUD disagreed that it needed to develop standards for financial processes and procedures, stating that such standards already exist. Specifically, HUD pointed to the February 2018 Federal Register notice, which states that a grantee has proficient financial policies and procedures if it submitted to HUD certain information for its review. In the draft report, we acknowledged that the notice required grantees to submit information such as certain audits, financial reports, and their financial standards. However, we concluded that the notice does not describe how HUD reviewers should assess the quality of those financial standards. HUD agreed that providing additional guidance to staff on defining the specific conditions that must exist within these documents would improve its proficiency determination. This was the intent of the recommendation included in the draft report. However, to avoid confusion, we revised the recommendation and related report language to further clarify our intent by substituting \u201cadditional guidance\u201d for \u201cstandards.\u201d", "HUD also partially agreed with our second recommendation to develop standards for HUD staff to use when assessing the adequacy of grantees\u2019 capacity and unmet needs assessments. Similar to our first recommendation, HUD stated that the standards for HUD staff to use when assessing the adequacy of these assessments are included in the February 2018 Federal Register notice. Specifically, HUD noted that it states that HUD will determine the grantee\u2019s implementation plan, which contains its capacity assessment, to be adequate if it addresses the items required in the notice. HUD also stated that the notice directed grantees to develop a needs assessment to understand the type and location of community needs and to target limited resources to those areas with the greatest need.", "In the draft report, we acknowledged that the notice required grantees to submit (1) an implementation plan that describes, among other things, their capacity to carry out the recovery and how they will address any capacity gaps for HUD and (2) an action plan for disaster recovery that includes an assessment of unmet needs to help grantees understand the type and location of community needs and to target their CDBG-DR funds to those areas with the greatest need. However, we concluded that the notice does not describe how HUD reviewers should assess the adequacy of these assessments. HUD agreed that providing additional guidance to HUD staff on defining the specific conditions that must exist within the documents grantees submit to HUD would improve the review of grantee capacity. HUD also agreed that there was an opportunity to improve the consistency of HUD\u2019s review of grantees\u2019 action plans, including their unmet needs assessments. Because providing additional guidance to HUD staff was the intent of the recommendation in the draft report, we revised the recommendation and related report language to clarify our intent by substituting \u201cadditional guidance\u201d for \u201cstandards.\u201d", "HUD generally agreed with our remaining three recommendations.", "HUD agreed with our third recommendation to document the basis for conclusions during reviews of grantees\u2019 financial controls, procurement processes, and grant management procedures and capacity and unmet needs assessments, stating that it will require staff to better document their analysis.", "HUD also agreed with our fourth recommendation to develop and implement a comprehensive monitoring plan for the 2017 grants, stating that such a plan is necessary to effectively manage the growing portfolio of CDBG-DR grants. It provided a monitoring schedule for fiscal year 2019 that it characterized as a monitoring plan, and noted that it had begun identifying monitoring strategies for all monitoring reviews that would occur from March 2019 through May 2019. It also said it would develop the remaining strategies after the initial monitoring reviews. However, HUD still needs to develop a plan that identifies the specific risk factors of each grantee and outlines the scope of its monitoring.", "Similarly, HUD agreed with our fifth recommendation to conduct workforce planning for the Disaster Recovery and Special Issues Division. It stated that the division had developed a staffing plan to address long-term oversight and management of the CDBG-DR portfolio and, as of March 1, 2019, expected to fill 14 positions over the next 3 months. In addition, it stated that it had identified an approach to secure 20 additional positions to support CDBG-DR and expected to finalize this approach in the next few weeks once it was approved by HUD\u2019s financial and human capital officials. We added this updated information to the report. While developing a staffing plan is a good first step, HUD still needs to conduct workforce planning to determine if the number of staff they will be able to hire is sufficient to oversee the growing number of CDBG-DR grants, identify the critical skills and competencies needed, and develop strategies for addressing any gaps.", "HUD also provided the following comments on our findings.", "Regarding the discussion of unmet needs assessments, HUD noted that the draft report does not acknowledge that the second appropriation for 2017 disasters directed HUD to provide a minimum of $11 billion for Puerto Rico and the U.S. Virgin Islands for unmet needs, which made HUD\u2019s standard methodology for determining the allocation based on unmet needs data moot. HUD stated that this information is critical to understanding the allocation of funds toward unmet needs associated with 2017 disasters. Our review of the unmet needs assessments focused on the first CDBG-DR appropriation of $7.4 billion, for which HUD used its standard methodology to allocate the funds. We focused on this initial allocation because HUD had reviewed and approved the grantees\u2019 unmet need estimates for these funds. In response to HUD\u2019s comment, we added language to the report that $11 billion was to be allocated to Puerto Rico and the U.S. Virgin Islands where we make reference to the second CDBG-DR appropriation of $28 billion.", "Regarding the discussion of our prior work that found that CDBG-DR grantees are not required to align their housing activities with the needs of the affected communities, HUD stated the agency had implemented requirements that directed grantees to ensure that CDBG-DR funding allocations are reasonably proportionate to the total remaining unmet needs for housing, infrastructure, and economic revitalization. It also noted that the February 2018 Federal Register notice directs grantees to propose an allocation of CDBG-DR funds that primarily considers unmet housing needs. The focus of our discussion was the status of our recommendation that Congress consider providing more specific direction on the distribution of CDBG-DR funds. Although we acknowledged in the draft report that HUD instructed the 2017 grantees to primarily use their initial CDBG- DR allocation to meet unmet housing needs, we did not do so in the section of the draft report that discussed this prior work. In response to HUD\u2019s comment, we added similar language in that section.", "Regarding our discussion of prior HUD OIG reports on grantee procurement practices, HUD said there has been a protracted disagreement between HUD and the HUD OIG regarding the procurement requirements that may be imposed on CDBG-DR recipients, specifically the definition of \u201cequivalent.\u201d HUD stated that the most recent resolution of this disagreement came in a January 10, 2017, decision memorandum from the former HUD Deputy Secretary, supported by a legal opinion from HUD\u2019s Office of General Counsel. According to HUD, these documents supported CPD\u2019s position that states have the authority to follow their own procurement standards. However, according to the HUD OIG\u2019s December 2018 semiannual report, the HUD OIG disagreed with this assessment and referred this issue to the Deputy Secretary on March 31, 2017. The report noted that, as of the end of fiscal year 2018, the HUD OIG had not received a decision. We revised the report to state that HUD and the HUD OIG have an ongoing disagreement.", "Regarding a HUD OIG report on Florida that we cited, HUD said it was evident that the state\u2019s financial policies and capacities were functioning effectively because the state independently corrected a bookkeeping error prior to the HUD OIG audit. However, the HUD OIG noted in the report that Florida corrected the error the OIG identified during the audit. Florida agreed with the finding and accepted the recommendation. Therefore, we made no change to the report. Further, HUD noted that the draft report cites recommendations from a number of prior HUD OIG audits that had been closed or where fundamental disagreement existed between HUD and the HUD OIG. In the few instances where we did not provide the status of HUD OIG recommendations to HUD, we added their status to the report.", "Regarding our analysis of the status of 2012 and 2013 CDBG-DR grants, HUD stated that the draft report included a simplified analysis of CDBG-DR grant performance that dismissed HUD\u2019s determination that disbursements from a CDBG-DR grant are substantially completed 6 years after the effective date of the agreement. It noted that our analysis excluded grants that were closed out and included grants that should not have been included because they had a contract-effective date of mid-2015 or later. However, our analysis that HUD commented on draws from its own publicly available monthly report entitled \u201cMonthly CDBG-DR Grant Financial Report.\u201d Based on HUD\u2019s comments, the report appears to be missing key information on the timing of the grants\u2014namely, some grants identified as 2012 and 2013 grants had effective dates of 2015 or later. Further, many of the grants that HUD said were unfairly included in our analysis were designated as \u201cslow spenders\u201d in HUD\u2019s own monthly report. We reviewed the additional documentation HUD provided and updated our analysis.", "HUD also provided technical comments, which we incorporated as appropriate. We considered three comments to be more than technical in nature.", "First, HUD stated that the draft report (1) was critical of grantee capacity challenges, implying that the varying requirements in the numerous Federal Register notices further tax a grantee\u2019s capacity, and (2) suggested that permanent regulatory authority for CDBG-DR would begin to address these issues. However, the draft report identified grantee capacity as an administrative challenge that CDBG- DR grantees face that is not related to the lack of permanent statutory authority.", "Second, HUD stated that the primary cause of the \u201cad hoc nature\u201d of the CDBG-DR program and grantee capacity challenges is the unpredictability of disasters and the uniqueness of each recovery effort, not the lack of permanent statutory authority. It said that each congressional appropriation includes unique statutory provisions aimed at making incremental program improvements that can only be implemented through a new Federal Register notice. We recognize that each disaster is unique, but as our past work and that of the HUD OIG has shown, there are certain challenges associated with meeting customized grant requirements for each disaster\u2014such as funding lags, varying requirements, and coordination with multiple programs\u2014 that could be addressed if Congress considered permanently authorizing a disaster assistance program that meets unmet needs.", "Third, HUD stated that CDBG-DR funds are distinct from FEMA and SBA response and recovery resources because FEMA and SBA disaster programs have a narrower scope. HUD noted that CDBG-DR funds aid in a community\u2019s long-term recovery from a catastrophic disaster, which requires substantial time for planning the community- wide recovery effort. We recognize that long-term recovery takes time, but we maintain that this does not prohibit Congress from considering legislation establishing permanent statutory authority for a disaster assistance program that responds to unmet needs.", "Because we believe the draft report adequately addressed the various issues HUD raised, we made no changes in response to these comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Housing and Urban Development, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) the status of the 2017 Community Development Block Grant Disaster Recovery (CDBG-DR) grants; (2) the steps the 2017 CDBG-DR grantees have taken to establish financial processes and procedures, build capacity, and estimate unmet needs; (3) the extent to which the Department of Housing and Urban Development (HUD) has reviewed the steps that grantees have taken and developed plans for future monitoring; and (4) the challenges that HUD and grantees have faced in administering grants. We focused our review on the states of Florida and Texas and the U.S. territories of Puerto Rico and the U.S. Virgin Islands\u2014the states and territories most directly affected by Hurricanes Harvey, Irma, and Maria and that received over $1 billion in CDBG-DR funds to address unmet recovery needs.", "For all of our objectives, we visited Puerto Rico and Texas to interview officials at the Puerto Rico Department of Housing and Texas General Land Office, respectively, which are the 2017 CDBG-DR grantees in those jurisdictions. During our visit to Puerto Rico, we also met with Puerto Rico\u2019s Central Office of Recovery, Reconstruction and Resilience, which was created to provide administrative oversight of all programs related to disaster recovery. We visited these two grantees because they were the 2017 grantees that received the largest amounts of CDBG-DR funds. We also conducted telephone interviews with officials from the U.S. Virgin Islands Housing Finance Authority and the Florida Department of Economic Opportunity, the 2017 CDBG-DR grantees in those jurisdictions.", "To determine the status of the 2017 CDBG-DR grants, we reviewed relevant laws and the Federal Register notices allocating the CDBG-DR funds and interviewed HUD officials to determine the steps grantees were required to take before signing a grant agreement and expending their 2017 CDBG-DR funds. We reviewed key documents\u2014such as documentation on financial processes and procedures, implementation plans, and action plans\u2014to determine when they were submitted and approved. To determine how much CDBG-DR funding the 2017 grantees had drawn down, we examined data from the Disaster Recovery Grant Reporting system as of January 2019 (the most recent month available during our review). To assess the reliability of these data, we reviewed relevant documentation on the system and interviewed officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purpose of reporting CDBG-DR draw down information.", "To determine the steps the 2017 CDBG-DR grantees have taken to establish financial processes and procedures, build capacity, and estimate unmet needs, we reviewed grantees\u2019 documents, such as their organizational charts and capacity assessments, to determine how grantees plan to administer the CDBG-DR grants. In addition, we identified and reviewed relevant HUD Office of the Inspector General (OIG) reports to determine whether the office had previously identified concerns about these grantees\u2019 financial processes and procedures and capacity.", "To determine how grantees calculated their unmet housing needs for homeowners and renters, we determined how HUD calculated grantees\u2019 unmet needs by reviewing the methodology outlined in the Federal Register notices allocating the CDBG-DR funds and interviewing HUD officials. We focused on the calculation HUD used to determine unmet housing needs because the February 2018 Federal Register notice required grantees to primarily use their initial CDBG-DR allocation to address their unmet housing needs. We further focused on the housing needs of homeowners and renters because they constituted the largest portion (ranging from 47 percent in Texas to 99 percent in Florida) of grantees\u2019 total estimates of housing needs. To determine how grantees calculated the housing needs estimates of homeowners and renters and the activities grantees planned to fund with the CDBG-DR grants, we reviewed grantees\u2019 descriptions of their methodologies in the action plans they were required to develop for their initial CDBG-DR allocation. Although we did not conduct an extensive review of the grantees\u2019 methodologies for estimating the unmet housing needs of homeowners and renters, we compared their methodologies to HUD\u2019s methodology (described in Federal Register notices), identifying any differences.", "To examine the extent to which HUD has reviewed the steps that grantees have taken and developed plans for future monitoring, we reviewed HUD documents such as the completed checklists it used to review (1) documentation grantees submitted for certification of their financial controls, procurement processes, and grant management procedures, (2) grantees\u2019 implementation plans, which contained a capacity assessment, and (3) grantees\u2019 action plans for disaster recovery, including their unmet needs assessments. We compared these checklists against relevant statutory and regulatory requirements and internal control standards. In addition, we reviewed examples of unofficial working documents that HUD provided, such as a grantee\u2019s response to HUD questions on the documentation that it had submitted. Further, to determine HUD\u2019s monitoring of the 2017 CDBG-DR grantees, we reviewed HUD documents such as the Office of Community Planning and Development\u2019s monitoring handbook and monitoring schedule for fiscal year 2019 and interviewed HUD officials. We compared HUD\u2019s monitoring policies and procedures against relevant internal control standards. Finally, we interviewed HUD officials about their resource needs, hiring plans, and plans to monitor current and future CDBG-DR grants. We compared HUD\u2019s hiring plans against relevant internal control standards and best practices for workforce planning we have previously identified.", "To determine the challenges that HUD and grantees have faced in administering grants, we conducted a literature search for reports on CDBG-DR funds used to recover from the 2005 Gulf Coast hurricanes (Katrina, Rita, and Wilma) and Hurricane Sandy. We focused on these hurricanes because Katrina, the costliest of the three Gulf Coast hurricanes, and Sandy were among the top five costliest hurricanes on record in the United States. We searched for GAO, HUD OIG, and Congressional Research Service reports and other literature such as government reports, peer-reviewed journals, hearings and transcripts, books, and association publications.", "To identify GAO reports, we used the search engine on GAO\u2019s public website and searched for relevant terms such as \u201ccommunity development block grant,\u201d \u201cSandy,\u201d \u201cKatrina,\u201d and \u201cGulf Coast\u201d from August 2005 (the month of the 2005 hurricanes) to April 2018 (the date of the search).", "To identify HUD OIG reports, we reviewed disaster-related reports the HUD OIG made available on its public webpages titled \u201cDisaster Oversight Highlights,\u201d \u201cSuperstorm Sandy,\u201d and \u201cHurricane Katrina.\u201d", "To identify Congressional Research Service reports, we used its public website\u2019s search engine and searched for the terms \u201ccommunity development block grant\u201d and \u201cdisaster.\u201d", "To identify the other literature sources, we searched the following: ABI/INFORM\u00ae, Econ Lit, National Technical Information Service, and 20 other databases through GAO\u2019s ProQuest subscription; Nexis; and Congressional Quarterly. We used terms such as \u201cCommunity Development Block Grant,\u201d \u201cCDBG,\u201d \u201cdisaster,\u201d \u201cKatrina,\u201d \u201cSandy,\u201d \u201cchallenge,\u201d and \u201cbarrier\u201d and limited the publication date range to between 2005 and 2018.", "Our searches initially yielded 157 sources. We screened out 23 based on their abstracts and an additional 103 sources after reviewing their full content. We excluded studies that related to the traditional CDBG program rather than CDBG-DR and those that provided general background on CDBG-DR. We determined that the remaining 31 sources were relevant for our purposes and reviewed them to determine if they identified any challenges that HUD and CDBG-DR grantees faced in administering prior CDBG-DR funds. Specifically, we considered any description of concerns with the administration and oversight of CDBG- DR to be a challenge. Using a standard form, one analyst reviewed each source, identified relevant challenges, and assigned the relevant challenges to a category. A second analyst reviewed the identification and categorization. Where there were differences in the review of the first and second analyst, the two conferred and entered a final decision. We also interviewed HUD officials and the 2017 CDBG-DR grantees to obtain their perspectives on the challenges in administering the 2017 grants.", "To determine the time it took grantees to receive CDBG-DR funds (one of the challenges we identified through our literature review), we reviewed information from the Disaster Recovery Grant Reporting system, HUD notices, and other sources to obtain the dates for the appropriations, allocations, and grant agreement for the Gulf Coast hurricanes, Hurricane Sandy, and the 2017 hurricanes. To determine the time it took grantees to expend their CDBG-DR funds (another challenge we identified through our literature review), we analyzed expenditure data in the Disaster Recovery Grant Reporting system for grants made in fiscal years 2012 and 2013, as of January 1, 2019. We selected these grants because HUD officials told us that grantees generally expend the majority of their CDBG-DR funds within 6 years of signing a grant agreement, and the 2012 and 2013 grantees are approaching this milestone. To assess the reliability of the Disaster Recovery Grant Reporting system data, we reviewed relevant documentation on the system and interviewed officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purpose of reporting grant agreement dates and CDBG-DR expenditures.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Approved Community Development Block Grant Disaster Recovery Activities of the Four Largest 2017 Grantees", "paragraphs": ["The February 2018 Federal Register notice allocating the initial $7.4 billion in Community Development Block Grant Disaster Recovery (CDBG-DR) funds appropriated for the 2017 disasters requires grantees to use the funds primarily to address unmet housing needs. The initial action plans for the four largest 2017 CDBG-DR grantees\u2014Florida, Texas, Puerto Rico, and the U.S. Virgin Islands\u2014outline the various activities they plan to implement to address unmet needs. These include home buyout and rehabilitation programs to address unmet housing needs, workforce training and business recovery grants to address unmet economic revitalization needs, and the provision of matching funds for FEMA-assisted infrastructure projects to address unmet infrastructure needs."], "subsections": [{"section_title": "Florida\u2019s Approved CDBG- DR Activities", "paragraphs": ["Florida focused its February 2018 CDBG-DR allocation on addressing unmet housing and economic revitalization needs (see table 6)."], "subsections": []}, {"section_title": "Texas\u2019 Approved CDBG- DR Activities", "paragraphs": ["Texas allocated approximately 45 percent of its February 2018 CDBG-DR allocation to the City of Houston and Harris County to directly administer their own CDBG-DR housing and infrastructure activities. Texas plans to use the majority of the remaining funds to address unmet housing needs in other areas affected by Hurricane Harvey (see table 7)."], "subsections": []}, {"section_title": "Puerto Rico\u2019s Approved CDBG-DR Activities", "paragraphs": ["Puerto Rico plans to use over 75 percent of its February 2018 CDBG-DR allocation to address unmet housing and economic revitalization needs (see table 8)."], "subsections": []}, {"section_title": "U.S. Virgin Islands\u2019 Approved CDBG-DR Activities", "paragraphs": ["The U.S. Virgin Islands\u2019 plans to use about 42 percent of its February 2018 CDBG-DR allocation to address unmet housing and economic revitalization needs (see table 9)."], "subsections": []}]}, {"section_title": "Appendix III: Status of 2012 and 2013 Community Development Block Grant Disaster Recovery Grants", "paragraphs": ["Congress appropriates Community Development Block Grant Disaster Recovery (CDBG-DR) funds to help states recover from federally declared disasters. Once Congress appropriates CDBG-DR funds, the Department of Housing and Urban Development (HUD) is responsible for allocating the funds to designated grantees in affected areas. According to HUD officials, most expenditure activity in CDBG-DR grants occurs within the first 6 years of the grant. As shown in table 10, of the 50 grants at or approaching the 6-year mark, 9 grantees had expended less than half of the funds."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Paige Smith (Assistant Director), Josephine Perez (Analyst in Charge), Meredith Graves, Raheem Hanifa, Joe Maher, John McGrail, Marc Molino, Tovah Rom, and Michael Silver made key contributions to this report."], "subsections": []}]}], "fastfact": ["Use of the $35 billion in federal Community Development Block Grant Disaster Recovery funds for the 2017 hurricanes has been slow.", "Over a year after the first funds were appropriated, much of the money remains unspent because grantees in Florida, Puerto Rico, Texas, and the U.S. Virgin Islands are still in planning phases. Also, the Department of Housing and Urban Development doesn't have the review guidance and monitoring plans it needs for good grantee oversight.", "We recommended ways to improve the oversight of disaster funding and better meet disaster recovery needs."]} {"id": "GAO-19-162", "url": "https://www.gao.gov/products/GAO-19-162", "title": "Aviation Security: TSA Uses a Variety of Methods to Secure U.S.-bound Air Cargo, but Could Do More to Assess Their Effectiveness", "published_date": "2018-11-28T00:00:00", "released_date": "2018-11-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to TSA, the federal agency responsible for securing the nation's civil aviation system, the introduction of explosive devices in air cargo shipments is a significant threat. To mitigate this threat, TSA is to review the security procedures carried out by all air carriers with U.S.-bound flights and at foreign airports servicing those air carriers. In addition, TSA assesses the commensurability of foreign countries' air cargo security programs.", "GAO was asked to evaluate TSA's progress in assessing and mitigating air cargo security risks. This report addresses (1) steps TSA takes to help ensure that U.S-bound air cargo is secure, (2) the status of TSA's efforts to recognize and monitor foreign governments' air cargo security programs, and (3) the extent to which TSA measures the effectiveness of its efforts to secure U.S.-bound air cargo. GAO reviewed TSA policies and procedures, analyzed TSA program data, observed a nongeneralizable sample of 17 air carrier inspections at two foreign airports (selected based on high air cargo volume and other factors), and interviewed TSA, foreign government, and air carrier representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) inspects air carriers and assesses foreign airports to help ensure the security of U.S.-bound air cargo.", "Air carrier inspections . GAO observed 17 air carrier inspections and found that TSA inspectors consistently followed TSA procedures. Further, GAO's analysis of TSA data found air carriers were in full compliance with cargo security requirements in 84 percent of the nearly 5,000 cargo inspections conducted during fiscal years 2012 through 2017. TSA officials were able to resolve a majority of the violations identified during the inspection process.", "Foreign airport assessments . GAO analysis of TSA data found that about 75 percent of the foreign airport assessments that TSA conducted during fiscal years 2012 through 2017 fully complied with international air cargo security standards. As of the end of 2017, foreign officials had addressed about 40 percent of the non-compliance issues. TSA continues to work with foreign officials to address the remaining non-compliance issues.", "As of June 2018, TSA had recognized the national cargo security programs (NCSP) of the European Union and 12 other countries as commensurate with TSA's, and TSA uses a variety of mechanisms to monitor NCSP implementation. TSA's process for NCSP recognition, which is voluntary, involves comparing air cargo security requirements to TSA's and conducting visits to the countries to validate their use. Once TSA determines a program is commensurate with TSA's, it monitors NCSP implementation through regular air carrier inspections, foreign airport assessments, and dialog with government officials. TSA may decide not to recognize a country's NCSP but, instead, make recommendations for improving air cargo security. In countries where TSA has not recognized their NCSP, all U.S.-bound cargo is subject to TSA security requirements.", "TSA's performance measures do not allow it to specifically determine the effectiveness of its efforts to secure U.S.-bound air cargo. For example, TSA measures whether foreign airports take actions to address all noncompliance issues identified during airport assessments, but such a broad measure could obscure progress made in resolving cargo-specific vulnerabilities. Similarly, TSA officials stated that they are developing a measure to gauge the effectiveness of air carrier inspections, but they do not plan to differentiate efforts to secure air cargo from those for securing passengers. Developing and monitoring outcome-based performance measures that separately account for cargo noncompliance issues and violations could help TSA better determine the extent to which its foreign airport assessments and air carrier inspections improve the security of U.S.-bound air cargo. In addition, TSA measures the number of countries it has recognized in the NCSP Recognition Program, but this metric does not address the effectiveness of the program. Developing and monitoring outcome-based performance measures for the NCSP Recognition Program would help TSA better determine whether the resources invested are yielding the intended results. This is a public version of a sensitive report issued in October 2018. Information that TSA deemed to be sensitive is omitted from this report."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that TSA develop and monitor outcome-based performance measures to assess the effectiveness of (1) the cargo portion of foreign airport assessments, (2) air carrier cargo inspections, and (3) the NCSP Recognition Program. TSA concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2010, al-Qaeda attempted to conceal explosives in printer cartridges on a U.S.-bound flight from Yemen to Chicago. In July 2017, a terrorist group shipped partially-assembled components of a bomb from Turkey to Australia with plans to detonate the assembled device on a passenger flight. According to the Transportation Security Administration (TSA), the security threat posed by terrorists introducing explosive devices in air cargo shipments remains significant.", "TSA, a component within the Department of Homeland Security (DHS), is the federal agency responsible for securing the nation\u2019s civil aviation system and it has programs in place to help ensure the security of passengers and property, including cargo, transported on U.S.-bound flights. TSA\u2019s responsibilities with respect to cargo transported on U.S.- bound flights include establishing security requirements governing U.S. and foreign-flagged air carrier operations and overseeing implementation of such requirements, which it does through conducting air carrier inspections and security assessments of foreign airports, among other things. Foreign governments also establish national cargo security programs (NCSP) and may impose their own security requirements on air cargo operations within their jurisdictions\u2014including screening requirements that may differ from TSA-established requirements\u2014that apply to cargo bound for the United States from their airports. Through its NCSP recognition process, TSA analyzes the air cargo security programs of its foreign counterparts and determines if a country\u2019s security program is commensurate with the level of security required under U.S. air cargo security programs.", "You requested that we evaluate TSA\u2019s progress in assessing and mitigating air cargo security risks. This report (1) describes steps TSA takes to help ensure that U.S-bound air cargo is secure, (2) describes the status of TSA\u2019s efforts to recognize and monitor foreign governments\u2019 air cargo security programs, and (3) analyzes the extent to which TSA measures the effectiveness of its efforts to secure U.S.-bound air cargo.", "This report is a public version of a sensitive report that we issued in October 2018.TSA deemed some of the information in our October report to be Sensitive Security Information, which must be protected from public disclosure. Therefore, this report omits sensitive information about TSA\u2019s risk methodology, the standards that TSA uses to assess foreign airports, the specific results of TSA\u2019s air carrier inspections and foreign airport assessments, and information on the types of NCSP recognition TSA has granted to other countries. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To describe the steps TSA takes to help ensure that U.S-bound air cargo is secure, we reviewed relevant laws and regulations, TSA security policies and procedures, and screening program requirements. We also reviewed annual air carrier inspection and airport assessment Master Work Plans for fiscal years 2012 through 2018\u2014which TSA uses to track its overseas air carrier inspection and foreign airport assessment schedule\u2014to better understand how TSA schedules inspections and assessments and the types of inspections it conducts. In addition, we conducted site visits to two foreign airports\u2014one in South America and one in Asia\u2014to observe TSA inspectors conducting air carrier cargo inspections. At one airport, we also observed the cargo portion of an airport assessment. We selected these locations based on their designation by TSA as airports of relatively high risk level, as well as high volume of U.S.-bound air cargo, TSA\u2019s inspection schedule, and geographic dispersion. We also chose airports in these countries because it would allow us to observe an inspection in one country where TSA has recognized the NCSP and one country where TSA has not recognized the NCSP. Further, we obtained data on and analyzed the results of all air carrier cargo inspections (close to 5,000) and assessments at airports that are last points of departure for cargo bound for the United States (about 570) conducted by TSA inspectors and then entered by them into TSA\u2019s databases. We analyzed TSA data from fiscal years 2012 through 2017, to cover the period since our previous air cargo security review and to include the 5 most recent years for which data were available at the time of our review. We also analyzed fiscal years 2012 through 2017 TSA data on the status of noncompliance issues TSA inspectors identified during foreign airport assessments. To assess the reliability of TSA\u2019s air carrier and airport assessment data, we reviewed program documentation on system controls, interviewed knowledgeable TSA officials, and analyzed TSA\u2019s data for any potential gaps and errors. We concluded that TSA\u2019s data on air carrier inspections and foreign airport assessments were sufficiently reliable to provide a general indication of the level of compliance for TSA\u2019s air carrier inspections and foreign airport assessments over the period of our analysis. In addition, we interviewed TSA headquarters and field officials to discuss TSA\u2019s efforts to ensure the security of U.S.-bound air cargo prior to being transported to the United States. We also interviewed other stakeholders, such as representatives from 11 air carriers\u2014selected based on the relatively high volume of U.S.-bound cargo they transport; their operation of flights at the foreign airports we visited; and to obtain a range of coverage regarding geographical regions of operation, passenger and all-cargo air carriers, and U.S. and foreign-flagged air carriers\u2014and officials at the European Commission (EC) and from the civil aviation authority from the country in Asia that we visited to discuss their experiences in coordinating with TSA on air cargo security issues. Results from these meetings are not generalizable, but provided us with information on stakeholders\u2019 experiences and perspectives regarding air cargo security issues.", "To describe the status of TSA\u2019s efforts to recognize and monitor foreign governments\u2019 air cargo security programs, we reviewed TSA\u2019s policies and procedures for its NCSP Recognition Program. For example, we reviewed TSA memos from 2012, 2013, and 2016 that documented the recognition standards and any subsequent revisions to the NCSP Recognition Program, as well as TSA\u2019s process for monitoring NCSP recognition requirements. Further, we analyzed letters that TSA provided since 2012 to governments it determined had commensurate air cargo security programs and NCSP information TSA officials compiled specifically for our review to better understand TSA\u2019s terms of recognition with each government and the timeframes for revalidating NCSP recognition. We also analyzed data from TSA\u2019s Security Policy and Industry Engagement Policy Inventory to determine how the level of NCSP participation has changed over time. Specifically, we reviewed the number of air carriers participating in the NCSP Recognition Program from fiscal year 2012\u2014when the NCSP Recognition Program began\u2014 through fiscal year 2017, which is the most recent complete fiscal year available at the time of our review. Finally, we conducted interviews with TSA and foreign government officials from two countries, and with representatives of the 11 air carriers described previously to better understand TSA\u2019s ongoing efforts to recognize and monitor foreign governments\u2019 air cargo security programs. We also confirmed the status of countries\u2019 NCSP recognition, as of June 2018, with TSA officials.", "To analyze the extent to which TSA measures the effectiveness of its various efforts to secure U.S.-bound air cargo, we reviewed documents that contain information on TSA\u2019s air cargo security objectives, goals, and performance measures, including (1) information in annual budget documents from fiscal years 2014 through 2019, and (2) TSA\u2019s Global Strategies directorates\u2019 Operational Implementation Plans from fiscal years 2014 through 2018\u2014the most recent years available at the time of our review. These plans include annual objectives and milestones for U.S.-bound air cargo security programs. We also reviewed the measures in the annual budget documents and Operational Implementation Plans and compared them with requirements in TSA\u2019s Global Strategies\u2019 Fiscal Year 2016 Strategy and Fiscal Year 2018 Strategy Program and applicable laws governing performance reporting in the federal government, including the Government Performance and Results Act of 1993 (GPRA), as updated and expanded by the GPRA Modernization Act of 2010 (GPRAMA). For example, we assessed whether the performance measures provide information on the effectiveness of TSA\u2019s various air cargo security efforts. Further, we assessed TSA\u2019s performance measures against DHS and TSA risk management principles. We obtained additional information on how TSA measures the performance of its air cargo security efforts during our interviews with TSA headquarters officials. See appendix I for more information on our objectives, scope, and methodology.", "The performance audit upon which this report is based was conducted from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2018 to November 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "U.S.-bound Air Cargo and the Air Cargo Supply Chain", "paragraphs": ["In fiscal year 2017, about 13 billion pounds of cargo was transported on aircraft to the United States\u2014over 5 billion pounds was transported on passenger aircraft (e.g., Delta and United Airlines), and about 8 billion pounds was transported on all-cargo aircraft (e.g., FedEx and United Parcel Service)\u2014from over 300 foreign airports, according to our analysis of Bureau of Transportation Statistics data. U.S.-bound air cargo can vary widely in size and include such disparate items as electronic equipment, automobile parts, clothing, medical supplies, fresh produce, and cut flowers.", "The international air cargo shipping process involves a complex network of business entities that include individual shippers, manufacturers, transportation companies, freight forwarders, warehouses and air carriers. Entities within the supply chain may provide all services (warehousing, consolidation, and loading of air cargo, for example) or only certain services. The standards set by the International Civil Aviation Organization (ICAO) focus on four primary types of entities: known and unknown consignors (i.e., individual shippers, manufacturers, other shipping entities), regulated agents (i.e., freight forwarders, handling agents), and commercial air carriers. Various other air cargo supply chain entities also have responsibilities for applying specific types of security controls in accordance with the international standards. Figure 1 shows an illustrative example of the flow of U.S.-bound air cargo and where in the supply chain the cargo can be secured."], "subsections": []}, {"section_title": "TSA and Air Carrier Responsibilities for Ensuring the Security of U.S.-Bound Air Cargo", "paragraphs": ["The Aviation and Transportation Security Act (ATSA), enacted into law shortly after the September 11, 2001 terrorist attacks, established TSA and gave it responsibility for securing all modes of transportation, including the nation\u2019s civil aviation system, which includes U.S. and foreign-flagged air carrier operations to, from, within, or overflying the United States, as well as the foreign point-to-point operations of U.S.- flagged carriers. Among other things, ATSA requires, in general, that TSA provide for the screening of all passengers and property, including cargo transported by air carriers. ATSA further requires that a system be in operation to screen, inspect, or otherwise ensure the security of the cargo transported by all-cargo aircraft to, from, and within the United States, but did not establish a firm deadline for the implementation of such a system. Further, to help enhance civil aviation security, the Implementing Recommendations of the 9/11 Commission Act of 2007 (9/11 Commission Act), mandated that DHS establish a system within 3 years of enactment (enacted August 3, 2007) to screen 100 percent of air cargo transported on all passenger aircraft operated by an air carrier traveling to, from, within, or overflying the United States. TSA reported that it met the mandate to screen 100 percent of domestic air cargo transported on passenger aircraft in August 2010 and U.S.-bound air cargo transported on passenger aircraft from foreign airports in August 2013.", "There is no comparable 100 percent screening requirement in statute for cargo transported to the United States on all-cargo air carriers. However, TSA requires that all cargo transported on U.S.-bound flights be screened or subjected to security controls that prevent the introduction of explosives, incendiaries, or other destructive devices. If the cargo comes from known consignors or regulated agents, TSA\u2019s all-cargo security program does not require any additional screening unless the cargo piece exceeds a certain weight. On the other hand, all-cargo air carriers must screen all cargo that they accept from unknown consignors or nonregulated agents.", "Air carriers are responsible for implementing TSA security requirements predominantly through TSA-approved security programs that describe the security policies, procedures, and systems the air carriers are to implement and maintain in order to comply with TSA security requirements. These requirements include measures related to the acceptance, handling, and screening of cargo; training of employees in security and cargo screening procedures; testing employee proficiency in cargo screening; and access to cargo areas and aircraft. If threat information or events indicate that additional security measures are needed to better secure the aviation sector, TSA may issue revised or new security requirements in the form of security directives or emergency amendments when more immediate action on behalf of air carriers is necessary. Air carriers must implement the requirements set forth in applicable security directives or emergency amendments (unless otherwise approved by TSA to implement alternative security measures) in addition to requirements already imposed and enforced by TSA in order to remain compliant with their respective security programs.", "Under TSA regulations, air carriers are responsible for ensuring the security of the air cargo they transport, and TSA requirements specify methods and technologies that may be used to secure U.S-bound air cargo through screening procedures. Specific screening methods outlined in the 9/11 Commission Act, for example, include X-ray systems, explosives detection systems (EDS), explosives trace detection (ETD), explosives detection canine teams certified by TSA, and physical search together with manifest verification. The 9/11 Commission Act, however, requires that screening involve a physical examination or non- intrusive method of assessing whether cargo poses a threat to transportation security and not solely performing a review of information about cargo contents or verifying the identity of the cargo\u2019s shipper, when not performed in conjunction with the screening methods outlined above."], "subsections": []}, {"section_title": "Air Carrier Inspections and Foreign Airport Assessments", "paragraphs": ["To assess whether air carriers properly implement security regulations, TSA conducts regulatory compliance inspections of U.S. and foreign- flagged air carriers at all foreign airports with U.S.-bound flights. During these inspections, a TSA inspection team is to examine air carriers\u2019 implementation of applicable security requirements, including their TSA- approved security programs, any amendments or alternative procedures to these security programs, and applicable security directives or emergency amendments. In general, following a risk-informed approach, TSA attempts to inspect all air carriers with TSA-approved security programs at each foreign airport where they operate flights to the United States either annually or semiannually depending on the risk level of the airport. Compliance inspections can include reviews of documentation, such as screening logs; interviews of air carrier personnel; and direct observations of air cargo operations.", "Consistent with the ATSA, and in accordance with existing statutory requirements, TSA also assesses the effectiveness of security measures at foreign airports using select ICAO security standards and recommended practices. These standards and recommended practices include ensuring that passengers and cargo are properly screened and that unauthorized individuals do not have access to restricted areas of the airport. TSA uses a risk-informed approach to schedule foreign airport assessments, generally every 1 to 3 years, with high risk airports assessed more frequently than medium and low risk airports. Although TSA is authorized under U.S. law to conduct foreign airport assessments at intervals it considers necessary, it may not perform an assessment of security measures at a foreign airport without permission from the host government. TSA also does not have authority to impose or otherwise enforce security requirements at foreign airports. Instead TSA must work with host government civil aviation officials to schedule airport visits to conduct airport assessments (as well as air carrier inspections) and improve upon existing conditions when deficiencies are identified. Table 1 highlights the roles and responsibilities of certain TSA positions within Global Strategies that are responsible for implementing the air carrier inspection and foreign airport assessment programs."], "subsections": []}, {"section_title": "NCSP Recognition", "paragraphs": ["In addition to conducting air carrier inspections and foreign airport assessments, TSA has also developed the NCSP Recognition Program, for which TSA compares and assesses foreign air cargo security programs and standards to determine if those programs provide a level of security that is commensurate with TSA\u2019s air cargo security standards. The NCSP recognition process involves comparing foreign countries\u2019 air cargo security program requirements to TSA air cargo security requirements and conducting visits to the foreign countries to observe the security programs in operation and determine if they can be validated as commensurate with TSA\u2019s. The recognition decision is based on whether the other country\u2019s NCSP is commensurate in six pillars of cargo supply chain security that TSA has identified, which are:", "Facility Security. Procedures and mechanisms to prevent unauthorized entry to facilities where cargo is screened, prepared, and stored.", "Chain of Custody/Transit Procedures. Methods or procedures to prevent and deter unauthorized access to cargo while stored or in transit between facilities prior to loading onboard aircraft.", "Screening. Screening of cargo through the application of technical or other means that are intended to identify weapons or explosives.", "Personnel Security. Processes to vet individuals with unescorted access to air cargo at any point in the air cargo supply chain.", "Training. Training of personnel who screen, handle screened cargo, or perform other duties related to air cargo screening, preparation, or storage.", "Compliance and Oversight Activities. Clearly established requirements that regulated entities must satisfy in order to participate in the security program, and routine audits of such entities for compliance by appropriate authorities.", "TSA first approved the NCSP recognition process for passenger aircraft operations in fiscal year 2011 and made subsequent changes to the process in fiscal year 2013. According to TSA, the NCSP Recognition Program increases its visibility into recognized governments\u2019 air cargo security requirements and air cargo supply chains, facilitates the identification of air cargo industry vulnerabilities, and is a key component of TSA\u2019s efforts to achieve 100 percent screening of U.S.-bound air cargo and enhance global supply chain security. Within Global Strategies, the Mitigation Plans and Programs Directorate is responsible for the NCSP Recognition Program."], "subsections": []}, {"section_title": "GAO\u2019s 2012 Air Cargo Security Review", "paragraphs": ["Air Cargo Advance Screening (ACAS) The Department of Homeland Security\u2019s (DHS) U.S. Customs and Border Protection (CBP) and the Transportation Security Administration (TSA) initiated the ACAS pilot in December 2010 to more readily identify high risk cargo for additional screening prior to all-cargo and passenger aircraft departing from foreign airports to the United States. Unlike TSA, which focuses on aviation security, to include the security of air cargo prior to loading on aircraft at last point of departure airports, CBP focuses on identifying persons and cargo that may violate U.S. law and are, therefore, prohibited from entry into the United States. The aim of the pilot was to determine whether it was feasible for air carriers to submit air cargo manifest data to CBP prior to departure from all foreign last point of departure airports. This would allow CBP to analyze, target, and, if needed, for DHS to issue instructions to air carriers to provide additional cargo information or take additional security measures before such cargo is loaded onto U.S.-bound aircraft. DHS determined that the pilot was successful.", "In 2012, we reported on the actions TSA took to enhance the security of U.S.-bound air cargo after the October 2010 discovery of explosive devices in packages on all-cargo aircraft bound for the United States from Yemen. We recommended, among other things, that DHS assess the costs and benefits of requiring all-cargo carriers to report U.S.-bound air cargo screening data. DHS agreed with our recommendation and TSA reported that, although all-cargo air carriers submit data to TSA as part of the Air Cargo Advance Screening (ACAS) pilot, the all-cargo air carriers do not need to report on the number of shipments screened for explosives. Nevertheless, TSA reported that it will be able to utilize ACAS data to determine the percentage of shipments transported to the United States on all-cargo aircraft that carriers must screen for explosives."], "subsections": []}]}, {"section_title": "TSA Conducts Overseas Inspections and Assessments to Help Ensure Screening of U.S.- bound Air Cargo and Compliance with Security Requirements", "paragraphs": ["To help ensure compliance with cargo security requirements and international standards, TSA inspects air carriers and assesses certain known consignors and regulated agents. TSA also inspects cargo security procedures during foreign airport assessments. Further, DHS has also implemented requirements to obtain advance information on air cargo shipments through ACAS that it uses to perform targeted risk assessments."], "subsections": [{"section_title": "TSA Inspects Air Carriers and Assesses Other Supply Chain Entities to Help Ensure Compliance with Cargo Security Requirements", "paragraphs": ["TSA inspects air carriers and assesses certain known consignors and regulated agents to help ensure compliance with cargo security requirements. However, certain factors can limit TSA\u2019s ability to conduct inspections or observe various security measures, including cargo screening."], "subsections": [{"section_title": "TSA Inspects Air Carriers", "paragraphs": ["TSA uses a multistep process to plan, conduct, and record air carrier cargo inspections. To plan inspections, TSA develops an annual Master Work Plan that regional operations centers use to schedule air carrier inspections each fiscal year. Based on our review of TSA work plans for fiscal years 2012 through 2018 and discussions with TSA officials at all six regional operations centers, TSA separately plans for passenger inspections and cargo inspections of both all-cargo air carriers as well as passenger air carriers that transport cargo bound for the United States from foreign airports.", "To conduct air cargo inspections, TSA inspectors are to use standardized, cargo-specific job aids that assess air carriers against security program requirements in all six pillars of supply chain security. According to TSA officials, they update the cargo inspection job aids, as needed, to ensure they reflect changes to TSA requirements and the current threat environment. For example, the cargo inspection job aids prompt TSA inspectors to inquire about the transportation of cargo from certain high risk countries. TSA inspectors we spoke with at all six regional operations centers stated that they use the cargo inspection job aids, and inspectors we spoke with at five regional operations centers stated that they are helpful.", "We observed 17 air carrier cargo inspections at airports in two different countries and found that TSA inspectors consistently used the cargo inspection job aids to assess the air carriers against TSA requirements. These inspectors observed air carriers\u2019 implementation of security measures (such as cargo screening), interviewed security officials, and reviewed air carrier records (including cargo screening and training logs). Officials at all six regional operations centers and the air carriers we met with confirmed these methods are routine practices. Further, officials representing 10 of the 11 air carriers we met with confirmed that TSA regularly inspects their cargo operations at foreign airports to ensure compliance with screening and other security requirements.", "After completing an air carrier inspection, TSA inspectors are to enter air carrier cargo inspection results into PARIS. TSA supervisors and managers are to review the inspection reports for quality and track their completion. TSA officials we interviewed at TSA headquarters and all six regional operations centers confirmed the quality review process is in place and that they use it. In addition, TSA headquarters cargo experts are to review a sample of air carrier cargo inspections.", "Based on our analysis of PARIS data, TSA conducted close to 5,000 air carrier cargo inspections (including both passenger air carriers and all- cargo air carriers) from fiscal year 2012 through fiscal year 2017 and found air carriers in full compliance with applicable security requirements in 84 percent of these inspections. TSA reported at least one instance of noncompliance, or violation, for the remaining 16 percent of cargo inspections. Based on the TSA data, the percentage of inspections with violations has generally trended downward during this time period. TSA officials attributed this downward trend to a number of factors including: (1) TSA\u2019s emphasis on assisting air carriers (through its international industry representative) in implementing new air cargo security requirements after the 2010 printer ink cartridge plot; (2) increases in the number of TSA inspectors to ensure compliance; (3) TSA\u2019s outreach to foreign governments for improved cargo security under the NCSP Recognition Program; and (4) TSA efforts to engage with air carriers, including regional industry summits that included a cargo security focus.", "According to TSA officials, if a TSA inspector finds that an air carrier is not in compliance with any applicable security requirements, additional steps are to be taken to correct and record those specific violations, which can include providing on-the-spot counseling for minor violations or opening an investigation if the violation is potentially more serious. Upon conclusion of the investigation, TSA is to make a determination whether to issue a warning notice, letter of correction, or notice of proposed civil penalty. For example, based on TSA data, we determined that TSA inspectors provided counseling (specific guidance) in certain instances when they found that an air carrier had failed to obtain multiple views of cargo screened using an X-ray machine. According to the TSA data, the air carrier took immediate corrective actions and implemented the correct procedures on-the-spot. From the data provided by TSA, we also identified potentially more serious violations. Examples of such violations included instances in which TSA inspectors initiated an investigation when they found that an air carrier was not screening 100 percent of the cargo as required under its approved security program.", "According to TSA officials, TSA relies on a system of progressive enforcement and carefully considers whether a civil penalty is warranted based, in part, on the history of an air carrier\u2019s inspections. TSA officials added that they may consider options other than civil penalties, since their objective is to encourage compliance through capacity-building efforts with air carriers, not to generate revenue. For example, TSA will sometimes settle a civil penalty by allowing the air carrier responsible for the violation to invest the agreed upon penalty into improved security measures or screening processes.", "According to TSA data, TSA inspectors identified 1,128 air carrier cargo security violations during fiscal years 2012 through 2017 for the 16 percent (781) of air carrier inspections where they found at least one violation. For these violations, TSA took the following actions:", "TSA inspectors resolved 580 of the violations (approximately half) through counseling and referred the remaining 548 violations for investigation since they were each potentially serious enough to warrant an enforcement action.", "TSA conducted investigations covering the 548 potentially more serious violations, which resulted in about 220 administrative actions, nearly 50 civil penalties, and over 30 instances where no action was taken. According to TSA, TSA inspectors recommended total civil penalties of approximately $23.5 million, $22.2 million of which consisted of penalties proposed for one air carrier."], "subsections": []}, {"section_title": "TSA Assesses Known Consignors and Regulated Agents in Recognized Countries", "paragraphs": ["During air carrier inspection visits, the TSA inspection team may also conduct assessments of known consignors and regulated agents in countries with recognized NCSPs. According to TSA data, TSA conducted assessments of 38 known consignors and regulated agents in fiscal year 2017. While conducting a site visit to a foreign airport in an NCSP country in March 2018, we observed TSA inspectors conduct assessments of two regulated agents and the inspectors covered all of the required questions. The assessments were primarily interviews along with some observations that included warehouse security and limited cargo screening. Record reviews were not part of the assessment because that is the purview of the foreign government\u2019s civil aviation authority, according to the TSA inspectors. Foreign government civil aviation authority officials attended the assessments of the two regulated agents to observe and take notes of the visit and discussions.", "According to the TSA inspectors who conducted the assessments in the NCSP country we visited, meeting with regulated agents is invaluable because regulated agents, not air carriers or their authorized representatives, conduct almost all air cargo screening in that country. The inspectors added that having the opportunity to meet with regulated agents during foreign site visits provides them with insights regarding the extent to which screening of U.S.-bound cargo is being conducted at foreign last point of departure airports. In countries without a recognized NCSP, air carriers are required under their TSA-approved security programs to screen all cargo at the airport."], "subsections": []}, {"section_title": "Certain Factors Can Limit TSA\u2019s Ability to Conduct Inspections or Observe Cargo Screening", "paragraphs": ["TSA inspectors are not always able to observe certain security measures during air carrier cargo inspections or airport assessments because of foreign government sovereignty and air cargo logistics. For example, regional operations center officials told us that they are not always able to observe cargo screening because of restrictions placed on them by foreign governments, such as the number of days they are given to complete an inspection or assessment, the hours they are allowed to work, or the size of the TSA inspection team. TSA officials also stated that the transportation of air cargo occurs at all hours of the day and night, and TSA inspectors must sometimes choose which security measures to observe. For example, the TSA officials stated that screening may occur many hours prior to the loading of that cargo on an aircraft. At both foreign airports we visited, we observed TSA inspectors working late night or early morning hours to observe air carriers\u2019 cargo operations.", "Out of the 17 air carrier cargo inspections we observed at the two foreign airports we visited, TSA inspectors were not able to observe cargo acceptance procedures for 11 air carriers and cargo screening for 9 air carriers because these carriers did not receive or screen cargo during the time of the inspections or the inspectors were busy conducting other inspections. Because regulated agents screen the vast majority of the cargo before transporting it to the airport in the NCSP country we visited, TSA did not observe cargo screening in eight of the nine air carrier cargo inspections they conducted at that airport. For inspections where TSA inspectors cannot observe security measures, we observed (and TSA inspectors confirmed) that they rely on interviews with officials responsible for cargo security and screening and document reviews (such a reviewing cargo screening logs) to determine whether air carriers are complying with TSA air cargo security requirements. At the request of TSA, air carriers must provide evidence of compliance with applicable security requirements and its security programs, including copies of records.", "TSA inspectors also do not inspect air carriers at all foreign airports from which air carriers transport U.S.-bound cargo. As we reported in May 2018, challenges prevent TSA from completing 100 percent of required air carrier inspections in Cuba at the frequency established in its standard operating procedures, including external factors, such as foreign government requests to reschedule TSA inspections, and limitations in the data TSA uses to schedule inspections. Further, TSA officials stated that most all-cargo carriers do not have scheduled flights. Instead, they wait until they have sufficient cargo to ship and then complete their routes, which can make it difficult for TSA to schedule inspections\u2014 planned 3 months in advance\u2014during times that the carrier will be flying cargo to the United States. According to the vice president of security at one all-cargo carrier, TSA does not always inspect all last point of departure routes used by the airline.", "TSA is taking steps to better understand air carriers\u2019 schedules. For example, in response to our 2018 review addressing TSA\u2019s efforts to ensure the security of air carrier operations between the United States and Cuba, TSA reported that it began developing a tool in August 2017 that is designed to analyze aggregate flight data and validate or identify last point of departure service to the United States from international locations."], "subsections": []}]}, {"section_title": "TSA Inspectors Assess Foreign Airports from which U.S-bound Cargo is Shipped to Help Ensure Proper Cargo Security Procedures Are in Place", "paragraphs": ["In addition to conducting air carrier cargo inspections, TSA inspection teams conduct assessments of foreign airports that provide passenger and/or cargo service to the United States to determine if these airports are maintaining and carrying out effective security measures. TSA inspectors generally use the same process to plan, conduct, and record airport assessments as air carrier inspections, according to TSA headquarters and regional operations centers officials. Specifically, TSA inspection teams assess the foreign airports using 44 ICAO standards and recommended practices, including nine standards or practices that are specific to the transport of cargo and mail. These standards include measures for the acceptance, screening, and protection of air cargo. At the end of each foreign airport assessment, TSA inspectors are to prepare a report detailing findings on the airport\u2019s overall security posture and security measures that may also contain recommendations for corrective actions.", "We observed TSA inspectors conducting the cargo portion of an airport assessment at one airport we visited and confirmed their use of this process. Inspectors used the results of the air carrier cargo inspections conducted earlier in the site visit to inform the cargo portion of the airport assessment and complete the associated job aid. The TSA inspectors obtained additional information specific to the assessment during an interview with airport officials and an international mail facility in the country we visited. The inspectors stated that they corroborated the information obtained during interviews with documentation provided by airport officials and the foreign government in advance of the visit.", "TSA conducted about 570 assessments of foreign airports with U.S- bound cargo shipments from fiscal year 2012 through fiscal year 2017, and TSA inspectors determined that the airports were fully compliant with the cargo-related ICAO standards and recommended practices in about 430 of these assessments (75 percent), according to our analysis of TSA data. However, TSA inspectors found at least one instance of cargo noncompliance in about 140 airport assessments (25 percent). Based on TSA data, the percentage of airport assessments in which TSA inspectors identified cargo noncompliance issues has generally trended upward during fiscal years 2012 through 2017. TSA officials attributed this upward trend to the introduction of a new ICAO standard in 2014 for ensuring that all cargo shipments designated as higher-risk undergo enhanced screening.", "TSA assigns a vulnerability score to each ICAO standard and recommended practice assessed using a rating system, ranging from a category \u201c1,\u201d which represents full compliance with ICAO standards and recommended practices, to a \u201c5,\u201d which involves the most serious or egregious issues. For example, in a fiscal year 2017 foreign airport assessment, TSA inspectors recorded an instance of noncompliance of ICAO standard 4.6.3 (that requires protection of cargo from the point of screening until departure of the aircraft) as a \u201c3\u201d when they identified holes in a facility perimeter barrier allowing direct access to secured cargo. Further, during a 2014 airport assessment, TSA inspectors assessed an instance of noncompliance of the same standard as a \u201c5\u201d when they observed two unescorted individuals in a security restricted area without airport identification. Based on the results of TSA\u2019s foreign airport assessments conducted during fiscal years 2012 through 2017, TSA inspectors assessed most noncompliance issues identified as a \u201c2\u201d or \u201c3.\u201d", "As of December 2017, TSA officials reported that certain foreign airports took corrective actions to address noncompliance issues. As a result, TSA closed out approximately 40 percent of the fiscal year 2012 through 2017 deficiencies identified in its assessments. According to our analysis of TSA data, for the remaining 60 percent of noncompliance issues, the airports have not yet taken sufficient action to fully address TSA\u2019s concerns, or TSA inspectors have not yet verified whether the actions foreign airports reported that they have taken are sufficient for addressing the noncompliance issues. The majority of unaddressed noncompliance issues pertain to issues identified in fiscal year 2016 or 2017 assessments.", "In our 2017 review of TSA\u2019s foreign airport assessments, we reported that TSA assists foreign airports in addressing identified noncompliance issues (security deficiencies) in various ways, but noted that TSA could enhance data management. As part of assisting foreign airports, TSA inspectors educate foreign airport officials on how to mitigate identified airport security deficiencies. Specifically, TSA provides on-the-spot counseling, training, technical assistance, security consultations, and security equipment. In addition, TSA representatives\u2014the primary liaisons between the U.S. government and foreign governments on transportation security issues\u2014are responsible for monitoring the progress made by foreign officials in addressing security deficiencies identified during TSA airport assessments. Our 2017 review found, however, that TSA representatives did not always update key information in TSA\u2019s database for tracking the resolution status of security deficiencies, including the security deficiencies\u2019 root causes and corrective actions. To help strengthen TSA\u2019s analysis and decision making, we recommended that TSA fully capture and specifically categorize data on the root causes of security deficiencies and the status of corrective actions to be taken. TSA concurred with our recommendations and is taking steps to address them, as discussed below. In addition to working with foreign airports to address deficiencies, TSA sometimes requires air carriers to adopt security procedures through security directives or emergency amendments to compensate for serious vulnerabilities that TSA identified during the foreign airport assessment. For example, at one airport in Africa, passenger air carriers must hold all cargo for 24 hours prior to transport.", "In response to our 2017 recommendations, TSA officials told us that they are in the process of developing a vulnerability resolution tool to capture the vulnerabilities associated with a specific location, such as a foreign country or airport. According to TSA officials, the tool will be used to identify and categorize root causes of vulnerabilities identified during air carrier inspections and foreign airport assessments, as well as incorporate other country specific information. TSA officials added that, once completed, TSA hopes to be able to use the tool to develop vulnerability mitigation options to, among other things, address security vulnerabilities identified during air carrier inspections and foreign airport assessments. For example, if TSA inspectors identify a cargo screening vulnerability during an air carrier inspection or airport assessment, they may determine that the root cause is a lack of national-level training courses. In an example such as this, although TSA does not have the authority to require a foreign government to take corrective actions, TSA officials may develop a training curriculum that foreign governments could deploy, if they choose, to address the identified vulnerability. According to TSA officials, TSA inspectors and TSA representatives would subsequently determine whether the training resolved the vulnerability and, if necessary, consider what additional measures may be appropriate. TSA expects to have the tool in place and staff trained to use it by the beginning of fiscal year 2019."], "subsections": []}, {"section_title": "DHS Has Taken Steps to Obtain Advance Air Cargo Information to Perform Targeted Risk Assessments of U.S.- Bound Flights", "paragraphs": ["DHS has taken steps to require advance information on air cargo shipments in order to conduct targeted risk assessments and help ensure the cargo is secure before air carriers transport it to the United States. As previously discussed, in December 2010, U.S. Customs and Border Protection (CBP) began collecting cargo data from certain air carriers before they loaded U.S.-bound cargo as part of the voluntary ACAS pilot program. In response to a terrorist plot in July 2017, TSA issued security directives and emergency amendments in September 2017 requiring air carriers transporting cargo to the United States from last point of departure airports in Turkey to submit advance cargo data to CBP. Further, in January 2018, TSA imposed similar requirements for foreign air carriers operating out of certain high risk countries in the Middle East. DHS subsequently published the ACAS interim final rule, which requires all air carriers to submit advance air cargo information as of June 12, 2018.", "TSA and CBP identify high risk cargo based on, among other things, the advance information air carriers submit and may require them to take additional actions before loading the cargo onto U.S.-bound flights. Before implementation of the ACAS interim final rule, air carriers not participating in the ACAS pilot were required to submit manifest data to CBP no later than 4 hours before the flight\u2019s arrival in the United States, or no later than the time of departure from locations in North America, the Caribbean, Central America, and parts of South America north of the Equator. However, under ACAS, a subset of the manifest data must be provided prior to loading the cargo onto U.S.-bound aircraft. After reviewing the data, DHS can mandate that an air carrier (1) provide additional information on a particular cargo shipment, (2) perform enhanced screening before loading the cargo, or (3) not transport the cargo to the United States.", "TSA officials are beginning to track whether air carriers have conducted the required ACAS screening as a part of their international compliance activities. TSA officials stated that inspectors review air carrier screening and manifest logs during air carrier cargo inspections at foreign airports to verify compliance with ACAS. In addition, TSA plans to fully develop the process of assessing air carrier compliance with ACAS requirements, according to TSA officials."], "subsections": []}]}, {"section_title": "TSA Has Recognized the Air Cargo Security Programs of the European Union and 12 Other Countries and Monitors Their Implementation", "paragraphs": [], "subsections": [{"section_title": "TSA Has Increased the Number of Countries Recognized, as well as the Scope of Its Recognition Program", "paragraphs": ["As of June 2018, TSA has recognized the passenger air cargo security programs of the European Union, which covers the 28 European Union member states, and 12 other countries. NCSP recognition is a voluntary agreement between TSA and a foreign government. TSA\u2019s NCSP recognition process involves three phases: (1) a technical review and analysis of a foreign country\u2019s air cargo security program\u2019s requirements with TSA requirements to determine if the programs align on basic principles; (2) validation visits to the foreign country to determine if the air cargo security program aligns with TSA practices; and (3) a decision on whether to recognize the foreign government\u2019s air cargo security program as commensurate with TSA\u2019s air cargo security requirements. The recognition decision is based on whether the foreign government\u2019s NCSP is commensurate with TSA requirements across TSA\u2019s six pillars of cargo supply chain security, and the potential outcomes are as follows:", "Recognition with no caveats. TSA may determine that the foreign government\u2019s NCSP is fully commensurate with all of TSA\u2019s air cargo security requirements across all six supply chain security pillars or TSA may find there are slight variations in air cargo security requirements that nonetheless provide a commensurate level of security and give the country\u2019s NCSP recognition with no caveats. As of June 2018, TSA had recognized the NCSPs of Canada, Israel, and Norway without any caveats.", "Recognition with caveats. TSA may decide to recognize a government\u2019s NCSP, but with certain caveats based on specific variations within a country\u2019s national requirements. According to TSA officials, in this instance, TSA requires air carriers in that country to continue to implement specific TSA requirements on U.S.-bound air cargo to account for the variation. As of June 2018, TSA had issued at least one caveat with nine NCSP recognized countries and the European Union. For example, in these nine recognized countries and the European Union, TSA requires air carriers to rescreen cargo originating from specific third party countries according to TSA standards before transporting it to the United States.", "No recognition, but provides recommendations. TSA may determine that a foreign government\u2019s NCSP is not commensurate with TSA requirements in many areas and make recommendations to that government on how to improve its air cargo security program to better align with TSA and global air cargo security requirements. For example, after reviewing one country\u2019s air cargo security program requirements, TSA determined that its NCSP was not commensurate and provided written recommendations on ways to improve its NCSP, as discussed below. According to TSA officials, under such circumstances they will continue to engage with the foreign government. If the foreign government implements the recommendations, TSA may reconsider the foreign government for NCSP recognition. Notably, TSA recognized another country\u2019s air cargo security program only after its civil aviation authority implemented TSA\u2019s recommendations to improve certain procedures, including screening of staff with access to air cargo. Where NCSP recognition is not applicable, air carriers transporting air cargo into the United States from last point of departure airports must continue to apply their TSA-approved security program requirements pertaining to cargo.", "TSA originally developed the NCSP Recognition Program for passenger air cargo security programs in fiscal year 2011, and TSA expanded the scope of the program in fiscal year 2013 to include all-cargo operations. As a result of this expansion, foreign governments may choose to engage with TSA on NCSP recognition for passenger operations, all-cargo operations, or both. According to TSA\u2019s NCSP memo authorizing the change, by including all-cargo operations in its evaluation of other countries\u2019 NCSPs, TSA can gain a greater understanding of the international air cargo supply chain. As of June 2018, TSA had recognized the all-cargo operations of the European Union and six other countries. Figure 2 provides information about the foreign government NCSPs that TSA had recognized as of June 2018.", "According to TSA data, air carrier participation in the NCSP Recognition Program has increased in recent years. Specifically, as of June 2018, 130 air carriers participate in the NCSP Recognition Program\u2014an increase from about 50 in fiscal year 2015 when TSA last recognized a foreign government\u2019s NCSP. After TSA has recognized a foreign government\u2019s NCSP, air carriers can request amendments to their TSA-approved security programs to allow them to follow a recognized country\u2019s air cargo security program instead of having to follow both the recognized country\u2019s security program and separate requirements in their TSA-approved security programs. Representatives from all 11 air carriers we met with stated that they have submitted requests to TSA to amend their security programs in order to implement the foreign government\u2019s NCSP instead of TSA requirements when operating in those countries that have NCSP recognition. According to representatives from all 11 air carriers and TSA officials we met with, air carriers benefit from NCSP recognition. Specifically, they and the stakeholders in their supply chains can learn and use the host country\u2019s set of air cargo security requirements (and without a need to know and implement TSA requirements for cargo transported on U.S.-bound flights from that country).", "TSA officials stated that, as of June 2018, apart from the European Union and the 12 other countries that have NCSP programs, no additional foreign governments are close to achieving NCSP recognition. However, TSA NCSP Recognition Program officials continue to coordinate with foreign governments on air cargo security issues when requested and as TSA resources allow. According to information provided by TSA, as of June 2018, TSA had coordinated with 21 additional foreign governments interested in NCSP recognition that are not yet recognized. In non- recognized countries, air carriers transporting U.S.-bound air cargo must follow the measures required by the foreign governments in addition to their TSA-approved security programs."], "subsections": []}, {"section_title": "TSA Uses a Variety of Mechanisms to Monitor and Revalidate Recognized Governments\u2019 NCSP Implementation", "paragraphs": ["Once TSA determines a foreign government\u2019s NCSP is commensurate with TSA requirements, it monitors NCSP implementation through air carrier cargo inspections, foreign airport assessments, ongoing engagements with foreign government officials, and revalidation of NCSP recognition (see fig. 3). Each of these monitoring mechanisms is discussed in greater detail below.", "According to TSA officials, results from air carrier inspections and foreign airport assessments provide TSA valuable information in determining whether to revalidate a foreign government\u2019s NCSP recognition because TSA inspectors are able to verify a recognized government\u2019s NCSP implementation in person. We analyzed TSA data from fiscal years 2015 through 2017 and confirmed that TSA conducted air carrier cargo inspections and assessments of foreign airports with U.S-bound cargo shipments that covered all recognized NCSPs. Representatives from 10 of the 11 air carriers we met with and the two foreign governments we met with confirmed that TSA conducts air carrier inspections in recognized countries.", "According to our analysis of TSA data for fiscal years 2015 through 2017, TSA inspectors identified more air carrier violations and lower rates of compliance with cargo-related standards and recommended practices at foreign airports located in non-NCSP countries than in NCSP countries. In addition to identifying lower rates of compliance in non-NCSP countries, TSA officials also determined that the noncompliance issues in non-NCSP countries were more serious than noncompliance issues in NCSP countries, according to our data analysis.", "According to TSA officials, TSA inspectors identified fewer violations during air carrier cargo inspections in NCSP countries because air carriers only need to implement one air cargo security program (the host government\u2019s) and, therefore, were less likely to make errors. Additionally, TSA inspectors identified fewer noncompliance issues in NCSP countries because TSA officials meet with foreign officials in recognized countries on a regular basis, and this helps to improve compliance. Representatives from 10 air carriers we met with confirmed that they are less likely to violate air cargo security requirements in NCSP countries because (1) the foreign government conducts regular compliance inspections (a component of the oversight and compliance security pillar TSA requires foreign governments implement to obtain NCSP recognition), or (2) screeners are less likely to make errors screening cargo because they only need to implement the foreign government\u2019s NCSP, which reduces confusion. For example, one air carrier representative told us that cargo screeners do not need to determine which security measures (TSA\u2019s or the host government\u2019s) to implement for a particular flight."], "subsections": [{"section_title": "Annual Meetings and TSA Representative Engagement with Foreign Government Officials", "paragraphs": ["TSA and foreign government officials also discuss changes in a foreign government\u2019s NCSP on a regular basis, according to our review of TSA\u2019s documents and interviews with TSA and foreign government officials. For example, TSA\u2019s memos authorizing the NCSP Recognition Program and 11 of 12 letters of recognition provided to foreign governments express an intent for TSA to hold in-person, annual meetings with officials in countries with a recognized NCSP program to discuss issues related to NCSP recognition. TSA officials generally held or planned to hold such meetings in fiscal years 2017 and 2018, according to our review of TSA\u2019s NCSP Recognition Program fiscal year 2018 work plan. In addition, TSA officials stationed at U.S. embassies are to meet with their foreign government counterparts on a regular basis, according to TSA officials and the two recognized governments with whom we met. For example, the TSA representative who coordinates with the European Commission in Brussels, Belgium, told us that he meets with European Commission officials multiple times each month. He stated that these conversations can cover regulatory and legislative changes pertaining to air cargo security with European Commission officials and he informs TSA headquarters and the Frankfurt Regional Operations Center of changes that could affect NCSP recognition in Europe. TSA headquarters and European Commission officials confirmed that these meetings occur."], "subsections": []}, {"section_title": "Revalidation of NCSP Recognition", "paragraphs": ["TSA revalidates recognized NCSPs using the results of its air carrier inspections, airport assessments, ongoing engagement with foreign government officials, and additional site visits to the foreign country, if needed. According to our analysis of TSA NCSP recognition letters and NCSP information compiled by TSA officials, TSA has revalidated all recognized NCSP countries at least once since fiscal year 2012. Further, this analysis shows that TSA has generally revalidated the NCSPs of recognized countries every 3 years, as required by the TSA memos that established and revised the NCSP recognition process. However, in 2016, TSA authorized a change to the revalidation process that allows for continuous NCSP recognition because, according to TSA officials and NCSP memos, the monitoring mechanisms TSA has in place (e.g., air carrier inspections, foreign airport assessments, and ongoing dialogue with foreign government officials) provide sufficient information to validate that foreign governments\u2019 recognized NCSPs and continue to provide a commensurate level of security to TSA\u2019s. TSA\u2019s 2016 NCSP memo states that TSA can revoke continuous recognition at any time, and TSA may not grant continuous recognition to a country if TSA determines that additional oversight is warranted. For example, TSA officials stated that they may only recognize a country\u2019s NCSP on a time-limited basis if they experience communication or access issues or have concerns about implementation of the NCSP. As of June 2018, TSA had granted continuous recognition to the European Union and 10 other countries and had not revoked any government\u2019s continuous recognition, according to summary NCSP information provided by TSA officials."], "subsections": []}]}]}, {"section_title": "TSA\u2019s Existing Performance Measures Do Not Allow It to Specifically Determine the Effectiveness of Its Efforts to Secure U.S.-Bound Air Cargo", "paragraphs": ["TSA has taken steps to broadly measure the effectiveness of its air carrier inspections and foreign airport assessments, but these efforts do not allow TSA to specifically determine the effectiveness of the cargo portions of such inspections or assessments. In addition, TSA has not developed measures for determining the effectiveness of its NCSP Recognition Program."], "subsections": [{"section_title": "TSA Has Not Evaluated the Effectiveness of its Air Carrier Cargo Inspections or the Cargo Portions of Foreign Airport Assessments", "paragraphs": ["TSA tracks data on the results of air carrier inspections and foreign airport assessments, and it broadly measures the effectiveness of its foreign airport assessment program and is developing a similar measure for its air carrier inspection program. However, TSA\u2019s performance measures do not allow it to specifically determine the effectiveness of its air carrier cargo inspections or the cargo portions of foreign airport assessments. For example, in fiscal year 2017, TSA developed a new performance measure to track the extent to which foreign airports take actions to address noncompliance issues identified by TSA inspectors during foreign airport assessments. The target for this performance measure is for 70 percent of foreign airports to implement corrective actions or other mitigation strategies. However, that performance measure does not allow TSA to determine the effectiveness of the cargo portions of airport assessments because it does not separately account for cargo and noncargo noncompliance issues. Specifically, the current measure does not capture noncompliance issues by category, to allow TSA to determine which noncompliance issues specifically pertain to cargo. Such a broad measure of the effectiveness of foreign airport assessments could obscure progress made (or lack thereof) in resolving cargo-specific vulnerabilities. According to our analysis of TSA fiscal year 2017 foreign airport assessment data, TSA could meet its 70 percent target if foreign airports take actions to address noncompliance issues unrelated to cargo\u2014including passenger and carry-on baggage screening and access controls\u2014without taking any actions to address identified noncompliance issues for cargo.", "TSA officials stated that they are coordinating with the Office of Management and Budget to develop a performance measure to gauge the effectiveness of air carrier inspections. However, TSA officials also stated that they have no plans to differentiate the extent to which air carriers correct violations TSA inspectors identify related to cargo from those identified related to passengers as they develop this measure. Notably, TSA has regularly included a goal to secure air cargo and the supply chain in annual operational implementation plans, but TSA has no associated performance measures that show the effectiveness of efforts taken to meet this goal.", "TSA\u2019s Office of Global Strategies Fiscal Year 2016 Strategy states that all strategic goals and objectives will have corresponding, relevant performance indicators that measure organization effectiveness in those areas. Further, DHS and TSA guidance state that it is important to measure the effectiveness of risk management priorities. For example, the DHS National Infrastructure Protection Plan and Transportation Systems Sector-Specific Plan state that setting goals and measuring the effectiveness of risk management efforts against these goals are key elements of a risk management framework. We have also previously reported on the importance of developing outcome-based performance measures\u2014measures that address the results (effectiveness) of products and services.", "According to TSA officials, they have not developed outcome-based performance measures that are specific to cargo security because they believe that measuring the results of air carrier inspections and foreign airport assessments holistically is sufficient to provide them with information on air cargo vulnerabilities. However, as previously discussed, TSA inspectors are identifying some potentially serious cargo vulnerabilities during air carrier cargo inspections and the cargo portions of airport assessments, including cargo that was not properly screened. Given TSA\u2019s assessment that the security threat in air cargo is significant, developing and monitoring an outcome-based performance measure specific to the cargo portions of foreign airport assessments\u2014along with differentiating the extent to which air carriers correct violations related to cargo from those related to passengers as it develops and monitors outcome-based performance measures for its air carrier inspection program\u2013could help TSA better determine the effectiveness of these efforts and whether they are improving the security of U.S.-bound air cargo. Such cargo-specific outcome-based performance measures could include differentiating the percentage of cargo-related violations that TSA has verified air carriers have addressed (as opposed to passenger- related violations) and measuring the progress that foreign airport authorities, foreign governments, or TSA have made to address vulnerabilities specific to ICAO\u2019s cargo-related standards."], "subsections": []}, {"section_title": "TSA Has Not Evaluated the Effectiveness of its NCSP Recognition Program", "paragraphs": ["TSA does not measure the effectiveness of its NCSP Recognition Program. Specifically, TSA budget documents and annual performance reports do not include measures for gauging the success of its NCSP Recognition Program. TSA operational implementation plans for fiscal years 2014 through 2017 addressed program recognition\u2014including working toward recognition efforts with countries based on a list of priorities and holding annual in-person meetings with each recognized government\u2014but TSA has not evaluated the impact of these actions. In addition, while TSA\u2019s operational implementation plans include milestones to measure outputs of the NCSP Recognition Program, TSA has not measured outcomes of its NCSP recognition efforts. For example, TSA has not measured the extent to which non-recognized countries implement recommendations that TSA has made to them during the NCSP recognition process. TSA officials stated that such a measure would help them determine the effect of the NCSP Recognition Program on air cargo security. According to TSA officials, in the absence of formal performance measures, the primary metric used to measure the performance of the NCSP Recognition Program is the number of countries TSA has recognized. However, this metric does not address the effectiveness of the NCSP Recognition Program because it does not measure how the program improves air cargo security.", "We have previously reported on the importance of measuring program performance. Our prior reports and guidance have stated that performance measures should evaluate both processes (outputs) and outcomes related to program activities. Specifically, we have noted that output measures address the type or level of program activities conducted, such as the number of countries recognized, while outcome- based measures address the results of products and services, such as how recognition programs facilitate the identification of air cargo industry vulnerabilities or contribute to improved air cargo security. Further, as discussed earlier, TSA strategy documents and leading practices encourage the development of relevant performance indicators that measure program effectiveness.", "TSA officials stated that TSA has not developed performance measures associated with the NCSP Recognition Program because TSA has reorganized and different directorates within TSA have had responsibility for NCSP program recognition over time. TSA officials also stated that developing NCSP Recognition Program performance measures has been secondary to other tasks, such as developing the ACAS program. Developing and monitoring output and outcome-based performance measures for its NCSP Recognition Program will help TSA better assess the effectiveness of the program and whether the resources it has invested are yielding their intended results."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Air carriers transport billions of pounds of cargo into the United States from foreign airports each year, and the threat posed by terrorists attempting to conceal explosive devices in air cargo shipments remains significant, according to TSA. TSA has taken steps to ensure that U.S- bound air cargo is secure by, for example, conducting air carrier cargo inspections overseas, performing assessments of foreign airports that transport cargo to the United States using ICAO cargo-related standards and recommended practices, and evaluating and recognizing the NCSPs of foreign countries. Although TSA tracks cargo compliance data collected during its air carrier inspections and foreign airport assessments and is developing a vulnerability resolution tool, TSA has not developed outcome-based performance measures for determining the effectiveness of its air cargo security compliance efforts. Developing and monitoring an outcome-based performance measure for the cargo portions of airport assessments and differentiating the extent to which air carriers correct violations related to cargo from those related to passengers as it develops and monitors outcome-based performance measures for its air carrier inspection program could help TSA better assess the effectiveness of these efforts and whether they are improving air cargo security. For example, TSA could measure the percentage of cargo-related violations that TSA has verified air carriers have addressed. Further, developing and monitoring output and outcome-based performance measures for its recognition programs will help TSA better determine the effectiveness of the NCSP Recognition Program and whether the resources TSA has invested are yielding their intended results. For example, TSA could measure the extent to which non-recognized countries implement recommendations that TSA has made to them during the NCSP recognition process."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to TSA:", "The Administrator of TSA should instruct Global Strategies to develop and monitor outcome-based performance measures for determining the effectiveness of the cargo portion of its foreign airport assessments. (Recommendation 1)", "The Administrator of TSA should instruct Global Strategies to differentiate the extent to which air carriers correct violations related to cargo from those related to passengers as it develops outcome-based performance measures for its air carrier inspection program, and monitor any measure it develops. (Recommendation 2)", "The Administrator of TSA should instruct Global Strategies to develop and monitor output and outcome-based performance measures for determining the effectiveness of its NCSP Recognition Program. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["In August 2018, we provided a draft of the sensitive version of this report to the Department of Homeland Security for its review and comment. In written comments, which are included in appendix IV, DHS stated that it concurred with the recommendations and plans to develop cargo-specific performance measures to help determine the effectiveness of its air carrier inspections, foreign airport assessments, and the NCSP Recognition Program. DHS also provided technical comments, which we have incorporated into the report, as appropriate.", "We are sending copies of this report to interested congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact Nathan Anderson at (202) 512-3841 or andersonn@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report: (1) describes steps the Transportation Security Administration (TSA) takes to help ensure that U.S-bound air cargo is secure, (2) describes the status of TSA\u2019s efforts to recognize and monitor foreign governments\u2019 air cargo security programs, and (3) analyzes the extent to which TSA measures the effectiveness of its efforts to secure U.S.-bound air cargo.", "This report is a public version of a sensitive report that we issued in October 2018.TSA deemed some of the information in our October report to be Sensitive Security Information, which must be protected from public disclosure. Therefore, this report omits sensitive information about TSA\u2019s risk methodology, the standards that TSA uses to assess foreign airports, the specific results of TSA\u2019s air carrier inspections and foreign airport assessments, and information on the types of NCSP recognition TSA has granted to other countries. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To describe the steps TSA takes to help ensure that U.S-bound air cargo is secure, we reviewed relevant laws and regulations, TSA security policies and procedures, screening program requirements, and security directives and emergency amendments relevant to air cargo. For example, we reviewed relevant air carrier security programs and associated cargo inspection job aids that TSA transportation security specialists (inspectors) are to use during each air carrier cargo inspection to ensure that requirements for air carrier security programs are fully evaluated during each inspection. We also reviewed fiscal years 2012 through 2018 air carrier inspection and airport assessment Master Work Plans\u2014which TSA uses to track its overseas air carrier inspection and foreign airport assessment schedule\u2014to better understand how TSA schedules inspections and assessments and the types of inspections it conducts. We chose these fiscal years because they cover the time period since our previous air cargo security review. In addition, we conducted site visits to two foreign airports that operate flights that transport air cargo directly to the United States\u2014one in South America and one in Asia\u2014to observe a nongeneralizable sample of TSA inspectors conducting a total of 17 air carrier cargo inspections. At one airport, we also observed the cargo portion of an airport assessment. We selected these locations based on their designation by TSA as airports of relatively high risk level, as well as high volume of U.S.-bound air cargo; TSA\u2019s air carrier inspection schedule; and geographic dispersion. We also chose these countries to allow us to observe an inspection in one country where TSA has recognized the NCSP and one country where TSA has not recognized the NCSP. In addition, we reviewed the final reports TSA inspectors completed for the air carrier cargo inspections and airport assessment we observed.", "Further, we obtained and analyzed the results of all air carrier cargo inspections (close to 5,000) and assessments at foreign airports that are last points of departure for cargo bound for the United States (about 570) conducted by TSA inspectors and then entered by them into TSA\u2019s databases. The Performance and Results Information System (PARIS) database contains security compliance information on TSA-regulated entities, including air carriers, and the Global Risk Analysis and Decision Support (GRADS) system vulnerability tracking sheet contains the results of foreign airport assessments. We analyzed PARIS and GRADS data from fiscal years 2012 through 2017, to cover the period since our previous air cargo security review and to include the 5 most recent years for which data were available at the time of our review. Specifically, we analyzed the frequency with which air carriers and foreign airports complied with TSA air cargo security requirements and select cargo- related International Civil Aviation Organization (ICAO) aviation security standards and recommended practices, including the seriousness of ICAO noncompliance issues TSA inspectors identified. TSA also uses GRADS to populate the Open Standards and Recommended Practices Finding Tool (OSFT), which tracks efforts taken by TSA and host governments to address noncompliance issues identified during foreign airport assessments. We analyzed fiscal years 2012 through 2017 OSFT data to determine the status of noncompliance issues TSA inspectors identified. We also reviewed 2017 PARIS data on the number of known consignor and regulated agent assessments TSA inspectors conducted.", "To assess the reliability of TSA\u2019s air carrier and airport assessment data captured in PARIS and GRADS tracking sheet and OSFT, we reviewed program documentation on system controls, interviewed knowledgeable TSA officials, and analyzed TSA\u2019s data for any potential gaps and errors. During our assessment, we found some inconsistencies in the tool TSA uses to follow up on airport noncompliance issues. We rounded airport compliance information to the nearest 10 for reporting purposes. We also aggregated ICAO standards and recommended practices within the Measures Related to Cargo, Mail, and Other Goods category for reporting purposes because their numbering has changed over time. We concluded that TSA\u2019s data on air carrier inspections and foreign airport assessments were sufficiently reliable to provide a general indication of the level of compliance for TSA\u2019s air carrier inspections and foreign airport assessments over the period of our analysis.", "In addition, we conducted interviews with TSA officials, foreign government representatives, and air cargo industry stakeholders, as follows:", "We interviewed senior TSA officials, inspectors, TSA representatives stationed overseas, and international industry representatives located at TSA headquarters and in the field. For example, we met with the Director of Global Compliance as well as managers and inspectors from all six TSA regional operations centers who are responsible for planning and conducting air carrier inspections and assessments of foreign airports. During our interviews with TSA staff, we discussed TSA\u2019s efforts to ensure the security of U.S.-bound air cargo prior to being transported to the United States and air carriers are in compliance with the applicable TSA cargo security requirements.", "We also interviewed officials at the European Commission (EC) and from the civil aviation authority in the country in Asia that we visited to discuss air cargo security standards and their experiences in coordinating with TSA. We judgmentally selected these foreign government entities because they (1) aligned with TSA\u2019s inspection site visit in the country in Asia that we observed and (2) represent different models of recognition (i.e., TSA recognizes both the passenger and all-cargo portions of the European Union national cargo security program (NCSP) but only passenger operations in the NCSP for the country in Asia that we visited).", "Further, we met with representatives from 2 aviation associations and 11 air carriers that include U.S. and foreign-flagged air carriers, as well as passenger and all-cargo carriers. One of the international aviation associations includes air carriers that comprise over 80 percent of the world\u2019s air traffic and the other aviation association includes the 5 air carriers that transported the largest individual amounts of U.S.-bound air cargo, by tonnage, in fiscal year 2017. We based our selection of the 11 air carriers on the relatively high volume of U.S.-bound cargo they transport; their operation of flights at the foreign airports we visited; and to obtain a range of coverage regarding their geographical regions of operation, passenger and all- cargo air carriers, and U.S. and foreign-flagged air carriers.", "Results from these meetings with foreign governments and aviation industry officials are not generalizable, but provided us with information on stakeholders\u2019 experiences and perspectives regarding air cargo security issues.", "To describe the status of TSA\u2019s efforts to recognize and monitor foreign governments\u2019 air cargo security programs, we reviewed TSA\u2019s policies and procedures for its NCSP Recognition Program. For example, we reviewed TSA memos from 2012, 2013, and 2016 that documented the recognition standards and any subsequent revisions to the NCSP Recognition Program; as well as TSA\u2019s process for monitoring NCSP recognition requirements. Additionally, we analyzed letters that TSA provided since 2012 to the 13 governments it determined had commensurate air cargo security programs and NCSP information TSA officials compiled specifically for our review to better understand TSA\u2019s terms of recognition with each government and the timeframes for revalidating NCSP recognition. We also reviewed letters TSA provided to governments it had determined did not have commensurate air cargo security programs, which provided us with insights into the recognition process and the criteria applied to TSA\u2019s reviews. Further, we reviewed the NCSP Recognition Program\u2019s fiscal years 2017 and 2018 work plans, as well as summaries of TSA\u2019s annual meetings with foreign governments to better understand TSA\u2019s efforts to engage with recognized governments.", "We also analyzed the air carrier cargo inspection and airport assessment data discussed above to determine the number of cargo inspections and assessments TSA completed in recognized countries from fiscal years 2015 through 2017. We chose this time period because it represents the 3 most recent complete fiscal years, and TSA last recognized a country\u2019s NCSP in 2015. We also analyzed data from TSA\u2019s Security Policy and Industry Engagement Policy Inventory on the number of air carriers participating in the NCSP Recognition Program from fiscal year 2012\u2014 when the NCSP Recognition Program began\u2014through fiscal year 2017\u2014 the most recent complete fiscal year available at the time of our review\u2014 to determine how the level of participation has changed over time. In addition, we analyzed fiscal year 2017 Department of Transportation Bureau of Transportation Statistics T-100 data bank, which contains data on U.S.-bound departures from foreign airports, among other things, to determine the percentage of overall U.S.-bound air cargo shipped from NCSP countries. To assess the reliability of the T-100 data, we reviewed documentation on system controls, interviewed knowledgeable officials from the Bureau of Transportation Statistics, and analyzed the data for any potential gaps and errors. We determined that the T-100 data were sufficiently reliable for our intended purposes. Finally, we conducted interviews with TSA and foreign government officials from two countries, and with representatives of the 11 air carriers described previously to better understand TSA\u2019s ongoing efforts to recognize and monitor foreign governments\u2019 air cargo security programs. We also confirmed the status of countries\u2019 NCSP recognition, as of June 2018, with TSA officials.", "To analyze the extent to which TSA measures the effectiveness of its various efforts to secure U.S.-bound air cargo, we reviewed documents that contain information on TSA\u2019s air cargo security objectives, goals, and performance measures, including (1) information reported to the Office of Management and Budget in annual budget documents from fiscal years 2014 through 2019, and (2) TSA\u2019s Global Strategies directorates Operational Implementation Plans from fiscal years 2014 through 2018\u2014 the most recent years available at the time of our review. These plans include annual objectives and milestones for U.S.-bound air cargo security programs. We also reviewed the measures in the annual budget documents and Operational Implementation Plans and compared them with requirements in TSA\u2019s Global Strategies\u2019 Fiscal Year 2016 Strategy and Fiscal Year 2018 Strategy Program and applicable laws governing performance reporting in the federal government, including the Government Performance and Results Act of 1993 (GPRA), as updated and expanded by the GPRA Modernization Act of 2010 (GPRAMA). For example, we assessed whether the performance measures provide information on the effectiveness of TSA\u2019s various air cargo security efforts. Although GPRA and GPRAMA requirements apply to those goals reported by departments (e.g., DHS), we have previously reported that they can serve as leading practices at other organizational levels, such as component agencies (e.g., the TSA) for performance management. Further, we assessed TSA\u2019s performance measures against risk management principles in the DHS National Infrastructure Protection Plan and the Transportation Systems Sector-Specific Plan. In addition, we obtained additional information on how TSA measures the performance of its air cargo security efforts during our interviews with TSA headquarters officials.", "The performance audit upon which this report is based was conducted from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2018 to November 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Transportation Security Administration (TSA) Processes for Conducting Air Carrier Cargo Inspections", "paragraphs": ["Air carrier cargo inspections are conducted by a team of Transportation Security Administration (TSA) security specialists (inspectors) at foreign airports who review passenger and all-cargo air carriers\u2019 implementation of requirements in their TSA-approved security programs, any amendments or alternative procedures to these security programs, and applicable security directives or emergency amendments. The frequency of air carrier cargo inspections at each airport depends on a risk-informed approach and is influenced, in part, by the airport\u2019s vulnerability to security breaches, since the security posture of each airport varies, according to TSA. In general, TSA procedures require TSA to inspect air carriers with TSA-approved security programs at each airport annually or semiannually depending on the vulnerability level of the airport, with some exceptions. The inspection teams\u2014based out of TSA regional operations centers\u2014generally include one team leader and one team member and typically take 1 or 2 days, but can involve more inspectors and take longer to complete depending on the extent of service by the air carrier. TSA inspectors may spend several days at a foreign airport inspecting air carriers if there are multiple air carriers serving the United States from that location. During air carrier cargo inspections, TSA inspectors are to review applicable security manuals, procedures, and records; interview air carrier personnel; and are to observe security measures, such as cargo acceptance and screening, among other activities. Air carriers are subject to inspection in six key areas of cargo supply chain security, as described in table 2.", "After completion of an air carrier inspection, TSA inspectors are to record the results into TSA\u2019s Performance and Results Information System (PARIS), a database containing security compliance information on TSA- regulated entities. If an inspector finds that an air carrier is in violation of any applicable security requirements, the inspector is to take additional steps to record the specific violation(s) and, in some cases, pursue them with further investigation. For example, TSA inspectors may choose to resolve violations that are minor or technical in nature, such as an employee not displaying their identification, through on-the-spot feedback and instruction, referred to as \u201ccounseling.\u201d For more serious violations, such as inadequate screener training, TSA inspectors may pursue administrative actions, including issuing a warning notice, or initiating an investigation and requiring air carriers to inform TSA of the specific steps they will take to address the issue. For more egregious violations, such as failure to screen cargo, TSA inspectors may recommend a civil penalty. In extreme cases, TSA may withdraw its approval of an air carriers\u2019 security program and suspend the air carriers\u2019 operations. According to TSA officials, they rely on a system of progressive enforcement and carefully consider whether a civil penalty is warranted based on the compliance history of an air carrier, among other factors."], "subsections": []}, {"section_title": "Appendix III: Transportation Security Administration (TSA) Processes for Conducting Foreign Airport Assessments", "paragraphs": ["Through its foreign airport assessment program, TSA determines whether foreign airports that provide passenger or all-cargo air carrier service to the United States are maintaining and carrying out effective security measures. To determine the frequency of foreign airport assessments, TSA uses a risk-informed approach to categorize airports into three risk tiers, with high risk airports assessed more frequently than medium and low risk airports. TSA\u2019s assessments of foreign airports are generally scheduled during the same site visit as air carrier inspections for a certain location, and the same team of inspectors generally conducts both the airport assessment and air carrier inspections. According to TSA, it generally takes 3 to 7 days to complete a foreign airport assessment. However, the amount of time and number of team members required to conduct an assessment varies based on several factors, including the size of the airport and the threat level to civil aviation in the host country.", "TSA uses a multistep process to plan and conduct assessments of foreign airports. Specifically, TSA must obtain approval from the host government to conduct an airport assessment, and schedule the date for the on-site assessment. After conducting an entry briefing with host country and airport officials, the TSA team conducts an on-site visit to the airport. During the assessment, the team of inspectors uses several methods to determine a foreign airport\u2019s level of compliance with 39 International Civil Aviation Organization (ICAO) standards and five ICAO recommended practices, to include conducting interviews with airport officials, examining documents pertaining to the airport\u2019s security measures, and conducting a physical inspection of the airport. ICAO standards and recommended practices address operational issues at an airport, such as ensuring that passengers and cargo are properly screened and that unauthorized individuals do not have access to restricted areas of an airport. ICAO standards and recommended practices also address non-operational issues, such as whether a foreign government has implemented a national civil aviation security program for regulating security procedures at its airports and whether airport officials that are responsible for implementing security controls are subject to background investigations, are appropriately trained, and are certified according to the foreign government\u2019s national civil aviation security program.", "At the close of an airport assessment, TSA inspectors are to brief foreign airport and government officials on the results. TSA inspectors also prepare a report in TSA\u2019s Global Risk Analysis and Decision Support System (GRADS) detailing their findings on the airport\u2019s overall security posture and security measures, which may contain recommendations for corrective actions and must be reviewed by TSA field and headquarters management. As part of the report, TSA assigns a vulnerability score to each ICAO standard and recommended practice assessed, as well as an overall vulnerability score for the airport, which corresponds to the level of compliance for each ICAO standard and recommended practice TSA assesses. Further, according to TSA officials, cargo experts in TSA headquarters review the cargo portion of each airport assessment before the assessment report is finalized. Afterward, TSA shares a summary of the results with the foreign airport and host government officials. In some cases, TSA requires air carriers to implement security procedures, such as requiring air carrier employees to guard the aircraft while on the tarmac, to address any deficiency that TSA identified during a foreign airport assessment through the issuance of security directives and emergency amendments. If the Secretary of Homeland Security determines that an airport does not maintain and carry out effective security measures, he or she shall, after advising the Secretary of State, take action, which generally includes notification to the appropriate authorities of the country of security deficiencies identified, notification to the general public that the airport does not maintain effective security measures, and modification of air carrier operations at that airport."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Nathan Anderson, (206) 287-4804 or andersonn@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Christopher Conrad (Assistant Director), Paul Hobart (Analyst-in-Charge), Hiwotte Amare, Charles Bausell, Dominick Dale, Pamela Davidson, Wendy Dye, Mike Harmond, Eric Hauswirth, Ryan Lester, Benjamin Licht, and Tom Lombardi made key contributions."], "subsections": []}]}], "fastfact": ["How does the TSA ensure that explosives aren't hidden in the cargo holds of commercial aircraft? One part of the effort is inspecting passenger and cargo airlines, for example, to see how they screen cargo. Another is assessing security at foreign airports.", "Our analysis of 2012-2017 data shows TSA found violations related to air cargo security in", "16% of its airline inspections", "25% of its foreign airport assessments", "TSA has taken actions to resolve most of the violations and is working on the remainder. We recommended that TSA establish measures to better assess the effectiveness of its efforts."]} {"id": "GAO-18-682", "url": "https://www.gao.gov/products/GAO-18-682", "title": "Tribal Broadband: Few Partnerships Exist and the Rural Utilities Service Needs to Identify and Address Any Funding Barriers Tribes Face", "published_date": "2018-09-28T00:00:00", "released_date": "2018-09-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2018, FCC estimated that 35 percent of Americans living on tribal lands lack broadband service compared to 8 percent of Americans overall. Various federal programs support increasing broadband deployment in unserved areas, including tribal lands. Tribes can form partnerships with private sector companies and others to deploy broadband infrastructure on tribal lands. GAO was asked to provide information on these partnerships.", "This report discusses (1) examples and outcomes of tribal partnership arrangements, (2) the amount of federal funding provided to tribal entities for broadband deployment, and (3) stakeholder-identified barriers that tribes face in obtaining federal funding and the extent to which federal agencies have addressed those barriers. GAO identified partnerships by reviewing federally funded broadband projects that included a partnership component; analyzed federal funding dedicated to broadband deployment; interviewed agency and tribal government officials, tribal associations, tribally owned broadband providers, and industry stakeholders; and assessed RUS's efforts to address the regulatory funding barriers tribes may face. The information presented is illustrative and is not generalizable to all tribes or all partnerships."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified some partnership arrangements between tribes and other entities to increase broadband access on tribal lands. Among the seven examples GAO identified, tribes partnered with different types of entities including private broadband providers, a community access network provider, an electric cooperative, a regional consortium, and tribally owned broadband providers. According to the tribes participating in the partnerships, almost all of the partnerships improved broadband service on tribal lands.", "The Federal Communications Commission (FCC) and the Rural Utilities Service (RUS) are the primary sources of federal funding to deploy broadband infrastructure where the cost of providing service is high, including on tribal lands. GAO reviewed funding for four programs, three in FCC and one grant program in RUS, and found that in total, less than 1 percent has gone directly to tribes or to tribally owned broadband providers to expand broadband service. GAO found that 14 tribal entities received federal funding from FCC and RUS to increase broadband deployment for 2010\u20132017.", "The tribal officials, tribal associations, and tribally owned broadband providers GAO contacted cited several barriers tribes face in obtaining federal funding to deploy broadband service on tribal lands. For example, they said tribes face regulatory barriers in applying for RUS's grant funding, including (1) preparing existing and proposed network design, (2) demonstrating financial sustainability of the broadband project within 5 years, and (3) obtaining matching funds. An interagency council recently recommended that federal agencies identify and address regulatory barriers that may unduly impede broadband deployment. Although RUS conducts some outreach with tribes, it has not undertaken a formal assessment to identify and address the regulatory barriers that tribes may face in obtaining RUS's funding for broadband deployment. RUS officials told GAO that they do not have the resources to do so. Nevertheless, lacking such an assessment, tribes may continue to face regulatory barriers in obtaining RUS funding for broadband deployment on their lands. By identifying and addressing any regulatory barriers that impede tribal entities' access to RUS funding, RUS could help tribes obtain funding to expand broadband deployment on tribal lands."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that RUS identify and address regulatory barriers that impede tribal entities from obtaining RUS funding for broadband deployment. RUS neither agreed nor disagreed with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Broadband service provides users with many opportunities to improve communications, including enhancements in e-commerce, telemedicine, and education tools. In 2018, the Federal Communications Commission (FCC) estimated that 35 percent of Americans living on tribal lands lack broadband service, compared to 8 percent of Americans overall. According to FCC, the gap in broadband access between rural areas and rural tribal lands is even larger. Further, when including mobile broadband service, FCC reported that nearly 60 percent of Americans living in rural tribal lands nationwide lack broadband access, compared to about 31 percent of rural Americans overall. This large difference is due, in part, to the relatively high proportion of tribal lands that are located in rural areas with rugged terrain and low population density, which decreases business incentives to invest in broadband infrastructure in these areas. According to FCC, this lack of service on tribal lands could impede efforts by Indian tribes to achieve self-governance and promote economic opportunity, education, public safety, and cultural preservation.", "Currently, the federal government has programs that support increasing broadband deployment in rural and unserved areas (including tribal lands). Most notably, Congress has tasked FCC with encouraging the deployment of advanced telecommunications capability in a reasonable and timely fashion to all Americans, including those in rural areas and on tribal lands. To accomplish this requirement, FCC is responsible for implementing Universal Service Fund programs, one of which, the Connect America Fund, provides approximately $4.5 billion annually to support broadband service in underserved and unserved areas. The Rural Utilities Service (RUS), a component agency of the U.S. Department of Agriculture, also has the Community Connect Program that provides grant funding to improve broadband service. Tribes as well as partnerships between tribes and other entities may apply for such funding in order to expand service on tribal lands.", "You asked us to examine several issues related to broadband access on tribal lands, including the use of partnership arrangements between tribal entities\u2014that is, tribal governments and telecommunications providers owned by tribes\u2014and other entities. This is the second report we are issuing in response to your request. This report discusses (1) examples of partnership arrangements that tribal entities have used to increase broadband deployment on tribal lands and the outcomes of those partnerships, (2) the amount of funding provided to tribal entities for broadband deployment from key federal programs, and (3) stakeholder- identified barriers that tribal entities face in obtaining federal funding for broadband deployment and the extent to which federal agencies have taken action to address those barriers. In this report, we use the term \u201cpartnerships\u201d to refer to when an Indian tribe works with another entity to design, build, or operate infrastructure assets to improve or enhance broadband access.", "To address these objectives, we reviewed the Communications Act of 1934, as amended, the National Broadband Plan, and relevant literature identified through a literature search of tribal partnerships for broadband deployment. In addition, we reviewed documentation and interviewed officials from FCC, RUS, and the Department of Commerce\u2019s National Telecommunications and Information Administration (NTIA).", "To identify examples of tribal broadband partnerships for our review, we first interviewed agency officials, tribes, private providers, and tribal associations to determine if they were aware of any partnerships focused on broadband deployment on tribal lands. We then identified any broadband projects with a tribal partnership component by reviewing financial information from 2010 to 2017 for the following federal programs: (1) FCC\u2019s Universal Service Fund high-cost program and Connect America Fund (including the Mobility Fund Phase I (Auction 901) and Tribal Mobility Fund Phase I (Auction 902)); (2) RUS\u2019s Community Connect Grant Program; (3) RUS\u2019s Broadband Initiatives Program; and (4) NTIA\u2019s Broadband Technology Opportunities Program. While there may be other tribal partnerships that exist, through these efforts we found seven tribal partnership examples that we discuss in this report. The identified tribal broadband partnerships are intended to be illustrative examples and, accordingly, are not generalizable to others that may exist.", "To determine the amount of funding from key federal programs provided to tribal entities for broadband deployment, we first identified the federal programs that provide broadband funding from NTIA\u2019s Guide to Federal Funding of Broadband Projects. The guide lists 17 federal programs that fund broadband infrastructure. Of those federal programs, we focused our review on four programs\u2014three in FCC and one grant program in RUS\u2014 selected because they provide the most directly relevant funding for broadband deployment in unserved areas, which includes tribal lands. We compiled total funding data for these four federal programs and the amount of funding provided to tribes and tribal entities for broadband deployment projects for 2010 to 2017. We took steps to assess the reliability of the data, such as cross-checking the data, following up with agency officials, and reviewing documentation, and found the data were sufficiently reliable for the purposes of summarizing total funding and the amount provided to tribes and tribal entities. Because we relied upon titles or names of grant recipients to identify those grants awarded to tribes and tribally owned providers, our analysis may not include some grants awarded to broadband providers that deploy infrastructure to larger service areas that may also include tribal lands.", "We obtained stakeholder views on barriers that tribal entities face in obtaining federal funding and federal government efforts to address those barriers by interviewing FCC and RUS officials and 17 tribal government officials, 9 tribally owned broadband providers, and 5 tribal associations. We selected tribal governments to interview to include variation in geographic location, level of broadband deployment, and population density. We visited six tribes in Idaho, New Mexico, and Washington State. We also interviewed other stakeholders selected to represent a range of views and those with experience working with Indian tribes and broadband service. These stakeholders included 10 private broadband providers and associations; 2 regional consortium; 2 community access providers; an academic institution; and a cooperative. The views obtained from the interviews are not generalizable to all tribes, all broadband providers, or all industry stakeholders. We reviewed a report from the Broadband Opportunity Council recommending that agencies identify and address regulatory barriers that may unduly impede broadband deployment and assessed RUS\u2019s efforts to address the regulatory barriers tribes may face in attempting to obtain RUS funding for broadband deployment. Appendix I describes our scope and methodology in greater detail.", "We conducted this performance audit from September 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government has recognized 573 Indian tribes as distinct, independent political communities with inherent powers of a limited sovereignty, which has never been extinguished. These tribes can vary significantly in regard to tribal size, population, and ownership status of land. For instance, some tribal lands include reservations\u2014land set aside by treaty, federal law, or executive order for the residence or use of an Indian tribe. Some tribal lands include parcels with different ownership; parcels may be held in trust by the federal government for the benefit of a tribe or an individual tribal citizen. Trust and restricted lands can affect a tribe\u2019s ability to use their land as collateral to obtain a loan. In addition, the size of a tribe\u2019s land base can range from less than one square mile to more than 24,000 square miles (the size of West Virginia). Some tribes are located in extremely remote, rural locations and others are located in urban areas.", "The term \u201cbroadband\u201d commonly refers to Internet access that is high speed and provides an \u201calways-on\u201d connection, so users do not have to reestablish a connection each time they access the Internet. Broadband providers deploy and maintain infrastructure to connect consumers to the Internet and provide Internet service through a number of technologies. Broadband infrastructure may include burying fiber-optic or copper cables, stringing cable on existing poles, or erecting towers for wireless microwave links, which relay wireless Internet connections from tower to tower. Figure 1 illustrates some of the options for broadband deployment infrastructure. To install this infrastructure, providers must obtain permits from government entities with jurisdiction over the land or permission from public utilities to deploy infrastructure on existing utility poles.", "The federal government has emphasized the importance of ensuring Americans have access to broadband, and a number of agencies, including FCC and RUS, currently provide funding to subsidize broadband deployment in areas in which the return on investment has not attracted private investment. FCC funds a number of programs through the Universal Service Fund, which may increase broadband deployment on tribal lands. One program is the high-cost program (renamed the Connect America Fund (CAF) in 2011), which provides financial support to both wireline and wireless telecommunications carriers that provide telecommunications services (referred to as providers in this report) to supplement their operating costs to serve consumers in rural or remote areas, where the cost of providing service is high. From 2010 to 2017, a total of $34.5 billion in annual and standalone Universal Service Fund high-cost support was disbursed to providers, as follows: In total, the high-cost program and Connect America Fund provided $34.1 billion from 2010 to 2017 in financial support to providers, consisting of annual disbursements between $3.7 and $5 billion.", "The Mobility Fund Phase I provided $300 million in 2012 in one-time support to providers to expand broadband service in areas where service was not available, including tribal lands.", "The Tribal Mobility Fund Phase I provided $49.8 million in 2014 in one-time support to providers to deploy broadband service to unserved tribal lands.", "To be eligible to receive for Universal Service Fund program support, a provider must be designated an eligible telecommunications carrier (ETC) by the appropriate state or by FCC. Under FCC rules, which many state programs mirror, ETCs must meet certain service obligations as described below: provide a 5-year plan showing how program support will be used to improve its coverage, service quality, or capacity in each service area where it seeks designation; demonstrate its ability to remain functional in emergency situations; demonstrate that it will satisfy consumer protection and service quality offer local usage plans comparable to those offered by the incumbent carrier in the areas for which it seeks designation; and acknowledge that it may be required to provide equal access to other providers within the service area if all other ETCs in the designated service area relinquish their designations.", "In addition to FCC\u2019s funding, RUS has a current program and had a prior program and NTIA had a prior program that provided funding to improve broadband service in unserved or underserved areas. The RUS and NTIA prior programs were authorized by the American Recovery and Reinvestment Act of 2009 (Recovery Act) to expand high-speed Internet service in unserved areas, and there is no current funding for these programs.", "RUS\u2019s Community Connect program currently provides grants to rural communities to provide high-speed Internet service to unserved areas. The Community Connect program is significantly smaller than FCC\u2019s programs, with $95.2 million awarded to 36 recipients from 2010 to 2017. The purpose of the RUS Community Connect program is to provide financial assistance to eligible applicants that will provide broadband service that fosters economic growth and delivers enhanced educational, healthcare, and public-safety benefits. In addition, RUS previously administered the Broadband Initiatives Program (BIP), authorized by the Recovery Act to expand high-speed Internet service in unserved areas. BIP funding included $2.2 billion dedicated to deploy broadband infrastructure. Through the program, RUS funded a total of 247 infrastructure projects with the requirement that all projects be fully completed by June 30, 2015. In addition to the infrastructure awards, 12 technical assistance grants went to tribal communities to develop regional plans to provide broadband service in rural areas that remain critically unserved.", "NTIA administered a prior program also authorized by the Recovery Act called the Broadband Technology Opportunities Program (BTOP). NTIA made available $3.1 billion in BTOP funding to deploy broadband infrastructure. Through the program, NTIA awarded a total of 116 infrastructure grants with the requirement that all projects be fully complete within 5 years of the award date."], "subsections": []}, {"section_title": "Selected Tribes Partnered with Various Entities to Increase Broadband Deployment and Outcomes Varied", "paragraphs": ["Although we identified some partnership arrangements between tribes and other entities to increase broadband deployment on tribal lands using prior authorized funding, based on our review, these arrangements are not being used under currently available programs. As previously noted, there are greater costs associated with deploying broadband on unserved tribal lands because the unserved areas are generally rural, with possibly rugged terrain, and have low population densities. Because of these greater costs, there may be little to no private sector incentive to deploy broadband or enter into a partnership arrangement to do so.", "During our review, we did not find any partnership arrangements that leveraged currently available federal funding from FCC\u2019s CAF or RUS\u2019s Community Connect Program. The seven partnership examples we identified were ones that obtained federal funding under past programs, namely BIP and BTOP that were funded by the Recovery Act. Among these examples, tribes partnered with several different types of entities that were eligible to receive federal grants, including (1) private providers; (2) a community access network provider; (3) an electric cooperative; (4) a regional consortium; and (5) tribally owned telecommunications companies (which we will refer to as tribally owned providers). These types of arrangements are explained below. Outcomes of these partnership arrangements varied, as reported by tribal officials and other stakeholders we interviewed, but these stakeholders did not always agree on the outcomes."], "subsections": [{"section_title": "Private Providers", "paragraphs": ["Private providers can partner with a tribe to deploy broadband infrastructure on tribal lands. We found two instances in which a tribe partnered with private providers to improve broadband service.", "Pine Telephone Company and Choctaw Nation. With the land the tribe has jurisdiction over covering over 10 counties across 12,000 square miles in Oklahoma, the Choctaw Nation\u2019s lands encompasses about 15 percent of the State of Oklahoma\u2019s total area\u2014an area larger than the entire state of Maryland. According to the Oklahoma Department of Transportation, the Choctaw Nation is the largest employer in the southeastern Oklahoma region and its businesses are key contributors to the state\u2019s economy. However, a tribal official told us that the tribal government has struggled to meet the tribe\u2019s broadband needs. According to the Choctaw Nation official, Pine Telephone Company (Pine), a privately owned company, has a history of partnering with the Choctaw Nation. In 2010, Pine received a BTOP grant of $9.5 million to deploy broadband infrastructure to underserved areas of Southeastern Oklahoma, including Choctaw Nation lands.", "According to tribal officials and representatives from Pine, the partnership enabled tribal government agencies and buildings\u2014 including public schools, public safety agencies, fire and police departments, and a health clinic\u2014to get broadband service. The partnership also improved broadband service for the Choctaw Nation. Additionally, Pine had been proactive in partnering with the Choctaw Nation to secure federal grants and assist with land use and rights-of- way issues, according to a tribal official. Pine representatives told us that partnering with the Choctaw Nation had been beneficial based on their common interest to increase broadband service to the area.", "Inland Cellular, First Step, and Nez Perce. The Nez Perce Tribe\u2019s reservation consists of 750,000 acres located in north central Idaho. Tribal officials told us that the terrain on the reservation makes broadband deployment challenging because it has very large hills and deep valleys; additionally the reservation is sparsely populated. Tribal officials told us that prior to 2010, there was no broadband service available on the Nez Perce reservation. In 2010, the tribe received a BTOP grant of $1.6 million for the Nez Perce Broadband Enhancement Project; the project was completed in 2013. The tribe used that federal grant to deploy 216 miles of broadband (wireless) infrastructure across its reservation to provide broadband service in four northern Idaho counties. As part of the project, the tribe partnered with two private providers, Inland Cellular and First Step, to expand broadband service on the reservation. The tribe used BTOP funding for infrastructure buildout in areas in need of connectivity, while Inland Cellular and First Step focused their efforts on infrastructure buildout in more populated areas.", "According to Nez Perce and Inland Cellular officials, the partnership resulted in broadband service being provided to previously underserved rural communities and 17 community institutions, including schools and public safety organizations. Because the partners each own towers on the reservation, the officials told us they could collocate equipment on each other\u2019s towers, an approach that resulted in more reliable service. Further, Nez Perce officials and Inland Cellular representatives told us that their partnership was complementary, in that Inland Cellular offered voice services and the tribe\u2019s enterprise offered data services."], "subsections": []}, {"section_title": "Community Access Network Provider", "paragraphs": ["Community access network providers are typically owned and operated by public entities rather than by a private corporation. All profits are reinvested to operate, maintain, and expand the community network. Community access networks focus on building broadband infrastructure that allows multiple Internet service providers to offer their services to customers. For example, rather than having one choice for Internet service, community access network providers will allow several service providers to compete for customers.", "Northwest Open Access Network (NoaNet). NoaNet, a utility network that offers communities access to broadband infrastructure, has deployed infrastructure in rural areas of Washington State, including on tribal lands. NoaNet received two BTOP grants in 2010\u2014one grant for $84 million and the other for $54 million\u2014to enhance existing infrastructure and improve broadband service in unserved areas. NoaNet representatives told us that over the course of several years, NoaNet deployed 2,300 miles of fiber-optic cable across tribal lands in Washington State and partnered with several Indian tribes and nations, including the Kalispel Indian Community of the Kalispel Reservation, Lower Elwha Tribal Community, and Yakama Nation, to deploy broadband infrastructure. For example, NoaNet representatives told us they partnered with Yakama Nation and exchanged a NoaNet-owned asset for access to a power source and the right to install fiber-optic lines on Yakama tribal land.", "According to NoaNet representatives, NoaNet\u2019s infrastructure buildout improved broadband services and created new economic development opportunities for several tribes in Washington State. For example, they said NoaNet collaborated with Yakama Nation Networks\u2014a wireless network and tribal enterprise serving the tribe\u2014 to provide faster broadband service to the reservation. Further, the NoaNet representatives said the availability of broadband service created new technical jobs with professional growth opportunities on the reservation. NoaNet representatives added that NoaNet enabled high-speed Internet service to the Makah Tribe\u2019s health clinic, government offices, school, and library, where they previously had no Internet service at all. Moreover, they told us that partnerships are beneficial in helping tribes gain telecommunications experience. Similarly, according to a tribal representative from Jamestown S\u2019Klallam Tribe, NoaNet\u2019s infrastructure buildout helped the tribe obtain broadband services for its library and also helped create economic opportunities for the tribe."], "subsections": []}, {"section_title": "Electric Cooperative", "paragraphs": ["Rural electric cooperative networks typically serve areas that have low population density where traditional providers do not want to serve because of limited opportunities for financial return on investment.", "Kit Carson Electric Cooperative and Taos Pueblo. Kit Carson Electric Cooperative (KCEC) is a member-owned, nonprofit electric distribution cooperative that operates a fiber-optic broadband network. In 2010, KCEC received $64 million in grant funding from RUS\u2019s BIP to create a 2,400-mile broadband network in northern New Mexico and provide broadband service to businesses and homes, including those on the Taos Pueblo and Picuris Pueblo.", "In an August 2016 presentation to the New Mexico state legislature, KCEC stated that that the project connected tribal members and community institutions, created job opportunities, and improved public safety by improving emergency communications services. According to Taos Pueblo officials, the impetus to work with KCEC was to improve broadband service to meet immediate economic, education, health service, and public safety needs of the tribe. However, based on our meetings with both KCEC representatives and Taos Pueblo officials they have different perspectives about the success of this partnership at delivering broadband service to the tribe. For example, KCEC representatives told us that the cooperative constructed the fiber-optic network and connected the government buildings and homes of Taos Pueblo and Picuris Pueblo members as promised, and that KCEC has responded to service interruptions when they occurred on tribal lands. On the other hand Taos Pueblo officials told us, that KCEC did not deploy broadband infrastructure to enable service to all homes and buildings on tribal lands as the tribe had expected. Similarly, KCEC representatives told us that they worked regularly with the Taos and Picuris tribal governments and had good relationships with them; they noted that they meet with tribal leadership every quarter to maintain effective communications and address any issues. In contrast, according to Taos Pueblo officials, KCEC did not solicit tribal input when building out the fiber-optic network, and only met with Taos Pueblo officials about once a year and did not follow up on the issues the tribe raised. Further, according to KCEC representatives, in its federal funding application, KCEC made a commitment that the Taos and Picuris tribal lands would be the first areas targeted for building out the network, and the representatives said that KCEC completed 100 percent of the construction and connected the tribal governments as promised. Taos Pueblo officials, however, said that their tribe was the last to receive service and that KCEC did not complete the broadband construction, including service to the homes of some of its members, because KCEC exhausted its BIP funding."], "subsections": []}, {"section_title": "Regional Consortium", "paragraphs": ["We have previously reported that regional consortium, which are typically formed by groups to undertake an enterprise beyond the resources of any one member, can sponsor regional networks that focus on building broadband networks and providing broadband services to schools, medical providers, public safety agencies, and other community institutions.", "North Central New Mexico Economic Development District. Located in northern New Mexico, the Pueblo of Pojoaque, Santa Clara Pueblo, Tesuque Pueblo, and Ohkay Owingeh partnered with local governments to establish the North Central New Mexico Economic Development District (the District), a regional consortium, to address the socio-economic needs of its members. In 2008, regional planners and government officials identified broadband as the region\u2019s number- one infrastructure priority because rural north central New Mexico relied significantly on dial-up Internet service and lacked affordable service to small businesses, libraries, schools, and other community institutions. In 2010, the District received a BTOP grant of $10.6 million to build a community-owned broadband network, known as REDI Net. The District sought the BTOP grant to improve rural healthcare services, make public and higher education more accessible, and improve local government services, like public safety. REDI Net\u2019s construction included upgrading existing infrastructure and deploying 136 miles of new fiber-optic cable across the region and on pueblo lands to replace low-performing dial-up service with faster, more affordable broadband service.", "According to the project\u2019s progress report submitted to NTIA, the partnership enabled broadband infrastructure to be deployed across the four participating lands and connect 110 community institutions. The project\u2019s description stated that REDI Net was being used to deliver telemedicine services, distance-learning applications, and critical communications for emergency first-responders. According to REDI Net representatives, in 2017, REDI Net became a standalone organization, separate from the District, and currently charges a monthly fee for the pueblos to use the broadband network. A REDI Net representative told us that the biggest outcome of the partnership has been the improved relationships and collaboration among the Pueblo of Pojoaque, Santa Clara Pueblo, Tesuque Pueblo, and Ohkay Owingeh and other local municipalities."], "subsections": []}, {"section_title": "Tribally Owned Providers", "paragraphs": ["Some tribes have created their own telecommunications companies to provide broadband access to their communities. Based on the examples we identified, a tribe may create its own telecommunications or broadband company or a tribe may partner with an existing tribal enterprise such as an electrical utility to provide broadband services.", "Navajo Nation and Navajo Tribal Utility Authority. The Navajo Nation\u2014which spans across Arizona, New Mexico, and Utah\u2014 partners with a tribally owned entity, the Navajo Tribal Utility Authority (NTUA), to provide broadband service to residents and households. According to a NTUA representative, the Navajo Nation has diverse, challenging terrain\u2014which includes canyons, valleys, timber forest, desert, and mountains\u2014making it difficult to provide broadband service to tribal residents. In 2010, NTUA received a BTOP grant of $32 million to deploy broadband infrastructure covering 15,000 square miles across the three states. According to the project\u2019s progress report submitted to NTIA, by 2013, NTUA leveraged BTOP funding to deploy 570 miles of fiber-optic cable and 775 miles of wireless infrastructure resulting in a total of 1,345 new network miles.", "According to NTUA representatives, the partnership between the Navajo Nation and NTUA increased broadband deployment on the nation and created new opportunities for NTUA to partner with other private providers to further expand broadband services. For example, NTUA representatives said NTUA partnered with a private broadband provider, Commnet, to deploy wireless broadband infrastructure that enabled tribal citizens to receive 4G LTE service. NTUA and Commnet representatives told us NTUA\u2019s relationship with Navajo Nation represented an attractive business opportunity for Commnet because of NTUA\u2019s established rights-of-ways on the Navajo Nation\u2019s tribal lands.", "Saint Regis Mohawk Tribe and Mohawk Networks. The Saint Regis Mohawk Tribe, located in the northern region of New York, received a $10.5 million BIP grant in 2010 to complete a large broadband project expanding access to unserved areas. According to tribal officials and Mohawk Networks representatives, the tribe completed a $15 million broadband infrastructure project laying 68 miles of fiber and connecting 1,500 tribal households and community institutions. Upon completion of the BIP broadband project, the tribal officials said the tribe launched its tribally owned broadband provider, Mohawk Networks, LLC in 2015, to respond to tribal residents\u2019 need for reliable, cost-effective broadband service. Tribal officials said Mohawk Networks currently provides high-speed Internet to tribal homes and businesses.", "According to tribal officials, in addition to providing broadband service to tribal residents for the first time, the partnership between Saint Regis Mohawk Tribe and its tribally owned broadband provider created new jobs and opportunities to expand broadband services. For example, the officials said the partnership resulted in the creation of a tribal subsidiary, North Country Broadband Services, Inc., to deploy wireless infrastructure to neighboring counties, thus generating new revenue for Mohawk Networks."], "subsections": []}]}, {"section_title": "Few Federal Funds Were Provided to Tribal Entities to Increase Broadband Deployment from 2010 to 2017", "paragraphs": ["FCC and RUS are the primary sources of federal funding to deploy broadband infrastructure in rural and remote areas where the cost of providing service is high, including tribal lands. Based on our review of the funding provided by four federal programs targeted to increase deployment in unserved areas, very little has gone directly to tribes or to tribally owned broadband providers. Specifically, from 2010 to 2017, we found that less than 1 percent of FCC funding and about 14 percent of RUS funding went directly to tribes and tribally owned providers. Combined, FCC and RUS funding totaled $34.6 billion during that time period and tribes and tribally owned providers received $235 million, or about 0.7 percent.", "While the majority of the funding from the four programs we reviewed from both agencies is provided to deploy broadband to rural, unserved, or underserved areas, only one source of funding, FCC\u2019s Tribal Mobility Fund Phase I, is dedicated specifically to deploying broadband on tribal lands.", "The National Broadband Plan stated in 2010 that tribes needed substantially greater financial support than was available to them at the time and that accelerating tribal broadband deployment would require increased funding. Furthermore, the National Congress of American Indians expressed concerns that the needs for federally funded broadband projects are greater on tribal lands but tribes do not receive the appropriate share of federal funding aimed at increasing broadband deployment.", "Through our analysis we found that 14 tribal entities received federal funding from FCC and RUS to increase broadband deployment from 2010-2017 (see fig. 2). Of the four main programs we reviewed, tribes and tribally owned providers received the following funds:", "Connect America Fund: Nine tribally owned providers received high- cost support funding totaling $218.1 million.", "Mobility Fund Phase I: One tribally owned provider received support totaling $3.3 million.", "Tribal Mobility Fund Phase I: No tribal providers received funding.", "RUS Community Connect Grants: Four tribal entities received $13.5 million."], "subsections": []}, {"section_title": "Stakeholders Cited Barriers for Tribes to Obtain Federal Funding and Federal Agencies Have Taken Few Actions to Address the Barriers", "paragraphs": ["The tribal officials, tribal associations, and tribally owned broadband providers we interviewed cited several barriers that tribes may face when seeking federal funding for broadband deployment. The two primary barriers these interviewees cited were (1) the statutory requirement for ETC designation and (2) grant application requirements."], "subsections": [{"section_title": "Statutory Requirement for ETC Designation", "paragraphs": ["FCC\u2019s Connect America Fund (CAF) is the largest source of federal funding for broadband deployment in unserved and underserved areas; however, very few tribes are currently eligible for this source of funding. At the time of our review, FCC officials told us there were 11 tribes that have providers that are designated as ETCs and therefore would be eligible to receive CAF funding. Although FCC adopted rules in 2011 to create CAF and modernize the program so that it could support broadband capable networks, FCC officials told us that most ETCs are the telephone companies that were in existence when Congress passed the Telecommunications Act of 1996. According to FCC officials, FCC has explored whether it has authority to allow non-ETC providers to receive CAF support payments but determined that the statute is clear that only ETCs can receive program support. Between 2012 and 2017, FCC officials said FCC received nine ETC applications, four of which were from tribally owned providers. Of those four, only one tribally owned provider was designated an ETC. Three tribes we contacted said they would like the opportunity to receive CAF support to deploy broadband on tribal lands, but they realize they are not eligible to receive funding unless they have the ETC designation. Moreover, officials from two tribes and a tribal association stated that while they want to provide broadband services in their communities, they did not seek the ETC designation because of the ETC service obligations described above.", "The Leech Lake Band of Ojibwe applied for ETC status in 2013. We met with tribal officials who told us that the tribe was providing broadband service in its community through its own, tribally chartered telecommunications company and at the time of our visit, they had been waiting several years for a decision from FCC on their ETC application. The tribal officials told us that if FCC did not make a decision soon, the tribal government would need to shut down the broadband network, as the tribe\u2019s original decision to fund the network assumed there would be a CAF subsidy to help defray the costs. The Leech Lake reservation is rural with low population density and is surrounded by the Chippewa National Forest. Subsequent to our meeting with the tribe in November 2017, the tribe withdrew its application in March 2018, noting that it was ceasing its attempt to run its telecommunications company specifically \u201cdue to inaction\u201d by FCC.", "According to representatives from a tribal association we contacted, FCC has provided ETCs with billions of dollars to deploy service to unserved areas through the Universal Service Fund programs, but FCC\u2019s efforts have not always been successful in the hardest to reach areas, particularly tribal lands. The representatives noted that FCC\u2019s competitive market approach does not work where competition cannot be supported and that there needs to be a different approach. Similarly, tribal officials from Idaho told us that rural service providers are able to operate due to CAF support, but the tribe is not eligible to receive those subsidies. Officials said although the provider in their area has received millions of dollars in CAF subsidies, it has not deployed broadband on the tribal lands. Other tribal officials from Washington State told us that although private providers received CAF subsidies to deploy broadband service to their reservation, the private providers told the tribe it would be years before they offer service on tribal lands.", "In 2014, FCC conducted its Rural Broadband Experiment to open up eligibility for CAF funding to non-ETC providers. FCC made $100 million available for the experiment and applicants included a diverse group of entities, including competitive providers, electric utilities, wireless Internet service providers, and others. However, while this experiment opened the application process to non-ETC providers, it did not remove the ETC requirement. CAF support awarded through this experiment was provisional pending the broadband providers\u2019 obtaining ETC status. According to FCC documentation, there were 181 applicants for the experiment, but only 16 ended up meeting all the requirements to receive funding. None of those 16 entities was tribal."], "subsections": []}, {"section_title": "Grant Application Requirements", "paragraphs": ["Stakeholders we interviewed said tribes may face barriers completing federal grant applications to obtain funding for broadband deployment. In particular, two community access providers, five tribally owned providers, and one regional consortium we contacted said that meeting the application requirements was difficult. Representatives from eight of the tribes we contacted told us that in general, the language included in the federal grant applications is difficult to understand or the administrative requirements of federal grants are burdensome. Another tribal representative told us he would only recommend applying for RUS\u2019s Community Connect program if the tribe has an entire team of dedicated people to manage the grant process. Some of the tribal officials we contacted cited difficulties preparing required application materials between the time a grant announcement was made and the submission deadline. For example, tribal officials we contacted from New Mexico and Oklahoma stated that the constrained time frames prevented them from effectively preparing a comprehensive application package. In some cases, the narrow application windows prevented the tribes from applying at all. Furthermore, tribal officials, tribal associations, and tribally owned broadband providers told us that complying with the following regulatory requirements for RUS Community Connect grants could be challenging for tribes:", "Preparing existing and proposed network design: RUS\u2019s Community Connect program requires applicants to submit information on the network\u2019s design that contains all the technical information on the applicant\u2019s existing (if applicable) and proposed network. The network design is typically completed by a licensed engineer. Tribal officials in Washington State told us that conducting analyses of existing infrastructure and what improvements are needed can be cost- prohibitive for some tribes because it requires financial resources that the tribe may not have before applying for the grant. Many of these costs are related to the expense of bringing in outside experts or consultants who are needed to perform the technical studies. Another tribal representative told us since the tribe has no way of knowing if the grant will be approved, spending money to complete the application is a large risk. According to RUS officials, the Community Connect program is not authorized to fund pre-planning activities.", "Demonstrating financial sustainability within 5 years: The RUS Community Connect grant application requires a \u201cfinancial forecast\u201d that includes the applicant\u2019s existing operations and the proposed project and must be supported by a detailed narrative that explains the methodology and assumptions used to develop the projections, including the number of subscribers projected to take the applicant\u2019s service. The financial forecast must cover at least 5 years, and it is used by RUS to determine whether the proposed project is financially sustainable. However, tribal officials from Idaho told us that it is not feasible for tribes to show financial sustainability (a return on investment) in 5 years in high cost areas. They noted that a period of 15 years may be needed to produce a return on investment in those areas, and this requirement prevents tribes from qualifying for Community Connect grants.", "Obtaining matching funds required to apply for federal grants: RUS\u2019s Community Connect program requires grant applicants to provide matching funds of at least 15 percent from non-federal sources and does not accept in-kind contributions of goods or services. The matching fund requirement can be difficult for some tribes to obtain. For example, officials from RUS and the tribal entities we contacted told us that tribes often times do not have the upfront cash to meet the matching requirement. According to a tribal association we contacted, obtaining credit is a serious problem for some tribes. In general, tribes cannot collateralize tribal property, and therefore often times are unable to get bank loans for infrastructure projects.", "The National Broadband Plan recommended that federal agencies facilitate tribal access to broadband funding opportunities. Furthermore, recognizing the need to reduce barriers to expand broadband deployment, the Broadband Opportunity Council, established in March 2015, issued a report stating that federal agencies should use all available and appropriate authorities to identify and address regulatory barriers that may unduly impede either broadband deployment or the infrastructure to augment broadband deployment. RUS officials said they have held a number of external training and outreach events, such as workshops and seminars, with tribes over the past 5 years to provide information about RUS\u2019s broadband programs. For example, in April 2018, before the 2018 Community Connect grant\u2019s application deadline, RUS hosted a webinar on various requirements for grant applications. RUS officials told us that RUS\u2019s outreach efforts generally focus on specific programs and instructing potential applicants on program requirements and how to complete application packages.", "However, beyond these outreach efforts, RUS officials said they have not undertaken a formal assessment to identify and address the regulatory barriers that tribes may face in obtaining RUS funding for broadband deployment. When we asked RUS officials about the feasibility of doing so, they said that they have limited resources and multiple competing priorities for those resources. RUS officials also noted that BIP authorized and provided funding for technical assistance for applicants, funding that enabled RUS to address some of the barriers tribes face. Nevertheless, lacking such an assessment, tribes may continue to face the regulatory barriers described above in obtaining RUS funding for broadband deployment on their lands. According to the National Broadband Plan, local entities (including tribal, state, regional, and local governments) decide to offer broadband services when no providers exist that meet local needs, and local entities do so after trying to work with established carriers to meet local needs. Several of the tribes we visited told us they were trying to deploy broadband infrastructure or offer service because the private providers were not building out on their lands. For example, one tribe stressed that unlike private providers, they would prioritize tribal areas needing broadband service, but they need federal funding to do so."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["An estimated 35 percent of Americans living on tribal lands lack broadband service, which could hinder tribal efforts to promote self- governance, economic opportunity, education, public safety, and cultural preservation. However, little federal funding aimed at increasing broadband service actually goes to tribal entities, even though the National Broadband Plan stressed that tribes needed substantially greater financial support and recommended that federal agencies facilitate tribal access to broadband funding opportunities. Tribes may face barriers in obtaining federal funds to deploy broadband, and the Broadband Opportunity Council recognized the need for federal agencies to reduce the barriers that are impeding broadband deployment. However, RUS has not taken steps to identify or address the barriers tribes face when applying for RUS grant funding. By identifying and addressing any regulatory barriers that impede tribal entities\u2019 access to RUS funding, RUS could help tribes obtain funding to expand broadband deployment on tribal lands."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Agriculture should direct the Administrator of RUS to undertake an assessment to identify any regulatory barriers that may unduly impede efforts by tribes to obtain RUS federal grant funds for broadband deployment on tribal lands and implement any steps necessary to address the identified barriers. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FCC, RUS, and NTIA for comment. FCC and RUS provided technical comments, which we incorporated as appropriate; NTIA did not have any comments. A Department of Agriculture official indicated in an e-mail message that RUS neither agreed nor disagreed with the recommendation. RUS\u2019s technical comments noted that RUS has and will continue to work with tribes to facilitate broadband deployment, whether tribes have the desire and capacity to provide the service or whether another provider is able to bring that service to tribal areas.", "We are sending copies of this report to the appropriate congressional committees, the Chairman of FCC, the Secretary of Agriculture, the Secretary of Commerce, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report discusses (1) examples of partnership arrangements that tribal entities have used to increase broadband deployment on tribal lands and the outcomes of those partnerships, (2) the amount of funding provided to tribal entities for broadband deployment from key federal programs, and (3) stakeholder-identified barriers that tribal entities face in obtaining federal funding for broadband deployment and the extent to which federal agencies have taken action to address those barriers.", "To address these objectives, we reviewed relevant federal statutes, including the Communications Act of 1934, as amended, and Federal Communications Commission\u2019s (FCC) regulations, orders, and policy statements including FCC\u2019s Statement of Policy on Establishing a Government-to-Government Relationship with Indian Tribes. In addition, we reviewed documentation and interviewed officials from FCC, including officials from the Office of Native Affairs and Policy; U.S. Department of Agriculture\u2019s Rural Utilities Service (RUS); U.S. Department of Commerce\u2019s National Telecommunications and Information Administration (NTIA); and U.S. Department of Housing and Urban Development\u2019s Office of Native American Programs.", "To gather information on partnership arrangements that tribes have entered to increase broadband deployment on tribal lands and their outcomes, we conducted a review of relevant published literature that included government reports, industry articles, and publications from associations, non-profits, and public policy research organizations. Although we were not able to identify an industry-accepted definition of partnerships, we used the term partnerships to refer to instances in which a tribal nation or tribal government works with another entity to design, build, or operate infrastructure assets, or other capital assets to improve or enhance broadband service. This also included partnerships between a tribe and its tribally owned broadband provider. To identify examples of tribal broadband partnerships for our review, we first interviewed agency officials, tribes, private providers, and other stakeholders such as tribal associations. We also identified broadband projects with a tribal partnership component by reviewing reports from 2010 to 2017 for the following federal programs: (1) FCC\u2019s Universal Service Fund high-cost program and Connect America Fund (including the Mobility Fund Phase I (Auction 901) and Tribal Mobility Fund Phase I (Auction 902)); (2) RUS\u2019s Community Connect Program; (3) RUS\u2019s Broadband Initiatives Program; and (4) NTIA\u2019s Broadband Technology Opportunities Program. While there may be other tribal partnership examples that exist, through these efforts we identified seven broadband projects with a tribal partnership component completed within the last 5 years (2013 to 2017). We interviewed tribal leaders and officials from the seven tribes that were involved in the selected partnerships, and visited six tribes in Idaho, New Mexico, and Washington State. When meeting with tribal leaders and officials, we used the same semi-structured interview questions for all tribes; however, tribal officials may not have answered all questions. Because we limited our review to these seven selected partnership examples, our findings are not generalizable.", "To determine the amount of funding from key federal programs provided to tribal entities for broadband deployment, we first identified the federal programs that provide broadband funding from NTIA\u2019s Guide to Federal Funding of Broadband Projects. The guide lists 17 federal programs that fund broadband infrastructure. Of those federal programs, we focused our review on four programs, three in FCC and one grant program in RUS, selected because they provide the most directly relevant funding for broadband deployment in unserved areas, which includes tribal lands. We first identified federal agencies and programs that provide grants or loans to tribal and non-tribal entities to buildout broadband infrastructure on tribal lands including: FCC, RUS, U.S. Department of Commerce Economic Development Administration (EDA), and NTIA. We interviewed federal agency officials to identify any additional federal programs that provided funding in the last 7 years. We excluded federal loan programs because they may require letters of credit and or assets as collateral, which is often not a feasible option for tribes given land ownership issues. We also considered but excluded those federal programs that are not directly related to broadband expansion and deployment, such as the Department of Housing and Urban Development\u2019s Choice Neighborhoods Program, whose primary purpose is housing related. We compiled total funding data for these four federal programs and the amount of funding provided to tribes and tribal entities for broadband deployment projects for 2010 to 2017. We took steps to assess the reliability of the data\u2014such as cross-checking the data, following up with agency officials, and reviewing documentation\u2014and found the data were sufficiently reliable for the purposes of summarizing total funding and the amount provided to tribes and tribal entities. Because we relied upon titles or names of grant recipients to identify those grants awarded to tribes and tribally owned providers, our analysis may not include some grants awarded to broadband providers that deploy infrastructure to larger service areas that may also include tribal lands.", "To determine stakeholder-identified barriers that tribal entities face in obtaining federal funding for broadband deployment and federal government efforts to address those barriers, we interviewed FCC and RUS officials and the tribal government officials, tribally owned broadband providers, and tribal associations listed in table 1. We interviewed representatives from 17 tribes in different locations with varying population sizes and levels of broadband deployment. Additionally, we interviewed officials from 9 tribally owned and 7 private broadband providers operating on tribal lands. We selected these broadband providers to interview because they received federal support to serve on tribal lands or because they were a designated eligible telecommunications carrier (ETC) serving tribal interests. Furthermore, we identified and interviewed industry stakeholders such as research groups and telecommunications associations on their views regarding barriers to obtaining federal program assistance for broadband deployment on tribal lands. These stakeholders were selected based on their exposure to broadband issues on tribal lands such as representing tribally owned broadband providers. The views obtained from these interviews are not generalizable to all tribes, all broadband providers, or all industry stakeholders. We also reviewed a report from the Broadband Opportunity Council directing agencies to identify and address regulatory barriers that may unduly impede broadband deployment and assessed RUS\u2019s efforts to address the regulatory barriers tribes may face in attempting to obtain RUS funding for broadband deployment. For a complete list of entities we interviewed see table 1.", "We conducted this performance audit from September 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Mark L. Goldstein, (202) 512-2834 or goldsteinm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sally Moino (Assistant Director); Tina Paek (Analyst in Charge); Rose Almoguera; Sharon Dyer; Hannah Laufe; Serena Lo; Cheryl Peterson; Malika Rice; Amy Rosewarne; Jay Spaan; James Sweetman, Jr.; Hai Tran; and Jade Winfree made key contributions to this report."], "subsections": []}]}], "fastfact": ["About 35% of Americans living on tribal lands lack access to broadband service. This can limit tribes' economic opportunity, education, public safety, and more.", "Tribes can partner with private broadband providers, regional consortiums, and others to increase access, but such partnerships are rare. Tribes can also apply for federal funding for broadband projects, but often have trouble meeting requirements such as completing feasibility studies or getting matching funds.", "We recommended that the Rural Utilities Service, which provides broadband funding, identify barriers to funding access and help tribes overcome them."]} {"id": "GAO-18-380", "url": "https://www.gao.gov/products/GAO-18-380", "title": "VA Health Care: Progress Made Towards Improving Opioid Safety, but Further Efforts to Assess Progress and Reduce Risk Are Needed", "published_date": "2018-05-29T00:00:00", "released_date": "2018-05-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Comprehensive Addiction and Recovery Act of 2016 and Senate Report 114-57 included provisions for GAO to report on VHA's OSI and the opioid prescribing practices of its health care providers.", "This report examines, among other issues, (1) the extent to which VHA has met OSI goals established in 2014 and (2) the extent to which VHA providers adhere to key opioid risk mitigation strategies. To do this work, GAO reviewed data and documents related to OSI efforts and goals and interviewed VHA officials. In addition, GAO reviewed a random, nongeneralizable selection of medical records for 103 veterans who were prescribed opioids at five selected VHA medical facilities from March 2016 through March 2017. GAO selected the facilities to obtain diversity in geography and rates of opioid prescribing. At the selected facilities, GAO reviewed facility data and documents related to opioid safety and interviewed officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Veterans Health Administration (VHA) has made progress improving opioid safety through its Opioid Safety Initiative (OSI). Launched in 2013, the OSI aims to help ensure that veterans are prescribed opioids in a safe and effective manner. Since the OSI began, VHA has seen reductions in opioid prescribing rates. For example, from the fourth quarter of fiscal year 2013 to the first quarter of fiscal year 2018, the percentage of patients dispensed an opioid decreased from about 17 percent to about 10 percent, or by about 267,000 veterans. Also, available evidence suggests VHA has accomplished six of nine OSI goals established in 2014; however, it is unclear whether the remaining three goals have been fully met. For example, in the case of OSI goal four (establishing safe and effective regional tapering programs for patients on opioids and benzodiazepines), GAO found that VHA lacked documentation that its regional networks established these programs. VHA also did not establish measures of safety or effectiveness under this goal. These limitations prevent VHA from fully evaluating progress and accurately determining the extent to which its efforts to help ensure safe and effective prescribing of opioids have been successful.", "In a review of a nongeneralizable sample of 103 veterans' medical records at five selected VHA medical facilities, GAO found that VHA providers did not always adhere to key opioid risk mitigation strategies, which are required by VHA policy or relevant to OSI goals. For example, among 53 veterans who were prescribed long-term opioid therapy (defined as a 90-day supply in the last 6 months), GAO found that", "40 veterans did not have their names queried in a state-run prescription drug monitoring program database. The databases are used to identify patients who are receiving multiple prescriptions that may place them at greater risk for misusing opioids or overdosing;", "21 veterans did not have a urine drug screening within the year prior to having their prescription filled. The screenings are used to determine whether veterans are taking their opioid medications as prescribed; and", "12 veterans did not provide written informed consent. Informed consent is a formal acknowledgement that the veteran has been educated on the risks and benefits of opioid use prior to initiating long-term opioid therapy.", "GAO found several factors that may have contributed to inconsistent adherence to key opioid risk mitigation strategies at the selected VHA facilities. For example, four of the five selected facilities did not have a pain champion (a primary care position required by VHA that can help providers adhere to opioid risk mitigation strategies), and not all facilities had access to academic detailing, a program in which trained clinical pharmacists work one-on-one with providers to better inform them about evidence-based care related to the appropriate treatment of relevant medical conditions. In addition, three of the five facilities did not consistently review veterans' medical records to ensure provider adherence to these strategies. To the extent that these factors affect all VHA facilities, VHA will continue to face challenges ensuring that its providers prescribe opioids in a safe and effective manner."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to VHA, including that it document actions and develop measurable outcomes related to its OSI goals, ensure that providers are adhering to opioid risk mitigation strategies, and ensure that all its regional networks have implemented academic detailing programs and that all VHA medical facilities have a designated primary care pain champion, as required. The Department of Veterans Affairs concurred with GAO's recommendations and described steps it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States is in the midst of an unprecedented opioid epidemic. According to 2016 data from the Substance and Mental Health Services Administration, nearly 12 million people age 12 or older misused opioids in the previous year. In addition, Centers for Disease Control data show that over 42,000 people died as a result of an opioid overdose in 2016\u2014 either from prescription opioids or illicit opioids such as heroin\u2014a fivefold increase since 1999. According to the Department of Veterans Affairs\u2019 (VA) Veterans Health Administration (VHA), veterans are twice as likely to die from an accidental overdose when compared to the non-veteran population.", "VHA has found that in its primary care settings, more than 50 percent of male veterans report having chronic pain, and the incidence among female veterans may be higher. To help ensure that veterans are prescribed and use opioid pain medications in a safe and effective manner, VHA launched its national Opioid Safety Initiative (OSI) in 2013. In 2014, VHA established a number of goals and requirements under the OSI aimed at improving the safety and care of veterans who are prescribed opioids for pain. In addition, in 2017, VA, along with the Department of Defense (DOD), updated its clinical practice guidelines related to opioid therapy for chronic pain to increase providers\u2019 awareness of evidence-based pain management practices.", "The Comprehensive Addiction and Recovery Act (CARA) of 2016 requires VA to implement a number of efforts aimed at improving opioid safety for veterans. CARA also includes a provision for GAO to assess VHA\u2019s recent efforts under the OSI as well as the opioid prescribing practices of VHA health care providers. In addition, a Senate Report accompanying H.R. 2029, enacted as the 2016 Consolidated Appropriations Act, included a provision for GAO to review the effectiveness of the OSI and overall opioid prescribing patterns throughout VHA. In this report, we 1. describe key efforts VHA has undertaken since 2013 as a part of the 2. examine the extent to which VHA has met its OSI goals established in 2014 and implemented certain provisions of CARA related to monitoring veterans who are prescribed opioids; and 3. examine the extent to which VHA providers adhere to selected opioid risk mitigation strategies and clinical practice guideline recommendations related to prescribing opioids.", "To describe key efforts VHA has undertaken since 2013 as a part of the OSI, we reviewed VHA documents and interviewed VHA Central Office officials regarding OSI efforts, including VHA efforts to monitor and address opioid prescribing patterns. We also analyzed data VHA collects under the OSI on four metrics related to rates of opioid prescribing and urine drug screening among certain veterans from the fourth quarter of fiscal year 2013 (roughly when the national OSI began at VHA) to the first quarter of fiscal year 2018, the most current quarter of data available at the time of our review. We also analyzed VHA data from its academic detailing programs on the frequency with which program representatives consulted with VHA providers on issues related to opioid safety. We assessed the reliability of the data sources by reviewing relevant documentation, interviewing knowledgeable agency officials, and reviewing the data for missing values and outliers. Through these steps, we determined that the data were sufficiently reliable for the purposes of this reporting objective.", "To examine VHA\u2019s progress on its 2014 OSI goals, we reviewed VHA documents and data relevant to OSI goals, including VHA opioid safety training data and OSI metric data. We also interviewed VHA Central Office officials, selected Veteran Integrated Service Network (VISN) officials, and VHA medical facility officials from 5 of 170 VHA medical facilities that we selected for our review. We selected the 5 VHA medical facilities based on variation in geography and to reflect the full range of variation in the rate of change over time in the percentage of veterans who have been prescribed an opioid. Our findings from the selected facilities are not generalizable to all VHA medical facilities. We examined VHA\u2019s progress on its OSI goals in the context of federal internal control standards for documentation requirements and the establishment and review of performance measures and indicators. We assessed the reliability of the data sources by reviewing relevant documentation, interviewing knowledgeable agency officials, and reviewing the data for missing values and outliers. Through these steps, for the purposes of this reporting objective, we determined that the VISN-level opioid safety training assignment data were not reliable; however, all other data sources we analyzed were sufficiently reliable. To assess whether VHA is meeting certain provisions of CARA related to monitoring veterans who are prescribed opioids, we interviewed VHA Central Office officials and reviewed documents related to these provisions.", "To examine the extent to which VHA providers adhere to selected opioid risk mitigation strategies and clinical practice guideline recommendations related to prescription opioid therapy, we focused on three key VHA opioid risk mitigation strategies and three VA/DOD clinical practice guideline recommendations\u2014all of which, generally speaking, are strong evidence-based strategies for reducing the potential health risks associated with opioid use. The three opioid risk mitigation strategies are the following: an annual urine drug screening for patients on long-term opioid therapy (defined by VHA as having had a 90-day supply in the last 6 months; increasing these screenings is an explicit goal of the OSI; a VHA-required annual query of a prescription database maintained by a state prescription drug monitoring program when prescribing controlled substances, including opioids, to check for whether patients are receiving multiple prescriptions; and obtaining written informed consent from patients on the use of opioids so that they have an informed understanding of the medications\u2019 risks and benefits, as required by VHA policy.", "The three clinical practice guideline recommendations are the following: the use of non-pharmacological treatments (such as cognitive behavioral therapy and yoga) in addition to or in lieu of opioid therapy; the prescribing of naloxone to help reverse opioid overdoses; and appropriate follow-up visits with a provider after an opioid is prescribed and after an opioid prescription is changed.", "To assess adherence to these opioid risk mitigation strategies and guideline recommendations, we reviewed a random, nongeneralizable sample of medical records for 103 veterans who had received long-term opioid therapy between March 1, 2016 and March 31, 2017. The 103 records we reviewed included a minimum of 20 records each from our five selected facilities. The sample of records also included records for 50 veterans at a greater risk of adverse events due to opioid use, including 25 veterans who received benzodiazepines concurrently with an opioid and another 25 veterans who were categorized as \u201cvery high\u201d risk in VHA\u2019s opioid safety monitoring tool, the Stratification Tool for Opioid Risk Mitigation (STORM), during the summer and fall of 2017 when the medical record review was conducted. As part of our work, we also reviewed relevant documents and interviewed officials from the five selected VHA medical facilities, the VISNs associated with the facilities, and VHA Central Office.", "We conducted this performance audit from November 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["To help ensure that veterans are prescribed and use opioid pain medications in a safe and effective manner, VHA launched its OSI nationally in 2013. VHA established nine OSI goals in a December 2014 memorandum. For each of the goals, VHA directed its VISNs and their associated VHA medical facilities to take specified actions to meet the goals. (See table 1.)", "VHA has also developed opioid risk mitigation strategies for its providers to follow when prescribing opioid pain medications to veterans. These key strategies include one whose increased use is an explicit goal for the OSI and two that are requirements in VHA policy. 1. Annual urine drug screening for veterans on long-term opioid therapy.", "Providers should generally ensure that a urine drug screening has been conducted for veterans who are on long-term opioid therapy at least once in the 365 days prior to initiating or renewing an opioid prescription. Urine drug screening allows providers to monitor the types of drugs that are in a veteran\u2019s system, including controlled and illicit substances. Increasing the use of urine drug screening is OSI goal two. 2. Annual prescription drug monitoring program (PDMP) query. PDMPs are state-run electronic databases used to track the prescribing and dispensing of prescriptions for controlled substances, identify suspected misuse or diversion (i.e., channeling drugs into illegal use), and identify trends in drug utilization. In 2016, VHA began requiring in policy that providers query state PDMPs at least once annually when prescribing opioids to determine whether their patients have received prescriptions for opioid medications or other controlled substances from non-VA providers. 3. Informed consent for long-term opioid therapy. In 2014, VHA began requiring in policy that providers educate their patients on the risks associated with the use of prescription opioids and to obtain veterans\u2019 formal acknowledgment of these risks in writing prior to initiating long- term opioid therapy."], "subsections": [{"section_title": "Clinical Practice Guidelines for the Treatment of Chronic Pain", "paragraphs": ["In 2010, in coordination with DOD, VA developed clinical practice guidelines for its providers to use when prescribing opioids for chronic pain. These guidelines were updated in 2017. While clinical practice guidelines contain evidence-based recommendations, they are not required to be followed in all clinical situations; therefore, variations in practice may occur based on individual patient needs subject to the discretion of the provider.", "The 2017 VA/DOD clinical practice guidelines related to opioid therapy for chronic pain generally complement VHA\u2019s OSI goals. For example, the guidelines recommend a conservative use of opioids for chronic pain and emphasize strategies to mitigate the risk of using opioids. The evidence- based clinical practice guideline recommendations include the following: 1. Use of non-pharmacological treatments. The guidelines advise not initiating opioid therapy for chronic pain. They also recommend alternatives to opioid therapy, such as non-opioid medications and non-pharmacological treatments. Non-pharmacological treatments for chronic pain include, for example, cognitive behavioral therapy and yoga. 2. Naloxone prescribing. Naloxone is a highly effective, potentially life- saving intervention for reversing opioid overdoses, and it can be prescribed to veterans as a preventive measure. Veterans who are prescribed naloxone can use it when experiencing an overdose or a family member can administer it on their behalf. According to the clinical practice guidelines, naloxone should be offered as an antidote to all patients at risk for an opioid overdose, including those who are in the process of tapering from opioids. The guidelines describe several significant risk factors which can indicate the prescribing of naloxone, including the duration and dose of opioids, current or history of depression or substance use disorder, and suicidality. 3. Appropriate follow-up visits with a provider. According to the guidelines, follow-up pain management visits should be scheduled at least every 1-4 weeks after any change in medication regimen and at least once every 1-3 months for the duration of the therapy to help ensure that the treatment plan is optimized."], "subsections": []}]}, {"section_title": "Under Its OSI, VHA Tracks Opioid Prescribing Patterns, Identifies Prescribing Outliers, and Educates Prescribers", "paragraphs": ["VHA officials told us that the main focus of the OSI is changing the prescribing patterns of providers to better align with evidence-based practices. We found that this has been carried out by VHA through three key efforts: tracking opioid prescribing rates and other trends, identifying irregular prescribing patterns, and educating providers on best practices through academic detailing.", "Tracking Opioid Prescribing Patterns. Under the OSI, VHA uses quarterly data derived from VHA\u2019s electronic medical record system to monitor prescription opioid use among veterans, the related prescribing patterns of VHA providers, and the rates of urine drug screening for veterans receiving long-term opioid therapy. Specifically, VHA tracks the following four clinical indicators, known as the OSI metrics, for each of its medical facilities: 1. the percentage of patients dispensed an opioid, 2. the percentage of patients dispensed an opioid and a benzodiazepine, 3. the percentage of patients on long-term opioid therapy who received a urine drug screen within the previous year of having their prescription filled, and 4. the percentage of patients dispensed greater than or equal to 100 morphine milligram equivalents per day.", "Our analysis of quarterly OSI metric data shows that since the beginning of the OSI in the fourth quarter of fiscal year 2013 to the first quarter of fiscal year 2018 (the most recent data available at the time of our review), the percentage of veterans dispensed an opioid has decreased by 7 percentage points, or roughly 267,000 veterans, while the rate of urine drug screening for veterans on long-term opioid therapy increased significantly\u2014by over 47 percentage points. The increase in the percentage of patients receiving a urine drug screening was driven more by a reduction in the total number of patients on long-term opioid therapy (about 197,000 veterans) than an increase in the number of patients receiving the screening (about 27,000 veterans). (See table 2.)", "Identifying Irregular Prescribing Patterns. As part of its monitoring of the OSI metrics, VHA Central Office has periodically identified VHA medical facilities and VHA providers who deviate from average prescribing rates across VHA. For example:", "Facilities. In 2014, VHA Central Office identified 39 of 140 medical facilities across 12 VISNs with relatively higher rates of opioid dispensing as outliers based on the OSI metric percentage of veterans dispensed an opioid. VHA Central Office notified the VISNs of these facilities and required each facility to submit a corrective action plan to VHA Central Office outlining the actions they would take to reduce opioid prescribing. Based on our analysis of VHA documents, we found that the identified facilities in the five VISNs selected for our review submitted information in response to VHA Central Office\u2019s request.", "Providers. In February 2017, VHA Central Office identified 320 outliers out of 8,351 providers at 94 VHA medical facilities based on the relatively high proportion of their patients who were prescribed opioids. VHA Central Office directed the VHA medical facilities associated with these outlier providers to review their prescribing rates in the context of their clinical practice, and to report back with any feedback given or actions taken. According to officials from the five facilities in our review, outlier providers tended to be surgeons, pain management specialists, or physical rehabilitation providers who might be expected to prescribe opioids at a higher-than-average rate due to the nature of their specialty and the types of patients they treat. According to a VHA Central Office progress report, the facilities provided feedback and follow-up actions for 319 out of 320 outlier providers. In May 2017, VHA identified a second round of 303 outliers out of 8,505 providers; 187 of these providers were previously identified as outliers in February 2017. According to one VHA Central Office official, as of September 2017, VHA was reviewing these outlier data and will evaluate whether VHA facilities will be asked to conduct further reviews of these prescribers.", "Educating Providers through Academic Detailing. To help change the prescribing patterns of providers, VHA has also implemented a system- wide academic detailing program to educate providers and improve the delivery of evidence-based health care at facilities. In 2015, VHA required each VISN to establish such a program to improve performance on all OSI metrics. According to VHA Central Office officials, academic detailers are responsible for reviewing facility-level data on the prescribing patterns of providers and identifying potential areas of improvement. Detailers can educate providers with higher-than-average prescribing rates\u2014such as those outliers identified in February and May 2017 by VHA Central Office\u2014to help ensure providers are delivering safe and effective care for pain.", "According to VHA, as of January 2018, academic detailers have conducted over 20,000 opioid-related visits to VHA providers. According to VHA officials, their data also show that academic detailing results in greater patient safety for veterans taking opioids. For example, compared with those who did not receive academic detailing visits, providers who did receive such visits experienced (1) greater reductions in the proportion of their patients on high-dose opioids, (2) reductions in their patients\u2019 average morphine milligram equivalent daily dosage, and (3) increases in their naloxone prescribing rates."], "subsections": []}, {"section_title": "VHA Has Made Progress on OSI Goals, but Performance Measurement Limitations Exist for Some Goals and Certain CARA Provisions Have Not Been Fully Implemented", "paragraphs": [], "subsections": [{"section_title": "VHA Has Made Progress on Many 2014 OSI Goals, but for Some Goals, Performance Measurement Limitations Prevent an Accurate Determination of their Completion", "paragraphs": ["Based on our analysis of VHA information, we found evidence suggesting that the agency has accomplished six of the nine 2014 OSI goals. For example, the agency has seen increases in the use of urine drug screening for veterans on long-term opioid therapy, and it has developed provider tools to identify veterans at a higher risk for adverse events while using opioids. For several goals, although VHA did not implement the actions required in all those instances, the agency provided us with information or data demonstrating that the goals had effectively been met. However, for three OSI goals, it is unclear if the goal has been fully met because VHA lacks documentation showing that it has implemented the required action under the goal or the required action is still in progress. (See table 3.) (See appendix I for a more detailed description of VHA\u2019s known efforts and data related to each goal).", "When asked about the lack of documentation for two of its OSI goals (goals four and seven), VHA officials told us that relevant documentation could not be produced. This lack of documentation is inconsistent with federal internal control standards. Specifically, according to federal internal control standards, management should evaluate and document the results of monitoring. By not documenting the actions it is taking under each of its OSI goals, VHA lacks assurance that these actions have been implemented by the VISNs or VHA medical facilities. As a result, VHA does not know whether it has fully met these OSI goals.", "Moreover, for the OSI goal related to establishing safe and effective VISN tapering programs for veterans using opioids and benzodiazepines (goal four), VHA officials told us that they addressed this goal by issuing national tapering guidance, including a provider reference guide in 2014, an opioid taper decision tool in 2016, and the VA/DOD clinical practice guidelines in 2017. However, these actions do not appear to be sufficient for meeting the goal as it is currently written, because issuing national guidance alone does not ensure that safe and effective tapering programs are established. Furthermore, VHA did not specify how safety and effectiveness within a tapering program would be measured, nor did the agency specify a deadline for the required action as described in December 2014. According to federal internal control standards relating to the establishment and review of performance measures and indicators, government agencies should use appropriate information to adequately assess performance, including establishing milestones or numerical targets, as appropriate. Without clearly defined and measurable outcomes, VHA cannot fully assess its progress towards meeting this OSI goal."], "subsections": []}, {"section_title": "VHA Has Not Implemented Certain CARA Requirements Related to Monitoring Veterans Prescribed Opioids", "paragraphs": ["We also found that VHA has not implemented two CARA requirements intended to improve opioid safety for veterans. First, CARA requires that VHA\u2019s Opioid Therapy Risk Report (OTRR) have the ability to determine whether a provider has prescribed opioids to a veteran without checking that veteran\u2019s information in the OTRR. Available to providers through VHA\u2019s electronic medical record system, OTRR is a clinical tool that provides information on any opioid and concurrent benzodiazepine prescriptions a veteran is receiving, the veteran\u2019s current and prior health conditions, recent and upcoming appointments, and whether any opioid risk mitigation strategies have been employed (such as urine drug screening or PDMP query). However, we found that VHA Central Office cannot track the extent to which VHA providers use OTRR because this tool does not have this tracking capability. VHA officials said that adding tracking capabilities to OTRR is not a high priority for the agency due to limited resources and competing priorities. Instead, according to a draft memorandum, VHA Central Office is planning to address this CARA provision by requiring VHA providers to document the use of OTRR in a standardized way that VHA can monitor. However, as of March 2018, VHA has not established this requirement or outlined the process for monitoring providers\u2019 use of OTRR. Without the ability to track the use of OTRR, VHA cannot sufficiently monitor whether providers are using the tool to help reduce the likelihood of opioid-related adverse events occurring among veterans receiving care through VHA.", "CARA also requires that VHA modify its electronic medical record system so that any provider who accesses the record of a veteran will be notified whether that veteran is receiving opioid therapy and has a history of substance abuse disorder or prior instances of overdose; has a history of opioid abuse; or is at risk of developing an opioid use disorder. However, we found that VHA does not plan to modify its electronic medical record system to implement this capability. When asked about this provision in CARA, VHA officials said that VHA\u2019s medical record currently has real- time alerts to inform providers about veterans\u2019 existing opioid prescriptions and that any patient exposed to an opioid could be at risk of developing an opioid use disorder. Additionally, they said that an alert regarding current or past history of opioid use disorder could have an unintended consequence of discouraging veterans from reporting their medical history due to the stigma surrounding drug use disorders."], "subsections": []}]}, {"section_title": "VHA Providers Do Not Always Adhere to Required Opioid Safety Risk Mitigation Strategies and Guideline Recommendations for Prescribing Opioids in a Safe Manner", "paragraphs": [], "subsections": [{"section_title": "VHA Providers at Selected Medical Facilities Do Not Consistently Follow Opioid Risk Mitigation Strategies", "paragraphs": ["Our review of selected VHA medical facilities shows that providers do not always follow three key opioid risk mitigation strategies, two of which are required under VHA policy. Specifically, increasing the use of urine drug screening is an explicit goal of the OSI, and providers should generally ensure that an annual urine drug screening has been conducted. VHA policy requires providers to 1) query state PDMPs at least annually when prescribing opioids to determine if the veteran has obtained opioid medications or other controlled substances from a non-VA provider and 2) obtain written informed consent from patients about the risks of initiating long-term opioid therapy. These strategies are intended to help ensure that patients at VHA medical facilities are safely prescribed opioid medications. Overall, based on our review of 103 veterans at five selected facilities, we found that 75 percent of the veterans in our sample had an annual urine screening, 26 percent had their names queried in a PDMP, and 70 percent provided informed consent.", "Provider Adherence to Three Veterans Health Administration (VHA) Opioid Risk Mitigation Strategies at Five Selected Medical Facilities, March 2016 through March 2017 Increasing the use of urine drug screening is an explicit goal of VHA\u2019s Opioid Safety Initiative (OSI), and providers should generally ensure that an annual urine drug screening has been conducted. VHA policy requires providers to (1) query state prescription drug monitoring programs (PDMP) at least annually when prescribing opioids to determine if the veteran has obtained opioid medications or other controlled substances from a non-VA provider, and (2) obtain written informed consent from patients about the risks of initiating long-term opioid therapy. However, our review of medical records for a random nongeneralizable selection of 103 veterans subject to these risk mitigation strategies found that Of the 53 veterans who received long-term opioid therapy: 32 veterans received an annual urine drug screening, which allows providers to monitor the types of medications in a veteran\u2019s system, including controlled and illicit substances; 13 veterans had their names queried annually in a state PDMP to see if they had received prescriptions for controlled substances, including opioids from non-VHA prescribers; and 41 veterans had provided informed consent indicating that they had been educated on the risks and benefits of opioid use.", "Of the 25 veterans prescribed an opioid and benzodiazepine concurrently: 17 veterans received an annual urine drug screening; 8 veterans had an annual PDMP query; and 22 veterans had provided informed consent.", "Of the 25 veterans with the highest risk of an adverse event, such as a suicide, overdose, fall, or accident, based on their Stratified Tool for Opioid Risk Mitigation (STORM) risk score: 24 veterans received an annual urine drug screening; 5 veterans had an annual PDMP query; and 11 veterans had provided informed consent.", "We identified a number of factors that may have contributed to the inconsistent adherence to the three key opioid risk mitigation strategies at our selected VHA medical facilities. These factors may impede providers\u2019 ability to consistently follow these strategies for all applicable patients at these facilities. To the extent that these factors are present across other facilities, VHA\u2019s ability to ensure that all veterans are prescribed opioids in a safe and effective manner may be limited.", "PDMP access issues. Officials at four of the five selected medical facilities faced PDMP access issues. Officials at two facilities told us that not all facility staff can access state PDMPs due to state laws and regulations that do not allow access to all types of providers, such as nurses and pharmacists. Officials at one of these selected facilities explained that nurse practitioners in that state cannot access the state\u2019s PDMP, so they must rely on other providers to obtain information from the PDMP about their patients. In addition, in some states, only providers licensed in the state may access the state\u2019s PDMP. Because providers at VHA facilities may not be licensed in the state where the VHA facility is located but licensed in another state, these providers may be unable to access the state\u2019s PDMP. Officials at two selected facilities also described difficulties accessing PDMPs in neighboring states that are part of the catchment area for the facility and where the veteran may reside. The low rates of adherence we identified may also be attributed to the fact that VHA did not require providers to query the PDMP until October 2016, 7 months into our review of patients from March 2016 to March 2017.", "CARA directed VA to ensure access by VHA providers to information on controlled substances prescribing through state PDMPs, including by seeking to enter into memoranda of understanding with states to allow shared access of such information between states and the VA. According to VHA officials, VHA Central Office has not taken steps to develop memoranda of understanding with states, nor has it developed any related guidance. Officials said this issue is likely being addressed by individual VISNs and medical facilities. In addition, VHA officials told us they have communicated with Members of Congress and the National Governors Association to address issues related to VHA provider access to the state PDMPs.", "Lack of required staff to support providers. We also found that not all of the selected medical facilities and their respective VISNs had filled required staff positions that can help ensure provider adherence to opioid risk mitigation strategies\u2014specifically, academic detailers and pain champions.", "At the time of our review, not all facilities had access to VISN academic detailing services, which, according to VHA, can help ensure that providers follow opioid risk mitigation strategies. While VHA officials said that most VISNs across VHA had implemented an academic detailing program as required by VHA policy, two of the five VISNs for the selected facilities in our review had not. Nationally, as of March 2018, four VISNs had not implemented an academic detailing program. Additionally, 11 facilities across VHA had not received a visit from a detailer.", "At the time of our review, four of five selected facilities did not have a Pain Champion as required by VHA policy beginning in March 2015. Pain champions are generally primary care providers knowledgeable about pain care who can serve as a resource for other primary care providers by promoting safe and effective pain care. According to VHA officials, pain champions play a critical role in opioid safety and can help providers remedy gaps in pain care management for individual patients, such as incomplete opioid risk mitigation strategies.", "Lack of clinical opioid safety alerts. Another factor that may limit adherence to the opioid risk mitigation strategies is the fact that none of the selected facilities employ electronic reminders to help remind primary care nurses of strategies that have not been completed. Primary care nurses are typically responsible for ensuring adherence to these strategies, and VHA facilities often employ electronic alerts to notify providers when certain tasks need to be completed, such as regular screenings for depression and traumatic brain injury. Although VHA facilities are not required to develop these alerts, according to some primary care nurses we interviewed, it would be helpful to receive a reminder when a veteran is due for a PDMP query, urine drug screening, or has not given long-term opioid use informed consent. According to the nurses, such an alert could be issued through the electronic medical record system.", "Limited facility monitoring. We found that facilities\u2019 monitoring of provider adherence to the opioid risk mitigation strategies was limited across the five selected facilities in our review, which could hinder identification of non-adherence to these strategies. Specifically, while we found that all five medical facilities and VISNs in our review have an active pain management committee, facility officials told us that three of five facility committees do not conduct regular medical record reviews, which VHA encourages under its pain management directive to improve pain management. The directive states that facility pain management committees should monitor the pain management practices at their facility. For example, the pain management committee could monitor providers\u2019 care plans for individual veterans, which are to be documented in the veterans\u2019 medical records. These types of medical record reviews could help identify providers who are not adhering to VHA\u2019s opioid safety requirements."], "subsections": []}, {"section_title": "Some VHA Providers Do Not Consistently Follow Clinical Practice Guideline Recommendations Related to Opioid Safety", "paragraphs": ["We also found that some VHA providers at selected facilities do not consistently follow selected clinical practice guideline recommendations related to opioid safety. Our findings are based on our review of a random selection of medical records for 103 veterans prescribed opioids between March 2016 and March 2017. These guidelines recommend, for example, that providers consider using non-pharmacological treatments, such as acupuncture and yoga, for chronic pain and prescribe naloxone, a potentially lifesaving drug, as warranted. The guidelines provide evidence-based recommendations designed to assist in provider decision-making; however, they are not VHA requirements and variations in practice will occur based on provider discretion and the needs of individual patients. Overall, we found that, 20 percent of veterans in our sample were prescribed a non-pharmacological therapy, 23 percent of the veterans were prescribed naloxone, 54 percent had appropriate maintenance follow-up visits with a provider while prescribed opioids, and 17 percent had appropriate follow-up visits with a provider after a change in their opioid prescription.", "Provider Adherence to Selected Clinical Practice Guideline Recommendations for Management of Opioid Therapy for Chronic Pain at Five Selected Veterans Health Administration (VHA) Medical Facilities, March 2016 through March 2017 Clinical practice guidelines provide evidence-based recommendations designed to assist in provider decision-making; however, they are not VHA requirements and variations in practice will occur based on provider discretion and the needs of individual patients. Our review of medical records for a random, nongeneralizable selection of 103 veterans subject to the recommendations found that Of the 53 veterans who had been prescribed long-term opioids: 11 veterans were prescribed a non-pharmacological therapy, such as yoga, or cognitive behavioral therapy; 13 veterans were prescribed naloxone, which is a highly effective intervention for reversing an overdose; 29 veterans had a maintenance follow-up visit at least once every 30-180 days for the duration of the veteran\u2019s opioid therapy; and 3 of 21 veterans who had a change in their opioid medication during the time of our review had a follow-up visit between 14 and 28 days following the change.", "Of the 25 veterans prescribed a concurrent opioid and benzodiazepine: 6 veterans were prescribed a non-pharmacological therapy; 4 veterans were prescribed naloxone; 11 veterans had a maintenance follow-up visit; and 0 of 9 veterans who had a change in their opioid medication during the time of our review had a follow-up visit between 14 and 28 days following the medication change.", "Of the 25 veterans with the highest risk of an adverse event, such as a suicide, overdose, fall, or opioid-induced respiratory depression, based on their Stratified Tool for Opioid Risk Mitigation (STORM) risk score: 4 veterans were prescribed a non-pharmacological therapy; 7 veterans were prescribed naloxone; 16 veterans had a maintenance follow-up visit; and 5 of 17 veterans who had a change in their opioid medication during the time of our review had a follow-up visit between 14 and 28 days following the medication change.", "There are a variety of reasons that VHA providers may not always follow clinical practice guideline recommendations. For example, the availability of these non-pharmacological therapies may be limited, according to officials at all five selected VHA medical facilities. Officials at some facilities noted that the availability of these therapies can be particularly challenging for facilities in rural areas.", "VHA officials explained that the biggest barrier to providing naloxone is educating providers, so that they consistently consider prescribing naloxone for their patients receiving opioid therapy. According to officials, an education course for providers on naloxone prescribing became available in December 2015, and naloxone education efforts are a key focus of academic detailing programs. According to VHA data, since fiscal year 2014, naloxone distribution has increased. Specifically, as of March 2018, the agency has dispensed almost 142,000 naloxone kits to veterans, an increase of about 58 percent since June 2017."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["VHA is taking important steps under the OSI to help ensure that veterans receive safe care. For example, VHA has begun tracking and publicly reporting data on four key metrics related to opioid prescriptions, and these data show that opioid prescription rates have decreased since 2013. In addition, our review also found that VHA has made progress on most of its 2014 OSI goals. However, for two goals, VHA lacks documentation showing whether VISNs and medical facilities have completed required relevant actions, and in one case, VHA has not specified measurable outcomes, which makes it challenging to determine whether these goals have been accomplished. Without sufficient documentation and measurable outcomes, VHA cannot determine whether these OSI goals to help ensure safe and effective care for veterans prescribed opioids have been fully successful.", "Our review also shows that VHA needs to do more to ensure that its providers are following three key opioid risk mitigation strategies when prescribing an opioid medication to a veteran: conducting an annual urine drug screening, querying a PDMP, and obtaining written informed consent from the veteran on the benefits and risks of using opioid medications.", "VHA has several means at its disposal for improving adherence to these strategies\u2014at a minimum it should ensure that each VISN has a fully staffed academic detailing program and that each facility has a designated primary care pain champion, as VHA policy requires. In addition to enforcing these requirements, VHA should direct its facilities to strengthen monitoring efforts to help ensure providers\u2019 adhere to the opioid risk mitigation strategies. These efforts include regular reviews of veterans\u2019 medical records and creating electronic alerts reminding providers when these risk mitigation strategies have not been completed. Academic detailers and pain champions would also help educate providers further about evidence-based clinical practice guideline recommendations, such as non-pharmacological alternatives to opioid therapy and prescribing naloxone. Without these efforts to improve adherence to key opioid risk mitigation strategies, VHA\u2019s ability to ensure that all veterans are prescribed opioids in a safe and effective manner may be limited."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to VA:", "The Undersecretary for Health should ensure that Central Office, VISNs, and medical facilities document the actions they take towards achieving OSI goals. (Recommendation 1)", "The Undersecretary for Health should ensure that any OSI goals that have not been met have clearly defined, measurable outcomes, including milestones or numerical targets, as appropriate, and timeframes. (Recommendation 2)", "The Undersecretary for Health should track the use of the OTRR (or any subsequent tool) by providers prior to initiating opioid therapy. (Recommendation 3)", "The Undersecretary for Health should ensure that all VISNs have implemented an academic detailing program that supports all medical facilities in the VISN and that all VHA medical facilities have a designated primary care pain champion as required. (Recommendation 4)", "The Undersecretary for Health should require VHA medical facilities to take steps to ensure provider adherence to opioid risk mitigation strategies, including querying PDMPs, obtaining written informed consent, and conducting urine drug screening. For example, these steps could include creating alerts in the electronic medical record system to remind primary care teams when these actions should be completed or strengthening facility monitoring of providers. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for comment. While VA was reviewing a draft of this report, it requested further specificity in recommendation two; as a result, we revised the recommendation to be clearer. In its written comments, which are reproduced in appendix II, VA concurred with our recommendations and provided technical comments, which we have incorporated as appropriate.", "In its comments, VA agreed that clarifying ongoing priorities and plans and filling in gaps in implementation will help facilitate progress in its opioid safety efforts. VA stated that it will establish a workgroup to review all OSI goals and ensure that the goals have clearly defined measurable outcomes and timelines, and that documentation requirements are established. VA also informed us that in March 2018 it published a notice requiring VHA clinicians to conduct and document a data-based risk review using one of VHA\u2019s clinical decision support tools for opioid management, such as STORM, prior to initiating opioid therapy. VA also stated that it will take actions to ensure that academic detailing programs are fully implemented and primary care pain champions are in place across the system. To improve its clinicians\u2019 adherence to opioid risk mitigation strategies, VA stated that it will establish a workgroup to review and develop methods for increasing adherence. VA expects to complete all these actions by April 2019 or earlier.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, the Undersecretary for Health, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or clowersa@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Known Efforts and Data Related to the Veterans Health Administration\u2019s (VHA) Opioid Safety Initiative (OSI) 2014 Goals, July 2013-December 2017", "paragraphs": ["Description of known related efforts and data According to VHA training system data, 13 of 21 VISNs developed at least one education course addressing the use of urine drug screening from January 1, 2015 through April 29, 2017. Ten of the 13 VISNs developed at least one course by the deadline (December 31, 2014) as required. Further, 6 of the 13 VISNs had at least one course with 30 or fewer providers completing it. Because we found the VISN course assignment data unreliable, we could not determine the completion rates for these courses. However, we found that, in response to a 2015 White House memorandum that required all federal employee opioid prescribers to complete training on the appropriate prescribing of opioids (which included discussion of urine drug screening) by April 15, 2017, of 20,231 prescribers who were identified and assigned the course, 19,242 completed it, for a completion rate of about 95 percent, according to VHA data from January 1, 2015 through April 29, 2017.", "Urine drug screening targets based on previous urine drug screening rates for all VHA facilities must be reached by 2nd quarter, fiscal year 2015 (March 31, 2015)", "According to VHA data, 151 of 157 facilities met or exceeded their urine drug screening target by the deadline (March 31, 2015) as required. In addition, VHA OSI metric data also show that there has been a 47 percentage point increase nationally in the percentage of patients on long-term opioid therapy who received a urine drug screen from the 4th quarter of fiscal year 2013 to the 1st quarter of fiscal year 2018. The increase in the percentage of patients receiving a urine drug screening was driven more by a reduction in the total number of patients on long-term opioid therapy rather than an increase in the number of patients receiving the screening.", "VHA Central Office lacks certifications from all VISNs that programs were established. Although officials at the five VISNs in our review told us they had supported training efforts on the use of PDMPs, only one VISN in our review provided documentation that it had established a program by the deadline (March 31, 2015) as required. However, in October 2016, VHA issued a directive requiring providers to query state PDMPs for patients prescribed opioids and also issued guidance on how PDMPs should be accessed and how these efforts should be documented in VA\u2019s electronic health record system. In addition, according to VHA officials, querying the PDMP was added to the 2015 White House-required opioid safety training, as described earlier. According to VHA data, there has been a 22 percent increase in the querying of PDMPs by providers from 4th quarter, fiscal year 2016 to 3rd quarter, fiscal year 2017.", "Description of known related efforts and data VHA Central Office lacks documentation from all VISNs regarding VISN-specific protocols and implementation plans. Only one of the five VISNs in our review provided documentation regarding a VISN-specific protocol relating to patients on opioids and benzodiazepines, which was developed in 2013. Four of the five VISNs did not provide documentation of a VISN-specific protocol or implementation plans. However, VHA officials told us that they addressed this goal by issuing national tapering guidance including a provider reference guide in 2014, an opioid taper decision tool in 2016, and the VA/DOD clinical practice guideline in 2017. VHA officials said that the issuance of this guidance made the VISN-required action irrelevant. In addition, VHA OSI metric data show that there has been a 6.6 percentage point decrease nationally in the percentage of patients dispensed an opioid and benzodiazepine from the fourth quarter of fiscal year 2013 to the first quarter of fiscal year 2018.", "In 2016, VHA released its opioid risk stratification toolkit in the form of an opioid safety monitoring tool called the Stratification Tool for Opioid Risk Mitigation. In addition, VHA updated its pain management opioid safety education guide and quick reference guide for providers in July 2017.", "VHA Central Office lacks documentation from all VISNs regarding VISN-specific protocols and implementation plans. Only one of the five VISNs in our review provided documentation regarding a VISN-specific protocol relating to patients on opioids and benzodiazepines, which was developed in 2013. Four of the five VISNs did not provide documentation of a VISN-specific protocol or implementation plans.", "VHA-required action(s) Each VISN must certify that the treatment of all patients with a daily dose of greater than 200 morphine milligram equivalents has been reviewed by 2nd quarter, fiscal year 2015 (March 31, 2015)", "Description of known related efforts and data VHA Central Office lacks certifications from all VISNs that reviews were conducted. Although officials at the five VISNs in our review told us they had completed these reviews, only one VISN provided us with documentation to conclude that its facilities completed their review. However, VHA OSI metric data show that there has been a 2.1 percentage point decrease nationally in the percentage of patients dispensed greater than or equal to 100 morphine milligram equivalents per day from the fourth quarter of fiscal year 2013 to the first quarter of fiscal year 2018.", "Each facility must provide evidence that at least two evidence-based behavioral/psychological treatments or approved complementary or alternative modalities can be provided by 2nd quarter, fiscal year 2015 (March 31, 2015)", "According to VHA 2nd quarter, fiscal year 2015 data, all VHA medical facilities located in the United States provided at least one psychosocial service and at least one complementary and integrative health service.", "In February 2016, VHA began a pilot to implement a model of care known as the Collaborative Chronic Care Model into existing Behavioral Health Interdisciplinary Program teams at nine VHA medical facilities. According to a VHA document, the pilot will provide facilitation support to enhance existing Behavioral Health Interdisciplinary Program teams by incorporating evidence-based Collaborative Care Model elements, which can include a care manager to proactively monitor care and progress as well as other tools intended to improve communication between primary care and specialty care. In fiscal year 2017, efforts were expanded to 30 additional VHA medical facilities. According to one VHA official, the pilot is expected to be completed no earlier than August 2019.", "VISNs are regional networks that manage the VHA medical facilities located in their area. In October 2015, VHA began to implement a realignment of its VISN boundaries which resulted in the number of its VISNs decreasing from 21 to 18. One VISN provided evidence of one VHA medical facility\u2019s tapering recommendations for patients on opioids and benzodiazepines. Based on information we obtained from VHA relative to this goal, \u201cpsychosocial\u201d services refer to \u201cbehavioral/psychological\u201d treatments, and \u201cintegrated health\u201d is a term that may be used to refer to \u201ccomplementary and alternative\u201d modalities. According to a VHA official, the VHA facility in Manila, the Philippines did not offer at least one psychosocial service and at least one integrative health service for this time period."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia A. Mann, Assistant Director; Stella Chiang, Analyst-in-Charge; Emily Binek, Krister Friday, Diona Martyn, and Michael Rose made key contributions to this report. Also contributing were Zhi Boon and Emily Wilson."], "subsections": []}]}], "fastfact": ["The VA has been working to address opioid safety for veterans and has made progress in reducing opioid prescriptions. For example, VA has started a program to educate providers on best practices related to pain management and the optimal use of opioids.", "However, we found that VA has not fully met all of its opioid safety goals. Its health care providers also are not consistently adhering to evidence-based opioid risk mitigation strategies (such as annual urine drug screenings).", "We made a number of recommendations to help the VA improve opioid safety."]} {"id": "GAO-18-274T", "url": "https://www.gao.gov/products/GAO-18-274T", "title": "Veterans Affairs Contracting: Improvements in Buying Medical and Surgical Supplies Could Yield Cost Savings and Efficiency", "published_date": "2017-12-07T00:00:00", "released_date": "2017-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA spends hundreds of millions of dollars annually on medical supplies to meet the health care needs of about 7 million veterans. To provide a more efficient, cost-effective way for its medical centers to order supplies, the VA established the MSPV-NG program.", "The program's goals include involving clinicians in requirements development, leveraging buying power when making competitive awards, and consolidating supplies used across medical centers. VA began developing requirements in early 2015 and launched the program in December 2016.", "This testimony summarizes key information contained in GAO's November 2017 report, GAO-18-34 . Specifically, it addresses the extent to which VA's implementation of MSPV-NG has been effective in meeting program goals. GAO analyzed VA's requirements development and contracting processes, and identified key supply chain practices cited by four leading hospital networks. GAO also met with contracting and clinical officials at six medical centers, selected based on high dollar contract obligations in fiscal years 2014-2016 and geographic representation."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) established the Medical Surgical Prime Vendor-Next Generation (MSPV-NG) program to provide an efficient, cost-effective way for its facilities to order supplies, but its initial implementation did not have an overarching strategy, stable leadership, and workforce capacity that could have facilitated medical center buy-in for the change. VA also developed requirements for a broad range of MSPV-NG items with limited clinical input. Further, starting in June 2015, VA planned to award competitive contracts, but instead, 79 percent of the items available for purchase under MSPV-NG were added through non-competitive agreements. (See figure).", "As a result, the program did not meet the needs of medical centers, and usage remained below VA's 40 percent target. (See figure.)", "VA has taken steps to address some deficiencies and is developing a new approach to the program. However, VA will likely continue to face challenges in meeting its goals until it fully addresses these existing shortcomings."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made 10 recommendations in its November 2017 report, including that VA develop an overarching strategy, expand clinician input in requirements development, and establish a plan for awarding future competitive contracts. VA agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In December 2016, the Department of Veterans Affairs (VA) launched the Medical Surgical Prime Vendor-Next Generation (MSPV-NG) program as its primary means for purchasing supplies, such as bandages and scalpels, for 170 VA medical centers. These supplies are intended to meet the health care needs of about 7 million veterans. In fiscal year 2015, VA obligated $465 million for these types of supplies, and, in 2016, it stated that it planned to achieve $150 million in cost avoidance through a supply chain transformation effort, which includes MSPV-NG. This transition represents a significant change to how medical and surgical supplies are purchased, which has raised questions about whether MSPV-NG will appropriately balance medical needs with logistical efficiency, and whether VA can achieve its planned cost avoidance. Effective supply chain management is an essential part of delivering quality health care to veterans\u2014for instance, an April 2017 interim report issued by the VA Inspector General detailed supply management issues at the District of Columbia VA Medical Center that posed risks to patient care.", "My remarks today are based on our recently issued report on the MSPV- NG program, and I will summarize a few key findings from that report. Specifically, I will address the extent to which VA\u2019s implementation of MSPV-NG has been effective in meeting program goals.", "As part of our work for our November 2017 report, we reviewed VA policy, communications, briefings, and other documents, prior GAO reports on best practices for organizational transformation, and internal control standards. We interviewed Veterans Health Administration (VHA)- and VA-wide procurement leaders, program office managers, and members of three integrated product teams who helped develop the product descriptions for supply items (known as requirements). We also interviewed supply chain managers from four leading hospital networks regarding their medical supply management practices and compared them to those used by VA when implementing the MSPV-NG program. To assess VA\u2019s MSPV-NG contracting process, we analyzed the contents of the formulary (a list of specific items that medical centers are allowed to purchase) to determine what acquisition instrument was used to add the items. We determined that the MSPV-NG formulary data were sufficiently reliable by tracing data to a sample of source documents, among other steps. We selected three VHA regional networks based on those with the highest total contract obligations in fiscal years 2014 through 2016, geographic diversity, and other factors. We conducted site visits to six medical centers within these three regional networks, interviewing contracting and clinical officials. Finally, we obtained and analyzed data on VA\u2019s metrics for the program and determined the data were sufficiently reliable for our purpose of measuring utilization by interviewing officials responsible for maintaining the data and other measures.", "More detailed information on our objectives, scope, and methodology for our work can be found in our November 9, 2017 report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "MSPV-NG Program", "paragraphs": ["For over a decade, each of VA\u2019s 170 medical centers used VHA\u2019s legacy MSPV program to order medical supplies, such as bandages and scalpels. Many of those items were purchased using the Federal Supply Schedules, which provided medical centers with a great deal of flexibility. However, as we reported in 2016, this legacy program prevented VHA from standardizing items used across its medical centers and affected its ability to leverage its buying power to achieve greater cost avoidance. Standardization is a process of narrowing the range of items purchased to meet a given need, such as buying 10 varieties of bandages instead of 100, in order to improve buying power, simplify supply chain management, and provide clinical consistency. In part because of the legacy MSPV program\u2019s limited standardization, VHA decided to transition to a new iteration, called MSPV-NG.", "The transition to MSPV-NG has been a major effort, involving the MSPV- NG program office, stakeholders from the VHA\u2019s Procurement and Logistics Office and VA\u2019s Strategic Acquisition Center (SAC)\u2014a VA-wide contracting organization\u2014and logistics and clinical personnel at every medical center. The program also includes hundreds of new contracts with individual supply vendors and a new set of prime vendor contracts to distribute the supplies.", "VA\u2019s goals for the MSPV-NG program include (1) standardizing requirements for supply items for greater clinical consistency; (2) demonstrating cost avoidance by leveraging VA\u2019s substantial buying power when making competitive awards; (3) achieving greater efficiency in ordering and supply chain management, including a metric of ordering 40 percent of medical centers\u2019 supplies from the MSPV-NG formulary; and (4) involving clinicians in requirements development to ensure uniform clinical review of medical supplies.", "VHA launched the MSPV-NG program in December 2016, but allowed a 4-month transition period. After April 2017, medical centers could no longer use the legacy program. MSPV-NG now restricts ordering to a narrow formulary. VHA policy requires medical centers to use MSPV- NG\u2014as opposed to other means such as open market purchase card transactions\u2014when purchasing items that are available in the formulary."], "subsections": []}, {"section_title": "Supply Chain Practices Identified by Selected Leading Hospital Networks", "paragraphs": ["Leading hospital networks we spoke with have similar goals to VA in managing their supply chains, including clinical standardization and reduced costs. These hospital networks reported they analyze their spending to identify items purchased most frequently, and which ones would be the best candidates to standardize first to yield cost savings. The hospitals\u2019 supply chain managers reported establishing consensus with clinicians through early and frequent collaboration, understanding that clinician involvement is critical to the success of any effort to standardize their medical supply chain. By following these practices, these hospital networks have reported they have achieved significant cost savings in some cases, and the potential for improved patient care, while maintaining buy-in from their clinicians."], "subsections": []}]}, {"section_title": "VHA\u2019s Implementation of MSPV-NG Program Has Not Yet Achieved Its Goals", "paragraphs": ["VHA\u2019s implementation of the MSPV-NG program\u2014from its initial work to identify a list of supply requirements in early 2015, through its roll-out of the formulary to medical centers in December 2016\u2014was not executed in line with leading practices. Specifically, VHA lacked a documented program strategy, leadership stability, and workforce capacity for the transition that, if in place, could have facilitated buy-in for the change throughout the organization. Further, the initial requirements development process and tight time frames contributed to ineffective contracting processes. As a result, VHA developed an initial formulary that did not meet the needs of the medical centers and has yet to achieve utilization and cost avoidance goals. VA made some changes in the second phase of requirements development to address deficiencies identified in the initial roll out. Key among these was to increase the level of clinical involvement, that is, to obtain input from the doctors and nurses at VA\u2019s individual medical facilities. Despite changes aimed at improving implementation, the agency continues to face challenges that prevent the program from fully achieving its goals."], "subsections": [{"section_title": "VA\u2019s Lack of an Overarching Strategy and Leadership Instability Were Obstacles to Effective Implementation of MSPV-NG", "paragraphs": ["VA did not document a clear overall strategy for the MSPV-NG program at the start and has not done so to date. About 6 months after our initial requests for a strategy or plan, a VHA official provided us with an October 2015 plan focusing on the mechanics of establishing the MSPV-NG formulary. However, this plan was used only within the VHA Procurement and Logistics Office and had not been approved by VHA or VA leadership. Leading practices for organizational transformation state that agencies must have well-documented plans and strategies for major initiatives (such as MSPV-NG) and communicate them clearly and consistently to all involved\u2014which included VHA headquarters, the SAC, and all 170 medical centers. Without such a strategy, VA could not reasonably ensure that all stakeholders understood VHA\u2019s approach for MSPV-NG and worked together in a coordinated manner to achieve program goals. In our November 2017 report, we recommended that the Director of the MSPV-NG program office should, with input from SAC, develop, document, and communicate to stakeholders an overarching strategy for the program, including how the program office will prioritize categories of supplies for future phases of requirement development and contracting. VA agreed with this recommendation and reported it would have a strategy in place by December 2017.", "Leadership instability and workforce challenges also made it difficult for VA to execute its transition to MSPV-NG. Our work has shown that leadership buy-in is necessary to ensure that major programs like MSPV- NG have the resources and support they need to execute their missions. Due to a combination of budget and hiring constraints, and lack of prioritization within VA, the MSPV-NG program office has never been fully staffed and has experienced instability in its leadership. As of January 2017, 24 of the office\u2019s 40 positions were filled, and program office officials stated that this lack of staff affected their ability to implement certain aspects of the program within the planned time frames. In addition, since the inception of MSPV-NG, the program office has had four directors, two of whom were acting and two of whom were fulfilling the director position while performing other collateral duties. For instance, one of the acting MSPV-NG program office directors was on detail from a regional health network to fulfill the position, but had to abruptly leave and return to her prior position due to a federal hiring freeze. In our November 2017 report, we recommended that VHA prioritize the hiring of a MSPV- NG program director on a permanent basis. VA agreed with this recommendation and indicated a vacancy announcement will be posted by the end of 2017."], "subsections": []}, {"section_title": "The MSPV-NG Initial Requirements Development Process Had Limited Clinician Involvement and Did Not Prioritize Categories of Supplies", "paragraphs": ["The MSPV-NG program office initially developed requirements for items to be included in the formulary based almost exclusively on prior supply purchases, with limited clinician involvement. The program office concluded in its October 2015 formulary plan that relying on data from previous clinician purchases would be a good representation of medical centers\u2019 needs and that clinician input would not be required for identifying which items to include in the initial formulary. Further, rather than standardizing purchases of specific categories of supplies\u2014such as bandages or scalpels\u2014program officials told us they identified medical and surgical items on which VA had spent $16,000 or more annually and ordered at least 12 times per year, and made those items the basis for the formulary. Officials said this analysis initially yielded a list of about 18,000 items, which the program office further refined to about 6,000 items by removing duplicate items or those that were not considered consumable commodities, such as medical equipment. This approach to requirements development stood in sharp contrast to those of the leading hospital networks we met with, which rely heavily on clinician input to help drive the standardization process and focus on individual categories of supplies that provide the best opportunities for cost savings."], "subsections": []}, {"section_title": "Requirements Development and Tight Time Frames Contributed to Ineffective Contracting Practices for Initial Formulary", "paragraphs": ["Based on the requirements developed by the program office, SAC began to issue competitive solicitations for the 6,000 items on the initial formulary in June 2015. Medical supply companies had responded to about 30 percent of the solicitations as of January 2016. As a result, according to SAC officials, they conducted outreach and some of these companies responded that VHA\u2019s requirements did not appear to be based on clinical input and instead consisted of manufacturer-specific requirements that favored particular products instead of broader descriptions. Furthermore, SAC did not solicit large groups of related items, but rather issued separate solicitations for small groups of supply items\u2014consisting of three or fewer items. This is contrary to industry practices of soliciting large groups of related supplies together. Therefore, according to SAC officials, some medical supply companies told them that submitting responses to SAC\u2019s solicitations required more time and resources than they were willing to commit.", "By its April 2016 deadline for having 6,000 items on the formulary, SAC had been working on the effort for over a year and had established competitive agreements for about 200 items, representing about 3 percent of the planned items. Without contracts for the items on the formulary in place, VA delayed the launch of the MSPV-NG program until December 2016 and SAC began establishing non-competitive agreements in the last few months before the launch of MSPV-NG. As shown in figure 1, these non-competitive agreements accounted for approximately 79 percent of the items on the January 2017 version of the formulary. While this approach enabled the MSPV-NG program office to establish the formulary more quickly, it did so at the expense of one of the primary goals of the MSPV-NG program\u2014leveraging VA\u2019s buying power to obtain cost avoidance through competition."], "subsections": []}, {"section_title": "Initial Formulary Did Not Meet Medical Center Needs, Resulting in Low Utilization of MSPV-NG and a Missed Opportunity to Leverage VA\u2019s Large Buying Power", "paragraphs": ["Once VA\u2019s MSPV-NG initial formulary was established in December 2016, each medical center was charged with implementing it. According to logistics officials we spoke with at selected medical centers, they had varying levels of success due, in part, to incomplete guidance from the program office. Without clear guidance, many medical centers reported they were unable to find direct matches or substitutes on the MSPV-NG formulary for a substantial number of items they routinely used, which negatively impacted utilization rates for the initial formulary. In our November 2017 report, we recommended that the Director of the MSPV- NG program office provide complete guidance to medical centers for matching equivalent supply items. VA agreed with this recommendation and indicated it would provide this guidance to medical centers by December 2017.", "According to SAC, as of June 2017, only about a third of the items on the initial version of the formulary were being ordered in any significant quantity by medical centers, indicating that many items on the formulary were not those that are needed by medical centers. Senior VHA acquisition officials attributed this mismatch to shortcomings in their initial requirements development process as well as with VA\u2019s purchase data.", "VA had set a target that medical centers would order 40 percent of their supplies from the MSPV-NG formulary, but utilization rates were below this target with a nationwide average utilization rate across medical centers of about 24 percent as of May 2017. Specifically, Chief Supply Chain Officers\u2014who are responsible for managing the ordering and stocking of medical supplies at six selected medical centers\u2014told us that many items they needed were not included in the MSPV-NG formulary. As such, we found that these six medical centers generally fell below VA\u2019s stated utilization target. As shown in figure 2, among the six selected medical centers we reviewed, one met the target, while the remaining five were below 25 percent utilization.", "Instead of fully using MSPV-NG, the selected medical centers are purchasing many items through other means, such as purchase cards or new contracts awarded by their local contracting office, in part, because they said the formulary does not meet their needs. These approaches run counter to the goals of the MSPV-NG program and contribute to VA not making the best use of taxpayer dollars.", "Greater utilization of MSPV-NG is essential to VA achieving the cost avoidance goal of $150 million for its supply chain transformation effort. Under the legacy MSPV program, the National Acquisition Center tracked cost avoidance achieved by comparing prices for competitively-awarded MSPV supply contracts with prices available elsewhere. However, VHA officials stated that they are not currently tracking cost avoidance related specifically to MSPV-NG. In our November 2017 report, we recommended that the VHA Chief Procurement and Logistics Officer, in coordination with SAC, should calculate cost avoidance achieved by MSPV-NG on an ongoing basis. VA agreed with this recommendation and reported it would develop a new metric to measure cost avoidance by June 2018."], "subsections": []}, {"section_title": "VA Continues to Encounter Requirements Development and Contracting Challenges as It Works to Address MSPV-NG Shortcomings", "paragraphs": ["In Phase 2 of MSPV-NG, the program office has taken some steps to incorporate greater clinical involvement in subsequent requirements development, but both its requirements development and SAC\u2019s contracting efforts have been hampered by staffing and schedule constraints. In the fall of 2016, the program office began to establish panels of clinicians to serve on MSPV-NG integrated product teams (IPT) assigned to the task of developing updated requirements for the second phase of the formulary. Program officials said they had difficulty recruiting clinicians to participate. We found that slightly more than half (20 of the 38) of the IPTs had begun their work to review items and develop updated requirements by the time the MSPV-NG program launched in December 2016. Staff on the IPTs had to complete their responsibilities by the end of March 2017 while simultaneously managing their regular workload as physicians, surgeons, or nurses.", "By early March 2017, the IPTs still had about 4,200 items to review. Faced with meeting this unrealistic time frame, the MSPV-NG program office had 9 IPT members travel to one location\u2014with an additional 10 members participating virtually\u2014to meet for 5 days to review the remaining items. Members told us that this time pressure limited the extent to which they were able to pursue the goal of standardizing supplies, and that their review ended up being more of a data validation exercise than a standardization review. VHA ultimately met this compressed timeline, but in a rushed manner that limited the impact of clinician involvement.", "In our November 2017 report, we recommended that the VHA Chief Procurement and Logistics Officer use input from national clinical program offices to prioritize its requirements development and standardization efforts beyond Phase 2 to focus on supply categories that offer the best opportunity for standardization and cost avoidance. VA agreed with this recommendation and stated it is in the process of finalizing guidance that will detail the importance of involving the national clinical program offices in MSPV-NG requirements development and standardization efforts.", "The SAC plans to replace the existing Phase 1 non-competitive agreements with competitive awards based on the Phase 2 requirements generated by the IPTs, but it may not be able to keep up with expiring agreements due to an unrealistic schedule. Because they were made on a non-competitive basis, the Phase 1 agreements were established for a period of 1 year. In order to keep the full formulary available, the SAC director said the staff must award 200 to 250 contracts before the Phase 1 agreements expire later this year. SAC officials acknowledged that it is unlikely that they will be able to award the contracts by the time the existing agreements expire. According to SAC officials, they are in the process of hiring more staff to deal with the increased workload. Further, the SAC division director told us that they canceled all outstanding Phase 2 solicitations in September 2017 due to low response rates, protests from service-disabled veteran-owned small businesses, and changes in overall MSPV-NG strategy.", "In our November 2017 report, we recommended that the MSPV-NG program office and SAC should establish a plan for how to mitigate the potential risk of gaps in contract coverage while SAC is still working to make competitive Phase 2 awards, which could include prioritizing supply categories that are most likely to yield cost avoidance. VA agreed with this recommendation and indicated it has developed a plan to mitigate the risk of gaps in contract coverage with short- and mid-term procurement strategies to ensure continued provision of medical and surgical supplies to VHA facilities. The department also stated that it plans to replace the current MSPV-NG contract and formulary process with a new approach where the prime vendor would develop the formulary. However, VA will likely face challenges in this new approach until it fully addresses the existing shortcomings in the MSPV-NG program.", "Chairman Roe, Ranking Member Walz, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Shelby S. Oakley at 202-512-4841 or OakleyS@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to the report on which this testimony is based are Lisa Gardner, Assistant Director; Emily Bond; Matthew T. Crosby; Lorraine Ettaro; Michael Grogan; Jeff Hartnett; Katherine Lenane; Teague Lyons; Roxanna Sun; and Colleen Taylor.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The VA launched a new program last year, MSPV-NG, to streamline the way its medical centers buy supplies for treating 7 million vets.", "As with any organizational transformation, the program's success depended on having a strong strategic plan, stable leadership, good communication, and stakeholder buy-in. But as we testified here, the VA was missing these elements when it launched the program; as a result, the program has yet to achieve key cost savings and efficiency goals.", "In the report on which this testimony is based, we made 10 recommendations on how the VA can better manage future phases of the program and improve its purchasing."]} {"id": "GAO-18-264", "url": "https://www.gao.gov/products/GAO-18-264", "title": "Data Center Optimization: Continued Agency Actions Needed to Meet Goals and Address Prior Recommendations", "published_date": "2018-05-23T00:00:00", "released_date": "2018-05-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In December 2014, Congress enacted federal IT acquisition reform legislation that included provisions related to ongoing federal data center consolidation efforts. OMB's Federal Chief Information Officer launched DCOI to build on prior data center consolidation efforts; improve federal data centers' performance; and establish goals for inventory closures, cost savings and avoidances, and optimization performance.", "The 2014 legislation also included a provision for GAO to annually review agencies' data center inventories and strategies. Accordingly, GAO reviewed agencies' data center closures to date and plans for further closures; evaluated agencies' progress in achieving consolidation savings and described their plans for future savings; and assessed agencies' progress against OMB's data center optimization targets. To do so, GAO assessed the 24 DCOI agencies' data center inventories as of August 2017; reviewed their reported cost savings documentation; evaluated their data center optimization strategic plans; and assessed 22 agencies' progress against OMB's established optimization targets. Two agencies did not have a basis to report planned optimization milestones.", "OMB and the 24 DCOI agencies provided mixed responses to GAO's findings on the progress made towards initiative goals. GAO continues to believe that implementation of the recommendations made previously will help the agencies meet OMB's targets for cost savings and optimization of performance."]}, {"section_title": "What GAO Found", "paragraphs": ["The 24 agencies participating in the Office of Management and Budget's (OMB) Data Center Optimization Initiative (DCOI) reported mixed progress toward achieving OMB's goals for closing data centers by September 2018. Over half of the agencies reported that they had either already met, or planned to meet, all of their OMB-assigned goals by the deadline. This would result in the closure of 7,221 of the 12,062 centers that agencies reported in August 2017. However, 4 agencies reported that they do not have plans to meet all of their assigned goals and 2 agencies are working with OMB to establish revised targets.", "With regard to agencies' progress in achieving cost savings, 20 agencies reported, as of August 2017, that they had achieved $1.04 billion in cost savings for fiscal years 2016 and 2017. In addition, the agencies' DCOI strategic plans identify an additional $0.58 billion in planned savings\u2014for a total of $1.62 billion for fiscal years 2016 through 2018. This total is approximately $1.12 billion less than OMB's DCOI savings goal of $2.7 billion (see figure). This shortfall is the result of 12 agencies reporting less in planned cost savings and avoidances in their DCOI strategic plans, as compared to the savings targets established for them by OMB.", "The 24 agencies reported limited progress against OMB's five data center optimization targets for server utilization and automated monitoring, energy metering, power usage effectiveness, facility utilization, and virtualization. As of August 2017, 1 agency had met four targets, 1 agency had met three targets, 6 agencies had met either one or two targets, and 14 agencies reported meeting none of the targets. Further, as of August 2017, most agencies were not planning to meet OMB's fiscal year 2018 optimization targets. Specifically, 4 agencies reported plans to meet all of their applicable targets by the end of fiscal year 2018; 14 reported plans to meet some of the targets; and 4 reported that they do not plan to meet any targets.", "In 2016 and 2017, GAO made a number of recommendations to OMB and the 24 DCOI agencies to help improve the reporting of data center-related cost savings and to achieve optimization targets. As of March 2018, 74 of these 81 recommendations had not been fully addressed."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government\u2019s demand for information technology (IT) is ever increasing. In recent years, as federal agencies have modernized their operations, put more of their services online, and improved their information security profiles, their need for computing power and data storage resources has grown. Accordingly, this growing demand led to a dramatic rise in the number of federal data centers and a corresponding increase in operational costs.", "To reduce data center duplication and costs, the Office of Management and Budget\u2019s (OMB) Federal Chief Information Officer (CIO) launched two initiatives. The first, launched in 2010, was the Federal Data Center Consolidation Initiative (FDCCI), which aimed to reduce the number of data centers that were outdated or duplicative. The second initiative\u2014the Data Center Optimization Initiative (DCOI)\u2014was launched in August 2016 and superseded FDCCI. This initiative shifted the focus to optimizing agencies\u2019 remaining data centers by requiring, among other things, that agencies consolidate inefficient infrastructure, optimize existing facilities, and transition to more efficient infrastructure, such as cloud services.", "Further, Congress has recognized the importance of reforming the government-wide management of IT and, in December 2014, enacted Federal Information Technology Acquisition Reform provisions (commonly referred to as FITARA) as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. Among the requirements related to federal data center consolidation, the law requires:", "Covered departments and agencies (agencies) to annually report to OMB about federal data center inventories and strategies to achieve consolidation, including yearly calculations of investment and cost savings.", "OMB to develop goals for the amount of planned cost savings and optimization improvements that agencies are to achieve through FDCCI. OMB is to make the goals publicly available and compare progress against the goals.", "In addition to these requirements, FITARA included a provision for GAO to annually review and verify the quality and completeness of covered agencies\u2019 federal data center inventories and strategies for consolidation. Accordingly, our specific objectives were to (1) review agencies\u2019 data center closures to date and plans for further closures, (2) evaluate agencies\u2019 progress in achieving data center consolidation savings and describe plans for future savings, and (3) assess agencies\u2019 progress against OMB\u2019s data center optimization targets.", "On November 13, 2017, we briefed congressional committee staff on the results of our work. This report officially transmits the results of our review to the committees.", "To review agency closures to date and plans, we obtained and analyzed August 2017 data center inventory documentation from the 24 DCOI agencies. We compared information on the agencies\u2019 completed and planned data center closures to OMB\u2019s fiscal year 2018 consolidation goals, as documented in its August 2016 memorandum (M-16-19). We determined the number of data center that had been closed by adding the closures from fiscal year 2010 through August 2017, as reported by the agencies. We identified future closures by counting data centers that agencies reported as planned closures, as of August 2017 through fiscal year 2019.", "To verify the quality, completeness, and reliability of the agencies\u2019 data center inventories, we compared the information on completed and planned data center closures to similar information reported on OMB\u2019s IT Dashboard\u2014a public website that provides information on federal agencies\u2019 major IT investments. We determined that the data were sufficiently reliable to report on agencies\u2019 consolidation progress and planned closures.", "In order to evaluate agencies\u2019 progress in and plans for achieving data center cost savings, we reviewed August 2017 cost savings and avoidance documentation submitted by the 24 DCOI agencies in response to OMB\u2019s March 2013 and August 2016 memorandums. This documentation included the agencies\u2019 quarterly reports of cost savings and avoidances posted to their digital services websites and discussed in their DCOI strategic plans. We determined cost savings achieved by adding agencies\u2019 reported savings and avoidances from the start of fiscal years 2012 through August 2017, as found in the August 2017 quarterly reports posted to their digital services websites. We identified future planned savings by totaling the agencies\u2019 projected savings and avoidances from fiscal years 2016 through 2018, as reported in their DCOI strategic plans.", "To assess the quality, completeness, and reliability of each agency\u2019s data center consolidation cost savings information, we used the latest version of each agency\u2019s update of the August 2017 quarterly cost savings report and DCOI strategic plan. We also reviewed the quarterly reports and DCOI strategic plans for missing data and other errors, such as missing cost-savings information. In addition, we compared agencies\u2019 reported cost savings and avoidances with data from our most recently issued report on data center consolidation. Further, we obtained written responses from agency officials regarding the steps they took to ensure the accuracy and reliability of their cost savings data. As a result, we determined that the data were sufficiently reliable to report on agencies\u2019 data center consolidation cost-savings information.", "To assess agencies\u2019 progress against OMB\u2019s data center optimization targets, we obtained the August 2017 data center optimization progress information of 22 DCOI agencies, as reported on the IT Dashboard. We then compared the agencies\u2019 optimization progress information to OMB\u2019s fiscal year 2018 optimization targets, as documented in its August 2016 memorandum.", "To assess the reliability of agencies\u2019 optimization progress information on OMB\u2019s IT Dashboard, we reviewed the information for errors or missing data, compared agencies\u2019 optimization progress information across multiple reporting quarters to identify any inconsistencies in agencies\u2019 reported progress, and discussed with OMB and agency officials the steps they took to ensure the accuracy and reliability of the reported optimization progress. We determined that the data were sufficiently reliable to report on agencies\u2019 optimization progress.", "In addition, to assess the reliability of the DCOI strategic plans, we reviewed agencies\u2019 documentation to identify any missing or erroneous data. We also compared the planned data center optimization milestones contained in agencies\u2019 documentation against current optimization progress information obtained from the IT Dashboard; we then discussed any discrepancies or potential errors that we identified with agency officials to determine the causes or request additional information. As a result of these efforts, we determined that the agencies\u2019 strategic plan information was sufficiently reliable for reporting on plans to meet or not meet OMB\u2019s fiscal year 2018 optimization targets. Appendix I provides greater details regarding our objectives, scope, and methodology.", "We conducted this performance audit from July 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government\u2019s increasing demand for IT has led to an increase in the number of federal data centers and a corresponding increase in operational costs. According to OMB, the federal government had 432 data centers in 1998, 2,094 in July 2010, and 9,995 in August 2016.", "Operating such a large number of centers has been, and continues to be, a significant cost to the federal government. For example, in 2007, the Environmental Protection Agency (EPA) estimated that the electricity costs to operate federal servers and data centers across the government were about $450 million annually. According to the Department of Energy (Energy), a typical data center has 100 to 200 times the energy use intensity of a commercial building. In 2009, OMB reported that server utilization rates as low as 5 percent across the federal government\u2019s estimated 150,000 servers were a factor driving the need to establish a coordinated, government-wide effort to improve the efficiency, performance, and environmental footprint of federal data center activities."], "subsections": [{"section_title": "OMB and the Federal CIO Established FDCCI", "paragraphs": ["Concerned about the size of the federal data center inventory and the potential to improve the efficiency, performance, and the environmental footprint of federal data center activities, OMB\u2019s Federal CIO established FDCCI in February 2010. This initiative\u2019s four high-level goals were to reduce the overall energy and real estate footprint of government data centers; reduce the cost of data center hardware, software, and operations; increase the overall IT security posture of the government; and shift IT investments to more efficient computing platforms and technologies.", "In February 2010, OMB required all of the agencies participating in the FDCCI to submit a data center inventory and a consolidation plan. In October 2010, OMB also clarified the definition of a data center and noted that, for the purposes of FDCCI, a data center was to be defined as any room used for the purpose of processing or storing data that is larger than 500 square feet and meets stringent availability requirements. Under this definition, OMB reported that agencies had identified 2,094 data centers as of July 2010.", "However, in 2011, the Federal CIO expanded the definition to include a facility of any size and OMB published its revised definition in March 2012. Based on the revised definition, OMB estimated that there were a total of 3,133 federal data centers in December 2011. In addition, its goal was to consolidate approximately 40 percent, or 1,253 of these data centers, for a savings of approximately $3 billion by the end of 2015. Figure 1 provides an example of data center server racks at the Social Security Administration\u2019s (SSA) National Support Center.", "The number of federal data centers reported by agencies has continued to grow since 2011. In March 2016, we reported that agencies had collectively identified a total of 10,584 data centers as of November 2015\u2014an increase of about 7,500 data centers compared to OMB\u2019s October 2011 estimate. According to the Federal CIO, the increase in the number of data centers was primarily due to the expanded definition of a data center and improved inventory reporting by the agencies.", "Further, OMB placed greater emphasis on data center optimization when it issued memorandum M-13-09 in March 2013. Specifically, OMB stated that, to more effectively measure the efficiency of an agency\u2019s data center assets, agencies would also be measured by the extent to which their primary data centers are optimized for total cost of ownership by incorporating metrics for data center energy, facility, labor, and storage, among other things. Subsequently, in May 2014, OMB issued memorandum M-14-08, which established a set of data center optimization metrics to measure agency progress, along with target values for each metric. All agencies were expected to achieve the target values by the end of fiscal year 2015."], "subsections": []}, {"section_title": "IT Acquisition Reform Law Enhanced Data Center Consolidation and Optimization Efforts", "paragraphs": ["Recognizing the importance of reforming the government-wide management of IT, Congress enacted FITARA in December 2014. Among other things, the law required agencies to:", "Submit to OMB a comprehensive inventory of the data centers owned, operated, or maintained by or on behalf of the agency.", "Submit, by the end of fiscal year 2016, a multi-year strategy to achieve the consolidation and optimization of the agency\u2019s data centers. The strategy was to include performance metrics that were consistent with the government-wide data center consolidation and optimization metrics.", "Report progress towards meeting government-wide data center consolidation and optimization metrics on a quarterly basis to OMB\u2019s Administrator of the Office of Electronic Government.", "In addition, according to FITARA, the Office of Electronic Government at OMB was to:", "Establish metrics applicable to the consolidation and optimization of data centers (including server efficiency), ensure that agencies\u2019 progress toward meeting government-wide data center consolidation and optimization metrics is made publicly available, review agencies\u2019 inventories and strategies to determine whether they are comprehensive and complete, and monitor the implementation of each agency\u2019s strategy.", "Develop and make publicly available not later than December 19, 2015, a goal broken down by year, for the amount of planned cost savings and optimization improvements to be achieved through FDCCI and, for each year thereafter until October 1, 2020, compare reported cost savings and optimization improvements against those goals."], "subsections": []}, {"section_title": "OMB Established DCOI", "paragraphs": ["In August 2016, OMB issued memorandum M-16-19, which established DCOI and included guidance on how to implement the data center consolidation and optimization provisions of FITARA. Among other things, the guidance required agencies to consolidate inefficient infrastructure, optimize existing facilities, improve their security posture, and achieve cost savings. For example, each agency was required to maintain a complete inventory of all data center facilities owned, operated, or maintained by or on its behalf, and measure progress toward defined optimization performance metrics on a quarterly basis as part of its data center inventory submission.", "OMB\u2019s memorandum also directed each agency to develop a DCOI strategic plan that defined its data center strategy for fiscal years 2016 through 2018. Among other things, this strategy was to include a timeline for agency consolidation and optimization activities with an emphasis on cost savings and optimization performance benchmarks that the agency could achieve between fiscal years 2016 and 2018. For example, each agency was required to develop cost savings targets due to consolidation and optimization actions and report any realized cost savings. OMB required each agency to publicly post its DCOI strategic plan to its agency-owned digital strategy website by September 30, 2016, and to post subsequent strategic plan updates by April 14, 2017 and April 13, 2018.", "Further, the memorandum stated that OMB was to maintain a public dashboard (referred to as the IT Dashboard) to display government-wide and agency-specific progress in areas such as planned and achieved data center closures, consolidation-related cost savings, and data center optimization performance information. In this regard, OMB began including data center consolidation and optimization progress information on the IT Dashboard in August 2016.", "OMB\u2019s memorandum also provided new guidance for the classification of a physical data center, expanding the definition of a data center. According to the revised definition, a room with at least one server that provides services (whether in a production, test, staging, development, or any other environment) should be considered a data center, while a room containing only print servers, routing equipment, switches, security devices (such as firewalls), or other telecommunication components, was not to be considered a data center.", "In light of this new definition, OMB directed each agency to perform a comprehensive review of its data centers and maintain a complete and updated data center inventory. Further, OMB directed each agency to categorize each of its data centers as either a tiered data center or a non- tiered data center. OMB\u2019s memorandum defined a tiered data center as one that uses each of the following: a separate physical space for IT infrastructure; an uninterruptible power supply; a dedicated cooling system or zone; and a backup power generator for a prolonged power outage.", "According to the memorandum, all other data centers are to be considered non-tiered.", "Moreover, OMB guidance included a series of performance metrics in the areas of data center closures, cost savings, and optimization progress.", "Data center closures: Agencies are expected to close at least 25 percent of tiered data centers government-wide, excluding those approved as inter-agency shared services providers, by the end of fiscal year 2018. Further, agencies are to close at least 60 percent of non-tiered data centers government-wide by the end of fiscal year 2018. OMB\u2019s guidance further notes that, in the long term, all agencies should continually strive to close all non-tiered data centers, noting that server rooms and closets pose security risks and management challenges and are an inefficient use of resources.", "Cost savings: Agencies are expected to reduce government-wide annual costs attributable to physical data centers by at least 25 percent, resulting in savings of at least $2.7 billion for fiscal years 2016 through 2018.", "Data center optimization: Agencies are expected to measure progress against a series of new data center performance metrics in the areas of server utilization, energy metering, power usage, facility utilization, and virtualization. Further, OMB\u2019s guidance established target values for each metric that agencies are to achieve by the end of fiscal year 2018.", "OMB\u2019s guidance further noted that agency progress against these performance metrics is to be measured by OMB on a quarterly basis, using agencies\u2019 data center inventory submissions and OMB-defined closures, cost savings, and optimization targets."], "subsections": []}, {"section_title": "Agencies Have Taken Limited Action to Address GAO Recommendations from Prior Reports on Agencies\u2019 Consolidation and Optimization Efforts", "paragraphs": ["Since the enactment of FITARA in December 2014, we have annually reviewed and verified the quality and completeness of each covered agency\u2019s inventory and DCOI strategy. We have also published reports documenting the findings from each of these reviews. In addition, we have examined and reported on agencies\u2019 efforts to optimize their data centers, as well as the challenges encountered and successes achieved.", "In a report that we issued in March 2016, we noted that agencies had reported significant data center closures\u2014totaling more than 3,100 through fiscal year 2015\u2014with the Departments of Agriculture (Agriculture), Defense (Defense), the Interior (Interior), and the Treasury (Treasury) accounting for 84 percent of the total. Although agencies fell short of OMB\u2019s fiscal year 2015 consolidation goal, their plans identified about 2,100 additional centers planned for closure through fiscal year 2019.", "Agencies also reported significant consolidation cost savings and avoidances\u2014totaling about $2.8 billion through fiscal year 2015, and expected to increase to over $8.0 billion in future years. The Departments of Commerce (Commerce), Defense, Homeland Security (DHS), Transportation (Transportation), and the Treasury accounted for 96 percent of the total planned savings. However, we pointed out that many agencies lacked complete cost savings goals for the next several years despite having closures planned.", "In addition, we reported that 22 agencies had made limited progress against OMB\u2019s fiscal year 2015 data center optimization performance metrics, such as the utilization of data center facilities. Accordingly, we recommended that the agencies take actions to complete their cost savings targets and improve optimization progress. Of the 24 agencies to which we made recommendations, 14 agreed with our recommendations, 4 did not state whether they agreed or disagreed, and 6 stated that they had no comments. As of March 2018, 26 of the 32 recommendations from this report had yet to be fully addressed.", "In May 2017, we reported that the agencies continued to report significant data center closures\u2014totaling more than 4,300 through August 2016\u2014 with Agriculture, Defense, Interior, and the Treasury accounting for 84 percent of the total. The agencies\u2019 plans for 2016 had identified more than 1,200 additional centers planned for closure through fiscal year 2019.", "Agencies also reported significant consolidation and optimization cost savings and avoidances, which totaled about $2.3 billion through August 2016. However, reductions in the amount of achieved savings reported to OMB, particularly by the Treasury, resulted in a net decrease of more than $400 million in these savings, compared to amounts we previously reported in 2015.", "Further, our report noted that, as of December 2016, agencies\u2019 total planned cost savings of about $656 million were more than $3.3 billion less, compared to the amounts that we reported in 2015, and more than $2 billion less than OMB\u2019s fiscal year 2018 cost savings goal of $2.7 billion. This reduction in planned savings was the result of eight agencies reporting less in planned cost savings and avoidances in their DCOI strategic plans compared to the savings amounts previously reported to us in November 2015. The reduction also reflected the absence of cost savings information for one agency (Defense) that did not submit its strategic plan in time for our review.", "In addition, our May 2017 report identified weaknesses in agencies\u2019 DCOI strategic plans. Of the 23 agencies that had submitted their strategic plans at the time of our review, 7 agencies\u2014Agriculture, the Department of Education (Education), DHS, and the Department of Housing and Urban Development (HUD); the General Services Administration (GSA); the National Science Foundation (NSF); and the Office of Personnel Management (OPM)\u2014had addressed all five required elements of a strategic plan, as identified by OMB (such as providing information related to data center closures and cost savings metrics). The remaining 16 agencies that submitted their plans either partially met or did not meet the requirements. We also pointed out that there were inconsistencies in the reporting of cost savings in the strategic plans of 11 agencies.", "Given these findings, we recommended that OMB improve its oversight of agencies\u2019 DCOI strategic plans and their reporting of cost savings and avoidances. We also recommended that 16 agencies and Defense (which did not submit a plan in time for our review) complete the missing elements in their strategic plans, and that 11 agencies ensure the reporting of consistent cost savings and avoidance information to OMB. Of the 25 agencies (including OMB) to which we made recommendations, 12 agreed with our recommendations, 2 disagreed, and 11 did not state whether they agreed or disagreed. As of March 2018, 29 of the 30 recommendations had not been fully addressed.", "In a subsequent report that we issued in August 2017, we noted that 22 of the 24 agencies required to participate in the OMB DCOI collectively had reported limited progress against OMB\u2019s fiscal year 2018 performance targets for the five optimization metrics. The 2 remaining agencies, Education and HUD, did not have agency-owned data centers and, therefore, did not have a basis to report on progress. Specifically, for each of the five targets, no more than 5 agencies reported that they had met or exceeded that specific target. This limited progress against OMB\u2019s optimization targets was due, in part, to agencies not fully addressing our prior recommendations in this area.", "In addition, we noted in the report that most agencies had not yet implemented automated monitoring tools to measure server utilization, as required by the end of fiscal year 2018. Specifically, 4 agencies reported that they had fully implemented such tools, 18 reported that they had not yet done so, and 2 did not have a basis to report on progress because they did not have agency-owned data centers.", "We also noted that, although federal standards emphasize the need to establish plans to help ensure goals are met, none of the 18 agencies had fully documented plans for implementing automated monitoring tools. Accordingly, we recommended that OMB formally document a requirement for agencies to include plans, as part of existing OMB reporting mechanisms, to implement automated monitoring tools at their agency-owned data centers. We also recommended that the 18 agencies without fully documented plans take action, within existing OMB reporting mechanisms, to complete plans describing how they intend to achieve OMB\u2019s requirement to implement automated monitoring tools at all agency-owned data centers by the end of fiscal year 2018. Of the 19 agencies (including OMB) to which we made recommendations, 10 agreed with our recommendations, 3 partially agreed, and 6 did not state whether they agreed or disagreed. As of March 2018, none of the 19 recommendations had been fully addressed."], "subsections": []}]}, {"section_title": "Agencies Report Mixed Results Relative to Achieving OMB\u2019s Data Center Closure Targets", "paragraphs": ["As previously mentioned, in August 2016, OMB established a goal to close at least 25 percent of each agency\u2019s tiered data centers and at least 60 percent of each agency\u2019s non-tiered data centers by the end of fiscal year 2018. Related to doing so, agencies\u2019 August 2016 inventories reported a total of 9,995 data centers and, in August 2017, 14 agencies reported an additional 2,067 facilities, for a total of 12,062 data centers. Based on this revised inventory, agencies will need to close 6,306 data centers (665 tiered and 5,641 non-tiered) to meet OMB\u2019s goals by the end of fiscal year 2018.", "Toward this end, the 24 agencies participating in DCOI collectively have made progress on their data center closure efforts. Specifically, as of August 2017, the agencies reported that they had closed 5,805 tiered and non-tiered centers (48 percent). Figure 2 provides a summary of the total number of federal data centers and closures reported from 1998 to August 2017.", "Figure 3 provides a further breakdown of agencies\u2019 data center inventories, as of August 2017, in terms of the total number of data centers that were closed, planned for closure, or not planned for closure.", "Nevertheless, while the agencies collectively had made progress toward OMB\u2019s closure goals, the 24 agencies\u2019 individual reported progress and plans showed mixed results when compared with OMB\u2019s goal for each agency to close at least 25 percent of tiered data centers and at least 60 percent of non-tiered centers. Specifically, as of August 2017, 13 agencies reported that they had already met the goal of closing 25 percent of their tiered data centers, another 4 agencies reported that they plan to meet the goal by the end of fiscal year 2018, and 5 agencies reported that they do not currently plan to meet the goal.", "Further, as of August 2017, 7 agencies reported having already met the goal for closing 60 percent of their non-tiered centers, 6 agencies reported that they planned to meet the goal by the end of fiscal year 2018, and 10 agencies reported that they did not plan to meet the goal. Table 1 displays a breakdown of the number of reported tiered and non- tiered data centers and completed and planned closures by agency, as of August 2017.", "As shown in the table, the reported closures of Agriculture (2,233 data centers), Defense (834), and Treasury (1,713) together accounted for 4,780 (or 82 percent) of the 5,805 data center closures. However, no other agency accounted for more than 187 (or 3 percent) of those closures. In addition, the remaining 1,416 planned closures are to be carried out across 20 agencies. Further, among the agencies, 7 reported that they do not plan to meet one of their tiered or non-tiered closure goals, and 4 reported that they do not plan to meet either of the goals by the end of fiscal year 2018.", "Officials from these 11 agencies that do not plan to meet one or both of their goals provided various reasons for why they currently do not plan to do so. For example, officials in USAID\u2019s Office of the Chief Information Officer stated that their agency had reported a number of server closets in overseas locations as non-tiered data centers to comply with OMB\u2019s data center definition provided in its August 2016 guidance. The officials said that, as long as USAID maintains those locations, the agency needs the services provided in those server closets and will not be able to close them to meet OMB\u2019s goal. However, the officials also said that the agency is exploring ways to replace the server closets using cloud services.", "Several agencies that viewed their goals as unattainable indicated that they were seeking revised closure goals. Specifically, officials from Interior\u2019s Office of the Chief Information Officer stated that a number of the department\u2019s non-tiered data centers were either mission critical or not cost effective to close. Thus, the officials said Interior was working with OMB to establish a revised closure goal. Similarly, Transportation\u2019s Director for IT Compliance stated that the department was working with OMB to establish a revised closure goal. The department reported having 186 tiered data centers in Federal Aviation Administration control towers that it believes should be excluded from its count of data centers when OMB sets the department\u2019s goal for closures.", "Further, our analysis determined that it may not always be realistic for an agency to meet OMB\u2019s targets. For example, NSF, which does not have any tiered data centers, reported that it plans to close one (50 percent) of its two non-tiered data centers. However, the only way to meet OMB\u2019s 60 percent threshold would be for the agency to close both of its non-tiered centers, which may not be an option, depending on the services provided by that one remaining center.", "Although OMB\u2019s stated time frame for closing data centers currently remains as the end of fiscal year 2018, the recent extension of FITARA\u2019s data center consolidation and optimization provisions through fiscal year 2020 provides agencies additional time to work toward meeting OMB\u2019s closure targets. However, in some cases, these efforts may require significant restructuring of an agency\u2019s business operations, or, as reported by several agencies, a revision of OMB\u2019s goals in consideration of the agencies\u2019 specific needs.", "Given that agencies had been working toward OMB\u2019s DCOI goals for approximately one year as of August 2017, and because the extension of FITARA\u2019s data center provisions pushes the sunset for these efforts out through fiscal year 2020, we are not making any related recommendations to those agencies that have not met the closure goals at this time. We plan to continue to monitor the agencies\u2019 progress toward meeting the goals in our future work."], "subsections": []}, {"section_title": "Agencies\u2019 Planned Savings Are Not Expected to Meet OMB\u2019s Goal", "paragraphs": ["Since 2013, federal agencies have been required to report on data center cost savings. In this regard, OMB provided guidance regarding how agencies were to report cost savings and avoidances. Specifically, it required agencies to report both data center consolidation cost savings and avoidances, among other areas, as part of a quarterly data collection process known as the integrated data collection. FITARA also called for each agency to submit a multi-year strategy for achieving the consolidation and optimization of data centers that includes year-by-year calculations of investment and cost savings through fiscal year 2018, which has now been extended to 2020.", "In addition, in August 2016, OMB M-16-19 provided guidance on how agencies should implement the requirements of FITARA. Specifically, agencies were to develop a strategic plan that included information on historical cost savings and avoidances due to data center consolidation and optimization through fiscal year 2015. This guidance stated that agency strategic plans were also to include year-by-year calculations of target and actual agency-wide spending and cost savings on data centers from fiscal years 2016 through 2018. Further, the guidance established a DCOI government-wide cost savings goal of $2.7 billion for all federal agencies to achieve from fiscal years 2016 through 2018. This overall goal is then broken down into agency-specific targets on the IT Dashboard.", "As of August 2017, 20 agencies had reported through the integrated data collection that they had achieved $1.04 billion in cost savings for fiscal years 2016 and 2017, while 4 agencies reported that they had not achieved any savings. Further, the 20 agencies\u2019 DCOI strategic plans identified an additional $0.58 billion, for a total of $1.62 billion in planned savings from fiscal years 2016 through 2018. Nevertheless, this total is about $1.12 billion below OMB\u2019s goal of $2.7 billion for DCOI savings. Figure 4 provides a comparison of the 24 agencies\u2019 total reported savings for fiscal years 2016 and 2017, and the planned savings through 2018, against OMB\u2019s DCOI savings goal for fiscal years 2016 through 2018.", "Among the 24 participating DCOI agencies that reported achieving about $1.04 billion in savings, Commerce ($594.28 million), Defense ($141.36 million), and DHS ($106.51 million) were responsible for approximately $842 million (about 81 percent) of that total. No other agency reported saving more than $54.40 million. Table 2 provides specific data related to each agency\u2019s planned and achieved savings for fiscal years 2016 and 2017, as of August 2017.", "In addition, the 24 agencies reported that they have planned an additional $0.58 billion in DCOI cost savings (for a total of $1.62 billion) through fiscal year 2018. However, as noted earlier, this total is approximately $1.12 billion below OMB\u2019s $2.7 billion goal for the initiative. Table 3 provides a more detailed comparison between each agency\u2019s planned savings, as reported in its DCOI strategic plan, and OMB\u2019s agency- specific targets, as reported on the IT Dashboard.", "As shown in table 3, 6 agencies identified planned savings that are expected to meet or exceed their OMB targets, while 2 agencies that did not have an OMB target also identified planned savings. In contrast, 12 agencies reported that they are not currently planning to meet their targets, and 4 agencies did not have a savings target and are not planning any savings.", "These findings align with what we reported in March 2016, when we noted that 10 agencies had not established planned cost savings goals for fiscal years 2016 through 2018, even though they had closures planned during that time period. Accordingly, in that report, we recommended that these agencies complete their planned data center cost savings targets for fiscal years 2016 through 2018. Most of the agencies agreed with the recommendations or had no comments. Nonetheless, agencies continued to be challenged in identifying and reporting their cost savings. As of August 2017, 5 of the agencies had implemented our recommendations in this area.", "In the absence of consistent and full reporting of fiscal years 2016 through 2018 planned savings in agencies\u2019 DCOI strategic plans, as required by FITARA and OMB, agencies\u2019 total planned savings will likely continue to be understated. With less than a year for agencies to meet OMB\u2019s current planned savings targets, we are re-emphasizing the need for agencies to implement our prior recommendations related to establishing and meeting their planned data center cost savings targets."], "subsections": []}, {"section_title": "Agencies Continue Reporting Limited Progress against OMB\u2019s Data Center Optimization Metrics", "paragraphs": ["FITARA required OMB to establish metrics to measure the optimization of data centers, including server efficiency, and ensure that agencies\u2019 progress toward meeting the metrics is made public. Pursuant to FITARA, OMB\u2019s August 2016 memorandum established a set of five data center optimization metrics intended to measure agencies\u2019 progress in the areas of server utilization and automated monitoring, energy metering, power usage effectiveness, facility utilization, and virtualization. According to OMB, while the server utilization and automated monitoring metric applies to agency-owned tiered and non-tiered data centers, the four remaining metrics apply only to agency-owned tiered centers.", "OMB\u2019s memorandum also established a target value for each of the five metrics, which agencies are expected to achieve by the end of fiscal year 2018. OMB measures agencies\u2019 progress against the optimization targets using the agencies\u2019 quarterly data center inventory submission and publicly reports this progress information on its IT Dashboard. Table 4 provides a description of the five data center optimization metrics and target values.", "As of August 2017, 22 of the 24 DCOI agencies continued to report limited progress in meeting OMB\u2019s fiscal year 2018 data center optimization targets identified on the IT Dashboard. As noted earlier, the remaining 2 agencies\u2014Education and HUD\u2014reported that they did not have any agency-owned data centers in their inventory and, therefore, did not have a basis to measure and report optimization progress.", "With regard to the data center optimization targets, the most progress was reported for the power usage effectiveness and virtualization metrics, with 5 and 6 agencies, respectively, reporting that they had met OMB\u2019s targets. However, only 3 agencies or fewer reported meeting the energy metering, facility utilization, and server utilization and automated monitoring metrics. Figure 5 summarizes the 24 agencies\u2019 progress in meeting each optimization target, as of August 2017.", "As of August 2017, SSA and EPA reported the most progress among the 22 agencies with a basis to report against OMB\u2019s metrics targets\u2014 meeting 4 and 3 targets, respectively. Six agencies met either one or two targets, and 14 agencies reported meeting none of the targets.", "Further, of the 22 agencies, 9 were not able to report any progress against either the server utilization metric or power usage effectiveness metric, or both, because their data centers lacked the required monitoring tools to measure progress in these areas. OMB began requiring the implementation of these monitoring tools in August 2016; however, as of August 2017, these 9 agencies had not reported that they had implemented the tools at any data centers. The remaining 13 agencies reported that they had implemented the tools in at least one data center. Table 5 depicts the agencies and whether they met or did not meet each OMB target.", "Agencies\u2019 limited progress against OMB\u2019s optimization targets is due, in part, to not fully addressing our prior recommendations in this area. As discussed earlier, in March 2016, we reported on weaknesses in agencies\u2019 data center optimization efforts, including that 22 agencies did not meet OMB\u2019s fiscal year 2015 optimization targets. We noted that this was partially due to the agencies facing challenges in optimizing their data centers, including their decentralized organizational structures that made consolidation and optimization difficult, and competing priorities for resources. In addition, consolidating certain data centers was problematic because the volume or type of information involved required the data center to be close in proximity to the users. Accordingly, we recommended that the agencies take action to improve optimization progress, to include addressing any identified challenges. Most agencies agreed with our recommendations or had no comments.", "In response to our recommendation, 19 of the 22 agencies submitted documentation to us that described steps they intended to take to improve their data center optimization efforts. The planned steps included completion dates ranging between April 2016 and September 2019. Among the steps described by the agencies was developing internal scorecards to track and report on optimization progress, including progress at their component agencies, and launching more aggressive efforts to optimize data centers using virtualization and cloud computing solutions. However, as of February 2018, only 1 of the 22 agencies (Education) had fully addressed our recommendation."], "subsections": [{"section_title": "Agencies\u2019 Planned Optimization Progress Will Not Meet OMB\u2019s Fiscal Year 2018 Targets", "paragraphs": ["In addition to reporting current optimization progress on the IT Dashboard, OMB requires agencies\u2019 DCOI strategic plans to include, among other things, planned performance levels for fiscal years 2017 and 2018 for each optimization metric.", "However, according to the 24 agencies\u2019 DCOI strategic plan information as of August 2017, most are not planning to meet OMB\u2019s optimization targets by the end of fiscal year 2018. More specifically, of the 24 agencies, only 4\u2014Commerce, EPA, NSF, and USAID\u2014reported plans to fully meet their applicable targets by the end of fiscal year 2018. Of the remaining agencies, 14 reported plans to meet some, but not all, of the targets; 4 reported that they do not plan to meet any targets; and\u2014as already discussed\u2014Education and HUD do not have a basis to report planned optimization milestones because they do not report having any agency-owned data centers. Figure 6 summarizes agencies\u2019 progress, as of August 2017, in meeting OMB\u2019s optimization targets and planned progress to be achieved by September 2018.", "The limited progress made by agencies in optimizing their data centers, combined with the lack of established plans to improve progress, makes it unclear whether agencies will be able to achieve OMB\u2019s optimization targets by the end of fiscal year 2018. Considering that OMB is expecting at least $2.7 billion in cost savings from agencies\u2019 optimization efforts, the ability of agencies to meet the optimization targets will be critical to meeting this savings goal. However, only four agencies are planning to meet all of their applicable targets. If the remaining agencies take steps to implement the prior recommendations we have made in this area, it should increase the likelihood that DCOI can achieve the expected benefits of optimization and the resulting cost savings."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We requested comments on a draft of this report from OMB and the 24 other agencies that we reviewed. Of these, 5 agencies indicated that they agreed with our report and 20 acknowledged receiving the draft, but did not state whether they agreed or disagreed with the report. Agencies also offered various comments in support of the DCOI effort and actions taken to improve performance. Additionally, multiple agencies provided technical comments, which we have incorporated, as appropriate.", "The following five agencies agreed with our report: In emails received from Agriculture, Energy, VA, and NRC, the agencies agreed with the findings in the draft report. In written comments, SSA agreed with the draft report\u2019s characterization of the agency\u2019s DCOI efforts. SSA\u2019s comments are reprinted in appendix II.", "In addition, the following 20 agencies did not state whether they agreed or disagreed with the report and offered other comments: In written comments, HUD and Transportation did not agree or disagree with the draft report. The departments\u2019 comments are reprinted in appendices III and IV, respectively.", "In emails received from Commerce, Defense, Education, HHS, DHS, Justice, Labor, State, Treasury, EPA, NASA, NSF, OPM, SBA, and USAID, the agencies did not agree or disagree with the draft report.", "In written comments, Interior did not agree or disagree with the draft report\u2019s findings.", "In addition, Interior provided a technical comment related to our calculation of the department\u2019s achieved optimization savings for fiscal years 2016 and 2017. Specifically, the department provided updated savings figures for those years, which were based on Interior\u2019s February 2018 quarterly submission to OMB.", "However, the effective date of the updated data (February 2018) is outside the scope of our review, which relied solely on data reported in August 2017, as detailed in appendix I. While we recognize the department\u2019s efforts to ensure that its past reporting is updated and as accurate as possible, our report only presents data as reported by agencies in August 2017. Consequently, we believe that the achieved cost savings for Interior accurately reflect what the department reported at the time of our review. The department\u2019s comments are reprinted in appendix V.", "In an e-mail received on March 27, 2018, GSA did not agree or disagree with the draft report\u2019s findings, and provided comments questioning the methodology we used to determine the number of data center closures. Specifically, GSA stated that, by including facilities that are now closed in our reporting of the federal government\u2019s inventory of 12,062 data centers, our report gives the impression that the government is currently operating 12,062 open data centers. GSA also asserted that we should include in our counts facilities identified as using cloud computing providers.", "In our report, we consistently state that the 12,062 data centers reflect the overall count of federal facilities identified since the launch of FDCCI in 2010. Further, we clearly identify the portion of the overall count of data centers that have since closed, or that are planned to close. By doing so, we provide a perspective of consolidation progress against the overall inventory over the past 8 years.", "Further, in regard to facilities using cloud providers, OMB\u2019s August 2016 guidance specifically states that such facilities are not to be considered data centers. As such, we did not include them in our totals. Accordingly, we maintain that our methodology is reasonable and continue to believe that our report accurately reports the status of federal data center consolidation efforts.", "GSA also suggested that we confirm with OMB our statement that the FITARA Enhancement Act of 2017\u2019s extension of the sunset provides agencies with an additional 2 years to accomplish the goals of DCOI. It is true that OMB has not issued guidance that extends the existing August 2018 DCOI deadlines. However, it is appropriate to note that the 2017 law extends the DCOI sunset date for the data center requirements that govern agencies.", "Finally, GSA expressed concern that the data on optimization metrics that we drew from the IT Dashboard were not representative of the data provided by agencies in their August 2017 quarterly submissions to OMB. Further, GSA noted that such a selection of mixed data sources may present an incomplete and inaccurate picture and recommended that we note the date on which we accessed the IT Dashboard data, note that those data are frequently updated, and specify the date of other sources of data that we used for our analysis.", "In this report, we present an analysis of agencies\u2019 progress against OMB\u2019s data center optimization metrics, using data that were taken from the IT Dashboard. These data are posted to the Dashboard after being automatically calculated from agencies\u2019 quarterly submissions to OMB. For the purposes of this report, we pulled the data from the Dashboard a week after agencies\u2019 August 2017 submissions were due to OMB. We then confirmed with the agencies that the data we collected were consistent with their August 2017 submissions to OMB and we labeled the data as being effective as of August 2017.", "We also analyzed other data from the agencies\u2019 August 2017 quarterly submissions, such as the status of data center closures and associated cost savings, and showed the effective date of our analysis as being August 2017. Based on these actions, which are also discussed in the description of the scope and methodology of our audit work found in app. I, we believe that our presentation of the data on optimization metrics is accurate, appropriately labeled, and correctly reflects the status of agency efforts at a specific moment in time.", "In an e-mail received on April 18, 2018, OMB did not agree or disagree with our report, but offered several comments on our findings. Specifically, OMB noted that some agencies may be reporting their planned savings incorrectly in their DCOI strategic plans in that agencies may be reporting annual savings figures instead of the required cumulative figures. OMB further described plans to update the IT Dashboard in the near future to more accurately reflect planned DCOI savings and added that, as a result, the data in our report likely will not match the data OMB intends to publish.", "In conducting our analysis, on two occasions, we requested and received agencies\u2019 validation of the results of our analysis of their planned cost savings. This process resulted in minor technical changes to some agencies\u2019 data. We believe that our continued efforts to validate these data provide reasonable assurance as to the accuracy of the agency reported information that we analyzed. The implementation of OMB\u2019s proposed changes to the IT Dashboard should provide yet another tool that can be used to improve how agencies report their cost savings\u2014an important measure of DCOI\u2019s success.", "Additionally, the comments noted that GAO and OMB use a different basis to calculate agencies\u2019 data center closure targets, with OMB using a baseline inventory from the beginning of DCOI in 2016, which does not recognize changes in agencies\u2019 inventories since that point. OMB asserted that, because GAO\u2019s calculations account for changes in agencies\u2019 inventories since the beginning of DCOI, OMB\u2019s targets differ from GAO\u2019s calculations.", "We recognize the difference in approach for calculating data center closures that we used, as compared to that used by OMB. As detailed in our report, when DCOI was launched in August 2016, agencies reported an overall inventory of 9,995 data centers. One year later, in August 2017, agencies reported more than 2,000 additional facilities, for a total of 12,062 centers.", "Because OMB\u2019s closure targets required agencies to close a certain percentage of their data centers, basing agency goals on an outdated inventory (that did not include the additional facilities) does not give a true picture of progress towards consolidation of data centers. Conversely, our methodology (detailed in app. I) takes into account inventory growth and uses the same percentage-based closure goals defined in OMB\u2019s guidance. Our methodology presents a more accurate status of progress based on the growth of the inventory over time. Consequently, we believe that our methodology allows us to present a reasonable status of agencies\u2019 progress against OMB\u2019s goals.", "We are sending copies of this report to interested congressional committees, the Director of OMB, the secretaries and heads of the departments and agencies addressed in this report, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives for this engagement were to: (1) review agencies\u2019 data center closures to date and plans for further closures, (2) evaluate agencies\u2019 progress in achieving data center consolidation savings and describe plans for future savings, and (3) assess agencies\u2019 progress against the Office of Management and Budget\u2019s (OMB) data center optimization targets.", "To address the first objective, we obtained and analyzed August 2017 data center inventory documentation from the 24 departments and agencies (agencies) that participate in OMB\u2019s Data Center Optimization Initiative (DCOI). To determine data center closures to date, we totaled agency reported closures from fiscal year 2010 through August 2017 and, to identify future closures, we totaled agency reported planned closures through fiscal year 2019. We also compared agencies\u2019 completed and planned closures to OMB\u2019s fiscal year 2018 consolidation goals, as documented in its August 2016 memorandum (M-16-19).", "To verify the quality, completeness, and reliability of the agencies\u2019 data center inventories, we compared information on completed and planned data center closures to similar information reported on OMB\u2019s Information Technology (IT) Dashboard\u2014a public website that provides information on federal agencies\u2019 major IT investments. We also checked for missing data and other errors, such as missing closure status information. Further, we obtained written responses from agency officials regarding actions taken to ensure the reliability of their inventory data, and discussed any discrepancies or potential errors identified to determine the causes or to request additional information. We determined that the data were sufficiently complete and reliable to report on agencies\u2019 consolidation progress and planned closures.", "For the second objective, we obtained and analyzed cost savings and avoidance documentation from the 24 DCOI agencies. This documentation is required by OMB\u2019s March 2013 and August 2016 memorandums and included the agencies\u2019 quarterly reports of cost savings and avoidances posted to their digital services websites and their DCOI strategic plans. To determine cost savings achieved, we totaled agencies\u2019 reported savings and avoidances from the start of fiscal years 2012 through August 2017, as found in the August 2017 quarterly reports posted to the agencies\u2019 digital services websites. To identify future planned savings, we totaled the agencies\u2019 projected savings and avoidances from fiscal years 2016 through 2018, as reported in their DCOI strategic plans.", "To assess the quality, completeness, and reliability of each agency\u2019s data center consolidation cost savings information, we used the latest version of each agency\u2019s update of the August 2017 quarterly cost savings report and DCOI strategic plan. We also reviewed the quarterly reports and DCOI strategic plans for missing data and other errors, such as missing cost-savings information. In addition, we compared agencies cost savings and avoidances with data from our most recent data center consolidation report. Further, we obtained written responses from agency officials regarding the steps taken to ensure the accuracy and reliability of their cost savings data. As a result, we determined that the data were sufficiently complete and reliable to report on agencies data center consolidation cost-savings information.", "For our third objective, we analyzed the August 2017 data center optimization progress information of the 24 DCOI agencies. This progress information was obtained from the IT Dashboard\u2014an OMB public website that provides information on federal agencies\u2019 major IT investments. We then compared the agencies\u2019 optimization progress information against OMB\u2019s fiscal year 2018 optimization targets, as documented in its August 2016 memorandum. Although OMB\u2019s memorandum establishes a single optimization target value for the server utilization and automated monitoring metric, the IT Dashboard displays agencies\u2019 progress for tiered and non-tiered data centers separately. To report consistently with OMB\u2019s implementation memorandum, we combined the progress information for tiered and non-tiered data centers into a single assessment in this report.", "To assess the reliability of agencies\u2019 optimization progress information on OMB\u2019s IT Dashboard, we reviewed the information for errors or missing data, such as progress information that was not available for certain metrics. We also compared agencies\u2019 optimization progress information across multiple reporting quarters to identify any inconsistencies in agencies\u2019 reported progress. We discussed with staff from OMB\u2019s Office of the Federal Chief Information Officer any discrepancies or potential errors identified to determine the causes.", "In addition, we interviewed OMB officials to obtain additional information regarding the steps taken to ensure the reliability of and validate the optimization data on the Dashboard. Moreover, we obtained written responses from agency officials regarding the steps taken to ensure the accuracy and reliability of the reported optimization progress. We discussed with agency officials any discrepancies or potential errors identified during our reviews to determine the causes or request additional information. We determined that the data were sufficiently reliable to report on agencies\u2019 optimization progress.", "To assess the reliability of the DCOI strategic plans, we reviewed agencies\u2019 documentation to identify any missing data or errors. We also compared the planned data center optimization milestones in agencies\u2019 documentation against current optimization progress information obtained from the IT Dashboard. In addition, we discussed with agency officials any discrepancies or potential errors identified during our reviews of the DCOI strategic plans to determine the causes or request additional information. As a result of these efforts, we determined that the agencies\u2019 strategic plan information was sufficiently reliable for reporting on plans to meet or not meet OMB\u2019s fiscal year 2018 optimization targets.", "We conducted this performance audit from July 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals making contributions to this report included Dave Hinchman (Assistant Director), Justin Booth (Analyst-in-Charge), Chris Businsky, Nancy Glover, Linda Kochersberger, and Jonathan Wall."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-363T", "url": "https://www.gao.gov/products/GAO-18-363T", "title": "Coast Guard Health Records: Timely Acquisition of New System Is Critical to Overcoming Challenges with Paper Process", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2010, the Coast Guard initiated an effort\u2014known as IHiS\u2014to replace its aging EHR system with a new system that was to modernize various health care services for its nearly 50,000 military members. However, in October 2015, the Coast Guard announced that the modernization project would be canceled.", "GAO was asked to summarize its report that is being released today on the Coast Guard's actions related to its EHR modernization initiative. GAO's testimony specifically addresses Coast Guard's (1) reasons for deciding to terminate further IHiS development; (2) management and oversight actions for the discontinued project and whether lessons learned were identified; (3) current process for managing health records and the challenges it is encountering; and (4) plans for effectively implementing a new EHR system and the current status of its efforts.", "In preparing the report on which this testimony is based, GAO reviewed IHiS project expenditures; analyzed key project management documentation; surveyed Coast Guard's Regional Managers and clinical staff; and interviewed key staff."]}, {"section_title": "What GAO Found", "paragraphs": ["Financial, technical, schedule, and personnel risks led to the United States Coast Guard's (Coast Guard) decision to terminate the Integrated Health Information System (IHiS) project in 2015. According to the Coast Guard (a military service within the Department of Homeland Security), as of August 2017, $59.9 million was spent on the project over nearly 7 years and no equipment or software could be reused for future efforts. In addition, the Coast Guard could not fully demonstrate the project management actions taken for IHiS, lacked governance mechanisms, and did not document lessons learned for the failed project.", "In the absence of an electronic health record (EHR) system, the Coast Guard currently relies on a predominately paper health record management process to document health care services. Currently, the Coast Guard's clinical staff perform various manual steps to process each paper health record. Coast Guard Regional Managers and clinic and sick bay administrators informed GAO of the many challenges encountered in returning to a paper process. These challenges include the inability for some clinics to adequately track vital information such as medications\u2014potentially causing harm to members if they take medications that have dangerous interactions.", "To help alleviate several of these challenges, the Coast Guard has developed alternative work-around processes. However, these alternative processes may not provide sustained solutions to overcoming these challenges.", "In February 2016, the Coast Guard initiated the process for acquiring a new EHR system. As of November 2017, agency officials had conducted research and recommended a solution based on performance, risk, cost, and schedule advantages. However, 2 years after canceling IHiS and moving toward a predominately manual process, the agency has not yet made a final determination on this. Successfully and quickly implementing an EHR system is vital to overcoming the challenges the Coast Guard currently faces in managing paper health records. The expeditious implementation of such a system can significantly improve the quality and efficiency of care to the thousands of Coast Guard active duty and reserve members that receive health care."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In the report being released today, GAO is recommending that the Coast Guard (1) expeditiously and judiciously pursue a new EHR system, and in doing so (2) ensure key processes are implemented; (3) establish project governance boards; and (4) document lessons learned from the IHiS project. The Department of Homeland Security concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to participate in your hearing on the United States Coast Guard\u2019s (Coast Guard) electronic health record (EHR) system. As part of its mission, the Coast Guard is tasked with providing health care to active duty and reserve members and ensuring the availability of quality, cost-effective health care for all eligible beneficiaries. To assist with this task, the agency has historically relied on EHR systems to perform such functions as scheduling patient appointments, documenting patient consults and referrals, and tracking prescribed medications.", "In 2010, the Coast Guard\u2019s Health Safety and Work-Life Directorate (HSWL) initiated an effort to replace the agency\u2019s aging EHR systems with a new system called the Integrated Health Information System (IHiS). This system was to modernize various health care services and provide additional functionality, such as a document management system, which was previously lacking. The project consisted of various contracts with 25 different vendors and was estimated to cost approximately $56 million to implement. However, in October 2015, the Coast Guard announced that the modernization project would be canceled.", "As requested, my statement summarizes our report that is being released today on the Coast Guard\u2019s actions related to its EHR modernization initiative and its current health records management process. Specifically, the statement addresses the Coast Guard\u2019s (1) reasons for deciding to terminate further IHiS development and how much it spent on the project; (2) management and oversight actions for the discontinued EHR modernization project and whether lessons learned were identified; (3) current process for managing health records and the challenges it is encountering; and (4) plans for effectively implementing a new EHR system and the current status of its efforts.", "Among other steps, in conducting our work, we reviewed IHiS project expenditures; analyzed key project management documentation; surveyed Regional Managers and clinical staff regarding challenges they face in managing paper health records and any mitigation strategies; and interviewed knowledgeable staff about the project. Our related report includes a detailed explanation of the scope and methodology for our work.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "The Coast Guard Attributed IHiS Termination to Financial and Other Risks, after Spending Approximately $60 Million on the Project", "paragraphs": ["According to the Director of HSWL, who was appointed to the position in August 2015, financial, technical, schedule, and personnel risks led the Coast Guard\u2019s Executive Oversight Council to decide to terminate the IHiS project in October 2015:", "Financial risks. Internal investigations were initiated in January 2015 and May 2015 to determine whether the HSWL Directorate had violated the Antideficiency Act by using incorrect funding sources and incorrect fiscal year funds for the IHiS project. The Coast Guard ordered project management and contractor staff to cease work on IHiS until a determination was made regarding the antideficiency violation.", "Technical risks. IHiS lacked an independent security assessment and full interface testing to ensure security and data integrity. In addition, key functionality for the system, such as user verification, had not been completed.", "Schedule risks. The HSWL Director stated that she requested that the Department of Defense\u2019s (DOD) Defense Health Agency Solution Delivery Information Technology (IT) team independently validate the IHiS timelines and the status of the project in 2015 because of the identified technical risks and concerns as to whether the system would be ready to be piloted in the fall of 2015. According to the Director, the Defense Health Agency team projected the timeline for the first clinic implementation to be approximately 1 year later than originally estimated due, in part, to incomplete interfaces and workflows.", "Personnel risks. Although HSWL staff had been managing the IHiS project since it was initiated in 2010, Command, Control, Communications, Computers, and Information Technology (C4&IT) was directed to assume the oversight responsibilities for IHiS implementation in May 2015. This action was due to concerns about the project\u2019s adherence to established governance processes raised by the internal investigators looking into the potential Antideficiency Act violations. By August 2015, the key HSWL project management personnel that had overseen the project since 2010 had been removed. As a result of the changes in staff, one vendor noted that it was unclear as to who were the stakeholders, responsible parties, and decision makers.", "According to an analysis conducted by the Coast Guard, which included obligations and expenditures from September 2010 to August 2017, the agency had obligated approximately $67 million for the IHiS project and, of that amount, had spent approximately $59.9 million at the time of its cancelation. In addition, over 2 years after the project\u2019s cancelation, the Coast Guard continued to pay vendors. In this regard, it paid approximately $6.6 million to vendors between November 2017 and February 2018 to satisfy existing contractual obligations for services such as leased equipment that was damaged or missing; software licensing and support; a data storage center; and removal and shipment of equipment. Further, according to staff in Coast Guard\u2019s Office of Budget and Programs, no equipment or software from the IHiS project could be reused for future efforts."], "subsections": []}, {"section_title": "The Coast Guard Could Not Demonstrate Effective Project Management, Lacked Governance Mechanisms, and Did Not Document Lessons Learned for the IHiS Project", "paragraphs": ["The Coast Guard could not demonstrate that it effectively managed and oversaw the IHiS project prior to its discontinuance, and did not document and share valuable lessons learned from the failed project. Specifically, although the Coast Guard was to follow its System Development Life Cycle (SDLC) Practice Manual to guide its management and oversight of the project, the agency could not provide complete evidence that it had addressed 15 of the 30 SDLC practices we selected for evaluation. For example, the Coast Guard could not demonstrate that it had conducted IHiS system testing, although the agency granted an authority to operate (ATO) and indicated in the ATO memorandum that the system had undergone some form of testing. The Coast Guard\u2019s SDLC specifies that system testing is to take place prior to the issuance of an ATO.", "Project team members provided inconsistent explanations regarding whether or not documentation existed to demonstrate the actions taken to manage and oversee the project. The absence of the various documents and other artifacts that would support the required SDLC activities raises doubts that the Coast Guard took the necessary and appropriate steps to ensure effective management of the IHiS project.", "Further, although the Coast Guard developed charters for various governance boards to provide project oversight and direction, the boards were not active and the Chief Information Officer (CIO) was not included as a member of the boards. Taking steps to fully implement governance boards that include the CIO will be important to the Coast Guard\u2019s oversight efforts in implementing a future EHR system and may decrease the risk of IT project failure.", "Lastly, although Coast Guard officials stated that lessons learned had been identified throughout the process of developing IHiS, as of 2 years after its cancelation, the agency had not documented and shared any lessons learned from the project and did not have established plans for doing so. Until the Coast Guard takes steps to document and share identified lessons learned with individuals charged with developing and acquiring its IT systems, opportunities to protect future systems against the recurrence of mistakes that contributed to the failure of IHiS will likely be missed."], "subsections": []}, {"section_title": "The Coast Guard Is Managing Health Records Using a Predominately Paper Process, but Many Challenges Hinder Service Delivery", "paragraphs": ["In the absence of an EHR system, the Coast Guard is relying on a predominately paper health record management process to document health care services for its nearly 50,000 military members. Currently, the Coast Guard\u2019s clinical staff perform various manual steps to process each paper health record. For example, clinical staff schedule appointments for patients using Microsoft Outlook\u2019s calendar feature and provide the patient with paper forms for completion upon his or her arrival. In addition, clinical staff must handwrite clinical notes in the paper health record during the appointment, as well as handwrite prescriptions, among other manual processes.", "In response to our survey, the 12 HSWL Regional Managers identified a number of challenges that clinics and sick bays in their regions had experienced in managing and maintaining paper health records. These challenges were grouped into 16 categories. Further, the 120 clinic and sick bay administrators that subsequently responded to a separate survey reported varying degrees to which they viewed each category as challenging. Figure 1 provides the clinic and sick bay respondents\u2019 views of the top four challenges.", "With regard to these top four challenges to managing and maintaining paper health records, clinic and sick bay respondents offered the following examples: Incomplete records. Ninety-eight (82 percent) of the respondents reported incomplete records as challenging. In this regard, 34 of the survey respondents reported that not all records from the Coast Guard legacy EHR systems were printed out and included in patients\u2019 paper health records as required before the systems were retired. Thus, they had no way to ensure the patients\u2019 paper records were complete.", "Penmanship. Among the 91 (76 percent) survey respondents that reported penmanship as challenging, several respondents noted that it is difficult for staff to read illegible handwritten medical notes. This, in turn, results in difficulty determining the accurate diagnosis, the required prescription, or a referral.", "Tracking medications. According to 89 (76 percent) of the respondents, it is challenging to track medications without an EHR. For example, one administrator stated that staff members rely heavily on patients to remember what medications they are taking\u2014potentially causing harm if patients cannot remember what medications they are taking and the medications have dangerous interactions.", "Amount of time to manage records. According to 86 (72 percent) of the respondents, managing paper health records is challenging and requires more time for staff to complete and file paperwork. Several respondents stated that the size of the paper health records has increased, resulting in additional time required to review and file records.", "The responding clinic and sickbay administrators described a range of alternative work-around processes that they have developed to help alleviate several of the challenges. Specifically, they reported having developed additional forms, tracking methods, and alternative processes, as well as having notified Coast Guard HSWL management of the challenges they face. However, these alternative processes may not provide sustained solutions to overcoming these challenges. Until Coast Guard implements a new EHR solution, the challenges inherent in a predominantly paper process will likely remain."], "subsections": []}, {"section_title": "The Coast Guard Intends to Acquire a New EHR System, but Has Not Yet Chosen a Solution", "paragraphs": ["The Coast Guard has begun taking steps to acquire a new EHR system referred to as the Electronic Health Record Acquisition (eHRa). The Coast Guard plans to manage and oversee the acquisition of eHRa through its non-major acquisition process (NMAP), as described in its Non-Major Acquisition Process (NMAP) Manual. NMAP requires formal approval reviews at three discrete knowledge points called acquisition decision events (ADE) and includes three phases to assess the readiness and maturity of the acquisition.", "The Coast Guard formally identified the need for a new EHR system on February 1, 2016, and obtained approval for the first of three ADE\u2019s on February 13, 2016. It subsequently initiated market research activities by collecting cost, schedule, and capabilities information from commercial and government solution providers, including DOD and the Department of Veterans Affairs.", "The Coast Guard used the providers\u2019 responses to develop an alternatives analysis report that was completed in October 2017. The report recommended a solution based on performance, risk, cost, and schedule advantages. The report indicated that the Coast Guard plans to use the results of the alternatives analysis to refine the acquisition strategy, and to support the development of artifacts which are required to successfully achieve the ADE-2 milestone. Staff within the Acquisitions Directorate stated that they were also in the process of finalizing a life cycle cost estimate and a project plan for eHRa\u2014documents necessary for ensuring that appropriate business decisions will be made regarding eHRa\u2019s logistics, affordability, and resources, among other things.", "As of December 2017, the Coast Guard had not yet made a final determination as to which option would be chosen as the solution for the eHRa acquisition."], "subsections": [{"section_title": "Implementation of Our Recommendations Should Better Position Coast Guard to Overcome Challenges with Paper Health Records", "paragraphs": ["Our report that is being released today contains four recommendations to the Coast Guard. Specifically, we recommend that the Coast Guard: expeditiously and judiciously pursue the acquisition of a new EHR ensure established processes required for the future acquisition or development of an EHR are effectively implemented and adequately documented; direct the Chief Information Officer and the Chief Acquisition Officer to establish and fully implement project governance boards for the future EHR effort that include the Chief Information Officer; and document any lessons learned from the discontinued IHiS project, share them with the new project management team, and ensure lessons learned are utilized for the future EHR effort.", "The Department of Homeland Security concurred with our four recommendations and identified actions being taken or planned to implement them. If the Coast Guard fully and effectively implements our recommendations, many of the challenges faced by its clinics and sick bays and the thousands of Coast Guard members utilizing its health services could be diminished.", "In summary, given the numerous challenges inherent with managing and maintaining paper health records, it will be important for the Coast Guard to prioritize obtaining an EHR for its thousands of members. Until a solution for its EHR system is chosen and successfully implemented, the agency is likely to continue to face these challenges. In addition, ensuring established project management and governance processes are effective, as well as documenting and sharing lessons learned, will be essential in avoiding past mistakes and helping to ensure a successful implementation of a future EHR solution at the Coast Guard.", "Chairman Hunter, Ranking Member Garamendi, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contact and Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact David A. Powner, Director, Information Technology Management Issues, at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this statement are Nicole Jarvis (Assistant Director), Ashfaq Huda (Analyst in Charge), Sharhonda Deloach, Rebecca Eyler, Monica Perez-Nelson, and Scott Pettis.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-643", "url": "https://www.gao.gov/products/GAO-18-643", "title": "Washington Metropolitan Area Transit Authority: Assessing Fiscal Risks and Improving Workforce Management Would Help Achieve Strategic Goals", "published_date": "2018-09-10T00:00:00", "released_date": "2018-09-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["WMATA transports more than 1 million rail and bus passengers each weekday in the nation's capital and surrounding areas. However, recent safety incidents and declines in ridership and revenues have focused public attention on how WMATA manages its workforce and associated costs.", "GAO was asked to review WMATA's workforce management. This report examines, among other things, (1) how WMATA's workforce costs have changed from fiscal years 2006 through 2017 and factors contributing to those changes, and (2) how WMATA has designed and implemented its employee performance management systems. GAO reviewed WMATA's annual financial statements and budgets from fiscal years 2006 through 2017, and compared WMATA's workforce cost and performance management efforts to leading practices and internal control and actuarial principles. GAO also reviewed a non-generalizable sample of employee performance evaluations selected to include occupations with the highest number of evaluations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Washington Metropolitan Area Transit Authority's (WMATA) workforce costs\u2014including wages, salaries, and benefits for employees and retirees\u2014increased on average by about 3 percent annually from fiscal years 2006 through 2017. This increase was largely driven by the cost of employee and retiree benefits. Specifically, the amount WMATA was required to contribute to its pension plans increased by an annual average of about 19 percent during this period. Due to their relative size, proportion of retirees compared to active members, and investment decisions, these pension plans pose significant risk to WMATA's financial operations, yet WMATA has not fully assessed the risks. Without comprehensive information on the risks facing its pension plans, WMATA may not be prepared for economic scenarios that could increase its required contributions to an extent that might jeopardize its ability to provide some transit service.", "WMATA has implemented two employee performance management systems that cover all employees, but these systems lack some key elements of an effectively designed and implemented performance management system. For example, WMATA's performance management systems are not designed to make meaningful distinctions in performance, a key element of an effective system. This design is due in part to WMATA's lack of comprehensive policies and procedures for its performance management systems. In addition, WMATA lacks sufficient controls to ensure that supervisors complete required performance evaluations accurately and on-time. For example, in 10 of 50 performance evaluations we reviewed, we found scoring errors where employees were assigned a performance rating inconsistent with the supporting review. Without comprehensive policies and procedures or sufficient controls over its performance management systems, WMATA lacks tools and information to move employees toward achieving WMATA's strategic goals."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to WMATA, including that it develop a comprehensive assessment of risks posed by its pension plans, comprehensive policies and procedures for its employee performance management systems, and controls to ensure supervisors complete required performance evaluations, among other actions.", "WMATA agreed with four recommendations and neither agreed nor disagreed with the fifth."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Washington Metropolitan Area Transit Authority (WMATA) transports more than 1 million rail and bus passengers each weekday, making it critical to the mobility and productivity of the nation\u2019s capital and surrounding areas. Safety lapses such as a January 2015 smoke incident at the L\u2019Enfant Plaza Metro Station that resulted in the death of one person and injured 91 others, and multiple electrical fires and derailments since then, have focused public attention on the management and performance of WMATA\u2019s workforce. For example, in 2015, the Federal Transit Administration (FTA) identified deficiencies in WMATA\u2019s staffing, training, and procedures for its rail traffic controllers that FTA found could compromise the safety of the Metrorail system. In 2017, WMATA reported that it had fired 21 rail inspectors and supervisors\u2014about one third of its inspection staff\u2014for allegedly falsifying inspection reports. Further, Metrorail has experienced significant losses in ridership and revenues due in part to persistent reliability problems and planned outages during its year-long SafeTrack rail rehabilitation program, completed in June 2017. That year, WMATA announced plans to reduce its workforce by eliminating 6 percent of its 13,000 positions to help bridge a $290 million gap in its 2018 operating budget.", "You asked that we review WMATA\u2019s management of its workforce, including its workforce costs, planning, and performance. This report assesses: (1) how WMATA\u2019s workforce costs have changed from fiscal year 2006 through 2017 and factors contributing to those changes; (2) how WMATA identifies and addresses its current and future workforce needs; and (3) how WMATA has designed, implemented, and monitored its employee performance management systems.", "To assess how WMATA\u2019s workforce costs have changed, we used data from WMATA\u2019s annual budgets and audited financial statements from fiscal years 2006 through 2017 on the amounts expensed by WMATA on wages and salaries, employee and retiree benefits, and contracted services, and on the amounts WMATA contributed to its pension plans and retiree health benefits. We selected 2006 to account for any potential effects of the 2007-2009 financial crisis on pension or other costs and because WMATA began contributing to its largest pension plan again in 2006 after a 6-year period of not contributing to this plan.", "We reviewed data WMATA provided on operating and capital overtime costs and the most recent actuarial reports for each of WMATA\u2019s five pension plans. To assess the reliability of WMATA\u2019s budget data and other data WMATA provided, we interviewed WMATA officials on practices used to assemble these data. We found these data to be sufficiently reliable for our purposes. We also analyzed characteristics of WMATA\u2019s five pension plans in consultation with our Chief Actuary and in relation to actuarial principles and recent literature. To identify factors contributing to changes in workforce costs, we interviewed WMATA officials and reviewed information from WMATA\u2019s annual budgets and annual financial statements on the total number of authorized staff, changes in overtime costs, changes in pension-related costs, and other factors that could influence workforce cost changes since fiscal year 2006.", "To evaluate how WMATA identifies and addresses its workforce needs, we compared WMATA\u2019s workforce planning and workforce development efforts to leading practices we previously identified and to internal control standards of the Committee of Sponsoring Organizations of the Treadway Commission (COSO), which WMATA follows. We reviewed WMATA\u2019s 2017-2019 individual department business plans and 2013\u20132025 strategic plan, and interviewed WMATA officials, to assess how WMATA identifies its short- and long-term workforce needs. We also obtained and reviewed WMATA information on the positions WMATA eliminated in fiscal years 2017 and 2018, including the number that were vacant or occupied. Lastly, we compared WMATA\u2019s workforce planning approach to those at five U.S. transit agencies selected based on similarity in size, age, unions, and stakeholder recommendations.", "To evaluate WMATA\u2019s performance management systems, we interviewed WMATA officials and reviewed documentation on WMATA\u2019s two employee performance management systems\u2014\u201dPERFORMetro\u201d and \u201cPerformance Conversations.\u201d PEFORMetro applies to staff represented by (1) the Office and Professional Employees International Union Local 2 (administrative and clerical personnel), (2) the Fraternal Order of Police (Metro Transit Police), (3) International Brotherhood of Teamsters Local 639 (Metro Special Police), and (4) staff not represented by a union (management and administrative personnel). Performance Conversations applies to staff represented by the Amalgamated Transit Union Local 689 or International Brotherhood of Teamsters Local 922 (bus and rail operations personnel). We compared these performance management systems to WMATA\u2019s strategic goals in its 2013-2025 strategic plan, key performance management practices we have previously identified, and to the COSO internal control standards.", "We also assessed whether WMATA had management controls in place to ensure timely, complete and accurate submissions of performance evaluations by initially reviewing a selection of 60 PERFORMetro evaluations from the most recently-completed evaluation cycle at the time of our review. We selected 20 files from each of the three employee groups included in the PERFORMetro system (employees not represented by a union, employees represented by the Office and Professional Employees International Union Local 2, and law enforcement officers represented by the Fraternal Order of Police or Teamsters Local 639). Due to inconsistencies in the Teamsters Local 639 evaluation forms, we excluded 10 of the 60 evaluations from our selection, leaving 50 evaluations. The performance evaluation forms we reviewed are not generalizable to all performance evaluations submitted to WMATA\u2019s human resources department or completed by WMATA supervisors, but they provide illustrative examples of some completed performance evaluations. We could not review any Performance Conversation forms because WMATA does not routinely collect or retain these forms and WMATA did not have any Performance Conversation forms available for us to review. Finally, we interviewed officials from the FTA, WMATA, and union leadership from four of the five unions representing WMATA employees. A more detailed summary of our scope and methodology appears in appendix I.", "We conducted our work from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["WMATA operates the nation\u2019s second largest heavy rail transit system (Metrorail) and fifth largest bus system (Metrobus), accounting for about 1.1 million passenger trips per weekday. Metrorail runs 6 train lines connecting the District of Columbia to various locations in Maryland and Virginia. A portion of the latest addition, the Silver Line, was opened in 2014. WMATA was created in 1967 through an interstate compact\u2014 matching legislation passed by the District of Columbia, the state of Maryland, and the Commonwealth of Virginia, and then ratified by Congress\u2014to plan, develop, finance, and operate a regional transportation system in the National Capital area. A board of eight voting directors and eight alternate directors governs WMATA. The directors are appointed by the District of Columbia, Virginia, Maryland, and the federal government, with each appointing two voting and two alternate directors."], "subsections": [{"section_title": "Operating Revenues", "paragraphs": ["WMATA\u2019s operating revenues from rider fares, parking fees, and paid advertisements, do not cover its annual costs, so it relies on year-to-year funding commitments from Maryland, Virginia, and the District of Columbia, and various forms of federal funding to cover gaps in its capital and operating budgets. WMATA\u2019s operating budget covers personnel costs and contracted services; in fiscal year 2017 about 75 percent of its $1.8 billion operating budget went to personnel costs. WMATA\u2019s capital budget, which covers short-term maintenance and long-term capital projects, totaled $1.2 billion in fiscal year 2017. In 2018, Maryland, Virginia, and the District of Columbia each passed legislation to provide additional recurring annual funding to WMATA generally for capital purposes, totaling $500 million annually across the 3 jurisdictions."], "subsections": []}, {"section_title": "Service Levels and Ridership", "paragraphs": ["In recent years, WMATA added new rail service while also experiencing declines in ridership. From fiscal years 2006 through 2017, WMATA increased Metrorail service about 23 percent as measured in total railcar revenue service miles, or the miles traveled when the vehicle is in revenue service; WMATA increased Metrobus service slightly, by about 4 percent. Over this same time, ridership declined\u2014by about 17 percent on Metrorail and 12 percent on Metrobus. (See fig. 1).", "WMATA attributes this ridership decline to multiple factors, including growth in telecommuting, the expansion of alternative transportation options, and a decline in service quality and reliability. In addition, between June 2016 and June 2017, WMATA completed SafeTrack, a large-scale accelerated maintenance program that suspended service on portions of Metrorail, resulting in delays and additional ridership declines."], "subsections": []}, {"section_title": "Workforce and Employee Groups", "paragraphs": ["WMATA\u2019s workforce is composed of bus and rail operations staff, as well as managers, administrators, law enforcement, and others. In September 2017, after reducing its workforce by eliminating 6 percent of its 13,000 positions, WMATA reported that it had 12,217 employee positions across 6 different employee groups, of which 11,341 were filled. Most WMATA employees\u201483 percent\u2014are represented by one of WMATA\u2019s five unions, depending on the employees\u2019 positions. The Amalgamated Transit Union Local 689 is the largest union, representing 67 percent of WMATA employees (see table 1). Each union negotiates its own terms on wages, salaries, hours, working conditions, and pensions or retirement, and generally documents these terms in its collective bargaining agreement."], "subsections": []}, {"section_title": "Employee and Retiree Benefits", "paragraphs": ["WMATA provides a defined benefit pension for almost all of its represented employees and for non-represented employees hired before January 1, 1999. In these pension plans, the benefit a retiree receives is generally based on the retiree\u2019s age and/or years of service and compensation, which may include overtime wages for represented employees. WMATA\u2019s annual contributions to its pension plans are invested in portfolios that include stocks, bonds, and real estate to fund future pension benefits. The Local 689 pension plan is WMATA\u2019s largest, and covered 80 percent of all WMATA pension plan members in fiscal year 2017. Each of the five pension plans is governed by a separate group of trustees responsible for administering the plan. The trustees are composed of a mix of members selected by WMATA and by the respective union or employee group. For example, the trustees for the Local 689 plan include three appointed by WMATA and three by Local 689.", "WMATA makes payments for four defined benefit retiree health plans. These plans generally cover Local 689 employees, Local 2 employees, Metro Transit Police, and Metro Special Police, in addition to non- represented employees. According to WMATA officials, WMATA\u2019s four retiree health plans are \u201cpay-as-you-go,\u201d meaning WMATA pays for benefits as they become due each year, and funds necessary for future benefits are not accumulated."], "subsections": []}]}, {"section_title": "Increases in WMATA\u2019s Workforce Costs since Fiscal Year 2006 Are Largely Driven by the Cost of Benefits, with Pensions Posing Particular Risk", "paragraphs": ["WMATA\u2019s total workforce costs\u2014composed of wages, salaries, and benefits for current and retired employees\u2014increased modestly in inflation-adjusted dollars (on average by about 3 percent annually) from fiscal years 2006 through 2017. This modest increase reflected small increases in wage and salary costs and substantial increases in employee and retiree benefit costs. In particular, WMATA\u2019s required annual contributions to its pension plans increased by an annual average of almost 19 percent and were WMATA\u2019s fastest growing workforce cost component from fiscal years 2006 through 2017. The possibility of further increases in the costs of WMATA\u2019s pension plans poses significant risk to the agency\u2019s financial operations, yet WMATA has not fully assessed these risks."], "subsections": [{"section_title": "Since 2006, WMATA Wages and Salaries Increased Modestly While Contract Costs More Than Doubled", "paragraphs": ["WMATA\u2019s total workforce costs increased by about 3 percent annually on average between fiscal years 2006 and 2017 in inflation-adjusted fiscal year 2017 dollars, with wages and salaries increasing an average 1.1 percent per year, from $645 million in 2006 to $728 million in 2017. These costs grew at a slower rate than the costs of contracted services (7.3 percent annually on average) and employee and retiree benefits (5.6 percent annually on average), as discussed below (see table 2).", "The total number of employees WMATA budgeted for each year (authorized positions) grew slightly faster than wages and salaries\u2014about 2 percent per year on average\u2014increasing from 10,451 in 2006 to 13,032 in 2017, with similar growth in the number of occupied positions. Wages and salaries increased at a slower rate than WMATA\u2019s workforce in part because, according to WMATA officials, non-union employees did not receive a salary increase for several of these years. In contrast, employees represented by one of WMATA\u2019s five unions generally received annual wage and salary increases, as laid out in their collective bargaining agreements. WMATA officials also estimated that since 2008, between about 10 and 14 percent of its annual wage and salary costs were composed of operating overtime. WMATA officials stated that operating overtime is used to fill gaps in schedules or staffing in positions that have high vacancy rates, such as Metro Transit Police.", "While wage and salary costs increased modestly, the cost of WMATA\u2019s contracted services more than doubled from fiscal years 2006 through 2017. During this time contracted services costs increased more than 7 percent per year on average, from $123 million in fiscal year 2006 to $267 million in fiscal year 2017. WMATA officials reported large increases during this period in repair and maintenance, custodial services, professional and technical services such as attorneys and management consultants, and WMATA\u2019s MetroAccess contract that provides paratransit door-to-door service for riders unable to use bus or rail. WMATA officials attributed these increases to several factors. First, they stated that paratransit service ridership and the contractor cost per trip have increased. The officials estimated that providing paratransit service currently costs WMATA about $50 per passenger trip. Second, WMATA officials said adding five new Silver Line stations resulted in increases in contract costs because some of the services already provided by contractors, including custodial services and some track work, were extended to the new stations. Third, WMATA officials said they have been using more contractors in recent years to control costs and improve efficiency. For example, they stated they may use contracts to address problems such as a backlog of track inspections because they can procure contractors to complete the work more quickly than they could with current WMATA staff who would have to be pulled away from other duties or new WMATA staff who would have to be hired and trained."], "subsections": []}, {"section_title": "WMATA\u2019s Employee and Retiree Benefit Costs Increased Substantially since 2006, but WMATA Has Not Fully Assessed Risks Posed by Its Pension Plans", "paragraphs": ["From fiscal years 2006 through 2017, WMATA\u2019s annual costs for its employee and retiree benefits increased substantially in inflation-adjusted fiscal year 2017 dollars. Employee and retiree benefit costs\u2014which include benefits for current employees, such as health care and vacation, and benefits for retired employees such as pensions and health care\u2014 increased at an average annual rate of 5.6 percent, from $327 million to $593 million (see table 2 above). These cost increases are reflective of substantial increases in the amount WMATA contributed to its pension plans. These costs increased by an average of 18.9 percent annually, from $25 million in fiscal year 2006 to $168 million in fiscal year 2017. WMATA payments for retiree health benefits increased less dramatically, on average 2.7 percent per year from fiscal years 2008 through 2017($39 million to $49 million). (See fig. 2). WMATA officials attributed increases in employee and retiree benefit contributions to multiple factors including market losses to pension assets incurred after the 2007\u20132009 financial crisis and an increase in the cost of providing healthcare benefits.", "Despite paying more for its retiree pension and health plans since 2006, in fiscal year 2017 WMATA had large unfunded retiree health and pension liabilities. Unfunded liabilities are the estimated value of the amount of additional assets, beyond any existing plan assets, that would be required to fully fund accrued liabilities of a plan. The assets of WMATA\u2019s pensions largely consist of investments in stocks, bonds, and real estate. Unfunded liabilities are similar to other kinds of debt because they constitute a promise to make a future payment or provide a benefit.", "According to WMATA\u2019s fiscal year 2017 Comprehensive Annual Financial Report, WMATA\u2019s pension plans were underfunded by $1.1 billion for fiscal year 2017, of which $814 million was attributed to WMATA\u2019s largest pension plan\u2014Local 689. In contrast, WMATA\u2019s four retiree health plans were pay-as-you-go during fiscal years 2006 through 2017, meaning WMATA\u2019s annual plan contributions were benefit payments for retirees each year in that period. Since WMATA did not make contributions to prefund retiree health benefits, funds necessary for future benefits were not accumulated as assets. As a result, the entire accrued liability was an unfunded liability, and WMATA\u2019s four retiree health plans were unfunded by over $1.8 billion in fiscal year 2017.", "WMATA officials said they have made several changes to reduce unfunded pension and retiree health liabilities through negotiations with WMATA\u2019s unions. For example, in 2014, Local 689 employees began contributing a portion of their compensation (1 percent) to the Local 689 pension plan. This amount increased to 3 percent in 2015. Local 689 employee contributions reported for fiscal year 2017 were about $22 million, which was about 17 percent of the $127.5 million reported for WMATA\u2019s contribution to their pension plan for that year. In addition, according to WMATA\u2019s fiscal year 2017 Comprehensive Annual Financial Report, non-represented and Local 2 employees hired on or after January 1, 1999 are not eligible for the defined benefit pension plan. WMATA also reported that Local 689 and Local 2 employees hired on or after January 1, 2010, Metro Special Police hired after February 25, 2016, and non- represented employees hired after January 1, 2017 are not eligible for retiree health benefits. Most recently, WMATA created a trust to fund WMATA\u2019s retiree health benefits and invested $3 million in the trust.", "WMATA\u2019s pension plans, due to their relative size and maturity and investment decisions, pose a particular risk to WMATA\u2019s financial operations:", "Relative size and maturity: The size of WMATA\u2019s pension plans and the overall maturity of the plans\u2019 participants pose a combined financial risk to WMATA. WMATA\u2019s pension plans assets and liabilities are large relative to its business operations. For example, in fiscal year 2017, WMATA\u2019s pension assets ($3.6 billion) were about 5 times more, and its pension liabilities ($4.7 billion) about 6.5 times more than its annual wages and salaries ($728 million). Because of their relative size, changes in the value of these assets or liabilities\u2014 for example, as a result of underperforming investments or revisions to actuarial assumptions\u2014could significantly affect WMATA\u2019s operations. In addition, WMATA\u2019s pension plans are considered \u201cmature\u201d by actuarial measures, meaning, for example, that they have a high proportion of retirees compared to active members. A 2017 WMATA Board of Directors Pension Subcommittee report indicated that if WMATA\u2019s assumed rate of return across all five plans decreased from 7.66 percent to 7 percent, WMATA\u2019s required annual pension contribution would increase $42 million, a 26 percent increase, from 22 percent of wages and salaries ($160.7 million) to about 28 percent of wages and salaries ($203 million).", "Investment decisions: WMATA\u2019s pension plans assume higher rates of return than state and local pension plans generally do, according to a recent National Association of State Retirement Administrators report. For the 2017 plan year, WMATA\u2019s largest pension plan had an assumed rate of return of 7.85 percent per year, and the weighted average assumed rate of return for WMATA\u2019s five plans combined was 7.66 percent. The average assumed rate of return among the largest state and local government plans was 7.52 percent in 2017, and dropped to a planned 7.36 percent for fiscal year 2018. If WMATA\u2019s pension plan assets return significantly less than assumed, WMATA\u2019s unfunded liabilities will be higher than anticipated, potentially resulting in a spike in required contributions, as occurred in the years following the 2007-2009 financial crisis (see fig. 2 above).", "WMATA\u2019s pension plans are largely invested in the stock market, which also poses risk. For example, according to a November 2017 report to WMATA\u2019s Board of Directors Pension Subcommittee, 69 percent of WMATA\u2019s plan assets across all five pension plans were invested in the stock market, and only 18 percent in fixed income or cash. Investing in assets such as stocks may increase expected investment returns, but it also increases risk because stock returns are more volatile than investments in high quality bonds that provide a more stable rate of return. In addition, with its mature plans, WMATA faces a shorter time horizon before benefits for its retirees and older workers will become due, leaving less time to recover from investment shortfalls. According to literature on challenges facing U.S. pension plans, plans should take on less risk as they become more mature. This is because investment losses\u2014and corresponding required increases in contributions\u2014can potentially be a high percentage of wage and salary costs, with less time to make adjustments. As described above, WMATA\u2019s pension plans are considered mature, yet they still have a high percentage allocated to risky assets.", "Although WMATA recently hired a consultant to complete a high-level review of its pensions, it has not fully assessed the risks of its five pension plans to the agency\u2019s financial operations. In 2016 and 2017 WMATA hired a consultant to provide an overview of its five pension plans, including reviewing the plans\u2019 funding strategies and performance. However, the stated purpose of these reports did not include an assessment of risk, and the reports included only limited analysis of the various risks facing WMATA from the plans, for example forecasting WMATA\u2019s pension contributions over the next 10 years, but only under one scenario. In addition, WMATA provided us with analyses conducted by an actuary for each of its five pension plans, which included some limited risk analysis for three of the five pension plans, and no risk analysis for the other two plans, including the Local 689 plan\u2014WMATA\u2019s largest. Neither WMATA nor the trustees for the Local 689 plan have fully assessed the risks of that plan. WMATA\u2019s Office of Internal Compliance has developed a process to periodically assess risks across the agency, known as an Enterprise Risk Management Program, and reported that pension risks could be assessed within this framework. However, WMATA has not yet assessed the fiscal risks from its pension plans within this program. WMATA officials said they are in the process of identifying risks to include in this program for 2019.", "The internal control standards WMATA follows state that organizations should identify, analyze, and respond to risks related to achieving their objectives. Further, a Society of Actuaries Blue Ribbon Panel reported that it is important for stakeholders\u2014such as trustees, funding entities, plan members, union officials, and, in WMATA\u2019s case, its Board of Directors\u2014to have comprehensive information about the current and expected future financial position of pension plans and the extent of risks facing pension plans. According to the Blue Ribbon Panel, this information should include, among other things, \u201cstress testing,\u201d which projects a plan\u2019s financial outcomes under adverse scenarios.", "WMATA officials told us that WMATA has not fully assessed pension risks because WMATA\u2019s management does not have control over decisions related to the risks its pension plans take. For example, WMATA officials told us that given that both asset-allocation and investment-return assumptions are the purview of plan trustees who are required to act independently, WMATA has left the decision to determine if risk analysis is necessary to the individual plans\u2019 trustees. WMATA officials stated that even if they were to identify risks, there are not many actions WMATA management could take to change them because trustees have ultimate control over the plans\u2019 investment decisions. However, the investment risks taken by the pension plans\u2019 trustees ultimately affect the amount that WMATA is required to contribute, and assessing those risks could help WMATA better anticipate its required future pension contributions.", "Without a comprehensive assessment of these risks, WMATA and its stakeholders\u2014such as its Board of Directors\u2014are limited in their ability to prepare for economic scenarios that could ultimately increase the amount WMATA is required to contribute to its pension plans. In addition, if disappointing market returns were the result of a broader economic downturn, WMATA\u2019s revenues\u2014such as those from local jurisdictions\u2014 could decline at the same time as higher pension contributions were required. For example, as noted earlier, if WMATA\u2019s pension plans\u2019 assets of $3.6 billion return significantly less than assumed, WMATA could experience a spike in required contributions, as it did in the years following the 2007\u20132009 financial crisis. Such a spike would further constrain WMATA\u2019s operating budget, and potentially jeopardize its ability to pay for pension contributions or provide transit service. Moreover, without a comprehensive assessment of these risks under various scenarios, WMATA may lack useful information to develop risk mitigation efforts and to inform its collective bargaining negotiations about pay and benefits. Such information would also be useful to WMATA to inform its Board of Directors, and the jurisdictions that fund WMATA, about the impact that adverse economic scenarios could have on WMATA\u2019s ability to provide future service at anticipated funding levels."], "subsections": []}]}, {"section_title": "WMATA Lacks a Strategic Process to Identify and Address Future Workforce Needs", "paragraphs": ["WMATA identifies the staffing levels it needs each year through its annual budgeting process, but does not have a strategic process to identify and address its long-term workforce needs to meet the agency\u2019s goals. For example, in preparing the annual budget request for the Board of Directors, WMATA officials identify the number of staff needed in individual departments the following fiscal year. However, WMATA does not have a process for identifying and addressing agency-wide workforce needs beyond one year or in relation to agency-wide goals, contrary to leading practices. In addition, WMATA has some workforce development programs, including some that are piloted or planned, but these programs are not based on an agency-wide assessment of the skills the agency needs to meet its strategic goals. Instead, WMATA\u2019s workforce development programs are directed to short-term needs such as filling vacancies."], "subsections": [{"section_title": "WMATA Identifies Short- Term Staffing Levels for Its Annual Budget but Has Not Set a Direction for its Long-Term Workforce Needs", "paragraphs": ["WMATA officials identify staffing levels needed by individual departments annually, in preparation for WMATA\u2019s annual budget. The annual budget, once approved by WMATA\u2019s Board of Directors, sets a ceiling for the number of positions WMATA can employ in the next fiscal year. For example, in fiscal year 2016, WMATA was authorized to fill up to 13,032 positions in fiscal year 2017. WMATA officials told us that each department, such as Rail Services or Bus Services, estimates the number of positions they will need to meet their mission the following fiscal year. According to WMATA officials, this estimation is based in large part on the number of positions allotted to them in the previous fiscal year. WMATA officials said the budget office assembles this department-level data into WMATA\u2019s agency-wide budget request for the board of directors.", "WMATA\u2019s recent restructuring of its workforce was also guided by the annual budget process. Beginning in June 2016 in preparation for the fiscal year 2018 budget proposal, WMATA eliminated 800 positions, most of which were vacant. To identify these positions, WMATA\u2019s General Manager directed department heads to help identify any positions that were redundant or obsolete. WMATA officials reported that 637 of the 800 positions eliminated were already vacant, and of the 163 occupied positions most were reassigned to other existing positions. Ultimately, WMATA terminated 62 employees during this time for an estimated savings of $7.3 million (about $116,000 per employee in salary and benefits).", "Although WMATA estimates departmental staffing needs annually, WMATA officials said the agency does not have a process for identifying the agency\u2019s long-term workforce needs. Instead, officials said that each department typically completes a 3-year business plan through which it may identify the number of employees needed over that period. However, none of the 8 department business plans that we reviewed for calendar years 2017 through 2019 identified the number of employees needed. Further, WMATA\u2019s Chief Operating Office business plan identified the lack of long-term workforce planning as a risk to the office\u2019s ability to meet its core organizational goals. WMATA\u2019s four organizational goals are creating a safety culture and system, delivering quality service, improving regional mobility, and ensuring financial stability and investing in people.", "According to leading human capital practices we have previously identified, agencies should have a strategic workforce planning process that identifies the workforce, including full-time, part-time, and contracts, needed to meet the agency\u2019s strategic goals now and in the future. Strategic workforce planning helps an agency align its human capital program with its current and emerging mission and ensures that it will have the workforce it needs to accomplish its goals. According to these leading practices, the first step of strategic workforce planning is for top management to set a strategic direction for the agency\u2019s workforce planning efforts, and to involve employees and other stakeholders in the development and communication of these efforts.", "WMATA does not have a strategic workforce planning process that would address its workforce needs beyond the next fiscal year because it has not prioritized that effort. WMATA officials told us they were interested in creating a strategic workforce plan, and had made previous plans to do so. Specifically, WMATA\u2019s 2013\u20132025 Strategic Plan reported that the agency was creating a \u201cStrategic Human Capital Plan\u201d that would have developed long-term workforce planning strategies. However, WMATA officials told us that the Strategic Human Capital Plan was never completed due to other, competing priorities such as filling vacant positions and addressing other workforce issues in the upcoming budget.", "Without a strategic workforce planning process to establish a long-term direction for its workforce, WMATA does not have a clear plan for how it will acquire, develop, and retain the workforce needed to achieve its strategic goals of creating a safety culture, delivering quality service, improving regional mobility, and financial stability. Further, without such a process, WMATA lacks reasonable assurance that its short-term annual budget requests for staff, including the recent restructuring, will move the agency toward these strategic goals."], "subsections": []}, {"section_title": "WMATA\u2019s Workforce Development Programs Are Not Based on an Agency-wide Assessment of Gaps in Critical Skills and Competencies", "paragraphs": ["WMATA officials told us they have some established workforce development programs, and others piloted or planned. For example, WMATA currently has three specialized recruitment programs to identify qualified veterans, Latinos, and persons with disabilities for WMATA positions. WMATA also provides targeted training for employees such as \u201cprinciples of supervision\u201d for all new supervisors. WMATA officials told us the agency is also developing a \u201cPeople Strategy,\u201d which will include multiple workforce development programs for certain entry-level workers and managers to improve their skills and help them to advance in the agency. One component of the People Strategy will be to establish a program to identify and train \u201chigh-potential\u201d staff for leadership positions.", "Although WMATA has some limited workforce development programs, these programs are not based on an agency-wide assessment of skill and competency gaps. According to the COSO internal control standards and leading practices we have previously identified, once an organization\u2019s leadership sets a strategic direction for workforce planning efforts, it needs to conduct a \u201cworkforce gap analysis\u201d\u2014a data-driven assessment of the critical skills and competencies the agency will need to achieve its current and future goals. Agencies can use different approaches for this analysis. One example is using information on retirements and attrition to identify future gaps in staffing or skills. Another is \u201cscenario planning\u201d in which an agency identifies how its activities might change in scope and volume in the next 5 years, and then identifies gaps in skills and competencies needed to fill the likely scenarios, rather than planning to meet the needs of a single view of the future. An agency can then develop strategies that are tailored to address any gaps between the skills and competencies they need and the ones they already have.", "WMATA officials reported that they identify workforce gaps by tracking vacancy rates (percentage of budgeted positions that are vacant) and consulting department leaders about employees departing or retiring. However, WMATA officials said they do not monitor trends in agency- wide retirements and had not projected the number of employees eligible to retire in the future\u2014essential components of a data-driven workforce gap analysis. In comparison, officials from four of the five similar transit agencies we interviewed project the percentage of staff who are eligible to retire in the future, ranging from 3 to 10 years.", "WMATA officials said the agency has not conducted an agency-wide assessment of its skill and competency needs because it has been more reactive than proactive in response to attrition and retirements and relied on promoting staff to higher-level positions to fill vacancies. For example, until 2017, WMATA had a Superintendent Succession Planning Program, which was designed to prepare bus and rail employees for management roles. WMATA officials reported that this program was initiated in 2009 but is currently on hold as the agency develops its People Strategy. WMATA officials said they plan to implement a different succession planning program, which will offer financial incentives for some managers to transfer knowledge to staff before they retire, as part of the People Strategy. However, without conducting a data-driven assessment of the critical skills and competencies WMATA needs to fill any gaps and achieve its strategic goals, WMATA lacks complete information on where the gaps in its workforce lie, and if its workforce development programs are addressing those gaps or ultimately moving the agency closer to its strategic goals."], "subsections": []}]}, {"section_title": "WMATA Lacks Some Key Elements of an Effective Performance Management System and Sufficient Controls to Ensure Accurate and Timely Performance Reviews", "paragraphs": ["WMATA has implemented two performance management systems to cover its various employee groups, but these systems lack some key elements of an effective performance management system. Specifically, WMATA has linked employee performance to pay for some employees; however, WMATA\u2019s performance management systems do not (1) consistently align employee and agency goals or assign responsibilities, (2) make meaningful distinctions in performance, or (3) consistently use competencies to identify the behaviors individual employees need to contribute to strategic goals. In addition, WMATA does not have sufficient controls to ensure that performance reviews are complete, accurate, and submitted within established timeframes and does not use performance management information to track progress towards strategic goals."], "subsections": [{"section_title": "WMATA\u2019s Performance Management Systems Cover All Employees but Design Lacks Some Key Elements", "paragraphs": ["WMATA has implemented two performance management systems that cover all employees: PERFORMetro for non-represented staff and staff represented by Local 2, Fraternal Order of Police, or Local 639; and Performance Conversations for staff represented by Local 689 or Teamsters Local 922. The features of the PERFORMetro and Performance Conversations systems vary somewhat in terms of the frequency of performance reviews, the use of objectives to assess performance, and other characteristics (see table 3).", "WMATA links pay increases to positive performance for some employees under PERFORMetro, a key element of effective performance management. For example, Metro Special Police must earn a solid performer or better rating to be eligible for salary increases. We have previously noted that high-performing organizations seek to create pay systems that clearly link to employee contributions. WMATA does not link pay to performance for employees who fall under Performance Conversations. Pay increases for these employees\u2014who are represented by two of the largest unions at WMATA\u2014are determined by years of service as described in the collective bargaining agreements. WMATA officials said they had considered linking some pay to performance in the past, but had not pursued this since they believe any changes to how pay is awarded would have to be negotiated between WMATA and each respective bargaining unit.", "Although WMATA has linked individual performance to pay for some employees, the design of WMATA\u2019s performance management systems lacks three additional key elements of an effective performance management system as identified in our prior work and internal control standards followed by WMATA. Those key elements are: aligning employee and agency goals and identifying responsibilities making meaningful distinctions in performance, and using tailored competencies to define needed skills and behaviors.", "Aligning employee and agency goals and identifying responsibilities: PERFORMetro is not designed to align individual employee performance with all of its strategic goals. While Performance Conversation forms guide supervisors to discuss the employees\u2019 performance in relation to each of WMATA\u2019s four strategic goals, supervisors under PERFORMetro are required to evaluate employees on individual performance objectives that are aligned with three of these goals. Supervisors under PERFORMetro are not required to evaluate employees on a performance objective aligned with WMATA\u2019s fourth strategic goal\u2014improving regional mobility. WMATA officials told us it is up to individual supervisors to determine whether to evaluate an employee on the fourth strategic goal. Of the 50 performance reviews we assessed, we observed one that aligned an employee\u2019s performance objectives with the organizational goal of improving regional mobility. According to leading performance management practices we previously identified, aligning individual performance objectives with organizational goals helps individuals see the connection between their daily activities and the organization\u2019s goals. Without a mechanism in place to do this for PERFORMetro staff, WMATA may not know how these employees are contributing to increasing regional mobility, and employees may not know how they are performing relative to this goal.", "In addition, WMATA has not consistently identified how its performance management systems support its overarching strategic goals or assigned responsibilities for implementing these systems. While WMATA issued a staff memo in April 2016 that identified a goal for Performance Conversations\u2014to ensure that employees understand how their performance supports Metro\u2019s strategic goals\u2014WMATA has not done so for PERFORMetro. In addition, none of the performance management documents we reviewed clearly assigned authority or defined responsibilities for implementing either PERFORMetro or Performance Conversations. According to the COSO internal control standards, setting program goals is a key part of the management process, and program- level goals should cascade from agency-level goals. Additionally, these standards include establishing policies and procedures that effectively document a program\u2019s design, delegation of authorities, and assignments of responsibilities.", "Making meaningful distinctions: WMATA\u2019s performance management systems are not designed to make meaningful distinctions in performance. According to leading performance management practices, the organization\u2019s leadership should make meaningful distinctions between acceptable and outstanding performance of individuals.", "However, both of WMATA\u2019s performance management systems lack clear definitions for supervisors and employees to use in assessing performance. For example, WMATA leaves it up to employees and their supervisors to identify and define many of the objectives on which employees under PERFORMetro are evaluated. WMATA officials said this provides supervisors some flexibility to account for the responsibilities of employees in different positions. However, the result is that two employees performing the same functions may be evaluated on different objectives, making it difficult to distinguish their performance. Further, under PERFORMetro supervisors are required to rate employees on each objective as \u201cmet,\u201d \u201cdid not meet,\u201d and \u201cexceeded,\u201d but WMATA does not provide definitions for these categories for each objective. As a result, two employees rated under PERFORMetro could receive different ratings for comparable performance. In addition, for employees under the Performance Conversations system, WMATA does not require supervisors to rate employee performance. Rather, officials told us that WMATA implemented Performance Conversations as a way to encourage more positive, performance-based interactions between employees and management that expanded beyond discipline. WMATA has a discipline-based program for most employees under Performance Conversations (Local 689 bus and rail operations employees and Local 922 bus operators) that establishes standards of conduct these employees must adhere to, and identifies penalties if they do not. This discipline-based program lays out the penalties for violations of employee standards of conduct such as speeding or failing to stop at a red signal. The penalties for conduct violations range from written warnings, to suspensions, to termination.", "Using competencies tailored to each position: WMATA\u2019s performance management systems do not consistently use competencies to identify the behaviors individual employees are expected to contribute to strategic goals. Although WMATA has established competencies as part of its PERFORMetro system, these competencies are defined in a uniform manner that does not reflect the varied job responsibilities of its employees. Inclusion of such competencies tailored to each position\u2019s responsibilities is a leading practice for an effective performance management system. Competencies, which define the skills and supporting behaviors that individuals are expected to exhibit to carry out their work effectively can provide a fuller picture of an individual\u2019s performance. WMATA defines four competencies for all employees under PERFORMetro\u2014\u201dfocuses on safety,\u201d \u201cserves customers,\u201d \u201caccountability,\u201d and \u201cteamwork.\u201d However, these competencies are defined in the same way for all employees under PERFORMetro and are not based on the job responsibilities of each position. For example, WMATA assesses the performance of individuals performing different job functions\u2014such as administrative staff and police officers\u2014by the same competencies and without consideration for how skills and behaviors vary by job function. As such, some portions of the competency descriptions are not applicable to all employees. For example, all PERFORMetro employees are evaluated on the extent that they wear required personal protective equipment and/or clothing, but this may not apply to someone in accounting or human resources. WMATA officials said they are aware of this, and that supervisors choose which portions of the competency descriptions to apply to their employees. Finally, WMATA officials said they do not include competencies for employees under Performance Conversations because Performance Conversations are intended to promote performance discussions, not to evaluate employee performance. However, without competencies tailored to employees\u2019 positions, supervisors are limited in their ability to assess employee performance.", "WMATA\u2019s performance management systems lack key elements of an effective performance management system in part because the agency has not established comprehensive policies and procedures, as called for by COSO, for its performance management systems. Instead, the agency relies on piecemeal documents\u2014such as staff memos and training\u2014and individual supervisors to define and carry out performance management. By establishing comprehensive policies and procedures that document key elements, such as defined objectives and rating categories, WMATA would be better positioned to assess staff performance and ensure performance management is consistently implemented across supervisors. Additionally, WMATA would be better positioned to use its performance management systems to move employees toward achieving its strategic goals."], "subsections": []}, {"section_title": "Better Controls Could Improve the Completeness, Accuracy, and Timeliness of WMATA\u2019s Employee Performance Reviews", "paragraphs": ["We found that, in implementing its most recent performance evaluation cycle, WMATA\u2019s reviews of employee performance were often incomplete, inaccurate, or untimely. First, officials said that they do not routinely collect or retain the forms for its Performance Conversations and that accordingly, WMATA does not know the extent to which these reviews were completed. Second, in our review of a non-generalizable sample of 50 PERFORMetro performance evaluations for fiscal year 2016, we found that WMATA supervisors frequently submitted evaluations that were incomplete, inaccurate, or not submitted within established timeframes. Specifically:", "25 of the 50 selected files we reviewed were missing either the employee\u2019s or supervisor\u2019s signature required on the initial expectations setting portion of the form; 3 of those 25 files were also missing a required signature on the final review portion of the evaluation form, which provides assurance that the performance evaluation was completed;", "10 of the 50 selected files we reviewed were scored incorrectly and thus assigned a performance rating inconsistent with the supporting review. WMATA determines an employee\u2019s final rating based on scores tabulated by supervisors for an employee meeting his or her objectives and demonstrating competencies. Specifically, employees receive separate ratings for objectives and competencies, which are then combined together to yield a final overall rating of \u201crole model,\u201d \u201csolid performer,\u201d or \u201cimprovement required\u201d. We found tabulation errors in 10 of the files where, for example, a \u201csolid performer\u201d was given a \u201crole model\u201d rating. Without accurate information about employee performance, WMATA may not be able to recognize employees\u2019 achievements or address potential performance challenges.", "22 of the 50 selected files we reviewed were not submitted on time according to timeframes established in a 2016 WMATA staff notice and a 2017 agreement between WMATA and one of its unions. This includes 9 files of employees not represented by a union, 5 law enforcement staff files, and 8 Local 2 staff files. Local 2 officials told us they filed a grievance following delayed performance reviews for its members. Pursuant to the grievance, Local 2 officials signed an agreement with WMATA that if a supervisor does not submit a scheduled performance evaluation within 30 calendar days of a Local 2 employee\u2019s anniversary date, that employee will receive an automatic solid performer rating and any associated pay or step increase.", "COSO internal control standards state that management should establish control activities, such as policies and procedures, to achieve its goals. Examples of control activities include management reviews and controls over information processing, among other things. A specific type of control activity is a \u201ctransaction control,\u201d which helps management ensure that all transactions (in this case, performance reviews) are completely captured, accurate, and timely. Transaction controls may include authorizations or approvals by a higher level of management, or verifications to compare transactions to a policy and then follow-up if the transaction is not consistent with the policy. In the case of WMATA\u2019s performance reviews, this could include comparing a list of employees who should have received a performance review per WMATA policy to a list of the reviews that were submitted to the human resources office.", "We found that WMATA does not have sufficient controls in place to ensure that supervisors accurately complete performance reviews and submit them to the human resources department within established timeframes. WMATA human resources officials said that for the 2016 review cycle, they emailed a report to supervisors listing year-end performance reviews that were due within 90 days, but did not subsequently ensure that they were completed correctly and on time. Officials said that once supervisors emailed these reviews to the human resources department, human resources staff manually recorded these reviews into WMATA\u2019s personnel information system. WMATA officials told us that human resources staff examined the performance reviews for completion and accuracy. Despite this process, WMATA officials could not provide us reliable information on the number of 2016 performance reviews that were completed, and as previously mentioned, said they did not routinely collect or retain Performance Conversations forms. WMATA officials said they have plans to upgrade their current performance management information technology system, but descriptions of the upgrade that WMATA provided to us do not identify how the upgrade will address the issues we identified. Without controls to ensure that supervisors submit complete, accurate, and timely performance reviews, WMATA lacks information on the performance of its workforce, and employees lack information needed to improve performance."], "subsections": []}, {"section_title": "WMATA Does Not Have a Process to Use Employee Performance Information to Monitor Progress toward Strategic Goals", "paragraphs": ["WMATA officials told us that they do not have a process to use information from their performance management systems to identify performance gaps, or pinpoint improvement opportunities. We have previously identified that routinely using performance information to track individual contributions to organizational priorities, and then requiring follow-up actions to address gaps, are key performance management practices. This approach allows an agency to use its employee performance information to monitor progress towards its strategic goals. Officials from two transit agencies we spoke to told us they use information from their performance management systems to track performance gaps related to strategic goals. For example, Chicago Transit Authority officials told us that they evaluate employees on competencies related to the organization\u2019s strategic goals of safety, customer service, and teamwork, and then aggregate performance review information to assess the organization\u2019s performance on these goals. WMATA does not make use of employee performance information in part because it has not developed a process to do so. Without a documented process to use employee performance management information to monitor progress on its strategic goals, WMATA may miss opportunities to identify and follow-up on performance gaps and to make full use of the information collected through its performance management systems."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["WMATA transports more than 1 million passengers each weekday, making it central to the mobility and productivity of the nation\u2019s capital. Recent safety incidents and declines in ridership place additional pressure on WMATA to effectively manage its most expensive resource\u2014 its workforce. If increases in WMATA\u2019s workforce pension costs continue to outpace increases in WMATA\u2019s other workforce costs, WMATA will be under greater pressure to manage its costs and balance competing priorities. A comprehensive assessment of the fiscal risks these pension investments could pose to WMATA could help it prepare for various economic scenarios and ensure that it can continue to provide benefits to its employees without having to compromise future service to riders to pay for these benefits.", "Effective workforce planning could also help WMATA by ensuring that WMATA has the people and skills it needs to achieve its goals of safety, customer service, financial stability, and regional mobility now and in the future. Establishing a strategic workforce planning process that involves employees and other stakeholders, and that uses data on WMATA\u2019s workforce to assess competency and skill gaps would provide WMATA with critical information that could help it address any identified gaps and ultimately move it closer to its strategic goals. With effective employee performance management, WMATA also would be better positioned to achieve its goals by explicitly aligning them with the daily tasks of its employees. By establishing comprehensive policies and procedures for its performance management systems that align employee performance objectives with WMATA\u2019s strategic goals and define performance objectives, rating categories, and competencies, WMATA will be better able to steer employees towards behaviors that support the agency\u2019s goals and away from behaviors that do not. Further, establishing controls for supervisors to submit complete, accurate, and timely performance reviews would help ensure that staff receive information needed to improve their performance. Finally, a documented process to make use of the performance information WMATA collects could help it track progress in meeting its organizational goals and identify and address performance gaps. In light of WMATA\u2019s uncertain financial future, improvements in WMATA\u2019s workforce planning and performance management could better position WMATA to navigate that future."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following five recommendations to WMATA: 1. WMATA\u2019s General Manager should conduct a comprehensive assessment of the financial risks to which WMATA is exposed from its pension plans and communicate the results to its pension plan trustees and other stakeholders, such as its Board of Directors. This assessment should include information about WMATA\u2019s current and potential future required payments and unfunded liabilities, including under potentially adverse economic scenarios. (Recommendation 1) 2. WMATA\u2019s General Manager should develop a strategic workforce planning process that (1) sets a strategic direction for WMATA\u2019s workforce planning and involves employees and other stakeholders in developing and communicating the process, and (2) includes a data- driven assessment of the critical skill and competencies WMATA needs to fill any gaps. (Recommendation 2) 3. WMATA\u2019s General Manager should establish comprehensive policies and procedures for both of its performance management systems that document the goals of the systems and individuals\u2019 responsibilities for implementing these systems; align employee performance objectives with all of WMATA\u2019s strategic goals; and define performance objectives, rating categories, and competencies tailored to individual positions\u2019 responsibilities. (Recommendation 3) 4. WMATA\u2019s General Manager should establish controls to ensure supervisors fully and accurately complete employee performance reviews and submit them to human resources within established timeframes. (Recommendation 4) 5. WMATA\u2019s General Manager should develop a documented process to use employee performance management information to monitor progress toward WMATA\u2019s strategic goals. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to WMATA and DOT for review and comment. WMATA provided written comments, which we have reprinted in appendix II, and technical comments, which we incorporated as appropriate throughout our report.", "Regarding our first recommendation that WMATA conduct a comprehensive assessment of the financial risks to which it is exposed from its pension plans, WMATA concurred but stated that the agency has already completed such an assessment and does not believe that any additional assessment would add value. As stated in our report, WMATA hired a consultant in 2016 and 2017 to provide an overview of its five pension plans, including reviewing the plans\u2019 funding strategies and performance. However, the stated purpose of these reports did not include an assessment of risk, and the reports included only limited analysis of the various risks WMATA is facing from the plans, and only considered a single scenario for estimating WMATA\u2019s future pension obligations. As such we concluded that these reports did not constitute a comprehensive assessment of risks facing WMATA from its pension plans. Given the plans\u2019 large size relative to WMATA\u2019s business operations, high proportion of retirees compared to active members, high percentage allocation to risky assets, and high assumed rates of return, WMATA\u2019s pension plans pose significant risk to its financial operations. Without a comprehensive risk assessment, WMATA and its Board of Directors are limited in their ability to prepare for economic scenarios that could compromise WMATA\u2019s ability to provide future service. Thus, we continue to believe that our recommendation is valid and that WMATA should fully implement it.", "Regarding our second recommendation that WMATA develop a strategic workforce planning process, WMATA concurred and described actions it has underway to address the recommendation.", "Regarding our third recommendation that WMATA develop comprehensive policies and procedures for both of its performance management systems, WMATA concurred and stated that it is in the process of hiring a consultant to evaluate and redesign WMATA\u2019s performance management systems for fiscal year 2020. WMATA also noted that the agency published a performance management handbook and guide in July 2018 that, among other things, provides definitions and indicators for behaviors assessed in performance evaluations. As part of our recommendation follow up process, we will obtain and review the handbook to determine whether it fully addresses our recommendation.", "Regarding our fourth recommendation that WMATA establish controls to ensure that supervisors complete and submit employee performance reviews to human resources within established timeframes, WMATA concurred and described actions it plans to take in response.", "Regarding our fifth recommendation that WMATA develop a documented process to use employee performance management information to monitor progress towards WMATA\u2019s strategic goals, WMATA neither agreed nor disagreed. WMATA stated that it already ties individual employee performance to the agency\u2019s strategic goals, but is open to considering improvements through the third-party consultant it plans to hire to review its performance management systems. In our report we note that WMATA\u2019s PERFORMetro performance management system is not designed to align individual employee performance with all of its strategic goals. Specifically, supervisors under PERFORMetro are required to evaluate employees on individual performance objectives that are aligned with three of WMATA\u2019s strategic goals, but not with WMATA\u2019s fourth strategic goal\u2014improving regional mobility. Further, WMATA officials told us that they do not have a process to use information from their performance management systems to identify performance gaps, or pinpoint improvement opportunities. Thus, we continue to believe that our recommendation is valid and WMATA should fully implement it.", "We are sending copies of this report to the General Manager of WMATA, the Secretary of Transportation, and the appropriate congressional committees. We provided a draft of this report to WMATA and DOT for review and comment.", "If you or your staff have any questions about this report, please contact Mark Goldstein at (202) 512-2834 or goldsteinm@gao.gov or Frank Todisco at (202) 512-2700 or todiscof@gao.gov. Mr. Todisco meets the qualification standards of the American Academy of Actuaries to address the actuarial issues contained in this report. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report assesses (1) how the Washington Metropolitan Area Transit Authority\u2019s (WMATA) workforce costs have changed from fiscal years 2006 through 2017 and factors contributing to those changes; (2) how WMATA identifies and addresses its current and future workforce needs; and (3) how WMATA has designed, implemented, and monitored its employee performance management systems.", "To assess how WMATA\u2019s workforce costs have changed since 2006, we used data from WMATA\u2019s annual budgets and annual audited financial statements from fiscal years 2006 through 2017 on the amounts expensed by WMATA on wages and salaries, employee and retiree benefits, contracted services, and other information on WMATA\u2019s pension and retiree medical plans. We selected 2006 to account for any potential effects of the 2007-2009 financial crisis on pension or other costs, and because WMATA began contributing to its largest pension plan again in 2006 after a 6-year period of not contributing to this plan. To adjust WMATA\u2019s costs for inflation, we used quarterly data on the GDP price index, which we obtained from the Bureau of Economic Analysis. Inflation adjustment factors are calculated to align with the definition of WMATA\u2019s fiscal year, which begins on July 1 and ends on June 30 of the following calendar year. Our calculations adjust nominal values for inflation to find real values are expressed in fiscal year 2017 dollars, where fiscal year refers to WMATA\u2019s fiscal year. We also reviewed data WMATA provided on operating and capital overtime costs, and the most recent actuarial reports for each of WMATA\u2019s five pension plans for more information on WMATA\u2019s pension obligations. Additionally, we analyzed characteristics of WMATA\u2019s five pension plans in consultation with GAO\u2019s Chief Actuary and in relation to actuarial principles and recent literature. Further, we consulted with GAO\u2019s Chief Actuary for assistance in interpreting information about WMATA\u2019s pension and retiree medical plans.", "To assess WMATA\u2019s pension costs, we reviewed pension expense\u2014 which reports WMATA\u2019s expense for its pension plans during a year, as measured in accordance with pension accounting standards for financial reporting purposes\u2014and pension contributions, which reports the amount WMATA paid into its pension plans during a year. Both pension expense and pension contributions increased substantially from fiscal years 2006 through 2017. While pension expense is the pension component of WMATA\u2019s employee and retiree benefit cost data described above, changes in pension accounting reporting standards in 2014 resulted in pension expense being reported differently before and after 2014. As such, we relied on pension contributions as our primary measure of growth of WMATA\u2019s annual pension costs. To assess the reliability of WMATA\u2019s budget data, and other data WMATA provided, we interviewed WMATA officials on practices used to assemble these data. We found these data to be sufficiently reliable for our purposes. To identify factors contributing to changes in workforce costs, we interviewed WMATA officials and reviewed WMATA\u2019s annual budgets, annual financial statements, and actuarial statements for information on the total number of authorized represented and non-represented staff, changes in operating overtime costs, changes in pension-related costs, and other factors that could influence workforce cost changes since fiscal year 2006.", "To evaluate how WMATA identifies and addresses its workforce needs, we compared WMATA\u2019s workforce planning and workforce development efforts to leading practices we previously identified and the Committee of Sponsoring Organizations of the Treadway Commission (COSO) internal control standards, which WMATA follows. We previously developed these leading strategic workforce planning practices based on a review of documents from (1) organizations with government-wide responsibilities for or expertise in workforce planning models and tools, such as the Office of Personnel Management and the National Academy of Public Administration, and (2) federal agencies recommended as having promising workforce planning programs. Additionally, to identify these practices we reviewed our prior reports and testimonies on human capital issues and met with officials from the aforementioned organizations concerning existing workforce planning models and lessons learned from workforce planning experiences.", "In addition to comparing WMATA\u2019s workforce planning efforts to leading practices and COSO standards, we reviewed WMATA\u2019s 2017\u20132019 individual department business plans and 2013\u20132025 strategic plan to describe how WMATA identifies its short- and long-term workforce needs. Furthermore, we obtained and reviewed WMATA information on the positions WMATA eliminated in fiscal years 2017 and 2018, including the number of positions that were vacant or occupied. Lastly, we compared WMATA\u2019s workforce planning approach to those at a non- generalizable sample of five similar U.S. transit and rail agencies, selected based on similarity in size, age, unions representing agency staff, and stakeholder recommendations. Agency size was measured according to unlinked passenger trips and passenger miles data in the American Public Transportation Association\u2019s 2016 Public Transportation Fact Book, the most recent issue available at the time of selection. System age and union status were determined by a review of publicly available information about each transit system such as academic papers and transit agency websites. With input from industry, federal, WMATA, and union stakeholders, we selected the following peer agencies: (1) Chicago Transit Authority, (2) Los Angeles County Metropolitan Transportation Authority, (3) San Francisco Bay Area Rapid Transit District, (4) Southeastern Pennsylvania Transportation Authority, and (5) Metropolitan Transportation Authority, Metro-North Commuter Railroad.", "To evaluate how WMATA designed, implemented, and monitored its performance management systems, we reviewed documentation on WMATA\u2019s two employee performance management systems\u2014 \u201dPERFORMetro\u201d for non-represented, Office and Professional Employees International Union Local 2, Fraternal Order of Police, and International Brotherhood of Teamsters Local 639 employees; and \u201cPerformance Conversation\u201d for Amalgamated Transit Union Local 689 and International Brotherhood of Teamsters Local 922 employees. We compared these systems to leading performance management practices we have previously identified and to the COSO internal control standards. We previously identified these key practices for modern, effective, and credible performance management systems by synthesizing information contained in its previous performance management work. These practices were also provided for comments to officials from the Office of Personnel Management, the Senior Executives Association and the Center for Human Resources Management at the National Academy of Public Administration. In addition to comparing WMATA\u2019s performance management systems to key practices and COSO internal control standards, we also reviewed WMATA\u2019s 2013\u20132025 strategic plan, which outlines WMATA\u2019s four strategic goals: (1) build and maintain a premier safety culture and system, (2) meet or exceed expectations by consistently delivering quality service, (3) improve regional mobility and connect communities, and (4) ensure financial stability and invest in our people and assets.", "To assess how WMATA implemented its performance management systems, including what management controls it had in place to track the completion of required annual employee performance reviews, we interviewed WMATA human resources officials and assessed the data they collected on the number of 2016 PERFORMetro year-end reviews that were required and submitted by supervisors. WMATA officials could not tell us how many PERFORMetro reviews or Performance Conversation forms were required over the period we requested. WMATA officials said that they had data on the number of 2016 PERFORMetro reviews submitted to human resources, but did not collect any data on Performance Conversation forms. As such, we requested the list of submitted 2016 PERFORMetro reviews. WMATA human resources management sent an email to all supervisors asking them to send the reviews they had conducted in the 2016 performance period if they had not already done so. While this information met our purposes for performing a non-generalizable review of selected completed performance reviews, data on the number of employees who were required to have a performance review under PERFORMetro in the 2016 performance period and the number of those employees who received a review were not reliable for reporting purposes. WMATA officials agreed with our assessment that these data were not reliable for reporting purposes.", "From the list of PERFORMetro reviews we received, we selected an initial non-generalizable sample of 60 files to assess based on employee group (non-represented, Local 2, and Metro Transit Police) and job title. We selected 20 files from each of the three employee groups\u201410 files each from the two job titles within each employee group with the highest number of identified reviews. We selected the 60 files by assigning random numbers to each file within the six selected job titles and selecting the first 10 files in the sorted, randomized list. We adjusted our random selection as needed to ensure our selection included performance reviews completed by multiple supervisors. Our final selection included the following performance review files:", "Non-represented employees (20 files total)", "Rail Operations Supervisor (10 files)", "Transit Field Operations Supervisor (10 files)", "Local 2 employees (20 files total)", "Training and Safety Instructor (10 files)", "Central Control Supervisor (10 files)", "METRO Transit Police Department (20 files total)", "METRO Police S (10 files)", "Special Police Series (10 files)", "While conducting our file review, we found that the Special Police Series evaluation forms were significantly different than the other files and did not align with the data collection instrument we had designed. As a result, we did not include these 10 files, leaving us with 50 files included in our final analysis. Lastly, as discussed in our report, we did not review any Performance Conversation files as WMATA officials told us that they do not track the completion of these forms and therefore did not have any data on the number of Performance Conversation year-end reviews that were completed in fiscal year 2017, the first year Performance Conversations were implemented. Finally, we interviewed officials from the FTA and union leadership from four of the five unions representing WMATA employees.", "We conducted our work from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Washington Metropolitan Area Transit Authority", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Matt Barranca (Assistant Director), Sarah Farkas (Analyst in Charge); Namita Bhatia Sabharwal; Lacey Coppage; Tom Gilbert; Josh Ormond; Steve Rabinowitz; Michelle Weathers; Hannah Weigle; and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": ["In recent years, Washington, D.C.'s Metro transit system has had serious safety problems and has lost revenue during lengthy maintenance. These conditions put pressure on Metro to effectively manage its most expensive resource\u2014its workforce.", "We found:", "Metro's pension costs are increasing faster than other workforce costs, which could make it hard to continue providing employee benefits without compromising future service.", "Metro's workforce management policies and processes don't help it achieve safety and customer service goals.", "We recommended fully assessing Metro's pension risks and improving workforce planning and performance management."]} {"id": "GAO-18-592", "url": "https://www.gao.gov/products/GAO-18-592", "title": "Defense Management: DOD Needs to Address Inefficiencies and Implement Reform across Its Defense Agencies and DOD Field Activities", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD spends billions of dollars annually to maintain business functions that support the warfighter. Many of these functions are performed by the DAFAs\u2014DOD's 19 defense agencies and 8 field activities intended to provide department-wide consolidated support functions. GAO has previously identified instances of fragmentation, overlap, and duplication among the DAFAs.", "Senate Report 115-125, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018, included a provision that GAO review the DAFAs. This report evaluates the extent to which (1) DOD has assessed the continuing need for each DAFA; (2) any overlap or fragmentation among the DAFAs that provide human resources services has affected service delivery; and (3) DOD has monitored and evaluated the results of its efficiency initiatives that affect the DAFAs. GAO reviewed legal requirements, assessed prior DOD reports, and analyzed DOD's human resources activities and documentation tracking past efficiency initiatives."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) does not comprehensively or routinely assess the continuing need for its defense agencies and DOD field activities (DAFAs). DOD was statutorily required to review the services and supplies each DAFA provides to ensure there is a continuing need for each and that the provision of services and supplies by each DAFA, rather than by the military departments, is more effective, economical, or efficient. A DOD directive requires the recording of the review. DOD previously issued biennial reports to Congress to record its review. Since 2012, DOD has relied on existing processes to fulfill the requirement; such as the annual budget process and the day-to-day management of the DAFAs. However, DOD did not provide sufficient evidence that these processes satisfy the statute. For example, while DOD reviews the DAFAs during the budget process, it does not specifically review the provision of services by the DAFAs rather than the military departments. Further, DOD does not have internal guidance that provides clear direction for conducting and recording its response to the statutory requirement. Without such guidance, DOD is limited in its ability to clearly define or target the scope of its reviews and any resulting reports. As such, DOD and congressional decision makers may not have reasonable assurance of a continuing need for the DAFAs, or that the provision of services and supplies is effective, economical, and efficient.", "There is fragmentation and overlap within the DAFAs that provide human resources services to other defense agencies or organizations within DOD. At least six DOD organizations, including three DAFAs, perform human resources services for other parts of the department. One DAFA receives human resources services from all six organizations. This has resulted in negative effects, such as inconsistent performance information regarding hiring, fragmented information technology systems, and inefficiencies associated with overhead costs. For example, DOD officials stated that there are over 800 fragmented information technology systems used to store and record training records across the department, which are costly to maintain. DOD established a reform team to reduce inefficiencies within this business function. However, the team lacks comprehensive information on overhead costs that could guide reform and does not have time frames or deliverables for completing certain reform initiatives. With consistent human resource performance information, comprehensive information on overhead costs, and clear time frames in place, the team would be better positioned to thoroughly assess the department's system for human resources service delivery and develop and implement long-term solutions for better coordination or consolidation of this function.", "DOD has taken some steps to monitor and evaluate the results of key efficiency initiatives that affect the DAFAs. However, DOD has not always established baselines or performed ongoing monitoring of its initiatives. Further, DOD has focused on whether steps have been taken, rather than outcomes achieved. For example, DOD did not evaluate whether a prior efficiency initiative called the Core Business Process Review achieved any of its intended savings or led to expected efficiencies. Without ensuring that efficiency initiatives are fully monitored and evaluated against established baselines over time, DOD lacks a systematic basis for evaluating whether its various initiatives have improved the efficiency or effectiveness of its programs or activities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including for DOD to develop internal guidance to conduct and record its reviews of DAFAs; collect consistent performance information and comprehensive overhead cost information; establish time frames and deliverables for key reform efforts; and ensure routine and comprehensive monitoring and evaluation of ongoing efficiency initiatives. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) maintains military forces with unparalleled capabilities; however, it continues to confront organizational and management challenges that hinder collaboration and integration across the department. Further, DOD spends billions of dollars each year to maintain the business functions designed to support the warfighter, such as managing finances, information systems, contracts, and weapon systems. DOD is in the midst of significant management reorganization and reform intended to address long-standing weaknesses in its business operations. As part of this reorganization, the newly established Chief Management Officer (CMO) is responsible for improving the quality and productivity of the business operations of the department. The defense agencies and DOD field activities (DAFAs) play a critical role in supporting the department\u2019s business operations. DOD\u2019s 19 defense agencies and 8 field activities are intended to perform consolidated supply and service functions on a department-wide basis. According to a November 2017 DOD memo, 22 DAFAs were funded at more than $106 billion for fiscal year 2017.", "In prior work, we have identified numerous instances of fragmentation, overlap, and duplication and have recommended actions to increase coordination or consolidation to address related inefficiencies that affect the DAFAs. For example, we previously recommended that DOD should minimize unnecessary overlap among the eight organizations that account for missing persons from past conflicts and improve the effectiveness of that mission. Subsequently, DOD addressed this fragmentation and reorganized the mission into one defense agency, the Defense POW/MIA Accounting Agency.", "Senate Report 115-125 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that we review the DAFAs. This report evaluates the extent to which (1) DOD has assessed the continuing need for each DAFA; (2) any overlap or fragmentation among the DAFAs that provide human resources services has affected the delivery of those services; and (3) DOD has monitored and evaluated the results of its efficiency initiatives that affect the DAFAs.", "For our first objective, we reviewed DOD\u2019s efforts to fulfill a statutory requirement that the department periodically review the continuing need for its DAFAs and the associated provision of services and supplies. As such, we reviewed the biennial reports that DOD issued on the DAFAs to address the statute from 1987, the first year after enactment of the requirement, through 2012, the most recent year of DOD\u2019s reporting. We also interviewed officials from the Office of the CMO (OCMO) regarding DOD\u2019s current processes for reviewing and recording their assessment of the DAFAs, and we evaluated DOD\u2019s current response against the relevant statute. Further, we reviewed the most recent DOD reports on combat support agencies, issued in 2016 and 2017, as there is a comparable statutory requirement for DOD to review this subset of the DAFAs, and we interviewed relevant Joint Staff officials regarding the processes used to develop those reports. We compared DOD\u2019s biennial reports and combat support agency reports with key elements of quality evaluations, which we identified in prior work and compiled as part of this review.", "For our second objective, we selected one business function of the department\u2014the provision of human resources services\u2014and reviewed the department\u2019s implementation of this function to identify any potential inefficient fragmentation or overlap in the services provided. For example, we reviewed the client bases serviced by each DAFA to identify any inefficient duplication or overlap, and we reviewed the performance measures used by each DAFA to examine for any fragmentation in their respective approaches to performance measurement. We compared DOD\u2019s provision of human resources by DAFAs against statutory requirements that DOD\u2019s DAFAs provide services in a manner that is effective, economical, or efficient. Further, we assessed DOD\u2019s provision of human resources, using our fragmentation, overlap, and duplication evaluation guide. We also interviewed relevant DOD and DAFA officials about the provision of human resources and current plans to reform this business function.", "For our third objective, we selected and assessed DOD\u2019s monitoring and evaluation of department-wide efficiency initiatives. Specifically, we selected a subset of efficiency initiatives that affected DAFAs and that we have reported on since 2014. We obtained documentation and spoke with officials from the OCMO, and we selected DAFAs regarding DOD\u2019s monitoring, assessing, and tracking of the selected reform initiatives. We also obtained information and documentation from the OCMO regarding DOD\u2019s ongoing reform efforts, including plans for monitoring and assessing efforts, and we evaluated this information using Standards for Internal Control in the Federal Government, which states that management should establish and operate monitoring activities and evaluate the results. See appendix I for additional details.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD\u2019s 19 defense agencies and 8 DOD field activities are defense organizations separate from the military departments. They are intended to provide a common supply or service across more than one DOD organization. The services and supplies provided by the DAFAs are broad; they range from intelligence to human resources services, to providing secure networks and buildings, to developing cutting edge research and technological advancements, to missile defense, to providing groceries for military families. DOD estimates that the DAFAs employ more than 380,000 military and civilian personnel across the department, not including contractors.", "Each head of a DAFA reports to a principal staff assistant within the Office of the Secretary of Defense, who in turn reports directly to the Deputy Secretary of Defense or the Secretary of Defense. The principal staff assistants who provide oversight to the DAFAs include the CMO, the Chief Information Officer, the heads of DOD\u2019s Offices of General Counsel and Public Affairs, and all of the Under Secretaries within the department, depending on the mission of the DAFA. In addition to providing advice to the Secretary on assigned matters, each principal staff assistant plays an important role in the development and review of key aspects of the DAFA\u2019s submissions as part of DOD\u2019s annual budget process, called the Planning, Programming, Budgeting, and Execution process.", "A subset of the DAFAs consists of the combat support agencies, which have, in addition to their other functions, focused missions to support the combatant commands. These eight agencies are jointly overseen by their respective principal staff assistants and the Chairman of the Joint Chiefs of Staff. Figure 1 details the organizational structure and reporting relationships of the DAFAs, including the eight combat support agencies."], "subsections": [{"section_title": "DOD\u2019s CMO Reorganization and Related Reform Efforts", "paragraphs": ["Section 901 of the Fiscal Year 2017 National Defense Authorization Act established a CMO within DOD, effective on February 1, 2018, and the Secretary established the position, as directed, on that date. The Fiscal Year 2018 National Defense Authorization Act, Section 910, clarified the role and expanded the responsibilities of the DOD CMO. Further, it elevated the position to take precedence in the department after the Secretary of Defense and the Deputy Secretary of Defense. This section also gave the CMO authority to direct the secretaries of the military departments and the heads of other defense organizations with regard to business operations and department-wide shared services. The expanded authority of the CMO includes oversight, direction, and control over DAFAs providing shared business services for the department, to be determined by the Secretary of Defense or the Deputy Secretary of Defense. In January 2019 the CMO will assume some of the Chief Information Officer responsibilities, duties, and powers related to business systems or management, including the management of the enterprise business operations and shared services of the department, as required by law. Additionally, the CMO will serve as the DOD performance improvement officer."], "subsections": []}, {"section_title": "Fragmentation, Overlap, and Duplication", "paragraphs": ["Since 2011, we have issued annual reports on opportunities to reduce or better manage fragmentation, overlap, and duplication, as well as to achieve cost savings and enhance revenue for the federal government. The federal government faces a long-term, unsustainable fiscal path based on an imbalance between federal revenues and spending. Figure 2 defines fragmentation, overlap, and duplication."], "subsections": []}]}, {"section_title": "DOD Has Not Comprehensively or Routinely Assessed the Continuing Need for Its DAFAs", "paragraphs": [], "subsections": [{"section_title": "DOD\u2019s Past and Current Efforts to Assess the DAFAs Have Limitations", "paragraphs": ["Although DOD has taken some steps to assess the continuing need for the DAFAs, we found that these steps have been neither comprehensive nor routine, especially since 2012. At the time of our review, section 192(c) of title 10 of the United States Code required the Secretary of Defense to review the services and supplies each DAFA provides to ensure that (1) there is a continuing need for each DAFA; and (2) the provision of services and supplies by each DAFA, rather than by the military departments, is a more effective, economical, or efficient manner of providing those services and supplies or of meeting the requirements for combat readiness.", "From 1987 to 2012, DOD issued biennial reports to Congress to record its response to this statute, but the methodology and quality of those reports varied. Regarding the methodology of the past reports, for the first five biennial reports, from 1987 to 1995, DOD relied on a research team to identify findings and provide recommendations on the structure and composition of the DAFAs. The four reports issued from 1997 to 2004 relied on a survey of the DAFAs\u2019 customers across DOD. From 2005 to 2010, DOD issued three reports that alternated between a senior management assessment of the DAFAs and the customer survey approach. In addition, the 2009-2010 report recorded activities relevant to the statutory review requirement, with a focus on a major DOD efficiency initiative that was ongoing at that time.", "Regarding quality, we found that the most recent report, dated 2012, generally did not reflect key elements of quality evaluations, which we identified in our prior work and compiled as part of this review. Table 1 below details these key elements.", "We found that some key elements were included in the most recent report, but other key elements were not reflected. We reviewed that report against all elements and found that the report\u2019s purpose was aligned with the relevant statutory requirements, which is a key element. Further, the report relied on data obtained from appropriate sources for the evaluation, to include survey information from the DAFA directors and military department officials. However, we found that the report did not assess the reliability of the data used, define key terms, clearly state criteria used for analysis, or make recommendations. For example, OCMO officials familiar with the report told us that some DAFAs and military departments surveyed for the report provided more detail and information in their responses than others, but there was no assessment of the reliability of this information. Overall, OCMO officials acknowledged that the report was more of a collection of information, rather than an in-depth assessment.", "At the time of our review, section 192(c) of title 10, United States Code, did not explicitly require that DOD develop and issue a written report as part of the required periodic review. According to DOD officials, they discontinued issuing biennial reports in 2012 because the reports were not a leadership priority, given the resources required to produce them. In addition, OCMO officials acknowledged that the department does not currently record fulfillment of the statutory requirement through a centralized process, such as the development of a report that responds to the requirement. However, a DOD directive tasks the former Director of Administration and Management, whose functions have now been integrated into the CMO office, to oversee the biennial review of the DAFAs and to record the fulfillment of that review. Further, Standards for Internal Control in the Federal Government states that documentation is a necessary part of an effective internal control system and is required for effective operations. OCMO officials told us that they are considering renewing the issuance of biennial reports, but that there are no firm plans to do so at this time, nor are there any associated time frames.", "In the absence of biennial reports, OCMO officials stated that since 2012 they have relied on existing departmental processes to address the statutory requirement to review the DAFAs. Senior level OCMO officials expressed some disagreement about which of these existing processes ensure that they have fulfilled the statutory requirement. When we assessed the processes, we determined that DOD did not provide sufficient evidence that it has met the statutory requirement. These processes include the following:", "Annual budget process: Some OCMO officials stated that DOD\u2019s annual budget process is a means of addressing the statutory requirement to review the DAFAs, but one senior official from the OCMO disagreed. Although DOD reviews the budget proposals for each DAFA, DOD could not provide evidence that the annual budget process includes a specific review of the continuing need for each DAFA, or that the use of the DAFAs ensures the most efficient provision of services across DOD.", "Day-to-day management of the DAFAs: One OCMO official stated that day-to-day management of the DAFAs provides a means of addressing the statutory requirement to review the DAFAs. However, we found that the documentation provided by OCMO officials does not demonstrate that a review and recording of DAFA services and supplies takes place through day-to-day management of the department. Moreover, some OCMO officials stated that the day-to- day management activities of a large organization can actually detract from leadership\u2019s ability to focus on needed reviews and reform.", "Reform or efficiency initiatives: Some OCMO officials stated that prior reform efforts that were focused on the DAFAs exemplify the department\u2019s response to the statute. However, although certain reform initiatives, such as the Business Process and Systems Reviews, affected the DAFAs, we found that the stated purposes of these reform initiatives, discussed in more detail later in this report, do not reference the continuing need for DAFAs or examine whether services should be performed instead by the military departments. Further, some OCMO officials acknowledged that prior reform efforts did not examine the continuing need for DAFAs.", "DAFA reorganizations: OCMO officials cited certain reorganizations of the department as evidence that they review the DAFAs. However, the examples they cited were congressionally mandated reorganizations, such as the replacement of the Under Secretary of Defense for Acquisition, Technology, and Logistics with two new Under Secretary positions. As these were congressionally mandated reorganizations and therefore required, we found that they do not demonstrate that changes resulted from an internal comprehensive assessment of the continuing need for the DAFAs or their provision of services and supplies.", "Management of services through executive agents: Finally, OCMO officials stated that the existence of executive agents throughout the department shows that DOD focuses on ensuring efficient delivery of services and supplies. Multiple heads of DAFAs serve as designated executive agents. However, OCMO officials did not provide documentation that these executive agents assess the continuing need for the DAFAs. Further, we have previously reported on weaknesses in the use of DOD executive agents in management arrangements. For example, we previously reported that DOD had not defined continued need, currency, effectiveness, or efficiency in satisfying requirements for executive agents."], "subsections": []}, {"section_title": "DOD Has Established Guidance That Results in Quality Evaluations of Its Combat Support Agencies but Lacks Guidance for Its Review of All DAFAs", "paragraphs": ["Under a separate statute, 10 U.S.C. \u00a7 193(a), DOD is required to periodically report on the responsiveness and readiness of the eight combat support agencies, a subset of the DAFAs. In contrast to DOD\u2019s biennial reports on DAFAs for 10 U.S.C. \u00a7 192(c), we found that the DOD combat support agency reports for 10 U.S.C. \u00a7 193(a) we reviewed generally reflect key elements of quality evaluations that we identified. For example, the most recent combat support agency reports we reviewed generally have clear evaluation questions, use sufficient and appropriate data, and support conclusions with data and analysis. Last, all of the DOD combat support agency reports we reviewed contain actionable recommendations.", "Recommendations from the Joint Staff included in combat support agency reports resulted in reported efficiencies. For example, in response to the findings and recommendations of a combat support agency report, officials from the Defense Information Services Agency created a new office to serve as a single point of contact for its customers. These officials reported that the office has reduced paperwork and helped to build relationships with customers. Joint Staff officials reported a variety of other positive results from combat support agency report recommendations. These results include an increase in the speed of specific deliveries from the Defense Logistics Agency (DLA) to DOD customers outside the continental United States; improved navigational charts provided by the National Geospatial Intelligence Agency to the Combatant Commands to ensure safety; and the establishment of clear policy related to fuel additives, including the clarification of specific roles and responsibilities.", "OCMO officials stated that the statutory requirement for combat support agency reports is more specific and smaller in scope than the statutory requirement to review the DAFAs. As a result, the officials told us that they have not been able to conduct targeted and potentially more useful analysis for DAFAs, such as the evaluations they conduct of the combat support agencies. However, we found that while the statutes differed in some ways\u2014for example, a report is specifically required for the combat support agencies, but was not for the DAFAs\u2014both statutes prescribed broad requirements for the review processes.", "While each statute requires a periodic assessment, we found differences in the direction that DOD provides to guide the department\u2019s response to these statutes. Specifically, a Joint Staff Instruction describes requirements for the combat support agency reports and provides direction for the associated process. In many cases, the Joint Staff Instruction requirements reflect the key elements for evaluations that we identified. For example, the instruction provides general guidance on the criteria that reports should use, as well as specific examples. To ensure data reliability, the instruction requires validation of findings, issues, recommendations, and observations. Further, the instruction describes key terms included in the statute, such as responsiveness, readiness, and operating forces. In contrast, DOD has not issued internal guidance that details requirements for the required review of DAFAs.", "The Joint Staff has also developed a strategy for scoping and timing its combat support agency reviews to make the work manageable and the outcome of the reviews useful to the combatant command. Specifically, the Joint Staff focuses each report on one combat support agency at a time, rotating the focus so that each agency is reviewed every several years. Joint Staff officials stated that the focus areas of the reports also vary depending on the needs of warfighter, senior leader direction, and actions taken as a result of the previous assessments. Additionally, when conducting its reviews, the Joint Staff primarily assesses the combat support missions within each combat support agency, rather than all functions implemented by the agency.", "Conversely, DOD has not developed any internal guidance for a similar process that would allow for a more manageable approach to the requirement to review the DAFAs. As a result, previous biennial reviews examined all services and supplies of all DAFAs in each report, an approach that CMO officials acknowledged prohibited more detailed analysis. Through the development of internal guidance that provides clear direction for conducting and recording DOD\u2019s response to the required review of the DAFAs, the department could more clearly define or target the scope of those reviews and any resulting reports to make effective use of the resources devoted to that process. For example, DOD could choose to follow a risk-based approach, focus on the department\u2019s key priorities for reform, or rotate the focus of each report as the Joint Staff does with the combat support agency reports.", "Without clear internal guidance that defines the requirements for a high- quality review of its DAFAs and the associated recording of the results of those reviews, DOD and congressional decision makers may not have reasonable assurance that there is a continuing need for the DAFAs and that the provision of services and supplies is effective, economical, and efficient. Such information could assist decision makers when considering any future reorganizations of the DAFAs, or the realignment of functions among the DAFAs or other defense organizations, or when seeking greater efficiencies."], "subsections": []}]}, {"section_title": "Fragmentation and Overlap among the DAFAs That Provide Human Resources Services Have Negative Effects, and Related Reform Efforts Have Limitations", "paragraphs": [], "subsections": [{"section_title": "Fragmentation and Overlap Occur among the DAFAs That Provide Human Resources Services", "paragraphs": ["DOD currently has a service delivery model in which there are numerous human resources providers offering varying levels of quality and transparency of costs. Section 191 of title 10, United States Code, states that the Secretary of Defense may provide for the performance of a supply or service activity that is common to more than one military department by a single agency of DOD when it would be more effective, economical, or efficient. Nevertheless, at least six organizations within DOD, including three DAFAs and the three military departments, provide human resources services to other defense agencies or organizations. Specifically, DLA, the Defense Finance and Accounting Service (DFAS), and the Washington Headquarters Service (WHS) perform human resources services for other organizations, such as other DAFAs; offices within the Office of the Secretary of Defense; or parts of the military departments. All perform the same types of human resources services, such as those related to civilian workforce hiring across DOD. Additionally, the Departments of the Army, Navy, and Air Force each has a human resources command or personnel center.", "Below is a count of the number of customers served by the DOD agencies providing human resources services as of May 2018, as reported by agency officials.", "DLA provides human resources services for about 70,000 customers, including 25,000 of its own employees and 45,000 civilians from across DOD outside of DLA.", "DFAS provides human resources services for about 26,000 DOD civilians, including 12,000 DFAS employees and about 14,000 customers from across DOD.", "WHS performs nearly all types of human resources services for some DAFAs, such as the Defense POW/MIA Accounting Agency and the Defense Legal Services Agency, as well as all senior executives and presidential appointees across the department, totaling about 170,000 individuals. However, WHS performs only certain human resources services for its own employees, such as recruitment and training. WHS pays DLA to perform other types of human resources services, such as personnel action processing, pre-employment drug testing, and the processing of certain travel orders and allowances, among other functions, for more than 7,000 WHS employees.", "Through our assessment of documents detailing the human resources service customer bases of DFAS, DLA, and WHS, we found that there is overlap in the human resources services that they provide. For example, DOD officials reported that three DAFAs and the military departments provide human resources servicing to personnel employed by the Defense Security Cooperation Agency, depending on the location, rank, or other characteristics of the staff (see figure 3). Moreover, although each military department has its own human resources command or personnel center, we have identified some instances of DAFAs providing human resources services to military department civilian employees or servicemembers. For example, the Army pays DFAS to provide broad human resources support to the Army\u2019s Financial Management Command, even though it could use its own human resources servicing organization. Additionally, WHS officials stated that the agency provides certain human resources services to all presidential appointee civilian positions across the military departments, rather than having the appointees\u2019 military departments\u2019 own human resources commands or personnel centers do so. Also, DLA provides human resources services to the military department civilians and servicemembers assigned to DLA."], "subsections": []}, {"section_title": "Inefficient Overlap and Fragmentation Have Resulted in Negative Effects to the Department", "paragraphs": ["The fragmentation and overlap among the DAFAs that provide human resources services to other defense offices or organizations have resulted in negative effects, such as inconsistent performance information, inefficiencies resulting from fragmented information technology (IT) systems, and inefficiencies related to overhead costs."], "subsections": [{"section_title": "Inconsistent Performance Information", "paragraphs": ["In the current service delivery model with multiple human resources service providers, DOD agencies choose a human resources provider. DFAS, DLA, and WHS differ in how they measure and report their performance data, which results in inconsistent information and limits customers\u2019 ability to make informed choices about selecting a human resources service provider to meet their needs. DFAS, DLA, and WHS submit data in department-wide information systems, as required. This information is used to develop an overall DOD time-to-hire measure of the department\u2019s performance against the government-wide goal of 80 days to fill a job opening. However, the ways in which each DAFA develops this measure, and other measures to assess its own performance, differ. For instance, one DAFA measures 12 different phases of the entire process to fill a job opening, with a different measure for each of the 12 phases. Other DAFAs choose to begin or end their measurement process at different points within the hiring process. As such, the measures used by human resources providers to determine the timeliness and quality of the services provided to customers are not consistent across the providers. The inconsistent performance data do not allow DOD customers to make fully informed comparisons in selecting a service provider.", "Table 2 shows the differences among the respective reported time-to-hire averages of the three DAFAs that provide human resources services for civilians who are hired by the three military departments. The averages range from 65 days to 120 days, which shows a considerable variance in performance. However, as described previously, these reported averages were not calculated in a consistent manner across the department\u2019s human resources providers. In addition, these time-to-hire averages do not reflect the quality of the hiring or reflect that some types of positions are difficult to fill, which could affect results. For example, DOD reports that it takes an average of 118 days to fill a civilian intelligence and counterintelligence position department-wide.", "With more consistent information, DOD leadership could better assess what changes, if any, need to be made to improve hiring practices. As DOD officials told us, delays in hiring can result in failing to hire the best candidates and can negatively affect program success. Further, DOD organizations could better weigh decisions on obtaining human resources services."], "subsections": []}, {"section_title": "Fragmented Information Technology (IT) Systems", "paragraphs": ["Each human resources provider within DOD uses a common IT system, called the Defense Civilian Personnel Data System, to store and process civilian human resources data. However, each uses a separate connection to the system, resulting in some inefficiency. For example, when an employee in a defense agency serviced by multiple human resources providers transfers to a different part of the same agency or another part of DOD, the employee is treated as if he or she has been newly hired. The employee\u2019s personnel data must be re-entered through a different connection to the data system, and other administrative steps are re-performed, such as providing the employee a new Common Access Card, the department\u2019s identification badge used for facility and computer system access.", "Additionally, DOD officials stated that there are more than 800 learning management systems employed across the department, which are used to deliver training to personnel and store and record training records. DAFA and OCMO officials stated that these fragmented learning management IT systems are duplicative in nature and are costly to the department to maintain, although officials were not able to provide an estimate of those costs.", "In January 2018, DOD officials stated that all human resources providers were expected to move to a common connection to the IT system by October 2018, which was expected to eliminate redundant data entry and other duplicative administrative inefficiencies. However, as of June 2018, DOD officials stated that this effort is on hold, as the department is currently reexamining the best strategy to provide IT solutions for human resources. According to officials, that strategy might be to use a cloud- based solution, as opposed to changes to the legacy system of the Defense Civilian Personnel Data System."], "subsections": []}, {"section_title": "Inefficiencies Resulting from Multiple Providers Charging Overhead", "paragraphs": ["We found that defense agencies or other organizations that use more than one human resources service provider are paying overhead costs charged by each provider, which results in unnecessary expenses and inefficiencies. DOD officials agreed that the fragmented system of service delivery with multiple providers allows for possibly redundant overhead charges, and that a more consolidated service delivery model could reduce expenses associated with overhead. The DAFAs that charge human resources customers by using a fee-for-service structure apply a certain percentage of the total cost as a \u201cgeneral and administrative cost\u201d or \u201cnon-labor costs\u201d to each customer. Agency officials stated that these overhead costs pay for management salaries, other personnel-related costs, and administrative costs, such as IT support and facilities costs. These overhead costs are separate from the \u201cdirect labor\u201d costs that represent the personnel and other expenses required to perform the service requested. For example, DFAS officials stated that about 7 percent of the fees charged by DFAS to human resources service customers goes for \u201cgeneral and administrative costs\u201d that are separate from the direct labor expense required to perform services. Similarly, about 20 percent of the costs charged to DLA\u2019s human resources customers covers indirect costs. As such, organizations pay overhead and administrative expenses for several human resources providers, thereby using financial resources that could be diverted to higher priority needs. According to DOD officials, using one provider would likely reduce inefficient expenses for human resources services paid by defense organizations. However, according to those officials, more comprehensive information and analysis is needed to determine the extent of inefficient overhead costs that occur. Comprehensive information about the extent of these and other possibly redundant or otherwise inefficient expenses would help identify a human resources service delivery model that is effective, economical, and efficient."], "subsections": []}]}, {"section_title": "DOD\u2019s Efforts to Reform Human Resources Have Some Limitations", "paragraphs": ["In January 2018, the Deputy Secretary of Defense established a Human Resources Management Reform Team to initiate key reform efforts within the department. This team is one of nine cross-functional teams established by the Deputy Secretary of Defense to drive reform throughout the department. The human resources management reform team is led by a senior DOD human resources official and comprised of representatives from DFAS; DLA; WHS, the Departments of the Army, Air Force, and Navy; and the OCMO, among others. According to the team\u2019s charter, the team will work to modify human resources processes and move toward enterprise service delivery of human resources services, which is expected to reduce costs. Team members told us that their initial focus is to carry out projects focusing on high-priority challenges, such as pursuing the optimal IT systems for DOD human resources services department-wide and identifying legislative and regulatory changes needed to streamline processes and procedures. After progress is made in these areas, the team plans to review service delivery across the department and determine the most effective and efficient system. Senior leaders from the human resources directorates of DFAS, DLA, and WHS all stated that increased consolidation was possible, if properly reviewed and implemented, especially for tasks such as entering personnel data and other hiring-related tasks, which could be conducted through a shared service model. This work may lead to increased coordination among, or consolidation of one or more, organizations.", "DOD has not assessed or identified the most effective, economic, or efficient provision of this business function. DOD officials stated that assessing the provision of human resources in the department has not previously been a priority of senior leadership. A memorandum from the Deputy Secretary of Defense that established the human resources management reform team required that the team move the department toward a shared service delivery model. Specifically, this required a \u201ctime- phased way forward,\u201d with outcomes and time frames for converting the mission to an enterprisewide service delivery model. The new reform team reflects a commitment from senior leaders within the department to address longstanding problems in the human resources area. However, we identified limitations in how the human resources management reform team is planning and managing its work.", "First, one goal of the reform team is to reduce the time-to-hire averages across the department and determine a method to measure the quality of hiring. DOD officials stated that performance measure improvements are an important focus of their efforts and that they will share best practices for time-to-hire and will require a standard measure of quality of hiring. However, team plans we reviewed do not include steps for ensuring that the DAFAs and military departments adopt standardized processes to develop a consistent time-to-hire measure. Standardized quality information would be valuable in determining which organizations may be best placed to provide department-wide human resources service delivery, and without this information DOD may not have assurance that its hiring practices are effective and efficient. Standards for Internal Control in the Federal Government emphasizes that managers should identify the information required and obtain it from relevant and reliable sources.", "Second, the team has not set clear time frames for some of its work. As we reported in July 2018, agency reform efforts should have implementation plans with key milestones and deliverables to track implementation progress, and clear outcome-oriented goals and performance measures for the proposed reforms. While one of the team\u2019s projects is to determine the best strategy for providing IT solutions for human resources, the team has not identified time frames for completing the assessments needed to inform a new strategy, or deliverables for finalizing and implementing the IT strategy. DOD officials stated that they will develop project plans for completing assessments needed and identify time-frames with the reform team focused on broader department-wide IT. The human resources management reform team has also not set clear time frames or deliverables for developing and moving toward an optimal service delivery model for the department, which may be a long-term effort that goes beyond the expected 2 year duration of the reform team. Draft documents of the team we reviewed discussed obtaining relevant data in 2018, reviewing the effects of policy changes in 2019, and pursuing undefined pilot projects in 2020. However, DOD officials told us that the team plans to begin focusing on assessing optimal service delivery models possibly in 2019. No specific time frames for completion of this effort have been identified, and team members stated that completion of IT efforts and regulatory reforms takes precedence. Further, it is unclear how implementation of long-term efforts will be managed.", "Third, although one of the team\u2019s charges is to determine the optimal model for department-wide delivery of human resources services, team members are not considering key pieces of information that would be useful in doing so. For example, team members we contacted were not aware that some DOD organizations were making potentially redundant and inefficient payments to the DAFAs for human resources services as overhead charges collected by multiple providers. As discussed previously, Standards for Internal Control in the Federal Government emphasizes the importance of quality performance information. When we raised the issue of overhead charges with team members, they noted that if such redundant payments are occurring, that would occur only within the department\u2019s \u201cFourth Estate,\u201d and that they are initially focusing on issues that affect the department as a whole. However, considering the size and scope of the Fourth Estate, which DOD reported includes more than $100 billion in funding annually, identifying comprehensive information regarding the extent of inefficient overhead costs would be important information for the reform team to consider in addressing inefficiencies and pursuing enterprise-wide solutions to determine the most effective, economical, and efficient model of service delivery.", "With consistent human resources performance information, clear time frames in place, and comprehensive information on overhead costs, the team would be better positioned to thoroughly assess the department\u2019s system for human resources service delivery, and to develop and implement long-term solutions for better coordination or consolidation of this function. Further, DOD decision-makers would have assurance that any changes they make, such as consolidation of certain organizations or functions, would be based on sound and complete analysis."], "subsections": []}]}, {"section_title": "DOD Has Not Consistently Monitored and Evaluated the Results of Its Efficiency Initiatives That Affect the DAFAs", "paragraphs": [], "subsections": [{"section_title": "DOD Has Implemented Several Previous Efficiency Initiatives Related to the DAFAs", "paragraphs": ["DOD has undertaken several efficiency initiatives since 2011 that are intended to improve the efficiency of headquarters organizations, including the DAFAs, and to identify related cost savings. These initiatives include the Secretary Gates Efficiencies, the More Disciplined Use of Resources, the Core Business Process Review, the Business Process and Systems Reviews, and a series of initiatives related to the savings required by the National Defense Authorization Act for Fiscal Year 2016. Table 3 describes each efficiency initiative we assessed as part of this review and includes an estimated cost savings that the department expected to achieve for each initiative."], "subsections": []}, {"section_title": "DOD Has Taken Some Steps to Monitor its Efficiency Initiatives but Does Not Consistently Establish a Baseline and Evaluate Results", "paragraphs": ["DOD has taken some steps to monitor and evaluate the results of its efficiency initiatives, but it has not consistently done so. For some of the efficiency initiatives, DOD ensured that there was ongoing monitoring and worked to evaluate results. For example, as part of the former Secretary Gates Efficiencies initiative, the military departments and the Special Operations Command were required to prepare briefings on the status of initiatives, and the offices of the then Deputy CMO and Comptroller directed them to enter information regarding their efficiency initiatives into a database designed to capture performance management data. Officials stated that this information was designed to allow them to track the progress of the initiatives, including milestones, risk assessments, and the roles and responsibilities of those implementing the initiatives.", "While implementing its More Disciplined Use of Resources initiative, DOD took some ad hoc steps to evaluate the effect of some of the efforts, such as establishing performance measures to assess their effect on achieving desired outcomes. An official in the office of the Under Secretary of Defense (Comptroller) later issued a memorandum that established a requirement to report on the initiatives, including performance goals, measures, and accomplishments. This memorandum was issued based on a recommendation we made in a prior report that the military departments and the Special Operations Command develop approaches for evaluating the effect of their efficiency initiatives, such as establishing performance measures or other indicators, collecting related performance information, and using this information to measure progress in achieving intended outcomes associated with their initiatives until implemented.", "However, for other efficiency initiatives, DOD did not consistently ensure that the agency established a baseline from which to measure progress, use ongoing monitoring, or evaluate results. For example, in the case of DOD\u2019s Core Business Process Review initiative, DOD has not evaluated whether the effort achieved any of its intended savings or led to expected efficiencies. According to OCMO officials, DOD ultimately concluded that potential savings opportunities identified as part of this review could not entirely be achieved through these means. As a result, it is unclear what savings, if any, the department achieved. DOD\u2019s Business Process and Systems Reviews ended with a briefing to the Deputy Secretary of Defense and Vice Chairman of the Joint Chiefs of Staff that included a summary of how the organizations would measure progress toward outcomes. While the office of the then Deputy CMO and the principal staff assistants were responsible for monitoring the effort up to the briefing, officials from the Deputy CMO\u2019s office stated that following the briefing any monitoring that occurred would be the responsibility of the principal staff assistants. However, not all principal staff assistants continued monitoring. For example, although the CMO is the principal staff assistant for two of the agencies reviewed\u2014WHS and the Pentagon Force Protection Agency\u2014OCMO officials were unable to provide a list of initiatives related to each agency and the status of those initiatives.", "DOD also did not consistently ensure that the agency monitored and evaluated efforts associated with the National Defense Authorization Act for Fiscal Year 2016 requirement to save at least $10 billion from headquarters, administrative, and support activities for fiscal years 2015 through 2019. One of the efforts that DOD took pursuant to this requirement was for DAFAs to review their service contracts and present recommendations for cuts to a Senior Review Panel. Under this initiative, called the Service Requirement Review Boards, the panel either approved the proposed cuts or directed alternative reductions, and DCMO then monitored the organizations to ensure that the cuts were taken. However, other efforts DOD took pursuant to the requirement were not well monitored. For example, as part of the required savings, DOD identified approximately $5.3 billion that it later determined to be \u201cnot auditable\u201d because the baseline for the reductions had not been established. Congress mandated DOD to report on its efforts with its budget submissions for fiscal years 2017 through 2019. DOD submitted its first report on May 22, 2018, and it included the $5.3 billion in savings that it had deemed \u201cnot auditable.\u201d", "According to Standards for Internal Control in the Federal Government, agencies should monitor and evaluate the quality of performance over time. As part of this effort, agencies should establish a baseline from which to measure progress, use ongoing monitoring, and evaluate results. Further, the GPRA Modernization Act of 2010 requires agencies to regularly monitor their progress in achieving goals. Our previous work has noted that having a process with written guidance for monitoring achieved savings from efficiency initiatives can help organizations evaluate actual performance against planned results. We have also previously noted that without guidance that clearly outlines the information to be provided for evaluation, DOD cannot be assured that senior leaders are getting complete information needed to enhance their visibility over the status of efficiency initiatives.", "Although DOD has not consistently ensured that the agency established a baseline from which to measure progress, use ongoing monitoring, or evaluate results, OCMO officials stated that the department is working to do so. The officials stated that previous efforts to track reform had been more focused on assessing whether steps had been taken, rather than on measuring progress and evaluating the results. In its most recent budget request, DOD emphasized the importance of using goals and performance measures to assess the benefit and value of reforms, along with the importance of relevant, accurate, and timely data. In addition, the chartering documents for DOD\u2019s reform teams highlight the importance of monitoring and evaluation, and senior DOD officials are echoing this point. We recently reported that outcome-oriented goals and performance measures and an implementation plan with key milestones and deliverables are important when considering agency reform. While the reform teams\u2019 focus on monitoring and evaluation is a positive step, officials stated that the teams are expected to exist for approximately 2 years, and monitoring and evaluating results of some reform efforts may take a significant amount of time to appropriately assess the effects of the reform. In addition, OCMO officials have not provided evidence of plans to fully monitor efforts that began before the reform teams were created and should still be in process. These efforts include savings related to the requirement to save at least $10 billion from headquarters, administrative, and support activities for fiscal years 2015 through 2019. Without ensuring that efficiency initiatives are fully monitored and evaluated against established baselines over time, DOD lacks a systematic basis for evaluating whether its various initiatives have improved the efficiency or effectiveness of its programs or activities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While DOD has long been required to periodically review the DAFAs to ensure, among other things, that the provision of their services and supplies are economical, efficient, and effective, it has relied on existing processes to fulfill this requirement, rather than with comprehensive and routine assessment. Without internal guidance that results in quality evaluations of the DAFAs, DOD decision makers remain limited in the information they have about what efficiencies the DAFAs could pursue and how they could cut costs. With establishment of the new CMO position, the department has an opportunity to address long-standing weaknesses in its business operations, including those performed by the DAFAs. The department\u2019s effort to establish reform teams that can drive change, as well as a senior-level reform management group to direct and oversee these efforts, is a positive step forward. Having comprehensive and quality information would help the CMO and other senior leaders make important decisions regarding the direction of reform efforts and to assess whether efforts are achieving desired results. However, the human resources management reform team has not collected comprehensive information, such as performance information on hiring time frames and overhead costs for providing human resources services and time frames for these efforts, which would enable the department to best address inefficiencies among the DAFAs that provide human resources services. Moreover, DOD has not consistently ensured that the agency established a baseline from which to measure progress, used ongoing monitoring, or evaluated results. While OCMO officials are focused on the reform teams, full monitoring is necessary for all efficiency initiatives. Without routinely and comprehensively monitoring and evaluating ongoing efficiency initiatives across all of its reform efforts, DOD cannot have assurance as to whether its efforts have achieved desired outcomes, are saving resources, and are improving effectiveness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making five recommendations to DOD.", "The Secretary of Defense should ensure that the CMO develops internal guidance that defines the requirements and provides clear direction for conducting and recording reviews of the DAFAs in response to10 U.S.C. \u00a7 192(c). This guidance, which could be similar to the guidance that exists for assessments of the combat support agencies, should reflect the key elements of quality evaluations. (Recommendation 1)", "The Secretary of Defense should ensure that the CMO, with input from the human resources management team, requires that all DOD human resources providers adopt consistent time-to-hire measures, as one process for assessing performance. (Recommendation 2)", "The Secretary of Defense should ensure that the CMO, through the human resources management reform team, identifies time frames and deliverables for identifying and adopting optimal IT solutions for human resources and fully assessing, identifying, and implementing the most effective and efficient means of human resources service delivery. (Recommendation 3)", "The Secretary of Defense should ensure that the CMO, through the human resources management reform team, collects information on the overhead costs charged by all DOD human resources service providers to assist in determining the most effective, economical, and efficient model of human resources service delivery within the department. (Recommendation 4)", "The Secretary of Defense should ensure that the CMO routinely and comprehensively monitors and evaluates ongoing efficiency initiatives within the department, including those related to the reform teams. This monitoring should include establishing baselines from which to measure progress, periodically reviewing progress made, and evaluating results. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. DOD concurred with our five recommendations and noted planned actions to address each recommendation. In its written comments, DOD stated that the National Defense Authorization Act for Fiscal Year 2019 gives the CMO additional specific authorities; substantially rewrites the requirements of section 192(c); and addresses the findings and recommendations in our report. Further, DOD stated the department is on track to achieve substantial savings through its reform team efforts and CMO emphasis on strong management practices, integrated processes, and best value business investments. DOD\u2019s comments are reprinted in their entirety in appendix II. DOD also provided technical comments, which we incorporated into the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and DOD\u2019s Chief Management Officer. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or FieldE1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report evaluates the extent to which (1) the Department of Defense (DOD) has assessed the continuing need for each defense agency and DOD field activity (DAFA); (2) any overlap or fragmentation among the DAFAs that provide human resources services has affected the delivery of those services; and (3) DOD has monitored and evaluated the results of its efficiency initiatives that affect the DAFAs.", "For our first objective, we reviewed DOD\u2019s biennial reports on the DAFAs from 1987, the first year after enactment of the requirement, through 2012, the most recent year of DOD\u2019s reporting. We also interviewed officials from the Chief Management Officer\u2019s (CMO) office regarding DOD\u2019s current processes for reviewing and recording its assessment of the DAFAs. Further, we reviewed the most recent DOD reports on combat support agencies, as there is a comparable statutory requirement for DOD to review this subset of the DAFAs, and the corresponding Joint Staff Instruction that guides those reports. We also spoke to relevant Joint Staff officials regarding the processes used to develop those reports. We compared DOD\u2019s biennial reports and combat support agency reports against key elements of quality evaluations, which we identified in prior work and compiled as part of this review, as specified below.", "To analyze the quality of biennial reports and combat support agency reports, we identified and selected key elements of quality evaluations and compared reports against these key elements. We took four major steps to identify and select key elements. First, we identified criteria that assess the quality of agency evaluations and resulting reports based on a review of relevant GAO reports and discussions with a methodologist. Second, in collaboration with a methodologist, we assessed the appropriateness of identified criteria for this analysis, and we concluded that no single assessed criterion met the needs of this review. Third, we identified relevant areas of overlap across the criteria, and we excluded topics not relevant for our purposes, such as statistical modeling for technical evaluations. Fourth, we selected a set of elements encompassing relevant areas of overlap, and we discussed and revised these elements in collaboration with a methodologist.", "For the analysis of reports against key elements, we gathered and recorded evidence related to each question from a variety of DOD sources including DOD reports, statements from DOD officials representing the research team, and relevant DOD guidance related to the reports. One analyst assessed the extent to which the reports reflected the key elements, and a second analyst reviewed their assessment. Where there was disagreement in the assessment, analysts discussed their analysis and reached a consensus.", "Last, for the first objective, we assessed DOD\u2019s response to the statutory requirement that it periodically review the continuing need for its DAFAs, and whether the provision of services and supplies by the DAFAs, rather than by the military departments, is more effective, economical, and efficient. We interviewed Office of the Chief Management Officer (OCMO) officials about the existing departmental processes that they stated addressed the statute, and we reviewed associated documentation provided by the OCMO officials, such as budget materials.", "For our second objective, we reviewed the business functions of selected DAFAs to identify possible inefficient duplication, overlap, or fragmentation in the services provided by those selected DAFAs to other organizations within the department. For our selection from the 27 DAFAs within DOD, we excluded DAFAs that have been previously identified as focus areas from our body of work on duplication, overlap, and fragmentation. We selected 7 DAFAs that are larger in size and budget than others and that focus on the traditional business areas of DOD, such as logistics or financial management. From those 7 DAFAs we reviewed the chartering directives for each of those agencies and DOD\u2019s most recent biennial report on DAFAs to identify terms and phrases that appeared duplicative or repetitive in nature. Using that strategy, we selected human resources as the business line of effort for the focus of our review.", "We reviewed the provision of human resources services by DAFAs to identify any potential inefficient duplication, overlap, or fragmentation. For example, we reviewed the client bases serviced by each DAFA to identify inefficient duplication or overlap and reviewed the performance measures used by each DAFA to examine for fragmentation in approach to performance measurement. Pursuant to 10 U.S.C. \u00a7 191 , whenever the Secretary of Defense determines that it would be more effective, economical, or efficient to provide for the performance of a supply or service common to multiple military departments by a single agency, then the Secretary can create a DAFA to provide that supply or service. Further, at the time of our review, section 192(c) of title 10, United States Code, required, among other things, that the Secretary of Defense periodically ensure that the provision of services and supplies by the DAFAs, rather than by the military departments, is more effective, economical, and efficient. As such, we assessed DOD\u2019s provision of human resources by DAFAs against GAO\u2019s Duplication Evaluation Guide to assess DOD\u2019s provision of human resources. We interviewed officials from DOD\u2019s CMO office, the 3 DAFAs that provide human resources services for the department (DFAS, DLA, and WHS), and the lead and members of DOD\u2019s human resources management reform team, and we reviewed documents such as DOD\u2019s human capital operating plan and documents provided by the DAFAs that detailed their human resources business functions.", "For our third objective, we selected efficiency initiatives that affect DAFAs, and that we have previously reported on since 2011. We reviewed a selection of reform initiatives because DOD does not have a comprehensive listing of the reform initiatives it has undertaken. For the purposes of this review, we define \u201cefficiency\u201d as maintaining federal government services or outcomes using fewer resources (such as time and money) or improving or increasing the quality or quantity of services or outcomes while maintaining (or reducing) resources. We obtained documentation and spoke with officials from CMO and the DAFAs selected for the second objective of this report regarding DOD\u2019s monitoring, assessing, and tracking of the selected reform initiatives. We obtained information and documentation from CMO officials regarding DOD\u2019s ongoing reform efforts, including plans for monitoring and assessing these efforts. We compared this information and documentation against Standards for Internal Control in the Federal Government, which states that management should establish a baseline from which to measure progress, use ongoing monitoring, and evaluate results.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Margaret Best (Assistant Director), Miranda Cohen, Alexandra Gonzalez, Amanda Manning, Richard Powelson, Suzanne Perkins, Andrew Stavisky, Amie Lesser, Sarah Veale, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-220", "url": "https://www.gao.gov/products/GAO-19-220", "title": "Department of State: Integrated Action Plan Could Enhance Efforts to Reduce Persistent Overseas Foreign Service Vacancies", "published_date": "2019-03-06T00:00:00", "released_date": "2019-03-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["State staffs Foreign Service employees to more than 270 embassies and consulates worldwide to advance U.S. foreign policy and economic interests. In 2009 and 2012, GAO identified ongoing Foreign Service staffing gaps.", "GAO was asked to review State's Foreign Service staffing. This report examines (1) vacancies in State's Foreign Service staffing at overseas posts, (2) reported effects of Foreign Service vacancies on diplomatic readiness, and (3) State's efforts to address Foreign Service vacancies. To address these objectives, GAO analyzed State's Global Employment Management System data as of March 2018. The system includes information on Foreign Service and Civil Service positions, including the total number of authorized Foreign Service positions and whether each position is filled or vacant. GAO also reviewed its relevant prior reports and State workforce planning documents. In addition, GAO interviewed State staff at 10 overseas posts, selected on the basis of large numbers of Foreign Service vacancies and diversity in the types of Foreign Service positions that were vacant at these posts, among other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State's (State) data show persistent Foreign Service vacancies at overseas posts since 2008. According to the data, 13 percent of overseas Foreign Service positions were vacant as of March 2018. This percentage is similar to the percentages GAO reported for 2008 and 2012, when 14 percent of these positions were vacant. In addition, State's data show persistent vacancies at overseas posts in generalist positions that help formulate and implement U.S. foreign policy and in specialist positions that support and maintain the functioning of overseas posts. State's data also show persistent Foreign Service vacancies at overseas posts with State's highest foreign policy priorities and in regions with security risks that could threaten U.S. foreign policy interests.", "According to staff at overseas posts, Foreign Service vacancies adversely affect State's ability to carry out U.S. foreign policy. Staff at overseas posts told us that vacancies increase workloads, contributing to low morale and higher stress for Foreign Service staff and that vacancies in Political and Economic positions\u201420 percent and 16 percent, respectively\u2014limit the reporting on political and economic issues that posts are able to provide to State headquarters. Notably, officials also stated that vacancies in specialist positions may heighten security risks at overseas posts and disrupt post operations. For instance, some overseas post staff said that vacancies in Information Management positions had increased the vulnerability of posts' computer networks to potential cybersecurity attacks and other malicious threats.", "State described various efforts\u2014implemented by multiple offices in the department \u2014to help address overseas Foreign Service vacancies, but these efforts are not guided by an integrated action plan to reduce persistent vacancies. An example of State's efforts is the \u201cHard-to-Fill\u201d program, which allows Civil Service staff an opportunity to fill a Foreign Service vacancy on a single overseas tour. According to GAO's 2017 High-Risk Series report, an agency should design and implement an action plan\u2014integrated across its relevant offices\u2014that defines the root causes of all skills gaps and suggests corrective measures. However, State has not developed such an action plan for reducing persistent overseas Foreign Service vacancies. Without developing an integrated action plan, overseas Foreign Service vacancies may persist. As a result, State's ability to achieve U.S. foreign policy goals and help ensure secure and efficient operations could be adversely impacted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State develop an integrated action plan that defines the root causes of persistent Foreign Service vacancies at overseas posts and suggests corrective measures to reduce such vacancies. State concurred with our recommendation and noted that it will take steps to develop an integrated action plan."]}], "report": [{"section_title": "Letter", "paragraphs": ["To advance U.S. foreign policy and economic interests, the Department of State (State) had staffed Foreign Service employees to about 9,850 overseas positions at more than 270 overseas posts worldwide as of March 31, 2018. Those Foreign Service employees play a critical role in achieving U.S. foreign policy goals. However, as we reported in 2009 and 2012, State has faced challenges in meeting its overseas staffing needs, resulting in Foreign Service staffing gaps that put diplomatic readiness at risk.", "We were asked to review staffing for State\u2019s Foreign Service at overseas posts. In this report, we examine (1) vacancies in State\u2019s Foreign Service staffing at overseas posts, (2) reported effects of Foreign Service vacancies on diplomatic readiness, and (3) State\u2019s efforts to address Foreign Service vacancies.", "To address these objectives, we analyzed State\u2019s personnel data on Foreign Service staffing at overseas posts from State\u2019s Global Employment Management System (GEMS) as of March 2018. We also interviewed State officials from the Bureau of Human Resources and the Bureau of Consular Affairs, as well as State officials representing the Offices of the Executive Director for State\u2019s six regional bureaus. In addition, we interviewed staff at 10 overseas posts. We conducted interviews in person with staff at 3 of these posts\u2014the U.S. Embassy in Beijing, China; the U.S. Consulate in Shanghai, China; and the U.S. Embassy in New Delhi, India\u2014and conducted telephone interviews with staff at the other 7 posts\u2014the U.S. Embassies in Abuja, Nigeria; Bogota, Colombia; Kinshasa, Democratic Republic of the Congo; Kabul, Afghanistan; Mexico City, Mexico; and N\u2019Djamena, Chad; and the U.S. Consulate in Frankfurt, Germany. We also reviewed State workforce planning documents and budget documents, such as State\u2019s Five Year Workforce and Leadership Succession Plan: Fiscal Years 2016-2020 and Quadrennial Diplomacy and Development Review. We did not assess whether the total number of authorized overseas Foreign Service positions was appropriate or met State\u2019s needs.", "In addition, we reviewed State Office of Inspector General (OIG) reports as well as our 2012 and 2009 reports on human capital challenges at State and effective strategic human capital management across the federal government. In particular, our 2017 report High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others states that strategic human capital management is a high-risk issue across the federal government, and lists five key elements as a road map for agency efforts to improve and ultimately address such issues. For our third objective, we assessed whether State\u2019s efforts to address vacancies were guided by a corrective action plan that identifies the root causes of persistent Foreign Service vacancies at overseas posts and suggests corrective measures to reduce such vacancies. Appendix I contains a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from August 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["State is the lead agency involved in implementing American foreign policy and representing the United States abroad. According to State and USAID\u2019s joint strategic plan for fiscal years 2018 through 2022, State\u2019s goals are to (1) protect America\u2019s security at home and abroad, (2) renew America\u2019s competitive advantage for sustained economic growth and job creation, (3) promote American leadership through balanced engagement, and (4) ensure effectiveness and accountability to the American taxpayer.", "State\u2019s Foreign Service employees serve in a variety of functions at overseas posts as either generalists or specialists. Foreign Service generalists help formulate and implement U.S. foreign policy and are assigned to work in one of five career tracks: consular, economic, management, political, or public diplomacy. Generalists at overseas posts collect information and engage with foreign governments and citizens of foreign countries and report the results of these interactions back to State headquarters in Washington, D.C., among other functions. Foreign Service specialists abroad support and maintain the functioning of overseas posts and serve in one of 25 different skill groups, in positions such as security officer or information management. Specialists at overseas posts play a critical role in ensuring the security and maintenance of the posts\u2019 facilities, computer networks, and supplies as well as the protection of post staff, their family members, and local staff, among other functions.", "State may require Foreign Service employees to be available for service anywhere in the world, as needed, and State has the authority to direct Foreign Service employees to any of its posts overseas or to its headquarters in Washington, D.C. However, as noted in our 2012 report, State generally does not use this authority, preferring other means of filling high-priority positions, according to State officials. The process of assigning Foreign Service employees to their positions typically begins when they receive a list of upcoming vacancies for which they may compete. Foreign Service employees then submit a list of positions for which they would like to be considered, known as bids, to the Office of Career Development and Assignments and consult with their career development officer. The process varies depending on an officer\u2019s grade and functional specialty, and State uses a variety of incentives to encourage Foreign Service employees to bid on difficult-to-fill posts.", "State groups countries of the world\u2014and corresponding U.S. overseas posts in these countries\u2014into areas of responsibility under six geographic regional bureaus:", "Bureau of African Affairs", "Bureau of East Asian and Pacific Affairs", "Bureau of European and Eurasian Affairs", "Bureau of Near Eastern Affairs", "Bureau of South and Central Asian Affairs", "Bureau of Western Hemisphere Affairs Overseas posts report to State headquarters through their respective regional bureaus. For example, because the Bureau of African Affairs has responsibility for developing and managing U.S. policy concerning parts of the African continent, U.S. overseas posts in Nigeria report through the bureau to State headquarters.", "According to State officials, State maintains personnel data on State employees in its GEMS database. GEMS includes information on Foreign Service and Civil Service positions; in particular, it shows the total number of authorized Foreign Service positions at State and whether each position is currently filled or vacant. As displayed in figure 1, the GEMS data show that the majority of Foreign Service employees (73 percent) work in positions at overseas posts. However, some Foreign Service staff (27 percent) are assigned to positions in the United States, where they may complete required language or other training, serve as desk officers for the regional bureaus, or work in other functions at State headquarters."], "subsections": [{"section_title": "Overseas Foreign Service Vacancies Have Persisted over Time While Overseas Foreign Service Staffing Has Increased, Staffing Gaps Persist", "paragraphs": ["According to State data, the number of both staffed and vacant overseas Foreign Service positions increased between 2008 and 2018. As shown in figure 2, the number of positions staffed grew from 6,979 in 2008 to 8,574 in 2018\u2014a more than 20 percent increase. Despite the increase in the number of positions staffed, our analysis found that as of March 31, 2018, overall, 13 percent of State\u2019s overseas Foreign Service positions were vacant. This vacancy percentage is similar to the percentages of vacancies in overseas Foreign Service positions that we reported in 2012 and 2008. In 2012, we reported that 14 percent of State\u2019s overseas Foreign Service positions were vacant as of October 31, 2011, and we reported that the same percentage of overseas Foreign Service positions\u201414 percent\u2014were vacant as of September 30, 2008.", "According to State officials, State\u2019s ability to hire Foreign Service employees to fill persistent vacancies has been affected by factors such as reduced appropriations. For instance, according to State officials and State\u2019s Five Year Workforce Plan, because of funding cuts enacted in fiscal year 2013, State could only hire one employee for every two leaving the Foreign Service. From fiscal years 2014 to 2016, funding for State\u2019s annual appropriations supported hiring to replace Foreign Service employees projected to leave the agency, according to State officials. These officials indicated, however, that Foreign Service hiring was again impacted from January 2017 through May 2018 by a hiring freeze. As a result, State hired below levels required to replace full projected attrition of Foreign Service employees."], "subsections": []}, {"section_title": "State\u2019s Data Show Higher Vacancy Rates in Foreign Service Specialist Positions Compared to Foreign Service Generalist Positions", "paragraphs": ["While State\u2019s data show persistent vacancies in both generalist and specialist positions at overseas posts, specialist positions remain vacant at a higher rate. State\u2019s data show that 12 percent (680 of 5,660) of overseas Foreign Service generalist positions were vacant as of March 31, 2018, a slight decrease from the 14 percent of overseas Foreign Service generalist positions that we reported vacant in 2012. State\u2019s data also show that 14.2 percent (594 of 4,188) of all overseas Foreign Service specialist positions were vacant, close to the 14.8 percent vacancy rate that we reported in 2012."], "subsections": [{"section_title": "Foreign Service Generalists", "paragraphs": ["State\u2019s data show persistent vacancies in Foreign Service generalist positions responsible for analysis, engagement, and reporting at overseas posts. As shown in table 1, among Foreign Service generalist career tracks, the political, economic, and \u201cother\u201d tracks had the largest percentage of vacant positions, with, respectively, 20 percent, 16 percent, and 14 percent of positions vacant as of March 31, 2018. Our 2012 report noted vacancies in the same three career tracks. Political officers at overseas posts are responsible for collecting and analyzing information on political events, engaging with foreign governments, and reporting back to State headquarters. Economic officers at overseas posts work with foreign governments and other U.S. agencies on technology, science, economic, trade, and environmental issues. The \u201cother\u201d generalist career track includes positions designated as \u201cExecutive\u201d or \u201cInternational Relations,\u201d which, according to State officials, may be filled by generalists from any of State\u2019s five career tracks.", "State\u2019s data show persistent vacancies in Foreign Service specialist positions that support and maintain the functioning of overseas posts. Among the 10 largest Foreign Service specialist skill groups, security officer, office management specialist, and information management had the largest percentages of vacant positions. As shown in figure 3, in these three groups, respectively, 16 percent, 16 percent, and 14 percent of positions were vacant. The vacancies in these three specialist skill groups are persistent; in 2012, we reported that the same three groups had the largest numbers of vacant positions. Security officers are typically responsible for responding to various threats to the physical security of overseas posts and for ensuring the protection of post staff, their family members, and local staff. Office management specialists provide professional management and administrative support. Information management staff are typically responsible for maintaining and ensuring the security of State\u2019s computer networks and communications systems at overseas posts."], "subsections": []}]}, {"section_title": "State Faces Challenges Recruiting Personnel to Fill Some Foreign Service Specialist Positions That Often Require Specialized Skills and Competencies", "paragraphs": ["State officials said that State has had difficulty in recruiting and hiring Foreign Service employees to fill specialist positions in some skill groups at overseas posts. According to State officials and staff at overseas posts, some vacant specialist positions are more difficult to fill than others because candidates for these positions must often possess skills in fields such as medicine or information technology that tend to be highly sought after in the private sector. According to staff at overseas posts, it is not uncommon for specialist candidates in these fields to choose higher- paying jobs in the private sector rather than specialist positions in the Foreign Service. Additionally, in some circumstances, State must compete with other federal agencies to recruit specialists from the same limited pool of talent. Consequently, according to State officials, State has been unable to attract and retain personnel with the skills necessary to fill some Foreign Service specialist positions, which has led to persistent vacancies in specialist positions.", "Vacancies in Foreign Service specialist positions at overseas posts present additional challenges because specialized skills and competencies are often required to perform the work of these positions. According to State officials, because Foreign Service generalists may be assigned to work outside of their career tracks, in some circumstances, State has more flexibility in filling a generalist vacancy than a specialist vacancy. For example, generalists outside the consular career track can serve as a consular officer for one or more tours of duty. However, specialist positions often require specialized skills or experience that generalists may not possess. In addition, according to staff at overseas posts, it is generally not possible for a Foreign Service specialist from one skill group to perform the work of a Foreign Service specialist from a different skill group. For instance, a Foreign Service specialist assigned to the medical section at a post will not be able to help address the workload of a vacant position in the information management section. Thus, according to staff at overseas posts, vacancies in specialist positions at the posts may create greater challenges than vacancies in generalist positions."], "subsections": []}, {"section_title": "State\u2019s Data Show Persistent Foreign Service Vacancies at Overseas Posts with State\u2019s Highest Foreign Policy Priorities", "paragraphs": ["According to State\u2019s data, as of March 31, 2018, overseas posts with State\u2019s highest foreign policy priorities had the highest percentages of vacant Foreign Service positions. Using its Overseas Staffing Model process, State assigns each embassy to one of seven categories based primarily on the level and type of work required to pursue the U.S. government\u2019s diplomatic relations with the host country at post. As we previously reported, the rankings are closely associated with the department\u2019s foreign policy priorities; the higher the category, the greater the resources needed to conduct the work of the overseas post and the higher the post\u2019s foreign policy priority. For example, the highest-level category, level 5+, includes the largest, most comprehensive full-service posts, where the host country\u2019s regional and global role requires extensive U.S. personnel resources. The lowest-level category includes small embassies with limited requirements for advocacy, liaison, and coordination in the host country\u2019s government. As shown in table 2, according to State\u2019s data, as of March 31, 2018, overseas posts in the \u201cEmbassy 5+\u201d category had the highest percentage of vacant positions. The results of this analysis were similar to those we reported in 2012."], "subsections": []}, {"section_title": "State\u2019s Data Show Higher Vacancy Rates in Regions with Security Risks That Could Threaten U.S. Foreign Policy Interests", "paragraphs": ["While State has Foreign Service vacancies worldwide, as of March 31, 2018, the highest percentages of vacancies were in the South and Central Asian Affairs Bureau (SCA) and Near Eastern Affairs Bureau (NEA)\u2014bureaus representing regions with heightened security risks that could threaten U.S. foreign policy interests, according to State. SCA, which includes countries such as Afghanistan, Pakistan, and India, faces a host of security and stability challenges that could threaten U.S. interests, according to a February 2018 report from State\u2019s Office of Inspector General. NEA includes countries, such as Egypt, Iraq, and Saudi Arabia, which have faced numerous security threats in recent years that could also threaten U.S. interests overseas.", "As shown in figure 4, among State\u2019s regional bureaus, as of March 31, 2018, SCA and NEA had the highest percentages of overseas Foreign Service vacancies at 21 percent (238 of 1,115 positions) and 18 percent (234 of 1,279 positions), respectively. In 2012, we reported that these two bureaus also had the highest percentages of overseas Foreign Service vacancies among regional bureaus."], "subsections": []}, {"section_title": "Overseas Foreign Service Vacancies Have Adverse Effects on State\u2019s Diplomatic Readiness Vacancies in Overseas Foreign Service Positions Increase Workloads and Affect Employee Morale, According to Staff at Overseas Posts", "paragraphs": ["Vacancies in Foreign Service positions at overseas posts increase workloads and adversely affect the morale of Foreign Service employees. According to State officials in headquarters and staff at overseas posts, when a Foreign Service position at an overseas post is vacant, Foreign Service employees at that post are generally responsible for covering the workload of the vacant position. Further, Foreign Service employees at some posts\u2014particularly posts with fewer Foreign Service staff\u2014may be responsible for covering the workload of multiple vacant positions. For example, at two African posts we heard examples of Foreign Service employees covering the workload of multiple vacant Foreign Service positions. As a result of increased workloads, Foreign Service employees are also more likely to have less time available to perform some important functions, according to staff at overseas posts. According to staff at overseas posts, such functions include training and supervising entry- level Foreign Service employees, local staff, and eligible family members (EFM); reducing the risk of fraud, waste, and abuse; improving and innovating processes at post that could reduce inefficiencies; initiating and implementing projects that could enhance various diplomatic efforts; and conducting maintenance of systems.", "In addition, according to staff at overseas posts, vacancies adversely affect staff morale. Staff at multiple posts said that vacancies and the resulting increased workloads had created substantial stress and increased \u201cburnout\u201d of Foreign Service employees at the posts. They noted that these levels of stress and burnout had contributed to Foreign Service employees\u2019 ending their overseas assignments early for medical or personal reasons. These curtailments, in turn, had increased the overall vacancies and their effects at overseas posts."], "subsections": []}, {"section_title": "Vacancies in Overseas Foreign Service Generalist Positions, Especially in the Political and Economic Career Tracks, Adversely Affect State\u2019s Diplomatic Readiness", "paragraphs": ["According to staff at overseas posts, vacancies in Foreign Service generalist positions at overseas posts adversely affect State\u2019s diplomatic readiness. Among Foreign Service generalist career tracks, the political and economic career tracks had the two largest percentages of vacant positions\u201420 percent and 16 percent, respectively\u2014as of March 31, 2018.", "According to staff at overseas posts, vacancies in political and economic positions at overseas posts\u2014particularly posts with fewer Foreign Service employees\u2014limit the amount of reporting on political and economic developments that posts are able to submit back to State headquarters. For example, Foreign Service employees from three posts in Africa told us that persistent, long-term vacancies in those posts\u2019 political and economic positions had constrained their abilities to provide full reporting on political and economic developments in their host countries. According to staff at overseas posts, reporting on political and economic developments in other countries\u2014submitted by overseas posts back to State headquarters\u2014is essential for State to make informed foreign policy decisions. Foreign Service employees from two posts in large countries in East and South Asia also told us that vacancies in these sections had limited their capacity to engage with host government officials on important, strategic issues for the United States, such as reducing nuclear proliferation or enhancing trade and investment relationships with the United States. Vacancies in the political and economic career tracks at overseas posts could adversely affect State\u2019s ability to achieve two of the goals in State and USAID\u2019s joint strategic plan for fiscal years 2018 through 2022\u2014(1) renew America\u2019s competitive advantage for sustained economic growth and job creation and (2) promote American leadership through balanced engagement."], "subsections": []}, {"section_title": "Vacancies in Overseas Foreign Service Specialist Positions May Heighten Security Risks at Overseas Posts and Disrupt Post Operations", "paragraphs": ["According to staff at overseas posts, vacancies in Foreign Service specialist positions at overseas posts may heighten the level of security risk at the posts and disrupt post operations. Among Foreign Service specialist skill groups with the highest number of vacant positions, security officer, office management specialist, and information management had the largest percentages of vacant positions\u201416 percent, 16 percent, and 14 percent, respectively\u2014as of March 31, 2018."], "subsections": [{"section_title": "Security Officer", "paragraphs": ["According to staff at overseas posts, vacancies in security officer positions at overseas posts reduce the amount of time that security staff can spend identifying, investigating, and responding to potential security threats to the post. Security officers are also responsible for identifying and analyzing host-country intelligence-gathering efforts at their respective overseas posts\u2014and post staff told us that, because of vacancies in these positions, some security officers had been unable to complete this work for their posts, potentially increasing the risk of foreign government officials gaining access to sensitive information. Also, post staff told us that security officer vacancies limit the amount of time that security officers present at posts can devote to important security oversight activities, including regular training, drilling, and supervising of local guard forces and security contractors. Post staff noted, for example, that security officers at overseas posts should conduct regular training and drilling exercises to evaluate their local guard force\u2019s effectiveness in searching a vehicle entering the post compound for explosive devices. According to post staff, when these important security oversight activities are not properly and regularly conducted, the level of security risk at these overseas posts may increase."], "subsections": []}, {"section_title": "Information Management", "paragraphs": ["According to State officials in headquarters and staff at overseas posts, as well as reporting by State\u2019s OIG, vacancies in information management positions at overseas posts have increased the vulnerability of posts\u2019 computer networks to potential cybersecurity attacks and other malicious threats. State officials told us that the Foreign Service had faced chronic shortages of information management staff available to fill these positions worldwide. According to State officials, because of ongoing information management vacancies, some required tasks\u2014such as conducting planned network maintenance\u2014were performed infrequently or not at all. In another example, staff at overseas posts said that because of vacancies, information management staff had been unable to regularly check their computer system logs to ensure that security breaches had not taken place. Post staff added that, if a breach did occur, vacancies could increase the amount of time needed to identify an attack and deploy countermeasures, further increasing the risks to posts\u2019 computer networks. Inspections conducted by State\u2019s OIG from fall 2014 to spring 2016 found that information management staff at 33 percent of overseas posts had not performed various required information management duties. According to State\u2019s OIG, neglect of these duties may leave the department vulnerable to increased cybersecurity attacks."], "subsections": []}, {"section_title": "Office Management Specialist", "paragraphs": ["According to staff at overseas posts, the office management specialist position at overseas posts has evolved considerably over time; these specialists increasingly play a critical role in ensuring that the work of overseas posts is effectively completed. Post staff said that office management specialists provide administrative and other support services to other Foreign Service employees and are assigned to various sections of post. For example, staff at one post noted that office management specialists assigned to the Security Officer sections at overseas posts reduce the workload of security officers by completing more routine security tasks and allowing the security officers to focus on more challenging or involved tasks necessary to secure overseas posts. Post staff told us that vacancies in office management specialist positions reduce the amount of work that can be completed by other Foreign Service employees at overseas posts. For example, when office management specialist positions assigned to the Security Officer or Information Management sections of posts are vacant, these vacancies further exacerbate the higher number of vacancies that already exist in these sections. According to staff at overseas posts, higher numbers of office management specialist vacancies require other Foreign Service employees to spend a significant amount of time on administrative tasks, reducing the amount of time these staff can spend on mission-critical activities."], "subsections": []}]}]}, {"section_title": "State Described Various Efforts to Address Overseas Foreign Service Vacancies, but These Efforts Are Not Guided by an Integrated Action Plan to Reduce Persistent Vacancies State Officials Described Various Efforts to Help Address Vacancies", "paragraphs": ["Officials in headquarters and at overseas posts described various State efforts to help address overseas Foreign Service vacancies. According to State officials, Foreign Service vacancies at overseas posts are a complex problem that multiple offices within State address on an individual basis."], "subsections": [{"section_title": "State\u2019s Efforts to Address Overseas Foreign Service Vacancies Are Not Guided by an Integrated Action Plan to Reduce Persistent Vacancies", "paragraphs": ["State\u2019s various efforts to address overseas Foreign Service vacancies are not guided by an integrated action plan to reduce persistent vacancies. Our 2017 High-Risk Series report calls for agencies to, among other things, design and implement action plan strategies for closing skills gaps. The action plan should (1) define the root cause of all skills gaps within an agency and (2) provide suggested corrective measures, including steps necessary to implement solutions. This report also emphasizes the high risk that mission-critical skills gaps in the federal workforce pose to the nation.", "While various State offices have implemented the efforts we identified, State lacks an action plan that is integrated\u2014or consolidated\u2014across its relevant offices to guide its efforts to address persistent overseas Foreign Service vacancies. Moreover, some staff at overseas posts acknowledged that the efforts State has taken to help address vacancies have not reduced persistent Foreign Service vacancies, notably in specialist positions. In response to our inquiry about an action plan, State officials said that the agency does not have a single document that addresses Foreign Service staffing gaps at overseas posts. Instead, State officials directed us to State\u2019s Five Year Workforce Plan: Fiscal Years 2016-2020, stating that it was the most comprehensive document that outlines State\u2019s efforts to address Foreign Service vacancies at overseas posts. The workforce plan notes that it provides a framework to address State\u2019s human capital requirements and highlights State\u2019s challenges and achievements in recruiting, hiring, staffing, and training Foreign Service staff. However, in reviewing the portions of the workforce plan that State indicated were most relevant, we found that the workforce plan does not include an integrated action plan that defines the root causes of the persistent overseas Foreign Service vacancies we identified or suggest corrective measures to reduce vacancies in these positions, including steps necessary to implement solutions.", "State officials also noted that they frequently meet to discuss and address workforce issues. For example, they said they convene a multi-bureau planning group that meets biweekly to discuss strategic workforce issues such as hiring needs based on attrition and other issues. However, according to State officials, this group has not developed an action plan to reduce persistent Foreign Service vacancies at overseas posts.", "State lacks an integrated action plan to guide its efforts to address persistent Foreign Service vacancies that includes corrective measures to address the root causes of the vacancies. Without defining the root causes of persistent Foreign Service vacancies at overseas posts and identifying appropriate corrective measures, overseas vacancies may persist and continue to adversely affect State\u2019s ability to achieve U.S. foreign policy goals."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Foreign Service generalists and specialists at overseas posts are critical to advancing U.S. foreign policy and economic interests abroad. However, for at least a decade, the Foreign Service has had persistent vacancies in both generalist and specialist positions at overseas posts. In particular, large numbers of vacant positions have persisted over time in certain overseas Foreign Service positions, such as information management and security officer positions. These vacancies in critical positions at overseas posts have adversely affected State\u2019s ability to carry out its mission effectively and threaten State\u2019s ability to ensure the security and safety of its employees, their families, and post facilities. While State has made some efforts to address Foreign Service vacancies, addressing chronic vacancies in critical positions at overseas posts requires a thoughtful, coherent, and integrated action plan that defines the root causes of persistent Foreign Service vacancies at overseas posts along with suggested corrective measures to reduce such vacancies, following what was called for in our 2017 High-Risk Series report. Developing such an action plan would help State address its persistent staffing gaps, improve its ability to achieve U.S. foreign policy goals, and help ensure secure and efficient operations."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of State should develop an integrated action plan that defines the root causes of persistent Foreign Service vacancies at overseas posts and provides suggested corrective measures to reduce such vacancies, including steps necessary to implement solutions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to State for review and comment. In its comments, reproduced in appendix III, State concurred with our recommendation. State also noted that it has taken actions and identified some causes of vacancies, but acknowledged that it lacks an integrated action plan and will take steps to develop such a plan. State also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6881 or bairj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) vacancies in the Department of State\u2019s (State) Foreign Service staffing at overseas posts, (2) reported effects of Foreign Service vacancies on diplomatic readiness, and (3) State\u2019s efforts to address Foreign Service vacancies.", "To address these three objectives, we interviewed State officials from the department\u2019s Bureau of Human Resources and Bureau of Consular Affairs as well as State officials representing the Offices of the Executive Director for State\u2019s six regional bureaus. We also interviewed staff at 10 overseas posts. We conducted in-person interviews with staff at 3 of these posts\u2014the U.S. Embassy in Beijing and the U.S. Consulate in Shanghai, China, and the U.S. Embassy in New Delhi, India. We conducted telephone interviews with staff at the other 7 posts\u2014the U.S. Embassies in Abuja, Nigeria; Bogota, Colombia; Kinshasa, Democratic Republic of the Congo; Kabul, Afghanistan; Mexico City, Mexico; and N\u2019Djamena, Chad; and the U.S. Consulate in Frankfurt, Germany. We used the following criteria to select overseas posts for interviews: (1) posts with larger numbers of Foreign Service vacancies; (2) posts with diversity in the types of Foreign Service positions that were vacant; (3) posts with higher relative importance to U.S. economic, national security, and other foreign policy interests; and (4) posts in a range of geographic locations by State region.", "To examine vacancies in State\u2019s Foreign Service staffing at overseas posts, we analyzed State\u2019s personnel data on Foreign Service staffing at overseas posts from the department\u2019s Global Employment Management System (GEMS), as of March 2018. Our analysis of the GEMS data includes Foreign Service positions filled by permanent Foreign Service employees as well as positions filled by nonpermanent Foreign Service employees, such as Consular Fellows. This analysis does not include the number of staffed and vacant positions at overseas posts in Libya, Syria, and Yemen, which, at the time of our review, were in suspended operations status, as well as U.S. Mission Somalia, which was operating under special circumstances at a different location.", "To calculate vacancy rates, we divided the total number of positions by the number of positions listed as vacant in GEMS. For example, a post with 10 positions and 2 vacancies would have a vacancy rate of 20 percent. We calculated vacancy rates for each of the following categories: type (i.e., generalist or specialist), function (e.g., consular or information management), regional bureau (i.e., Bureau of African Affairs or Bureau of Western Hemisphere Affairs), and embassy and nonembassy rankings from State\u2019s Overseas Staffing Model (i.e., Embassy 3+ or 5).", "According to State officials, the data in GEMS have a number of limitations:", "The number of vacant positions at overseas posts listed in GEMS may be overstated, because State has not yet decided to remove some of these positions from its database.", "Some of the vacancies in GEMS are short-term or temporary. Foreign Service employees periodically rotate out of their positions at their overseas posts, sometimes creating temporary vacancies until the positions are filled by incoming Foreign Service employees.", "The GEMS data show larger numbers of vacant Foreign Service positions at posts in Afghanistan, Iraq, and Pakistan than actually were unstaffed at these posts. According to State officials, this discrepancy results from State\u2019s relying heavily on shorter-term assignments to fill Foreign Service positions at these locations. These shorter-term assignments are not reflected in GEMS, and the positions therefore appear vacant.", "The GEMS data may not reflect Foreign Service employees who have been temporarily reassigned from one overseas post to another.", "The GEMS data may show positions as filled although the Foreign Service employee filling the position has not yet arrived at post.", "To assess the reliability of the GEMS database, we asked State officials whether State had made any major changes to the database since our 2012 report, when we assessed the GEMS data to be sufficiently reliable. State officials indicated that no major changes had been made. We also tested the data for completeness, confirmed the general accuracy of the data with officials at selected overseas posts, and interviewed knowledgeable officials from State\u2019s Office of Resource Management and Organizational Analysis concerning the data\u2019s reliability. We found the GEMS data to be reliable for the purpose of determining the numbers and percentages of vacant Foreign Service positions at overseas posts. We did not validate whether the total number of authorized overseas Foreign Service positions was appropriate or met State\u2019s needs.", "We also reviewed State workforce planning documents and budget documents, such as State\u2019s Five Year Workforce and Leadership Succession Plan: Fiscal Years 2016-2020 and Quadrennial Diplomacy and Development Review. In addition, we reviewed State Office of Inspector General reports as well as our previous reports on human capital challenges at State and effective strategic human capital management across the federal government. In particular, our report High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others notes that strategic human capital management is a high-risk issue across the federal government and lists five key elements as a road map for agency efforts to improve and ultimately address such issues. For our third objective, we assessed whether State\u2019s efforts to address vacancies were guided by a corrective action plan that identifies the root causes of persistent Foreign Service vacancies at overseas posts and suggests corrective measures to reduce such vacancies, including steps necessary to implement solutions.", "We conducted this performance audit from August 2017 to March 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Analysis of Vacant Foreign Service Positions at Overseas Posts in Various Categories as of March 31, 2018", "paragraphs": [], "subsections": [{"section_title": "Management 10 largest specialist skill groups at overseas posts Security Officer", "paragraphs": [], "subsections": []}, {"section_title": "Staffed positions at overseas posts Overseas posts by Overseas Staffing Model category Embassy 1 or 2 655", "paragraphs": ["The \u201cEconomic\u201d generalist career track includes positions from the \u201cScience Officer\u201d staffing skill group in the GEMS data. 170 Foreign Service employees were not staffed to one of the six regional bureaus."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Godwin Agbara (Assistant Director), Ian Ferguson (Analyst-in-Charge), Anthony Costulas, Natalia Pena, Debbie Chung, Chris Keblitis, Reid Lowe, Justin Fisher, and Alexander Welsh made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of State's Foreign Service staff at posts around the world provide a range of services, such as processing visa applications and promoting U.S. interests abroad.", "Since 2008, State has had trouble filling some positions at these posts, notably in information management and security, but State doesn't have a plan to address this issue. Chronic vacancies increase Foreign Service staff workloads, raise stress, and lower morale. Without identifying and addressing persistent vacancies, the work and security of overseas personnel suffer.", "We recommended that State develop a plan to define the causes of and reduce persistent vacancies."]} {"id": "GAO-18-275T", "url": "https://www.gao.gov/products/GAO-18-275T", "title": "Department of Justice: Continued Action Needed To Address Incarceration Challenges and Offenders' Reentry", "published_date": "2017-12-13T00:00:00", "released_date": "2017-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["BOP's rising costs and offender recidivism present incarceration challenges to both DOJ and the nation. For example, BOP's operating costs have generally increased over time, and in fiscal year 2017 amounted to more than $6.9 billion, or 24 percent of DOJ's total discretionary budget. In addition, from 1980 through 2013, BOP's prison population increased by almost 800 percent, from 24,640 to 219,298. While the prison population began to decline in 2013, DOJ has continued to identify prison crowding as a critical issue. GAO has examined a number of DOJ efforts to slow the growth of the prison population and to reduce recidivism through the use of reentry programs to help offenders successfully return to the community.", "This statement summarizes findings and recommendations from recent GAO reports that address (1) DOJ's incarceration reduction initiatives, and (2) BOP reentry programs.", "This statement is based on prior GAO products issued from February 2012 through June 2016, along with updates on the status of recommendations obtained as of December 2017. For the updates on DOJ's progress in implementing recommendations, GAO analyzed information provided by DOJ officials on actions taken and planned."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Justice (DOJ) has fully addressed two of six GAO recommendations related to its incarceration reduction initiatives . In June 2015 and June 2016, GAO reported that to help address challenges associated with incarceration, DOJ had, among other things, taken steps to reduce the prison population by pursuing initiatives to use alternatives to incarceration for low-level nonviolent crimes. GAO made six recommendations to DOJ related to these efforts. As of December 2017, DOJ has implemented two of the six recommendations and has not fully addressed the remaining four. Specifically, to enhance efforts to measure program outcomes, DOJ issued guidance on proper data entry and began tracking data on different types of pretrial diversion programs that allow certain offenders to avoid incarceration if they satisfy program requirements. In addition, as of December 2017, DOJ has taken steps to partially implement GAO's recommendation to address unnecessary delays in reviewing inmates' petitions to commute their sentences.", "DOJ has not taken action to address recommendations to better assess the results of pretrial diversion programs or another effort to prioritize prosecutions and reform sentencing to eliminate unfair disparities, among other goals. Further, in December 2017, DOJ noted there had been policy changes since GAO made a recommendation related to enhancing measures to monitor prioritizing prosecution and sentencing reform. Although DOJ reported taking some actions to implement GAO's recommendation, these actions did not include establishing measures that incorporate key elements of successful performance measurement systems.", "DOJ has addressed two of four GAO recommendations related to its reentry programs . As part of its mission to protect public safety, DOJ's Federal Bureau of Prisons (BOP) provides reentry programming that aims to facilitate offenders' successful return to the community and reduce recidivism (a return to prison or criminal behavior). These reentry efforts include programs offered in BOP facilities as well as contractor-managed residential reentry centers (RRC)\u2014also known as halfway houses\u2014and home confinement services that allow inmates to serve the final months of their sentences in the community. GAO issued three reports in February 2012, June 2015, and June 2016 and made four recommendations to BOP in this area.", "As of December 2017, DOJ has implemented two of the four recommendations and has begun to take action to address one of the remaining two. Specifically, to implement one of GAO's recommendations, DOJ established a plan to evaluate the effectiveness of all the 18 reentry programs it offers to inmates in BOP facilities. To implement another GAO recommendation to improve cost management, DOJ began requiring contractors to submit separate prices for RRC beds and home confinement services. As of December 2017, DOJ noted it has taken initial steps to address a recommendation to track outcome data for its RRC and home confinement programs; however, it has not taken action to develop measures to assess the performance of these programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made 10 recommendations to DOJ in prior reports to help improve performance measurement and resource management. DOJ generally concurred and has addressed or taken steps to address several. GAO continues to believe all of these recommendations should be fully implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["I appreciate the opportunity to participate in today\u2019s hearing to discuss our prior work on ways in which the Department of Justice (DOJ) can better assess incarceration reduction initiatives and reentry efforts. This statement reflects prior GAO products issued from February 2012 through June 2016, along with recent updates on the status of our recommendations.", "As of December 2017, DOJ\u2019s Federal Bureau of Prisons (BOP) was responsible for about 184,000 federal inmates and operating 122 institutions (prisons) across the country. BOP\u2019s rising costs and offender recidivism present incarceration challenges to both DOJ and the nation. For example, BOP\u2019s operating costs have generally increased over time, and in fiscal year 2017 amounted to more than $6.9 billion, or 24 percent of DOJ\u2019s total discretionary budget. In addition, from 1980 through 2013, BOP\u2019s prison population increased by almost 800 percent, from 24,640 to 219,298. While the prison population began to decline in 2013, DOJ has continued to identify prison crowding as a critical issue, particularly in high security institutions. Further, while BOP reports that recidivism rates have declined over the past two decades, the U.S. Sentencing Commission found that of federal offenders released in 2005, 49 percent were rearrested, 32 percent were reconvicted, and 25 percent were reincarcerated during the eight year follow-up period.", "During the course of our prior work, DOJ was taking steps to slow the growth of the federal prison population by pursuing alternatives to incarceration at various stages of the criminal justice process for nonviolent, low-level offenders, in part to help reduce the size and related costs of the federal prison population. Knowing the outcomes of these efforts can help BOP adjust its policies and procedures, and ultimately optimize their benefits.", "My testimony today is based on our work examining DOJ\u2019s efforts to manage the federal prison system. This statement addresses two key areas in which we have issued reports and highlights our recommendations to DOJ to enhance program performance measurement and resource management. Specifically, this statement addresses (1) DOJ\u2019s incarceration reduction initiatives and (2) BOP\u2019s reentry programs.", "This statement is based on several reports we issued from February 2012 through June 2016, and includes updates on selected aspects of these reports as of December 2017. For our prior work, we reviewed relevant laws and DOJ and BOP policies, and analyzed documentation and data on the use of incarceration alternatives at or before sentencing. In addition, we interviewed DOJ and BOP headquarters and district officials, and conducted site visits to selected BOP institutions (which were chosen to cover a range of characteristics, including but not limited to inmate gender and presence of relevant BOP programs). More information about the scope and methodology of our prior work can be found in those reports.", "To update the status of DOJ\u2019s efforts to address the recommendations we made in these reports, we collected and analyzed information from DOJ and BOP program officials on actions they have taken or planned in response. We conducted our work in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Key Stakeholders in the Federal Criminal Justice Process", "paragraphs": ["Various DOJ and federal judiciary stakeholders play key roles in the federal criminal justice process, and as such, they can also have key roles in considering whether to use incarceration alternatives for a given offender or inmate. For example, in the course of the federal criminal justice process, a U.S. attorney is involved in the process of investigating, charging and prosecuting an offender, among other responsibilities. Federal defenders are called upon to represent defendants who are unable to financially retain counsel in federal criminal proceedings. The U.S. Probation and Pretrial Services Office (PPSO), an office within the judiciary, also has responsibilities including supervising an offender pretrial or after conviction. Federal judges are responsible for determining an offender\u2019s sentence, and, in the case of incarceration, BOP is responsible for caring for the inmate while in custody."], "subsections": []}, {"section_title": "Federal Criminal Justice Process", "paragraphs": ["Federal laws and guidelines determine what, if any, incarceration is appropriate for offenders. The Sentencing Reform Act of 1984 established the independent U.S. Sentencing Commission (USSC) within the judicial branch and charged it with, among other things, developing federal sentencing guidelines. The guidelines specify sentencing guideline ranges\u2014a range of time (in months) that offenders should serve given the nature of their offense and other factors\u2014but also permit sentences to depart upward or downward from guideline ranges because of aggravating or mitigating circumstances. In 2005, the Supreme Court found the sentencing guidelines, which had previously been binding for federal judges to follow in sentencing criminal defendants, to be advisory in nature. Regardless of the guidelines\u2019 advisory nature, judges are still required to calculate sentences properly and to consider the guideline ranges as well as the nature and circumstances of the offense, the defendant\u2019s history, and the need for deterrence, among other sentencing goals.", "As we reported in June 2016, alternatives to incarceration were available at various steps in the federal criminal justice process, from charging and prosecution through incarceration (see figure 1).", "For instance, at the front-end of the criminal justice process, there are pretrial diversion programs that can provide offenders an opportunity to avoid prosecution or incarceration if they satisfy program requirements. In addition, toward the end of inmates\u2019 periods of incarceration, BOP may place inmates in residential reentry centers (RRC, also known as halfway houses), in which inmates are housed outside of a prison environment prior to their release in the community. During their time in RRCs, inmates are authorized to leave for approved activities, such as work; are monitored 24 hours a day, such as through sign-out procedures; are required to work or be actively seeking work; and are required to pay a percentage of their salaries as a subsistence fee to cover some of their expenses at the RRC.", "In addition, BOP may place inmates in home confinement toward the end of their sentences. While in home confinement, inmates are required to remain in their homes when not involved in approved activities, such as employment, and are supervised and monitored, such as through curfews, random staff visits, or electronic monitoring. RRC staff may provide the supervision of inmates in home confinement. Through an interagency agreement, BOP and the PPSO also established the Federal Location Monitoring Program, through which PPSO officers provide supervision for BOP inmates on home confinement under certain conditions. Among other things, to qualify inmates ordinarily must be classified as minimum security level; seek and maintain employment; and pay for all or part of the costs of the Federal Location Monitoring Program."], "subsections": []}, {"section_title": "Overview of BOP\u2019s Institutions and Role in Transitioning Offenders into Society", "paragraphs": ["BOP is responsible for the custody and care of federal inmates. As of December 2017, there were a total of about 184,000 federal inmates, according to BOP. According to BOP data, 83 percent of these inmates are in the 122 institutions managed by BOP. The remainder are confined in secure privately managed or community-based facilities, local jails, or in home confinement.", "BOP has a role to help ensure that offenders properly transition into society and avoid a return to prison or criminal behavior (recidivism) after they have completed their terms of incarceration. Among other activities, BOP provides reentry services to inmates within federal prisons that may include drug treatment programs, education and vocational training, and psychology services. BOP also is to facilitate the transfer of inmates into RRCs, which provide assistance as inmates transition into communities, to include home confinement. RRCs provide employment counseling and job placement assistance, financial management assistance, and substance abuse treatment or counseling as well as other services, which may vary by facility. According to BOP, approximately 180 RRCs provide housing for over 7,500 federal offenders prior to release into their communities."], "subsections": []}, {"section_title": "Federal Collateral Consequences Can Affect Reentry", "paragraphs": ["As we reported in September 2017, individuals convicted of a crime may have limitations placed upon them that can affect their reentry. Individuals convicted of a crime generally face a sentence, which can include fines, probation, and incarceration in jail or prison. In addition to the sentence, individuals may also face collateral consequences\u2014 penalties and disadvantages, other than those associated with a sentence, which can be imposed upon an individual as a result of a conviction. For example, collateral consequences may prohibit people who committed crimes involving a sex offense or offense involving a child victim from working in a child care facility. Collateral consequences can be contained in federal and state laws and regulations. Notably, federal collateral consequences can serve various functions, such as enhancing public safety or protecting government interests. In 2012, the American Bar Association began compiling the first nationwide inventory of collateral consequences, known as the National Inventory of the Collateral Consequences of Conviction (NICCC). As of December 31, 2016, the NICCC contained roughly 46,000 collateral consequences established through federal and state laws and regulations.", "We reported on collateral consequences contained in federal laws and regulations (i.e., federal collateral consequences) that can be imposed upon individuals with nonviolent drug convictions (NVDC). Our review of the NICCC found that, as of December 31, 2016, there were 641 collateral consequences in federal laws and regulations that can be triggered by NVDC. The NICCC data indicated that these 641 collateral consequences can limit many aspects of an individual\u2019s life, such as employment, business licenses, education, and government benefits. For example, individuals may be ineligible for certain professional licenses, federal education loans, or federal food assistance. Moreover, we found that the NICCC identified that 78 percent of these 641 collateral consequences can potentially last a lifetime.", "We also reported on selected stakeholders\u2019 views. We spoke to 14 individuals who were leaders of organizations representing judges, victims of crime, and states, among others\u2014on actions the federal government could consider to mitigate these collateral consequences. Most of the stakeholders that we interviewed\u201413 of 14\u2014said it was important for the federal government to take action to mitigate federal collateral consequences for NVDC. Thirteen stakeholders said that mitigating federal collateral consequences could potentially reduce the likelihood that individuals with NVDC reoffend. Similarly, 11 stakeholders said that mitigation could potentially increase the likelihood that individuals with NVDC successfully reenter the community after jail or prison. The text box below identifies some of the statements made by stakeholders during our interviews from our prior work regarding federal collateral consequences for NVDC.", "Stakeholder Perspectives on Federal Collateral Consequences for Nonviolent Drug Convictions, as Reported in GAO-17-691 \u201cThe breadth of federal collateral consequences for nonviolent drug convictions is so massive and affects so many aspects of a person\u2019s life, such as family life, immigration, jury service, housing, employment, and voting, that they contribute to an underclass of people.\u201d \u201cMany instances wherein the federal collateral consequences for nonviolent drug convictions end up making it hard for people to live a law abiding life. For example, they may not be able to live in public housing or may be barred from getting an occupational license or doing a particular job. This may push them to turn back to committing crimes to make some money.\u201d \u201c\u2026some federal collateral consequences for nonviolent drug convictions are sensible and appropriate. If we abolish exist you could imperil public safety\u2026\u201d \u201cWe can\u2019t just say we\u2019re going to err on the side of public safety and implement a wide range of collateral consequences strictly across the board. The problem is that public safety is undermined by making it impossible for individuals to move on from the criminal offense.\u201d \u201cIt is important not to assume that nonviolent means that there is no victim.\u201d", "Since 1980, the federal prison population increased from about 25,000 to about 184,000, as of December 2017. In June 2015 and June 2016, we reported that in part to help address challenges associated with overcrowding in certain institutions and related costs of incarceration, DOJ had taken steps to reduce the prison population by pursuing initiatives to: use alternatives to incarceration for low-level nonviolent crimes; prioritize prosecutions to focus on serious cases; and commute, or reduce, sentences of qualified federal inmates. In these reports, we highlighted potential areas for continued oversight of these initiatives and made six recommendations. DOJ concurred with five of these recommendations and partially concurred with the other. As of December 2017, DOJ has implemented two of the six recommendations and had not fully addressed the remaining four.", "DOJ could better measure effectiveness of pretrial diversion alternatives. In June 2016, we reported that DOJ had taken steps to pursue alternatives to incarceration for certain offenders, but could improve data collection and efforts to measure outcomes resulting from the use of pretrial diversion alternatives. Our review examined two pretrial diversion programs on the front-end of the criminal justice process that provided offenders an opportunity to avoid incarceration if they satisfy program requirements. Title 9 of the U.S. Attorneys\u2019 Manual permits U.S. Attorneys\u2019 Offices to divert, at the discretion of a U.S. Attorney, certain federal offenders from prosecution into a program of supervision and services administered by the PPSO. Under the Title 9 diversion program, if the offender fulfills the terms of the program, the offender will not be prosecuted, or, if the offender has already been charged, the charges will be dismissed.", "In addition to the Title 9 Pretrial Diversion Program, federal criminal justice stakeholders within some judicial districts have voluntarily established court-involved pretrial diversion practices. Court-involved pretrial diversion allows certain federal offenders the opportunity to participate in supervised programs or services, such as a drug court to address criminal behavior that may be linked to addiction to drugs or alcohol. Program participants are to meet regularly with court officials including a judge and pretrial services officer to discuss their progress in the program. If the offender satisfies program requirements, the offender may not be prosecuted, charges may be dismissed, or the participant may receive a reduced sentence.", "While DOJ had collected some data on the use of pretrial diversion, we found that the data were of limited usefulness and reliability because its case management system did not distinguish between the different types of diversion and DOJ had not provided guidance to U.S. Attorneys\u2019 Offices as to when and how pretrial diversion cases are to be entered into the system. In addition, we found that DOJ had not measured the outcomes or identified the cost implications of its pretrial diversion programs. To address these deficiencies, we made four recommendations to DOJ. The first two relate to tracking and entering pretrial diversion data, while the second two relate to assessing outcomes based on the data. Specifically, we recommended that DOJ (1) separately identify and track the different types of pretrial diversion programs, (2) provide guidance to its attorneys on the appropriate way to enter data, (3) identify, obtain, and track data on the outcomes and costs of pretrial diversion programs, and (4) develop performance measures to assess diversion program outcomes. DOJ concurred with all four of our recommendations.", "In October 2016, DOJ took actions to fully implement the first two recommendations. Specifically, in September 2016, DOJ provided guidance to staff in its U.S. Attorneys\u2019 Offices that outlines (1) the use of two new pretrial diversion codes\u2014one for Title 9 pretrial diversion and another for court-involved diversion and (2) the appropriate entries to create and dispose of each type of pretrial diversion. Attorneys were instructed to use the codes starting on October 1, 2016. However, as of December 2017, DOJ has not implemented the third and fourth recommendations. We continue to believe that by obtaining data on the costs and outcomes of pretrial diversion programs and establishing performance measures, DOJ would gain multiple advantages in its ability to manage these programs and optimize their outcomes and cost implications.", "DOJ could better assess initiatives to address prison overcrowding and costs. In June 2015, we reported that DOJ could better measure the efficacy of two incarceration initiatives designed to address challenges related to overcrowding and rising costs. One of these was the Smart on Crime initiative, announced in August 2013 as a comprehensive effort to: prioritize prosecutions to focus on the most serious cases; reform sentencing to eliminate unfair disparities and reduce overburdened prisons; pursue alternatives to incarceration for low-level nonviolent crimes; improve reentry to curb repeat offenses and re-victimization; and surge resources to prevent violence and protecting most vulnerable populations.", "In our report, we found that DOJ had established indicators that were well-linked to these goals; however, the indicators lacked other key elements of successful performance measurement systems, such as clarity, a measurable target, or context. For example, none of the indicators had numerical targets by which to assess whether overall goals and objectives are achieved. To address this deficiency, we recommended that DOJ modify its Smart on Crime indicators to incorporate key elements of successful performance measurement systems. DOJ partially concurred with the recommendation, and agreed to continually refine and enhance the indicators to improve their clarity and context. However, DOJ did not agree that establishing measurable targets for its indicators was appropriate. We recognized that it might not be appropriate to create targets for every indicator. Nevertheless, we maintained that measurable performance targets that are properly developed, communicated, and managed, can aid Department leadership in the admittedly challenging task of assessing progress in the Smart on Crime Initiative.", "In March 2017, DOJ noted that, due to a change in administration, the status of the Smart on Crime Initiative was uncertain. In May 2017, the Attorney General issued a new charging and sentencing policy to all federal prosecutors that effectively rescinded any previous policy of DOJ that is inconsistent with the new charging and sentencing policy, including certain aspects of the Smart on Crime Initiative. In December 2017, DOJ stated it would start to collect data on and monitor the implementation of this new policy. However, DOJ did not provide information on how it plans to modify its indicators to incorporate key elements of successful performance measurement systems. To the extent that DOJ continues to implement other aspects of the Smart on Crime initiative, such as improving reentry and surging resources to prevent violence we continue to believe this recommendation is valid.", "The second initiative we addressed in our June 2015 report was the Clemency Initiative, which encourages nonviolent, low-level federal offenders to petition to have their sentences commuted, or reduced, by the President. Commutation of sentence, as we reported, has long been considered to be an extraordinary remedy that is rarely granted. According to DOJ, in 2013, then-President Obama expressed a desire to review more petitions, and DOJ pledged to expedite the review of such petitions in order to provide them to the President for consideration. However, we found that DOJ had not adequately assessed the extent to which the Clemency Initiative is expeditiously identifying meritorious petitions because it had not tracked how long it takes for petitions to clear each step in its review process or identified and addressed any processes that may contribute to unnecessary delays. We made a recommendation to DOJ to address this deficiency. DOJ concurred, but in March 2017 DOJ stated that it had no standard review process to evaluate. In December 2017, DOJ reported to us that it has taken steps to accelerate the review of commutation cases, such as assigning two attorneys to spend additional time on commutation cases. Although DOJ\u2019s actions are consistent with our recommendation, DOJ has not tracked how long it takes for petitions to clear each step in its review process. This makes it unclear whether DOJ\u2019s actions are addressing the processes that contribute to unnecessary delays."], "subsections": []}]}, {"section_title": "DOJ Has Addressed Two of Four GAO Recommendations Related to its Reentry Programs", "paragraphs": ["As part of its mission to protect public safety, BOP provides reentry programming that aims to facilitate offenders\u2019 successful return to the community and reduce recidivism. These reentry efforts include programs offered in BOP facilities, as well as RRC and home confinement services that allow inmates to serve the final months of their sentences in the community. In our February 2012, June 2015, and June 2016 reports we highlighted potential areas for continued oversight and made four recommendations to BOP. As of December 2017, BOP has implemented two of the four recommendations and has taken action to address one other recommendation.", "BOP has developed a plan to evaluate its reentry programs. In June 2015, we reported that BOP had 18 reentry programs available to inmates in BOP institutions in the areas of inmate treatment and education. We found that while BOP had plans to evaluate the performance of some of its reentry programs, it did not have a plan in place to prioritize evaluations across all of these programs. As a result, we recommended that BOP include, as part of its current evaluation plan, all 18 of BOP\u2019s national reentry programs, and prioritize its evaluations by considering factors such as resources required for conducting evaluations. In May 2016, BOP provided to us an evaluation plan that was consistent with our recommendation. BOP has continued to update the evaluation plan to reflect changes in priority. For example, the most recent plan, updated in July 2017, lists BOP\u2019s Mental Health Step Down Unit program as its top priority, with a target evaluation date of fiscal year 2018. According to BOP, this reflects the need for analysis of services for seriously mentally ill inmates.", "BOP has taken steps to assess costs of home confinement services. In February 2012, we reported that BOP did not know the actual cost of home confinement services. To facilitate inmates\u2019 reintegration into society, BOP may transfer eligible inmates to community corrections locations for up to the final 12 months of their sentences. Inmates may spend this time in a RRC and in confinement in their homes for up to 6 months. BOP contracts with private organizations to manage the RRCs and monitor inmates in home confinement. At the time of our review, BOP was paying a rate of 50 percent of the overall per diem rate negotiated with the RRC for each inmate in home confinement. For example, if BOP paid a contractor the average community corrections per diem rate of $70.79 for each inmate housed in a RRC, BOP would pay $35.39 per day for that contractor\u2019s supervision of each inmate in home confinement. However, according to BOP, the agency did not require contractors to provide the actual costs for home confinement services as part of their contract and therefore did not know the cost of home confinement. To help BOP better manage its costs, we recommended that BOP establish a plan for requiring contractors to submit separate prices of RRC beds and home confinement services. BOP implemented this recommendation and determined that all new solicitations as of February 1, 2013, will have separate line items for RRC in-house beds and home confinement services. According to BOP, as of November 2017, 184 solicitations with separate RRC bed and home confinement service line items have been issued since February 2013.", "BOP could better measure the outcomes of RRCs and home confinement. In June 2016, we reported that BOP was not positioned to track the information it would need to help measure the outcomes of inmates placed in RRCs and home confinement and did not have performance measures in place. Specifically, we found that, as part of its strategic plan, BOP had two measures\u2014one to track the number of inmates placed into RRCs, and another to track the number of inmates placed in home confinement. However, these measures did not help assess the outcomes of RRCs and home confinement, such as how these programs may or may not affect the recidivism rates of inmates. To address this deficiency, we made two recommendations to BOP to (1) identify, obtain, and track data on the outcomes of the RRC and home confinement programs; and (2) develop performance measures by which to help assess program outcomes. DOJ concurred with these recommendations.", "As of December 2017, BOP has taken steps to implement our recommendation to identify, obtain, and track data on the outcomes of RRCs and home confinement. In particular, BOP reported to us that it has developed a revised Statement of Work for use with its RRC contractors that requires the contractors to track and report quarterly to BOP on, among other things, the number of placements into and releases from RRCs and home confinement; revocations from RRCs or home confinement; and RRC and home confinement residents that have secured full, part-time, or temporary employment. BOP plans to compile these data to track contractor performance and program outcomes. Further, BOP reported to us that it has developed a voluntary survey that asks RRC residents about their RRC experiences, including the amount of help they received in finding and keeping a job, and finding a place to live. These actions are in line with our recommendation and we will continue to monitor their implementation. However, as of December 2017, BOP has not provided evidence to us that it has developed performance measures by which to help assess program outcomes. We continue to believe BOP should do so.", "Chairman Gowdy, Ranking Member Cummings, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For further information about this statement, please contact Diana Maurer at (202) 512-8777 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this statement include Brett Fallavollita (Assistant Director), David Alexander, Pedro Almoguera, Joy Booth, Billy Commons, III, Tonnye\u2019 Connor-White, Jessica Du, Lorraine Ettaro, Michele Fejfar, Christopher Hatscher, Susan Hsu, Tom Jessor, Matt Lowney, Heather May, and Jill Verret. Key contributors for the previous work on which this testimony is based are listed in each product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-421", "url": "https://www.gao.gov/products/GAO-18-421", "title": "Small Business Loans: Additional Actions Needed to Improve Compliance with the Credit Elsewhere Requirement", "published_date": "2018-06-05T00:00:00", "released_date": "2018-06-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SBA's 7(a) program is required to serve creditworthy small business borrowers who cannot obtain credit through a conventional lender at reasonable terms. The Joint Explanatory Statement of the Consolidated Appropriations Act, 2017 includes a provision for GAO to review the 7(a) program.", "This report discusses, among other things, (1) how SBA monitors lenders' compliance with the credit elsewhere requirement, (2) the extent to which SBA evaluates trends in lender credit elsewhere practices, and (3) lenders' views on the credit elsewhere criteria for 7(a) loans.", "GAO analyzed SBA data on 7(a) loans approved for fiscal years 2007\u20132016, the latest available, and reviewed literature on small business lending; reviewed standard operating procedures, other guidance, and findings from SBA reviews performed in fiscal year 2016; and interviewed lender associations and a nonrepresentative sample of 7(a) lenders selected that concentrated on larger lenders."]}, {"section_title": "What GAO Found", "paragraphs": ["For its 7(a) loan program, the Small Business Administration (SBA) has largely delegated authority to lenders to make 7(a) loan determinations for those borrowers who cannot obtain conventional credit at reasonable terms elsewhere. To monitor lender compliance with the \u201ccredit elsewhere\u201d requirement SBA primarily uses on-site reviews conducted by third-party contractors with SBA participation and oversight, and other reviews. According to SBA guidance, lenders making 7(a) loans must take steps to ensure and document that borrowers meet the program's credit elsewhere requirement. However, GAO noted a number of concerns with SBA's monitoring efforts. Specifically, GAO found the following:", "Over 40 percent (17 of 40) of the on-site lender reviews performed in fiscal year 2016 identified lender noncompliance with the requirement.", "On-site reviewers identified several factors, such as weakness in lenders' internal control processes that were the cause for lender noncompliance.", "Most on-site reviewers did not document their assessment of lenders' policies or procedures, because SBA does not require them to do so. As a result SBA does not have information that could help explain the high noncompliance rate.", "Federal internal control standards state that management should design control activities, including appropriate documentation, and use quality information to achieve the entity's objectives. Without better information on lenders' procedures for complying with the documentation requirement, SBA may be limited in its ability to promote compliance with requirements designed to help ensure that the 7(a) program reaches its target population.", "SBA does not routinely collect or analyze information on the criteria used by lenders for credit elsewhere justifications. SBA recently began collecting some information on lenders' use of the criteria, but this information is limited, and SBA does not analyze the information that it does collect to better understand lenders' practices. Federal internal control standards state that management should use quality information to achieve the entity's objectives. Without more robust information and analysis, SBA may be limited in its ability to understand how lenders are using the credit elsewhere criteria and identify patterns of use by certain lenders that place them at a higher risk of not reaching borrowers who cannot obtain credit from other sources at reasonable terms.", "In general, representatives from 8 of 11 lenders that GAO interviewed stated that SBA's credit elsewhere criteria are adequate for determining small business eligibility for the 7(a) program. These criteria help them target their lending to small businesses that would otherwise have difficulty obtaining conventional credit because they are often new businesses or have a shortage of collateral. However, they also said that other factors\u2014such as lender policies and economic conditions\u2014can affect their decisions to offer 7(a) loans. In January 2018, SBA issued revised guidance for the 7(a) program and has provided training on this new guidance to lenders and trade associations. Lenders told GAO they are still in the process of understanding the new requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that SBA (1) require its on-site reviewers to document their assessment of lenders' policies and procedures related to the credit elsewhere documentation requirement, (2) collect information on lenders' use of credit elsewhere criteria, and (3) analyze that information to identify trends. SBA generally agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In recent years, the Small Business Administration\u2019s (SBA) 7(a) program\u2014SBA\u2019s largest loan guarantee program for small businesses\u2014 has grown considerably. The program is required to serve creditworthy small business borrowers who cannot obtain credit through a conventional lender at reasonable terms\u2014commonly referred to as the \u201ccredit elsewhere\u201d requirement. In July 2015, SBA was forced to suspend 7(a) lending after the program hit its $18.75 billion annual loan ceiling with more than 2 months left in the fiscal year. Congress subsequently raised the loan ceiling to $23.5 billion and further to $27.5 billion in fiscal year 2017. In response to this growth, members of Congress have raised concerns about guaranteed loans going to borrowers that are able to obtain conventional credit at reasonable terms and whether the criteria currently used to satisfy the credit elsewhere requirement provide reasonable assurance that guaranteed loans are approved for only qualified borrowers.", "The Joint Explanatory Statement of the Consolidated Appropriations Act, 2017, includes a provision for us to conduct a study of the credit elsewhere requirement, including the sufficiency of the credit elsewhere criteria. This report discusses (1) 7(a) lending to selected categories of small business borrowers from fiscal years 2007 through 2016; (2) how SBA monitors lenders\u2019 compliance with the credit elsewhere requirement; (3) the extent to which SBA evaluates trends in lender practices related to the credit elsewhere requirement; and (4) lenders\u2019 views on the criteria used to determine eligibility for 7(a) loans and other issues related to the 7(a) program.", "To determine 7(a) lending to selected categories of small business borrowers, we identified the characteristics of small business borrowers that receive SBA-guaranteed loans through the 7(a) program. To do so, we analyzed loan-level data from SBA on the characteristics of small businesses that received 7(a) loans from fiscal years 2007 through 2016, the most current information available at the time of our review, including whether businesses were women-owned or minority-owned and their geographic location. To assess the reliability of loan-level data from SBA, we interviewed SBA officials, reviewed related documentation, and tested the data for missing or erroneous values. We determined the data we used were sufficiently reliable for purposes of describing the characteristics of borrowers who received 7(a) loans.", "To examine how SBA conducts oversight of 7(a) lenders\u2019 compliance with the credit elsewhere requirement, we reviewed SBA\u2019s standard operating procedures and other guidance, interviewed SBA officials, and reviewed reports of SBA\u2019s on-site reviews, corrective actions, and targeted lender reviews related to the credit elsewhere requirement conducted in fiscal year 2016. To assess the extent to which SBA evaluates trends in lender practices related to the credit elsewhere requirement, we interviewed SBA officials and reviewed documentation for SBA\u2019s online portal for loan origination. To obtain lenders\u2019 views on the adequacy of the criteria SBA uses to determine eligibility for 7(a) loans and other issues related to the 7(a) program, we interviewed representatives from industry groups and a nonrepresentative, nongeneralizable sample of 11 lenders, of which 9 lenders were selected using a random process that concentrated on larger lenders and two additional lenders we interviewed that represented an industry group. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from August 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Under SBA\u2019s 7(a) loan program, SBA guarantees loans made by commercial lenders to small businesses for working capital and other general business purposes. These lenders are mostly banks, but some are non-bank lenders, including small business lending companies\u2014 lenders whose lending activities are not subject to regulation by any federal or state regulatory agency, but were previously licensed by SBA and authorized to provide 7(a) loans to qualified small businesses. The guarantee assures the lender that if a borrower defaults on a loan, the lender will receive an agreed-upon portion (generally between 50 percent and 85 percent) of the outstanding balance. For a majority of 7(a) loans, SBA relies on lenders with delegated authority to approve and service 7(a) loans and to ensure that borrowers meet the program\u2019s eligibility requirements. To be eligible for the 7(a) program, a business must be an operating for-profit small firm (according to SBA\u2019s size standards) located in the United States and must meet the credit elsewhere requirement.", "Because the 7(a) program is required to serve borrowers who cannot obtain conventional credit at reasonable terms, lenders making 7(a) loans must take steps to ensure that borrowers meet the program\u2019s credit elsewhere requirement. Because SBA relies on lenders with delegated authority to make these determinations, SBA\u2019s oversight of these lenders is particularly important. However, we found in a 2009 report that SBA\u2019s lack of guidance to lenders on how to document compliance with the credit elsewhere requirement was impeding the agency\u2019s ability to oversee compliance with the credit elsewhere requirement. To improve SBA\u2019s oversight of lenders\u2019 compliance with the credit elsewhere requirement, we recommended in 2009 that SBA issue more detailed guidance to lenders on how to document their compliance with the credit elsewhere requirement. As a result, SBA revised its standard operating procedure to state that each loan file must contain documentation that specifically identifies the factors in the present financing that meet the credit elsewhere test, which we believe met the spirit of our recommendation.", "SBA\u2019s current credit elsewhere criteria for determining 7(a) loan eligibility include the following factors: 1. the business needs a longer maturity than the lender\u2019s policy permits; 2. the requested loan exceeds the lender\u2019s policy limit regarding the amount that it can lend to one customer; 3. the collateral does not meet the lender\u2019s policy requirements; 4. the lender\u2019s policy normally does not allow loans to new businesses or businesses in the applicant\u2019s industry; or 5. any other factors relating to the credit which, in the lender\u2019s opinion, cannot be overcome except for the guarantee.", "When the 7(a) program was first implemented, borrowers were generally required to show proof of credit denials from banks that documented, among other things, the reasons for not granting the desired credit. Similar requirements remained in effect until 1985, when SBA amended the rule to permit a lender\u2019s certification made in its application for an SBA guarantee to be sufficient documentation. This certification requirement remained when the rule was rewritten in 1996. SBA stated that it believed requiring proof of loan denials was demoralizing to small businesses and unenforceable by SBA.", "SBA and lender roles vary among 7(a) program categories\u2014including regular 7(a), the Preferred Lenders Program, and SBA Express. Under the regular (nondelegated) 7(a) program, SBA makes the loan approval decision, including the credit determination. Under the Preferred Lenders Program and SBA Express, SBA delegates to the lender the authority to make loan approval decisions, including credit determinations, without prior review by SBA. For each 7(a) program category, lenders are required to ensure that borrowers meet the credit elsewhere requirement for all 7(a) loans. The maximum loan amount under the SBA Express program is $350,000, as opposed to $5 million for other 7(a) loans. The program allows lenders to utilize, to the maximum extent possible, their own credit analyses and loan underwriting procedures. In return for the expanded authority and autonomy provided by the program, SBA Express lenders agree to accept a maximum SBA guarantee of 50 percent. Other 7(a) loans generally have a maximum guarantee of 75 percent or 85 percent, depending on the loan amount. In fiscal year 2016, 1,991 lenders approved 7(a) loans, of which 1,321 approved at least one loan with some form of delegated authority.", "SBA\u2019s Office of Credit Risk Management is responsible for overseeing 7(a) lenders, including those with delegated authority. SBA created this office in fiscal year 1999 to help ensure consistent and appropriate supervision of SBA\u2019s lending partners. The office is responsible for managing all activities regarding lender reviews; preparing written reports; evaluating new programs; and recommending changes to existing programs to assess risk potential. Generally, the office oversees SBA lenders to identify unacceptable risk profiles using its risk rating system and enforce loan program requirements. According to SBA\u2019s standard operating procedures, one of the agency\u2019s purposes of its monitoring and oversight activities is to promote responsible lending that supports SBA\u2019s mission to increase access to capital for small businesses.", "In the federal budget, the 7(a) program is generally required to set fees that it charges to lenders and borrowers at a level to cover the estimated cost of the program associated with borrower defaults (in present value terms). To offset some of the costs of the program, such as default costs, SBA assesses lenders two fees on each 7(a) loan. First, depending on the term of the loan, the guarantee fee must be paid by the lender within either 90 days of loan approval or 10 business days of the SBA loan number being assigned. This fee is based on the amount of the loan and the level of the guarantee, and lenders can pass the fee on to the borrower. Second, the servicing fee must be paid annually by the lender and is based on the outstanding balance of the guaranteed portion of the loan.", "The 7(a) program accounts for a small portion of total small business lending. According to a May 2017 report by the Consumer Financial Protection Bureau, the total debt financing available to small businesses was estimated to be $1.4 trillion. Of that amount, the Consumer Financial Protection Bureau estimated that about 7 percent was SBA loans, including 7(a) loans.", "SBA and some other researchers have suggested that there may be disparities in credit access among small businesses, based on characteristics of the borrower and firm. SBA lists as a strategic objective to \u201censure inclusive entrepreneurship by expanding access and opportunity to small businesses and entrepreneurs in communities where market gaps remain.\u201d In 2007, we reported that some studies had noted disparities among some races and genders in the conventional lending market, but the studies did not offer conclusive evidence on the reasons for those differences. Much of the research we reviewed in 2007 relied on the Board of Governors of the Federal Reserve System\u2019s Survey of Small Business Finance, which was last implemented in 2003. Although this survey is no longer available, recently the 12 Federal Reserve Banks conducted the Small Business Credit Survey. In a series of reports based on the more recent survey, researchers found disparities in credit availability based on gender, the age of the firm, and minority status."], "subsections": []}, {"section_title": "Businesses That Were New, Women- Owned, or Located in Distressed Areas Received a Majority of 7(a) Loan Dollars over the Past 10 Years", "paragraphs": ["From fiscal years 2007 through 2016, a majority of loan dollars guaranteed under the 7(a) program went to small businesses that were new, partially or wholly owned by women, or located in a distressed area. As previously mentioned, recent studies we reviewed by the Federal Reserve Banks and other researchers suggest that certain small business borrowers\u2014including businesses that are new or owned by women\u2014have difficulty obtaining conventional small business loans, which may put them at a disadvantage. As shown in figure 1, almost two-thirds of loan dollars guaranteed under the 7(a) program for this period went to small businesses that were in these two categories or located in a distressed area. The remaining 37 percent of 7(a) loan dollars went to businesses that were established, solely male-owned, and not located in economically distressed areas. See appendixes II and III for additional data on 7(a) loans, such as the total volume, percentage of lending provided by year and by state, and other borrower characteristics, including SBA\u2019s loan- and lender-level Small Business Risk Portfolio Solutions score (predictive score) information.", "In the following figures, we present more detailed data on 7(a) loans to small businesses based on their status as a new business; gender of ownership; location relative to economically distressed areas; and minority ownership for fiscal years 2007 through 2016.", "New businesses. As shown in figure 2, the percentage of 7(a) loans that went to new businesses decreased from 36 percent in fiscal year 2007 to 23 percent in fiscal year 2011 before increasing to 35 percent by 2016.", "Gender. From fiscal years 2007 through 2016, the share of the total value of approved 7(a) loans by gender of owner remained fairly consistent (see fig. 3). An average of 70 percent of the total loan value went to male- owned businesses, and the remaining 30 percent went to businesses that were majority (more than 50 percent) or partially (50 percent or less) owned by women.", "Economically distressed areas. SBA did not provide data on whether 7(a) loans go to businesses located in economically distressed neighborhoods. However, we used data from the American Community Survey for 2011 through 2015, the most recent version available at the time of our analysis, along with zip code information provided by SBA to determine the average poverty rate by zip code (see fig. 4). From fiscal years 2007 through 2016, the proportion of the total value of 7(a) loans approved that went to borrowers in economically distressed areas remained between 23 percent and 26 percent. We defined distressed areas as zip codes where at least 20 percent of the households had incomes below the national poverty line.", "Minority/Nonminority status of borrower. From fiscal years 2007 through 2016, the proportion of the total value of 7(a) loans approved that went to minority borrowers decreased overall\u2014from 43 percent to 30 percent\u2014with the lowest share at 24 percent in fiscal year 2010 (see fig. 5). The share of approved loan dollars that went to nonminority borrowers varied, increasing to 69 percent in fiscal year 2010 before decreasing to 56 percent in fiscal year 2016. Notably, the share of the total value of loans approved that went to borrowers whose race/ethnicity was categorized as undetermined increased from 5 percent in fiscal year 2007 to 13 percent in fiscal year 2016. This increase does not fully account for the declined share for minority borrowers. However, according to SBA officials, borrowers voluntarily provide self-reported information on race and ethnicity and therefore the associated trend data should be viewed with caution."], "subsections": []}, {"section_title": "SBA Has Processes in Place to Evaluate Lender Compliance, but Its Lender Reviews Do Not Document Reasons for Noncompliance", "paragraphs": [], "subsections": [{"section_title": "SBA Conducts On-site and Targeted Lender Reviews to Evaluate Lender Compliance with the Credit Elsewhere Documentation Requirement", "paragraphs": ["SBA relies on on-site reviews as its primary mechanism for evaluating lenders\u2019 compliance with the credit elsewhere requirement. The reviews are performed by third-party contractors with SBA staff participation and additional oversight from SBA. According to SBA\u2019s standard operating procedures, these reviews are generally conducted every 12 to 24 months for all 7(a) lenders with outstanding balances on the SBA- guaranteed portions of their loan portfolios of $10 million or more, although SBA may conduct on-site reviews of any SBA lender at any time as it considers necessary. In fiscal year 2016, SBA conducted 40 on-site reviews of 7(a) lenders, representing approximately 35 percent of SBA\u2019s total outstanding 7(a) loan portfolio.", "As part of SBA\u2019s on-site reviews, reviewers judgmentally selected a sample of approximately 30 to 40 loan files using a risk-based approach. These loan files accounted for approximately 6 percent to 19 percent of each lender\u2019s total gross SBA dollars in fiscal year 2016. For each lender, approximately 70 percent to 90 percent of the loan files in the sample were reviewed to evaluate compliance with the credit elsewhere requirement. According to SBA\u2019s contractors, loans that were selected for other reasons, such as issues related to liquidation, were not required to be reviewed for credit elsewhere compliance.", "SBA requires lenders to provide a narrative to support the credit elsewhere determination in the credit memorandum included in each loan file. SBA\u2019s standard operating procedures state that lenders must substantiate that credit is not available elsewhere by (1) discussing the criteria that demonstrate an identifiable weakness in a borrower\u2019s credit and (2) including the specific reasons why the borrower does not meet the lender\u2019s conventional loan policy requirements.", "In keeping with SBA\u2019s documentation requirement, third-party contractors and SBA staff who conduct on-site reviews are supposed to assess whether lenders have adequately documented the credit elsewhere criteria and provided specific reasons supporting the criteria in the credit memorandum. According to SBA\u2019s contractors, adequate documentation of the credit elsewhere determination in the credit memorandum would include not just which of the criteria a borrower met but also a discussion of the basis or justification for the decision. For example, if a lender determined that a borrower needed a longer maturity, the lender should explain in the credit memorandum the reasons why a longer maturity was necessary. SBA\u2019s contractors also told us that they carefully review a lender\u2019s loan policies in preparation for on-site reviews and refer to a lender\u2019s policies throughout the reviews. Reviewers do not attempt to verify the evidence given in support of the credit elsewhere reason beyond the information provided in the credit memorandum.", "Based on our review of fiscal year 2016 reports, on-site reviews can result in three levels of noncompliance response:", "Finding: This is the most severe result and is associated with a corrective action for the lender to remedy the issue.", "Observation: This is a deficiency recorded in the review\u2019s summary but may not warrant a corrective action for the lender.", "Deficiency Noted: This is the lowest level of response. It is a deficiency noted as part of the review that is not included in the review\u2019s summary and also may not warrant a corrective action.", "According to SBA officials, SBA\u2019s policy has been that any noncompliance with SBA loan program requirements results in a finding. However, according to SBA officials and our review of the fiscal year 2016 on-site review reports, if a single instance of noncompliance was identified in fiscal year 2016, SBA generally would not issue a finding. Instead, SBA\u2019s contractors said they would attempt to determine whether that instance was an inadvertent error, such as by examining additional loan files.", "Lenders that are subject to corrective actions are generally required to submit a response to SBA within 30 days to document how they have addressed or plan to address the identified issues. SBA subsequently asks for documentation to show that the lender has remedied the issue, and in some cases will conduct another review that usually includes an assessment of 5 to 10 additional loan files to determine whether the credit elsewhere reason has been adequately documented. According to SBA officials, SBA may also review lenders\u2019 compliance with corrective actions from recent on-site reviews during targeted reviews (discussed below) and delegated authority renewal reviews (for lenders with delegated authority).", "In addition to on-site reviews, SBA also monitors lenders\u2019 compliance with the credit elsewhere requirement through targeted reviews (performed on- or off-site). Targeted reviews of a specific process or issue may be conducted for a variety of reasons at SBA\u2019s discretion, including assessing a lender\u2019s compliance with the credit elsewhere requirement. In fiscal year 2016, SBA conducted 24 targeted reviews that included an examination of lenders\u2019 compliance with the credit elsewhere documentation requirement. For these reviews, SBA examined loan files for 5 judgmentally selected loans that were provided to SBA electronically, as well as copies of the credit elsewhere reasoning (among other underwriting documentation) for 10 additional recently-approved loans.", "SBA also conducts periodic off-site reviews that use loan- and lender- level portfolio metrics to evaluate the risk level of lenders\u2019 7(a) portfolios. According to agency officials, SBA also began using off-site reviews to evaluate lenders\u2019 compliance with the credit elsewhere requirement in fiscal year 2016. In that year, SBA conducted off-site reviews of 250 lenders and required these lenders to report the credit elsewhere justification for a sample of 10 loans per lender that were identified by SBA\u2019s selection process. Lenders were not required to provide supporting documentation, and SBA did not follow up with lenders or review loan files to ensure the validity of the self-reported reasons. According to SBA, off-site reviews followed the same procedures in fiscal year 2017 as in 2016 and that the agency planned to use the same procedures for these reviews in the future. According to the agency, it also routinely evaluates and revises its review processes and procedures.", "In addition, SBA\u2019s Loan Guaranty Processing Center and National Guaranty Purchase Center conduct Improper Payments Elimination and Recovery Act and quality control reviews at the time of loan approval and at the time of guaranty purchase, respectively. These reviews examine the credit elsewhere requirement, among other issues. Lastly, since 2014 SBA\u2019s Office of Inspector General has also examined whether high-dollar or early-defaulted 7(a) loans were made in accordance with rules; regulations; policies; and procedures, including the credit elsewhere requirement."], "subsections": []}, {"section_title": "SBA\u2019s Lender Reviews in 2016 Identified a High Rate of Noncompliance with the Credit Elsewhere Documentation Requirement", "paragraphs": ["Our review of the on-site reviews conducted in fiscal year 2016 found that 17 of the 40 reviews\u2014more than 40 percent\u2014identified compliance issues with the credit elsewhere documentation requirement. Of those 17 reviews,", "10 reviews resulted in a Finding (all with associated corrective", "3 reviews resulted in an Observation (none with associated corrective actions or requirements), and", "4 reviews resulted in a Deficiency Noted (one with an associated requirement).", "For all of the 17 on-site reviews that identified an instance of noncompliance, the issue was related to the lender\u2019s documentation of the credit elsewhere criteria or justification. For example, one review found that the lender\u2019s \u201cregulatory practices demonstrate material noncompliance with SBA Loan Program requirements regarding documentation of the Credit Elsewhere Test.\u201d Another review found that the lender \u201cfailed to demonstrate with adequate documentation that credit was not available elsewhere on reasonable terms and conditions.\u201d For 2 of the 17 reviews, the issue was partly related to a discrepancy between the credit elsewhere justification used for some of the sample loan files and the lender\u2019s own loan policy limits.", "With regard to SBA\u2019s targeted reviews, 7 of 24 reviews (29 percent) conducted in fiscal year 2016 found a compliance issue with the credit elsewhere requirement. Of those 7 reviews,", "6 reviews resulted in a Finding (all with associated corrective actions),", "1 review resulted in an Observation (without an associated corrective no reviews resulted in a Deficiency Noted.", "For all of the 7 targeted reviews that identified a compliance issue, the issue was wholly related to the lender\u2019s documentation of the credit elsewhere reason or justification. For example, 4 reviews found that for at least one loan reviewed, \u201cthe Lender failed to document justification that credit was unavailable elsewhere.\u201d Another review found that for \u201cthree SBA Express loans and one Small Loan Advantage loan reported \u201cother factors relating to the credit that in the lender\u2019s opinion cannot be overcome except for the guaranty\u2019 without specific identification of the factors.\u201d"], "subsections": []}, {"section_title": "Lack of Internal Controls Led to Lender Noncompliance, but Were Not Documented by SBA\u2019s Reviews", "paragraphs": ["Based on our review of on-site review reports and an interview with one reviewer, the key factors underlying lenders\u2019 high rate of noncompliance with the credit elsewhere documentation requirement were lenders\u2019 lack of proper internal controls and procedures and lack of awareness of the credit elsewhere documentation requirement. In fiscal year 2016, SBA\u2019s corrective actions related to the credit elsewhere requirement required the lenders to establish or strengthen their policies; procedures; underwriting processes; or internal controls. In addition, contractors conducting the on- site reviews with whom we spoke stated that some lenders appeared to be unfamiliar with SBA\u2019s standard operating procedures or were unclear on how to interpret them.", "For the 11 on-site reviews conducted in 2016 that included corrective actions, SBA generally required lenders to improve controls or procedures. For example, one lender was required to \u201ccorrect its policy, modify its procedure, and amend its internal controls to ensure that its consideration and documentation of credit unavailable elsewhere identifies the specific fact(s) which are applicable to the specific loan and the determination is rendered and accurate for each individual SBA loan that it originates.\u201d Another lender was required to \u201cimprove underwriting processes and controls to ensure that the borrower meets the [credit elsewhere] requirement\u201d and to \u201cdocument the loan file with the reasons for the determination.\u201d", "Similarly, for the six targeted reviews in 2016 that included corrective actions, SBA issued a general requirement for the lender to \u201cidentify the causes for the Findings and implement corrective actions.\u201d Based on our review of these targeted reviews, lenders generally remedied or intended to remedy the issue by amending their internal controls or procedures. For example, one lender stated that the \u201cCredit Elsewhere test will be incorporated into the Credit Department process.\u201d Another lender stated that it would \u201ccentralize all SBA underwriting and has developed an SBA addendum that will be utilized for all SBA-guaranteed loans.\u201d", "Although some of SBA\u2019s on-site reviews for fiscal year 2016 identified factors leading to noncompliance, they generally did not document reviewers\u2019 assessment of lenders\u2019 policies and practices for complying with the credit elsewhere documentation requirement. SBA\u2019s standard operating procedures state that the on-site reviewers should determine whether or not lenders\u2019 policies and practices adhere to the requirement, but they do not require them to document their assessment of these policies and practices. Only 4 of the 40 fiscal year 2016 review reports that we examined included such an assessment. As a result, although SBA required corrective actions by the lender to address deficiencies, there usually was no record of the underlying factors that resulted in the lender\u2019s noncompliance.", "Federal internal control standards state that management should design control activities to achieve objectives and respond to risks, including appropriate documentation of transactions and internal control. Because SBA does not require reviewers to document their assessment of lenders\u2019 policies and practices for complying with the credit elsewhere documentation requirement, the agency does not have good information to help explain why so many lenders are not in compliance. This hinders SBA\u2019s ability to take informed and effective actions to improve lender compliance with the requirement and ensure that the program is reaching its intended population."], "subsections": []}]}, {"section_title": "SBA Collects Limited Data on Criteria Used for Credit Elsewhere Justifications and Does Not Analyze Patterns in Lender Practices", "paragraphs": [], "subsections": [{"section_title": "SBA Collects Limited Data on Criteria Used for Credit Elsewhere Justifications", "paragraphs": ["SBA does not routinely collect information on the criteria lenders use in their credit elsewhere justifications. As previously discussed, lenders are required to maintain documentation of borrower eligibility (including the credit elsewhere justification) in each loan file for loans approved through lenders\u2019 delegated authority. However, SBA cannot readily aggregate information on lenders\u2019 credit elsewhere justifications for both delegated and nondelegated loans:", "For delegated loans, lenders are required to certify the loan\u2019s credit elsewhere eligibility on E-Tran, SBA\u2019s online portal for origination of delegated and nondelegated loans. However, lenders are only required to check a box to certify that the loan file contains the required credit elsewhere justification and are not required to submit any additional information, including which of the criteria was used to make the determination. According to SBA officials, delegated loans account for loans approved by approximately 70 percent of lenders.", "For nondelegated loans, lenders are required to submit credit elsewhere documentation to be reviewed by SBA\u2019s Loan Guaranty Processing Center. For these loans, which comprise loans approved by the remaining 30 percent of lenders, SBA might maintain paper records of data on borrowers\u2019 eligibility but does not compile such data electronically and thus cannot readily aggregate the data for analysis.", "Instead, SBA relies on on-site reviews or lender-reported information to review lenders\u2019 credit elsewhere justifications and collects limited data from these reviews. For its on-site reviews, SBA does not collect sample data on lenders\u2019 use of the credit elsewhere criteria. For its off-site reviews, SBA collected sample data on lenders\u2019 use of the credit elsewhere criteria based on 250 such reviews conducted in fiscal year 2016. For these reviews, SBA asked lenders to self-report a short description of the credit elsewhere justifications used for an SBA-selected sample of 10 loans. However, as discussed earlier, SBA did not request or examine loan files as part of these off-site reviews and did not follow up with lenders or review loan files to ensure the validity of the self- reported reasons.", "One reason why SBA does not routinely collect complete information on lenders\u2019 use of the credit elsewhere criteria is that SBA\u2019s loan origination system, E-Tran, is not equipped to record or tabulate this information. In addition, according to an SBA official, on-site reviews do not collect data on the credit elsewhere criteria because the loans reviewed are judgmentally selected and would not accurately represent the larger population.", "Federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. To do so, management should identify the information needed to achieve the objectives and address the risks, obtain relevant data from reliable internal and external sources in a timely manner, and process the obtained data into quality information. More robust information on lenders\u2019 credit elsewhere justifications, including the credit elsewhere criteria, would allow SBA to evaluate patterns in lender practices related to the credit elsewhere requirement and, in turn, help the agency ensure compliance with the requirement. In this context, generalizable data, which can be collected through random sampling, or complete data through required reporting for every loan would allow SBA to better understand patterns in lender practices across the 7(a) program. Further, nongeneralizable data, which are available through SBA\u2019s current off- and on-site review processes, would allow SBA to examine specific groups of lenders and could help SBA determine if it is necessary to collect additional data."], "subsections": []}, {"section_title": "SBA Has Not Conducted Analysis to Determine If There Are Any Patterns of Noncompliance or Identified Lenders That May Be at Risk", "paragraphs": ["SBA does not analyze the limited data it collects to help it monitor lenders\u2019 compliance with the credit elsewhere requirement. According to agency officials, SBA has not performed lender-level analyses of the criteria lenders use for their credit elsewhere justifications. Additionally, SBA has not analyzed 7(a) lenders\u2019 use of the \u201cother factors\u201d criterion\u2014 that is, factors not specified in the other criteria that, in the lender\u2019s opinion, cannot be overcome except for the guarantee\u2014for example, by collecting data on the frequency of its use or examining why lenders rely on it. While some 7(a) lenders told us they avoided relying on the \u201cother factors\u201d criterion because it was vague and open to interpretation, some lenders have used it when a borrower\u2019s profile did not meet any of the other criteria. For example, one lender stated that this criterion was used for a borrower who was no longer a start-up but had experienced fluctuations in cash flow due to relocation or change in ownership. Another lender stated that the criterion was used more frequently during the 2007-2009 financial recession to extend financing to borrowers whose owners had experienced a home foreclosure but were otherwise sound.", "Federal internal control standards state that management should establish and operate monitoring activities to monitor the internal control system and evaluate the results. Analyzing data on lenders\u2019 use of the credit elsewhere criteria as part of its monitoring procedures could help SBA determine whether there are patterns in lender practices related to the criteria that could predict lender noncompliance. For example, SBA could analyze lenders\u2019 use of the criteria along with lender review results and other data on loan characteristics and performance to determine whether certain patterns indicate that a lender might be applying the requirement inconsistently. Additionally, such analysis could inform SBA\u2019s selection of which lenders to review by improving its ability to identify lenders at risk of noncompliance with the credit elsewhere requirement. Better selection criteria for its lender reviews could, in turn, improve identification and remediation of such noncompliance, helping ensure that the 7(a) program serves its target population."], "subsections": []}]}, {"section_title": "Lenders Generally View Credit Elsewhere Criteria as Adequate, and SBA Has Implemented New Procedures for Reviewing Eligibility", "paragraphs": [], "subsections": [{"section_title": "Lenders Said Credit Elsewhere Criteria are Generally Adequate for Determining Borrower Eligibility", "paragraphs": ["Representatives at 8 of the 11 lenders that we contacted said they believed that SBA\u2019s current credit elsewhere criteria are adequate in targeting small business borrowers who cannot obtain credit at reasonable terms. Representatives of these lenders also agreed that the criteria generally serve the types of small businesses that would otherwise have trouble obtaining conventional credit, such as new businesses or those with a shortage of collateral. One lender representative told us its most commonly used criterion related to the overall time in business because of the higher risk of failure. Another lender representative cited the lack of collateral as the most common criterion used. Additionally, representatives at an industry association told us that one of the most commonly used criteria was the one related to loan maturity and many small businesses seek 7(a) loans because they offer repayment terms of up to 10 years, compared to 1 to 3 years for conventional loans.", "Representatives of two other lenders suggested that the credit elsewhere criteria should not be overly prescriptive, which could limit lenders\u2019 ability to make 7(a) loans to some businesses. For example, one representative said the credit elsewhere criteria should remain flexible because banks have different lending policies.", "In addition, representatives at three lenders indicated that they were hesitant to use the \u201cother factors\u201d criterion. One lender believed the requirement was open to interpretation and could be used inappropriately with lenders determining their own individual conventional loan policies. Another lender commented that the criterion was vague and rarely used by his institution, noting that SBA should provide some additional guidance on its use."], "subsections": []}, {"section_title": "Factors Such as Lender Policies and Economic Conditions Also Affect Lenders\u2019 Decisions to Offer a SBA 7(a) Loan", "paragraphs": ["Lenders consider multiple factors in determining whether to offer small businesses a conventional loan or a 7(a) loan, according to stakeholders with whom we spoke. For example, representatives at an industry association stated that a bank goes through several analyses to determine what loan product to offer the borrower. These representatives stated that the credit elsewhere requirement is embedded in the analysis a bank performs, such as whether the borrower qualifies for a loan and has a financial need for an SBA loan and whether the 7(a) program is right for that borrower.", "Representatives at two other lenders also stated that many small businesses have already been turned down for conventional loans before they seek a 7(a) loan. One representative noted that the \u201creasonable rates and terms\u201d component of the 7(a) program was important as it allows lenders to look more broadly at a borrower\u2019s needs. For instance, the representative explained, lenders can assess whether repayment terms are reasonable given a particular borrower\u2019s situation and the resources the borrower will have to repay the loan.", "Economic conditions also affect lending policies, including whether borrowers qualify for a conventional loan, according to representatives at seven lenders with whom we spoke. For example, during the recent economic downturn, banks tightened their underwriting standards for small businesses and were less willing to lend without a government guarantee, according to one lender representative."], "subsections": []}, {"section_title": "SBA Has Issued New Procedures for Reviewing Liquidity of Small Business Borrowers, and Additional Lender Training Is Underway", "paragraphs": ["SBA has issued revised primary operational guidance for the 7(a) program, effective January 1, 2018. As discussed previously, lenders are required to make a determination that the desired credit is not available to the applicant from nonfederal sources. Under the previous guidance, the lender had to determine that some or the entire loan was not available from nonfederal sources or the resources of the applicant business. However under the revised guidance, the scope of nonfederal sources a lender must review was further defined to include sources both related and unrelated to the applicant. The updated guidance states that lenders must consider:", "Nonfederal sources related to the applicant, including the liquidity of owners of 20 percent or more of the equity of the applicant, their spouses and minor children, and the applicant itself; or", "Nonfederal sources unrelated to the applicant, including conventional lenders or other sources of credit.", "Representatives of five lenders told us they have been determining how to interpret the new procedures with a few stating they would like additional guidance, including what information to retain in the file. Representatives of two lenders stated that there is some ambiguity in how to determine nonfederal resources and how to assess whether small business owners have too many available liquid resources to qualify for a 7(a) loan. One representative said that lenders can have different interpretations of what constitutes \u201cavailable resources,\u201d which is not specified in the new SOP. As a result, he said, there may be some confusion about how to assess family members of the borrower who have high net worths and whether the borrower should decline a family member contribution to qualify for an SBA loan. A representative of one lender stated that lenders will not know what SBA expects until loans are approved under the new procedures, default, and are then reviewed. Another lender\u2019s representative suggested additional guidance on documentation, such as whether the bank must obtain a personal financial statement for each owner of the business.", "A SBA staff told us SBA has provided multiple training presentations to SBA staff, lenders, and trade associations on the statutory changes to the credit elsewhere requirements and standard operating procedure updates. These have included a presentation at a trade association conference, four monthly conference calls for SBA staff, and two conference calls for SBA lenders. SBA staff said SBA also plans to hold monthly training sessions with SBA field offices, quarterly training sessions with the industry, and at least four training sessions in 2018 at lender trade conferences. Additionally, a representative from an industry association told us it is providing industry training on SBA\u2019s revised procedures, including the credit elsewhere liquidity requirement."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["SBA\u2019s 7(a) loan program is required to serve creditworthy small business borrowers who cannot obtain credit through a conventional lender at reasonable terms, and SBA largely relies on lenders with delegated authority to make credit elsewhere determinations. However, although there is a high rate of lender noncompliance with the credit elsewhere documentation requirement, SBA does not require its reviewers to document their assessment of the policies and procedures lenders use to meet the requirement. Without better information from lender reviews on how lenders are implementing the requirement to document their credit elsewhere decisions, SBA may be limited in its ability to promote compliance with requirements and, in turn, use such information to help ensure that 7(a) loans are reaching their target population.", "Furthermore, SBA does not routinely collect or analyze information on the criteria used for credit elsewhere justifications to evaluate patterns in lender practices. SBA recently began collecting some information on lenders\u2019 use of the criteria, but this information is limited, and SBA does not analyze the information that it does collect to better understand lenders\u2019 practices. Without more robust information and analysis, SBA may be limited in its ability to understand how lenders are using the credit elsewhere criteria and whether 7(a) loans are reaching borrowers who cannot obtain credit from other sources at reasonable terms."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to SBA.", "The Administrator of SBA should require reviewers to consistently document their assessments of a lender\u2019s policies and practices. (Recommendation 1)", "The Administrator of SBA should use its on-site and off-site reviews to routinely collect information on lenders\u2019 use of credit elsewhere criteria as part of its monitoring of lender practices related to the credit elsewhere requirement. (Recommendation 2)", "The Administrator of SBA should analyze information on lenders\u2019 use of credit elsewhere criteria obtained from its reviews to identify lenders that may be at greater risk of noncompliance and to inform its selection of lenders for further review for credit elsewhere compliance. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment. SBA\u2019s written comments are reprinted in appendix IV. SBA generally agreed with the recommendations. SBA also provided additional comments on certain statements in the draft report, which are summarized below with our responses.", "SBA noted that the draft Highlights did not discuss how credit elsewhere is determined for nondelegated loans. We have not revised the Highlights in response to this comment because our review focused on delegated lenders. In the body of the report we note that approximately 70 percent of 7(a) loans are approved under delegated authority. We also refer to SBA\u2019s nondelegated loans in the report for additional context.", "According to SBA, the statement on our draft Highlights did not fully reflect its monitoring of lender compliance. SBA identified a variety of reviews it uses in addition to on-site reviews by third party contractors, which we discuss in the body of the report. We have modified the Highlights to reflect these other reviews.", "Also in reference to the draft Highlights, SBA stated that it provides oversight on every on-site lender review and that an SBA employee is present as a subject-matter expert on every review. We revised the Highlights by adding that SBA provides oversight to the on-site reviews conducted by third-party contractors.", "In response to a statement in our draft report that SBA guarantees loans to small businesses for working capital and other general business purposes, SBA commented that working capital generally is not the primary purpose for SBA-guaranteed loans. We did not revise the statement because SBA\u2019s SOP 50 10 5 (version J) specifies that SBA\u2019s 7(a) loan proceeds may be used for permanent working capital and revolving working capital, among other things.", "In relation to a footnote in our report that mentions two lender reviews for which we did not receive documentation, SBA stated that on February 15, 2018, it provided documentation to us related to the reviews and that we had confirmed its receipt. However, the text in the footnote in question refers to two targeted lender reviews from 2016 that included corrective actions. The information SBA provided to us on February 15, 2018, was related to on-site reviews conducted in 2016. As a result, we did not revise the footnote.", "SBA\u2019s letter also contained technical comments that we incorporated as appropriate.", "We are sending copies of this report to congressional committees, agencies, and other interested parties. In addition, this report will be available at no charge on our website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-8678 or shearw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report discusses (1) 7(a) lending to selected categories of small business borrowers from fiscal years 2007 through 2016; (2) how the Small Business Administration (SBA) monitors lenders\u2019 compliance with the credit elsewhere requirement; (3) the extent to which SBA evaluates trends in lender practices related to the credit elsewhere requirement; and (4) lenders\u2019 views on the criteria used to determine eligibility for 7(a) loans and other issues related to the 7(a) program.", "For background on the 7(a) program and the credit elsewhere requirement, we reviewed the legislative history of the 7(a) program and our previous reports. We also interviewed officials from SBA\u2019s Office of Credit Risk Management on guidance provided to 7(a) lenders.", "For background on constraints in the small business credit market, we reviewed recent academic literature on the characteristics of small businesses that historically have had more difficulty accessing credit. In addition, we reviewed recent studies published by the Federal Reserve Banks of Atlanta; Cleveland; Kansas City; and New York.", "To describe the population of borrowers served by the 7(a) program, we selected characteristics (such as gender, minority status, and percentage of new business) that we used in our 2007 report and that were the subject of the recent studies by Federal Reserve Banks. We obtained and analyzed SBA loan-level data to describe 7(a) loans and borrowers. Specifically, SBA provided us with 581,393 records from its administrative data systems, which contained information on all loans approved and disbursed in fiscal years 2007 through 2016. The SBA data included various types of information describing each loan, including the total gross approval amount; the amount guaranteed by SBA; the loan term; and the interest rate; delivery method; and status of the loan. The SBA data also included information on borrower characteristics:", "Age of business. Firms were classified as new (less than 2 years in operation) or existing.", "Gender. Firms were classified as 100 percent male-owned; 50 percent or greater women owned; 50 percent or less women-owned; or \u201cunknown.\u201d Information on gender was voluntarily provided by borrowers.", "Economically distressed area. We identified borrowers in economically distressed areas by matching borrower zip codes provided by SBA to those in the 2011 through 2015 American Community Survey. We defined distressed areas as zip codes where at least 20 percent of households had incomes below the national poverty line. In about 1 percent of the cases, we were unable to classify a lender because a zip code had changed or had insufficient population to report a poverty rate. We consider 1 percent of unmatched cases to be low by data reliability standards.", "Race/ethnicity. Borrowers were placed in one of nine categories of race/ethnicity, including an \u201cunknown\u201d category. We aggregated these to create minority, nonminority, and undetermined categories. The minority category included all borrowers who reported being a race/ethnicity other than white. The nonminority category included borrowers who reported being white. Information on race was voluntarily provided by borrowers.", "Industry. Firms were assigned a North American Industrial Classification code. These six-digit codes begin with a two-digit sector code that we used to draw more general conclusions about industries.", "Geographic information. The data provided the state where the borrower is located.", "In addition, we obtained information from SBA on loan- and lender-level Small Business Risk Portfolio Solution scores (predictive scores) provided by Dunn & Bradstreet and Fair Isaac Company, for loans approved in fiscal year 2016, the latest available. We were able to obtain predictive scores for approximately 81 percent of the loans for which SBA had provided other information. According to SBA, some loans may not have been disbursed at the time we obtained the predictive scores and, as a result, we do not have scores associated with these loans. We analyzed the information to determine the range of predictive scores and the range of average predictive scores by lender.", "To assess the reliability of loan-level data on borrower and loan characteristics and predictive scores we received from SBA, we interviewed agency officials knowledgeable about the data and reviewed related documentation. We also conducted electronic testing, including checks for outliers, missing data, and erroneous values. We determined that the data were sufficiently reliable for the purposes of describing the characteristics of borrowers who received 7(a) loans and the distribution of predictive scores.", "To assess how SBA monitors lenders\u2019 compliance with the credit elsewhere requirement and criteria, we reviewed SBA\u2019s standard operating procedures and other guidance on 7(a) program regulations and lender oversight. Specifically, we reviewed SOP 50 10 5 (versions I and J) on Lender and Development Company Loan Programs, SOP 50 53(A) on Lender Supervision and Enforcement, and SOP 51 00, On-Site Lender Reviews/Examinations, as well as information and policy notices related to the credit elsewhere requirement. Additionally, we interviewed representatives including those at SBA\u2019s Office of Capital Access and Office of Credit Risk Management on lender oversight and lender review processes. We reviewed all the on-site lender review reports (40 reviews), including corrective actions or requirements related to the credit elsewhere requirement (documentation for 11 lenders), and targeted review reports that had credit elsewhere findings (7 reviews) that SBA conducted in fiscal year 2016. We also interviewed officials and reviewed recent reports from SBA\u2019s Office of Inspector General.", "To assess the extent to which SBA evaluates trends in lender practices related to the credit elsewhere requirement, we interviewed SBA officials and reviewed documentation for SBA\u2019s online portal for loan origination. We also incorporated information from interviews with a nongeneralizable, nonrepresentative sample of 7(a) lenders, which we discuss below.", "To obtain lenders\u2019 views on the criteria used to determine eligibility for 7(a) loans and other program-related issues, we interviewed SBA staff including from the Office of Capital Access, and representatives of the National Association of Government Guaranteed Lenders; American Bankers Association; Independent Community Bankers Association; and National Federation of Independent Businesses. We also interviewed 11 banks (one bank provided written responses) in order to obtain the lender perspective of credit elsewhere. Nine of the banks were selected by us using a random process that concentrated on larger lenders. These nine lenders selected by us represent about 13 percent of the loans approved and 16 percent of the dollars approved in 2016. In addition, we interviewed two additional banks that represented an industry group \u2013 one larger bank and one small bank. Although we partially selected at random, the lenders we interviewed should not be considered generalizable because of the small number.", "We conducted this performance audit from August 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Selected Characteristics of 7(a) Lending, Fiscal Years 2007\u20132016", "paragraphs": ["In this appendix, we provide information on the total amount and number of approved 7(a) loans and the top eight industry sectors receiving 7(a) loans. Data are also presented on fiscal year 2016 loan volume by state and per capita. As shown in figure 6 below, the total amount of approved 7(a) loans decreased during the period associated with the Great Recession (2007 through 2009). From fiscal year 2009 on, the total amount of approved 7(a) loans increased until a decline in fiscal year 2012. During this timeframe, the American Recovery and Reinvestment Act of 2009 and the Small Business Jobs Act of 2010 provided fee relief and higher guaranties. The Small Business Jobs Act of 2010 also provided a temporary increase in Small Business Administration (SBA) Express loan limits to $1 million (instead of $350,000). These programs have since expired. 7(a) Loans by North American Industry Classification System (NAICS) code. Table 1 shows the largest eight industrial sectors by proportion of the total amount of 7(a) loans approved, using the NAICS code. The combined share of the top eight sectors declined slightly from 85 percent to 80 percent of the total lending from fiscal years 2007 through 2016, with an average of 82 percent. During this period, the Accommodation and Food Services sector had the largest average share of total loan amount at 17 percent, followed by the Retail Trade sector at 15 percent.", "Approved loan amount and per capita dollars by state. As shown in figure 7, California; Texas; Florida; Georgia; and New York received the highest total of approved loan dollars in fiscal year 2016. The average approval amount across all loans was $380,619. Georgia and Arkansas had the largest average approval amount in 2016. Also, during this period, Utah; Colorado; Georgia; California; and Washington received the highest per capita approved loan dollars."], "subsections": []}, {"section_title": "Appendix III: Information on Borrower Characteristics Based on SBA\u2019s Predictive Scores", "paragraphs": ["In fiscal-year 2016, creditworthiness varied widely among 7(a) program borrowers. We analyzed creditworthiness using the Small Business Administration\u2019s (SBA) Small Business Risk Portfolio Solution score (predictive score), which ranges from 70 to 300, with 300 indicating the least risky loan. According to SBA, loans with scores above 180 are considered \u201clower risk,\u201d scores between 140 and 179 are considered \u201cmoderate risk,\u201d and scores 139 and lower are considered \u201chigher risk.\u201d There did not appear be differences in score based on the gender of the borrower or the age of the business. While SBA relies on the Predictive Score data to identify lenders that may pose excessive risk to the SBA 7(a) portfolio, the data also provide potential insights related to lender implementation of the credit elsewhere requirement.", "Variation. We found that some 7(a) borrowers were much more creditworthy than others. In 2016, the only year for which we obtained data, the predictive score at origination varied widely among borrowers. In 2016, the scores of borrowers ranged from a low of 91 to a high of 246. However, most scores were between 171 and 203, and the median score was 188.", "Race/ethnicity. We found that there were slight differences in creditworthiness by race/ethnicity, with median scores ranging from 180 to 189 depending on the category. Specifically, loans to African Americans in 2016 had a median score of 180, and loans to Hispanics had a median score of 183. In contrast, loans to whites had a median score of 188, and loans to Asian and Pacific Islanders had a median score of 189.", "Lender size. We found that lenders with larger numbers of SBA loans tended to have slightly more creditworthy borrowers. The top 5 percent of lenders had a median average score of 187, whereas the bottom 75 percent of lenders had a median average score of 182.5. Among the top 5 percent of lenders (with 374 loans per lender on average, collectively representing about 70 percent of the loans approved), the average score ranged from 171 to 195. Among all lenders, the average score ranged from 116 to 233. However, because many lenders only approved one or two loans in 2016, the average may reflect very few borrowers for that lender, making it difficult to tell whether the scores reflect a real difference between lenders."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Harry Medina (Assistant Director); Janet Fong (Analyst in Charge); Benjamin A. Bolitzer; Gita DeVaney; David S. Dornisch; Amanda D. Gallear (intern); Marc W. Molino; Jennifer W. Schwartz; and Tyler L. Spunaugle made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-107", "url": "https://www.gao.gov/products/GAO-18-107", "title": "Afghan and Iraqi Special Immigrants: More Information on Their Resettlement Outcomes Would Be Beneficial", "published_date": "2018-02-20T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Certain Afghan or Iraqi nationals who worked for the U.S. government and may have experienced serious threats due to this work may qualify for an SIV. An SIV allows them and eligible family members to resettle in the United States, and since 2008 over 60,000 SIV holders (principal holder and family members) have done so. Upon arrival, they are eligible for resettlement assistance from State and HHS. GAO was asked to review SIV holders' resettlement outcomes and challenges. This report examines (1) available data on SIV holders' employment and other outcomes, (2) challenges affecting their resettlement, and (3) federal efforts to help address challenges. GAO analyzed the most recent federal data (State: 2010-2016; and HHS: 2016) on SIV holders' outcomes; interviewed officials from nine national resettlement agencies; and visited three states (CA, TX, and VA) where over half of SIV holders resettled. In these states, GAO interviewed the states' refugee coordinators and, for two local areas with relatively high levels of SIV resettlement, interviewed local resettlement agency officials and conducted focus groups with SIV holders. GAO also reviewed relevant federal laws and policies and interviewed federal officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Since fiscal year 2011, about 13,000 Afghan and Iraqi nationals (excluding family members) have resettled in the United States under special immigrant visas (SIV), but limited data on their outcomes are available from the Department of State (State) and the Department of Health and Human Services (HHS). State collects data on SIV holders' resettlement outcomes once\u201490 days after they arrive. GAO's analysis of State's data from October 2010 through December 2016 showed that the majority of principal SIV holders\u2014those who worked for the U.S. government\u2014were unemployed at 90 days, including those reporting high levels of education and spoken English. Separately, HHS collects data on about one-third of resettled SIV holders (those in one HHS grant program). According to HHS's fiscal year 2016 data (the only year available), most of these SIV holders were employed and not receiving cash assistance 6 months after arrival; however, these data are not representative of all SIV holders. GAO did not identify any outcome data for SIV holders beyond 6 months after arrival. HHS annually surveys refugees up to 5 years after arrival, but does not do so for SIV holders. However, it has occasionally used its survey of refugees to analyze selected groups at no additional reported cost. Such analysis could provide valuable information on whether SIV holders have achieved longer-term assimilation, consistent with HHS' mission and program goals.", "Stakeholders GAO interviewed reported several resettlement challenges, including capacity issues in handling large numbers of SIV holders, difficulties finding skilled employment, and SIV holders' high expectations. Officials from local resettlement agencies in Northern Virginia reported capacity challenges for their agencies and the community due to the large increase of SIV holders. In almost all of GAO's focus groups with principal SIV holders, participants expressed frustration at the need to take low-skilled jobs because they expected that their education and prior work experience would lead to skilled work.", "State and HHS have taken steps to address some resettlement challenges. For example, in 2017 State placed restrictions on where SIV holders could resettle and HHS announced a new grant to support career development programs for SIV holders, refugees, and others. In addition, State provides information to prospective SIV holders about resettlement. However, the information is general, and lacks detail on key issues such as housing affordability, employment, and available government assistance. Providing such specifics could lead to more informed decisions by SIV holders on where to resettle and help them more quickly adapt to potential challenges once in the United States."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that 1) HHS consider including SIV holders in its annual survey on refugees' longer-term outcomes, and that 2) State provide more detailed information on key issues to prospective SIV holders. Both agencies agreed with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Afghan and Iraqi nationals who were employed by or on behalf of the U.S. government in Afghanistan or Iraq and have experienced ongoing serious threats as a consequence of such employment, or who worked directly with the U.S. Armed Forces or under chief of mission authority as a translator or interpreter, may apply for a special immigrant visa (SIV) to the United States. Upon securing a visa, the principal SIV holder and his or her eligible dependents may resettle in the United States and are granted lawful permanent resident status upon admission into the United States. Since fiscal year 2008, over 60,000 individuals\u2014about 20,000 principal SIV holders and their families\u2014have been admitted under SIVs and received federal resettlement assistance upon arrival.", "SIV holders are authorized to receive resettlement assistance from the Departments of State (State) and Health and Human Services (HHS), as well as federal public benefits, to the same extent and for the same periods of time as refugees. In fiscal year 2016, SIV holders accounted for about 13 percent of all individuals served by State\u2019s resettlement program, which totaled $228 million in federal obligations for all individuals served. For the same year, SIV holders accounted for about 8 percent of the total individuals served by HHS\u2019s refugee resettlement programs, which totaled $656 million in federal obligations for all individuals served. Some of these resettlement programs are administered through nine national voluntary resettlement agencies and their network of over 200 local affiliates. State and local social service offices may also be involved in administering resettlement assistance. This assistance is generally provided for 6 to 8 months after an individual\u2019s arrival in the United States, and individuals are expected to be self-sufficient as soon as possible.", "Although SIV holders make up a relatively small number of individuals receiving assistance from these programs, in light of the vital services they provided to U.S. interests overseas, policymakers and others have sought information about meeting SIV holders\u2019 needs when they resettle in the United States. GAO was asked to report on challenges faced by SIV holders when resettling in the United States and how they fare in employment and other outcomes. In this review, we examined the following research objectives: (1) What do available resettlement data show regarding employment and other outcomes for SIV holders? (2) What factors or challenges affect SIV holders\u2019 resettlement, as reported by resettlement agencies, SIV holders, and others? (3) To what extent have State and HHS helped resettlement agencies and others address SIV holders\u2019 resettlement challenges?", "To address our first research objective, we examined available data from State and HHS. Specifically, we analyzed individual record-level data from State\u2019s Bureau of Population, Refugees, and Migration (PRM) for fiscal year 2011 through the first quarter of fiscal year 2017 (i.e., October 2010 through December 2016) that provide information on recipients of State\u2019s resettlement program, the Reception and Placement (R&P) program. The R&P information we examined included data on recipients\u2019 employment status and other household income sources at 90 days after arrival in the United States. Additionally, we reviewed PRM data on recipients\u2019 background characteristics, such as education level and spoken English ability, that PRM collects during the application and screening process prior to an individual\u2019s resettlement in the United States. PRM collected both the background and the R&P data in a way that allowed SIV holders to be examined separately from resettled refugees. We also did analyses with the same variables for resettled refugees from the same general timeframe. We reviewed the data from PRM for missing data and internal inconsistencies, and interviewed PRM officials knowledgeable about the data to resolve identified issues. We determined that the data were sufficiently reliable for our purposes of reporting employment rates, income sources, and receipt of services at 90 days, as well as broad categories of education and spoken English levels, for SIV holders and, in some cases, refugees.", "We also examined summary-level data from HHS\u2019s Office of Refugee Resettlement (ORR), which administers the refugee assistance programs, on the Matching Grant program\u2014the one ORR program that collects information in a way that allowed us to identify outcomes for SIV holders separately from all other program participants. We examined SIV outcome data from ORR for the Matching Grant program for fiscal year 2016, the only year such data were available. About one-third of SIV holders participate in the Matching Grant program, which is also available to refugees and other eligible individuals. Matching Grant outcomes, such as whether participants are employed at the end of 6 months or have enough earned income to no longer need cash assistance, are not representative of SIV holders, who may participate in other cash assistance programs, as we discuss further in the report. Based on our review of the data, program and reporting documentation, and interviews and communication with ORR and resettlement agencies, we determined that the 2016 data were sufficiently reliable for our purposes of reporting on the program\u2019s employment and self-sufficiency outcome measures for participating SIV holders and for all Matching Grant participants for that fiscal year.", "To address our second research objective, we interviewed officials who represent national and local organizations that assist refugees and SIV holders with resettlement, and conducted focus groups with SIV holders. We interviewed officials at all nine national resettlement agencies, and several national advocacy or service provider groups. We also conducted site visits in three states\u2014California, Texas, and Virginia\u2014 which represent the resettlement locations for over half of SIV holders in the country. For each of these states, we interviewed the state\u2019s refugee coordinator (or equivalent official) and officials at local resettlement agencies and social service offices in two local areas with high or medium concentrations of SIV holders to better understand factors affecting their resettlement. Specifically, we conducted site visits in Oakland and Sacramento, California; Dallas and Fort Worth, Texas; and Arlington and Falls Church, Virginia. Overall, our selected site visit locations varied in median housing costs and the presence of SIV holders from both Afghanistan and Iraq. In each state, we also conducted three to four focus groups with SIV holders (principals and female spouses) to better understand resettlement factors or challenges from their perspectives, conducting a total of 11 focus groups and speaking with a total of 86 participants. (We conducted 8 focus groups with all or mostly male principal SIV holders, and 3 focus groups with primarily female spouses.) We also distributed short anonymous surveys to participants at the end of each focus group. The information gathered from interviews and focus groups conducted on our site visits is not generalizable and is meant to provide illustrative examples.", "To address our third research objective, we reviewed relevant federal laws, regulations, and other agency documentation, and interviewed officials from State\u2019s PRM and Consular Affairs, as well as ORR. To assess federal agency efforts, we reviewed program and agency goals, and compared with federal internal control standards. We also asked officials we interviewed from national and local resettlement agencies and other stakeholder groups about their perspectives on federal efforts to address challenges or factors related to SIV holders\u2019 resettlement. (For more information on our methodologies for our analysis of State data and on our focus groups with SIV holders, see appendix I.)", "We conducted this performance audit from October 2016 through February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "SIV Overview", "paragraphs": ["SIV holders become lawful permanent residents upon admission to the United States under one of three special visa programs. The first, created in 2006, is for certain Afghans and Iraqis who have worked directly with U.S. Armed Forces, or under chief of mission authority, for at least one year as translators or interpreters. It is currently capped at 50 visas (excluding spouses and children) per year and is a permanent program. The other two SIV programs for certain Iraqis and Afghans who worked for or on behalf of the U.S. government, and as a consequence experienced or are experiencing an ongoing serious threat, have had larger numbers of visas allocated but are temporary in nature and require legislation to extend the programs. The SIV program for Iraqis who worked for or on behalf of the U.S. government stopped accepting new applications after fiscal year 2014. The SIV program for Afghans who worked for or on behalf of the U.S. government continued to accept new applications as of November 2017, and most recently, was allocated additional visas in December 2017.", "For all of these SIV programs, prospective special immigrants must go through multiple steps as required by the particular program to which they are applying, such as (1) providing a letter of recommendation from the direct U.S. citizen employment supervisor, (2) a statement describing the threats the applicant has received as a result of his or her U.S. government employment, and (3) forms and documents for all family members applying for visas. Additionally, applicants must have an in- person interview with a consular officer and have fingerprints taken at a U.S. embassy or consular office, among other steps in the process. The Iraqi and Afghan SIV application process has been subject to criticism due in part to the length of time it has taken some applications to be processed. Legislation was enacted to require State and the Department of Homeland Security to complete SIV applications within a specified period of time and to report on the efficiency of the application process."], "subsections": []}, {"section_title": "SIV Resettlement in the United States and Resettlement Assistance", "paragraphs": ["Afghan and Iraqi special immigrants are treated like refugees for purposes of federal public assistance, including receipt of resettlement assistance. Over time, SIV holders have accounted for an increasing percent of the total number of individuals receiving resettlement assistance in the United States. SIV holders accounted for about 1 percent of the total number of individuals who received resettlement assistance upon arrival in fiscal year 2008 (the first year they were eligible for this assistance), 13 percent in fiscal year 2016, and about 26 percent in fiscal year 2017, with a reduction that year in total refugee arrivals (see fig. 1).", "During the application process overseas, SIV holders may elect to receive resettlement assistance upon arrival in the United States. If they indicate on their visa application that they have a tie in the United States and would like to be placed nearby, in most cases PRM will do so. SIV holders are then served by the local resettlement agencies in that area. (This is also true for refugees who indicate they have U.S. ties.) Most SIV holders travel to the United States in the same way as refugees, with travel booked by the International Organization for Migration (an inter- governmental organization). In this case, resettlement agencies know in advance of SIV holders\u2019 arrival. However, some SIV holders elect to book their own travel to the United States for various reasons, such as when they may be in immediate danger in their home countries. These SIV holders must contact a local resettlement agency as soon as possible after they arrive to receive initial resettlement assistance through the R&P program, generally within 30 days of arrival. SIV holders who arrange their own travel and elect to receive resettlement assistance after they arrive in the United States are often known by resettlement agencies as walk-in SIV holders.", "Various federal programs provide resettlement assistance for which SIV holders are eligible (see table 1). The R&P program provides initial resettlement assistance for the first 30 to 90 days and is administered through agreements PRM has with the nine national resettlement agencies and their network of local resettlement agencies. The R&P cooperative agreement outlines what resettlement agencies must do for a newly arrived individual or family, including picking up people at the airport; providing initial housing, furniture, food, and clothing; helping children enroll in school or adults enroll in language programs; and developing a resettlement plan, which focuses on early employment for employable adults. Under the R&P agreement, PRM provides a fixed per capita grant to national resettlement agencies for individuals served ($2,075 in fiscal year 2017), of which a specified amount must be given in cash or spent directly on each individual served through the R&P program ($925 in fiscal year 2017). These grant amounts and standards are the same nationally.", "ORR\u2019s programs generally provide short-term assistance after the initial resettlement period. Several of ORR\u2019s key refugee assistance programs, such as cash and medical assistance and social services, are administered through grants to refugee coordinators (or equivalent) in each state. These coordinators are, in many cases, staffed by state agencies (e.g., departments of social services), but in some cases are staffed by private organizations. At the local level, service providers may be county social services offices, local affiliates of the nine national resettlement agencies, or other community service providers. In contrast, ORR\u2019s Matching Grant program is administered through the national resettlement agencies and not the state refugee coordinators. This program provides cash assistance, employment services, and case management for up to 6 months. In some cases a household also may receive Temporary Assistance for Needy Families (TANF) or Medicaid instead of refugee cash and medical assistance, depending on state eligibility rules and the characteristics of any given household. In addition, because SIV holders, like refugees, are eligible to receive public benefits, they may also be eligible for other types of assistance, such as food assistance from the Supplemental Nutrition Assistance Program."], "subsections": []}]}, {"section_title": "Available Data Provide Limited Information on SIV Holders\u2019 Short-Term Outcomes and No Information on Long- Term Outcomes", "paragraphs": ["Limited data from PRM from fiscal year 2011 through part of fiscal year 2017 showed that most principal SIV holders were unemployed and relied on cash assistance for income 90 days after arrival to the United States. Available data from ORR for one of its programs, the Matching Grant program, provide slightly longer-term information, but only cover a portion of SIV holders and are not representative. ORR\u2019s Matching Grant data for fiscal year 2016 (the only year available) showed that most SIV holders were employed 6 months after arrival and no longer reliant on cash assistance. Although ORR regularly surveys the general refugee population up to 5 years after resettlement in order to examine their longer-term outcomes, it has never surveyed SIV holders for such information."], "subsections": [{"section_title": "Limited State Department Data Collected 90 Days After Arrival Showed the Majority of Principal SIV Holders Were Unemployed", "paragraphs": ["About 60 percent of all principal SIV holders participating in the R&P program who arrived to the United States in fiscal years 2011 through the first quarter of 2017 were unemployed 90 days after arriving, according to data that PRM collects from resettlement agencies on R&P recipients. Based on our analyses of these data, principal SIV holders from Iraq tended to be unemployed at somewhat higher rates than those from Afghanistan. With respect to English speaking skills, the majority who reported their level of spoken English as \u201cgood\u201d were unemployed, though they had considerably higher employment rates at 90 days than those reporting English levels of \u201csome\u201d or \u201cnone.\u201d In contrast, employment rates were relatively comparable among principal SIV holders with different levels of education, although those with post- secondary levels of education had somewhat lower employment than those at the secondary level (see fig. 2).", "Additionally, almost all SIV households relied on cash assistance at 90 days in order to cover expenses such as housing costs. Even among households that had earnings from employment, most also relied on some form of cash assistance, according to our analysis of the R&P data. Of those SIV households receiving earnings from employment, 89 percent were also receiving income through Refugee Cash Assistance, Matching Grant, or TANF programs, which is slightly higher than the rate of the overall refugee population who received one of these types of cash assistance (82 percent). These were the most common types of cash assistance that SIV households received, with slightly less than a third also relying on personal assets (see fig. 3).", "SIV holders also received non-cash assistance and services within 90 days of arrival, based on our analysis of the R&P data. For example, nearly all SIV households received food assistance, the most common type of non-cash assistance. Other common forms of assistance include employment services and case management, which were provided to both principal SIV holders and spouses (mostly wives) at comparable rates (see fig. 4). To a lesser degree, principal SIV holders and spouses also received health services and access to English as a Second Language (ESL) courses, among other types of assistance."], "subsections": []}, {"section_title": "HHS Data on About One- Third of SIV Holders Show Most Are Employed 6 Months After Arrival, but Federal Agencies Do Not Collect Longer-Term Data", "paragraphs": ["The most recent data from the Matching Grant program, which is one cash assistance program in which selected SIV holders might participate during and after their initial 90 days in the United States, and the one such ORR program for which SIV outcomes could be identified, showed that the majority of SIV program participants were employed and no longer relying on cash assistance at end of the 180 day (or 6 month) benefit period. Specifically, about two-thirds of SIV holders in the Matching Grant program were employed at 180 days, a rate slightly lower than the rate for all Matching Grant participants, which include refugees, asylees, and other specified groups, according to data for fiscal year 2016 (see fig. 5). However, SIV holder participants had slightly higher rates of full-time employment and a slightly higher average wage of about $12 per hour compared with all Matching Grant participants. The relatively low wages may reflect, among other contributing factors, the general need for Matching Grant participants to accept the first available employment opportunity, including entry level jobs, as a requirement of the program and the length of the program, which ends at 180 days. About 80 percent of participating SIV households, as well as all participating households in the Matching Grant program in fiscal year 2016, were considered \u201cself- sufficient,\u201d defined by the program as having sufficient earnings to cover basic expenses without the need for cash assistance.", "About one-third of SIV households overall participate in the Matching Grant program. Findings on SIV holders participating in this program are not representative of all SIV holders, given program design elements. For instance, the Matching Grant program has limited enrollment slots, and resettlement agencies may have an incentive to select more \u201cemployable\u201d candidates. In contrast, Refugee Cash Assistance and TANF, the other main cash assistance programs in which SIV holders may participate, generally serve all eligible clients based on income and other eligibility requirements. Additionally, unlike Refugee Cash Assistance or TANF, the benefit amount for the Matching Grant program is generally not reduced or terminated based on earnings, which may create additional incentives to find work and potentially increase the likelihood of employment at 90 days for Matching Grant participants. Our analysis of PRM\u2019s data from the R&P program show that principal SIV holders participating in the Matching Grant program have a higher employment rate 90 days after arrival than those receiving cash assistance from ORR\u2019s Refugee Cash Assistance program or state TANF programs.", "Additionally, although Matching Grant data provide some additional information beyond what is collected for the R&P program, the data still provide relatively limited insight on individuals\u2019 employment and other outcomes. First, the Matching Grant data are collected at 6 months after arrival, which is a few months beyond the 90-day reporting period for the R&P program. The focus on 6-month outcomes aligns with the Matching Grant program\u2019s goal of immediate self-sufficiency and employment before the end of cash assistance; however, the short timeframe precludes any understanding of participants\u2019 progress in job security, wage growth, or career advancement over the longer-term. Second, while the Matching Grant data do include information on full-time or part- time employment status and average wage\u2014information not captured in the R&P data\u2014they do not provide information on type of employment, career or wage progression, or the amount earnings exceed expenses for those households considered self-sufficient. Moreover, ORR\u2019s guidelines for the Matching Grant program encourage resettlement agencies to work with participants with specialized, advanced skills or vocations who have been placed in entry-level work to obtain job upgrades or recertification programs as appropriate. However, ORR does not collect any information on the extent that this occurs or results in positive employment outcomes, such as wage increases.", "While ORR\u2019s program data focus on short-term self-sufficiency, ORR regularly gathers information on the longer-term outcomes of the general refugee population through its Annual Survey of Refugees. ORR conducts its Annual Survey of Refugees to comply with a statutory reporting requirement. It also uses its annual survey to provide Congress and the public information as to whether refugees are successfully resettling in the United States through its programs, in line with the agency\u2019s overall mission to link the populations it serves to the right resources to help them become successfully assimilated members of American society over the longer term. The survey provides information on a sample of refugees each year after resettlement in the United States, up to 5 years. It reports on a range of outcomes, including wage progression, educational attainment, home ownership, and the receipt of public assistance (including non-cash assistance), among other things. Although ORR has typically surveyed the refugee population overall, it has in previous years used its annual survey to conduct supplements on special populations, including Iraqi refugees, Hmong refugees, and the Lost Boys of Sudan. These populations were selected based on ORR leadership\u2019s policy priorities and their inclusion in the survey, through the use of oversampling techniques, was cost-neutral, according to ORR officials.", "ORR, however, has never used its Annual Survey of Refugees to examine long-term outcomes for SIV holders. HHS, in October 2017, awarded a research contract focused on redesigning its Annual Survey of Refugees, the first such redesign since 1993. The goal of this effort is to better understand medium- to long-term resettlement outcomes for refugees and related populations through improved data collection, but the contract does not mention examining the outcomes of any special populations, such as SIV holders. Agency officials stated that ORR plans to explore potential costs and benefits of including special populations (such as SIV holders) in its survey redesign efforts. However, at the time of our review, ORR officials did not yet know whether such an effort would be cost neutral, as with other prior efforts examining special populations; and if not, whether they could obtain long-term outcome information about SIV holders through future surveys or in other ways.", "Standards for Internal Control state that management needs quality information to make decisions and achieve its objectives. Accordingly, one of ORR\u2019s policy objectives is to improve data collection in order to make data-driven decisions to better support the populations it serves. Similarly, a primary goal of HHS\u2019 redesign of the Annual Survey of Refugees is to maximize the effectiveness of ORR\u2019s policies and programs in promoting successful integration for its populations. Without longer-term data or other in-depth research, neither ORR nor policymakers have information as to whether SIV holders have progressed beyond the immediate goal of basic self-sufficiency toward improved economic security and cultural integration over the longer term."], "subsections": []}]}, {"section_title": "Reported Challenges Include the Capacity of Resettlement Agencies in Certain Locations, Barriers to Skilled Employment, and Housing", "paragraphs": ["SIV holders faced a variety of challenges while resettling in the United States, according to representatives of 13 local resettlement agencies we interviewed and SIV holders who participated in 11 focus groups. Among local resettlement agencies, the two in Northern Virginia reported significant challenges with their capacity to assist the large numbers of SIV holders in the area, while agencies in other locations we visited reported fewer capacity challenges. SIV holders also experienced challenges finding skilled employment, which did not align with their expectations of resettlement in the United States. Additionally, securing affordable and suitable housing, and female spouses\u2019 assimilation to U.S. culture were reported challenges. Officials we interviewed from some resettlement agencies reported taking steps to address some of these issues."], "subsections": [{"section_title": "Large Numbers of SIV Holders Created Capacity Challenges for Resettlement Agencies in Northern Virginia", "paragraphs": ["Of the 13 local resettlement agencies in three states at which we interviewed officials, officials from the 2 agencies in Northern Virginia reported the greatest impact from high numbers of SIV holders, creating capacity challenges at both local resettlement agencies as well as in the community. The number of SIV holders in the Northern Virginia area increased more than tenfold since fiscal year 2013 and almost doubled from fiscal years 2015 through 2016, according to data provided by Virginia\u2019s state refugee coordinator. Officials from one of the two local resettlement agencies in Northern Virginia reported that SIV holders also increased as a percentage of their total caseload in recent years, and now make up almost 90 percent. In addition to large numbers of SIV holders scheduled to arrive at local resettlement agencies, many also arrived as walk-ins, which meant the agencies could not predict how many individuals they would need to assist at a given time, according to Virginia\u2019s state refugee coordinator.", "Both of the Northern Virginia local resettlement agencies reported challenges related to capacity. Staff from one agency said that a case manager would normally have three to four families a month to resettle but now might regularly be dealing with five families in a week and, in an extreme case, 70 families in a month. The large influx created great challenges in finding affordable housing for SIV holders, according to staff from the two agencies, especially because the area has one of the most expensive housing costs in the state (see fig. 6). Additionally, officials from the agencies and Virginia\u2019s state refugee coordinator reported that the influx caused significant delays in getting SIV holders needed social services, such as health screenings for children, which then resulted in school enrollment delays. Due to the significant increase in SIV holder arrivals, two national resettlement agencies opened temporary offices in the area under PRM\u2019s approval and encouragement.", "SIV holders may have originally been drawn to Northern Virginia by the hope of finding work at nearby federal government offices, according to officials from one national resettlement agency and one local resettlement agency. Local resettlement agency staff added that over time, SIV holders may have moved to the area to be near an established community of SIV holders. According to PRM data, 83 percent of SIV holder cases in Virginia reported having U.S. ties, although 66 percent of these were ties to friends (not relatives). In all three focus groups conducted in Northern Virginia, SIV holders reported that their U.S. ties were sometimes distant friends or acquaintances who were helpful in the resettlement process, including with providing transportation and navigating life in the United States.", "Officials from local resettlement agencies in other areas we visited expressed fewer capacity challenges. In Sacramento, officials from the three local resettlement agencies and a local service provider reported that they faced some capacity challenges, as their local area had among the highest number of SIV holder arrivals in the United States, according to our analysis of PRM data. However, so far officials we interviewed in Sacramento reported that have been able to find ways to manage service provision to address the high caseloads. For instance, to address rising housing costs and difficulties securing affordable housing, officials from one local resettlement agency reported that they started securing housing farther from the central SIV holder community, although this was not always preferred by SIV holders they resettled. Officials from Sacramento County\u2019s health department said to address backlogs for health screenings caused by increased SIV holder arrivals, they increased the number of full-time staff. In addition, Sacramento, when compared with Northern Virginia, had more local resettlement agencies to manage arrivals (four versus two), which may have helped local agencies address capacity challenges. In the Dallas/Fort Worth area, officials we interviewed from all six local resettlement agencies reported no significant capacity challenges with respect to resettling SIV holders. These six agencies had fewer SIV holder arrivals, and SIV holders represented a smaller percentage of their total caseload than other sites we visited. Generally, securing affordable housing that meets requirements was not reported as a major challenge, although housing prices were rising in Dallas, according to local resettlement agency staff and the Dallas/Fort Worth regional designee."], "subsections": []}, {"section_title": "SIV Holders Experienced Barriers to High-Skilled Employment, Which Did Not Align with Their Expectations of Resettlement", "paragraphs": ["According to officials from national and local resettlement agencies, officials from advocacy groups, and SIV holder participants in all 8 focus groups conducted with principal SIV holders, principal SIV holders faced challenges obtaining employment in their previous fields or that matched their skill level. These challenges occurred even though they had worked for the U.S. government, tended to have completed secondary education or more, and reported good levels of spoken English. Several factors may account for these challenges, some of which may also be applicable to skilled refugees or immigrants who are not SIV holders. These include:", "Limited opportunities for federal employment in the United States: SIV holders had limited opportunities for federal employment because most positions required U.S. citizenship as well as background investigations or security clearances that are available only to citizens, as we reported in 2010. In 6 of the 8 focus groups we conducted with principal SIV holders, some participants said that they expected to be able to get jobs similar to the ones they had in Afghanistan or Iraq, such as with the federal government, because they had previously worked for U.S. organizations. Based on the surveys they completed at the end of our focus groups, principal SIV holders reported that they had a range of jobs in Afghanistan and Iraq, including interpreter, information technology worker, security guard, project manager, and engineer. In one of our focus groups conducted in Northern Virginia, some participants expressed frustration with being ineligible for security clearances for federal employment in the United States because they were able to obtain clearance to work in Afghanistan, and they now had to wait 5 years to apply for U.S. citizenship, which is required for a U.S. security clearance.", "SIV holders\u2019 previous work may not help with U.S. employment: Some officials we interviewed from advocacy groups and local resettlement agencies said that while principal SIV holders\u2019 ability to speak English with a high level of proficiency enabled them to work for the U.S. government overseas, they may not always have the writing skills needed for professional work in the United States. Officials from a career development organization that works directly with highly skilled immigrants, including SIV holders, to help them re-enter their fields in the United States said that SIV holders may sometimes be hindered in re-entering their original professional fields because during the time they worked as interpreters, translators, or other positions for the U.S. government, they may not have been actively employed in their original fields.", "Barriers to foreign degree and credential recognition: While SIV holders and others may be able to get their foreign degrees or other credentials assessed for U.S. equivalency, these processes can be costly or time consuming, according to officials we interviewed from one national and two local resettlement agencies. Staff from two national resettlement agencies said that degree recognition could be particularly challenging for Afghan SIV holders because the nature of conflict in Afghanistan made it harder for evaluators to connect with universities there. Other research we reviewed identified the complexities of the licensing process and of available career paths as challenges for highly skilled and educated immigrants in the United States in general.", "Officials we interviewed from about half of the local resettlement agencies said that because principal SIV holders were often unable to find employment in their prior profession, many took \u201csurvival\u201d or low-skilled jobs in order to cover basic expenses. Officials from local resettlement agencies, as well as participants in our focus groups, reported that common jobs for principal SIV holders included drivers for ride-sharing services like Uber and Lyft, airport workers such as luggage handling and food service, security guards, low-level information technology workers such as cell phone assembly or temporary technician, or warehouse workers such as inventory or stocking. One principal SIV holder we spoke to in our focus groups said he worked as a civil engineer for 6 years in Afghanistan, but was assembling cell phones in the United States, which was disappointing for him given his years of experience and education. In almost all of our focus groups with principal SIV holders, participants expressed frustration about the barriers to re-entering their professional fields and the need to take low-skilled jobs.", "These employment-related challenges did not align with the expectations of principal SIV holders, who thought that their education and prior work experience with the U.S. government would enable them to find skilled work, according to many national and local resettlement agency officials we interviewed and SIV holders who participated in our focus groups. All 3 state refugee coordinators, representatives of 7 of 9 national resettlement agencies, and representatives of 10 of 13 local resettlement agencies we spoke to said that SIV holders tend to have high, unrealistic expectations about employment or about life in general after they arrive. As one principal SIV holder from one of our focus groups in California stated: \u201cI thought I would not need to worry about anything in the U.S. for years and they will take care of me and my family because I worked for their government.\u201d SIV holders in our focus groups also expected more assistance in obtaining high-skilled employment than they generally received. In all 8 of our focus groups conducted with principal SIV holders, some participants expected more assistance getting back into their fields of interest, but said that local resettlement agencies did not always have the technical skills or resources needed to assist them. Similarly, in 4 of the 8 focus groups with principal SIV holders, some participants reported that they expected to receive sufficient government assistance to cover expenses while they adapted to life in the United States, spent time getting retrained or recertified, or searched for employment.", "Because of these high expectations, the reality of starting over was frustrating or shocking, and made the initial resettlement process challenging, according to both staff from local resettlement agencies and SIV holders from our focus groups. Officials from a number of national and local resettlement agencies said that SIV holders\u2019 expectations tended to be higher than other clients they served, such as refugees. Officials we interviewed from a number of national and local resettlement agencies agreed that they would have liked to do more for SIV holders, given their sacrifice in working for the U.S. government, but that they treat all of their clients in the resettlement program the same, in accordance with PRM\u2019s cooperative agreements. Staff from one national resettlement agency and one local resettlement agency agreed that while they would like to assist SIV holders and other highly-skilled clients to obtain better or more skilled jobs, they did not have the resources or capacity to provide a significant amount of specialized help over a longer term.", "False expectations about resettlement may have come through word of mouth or other sources, according to resettlement agency staff and SIV holders we interviewed. Some local resettlement agency staff said SIV holders\u2019 high expectations may be due in part to inaccurate information from the SIV holder community through social media or word of mouth. Staff from one local resettlement agency reported that managing SIV holders\u2019 high expectations was time-consuming for staff because there was a \u201cmountain of misinformation\u201d within the community. Principal SIV holders may have also received false hope from their overseas U.S. military colleagues, who may not understand the challenges of resettlement. For example, one principal SIV holder we spoke to in our focus groups said that his American co-workers in Afghanistan told him it would be easy to find a good job in the United States because of his skills, but he said finding employment in his previous field was challenging and he is now working for a warehouse packing department.", "The Virginia Refugee Resettlement Program Manual states that the STEP program provides highly-skilled participants with specialized services that include professional assessments and assistance in accessing training, certifications, and courses related to prior careers. STEP participants are selected based on an employment assessment of all participants enrolled in Virginia\u2019s refugee social service employment program, which is available to those who have had a refugee eligible status for less than 5 years and are over age 16. Many STEP beneficiaries in Northern Virginia are special immigrant visa (SIV) holders, according to the Virginia State Refugee Coordinator. The STEP program is funded through the Office of Refugee Resettlement\u2019s Refugee Social Services and Targeted Assistance funds, and services are provided by local resettlement agencies. programs: Officials we interviewed at local resettlement agencies in Texas and Virginia said they used ORR funding to support career development programs for SIV holders and other clients. For example, officials from Catholic Charities Dallas said they used ORR\u2019s Refugee Social Services funds to offer clients training and certifications in technical occupations, such as clinical nurse or forklift operator. Officials we interviewed from other organizations said they also relied on programming or funds provided under the Workforce Innovation and Opportunity Act (WIOA) for career development programs that could serve SIV holders. For example, officials from the International Rescue Committee\u2019s national office said that some of their local offices used WIOA\u2019s American Job Center system to help SIV holders and other skilled clients with good English skills access training opportunities or other job search resources. Officials from the Sacramento Employment Training Agency told us they recently utilized WIOA and other funding to launch an English Language Learner Workforce Navigator pilot that will emphasize assisting SIV holders and refugees because of large populations of these groups in Sacramento County. The program aims to provide participants with additional entry points to employment and training opportunities, as well as case management and supportive services.", "California Law on In-state Tuition for SIV Holders and Refugees In October 2017, California enacted Assembly Bill 343, which provides certain special immigrant visa (SIV) holders and refugees admitted to the United States and who settle in California with in-state tuition at California Community Colleges for the minimum time necessary to become a resident. (Students generally need to live in California for more than one year and meet other requirements to qualify for in-state tuition.) The legislature\u2019s finding, as stated in the bill, was that access to institutions of higher education will ensure that SIV holders are \u201cable to pursue their educational goals and rebuild and improve their lives and the lives of their families.\u201d", "Upwardly Global officials describe their work as eliminating employment barriers for special immigrant visa (SIV) holders, immigrants and refugees who were professionals in their home countries. They work to help these newcomers re-enter their career fields after moving to the United States, according to staff we interviewed and other information. The organization offers career development programming including training on the U.S. job search, specialized training opportunities, and recertification services. It provides these services to job seekers in-person at physical locations (Chicago, New York, San Francisco, and Silver Spring, Maryland), as well as virtually through online services, training modules, or other job resources. Since 2009, the organization has placed 69 individuals with SIVs (of 236 served) into new employment with an average annual salary of about $54,000 at placement, according to data from Upwardly Global. SIV holders most commonly placed in jobs in technology, engineering, or finance and accounting, according to staff we interviewed. career development: Officials from Catholic Charities Fort Worth, for example, said they recruited retirees who were former professionals to voluntarily work one-on-one with clients on job readiness skills, such as interviews, resume writing, and general career planning. Officials we interviewed from several national and local resettlement agencies or county service providers also reported that they sometimes refer clients to outside organizations with career development programming for highly-skilled immigrants, such as Upwardly Global (see sidebar)."], "subsections": []}, {"section_title": "Housing Issues and Integration of Female Spouses Were Other Challenges", "paragraphs": [], "subsections": [{"section_title": "Housing", "paragraphs": ["While housing challenges were common among both SIV holders and refugees, SIV holders tended to have high expectations, according to staff from some local resettlement agencies. Officials from national and local resettlement agencies, as well as SIV holders from our focus groups, described several housing related challenges:", "Local resettlement agencies faced barriers to securing housing: SIV holders, like refugees, lack rental or credit histories and Social Security numbers when they arrive in the United States, which limits the housing options available to local resettlement agencies who must secure their housing. Local resettlement agency staff said that they had built relationships with landlords who were willing to forego these requirements; accordingly, some staff reported that SIV holders and refugees were often housed in certain apartment complexes.", "SIV holders in our focus groups expected better housing: In 10 of 11 focus groups we conducted, SIV holders reported that sometimes the apartments they lived in were not of high quality, they experienced problems with infestation, or had concerns about safety. The SIV holders in our focus groups who had problems with infestation or other issues said that they reported them to the landlord or local resettlement agency and the issues were generally addressed, but not always to their satisfaction. Additionally, according to staff from national and local resettlement agencies, as well as SIV holders in 5 of our 11 focus groups, SIV holders often expected better housing or to be placed in certain locations near the main SIV holder community; however, this was not always possible due to limited availability of affordable housing. SIV holders in some of our focus groups also reported that they could not afford to move to nicer apartments.", "Affordable housing was limited: Housing affordability was also cited as a major challenge, especially by local resettlement agency staff and SIV holder participants in 5 of our focus groups in Northern Virginia and Oakland, California. In Alameda County, where the city of Oakland is located, and in the city of Alexandria, where most SIV holders from our 3 focus groups in Northern Virginia lived, the median rental cost for a one-bedroom apartment in 2016 was about $1,400, according to U.S. Census Bureau data. In Sacramento and Dallas, rising housing costs were cited as growing challenges by staff from some local resettlement agencies and SIV holders in 3 of our 4 focus groups in those cities. While there are no national guidelines for affordability, officials from one national resettlement agency said that their general rule is to find housing that a family could afford on their expected income and have extra for other expenses.", "Some groups we spoke with used strategies to help address housing challenges. For example, Catholic Charities Dallas had a dedicated housing specialist whose primary job was to find and place clients into suitable housing and whose work included conducting outreach to new apartment complexes to ensure that they knew of the agency and the benefits of renting to SIV holders and refugee clients. Officials from Catholic Charities of the East Bay in Oakland described their church sponsorship program in which a local church is matched with a family to help subsidize rent and support the family in other areas, often for 6 months or more. Also, officials from one advocacy and service organization, No One Left Behind, said they assisted local resettlement agencies with finding housing for SIV holders, and had established agreements with local resettlement agencies in some cities, including Rochester, New York and Pittsburgh, Pennsylvania to secure housing and provide furnishings for all SIV holder families they resettled."], "subsections": []}, {"section_title": "Integration of Female Spouses", "paragraphs": ["Officials we interviewed from all 9 national resettlement agencies and 12 of 13 local resettlement agencies reported that female SIV spouses experienced specific barriers to assimilation. These include:", "Female SIV spouses experienced cultural adjustment challenges: Officials from national and local resettlement agencies reported that the gap between male principal SIV holders and their spouses in terms of English proficiency, education, work experience, or exposure to American culture, could be large and created challenges for women\u2019s integration, especially for Afghan women, a few officials noted. Accordingly, male principal SIV holders may be able to more quickly integrate, while female SIV spouses may be less likely to participate in programs, struggle to integrate, or feel isolated, according to officials from national and local resettlement agencies. Officials noted that this gap tended to be larger than between refugee husbands and wives, who may be more evenly matched. Our analysis of PRM data confirmed that differences in education and spoken English levels were larger between principal SIV holders and spouses than with refugee principals and spouses. According to our analysis of PRM data on SIV spouses, 42 percent reported speaking no English, with those from Afghanistan much less likely to speak any English than those from Iraq. Afghan SIV spouses were also about one-third as likely to have reported completing postsecondary education as Iraqi SIV spouses, based on available data. In contrast, in our focus groups some female SIV spouses and some female principal SIV holders had prior work experience and high levels of education. For example, about one-third of the female SIV spouses in our focus groups (9 of 27) reported on their participant surveys that they had prior work experience in their home countries, including as teachers and journalists.", "Lack of childcare and limited transportation options: Officials we interviewed from local resettlement agencies and SIV spouses in two of our focus groups said that barriers around childcare and transportation made it challenging for female SIV spouses to leave the house for classes or employment. For example, in one of our Sacramento focus groups, several female SIV spouses reported that they wanted to take English classes and find work, but the cost of childcare and lack of public transportation, including school buses for their children, were prohibitive.", "National and local resettlement agency officials also reported that female SIV spouses may take longer to assimilate and feel isolated because of families\u2019 expectations about female spouses staying home. Officials from one national resettlement agency said that prior to arrival, many SIV holders and their families lived comfortably on one income, and therefore female spouses were often not initially willing to work, which strained finances and made self-sufficiency difficult. In all three of our focus groups with female SIV spouses, participants said that they would like to work, but needed to wait until their children were older or needed to learn English first.", "Officials we interviewed from several resettlement agencies described their efforts to address some of the challenges related to the integration of female spouses. They include:", "Engaged SIV women independent from their spouses: Staff from two local resettlement agencies reported providing intake for men and women separately so that they ensure that women had a connection to resettlement agency staff independent of their husbands. Other agencies reported that they started making sure that an interpreter was provided for the female spouse rather than having her husband act as an interpreter, so that they could ensure everyone received the same information and that such information was not filtered through the husband. Staff we spoke to at one local resettlement agency acknowledged that their employment services had previously been primarily focused on the male clients in each household, but that they had since created a separate curriculum for women to ensure that all adult clients received job readiness training.", "Mitigated barriers faced by female SIV spouses to attend English classes and to work: To address childcare and transportation barriers, staff we spoke to at three local resettlement agencies said they offered English language classes at apartment complexes with many SIV holder families, with childcare provided. Several local resettlement agencies also used volunteers to provide in-home English classes and mentoring for SIV women. Officials from two local resettlement agencies said they provided women\u2019s empowerment programming to overcome isolation and other issues. For example, officials from International Rescue Committee Dallas told us that they offered a women\u2019s empowerment class that met two times per week to discuss varying topics, including public transit, job readiness, and sewing.", "Officials from Opening Doors Sacramento, an affiliate of Church World Service, told us that they assist women who are special immigrant visa (SIV) holders and refugees convert their homes into home-based childcare centers. Opening Doors utilizes funds from the Office of Refugee Resettlement\u2019s grant on micro- finance and partners with a local social service agency to help the women start a business plan and get licensed. As of April 2017, over 50 women have received their license through this program, many of whom are from Afghanistan, according to officials from Opening Doors.", "State\u2019s PRM has taken several steps to address the capacity challenges reported by resettlement agencies in Northern Virginia. First, in May 2017, PRM placed limitations on SIV holders\u2019 resettlement in that area in response to concerns raised by local resettlement agencies and the state refugee coordinator, and in consultation with national resettlement agencies, advocacy groups, and ORR. The policy generally restricts SIV holders from being placed in Northern Virginia unless they have close family ties there. Second, in June 2017, PRM issued another new policy that gives SIV holders more resettlement options. Under this new policy, SIV holders can choose to be placed in one of 25 cities without having a U.S. tie (see table 2). This option did not exist previously, as SIV holders, like refugees, were typically placed near a specified U.S. tie or in a location primarily determined by resettlement agencies. According to PRM officials, by providing a choice to SIV holders, they aimed to increase the likelihood of successful resettlement in these alternative areas and mitigate secondary migration (when people leave their initial placement to move to desired locations). PRM officials said that they considered various factors in developing the list of 25 cities, including the presence of existing SIV communities, sufficient capacity to resettle new arrivals among local resettlement agencies, and housing availability and employment opportunities based on information from local resettlement agencies. In finalizing its list of cities, PRM also sought input from national resettlement agencies, advocacy organizations, and ORR.", "To inform SIV holders about resettlement prior to arrival and to better manage their expectations, PRM has developed informational materials specifically for SIV holders. All individuals served through the R&P program must receive cultural orientation training once they arrive in the United States, according to R&P guidelines, and many refugees also take this training overseas. In contrast, SIV holders generally do not take overseas cultural orientation training because they typically receive their visas in locations where there are no facilities to provide such training. PRM officials said providing special cultural orientation training sessions for SIV holders, such as at the U.S. embassy in Kabul, would be logistically difficult and potentially result in additional security risks for SIV holders. In lieu of overseas cultural orientation trainings, PRM provides a Dari-translated version of its manual on U.S. resettlement, Welcome to the United States: A Guidebook for Refugees, for distribution by the U.S. embassy in Kabul. It has also developed several other types of informational materials specifically for SIV holders, including documents such as \u201c19 Things You Need to Know About Resettling in the United States\u201d and \u201cFrequently Asked Questions (FAQs) About Resettlement Benefits for Iraqi and Afghan Recipients of Special Immigrant Visas,\u201d as well as short videos aimed specifically at SIV holders (see sidebar). SIV holders can access informational materials on State\u2019s Refugee Processing Center\u2019s website, and links to this website are included at the end of emails from PRM staff when communicating with SIV holders, according to PRM officials. Additionally, PRM officials noted that they have also worked with advocacy groups who may be communicating with SIV holders while overseas, to disseminate information, such as the challenges of resettling in high cost-of-living areas. Officials said that their efforts to inform SIV holders about resettlement before they come to the United States have been ongoing for several years.", "However, officials we interviewed from many national and local resettlement agencies, as well as those from some state refugee coordinator offices and advocacy groups, said that State could do more to inform SIV holders about resettlement while they were still overseas, given their often false expectations about resettlement. For instance, officials from a number of these entities said that PRM\u2019s informational materials for SIV holders are general and lack specific details or more in- depth information on issues, such as housing affordability, employment, or the type of government assistance they will or are likely to receive. This type of information could provide them a better sense of what to expect when they resettle in the United States, according to officials.", "Based on our review, we found that while the materials discuss resettlement challenges generally, such as difficulties associated with relocating in certain high-cost areas or the likelihood that SIV holders will need to take an entry-level job instead of one in their professional field, they do not contain specific details, examples, or links to specific information. For example, the materials do not provide information on area housing costs in popular resettlement areas or common jobs or average wages among SIV holders (or refugees). They provide minimal information on the amounts people may receive in government assistance or the extent to which they can expect assistance with such things as longer-term training or education. PRM\u2019s new list of 25 cities, for instance, includes a link to each city\u2019s municipal government website, but such websites are unlikely to provide easy access to information, such as area housing costs, that could help inform people\u2019s resettlement choices. PRM officials stated that they are wary of providing specific details because these may vary for SIV families, depending on the state where they reside, the assistance programs in which they participate, their particular household situation, or other factors. Such differences can be a source of misinformation among those in the SIV community, according to PRM officials, as well as some resettlement agencies we interviewed. Accordingly, officials noted that they would not want to be in a position to defend information that may be inaccurate or not applicable to SIV holders. Officials we interviewed from two resettlement agencies also noted that it could be challenging to provide specific details, such as on government benefit amounts, as these may vary greatly across households.", "Yet, officials we interviewed from other resettlement agencies and advocacy groups noted that illustrative details, examples, or more in- depth discussion on key issues would provide SIV holders more understanding of what they may experience and inform their decision- making. Providing web links to relevant information or additional information from official sources may also help SIV holders gather information from more credible sources and counter some of the misinformation they may receive through word of mouth, according to a state refugee coordinator and officials at two local resettlement agencies we interviewed. Similarly, participants in 5 of our 11 focus groups said that getting additional cultural orientation or more information about life in the United States, such as from State, would have been useful. Some said they did not always get an accurate picture of resettlement from their U.S. ties. One principal SIV holder we spoke to said getting additional information about resettlement while still overseas would have been useful for SIV holders since it can be difficult to learn all this information once they have arrived in the United States, as they are in \u201cculture shock\u201d and \u201coverwhelmed\u201d by all they have to do. In contrast, participants in three focus groups said that access to more resettlement information overseas would not have been useful: People\u2019s primary focus at that time is on simply getting their visa and leaving the country.", "In addition to the lack of specificity in the information provided to prospective SIV holders, some of State\u2019s efforts to disseminate existing information are also incomplete. For instance, we learned of some instances of miscommunication between PRM and Consular Affairs regarding information provided to SIV holders at embassies. While PRM officials told us they understood that the embassies in Kabul and Baghdad provided SIV holders with hard copies of Welcome to the United States, and played the informational videos for SIV holders on a loop, officials from Consular Affairs told us that the Bagdad embassy no longer provided hard copies of guides due to costs, and neither embassy played the videos due to space and other issues. Officials we interviewed from a few resettlement agencies and advocacy groups suggested that there may be additional opportunities for State to disseminate information, such as making the \u201c19 Things to Know\u201d document available at more touch points. The links to such SIV-specific informational documents are directly available on State\u2019s Refugee Processing Center website and through the form SIV holders complete to elect to receive resettlement benefits. However, they are not directly accessible on State\u2019s Consular Affairs\u2019 websites that describe the steps to apply for a SIV. Further, these SIV- specific documents are also not offered at embassies or mailed to SIV holders in their visa packages, according to Consular Affairs officials. Moreover, in several of our focus groups, some participants stated that they did not remember receiving any or much information on resettlement in the United States while in their home country, including information aimed specifically at SIV holders.", "Federal internal controls state that management should externally communicate necessary quality information to achieve objectives, considering audience, nature of information, availability of information, and costs in doing so. Because State\u2019s current information to SIV holders overseas is general and the agency may miss opportunities to disseminate or otherwise make individuals aware of the information, SIV holders may be hampered in their ability to make well-informed decisions on where to resettle in the United States, as well as in their ability to prepare and adapt to potential challenges as quickly as possible upon arrival."], "subsections": []}]}, {"section_title": "ORR\u2019s New Grant Provides More Targeted Assistance on Working with Skilled Immigrants", "paragraphs": ["Although ORR does not provide specific support or assistance for SIV holders, ORR\u2019s funding and technical assistance for refugees and other eligible clients can be used to support programming for highly skilled clients, including SIV holders. For example, states can use Refugee Social Services and Targeted Assistance Grant funds to develop specialized programs aimed at higher skilled immigrants, if they choose. Among our selected states, Virginia used these funds to support its career development program. ORR also uses a technical assistance provider, Higher, to provide support related to employment and self- sufficiency. Higher makes various employment resources available that resettlement agencies or other service providers can use, including those that can help serve highly skilled clients, such as webinars or postings on educational or career development opportunities. Higher has also developed online training modules, recertification guides, and other resources that refugees, SIV holders, or other clients can directly access through its website, in addition to posting links to other providers\u2019 services, such as those from Upwardly Global, which are directly accessible by clients.", "In addition, in June 2017, ORR posted a new $3 million competitive grant announcement for the Refugee Career Pathways program that aims to address the challenges experienced by highly skilled refugees, SIV holders, or other eligible populations in moving beyond low-skilled work into professional fields with career advancement opportunities (see text box). The grant announcement states that this program will utilize a \u201ccareer pathways\u201d approach, as defined by WIOA, which is a combination of training, education, and services to help people obtain short-term and long-term career opportunities in specific fields that align with state or regional economic needs. Possible types of assistance that could be provided to participants include case management, training and technical assistance, mentoring, or financial assistance for educational or certification programs. This ORR grant aligns with the desire for more targeted assistance and information for skilled immigrants, such SIV holders, which was expressed by officials we interviewed at a number of national and local resettlement agencies and SIV holders in our focus groups.", "Goals of Office of Refugee Resettlement\u2019s new Refugee Career Pathways Program \u201cThe Refugee Career Pathways (RCP) program is a new program established by the Office of Refugee Resettlement (ORR) to address the obstacles faced by resettled refugees in initiating professional careers in their new communities. While many refugees have previous professional experience in their country of origin, they often lack the degrees, certifications, and knowledge specific to the U.S. job environment needed to attain professional employment after resettlement. Even highly-skilled refugees are often required to take low-skilled jobs with little opportunity for advancement or skill development. This in turn limits refugees\u2019 potential to achieve economic self-sufficiency and to benefit their communities by making full use of the skills and experience they bring to their new home. The goal of the RCP program is to support refugees in attaining the knowledge and resources needed to begin a professional career in their new community. Existing job training programs for refugees often focus on supporting initial job placement, which may not be adequate to secure long-term self-sufficiency. The RCP program will assist refugees to begin professional careers that provide not only a salary but also greater job security and the possibility of career advancement.\u201d", "SIV holders resettle in the United States in most cases to escape endangerment\u2014a result of their work for the U.S. government in Iraq or Afghanistan. After their resettlement, however, no outcome information exists beyond whether SIV holders are minimally self-sufficient within their first 6 months. SIV holders are a small group compared to the larger, general population of refugees. Yet ORR faced and overcame similar constraints in conducting studies on other special populations in the past, such as the Lost Boys of Sudan, responding to the focus and concern of policymakers about those populations at the time. Although ORR could leverage its existing methodologies to examine SIV holders\u2019 longer-term outcomes in further research, similar to what it did for other groups, it has not yet fully explored the feasibility of doing so or other possibilities to obtain information about the SIV holder population. ORR\u2019s new survey redesign efforts, aimed at improving its understanding of the long-term outcomes of refugees and related populations, provide the agency an opportunity to do this. Until then, policymakers have no information as to whether SIV holders\u2014a population of special interest and one with an increasing presence in the federal refugee resettlement programs\u2014are successfully resettling in the United States.", "While many of the resettlement challenges related to employment, housing, or cultural integration are outside of State\u2019s control, they may be exacerbated by SIV holders\u2019 own high expectations about resettlement. These expectations are often cultivated before they arrive from overseas. State\u2019s efforts to inform SIV holders about resettlement have been ongoing for years and, to some extent, help overcome the logistical difficulties of not being able to provide SIV holders with cultural orientation training before they come. However, the persistent gap among SIV holders\u2019 expectations and their experiences, as described by many of the SIV holders and officials we interviewed from national and local resettlement agencies and advocacy groups, and other stakeholders, suggests that these efforts are falling short. While State has made efforts to disseminate the information through various touchpoints, there are missed opportunities for distribution, such as at embassies. When coupled with the lack of examples or details in State\u2019s informational materials for SIV holders, these missed opportunities may contribute to SIV holders\u2019 ongoing false expectations of resettlement.", "Finding additional ways to deliver information to SIV holders about the realities of resettlement could help them make more informed decisions about where they choose to resettle\u2014decisions which may be predicated on their ability to access additional information about important factors such as employment opportunities or area housing costs. Such information, while not a panacea for the real resettlement challenges SIV holders face, can at least help them make decisions that better align their personal situation with the economic realities of resettlement in the United States. Additional information could also mitigate SIV holders\u2019 surprise and frustration once they arrive, better enable them to quickly orient to their new lives, as well as help refugee agencies facilitate that transition."], "subsections": []}]}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations, including one to ORR and one to PRM: 1. The Director of the Office of Refugee Resettlement (ORR) should consider including SIV holders in its Annual Survey of Refugees. (Recommendation 1) 2. The Assistant Secretary of the Bureau of Population, Refugees, and Migration (PRM) should identify and implement additional ways to deliver information to prospective SIV holders about resettlement to assist with adjustment and expectations after arrival in the United States, including providing more detailed or in-depth information on key issues. PRM, working with Consular Affairs as needed, should also identify and address potential gaps in disseminating relevant information to SIV holders, such as at embassies. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of our report to HHS and State for review and comment. Both agencies agreed with our recommendations. In its response, HHS stated that while it did not believe including SIV holders in the Annual Survey of Refugee was feasible under the current contract due to costs, it would continue to look for cost-effective ways to include SIV holders in its survey redesign efforts and in future contracts. HHS stated that it would also explore ways to capture more information on SIV holders through its administrative program data, including on employment outcomes. State, in its response, said that PRM has developed new guidance for the Refugee Processing Center\u2019s SIV unit regarding the distribution of additional information to SIV holders and that staff from this unit plan to include additional links to cultural orientation information in all their correspondences with SIV applicants. Additionally, State noted that Embassy Baghdad will distribute copies of the Welcome Guide to Iraqi SIV holders and that PRM will work with Consular Affairs to identify other ways to provide information to SIV applicants. HHS and State also provided technical comments, which we incorporated into the report as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, Secretaries of Health and Human Services and State, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Additional Methodological Details", "paragraphs": ["This appendix provides additional information on our methodologies for our analysis of data from the Department of State (State) and on our focus groups with special immigrant visa (SIV) holders."], "subsections": [{"section_title": "Analysis of State Data", "paragraphs": ["We analyzed individual record-level data from State\u2019s Bureau of Population, Refugees, and Migration (PRM) for fiscal years 2011 through the first quarter of 2017 (i.e., October 2010 through December 2016) that provide information on recipients of State\u2019s resettlement program, the Reception and Placement (R&P) program. Fiscal year 2011 was the first year of the R&P program\u2019s current reporting requirements, and December 2016 was the most current data available at the time of our review. Overall, this timeframe accounted for about 40,000 individual SIV holders (principal SIV holders and their family members) and 14,000 cases, or households, before we excluded instances of missing data. In our analysis and reported results, we excluded instances of missing data, such as when SIV holders migrated from their initial placements before resettlement agencies could collect 90-day outcome information, or, in the case of employment rates, when principal SIV holders were considered exempt from seeking employment for various reasons. This resulted in about 38,000 individuals and 13,000 cases.", "The R&P information we examined included data on recipients\u2019 employment status and other household income sources at 90 days after arrival, such as from earnings or common cash assistance programs. Most of the R&P data are provided as \u201cyes\u201d or \u201cno\u201d responses, such as whether an individual is employed or whether the household has income that exceeds expenses. R&P data are collected by national and local resettlement agencies on all individuals served through the R&P program, and reported to PRM at one-point in time\u201490 days after individuals\u2019 arrival in the United States. Per R&P reporting requirements, some data are collected at the case or household level, such as whether the household has sufficient income to meet expenses, while other data, such as employment status, are collected on each individual in a case.", "Additionally, we reviewed PRM data on recipients\u2019 background characteristics, such as education level and spoken English ability, collected by PRM during the application and screening process prior to an individual\u2019s resettlement in the United States. PRM tracks information on all individuals applying to the U.S. Refugee Admissions Program, including those with SIVs, using its data repository known as the Worldwide Refugee Admissions Processing System. Some of the background information on SIV holders, including education level and spoken English level, are self-reported and provided on SIV application forms. PRM collected both the background and the R&P data in a way that allowed SIV holders to be examined separately from resettled refugees. We also did analyses with the same variables for resettled refugees from the same general timeframe. We reviewed the data from PRM for missing data and internal inconsistencies, and interviewed PRM officials knowledgeable about the data to resolve identified issues. We determined that the data were sufficiently reliable for our purposes of reporting employment rates, income sources, and receipt of services at 90 days, as well as broad categories of education and spoken English levels, for SIV holders and, in some cases, refugees."], "subsections": []}, {"section_title": "Focus Groups with SIV Holders", "paragraphs": ["In each of our selected states (California, Texas, and Virginia), we conducted three to four focus groups with principal SIV holders and SIV spouses to better understand resettlement factors or challenges from their perspectives. In total, we conducted 11 focus groups and spoke with 86 participants from both Afghanistan and Iraq. Specifically, we conducted eight focus groups with all or mostly principal SIV holders. (Participants in seven of these groups were all male principal SIV holders; participants in one group included four male principal SIV holders and two female spouses.) We also conducted three focus groups with primarily female spouses. (All participants in these three groups were females; however, in two groups, one participant was the principal SIV holder.)", "To supplement the information we gathered through our focus group discussions, we also distributed short anonymous surveys to participants at the end of each session. Among other basic questions, we asked participants whether they were currently employed and, if so, the type of work they did. We also asked principal SIV holders what type of work they did for the U.S. government, and SIV spouses whether they worked in their home country and the type of work. Almost all participants submitted a survey (84 of 86). However, some participants (particularly SIV spouses) appeared to have difficulty understanding the questions, although we had translation assistance during our focus groups. In our report, we discussed survey findings on principal SIV holders\u2019 prior work for the U.S. government and the prevalence of prior work among SIV spouses. Overall, these responses had few blanks, and the responses themselves seemed to indicate general understanding of the questions.", "The information gathered from interviews and focus groups from our site visits is not generalizable and is meant to provide illustrative examples."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Janet Mascia (Assistant Director), Theresa Lo (Analyst-in-Charge), Cristina Norland, and Rachel Pittenger made key contributions to this report. Also contributing to this report were James Bennett, Kathryn Bernet, Pamela Davidson, Holly Dye, Sara Edmondson, Cynthia Grant, Marissa Jones, James Rebbe, and Rosemary Torres Lerma."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-388", "url": "https://www.gao.gov/products/GAO-18-388", "title": "2017 Lobbying Disclosure: Observations on Lobbyists' Compliance with Disclosure Requirements", "published_date": "2018-03-30T00:00:00", "released_date": "2018-03-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The LDA, as amended, requires lobbyists to file quarterly disclosure reports and semiannual reports on certain political contributions. The law also includes a provision for GAO to annually audit lobbyists' compliance with the LDA. GAO's objectives were to (1) determine the extent to which lobbyists can demonstrate compliance with disclosure requirements, (2) identify challenges to compliance that lobbyists report, and (3) describe the resources and authorities available to USAO in its role in enforcing LDA compliance, and the efforts USAO has made to improve enforcement. This is GAO's 11th report under the provision.", "GAO reviewed a stratified random sample of 98 quarterly disclosure LD-2 reports filed for the third and fourth quarters of calendar year 2016 and the first and second quarters of calendar year 2017. GAO also reviewed two random samples totaling 160 LD-203 reports from year-end 2016 and midyear 2017. This methodology allowed GAO to generalize to the population of 45,818 disclosure reports with $5,000 or more in lobbying activity, and 30,594 reports of federal political campaign contributions. GAO also met with officials from USAO to obtain status updates on its efforts to focus resources on lobbyists who fail to comply.", "GAO is not making any recommendations in this report. GAO provided a draft of this report to the Department of Justice for review and comment. The Department of Justice provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["For the 2017 reporting period, most lobbyists provided documentation for key elements of their disclosure reports to demonstrate compliance with the Lobbying Disclosure Act of 1995, as amended (LDA). For lobbying disclosure (LD-2) reports and political contributions (LD-203) reports filed during the third and fourth quarter of 2016 and the first and second quarter of 2017, GAO estimates that", "87 percent of lobbyists filed reports as required for the quarter in which they first registered; the figure below describes the filing process and enforcement;", "99 percent of all lobbyists who filed (up from 83 percent in 2016) could provide documentation for income and expenses; and", "93 percent filed year-end 2016 LD-203 reports as required.", "These findings are generally consistent with prior reports GAO issued for the 2010 through 2016 reporting periods. However, in recent years GAO's findings showed some variation in the estimated percentage of reports with supporting documentation. For example, an estimated increase in lobbyists who could document expenses is notable in 2017 and represents a statistically significant increase from 2016.", "As in GAO's other reports, some lobbyists were still unclear about the need to disclose certain previously held covered positions, such as paid congressional internships or certain executive agency positions. GAO estimates that 15 percent of all LD-2 reports may not have properly disclosed previously held covered positions. On the other hand, over the past several years of reporting on lobbying disclosure, GAO found that most lobbyists in the sample rated the terms associated with LD-2 reporting as \u201cvery easy\u201d or \u201csomewhat easy\u201d to understand.", "The U.S. Attorney's Office for the District of Columbia (USAO) stated it has sufficient resources and authority to enforce compliance with the LDA. USAO continued its efforts to bring lobbyists into compliance by reminding them to file reports or by applying civil penalties."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Honest Leadership and Open Government Act of 2007 (HLOGA) amended the Lobbying Disclosure Act of 1995 to require lobbyists to file quarterly lobbying disclosure reports and semiannual reports on certain political contributions. HLGOA also increased civil penalties and added criminal penalties for failure to comply with lobbying disclosure requirements. In addition, HLOGA includes a provision for us to annually audit the extent of lobbyists\u2019 compliance with the Lobbying Disclosure Act of 1995, as amended (LDA) by reviewing publicly available lobbying registrations and other matters. This is our 11th report under this provision.", "As with our prior reports, our objectives were to (1) determine the extent to which lobbyists can demonstrate compliance with the requirements for registrations and reports filed under the LDA; (2) identify any challenges and potential improvements to compliance by lobbyists, lobbying firms, and registrants; and (3) describe the resources and authorities available to the U.S. Attorney\u2019s Office for the District of Columbia (USAO) in its role in enforcing LDA compliance and the efforts it has made to improve that enforcement.", "To determine the extent to which lobbyists can demonstrate compliance, we examined a stratified random sample of 98 quarterly lobbying disclosure (LD-2) reports with income and expenses of $5,000 or more filed during the third and fourth quarters of calendar year 2016, and the first and second quarters of calendar year 2017. We selected the randomly sampled reports from the publicly downloadable database maintained by the Clerk of the House of Representatives (Clerk of the House). This methodology allows us to generalize some elements to the population of LD-2 reports. We then contacted each lobbyist or lobbying firm in our sample. We asked them to provide written documentation for key elements of their LD-2 reports. This documentation included the amount of income reported for lobbying activities, the amount of expenses reported, the houses of Congress or federal agencies lobbied, lobbying issue areas, and the names of lobbyists listed in the report. We also reviewed whether lobbyists listed on the LD-2 reports properly disclosed prior covered official positions, and whether the lobbyists filed the semiannual report of federal political contributions. Two lobbying firms in our sample, Fierce Government Relations and Cardinal Infrastructure, declined to meet with us following our initial letter, sent in September 2017. After multiple follow up contacts in October and November 2017, we informed both firms that because they declined to meet, we would supply their names to Congress, as provided for in HLOGA. Both acknowledged understanding this provision. A complete description of our methodology can be found in appendix I. Appendix II contains a list of lobbyists and clients whose LD-2 reports we randomly selected for our review.", "To determine whether lobbyists reported their federal political contributions as required by the LDA, we analyzed stratified random samples of year-end 2016 and midyear 2017 semiannual political contributions (LD-203) reports. The samples contain 80 LD-203 reports that have contributions listed and 80 LD-203 reports that list no contributions. We selected the randomly sampled reports from the publicly downloadable contributions database maintained by the Clerk of the House (see appendix III for a list of lobbyists and lobbying firms randomly selected for our review of LD-203 reports). We then checked the contributions reported in the Federal Election Commission\u2019s (FEC) database against the contributions identified in our sample. This helped us determine whether all contributions reported in the FEC database were also reported on the LD-203s as required. We contacted lobbyists and asked them to provide documentation to clarify differences we observed. This methodology allows us to generalize to the population of LD-203 reports both with and without contributions.", "To determine whether lobbyists were meeting the requirement to file an LD-2 report for the quarter in which they registered, we compared new registrations (LD-1) filed in the third and fourth quarters of 2016, and the first and second quarters of 2017 to the corresponding LD-2 reports on file with the Clerk of the House.", "To assess the reliability of the data used, we reviewed available documentation and interviewed knowledgeable officials. We found the data to be sufficiently reliable for our purposes. The details of the data reliability assessments are in appendix I.", "To identify challenges and potential improvements to compliance, we used a structured web-based survey to obtain views from lobbyists included in our sample of reports.", "To describe the resources and authorities available to USAO and its efforts to improve LDA enforcement, we interviewed USAO officials and obtained information about their system\u2019s capabilities to track enforcement and compliance trends and referral data that it receives from the Secretary of the Senate and the Clerk of the House.", "The mandate does not require us to identify lobbyist organizations that failed to register and report in accordance with LDA requirements. The mandate also does not require us to determine whether reported lobbying activity or political contributions represented the full extent of lobbying activities that took place.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The LDA requires lobbyists to register with the Secretary of the Senate and the Clerk of the House and to file quarterly reports disclosing their respective lobbying activities. Lobbyists are required to file their registrations and reports electronically with the Secretary of the Senate and the Clerk of the House through a single entry point. Registrations and reports must be publicly available in downloadable, searchable databases from the Secretary of the Senate and the Clerk of the House. No specific statutory requirements exist for lobbyists to generate or maintain documentation in support of the information disclosed in the reports they file. However, guidance issued by the Secretary of the Senate and the Clerk of the House recommends that lobbyists retain copies of their filings and documentation supporting reported income and expenses for at least 6 years after they file their reports.", "The LDA requires that the Secretary of the Senate and the Clerk of the House guide and assist lobbyists with the registration and reporting requirements and develop common standards, rules, and procedures for LDA compliance. The Secretary of the Senate and the Clerk of the House review the guidance semiannually. It was last revised January 31, 2017, to (among other issues) update the registration threshold to reflect changes in the Consumer Price Index, and clarify the identification of clients and covered officials and issues related to rounding income and expenses. The guidance provides definitions of LDA terms, elaborates on registration and reporting requirements, includes specific examples of different scenarios, and provides explanations of why certain scenarios prompt or do not prompt disclosure under the LDA. The offices of the Secretary of the Senate and the Clerk of the House told us they continue to consider information we report on lobbying disclosure compliance when they periodically update the guidance. In addition, they told us they e-mail registered lobbyists quarterly on common compliance issues and reminders to file reports by the due dates.", "The LDA defines a lobbyist as an individual who is employed or retained by a client for compensation, who has made more than one lobbying contact (written or oral communication to covered officials, such as a high ranking agency official or a Member of Congress made on behalf of a client), and whose lobbying activities represent at least 20 percent of the time that he or she spends on behalf of the client during the quarter. Lobbying firms are persons or entities that have one or more employees who lobby on behalf of a client other than that person or entity. Figure 1 provides an overview of the registration and filing process.", "Lobbying firms are required to register with the Secretary of the Senate and the Clerk of the House for each client if the firms receive or expect to receive more than $3,000 in income from that client for lobbying activities. Lobbyists are also required to submit an LD-2 quarterly report for each registration filed. The LD-2s contain information that includes: the name of the lobbyist reporting on quarterly lobbying activities; the name of the client for whom the lobbyist lobbied; a list of individuals who acted as lobbyists on behalf of the client during the reporting period; whether any lobbyists served in covered positions in the executive or legislative branch such as high-ranking agency officials or congressional staff positions, in the previous 20 years; codes describing general issue areas, such as agriculture and education; a description of the specific lobbying issues; houses of Congress and federal agencies lobbied during the reporting reported income (or expenses for organizations with in-house lobbyists) related to lobbying activities during the quarter (rounded to the nearest $10,000).", "The LDA also requires lobbyists to report certain political contributions semiannually in the LD-203 report. These reports must be filed 30 days after the end of a semiannual period by each lobbying firm registered to lobby and by each individual listed as a lobbyist on a firm\u2019s lobbying report. The lobbyists or lobbying firms must: list the name of each federal candidate or officeholder, leadership political action committee, or political party committee to which he or she contributed at least $200 in the aggregate during the semiannual period; report contributions made to presidential library foundations and presidential inaugural committees; report funds contributed to pay the cost of an event to honor or recognize an official who was previously in a covered position, funds paid to an entity named for or controlled by a covered official, and contributions to a person or entity in recognition of an official, or to pay the costs of a meeting or other event held by or in the name of a covered official; and certify that they have read and are familiar with the gift and travel rules of the Senate and House and that they have not provided, requested, or directed a gift or travel to a member, officer, or employee of Congress that would violate those rules.", "The Secretary of the Senate and the Clerk of the House, along with USAO, are responsible for ensuring LDA compliance. The Secretary of the Senate and the Clerk of the House notify lobbyists or lobbying firms in writing that they are not complying with the LDA reporting. Subsequently, they refer those lobbyists who fail to provide an appropriate response to USAO. USAO researches these referrals and sends additional noncompliance notices to the lobbyists or lobbying firms, requesting that they file reports or terminate their registration. If USAO does not receive a response after 60 days, it decides whether to pursue a civil or criminal case against each noncompliant lobbyist. A civil case could lead to penalties up to $200,000 for each violation, while a criminal case\u2014usually pursued if a lobbyist\u2019s noncompliance is found to be knowing and corrupt\u2014could lead to a maximum of 5 years in prison."], "subsections": []}, {"section_title": "Lobbyists Filed Disclosure Reports as Required for Most New Lobbying Registrations", "paragraphs": ["Generally, under the LDA, within 45 days of being employed or retained to make a lobbying contact on behalf of a client, the lobbyist must register by filing an LD-1 form with the Secretary of the Senate and the Clerk of the House. Thereafter, the lobbyist must file quarterly disclosure (LD-2) reports detailing the lobbying activities. Of the 3,433 new registrations we identified for the third and fourth quarters of 2016 and the first and second quarters of 2017, we matched 2,995 of them (87.2 percent) to corresponding LD-2 reports filed within the same quarter as the registration. These results are consistent with the findings we have reported in prior reviews. We used the House lobbyists\u2019 disclosure database as the source of the reports. We also used an electronic matching algorithm that allows for misspellings and other minor inconsistencies between the registrations and reports. Figure 2 shows lobbyists filed disclosure reports as required for most new lobbying registrations from 2010 through 2017."], "subsections": [{"section_title": "For Most LD-2 Reports, Lobbyists Provided Documentation for Key Elements, Including Documentation for Their Income and Expenses", "paragraphs": ["For selected elements of lobbyists\u2019 LD-2 reports that can be generalized to the population of lobbying reports, our findings have generally been consistent from year to year. Most lobbyists reporting $5,000 or more in income or expenses provided written documentation to varying degrees for the reporting elements in their disclosure reports. Figure 3 shows that for most LD-2 reports, lobbyists provided documentation for income and expenses for sampled reports from 2010 through 2017. However, in recent years our findings showed some variation in the estimated percentage of lobbyists who have reports with documentation for income and expense supporting lobbying activities. Specifically, our estimate for 2017 (99 percent) represents a statistically significant increase from 2016.", "Figure 4 shows that for some LD-2 reports, lobbyists did not round their income or expenses as the guidance requires. In 2017, we estimate 25 percent of reports did not round reported income or expenses according to the guidance. We have found that rounding difficulties have been a recurring issue on LD-2 reports from 2010 through 2017. As we previously reported, several lobbyists who listed expenses told us that based on their reading of the LD-2 form they believed they were required to report the exact amount. While this is not consistent with the LDA and the guidance, this may be a source of some of the confusion regarding rounding errors. In 2016, the guidance was updated to include an additional example about rounding expenses to the nearest $10,000. In 2017, 11 percent of lobbyists reported $10,000 or more in income or expenses.", "The LDA requires lobbyists to disclose lobbying contacts made with federal agencies on behalf of the client for the reporting period. This year, of the 98 LD-2 reports in our sample, 51 reports disclosed lobbying activities at federal agencies. Of those, lobbyists provided documentation for all lobbying activities at executive branch agencies for 34 LD-2 reports. Figures 5 through 8 show that lobbyists for most LD-2 reports provided documentation for selected elements of their LD-2 reports from 2010 through 2017."], "subsections": []}, {"section_title": "For Most Lobbying Disclosure Reports (LD-2), Lobbyists Filed Political Contribution Reports (LD- 203) for All Listed Lobbyists", "paragraphs": ["Lobbyists for an estimated 93 percent of LD-2 reports filed year-end 2016 for all lobbyists listed political contributions on the report as required. Figure 9 shows that lobbyists for most lobbying firms filed contribution reports as required in our sample from 2010 through 2017. All individual lobbyists and lobbying firms reporting lobbying activity are required to file LD-203 reports semiannually, even if they have no contributions to report, because they must certify compliance with the gift and travel rules."], "subsections": []}, {"section_title": "For Some LD-2 Reports, Lobbyists May Have Failed to Disclose Their Previously Held Covered Positions", "paragraphs": ["The LDA requires a lobbyist to disclose previously held covered positions in the executive or legislative branch, such as high ranking agency officials and congressional staff, when first registering as a lobbyist for a new client. This can be done either on a new LD-1 or on the quarterly LD- 2 filing when added as a new lobbyist. This year, we estimate that 15 percent of all LD-2 reports may not have properly disclosed previously held covered positions as required. As in our other reports, some lobbyists were still unclear about the need to disclose certain covered positions, such as paid congressional internships or certain executive agency positions. Figure 10 shows the extent to which lobbyists may not have properly disclosed one or more covered positions as required from 2010 through 2017."], "subsections": []}, {"section_title": "Some Lobbyists Amended Their Disclosure Reports after We Contacted Them", "paragraphs": ["Lobbyists amended 15 of the 98 LD-2 disclosure reports in our original sample to change previously reported information after we contacted them. Of the 15 reports, 7 were amended after we notified the lobbyists of our review, but before we met with them. An additional 8 of the 15 reports were amended after we met with the lobbyists to review their documentation. We consistently find a notable number of amended LD-2 reports in our sample each year following notification of our review. This suggests that sometimes our contact spurs lobbyists to more closely scrutinize their reports than they would have without our review. Table 1 lists reasons lobbying firms in our sample amended their LD-1 or LD-2 reports."], "subsections": []}, {"section_title": "Most LD-203 Contribution Reports Disclosed Political Contributions Listed in the Federal Election Commission Database", "paragraphs": ["As part of our review, we compared contributions listed on lobbyists\u2019 and lobbying firms\u2019 LD-203 reports against those political contributions reported in the Federal Election Commission (FEC) database to identify whether political contributions were omitted on LD-203 reports in our sample. The sample of LD-203 reports we reviewed contained 80 reports with contributions and 80 reports without contributions. We estimate that overall for 2017, lobbyists failed to disclose one or more reportable contributions on 12 percent of reports. Additionally, ten LD-203 reports were amended in response to our review. For this element in prior reports, we reported an estimated minimum percentage of reports based on a one-sided 95 percent confidence interval rather than the estimated proportion as shown here. Estimates in the table have a maximum margin of error of 11 percentage points. The year to year differences are not statistically significant.", "Table 2 illustrates that from 2010 through 2017 most lobbyists disclosed FEC reportable contributions on their LD-203 reports as required."], "subsections": []}]}, {"section_title": "Most Lobbying Firms Found it Easy to Comply with Disclosure Requirements and Understood Lobbying Terms", "paragraphs": ["As part of our review, 88 different lobbying firms were included in our 2017 sample of LD-2 disclosure reports. Consistent with prior reviews, most lobbying firms reported that they found it \u201cvery easy\u201d or \u201csomewhat easy\u201d to comply with reporting requirements. Of the 88 different lobbying firms in our sample, 34 reported that the disclosure requirements were \u201cvery easy,\u201d 40 reported them \u201csomewhat easy,\u201d and 13 reported them \u201csomewhat difficult\u201d or \u201cvery difficult\u201d (see figure 11).", "Most lobbying firms we surveyed rated the definitions of terms used in LD-2 reporting as \u201cvery easy\u201d or \u201csomewhat easy\u201d to understand with regard to meeting their reporting requirements. This is consistent with prior reviews. Figures 12 through 16 show what lobbyists reported as their ease of understanding the terms associated with LD-2 reporting requirements from 2012 through 2017."], "subsections": []}, {"section_title": "U.S. Attorney\u2019s Office for the District of Columbia Actions to Enforce the LDA", "paragraphs": [], "subsections": [{"section_title": "U.S. Attorney\u2019s Office\u2019s Resources and Authorities to Enforce LDA Compliance", "paragraphs": ["U.S. Attorney\u2019s Office (USAO) officials stated that they continue to have sufficient personnel resources and authority under the LDA to enforce reporting requirements. This includes imposing civil or criminal penalties for noncompliance. Noncompliance refers to a lobbyist\u2019s or lobbying firm\u2019s failure to comply with the LDA. However, USAO noted that the number of assigned personnel has decreased due to attrition.", "USAO officials stated that lobbyists resolve their noncompliance issues by filing LD-2, LD-203, or LD-2 amendments, or by terminating their registration, depending on the issue. Resolving referrals can take anywhere from a few days to years, depending on the circumstances. During this time, USAO creates summary reports from its database to track the overall number of referrals that are pending or become compliant as a result of the lobbyist receiving an e-mail, phone call, or noncompliance letter. Referrals remain in the pending category until they are resolved. The pending category is divided into the following areas: \u201cinitial research for referral,\u201d \u201cresponded but not compliant,\u201d \u201cno response/waiting for a response,\u201d \u201cbad address,\u201d and \u201cunable to locate.\u201d The USAO attempts to review and update all pending cases every six months.", "USAO focuses its enforcement efforts primarily on the \u201cresponded but not compliant\u201d and the \u201cno response/waiting for a response\u201d groups. Officials told us that, if the USAO, after several unsuccessful attempts, has been unsuccessful in contacting the non-compliant firm or its lobbyist, USAO confers with both the Secretary of the Senate and the Clerk of the House to determine whether further action is needed.", "In the cases where the lobbying firm is repeatedly referred for not filing disclosure reports but does not appear to be actively lobbying, USAO suspends enforcement actions. USAO officials reported they will continue to monitor these firms and will resume enforcement actions if required."], "subsections": []}, {"section_title": "Status of LD-2 Enforcement Efforts", "paragraphs": ["USAO received 3,213 referrals from both the Secretary of the Senate and the Clerk of the House for failure to comply with LD-2 reporting requirements cumulatively for filing years 2009 through 2015. Table 4 shows the number and status of the referrals received and the number of enforcement actions taken by USAO to bring lobbying firms into compliance. Enforcement actions include USAO attempts to bring lobbyists into compliance through letters, e-mails, and calls. About 45 percent (1,450 of 3,213) of the total referrals received are now compliant because lobbying firms either filed their reports or terminated their registrations. In addition, some of the referrals were found to be compliant when USAO received the referral. Therefore, no action was taken. This may occur when lobbying firms respond to the contact letters from the Secretary of the Senate and the Clerk of the House after USAO received the referrals. About 55 percent (1,752 of 3,213) of referrals are pending further action because USAO could not locate the lobbying firm, did not receive a response from the firm after an enforcement action, or plans to conduct additional research to determine if it can locate the lobbying firm. The remaining 11 referrals did not require action or were suspended because the lobbyist or client was no longer in business or the lobbyist was deceased."], "subsections": []}, {"section_title": "Status of LD-203 Referrals", "paragraphs": ["LD-203 referrals consist of two types: (1) LD-203(R) referrals represent lobbying firms that have failed to file LD-203 reports for their lobbying firm and (2) LD-203 referrals represent the lobbyists at the lobbying firm who have failed to file their individual LD-203 reports as required. USAO received 2,255 LD-203(R) referrals (cumulatively from 2009 through 2015) and 3,716 LD-203 referrals (cumulatively from 2009 through 2014 from the Secretary of the Senate and the Clerk of the House for lobbying firms and lobbyists for noncompliance with reporting requirements). LD- 203 referrals are more complicated than LD-2 referrals because both the lobbying firm and the individual lobbyists within the firm are each required to file a LD-203. Lobbyists employed by a lobbying firm typically use the firm\u2019s contact information and not the lobbyists\u2019 personal contact information. This makes it difficult to locate a lobbyist who is not in compliance and may have left the firm.", "USAO officials reported that, while many firms have assisted USAO by providing contact information for lobbyists, they are not required to do so. According to officials, USAO has difficulty pursuing LD-203 referrals for lobbyists who have departed a firm without leaving forwarding contact information with the firm. While USAO utilizes web searches and online databases, including social media, to find these missing lobbyists, it is not always successful. Table 5 shows the status of LD-203 (R) referrals received and the number of enforcement actions taken by USAO to bring lobbying firms into compliance. A little more than 44 percent (998 of 2,255) of the lobbying firms referred by the Secretary of the Senate and Clerk of the House for noncompliance from calendar years 2009 through 2015 are now considered compliant because firms either filed their reports or terminated their registrations. About 56 percent (1,251 of 2,255) of the referrals are pending further action.", "Table 6 shows that USAO received 3,716 LD-203 referrals from the Secretary of the Senate and Clerk of the House for lobbyists who failed to comply with LD-203 reporting requirements for calendar years 2009 through 2014. It also shows the status of the referrals received and the number of enforcement actions taken by USAO to bring lobbyists into compliance. In addition, table 6 shows that about 47 percent (1,741 of 3,716) of the lobbyists had come into compliance by filing their reports or are no longer registered as a lobbyist. About 53 percent (1,966 of 3,716) of the referrals are pending further action because USAO could not locate the lobbyist, did not receive a response from the lobbyist, or plans to conduct additional research to determine if it can locate the lobbyist.", "Table 7 shows that USAO received LD-203 referrals from the Secretary of the Senate and the Clerk of the House for 4,991 lobbyists who failed to comply with LD-203 reporting requirements for any filing year from 2009 through 2014. It also shows the status of compliance for individual lobbyists listed on referrals to USAO. About 51 percent (2,526 of 4,991) of the lobbyists had come into compliance by filing their reports or are no longer registered as a lobbyist. About 50 percent (2,465 of 4,991) of the referrals are pending action because USAO could not locate the lobbyists, did not receive a response from the lobbyists, or plans to conduct additional research to determine if it can locate the lobbyists.", "USAO officials said that many of the pending LD-203 referrals represent lobbyists who no longer lobby for the lobbying firms affiliated with the referrals, even though these lobbying firms may be listed on the lobbyist\u2019s LD-203 report."], "subsections": []}, {"section_title": "Status of Enforcement Settlement Actions", "paragraphs": ["According to USAO officials, lobbyists and lobbying firms who repeatedly fail to file reports are labeled chronic offenders and referred to one of the assigned attorneys for follow-up. USAO also receives complaints regarding lobbyists who are allegedly lobbying but never filed an LD-203. USAO officials added that USAO monitors and investigates chronic offenders to ultimately determine the appropriate enforcement actions, which may include settlement or other civil actions.", "In regards to the four active cases involving chronic offenders they reported to us in 2016, USAO officials noted that the agency is investigating one case, negotiating a resolution that will include a civil penalty in another case, and closing two other investigations without further action. In addition, USAO is reviewing its records to identify additional chronic offenders for further action due to noncompliance."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Justice for review and comment. The Department of Justice provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Attorney General, Secretary of the Senate, Clerk of the House of Representatives, and interested congressional committees and members. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2717 or jonesy@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["Our objectives were to determine the extent to which lobbyists are able to demonstrate compliance with the Lobbying Disclosure Act of 1995, as amended (LDA) by providing documentation to support information contained on registrations and reports filed under the LDA; to identify challenges and potential improvements to compliance, if any; and to describe the resources and authorities available to the U.S. Attorney\u2019s Office for the District of Columbia (USAO), its role in enforcing LDA compliance, and the efforts it has made to improve LDA enforcement.", "We used information in the lobbying disclosure database maintained by the Clerk of the House of Representatives (Clerk of the House). To assess whether these disclosure data were sufficiently reliable for the purposes of this report, we reviewed relevant documentation and consulted with knowledgeable officials. Although registrations and reports are filed through a single web portal, each chamber subsequently receives copies of the data and follows different data-cleaning, processing, and editing procedures before storing the data in either individual files (in the House) or databases (in the Senate). Currently, there is no means of reconciling discrepancies between the two databases caused by the differences in data processing. For example, Senate staff told us during previous reviews they set aside a greater proportion of registration and report submissions than the House for manual review before entering the information into the database. As a result, the Senate database would be slightly less current than the House database on any given day pending review and clearance.", "House staff told us during previous reviews that they rely heavily on automated processing. In addition, while they manually review reports that do not perfectly match information on file for a given lobbyist or client, staff members approve and upload such reports as originally filed by each lobbyist, even if the reports contain errors or discrepancies (such as a variant on how a name is spelled). Nevertheless, we do not have reasons to believe that the content of the Senate and House systems would vary substantially. Based on interviews with knowledgeable officials and a review of documentation, we determined that House disclosure data were sufficiently reliable for identifying a sample of quarterly disclosure reports (LD-2) and for assessing whether newly filed lobbyists also filed required reports. We used the House database for sampling LD-2 reports from the third and fourth quarters of 2016 and the first and second quarters of 2017, as well as for sampling year-end 2016 and midyear 2017 political contributions reports (LD-203). We also used the database for matching quarterly registrations with filed reports. We did not evaluate the Offices of the Secretary of the Senate or the Clerk of the House, both of which have key roles in the lobbying disclosure process. However, we did consult with officials from each office. They provided us with general background information at our request.", "To assess the extent to which lobbyists could provide evidence of their compliance with reporting requirements, we examined a stratified random sample of 98 LD-2 reports from the third and fourth quarters of 2016 and the first and second quarters of 2017. The sample size of 98 LD-2 reports for this year\u2019s review represents an increase from the sample size selected for the 2015 and 2016 reviews, and is a return to the sample size selected in reviews prior to 2015. We increased the sample size because, in 2016, we observed a change in the estimate of the percentage of reports that had documentation of income and expenses (83 percent down from 92 percent in 2015). At that time, we were unable to state that this was a statistically significant change because, in part, the reduced sample size of 80 did not give us enough power to detect and report on the change of that size. We excluded reports with no lobbying activity or with income or expenses of less than $5,000 from our sampling frame. We drew our sample from 45,818 activity reports filed for the third and fourth quarters of 2016 and the first and second quarters of 2017 available in the public House database, as of our final download date for each quarter.", "Our sample of LD-2 reports was not designed to detect differences over time. However, we conducted tests of significance for changes from 2010 to 2017 for the generalizable elements of our review. We found that results were generally consistent from year to year and there were few statistically significant changes after using a Bonferroni adjustment to account for multiple comparisons. For this year\u2019s review, we identified that the estimated change in the percent of LD-2 reports that provided written documentation for the income and expenses from 2016 to 2017 is notable. In recent years, our findings show some variation in the estimate percentage of reports with documentation. Specifically, our estimate for 2017 (99 percent) represents a statistically significant increase from 2016. These changes are identified in the report. The inability to detect significant differences from year to year in our results may be related to sampling error alone or the nature of our sample, which was relatively small and was designed only for cross-sectional analysis.", "Our sample is based on a stratified random selection and is only one of a large number of samples that we may have drawn. Because each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval. This interval would contain the actual population value for 95 percent of the samples that we could have drawn. The percentage estimates for LD-2 reports have 95 percent confidence intervals of within plus or minus 12 percentage points or fewer of the estimate itself.", "We contacted all the lobbyists and lobbying firms in our sample and, using a structured web-based survey, asked them to confirm key elements of the LD-2 and whether they could provide written documentation for key elements in their reports, including the amount of income reported for lobbying activities; the amount of expenses reported on lobbying activities; the names of those lobbyists listed in the report; the houses of Congress and federal agencies that they lobbied, and the issue codes listed to describe their lobbying activity.", "After reviewing the survey results for completeness, we interviewed lobbyists and lobbying firms to review the documentation they reported as having on their online survey for selected elements of their respective LD- 2 report.", "Prior to each interview, we conducted a search to determine whether lobbyists properly disclosed their covered position as required by the LDA. We reviewed the lobbyists\u2019 previous work histories by searching lobbying firms\u2019 websites, LinkedIn, Leadership Directories, Legistorm, and Google. Prior to 2008, lobbyists were only required to disclose covered official positions held within 2 years of registering as a lobbyist for the client. The Honest Leadership and Open Government Act of 2007 amended that time frame to require disclosure of positions held 20 years before the date the lobbyists first lobbied on behalf of the client. Lobbyists are required to disclose previously held covered official positions either on the client registration (LD-1) or on an LD-2 report. Consequently, those who held covered official positions may have disclosed the information on the LD-1 or a LD-2 report filed prior to the report we examined as part of our random sample. Therefore, where we found evidence that a lobbyist previously held a covered official position, and that information was not disclosed on the LD-2 report under review, we conducted an additional review of the publicly available Secretary of the Senate or Clerk of the House database to determine whether the lobbyist properly disclosed the covered official position on a prior report or LD-1. Finally, if a lobbyist appeared to hold a covered position that was not disclosed, we asked for an explanation at the interview with the lobbying firm to ensure that our research was accurate.", "In previous reports, we reported the lower bound of a 90 percent confidence interval to provide a minimum estimate of omitted covered positions and omitted contributions with a 95 percent confidence level. We did so to account for the possibility that our searches may have failed to identify all possible omitted covered positions and contributions. As we have developed our methodology over time, we are more confident in the comprehensiveness of our searches for these items. Accordingly, this report presents the estimated percentages for omitted contributions and omitted covered positions, rather than the minimum estimates. As a result, percentage estimates for these items will differ slightly from the minimum percentage estimates presented in prior reports.", "In addition to examining the content of the LD-2 reports, we confirmed whether the most recent LD-203 reports had been filed for each firm and lobbyist listed on the LD-2 reports in our random sample. Although this review represents a random selection of lobbyists and firms, it is not a direct probability sample of firms filing LD-2 reports or lobbyists listed on LD-2 reports. As such, we did not estimate the likelihood that LD-203 reports were appropriately filed for the population of firms or lobbyists listed on LD-2 reports.", "To determine if the LDA\u2019s requirement for lobbyists to file a report in the quarter of registration was met for the third and fourth quarters of 2016 and the first and second quarters of 2017, we used data filed with the Clerk of the House to match newly filed registrations with corresponding disclosure reports. Using an electronic matching algorithm that includes strict and loose text matching procedures, we identified matching disclosure reports for 2,995, or 87.2 percent, of the 3,433 newly filed registrations. We began by standardizing client and lobbyist names in both the report and registration files (including removing punctuation and standardizing words and abbreviations, such as \u201ccompany\u201d and \u201cCO\u201d). We then matched reports and registrations using the House identification number (which is linked to a unique lobbyist-client pair), as well as the names of the lobbyist and client.", "For reports we could not match by identification number and standardized name, we also attempted to match reports and registrations by client and lobbyist name, allowing for variations in the names to accommodate minor misspellings or typos. For these cases, we used professional judgment to determine whether cases with typos were sufficiently similar to consider as matches. We could not readily identify matches in the report database for the remaining registrations using electronic means.", "To assess the accuracy of the LD-203 reports, we analyzed stratified random samples of LD-203 reports from the 30,594 total LD-203 reports. The first sample contains 80 reports of the 9,474 reports with political contributions and the second contains 80 reports of the 20,335 reports listing no contributions. Each sample contains 40 reports from the year- end 2016 filing period and 40 reports from the midyear 2017 filing period. The samples from 2017 allow us to generalize estimates in this report to either the population of LD-203 reports with contributions or the reports without contributions to within a 95 percent confidence interval of within plus or minus 11 percentage points or fewer. Although our sample of LD- 203 reports was not designed to detect differences over time, we conducted tests of significance for changes from 2010 to 2017 and found no statistically significant differences after adjusting for multiple comparisons.", "While the results provide some confidence that apparent fluctuations in our results across years are likely attributable to sampling error, the inability to detect significant differences may also be related to the nature of our sample, which was relatively small and designed only for cross- sectional analysis. We analyzed the contents of the LD-203 reports and compared them to contribution data found in the publicly available Federal Elections Commission\u2019s (FEC) political contribution database. We consulted with staff at FEC responsible for administering the database. We determined that the data are sufficiently reliable for the purposes of our reporting objectives.", "We compared the FEC-reportable contributions on the LD-203 reports with information in the FEC database. The verification process required text and pattern matching procedures so we used professional judgment when assessing whether an individual listed is the same individual filing an LD-203. For contributions reported in the FEC database and not on the LD-203 report, we asked the lobbyists or organizations to explain why the contribution was not listed on the LD-203 report or to provide documentation of those contributions. As with covered positions on LD-2 disclosure reports, we cannot be certain that our review identified all cases of FEC-reportable contributions that were inappropriately omitted from a lobbyist\u2019s LD-203 report. We did not estimate the percentage of other non-FEC political contributions that were omitted because they tend to constitute a small minority of all listed contributions and cannot be verified against an external source.", "To identify challenges to compliance, we used a structured web-based survey and obtained the views from 88 different lobbying firms included in our sample on any challenges to compliance. The number of different lobbying firms is 88, which is less than our original sample of 98 reports because some lobbying firms had more than one LD-2 report included in our sample. We calculated responses based on the number of different lobbying firms that we contacted rather than the number of interviews. Prior to our calculations, we removed the duplicate lobbying firms based on the most recent date of their responses. For those cases with the same response date, the decision rule was to keep the cases with the smallest assigned case identification number. To obtain their views, we asked them to rate their ease with complying with the LD-2 disclosure requirements using a scale of \u201cvery easy,\u201d \u201csomewhat easy,\u201d \u201csomewhat difficult,\u201d or \u201cvery difficult.\u201d In addition, using the same scale we asked them to rate the ease of understanding the terms associated with LD-2 reporting requirements.", "To describe the resources and authorities available to the U.S. Attorney\u2019s Office for the District of Columbia (USAO) and its efforts to improve its LDA enforcement, we interviewed USAO officials. We obtained information on the capabilities of the system officials established to track and report compliance trends and referrals and on other practices established to focus resources on LDA enforcement. USAO provided us with reports from the tracking system on the number and status of referrals and chronically noncompliant lobbyists and lobbying firms.", "The mandate does not require us to identify lobbyists who failed to register and report in accordance with the LDA requirements, or determine for those lobbyists who did register and report whether all lobbying activity or contributions were disclosed. Therefore, this was outside the scope of our audit.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: List of Lobbyists and Clients for Sampled Lobbying Disclosure Reports", "paragraphs": ["The random sample of lobbying disclosure reports we selected was based on unique combination of House ID, lobbyist, and client names (see table 8)."], "subsections": []}, {"section_title": "Appendix III: List of Sampled Lobbying Contribution Reports with and without Contributions Listed", "paragraphs": ["See table 9 for a list of the lobbyists and lobbying firms from our random sample of lobbying contribution reports with contributions. See table 10 for a list of the lobbyists and lobbying firms from our random sample of lobbying contribution reports without contributions."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Clifton G. Douglas Jr. (Assistant Director), Shirley Jones (Assistant General Counsel) and Ulyana Panchishin (Analyst-In-Charge) supervised the development of this report. James Ashley, Ann Czapiewski, Krista Loose, Kathleen Jones, Amanda Miller, Sharon Miller, Stewart W. Small, and Kayla L. Robinson made key contributions to this report.", "Assisting with lobbyist file reviews were Justine Augeri, Matthew Bond, James A. Howard, Jesse Jordan, Sherrice Kerns, Dalton Matthew Lauderback, Alexandria Palmer, Alan Rozzi, Shane Spencer, Jessica Walker, Ralanda Winborn, and Kate Wulff."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with New Disclosure Requirements. GAO-08-1099. Washington, D.C: September 30, 2008. 2008 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-09-487. Washington, D.C: April 1, 2009. 2009 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-10-499. Washington, D.C: April 1, 2010. 2010 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-11-452. Washington, D.C: April 1, 2011. 2011 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-12-492. Washington, D.C: March 30, 2012. 2012 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-13-437. Washington, D.C: April 1, 2013. 2013 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-14-485. Washington, D.C: May 28, 2014. 2014 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-15-310. Washington, D.C.: March 26, 2015. 2015 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-16-320. Washington, D.C.: March 24, 2016. 2016 Lobbying Disclosure: Observations on Lobbyists\u2019 Compliance with Disclosure Requirements. GAO-17-385. Washington, D.C.: March 31, 2017."], "subsections": []}], "fastfact": ["The Lobbying Disclosure Act requires lobbyists to regularly file reports on their activities, which must be available for public review. GAO audits compliance.", "Lobbyists are required to disclose certain previously held covered positions, such as certain executive agency and congressional staff posts. We estimate 15 percent of the reports may not have properly disclosed this information.", "We reviewed a sample of 98 of the 45,818 quarterly reports filed in the last half of 2016 and first half of 2017 with expenses of $5,000 or more. We then contacted those who filed the reports. Lobbyists amended these forms in 15 cases after we contacted them."]} {"id": "GAO-18-369", "url": "https://www.gao.gov/products/GAO-18-369", "title": "Summer Meals: Actions Needed to Improve Participation Estimates and Address Program Challenges", "published_date": "2018-05-31T00:00:00", "released_date": "2018-07-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The SFSP, a federal nutrition assistance program, is intended to provide food to children in low-income areas during periods when area schools are closed for vacation. In the last decade, federal expenditures for SFSP have increased as the program has expanded, according to USDA data. GAO was asked to review the SFSP.", "This report examines (1) what is known about SFSP participation, (2) other programs that help feed low-income children over the summer, and (3) challenges, if any, in providing summer meals to children and the extent to which USDA provides assistance to address these challenges. GAO reviewed relevant federal laws, regulations, and guidance; analyzed USDA's SFSP data for fiscal years 2007 through 2016; surveyed state agencies responsible for administering the SFSP in 50 states and the District of Columbia; visited a nongeneralizable group of 3 states and 30 meal sites, selected based on Census data on child poverty rates and urban and rural locations; analyzed meal site data from the 3 states; and interviewed USDA, state and national organization officials, and SFSP providers, including sponsors and site operators."]}, {"section_title": "What GAO Found", "paragraphs": ["Nationwide, the total number of meals served to children in low-income areas through the Summer Food Service Program (SFSP) increased from 113 to 149 million (about 32 percent) from fiscal year 2007 through 2016. The U.S. Department of Agriculture (USDA) directs states to use the number of meals served, along with other data, to estimate the number of children participating in the SFSP. However, participation estimates have been calculated inconsistently from state to state and year to year. In 2017, USDA took steps to improve the consistency of participation estimates, noting they are critical for informing program implementation and strategic planning. However, GAO determined that the method USDA directs states to use will continue to provide unreliable estimates of participation, hindering USDA's ability to use them for these purposes.", "Other federal and nonfederal programs help feed low-income children over the summer to some extent, according to states GAO surveyed and SFSP providers and others GAO interviewed. For example, in July 2016, USDA data indicate about 26 million meals were served through a separate federal program that allows school meal providers to serve summer meals. Some children also received summer meals through nonfederal programs operated by faith-based organizations and foodbanks, though GAO's state survey and interviews with providers and national organizations indicate the reach of such efforts is limited.", "States and SFSP providers reported challenges with meal sites, participation, and program administration; USDA has taken steps to address these areas. Specifically, in GAO's survey, a majority of states reported challenges with availability and awareness of meal sites, as well as limited program participation and administrative capacity. National, state, and local officials have taken steps to address these issues, such as increasing outreach and offering activities to attract participation. In addition, 17 states in GAO's survey and providers in the states GAO visited reported a challenge with ensuring meal sites are in safe locations. To address this safety issue, USDA has granted some states and sponsors flexibility from the requirement that children consume meals on-site. However, USDA has not broadly communicated the circumstances it considers when granting this flexibility. Further, some states and sponsors that have requested this flexibility reported difficulty obtaining data to show these circumstances exist, hampering their ability to ensure safe meal delivery."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that USDA improve estimates of children's participation in SFSP and communicate the circumstances it considers when granting flexibilities to ensure safe meal delivery. USDA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2016, the U.S. Department of Agriculture (USDA) spent $478 million to provide more than 150 million meals to children through the Summer Food Service Program (SFSP). As a federal nutrition assistance program, the primary purpose of the SFSP is to provide food service to children in low-income areas during periods when area schools are closed for vacation. USDA\u2019s Food and Nutrition Service (FNS) oversees the SFSP, which is administered by the states and operated by a variety of public and private nonprofit organizations and government entities that sponsor meals at sites such as schools, camps, parks, churches, and libraries. In the last decade, federal expenditures have increased as the program has expanded, according to FNS data. As Congress considers proposals intended to modify child nutrition programs, you asked that we examine issues related to the SFSP. 1. What is known about participation in the Summer Food Service Program and how it has changed in the last 10 years? 2. What other programs help feed low-income children over the summer? 3. What challenges exist, if any, in providing summer meals to children, and to what extent does FNS provide assistance to states and sponsors to address these challenges?", "To address our first objective about participation in the SFSP, we analyzed FNS\u2019s national data on SFSP meals served for fiscal years 2007 through 2016. For context on these trends, we analyzed, and compared to the SFSP data, FNS\u2019s data on lunches served through the National School Lunch Program (NSLP), the largest child nutrition assistance program, for the same time period. To assess the reliability of SFSP and NSLP data, we (1) performed electronic testing of relevant data elements, (2) reviewed existing information about the data and the system that produced them, and (3) interviewed agency officials knowledgeable about the data. We determined that these data were sufficiently reliable to identify the number of meals served in each program and assess change over time.", "We also reviewed FNS\u2019s method for estimating the number of children participating in the SFSP using these data and discuss the reliability of this method in the body of the report. From our three selected states, we also analyzed site-level data on meals served and days of operation for 2 months during the summer of 2016, including the month with the largest number of SFSP meals served in each state. We assessed the reliability of these data by (1) performing electronic testing of relevant data elements, (2) reviewing existing information about the data and the system that produced them, and (3) interviewing agency officials knowledgeable about the data. We determined these data to be sufficiently reliable for the purposes of this report.", "To obtain information specific to our second objective on other programs that help feed children in the summer, we also analyzed FNS data on meals served through the NSLP and School Breakfast Program (SBP) in July 2016 because FNS used these data to estimate meals served through the Seamless Summer Option in summer 2016. To assess the reliability of these data, we (1) performed electronic testing of relevant data elements, (2) reviewed existing information about the data and the system that produced them, and (3) interviewed agency officials knowledgeable about the data. We determined that these data were sufficiently reliable to describe the number of meals served through the Seamless Summer Option.", "In addition, we relied on several methods to address all three objectives. At the federal level, we reviewed relevant federal laws, regulations, and guidance, and interviewed FNS officials in headquarters and its seven regional offices. We also surveyed the state agencies responsible for administering the SFSP in the 50 states and District of Columbia. We administered our web-based survey between August and October 2017 and received a 100 percent response rate. Further, we visited three selected states\u2014Arizona, Illinois, and Massachusetts\u2014between June and July 2017. In each state, we interviewed state agency officials responsible for administering the SFSP, as well as selected SFSP providers, and we observed SFSP meal service at a total of 30 meal sites. We selected states and local areas within those states based on a high proportion of children in poverty, a mix of urban and rural densities, a mix of sponsor and site types, and diverse locations in the country. We visited a wide variety of site locations including, but not limited to, schools, parks, community recreation areas, and libraries. To gather additional information, we interviewed a broad range of regional and national organizations involved in the SFSP, such as the Boys and Girls Club of America, Catholic Charities, and Feeding America. Additional information on the report\u2019s scope and methodology is included in appendix I.", "We conducted this work from January 2017 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Created in 1968, the SFSP is authorized under the Richard B. Russell National School Lunch Act and generally provides free meals to children age 18 and under in low-income areas during certain periods when school is not in session. Specifically, the SFSP operates during school summer vacation periods between May through September, vacation periods in any month for programs operating on a continuous school calendar, and certain other times for areas affected by an unanticipated school closure, such as for a natural disaster. However, the majority of SFSP meals are served to children during the summer months.", "In fiscal years 2007 through 2016, federal expenditures on SFSP increased, according to FNS data, though there was a slight decrease between fiscal years 2015 and 2016 (see fig. 1)."], "subsections": [{"section_title": "SFSP Program Administration", "paragraphs": ["The SFSP is administered at the federal level by FNS through its national and regional offices. FNS is responsible for issuing regulations, instructions, and guidance; reviewing states\u2019 program management and administration plans; overseeing program administration; and reimbursing states for meals served that meet program requirements. At the state level, the program is administered by state agencies and locally operated by state-approved sponsors, such as school districts, local government entities, or private nonprofit organizations. State agencies are responsible for approving, providing training to, and inspecting and monitoring sponsors and meal sites. Sponsors, in turn, are responsible for monitoring their SFSP meal sites, managing the meal service, and providing training to administrative staff and site operators. A sponsor may operate one site or multiple sites. Sites are physical locations in the community where children receive and consume meals in a supervised setting. According to FNS guidance, sites may be located in a variety of settings, including schools, parks, community centers, health clinics, hospitals, apartment complexes, churches, and migrant camps."], "subsections": []}, {"section_title": "SFSP Program Requirements", "paragraphs": ["States may approve different types of SFSP meal sites, including open sites, closed enrolled sites, and camps. Open sites operate in an area where at least half of the children are eligible for free or reduced-price school meals (referred to as \u201carea eligible\u201d), according to data from entities such as schools or the U.S. Census Bureau. Children are generally eligible for free or reduced-price school meals if their households have incomes at or below 185 percent of federal poverty guidelines. At open sites, meals are made available to all children in the area, and all meals served that meet program requirements are reimbursable. Closed enrolled sites, on the other hand, are open only to enrolled children, as opposed to the community at large. At closed enrolled sites, meals served to all children in attendance are reimbursable as long as at least half of the enrolled children are eligible for free or reduced-price school lunch. Unlike other types of sites, camps are reimbursed only for meals served to children who have been individually determined to be eligible for free or reduced-price school meals.", "SFSP meals must meet certain requirements in order to be eligible for federal reimbursement; for example, the meals must be served and consumed on-site at an approved site. Federal reimbursements for summer meals are provided for each breakfast, lunch, supper, or snack served to an eligible child at an eligible site that also meets federal requirements for menu components, scheduled meal times, and nutrition. For example, to meet nutritional requirements, a lunch or a supper must, at a minimum, include four components: 2 ounces of meat or a comparable serving of a meat alternate, 3/4 cup of fruits and/or vegetables (at least two kinds), a slice of bread or a comparable serving of another grain, and a cup of milk. In 2017, the federal reimbursement rate was $3.83 or $3.77 for each eligible SFSP lunch or supper served, depending on the type of meal site. Each site may serve up to two meals or one meal and one snack per day.", "Some flexibilities are available to FNS in implementing the SFSP program, under its waiver and demonstration authorities. Specifically, the National School Lunch Act authorizes the Secretary of Agriculture to waive, upon request of a state or eligible service provider, certain program requirements established under the National School Lunch Act or the Child Nutrition Act of 1966, as amended, including some for the SFSP. In order to grant a waiver request, the Secretary must determine that the waiver would facilitate the state or service provider\u2019s ability to carry out the purpose of the program, and that the waiver will not increase the overall cost of the program to the federal government, among other things. In the event a waiver request is submitted, the Secretary is required to act promptly and state in writing whether the waiver request is granted or denied, and why. The Secretary is also required to periodically review the performance of waiver recipients, and submit an annual report to Congress summarizing the use of waivers and their effectiveness, among other details.", "In addition to this waiver authority, the Secretary is also authorized to carry out demonstration projects to develop and test methods of providing access to summer meals for low-income children in urban and rural areas, to reduce or eliminate the food insecurity and hunger of low-income children and improve their nutritional status. The Secretary is required to provide for an independent evaluation of the demonstration projects carried out under this authority, and submit an annual report to Congress on the status of each project and the results of the evaluations."], "subsections": []}]}, {"section_title": "Number of SFSP Meals Served Has Generally Increased since 2007, but Estimates of Children Participating in the SFSP Are Unreliable", "paragraphs": [], "subsections": [{"section_title": "Number of SFSP Meals Served Has Increased by 32 Percent since Fiscal Year 2007", "paragraphs": ["The total number of SFSP meals served nationwide during the summer\u2014 one indicator of program participation\u2014increased from 113 million meals in fiscal year 2007 to 149 million meals in fiscal year 2016, or by 32 percent, according to our analysis of FNS data. The number of SFSP meals served has generally increased from year to year over this 10-year period. Most recently, meals decreased by 6 percent from 156 million meals in summer 2015 to 149 million meals in summer 2016, according to our analysis of FNS data (see fig. 2). Factors that may have affected year-to-year fluctuations include changes in funding for summer programs, sponsor participation, weather, and the number of weekdays available for sites to serve meals within a given summer, according to FNS and state agency officials we interviewed. For example, state agency officials in one of the three selected states we visited said they believe that reductions in state and local funding for summer programs that also provide meals, and turnover of sponsors, including losing one of the state\u2019s largest sponsors in a recent summer, affected the total number of SFSP meals served in their state in 2016.", "According to our analysis of FNS data, SFSP lunches served in the summer months increased by over 17 million from fiscal year 2007 through fiscal year 2016, accounting for almost half of the total increase in the number of SFSP meals served in that period. However, when comparing across each of the meal types, supper and breakfast had the largest percentage increases over the 10-year period, 50 and 48 percent, respectively (see table 1). In comparison, the number of SFSP lunches served increased by 26 percent from fiscal years 2007 through fiscal year 2016.", "From fiscal year 2007 through fiscal year 2016, there were increases in the numbers of meals served in both SFSP and NSLP, the largest child nutrition assistance program. Specifically, SFSP lunches served in July increased from 32 million to 40 million, or 24 percent, from fiscal year 2007 to 2016, and NSLP lunches served in March increased from 328 million to 376 million meals, or 15 percent, according to our analysis of FNS data. Although the programs generally serve similar populations, different factors likely affected the number of meals served by each program, in part because NSLP serves children in schools during the school year and SFSP serves children in a variety of settings during the summer months."], "subsections": []}, {"section_title": "Estimates of Children Participating in SFSP Have Been Calculated Inconsistently and Are Unreliable", "paragraphs": ["Although states report the actual number of SFSP meals served to FNS, they estimate the number of children participating in SFSP, and information obtained from our state survey and FNS indicate that these participation estimates have been calculated inconsistently. FNS instructs state agencies on how to calculate a statewide estimate of children\u2019s participation in the SFSP, referred to as average daily attendance (ADA), using sponsor-reported information on the number of meals served and days of operation in July of each year. However, states\u2019 methods for calculating ADA have differed from state to state and from year to year, according to our review of states\u2019 survey responses and FNS documents. For example, although FNS directed states to include the number of meals served in each site\u2019s primary meal service\u2014 which may or may not be lunch\u2014some states, according to our survey and FNS data, were calculating ADA using only meals served at lunch. FNS officials told us that these states were therefore not following the agency\u2019s instructions. Further, some states have changed their methods for calculating ADA over time\u2014five states reported in our survey that the method they used to calculate ADA in fiscal year 2016 differed from the one they used previously.", "While FNS clarified its instructions in May 2017 to help improve the consistency of states\u2019 ADA calculations moving forward, ADA remains an unreliable estimate of children\u2019s daily participation in SFSP for at least two reasons, according to our analysis. (See sidebar for the revised ADA calculation instructions.) First, ADA is based on summary data that does not account for existing variation in site days of operation, and second, it is based on July data, which does not reflect the month with the greatest number of meals served in every state.", "According to our analysis, ADA is an unreliable estimate of children\u2019s participation in SFSP because it currently does not account for existing variation in the number of days that each site serves meals to children. Specifically, because FNS\u2019s instructions indicate that sites\u2019 ADAs are to be combined to provide a statewide ADA estimate, differences in the number of days of meal service are disregarded. As a result, ADA does not reflect the average number of children served SFSP meals daily throughout the month. Our analysis of site-level data from one of the selected states illustrates this limitation. In this state, multiple sites reported an ADA of 60 for July, yet two of those sites served meals to children on only 1 day of the month and another site served meals to children on 20 days. Although 120 children were served SFSP meals only 1 day in July across two of these sites, the combined ADA across all three sites, which we calculated following FNS\u2019s instructions, inaccurately suggests an average of 180 children were participating in SFSP at these sites on a daily basis in July.", "According to our analysis, ADA is also an unreliable estimate of children\u2019s participation in SFSP because it currently does not account for state variation in the month with the greatest number of SFSP meals served, potentially leading to an underestimate. According to FNS officials, the agency instructs states to calculate ADA for July because officials identified this as the month with the largest number of meals served nationwide. However, because of reasons such as state variations in school calendars, July is not the month with the largest number of meals served in every state. In one of the selected states, Arizona, using July to calculate ADA cuts the estimate almost in half. Specifically, we followed FNS\u2019s instructions and calculated that Arizona\u2019s ADA was 14,987 in July 2016 compared to 26,772 in June 2016. Nationwide, in summer 2016, 26 states served more SFSP meals in June or August than in July, according to our analysis of FNS data. However, without site level data on meals served and operating days, the extent to which these states had higher ADAs in June or August as compared to July is unknown.", "In its May 2017 memo to states revising the ADA calculation instructions, FNS said that it is critical that the agency\u2019s means of estimating children\u2019s participation in the SFSP is as accurate as possible because it helps inform program implementation at the national level and facilitates strategic planning and outreach to areas with low participation. In addition, Standards for Internal Control in the Federal Government state that agencies should maintain quality data and process it into quality information that is shared with stakeholders to help achieve agency goals.", "Although FNS has also collected information on other data that states collect on the SFSP, the agency has not yet used this information to help improve its estimate of children\u2019s participation in the program. In 2015, FNS published a Request for Information, asking whether states or sponsors collect any SFSP data that are not reported to FNS. While FNS received responses from only 15 states, these responses suggest that some states collect additional data, such as site-level data that may allow for an improved estimate of children\u2019s SFSP participation, potentially addressing the issues we found in our analysis. In response to the information FNS received, they followed up with up to 9 of the 15 states in 2016 and 2017 to explore the feasibility of collecting additional data and improving estimates of children\u2019s participation. Although they took these steps, FNS officials told us they are cognizant of the burden on states and site operators that would be associated with additional reporting requirements. At this time, the agency has not taken further action to improve the estimate, such as addressing the reliability issues caused by variation in the number of operating days of meal sites and in the months with the greatest number of meals served by state. As a result, FNS\u2019s understanding of children\u2019s participation in the SFSP remains limited, which impairs its ability to both inform program implementation and facilitate strategic planning and outreach to areas with low participation."], "subsections": []}]}, {"section_title": "Other Federal and Nonfederal Programs Help Feed Low- Income Children over the Summer to Some Extent", "paragraphs": [], "subsections": [{"section_title": "Other Federal Programs Provide Meals and Nutrition Assistance Benefits over the Summer", "paragraphs": ["Other federal programs that operate solely in the summer, as well as those operating year-round, help feed low-income children in the summer months. These programs include the NSLP Seamless Summer Option, which provides nutrition assistance benefits solely in the summer, and several federal programs that operate year-round.", "In July 2016, in addition to the 70 million meals provided through the SFSP, 26 million meals were provided to low-income children through school food authorities participating in the NSLP\u2019s Seamless Summer Option, according to FNS data. The Seamless Summer Option was established in 2004, and according to FNS, streamlines administrative requirements to encourage school food authorities providing free or reduced-price meals during the school year under the NSLP and SBP to continue providing meals to low-income children when school is not in session. For example, officials from a national organization involved in summer meals told us the Seamless Summer Option makes it easier for school food authorities to provide summer meals because they continue working with the same state agency, reporting the same information to the state, and operating without having to transition to a separate program. Nonetheless, school food authorities can choose to provide free summer meals to children through either the SFSP or Seamless Summer Option, and the majority of states (34) reported in our survey that a greater proportion of school food authorities participated in the SFSP than the Seamless Summer Option in summer 2016. According to FNS and selected state officials, this may be related to the generally lower meal reimbursement rates school food authorities participating in the Seamless Summer Option receive compared to the rates received by those participating in the SFSP.", "In summer 2016, the Seamless Summer Option added to the geographic availability of summer meal sites in two of the three states we visited as part of our review. School food authorities provided summer meals through the Seamless Summer Option in Arizona and Illinois, but not in Massachusetts, based on our analysis of data provided by these states. In Arizona and Illinois, school food authorities participating in the Seamless Summer Option added 643 and 298 summer meal sites, respectively, in the month with the largest number of SFSP meals served in each state (see fig. 3). In addition, some of the Seamless Summer Option sites in these two states provided meals to children in areas where there were no SFSP sites. For example, Seamless Summer Option sites provided meals in areas near the northeastern and southwestern corners of Arizona that lacked nearby SFSP sites.", "In addition to the SFSP and the Seamless Summer Option, the Summer Electronic Benefit Transfer for Children (Summer EBT) demonstration provided nutrition assistance benefits to 209,000 low-income children in summer 2016 in select areas across 6 states and 2 Indian Tribal Organizations, according to FNS officials. Since the summer of 2011, Summer EBT benefits have been provided to eligible households on an electronic benefits transfer card, which households use to purchase eligible foods at authorized retailers. Specifically, the demonstration has provided monthly benefits of $30 or $60 per eligible child to households with children in areas with a perceived high level of need, based on the demonstration grantees\u2019 assessments of the percentage of children eligible for free or reduced-price school meals and the availability of the SFSP. Consistent with this, three of the states that participated in Summer EBT in 2016 reported through our survey that these benefits helped children who were unable to access summer meals through the SFSP or the Seamless Summer Option. Further, according to an FNS- funded evaluation, Summer EBT improved food security among low- income children who participated in the demonstration. Specifically, the evaluation found the receipt of these benefits reduced the number of children in the demonstration experiencing very low food security between 2011 and 2013 by one-third.", "Some low-income children also receive nutrition assistance in the summer through federal programs that operate year-round. According to FNS data, in June 2016, 5.8 million infants and children participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and 3 million children participated in the Child and Adult Care Food Program (CACFP). In addition, an average of 19.2 million children participated each month in the Supplemental Nutrition Assistance Program (SNAP) in fiscal year 2016, according to FNS data. These benefits are provided year-round, including when school is in session and children may also be eligible to receive school meals. In our previous work on federal domestic food assistance programs, we reported that no one program alone is intended to meet a household\u2019s full nutritional needs. At that time, several officials and providers told us that the variety of food assistance programs offers eligible individuals and households different types of assistance and can help households fill the gaps and address the specific needs of individual members. For example, a mother with two children may rely on SNAP for her household\u2019s basic groceries, the NSLP to feed a school-age child during the school year, and WIC to obtain supplemental foods for herself and an infant."], "subsections": []}, {"section_title": "Nonfederal Programs Also Help Feed Low-Income Children in the Summer, but States and Local Organizations Reported That These Have Limited Reach", "paragraphs": ["Some low-income children also receive summer meals through nonfederal programs, according to our state survey and interviews with organizations involved in summer meals. Twenty-seven states reported in our survey that they were aware of other state- or non-state-funded programs that provided children of low-income households with meals in their states during the summer months.", "According to our analysis of state survey responses, local faith-based organizations and foodbanks were the most common types of entities operating these types of programs. Similarly, officials from FNS and two regional organizations we interviewed said they were aware of children receiving summer meals through nonfederal programs operated by faith- based and other community organizations. In addition, SFSP site operators at 6 of the 30 meal sites we visited in the selected states told us nearby foodbanks and faith-based organizations may also be providing children with free meals to some extent. For example, one of the meal sites we visited was operated by a foodbank that, in addition to the SFSP, provided food boxes to those in need and distributed food to other local community organizations to provide to persons in need of immediate assistance, including families with children.", "Although FNS and the majority of states do not collect data on nonfederal programs, results from our state survey and interviews with SFSP providers and organizations involved in summer meals indicate the reach of nonfederal programs is limited. In our survey, states reported that the geographic coverage of these nonfederal programs varied by state, with 11 states indicating that they operated in some portions of the state\u2014the most common state response. In addition, 16 states reported that they were not aware of any nonfederal programs providing summer meals to children in their state (see fig. 4). Similarly, SFSP site operators at 24 of the 30 meal sites we visited were unaware of nonfederal programs providing meals to children in the areas in which they operated. In addition, officials from several national organizations involved in summer meals told us children have very few options for receiving summer meals beyond the federal summer meals programs. Specifically, officials from one national organization explained that food is often a significant part of the cost of a summer activity program for children and suggested that is one reason why organizations choose to participate in the SFSP.", "Although the SFSP provides for federal reimbursement of eligible meals and certain administrative and operating costs, nonfederal programs that provide children with summer meals may choose not to participate in the SFSP for several reasons, according to officials we interviewed from several organizations involved in summer meals. For example, some nonfederal program providers may not participate in the SFSP because they are unaware the program exists. Additionally, some nonfederal program providers may be aware of the SFSP, but choose not to participate because they do not want to follow certain program requirements, such as the nutrition or meal pattern standards. In addition, some providers may not participate in the program because they do not think they can handle certain aspects of the administrative workload associated with the SFSP. For example, a state official we interviewed told us the administrative workload associated with the SFSP can be particularly challenging, especially for smaller sponsors. Similarly, officials from a regional organization involved in summer meals told us one of the providers they work with who operated 10 meal sites chose to leave the SFSP because the paperwork required to operate the sites was too administratively burdensome for their volunteer site operators."], "subsections": []}]}, {"section_title": "States and SFSP Providers Face Challenges with Meal Sites, Participation, and Program Administration, and FNS Actions Have Addressed Some, but Not All Areas", "paragraphs": ["States and SFSP providers reported challenges with meal sites, participation, and administration, though federal, state, and local entities have taken steps to improve these areas. Half or more of states reported in our survey that SFSP issues related to meal site availability, such as in rural areas, increasing children\u2019s participation, and program administration were moderately to extremely challenging (see fig. 5). Overall, 41 states reported facing at least one challenge with the SFSP, while 9 reported facing none."], "subsections": [{"section_title": "Challenges with the Availability of Meal Sites", "paragraphs": [], "subsections": [{"section_title": "Rural Areas", "paragraphs": ["Availability of transportation, low population density, and limited meal sites pose challenges for SFSP in rural areas, according to states we surveyed, selected national organizations, and state and local officials in the three selected states we visited. More than two-thirds of states in our survey reported they faced a moderate to extreme challenge with limited options in rural areas to transport children to summer meal sites (37), as well as with the distance to summer meal sites in rural areas resulting in low child turnout that affects the financial viability of site sponsorship (36). As officials from one national organization explained, it may not be cost- effective for sponsors to operate in remote or rural areas if there are not enough meal sites or children participating in the program. Similarly, a sponsor in one of the selected states indicated that there are large parts of the state where the distances between meal sites are substantial, and travel between them takes several hours. An official from one of the selected states said transportation challenges can lead to underserved rural areas, including Indian reservations. Of the three states we reviewed, each had rural areas with few or no federally funded meal sites in summer 2016. However, a majority of the children in some of those areas were eligible for free or reduced price school meals, according to Census data provided by FNS, and would therefore be \u201carea eligible\u201d for the purposes of SFSP. For example, as shown in figure 6, \u201carea eligible\u201d locations in rural western parts of Arizona did not have any SFSP or Seamless Summer Option meals sites in June 2016, the month with the greatest number of summer meals served in that state.", "States and SFSP providers have responded to challenges with meal sites in rural areas by using other meal delivery approaches\u2014efforts that FNS has supported through information sharing and grants. For example, according to one national organization involved in summer meals, some SFSP providers offer vans or buses to transport children to meal sites or partner with local bus authorities to give children free rides to meal sites. Instead of transporting children to sites, other sponsors transport meals to children through mobile meal delivery, an alternative summer meal model used in 48 states according to our survey. In this model, sponsors deliver meals by bus, using a route with state-approved stops in a community, and children consume the meal at the stop under a supervised setting. According to FNS officials and representatives from national organizations, this approach can be particularly helpful for providing summer meals to children in rural areas. State officials in two selected states told us they use mobile meal delivery to help fill gaps in meal service and help children overcome the lack of transportation or resources in their community. To serve children in very remote areas with limited resources, a sponsor in one of the selected states reported piloting a model involving delivering frozen meals every other week to such areas and supplying equipment, such as freezers and microwaves, to support meal service. To help sponsors address challenges related to meal sites in rural areas, FNS has shared information on alternative delivery models through its SFSP toolkit and webinars and has also provided related grant funding. For example, in summer 2011 and 2012, FNS funded the Meal Delivery demonstration project to provide meals to children in rural areas where low population density, long distances, and transportation issues made it difficult for children to get to SFSP sites, making site and sponsor operation financially unsustainable. The demonstration project funded meals to children in rural areas of Delaware, Massachusetts, and New York, providing food delivery to homes or drop-off sites near homes of eligible children."], "subsections": []}, {"section_title": "Area Eligibility", "paragraphs": ["More than half the states (30) in our survey reported they faced a moderate to extreme challenge reaching low-income children in communities that are not area eligible. Areas in which fewer than 50 percent of children qualify for free or reduced-price meals during the school year are not eligible to have open summer meal sites at which all children who come to the site can receive a free meal. As a result, some children who are eligible for free and reduced-price meals during the school year do not have open summer meal sites located in close proximity to their residences, according to several national organization officials and SFSP providers. Eligible children in these areas may instead be limited to other types of SFSP sites, such as closed enrolled summer meal sites, or nonfederal programs providing meals, if available. For example, in one of the selected states, a sponsor of SFSP sites funded meals without federal support at one site that they operated as an open site in order to serve low-income children residing in low-income housing. These children did not otherwise have access to a federally funded summer meals site, according to these officials, because the broader area was part of a school district that had a greater than 50 percent proportion of children from higher-income families.", "Recognizing that some children may reside in an area that is not area eligible but is immediately adjacent to such an area, FNS has allowed additional flexibility in establishing area eligibility for open meal sites. Specifically, in 2014 and 2016 policy memos, FNS expanded the ways in which states and sponsors can use Census data to establish area eligibility. For example, FNS has allowed states and sponsors to average Census data across adjacent geographic areas to determine area eligibility. FNS noted that these additional flexibilities help ensure meal sites can be located in more areas in which poor economic conditions exist."], "subsections": []}, {"section_title": "Limited Days of Operation", "paragraphs": ["Nearly all states (50) reported in our survey that the availability of meal sites throughout the summer months was a factor critical to the success of the SFSP, yet more than half the states (27) also reported they faced a moderate to extreme challenge with limited meal site days of operation. Nineteen of the 40 states that provided information about site days of operation reported 1 day as the shortest length of operation for SFSP sites in their state in fiscal year 2016. Limited meal site days of operation was a significant challenge in one of the three selected states we visited, as almost one-quarter of sites operated for only 1 to 2 weeks across a 2-month period in summer 2016, and an additional half of sites operated for 3 to 4 weeks across that same period, according to our analysis of state data. In contrast, in the other two selected states, the majority of sites (64 and 76 percent, respectively) operated for 5 or more weeks during a 2-month period. SFSP sites may have limited days of operation for various reasons, such as constraints with program administration and costs, according to interviews with a national organization official and a sponsor in one of the selected states.", "Some SFSP providers and national organizations involved in summer meals have responded to these challenges by working to extend the days of operation of meal sites\u2014efforts that FNS has supported through related grant funding. Officials from one meal site located at a school in one of the selected states told us that 2017 was the first year the site stayed open an additional 4 weeks after summer school classes ended in an effort to expand participation, an extension made possible through support from an experienced sponsor. In addition, officials from a national organization involved in sponsoring summer meals told us they encourage their local sites to operate in August\u2014a month where there are generally fewer summer meal service offerings\u2014to meet children\u2019s needs. At the federal level, under its demonstration authority, FNS funded the Extending Length of Operation Incentive project, a grant which provided an additional 50-cent reimbursement for all lunch meals served at sites in Arkansas in 2010 that offered meals for 40 or more days."], "subsections": []}]}, {"section_title": "Challenges with Children\u2019s Participation", "paragraphs": [], "subsections": [{"section_title": "Awareness of the SFSP Program and Meal Sites", "paragraphs": ["Two-thirds of states (34) reported through our survey that they also faced a moderate to extreme challenge with a lack of awareness of summer meal sites among children and families, a challenge also mentioned by SFSP providers in the selected states. Meal site operators in one selected state noted that making families aware that all children may receive a meal for free at open sites can be a challenge. For example, one sponsor operating a meal site in a school said the perception among some is that the meal program is only for children attending summer school, and not for others in the community. Although that site had outside banners and advertising to help address that misperception, another SFSP provider explained that having sufficient funds to market the SFSP and increase awareness among families is also a challenge.", "To address these challenges, state agencies, some SFSP providers, and FNS have taken steps to help promote awareness of the SFSP. For example, nearly all states (47) reported in our survey that they have increased their outreach efforts for the SFSP in the last 5 years. More than half of states (36) also reported increases in overall SFSP participation during that time, which they believe were related to their outreach efforts. The majority of states in our survey reported conducting outreach on the SFSP to groups including children, parents and guardians, and schools, among others, using methods such as flyers, email, newspapers, and social media (see fig. 7). Further, state agency officials and sponsors in the selected states reported that they have developed partnerships with state and local advocacy groups and community leaders, among others, to promote the SFSP. For example, one state agency official said they partner with local advocacy organizations to field calls from parents seeking information about summer meal sites through their hunger hotline. FNS has promoted the use of such partnerships, as well as traditional and social media, to raise awareness of the SFSP. In addition, FNS developed the Summer Meals Site Finder, an online mapping tool that provides information on summer meal sites nationwide.", "Attracting children of all ages to SFSP meal sites can also be a challenge, according to states and SFSP providers. More than half of the states (31) reported in our survey that they faced a moderate to extreme challenge with limited youth and teen participation at summer meal sites, and an official from a national organization involved in the SFSP explained that it is difficult to attract children to a meal site when the site is focused solely on food. Similarly, 46 states in our survey reported that providing age- appropriate programming and enrichment activities for children at summer meal sites is a factor critical to the success of the SFSP. However, some meal sites may lack the resources to add activities, according to some SFSP providers in the selected states as well as FNS and national organization officials. Attracting teens can be particularly challenging, in part because of meal service time periods, a lack of age- appropriate activities, and stigma, according to national organizations and providers we interviewed. For example, early morning meal sites generally attract younger kids as teens may be apt to sleep later in the summer, and teens may also perceive a stigma in participating in a free meal program and may face peer pressure not to eat. In addition, meal offerings at SFSP sites may also present challenges to teen participation. Specifically, because FNS bases minimum portion size requirements for meals on the needs of younger children, meals are not always adequate to meet the nutritional needs of teens, according to one sponsor we interviewed. Across the 30 meal sites in the 3 states we visited in summer 2016, we observed variety in the meals served during different meal services. (see fig. 8.)", "States and SFSP providers have collaborated with others and sought specific types of sites to help provide enrichment activities and attract certain age groups\u2014efforts that FNS has supported through information sharing and related grant funding. Sponsors in the selected states said they have focused on partnerships with groups such as those focused on youth development, churches, libraries, and police or fire departments, to offer age-appropriate activities for children (see fig. 9). For example, programs with local police departments, such as Cops N Kids in one selected state, or libraries in two selected states, provided meal services in combination with youth development or other enrichment activities. (See sidebar for highlights on the Cops N Kids program.) One national organization official said activities at SFSP sites can help take away the stigma around the program because children are not just there for the meal. Efforts to rebrand the SFSP as a community event where entire families can participate at the meal site also can have this effect, which is why some sponsors in the selected states said they partnered with foodbanks to donate meals for adults. In addition, a sponsor in one selected state told us they adjusted their meal offerings to match the needs of children of different age groups, for example, by serving meals to younger children earlier in the day and meals to teens later in the day. To support participation from children of all ages, FNS has shared information on age-appropriate activities through its SFSP toolkit and provided related grant funding. For example, in 2010, FNS funded the Activity Incentive demonstration project, in which sponsors in Mississippi were provided with mini-grants to increase enrichment and recreational activities, such as education, tutoring, sports and games, arts and other activities, to draw children to meal sites.", "More than half the states reported in our survey that they faced a moderate to extreme challenge with limited state agency staffing (27), a limited amount of federal funding for SFSP administration (27), as well as ensuring sponsor participation to meet needs (28). In addition, 28 states reported in our survey that they faced a moderate to extreme challenge with sponsors not following program requirements. Limited staffing can affect a state agency\u2019s ability to conduct efforts aimed at increasing participation, identifying potential sponsors, and reviewing and monitoring sponsors, according to national organization and state officials we interviewed. For example, increases in sponsors and sites requires additional staff and time to conduct pre-approval visits, sponsor and site reviews, vendor reviews, and technical assistance visits, which directly affects the amount of funding needed to support staff salaries and travel reimbursement, according to one state in our survey. However, because the SFSP administrative funds FNS provides to states are based on the number of meals served in the previous year, increasing the number of staff to help increase SFSP participation is difficult, according to a national organization official we interviewed. States reported a moderate to extreme challenge with the following issues related to ensuring sponsor participation: a lack of sponsors to meet summer meal needs, a lack of awareness of the summer meal program among potential sponsors or sites, completing federal requirements for monitoring of SFSP sponsors, and identifying potential sponsors.", "State agencies responsible for administering the SFSP reported relying on other resources and partners to help with program administration\u2014 strategies that FNS has supported through information sharing and its online tools. As discussed earlier, all three selected state agencies we interviewed told us they partner with advocacy groups to help expand and conduct outreach on the SFSP. Additionally, more than half the states in our survey reported several factors\u2014which may ease the administrative burden on states\u2014as critical to the success of the SFSP, including partnerships with SFSP sponsors (49) and retaining sponsors and sites over multiple summers (51). To support states\u2019 use of alternative funding sources to help administer the SFSP, FNS has shared information on federal, state, and private funding and grant opportunities. FNS also developed the online Capacity Builder tool, which 35 states reported in our survey was moderately to extremely useful in identifying or confirming meal site eligibility in fiscal year 2017."], "subsections": []}]}, {"section_title": "States and SFSP Providers Also Reported Challenges with Meal Site Safety and Duplicative Paperwork, and FNS\u2019s Efforts to Address These Areas Are Limited", "paragraphs": ["Seventeen states reported in our survey that ensuring summer meal sites are in safe locations was moderately to very challenging, a challenge that some states and SFSP providers have taken steps to help address. State officials and SFSP providers in the selected states reported that when crime has occurred near a site, there are concerns about ensuring children\u2019s safety while they are consuming meals at the site, as well as the safety of site staff delivering meals. Some sponsors noted, in particular, parents\u2019 concerns for the safety of their children at meal sites in light of criminal activities in the surrounding area. To ensure children continue to have access to meals, some sponsors noted that in the event of an immediate threat at an outdoor meal site, site staff are sometimes able to bring children to a nearby indoor space instead. States and SFSP provider officials in two selected states told us they have also used other strategies, including partnerships with local law enforcement agencies, to help address safety concerns during the meal service and ensure children have access to meals. For example, national organizations involved in summer meals and sponsor officials in the selected states said they encourage partnerships with local police departments to use police escorts at meal sites or to follow mobile meal routes in situations where safety at the meal site is a concern. When violence or crime has occurred near a site, some states and SFSP sponsors have also sought flexibility from FNS with respect to the federal requirement that children consume summer meals on site, according to state and local officials.", "FNS has used its available authorities to grant some states and sponsors flexibility with respect to the requirement that children consume summer meals on site, such as when safety at the site is a concern; however, FNS has not clearly communicated to all states and sponsors the circumstances it considers when deciding whether to grant this flexibility. According to our review of letters FNS sent to multiple states approving their requests for this type of flexibility, the agency identified a consistent set of circumstances that needed to be met for it to grant this flexibility. These circumstances were described in the letters the agency sent to states and generally included verification that violent crime activities occurred within both a 6-block radius of the meal site and 72 hours prior to the meal service. FNS\u2019s letters to states indicate that when documentation was provided to the agency showing that these circumstances existed at a summer meals site on a particular day or days, meals consumed by children off site on those days were eligible for federal reimbursement. Although FNS has issued guidance on the general processes for requesting flexibility from program requirements under its waiver and demonstration authorities, these guidance documents do not detail the specific circumstances that the agency considers when deciding whether to grant flexibility from the on-site requirement due to safety concerns. FNS has communicated this information only in its responses to specific state and sponsor requests, and it has not communicated these circumstances more broadly to all states and sponsors. FNS officials explained that they review state and sponsor requests for flexibility due to safety concerns on a case-by-case basis. However, they also acknowledged that the set of circumstances used for approval of state and sponsor requests for flexibility, which we identified in their letters to states, has been used repeatedly.", "Further, states and sponsors reported challenges obtaining the specific data needed for approval of a site for this type of flexibility, hampering some providers\u2019 efforts to ensure safe delivery of meals. For example, state agency and sponsor officials in one selected state said obtaining the crime data needed to qualify for the flexibility can be an administrative burden on sponsors, and these data are not consistently available in a timely manner. According to state agency and sponsor officials in one of the selected states, daily crime statistics are not available in all areas, and while a sponsor can sometimes access current data on crime in a city, the most recent available data on crime in suburban areas are sometimes one year old. FNS is aware of state and local challenges obtaining the necessary crime data, according to our discussions with FNS officials. FNS officials acknowledged that while they have granted some state and sponsor requests to allow children to consume meals off site in certain areas where violence or crime has occurred, some sponsors were unable to implement the flexibility because they could not obtain the necessary crime data.", "To help achieve agency objectives and address related risks, the Standards for Internal Control in the Federal Government state that agencies should communicate key information to their internal and external stakeholders. Although FNS officials told us they do not have one set of circumstances under which they approve these requests, our review found only one set of circumstances under which this type of flexibility has been approved. However, FNS has not broadly communicated the circumstances it considers in deciding whether to approve requests for flexibility with respect to the requirement that children consume summer meals on site in areas with violence or crime. Unless FNS shares this information with all states and sponsors, states and sponsors will likely continue to be challenged to use this flexibility, hindering its usefulness in ensuring safe summer meal delivery to children.", "In addition, FNS has issued reports to Congress evaluating some of its demonstration projects, as required under its statutory authorities, but the agency has not issued any such reports to Congress specifically on the use of flexibilities with respect to the on-site requirement in areas where safety is a concern. As previously discussed, the agency is required to annually submit certain reports to Congress regarding the use of waivers and evaluations of projects carried out under its demonstration authority. Furthermore, Standards for Internal Control in the Federal Government state that management should use quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risks. Yet, FNS has not evaluated nor reported on the use of waivers and demonstration projects in cases where safety was a concern. Although FNS requests reports from state agencies or sponsors that have received flexibility with summer meals delivery under FNS\u2019s demonstration and waiver authorities, FNS officials told us they have not assessed whether their use of these flexibilities to address safety issues has been effective in ensuring safe meal delivery. FNS officials told us that they have not evaluated or reported on these flexibilities, in part, because they have limited information on their outcomes. Without understanding the impact of its use of these flexibilities, neither FNS nor Congress knows whether these flexibilities are helping provide meals to children.", "In addition to the challenges with safety at meal sites, sponsors also sometimes face administrative challenges when participating in multiple child nutrition programs that are operated by different state agencies or divisions within the same agency, according to officials from national and regional organizations and sponsors we interviewed. For example, officials from national organizations involved in summer meals told us the management of each child nutrition program and processes related to applications, funding, and oversight are fragmented in many states. For example, a sponsor in one of the selected states told us aspects of the SFSP and CACFP sponsor applications are highly duplicative and estimated it took 42 hours last year to complete duplicative paperwork. Another sponsor that provides school meals during the school year told us they had to fill out 60 additional pages of paperwork to provide summer meals, which coupled with having a state contact for the SFSP that was different from the one they worked with for the NSLP, was a significant burden for them. Officials from one national organization told us a lack of interoperability of some state agencies\u2019 data systems has caused challenges and administrative burden for some sponsors. For example, in some states, different agencies oversee child nutrition programs, yet are unable to share data on sponsor approval, and therefore, sponsors are required to submit similar information to both, according to these officials. Duplicative paperwork can be particularly burdensome for some SFSP providers, as national organization officials and SFSP providers in the selected states said completing SFSP application paperwork can be especially challenging when a sponsor has staff shortages or no dedicated SFSP staff.", "Some selected states have worked with SFSP sponsors to help minimize the administrative burden. For example, state agency officials from one of the selected states said they have connected less-experienced sponsors to more-experienced sponsors in the community to help them with program administration. In one case, an experienced SFSP sponsor partnered with a small sponsor new to the program to help with SFSP administration, including helping them understand program rules and paperwork requirements. One SFSP sponsor also noted that their state agency took additional steps to ease administrative burden, such as making the forms for the CACFP more consistent with those for the SFSP and streamlining certain requirements for large and experienced sponsors, which the sponsor found helpful.", "At the federal level, FNS has established program and policy simplifications to help lessen the administrative burden on sponsors participating in multiple child nutrition programs, though the persistence of these challenges indicate that information about these simplifications has not reached all relevant state agencies. While FNS officials told us that some of the duplicative requirements may be a function of differences in statute, FNS provided guidance to states in 2011 and 2014 on simplified application procedures for institutions participating in CACFP that also wish to apply for SFSP. FNS noted in its guidance that in states where CACFP and SFSP are administered by different state agencies, state agencies are encouraged to work together to share information and streamline the application and agreement process as much as possible. FNS also addressed these simplifications in a state agency meeting in November 2017. Additionally, FNS provided guidance to states in 2012 on simplified application and review procedures for school food authorities participating in the NSLP that wish to also participate in the SFSP. Although FNS has shared this information with states in an attempt to make them aware of streamlining options, FNS officials noted that some states may choose not to implement them.", "Standards for Internal Control in the Federal Government state that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives, as well as periodically evaluate the methods of communication to ensure communication is effective and appropriate. FNS\u2019s existing guidance addresses options for streamlining administrative requirements for sponsors participating in multiple child nutrition programs. However, information on program and policy simplifications available for sponsors participating in both NSLP and SFSP has not been shared with states recently, and challenges in this area persist, indicating this information has not reached all relevant state agencies. Without further efforts from FNS to disseminate information on current options for streamlining administrative requirements across child nutrition programs, overlapping and duplicative administrative requirements may limit children\u2019s access to meals by discouraging sponsor participation in child nutrition programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The purpose of the SFSP is to continue to provide children in low-income areas with nutritious meals over the summer when school is no longer in session, and to that end, the program provided 149 million SFSP meals to children in fiscal year 2016. Although meals served are one indicator of participation, FNS\u2019s current estimates of children participating in SFSP are unreliable. Without additional understanding of children\u2019s participation in the SFSP, FNS lacks information critical for informing program implementation, strategic planning, and outreach.", "The majority of states nationwide and SFSP providers in the three states we visited reported experiencing a number of challenges with the SFSP, and FNS has taken important steps to address these challenges. Two key challenges identified by officials in the selected states and national organizations we interviewed are ensuring summer meal sites are in safe locations, and meeting administrative requirements when participating in multiple child nutrition programs. FNS has taken steps to address these challenges by providing flexibilities in how meals are delivered to children and streamlining options for those providers participating in more than one child nutrition program. However, a lack of clarity concerning the circumstances under which FNS grants flexibilities in areas of violence and crime, and a lack of information on its use of these flexibilities and their impact on program administration, hinder efforts to ensure program goals are met. Furthermore, absent a reminder to states regarding existing options for streamlining administration across multiple nutrition programs, some providers may continue to be discouraged from participating in these programs due to duplicative and burdensome administrative requirements, which may ultimately limit the provision of nutritious meals to children."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to FNS: The Administrator of FNS should improve its estimate of children\u2019s participation in the SFSP by focusing on addressing, at a minimum, data reliability issues caused by variations in the number of operating days of meal sites and in the months in which states see the greatest number of meals served. (Recommendation 1)", "The Administrator of FNS should communicate to all SFSP stakeholders the circumstances it considers in approving requests for flexibility with respect to the requirement that children consume SFSP meals on-site in areas that have experienced crime and violence, taking into account the feasibility of accessing data needed for approval, to ensure safe delivery of meals to children. (Recommendation 2)", "The Administrator of FNS should evaluate and annually report to Congress, as required by statute, on its use of waivers and demonstration projects to grant states and sponsors flexibility with respect to the requirement that children consume SFSP meals on-site in areas experiencing crime or violence, to improve its understanding of the use and impact of granting these flexibilities on meeting program goals. (Recommendation 3)", "The Administrator of FNS should disseminate information about existing flexibilities available to state agencies to streamline administrative requirements for sponsors participating in the SFSP and other child nutrition programs to help lessen the administrative burden. For example, FNS could re-distribute existing guidance to state agencies that explains available flexibilities and encourage information sharing. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretary of the USDA for review and comment. FNS officials provided technical comments, which we incorporated as appropriate. In addition, in oral comments, FNS officials, including the Deputy Administrator for Child Nutrition Programs, generally agreed with the recommendations in the report.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the USDA and interested congressional committees. The report will also be available at no charge on the GAO website at www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This appendix discusses in detail our methodology for addressing three research objectives: (1) What is known about participation in the Summer Food Service Program (SFSP) and how has it changed in the last 10 years? (2) What other programs help feed low-income children over the summer? and (3) What challenges exist, if any, in providing summer meals to children, and to what extent does the U.S. Department of Agriculture\u2019s (USDA) Food and Nutrition Service (FNS) provide assistance to states and sponsors to address these challenges? In addition to the methods we discuss below, to address all three research objectives, we reviewed relevant federal laws, regulations, and guidance; interviewed FNS officials in its headquarters and seven regional offices; and interviewed a broad range of regional and nationwide organizations involved in the SFSP. In addition, we coordinated with officials in USDA\u2019s Office of Inspector General on their ongoing work in this area."], "subsections": [{"section_title": "Summer and School Meals Data", "paragraphs": ["To address our first objective about participation in the SFSP, we analyzed FNS data on meals served for fiscal years 2007 through 2016. Specifically, we analyzed the total number of meals served nationwide through the SFSP from fiscal year 2007 through fiscal year 2016. Each month, states report to FNS the number of meals served by meal type (breakfast, lunch, snack, and supper) and the number of meals served by meal and sponsor type (e.g., government, nonprofit, etc.) using the FNS- 418 form. To add context on these trends, we also analyzed and compared the number of SFSP lunches served in July with the number of free and reduced-price lunches served to children in March through the National School Lunch Program (NSLP), the largest child nutrition assistance program, from fiscal year 2007 through fiscal year 2016. Each month, states report to FNS the number of meals served through the NSLP using the FNS-10 form. To assess the reliability of SFSP and NSLP data, we (1) performed electronic testing of relevant data elements, (2) reviewed existing information about the data and the system that produced them, and (3) interviewed agency officials knowledgeable about the data. Electronic testing included, but was not limited to, checks for missing data elements, duplicative records, and values outside a designated range or valid time period. We determined that these data were sufficiently reliable to identify the number of SFSP meals served and assess change over time.", "To further examine what is known about participation in the SFSP, we also reviewed FNS\u2019s data on estimates of children\u2019s participation in the program and determined that these estimates have been calculated inconsistently and are unreliable. To assess the reliability of these data, we reviewed documentation about the estimates, interviewed FNS officials, and asked states about the estimate calculation in our survey. As described in our findings, FNS does not collect data on the number of children participating in the SFSP. Instead, FNS relies on states\u2019 estimates of children\u2019s participation, which are based on other data reported by sponsors, such as the number of meals served and meal service days in July.", "To address our second objective about other programs that help feed children in the summer, we reviewed FNS\u2019s estimate of the number of meals served through the NSLP\u2019s Seamless Summer Option in fiscal year 2016. FNS does not collect data on the number of meals served through the Seamless Summer Option. Instead, FNS annually estimates the number of Seamless Summer Option meals served nationally by aggregating the number of free and reduced-price breakfasts, lunches, and snacks served through the School Breakfast Program (SBP) and NSLP in July. As previously noted, states report these data monthly to FNS. Although FNS does not know the actual number of meals served through the Seamless Summer Option, agency officials told us they believe the number of summer meals provided through the NSLP is small relative to the number of meals served through the Seamless Summer Option during the summer months. They noted that their use of July NSLP data to estimate the Seamless Summer Option meals likely overestimates the number of these meals for July and underestimates the number of these meals for the entire summer. To assess the reliability of the July NSLP data, we (1) performed electronic testing of relevant data elements, (2) reviewed existing information about the data and the system that produced them, and (3) interviewed agency officials knowledgeable about the data. Electronic testing included, but was not limited to, checking for missing data and data that fell outside of a reasonable range or date for the specific time period (July). We determined that these data were sufficiently reliable to describe the number of meals served.", "In addition to the data FNS requires states to report, some states collect summer meals data at the meal site level and we used such data from the three selected states to address all three objectives. For objective one, to examine the number of meals served and days of operation at each summer meals site, we analyzed site-level data for 2 months from summer 2016, including the month with the largest number of SFSP meals served in each selected state: Arizona (June and July 2016), Illinois (July and August 2016), and Massachusetts (July and August 2016). Each state also provided us with data on the number and types of meals served at each SFSP site, the site location, and the duration of time each site operated over the summer. Using the data provided by the states, we calculated the average daily attendance (ADA) for each meal site based on FNS\u2019s instructions and examined the variation in ADA across sites and months. For our second objective on other programs, these selected states provided similar site level data for the state\u2019s Seamless Summer Option sites, if applicable. We assessed the reliability of these data by (1) performing electronic testing of relevant data elements, (2) reviewing existing information about the data and the system that produced them, and (3) interviewing agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purposes of this report.", "For both our second objective on other programs and third objective about challenges in providing summer meals to children, we also examined meal site availability in the three selected states by mapping the locations of meal sites. On the maps, we included fiscal year 2016 area eligibility data from FNS\u2019s Capacity Builder mapping tool, as provided by FNS. The site area eligibility data from FNS\u2019s Capacity Builder is based on the U.S. Census Bureau\u2019s 5-Year American Community Survey (ACS) estimates of children ages 0-12 and 0-18 eligible for free and reduced-price meals by Census block group and tract. According to FNS officials, FNS obtains 5-Year ACS estimates annually from the U.S. Census Bureau and updates its site area eligibility in the Capacity Builder accordingly. For fiscal year 2016, FNS used 2009- 2013 ACS data to identify and include site area eligibility in its Capacity Builder."], "subsections": []}, {"section_title": "Survey", "paragraphs": ["To help inform all of our research objectives, we conducted a survey of the state agencies that oversee the SFSP in the 50 states and the District of Columbia. We administered our web-based survey between August and October 2017 and received 100 percent response rate. The survey included questions about participation in the SFSP, factors critical to the overall success of the SFSP, outreach efforts, federal technical assistance, barriers and challenges in providing summer meals, alternative summer feeding models, the NSLP\u2019s Seamless Summer Option and the federal Summer Electronic Benefit Transfer for Children demonstration, and nonfederal programs that provide children of low- income households with meals during the summer months. The survey also requested data on SFSP sites participating in the program in fiscal year 2016 and the method state agencies used to calculate ADA in SFSP on the FNS-418 form in fiscal year 2016.", "Because this was not a sample survey, there are no sampling errors. However, the practical difficulties of conducting any survey may introduce nonsampling errors, such as variations in how respondents interpret questions and their willingness to offer accurate responses. We took steps to minimize nonsampling errors, including pretesting draft instruments and using a web-based administration system. Specifically, during survey development, we pretested draft instruments with SFSP staff from four states (Michigan, New Mexico, North Carolina, and South Dakota) in May 2017. We selected the pretest states based on information provided by officials from FNS\u2019s regional offices and national organizations involved in summer meals about state administration of summer meals programs, with the goal of selecting a group of states with varied experiences. In the pretests, we were generally interested in the clarity, precision, and objectivity of the questions, as well as the flow and layout of the survey. For example, we wanted to ensure definitions used in the surveys were clear and known to the respondents, categories provided in close-ended questions were complete and exclusive, and the ordering of survey sections and the questions within each section were appropriate. We revised the final survey based on pretest results. Another step we took to minimize nonsampling errors was using a web-based survey. Allowing respondents to enter their responses directly into an electronic instrument created a record for each respondent in a data file and eliminated the need for and the errors associated with a manual data entry process. We did not fully validate specific information that states reported through our survey."], "subsections": []}, {"section_title": "Site Visits", "paragraphs": ["To help inform all of our objectives and gather information about the SFSP directly at the local-level, we conducted 30 site visits in three states: Arizona (12 sites), Illinois (8 sites), and Massachusetts (10 sites) between June and July 2017, and interviewed organizations involved with the SFSP in each site visit state. We used U.S. Census Bureau data to select states and local areas within those states based on a high proportion of children in poverty, a mix of urban and rural locations, as well as a mix of sponsor and site type and diverse locations. We visited a wide variety of site locations including, but not limited to, schools, parks, community recreation areas, and libraries.", "At each SFSP site, we gathered information on local level factors related to SFSP participation and administration by interviewing the organization sponsoring the site, the site operators and staff, and those participating at the site using semi-structured questions. While interviewing SFSP sponsor organizations, we collected information on the sponsors\u2019 roles in the SFSP, characteristics of the sites the organizations sponsored, outreach efforts, any challenges or barriers to SFSP administration and any efforts to address such challenges, relationships with the state agencies that administer the SFSP, relationships with FNS (national and regional offices), and the availability of nonfederally funded programs that provide meals to low-income children over the summer. During the interviews with site operators and staff, we collected information about site operation (e.g., site operating days, meals offered, etc.), any challenges to providing SFSP meals to children and any efforts to address such challenges, outreach efforts, and the proximity of the next closest meal site. The information we collected from those participating at the sites included their perspectives on the SFSP food, site food consumption habits, ease of travel to the site, and access to other SFSP sites. At each site, we made observations as to how the food was provided to the children, food consumption and waste, the approximate age range of the children being served, and availability of programs or activities (e.g., recreational sports).", "Using semi-structured questions, we also interviewed the state agencies responsible for administering the SFSP in the site visit states to gather further information on how the SFSP is administered in each state, statewide participation in the program, related data collection activities, any challenges to administering the program and any efforts to address such challenges, related outreach efforts, alternative meal delivery models being employed by SFSP sponsors, FNS guidance or technical assistance, and the availability of nonfederally funded programs that provide meals to low-income children over the summer."], "subsections": []}]}, {"section_title": "Appendix II: Select Questions and Responses from GAO\u2019s Summer Food Service Program (SFSP) Survey", "paragraphs": [], "subsections": [{"section_title": "Prompt", "paragraphs": ["For states that indicated there were other challenge(s), we provided an open-ended question that requested a description of the challenge(s) and 14 states provided descriptions of other challenges, not shown here."], "subsections": []}, {"section_title": "Prompt", "paragraphs": [], "subsections": []}, {"section_title": "Prompt", "paragraphs": ["For states that indicated there were other challenge(s), we provided an open-ended question that requested a description of the challenge(s) and 8 states provided descriptions of other challenges, not shown here."], "subsections": []}]}, {"section_title": "Appendix III: Area Eligibility and Summer Meal Sites in Selected States", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rachel Frisk (Assistant Director), Claudine Pauselli (Analyst-in-Charge), Melissa Jaynes, and Matthew Nattinger made key contributions to this report. Also contributing to this report were Susan Aschoff, Sarah Cornetto, Ying Long, Jean McSween, Mimi Nguyen, Almeta Spencer, and Ashanta Williams."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-561", "url": "https://www.gao.gov/products/GAO-18-561", "title": "Columbia River Basin: Additional Federal Actions Would Benefit Restoration Efforts", "published_date": "2018-08-24T00:00:00", "released_date": "2018-08-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Basin is one of the nation's largest watersheds and extends mainly through four Western states and into Canada. Activities such as power generation and agricultural practices have impaired water quality in some areas, so that human health is at risk and certain species, such as salmon, are threatened or extinct. In December 2016, Congress amended the Clean Water Act by adding Section 123, which requires EPA and OMB to take actions related to restoration efforts in the Basin.", "GAO was asked to review restoration efforts in the Basin. This report examines (1) efforts to improve water quality in the Basin from fiscal years 2010 through 2016; (2) approaches to collaboration that entities have used for selected efforts; (3) sources of funding and federal funding expenditures; and (4) the extent to which EPA and OMB have implemented Clean Water Act Section 123. GAO reviewed documentation, including laws, policies, and budget information; surveyed federal, state, tribal, and nongovernmental entities that GAO determined had participated in restoration efforts; and conducted interviews with officials from most of these entities."]}, {"section_title": "What GAO Found", "paragraphs": ["Various entities, including federal and state agencies and tribes, implemented restoration efforts to improve water quality in the Columbia River Basin from fiscal years 2010 through 2016, according to GAO survey results. Entities implemented a range of restoration efforts. Efforts included activities to improve surface water quality and restore and protect habitat. For example, the Kootenai Tribe of Idaho implemented projects on the Kootenai River to restore and maintain conditions that support all life stages of native fish.", "Entities used various collaborative approaches . Entities' approaches to collaboration for selected water quality-related efforts in the Basin varied. For example, the Environmental Protection Agency (EPA) sought various entities' voluntary involvement to coordinate toxics reduction efforts in the Basin.", "Total federal expenditures could not be determined . Entities reported using a mix of federal and nonfederal funding sources for restoration efforts in the Basin, but total federal expenditures could not be determined, in part because there is no federal funding dedicated to restoring the Basin.", "EPA and Office of Management and Budget ( OMB) have not yet implemented Section 123. According to EPA officials, the agency has not yet taken steps to establish the Columbia River Basin Restoration Program, as required by the Clean Water Act Section 123. EPA officials told GAO they have not received dedicated funding appropriated for this purpose; however, EPA has not yet requested funding to implement the program or identified needed resources. By developing a program management plan that identifies actions and resources needed, EPA would have more reasonable assurance that it can establish the program in a timely manner. Also, an interagency crosscut budget has not been submitted. According to OMB officials, they have had internal conversations on the approach to develop the budget but have not requested information from agencies. A crosscut budget would help ensure Congress is better informed as it considers funding for Basin restoration efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that EPA develop a program management plan for implementing the Columbia River Basin Restoration Program and that OMB compile and submit an interagency crosscut budget. EPA agreed with its recommendation. OMB did not comment, and GAO maintains its recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Columbia River Basin (Basin) is one of North America\u2019s largest watersheds, covering approximately 259,000 square miles, of which about 219,400 are in the United States and 39,500 in Canada. The Basin extends predominantly through the states of Idaho, Montana, Oregon, and Washington and into the Canadian province of British Columbia; it encompasses mountains, forests, rivers and tributaries, rangeland, and Pacific Ocean coastline. The Basin has environmental, cultural, and economic significance, and its health is critical to the survival of hundreds of fish and wildlife species and to the well-being and livelihoods of the approximately 8 million people who inhabit and work in the Basin.", "Historically, the Basin has constituted the largest salmon-producing river system in the world, with potentially up to 16 million salmon returning to the Basin each year for spawning purposes. The Basin is also integral to the region\u2019s shipping network, with ports lining the Columbia River and its tributaries as far upstream as Lewiston, Idaho, the furthest inland seaport in the western United States. However, hydroelectric power generation, agricultural practices, and other human activities have impaired water quality in some areas of the Basin to the point where historic salmon and steelhead stocks and human health are at risk. Many Columbia River tributaries, as well as the Columbia River mainstem and its estuary, have been deemed \u2018impaired\u2019 under Section 303(d) of the Clean Water Act.", "Historically, restoration and monitoring efforts in the Basin have focused predominantly on recovering fish species\u2014such as salmon\u2014listed as threatened or endangered under the Endangered Species Act. For example, restoration efforts have included protecting riverside land through acquisitions and conservation easements and adding material to stream beds to create fish spawning and rearing habitat. Over time, these efforts have increased in scope to include a focus on water quality-related concerns\u2014such as reducing river and stream temperatures\u2014because impairments to water quality negatively affect fish populations, among other species.", "More recently, public and scientific concern about the Basin has broadened to include a focus on improving water quality by reducing the presence of toxic contaminants\u2014including mercury and the banned manufacturing chemical polychlorinated biphenyls (PCB)\u2014and contaminants of emerging concern found in the Basin\u2019s fish, wildlife, water, and sediment. Further, certain entities are increasingly recognizing that their investments to restore and maintain fish and wildlife habitat may not be fully realized if the water in those habitats remains contaminated.", "In 1987, Congress amended the Clean Water Act to establish the National Estuary Program to, among other things, identify nationally significant estuaries that are threatened by pollution, development, or overuse, and promote comprehensive management to restore them. Since then, the U.S. Environmental Protection Agency (EPA) has designated 28 estuaries of national significance, including the lower Columbia River and its related tributaries. In addition, in 2006, EPA recognized the Columbia River Basin as one of the 10 key \u201clarge aquatic ecosystems\u201d in the nation.", "Multiple entities are involved with water quality-related restoration efforts in the Basin, including federal agencies\u2014such as the Bonneville Power Administration (BPA), EPA, the National Oceanic and Atmospheric Administration\u2019s (NOAA) National Marine Fisheries Service (NMFS), the U.S. Army Corps of Engineers, and the U.S. Forest Service\u2014states, tribes, and nongovernmental entities. These entities may engage in restoration efforts based on their specific mission or, for example, requirements under federal laws such as the Clean Water Act and the Endangered Species Act. They may also collaborate with other entities in their efforts to restore various aspects of the Basin. For example, in 1995, the Lower Columbia Estuary Partnership was established under the National Estuary Program to better coordinate restoration efforts throughout the estuary of the Basin (approximately 7 percent of the Basin\u2019s overall area). In 2005, EPA established the Columbia River Toxics Reduction Working Group to coordinate toxics reduction work and share information among federal, state, tribal, local, and nongovernmental entities throughout the Basin that are engaged in such efforts. In 2016, Congress amended the Clean Water Act by adding Section 123, which requires EPA to establish a Columbia River Basin Restoration Program. Section 123 also requires the Office of Management and Budget (OMB) to prepare an interagency crosscut budget related to federal agencies\u2019 efforts to protect and restore the Columbia River Basin.", "You asked us to review restoration efforts in the Columbia River Basin, especially efforts intended to improve water quality. This report examines (1) restoration efforts to improve water quality in the Columbia River Basin from fiscal years 2010 through 2016; (2) approaches to collaboration that entities have used for selected efforts, including factors they identified that enabled or hindered collaboration in the Basin; (3) the sources of funding and federal funding expenditures; and, (4) the extent to which EPA and OMB have implemented Clean Water Act Section 123.", "To examine water quality-related restoration efforts implemented in the Basin from fiscal years 2010 through 2016, we obtained documentation from and conducted interviews with entities throughout the Basin, including federal agencies, state agencies responsible for managing water quality in their state, federally and non-federally recognized tribes, tribal organizations, and nongovernmental entities. In May 2017, we developed, pretested, and distributed a survey to 41 entities we determined had implemented water quality-related efforts in the Basin from fiscal years 2010 through 2016. We asked the entities to provide information on each program\u2019s primary and secondary purposes, one or two key examples of the activities conducted as part of the program, whether the entity was the only entity responsible for implementing the program, whether they received any federal funding to support implementation of the program, and the sources of the federal funding, among other topics.", "To examine the approaches to collaboration entities utilized for select water quality-related restoration efforts, we selected five efforts for more in-depth review. Based on the responses to our survey on efforts in the Basin from fiscal years 2010 through 2016, we selected a limited number of efforts that were among the broadest in scope based on their geographic coverage and the number and type of entities involved. In addition, we selected efforts, in part, to highlight collaborative approaches for efforts implemented by a variety of entity types and with different primary purposes. We conducted interviews with officials and representatives from these efforts on the collaborative approaches they used to plan or implement their efforts and requested related documentation for review. In addition, we separately emailed questions to the 11 federal agencies with water quality-related restoration efforts in the Basin and that responded to our initial survey; in those emails, we solicited agency officials\u2019 opinions on practices that may have enabled or hindered collaboration on efforts their respective agencies planned or implemented. We also asked officials and representatives from the five selected efforts and officials from the 11 federal agencies for their opinions about challenges they experienced with collaboration in implementing restoration efforts in the Basin, as well as their suggestions for increasing collaboration on such efforts. In addition, to determine whether there was an existing mechanism for basin-wide collaboration on water quality-related restoration efforts, we reviewed existing legislation and interviewed agency officials.", "To examine the sources of funding and federal funding expenditures in the Basin, we obtained budget documents, interviewed agency officials, reviewed responses to funding questions included in our survey, and requested expenditure data for five federal efforts for fiscal years 2014 through 2016. Initially, we intended to use a second survey to collect comprehensive expenditures data for each water quality-related restoration effort that entities identified in response to our initial survey. However, in pretests with agency officials, we identified significant concerns with the accuracy and completeness of the information that we would gather through this approach, thereby limiting our ability to compare expenditure data across agencies and efforts. Given the degree of variability, uncertainty, and lack of detail in the information agencies could provide on their water quality-related restoration expenditures, we concluded that the data would not be reliable for the purpose of estimating expenditures of federal funding for water-quality related restoration efforts in the Basin. To provide some information on expenditures, we distributed a second survey to 5 agencies\u2014BPA, Corps, EPA, Forest Service, and the United States Geological Survey (USGS)\u2014and requested expenditures information for a specified restoration effort along with questions about the sources and processes the agencies followed in compiling the information. Based on our review of these responses, we determined that the expenditure information for these specific restoration efforts were sufficiently reliable for purposes of reporting on sources of funding and federal expenditures.", "To examine the extent to which EPA and OMB have implemented Clean Water Act Section 123, we reviewed the law and its legislative history. We also requested documentation from, and conducted interviews with, officials at EPA and OMB as the federal entities responsible for implementing the law. We identified program management leading practices in the Project Management Institute\u2019s The Standard for Program Management and as discussed in our prior reports. For additional information about our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from October 2016 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Columbia River Basin", "paragraphs": ["The Columbia River Basin is the fourth largest river basin in the United States and covers parts of seven states and British Columbia, Canada. It provides drainage for hundreds of rivers, creeks, and streams. More than 6 million acres of the Basin are irrigated agricultural land, and the Columbia River and its tributaries produce more hydroelectric power than any other North American river. The Columbia has 12 major tributaries, with the longest being the Snake River. The Columbia River itself flows more than 1,200 miles from its source in the Canadian Rockies to the Pacific Ocean, with the last 300 miles forming the border between the states of Oregon and Washington. The Basin has myriad dams and reservoirs\u2014more than 250 reservoirs and approximately 150 other hydroelectric projects, including more than 35 major federal and nonfederal dams on the Columbia River and its major tributaries in the United States. For more details, see figure 1.", "The Basin provides environmental, economic, and social benefits to many public and private interests and is vital to many industries in the Pacific Northwest, including sport and commercial fisheries, agriculture, forestry, transportation, recreation, and electrical power generation. However, activities from these industries have affected the environment in the Basin and, among other impacts, impaired water quality in some areas to the point where human health is at risk and historic salmon and steelhead stocks are at risk or extinct. Under the Clean Water Act, states have identified many Columbia River tributaries, the Columbia River itself, and its estuary as impaired. Major sources of impairment to water quality include pollutant run-off from agricultural activities and storm-water on impermeable surfaces (e.g., paved parking lots and roads); habitat modification due to the hydroelectric dams and their associated reservoirs; legacy toxic contaminants, such as mercury and PCBs; and contaminants of emerging concern, such as discarded pharmaceuticals. In addition, EPA Superfund sites are located throughout the Basin and may have negatively impacted water quality in locations such as Portland Harbor in Oregon, the Hanford Site in Washington, and the Upper Columbia River at Lake Roosevelt in Washington. Figure 2 shows some sources that may lead to impairment of the Basin, including point and nonpoint sources of pollution.", "In the early to mid-1990s, the states of Washington and Oregon sponsored monitoring studies that identified dozens of sites in the lower reaches of the Columbia River where contaminants exceeded water quality standards for the presence of pesticides, toxic metals, and cyanide, among other findings. Further, in 1992, an EPA survey of contaminants in fish reported a potential health threat to tribal members and other people who eat fish from the Basin. More recently, a 2009 EPA report summarized findings contained in studies by USGS and NMFS (in conjunction with the University of California-Davis). The report noted that significant levels of toxic chemicals were found in fish and the waters they inhabit, including toxics banned from use since the 1970s, such as dichlorodiphenyltrichloroethane (commonly known as DDT) and PCBs, as well as emerging contaminants, such as chemicals used for flame retardants. This has led states to periodically issue fish, and in some cases shellfish, advisories throughout the Basin warning the public not to consume more than specified quantities of contaminated aquatic species or, in some cases, at all. In addition to potential human health impacts, other studies have found that some contaminants have negative impacts on fish and wildlife populations in the Basin. Since the 1990s, fewer sites in the Basin have been monitored for water quality, and investment in such monitoring has decreased, according to an EPA official. For example, according to staff from the Lower Columbia Estuary Partnership, monitoring sites on the mainstem lower Columbia River have decreased over time and currently one site is being monitored for toxics."], "subsections": []}, {"section_title": "Selected Legislation Related to Water Quality in the Columbia River Basin", "paragraphs": ["The Clean Water Act and Endangered Species Act are the primary federal statutes driving many of the restoration efforts in the Columbia River Basin. A range of other laws, treaties, court decisions, and authorities also serve to create requirements for entities to implement restoration efforts in the Basin.", "Clean Water Act: The Clean Water Act was enacted in 1972 to \u201crestore and maintain the chemical, physical, and biological integrity of the nation\u2019s waters.\u201d It establishes the basic structure for establishing surface water quality standards, as well as regulating discharges of pollutants into the waters of the United States, and provides various regulatory and non-regulatory tools for doing so. Under the Clean Water Act, EPA may allow states under certain circumstances to implement their own clean water programs and to enforce their requirements. EPA establishes by regulation the requirements for state enforcement authority, such as the authority to seek injunctive relief and civil and criminal penalties.", "National Estuary Program: In 1987, amendments to the Clean Water Act added Section 320, which established the National Estuary Program to promote comprehensive planning for, and conservation and management of, nationally significant estuaries, among other things. EPA oversees the program and has designated 28 estuaries as being of national significance, including the Lower Columbia Estuary. Based on this designation, in 1995 EPA and the governors of Washington and Oregon established the Lower Columbia Estuary Partnership. The Partnership works with federal, state, tribal, local, and nongovernmental entities to improve the lower Columbia River and its estuary by protecting and restoring ecosystems and enhancing clean water for current and future generations of fish, wildlife, and people. Under Clean Water Act Section 320, as the management conference for the estuary, the Lower Columbia Estuary Partnership is required to develop and implement a comprehensive conservation and management plan (CCMP) to restore and maintain the chemical, physical, and biological integrity of the estuary, including water quality. The CCMP for the lower Columbia River estuary covers the lower 146 miles of the Columbia River and its associated tributaries, or about 7 percent of the Basin overall, and is intended to reflect a scientific characterization of, and stakeholder concerns about, the estuary, including its water quality, habitats for animal and plant life, and other resource challenges. Figure 3 shows the area covered by the Lower Columbia Estuary Partnership\u2019s CCMP.", "Clean Water Act Section 123 on Columbia River Basin Restoration: The Water Infrastructure Improvements for the Nation Act of 2016 amended the Clean Water Act by adding Section 123 on Columbia River Basin Restoration. The law requires EPA to establish the Columbia River Basin Restoration Program, which is to be a collaborative stakeholder-based program for environmental protection and restoration activities through the Basin. Legislation calling for establishment of a Columbia River Basin restoration program within EPA was introduced in 2010. According to a Congressional committee report accompanying the bill, a main finding was that while EPA in 2006 recognized the Columbia River Basin as one of the nation\u2019s large aquatic ecosystems and had in place an organizational structure to manage restoration efforts being implemented in the lower Columbia River estuary, there was no congressionally authorized program or dedicated appropriations to support the water quality restoration and toxic reduction efforts throughout the Basin. Section 123 directs EPA to assess trends in water quality in the Basin, collect and assess data on potential causes of water quality problems, develop a program to provide grants to various entities, and establish a voluntary interagency Columbia River Basin Restoration Working Group (Working Group). The law also requires the President\u2019s annual budget submission to include an interagency crosscut budget prepared by OMB that displays, for each federal agency involved in the protection and restoration of the Columbia River Basin, funding amounts obligated for those purposes in the preceding fiscal year, the estimated budget for the current fiscal year, and the proposed budget for the next fiscal year for related activities at each agency. Figure 4 shows the requirements of Clean Water Act Section 123.", "Endangered Species Act: Enacted in 1973, the purpose of the Endangered Species Act is to protect and recover imperiled species and the ecosystems upon which they depend. It is jointly administered by the U.S. Fish and Wildlife Service (FWS) and NMFS. Generally, the FWS manages land and freshwater species, and NMFS manages marine species and anadromous fish, such as salmon. Under the Endangered Species Act, species may be listed as either endangered or threatened. In the Basin, numerous species have been listed, including 13 species of salmon and steelhead. Under Section 7 of the act, federal agencies are to ensure that any actions they authorize, fund, or carry out, whether on federal or private lands, do not jeopardize listed species. To fulfill this responsibility, the agencies often must formally consult with FWS or NMFS, which issues a biological opinion assessing whether the agency action is likely to jeopardize the continued existence of the species or result in destruction or adverse modification of critical habitat. For example, three federal agencies\u2014the Corps, BPA, and Bureau of Reclamation\u2014operate and manage federal dams and other hydroelectric facilities that comprise the Federal Columbia River Power System under a biological opinion NMFS issued in 2008.The biological opinion includes, among other measures, performance standards for the survival rate of fish migrating upstream or downstream past the associated dams and reservoirs. Additional required mitigation actions include those related to habitat restoration, predation management, and hatchery management to mitigate for the adverse effects of the system, as well as numerous research, monitoring, and evaluation actions to support and inform adaptive management decisions.", "Large Aquatic Ecosystems: EPA has designated specific areas around the country as \u201clarge aquatic ecosystems.\u201d Such ecosystems comprise multiple small watersheds and water resources within a large geographic area. Over the years, EPA has worked with other federal agencies, state and local governments, tribes, and others to develop specific geographic- based programs to protect and restore these areas, including the Chesapeake Bay and the Great Lakes. In 2006, EPA recognized the Columbia River Basin as a large aquatic ecosystem to help promote the development of new cooperative initiatives and efforts to improve water quality, remove contaminated sediments, restore native fish species, and preserve and restore aquatic habitat and ecosystems throughout the Basin. In 2008, EPA\u2019s Office of Water established a national Council of Large Aquatic Ecosystems to work within the agency and better support and promote efforts being implemented by the geographic-based programs to protect these large aquatic ecosystems. EPA incorporated strategic goals and objectives for most large aquatic ecosystems into its strategic plan for fiscal years 2006 through 2011 and into its national water program guidance. Over time, for the majority of these large aquatic ecosystems\u2014such as the Chesapeake Bay, Great Lakes, Long Island Sound, and Puget Sound\u2014EPA formally established dedicated program offices and received congressional appropriations specifically for restoration efforts in each large aquatic ecosystems geographic area. See figure 5 for the large aquatic ecosystems designated by EPA throughout the United States."], "subsections": []}, {"section_title": "Entities Involved in Water Quality-Related Restoration Efforts in the Basin", "paragraphs": ["Multiple entities conduct activities related to restoration efforts in the Basin, including federal agencies, state agencies, federally and non- federally recognized tribes, tribal organizations, and nongovernmental entities. Along with their primary water, power, resource, and other management and regulatory responsibilities, federal, state, and tribal entities are responsible under various laws, treaties, executive orders, and court decisions for protecting, mitigating, and enhancing fish and wildlife resources in the Basin, among other things.", "Eleven federal agencies, within six departments, are involved with water quality-related restoration efforts in the Basin. The departments and agencies, and their respective roles, include:", "U.S. Department of Agriculture", "Forest Service: Manages national forests and grasslands under the principles of multiple use and sustained yield.", "Natural Resources Conservation Service (NRCS): Assists farmers, ranchers, and other landowners in developing and carrying out voluntary efforts to protect the nation\u2019s natural resources.", "U.S. Department of Commerce", "NMFS: Conserves, protects, and manages living marine resources to ensure their continuation as functioning components of marine ecosystems and to afford economic opportunities; implements the Endangered Species Act for marine and anadromous species; and supports on-the-ground habitat restoration projects with funding and technical assistance.", "U.S. Department of Defense", "Corps: Designs, builds, and operates hydroelectric civil works projects in the Basin to provide electric power, navigation, flood control, and environmental protection.", "U.S. Department of Energy: Addresses U.S. energy, environmental, and nuclear challenges through science and technology solutions, including clean-up of the former Hanford plutonium production site for nuclear weapons in Washington.", "Bonneville Power Administration (BPA): BPA provides power and transmission services and markets the electricity generated by the Corps and Reclamation dams comprising the Federal Columbia River Power System.", "U.S. Department of the Interior", "Bureau of Land Management: Administers public lands and subsurface mineral resources under the principle of multiple use and sustained yield.", "FWS: Manages wildlife refuges; conserves, protects, and enhances fish, wildlife, and plants; and implements the Endangered Species Act for terrestrial species, migratory birds, certain marine mammals, and certain fish.", "Reclamation: Designs, constructs, and operates water projects for multiple purposes, including irrigation, hydropower production, municipal and industrial water supply, flood control, recreation, and fish and wildlife.", "USGS: Conducts objective scientific studies and provides information to address problems dealing with natural resources, geologic hazards, and the effects of environmental conditions on human and wildlife health.", "EPA: Protects human health and safeguards the natural environment by protecting the air, water, and land, including administration of the Clean Water Act."], "subsections": []}]}, {"section_title": "Various Entities Implemented a Range of Restoration Efforts for Improving Water Quality in the Columbia River Basin from Fiscal Years 2010 through 2016", "paragraphs": ["In response to our survey, various entities\u2014federal and state agencies, tribes and tribal organizations, and nongovernmental entities\u2014identified a range of restoration efforts they implemented related to improving water quality in the Columbia River Basin from fiscal years 2010 through 2016. Although there have been some plans to guide certain restoration efforts for parts of the Basin, there is no overall plan to guide water quality- related restoration efforts throughout the Columbia River Basin or a requirement for a federal agency or others to develop such a plan.", "We found that entities implemented their restoration efforts under a range of authorities and programmatic missions. At the federal and state levels, many of the restoration efforts were implemented as part of programs with a broader geographic scope than the Basin. For example, many of EPA\u2019s efforts are part of programs that have a nationwide focus, such as the Clean Water Act Section 106 Water Pollution Control Grant Program, which provides grants to states, territories, interstate agencies, and eligible tribes to establish and administer water pollution control programs for the prevention, reduction, and elimination of pollution. Conversely, other restoration efforts have been implemented exclusively in the Columbia River Basin. For example, the Shoshone-Bannock Tribe\u2019s Yankee Fork Restoration Program works to improve the floodplain and riparian zones along dredged sections of the Yankee Fork Salmon River. Appendix II provides a list of the restoration efforts implemented in the Columbia River Basin from fiscal years 2010 through 2016, based on entities\u2019 responses to our survey. See table 1 for examples of a range of restoration efforts implemented by various entities in the Basin from fiscal years 2010 through 2016.", "Based on responses to our survey, we found that entities implemented restoration efforts in the Columbia River Basin for a variety of purposes, such as improving surface water quality or reducing toxic pollutants. Specifically, our survey listed five purposes and asked entities to identify whether each was a primary purpose, secondary purpose, or not a purpose of the respective restoration effort. Overall, the most common primary purposes identified were improving surface water quality and restoring and protecting habitat. For example, the Forest Service identified monitoring surface water quality as the sole purpose for its Pacific Northwest Region Aquatic Inventory and Monitoring effort, which inventories and monitors watershed and stream habitat conditions to provide information and feedback to improve resource protection and restoration programs. Similarly, FWS identified restoring and protecting habitat as the primary purpose of its National Fish Habitat Partnership Pacific Region effort. This effort\u2014part of a nationwide program\u2014focuses on restoring aquatic habitat important to fish species of regional significance in the Columbia River Basin. See table 2 for the purposes identified in our survey and examples of associated restoration efforts.", "In addition, we found that restoration efforts implemented in the Columbia River Basin can directly or indirectly support improving water quality. For example, some restoration efforts directly support improving water quality, such as efforts whose primary purpose included monitoring surface water quality. Other restoration efforts indirectly support improving water quality. For example, NRCS\u2019 Conservation Stewardship Program\u2019s primary purpose is helping agricultural producers, ranchers, and forest landowners expand their conservation activities to enhance natural resources while simultaneously improving their operations. These efforts do not directly focus on improving water quality, but activities implemented through these efforts may indirectly improve water quality in the Columbia River Basin."], "subsections": []}, {"section_title": "Entities Used Various Collaborative Approaches for Selected Restoration Efforts", "paragraphs": ["We found that entities\u2019 approaches to collaboration for selected water quality-related restoration efforts in the Basin from fiscal years 2010 through 2016 varied based on the specific circumstances of the given effort. This was in part because there is no overall coordinating body to guide water quality-related restoration efforts throughout the Columbia River Basin or a requirement prior to the enactment of Section 123 for federal agencies or others to develop such a body. For example, certain efforts are required by law or regulation to use specific types of collaborative approaches (e.g., stakeholder review of proposed program plans), and other efforts that are voluntary in nature may use different approaches to engaging and maintaining collaborative efforts among relevant entities. For example, the Washington State Department of Ecology and others developed the dissolved oxygen total maximum daily load (TMDL) for the Spokane River and Lake Spokane through a regulatory process that included public review and comment. In contrast, entities such as the Lower Columbia Estuary Partnership and the Columbia River Toxics Reduction Working Group sought the voluntary involvement of other entities through their mutual interest in a common outcome, in this case restoring the lower Columbia River estuary and reducing toxics in the Basin, respectively.", "In addition, based on responses to our survey, the majority of restoration efforts in the Basin involved multiple entities. Specifically, for restoration efforts implemented in the Basin from fiscal years 2010 through 2016, respondents reported that approximately 71 percent of the efforts involved more than one entity and that approximately 29 percent were implemented solely by a lead entity.", "To highlight examples of collaborative approaches entities used for water quality-related restoration efforts, we selected five efforts for review. While these efforts are not generalizable to all restoration efforts in the Basin, they highlight specific collaborative approaches entities used for individual restoration efforts, as follows:", "Effort 1: The Corps Northwestern Division Reservoir Control Center Water Quality Program (2008-present) is a federally led effort designed to implement the 2008 Federal Columbia River Power System biological opinion, and collaboration is enabled through coordination meetings, facilitated by a neutral third party, to manage Corps project operations affecting water quality. For example, according to Corps guidelines, day-to-day coordination of Corps operations (e.g., voluntary water spill over dams) to meet the biological opinion\u2019s requirements and comply with water quality standards occurs through biweekly or more frequent meetings of its operational-level interagency Technical Management Team. The team operates under institutionalized collaboration procedures that provide guidance for, among other things, membership, member roles and responsibilities, and procedures for meetings and decision making. According to agency documentation, meetings of the Technical Management Team are facilitated by an impartial contracted facilitator whose position is designed to enable team members the opportunity to fully participate in discussions and help members resolve conflicts as they arise.", "Effort 2: Washington State\u2019s Spokane River & Lake Spokane Dissolved Oxygen TMDL (2004-present) is a state-led effort, regulatory in nature, and collaboration is enabled through an associated Foundational Concepts guiding document. Under the Clean Water Act, Washington State was required to develop a TMDL and associated water quality improvement plan for the Spokane River and Lake Spokane because the state identified several segments of these water bodies as having impaired water quality. In a 2004 draft TMDL, the state proposed phosphorus discharge requirements necessary for the river to meet the state\u2019s water quality standards. However, not all responsible for point source pollution discharges believed that well-established technology existed that could achieve these requirements, according to the Foundational Concepts document. The state developed the document specifically to enhance and further enable a collaborative approach among the regulatory agencies and the pollution dischargers involved in revising and finalizing the TMDL, according to Washington State officials. The final TMDL document, issued in 2010, noted that technology was available that could bring current discharges much closer to the levels required by water quality standards, and that Washington State could develop a plan, approved by EPA, that would provide reasonable assurance that the standards could be achieved within 10 years.", "Effort 3: The Columbia River Toxics Reduction Working Group (2005-present) is an EPA-led effort, voluntary in nature, and collaboration is enabled by a joint signed executive statement signed in 2011. EPA developed the group\u2014in conjunction with other relevant federal, state, tribal, local, and nonprofit partners\u2014to better coordinate toxics reduction efforts in the Basin and to share related information within the context of each organization\u2019s own roles and responsibilities. Executives from the partner agencies, tribes, and organizations demonstrated their leadership commitment for the Columbia River Toxics Reduction Working Group\u2019s efforts by signing the joint statement. The executive statement was designed to publicly highlight their commitment to be partners involved with the Columbia River Toxics Reduction Working Group toward the collaborative efforts necessary to reduce toxics in the Basin.", "Effort 4: The Lower Columbia Estuary Partnership (1995-present) is an effort led by a nongovernmental organization, voluntary in nature, and collaboration is enabled through a management plan. The Partnership\u2019s organizational purpose is to facilitate restoration efforts in the lower Columbia River estuary portion of the Basin by building on existing efforts, providing a regional framework for action, and filling gaps in understanding and planning, among other things. The Partnership\u2019s CCMP guides the collaborative efforts of the Partnership and its associated stakeholders and identifies what the Partnership should be doing concerning regional coordination activities, as well as how such coordination should be pursued.", "Effort 5: The Confederated Tribes of the Umatilla Indian Reservation Fisheries Habitat Sub-Program (1987-present) is a tribal effort, sovereign in nature, and collaboration is enabled through the sub-program\u2019s Umatilla River Vision guiding document. This fisheries habitat effort is designed to provide for sustainable harvest opportunities of aquatic species traditionally consumed by the Umatilla through protection, conservation, and restoration of related aquatic habitats, according to Umatilla tribal officials. The vision articulated by the tribe\u2019s Fisheries Program is that the Umatilla Basin includes a healthy Umatilla River capable of providing sufficient quantities of the First Foods (i.e., water, salmon, deer, cous, and huckleberry) necessary to sustain the continuity of the tribe\u2019s culture. The Umatilla tribes developed the Umatilla River Vision to help identify existing gaps in knowledge and the work that must be accomplished to reestablish a healthy watershed and restore fisheries habitat on the Umatilla Reservation. Umatilla tribal officials we interviewed stated that the document is applicable to all Umatilla aboriginal lands and guides all their restoration efforts and coordination with other entities, including federal and state officials and funding partners.", "In addition, we obtained the views of officials from 11 federal agencies on factors that may enable and hinder collaboration in the Basin. In identifying factors that enabled collaboration in their implementation of specific restoration efforts, officials from the 11 federal agencies most often identified the following: (1) having pre-existing relationships with partners, such as through participation in interagency bodies; (2) having clearly defined roles and responsibilities and common outcomes for restoration efforts across partners; and (3) identifying resource needs and the sources of resources to be used for such efforts. The officials also identified potential actions that could enhance basin-wide collaboration for restoration efforts beyond their individual efforts. For example, one official responded that collaboration could be improved by involving senior- level officials in discussing and establishing priorities for basin-wide restoration, so that each entity could then implement efforts across the Basin in a manner consistent with the priorities agreed to by the senior leaders. Other officials noted that implementing this action would require individual agencies and entities to provide staff time and needed resources to enable collaboration on broader basin-wide priorities, consistent with each agency\u2019s individual missions and goals. An official also suggested, to enhance collaboration on basin-wide restoration, proactively involving relevant entities through presentations and document reviews to allow the entities to offer their suggestions and identify any objections they may have for a given effort. In addition, a different official suggested implementing basin-wide restoration monitoring and evaluation to determine which efforts are working well, which are not, and how any given effort may need to change to more efficiently or effectively restore the Basin.", "The officials from the 11 federal agencies most often identified the following factors that hindered collaboration in their implementation of specific restoration efforts: (1) lack of sufficient resources, (2) incompatibility of policies and procedures across agencies, and (3) lack of clearly defined common outcomes for restoration efforts across partners. The officials also identified challenges to collaboration for basin-wide restoration beyond their individual efforts. Among other things, one federal official identified as a challenge the variability of missions, authorities, and priorities among various agencies and entities pursuing restoration efforts in the Basin. According to officials, these factors make it difficult to establish mutually agreeable end-goals and means for restoration because various entities have potentially competing interests based on each organization\u2019s primary mission. Specifically, prioritizing certain restoration efforts over others\u2014as may occur through adoption of a basin-wide restoration strategy or plan\u2014may lead some entities to not participate in basin-wide restoration activities. According to other officials, this is because an entity is most likely to prioritize its own efforts, not the efforts of other entities. Other challenges to basin-wide collaboration officials cited included the litigation surrounding restoration efforts in the Basin (e.g., lawsuits regarding salmon and steelhead recovery under the Endangered Species Act) and the associated potentially adversarial relationships among entities, as well as limited staff time and resources for collaborating with other entities."], "subsections": []}, {"section_title": "Entities Reported Using a Mix of Federal and Nonfederal Sources of Funding to Implement Restoration Efforts, but Total Federal Expenditures Could Not Be Determined", "paragraphs": ["Entities responding to our survey reported that most of the restoration efforts they implemented in the Basin were supported through a mix of federal and nonfederal funding sources. For several reasons, we could not determine total federal expenditures to implement the restoration efforts identified through our survey. Instead, we collected data from five federal agencies (BPA, Corps, EPA, Forest Service, and USGS) to provide illustrative examples of federal water quality-related restoration expenditures in the Basin."], "subsections": [{"section_title": "Entities Reported Most of their Restoration Efforts in the Basin Were Implemented with a Mix of Federal and Nonfederal Funding Sources", "paragraphs": ["Entities responding to our survey reported that most of their restoration efforts in the Basin were supported through a mix of federal and nonfederal funding sources. With respect to federal funding, responses to our survey indicated that nearly all of the restoration efforts identified through our survey received some level of federal funding. This includes funding appropriated to federal agencies for mission-driven activities that may have a primary purpose other than improving water quality and restoring the Basin. For example, according to agency officials, while improving water quality is not a primary mission of the Corps\u2019 and Reclamation\u2019s hydropower projects, maintaining compliance with water quality standards is a component of the operation and maintenance of these projects. Similarly, multiple federal agencies are involved in efforts to recover species protected under the Endangered Species Act and restore habitats that have been affected by operations of the Federal Columbia River Power System, particularly eliminating barriers to fish passage, operating fish hatcheries, and monitoring water temperatures to promote fish survival rates; those efforts indirectly benefit water quality.", "Several of the federal efforts we identified in our review do not directly implement restoration activities but provide financial and technical assistance to support other entities\u2019 implementation of restoration efforts. These efforts include:", "EPA\u2019s Clean Water Act Section 319 Nonpoint Source Implementation Grants Program, under which EPA provides grants to states to implement programs and fund programs that address nonpoint source pollution;", "NRCS\u2019s Regional Conservation Partnership Program, which provides financial incentives and technical assistance for eligible partners, such as agricultural producers, to implement voluntary conservation measures that address a range of natural resource management concerns, including water quality degradation and loss of fish and wildlife habitat;", "NMFS\u2019s Community-Based Restoration Program, which awards funds and provides technical assistance to national and regional partners and local grassroots organizations to restore habitat; and", "FWS\u2019s Partners for Fish and Wildlife Program, which provides financial and technical assistance to private landowners to protect or restore wetlands, uplands, and riparian and instream habitats.", "For example, in fiscal year 2016, NMFS\u2019s Community-Based Restoration Program awarded about $900,000 in grant funds to The Nature Conservancy to support its restoration of 330 acres of floodplain habitat at the confluence of two forks of the Willamette River. This effort provides a range of benefits, including improved water quality, improved fish passage, and increased hydrologic connectivity.", "In addition, more than half of the restoration efforts identified through our survey were implemented with a mix of federal and nonfederal funding sources, including most of the state efforts. These sources include support through direct financial awards or indirect support through in-kind services. For example, Reclamation\u2019s Pacific Northwest Water Quality Program provided cost-reimbursable services and technical support to stakeholders, such as state agencies and watershed councils, in the design and implementation of water quality improvement plans. Similarly, the Lower Columbia Estuary Partnership\u2019s 2017 annual report noted that for each $1 in federal funding the partnership received from EPA, the partnership raised an additional $9 in funding solicited from other federal, state, and private sources. In 2017, the partnership brought in $7.6 million in direct funding, most of which supported projects implemented by local organizations and businesses to restore habitat, monitor restoration work, and support outdoor education initiatives. The partnership also estimated that in 2017, it received in-kind services from a range of contributors, such as scientists, technical experts, and community members who volunteered more than 18,000 hours of their time to implement various partnership activities. The partnership valued these in- kind services at nearly $430,000.", "Some programs, such as the Corps\u2019 Aquatic Ecosystem Restoration program, do not provide funding to other entities but include specific cost- sharing requirements for project sponsors to secure contributions of nonfederal funding. For example, nonfederal project sponsors are required to provide 35 percent of the construction costs for projects implemented through the Corps\u2019 program, which can include land easements, rights-of-way, and necessary relocations. Other programs, such as NRCS\u2019s Regional Conservation Partnership Program, do not include matching requirements for nonfederal funding but work with partners to identify other funding sources to supplement federal funding awards."], "subsections": []}, {"section_title": "Total Federal Expenditures for Basin Restoration Efforts Could Not Be Determined", "paragraphs": ["While we were able to collect information about the general sources of funding that supported implementation of the restoration efforts in the Basin respondents identified in our survey, we could not determine the total amounts of federal expenditures for these efforts for several reasons. First, unlike efforts to restore other large aquatic ecosystems, there was no congressionally authorized program to protect and restore the Basin prior to 2016 or federal funding dedicated specifically for this purpose, according to EPA officials. In the absence of dedicated federal funding or a congressionally authorized program focused on restoring the Basin, agency data on water quality-related restoration expenditures in the Basin is not readily available. Second, because some of the efforts are supported with funding from national and statewide programs that have a broader geographic scope than the Basin, it can be difficult to identify the portion of program expenditures that were for activities located within the Basin. This includes national-level programs, such as the Forest Service\u2019s National Best Management Practices Program and EPA\u2019s Clean Water Act grant programs, as well as statewide water quality permit programs. For instance, officials we interviewed from the Washington State Department of Ecology explained that, because the state typically do not track expenditures by region or location, it would be difficult to provide consistent and comparable estimates of expenditures for their statewide programs because of the various methodologies they use to compile the information. Third, it can be difficult to determine how much of a program\u2019s expenditures were for water quality-related restoration when the effort was implemented primarily for a different purpose or multiple purposes that may indirectly contribute to improving water quality. Several entities that responded to our survey indicated that they do not track expenditures by activity and that it would be difficult to estimate the portion of spending on restoration-related efforts. For example, Forest Service officials told us that for its Integrated Resource Restoration program, it is difficult to track expenditures for specific restoration activities in which the funding goes towards multiple objectives, such as vegetation management and wildlife species, in addition to water quality and aquatic resources.", "While data on total federal expenditures for restoring the Basin could not be determined, we collected expenditures from five federal agencies to provide illustrative examples of their spending on the restoration efforts they conducted across the Basin. Using responses to our initial survey, we selected efforts that respondents identified as being implemented for a variety of restoration purposes and for which information on expenditures would be available. As shown in table 3, we collected data on expenditures for fiscal years 2014 through 2016 for specific efforts implemented by the Corps, BPA, EPA, Forest Service, and USGS.", "The following examples provide more detailed information about each effort for which we collected information on federal expenditures:", "Corps\u2019 Ecosystem Restoration Programs. The Corps implements several ecosystem restoration programs under various authorities for the purposes of restoring and protecting aquatic habitats and environmental quality throughout the Basin. Through the Aquatic Ecosystem Restoration Program and the Project Modifications for Improvement of the Environment program, the Corps is authorized to carry out cost-effective restoration projects at facilities it operates throughout the Basin. Under the Lower Columbia River Basin Restoration Program, the Corps conducts studies and ecosystem restoration projects to protect, monitor, and restore fish and wildlife habitat in the Lower Columbia River Estuary. Collectively, for fiscal years 2014 through 2016, the Corps reported expending approximately $15.6 million in federal funding to conduct 25 aquatic ecosystem restoration projects across the Basin; this amount included costs for program coordination. For example, the Corps partnered with the City of Portland on the Westmoreland Park Ecosystem Restoration project to remove barriers to fish passage for endangered salmon swimming in Crystal Springs Creek on their way to the Willamette River (see figure 6). For fiscal years 2014 through 2016, the Corps reported about $1.4 million in total expenditures for the project, which included activities such as restoring a stream channel and surrounding wetland vegetative zone along with replacing three small culverts with wider, natural bottom fish-friendly culverts to improve water quality and restore fish passage upstream.", "BPA\u2019s Columbia River Basin Fish and Wildlife Program.", "According to BPA, this is one of the largest fish and wildlife protection programs in the country, annually funding hundreds of projects implemented in the Columbia River Basin by a wide range of federal, state, local, tribal, academic, and nongovernmental entities across four states. The program is implemented in partnership with the Northwest Power and Conservation Council, which makes recommendations on projects that should be funded and reviews the program at least every 5 years to develop updates as needed. BPA reported that from fiscal years 2014 through 2016, it provided an average of about $90 million per year in funding for projects that directly or indirectly benefitted water quality-related restoration efforts in the Basin, including projects to restore damaged fish habitat, improve hatchery practices, research, monitoring and evaluation, and water rights acquisitions. For example, in 2015, the program awarded $180,000 to fund habitat restoration actions to improve ecological functions, including water quality, as part of the Buckmire Slough Phase #1 project located near Vancouver Lake in southwest Washington (see figure 7). This restoration project reconnected about 65 acres of shallow water salmon habitat by removing two earthen berms and collapsed culverts and installed a channel- spanning pedestrian bridge to maintain trail access. According to BPA officials, the removal of the barriers helped improve fish passage and water flow through Buckmire Slough to the larger watershed that includes Vancouver Lake, the Lake River, and the Columbia River.", "EPA\u2019s Lower Columbia Estuary Partnership. EPA reported that the Lower Columbia Estuary Partnership had total expenditures of about $37 million in federal funding from fiscal years 2014 through 2016. The funding supported a range of efforts and restoration objectives for the lower portion of the Columbia River Basin, including habitat restoration; long-term monitoring strategy for sediment, fish tissue, and water quality; outdoor education programs; and citizen and professional involvement. According to EPA officials, the Lower Columbia Estuary Partnership has received about $600,000 annually in funding through Clean Water Act Section 320, which primarily supports the administrative and management functions of the partnership, including work to solicit funding from other federal and nonfederal sources to implement restoration projects throughout the estuary.", "Additionally, from fiscal years 2014 through 2016, the Lower Columbia Estuary Partnership received approximately $3.4 million in funding from BPA and other federal partners to support implementation of a long-term monitoring strategy for sediment, fish tissue, and water quality in the lower Columbia River and estuary. The funding helped support the Partnership\u2019s scientific and coordination staff as well as support sub-awards to outside experts in project design, data acquisition, and data analysis. The Partnership also received about $10 million in funding from BPA and other federal entities to fund multi-year projects, implemented by the Partnership and other local governments and nonprofit organizations, that contributed to the goal of restoring and protecting 25,000 acres of habitat to help the recovery of threatened and endangered salmon in the lower Columbia River and estuary.", "Forest Service\u2019s Region 6 (Pacific Northwest) Watershed and Aquatic Restoration Program. According to Forest Service officials, this program includes all required inventory, assessment, planning and design, and permitting needed to implement watershed protection and restoration projects in the agency\u2019s Pacific Northwest Region. Examples of the types of projects implemented through this program include: restoring fish passage and hydrologic connectivity at road- stream crossings; upgrading roads that are needed and decommissioning roads that are no longer needed; and protecting and restoring riparian areas to protect and restore stream temperatures. Forest Service reported expenditures of about $92 million in fiscal years 2014 through 2016 for these types of aquatic restoration projects implemented in national forests that contribute water flow to the Columbia River Basin. This includes about $4.6 million in funding received from other federal agencies, such as BPA, the Corps, Reclamation, FWS, Bureau of Land Management, and the Federal Highway Administration. It also includes approximately $19 million in funding provided to other federal, state, tribal, nongovernmental, and local entities to support implementation of their restoration-related projects in the Basin.", "USGS\u2019s National Water Quality Programs. USGS reported total expenditures of about $40 million from fiscal years 2014 through 2016 for Columbia River Basin water quality-related restoration efforts. This includes funding through appropriations, matching funds, and cost- reimbursable activities for projects and studies implemented through its national programs and Idaho, Oregon, Washington, and Wyoming- Montana regional Water Science Centers. This includes around $12 million in expenditures for National Water Quality Program activities, which provide an understanding of whether water quality conditions are improving or worsening over time, and how natural features and human activities affect those conditions. One of the efforts implemented through this program during this time frame was a regional study, the Pacific Northwest Stream Quality Assessment; USGS expenditures for this effort were about $3.3 million. The objectives of the regional study included determining the status of stream quality across the region by assessing various water quality factors that are stressors on aquatic life\u2014such as contaminants, toxicity, and streamflow\u2014and evaluating their relative influence on biological communities."], "subsections": []}]}, {"section_title": "EPA and OMB Have Not Yet Implemented Clean Water Act Section 123", "paragraphs": ["EPA and OMB have not yet implemented actions required under Clean Water Act Section 123, which was enacted in 2016. Specifically, EPA has not yet established the Columbia River Basin Restoration Program, including its associated Working Group. In addition, OMB has not yet prepared and submitted as part of the President\u2019s annual budget request an interagency crosscut budget on federal agencies\u2019 budgets for and spending on environmental protection and restoration efforts in the Basin."], "subsections": [{"section_title": "EPA Has Not Yet Established the Columbia River Basin Restoration Program", "paragraphs": ["According to EPA officials we interviewed, the agency has not yet taken steps to establish the Columbia River Basin Restoration Program, including the Columbia River Basin Restoration Working Group, as directed by Clean Water Act Section 123. In addition, agency officials told us that they were not currently planning to do so, as the agency has not received dedicated funding appropriated for this purpose. These officials acknowledged, however, that the agency has not yet requested funding to implement the program nor initiated any studies or assessments to identify what resources it may need to establish the program.", "We have previously reported that the Project Management Institute\u2019s The Standard for Program Management provides generally recognized leading practices for program management. It provides an overview of a program\u2019s three life cycle phases and associated actions with each phase. The primary purpose of the first phase\u2014program definition\u2014is to progressively elaborate the goals and objectives to be addressed by the program, define the expected program outcomes and benefits, and seek approval for the program. This phase has two distinct but overlapping sub-phases:", "Program formulation: involves development of the business case for the program, including initiating studies and estimates of scope, resources, and cost.", "Program planning: commences upon formal approval of the program and leads to the formation of a program team to develop the program management plan.", "Upon completion of this first phase, an entity is to prepare a program management plan and, with final approval, the program commences.", "Consistent with the practices established in The Standard for Program Management, a program management plan would include, among other components, a schedule of the actions an entity is to take, as well as the resources and funding needed to establish a program. By developing a program management plan that includes a schedule of the actions the entity will take and the resources and funding needed to establish and implement the program and submitting this plan to the appropriate congressional authorizing committees as part of the fiscal year 2020 budget process, EPA will have more reasonable assurance that it can establish the program in a timely manner. Further, in establishing the program under Section 123, EPA will need to also establish the Working Group, which is to recommend and prioritize projects and actions and review the progress and effectiveness of restoration projects and actions implemented throughout the Basin."], "subsections": []}, {"section_title": "OMB Has Not Yet Submitted an Interagency Crosscut Budget on Federal Agencies\u2019 Spending for Environmental Protection and Restoration Efforts in the Columbia River Basin", "paragraphs": ["According to OMB officials we interviewed, the agency has not yet submitted an interagency crosscut budget or requested that federal agencies provide information on their budgets and spending for Columbia River Basin environmental protection and restoration efforts as directed by Clean Water Act Section 123. Specifically, the President\u2019s budget is to include an interagency crosscut budget displaying amounts budgeted and obligated by each federal agency involved with environmental protection and restoration projects, programs, and studies relating to the Basin. While OMB officials acknowledged the agency is responsible for preparing the interagency crosscut budget for the Basin, they told us that the agency has only had preliminary internal discussions about the best approach for implementing the requirement, including whether to develop guidance that would define key terms and the processes agencies should follow in compiling the requested information. The officials, however, could not identify a time frame for when the agency anticipated finalizing any guidance or when it would begin requesting federal agencies provide OMB the information it needs to include in the interagency crosscut budget submission to Congress. Federal standards for internal control calls for an agency to design control activities to achieve objectives and respond to risks, such as by clearly documenting internal controls in a manner that allows the documentation to be readily available for examination (e.g., the documentation may appear in management directives, administrative policies, or operating manuals). By developing and providing guidance on the types of projects and activities that agencies should include in their reports, as well as what processes they should follow in compiling the related budget and spending information, OMB would have more reasonable assurance that the agencies provide comparable information about their restoration efforts.", "According to a 2011 Congressional Research Service report, an interagency crosscut budget is often used to present budget information from two or more agencies whose activities are targeted at a common policy goal or related policy goals. As outlined in a 2015 federal report, an interagency crosscut budget can help facilitate federal agency coordination and collaboration for restoration activities that can benefit from an integrated approach, and it can help increase cost effectiveness. That report also noted that collecting budget information from the agencies involved can help identify high-level trends in restoration-related funding over time. We recognize that agencies will differ in their budget and account management practices as well as the complexities of the federal budget process. However, as the 2011 Congressional Research Service report concluded, by providing agencies guidance and criteria that they can use to determine which projects and programs will be tracked across agencies, the process for developing an interagency crosscut budget can account for the differences in how agencies fund and implement their restoration-related efforts. The report also noted that crosscut budgets can help make data from multiple agencies more understandable and could be used to inform congressional oversight committees, participating agencies, and other entities implementing an ecosystem initiative. By directing each federal agency involved in the protection and restoration of the Basin to collect the information needed for the interagency crosscut budget and to submit this information to OMB for inclusion in the President\u2019s budget request for fiscal year 2020, OMB can better inform Congress as it considers funding for restoration efforts in the Basin as part of the annual budget process."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Federal agencies and other entities have undertaken a wide range of water quality-related restoration efforts in the Columbia River Basin for many years. The Water Infrastructure Improvements for the Nation Act of 2016 amended the Clean Water Act by adding Section 123 on Columbia River Basin Restoration, which requires the EPA Administrator to establish the Columbia River Basin Restoration Program, including its associated Working Group. This collaborative stakeholder-based program is to oversee and help coordinate environmental protection and restoration activities implemented throughout the Columbia River Basin. However, because EPA has not yet established the Program and Working Group, entities do not currently use a basin-wide collaborative approach to coordinate water quality-related restoration efforts being implemented throughout the Basin. Furthermore, EPA does not have a program management plan for this effort. By developing a program management plan for the effort, consistent with The Standard for Program Management, EPA will have more reasonable assurance that it can implement Clean Water Act Section 123 in a timely and effective manner. Furthermore, by establishing the Columbia River Basin Restoration Program, including the associated Working Group, EPA will be better positioned to carry out its responsibilities, which include prioritizing and evaluating the progress and effectiveness of environmental protection and restoration projects and actions implemented throughout the Columbia River Basin as required by law.", "In addition, Clean Water Act Section 123 requires the President\u2019s budget to include an interagency crosscut budget displaying amounts budgeted and obligated by each federal agency involved with environmental protection and restoration projects, programs, and studies relating to the Columbia River Basin. Such a crosscut budget would include amounts obligated for the preceding fiscal year; an estimated budget for the current fiscal year; and a proposed budget for the next fiscal year for the Basin. Given the difficulties we identified in determining federal expenditures for water quality-related restoration efforts implemented in the Columbia River Basin, by developing definitions and guidance on the types of projects, programs, and studies federal agencies should include in their reports and processes to follow in compiling their budgets, OMB could help ensure that they provide consistent and comparable information that OMB needs for the crosscut budget submission to Congress. Having consistent and comparable information on federal agency expenditures and budgets is critical to helping ensure that Congress and the relevant appropriating committees can make informed decisions about funding Columbia River Basin restoration efforts in their annual budget deliberations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations, one to EPA and two to OMB. Specifically: The Administrator of the EPA should develop a program management plan that includes a schedule of the actions EPA will take and the resources and funding it needs to establish and implement the Columbia River Basin Restoration Program, including formation of the associated Columbia River Basin Restoration Working Group, and submit this plan to the appropriate congressional authorizing committees as part of the fiscal year 2020 budget process. (Recommendation 1).", "The Director of OMB should develop and provide guidance on the types of projects and activities that agencies involved in the protection and restoration of the Columbia River Basin should include in their reports, as well as the processes they should follow in compiling the related budget and spending information. (Recommendation 2).", "The Director of OMB should direct each federal agency involved in the protection and restoration of the Columbia River Basin to collect the information OMB needs for the interagency crosscut budget and to submit this information to OMB for inclusion in the interagency crosscut as part of the President\u2019s budget request for fiscal year 2020. (Recommendation 3)."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to EPA, OMB, and the departments of Agriculture, Commerce, Defense, Energy, and the Interior. We also provided a draft of the report to the Idaho Department of Environmental Quality, Montana Department of Environmental Quality, Oregon Department of Environmental Quality, and Washington State Department of Ecology. EPA provided written comments, which are reproduced in appendix IV, and stated that it agreed with the conclusions and recommendation in our report. The Department of Agriculture also provided written comments, which are reproduced in appendix V. The departments of Defense and the Interior and the Washington State Department of Ecology responded by email that they did not have comments on the draft report. The departments of Commerce and Energy and the Idaho Department of Environmental Quality provided technical comments, which we incorporated as appropriate. OMB, the Montana Department of Environmental Quality, and the Oregon Department of Environmental Quality did not provide any comments.", "In its written comments, EPA stated that it agrees with our recommendation to develop a program management plan that includes schedule of the action it will take and the resources and funding needed to establish and implement the Columbia River Basin Restoration Program and associated Working Group as required under Clean Water Act Section 123. EPA stated that it will work with its partners within the existing governance structures to begin discussions on the development of a program management plan. As an initial step, the agency will reconvene the Columbia River Toxics Reduction Working Group to initiate discussion for how to approach implementation of Section 123. Further, EPA stated it stands ready to work with OMB on an interagency cross cut budget after OMB provides guidance on the types of projects and activities necessary to develop the budget.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Agriculture, Commerce, Defense, Energy, and the Interior; the Administrator of EPA; the Director of OMB; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) restoration efforts to improve water quality in the Columbia River Basin from fiscal years 2010 through 2016; (2) approaches to collaboration that entities have used for selected efforts, including factors they identified that enabled or hindered collaboration in the Basin; (3) the sources of funding and federal funding expenditures; and, (4) the extent to which the Environmental Protection Agency (EPA) and the Office of Management and Budget (OMB) have implemented Clean Water Act Section 123.", "For all four objectives, we reviewed relevant laws, including the Clean Water Act. We also conducted interviews and reviewed documentation from entities around the Basin, including federal agencies, state agencies responsible for managing water quality in their state, federally and non- federally recognized tribes and tribal organizations, and nongovernmental organizations. We also conducted a site visit to Portland, Oregon to meet with officials from federal agencies, a tribal organization, and a nongovernmental entity regarding their activities related to restoration efforts in the Columbia River Basin. We limited the scope of our review to the United States, specifically to the four states with the largest square mileage in the Columbia River Basin: Idaho, Oregon, Montana, and Washington.", "To examine restoration efforts to improve water quality in the Columbia River Basin implemented from fiscal years 2010 through 2016, we administered a survey to entities that implement restoration efforts in the Basin (see app. III for a blank copy of the survey). The survey asked each entity to individually list any water quality-related programs they implemented in the Basin from fiscal years 2010 through 2016. The survey included maps of the Columbia River Basin to provide respondents a common point of reference. For each program, we asked respondents to identify: the program\u2019s primary and secondary purposes; one or two key examples of the activities conducted as part of the whether the entity was the only entity responsible for implementing whether the entity was the lead entity responsible for implementing what other entities, if any, were involved with implementing the the primary authorities under which the entity implemented the program; the state(s) and area(s) within the Basin in which the program was implemented; a website containing primary source documents and other relevant information on the program; whether the entity received any federal funding to support implementation of the program; the sources of the federal funding, if any; whether the entity tracks expenditures of federal funding specifically for which fiscal years, if any, from fiscal years 2010 through 2016 the entity would be able to provide information on the annual amount of federal funding expended for this program; whether the entity would be able to provide actual expenditures, estimated expenditures, or neither for the annual amount of federal funding the entity expended on the program; how the entity collected expenditure data; any nonfederal sources of funding that supported the entity\u2019s implementation of the program; and a primary point of contact for any follow-up questions on the program.", "We conducted telephone pretests of the survey with 4 entities and revised it in response to their comments. During this process, we sought to ensure that (1) the questions were clear and unambiguous, (2) we used terminology correctly, (3) the survey did not place an undue burden on respondents, and (4) respondents had sufficient information to answer the questions.", "We identified and sent the survey to 41 entities based on the following criteria: federal agencies whose missions relate to restoration efforts in the Basin, state agencies responsible for water quality issues for the four states within our scope, federally and non-federally recognized tribes, tribal organizations, and nongovernmental entities involved with restoration efforts within the Basin. We emailed the survey in an attached pdf form that respondents could return electronically after marking checkboxes or entering responses into open-answer boxes. We sent the survey with a cover letter on May 31, 2017. After 2 weeks, we sent a reminder email, attaching an additional copy of the survey, to entities who had not responded. After 4 weeks, we telephoned all respondents who had not returned the survey and asked them to participate.", "We received responses from the entities listed in Table 4. We received 32 completed surveys from all of the 16 federal and state agencies that we contacted and we received responses from 16 of the 25 federally and non-federally recognized tribes, tribal organizations, and nongovernmental entities that we contacted. Because we did not survey every entity implementing restoration efforts in the Basin, the results from our analysis may not include all restoration efforts implemented in the Columbia River Basin from fiscal years 2010 through 2016.", "To assess the accuracy and completeness of the responses, we reviewed and analyzed each completed survey. In particular, we contacted each respondent at least once to follow-up on their responses and allowed respondents to review, correct, and edit their responses if necessary. During this follow-up, we asked questions to ensure that the responses to each survey were complete, comparable, and accurate and to clarify ambiguous responses. After we completed this follow-up, we analyzed the list of compiled restoration efforts to assess whether each listed restoration effort met general criteria. For example, we assessed the responses to make sure the efforts represented a similar level of aggregation, specifically at a program level. As part of our assessment, we reviewed prior interviews and agency\u2019s or entity\u2019s documents and websites. For example, in some instances the name of a restoration effort listed in the survey did not match the name of the effort on the agency\u2019s website. We recognize that despite implementation of our criteria, some ambiguity may remain about the programs included in the catalog. Based on our assessment, we further refined the list of restoration efforts and developed the final list as presented in Appendix II.", "To examine approaches to collaboration that entities\u2014including federal agencies, states, tribes, and nongovernmental entities\u2014have used for select efforts, we selected five case examples for in depth review. We used selection criteria to yield a limited number of efforts in the Columbia River Basin that were among the broadest in scope with regards to their geographic coverage and/or the number and type of entities involved (e.g., interstate vs. intrastate programs, entities from multiple levels of government) based on the survey responses we received. In addition, we selected these efforts, in part, to highlight collaborative practices for efforts implemented by a variety of entity types and with different primary purposes (i.e., improving or monitoring surface water quality, reducing toxic pollutants, recovering threatened or endangered species, or restoring and protecting habitat). We conducted interviews with officials from these five case example efforts on the collaborative practices they used to plan and implement their programs and requested related documentation for review. We derived the questions we used for the case interviews from our prior reports on practices that may enable collaboration. For example, we asked interviewees about mechanisms they used for their given effort to define intended outcomes and roles and responsibilities, identify resource needs (e.g., funding, staff) and their sources, and ensure the compatibility of policies and procedures across entities. Our prior reporting served as the conceptual framework for understanding the collaborative practices used by officials leading these case example efforts. We highlight in our report a single illustrative collaborative practice used for each effort.", "In addition, we separately emailed four questions to each of the 11 federal agencies with water quality-related restoration efforts and that responded to our survey, to solicit agency officials\u2019 opinions on practices that may have enabled or hindered collaboration for efforts planned and implemented by their respective agency. We sent these emails to the same agency points of contact to which we sent the first survey designed to identify restoration efforts in the Basin or to other officials the agency identified as the relevant point of contact. We derived questions we emailed from our prior reporting on factors that may enable collaboration. We asked interviewees to consider efforts for which their agency had their most and least successful experiences in collaborating with other organizations on water quality-related restoration activities and to systematically rank factors, from a list we provided, that enabled or hindered their collaboration with the other organizations. We received written responses from all 11 agencies. Our prior reports served as the conceptual framework for developing the list of factors that we provided to the respondents and from which they selected those that applied to their agency\u2019s experience. We highlight the most commonly identified collaboration enablers and hindrances.", "We systematically asked officials from the five case efforts and the 11 federal agencies that received the four questions we emailed for their perspectives on the most significant challenges, if any, to enhancing collaboration among entities involved in restoration efforts to improve water quality in the Basin. We also systematically asked the same officials for their suggestions, if any, for steps that could be taken to enhance collaboration among entities involved in restoration efforts to improve water quality in the Basin. We highlight some of the challenges and suggestions respondents offered. Last, to determine whether a mechanism exists for basin-wide collaboration on water quality-related restoration programs, we reviewed existing legislation and interviewed agency officials.", "To examine the sources of funding and federal funding expenditures in the Columbia River Basin, we interviewed agency officials, reviewed budget documents, analyzed responses to funding questions included in our initial survey, and analyzed expenditure data for selected federal efforts for fiscal years 2014 through 2016. Initially, we intended to use a second survey to collect comprehensive data on expenditures for each restoration effort that entities identified in response to our initial survey. However, in pretests with agency officials, we identified significant concerns with respect to the accuracy and completeness of information that we would gather through this approach that would limit our ability to compare expenditure data across agencies and efforts. Given the degree of variability, uncertainty, and lack of detail in the information agencies could provide, we concluded that the data would not be reliable for the purposes of estimating their expenditures of federal funding for their water-quality related restoration expenditures throughout the Columbia River Basin.", "To provide some information on expenditures, we decided to modify our comprehensive approach by shortening the time frame to fiscal years 2014 through 2016 and limiting the request to one restoration effort for each of the 11 federal agencies. We selected the 11 restoration efforts based on our review of the agencies\u2019 responses to questions in our initial survey relating to the primary purpose(s) of the program and availability of expenditure data. We then conducted interviews with agency officials to learn more about the selected efforts and the availability and reliability of expenditure data. Based on these interviews, we determined that for 6 of the 11 programs, the efforts had limited activities in the Basin during this time frame or the agencies would only be able to provide limited information or would not be able to provide sufficiently reliable expenditure data for the selected effort.", "We then distributed a second survey to 5 agencies\u2014 Bonneville Power Administration (BPA), U.S. Army Corps of Engineers, EPA, U.S. Forest Service, and U.S. Geological Survey. In this survey, we requested expenditures information for a specified restoration effort and asked about the sources and processes the agencies followed in compiling the information. Based on our review of these responses, we determined that the expenditure information for these specific restoration efforts was sufficiently reliable for purposes of our reporting objective.", "To examine the extent to which EPA and OMB have implemented Clean Water Act Section 123, we reviewed the law and legislative history. We also requested documentation from and conducted interviews with knowledgeable officials at EPA and OMB. We also identified program management leading practices reported by the Project Management Institute\u2019s The Standard for Program Management and discussed in our prior reports. For example, we considered the applicable leading practices for schedule and cost estimates, as well as other practices such as the development of program management plans."], "subsections": []}, {"section_title": "Appendix II: Catalog of Columbia River Basin Water Restoration Efforts, Fiscal Years 2010 through 2016", "paragraphs": ["Table 5 provides a list of 188 Columbia River Basin water quality-related restoration efforts identified by 11 federal agencies, 4 state agencies, 4 nongovernmental organizations, and 11 tribes and tribal entities in their responses to our May 2017 survey, along with a brief description of each effort and the restoration purpose(s) it supported. This list is primarily based on the survey responses. The survey included definitions of key terms including program, implement, and purposes of the programs. After we received survey responses, we conducted multiple reviews of the information, including asking the entities to review and edit the information they provided. In some cases we supplemented their responses with additional information available through other sources, such as interviews with officials and reviews of agency documents, as appropriate.", "Given the size of the Basin and number of entities involved, for our survey we specifically requested respondents report the restoration efforts at a programmatic level. In some instances, we decided to consolidate certain efforts that appeared to be part of the same overall program and exclude other efforts that appeared to be project-level efforts. Although we made every attempt to gather a comprehensive list of restoration efforts implemented by the entities listed below, including verifying the information with the respective entities, this list may not capture all of the relevant restoration efforts they implemented in the timeframe covered by our review. Further, entities may have not have listed all of their relevant efforts. We also acknowledge that the list does not reflect restoration efforts in the Columbia River Basin that were implemented by other entities not included within the scope of our review."], "subsections": []}, {"section_title": "Appendix III: Survey Distributed to Entities in the Columbia River Basin", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["J. Alfredo G\u00f3mez, (202) 512-3841 or gomezj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Barbara Patterson (Assistant Director), Heather Dowey (Analyst in Charge), Stephen Betsock, Mark Braza, John Delicath, Carol Henn, Karen Howard, Vondalee Hunt, David Lysy, Jeff Malcolm, Michael Meleady, Dan C. Royer, Kiki Theodoropoulos, and Sarah Veale made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Puget Sound Restoration: Additional Actions Could Improve Assessments of Progress. GAO-18-453. Washington, D.C.: July 19, 2018.", "Long Island Sound Restoration: Improved Reporting and Cost Estimates Could Help Guide Future Efforts. GAO-18-410. Washington, D.C.: July 12, 2018.", "Great Lakes Restoration Initiative: Improved Data Collection and Reporting Would Enhance Oversight. GAO-15-526. Washington, D.C.: July 21, 2015.", "Great Lakes Restoration Initiative: Further Actions Would Result in More Useful Assessments and Help Address Factors That Limit Progress. GAO-13-797. Washington, D.C.: September 27, 2013.", "Chesapeake Bay: Restoration Effort Needs Common Federal and State Goals and Assessment Approach. GAO-11-802. Washington, D.C.: September 15, 2011.", "Recent Actions by the Chesapeake Bay Program Are Positive Steps Toward More Effectively Guiding the Restoration Effort, but Additional Steps Are Needed. GAO-08-1131R. Washington, D.C.: August 28, 2008.", "South Florida Ecosystem: Restoration Is Moving Forward but Is Facing Significant Delays, Implementation Challenges, and Rising Costs.GAO-07-520. Washington, D.C.: June 4, 2007.", "Chesapeake Bay Program: Improved Strategies Are Needed to Better Assess, Report, and Manage Restoration Progress. GAO-06-96. Washington, D.C.: October 28, 2005.", "Great Lakes: Organizational Leadership and Restoration Goals Need to Be Better Defined for Monitoring Restoration Progress. GAO-04-1024. Washington, D.C.: September 28, 2004.", "Columbia River Basin: A Multilayered Collection of Directives and Plans Guides Federal Fish and Wildlife Activities. GAO-04-602. Washington, D.C.: June 4, 2004.", "Great Lakes: An Overall Strategy and Indicators for Measuring Progress Are Needed to Better Achieve Restoration Goals. GAO-03-515. Washington, D.C.: May 21, 2003.", "Columbia River Basin Salmon and Steelhead: Federal Agencies\u2019 Recovery Responsibilities, Expenditures and Actions. GAO-02-612. Washington, D.C.: July, 26, 2002.", "South Florida Ecosystem Restoration: Substantial Progress Made in Developing a Strategic Plan, but Actions Still Needed. GAO-01-361. Washington, D.C.: May 27, 2001.", "Comprehensive Everglades Restoration Plan: Additional Water Quality Projects May be Needed and Could Increase Costs. GAO/RCED-00-235. Washington, D.C.: September 14, 2000."], "subsections": []}], "fastfact": ["Activities, such as hydropower and agricultural practices, have impaired water quality in parts of the Columbia River Basin. This has put human health at risk and threatened the existence of some species, such as salmon.", "Federal and state agencies, tribes and others have taken steps to improve Basin water quality. However, the U.S. Environmental Protection Agency and the Office of Management and Budget have yet to take actions required under a 2016 amendment to the Clean Water Act. EPA, for example, has not begun a program to oversee and help coordinate restoration efforts.", "We recommended these agencies take actions specified in the law.", "This page was updated to include a link to the recommendations in this report."]} {"id": "GAO-18-84", "url": "https://www.gao.gov/products/GAO-18-84", "title": "Water Pollution: Some States Have Trading Programs to Help Address Nutrient Pollution, but Use Has Been Limited", "published_date": "2017-10-16T00:00:00", "released_date": "2017-10-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Nutrient pollution\u2014caused by excess nitrogen and phosphorus entering water bodies\u2014poses significant risks to the nation's water quality. Nutrients can enter water bodies from point sources and nonpoint sources. The Clean Water Act establishes the basic structure for regulating discharges of pollutants, including excess nutrients. Under the act, authorized states\u2014assisted and overseen by EPA\u2014set limits on nutrients impairing a water body and limits on point source discharges. EPA encourages states to use nutrient credit trading to address nutrient pollution. According to EPA, trading allows a point source to meet nutrient discharge limits by buying pollutant credits from a source that has reduced its discharges more than required.", "GAO was asked to examine nutrient credit trading programs. This report describes (1) the extent to which nutrient credit trading programs have been used and what the outcomes of the programs have been, (2) how states and EPA oversee nutrient credit trading programs, and (3) what key factors stakeholders view as affecting participation in nutrient credit trading. GAO reviewed EPA documents and interviewed EPA officials to gather information on trading programs. GAO then selected a nongeneralizable sample of three programs with the most trades in 2014 (based on the most recent available data); reviewed program documents; and interviewed EPA, state, and program officials and other stakeholders about the programs."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2014, 11 states had 19 nutrient credit trading programs, and trading provided flexibility for some point sources, such as wastewater treatment plants, to meet nutrient discharge limits, according to Environmental Protection Agency (EPA) data and officials. The majority of nutrient credit trading during 2014 occurred in three state programs\u2014programs in Connecticut, Pennsylvania, and Virginia. A review of trading data from these programs showed that most point sources participating in the three state programs did not purchase credits in 2014 to meet their discharge limits, which are established in National Pollutant Discharge Elimination System (NPDES) permits under the Clean Water Act. For the point sources that did purchase credits in 2014, state officials in the three states told GAO that the total amount in pounds of nutrients that point sources purchased as credits was generally small. Nevertheless, state officials explained that nutrient credit trading was useful because it allowed point sources to manage risk, reduce the cost of compliance, and better manage the timing of upgrades of nutrient removal technology.", "States oversee nutrient credit trading programs, and EPA helps ensure that programs are consistent with the act. States oversee nutrient credit trading programs by approving and verifying the generation of credits to ensure that credits represent real reductions in nutrient pollution. A state's approval and verification process varies depending on whether the credit generator is a point or nonpoint source, such as runoff from agricultural and urban areas. For point sources, the states GAO reviewed followed a process for verifying credits that is based on the existing oversight process for NPDES permits. Because nonpoint sources do not have NPDES permits, states use a separate process to approve and verify that nonpoint sources' pollution reduction activities have generated credits for trading. When questions or concerns arise, EPA uses its oversight authority to ensure that trades and trading programs are fully consistent with the act. EPA officials told GAO that they conduct oversight primarily through the regional offices, which (1) review NPDES permits, (2) review and comment on state regulatory frameworks for trading, (3) conduct periodic on-site inspections, and (4) provide national-level guidance and training to state programs and stakeholders.", "According to stakeholders, two key factors have affected participation in nutrient credit trading\u2014the presence of discharge limits for nutrients and the challenges of measuring the results of nonpoint sources' nutrient reduction activities. Officials from the three states GAO reviewed and other stakeholders cited the importance of discharge limits for nutrients as a driver to create demand for trading. Without such a driver, point sources have little incentive to purchase nutrient credits. The challenges of measuring nutrient reductions by nonpoint sources create uncertainties about the value of credits generated by nonpoint sources. In part, because of these uncertainties, the states GAO reviewed either did not allow nonpoint sources to trade or created special rules for nonpoint sources. State officials and stakeholders also told GAO that even if a program allows nonpoint sources to trade, point sources often prefer to trade with other point sources because they have similar permit and monitoring requirements."]}], "report": [{"section_title": "Letter", "paragraphs": ["Nutrient pollution, caused by excess nitrogen and phosphorus entering the environment, poses significant risks to the nation\u2019s water quality and presents a growing threat to public health and local economies. Excess nutrients can enter water bodies from point sources, such as industrial facilities and wastewater treatment plants, and from nonpoint sources, such as runoff from agricultural and urban areas. Nutrient pollution contributes to a trend of increasing numbers of harmful algal blooms in surface waters. These blooms can release toxins that can contaminate drinking water sources and adversely affect recreation, tourism, and fisheries. For example, in 2014, about 500,000 residents of Toledo, Ohio, lost access to public drinking water for 4 days because of algal toxins in the city\u2019s drinking water. The National Aquatic Resource Surveys, conducted by the Environmental Protection Agency (EPA) and state and tribal partners, have shown that nutrient pollution is a widespread issue affecting the nation\u2019s waters. The 2012 survey of lakes, issued in December 2016, found that 40 percent of the nation\u2019s lakes had high levels of phosphorus and 35 percent had excessive levels of nitrogen associated with harmful ecological impacts.", "The Clean Water Act, enacted in 1972, establishes the basic structure for regulating discharges of pollutants, including excess nutrients, into the waters of the United States and regulating quality standards for surface waters. The act requires states to establish water quality standards that protect public health and the environment and consider aquatic wildlife and human consumption and recreation, among other uses. The act also requires EPA to maintain and improve water quality by assisting and overseeing states\u2019 efforts, among other responsibilities. States are required to monitor and assess the conditions of water bodies, and those that do not meet state water quality standards are considered impaired. The Clean Water Act generally requires states to develop a pollutant budget, known as a \u201ctotal maximum daily load\u201d (TMDL), for each pollutant impairing a water body. In the case of nutrient impairment to a water body, a TMDL would reflect the maximum amount of that nutrient that the water body could contain and still be considered in compliance with water quality standards.", "The act also made it unlawful to discharge any pollutant except in compliance with law, which requires that point sources must obtain a permit before discharging into navigable waters. Through its National Pollutant Discharge Elimination System (NPDES) program, EPA requires every point source to hold a permit limiting pollutant discharges, including discharges of nutrients where appropriate. Under the act, EPA can authorize state, tribal, and territorial governments to implement the NPDES program, enabling them to develop NPDES permits and enact other administrative and enforcement aspects of the NPDES program. Currently, 46 states and one territory are authorized to administer and enforce the NPDES program. For these entities, EPA retains oversight responsibilities at multiple levels across the agency, including its headquarters and 10 regional offices, and carries out those responsibilities by establishing monitoring requirements, enforcement provisions, and reporting requirements.", "Unlike point sources, nonpoint sources are not subject to regulation under the Clean Water Act. Nonpoint source pollution, including pollution from nutrients, remains a leading cause of impairment of the nation\u2019s waters, according to EPA. In 1987, Congress amended the Clean Water Act, adding section 319 to explicitly address nonpoint source pollution through a cooperative, grant-based program with states, which funds projects to reduce nonpoint source pollution and restore impaired water bodies. Through this program EPA awards federal funds to states to develop and implement nonpoint source management programs.", "In recent years, EPA has called on states and stakeholders to take further actions that support or enhance the agency\u2019s efforts to reduce nutrient pollution\u2019s effects on public health. As part of this effort, EPA has continued to support water quality trading as an approach to help address nutrient pollution. Water quality trading can address water quality impairments from sediments and temperature, but most often trading is used to address nutrients; specifically, total nitrogen and total phosphorus. This type of water quality trading is also known as nutrient credit trading and is the focus of this report. According to EPA, nutrient credit trading allows a point source to meet its obligations for compliance with a nutrient discharge permit limit by purchasing pollutant reductions, or credits, created by another source or sources that achieved nutrient reductions beyond what was required often through a market-based approach. In their role as NPDES permitting authorities, states take the lead in developing nutrient credit trading programs. Sellers of nutrient credits may be point or nonpoint sources, depending on the framework of an individual trading program. In 1992, when we last reported on water quality trading to address water pollution, we identified four trading programs nationwide, with only one trade made at the time of the report\u2019s issuance. The limited activity in water quality trading nationwide was attributed largely to uncertainties surrounding the use of trading. Since 2003, EPA has developed policy and guidance to facilitate the development of water quality trading programs. In 2013, EPA and the U.S. Department of Agriculture (USDA) signed a partnership agreement to implement and coordinate policies and programs encouraging water quality trading.", "You asked us to review issues related to nutrient credit trading. This report (1) examines the extent to which nutrient credit trading programs have been used and what the outcomes of the programs have been, (2) describes how states and EPA oversee nutrient credit trading programs, and (3) describes what key factors stakeholders view as affecting participation in nutrient credit trading.", "To examine the extent to which nutrient credit trading programs have been used and what the outcomes of the programs have been, we first reviewed an internal EPA list of water quality trading programs and estimated trades for 2014, the most recent data available at the time we conducted our review. EPA officials explained that the data reported by states to EPA varied somewhat in completeness and consistency. For example, not all programs reported data on the number of trades for calendar year 2014. To gather additional information about EPA\u2019s list of programs, we emailed or interviewed officials from all 10 EPA regions to obtain confirmation on the presence or absence of trading programs in each state in 2014. We identified 7 EPA regions that had some form of water quality trading program in one or more of the states in their regions. We interviewed EPA regional officials to determine which of the programs (1) included point sources with NPDES permits that allowed for water quality trading and (2) were established for the specific purpose of trading nutrient credits (i.e., nutrient credit trading programs). From this list of nutrient trading programs, we then selected a nongeneralizable sample of three programs to examine in more detail. We selected three programs that in 2014 had the most trades and the most participating point sources. Because these programs were judgmentally selected, the results of our review of these programs cannot be generalized. To gather information about the establishment and structure of the programs, number and type of trades in 2014, and outcomes of the programs, we reviewed program documents. Specifically, we reviewed state laws and regulations, NPDES permits, watershed implementation plans, program rules and policies, annual summaries of nutrient credit purchases and sales, and assessments of state trading programs when available. We also interviewed state and program officials and other stakeholders knowledgeable about these programs.", "To describe how states and EPA oversee nutrient credit trading programs, we reviewed relevant federal laws, regulations, and EPA policies and guidance related to nutrient credit trading. We also interviewed agency officials from EPA\u2019s Office of Water and the 7 EPA regions with nutrient credit trading programs. In addition, we reviewed documents and interviewed state and program officials and other stakeholders for our nongeneralizable sample of three nutrient credit trading programs.", "To describe what key factors stakeholders view as affecting participation in nutrient credit trading, we spoke with officials from EPA\u2019s Office of Water, officials from the 7 EPA regions with nutrient credit trading programs, and officials and stakeholders from the nongeneralizable sample of three nutrient credit trading programs. We also reviewed documents and interviewed officials for one nongeneralizable multi-state trading program to provide an additional example of the key factors and how they affect participation in nutrient credit trading programs. Finally, we interviewed representatives of stakeholder groups, such as those representing wastewater treatment facilities, national organizations for water issues, and agricultural conservation districts. Appendix I contains more detailed information on the objectives, scope, and methodology of our review.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides a brief background into nutrient pollution, federal and state activities to address water pollution, and nutrient credit trading."], "subsections": [{"section_title": "Nutrient Pollution", "paragraphs": ["According to EPA, nutrient pollution is one of America\u2019s most widespread, costly, and challenging environmental problems. Nutrients are natural parts of aquatic ecosystems that support the growth of algae and aquatic plants, which provide food and habitat for fish, shellfish, and smaller organisms that live in water. However, when too many nutrients enter the environment, often as the direct result of human activities, the air and water can become polluted. The primary sources of nutrient pollution are fertilizer, animal manure, wastewater treatment plants, power plants, storm water runoff, cars, detergents, failing septic tanks, and pet waste. (See fig. 1.)", "Too much nitrogen and phosphorus in surface waters can cause algae to grow faster than ecosystems can handle. Significant increases in algae can harm water quality and habitats. Large growths of algae, called algal blooms, can severely reduce or eliminate oxygen in the water, leading to the illnesses and death of large numbers of fish. Some algal blooms are harmful to humans because they produce elevated levels of toxins and bacteria that can make people sick if they come into contact with or drink contaminated water or consume tainted fish or shellfish. According to a 2016 memorandum from EPA, nutrient pollution contributes to a trend of increasing numbers of harmful algal blooms in surface waters and consequentially a growing threat to public health and local economies. For instance, in 2016, algal blooms occurred along U.S. coastlines from Alaska to Florida, closing beaches, affecting tourism and local economies, and resulting in a state of emergency declaration in four coastal counties in Florida and more than 250 health advisories nationwide."], "subsections": []}, {"section_title": "Federal and State Activities to Address Water Pollution", "paragraphs": ["The Clean Water Act establishes a nationwide approach improving and maintaining the quality of rivers, streams, lakes, and other surface water bodies. Under this approach, states\u2014overseen by EPA\u2014are to set water quality standards, monitor water quality, and assess water quality against the applicable standards. Water quality standards define the water quality goals of a water body, or portion thereof, by designating the use or uses to be made of the water and by setting criteria necessary to protect the uses. These standards establish an additional legal basis for controlling pollution entering the waters of the United States from point sources, such as wastewater treatment plants. Water quality standards include the following, among other things: designated uses of the water body, such as the protection and propagation of fish, shellfish, and wildlife; criteria to protect designated uses, such as specific criteria or levels for toxic or nutrient pollutants that could harm aquatic life; anti-degradation requirements that describe the conditions under which water quality may be lowered in surface waters while still protecting existing uses and high quality waters; and other general policies to address implementation issues.", "To protect a water body\u2019s designated uses, a state must establish numeric criteria, or, where numeric criteria cannot be established or as a supplement to them, narrative or biomonitoring criteria. EPA has encouraged states to incorporate numeric criteria into water quality standards and TMDLs for water bodies with nutrient impairments because they require less interpretation to implement than narrative criteria. Numeric criteria express precise, measurable levels of particular chemicals or conditions allowable in a water body. In contrast, narrative criteria express in a qualitative form how to protect a designated use of a water body. Narrative criteria often describe the desired conditions of a water body as being \u201cfree from\u201d certain negative conditions. For instance, to protect a designated use, narrative criteria could require that a particular water body be free from floating non-petroleum oils of vegetable or animal origin. According to EPA, under most circumstances, water quality criteria that limit specific toxic pollutants are expressed numerically. However, according to EPA officials, most water quality criteria that limit nutrient pollutants are expressed narratively. EPA has provided support to states on how to develop numeric criteria through written guidance, webinars, and workshops. According to EPA officials and data, however, there has been limited state progress in developing numeric criteria for nutrients. As of 2017, six states had at least one statewide numeric criterion for either nitrogen or phosphorus for some water bodies.", "Through the monitoring and assessment process, states are to identify water bodies that do not meet established water quality standards and are therefore considered to be impaired. The Clean Water Act generally requires\u2014for each water body that a state has identified as impaired\u2014 that the state develop a TMDL for each pollutant impairing the water body. A TMDL reflects the calculation of the maximum amount of a pollutant that a water body can receive, while meeting and continuing to meet water quality standards for that particular pollutant. A TMDL determines a pollutant reduction target and allocates load reductions necessary to meet that target to both point and nonpoint source(s) of the pollutant, although under the Clean Water Act only point sources can be required to reduce pollutants. For a point source, legal discharge limits based on the targets identified in the TMDL are incorporated into an NPDES permit. An NPDES permit can be issued as an individual permit to a single facility, written to reflect site-specific conditions of that facility, or as a general permit for multiple facilities with similar operations and types of discharges. For example, Connecticut uses a general permit to implement the Long Island Sound TMDL. This permit authorizes 79 wastewater treatment facilities to discharge nitrogen into the sound and includes a specific nitrogen limit for each facility.", "Under the Clean Water Act and EPA\u2019s regulations, states or EPA can typically determine the most appropriate geographic area and pollutants for each TMDL. The Chesapeake Bay TMDL is the largest TMDL that EPA has developed. This TMDL identifies the necessary nutrient pollution reductions across the bay jurisdictions, which encompass seven states in a 64,000-square-mile watershed, and comprise 276 smaller TMDLs for 92 individual Chesapeake Bay tributaries. Similarly, the Long Island Sound TMDL identifies the necessary nitrogen pollution reductions for parts of Connecticut and New York that discharge into the sound. In contrast, many TMDLs cover a single water body, such as a lake or a segment of a river.", "Unlike its approach for point sources, the Clean Water Act\u2019s approach to curtailing nonpoint source pollution is largely voluntary. One of the primary ways that EPA addresses nonpoint source nutrient pollution is with the section 319 program. Through this grant-based program, EPA funds voluntary projects aimed at reducing nonpoint source pollution, particularly runoff from agricultural production. Grants from this program support a wide variety of activities including the development and implementation of best management practices (BMP), which are used to reduce or eliminate the introduction of pollutants into receiving waters. Some common agricultural BMPs include planting strips of trees or shrubs along stream banks to serve as buffers or planting cover crops, such as clover, in fields near water bodies to reduce nutrient runoff."], "subsections": []}, {"section_title": "Nutrient Credit Trading", "paragraphs": ["EPA also encourages states to use nutrient credit trading to help address nutrient pollution. Nutrient credit trading programs are designed to allow a point source to purchase pollutant reduction credits from another point source or a nonpoint source in the same watershed with the intent of meeting the discharge limits established in an NPDES permit. These limits establish a baseline that credit generators must discharge below before they can sell credits. According to EPA guidance, point sources that exceed their discharge limit can buy credits to be compliant with their permits, and point sources that have discharged below their limits can sell credits. Because the Clean Water Act does not require nonpoint sources to meet nutrient reduction targets established in a TMDL, there is no demand to buy credits. However, nonpoint sources can sell credits in some programs once these sources have reduced pollution below the targets established in the TMDL for the watershed or geographic area. To provide states with guidance on developing and implementing trading programs, EPA issued its Water Quality Trading Policy in 2003 and its Water Quality Trading Toolkit for Permit Writers in 2007. According to the EPA toolkit, states have the flexibility to structure a trading program to meet state needs including the type of entities allowed to trade; the types of pollutants traded, such as nutrients; and the mechanism for carrying out the trades. Additionally, the legal and policy framework for trading programs can vary.", "The Clean Water Act does not explicitly identify trading as an option to comply with NPDES permits. According to EPA\u2019s guidance, however, the act provides authority for EPA and states to develop a variety of programs and activities to control pollution; including trading programs, provided that these programs are consistent with the act. For instance, trading must not violate any of the act\u2019s provisions, such as the anti-degradation policy, which maintains and protects the existing uses of water bodies, or the anti-backsliding policy, which prohibits the modification of existing NPDES permits with less stringent standards than those established in the previous permit."], "subsections": []}]}, {"section_title": "Eleven States Had Nutrient Credit Trading Programs in 2014, and Trading Provided Flexibility for Some Point Sources to Meet Nutrient Discharge Limits in the 3 States We Reviewed", "paragraphs": ["According to EPA data and interviews with EPA officials, in 2014, a total of 19 nutrient credit trading programs existed in 11 states. The majority of nutrient credit trades occurred in 3 states\u2014Connecticut, Pennsylvania, and Virginia. Most point sources participating in these 3 state programs in 2014 did not purchase credits. However, EPA and state officials and stakeholders told us that trading provided point sources with flexibility that allowed them to manage risk, reduce the cost of compliance, and better manage the timing of upgrades of their nutrient removal technology."], "subsections": [{"section_title": "Eleven States Had a Total of 19 Trading Programs in 2014, and 3 States Accounted for the Majority of Trades, According to EPA", "paragraphs": ["In 2014, a total of 19 nutrient credit trading programs existed in 11 states, according to EPA data and interviews with EPA officials. These 11 states were California, Connecticut, Florida, Georgia, Idaho, Minnesota, North Carolina, Ohio, Pennsylvania, South Carolina, and Virginia. Three of the states\u2014Georgia, Minnesota, and North Carolina\u2014had more than one nutrient credit trading program. Each program covered a specific watershed, portion of a watershed, municipality, or permit holder (see fig. 2). See appendix II for a list of the 19 programs.", "EPA documents and officials indicated that trading may be less viable in some locations than in others. EPA\u2019s documentation discusses factors that can affect the viability of trading. For example, trading should occur within an area\u2014such as a watershed\u2014that is appropriately defined to ensure that trades will maintain water quality standards within that area.", "In a 2008 evaluation of water quality trading, EPA identified other location-specific conditions that influence whether trading occurs, including the regulatory environment, the nature of participants, and watershed characteristics. EPA officials in Region 9 explained, for example, that they do not see strong demand for nutrient credit trading in their region because there are not many nutrient impaired watersheds with a favorable combination of point sources that need credits and willing credit generators.", "Trading activity varied among the 19 programs. According to EPA data, not every state with a trading program had trades in 2014. According to EPA data and officials, the majority of nutrient credit trades occurred in 3 states\u2014Connecticut, Pennsylvania, and Virginia\u2014which were also the largest programs in terms of the number of participating point sources. According to state data and officials, the number of trades in these states in 2014 ranged from 31 to 151. (See table 1.)", "Under EPA guidance, each state has the flexibility to establish or approve a nutrient credit trading program or programs to meet its own situation. The three programs we reviewed are each structured somewhat differently. Specifically, see the following:", "Connecticut adopted legislation for a nutrient trading program in 2001. The state also issued a general permit in 2002 that allows 79 point sources in the Long Island Sound watershed to trade nitrogen credits. Connecticut\u2019s program does not allow nonpoint sources to generate credits. All nutrient credit trades are automatically processed annually by the state credit exchange, known as Connecticut\u2019s Nitrogen Credit Exchange Program. Connecticut state officials explained that, at the end of the year, the exchange compares each point source\u2019s total pounds of nitrogen discharged to its discharge limit. Each point source that discharges less than its limit receives a payment from the exchange. Each point source that discharges more than its limit\u2014and thus would be out of compliance with the general permit if it failed to secure credits in a timely manner\u2014is billed for the credits needed to bring it into compliance with its discharge limits. Because these transactions are conducted annually, the number of trades reported for Connecticut in 2014 is the same as the number of participating point sources that purchased credits in 2014.", "Pennsylvania established its trading policy and guidance in 2005.", "The state issues individual NPDES permits to point sources that allow for trading both nitrogen and phosphorus credits in the Chesapeake Bay watershed. In this program, both point sources and nonpoint sources may generate credits to sell to point sources for compliance with permit limits. Like Connecticut, Pennsylvania has an exchange for buying and selling credits, which is called PENNVEST. Unlike Connecticut, the exchange does not automatically conduct trades at the end of the year. Instead, point sources and nonpoint sources can choose whether to use the exchange to buy or sell credits, or whether to conduct sales outside the exchange. Pennsylvania officials told us that sales typically occur outside the exchange. According to Pennsylvania officials, the proportion of trades going through the exchange has been less than 10 percent annually since 2014.", "Virginia established its trading program through state legislation in 2005. The state uses a general NPDES permit that allows point sources within the Virginia portion of the Chesapeake Bay watershed to trade nitrogen and phosphorus credits. The general permit does not normally allow point sources to use credits generated by nonpoint sources for compliance with the general permit. Point sources covered under this permit generally trade with each other through the Virginia Nutrient Credit Exchange Association, although there can be a handful of bilateral trades, according to Virginia officials and state data."], "subsections": []}, {"section_title": "Most Point Sources Participating in the Three State Programs We Reviewed Did Not Purchase Credits, but Trading Provided Flexibility, According to Officials", "paragraphs": ["In the three states we reviewed, most point sources participating in the trading programs did not purchase credits to meet nutrient discharge limits, according to state data and officials. Officials from each state explained that many point sources have upgraded their nutrient removal technology in order to help them meet discharge limits. For example, from 2002, when Connecticut\u2019s trading program began, through 2014, 53 of the 79 point sources in Connecticut\u2019s trading program had invested in new technology to improve nutrient removal, according to state documents. As a result, many of those point sources generate nutrient reductions that they can sell as credits and do not usually need to purchase credits, according to state data and officials. Most point sources in the three states we reviewed did not purchase credits in 2014. (See table 2.)", "The percentage of point sources in those trading programs that did purchase credits to meet discharge limits ranged from 14 to 49 percent, depending on the state. Specifically, see the following: In Virginia, 14 percent of point sources in the trading program purchased credits in 2014\u2014the lowest percentage in the states we reviewed. Virginia officials told us that few point sources purchased credits because many point sources upgraded their nutrient removal technology before implementing the TMDL in anticipation of the stricter discharge limits and were able to meet discharge limits without purchasing credits.", "In Pennsylvania, 29 percent of point sources in the trading program purchased credits in 2014. Officials in Pennsylvania told us, however, that the demand for credits has continued to drop as point sources upgrade their nutrient removal technology. They said that most point sources that were planning to upgrade have done so.", "In Connecticut, 49 percent of point sources in the trading program purchased credits in 2014\u2014the highest percentage of the states we reviewed. According to Connecticut\u2019s 2014/2015 program report, the number of point sources that bought credits in 2014 was due to (1) increased discharges from three large wastewater treatment facilities that were under construction that year and (2) cold weather that affected the ability of point sources to remove nutrients from their discharges using biological processes. For comparison, 35 percent of point sources bought credits in Connecticut in 2015. A member of the Nutrient Credit Exchange Advisory Board in Connecticut told us that since the program began in 2002, the number of point sources that have needed to buy credits has generally decreased over time as these facilities have upgraded their nutrient removal technology. State officials expect this trend to continue in the future as more point sources complete their technology upgrades.", "For the point sources that did purchase credits in 2014, state officials in the three states we reviewed told us that the total amount (in pounds) of nutrients that point sources purchased as credits to meet their individual discharge limits was generally small relative to the aggregate discharge limits (see table 3). In addition, the number of credits purchased by point sources was generally much less than the number of credits generated (see table 4). However, because the three programs collect data differently, we could not make comparisons across all three states for both measures. Specifically, for two of the states\u2014Connecticut and Virginia\u2014we were able to compare the amount (in pounds) of nutrients purchased to the aggregate discharge limit, but we did not have comparable data for Pennsylvania. For the number of credits purchased relative to the number of credits available, we were able compare the data for Pennsylvania and Virginia, but we could not make the comparison for Connecticut. Nevertheless, the available state data show that the amount (in pounds) of nutrient credits purchased in these three programs in 2014 was generally small.", "The state data for 2014 showed that the amount of nutrient credits purchased in these three programs was generally small. Specifically, see the following:", "Point sources participating in Connecticut\u2019s nutrient credit trading program in 2014 purchased about 645,000 pounds of nitrogen credits to meet individual discharge limits. In total, point sources in the program had an aggregate discharge limit of about 3.3 million pounds for nitrogen. Point sources in Connecticut purchased the most pounds relative to the aggregate discharge limit among the states we reviewed\u2014about 20 percent. However, in 2014, point sources removed far more nutrients\u20145.3 million pounds of nitrogen\u2014than the 645,000 pounds purchased.", "Point sources participating in Virginia\u2019s nutrient credit trading program in 2014 purchased about 164,000 pounds of nitrogen credits and 35,000 pounds of phosphorus credits to meet individual discharge limits. In total, point sources in the program had an aggregate discharge limit of about 19 million pounds for nitrogen and 1.6 million pounds for phosphorus. Therefore, the pounds of nitrogen and phosphorus traded in Virginia in 2014 represented about 1 percent and 2 percent, respectively, of the aggregate discharge limit for these nutrients. In addition, the number of credits purchased by point sources in Virginia was less than the number of credits generated. Specifically, point sources in Virginia purchased about 164,000 nitrogen credits out of 6 million nitrogen credits generated, and about 35,000 phosphorus credits out of 797,000 phosphorus credits generated.", "Officials in Pennsylvania told us that the amount of nutrients traded in their program was small relative to the aggregate discharge limits, but they could not provide data in terms of pounds that we could use to make the comparison. However, data from Pennsylvania show that the number of credits purchased by point sources was generally much less than the number of credits generated. Specifically, point sources in Pennsylvania purchased about 805,000 nitrogen credits out of 1.9 million nitrogen credits generated, and about 85,000 phosphorus credits out of 111,000 phosphorus credits generated.", "In the three states we reviewed, most credits sold were generated by point sources, not nonpoint sources. As previously discussed, Pennsylvania was the only state we reviewed that allowed nonpoint sources to generate and sell credits. Of the credits sold in Pennsylvania, a relatively small percentage was sold by nonpoint sources. Specifically, nonpoint sources sold 36 percent of all nitrogen credits purchased in 2014 and 11 percent of all phosphorus credits. According to state officials, there were seven nonpoint source sellers of credits, including at least four sellers that aggregate credits generated by multiple agricultural operations.", "Although most point sources in these states did not buy credits in 2014, EPA officials, state officials, and point source stakeholders told us that nutrient credit trading was important because it gave point sources flexibility in meeting nutrient discharge limits. According to officials and stakeholders, this flexibility allowed point sources to manage risk, reduce the cost of compliance, and better manage the timing of upgrades of point sources\u2019 nutrient removal technology. Specifically, see the following:", "Managing risk. Although each point source\u2019s permit contains specific discharge limits, a point source\u2019s actual discharge varies from year to year. For example, an official from the Virginia Nutrient Credit Exchange Association explained that point sources will forecast their anticipated discharge over a 5-year period. However, there can be considerable variance from the forecast for any given year because of, for example, unpredictable weather, which can upset biological nutrient removal processes. Therefore, nutrient trading gives point sources insurance against unexpectedly high discharges by allowing them to \u201ctrue up\u201d at the end of the year by buying credits from point sources that discharged below their limits. This reduces the risk that an individual point source faces noncompliance with its permitted limit.", "Reducing the cost of compliance. Stakeholders said that upgrading nutrient removal technology to meet discharge limits is economically feasible for some point sources but is potentially unaffordable for point sources with fewer financial resources and smaller economies of scale. For example, one point source credit buyer in Connecticut told us that the buyer\u2019s facilities had invested in upgrading nutrient removal technology, but any additional upgrades to meet the discharge limits would not be economically feasible. The buyer explained that, within a trading program, those point sources with lower pollution control costs can generate additional reductions in pollution, which they can use to generate credits to sell to those point sources with higher pollution control costs. As a result, trading can make nutrient reduction efforts more cost-efficient system-wide.", "Managing the timing of upgrades. Trading helps point sources better manage the timing of upgrades to their nutrient removal technology, according to state officials and point source stakeholders. For example, a point source stakeholder in Virginia told us that it would have been difficult for all point sources to upgrade at once to meet the new discharge limits established in the NPDES permit under the TMDL, since there was a limited pool of engineers and construction companies that could install these upgrades, and that trading gave point sources time to schedule upgrades over several years. Additionally, in Pennsylvania, a point source credit buyer explained that the point source planned to complete a multi-year $34 million upgrade of its facilities in 2017 to meet discharge limits that came into effect in October 2012. To meet discharge limits in the meantime, the point source developed a program to purchase nitrogen credits from local nonpoint sources that would implement cover crop conservation practices to generate the necessary reductions. Therefore, trading allowed the point source to meet discharge limits during the period it was planning and completing the upgrade.", "Although nutrient credit trading has provided point sources with flexibility in meeting discharge limits, trading is not responsible for reducing nutrient pollution, according to EPA, state, and other stakeholders. These stakeholders told us that pollution reduction largely results from nutrient discharge limits in permits and the nutrient removal technology that point sources invest in to meet or reduce below those limits."], "subsections": []}]}, {"section_title": "States Oversee Nutrient Credit Trading Programs by Approving and Verifying Credit Generation, and EPA Reviews Permits That Allow for Trading", "paragraphs": ["States oversee nutrient credit trading programs by approving and verifying credit generation to ensure that credits represent real nutrient pollution reductions. EPA reviews permits, conducts periodic evaluations of point source facilities to ensure that trading is consistent with the Clean Water Act, and issues national-level guidance for nutrient credit trading."], "subsections": [{"section_title": "States Approve and Verify Credit Generation", "paragraphs": ["States oversee nutrient credit trading programs by approving and verifying credit generation to ensure that credits represent real nutrient pollution reductions. A state\u2019s approval and verification process varies depending on whether the credit generator is a point or nonpoint source. For point sources, the states we reviewed followed a process for verifying credits that is based on the existing oversight process for NPDES permits. Because nonpoint sources do not have NPDES permits, states use a separate process to approve and verify that nonpoint sources\u2019 pollution reduction activities have generated credits for trading."], "subsections": [{"section_title": "Process for Approving and Verifying Point Source Credits", "paragraphs": ["States we reviewed approve credit generation by point sources by including language that allows for trading in point sources\u2019 individual or general NPDES permits. In Connecticut and Virginia, point sources covered under the states\u2019 general permits are automatically approved to generate nutrient credits for trading. In Pennsylvania, point source facilities with language that allows for trading in their individual permits and that meet requirements in the state\u2019s watershed implementation plan are approved to generate credits. In all three states, the language that allows for trading in these permits includes the individual discharge limit for each point source, which is called a baseline, for trading purposes. An approved point source is able to generate credits when it reduces its discharge below its baseline.", "To verify point source credits, the states we reviewed each use an oversight process based on its NPDES authority to oversee permits that include discharge monitoring and reporting, and inspections. Federal regulations require point sources with NPDES permits to periodically monitor compliance with the effluent limitations established in their permits and report the results to the permitting authority. Specific monitoring and reporting requirements, including the frequency of monitoring, are included in each permit. State officials in the three states we reviewed all told us that they use discharge monitoring reports to determine how many credits a point source has generated. For example, according to the terms of the general permit for nutrient discharges in Virginia, point sources must sample nitrogen and phosphorus from one time per month to three times per week, depending on the volume of discharge. By February 1 of each year, point sources must submit total annual nitrogen and phosphorus discharges to the Virginia Department of Environmental Quality using a discharge monitoring report, which covers discharges during the previous calendar year. State officials in Virginia told us that they review these reports for data quality and determine which point sources generated credits and which point sources must buy credits to meet discharge limits. Any credits that point sources intend to use for compliance during the previous calendar year must be purchased by June 1.", "In addition, state officials in all three states told us that they conduct periodic inspections of point source facilities to ensure that facilities are appropriately monitoring and reporting nutrient discharges as required under their permits. For example, officials in Pennsylvania told us that for point sources, the state\u2019s Department of Environmental Protection conducts periodic inspections of point sources to ensure that they are meeting requirements that allow them to generate credits. These officials said that they generally inspect each facility at least once per year."], "subsections": []}, {"section_title": "Process for Approving and Verifying Nonpoint Source Credits", "paragraphs": ["In Pennsylvania, according to state officials and program documents, such as state regulations, a nonpoint source that seeks to generate credits must submit a request for credit certification. The request includes a description of how the nonpoint source intends to reduce nutrient pollution, such as through a BMP, and information about steps the nonpoint source will take to verify the credits including any relevant calculations, maps, and photographs. State officials review the request for technical acceptability and consistency with program requirements before approving credit generation.", "To verify nonpoint source credits after the credit-generating activity has taken place, officials in Pennsylvania told us that they review information about the performance of that activity, such as a BMP. According to the Pennsylvania Department of Environmental Protection\u2019s website, officials review documentation to ensure that the credit-generating activity was implemented as described in the verification plan submitted with the certification request, and that all program requirements are met. In addition to reviewing documentation, officials may conduct activities such as monitoring the credit-generating activity, inspecting sites, and performing compliance audits. For example, as part of the verification process, a nonpoint source credit generator official told us that they had to provide before and after photos of the cover crop that was intended to prevent nutrient pollution in a local water body. They said that they provided documentation that the crops were planted at a certain time and were the appropriate types of crops. In addition, they provided calculations related to the crops planted and types of soil they were planted in, before the credits could be verified."], "subsections": []}]}, {"section_title": "EPA Reviews Permits and Conducts Periodic Evaluations of Point Source Facilities to Ensure That Trading Is Consistent with the Clean Water Act", "paragraphs": ["EPA oversees trading programs as part of its oversight of NPDES to ensure that they are fully consistent with the Clean Water Act and its implementing regulations, in particular when questions or concerns arise, according to EPA policy. EPA officials told us that they conduct oversight primarily through the regional offices, which (1) review NPDES permits; (2) review and comment on state regulatory frameworks for trading; and (3) evaluate point source facilities by collecting discharge information and conducting periodic on-site inspections to ensure, for example, that sampling and record keeping practices are in order. Additionally, EPA headquarters provides national-level guidance and training to state programs and stakeholders."], "subsections": [{"section_title": "Review of NPDES Permits", "paragraphs": ["According to EPA officials, EPA\u2019s regional offices review NPDES permits that allow for trading to ensure that these permits meet the standards of the Clean Water Act and are consistent with EPA\u2019s policy and guidance on trading. The regional offices can object to these permits, if necessary. EPA can request changes to permits to ensure that they align with federal requirements. Although EPA does not review every NPDES permit, it will generally review permits that allow for trading because these permits could be considered more complicated, controversial, or challenging, according to EPA officials.", "In the states we reviewed, officials told us that EPA has reviewed NPDES permits that allow for trading and has at times requested that states make changes to the permits. For example, officials in Pennsylvania told us that EPA has reviewed 180 permits from large facilities in the state\u2019s trading program and objected to 14 of them, requiring state officials to modify those permits. Officials in Virginia said that EPA has reviewed its general permit that allows for nutrient credit trading. Virginia officials said that, during the most recent EPA review, the agency issued a formal objection to the permit and asked the state to increase the sampling frequency in the permit\u2019s monitoring guidelines. As a result, Virginia modified the permit to satisfy EPA\u2019s request."], "subsections": []}, {"section_title": "Review of State Regulatory Frameworks for Trading and Evaluation of Facilities", "paragraphs": ["In addition to reviewing NPDES permits, EPA regional officials told us that they review and comment on states\u2019 regulatory frameworks for trading. Officials said that they review these frameworks to identify any issues in developing and implementing the programs and that they request that state permitting agencies make changes when necessary. For example, in 2012, EPA Region 3 completed reviews of all six states and the District of Columbia in the Chesapeake Bay watershed, including the trading programs for both Virginia and Pennsylvania. After reviewing Pennsylvania\u2019s trading program, EPA raised concerns about the state\u2019s calculation of the baseline for nonpoint source credit generation. In response to EPA\u2019s concerns, officials in Pennsylvania told us that they made changes in the way nonpoint source credits are calculated.", "EPA\u2019s involvement in reviewing state trading frameworks can vary, according to EPA and state officials. For example, because of specific authorities written into the Chesapeake Bay TMDL, EPA Region 3 plays a very active role in reviewing state trading programs, according to officials from Region 3. By comparison, Connecticut state officials told us that since EPA Region 1 granted its initial approval of Connecticut\u2019s trading program, there has been little direct involvement by EPA in overseeing the program.", "Stakeholders in the states we reviewed and EPA regional officials told us that EPA conducts periodic evaluations of point source facilities by collecting discharge monitoring data and conducting inspections. Officials at EPA Region 3 told us that they conduct inspections of facilities, review records and sampling procedures, and evaluate credit generators. A nutrient credit generator in Pennsylvania told us that EPA has audited the facility\u2019s process for converting nutrient-rich manure into energy, mineral products, and nutrient credits. State officials in Virginia and Connecticut told us that they report nutrient discharge data to EPA for review."], "subsections": []}]}]}, {"section_title": "EPA Provides National-Level Oversight", "paragraphs": ["In addition to oversight activities conducted by the regions, EPA conducts some oversight of nutrient credit trading at the national level. EPA\u2019s oversight at the national level involves: (1) setting national guidance for trading, (2) offering training on nutrient credit trading to state officials and stakeholders, and (3) periodically collecting some data on nutrient credit trading programs. Specifically, see the following:", "Guidance. EPA has issued three documents that provide guidance to states to assist them in developing and implementing nutrient credit trading programs: EPA\u2019s 2003 Water Quality Trading Policy; the 2004 Water Quality Trading Assessment Handbook; and the 2007 Water Quality Trading Toolkit for Permit Writers, which EPA updated in 2009.", "Training. EPA has offered training for NPDES permit writers to help them better understand how to write NPDES permits that incorporate provisions for nutrient credit trading, according to EPA officials. EPA and USDA also sponsored a 3-day water quality trading workshop in September 2015 in Lincoln, Nebraska, on a range of different subjects related to water quality trading. According to the workshop\u2019s summary document, over 200 attendees participated, including water resource professionals; third-party environmental market makers; academics; representatives of federal, state, and local governments; representatives of non-governmental organizations; and agricultural and environmental stakeholders.", "Data collection. According to EPA officials, there is no requirement for permittees to report data about trading programs at a national level and EPA has no systematic way to collect this information. However, EPA manually collects some trading data, such as the names of programs with permits that allow for trading, which provides the agency with a general understanding of the extent to which trading is being used nationally. Officials told us that they plan to update national trading data at least every 2 years and make them available online in the fall of 2017."], "subsections": []}, {"section_title": "The Presence of Discharge Limits and the Challenges of Measuring Nonpoint Sources\u2019 Nutrient Reductions Affect Participation in Trading Programs, According to Stakeholders", "paragraphs": ["Stakeholders cited two key factors that have affected participation in nutrient credit trading\u2014the presence of discharge limits for nutrients and the challenges of measuring nutrient reductions resulting from nonpoint sources\u2019 implementation of BMPs.", "First, officials from the three states we reviewed, and other stakeholders we interviewed, cited the importance of discharge limits for nutrients as a driver to create demand for nutrient credit trading. Without such a driver, point sources have little incentive to purchase nutrient credits. According to EPA guidance, discharge limits\u2014most commonly established in a TMDL\u2014are the leading driver for nutrient credit trading markets. For the Pennsylvania and Virginia programs, the nutrient discharge limits are established in the Chesapeake Bay TMDL. For the Connecticut program, nutrient discharge limits are established in the Long Island Sound TMDL. The TMDL nutrient discharge limits are ultimately translated into discharge limits in the NPDES permits for point sources.", "Pennsylvania officials explained how discharge limits serve as a driver for trading. Officials stated that although the state established its nutrient trading program in 2005, the TMDL for Chesapeake Bay was not established until 2010. Officials noted that in the first years of the program, little trading took place because point sources did not have to meet nutrient discharge limits. Once EPA established the TMDL for the Chesapeake Bay\u2014and Pennsylvania established discharge limits for point sources in the NPDES permits\u2014demand for nutrient credit trading increased, according to Pennsylvania officials. Officials explained that if point sources had not yet upgraded their nutrient removal technology, and could not meet the NPDES permit discharge limits, they could buy nutrient credits to comply with discharge limits. EPA officials added that demand for trading could increase over the long term because of economic or population growth.", "In addition to programs in the three states, we also reviewed a program in the Ohio River Basin where nutrient credit trading activity has been limited, according to program officials. This multi-state trading program allows point and nonpoint sources in Ohio, Indiana, and Kentucky to generate and sell nutrient credits, and was designed as a pilot to test nutrient credit trading in case discharge limits were established. Program officials told us that while some credits have been generated and sold, participation in the program has been limited because there is no requirement\u2014in either a TMDL or numeric water quality standards\u2014for the point sources in these states to meet discharge limits. As the program is currently implemented, they said that credits are not purchased by point sources to comply with discharge limits but rather by corporations to meet internal sustainability goals or by philanthropists who want to invest in BMPs that address nutrient pollution in the Ohio River Basin.", "Unlike point sources, the Clean Water Act does not require nonpoint sources to meet nutrient discharge limits established in TMDLs or numeric water quality standards, and as a result, EPA said there is no federal regulatory driver creating demand for nonpoint sources to participate in nutrient credit trading programs.", "The second factor affecting participation in trading programs relates to the challenges of measuring nutrient reductions that result from nonpoint sources\u2019 implementation of BMPs. According to EPA officials and guidance, federal and state agencies typically do not directly monitor nonpoint source pollution or the effectiveness of BMPs because the diffuse nature of nonpoint source pollution makes monitoring costly and impractical. Instead, agencies and other stakeholders rely on models to estimate the amount of pollution discharged by nonpoint sources and the effectiveness of BMPs. These models incorporate information about variables such as land use, soil type, and precipitation to estimate the amount of nutrients that will be reduced as the result of implementing a specific BMP. Even with these models, EPA guidance recommends that the programs use a rule that calls for nonpoint source credit generators to generate credits at a greater than a one-to-one basis to account for uncertainties in modeling. According to this guidance, the rule can also mitigate other uncertainties such as how well BMPs are designed and maintained and the risk of a BMP failing to produce the expected results.", "In part because of this uncertainty, two of the states we reviewed did not allow nonpoint sources to generate credits in their programs. State officials in Connecticut told us that it was easier for Connecticut to implement nutrient trading with point sources, as their discharges are easy to quantify. State officials in Virginia told us that point source to nonpoint source trading is complicated and they felt that they could meet their TMDL reduction goals solely with point source reductions.", "Pennsylvania does allow nonpoint sources to generate and sell credits but the state has developed a rule to help address some of these uncertainties. Specifically, Pennsylvania implemented a rule in 2016 requiring nonpoint sources to generate three nutrient credits for every nutrient credit sold. This rule was developed as an interim step to address EPA\u2019s concern that the state\u2019s calculation of the baseline for nonpoint source credit generation was not consistent with the reductions needed to meet the Chesapeake Bay TMDL goals. Pennsylvania\u2019s rule, however, appears to have reduced the use of nonpoint source credits. State program data show that in 2016 approximately 115,000 nitrogen credits were available from nonpoint sources after the implementation of the rule, almost one-third the approximately 381,000 nitrogen credits that were available in 2014. An official at a wastewater treatment facility in south central Pennsylvania told us that the rule increased the cost to generate nonpoint source credits and reduced the number of nonpoint source credits available in Pennsylvania\u2019s trading program. Specifically, to meet its discharge limits in 2014, this facility purchased approximately 75,000 nitrogen credits, 52,000 of which were generated from local farmers who installed BMPs on their land. In 2016, after the rule was implemented, the same facility purchased 95,000 nitrogen credits, only 5,000 of which were generated from local farmers. According to the point source officials, they could no longer rely solely on purchasing credits generated from local farmers because there were fewer nonpoint source credits available to purchase in 2016. To meet the discharge limit, this facility purchased the remaining credits they needed from other point sources because nonpoint source credits were not available. Pennsylvania officials told us that the decline in the number of nonpoint source credits is mostly due to the new rule. However, they said that other factors such as the low price of credits have also decreased the incentive to generate nonpoint source credits.", "According to EPA officials, the program should implement a stricter baseline, based on the pollution reduction targets established in the Chesapeake Bay TMDL. Pennsylvania officials told us that if they make the baseline requirements stricter, there may be no incentive for nonpoint sources to generate credits because it would be much more difficult to meet the minimum requirements and the cost of generating credits would be prohibitive.", "State officials and stakeholders also told us that even if a program allows nonpoint sources to trade, point sources often prefer to trade with other point sources because they have similar permit and monitoring requirements and are both legally liable for meeting discharge limits. Trading between point sources provides buyers with the assurance that the credits they purchase represent actual reductions and can be used for compliance with an NPDES permit."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["On September 12, 2017, we provided a draft of this report to EPA for review and comment. On September 29, 2017, EPA responded by email stating that its Office of Water had reviewed the draft report and EPA had no comments.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of the Environmental Protection Agency, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) examines the extent to which nutrient credit trading programs have been used and what the outcomes of the programs have been, (2) describes how states and the Environmental Protection Agency (EPA) oversee nutrient credit programs, and (3) describes what key factors stakeholders view as affecting participation in nutrient credit trading.", "To examine the extent to which nutrient credit trading programs have been used and what the outcomes of the programs have been, we first spoke with EPA headquarters and EPA regional officials and reviewed EPA data. EPA does not have a formal definition for water quality trading programs, of which nutrient credit trading is a subcategory, and is not required to keep information on these programs. EPA periodically gathers some limited information on trading programs, including the type of trading program, location, facilities participating, and estimated trades. The most recent data EPA had at the time we conducted our review were for 2014. EPA officials explained that the completeness and consistency of the data reported by states to EPA varied somewhat. For example, not all programs reported trading data for calendar year 2014. To verify the accuracy of EPA\u2019s list of trading programs, we interviewed or e-mailed officials from all 10 EPA regions to confirm the presence or absence of trading programs in each state in 2014. For the 7 EPA regions with some form of trading program in their regions, we interviewed regional officials to gather more information about the type of trading conducted and whether there was trading activity in 2014.", "Using EPA\u2019s information as a starting point, we developed a modified list of nutrient credit trading programs that existed in 2014. For our modified list, we excluded two programs, one from Region 5 and one from Region 10, from EPA\u2019s data that did not trade nutrient credits. Based on our discussion with EPA officials, we also excluded trading programs that let residential septic system owners \u201ctrade\u201d credits to encourage wastewater treatment facilities to take their systems online. We also excluded one program that included three states\u2014the Ohio River Basin Interstate Water Quality Trading Project \u2014because none of the participating states have discharge limits in their permits. In the process of interviewing EPA regions, we also added one program from Region 4 and two programs from Region 5 that EPA officials told us had been inadvertently left off EPA\u2019s 2014 list.", "From this list, we then selected a nongeneralizable sample of the three nutrient credit trading programs\u2014Connecticut, Pennsylvania, and Virginia\u2014which appeared to have done the most trading and had the most participating point sources in 2014 for a more detailed examination. Because these programs were judgmentally selected, the results of our review of these programs cannot be generalized. For these three programs, we reviewed state laws and regulations, National Pollutant Discharge Elimination System (NPDES) permits, watershed implementation plans, program rules and policies, annual summaries of nutrient credit purchases and sales, and assessments of state trading programs when available. We also interviewed state and program officials and other stakeholders, such as point source and nonpoint source credit generators and buyers, to gather information on the programs, including structure, participants, number and type of trades, authorizing mechanisms, and outcomes.", "Specifically, to determine the number of trades we asked each state for its official list of trades from 2014, the most recent year for which we could get complete data from all programs. We counted each time a point source purchased credits as one trade. In addition, we asked states to provide us the number of point sources that purchased credits and the number of point sources in the trading programs, which we used to determine the percentage of point sources that purchased credits. The states post the number of point sources that purchased credits online, and the number of point sources in the program is identified in state documents.", "We also asked the states for the number of credits purchased and the aggregate discharge limit for point sources to determine the percentage of credits purchased in pounds of nutrients relative to the aggregate limit. The aggregate discharge limit is the maximum allowable discharge for point sources in the program. Because this limit represents the maximum amount of pollution allowable to meet water quality standards, it served as a point of reference for comparing the amount of discharge that was traded. We took these numbers from state records, and they are derived from the total maximum daily load, according to EPA policy. According to Virginia and Connecticut officials, in their programs one credit is equal to one equalized or delivered pound of pollution\u2014that is, a pound of pollution after accounting for the delivery ratio. Pennsylvania could not provide us the number of pounds purchased. According to Pennsylvania officials, a nutrient credit does not equal a pound of pollution in their program because they use trading ratios, such as delivery ratios. This means that credits generated from different sources represent different nutrient reductions depending on where they are relative to the polluted water body. However, the aggregate discharge limit does not represent the pounds of nutrients that could have been traded, since the volume of trading was limited by the supply of credits, which was less than the aggregate discharge limit in Virginia and Pennsylvania. Specifically, to show this, we used state data on the number of credits generated and compared them with the number of credits purchased. Connecticut does not have data on the number of credits available. To assess the reliability of the state data, we visually reviewed the data for completeness and interviewed state officials responsible for collecting and using data about their quality assurance protocols and their confidence in the data. We found the data to be sufficiently reliable for our purposes and confirmed all final numbers with state officials.", "We interviewed state program officials in all three states to better understand the extent to which nutrient credit trading programs have been used and what the outcomes have been. During these interviews, we discussed the management of the programs, reviewed state trading data, and discussed the benefits and challenges of nutrient credit trading. We visited Pennsylvania to meet with program officials and stakeholders. Specifically, we met a representative of a credit aggregator that buys and sells credits from nonpoint source generators and toured a wastewater treatment facility that generates credits and a facility that generates nutrient credits by processing chicken manure into energy. We also spoke with buyers and sellers of nutrient credits in Connecticut and officials from the nutrient credit exchange in all three states. We did not audit these state trading programs or analyze their effectiveness or efficiency in meeting discharge limits or water quality standards.", "We also conducted a literature review of academic and economic journals. We searched peer-reviewed journals for articles published from 2011 through 2016 discussing water quality trading or nutrient credit trading. We did not find any additional trading programs in the United States that had not already been identified.", "To describe how states and EPA oversee nutrient credit programs, we reviewed relevant federal laws, regulations, and EPA policies and guidance related to nutrient credit trading. We reviewed state requirements for implementing the NPDES program, under the Clean Water Act and implementing regulations, which defines responsibilities applicable to states that serve as permitting authorities for overseeing point source permittees\u2019 monitoring and reporting. These same authorities are used by states to oversee state trading programs. The Clean Water Act does not specifically authorize water quality trading, according to EPA officials; however, EPA has developed trading guidance for states interested in developing trading programs. We reviewed this guidance, specifically, EPA\u2019s 2003 Water Quality Trading Policy and 2007 Water Quality Trading Toolkit for Permit Writers. We also reviewed state documents, such as watershed implementation plans, that identify trading program rules, and interviewed state officials and other stakeholders for our nongeneralizable sample of three nutrient credit trading programs. In our interviews we asked state officials how they oversee their trading programs. In particular, we asked how they approve point and nonpoint sources to generate credits, verify that a credit represents a real reduction in nutrient pollution, and monitor the buying and selling of credits to ensure that permit obligations are met. We also interviewed officials from EPA\u2019s Office of Water and the 7 EPA regions with nutrient credit trading programs and asked them to describe EPA\u2019s oversight role at the regional and national level.", "To describe what key factors stakeholders view as affecting participation in nutrient credit trading, we spoke with officials from EPA\u2019s Office of Water, the 7 EPA regions with nutrient credit trading programs, and officials and stakeholders from the nongeneralizable sample of three nutrient credit trading programs. In addition, we reviewed documents and interviewed officials for one nongeneralizable multi-state trading program in the Ohio River Basin. We reviewed this program to better understand the key factors that can affect participation in nutrient trading programs. We interviewed officials from the institute that developed the program and corresponded with state officials from Kentucky and Ohio, two of the states involved in the Ohio Basin program. Finally, we interviewed representatives of stakeholder groups, such as those representing wastewater treatment facilities, national organizations for water issues, and agricultural conservation districts to get a broad perspective on the key factors that affect participation in nutrient credit trading programs."], "subsections": []}, {"section_title": "Appendix II: Nutrient Credit Trading in the United States in 2014", "paragraphs": ["We identified 19 nutrient credit trading programs in 11 states and seven Environmental Protection Agency regions, in 2014.The 11 states that had programs are: California, Connecticut, Florida, Georgia, Idaho, Minnesota, North Carolina, Ohio, Pennsylvania, South Carolina, and Virginia (see table 5)."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Janet Frisch (Assistant Director), Chuck Bausell, Mark Braza, Ellen Fried, Patrick Harner, Karen Howard, Greg Marchand, Emily Ryan, Jason Trentacoste, and Daniel Will made key contributions this report. ."], "subsections": []}]}], "fastfact": ["Nitrogen and phosphorus naturally occur in water bodies such as rivers and lakes. Wastewater from factories and runoff from streets and farms can add more of these nutrients to water bodies, degrading water quality.", "Some states limit the amount of nutrients that certain pollution sources can discharge. Eleven states have \"credit trading\" programs that allow sources to meet their limits by buying credits from sources that are below their limits.", "While few pollution sources have traded credits, the programs offered flexibility to some sources to meet their limits until they can upgrade their pollution removal technology."]} {"id": "GAO-18-526", "url": "https://www.gao.gov/products/GAO-18-526", "title": "Aviation Security: Actions Needed to Better Identify and Track U.S.-Bound Public Charter Operations from Cuba", "published_date": "2018-07-12T00:00:00", "released_date": "2018-07-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["On August 31, 2016, as part of a shift in U.S. policy toward Cuba, air carriers resumed scheduled commercial flights between the United States and Cuba, a route previously only open to public and private charter carrier operations. In June 2017, travel restrictions were revised to require U.S. travelers going to Cuba to travel as part of a licensed group. TSA, the agency responsible for securing the nation's civil aviation system, assesses Cuban airports and inspects air carriers operating U.S-bound flights to ensure they have effective security measures in place.", "GAO was asked to review TSA's assessments of Cuban aviation security. This report examines (1) the extent to which TSA followed its standard operating procedures when assessing aviation security at Cuban airports in fiscal years 2012 through 2017; (2) the results of TSA's Cuban airport assessments in fiscal years 2012 through 2017; and (3) the results of TSA's air carrier inspections for Cuba in fiscal years 2016\u2014when commercial scheduled air service between the United States and Cuba resumed\u2014and 2017. GAO reviewed TSA policies and procedures, observed TSA air carrier inspections in Cuba, and compared TSA data on assessments and inspections to data from the Department of Transportation."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) generally followed its standard operating procedures when documenting and resolving findings from its foreign airport assessments and air carrier inspections at Cuban airports in fiscal years 2012 through 2017. However, TSA did not perform all the required inspections of air carriers operating U.S.-bound public charter flights from Cuba. Specifically, GAO found that for the five air carriers selected for analysis, TSA performed approximately half of air carrier inspections in Cuba at the frequency established in its standard operating procedures in fiscal years 2012 through 2016. Of the inspections TSA did not perform, over half were not performed because TSA was not able to identify or reliably track U.S.-bound public charter operations from Cuba. Improving TSA's ability to identify public charters requiring inspection in Cuba and implementing a tool it is currently developing that more reliably tracks air carrier operations would better position TSA to meet its goal of inspecting all air carriers operating U.S.-bound public charter flights from Cuba at the frequency established in its standard operating procedures.", "Several of the Cuban airports TSA assessed in fiscal years 2012 through 2017 were fully compliant with International Civil Aviation Organization Standards at the time of assessment. The remaining airport assessments reported instances of noncompliance within the five categories: access control, quality control, aircraft and inflight security, passenger and baggage screening, and fencing.", "The majority of air carrier inspections TSA performed for Cuba in fiscal years 2016 and 2017 resulted in no findings, meaning that TSA determined air carriers operating these flights fully implemented all requirements in their TSA-approved security program at the time of inspection. The remaining inspections resulted in findings, which TSA closed after air carriers took corrective action.", "This is a public version of a sensitive report issued in May 2018. Information that TSA deemed to be sensitive is omitted from this report."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that TSA improve its ability to identify all public charters requiring inspection in Cuba and develop and implement a tool that more reliably tracks public charter operations between the United States and Cuba. TSA concurred with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["On August 31, 2016, as part of a major shift in U.S. policy toward Cuba, air carriers resumed operating scheduled commercial flights between the United States and Cuba, a route which was previously only open to public and private charter carrier operations. In June 2017, President Trump announced travel restrictions to again generally require U.S. persons to travel to Cuba as part of a licensed group. Since these travel restrictions did not directly affect civil aviation, air carriers continue to operate public charter and scheduled commercial flights between both countries and the security of these flights is an important priority to ensure that travelers and critical infrastructure are protected. The Department of Homeland Security\u2019s (DHS) Transportation Security Administration (TSA) has two key programs to ensure the security of U.S. passengers and property on U.S.-bound flights: (1) the foreign airport assessment program, which assesses security practices at foreign airports, and (2) the air carrier inspection program, which monitors air carriers\u2019 implementation of their TSA-approved security program.", "You asked us to examine TSA\u2019s efforts to ensure the security of air carrier operations between the United States and Cuba, and report the results of TSA\u2019s foreign airport assessments and air carrier inspections in Cuba. This report examines: (1) the extent to which TSA followed its standard operating procedures when assessing aviation security operations at Cuba\u2019s airports in fiscal years 2012 through 2017; (2) the results of TSA\u2019s foreign airport assessments for Cuba in fiscal years 2012 through fiscal year 2017; and (3) the results of TSA\u2019s air carrier inspections for Cuba in fiscal years 2016\u2014when scheduled commercial air service between the United States and Cuba resumed\u2014and 2017.", "This report is a public version of a prior sensitive report that we provided to you in May 2018. The sensitive report included part of an objective related to how the results of TSA\u2019s foreign airport assessments for Cuba compared to others in the Caribbean region. TSA deemed some of the comparison results related to this objective to be sensitive, which must be protected from public disclosure. This public report also omits certain information that TSA deemed to be sensitive related to the specific number of airport assessments and air carrier inspections performed by TSA in Cuba, results of those assessments and inspections, and TSA\u2019s risk-based approach in identifying U.S.-bound public charter operations from Cuba, among others. To provide context regarding the scale and magnitude of our findings, without disclosing sensitive information, we characterized specific numbers as some, many, or several. Although the information provided in this report is more limited in scope, as it excludes such sensitive information, it addresses the same overall objectives and uses the same overall methodology as the sensitive report.", "To address these objectives, we reviewed relevant laws and regulations and met with senior TSA officials at headquarters to discuss TSA\u2019s assessments of Cuban airports\u2019 aviation security and inspections of air carriers providing flights between Cuba and the United States. We also reviewed TSA documents on program management and strategic planning, including TSA\u2019s process for scheduling foreign airport assessments and air carrier inspections.", "To determine the extent to which TSA followed its standard operating procedures when assessing aviation security in Cuba, we examined documentation for all foreign airport assessments TSA conducted in fiscal years 2012 through 2017 and all air carrier inspections TSA conducted in fiscal years 2016 and 2017 in Cuba for completeness and errors. We also examined whether TSA performed Cuban airport assessments and air carrier inspections at the frequency established in TSA\u2019s standard operating procedures. To determine whether TSA conducted Cuban airport assessments at the frequency established in TSA\u2019s standard operating procedures, we analyzed TSA data for all airport assessments in fiscal years 2012 through 2017. To determine whether TSA conducted air carrier inspections at the established frequency, we selected a non- probability sample of 5 of the 18 air carriers operating U.S.-bound flights from Cuba that TSA had inspected over this period. We compared TSA data for all inspections of these carriers in fiscal years 2012 through 2016\u2014which include 5 years of public charter and 2 months of scheduled commercial flights\u2014to U.S.-bound flight traffic data from each Cuban airport from the Department of Transportation\u2019s Bureau of Transportation Statistics T-100 data bank, which contains data on U.S.-bound departures from foreign airports, among other things. In addition, we conducted site visits to TSA\u2019s Miami Regional Operations Center, which is responsible for performing airport assessments and air carrier inspections in Cuba, and observed four air carrier inspections at two airports in Cuba.", "To report on the results of Cuban airport assessments and air carrier inspections in Cuba, we reviewed and analyzed Cuban airport assessment reports for fiscal years 2012 through 2017 and air carrier inspection reports for Cuba for fiscal years 2016\u2014when scheduled commercial service between the United States and Cuba resumed\u2014and 2017. Lastly, to obtain air carriers\u2019 perspectives on aviation security in Cuba, we interviewed representatives from three air carriers that the Department of Transportation licensed to operate scheduled commercial flights between the United States and Cuba. See appendix I for more information on our objectives, scope, and methodology.", "The performance audit upon which this report is based was conducted from February 2017 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from May 2018 to July 2018 to prepare this nonsensitive version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of Civil Aviation between the United States and Cuba", "paragraphs": ["In January 1961, the United States severed diplomatic relations with Cuba, followed by a total economic embargo declared by President Kennedy in February 1962. The resulting restrictions, including prohibitions on civil aviation between the United States and Cuba, remained in place over the subsequent 37 years until the Clinton Administration announced the start of public and private charter air service operations between the United States and Cuba in 1999. Charter service was the exclusive means of air transport between the United States and Cuba from the time these flights were announced in 1999 until August 2016. In February 2016, United States and Cuban officials signed a memorandum of understanding reestablishing regularly scheduled commercial air service between the two countries. Specifically, this memorandum of understanding allowed U.S. air carriers to operate 20 daily scheduled round trip flights between the United States and Havana and 10 daily round trip flights between the United States and each of the 8 other Cuban airports, as shown in figure 1.", "The reestablishment of scheduled commercial flights between the United States and Cuba followed a March 2016 Obama Administration change to Office of Foreign Assets Control (OFAC) travel regulations with regards to educational travel. While travel to Cuba for tourist purposes is prohibited, U.S. persons may be authorized to travel to Cuba for certain activities including family visits and educational activities. Specifically, this change allowed individuals traveling under the educational category to create their own schedule of travel and interaction with the Cuban people rather than being required to travel under this category only through a licensed group. On August 31, 2016, U.S. airlines began offering regularly scheduled commercial flights to Cuba.", "In June 2017, President Trump directed the Department of Treasury through OFAC to revise various categories of travel, and OFAC revised the categories in November 2017 to again generally require U.S. persons to travel to Cuba as part of a licensed group. The revised categories do not change the ability of public charter and scheduled commercial flights between both countries to operate. However, since these changes to the travel categories were announced, four air carriers that had been awarded scheduled round-trip flights between the United States and Cuba returned all or some of their allotted flights, citing lack of market demand. See figure 2 for further detail on the history of civil aviation between the United States and Cuba."], "subsections": []}, {"section_title": "DHS Responsibilities for Ensuring the Security of U.S.-Bound Flights from Cuba", "paragraphs": ["Consistent with the Aviation Transportation Security Act and in accordance with existing statutory requirements, TSA assesses the effectiveness of security measures at foreign airports (1) served by a U.S. air carrier, (2) from which a foreign air carrier operates U.S.-bound flights, (3) that pose a high risk of introducing danger to international air travel, and (4) that are otherwise deemed appropriate by the Secretary of Homeland Security. The Secretary of DHS delegated to the TSA Administrator the responsibility for conducting foreign airport assessments, but retained responsibility for making the determination whether a foreign airport does not maintain and carry out effective security measures. In carrying out this function, the statute identifies measures that the Secretary must take in the event that he or she determines that an airport is not maintaining and carrying out effective security measures based on TSA assessments which can include, in some cases, revoking the authority of U.S. carriers to operate at the airport. In addition, TSA is to conduct inspections of U.S. air carriers and foreign air carriers operating U.S.-bound flights from foreign airports to ensure that they meet applicable security requirements. Currently, the Global Compliance Directorate, within TSA\u2019s Office of Global Strategies, is responsible for conducting foreign airport assessments and air carrier inspections.", "TSA began performing foreign airport assessments and air carrier inspections in Cuba in 2007, when only charter carriers operated flights between the United States and Cuba. The first foreign airport assessment after regularly scheduled commercial air service resumed was conducted in Sierra Maestra Airport in Manzanillo, Cuba on October 19, 2016, and the first air carrier inspection after scheduled commercial service commenced was conducted for an American Airlines flight on October 24, 2016, at Juan Gualberto Gomez International Airport in Varadero."], "subsections": []}, {"section_title": "TSA\u2019s Process for Conducting Foreign Airport Assessments", "paragraphs": ["TSA assesses the effectiveness of security measures at foreign airports including those airports in Cuba offering U.S.-bound public charter and scheduled commercial flights using select aviation security standards and recommended practices adopted by International Civil Aviation Organization (ICAO), a United Nations organization representing 192 countries. ICAO is a specialized agency of the United Nations with a primary objective to provide for the safe, orderly, and efficient development of international civil aviation. ICAO member nations (i.e., contracting states) agree to cooperate with other contracting states to meet standardized international aviation security measures. ICAO standards and recommended practices address operational issues at an airport, such as ensuring that passengers and baggage are properly screened and that unauthorized individuals do not have access to restricted areas of an airport. ICAO standards also address non- operational issues, such as whether a foreign government has implemented a national civil aviation security program for regulating security procedures at its airports and whether airport officials implementing security controls are subject to background investigations, are appropriately trained, and are certified according to a foreign government\u2019s national civil aviation security program.", "TSA utilizes 44 ICAO standards and recommended practices it sees as most critical in conducting its foreign airport assessments, which cover broad categories, including: passenger and cabin baggage security; and quality control.", "TSA uses a risk-informed approach to schedule foreign airport assessments across all foreign locations, including Cuba. TSA defines risk as a function of threat, vulnerability, and consequence. The agency uses various data sources to assess the likelihood of a location being targeted by bad actors, the protective measures in place to prevent an attack, and the impact of the loss from a potential attack. TSA categorizes airports into three risk tiers, with high risk airports assessed more frequently than moderate and low risk airports.", "TSA\u2019s assessments of foreign airports are conducted by a team of inspectors, which generally includes one team leader and one team member. According to TSA, it generally takes 3 to 7 days to complete a foreign airport assessment. However, the amount of time and number of team members required to conduct an assessment varies based on several factors, including the size of the airport and the threat level to civil aviation in the host country.", "At the close of an airport assessment, inspectors brief foreign airport and government officials on the results as well as any recommendations for corrective actions and prepare an internal report. As part of the report, and as shown in table 1, TSA assigns a vulnerability score to each ICAO standard and recommended practice assessed as well as an overall vulnerability score for each airport, which corresponds to the level of compliance for each ICAO standard and recommended practice that TSA assesses.", "If the Secretary of Homeland Security determines that an airport does not maintain and carry out effective security measures, he or she shall, after advising the Secretary of State, take secretarial action. This generally includes notification to the appropriate authorities of security deficiencies identified, notification to the general public that the airport does not maintain effective security measures, publication of the identity of the airport in the Federal Register, and, when appropriate, modification of air carriers operations at that airport. According to TSA officials, no secretarial actions have been issued for Cuban airports since the resumption of public charter flights between the United States and Cuba in 1999 and scheduled commercial flights in 2016."], "subsections": []}, {"section_title": "TSA\u2019s Process for Conducting Air Carrier Inspections", "paragraphs": ["Along with conducting airport assessments, the same TSA inspection teams also conduct air carrier inspections in foreign locations. During these inspections, a TSA inspection team examines each air carrier\u2019s implementation of applicable security requirements, including their TSA- approved security programs, any amendments or alternative procedures to these security programs, and applicable security directives or emergency amendments. The frequency of air carrier inspections at each airport depends on a risk-informed approach and is influenced, in part, by the airport\u2019s vulnerability to security breaches, since the security posture of each airport varies. In general, TSA\u2019s procedures require it to conduct air carrier inspections at each airport on an annual or semi- annual basis depending on the airport\u2019s vulnerability level, with some exceptions.", "At the close of an air carrier inspection, results are recorded into TSA\u2019s Performance and Results Information System (PARIS) database. If an inspector finds that an air carrier is not in compliance with any applicable security requirements, additional steps are taken to correct and record those specific violations ranging from on-the-spot counseling for minor violations to sending a warning notice and/or a letter of correction, to issuing notices of civil penalties for more egregious violations. In extreme cases, TSA may withdraw its approval of an air carrier\u2019s security program or suspend the air carrier\u2019s operations."], "subsections": []}]}, {"section_title": "TSA\u2019s Assessments and Inspections in Cuba Generally Followed Standard Operating Procedures, but Improvements Can Help Ensure they Occur at the Established Frequency", "paragraphs": [], "subsections": [{"section_title": "TSA\u2019s Foreign Airport Assessments and Air Carrier Inspections in Cuba Followed Standard Operating Procedures", "paragraphs": ["During fiscal years 2012 through 2017, TSA inspectors generally followed standard operating procedures for documenting foreign airport assessment results as required by TSA\u2019s 2010 and 2016 Foreign Airport Assessment Program Standard Operating Procedures and Global Risk Analysis and Decision Support (GRADS) Business Rules. Similarly, TSA inspectors generally followed standard operating procedures for documenting air carrier inspection results in fiscal years 2016 and 2017 as required by the PARIS Business Rules. TSA also resolved reported deficiencies in a timely manner, and conducted foreign airport assessments at established intervals as required by TSA\u2019s 2010 and 2016 procedures.", "Documentation: We found that data in most of the assessment reports TSA created in fiscal years 2012 through 2017 were generally complete with some reports missing some required information. Specifically:", "One airport assessment report did not answer required questions about training for aircraft pre-flight security checks and whether or not passenger screening met the requirements of Cuba\u2019s national civil aviation program.", "Another airport assessment report did not indicate which security measures were being used to screen checked baggage, which is typically included in TSA\u2019s airport profile report.", "A third airport assessment report did not have complete information regarding unescorted access to restricted areas.", "TSA officials explained that although inspectors did not document this information in the appropriate data fields within the report, they did record this information elsewhere within assessment documentation.", "We also found that data in air carrier inspection reports were generally complete and error-free. However, TSA was unable to provide full documentation for some of the air carrier inspections it conducted in Cuba in fiscal years 2016 and 2017. TSA officials attributed these missing documents to human error. We also identified errors or missing data fields in most of the air carrier inspections reports with complete documentation. For example: In reviewing air carriers\u2019 compliance with a TSA security requirement for air carriers to notify U.S.-bound passengers that loaded firearms are prohibited in checked baggage, some inspection reports indicated that air carriers were simultaneously in compliance and not in compliance.", "Inspectors failed to document air carriers\u2019 compliance with a TSA security requirement to prohibit unauthorized access to checked baggage during some air carrier inspections.", "The errors and missing data we identified constituted a relatively small proportion of the data in each inspection report, which include information on air carriers\u2019 implementation of various TSA security requirements. TSA attributed these to human error and has since issued guidance and updated its air carrier inspection report template designed to better ensure that air carrier inspections are fully documented and less likely to contain such errors or missing data fields.", "Recording, Tracking, and Resolving Findings: We found that TSA generally followed procedures to record and track deficiencies identified during assessments at foreign airports and whether they have been resolved by the host government during subsequent visits. Among the foreign airport assessments conducted in Cuba in fiscal years 2012 through 2017, TSA recorded findings in several of them. In nearly all of the reports with findings, TSA followed its SOPs by recording findings and their root causes in an internal document and tracking the status of host country action to resolve each finding. In one report, TSA failed to record the root cause of a deficiency. This issue has been identified in a prior GAO report, and TSA is taking steps to resolve the issue by better documenting the root cause of each deficiency.", "We also found that TSA followed procedures to record, track, and resolve findings from air carrier inspections. Among the air carrier inspections TSA performed in fiscal years 2016 and 2017, TSA recorded several violations. In each instance, TSA recorded the root cause of each violation in PARIS, resolved each violation with on-the-spot counseling or investigation, and closed all air carrier findings in fiscal years 2016 and 2017 after air carriers took corrective action.", "Timeliness: During fiscal years 2012 through 2017, TSA generally completed foreign airport assessments in Cuba within the scheduled time frames per TSA\u2019s policy. However, TSA explained that lapses can occur and that such deferments often take place worldwide due to scheduling conflicts, logistical issues, and operational concerns."], "subsections": []}, {"section_title": "TSA Inspections of Air Carriers Did Not Always Occur at the Established Frequency", "paragraphs": ["Our analysis of TSA air carrier inspection data from fiscal years 2012 through 2016\u2014a period in which public charter flights accounted for nearly all commercial air traffic between the United States and Cuba\u2014 revealed that TSA did not always inspect air carriers operating U.S.- bound flights from Cuba each fiscal year at frequencies established in TSA\u2019s standard operating procedures. In general, public charter flights are operated by air carriers but arranged or sponsored by a charter operator. Consistent with scheduled service, TSA requires air carriers operating U.S.-bound public charters to adopt and implement a TSA- approved security program. For inspection purposes, TSA does not differentiate between scheduled service and public charter service and inspects these operations to the same TSA security program requirements.", "According to TSA\u2019s Operational Implementation Plans for fiscal years 2012 through 2016, TSA\u2019s stated objective was to inspect 100 percent of air carriers operating U.S.-bound flights from foreign locations at the frequency established in its standard operating procedures. Specifically, depending on an airport\u2019s vulnerability rating, TSA\u2019s standard operating procedures provide that air carriers are to be inspected on either an annual or semi-annual basis. However, our analysis of TSA inspection data during fiscal years 2012 through 2016 identified that among the air carriers we selected for our analysis, TSA conducted little over half of the required inspections in Cuba at the frequency established in its standard operating procedures. For example, our analysis revealed that TSA inspected an air carrier in September 2013 and April 2015, but did not do so in fiscal year 2014\u2014a year in which this air carrier operated a total of 127 U.S.-bound flights.", "In response to our analysis, TSA officials explained that host government requests to reschedule inspections and the flight schedule data used to track public charter flights hinder TSA\u2019s efforts to inspect 100 percent of air carriers operating U.S.-bound public charter flights in Cuba. Among the air carriers we selected for our analysis, TSA officials told us that 10 of the required air carrier inspections were not conducted at the established frequency due to external factors, including host government requests to reschedule TSA inspections. The officials told us that when planned air carrier inspections are deferred, TSA works with the host government to reschedule the inspection as close as possible to the original inspection date. In some instances, TSA has been unable to reschedule air carrier inspections within the specified time frame based on their risk level, and as a result, did not conduct the air carrier inspection at the established frequency.", "For example, TSA officials told us that the Cuban Government deferred air carrier inspections planned for June 2015 at one airport to November 2015 (in fiscal year 2016). Although TSA completed these inspections as rescheduled, the inspections were not conducted at this airport in fiscal year 2015, as required by its standard operating procedures. In another example, the officials told us that TSA did not conduct air carrier inspections at an airport in fiscal year 2014 because of deferrals and logistical challenges that hampered its attempt to reschedule. As a result, TSA did not conduct air carrier inspections at this airport\u2014originally planned for July 2014\u2014until 9 months later.", "Further, the flight schedule data TSA uses do not reliably identify and track public charter operations in Cuba. In an effort to conduct 100 percent of air carrier inspections due for completion each fiscal year, TSA develops an annual Master Work Plan which it uses to schedule air carrier inspections in Cuba and other foreign locations at the start of each fiscal year. According to TSA officials, TSA inspectors develop the Master Work Plan by collecting flight schedule data from a variety of sources, including past plans, past inspection data, Wikipedia, Secure Flight data, bi-annual flight schedules provided by air carriers, and airline and airport websites, among others, to identify the universe of air carriers requiring inspection in the upcoming fiscal year and track flight schedules.", "However, TSA officials told us that these flight schedule data are not always reliable and provide limited visibility into the universe of air carriers operating U.S-bound public charter flights from Cuba. For example, the flight schedule data TSA currently uses may fail to identify that an air carrier is operating U.S.-bound flights from a specific Cuban airport. In one such instance, TSA officials told us that during a planned air carrier inspection at one Cuban airport, TSA inspectors learned that the air carrier they intended to inspect had contracted with a different air carrier to operate the flight on its behalf. TSA was previously unaware that the air carrier contracted to operate the flight was operating U.S.-bound flights from that Cuban airport and proceeded to inspect it.", "Although external factors, including host government deferrals and flight schedule data, are outside of TSA\u2019s control, TSA officials acknowledged that a tool that better corroborates and validates the flight schedule data it uses to track air carriers requiring inspection each fiscal year would improve the reliability of these data and help TSA ensure air carrier inspections in Cuba occur at the frequency established in its standard operating procedures. As of January 2018, TSA officials told us they were developing a new tool intended to more reliably track flight schedules worldwide. Specifically, TSA officials told us that this tool is intended to analyze the aggregate flight data it currently uses and corroborate and validate flight schedule information. According to TSA officials, the tool may help improve the reliability of the flight schedule data TSA uses to track air carriers requiring inspection each fiscal year. However, since this tool is still under development, TSA has yet to demonstrate whether it will ultimately improve the reliability of flight schedule data among public charters in Cuba. Further, since the tool relies on the data sources TSA already uses, the tool is unlikely to provide TSA with improved visibility into the universe of U.S.-bound public charters requiring inspection beyond those operations of which TSA is already aware.", "Without the ability to reliably identify and track U.S.-bound public charter operations in Cuba, TSA will be at risk of continuing to fall short of its stated goal of completing 100 percent of required air carrier inspections and, therefore, cannot ensure that all air carriers are implementing TSA security requirements for U.S.-bound flights departing Cuba. Developing and implementing a tool that corroborates and validates the data TSA currently uses can help TSA improve its ability to track flight schedules and schedule inspection visits to coincide with air carrier operations. Taking additional steps to better identify the universe of air carriers operating U.S.-bound flights from Cuba can provide TSA with greater assurance that it is accurately identifying all air carriers operating U.S.- bound flights from Cuba that require inspection. These steps can better position TSA to meet its goal of inspecting all air carriers operating U.S.- bound public charter flights from Cuba to the United States at least once per year\u2014as established in its standard operating procedures\u2014and help them ensure that these air carriers are implementing TSA security requirements."], "subsections": []}]}, {"section_title": "TSA Assessments of Cuban Airport Security Found Mixed Levels of Compliance", "paragraphs": [], "subsections": [{"section_title": "TSA Found Mixed Levels of Compliance with ICAO Standards and Recommended Practices at Cuban Airports", "paragraphs": ["TSA found mixed levels of compliance with ICAO standards and recommended practices at Cuban airports during fiscal years 2012 through 2017. Specifically, of the Cuban airport assessments TSA conducted during this period, several resulted in no findings\u2013meaning that TSA inspectors determined the airport was fully compliant with each ICAO standard and recommended practice the airport was assessed against. Of the remaining foreign airport assessments that did result in findings, TSA inspectors found that most of the airports were fully compliant with all but one or two of the ICAO standards and recommended practices. The instances of noncompliance fall within the following five categories: Access Control: During an assessment at one airport, TSA inspectors observed that a section of fencing along the perimeter had deteriorated and needed repair. TSA inspectors subsequently recommended that the fencing be repaired and, during a follow-up visit, TSA inspectors found that the perimeter fence had been repaired. During an assessment at another airport, TSA inspectors found that a checked baggage conveyor belt door was left open and unsecured. During subsequent visits, TSA inspectors observed that the baggage conveyor belt door was properly secured.", "Quality Control: During assessments at two airports, TSA inspectors observed that a comprehensive audit of these airports had not been conducted, in accordance with ICAO standards. TSA officials stated that if non-compliant findings such as these remain open, TSA will follow up on the finding until a TSA official is able to reassess the finding during a subsequent assessment.", "Aircraft and Inflight Security: During assessments at two airports, TSA inspectors found that airport officials did not have a formal oversight process in place to monitor air carriers to ensure that they performed an aircraft cabin search prior to departure. TSA officials stated they will follow up on such findings and look to ensure, for example, that corrective actions asserted by airport officials have been taken\u2014in these cases, by ensuring trained security coordinators to conduct aircraft security searches have been assigned.", "Passenger and Baggage Security: During an assessment at one airport, TSA inspectors observed an issue with passenger screening. During a follow up visit, TSA inspectors observed passenger screening and determined the issue had been resolved.", "Fencing: During an assessment at one airport, inspectors found that the concrete perimeter wall was not topped with barbed wire, and during another assessment at a different airport, inspectors determined the perimeter fence needed to be augmented in height and manner of construction to increase its effectiveness. TSA officials stated that they plan to follow up on these findings during their next scheduled assessments. At another airport, TSA observed that excessive vegetation potentially compromised a section of airport perimeter fencing. TSA subsequently recommended that the issue be addressed and aviation authorities stated their intention to make necessary repairs."], "subsections": []}]}, {"section_title": "Most Inspections Showed Air Carriers Fully Implemented All TSA Security Requirements and Cuban Personnel Continue to Oversee Security Measures for Each U.S.-bound Flight", "paragraphs": [], "subsections": [{"section_title": "Most Inspections Showed Air Carriers Fully Implemented All TSA Security Requirements", "paragraphs": ["TSA\u2019s air carrier inspection results show that, among the air carriers operating U.S.-bound scheduled commercial and public charter flights from Cuba that TSA inspected in fiscal years 2016 and 2017, more than two-thirds of these inspections resulted in no findings. A result of no findings means that TSA inspectors determined that air carriers operating these flights fully implemented all requirements in their TSA-approved security program at the time of inspection. For example, air carriers fully implemented security requirements such as access controls, area security, and checked baggage screening. TSA also found that air carriers generally implemented requirements concerning signs and notifications, passenger screening, and aircraft search at the time of inspection. For the one-third of inspections where air carriers had not fully implemented requirements, issues ranged from failure to notify U.S.- bound passengers that carry-on items and checked baggage are subject to search to inadequate aircraft searches. TSA subsequently closed each finding after the respective air carriers took corrective actions. These findings include: Bilingual Signs/Notifications: TSA inspectors discovered that air carriers at several airports failed to properly notify U.S.-bound passengers that all carry-on items and checked baggage are subject to search. TSA inspectors resolved each violation with on-the-spot counseling and recommended that Cuba\u2019s airport security agency, the Empresa Cubana de Aeropuerto y Servicios Aeron\u00e1uticos (ECASA), post signs at the ticket counters or verbally advise U.S.-bound passengers that their property is subject to search and subsequently closed each finding. Figure 3 shows an example of bilingual signage, posted by ECASA in response to a violation, listing prohibited items at a Cuban airport."], "subsections": []}, {"section_title": "TSA-Approved Amendments to Air Carriers\u2019 Security Programs Allow Carriers to Use Cuban Personnel to Oversee Security Measures for Each U.S.- bound Flight", "paragraphs": ["To implement their TSA-approved security programs, air carriers operating U.S.-bound flights from Cuba requested, and TSA approved, an amendment regarding the fulfillment of Ground Security Coordinator (GSC) roles and responsibilities at Cuban airports that went into effect in December 2017. In general, air carriers are required to designate a trained GSC for each U.S.-bound scheduled and public charter flight. Each designated GSC serves as the air carrier\u2019s authorized representative for all security-related matters and must be present at the airport from the time the air carrier opens the first ticket counter for the day until the air carrier\u2019s last flight scheduled for that day departs. For each U.S.-bound flight, designated GSCs are responsible for reviewing the implementation of relevant security requirements, including those outlined in each air carrier\u2019s TSA-approved security program, such as the screening of passengers and checked baggage, aircraft security, and the prevention of unauthorized access to secure areas of the airport. Air carrier officials we spoke with told us that they generally contract with locally based GSCs or directly employ GSCs at foreign locations to serve as their authorized representatives and oversee security matters for each U.S.-bound flight.", "However, air carriers operating at Cuban airports have been unable to designate their own GSCs to review security matters for U.S.-bound flights for two reasons. First, the Government of Cuba controls most sectors of the economy and employs the majority of the Cuban workforce. As a result, according to an airline official we spoke with, there are no private security firms or trained GSCs in Cuba that air carriers can contract with to serve as their authorized representatives and review security matters for each U.S.-bound flight at Cuban airports. Second, TSA officials told us that the Government of Cuba employs Aviation Security Technicians (AST) to review security matters for each U.S.- bound flight at Cuban airports. According to these officials, ASTs undergo a training regimen similar to that of a GSC and can execute GSC roles and responsibilities. As a result, the Government of Cuba has not allowed air carriers to permanently station air carrier-employed GSCs at Cuban airports because, according to TSA officials, it believes ASTs already provide for these roles and responsibilities.", "Prior to the resumption of regularly scheduled commercial service between the United States and Cuba in August 2016, TSA responded to this issue by approving amendments to each air carrier\u2019s security program. These amendments allowed air carriers operating in Cuba to utilize Cuban ASTs instead of their own designated GSCs to oversee security matters for each U.S.-bound flight at Cuban airports, provided ASTs are trained to execute all GSC functions in accordance with TSA requirements. Under these amendments, according to TSA officials, Cuban ASTs were responsible for overseeing security measures including Secure Flight prescreening as well as passenger and checked baggage screening, among others, whereas the air carriers were responsible for performing security measures aboard the aircraft, including cabin searches and preventing unauthorized access to the aircraft, among others. An official from one air carrier we spoke with stated that they found AST performance to be at least equivalent in quality to the performance of GSCs they contract with at other foreign airports.", "TSA officials anticipated that once regularly scheduled commercial service between the United States and Cuba commenced in August, 2016, the Government of Cuba would permit air carriers to designate their own GSCs to review security matters for each U.S.-bound flight at Cuban airports. As a result, TSA determined that it would not renew the existing amendments, but would permit both U.S.-bound scheduled commercial and public charters to operate under the existing amendment until it expired in September 2017. However, TSA officials told us that during a meeting in Havana in October 2016, the Government of Cuba informed TSA and air carriers that ASTs would continue to perform GSC functions at Cuban airports and that air carrier personnel were not authorized to perform GSC functions within Cuba. In August 2017, the Government of Cuba reiterated that it would not permit air carriers to designate GSCs at Cuban airports and that Cuban ASTs would continue executing these functions. In light of the situation, TSA decided in September 2017 to renew the amendments to air carriers\u2019 programs allowing them to continue utilizing ASTs instead of their own designated GSCs at Cuban airports. These new amendments will expire in September 2019, at which point TSA, air carriers, and the Government of Cuba may revisit the GSC issue."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2007, TSA\u2019s air carrier inspections have played a vital role in ensuring that air carriers operating U.S.-bound flights from Cuba meet security requirements designed to further ensure civil aviation security keep passengers out of harm\u2019s way. These inspections allow TSA to identify security deficiencies and help air carriers address them through, for example, on-the-spot counseling. Exemplifying the importance of these inspections, TSA aims to inspect each air carrier operating flights from Cuba to the United States at each airport from which flights operate, in accordance with its standard operating procedures. However, for the air carriers selected for our analysis, many of the inspections in fiscal years 2012 through 2016 did not take place within the established time frames.", "While delays in inspections can occur due to deferments from host governments, our analysis revealed that many air carrier inspections that did not occur within the required time frames were because the flight schedule data TSA uses do not reliably identify or track public charter operations\u2014which account for the majority of flights between the United States and Cuba in fiscal years 2012 through 2016. Without the ability to reliably identify and track U.S.-bound public charter operations in Cuba, TSA will be at risk of continuing to fall short of its stated goal of completing 100 percent of required air carrier inspections and, therefore, cannot ensure air carriers are implementing TSA security requirements for U.S.-bound flights departing Cuba. TSA has a tool under development that if successfully implemented, may help corroborate and validate the flight schedule data TSA uses and assist TSA in more reliably tracking U.S.-bound public charters from Cuba. Taking steps to better identify the universe of all public charters requiring inspection in Cuba would also help better position TSA to ensure that these air carriers are meeting essential security requirements."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following recommendation to TSA:", "The Administrator of TSA should instruct the Office of Global Strategies to improve TSA\u2019s ability to identify all public charter operations requiring inspection in Cuba and develop and implement a tool that corroborates and validates flight schedule data to more reliably track air carriers\u2019 public charter operations between the United States and Cuba. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of our report to DHS for its review and comment. In June 2018, DHS provided written comments, which are noted below and reproduced in full in appendix II. DHS and the Department of Transportation provided technical comments in the prior sensitive report, which we also incorporated as appropriate in this report. DHS concurred with our recommendation in the report. The Department of State did not comment on the report.", "DHS concurred with our recommendation to develop and implement a tool that corroborates and validates flight schedule data to more reliably track air carriers\u2019 public charter operations between the United States and Cuba. In its response letter, DHS described the challenges it faces in scheduling inspections for air carriers that have entered into lease or codeshare agreements with other carriers. We acknowledge the challenges TSA faces in identifying the correct flights and responsible regulated parties when scheduling inspections under the conditions described and are encouraged by TSA\u2019s planned steps to better identify public charter flight operations and shared flights.", "DHS\u2019s response letter describes steps that TSA is taking to develop a tool that aims to better analyze flight data to use in scheduling inspections and prompts manual confirmation of flight information when the automated system identifies lower confidence of flight operations. During the course of our review, TSA described this concept and explained how it plans to use it to better identify scheduled flights for air carrier inspections. However, as DHS indicates in its response letter, TSA is still exploring how to best integrate public charter flights into this tool. DHS also described planned improvement to TSA\u2019s Master Work Plan (MWP) to corroborate and validate flight schedule data. While DHS does not specify what these improvements include and how they will lead to more reliable tracking of air carriers\u2019 public charter operations between the United States and Cuba, we agree that improving the scheduling tool that is used to plan inspections is a good place to start.", "DHS also described planned updates to the rules that guide the management of data in its MWP. Specifically, TSA plans to record anomalies in operations identified before, during, and after visits, such as trip dates that were changed or air carriers that were scheduled to be inspected, but were not, as well as the reason why. Our analysis discovered some of these anomalies and explaining them required TSA to engage in a lengthy process of tracking down historical information that was not readily available. These improvements, if implemented, will be a helpful step in providing better historical information to track and validate carrier operations. Finally, DHS described TSA\u2019s plans to work with aircraft operators, foreign air carriers, and U.S. Government agencies to directly obtain flight information.", "These efforts, if implemented as planned, represent a positive step for TSA in corroborating and validating flight schedule data to more reliably track air carriers\u2019 public charter operations between the United States and Cuba. DHS acknowledges that these efforts are underway with an estimated completion date of March 2019. We will continue to monitor TSA\u2019s progress in implementing these planned actions.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Homeland Security, the Secretary of the Department of State, and the Secretary of the Department of Transportation. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact William Russell at (202) 512-6360 or RussellW@gao.gov. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines: (1) the extent to which the Transportation Security Administration (TSA) complied with its standard operating procedures (SOP) when assessing aviation security at Cuban airports in fiscal years 2012 through 2017, 2) the results of TSA\u2019s Cuban airport assessments in fiscal years 2012 through 2017 and how these results compare to those for airports in the Caribbean region, and 3) the results of TSA\u2019s air carrier inspections for Cuba in fiscal years 2016\u2014when commercial scheduled air service between the U.S. and Cuba resumed\u2014and 2017.", "This report is a public version of a prior sensitive report that we provided to you in May 2018. The sensitive report included part of an objective related to how the results of TSA\u2019s foreign airport assessments for Cuba compared to others in the Caribbean region. TSA deemed some of the comparison results related to this objective to be sensitive, which must be protected from public disclosure. This public report also omits certain information that TSA deemed to be sensitive related to the specific number of airport assessments and air carrier inspections performed by TSA in Cuba, results of those assessments and inspections, and TSA\u2019s risk-based approach in identifying U.S.-bound public charter operations from Cuba, among others. To provide context regarding the scale and magnitude of our findings, without disclosing sensitive information, we characterized specific numbers as some, many, or several. Although the information provided in this report is more limited in scope, as it excludes such sensitive information, it addresses the same objectives and uses the same overall methodology as the sensitive report.", "To collectively address all three objectives, we reviewed the relevant laws and regulations pursuant to which TSA conducts foreign airport assessments and air carrier inspections. We also reviewed various TSA documents on program management and strategic planning, including TSA\u2019s master work plans for scheduling air foreign airport assessments and air carrier inspections. Specifically, we reviewed TSA\u2019s 2016 standard operating procedures, which prescribes program and operational guidance for assessing security measures at foreign airports and inspecting air carriers and inform TSA personnel at all levels of what is expected of them in the implementation of the program. We also reviewed TSA\u2019s Operational Implementation Plans, which establish program goals. In addition, we reviewed the job aids that TSA inspectors use during each assessment and inspection, which are intended to ensure that the TSA-specified International Civil Aviation Organization (ICAO) aviation security standards and recommended practices and air carrier implementation of TSA security requirements are fully evaluated during each assessment and inspection.", "To understand how TSA assesses and manages its Cuban airport and air carrier risk information, we obtained and reviewed documents on TSA\u2019s methodology for assigning individual risk rankings (called tier rankings) to each Cuban airport it assesses. We also, interviewed TSA officials located at headquarters and in the field and interviewed other federal stakeholders, such as the Department of State and the Department of Transportation (DOT). Lastly, to obtain air carriers\u2019 perspectives on aviation security in Cuba, we interviewed representatives from three air carriers that DOT licensed to operate scheduled commercial flights between the United States and Cuba. While the information obtained from these interviews cannot be generalized to all air carriers DOT licensed, these interviews provided insights into the carriers experiences. We outline the specific steps taken to answer each objective below.", "To determine the extent to which TSA followed its standard operating procedures when assessing aviation security in Cuba in fiscal years 2012 through 2017, we examined documentation for each of the foreign airport assessments conducted during the entire period and all air carrier inspections conducted in fiscal years 2016 and 2017 in Cuba for completeness and errors. For each finding resulting from Cuban airport assessments and air carrier inspections we reviewed, we examined the extent to which TSA followed its SOPs when following up and closing findings. We also analyzed Cuban airport assessment and air carrier inspection data to determine if TSA performed each assessment and inspection at the frequency established in its SOPs. Lastly, we met with TSA officials at headquarters and in the field to discuss how TSA inspectors apply their SOPs when assessing Cuban airports and inspecting air carriers in Cuba.", "To determine the completeness of TSA\u2019s Cuban airport assessments in fiscal years 2012 through 2017, we analyzed and compared these assessment reports to TSA\u2019s SOPs and the job aids which instruct inspectors on how to complete their assessments. In performing this analysis, we reviewed whether TSA inspectors followed their SOPs when assessing and documenting each Cuban airport\u2019s compliance with applicable ICAO standard and recommended practices and the extent to which these documents contained missing data fields. Similarly, we reviewed documentation for each air carrier inspection TSA performed in fiscal years 2016 and 2017 for errors and completeness by analyzing and comparing these documents to TSA\u2019s SOPs. In performing this analysis, we reviewed whether TSA inspectors followed their SOPs when inspecting and documenting each air carriers\u2019 implementation of requirements in their TSA-approved security program and the extent to which these documents contained errors or missing data fields. When we identified discrepancies in the documentation for TSA\u2019s Cuban airport assessments or air carrier inspections in Cuba, we met with TSA officials to discuss the cause of the discrepancies.", "To determine whether TSA inspectors followed their SOPs when recording, tracking, and resolving findings discovered during Cuban airport assessments and air carrier inspections in Cuba, we reviewed TSA\u2019s SOPs governing finding follow up, closure and documentation of each finding, the status of each finding, and the actions TSA took to close findings. Specifically, we reviewed TSA findings discovered during Cuban airport assessments in fiscal years 2012 through 2017 by analyzing TSA\u2019s Open Standards and Recommended Practices Finding Tool (OSFT), which TSA uses to monitor and track a foreign airport\u2019s progress in resolving security deficiencies identified by TSA inspectors during previous assessments. To determine whether TSA inspectors followed their SOPs in response to a finding resulting from air carrier inspections in fiscal years 2016 through 2017, we reviewed TSA documentation of each finding and documentation on TSA\u2019s findings response, follow-up, and closure, including air carrier inspection reports and enforcement investigative reports.", "To determine whether TSA performed Cuban airport assessments and air carrier inspections at the frequency established in TSA\u2019s SOPs, we analyzed TSA data for all airport assessments from fiscal years 2012 through 2017. We also analyzed TSA air carrier inspection data from fiscal years 2012 through 2016 for a non-probability sample of 5 of the 18 air carriers operating U.S.-bound flights from Cuba that TSA inspected during this period along with flight traffic data for Cuba for these air carriers from the Department of Transportation\u2019s Bureau of Transportation Statistics T-100 data bank, which contains data on all U.S.-bound departures from foreign airports, among other things. To assess the reliability of the T-100 data, we reviewed documentation on system controls and interviewed knowledgeable officials from the Bureau of Transportation Statistics. After determining that the T-100 data were sufficiently reliable for our intended use, we compared these data against inspection data for select air carriers. To assess the reliability of TSA\u2019s assessment and inspection frequency data, we reviewed program documentation on system controls, interviewed knowledgeable officials from TSA and checked TSA\u2019s frequency data for any potential gaps and errors. To select air carriers for our analysis, we identified air carriers (five in total) operating public charters flights\u2014which accounted for the majority of flights from Cuba to the U.S. in fiscal years 2012 through 2016\u2014that: 1) Operated at least 4 U.S.-bound flights in a single month or greater than 25 U.S.-bound flights within a fiscal year from one or more Cuban airports, and 2) DOT licensed to operate scheduled commercial flights following the policy change under the Obama Administration.", "Since we selected a non-probability sample of air carriers, the results of our analysis cannot be generalized to all air carriers that operated U.S.- bound flights from Cuban airports during this period, but did provide us with insights about TSA\u2019s adherence to the frequency of air carrier inspections in accordance with its SOPs.", "To determine how TSA inspectors apply their SOPs when assessing Cuban airports and inspecting air carriers in Cuba, we interviewed officials at TSA headquarters and conducted site visits to TSA\u2019s Miami Regional Operations Center (ROC) in Florida and in Cuba. During our site visit at the Miami ROC, which is responsible for conducting airport assessments and air carrier inspections in the Caribbean and South America, we met with the ROC manager and the TSA inspectors who conducted foreign airport assessments and air carrier inspections in Cuba. During these meetings, we discussed TSA\u2019s assessments and inspections in Cuba, how they follow the SOPs when performing these assessments and inspections, and their perspectives on Cuban aviation security compared to other locations. On our visit to Cuba, we observed TSA inspectors from the Miami ROC conduct four air carrier inspections at Frank Pais Airport in Holguin and Antonio Maceo Airport in Santiago de Cuba.", "To describe the results of TSA\u2019s Cuban airport assessments and air carrier inspections in Cuba, we obtained and analyzed relevant program documents and interviewed TSA officials on the results of its evaluations in Cuba. Specifically, we reviewed documentation for all Cuban airport assessments performed in fiscal years 2012 through 2017. We also analyzed TSA\u2019s foreign airport assessment program vulnerability tracker, which TSA uses to record and track the vulnerability scores it assigns to each Cuban airport. Specifically, the tracking sheet contains vulnerability scores for each ICAO standard and recommended practice used in each assessment, as well as overall vulnerability scores of 1 through 5 assigned to each airport after each assessment. This overall airport vulnerability score is a representation of compliance or noncompliance with all ICAO standards and recommended practices against which TSA assesses Cuban airports. To describe air carrier inspection results in Cuba in fiscal years 2016\u2014when scheduled commercial service between the U.S. and Cuba resumed\u2014and 2017, we analyzed inspection data from all air carrier inspections TSA performed in Cuba during this period and reviewed each air carrier\u2019s compliance with requirements in its TSA- approved security program, such as aircraft search and passenger screening. We also interviewed TSA managers and inspectors about their roles and responsibilities in determining and documenting inspection results in Cuba.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from May 2018 to July 2018 to prepare this nonsensitive version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Comment from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Kevin Heinz (Assistant Director); Josh Diosomito (Analyst-in-Charge); David Alexander; Bruce Crise; Taylor Hadfield; Eric Hauswirth; Tom Lombardi; Heidi Nielson, and Kevin Reeves made key contributions to this report."], "subsections": []}]}], "fastfact": ["Did the Transportation Security Administration (TSA) follow its procedures to ensure the security of U.S.-bound aircraft from Cuba?", "TSA generally followed its security procedures for airport assessments and air carrier inspections in Cuba in fiscal years 2012 through 2017. However, TSA did not inspect all the required aircraft from Cuba in the established time frames, in part because TSA was not able to identify or reliably track U.S.-bound public charter flights from Cuba.", "We recommended that TSA develop a tool to reliably track air carriers' public charter operations between the U.S. and Cuba."]} {"id": "GAO-18-453", "url": "https://www.gao.gov/products/GAO-18-453", "title": "Puget Sound Restoration: Additional Actions Could Improve Assessments of Progress", "published_date": "2018-07-19T00:00:00", "released_date": "2018-07-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Puget Sound is the nation's second-largest estuary and serves as an important economic engine in Washington State, supporting millions of people, major industries, and a wide variety of species. However, according to the CCMP, human use and development have degraded water quality and habitats and harmed critical species such as salmon.", "GAO was asked to review efforts to restore Puget Sound. This report examines, among other objectives, (1) Puget Sound restoration efforts and related expenditures for fiscal years 2012 through 2016, (2) how federal and nonfederal entities coordinate their restoration efforts, and (3) the framework for assessing progress toward Puget Sound restoration. GAO reviewed restoration plans and other documentation, conducted a two-phase survey of the more than 25 federal and state entities that GAO determined had participated in restoration efforts, conducted discussion groups with tribal and local representatives, and interviewed representatives from these federal and nonfederal entities."]}, {"section_title": "What GAO Found", "paragraphs": ["Through its survey of federal and Washington State entities, GAO identified numerous federal and state efforts that, in whole or in part, supported Puget Sound restoration from fiscal years 2012 through 2016. The efforts involved a variety of activities, including habitat protection, water quality improvement, and monitoring. Some of these efforts focused exclusively on Puget Sound restoration, while others had a broader geographic or programmatic scope. Funding for these efforts came from a variety of sources, such as the Environmental Protection Agency (EPA), which reported expending about $142 million for activities in Puget Sound through the National Estuary Program and the Puget Sound Geographic Program during this time frame. However, total expenditures for all efforts are unknown, in part because of difficulties isolating expenditures specific to Puget Sound. A 2017 state audit recommended that two state agencies develop a plan to create a more complete inventory of restoration efforts and related funding. The state agencies concurred and have plans to develop this inventory by August 2019.", "Federal and nonfederal entities coordinate restoration efforts through two primary interagency groups. First, the state-led Puget Sound Management Conference has developed a comprehensive conservation and management plan (CCMP), approved by EPA under the National Estuary Program, that serves as the primary planning document for Puget Sound restoration. Second, the Puget Sound Federal Task Force complements the work of the management conference by coordinating the efforts of federal agencies to support the CCMP, including by developing a draft Federal Action Plan that identifies priority federal actions to protect and restore Puget Sound.", "The CCMP lays out a framework for assessing restoration progress, including 6 goals, 47 indicators, and recovery targets for 31 of the indicators. In 2017, the Puget Sound Partnership, a state agency, reported that progress had been made in some areas, but many key indicators had not shown improvement. For example:", "One indicator that showed improvement was acres of harvestable shellfish beds, which the Partnership reported increased from 2007 to 2016.", "One indicator that showed no improvement was the abundance of Puget Sound Chinook salmon populations, which the Partnership reported remained below desired levels.", "The Partnership also reported that most of the 31 recovery targets that the management conference has adopted for 2020 are not likely to be attained. However, the Partnership's ability to assess progress has been limited in some instances, in part because the management conference has not developed targets for 16 of the 47 indicators. GAO has identified measurable targets as a key attribute of successful performance measures. By working with the management conference to help ensure that measurable targets are developed where possible for the highest priority indicators currently lacking such targets, EPA would better position the Partnership to assess progress toward restoration goals."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, including that EPA work with the management conference to help ensure that measurable targets are developed where possible for the highest priority indicators currently lacking such targets. EPA agreed with GAO's recommendations and highlighted steps the agency has begun taking and plans to take to address the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Washington State\u2019s Puget Sound is the second-largest estuary in the United States and supports a wide variety of fish, birds, and marine mammals, including economically and culturally important species such as salmon, killer whales, and different types of shellfish. The Puget Sound basin extends north into Canada, encompassing a complex landscape featuring mountains, rivers, forests, farmlands, urban development, and about 2,500 miles of shoreline. More than 4.5 million people live in the Puget Sound basin, and the region is home to large ports, industries, and critical military installations. The Sound and the surrounding region serve as an important economic engine and include metropolitan areas that accounted for more than $365 billion in gross domestic product in 2016.", "However, human use and development have contributed to the degradation of habitats and water quality in Puget Sound. For example, an estimated 70 percent of important habitats\u2014including estuaries, salt marshes, and eelgrass beds\u2014have been damaged or lost over the past 125 years. In addition, stormwater runoff contaminated with toxic chemicals and other pollutants threatens wildlife in Puget Sound, and several species in the Sound are listed as endangered or threatened under the Endangered Species Act. The U.S. Environmental Protection Agency (EPA) has designated Puget Sound as one of the 28 estuaries of national significance under the National Estuary Program.", "A large number of federal, state, local, tribal, and nongovernmental entities play important roles in Puget Sound restoration efforts. Washington State has provided much of the high-level leadership for the restoration efforts, and in 2007 the state legislature created a state agency, the Puget Sound Partnership, to oversee the restoration of the Sound\u2019s environmental health. Other state agencies, such as the Washington State Conservation Commission and the Departments of Ecology, Fish and Wildlife, and Natural Resources, help fund and carry out restoration-related work in the Puget Sound basin. At the federal level, numerous agencies directly and indirectly support restoration efforts by, for example, funding restoration projects, conducting research, providing technical expertise to other entities, enforcing applicable laws and regulations, and managing lands, such as national forests, that provide habitat for salmon and other species. Local governments, tribal entities, and nongovernmental organizations also support Puget Sound restoration in various ways, such as by funding and implementing restoration projects. In addition, Canadian agencies have been involved in efforts to restore the broader Salish Sea\u2014of which Puget Sound is a part\u2014including some joint efforts with federal and state agencies in the United States.", "You asked us to review federal and nonfederal efforts to restore Puget Sound. This report examines (1) Puget Sound restoration efforts and related expenditures for fiscal years 2012 through 2016; (2) how federal and nonfederal entities coordinate their restoration efforts and their views on this coordination; (3) the framework for assessing progress toward Puget Sound restoration; and (4) key factors, if any, federal and nonfederal entities identified that may limit the success of Puget Sound restoration.", "To examine Puget Sound restoration efforts and related expenditures for fiscal years 2012 through 2016, we used the first phase of a two-phase survey to identify federal and state efforts that supported Puget Sound restoration during this time frame. We selected this period to allow us to obtain information on a range of restoration efforts carried out in recent years. In addition, we used the first phase of the survey to obtain information on the availability of expenditure data for the federal and state efforts and to help determine whether any limitations existed that would affect the reliability of such data. In June 2017, we sent the first phase of the survey to the 15 federal and 11 state entities that we determined had participated in restoration efforts, and all of them responded. We used the survey results in part to develop catalogs of federal and state efforts that supported Puget Sound restoration from fiscal years 2012 through 2016. To obtain additional information about these efforts, we reviewed documentation, such as agency websites and reports, and interviewed agency officials.", "Based on the results of the first phase of the survey and additional follow- up interviews with agency officials, we determined that we would be unable to collect sufficiently reliable data encompassing all federal and state efforts to enable us to report on the total amount of expenditures that have supported Puget Sound restoration. In particular, we determined that data limitations, such as difficulties isolating expenditures within the geographic boundaries of Puget Sound for some efforts, would have made it difficult for us to collect consistent, reliable, and comparable expenditure data across all of the federal and state entities. As a result of the data limitations we identified, we limited our collection of expenditure data to a nongeneralizable sample of three federal programs and one state program to provide examples of the diversity in funding approaches used to support Puget Sound restoration. We considered the following factors in selecting these efforts: 1) the programs\u2019 prominence in Puget Sound restoration, 2) variations in the federal and state entities involved in carrying out these programs, 3) variations in their size, and 4) evidence of reliable expenditure data. In addition, to help illustrate how funds are used at the project level, we obtained expenditure data for two recently completed restoration projects and conducted two site visits to observe the outcomes of these projects. We assessed the reliability of the expenditure data for the selected programs and projects by comparing the data we obtained with data from other sources where possible, reviewing agency documentation, and interviewing knowledgeable agency officials. We found the data to be sufficiently reliable for our purposes.", "To examine how federal and nonfederal entities coordinate their restoration efforts and their views on this coordination, we reviewed agency documentation, interviewed agency officials, and used the second phase of our survey of federal and state entities to obtain their views on steps taken to coordinate restoration efforts. To obtain additional views, we interviewed representatives from conservation, agricultural, and fishing industry organizations and obtained written responses from two Canadian agencies. We also held six moderated telephone discussion groups with representatives from 15 tribal entities and 20 local entities. We selected these tribal and local entities because of their involvement in implementing restoration projects. We compared the information we obtained on the coordination of Puget Sound restoration efforts with selected leading collaboration practices that we have previously identified and that were most relevant based on our initial audit work, such as leadership, bridging organizational cultures, and the inclusion of relevant participants.", "To examine the framework for assessing progress toward Puget Sound restoration, we reviewed laws, regulations, and key restoration planning documents. We obtained additional views on this topic from federal and nonfederal entities through the second phase of our survey and interviews described above. We compared this information with agency guidance and leading practices for performance measurement and reporting to determine whether efforts to assess Puget Sound restoration progress have followed leading practices.", "To determine key factors, if any, federal and nonfederal entities identified that may limit the success of Puget Sound restoration, we used the second phase of our survey of federal and state entities and our discussion groups to obtain views on factors that may pose a risk to the success of restoration efforts. We also reviewed agency documentation and used our interviews with the federal and nonfederal entities described above to obtain additional views on limiting factors. Appendix I contains a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from October 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Puget Sound basin\u2014the southern half of the transboundary Salish Sea\u2014consists of about 19 major watersheds, according to EPA, and spans much of western Washington State and portions of British Columbia, Canada, as shown in figure 1. The basin covers more than 10,000 square miles, including about 2,800 square miles of inland marine waters and thousands of rivers and streams. The Puget Sound basin features a wide variety of land uses, including highly urbanized areas, agricultural lands, large swaths of commercial forests, and areas that are largely protected from development, such as national parks and wildlife refuges.", "The Puget Sound Partnership has identified numerous environmental stressors that threaten Puget Sound and that have impaired water quality. In particular, the Partnership has reported that nonpoint sources of pollution, such as polluted stormwater runoff from roads and agricultural fields, are the biggest threats to Puget Sound water quality. Polluted stormwater runoff can also threaten sources of drinking water and carries toxic chemicals, nutrients, sediment, and bacteria into Puget Sound, where these pollutants can harm aquatic life. For instance, a 2017 study found that toxic stormwater runoff is linked to the high rates of adult coho salmon mortality that have been observed in some urban streams in central Puget Sound. Moreover, fish, shellfish, and other species that are contaminated by toxic chemicals and other pollutants in Puget Sound may subsequently pose a threat to other marine wildlife and to humans that consume them. For example, in 2017 the Partnership reported that approximately 16 percent of the roughly 225,000 acres managed for commercial shellfish harvesting in Puget Sound were closed because of water pollution caused by fecal bacteria from sources such as failing septic systems and agricultural runoff. Such closures have economic impacts, as Washington State is the country\u2019s leading producer of farmed oysters, clams, and mussels, and much of this production comes from the Puget Sound region. In addition, contaminated shellfish may pose potential health threats to people who consume it, including tribes that rely on shellfish for subsistence and ceremonial uses.", "Human activities have also degraded habitats that salmon and other marine species depend on for survival. The Partnership has reported that some of the primary threats to Puget Sound habitats include hardened shorelines (such as shorelines that have been armored with seawalls), filled estuaries, channelized rivers, and altered floodplains. These threats affect habitats in various ways. For example, according to a 2018 Washington State report, seawalls interfere with natural coastal processes and cause beaches to erode, which in turn can decrease and degrade habitat for fish, birds, and wildlife. The report states that about 27 percent of the shoreline in Puget Sound has been armored by structures such as seawalls. Figure 2 illustrates the sources of water quality impairment and habitat degradation in the Puget Sound basin.", "Federal laws, including the Clean Water Act and the Endangered Species Act, play a role in addressing water quality issues and habitat degradation in Puget Sound. The Clean Water Act\u2019s objective is to restore and maintain the chemical, physical, and biological integrity of the nation\u2019s waters. A 1987 amendment to the act created the National Estuary Program to, among other things, identify nationally significant estuaries that are threatened by pollution, development, or overuse, and promote comprehensive planning for, and conservation and management of, such estuaries. The National Estuary Program calls for management conferences to be convened for designated estuaries of national significance to, among other things, develop a comprehensive conservation and management plan (CCMP). The current CCMP for Puget Sound is The 2016 Action Agenda for Puget Sound, a document developed to meet both federal and state requirements. By federal statute, when selecting estuaries and convening management conferences, EPA is to give priority consideration to certain named estuaries, including Puget Sound. Under the act, EPA also works with Washington State to regulate water quality.", "The Endangered Species Act was enacted to, among other things, provide a means to conserve the ecosystems upon which endangered and threatened species depend and to provide a program for the conservation of such species. Several species in the Puget Sound basin are listed as endangered or threatened, including bull trout, Chinook salmon, Southern Resident Killer Whales (a population that spends spring, summer, and fall months in the Salish Sea, including Puget Sound), northern spotted owl, and steelhead trout.", "In addition to environmental laws that relate to Puget Sound waters and species, tribal treaty rights play an important role in restoration efforts within the basin\u2019s watersheds. In particular, 19 federally recognized tribes are within the Puget Sound basin, and many of them have explicit treaty rights to the fish in Puget Sound waters. In 1974, a federal court held that the treaty tribes had the right to take up to 50 percent of the harvestable fish in areas where fishing rights had been reserved, an allocation upheld by the Supreme Court in 1979. In 1994, a federal court stated that tribes were also entitled to take half of the harvestable shellfish on most Washington beaches. According to several federal officials we interviewed, considerations relating to tribal treaty fishing rights have served as an important catalyst for some federal agencies\u2019 restoration activities, particularly with regard to restoring and protecting habitat."], "subsections": []}, {"section_title": "Federal and State Entities Carried Out Numerous Efforts that Supported Puget Sound Restoration Using a Variety of Funding Sources, but Total Expenditures Are Unknown", "paragraphs": ["Federal and state entities we surveyed identified numerous federal and state efforts that, in whole or in part, supported Puget Sound restoration from fiscal years 2012 through 2016. Some of these efforts focused exclusively on restoration activities in the Puget Sound basin, while others had a broader national, regional, or statewide focus or had a broader scope of work that did not center directly on restoration activities. These efforts were supported by a variety of federal and nonfederal funding sources, such as EPA\u2019s National Estuary Program and Puget Sound Geographic Program, which together expended about $142 million for activities in Puget Sound during this time frame according to EPA data. However, total expenditures across all restoration efforts are unknown, in part because of data limitations such as difficulties isolating expenditures specific to the Puget Sound basin for some efforts."], "subsections": [{"section_title": "Federal and State Entities Carried Out Numerous Restoration Efforts that Varied in Geographic and Programmatic Scope", "paragraphs": ["Through their responses to the first phase of our survey, officials from federal and state entities identified numerous efforts that supported Puget Sound restoration from fiscal years 2012 through 2016. Specifically, respondents from federal entities identified 73 federal efforts, and respondents from state entities identified 80 state efforts that, in whole or in part, supported Puget Sound restoration during this period. Appendix II lists the restoration efforts identified by federal entities, and appendix III lists the restoration efforts identified by state entities. According to the survey responses, the federal and state entities often worked with local governments, tribal entities, and nongovernmental organizations to carry out these efforts. These efforts primarily involved six types of restoration activities (see table 1).", "The federal and state restoration efforts carried out during this time period varied in geographic scope. Some of the efforts survey respondents reported focused exclusively on the Puget Sound basin, such as Washington State\u2019s Puget Sound Acquisition and Restoration Fund. According to agency fact sheets, this fund has helped state agencies, local governments, and others carry out projects that address high-priority salmon habitat protection and restoration needs in Puget Sound. Other efforts that supported restoration activities in Puget Sound during the time frame we reviewed have a broader national, regional, or statewide focus. For example, EPA\u2019s section 319 nonpoint source management program is a nationwide program that supports state and tribal efforts to address nonpoint sources of pollution. Within Puget Sound, EPA\u2019s data show that the section 319 program has supported activities such as carrying out projects that target nonpoint source pollution from urban areas, agricultural lands, and marinas.", "The federal and state restoration efforts survey respondents identified also varied in programmatic scope, with some efforts focusing exclusively on restoration-related activities and other efforts supporting such activities within a broader scope of work. Through the U.S. Fish and Wildlife Service\u2019s National Coastal Wetland Conservation Grant Program, Washington State carried out activities specifically aimed at restoring wetlands, estuaries, and marshes in Puget Sound. In contrast, some efforts survey respondents cited had a broader scope of work that did not center directly on restoration but included some activities that also benefited Puget Sound restoration. One such effort was the Natural Resources Conservation Service\u2019s Environmental Quality Incentives Program, which helps farmers carry out conservation practices on agricultural land. According to agency documentation, such as the program\u2019s website, some of these practices, such as those that reduce the amount of sediment and nutrients entering waterways, can also help improve water quality in the Puget Sound basin."], "subsections": []}, {"section_title": "A Variety of Federal and Nonfederal Funding Sources Support Restoration Efforts, but Total Expenditures Are Unknown", "paragraphs": ["Funding for Puget Sound restoration efforts has come from a wide variety of federal and nonfederal entities. At the federal level, some agencies, such as EPA and the National Oceanic and Atmospheric Administration (NOAA), supported restoration efforts by providing funds to other federal or nonfederal entities to carry out restoration projects. In contrast, other agencies, such as the U.S. Army Corps of Engineers, directly carried out restoration activities in Puget Sound, sometimes working in conjunction with nonfederal entities. Based on our analysis of survey responses and interviews with agency officials, we selected the following examples of federal programs to show the diversity in federal funding approaches in support of Puget Sound restoration and to illustrate how federal funds have been leveraged to obtain nonfederal contributions in support of restoration efforts.", "EPA\u2019s National Estuary Program. According to EPA\u2019s website, this program aims to protect and restore the water quality and ecological integrity of designated estuaries of national significance, such as Puget Sound. EPA Region 10 officials stated that the agency uses funds from this program in conjunction with funds from EPA\u2019s Puget Sound Geographic Program to support restoration efforts. According to data provided by EPA, these programs together expended about $142 million for activities in Puget Sound from fiscal years 2012 through 2016. EPA provided most of these funds through grants to state and tribal entities. According to EPA Region 10 officials we interviewed, EPA requires an overall dollar-for-dollar nonfederal match for these grants, and the officials stated that the National Estuary Program funds have been leveraged to obtain significant nonfederal funding support for Puget Sound restoration efforts. For example, the Floodplains by Design program, a joint effort led by The Nature Conservancy and state agencies to restore natural floodplain functions, has used National Estuary Program funds to help leverage nonfederal funding support, according to the EPA officials.", "NOAA\u2019s Pacific Coastal Salmon Recovery Fund. Under this program, NOAA awards funds through grants to state and tribal entities to carry out salmon recovery activities in five western states. In Washington State, NOAA provided funds to the Washington State Recreation and Conservation Office and the Northwest Indian Fisheries Commission for use in Puget Sound and other areas. According to data and estimates provided by NOAA, as of November 2017 these entities had expended or allocated about $59 million from this program for activities in the Puget Sound basin from fiscal years 2012 through 2016. This program requires a 33 percent match from state agencies, such as the Washington State Recreation and Conservation Office, that receive funds, and NOAA officials we interviewed said that Washington State usually exceeds this matching requirement. For example, a 2015 NOAA report cites a habitat restoration project in Puget Sound that received about $117,000 from the Pacific Coastal Salmon Recovery Fund and secured an additional $1.75 million in matching and other funds.", "Corps\u2019 Puget Sound and Adjacent Waters Restoration Program. Under this program, the Corps carries out habitat restoration projects in Puget Sound in conjunction with nonfederal entities, such as cities. In 2000, Congress created this program and authorized $40 million to be appropriated to carry out the program. As of November 2017, the Corps had expended approximately $12 million over the life of the program on five restoration projects, according to data provided by the Corps. This program includes a cost-sharing requirement for the participating nonfederal entity to contribute at least 35 percent of the total project costs.", "Survey respondents cited nonfederal funds as the exclusive source of funding for about one-third of the state efforts presented in appendix III. For example, Washington State\u2019s Puget Sound Acquisition and Restoration Fund, which the Partnership and the Washington State Recreation and Conservation Office jointly manage, has been a significant source of nonfederal funding for habitat restoration projects. According to expenditure data provided by the Partnership, the Puget Sound Acquisition and Restoration Fund expended approximately $100 million on restoration projects throughout Puget Sound from state fiscal years 2012 through 2016. In its response to our survey, the Recreation and Conservation Office stated that these projects included culvert replacements, levee setbacks, and acquisition of important habitat, among other things.", "When carrying out specific restoration projects in Puget Sound, federal and nonfederal officials we interviewed said that project managers may need to secure funds from multiple federal and nonfederal sources, such as the federal and state programs discussed above. According to tribal and local participants in our discussion groups, their experiences carrying out restoration projects has similarly shown a need to piece together multiple sources of funding for some projects. The discussion group participants said that this need commonly arises with expensive and complex projects that take a long time to complete, as reflected in the project examples below that involved tribal and local entities.", "Qwuloolt Estuary Restoration Project. According to a project fact sheet and officials, this project restored more than 350 acres of estuary habitat in the Snohomish River Delta that had previously been converted into farmland. By breaching existing levees and taking other actions to reestablish natural stream channels and allow for tidal inundation of the historic floodplain, this project aimed to restore salmon habitat and improve water quality in the estuary (see fig. 3). In 2016, NOAA reported that this project had led to improvements in salmon abundance, productivity, and diversity. The Tulalip Tribes of Washington served as the overall project manager and worked with numerous federal, state, and local partners to complete this project, which took more than 20 years and ended in 2015. According to tribal data, this project cost about $21 million and received funding from more than 20 federal, state, tribal, and local sources. Federal funds accounted for a little more than half of this amount; the Corps contributed the largest amount, around $5 million, using funds from the Puget Sound and Adjacent Waters Restoration Program.", "Seahurst Park Shoreline Restoration Project, Phase II. This phase of the project lasted from 2007 to 2014 and included removing about 1,800 feet of seawall, creating a small wetland, and restoring shoreline habitat at a coastal park in Burien, Washington (see fig. 4). Through these actions, this project aimed to improve nearshore marine habitat for salmon and other species, restore natural sedimentation processes, and improve recreational access to Puget Sound. The city of Burien led this effort in conjunction with the Corps.", "According to documentation provided by the city and the Corps, this phase of the project cost about $10 million and received funding from at least seven federal, state, and local sources, including EPA\u2019s National Estuary Program, the Corps\u2019 Puget Sound and Adjacent Waters Restoration Program, and Washington State\u2019s Puget Sound Acquisition and Restoration Fund.", "As shown in the program and project examples above, we obtained expenditure information for a selection of programs and projects to help illustrate how federal and nonfederal funds have been used to support Puget Sound restoration. However, we found that the total amount of expenditures incurred for Puget Sound restoration across all federal and nonfederal efforts for fiscal years 2012 through 2016 is unknown. We identified two primary barriers to determining the total amount of expenditures. First, data limitations present challenges to obtaining accurate and consistent expenditure data across entities. For example, federal and state agency officials said that for some national and statewide programs, it is difficult to isolate expenditures specific to the Puget Sound basin or to quantify expenditures related to staff time that supported restoration-related activities. Second, no comprehensive database of Puget Sound restoration activities and expenditures exists. This issue was identified by the Washington State Joint Legislative Audit and Review Committee in its 2017 audit of the Puget Sound Partnership, which recommended that the Partnership and the Washington State Office of Financial Management develop a plan to create a more complete inventory of restoration efforts and related funding. Both agencies concurred with the recommendation, and the Partnership reported in December 2017 that a more complete inventory of efforts and funding would significantly enhance the agency\u2019s ability to prioritize actions and recommend strategic investments. The Partnership reported that it plans to develop such an inventory by August 2019."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Have Taken Steps to Coordinate Restoration Efforts and Identified Both Benefits and Challenges to Interagency Coordination", "paragraphs": ["Federal and nonfederal entities have established two primary interagency groups, the Puget Sound Management Conference and the Puget Sound Federal Task Force, to coordinate Puget Sound restoration efforts at the strategic level. Coordination also occurs at the project level and, according to our discussion group participants, has been most effective under certain circumstances, such as when written plans and agreements are in place to help entities work together across their normal jurisdictions. Federal and nonfederal entities provided their views on the benefits produced by the management conference and the federal task force as well as challenges that could limit the effectiveness of these groups, such as not having had continuous national-level leadership for the federal task force."], "subsections": [{"section_title": "Federal and Nonfederal Entities Coordinate Restoration Efforts at the Strategic Level through Two Primary Interagency Groups", "paragraphs": ["Federal and nonfederal entities coordinate at the strategic level to, among other things, identify goals, develop strategies to achieve the goals, and set priorities for action. This coordination primarily occurs through two main interagency groups: the state-led Puget Sound Management Conference, which started in its current form in 2007, and the Puget Sound Federal Task Force, which started in 2016. Each group has developed a planning document to guide its efforts. Figure 5 provides an overview of each group\u2019s structure and planning document.", "The management conference serves as the governance structure for Puget Sound restoration under the National Estuary Program and helps set the general direction for the restoration effort. To do so, the management conference brings together federal and nonfederal entities under a common planning process led by the Partnership to develop and periodically update the CCMP. EPA\u2019s Region 10 office then works with EPA\u2019s National Estuary Program national office to review and approve any new or updated CCMPs developed by the management conference. The CCMP serves as the primary planning document for Puget Sound restoration and identifies proposed near-term actions to help restore the Sound, nearly all of which are to be carried out by nonfederal entities. For example, one of the proposed near-term actions calls for a local university to sample contaminants of emerging concern in regional waters to help characterize risks and prioritize follow-up actions.", "The Puget Sound Federal Task Force complements the work of the management conference by coordinating the efforts of federal agencies in support of the CCMP and by helping these agencies work together to fulfill federal trust responsibilities to the tribes as they relate to The Puget Sound Federal Task Force Action Plan (Fiscal Years 2017-2021) (Federal Action Plan). The task force was created through a memorandum of understanding signed by nine federal agencies as of October 2016, and in January 2017 the task force released its Federal Action Plan, which is currently in draft form. The federal task force consists of a national-level leadership group\u2014which focuses on higher-level policy, oversight, and coordination issues\u2014and regional leadership and implementation teams that perform much of the on-the-ground implementation and coordination work of the task force. The national-level group is co-chaired by the Council on Environmental Quality (CEQ) and a co-chair that rotates among the other agencies. The task force\u2019s regional teams are led by EPA\u2019s Region 10 and a co-chair that rotates among the other agencies.", "According to EPA Region 10 officials, the draft Federal Action Plan developed by the task force is not intended to be a strategic plan with its own overarching restoration objectives. Instead, the federal task force used the priorities established in the CCMP and tribal documents, as well as salmon recovery priorities, as the basis for developing its draft Federal Action Plan, which identifies priority federal actions to help protect and restore Puget Sound. For example, to support the habitat-related priorities established in the 2016 CCMP and elsewhere, the draft Federal Action Plan identifies more than 40 priority federal actions that focus on protecting and restoring habitats, such as by removing fish passage barriers and implementing projects to restore estuaries."], "subsections": []}, {"section_title": "Federal and Nonfederal Entities Coordinate at the Project Level in Various Ways", "paragraphs": ["Based on our interviews with federal and nonfederal officials and the local and tribal discussion groups, federal and nonfederal entities coordinate at the project level to plan, secure funding for, and carry out specific restoration actions, such as projects to improve water quality or restore habitat in a particular location. According to federal officials, federal involvement at the project level varies and may range from providing funding to being more directly involved in project planning and implementation. Participants in our discussion groups said that local and tribal entities often lead the on-the-ground planning and implementation of restoration projects, including coordinating with other participating entities throughout a project\u2019s lifecycle. For example, the Qwuloolt Estuary Restoration Project we previously discussed was largely led by a local tribe that coordinated the involvement of numerous federal, state, local, and nongovernmental entities throughout project planning, permitting, and implementation.", "The management conference recognizes nine local integrating organizations\u2014local groups made up of various local, tribal, and other nonfederal participants\u2014to, among other things, guide the implementation of the CCMP\u2019s priorities at a local scale in specific geographic areas of Puget Sound. In addition, 15 salmon recovery lead entities, which are local watershed-based organizations that develop local salmon habitat recovery strategies and manage projects to implement the strategies, are active in the Puget Sound region. Representatives from these local integrating organizations, salmon recovery lead entities, and tribal entities participated in our moderated discussion groups and identified several factors that have helped to facilitate effective collaboration among entities on restoration projects. Some of the factors discussion group participants commonly cited were consistent with key features that we have previously identified as benefiting interagency collaboration, including: Involving all relevant participants. Discussion group participants highlighted the importance of ensuring that the appropriate entities are involved to bring together a broad range of knowledge, skills, and expertise in support of restoration projects. For example, one discussion group participant commented that his local organization\u2019s ability to partner with both government and nongovernmental entities and harness their talents has enhanced its efficiency in carrying out restoration projects. Other participants stated that an important part of successfully involving all relevant participants has been early engagement with members of the local community to identify priorities and vet projects. In addition, several participants described projects that could not have been carried out without the financial, technical, and political support of diverse partners. Ensuring that the appropriate entities are involved is consistent with our previous work on interagency collaboration, which found that it is important to ensure that all relevant participants have been included in collaborative efforts, including federal agencies, state and local entities, and organizations from the private and nonprofit sectors.", "Bridging organizational cultures to build trust. Discussion group participants cited the long-standing relationships that have been built over time among different restoration partners as critical to developing the level of trust needed for project-level collaboration to succeed across organizational boundaries. For example, one participant said that having long-standing collaborative relationships with other partners has helped her local organization identify, secure funding for, and carry out good restoration projects. Another participant described a separate example of a local watershed council that has met monthly for 30 years, explaining that these meetings have developed a level of trust among the key partners that helps them work toward common goals and deal with difficult issues. We have previously reported that different agencies participating in any collaborative mechanism bring diverse organizational cultures to it. Accordingly, it is important to address these differences to enable a cohesive working relationship and to create the mutual trust required to enhance and sustain the collaborative effort. We have also reported that positive working relationships among participants from different agencies help to bridge organizational cultures, build trust, and foster communication, which then facilitates collaboration.", "Having written plans and agreements. Discussion group participants also described the benefits that have resulted from having local plans and agreements in place to help entities work together across their normal jurisdictions on restoration projects. For example, according to one local discussion group participant, the decades-old formal agreement among the local governments within his watershed was a fundamental reason for the restoration successes they achieved. The participant explained that this agreement has helped the local governments look beyond their immediate jurisdictions and think more broadly about priorities for the entire watershed. We have previously reported that agencies that articulate their agreements in formal documents can strengthen their commitment to working collaboratively."], "subsections": []}, {"section_title": "According to Federal and Nonfederal Entities, the Steps Taken to Coordinate Restoration Efforts Have Yielded Benefits, but Challenges Remain that May Limit Effectiveness", "paragraphs": ["Federal and nonfederal entities we surveyed and interviewed identified benefits produced by the steps taken to coordinate restoration efforts, including the development of the management conference, the federal task force, and their respective planning documents. Federal and nonfederal officials generally described the management conference as having provided an effective forum for different entities to share their diverse views and work collaboratively to address priority restoration issues in Puget Sound. Moreover, officials said that the management conference has helped Puget Sound restoration by enabling federal and nonfederal entities to identify common goals and develop strategies to achieve the goals, among other things.", "These benefits are consistent with our previous work on interagency collaboration, which found that defining and articulating common outcomes and establishing strategies to achieve them are practices that can enhance and sustain collaboration. Federal officials credited the federal task force, and in particular the task force regional teams, with having helped to improve communication and coordination of efforts among federal agencies by bringing together a broad group of agencies to focus on issues surrounding Puget Sound restoration and tribal treaty rights. Other benefits of the task force that survey respondents identified include providing national-level awareness of restoration activities and providing a forum for nonfederal entities to engage with federal agencies on restoration or species-related issues.", "Federal and nonfederal entities also identified strengths of the key planning documents that the management conference and federal task force developed to help coordinate Puget Sound restoration efforts, based on our interviews and our analysis of survey responses. For example, 8 of the 27 federal and state entities that responded to our survey said the 2016 CCMP provides a clear blueprint or road map for the restoration of Puget Sound that helps guide restoration efforts in a common direction. In the case of the draft Federal Action Plan, survey respondents from 7 of the 27 federal and state entities said that one of the plan\u2019s primary strengths is that it clearly defines a list of priority federal actions and identifies roles and responsibilities for implementing them. This is consistent with our previous work on interagency collaboration, which found that agreeing on roles and responsibilities is a leading practice that can help enhance and sustain collaborative efforts. In addition, one federal survey respondent credited the development of the draft Federal Action Plan with helping to raise awareness among federal agencies of each other\u2019s efforts, which the respondent said has led to improved coordination.", "Federal and nonfederal entities also identified challenges the management conference faces that could limit its effectiveness as an interagency coordinating group. For example, according to Partnership officials we interviewed, within the management conference there are differing views and disagreements about how to balance local versus regional perspectives and decision-making authorities. In addition, some federal and nonfederal entities described the planning process to produce the CCMP as overly burdensome and frustrating. The Joint Legislative Audit and Review Committee\u2019s 2017 audit of the Partnership similarly reported on frustration and planning fatigue among the entities they interviewed that stemmed from the frequency of plan updates, which state law had required take place every 2 years. In 2017, Washington State amended the law to extend the required planning cycle to every 4 years, which the Partnership said should result in a more effective use of time for the agency and its partners.", "We also found, through our analysis of agency documents and interviews with federal officials, that the federal task force faced an additional challenge that it has since addressed. Specifically, the federal task force did not have continuous leadership at the national level because the task force\u2019s national leadership group was inactive for more than a year beginning in January 2017. During this time, CEQ, the permanent co- chair of the national-level task force leadership group, did not convene the group for meetings, and there was uncertainty about who would represent some agencies after the change in administration and subsequent changes in agency personnel, according to officials from the task force agencies. EPA Region 10 officials said that the federal task force\u2019s regional implementation team remained active during this period and facilitated continued engagement among federal agencies and nonfederal partners at the regional level. Nevertheless, without an active national-level leadership group in place, the federal agencies did not have a fully functioning task force and were not in a position to fulfill some of the task force\u2019s responsibilities under the memorandum of understanding, such as approving a federal action plan.", "In April 2018, a senior CEQ official informed us that CEQ had taken action in response to our discussions with CEQ staff about this challenge and convened a meeting of the national-level task force group on April 4, 2018. In addition, according to the CEQ official, the task force agencies have committed to working together going forward and plan to continue meeting. By working with the other federal agencies to hold this meeting and secure this commitment, CEQ has taken an important step toward addressing the challenge we identified and ensuring that national-level leadership is in place for the federal task force."], "subsections": []}]}, {"section_title": "The CCMP Lays Out a Framework for Assessing Progress toward Puget Sound Restoration, but Assessment of Progress Has Been Limited in Some Instances", "paragraphs": ["The CCMP lays out the primary framework for assessing progress toward Puget Sound restoration, including six high-level goals created by state law and a variety of associated indicators and targets. The Partnership leads the management conference\u2019s efforts to assess restoration progress under this framework, but its assessments have been limited because of insufficient data and because targets have not been established for all indicators. In addition, we found that the federal task force has limited ability to assess how the implementation of the Federal Action Plan, which is currently in draft form, contributes to overall restoration progress under the CCMP\u2019s framework, because the task force has not clearly linked the plan\u2019s priority federal actions to the framework\u2019s goals, indicators, and targets."], "subsections": [{"section_title": "The CCMP\u2019s Framework for Assessing Progress Includes Goals, Indicators, and Targets", "paragraphs": ["The CCMP lays out the primary framework for assessing progress toward Puget Sound restoration, including goals, indicators, and targets. In 2007, the Washington State legislature established six high-level goals for Puget Sound restoration that continue to guide the CCMP, with an overarching directive to strive to achieve the goals by 2020. The six high-level goals are:", "Healthy human population. A healthy human population supported by a healthy Puget Sound that is not threatened by changes in the ecosystem.", "Vibrant human quality of life. A quality of human life that is sustained by a functioning Puget Sound ecosystem.", "Thriving species and food web. Healthy and sustaining populations of native species in Puget Sound, including a robust food web.", "Protected and restored habitat. A healthy Puget Sound where freshwater, estuary, nearshore, marine, and upland habitats are protected, restored, and sustained.", "Abundant water. An ecosystem that is supported by groundwater levels as well as river and streamflow levels sufficient to sustain people, fish, and wildlife, and the natural functions of the environment.", "Healthy water quality. Fresh and marine waters and sediments of a sufficient quality so that the waters in the region are safe for drinking, swimming, shellfish harvest and consumption, and other human uses and enjoyment, and are not harmful to the native marine mammals, fish, birds, and shellfish of the region.", "The CCMP identifies 25 categories of measures, called vital signs, used to gauge the health of Puget Sound. Each vital sign is designed to support one of the six high-level goals. For example, the CCMP has assigned four vital signs\u2014marine water quality, freshwater quality, marine sediment quality, and toxics in fish\u2014to collectively assess progress toward the goal of healthy water quality. According to the CCMP, most vital signs are represented by one or more specific measures, called indicators, for a total of 47 indicators. Based on our analysis of Partnership data, more than half of these indicators have measurable recovery targets set for the year 2020, and some of the indicators also have measurable interim targets to assess incremental progress. Figure 6 provides an example of the relationship among goals, vital signs, indicators, and targets for 1 of the 47 indicators.", "To achieve the CCMP\u2019s recovery targets, the Partnership, supported by other members of the management conference, has initiated an effort to develop implementation strategies that will outline, among other things, specific approaches, actions, and program and policy changes that are needed. According to the Partnership\u2019s implementation strategy guidelines, each implementation strategy will focus on the recovery targets for indicators under a particular vital sign or a set of related vital signs. The guidelines state that the implementation strategies are to also estimate the costs of achieving recovery targets, including the cost- effectiveness of specific activities to inform decisions about priority investments and expectations for progress. Officials from EPA and the Partnership said no official estimates have yet been developed for the total costs to restore the Sound, but EPA Region 10 officials stated that investments on the order of tens of billions of dollars, if not more, will likely be necessary. According to EPA Region 10 officials, the implementation strategies will help more directly link investments to restoration progress, a step consistent with our previous reporting on enhancing the use of performance information. Specifically, in September 2005 we reported that linking cost with performance information brings performance concerns into planning and budgetary deliberations, prompting agencies to reassess their performance goals and strategies and to more clearly understand the cost of performance."], "subsections": []}, {"section_title": "The Partnership Has Taken Steps to Assess Restoration Progress under the CCMP\u2019s Framework, but Its Assessment of Progress Has Been Limited in Some Instances", "paragraphs": ["The Partnership leads the management conference\u2019s efforts to assess Puget Sound restoration progress and has taken steps to do so under the CCMP\u2019s framework. In particular, the Partnership created the Puget Sound Ecosystem Monitoring Program to help monitor the effectiveness of restoration actions and assess restoration progress. The Puget Sound Ecosystem Monitoring Program includes representatives from federal entities, such as EPA, and nonfederal entities, such as state and local agencies. The Partnership uses information from the Puget Sound Ecosystem Monitoring Program and other sources to assess and report on restoration progress in a biennial State of the Sound report, which was most recently published in November 2017. The Partnership has assessed two primary aspects of restoration progress for the CCMP\u2019s 47 indicators: (1) progress relative to baseline conditions and (2) progress toward the 2020 recovery targets."], "subsections": [{"section_title": "Assessments of Progress Relative to Baseline Conditions", "paragraphs": ["The 2017 State of the Sound reported the general results of assessments of progress relative to baseline conditions for 29 of the 47 indicators, with additional details available on the Partnership\u2019s website. According to the State of the Sound, progress was made in some areas but many key indicators did not show improvement, as reflected below:", "Ten indicators improved compared to baseline data. For example, one of the indicators reported as improved was acres of harvestable shellfish beds, which is associated with the goal of a healthy human population. According to the Partnership\u2019s website, from 2007 to 2016 the number of acres of harvestable shellfish beds increased by approximately 4,800 acres.", "Fifteen indicators showed mixed results or no improvement relative to baseline data. For example, one indicator reported as showing no improvement was the abundance of Puget Sound Chinook salmon populations, which is associated with the thriving species and food web goal. According to the Partnership\u2019s website, these populations remain below desired levels.", "Four indicators worsened compared to baseline data. For example, another indicator for the thriving species and food web goal tracks the number of Southern Resident Killer Whales. According to the Partnership\u2019s website, from 2010 to September 2017, the number of Southern Resident Killer Whales declined.", "However, the State of the Sound was unable to report on assessments of progress relative to baseline conditions for 18 of the 47 indicators because of data limitations. Specifically, the State of the Sound reported that there were insufficient data or no data available to assess progress relative to baseline conditions for these indicators. Based on our analysis of information on the Partnership\u2019s website, the most common reason for these data insufficiencies is that the data for many indicators are in the early stages of collection and more time is needed to obtain enough data to assess progress. For example, the Partnership plans to assess nine indicators under the healthy human population and vibrant quality of life goals using new data collected through a survey, which the website states should allow the Partnership to assess progress within several years. According to a senior Partnership official, in addition to needing more time to collect data and assess progress for some indicators, resource limitations have posed a challenge to addressing some of the data gaps."], "subsections": []}, {"section_title": "Assessments of Progress toward Recovery Targets", "paragraphs": ["The 2017 State of the Sound reported general information on the progress made toward recovery targets, with additional details available on the Partnership\u2019s website. Based on our analysis of Partnership data, we found that the management conference has adopted measurable 2020 recovery targets for 31 of the 47 indicators. According to the State of the Sound, most indicators have not met their interim targets, and most of the 2020 targets are not likely to be attained, as reflected in the examples below.", "The Partnership reported that the indicator for restoration of floodplains showed some progress toward its 2020 target to restore 15 percent of degraded floodplain acreage in Puget Sound, but the 2020 target was still far from being met.", "According to the Partnership\u2019s website on the Southern Resident Killer Whales indicator, the 2016 interim target of an end-of-year census of 91 whales was not met, and as of September 2017 the number of Southern Resident Killer Whales was well below the 2020 target of 95 whales.", "However, the overall ability to assess progress toward recovery targets has been limited because the management conference, led by the Partnership, has not established recovery targets for all indicators. Specifically, according to our analysis of Partnership data, recovery targets have not been established for 16 of the 47 indicators. We have previously reported on the importance of using performance measures to track progress in achieving goals and have identified key attributes of successful performance measures, such as having measurable targets. More specifically, a measurable target should have a numerical goal, without which it is difficult to tell whether performance is meeting expectations.", "Partnership officials we interviewed said that recovery targets have not been established for all indicators because they first focused on developing targets for indicators about which more information was known. The officials said they have not had sufficient resources to fully develop all of the indicators and associated recovery targets to assess progress, and that additional information and expertise are needed to develop targets for some indicators. According to EPA Region 10 officials we interviewed, developing targets for the remaining indicators would be useful, but given limited resources, it may be necessary to prioritize indicators for which to develop targets.", "We recognize that developing measurable recovery targets can take time and resources and that prioritizing among the remaining 16 indicators for the development of targets is important. The management conference plans to issue an updated CCMP in December 2018, with another update scheduled for 2022, according to Partnership officials. EPA officials said that EPA\u2019s Region 10 office will be responsible for reviewing and approving these updated CCMPs in conjunction with EPA\u2019s National Estuary Program national office. Partnership officials we interviewed said that the management conference intends to reexamine and, as appropriate, revise the indicators and targets during the development of the 2022 CCMP. EPA\u2019s National Estuary Program guidance directs EPA regions to work with management conferences to ensure that revisions of the CCMP contain all the appropriate content, including quantitative performance measures where possible. By working with the management conference on future updates to the CCMP to help prioritize among the indicators that currently lack measurable targets and ensure that such targets are developed for the highest priority indicators where possible, EPA would better position the Partnership to assess progress toward restoration goals."], "subsections": []}]}, {"section_title": "The Federal Task Force Has Limited Ability to Assess How the Implementation of the Federal Action Plan Contributes to Overall Restoration Progress under the CCMP\u2019s Framework", "paragraphs": ["The federal task force has limited ability to assess how the implementation of its Federal Action Plan, currently in draft form, contributes to overall restoration progress under the CCMP\u2019s framework, according to our analysis of agency documents and interviews. We found that except in a small number of cases, the federal task force has not clearly linked the priority federal actions identified in the draft Federal Action Plan to the CCMP\u2019s goals, vital signs, indicators, or recovery targets. For example, one of the plan\u2019s priority federal actions is to replace or remove culverts that pose a barrier to fish passage on Forest Service roads. However, the plan does not specify how the expected outcome of this action will contribute to the CCMP\u2019s goals, vital signs, indicators, or recovery targets.", "The federal task force\u2019s memorandum of understanding calls for the integration of federal efforts with those of nonfederal entities in the implementation of the CCMP. According to EPA Region 10 officials we interviewed, one of the primary purposes of the federal task force is to support the CCMP as the strategic plan for Puget Sound restoration, which includes the overarching goals and targets for the restoration effort. The federal task force\u2019s regional implementation team is responsible for annually evaluating the Federal Action Plan and making any necessary modifications. As the permanent co-chair of the regional implementation team, EPA\u2019s Region 10 office leads the effort to track and report information on the progress made in implementing the action plan, according to Region 10 officials. EPA has developed a tool to track the implementation of each priority federal action in the plan and has started to collect initial information from the other task force members, according to the Region 10 officials. The tracking tool documents the implementation status of each of the priority federal actions, but similar to the action plan, the tracking tool does not show how the actions are linked to the CCMP\u2019s goals, vital signs, indicators, or recovery targets.", "We have previously reported on the importance of interagency collaborative efforts, such as federal task forces, to track and monitor progress toward their desired outcomes. In addition, we have reported that agencies can increase the value of their performance reporting by linking annual performance information with their goals, a leading practice for performance reporting.", "According to an EPA official involved in leading the regional implementation team, the draft Federal Action Plan did not link the priority federal actions to the CCMP\u2019s framework for assessing restoration progress because the task force had focused on higher-level alignment between the organization of the action plan and the CCMP\u2019s strategic initiatives, which focused on habitat, stormwater, and shellfish. In addition, the EPA official said that the tracking tool does not include such linkages because the tool has focused more narrowly on tracking the progress made in carrying out the priority federal actions.", "According to the EPA official, better documenting the linkage between the priority federal actions and the CCMP\u2019s goals, vital signs, indicators, and targets would be helpful for assessing progress. The official said that he sees value in making these linkages more explicit, and that one opportunity to do so would be to add more detail in the tracking tool on how some of the key federal actions connect to the various elements of the CCMP\u2019s framework for assessing progress. Similarly, some federal and state survey respondents reported that more explicitly linking the information in the Federal Action Plan to the CCMP would be helpful, based on our analysis of narrative responses about shortcomings to the draft Federal Action Plan and the plan\u2019s alignment with the CCMP. By working with the appropriate members of the regional implementation team to clearly link, such as through the tracking tool, the plan\u2019s priority federal actions to the CCMP\u2019s framework for assessing progress toward Puget Sound restoration, EPA would better position the federal task force to assess the impact of its efforts and the implementation of the draft\u2014 and, if applicable, final\u2014action plan."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Identified Several Factors, Including Population Growth and Climate Change, that May Limit the Success of Puget Sound Restoration", "paragraphs": ["Federal and state respondents to our survey and tribal and local participants in our discussion groups identified a number of factors that may limit the long-term overall success of Puget Sound restoration efforts. Federal and nonfederal entities have control over some of these factors, such as coordination, but entities in the region may have less ability to influence other factors, such as climate change. To obtain views from federal and state agency officials, we asked survey respondents to rate the level of risk that 10 factors could pose to the long-term overall success of Puget Sound restoration efforts. We identified these factors based on our review of key restoration documents, such as the CCMP, and our interviews with federal and nonfederal entities. Figure 7 illustrates the number of survey respondents that identified each of the factors as posing a great risk.", "Through our analysis of the survey results, discussion group transcripts, federal and nonfederal documentation, and agency interviews, we found that federal and nonfederal entities consistently identified certain key factors as posing significant risks that may limit the success of Puget Sound restoration, including:", "Effects of population growth and increased development.", "According to estimates in the CCMP, the population of the Puget Sound region is projected to increase from roughly 4.5 million in 2016 to 7 million people by 2040. Survey respondents and discussion group participants explained that population growth and the associated increase in development threaten restoration efforts in a variety of ways. For example, population growth and development contribute to new habitat loss and water quality degradation and may contribute to increases in property values that can raise the costs of restoration projects that involve land acquisitions. Nearly all of the survey respondents rated this factor as posing a great risk, and the majority of survey respondents identified this factor as the single greatest risk to the long-term overall success of Puget Sound restoration efforts.", "Effects of climate change and ocean acidification. According to the CCMP, climate change and ocean acidification could affect many aspects of Puget Sound\u2019s ecosystem and natural resources. In addition, a 2015 University of Washington report stated that projected increases in sea surface temperatures associated with climate change could harm salmon populations and increase the magnitude and frequency of harmful algal blooms in Puget Sound. Moreover, according to a report from the Washington State Blue Ribbon Panel on Ocean Acidification, more than 30 percent of Puget Sound\u2019s marine species\u2014including oysters, clams, mussels, and crabs\u2014are believed to be vulnerable to ocean acidification because of its corrosive effects on some shelled organisms. According to a December 2017 report by the Washington Marine Resources Advisory Council, Washington\u2019s waters are considered to be among the most highly affected by ocean acidification in the world. A variety of actions are under way in Washington State to respond to this threat, including the implementation of stormwater and nutrient reduction programs to reduce the severity of acidifying conditions and research on kelp cultivation to absorb carbon dioxide to improve seawater conditions.", "Funding constraints. Funding constraints cited by federal and nonfederal entities included concerns about securing funds for future restoration efforts and the administrative challenges associated with combining multiple sources of funding to carry out projects. According to Partnership officials we interviewed, many of the near-term actions called for in the CCMP are at risk of not being carried out because funding has not been secured for these actions. Discussion group participants also cited difficulties securing funds as a barrier for project implementation and stated that the challenges associated with having to cobble together funds from multiple sources can delay or threaten the success of restoration projects. The participants explained that managing the requirements of multiple funding sources can increase administrative burden and project complexity. Moreover, discussion group participants explained that the single-year funding cycles for some programs and the restrictions that are sometimes placed on how funds can be used present additional challenges, as they are not always compatible with the needs of more complex multi- year restoration projects. Participants in the discussion groups noted a critical need for predictable, consistent, multi-year funding to adequately and efficiently plan and carry out restoration activities.", "The factors identified by federal and nonfederal entities as posing a risk to the success of Puget Sound restoration efforts are consistent with some of our prior work on large-scale ecosystem restoration efforts in other parts of the country. Specifically, we previously reported that similar factors\u2014including population growth, the effects of climate change, and funding constraints\u2014may limit restoration efforts in the Great Lakes and Chesapeake Bay."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Restoring Puget Sound is a large, complex, and potentially costly endeavor that involves many federal, state, local, tribal, and nongovernmental partners, and it faces a number of factors that may limit long-term success. Federal and nonfederal entities have made progress in coordinating the numerous restoration efforts underway by establishing the Puget Sound Management Conference and the Puget Sound Federal Task Force and by developing the CCMP and the draft Federal Action Plan. The Partnership, through its plans to develop a more complete inventory of restoration efforts and related funding, can make important information available for coordinating the management of the efforts moving forward. In addition, the Partnership has led the management conference\u2019s efforts to assess restoration progress under the framework laid out in the CCMP, reporting in 2017 that while progress had been made in some areas, many key indicators had not shown improvement. However, these assessments have been limited by insufficient data, resources, and the lack of measurable targets, which have not been established for 16 of the 47 indicators. By working with the management conference on future updates to the CCMP to help prioritize among the indicators that currently lack measurable targets and ensure that such targets are developed for the highest priority indicators where possible, EPA would better position the Partnership to assess progress toward restoration goals.", "In addition, the federal task force has made progress by coordinating its actions through the Federal Action Plan and can continue to make progress as it takes steps to implement the draft plan\u2014and, if applicable, any final version of the plan that is approved. However, the task force has limited ability to assess how the implementation of its plan contributes to overall restoration progress because neither the plan nor the tracking tool developed by EPA\u2019s Region 10 clearly link the plan\u2019s priority federal actions to the goals, vital signs, indicators, or recovery targets that make up the CCMP\u2019s framework. By working with the appropriate members of the regional implementation team to clearly link, such as through the tracking tool, the plan\u2019s priority federal actions to the CCMP\u2019s framework for assessing progress toward Puget Sound restoration, EPA would better position the federal task force to assess the impact of its efforts and the implementation of the draft\u2014and, if applicable, final\u2014action plan."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to EPA: The EPA Region 10 Administrator should work with the management conference on future updates to the CCMP to help prioritize among the indicators that currently lack measurable targets and ensure that such targets are developed for the highest priority indicators where possible. (Recommendation 1)", "The EPA Region 10 Administrator should work with the appropriate members of the federal task force regional implementation team to clearly link, such as through the tracking tool, the Federal Action Plan\u2019s priority federal actions to the CCMP\u2019s framework for assessing progress toward Puget Sound restoration. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a draft of this report for review and comment to CEQ; the Departments of Agriculture, Commerce, Defense, Homeland Security, the Interior, and Transportation; EPA; and the Puget Sound Partnership. EPA provided written comments, which are reproduced in appendix IV, and stated that it generally agrees with the conclusions and recommendations in our report. The Departments of Commerce, Defense, Homeland Security, and the Interior responded by email that they did not have comments on the draft report. CEQ, the Department of Agriculture, and the Department of Transportation provided technical comments, which we incorporated as appropriate. The Partnership also provided written comments, which are reproduced in appendix V, and stated that our report does a good job describing a complex landscape. The Partnership\u2019s comments included one technical comment, which we incorporated as appropriate, and highlighted several points that we made in the report, including the lack of targets for some indicators and other barriers to success, the importance of obtaining more comprehensive information on restoration expenditures, and the importance of linking the work of the federal task force to the CCMP.", "In its written comments, EPA stated that it appreciated the work we performed to understand the scope and intricacies of restoration efforts in Puget Sound and our coordination with multiple federal and nonfederal entities in developing our report. EPA agreed with our recommendation to work with the management conference to help prioritize among the indicators that currently lack measurable targets and ensure that such targets are developed for the highest priority indicators where possible. The agency stated that it has begun working with the Partnership and other management conference partners to identify this as a priority for the next review of the CCMP, as well as to develop a clear plan for advancing this priority. EPA also stated that progress has been made to evaluate the current set of indicators and vital signs as a result of a 2017 project led by the Partnership and that recommendations from that project will inform both adjustments to the current set of indicators and future target setting.", "In addition, EPA agreed with our recommendation to work with the appropriate members of the federal task force regional implementation team to clearly link the Federal Action Plan\u2019s priority federal actions to the CCMP\u2019s framework for assessing progress, and the agency highlighted steps it will take to do so. EPA stated that it has already met with the federal task force\u2019s regional leadership and implementation teams and reached agreement to review the Federal Action Plan and specify how each action connects to the vital signs and other elements of the CCMP. EPA stated this this crosswalk process will begin in January 2019 after the updated CCMP is approved.", "We are sending copies of this report to the appropriate congressional committees; the Chair of CEQ; the Secretaries of Agriculture, Commerce, Defense, Homeland Security, the Interior, and Transportation; the Administrator of EPA; the Executive Director of the Puget Sound Partnership; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) Puget Sound restoration efforts and related expenditures for fiscal years 2012 through 2016; (2) how federal and nonfederal entities coordinate their restoration efforts and their views on this coordination; (3) the framework for assessing progress toward Puget Sound restoration; and (4) key factors, if any, federal and nonfederal entities identified that may limit the success of Puget Sound restoration. To help us understand the legal framework supporting restoration efforts across these four objectives, we reviewed selected relevant federal and state laws, including the Clean Water Act, the Endangered Species Act, and Washington State law governing Puget Sound water quality protection and establishing the Puget Sound Partnership.", "To examine Puget Sound restoration efforts and related expenditures for fiscal years 2012 through 2016, we used the first phase of a two-phase survey to identify federal and state efforts that supported Puget Sound restoration during this time frame. We selected this period to allow us to obtain information on a range of restoration efforts carried out in recent years. In addition, we used the first phase of the survey to obtain information on the availability of expenditure data for the federal and state efforts and to help determine whether any limitations existed that would affect the reliability of such data. As part of developing the first phase of the survey, we conducted a pretest with the Partnership to check that the questions were clear and used terminology correctly and to ensure that we could obtain the requested information without placing an undue burden on agency officials. We sent the first phase of the survey to 15 federal and 11 state entities in June 2017, and all of them responded. We identified the 15 federal entities based on their participation in the Puget Sound Federal Caucus, a group formed of regional federal entities in 2007 to help coordinate federal restoration efforts in Puget Sound. The federal entities were the Bureau of Indian Affairs, Federal Emergency Management Agency, Federal Highway Administration, Federal Transit Administration, National Oceanic and Atmospheric Administration, National Park Service, Natural Resources Conservation Service, U.S. Army Corps of Engineers, U.S. Army Joint Base Lewis-McChord, U.S. Coast Guard, U.S. Environmental Protection Agency (EPA), U.S. Fish and Wildlife Service, U.S. Forest Service, U.S. Geological Survey, and the U.S. Navy. We identified the 11 Washington State entities based on our review of the comprehensive conservation and management plan (CCMP)\u2014called The 2016 Action Agenda for Puget Sound\u2014and our discussions with federal and state officials. The state entities were the Office of Financial Management, Puget Sound Partnership, Recreation and Conservation Office, Washington State Conservation Commission, and the Washington Departments of Agriculture, Commerce, Ecology, Fish and Wildlife, Health, Natural Resources, and Transportation.", "In the first phase of our survey, we requested specific information on federal and state efforts to support Puget Sound restoration. Table 2 summarizes the questions we are reporting on from the first phase of the survey. We also asked other questions that we do not specifically report on to provide additional context for the survey responses. For example, we asked the respondents whether their agency managed each effort on its own or jointly with other entities, and we asked whether their agency had provided funding from each effort to other entities.", "We used the first-phase survey results in part to develop catalogs of federal and state efforts that supported Puget Sound restoration from fiscal years 2012 through 2016. To obtain additional information about the federal and state efforts identified in the survey responses, we reviewed documentation, such as agency websites and reports, and interviewed agency officials. We incorporated this additional information as appropriate in the catalogs, and we then asked each entity to verify the accuracy of the information presented in the catalogs. Appendix II presents the catalog of federal efforts, and appendix III presents the catalog of state efforts.", "Based on the results of the first phase of the survey and additional follow- up interviews with agency officials, we determined that we would be unable to collect sufficiently reliable data to report on the total amount of expenditures that have supported Puget Sound restoration. In particular, we identified data limitations that would make it difficult for us to collect consistent, reliable, and comparable expenditure data across all of the federal and state entities\u2019 efforts. These limitations included difficulties isolating expenditures within the geographic boundaries of Puget Sound for some efforts, difficulties isolating expenditures that supported restoration activities as opposed to other purposes, and difficulties quantifying administrative expenses, such as staff salaries and travel expenses, associated with specific efforts.", "As a result of these limitations, we limited our collection of expenditure data to a nongeneralizable sample of three federal programs and one state program to provide examples of the diversity in funding approaches used to support Puget Sound restoration. We considered the following factors in selecting these efforts: 1) their prominence in Puget Sound restoration, 2) variations in the federal and state entities involved in carrying them out, 3) variations in their size, and 4) evidence of reliable expenditure data. In addition, to help illustrate how federal and nonfederal funds are used together at the project level, we interviewed agency officials and obtained expenditure data for two recently completed restoration projects. We selected these projects because they had received funding from a variety of federal and nonfederal sources and illustrated how federal and nonfederal entities work together to carry out restoration projects. We also conducted two site visits to observe the outcomes of these projects. We assessed the reliability of the expenditure data for these program and project examples by comparing the data we obtained with data from other sources where possible, reviewing agency documentation, and interviewing knowledgeable agency officials. We found the data to be sufficiently reliable for our purposes.", "To examine how federal and nonfederal entities coordinate their restoration efforts in Puget Sound and their views on this coordination, we identified two key groups that coordinate among federal, state, local, tribal, and nongovernmental entities: the state-led Puget Sound Management Conference and the Puget Sound Federal Task Force, which replaced the Puget Sound Federal Caucus in 2016. We analyzed key restoration-related documentation, including the CCMP developed by the management conference and the federal task force\u2019s draft The Puget Sound Federal Task Force Action Plan (Fiscal Years 2017-2021) (Federal Action Plan). We also interviewed officials from EPA and the Council on Environmental Quality about the implementation of the federal task force. In August 2017, we sent the second phase of our survey to the 15 federal and 11 state entities that had received the first phase, as well as to the Washington State Governor\u2019s Office, to obtain their views on the coordination of restoration efforts and we received responses from all of the entities. The second phase of the survey featured, among other things, a series of open-ended and closed-ended questions about the role of the management conference and the federal task force in helping to coordinate restoration efforts and about the strengths and shortcomings of the CCMP and the draft Federal Action Plan. We refined the second phase of the survey based on pretests we conducted with two federal agencies and two state agencies to ensure that the questions were clear and used terminology correctly and that we could obtain the requested information without placing an undue burden on agency officials.", "Table 3 summarizes the questions we are reporting on from the second phase of the survey. We also asked other questions that we do not specifically report on to provide additional context for the survey responses. For example, we asked the respondents to identify what steps, if any, could be taken to improve the management conference and the federal task force, and we asked whether any entities were missing from these groups that should be included.", "We also held six moderated discussion groups, three with tribal representatives and three with local representatives, to obtain their views on factors that have helped and hindered their ability to implement restoration projects, including factors related to coordination. We selected the tribal and local entities to participate in the discussion groups because of their involvement in implementing restoration projects. We invited all 19 federally recognized tribes in the Puget Sound basin to participate in our discussion groups, as well as two tribal consortia that support restoration efforts. Representatives from 15 of these tribal entities participated in the tribal discussion groups. For the three local discussion groups, we invited all 9 local integrating organizations and all 15 salmon recovery lead entities within the Puget Sound basin to participate. Representatives from 7 of the local integrating organizations and 13 of the salmon recovery lead entities participated in the three local discussion groups.", "We conducted the six moderated discussion groups over the telephone in May and June 2017. During each discussion group, the GAO moderator asked participants to list factors that, in their experience, had helped their tribal or local entity implement restoration projects in Puget Sound, as well as factors that hindered their ability to do so. The moderator then asked participants to elaborate on how the factors had helped or hindered the implementation of restoration projects. When necessary, the moderator asked probing questions to further clarify participants\u2019 comments. Two or three analysts transcribed each session and combined and reconciled notes to develop transcripts for each of the discussion groups. We analyzed the transcripts from the six discussion groups using qualitative analysis software to categorize the factors that helped and hindered the implementation of restoration projects. Prominent factors identified in the discussion groups that we discuss in the body of the report include factors related to administration and management, coordination, and resources. Other factors, such as laws and regulations, public awareness, and science were also raised to a lesser extent, and we do not discuss these in the body of the report.", "To obtain additional views on the coordination of Puget Sound restoration efforts, we interviewed federal and state agency officials as well as representatives from conservation, agricultural, and fishing industry organizations. We also obtained written responses from two Canadian agencies about their coordination of restoration activities with entities in the United States. We compared the information we obtained on the coordination of Puget Sound restoration efforts with selected leading collaboration practices that we previously identified and that were most relevant based on our initial audit work, such as leadership, bridging organizational cultures, and the inclusion of relevant participants. We also assessed federal entities\u2019 implementation of the memorandum of understanding that established the federal task force.", "To examine the framework for assessing progress toward Puget Sound restoration, we reviewed laws, regulations, and key documents, such as the CCMP and the draft Federal Action Plan. We also reviewed the Partnership\u2019s documentation on the results of its assessments of restoration progress. We identified some limitations associated with these results and noted those in our report where appropriate. We obtained additional views on efforts to assess progress from federal and nonfederal entities through the second phase of our survey and interviews described previously. For example, in the second phase of the survey, we asked the federal and state entities about their views on efforts to assess progress under the CCMP and the draft Federal Action Plan and about their views on the sufficiency of monitoring efforts in Puget Sound. We compared the information obtained through these steps with EPA\u2019s National Estuary Program guidance and with leading practices for performance measurement and reporting to determine whether efforts to assess Puget Sound restoration progress have followed leading practices.", "To determine key factors, if any, federal and nonfederal entities identified that may limit the success of Puget Sound restoration, we used the second phase of our survey, which we described above, and our discussion groups to obtain views on factors that may pose a risk to the success of restoration efforts. We also reviewed the CCMP and other documentation and used our interviews with the federal and nonfederal entities described above to obtain views on limiting factors. In addition, we reviewed our prior work on large-scale ecosystem restoration efforts in other parts of the country, such as in the Great Lakes and Chesapeake Bay, to compare the key factors we identified in Puget Sound with factors that may limit restoration efforts that we identified in our past reports.", "We conducted this performance audit from October 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Catalog of Efforts Identified by Federal Entities that Supported Restoration Activities in Puget Sound", "paragraphs": ["As part of our first objective to examine Puget Sound restoration efforts, we surveyed 15 federal entities and asked them to provide information about their efforts that have supported Puget Sound restoration activities. Based on our research and discussions with federal and state officials, we identified six general categories of restoration activities:", "Habitat restoration \u2013 projects or other activities intended to restore degraded habitats.", "Habitat protection \u2013 projects or other activities intended to protect high-quality habitats from future degradation.", "Water quality improvement \u2013 projects or other activities intended to improve the physical, chemical, or biological characteristics of waters within the Puget Sound basin by, for example, reducing stormwater runoff and other sources of water pollution.", "Monitoring \u2013 projects or other activities intended to monitor the physical, chemical, or biological characteristics of waters within the Puget Sound basin, including monitoring for the purposes of establishing baselines, identifying trends, and assessing the effectiveness or results of restoration activities.", "Research \u2013 research projects, studies, or other related activities intended to support Puget Sound restoration activities.", "Education and outreach \u2013 projects or other activities intended to educate the public about the state of Puget Sound and the pressures facing the basin or to elicit community support for restoration activities (e.g., by recruiting volunteers).", "Table 4 presents a catalog of applicable federal efforts from federal fiscal years 2012 through 2016 based on the survey responses from each federal entity. The table includes a wide range of efforts, including some efforts that focused exclusively on restoration-related activities and other efforts that had a broader scope of work that in some cases did not center directly on restoration. We further developed some information presented in the table based on information obtained from other sources, such as agency websites and documentation, and follow-up communications with the federal entities. We did not evaluate whether each entity had included all relevant efforts in their responses."], "subsections": []}, {"section_title": "Appendix III: Catalog of Efforts Identified by State Entities that Supported Restoration Activities in Puget Sound", "paragraphs": ["As part of our first objective to examine Puget Sound restoration efforts, we surveyed 11 state entities and asked them to provide information about their efforts that have supported Puget Sound restoration activities. We used the same six general categories of restoration activities as in the catalog of federal efforts in appendix II: Table 5 presents a catalog of applicable state efforts from state fiscal years 2012 through 2016 based on the survey responses from each state entity. The table includes a wide range of efforts, including some efforts that focused exclusively on restoration-related activities and other efforts that had a broader scope of work that in some cases did not center directly on restoration. We further developed some information presented in the table based on information obtained from other sources, such as agency websites and documentation, and follow-up communications with the state entities. We did not evaluate whether each entity had included all relevant efforts in their responses."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Puget Sound Partnership", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["J. Alfredo G\u00f3mez, (202) 512-3841 or gomezj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Janet Frisch (Assistant Director), Susan Iott (Assistant Director), Joshua Wiener (Analyst in Charge), Chuck Bausell, Stephen Betsock, Mark Braza, Ellen Fried, Jack Granberg, Carol Henn, Gina Hoover, Karen Howard, Vondalee Hunt, Benjamin T. Licht, Jeffery Malcolm, John Mingus, Patricia Moye, Dan C. Royer, Sara Sullivan, Sarah Veale, and Arvin Wu made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Great Lakes Restoration Initiative: Improved Data Collection and Reporting Would Enhance Oversight. GAO-15-526. Washington, D.C.: July 21, 2015.", "Great Lakes Restoration Initiative: Further Actions Would Result in More Useful Assessments and Help Address Factors That Limit Progress. GAO-13-797. Washington, D.C.: September 27, 2013.", "Chesapeake Bay: Restoration Effort Needs Common Federal and State Goals and Assessment Approach. GAO-11-802. Washington, D.C.: September 15, 2011.", "Recent Actions by the Chesapeake Bay Program Are Positive Steps Toward More Effectively Guiding the Restoration Effort, but Additional Steps Are Needed. GAO-08-1131R. Washington, D.C.: August 28, 2008.", "Coastal Wetlands: Lessons Learned from Past Efforts in Louisiana Could Help Guide Future Restoration and Protection. GAO-08-130. Washington, D.C.: December 14, 2007.", "South Florida Ecosystem: Restoration Is Moving Forward but Is Facing Significant Delays, Implementation Challenges, and Rising Costs. GAO-07-520. Washington, D.C.: May 31, 2007.", "Chesapeake Bay Program: Improved Strategies Are Needed to Better Assess, Report, and Manage Restoration Progress. GAO-06-96. Washington, D.C.: October 28, 2005.", "Great Lakes: Organizational Leadership and Restoration Goals Need to Be Better Defined for Monitoring Restoration Progress. GAO-04-1024. Washington, D.C.: September 28, 2004.", "Great Lakes: An Overall Strategy and Indicators for Measuring Progress Are Needed to Better Achieve Restoration Goals. GAO-03-515. Washington, D.C.: April 30, 2003."], "subsections": []}], "fastfact": ["Puget Sound is the nation's second largest estuary, supporting millions of people and a wide variety of species. Development and use, however, have degraded its water quality and habitat, and harmed critical species like salmon and killer whales.", "Federal and nonfederal entities have established two main interagency groups to coordinate restoration efforts. However, it's difficult to assess the amount of progress these groups have made, in part because they lack measurable targets for a number of indicators.", "We recommended that these groups improve their ability to assess the progress of Puget Sound restoration efforts."]} {"id": "GAO-18-161T", "url": "https://www.gao.gov/products/GAO-18-161T", "title": "Space Exploration: Improved Planning and Communication Needed for Plutonium-238 and Radioisotope Power Systems Production", "published_date": "2017-10-04T00:00:00", "released_date": "2017-10-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's September 2017 report, entitled Space Exploration: DOE Could Improve Planning and Communication Related to Plutonium-238 and Radioisotope Power Systems Production Challenges ( GAO-17-673 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Aeronautics and Space Administration (NASA) selects radioisotope power systems (RPS) for missions primarily based on the agency's scientific objectives and mission destinations. Prior to the establishment of the Department of Energy's (DOE) Supply Project in fiscal year 2011 to produce new plutonium-238 (Pu-238), NASA officials said that Pu-238 supply was a limiting factor in selecting RPS-powered missions. After the initiation of the Supply Project, however, NASA officials GAO interviewed said that missions are selected independently of decisions on how to power them. Once a mission is selected, NASA considers power sources early in its mission review process. Multiple factors could affect NASA's demand for RPS and Pu-238. For example, high costs associated with RPS and missions can affect the demand for RPS because, according to officials, NASA's budget can only support one RPS mission about every 4 years. Expected technological advances in RPS efficiency could reduce NASA's demand for RPS and Pu-238.", "DOE has made progress in reestablishing Pu-238 production to meet NASA's future demand to fuel RPS and has identified challenges to meeting its production goals. Specifically, since the start of the Supply Project, DOE has produced 100 grams of Pu-238 and expects to finalize production processes and produce interim quantities by 2019. However, DOE has also identified several challenges to meeting the Supply Project goal of producing 1.5 kilograms (kg) of new Pu-238 per year by 2026. DOE officials GAO interviewed said that DOE has not perfected the chemical processing required to extract new Pu-238 from irradiated targets to meet production goals. These officials also said that achieving the Pu-238 production goal is contingent on the use of two reactors, but only one reactor is currently qualified for Pu-238 production while the second reactor awaits scheduled maintenance. Moreover, while DOE has adopted a new approach for managing the Supply Project and RPS production\u2014based on a constant production approach\u2014the agency has not developed an implementation plan that identifies milestones and interim steps that can be used to demonstrate progress in meeting production goals and addressing previously identified challenges. GAO's prior work shows that plans that include milestones and interim steps help an agency to set priorities, use resources efficiently, and monitor progress in achieving agency goals. By developing a plan with milestones and interim steps for DOE's approach to managing Pu-238 and RPS production, DOE can show progress in implementing its approach and make adjustments when necessary. Lastly, DOE's new approach to managing the Supply Project does not improve its ability to assess the potential long-term effects of challenges DOE identified, such as chemical processing and reactor availability, or to communicate these effects to NASA. For example, DOE officials did not explain how the new approach would help assess the long-term effects of challenges, such as those related to chemical processing. Under Standards for Internal Control in the Federal Government , agencies should use quality information to achieve objectives and to communicate externally, so that external parties can help achieve agency objectives. Without the ability to assess the long-term effects of known challenges and communicate those effects to NASA, DOE may be jeopardizing NASA's ability to use RPS as a power source for future missions."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent work on radioisotope power systems. The National Aeronautics and Space Administration (NASA) has long used radioisotope power systems (RPS) to generate reliable electrical power and heat energy for long-duration space missions. RPS can operate where solar panels or batteries would be ineffective or impossible to use, such as in deep space or in shadowed craters, by converting heat from the natural radioactive decay of plutonium-238 (Pu-238) into electricity. The Department of Energy (DOE) and its predecessor agencies have been providing Pu-238 and fabricating RPS for NASA and other federal agencies for more than 5 decades.", "In 2011, with funding provided by NASA, DOE initiated the Pu-238 Supply Project (Supply Project) to reestablish the capability to domestically produce Pu-238. According to DOE documents and agency officials, DOE currently maintains about 35 kilograms (kg) of Pu-238 isotope designated for NASA missions, about half of which currently meets the power specifications for spaceflight. However, given NASA\u2019s current plans for solar system exploration, this supply could be exhausted within the next decade. Specifically, NASA plans to use about 3.5 kg of Pu-238 isotope for one RPS to power the Mars 2020 mission. NASA may also use an additional 10.5 kg of Pu-238 isotope for its New Frontiers #4 mission if three RPS are used. If DOE\u2019s existing Pu-238 supply is used for these two missions, NASA would be forced to eliminate or delay future missions requiring RPS until DOE produces or acquires more Pu-238.", "My remarks today are based on our recent report on NASA\u2019s use of radioisotope power systems that are powered by plutonium 238, which we are releasing today. Our report examined (1) how NASA selects RPS for missions and what factors affect NASA\u2019s demand for RPS and Pu- 238; and (2) DOE\u2019s progress in meeting NASA\u2019s RPS and Pu-238 demand, and what, if any, challenges DOE faces in meeting the demand. Today, I will discuss the key findings and recommendations from that report.", "For our report, we reviewed documentation on how NASA considered mission requirements during the agency\u2019s planning for recent missions that considered or used RPS as a power source. We also interviewed officials from the Planetary Science Division (PSD) of NASA\u2019s Science Mission Directorate and from the Human Exploration and Operations Mission Directorate. In addition, we reviewed documentation related to DOE\u2019s efforts to develop the Supply Project and DOE\u2019s RPS production process. We also interviewed officials from DOE\u2019s Office of Nuclear Energy as well as officials involved in RPS work at three DOE national laboratories\u2014Idaho National Laboratory (INL), Los Alamos National Laboratory (LANL), and Oak Ridge National Laboratory (ORNL)\u2014and conducted site visits to ORNL and INL. More detailed information on the objectives, scope, and methodology of our work can be found in the September report. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards.", "In summary, we found that NASA selects RPS for missions based primarily on scientific objectives and that several factors may affect NASA\u2019s demand for RPS and Pu-238. For example, RPS have been typically used on NASA\u2019s most expensive and highest priority missions. Based on expected funding levels, NASA can only support two or three of these missions per decade. We also found that DOE has made progress meeting NASA\u2019s demand for RPS and Pu-238, but the agency faces some challenges in reaching full production goals. For example, DOE does not maintain a comprehensive system for tracking RPS production risks. In addition, DOE\u2019s management approach does not allow for the agency to adequately communicate long-term production challenges to NASA. We made several recommendations to DOE to address these issues. DOE agreed with our recommendations and outlined actions it planned to take to address them."], "subsections": [{"section_title": "Background", "paragraphs": ["RPS are long-lived sources of spacecraft electrical power and heating that are rugged, compact, highly reliable, and relatively insensitive to radiation and other effects of the space environment, according to NASA documentation. Such systems can provide spacecraft power for more than a decade and can do so billions of miles from the sun. Twenty-seven U.S. missions have used RPS over the past 5 decades. The current RPS design, the Multi-Mission Radioisotope Thermoelectric Generator (MMRTG), converts heat given off by Pu-238 into about 120 watts of electrical power at the beginning of its life\u2014a 6 percent power conversion efficiency. One MMRTG contains 32 general purpose heat source (GPHS) fuel clads in the form of pressed Pu-238 pellets encapsulated in iridium.", "NASA\u2019s PSD science portfolio includes a wide array of missions that seek to address a variety of scientific objectives and answer many questions about the solar system, from how life began to how the solar system is evolving. Scientific and mission objectives influence the types of equipment needed for the mission, including the mission\u2019s power source. According to NASA officials we interviewed, missions in NASA\u2019s PSD portfolio are generally classified in three ways:", "Flagship. Flagship missions are the largest and most expensive class of NASA\u2019s missions, costing $2 billion or more, and are given the highest priority for resources, including funding, infrastructure, and launch support. Past Flagship missions that have used RPS include the Galileo, Cassini, and Curiosity missions. NASA\u2019s Mars 2020 mission is a planned Flagship mission using RPS.", "New Frontiers. New Frontiers missions focus on enhancing our understanding of the solar system and have a development cost cap of $850 million. To date, there has been one New Frontiers mission using RPS (New Horizons).", "Discovery. Missions in the Discovery program have a development cost cap of $450 million to $500 million and have shorter development time frames, according to NASA officials and documentation. No Discovery mission has been powered by RPS.", "DOE oversees the design, development, fabrication, testing, and delivery of RPS to meet NASA\u2019s overall systems requirements, specifications, and schedules. DOE\u2019s goal under its Supply Project is to reach a full Pu-238 production rate of 1.5 kg per year by 2023, at the earliest, with a late completion date of 2026. DOE also established an interim production rate of 300 to 500 grams per year by 2019, to ensure an adequate supply of Pu-238 for NASA\u2019s near-term missions, before the full production rate goal is achieved. The Supply Project involves a number of steps across several DOE national laboratories, including the use of two DOE research reactors\u2014the High Flux Isotope Reactor at ORNL, and the Advanced Test Reactor at INL.", "NASA began fully funding DOE\u2019s Supply Project in 2011, and since 2014, has been responsible for funding all aspects of RPS production operations, according to NASA documents. NASA funds DOE\u2019s efforts to build, test, and fuel RPS, as well as to update equipment and sustain staffing levels associated with RPS production between missions. Since 2014 NASA has provided, on average, approximately $50 million per year to support DOE\u2019s ongoing operations and maintenance of RPS production equipment. Since its inception until early 2017, DOE has used a short-term and incremental segmented management approach to manage the Supply Project."], "subsections": []}, {"section_title": "NASA Selects RPS for Missions Based Primarily on Scientific Objectives, and Several Factors May Affect NASA\u2019s Demand for RPS and Pu-238", "paragraphs": ["NASA selects RPS to power its missions primarily based on scientific objectives and mission destinations. According to NASA officials we interviewed, the need for RPS is usually apparent based on the mission\u2019s scientific objectives and destination. For instance, an RPS is more likely to be needed for a mission to a distant planet, where minimal sunlight reduces the effectiveness of solar power. NASA officials we interviewed stated that, consistent with the National Space Policy, the agency uses RPS when they enable or significantly enhance a mission, or when alternative power sources, such as solar power, might significantly compromise mission objectives. NASA prioritizes mission selection based on missions identified in the National Academy of Sciences\u2019 decadal survey report, which represents the highest priorities of the scientific community and includes many missions that require the use of RPS.", "Prior to the establishment of DOE\u2019s Supply Project in fiscal year 2011, NASA officials we interviewed stated that mission selections were influenced by the limited amount of available Pu-238. These same officials told us that missions are now selected independently from decisions about how they will be powered. However, projected availability of Pu-238 is factored into whether an RPS is available for a specific mission opportunity.", "In addition to the scientific objectives of planned and potential space exploration missions, several other factors may affect NASA\u2019s demand for RPS and Pu-238:", "Costs associated with missions that typically require RPS.", "According to NASA officials, RPS have typically been used on Flagship missions that cost $2 billion or more. NASA can support no more than one mission using RPS about every 4 years\u2014or two to three missions per decade\u2014based on expected agency funding levels.", "Cost of RPS relative to mission costs. According to NASA officials, New Frontiers missions may be good candidates to use RPS; however, given the cost cap for this mission class, one RPS would account for about 9 percent of the mission\u2019s budget, while three RPS would account for almost 14 percent. For Discovery missions, for which the cost of using RPS would represent a large portion of a Discovery mission budget, a single RPS would represent more than 17 percent of a mission\u2019s development cap.", "DOE\u2019s production capability. According to DOE officials we interviewed, it can take up to 6 years to acquire, fuel, test, and deliver a new RPS for a NASA mission. According to DOE and NASA officials we interviewed, given the current floor space dedicated to RPS development at INL and limits on staff exposure to radiation at LANL, DOE only has the capacity to produce three to four RPS at one time. To accommodate DOE\u2019s current RPS production capability, NASA officials we interviewed said they will not select two consecutive missions requiring RPS.", "Technological advances may reduce the demand for Pu-238 and thus RPS. For example, according to NASA officials, advances in solar power technology have realistically expanded the ability to use solar power for missions for which it would not have been considered before, and these advances could help address low levels of light intensity for deep space missions. NASA also is developing new RPS technologies that may reduce its demand for Pu-238 and thus RPS. For example, NASA officials told us that they plan to invest in dynamic RPS technology that could increase RPS efficiency and require less RPS to achieve mission power. NASA research indicates that dynamic RPS designs could be more than four times as efficient as the current MMRTG design.", "The Supply Project goal of producing 1.5 kg of Pu-238 per year was established to support two to three PSD missions using RPS each decade, and NASA does not anticipate other potential users to affect demand for RPS or Pu-238, according to NASA and DOE officials and documentation we reviewed. DOE planning documents and NASA officials we interviewed stated that current RPS and Pu-238 production levels expected from the Supply Project are intended to only meet PSD\u2019s demand. NASA officials said that they did not account for potential demand from other potential users within NASA, the national security community, or commercial sectors when establishing current Pu-238 production goals."], "subsections": []}, {"section_title": "DOE Has Made Progress Meeting NASA\u2019s RPS and Pu- 238 Demand, but Faces Challenges Reaching Full Production Goals", "paragraphs": ["DOE has made progress meeting NASA\u2019s future demand for Pu-238 to fuel RPS. A chronology of key DOE planned RPS and Pu-238 production activities, and NASA\u2019s mission-related activities, are shown in figure 1.", "DOE demonstrated a proof of concept for new Pu-238 production, and has made approximately 100 grams of new Pu-238 isotope under its Supply Project, since the project\u2019s inception in 2011. However, given DOE\u2019s Supply Project and RPS production schedule, and NASA\u2019s current space exploration plans to use up to four RPS for its Mars 2020 and New Frontiers #4 missions, DOE\u2019s existing Pu-238 supply will be exhausted by 2025.", "Moreover, DOE officials we interviewed from INL, LANL, and ORNL identified several challenges, including perfecting and scaling up chemical processing and the availability of reactors, that need to be overcome for DOE to meet its projected Supply Project goal of producing 1.5 kg per year of Pu-238 by 2026, at the latest. If these challenges are not overcome, DOE could experience delays in producing Pu-238 to fuel RPS for future NASA missions.", "DOE\u2019s ability to meet its production goal and support future NASA missions is at risk if certain steps for chemical processing necessary for the production of Pu-238 are not improved and scaled up. According to DOE officials we interviewed, DOE is still in the experimental stage and has not perfected certain chemical processing measures required to extract new Pu-238 isotope from irradiated targets, creating a bottleneck in the Supply Project and putting production goals at risk.", "In addition, reactor availability will be necessary for DOE to achieve its Pu-238 production goals. Officials we interviewed at INL and ORNL said that achieving 1.5 kg of Pu-238 per year is contingent on the availability of positions within both the High Flux Isotope Reactor (HFIR) and the Advanced Test Reactor (ATR) to irradiate neptunium targets for conversion to Pu-238 isotope. DOE officials said HFIR can produce approximately 600 grams of Pu-238 isotope and they plan to use positions within ATR to achieve full production goals; however, ATR has not been qualified for Supply Project work. In addition, DOE officials said that ATR\u2019s availability for the Supply Project may be limited due to competition from other users. DOE officials said that they will be unable to meet full Pu-238 production goals if positions in ATR, which are already over-utilized, are not available for Pu-238 isotope production and that they do not have a plan to address this challenge.", "These and other challenges identified in our September 2017 report may place DOE\u2019s RPS and Pu-238 production goals at risk, in part, because of the short-term and incremental segmented management approach DOE had used to manage the Supply Project since its inception in 2011 through early 2017. In March 2017, DOE officials we interviewed said that the agency anticipated moving to a constant GPHS production rate approach to help provide funding flexibility and stabilize RPS production staffing levels between NASA missions. In June 2017, DOE officials we interviewed said that implementing a constant GPHS production rate approach would also address other previously identified challenges associated with RPS production and the Supply Project and therefore decided to discontinue its short-term and incremental segmented management approach.", "However, DOE officials we interviewed did not describe how the new constant GPHS production rate approach would help them address some of the longer-term challenges previously identified by the agency, such as scaling up and perfecting chemical processing. We found that DOE has yet to develop an implementation plan for the new approach, with defined tasks and milestones, that can be used to show progress toward assessing challenges, demonstrate how risks are being addressed, or assist in making adjustments to its efforts when necessary. Our previous work has shown that without defined tasks and milestones, it is difficult for agencies to set priorities, use resources efficiently, and monitor progress toward achieving program objectives.", "In our September 2017 report, we recommended that DOE develop a plan that outlined interim steps and milestones that would allow the agency to monitor and assess the implementation of its new approach for managing Pu-238 and RPS production. DOE agreed with our recommendation and noted it was in the process of implementing an approach for the RPS supply chain that was more responsive to NASA\u2019s needs, among other things. DOE also noted that it was developing an integrated program plan to implement and document the agency\u2019s new approach and expected this to be completed in September 2018. We believe that the development of an integrated program plan is an important step and that any such plan should include defined tasks and milestones, so that DOE can demonstrate progress toward achieving its RPS supply chain goals.", "In addition, in our September 2017 report we identified another factor that could undermine DOE\u2019s ability to inform NASA about previously identified challenges to reach its full Pu-238 production goal. We found that DOE does not maintain a comprehensive system for tracking RPS production risks and, instead, relies on individual laboratories to track and manage risks specific to their laboratories. Standards for Internal Control in the Federal Government call for agency management to identify, analyze, and respond to risks related to achieving defined objectives. We recommended that DOE develop a more comprehensive system to track systemic risks, beyond the specific technical risks identified by individual laboratories. Doing so would better position DOE to assess the long-term effects of the challenges associated with its Pu-238 and RPS production objectives. DOE agreed with our recommendation and stated that the agency would include steps to ensure that its risk assessment system would include comprehensive programmatic risks.", "Finally, in our September 2017 report we found that DOE\u2019s new approach to managing RPS and Pu-238 production does not allow for DOE to adequately communicate long-term challenges to NASA. It is also unclear how DOE will use its new management approach to communicate to NASA challenges related to Pu-238 production. As a result, NASA may not have adequate information to plan for future missions using RPS. Standards for Internal Control in the Federal Government call for agency management to use quality information to achieve agency objectives and communicate quality information externally through reporting lines so that external parties can help achieve agency objectives and address related risks. In our September 2017 report, we recommended that DOE assess the long-term effects that known challenges may have on Pu-238 production quantities, time frames, and required funding, and communicate these potential effects to NASA. DOE stated that it agreed with our recommendation and would work with NASA to identify, assess, and develop plans to address known challenges. DOE also stated that the agency expected to complete this effort in September 2019.", "Chairman Babin, Ranking Member Bera, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Shelby Oakley at (202) 512-3841 or OakleyS@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to the report on which this testimony is based are Jonathan Gill (Assistant Director); Samuel Blake, Kevin Bray, John Delicath, Jennifer Echard, Cindy Gilbert, Timothy Guinane, John Hocker, Michael Kaeser, Jason Lee, Tim Persons, Danny Royer, Aaron Shiffrin, Kiki Theodoropoulos, Kristin VanWychen, and John Warren.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Radioisotope power systems enable NASA to conduct space exploration missions where solar or other power sources are not feasible (such as in deep space). These systems convert heat generated by the plutonium 238 (Pu-238), a scarce resource, into electricity.", "In 2015, the Department of Energy produced new Pu-238 for the first time since 1988. However, this process is highly technical and the department faces challenges meeting NASA's expected need for Pu-238.", "In the report on which this testimony is based, we recommended that the department improve its planning and communication about the challenges it faces in producing Pu-238."]} {"id": "GAO-19-71", "url": "https://www.gao.gov/products/GAO-19-71", "title": "Document Services: DOD Should Take Actions to Achieve Further Efficiencies", "published_date": "2018-10-11T00:00:00", "released_date": "2018-10-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD has reported printing costs that totaled about $608 million, on average, during fiscal years 2010 through 2015. DLA Document Services has key DOD-wide responsibilities for (1) printing and reproduction, (2) print device procurement, and (3) electronic content management (e.g., digital document repositories). Other DOD components, including the military services, also maintain some document services capabilities at various locations.", "House Report 115-200 accompanying a bill for the National Defense Authorization Act for fiscal year 2018 included a provision for GAO to examine DOD's document services. This report evaluates (1) the progress DOD has made in achieving efficiencies in its document services and opportunities, if any, to achieve further efficiencies, and (2) the extent to which DOD reports accurate financial information about its document services to key stakeholders. GAO reviewed documents and interviewed officials regarding DOD's efficiency initiatives, including DLA Document Services' transformation plan; reviewed print device procurement contracts and pricing information; and analyzed DOD budget data for fiscal years 2012 through 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has taken steps to achieve efficiencies in its document services, including implementing a transformation plan to consolidate existing Defense Logistics Agency (DLA) Document Services facilities. However, GAO identified four areas where further gains may be possible:", "Managing fragmentation in printing and reproduction services. DOD has designated DLA Document Services as the single manager for printing and reproduction services, but DOD customers, citing concerns with DLA's services, have also obtained these services directly from the Government Publishing Office and via in-house print facilities (see fig.). DOD has not assessed DLA's performance in this role or whether additional efficiencies may be possible in light of DLA's transformation plan.", "Reducing overlap in procuring print devices. GAO found that DOD components used at least four different contract sources to acquire print devices. DOD has not assessed which acquisition approach represents the best value; doing so might better position DOD to further reduce its costs.", "Meeting goals to reduce the number of print devices. DOD and the military services have not demonstrated that they achieved established goals for reducing the number of print devices. Additional controls and assignment of oversight responsibilities to monitor progress could better enable DOD to achieve its cost savings goals, estimated to be millions of dollars annually.", "Consolidating DLA facilities. DLA is closing or consolidating 74 of its 112 facilities in the United States. However, GAO found that for four of seven types of specialty services, DLA plans to retain facilities that are responsible for less than 5 percent of the total revenue for each of those specialties, which suggests that further consolidations are possible.", "DOD includes the cost of non-printing activities, such as the purchase of advertising time for recruiting, within its budget materials for printing and reproduction. It does not include costs to acquire print devices and for electronic content management. As a result, DOD and the Congress lack the oversight into total document services costs needed to make informed decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that DOD evaluate options to achieve additional cost savings and other efficiencies in its document services and report more accurate budget data. DOD generally agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) reported spending an annual average of $608 million on document services, such as printing, copying, and related activities, during fiscal years 2010 through 2015. In recent years, congressional committees have expressed concerns about these costs. For example, in 2015, the Senate Committee on Appropriations reported concerns over wasteful printing practices and the lack of clear printing policies within DOD and recommended that DOD reduce its printing and reproduction costs by 34 percent.", "The Defense Logistics Agency\u2019s (DLA) Document Services organization has key department-wide responsibilities for document services. It is designated as DOD\u2019s \u201csingle manager\u201d for printing and high-speed, high- volume duplication and \u201cpreferred provider\u201d for document conversion and automation services. DOD document services generally encompass three broad categories: (1) printing and reproduction (e.g., copying), (2) print device procurement, and (3) electronic content management (e.g., digital document repositories and records management). In addition, DOD components, which include the military services, maintain some document service capabilities at various locations.", "Due in part to congressional concerns, DOD has implemented initiatives to reduce the number of print devices and increase the use of electronic content management practices. DLA Document Services has also taken steps to implement a transformation plan to better accomplish its mission. The objective of this plan is to transition DOD to online services by transforming the way customers, the workforce, and in-house facilities operate. DLA Document Services plans to consolidate existing brick and mortar facilities, leverage existing partnerships with the Government Publishing Office (GPO), and shift to digital services. An internal analysis of the transformation plan estimated that, once the plan is fully implemented in fiscal year 2019, DLA Document Services can expect annual savings of 20 percent of its fiscal year 2017 operating costs.", "House Report 115-200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to examine DOD\u2019s document services and assess opportunities to achieve greater efficiencies and cost savings. This report evaluates (1) the progress DOD has made in achieving efficiencies in its document services and opportunities, if any, to achieve further efficiencies and (2) the extent to which DOD reports accurate financial information about its document services to key stakeholders.", "For our first objective, we reviewed DOD documents and interviewed DOD officials to understand how each military service obtains document services and identify department-wide and military service-specific efficiency initiatives for document services. We focused our review on DLA and the military services, which accounted for an average of about 92 percent of DOD\u2019s total document service costs reported by DLA Document Services in fiscal years 2010 through 2015. We also reviewed DLA\u2019s and the military services\u2019 document services activities and compared them with a DOD statutory periodic review, DOD Instructions, and other guidance; OMB guidance; internal control standards; and best practices for efficiency initiatives\u2014such as consolidations\u2014and strategic sourcing to identify any potentially inefficient duplication, overlap, or fragmentation; and any opportunities for greater efficiencies. For specific efficiency initiatives identified by DOD officials or in DOD documents, we interviewed DOD officials regarding their progress in implementing and meeting the goals of these initiatives.", "We also compared the cost of print devices offered by DLA Document Services, the Army, and the Air Force. Specifically, we gathered and analyzed data on (1) the monthly price of multifunction devices offered by DLA Document Services, (2) the estimated average monthly cost for the Army, based on quotes provided by vendors through the Army\u2019s mandatory source for print devices, and (3) the estimated average monthly cost, based on the standard pricing included in the Air Force\u2019s 2018 catalog for print devices. We compared costs for similar devices based on device specifications, including print speeds, monthly volumes, and paper capacities. This analysis did not account for other differences in device specifications, approaches to obtaining devices, or the types of associated maintenance services and supplies that were included. As a result, this analysis does not allow us to conclude which sources provide the greatest value, but it illustrates differences in the cost of print devices across sources.", "For our second objective, we analyzed DOD\u2019s operation and maintenance (O&M) budget justification materials and DLA data for fiscal years 2012 through 2016, which provided us with 5 fiscal years of data to determine any trends in document services obligations. We interviewed officials from the services to determine how they reported their costs for document services. We assessed the information against federal accounting standards on how information should be recorded and communicated to management and others.", "To determine the reliability of the data provided to us by DOD, we collected information through interviews with and questionnaires to relevant officials on how the data were collected, managed, and used. We determined that the data presented in our findings were sufficiently reliable for the purposes of this report. Appendix I provides further details on our scope and methodology.", "We conducted this performance audit from August 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Categories of Document Services", "paragraphs": ["Document services at DOD are generally encompassed by three broad categories, shown in figure 1.", "Printing and reproduction includes the high-speed, high-volume reproduction of printed documents, as well as the distribution of those products. Documents are printed internally by DOD components, which include the military services, or printing is procured through an organization such as DLA Document Services, the Government Publishing Office (GPO), or a commercial vendor. Device procurement covers the acquisition of all office-level and production-level equipment. Office-level equipment includes printers; copiers; multi-function devices (MFDs), which perform multiple functions\u2014printing, copying, scanning, and faxing\u2014in one device; and all other devices that produce documents on-site and in low volume. Production-level equipment can include offset printers, digital presses, and other devices that are capable of high- speed, high-volume production of documents. Electronic content management is the digitization of printed documents and the creation and management of electronic content management systems, such as databases and automation services."], "subsections": []}, {"section_title": "Roles and Responsibilities for Document Services", "paragraphs": ["The Under Secretary of Defense for Acquisition and Sustainment is the principal staff assistant and advisor to the Secretary of Defense on document services policies and programs and provides policy guidance regarding the operation and management of document services. DOD\u2019s Instruction on document services also designates DLA Document Services as DOD\u2019s single manager for printing and high-speed, high- volume duplication. This includes both the operation of DOD\u2019s in-house print facilities and the procurement of such services from outside DOD. It also establishes DLA Document Services as the preferred provider of document conversion and automation services within DOD. DOD is in the process of revising its instruction on document services and is considering changes to DLA\u2019s single manager role. DLA Document Services customer service network is comprised of a headquarters located in New Cumberland, Pennsylvania and 132 production facilities worldwide.", "Each military service also provides internally some document services of the type assigned to DLA. Service-level implementing guidance governs how each military service will provide document service-related activities to its components, commands, and organizations, such as through the Army Publishing Directorate, the Navy\u2019s Chief Information Officer, and the Marine Corps Publishing and Logistics Systems Management Section. The Air Force\u2019s major commands operate their own printing operations, according to a service official."], "subsections": []}, {"section_title": "Funding of Document Services", "paragraphs": ["DLA funds document services through the Defense-wide Working Capital Fund, which covers DLA\u2019s costs for purchasing various commodities and providing services. DOD components and other customers, such as other federal agencies, reimburse the Defense-wide Working Capital Fund through the purchase of these commodities and services. In obtaining document services from DLA, DOD components\u2014including the military services\u2014use annual appropriations and their own working capital funds to reimburse the Defense-wide Working Capital Fund. DLA Document Services\u2019 primary customers, by sales, are shown in table 1. DOD components can also fund document services outside of DLA Document Services with annual appropriations."], "subsections": []}, {"section_title": "Efforts to Increase Efficiencies in Providing Document Services", "paragraphs": ["Beginning in 2011, Congress, the federal government, and DOD initiated efforts to increase efficiencies in various areas involving document services. For example, Executive Order 13589 directed agencies to pursue steps to reduce administrative costs across the federal government by setting reduction goals for certain areas, such as printing and employee use of IT devices. According to DOD, it set\u2014and achieved\u2014a goal of a 20 percent reduction in fiscal year 2013 spending in these areas. Following this effort, in 2015, the Senate Committee on Appropriations recommended that DOD work with the Office of Management and Budget to reduce costs for printing and reproduction by 34 percent. DOD issued a report in December 2016 that identified the reductions it would make to achieve this goal. The plan focused on two main areas: emphasizing electronic content management over a reliance on printed materials and reducing the number of print devices. Starting in fiscal year 2015, DLA Document Services undertook a separate but complementary effort to further increase efficiencies and better accomplish its mission of providing document services to DOD and the military services. Figure 2 provides a time line of efficiency initiatives related to DOD\u2019s document services. We discuss the status of these efforts later in this report."], "subsections": []}]}, {"section_title": "DOD Has Made Progress toward Achieving Efficiencies in its Document Services, but Opportunities May Exist for Further Gains", "paragraphs": ["DOD has taken steps toward achieving efficiencies in its document services, including implementing a transformation plan for DLA Document Services, taking steps to reduce the cost and number of office print devices, and increasing its use of electronic content management.", "However, we identified four areas where further gains may be possible: better managing fragmentation in printing and reproduction services, reducing overlap in procuring print devices, meeting goals to reduce the number of print devices, and consolidating locations that provide mission specialty printing."], "subsections": [{"section_title": "DOD Has Taken Steps toward Achieving Efficiencies", "paragraphs": [], "subsections": [{"section_title": "Implementing DLA Document Services\u2019 Transformation Plan", "paragraphs": ["In fiscal year 2015, DLA Document Services developed and, starting in fiscal year 2017, began implementing a transformation plan to further increase efficiencies and better accomplish its mission of providing document services to DOD and the military services. The objective of this transformation plan is to transition DOD from on-site printing to digital, online services by transforming the way customers, the workforce, and in- house facilities operate. Based on the plan, DLA Document Services is closing or consolidating 74 of its 112 brick and mortar facilities in the continental United States over the course of fiscal years 2018 and 2019, bringing its footprint to 38 facilities. An internal analysis of the transformation plan, conducted by DLA, estimates annual savings of 20 percent compared to DLA Document Services\u2019 fiscal year 2017 operating costs once the plan is fully implemented in fiscal year 2019. Figure 3 shows DLA Document Services\u2019 facility footprint prior to the implementation of its transformation plan and the locations it intends to retain following completion of the plan in fiscal year 2019.", "The transformation plan also calls for DLA Document Services to adjust the size and composition of its workforce by the plan\u2019s completion in fiscal year 2019. For example, DLA Document Services intends to reduce its total number of full-time equivalent positions from about 600 to about 400, mainly through Voluntary Early Retirement Agreements and Voluntary Separation Incentive Payments. According to officials, DLA Document Services is also in the process of converting existing positions and hiring staff as customer relations specialists at each of the consolidated facilities. These officials noted that these positions are intended to help customers learn about and access the full range of services offered by DLA Document Services, including printing and reproduction services, office print devices, and electronic content management services. The goal of establishing these positions, officials stated, is to help facilitate the increased use of technology to meet customers\u2019 needs, because DLA Document Services intends to transition customers to using an online portal to fulfill their printing needs. According to DLA, it is hiring many of the customer relations specialists from current DLA Document Services locations, and the planned reduction in its total full-time equivalent positions is a net reduction that accounts for the hiring of, and conversion of existing positions to, these customer relations specialists.", "DLA Document Services also plans to use and expand its existing public and private sector partnerships to support an increased emphasis on online services as it implements its transformation plan. For example, DLA Document Services currently works in partnership with GPO\u2019s GPOExpress, an online portal for fulfilling printing and reproduction services in cooperation with FedEx Office. For those customer orders that DLA Document Services is unable to fulfill in-house, whether due to workload or lack of capability, GPO and GPOExpress meet these needs. According to a GPO official, GPOExpress will also serve customers located in areas where DLA Document Services has closed or consolidated 74 of its 112 U.S. facilities.", "We found that DLA Document Services\u2019 transformation plan generally reflects leading practices for initiatives to consolidate physical infrastructure or management functions. For example, DLA Document Services identified goals for its transformation plan, ensured top leadership engagement, dedicated an implementation team, and established metrics that it is using to track progress toward the plan\u2019s goals. As of June 2018, DLA Document Services is ahead in its goals for overall personnel reductions and for hiring customer service representatives and is behind on its goal for closing facilities, as shown in table 2.", "According to DLA Document Services officials, delays in reducing facilities have been due to a variety of factors, including earlier delays in hiring customer service representatives, equipment removal, and administrative delays at installations. There have also been delays as DLA Document Services has sought to minimize the effect of the consolidations on affected employees by offering buyout packages or transfers. DLA Document Services officials told us they anticipate that their efforts to consolidate facilities and reduce the overall number of employees will begin to achieve savings by fiscal year 2020."], "subsections": []}, {"section_title": "Reducing the Cost and Number of Print Devices", "paragraphs": ["DOD, including the military services, has also taken steps to reduce the cost and number of office-level print devices, including identifying goals for reducing the number of print devices and plans for each military service to establish a mandatory source (e.g., one particular contract or organization) for obtaining print devices. The Army and Air Force have each established their own service-wide contracts for obtaining print devices and have mandated their use, while the Department of the Navy has mandated that the Navy and Marine Corps use DLA Document Services to obtain these devices. Military service officials told us that consolidating purchases with a single service-wide source reduces the cost of these devices by taking advantage of economies of scale, because vendors can offer better pricing for larger numbers of customer orders. Our previous work on strategic sourcing\u2014a process that moves agencies away from numerous individual purchases to an aggregate approach\u2014shows that such practices can allow agencies to better manage acquisitions and reduce costs.", "In addition, DOD and the military services have identified reducing the number of print devices as an opportunity for significant savings and have established guidance on reducing the number of these devices. DOD\u2019s Chief Information Officer (CIO) issued a memorandum in 2012 on, among other things, reducing the number of print devices to one per office space of 12 or fewer users and assessing the ratio of printers to employees in larger spaces. In response to this memorandum and to Army Audit Agency findings of excessive user-to-printer ratios, the Secretary of the Army issued guidance in fiscal year 2013, requiring all Army commands, organizations, and activities to assess print capacity and plan for reductions, if necessary, based on the results of those assessments, which the Army last completed in fiscal year 2014. The Department of the Navy, in adopting DLA Document Services as the exclusive source for acquiring and sustaining print devices for the Navy and Marine Corps, also directed Department of the Navy officials to work with DLA Document Services to conduct assessments and develop a phased execution plan regarding the number and type of print devices Navy and Marine Corps organizations require. DLA began conducting these assessments for the Navy and Marine Corps in fiscal year 2014. In conducting these assessments, DLA Document Services reviews the inventory, cost, and use of output devices within an organization and then conducts an analysis that results in recommendations. According to DLA Document Services, its recommendations are designed to optimize an organization\u2019s equipment to meet the organization\u2019s needs, while reducing cost by shifting from single-function, or standalone devices, to shared, multifunction devices."], "subsections": []}, {"section_title": "Increasing the Use of Electronic Content Management", "paragraphs": ["Led by DLA Document Services, DOD has also made greater use of electronic content management, with the objective of reducing the volume and cost of printed materials. DLA Document Services is using a number of electronic content management systems, including its Document Automation and Content Services, and has deployed those systems for a number of DOD customers, such as DLA Distribution and U.S. Transportation Command. According to DLA Document Services officials, because Document Automation and Content Services functions as one large system with separate libraries for individual customers, and costs for the system are shared, increasing adoption of the system will reduce costs for each organization using the system."], "subsections": []}]}, {"section_title": "Opportunities May Exist to Achieve Further Efficiency Gains", "paragraphs": ["DOD\u2019s document services initiatives have gained efficiencies, but we identified four areas where further gains may be possible, including (1) managing fragmentation in printing and reproduction services, (2) reducing overlap in procuring print devices, (3) meeting goals to reduce the number of print devices, and (4) consolidating locations that provide mission specialty printing."], "subsections": [{"section_title": "Managing Fragmentation in Printing and Reproduction Services", "paragraphs": ["Our review found that DOD components, including the military services, use multiple approaches to obtain printing and reproduction services. These approaches include (1) using DLA Document Services to obtain printing and reproduction services, which, in turn, can outsource the work to GPO; (2) obtaining these services directly from GPO and its network of private sector vendors without first involving DLA Document Services; and (3) providing these services at in-house print locations, as shown in figure 4.", "For example, according to DLA Document Service officials, the Army Publishing Directorate, which is responsible for obtaining print services for the Department of the Army and local commands in the Washington, D.C. region, has been given authority by DLA Document Services to obtain printing and reproduction services directly from GPO under a contract that DLA Document Services established for that purpose. In contrast, the Army Marketing and Research Group (AMRG), which is responsible for developing and distributing printed materials for recruitment, obtains services directly from GPO without the involvement of DLA Document Services. Finally, some DOD components, such as the Navy, Marine Corps, and National Guard Bureau, also operate their own in-house print facilities.", "In our interviews with military service officials, they stated that they obtained services outside of DLA Document Services because of concerns regarding the cost, quality, and timeliness of its work, including inefficiencies that can result from using DLA Document Services to obtain printing services that are ultimately outsourced to GPO. For example, an analysis by the Army Publishing Directorate found that ordering directly through GPO results in savings of 35 percent, compared to fulfilling the same orders in house through DLA Document Services. In addition, headquarters officials with the Army and Navy stated that there have been significant delays in obtaining services through DLA Document Services, including cases where GPO ultimately fulfilled the orders. Navy officials also said that there were issues with the quality of DLA Document Services\u2019 work, including orders they had to return repeatedly because of quality issues. Further, Army officials\u2014as well as DLA Document Services\u2014acknowledged that certain print jobs, including some bulk printing or magazine- and advertising-quality printing, are beyond DLA Document Services\u2019 capabilities to provide in house.", "According to DLA Document Services officials, DLA Document Services offers value as a single manager for printing and reproduction services, including when GPO fulfills printing and reproduction orders. For example, DLA Document Services may be able to identify different options that allow customers to reduce costs, such as different contract options that GPO may not identify. Officials also said that DLA provides administrative support, such as centralized billing and record keeping, that the military services would have to replicate in their absence. These officials also stated that they were unaware of any persistent problems with the quality or timeliness of DLA Document Services\u2019 work, and that they work with customers to resolve such issues when they arise.", "As noted above, DOD is in the process of revising DOD Instruction 5330.03, and a draft of the revision continues to assign DLA as the single manager for printing and reproduction services within DOD. However, despite the concerns expressed by some military service officials, DOD has not assessed the extent to which DLA Document Services is fulfilling its duties in accordance with DOD Instruction 5330.03 when considering any revisions to the instruction. Specifically, DOD has not assessed whether the products and services DLA Document Services provides are based on \u201cbest value,\u201d as determined by quality, price, and delivery time, in accordance with the instruction.", "According to both DLA Document Services officials and the official at the office of the Under Secretary of Defense for Acquisition and Sustainment who is responsible for document services policy, the office of Acquisition and Sustainment has had minimal involvement in ensuring that DLA Document Services is fulfilling its duties in accordance with the instruction. For example, DOD\u2019s last formal report on defense agencies and DOD field activities, including DLA Document Services, was completed in 2013, before DLA Document Services began implementing its transformation plan. Because it has not assessed DLA Document Services\u2019 provision of document services since 2013, DOD has not ensured that DLA Document Services is providing the best value in an efficient and effective way.", "In light of changes such as DLA Document Services\u2019 transformation plan, DOD has also not determined whether DLA\u2019s single manager role as it is currently constituted is the most effective and efficient model for providing printing and reproduction services, or whether additional efficiencies may be possible. For instance, as a part of its transformation plan, DLA Document Services is increasing its use of GPO to fulfill customer orders, in lieu of using its in-house print facilities. As previously discussed, DLA Document Services can provide certain arrangements\u2014such as establishing term contracts with GPO for certain customers while still providing administrative support for those customers\u2014which may allow for greater efficiencies in printing and reproduction services. However, the draft revision to DOD Instruction 5330.03 does not address how DLA Document Services might use or expand these more flexible arrangements in light of its transformation plan. DOD Instruction 5025.01 requires that, when revising DOD issuances\u2014such as DOD Instructions\u2014the relevant Office of the Secretary of Defense component head will ensure that each assignment of authority or responsibility is verified to be a current requirement and is appropriately assigned. Without assessing whether DLA\u2019s single manager role as it is currently constituted is the most effective and efficient model for providing printing and reproduction services in light of the current transformation plan, DOD may miss opportunities to gain additional efficiencies and better manage fragmentation when obtaining these services."], "subsections": []}, {"section_title": "Reducing Overlap in Procuring Print Devices", "paragraphs": ["Our review found that DOD has not implemented a department-wide approach for acquiring print devices, and DOD components use at least four different sources to acquire them, with costs that vary widely for similar devices. For example, as one of its services, DLA Document Services provides print devices, as well as associated maintenance and supplies, to DOD components. The Department of the Navy has adopted DLA Document Services as the exclusive source for acquiring and sustaining print devices for the Navy and Marine Corps. In addition, both the Army and Air Force have established their own contracts for print devices. Further, the Defense Information Systems Agency\u2019s Joint Service Provider delivers print devices to organizations in the Pentagon and the national capital region, including the headquarters organizations of some of the military services, and officials noted that they use a government-wide contract managed by the National Aeronautics and Space Administration.", "Based on DLA Document Services\u2019 assessments of customers\u2019 print device requirements, its print device procurement service resulted in savings of between 33 and 45 percent compared to the customers\u2019 prior costs for devices, primarily because of reductions in unnecessary devices and efficiencies that are gained through the economies of scale of a single organization procuring these devices. More specifically, DLA Document Services, as a part of its print device procurement service, assesses customers\u2019 device requirements, which officials told us generally results in reducing the number of devices and the associated costs. In addition, DLA Document Services is pursuing, with the support of the General Services Administration, a \u201cbest-in-class\u201d designation for its print device procurement service as a part of an effort to reduce costs by using multi-agency and government-wide acquisition vehicles.", "Army and Air Force officials told us that they had established their own print device procurement sources primarily because they believed that these sources are less expensive than using DLA Document Services. This is primarily because DLA Document Services charges administrative and overhead costs to support its operations, such as facility and maintenance costs, whereas the services\u2019 own contracts do not require any additional fees, according to these officials. However, service officials were unable to provide any analyses or other documentation to support these determinations, and some service officials have been reassessing their approach to obtaining devices. For example, Air Force officials told us they recognize that print procurement services like those provided by DLA Document Services can result in savings, and these officials plan to issue guidance instructing commands to use either DLA Document Services or a similar service offered through the General Services Administration. Conversely, the Marine Corps official responsible for implementing the Department of the Navy\u2019s policy on print devices told us that two installations had reported that the mandated use of DLA Document Services for print device procurement had not yielded savings. That official told us that the office plans to survey additional Marine Corps installations and may make recommendations on the current policy as a result.", "Our analysis found differences in cost among the contracts for similar devices and associated services (see fig. 5). However, we were unable to determine which sources provided the greatest value, because of differences in device specifications (such as handling different paper sizes or the capability to be used on classified networks), approaches to obtaining devices, and whether associated maintenance services and supplies were included. We analyzed DLA Document Services\u2019 standard pricing for customers, contractor quotes for the Army\u2019s mandatory source, and standard pricing for the Air Force\u2019s mandatory source for devices with similar capabilities offered by two or more of the sources, and we found that prices varied widely. For example, we found that DLA Document Services offered customers high capacity color multifunction devices for between $280 and $315 a month, including maintenance and supplies. Vendor quotes we reviewed for similar devices through the Army\u2019s mandatory source were for between $185 and $479 a month, not including maintenance and supplies, while the cost under the Air Force\u2019s mandatory source was between $92 and $145, including maintenance but excluding supplies.", "Our prior work on strategic sourcing\u2014an approach to procurement that moves away from numerous individual procurements to a broader aggregate approach\u2014has found that this approach can result in considerable savings. OMB has also promoted category management\u2014 an approach that includes strategic sourcing as well as improving data analysis and more frequently using private sector (as well as government) best practices. OMB also encourages the use of multi-agency and government-wide approaches to acquiring goods and services. Our work has further found that collecting and using transactional data\u2014information generated when the government purchases goods or services from a vendor, including specific details such as descriptions, part numbers, quantities, and prices paid for the items purchased\u2014can help ensure that the benefits of strategic sourcing are maintained.", "The proposed revisions to DOD Instruction 5330.03 would designate the DLA Director as DOD\u2019s single manager for procuring print devices. The current version of the Instruction designates DLA Document Services as the preferred provider for document conversion and automation services, which includes print device procurement services. Further consolidation of print device procurement, such as under DLA Document Services, might reduce costs. However, it is unclear what approach represents the best value to the government. This is because DOD has not conducted an analysis to establish which approach\u2014or approaches\u2014to obtaining print devices would be most cost effective, according to officials from DOD, DLA, and the military services. By assessing which approach to acquiring print devices represents the best value to the department, DOD would be better positioned, as it revises DOD Instruction 5330.03, to establish a policy that consolidates print device procurements and further reduces its costs."], "subsections": []}, {"section_title": "Meeting Goals to Reduce the Number of Print Devices", "paragraphs": ["Beginning in fiscal year 2012, the DOD CIO and some of the military services established goals for reducing the number of print devices, which\u2014according to internal DOD analyses\u2014would save millions of dollars annually. DOD\u2019s Chief Information Officer (CIO) issued a memorandum in 2012, which instructed DOD components, including the military services, to issue guidance to, among other things, reduce the number of print devices to one per office space of 12 or fewer users and assess the ratio of printers to employees in larger spaces. However, the services have not demonstrated that they have achieved their goals for print device reductions. Specifically, we found the following:", "Army: The Secretary of the Army issued guidance in 2013, requiring all Army commands, organizations, and activities to assess print device capacity and plan for reductions if necessary based on the results of those assessments. The guidance noted that those reductions could save millions of dollars annually. The guidance also included a requirement for biannual reporting by all Army commands, organizations, and activities on their print device inventory, number of printing devices required, and annual costs for printing device acquisitions. In June 2014, Army commands reported an average of 5 users for each single function printer, compared to an industry standard of 7 users per device and a DOD goal of one print device per office space of 12 or fewer users and assessing the ratio of printers to employees in larger spaces. According to Headquarters, Department of the Army officials, however, Army commands objected to the workload associated with this reporting requirement and discontinued issuing the reports. As a result, the Army did not follow through with enforcing the reporting, which limited the ability of Army officials to ensure that Army commands achieved the planned reductions.", "Navy and Marine Corps: The Department of the Navy established guidance in 2013, directing Department of the Navy officials to work with DLA Document Services to conduct assessments and develop a phased execution plan for the number and type of print devices Navy and Marine Corps organizations require. The guidance also directed Department of the Navy officials to develop policy requiring that the acquisition of new devices be exclusively through DLA Document Services. DLA subsequently conducted these assessments and found that the Navy and Marine Corps had an average of one device for every seven users. DLA Document Services recommended further reductions in the number of print devices across the Navy and Marine Corps, which it estimated could save over $63 million annually. However, Department of the Navy officials were unable to provide us with data on the total number of Navy and Marine Corps print devices that would indicate whether these device reductions and savings had occurred.", "Air Force: The Air Force did not issue any guidance based on the CIO memorandum. In response to our review, the Air Force developed draft guidance on print device management, which includes a goal of increasing the ratio of users to devices from 4 users per device to 12 users per device. The draft guidance also includes requirements for quarterly reporting by the Air Force Information Technology Business Analytics Office on the number of devices and related metrics to monitor progress. According to an Air Force analysis, doing so would achieve savings of over $67 million as it replaces or retires devices. As of July 2018, the Air Force had not fully implemented this guidance.", "Efforts by the military services to demonstrate that they have achieved print device reduction goals have been limited because they have not monitored the actions they have taken to reduce the number of print devices. Military service officials we interviewed said they were unaware of any efforts by the DOD CIO to ensure that device reductions occurred and that DOD components achieved their planned savings, such as providing information to the CIO on the status of their efforts to implement the guidance in the memorandum or data on reductions in the number of devices. Standards for internal control state that management should implement control activities through policies that use quality information to achieve an entity\u2019s objectives, monitor the internal control system, and evaluate the results of the system.", "Efforts to implement the memorandum to achieve print device reduction goals have also been limited because responsibility for implementation was not clearly assigned. According to a DOD CIO official, the responsibility for the memorandum is not clearly assigned to a member of the CIO staff. This official also stated that because of the consolidation of information technology services in the Pentagon and the national capital region, the Defense Information Systems Agency\u2019s Joint Service Provider assumed responsibility for implementing the memorandum. According to Joint Service Provider officials, however, they were only responsible for implementing the memorandum for the customers they serve in the Pentagon and the national capital region, and not for other DOD components outside those areas, such as military services. Standards for internal control state that management should ensure that key roles in operating the internal control system are clearly assigned. In the absence of these controls, such as reporting procedures to monitor actions to reduce the number of print devices and establishing clear responsibility for implementing the CIO memorandum, DOD has been unable to ensure that it is achieving any estimated savings, which could represent tens of millions of dollars annually."], "subsections": []}, {"section_title": "Consolidating Locations That Provide Mission Specialty Printing", "paragraphs": ["DLA Document Services may be able to realize additional savings from further consolidating facilities beyond those already identified, but it does not currently plan to do so, and it does not have the complete data it would need to make those determinations. As a part of its transformation plan, DLA Document Services identified 38 of its 112 facilities in the continental United States that it would retain. DLA Document Services officials stated that they considered a number of factors in determining whether to consolidate or retain facilities, including the number of staff and customers and the facilities\u2019 workloads, but that they generally consolidated or retained facilities based on whether the facility provided \u201cmission specialty\u201d services. These mission specialties are services that DLA Document Services officials believe cannot be easily outsourced, such as printing and reproduction of classified and sensitive documents and on-demand printing and distribution of certain technical materials.", "However, our analysis of DLA Document Services data found that some facilities retained for certain mission specialties were responsible for a relatively small share of business for those specialties in fiscal year 2016 (the last full year for which data were provided), which suggests that further consolidations are possible. For example, for each of the four mission specialties for which DLA Document Services provided us with revenue data, the bottom quartile (25 percent) of the facilities retained for each specialty were responsible for less than 5 percent of the total revenue for that specialty, as shown in figure 6. We also found some cases in which DLA Document Services retained facilities that reported less revenue for a given specialty than facilities that it did not retain. According to officials, DLA Document Services took a number of factors into consideration in deciding on consolidations, including the complexity of the work at a facility and whether nearby sites could fulfill the orders. According to these officials, this allowed them to consolidate some facilities even if those facilities had greater revenue from a given mission specialty than other facilities.", "DOD Instruction 5330.03 requires DLA Document Services to provide effective and efficient document services support to DOD components. Our key practices for efficiency initiatives also note the importance of targeting both short-term and long-term efficiency initiatives. DLA Document Services officials stated that they would consider additional consolidations of facilities, but they have not conducted any analysis or planning to gain further efficiencies and do not currently have plans to do so. These officials stated they are committed to implementing the current transformation plan as announced. Officials also stated that they want to have a better sense of the results from the current transformation, including how workloads may change among facilities as consolidations occur, before considering additional consolidations. DLA Document Services\u2019 current transformation plan includes the possible consolidation of facilities outside the continental United States following the implementation of its current plan (which only addressed facilities inside the continental United States); it does not have any plans for further consolidations within the continental United States.", "We also found that DLA Document Services did not have revenue data on all of its mission specialties to inform any future decisions on facility consolidations. Standards for internal control state that entities\u2019 management should use quality information to achieve the entities\u2019 objectives. However, DLA Document Services could not provide revenue data on three specific mission specialties\u2014sensitive, classified, and Naval Nuclear Propulsion Information\u2014for which it retained 30 of its facilities, including some that it retained exclusively for those specialties. According to DLA Document Services officials, they did not collect revenue data for these mission specialties because the facilities responsible for processing this type of information were generally retained, regardless of the revenue they produced, due to the sensitive nature of this work. As noted above, our analysis of available mission specialty data found that some facilities that DLA retained for certain mission specialties did a relatively small share of business for those specialties, indicating that there may be opportunities for additional facility consolidations. DLA Document Services officials told us that they had consulted with managers at the facilities about the amount of sensitive and classified they conducted. Because of these consultations, DLA Document Services is closing some facilities that handled sensitive and classified information. However, DLA Document Services does not routinely collect these data as it does for other mission specialties. By collecting and analyzing more complete revenue data on its mission specialties and using those data to evaluate opportunities for further consolidations, DLA Document Services would be better positioned to determine if opportunities exist to achieve additional cost savings."], "subsections": []}]}]}, {"section_title": "DOD Does Not Report Accurate Financial Information about Its Document Services", "paragraphs": ["DOD reports some financial information regarding its document services, but this information does not accurately capture the scope of its document services mission. We reviewed the O&M obligations for printing and reproduction in fiscal years 2012 through 2016 that were reported to Congress by the military services. The total obligations ranged from about $534 million to about $736 million annually for the 5-year period (see fig. 7).", "Our analysis found that DOD\u2019s O&M budget materials for printing and reproduction are inaccurate in two ways. First, the budget materials include obligations that are primarily for non-printing activities, such as the purchase of advertising and radio and television time. DOD and military service financial management officials prepare budget justification materials for their O&M funding requests on an annual basis. DOD and the services report printing and reproduction costs in the Summary of Price and Program Changes budget exhibit (the \u201cOP-32\u201d). It contains information by line item, detailing, among other items, printing and reproduction and related operations performed by the military services, DLA, or GPO. It also contains elements of expenses for purchases related to document services that are provided by DLA. The OP-32 exhibits are provided to Congress with the budget justification materials accompanying the President\u2019s annual budget request.", "Officials from AMRG told us that, in accordance with Army guidance, printing and reproduction obligations are coupled with other obligations, including the purchase of advertising space and radio and television time for recruiting activities. Data provided by these officials show that in fiscal year 2016, AMRG\u2019s obligations for printing and reproduction accounted for only about $2 million, or 2 percent, of the Army\u2019s total fiscal year 2016 obligations included in the printing and reproduction line of the OP-32. Obligations for the publication of notices, advertising, and radio and television time accounted for about $78 million, or 63 percent, of the obligations reported for printing and reproduction. According to officials, the Navy, Air Force, and Marine Corps also follow their respective guidance on reporting printing and reproduction obligations together with these other obligations.", "Second, the budget justification information does not represent the full scope of the military services\u2019 document services mission. Specifically, we found that the military services\u2019 annual budget requests do not provide distinct information on two areas of their document services mission\u2014 print device procurement and electronic content management. Data we reviewed indicate that the military services obligate a considerable amount of resources in these areas. For example, according to DLA Document Services, sales to DOD and the military services for its print device services are comparable to sales for its printing and reproduction services. According to DLA data, in fiscal year 2017, it received in revenue about $108 million for print device and about $105 million for printing and reproduction services. Officials from the military services told us that obligations for these activities are included within the budget requests for various IT procurement categories. For example, Army Budget Office officials noted that the budget request for IT procurement and office supplies would include estimates associated with the purchase and sustainment of devices, but those line items would include other, non-printing obligations as well. According to these officials, the Army has made efforts to standardize the procurement of information technology, including collecting better data on spending for these types of devices. They told us that these efforts will result in shifts in how those obligations are reported in budget justification materials.", "The accuracy and completeness of DOD\u2019s financial information about its document services can affect the allocation of budgetary resources, and inaccurate or incomplete information can hamper initiatives to gain further efficiencies. The Handbook of Federal Accounting Standards states that its managerial cost accounting concepts and standards are aimed at agencies providing reliable and timely information on the full costs of their federal programs that congressional and executive decision makers can use in making decisions about allocating federal resources and program managers can use in making decisions to improve operating economy and efficiency. DOD\u2019s Financial Management Regulation lays out the structure of the budget exhibits that the military services develop during the department\u2019s budget process. According to a DOD Comptroller official, DOD has historically reported its budget requests following the format prescribed by the Financial Management Regulation, and it follows this format in its reporting of printing and reproduction costs that are coupled with non-printing costs.", "Although the department has followed this format, the House Armed Services Committee has expressed concern about the military services\u2019 printing budgets, noting that they were excessive and that portions of the budgets should be realigned to address unfunded readiness priorities. Further, as we discussed earlier in this report, DOD has outlined specific steps it intends to take to achieve a recommended goal of 34 percent reduction in spending on its printing and related activities. Without quality information on the scope of its document services mission, DOD will lack the information it needs to assess whether it is achieving this goal. To assess its progress toward achieving this goal, it will be critical for decision makers to have accurate financial information. According to a DOD Comptroller official, the Financial Management Regulation provides flexibility in how obligations are categorized and reported internally and to Congress, but DOD has not evaluated options to report more accurate funding information on its document services. Unless DOD evaluates options to report more accurate funding information and takes steps to improve the accuracy of its budgetary and financial information reporting, DOD and Congress will not have the full visibility over these costs that they need to make informed decisions."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["DOD is taking important steps to address congressional concerns about its spending on document service activities. Most notably, DOD is implementing its plan to transform its DLA Document Services mission and has taken certain steps to reduce the number and cost of print devices. These efforts have begun to produce results, but DOD can do more to build on these gains. By better managing fragmentation in printing and reproduction services, DOD could ensure that DLA Document Services is providing the best value in obtaining document services. DOD could further reduce overlap in print device procurement by assessing the various approaches employed by DLA and the military services to determine what constitutes the most cost-effective approach for the department.", "DOD has set goals intended to reduce the number of print devices and realize tens of millions of dollars in savings each year, but it has not demonstrated that it has achieved these savings, because of limitations in internal controls. Additional efforts aimed at collecting and analyzing information to examine areas for further consolidation of DLA Document Services\u2019 mission specialty locations might provide DOD with additional cost savings. DOD\u2019s O&M budget materials for printing and reproduction activities include information on non-printing activities that make up a much larger portion of its reported spending than printing does. In addition, these O&M budget materials omit information that would capture the full scope of DOD\u2019s document services mission, such as device procurement and electronic content management, which are included with information technology budget materials. By providing more accurate costs for its document services activities, DOD would ensure that Congress and departmental leaders have the insight needed to make informed decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of six recommendations to DOD.", "The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition and Sustainment assesses whether DLA Document Services\u2019 single manager role for printing and reproduction provides the best value to the government\u2014as determined by quality, price, and delivery time and in light of DLA Document Services\u2019 transformation plan\u2014and whether any additional efficiencies are possible, and use the results of that assessment to inform the revision of DOD Instruction 5330.03. (Recommendation 1)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition and Sustainment assesses whether DOD\u2019s current approach to obtaining print devices represents the best value to the government or whether other approaches, such as further consolidations under DLA Document Services as a proposed single manager for print device procurement, would be more cost effective. (Recommendation 2)", "The Secretary of Defense should ensure that the DOD CIO implements controls, such as reporting procedures, to routinely monitor actions to reduce the number of print devices, consistent with department-wide goals for reducing the number of print devices that are included in the CIO\u2019s 2012 memorandum. (Recommendation 3)", "The Secretary of Defense should ensure that the DOD CIO assigns responsibility for implementing the CIO\u2019s 2012 memorandum on optimizing the use of employee information technology devices. (Recommendation 4)", "The Secretary of Defense should ensure that the Director, DLA, in coordination with the Director, DLA Document Services and following implementation of the current transformation plan, gathers data on workload revenue at retained facilities and all mission specialties and evaluate whether additional opportunities for consolidation exist based on those data. (Recommendation 5)", "The Secretary of Defense should ensure that the Under Secretary of Defense (Comptroller), in consultation with the military services and DLA, evaluates options to report more accurate funding information and takes steps to improve the accuracy of its budgetary and financial information reporting on document services internally and to Congress, including making distinctions between printing and non-printing-related costs and information on device procurement and electronic content management. This information could be provided as part of DOD\u2019s annual O&M budget justification materials. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, DOD concurred with five recommendations and identified specific actions and time frames for addressing them, and it partially concurred with the remaining recommendation. DOD\u2019s written comments are reprinted in their entirety in appendix II. DOD also provided technical comments, which we incorporated into the report, where appropriate.", "DOD partially concurred with our recommendation that the Under Secretary of Defense (Comptroller), in consultation with the military services and DLA, evaluate options to report more accurate funding information and take steps to improve the accuracy of budgetary and financial information reporting on document services internally and to Congress, including making distinctions between printing and non- printing-related costs and information on device procurement and electronic content management. Our recommendation noted that this information could be provided as part of DOD\u2019s annual O&M budget justification materials. DOD stated that the budget materials it submits to Congress are in compliance with OMB Circular A-11\u2019s definitions of printing and reproduction and equipment. It further noted that Working Capital Fund exhibits provided with each annual budget include a breakout, by service, of the appropriated and Working Capital Fund activities and a detailed accounting of unit cost and pricing for all sub- activities of DLA Document Services.", "As we noted in our report, a DOD Comptroller official told us that the Financial Management Regulation provides DOD with flexibility in categorizing and reporting obligations internally and to Congress. However, we found that, based on this flexibility, DOD\u2019s O&M budget materials reported obligations for printing and reproduction that were primarily for non-printing activities, such as the purchase of advertising and radio and television time. This budget information did not represent the full scope of DOD\u2019s document services mission, since it omitted obligations for print device procurement and electronic content management. We also reported that DOD had not evaluated options to report more accurate funding information on its document services. DOD\u2019s comments did not include plans to address this recommendation. We continue to believe that by providing more accurate costs for its document services activities, DOD would ensure that Congress and departmental leaders have the insight needed to make more informed decisions.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the DOD Chief Information Officer, the Under Secretary of Defense (Comptroller), the Under Secretary of Defense for Acquisition and Sustainment, the Director, Defense Logistics Agency, the Secretaries of the Army, Navy, and Air Force, and the Commandant of the Marine Corps. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or fielde1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to evaluate (1) the progress the Department of Defense (DOD) has made in achieving efficiencies in its document services and opportunities, if any, for further efficiencies, and (2) the extent to which DOD reports accurate financial information about its document services to key stakeholders.", "For our first objective, we reviewed DOD documents and interviewed DOD officials in order to understand how each military service obtains document services and identify department-wide and military service efficiency initiatives for these services. We also reviewed the Defense Logistics Agency\u2019s (DLA) and the military services\u2019 document services activities and compared them with a DOD statutory periodic review; DOD Instructions and other guidance; Office of Management and Budget (OMB) guidance; internal control standards; and best practices for consolidation initiatives, efficiency initiatives, and strategic sourcing to identify any potentially unnecessary duplication, overlap, or fragmentation and any opportunities for greater efficiencies. For specific efficiency initiatives identified by DOD officials or in DOD documents, we interviewed DOD officials regarding their progress in implementing and meeting the goals of these initiatives.", "To evaluate DLA Document Services\u2019 transformation plan, we interviewed DLA Document Services officials, reviewed DLA Document Services documents regarding the plan, and assessed that plan based on leading practices for consolidation and efficiency initiatives. To assess the plan against these practices, one analyst reviewed the testimony and documents provided and compared it to our key questions to consider when evaluating proposals to consolidate physical infrastructure and management functions. A second analyst reviewed and concurred with the first analyst\u2019s assessments. In any cases where there was a disagreement, the analysts discussed any discrepancies. If they were not resolved, a third analyst reviewed the assessments.", "To assess the extent to which there may be additional opportunities for facility consolidations, we obtained DLA Document Services data on revenue reported by each facility, which DOD Document Services officials told us they used in determining which facilities to consolidate as a part of their transformation plan. We analyzed the share of mission specialty revenue reported by facilities that (1) were retained by DLA Document Services for a given mission specialty, (2) were retained but not for a given specialty, and (3) were not retained. We further divided those facilities retained for a given specialty into quartiles to better understand the concentration of revenue in those facilities. To assess the reliability of these data, we interviewed DLA Documents Services officials regarding how the data were gathered, analyzed, reported, and used. We found that these data were reliable for the purpose of analyzing the shares of mission specialty revenue represented by each facility or group of facilities.", "To compare the cost of print devices offered by DLA Document Services, the Army, and the Air Force, we gathered and analyzed data on the monthly cost of multifunction devices with comparable specifications. We compared costs for similar devices based on device specifications including print speeds, monthly volumes, and paper capacities. Because Army and Air Force costs are estimated and there might be other differences in device specifications, approaches to obtaining devices, and which associated services were included, this analysis does not allow us to conclude which sources provide the greatest value. However, it illustrates differences in the cost of print devices across sources.", "For DLA Document Services, we used DLA Document Services\u2019 standard monthly pricing for 2018 for various categories of multifunction devices.", "For the Army, Army officials were unable to provide data on the cost of multifunction devices purchased by Army customers. Instead, they provided us with documentation of vendor responses to requests for quotes from the Army\u2019s mandatory source for print devices from April 2017 through January 2018. We reviewed those documents and assigned each device to a DLA Document Services category, based on the device\u2019s specifications as identified in the documentation. We then estimated the monthly cost for each device. For leased devices, we used the monthly cost of the lease. For purchased devices, we used the total cost of the device divided by an estimated service life for the device. We estimated this service life using some indication available in the documentation, such as the length of time a maintenance agreement or extended warranty was provided for the device. Army officials provided 183 quotes for devices. Of those, we were able to include 24 in our analysis. We excluded the other 159 because either we could not determine the cost for individual devices in a quote, there was not enough information on a device\u2019s specifications, there was no DLA Document Services equivalent for the device, or we were unable to estimate a service life based on the information provided. Because the information included all vendor quotes provided and not just those that were selected by a customer, the costs may not represent the actual costs of devices to the customer.", "For the Air Force, we used an estimated average monthly cost based the standard pricing included in the Air Force\u2019s 2018 catalog for print devices. We reviewed the catalog and assigned each multifunction device offered to a DLA Document Services category, based on the devices\u2019 specifications. The Air Force\u2019s catalog contained 32 devices; we were able to determine the equivalent DLA Document Services category for 13 of those devices. All devices in the Air Force\u2019s catalog are available for purchase and include a 4-year maintenance agreement; therefore, we estimated the average monthly cost as the purchase price divided by 48.", "To evaluate the extent to which DOD reports accurate and complete financial information to key stakeholders to manage its document services, we analyzed DOD\u2019s operation and maintenance (O&M) budget justification materials for fiscal years 2012 through 2016 and Defense Logistics Agency data on its document services mission. We focused our review on O&M obligations reported by DLA and the military services, which accounted for an average of about 92 percent of DOD\u2019s total document service costs reported by DLA Document Services in fiscal years 2012 through 2016. We interviewed officials, including officials from the Office of the Under Secretary of Defense (Comptroller), DLA Document Services, and the military services to determine how they reported costs for document services. We assessed the information we collected against federal accounting standards on how information should be recorded and communicated to management and others. To determine the reliability of the O&M budget justification data provided to us by DOD, we obtained information on how the data were collected, managed, and used through interviews with relevant officials. We determined that the data were sufficiently reliable to represent the military services\u2019 total O&M obligations for document services for fiscal years 2012 through 2016.", "We interviewed officials and, where appropriate, obtained documentation, from the following organizations:", "Office of the Under Secretary of Defense for Acquisition, Technology", "Office of the Under Secretary of Defense (Comptroller)", "Department of Defense Chief Information Officer", "Defense Logistics Agency \u2013 Chief Information Officer", "Defense Logistics Agency \u2013 Document Services", "Defense Information Systems Agency \u2013 Joint Service Provider", "Army Chief Information Officer", "Army Publishing Directorate", "Army Marketing Research Group", "Army 7th Signal Command", "Headquarters Air Force \u2013 Chief Information Officer", "Department of the Navy \u2013 Chief Information Officer", "Headquarters Marine Corps Command, Control, Communications,", "Headquarters Marine Corps Publishing and Logistics", "Headquarters Marine Corps Budget and Execution", "Marine Corps Combat Camera", "Marine Corps Reprographic Equipment Management Program We conducted this performance audit from August 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Matthew Ullengren (Assistant Director), Adam Hatton (Analyst in Charge), Adam Brooks, Joanne Landesman, Amie Lesser, Daniel Ramsey, Carter Stevens, and Walter Vance made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-383T", "url": "https://www.gao.gov/products/GAO-18-383T", "title": "Intellectual Property: CBP Can Enhance Information Sharing with the Private Sector to Address Changes in the Counterfeits Market", "published_date": "2018-03-06T00:00:00", "released_date": "2018-03-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's January 2018 report, entitled Intellectual Property: Agencies Can Improve Efforts to Address Risks Posed by Changing Counterfeits Market , ( GAO-18-216 )."]}, {"section_title": "What GAO Found", "paragraphs": ["Changes in the market for counterfeit goods entering the United States pose new challenges for consumers, the private sector, and U.S. agencies that enforce intellectual property rights (IPR). Specifically, growth in e-commerce has contributed to a shift in the sale of counterfeit goods in the United States, with consumers increasingly purchasing goods online and counterfeiters producing a wider variety of goods that may be sold on websites alongside authentic products. For example, 20 of 47 items GAO purchased from third-party sellers on popular consumer websites were counterfeit, according to testing by the products' rights holders (see table), highlighting potential risks to consumers. The changes in the market for counterfeit goods can also pose challenges to the private sector\u2014for example, the challenge of distinguishing counterfeit from authentic goods listed for sale online\u2014and complicate the enforcement efforts of U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE).", "CBP and ICE engage in a number of activities to enhance IPR enforcement; however, while ICE has assessed some of its efforts, CBP has taken limited steps to do so. CBP's and ICE's IPR enforcement activities broadly include detecting imports of potentially IPR-infringing goods, conducting special operations at U.S. ports, engaging with international partners, and undertaking localized pilot programs or port-led initiatives. CBP and ICE have collected some performance data for each of the eight activities GAO reviewed, and ICE has taken some steps to understand the impact of its efforts. However, CBP has conducted limited evaluation of its efforts to enhance IPR enforcement. Consequently, CBP may lack information needed to ensure it is investing its resources in the most efficient and effective activities.", "CBP and ICE generally collaborate on IPR enforcement, but according to private sector representatives, restrictions on CBP's information sharing limit private sector enforcement efforts. GAO found that CBP and ICE have undertaken efforts that align with selected key practices for interagency collaboration, such as participating in developing a national IPR enforcement strategy and agreeing on roles and responsibilities. However, sharing additional information about seized items with rights-holding companies and e-commerce websites could improve enforcement, according to private sector representatives. CBP officials said they share information to the extent allowed under current regulations, but CBP has not completed an assessment of what, if any, additional information would be beneficial to share with private sector entities. Without such an assessment, CBP will not know if sharing additional information requires regulatory or legal changes."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to discuss the results of our review of U.S. agencies\u2019 efforts to address changes in the market for counterfeit goods and their work with the private sector. Intellectual property is an important component of the U.S. economy, and the United States is an acknowledged global leader in its creation. Infringement of intellectual property rights (IPR) through the illegal importation and distribution of counterfeit goods harms the U.S. economy by stifling innovation, slowing economic growth, weakening the competitiveness of U.S. employers, and threatening American jobs. IPR infringement can also threaten the health and safety of American consumers. The Department of Homeland Security\u2019s U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE)\u2014two of the many agencies involved in IPR enforcement\u2014are responsible for IPR enforcement at U.S. borders. CBP leads enforcement activity at the border by detecting and seizing counterfeit goods that enter the United States through its more than 300 ports of entry and by assessing penalties against IPR infringers. CBP coordinates its efforts with ICE, which investigates IPR violations for federal prosecution.", "My testimony today summarizes the findings from our January 2018 report, which was released on February 27, 2018, on CBP\u2019s and ICE\u2019s IPR enforcement at U.S. borders. This testimony addresses (1) what is known about counterfeit goods entering the United States and the challenges they present, (2) efforts CBP and ICE have undertaken to enhance IPR enforcement and the extent to which they have assessed the results of these efforts, and (3) the extent to which CBP and ICE collaborate on IPR enforcement as well as ways in which they coordinate with the private sector in enforcing IPR.", "For our report, we analyzed CBP seizure data for fiscal years 2012 through 2016 and reviewed documents and reports from CBP, ICE, other U.S government entities, and international organizations. We interviewed CBP and ICE officials in Washington, D.C., and at selected port locations in Chicago, Illinois; Los Angeles, California; Miami, Florida; and New York, New York. We also interviewed representatives of IPR-holding companies (rights holders) and popular consumer websites that offer platforms for third-party sellers. We used undercover identities to purchase selected products from third-party sellers on popular consumer websites and subsequently asked the rights holders for the selected products to test their authenticity. More detailed information on our objectives, scope, and methodology for this work can be found in the issued report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with investigation standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Accelerated by E- Commerce, Changes in the Counterfeits Market Present Challenges to U.S. Agencies, Consumers, and the Private Sector", "paragraphs": [], "subsections": [{"section_title": "E-Commerce Has Contributed to a Shift in the Market for Counterfeit Goods", "paragraphs": ["The rise of e-commerce has contributed to a fundamental change in the market for counterfeit goods, according to our analysis of documents from CBP, ICE, and international organizations and our interviews with CBP and ICE officials. U.S. agencies and international organizations have observed a shift in the sale of counterfeit goods from \u201cunderground\u201d or secondary markets, such as flea markets or sidewalk vendors, to primary markets, including e-commerce websites, corporate and government supply chains, and traditional retail stores. Whereas secondary markets are often characterized by consumers who are knowingly purchasing counterfeits, primary markets involve counterfeiters who try to deceive consumers into purchasing goods they believe are authentic.", "This shift has been accompanied by changes in the ways in which counterfeit goods are sold. In the past, consumers could often rely on indicators such as the location of sale or the goods\u2019 appearance or price to identify counterfeit goods in the marketplace. However, counterfeiters have now adopted new ways to deceive consumers. For example, as consumers increasingly purchase goods online, counterfeiters may exploit third-party online marketplaces to gain an appearance of legitimacy and access to consumers. When selling online, counterfeiters may post pictures of authentic goods on the websites where they are selling counterfeits and may post pseudonymous reviews of their products or businesses in order to appear legitimate. Additionally, by setting the price of a counterfeit at, or close to, the retail price of a genuine good, counterfeiters may deceive consumers, who will pay the higher price because they believe the goods are real or who believe that they are getting a slight bargain on genuine goods."], "subsections": []}, {"section_title": "CBP Data Indicate Changes in Several Key Characteristics of Counterfeit Goods Seized", "paragraphs": ["According to CBP seizure data and CBP officials, the volume, variety, and methods of shipment of counterfeit goods seized by CBP and ICE have changed in recent years. CBP reports indicate that the number of IPR seizures increased by 38 percent in fiscal years 2012 through 2016. According to CBP data, approximately 88 percent of IPR seizures made during this period were shipped from China and Hong Kong. The variety of products being counterfeited has also increased, according to CBP officials. CBP and ICE officials noted that, while many consumers may think of luxury handbags or watches as the most commonly counterfeited goods, counterfeiting occurs in nearly every industry and across a broad range of products. In addition, according to CBP data we reviewed and officials we spoke to, the methods of importing counterfeit goods into the United States have changed in recent years. Specifically, express carriers and international mail have become the predominant form of transportation for IPR-infringing goods entering the United States, constituting approximately 90 percent of all IPR seizures in fiscal years 2015 and 2016, according to CBP data."], "subsections": []}, {"section_title": "Twenty of 47 Items Purchased from Third- Party Sellers on Popular E-Commerce Websites Were Counterfeits, Highlighting Potential Risks to Consumers", "paragraphs": ["In an attempt to illustrate the risk that consumers may unknowingly encounter counterfeit products online, we purchased a nongeneralizable sample of four types of consumer products\u2014shoes, travel mugs, cosmetics, and phone chargers\u2014from third-party sellers on five popular e-commerce websites. According to CBP data we reviewed and officials we spoke to, CBP often seizes IPR-infringing counterfeits of these types of products. As table 1 shows, the rights holders for the four selected products we purchased determined that 20 of the 47 items were counterfeit.", "We did not identify any clear reasons for the variation among the counterfeit and authentic items that we purchased based on the products that they represented, the e-commerce websites where we bought the items, or the third-party sellers from whom we bought them. For three of the four product types, at least one item we purchased was determined to be counterfeit, with results varying considerably by product. Representatives of the rights holders also could not provide a specific explanation for the variation among authentic and counterfeit goods that we received. They noted that the results of covert test purchases can fluctuate depending on enforcement activities and the variety of goods and sellers on a particular website on a given day. Rights-holder testing also showed that we purchased at least one counterfeit item and one authentic item from each of the five e-commerce websites. In addition, our analysis of the customer ratings of third-party sellers from whom we bought the items did not provide any clear indications that could warn consumers that a product marketed online may be counterfeit. For example, we received both counterfeit and authentic items from third- party sellers with ratings that were less than 70 percent positive as well as sellers with ratings that were up to 100 percent positive.", "Rights holders were able to determine that items we purchased were not authentic on the basis of inferior quality, incorrect markings or construction, and incorrect labeling. Some counterfeit items we purchased were easily identifiable as likely counterfeit once we received them. For example, one item contained misspellings of \u201cAustin, TX\u201d and \u201cMade in China.\u201d Other items could be more difficult for a typical consumer to identify as counterfeit. For example, the rights holder for a cosmetic product we purchased identified one counterfeit item on the basis of discrepancies in the color, composition, and design of the authentic and counterfeit items\u2019 packaging. Counterfeit goods may also lack key elements of certification markings and other identifiers. For example, on a counterfeit phone charger we purchased, the UL certification mark did not include all components of the authentic mark. Figure 1 shows examples of these counterfeit items.", "The risks associated with the types of counterfeit goods we purchased can extend beyond the infringement of a company\u2019s IPR. For example, a UL investigation of counterfeit iPhone adapters found a 99 percent failure rate in 400 counterfeit adapters tested for safety, fire, and shock hazards and found that 12 of the adapters tested posed a risk of lethal electrocution to the user. Similarly, according to a rights holder representative, counterfeits of common consumer goods, such as Yeti travel mugs, may contain higher-than-approved concentrations of dangerous chemicals such as lead, posing health risks to consumers. According to ICE, seized counterfeit cosmetics have been found to contain hazardous substances, including cyanide, arsenic, mercury, lead, urine, and rat droppings.", "Representatives of rights holders and e-commerce websites whom we interviewed reported taking independent action to try to protect IPR within their areas of responsibility. For example, both rights holders and e- commerce websites maintain IPR protection teams that work with one another and with law enforcement to address infringement issues. E- commerce websites may also take a variety of steps to block and remove counterfeit items listed by third-party sellers. These efforts rely on data collected through a variety of means, including consumer reporting of counterfeits, rights-holder notifications of IPR infringement, and corporate efforts to vet potential third-party sellers, according to private sector representatives.", "Our January 2018 report includes information on steps that consumer protection organizations and government agencies recommend consumers take to limit the risk of purchasing counterfeits online. These steps include, for example, buying only from authorized retailers online, avoiding prices that look \u201ctoo good to be true,\u201d and reporting counterfeit purchases."], "subsections": []}, {"section_title": "Changes in the Marketplace Can Pose Challenges to U.S. Agencies and the Private Sector", "paragraphs": ["We identified a number of key challenges that the changes in the market for counterfeit goods can pose to CBP and ICE as well as to the private sector. First, the increasing sophistication of counterfeits can make it difficult for law enforcement officers to distinguish between legitimate and counterfeit goods. Second, as the range of counterfeit goods expands, CBP has a wider variety of goods to screen, which requires CBP officials to have in-depth knowledge of a broad range of products and of how to identify counterfeits. Third, counterfeiters may break up large shipments into multiple smaller express carrier or mail packages to decrease the risk of losing significant quantities of merchandise to a single seizure. This shift toward smaller express shipments of counterfeit goods to the United States poses challenges to CBP and ICE because, according to CBP officials, seizure processing requires roughly the same amount of time and resources regardless of shipment size or value.", "The changing marketplace also presents challenges to the private sector, according to representatives from rights holders and e-commerce websites. For example, it is more difficult for rights holders and e- commerce websites to identify and investigate individual counterfeit cases, because e-commerce websites face a growing inventory from a larger registry of sellers. Tracking goods from known counterfeiters through various website fulfillment and delivery mechanisms is also a significant challenge for the private sector. Furthermore, the growth of e- commerce has accelerated the pace at which counterfeiters can gain access to consumers or reinvent themselves if shut down."], "subsections": []}]}, {"section_title": "CBP and ICE Engage in Activities to Enhance IPR Enforcement, but CBP Has Not Fully Evaluated the Results of Its Activities", "paragraphs": ["CBP and ICE engage in a number of activities to enhance IPR enforcement; however, while ICE has assessed some of its efforts, CBP has taken limited steps to do so. CBP\u2019s and ICE\u2019s IPR enforcement activities broadly include detecting imports of potentially IPR-infringing goods, conducting special operations at U.S. ports, engaging with international partners, and undertaking localized pilot programs or port- led initiatives. CBP and ICE have collected some performance data on activities we reviewed, and ICE has taken some steps to better understand the impact of its efforts, such as creating a process to track cases it deems significant. However, we found that CBP has conducted limited evaluation of its efforts to enhance IPR enforcement. Consequently, we concluded that CBP may lack information needed to ensure it is investing its resources in the most efficient and effective activities. We recommended in our report that CBP take steps to evaluate the effectiveness of its IPR enforcement efforts; CBP concurred with this recommendation."], "subsections": []}, {"section_title": "CBP and ICE Generally Collaborate on IPR Enforcement, but CBP Is Restricted in Sharing Information with the Private Sector", "paragraphs": ["Our analysis showed that CBP and ICE interagency collaboration on IPR enforcement is generally consistent with the following selected key practices for effective interagency collaboration: (1) define and articulate a common outcome; (2) establish mutually reinforcing or joint strategies; (3) identify and address needs by leveraging resources; (4) agree on roles and responsibilities; and (5) establish compatible policies, procedures, and other means to operate across agency boundaries. For example, the agencies may leverage resources by collocating staff or sharing their expertise. CBP and ICE have also issued guidance and developed standard operating procedures to clarify roles and responsibilities. CBP and ICE also coordinate with the private sector in a variety of ways, such as obtaining private sector assistance to determine whether detained goods are authentic and to conduct training.", "Representatives of rights holders and e-commerce websites noted that information shared by law enforcement entities is critical to private sector IPR enforcement, such as pursuing civil action against a counterfeiter or removing counterfeit items from websites. In the Trade Facilitation and Trade Enforcement Act of 2015, Congress provided CBP with explicit authority to share certain information with trademark and copyright owners before completing a seizure. CBP officials stated that they share information about identified counterfeits with e-commerce websites and rights holders to the extent possible under current regulations. However, according to private sector representatives we spoke to, restrictions on the amount and type of information about seized items shared by CBP limit the ability of rights holders and e-commerce websites to protect IPR. CBP officials noted that there are legal limitations to the amount and type of information they can share, particularly if the e-commerce website is not listed as the importer on forms submitted to CBP.", "Several private sector representatives stated that receiving additional information from CBP would enhance their ability to protect IPR. Representatives of one website noted that information on the exterior of seized packages, such as business identifiers on packages destined for distribution centers, would be helpful for identifying groups of counterfeit merchandise from the same seller. However, according to CBP officials, CBP cannot provide such information to e-commerce websites. Representatives of one e-commerce website noted that ICE sometimes shares information related to an investigation, but that ICE\u2019s involvement in the enforcement process begins only after CBP has identified and seized counterfeit items. Representatives of two e-commerce websites stated that, because of the limited information shared by CBP, they may not be aware of IPR-infringing goods offered for sale on their websites, even if CBP has seized related items from the same seller.", "According to CBP officials, CBP is reviewing options for sharing additional information with rights holders and e-commerce websites and is assessing what, if any, additional information would be beneficial to share with private sector entities. CBP officials stated that they have not yet determined whether changes to the amount and types of information provided to e-commerce websites would require regulatory changes or additional legal authorities. These officials also said that they have discussed differences in CBP\u2019s and ICE\u2019s information sharing with ICE officials. In our report, we recommended that CBP, in consultation with ICE, assess what, if any, additional information would be beneficial to share with the private sector and, as appropriate, take action to enhance information sharing where possible. CBP concurred with this recommendation.", "Chairman Hatch, Ranking Member Wyden, and Members of the Committee, this concludes my prepared statement. I would be pleased to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Kimberly Gianopoulos, Director, International Affairs and Trade, at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Joyee Dasgupta, Kara Marshall, Katie Bassion, Kristen Timko, Reid Lowe, Sarah Collins, Neil Doherty, Ramon Rodriguez, Helina Wong, Julie Spetz, Kevin Loh, Wayne McElrath, Grace Lui, James Murphy, Mary Moutsos, Justin Fisher, Rachel Stoiko, and Sarah Veale.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Counterfeit goods harm the U.S. economy and can pose a threat to consumers. But these products can be hard to spot and may be offered online next to authentic goods. For example, we testified that manufacturers determined that 20 of 47 items we purchased from third-party sellers on popular sites were counterfeit.", "Customs and Border Protection leads efforts to stop imported counterfeit goods at the border, and Immigration and Customs Enforcement conducts investigations. In the report on which this testimony is based, we made recommendations to improve oversight of CBP's efforts and enhance information sharing with the private sector."]} {"id": "GAO-18-254", "url": "https://www.gao.gov/products/GAO-18-254", "title": "Financial Technology: Additional Steps by Regulators Could Better Protect Consumers and Aid Regulatory Oversight", "published_date": "2018-03-22T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Advances in technology and the widespread use of the Internet and mobile communication devices have helped fuel the rise of traditional financial services provided by non-traditional technology-enabled providers, often referred to as fintech.", "GAO was asked to provide information on various aspects of fintech activities. This report addresses fintech payment, lending, wealth management, and other products. GAO assesses 1) fintech benefits, risks, and protections for users; 2) regulatory oversight of fintech firms; 3) regulatory challenges for fintech firms; and 4) the steps taken by domestic and other countries' regulators to encourage financial innovation within their countries. GAO reviewed available data, literature, and agency documents; analyzed relevant laws and regulations; and conducted interviews with over 120 federal and state regulators, market participants, and observers, and regulators in 4 countries with active fintech sectors and varying regulatory approaches."]}, {"section_title": "What GAO Found", "paragraphs": ["Fintech products\u2014including payments, lending, wealth management, and others\u2014generally provide benefits to consumers, such as convenience and lower costs. For example, fintech robo-advisers offer low cost investment advice provided solely by algorithms instead of humans. Fintech products pose similar risks as traditional products, but their risks may not always be sufficiently addressed by existing laws and regulations. Also, regulators and others noted that fintech activities create data security and privacy concerns and could potentially impact overall financial stability as fintech grows. The extent to which fintech firms are subject to federal oversight of their compliance with applicable laws varies. Securities regulators can oversee fintech investment advisers in the same ways as traditional investment advisers. Federal regulators may review some activities of fintech lenders or payment firms as part of overseeing risks arising from these firms' partnerships with banks or credit unions. In other cases, state regulators primarily oversee fintech firms, but federal regulators could take enforcement actions. Regulators have published consumer complaints against fintech firms, but indications of widespread consumer harm appear limited. The U.S. regulatory structure poses challenges to fintech firms. With numerous regulators, fintech firms noted that identifying the applicable laws and how their activities will be regulated can be difficult. Although regulators have issued some guidance, fintech payment and lending firms say complying with fragmented state requirements is costly and time-consuming. Regulators are collaborating in various ways, including engaging in discussions on financial protections for customers that may experience harm when their accounts are aggregated by a fintech firm and unauthorized transactions occur. Market participants disagree over reimbursement for such consumers, and key regulators are reluctant to act prematurely. Given their mandated consumer protection missions, regulators could act collaboratively to better ensure that consumers avoid financial harm and continue to benefit from these services. GAO has identified leading practices for interagency collaboration, including defining agency roles and responsibilities and defining outcomes. Implementing these practices could increase the effectiveness of regulators' efforts to help resolve this conflict.", "Regulators abroad have taken various approaches to encourage fintech innovation. These include establishing innovation offices to help fintech firms understand applicable regulations and foster regulatory interactions. Some use \u201cregulatory sandboxes\u201d that allow fintech firms to offer products on a limited scale and provide valuable knowledge about products and risks to both firms and regulators. Regulators abroad also established various mechanisms to coordinate with other agencies on financial innovation. While some U.S. regulators have taken similar steps, others have not due to concerns of favoring certain competitors or perceived lack of authority. While these constraints may limit regulators' ability to take such steps, considering these approaches could result in better interactions between U.S. regulators and fintech firms and help regulators increase their understanding of fintech products. This would be consistent with GAO's framework calling for regulatory systems to be flexible and forward looking to help regulators adapt to market innovations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making numerous recommendations related to improving interagency coordination on fintech, addressing competing concerns on financial account aggregation, and evaluating whether it would be feasible and beneficial to adopt regulatory approaches similar to those undertaken by regulators in jurisdictions outside of the United States. In written comments on a draft of this report, the agencies stated that they concurred with GAO's recommendations and would take responsive steps."]}], "report": [{"section_title": "Letter", "paragraphs": ["Advances in technology and the widespread use of the Internet and mobile communication devices have helped fuel the rise of financial services provided by nonfinancial firms, including large and small technology firms. Often referred to as fintech, these firms are offering payment services, loans to consumers and businesses, advice on investments or other financial activities, and other services. While typically offering their services through mobile devices or the Internet with little or no face-to-face interaction, these fintech firms also often incorporate the use of traditional financial products, such as debit or credit cards, or partner with existing financial institutions to provide their services.", "The products and services offered by fintech firms provide benefits to consumers and businesses but also can present risks. The extent to which some fintech firms or their activities are regulated can also vary. While some fintech products and services are being offered by U.S. firms, fintech activities are also occurring in other places, including in the United Kingdom and Asia. In April 2017, we issued a report providing an overview of fintech activities and their oversight.", "You asked us to provide information on the various aspects of fintech activities. This report addresses four types of fintech activities, payments, lending, wealth and financial advice, and distributed ledger technologies\u2014some of which are known as blockchain\u2014that are being used to track financial asset ownership or other purposes. Specifically for these four fintech sectors, we report on (1) their benefits, risks, and extent of legal or regulatory protections for users; (2) the efforts by U.S. regulators to oversee fintech activities; (3) challenges that the regulatory environment poses to fintech firms; and (4) the steps taken by domestic and other countries\u2019 regulators to encourage financial innovation within their countries.", "To address these objectives, we reviewed available data on transaction volumes; prior GAO reports; and academic papers, reports, and studies by other organizations on fintech activities. We analyzed relevant financial laws and regulations to determine the extent to which fintech activities were covered by their protections. We also reviewed guidance, final rulemakings, initiatives, and enforcement actions from agencies.", "We conducted over 120 interviews with representatives of relevant organizations, including fintech providers; financial institutions; related trade associations; law firms; and consumer groups. These interviews also included federal financial regulators in the United States, including staff from the federal depository institution prudential regulators: the Federal Deposit Insurance Corporation (FDIC); the Board of Governors of the Federal Reserve System (Federal Reserve); the Office of the Comptroller of the Currency (OCC); and the National Credit Union Administration (NCUA); as well as staff from the Commodity Futures Trading Commission (CFTC); the Consumer Financial Protection Bureau (CFPB); the Department of the Treasury (Treasury); the Federal Communications Commission (FCC); the Federal Trade Commission (FTC); the Financial Industry Regulatory Authority (FINRA); the Securities and Exchange Commission (SEC); and the Small Business Administration.", "To obtain state-level perspectives, we interviewed representatives of associations representing state attorneys general and state regulators for banks, credit unions, money transmitters, and securities entities as well as staff from relevant state regulatory agencies in three states with active fintech firms and regulatory activities\u2014California, Illinois, and New York. We also interviewed representatives of fintech providers, trade associations, and regulators in other jurisdictions with active fintech sectors and that were pursuing various potentially innovative regulatory activities, which included Canada; Hong Kong; Singapore; and the United Kingdom. (See app. I for a more detailed discussion of our scope and methodology for this report.)", "We conducted this performance audit from August 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Fintech\u2014originally short for financial technology\u2014refers to the use of technology and innovation to provide financial products and services. For purposes of this report, fintech firms are nontraditional technology- enabled providers, such as start-ups or more established technology firms, such as Apple or Google, that are offering traditional financial products or services to consumers. Fintech products or services are typically provided\u2014sometimes exclusively\u2014through the Internet or via mobile devices, such as smartphones, rather than being provided through face-to-face visits to financial institution branches.", "The products and services that fintech firms offer include: payments between individuals, and between individuals and loans to consumers and businesses; advice on wealth management or general financial activities; and distributed ledger technology used to make payments, record and track asset ownership, and other purposes."], "subsections": [{"section_title": "Fintech Payments", "paragraphs": ["Various fintech firms offer ways for individuals to make payments and transfer value, including for purchasing goods or services or for transferring money to individuals domestically or internationally. The payments offered by these providers are often conducted using applications (apps) on smartphones or other mobile devices. Often these fintech payments involve the use of accounts linked to existing debit or credit cards and are processed through the existing networks and channels for these types of payments. In some cases, fintech providers may also route their payments through the Automated Clearing House networks, which have traditionally been used to facilitate automatic bill paying to utilities or other merchants or funds transfers between banks. Fintech payments can also be made by charging a consumer\u2019s phone bill. For example, consumers can send charity contributions via text or charge in-app purchases to their mobile phone bill.", "One common fintech payment method involves mobile wallets, or electronic versions of consumers\u2019 wallets, which offer consumers the convenience of conducting transactions without having to enter credit or debit card information for each transaction. Using a mobile wallet, consumers can store payment card information and other information on their mobile devices that is often needed to complete a purchase. Generally, mobile wallets replace sensitive information with random values\u2014a process called tokenization\u2014to provide greater security when making a payment, and transmit this information using existing credit and debit card networks. A variety of fintech firms provide mobile wallets, including Apple, Google, and Samsung.", "Consumers may use mobile wallets to make payments to other consumers or to businesses; in mobile applications; through mobile browsers; or in-person at a store\u2019s point-of-sale terminal. Some providers, such as Paypal and Venmo, allow individuals to create accounts on mobile devices to make payments funded by debit or credit cards, as well receive and store funds sent to the account owner that can be used to make payments to others or buy goods from merchants. Figure 1 illustrates how a mobile wallet enables the payment information to be transferred by allowing compatible devices to exchange data when placed in very close proximity to each other using various technologies, such as wireless communication.", "Regarding the total volume of payments by fintech providers, the association representing state banking supervisors estimated that fintech payment firms were likely used to facilitate payments or currency exchanges of up to $189 billion in the first 2 quarters of 2017. In a 2016 report on consumers\u2019 use of mobile financial services, the Federal Reserve\u2019s survey of more than 2,220 respondents found that over 30 percent of consumers aged 18-44 had made payments using mobile phones sometime during 2015. According to a report by the Smart Payment Association, 200,000 locations accepted Apple Pay when it was launched in September 2014, but by February 2016, this number had reached 2 million. According to Paypal, it had 218 million active customer accounts at the end of the third quarter of 2017 and processed over 6 billion payments valued at more than $354 billion in 2016."], "subsections": []}, {"section_title": "Fintech Lending", "paragraphs": ["Fintech lenders\u2014often referred to as marketplace lenders and which operate almost exclusively online \u2014offer a variety of loan types and may use different sources of funds than traditional lenders. The types of loans offered by fintech providers include consumer and small business loans. While these lenders may use traditional means of assessing borrowers\u2019 creditworthiness, such as credit scores, they also may analyze large amounts of additional or alternative sources of data on other aspects of borrower characteristics, such as information from bank accounts, to determine creditworthiness.", "Fintech lenders can follow various models. For example, some conduct person-to-person lending in which loans are financed by individual investors. In other cases, the funds for these loans can come from institutional investors such as hedge funds, financial institutions, or from notes sold to individual investors. In some cases, funding for loans is obtained by securitizing previously-made loans and selling securities backed by the cashflows from the underlying loans. The fintech lenders that use external capital are referred to as direct lenders and include such firms as SoFi and Earnest. Figure 2 below shows the flow of funds for typical direct lenders.", "Other fintech lenders include lenders that partner with depository institutions\u2014including banks or credit unions\u2014to originate loans that are then purchased by the lender or by another investor. Examples of lenders partnered with depository institutions include LendingClub Corporation, Prosper, and Upstart. Figure 3 shows the flow of funds for such lenders. Some lenders, such as OnDeck, have now developed hybrid models, selling some whole loans to institutional investors while retaining servicing responsibilities.", "One firm that tracks fintech activities reported that the volume of lending by 13 of the most significant lenders had reached about $61 billion as of the end of September 2016, and other market monitors estimate that fintech lending volumes could grow to as much as $90 billion to $122 billion by 2020."], "subsections": []}, {"section_title": "Fintech Wealth Management and Financial Advice", "paragraphs": ["Fintech firms are also offering wealth management or other financial advice, some with minimal or no human interaction. For example, new firms called robo-advisers are offering investors advice using algorithms based on these investors\u2019 data and risk preferences to provide advice on recommended asset holdings and allocations. Fintech firms offering these advice services include Betterment, Personal Capital, and Wealthfront. Figure 4 illustrates a typical case of a consumer using a fintech wealth management adviser.", "One research firm estimated in July 2017 that robo-adviser firms would have as much as $1 trillion in assets under management by 2020 and as much as $4 trillion by 2022.", "In addition, some fintech firms\u2014referred to as financial account aggregators\u2014allow consumers to aggregate the information from their various financial accounts, including their assets in bank accounts and brokerage accounts, to enable them to better see their financial health and receive advice on alternative ways to save money or manage their finances. Consumers can access this combined information either online or on mobile devices. Account aggregator firms offering this type of advice on savings and other activities include Mint and HelloWallet."], "subsections": []}, {"section_title": "Distributed Ledger Technologies", "paragraphs": ["Distributed ledger technology (DLT) is a secured way of conducting transfers of digital assets in a near real-time basis potentially without the need for a central authority. DLT involves a distributed database maintained over a network of connected computers that allows network participants to share and retain identical cryptographically secured records. Such networks can consist of individuals, financial entities, or other businesses.", "Blockchain is one type of DLT. A blockchain is a shared digital ledger that records transactions in a public or private network. Distributed to all members in the network, the ledger permanently records, in a sequential chain of cryptographically secured blocks, the history of transactions that take place among the participants in the network. DLT products can have different types of access control. For example, some may be \u201cunpermissioned\u201d (public) ledgers that are open to everyone to contribute data to the ledger and have no central control, while others may be \u201cpermissioned\u201d (private) ledgers that allow only certain participants to add records and verify the contents of the ledger.", "The financial services industry has identified various potential uses for DLT. These include tracking international money transfers or tracking the changes of ownership of various financial assets, such as or securities like bonds or stocks or derivatives like swaps contracts. In addition, DLT is being used to track ownership of bitcoin, a virtual currency, specifically using a blockchain.", "Some companies are using DLT to raise funds. According to a recent bulletin by U.S. securities regulators, these virtual coins or tokens are being created and then disseminated using DLT as part of offerings known as token sales or initial coin offerings. As part of these token sales, purchasers may use fiat currency (e.g., U.S. dollars) or virtual currencies to buy these virtual coins or tokens. Currently, the capital raised from the sales may be used to fund development of a digital platform, software, or other project; or, the virtual tokens or coins may be used to access the platform, use the software, or otherwise participate in the project. After they are issued, in some cases the virtual coins or tokens may be resold to others in a secondary market on virtual currency exchanges or other platforms."], "subsections": []}, {"section_title": "Various Regulators May Oversee Fintech Activities", "paragraphs": ["A variety of federal and state regulatory bodies may oversee fintech firms or their activities to the extent these firms provide a regulated payment; lending; wealth management; or distributed ledger technology service or activity. Table 1 explains the basic functions of the relevant federal regulators.", "In addition to the federal regulators above, various state entities also conduct regulatory activities over fintech firms operating within their jurisdictions. According to the association representing state regulators, state financial services regulators license and supervise activities, such as money transmission, consumer lending, and debt collection, irrespective of technology deployed. Nonbank financial service providers that offer services directly to consumers are likely subject to state oversight. In addition to state financial services regulators, state securities regulators, state entities that oversee corporate activities, and state attorneys general have jurisdiction over certain fintech firms. In general, these entities may have authority to license or register firms, conduct exams, and take enforcement actions for violations of state laws or regulatory requirements."], "subsections": []}]}, {"section_title": "Fintech Activities Can Provide Benefits and Pose Risks to Consumers and the Broader Financial System", "paragraphs": ["Fintech products in payments; lending; wealth management; and distributed ledger technology can provide consumers and the broader financial system with various benefits but may also pose risks similar to those of traditional products. While existing laws apply to fintech products and services in most cases, some products pose additional risks that may not be sufficiently covered by existing laws."], "subsections": [{"section_title": "Fintech Products Can Provide Various Consumer Benefits", "paragraphs": ["According to our prior work, literature we reviewed, and stakeholders we interviewed, consumer benefits of fintech products include greater convenience; lower cost; increased financial inclusion; faster services; and improved security.", "Greater convenience: Consumers can use fintech products and services on their mobile device to make payments; transfer money; easily obtain payment for shared expenses; obtain loans; or to receive investment advice without the time and expense of visiting a financial service provider\u2019s physical location. They can also access these services outside of standard business hours. In addition, the ability to see information from all of their financial accounts together in a single dashboard provided by an account aggregator is more convenient than reviewing information from each account on separate statements.", "Lower cost: Innovations in payments, including the use of DLT, could reduce the cost of payments for consumers. For example, one fintech firm uses DLT to reduce the operational and liquidity costs traditionally incurred with some international payments. Some fintech providers do not charge fees for payments, so consumers save by avoiding paying for checks or incurring automated teller machine fees. In addition, because fintech providers often do not have overhead costs associated with physical locations and use automation instead of relying on large staffs to provide services, they may be able to pass these cost savings on to consumers. For example, according to a Treasury report, automated loan processing, underwriting, and servicing may allow fintech lenders to offer lower rates or fees on their loans because they have to hire fewer loan officers. Similarly, automation in robo-advising could allow consumers to obtain investment advice at a lower cost than if they obtained services from a firm that relied more heavily upon human advisers.", "Increased financial inclusion: Using alternative data may allow fintech lenders to offer loans to consumers whose traditional credit history may have been insufficient for banks to extend them credit. CFPB officials stated that using alternative data\u2014including bill payment history as a proxy for debt repayment\u2014could expand responsible access to credit, particularly to some consumers who are among the estimated 45 million people who lack traditional credit scores. Similarly, a study by FDIC staff noted that fintech accounts may also enable consumers whose traditional accounts are closed due to lack of profitability for the provider or other reasons to continue to have access to financial services. Also, robo-advising services can make investment advice more accessible to consumers who cannot meet account minimums at traditional advisers by offering lower account minimums.", "Faster services: Automation may reduce transaction times for services like loan approval or investment advice. Stored payment data in fintech providers\u2019 mobile wallets may reduce transaction time for online purchases because consumers do not need to reenter billing information. Further, such data may reduce transaction time for in- store purchases because transactions using contactless payments are faster than transactions using card readers and cash. Peer-to- peer payments made via mobile wallets may transfer money faster than checks. Also, using DLT may greatly reduce settlement times for currency, derivatives, and securities transactions by improving processes or reducing the number of entities involved in a transaction. For example, one firm is using DLT to reduce settlement for securities from 2 days to the same day.", "Improved security: While credit and debit transactions have traditionally transmitted sensitive information that can be hacked and used to make fraudulent transfers, fintech providers\u2019 mobile wallets generally replace this sensitive information with randomly generated numbers that mitigate the risk that transaction information can be used fraudulently (tokenization), according to the Federal Reserve\u2019s Mobile Payments Industry Workgroup. Similarly, while lost or stolen credit and debit cards can be used to make fraudulent payments, a lost or stolen mobile device can have security features that protect a mobile wallet from unauthorized use. For example, according to FTC, mobile device features such as device passwords, fingerprint readers, and face recognition software can help protect consumer accounts from unauthorized access. Additionally, FCC notes in a consumer guide that consumers\u2019 ability to disable their mobile devices remotely can help prevent fraudulent use of a consumer\u2019s fintech provider accounts if their mobile devices have been lost or stolen. Further, mobile device Global Positioning System (GPS) data can help identify suspicious activity in consumer accounts or to ensure that a mobile phone being used at a particular merchant is actually at that location, according to the Federal Reserve\u2019s Mobile Payments Industry Workgroup and others."], "subsections": []}, {"section_title": "Fintech Products Generally Pose Consumer Risks Similar to Those of Traditional Products", "paragraphs": ["The literature we reviewed and stakeholders we interviewed also identified potential risks fintech products pose to consumers, including fraud, discrimination, and unsuitable advice. In general, these risks are similar to those posed by traditional financial products. While laws that apply to traditional products also apply to fintech products in most cases, some fintech products pose additional risks that may not be sufficiently addressed by existing laws. While the legal framework for consumer protection applies to many of the risks associated with fintech products, the extent to which consumers benefit from these protections is a function of the existing regulatory framework and its coverage of fintech activity. We discuss the regulatory framework for fintech products in greater detail later in this report."], "subsections": [{"section_title": "Fintech Payments", "paragraphs": ["Consumers face the risk of unauthorized transactions regardless of whether they use a traditional or fintech firm to make payments. CFPB officials we interviewed told us that some fintech products, such as mobile wallets, increase the number of firms involved in a transaction, which may increase the risk of unauthorized transactions. However, when consumers fund their mobile wallets by linking to traditional funding sources\u2014debit or credit cards or bank accounts\u2014consumer protection laws such as the Electronic Fund Transfer Act and the Truth in Lending Act generally apply. These acts and their implementing regulations provide that consumers can dispute charges to these accounts and liability for losses may be limited to $0 if disputes are made within specified time frames.", "Consumer protection laws, such as the Electronic Fund Transfer Act, which apply to traditional funding sources, do not yet cover payments funded by mobile wallet balances or mobile carrier billing. To address this gap in protections for mobile wallet funds, CFPB issued a final rule on prepaid accounts that will extend protections for error resolution and liability for unauthorized transfers to prepaid account and mobile wallet balances. This rule had previously been scheduled to become effective in April 2018, but in January 2018, CFPB delayed the effective date of the rule to April 1, 2019. However, fintech firms we interviewed told us that even when certain consumer protections are not required by statute or regulation, they voluntarily provide similar protections and disclose these protections in their terms of service.", "Agencies have also issued tips for consumers to safeguard their mobile devices and identify fraudulent payments. Similarly, wireless carriers have taken steps to mitigate fraudulent billing in response to enforcement actions, including offering services that prevent third parties from adding charges to consumer bills without consumers\u2019 knowledge or permission\u2014 a practice known as \u201ccramming.\u201d However, FCC has found that fraudulent billing continues to be a problem. FCC\u2019s July 2017 proposed cramming rule seeks to codify the agency\u2019s existing prohibition against fraudulent billing through language explicitly prohibiting wireless carriers from placing third-party charges on consumers\u2019 bills without consumer verification. In addition, FCC and FTC have issued tips for consumers and firms publicizing practices that help avoid cramming.", "Consumers also face the risk their funds could be lost due to the failure of their payment provider. Although consumers with funds in a bank account have protection from this risk through federal deposit insurance up to $250,000, consumers with funds in a mobile wallet may not be similarly protected. To address this risk, some fintech firms deposit consumers\u2019 mobile wallet balances into an FDIC-insured bank or savings association, resulting in the funds being insured by FDIC up to the applicable deposit insurance limit in the event of the failure of the bank or savings association. Other fintech firms voluntarily disclose to consumers in their terms and conditions that any mobile wallet balances they hold are not FDIC insured. However, according to the Conference of State Bank Supervisors (CSBS), 49 states have laws that require fintech firms engaged in money transmission or stored value to self-insure through bonding, holding investments against funds held or transmitted, and meeting minimum net worth requirements.", "Further, consumers face the risk that their mobile wallet balances will not be accessible in a timely manner. Under the Expedited Funds Availability Act, banks are required to make customers\u2019 deposited funds available to them within prescribed time frames. For example, banks are typically required to make funds a customer receives through an electronic transfer available by the next business day. However, as nonbanks, fintech firms are not subject to this act\u2019s requirements and therefore do not have to make mobile wallet balances available under the same time frames. For example, one fintech firm we interviewed told us that most transfers from mobile wallets to bank accounts make funds available by the next business day, but certain circumstances, such as suspicious account activity, may cause the firm to delay transfers a few days. Another fintech firm we interviewed told us that transfer amounts are limited based on anti-money laundering requirements. However, fintech firms we spoke with voluntarily disclose the availability of funds and any limits on access in the terms and conditions provided to customers when they create their accounts. However, FTC recently settled with a fintech payment provider for delays in fund accessibility experienced by its users. In its complaint, FTC charged that the firm had failed to disclose that these funds could be frozen or removed based on the results of the firm\u2019s review of the underlying transaction. As a result, consumers complained that at times, the firm delayed the withdrawal of funds or reversed the underlying transactions after initially notifying them that the funds were available."], "subsections": []}, {"section_title": "Fintech Lending", "paragraphs": ["Consumers face risks associated with unclear terms and conditions regardless of whether they borrow from a traditional or fintech lender. For example, consumers could have difficulty understanding their repayment obligations or how those terms compare to terms offered by other lenders. However, the Truth in Lending Act requires lenders to provide consumers with standardized, easy-to-understand information about the terms of the loan and enables consumers to make claims against lenders for violating Truth in Lending Act requirements.", "Consumers also face risk of discrimination and unfair credit practices regardless of whether they borrow from a traditional or fintech lender. However, these risks may not be fully understood with fintech lenders that use alternative underwriting standards and consumer data\u2014such as information on rent payments and college attended. For example, fintech firms assessing applicants\u2019 creditworthiness with criteria highly correlated with a protected class\u2014such as race or marital status\u2014may lead to a disproportionate negative effect. As with traditional lenders, federal fair lending laws, such as the Equal Credit Opportunity Act, apply to fintech lenders. In addition, some fintech lenders have taken steps that aim to address this risk. For example, one fintech lender said it monitors the effect any changes to their underwriting models may have on fair lending risk.", "Consumers face risk of harm due to inaccurate credit assessments, but these risks are also less understood with fintech lenders that use alternative data to underwrite loans. For example, inaccurate data or models used by a fintech lender could classify borrowers as higher credit risks than they actually are. This could result in those borrowers paying unnecessarily high interest rates and increasing their risk of default or could result in creditworthy borrowers being denied credit. Whereas the Fair Credit Reporting Act requires that borrowers have an opportunity to check and correct inaccuracies in credit reports, borrowers could face more challenges in checking and correcting alternative data that some fintech lenders use to make underwriting decisions because alternative data are not typically reflected in credit reports. However, the Equal Credit Opportunity Act requires lenders, including fintech lenders, that deny credit to applicants to disclose the specific reasons for denial. Alternatively, if the fintech lender\u2019s underwriting is too lax, loans could be made to borrowers who lack the ability to repay them. Borrowers who default under these circumstances then face limited access to and higher prices for credit in the future."], "subsections": []}, {"section_title": "Fintech Wealth Management", "paragraphs": ["Consumers face risks of receiving unsuitable investment advice regardless of whether they obtain advice from a traditional or robo- adviser. While a human adviser may be able to mitigate this risk by probing consumers for more information to assess needs, risk tolerance, or other important factors, a robo-adviser\u2019s ability to mitigate this risk may be based on a discrete set of questions to develop a customer profile. In addition, advisers could make inaccurate or inappropriate economic assumptions, perhaps due to a failure to factor in changing economic conditions, which could result in flawed investment recommendations. While human advisers may be able to mitigate this risk to some degree based on their ability to adjust to economic conditions, a robo-adviser\u2019s ability to mitigate this risk is based on whether its algorithm has been updated to reflect the most recent economic conditions. Because, as we discuss below, robo-advisers generally are required to comply with the same requirements as traditional investment advisers, customers of robo- advisers and traditional advisers receive the same protection from these risks.", "Consumers who use fintech services that provide an aggregated view of their accounts at other financial institutions could potentially be more exposed to losses due to fraud. If a consumer authorizes an account aggregator to access their financial accounts and grants the aggregator authority to make transfers, the consumer may be liable for fraudulent transfers made. CFPB is studying risks associated with entities that rely on access to consumer financial accounts and account-related information, and has issued a related request for information (we address this issue later in this report)."], "subsections": []}, {"section_title": "Distributed Ledger Technology", "paragraphs": ["DLT can be used to issue and distribute digital assets known as tokens to consumers and investors. Virtual currencies\u2014tokens that are digital representations of value that are not government-issued legal tender\u2014 could pose some unique risks to consumers. For example, the ability of virtual currency users to recover funds lost due to fraud or errors may be more limited than that of customers using traditional products like payment cards or bank transfers to make payments. Whereas traditional transactions can be reversed to correct fraud or errors, many virtual currency transactions are designed to be irreversible. Also, unlike storing dollars in a bank account, if a consumer stores their virtual currency in a mobile wallet, their wallet provider may disclaim responsibility for replacing virtual currency that is stolen. Further, CFPB\u2019s prepaid accounts rule, which will extend consumer protections to prepaid cards and mobile wallets with stored value, explicitly does not extend consumer protections to virtual currencies. However, firms that transmit, exchange, hold, or otherwise control virtual currency may be subject to state consumer protection law.", "In addition to fraud and errors, consumers who use virtual currencies may face other risks of loss. Federal deposit insurance does not apply to virtual currency balances. As a result, according to FDIC staff, consumers could face losses if they store their virtual currencies with a mobile wallet firm that goes out of business unless the firm offers private insurance. Further, if consumers store their virtual currency on their own and misplace or forget their account access information, they may lose access to their funds. Unlike bank accounts for which users can reset passwords or usernames, some wallets do not offer a way to reset such information. To help consumers address these risks, federal agencies and state regulators have issued documents publicizing practices that may help consumers use virtual currency more safely.", "Tokens\u2014which may also function similarly to a security\u2014could pose some unique risks to investors, and some investor protections may not be available. Token sales, sometimes known as initial coin offerings or ICOs, are being used by firms to raise capital from investors and may pose investor risks, including fraud and theft. For example, one firm allegedly promised investors it would invest its token sale earnings in real estate, but instead allegedly defrauded investors of their investments. Fraud and theft are risks of other securities offerings, and investors receive protections from these risks under the Securities Act of 1933 and the Securities Exchange Act of 1934 for token sales that meet SEC\u2019s definition of a security. However, these protections do not apply to investors who participate in token sales that do not meet the definition of a security. In December 2017, SEC issued a cease-and-desist order to one firm for failure to register their token sale with SEC. In addition, SEC has reported that an investor\u2019s ability to recover funds may be limited if key parties to token sales are located overseas or operating unlawfully. To help investors address these risks, SEC and FINRA have issued documents publicizing risks of token sale investment.", "Tokens traded on a platform may also be considered commodities and may pose investor risks including fraud and theft. Platforms that facilitate leveraged, margined, or financed trading of tokens may be subject to a requirement to register with the CFTC. To help investors understand tokens, CFTC has issued a report publicizing potential risks of virtual currencies and clarifying cases in which investors may be at risk because CFTC does not have oversight authority. For example, virtual currency and token exchanges that conduct certain spot or cash market transactions but do not use leverage, margin, or financing are not required to follow all of the rules that regulated exchanges are required to follow.", "DLT applications may pose other unknown risks compared to the technologies and processes they replace, given that the technology is in the early stages of development. For example, CFTC and the Federal Reserve have identified cybersecurity and operational risks as potential risks of DLT. FDIC officials said that finality of a transaction under a DLT settlement may potentially raise legal challenges. Also, applications of DLT that depend on consensus for validating transactions are vulnerable to a \u201c51 percent attack,\u201d which could defraud consumers by revising their transactions or sending fraudulent payments. However, according to market observers, such an attack is unlikely and has not been carried out."], "subsections": []}]}, {"section_title": "Fintech Products Can Pose Other Risks to Consumers; Risks to the Broader Financial System Are Unclear", "paragraphs": ["Consumers face the risk of financial loss due to data breaches regardless of whether they use a traditional or fintech firm, and these breaches could undermine the financial system by eroding consumer trust in financial institutions. Similar to traditional products and services that collect sensitive consumer information and are connected to the Internet, fintech products and services may be vulnerable to cyberattack and can pose data security risks. In addition, one market observer we interviewed told us that hackers may target these new fintech firms before their security systems are mature.", "However, according to literature we reviewed and fintech firms and market observers we interviewed, some fintech firms have adopted technologies or practices designed to mitigate security risks. For example, new fintech firms can use the latest information technology systems to secure their products instead of having to update older systems. Additionally, as discussed above, some fintech firms use new techniques and leverage mobile device features to enhance data security, and one fintech firm said that it also uses technology that contacts clients if a data breach issue arises. Like traditional financial institutions, rules and guidelines implementing the Gramm-Leach-Bliley Act (GLBA) generally require fintech firms to secure customer information. In addition, some regulators have issued guidance to consumers publicizing practices that help avoid security problems when using fintech products. Regulators have also issued guidance to businesses including fintech firms that recommends that they adopt policies and procedures that address the prevention and detection of, and response to, cybersecurity threats. For example, the New York State Department of Financial Services requires regulated entities to meet cybersecurity requirements outlined in regulation.", "Some fintech firms may also pose privacy concerns because they may collect more consumer data than traditional firms. For example, fintech lenders that use alternative data in underwriting may have sensitive information about consumers\u2019 educational background, mobile phone payments, or other data. One fintech firm we spoke with requires consumers to provide additional data, such as what a payment is for, in order to make peer-to-peer payments. Some data aggregators may hold consumer data without disclosing what rights consumers have to delete the data or prevent the data from being shared with other parties. A leak of these or other data held by fintech firms may expose characteristics that people view as sensitive. GLBA generally requires fintech firms and traditional financial institutions to safeguard nonpublic personal information about customers. According to literature we reviewed and fintech firms and market observers we interviewed, as with data security, some fintech firms use new technologies or mobile device features to mitigate data privacy risks. In addition, some regulators have issued guidance to consumers publicizing practices that help maintain privacy when using online products and services, including those provided by fintech firms. Regulators have also issued GLBA guidance to businesses including fintech firms recommending that they adopt policies and procedures to prevent, detect, and address privacy threats.", "Similar to traditional products and services, fintech products may be used to facilitate illicit activities, including money laundering, terrorist financing, and evading sanctions program requirements. For example, in 2015, the Financial Action Task Force (FATF) reported that new payment methods pose an emerging terrorist finance vulnerability because users can access these methods from anywhere in the world and it is difficult for enforcement agencies to identify the beneficiary. However, FATF found that the extent to which terrorist groups actually exploit these technologies is unclear and said that enforcement agencies should monitor these risks for developments. Further, FATF has stated that fintech innovations provide an opportunity to bring anti-money laundering efforts into the 21st century by reducing dependency on cash and informal systems and making it easier for authorities to detect and follow illicit financial flows. Relevant laws that prohibit financial crimes apply to fintech products. For example, the Bank Secrecy Act (which established reporting, recordkeeping, and other anti-money laundering requirements) and economic sanctions programs (which create economic penalties in support of U.S. policy priorities) apply to all financial firms that transmit money regardless of whether they use traditional or fintech products.", "Finally, market observers have questioned whether fintech activities could create risks to overall financial stability, but many have said such risks are relatively minimal due to fintech firms\u2019 small market presence. While direct or indirect linkages between large financial institutions could lead financial problems at one firm to create similar problems for other firms that can undermine financial stability, studies by regulators in various countries and international organizations found that fintech firms have not generally reached a level of interconnectedness where their financial distress would threaten the stability of other financial system participants. For example, the Bank for International Settlements and the Financial Stability Board reported that in 2015 fintech accounted for 2 percent of new credit in the United States. Additionally, after assessing virtual currencies, the European Central Bank concluded in a November 2017 report that virtual currencies were not a threat to financial stability due to their limited connection with the real economy, their low volume traded, and the lack of wide user acceptance.", "However, the Financial Stability Board and other market observers have noted that fintech firms could potentially affect financial stability in both positive and negative ways as the activities and firms evolve. For example, fintech firms could help decentralize and diversify the financial services market, and they could diversify exposure to risk by increasing access to financial services for consumers and small businesses. On the other hand, providers could potentially also increase risks to financial stability. For example, robo-advisers could amplify swings in asset prices if their risk models rely on similar algorithms, making the portfolio allocation methods of robo-advisers more highly correlated than those of traditional advisers, although according to the Financial Stability Oversight Council, this risk could also arise if traditional advisers follow similar allocation strategies. Similarly, according to the Financial Stability Board, fintech lenders could potentially amplify swings in credit availability if the investors that fund many marketplace lending products are more willing to fund loans during market upturns or less willing to fund loans during market downturns. To help balance these potential benefits and risks, the Financial Stability Board recommended that international bodies and national authorities continue to monitor the issues and consider the effects of fintech in their risk assessments and regulatory frameworks."], "subsections": []}]}, {"section_title": "Fintech Firms\u2019 Compliance with Applicable Laws Is Subject to Varied Federal Oversight", "paragraphs": ["The extent to which fintech firms are subject to federal oversight of their compliance with applicable consumer or other laws varied. Fintech firms that offer investment advice typically register with and are subject to examinations by federal securities regulators. Some fintech firms providing payments or loans that have partnered with federally regulated banks or credit unions may receive indirect oversight from federal financial regulators as part of their efforts to ensure that their regulated entities are adequately managing the risks of these arrangements. Nonpartnered fintech firms would not typically be subject to routine examinations by a federal financial regulator but would instead be subject to state regulatory oversight and enforcement. While fintech firms and financial institutions are subject to different degrees of routine federal oversight, we found that indications of fintech firms causing widespread harm were limited as they were subject to fewer complaints than large financial institutions."], "subsections": [{"section_title": "Fintech Firms Providing Investment Advice Are Subject to the Same Oversight as Traditional Financial Institutions", "paragraphs": ["Fintech robo-advisers offering wealth management advice would generally be subject to the same federal and state oversight as traditional investment advisers. Under the Investment Advisers Act of 1940 and state securities laws, any entity or individual that offers investment advice for compensation generally must register as an investment adviser\u2014with SEC or states\u2014and adhere to various reporting and conduct requirements. When providing advice, investment advisers\u2014traditional or fintech\u2014are considered fiduciaries to their clients, which means they owe a duty of care and loyalty to their clients, and they must disclose all actual or potential conflicts of interest, and act in their clients\u2019 best interest. To review for compliance with this standard and other applicable requirements, staff from SEC and state securities regulators conduct examinations of registered investment advisers. Specifically, state regulators are responsible for conducting examinations of investment advisers that operate in fewer than 15 states and hold client assets under management of less than $100 million. However, according to staff from the North American Securities Administrators Association\u2014a membership organization for state, provincial, and territorial securities administrators in the United States, Canada, and Mexico\u2014no robo-adviser firms were solely regulated by the states as of October 2017."], "subsections": []}, {"section_title": "Fintech Firms That Partner with Financial Institutions May Be Subject to Indirect Federal Financial Regulator Oversight", "paragraphs": ["Some fintech firms may be subject to indirect federal oversight as part of relationships they have entered into with regulated financial institutions. If fintech firms partner with federally-regulated financial institutions, such as a bank or credit union, federal financial regulators may conduct examinations of the regulated financial intuition that could include some review of the extent to which the fintech firm may affect the partner financial institution\u2019s adherence to relevant regulations through the services provided to the financial institution. Regulators conduct these examinations in order to assess the risk to the regulated institution because the failure of the fintech firm to follow such laws could expose the bank or credit union to financial or other risks.", "As part of the indirect oversight of fintech firms, the financial institution would be expected by its regulators, under various third-party guidance issuances by these regulators, to ensure that any risks to the institution resulting from the relationship with the fintech firm are assessed and mitigated. Among other things, banks and credit unions should conduct due diligence on potential third-party partners, including having a process within the institution for managing the risks posed to their institution by the third party. For example, OCC third-party guidance states that banks should adopt risk management processes that are commensurate with the level of risk and complexity of the third-party relationship. These processes include establishing risk-mitigating controls, retaining appropriate documentation of the bank\u2019s efforts to obtain information on third parties, and ensuring that contracts meet the bank\u2019s compliance needs.", "Although fintech firms partnering with federally regulated institutions would be expected to follow the practices in this guidance, the extent to which they would be overseen by a federal financial regulator was limited. For example, FDIC and OCC staff told us that they had examined a fintech firm that provides financial account aggregation services to regulated institutions. This review focused on the fintech firm\u2019s data security rather than its activities with consumers. FDIC staff also said they conducted exploratory discussions with some fintech lenders, but these firms were not part of their technology service provider examination program. However, as of November 2017, FDIC and OCC staff noted that they had not completed examinations of fintech firms within our scope. NCUA staff noted that NCUA does not have authority to examine services provided to credit unions by third-party service providers. In order to examine any services provided to credit unions, NCUA must rely on credit unions voluntarily providing information on the third-party service provider. However, NCUA\u2019s staff noted some of their examiners had accompanied state regulators in an examination that involved a credit union\u2019s partnership with a fintech payments firm."], "subsections": []}, {"section_title": "Other Fintech Firms Are Not Routinely Overseen by Federal Financial Regulators, but Are Subject to State Oversight", "paragraphs": ["Fintech firms not providing investment advice or partnered with federally- regulated financial institutions would be subject to routine oversight by a federal regulator only under certain circumstances. For example, CFPB could examine some fintech firms as a result of its examination authorities. Specifically, it has supervisory authority over certain nondepository institutions, including mortgage lenders and servicers, payday and student loan providers, and \u201clarger participants\u201d in consumer financial product and service markets, which could include fintech providers. CFPB has conducted or plans to conduct examinations of fintech firms that meet the agency\u2019s definition of \u2018\u201clarger participants\u201d in sectors for which they have designated such participants. For example, according to CFPB staff, it has conducted a stand-alone examination of a fintech payments company that provides international remittances, and it has scheduled an examination of a fintech lender that provides student loans. As of October 2017, it had not defined other \u201clarger participants\u201d specifically for other markets in which fintech firms may be active, but it is considering a proposed rule to supervise larger participants in the personal loan markets, which might include larger fintech lenders. CFPB may also conduct examinations of individual companies that it determines pose risks to consumers, as identified in public orders. Furthermore, CFPB\u2019s supervisory authority also extends to third-party service providers of nondepository institutions overseen by the agency.", "Fintech firms may also be subject to examinations related to their compliance with anti-money laundering laws and related requirements. FinCEN, which is responsible for administering federal anti-money laundering laws, has authority to examine any fintech firms conducting money transmission, according to Treasury officials. These firms would be required to comply with the applicable anti-money laundering and counter-terrorist financing requirements, including registering with FinCEN, establishing anti-money laundering programs, and reporting suspicious activities to FinCEN. However, FinCEN delegates routine anti- money laundering examinations of federally-chartered or registered financial institutions to the federal financial institution regulators. In other cases, firms subject to anti-money laundering requirements, including fintech payments or lending firms, could be examined by state regulators and the Internal Revenue Service.", "Fintech firms not subject to routine federal supervisory oversight would instead generally be subject to state oversight. As of October 2017, 49 states, as well as the District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands, required entities that provide money transfer services\u2014which may include some fintech payments firms\u2014to obtain licenses to conduct such activities in their jurisdictions according to documents from state regulator associations and CSBS staff. In addition, all states and the District of Columbia required lending licenses for consumer lenders operating in their states, according to CSBS staff.", "Furthermore, some states have created or provided guidance on licensing statutes in order to include virtual currencies. For example, in 2015 New York finalized a new license for virtual currency businesses under New York\u2019s financial services law.", "State regulators in these jurisdictions conduct examinations of the firms that hold licenses to assess their compliance with safety and soundness and various other requirements. In addition, CSBS staff stated that as of February 2018, approximately 37 states authorize state regulators to examine banks\u2019 third-party service providers\u2014which could include fintech companies.", "According to state regulators we interviewed in Illinois, New York, and California, their agencies use the same approach to regulate and examine fintech firms and traditional financial institutions providing similar services. Furthermore, according to state regulatory associations and some state regulatory agencies, fintech firms such as money transmitters undergo regular supervision through on-site examinations to monitor compliance with federal and state capital, liquidity, and consumer protection requirements. For example, Money Transmitters Regulators Association staff said that state regulators examine MSBs at least every 3 years depending on risk assessment and previous examination record, and that state examinations cover federal and state laws, including data security and anti-money laundering requirements. Similarly, staff from one state regulator noted that they conduct consumer protection examinations of direct lenders and take enforcement action if they identify potential violations. CSBS staff noted that state requirements do not differ for fintech firms because the requirements and examinations are activity- based. For example, most states have anti-money laundering requirements within their money transmitter license laws. Due to state anti-money laundering examination cycles, CSBS staff stated that MSBs licensed in 40 or more total states experience an examination at least once every 14 months."], "subsections": []}, {"section_title": "Fintech Firms Can Be Subject to Enforcement Actions by Federal and State Regulators", "paragraphs": ["Outside of examinations, fintech firms that violate federal and state regulations can be subject to enforcement actions by federal and state agencies with such authorities. The OCC, Federal Reserve, and FDIC may have enforcement jurisdiction over fintech firms when the fintech firm is an \u201cinstitution affiliated party\u201d under the Federal Deposit Insurance Act or a service provider under the Bank Service Company Act. In addition, CFPB can take enforcement action against institutions under its jurisdiction for noncompliance with federal consumer protection laws. For example, in 2016, CFPB used its unfair, deceptive, or abusive acts or practices authorities to investigate and issue a consent order against a fintech firm operating an online payment system, which CFPB determined had made deceptive data security claims to customers. FTC can also take enforcement actions against fintech firms not registered or chartered as a bank for violations of any federal consumer laws FTC enforces, including the FTC Act\u2019s prohibition against unfair or deceptive acts or practices. For example, in 2015, FTC took action against the providers of a smartphone application, alleging that they deceived consumers and installed hidden malicious software code to generate virtual currencies for the providers without consumer permission. It can also bring enforcement action against non-bank service providers that maintain or process customer information under its GLBA authority.", "Other federal entities can pursue enforcement action against fintech firms. The Department of the Treasury\u2019s Office of Foreign Assets Control can take action against fintech firms that violate U.S. sanctions regulations. In addition, FinCEN can also pursue enforcement measures against fintech firms that transmit funds\u2014such as certain fintech payment and lending firms\u2014due to its authority to enforce compliance with the Bank Secrecy Act\u2019s anti-money laundering and prevention of terrorist financing provisions. For example, FinCEN took enforcement action in May 2015 against the fintech firm Ripple\u2014a company that allows users to make peer-to-peer transfers in any currency using a DLT-enabled process\u2014for violating anti-money laundering requirements through its sale of virtual currency. In 2016, CFTC brought an enforcement action against a Hong Kong-based fintech firm for offering illegal off-exchange financed retail commodity transactions in bitcoin and other cryptocurrencies, and for failing to register as a futures commission merchant.", "Finally, state regulators can also take enforcement action against financial institutions and fintech firms that violate state data security or consumer protection laws. In addition, state attorneys general may bring actions against fintech companies through consumer protection and deceptive trade practice acts, according to the National Association of Attorneys General."], "subsections": []}, {"section_title": "In Some Cases, Fintech Firms May Not Be Subject to Financial Regulator Oversight", "paragraphs": ["Some fintech companies may not be subject to any federal or state financial oversight if they do not meet federal or state definitions of a money service or other regulated business. For example, some fintech payments firms\u2014such as certain mobile wallet providers\u2014might not be subject to state or federal money service business requirements because their role in the payment process does not specifically involve transmitting money, according to state and federal regulators. One mobile wallet provider claimed that it is not subject to federal financial regulatory oversight because it does not transfer funds or authorize transactions, but instead facilitates the transfer of customer data as part of the credit card or debit card networks; it also does not retain any of its consumers\u2019 personal data, including data on purchase content, location, or dollar amount."], "subsections": []}, {"section_title": "Indications of Fintech Activities Creating Widespread Consumer Harm Appear Limited Compared to Traditional Providers", "paragraphs": ["Available regulatory data show that the number of consumer complaints against fintech activities appears modest compared to traditional providers. For example, although our analysis of the CFPB\u2019s consumer complaint database has limitations in assessing risk, the number of published complaints submitted against several prominent fintech firms from April 2012 through September 2017 included in this database was generally low, when compared to select large financial institutions. Our analysis showed that for 13 large firms offering fintech payments, lending, investment advice, financial account aggregation, or virtual currencies, only 5 of the firms had complaints in the CFPB database, with 4 having received fewer than 400 complaints. The largest number of published complaints had been submitted against a large fintech payment provider with over 3,500 published complaints. Further, the number of published complaints submitted against the fintech payment provider was relatively small compared to the number of published complaints submitted against other, often larger financial institutions. For example, our analysis showed that 10 large financial institutions each received between approximately 14,300 and 67,300 total complaints April 2012 through September 2017.", "In addition, various federal regulators, including CFPB and FTC, can address the risk of consumer harm by taking actions against fintech firms for deceptive or unfair acts or practices when warranted. For example, in 2016, FTC reached a settlement with a firm that sold machinery designed to create virtual currencies\u2014a process known as mining\u2014and allegedly had been deceiving its customers about the availability and profitability of the machinery. As noted earlier, FTC also settled with a fintech payment provider in February 2018 over complaints by thousands of consumers the company had received regarding confusion over its funds availability practices. Additionally, in 2016 CFPB assessed a $100,000 civil penalty against a fintech payments firm for deceiving consumers about its data security practices and the safety of its online payment system."], "subsections": []}]}, {"section_title": "The U.S. Regulatory Environment Poses Various Challenges to Fintech Firms", "paragraphs": ["Fintech firms can find that the complexity of the U.S. financial regulatory system creates challenges in identifying the laws and regulations that apply to their activities, and that complying with state licensing and reporting requirements can be expensive and time-consuming for mobile payment providers and fintech lenders. Also, federal agencies could improve collaboration and clarify issues related to financial account aggregation by making sure that interagency efforts dedicated to fintech include all relevant participants and incorporate other leading practices. In addition, because banks are liable for risks posed by third parties, fintech firms may face delays in entering into partnerships with banks."], "subsections": [{"section_title": "Challenges with Complexity of Financial Regulatory Structure", "paragraphs": ["The complex U.S. financial regulatory structure can complicate fintech firms\u2019 ability to identify the laws with which they must comply and clarify the regulatory status of their activities. As noted in our past reports, regulatory oversight is fragmented across multiple regulators at the federal level, and also involves regulatory bodies in the 50 states and other U.S. jurisdictions. Fintech firms and other stakeholders we interviewed told us that it was difficult for fintech firms to navigate this structure. In particular, understanding the laws and regulations that may apply to fintech firms was not easy because existing regulations were sometimes developed before the type of product or service they are now offering existed. In addition, the cost of researching applicable laws and regulations can be particularly significant for fintech firms that begin as technology start-ups with small staffs and limited venture capital funding. Fintech payments and DLT firms and other market participants told us that navigating this regulatory complexity can result in some firms delaying the launch of innovative products and services\u2014or not launching them in the United States\u2014because the fintech firms are worried about regulatory interpretation. For example, staff from one U.S. firm that developed a DLT payments technology told us that they and their peers only work with foreign customers due to the fragmented U.S. financial regulatory structure and lack of unified positions across agencies on related topics.", "However, several U.S. regulators have issued rules and guidance to help fintech firms understand where their products and services may fit within the complex financial regulatory structure, as shown in the following examples.", "In December 2017, the Federal Reserve\u2019s Consumer Compliance Outlook newsletter included an article that offered financial institutions and fintech firms general guideposts for evaluating unfair and deceptive practices and fair lending risk related to fintech, with a focus on alternative data. Also, in 2016, a special edition of Consumer Compliance Outlook focused on fintech, including summarizing relevant federal laws, regulations, and guidance that may apply to mobile payments, fintech lending, and digital wealth management. For example, the newsletter listed laws and regulations related to credit, privacy, and data security; anti-money laundering requirements; and consumer and investor protection.", "In 2016, CFPB issued a final rule that will extend wide-ranging protections to consumers holding prepaid accounts, including peer-to- peer payments and mobile wallets that can store funds. Also, in 2015, CFPB issued a set of nonbinding consumer protection principles for new faster payment systems, which outline CFPB expectations for payment services providers.", "In February 2017, SEC issued updated guidance on robo-advisers that addresses the substance and presentation of disclosures provided to clients on the robo-adviser and the investment advisory services it offers, the obligation to obtain information from clients to ensure that recommended investments are suitable, and the need to implement effective compliance programs reasonably designed to address the unique nature of providing automated advice. Similarly, in March 2016, FINRA issued a report on effective practices related to digital investment advice and reminded FINRA-registered broker- dealers of their obligations under FINRA rules.", "In 2013, FinCEN issued guidance that clarified the applicability of anti- money laundering and related regulations to participants in certain virtual currency systems, and in 2014 FinCEN issued administrative rulings that further clarified the types of market participants to which the 2013 guidance applies.", "In October 2017, CFTC issued a report on virtual currencies that explains that it considers virtual currencies to be commodities, outlines related examples of permissible and prohibited activities, and cautions investors and users on the potential risks of virtual currencies.", "In July 2017, SEC issued a report on DLT token sales, which cautions market participants that sales with certain characteristics may be subject to the requirements of federal securities laws. In general, the report uses one company\u2019s token sale as an example to illustrate how SEC could consider a token sale to be a securities offering, and why companies offering such products would have to register the offering with SEC or qualify for an exemption. In August 2017, FINRA also issued an investor alert on DLT token sales, which includes questions for investors to ask before participating in such sales.", "In January 2017, FINRA issued a report on DLT uses more broadly, which outlines key regulatory considerations for firms that want to use DLT in equity, debt, and derivatives markets. For example, the report outlines securities-related regulatory considerations for DLT applications that could alter securities clearing arrangements, be used for recordkeeping by broker-dealers, or change the equity or debt trading process, among other things."], "subsections": []}, {"section_title": "Challenges Complying with Numerous State Regulatory Requirements", "paragraphs": ["As mentioned previously, although federal oversight applies to some fintech firms, fintech payments and lending firms not subject to routine federal oversight must typically obtain state licenses based on their activities. Banks can choose to be chartered at the state level or as a national bank, which generally exempts them from state licensing requirements and examination. In contrast, fintech payment providers operating as MSBs\u2014including those using DLT\u2014and fintech firms offering consumer loans must typically hold licenses in each state in which they operate. Similarly, as mentioned above, small robo-advisers would generally have to be licensed in states in which they wish to operate.", "State regulators and other market observers we interviewed told us that they believe state regulation of fintech firms provides benefits. Several market participants and observers said that states understand the needs of their local economies, consumers, and market participants and can use their authorities to craft tailored policy and regulation. For example, New York regulators created a special license for virtual currency firms. New York regulators told us that they did so because of New York\u2019s status as a financial and innovation hub, as well as activities and concerns of virtual currency firms operating within their jurisdiction. In addition, state regulators may complement the federal oversight structure by dedicating additional resources to helping educate fintech firms on regulatory requirements and making sure that firms follow these requirements. For example, two state regulators told us that they work closely with many fintech start-ups to help educate them on regulatory requirements before they apply for licenses or begin operations, and a state regulatory association told us that fintech firms and state regulators often meet to discuss regulatory concerns. Representatives of a state regulatory association told us that federal agencies also rely increasingly on state examinations to ensure compliance with anti-money laundering requirements.", "Similarly, an industry association and state regulators told us that they believe states are very responsive to consumer complaints. For example, one state regulator told us that they investigate hundreds of consumer complaints per month and believed they often resolved consumer complaints more quickly than their federal consumer protection counterparts, although CFPB staff told us that CFPB handles thousands of complaints per month. California regulators also told us they have initiated their own investigations into the extent to which fintech lenders comply with state lending and securities laws, and risks that fintech lenders may pose to consumers and to markets.", "However, complying with fragmented state licensing and reporting requirements can be expensive and time-consuming for mobile payment providers and fintech lenders. For example, stakeholders we interviewed said that obtaining all state licenses generally costs fintech payments firms and lenders $1 million to $30 million, including legal fees, state bonds, and direct regulatory costs. Also, market participants and observers told us that fintech firms may spend a lot of time on state examinations because state exam requirements vary and numerous states may examine a fintech firm in 1 year. For example, staff from a state regulatory association said that states may examine fintech firms subject to coordinated multistate exams 2 or 3 times per year, and as many as 30 different state regulators per year may examine firms that are subject to state-by-state exams.", "Although these challenges are not unique to fintech firms, they may be more significant for fintech firms than for other MSBs and lenders. For example, some MSBs and lenders operate in a limited geographic area that can require them to be licensed by one state only. Other firms operate in multiple states or nationwide, but may have started with a license in one state and then obtained additional licenses and spread these compliance costs as they grew over time. In contrast, fintech firms are generally online-only businesses that likely seek to operate nationwide from their inception, which immediately requires licenses in all states and generates higher up-front compliance costs that may strain limited venture capital funding. For example, one firm we interviewed that funds fintech start-ups told us that one of their fintech firms spent half of the venture capital funds it had raised obtaining state licenses. As a result, some firms may choose not to operate in the United States. For example, one DLT provider we interviewed told us that although they are based in the United States, they operate abroad exclusively because state licensing costs are prohibitively expensive.", "Bank partnerships and specialized operating charters offered by federal and state banking regulators may help fintech firms more easily operate nationwide by generally preempting state licensing requirements. For example, some fintech payments firms and fintech lenders have chosen to partner with nationally chartered and state-chartered banks, which allows them to operate nationwide without having to obtain individual state licenses. Also, two fintech lenders have applied for an Industrial Loan Corporation (ILC) charter, an FDIC-supervised state banking charter, which commercial firms other than regulated financial institutions can obtain in certain states to operate nationally. Such ILCs would also be overseen by FDIC if they obtain FDIC deposit insurance.", "In addition, in December 2016, OCC announced its intent to consider applications for special-purpose national bank charters from fintech firms such as lenders, which would allow such firms to operate nationally under a single national bank charter if finalized. However, OCC officials we interviewed told us that this special-purpose national bank charter is on hold because they are still reviewing whether to go forward with the proposal, and CSBS has filed a lawsuit against OCC challenging the fintech charter. Some fintech lending firms and an industry association representing payments firms have expressed interest in applying for this special charter, but other stakeholders we interviewed told us that the proposed fintech charter may not be a good option for small fintech firms if the capital requirements are the same as those for banks.", "In addition, state regulators are taking steps to make it easier for fintech firms seeking to operate across multiple states. For example, CSBS staff we interviewed told us that states leverage the Nationwide Multistate Licensing System\u2014which enables firms to submit one application with information that fulfills most of the licensing requirements of each state that participates in this system. Staff from CSBS, some fintech firms, and an industry observer we interviewed said that although the multistate licensing system has reduced administrative requirements somewhat, firms still have to make additional filings to address certain requirements unique to some states. In February 2018, seven state regulators also agreed to standardize key elements of the MSB licensing process and mutually accept licensing findings. Additionally, in 2013, state regulators established the Multi-State MSB Examination Taskforce, which coordinates and facilitates multistate supervision of MSBs. CSBS staff told us that multistate exams have made the state MSB exam process more efficient for state regulators and MSBs.", "In May 2017, the CSBS also announced they would be expanding efforts to modernize state regulation of fintech firms. For example, under this initiative, officials we interviewed told us they plan to redesign their multistate licensing system to provide a more streamlined licensing process for new applicants and shift state resources to higher-risk cases by 2018; plan to harmonize multistate supervision by establishing model approaches to key aspects of nonbank supervision, making examinations more uniform, identifying and reporting violations at the national level, and creating a common technology platform for examinations by 2019; and have formed a fintech industry advisory panel\u2014with sub-groups on payments, lending, and banking\u2014to identify licensing and regulatory challenges."], "subsections": []}, {"section_title": "Challenges with Interagency Collaboration", "paragraphs": ["Although a few fintech market participants and observers we interviewed told us that they thought regulatory collaboration on fintech was sufficient, the majority of market participants and observers we interviewed who commented on interagency collaboration said that it could generally be improved. Some also cited additional areas in which better interagency collaboration could facilitate innovation:", "Use of alternative data and modeling in fintech lending. Fintech lenders may face challenges because agencies with authorities related to consumer protection and fair lending have not issued guidance on the use of alternative data and modeling. For example, one fintech lender we interviewed told us that they discussed using alternative data to assess creditworthiness with FDIC and FTC, but they do not understand what each agency might consider to be an unfair, deceptive, or abusive practice because the agencies have not coordinated positions. Staff we interviewed from two consulting firms that advise on fintech told us that lack of clarity or coordination on fair lending and use of alternative data and modeling creates uncertainty for fintech lenders. This has led some fintech lenders to forgo use of alternative data for underwriting purposes since they do not know if it will produce outcomes that violate fair lending laws and regulations. However, FDIC staff told us that FDIC applies the same standards as FTC in determining whether an act or practice is unfair or deceptive and that existing guidance on fair lending applies broadly to traditional and nontraditional modeling techniques and data sources.", "OCC special-purpose national bank charter. A few market participants and observers we interviewed told us that fintech payment providers and lenders may face challenges because OCC has not sufficiently coordinated with the Federal Reserve and FDIC on OCC\u2019s special-purpose national bank charter. Despite OCC discussion with the Federal Reserve, the charter proposal does not specify whether recipients could access the Federal Reserve payments system. Federal Reserve officials have said that the Federal Reserve will likely not take any policy positions or make any legal interpretations about the proposed charter until OCC finalizes the charter\u2019s terms and a firm applies for a charter. Officials have said that this is their position because the potential policy and legal interpretation issues that could arise related to membership and access to Federal Reserve services will require a case-by-case, fact- specific inquiry unique to any firm that moves forward with an application. One fintech lender we interviewed told us that obtaining consistent and complete information from OCC and the Federal Reserve on the specific rights this charter would grant a fintech lender had been challenging, and that this lack of consistency and clarity could discourage fintech firms from applying for the charter. However, OCC staff we interviewed told us that the charter is not yet final and that they facilitate communication between fintech firms that are interested in the special charter and the Federal Reserve. Also, OCC staff said that they briefed FDIC staff on the special charter, but will coordinate further if appropriate.", "Differing regulatory interpretation of consumer protection requirements. As discussed above, fintech firms may be subject to CFPB oversight and limited federal financial regulatory oversight if they also partner with financial institutions. In addition, FTC and CFPB can also take enforcement actions against fintech firms not registered or chartered as a bank for violations of any federal consumer protection laws they enforce. Fintech firms we spoke with said that this can cause challenges because firms are concerned that regulators may have different interpretations of what conduct might merit consumer protection enforcement actions, and a research and consulting firm we interviewed that works with fintech start-ups told us that this is one of the industry\u2019s biggest challenges. Similarly, the potential for differing regulatory interpretation may limit the effectiveness of agency efforts to innovate. For example, fintech firms can apply for a CFPB No Action Letter, which is intended to reduce regulatory uncertainty for financial products or services that promise substantial consumer benefit but face uncertainty regarding consumer protection requirements. However, some entities we spoke with said that few firms have applied, in part because a letter provided by CFPB may not preclude prudential regulators or FTC from taking enforcement actions in cases where they have jurisdiction.", "Although stakeholders indicated that agencies could improve interagency collaboration on other fintech issues, federal agencies said that they already collaborate through a variety of informal and formal channels at the domestic and international levels. Domestically, in addition to informal discussions and participation in fintech events hosted by other agencies, some agencies have coordinated examinations of third-party service providers and enforcement actions. For example, in 2014 and 2015, CFPB, FCC, FTC, and state regulators coordinated on enforcement actions related to unauthorized mobile carrier billing charges. Also, U.S. agencies have had informal discussions regarding fintech with their foreign counterparts. For example, Treasury staff have discussed regulations designed to counter money laundering and terrorist financing with officials from countries such as France and the United Kingdom. In addition, federal agencies have begun to collaborate on fintech regulatory issues through formal interagency working groups that are primarily concerned with other financial regulatory issues. For example, at the domestic level, U.S. prudential regulators have discussed issues related to potential risks of fintech lending and DLT through the Financial Stability Oversight Council. At the international level, the Federal Reserve represents the United States at the Bank for International Settlements, which has published papers on fintech topics including payments, fintech lending, and DLT. For more information on these efforts and others, see appendix II.", "Further, federal agencies said that they have recently organized the following interagency collaborative groups dedicated to fintech, as detailed in appendix II: In March 2017, the Federal Reserve convened the Interagency Fintech Discussion Forum, an informal group which meets approximately every 4 to 6 weeks and aims to facilitate information sharing among consumer compliance staff from the federal banking regulators on fintech consumer protection issues and supervisory outcomes. Discussion topics have included account aggregation, alternative data and modeling techniques, and third-party oversight.", "In 2016, Treasury created the Interagency Working Group on Marketplace Lending, which was active over the course of fiscal year 2016, meeting 3 times. This group shared information among industry participants and public interest groups, and discussed issues from a Treasury report on benefits and risks associated with online marketplace lending.", "In 2010, the Federal Reserve Banks of Atlanta and Boston created the Mobile Payments Industry Workgroup to facilitate discussions among industry stakeholders about how a successful mobile payments system could evolve in the United States. This group also functions as an interagency collaboration mechanism through biennial meetings between industry stakeholders and relevant regulators that update industry on regulatory concerns, identify potential regulatory gaps, and educate regulators on mobile payment technologies.", "However, we found that these groups do not include all relevant participants. For example, NCUA was not included in the Interagency Fintech Discussion Forum or the Interagency Working Group on Marketplace Lending, and FCC has not participated in the biennial regulator meetings of the Mobile Payments Industry Workgroup since 2012. Federal Reserve staff said that they did not include NCUA in the Interagency Fintech Discussion Forum because NCUA is not a bank regulator. Treasury staff noted that staff who could explain why NCUA had not been invited to participate in the Interagency Working Group on Marketplace Lending were no longer with the agency. Similarly, FCC staff could not recall why they had not participated in recent biennial regulator meetings of the Mobile Payments Industry Workgroup.", "However, NCUA has experiences and perspectives that would make it a relevant participant in the Interagency Fintech Discussion Forum, and NCUA officials said that they would participate in these interagency efforts if invited. NCUA would be a relevant participant because, although it does not oversee banks, it oversees credit unions that have entered into partnerships with fintech lenders and virtual currency exchanges, and could enter into partnerships with other fintech firms. Similar to fintech partnerships with banks, these partnerships could create risks related to safety and soundness and consumer protection. Further, NCUA\u2019s 2018\u2013 2022 draft strategic plan includes fintech as a key risk to the credit union system because fintech could provide a competitive challenge to credit unions or take advantage of differences in how credit unions and fintech firms are regulated, among other things.", "Likewise, as Federal Reserve staff have acknowledged, FCC could be a relevant participant in biennial regulators meetings of the Mobile Payments Industry Workgroup because FCC could share valuable insight on regulatory concerns related to mobile device security with other regulators and industry participants. Specifically, FCC has facilitated and encouraged industry efforts to improve security of mobile devices, on which consumers make fintech payments, and has conducted related consumer education efforts. FCC staff said they would consider participating in future biennial regulator meetings of the Mobile Payments Industry Workgroup if the topics discussed aligned with FCC\u2019s work on mobile device security.", "Our past work has identified key practices relating to collaborative mechanisms among agencies that increase their effectiveness, such as including participants with the appropriate knowledge, skills, and abilities. In addition, these key practices also state that an interagency group should continue to reach out to potential participants who may have a shared interest in order to ensure that opportunities for achieving outcomes are not missed.", "However, we found that interagency collaborative efforts dedicated to fintech issues were not fully leveraging relevant agency expertise. Lack of NCUA participation in the Interagency Fintech Discussion Forum may preclude NCUA and the other participating agencies from sharing information that could be useful in efforts to oversee the risks that fintech poses to their regulated institutions. Similarly, lack of FCC participation in the biennial regulators meetings of the Mobile Payments Industry Workgroup could preclude industry participants from receiving updates on FCC regulatory concerns related to mobile device security and could preclude FCC from learning about new risks that fintech payments products pose to mobile device security.", "Furthermore, OCC and international bodies have identified fintech as an area where collaboration among agencies can be helpful. For example, OCC has stated that collaboration among supervisors can promote a common understanding and consistent application of laws, regulations, and guidance through steps such as establishing regular channels of communication. At the international level, the Bank for International Settlements has recommended that bank supervisors in jurisdictions where responsibilities related to fintech are fragmented among a number of regulators with overlapping authorities should collaborate with other relevant agencies to develop standards and regulatory oversight for fintech, as appropriate. Similarly, the Financial Stability Board has suggested that responsible agencies further open lines of communication to address cross-cutting fintech issues."], "subsections": []}, {"section_title": "Industry Disagreements on Aggregation of Consumer Financial Account Information Create the Need for Stronger Collaboration", "paragraphs": ["Among other consumer protection issues related to financial account aggregation, market participants do not agree about whether consumers using account aggregators will be reimbursed if they experience fraudulent losses in their financial accounts. While some account aggregators negotiate contracts with the financial institutions that hold the consumer accounts that are being aggregated, other account aggregators have no relationship with the financial institutions holding the consumer accounts that they access on behalf of those consumers. Officials from at least one large bank have made public statements that they may not reimburse losses from consumer accounts if the consumer provided his or her account credentials to an account aggregator and fraudulent activity subsequently occurs in the consumer\u2019s account. In contrast, some account aggregators and consumer protection groups have argued that consumer protection law establishes that banks retain the obligation to reimburse losses due to transactions not authorized by the consumers.", "To date, CFPB and the Federal Reserve have taken varying public positions on this disagreement among market participants, and some regulators told us that they have held related discussions with market participants and observers. In October 2017, CFPB issued principles for consumer-authorized financial data sharing and aggregation that stated that consumers should have reasonable and practical means to dispute and resolve instances of unauthorized transactions. However, CFPB\u2019s principles are not binding and federal financial regulators have not issued guidance or rules to clarify this issue. As previously mentioned, CFPB also issued a request for information studying these topics to various industry members, observers, and consumers in November 2016. A member of the Board of Governors of the Federal Reserve System has publicly stated that industry stakeholders will need to come to agreement on which party bears responsibility for unauthorized transactions. Also, Federal Reserve staff told us that some financial institutions and account aggregators are negotiating contractual arrangements that could address this issue on a case-by-case basis. In addition, staff from FDIC, the Federal Reserve, and OCC said that they have discussed related issues with market participants and observers.", "The financial regulators have recently begun to hold collaborative information sharing discussions on consumer compliance issues surrounding financial account aggregation, but this collaboration has not resulted in any coordinated public outcomes on the issues. In May 2017, the federal financial regulators\u2014CFPB, the Federal Reserve, FDIC, NCUA, and OCC\u2014and representatives of state financial regulators began to share information on account aggregation and related consumer compliance issues through the Federal Financial Institutions Examination Council (FFIEC) Task Force on Supervision and the FFIEC Task Force on Consumer Compliance. The regulators are collaborating through FFIEC because they acknowledge that account aggregation issues cross agency jurisdictions. According to participating agency officials, FFIEC discussions have covered responsibilities for consumer reimbursement due to fraudulent charges and access to consumer data, generated an internal paper on consumer compliance issues, and previewed CFPB\u2019s principles for consumer-authorized financial data sharing and aggregation prior to publication. However, as of November 2017, these efforts have not generated public outcomes to guide market participants.", "The federal financial regulators\u2019 missions include ensuring that consumers are protected. CFPB\u2019s primary mission is to protect consumers in the financial marketplace, including ensuring that markets for consumer financial products and services operate transparently and efficiently to facilitate access and innovation. Similarly, according to their mission and vision statements, the banking and credit union regulators help protect consumer rights by supervising financial institutions to help ensure compliance with consumer protections.", "However, some of the regulators told us that they have not taken more steps to resolve the disagreements surrounding financial account aggregation because they are concerned over acting too quickly. For example, Federal Reserve staff we interviewed told us that premature regulatory action could be detrimental to the negotiations between individual financial institutions and financial account aggregators. Similarly, OCC staff we interviewed told us that OCC staff does not recommend publishing guidance or rules while the account aggregation industry is evolving because regulation should not constantly change. Nonetheless, the financial regulators could take additional steps to address these issues without prematurely issuing rules or regulations. Further, the FFIEC IT Examination Handbook on e-Banking\u2019s appendix on aggregation services, which the financial regulators use in their examinations of banks, indicates that the financial regulators have been aware since at least 2003 that regulatory requirements related to consumer protection responsibilities of financial account aggregators are not clear.", "Incorporating leading practices on collaboration could strengthen the efforts that regulators are making to address financial account aggregation issues. As discussed previously, our prior work has developed interagency collaboration principles that make efforts among agencies more likely to be effective. These principles find that collaborative efforts should define the short-term and long-term outcomes that the collaboration is seeking to achieve and clarify the roles and responsibilities of the participating agencies, among other things. Although banking regulators and CFPB have discussed issues related to account aggregation within FFIEC, these discussions have not yet defined outcomes or produced any public outcomes to help guide fintech firms and traditional financial institutions which could help lead to market- based solutions, or defined agency roles and responsibilities. In addition, market participants, CSBS staff, and a member of the Board of Governors of the Federal Reserve System have said that additional collaboration on financial account aggregation issues\u2014including reimbursement for unauthorized transactions\u2014would be beneficial. Similarly, in its 2017 annual report, the Financial Stability Oversight Council encouraged financial regulators to monitor how fintech products affect consumers and regulated entities and to coordinate regulatory approaches, as appropriate.", "Acting collaboratively to help address consumer compliance issues related to financial account aggregation could help financial regulators better meet their consumer protection missions. Improved collaboration could help regulators and market participants resolve disagreements over account aggregation and related consumer compliance issues more quickly and in a manner that balances the competing interests involved. Taking steps now, while the discussion on financial account aggregation is in its relatively early stages, could help federal regulators better address these needs over the long term. Until regulators coordinate and assist the industry in clarifying and balancing the valid interests on both sides, consumers could have to choose between facing potential losses or not using what they may find to be an otherwise valuable financial service, and fintech firms providing useful services to consumers will face barriers to providing their offerings more broadly."], "subsections": []}, {"section_title": "Challenges Involving Fintech Partnerships with Banks", "paragraphs": ["Partnerships between fintech firms and financial institutions are increasingly common because such partnerships offer benefits to both parties involved. According to literature we reviewed and market participants and observers we interviewed, the benefits to banks can include the ability to meet consumer demand by providing their customers with access to innovative products that provide good user experiences without having to dedicate extensive internal time or resources. Market observers and Federal Reserve staff we interviewed told us that this benefit may be particularly important for small banks and credit unions, which have fewer staff and fewer financial resources for research and development. Similarly, the benefits to fintech firms can include access to banking services and networks, customer acquisition, and assistance with regulatory compliance. Some fintech firms enter contractual agreements to partner with banks through white-labeling, a type of partnership where the bank markets the fintech firm\u2019s product as its own when soliciting customers. Other fintech firms enter contractual partnerships with banks as stand-alone third-party relationships. For example, some fintech lenders make loans to customers and partner with a bank that originates or purchases loans sourced through the fintech lender.", "However, because banks are liable for risks posed by third parties as discussed above, fintech firms may face delays in entering into partnerships with banks. Financial regulators have issued guidance on risk management for financial institutions\u2019 relationships with third parties. Among other things, this guidance explains that financial institutions are expected to conduct proper due diligence in selecting partners and to monitor the activities conducted by third parties for compliance with relevant laws, rules, and regulations, considering areas such as consumer protection, anti-money laundering/counter-terrorist financing, and security and privacy requirements. Banks, fintech firms, and market observers we interviewed told us that banks may interpret this guidance conservatively. Large banks may also spend significant time conducting due diligence on the practices and controls in place at the fintech firms seeking to partner with them in order to prevent unnecessary compliance or operational risks, while a banking association told us that small banks with fewer resources to dedicate to due diligence may be unwilling to risk partnering with fintech firms. Banks, fintech firms, and market observers we interviewed told us that bank due diligence can also lead to lengthy delays in establishing partnerships, which can put fintech firms at risk of going out of business if they do not have sufficient funding and are not able to access new customers through a bank partner. For example, officials we interviewed from one bank told us that it takes about 18 months to launch a partnership with a fintech firm, and acknowledged that this is too slow to align with venture capital funding cycles that many fintech providers rely upon."], "subsections": []}]}, {"section_title": "Consideration of Regulatory Approaches Abroad Could Benefit Fintech Regulation and Innovation", "paragraphs": ["Regulators abroad have addressed the emergence of financial innovation through various means, including establishing innovation offices; establishing mechanisms for allowing fintech firms to conduct trial operations; holding innovation competitions; providing funding for firms through business accelerators; and using various methods to coordinate with other regulators domestically and internationally. While certain U.S. regulators have adopted similar efforts, further adoption of these approaches by U.S. regulators could facilitate interactions between regulators and fintech firms and improve regulators\u2019 knowledge of fintech products. However, some initiatives may not be appropriate for the U.S. regulatory structure. For example, adopting certain initiatives could raise concerns about U.S. agencies picking winners, in which firms that participate in these programs may be better positioned to succeed than other firms. Further, particular initiatives may not align with agencies\u2019 legal authorities or missions."], "subsections": [{"section_title": "Regulators in the U.S. and Abroad Have Developed Approaches to Improve Interaction with Firms and Help Them Identify Applicable Regulatory Requirements", "paragraphs": ["Citing the complexity of the U.S. financial regulatory system, fintech firms and industry observers noted having difficulty identifying which regulations they were subject to or which regulators would oversee their activities. Further, one fintech firm noted that when they were able to identify their regulators, they had difficulty finding a point of contact at the regulators. Officials from three regulators that we interviewed also noted that they had been contacted by fintech firms that were confused about their regulatory status and did not fall under the agency\u2019s regulatory authority, but were subject to oversight by other regulators.", "Regulators in the U.S. and abroad have taken steps to better facilitate interactions with fintech firms, including by establishing innovation offices with dedicated staff to serve as a front door for start-up firms or innovators to find information on regulation and to contact the agency. These innovation offices generally maintain a webpage hosted on the agencies\u2019 websites, a dedicated e-mail address, or dedicated staff. Through these innovation offices, some agencies offer services including office hours during which regulatory staff are available to meet and provide informal guidance. For example, CFPB officials said that, as of August 2017, they had met with approximately 115 companies in four such events in New York and San Francisco, under the agency\u2019s Project Catalyst. Similarly, OCC officials noted that through their Office of Innovation, they have been able to answer regulatory questions for fintech firms and connect firms to relevant OCC offices. Since the launch of LabCFTC, CFTC\u2019s innovation office, in May 2017, CFTC officials have met with more than 100 entities through office hour sessions in New York, Chicago, and Washington, D.C.", "In addition to office hours, several regulators have held fintech events through their innovation offices. For example, FTC has held three fintech forum events comprising panel discussions with industry experts, covering topics such as marketplace lending and distributed ledger technology. Several regulators have also issued publications on various fintech topics, which are posted to the dedicated webpages for those agencies with innovation offices.", "Some regulators from other jurisdictions also facilitated regular interaction with firms through their innovation offices. For example, through its Innovation Hub, the United Kingdom\u2019s (UK) Financial Conduct Authority offers informal regulatory guidance to individual firms directly and through posted publications; operates its regulatory sandbox, described below; and engages with industry participants through various events. Similarly, through a program called Looking Glass, the Monetary Authority of Singapore offers fintech firms training and consultation on regulation and provides a space for fintech firms to give product demonstrations to regulators and banks. Regulators and fintech firms we interviewed abroad said that these innovation offices have helped firms better understand their regulatory obligations and help regulators identify and address risks early. For example, representatives of a robo-adviser firm we interviewed in Hong Kong said that their interactions with the Hong Kong Securities and Futures Commission\u2019s innovation office\u2014known as the Fintech Contact Point\u2014made identifying and obtaining guidance from the appropriate regulatory officials easier, which helped the firm more efficiently develop a product compliant with applicable regulations.", "Some fintech firms and industry observers stated that U.S. regulators\u2019 innovation offices have helped fintech firms by offering a point of contact for new entrants in the industry. Additionally, in a 2009 report, we created a framework that identified characteristics of an effective financial regulatory system. One of the characteristics was that regulators should oversee new products as they come onto the market to take action as needed to protect consumers and investors, without unnecessarily hindering innovation. Figure 5 summarizes efforts that we reviewed by regulators in the U.S. and abroad to implement initiatives to improve interactions with fintech firms.", "However, FDIC and NCUA have not established innovation offices for various reasons. For example, FDIC staff said that, although the agency has not formally evaluated establishing an innovation office, they have met with fintech firms to discuss deposit insurance applications. Associated with the deposit application process, the agency has established central points of contact for all interested parties, not only fintech firms. NCUA said that its lack of legal authority over third-party service providers limited the usefulness of an innovation office, since fintech providers are often third-party service providers. However, by not dedicating specific staff, as occurs with the establishment of an innovation office, these regulators could be less able to interact with fintech firms in their sectors and fintech firms that partner with their regulated entities. Other regulators who, similar to FDIC and NCUA, generally do not directly oversee third-party providers, though they may have such authority, have noted benefits from establishing innovation offices. For example, OCC, which has a similar mission to these two regulators, has formed such an office and OCC staff said that the agency has benefited by learning about industry trends involving fintech and by improving interactions with fintech firms and banks. Similarly, Federal Reserve officials we interviewed said that efforts through its innovation office have helped staff better understand fintech issues and have particularly helped its examiners better understand banks that partner with fintech companies. Consideration of establishing innovation offices, as many U.S. regulators have recently done, could help FDIC and NCUA better enable new firms to become familiar with regulatory requirements and could better facilitate interaction between the agencies and fintech service providers."], "subsections": []}, {"section_title": "Regulators Abroad Use Various Approaches to Learn about and Enable Development of New Fintech Products, and U.S. Regulators Could Consider Taking Similar Steps", "paragraphs": ["Internationally, some regulators have taken various approaches that help educate their staff on emerging products and help innovators develop products in limited-risk environments (see fig. 6). Based on interviews with regulators and firms abroad and a literature review, initiatives that we studied include regulatory sandboxes, proofs-of-concepts, innovation competitions or awards, and agency-led accelerators. Regulatory sandboxes that we studied were agency-led programs that allow firms to test innovative products; services; business models; or delivery mechanisms in a live environment, subject to agreed-upon testing parameters. The proofs of concept that we reviewed were similar to sandboxes, but for these programs regulators issued a request for proposals to industry to develop a product that is conceptual; that is, an idea for a product that is not yet on the market. In the fintech competitions that we studied, regulators invited firms to develop solutions to problem statements drafted by agencies or financial institutions. Accelerators that we reviewed provided funding; access to regulators and mentors; connections to outside funding sources; potential clients; and working space to fintech firms and start-ups.", "One approach regulators abroad were using to learn about fintech activities was regulatory sandboxes. While a few U.S. regulators have undertaken efforts that are similar to regulatory sandboxes, most have not. Two regulators that we interviewed stated that tools already exist, such as the comment process, to fulfill the role of a sandbox by helping them better understand innovation and assist in the development of rules and guidance. However, other U.S. regulators said that creating regulatory sandboxes by using tools such as No Action Letters could benefit regulators and firms. Based on our analysis of selected jurisdictions\u2019 efforts, regulatory sandbox programs generally may include the following elements: firms apply to participate; firms and regulators agree on the parameters of how products or services will be tested, such as the number of consumers or transactions included in the test, the required product disclosures, or the time frame of the test; firms secure the appropriate licenses, if applicable; and firms and regulators interact regularly.", "In some cases, the sandbox may include limited regulatory relief. For example, UK regulators we interviewed noted that they can waive or modify a rule, issue a \u201cno enforcement action\u201d letter, or provide a restricted license for a firm participating in the sandbox. However, these tools are used on a case-by-case basis for the duration of the sandbox test, are not used for every participating firm, and would not limit any consumer protections. Further, UK regulators we interviewed said that while waiving or modifying rules is possible, they are only used on an exceptional basis. Similarly, Singapore regulators said that they can relax specific legal and regulatory requirements, such as capital requirements, on a case-by-case basis for firms while they are participating in the sandbox. Also, Hong Kong regulators allow firms to operate without full regulatory compliance for the limited product offerings within the sandbox. Similar to UK and Singapore regulators, Hong Kong regulators we interviewed said that they have put safeguards in place to protect consumers from and manage the risk of the regulatory relief. For a more detailed description of the Hong Kong, Singapore, and UK sandboxes, see appendix III.", "Regulators and market participants we interviewed abroad said that these fintech sandboxes have helped regulators better understand products and more effectively determine appropriate regulatory approaches while limiting the risk that the failure of a fintech firm could pose to consumers. Some participating firms we interviewed told us they benefited by being able to test products with customers, make changes to their business model, and understand how their products would be regulated. Moreover, two participating firms and a regulator we interviewed said that firms are able to introduce their products to the market more quickly because they are able to test their products in the market while becoming compliant with laws and regulations. One fintech firm that participated in the UK sandbox pointed out that the UK regulators better understood their firm\u2019s technology and business model because of interactions in the sandbox. For example, although the company and regulatory officials had previously disagreed on whether the firm\u2019s product needed to be regulated, after gaining a better understanding of the company\u2019s business model through interactions in the sandbox, the regulatory officials agreed that the product did not require regulatory oversight. Similarly, Singapore regulators we interviewed noted that their sandbox provides them a hands-on approach to learning about new technologies and how the technologies align with regulatory requirements.", "Some U.S. regulators have programs that share some characteristics with sandboxes. As shown in figure 6, CFPB, SEC, and CFTC have issued No Action Letters in which agency staff state that they do not intend to recommend certain regulatory action against the firms if they offer the products in the way described in a request letter to the regulator. The issuance of such letters could assist fintech firms in cases in which the applicability of existing regulations to their product is unclear. However, similar to sandboxes abroad, CFPB officials stated that No Action Letters do not provide safe harbor for companies taking actions that are clearly not allowed under U.S. consumer regulations. As of March 6, 2018, CFPB had issued one No Action Letter to Upstart Network, a company that uses alternative data to assess creditworthiness and underwrite loans. As a condition of the No Action Letter, Upstart will regularly report lending and compliance information to CFPB to mitigate risk to consumers and inform CFPB about the impact of alternative data on lending decisions.", "In addition, CFPB officials we interviewed said that they can use a similar tool known as trial disclosure waivers, which allow industry participants to seek CFPB approval to test an innovative disclosure or way of delivering a disclosure to consumers that includes a safe harbor provision during which the industry participant may be exempted from statutory or regulatory requirements. As of March 6, 2018, CFPB had not issued any trial disclosure waivers.", "Through its Project Catalyst, CFPB has also established a research pilot program where it collaborates with firms that are testing innovative products to understand consumer use and policy implications of innovative products. CFPB officials said that research pilots have similar elements to sandboxes, including participant application, agreement of testing parameters, and regular meetings between CFPB and the participating firm. Four firms have concluded research pilots with CFPB and three other firms are currently participating in pilots. Similarly, OCC officials said that they are considering developing a pilot program, which will allow banks or fintech firms partnering with banks to test innovative products with the involvement and interaction of OCC staff. OCC officials said that they have not set a date for determining whether to go forward or implement the program."], "subsections": [{"section_title": "Proofs of Concept", "paragraphs": ["Another approach regulators abroad were using to learn about fintech activities was establishing proofs of concept. The proofs of concept that we studied are similar to sandboxes in that the regulator has regular interaction with the company to better understand the product or technology, but the product is not introduced into the market during the proof of concept period. For example, the Bank of England, through its Accelerator program, uses proofs of concept to have firms develop technology that can help the agency improve its operations, according to agency officials. The Hong Kong Monetary Authority, which, among other things, regulates banks in its jurisdiction, uses proofs of concept to allow industry participants to develop products that are conceptual and not ready for market implementation. A firm we interviewed that participated in a proof of concept with Hong Kong Monetary Authority said that it offered the regulator the opportunity to gain a working understanding of the technology, while providing a test environment for the company to tailor the technology to adhere to regulatory requirements.", "CFTC officials noted that they are exploring the ability to conduct proofs of concept through LabCFTC. CFTC officials noted that the agency would be well positioned to conduct proofs of concept because they already collect large amounts of market data that could potentially be leveraged for such projects. However, CFTC officials expressed concerns that receiving services as part of proofs of concept may violate gift or procurement laws. The Federal Reserve Bank of Boston participates in a collaborative effort called Hyperledger, which serves a similar purpose as a proof of concept for the Federal Reserve Bank. Hyperledger is a collaborative effort involving public and private entities created to advance the use of blockchain technologies across various sectors. As observers in the Hyperledger, Federal Reserve Bank staff have gained hands-on experience with blockchain technology by experimenting with uses of the technology. None of the other regulators with whom we spoke said that they planned to conduct proofs of concept."], "subsections": []}, {"section_title": "Innovation Competitions or Awards", "paragraphs": ["Another approach used by regulators abroad for learning about fintech activities was establishing fintech competitions or awards to encourage financial innovation. Winning firms receive recognition, contracts, or cash prizes. For example, the Monetary Authority of Singapore operated an international competition called Hackcelerator to crowdsource innovative solutions to problems that Singaporean financial institutions identified, including insurance, customer identification, and data analytics, according to officials. Singapore regulators have also established FinTech Awards, which provide ex-post recognition to FinTech solutions that have been implemented. CFTC officials said that they are seeking public input to establish prize competitions and intend to launch such competitions in 2018. FTC officials said that in 2017, the agency challenged participants to create a technical solution, or tools, that consumers could use to guard against security vulnerabilities in software found on the Internet of Things devices in their homes. FINRA staff noted that the agency holds internal innovation competitions, called CREATEathons, in which FINRA staff compete to develop solutions to various problems identified internally by staff. While external parties do not participate in these competitions, teams can consult with firms. Some U.S. regulators pointed out that while some regulators abroad are mandated to promote competition, no such mandate exists among most U.S. financial regulators."], "subsections": []}, {"section_title": "Agency-led Incubator or Accelerator", "paragraphs": ["Two governments we studied abroad were also learning about fintech by establishing incubators or accelerators to encourage the development of a country\u2019s fintech industry and talent pool. The accelerators provide funding, access to regulators and mentors, connections to outside funding sources, potential clients, and working space to fintech firms and start- ups. For example, officials we interviewed from SG Innovate, Singapore\u2019s government led accelerator, said that the agency helps Singaporean businesses expand overseas, bring companies to Singapore, and connect start-ups to regulators and funding, among other things. None of the U.S. regulators we interviewed said that they planned to establish such accelerator programs. Regulators from the U.S. and abroad pointed out that the U.S. fintech industry is more developed than those of other jurisdictions with many fintech firms, large talent pools, and significant amounts of private funding or privately run accelerators.", "Regulators and market participants we interviewed abroad said that these knowledge-building initiatives have helped regulators learn about new products and business models and have allowed firms to test products. Although CFTC and SEC can issue No Action Letters, those agencies have not adopted other approaches similar to these knowledge-building initiatives described above. Further, FDIC, the Federal Reserve, and NCUA have not adopted any of these approaches. U.S. regulators said that these initiatives could raise concerns about favoring certain competitors over others and also noted that they may not have the authority to initiate these programs. However, despite similar potential constraints with regard to competition and authority limitations, CFPB and OCC have formally evaluated undertaking relevant knowledge-building initiatives, through conversations with regulators abroad, general research, and documentation of their efforts; and they have begun developing similar approaches, according to agency officials.", "A characteristic of an effective financial regulatory system we identified in our 2009 framework was that a regulatory system should be flexible and forward looking, which would allow regulators to readily adapt to market innovations and changes. Consideration by U.S. regulators of adopting approaches taken by regulators abroad, where appropriate, could result in the implementation of initiatives that help improve their overall ability to oversee fintech and how it affects the entities they currently regulate. While constraints may limit the ability or willingness of regulators to fully adopt these practices, opportunities exist to assess ways to tailor them to the U.S context."], "subsections": []}]}, {"section_title": "Regulators in the U.S. and Abroad Have Adopted Approaches to Facilitate Coordination on Financial Innovation", "paragraphs": ["Regulatory coordination is less of an issue for regulators abroad because most jurisdictions have fewer financial regulators. For example, the UK has 3 agencies involved in financial regulation, Singapore has 1 financial regulator, and Hong Kong has 4 financial regulators, compared to the 10 federal agencies involved in the regulation of fintech in some capacity in the United States. However, regulators abroad have undertaken efforts to bolster coordination among domestic regulators\u2014as applicable\u2014as well as regulators abroad and industry representatives (see fig. 7). These collaborative efforts include advisory councils and steering committees dedicated to fintech issues; and fintech-specific cooperation agreements.", "In the jurisdictions we examined, two agencies have established fintech advisory councils or steering committees of industry participants and government officials. Fintech advisory councils and steering committees may provide a valuable connection to industry, through which U.S. regulators could gain insight into industry developments. For example, the Hong Kong securities regulator has established an advisory council comprised of members with knowledge and experience of various parts of Hong Kong\u2019s fintech industry. Officials of this agency told us that the advisory council provides valuable market data, a forum that offers firms a preliminary check for interpretation of their rules and updates on emerging issues. Advisory council members said that the council gives this regulator a cross-functional perspective from industry experts and enables the agency to learn about emerging issues and related regulatory challenges early in their development.", "Selected U.S. regulators have established formal advisory committees dedicated to fintech issues, as shown in figure 7.", "FINRA has established a Fintech Industry Committee through which FINRA member and nonmember firms are provided a platform for ongoing dialogue and analysis of fintech developments related to FINRA\u2019s purview. FINRA officials said that the agency has also established the FinTech Advisory Group, a forum to identify and prioritize FinTech topics and coordinate appropriate regulatory approaches with key stakeholders.", "CFTC staff noted that the agency restarted its Technology Advisory Committee in late 2017 to explore a range of fintech topics and augment the work of LabCFTC.", "FDIC officials noted that the agency has a Fintech Steering Committee, which aims to help FDIC understand fintech developments by identifying, discussing, and monitoring fintech trends through reports from the staff working groups that the steering committee has established. The Fintech Steering Committee had not made any formal recommendations as of March 13, 2018.", "As previously mentioned, U.S regulators we interviewed said that they have coordinated with other regulators and industry through various mechanisms, as the following examples illustrate. (For additional information on interagency collaborative efforts, see app. II).", "The Federal Reserve has coordinated with relevant industry participants and other regulators including CFPB, FDIC, FTC, NCUA, OCC, Treasury, and CSBS through its Mobile Payments Industry Working Group and its Faster Payments Task Force.", "FTC solicits insight from industry participants, observers, and regulators through its fintech forums.", "Regulators have also coordinated with each other through domestic and international interagency financial regulatory bodies, as well as a recently organized interagency collaborative group dedicated to fintech, the prudential regulators\u2019 Interagency Fintech Discussion Forum."], "subsections": [{"section_title": "Cooperation Agreements", "paragraphs": ["Some regulators abroad have cooperation agreements with other regulators abroad to share information and to help fintech firms begin operations in other jurisdictions. For example, Singapore regulatory staff told us that the regulator has 16 such agreements with entities from 15 regions that typically consist of (1) referrals to regulatory counterparts for firms attempting to operate in a new country, (2) guidance to firms on regulation in the firm\u2019s new country of operation, and (3) information exchange among regulators and between regulators and fintech firms. UK regulators said that these agreements outline how the agencies in each country pledge to assist each other\u2019s fintech firms seeking to operate in their country with business-to-business contacts, office space, and other assistance. For example, regulators can discuss trends related to their authorities and share information on fintech firms seeking to expand operations in the other country. A fintech firm we interviewed said that because much financial innovation is international in scope, sharing information across borders with cooperation agreements is important for regulators to understand the new technologies and to be responsive to risks. On February 19, 2018, CFTC and UK Financial Conduct Authority signed a cooperation agreement, which, according to CFTC officials, will focus on information sharing and facilitate referrals of fintech companies interested in entering the other regulator\u2019s market. None of the other U.S. regulators that we interviewed had fintech-specific cooperation agreements with regulators abroad. Most of them said that existing memoranda of understanding were sufficient to facilitate information sharing. One regulator we interviewed abroad noted that establishing fintech-specific cooperation agreements with U.S. regulators is difficult because no direct regulatory counterpart exists since the U.S. financial regulatory structure is significantly different from those of other jurisdictions."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The emergence of various fintech products has produced benefits to consumers and others. Fintech products often pose risks to those of traditional financial products, although in some cases fintech products pose additional risks. While existing consumer protection and other laws apply to some fintech products and services, in some cases fintech transactions may not be covered by such protections. The extent to which the activities of fintech providers are subject to routine federal oversight varies, but fintech firms not overseen by a federal body generally are subject to oversight by state regulators. While limited evidence of widespread problems has surfaced to date, as the prevalence of fintech products grows, risks posed by segments of the industry that regulators do not routinely examine could correspondingly grow. Therefore, efforts regulators by regulators to monitor developments and risks posed by these firms and their financial innovations remains a sound approach.", "With fintech products spanning across financial sectors and jurisdictions of the numerous U.S. regulatory bodies, many parties have called for improved regulatory coordination. While regulators have taken steps to collaborate, opportunities remain to improve collaboration in line with GAO\u2019s leading practices. For example, the Interagency Fintech Discussion Forum and the biennial meetings of the Federal Reserve Mobile Payments Industry Workgroup do not include NCUA and FCC, respectively, agencies that could add valuable perspectives. Without these agencies, these efforts are not fully leveraging relevant agency expertise, and NCUA and FCC may be precluded from learning about risks that are relevant to their authorities.", "Among other consumer protection issues related to financial account aggregation, market participants do not agree about whether consumers using account aggregators will be reimbursed if they experience fraudulent losses in their financial accounts. Until regulators coordinate and assist the industry in clarifying and balancing the valid interests of consumers, financial account aggregators, and financial institutions, consumers could have to choose between facing potential losses or not using what they may find to be an otherwise valuable financial service. Although regulators have been reluctant to act too quickly in light of related industry efforts, they could increase collaboration to address key issues such as consumer reimbursement for unauthorized transactions. Aligning ongoing collaborative efforts with leading practices could help regulators and market participants resolve disagreements over financial account aggregation and related consumer compliance issues more quickly and in a manner that balances the competing interests involved.", "With our past work finding that an effective financial regulatory system needs to be flexible and forward looking to allow regulators to more readily adapt and oversee new products, U.S. regulators could potentially improve their oversight of innovative fintech activities by considering adoption of some of the efforts already being successfully used by regulators abroad. While constraints may limit the ability or willingness of regulators to fully adopt these practices, opportunities exist to assess ways to tailor them to the U.S. context. Some U.S. regulators have established innovation offices that can help fintech providers more easily obtain needed information from relevant regulators; however, FDIC and NCUA have not established such offices, which could help facilitate these regulators\u2019 interactions with fintech firms and with the entities they regulate. Also, initiatives such as regulatory sandboxes or proofs-of- concept that provide fintech firms the opportunity to operate and share information with appropriate regulators have helped regulators abroad educate their staff and thereby improve their oversight capacities. However, the Federal Reserve, CFTC, FDIC, NCUA, and SEC have not initiated such programs due to concerns about favoring certain competitors over others or that they may not have the authority to initiate these programs. While constraints may limit the ability or willingness of regulators to fully adopt these practices, additional consideration by these regulators of some of the approaches taken by regulators abroad could assist U.S. regulators in learning more about new financial technologies that could provide useful knowledge for their own regulatory activities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of sixteen recommendations.", "The Chair of the Board of Governors of the Federal Reserve System should invite NCUA to participate in the Interagency Fintech Discussion Forum. (Recommendation 1)", "The Chairman of the Federal Communications Commission (FCC) should discuss with the Presidents of the Federal Reserve Banks of Atlanta and Boston whether the topics of the 2018-2019 biennial regulators meeting of the Federal Reserve\u2019s Mobile Payments Industry Working Group would make FCC participation beneficial to the FCC or the group, and take steps accordingly. (Recommendation 2)", "The President of the Federal Reserve Bank of Atlanta should discuss with the Chairman of the FCC and the President of the Federal Reserve Banks of Boston whether the topics of the 2018-2019 biennial regulators meeting of the Federal Reserve\u2019s Mobile Payments Industry Working Group would make FCC participation beneficial to the FCC or the group, and take steps accordingly. (Recommendation 3)", "The President of the Federal Reserve Bank of Boston should discuss with the Chairman of the FCC and the President of the Federal Reserve Banks of Atlanta whether the topics of the 2018-2019 biennial regulators meeting of the Federal Reserve\u2019s Mobile Payments Industry Working Group would make FCC participation beneficial to the FCC or the group, and take steps accordingly. (Recommendation 4)", "The Director of the Consumer Financial Protection Bureau should engage in collaborative discussions with other relevant financial regulators in a group that includes all relevant stakeholders and has defined agency roles and outcomes to address issues related to consumers\u2019 use of account aggregation services. (Recommendation 5)", "The Chair of the Board of Governors of the Federal Reserve System should engage in collaborative discussions with other relevant financial regulators in a group that includes all relevant stakeholders and has defined agency roles and outcomes to address issues related to consumers\u2019 use of account aggregation services. (Recommendation 6)", "The Chairman of the Federal Deposit Insurance Corporation should engage in collaborative discussions with other relevant financial regulators in a group that includes all relevant stakeholders and has defined agency roles and outcomes to address issues related to consumers\u2019 use of account aggregation services. (Recommendation 7)", "The Chairman of the National Credit Union Administration should engage in collaborative discussions with other relevant financial regulators in a group that includes all relevant stakeholders and has defined agency roles and outcomes to address issues related to consumers\u2019 use of account aggregation services. (Recommendation 8)", "The Comptroller of the Currency should engage in collaborative discussions with other relevant financial regulators in a group that includes all relevant stakeholders and has defined agency roles and outcomes to address issues related to consumers\u2019 use of account aggregation services. (Recommendation 9)", "The Chairman of the Federal Deposit Insurance Corporation should formally evaluate the feasibility and benefit of establishing an office of innovation or clear contact point, including at least a website with a dedicated email address. (Recommendation 10)", "The Chairman of the National Credit Union Administration should formally evaluate the feasibility and benefit of establishing an office of innovation or clear contact point, including at least a website with a dedicated email address. (Recommendation 11)", "The Chair of the Board of Governors of the Federal Reserve System should formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. (Recommendation 12)", "The Chairman of the Commodity Futures Trading Commission should formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. (Recommendation 13)", "The Chairman of the Federal Deposit Insurance Corporation should formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. (Recommendation 14)", "The Chairman of the National Credit Union Administration should formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. (Recommendation 15)", "The Chairman of the Securities and Exchange Commission should formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. (Recommendation 16)"], "subsections": []}, {"section_title": "Agency Comments and Our Response", "paragraphs": ["We provided a draft of this report to CFPB; CFTC; FCC; FDIC; the Federal Reserve; FTC; NCUA; OCC; SEC; and Treasury, as well as CSBS and FINRA. We received written comments from all of these agencies except for Treasury and FINRA; the comments are reprinted in appendixes IV through XII, respectively. Agencies to which we directed recommendations agreed with our recommendations, as detailed below. All of these agencies except FCC and NCUA also provided technical comments, which we incorporated as appropriate.", "In response to our recommendation that CFPB engage in collaborative discussions that incorporate leading practices with other financial regulators on financial account aggregation issues, CFPB stated in its letter that it concurred. CFPB stated that it has taken steps to address related issues independently. CFPB also noted that it has participated in related ongoing collaborative discussions and that it would continue to do so.", "CFTC concurred with our recommendation that it formally evaluate adopting knowledge-building initiatives related to financial innovation. CFTC also noted that it is either using or exploring the use of some of the knowledge-building initiatives identified in the report. However, the agency also raised concerns that, without targeted legislative changes, some of those initiatives may violate federal procurement laws and gift prohibitions.", "In its letter, FCC agreed with our recommendation that it should discuss with the Presidents of the Federal Reserve Banks of Atlanta and Boston whether the topics of the 2018\u20132019 biennial regulator meeting of the Federal Reserve\u2019s Mobile Payments Industry Working Group would make FCC participation beneficial to FCC or the group, and take steps accordingly. FCC noted that it will reach out to the Federal Reserve Banks of Atlanta and Boston to determine whether FCC participation would be beneficial.", "Regarding our recommendation that FDIC engage in collaborative discussions that incorporate leading practices with other financial regulators on financial account aggregation issues, FDIC stated in its letter that it recognizes the benefits of engaging in collaborative discussions with other relevant regulators. It noted that it has been involved in ongoing collaborative discussions about such issues and that it would continue to do so, particularly regarding liability for unauthorized transactions and consumer reimbursement. Regarding our recommendation that FDIC formally evaluate the feasibility and benefit of establishing an Office of Innovation or clear contact point, FDIC stated that it would conduct such an evaluation, and acknowledged that it has a long history of engaging in open dialogue with any party interested in discussing matters related to FDIC\u2019s mission and responsibilities. Regarding our recommendation that it formally evaluate adopting knowledge building initiatives related to financial innovation, FDIC stated that it recognizes the importance of knowledge building and has developed a framework and implemented initiatives to facilitate this. It also noted that it will continue ongoing efforts to build knowledge related to financial innovation and will consider other relevant knowledge building initiatives, as appropriate.", "In response to our recommendations that the Federal Reserve include NCUA and FCC in relevant working groups, the Federal Reserve stated in its letter that its Board staff would seek NCUA\u2019s participation and that staff from the Reserve Banks in Atlanta and Boston would discuss FCC\u2019s participation in relevant working groups. Regarding our recommendation that the Federal Reserve engage in collaborative discussions that incorporate leading practices with other financial regulators regarding financial account aggregation issues, the Federal Reserve acknowledged the importance of working together to ensure that consumers were protected, and noted a variety of ways it already coordinates on such issues, and noted that it will continue to engage in such discussions to address the important issues surrounding reimbursement for consumers using these services. Regarding our recommendation that it formally evaluate adopting knowledge-building initiatives related to financial innovation, the Federal Reserve noted that it recognizes the importance of such efforts and has recently organized a team of experts to ensure that fintech-related information is shared across its organization.", "NCUA stated in its letter that it concurred with our recommendations to engage in collaborative discussions that incorporate leading practices with other financial regulators on financial account aggregation issues, formally evaluate the feasibility and benefit of establishing an office of innovation or clear contact point, and formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge- building initiatives related to financial innovation. NCUA noted that evaluations of fintech activities are challenging for NCUA because it does not have vendor authority like the other federal banking regulators. We have previously raised NCUA\u2019s lack of vendor authority as a matter for congressional consideration. NCUA stated it will continue to monitor risks posed by fintech firms to the credit union industry by working with the banking regulators.", "Regarding our recommendation that OCC engage in collaborative discussions that incorporate leading practices with other financial regulators on financial account aggregation issues, OCC stated in its letter that it recognizes the importance of this recommendation. It noted that it has been involved in ongoing collaborative discussions about such issues and that it would continue to do so.", "SEC stated in its letter that it concurred with our recommendation to formally evaluate the feasibility and benefits to their regulatory capacities of adopting certain knowledge-building initiatives related to financial innovation. SEC also stated that it will coordinate with other agencies as appropriate during its assessment.", "In its letter, CSBS drew connections between steps that state regulators have taken and those that we are recommending to federal agencies. CSBS also provided additional information regarding state licensing requirements, which we incorporated into our report. Additionally, CSBS expressed support for our recommendations on federal interagency collaboration and stated that it would support related efforts that respected the role of state regulators. In addition, CSBS said that these efforts could benefit from the participation of state regulators and that it would be willing to participate if invited. Similarly, CSBS expressed support for our recommendations that certain federal agencies formally evaluate the feasibility and benefit of establishing an office of innovation or clear contact point and formally evaluate the feasibility and benefit of adopting knowledge-building initiatives related to financial innovation. However, CSBS also cautioned that knowledge-building initiatives should not preempt state consumer protection and licensing laws for fintech payment providers or fintech lenders.", "As agreed with your offices, we are sending this report to the appropriate members of Congress; CFPB; CFTC; FCC; FDIC; the Board of Governors of the Federal Reserve; FTC; NCUA; OCC; SEC; and Treasury, as well as CSBS and FINRA. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or evansl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) fintech benefits, risks, and extent of legal or regulatory protections for users; (2) efforts by U.S. regulators to oversee fintech activities; (3) challenges that the regulatory environment poses to fintech firms; and (4) the steps taken by domestic and other countries\u2019 regulators to encourage financial innovation within their countries.", "While fintech does not have a standard definition, for the purposes of this report we focused on products and services leveraging technological advances offered by financial institutions; nonbank financial companies; and technology companies within the payment, lending, and wealth management sectors, as well as products or services operating under distributed ledger technology (DLT). Within these four identified sectors, we examined particular products and services. In the payments technologies sector we limited our scope to mobile wallets, peer-to-peer payments, and peer-to-business payments products and services. To identify these four sectors, we conducted background research and reviewed prior GAO reports on fintech, person-to-person lending, and virtual currencies. In the fintech lending sector, we focused on consumer lending\u2014including credit card and home improvement loans\u2014and small business lending services from direct and platform lending models; however, we did not include mortgage lending in our scope, due to the significant amount of regulation within the subsector. In the digital wealth management sector, we examined firms that exclusively offer advice using algorithms based on consumers\u2019 data and risk preferences to assist or provide investment recommendations and financial advice directly to consumers. We also examined issues relating to fintech account aggregation companies that consolidate and display data from consumers\u2019 accounts across financial institutions to help consumers more easily see their overall financial health. For DLT, we focused on providers that used DLT in payments and securities processing and token sales. We also included information on the use of DLT in virtual currencies, such as bitcoin and Ethereum. We also reviewed available data on transaction volumes for the payments, lending, and robo advising sectors.", "To identify the benefits provided and risks posed to consumers by fintech services, we conducted a literature review of agency, industry participant, and industry observer documents that analyzed developments within fintech. Using ProQuest, Scopus, SSRN, and Nexis.com databases in the literature review, we identified over 500 relevant articles out of over 1,100 search results by using search terms associated with the four fintech subsectors mentioned above. Our search included articles from 2011 to October 2017. To determine the usefulness of the studies for inclusion, we conducted a review of search results involving multiple content reviews by GAO analysts to determine which relevant articles could (1) provide credible sources of information to help address our researchable questions, or (2) help identify knowledgeable persons or groups to interview. We excluded documents based on the following criteria that eliminated articles that were (1) duplicated; (2) related to countries outside our review; (3) about virtual currencies; (4) categorized as \u201cmarginally relevant\u201d by analysts based on the article\u2019s title, publication date, and source; (5) less recent documents from each author or source; (6) from news outlets or nonauthoritative sources; or (7) deemed irrelevant or not useful.", "To obtain the financial services and fintech stakeholder perspectives on fintech benefits and risk, we reviewed academic papers, reports, and studies by other organizations on fintech activities we identified through a literature search. We also conducted over 120 interviews with financial regulators; banks; fintech providers; consumer groups; trade associations; academics; think tanks; and consulting and law firms. We identified potential interviewees by conducting Internet research; reviewing literature search results; reviewing recommended interviewees from our initial interviews; and selecting interviewees based on their relevance to the scope of our review. We selected fintech firms and financial intuitions, industry observers, and federal agencies based on the product or service conducted by the firm, expertise of the industry observers, and oversight authority of the federal agencies. We identified fintech benefits and risk by speaking with relevant regulators and other knowledgeable parties including: the Board of Governors of the Federal Reserve System (Federal Reserve); the Federal Deposit Insurance Corporation (FDIC); the National Credit Union Administration (NCUA); the Office of the Comptroller of the Currency (OCC); the Commodity Futures Trading Commission (CFTC); the Bureau of Consumer Financial Protection, known as the Consumer Financial Protection Bureau (CFPB); the Department of the Treasury (Treasury); the Federal Communications Commission; Federal Trade Commission (FTC); the Financial Industry Regulatory Authority (FINRA), the Securities and Exchange Commission (SEC); and the Small Business Administration.", "To obtain state-level perspectives we interviewed representatives of the Conference of State Bank Supervisors (CSBS), National Association of Attorneys General, Money Transmitter Regulators Association, National Association of State Credit Union Supervisors, and the North American Securities Administrators Association. We also interviewed staff from three state financial regulatory agencies in states with active fintech firms and regulatory activities: California, Illinois, and New York.", "To assess the regulatory environment and various challenges faced by fintech firms, we identified relevant laws and regulations pertaining to fintech companies within our scope by reviewing prior GAO reports on financial regulation and fintech, interviewed agency staff and industry participants, and analyzed relevant agency documents, including relevant laws and regulations. We also reviewed guidance; final rulemakings; initiatives; and enforcement actions from agencies. To obtain federal regulatory perspectives, we interviewed staff from the Federal Reserve, FDIC, NCUA, OCC, CFTC, CFPB, Treasury, FTC, FINRA, SEC, and SBA.", "To determine the steps taken by domestic and other countries\u2019 regulators to encourage financial innovation in their countries, we conducted fieldwork\u2014including interviews with regulatory agencies, fintech firms, and industry observers, as well as, observations of fintech programs\u2014in the United Kingdom, Singapore, and Hong Kong. We also conducted interviews with a regulatory organization and fintech firms operating in Canada. We identified and selected countries for our fieldwork through criteria that focused on the extent to which these locations had significant (1) financial services activities, (2) fintech activities, and (3) fintech regulatory approaches. We conducted Internet research, literature searches, and interviews to identify relevant foreign regulators within the selected fieldwork sites. To obtain other countries\u2019 regulator perspectives, we interviewed and analyzed agency documents on regulatory efforts and views on fintech innovations within their financial markets from regulators in Hong Kong, Singapore, and the United Kingdom. To obtain the perspective of fintech firms operating in the selected fieldwork sites, we conducted Internet research, literature searches, and interviews to determine relevant fintech firms and foreign trade associations, including recommendations from domestic industry participants and observers.", "We conducted this performance audit from initiation August 2016 to March 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Interagency Collaborative Efforts That Have Addressed Fintech Issues", "paragraphs": ["In this appendix, we present interagency working groups (including task forces and other interagency collaborative bodies) that have discussed fintech issues, and in some cases, taken specific actions. This list includes interagency groups that are dedicated exclusively to fintech as well as those that may discuss fintech as part of their broader financial regulatory focus. Also, it includes interagency groups that operate at both the domestic and international levels (see tables 2 and 3). This list is based on information we obtained from the federal financial regulatory agencies we met with and is not intended to be an exhaustive list."], "subsections": []}, {"section_title": "Appendix III: Regulatory Sandbox Examples", "paragraphs": [], "subsections": [{"section_title": "UK Financial Conduct Authority\u2019s Regulatory Sandbox", "paragraphs": ["According to officials, the purpose of the Financial Conduct Authority\u2019s (FCA) sandbox is to allow firms to test innovative products, services, or business models in a live market environment, while ensuring that appropriate protections are in place. FCA has stated that its sandbox has (1) reduced the time and cost of getting innovative ideas to market; (2) facilitated access to finance for innovators; (3) enabled products to be tested and introduced to the market; and (4) helped the agency build appropriate consumer protection safeguards into new products and services. The characteristics of the FCA sandbox, according to the agency, are listed below.", "Eligible Participants: Currently regulated firms as well as unregulated firms.", "Eligibility Criteria: Firms submit an application outlining how they meet the eligibility criteria for testing, which are (1) carrying out or supporting financial services business in the UK; (2) genuinely innovative; (3) identifiable consumer benefit; (4) need for sandbox testing; and (5) ready to test.", "Testing Parameters: If a firm is unauthorized it must obtain authorization or restricted authorization prior to participation in the sandbox. Prior to participating in the sandbox a firm must design, and obtain agreement on, the parameters of the sandbox test, including the duration; customer selection; customer safeguards; disclosures; data; and testing plans.", "FCA has four ways that it can help firms operate more easily in its sandbox. First, it can provide restricted authorizations that are a tailored authorization process for firms accepted into the sandbox. Any authorization or registration is restricted to allow firms to test only their ideas as agreed upon with agency staff, which is intended to make the process easier for firms to meet requirements and reduce the cost and time to initiate the test, according to the agency. Second, FCA provides individual guidance to firms in the sandbox that are unclear on how the agency\u2019s rules apply, whereby FCA will interpret the regulatory requirements in the context of the firm\u2019s specific test. Third, in some cases, FCA may be able to waive or modify an unduly burdensome rule for the purposes of the sandbox test, but it cannot waive national or international laws. Finally, FCA can issue no enforcement action letters in cases where they cannot issue individual guidance or waivers but they believe regulatory relief is justified for the circumstances of the sandbox. According to the agency, no enforcement action letters are offered only during the duration of the sandbox test to firms that keep to the agreed- upon testing parameters and that treat customers fairly. Also, no enforcement action letters only apply to FCA disciplinary action and do not limit any liabilities to consumers. Officials we interviewed noted that rule waivers and no enforcement action letters are rarely used tools. As of January 2018, FCA had received more than 200 sandbox applications. Eighteen firms had successfully graduated from the first cohort, 24 firms were preparing to test in the second cohort, and 18 other firms were accepted to test in the third cohort."], "subsections": []}, {"section_title": "Monetary Authority of Singapore\u2019s Regulatory Sandbox", "paragraphs": ["Recognizing that when lack of clarity over whether a new financial service complies with legal and regulatory requirements could cause some financial institutions or start-ups to choose not to implement an innovation, the Monetary Authority of Singapore\u2019s (MAS) purpose in establishing its sandbox was to encourage such experimentation so that promising innovations could be tested in the market and have a chance for wider adoption, according to the agency. In addition, the agency stated that sandbox tests include safeguards to contain the consequences of failure and maintain the overall safety and soundness of the financial system. The characteristics of the MAS sandbox, according to MAS, are listed below.", "Eligible Participants: Firms that are looking to apply technology in an innovative way to provide financial services that are regulated by MAS, including financial institutions, fintech firms, and professional services firms partnering with such firms.", "Eligibility Criteria: Firms submit an application outlining how they meet the eligibility criteria for testing, which are that (1) the product uses new technology or existing technology in an innovative way, (2) the product benefits consumers or industry, and (3) the firm intends to deploy the product in Singapore on a broader scale after exiting the sandbox.", "Testing Parameters: Firms must define the following testing parameters prior to participating in the sandbox: (1) clearly defined test scenarios and expected outcomes must be established; (2) boundary conditions that facilitate meaningful experiments while sufficiently protecting the interests of consumers and maintaining the safety and soundness of the industry must be in place; (3) the firm assesses and mitigates significant associated risks; and (4) an acceptable exit and transition strategy must be defined.", "MAS stated that it will consider relaxing various regulatory requirements for the duration of the sandbox test. However, they emphasized that their sandbox is not intended and cannot be used as a means to circumvent legal and regulatory requirements. MAS staff determines the specific legal and regulatory requirements that they may be willing to relax on a case- by-case basis. According to MAS, some of the regulatory requirements that could be relaxed included maintenance of certain levels of financial soundness, solvency, capital adequacy, and credit ratings as well as licensing fees, board composition requirements, and management experience requirements, among others. However, MAS has also laid out some requirements that it will not consider relaxing, including those regarding consumer information confidentiality, anti-money laundering, and countering terrorist financing. MAS officials said that all firms in the sandbox will receive some form of regulatory relaxation. As of November 2017, MAS had received more than 30 sandbox applications. One firm had successfully graduated, and a few other firms were testing or were in the process of initiating a sandbox test."], "subsections": []}, {"section_title": "Hong Kong Monetary Authority\u2019s Fintech Supervisory Sandbox", "paragraphs": ["According to the Hong Kong Monetary Authority (HKMA), the purpose of the HKMA sandbox is to enable banks and technology firms to gather data and user feedback so that they can make changes to their innovations, thereby expediting the launch of new products and reducing development costs. HKMA officials stated that the sandbox allows banks and their partnering technology firms to conduct pilot trials of their fintech initiatives involving a limited number of participating customers without the need to achieve full compliance with HKMA\u2019s supervisory requirements. The characteristics of the HKMA sandbox, according to the agency, are listed below.", "Eligible Participants: Regulated banks and their partnering technology firms.", "Eligibility Criteria: Fintech initiatives that are intended to be launched by banks in Hong Kong are eligible for the sandbox.", "Testing Parameters: Participating firms must (1) define the scope, phases, timing, and termination of the sandbox test; (2) establish customer protection measures, including disclosures, complaint handling, and compensation for consumer loss; (3) establishing risk management controls; and (4) establish a monitoring program for the sandbox test.", "Similar to MAS, HKMA stated that its sandbox should not be used as a means to bypass applicable supervisory requirements; however, HKMA will relax regulatory requirements on a case-by-case basis. As of November 2017, nine banks had participated in 26 HKMA sandbox tests. Twelve of these tests had been completed and banks collaborated with fintech firms in 15 of the tests."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Consumer Financial Protection Bureau", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Commodity Futures Trading Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Conference of State Bank Supervisors", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Federal Communications Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Federal Deposit Insurance Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Board of Governors of the Federal Reserve System", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the National Credit Union Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the Office of the Comptroller of the Currency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Comments from the Securities and Exchange Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Lawrance L. Evans, Jr., (202) 512-8678 or evansl@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Cody Goebel (Assistant Director); Chloe Brown (Analyst-in-Charge); Chris Ross; Davis Judson; Ian P. Moloney; and Bethany Benitez made key contributions to this report. Also contributing to this report were Joanna Berry; Timothy Bober; Richard Hung; Pamela Davidson; Tovah Rom; Cynthia Saunders; and Jena Sinkfield."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-326", "url": "https://www.gao.gov/products/GAO-18-326", "title": "DOD Major Automated Information Systems: Adherence to Best Practices Is Needed to Better Manage and Oversee Business Programs", "published_date": "2018-05-24T00:00:00", "released_date": "2018-05-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD's MAIS programs are intended to help the agency sustain its key operations. In April 2017, recognizing that MAIS programs met different mission needs, DOD categorized its MAIS programs into business and non-business systems.", "The National Defense Authorization Act for Fiscal Year 2012 includes a provision for GAO to select, assess, and report on DOD's MAIS programs annually through March 2018. GAO's objectives, among others, were to (1) assess DOD's policies for managing and overseeing MAIS programs and (2) describe the extent to which selected MAIS programs have changed their planned cost and schedule estimates and met technical performance goals. To address these objectives, GAO compared DOD's policies for managing and overseeing all 34 MAIS programs (24 non-business programs and 10 business programs) to leading IT management practices. GAO also compared 15 selected programs' initial cost, schedule, and performance baselines to their current acquisition program estimates."]}, {"section_title": "What GAO Found", "paragraphs": ["The strength of Department of Defense's (DOD) policies for managing and overseeing major automated information system (MAIS) programs varies. Specifically, the policy for managing 24 non-business MAIS programs adheres to leading information technology (IT) management practices, but the policy for managing 10 MAIS business programs does not always do so (see table).", "When DOD categorized 10 of the 34 MAIS programs as MAIS business programs, it also directed these programs to adhere to DOD's business systems policy (DOD Instruction 5000.75). However, the department directed those programs to use a policy for the management and oversight of MAIS business programs that was not fully comprehensive. Until DOD updates its business systems policy to address gaps in establishing performance information such as baseline estimates on program cost and schedule goals, identifying thresholds to identify high risk, and requiring periodic reports to be provided to stakeholders at regular intervals, stakeholders will likely not have all the information they need to manage and oversee MAIS business programs.", "While all 15 business and non-business MAIS programs had either increased or decreased their planned cost estimates and the majority had delays in their planned schedule estimates, the majority of the 9 programs that had performance targets met those performance goals. Specifically, the decreases and increases in cost estimates ranged from a decrease of $1.6 billion (-41 percent) to an increase of $1.5 billion (163 percent). The decreases in planned cost were largely due to scope reduction, while cost increases were due to underestimating levels of effort and contracting issues. The slippages in schedule estimates ranged from a delay of 5 years to 5 months; these delays were caused by unrealistic expectations or unplanned changes. Six of the 9 programs that had performance targets met all of them, while the other 3 met several but not all of their performance targets. The other 6 programs were in the early stages of system development and had not begun performance testing."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that DOD update its policy for managing MAIS business programs to include baseline estimates. DOD partially concurred with this recommendation, and fully concurred with the other two recommendations. GAO continues to believe that all the recommendations are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) is one of the largest and most complex organizations in the world. To meet its mission to protect the security of our nation and to deter war, it relies heavily on the use of information technology (IT) and information systems to support warfighters. In this regard, according to DOD\u2019s IT investment portfolio for fiscal year 2017, the department spent approximately $33.4 billion for IT investments. Of this amount, approximately $2.5 billion was spent on major automated information system (MAIS) programs, which include business and non-business information systems that help the department sustain its key operations in communications and command and control, and provide it with access to information to organize, plan, and monitor mission operations.", "A DOD IT investment that falls within one of the following categories is designated as a MAIS program when: (1) program costs in any single year exceed $40 million, (2) total program acquisition costs exceed $165 million, or (3) total life-cycle costs exceed $520 million. The Secretary of Defense could also use discretion to designate a program as a MAIS program if it did not meet these cost thresholds.", "The National Defense Authorization Act for Fiscal Year 2012 includes a provision that we select, assess, and report on DOD MAIS programs annually through March 2018. GAO satisfied the statutory mandate by submitting a draft of the report to congressional committees on March 29, 2018. This final version of the report is the sixth and last report in the series of annual mandated assessments. Our specific objectives for this review were to (1) assess DOD\u2019s policy for the management and oversight of MAIS programs; (2) describe the extent to which selected MAIS programs have changed their planned cost and schedule estimates and met performance targets; and (3) assess the extent to which selected MAIS programs have used leading IT acquisition practices, including requirements and risk management.", "To address the first objective, we assessed DOD\u2019s memorandums and policies for managing MAIS programs. To evaluate DOD\u2019s approach in managing and overseeing MAIS programs, we identified leading IT management practices in GAO\u2019s Information Technology Investment Management guide and compared DOD\u2019s policies to those practices. We also interviewed an acquisition official responsible for the department\u2019s plan to update its policies for administering how MAIS programs are to be managed and monitored.", "To address the second objective, we used DOD\u2019s official list of 34 MAIS programs, as of April 18, 2017, to establish a basis for selecting programs. From this list, we identified those MAIS programs based on our criteria that programs must be unclassified and have a first acquisition program baseline that could be used as a reference point for evaluating cost, schedule, and technical performance characteristics. Based on these criteria, we selected 15 of the 34 MAIS programs for our review.", "We then compared each program\u2019s cost (in then-year dollars) and schedule estimates established in the first acquisition baseline to the latest total life-cycle cost and schedule estimates. In addition, to determine whether system performance targets were met, we identified nine MAIS programs that had conducted performance tests. We then compared each program\u2019s initial and most recent baseline performance targets.", "To address the third objective, we selected three programs that had not been included in our last assessment, while seeking to ensure that we had representation from at least one military service and at least one defense agency. Using these criteria, we selected the Navy\u2019s Consolidated Afloat Networks and Enterprise Services; Defense Logistics Agency\u2019s Defense Agencies Initiative, Increment 2; and Defense Health Agency\u2019s Department of Defense Healthcare Management System Modernization.", "We then identified requirements and risk management practices in the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Acquisition (CMMI\u00ae-ACQ) and assessed each of the three programs against these criteria. Specifically, regarding risk management practices, we analyzed each program\u2019s key documents, such as the risk register logs, risk management plans, and other artifacts, and compared them to the leading practices. Regarding requirements management, we compared requirements documents, such as the requirements management plan, traceability matrix, and procedural tools to the leading practices. We also conducted follow-up interviews with project officials regarding the management practices of each program.", "To assess the reliability of the data we used to support the findings in this report, we corroborated program office responses with relevant program documentation and interviews with agency officials. We determined that the data were sufficiently reliable for our reporting purposes. Since we selected a nonprobability sample of MAIS programs, the results of our analysis are not generalizable to all MAIS programs. See appendix I for a more detailed discussion of our objectives, scope, and methodology.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD\u2019s organizational structure includes the Office of the Secretary of Defense, the Joint Chiefs of Staff, the military departments, numerous defense agencies and field activities, and various unified combatant commands that contribute to the oversight of DOD\u2019s acquisition programs. Prior to February 2018, the former Under Secretary of Defense for Acquisition, Technology, and Logistics also served as the principal acquisition official of the department and was the acquisition advisor to the Secretary of Defense.", "The former Under Secretary also served as the Defense Acquisition Executive and was the official responsible for supervising the acquisition of MAIS programs. The former Under Secretary\u2019s authority included directing the military services and defense agencies on acquisition matters and making milestone decisions for MAIS and other programs. This official also had policy and procedural authority for the defense acquisition system, which establishes the steps that DOD programs generally take to plan, design, acquire, deploy, operate, and maintain the department\u2019s information systems.", "However, as of February 2018, the department changed the way it conducts business and operations with the statutory elimination of the Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics. The statute contains a provision that required DOD to establish a new Office of the Under Secretary of Defense for Research and Engineering to be responsible for driving innovation and acceleration of the advancement of warfighting capability. In addition, a new Office of the Under Secretary of Defense for Acquisition and Sustainment was created to focus on delivering proven technology more quickly. The creation of these offices within the department is intended to shift the principal focus of the Office of the Secretary of Defense from a role of program oversight to that of directing major department investments. Further, the statutory creation of a Chief Management Officer to replace the former Deputy Chief Management Officer is intended to improve the quality and productivity of the department\u2019s business operations."], "subsections": [{"section_title": "DOD\u2019s Acquisition Guidance and Framework for Managing MAIS Acquisitions", "paragraphs": ["In January 2015, DOD updated its guidelines that outline the framework for MAIS programs. This framework consists of six models for acquiring and deploying a program, including two hybrid models that each describe how a program may be structured based on the type of product being acquired (e.g., software-intensive programs and hardware-intensive programs). A generic acquisition model that shows all of the program life- cycle phases and key decision points is depicted in figure 1 and described below.", "Materiel solution analysis: Refine the initial system solution (concept) and create a strategy for acquiring the solution. A decision\u2014referred to as Milestone A\u2014is made at the end of this phase to authorize entry into the technology maturation and risk reduction phase.", "Technology maturation and risk: Determine the preferred technology solution and validate that it is affordable, satisfies program requirements, and has acceptable technical risk. A decision\u2014referred to as Milestone B\u2014is made at the end of this phase to authorize entry of the program into the engineering and manufacturing development phase and award development contracts. An acquisition program baseline is first established at the Milestone B decision point. A program\u2019s first acquisition program baseline contains the original life-cycle cost estimate (which includes acquisition and operations and maintenance costs), the schedule estimate (which consists of major milestones and decision points), and performance parameters that were approved for that program by the milestone decision authority. The first baseline is established after the program has refined user requirements and identified the most appropriate technology solution that demonstrates that it can meet users\u2019 needs.", "Engineering and manufacturing development: Develop a system and demonstrate through testing that the system meets all program requirements. A decision\u2014referred to as Milestone C\u2014is made during this phase to authorize entry of the system into the production and deployment phase or into limited deployment in support of operational testing.", "Production and deployment: Achieve an operational capability that meets program requirements, as verified through independent operational tests and evaluation, and implement the system at all applicable locations.", "Operations and support: Operationally sustain the system in the most cost-effective manner over its life cycle."], "subsections": []}, {"section_title": "Leading Practices for Managing IT Investments and Acquisition Programs", "paragraphs": ["We have developed and identified leading practices for governing IT investments to help guide organizations to better manage and oversee their projects. GAO\u2019s Information Technology Investment Management guide states that good performance data and stakeholder oversight are elements that can lead to positive outcomes, such as helping to ensure a project is keeping to its initial cost, schedule, and performance goals. The guide also states that projects should be reviewed at regular intervals to monitor performance so that stakeholders can be aware of and review any differences between actual outcomes and goals.", "In addition, we and other entities, such as the Software Engineering Institute at Carnegie Mellon University, have identified leading practices to help guide organizations to effectively plan and manage their acquisitions of major IT systems. Our prior reviews have shown that proper implementation of such practices can significantly increase the likelihood of delivering promised system capabilities on time and within budget. These practices include, but are not limited to: Requirements management: Requirements establish what the system is to do, how well it is to do it, and how it is to interact with other systems. Appropriate requirements management involves eliciting and developing customer and stakeholder requirements, and analyzing them to ensure that they will meet users\u2019 needs and expectations. It also consists of validating requirements as the system is being developed to ensure that the final systems to be deployed will perform as intended in an operational environment.", "Risk management: Risk management is a process for anticipating problems and developing plans to take appropriate steps to mitigate risks and minimize their impact on program commitments. It involves identifying and documenting risks, categorizing them based on their estimated impact, prioritizing them, developing risk mitigation strategies, and tracking progress in executing the strategies."], "subsections": []}]}, {"section_title": "DOD\u2019s Policies for Managing MAIS Programs Do Not Always Adhere to Leading IT Management Practices", "paragraphs": ["According to GAO\u2019s Information Technology Investment Management guide, leading practices for managing IT projects include: instituting the investment board, which is the process for creating and defining the membership, guiding policies, operations, roles, responsibilities, and authorities within the organization; identifying decision authorities for making important acquisition decisions; providing oversight whereby the organization monitors each project on its performance progress (e.g., establishing and tracking baseline estimates on cost and schedule goals, and thresholds to identify high risk on cost and schedule); and capturing and providing performance information about a particular investment (project) to decision makers at regular intervals (e.g., quarterly and annually).", "To align MAIS programs with the functions they perform, DOD recently made changes in how it characterizes its MAIS programs and, as a result, different programs must follow different management policies. Specifically, in April 2017, DOD identified 10 of 34 total MAIS programs as business programs and the Director, Acquisition Resources and Analysis announced that these programs would adhere to DOD\u2019s Instruction 5000.75 policy for management and oversight. Further, in November 2017, the former Under Secretary of Defense for Acquisition, Technology, and Logistics announced that non-business MAIS programs would adhere to DOD\u2019s Instruction 5000.02 policy for management and oversight.", "However, the policies used for MAIS business programs are not consistent in their adherence to leading IT management practices. For example, while the policy for non-business MAIS programs is consistent in its adherence to all four of the leading IT management practices, the policy for MAIS business programs is consistent in its adherence to only two of the four practices. Table 1 shows our analysis of DOD\u2019s policies for non-business MAIS programs and MAIS business program and their adherence to the leading IT management practices.", "As shown in the table, DOD\u2019s policy for non-business MAIS programs adheres to all four leading IT management practices. For example, the policy requires non-business MAIS programs to report the status of each program\u2019s cost, schedule, and technical performance information quarterly and annually. The policy also designates specific decision makers who are responsible for monitoring and overseeing the progress of non-business system MAIS programs. Further, the policy requires each program to establish and report their initial baseline estimates and current estimates on cost and schedule so their performance can be tracked and monitored. In addition, to identify when programs may be at risk of significant cost or schedule increases, the policy requires programs to predetermine cost and schedule threshold estimates as an early warning indicator on when programs reach the point where they are at increased risk.", "In contrast, DOD\u2019s policy for MAIS business programs policy only adheres to two of the four practices. Specifically, the policy adheres to the practice of instituting an investment board with processes for creating and defining the membership, policies, operations, roles, responsibilities, and authorities within the organization. In addition, the policy identifies decision authorities for making important executive-level acquisition decisions. However, the policy does not specify the establishment of initial and current baseline estimates on cost and schedule, and does not specify the reporting of threshold cost and schedule estimates to identify the point when programs may be at high risk. In addition, the policy does not adhere to leading practices requiring the periodic (quarterly and annual) reporting of performance information to stakeholders.", "To help address the need for improved guidance, the former Under Secretary of Defense for Acquisition, Technology and Logistics established a cross-functional team that is to examine the future of non- business MAIS programs and MAIS business programs from a policy, organization, management, and reporting perspective. The team was expected to provide its recommendations to the Under Secretary of Defense for Acquisition and Sustainment by March 15, 2018. However, because no final decisions had been made by the Under Secretary as of that date, it is unclear what specific actions the department will take regarding its policy recommendations, among other recommendations, to improve the management of non-business MAIS programs and MAIS business programs.", "Until DOD updates its policy for MAIS business programs to adhere to leading practices on the establishment of baseline estimates on cost and schedule to include threshold estimates on cost and schedule to identify when programs may be at high risk, stakeholders may not have the information they need to manage and oversee MAIS business programs. Further, unless the department updates its policy for MAIS business programs to adhere to the leading practice for periodically (quarterly and annually) reporting essential performance information, stakeholders may not have the information they need to make informed decisions for managing and overseeing MAIS business programs."], "subsections": []}, {"section_title": "All Selected MAIS Programs Had Changes in Cost and Schedule Estimates, and Most Programs Had Met Performance Targets", "paragraphs": ["All of the 15 selected MAIS programs had either increased or decreased their planned cost estimates, and 10 of them had delays in their planned schedule estimates when comparing the first acquisition program baseline to the most recent acquisition program baseline estimates. The changes in the cost estimates ranged from a decrease of $1.6 billion (-41 percent) to an increase of $1.5 billion (163 percent), and slippages in the schedule estimates ranged from a delay of 5 years to a delay of 5 months.", "Further, 9 of the 15 selected programs had conducted testing in which we could report on the number of performance targets met for each program. Of those 9, 6 programs reported that they had met all of their performance targets. The remaining 3 programs reported that they met several but not all performance targets. The following table shows the extent of changes in planned cost and schedule estimates for the selected MAIS programs since the first baseline estimate, as well as the number of performance targets met."], "subsections": [{"section_title": "All Selected MAIS Programs Had Either Increases or Decreases in Their Planned Cost", "paragraphs": ["All 15 selected MAIS programs had experienced increases or decreases in their planned cost estimates when comparing the initial, or first, baseline estimate to the current estimate. Specifically, 10 programs had decreases in their cost estimates that ranged from $1.2 million (less than -1 percent) for the Defense Agencies Initiative, Increment 2 program to $1.6 billion (-41 percent) for the Air Force\u2019s Base Information Transport Infrastructure Wired program.", "Program officials reported that reductions in planned cost estimates were due to changes in program scope. Specifically, the reasons for reduction in cost include:", "Program scope changes. Officials for the Air Force\u2019s Joint Space Operations Center Mission System Increment 2 program reported that its 12 percent cost decrease was due to a reduction in its estimate for operations and support that was changed from 20 years to 10 years. Officials for the Defense Information Systems Agency\u2019s Global Combat Support System\u2013Joint Increment 8 program reported that its 20 percent cost decrease was due to a reduction in the program\u2019s scope for the number of development hours required to meet the logistics and operational needs. In addition, officials for the Defense Information Systems Agency\u2019s Teleport Generation 3 program reported that its 22 percent cost decrease was due to a revised scope in terms of what is needed at the Milestone C decision point for low rate production.", "Design reconfiguration. Officials for the Air Force\u2019s Base Information Transport Infrastructure Wired program reported that its 41 percent cost decrease was due to a reduction in the program\u2019s scope when they changed from a base network system to a critical core configuration.", "In addition, 5 of the programs had experienced cost increases. These cost increases ranged from $2.9 million (less than 1 percent) for the Army\u2019s Logistics Modernization Program Increment 2 to $1.5 billion (163 percent) for the Army\u2019s Tactical Mission Command program. Program officials reported a variety of reasons for the increases in planned cost estimates. These reasons included the following:", "Underestimating schedule. Officials for the Air Force\u2019s Defense Enterprise Accounting and Management System Increment 1 program attributed its 60 percent cost increase to underestimating the level of effort that was needed to develop the system within the estimated schedule. For example, the program did not account for software upgrades and, when this effort was added to the schedule to account for the work, the cost increased.", "Contractor issues. Officials from the National Security Agency\u2019s Key Management Infrastructure Increment 2 program attributed its cost increase of 14 percent to schedule delays caused by the contractor and, as a result, increased funding at the Milestone C decision point.", "Underestimating development and test efforts. Officials from the Army\u2019s Tactical Mission Command program attributed the cost increase of 163 percent to higher than expected costs to conduct research and developmental tests."], "subsections": []}, {"section_title": "Ten Selected MAIS Programs Had Delays in Their Planned Schedule Estimates", "paragraphs": ["Ten of the 15 selected MAIS programs had experienced changes in their planned schedule estimates, and 5 programs had no changes to their schedule estimates. The changes consisted of schedule slippages that ranged from 5 months for both the Army\u2019s Logistics Modernization Program Increment 2 and the Defense Health Agency\u2019s Department of Defense Healthcare Management System program, to 5 years for the Defense Enterprise Accounting and Management System Increment 1 program.", "Program officials reported that delays in the planned schedule estimates were due to unplanned budget reductions or unrealistic expectations regarding project milestones. Specifically, the reasons for these schedule slippages included:", "Aggressive schedule, funding reduction, and contract issues. Officials for the Air Force\u2019s Joint Space Operations Center Mission System Increment 2 program attributed its schedule slippage of 2 years and 11 months to funding reductions of $18.9 million in fiscal years 2013 and 2014. In addition, the officials noted that an aggressive schedule for a Milestone B decision, contracting issues in the earlier acquisition phase, and longer than expected time to obtain personnel had contributed to the slippage.", "Longer than expected time to reach deployment. Officials for the Air Force\u2019s Defense Enterprise Accounting and Management System Increment 1 program reported that its schedule slippage of 5 years occurred because of a change in the approach to deliver the system in multiple increments, thereby increasing the amount of time it would take to reach the deployment decision milestone. Also, officials for the Defense Information Systems Agency\u2019s Teleport Generation 3 program reported a 3-year and 2-month slip. This schedule delay was due to the program\u2019s inability to develop the mobile user and system interface capability by the estimated deployment milestone. Further, program officials for the Navy\u2019s Consolidated Afloat Networks and Enterprise Services program attributed its schedule slip of 2 years and 6 months to a longer than expected maintenance period for the test platform and to a lengthy budget approval process, resulting in a slippage in the deployment date.", "Unplanned procurement fund reduction. Officials for the Army\u2019s Global Combat Support System-Army program reported that its schedule delay of 11 months was due, in part, to a $16 million dollar decrease to the fiscal year 2016 budget. This unplanned reduction in procurement fund affected their ability to field the system as originally planned.", "Contractor staffing issues. Officials for the National Security Agency\u2019s Key Management Infrastructure Increment 2 program reported significant schedule delays due to the contractor\u2019s inability to staff the program with software developers that had the required security clearances. As a result, a critical change was reported in January 2012 that led to a new independent cost estimate, which extended program development by 10 months. The new estimate included additional time to improve the governance structure, such as increasing discipline across the oversight process, adding more stakeholder interaction, and improving the use of metrics."], "subsections": []}, {"section_title": "Six of Nine MAIS Programs Had Met All Performance Targets", "paragraphs": ["Among other information, DOD uses key performance parameters as a metric to report on programs\u2019 progress toward meeting system performance targets. This information includes a description of the performance characteristics, the objective and threshold value for each target and, importantly, whether the target has been met in demonstrating performance.", "Of the nine programs we evaluated, six programs reported that they met all of their performance targets. For example, the Navy\u2019s Common Aviation Command and Control System, Increment 1 program reported in May 2017 that both of its technical performance targets had been met. According to the program, these targets were related to the readiness of the system to fully support all operational activities and satisfy all technical requirements for military operations and the fusion of all kinds of data onto any workstation.", "In another example, the Army\u2019s Logistics Modernization Program Increment 2 program reported in June 2017 that all seven of its performance targets had been met. According to the program, these targets were related to the system\u2019s ability to support military operations, exchange information in the network, provide system and information assurance in a disaster recovery scenario, and be operationally available.", "Further, three programs reported that they met several, but not all, of their performance targets. For example, the Navy\u2019s Consolidated Afloat Networks and Enterprise Services program reported that it met eight of nine performance targets. According to program officials, the remaining target (i.e., network shall fully support joint critical operational activities) had not been met because the program lacked an operational platform that was required to demonstrate its performance.", "The Defense Information Systems Agency\u2019s Teleport Generation 3 program reported that it met 8 of 12 performance targets. According to programs officials, the remaining 4 targets (i.e., coverage to allow warfighter communications, capacity to provide 100 percent of the required services, and interoperability with military and commercial frequencies and wave forms) had not been met because the program needed to field multiple systems and perform solution testing, which they expect to be completed in fiscal year 2018. Further, the Air Force\u2019s Defense Enterprise Accounting and Management System Increment 1 program officials reported that it met 3 of 4 targets (i.e., compliance with requirements, network ready, and sustainment to ensure materiel availability). The officials reported that the program did not meet the remaining target because it was waiting for an evaluation of cyber test results before proceeding."], "subsections": []}]}, {"section_title": "Selected Programs Fully Implemented Most, but Not All, of the Leading Practices for Managing Requirements and Risk", "paragraphs": ["According to the Software Engineering Institute\u2019s Capability Maturity Model Integration\u00ae for Acquisition (CMMI\u00ae-ACQ), an appropriate requirements management process involves establishing an agreed-upon set of requirements, ensuring traceability between requirements and work products, and managing any changes to the requirements in collaboration with stakeholders. Likewise, an effective risk management process identifies potential problems before they occur, so that risk-handling activities may be planned and invoked, as needed, across the life of the project in order to mitigate the potential for adverse impacts.", "Leading requirements management practices help organizations to better manage the design, development, and delivery of systems within established cost and schedule time frames. These practices include developing an understanding with the requirements providers of the meaning of the requirements, obtaining commitment to requirements from project participants, managing changes to requirements as they evolve during the project, maintaining bidirectional traceability among requirements and work, ensuring that project plans and work products remain aligned with requirements.", "An effective risk management process includes the following leading practices determining risk sources and categories; defining parameters used to analyze and categorize risks and to control the risk management effort; establishing and maintaining the strategy to be used for risk identifying and documenting risks; evaluating and categorizing each identified risk using defined risk categories and parameters, and determining its relative priority; developing a risk mitigation plan in accordance with the risk monitoring the status of each risk periodically and implementing the risk mitigation plan as appropriate.", "The three selected MAIS programs that we evaluated had fully implemented most, but not all, of the five leading practices for managing requirements and the seven leading practices for managing risks. Specifically, two of three programs implemented all of the requirements management practices, while one program implemented most, but not all, of the practices.", "Further, one of three programs implemented all of the risk management practices, while two programs implemented most, but not all of the practices. Table 3 shows the extent to which practices were implemented by the three selected programs."], "subsections": [{"section_title": "Two Programs Fully and One Program Partially Implemented Leading Practices for Managing Requirements", "paragraphs": ["Two of the three programs had fully implemented the requirements management practices. The other program had partially implemented two practices and fully implemented three practices.", "Navy \u2014 Navy Consolidated Afloat Networks and Enterprise Services The Navy had fully implemented the five requirements management practices for the Consolidated Afloat Networks and Enterprise Services program. For example, the program developed an understanding with requirements providers of the meaning of the requirements. Specifically, there was a plan for documenting, managing, and controlling changes to requirements throughout the system lifecycle. This plan served as the primary guidance for integrating the management of all specified and derived requirements for the Consolidated Afloat Networks and Enterprise Services system program.", "In addition, the program had established criteria for determining requirements providers. Specifically, roles and responsibilities for requirements management had been identified. Further, the program managed changes to requirements as they evolved during the project. For example, the program provided evidence that it maintains a requirements change history, including the rationale for changes.", "Defense Logistics Agency \u2014 Defense Agencies Initiative, Increment 2 The Defense Logistics Agency had fully implemented the five requirements management practices for the Defense Agencies Initiative, Increment 2. For example, the program had established objective criteria for the evaluation and acceptance of requirements. Specifically, there was a process in place to develop and finalize deliverables in support of the business requirements identified by the stakeholders, ensure that requirements management activities were performed in a timely manner throughout the life of the project, and review and approve requirements deliverables. Further, throughout the process, the requirements manager tracked requirements changes and maintained traceability of end user needs to the system performance specification.", "The Defense Health Agency had fully implemented three and partially implemented two of the five requirements management practices for the Defense Healthcare Management System Modernization program. For example, the program had established objective criteria for the evaluation and acceptance of requirements. Specifically, any new or updated requirements were presented to a Configuration Steering Board for review and approval prior to any changes being made. Further, throughout the process, the requirements manager tracked requirements changes and maintained traceability to ensure they were documented.", "The program has not developed an understanding with the requirements providers on the specific meaning of the requirements. For example, although the program had developed a requirements management plan which provided guidance in this area, according to program officials, the plan was not signed and approved based on the recent shift of the program from a non-business MAIS program to a MAIS business program operating under DOD Instruction 5000.75. Program officials stated that the requirements management plan is not expected to be complete until final guidance is provided by the Office of the Secretary.", "Regardless of this recent shift, the program should have already had an approved requirements management plan in place since program initiation. In the absence of an approved plan, the program lacks assurance that it can effectively communicate and manage requirements practices.", "Further, the program had not demonstrated that it identified any changes that should be made to plans and work products resulting from changes to the requirements baseline. Programs officials stated that efforts to review modifications to the plan due to requirements changes had not been conducted, but they expected the review and approval to be done at some future date. However, they could not provide a specific time frame. According to CMMI\u00ae-ACQ, until project plans and work products are updated to coincide with changes in requirements, the program will not be able to effectively identify inconsistencies between requirement changes and project plans and work products, and initiate corrective actions to resolve them."], "subsections": []}, {"section_title": "One Program Fully and Two Programs Partially Implemented Applicable Risk Management Leading Practices", "paragraphs": ["One program had fully implemented the risk management practices, while two had fully implemented all but one practice.", "Navy \u2014 Navy Consolidated Afloat Networks and Enterprise Services The Navy had fully implemented six and partially implemented one risk management practice for the Consolidated Afloat Networks and Enterprise Services system program. For example, the program\u2019s risks defined consistent criteria for evaluating and quantifying risk likelihood and severity levels. Specifically, the program provided a risk exposure (e.g., a risk source used to examine and oversee changes that impact the project), which is the value that is given to a risk event, a product, or the overall program based on the analysis of the probability and consequences of the event. Further, the program\u2019s Risk Management Guide outlined risk performance, cost, and schedule criteria. In addition, the program demonstrated that it included the cost and benefits of implementing risk mitigation plans. Specifically, a risk\u2019s description provided the cost impacts associated with the risk, which in turn provided evidence that cost and benefits were considered during risk evaluation.", "However, the Navy partially implemented one practice. Specifically, although the program provided its failover/recovery plan that is intended to return the program to a state of readiness after a failure, the plan did not explicitly identify environmental elements. A program official stated that environmental factors, such as risks that could negatively affect their work, is understood, but these factors had not been documented in the plan. Further, the official stated that the program should update the plan accordingly, but did not provide a time frame to complete this effort. Until all potential issues, hazards, threats, and vulnerabilities that could negatively affect work efforts have been identified in the plan, successful risk management cannot be ensured.", "Defense Logistics Agency\u2014Defense Agencies Initiative, Increment 2 The Defense Logistics Agency had fully implemented all seven risk management practices for the Defense Agencies Initiative, Increment 2. For example, the program identified program risks, including risk sources, categories, and stakeholders. In addition, Defense Agencies Initiative, Increment 2 risks followed consistent criteria for evaluating and quantifying risk likelihood and severity levels. Specifically, risk level was based on a combination of factors to include both likelihood and consequence. In all instances, consensus on the risk levels was required between the risk owner and the customer counterpart. Further, the program\u2019s contingency plan provided guidance when outages fell into one of three disaster categories including natural disasters, man-made disasters, and technological disasters.", "Defense Health Agency\u2014Defense Healthcare Management System Modernization The Defense Health Agency had fully implemented six and partially implemented one of the seven risk management practices for the Defense Healthcare Management System Modernization program. For example, the program\u2019s risks followed consistent criteria for evaluating and quantifying risk likelihood and severity levels. Specifically, the program\u2019s Risk and Issue Management Plan described how to assess the impact level in each risk area (performance, project and program schedules, and cost). Further, the program prioritized risks for mitigation. For example, risks were categorized and charted as low, medium, or high, and grouped accordingly in the program\u2019s risk register. Further, the program\u2019s Disaster Recovery Plan provides processes that allowed rapid support recovery for critical operations during a disaster, including environmental disasters such as tornadoes.", "Regarding the partially implemented practice, the program provided an example of a risk mitigation plan. However, the program indicated that costs and benefits were not quantified within the program-level risk mitigation plans. According to CMMI\u00ae-ACQ, risk mitigation activities should be examined for benefits they provide versus resources they will expend. Just like any other design activity, alternative plans may need to be developed and costs and benefits of each alternative assessed.", "However, the program does not require that costs and benefits be included as part of its risk mitigation planning efforts. As a result, the information for making an informed decision on cost and benefits of risk mitigation solutions is limited. Program officials did not indicate whether they have plans to implement this practice, and did not provide an explanation as to why they are unable to provide this information. Until the program quantifies costs and benefits, it will not be able to effectively select the most appropriate risk mitigation plan to address each risk."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While DOD\u2019s policy for non-business MAIS programs adheres to all four leading IT management practices, the department\u2019s policy for MAIS business programs does not adhere to two leading practices on establishing initial and current baseline estimates on cost and schedule and predetermining threshold estimates, as well as reporting periodically on performance information to stakeholders. Until DOD adheres to these practices in its policies that govern MAIS business programs, it cannot ensure that stakeholders will have the information they need to manage and oversee their investments.", "Following leading IT acquisition practices on requirements and risk management is essential to help programs effectively plan and direct their development and acquisition efforts. All of the leading IT acquisition practices for requirements and risk management had been fully or partially implemented by three programs that we reviewed. However, the Defense Health Agency\u2019s Defense Healthcare Management System Modernization has not finalized its requirements management plan nor has it identified changes that should be made to plans and work products resulting from changes to the requirements baseline. Until the program addresses these practices, it will lack a comprehensive plan for managing its requirements and it may not be able to effectively identify inconsistencies and initiate corrective actions.", "Further, the Navy Consolidated Afloat Networks and Enterprise Services program did not fully identify and document risks that could negatively affect work efforts. In addition, the Defense Health Agency\u2019s Defense Healthcare Management System Modernization did not quantify costs and benefits of risk mitigation within its program-level risk mitigation plans. As a result, successful risk management for avoiding, reducing, and controlling the probability of risk occurrence cannot be ensured."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Secretary of Defense to direct:", "The Under Secretary of Defense for Acquisition and Sustainment to update the policy or guidance for MAIS business programs. Specifically, the update should include the following elements: establishment of initial and current baseline cost and schedule predetermined threshold cost and schedule estimates to identify the point when programs may be at high risk, and quarterly and annual reports on the performance of programs to stakeholders. (Recommendation 1)", "The Director of the Defense Health Agency to direct the program manager for the Defense Healthcare Management System Modernization program to: finalize and approve its requirements management plan, identify and document changes that should be made to plans and work products resulting from changes to the requirements baseline, and quantify costs and benefits of risk mitigation within its program- level risk mitigation plans. (Recommendation 2)", "The Secretary of the Navy to direct the program manager for the Navy Consolidated Afloat Networks and Enterprise Services program to: identify and document, in the failover/recovery plan, all potential external environmental issues, such as hazards, threats, and vulnerabilities that could negatively affect work efforts. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DOD provided written comments on a draft of this report, which are reproduced in appendix II. In its comments, the department partially concurred with our first recommendation and concurred with the two other recommendations.", "DOD partially concurred with the first recommendation on updating the policy or guidance for MAIS business programs. Specifically, the Under Secretary of Defense for Acquisition and Sustainment stated that regarding establishing baselines, the DOD Instruction 5000.75 requires establishment of cost, schedule, and performance parameters for each release before development or delivery. The 5000.75 also requires consideration of program progress against baselined cost, schedule, and performance as a criterion at the limited deployment and full deployment decision points. A baseline requirement thus exists in DOD Instruction 5000.75 but it is not described as an acquisition program baseline, which may be familiar to readers of DOD Instruction 5000.02. However, the Under Secretary added that the Army\u2019s implementation guidance includes guidance that states each increment must have an acquisition program baseline with its own set of threshold and objective values set by the user.", "While we agree that the existing policy requires such parameters to be captured and included in the department\u2019s decision making process, we found the policy to be vague in its discussion of these parameters and to not clearly define what a baseline is, or which baselines are to be used or reported for comparison purposes. For example, the policy does not make a distinction between the initial acquisition program baseline, current baseline, and baseline deviations. Yet, such information is important because it provides a basis for decision makers to identify the extent to which a program may have deviated from its initial cost, schedule, or technical performance baseline. By making these distinctions in the policy, the department\u2019s policy for its MAIS business programs will be more consistent with its other policy for non-business MAIS programs with regard to the way an acquisition program baseline is defined and the elements that should be captured and reported to its decision makers. In turn, the program managers who prepare these reports and the decision makers who rely on them will have information that is consistently and succinctly prepared for making credible decisions.", "Regarding adding provisions in its policy for the establishment of predetermined thresholds, the Under Secretary stated that the 5000.75 states that the milestone decision authority is responsible for delivery within cost, schedule, and performance parameters, and the milestone decision authority is to do this by establishing oversight controls for programs, including procedures to report and address variances. The Under Secretary added that the 5000.75 does not suggest the practice of establishing a predetermined threshold for the variance, and DOD will consider the addition of this feature to the 5000.75 update.", "Finally, regarding providing periodic annual and quarterly reports to the department\u2019s leadership, the Under Secretary stated that such a periodic report would add value only if there had been no recent communication of program status from the program office to the leadership or stakeholders communities. While such communication is expected to occur frequently, its regularity is not specified in current policy or guidance. The Under Secretary stated that DOD will consider adding a provision for a report to leadership and functional stakeholder if such communication has not occurred within the past 3 or 4 months.", "DOD concurred with the second and third recommendations related to the department\u2019s implementation of selected IT management practices. Regarding the second recommendation, the Under Secretary of Defense for Acquisition and Sustainment agreed to direct the Defense Healthcare Management System Modernization program manager to update and approve the requirements management plan, identify and document changes to the requirements baseline, and quantify the costs and benefits in the risk mitigation plans. Further, regarding the third recommendation, the Secretary of the Navy agreed to direct the program manager to identify and document all potential external environmental issues that could negatively affect work efforts for the Navy\u2019s Consolidated Afloat Networks and Enterprise Services program. By taking these steps, these programs should be better positioned to effectively identify inconsistencies in managing changes to their requirements, and be more responsive to the potential for environmental issues.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; the Under Secretary of Defense for Acquisition and Sustainment; the Director of the Defense Health Agency; and other interested parties. This report also is available at no charge on the GAO website at http://www.gao.gov.", "Should you or your staffs have any questions on information discussed in this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2012 mandated that we select, assess, and report on selected major automated information systems (MAIS) programs annually through March 2018. GAO satisfied the statutory mandate by submitting a draft of this report to the congressional committees on March 29, 2018. This final version of the report is the sixth and last report in the series of annual mandated assessments.", "Our objectives were to: (1) assess the Department of Defense\u2019s (DOD) policy for the management and oversight of MAIS programs; (2) describe the extent to which selected MAIS programs have changed their planned cost and schedule estimates and met performance targets; and (3) assess the extent to which selected MAIS programs have used leading information technology (IT) acquisition practices, including requirements and risk management.", "To address the first objective, we identified four leading IT management practices in GAO\u2019s Information Technology Investment Management guide and compared DOD\u2019s policy adherence to those practices. These leading practices are: instituting the investment board, which is the process for creating and defining the membership, guiding policies, operations, roles, responsibilities, and authorities within the organization; identifying decision authorities for making important acquisition decisions; providing oversight whereby the organization monitors each project on its performance progress (e.g., establishing and tracking baseline estimates on cost and schedule goals, and thresholds to identify high risk on cost and schedule); and capturing and providing performance information about a particular investment (project) to decision makers at regular intervals (e.g., quarterly and annually).", "We then compared DOD\u2019s policies used to manage and oversee the department\u2019s non-business MAIS programs and MAIS business programs against these leading IT management practices. The department\u2019s policy documents for managing and overseeing non-business MAIS programs and MAIS business programs include the:", "Memorandum by the Under Secretary of Defense for Acquisition, Technology, and Logistics, dated November 17, 2017, regarding the regulatory response to the repeal of title 10, United States Code, Chapter 144A, Major Automated Information System Programs.", "Memorandum by the Under Secretary of Defense for Acquisition, Technology, and Logistics, dated April 24, 2017, regarding the transition of programs to business system categories.", "DOD Instruction 5000.75, Business Systems Requirements and Acquisition, effective February 2, 2017.", "DOD Instruction 5000.02, Operation of the Defense Acquisition System, effective February 2, 2017.", "We also interviewed an official from the former Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics, who was responsible for the development of plans and policy for the administration regarding the management and monitoring of non-business MAIS programs and MAIS business programs To address the second objective, we used DOD\u2019s official list of 34 business and non-business MAIS programs, as of April 18, 2017, to establish a basis for selecting programs. Of the 34 programs, we selected the 15 business and non-business MAIS programs that met our criteria: programs must be unclassified and have an initial acquisition program baseline that could be used as a reference point for evaluating cost, schedule, and technical performance characteristics.", "We then collected and analyzed key documents, reports, and artifacts for each program and summarized the information on estimated cost, schedule, and technical performance goals, including their latest program status in meeting those estimated goals. Next, we analyzed and compared each selected program\u2019s first acquisition program baseline cost estimate to the latest estimate to determine the extent to which planned program costs had changed. Specifically, we used the total life-cycle cost estimate and analyzed and compared them to the latest estimate to determine the extent to which planned program costs had changed. Similarly, to determine the extent to which these programs changed their planned schedule estimates, we compared each program\u2019s first acquisition program baseline schedule to the latest schedule.", "To determine whether the selected programs met their performance targets, we analyzed each program\u2019s self-identified system performance targets and compared them against actual system performance metrics and latest test reports. We also reviewed additional information on each program\u2019s cost, schedule, and performance, including program documentation, such as DOD\u2019s MAIS annual and quarterly reports, acquisition program baselines, system test reports, and our prior reports. We then aggregated and summarized the results of these analyses across the programs.", "To address the third objective, we started with the list of the 15 programs from the second objective as a basis for selecting three MAIS programs as case studies. We used a combination of the following criteria to select the MAIS programs to review.", "Programs used in a most recent MAIS review were eliminated from consideration.", "The program was not designated as classified.", "The program had a baseline.", "Based on these criteria, we chose the following systems:", "Navy Consolidated Afloat Networks and Enterprise Services;", "Defense Logistics Agency\u2019s Defense Agencies Initiative, Increment 2;", "Defense Health Agency\u2019s Defense Healthcare Management System Modernization.", "We then analyzed each selected program\u2019s IT acquisition documentation and compared it to key requirements and risk management and leading practices\u2014including Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Acquisition (CMMI- ACQ) practices\u2014to determine the extent to which the programs were implementing these practices. In particular, the requirements management practices we reviewed were: develop an understanding with the requirements providers on the meaning of the requirements, obtain commitment to requirements from project participants, manage changes to requirements as they evolve during the project, maintain bidirectional traceability among requirements and work, and ensure that project plans and work products remain aligned with requirements.", "Specifically, we analyzed program requirements documentation, including requirements management plans, requirements traceability matrices, requirements change forms, technical performance assessments, and requirements board meeting minutes. Additionally, we interviewed program officials to obtain additional information about their requirements management practices. The conclusions reached for this objective are not generalizable to the larger population of 34 business and non-business MAIS programs.", "We also reviewed the following risk management practices: determine risk sources and categories; define parameters used to analyze and categorize risks and to control the risk management effort; establish and maintain the strategy to be used for risk management; identify and document risks; evaluate and categorize each identified risk using defined risk categories and parameters, and determine its relative priority; develop a risk mitigation plan in accordance with the risk management strategy; and monitor the status of each risk periodically and implement the risk mitigation plan as appropriate.", "Specifically, we analyzed program risk documentation, including risk reports, risk-level assignments, risk management plans, risk mitigation plans, and risk board meeting minutes. Additionally, we interviewed program officials to obtain additional information about their risks and risk management practices.", "To assess the reliability of the data of these programs we used to support the findings in this report, we corroborated program office responses with relevant program documentation and interviews with agency officials. We found no data reliability issues and determined that the data used in this report were sufficiently reliable for our reporting purposes. We have also made appropriate attribution indicating the sources of the data.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, the following staff also made key contributions to this report: Eric Winter (Assistant Director), John Ortiz (Analyst in Charge), Alex Bennett, Neha Bhatt, Chris Businsky, and Rebecca Eyler."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-629T", "url": "https://www.gao.gov/products/GAO-18-629T", "title": "Coast Guard: Improved Acquisition Portfolio Management Could Help Address Aging Assets and Capability Gaps", "published_date": "2018-07-24T00:00:00", "released_date": "2018-07-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Coast Guard, a component within DHS, is spending billions of dollars to acquire assets, such as cutters and aircraft. This portfolio of major acquisition programs is intended to help the Coast Guard accomplish its missions\u2014including interdicting illegal drugs and search and rescue missions. GAO's extensive prior work on Coast Guard acquisitions has found that the Coast Guard's reliance on its annual budget process to manage its portfolio is a major management challenge. In the report issued today, GAO discusses particular challenges with the Coast Guard's approach in managing its acquisition portfolio, such as not performing a collective assessment of the portfolio to ensure affordability.", "This statement addresses the challenges the Coast Guard faces in (1) managing its overall acquisition portfolio, and (2) sustaining aging assets. This statement is based on GAO's extensive body of published and ongoing work examining the Coast Guard's acquisition efforts over several years."]}, {"section_title": "What GAO Found", "paragraphs": ["The Coast Guard's approach of relying on the annual budget process and the 5-year Capital Investment Plan (CIP) to manage its acquisition portfolio does not provide the best basis for making decisions to develop a more balanced and affordable portfolio in the long term. Specifically, the Coast Guard's annual budget-driven trade-off approach creates constant churn as program baselines must continually re-align with budget realities instead of budgets being formulated to support program baselines. Further, Coast Guard officials have told GAO the CIP reflects trade-off decisions made as part of the annual budget process, but it does not describe the effects of those trade-offs because including such information is not statutorily required. This short-term approach has also left the Coast Guard with a bow wave of near-term unfunded acquisition programs, putting future missions at risk. Until these trade-offs are transparent to all stakeholders and decision makers, the effectiveness of Coast Guard's long-term acquisition portfolio planning is limited.", "Until new assets being acquired become available, the Coast Guard plans to rely on aging assets, many of which are already past their intended service lives\u2014the time an asset is expected to operate. For example, the Coast Guard plans to replace the Medium Endurance Cutters (see figure) with the Offshore Patrol Cutters beginning in 2023, but the Medium Endurance Cutters exhausted their intended service lives in 2014.", "The Coast Guard plans to extend service lives for some of the Medium Endurance Cutters to keep them operating longer; however, maintenance for these vessels is becoming more expensive, and some systems are obsolete. GAO will continue to monitor the maintenance effort for the Medium Endurance Cutter and the Offshore Patrol Cutter acquisition in an annual review of Department of Homeland Security (DHS) major acquisition programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The report on which this statement is primarily based ( GAO-18-454 ) recommends that the Coast Guard work with Congress to include in its annual CIP a discussion of how trade-off decisions could affect other acquisition programs. DHS agreed with this recommendation. GAO has also made other recommendations in this area in the past, as discussed in this testimony."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss key challenges the Coast Guard faces as it seeks to modernize its aging assets, a process referred to as Coast Guard recapitalization, including the management of the overall Coast Guard acquisition portfolio. The Coast Guard continues to rely on the annual budget process and its 5-year Capital Investment Plan (CIP) for long-term acquisition planning, processes which we found have contributed to capability gaps and funding shortfalls. For example, as the Coast Guard continues this short-sighted approach, it is currently experiencing a gap in its polar icebreaking capability, because the Coast Guard does not have assets available to conduct its missions in both the Arctic and Antarctic regions year round. The Coast Guard identified a need for three heavy and three medium icebreakers in 2010, but to date it has only one active heavy and medium icebreaker. Exacerbating this capability gap is the condition of the Coast Guard\u2019s only operating heavy polar icebreaker, the Polar Star, which we found has experienced longer than expected maintenance periods in 2016 and 2017 to prepare for its annual mission to Antarctica.", "My statement today will address challenges in the (1) management of the overall Coast Guard acquisition portfolio, and (2) sustainment of certain aging assets. This statement is based on our extensive body of work examining the Coast Guard\u2019s acquisition efforts spanning the past several years, including our report on Coast Guard acquisitions released today in conjunction with this statement. We also include preliminary information based on our ongoing review of the Coast Guard\u2019s heavy polar icebreaker acquisition.", "For the reports cited in this statement, among other methodologies, we analyzed Coast Guard guidance, data, and documentation, and interviewed Coast Guard officials at its headquarters and field units to determine the total cost of the Coast Guard\u2019s acquisition portfolio and how the Coast Guard manages its acquisition portfolio. Further detailed information on our scope and methodology can be found in the reports cited in this statement. For our ongoing work on the polar icebreaker, we assessed the status of the Coast Guard\u2019s efforts to recapitalize its heavy polar icebreaking fleet.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Coast Guard Faces Challenges in Effectively Managing its Acquisition Portfolio", "paragraphs": [], "subsections": [{"section_title": "Short-term Prioritization through the Annual Budget Process and the 5-Year Capital Investment Plan Limit Effective Planning", "paragraphs": ["We found in September 2012, and in our July 2018 review, that the Coast Guard\u2019s approach of relying on the annual budget process and the 5-year CIP to manage portfolio affordability does not provide the best basis for making decisions to develop a more balanced and affordable portfolio in the long term. Further, in June 2014, we found that there is no evidence that short-term budget decisions will result in a good long-term strategy, and the Coast Guard\u2019s annual budget-driven trade-off approach creates constant churn as program baselines must continually re-align with budget realities instead of budgets being formulated to support program baselines. This situation results in trade-off decisions between capability and cost being pushed into the future. For example, since 2010, the Coast Guard has a stated requirement for three medium polar icebreakers, but it has only one operational medium icebreaker, the Healy, which has an expected end of service life\u2014the total period for which an asset is designed to operate\u2014in 2029. Despite the requirement for three medium polar icebreakers, Coast Guard officials said they are not currently assessing acquisition of the medium polar icebreakers because they are focusing on the heavy icebreaker acquisition and plan to assess the costs and benefits of acquiring medium polar icebreakers at a later time.", "As required by statute, the Coast Guard has, since 2012, prepared a 5- year CIP that it is required to update and submit annually with the administration\u2019s budget request. The 5-year CIP is the Coast Guard\u2019s key acquisition portfolio planning tool. However, in our July 2018 review, we found that shortcomings of that plan that limit its effectiveness. Specifically, we found that the Coast Guard\u2019s 5-year CIPs continue to demonstrate a pattern of certain ineffective planning practices, such as not identifying priorities or trade-offs between acquisition programs and not providing information about the effect of current decisions on the overall affordability of the acquisition portfolio.", "These shortcomings limit the Coast Guard\u2019s ability to manage the affordability of its acquisition portfolio. Coast Guard officials said the CIP reflects the highest priorities of the department within the given top funding level and that prioritization and trade-off decisions are made as part of the annual budget cycle. However, the reasoning behind these decisions, and the resulting impacts on affected programs, are not articulated in the CIPs. While the Coast Guard is not required under statute to identify the effects of trade-off decisions in the CIP, failing to show which acquisitions would take on more risk\u2014such as delays to certain recapitalization efforts\u2014so other acquisitions can be prioritized and adequately funded within budget parameters also makes it difficult for Congress and other stakeholders, such as Department of Homeland Security (DHS) and the Office of Management and Budget (OMB), to understand any other options the Coast Guard considered. GAO\u2019s Cost Estimating and Assessment Guide states that comparative analyses showing facts and supporting details among competing alternatives, such as budget priorities, should consider trade-offs needed to identify solutions and manage risk. In the report we issued today, we recommended that the Coast Guard work with Congress to include a discussion of the acquisition programs it prioritized and describe how trade-off decisions made could affect other acquisition programs in the Coast Guard\u2019s annual 5-year CIP. DHS agreed with our recommendation and plans to include additional information in future CIP reports to address how trade-off decisions could affect other major acquisition programs. The Coast Guard plans to implement this recommendation by March 2020.", "In June 2014, we found that the Coast Guard needed to take a more strategic approach in managing its acquisition portfolio. We recommended that the Coast Guard develop a 20-year fleet modernization plan that would identify all acquisitions necessary for maintaining at least its current level of service and the fiscal resources necessary to build these assets. DHS concurred with this recommendation and the Coast Guard is in the process of developing a 20-year Long-Term Major Acquisitions Plan to guide and manage the affordability of its acquisition portfolio, but DHS has not yet approved the plan. Such an analysis would facilitate a fuller understanding of the affordability challenges facing the Coast Guard while it builds the Offshore Patrol Cutter, among other major acquisitions.", "The lack of a long-term plan and continuing to determine priorities and make trade-off decisions based on the annual budget have rendered the Coast Guard\u2019s acquisition planning reactive. We found that reactive planning and the Coast Guard\u2019s constrained budget environment have created a bow wave of near-term unfunded acquisitions, negatively affecting future acquisition efforts and potentially affecting future operations. This bow wave consists of new acquisition programs and recapitalization efforts, as well as high-cost maintenance projects that use the same acquisition construction and improvements account, which continue to put pressure on available resources. These projects include some that are not currently identified in the 5-year CIP. For instance, the Coast Guard\u2019s 87-foot patrol boats are forecast to require recapitalization beginning in 2023. Additionally, the ocean-going 175-foot coastal buoy tenders are past the point in their service lives when a midlife maintenance availability would normally have been conducted. In July 2018, we found that that the Coast Guard has historically operated vessels well past their expected end of service life, and it will likely need to do so with these assets given limited available acquisition funding."], "subsections": []}, {"section_title": "Executive Oversight Council Has Not Conducted Annual Reviews of All Acquisitions Collectively", "paragraphs": ["The Coast Guard has a management body\u2014the Executive Oversight Council\u2014in place to conduct oversight of its major acquisition programs; however, this management body has not conducted oversight across the entire acquisition portfolio using a comprehensive, collective approach. Among the Coast Guard\u2019s three cross-directorate groups that have roles in the acquisition process, we found in July 2018 that the Executive Oversight Council is best positioned to oversee the portfolio collectively and has the potential to implement key portfolio-wide management practices, including conducting formal reviews and issuing reports. This council has cross-directorate senior-level management representation, access to information on acquisition programs, and support from the other two cross-directorate groups (the Systems Integration Team and the Resource Councils). However, this council has not carried out these portfolio-wide practices.", "In 2014, the Coast Guard updated the Executive Oversight Council\u2019s charter, in response to our September 2012 recommendation, adding the responsibility for portfolio-wide oversight to include conducting an annual review to assess and oversee acquisitions collectively. However, in our July 2018 review, we found that the Coast Guard revised the council\u2019s charter in June 2017, removing this responsibility. According to Executive Oversight Council officials, this responsibility was removed from the 2017 charter because the council did not conduct these annual reviews. Instead, Executive Oversight Council officials indicated that the council facilitates a balanced and affordable portfolio of acquisition programs through the individual program-level reviews. Best practices states that successful organizations assess product investments in aggregate, rather than as independent projects products or programs. For example, by considering the requirements, acquisition, and budget processes collectively, it helps organizations prioritize their product investments.", "Further, we found that the Executive Oversight Council has not engaged in overseeing or reporting on the acquisition portfolio collectively and annually. OMB\u2019s 2017 Capital Programming Guide outlines a capital programming process, including how agencies should effectively and collectively manage a portfolio of capital assets. This OMB guidance states that a senior-level executive review committee should be responsible for reviewing the agency\u2019s entire capital asset portfolio on a periodic basis and for making decisions or priorities on the proper composition of agency assets needed to achieve strategic goals and objectives within the budget limits. In the case of the Coast Guard, only the Executive Oversight Council has members at the senior-level executive level and has the responsibility for oversight of its major acquisition programs. Without conducting comprehensive, collective portfolio reviews at the senior management level, the Coast Guard does not have sufficient cross-directorate information to determine needed trade-offs in the major acquisitions realm, considering budget realities. It is also limiting its ability to make strategic decisions on future requirements and capability gaps in a timely manner within the acquisition portfolio. In our July 2018 report on Coast Guard recapitalization efforts, we recommended that the Commandant of the Coast Guard should require the Executive Oversight Council, in its role to facilitate a balanced and affordable acquisition portfolio, to annually review the acquisition portfolio collectively, specifically for long-term affordability. DHS disagreed with our recommendation stating that other bodies within the Coast Guard, such as the Investment Board, Deputies Council, and Investment Review Board\u2014are responsible for making decisions regarding out-year funding, while the Executive Oversight Council works outside of the annual budget process. DHS also stated that, to meet the spirit of our recommendation, the Coast Guard will update the Executive Oversight Council\u2019s charter to require a review of the collective acquisition portfolio, specifically evaluating long-term planning. We believe that updating the Executive Oversight Council\u2019s charter to include long-term- planning is a positive step. However, we continue to believe that in addition to long-term planning, the Executive Oversight Council should include the major acquisition portfolio\u2019s budget realities faced by the Coast Guard in its reviews, or long-term affordability. If the planning accounts for long-term funding considerations to achieve the Coast Guard\u2019s acquisition goals and objectives, we believe the intent of our recommendation would be met."], "subsections": []}, {"section_title": "Coast Guard\u2019s Heavy Polar Icebreaker Program\u2019s Optimistic Schedule Is Driven by Capability Gap Rather Than Knowledge-Based Analysis", "paragraphs": ["The Coast Guard\u2019s short-term planning focus has, in part, driven the acquisition of its heavy polar icebreaker program to its current situation\u2014 trying to meet a highly optimistic schedule. The heavy polar icebreaker program is intended to field three new icebreakers to replace the Coast Guard\u2019s sole operational heavy polar icebreaker, the Polar Star. The Polar Star is expected to reach the end of its service life between 2020 and 2023 while the first heavy polar icebreaker is expected to be delivered in fiscal year 2023, with the second and third icebreakers expected to be delivered in 2025 and 2026, respectively. Figure 1 shows the potential icebreaking capability gap.", "We are currently conducting a review of the heavy polar icebreaker acquisition, and, preliminarily, we have found that the Coast Guard set an optimistic schedule baseline for the delivery dates for new polar icebreakers based on the ice-breaking capability gap rather than an analysis of what is realistic and feasible. Rather than building a schedule based on knowledge\u2014such as determining realistic schedule targets and analyzing how much time to include in the schedule to buffer against potential delays, and comprehensively assessing schedule risks\u2014the Coast Guard used the estimated end date of the Polar Star\u2019s service life as the primary driver to set the lead icebreaker\u2019s objective (or target) delivery date of September 2023 and threshold (latest acceptable) delivery date of March 2024. Design study information provided by several shipbuilders estimated that it could take up to 3.5 years to build the lead icebreaker, but the Coast Guard is planning for a more optimistic estimate of 2.5 years for the delivery date. Our best practices for developing project schedules state that estimating how long an activity takes should be based on the effort required to complete the activity and the resources available and not driven by a specific completion date.", "In addition, preliminary findings indicate the Coast Guard did not conduct analysis to identify a reasonable amount of margin or time to include in the program schedule baseline to account for any delays in the program. The current heavy polar icebreaker\u2019s schedule includes only 6 months of margin between the Coast Guard\u2019s target and latest acceptable delivery dates. However, our analysis of recent shipbuilding acquisitions shows that longer schedule delays, whether they are in the program\u2019s control or not, should be expected. For example, among the 12 selected shipbuilding acquisition programs active in the last 10 years that we analyzed, the Navy and the Coast Guard have delayed delivery of all but one lead ship from their original planned delivery dates, with delays ranging from 9 to 75 months. We have found in our past shipbuilding work that delays have resulted from a number of issues, including redesign work to address discoveries during pre-delivery testing, and key system integration problems, and design quality issues among others. However, Coast Guard officials told us such risks are not accounted for in the Heavy Polar Icebreaker schedule. We plan to issue a report on the Coast Guard\u2019s heavy polar icebreaker acquisition this summer. In addition, we will continue to review this program in our annual assessment of major acquisition programs."], "subsections": []}]}, {"section_title": "Coast Guard Faces Sustainment Challenges for the Polar Star and 270- foot Medium Endurance Cutters", "paragraphs": ["We found in July 2018 that the Coast Guard\u2019s heavy polar icebreaker Polar Star and the Medium Endurance Cutters are currently either approaching or operating beyond the end of their design service lives. These cutters are in need of major maintenance overhauls\u2014or Service Life Extension Projects (SLEP)\u2014in order to continue providing capabilities to operators. According to Coast Guard officials, SLEPs are necessary because the Coast Guard does not have the funds available to initiate a new major acquisition program to recapitalize these assets in the short term, or because a significant amount of maintenance work is required to keep these assets operational until replacements are fielded. These planned SLEPs involve several risks including scheduling and funding."], "subsections": [{"section_title": "Heavy Icebreaker Polar Star has Required More Maintenance than Planned to Remain Operational", "paragraphs": ["After being placed in a nonoperational status in 2006 due to equipment problems, the Coast Guard conducted reactivation work on the Polar Star from 2010 to 2013, and the icebreaker resumed its primary mission for the annual deployment to the National Science Foundation\u2019s McMurdo Research Facility in Antarctica in 2014. Further, our July 2018 review indicated that the Coast Guard is planning a SLEP on the Polar Star to keep it operational until the first and second new heavy polar icebreakers are delivered in order to bridge a potential operational gap. This approach, according to Coast Guard officials, would allow the Coast Guard to operate a minimum of two heavy icebreakers once the first polar icebreaker is delivered and provide the Coast Guard with a self-rescue capability\u2014the ability for one icebreaker to rescue the other if it became incapacitated while performing icebreaking operations.", "However, we found that the Coast Guard\u2019s plans to conduct this SLEP during its annual depot-level maintenance periods\u2014that is, maintenance that is beyond the capability of the crew of a cutter or other asset\u2014may not be feasible given the amount of maintenance already required on the cutter. Specifically, the Polar Star\u2019s mission capable rating (an asset\u2019s availability to conduct operations) has been decreasing in recent years and reached a low point of 29 percent\u2014well below the target of 41 percent\u2014from October 2016 to September 2017. Based on mission capable data, we found this was mostly due to additional time spent in depot-level maintenance, which has increased in recent years from about 6 months in 2015 to more than 8 months in 2017. Additionally, the Polar Star has required extensions of about 3 months for its annual dry dock periods\u2014the period of time when a cutter is removed from the water so that maintenance can be conducted\u2014in 2016 and 2017 to complete required maintenance activities. These dry docks were originally planned to last between 2 1/2 months and 4 months. We found in July 2018 that these delays and extensions are likely to continue as the cutter ages. According to Coast Guard officials, the Polar Star\u2019s SLEP work will be conducted during the annual dry dock periods by adding an additional 1 or 2 months to the annual dry docks. However, if the work is unable to be completed during this timeframe, it could force the Coast Guard to miss its commitment to conduct its annual Antarctica mission. Coast Guard maintenance officials stated that until the Polar Star completes the SLEP, its repairs will likely continue to get more expensive and time consuming.", "As we found in July 2017, the Polar Star SLEP effort has a rough-order cost estimate of $75 million, which is based on the reactivation work completed in 2013. However, we found this estimate may be unrealistic based on assumptions the Coast Guard used, such as that it would continue to use parts from the Coast Guard\u2019s other heavy polar icebreaker, the Polar Sea, which has been inactive since 2010. The Coast Guard\u2019s recent assessment of the Polar Star\u2019s material condition\u2014 the physical condition of the cutter, which includes the hull structure, habitability, major equipment systems, and spare parts availability\u2014was completed in January 2018. The material assessment stated that many of the available parts from the Polar Sea have already been removed and installed on the Polar Star. As a result of the finite parts available from the Polar Sea, the Coast Guard may have to acquire new parts for the Polar Star that could increase the $75 million SLEP estimate. The Polar Star\u2019s recent material assessment will form the basis to determine which systems will be overhauled during the SLEP and for a more detailed cost estimate. The Coast Guard expects the Polar Star SLEP to begin by June 2020, at which time the Polar Star could reach the end of its current useful service life (currently projected to be between 2020 to 2023). This timeline contains risk that the Polar Star could be rendered inoperable before the cutter is able to undergo a SLEP. We will continue to monitor the Polar Star\u2019s SLEP through our annual review of DHS programs."], "subsections": []}, {"section_title": "Coast Guard Is Developing Plans to Extend Medium Endurance Cutters\u2019 Service Lives", "paragraphs": ["The Coast Guard operates two fleets of Medium Endurance Cutters (270- foot and 210-foot cutters) and both are either approaching or have exceeded their design service lives. According to Coast Guard officials, there are no plans to extend the service lives of the 210-foot Medium Endurance Cutters due to the age of the vessels (some of the cutters will be over 60 years old when they are expected to be removed from service). However, we found in July 2018 that, according to Coast Guard maintenance officials, the primary problem facing the 270-foot Medium Endurance Cutters is obsolescence of parts. The cutters have several systems that are no longer manufactured, and in many cases the original manufacturer no longer makes parts for the systems, such as the generators, fire pumps, and main diesel engines. To sustain the 270-foot Medium Endurance Cutters until the replacement cutters\u2014the Offshore Patrol Cutters\u2014are delivered, the Coast Guard is planning to conduct a SLEP. Coast Guard officials stated they are evaluating how many of the 13 270-foot cutters will undergo the SLEP.", "According to Coast Guard officials, the Offshore Patrol Cutter acquisition program is on track to meet its cost and schedule goals. The Coast Guard is in the process of completing the design of the cutter before starting construction, which is in-line with GAO-identified shipbuilding best practices. In addition, Coast Guard officials stated that the program is using state-of-the-market technology that has been proved on other ships as opposed to state-of-the-art technology, which lowers the risk of the program. The Coast Guard expects to start construction of the first Offshore Patrol Cutter in fiscal year 2019 and procure a total of 25 ships, with plans to initially fund one cutter per year and eventually two cutters per year until all 25 cutters are delivered. Further, Coast Guard officials have stated that if the Offshore Patrol Cutter program experiences any delays, it will likely decrease the Coast Guard\u2019s operational capacity because the legacy Medium Endurance Cutters will likely require increased downtime for maintenance and other issues, reducing their availability. As we indicated earlier, short-term planning limits the Coast Guard\u2019s ability to identify and consider tradeoffs with its acquisition portfolio.", "The Coast Guard is evaluating how long the 270-foot Medium Endurance Cutters should remain in service. According to Coast Guard officials, this decision is at least partially dependent on the delivery of the Offshore Patrol Cutters\u2014specifically the shipbuilder\u2019s ability to deliver 2 cutters per year, which is expected to start in fiscal year 2024 with the 4th and 5th cutters. Officials stated that the Coast Guard does not plan to operate any Medium Endurance Cutters once all 25 Offshore Patrol Cutters are operational, yet the fiscal year 2018 through 2022 CIP report indicates that 7 of the 270-foot Medium Endurance Cutters will still be in service when all 25 Offshore Patrol Cutters are delivered and operational. Officials said this is a contingency plan in case not all Offshore Patrol Cutters are delivered on time. Figure 2 shows the planned delivery dates for the Offshore Patrol Cutters and the proposed decommissioning dates for the legacy Medium Endurance Cutters.", "The fiscal year 2018 through 2022 CIP shows that there is little, if any, gap between when the 210-foot and 270-foot Medium Endurance Cutters will be removed from service and when the Offshore Patrol Cutters will be operational. However, both Medium Endurance Cutter classes will be well past their end of service lives by the time they are decommissioned. For instance, in our July 2012 report, we found that the 210-foot Medium Endurance Cutter Dependable reached its end of service life in 2006. Nevertheless, based on the fiscal year 2018 through 2022 CIP, we found that the Coast Guard plans for the cutter to operate for an additional 23 years (until 2029) without any major sustainment work to extend its service life. While it is not unusual for the Coast Guard to operate cutters for longer than originally planned, the lack of a more comprehensive, collective portfolio management approach, in part, will result in some of the Medium Endurance Cutters operating over 60 years, which is 30 years beyond their original design service lives.", "In addition, the Coast Guard\u2019s own assessments indicate likely challenges. For instance, the Coast Guard\u2019s February 2017 Sustainability Assessment of the 210-foot Medium Endurance Cutters, it rated 5 of the 14 cutters as a high risk for sustainability, which reflects either a poor material condition or high maintenance costs. Moreover, the most recent material condition assessments for the Medium Endurance Cutters, completed in 2015, found that", "210-foot Medium Endurance Cutters cannot be expected to meet operational requirements using the normal depot-level maintenance funding levels due to the time required to complete maintenance and the increased maintenance costs in recent years; and mission effectiveness of the 270-foot Medium Endurance Cutters will continue to degrade without a near-continuous recapitalization of older sub-systems.", "In July 2012, we found that as assets age beyond their design service lives, they can negatively affect the Coast Guard\u2019s operational capacity to meet mission requirements as the cutters require more maintenance.", "We will continue to monitor the Medium Endurance Cutters\u2019 SLEP and the Offshore Patrol Cutter acquisition in our annual review of major acquisition programs.", "In conclusion, as the Coast Guard continues modernizing its fleet and sustaining existing assets for longer than planned, it is important that it develops a more strategic and comprehensive approach for managing its portfolio so that future requirements and capability gaps can be addressed in a timely manner. The Coast Guard has a history of using its annual budgets to plan its acquisition portfolio, which leads to ever changing priorities and creates deferred acquisitions and a bow wave of future funding requirements. This bow wave has begun and the Coast Guard will continue to add to it until it begins to have a longer-term focus, such as with the creation of the 20-year Long Term Major Acquisition Plan that we recommended in 2014. The Coast Guard has an opportunity with this plan to lay the foundation for the success of the future acquisition portfolio by showing what assets are needed and how much it is expected to cost, and it will position itself to provide decision makers with critical knowledge needed to prioritize its constrained acquisition funding. In the meantime, the Coast Guard would benefit from describing in the 5-year CIP how the annual trade-off decisions that are made could affect other acquisition programs. This would help decision makers understand the needs of the Coast Guard so that they can know how to better allocate taxpayer dollars as they invest in new more capable Coast Guard assets.", "Chairman Hunter, Ranking Member Garamendi, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Marie A. Mak, (202) 512-4841 or makm@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony include Rick Cederholm, Assistant Director; Peter W. Anderson; John Crawford; Claire Li; Roxanna Sun; and David Wishard.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Coast Guard is modernizing its fleets of aircraft, cutters, and other assets, but it continues to lack a long-term plan to guide these efforts. Instead, it relies on a short-term focus of yearly budgets and its 5-year plan. This has led to unpredictable funding and capability gaps.", "For example, the Coast Guard has identified a need for three heavy and three medium icebreakers, but has only one of each.", "In the report on which our testimony is based, we recommended that, in its annual reports to Congress, the Coast Guard describe how budget trade-off decisions will affect the other programs in its acquisition portfolio."]} {"id": "GAO-18-580", "url": "https://www.gao.gov/products/GAO-18-580", "title": "Indian Health Service: Agency Faces Ongoing Challenges Filling Provider Vacancies", "published_date": "2018-08-15T00:00:00", "released_date": "2018-08-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IHS is charged with providing health care to AI/AN people who are members or descendants of 573 tribes. According to IHS, AI/AN people born today have a life expectancy that is 5.5 years less than all races in the United States, and they die at higher rates than other Americans from preventable causes. The ability to recruit and retain a stable clinical workforce capable of providing quality and timely care is critical for IHS. GAO was asked to review provider vacancies at IHS.", "This report examines (1) IHS provider vacancies and challenges filling them; (2) strategies IHS has used to recruit and retain providers; and (3) strategies IHS has used to mitigate the negative effects of provider vacancies. GAO reviewed IHS human resources data for the provider positions that the agency tracks. GAO also reviewed policies, federal internal control standards, and legal authorities related to providers in federally operated IHS facilities. GAO interviewed IHS officials at the headquarters and area level and at selected facilities. GAO selected facilities based on variation in their number of direct care outpatient visits and inpatient hospital beds in 2014."]}, {"section_title": "What GAO Found", "paragraphs": ["Indian Health Service (IHS) data show sizeable vacancy rates for clinical care providers in the eight IHS geographic areas where the agency provides substantial direct care to American Indian/Alaska Native (AI/AN) people. The overall vacancy rate for providers\u2014physicians, nurses, nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, physician assistants, dentists, and pharmacists\u2014was 25 percent, ranging from 13 to 31 percent across the areas.", "IHS officials told GAO that challenges to filling these vacancies include the rural location of many IHS facilities and insufficient housing for providers. Officials said long-standing vacancies have a negative effect on patient access, quality of care, and employee morale.", "IHS uses multiple strategies to recruit and retain providers, including offering increased salaries for certain positions, but it still faces challenges matching local market salaries. IHS also offers other financial incentives, and has made some housing available when possible. In addition, IHS uses strategies, such as contracting with temporary providers, to maintain patient access to services and reduce provider burnout. Officials said these temporary providers are more costly than salaried employees and can interrupt patients' continuity of care. However, IHS lacks agency-wide information on the costs and number of temporary providers used at its facilities, which impedes IHS officials' ability to target its resources to address gaps in provider staffing and ensure access to health services across IHS facilities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that IHS obtain, on an agency-wide basis, information on temporary provider contractors, including their associated cost and number of full-time equivalents, and use this information to inform decisions about resource allocation and provider staffing.", "IHS concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Indian Health Service (IHS), an agency within the Department of Health and Human Services (HHS), is charged with providing health care services to the approximately 2.2 million American Indian and Alaska Native (AI/AN) people who are members or descendants of 573 federally recognized tribes. According to IHS, its agency-wide goal is to ensure comprehensive, culturally acceptable personal and public health services are available and accessible to AI/AN people. One of the agency\u2019s priorities is to recruit, develop, and retain a dedicated, competent workforce that provides health care services in IHS\u2019s 12 geographic areas either directly through a system of federally operated IHS facilities or through facilities that are operated by tribes or others. Federally operated IHS facilities are located in ten of these geographic areas, which are mostly in rural areas, and are overseen by IHS area offices. In the remaining two geographic areas, all facilities are tribally operated. According to IHS, AI/AN people born today have a life expectancy that is 5.5 years less than all races in the United States, and they die at higher rates than other Americans from many preventable causes, including diabetes, suicide, chronic liver disease and cirrhosis, and chronic lower respiratory diseases. Such health outcomes underscore the importance of a strong clinical workforce capable of providing quality and timely health care for AI/AN people.", "Over the past several years, we and others have expressed concern about IHS\u2019s ability to ensure it has the appropriate clinical workforce to meet the current and future needs of AI/AN people. In 2016, we reported that, according to IHS, an insufficient workforce was the biggest impediment to ensuring patients\u2019 access to timely primary care. In addition, that same year, HHS\u2019s Office of Inspector General reported that vacancies at IHS, as well as the agency\u2019s use of acting positions, sometimes limited the availability of services and decreased continuity of care. According to Healthy People 2020\u2014HHS\u2019s 10-year national objectives for improving the health of Americans\u2014improving access to health care services depends in part on ensuring people have a usual and ongoing source of care, and people with a usual source of care experience better health outcomes and fewer disparities.", "You asked us to review IHS staffing issues. This report examines 1. IHS provider vacancies and challenges filling them; 2. strategies IHS has used to recruit and retain providers; and 3. strategies IHS has used to mitigate the negative effects of provider vacancies.", "To examine employee vacancies for provider positions at IHS and challenges in filling those vacancies, we analyzed data collected by IHS as of November 2017, on the eight provider positions that the agency tracks\u2014physicians, nurses, dentists, pharmacists, nurse practitioners, certified registered nurse anesthetists (CRNA), certified nurse midwives, and physician assistants. These data include the number of positions for each of these types of providers in federally operated IHS facilities, the number of those positions that were vacant, and the number that were filled by either civilians or Public Health Service Commissioned Corps officers\u2014referred to throughout this report as Commissioned Corps officers\u2014who have taken permanent positions with IHS. We interviewed IHS officials about these data and conducted manual and electronic tests to identify any data anomalies. We did not independently verify the number of reported positions or whether they were filled, nor did we assess IHS\u2019s method for calculating the total number of positions. We determined these point-in-time data were sufficiently reliable for our purposes. Through our initial analysis, we determined that 4 of the 12 IHS areas had relatively few positions for these provider types\u201430 or fewer in total, compared to 166 to 1,567 in the other 8 areas. We therefore limited our analyses of vacancies to the 8 IHS areas where IHS has substantial direct care responsibilities\u2014Albuquerque, Bemidji, Billings, Great Plains, Navajo, Oklahoma City, Phoenix, and Portland. In addition, we interviewed officials from IHS headquarters and all 12 area offices about the causes of IHS provider vacancies and the challenges associated with filling these positions.", "To examine steps IHS has taken to recruit and retain providers and to mitigate the negative effects of provider vacancies, we reviewed federal laws, the Indian Health Manual, IHS guidance, prior GAO reports, and documentation of area governing board meetings. We also interviewed officials from IHS headquarters\u2014including officials from IHS\u2019s Office of Human Resources\u2014and senior officials from all 12 area offices and all 5 regional human resources offices, who assist the area offices in recruiting and hiring providers. We asked these officials about how the agency has assessed its vacancy rates, and steps it has taken at the headquarters, area, and facility-levels to recruit and retain providers. In addition, we visited 7 federally operated facilities in three different IHS areas and interviewed staff about steps taken to address provider vacancies. In addition to geographic diversity, we selected these facilities based on variation in their number of direct care outpatient visits and inpatient hospital beds in 2014, the most recent data available. We evaluated steps taken to address IHS provider vacancies against relevant standards for internal control in the federal government. In addition, we interviewed officials from three facilities operated by the Veterans Health Administration (VHA) and officials from three tribes\u2014entities that also provide direct health care services\u2014that are located near our selected IHS facilities to obtain information on strategies they use to fill selected clinical positions. Our findings are not generalizable to other IHS, VHA, or tribal facilities. We also interviewed officials from groups representing AI/AN tribes and their members about strategies used by tribally operated facilities to recruit and retain providers.", "We conducted this performance audit from January 2017 through August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Indian Health Service", "paragraphs": ["IHS was established within the Public Health Service in 1955 to provide health services to members of AI/AN tribes, primarily in rural areas on or near reservations. IHS provides these services directly through a network of hospitals, clinics and health stations, while also providing funds to tribally operated facilities. These federally and tribally operated facilities are located primarily in service areas that are rural, isolated, and underserved. In fiscal year 2017, IHS allocated about $1.9 billion for health services provided by federally and tribally operated facilities. Federally operated IHS facilities, which received over 5.2 million outpatient visits and over 15,000 inpatient admissions in 2016, provide mostly primary and emergency care, as well as some ancillary and specialty services in 26 hospitals, 55 health centers, and 21 health stations. According to IHS, federally operated IHS hospitals range in size from 4 to 133 beds and generally are open 24 hours a day for emergency care needs; health centers offer a range of care, including primary care services and some ancillary services, such as pharmacy, laboratory, and X-ray services, and are open for at least 40 hours a week; and health stations offer only primary care services on a regularly scheduled basis and are open fewer than 40 hours a week.", "The 12 IHS area offices are responsible for distributing funds to the facilities in their areas, monitoring their operation, and providing guidance and technical assistance (see fig. 1). In addition, five human resources regional offices assist the area offices in the recruitment and hiring of providers.", "IHS federally operated facilities employ both federal civil service personnel and Commissioned Corps officers. IHS may pay higher salaries for certain federal civil service providers through the development and implementation of special pay tables, which specify the ranges of salaries that these certain providers can receive. According to IHS officials, the Commissioned Corps officers follow the same process for applying for positions at IHS as federal civil service employees. However, the Commissioned Corps officers are uniformed health professionals whose pay and allowances are different. IHS also supplements its workforce capacity with both temporary and long-term contracts with individual physicians or a medical staffing company.", "IHS downloads information on all funded and active positions from the Capital Human Resource Management System, an HHS data system used for personnel and payment transactions that IHS began using in 2016 to track all employee vacancies. According to IHS officials, the accuracy of the data is verified quarterly by regional human resources officers. As the IHS health care workforce also includes Commissioned Corps officers\u2014who have a separate personnel system\u2014the information on Commissioned Corps officers assigned to IHS are entered into the Capital Human Resource Management System manually, according to IHS officials."], "subsections": []}, {"section_title": "Rural Health Care Delivery Challenges", "paragraphs": ["According to the National Rural Health Association, the challenges of rural health care delivery are different than those in urban areas. These challenges include those related to more complex patient health status and poorer socioeconomic conditions, as well as physician workforce shortages. According to the Agency for Healthcare Research and Quality, compared with their urban counterparts, residents of rural counties are older, poorer, more likely to be overweight or obese, and sicker. Those living in rural areas also have greater transportation difficulties reaching health care providers, often traveling great distances to reach a doctor or hospital. Exacerbating these challenges is a relative scarcity of medical providers in rural areas compared to urban areas. For example, the National Center for Health Statistics reported the primary care physician- to-patient ratio in rural areas in 2012 was 39.8 physicians per 100,000 people, compared to 53.3 physicians per 100,000 in urban areas."], "subsections": []}]}, {"section_title": "IHS Data Show Sizeable Provider Vacancies and Officials Identified Various Challenges to Filling Them IHS Data Demonstrate Sizeable Provider Vacancies", "paragraphs": ["IHS data demonstrate large percentages of vacancies for providers in the 8 areas in which IHS has substantial direct care responsibilities. As of November 2017, the overall percentage of vacancies for physicians, nurses, nurse practitioners, CRNAs, certified nurse midwives, physician assistants, dentists, and pharmacists in these areas was 25 percent, ranging from 13 to 31 percent across the areas. (See fig. 2)", "However, variation in vacancy rates existed among provider types across IHS areas. For example, while the overall percentage of vacancies for physicians, nurses, nurse practitioners, dentists, and physician assistants each exceeded 25 percent, the vacancy rate for pharmacists was less than 25 percent. In addition, for certain provider types in some areas, more than one-third of the positions were vacant. For example, although 29 percent of the total positions for physicians across these 8 areas were vacant, the vacancy rate ranged from 21 percent in the Oklahoma City area to 46 percent in the Bemidji and Billings areas. (See fig. 3.)", "As another example, although 27 percent of the total positions for nurses across these 8 areas were vacant, the vacancy rate ranged from 10 percent in the Oklahoma City area to 36 percent in the Albuquerque and Bemidji areas. (See fig. 4.)", "Similarly, across these 8 areas", "32 percent of the total positions for nurse practitioners were vacant, ranging from 12 percent in the Oklahoma City area to 47 percent in the Albuquerque area;", "27 percent of the total positions for dentists were vacant, ranging from 14 percent in the Phoenix area to 39 percent in the Bemidji area; and", "30 percent of the total positions for physician assistants were vacant, and although 4 of the areas had few such positions (the Albuquerque, Bemidji, Oklahoma City, and Portland areas each had 7 or fewer positions), the percentage of vacancies in the 4 areas with 15 or more such positions ranged from 21 percent in the Phoenix area to 40 percent in the Billings area.", "In contrast, 13 percent of the total positions for pharmacists were vacant, ranging from 3 percent in the Bemidji area to 17 percent in the Albuquerque area. For more information about the vacancies for specific clinical positions, see appendix I.", "While sizeable vacancies existed across provider types and areas, the majority of positions in all eight areas were occupied by civilians, and about 13 percent were filled by Commissioned Corps officers who are fulfilling assignments with a minimum 2-year term. The percentages of positions by IHS area that were vacant, filled by civilians, and filled by Commissioned Corps officers as of November 2017 are shown in figure 5."], "subsections": [{"section_title": "IHS Officials Identified Challenges to Filling Provider Vacancies, As Well As Negative Effects of Vacancies on Patient Care and Provider Satisfaction", "paragraphs": ["IHS officials told us they have experienced considerable challenges in filling vacancies for providers\u2014as well as negative effects on patient care and provider satisfaction when positions are vacant. According to IHS officials, the rural locations and geographic isolation of some IHS facilities create recruitment and retention difficulties. IHS data indicate that 36 of the 102 IHS facilities, including four hospitals, are identified as isolated hardship (ISOHAR) posts. Agency documentation describes ISOHAR posts as \u2018\u2018unusually difficult, which may present moderate to severe physical hardships for individuals assigned to that geographic location,\u2019\u2019 and states that physical hardships may include crime or violence, pollution, isolation, a harsh climate, scarcity of goods on the local market, and other problems. In addition, IHS has reported that insufficient housing, substandard schools, lack of entertainment opportunities, and shopping centers located more than three hours away are all typical not only of ISOHAR posts, but also of many other IHS facility locations. Officials stated that, especially for job candidates and employees with families, these can be critical factors in choosing whether or not to accept or stay in a position. For example, officials from the Portland Area office told us the Colville Service Unit has experienced challenges recruiting physicians because the service unit is 110 miles away from Spokane, and many of the smaller towns nearby have limited amenities\u2014including limited employment opportunities for spouses and school systems that may not meet the expectations of some prospective employees.", "In addition to hardships generally associated with rural locations, IHS facilities can experience additional challenges specific to recruiting and retaining providers for facilities on tribal lands. For example, Navajo area officials told us that providers who are non-native or are not married to a tribal member generally must go off the reservation to find housing if it is not provided by IHS. According to IHS, the Navajo Nation is one of the largest Indian reservations in the United States, consisting of more than 25,000 contiguous square miles and three satellite communities, and extending into portions of Arizona, New Mexico, and Utah. Living off the reservation can result in long commutes, contributing to a difficult work- life balance. Furthermore, IHS officials noted, public transportation such as buses or trains do not exist in proximity to most IHS facilities.", "IHS facility staff told us long-standing vacancies have a direct negative effect on patient access to quality health care, as well as employee morale. Officials from multiple facilities we visited told us they have had to cut certain patient services due to ongoing provider vacancies. For example, officials from the Phoenix Area office told us the Nevada Skies Youth Wellness Center, an adolescent substance abuse treatment center, decreased the number of beds available due to staffing vacancies. Similarly, officials from the Rosebud Hospital stated the facility has diverted obstetrics patients to other facilities since July 2016 due to a shortage of physicians, nurses, and nurse anesthetists. During the diversion, those patients were referred to other hospitals in Valentine, Nebraska, and Winner, South Dakota\u2014about 45 miles away. An official from the Sioux San Hospital said that because of vacancies in the diagnostic testing laboratory, the hospital stopped conducting Chlamydia tests in-house and instead sends specimens out to another laboratory for testing. As a result, the official stated it takes about a week longer to get the test results, which can delay treatment. In addition facility staff we interviewed told us the increased stress and fatigue of providers working to make up for staffing shortages results in decreased employee morale. These staff stated that, in some cases, this stress and fatigue has caused providers to leave IHS. One doctor we spoke with described this dynamic of vacancies begetting additional vacancies as a \u201cnever-ending cycle\u201d for the facility."], "subsections": []}]}, {"section_title": "IHS Uses Multiple Strategies to Recruit and Retain Providers", "paragraphs": ["In an effort to recruit and retain permanent employees, IHS has used strategies that are similar to strategies used by VHA and tribal facilities in our review. Specifically, IHS has provided financial incentives, professional development opportunities, and some access to housing. The agency has also taken steps to recruit students and connect with potential applicants through webinars, career fairs, and conferences."], "subsections": [{"section_title": "Salaries and Other Financial Incentives", "paragraphs": ["IHS offers increased special salary rates for certain health care positions, as well as other financial incentives, such as recruitment and retention bonuses. IHS also offers student loan repayments, in return for health professionals\u2019 commitment to work at IHS for a specified period of time.", "Special salary rates. IHS offers special higher salary rates for physicians, dentists, nurses, CRNAs, certified nurse midwives, nurse practitioners, optometrists, pharmacists, and physician assistants. IHS officials stated that special salary rates are an important recruitment and retention tool for providers, and that without them, federally operated IHS facilities would be at a competitive disadvantage with the private sector, VHA, and tribally operated facilities. In 2015 IHS reported that recruiting and retaining CRNAs was \u201can ongoing problem for IHS\u2014mostly due to pay,\u201d and the agency rarely had \u201ca sufficient applicant pool.\u201d IHS reported \u201cCRNA services were integral to IHS operations\u201d and without the ability to recruit and retain these providers, IHS was \u201cat risk of having to curtail services to clients.\u201d As a result, according to IHS officials, the agency developed special salary rates for CRNAs, which became effective on December 31, 2015. As of November 2017, IHS had no CRNA vacancies.", "However, according to IHS officials, the agency has only developed seven national special pay tables and two local special pay tables for Alaska, as of January 2018, due to a lack of human resources personnel trained in this process. Officials told us only one human resources staff person at IHS is experienced with developing special pay tables, which takes a substantial amount of work. However, they stated that this task is only one of her job responsibilities, and she can complete about one special pay table each year. In comparison, according to an official, VHA has developed and regularly revises over 3,000 special salary rates based on local market conditions. For example, IHS officials stated that Phoenix Indian Medical Center cannot offer salaries that are competitive with VHA because salaries for providers in the Phoenix area are relatively high compared to national salaries, and IHS has not developed local salary rates in the Phoenix market. For example, using pay rates effective January 7, 2018, a nurse just starting a career in the Phoenix area could make $63,871 at VHA (local pay table), versus $44,835 at IHS (national pay table).", "Although offering increased salaries is an important strategy that IHS uses for recruitment, IHS still experiences challenges in offering competitive salaries. Officials from two area offices told us the maximum amount for a physician salary or certain nursing salaries were not enough for some potential hires, who sought employment elsewhere. While IHS may seek approval from HHS to exceed the maximum salary of certain pay tables, IHS officials said the approval process can be lengthy, which has resulted in the loss of promising candidates\u2014including emergency medicine, general surgery, radiology, and anesthesiologist providers. Similarly, officials from one area office stated that federally operated IHS facilities have experienced challenges competing with other health care systems in recruiting local health care providers, including tribally operated facilities. For example, officials from the Oklahoma City area office told us their area has four of the largest American Indian tribes in the country running their own health systems. According to these officials, in addition to IHS funds, these tribes use money from other sources to pay health care salaries. IHS officials explained that, as a result, tribes can pay higher salaries and may be able to offer other incentives that IHS is unable to provide.", "Recruitment, relocation, and retention incentives. IHS may offer recruitment, relocation, and retention incentives. Specifically, for positions that are difficult to fill or for individuals who are unlikely to accept the position without an incentive, IHS may offer potential employees a recruitment incentive up to 25 percent of their annual salary. IHS may also pay a relocation incentive for a current employee who must relocate for a position that would otherwise be difficult to fill. In addition, IHS may pay a retention incentive of up to 25 percent of an employee\u2019s current salary if he or she (1) has unusually high or unique qualifications or if there is a special need of the agency, which makes retention essential, or (2) is likely to leave IHS without the retention incentive. Officials from the Phoenix area office told us IHS facilities use the retention bonuses extensively for nursing staff, in particular, to help match the market pay. IHS also analyzed the recruitment and retention of nurses and, as a result of this analysis, requested an exception to the 25 percent limit on recruitment, relocation, and retention incentives, from the Office of Personnel Management (OPM). In December, 2017, OPM approved IHS\u2019s request to offer incentives up to 50 percent, and IHS officials told us that they are currently reviewing implementation options.", "Loan repayment. IHS\u2019s Loan Repayment Program pays provider education loans in exchange for an initial two-year service commitment to practice in health facilities serving AI/AN communities. Recipients agree to serve two years in exchange for up to $20,000 per year in loan repayment funding and up to an additional $5,000 per year to offset tax liability, which IHS pays directly to the Internal Revenue Service. Loan repayment recipients can extend their initial two-year contract on an annual basis until their original approved educational loan debt is paid. In fiscal year 2017, a total of 1,267 providers\u2014about 8 percent of the federal IHS workforce\u2014were receiving IHS loan repayments. This included 434 new two-year contracts, 396 one-year extension contracts, and 437 providers starting the second year of their fiscal year 2016 two-year contract. However, IHS\u2019s Loan Repayment Program is not able to pay for the loans of all providers who request it due to limited funding. According to officials in one area office, this has caused providers to either decline a job offer or leave IHS. According to IHS\u2019s fiscal year 2019 budget justification, in fiscal year 2017, 412 providers employed by IHS who applied for loan repayment, did not receive one. An additional 376 applicants either declined a job offer because they did not receive loan repayment funding or were unable to find a suitable assignment meeting their personal or professional needs. Officials in the Billings Area Office told us several physicians stated during exit interviews that they were leaving because they did not receive the loan repayment funding they hoped to receive. According to area office officials, the Billings area lost 5 physicians in 2 weeks because they were not awarded loan repayments.", "In addition to its own loan repayment program, IHS has worked with HHS\u2019s Health Resources and Services Administration (HRSA) to increase opportunities for providers to apply for loan repayment through the National Health Service Corps. Specifically, IHS worked with HRSA to increase the number of facilities deemed medically underserved and therefore designated Health Professional Shortage Areas. According to IHS, this resulted in 684 health care delivery sites for placement of National Health Service Corps providers, and the number of placements increased to 443 providers as of August 2016. As of January 2018, according to IHS officials, there were 499 providers serving at 797 eligible sites. Applicants cannot receive loan repayment from more than one program concurrently."], "subsections": []}, {"section_title": "Professional Development Opportunities", "paragraphs": ["Officials from several facilities told us they provide access to professional development opportunities for IHS employees as a retention tool. For example, Northern Navajo Medical Facility (Shiprock) officials said they are sending nurse managers and two to three potential future leaders to the American Organization of Nurse Executive trainings. Officials told us this training allows the nurses to network with private executives and look at fellowships. In addition, Chinle Comprehensive Health Care Facility officials told us they paid for a 2-year residency at University of Texas Health Science Center so one of their dentists could obtain additional training in pediatric dentistry. Officials told us that, in return, the dentist agreed to stay at the Chinle Comprehensive Health Care Facility for 6 years. In addition, Shiprock service unit officials told us they have offered their providers, through a partnership with the University of New Mexico, an online Masters of Science in Public Health program in health management."], "subsections": []}, {"section_title": "Housing", "paragraphs": ["When housing is limited near IHS facilities, IHS has made some housing available to assist with recruitment and retention of providers. Area officials told us federally operated IHS facilities in the Albuquerque, Great Plains, Phoenix, Billings, and Navajo areas provide some government- subsidized housing for providers and their families. At four of the seven facilities we visited\u2014the Kayenta Health Center, Chinle Comprehensive Health Care Facility, Rosebud Hospital, and Pine Ridge Hospital\u2014we observed some staff housing.", "Kayenta Health Center. Officials from Kayenta Health Center told us that they provide 158 housing units, from 1 bedroom to 4 bedrooms. In addition, the facility has a 19-unit building, similar to a hotel (fully furnished), for temporary contract providers. Officials said they are considering opening units in this building to permanent employees.", "Chinle Comprehensive Health Care Facility. Officials from Chinle Comprehensive Health Care Facility told us there are 264, 1 to 4 bedroom housing units available for providers both on its campus and nearby. IHS officials also told us they provide access to 19 parking spaces for camping vehicles.", "Rosebud Hospital. Officials from Rosebud Hospital stated they provide 150 housing units and are also constructing a 19-unit hotel- style building. They said that most, if not all, candidates from outside of the area ask about housing unit availability when deciding whether to accept a position.", "Pine Ridge Hospital. Officials from Pine Ridge Hospital told us that IHS also provides 105 housing units for its employees. IHS officials explained the housing is a necessity for on-call providers because staff without on-site housing are required to commute extreme distances in very harsh environments to locate housing outside of reservation boundaries.", "See figure 6 for examples of government-subsidized provider housing near the Kayenta Health Center, Chinle Comprehensive Health Care Facility, Rosebud Hospital, and Pine Ridge Hospital. See appendix II for information about housing provided by one selected tribe.", "However, there is a greater demand for housing than IHS can provide. During our site visit, Chinle Health Care Facility officials stated that government-subsidized housing availability to meet employee demand is severely limited at all of their three facilities, and the availability of private housing in the community is \u201cnon-existent.\u201d As a result, IHS officials from Chinle told us that some providers commute 60 to 90 minutes to work one-way each day. IHS officials told us that, after conducting a needs assessment in 2016, they determined the unmet need for housing at IHS facilities was 1,100 units. According to these officials, the needs assessment also helped them identify some of the greatest needs for housing. The President\u2019s fiscal year 2017 budget proposal for IHS requested $12 million to build new staff housing units \u201cin isolated and remote locations for healthcare professionals to enhance recruitment and retention.\u201d According to agency officials, based on its needs assessment, HHS provided $24 million to build new staff housing units at the Rosebud and Pine Ridge hospitals in the Great Plains area, at the Crownpoint and Chinle health care facilities in the Navajo areas, and at the Supai clinic in the Phoenix area."], "subsections": []}, {"section_title": "Student Recruitment Efforts", "paragraphs": ["IHS has also taken steps to recruit future providers by providing scholarships, externships, internships, and residency rotations to health professional students.", "Scholarships. IHS\u2019s scholarship program provides financial support to qualified AI/AN candidates in exchange for a minimum 2-year service commitment within an Indian health program. Nearly 7,000 AI/AN students have received scholarship awards since the program started in 1978. The awards include (1) scholarships for candidates enrolled in preparatory or undergraduate prerequisite courses in preparation for entry to a health professions school, (2) pre-graduate scholarships for candidates enrolled in courses leading to a bachelor\u2019s degree, including pre-medicine, pre-dentistry, and pre-podiatry, and (3) health professions scholarships for candidates who are enrolled in an eligible health profession degree program. According to IHS, in fiscal year 2017, there were 805 new scholarship applications submitted. After evaluating the applications, 331 applications were deemed eligible for funding, and the program was able to fund 108 new awards. The IHS Scholarship program also reviewed applications from previously awarded scholars who were continuing their education. In fiscal year 2017, 154 continuation awards were funded. In addition to the scholarship program, according to IHS officials, the agency funds two medical students enrolled at the Uniformed Service University of the Health Sciences each year. Each graduate agrees to a 10-year obligation to IHS after medical school graduation and completion of training. In future years, IHS endeavors to fund two additional medical students at the Uniformed Service University of Health Sciences.", "Externships and internships. IHS provides scholarship recipients with opportunities to receive clinical experience in IHS facilities. In fiscal year 2017, the agency funded 94 students, who were employed for 30 to 120 workdays per calendar year. In addition, IHS provides externships to students temporarily called to active duty as Commissioned Corps officers through the Commissioned Officer Student Training and Extern Program (COSTEP). IHS officials said that the agency funded about 60-70 students in COSTEP in 2016. IHS also offers a Virtual Internship program through a partnership with the Department of State. Virtual interns spend 10 hours a week from September through May working remotely on their projects, which have included producing bilingual Navajo and English videos for rural health clinics, developing Navajo-specific health education materials on palliative care, improving behavioral health data collection methods, and creating social media strategies and campaigns for health promotion. For the 2017-2018 academic year, about 15 students are participating in virtual internships with IHS.", "Residency rotations. IHS service units offer rotation opportunities for medical, nursing, optometry, dental, and pharmacy residents as a recruitment tool because research shows students are likely to stay and practice medicine in the area where they studied. For example, the Oklahoma City area has a Memorandum of Agreement with the Oklahoma State College of Medicine, which permits area officials to annually recruit up to two residents from the current year\u2019s residency class to become federal employees while completing their residency program. For every year that IHS sponsors the residents\u2019 position at the university, the resident has a one-year service obligation. In addition, IHS officials from Chinle stated that the service unit participates in educational agreements with numerous universities and residency programs to host medical students, nursing students, and medical residents for rotations. According to officials, recent graduates from residency programs applying for permanent positions with the Chinle Comprehensive Health Care Facility often cite prior rotations at the service unit, or word of mouth from students or residents who have rotated through the service unit, as a reason for applying. The IHS Pharmacy Resident Program is another recruitment program that offers residency training to pharmacists who are willing to serve in high-need locations. Pharmacy residents who are Commissioned Corps officers are required to complete 2 years of service at an IHS federal or tribal facility. Twenty-six Commissioned Corps and civilian pharmacists participate in the Pharmacy Residency Program. See app. II for information on residency programs at tribally operated facilities."], "subsections": []}, {"section_title": "Connecting with Potential Applicants", "paragraphs": ["IHS officials said they have conducted webinars and career fairs in an attempt to connect with health professional students. For example, in 2016, IHS conducted two informational webinars to recruit Commissioned Corps applicants to facilities in the Great Plains area with critical clinical vacancies. According to IHS officials, approximately 60 applicants attended the two webinars, resulting in 15 nurse hires. In addition, Nashville area officials stated that the area office conducted a marketing campaign at the National Congress of American Indians Conference.", "Officials explained that the area office provided information about desirable aspects of living in the Nashville area and collected e-mail addresses and areas of interest from potential job candidates. IHS\u2019s Office of Human Resources also partners with HRSA\u2019s Bureau of Health Workforce by participating in nationwide virtual career fairs to promote the National Health Service Corps scholarship and loan repayment opportunities.", "IHS has also worked with the Office of the Surgeon General to increase the recruitment and retention of Commissioned Corps officers. In May 2017, the Office of the Surgeon General gave IHS priority access to new Commissioned Corps leads\u2014meaning IHS has at least 30 days to make contact with potential applicants to the Commissioned Corps before other agencies have the opportunity to contact them. According to IHS officials, since being given priority access to Commissioned Corps leads, the agency has made 20 direct clinical care selections, of which 15 have entered on duty."], "subsections": []}]}, {"section_title": "IHS Uses Strategies to Maintain Patient Access to Services and Reduce Provider Burnout When Positions Are Vacant, But Lacks Agency- wide Data on Use of Temporary Providers Providing Telehealth Services", "paragraphs": ["In addition to its recruitment and retention strategies, IHS uses strategies to mitigate the negative effects of vacancies by helping to maintain patient access to services, and helping to reduce provider burnout when positions are vacant. Specifically, IHS provides telehealth services; implements alternative staffing models, including hiring nurse practitioners and physician assistants in lieu of physicians; temporarily assigns Commissioned Corps officers to alternate duty stations as needed; and contracts with temporary providers.", "IHS\u2019s telehealth services include two agency-wide programs that provide teleophthalmology and telebehavioral health services.", "Teleophthalmology. The IHS Joslin Vision Network (IHS-JVN)", "Teleophthalmology Program provides annual diabetic eye exams to AI/AN patients in almost all IHS areas with federally operated facilities. According to IHS, patients\u2019 retinal images are scanned locally and sent to a reading center where doctors interpret the images and report back. Officials told us the IHS-JVN program examined 22,000 patients in 2016.", "Telebehavioral health. The Telebehavioral Health Center of Excellence provides direct care services through video conferencing to patients at remote facilities from providers at IHS facilities that are able to provide the services. These services are provided in all IHS areas with federally operated facilities, and more than 5,800 patient visits occurred in 2016. Additionally, officials told us there are regional telebehavioral health programs, such as in the Oklahoma City area that, combined with the Telebehavioral Health Center of Excellence, saw over 10,000 patients in 2016. IHS officials stated that patients appreciate the telebehavioral services in their communities, because they are the only behavioral health services available in many communities. The IHS psychiatrist who provides services is located in Oklahoma City because, according to IHS officials, it is easier to recruit providers to a more urban location.", "In addition to these agency-wide telehealth programs, IHS officials identified multiple other local telehealth arrangements that facility staff have developed to help maintain patient access to medical services. For example, there is a diabetes consultant for the Portland area who conducts telenutrition services. There is also a teledermatology program for the Phoenix Area federal facilities operated out of the Phoenix Indian Medical Center. Additionally, several service units\u2014including Pine Ridge Hospital, Rosebud Hospital, and the Sioux San Medical Center\u2014have contracts for emergency department telehealth services. Figure 7 shows telehealth equipment in the Rosebud Hospital emergency department."], "subsections": [{"section_title": "Implementing Alternative Staffing Models", "paragraphs": ["Staff from multiple facilities told us they have implemented alternative staffing models to focus on hiring for non-physician practitioner positions because these positions are slightly easier to fill. For example, Northern Navajo Medical Center officials told us the facility, facing an emergency department physician shortage, hired physician assistants and nurse practitioners instead. These officials said they converted two physician positions into four physician assistant and nurse practitioner positions. In addition, Chinle officials stated that they added two physician assistants to the urgent care department due to complaints about patient wait times, and patient wait times have decreased as a result. Officials also mentioned dental therapists as an additional type of clinical professional who may be added to the Chinle Health Care Facility staffing model because the service unit has been unable to recruit and retain enough dentists to meet patient need."], "subsections": []}, {"section_title": "Commissioned Corps Deployments and Temporary Duty Assignments", "paragraphs": ["IHS officials stated that they have worked with the Office the Surgeon General to deploy Commissioned Corps officers, mainly to the Great Plains area, and have also coordinated voluntary temporary duty assignments of Commissioned Corps officers (within IHS and from other agencies) to temporarily fill staffing shortages or meet other mission- critical needs. IHS officials stated that Commissioned Corps officers may also be temporarily assigned to an IHS site to provide services, such as behavioral health support during a suicide cluster."], "subsections": []}, {"section_title": "Temporary Contract Providers", "paragraphs": ["IHS officials from 9 of the 10 geographic areas with federally operated facilities and all seven facilities in our review told us they regularly use temporary contract providers\u2014such as through locum tenens contracts and contracts with university fellowship programs\u2014to maintain patient access to care when positions are vacant.", "Locum tenens. Officials from the Kayenta Health Center said they contract with temporary providers to compensate for vacancies, and the facility contracts with about 9 providers who rotate to fill 3 vacant emergency department positions. Officials from the Portland area stated that they use temporary providers when there is a staffing shortage with providers. They explained that the Portland area has provider vacancies that have been open for years, and temporary providers fill these vacancies for an extended period of time, usually with a rotating series of providers. Chinle Health Care Facility officials said temporary providers, when of sufficiently high quality, have been recruited to join the permanent corps of civilian service staff. However, they told us locum tenens can cost between $50,000-$200,000 more annually than permanent physicians\u2019 salaries, exclusive of benefits, depending on the specialties and hourly rates associated with the contracts. They said they are finding that increasingly higher hourly rates are needed to ensure a sufficient supply of high-quality temporary providers.", "IHS officials at all levels of the agency told us they prefer to hire permanent providers, rather than use locum tenens contracts. Facility officials explained that persistent turnover in temporary staff may jeopardize continuity of care. For example, Sioux San Medical Center officials expressed concern about the quality of the care provided by temporary contractors, as well as the consistency of the care provided because the contractors rotate frequently. IHS officials told us that many providers prefer to be on contract due to the higher compensation rates as a contractor, even when taking federal benefits into account.", "University physicians. IHS officials explained that area offices may also contract with university fellowship programs to provide visiting providers. For example, according to IHS, the Chinle Health Care Facility has entered into long-term contractual agreements with two academic fellowship programs\u2014University of California-San Francisco Health Program and the University of Utah Global Health Fellowship. Officials told us these programs provide U.S. residency- trained, board certified physicians interested in global health to work 6-month assignments alternating with another fellow at an international site. In addition, IHS officials stated that the Navajo area office is collaborating with the University of California-San Francisco and its global health fellowship to assign global health fellows to a Navajo Area site for 6 months out of each year. The officials explained that 24 fellows were placed in Navajo-area facilities in 2017 at costs substantially lower than that of locum tenens contracts. According to IHS, the Great Plains area office has collaborated with the University of Washington\u2019s global health fellowship program to assign global health fellows in Internal Medicine to Pine Ridge Hospital for 11- month placements.", "Agency-wide information on the extent to which facilities use these temporary providers, and the amount spent on them, is not readily available to IHS leadership. While IHS has agency-wide information on vacancies through the Capital Human Resource Management System, IHS delegates the acquisitions process for temporary provider contracts to the head of each area-level Contracting Office. Therefore, agency-wide information on the number of full-time equivalent employees that are temporary providers working at IHS facilities, as well as the cost of these providers, is not readily available. As discussed, officials we spoke with at IHS facilities told us that temporary providers can cost more depending on the specialties and hourly rates. Without agency-wide information on the extent to which such providers are used, IHS is not fully informed about facilities\u2019 reliance and expenditures on temporary providers or their potential effect on patient care, which is inconsistent with federal internal control standards regarding the availability of relevant information to facilitate management decision making and performance monitoring. Specifically, federal internal controls standards state that agency management should obtain, process, and use quality information to make informed decisions and evaluate the agency\u2019s performance in achieving key objectives and addressing risks. IHS\u2019s lack of agency-wide information on the costs and number of temporary providers used at its facilities impedes its ability to make decisions about how best to target its resources to address gaps in provider staffing and ensure that health services are available and accessible across IHS facilities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Maintaining a stable clinical workforce capable of providing quality and timely care is critical for IHS to ensure that comprehensive health services are available and accessible to American Indian/Alaska Native people. However, despite efforts to recruit and retain providers, IHS continues to face considerable challenges to overcome its long-standing struggle to fill sizeable provider vacancies, including geographic isolation and limited amenities. Although IHS is authorized to offer recruitment and retention incentives, such as loan repayments and subsidized housing, the demand for these incentives has been greater than the agency can meet due to resource constraints. However, more complete information on contract providers could help IHS officials make decisions on where to better target its limited resources to address gaps in provider staffing and ensure that health services are available and accessible to American Indian/Alaska Native people across IHS facilities."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to IHS: The Director of IHS should obtain, on an agency-wide basis, information on temporary provider contractors, including their associated cost and number of full-time equivalents, and use this information to inform decisions about resource allocation and provider staffing. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS and the Department of Veterans Affairs (VA) for review and comment. We received written comments from HHS that are reprinted in appendix III. HHS concurred with our recommendation.", "In its comments, HHS stated that IHS plans to update its policies by December 2018 to include a centralized reporting mechanism requirement for all temporary contracts issued for providers. HHS also stated that, upon finalization of the policy, IHS will broadly incorporate and implement the reporting mechanism agency-wide and maintain it on an annual basis. HHS also provided technical comments, which we incorporated as appropriate.", "VA provided comments on a draft of this report in an email, stating that VA officials continue to work to improve recruitment and retention of providers at VHA to ensure that they have the correct number of providers with the appropriate skills.", "We are sending copies of this report to HHS, the Department of Veterans Affairs, and appropriate congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov/.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or farbj@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Provider Vacancies with the Indian Health Service (IHS)", "paragraphs": ["Appendix I: Provider Vacancies with the Indian Health Service (IHS)", "IHS data collected in November 2017, included the number of positions and vacancies for several types of providers, including physicians, nurses, dentists, pharmacists, nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and physician assistants. Most of these positions are in the 8 of 12 IHS areas in which IHS has substantial direct care responsibilities. Vacancies for nurse practitioners, nurse midwives, dentists, pharmacists, and physician assistants are provided in this appendix.", "Nurse practitioners. Nationwide, 97 of 303 positions were vacant in November 2017, and vacancy rates in the 8 areas in which IHS has substantial direct care responsibilities ranged from 12 percent in the Oklahoma City area to 47 percent in the Albuquerque area. (See fig. 8)", "Certified nurse midwives. Nationwide, 8 of 55 positions were vacant in November 2017. See table 1.", "Dentists. Nationwide, 81 of 306 positions were vacant in November 2017 and vacancy rates in the 8 areas in which IHS has substantial direct care responsibilities ranged from 14 percent in the Phoenix area to 39 percent in the Bemidji area. (See fig. 9.)", "Pharmacists. Nationwide, 80 of 637 positions were vacant in November 2017 and vacancy rates in the 8 areas in which IHS has substantial direct care responsibilities ranged from 3 percent in the Bemidji area to 17 percent in the Albuquerque area. (See fig. 10.)", "Physician assistants. Nationwide, 37 of 125 positions were vacant in November 2017. See table 2."], "subsections": []}, {"section_title": "Appendix II: Tribal Strategies of Housing Units and Physician Residency Programs to Recruit and Retain Healthcare Providers", "paragraphs": ["Tribal officials from the Chickasaw Nation and Choctaw Nation described their use of strategies to address vacancies, which were very similar to strategies used by the Indian Health Service (IHS). Like the IHS, one tribe uses the availability of housing units near its medical facility as a recruitment tool for health care providers. Both tribes that described their strategies to recruit and retain providers told us they use their physician residency program in Family Medicine as a recruitment tool.", "Availability of housing units near the medical facility. Tribal officials from the Choctaw Nation told us the tribe uses housing units\u201458 housing units that range from studio apartments to multi- room houses\u2014as a recruitment strategy for providers. The provider housing units are occupied by physicians, as well as by physician residents who need housing during their residency or for medical students doing clinical rotations through the facility. According to tribal officials, a factor they considered in making housing units available for providers was the location of its hospital in a rural area of Oklahoma, in a town with a population of about 1,000, which lacks sufficient housing.", "In September 2017, tribal officials told us all the available housing units were occupied, and the tribe was in the process of constructing at least two 4-bedroom houses. See fig. 11 for photos of a completed multi-room house and one under construction. Offering the housing units to provider staff is also part of the tribe\u2019s overall strategy of offering quality-of-life benefits to attract and retain providers.", "Implementing Accredited Physician Residency Programs. Tribal officials we interviewed noted that they developed physician training programs\u2014specifically graduate medical education, commonly known as residency training\u2014which they use as an important recruitment tool for physicians. One tribe has implemented its Family Medicine residency program, while the other tribe intends for its Family Medicine residency program to be operational in July 2018. Both residency programs are accredited by the American Osteopathic Association, in addition to the American College of Osteopathic Family Practice for one tribe and the American Council for Graduate Medical Education for the other tribe. One program is accredited for 3 resident physicians per year for a total of 9 physician residents at a time, while the other program is accredited for 4 resident physicians per year.", "We previously found that physicians may practice in geographic areas similar to those where they complete their residency training. Tribal officials with the implemented Family Medicine residency program told us it is successful in that they hired 7 of the 9 residents who completed the residency program. There is also a retention benefit\u2014current providers have the opportunity to stay up-to-date on the latest medical treatment methods by serving as either mentors or as faculty for the residents."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kathleen M. King (Director), Ann Tynan (Assistant Director), Kelly DeMots (Assistant Director/Analyst-in- Charge), Sam Amrhein, Kristen Anderson, Muriel Brown, Kaitlin Farquharson, Peter Mann-King, Maria Ralenkotter, Lisa Rogers, and Jennifer Whitworth made key contributions to this report."], "subsections": []}]}], "fastfact": ["Indian Health Service clinics don\u2019t have enough doctors or nurses to provide quality and timely health care to American Indian and Alaska Native people. IHS data show an average vacancy rate for physicians, nurses, and other care providers of 25%.", "IHS uses multiple strategies to recruit and retain providers, including offering financial incentives and housing. However, IHS has trouble matching local market salaries and does not have enough housing to meet the demand. One way the agency tries to fill vacancies is by hiring temporary providers, although officials said this is more costly and may result in less continuity of care."]} {"id": "GAO-18-106", "url": "https://www.gao.gov/products/GAO-18-106", "title": "Central States Pension Fund: Investment Policy Decisions and Challenges Facing the Plan", "published_date": "2018-06-04T00:00:00", "released_date": "2018-06-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Multiemployer plans are collectively bargained pension agreements often between labor unions and two or more employers. CSPF is one of the nation's largest multiemployer defined benefit pension plans, covering about 385,000 participants. Since 1982, the plan has operated under a court-enforceable consent decree which, among other things, requires that the plan's assets be managed by independent parties. Within 7 years, CSPF estimates that the plan's financial condition will require severe benefit cuts. GAO was asked to review the events and factors that led to the plan's critical financial status and how its investment outcomes compare to similar plans.", "GAO describes (1) what is known about the factors that contributed to CSPF's critical financial condition; (2) what has been CSPF's investment policy, and the process for setting and executing it, since the consent decree was established; and (3) how CSPF's investments have performed over time, particularly compared to similar pension plans.", "GAO reviewed relevant federal laws and regulations; interviewed CSPF representatives, International Brotherhood of Teamsters officials and members, federal officials, and knowledgeable industry stakeholders; reviewed CSPF documentation including investment policy statements and board of trustee meeting minutes; and analyzed investment returns and fees from required, annual pension plan filings and from consultant benchmarking reports."]}, {"section_title": "What GAO Found", "paragraphs": ["The Central States, Southeast and Southwest Areas Pension Fund (CSPF) was established in 1955 to provide pension benefits to trucking industry workers, and is one of the largest multiemployer plans. According to its regulatory filings, CSPF had less than half the estimated funds needed to cover plan liabilities in 1982 at the time it entered into a court-enforceable consent decree that provides for oversight of certain plan activities. Since then, CSPF has made some progress toward achieving its targeted level of funding; however, CSPF has never been more than 75 percent funded and its funding level has weakened since 2002, as shown in the figure below.", "Stakeholders GAO interviewed identified numerous factors that contributed to CSPF's financial condition. For example, stakeholders stated that changes within the trucking industry as well as a decline in union membership contributed to CSPF's inability to maintain a healthy contribution base. CSPF's active participants made up about 69 percent of all participants in 1982, but accounted for only 16 percent in 2016. The most dramatic change in active participants occurred in 2007 when the United Parcel Service, Inc. (UPS) withdrew from the plan. At that time, UPS accounted for about 30 percent of the plan's active participants (i.e. workers). In addition, the market declines of 2001 to 2002 and 2008 had a significant negative impact on the plan's long-term investment performance. Stakeholders noted that while each individual factor contributed to CSPF's critical financial condition, the interrelated nature of the factors also had a cumulative effect on the plan's financial condition.", "Both CSPF's investment policy and the process for setting and executing it have changed several times since the consent decree was established in 1982. The original consent decree gave an independent asset manager\u2014called a named fiduciary\u2014exclusive authority to set and change the plan's investment policies and manage plan assets, and prohibited CSPF trustees from managing assets or making investment decisions. Initially, the named fiduciaries sold the troubled real estate assets acquired during the pre-consent decree era. Subsequent changes include the following:", "In 1993, the named fiduciaries started to increase investment in equities, and their policies continued to direct that asset allocations be weighted toward equities until early 2017.", "Between 2003 and 2010, the court approved three plan decisions to move a total of 50 percent of CSPF's assets into passively-managed accounts (passive management typically seeks to match the performance of a specific market index and reduce investment fees).", "An early-2017 investment policy change precipitated by CSPF's deteriorating financial condition will continue to move plan assets into fixed income investments ahead of projected insolvency, or the date when CSPF is expected to have insufficient assets to pay promised benefits when due. As a result, assets will be gradually transitioned from \u201creturn-seeking assets\u201d\u2014such as equities and emerging markets debt\u2014to high-quality investment grade debt and U.S. Treasury securities with intermediate and short-term maturities. The plan is projected to become insolvent on January 1, 2025. CSPF officials and named fiduciary representatives said these changes are intended to reduce the plan's exposure to market risk and volatility, and provide participants greater certainty prior to projected insolvency.", "GAO found that CSPF's investment returns and expenses were generally in line with similarly sized institutional investors and with demographically similar multiemployer pension plans. For example, GAO's analysis of returns using the peer group measure used by CSPF known as the Wilshire Associates' Trust Universe Comparison Service (TUCS), showed that CSPF's annual investment returns since 1995 were above the median about as many times as they were below. Similarly, comparing CSPF's returns to a peer group of similar multiemployer defined benefit plans using federally required annual reports found that CSPF's annual investment returns were in line with those of its peers. Specifically, CSPF's annual returns were above the median nine times and below it six times\u2014and CSPF's overall (dollar-weighted) average annual return from 2000 through 2014 was close to that of the peer median average return of 4.8 percent.", "In addition, GAO found that CSPF's investment fees and other administrative expenses have also been in line with other large multiemployer plans. For example:", "CSPF's investment fees as a percentage of assets were about 9 percent lower than the median of large defined benefit multiemployer plans over the 2000 through 2014 period\u2014though much of that difference is accounted for by a relative reduction in investment fees since 2007. CSPF's investment fees as a percentage of assets were, on average, about 34 basis points (or 0.34 percent).", "CSPF's administrative expenses related to the day-to-day operations of the plan have also been in line with other large multiemployer plans. CSPF's administrative expenses per participant were below the median for large defined benefit multiemployer plans for 12 of the 15 years over the 2000 through 2014 period. As of 2014, CSPF's administrative expense was $98 per participant, which is about 16 percent less than the median for large defined benefit multiemployer plans."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Established in 1955 to provide pension benefits to trucking industry workers, the Central States, Southeast and Southwest Areas Pension Fund (CSPF) is one of the nation\u2019s largest multiemployer pension plans, with $15.3 billion in assets at the end of 2016. About 1,400 employers are obligated to contribute to CSPF, and the plan covers almost 385,000 participants. Since 1982, the plan has operated under a court- enforceable consent decree which, among other things, requires it to obtain approval from the U.S. District Court for the Northern District of Illinois, Eastern Division, for certain plan activities and requires independent asset managers to manage the plan\u2019s investments. Currently, CSPF is projected to become insolvent within 7 years and is classified as a \u201ccritical and declining\u201d plan under the Employee Retirement Income Security Act of 1974 (ERISA), as amended by subsequent laws, including the Multiemployer Pension Reform Act of 2014 (MPRA). In addition to causing financial hardship for hundreds of thousands of CSPF retirees who are at risk of severe benefit cuts, CSPF\u2019s projected insolvency is also likely to coincide with the projected insolvency of the multiemployer insurance program managed by the Pension Benefit Guaranty Corporation (PBGC). The insolvency of PBGC\u2019s multiemployer program would significantly impact the level of PBGC-guaranteed benefits to current and future beneficiaries in all multiemployer plans receiving PBGC assistance. CSPF\u2019s critical and declining status has sparked interest in understanding the broad factors that have caused the plan\u2019s decline and what role, if any, the plan\u2019s investment policies have played in contributing to this condition. In light of these issues, you asked us to review the events and factors that led to CSPF\u2019s critical financial condition and how it compares to similar plans.", "In this report, we reviewed (1) what is known about the factors that contributed to CSPF\u2019s critical financial condition; (2) what has been CSPF\u2019s investment policy, and the process for setting and executing it, since the consent decree was established; and (3) how CSPF\u2019s investments have performed over time, particularly compared to similar pension plans.", "We used several methodologies in developing our findings. For all objectives, we reviewed CSPF and U.S. Department of Labor (DOL) documentation and available literature; reviewed relevant federal laws and regulations; and interviewed CSPF officials, federal officials, and other knowledgeable industry stakeholders. To describe the major factors that led to CSPF\u2019s critical financial condition, we conducted 23 semi-structured interviews with federal agency officials and other stakeholders knowledgeable about unions, participants and retirees, the trucking industry, collective bargaining agreements, and multiemployer pension plans. We also interviewed three stakeholders with actuarial expertise to specifically understand actuarial standards and procedures. In our semi-structured interviews we asked about key factors affecting the plan and the broader regulatory and financial environment in which multiemployer plans operate. We selected knowledgeable stakeholders based on a review of literature and prior GAO work, and recommendations from other stakeholders. Additionally, we selected stakeholders whose expertise coincided with the scope of our objectives and who would be able to provide a broad range of perspectives. We also collected actuarial, financial, and other data on current and historical measures of plan assets, liabilities, investment performance, and other factors, and performed our own analyses of these data. The data and documentation collected were generally from the plan or agencies that oversee pensions. We determined the information to be generally reliable for the purposes of our objectives.", "To describe CSPF\u2019s investment policy and the process for setting and executing it since the consent decree was established, we reviewed CSPF\u2019s investment policy statements, performance reports from the plan\u2019s named fiduciaries, select board of trustee meeting minutes, and select correspondence between CSPF and DOL. We also interviewed CSPF and federal officials about a recent investment policy change. To analyze CSPF\u2019s performance, we examined its investment returns in comparison to a customized Wilshire Associates\u2019 (Wilshire) Trust Universe Comparison Service benchmark of trusts with $3 billion or more in assets. CSPF provided these data, and they also included these data in the independent special counsel reports. Wilshire provided supplemental data using the same benchmark specifications. We also analyzed investment returns and fee and expense data from the Form 5500, the government\u2019s primary source of information about pension plans. We used this Form 5500 data to examine CSPF\u2019s investment returns and fees and expenses in comparison to groups of similar multiemployer pension plans. The Internal Revenue Service (IRS), DOL, and PBGC jointly developed the Form 5500-series returns for employee benefit plans to satisfy annual reporting requirements under ERISA and the Internal Revenue Code. We primarily relied on PBGC\u2019s Form 5500 research database as the agency takes several steps to correct and update the raw electronic data. We also took steps to assess the reliability of the PBGC data and checked data fields and made appropriate corrections. In addition, we performed computer analyses of the data and identified inconsistencies and other indications of error and took steps to correct inconsistencies or errors. A second analyst checked all computer analyses. After these processes, we determined the data to be sufficiently reliable for our purposes. For more information on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from July 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CSPF is a defined benefit multiemployer pension plan. Multiemployer plans are often created and maintained through collective bargaining agreements between labor unions and two or more employers, so that workers who move from job to job and employer to employer within an industry can continue to accrue pension benefits within the same plan over the course of their careers. Multiemployer plans are typically found in industries with many small employers such as trucking, building and construction, and retail food sales. In 2017, there were about 1,400 defined benefit multiemployer plans nationwide covering more than 10 million participants."], "subsections": [{"section_title": "Multiemployer Plan Administration, Funding, and Benefits", "paragraphs": [], "subsections": [{"section_title": "Administration", "paragraphs": ["Most multiemployer plans are jointly administered and governed by a board of trustees selected by labor and management. The labor union typically determines how the trustees representing labor are chosen and the contributing employers or an employer association typically determines how the trustees representing management are chosen. The trustees set the overall plan policy, direct plan activities, and set benefit levels (see fig. 1).", "Multiemployer plans are \u201cprefunded,\u201d or funded in advance, primarily by employer contributions. The employer contribution is generally negotiated through a collective bargaining agreement, and is often based on a dollar amount per hour worked by each employee covered by the agreement. Employer contributions are pooled in a trust fund for investment purposes, to pay benefits to retirees and their beneficiaries, and for administrative expenses. Multiemployer plan trustees typically decide how the trust fund should be invested to meet the plan\u2019s objectives, but the trustees can use investment managers to determine how the trust fund should be invested. Multiemployer plan trust funds can be allocated among many different types of assets, any of which can generally be passively- or actively-managed, domestically or internationally based, or publicly or nonpublicly traded (see table 1).", "A plan\u2019s funded percentage is its ratio of plan assets to plan liabilities. Because the amount needed to pay pension benefits for many years into the future cannot be known with certainty due to a variety of economic and demographic factors, including the potential volatility of asset values, estimates of a plan\u2019s funded percentage may vary from year to year. Defined benefit pension plans use a \u201cdiscount rate\u201d to convert projected future benefits into their \u201cpresent value.\u201d The discount rate is the interest rate used to determine the current value of estimated future benefit payments and is an integral part of estimating a plan\u2019s liabilities. The higher the discount rate, the lower the plan\u2019s estimate of its liability. Multiemployer plans use an \u201cassumed-return approach\u201d that bases the discount rate on a long-term assumed average rate of return on the pension plan\u2019s assets. Under this approach, the discount rate depends on the allocation of plan assets. For example, a reallocation of plan assets into more stocks and fewer bonds typically increases the discount rate, which reduces the estimated value of plan liabilities, and therefore, reduces the minimum amount of funding required.", "Looking at the entire \u201cmultiemployer system\u201d\u2014the aggregation of multiemployer plans governed by ERISA and insured by PBGC\u2014shows that while the system was significantly underfunded around 2001 and 2009, its funded position has improved since 2009. Specifically, analyses published by the Center for Retirement Research at Boston College and the Society of Actuaries used plan regulatory filings to calculate the funded status for the system and determined that it was approaching 80 percent funded by 2014 after falling during the 2008 market downturn. However, some observers have noted that while many plans are making progress toward their minimum targets, a subset of plans face serious financial difficulties."], "subsections": []}, {"section_title": "Benefits", "paragraphs": ["Multiemployer retirement benefits are generally determined by the board of trustees. The bargaining parties negotiate a contribution rate and the trustees adopt or amend the plan\u2019s benefit formulas and provisions. Decisions to increase benefits or change the plan are also typically made by the board of trustees. Benefit amounts are generally based on a worker\u2019s years of service and either a flat dollar amount or the worker\u2019s wage or salary history, subject to further adjustment based on the age of retirement."], "subsections": []}]}, {"section_title": "The Central States, Southeast and Southwest Areas Pension Fund (CSPF)", "paragraphs": ["CSPF was established in 1955 to provide pension benefits to International Brotherhood of Teamsters union members (Teamsters) in the trucking industry, and it is one of the largest multiemployer plans. In the late 1970s, CSPF was the subject of investigations by the IRS within the U.S. Department of the Treasury (Treasury), and by DOL and the U.S. Department of Justice (DOJ). The DOL investigation ultimately resulted in the establishment of a federal court-enforceable consent decree in 1982 that remains in force today. CSPF held more than $4.3 billion in Net Assets at the end of 1982 after the consent decree was established. The plan\u2019s Net Assets peaked at nearly $26.8 billion at the end of 2007 and declined to about $15.3 billion at the end of 2016 (see fig. 2). As of 2016, CSPF reported that it had about 1,400 contributing employers and almost 385,000 participants.", "The number of active CSPF participants has declined over time. In 2016, 16 percent of about 385,000 participants were active, i.e., still working in covered employment that resulted in employer contributions to the plan. In comparison, CSPF reported in 1982 that 69 percent of more than 466,000 participants were active participants. Since the 1980s, CSPF\u2019s ratio of active to nonworking participants has declined more dramatically than the average for multiemployer plans. By 2015, only three of the plan\u2019s 50 largest employers from 1980 still paid into the plan, and for each full-time active employee there were over five nonworking participants, mainly retirees. As a result, benefit payments to CSPF retirees have exceeded employer contributions in every year since 1984. Thus, CSPF has generally drawn down its investment assets. In 2016, CSPF withdrew over $2 billion from investment assets (see fig. 3.).", "CSPF has historically had fewer plan assets than were needed to fully fund the accrued liability\u2014the difference referred to as unfunded liability. In 1982, we reported that CSPF was \u201cthinly funded\u201d\u2014as the January 1, 1980, actuarial valuation report showed the plan\u2019s unfunded liability was about $6 billion\u2014and suggested that IRS should closely monitor CSPF\u2019s financial status. In 2015, the plan\u2019s actuary certified that the plan was in \u201ccritical and declining\u201d status. The plan has been operating under an ERISA-required rehabilitation plan since March 25, 2008, which is expected to last indefinitely. As of January 1, 2017, the plan was funded to about 38 percent of its accrued liability. In September 2015, CSPF filed an application with Treasury seeking approval to reduce benefits pursuant to provisions in the Multiemployer Pension Reform Act of 2014 (MPRA), which is fully discussed later in this section. The application was denied in May 2016 based, in part, on Treasury\u2019s determination that the plan\u2019s proposed benefit suspensions were not reasonably estimated to allow the plan to remain solvent. In 2017, CSPF announced it would no longer be able to avoid the projected insolvency. (See app. II for a timeline of key events affecting CSPF.)"], "subsections": []}, {"section_title": "The Consent Decree", "paragraphs": ["As previously mentioned, CSPF was the subject of investigations in the 1970s by IRS, DOL, and DOJ. DOL\u2019s investigation focused on numerous loan and investment practices alleged to constitute fiduciary breaches under ERISA, such as loans made to companies on the verge of bankruptcy, additional loans made to borrowers who had histories of delinquency, loans to borrowers to pay interest on outstanding loans that the fund recorded as interest income, and lack of controls over rental income. As a result of its investigation, DOL filed suit against the former trustees of CSPF and, in September 1982, the parties entered into a consent decree, which remains in force today. The consent decree provides measures intended to ensure that the plan complies with the requirements of ERISA, including providing for oversight by the court and DOL, and prescribes roles for multiple parties in its administration. For example, certain plan activities must be submitted to DOL for comment and to the court for approval, including new trustee approvals and some investment manager appointments. According to DOL, to prevent criminal influence from regaining a foothold of control over plan assets, the consent decree generally requires court-approved independent asset managers\u2014called \u201cnamed fiduciaries\u201d\u2014to manage CSPF\u2019s investments. CSPF\u2019s trustees are generally prohibited from managing assets; however, they remain responsible for selecting, subject to court approval, and overseeing named fiduciaries and monitoring plan performance. To focus attention on compliance with ERISA fiduciary responsibility provisions, the consent decree provides for a court-appointed independent special counsel with authority to observe plan activities and oversee and report on the plan. (See app. III for additional detail on the key provisions of the consent decree.)"], "subsections": []}, {"section_title": "Legal Framework", "paragraphs": [], "subsections": [{"section_title": "Employee Retirement Income Security Act of 1974", "paragraphs": ["In 1974, Congress passed ERISA to protect the interests of participants and beneficiaries of private sector employee benefit plans. Among other things, ERISA requires plans to meet certain requirements and minimum standards. DOL, IRS, and PBGC are generally responsible for administering ERISA and related regulations.", "DOL has primary responsibility for administering and enforcing the fiduciary responsibility provisions under Part 4 of Title I of ERISA, which include the requirement that plan fiduciaries act prudently and in the sole interest of participants and beneficiaries.", "Treasury, specifically the IRS, is charged with determining whether a private sector pension plan qualifies for preferential tax treatment under the Internal Revenue Code. Additionally, the IRS is generally responsible for enforcing ERISA\u2019s minimum funding requirements, among other things. ERISA generally requires that multiemployer plans meet minimum funding standards, which specify a funding target that must be met over a specified period of time. The funding target for such plans is measured based on assumptions as to future investment returns, rates of mortality, retirement ages, and other economic and demographic assumptions. Under the standards, a plan must collect a minimum level of contributions each year to show progress toward meeting its target, or the plan employers may be assessed excise taxes and owe the plan for missed contributions plus interest. Minimum contribution levels may vary from year to year due to a variety of economic and demographic factors, such as addressing differences between assumed investment returns and the plan\u2019s actual investment returns.", "To protect retirees\u2019 pension benefits in the event that plan sponsors are unable to pay plan benefits, PBGC was created by ERISA. PBGC is financed through mandatory insurance premiums paid by plans and plan sponsors, with premium rates set by law. PBGC operates two distinct insurance programs: one for multiemployer plans and another for single- employer plans. Each program has separate insurance funds and different benefit guarantee rules.", "The events that trigger PBGC intervention differ between multiemployer and single-employer plans. For multiemployer plans, the triggering event is plan insolvency, the point at which a plan begins to run out of money while not having sufficient assets to pay the full benefits that were originally promised when due. PBGC does not take over operations of an insolvent multiemployer plan; rather, it provides loan assistance to pay administrative expenses and benefits up to the PBGC-guaranteed level. According to PBGC, only once in its history has a financial assistance loan from the multiemployer pension insurance program been repaid. In 2017, PBGC provided financial assistance to 72 insolvent multiemployer plans for an aggregate amount of $141 million. For single-employer plans the triggering event is termination of an underfunded plan\u2014generally, when the employer goes out of business or enters bankruptcy. When this happens, PBGC takes over the plan\u2019s assets, administration, and payment of plan benefits (up to the statutory limit).", "The PBGC-guaranteed benefit amounts for multiemployer plans and the premiums assessed by PBGC to cover those benefit guarantees are significantly lower than those for single-employer plans. Each insured multiemployer plan pays flat-rate insurance premiums to PBGC based on the number of participants covered. The annual premium rate for plan years beginning in January 2017 was $28 per participant and it is adjusted annually based on the national average wage index. (See app. II for the PBGC premium rates that have been in effect since the consent decree was established in 1982.) When plans receive financial assistance, participants face a reduction in benefits. For example, using 2013 data, PBGC estimated 21 percent of more than 59,000 selected participants in insolvent multiemployer plans then receiving financial assistance from PBGC faced a benefit reduction. The proportion of participants facing reductions due to the statutory guarantee limits is expected to increase. About 51 percent of almost 20,000 selected participants in plans that PBGC believed would require future assistance were projected to face a benefit reduction.", "Since 2013, the deficit in PBGC\u2019s multiemployer program has increased by nearly 700 percent, from a deficit of $8.3 billion at the end of fiscal year 2013 to $65.1 billion at the end of fiscal year 2017. PBGC estimated that at of the end of 2016, the present value of net new claims by multiemployer plans over the next 10 years would be about $24 billion, or approximately 20 percent higher than its 2015 projections. The program is projected to become insolvent within approximately 8 years. If that happens, participants who rely on PBGC guarantees will receive only a very small fraction of current statutory guarantees. According to PBGC, most participants would receive less than $2,000 a year and in many cases, much less.", "We have identified PBGC\u2019s insurance programs as high-risk. This designation was made in part because multiemployer plans that are currently insolvent, or likely to become insolvent in the near future, represent a significant financial threat to the agency\u2019s insurance program. We designated the single-employer program as high-risk in July 2003, and added the multiemployer program in January 2009. Both insurance programs remain on our high-risk list."], "subsections": []}, {"section_title": "Key Amendments to ERISA Affecting Multiemployer Plans", "paragraphs": ["Multiemployer Pension Plan Amendments Act of 1980 Among other things, the Multiemployer Pension Plan Amendments Act of 1980 (MPPAA) made employers liable for a share of unfunded plan benefits when they withdraw from a plan, unless otherwise relieved of their liability, and strengthened certain funding requirements. An employer that chooses to withdraw from a multiemployer plan may be required to continue to contribute if the plan does not have sufficient assets to cover the plan\u2019s current and known future liabilities at the time the employer withdraws; however, these payments may not fully cover the withdrawing employer\u2019s portion of the plan\u2019s liabilities. In such cases, the employers remaining in the plan may effectively assume the remaining liability.", "The Pension Protection Act of 2006 The Pension Protection Act of 2006 (PPA) was intended to improve the funding of seriously underfunded multiemployer plans, among other things. It included provisions that require plans in poor financial health to take action to improve their financial condition over the long term and established two categories of troubled plans: (1) \u201cendangered status\u201d or \u201cyellow zone\u201d plans (this category also includes a sub-category of \u201cseriously endangered\u201d), and (2) more seriously troubled \u201ccritical status\u201d or \u201cred zone\u201d plans. PPA further required plans in the endangered and critical zones to develop written plans to improve their financial condition, such as by revising benefit structures, increasing contributions, or both, within a prescribed time frame. Multiemployer plans in yellow or red zone status must document their remediation strategies in a written plan, notify plan participants, and report annually on whether scheduled progress has been made. Since the 2008 market decline, the number of participants in endangered and critical plans has generally been decreasing (see fig. 4).", "The Multiemployer Pension Reform Act of 2014 In response to the funding crisis facing PBGC and multiemployer pension plans, the Multiemployer Pension Reform Act of 2014 (MPRA) made changes to the multiemployer system that were intended to improve its financial condition. Key changes included:", "Creation of critical and declining status. MPRA created a new category, \u201ccritical and declining,\u201d for plans in critical status projected to become insolvent during the current plan year or within any of the 14 succeeding plan years, or in certain circumstances, within any of the 19 succeeding plan years. In 2017, PBGC reported that more than 100 multiemployer plans (more than 7 percent of plans) representing approximately 1 million participants (about 10 percent of participants) have been determined to be \u201ccritical and declining.\u201d", "Permitted reduction of accrued benefits. MPRA permits plans to reduce participants\u2019 and beneficiaries\u2019 accrued retirement benefits if the plan can demonstrate such action is necessary to remain solvent. Plans apply to Treasury for the authority to reduce benefits. Treasury, in consultation with PBGC and DOL, reviews the applications and determines whether the proposed changes would enable the plan to remain solvent.", "Increased PBGC premiums. MPRA also increased the PBGC premiums for multiemployer plans from $12 to $26 (per participant per plan year) in 2015 and from $26 to $28 in plan year 2017. The annual premium in subsequent years is indexed to changes in the national average wage index.", "Creation of new framework of rules for partition. Partition allows a multiemployer plan to split into two plans\u2014the original and a successor. Partitions are intended to relieve stress on the original plan by transferring the benefits of some participants to a successor plan funded by PBGC and to help retain participant benefits in the plans at levels higher than the PBGC-guaranteed levels."], "subsections": []}]}]}, {"section_title": "CSPF\u2019s Critical Financial Condition Is a Result of Factors That Reflect Challenges Experienced by the Multiemployer System", "paragraphs": [], "subsections": [{"section_title": "CSPF Has Been Underfunded Since the Consent Decree Was Established", "paragraphs": ["At the time the consent decree was established in 1982, CSPF had less than half the estimated funds needed to cover plan liabilities (and to pay associated benefits over the lifetime of participants) and it has not attained 100 percent of its estimated funding need since then, according to regulatory filings. CSPF\u2019s 1982 Form 5500 we reviewed shows that the plan was less than 40 percent funded prior to the consent decree becoming effective. Over the next two decades, the plan generally made progress toward achieving its targeted level of funding but was never more than 75 percent funded, and funding has generally deteriorated since its 2002 filing (see fig. 5). Overall, the plan\u2019s unfunded liability increased by approximately $11.2 billion (in inflation-adjusted dollars) between January 1983 and January 2016. As a consequence, participant benefits were never fully secured by plan assets over this period, as measured by ERISA\u2019s minimum funding standards, and the plan consistently needed to collect contributions in excess of those needed to fund new benefit accruals to try to make up for its underfunded status."], "subsections": []}, {"section_title": "Stakeholders Described Multiple Factors That Contributed to CSPF\u2019s Critical Financial Condition, Many of Which Have Been Experienced by Other Multiemployer Plans", "paragraphs": ["CSPF officials and other stakeholders identified several factors that contributed to CSPF\u2019s critical financial condition and reflect the challenges faced by many multiemployer plans. For example, like CSPF, many multiemployer plans have experienced financial difficulties due to a combination of investment losses and insufficient employer contributions. In addition to being underfunded prior to the consent decree going into effect, stakeholders identified other specific factors that contributed to CSPF\u2019s critical financial condition, such as trends within the national trucking industry and its workforce, funding challenges and common investment practices of multiemployer plans, and the impact of market downturns on long-term investment performance. Stakeholders also described the effects of the 2007 withdrawal of a key employer, United Parcel Service (UPS), on CSPF\u2019s critical financial condition."], "subsections": [{"section_title": "Key Industry Specific Workforce Trends", "paragraphs": ["Stakeholders we interviewed said changes to the workforce, such as declining union membership rates and changes resulting from industry deregulation, affected CSPF and some other multiemployer plans by reducing the number of workers able to participate in their plans. While the multiemployer structure distributes bankruptcy risk across many employers, for any particular multiemployer plan employers are often concentrated in the same industry, making the plans vulnerable to industry- specific trends and risks. For example, stakeholders noted the impact that the Motor Carrier Act of 1980 had on the trucking industry. Specifically, deregulation of the trucking industry reduced government oversight and regulation over interstate trucking shipping rates. The trucking industry became increasingly dominated by nonunion trucking companies resulting in the bankruptcy of many unionized trucking companies, according to stakeholders. New trucking companies typically did not join multiemployer plans because their labor force was not unionized and this, coupled with the bankruptcy of many contributing employers, contributed to a decrease in active participant populations for many plans serving the industry. As the total number of active participants in a plan declines, the resources from which to collect employer contributions declines proportionally. Stakeholders also said these changes were unforeseeable. Limitations on a plan\u2019s ability to increase contributions mean that a plan has less capacity to recover from an underfunded position or to make up for investment returns that fall short of expectations.", "A decline in the number of active workers can also accelerate plan \u201cmaturity,\u201d as measured by the ratio of nonworking to working participants. Plan maturity has implications for a plan\u2019s investment practices and the time frame over which the plan must be funded. According to PBGC\u2019s data for the multiemployer plans it insures, there were approximately three active participants for every nonworking participant in 1980 (3:1); by 2014, the ratio was approximately one active worker for every two nonworking participants (1:2). Figure 6 shows the change in the percentages of active and nonworking participants for the multiemployer plans that PBGC insures.", "CSPF saw an even more dramatic change in its active to nonworking participant ratio from 1982 through 2015. In 1982, there were more than two active workers for every nonworking participant (2:1) and by 2016 that ratio had fallen to approximately one active worker for every five nonworking participants (1:5) (see fig. 7). Because CSPF\u2019s contributing employers were largely trucking companies, stakeholders said this made the fund especially vulnerable to industry-wide shocks. Like the industry as a whole, CSPF was unable to attract new employers to replace exiting employers, in part because of the lack of new unionized employers.", "CSPF officials said that changes to the trucking industry and its workforce also led to other challenges for the plan. For example, contributions to the plan declined with the shrinking number of active workers. CSPF officials told us they could not significantly increase the contribution rate paid by remaining employers because of the financial hardship it would cause, and as a result, the plan\u2019s ability to recover from its underfunded position was limited. CSPF officials said that this increased the plan\u2019s reliance on investment returns to try to close the gap between its assets and liabilities."], "subsections": []}, {"section_title": "Funding Challenges and Investment Practices", "paragraphs": ["Stakeholders we interviewed cited challenges inherent in multiemployer plans\u2019 funding and investment practices, and described how the challenges may have contributed to the critical financial condition of some plans, including CSPF.", "Stakeholders said that CSPF and many other multiemployer plans have been challenged by employer withdrawals. An employer withdrawal reduces the plan\u2019s number of active worker participants, thereby reducing its contribution base and accelerating plan maturity. A withdrawing employer generally must pay a share of any unfunded benefits. Stakeholders identified several ways in which the withdrawal liability framework could result in a withdrawing employer underpaying its share of an unfunded liability. We have previously reported on the challenges associated with withdrawal liability, including: withdrawal liability assessments are often paid over time, and payment amounts are based on prior contribution rates rather than the employer\u2019s actual withdrawal liability assessment. withdrawal liability payments are subject to a 20-year cap, regardless of whether an employer\u2019s share of unfunded benefits has been fully paid within this 20-year timeframe; plans often did not collect some or all of the scheduled withdrawal liability payments because employers went bankrupt before completing their scheduled payments; and fears of withdrawal liability exposure increasing over time could be an incentive for participating employers to leave a plan and a disincentive for new employers to join a plan; Stakeholders we interviewed also added that the calculation used to determine withdrawal liability may use an investment return assumption that inherently transfers risk to the plan.", "When exiting employers do not pay their share of unfunded benefits, any remaining and future employers participating in the plan may effectively assume the unpaid share as a part of their own potential withdrawal liability as well as responsibility for the exiting employer\u2019s \u201corphaned\u201d participants. Participating employers may negotiate a withdrawal if they perceive a risk that the value of their potential withdrawal liability might grow significantly over time.", "In its MPRA application, CSPF cited employer withdrawals and bankruptcies as a significant challenge for the plan. CSPF reported that after deregulation, the number of contributing employers dropped by over 70 percent. While some of the drop could be due to the consolidation of trucking companies after deregulation, CSPF officials cited several cases in which employers went bankrupt or withdrew from the plan, which reduced the plan\u2019s contribution base and accelerated its maturity. Additionally, when employers went bankrupt, they often did not pay their full withdrawal liability. For example, CSPF said two of its major contributing employers left the plan between 2001 and 2003, and left $290 million of more than $403 million in withdrawal liability unpaid after they went bankrupt.", "Stakeholders identified funding timeframes as a factor that contributed to the challenges facing many multiemployer plans, including CSPF. ERISA\u2019s minimum funding standards have historically allowed multiemployer plans to amortize, or spread out the period of time for funding certain events, such as investment shortfalls and benefit improvements. For example, CSPF began a 40-year amortization of approximately $6.1 billion in underfunding on January 1, 1981, giving the plan until the end of 2021 to fully fund that amount. Longer amortization periods increase the risk of plan underfunding due to the number and magnitude of changes in the plan\u2019s environment that may occur, such as a general decline in participants or deregulation of an industry. The Pension Protection Act of 2006 shortened amortization periods for single- employer plans to 7 years and the amortization periods for multiemployer plans to 15 years. Shorter amortization periods provide greater benefit security to plan participants by reducing an unfunded liability more rapidly. In addition, shorter amortization periods can be better aligned with the projected timing of benefit payments for a mature plan. However, shorter periods can be a source of hardship for plans with financially troubled contributing employers because they may require higher contributions. According to CSPF officials, CSPF requested and received an additional 10-year amortization extension from the IRS in 2005 after relating that contribution requirements could force participating employers into bankruptcy. One CSPF representative said an amortization extension can also help avoid subjecting the plan\u2019s employers to IRS excise taxes for failing to make required minimum contributions.", "Stakeholders we interviewed said that certain common investment practices may have played a role in the critical financial condition of CSPF and other mature and declining plans. In general, multiemployer plans invest in portfolios that are expected, on average, to produce higher returns than a low-risk portfolio, such as one composed entirely of U.S. Treasury securities. Stakeholders also stated that these investment practices may have been too risky because returns can be more volatile, and the higher expected returns might not be achieved. In addition, the Congressional Budget Office has reported that if \u201cplans had been required to fund their benefit liabilities\u2014at the time those liabilities were accrued\u2014with safer investments, such as bonds, the underfunding of multiemployer plans would have been far less significant and would pose less risk to PBGC and beneficiaries.\u201d", "Stakeholders also told us that for mature plans like CSPF, these investment practices can pose further challenges. Mature plans, with fewer active employees, have less ability to recoup losses through increased contributions and have less time to recoup losses through investment returns before benefits must be paid. Market corrections, such as those that occurred in 2001 through 2002 and in 2008, can be particularly challenging to mature plans and their participants, especially if a mature plan is also significantly underfunded. Mature plans could mitigate these risks by investing more conservatively, however, the resulting lower expected returns from more conservative investing necessitates higher funding targets and contribution rates, which could be a hardship for employers in an industry with struggling employers. Alternatively, a plan that invests more conservatively may provide lower promised benefits to accommodate the level of contributions it can collect. Lower investment returns from a more conservative investment policy would cost employers more in contributions and could potentially result in employers leaving the plan. Further, investing in a conservative portfolio would be relatively unique among multiemployer plans, and stakeholders said plan managers may feel they are acting in a prudent fashion by investing similarly to their peers. Underfunded plans like CSPF may not see conservative investment as an option if they cannot raise the contributions necessary to fully fund their vested benefits. Officials from CSPF told us that, because they lacked the ability to significantly increase revenue or decrease accrued benefits, the named fiduciaries sought incrementally higher investment returns to meet funding thresholds required by the amortization extension they received in 2005.", "On the other hand, there are challenges associated with risk bearing investments. In our prior work, we reported that multiemployer plans generally develop an assumed average rate of investment return and use that assumption to determine funding targets, required contributions, and the potential cost of benefit improvements. Experts we interviewed for that report told us that using a portfolio\u2019s expected return to value the cost of benefits increases the risk that insufficient assets could be on hand when needed. They also told us that using the portfolio\u2019s expected return to calculate liabilities could incentivize plans to invest in riskier assets and to negotiate higher benefit levels because the higher returns expected from riskier portfolios can result in lower reported liabilities.", "Plan Terms Set through Collective Bargaining Stakeholders we interviewed said that plan terms, such as contribution rates, which are set through the collective bargaining process, can create an additional challenge for multiemployer plans. Employers in multiemployer plans generally are not required to contribute beyond what they have agreed to in collective bargaining, and these required employer contributions generally do not change during the term of a collective bargaining agreement. CSPF officials said that up until the early 2000s, plan officials did not request modifications to collective bargaining agreements, such as reallocating contribution dollars, to respond to adverse investment returns."], "subsections": []}, {"section_title": "Investment Performance and Market Downturns", "paragraphs": ["Stakeholders highlighted the effects of market downturns on multiemployer plan assets as another contributing factor to CSPF\u2019s critical financial condition and that of other multiemployer plans. Failure to achieve assumed returns has the effect of increasing unfunded liabilities. For the multiemployer system in aggregate, the average annual return on plan assets over the 2002 to 2014 period was about 6.1 percent, well short of typical assumed returns of 7.0 or 7.5 percent in 2002.", "Many multiemployer plans were especially impacted by the 2008 market downturn. PBGC estimated that from 2007 to 2009, the value of all multiemployer plan assets fell by approximately 24 percent, or $103 billion, after accounting for contributions to and payments from the plans. Although asset values recovered to some extent after 2009, some plans continued to be significantly underfunded, and stakeholders said this could be due to the contribution base not being sufficient to help recover from investment shortfalls.", "CSPF\u2019s investment performance since 2000 has reflected performance similar to other multiemployer plans and the plan went from 73 percent funded in 2000 to about 38 percent funded in 2017. While the plan used an assumed rate of return of 7.5 to 8.0 percent per year between 2000 and 2014, our analysis of the plan\u2019s regulatory filings shows that the plan\u2019s weighted-average investment return over this period was about 4.9 percent per year. CSPF officials said the 2008 downturn significantly reduced CSPF\u2019s assets and it was unable to sufficiently recoup those losses when the market rebounded in 2009. Plan assets declined from $26.8 billion at the beginning of 2008 to $17.4 billion at the beginning of 2009, with $7.5 billion of the decline attributable to investment losses. Despite reporting a 26 percent return on assets during 2009, CSPF had only $19.5 billion in assets at the end of 2009 because benefits and expenses exceeded the contributions it collected and because it had fewer assets generating returns for the plan. By the end of 2009, CSPF\u2019s funding target was $35.9 billion but the fund had less than $20 billion that could be used to generate investment returns. If CSPF\u2019s portfolio had returned 7.5 percent per year over the 2000-2014 period, instead of the approximately 4.9 percent we calculated, we estimate that the portfolio value would have exceeded $32.0 billion at the end of 2014, or 91 percent of its Actuarial Accrued Liability."], "subsections": []}, {"section_title": "Effect of UPS Withdrawal", "paragraphs": ["In addition to the factors mentioned that affected many multiemployer plans, stakeholders we interviewed also noted the unique effect of the UPS withdrawal on CSPF. In 2007, UPS negotiated with the International Brotherhood of Teamsters for a withdrawal from CSPF and paid a withdrawal liability payment of $6.1 billion. This payment was invested just prior to the 2008 market downturn. Moreover, the loss of UPS, CSPF\u2019s largest contributing employer, reduced the plan\u2019s ability to collect needed contributions if the plan became more underfunded. A UPS official said that, following the market decline of 2001-2002, the company considered whether it should withdraw from all multiemployer plans because it did not want to be the sole contributing employer in any plan. According to this official, UPS considered the large number of UPS employees in CSPF and the plan\u2019s demographics\u2014such as an older population and fewer employers\u2014in its decision to withdraw. CSPF officials said they did not want UPS to withdraw because its annual contributions accounted for about one-third of all contributions to the plan. CSPF officials also told us that, prior to the UPS withdrawal, they had expected the population of active UPS workers in the plan to grow over time.", "UPS\u2019 withdrawal of 30 percent of CSPF\u2019s active workers, in combination with the significant market downturn just after UPS withdrew, reflected the loss of working members and investment challenges on a large scale. Additionally, stakeholders noted that although each of the factors that contributed to CSPF\u2019s critical financial condition individually is important, their interrelated nature also had a cumulative effect on the plan. Industry deregulation, declines in collective bargaining, and the plan\u2019s significantly underfunded financial condition all impaired CSPF\u2019s ability to maintain a population of active workers sufficient to supply its need for contributions when investment shortfalls developed. Given historical rules for plan funding and industry stresses, CSPF was unable to capture adequate funding from participating employers either before or after they withdrew from the plan. The plan\u2019s financial condition was further impaired when long-term investment performance fell short of expectations. For an underfunded, mature plan such as CSPF, the cumulative effect of these factors was described by some stakeholders as too much for CSPF to overcome."], "subsections": []}]}]}, {"section_title": "CSPF\u2019s Investment Policy Since 1982 Generally Increased Allocation to Equities, but Shifted Toward Fixed Income in 2017, Ahead of Projected Insolvency", "paragraphs": ["There have been three distinct periods related to CSPF\u2019s investment policy after the original consent decree took effect: the early period, from the consent decree\u2019s effective date in September 1982 through October 1993, during which named fiduciaries set different investment policies and sold many of CSPF\u2019s troubled assets\u2014mostly real estate; a middle period from November 1993 through early 2017, during which CSPF\u2019s investment policies were consistently weighted towards equities and its asset allocation varied, with notable equity allocation increases occurring from year-ends 1993-1995 and 2000-2002; and the current period, starting in January 2017, during which named fiduciaries and CSPF trustees are moving assets into fixed income ahead of insolvency.", "Appendix I has a detailed timeline that includes changes to CSPF\u2019s investment policies since the consent decree was established in 1982."], "subsections": [{"section_title": "Early Period: September 1982\u2013October 1993", "paragraphs": ["The original consent decree placed exclusive responsibility for controlling and managing the plan\u2019s assets with an independent asset manager, called a named fiduciary. Additionally, the original consent decree prohibited CSPF trustees from managing assets or making investment decisions and gave a single named fiduciary the authority to set and change the plan\u2019s investment objectives and policies, subject to court approval (see fig. 8).", "During this period, two successive named fiduciaries\u2014first Equitable Life Assurance Society of the United States (Equitable) and then Morgan Stanley\u2014set and executed the plan\u2019s investment objectives using similar investment philosophies, but differing investment return goals and target asset allocations (see fig. 9). Both named fiduciaries planned to sell the plan\u2019s troubled real estate assets from the pre-consent decree era. They also limited nonpublicly traded investments to 35 percent of the plan\u2019s assets and set broad allocation targets for new real estate, fixed income, and equity assets. In 1984, Morgan Stanley considered a dedicated bond portfolio in its capacity as the plan\u2019s named fiduciary, but after review, Morgan Stanley decided similar results could be obtained through other investment strategies.", "In executing these policies, the plan\u2019s asset allocation varied from year to year. Starting in 1987 and in subsequent years during the early period, Morgan Stanley invested a majority of the plan\u2019s assets in fixed income assets\u2014more than half of which were passively managed\u2014and all equity assets were allocated to domestic equity through 1992. By 1989, CSPF officials reported that nearly all troubled real estate assets had been sold and Morgan Stanley\u2019s responsibilities and risk of potential fiduciary liability were reduced, permitting a concomitant reduction in fees paid to the named fiduciary (see fig. 10)."], "subsections": []}, {"section_title": "Middle Period: November 1993\u2013January 2017", "paragraphs": [], "subsections": [{"section_title": "CSPF\u2019s Investment Policy", "paragraphs": ["During the middle period, CSPF\u2019s investment policy was broad and consistently directed that asset allocations be weighted toward equities. In 1993, Morgan Stanley revised its investment policy statement for CSPF to eliminate asset allocation targets for each asset class and instead specified that the plan invest a majority of assets in equity or equity-type securities and no more than 25 percent in nonpublicly traded assets. After 1999, CSPF\u2019s investment policy under other, successive named fiduciaries continued to be broad and generally specified that the plan should invest a majority of assets in equity or equity-type securities. Specifically J.P. Morgan\u2019s and Northern Trust\u2019s consecutive investment policies for part of the plan\u2019s assets continued to specify that a majority of the plan\u2019s assets be invested in equity or equity-type securities and no more than 15 percent be invested in nonpublicly traded assets. Goldman Sachs\u2019 investment policy for another part of the plan\u2019s assets did not specify asset allocation details but indicated slightly higher tolerance for risk in conjunction with its equity portfolio. CSPF trustees said that named fiduciaries considered investing in alternative assets, but instead chose to increase the plan\u2019s allocation to equity assets.", "The named fiduciaries\u2019 investment policies did not vary significantly over this period because CSPF officials said that the plan\u2019s overarching investment objective of achieving full funding did not change, even though there were key changes to the plan\u2019s investment management structure during this time period. Specifically, starting in 1999, the plan temporarily shifted to a dual named fiduciary structure and increased its use of passively-managed accounts\u2014both described in detail below\u2014 changing the named fiduciary structure that had been in place since the original consent decree (see fig. 11).", "More specifically, the two key changes to the plan\u2019s investment management structure were:", "A temporary shift to a dual named fiduciary structure. Effective in 1999, CSPF proposed and the court approved allocating plan assets between two named fiduciaries instead of one in order to diversify CSPF\u2019s investment approach, among other things. Both named fiduciaries were in charge of setting and executing separate policies for plan assets they managed\u2014called \u201cGroup A\u201d and \u201cGroup B\u201d assets\u2014irrespective of the other named fiduciary\u2019s allocations. During this time, the two named fiduciaries were J.P. Morgan/Northern Trust and Goldman Sachs. Specifically, J.P. Morgan was named fiduciary between 2000 and 2005 and Northern Trust between 2005 and 2007 for \u201cGroup A\u201d assets. Goldman Sachs was named fiduciary for \u201cGroup B\u201d assets between 2000 and 2010. In 2010, an investment consultant found the performance of two named fiduciaries under the dual named fiduciary structure had been similar and more expensive than it would be under a proposed move back to a single named fiduciary. Accordingly, CSPF officials proposed, and the court approved, consolidation of all assets allocated to named fiduciaries in August 2010, with Northern Trust as the plan\u2019s single named fiduciary.", "An increased use of passively-managed accounts. Between 2003 and 2010, the portion of assets that named fiduciaries managed declined as the plan moved 50 percent of its assets into three passively-managed accounts. Specifically, in 2003, 20 percent of CSPF\u2019s assets were transitioned into a passively-managed domestic fixed income account to lower the plan\u2019s investment management fees. In addition, both of the named fiduciaries reported that they had not outperformed the industry index for the domestic fixed income assets they managed after they were approved as named fiduciaries in 1999 and 2000 through February 2003. Similarly, in 2007 and 2010, CSPF officials said that two more passively-managed accounts were created to further reduce plan fees. Specifically, in 2007, 20 percent of plan assets were moved into a passively-managed domestic equity account. Then, in 2010, an additional 10 percent of the plan\u2019s assets were allocated to passively-managed accounts\u20145 percent were allocated to a new passively-managed international equity account and 5 percent were added to the passively-managed domestic equity account.", "CSPF officials and named fiduciary representatives also said that the plan\u2019s investment policies did not change in response to a couple of the events that contributed to CSPF\u2019s critical financial condition. For example, when UPS withdrew from the plan in December 2007, it paid $6.1 billion in a lump sum to fulfill its withdrawal liability. Consistent with the named fiduciaries\u2019 investment policies during this time period, the majority of this withdrawal payment was invested in equity assets. Specifically, the court approved the UPS withdrawal liability payment to be allocated: $1 billion to Northern Trust to be invested primarily in short-term fixed income assets, $0.9 billion to the passively-managed domestic fixed income account, and $4.2 billion to partially fund the newly created passively- managed domestic equity account. As a result of the 2008 market downturn, the balance of each of CSPF\u2019s accounts\u2014Northern Trust\u2019s named fiduciary account, the passively-managed domestic fixed income and domestic equity accounts, and Goldman Sachs\u2019 named fiduciary account\u2014declined because of investment losses or withdrawals from investment assets to pay benefits and expenses. Some of the declines in each account were reversed by investment gains in 2009."], "subsections": []}, {"section_title": "Process for Setting and Executing CSPF\u2019s Investment Policy", "paragraphs": ["Although the changes made to CSPF\u2019s investment management structure did not lead to investment policy changes during the middle period, they altered the process by which the policy was set and executed. In particular, trustee responsibilities in the policy process grew after CSPF trustees became responsible for developing investment policy statements and selecting and overseeing managers of the passively-managed accounts, subject to court approval. In addition, CSPF officials said the addition of passively-managed accounts between 2003 and 2010 had the effect of creating broad bounds within which the named fiduciary could set the plan\u2019s asset allocation. For example, when the plan moved 20 percent of total plan assets into the passively-managed domestic fixed income account in 2003, this placed an upper bound on the plan\u2019s total equity allocation at 80 percent. Similarly, since 2010 the 30 percent of total plan assets in passively-managed equity accounts has placed a lower bound on the plan\u2019s total equity allocation at 30 percent (see fig. 12).", "Nevertheless, named fiduciaries maintained the largest role in setting and executing CSPF\u2019s investment policy throughout the middle period. From 1993 to 2003, named fiduciaries managed all of the plan\u2019s investment assets, and from 2003 to 2009, when the plan added two of the current passively-managed accounts, named fiduciaries still held the majority of the plan\u2019s assets. It has only been since 2010 that the assets in passively-managed accounts equaled those managed by the named fiduciary. Furthermore, Northern Trust representatives said they considered the plan\u2019s allocations to passively-managed accounts when developing the objectives and target asset allocations for the assets they managed. Northern Trust representatives also said they discussed the plan\u2019s overall asset allocation with trustees, but the trustees, and ultimately the court, were responsible for the decision to move 50 percent of the plan\u2019s assets into passively-managed accounts."], "subsections": []}, {"section_title": "Asset Allocation under CSPF\u2019s Investment Policy", "paragraphs": ["After the 1993 policy change that specified the plan would invest a majority of assets in equity or equity-type securities, CSPF\u2019s asset allocation changed significantly. For example, during the middle period the plan\u2019s allocation to equities increased from 37 percent at the end of 1993 to 69 percent at the end of 2002, and its allocation to cash plus fixed income decreased from 63 percent at the end of 1993 to 27 percent at the end of 2002. In particular, Morgan Stanley increased the plan\u2019s allocation to equity assets from 37 percent at the end of 1993 to 63 percent at the end of 1995, with the percentage in equities almost or above 50 percent through the end of 1999. From 1993 through 1999, Morgan Stanley generally decreased the plan\u2019s allocation to fixed income assets and increased its allocation to international equity (reaching a high of about 28 percent of the plan\u2019s assets in 1995), an asset class in which the plan had not previously invested (see fig. 13).", "After 1999, the plan\u2019s asset allocation continued to be weighted towards equities. After the market downturn in 2001, CSPF trustees told us that J.P. Morgan and Goldman Sachs explicitly increased the equity allocation in an attempt to generate higher investment returns and increase the plan\u2019s funded ratio\u2014the plan\u2019s overarching investment objective. Between 2000 and mid-2010, when the plan had two named fiduciaries, equity assets increased from about 58 percent at the end of 2000 to between 66 and 70 percent at the end of 2001 and each year thereafter until the end of 2009, mostly based on the named fiduciaries\u2019 decisions to increase the plan\u2019s allocation to domestic equity assets. When Northern Trust became the sole named fiduciary in 2010, the proportion of equity assets declined from almost 72 percent at the end of 2010 to almost 63 percent at the end of 2016. During this time, Northern Trust generally decreased the plan\u2019s allocation to domestic equity assets, increased the allocation to actively-managed fixed income, and started investing in global infrastructure assets. Northern Trust representatives said CSPF\u2019s recent portfolio had been kept relatively aggressive in an attempt to achieve the returns the plan would need to become fully funded while balancing risk (see fig. 14)."], "subsections": []}]}, {"section_title": "Current Period: January 2017 \u2013 Present", "paragraphs": ["CSPF\u2019s deteriorating financial condition precipitated a recent investment policy change that will move plan assets into fixed income and cash equivalent investments ahead of projected insolvency. In early 2017, Northern Trust representatives revised the plan\u2019s investment policy because they, in consultation with the trustees, believed the plan had no additional options to avoid insolvency (see textbox). This change to the plan\u2019s outlook led to a significant change in the plan\u2019s investment objective, from a goal of fully funding the plan to instead forestalling insolvency as long as possible while reducing the volatility of the plan\u2019s funding. Northern Trust representatives and CSPF officials revised applicable plan investment policy statements and started to gradually transition the plan\u2019s \u201creturn seeking assets\u201d\u2014such as equities and high yield and emerging markets debt\u2014to high quality investment grade debt and U.S. Treasury securities with intermediate and short-term maturities. Northern Trust\u2019s new investment policy specified the assets under its control would not be invested in nonpublicly traded securities, in order to manage risk and provide liquidity.", "CSPF Has Limited Options to Achieve Solvency As of March 2018, the Central States, Southeast and Southwest Areas Pension Fund (CSPF) was projected to be insolvent on January 1, 2025. As of July 2017, CSPF officials said that the following measures (in isolation) could help the plan avoid insolvency:", "18 percent year-over-year investment returns (infinite horizon), or", "250 percent contribution increases (with no employer attrition), or", "46 percent across-the-board benefit cut.", "However, CSPF officials said that investment returns and contribution increases of these magnitudes were untenable, and CSPF\u2019s application to reduce accrued benefits under the Multiemployer Pension Reform Act of 2014 (MPRA) was denied in 2016.", "CSPF officials and Northern Trust representatives said these asset allocation changes are intended to provide participants greater certainty regarding their benefits and reduce the plan\u2019s exposure to market risk and volatility until it is projected to become insolvent on January 1, 2025 (see fig. 15).", "Northern Trust is expected to continue to manage 50 percent of the plan\u2019s investment assets until the plan becomes insolvent. While the total amount of assets in the passively-managed accounts will continue to constitute 50 percent of the plan\u2019s assets, the trustees plan to transfer assets from the passively-managed domestic and international equity accounts into the passively-managed domestic fixed income account, which will be gradually transitioned to shorter-term or cash-equivalent fixed-income securities sometime before the end of March 2020 (see fig. 16).", "CSPF officials said the changes will reduce the amount of fees and transaction costs paid by the plan. Specifically, investment management fees are expected to generally decrease as the plan moves into shorter duration fixed income assets. In addition, Northern Trust\u2019s plan is designed to reduce transaction costs in two ways: (1) in the near term, Northern Trust plans to liquidate \u201creturn-seeking assets\u201d so the cash it receives can be used directly to pay benefits, and (2) it plans to synchronize the fund\u2019s benefit payments with the maturity dates of fixed income assets it purchases so cash received can be used directly to pay benefits. Both of these design features are intended to eliminate the need to reinvest assets, which might entail additional transaction costs."], "subsections": []}]}, {"section_title": "Available Data Show That CSPF Investment Returns and Fees Were Generally Comparable to Similar Plans", "paragraphs": ["Our analysis of available data from several different sources shows the returns on CSPF\u2019s investments and the fees related to investment management and other plan administration activities appear generally in line with similar pension plans or other large institutional investors of similar size."], "subsections": [{"section_title": "CSPF\u2019s Investment Return History is in Line with Other Funds and Plans", "paragraphs": [], "subsections": [{"section_title": "CSPF Investment Returns Compared to Other Large Institutional Funds", "paragraphs": ["The annual returns on CSPF\u2019s investments in recent decades have generally been in line with the annual returns of a customized peer group provided by the investment consultant Wilshire. The comparison group data is from Wilshire\u2019s Trust Universe Comparison Service (TUCS)\u2014a tool used by CSPF to compare its investment returns to a group of peers. Over the 22 years covered by our analysis, CSPF\u2019s returns were above the median in 12 years and below the median the other 10. Figure 17 illustrates how CSPF\u2019s annual investment returns compare to CSPF\u2019s customized peer group of master trusts with over $3 billion in assets.", "CSPF\u2019s annual investment returns tended to fluctuate relative to the annual median of the TUCS peer group over the 1995 through 2016 period. For example, in 14 of the 22 years analyzed, its annual return was in the highest or lowest 25 percent of returns (7 years each). Further, in 3 years, its investment returns fell either within the top 5 percent of returns (1996, 2009) or bottom 5 percent (1998). In 8 of the 22 years, CSPF\u2019s annual return was within the middle 50 percent of its TUCS peer group.", "The TUCS data we analyzed also included median portfolio allocations for the group of CSPF\u2019s peers. Table 2 compares CSPF\u2019s asset allocations for selected asset categories to the median allocations of its TUCS comparator group.", "In 1996, compared to the TUCS medians, CSPF had relatively lower proportions of its assets in both equities and fixed income and a relatively higher proportion in real estate. Twenty years later (2016), CSPF had relatively higher proportions of its assets in both equities and fixed income (about 15 and 7 percentage points, respectively) than the respective medians for its peer group. However, the relatively large difference between CSPF\u2019s 2016 equity allocation and the median allocation of its peer group may be a result of the peers moving into different asset classes. For example, there is a relatively large difference, in the other direction, in the allocation to alternative investments (see table 2). We did not identify an alternative asset category in CSPF\u2019s asset reports for 2016, but the TUCS comparator group median asset allocation in that year is 11.8 percent of assets."], "subsections": []}, {"section_title": "CSPF Investment Returns Compared to Other Similar Multiemployer Plans", "paragraphs": ["Similar to our findings when comparing the returns on CSPF\u2019s investments to a customized peer group of other large institutional funds, the annual returns on CSPF\u2019s investments in recent decades have also generally been in line with the annual returns for a group of similar multiemployer pension plans. To create a group of comparable plans, we selected plans that had a similar degree of \u201cmaturity\u201d to CSPF in 2000, as such plans may face similar cash flow challenges to those facing CSPF. This comparator group ultimately consisted of 15 plans in addition to CSPF. Relative to less mature plans, mature plans generally have a greater proportion of liabilities attributable to retired participants receiving benefit payments and a lower proportion attributable to active participants (i.e., workers) earning benefits. Mature plans may have limited capacity to make up for insufficient investment returns through employer contributions.", "Similar to the comparison against other large institutional fund returns based on TUCS data, our comparison against other mature multiemployer plan returns based on Form 5500 data shows that CSPF\u2019s annual returns fluctuate relative to the median annual return for the mature plan comparator group (see fig. 18). For example, in 12 of the 15 years, CSPF\u2019s annual return was in the highest or lowest 25 percent of returns (7 times high and 5 times low). In 3 of the 15 years analyzed, CSPF\u2019s annual return fell within the middle 50 percent of the peer group. Overall, from 2000 to 2014, CSPF\u2019s annual return was above the group median return in 9 of the 15 years\u2014and lower than the median return in the other 6 years. Relative to its peers, CSPF\u2019s annual returns performed worst during economic downturns and best in years coming out of such downturns. CSPF\u2019s annual investment return was in the bottom 10 percent of returns in 2001, 2002, and 2008. Alternatively, its annual return was in the top 10 percent of returns from 2003 to 2006, in 2009, and in 2012.", "Additionally, the dollar-weighted average annual return for CSPF over the 2000 through 2014 period was roughly the same as the median for the mature plan comparison group. Specifically, the dollar-weighted average annual return over this period for CSPF was roughly 4.9 percent, while the median dollar-weighted average annual return over this period among the comparison plans with continuous data was 4.8 percent.", "Our analysis of investment returns for mature plans compares investment returns for a set of peers that includes only multiemployer defined benefit plans. However, as with the comparison against other large institutional funds, the comparisons against other mature plans are not measures of over- or under-performance relative to an index or benchmark. Similarly, as with the earlier comparison, the analysis does not account for variations in the levels of investment risk taken by the plans."], "subsections": []}]}, {"section_title": "Fees and Expenses Paid by CSPF Were Similar to Other Large Multiemployer Plans", "paragraphs": ["Our analysis of Form 5500 data shows CSPF\u2019s investment fees and administrative expenses were in line with other large multiemployer plans. Plan investment fees and administrative expenses are often paid from plan assets so many plans seek to keep these fees and expenses low. Additionally, investment fees are likely to be related to the value of assets under management, and plans with greater asset values tend to be able to negotiate more advantageous fee rates. According to a pension consultant and a DOL publication, investment management fees are typically a large defined benefit plan\u2019s largest category of expense, but a pension plan also incurs a number of lesser expenses related to administering the plan. Administrative expenses (other than investment fees) may include those for: audit and bookkeeping/accounting services; legal services to the plan (opinions, litigation and advice); administrative services provided by contractors; plan staff salaries and expenses; plan overhead and supplies; and other miscellaneous expenses.", "These administrative expenses relate to plan operations beyond the management of the assets, including the day-to-day expenses for basic administrative services such as participant services and record keeping. Furthermore, some of these expenses can vary based on the number of participants in the plan. To compare CSPF\u2019s fees and expenses against similarly sized plans, we tallied various investment fee-related and other administrative expenses and compared CSPF to a group of multiemployer defined benefit plans that were among the 19 largest plans in terms of assets as of January 1, 2014.", "According to CSPF\u2019s 2014 Form 5500, CSPF spent about $46.5 million on investment fees (or $47.6 million in 2016 dollars) and had about $17.4 billion in assets (or $17.8 billion in 2016 dollars) as of the end of the year\u2014resulting in an investment fee expense ratio of about 27 basis points, or 0.27 percent. Over the 2000 to 2014 period, CSPF\u2019s average annual investment fee expense ratio was 34 basis points (0.34 percent) while the median of the averages for our large plan comparison group was 37 basis points (0.37 percent). While CSPF\u2019s average investment fee expense ratio was below the median for its comparison group over the period we examined, the relationship of CSPF\u2019s annual ratio to the annual median changed over time. CSPF\u2019s annual investment-fee expense ratio was consistently at or above the median from 2000 through 2006, but was below the median thereafter. In addition, CSPF\u2019s average investment fee expenses over the period that followed 2006 were 26 percent less than the average over the period before 2007. (They averaged 39 basis points, or 0.39 percent, from 2000 through 2006 and 29 basis points, or 0.29 percent, from 2007 through 2014.) Two events may have contributed to this change. First, CSPF introduced the passively-managed accounts beginning in 2003\u2014as noted earlier, and CSPF moved certain assets to those accounts in an effort to reduce fees. Second, the change back to a single named fiduciary, which was suggested as an expense saving move, occurred in the middle of the 2007 to 2014 period analyzed. Figure 19 illustrates how CSPF\u2019s investment fee expense ratio compares to other large plans.", "Our analysis uses investment fee data reported in the Form 5500 that does not include details about the sources of the fees. Investment fees may be sensitive to a plan\u2019s particular investment strategy and the way assets are allocated. For example, with CSPF, a named fiduciary has responsibility for executing the investment strategy and allocations. According to a representative from Northern Trust\u2014the current named fiduciary\u2014CSPF pays a fee of about 5 basis points for named fiduciary services, and this, combined with investment management fees, is in line with investment fees for other clients (though the overall fees depend on the types of asset allocations and investment strategies).", "Figure 20 shows how CSPF\u2019s administrative (or non-investment) expenses compare to those of other large plans on a per participant basis. According to CSPF\u2019s 2014 Form 5500, CSPF spent about $38 million on administrative expenses ($39 million in 2016 dollars)\u2014the third most among the 20 peer plans. However, when these expenses are expressed relative to the number of plan participants, CSPF had per participant expenses of $98 in 2014, which is about 16 percent less than the median of the large comparator group, $117. Over the period studied, CSPF\u2019s administrative expenses per participant were at or above the large comparator median in 3 years (2001, 2004, and 2005), but lower than the median in all other years of the 2000 to 2014 period.", "CSPF\u2019s administrative expenses were also in line with a broader group of comparators. For example, PBGC reported on 2014 administrative expenses of a population of large multiemployer plans (plans with more than 5,000 participants). By closely replicating the methodology of that study, we found CSPF\u2019s expenses of $98 per participant in 2014 fell below the median expense rate of $124 dollars per participant but above the lowest quartile of this group of large multiemployer plans. In comparing administrative expenses as a percentage of benefits paid, we found CSPF\u2019s administrative expenses were among the lowest 5 percent of this group of large multiemployer plans. We performed a similar comparison against the peer group of large plans. CSPF had the lowest administrative expense rate among the large plan peer group in 2014, paying administrative expenses at a rate of 1.4 percent of benefits paid. In addition, CSPF\u2019s annual administrative expenses as a percentage of benefits were below the median of our peer group of large plans in all years we reviewed.", "Our analysis of administrative expenses is highly summarized and does not account for possibly unique sources of administrative expenses. Plans may have unique organizational structures and attribute expenses differently. For example, one plan may contract a significant portion of administrative duties with a third-party, while another plan may administer the plan in-house. According to an actuary we interviewed, most multiemployer plans are administered by a third-party, but the plan\u2019s in- house staff will still retain a number of duties. Additionally, the amount of individual administrative expenses could vary significantly by plan depending on the importance of the related administrative function in the plan\u2019s organization."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to the U.S. Department of Labor, U.S. Department of the Treasury, and the Pension Benefit Guaranty Corporation for review and comment. We received technical comments from the U.S. Department of Labor and the Pension Benefit Guaranty Corporation, which we incorporated as appropriate. The U.S. Department of the Treasury provided no comments.", "We will send copies to the appropriate congressional committees, the Secretary of Labor, the Secretary of the Treasury, Director of the Pension Benefit Guaranty Corporation, and other interested parties. This report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Charles Jeszeck at (202) 512-7215 or jeszeckc@gao.gov or Frank Todisco at (202) 512-2700 or todiscof@gao.gov. Mr. Todisco meets the qualification standards of the American Academy of Actuaries to address the actuarial issues contained in this report. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to review: (1) what is known about the factors that contributed to the Central States, Southeast and Southwest Areas Pension Fund\u2019s (CSPF) critical financial condition; (2) what has been CSPF\u2019s investment policy, and the process for setting and executing it, since the consent decree was established; and (3) how has CSPF performed over time, particularly compared to similar pension plans.", "For all objectives, we reviewed relevant federal laws and regulations, literature, and documentation the U.S. Department of Labor (DOL) and CSPF officials provided, including reports prepared by the court- appointed independent special counsel. We interviewed knowledgeable industry stakeholders, participant advocates, CSPF officials, International Brotherhood of Teamsters officials and members, and federal officials\u2014 including officials from the Pension Benefit Guaranty Corporation (PBGC), DOL, and the U.S. Department of the Treasury (Treasury).", "To describe the major factors that led to CSPF\u2019s critical financial condition, we conducted semi-structured interviews and reviewed CSPF documentation, relevant scholarly materials, trade and industry articles, government reports, conference papers, research publications, and working papers. We also collected actuarial, financial, and other data on current and historical measures of plan assets, liabilities, investment performance, and other factors, and performed our own analyses of these data. The data and documentation collected were generally from the plan or agencies that oversee pensions. We determined the information to be generally reliable for the purposes of our objectives.", "To describe CSPF\u2019s investment policy and the process by which it was set and executed we (1) reviewed CSPF\u2019s investment policy statements, court orders and consent decree amendments, and other documentation provided by CSPF officials; (2) interviewed CSPF officials, including pension plan staff, the board of trustees, and the investment advisor, and representatives of the named fiduciary serving the plan at the time of our review; and (3) summarized certain aspects of CSPF\u2019s assets using year- end performance reports prepared by the named fiduciaries.", "To describe how CSPF has performed over time compared to similar pension plans, we analyzed investment and fee data from DOL\u2019s Form 5500, the government\u2019s primary source of pension information. We also examined CSPF\u2019s investment returns in comparison to a customized Wilshire Associates\u2019 (Wilshire) Trust Universe Comparison Service (TUCS) benchmark of trusts with $3 billion or more in assets. CSPF provided these data and the data are included in the independent special counsel reports. Wilshire provided supplemental data using the same benchmark specifications."], "subsections": [{"section_title": "CSPF and DOL Document Reviews", "paragraphs": ["We reviewed three types of documentation provided by CSPF for changes in named fiduciaries; changes in investment policy, strategy, and asset allocation; major issues that affected funding; and how these issues affected CSPF\u2019s investment strategy and policy.", "Select independent special counsel reports. CSPF officials provided 4th quarter reports for each year from 1982 through 2002 and available quarterly reports from 2003 through 2007. We downloaded all available quarterly reports from 2008 through 2017 from CSPF\u2019s website.", "Select board of trustee meeting minutes. We requested board of trustee meeting minutes from 1983, 1994-95, 1998-2005, 2007-2010, and 2016 so we could review trustee discussions from the first full year the plan was covered by the 1982 consent decree, the most recent full year; periods that included a recession and/or when the plan\u2019s assets performed poorly; and periods that preceded a change or reappointment of the named fiduciary. CSPF officials selected portions of the trustee meeting minutes from those years that pertained to the following topics: named fiduciary reports concerning investment performance; discussions relating to the amortization extension the Internal Revenue Service (IRS) granted to the plan and the contribution rate increases the plan required of participating employers in an effort to comply with funding targets required as condition of the IRS-approved amortization extension; major amendments to the plan; significant reports concerning the plan\u2019s financial condition; amendments to the consent decree; discussions relating to any inquiries or issues DOL raised; discussions of named fiduciary appointments or resignations; discussions of particularly significant contributing employer delinquencies, bankruptcies, and settlements; and discussions relating to the independent special counsel. In addition to the board of trustee meeting minutes, CSPF officials provided select documentation on similar topics a former secretary of the board of trustees retained (1995 through 2008).", "Select correspondence between CSPF and DOL. CSPF officials provided select correspondence with DOL from 1987 through 2017 relating to DOL\u2019s oversight of the plan. CSPF officials said they provided all records of those communications that related to significant, substantive, and nonroutine issues. The correspondence excluded other documents, such as periodic reports concerning asset rebalancing and correspondence related to fairly noncontroversial motions to the consent decree.", "In addition, DOL provided documentation throughout the course of our engagement, including documentation it provided between September and October 2017 that it had not previously identified as being relevant to our review. We completed an on-site file review at DOL in September 2017, and DOL sent us additional electronic documentation in September and October 2017. Overall, we reviewed extensive documentation from DOL\u2014spanning over 10,000 pages of paper-based and electronic files\u2014 and spent substantial time cataloging and categorizing it. However, DOL officials reported that certain documentation related to CSPF was no longer available because it had only been retained for the time specified in the records retention policy of the relevant office."], "subsections": []}, {"section_title": "Semi-structured Interviews", "paragraphs": ["We conducted 23 semi-structured interviews with federal agency officials and other stakeholders, including affected parties, and persons knowledgeable about unions, participants and retirees, the trucking industry, collective bargaining agreements, and multiemployer pension plans. We also interviewed three stakeholders with actuarial expertise to specifically understand actuarial standards and procedures. We selected knowledgeable stakeholders based on review of literature and prior GAO work, and recommendations from other stakeholders. We judgmentally selected stakeholders whose expertise coincided with the scope of our objectives and who would be able to provide a broad range of perspectives. In our semi-structured interviews we asked about key factors affecting the plan, the broader regulatory and financial environment in which multiemployer plans operate, and solvency options for plans like CSPF."], "subsections": []}, {"section_title": "Investment Policy Statement Review", "paragraphs": ["We reviewed CSPF\u2019s investment policy statements after CSPF entered into a consent decree in 1982, most of which are documented in the consent decree or other court orders. Seven of the investment policy statements were developed by named fiduciaries in consultation with the plan\u2019s board of trustees and four were developed by the trustees. (See fig. 21.)", "From each investment policy statement, we compiled relevant information on: (1) investment philosophy and plan characteristics considered in developing it, (2) investment return benchmarks, (3) asset allocation, and (4) strategies and assets. See table 3 for select asset allocation information."], "subsections": []}, {"section_title": "Asset Summary", "paragraphs": ["To describe how CSPF\u2019s investment policy was executed, we compiled information from performance reports prepared by named fiduciaries. We reported CSPF\u2019s asset allocation generally based on the aggregate asset allocation categories CSPF\u2019s named fiduciaries assigned in those reports. CSPF provided these reports for the end of each year 1984 through 2016\u2014except 1992 and 1995, for which it provided reports as of the end of November. Information we compiled included the plan\u2019s: account breakdown (i.e., assets in named fiduciary and passively- asset allocation; and investment assets withdrawn to pay benefits and administrative expenses.", "When possible, we checked the information from year-end performance reports against that in other sources. Specifically, to ensure we captured the vast majority of the plan\u2019s assets in our asset summary we compared the total amount of plan assets named fiduciaries reported with Net Assets reported in CSPF\u2019s Form 5500 filings, available from 1982 through 2016. We generally found these totals to be similar for each year\u2014in most years the difference was about or under 1 percent. Also, named fiduciary performance reports included information on withdrawals from investment assets to meet pension and administrative expense obligations as of the end of each year, except for 1995 and 1999-present. For 1995 through 2016, we compiled this information from independent special counsel reports. For years in which we had overlapping information, 1996 through 1998, we found the reported totals were similar\u2014no more than about 0.6 percent difference in each of those years. Based on our review we believe that the differences were insignificant to our overall analysis and did not impact our findings."], "subsections": []}, {"section_title": "Form 5500 Data Analysis", "paragraphs": ["To determine investment returns, investment fees, and administrative expenses for CSPF and related comparator group multiemployer defined benefit plans, we analyzed electronic Form 5500 information, the primary, federal source of private pension data. We analyzed information from 2000 through 2014, the most current and complete year at the time we performed our analysis. We began our analysis with 2000 data as data on investment returns and plan fees is primarily found in the Schedule H. Schedule H information was first collected in 1999. But we begin our analysis with 2000 data as electronic data became more reliable the year after the schedule was introduced.", "We have previously reported on the problems associated with the electronic data of the Form 5500. To mitigate problems associated with the data, we used Form 5500 research data from PBGC. PBGC analysts routinely and systematically correct the raw 5500 data submitted by plans, and PBGC\u2019s Form 5500 research data are thought to be the most accurate electronic versions. Although we did not independently audit the veracity of the PBGC data, we took steps to assess the reliability of the data and determined the data to be sufficiently reliable for our purposes. For example, we performed computer analyses of the data and identified inconsistencies and other indications of error and took steps to correct inconsistencies or errors. A second analyst checked all computer analyses."], "subsections": [{"section_title": "Funded Status", "paragraphs": ["Funded status is a comparison of plan assets to plan liabilities. One measure of funded status is the funded percentage, which is calculated by dividing plan assets by plan liabilities. Another measure of funded status is the dollar amount of difference between plan assets and plan liabilities; the excess of plan liabilities over plan assets is the unfunded liability (or surplus if assets exceed liabilities). In this report, we measured funded status using the Actuarial Value of Assets and the Actuarial Accrued Liability, which are the basic measures used to determine the annual required minimum contribution for multiemployer plans under ERISA. We chose these measures because of the consistent availability of data for these measures. There are other ways to measure plan assets and plan liabilities. The Actuarial Value of Assets can be a \u201csmoothed\u201d value that differs from the market value of plan assets. The Actuarial Accrued Liability depends on the choice of actuarial cost method and discount rate, and on whether it is determined on an ongoing plan basis or a plan close-out basis. While different measures of plan assets and liabilities will produce different measures of funded status at any particular point in time, we found that our use of the Actuarial Value of Assets and the Actuarial Accrued Liability was sufficient for our purposes, which included examining the plan\u2019s progress relative to statutory funding standards as well as its trend over time."], "subsections": []}, {"section_title": "Comparator Group Construction", "paragraphs": ["We developed multiple comparison groups for our analysis. The general rationale behind these comparator groups is to identify plans with similar fundamental characteristics, such as plan size or plan maturity, for purposes of investment return and fee and expense comparisons. We created the following two comparator groups: 1. Large plans (in terms of assets). We ordered multiemployer defined benefit plans by descending 2014 plan assets (line 2a of the 2014 of the Schedule MB). Because one of our key analyses of the data involves comparing investment returns across plans, we also limited the comparable plans to those that share a common plan year to CSPF (specifically if they have the same plan year-end of December 31). We selected the 20 plans that had the largest plan asset values. This includes CSPF, which was the second largest multiemployer plan as of the beginning of 2014. Because these comparator plans are among the largest, they should have similar cost advantages. For example, for investment management services, they should have similar advantages in obtaining lower fees and thus garner greater net returns due to the more favorable fee structures. 2. Mature plans (in terms of retiree liability proportions). We ordered multiemployer defined benefit plans by their similarity to CSPF\u2019s ratio of retiree to total liabilities as of the beginning of calendar year 2000. The ratio of retiree to total liabilities is defined as line 2(b)1(3) of the 2000 Schedule B divided by total liabilities of line 2(b)4(3) of the 2000 Schedule B. To compare retiree to total liability ratios, we created a variable for the absolute value of the difference between CSPF\u2019s ratio and that of a given plan. We ordered the plans by ascending differences in the ratios (excluding any with missing differences). CSPF was the top plan because its difference is zero by definition. Because one of our key analyses of the data involved comparing investment returns across plans, we also limited the comparable plans to those that shared a common plan year with CSPF (specifically if they have the same plan year-end of December 31). Of the plans that had the same plan year as CSPF and assets over $300 million, we selected the 20 plans (including CSPF) that had the smallest absolute difference from CSPF in the retiree-to-total liability ratio. Plans with a high ratio of liabilities attributable to retirees will have a relatively large portion of future benefit payments attributable to those that are older and retired. By selecting plans that were similarly mature to CSPF (and had $300 million in assets as of the beginning of 2000), we identified plans that may have had a similar basis for their plan investments, similar cash flow characteristics, or similar potential deviations between time-weighted and dollar-weighted average investment returns over time (see section below entitled \u201cCalculation of Average Investment Return over Multiple Years\u201d). That is, these plans should have roughly similar cost advantages and similar considerations in their investment objectives such as the balance of cash flows into and out of the fund and the plans\u2019 investment horizons. Similarity in the balance of cash flows is important because it helps to mitigate the influence of plan maturity on the weighted average investment return over multiple years. The year 2000 was used to select the group because the primary purpose of this group is comparison of investment returns for plans that are similarly situated at the beginning of the period being analyzed."], "subsections": []}, {"section_title": "Calculations of Annual Investment Returns", "paragraphs": ["Our calculation of investment returns is based on the investment return calculation expressed in the Form 5500 instructions for the Schedule MB. Specifically the instructions of the 2014 Schedule MB state: Enter the estimated rate of return on the current value of plan assets for the 1-year period ending on the valuation date. (The current value is the same as the fair market value\u2014see line 1b(1) instructions.) For this purpose, the rate of return is determined by using the formula 2I/(A + B \u2013 I), where I is the dollar amount of the investment return, A is the current value of the assets 1 year ago, and B is the current value of the assets on the current valuation date. Enter rates to the nearest .1 percent. If entering a negative number, enter a minus sign (\u201c - \u201c) to the left of the number.", "After preliminary analysis of the variable and consultation with a GAO senior actuary, we determined that Form 5500, Schedule H contains all the information necessary to derive the calculation for years prior to 2008\u2014as far back as 1999 when the Schedule H first came into existence. Additionally, we made adjustments for the timing of cash flows, to the extent indicated by the data. For example, employer and employee contributions that were considered receivable at the end of the prior year and thus included in the Schedule MB calculation were instead included in the year when the plan received the cash for the contribution. Thus, our calculation of annual rate of return is expressed as line items of the 2014 Schedule H to be: 2 * / [[{item1(f)a} \u2013 {item 1(b)1(a)} - {item 1(b)2(a)} - {item 1j(a)}] + [{item1(f)b} \u2013 {item 1(b)1(b)} - {item 1(b)2(b)} - {item 1j(b)}] \u2013 [{item 2d} - {item 2a(3)} \u2013 {item 2c}]] Or expressed with expository names as: (2 * (TLINCOME - TOTLCON - OTHERINCOMEW)) / ((TASSTSBY - (ERCONBOY + EECONBOY + OTHER_LIAB_BOY_AMT)) + (TASSTSEY - (ERCONEOY + EECONEOY + OTHER_LIAB_EOY_AMT)) - (TLINCOME - TOTLCON - OTHERINCOMEW))", "For purposes of data reliability and validation of our results, we ran permutations of the calculation to see how, if at all, certain items could influence the calculation. In two permutations, we changed the timing of net asset transfers to or from other plans. (This occurs when, for example, there is a plan merger.) A senior actuary determined whether the calculations with/without net asset transfers affected our calculation. If the timing of the net transfer caused the investment return calculation to vary by more than 0.1 percent, we excluded the data for that particular plan in that particular year. We also ran another calculation that did not include \u201cother\u201d income so we could estimate the impact of not adjusting for such information."], "subsections": []}, {"section_title": "Calculation of Average Investment Return over Multiple Years", "paragraphs": ["Historical average investment returns over multiple years can be calculated in at least two different ways. One measure is the \u201ctime- weighted\u201d average return, calculated as a geometric average of the annual returns during the period. A time-weighted average measures average investment performance without regard to the order of the annual returns or the impact of different plan circumstances over time. Another measure is the \u201cdollar-weighted\u201d average return\u2013also known as the \u201cinternal rate of return\u201d (and also referred to as the \u201ccash flow weighted\u201d return in this report)\u2014which reflects the impact of the plan\u2019s cash flow pattern. The dollar-weighted average return is the rate that, when applied over time to the asset value at the beginning of the period and to each year\u2019s net cash flow into or out of the plan over the period, reproduces the asset value at the end of the period.", "We calculated dollar-weighted average returns (along with some time- weighted returns for comparison), for both CSPF and for the multiemployer system as a whole, as discussed in the report. We used a market value of plan assets for this purpose. The dollar-weighted average captures the impact of negative cash flow on average investment return. For example, with negative cash flow, investment results in an earlier year can have a bigger impact than investment results in a later year because more money is at stake in the earlier year.", "Using the same beginning-of-period asset value, and subsequent annual net cash flows into or out of the plan, used in calculating the dollar- weighted average return, we also performed a hypothetical calculation of what CSPF\u2019s end-of-period asset value would have been if the plan had earned 7.5 percent per year instead of its actual return."], "subsections": []}, {"section_title": "Calculation of Fees and Expenses", "paragraphs": ["Conceptually, there are multiple ways to express investment fees, but our analysis used the following two methods for calculating them: Investment fee ratio. Investment fees [line 2i(3) of the 2014 Schedule H] divided by end-of-year net assets [line 1l(b) of the 2014 Schedule H] less receivables [line 1b(1)(b); line 1b(2)(b); and line 1b(3)(b) of the 2014 Schedule H].", "Investment fees per participant. Investment fees [line 2i(3) of the 2014 Schedule H] divided by total (end-of-year) participants [line 6f of the 2014 main form]."], "subsections": []}]}, {"section_title": "Administrative Expense Calculations", "paragraphs": ["We define administrative expenses as all other expenses besides investment fees. In part, we used this definition of administrative expenses as it represents the expenses that remain after excluding investment fees. In addition, according to a PBGC analyst, this is the unit of analysis that they also used in their study of administrative expenses.", "Administrative expense to benefits paid. This is administrative expenses (professional, contract and other) divided by benefits paid. For administrative expenses we derived the value by taking total expenses less investment fees . For benefits paid, we used the 2014 Schedule H, line 2e(1), \u201cBenefit payment and payments to provide benefits directly to participants or beneficiaries, including direct rollovers.\u201d However, if the benefit payment value for such payments is missing or zero, we used the 2014 Schedule H, line 2e(4) \u201cTotal Benefit Payments\u201d since the plan may be expressing their benefit payments on another line.", "Administrative expense per participant. Administrative expenses (professional, contract and other) divided by total (end-of-year) participants . For administrative expenses we derived the value by taking total expenses [line 2i(5) of the 2014 Schedule H] less investment fees [line 2i(3) of the 2014 Schedule H].", "PBGC Study on Administrative Expenses PBGC has reported on administrative expenses and included various breakouts of these data in past data book supplements. The calculations of administrative expenses in this report are similar to those used by PBGC. Certain differences may exist because our calculation did not include certain multiemployer plans that reported missing data. Additionally, our population of multiemployer plans included only those plans exclusively associated with defined benefit features. The table below compares our results for plans with 5,000 or more participants, which is a subset of plans analyzed in the PBGC study.", "Our results used a sample that includes three fewer plans than the PBGC study, but our distributional results were within one-tenth percent for the administrative expense ratio and within $5 of the administrative expenses per participant (see table 4).", "Comparing the administrative expenses across reports using other statistics such as the minimum, maximum and standard deviation shows similar results for the PBGC and our analysis (see table 5). The mean administrative expenses per participant differ by $2.47. This difference is 1.5 percent lower than the PBGC estimate and could be a result of the difference in sample size.", "We also performed additional analyses as summarized below.", "We compared CSPF\u2019s annual returns against plans that have the largest assets among multiemployer defined benefit plans (with the same plan year as CSPF) and CSPF\u2019s results against these plans were broadly similar to results for the mature plans (see fig. 22).", "We compared CSPF\u2019s administrative expenses as a percentage of benefit paid against other large plans. As noted in this report, CSPF has the lowest relative administrative expenses among the comparators in 2014 with administrative expenses at 1.4 percent of benefits (see fig. 23).", "In addition, CSPF\u2019s administrative expenses as a percentage of benefits were consistently below the median."], "subsections": []}, {"section_title": "Analysis of Wilshire TUCS Data", "paragraphs": ["For our analysis of Wilshire TUCS data, we used two sources of data. Data from 1999 through 2016 was provided by CSPF. CSPF provided reports of their TUCS custom comparison group, master trusts with greater than $3 billion in assets. These data also included the year-end return results for the total fund (also known as the combined fund) as well as returns by subcategory such as a specific named fiduciary or fund. For example, subcategories listed for year-end 2006 included the results for both named fiduciaries (Goldman Sachs and Northern Trust) as well as the passively-managed accounts (then known as the CSSS fund).", "The custom comparison groups for the 1999 through 2016 data were determined each year in early-February of the year following the December 31 return results for the prior year. Thus, over time more master trusts were added (or subtracted) depending on the level of assets for the master trusts in that year. For example, the return results for year- end 1999 are determined as of February 10, 2000 and the group of master trusts with more than $3 billion contains 62 observations. The number of trusts in the custom group of master trusts with more than $3 billion generally grew over time with the number peaking with the return results for year-end 2014 (determined as of February 9, 2015), which contains 124 observations.", "The TUCS data from 1995 through 1998 was provided by Wilshire. The comparison group for these data were not selected each year, but, instead, selected retrospectively. For example, the comparison group of master trusts with more than $3 billion from 1995 through 1998 was selected as of January 9, 2017. There were 99 reported observations in 1995 and 132 observations in 1998. In addition, the 1995 through 1998 TUCS data did not include specific returns for CSPF. We were able to find the annual year-end return in the December (i.e. year-end) management report, which for these years was provided by the named fiduciary, Morgan Stanley."], "subsections": []}]}, {"section_title": "Appendix II: Selected Events Affecting the Central States, Southeast and Southwest Areas Pension Fund", "paragraphs": ["Below is a list of selected events that have affected the Central States, Southeast and Southwest Areas Pension Fund (CSPF) as identified through a review of relevant documentation and interviews with stakeholders and agency officials. It is not intended to be an exhaustive list of the events that have impacted CSPF, nor is it intended to include comprehensive descriptions of each event."], "subsections": []}, {"section_title": "Appendix III: Key Provisions of the Central States, Southeast and Southwest Areas Pension Fund\u2019s Consent Decree", "paragraphs": [], "subsections": [{"section_title": "Brief History and Current Status of Consent Decree", "paragraphs": ["On September 22, 1982, the Department of Labor (DOL) entered into a court-enforceable consent decree with the Central States Southeast and Southwest Areas Pension Fund (CSPF) to help ensure the plan\u2019s assets were managed for the sole benefit of the plan\u2019s participants and beneficiaries as required by the Employee Retirement Income Security Act of 1974 (ERISA). The consent decree has been amended several times and currently remains in effect, as amended, under the jurisdiction of the Federal Court for the Northern District of Illinois, Eastern Division. Below is a description of the key parties to and their primary responsibilities under the consent decree."], "subsections": []}, {"section_title": "Key Parties and Their Primary Roles under Consent Decree", "paragraphs": ["The consent decree defines roles and responsibilities for its parties, including the court, the court-appointed independent special counsel, DOL, the plan and its Board of Trustees, and the independent asset manager, which is called the named fiduciary."], "subsections": [{"section_title": "Court", "paragraphs": ["The primary role of the court is to oversee and enforce the consent decree. Specifically, the court: appointed an independent special counsel to assist it in administering has approval over the appointment of named fiduciaries and trustees; has approval over the appointment of investment managers of the may, for good cause shown, remove a named fiduciary after 60 days\u2019 notice provided to the named fiduciary and DOL; and may, upon request by the plan, dissolve the consent decree absent good cause shown by DOL why the consent decree should continue in effect."], "subsections": []}, {"section_title": "Independent Special Counsel", "paragraphs": ["The court-appointed independent special counsel is intended to serve the court by assisting in identifying and resolving issues that arise in connection with the plan\u2019s compliance with the consent decree and Part 4 of Title I of ERISA, and to report on the plan to the court. Specifically, the independent special counsel: has full authority to examine the plan\u2019s activities and oversee and report on the plan\u2019s performance of the undertakings of the consent decree; may, with court approval, employ attorneys, accountants, investigators, and others reasonably necessary and appropriate to aid him in the exercise of his responsibilities; has full access to all documents, books, records, personnel, files, and information of whatever type or description in the possession, custody, or control of the plan; may attend meetings of the plan, including meetings of the board of trustees and any meetings at which plan-related matters are discussed or considered; can petition the court to compel the plan to cooperate with the independent special counsel in the performance of his duties and responsibilities; may consult with DOL, the Internal Revenue Service, and other agencies, as appropriate, but must provide access to DOL upon its request to any documents prepared by the independent special counsel within the exercise of his power; is required to file quarterly reports, as well as any other reports the independent special counsel deems necessary or appropriate, with the court, and provide copies to DOL and the plan; may have other powers, duties, and responsibilities that the court may later determine are appropriate; and cannot be discharged or terminated during the duration of the consent decree except for leave of court, and upon the termination, discharge, death, incapacity, or resignation of an independent special counsel, the court will appoint a successor."], "subsections": []}, {"section_title": "Department of Labor", "paragraphs": ["Under the consent decree, DOL has an oversight role and may object to certain proposed plan changes. Specifically, DOL: may request and review certain reports provided by the plan and any documents prepared by the independent special counsel in the exercise of his authority; may object to the appointment of proposed trustees, named fiduciaries, investment managers of the passively-managed accounts, and asset custodians; receives notice of proposed changes to the plan\u2019s investment policy statements from the plan; and may object to the dissolution of the consent decree."], "subsections": []}, {"section_title": "CSPF (including Board of Trustees and Internal Audit Staff)", "paragraphs": ["The plan must operate in full compliance with the consent decree, with ERISA, and with any conditions contained in determination letters it receives from the Internal Revenue Service. Specifically, CSPF, its board of trustees, and its internal audit staff must meet certain requirements. is required to use an independent asset manager known as the named fiduciary; must rebid the named fiduciary role at least once within every 6 years, with the option to extend the appointment for 1 calendar year; may remove a named fiduciary without cause shown on 6 months\u2019 written notice to the named fiduciary and DOL; must cooperate with the independent special counsel in the performance of his duties and responsibilities and with DOL in its continuing investigation and enforcement responsibilities under ERISA; is required to recommend to the court three replacement candidates, agreeable to DOL, to replace an outgoing independent special counsel; and is required to maintain a qualified internal audit staff to monitor its affairs. is required to appoint, subject to court approval, the investment managers of the passively-managed accounts; is prohibited from authorizing any future acquisitions, investments, or dispositions of plan assets on a direct or indirect basis unless specifically allowed by the consent decree; and is required to comply with ERISA fiduciary duties, such as monitoring the performance of the assets of the plan, under Part 4 of Title I of ERISA. is required to review benefit administration, administrative expenditures, and the allocation of plan receipts to investments and administration; and is required to prepare monthly reports setting forth any findings and recommendations, in cooperation with the executive director of the plan, and make copies available to the independent special counsel and, upon request, to DOL and the court."], "subsections": []}, {"section_title": "Named Fiduciaries", "paragraphs": ["The independent asset managers, known as named fiduciaries, are appointed by the plan\u2019s trustees, subject to court approval, and have exclusive responsibility and authority to manage and control all assets of the plan allocated to them. Specifically, the named fiduciaries: may allocate plan assets among different types of investments and have exclusive authority to appoint, replace, and remove those have responsibility and authority to monitor the performance of their are required to develop, in consultation with the Board of Trustees, and implement investment policy statements for the assets they manage, giving appropriate regards to CSPF\u2019s actuarial requirements."], "subsections": []}]}]}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above David Lehrer (Assistant Director), Charles J. Ford, (Analyst-in-Charge), Laurel Beedon, Jessica Moscovitch, Layla Moughari, Joseph Silvestri, Anjali Tekchandani, Margaret J. Weber, Adam Wendel, and Miranda J. Wickham made key contributions to this report. Also contributing to this report were Susan Aschoff, Deborah K. Bland, Helen Desaulniers, Laura Hoffrey, Jennifer Gregory, Sheila McCoy, Mimi Nguyen, Jessica Orr, Monica P. Savoy, and Seyda Wentworth."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Central States Pension Fund: Department of Labor Activities under the Consent Decree and Federal Law. GAO-18-105. Washington, D.C.: June 4, 2018.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Pension Plan Valuation: Views on Using Multiple Measures to Offer a More Complete Financial Picture. GAO-14-264. Washington, D.C.: September 30, 2014.", "Private Pensions: Clarity of Required Reports and Disclosures Could Be Improved. GAO-14-92. Washington, D.C.: November 21, 2013.", "Private Pensions: Timely Action Needed to Address Impending Multiemployer Plan Insolvencies. GAO-13-240. Washington, D.C.: March 28, 2013.", "Private Pensions: Multiemployer Plans and PBGC Face Urgent Challenges. GAO-13-428T. Washington, D.C.: March 5, 2013.", "Pension Benefit Guaranty Corporation: Redesigned Premium Structure Could Better Align Rates with Risk from Plan Sponsors. GAO-13-58. Washington, D.C.: November 7, 2012.", "Private Pensions: Changes Needed to Better Protect Multiemployer Pension Benefits. GAO-11-79. Washington, D.C.: October 18, 2010.", "Private Pensions: Long-standing Challenges Remain for Multiemployer Pension Plans. GAO-10-708T. Washington, D.C.: May 27, 2010.", "The Department of Labor\u2019s Oversight of the Management of the Teamsters\u2019 Central States Pension and Health and Welfare Funds. GAO/HRD-85-73. Washington, D.C.: July 18, 1985.", "Investigation to Reform Teamsters\u2019 Central States Pension Fund Found Inadequate. HRD-82-13. Washington, D.C.: April 28, 1982."], "subsections": []}], "fastfact": []} {"id": "GAO-18-382", "url": "https://www.gao.gov/products/GAO-18-382", "title": "K-12 Education: Lead Testing of School Drinking Water Would Benefit from Improved Federal Guidance", "published_date": "2018-07-05T00:00:00", "released_date": "2018-07-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["No federal law requires testing of drinking water for lead in schools that receive water from public water systems, although these systems are regulated by the EPA. Lead can leach into water from plumbing materials inside a school. The discovery of toxic levels of lead in water in Flint, Michigan, in 2015 has renewed awareness about the danger lead exposure poses to public health, especially for children.", "GAO was asked to review school practices for lead testing and remediation. This report examines the extent to which (1) school districts are testing for, finding, and remediating lead in drinking water; (2) states are supporting these efforts; and (3) federal agencies are supporting state and school district efforts. GAO administered a web-based survey to a stratified, random sample of 549 school districts, the results of which are generalizable to all school districts. GAO visited or interviewed officials with 17 school districts with experience in lead testing, spread among 5 states, selected for geographic variation. GAO also interviewed federal and state officials and reviewed relevant laws and documents."]}, {"section_title": "What GAO Found", "paragraphs": ["An estimated 43 percent of school districts, serving 35 million students, tested for lead in school drinking water in 2016 or 2017, according to GAO's nationwide survey of school districts. An estimated 41 percent of school districts, serving 12 million students, had not tested for lead. GAO's survey showed that, among school districts that did test, an estimated 37 percent found elevated lead (lead at levels above their selected threshold for taking remedial action.) (See figure.) All school districts that found elevated lead in drinking water reported taking steps to reduce or eliminate exposure to lead, including replacing water fountains, installing filters or new fixtures, or providing bottled water.", "According to the Environmental Protection Agency (EPA), at least 8 states have requirements that schools test for lead in drinking water as of 2017, and at least 13 additional states supported school districts' voluntary efforts with funding or in-kind support for testing and remediation. In addition, the five states GAO visited provided examples of technical assistance to support testing in schools.", "EPA provides guidance and other resources to states and school districts regarding testing and remediating lead in drinking water, and the Department of Education (Education) provides some of this information on its websites. School district officials that used EPA's written guidance said they generally found it helpful. Although EPA guidance emphasizes the importance of addressing elevated lead levels, GAO found that some aspects of the guidance, such as the threshold for taking remedial action, were potentially misleading and unclear, which can put school districts at risk of making uninformed decisions. In addition, many school districts reported a lack of familiarity with EPA's guidance, and their familiarity varied by region of the country. Education and EPA do not regularly collaborate to support state and school district efforts on lead in drinking water, despite agreeing to do so in a 2005 memorandum of understanding. Such collaboration could encourage testing and ensure that more school districts will have the necessary information to limit student and staff exposure to lead."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that EPA update its guidance on how schools should determine lead levels requiring action and for EPA and Education to collaborate to further disseminate guidance and encourage testing for lead. EPA and Education agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The discovery of toxic levels of lead in drinking water in Flint, Michigan in 2015 has renewed awareness about the risks that lead poses to public health. Exposure to lead can result in elevated blood lead levels and negative health effects. Children are at particular risk, because their growing bodies absorb more lead than adults, so protecting them from lead is important to lifelong good health. According to the Centers for Disease Control and Prevention (CDC), elevated blood lead levels have been linked to anemia, kidney and brain damage, learning disabilities, and decreased growth. As a result of widespread human use, lead is prevalent in the environment; for example, it can be found in paint and soil, and can leach into drinking water from lead-containing plumbing materials, such as faucets and drinking fountains.", "Lead in school drinking water is a concern because it is a daily source of water for over 50 million children enrolled in public schools. The pattern of school schedules\u2014including time off over weekends, holidays, and extended breaks\u2014can contribute to standing water in the school\u2019s plumbing system. If there is lead in the plumbing system, the potential for it to leach into water can increase the longer the water remains in contact with the plumbing. Other factors also influence the extent to which lead enters the water, such as the chemistry of the water, the amount of lead that comes into contact with the water, and the presence of protective scales or coatings inside plumbing materials.", "While there is no federal law requiring testing of drinking water for lead in schools that receive water from public water systems, these water systems themselves are regulated by the Environmental Protection Agency (EPA) under the Lead and Copper Rule (LCR), as required by the Safe Drinking Water Act (SDWA). Because the LCR regulates public water systems, it does not directly address individual schools that are served by a public water system. The federal government\u2014including EPA, the Department of Education (Education), and CDC\u2014has a limited role in addressing lead in school drinking water. These agencies, along with other organizations, signed a memorandum of understanding in 2005 encouraging lead testing and remediation in schools, and they provide information and guidance to stakeholders, such as state officials and school districts. Several states and school districts have taken steps to test for lead in school drinking water. States and school districts that choose to test generally set their own threshold, or \u201caction level,\u201d of lead found in drinking water that requires action, such as replacing a water fountain or installing a filter. We use the term elevated lead in this report to mean lead at levels above a selected action level.", "You asked us to study the testing and remediation practices used to protect children from lead. This report builds upon a separate 2017 review that addresses schools with their own water source that are therefore subject to federal requirements for lead testing and remediation under the LCR. In this review, our objectives were to examine (1) the extent to which school districts are testing for, finding, and remediating lead in school drinking water; (2) the extent to which states require or support testing for and remediating lead in school drinking water by school districts; and (3) the extent to which federal agencies are supporting state and school district efforts to test for and remediate lead.", "To address our first objective, we drew a stratified, random sample of 549 school districts, administered a web-based survey from July to October 2017 asking whether they had tested for, found, or remediated lead in the past 12 months, and achieved a 68 percent response rate. Based on the design and response rate, estimates generated from these survey results are generalizable to the population of public school districts. We also conducted site visits to or interviewed officials with 17 school districts with experience testing for lead in drinking water and selected to vary in population density. These districts were located in five states\u2014Georgia, Illinois, Massachusetts, Oregon, and Texas\u2014which were selected to vary in geographic location and because they varied in the extent to which they required school-based lead testing and remediation. To address our second and third objectives, we used site visit information, requested information about state requirements from selected state officials, and interviewed officials in EPA\u2019s headquarters and in all 10 regional offices, and at Education and CDC. We reviewed relevant documents, such as the 2005 memorandum of understanding and EPA guidance, as well as relevant federal and state laws and regulations. For the states with testing requirements, we reviewed relevant laws, regulations and policy documents and confirmed our understanding of state testing requirements with state officials. We provided the information about state requirements to appropriate state officials for their review and confirmation. We evaluated federal efforts to support lead testing and remediation in schools against the actions prescribed in the memorandum and federal standards for internal control, which call for agencies to provide effective communication to external parties, among other things. Appendix I contains a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from October 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Elementary and Secondary Education School Facilities", "paragraphs": ["According to Education, 50.3 million students were enrolled in more than 98,000 public elementary and secondary schools nationwide in the 2014- 2015 school year. These individual public schools are overseen by approximately 16,000 local educational agencies (referred to in this report as school districts) which are, in turn, overseen and supported by state educational agencies. School districts can range in size from one school (for example, in rural areas) to hundreds of schools in large urban and suburban areas. For example, the 100 largest districts in the United States together have approximately 16,000 schools and enroll about 11 million students. In addition, charter schools are public schools created to achieve a number of goals, such as encouraging innovation in public education. Oversight of charter schools can vary, with some states establishing charter schools as their own school district and other states allowing charter schools to be either a distinct school district in themselves or part of a larger district. Charter schools are often responsible for their own facilities; these may be located in non-traditional school buildings, and may lease part or all of their space.", "Typically, state educational agencies are responsible for administering state and federal education laws, disbursing state and federal funds, and providing guidance to school districts and schools across the state. State educational agencies frequently provide funds for capital improvements to school facilities, which school districts may use to address issues related to lead in school drinking water, among other things. Different state agencies, including agencies for education, health, and environmental protection, may provide school districts with guidance on testing and remediation of lead in school drinking water. Within a school district, responsibility for water management may be held by individuals in different positions, such as facilities managers or environmental specialists."], "subsections": []}, {"section_title": "Health Effects of Lead", "paragraphs": ["Lead is a neurotoxin that can accumulate in the body over time with long- lasting effects, particularly for children. According to the CDC, lead in drinking water can cause health effects if it enters the bloodstream and causes an elevated blood lead level. Lead in a child\u2019s body can slow down growth and development, damage hearing and speech, and lead to learning disabilities. For adults, lead can have detrimental effects on cardiovascular, renal, and reproductive systems and can prompt memory loss. In pregnant women, lead stored in bones (due to lead exposure prior to and during pregnancy) can be released as maternal calcium used to form the bones of the fetus, reduce fetal growth, and increase risk of miscarriage and stillbirth. The presence of lead in the bloodstream can disappear relatively quickly, but bones can retain the toxin for decades. Lead in bones may be released into the blood, re-exposing organ systems long after the original exposure. The concentration of lead, total amount consumed, and duration of exposure influence the severity of health effects. The health consequences of lead exposure can differ from person to person and are affected by the cumulative dose of lead and the vulnerability of the individual person regardless of whether the lead exposure is from food, water, soil, dust, or air. Although there are medical therapies to remove lead from the body, they cannot undo the damage it has already caused. For these reasons, EPA, CDC, and others recommend the prevention of lead exposure to the extent possible, recognizing that lead is widespread in the environment."], "subsections": []}, {"section_title": "The Safe Drinking Water Act", "paragraphs": ["The SDWA authorizes EPA to set standards for drinking water contaminants in public water systems. For a given contaminant the act requires EPA to first establish a maximum contaminant level goal, which is the level at which no known or anticipated adverse effects on the health of persons occur and which allows an adequate margin of safety. EPA must then set an enforceable maximum contaminant level as close to the maximum contaminant level goal as is feasible, or require water systems to use a treatment technique to prevent known or anticipated adverse effects on the health of persons to the extent feasible. Feasible means the level is achievable using the best available technology or treatment technique.", "In 1991 EPA issued the LCR, which it revised in 2000 and 2007, establishing regulations for water systems covered by the SDWA. Lead concentration in water is typically measured in micrograms of lead per liter of water (also referred to as \u201cparts per billion\u201d or ppb). The rule established a maximum contaminant level goal of zero, because EPA concluded that there was no established safe level of lead exposure. EPA decided not to establish an enforceable maximum contaminant level, concluding that any level reasonably close to the goal would result in widespread noncompliance, and therefore was not feasible. Instead, the rule established an \u201caction level\u201d of 15 micrograms of lead per liter (15 ppb) in a one liter sample of tap water, a level that EPA believed was generally representative of what could be feasibly achieved at the tap. The action level is a screening tool for determining when certain follow-up actions are needed, which may include corrosion control treatment, public education, and lead service line replacement. Sample results that exceed the lead action level do not by themselves constitute violations of the rule. If the lead action level is exceeded in more than 10 percent of tap water samples collected during any monitoring period (that is, if the 90th percentile level is greater than the action level), a water system must take actions to reduce exposure.", "Several amendments to the SDWA are relevant to testing for lead in school drinking water. In 1988, the SDWA was amended by the Lead Contamination Control Act (LCCA), which banned the manufacture and sale of drinking water coolers with lead-lined tanks containing more than 8 percent lead; the statute defined a drinking water cooler as containing 8 percent lead or less as \u201clead-free.\u201d The LCCA also required states to establish testing and remediation programs for schools. However, in 1996 a federal circuit court held that this requirement was unconstitutional. In 2011, Congress passed the Reduction of Lead in Drinking Water Act, which amended the SDWA by lowering the maximum allowable lead content in \u201clead-free\u201d plumbing materials such as pipes. This provision became effective on January 4, 2014. In 2016, Congress passed the Water Infrastructure Improvements for the Nation Act which, among other things, amended the SDWA, to establish a grant program for states to assist school districts in voluntary testing for lead contamination in drinking water at schools. As a condition of receiving funds, school districts are required to test for lead using standards that are at least as stringent as those in federal guidance for schools. In March 2018, Congress appropriated $20 million to EPA for this grant program."], "subsections": []}, {"section_title": "Lead in School Drinking Water", "paragraphs": ["Lead can enter drinking water when service lines or plumbing fixtures that contain lead corrode, especially where the water has high acidity or low mineral content. According to EPA, lead typically enters school drinking water as a result of interaction with lead-containing plumbing materials and fixtures within the building. Although lead pipes and lead solder were not commonly used after 1986, water fountains and other fixtures were allowed to have up to 8 percent lead until 2014, as previously mentioned. Consequently, both older and newer school buildings can have lead in drinking water. Some water in a school building is not for consumption, such as water from a janitorial sink or garden hose, so lead in these water sources presents less risk to students. (See fig. 1.) The best way to know if a school\u2019s water is contaminated with lead is to test the water after it has gone through a school\u2019s pipes, faucets, and other fixtures."], "subsections": []}, {"section_title": "EPA Guidance for Schools", "paragraphs": ["To facilitate testing efforts, EPA suggests that schools implement programs for reducing lead in drinking water and developed the 3Ts for Reducing Lead in Drinking Water in Schools: Revised Technical Guidance (3Ts guidance) in 2006, which provides information on: (1) training school officials about the potential causes and health effects of lead in drinking water; (2) testing drinking water in schools to identify potential problems and take corrective actions as necessary; and (3) telling students, parents, staff, and the larger community about monitoring programs, potential risks, the results of testing, and remediation actions.", "The purpose of the 3Ts guidance is to help schools minimize students\u2019 and staffs\u2019 exposure to lead in drinking water. The guidance provides recommendations and suggestions for how to address lead in school drinking water, but does not establish requirements for schools to follow. According to the guidance, if school districts follow the procedures described in guidance, they will be assured their facilities do not have elevated levels of lead in their drinking water. The guidance recommends taking 250 milliliter samples of water from every drinking water source in a school building and having the samples analyzed by an accredited laboratory. Based on the test results of the samples, the guidance recommends remedial action if the samples are found to have an elevated concentration of lead, which is identified by using an action level. While school districts may have discretion to set their own action level, the 3Ts guidance strongly recommends taking remedial action if a school district finds lead at or above 20 ppb in a 250 milliliter sample of water.", "School districts can take a variety of actions including replacing pipes, replacing fixtures, running water through the system before consumption (known as flushing), or providing bottled water. However, since the amount of lead in school drinking water may change over time for a variety of reasons\u2014for example, the natural aging of plumbing materials or a disturbance nearby, such as construction\u2014the results obtained by one test are not necessarily indicative of results which may be obtained in the future."], "subsections": []}, {"section_title": "Roles and Responsibilities of Federal Agencies", "paragraphs": ["With no federal law requiring testing for lead in school drinking water, federal agencies play a limited role:", "Education\u2019s mission includes fostering educational excellence and promoting student achievement, and the agency disseminates guidance to states and school districts about lead in school drinking water, but does not administer any related grants.", "EPA\u2019s Office of Ground Water and Drinking Water provides voluntary guidance to schools on how to test for and remediate lead in school drinking water, as part of EPA\u2019s mission to inform the public about environmental risks. In addition, EPA\u2019s Office of Children\u2019s Health Protection is responsible for working with EPA\u2019s 10 regional offices via their healthy schools coordinators, who communicate with schools and help to disseminate the 3Ts guidance.", "CDC administers the School Health Policies and Practices Study, a periodic survey to monitor national health objectives that pertain to schools and school districts. The 2016 data, the most recent available, provide information on the number of school districts that periodically test for lead in their drinking water.", "Under the 2005 memorandum signed by these three agencies to encourage lead testing and remediation in schools, Education\u2019s role includes working with EPA and other groups to encourage testing, and disseminating materials to schools. EPA agreed to update guidance for schools, and provide tools to facilitate testing for lead in school drinking water. CDC\u2019s role includes identifying public health organizations to work with and facilitating dissemination of materials to state health organizations."], "subsections": []}]}, {"section_title": "An Estimated 43 Percent of School Districts Reported Testing for Lead in Drinking Water and About a Third of These Districts Reported Finding Elevated Levels of Lead", "paragraphs": ["Lead in School Drinking Water Survey Results at a Glance", "An estimated 43 percent of school districts tested for lead in school drinking water, but 41 percent did not, and 16 percent did not know. o Some districts tested drinking water in all sources of consumable water in all of their schools, while other school districts tested only some sources. o Among the reasons for not testing, school districts said they either did not identify a need to test or were not required to do so.", "Of those that tested, an estimated 37 percent of school districts found elevated lead levels\u2014levels of lead above the district\u2019s threshold for taking remedial action\u2014in school drinking water. o School districts varied in terms of the threshold they used, with some using 15 ppb or 20 ppb and others using a lower threshold.", "School districts varied in whether they tested for lead in school drinking water and whether they discovered elevated levels of lead. For example, an estimated 88 percent of the largest 100 school districts tested compared with 42 percent of other school districts.", "All school districts that found elevated lead reported taking steps to reduce or eliminate the lead, including replacing water fountains or providing bottled water."], "subsections": [{"section_title": "An Estimated 43 Percent of School Districts Reported Testing for Lead in Drinking Water in the Last 12 Months, but 41 Percent Have Not Tested", "paragraphs": ["Nationwide, school districts vary in terms of whether they have tested for lead in school drinking water, with many not testing. According to our survey of school districts, an estimated 43 percent tested for lead in school drinking water in at least one school in the last 12 months, while 41 percent had not tested. An estimated 35 million students were enrolled in districts that tested as compared with 12 million students in districts that did not test. An estimated 16 percent of school districts, enrolling about 6 million students, reported that they did not know whether they had tested or not. (See fig. 2.)", "Of school districts that tested for lead in school drinking water, some tested all consumable water sources in all of their schools, while others may have only tested some sources in all schools or all sources in some schools. Among the reasons provided by survey respondents for not testing in all schools, some said the age of the building was the primary consideration. For example, an official in one school district we visited told us they began testing in buildings constructed before 1989, but after receiving results that some water sources had elevated lead levels, the district decided to test all of their school buildings. Other reasons reported for testing some, but not all, schools included testing schools only when a complaint about discolored water was received or testing only new schools or schools that were renovated. In addition, school districts varied in whether they sampled from every consumable water source, or just some of the sources, in their schools. For example, one district official told us they took one sample from each type of water fountain in each school, assuming that, if a sampled fountain was found to have an elevated level of lead, then all of the other fountains of that type would also have elevated lead levels. However, EPA\u2019s 3Ts guidance recommends that every water source that is regularly used for drinking or cooking be sampled. Further, stakeholders and environmental and educational officials we interviewed said that results from one water fountain, faucet, or any other consumable water source cannot be used to predict whether lead will be found in other sources."], "subsections": [{"section_title": "Cost of Testing", "paragraphs": ["In our survey, the median amount spent by school districts to test for lead in school drinking water during the past 12 months varied substantially, depending on the number of schools in which tests were conducted (see table 1). School districts may have paid for services such as collecting water samples, analyzing and reporting results, and consultants. For example, an official in a small, rural school district\u2014with three schools housed in one building\u2014told us his district spent $180 to test all eight fixtures. In contrast, officials in a large, urban school district told us they spent about $2.1 million to test over 11,000 fixtures in over 500 schools. Some school districts, especially larger ones, incurred costs to hire consultants to advise them and help design a plan to take samples, among other things.", "EPA\u2019s 3Ts guidance recommends determining how to communicate information about lead testing programs with parents, governing officials, and other stakeholders before testing. Of school districts that reported testing for lead in school drinking water in our survey, an estimated 76 percent informed their local school board and 59 percent informed parents about their plans to test; similar percentages provided information about the testing results. We identified a range of approaches to communicating testing efforts in the 17 school districts we interviewed. Some school districts reported issuing press releases, putting letters in multiple languages in students\u2019 backpacks, sending emails to parents, holding public meetings, and releasing information through social media. Before testing, one district created a website with a list of dates when it planned to test the drinking water in every one of its schools. In contrast, other school districts communicated with parents and the press only upon request. Officials in one district we visited said they did not post lead testing results on their website, because they wanted to avoid causing undue concern, adding that \u201cmore information isn\u2019t necessarily better, especially when tests showed just trace amounts of lead.\u201d"], "subsections": []}, {"section_title": "Plans to Conduct Testing on a Recurring Basis", "paragraphs": ["School districts generally have discretion to determine how frequently they test for lead in school drinking water except when prescribed in state law, and most school districts responding to our survey had no specific schedule for recurring testing. Specifically, an estimated:", "27 percent of school districts plan to test \u201cas needed,\u201d", "25 percent have no schedule to conduct recurring tests, and", "15 percent do not know.", "The remaining school districts reported a range of frequencies for conducting additional tests or said they were developing a schedule to conduct tests on a recurring basis. School district officials and stakeholders we interviewed told us that it is important to test for lead in drinking water on a recurring basis, because lead can leach into school drinking water at any time."], "subsections": []}, {"section_title": "Reasons School Districts Reported for Not Testing", "paragraphs": ["In our survey, we asked school districts reporting that they had not tested for lead in school drinking water in the last 12 months (41 percent of districts) to provide us with one or more reasons why they had not tested. Of these school districts, an estimated 53 percent reported that they did not identify a need to test and 53 percent reported they were not required to test (see fig. 3)."], "subsections": []}]}, {"section_title": "An Estimated 37 Percent of School Districts That Reported Testing Found Elevated Levels of Lead in Drinking Water", "paragraphs": ["Of school districts that reported testing for lead in school drinking water, an estimated 37 percent of districts found elevated levels of lead in school drinking water, while 57 percent of districts did not find lead (see fig. 4). Of those that found lead in drinking water, most found lead above their selected action level in some of their schools, while some districts found lead above their action level in all of their schools. For example, officials in one large school district told us they tested over 10,000 sources of water, including drinking fountains and food preparation fixtures, and found that over 3,600 water sources had lead at or above the district\u2019s action level of 15 parts per billion (ppb). The findings resulted in extensive remediation efforts, officials said.", "Further, district officials reported different action levels they used to determine when to take steps such as replacing a water fountain or installing a filter. School districts generally may select their own action level, resulting in different action levels between districts. Of school districts that reported testing for lead in school drinking water, an estimated 44 percent set an action level between 15 ppb and 19 ppb. The action levels chosen by the rest of the school districts ranged from a low of 1 ppb whereby action would be taken if any lead at all was detected to a high 20 ppb where action would be taken if lead was found at or above 20 ppb. (See appendix II for the estimated percentage of school districts that set other action levels.)"], "subsections": []}, {"section_title": "School Districts\u2019 Lead Testing Efforts and Discovery of Elevated Lead Levels Varied Based on the Size, Population Density, and Location of the District", "paragraphs": ["Though fewer than half of school districts reported testing for lead in school drinking water, our analysis of school districts\u2019 survey responses shows that these estimates varied depending on the size and population density of the district as well as its geographic location. For example, among the largest 100 school districts, an estimated 88 percent reported they had tested for lead in school drinking water in at least one school in the last 12 months compared with 42 percent of all other districts nationwide. An estimated 59 percent of the largest 100 school districts that tested discovered elevated levels of lead compared to 36 percent of all other districts that tested (see table 2).", "In addition, an estimated 86 percent of school districts in the Northeast region of the United States tested for lead in school drinking water, compared to less than half of school districts in other geographic regions. Similarly, about half of school districts in the Northeast and about 8 percent in the South found elevated levels of lead, compared to their selected action level. (See fig. 5.)"], "subsections": []}, {"section_title": "All School Districts with Elevated Lead in Drinking Water Reported Taking Action, Such as Replacing Water Fountains or Flushing Pipes", "paragraphs": ["In our survey, every school district that reported finding lead in school drinking water above their selected action level reported taking steps to reduce or eliminate the lead. For example, an estimated 71 percent said they replaced water fountains, 63 percent took water fountains out of service without replacing them, and 62 percent flushed the school\u2019s water system (see fig. 6).", "School districts officials we interviewed told us they took a range of remedial actions generally consistent with those reported to us in our survey. For example, an official in one district told us that 129 of the 608 fixtures tested above the district\u2019s action level of \u201cany detectable level.\u201d He said they installed filters on all of the 106 sink faucets with elevated lead and replaced all of the 23 drinking fountains with elevated lead. The district official explained that they re-tested fixtures after the filters and new fountains were installed, and did not detect any lead in their drinking water. Officials in another school district told us that approximately 3,600 of their fixtures were found to have lead above their action level of 15 ppb. They told us the district turned off the water at the affected fixtures as an interim measure and provided bottled water to students and staff. Though they had not yet finalized their plans at the time of our interview, they said they were planning to replace the fixtures and replace old pipes with new pipes. District officials said they plan to pay for their remediation efforts using local capital improvement funds from a recently-approved bond initiative.", "Similar to the cost of testing, the median amount spent by school districts to remediate lead in school drinking water during the past 12 months varied substantially, depending on the number of schools in which a district took action to remediate lead (see table 3). The median expenditure for school districts taking action in one to four schools was $4,000 compared to a median expenditure for school districts taking action in 51 or more schools of $278,000."], "subsections": []}]}, {"section_title": "Several States Require School Districts to Test for Lead in Drinking Water and Additional States Provide Funding and Technical Assistance", "paragraphs": [], "subsections": [{"section_title": "At Least Eight States Require School Districts to Test for Lead as of 2017, According to EPA", "paragraphs": ["EPA regional officials provided examples of eight states that have requirements for schools to test for lead in drinking water as of September 2017: California, Illinois, Maryland, Minnesota, New Jersey, New York, Virginia, and the District of Columbia. State requirements differ in terms of which schools are included, testing protocols, communicating results, and funding. (See fig. 7.) (For a list of testing components for the eight states, see appendix IV.)", "According to stakeholders we interviewed, most state legislation on testing for lead in school drinking water has been introduced in the past 2 years. Of the eight states, three states have completed one round of required testing, while other states are in the early stages of implementation or have not yet begun, according to state officials. School districts in Illinois, New Jersey, and New York completed a round of testing for lead in school drinking water by December 2017. Testing in the District of Columbia was in progress as of April 2018. Minnesota requires school districts to develop a plan to test by July 2018 and California requires that water systems sample all covered public schools in their service area by July 2019. According to state officials, schools in Maryland must test by July 2020. In Virginia, no timeline for testing is indicated in the requirement.", "In addition, requirements in these eight states vary in terms of covered schools and frequency of testing. For example, in Maryland, all schools, including charter and private schools, are required to test their water for lead by July 2020 and must re-test every 3 years. After regulations were approved in July 2016, New Jersey required testing within a year in all traditional public schools, charter schools, and certain private schools, and re-testing every 6 years, according to state officials. Illinois\u2019 requirement is for public and private elementary schools constructed before 2000 to test their drinking water for lead, and does not mandate re- testing. Seven of the eight states include at least some charter schools in their testing requirements (New York does not).", "State testing requirements also differ in terms of action level, sample sizes, and number of samples, according to state documents. States can choose their own lead threshold or action level for remediation, and the eight states have chosen levels ranging from any detectable level in Illinois to 20 ppb in Maryland. Six of the eight states have chosen to use 250 milliliter samples of water, while California is using a one liter sample size, and Virginia delegates to school districts to choose their action level and sample size. Some states specify that all drinking water sources in a building must be tested, such as in New York and New Jersey, or allow a smaller number of samples to be tested, such as in California, which recommends that water systems take between one and five samples per school. To implement its testing requirement, the District of Columbia has installed filters in all school drinking water sources, and plans to test the filtered water from each fixture for elevated lead annually.", "The responsibility for the costs of testing and remediation also differ by state. According to state officials, in Minnesota, the costs of testing may be eligible for reimbursement from the state, and in the District of Columbia, the Department of General Services is responsible for the cost. California requires that public water systems cover the cost of testing for all public schools in their jurisdiction. In all other states we looked at, schools or school districts are at least partially responsible for the costs of testing. Additionally, most schools or school districts are responsible for the costs of remediation, although Minnesota, New York, and the District of Columbia will provide funds to help with the costs of remediation as well.", "Seven of the eight state requirements have a provision for communicating the results of lead sampling and testing in schools. For example, Minnesota requires all test results be made public and New York requires that results be communicated to students\u2019 families. Maryland and New Jersey require that results above the action level be reported to the responsible state agency, such as the Department of the Environment or the Department of Education, and that sample results that find elevated levels of lead be communicated to students\u2019 families. Illinois requires that all results be made available to families and that individual letters to families also be sent if lead levels over 5 ppb are found. In contrast, Virginia does not include a provision to communicate testing results in its testing requirement for schools.", "According to stakeholders and state officials we interviewed, states have several other common issues to consider in implementing a state testing and remediation program. First, states need to ensure that their efforts, which can be significant given the thousands of schools that operate in each state, can be completed with limited resources and by a legislated deadline. Second, coordination between relevant state agencies, which will vary by state, may be challenging. Because of the nature of testing for lead in school drinking water, multiple government agencies may be involved, necessitating a balance of responsibilities and information- sharing between these state agencies. Finally, state officials told us that imposing requirements without providing funding to implement them may be a challenge for schools in complying with testing and remediation requirements."], "subsections": []}, {"section_title": "Additional States Provided Funding and Technical Assistance to Support School District Efforts to Test for and Remediate Lead", "paragraphs": ["Apart from the states with requirements to test for lead in school drinking water discussed in this report, at least 13 additional states had also provided funding or in-kind support to school districts to assist with voluntary lead testing and remediation, according to EPA regional offices. Those states are Arizona, Colorado, Idaho, Indiana, Maine, Massachusetts, Michigan, New Mexico, Ohio, Oregon, Rhode Island, Vermont, and Washington. In Massachusetts, for example, officials told us the state used $2.8 million from the state Clean Water Trust to fund a voluntary program for sampling and testing for all participating public schools in 2016 and 2017. Massachusetts contracted with a state university to assist schools with testing for lead in drinking water. When the program completed its first round of testing in February 2017, 818 schools throughout the state had participated, and the state has begun a second round of sampling with remaining funds from the Clean Water Trust. In Oregon, officials told us the state legislature provided funding for matching grants of up to $8 million to larger school districts for facilities improvements, and made $5 million of emergency funds available to reimburse school districts for laboratory fees associated with drinking water testing as part of the state\u2019s efforts to address student safety.", "States can also provide technical assistance to support school districts in their efforts to test for and remediate lead in drinking water. The five states we visited provided a range of technical assistance to school districts. For example, to implement the voluntary assistance program in Massachusetts, the contracted university told us they hired 15 additional staff and assisted schools in designing sampling plans, taking samples, and sending them for testing. University officials told us they oversaw the sampling of all drinking water sources in each participating school and sent the sample to state certified laboratories for analysis. State officials encouraged schools to shut off all fixtures in which water tested at or above the action level of 15 ppb and provided guidance on actions to take, such as removing and replacing fixtures, using signage to indicate fixtures not to be used for drinking water, and implementing a flushing program. The state developed an online reporting tool so that all test results could be publicly posted. State officials also supported schools in communicating lead testing results to parents and the community.", "Other states we visited provided technical assistance to school districts through webinars, guidance documents, in-person presentations, and responding to inquiries. In Oregon, the state Department of Education and the state Health Authority collaborated in 2016 to provide guidance to schools on addressing lead in drinking water. The Governor issued a directive requesting all school districts test for lead in their buildings and the Health Authority requested that districts send them the results. In Texas, officials at the Commission for Environmental Quality have made presentations to schools on water sampling protocols and provided templates for school districts to communicate results. Officials told us that an increased number of school districts have contacted them in the past year seeking guidance, and, in response, they directed districts to EPA\u2019s 3Ts guidance and a list of accredited laboratories. In Illinois, state officials partnered with the state chapter of the American Water Works Association to provide a guidance document for drinking water sampling and testing to assist schools in complying with new testing requirements. In Georgia, officials at the Department of Natural Resources told us they promote the 3Ts guidance on their website and have offered themselves as a resource on school testing at presentations with local water associations."], "subsections": []}]}, {"section_title": "EPA Provides Several Resources on Lead, but EPA and Education Should Provide More Information to Support States and School Districts and Improve Collaboration", "paragraphs": [], "subsections": [{"section_title": "EPA Provides Guidance, Training, and Technical Assistance on Lead Testing and Remediation, but States and School Districts Need Updated Guidance", "paragraphs": ["EPA provides several voluntary resources, such as guidance, training, and technical assistance, to states and school districts regarding testing for and remediation of lead in school drinking water, but some school districts we surveyed and officials we interviewed said more information would be helpful. The Lead Contamination Control Act of 1988 (LCCA) required EPA to publish a guidance document and testing protocol to assist schools in their testing and remediation efforts. EPA\u2019s Office of Ground Water and Drinking Water issued its 3Ts guidance which provides information on training school officials, testing drinking water in schools, and telling the school and broader community about these efforts. Of the school districts that reported in our survey using the 3Ts guidance to inform their lead testing efforts, an estimated 68 percent found the guidance extremely or very helpful for conducting tests. The Office of Ground Water and Drinking Water also developed an additional online resource\u2014known as the 3Ts guidance toolkit\u2014to further assist states and school districts with their lead in drinking water prevention programs by providing fact sheets and brochures for community members, among other things. Some states have used the 3Ts guidance as a resource for their state programs, according to EPA officials. For example, a New York regulation directs schools to use the 3Ts guidance as a technical reference when implementing their state- required lead testing and remediation programs.", "The Office of Ground Water and Drinking Water provides training to support states and school districts with their lead testing and remediation programs. In June 2017, EPA started a quarterly webinar series to highlight school district efforts to test for lead. These webinars include presentations from school officials and key partners that conducted lead testing and remediation. For example, on June 21, 2017, officials from Denver Public Schools and Denver Water presented on their efforts to test for lead in the public school system.", "EPA\u2019s approach to providing guidance and technical assistance to states and school districts is determined by each of the 10 EPA regional offices. Some EPA regional offices provide the 3Ts guidance to school districts upon request and others conduct outreach to share the guidance, typically through their healthy schools coordinator when discussing other topics, such as indoor air quality and managing chemicals. EPA regional offices also provide technical assistance by request, typically through phone consultations with school districts that have questions regarding the 3Ts guidance, according to EPA headquarters officials. Officials also indicated that the agency has received more requests for technical assistance from schools over the past few years regarding lead in drinking water. Officials in EPA Regions 1 in Boston and 2 in New York City told us they provided technical assistance to school districts by conducting lead testing and analysis in school facilities and Region 9 in San Francisco provided technical assistance by reviewing school district testing protocols. For example, EPA Region 2 officials said between 2002 and 2016 they worked with one to two school districts per year to assist with their lead testing efforts. As part of this effort, the regional office provided funding for sampling and analysis. Officials said they prioritized school districts based on population size and whether the community had elevated blood lead levels. Other EPA regional office approaches included identifying resources and guidance for relevant state agencies and facilitating information sharing by connecting districts that have tested for lead with districts that are interested in doing so. However, most EPA regional offices do not provide technical assistance in the form of testing, analysis, or remediation to school districts, and some do little or no outreach to communicate the importance of testing for and remediating lead in school drinking water. According to federal standards for internal control, management should externally communicate the necessary quality information to achieve the entity\u2019s objectives.", "Each EPA regional office\u2019s approach to providing resources to states and school districts varies based on differing regional priorities and available resources, according to EPA headquarters officials. Additionally, officials said that this decentralized model of providing support and technical assistance related to lead testing and remediation in schools is appropriate because of the number of schools across the United States. However, based on our survey we found school district familiarity with the 3Ts guidance varied by geographic area (see fig. 8). An estimated 54 percent of school districts in the Northeast reported familiarity with the 3Ts guidance, compared with 17 percent of districts in the South. Furthermore, the Northeast was the only geographic area with more school districts reporting that they were familiar with the 3Ts guidance than not. This awareness corresponds with the efforts made by the state of Massachusetts and EPA\u2019s regional offices in the Northeast to distribute the 3Ts guidance and conduct lead testing and remediation in school districts.", "By promoting further efforts to communicate the importance of lead testing to schools to help ensure that their lead testing programs are in line with good practices included in the 3Ts guidance, EPA regional offices that have not focused on this issue could leverage the recent efforts of other regional offices to provide technical assistance and guidance, and other forms of support.", "EPA\u2019s 3Ts guidance emphasizes the importance of taking action to remediate elevated lead in school drinking water, but the agency\u2019s guidance on a recommended action level for states and school districts is not current and contains elements that could be misleading. Although the guidance recommends that school districts prioritize taking action if lead levels from water fountains and other outlets used for consumption exceed 20 ppb (based on a 250 milliliter water sample), EPA officials told us when the guidance was originally developed in response to the 1988 LCCA requirement, the agency did not have information available to recommend an action level specifically designed for schools. Furthermore, EPA officials told us that the action level in the 3Ts guidance is not a health-based standard. However, there are statements in the guidance that appear to suggest otherwise. For example, the guidance states that EPA strongly recommends that all water outlets in all schools that provide water for drinking or cooking meet a \u201cstandard\u201d of 20 ppb lead or less and that school officials who follow the steps included in the document, including using a 20 ppb action level, will be \u201cassured\u201d that school facilities do not have elevated lead in the drinking water. The use of the terms \u201cstandard\u201d and \u201cassured\u201d are potentially misleading and could suggest that the 20 ppb action level is protective of health.", "Further, state and school district officials may be familiar with the 15 ppb action level (based on a 1 liter water sample) for public water systems aimed at identifying system-wide problems under the LCR, which may also create confusion around the 20 ppb action level included in the 3Ts guidance. According to our survey, an estimated 67 percent of school districts reported using an action level less than the 20 ppb recommended in the 3Ts guidance. We found that nearly half of school districts used action levels between 15 ppb and 19 ppb. Although these action levels\u2014 the 20 ppb from the 3Ts guidance and the 15 ppb from the LCR\u2014are intended for different purposes, the difference creates confusion for some state and school district officials. Also, according to our survey, an estimated 56 percent of school districts reported they would find it helpful to have clearer guidance on what level of lead to use as the action level for deciding to take steps to remediate lead in drinking water. In addition, officials we interviewed in four of the five states we visited said there is a need for clearer guidance on the action level. EPA officials agreed that the difference between the two action levels creates confusion for states and school districts.", "In addition to wanting clearer guidance on choosing lead action levels, about half of the school districts we surveyed said they would also like additional information to help inform their lead testing and remediation programs. Specifically, school districts reported that they want information on a recommended schedule for lead testing, how to remediate elevated lead levels, and information associated with testing and remediation costs (see fig. 9). For example, an estimated 54 percent of school districts responded that they would like additional information on a testing schedule, as did officials in 10 of the 17 school districts and one of the five states we interviewed. EPA\u2019s 3Ts guidance does not include information to help school districts determine a schedule for retesting their schools. Officials in one school district told us they need information for determining retesting schedules for lead in their school drinking water, and that\u2014without guidance\u2014they chose to retest every 5 years, acknowledging that this decision was made without a clear rationale. Further, an estimated 62 percent of school districts reported wanting additional information on remedial actions to take to address elevated lead. For example, officials from the Massachusetts Department of Environmental Protection told us that they would like additional guidance on evaluating remedial actions to address elevated lead in the fixtures or the plumbing system. Officials with EPA\u2019s Office of Ground Water and Drinking Water hold quarterly meetings with regional officials to obtain input on potential improvements to the 3Ts guidance, but have not made any revisions.", "EPA has not substantially updated the 3Ts guidance since October 2006 and does not have firm plans or time frames for providing additional information, including on the action level and other key topics such as a recommended schedule for testing. EPA officials said that they may update the 3Ts guidance before the LCR is updated, but did not provide a specific time frame for doing so. EPA has efforts underway to reconsider the action level for the LCR, which may include a change in the action level from one that is based on technical feasibility, to one that also considers lead exposure in vulnerable populations such as infants and young children, which EPA refers to as a health-based benchmark. EPA anticipates issuing comprehensive revisions to the LCR by February 2020. While the 3Ts guidance is not contingent on the LCR, EPA officials told us they would consider updates to the 3Ts guidance, including the 20 ppb action level, as they consider revisions to the LCR. By updating the 3Ts guidance to include an action level for school districts that incorporates available scientific modeling regarding vulnerable population exposures, EPA could have greater assurance that school districts are able to limit children\u2019s exposure to lead.", "EPA has emphasized the importance of addressing elevated lead levels in school drinking water through its 3Ts guidance, but has not communicated necessary information about action levels and other key topics consistent with the external communication standard under federal standards for internal control. According to EPA, CDC, and others, eliminating sources of lead before exposure can occur is considered the best strategy to protect children from potential adverse health outcomes. EPA officials also told us that clear guidance is important because testing for lead in drinking water requires technical expertise. But without providing interim or updated guidance to help school districts choose an action level for lead remediation EPA will continue to provide schools with confusing information regarding whether to remediate, which may not adequately limit potential lead exposure to students and staff. Furthermore, without important information on key topics, such as a recommended schedule for lead testing, how to remediate elevated lead levels, and information associated with testing and remediation costs school districts are at risk of making misinformed decisions regarding their lead testing and remediation efforts."], "subsections": []}, {"section_title": "Education Has Not Played a Significant Role in Lead Testing and Remediation in Schools or Collaborated with EPA on These Efforts", "paragraphs": ["Education has not played a significant role in supporting state and school districts efforts to test for and remediate lead in school drinking water, and there has been limited collaboration between Education and EPA, according to officials. In 2005, Education, EPA, CDC, and other entities involved with drinking water signed the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities (the memorandum) to encourage and support schools\u2019 efforts to test for lead in drinking water and to support actions to reduce children\u2019s exposure to lead. According to the memorandum, Education\u2019s role is to identify the appropriate school organizations with which to work and facilitate dissemination of materials and tools to schools in collaboration with EPA. In addition, EPA\u2019s role is to update relevant guidance documents for school districts\u2014resulting in the production of the 3Ts guidance in 2006\u2014raising awareness, and collaborating with other federal agencies and associations, among other things. Education officials told us that the agency does not have any ongoing efforts related to implementing the memorandum. However, Education and EPA officials were not aware of the memorandum being terminated by either agency and told us the memorandum remains in effect.", "Although Education does not have any ongoing efforts related to implementing the memorandum, the agency\u2019s websites, including the Readiness and Emergency Management for Schools Technical Assistance Center (REMS TA Center) website, and the Green Strides portal, provide links to EPA guidance and webinars on lead testing and remediation. The REMS TA Center website, which is largely focused on emergency management planning, includes a link to EPA\u2019s 3Ts guidance and other resources on lead exposure and children, but does not provide information regarding the importance of testing for lead in school drinking water. Education\u2019s Green Strides portal includes a link to a number of EPA\u2019s webinars on lead in school drinking water, but does not include all of the quarterly webinars started in June 2017 to highlight school district efforts to test for lead. An Education official told us that these EPA webinars are identified by Education without coordinating with EPA officials. Further, when searching on Education\u2019s website for lead in school drinking water, the 3Ts guidance does not show up. Education officials acknowledged that information regarding lead testing and remediation is difficult to find on Education\u2019s website and they could take steps to make federal guidance on lead in school drinking water more accessible.", "The federal government has developed guidelines to help federal agencies improve their experience with customers through websites. One such resource is Guidelines for Improving Digital Services developed by the federal Digital Services Advisory Group. It states that federal agencies should take steps to make guidance easy to find and accessible. Making guidance easy to find and accessible such as by clarifying which links contain guidance; highlighting new or important guidance; improving their websites\u2019 search function; and categorizing guidance on Education\u2019s websites could help raise school district awareness of the guidance, which is currently low in most areas of the country.", "Many school districts are not familiar with EPA guidance related to lead testing and remediation. Specifically, an estimated 60 percent of school districts reported in our survey that they were not familiar with the EPA\u2019s 3Ts guidance. Most school district officials from our site visits told us they did not have contact with EPA prior to or during their lead testing and some said they would not have thought to go to EPA for guidance. Likewise, EPA officials reported they had received feedback from school district officials indicating that they do not know where to go for information about testing for and remediating lead in drinking water. Rather, school district officials may look to their state educational agency or Education for guidance on lead testing and remediation, as they might do when looking for guidance on other topics.", "Education and EPA do not regularly collaborate to support state and school districts\u2019 efforts related to lead in school drinking water, according to EPA and Education officials. Education officials said the agency does not have a role in ensuring safe drinking water in schools, and that the mitigation of environmental health concerns in school facilities is a state and local function. Therefore, the agency does not collaborate with EPA to disseminate the 3Ts guidance beyond posting links to related guidance on their websites and newsletters. EPA officials told us they do not know which office they should collaborate with at Education. EPA regional officials also said they do not collaborate with Education to disseminate the guidance to states and school districts. However, in the 2005 memorandum, EPA and Education agreed to work together to encourage school districts to test drinking water for lead; disseminate results to parents, students, staff, and other interested stakeholders; and take appropriate actions to correct elevated lead levels.", "There are many school districts that have not tested for lead in school drinking water, and some conducted testing without the assistance of federal guidance\u2014although the large majority (68 percent) of school districts who use the guidance reported finding it helpful. Officials in 11 of 17 school districts we interviewed that had conducted lead testing told us they were familiar with the 3Ts guidance and 9 of those districts said they found it helpful for designing their lead testing programs. Increased encouragement and dissemination of EPA resources about lead in school drinking water by Education and EPA could help school districts test for and remediate lead in drinking water using good practices and reduce the potential risk of exposure for students and staff."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Children are particularly at risk of experiencing the adverse effects of lead exposure from a variety of sources, including drinking water. While there is no federal law requiring lead testing for drinking water in most schools, some states and school districts have decided to test for lead in the drinking water to help protect students. However, there are a number of school districts that have not tested for lead and some that do not know if they have tested for lead in their drinking water, according to our nationwide survey. Even in states and school districts that have opted to test, officials may choose different action levels to identify elevated lead and may choose different testing protocols that do not test all fixtures in all schools.", "EPA has developed helpful guidance\u20143Ts\u2014and webinars for states and school districts to support efforts to test and remediate lead in school drinking water. However, some EPA regional offices have not communicated the importance of testing for and remediating lead to states and school districts. By promoting further efforts to communicate the importance of lead testing to school districts to help ensure that their lead testing programs are in line with good practices, including the 3Ts guidance, regional offices that have not focused on this issue could build on the recent efforts of other regional offices to provide technical assistance and guidance and other forms of support.", "State and school district officials can use EPA\u2019s 3Ts guidance to help ensure that their drinking water testing and remediation efforts are in line with good practices and said that it has been helpful for establishing their programs. However, statements in the guidance\u2014which has not been updated in over a decade\u2014that suggest the action level described will ensure that school facilities do not have elevated lead in their drinking water are misleading. In addition, state and school district officials told us that additional guidance\u2014including information on a recommended schedule for retesting as well as on costs associated with testing and remediation\u2014could help school districts make more informed decisions regarding their testing and remediation efforts. Without providing interim or updated guidance, EPA is providing schools with confusing and out of date information, which can increase the risk of school districts making uninformed decisions. EPA officials said they would consider updates to the 3Ts action level while the revisions to the LCR are being completed. However, the longer school districts are without the additional information they need to conduct their efforts in line with good practices and continue to rely on confusing and misleading information, the more challenges they will face in trying to limit children\u2019s exposure to lead. After EPA revises the LCR, the agency would have greater assurance that school districts are limiting children\u2019s exposure to lead by considering whether to develop, as part of its guidance, a health-based level for schools that incorporates available scientific modeling regarding vulnerable population exposures.", "Finally, although Education provides information to states and school districts on lead testing and remediation through the agency\u2019s websites, that information is difficult to find. Further, Education\u2019s website does not include all of EPA\u2019s quarterly webinars to highlight school district efforts to test for lead. By making guidance accessible, Education could improve school district awareness of EPA resources about lead in school drinking water. In addition, EPA and Education should improve their collaboration to encourage and support lead testing and remediation efforts by states and school districts. EPA has the expertise to develop guidance and provide technical assistance to states and school districts, while Education, based on its mission to promote student achievement, should collaborate with EPA to disseminate guidance and raise awareness of lead in drinking water as an issue that could impact student success. Although over one-third of districts that tested found elevated levels of lead, many districts have still not been tested. Unless EPA and Education encourage additional school districts to test for lead, many students and school staff may be at risk of lead exposure."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of seven recommendations, including five to EPA and two to Education:", "The Assistant Administrator for Water of EPA\u2019s Office of Water should promote further efforts to communicate the importance of testing for lead in school drinking water to address what has been a varied approach by regional offices. For example, the Assistant Administrator could direct those offices with limited involvement to build on the recent efforts of several regional offices to provide technical assistance and guidance, and other forms of support. (Recommendation 1)", "The Assistant Administrator for Water of EPA\u2019s Office of Water should provide interim or updated guidance to help schools choose an action level for lead remediation and more clearly explain that the action level currently described in the 3Ts guidance is not a health-based standard. (Recommendation 2)", "The Assistant Administrator for Water of EPA\u2019s Office of Water should, following the agency\u2019s revisions to the LCR, consider whether to develop a health-based level, to include in its guidance for school districts, that incorporates available scientific modeling regarding vulnerable population exposures and is consistent with the LCR. (Recommendation 3)", "The Assistant Administrator for Water of EPA\u2019s Office of Water should provide information to states and school districts concerning schedules for testing school drinking water for lead, actions to take if lead is found in the drinking water, and costs of testing and remediation. (Recommendation 4)", "The Assistant Secretary for Elementary and Secondary Education should improve the usability of Education\u2019s websites to ensure that the states and school districts can more easily find and access federal guidance to address lead in school drinking water, by taking actions such as clarifying which links contain guidance; highlighting new or important guidance; improving their websites\u2019 search function; and categorizing guidance. (Recommendation 5)", "The Assistant Administrator for Water of EPA\u2019s Office of Water and the Director of the Office of Children\u2019s Health Protection should collaborate with Education to encourage testing for lead in school drinking water. This effort could include further dissemination of EPA guidance related to lead testing and remediation in schools or sending letters to states to encourage testing in all school districts that have not yet done so. (Recommendation 6)", "The Assistant Secretary for Elementary and Secondary Education should collaborate with EPA to encourage testing for lead in school drinking water. This effort could include disseminating EPA guidance related to lead testing and remediation in schools or sending letters to states to encourage testing in all school districts that have not yet done so. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to EPA, Education, and CDC for review and comment. EPA and Education provided written comments that are reproduced in appendixes VII and VIII respectively. EPA also provided technical comments, which we incorporated as appropriate. CDC did not provide comments. We also provided relevant excerpts to selected states and incorporated their technical comments as appropriate.", "In its written comments, EPA stated that it agreed with our recommendations and noted a number of actions it plans to take to implement them. For example, EPA said its Office of Ground Water and Drinking Water is holding regular meetings with regional offices and other EPA offices to obtain input on improving the 3Ts guidance. Potential revisions include updates to implementation practices, the sampling protocol, and the action level, including clarifying descriptions of different action levels and standards. Also, EPA said that while it has not yet determined the role of a health-based benchmark for lead in drinking water in the revised LCR, it sees value in providing states, drinking water systems, and the public with a greater understanding of the potential health implications for vulnerable populations of specific levels of lead in drinking water. EPA said it would continue to reach out to states and schools to provide information, technical assistance, and training and will continue to make the 3Ts guidance available. EPA also said it would work with Education to ensure that school districts and other stakeholders are aware of additional resources EPA is developing.", "In its written comments, Education stated that it agreed with our recommendations and noted a number of actions it plans to take to implement them. In response to our recommendation to improve Education\u2019s websites, Education said it would identify and include an information portal dedicated to enhancing the usability of federal resources related to testing for and addressing lead in school drinking water. Also, Education said it is interested in increasing coordination across all levels of government and it shares the view expressed in our report that improved federal coordination, including with EPA, will better enhance collaboration to encourage testing for lead in school drinking water. Education said it would develop a plan for disseminating relevant resources to its key stakeholder groups and explore how best to coordinate with states to disseminate EPA\u2019s guidance on lead testing and remediation to school districts.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to interested congressional committees, the Administrator of the Environmental Protection Agency, the Secretary of Education, the Director of the Centers for Disease Control and Prevention, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at (617) 788-0580 or nowickij@gao.gov or (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report.", "GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examined three objectives: (1) the extent to which school districts are testing for, finding, and remediating lead in school drinking water; (2) the extent to which states require or support testing for and remediating lead in school drinking water by school districts; and (3) the extent to which federal agencies are supporting state and school district efforts to test for and remediate lead. To address these objectives, we conducted a web-based survey of school districts, interviews with selected state and school district officials, a review of applicable requirements in selected states, a review of relevant federal laws and regulations, and interviews with federal agency officials and representatives of stakeholder organizations.", "We conducted this performance audit from October 2016 through July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Web-based Survey of School Districts", "paragraphs": ["To examine the extent to which school districts are testing for and remediating lead in school drinking water, we designed and administered a generalizable survey of a stratified random sample of U.S. local educational agencies (LEA), which we refer to as school districts throughout the report. The survey included questions about school district efforts to test for lead in school drinking water, such as the number of schools in which tests were conducted, the costs of testing, and whether parents or others were notified about the testing efforts. We also asked questions about remediation efforts, such as whether lead was discovered in school drinking water, the specific remediation efforts that were implemented, and whether parents or others were notified about the remediation efforts. Further, we asked about officials\u2019 familiarity with the Environmental Protection Agency\u2019s (EPA) guidance entitled 3Ts for Reducing Lead in Drinking Water in Schools, (3Ts guidance) whether the guidance was used, and the extent to which it was helpful in conducting tests, remediating lead, and communicating with parents and others. We directed the survey to school district superintendents or other cognizant officials, such as facilities directors. See appendix II which includes the survey questions and estimates.", "We defined our target population to be all school districts in the 50 U.S. states and the District of Columbia that are not under the jurisdiction of the Department of Defense or Bureau of Indian Education. We used the LEA Universe database from Department of Education\u2019s (Education) Common Core of Data (CCD) for the 2014-2015 school year to our sampling frame. For the purpose of our survey, our sample was limited to school districts that: were located in the District of Columbia or the 50 states; had a LEA type code of 1, 2, 4, 5, 7, and 8; had one or more schools and one or more students; and were not closed according to the 2014-2015 School Year.", "The resulting sample frame included 16,452 school districts and we selected a stratified random sample of 549 school districts. We stratified the sampling frame into 13 mutually exclusive strata based on urban classification and poverty classification. We further stratified the school districts classified as being in a city by charter status. We selected the largest 100 school districts with certainty. We determined the minimum sample size needed to achieve precision levels of plus or minus 12 percentage points or fewer, at the 95 percent confidence level. We then increased the sample size within each stratum for an expected response rate of 70 percent.", "We defined the three urban classifications based on the National Center for Education Statistics (NCES) urban-centric locale code. To build a general measure of the poverty level for each school district we used the proportion of students eligible for free or reduced-price lunch (FRPL) as indicated in the CCD data and classified these into the following three groups:", "High-poverty \u2013 More than 75 percent of students in the school district were eligible for FRPL;", "Mid-poverty \u2013 Between 25.1 and 75.0 percent of students in the school district were eligible for FRPL; and", "Low-poverty \u2013 25 percent or fewer students in the school district were eligible for FRPL.", "We assessed the reliability of the CCD data by reviewing existing documentation about the data and performing electronic testing on required data elements and determined they were sufficiently reliable for the purpose of our report.", "We administered the survey from July to October 2017 (the survey asked school districts to report information based on the 12 months prior to their completing the survey.) To obtain the maximum number of responses to our survey, we sent reminder emails to nonrespondents and contacted nonrespondents over the telephone. We identified that four of the 549 sampled school districts were closed and one was a \u201ccyber-school\u201d with no building, so these were removed from the sample. Of the remaining 544 eligible sampled school districts, we received valid responses from 373, resulting in an unweighted response rate of 68 percent.", "We conducted an analysis of our survey results to identify potential sources of nonresponse bias using a multivariate logistic regression model. We examined the response propensity of the sampled school districts by several demographic characteristics. These characteristics included poverty, urbanicity, and charter status. We did not find any other population characteristics significantly affected survey response propensity except those used in stratification (charter schools and the largest 100 school districts). Based on the response bias analysis and the 68 percent response rate across stratum, we determined that estimates based on adjusted weights reflecting the response rate are generalizable to the population of eligible school districts and are sufficiently reliable for the purposes of this report.", "We took steps to minimize non-sampling errors, including pretesting draft instruments and using a web-based administration system. As we began to develop the survey, we met with officials from seven school districts to explore the feasibility of responding to the survey questions. We then pretested the draft instrument from April to June 2017 with officials in eight school districts\u2014including one charter school district\u2014in cities and suburbs in different states. In the pretests, we asked about the clarity of the questions and the flow and layout of the survey. The EPA also reviewed and provided us comments on a draft version of the survey. Based on feedback from the pretests and EPA\u2019s review, we made revisions to the survey instrument. To further minimize non-sampling errors, we used a web-based survey, which allowed respondents to enter their responses directly into an electronic instrument. Using this method automatically created a record for each respondent and eliminated the errors associated with a manual data entry process.", "We express the precision of our particular sample\u2019s results as a 95 percent confidence interval (for example, plus or minus 10 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. As a result, we are 95 percent confident that each of the confidence intervals in this report will include the true values in the study population.", "To analyze differences in the percentages of school districts that reported they tested for lead in school drinking water and those that discovered lead, we compared weighted survey estimates generated for school districts in different levels of the following subgroups:", "Poverty: low poverty, mid poverty, and high poverty;", "Racial composition: majority-minority and majority white;", "Region: Northeast, South, Midwest, and West;", "Population density: urban, suburban, and rural/town;", "Urban charter school: in urban areas, charter district and non-charter", "Largest 100: largest 100 districts (based on student enrollment) and all other districts.", "For each subgroup, we produced percentage estimates and standard errors for each level and used these results to confirm the significance of the differences between weighted survey estimates."], "subsections": []}, {"section_title": "Site Visits to School Districts and Interviews with State and School District Officials", "paragraphs": ["To examine school districts\u2019 testing and remediation efforts and state support of those efforts, we conducted site visits in five states\u2014Georgia, Illinois, Massachusetts, Oregon, and Texas\u2014from February to October 2017. We selected these states because they varied in the extent to which they required testing of school drinking water for lead and they are located in geographic areas covered by different EPA regional offices. Within these states, we selected 17 school districts that had tested for lead in school drinking water and to achieve variation in the size and population density (urban, suburban, and rural) of the district as well as including one charter school district.", "Site visits generally consisted of interviews with officials in state agencies and school districts and officials in the local EPA regional office:", "State interviews: We interviewed officials in state environment, education, and health agencies, depending on whether they had information related to school district testing for lead in school drinking water in their state. The topics we discussed were the agencies\u2019 roles and responsibilities related to testing for and remediation of lead in school drinking water, any related state requirements, policies, and guidance, communication and public notification about testing and remediation efforts and, as appropriate, coordination among multiple state agencies. We also discussed similar topics related to lead-based paint. In Massachusetts, we interviewed representatives with the University of Massachusetts, because of their role in implementing the state\u2019s program to support school district efforts to test for lead in school drinking water.", "School Districts: Within the five site visit states, we interviewed officials in 14 school districts in person and in three school districts by phone (because we were not able to meet with them in person). We also selected one charter school that functions as its own school district which had conducted tests for lead in school drinking water. Similar to our school district survey, the interview topics we discussed with district officials included testing for and remediation of lead in school drinking water, use of guidance (such as the 3Ts guidance) and efforts to communicate or coordinate with any federal, state, or local agencies, including any other school districts. Within 13 of the school districts, we visited at least one school in which the district had tested for lead in drinking water and, as needed, took remedial action in order to gain an in-depth understanding of their testing and remediation efforts.", "EPA Regional Offices: We interviewed officials in all 10 EPA Regional offices. We met in-person with officials in the regional offices 1, 4, 5, and 6 and conducted phone interviews with officials in regional offices 2, 3, 7, 8, 9, and 10. We generally discussed EPA officials\u2019 roles and responsibilities related to testing for lead in school drinking water and paint and efforts in states and school districts in their region.", "Information we gathered from these interviews, while not generalizable, represents the conditions present in the states and school districts at the time of our interviews and may be illustrative of efforts in other states and school districts."], "subsections": []}, {"section_title": "Review of State Requirements", "paragraphs": ["As part of our effort to examine school districts\u2019 testing and remediation efforts and state support of those efforts, we reviewed related state requirements. To determine whether states had related requirements, we asked all EPA regional offices if states in their region had requirements related to testing for lead in school drinking water. EPA provided examples of eight states (California, Illinois, Maryland, Minnesota, New Jersey, New York, Virginia, and the District of Columbia that had such requirements. We reviewed relevant laws, regulations, and policy documents for these states. We then confirmed the details of the related requirements with the appropriate state officials via structured questionnaires. Also, we used available documentation to corroborate and verify the testing requirements of the states that EPA identified. GAO did not conduct an independent search of state laws."], "subsections": []}, {"section_title": "Review of Federal Laws and Regulations, and Interviews with Federal Agency Officials", "paragraphs": ["To examine the extent to which federal agencies have collaborated in supporting state and school district efforts to test for and remediate lead, we reviewed relevant federal laws, including the Water Infrastructure Improvements for the Nation Act of 2016, Reduction of Lead in Drinking Water Act of 2011, the Safe Drinking Water Act of 1974, as amended, and the Lead Contamination Control Act of 1988; regulations, such as the Lead and Copper Rule; and guidance, such as the 3Ts guidance. We also reviewed documentation including the", "Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities signed in 2005 by EPA, Education and the Centers for Disease Control and Prevention (CDC);", "Federal Partners in School Health Charter;", "EPA training webinar information; and other relevant guidance including the 3Ts guidance tool kit.", "We interviewed officials from EPA\u2019s Office of Ground Water and Drinking Water and Office of Children\u2019s Health Protection and officials in all 10 of EPA regional offices regarding their approach to providing support to states and school district on lead testing and remediation. We interviewed officials from Education\u2019s Office of Safe and Healthy Students and officials from the CDC. During these interviews, we interviewed officials about the Memorandum of Understanding and about the Federal Partners in School Health initiative, both of which represent collaborative efforts that address lead in school drinking water, among other topics.", "We evaluated federal efforts to collaborate and support lead testing and remediation in schools against federal standards for internal control, which call for agencies to communicate quality information to external parties, among other things. We also evaluated federal efforts against the Memorandum of Understanding, in which EPA, Education, and CDC agreed to encourage testing drinking water for lead and communicate with key stakeholders, among other things."], "subsections": []}, {"section_title": "Interviews with Stakeholder Organizations", "paragraphs": ["To inform all of our research objectives, we interviewed representatives with the National Conference of State Legislatures, National Center for Healthy Housing, National Alliance of Public Charter Schools, the DC Public Charter School Board, and the 21st Century School Fund. We also attended a workshop entitled \u201cEliminating Lead Risks in Schools and Child Care Facilities\u201d in December 2017."], "subsections": []}]}, {"section_title": "Appendix II: Survey of Lead Testing and Remediation Efforts", "paragraphs": ["The questions we asked in our survey of local educational agencies (referred to in this report as school districts) are shown below. Our survey was comprised of closed- and open-ended questions. In this appendix, we include all survey questions and aggregate results of responses to the closed-ended questions; we do not provide information on responses provided to the open-ended questions. Estimates noted with superscript \u201ca\u201d are based on 20 or fewer responses and were not included in our findings. For a more detailed discussion of our survey methodology, see appendix I. 1. Do any schools in your local educational agency (LEA) obtain drinking water from a public water system such as a city or municipal water plant? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "No (Skip to 20)", "Don\u2019t know (Skip to 20)", "Section B: Testing for Lead in School Drinking Water 2. Is there a requirement that the drinking water in your LEA\u2019s schools be tested for lead? (Please answer \u201cYes\u201d regardless of whether that requirement comes from your state, municipality, local educational agency or any other governmental entity.) (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "3. Regardless of whether your LEA is required to test for lead in school drinking water, have tests been conducted for lead in the drinking water in at least one of your schools in the past 12 months? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If yes to 3: 3A. What is the number of schools in which tests were conducted in the past 12 months?", "Estimated Number (Mean)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "3B. About how many samples were taken from sources of drinking water such as water fountains and sinks in each school? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "3C. Did any of the following develop the sampling plan, draw the samples of water, and analyze the samples? (Check all that apply.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "3D. What size samples were taken? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 3D: What sample size was used? 3E: To the best of your knowledge, did the personnel drawing or analyzing samples follow a testing protocol that offers guidance on developing the sampling plan, drawing samples of water, or analyzing samples? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "No (Skip to 3F)", "Don\u2019t know (Skip to 3F)", "If \u2018yes\u2019 to 3E: a. To the best of your knowledge, were any of the following entities involved in developing the protocol? (Check one per row.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "Contractor / water testing company EPA or another federal government agency A local government agency (aside from your LEA)", "If \u2018other\u2019 to 3Eh: What other entities were involved in developing the protocol? 3F. If tests were conducted in some schools in your LEA in the past 12 months\u2014but were not conducted in every school\u2014how was it determined which schools would be tested? (Check one per row.)", "Not applicable: tests were conducted in every school (Skip to 3G)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 3Fe: In what other ways did your LEA use to determine which schools would be tested? 3G. How much do you estimate your LEA has spent on testing for lead in school drinking water in the past 12 months? (Please answer this question for lead testing only; the survey asks about expenditures to address concerns identified through testing later. Also, please include materials, labor, and any other expenditures related to lead testing in your estimate.)", "Estimated Number (Median)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "3H. Did your LEA use any of the following sources of funding for the testing in the past 12 months? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 3H: What other sources of funding did your LEA use? 3I. In the past 12 months, did your LEA notify the following groups that it was planning to test for lead in school drinking water before conducting the tests? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "General public (e.g., media)", "If \u2018other\u2019 to 3I: What other groups did your LEA notify that it was planning to test for lead in school drinking water before conducting the tests? 3J. In the past 12 months, did your LEA report the testing results to the following groups after completing the tests? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "General public (e.g., media)", "If \u2018other\u2019 to 3J: To what other groups did your LEA report the testing results? 3K. If \u2018no\u2019 to 3: Were any of the following a reason your LEA did not conduct any tests in any schools in the last 12 months? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 3K: For what other reasons did your LEA not conduct any tests in any schools in the last 12 months? 4. Does your LEA have a schedule for recurring tests to determine the amount of lead in the drinking water in your schools within any of the following time frames? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "Section C: Remediation of Lead in School Drinking Water 5. Has your LEA discovered any level of lead in the drinking water of any of your schools (as a result of testing) in the last 12 months? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "5A. What lead concentration (measured in \u201cparts per billion\u201d or \u201cppb\u201d) did your LEA use to initiate remedial action? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 5A: What lead concentration did your LEA use to initiate remedial action? 5B. In the last 12 months, how many schools had at least one test result\u2013including as few as one sample in one school\u2013greater than the lead level your LEA used to initiate action? (Please answer regardless of whether these results were discovered in the first of multiple rounds of testing.) 5C.To address lead discovered in school drinking water, has your LEA taken any of the following actions in any of your schools in the past 12 months?", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "5D. If \u2018no\u2019 to every item in 5C: What are the reasons why your LEA has not taken actions in any of your schools in the past 12 months? 5E. If \u2018yes\u2019 to any item in 5C: How much do you estimate your LEA has spent on taking actions in the past 12 months? (Please include materials, labor, and any other expenditures related to lead remediation in your estimate.)", "Estimated Number (Median)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "5F. Did your LEA use any of the following sources of funding to take actions in the past 12 months? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other\u2019 to 5F: What other sources of funding did your LEA use to take actions in the past 12 months? 5G. Did your LEA notify the following groups about its actions in the past 12 months? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "General public (e.g., media)", "If \u2018other\u2019 to 5G: What other groups has your LEA notified about its remedial actions in the past 12 months? 6. Does your LEA have a schedule to flush the water system as a result of concerns about lead in drinking water in at least one of your schools within any of the following time frames? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "7. Does your LEA have plans to take actions to eliminate or reduce lead in school drinking water (for example, replace drinking water fountains, replace pipes) in at least one of your schools? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018according to a schedule\u2019 to 7: how would you describe the schedule that your LEA has developed?", "Section D: Guidance Regarding Lead Testing and Remediation 8. Prior to receiving this survey, were you familiar with guidance issued by the U.S. Environmental Protection Agency entitled \u201c3Ts for Reducing Lead in Drinking Water in Schools\u201d? (Please answer \u201cYes\u201d if you had read or used the\u201d3Ts\u201d prior to receiving this survey.) (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018yes\u2019 to 8: did your LEA (or a contractor working on behalf of your LEA) follow or refer to \u201c3Ts\u201d during your efforts to test for or remediate lead in school drinking water? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018yes\u2019 to 8A: How helpful was 3Ts for conducting tests for lead in your schools\u2019 drinking water? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018yes\u2019 to 8A: How helpful was 3Ts for remediating lead in your schools\u2019 drinking water? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018yes\u2019 to 8A: How helpful was 3Ts for communicating with parents and other stakeholders about lead in your schools\u2019 drinking water? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "What else, if anything, would make 3Ts more helpful? 9. Did your LEA (or a contractor working on behalf of your LEA) use any other guidance (for example, best practices, manuals, protocols, webinars) in your LEA\u2019s efforts to test for lead in your schools\u2019 drinking water, take remedial actions, or for notification purposes? (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "What other guidance was used? 10. Would your LEA find any of the following helpful? (Check one per row).", "95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "Clearer guidance on a level of lead in school drinking water at which we should take action Additional guidance on determining a schedule for 41 95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage) regularly testing for lead in school drinking water Additional guidance on actions to take if lead is found in school drinking water Information on the costs of testing for lead in school drinking water Information on the costs of remediating lead in school drinking water 18 95 percent confidence interval \u2013 lower bound (percentage)", "95 percent confidence interval \u2013 upper bound (percentage)", "If \u2018other guidance or information\u2019 to 10: What other guidance or information would be helpful?", "Section E: Inspecting Schools for Lead Based Paint Section F: Remediation of Lead Based Paint in Schools Section G: Other Questions 16. How many schools are owned or operated by your LEA?", "Estimated Number (Mean)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "17. How many schools in your LEA were built before 1986? (If a building has additions, we mean the original structure/the original part of the building.)", "Estimated Number (Mean)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "18. How many schools in your LEA were built before 1978? (If a building has additions, we mean the original structure/the original part of the building.)", "Estimated Number (Mean)", "95 percent confidence interval \u2013 lower bound (number)", "95 percent confidence interval \u2013 upper bound (number) (Respondent reported number)", "19. Is there anything else you would like to share with us regarding lead testing, inspection, or remediation efforts in your school or LEA (drinking water or paint)? 20. What is the name, title, e-mail address, and telephone number of the person responsible for completing this survey?", "Section H: Completion 21. Please check one of the options below. Clicking on \u201cCompleted\u201d indicates that your answers are official and final. Your answers will not be used unless you have done this. (Check one.)", "95 percent confidence interval \u2013 lower bound (percentage)"], "subsections": []}, {"section_title": "Appendix III: Lead Testing and Remediation in Charter School Districts", "paragraphs": ["Charter schools comprise a small but growing group of public schools. In contrast to most traditional public schools, many charter schools are responsible for financing their own buildings and other facilities. As a result, charters schools vary in terms of whether they own their own building or pay rent, and whether they operate in buildings originally designed as a school or in buildings which have been redesigned for educational purposes. Sometimes charter schools may also share space in their building with others, such as non-profit organizations. In addition to differences in facility access and finance, charter school governance also varies. In some states, charter schools function as their own school district, while in other states, charter schools have the option to choose between being a distinct school district or part of a larger school district.", "To determine the extent to which charter school districts were testing for lead in school drinking water and finding and remediating lead, our survey included charter school districts in two ways: our sampling design included three strata specifically for charter school districts in urban areas; in addition, charter school districts were retained in the sampling population, such that they could be randomly selected in our other strata. While we generally received too few responses from charter school districts to report their data separately, we are able to estimate that about 36 percent of charter school districts tested for lead in school drinking water.", "To learn more about experiences of charter schools, we visited one charter school district and interviewed representatives of the DC Public Charter School Board (DC PCSB).", "The charter school district we visited consisted of one charter school in a building it leased. The school had 10 sources of consumable water, all of which were tested in 2016 and were found to have lead below the district\u2019s selected action level of 15 parts per billion. Before testing, district officials met with the building owner who agreed to cover the cost of any remediation.", "Officials with the DC PCSB told us that it paid to have tests conducted in every charter school in the District of Columbia. According to DC PCSB officials, between March and June 2016, 95 charter schools were tested, and lead above their action level of 15 parts per billion was discovered in 20 schools. Officials estimated their testing costs to be about $100,000, which was subsequently reimbursed by the District of Columbia\u2019s Office of State Superintendent of Education. They also said that charter schools were responsible for taking steps to remediate the lead and recommended schools flush their water systems and use filters."], "subsections": []}, {"section_title": "Appendix IV: Testing Components for Eight States That Require School Districts to Test for Lead in Drinking Water", "paragraphs": [], "subsections": [{"section_title": "Action level and sample size Not specified", "paragraphs": ["Communication of results Not specified 5 ppb in a 250 ml sample (from filtered fixture)"], "subsections": []}]}, {"section_title": "Appendix V: EPA Guidance to the Public on Reducing Lead in Drinking Water", "paragraphs": ["The Environmental Protection Agency (EPA) provides information on its website for the public on lead in drinking water. EPA\u2019s website includes, among other documents, a December 2005 brochure for the public and school districts entitled \u201c3Ts for Reducing Lead in Drinking Water in Schools\u201d (see fig.10)."], "subsections": []}, {"section_title": "Appendix VI: Memorandum of Understanding between EPA, Education, CDC, and Related Associations on Reducing Lead in School Drinking Water Effective June 2005", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, Diane Raynes (Assistant Director), Scott Spicer (Assistant Director), Jason Palmer (Analyst-in- Charge), Amanda K. Goolden, Rich Johnson, Grant Mallie, Jean McSween, Dae Park, James Rebbe, Sarah M. Sheehan, and Alexandra Squitieri made significant contributions to this report. Also contributing to this report were Susan Aschoff, David Blanding, Mimi Nguyen, Tahra Nichols, Dan C. Royer, Kiki Theodoropoulos, and Kim Yamane."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Lead Paint in Housing: HUD Should Strengthen Grant Processes, Compliance Monitoring, and Performance Assessment. GAO-18-394. Washington, D.C.: June 19, 2018.", "Drinking Water: Additional Data and Statistical Analysis May Enhance EPA\u2019s Oversight of the Lead and Copper Rule. GAO-17-424. Washington, D.C.: September 1, 2017.", "Environmental Health: EPA Has Made Substantial Progress but Could Improve Processes for Considering Children\u2019s Health. GAO-13-254. Washington, D.C.: August 12, 2013.", "Lead in Tap Water: CDC Public Health Communications Need Improvement. GAO-11-279. Washington, D.C.: March 14, 2011.", "Environmental Health: High-level Strategy and Leadership Needed to Continue Progress toward Protecting Children from Environmental Threats. GAO-10-205. Washington, D.C.: January 28, 2010.", "Drinking Water: EPA Should Strengthen Ongoing Efforts to Ensure That Consumers Are Protected from Lead Contamination. GAO-06-148. Washington, D.C.: January 4, 2006."], "subsections": []}], "fastfact": ["We surveyed school districts across the country on testing for lead in drinking water in 2017. Based on our nationally generalizable survey, we estimate that:", "41% of districts, serving 12 million students, had not tested for lead in the 12 months before completing our survey.", "43% of districts, serving 35 million students, tested for lead. Of those, 37% found elevated levels and reduced or eliminated exposure.", "16% did not know if they had tested.", "At least 8 states require schools to test for lead, and many others assist with voluntary testing.", "We made 7 recommendations to promote testing and improve guidance for school districts.", "(We updated this text to clarify the number of states requiring testing or assisting with voluntary testing.)"]} {"id": "GAO-18-113", "url": "https://www.gao.gov/products/GAO-18-113", "title": "Military Personnel: DOD Needs to Reevaluate Fighter Pilot Workforce Requirements", "published_date": "2018-04-11T00:00:00", "released_date": "2018-04-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Fighter pilots operate aircraft that are critical to achieving and maintaining air dominance during combat operations. The military services invest significant time and funding to train, compensate, and retain fighter pilots. According to Air Force officials, it costs between $3-$11 million and takes approximately 5 years to develop an individual fighter pilot to lead combat missions.", "Senate Report 114-255 included a provision for GAO to review the Department of Defense's (DOD) management of the fighter pilot workforce. GAO's report (1) assesses the extent to which the military services had differences in the number of fighter pilots compared to authorizations, and describes any contributing factors as well as initiatives to address the differences, and (2) assesses the extent to which the military services had reevaluated squadron requirements for the number of fighter pilots needed, including consideration of UAS pilot requirements.", "GAO analyzed military service personnel data, documentation on service initiatives to address factors contributing to fighter pilot shortages, and service documentation of requirements; met with a non-generalizable sample of fighter pilots at seven locations; and interviewed DOD and service officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Air Force, the Navy, and the Marine Corps had gaps between the actual numbers of fighter pilots and authorizations (i.e. funded positions) in fiscal years (FY) 2013 through 2017. In FY 2017 the Air Force's gap was the widest at 27 percent of authorizations (see fig. below) and is projected to continue through FY 2023. The Marine Corps' gap grew from 6 percent in FY 2006 to 24 percent in FY 2017; it is concentrated in fighter pilots below the rank of major. While the Navy did not have comparable data, it had a gap at fighter pilots' first operational tours that grew from 12 percent in FY 2013 to 26 percent in FY 2017, and Navy officials stated it could increase through mid-2019. Service officials attributed these gaps to aircraft readiness challenges, reduced training opportunities, and increased attrition of fighter pilots due to career dissatisfaction. To help increase fighter pilot numbers, the military services are taking actions, including increasing the amounts of financial incentives to retain pilots.", "The military services have not recently reevaluated squadron requirements to reflect increased fighter pilot workload and the emergence of unmanned aerial systems (UAS). According to service guidance, squadron requirements are to be reviewed on a 2-year schedule and to be updated as conditions change (in June 2017 the Navy revised its guidance to extend its schedule from 2 years to 5 years). However, service officials acknowledged that they have not updated all squadron requirements within the last 2 years. These officials stated that the requirements have not been reevaluated because existing conditions do not warrant the change. However, fighter pilots and squadron leaders interviewed at locations GAO visited consistently stated that the typical workload has significantly increased in recent years due to, among other things, changes in fighter aircraft tactics and technology and reductions to administrative support in squadrons. Further, the military services have not assessed the effect of increased reliance on UAS on fighter pilot requirements. The Air Force's vision for UAS notes that systems will work in tandem with cockpit-operated aircraft and that autonomous technologies will potentially lead to personnel efficiencies. Without re-evaluating squadron requirements to reflect current and emerging conditions, the nature of the gap may be inaccurate and thus make it difficult for the military services to target strategies to meet their personnel needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Air Force, the Navy, and the Marine Corps reevaluate fighter pilot squadron requirements. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) relies on fighter pilots to perform an array of missions that are critical to its ability to successfully execute its national security mission. Developing fighter pilots requires a significant investment of time and funding. According to Air Force officials, a fighter pilot requires approximately 5 years of training to be qualified to lead flights, at a cost of between about $3 million to $11 million depending on the specific type of aircraft. Retaining qualified pilots is important not only to ensure that operational requirements can be met, but also to recoup the substantial investments the military services make in training their pilots.", "Since 2001, we have identified the strategic management of human capital as a high-risk issue because of the mission-critical skills gaps within the federal workforce that pose a high risk to the nation by impeding the government from cost-effectively serving the public and achieving results. In 2017, we reported that the military services implemented retention bonuses differently for pilots of different types of aircraft, and that their implementation approaches generally varied from year to year. We recommended that DOD clarify guidance regarding the extent to which personnel performance should be incorporated into retention decisions\u2014including the use of bonuses to retain pilots. DOD concurred with the recommendation, but as of December 2017 had not yet implemented changes in response.", "Senate Armed Services Committee Report 114-255, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for us to review DOD\u2019s management of the fighter pilot workforce. For our report, we (1) assessed the extent to which the military services had differences in the number of fighter pilots compared to authorizations, and described any contributing factors as well as initiatives to address the differences and (2) assessed the extent to which the military services had reevaluated squadron requirements for the number of fighter pilots needed, including consideration of unmanned aerial system (UAS) pilot requirements.", "For objective one, we compared \u201cauthorizations\u201d\u2014specifically, those positions authorized and funded by Congress for fighter pilots in the active and reserve components of the Air Force, the Navy, and the Marine Corps\u2014with the corresponding staffing levels (i.e., the actual number of pilots available to staff those positions) in those military services. For each of the military services, we also compared authorizations with staffing levels of all fixed-wing, cockpit-operated communities (hereafter referred to as fixed-wing communities). We did not include the Army in our review because it does not operate fighter aircraft.", "For the Air Force and the Marine Corps, we compared fighter pilot staffing levels for the active and reserve components to authorized positions for fiscal years 2006 through 2017, and we also obtained and analyzed projections for these data for fiscal years 2018 through 2023. We also compared fighter pilot staffing levels for Air Force and Marine Corps active components with operational authorized positions. The Navy does not separate non-operational fighter pilot authorizations from authorizations for other pilots, and therefore we were unable to compare Navy fighter pilot staffing levels with authorizations as we did for the Air Force and the Marine Corps. We instead analyzed staffing levels for Navy fixed-wing communities in the active component for fiscal years 2011 through 2017, and compared pilot staffing levels to authorizations for the three career milestones that Navy officials told us they use to monitor and manage their fixed-wing pilot communities for fiscal years 2013 through 2017. These milestones are first operational tour, mid-career Department Head, and Command. We also analyzed differences between staffing targets and staffing levels for the Navy Reserve fighter pilot community for fiscal year 2017, the only year of data available. We also analyzed Navy retention data for mid-career pilots eligible for Department Head assignments in the same communities for fiscal years 2013 through 2017.", "To assess the reliability of the data we obtained, we reviewed corroborating documentation, analyzed the data for inconsistencies, and interviewed service officials about the reliability of the data. We determined that the data were sufficiently reliable to describe the trends in personnel staffing levels and authorizations for the time period included in our scope.", "To discuss factors that may have contributed to differences in the number of fighter pilots compared to authorizations, we met with DOD and service officials and reviewed service documentation regarding the factors officials identified. We also held discussion groups with a non- generalizable sample of fighter pilots and squadron leaders to obtain their views on the factors that they believe have contributed to low numbers of fighter pilots. To identify any initiatives the military services had taken or planned to address factors contributing to low numbers of fighter pilots, we interviewed service officials and reviewed documentation related to relevant military service initiatives.", "For objective two, we reviewed Air Force, Navy, and Marine Corps guidance to determine the frequency that fighter pilot squadron requirements are to be reviewed. We then reviewed service documentation and interviewed service officials to determine the extent to which these requirements had been reviewed on schedule. We also reviewed service documentation regarding the planned mix of aviation platforms for future operations and discussed with service officials the extent to which these plans are incorporated into forecasts of fighter pilot squadron requirements. Our scope and methodology is described in detail in appendix I.", "We conducted this performance audit from November 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Role of Fighter Pilots", "paragraphs": ["Fighter pilots staff both operational and non-operational positions, and fighter pilots alternate between these positions throughout their career. Operational positions include both flying (i.e., combat pilot or instructor pilot positions) and non-flying positions, such as a close air support duty officer in an Air Operations Center or an air controller in a ground infantry unit. In flying positions, fighter pilots operate aircraft that are critical to achieving and maintaining air dominance during combat operations and include Air Force, Navy, and Marine Corps fixed-wing fighter and attack aircraft with air-to-air, air-to-ground, and electronic warfare missions. These aircraft operate during the first days of a conflict to penetrate enemy air space, defeat air defenses, and achieve air dominance, allowing follow-on ground, air, and naval forces freedom to operate within the battle space. Once air dominance is established, fighter aircraft continue to strike ground targets for the remainder of the conflict. Some fighter aircraft are also essential to protecting the homeland by responding to potential airborne and ground-based threats.", "Fighter pilots are assigned a variety of tasks when they are in an operational squadron. As well as studying for flights, flying, and debriefing, fighter pilots must also perform other squadron duties, such as coordinating squadron travel to external training locations, scheduling daily flights, or overseeing squadron maintenance departments. In addition to these duties, fighter pilots are required to complete common military training (i.e., training that is required for all military personnel and is not linked to a particular occupation). In May 2017, we reported that common military training comprises more than half of mandatory training requirements in the military services (not including additional training that the military services may require for specific groups of servicemembers, such as fighter pilots).", "Non-operational positions are generally non-flying positions and include assignments to headquarters or combatant command positions. Certain non-operational positions can only be filled by qualified pilots. For example, certain positions require fighter pilots due to the need for specialized technical knowledge, such as writing operational manuals for fighter aircraft. Other non-operational positions are more general in nature and are divided among officer communities in a military service. For example, Navy officials told us that certain shore assignments\u2014positions that do not involve deployment\u2014can be staffed by officers from aviation, submarine, or surface warfare communities."], "subsections": []}, {"section_title": "Aircraft Operated by Fighter Pilots", "paragraphs": ["DOD\u2019s current fighter aircraft fleet is comprised of both legacy and new aircraft (see fig. 1). The legacy aircraft include Air Force F-16, F-15, A-10, and F-22A and Navy and Marine Corps F/A-18A-D, EA-6B, and AV-8B. Most of these aircraft were purchased in the 1970s and 1980s and are more than 25 years old on average. DOD has been recapitalizing this aging legacy fleet by acquiring and fielding new aircraft, namely the Navy\u2019s F/A-18E/F and EA-18G and the joint service F-35. The Departments of the Air Force and the Navy are operating many of their fixed-wing aircraft well beyond their original designed service lives, and some of these legacy aircraft are confronted with sustainment challenges that affect their availability. In 2017, senior Air Force and Navy officials testified before the House Armed Services Committee regarding, among other things, the maintenance and sustainment issues relating to aging aircraft that are affecting the readiness of their forces."], "subsections": []}, {"section_title": "Processes for Determining and Staffing Fighter Pilot Authorizations", "paragraphs": ["According to Air Force, Navy, and Marine Corps guidance, the military services are to determine personnel requirements for military units. Service officials told us that this process includes squadron requirements\u2014that is, the number of operational positions in a fighter pilot squadron that a military service has determined should be staffed by a qualified fighter pilot. Squadron requirements are primarily based on the missions the squadrons are expected to fulfill, and the military services use a variety of inputs to determine fighter pilot squadron requirements. These inputs include the projected operations of fighter squadrons, analyses of the amount of workload in the squadrons, the number of aircraft assigned to the squadrons, and the planned ratio of fighter pilots to aircraft. The military services are to determine the required number of fighter pilots to staff squadrons and meet operational mission needs and to document these in squadron staffing documents. The military services also determine the rank that pilots should have when staffing specific positions in a squadron\u2014for example, Marine Corps F/A-18 squadron staffing documents specify the rank that should be held by pilots leading specific departments such as those for safety, operations, and maintenance. According to service officials, the military services then staff squadron requirements to the extent possible based on the number of those requirements funded by Congress and the number of trained and qualified personnel available to be staffed to those positions (see fig. 2). We refer to these funded positions as authorizations. Military service workforce planning documents acknowledge that, after this process, a squadron\u2019s staffing level may be lower than the established squadron requirements\u2014a readiness risk that the military services manage by assigning a higher priority to the staffing of certain positions, such as those in deployed squadrons.", "The military services vary in how they define when gaps between authorizations and staffing levels become a shortage. Specifically, fighter pilot staffing levels of 85 to 99 percent of authorizations could be considered a shortage, depending on the military service. For example, Air Force officials told us that their established practice is that pilot communities with less than 100 percent of authorizations are considered to be insufficiently staffed. Navy officials told us that they have a shortage when they are unable to fully staff deploying squadrons. Marine Corps personnel documents reflect that Marine Corps communities with less than 85 percent of authorizations are considered \u201cunhealthy.\u201d", "The process of staffing fighter pilots is managed in the Air Force by the Air Force Personnel Center, in the Navy by the Navy Personnel Command, and in the Marine Corps by the Deputy Commandant for Manpower and Reserve Affairs. According to service guidance, the Secretaries are to review squadron requirements, and this review is required every 2 years for the Air Force and the Marine Corps and every 5 years for the Navy. Further, DOD guidance states that staffing requirements are driven by workload and shall be established at the minimum levels necessary to accomplish mission and performance objectives."], "subsections": []}]}, {"section_title": "The Military Services Had Fewer Fighter Pilots Than Authorizations Due to a Variety of Contributing Factors; Initiatives Are Underway to Increase Fighter Pilot Staffing Levels", "paragraphs": ["According to Air Force, Navy, and Marine Corps data, each military service had fewer fighter pilots than authorizations from fiscal years 2013 through 2017, and the Air Force and the Marine Corps project that these gaps will continue for several years. According to service officials, because of low numbers of fighter pilots, the military services are unable to staff all operational fighter pilot positions. According to the military services, deploying squadrons have been fully staffed with fighter pilots, due to staffing approaches that include extending deployments and augmenting deployed squadrons with fighter pilots from other squadrons. Service officials identified multiple factors that have led to low numbers of fighter pilots, including challenges in training and retaining fighter pilots. To increase fighter pilot numbers, the military services are taking a variety of actions."], "subsections": [{"section_title": "The Air Force, the Navy, and the Marine Corps Had Fewer Fighter Pilots Than Authorizations", "paragraphs": ["According to Air Force, Navy, and Marine Corps data, each military service had fewer fighter pilots than authorizations (i.e., funded positions) from fiscal years 2013 through 2017. Specifically, the Air Force and the Marine Corps had fewer fighter pilots than authorizations for most years from fiscal years 2006 through 2017. The magnitude of these gaps has grown since fiscal year 2006 and is projected to continue through at least fiscal year 2023. The Navy had fewer fighter pilots than authorizations in fiscal years 2013 through 2017. According to service officials, these gaps between fighter pilot numbers and authorizations have prevented the military services from fully staffing operational positions, including in non- deployed squadrons and training units."], "subsections": [{"section_title": "The Air Force Generally Had Fewer Fighter Pilots Than Authorizations Since Fiscal Year 2006, Including for Operational Positions Since Fiscal Year 2014", "paragraphs": ["According to Air Force pilot staffing level and authorizations data for fiscal years 2006 through 2017, the Air Force had fewer fighter pilots than authorizations for 11 of 12 years from fiscal years 2006 through 2017. This gap grew from 192 fighter pilots (5 percent of authorizations) in fiscal year 2006 to 1,005 (27 percent) in fiscal year 2017. According to briefing documents prepared by the Air Force, this gap is concentrated among fighter pilots with fewer than 8 years of experience. The Air Force forecasts that the fighter pilot gap will persist over time, even as the Air Force takes steps to train more fighter pilots and improve retention. Figure 3 shows the Air Force fighter pilot staffing levels and authorizations for fiscal years 2006 through 2017. For information on trends for all Air Force fixed-wing aircraft pilot communities, see appendix II.", "According to Air Force data, the Air Force generally had sufficient fighter pilots to staff operational positions for fighter pilots for fiscal years 2006 through 2013. Air Force officials added that during that period, Air Force fighter pilot gaps were generally limited to non-operational positions, such as staff assignments at Air Force headquarters or combatant commands. However, our analysis found that the Air Force has been unable to fully staff operational positions since fiscal year 2014. The gap between staffing levels and operational positions increased from 39 fighter pilots (1 percent of authorizations) in fiscal year 2014 to 399 (13 percent) in fiscal year 2017."], "subsections": []}]}, {"section_title": "The Navy Had Fewer Fighter Pilots Than Authorizations for Operational Positions in Fiscal Years 2013 through 2017", "paragraphs": ["According to Navy fighter pilot staffing levels and authorizations data for fiscal years 2013 through 2017, the Navy had fewer fighter pilots than authorizations for each of these fiscal years. Specifically, in fiscal year 2013 the Navy had a gap of 57 fighter pilots (12 percent) at the first tour milestone (i.e., a fighter pilot\u2019s first operational tour at sea completed between 3 and 6 years of service), and this gap grew to 136 fighter pilots (26 percent) in fiscal year 2017 (see fig. 4). Navy officials told us that they believe current gaps in the fighter pilot community could increase through mid-2019. For information on trends for all Navy fixed-wing aircraft pilot communities, see appendix III.", "According to Marine Corps pilot staffing levels and authorizations data for fiscal years 2006 through 2017, the Marine Corps had fewer fighter pilots than authorizations during that time frame. This gap grew from 63 fighter pilots (6 percent of authorizations) in fiscal year 2006 to 262 (24 percent) in fiscal year 2017. Further, according to Marine Corps data, the gap is concentrated in the Marine Corps\u2019 junior fighter pilot population (i.e., those fighter pilots below the rank of Officer-4\u2014a major). The Marine Corps forecasts that the fighter pilot gap will decrease over time as the Marine Corps phases out legacy aircraft and takes steps to improve retention. Figure 5 shows the Marine Corps active component fighter pilot staffing levels and authorizations for fiscal years 2006 through 2017. For information on trends for all Marine Corps fixed-wing aircraft pilot communities, see appendix IV.", "In addition, Marine Corps data showed that the Marine Corps was unable to fully staff fighter pilot operational positions since fiscal year 2016. The gap between staffing levels and operational positions increased from 12 fighter pilots (1 percent of authorizations) to 57 (7 percent) in fiscal years 2016 through 2017."], "subsections": [{"section_title": "The Military Services Used Various Staffing Approaches to Mitigate the Impact of Low Numbers of Fighter Pilots on Deploying Squadrons", "paragraphs": ["Although all of the military services had fewer fighter pilots than authorizations in fiscal years 2013 through 2017, service officials stated that deploying squadrons have been fully staffed with fighter pilots. Service officials reported using various approaches to continue to fully staff deploying fighter squadrons, including (1) prioritizing staffing fighter pilots to flying positions that require fighter pilot-specific technical skills; (2) using senior pilots to staff junior positions; and (3) having pilots deploy for longer and more frequently than planned, including on deployments with other squadrons. For example, Navy officials told us that approaches such as extending fighter pilots\u2019 deployments allowed them to reduce the fiscal year 2017 first tour fighter pilot gap from 136 pilots (26 percent) to 75 pilots (15 percent).", "However, squadron leaders and fighter pilots told us that these approaches are having a negative impact on the fighter pilot workforce. Specifically, squadron leaders and fighter pilots told us that the high pace of operations for senior fighter pilots has limited their availability to train junior pilots, which has constrained the military services\u2019 ability to increase the number of pilots with specific qualifications. In addition, fighter pilots told us that increased frequency of individual deployments cause instability for their families and lead to career dissatisfaction. Additionally, as we have previously reported, a high tempo of operations has increased the challenge of aviation squadrons to rebuild readiness. For example, according to Air Force officials, high deployment rates for Air Force squadrons have resulted in less time for squadrons to complete their full training requirements because high deployment rates mean that there are fewer aircraft available for training at home stations.", "Service officials report that they can also mitigate low numbers of fighter pilots by leveraging surpluses in other pilot communities. For example, as outlined in Air Force documents supporting pilot retention bonuses, the Air Force has staffed mobility pilots (i.e., cargo transport and aerial refueling pilots) to instructor pilot positions for certain basic flying training that would otherwise be staffed by fighter pilots. The Navy can also staff certain Department Head positions designated for fighter pilots with non- pilot aviators from that community. According to military service data, fighter pilot communities generally have the largest gaps among all military fixed-wing pilot communities. For example, in fiscal year 2017 the Air Force had 73 percent of the fighter pilots it needed, while the bomber community, which had the second largest gap among Air Force fixed- wing pilot communities, had 85 percent of the pilots it needed."], "subsections": []}]}, {"section_title": "Service Officials Cited Multiple Factors That Have Contributed to Low Numbers of Fighter Pilots", "paragraphs": ["According to service officials, squadron leaders, and fighter pilots, multiple inter-related factors have reduced each military service\u2019s number of fighter pilots. Factors cited include reductions to active duty end strength, aircraft readiness challenges, and declining retention."], "subsections": [{"section_title": "Reductions to Active Duty Military End Strength", "paragraphs": ["Reductions to active duty military end strength have contributed to reductions in fighter pilot staffing levels. Service officials told us that reductions to military service end strength targets as part of the 2008 drawdown of forces in Iraq and Afghanistan and funding reductions related to the Budget Control Act of 2011 led to reductions in the fighter pilot workforce. For example, the Air Force offered 54 fighter pilots early retirement incentives in fiscal years 2014 through 2015, while the Marine Corps offered 49 fighter pilots early retirement options between fiscal years 2013 through 2016. Further, as we have previously reported, the Air Force used fighter pilots to meet the initial demand for UAS operators. Air Force officials told us that they removed 206 of those pilots from the fighter pilot community in fiscal years 2011 through 2012. Reduced force structure has also decreased the opportunities for fighter pilots to gain experience in their aircraft. For example, the Air Force reported that the number of total Air Force fighter squadrons (including the reserve components) declined from 134 in fiscal year 1989 to 55 in fiscal year 2017 (a 59-percent decrease), and as such fewer squadrons are available to provide newly trained fighter pilots with flying experience."], "subsections": []}, {"section_title": "Aircraft Readiness Challenges", "paragraphs": ["Reduced aircraft availability has affected fighter pilots\u2019 ability to meet flight hour targets. Service leaders told us that this has resulted in delays in training new pilots with the necessary qualifications to participate in certain missions. Specifically, according to November 2017 testimony, Air Force, Navy, and Marine Corps leaders reported that fighter pilots do not meet military service flight hour targets\u2014in part due to reduced aircraft availability. For example, Navy and Marine Corps leaders testified that Navy and Marine Corps F/A-18 pilots average 13.5 and 12.7 flight hours per month, respectively, compared with goals of 20.1 and 15.7 hours per month. A senior Air Force leader testified before Congress that Air Force fighter pilots average about 16 flight hours per month. In June 2017 we reported on readiness challenges in Air Force and Marine Corps aviation squadrons.", "The military services have trained fewer fighter pilots than targeted over the last decade. In fiscal years 2007 through 2016, the Air Force trained 12 percent fewer new fighter pilots than the targeted amount, while the Navy and the Marine Corps each trained 8 percent fewer new fighter pilots than the targeted amount. Fighter pilots told us that the need to prioritize the staffing of experienced pilots to deploying squadrons has limited the number of experienced personnel available to train newer pilots at home stations.", "Recent Safety Concerns Regarding Onboard Systems in Naval Aircraft In April 2017, the Navy paused all basic flight training on the T-45 aircraft due to safety concerns regarding the oxygen supply and atmospheric pressurization systems aboard the training aircraft. The Navy and the Marine Corps share basic flight training resources, including training for fixed-wing aircraft pilots on T-45 aircraft. Navy and Marine Corps officials told us that if these basic training squadrons are unable to produce newly trained fighter pilots on schedule, this can lead to a decreased number of new fighter pilots in both military services. The F/A-18 has also been affected by problems with onboard oxygen supply systems leading to hypoxia, which can occur when aircrews receive insufficient or contaminated oxygen on board the aircraft. In August 2017 the Navy established a team to lead its effort to research and prevent these problems in fixed- wing aircraft. numbers of trained pilots. In addition, aircraft readiness challenges led the Navy to pause flight training on the T-45 training aircraft in April 2017 due to safety concerns regarding the oxygen supply systems aboard the training aircraft. Navy officials reported that gaps in first tour operational positions designated for all fixed-wing aircraft pilot communities could grow from 86 pilots in fiscal year 2017 to about 100 in fiscal year 2019."], "subsections": []}, {"section_title": "Fighter Pilot Retention Challenges", "paragraphs": ["Declining retention has also contributed to low fighter pilot numbers. Our analysis of Air Force and Navy bonus retention data shows that retention of experienced fighter pilots has declined in recent years.", "We found that the number of Air Force fighter pilots that have signed retention contracts decreased from 63 percent in fiscal year 2013 to 35 percent in fiscal year 2017 (see fig. 6). This decline has continued even as the Air Force increased its maximum aviation bonus contract from $125,000 in fiscal year 2012 to $225,000 beginning in fiscal year 2013, the highest amount offered by any of the military services.", "According to Navy retention data, the Navy pool of fighter pilots eligible for the Department Head milestone (i.e., a mid-career operational leadership tour for different aspects of squadron management for pilots with between about 11 and 13 years of service) has shrunk over time. Navy officials told us that, as a result, the percentage of fighter pilots selected for the Department Head milestone has increased. For example, the Department Head selection rate for Navy F/A-18 pilots increased from 49 percent in fiscal year 2012 to 100 percent in fiscal year 2017.", "Further, the Navy did not meet its goals for fighter pilots signing retention bonuses at the Department Head milestone in fiscal years 2013 through 2017. For example, the Navy fell short of its retention bonus target of 73 fighter pilots by 38 pilots (48 percent of the target) for fiscal year 2017. In comparison, the surveillance and transport pilot community met or exceeded its target of pilots who signed a bonus contract 2 out of 5 years during that same period, while the maritime patrol pilot community met or exceeded its target 4 out of 5 years. Figure 7 shows the Navy Department Head active component fixed-wing pilot retention bonus take rate for fiscal years 2013 through 2017.", "Squadron leaders and fighter pilots we met with attributed declining retention to the staffing approaches being used by the military services to mitigate fighter pilot gaps and fully staff deployed squadrons. For example, squadron leaders told us that assigning senior fighter pilots to junior positions hurts retention by reducing leadership opportunities believed to be necessary for promotion. Fighter pilots also told us that quality of life has decreased as a result of longer and more frequent deployments. Further, fighter pilots told us that understaffing fighter pilots in operational units has resulted in an increased workload per pilot and lower quality of service for non-deployed fighter pilots in those units."], "subsections": []}]}, {"section_title": "The Air Force Has Implemented Initiatives to Help Increase Fighter Pilot Numbers and the Navy and the Marine Corps Are Formulating Initiatives to Address Overall Retention Concerns", "paragraphs": ["The Air Force has developed and implemented initiatives to help increase fighter pilot numbers, and the Navy and the Marine Corps are developing initiatives to address overall retention concerns. The Air Force established a dedicated team to identify and develop initiatives specifically to address its reported fighter pilot shortage, and this effort has resulted in over 35 implemented initiatives. The Navy and the Marine Corps have not formulated initiatives specifically for fighter pilots, but have identified actions to address retention concerns. Navy and Marine Corps officials stated that, because the military services can still staff authorizations for deployed squadrons, they do not believe their staffing levels of fighter pilots have reached a critical shortage. However, Navy and Marine Corps personnel management officials we met with told us that they are closely monitoring trends in fighter pilot retention, and they believe that decreased retention in the near future may exacerbate fighter pilot gaps in their military services. The military services\u2019 initiatives are summarized below.", "The Air Force established a dedicated effort to address fighter pilot workforce challenges, and many initiatives from this effort have been implemented. Specifically, in March 2016, the Chief of Staff of the Air Force directed the initiation of an effort to address the Air Force fighter pilot shortage. The Air Force created a Fighter Enterprise Tiger Team in March 2016, and began formulating initiatives to address the fighter pilot shortage that the Air Force identified. For example, as the result of one initiative, 126 contractors have been placed in fighter squadrons to assist with administrative tasks and reduce workload for fighter pilots, and additional contractor support is in the process of being added. Also, in the fall of 2016 the Air Force reinstated its award program to recognize fighter pilots for superior performance. According to a member of the Air Force\u2019s Fighter Enterprise Tiger Team, the awards are non-monetary, but because they are merit- based they can help fighter pilots to be more competitive when being assessed for promotion.", "In February 2017, the Air Force effort was expanded from a focus on fighter pilots to include all rated personnel and renamed the Aircrew Crisis Task Force. The 37 initiatives implemented by the Air Force as of November 2017 as a result of the Fighter Enterprise Tiger Team and Aircrew Crisis Task Force efforts are presented in appendix V.", "The Navy is formulating a service-wide strategy\u2014referred to as Sailor 2025\u2014which includes over 40 initiatives to address retention issues throughout the Navy. We identified 10 initiatives from Sailor 2025 that may address some of the retention issues raised in our discussion groups with fighter pilots\u2014such as dissatisfaction with the assignments and promotion processes. For example, Navy officials told us they are developing staffing software to manage assignments and make the process more transparent and flexible. The Navy is also testing a new performance evaluation system to more accurately evaluate sailor performance. In addition, the Navy has adjusted the existing aviation bonus program by increasing the maximum bonus amount for fighter pilots from $25,000 to $30,000 per year for fiscal year 2018. To increase the number of available fighter aircraft, the Navy has also established a Rhino Readiness Recovery team\u2014 referring to the Navy\u2019s term for the F/A-18 E-F Super Hornet aircraft\u2014 to identify and address readiness challenges in that community. Navy officials told us they believe their approaches are sufficient to address any potential future Navy fighter pilot gaps.", "In November 2017, the Marine Corps reinstated the aviation bonus program last offered by the Marine Corps in fiscal year 2011. The Marine Corps is offering 2-year contracts totaling $40,000 to fighter pilots who have completed their service obligation\u2014except for those fighter pilots assigned to the EA-6B aircraft. However, the Marine Corps is not in the process of developing any non-monetary initiatives to address pilot retention. Rather, the Marine Corps is addressing aircraft readiness challenges\u2014an issue consistently raised by fighter pilots in our discussion groups\u2014by establishing four lines of effort to increase the number of available fighter aircraft for fighter squadrons. Marine Corps officials told us that they have begun implementing multiple initiatives for those lines of effort. For example, one initiative is focused on improving availability of aircraft spare parts by increasing their funding and modernizing the spare parts supply chain. Another initiative is focused on growing the maintenance workforce and retaining experienced aircraft maintainers. Specifically, the Marine Corps is offering retention bonuses to experienced aircraft maintainers."], "subsections": []}]}, {"section_title": "The Military Services Have Not Reevaluated Fighter Pilot Squadron Requirements to Reflect Changing Conditions, Increased Workload, and Emerging UAS Requirements", "paragraphs": ["Fighter pilots and squadron leaders told us that the fighter pilot occupation has significantly changed in recent years, but the military services have not reevaluated fighter squadron requirements. Fighter pilots and squadron leaders from each of the military services consistently told us that the fighter pilot occupation has significantly changed in recent years due to changes in fighter aircraft tactics and technology, additional training requirements, and the removal of administrative support positions from squadrons. The fighter pilots added that these changes have led to an unsustainable increase in workload. As discussed earlier, squadron requirements\u2014the number of fighter pilots needed to meet operational mission needs\u2014are calculated by the military services using a variety of inputs, including workload. Once these requirements are funded by Congress, they are an \u201cauthorization.\u201d Service guidance requires squadron requirements to be reevaluated on a 2-year schedule (5 years for the Navy) and to be updated as conditions change.", "For the Air Force, guidance defines staffing requirements as the staffing needed to accomplish a job, mission, or program, and notes that staffing should be sized to reflect the minimum essential level to accomplish the required workload. The Office of the Administrative Assistant to the Secretary of the Air Force (Resources), along with Major Command manpower staffs establish staffing standards and, at a minimum, by policy are to reevaluate these standards for applicability and updates every 2 years, or earlier if dictated by significant workload or mission changes. The Air Force Manpower Analysis Agency determines staffing resource requirements and provides staffing and management consultation services to Air Force functional communities for improved resource utilization and enhanced mission effectiveness and efficiency.", "The Air Force could not provide specifics on the most recent updates to squadron requirements, because such data were stored in a database that managed requirements on a position-by-position basis, rather than aggregated by squadron. Air Force pilots and squadron leaders consistently told us that changing conditions in fighter squadrons, such as a higher pace of changes to tactics and technology, increased training requirements, and reduced administrative support, have increased fighter pilot workload. However, Air Force officials told us that metrics that inform squadron requirements (i.e., crew ratios, the targeted ratio of pilots to aircraft) have not been increased because the Air Force is instead prioritizing the effort to recapitalize its fleet of fighter aircraft. Separately from reevaluating squadron requirements, Air Force officials told us that they have implemented changes to address workload concerns cited by fighter pilots\u2014such as adding contractor staff in squadrons to provide administrative support, as part of initiatives to address fighter pilot shortages they have identified. According to Air Force officials, the Air Force is currently reassessing non-operational requirements for fighter pilots (i.e., non-flying positions at headquarters organizations). Air Force officials told us that this reassessment is focused on determining which non-operational requirements currently assigned to fighter pilots could be assigned to other types of officers or pilots, to reduce the overall number of fighter pilot requirements.", "For the Navy, squadron requirements are dependent on the current wartime requirements developed by the Navy, referred to as the Required Operational Capability and Projected Operational Environment of a particular squadron, aircraft configuration, specified operating profile, computed workload, and established doctrinal constraints. The June 2017 update to the relevant Navy guidance reduced the frequency of the reviews of these requirements from every 2 years to every 5 years, with updates as required by those officials responsible for specific units.", "Navy officials told us that reviews are to be completed every 2 years, but updates are only made to squadron staffing documents if specific events occur, such as additional aircraft being assigned to a squadron. Navy officials added that they believe squadron requirements are accurate and updated with sufficient frequency. However, Navy pilots and squadron leaders consistently told us that changing conditions in fighter squadrons, such as a higher pace of changes to tactics and technology, increased training requirements, and more frequent individual deployments, have increased fighter pilot workload. However, the Navy has not recently updated squadron requirements to reflect such changes. Specifically, Navy fighter pilot squadron requirements are outlined in 15 Navy squadron staffing documents, and as of November 2017, 9 out of 15 of those documents had not been updated within the last 2 years.", "For the Marine Corps, guidance states that reviews to optimize force structure will be conducted every 2 years, taking into consideration new and emerging requirements. Marine Corps pilots and squadron leaders consistently told us that changing conditions in fighter squadrons, such as a higher pace of changes to tactics and technology, reduced aircraft availability, and more frequent individual deployments, have increased fighter pilot workload. However, the Marine Corps has not updated squadron requirements to reflect such changes. Specifically, Marine Corps fighter pilot squadron requirements are outlined in four fighter squadron staffing documents, and, as of November 2017, none had been updated within the last 2 years.", "Marine Corps squadron leaders and fighter pilots told us that updates to squadron requirements are not being conducted for squadrons of legacy aircraft, but added that they believe updates are warranted due to the continued delays in fielding the F-35 and resulting extensions to the planned service of legacy platforms. Marine Corps officials told us that they have not updated squadron requirements because (1) Marine Corps fighter pilot authorizations and staffing levels are below squadron requirements, so any increase to squadron requirements would require a significant increase to fighter pilot authorizations, and (2) the Marine Corps has faced challenges obtaining technical assistance to conduct workload assessments in fighter squadrons. The Navy Manpower Analysis Center conducts workload reviews of squadrons, based on specific events such as changes to the amount of time needed for maintaining the specific type of aircraft. Navy and Marine Corps fighter pilots we met with told us that they have had difficulties maintaining fighter jets in their squadrons, and Navy and Marine Corps leaders have made similar statements in congressional testimony. Further, Marine Corps officials told us that they have had difficulty utilizing the Navy Manpower Analysis Center to update workload analyses for their fighter squadrons, as they believed the center prioritizes work for Navy organizations. Navy Manpower Analysis Center officials told us that there is no formal requirement for their organization to conduct analyses for the Marine Corps, but that they respond to such requests on an ad-hoc basis. They added that the Marine Corps Combat Development Command has formal responsibility for updating Marine Corps workload analyses. We have previously reported that the size and data collection capacity of the Navy Manpower Analysis Center has limited the Navy\u2019s capacity to carry out periodic workload reassessments, which may be a contributing factor to chronic under-staffing of ship crews."], "subsections": [{"section_title": "The Military Services Have Not Incorporated Plans for Increased Reliance on UAS into Fighter Pilot Workforce Projections", "paragraphs": ["According to a DOD planning document, funding for UAS platforms was expected to grow by 17 percent in fiscal years 2014 through 2018. Moreover, in 2015, the Secretary of the Navy directed the establishment of a Deputy Assistant Secretary of the Navy for Unmanned Systems and announced that the F-35 will likely be the last cockpit-operated strike fighter aircraft the Department of the Navy will buy or fly. The Chief of Naval Operations announced in 2017 that the future of the Navy includes UAS systems as an integral part of the future fleet and must be purchased in large numbers to expand naval presence in key areas. For example, the Navy is developing a UAS platform\u2014the MQ-25 Stingray\u2014 which is intended to replace that portion of the F/A-18 fighter aircraft\u2019s mission set that involves re-fueling other F/A-18 aircraft.", "Also, in 2015 the Secretary of the Air Force stated that UAS pilots were flying on average about four times more hours than pilots in cockpit- operated aircraft. Further, a document outlining the Air Force\u2019s vision for UAS for fiscal years 2009 through 2047 notes that systems will work in tandem with cockpit-operated aircraft, for example to attack air-defense systems, and that autonomous technologies will potentially allow one pilot to direct multiple aircraft, leading to personnel efficiencies.", "Although the impact of UAS on the fighter pilot workforce appears to be significant, the Air Force, the Navy, and the Marine Corps have not accounted for the planned increased use of UAS to complete missions similar to those carried out by fighter aircraft, and the potential impact of these changes on fighter pilot requirements. Specifically, Air Force and Navy officials told us that their military services have not conducted an assessment of the impact of future UAS operations on fighter pilot requirements. While the UAS platforms that are expected to overlap with fighter aircraft missions will not be fielded until the mid-2020s, the length of time required to develop an experienced fighter pilot compels the military services to begin incorporating these planned changes to fighter pilot requirements promptly. For example, Navy fighter pilots who are entering initial training in 2018 will not have completed their active duty service obligation (currently 8 years after Navy pilots complete flight training) when the MQ-25 Stingray system is expected to be fielded in 2026.", "A key tenet of human capital planning is determining existing and future skills and competencies, and associated workforce gaps. Without steps by the military services, to include reevaluating workload and taking into account the impact that the planned use of UAS will have on the fighter pilot workforce, the military services will not fully know the extent and nature of gaps between fighter pilot numbers and authorizations and how to best target actions to address these gaps."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Fighter pilots are critical to achieving and maintaining air dominance during combat operations. To achieve that mission, the military services must have appropriate numbers of qualified fighter pilots. Service officials report that no unit is deploying without 100 percent of its fighter pilots, and they believe that they will continue to be able to meet their operational missions. Nevertheless, the Air Force, the Navy, and the Marine Corps, are reporting fewer fighter pilots than authorizations, and they project that these gaps will continue through at least fiscal year 2023. Without re- evaluating fighter pilot requirements, it will be difficult for the military services to accurately determine the number of fighter pilots needed to complete missions and help ensure success in combat. Specifically, without updating squadron requirements to reflect the growing administrative burden on fighter pilots in non-deployed squadrons, the currently identified differences between fighter pilot numbers and authorizations may be understated. By contrast, without updating future fighter pilot requirements to take into account changing roles and missions\u2014in particular the increasing role of UAS in combat operations\u2014 forecasted fighter pilot gaps may be overstated. In short, reevaluating fighter pilot requirements is a key first step to help the military services clearly determine the magnitude of the gaps and target strategies to meet their personnel needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations:", "The Secretary of the Air Force should ensure that the Director of Operations and the Air Force Manpower Analysis Agency reevaluate fighter pilot squadron requirements, to include updating current assumptions of fighter pilot workload, and assessing the impact of future incorporation of UAS platforms into combat aviation. (Recommendation 1)", "The Secretary of the Navy should ensure that the Chief of Naval Operations reevaluate fighter pilot squadron requirements, to include updating current assumptions of fighter pilot workload, and assessing the impact of future incorporation of UAS platforms into combat aviation. (Recommendation 2)", "The Secretary of the Navy should ensure that the Commandant of the Marine Corps and the Deputy Commandant for Aviation reevaluate fighter pilot squadron requirements. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. We had initially recommended that the Marine Corps also assess the impact of UAS platforms on fighter pilot squadron requirements, but removed that portion of the third recommendation because Marine Corps officials told us that Marine Corps UAS squadrons will continue to be resourced with operators through the accession process and Marine Corps UAS operator requirements do not affect either pilot inventories or fighter pilot workload. In its written comments, reproduced in appendix VI, DOD concurred with our recommendations, citing its commitment to addressing manpower, personnel, and training challenges for the fighter pilot community and broader aviation and aviation support capabilities. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to appropriate congressional committees; the Secretary of Defense; the Secretary of the Air Force; the Secretary of the Navy; and the Commandant of the Marine Corps. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Brenda S. Farrell at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To assess the extent to which the military services had differences in the number of fighter pilots compared to authorizations, as well as contributing factors and service initiatives to address the differences, we obtained and analyzed data on authorizations designated for pilots and corresponding staffing levels of pilots for all fixed-wing, cockpit-operated (hereafter referred to as fixed-wing) aircraft communities in the Air Force, the Navy, and the Marine Corps. We did not include the Army in the scope of our review because the Army does not operate fighter aircraft.", "For the Air Force and the Marine Corps active component, we compared pilot staffing levels with authorizations for all fixed-wing aircraft communities for fiscal years 2006 through 2017. We obtained and analyzed projected authorizations and staffing levels for the same pilot communities for fiscal years 2018 through 2023. We further obtained and reviewed Marine Corps data on fighter pilot operational position staffing targets and staffing levels for fiscal year 2017 and similar Air Force data for fiscal year 2018. We also compared Air Force and Marine Corps reserve component fighter pilot staffing levels with authorizations for fiscal years 2006 through 2017.", "For the Navy, we obtained and analyzed data on authorizations designated for active and reserve component pilots for fiscal years 2006 through 2017, and staffing levels for all Navy fixed-wing aircraft communities in the active component for fiscal years 2011 through 2017. However, the Navy\u2019s authorization data did not specify how many fighter pilots were assigned to non-flying assignments because the Navy does not fully assign non-flying authorizations to specific communities, unlike the Air Force and the Marine Corps. Therefore, we were unable to conduct an analysis comparing total Navy fighter pilot staffing levels with authorizations, as we did for the Air Force and the Marine Corps. We instead obtained and analyzed Navy data on differences between authorizations and pilot staffing levels for first operational tour, Department Head, and Command positions for all fixed-wing aircraft pilot communities in the active component. We also obtained and analyzed Navy data on differences between staffing targets and pilot staffing levels for the Navy Reserve for fiscal year 2017, the only year of data available. We also obtained and analyzed Navy retention data for pilots eligible for Department Head assignments, a mid-career milestone in fixed-wing communities for fiscal years 2011 through 2017. Retention data for the Department Head milestone are made available in annual aviation continuation pay reports to Congress. Fiscal year 2018 retention data will be available in fiscal year 2019. We further obtained and analyzed the number of fighter pilots the Air Force, the Navy, and the Marine Corps trained in fiscal years 2007 through 2016.", "To assess the reliability of the data we obtained, we reviewed corroborating documentation, analyzed the data for inconsistencies, and interviewed service officials about the reliability of the data. We determined that the data we used were sufficiently reliable to describe the trends in personnel staffing levels and authorizations for the time period included in our scope.", "We met with DOD and service officials to discuss the results of our analysis and factors that may have contributed to low numbers of fighter pilots. We also collected and reviewed service documentation regarding the factors they identified. We interviewed service officials and reviewed documentation to identify any initiatives taken or planned to increase fighter pilot numbers.", "In addition, we selected a non-generalizable sample of locations where fighter pilots are stationed (see table 1). We selected these locations based on geographic diversity (one location for each military service in both the eastern and western portions of the contiguous United States), a diversity of types of fighter aircraft, and a mix of squadron types at the locations (i.e., operational squadrons, training squadrons, and reserve component squadrons). In selecting locations we also considered the availability of pilots due to conflicts with deployment or training events. At each location, we moderated one to two discussion groups with fighter pilots for a total of 13 discussion groups ranging from between 3 and 20 pilots per group. We held separate sessions with junior and senior pilots at all locations, except for at Naval Air Station Oceana, Marine Corps Air Station Cherry Point, and Marine Corps Air Station Miramar, due to pilot availability. We also interviewed unit leadership at these locations (i.e., wing and squadron commanders and executive officers) to obtain their perspective on the status of the fighter pilot workforce. While these discussion groups and interviews allowed us to learn about many important aspects of the fighter pilot workforce from the perspective of fighter pilots and squadron leaders, they were designed to provide anecdotal information and not results that would be representative of all the department\u2019s more than 5,000 fighter pilots as of fiscal year 2017.", "To assess the extent to which the military services have reevaluated squadron requirements for the number of fighter pilots needed, including the consideration of UAS pilot requirements, we reviewed service guidance to determine the frequency with which elements of fighter pilot squadron requirements are to be reevaluated, reviewed service documentation, and interviewed service officials to determine the extent to which these elements had been reevaluated on schedule, reviewed service documentation regarding the planned mix of cockpit-operated and remotely-operated aviation platforms for future operations, and discussed with service officials the extent to which these plans are incorporated into forecasts of fighter pilot squadron requirements.", "We conducted this performance audit from November 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comparison of Air Force Pilot Staffing Levels and Authorizations for Fixed- Wing, Cockpit-Operated Aircraft", "paragraphs": ["The Air Force uses pilots from both the active and reserve components to staff fixed-wing, cockpit-operated (hereafter referred to as fixed-wing) aircraft pilot positions that Congress authorizes and funds through appropriations. These Air Force pilots staff a mix of operational and non- operational positions. Operational positions include both flying (e.g., combat pilot or instructor pilot positions) and non-flying positions (e.g., close air support duty officer positions in an Air Operations Center) that directly support combat operations. Non-operational positions are generally non-flying, and include assignments to headquarters or combatant command positions, some of which can be staffed by other types of Air Force officers. This appendix compares Air Force pilot staffing levels with authorizations for operational and non-operational positions for all fixed-wing aircraft communities for fiscal years 2006 through 2017.", "Air Force fixed-wing community pilots operate fighter, bomber, mobility, surveillance, and special operations aircraft. Fighter pilots operate tactical aircraft that engage in air-to-air and air-to-surface attacks and include the A-10, F-15, F-16, F-22A, and F-35 aircraft. Bomber pilots operate aircraft to deliver munitions and include the B-1, B-2, and B-52 aircraft. Mobility pilots operate aircraft used for aerial refueling and troop and cargo transport and include the C-17 and KC-135 aircraft. Surveillance pilots operate aircraft used for surveillance and reconnaissance to support ground troops and include the E-8 and U-2 aircraft. Special operations pilots operate aircraft that provide close-air support for ground troops, including the AC-130.", "Air Force officials report that they can staff certain operational positions designated for fighter pilots with pilots from other pilot communities that have surpluses. For example, Air Force officials told us they can staff mobility or surveillance pilots (communities which both had a surplus of pilots in fiscal year 2017) to certain basic flying training instructor pilot positions that would otherwise be staffed by fighter pilots. Figure 8 shows the Air Force active component fixed-wing aircraft community pilot staffing levels and authorizations for fiscal year 2017.", "According to Air Force data for the active component, the Air Force had fewer fighter pilots than authorizations in 11 of 12 years from fiscal year 2006 through fiscal year 2017. This gap grew from 192 fighter pilots (5 percent of authorizations) in fiscal year 2006 to 1,005 (27 percent of authorizations) in fiscal year 2017. Figure 9 shows the comparison of the Air Force\u2019s active component fighter pilot staffing levels with authorizations for fiscal years 2006 through 2017.", "According to Air Force data for the reserve components the Air National Guard and the Air Force Reserve, the Air Force had fewer fighter pilots than authorizations every fiscal year from fiscal year 2006 through 2017. For example, the Air Force reported that the reserve components had a gap of 271 fighter pilots (17 percent of authorizations) in fiscal year 2017. Figure 10 illustrates the gap between staffing levels and authorizations for Air Force fighter pilots in the reserve components for fiscal years 2006 through 2017.", "According to Air Force data for the active component, the Air Force had fewer bomber pilots than authorizations in fiscal years 2014 through 2017. This gap grew from 11 bomber pilots (1 percent of authorizations) in fiscal year 2014 to 135 (15 percent of authorizations) in fiscal year 2017. Figure 11 shows the comparison of the Air Force\u2019s active component bomber pilot staffing levels with authorizations for fiscal years 2006 through 2017.", "According to Air Force data for the active component, the Air Force had more mobility pilots than authorizations from fiscal year 2006 through fiscal year 2017. This surplus peaked at 1,637 mobility pilots (132 percent of authorizations) in fiscal year 2011, and declined to 264 (105 percent of authorizations) in fiscal year 2017. Figure 12 shows the comparison of the Air Force\u2019s active component mobility pilot staffing levels with authorizations for fiscal years 2006 through 2017.", "According to Air Force data for the active component for fiscal years 2006 through 2017, the Air Force had fewer surveillance pilots than authorizations in fiscal years 2012 and 2013. In fiscal year 2017, the surplus was 220 surveillance pilots (128 percent of authorizations). Figure 13 shows the comparison of the Air Force\u2019s active component surveillance pilot staffing levels with authorizations for fiscal years 2006 through 2017.", "According to Air Force data for the active component, the Air Force had fewer special operations pilots than authorizations from fiscal year 2006 through fiscal year 2017. Special operations pilot staffing levels and authorizations have increased substantially from fiscal year 2009 through fiscal year 2017. Further, the gap between the staffing levels and authorizations decreased from 342 special operations pilots (29 percent of authorizations) in fiscal year 2009 to 227 (14 percent of authorizations) in fiscal year 2017. Figure 14 shows the comparison of the Air Force\u2019s active component special operations pilot staffing levels with authorizations for fiscal years 2006 through 2017."], "subsections": []}, {"section_title": "Appendix III: Comparison of Navy Pilot Staffing Levels and Authorizations for Fixed- Wing, Cockpit-Operated Aircraft", "paragraphs": ["The Navy uses pilots from both the active and reserve component to staff fixed-wing, cockpit operated (hereafter referred to as fixed-wing) aircraft pilot positions that Congress authorizes and funds through appropriations. These Navy pilots staff a mix of operational and non-operational positions. Operational positions include both flying (i.e., combat pilot or instructor pilot) and non-flying positions that directly support combat operations. Non-operational positions are generally non-flying positions, and include assignments to positions at headquarters or in the combatant commands that can be staffed by other types of Navy officers.", "The Navy does not separate non-operational fighter pilot authorizations from authorizations for other pilots. As a result, this appendix only presents Navy pilot staffing levels for those communities for fiscal years 2011 through 2017, and compares Navy pilot staffing levels to specific operational positions. Specifically, we compared authorizations and pilot staffing levels for Navy first operational tour, Department Head, and Command positions for all fixed-wing, cockpit-operated aircraft communities in the active component for fiscal years 2013 through 2017.", "Navy fixed-wing community pilots operate fighter, surveillance and transport, and maritime patrol aircraft. Navy fighter pilots operate tactical aircraft for air defense and support. Fighter aircraft include both legacy and Super Hornet variants of the F/A-18, as well as newer tactical aircraft such as the EA-18G developed for electronic warfare and the F- 35. Surveillance and transport pilots operate turboprop aircraft, including the E-2D for surveillance and airborne early warning missions and the C- 2A for troop and cargo transport between aircraft carriers and shore bases. Maritime patrol pilots operate jet aircraft for missions including anti-submarine warfare and anti-surface warfare, and include aircraft such as the P-8A.", "According to Navy personnel data, Navy fighter pilot staffing levels decreased from 1,707 fighter pilots in fiscal year 2015 to 1,548 (a 9- percent decrease) in fiscal year 2017. Figure 15 compares changes in the Navy fighter, surveillance and transport, and maritime patrol pilot staffing levels for fiscal years 2011 through 2017.", "According to Navy fixed-wing pilot staffing levels and authorizations data for the first tour milestone (i.e., pilots\u2019 first operational tours at sea for pilots generally with between 3 and 6 years of service), the Navy was unable to fully staff fighter pilot, surveillance and transport, and maritime patrol operational positions from fiscal years 2013 through 2017. The fighter pilot gap grew from 57 fighter pilots (12 percent of authorizations) in fiscal year 2013 to 136 fighter pilots (26 percent) in fiscal year 2017. The surveillance and transport pilot gap varied from 29 pilots (20 percent of authorizations) in fiscal year 2013 to 30 pilots (23 percent) in fiscal year 2017, while the maritime patrol community pilot gap decreased from 112 pilots (23 percent of authorizations) in fiscal year 2013 to 4 pilots (1 percent) in fiscal year 2017. Figure 16 compares the Navy active component fighter pilot, surveillance and transport, and maritime patrol communities\u2019 first tour staffing levels and authorizations for operational positions for fiscal years 2013 through 2017.", "According to Navy fixed-wing aviator staffing levels and authorizations data for the Department Head milestone (i.e., a mid-career operational leadership tour for different aspects of squadron management for pilots with between about 11 and 13 years of service), the military service had more fighter, surveillance and transport, and maritime patrol aviators than authorizations for fiscal years 2013 through 2017. However, the surplus of fighter aviators compared with authorizations decreased from 68 aviators (133 percent of authorizations) in fiscal year 2013 to 28 aviators (114 percent) in fiscal year 2017. Figure 17 compares the Navy active component fighter, surveillance and transport, and maritime patrol aviator communities\u2019 Department Head staffing levels and authorizations for operational positions for fiscal years 2013 through 2017.", "According to Navy fixed-wing aviator staffing levels and authorizations data for the Command milestone (i.e., a leadership tour for Commanders, including squadron commander, for aviators with between about 17 and 19 years of service) the number of fighter, surveillance and transport, and maritime patrol aviators compared with authorizations increased from fiscal years 2013 through 2017. For example, while the fighter pilot community had fewer aviators than authorizations in fiscal year 2013 (a gap totaling 2 percent of authorizations), it had a surplus of aviators in fiscal year 2017 (2 percent above authorizations). Figure 18 compares the Navy active component fighter, surveillance and transport, and maritime patrol aviator communities\u2019 Command milestone staffing levels and authorizations for fiscal years 2013 through 2017."], "subsections": []}, {"section_title": "Appendix IV: Comparison of Marine Corps Pilot Staffing Levels and Authorizations for Fixed-Wing, Cockpit Operated Aircraft", "paragraphs": ["The Marine Corps uses pilots from both the active and reserve components to staff fixed-wing, cockpit-operated (hereafter referred to as fixed-wing) aircraft pilot positions that Congress authorizes and funds through appropriations. These Marine Corps pilots staff a mix of operational and non-operational positions. Operational positions include both flying (e.g., combat pilot or instructor pilot positions) and non-flying positions (e.g., air controller in a ground infantry unit) that generally support combat operations. Non-operational positions are generally non- flying and include assignments to headquarters or combatant command positions, some of which can be staffed by other types of Marine Corps officers. This appendix compares Marine Corps pilot staffing levels with authorizations for operational and non-operational positions for all fixed- wing aircraft communities for fiscal years 2006 through 2017.", "Marine Corps fixed-wing community pilots operate fighter, tiltrotor, and tanker aircraft. Fighter pilots operate tactical aircraft for air defense and close air support and attack missions, and include the EA-6B, AV-8B, F/A-18, and F-35. Tiltrotor pilots operate the MV-22\u2014an aircraft that operates as a helicopter for takeoffs and landings and, once airborne, converts to a turboprop aircraft\u2014and is used to transport combat troops and equipment. Tanker pilots operate the KC-130, an aircraft used for in- flight refueling and transport of troops and equipment.", "According to Marine Corps data for the active component, the Marine Corps had fewer pilots than authorizations in all of its fixed-wing communities in fiscal year 2017. The Marine Corps forecasts this gap will persist through at least fiscal year 2023. Figure 19 shows the Marine Corps active component fixed-wing pilot staffing levels and authorizations for fiscal year 2017.", "According to Marine Corps data for the active component, the Marine Corps had fewer fighter pilots than authorizations from fiscal year 2006 through fiscal year 2017. This gap grew from 63 fighter pilots (6 percent of authorizations) in fiscal year 2006 to 322 fighter pilots (24 percent) in fiscal year 2017. Figure 20 shows the comparison of the Marine Corps\u2019 active component fighter pilot staffing levels and authorizations for fiscal years 2006 through 2017.", "According to Marine Corps data for the active component, the Marine Corps had fewer fighter pilots than operational positions in fiscal years 2016 and 2017. Figure 21 shows the comparison of the Marine Corps\u2019 active component fighter pilot staffing levels with operational positions for fiscal years 2006 through 2017.", "According to Marine Corps data for the reserve component, the Marine Corps Reserve, a community that the Marine Corps uses to augment its available staffing levels of active duty pilots, had more fighter pilots than authorizations for 8 of 12 years in fiscal years 2006 through 2017. The Marine Corps had a gap of seven reserve component fighter pilots (6 percent of authorizations) for fiscal year 2017. Figure 22 shows the Marine Corps Reserve fighter pilot staffing levels and authorizations for fiscal years 2006 through 2017.", "According to Marine Corps data for the active component, the Marine Corps had fewer junior fighter pilots\u2014those pilots between grades Officer-1 and Officer-3\u2014than authorizations from fiscal year 2006 through fiscal year 2017. Marine Corps officials told us that, as a result, the Marine Corps assigns pilots at the Officer-4 grade to staff positions designated for junior pilots. For example, in fiscal year 2017 the Marine Corps needed an additional 309 junior fighter pilots (48 percent of authorizations) to fill all authorizations. Figure 23 shows the comparison of the Marine Corps active component junior and senior fighter pilot staffing levels and authorizations for fiscal year 2017.", "According to Marine Corps data for the active component, the Marine Corps had fewer tiltrotor pilots than authorizations from fiscal year 2006 through fiscal year 2017. Tiltrotor pilot staffing levels and authorizations have increased substantially from fiscal year 2006 through fiscal year 2017. Further, the gap between the staffing levels and authorizations has decreased from 137 tiltrotor pilots (70 percent of authorizations) in fiscal year 2006 to 322 tiltrotor pilots (34 percent of authorizations) in fiscal year 2017. Figure 24 shows the comparison of the Marine Corps active component tiltrotor pilot staffing levels and authorizations in fiscal years 2006 through 2017.", "According to Marine Corps active component data, the Marine Corps had fewer tanker pilots than authorizations from fiscal year 2006 through fiscal year 2017. This gap decreased from 86 tanker pilots in fiscal year 2006 (22 percent of authorizations) to 18 tanker pilots (5 percent of authorizations) in fiscal year 2017. Figure 25 shows the comparison of the Marine Corps active component tanker pilot staffing levels and authorizations for fiscal years 2006 through 2017."], "subsections": []}, {"section_title": "Appendix V: Initiatives Implemented by the Air Force to Address Reported Fighter Pilot Shortages", "paragraphs": ["In March 2016, the Chief of Staff of the Air Force created the Fighter Enterprise Tiger Team to address the fighter pilot shortage that the Air Force identified. In February 2017, the Air Force effort was expanded to include all rated personnel and renamed the Aircrew Crisis Task Force. According to Air Force officials, the task force has focused on the following areas to improve fighter pilot retention: work/life balance, quality of service, and monetary compensation. In August 2017 the Aircrew Crisis Task Force held a Dedicated Aircrew Retention Team Summit that included organizing discussion groups with pilots to obtain information on retention challenges. According to Air Force officials, in September 2017, the task force presented 25 of the 44 recommendations developed at the summit to the Chief of Staff of the Air Force and as of November 2017 the Chief of Staff had decided to implement 2 of them immediately and conduct additional analysis on the other 23. The recommendations being analyzed include reducing the length and number of deployments for fighter pilots and converting some non-flying fighter pilot positions to UAS pilot positions. As of November 2017, these efforts had resulted in 37 implemented initiatives (see table 2)."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Lori Atkinson, Assistant Director; Vincent Buquicchio, Timothy Carr, Mae Jones, Foster Kerrison, Amie Lesser, Michael Silver, and Nell Williams."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Military Personnel: Actions Needed to Better Position the Navy and the Marine Corps to Support Expanding Unmanned Systems Operations. GAO-18-162. Washington, D.C.: February 6, 2018.", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "DOD Training: DOD Has Taken Steps to Assess Common Military Training. GAO-17-468. Washington, D.C.: May 23, 2017.", "Navy Force Structure: Actions Needed to Ensure Proper Size and Composition of Ship Crews. GAO-17-413. Washington, D.C.: May 18, 2017.", "High Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Military Compensation: Additional Actions Are Needed to Better Manage Special and Incentive Pay Programs. GAO-17-39. Washington, D.C.: February 3, 2017.", "Unmanned Aerial Systems: Air Force and Army Should Improve Human Capital Planning for Pilot Workforces. GAO-17-53. Washington, D.C.: January 31, 2017.", "Unmanned Aerial Systems: Further Actions Needed to Fully Address Air Force and Army Pilot Workforce Challenges. GAO-16-527T. Washington, D.C.: March 16, 2016.", "Unmanned Aerial Systems: Actions Needed to Improve DOD Pilot Training. GAO-15-461. Washington, D.C.: May 14, 2015.", "Air Force: Actions Needed to Strengthen Management of Unmanned Aerial System Pilots. GAO-14-316. Washington, D.C.: April 10, 2014.", "Tactical Aircraft: DOD\u2019s Ability to Meet Future Requirements Is Uncertain, with Key Analyses Needed to Inform Upcoming Investment Decisions. GAO-10-789. Washington, D.C.: July 29, 2010.", "Unmanned Aircraft Systems: Comprehensive Planning and a Results- Oriented Training Strategy Are Needed to Support Growing Inventories. GAO-10-331. Washington, D.C.: March 26, 2010.", "Human Capital: Key Principles for Effective Strategic Workforce Planning. GAO-04-39. Washington, D.C.: December 11, 2003.", "Military Personnel: Actions Needed to Better Define Pilot Requirements and Promote Retention. GAO/NSIAD-99-211. Washington, D.C.: August 20, 1999."], "subsections": []}], "fastfact": []} {"id": "GAO-19-130", "url": "https://www.gao.gov/products/GAO-19-130", "title": "Federal Student Aid: Actions Needed to Evaluate Pell Grant Pilot for Incarcerated Students", "published_date": "2019-03-05T00:00:00", "released_date": "2019-04-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Incarcerated students are generally prohibited from receiving Pell grants, which provide need-based federal financial aid to low-income undergraduate students. However, Education has the authority to waive specific statutory or regulatory requirements for providing federal student aid at schools approved to participate in its experiments. Accordingly, the department initiated the multi-year Second Chance Pell pilot in 2015 to test whether allowing incarcerated individuals to receive Pell grants increases their participation in higher education programs and influences their academic and life outcomes, or creates any obstacles to schools' administration of federal financial aid programs.", "GAO was asked to review the Second Chance Pell pilot. This report examines (1) actions Education, schools, and other stakeholders have taken to implement the pilot; (2) experiences participating schools are having as they implement the pilot; and (3) how Education is monitoring and evaluating the pilot and whether opportunities for improvement exist.", "GAO analyzed summary-level Education data from the 2016-2017 and 2017-2018 school years and interviewed a non-generalizable sample of 12 schools (and associated prison partners) that were selected for variation in type of school (i.e., public and private nonprofit), type of prisons served, and other variables. GAO also interviewed Education officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Education (Education) selected 64 schools across 26 states to participate in the Second Chance Pell pilot, and participating schools collaborated with prisons and other stakeholders to implement the pilot. Across the pilot's first 2 years, schools awarded approximately $35.6 million in Pell grants to about 8,800 incarcerated students.", "Officials from the 12 schools GAO interviewed reported experiencing some challenges implementing the pilot. First, school officials said they experienced challenges establishing incarcerated applicants' eligibility for Pell grants, since some applicants had not registered for Selective Service and some had an existing federal student loan in default. However, many applicants were able to complete the necessary steps\u2014such as making a set number of payments on their defaulted loans\u2014to reestablish eligibility. Second, obtaining documents from incarcerated applicants to support verification\u2014which helps the department's efforts to reduce improper payments of federal student aid\u2014was another challenge officials reported. School officials also said that providing college classes in prisons required them to develop new processes and creative solutions to overcome technology limitations, space limitations, and the transfer of students to other prisons. Officials from 8 of 12 schools told GAO they hired additional staff or developed new approaches in response to their pilot efforts.", "Incarcerated College Students inside New York's Sing Sing Correctional Facility", "Education monitors the pilot by collecting data from participating schools, but had not established how it intended to evaluate Second Chance Pell or measure the pilot's performance against its objectives. Education is required to review and evaluate experiments under the Experimental Sites Initiative\u2014of which Second Chance Pell is a part\u2014and make recommendations, as appropriate, to improve the delivery of federal student aid. In its comments on the draft report, Education stated that it was planning to evaluate the pilot, consistent with the pilot's objectives, and described a number of steps it was taking to do so. Completing this evaluation can help ensure policymakers have the information needed to make decisions about the future of Pell grants for incarcerated students."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Secretary of Education complete its evaluation of the pilot to report on its findings and conclusions. Education concurred, with clarification, and stated that it had actions underway to evaluate the pilot."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal Pell grant program provides low-income undergraduate students with financial aid for postsecondary education. However, incarcerated students have been generally prohibited from receiving Pell grants since 1994. In 2015, the Department of Education (Education) initiated the Second Chance Pell pilot program. The pilot program allows incarcerated students who meet all other Pell eligibility requirements to receive Pell grants for use at selected colleges and universities. The program has a particular focus on those students who are likely to be released within 5 years. The objectives of the pilot are to test whether awarding Pell grants to incarcerated students increases their participation in higher education programs and influences their academic and life outcomes, and to examine whether the pilot creates any challenges or obstacles to a school\u2019s administration of federal financial aid programs. Education has not set an end date for the Second Chance Pell pilot, but stated that experiments under the initiative typically run 3 to 4 years. The pilot began its third school year in July 2018.", "You asked us to review the Second Chance Pell pilot. This report examines the following questions: 1. What actions have Education, schools, and other stakeholders taken to implement the Second Chance Pell pilot? 2. What experiences are participating schools having as they implement the Second Chance Pell pilot? 3. How is Education monitoring and evaluating the pilot, and what opportunities, if any, exist for improvement in these areas?", "To determine what actions Education and other stakeholders have taken to implement the pilot, we reviewed summary-level data from Education regarding the schools and individuals that participated in the first 2 years of the pilot. To ensure the reliability of these data, we reviewed agency documentation about the data and the system that produced them and interviewed officials from Education responsible for collecting and validating the data. We found the data to be sufficiently reliable for our purposes. To further identify the actions taken to implement the pilot, we interviewed officials from the Department of Justice, as well as Education\u2019s Office of Federal Student Aid, on the actions taken to prepare for the pilot and the guidance and support provided to participants, among other topics. We also interviewed representatives from three research groups\u2014the Urban Institute, the Vera Institute of Justice (Vera), and New America\u2014in order to gain additional insight on the effects of postsecondary correctional education as well as the design and implementation of the Second Chance Pell pilot.", "To understand schools\u2019 actions and experiences implementing the pilot, we interviewed officials from a non-generalizable sample of 12 participating schools (and associated prison partners) that were selected for variation in type of schools (i.e. public and private nonprofit), degrees awarded, type of prisons served, and other variables. As part of these interviews, we also interviewed officials from seven correctional facilities who partnered with the participating schools. We also visited three prisons that partnered with the selected schools (Jessup Correctional Institution in Maryland, Mission Creek Corrections Center for Women in Washington State, and Sing Sing Correctional Facility in New York) and one school\u2019s campus (City University of New York) in order to observe classrooms and student resources such as libraries and study spaces and to talk with individuals selected by the schools about their experiences participating in the pilot. These sites were selected for variation in experience delivering college classes in prisons, number of students served, and to allow us to observe both men\u2019s and women\u2019s prison facilities. To further understand schools\u2019 experiences as they implement the pilot, we attended the third-annual convening of Second Chance Pell partners, which was a 2-day conference for participating schools, their correctional partners, and other stakeholders, hosted by Vera.", "To assess how Education is monitoring and evaluating the pilot, we reviewed Education\u2019s documentation on the pilot\u2019s objectives (including any evaluation objectives), analyzed the data collection instruments Education uses to monitor the pilot, and compared Education\u2019s efforts to leading practices we have identified for effective pilot design and evaluation. Our complete scope and methodology can be found in appendix I.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Pell Grant Program", "paragraphs": ["First authorized in 1972, the Pell Grant Program awards federally-funded grants to low-income undergraduate and certain post-baccalaureate students who are enrolled in a degree or certificate program (which can include vocational programs) and have federally-defined financial need. Education\u2019s Office of Federal Student Aid administers the Pell Grant program and other federal student aid programs\u2014grants, loans, and work-study\u2014authorized under Title IV of the Higher Education Act of 1965, as amended. Students are eligible to receive Pell grants for no more than 12 semesters (or the equivalent). The maximum allowable Pell grant for the 2018-2019 school year was $6,095.", "The amount a student receives is based on a formula that compares the estimated cost to attend a particular school with a student\u2019s expected family contribution toward that cost. A student\u2019s expected family contribution is determined by considering his or her income and assets, or for students who are dependent or independent students who are married, their income and assets as well as that of their parents or spouses. Students are eligible for federal need-based aid if their cost of attending a school is more than their expected family contribution. Students incarcerated in federal or state penal institutions have been ineligible for Pell grants since the enactment of the Violent Crime Control and Law Enforcement Act of 1994. Beginning in the 2016-2017 school year, the Second Chance Pell pilot has allowed a limited number of students to receive Pell grants despite their incarceration."], "subsections": []}, {"section_title": "Federal Student Aid Eligibility", "paragraphs": ["In general, to be eligible to receive federal student aid (including Pell grants), Department of Education guidance states that an applicant must: be a citizen or eligible noncitizen of the United States; have a valid Social Security Number; have a high school diploma or a General Education Development certificate, or have completed homeschooling; be enrolled in an eligible program as a regular student seeking a maintain satisfactory academic progress; not owe a refund on a federal student grant or be in default on a federal student loan; register (or already be registered) with the Selective Service System, if the person is a male and not currently on active duty in the U.S. Armed Forces; and not have a conviction for the possession or sale of illegal drugs for an offense that occurred while the person was receiving federal student aid (such as grants, work-study, or loans).", "For the Pell grant program, an applicant must also demonstrate financial need and not have obtained a bachelor\u2019s degree or a first professional degree."], "subsections": []}, {"section_title": "Applying for Financial Aid", "paragraphs": ["In the 2016-2017 school year, more than 18.6 million prospective students applied for federal student aid by submitting the Free Application for Federal Student Aid (FAFSA). The FAFSA consists of more than 100 questions that collect information ranging from basic contact information to the current value of assets. Several questions ask for financial information, which could require applicants (and their parents and spouses, if they are dependent or married) to rely upon information located on tax returns, as well as information from bank, business, and investment records. Incarcerated individuals in the Second Chance Pell pilot are required to apply for financial aid using the same process as students in the non-incarcerated population.", "After Education processes an applicant\u2019s FAFSA, a report is sent to the applicant or made available online. This report includes the applicant\u2019s expected family contribution, the types of federal aid for which the applicant qualifies, and information about any errors\u2014such as questions the applicant did not complete\u2014that Education identified during FAFSA processing. Schools send applicants award letters after admission, providing students with types and amounts of federal, state, and institutional aid, should the student decide to enroll."], "subsections": []}, {"section_title": "Education\u2019s FAFSA Verification Process", "paragraphs": ["Education uses a process called \u201cverification\u201d to help identify and correct erroneous or missing information in students\u2019 FAFSAs, which helps the department\u2019s efforts to reduce improper payments of federal student aid.", "Education selects approximately 30 percent of FAFSAs for verification each academic year and schools are required to work with the selected students to confirm the accuracy of the information provided on their FAFSAs. A student is responsible for gathering the necessary documentation\u2014such as prior years\u2019 tax returns or proof of having obtained a high school diploma\u2014and providing it to the school financial aid office, which compares the information submitted in the FAFSA to the student\u2019s supporting documentation. If there is a difference between the student\u2019s documentation and what he or she submitted on the FAFSA, the FAFSA information may need to be corrected.", "When selecting FAFSAs for verification, Education aims to select those FAFSAs with the highest statistical probability of error and the impact of such error on award amounts. Education\u2019s specific criteria for selecting FAFSAs for verification is not public information; however, the department periodically refines its process for selecting FAFSAs to reduce the burden of verification on applicants, their families, and schools while maintaining the integrity of the federal student aid programs.", "Education publishes a list of potential verification items for each award year in the Federal Register. The items that schools are required to verify for a given application are selected by Education from that list. For the 2018-2019 school year, the items for verification are shown below:", "Adjusted gross income,", "U.S. income tax paid,", "Untaxed portions of Individual Retirement Arrangement distributions,", "Untaxed portions of pensions, Individual Retirement Arrangement deductions and payments,", "Tax-exempt interest income, Income earned from work,", "Household size,", "Number of household members in college,", "High school completion status,", "Education credits, and Identity and statement of educational purpose."], "subsections": []}, {"section_title": "Research on the Effects of Participating in Education while Incarcerated", "paragraphs": ["The body of literature on prisoners\u2019 participation in educational programs while incarcerated suggests there may be benefits for participants, the facilities in which they are housed, and taxpayers. However, positive benefits attributed to postsecondary correctional education are not always clear because the students who would have done better post-release may have been more willing or motivated to participate in the program anyway. See appendix II for a summary of selected research on correctional education. See appendix III for additional information on the educational attainment of the prison population."], "subsections": []}]}, {"section_title": "Education, Participating Schools, and Other Stakeholders Took Several Actions to Implement the Second Chance Pell Pilot", "paragraphs": [], "subsections": [{"section_title": "Education Selected 64 Schools to Participate in the Second Chance Pell Pilot", "paragraphs": ["In response to an August 2015 Federal Register notice announcing the pilot, Education officials reported receiving applications from over 200 schools seeking to participate. The officials said they selected schools for the pilot that varied along several characteristics, including location and size, as well as ensuring that selected schools did not have a history of compliance issues or other problems delivering federal student aid. Education selected 64 schools to participate in the pilot and officially notified schools in June of 2016 that Pell-funded courses could begin as early as July 1 of that year. The 64 schools are located across 26 states and include public and private nonprofit 2- and 4-year schools. Figure 1 below shows the locations and numbers of the 64 schools selected to participate in the pilot and figure 2 includes additional information on 3 schools participating in the pilot that were included our sample. Appendix IV includes a complete list of the schools Education selected to participate in the pilot and select characteristics of those schools."], "subsections": []}, {"section_title": "Education, Schools, Prisons, and Others Collaborated to Prepare for and Implement the Pilot", "paragraphs": ["To prepare for the pilot, Education took a number of actions. For example, Education hosted four webinars for officials at schools selected to participate in the pilot. The first two webinars occurred in September 2015, during which Education officials discussed the pilot\u2019s objectives and strategies for establishing effective partnerships between schools and prisons. The third webinar took place in July 2016 and covered how to navigate the federal financial aid application process and the information Education planned to collect from schools, among other topics. Education held the final webinar in August 2016 in collaboration with the Department of Justice. The webinar contained information on how schools and their prison partners could develop shared goals, roles, expectations, policies, and procedures, and how these might be incorporated into a memorandum of understanding. Education also developed a Frequently Asked Questions page on its website and responded to questions submitted by school officials via email. In addition, Education hosted breakout sessions for Second Chance Pell schools at its annual Federal Student Aid Training Conference in 2016, 2017, and 2018.", "School officials reported working with a variety of stakeholders to prepare for and to implement the pilot. For instance, officials from 7 of 12 schools we interviewed said they collaborated with one or more additional stakeholders within the school, such as individuals working in academic departments, financial aid, the registrar, the bursar, and academic advising. For example, officials from one school said administrators partnered with the bursar and the registrar to ensure that incarcerated students were not unenrolled from classes if their Pell grants took longer to be disbursed than those for non-incarcerated students. Officials from 10 of 12 schools we interviewed talked about the importance of coordinating with staff at the prison, and officials from 9 schools said coordinating with their states\u2019 departments of corrections was important for implementing the pilot. For example, officials from one school said their state Department of Corrections demolished a wall at one participating prison in order to provide more classroom and study space for the program.", "Finally, schools described collaborating with organizations that help facilitate college courses in prisons. For example, officials from all 12 schools we interviewed said that Vera provided technical assistance, such as information-sharing and opportunities to network with other pilot schools. Officials from one school also noted that they partner with Hudson Link, an organization that recruits students for postsecondary correctional education programs and supports students\u2019 reentry upon release, among other activities."], "subsections": []}, {"section_title": "Almost 8,800 Incarcerated Students Received a Pell Grant in the Pilot\u2019s First 2 Years", "paragraphs": ["Across the pilot\u2019s first 2 years, 59 Second Chance Pell schools disbursed approximately $35.6 million in Pell grants to a total of 8,769 individual students. See table 1 for a comparison between the first and second school years.", "Not all of the 64 schools selected for the pilot began offering Pell-funded classes at the start of year one. Specifically, 11 of the 64 selected schools were unable to offer classes in the pilot\u2019s first year and 5 of the 64 selected schools did not offer classes in the second year. Education officials told us that some schools needed additional time to stand up their programs, as the department allowed, for a number of reasons. For example, officials said:", "Some schools with new correctional education programs faced delays obtaining accreditation for those programs.", "Some schools needed additional time to work out operational details, such as obtaining credentials or security clearances in order for faculty and staff to enter the prison.", "Some schools needed additional time to build relationships with correctional partners.", "Figure 3 shows incarcerated students taking college classes inside two New York prisons."], "subsections": []}]}, {"section_title": "Officials from Selected Schools Reported Experiencing Some Challenges Implementing the Pilot, but Developed New Approaches to Address these Challenges", "paragraphs": [], "subsections": [{"section_title": "School Officials Reported Challenges in a Few Areas Required to Establish Incarcerated Applicants\u2019 Eligibility for Pell Grants", "paragraphs": ["School officials we interviewed said that they experienced some challenges establishing incarcerated applicants\u2019 eligibility for aid, including establishing an applicant\u2019s citizenship or eligible non-citizenship and providing accurate Social Security Numbers or Alien Registration Numbers. For example, officials from 6 of the 12 schools we interviewed said that some of their incarcerated applicants did not know or have access to their Social Security Number. The two most commonly- identified reasons applicants were initially ineligible for Pell grants were (1) some applicants had not registered for Selective Service, and (2) some had an existing federal student loan in default status. Schools and applicants faced challenges addressing these reasons.", "Selective Service. Generally, to be eligible to receive Pell grants, applicable male students must have registered with the Selective Service. However, for male students who have not registered, institutions may determine that the student is not ineligible for a Pell grant if the student can demonstrate by submitting evidence to the institution that (1) he was unable to present himself for registration because of reasons beyond his control\u2014such as hospitalization, incarceration, or institutionalization\u2014or (2) he is over 26 and when he was between the ages of 18 to 26, he did not knowingly and willfully fail to register with the Selective Service.", "Education data showed that about 15 percent of the FAFSAs submitted in the pilot\u2019s first year were from applicants who had not registered for Selective Service. In comparison, 2 percent of FAFSAs in the overall population were submitted by applicants who had not registered. School officials said that many applicants had been continuously incarcerated between ages 18 to 26, but that obtaining documentation to demonstrate this was difficult in some circumstances. For example, officials from one school reported that obtaining records from juvenile correctional facilities was challenging and officials at another school said that applicants did not always know or have access to their exact dates of incarceration.", "Men over age 26 who had not been continuously incarcerated but who wished to apply for federal financial aid must obtain an official response from the Selective Service System confirming that the individual did not register, but should not be denied federal benefits. To obtain this official response, the student can write or call the Selective Service System with a detailed description of the circumstances he believed prevented him from registering at the required time. The individual would then provide the official written response from the Selective Service System to his school financial aid office, which would evaluate whether his failure to register was knowing or willful. Officials from 7 of the 12 schools we interviewed said the process to obtain documentation from the Selective Service System was difficult or time-consuming.", "Student Loan Default. Applicants are generally ineligible for Pell grants if they have a prior federal student loan in default status. Education data showed that about 10 percent of FAFSAs in the first year of the pilot were submitted by applicants with an existing federal student loan in default status. In comparison, about 2 percent of FAFSAs in the overall population were submitted by applicants with an existing loan in default status. Officials from all 12 schools we interviewed said at least some of their incarcerated applicants had existing federal student loans in default status. There are options, however, for individuals to remove default status from their loans, potentially regaining eligibility for Pell grants. For example, borrowers may rehabilitate their student loans by entering into and completing a written agreement that requires the borrower to make nine on-time monthly payments within 10 consecutive months. These income-driven payments can be as low as $5 per month.", "According to school officials, however, removing default status from loans can be challenging for incarcerated individuals. For example, officials from one school we interviewed said applicants generally cannot make phone calls to set up loan repayment plans and instead have to rely on postal mail for completing the necessary paperwork. Also, officials from another school we interviewed said that for applicants who must rely on family members outside the prison to make the required payments, there is no guarantee that the family will do so. Additionally, borrowers may rehabilitate a loan only once. Despite these challenges, officials from five schools said they had applicants who were working to rehabilitate their loans, such as by paying from wages earned through prison work or by having family members make payments on their behalf. Officials from two of those schools said they had one or more applicants who successfully rehabilitated their loans and were able to enroll in the pilot."], "subsections": []}, {"section_title": "School Officials Reported Challenges Verifying Incarcerated Applicants\u2019 Income and Assets", "paragraphs": ["According to school officials we interviewed, verifying incarcerated applicants\u2019 income and assets was challenging, in particular, because of circumstances unique to applicants being in prison. Communication between the applicant, the applicant\u2019s family, and the school\u2019s financial aid office is limited by virtue of the applicant\u2019s confinement. For example, incarcerated applicants were typically unable to be reached via phone or email to answer questions, according to school officials we interviewed, and completing verification paperwork sometimes required multiple trips to the prison, which in some cases was more than an hour away. Further, incarcerated applicants sometimes did not have access to their personal files or records and faced difficulties obtaining documentation, such as copies of high school transcripts and tax records, which may be required for financial aid officers in the event the applicant is chosen for verification. Education guidance indicates that under certain circumstances, the school may accept alternate forms of documentation from the correctional facility if that documentation provides the information the school has requested. For example, the school may accept documentation from the correctional facility that shows an individual was incarcerated for the entire corresponding tax year, rather than requiring the applicant to obtain a letter of non-filing from the Internal Revenue Service.", "School officials said that some dependent and married students had trouble providing the school financial aid office with income documentation for others, such as a parent or spouse. According to Education data, approximately 2 percent of incarcerated applicants in the first year of the pilot were dependent, and nearly 11 percent were married. If an applicant selected for verification is dependent or married, he or she is required to provide the school with documentation to verify household income. Officials from 7 of the 12 schools we interviewed said that sometimes an applicant had trouble securing required documents from a parent or spouse. If an applicant cannot provide the required documentation of the income and assets of his parent or spouse, the school cannot verify the individual\u2019s FAFSA information and cannot award a Pell grant.", "School officials indicated that these challenges were compounded by the selection of a high percentage of Second Chance Pell FAFSAs for verification. Education uses a number of criteria to select FAFSAs for verification, which the department does not share publicly. However, Education officials said that being eligible for a Pell grant and reporting no income are two such criteria. As a result, schools that serve more Pell- eligible applicants are likely to have more of their applicants\u2019 FAFSAs selected for verification than schools that serve fewer Pell-eligible applicants. Accordingly, 76 percent and 59 percent of pilot FAFSAs were selected for verification in the 2016-2017 and 2017-2018 school years, respectively. Education\u2019s verification selection rate for non- incarcerated, Pell-eligible applicants was 53 percent in the 2017-2018 school year. Figure 4 below shows Education\u2019s verification selection rates for non-incarcerated Pell-eligible applicants and incarcerated applicants in these first two school years."], "subsections": []}, {"section_title": "Schools Hired Staff and Developed New Approaches to Address Challenges", "paragraphs": ["Officials from 8 of the 12 schools we interviewed reported hiring additional staff or allocating more staff hours to help manage the increased administrative workload. For example,", "Officials from one school said their school added six full-time employees to process financial aid for their pilot students.", "A financial aid officer from another school stated that her workload has increased since the pilot began, and she has taken on additional tasks, such as training other staff to fill in when she could not travel to the prison.", "Officials from another school said they have added positions in the academic, administrative, and financial aid departments to handle the additional administrative workload.", "In addition, officials from 9 of 12 schools said they developed new approaches to address challenges related to processing FAFSAs submitted by incarcerated applicants. For example:", "Start Early: Officials from one school reported collecting FAFSAs earlier in the second year than they had in the first year to allow for additional time to collect documentation for applicants who may be selected for verification. An incarcerated student we spoke with echoed this challenge when he spoke of difficulties locating prior years\u2019 tax returns. See sidebar for additional experiences shared by incarcerated students we met with. Officials from two schools reported having applicants complete verification-related paperwork, such as requests for supporting documentation from federal entities like the Internal Revenue Service, at the same time they completed their FAFSA. The officials said this approach reduced the number of visits the officials had to make to the prison and helped school officials and incarcerated applicants keep track of the required paperwork.", "Pre-screen Applicants: Officials from two schools reported pre- screening their incarcerated applicants for common issues that affect financial aid eligibility so that they could work with applicants to begin to correct these issues (such as helping applicants learn how to make payments to rehabilitate loan default status). Other schools used pre- screening to reduce the school\u2019s workload, since they were able to exclude ineligible applicants before they submitted a FAFSA.", "Track and Report on Status: Officials from one school said their information technology department developed a system that generates a report on the documentation that incarcerated applicants have provided and the documentation that remains outstanding. The report also contains notes from staff members on their document requests with the Selective Service System, Internal Revenue Service, and other agencies."], "subsections": []}, {"section_title": "Officials from Selected Schools Reported Logistical Challenges in Providing Prison-based Classes, but Many Schools Developed New Approaches to Address Them", "paragraphs": ["School officials we interviewed reported that providing college courses in prisons required them to develop new processes and generate creative solutions to help overcome technology limitations, space limitations, and the transfer of students to other prisons, among other limitations. For example, officials from 9 of the 12 schools said that limited technology in prisons, especially limited access to the Internet, presented a challenge. An official from one school said that classroom discussions were enhanced by the low-technology setting. To overcome technology limitations, officials from one school said that it partnered with the state libraries to develop a solution to deliver research materials to students. Specifically, an incarcerated student mails a research request to a state library. Once received, a librarian will locate the requested articles and electronically send the material to the prison\u2019s secure printer. A prison staff member will then deliver the material to the student. default status and could not access a prior year\u2019s tax return, making the process take longer.", "Officials from 9 of the 12 schools we interviewed said that space and scheduling limitations in prisons also presented a challenge. School officials told us they must compete for classroom space with other programming that is offered\u2014or in some cases required by law, such as GED education\u2014to inmates. Officials from two schools said they hold night and weekend classes to address such limitations. Officials from one school also reported that prison staff changed incarcerated students\u2019 schedules (such as meal times and other scheduled activities) to accommodate their academic needs. Additionally, some prison officials reported relocating all the student inmates into the same housing unit to help create a positive learning environment. helps inmates be less idle and therefore less likely to engage in negative behavior. elevates the status of students in the prison, and the younger people look up to him and his college-going peers.", "Officials from 7 of the 12 schools we interviewed said at least one incarcerated student was either transferred to another prison or was released during the pilot. To address the issue of students being transferred to a different prison, officials from three schools said they developed an agreement with their state\u2019s department of corrections that students participating in the pilot would not be transferred to other facilities until the end of the academic term. and open a nonprofit organization serving youth.", "December 2018. He plans to work toward becoming a home inspector and attend classes at the main campus, where he has applied for an academic scholarship. released by the end of 2018, was proud to be leaving prison with a college degree. He plans to start a business and mentor young men to pursue education. year sentence. He plans to start a business upon release and had developed a business plan as part of his studies. He also plans to work with at-risk young men to steer them away from crime and towards education.", "To monitor Pell dollars spent and other aspects of the pilot, Education systematically collects data from participating schools. Education requires schools to report data monthly, to complete an annual report, and to respond to a survey each academic year. Education officials said they use schools\u2019 monthly reporting\u2014which is limited to the participating students\u2019 Social Security Numbers and last names\u2014to monitor Pell grant disbursements. Education requires schools to report annually on the students who completed FAFSAs, including the number of credits that students attempted and earned and the dollar amount students were assessed for tuition and fees, for example. Education officials reported that they will follow up with schools that are not reporting data to determine if the school either has no data to report or needs further assistance from the department.", "As part of its annual survey to schools, Education asks officials to describe any challenges their schools faced when implementing the pilot, such as the roles and responsibilities of schools and corrections partners for helping incarcerated applicants complete FAFSAs, as well as how academic programs were determined. In addition, Education asks schools to share examples of any challenges their schools faced when implementing the pilot. Education sent its first annual survey to Second Chance Pell schools in August 2018, in which it asked school officials to reflect on the pilot\u2019s first year (2016-2017 school year). Education officials reported that all schools had completed the required reporting for the first year of the pilot (2016-2017) and that as of November 2018, 47 schools had completed their reporting for the second year of the pilot (2017- 2018). Specific data elements collected by Education for the pilot are presented in appendix V."], "subsections": []}, {"section_title": "Education Has Not Yet Evaluated Pilot Results", "paragraphs": ["A key component of the Experimental Sites Initiative\u2014of which Second Chance Pell is a part\u2014is rigorous evaluation of whether experiments achieve their stated objectives. Education is directed to review and evaluate the experiences of schools participating in its experimental sites and report biennially on the findings and conclusions reached regarding each of the experiments conducted. Further, the department is directed to make recommendations for amendments to improve and streamline the Higher Education Act, which includes the delivery of federal student financial aid, based on the results of the experiments. However, Education has not established how it intends to evaluate Second Chance Pell or measure the pilot\u2019s performance against its objectives.", "During the course of our review, Education officials provided us with several reasons as to why they were not planning to evaluate the pilot. First, officials said there was no dedicated funding set aside for an external evaluation of the pilot. Second, Education officials said they did not intend to make recommendations regarding changes to federal student financial aid eligibility based on the results of the pilot. Rather than conducting an evaluation, they explained, Education intends to report descriptive information on the pilot, such as the number of students served and the amount of aid disbursed, as it has done in prior reports on its experimental sites. In Education\u2019s most recent report on the experimental sites (of the 2010-2011 school year), the department reported that it aggregated outcome measures (such as numbers of students in each experiment) and reviewed comments submitted by participating schools. However, the report noted that this type of anecdotal information could not be used to determine whether experiments were ultimately successful.", "The purpose of a pilot is generally to inform a decision on whether and how to implement a new approach in a broader setting. In this context, leading practices for effective pilot design state that agencies should evaluate the final results of a pilot in order to draw conclusions on whether, how, and when to integrate pilot activities into overall efforts. As noted above, Education is required to review and evaluate experiments under the Experimental Sites Initiative and make subsequent recommendations, as appropriate, for amendments to improve and streamline the Higher Education Act, which includes the delivery of federal student financial aid. In this context, we inquired about steps Education could take now, should an evaluation of Second Chance Pell be pursued (including an evaluation limited to an internal effort using existing resources). Education officials agreed that even without funding for an external evaluation, they could use the data they are already collecting to internally evaluate the pilot. In its comments on the draft report, Education stated that it was now planning to evaluate the pilot, consistent with the objectives set out in the Federal Register, and described a number of steps it was taking to do so. We are pleased to see the Department taking these important steps to determining the pilot\u2019s impact. An evaluation of Second Chance Pell can help provide policymakers with the information needed to make decisions about the future of Pell grants for incarcerated students."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Pell grants help open the door to a college education for millions of low- income students every school year. However, over the past 24 years, incarcerated students have been generally ineligible for Pell grants. Education\u2019s Second Chance Pell pilot presents an opportunity for policy makers and others to see whether participation in postsecondary educational opportunities increases when Pell grants are again made available, and to determine what impacts a college education has on an incarcerated person\u2019s academic and life outcomes. These impacts may be consistent with past research, which suggests possible benefits to formerly-incarcerated individuals, prisons, and local communities. Second Chance Pell, by the end of its second year of implementation, has allowed thousands of incarcerated students to receive financial aid for college. Evaluating the pilot can help assure Education and Congress have the information needed to make decisions about the future of Pell grants for incarcerated students."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to Education:", "The Secretary of Education should complete its evaluation of Second Chance Pell in order to report on the pilot\u2019s findings and conclusions reached."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a copy of this report to Education and DOJ for review and comment. Education provided written comments, which are reproduced in full in appendix VI. DOJ did not provide written comments.", "Regarding our recommendation to evaluate Second Chance Pell and report on its findings, Education concurred, with clarification. Education stated that it is already taking a number of actions to evaluate the pilot, including gathering information from participating schools and other sources. Education also stated that it will be analyzing the data it is collecting to report on the pilot\u2019s objectives. Education, accordingly, suggested the recommendation should be worded that the Department \u201ccontinue to\u201d evaluate Second Chance Pell. We describe Education\u2019s data collection efforts in our report; however, at the time of our review Education was not able to provide evidence that it was evaluating the pilot and stated on more than one occasion that it planned to report descriptive information about the pilot\u2019s outcomes (such as the amount of Pell dollars disbursed), because it did not have funding for an evaluation. We are pleased to see that the Department is now planning to evaluate the pilot and report on the pilot\u2019s objectives, and accordingly, we revised our report and recommendation to state that Education should complete its evaluation. An evaluation of Second Chance Pell that goes beyond summarizing descriptive information can help provide policymakers with the information needed to make decisions about the future of Pell grants for incarcerated students.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Education, Attorney General, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members that made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To identify the actions Education and other stakeholders took to implement the Second Chance Pell pilot, we reviewed summary-level data from the Department of Education (Education) regarding the first two years of the pilot\u2014school years 2016-2017 and 2017-2018\u2014on the schools that participated in the pilot, the number of incarcerated individuals who applied for and received Pell grants, and other aspects of the pilot. To ensure the reliability of these data, we reviewed agency documentation about the data and the system that produced them and interviewed officials from Education responsible for collecting and validating the data. We found the data to be sufficiently reliable for our purposes. To further identify the actions taken, we reviewed Education\u2019s published guidance on implementing the Second Chance Pell pilot, including the department\u2019s webinars, action plans, and Frequently Asked Questions document. Additionally, we interviewed officials from the Department of Justice, as well as Education\u2019s Office of Federal Student Aid, on the actions taken to prepare for the pilot and the guidance and support provided to participants, among other topics. We also interviewed representatives from three research groups\u2014the Urban Institute, the Vera Institute of Justice (Vera), and New America\u2014in order to gain additional insight on the effects of postsecondary correctional education as well as the design and implementation of the Second Chance Pell pilot.", "To further identify what actions schools and correctional facilities took to implement the pilot, we interviewed officials from a non-generalizable sample of 12 schools participating in the pilot. We also interviewed officials from seven correctional facilities who partnered with the participating schools. We used a sampling procedure in which we selected participating schools with particular characteristics to capture both common experiences and important variations among those with differing characteristics. We selected schools to represent a range of characteristics, including public and private nonprofit schools; schools with existing postsecondary correctional education programs and those with programs launched for the pilot; and schools with a varying number of correctional institution partners (ranging from 1 to 18 partners). We selected schools that offered bachelor\u2019s degrees to students participating in the pilot as well as those that offered certificates and associate\u2019s degrees. We included one school serving a women\u2019s prison, one school that is classified as one of the Historically Black Colleges and Universities, and four schools that are classified as Hispanic Serving Institutions in our sample. Results from nonprobability samples cannot be used to make inferences about a population. Although our findings cannot be generalized to all schools that are participating in the pilot, they do provide useful insight into the experiences of pilot participants.", "To describe the experiences that participating schools are having as they implement the Second Chance Pell pilot, we interviewed officials from the non-generalizable sample of schools (and correctional partners) we described above. Additionally, we visited three prisons (Jessup Correctional Institution in Maryland, Mission Creek Corrections Center for Women in Washington State, and Sing Sing Correctional Facility in New York) and one school campus (City University of New York) in order to observe classrooms and student resources such as libraries and study spaces and to talk with selected individuals about their experiences participating in the pilot. Specifically, one of the prisons for men that we visited identified five Second Chance Pell students for us to interview. Each interview was conducted in a private classroom setting with one student and two of our staff members. Each interview lasted between 5 and 10 minutes. Each student was asked the same set of questions about his experience applying for and participating in the Second Chance Pell Pilot Program. Although these interviews were only conducted at one site and are therefore not generalizable to all students participating in the pilot program, they provide insight about the students\u2019 experiences. We also observed a pilot-funded class in session at that prison. On one college campus, we interviewed a student who participated in the pilot while he was incarcerated and who was now released and continuing his education on campus. These sites were selected for variation in experience delivering college classes in prisons, number of students served, and to allow us to observe both men\u2019s and women\u2019s prison facilities. To further understand schools\u2019 experiences as they implement the pilot, in June 2018 we attended the third-annual convening of Second Chance Pell partners, which was a 2-day conference for participating schools, their correctional partners, and other stakeholders, hosted by Vera.", "To assess how Education is monitoring and evaluating the pilot, and what opportunities, if any, exist for improvement, we reviewed Education\u2019s documentation on the pilot\u2019s objectives (including any evaluation objectives), and analyzed the data collection instruments Education uses to monitor the pilot. We met with Office of Federal Student Aid officials to discuss the department\u2019s plans for evaluating and reporting on the pilot\u2019s results. We compared Education\u2019s efforts to leading practices we identified for effective pilot design and evaluation. We interviewed officials knowledgeable in the area of evaluation and prison education, including officials from the Urban Institute, Vera, the Washington State Board of Community and Technical Colleges, and New America. Finally, we asked officials from our purposive sample of schools about their experiences with Education\u2019s reporting requirements, perspectives on what additional information Education could collect to demonstrate the outcomes of the pilot, and how schools themselves were measuring the performance of their programs apart from what they were reporting to Education.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Research on the Effects of Participating in Education while Incarcerated", "paragraphs": [], "subsections": [{"section_title": "Our Method to Select Research Literature", "paragraphs": ["To determine what is known about the effects of participation in postsecondary correctional education, we conducted a literature search for studies that analyzed the relationship between inmate participation in postsecondary educational programs while incarcerated and outcomes both while in prison and after release. Our literature search identified 221 published studies for review using a three-stage process. We: (1) Searched 16 authoritative bibliographic databases such as SCOPUS, ERIC, PsychINFO, and ProQuest\u2019s Dissertations and Theses Professional using relevant search terms, such as \u201cpostsecondary correctional education,\u201d \u201cpostsecondary education,\u201d and \u201cprison,\u201d (2) Identified citations in the studies detailed above that appeared germane to our research interests and did not already appear in our list of studies, and (3) Identified several organizations with subject matter expertise, based on mentions in the studies detailed above and organizations identified in our prior work. We consulted the website of each organization for any studies on the effects of correctional education.", "To assess each study\u2019s methodological rigor, we obtained information about each study\u2019s methodology. We based our assessments on generally accepted social science standards. We eliminated studies that met any of the following criteria: (1) published prior to 2000; (2) considered the education level of inmates, rather than participating in education while incarcerated; (3) did not include postsecondary educational programs; (4) did not use appropriate statistical methods to adjust, or control, for group differences; or (5) involved a comparison group that was not applicable to our research interests, such as juveniles. In the first stage of the review, we examined the study abstracts. Following the first stage of the review, 42 studies remained. In the second stage, we read the full description of the study\u2019s methodology. Following the second stage, 20 studies remained for our in-depth review."], "subsections": []}, {"section_title": "Research Findings", "paragraphs": ["Based on our review of the literature described above, studies found that inmates who participated in a correctional education program while incarcerated generally achieved more positive outcomes after release (e.g. higher employment, lower recidivism) than inmates who did not participate in a correctional education program while incarcerated. In 2013, RAND Corporation published a meta-analysis of 58 studies and found that inmates who participated in correctional education had 43 percent lower odds of recidivating than non-participants, and 13 percent higher odds of obtaining employment. Many studies we reviewed that tested impacts on one or more measures of recidivism have also found that incarcerated students who participated in a postsecondary program or earned a postsecondary degree while in prison were less likely to be re-arrested or re-incarcerated than those who did not participate. Some research, however, has found that program completion may lead to positive effects more than participation alone. For example, in one study, researchers found completion of a postsecondary program while in prison was associated with significantly and substantively lower odds of returning to prison for either a new crime or a parole violation, but participation in a postsecondary program without completion offered no benefit relative to not having participated at all. Additionally, not all researchers have observed positive effects in all study settings. In one three-state study, researchers found that those who participated in a correctional education program were less likely to be re-arrested, re- convicted, and re-incarcerated in two states; in the third state, there were no significant differences between participants and non-participants.", "Additionally, some research suggests incarcerated students who participated in a postsecondary program while in prison were more likely to find employment after release, work more hours, or earn higher wages than those who did not participate, but this was not always found. For example, in one study, earning a postsecondary credential while incarcerated was associated with an increase in total hours worked and total wages earned in the first 2 years after release; however, it was not associated with an increase in the odds of finding employment. Additionally, one study of inmates in three states found no statistically significant difference in post-release employment in the 3-year follow-up among participants in a correctional education program compared to non- participants.", "Several studies found that correctional education had positive outcomes for taxpayers due to lower re-incarceration costs. For example, the RAND Corporation estimated that for every dollar spent on correctional education, five dollars are saved on three-year re-incarceration costs. Another cost analysis in Washington State found that correctional education had a return-on-investment of $19.62 for participants and taxpayers for each dollar spent, and vocational education in prison had a return-on-investment of $13.21 for each dollar spent.", "A few studies focused on outcomes for participants while they were still in prison, and these generally suggest positive effects. For example, one qualitative study found that participants in a postsecondary correctional education program reported experiencing increased self-esteem and motivation to reach their goals. A few other studies suggested that participation in education programming reduced misconduct. In one study, participants in college programs (but not other education programs) reported receiving fewer tickets for misconduct. A 2006 meta-analysis, however, found that participating in an educational or vocational program was not as effective at reducing misconduct as were other types of programming."], "subsections": []}, {"section_title": "Research Limitations", "paragraphs": ["The research we identified on correctional education has several limitations. First, the identified studies often measure dependent and independent variables in a variety of ways, which makes comparison of outcomes across studies difficult. For example, some studies define \u201crecidivism\u201d as rearrest within 3 years, while others measure it as re- arrest or reincarceration within 1 year. Another example is that many studies define \u201cparticipation in education\u201d as participation in a vocational, secondary, or postsecondary program, while others define it as participation specifically in a postsecondary program. Second, of the studies we reviewed all but one include a small, geographically limited, or otherwise non-generalizable sample. Third, many of the studies we reviewed do not examine whether and how characteristics of facilities or implementation procedures may have influenced\u2014negatively or positively\u2014outcomes among participants. We identified nine articles that specifically discuss implementation and facility characteristics; however, none employ robust methodologies to test whether and how these characteristics lead to better outcomes among participants. A fourth limitation is selection bias, which is the possibility that incarcerated students who choose to take classes are meaningfully different from those who choose not to enroll, and that difference is the underlying cause of their positive outcomes. For example, it is possible that incarcerated people who take educational classes are already at the lowest risk of recidivating and have the highest motivation to succeed after release. If this is the case, then lower rates of recidivism and higher rates of employment may be an effect of these characteristics rather than an effect of taking classes while incarcerated. While some of the studies we reviewed took methodological steps to reduce selection bias, not all did."], "subsections": []}]}, {"section_title": "Appendix III: Select Characteristics and Educational Attainment Levels of the Incarcerated Population", "paragraphs": ["The United States had an estimated 6.6 million prisoners under the jurisdiction of state and federal correctional authorities as of December 31, 2016 (year-end), according to the Bureau of Justice Statistics. According to an analysis of 2009 American Community Survey data, Black, Hispanic, and other non-white individuals make up about 32 percent of the total household population but are about 64 percent of the male prison population. Further, 23 percent of incarcerated men had received some postsecondary education, compared to about 56 percent of men in the household (non-incarcerated) population as shown below in figure 5.", "Among the incarcerated population, the analysis also found differences in educational attainment by race. Specifically, for men age 18-24, about 10 percent of black men and about 11 percent of Hispanic men had completed at least some college, compared to about 17 percent of white (non-Hispanic) men.", "The educational characteristics of incarcerated women were similar to that of men. Specifically, incarcerated women have lower levels of educational attainment compared to women living in households; however, incarcerated women had overall higher levels of educational attainment compared to incarcerated men. Fifty-eight percent of women in the household population had some postsecondary education compared to about 31 percent of incarcerated women, as shown below in figure 6."], "subsections": []}, {"section_title": "Appendix IV: Selected Characteristics of Schools Education Selected to Participate in the Second Chance Pell Pilot", "paragraphs": [], "subsections": [{"section_title": "Table 2. Selected Characteristics of Schools Education Selected to Participate in the Second Chance Pell Pilot", "paragraphs": [], "subsections": []}, {"section_title": "Institution Name **Mercy College", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix V: Data Items Collected by the Department of Education for the Second Chance Pell Pilot", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Melissa Emrey-Arras (Director), Brett Fallavollita (Assistant Director), Charlotte Gamble (Analyst in Charge), Sarah Williamson, Marissa Jones Friedman, Billy Commons, Elizabeth Dretsch, Eric Hauswirth, Debra Prescott, Kevin Reeves, and Ben Sinoff made key contributions to this report."], "subsections": []}]}], "fastfact": ["Federal Pell grants help open the door to a college education for millions of low-income students every year. However, students in prison are generally ineligible for the grants.", "The Department of Education is experimenting with changing that in its Second Chance Pell pilot. Since 2015, 59 schools participating in the pilot have awarded about $35 million in Pell grants to about 8,000 incarcerated students.", "The department collects data from participating schools but hasn't determined how to evaluate the pilot\u2014which could help decide the future of Pell grants for students in prison. We recommended evaluating and reporting on the pilot."]} {"id": "GAO-18-322", "url": "https://www.gao.gov/products/GAO-18-322", "title": "Department of Health and Human Services: Office of Inspector General's Use of Agreements to Protect the Integrity of Federal Health Care Programs", "published_date": "2018-04-03T00:00:00", "released_date": "2018-05-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HHS-OIG has the authority to exclude providers and other entities that have committed certain acts, such as submitting false or fraudulent claims, from participation in federal health care programs. However, HHS-OIG can enter into agreements\u2014CIAs and IAs\u2014with providers and other entities as an alternative to exclusion. HHS-OIG is responsible for negotiating such agreements\u2014which it typically does at the same time the Department of Justice (DOJ) is negotiating a legal settlement to resolve related allegations\u2014and then monitoring the entities' compliance with them.", "GAO was asked to review HHS-OIG's use of these agreements. This report describes (1) the number of agreements and their general characteristics; (2) the circumstances that may lead to an agreement and the standard provisions of agreements; and (3) monitoring efforts and actions taken, if any, in response to noncompliance with the agreements.", "GAO examined agreements entered into from July 2005 (when HHS-OIG created its database) through July 2017 (most current at the time of GAO's analyses) and used HHS-OIG data to describe agreements' characteristics and actions to address noncompliance. GAO reviewed HHS-OIG documentation, including agreement templates and a selection of agreements to identify standard provisions. GAO also interviewed HHS-OIG and DOJ officials.", "GAO provided a draft of this report to HHS and DOJ. The agencies provided technical comments, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["To help improve adherence to federal health care program requirements by entities that have allegedly engaged in certain acts, such as submitting false or fraudulent claims, the Department of Health and Human Services' Office of Inspector General (HHS-OIG) entered into 652 agreements with those entities from July 2005 to July 2017. Since 2010, two types of agreements have been used: Corporate Integrity Agreements (CIA) and Integrity Agreements (IA). The more commonly used CIAs apply to larger entities, compared to IAs, which apply to individual practitioners or small businesses. From July 2005 through July 2017, about half of all agreements were with 3 types of entities\u2014individual or small group practices, hospitals, and skilled nursing facilities.", "For new agreements since July 2005, the most common initial allegations that led to an entity entering into an agreement included billing for services not provided and providing medically unnecessary services. When negotiating agreements, HHS-OIG uses one of six templates that address the different types of entities or conduct involved. Across agreements the provisions are generally similar\u2014for example, requirements to provide training on specified topics or to hire a compliance officer.", "HHS-OIG uses multiple strategies to oversee agreements, such as requiring periodic reports from the entities that demonstrate compliance and assigning a monitor to review these reports and conduct site visits. HHS-OIG can also take certain actions to address noncompliance. For example, for new agreements from July 2005 through July 2017, HHS-OIG imposed monetary penalties 41 times, ranging from $1,000 to more than $3 million (median of $18,000), and excluded 4 entities from participation in federal health care programs."]}], "report": [{"section_title": "Letter", "paragraphs": ["For federal health care programs like Medicare and Medicaid to function effectively, the many providers and other entities who participate must comply with federal health care program requirements. If an entity is found to have committed certain acts, such as submitting false or fraudulent claims, the Department of Health and Human Services\u2019 Office of Inspector General (HHS-OIG) has the authority to exclude them from future participation in Medicare, Medicaid, and other federal health care programs. This permissive exclusion authority applies to certain acts, such as those prohibited by the False Claims Act, Anti-Kickback statute, and Stark law, among others.", "As an alternative to exercising its authority to exclude an entity, HHS-OIG often negotiates and enters into corporate integrity agreements (CIAs) and integrity agreements (IAs) with health care providers and other entities, such as pharmaceutical manufacturers. CIAs apply to larger corporations, and IAs apply to individual practitioners, small physician groups, or businesses with a small number of employees, a single location, or a limited corporate structure. These agreements typically last either three or five years, depending on the type of agreement, and include provisions that focus on the entity\u2019s implementation of compliance measures or the development of a compliance program. For example, the agreements generally require entities to implement training programs or to hire outside reviewers to audit claims billed to Medicare and other federal health care programs. Such measures are intended to help promote adherence to applicable laws and program requirements and protect the integrity of federal health care programs.", "The Office of Counsel to the Inspector General within HHS-OIG is responsible for negotiating the agreements. HHS-OIG officials often negotiate the agreements at the same time that officials at the Department of Justice (DOJ) are separately negotiating a settlement of legal claims against the entity for related false claims allegations. The Office of Counsel to the Inspector General is also responsible for monitoring compliance with the terms of the agreements once they take effect. If an entity fails to comply with the obligations specified in its agreement, HHS-OIG can use the enforcement provisions in the agreement, which range from the ability to impose monetary penalties\u2014 referred to as stipulated penalties\u2014to potential exclusion from federal health care programs for material breaches of a repeated or flagrant nature.", "Both CIAs and IAs are key tools in the government\u2019s efforts to promote compliance with applicable laws and program requirements and to ensure the integrity of federal health care programs. Concerns have been raised that there is limited information available to the public regarding HHS- OIG\u2019s implementation of CIAs and IAs. You asked us to review issues related to HHS-OIG\u2019s use and oversight of these agreements. This report examines 1. the number of agreements HHS-OIG has entered into since July 2005 and their general characteristics; 2. the circumstances that may lead HHS-OIG to seek an agreement with an entity and the standard provisions of agreements; and 3. how HHS-OIG monitors agreements and the actions HHS-OIG has taken, if any, in response to any entity\u2019s noncompliance with agreement terms since July 2005.", "To determine the number of agreements HHS-OIG has entered into since July 2005 and their characteristics, we primarily relied on a database created and maintained by HHS-OIG to track agreements. We examined all agreements entered into by HHS-OIG from July 14, 2005\u2014the date the agency created its database\u2014to July 26, 2017, the date we obtained an electronic copy of the database. We analyzed data on the number of agreements, type of agreements, and the type of entities involved. We also analyzed features of any related legal settlements with DOJ that were in HHS-OIG\u2019s database, including settlement amounts and whether cases were brought by DOJ, or by a private individual under the whistleblower, or qui tam, provisions of the False Claims Act. We also interviewed HHS-OIG officials with relevant policy and technical expertise.", "To determine the reliability of HHS-OIG\u2019s agreement database, we reviewed supporting documentation, and we discussed the accuracy of the data, and the controls in place for entering and updating the data, with knowledgeable HHS-OIG officials. We also reviewed the data to identify any data fields that were blank or that had other anomalies and clarified with HHS-OIG any corrections that were needed. On this basis, we determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "To examine the circumstances that may lead HHS-OIG to seek an agreement with an entity, we analyzed HHS-OIG\u2019s data for all agreements entered into from July 2005 through July 2017 regarding the initial allegations in the investigations associated with the HHS-OIG agreements during that time. To describe the standard provisions of agreements, we reviewed the different agreement templates that HHS- OIG officials use to guide development of the agreements. In addition, we reviewed 32 agreements that HHS-OIG had entered into from January 2010 through July 2017\u2014a 10 percent sample of all agreements during this time. We selected agreements from January 2010 through July 2017, because the purpose of our review was to identify current agreement provisions, and prior to 2010 other agreement types were used that have been phased out and are not currently used. We used this review to identify examples of standard provisions and to gain a broad understanding of how actual agreements compare to HHS-OIG\u2019s templates. Although our sample was not generalizable, we used agreement type (e.g., CIA or IA) and type of entity (e.g., hospital or individual practitioner) as selection criteria to ensure that we selected agreements that were representative of the proportion that each agreement type and entity type represented of total agreements. We analyzed HHS-OIG\u2019s data to understand the number and type of reviews, such as reviews of Medicare claims, which have been required in agreements from July 2005 through July 2017. We also interviewed HHS- OIG officials about the agency\u2019s exclusion authority, the agency\u2019s negotiation of agreements, and the standard provisions included in agreements. Finally, we interviewed DOJ officials regarding the DOJ legal settlement process and how, if at all, it relates to HHS-OIG\u2019s agreements.", "To examine how HHS-OIG monitors agreements and addresses noncompliance, we reviewed relevant documentation, including agreement templates, which outline the conditions in which an entity would be considered in breach or default of its agreement. We also analyzed data from HHS-OIG\u2019s database on the actions HHS-OIG has taken for identified noncompliance, including the amounts of any stipulated penalties that HHS-OIG demanded from entities and the number of exclusion letters HHS-OIG issued, that were associated with any agreements that HHS-OIG entered into from July 2005 through July 2017. Finally, we interviewed HHS-OIG officials about their process for monitoring agreements and the potential actions that officials can take if they find that an entity is not in compliance with the terms of its agreement.", "We conducted this performance audit from March 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "HHS-OIG Exclusion Authority", "paragraphs": ["HHS-OIG has the authority to exclude providers and other entities that have committed certain acts from participation in federal health care programs. According to HHS-OIG guidance, exclusion is a remedial measure designed to protect federal health care programs from any entity whose participation constitutes a risk to the programs or to program beneficiaries. Federal health care programs will not pay for any items or services furnished, ordered, or prescribed by excluded entities. Exclusions are mandatory under certain circumstances and permissive in others. In particular, mandatory exclusion applies to offenses that result in convictions relating to patient abuse or neglect and other crimes related to federal health care programs. When these offenses occur, but there is no criminal conviction, HHS-OIG may exercise its permissive exclusion authority.", "In certain circumstances where HHS-OIG can exercise its permissive exclusion authority, it evaluates each situation and decides what action to take based on its assessment of the future risk the entity poses to federal health care programs. Actions that HHS-OIG can consider taking include the following:", "Exclusion. HHS-OIG will exclude the highest-risk entities from participation in federal health care programs.", "Require the entity to enter into an agreement. HHS-OIG can require an entity to enter into a CIA or IA in exchange for a release of HHS-OIG\u2019s exclusion authority. According to HHS-OIG guidance, the goals of these agreements are to strengthen an entity\u2019s compliance program and promote compliance so that any issues in the future can be prevented or identified, reported and corrected.", "Heightened scrutiny. According to HHS-OIG officials, heightened scrutiny is reserved for situations in which the agency determined that an agreement was warranted but the entity was uncooperative. In such situations, HHS-OIG considers what other unilateral monitoring steps it can take to impose greater scrutiny. For example, according to HHS-OIG guidance, the agency has audited, evaluated, or investigated entities after fraud settlements when the entity would not enter into an agreement with HHS-OIG and it has made referrals to the Centers for Medicare & Medicaid Services for claims reviews.", "Reserve exclusion authority. For certain entities, HHS-OIG may reserve its exclusion authority and take \u201cno further action,\u201d meaning that HHS-OIG will not exclude the entity at that time and will not require the entity to enter into an agreement.", "Release of exclusion authority. In certain circumstances, HHS-OIG will release its exclusion authority without imposing additional requirements. Specifically, HHS-OIG may do this in situations in which the entity has self-disclosed the fraudulent conduct to HHS-OIG or has agreed to integrity obligations with a state or the DOJ that HHS- OIG has determined are sufficient."], "subsections": []}, {"section_title": "Agreement Negotiation and Monitoring", "paragraphs": ["In situations in which HHS-OIG is evaluating whether to exercise its permissive exclusion authority, DOJ is often separately negotiating a settlement of the civil and/or criminal case against the entity on behalf of the federal government. Typically, such settlements resolve allegations that the entity is liable under the False Claims Act for submitting false claims to federal health care programs. According to both HHS-OIG and DOJ officials, if there is a related DOJ civil or criminal case and HHS-OIG officials are also negotiating an agreement with the entity in lieu of exclusion, the DOJ and HHS-OIG negotiations often occur at the same time or \u201con a parallel track.\u201d However, according to these officials, while HHS-OIG and DOJ officials share information as needed, each engage in separate negotiations with the entity. According to HHS-OIG officials, there are also situations in which HHS-OIG enters into an agreement when there is not a related DOJ legal settlement.", "The Office of Counsel to the Inspector General within HHS-OIG is responsible for negotiating agreements and for monitoring them once they take effect. All agreements include provisions that identify the enforcement actions HHS-OIG can take when it finds that an entity has not complied with the terms of its agreement. These enforcement provisions outline the monetary penalties, referred to in the agreements as stipulated penalties, which HHS-OIG will demand if it identifies that the entity has failed to comply with certain agreement terms. The enforcement provisions also outline what constitutes a material breach of the agreement and indicate that exclusion can result if the entity is found to have materially breached its agreement. Examples of a material breach of the agreement include repeated violations of any of the agreement\u2019s obligations and the failure to respond to a demand letter from HHS-OIG concerning the payment of stipulated penalties."], "subsections": []}]}, {"section_title": "From 2005 through 2017, HHS-OIG Entered into Dozens of New Agreements Each Year, the Majority of Which Applied to Three Types of Entities", "paragraphs": ["From July 2005 through July 2017, HHS-OIG entered into 652 new agreements\u2014an average of about 50 agreements per year\u2014ranging from a high of 83 to a low of 37. The agreements were almost exclusively CIAs, which apply to larger corporations, and IAs, which apply to individual practitioners and entities such as small physician groups. HHS- OIG has used CIAs and IAs exclusively since 2010. From 2010 to July 2017, 74 percent of agreements have been CIAs and 26 percent of agreements have been IAs. See figure 1 for more information on the number and types of agreements since July 2005.", "HHS-OIG officials said that the agency transitioned away from other agreement types because of certain limitations that made them less useful than CIAs and IAs. For example, one historical agreement type\u2014 Certification of Compliance Agreements\u2014did not provide sufficient opportunities for oversight, yet it required significant resources to create, officials said. Another discontinued agreement type\u2014Settlement Agreement with Integrity Provisions\u2014was negotiated as part of the DOJ settlement, such that HHS-OIG needed to work through DOJ if there was a need to take action for noncompliance. Although HHS-OIG and DOJ negotiate their agreements and settlements separately now, the majority of CIAs and IAs, are still associated with a DOJ legal settlement. Of the 652 agreements from July 2005 through July 2017, 619 were paired with a DOJ settlement, while 33 were the result of HHS-OIG independently exercising its exclusion authority.", "The total number of agreements in effect each year for the period we reviewed, which includes new agreements and ongoing agreements from past years, has decreased. Between 2006 and 2016 (the earliest and latest full years included in HHS-OIG\u2019s database), the number of agreements in effect for any part of the calendar year decreased by 44 percent (see fig. 2). According to HHS-OIG officials, this is because, over time, the agency has increasingly focused its resources on entities that present the highest risk of potential fraud. Specifically, HHS-OIG officials said that in 2006 they first imposed a monetary threshold for damages caused to federal health care programs, above which the agency would pursue an agreement. HHS-OIG officials told us that they initially set this threshold at $100,000, but that in 2014 the agency increased it to $500,000 for smaller entities (i.e., those eligible for IAs) and $1 million for larger entities (i.e., those eligible for CIAs). HHS-OIG officials added that the monetary threshold is one factor that triggers pursuit of an agreement, and that risk of beneficiary harm may also cause the agency to seek an agreement, even when damages are low. HHS-OIG, in using these criteria, said that it is foregoing pursuing agreements with low-damage, lower-risk entities, instead taking no further action but reserving its exclusion authority.", "HHS-OIG entered into agreements with a wide range of entities, but most were concentrated among a few types of entities. Specifically, HHS-OIG entered into agreements with 30 different types of entities from July 2005 through July 2017, though slightly more than half of the agreements were with 3 types\u2014individual/small group practices, hospitals, and skilled nursing facilities. Another quarter of the agreements were with medical group practices, pharmaceutical manufacturers, clinics, medical device manufacturers, and ambulance companies. (See fig. 3.)", "HHS-OIG officials stated that it is rare for the agency to enter into multiple agreements with the same entity, adding that the few entities that have had multiple agreements were generally large corporations with multiple divisions or sites, and that the agreements applied to different areas of the firms\u2019 business. Our analysis of HHS-OIG data showed that 15 entities had more than one agreement from July 2005 through July 2017. In other situations, HHS-OIG extended an ongoing agreement, rather than entering a new agreement with the same entity, in light of new allegations that arose during the time the agreement was in effect. From July 2005 through July 2017, the time periods for five agreements were extended beyond the standard five years to reflect new settlements with DOJ.", "Almost all of the agreements we reviewed were negotiated by HHS-OIG at the same time DOJ was negotiating a legal settlement with the entity to resolve related allegations under the False Claims Act. Many of these allegations resulted from cases filed by a whistleblower under the False Claims Act\u2019s qui tam provisions\u2014commonly referred to as qui tam cases. Slightly more than half of HHS-OIG agreements are with entities who settled qui tam cases. From July 2005 through July 2017, agreements imposed by HHS-OIG as a result of claims alleged by a whistleblower in a qui tam case increased in prevalence compared to agreements that were not associated with a qui tam case. (See fig. 4.)", "The DOJ-negotiated settlement amounts associated with qui tam cases, among those entities that also entered into an agreement with HHS-OIG, greatly exceeded the settlement amounts negotiated for non-qui tam cases and make up most of the total settlement amounts. From July 2005 through July 2017, total settlement amounts, among those entities that also entered into an agreement with HHS-OIG, were $16.1 billion for qui tam cases and $3.1 billion for all others. A spike in settlement amounts in 2012 reflects two settlements, one of $2 billion and another of $800 million, with two pharmaceutical manufacturers. (See fig. 5.)", "Although pharmaceutical manufacturers accounted for about 6 percent of entities subject to an agreement with HHS-OIG from July 2005 through July 2017, they represent a large share of the settlement amounts DOJ negotiated with those entities: $11.8 billion out of $19.2 billion (62 percent). The next largest shares of settlement amounts DOJ negotiated were with hospitals at $2.5 billion and medical device manufacturers at almost $900 million. Most of the pharmaceutical settlements associated with HHS-OIG agreements were qui tam cases (31 of 37 agreements), and a third of all qui tam settlement amounts were associated with just 4 pharmaceutical qui tam cases."], "subsections": []}, {"section_title": "HHS-OIG Considers Risk Factors, Such As an Entity\u2019s Conduct, When Evaluating Whether to Exercise its Exclusion Authority and in Negotiating Agreements", "paragraphs": [], "subsections": [{"section_title": "HHS-OIG Has Criteria to Determine Whether to Pursue Exclusion or Enter into an Agreement; Certain Initial Allegations Were Common among Entities That Entered Into Agreements", "paragraphs": ["HHS-OIG guidance includes the criteria that agency officials said they follow to determine whether to exercise the agency\u2019s permissive exclusion authority, or take an alternate action, such as entering into an agreement with an entity. According to HHS-OIG officials and agency guidance, each situation is evaluated on a risk continuum and the course of action chosen is based on the agency\u2019s assessment of the future risk the entity poses to federal health care programs. HHS-OIG has four broad categories of criteria that it applies in deciding where an entity falls on the risk continuum and which action to take. These four categories are (1) the nature and circumstances of the conduct; (2) conduct during the government\u2019s investigation; 3) whether the entity has made efforts to improve its conduct; and 4) the entity\u2019s history of compliance. According to HHS-OIG officials, the agency will exclude the highest-risk entities, and since fiscal year 2011, under its permissive exclusion authority, HHS-OIG has excluded 65 entities that were the subject of a related DOJ legal settlement. However, HHS-OIG guidance states that HHS-OIG often concludes that exclusion is not necessary, so long as the entity will enter into an agreement with the agency.", "For new agreements from July 2005 through July 2017, our review of HHS-OIG data showed that there were four main types of initial allegations that resulted in the entity entering into an agreement with HHS-OIG. This included: billing for services not rendered - 194 agreements (about 30 percent); provision of medically unnecessary services - 136 agreements (about acts prohibited under the Anti-Kickback statute - 135 agreements (about 21 percent); and misrepresentation of services and/or products \u2013 131 agreements (about 20 percent).", "The majority of agreements (about 63 percent) were associated with one initial allegation. However, some agreements were associated with more than one initial allegation: about 23 percent of agreements from July 2005 through July 2017 were associated with two initial allegations and about 15 percent were associated with three or more initial allegations."], "subsections": []}, {"section_title": "Agreements Included Standard Provisions with Some Variation to Address Risks Specific to the Entities", "paragraphs": ["We compared the provisions required in selected agreements to those outlined in HHS-OIG\u2019s current agreement templates and found that the provisions were generally similar. All of HHS-OIG\u2019s templates and the agreements we reviewed were organized into the same broad sections. For example, all of the templates and agreements contained sections detailing the information entities were required to submit to HHS-OIG in an initial implementation report and in annual reports, and all agreements had a section that outlined the enforcement provisions for the agreement. In addition, there generally was a standard term for agreements of either three or five years depending on the type of agreement. All 23 of the CIAs we reviewed had a term of five years, and of the nine IAs we reviewed, five had a 5-year term and four had a 3-year term. The IAs with a longer 5-year term generally were older agreements from 2010 or 2011. According to HHS-OIG officials, the current practice is to negotiate 3-year terms for IAs and 5-year terms for CIAs.", "HHS-OIG has developed agreement templates that include standard provisions to address the risks an entity\u2019s noncompliance could pose to federal health care programs. Additionally, in some templates, provisions are included to address the specific types of conduct that gave rise to the agreement. HHS-OIG has four templates for use in negotiating CIAs and two for negotiating IAs, and HHS-OIG officials said that they will use one of the six templates as a starting point when drafting an agreement. HHS-OIG officials told us that the terms included in agreements are similar across CIAs and IAs because certain provisions are non- negotiable. For example, officials said that they always include provisions requiring an entity to hire a compliance officer, submit annual reports, and provide HHS-OIG with access to the entity when requested. Across the various types of templates, there are similar standard provisions, and our review of selected agreements found many of the same provisions. For example, among the 32 agreements we reviewed:", "All 32 agreements required the entity to engage an independent review organization to perform the agreement\u2019s required reviews, including claims reviews. Entities have retained a variety of individuals and businesses as their independent review organization, ranging from small regional consulting firms to large national consulting or accounting firms. For agreements HHS-OIG has entered into from July 2005 through July 2017, our review of the agency\u2019s data found that there were 173 unique associated independent review organizations.", "All 32 agreements had training and education requirements, although the specifics of the required training, such as the number of hours or the specific topics, varied across agreements.", "28 of the 32 agreements reviewed required the entity to have a compliance officer. The four agreements that did not require this were two IAs for small group practices, one for a medical group practice, and one for a clinic that named an individual practitioner as a party to the agreement.", "Although agreements shared many standard provisions, some provisions were unique to either CIAs or IAs. Many of the CIAs that we reviewed included provisions detailing specific responsibilities for the entity\u2019s board of directors (18 of 23 CIAs) and requirements for certain high-level employees to annually certify that they were in compliance with federal health care program requirements and the provisions of the agreement (12 of 23 CIAs). None of the nine IA\u2019s we reviewed included these provisions. On the other hand, all nine IAs we reviewed (and one CIA) had provisions regarding third-party billing. If the provider subject to the agreement contracted with a third-party billing company to submit claims on the provider\u2019s behalf, these agreements required the provider to certify that they did not have an ownership or controlling interest in the third- party billing company.", "In addition to agreement type, provisions also varied due to the nature of the conduct that led to the agreement or the type of entity entering into the agreement. For example, some agreements included provisions intended to ensure compliance with the Anti-Kickback statute and Stark law (8 of 32). HHS-OIG officials told us that specific provisions related to the Anti-Kickback statute and Stark law would only be present in agreements when the conduct that had led to the agreement involved acts prohibited under those statutes, such as prohibited kickbacks or improper referral arrangements. Other agreements include provisions specific to monitoring quality of care issues. For example, one of the agreements we reviewed was a quality of care CIA that required the entity to retain an independent monitor to examine, among other things, the entity\u2019s internal quality control systems and its response to quality of care issues. In addition, 2 of the 32 agreements we reviewed were with pharmaceutical manufacturers and contained provisions not in other agreements because they would only be relevant to a pharmaceutical manufacturer. For example, both agreements we reviewed had a requirement that the manufacturers, within 30 days, provide HHS-OIG with a copy of any written communication with the Food and Drug Administration that materially discussed the actual or potential unlawful or improper promotion of the manufacturer\u2019s product.", "According to HHS-OIG data, most of the 652 agreements entered into from July 2005 through July 2017 (about 95 percent) required the entity to perform at least one review as part of the agreement. The most common types of required reviews captured in HHS-OIG\u2019s database during this time were reviews of health care claims, unallowable costs, and arrangements. Slightly more than half of the agreements (19 of 32) we reviewed required the entity to perform a claims review. Fifteen of these were annual claims reviews and four were quarterly claims reviews. In addition, slightly more than a quarter of agreements we reviewed (9 of 32) required an unallowable costs review. Finally, a quarter of the agreements (8 of 32) required the entity to perform an arrangements review. The eight agreements requiring an arrangements review were the same agreements that included a section with provisions related to compliance with the Anti-Kickback statute and Stark law. A few agreements had required reviews that were not common across the agreements we reviewed and usually related to the types of services that the entity provided. For example, three agreements we reviewed required the entity to conduct a cardiac catheterization procedures review, described as an evaluation and analysis of the medical necessity and appropriateness of interventions performed either in the entity\u2019s cardiac catheterization lab or by the provider."], "subsections": []}]}, {"section_title": "HHS-OIG Uses Multiple Strategies to Ensure Compliance with Terms of Agreements and Imposes Certain Penalties When Noncompliance Is Identified", "paragraphs": [], "subsections": [{"section_title": "HHS-OIG Reviews Required Reports, Communicates with Entities, and Conducts Site Visits to Monitor Entities\u2019 Compliance with Agreements", "paragraphs": ["According to HHS-OIG officials, the agency assigns a monitor to each agreement\u2014an HHS-OIG staff attorney or program analyst\u2014who, for the duration of the agreement, oversees the entity\u2019s compliance with the terms of its agreement. Per officials and what is outlined in internal agency documents that describe how to monitor agreements, the monitors\u2019 responsibilities include:", "Reviewing the information that entities provide in their initial implementation report, annual reports, and any other reports required under the agreement within the time frames established by internal HHS-OIG guidance.", "Communicating with entities to provide assistance to those who need help in understanding the requirements or to request additional information when a required report has missing or incomplete information.", "Reviewing and responding to periodic correspondence received from entities, including notifications required by the agreement, reportable event disclosures, and other communications from the entity.", "Drafting any letters that are sent to the entity, if noncompliance is identified, including letters demanding the payment of penalties\u2014 referred to as stipulated penalty demand letters.", "Conducting site visits to verify that the entities are complying with the agreements properly. According to internal HHS-OIG guidance, monitors are to select sites primarily based on concerns that they may have with specific entities, as well as other factors, such as the type of provider, the size or complexity of the entity, length of the agreement, and the severity or complexity of the offenses that resulted in the agreement.", "According to internal HHS-OIG guidance regarding site visit protocol and agency officials we spoke to, during site visits, HHS-OIG officials may conduct document reviews of training records, policies and procedures, or other documents; hold meetings with the compliance officer or board members; or tour the facility, among other activities. Officials said that two HHS-OIG officials typically conduct the site visit\u2014the agreement\u2019s monitor and one other official\u2014and the site visits typically last about one day to a day-and-a-half. For agreements entered into from July 2005 through July 2017, we found that HHS-OIG officials conducted 211 site visits that were associated with 155 agreements. Thirty of these agreements were associated with more than one site visit ranging from 2 to 10 visits. The majority of the 211 site visits were for CIAs (about 87 percent). During the full calendar years from 2006 through 2016, HHS- OIG completed an average of 18 site visits each year."], "subsections": []}, {"section_title": "HHS-OIG Works with Entities to Ensure Compliance but May Impose Monetary Penalties or Exclude Entities for Noncompliance in Some Cases", "paragraphs": ["Although most entities comply with the provisions of their agreements, according to HHS-OIG officials, when noncompliance occurs, the most common issue is the late submission of required reports or reviews. According to HHS-OIG officials, other types of noncompliance range from falsely certifying the accuracy of reported information to submitting reports that do not include the required elements. According to officials and as outlined in agreements, HHS-OIG addresses noncompliance through a series of escalating steps, which, in rare instances, may result in the HHS-OIG imposing penalties on an entity as laid out in the agreement (stipulated penalties) or even exclusion of an entity from federal health care programs. Steps HHS-OIG takes to address noncompliance may include:", "Working with the entity before taking official action. For example, officials told us that monitors typically request additional documentation or information from providers when they identify potential issues rather than imposing stipulated penalties immediately.", "Demanding that the entity pay stipulated penalties. HHS-OIG will send a stipulated penalties demand letter to an entity in accordance with the breach and default terms of the agreement. The stipulated penalty amounts for noncompliance with the different provisions are specified in the agreement. According to officials, the stipulated penalty amounts in agreements are non-negotiable and the amounts associated with noncompliance with specific provisions do not change across agreements. The stipulated penalties in agreements range from $1,000 to $50,000 per violation. For example, for each day an entity fails to submit a complete annual report to HHS-OIG by the submission deadline, the stipulated penalty is $2,500 for CIAs and $1,500 for IAs. In addition, for all agreements, each false certification submitted by or on behalf of the entity results in a stipulated penalty of $50,000.", "For agreements entered into from July 2005 through July 2017, our review of HHS-OIG data found that HHS-OIG issued 41 letters demanding stipulated penalties (between 0 and 7 letters per year) for actions such as the failure to submit annual reports and employing individuals excluded from participation in federal health care programs. In total, HHS-OIG collected about $5.4 million in stipulated penalties during this time. Penalty amounts demanded in each letter ranged from $1,000 to over $3 million, with a median of $18,000. According to HHS-OIG, the stipulated penalty of over $3 million was a record penalty for failure to comply with an agreement. This penalty, according to HHS-OIG, resulted from the entity\u2019s failure to correct improper billing processes and poor claims submission practices that had led to error rates and overpayments to the company by Medicare for hospice services. These issues were uncovered through the claims reviews required under the agreement and HHS-OIG\u2019s site visits to the company\u2019s facilities.", "Determining that the entity is in material breach of the agreement. As defined in agreements, this determination may result from repeated or flagrant violations of agreement obligations; failure to notify HHS-OIG of certain reportable events; failure to take corrective actions or make appropriate refunds; failure to respond to a stipulated penalties demand letter; or failure to engage an independent review organization. From July 2005 through July 2017, HHS-OIG issued 10 material breach letters to entities informing them that HHS-OIG intended to exclude them. However, the 10 material breach letters were associated with only 6 agreements, and 5 of the 10 material breach letters issued were to the same entity. These five letters were issued to the entity between March 2012 and January 2014 for a series of alleged material breaches of its agreement including, among other things, a failure to report serious quality of care reportable events or to perform training required under the terms of its agreement. This entity, which was a national chain of clinics that primarily provided dental services to children on Medicaid, was ultimately excluded in September 2014 from participation in federal health care programs, including Medicaid, for a period of five years.", "Excluding an entity from participation in federal health care programs.", "For agreements entered into from July 2005 through July 2017, we found that HHS-OIG has issued five exclusion letters to entities for failing to adhere to their agreements. These exclusion letters were associated with four agreements\u20142 CIAs and 2 IAs. According to HHS-OIG\u2019s data, these exclusions occurred in 2007 (1), 2014 (1), and 2015 (2). The four entities that were excluded included a durable medical equipment provider, a national chain of clinics, a practice management company, and a medical group practice. An agreement affords the entity the opportunity to respond to a material breach letter prior to the issuance of a notice of exclusion. However, an HHS-OIG official said that, given the multiple steps involved in the breach and default process, it is unlikely that a breach would be addressed satisfactorily by the entity at this stage in the process. Of the four entities that HHS-OIG excluded, three had also previously received a notice of material breach from HHS-OIG."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS and DOJ for review and comment. These departments provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of HHS, the Attorney General, and the Inspector General of HHS. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or kingk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karen Doran (Assistant Director), Alison Goetsch (Analyst-in-Charge), and Perry Parsons made key contributions to this report. Also contributing were Sam Amrhein, Muriel Brown, Dan Ries, Jennifer Rudisill, and Merrile Sing."], "subsections": []}]}], "fastfact": ["What happens if a doctor bills Medicare or Medicaid for services that could be considered fraud\u2014because they're medically unnecessary, or because the doctor didn't actually provide the services? Federal law prohibits these and other abuses of federal health care programs.", "When health care providers break these laws, the Department of Health and Human Services can prevent them from billing federal programs. Or, it can negotiate agreements with them instead\u2014for example, requiring them to have their billing records audited.", "We reviewed HHS's use of the agreement option and found that it made 652 agreements between July 2005 and July 2017."]} {"id": "GAO-17-799", "url": "https://www.gao.gov/products/GAO-17-799", "title": "DHS Financial Management: Better Use of Best Practices Could Help Manage System Modernization Project Risks", "published_date": "2017-09-26T00:00:00", "released_date": "2017-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To help address long-standing financial management system deficiencies, DHS initiated its TRIO project, which has focused on migrating three of its components to a modernized financial management system provided by IBC, an OMB-designated, federal SSP. House Report Number 3128 included a provision for GAO to assess the risks of DHS using IBC in connection with its modernization efforts.", "This report examines (1) the extent to which DHS and the TRIO components followed best practices in analyzing alternatives, and the key factors, metrics, and processes used in their choice of a modernized financial management system; (2) the extent to which DHS managed the risks of using IBC for its TRIO project consistent with risk management best practices; and (3) the key factors and challenges that have impacted the TRIO project and DHS's plans for completing remaining key priorities. GAO interviewed key officials, reviewed relevant documents, and determined whether DHS followed best practices identified by GAO as necessary characteristics of a reliable, high-quality AOA process and other risk management best practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security's (DHS) TRIO project represents a key effort to address long-standing financial management system deficiencies. During 2012 and 2013, the TRIO components\u2014U.S. Coast Guard (Coast Guard), Transportation Security Administration (TSA), and Domestic Nuclear Detection Office (DNDO)\u2014each completed an alternatives analysis (AA) to determine a preferred alternative for modernizing its financial management system. GAO found that DNDO's AA substantially met the four characteristics\u2014well-documented, comprehensive, unbiased, and credible\u2014that GAO previously identified for a reliable, high-quality analysis of alternatives (AOA) process. However, Coast Guard's and TSA's AAs did not fully or substantially meet three of these characteristics, and DHS guidance for conducting AAs did not substantially incorporate certain best practices, such as identifying significant risks and mitigation strategies and performing an independent review to help validate the AOA process. Based on these analyses and other factors, the TRIO components determined that migrating to a federal shared service provider (SSP) represented the best alternative, and in 2014, DHS selected the Department of the Interior's Interior Business Center (IBC) as the federal SSP for the project. However, because Coast Guard's and TSA's AAs did not fully or substantially reflect all of the characteristics noted above, they are at increased risk that the alternative selected may not achieve mission needs.", "DHS also did not fully follow best practices for managing project risks related to its use of IBC on the TRIO project. Specifically, DHS followed three of seven risk management best practices, such as determining risk sources and categories and establishing a risk management strategy. However, it did not fully follow four best practices for defining risk parameters, identifying risks, developing risk mitigation plans, and implementing these plans largely because its guidance did not sufficiently address these best practices. For example, although DHS created joint teams with IBC and provided additional resources to IBC to help address risk mitigation concerns, it did not always develop sufficiently detailed risk mitigation plans that also included contingency plans for selected critical risks. As a result, although IBC's capacity and experience for migrating large agencies the size of Coast Guard and TSA was identified as a risk in July 2014, a contingency plan working group to address this concern was not established until January 2017. By not fully following risk management best practices, DHS is at increased risk that potential problems may not be identified or properly mitigated.", "DHS, IBC, Office of Management and Budget (OMB), and other federal oversight agencies identified various challenges that have impacted the TRIO project and contributed to a 2-year delay in the implementation of Coast Guard's and TSA's modernized solutions. These challenges include the lack of sufficient resources, aggressive schedule, complex requirements, increased costs, and project management and communication concerns. To help address these challenges, DHS and IBC established review teams and have taken other steps to assess potential mitigating steps. In May 2017, DHS determined that migrating the solution from IBC to a DHS data center represented the best option and initiated discovery efforts to further assess this as its path forward for the TRIO project."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DHS more fully follow best practices for conducting an AOA process and managing risks. DHS concurred with GAO's recommendations and described actions it will take, or has taken, in response."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since the Department of Homeland Security\u2019s (DHS) creation in 2003, significant internal control and financial management system deficiencies have hampered its ability to manage operations and to reasonably assure effective financial management. DHS received a clean audit opinion on its financial statements for 4 consecutive years\u2014fiscal years 2013, 2014, 2015 and 2016\u2014in which it reported assets totaling $98 billion as of September 30, 2016. However, according to DHS\u2019s financial statement auditors, these financial management deficiencies have persisted, and accordingly, DHS faces long-term challenges in sustaining a clean audit opinion on its financial statements and providing reliable, timely, and useful financial data to support operational decision making. These deficiencies contributed to our decision to designate DHS\u2019s management functions, including financial management, as high risk. As noted in our 2017 high-risk report, until remediated, these deficiencies will continue to hamper DHS\u2019s ability to establish effective internal controls over financial reporting and comply with financial management system requirements.", "In 2013, we reported on challenges related to DHS\u2019s previous attempts to implement a department-wide integrated financial management system. DHS subsequently adopted a decentralized approach to upgrade or replace legacy financial management systems. DHS has been evaluating various options for modernizing its systems, including the use of shared service providers (SSP). As part of this effort, DHS initiated three projects for modernizing the systems of selected DHS components, including its TRIO modernization project. The TRIO project has focused on migrating the Domestic Nuclear Detection Office (DNDO), Transportation Security Administration (TSA), and U.S. Coast Guard (Coast Guard), the TRIO components, to a modernized financial management system solution provided by the Department of the Interior\u2019s Interior Business Center (IBC). As of May 2017, significant challenges have also impacted the TRIO project, including a 2-year delay in Coast Guard\u2019s and TSA\u2019s expected migrations to a modernized financial management system.", "In May 2014, the Office of Management and Budget (OMB) and the Department of the Treasury (Treasury) designated IBC as one of four federal SSPs for financial management to provide core accounting and other services to federal agencies. In addition, Treasury\u2019s Office of Financial Innovation and Transformation\u2019s (FIT) responsibilities related to the governance and oversight of federal SSPs were subsequently transferred to the Unified Shared Services Management office (USSM) after USSM was established in October 2015 as an entity within the General Services Administration.", "Recognizing the cost and performance risks associated with DHS\u2019s efforts to transition to a SSP, the House report accompanying H.R. 3128, a bill for DHS appropriations for fiscal year 2016, included a provision for GAO to assess the risks of DHS using IBC in connection with DHS\u2019s financial management system modernization efforts. Our objectives were to determine (1) the extent to which DHS and the TRIO components followed best practices in analyzing alternatives, and the key factors, metrics, and processes used in their choice of a modernized financial management system; (2) the extent to which DHS managed the risks of using IBC for its TRIO project consistent with risk management best practices; and (3) the key factors and challenges that have impacted the TRIO project according to DHS, IBC, OMB, FIT, and USSM and DHS\u2019s plans for completing the remaining key priorities.", "To determine the extent to which DHS and TRIO components followed best practices in analyzing alternatives, we reviewed documentation developed by the TRIO components and evaluated the TRIO components\u2019 alternatives analyses (AA) processes against GAO\u2019s identified 22 best practices for conducting an analysis of alternatives (AOA) process. Based on this assessment, we determined an overall score for the TRIO components\u2019 AA process as compared to the AOA best practices in four summary characteristics\u2014(1) well-documented, (2) comprehensive, (3) unbiased, and (4) credible\u2014for a reliable, high- quality AOA process. We provided our preliminary assessment to DHS and the TRIO components for review and revised our assessment, as needed, based on any additional information they provided. In addition, we reviewed DHS\u2019s guidance for conducting AOAs and AAs against GAO\u2019s identified AOA best practices.", "To determine the key factors, metrics, and processes used by DHS\u2019s TRIO components in developing and evaluating DHS\u2019s alternative solutions and final choice for financial system modernization, we reviewed each component\u2019s AA, including a description of (1) the alternatives considered, (2) the market research conducted, (3) the alternatives evaluated, (4) the selection criteria used and how the criteria were weighted, (5) how each alternative scored against the selection criteria, and (6) the alternative that scored the best according to the components\u2019 evaluations.", "To determine the extent to which DHS managed the risks of using IBC consistent with risk management best practices, we reviewed DHS\u2019s and the TRIO components\u2019 risk management guidance and other documentation supporting their risk management efforts, including risk registers, mitigation plans, status reports, and risk management meeting minutes. We also met with officials to gain an understanding of the key processes and documents used for managing and reporting on TRIO project risks. We compared the documentation and information we obtained to best practices published by the Software Engineering Institute (SEI) for preparing for risk management, identifying and analyzing risks, and mitigating identified risks.", "To identify the key factors and challenges that have impacted the TRIO project and DHS\u2019s plans for completing its remaining key priorities, we met with the parties involved in the TRIO project consisting of DHS, IBC, FIT, and USSM officials, as well as OMB staff to obtain their perspectives. In addition, we reviewed documentation related to the TRIO project, including status reports and memorandums, leadership briefings, and other presentations.", "We conducted this performance audit from March 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Appendix I provides additional details on our scope and methodology."], "subsections": [{"section_title": "Background", "paragraphs": ["Since DHS\u2019s creation in 2003, significant internal control and financial management system deficiencies have hampered its ability to reasonably assure effective financial management and to manage operations. These deficiencies contributed to our decision to designate DHS\u2019s management functions, including financial management, as high risk. To help address these deficiencies, DHS initiated a decentralized approach to upgrade or replace legacy financial management systems and has been evaluating various options for modernizing them, including the use of SSPs. DHS initiated three projects for modernizing the systems of selected DHS components, including its TRIO modernization project. The TRIO project has focused on migrating the financial management systems of Coast Guard, DNDO, and TSA to a modernized solution provided by IBC. DHS\u2019s efforts to effectively assess and manage risks associated with this project are essential to DHS\u2019s realizing its modernization goals.", "In 2013, OMB issued a memorandum directing agencies to consider federal SSPs as part of their AAs. Also, in May 2014, Treasury and OMB designated IBC as one of four federal SSPs for financial management to provide core accounting and other services to federal agencies. This designation was based on Treasury and OMB\u2019s evaluation of the four service providers\u2019 ability to assist federal agencies in meeting their accounting and financial management needs, including experience with implementing financial management systems and providing other financial management services to customers, cost of services provided, compliance with financial management and internal control requirements, commitment to shared services, capacity, and long-term growth strategy. FIT\u2019s responsibilities related to the governance and oversight of federal SSPs were subsequently transferred to USSM after USSM was established in October 2015."], "subsections": [{"section_title": "TRIO Modernization Project", "paragraphs": ["Because of concerns that its Core Accounting System (CAS) Suite was outdated, inefficient, and did not reliably meet requirements, Coast Guard completed an AA in January 2012 to assist in developing a path forward for modernizing its financial management system. In August 2012, Coast Guard established its CAS Replacement project team to further evaluate two of the alternatives considered in its AA and develop a recommended course of action. In addition, Coast Guard determined that hosting, owning, operating, and managing a financial management system were not among its core competencies. Because TSA and DNDO also relied on CAS as their primary accounting system, they also conducted AAs to identify the best alternative for transitioning to a modernized financial management system solution.", "The AAs conducted by the TRIO components during 2012 and 2013 considered the use of federal and commercial SSPs and other options. In addition, Coast Guard completed additional market research including further analysis of commercial SSPs in June 2013. In July 2013, the TRIO components determined that migrating to a federal SSP was the best course of action and subsequently conducted discovery phase efforts with IBC from November 2013 through May 2014 to further explore the functional requirements for procurement, asset, and financial management services. Based on these efforts, in July 2014, the TRIO components recommended that they proceed with implementation of the IBC shared services solution. In August 2014, FIT and OMB concurred with this recommendation, and DHS entered into an interagency agreement (IAA) with IBC for implementation. Figure 1 shows a timeline of these key events.", "The IAA for implementation and related performance work statement included a description of the services that IBC is to provide and the roles and responsibilities of DHS, the TRIO components, and IBC. The IAA also required IBC to prepare a detailed project management plan describing how the requirements would be managed and updated and an integrated master schedule (IMS) for identifying tasks to be completed, duration, percentage completed, dependencies, critical path, and milestones.", "According to the February 2015 project management plan, DNDO, TSA, and Coast Guard were expected to go-live on the IBC solution in the first quarter of fiscal years 2016, 2017, and 2018, respectively. However, in May 2016, DHS and IBC determined that TSA\u2019s and Coast Guard\u2019s planned implementation dates were not viable because of various challenges impacting the TRIO project and recommended a 1-year delay for their respective implementation dates. Figure 2 summarizes planned and completed key implementation events for the TRIO project as of May 2016."], "subsections": []}, {"section_title": "Best Practices for Conducting Analysis of Alternatives and Managing Risks", "paragraphs": ["GAO, SEI, and other entities have developed and identified best practices to help guide organizations in effectively planning and managing various activities, including acquisitions of major information technology systems. These include GAO\u2019s identified best practices for the AOA process and best practices identified by SEI for risk management.", "GAO-identified best practices for AOA process. GAO identified 22 best practices for a reliable, high-quality AOA process that can be applied to a wide range of activities in which an alternative must be selected from a set of possible options, as well as to a broad range of capability areas, projects, and programs. These practices can provide a framework to help ensure that entities consistently and reliably select the project alternative that best meets mission needs. Not conforming to these best practices may lead to an unreliable process, and the entity will lack assurance that the preferred alternative best meets the mission needs. Appendix II provides additional details on GAO\u2019s identified AOA process best practices and how they can be applied to a wide range of activities in which an alternative must be selected from a set of possible options, as well as to a broad range of capability areas, projects, and programs.", "SEI\u2019s risk management practices. SEI\u2019s practices for the risk management process area call for the identification of potential problems before they occur so that risk-handling activities can be planned throughout the life of a project to mitigate adverse impacts on achieving objectives. These practices are determining risk sources and categories, defining parameters used to analyze and categorize risks and to control the risk management effort, establishing and maintaining the strategy to be used for risk identifying and documenting risks, evaluating and categorizing each identified risk using defined risk categories and parameters and determining its relative priority, developing a risk mitigation plan in accordance with the risk monitoring the status of each risk periodically and implementing the risk mitigation plan as appropriate."], "subsections": []}]}, {"section_title": "DHS Did Not Always Follow Best Practices for Analyzing Alternatives for TRIO Components\u2019 Choice of Modernized Financial Management System", "paragraphs": ["Although the TRIO components conducted AAs to identify the preferred alternative for modernizing their financial management systems, their efforts did not always follow best practices. For example, Coast Guard\u2019s and TSA\u2019s AAs supporting their selection of migrating to a federal SSP for modernizing their financial management systems did not fully or substantially meet all four characteristics of a reliable, high-quality AOA process. In addition, we found that DHS guidance did not fully or substantially incorporate five of GAO\u2019s identified best practices for conducting an AOA process. The TRIO components\u2019 AAs included descriptions of the key factors, such as scores for each alternative against the selection criteria used to assess it. Based on these AAs, DHS and the TRIO components selected the federal SSP alternative as their preferred choice and subsequently selected IBC as their federal SSP. However, because Coast Guard\u2019s and TSA\u2019s AAs did not fully or substantially meet all four characteristics of a reliable, high-quality AOA process, they are at increased risk regarding their decision on the solution that represents the best alternative for meeting their mission needs."], "subsections": [{"section_title": "DNDO Substantially, and Coast Guard and TSA Partially, Met Best Practices for Conducting AOAs", "paragraphs": ["Based on the extent to which the DHS TRIO components followed the GAO-identified 22 best practices for conducting an AOA process, we found that DNDO\u2019s AA process substantially met the four characteristics of a reliable, high-quality AOA process while the Coast Guard and TSA AA processes both substantially met one and partially met three of these four characteristics. For example, we found that TSA\u2019s AA partially met the \u201cwell-documented\u201d characteristic, in part, because risk mitigation strategies, assumptions, and constraints associated with each alternative were not discussed in its AA. In addition, we found that Coast Guard\u2019s AA partially met the \u201ccredible\u201d characteristic, in part, because there was no indication that it contained sensitivity analyses, an evaluation of the impact of changing assumptions on its overall costs or benefits analyses. Our overall assessment is summarized in table 1. Appendix III provides additional details on our assessment of the TRIO components\u2019 AAs for each of the GAO-identified 22 AOA best practices.", "Further, in comparing DHS AOA and AA guidance to the GAO-identified 22 AOA process best practices, we found that although DHS\u2019s guidance for conducting both AOAs and AAs fully or substantially incorporated 17 of the identified best practices, the guidance did not fully or substantially incorporate 5 of these practices. For example, although the guidance addressed risk management in general terms, it did not detail the need to document risk mitigation strategies for each alternative. Not documenting the risks and related mitigation strategies for each alternative prevents decision makers from performing a meaningful trade-off analysis necessary to choose a recommended alternative. In addition, while DHS guidance describes the need for an AA or AOA review, it describes reviews conducted within the organizational chain of command and does not address the need for an independent review\u2014one of the most reliable means to validate an AOA process. Further, although the guidance noted that weights for selection criteria may become more subjective when they cannot be derived analytically, additional guidance on weighting selection criteria was limited. Our overall assessment is summarized in table 2.", "Because of these limitations in guidance, and because Coast Guard and TSA did not fully adhere to the GAO-identified best practices, Coast Guard\u2019s and TSA\u2019s AAs did not fully or substantially reflect all four characteristics of a reliable, high-quality AOA process. As a result, Coast Guard and TSA increased their risk of selecting a solution that may not represent the best alternative for meeting their mission needs."], "subsections": []}, {"section_title": "TRIO Components Used Key Factors, Metrics, and Processes to Analyze Alternatives and Related Results", "paragraphs": ["Documentation supporting TRIO components\u2019 AA efforts included descriptions of the key factors, metrics, and processes involved in conducting their analyses, including the (1) alternatives considered, (2) market research conducted, (3) three alternatives evaluated, (4) selection criteria used by each and how the criteria were weighted, (5) scores for each alternative against the selection criteria, and (6) alternatives that scored the best under the AOA evaluation.", "The TRIO components conducted market research to develop reasonable alternative solutions for consideration. For example, through its market research, TSA identified OMB-designated federal SSPs and commercial entities as potential alternatives for hosting and implementing a modernized and integrated financial management system. According to its AA, TSA was able to gain an understanding of the offerings, capabilities, and related costs associated with these alternatives through reviews of documentation and interviews.", "After developing a diverse range of financial system modernization alternatives for consideration, each of the TRIO components assessed them for viability using various factors\u2014such as measures of effectiveness, cost, risk, and value\u2014and identified the three top-rated alternatives for further evaluation. For example, Coast Guard identified nine alternatives for consideration and analyzed, scored, and ranked them to determine its top three alternatives for further analysis: incrementally improve the current CAS Suite and remove certain outdated components, host the financial management system internally using software and tools already owned, and use an SSP to host the financial management system.", "Each component identified its three alternatives for further evaluation and used defined selection criteria to rate them. For example, DNDO\u2019s selection criteria included four categories of operational effectiveness that were weighted according to their level of importance. Based on their evaluations, each component identified the best alternative for its respective financial management system needs.", "According to Coast Guard\u2019s November 2012 decision memorandum, Coast Guard further narrowed the alternatives it focused on to (1) using an SSP to host its financial management system and (2) hosting the system internally using already-owned software and tools, and it also gathered rough order of magnitude cost estimates for both alternatives. Based on its evaluation, Coast Guard determined that the two alternatives were comparable. According to this memorandum, Coast Guard further determined that owning, hosting, operating, and managing a financial management system were not among its core competencies. Based on this determination, OMB direction to agencies to use (with limited exceptions) shared services, and other factors, Coast Guard decided that migrating to an SSP was the best alternative. TSA found in its February 2013 analysis that the differences between federal and commercial SSP alternatives were not significant and, as a result, recommended that a competitive procurement be conducted to better evaluate each alternative. However, DHS officials told us that TSA subsequently determined that a competitive procurement was not warranted and chose to migrate to a federal SSP. This determination was based on additional OMB guidance issued in March 2013 directing agencies to consider federal SSPs as part of their AAs and stating that commercial SSPs are an appropriate solution and would be funded by OMB only in instances in which the agency\u2019s business case demonstrates that a commercial SSP can provide a better value for the federal government. In addition, DNDO determined that migrating to a federal SSP was its best alternative in May 2013.", "Because its preliminary research focused primarily on the federal SSP marketplace, Coast Guard conducted additional market research to include a more robust analysis of commercial SSPs. Coast Guard\u2019s June 2013 market research report described the results of this effort, including its evaluation of responses from 11 commercial SSPs. Coast Guard reported that none of the commercial SSPs that responded could meet all 44 specific financial management system requirements and the extent to which they could meet them varied significantly. Based on these results, Coast Guard determined that there was a lack of maturity in the commercial SSP market for federal financial management. According to the report, this overall assessment was based on various considerations of information provided by commercial SSP respondents, including the wide variety of proposed configurations, solutions, prices, and implementation schedules, the lack of federal experience and service for agency-wide capabilities, and insufficient length of service to establish positive trends in audit performance; the lack of similar offerings that implied a lack of strong competition between comparable products that would exert downward pressure on cost; and the lack of like product offerings, which increases the likelihood of higher switching costs in the case of poor performance because of increased difficulty in moving from one \u201cturnkey\u201d service to another.", "In July 2013, the TRIO components and DHS selected the federal SSP alternative as their preferred choice and subsequently selected IBC as their federal SSP. DHS officials told us that IBC was selected based on (1) DHS\u2019s reliance on OMB and Treasury\u2019s designation of IBC as a federal SSP, (2) OMB guidance to consider the use of federal SSPs, and (3) a review of the availability of the four federal SSPs indicating that IBC was the only one available to meet the requirements and implementation schedule at that time. In August 2013, DHS notified OMB that the TRIO components had performed extensive market research and finalized their respective AAs and independently concluded that migrating to a federal SSP was in the best interests of the government. Also, in August 2013, FIT notified OMB regarding the TRIO components\u2019 AA efforts and that the TRIO components would proceed to the discovery phase with IBC. According to FIT\u2019s notification memorandum to OMB, the TRIO components\u2019 AAs demonstrated that migrating to a federal SSP was the best value to the federal government and that the components identified IBC as a suitable partner based on the results of their market research into federal SSPs."], "subsections": []}]}, {"section_title": "DHS Met Three and Partially Met Four Best Practices for Managing the Risks of Using IBC for the TRIO Project", "paragraphs": ["Risk management best practices call for the identification of potential problems before they occur so that risk-handling activities can be planned throughout the life of the project to mitigate adverse impacts on achieving objectives. These best practices involve (1) preparing for risk management, (2) identifying and analyzing risks, and (3) mitigating identified risks. Preparing for risk management involves determining risk sources and categories and developing risk mitigation techniques. Identifying and analyzing risks includes determining those that are associated with cost, schedule, and performance and evaluating identified risks using defined risk parameters. Mitigating risks includes determining the levels and thresholds at which a risk becomes unacceptable and triggers the execution of a risk mitigation plan or contingency plan; determining the costs and benefits of implementing the risk mitigation plan for each risk; monitoring risk status; and providing a method for tracking open risk-handling action items to closure.", "Based on our evaluation, we found that DHS processes generally reflected three of seven specific risk management best practices and partially reflected the remaining four practices. Table 3 summarizes the extent to which DHS followed these seven best practices for managing TRIO project risks. Additional details on DHS and TRIO component efforts to address these practices are summarized following this table.", "Prepare for risk management. Key aspects of processes established by DHS and TRIO components related to the three best practices associated with preparing for risk management:", "Determine risk sources and categories. This practice calls for a basis for systematically examining circumstances that affect the ability of the project to meet its objective and a mechanism for collecting and organizing risks. DHS and the TRIO components established processes that met this best practice. For example, DHS reviewed the integrated master schedule that IBC prepared to identify sources of risk and defined risk categories in TRIO project policies.", "Define risk parameters. Risk parameters are used to provide common and consistent criteria for comparing risks to be managed. The best practice includes defining criteria for evaluating and quantifying risk likelihood and severity levels and defining thresholds for each risk category to determine whether risk is acceptable or unacceptable and to trigger management action. DHS partially met this best practice. DHS\u2019s risk management program defined rating scales to provide consistent criteria for evaluating and quantifying risk likelihood and severity levels. However, DHS\u2019s Risk Management Planning Handbook and related template for developing risk management plans for projects did not address the need for thresholds relevant to each category of risk to facilitate review of performance metrics in order to determine when risks become unacceptable or to invoke selected risk-handling options when monitored risks exceed defined thresholds.", "Establish a risk management strategy. A risk management strategy addresses specific actions and the management approach used to apply and control the risk management program, including identifying sources of risk, the scheme used to categorize risks, and parameters used to evaluate and control risks for effective handling. DHS met this best practice. DHS and IBC established risk management policies and plans for the TRIO project based on DHS acquisition guidance, which provided a framework for a risk management program. Collectively, these policies and plans constitute a risk management strategy. DHS and IBC have periodically updated these documents to maintain the scope of the risk management effort; the methods and tools to be used for risk identification, risk analysis, risk mitigation, risk monitoring, and communication; the prioritization of risks; and the allocation of resources for risk mitigation.", "Identify and analyze risks. Key aspects of processes established by DHS and the TRIO components related to the two best practices associated with identifying and analyzing risks: Identify risks. Risk identification should be an organized, thorough process to seek out probable or realistic risks to achieving objectives. This practice recognizes that risks should be identified and described understandably before they can be analyzed and managed properly. Using categories and parameters developed in the risk management strategy and identified sources of risk guides the identification of risks associated with cost, schedule, and performance. To identify risks, best practice elements include reviewing the work breakdown structure (WBS) and project plan to help ensure that all aspects of the work have been considered. Best practices for documenting risks include documenting the context, conditions, and potential consequences of each risk and identifying the relevant stakeholders associated with each risk.", "DHS partially met this best practice. DHS\u2019s July 2016 risk register contained a wide range of risks associated with defined risk categories. It also reflected DHS\u2019s review of the TRIO project\u2019s integrated master schedule that IBC prepared based on the WBS and work plans that IBC also developed. The risk register documented the context, conditions, potential consequences, and relevant stakeholders associated with each risk. However, DHS\u2019s documented risk management processes did not identify all significant risks or reflect its efforts to revisit risks that had previously been closed. For example, DHS officials told us that IBC was unable to provide sufficient, reliable cost and schedule information for project monitoring; however, a risk reflecting these concerns was not included on its July 2016 risk register. Further, the risk register included certain closed risks related to the need for a governance structure and strategy for ensuring that IBC met performance, cost, and schedule objectives. Although DHS had ongoing concerns about its ability to ensure that IBC met these objectives, the risk register did not reflect efforts to revisit these risks to determine whether their status needed revision or if other risks should be included on the risk register to address its accountability concerns. In addition, DHS did not always take timely action to document its consideration of risks identified by its independent verification and validation (IV&V) contractor for potential inclusion on its risk register. For example, the IV&V contractor identified a risk related to inefficiencies in DHS\u2019s document review process in June 2015 that was not included on DHS\u2019s risk register until February 2016. DHS officials indicated that a crosswalk between the DHS risk register and IV&V contractor risk management observations was performed weekly; however, results of these weekly reviews were not documented.", "Evaluate, categorize, and prioritize risks. Risk assessment uses defined categories and parameters to determine the priority of each risk to assist in determining when appropriate management attention is required. Best practices for analyzing risks include categorizing risks according to defined risk categories, evaluating identified risks using defined risk parameters, and prioritizing risks for mitigation. DHS\u2019s processes met this practice. For example, the documented risk management program included application of defined risk categories and parameters for all identified risks, providing a means for reviewing risks and determining the likelihood and severity of risks being realized. The TRIO project\u2019s Joint Risk Management Integrated Project Team provided consistency to the application of parameters by reviewing risk assessments when risks were first identified. By determining exposure ratings for each identified risk, DHS prioritized risks for monitoring and allocation of resources for risk mitigation.", "Mitigate risks. Key aspects of processes established by DHS and the TRIO components related to the two best practices associated with mitigating risks:", "Develop risk mitigation plans. Risk mitigation plans are developed in accordance with the risk management strategy and include a recommended course of action for each critical risk. The risk mitigation plan for a given risk includes techniques and methods used to avoid, reduce, and control the probability of risk occurrence; the extent of damage incurred should the risk occur; or both. Elements of this practice include determining the levels and thresholds that define when a risk becomes unacceptable and triggers the execution of a risk mitigation plan or contingency plan, identifying the person or group responsible for addressing each risk, determining the costs and benefits of implementing the risk mitigation plan for each risk, developing an overall risk mitigation plan for the work to orchestrate the implementation of individual risk mitigation plans, and developing contingency plans for selected critical risks in the event impacts associated with the risks are realized.", "DHS partially met this best practice. DHS\u2019s risk management program documentation reflected the development of risk response plans for most risks, including all those determined to be of medium and high exposure level. DHS identified those responsible for addressing each risk. However, DHS and IBC did not always develop sufficiently detailed risk mitigation plans including specific risk-handling action items, determination of the costs and benefits of implementing the risk mitigation plan for each risk, and developing contingency plans for selected critical risks in the event that their impacts are realized. For example, a risk associated with IBC\u2019s capacity and experience for migrating large agencies the size of Coast Guard and TSA was identified in July 2014. Although DHS developed plans to help mitigate this risk, a contingency plan was not developed prior to realizing the adverse impact of not implementing Coast Guard and TSA on IBC\u2019s modernized solution. Rather, a contingency plan working group (CPWG) to address this and other concerns was established in January 2017, over 2 years after the risk was initially identified. Further, thresholds were not used within the risk management program to define when a risk becomes unacceptable, triggering the execution of a risk mitigation plan or contingency plan.", "Implement risk mitigation plans. Risk mitigation plans are implemented to facilitate a proactive program to regularly monitor risks and the status and results of risk-handling actions to effectively control and manage risks during the work effort. Best practice elements include revisiting and reevaluating risk status at regular intervals to support the discovery of new risks or new risk-handling options that can require reassessment of risks and re-planning of risk mitigation efforts. Elements also include providing a method for tracking open risk-handling action items to closure, establishing a schedule or period of performance for each risk-handling activity, invoking selected risk-handling options when monitored risks exceed defined thresholds, and providing a continued commitment of resources for each risk mitigation plan.", "DHS partially met this best practice. Risk monitoring of the TRIO project consisted of reviews performed by DHS and TRIO component officials responsible for risk management and oversight functions. These reviews considered significant risks, risks approaching realization events, and the effect of management intervention on the resolution of risks. These reviews also relied, in part, on data contained in DHS\u2019s risk register, which represents the official repository of TRIO project risks and information on the status of risks and related risk mitigation efforts.", "However, other aspects of DHS\u2019s efforts to implement risk mitigation plans did not fully adhere to certain elements associated with this best practice. For example, we identified certain issues that raised questions concerning the accuracy of data contained in the risk register, such as (1) the lack of clear markings indicating when the accuracy of data on each risk was last confirmed, including risk records that had not been modified in the previous 3 months, and (2) certain risks for which the estimated risk impact date had already occurred but its status risk according to DHS\u2019s risk register did not reflect that it had been realized and become an issue. In addition, DHS officials stated that IBC did not provide sufficiently detailed, reliable cost and schedule information that could have been used to monitor TRIO project risks more effectively. DHS\u2019s ability to monitor cost, schedule, and other performance metrics was also limited because of the lack of thresholds for management involvement, as noted above. DHS\u2019s implementation of risk monitoring plans was further limited by other issues, including (1) a period of performance for each risk-handling activity, which includes a start date and anticipated completion date to control and monitor risk mitigation efforts, was not always established and (2) an inability to fully track open risk-handling action items to closure existed because of the lack of sufficient detail on specific risk-handling activities in the DHS risk register.", "According to DHS officials, DHS relied heavily on IBC to manage risks associated with the TRIO project and, in particular, those for which IBC was assigned as the risk owner. They also acknowledged DHS\u2019s responsibility for overseeing IBC\u2019s TRIO project risk management efforts and described various actions taken to address growing concerns regarding IBC\u2019s efforts. For example, DHS created the Joint Risk Management Integrated Project Team, in part, to provide a forum in which IBC could obtain assistance in developing risk responses and discuss DHS\u2019s risk mitigation concerns. Further, to help reduce exposure of underlying risks, DHS offered assistance to IBC\u2019s project management functions, such as developing the integrated master schedule and performing quality control checks on project deliverables. Despite these efforts, DHS officials stated that challenges associated with the IAA structure and terms of the performance work statement with IBC on the TRIO project limited DHS\u2019s visibility into IBC\u2019s overall cost, schedule, and performance controls and ability to oversee IBC\u2019s risk management efforts. For example, they stated that the performance work statement did not specify the level of reporting to be provided by IBC on cost, schedule, and performance in sufficient detail to effectively monitor progress on achieving key project objectives.", "Further, the limitations to managing risks related to the best practices we assessed as partially met were largely attributable to limitations in DHS and TRIO project guidance and policies. For example, DHS\u2019s Risk Management Planning Handbook and related template for developing risk management plans for projects does not address the need to define thresholds to facilitate review of performance metrics to determine when risks become unacceptable. Also, TRIO project policies did not address the need to periodically revisit consideration of risk sources other than IMS-related milestones, specify periods of performance for specific risk- handling activities, or define an interval for updating and certifying risk statuses. In addition, DHS guidance and TRIO project policies did not describe the need to consider and document risks specifically related to the lack of sufficient, reliable cost and schedule information to properly manage and oversee the project or for timely disposition of risks that its IV&V contractor identified. Further, TRIO project risk management policies and management tools used to implement them address best practice elements such as determination of the costs and benefits of implementing risk mitigation plans, developing contingency plans, and developing specific risk-handling action items. However, these policies do not require, and the risk register was not designed to specifically capture, these elements in documented risk mitigation plans. By not adopting important elements of risk management best practices into project guidance, DHS and the TRIO components increase the risk that potential problems would not be identified before they occur and that activities to mitigate adverse impacts would not be effectively planned and initiated."], "subsections": []}, {"section_title": "Key Factors and Challenges Impacting the TRIO Project and DHS\u2019s Path Forward", "paragraphs": ["Although DHS has taken various actions to manage the risks of using IBC for the TRIO project, including some that were consistent with best practices, the TRIO project has experienced challenges raising concerns regarding the extent to which its objectives will be achieved. In connection with these challenges, the TRIO components notified DHS during April 2016 through January 2017 that certain baseline cost and schedule objectives had not been, or were projected to not be, achieved as planned. According to these notifications and DHS officials we interviewed, several key factors and challenges significantly impacted DHS\u2019s and IBC\u2019s ability to achieve TRIO project objectives as intended. In addition, IBC, FIT, and USSM officials identified similar issues impacting the TRIO project. In connection with these challenges, DHS and IBC began contingency planning efforts in January 2017 to identify and assess viable options for improving program performance and addressing key TRIO project priorities. Plans for DHS\u2019s path forward on the TRIO project, as of May 2017, involve significant changes, such as transitioning away from using IBC and a 2-year delay in completing Coast Guard and TSA\u2019s migration to a modernized solution."], "subsections": [{"section_title": "Key Factors and Challenges Impacting the TRIO Project", "paragraphs": ["We grouped the key factors and challenges impacting the TRIO project that DHS, IBC, FIT, and USSM officials and OMB staff identified into five broad categories: (1) project resources, (2) project schedule, (3) complex requirements, (4) project costs, and (5) project management and communications. The key factors and challenges related to each category are summarized below.", "Project resources: Concerns about IBC\u2019s experience and its capacity to handle a modernization project involving agencies the size of Coast Guard and TSA were identified as significant risks in July 2014, resulting from discovery phase efforts completed prior to DHS and IBC\u2019s entering the implementation phase in August 2014. According to DHS officials, status reports, and other documentation, key TRIO project challenges related to resources included concerns that (1) IBC encountered federal employee hiring challenges and was unable to ramp up and deploy the resources necessary to meet required deliverables, and (2) IBC experienced significant turnover of key stakeholders which adversely impacted its ability to achieve TRIO project objectives.", "In connection with DHS\u2019s decision to use IBC for the TRIO project, DHS officials told us that DHS relied heavily on OMB and Treasury\u2019s designation of IBC as a federal SSP and their related assessment of IBC\u2019s capacity and experience. DHS officials also told us that DHS relied on FIT\u2019s federal agency migration evaluation model during discovery phase efforts that focused on assessing the functionality of the software rather than assessing IBC\u2019s (1) capacity, experience, and capability; (2) ability to address more complex software configurations and interfaces associated with large agencies; and (3) cost, schedule, and performance metrics. DHS officials stated that issues related to IBC\u2019s capacity and experience represented the most significant challenge impacting the TRIO project.", "IBC officials acknowledged that IBC was unable to ramp up its resources until after the project had begun and that the IBC project team experienced significant turnover in key leadership and TRIO project positions over the course of the project. IBC officials also acknowledged that during its early efforts on the TRIO project, assigned IBC staff lacked the experience and expertise necessary for managing large-scale projects and, as a result, many of the risks initially identified were not effectively addressed. FIT and USSM officials and OMB staff also acknowledged that resource challenges significantly impacted the TRIO project. A FIT official acknowledged that assessing software functionality, rather than implementation, was emphasized during the discovery process. Although DHS relied on OMB and Treasury\u2019s designation of IBC as a federal SSP, this FIT official also told us that because agencies\u2019 specific needs can vary significantly, agencies are responsible for conducting sufficient due diligence to assess a federal SSP\u2019s ability to meet their requirements.", "Project schedule: DHS, IBC, FIT, and USSM officials acknowledged that migrating the TRIO components to IBC within original time frames was a significant challenge given the overall magnitude and complexity of the TRIO project. According to DHS officials and TRIO project documentation, DHS identified delays in completing various tasks and milestones including providing design phase technical documentation and design processing proposed change requests; meeting proposed baseline schedules for implementing Coast Guard and TSA on the modernized IBC solution; and achieving initial operating capability requirements and stabilizing the production environment after DNDO\u2019s migration to IBC because of various issues related to reporting, invoice payment processing, contract management processes, and resolving help desk tickets in a timely manner.", "DHS officials also stated that IBC did not consistently update the IMS to ensure that it accurately reflected all required tasks, the completion status, and the resources required to complete them. Concerns related to meeting milestones and updating the IMS were discussed during periodic status update meetings that included DHS, IBC, OMB, FIT, and USSM officials. IBC and DHS officials acknowledged that processes for communicating and resolving issues were not always efficient and contributed to schedule delays. In addition, in November 2016, USSM noted several concerns based on its review of a draft IMS supporting TSA\u2019s re-planning efforts to go-live in October 2017. USSM\u2019s concerns included an incomplete project scope and schedule and need for additional discovery to determine cost and level of effort, an extremely aggressive schedule with very limited contingencies for the lack of interim checkpoints or oversight on tasks exceeding 30 days, the need for a resource-loaded IMS that incorporates an appropriate level of detail, and the need for an expedited program governance strategy and escalation path that DHS and IBC leadership could use to make program decisions within the time allotted on the schedule.", "Complex requirements: DHS, IBC, FIT, and USSM officials acknowledged the overall complexity of the TRIO project and that the lack of a detailed understanding of the components\u2019 requirements earlier in the project impacted IBC\u2019s and DHS\u2019s ability to satisfy the requirements as planned. For example, USSM and FIT officials told us that under the shared services model, the approach for onboarding new customers usually involves migrating to a proven configuration of a solution that is already being used by the provider\u2019s existing customers. However, rather than taking this approach, DHS and IBC agreed to implement a more recent version of Oracle Federal Financial software (version 12.2) with integrated contract life cycle and project modules. Under this approach, IBC\u2019s plans included migrating other existing customers to this upgraded environment. USSM officials told us that migrating TRIO components to a new solution that required configuring new software and related applications and developing related interfaces introduced additional complexities that contributed to issues on the TRIO project. According to a FIT official, the functionality of this more recent version of software is very different than that of the version IBC\u2019s existing customers used. This official stated that IBC did not have the needed government personnel with knowledge and experience associated with this new software, a condition that likely contributed to the challenges experienced on the TRIO project. IBC officials acknowledged that IBC\u2019s lack of familiarity with Oracle 12.2 increased the complexity of the TRIO project.", "In addition, DHS and IBC perspectives on the need for changes differed because of the lack of clarity regarding TRIO project requirements. DHS officials told us that many change requests on the TRIO project reflected the need for required functionality based on previously stated requirements. They also told us that they did not consider DNDO-related requirements to be overly complex when compared to those associated with IBC\u2019s similarly sized customers. However, DHS officials stated that as of June 2017, IBC has not yet met DNDO\u2019s needs to deliver a functioning travel system interface and other requirements. According to IBC officials, TRIO project change requests to address components\u2019 requirements were extensive and included significant customizations to meet unique requirements that were not aligned with the federal shared service model. IBC officials noted additional challenges in addressing TRIO project requirements related to DHS\u2019s efforts to address certain organizational change management and business process reengineering responsibilities. According to IBC officials, in some instances, the TRIO components provided conflicting requirements related to the same process that would have been more consistent had DHS completed more of its business process reengineering efforts prior to providing them to IBC.", "Project costs: According to the July 2014 discovery report, proposed implementation costs for the TRIO project totaled $89.9 million. However, according to DHS officials and TRIO project documentation, estimated costs significantly increased because of schedule delays, unanticipated complexities, and other challenges. In January 2017, DHS prepared a summary of estimated TRIO project implementation costs associated with its IAA with IBC. According to this summary, estimated IBC-related TRIO project implementation costs through fiscal year 2017 increased by approximately $42.8 million (54 percent) from the $79.2 million provided in the original August 2014 IAA with IBC as a result of modifications required, in part, to address challenges impacting the project. DHS officials also expressed concerns regarding increases in estimated operations and maintenance costs for the IBC solution. For example, according to a December 2016 memorandum to DHS on action items associated with failing to meet the baseline schedule date for initial operational capability, DNDO stated that IBC\u2019s updated projected costs of operations and maintenance of its system were unaffordable. In connection with these costs, DHS officials also stated that IBC determined that separate, rather than shared, help desk resources were required to support the TRIO project because it was significantly different from the solution that IBC\u2019s existing customers used. As a result, the officials indicated that these costs were more than originally expected. However, IBC officials told us that a portion of the increase in help desk- related costs was also due to DNDO employees not using the system properly because they were not sufficiently trained on it before it was implemented. In addition, challenges impacting the TRIO project have contributed to significant changes in the path forward on the project; as a result, the extent to which overall TRIO project modernization costs will be impacted going forward has not yet been determined.", "Project management and communication: According to DHS officials, various program management-related challenges impacted the TRIO project. For example, they expressed concerns regarding the effectiveness of IBC\u2019s project management efforts including cost, schedule, and change management as well as IBC\u2019s allocation of resources and slow decision-making process. They also stated that DHS provided significant time and resources to make up for fundamental project management activities that were under IBC\u2019s control and not performed. In addition, DHS officials identified limitations associated with (1) poorly defined service level agreements and program performance metrics, (2) poor quality control plan, and (3) the lack of mechanisms for measuring delivery and addressing concerns regarding IBC\u2019s performance. DHS officials told us that although various mechanisms can be used to hold commercial vendors accountable\u2014such as cure notices, quality assurance surveillance plans, and incentives or disincentives to monitor performance\u2014few mechanisms are available to hold federal agency service providers accountable for performance concerns.", "DHS officials also acknowledged challenges in their project management and communication efforts and identified lessons learned to help improve future efforts, including the need to establish a performance-based contract to determine objective and enforceable activity level metrics; be more prepared for organizational changes; improve vendor, project, and schedule management efforts; better understand SSP resource plans and monitor SSP efforts to help ensure that sufficient resources are secured timely; and centralize program management for financial system modernization functions, rather than continuing with the structure used on the TRIO project\u2014for example, the TRIO project\u2019s program management structure consisted of program management offices at the component level performing cost, schedule, and technical monitoring activities with DHS headquarters\u2019 involvement focused on governance and oversight, resulting in duplicate efforts across components.", "IBC officials acknowledged challenges concerning IBC\u2019s lack of sufficient resources and turnover, as described above. However, they told us that DHS\u2019s approach to project management often resulted in duplicative meetings and a lengthy decision-making process involving several officials and multiple review and approval processes. According to USSM officials, the TRIO project team focused an unbalanced portion of its efforts on the delivery of technology at the expense of organizational change management, communication management, and other project management areas. For example, the failure to incorporate lessons learned from DNDO\u2019s deployment adversely affected subsequent TRIO project implementation efforts, as change management activities did not address previously encountered risks. An OMB staff member concurred with the lessons learned that DHS identified, including those indicating the need for stronger project management. While the project is ongoing, the OMB staff member noted the importance of DHS having well-defined requirements for the project and better coordination to achieve the desired outcomes."], "subsections": []}, {"section_title": "Significant TRIO Project Changes Resulting from Challenges and Steps Implemented for the Path Forward", "paragraphs": ["In connection with TRIO project challenges, DHS officials told us that IBC notified DHS in April 2016 that it would not be able to meet the planned October 2016 implementation date for TSA. In response, DHS and IBC established the TSA Replan Tiger Team to perform a detailed assessment of potential courses of action. According to DHS officials, DHS and IBC subsequently took various actions to help address these and other challenges impacting the TRIO project, as summarized below.", "May 2016: IBC requested additional funding for fiscal year 2016 for 14 additional IBC and contractor personnel to strengthen program coordination and management support. According to DHS officials, DHS provided this requested funding along with additional funding to establish a business integration office to help strengthen cross organizational communication. DHS determined that plans for migrating TSA and Coast Guard to IBC during the first quarter of fiscal years 2017 and 2018, respectively, were not viable. As a result, their planned migrations were each extended an additional year.", "June 2016: DHS and IBC developed a comprehensive remediation plan to track progress on efforts to resolve numerous issues associated with DNDO\u2019s production environment that continued to hamper its stability since going live in November 2015. According to DHS officials, these issues related to invoice payment and interest accruals, contract life cycle management, reporting, and other activities and have required numerous work-arounds to execute business processes.", "August to October 2016: DHS, Coast Guard, and IBC determined that a similar replanning effort was needed for Coast Guard\u2019s successful migration to IBC. According to DHS officials, IBC indicated that it was unable to simultaneously provide DNDO production and TSA implementation support while also addressing the complexities related to Coast Guard. DHS officials told us that another Tiger Team established to address Coast Guard issues failed to complete the scope of its charter, and as a result, Coast Guard was forced to assume a minimum of a 2- year delay (rather than the 1-year delay previously determined in May 2016) and that this significantly increased program costs. They further stated that some of the team\u2019s deliverables have not been initiated or remain outstanding as of June 2017.", "December 2016: IBC communicated to DHS that it cannot support the discovery phase with DHS\u2019s CUBE modernization project. In addition, DHS approved the establishment of a Joint Program Management Office to serve as the overarching program management for DHS financial systems modernization projects. According to DHS officials, using a department-wide approach will enable DHS to more effectively leverage the resources and expertise across all modernization projects.", "January 2017: IBC communicated to DHS that it cannot support Coast Guard implementation in October 2018, and DHS and IBC established a joint CPWG to assess viable options for improving program performance and addressing stakeholder concerns and key TRIO project priorities.", "February 2017: DHS and IBC issued a joint memorandum to provide an update on contingency planning discussions. DHS and IBC shared commitments and determinations included (1) stabilizing the DNDO production environment and executing TSA implementation activities, (2) delivering the best value for the government and ensuring mutual success to the greatest extent possible, (3) preserving and protecting the current investment, and (4) making TSA implementation the first priority. In addition, DHS and IBC presented two options as representing the best opportunities for success in improving program performance and addressing stakeholder concerns: (1) continue with the status quo plan for Coast Guard implementation in October 2019, with significant improvements to program management and overall support capability and capacity, or (2) platform replacement. Platform replacement was presented as the preferred path toward meeting the needs of both DHS and IBC. Under this option, DHS and IBC would proceed with TSA implementation and work toward an orderly transition of TRIO components to an alternate service provider, hosting location, or both.", "March 2017: According to DHS officials, DHS, IBC, and USSM officials met to review certain critical success criteria for TSA\u2019s implementation. Based on these discussions, it was determined that TSA would not go live with IBC in fiscal year 2018 given the high-risk schedule and critical criteria involved and the Coast Guard implementation would also be delayed accordingly. Further, TSA release 3.0 would be delivered in October 2017 or as soon as possible thereafter. In addition, the CPWG would continue working to identify an alternative path forward, and DHS and IBC would identify and evaluate critical transition activities and timelines.", "April 2017: The CPWG recommended moving away from IBC to a commercial service provider leveraging the cloud as the best course of action to complete TRIO project implementation and as the most fiscally responsible approach from a long-term sustainment and cost perspective. The CPWG\u2019s recommendation was based on its analysis of six options and proposed a transition timeline, including key activities, as shown in figure 3.", "May 2017: During its May 3, 2017 briefing of the Financial Systems Modernization Executive Steering Committee, DHS indicated that two of the options that the CPWG considered were no longer viable, including the CPWG\u2019s recommendation to transition to a commercial cloud service provider because the software was not yet cloud-ready. DHS ranked the remaining four options using 13 OMB risk factors as selection criteria and determined that migrating the solution to a DHS data center represented the best option going forward. In addition, DHS decided to move forward with discovery efforts related to this option. According to its briefing presentation and DHS officials, the notional timeline of planned key events for the TRIO project included various items, as shown in figure 4.", "DHS officials indicated that DHS expects to present the findings and recommendations resulting from discovery efforts associated with this new path forward to USSM and OMB for concurrence. As of August 2017, results of this effort were under review by DHS leadership."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The TRIO project represents a key element of DHS\u2019s efforts to address long-standing deficiencies in its financial management systems and further improve financial management. Following best practices to manage risks effectively can help provide increased assurance that large, complex projects\u2014such as the TRIO project\u2014will achieve planned objectives. DNDO\u2019s AA process substantially met the four characteristics of a reliable, high-quality AOA process. However, Coast Guard\u2019s and TSA\u2019s AAs substantially met one and partially met three of these four characteristics. Further, DHS did not always follow best practices for managing the risks of using IBC for the TRIO project. As a result, TRIO components faced an increased risk that the solution they chose would not represent the best alternative for meeting their mission needs and that the risks impacting the TRIO project would not be effectively managed to mitigate adverse impacts. In addition, significant challenges have impacted the TRIO project, raising concerns about the extent to which objectives will be achieved as planned. Plans for DHS\u2019s path forward on the TRIO project, as of May 2017, involve significant changes, such as transitioning away from IBC and a 2-year delay in completing Coast Guard\u2019s and TSA\u2019s migration to a modernized solution. Without greater adherence to best practices for analyzing alternatives and managing project risks, DHS continues to face increased risk that its financial management system modernization project will not provide reasonable assurance of achieving its mission objectives."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DHS: The DHS Under Secretary for Management should develop and implement effective processes and improve guidance to reasonably assure that future AAs fully follow AOA process best practices and reflect the four characteristics of a reliable, high-quality AOA process. (Recommendation 1)", "The DHS Under Secretary for Management should improve the Risk Management Planning Handbook and other relevant guidance for managing risks associated with financial management system modernization projects to fully incorporate risk management best practices, including defining thresholds to facilitate review of performance metrics to determine when risks become unacceptable; identifying and analyzing risks to include periodically reconsidering risk sources, documenting risks specifically related to the lack of sufficient, reliable cost and schedule information needed to help properly manage and oversee the project, and timely disposition of IV&V contractor-identified risks; developing risk mitigation plans with specific risk-handling activities, the costs and benefits of implementing them, and contingency plans for selected critical risks; and implementing risk mitigation plans to include establishing periods of performance for risk-handling activities and defining time intervals for updating and certifying the accuracy and completeness of information on risks in DHS\u2019s risk register. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to DHS and the Department of the Interior for comment. In its comments, reprinted in appendix IV, DHS concurred with our recommendations and provided details on its implementation of the recommendations as discussed below. In addition, DHS provided technical comments, which we incorporated as appropriate. The Department of the Interior only provided technical comments, which we incorporated as appropriate.", "DHS stated that it remains committed to its financial system modernization program. Specifically, regarding our first recommendation to develop and implement effective processes and improve guidance to reasonably assure that future AAs fully follow AOA process best practices and reflect the four characteristics of a reliable, high-quality AOA process, DHS stated that it agrees that effective processes and guidance are necessary to assure best practices. DHS also stated that it is important to note that the GAO-identified best practices were published more than 2 years after the TRIO components\u2019 AAs were completed. While this is the case, as discussed in our report, these best practices are based on long- standing, fundamental tenets of sound decision making and economic analysis and were identified by compiling and reviewing commonly mentioned AOA policies and guidance that are known to and have been used by government and private sector entities.", "DHS also stated that it has already implemented this recommendation through its issuance of guidance and instructions in 2016 and that a copy of this additional guidance and instructions was provided to GAO. However, the documentation provided by DHS does not fully address our recommendation. As part of our recommendation follow-up process, we will coordinate with DHS to obtain additional information on its efforts to address our recommendation.", "With regard to our second recommendation to improve the Risk Management Planning Handbook and other relevant guidance, DHS stated that it concurred and agreed that the Risk Management Planning Handbook required updating to fully incorporate risk management best practices. In addition, DHS described actions it will take, and has taken, to revise and publish an updated handbook.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Homeland Security, the DHS Under Secretary for Management, the Acting DHS Chief Financial Officer, the Secretary of the Interior, and the Director of the Interior Business Center. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-9869 or khana@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To determine the extent to which the Department of Homeland Security (DHS) followed best practices in analyzing the alternatives used in choosing the preferred alternative for modernizing TRIO components\u2019 financial management systems, we reviewed information that the TRIO components provided as part of their alternatives analysis (AA) process, referred to as the AA body of work, which includes the AA and other supporting documentation that is not specifically included in the AA. In addition, we discussed the DHS AA process with the TRIO components and DHS officials. We evaluated each TRIO component\u2019s AA body of work and assessed this information against the GAO-identified 22 analysis of alternatives (AOA) process best practices. We then scored each AA against those best practices. In appendix II, these GAO- identified best practices are described in detail.", "Our evaluation comprised the following steps: (1) two GAO analysts separately examined the AA information received for each component, providing a score for each of 18 best practices; (2) a third GAO analyst resolved any differences between the two analysts\u2019 initial scoring; and (3) a GAO specialist on AOA best practices, independent of the audit team, reviewed the team\u2019s AA documentation, scores, and analyses for consistency. The GAO specialist also assessed the four best practices related to cost estimating.", "We used the average scores for each best practice to determine an overall score for four summary characteristics\u2014well-documented, comprehensive, unbiased, and credible\u2014of a reliable, high-quality AOA process at each TRIO component. Next, we shared our preliminary analysis with the TRIO components and DHS, and requested their technical comments and any additional information for our further consideration. For those characteristics of the AA process that received a score of partially met or below, we met with TRIO component and DHS officials to discuss potential reasons that an AA did not always conform to best practices. Finally, using the same methodology and scoring process explained above, we performed a final assessment based on our preliminary analysis and the comments and additional information received. The best practices were not used to determine whether DHS made the correct decision in selecting Department of the Interior\u2019s Interior Business Center (IBC) to implement the financial management systems modernization solution or whether the TRIO project would have arrived at a different conclusion had it more fully conformed to these best practices.", "We also reviewed DHS guidance for conducting AOAs and AAs against the GAO-identified 22 AOA process best practices using the same methodology described above for reviewing the TRIO components\u2019 AAs. In the course of applying these best practices to a TRIO component\u2019s AA and to DHS guidance for the AA process, we assessed the reasonableness of the information we collected. We determined that the information from the DHS AA process was sufficiently reliable to use in assessing the TRIO components\u2019 AAs and DHS guidance against these 22 best practices.", "To determine the key factors, metrics, and processes used by the TRIO components in developing and evaluating DHS\u2019s alternative solutions and final choice for financial system modernization, we reviewed each component\u2019s AA, including a description of (1) the alternatives considered, (2) the market research conducted, (3) the three alternatives evaluated, (4) the selection criteria used and how the criteria were weighted, (5) how each alternative scored against the selection criteria, and (6) the alternative that scored the best according to the component\u2019s evaluation.", "To determine the extent to which DHS managed the risks of using IBC consistent with risk management best practices, we reviewed DHS\u2019s and TRIO components\u2019 risk management guidance and other documentation supporting their risk management efforts, including risk registers, mitigation plans, status reports, and risk management meeting minutes. We also met with officials to gain an understanding of the key processes and documents used for managing and reporting on TRIO project risks. We assessed the processes against best practices that the Software Engineering Institute (SEI) identified. The practices we selected are fundamental to effective risk management activities. These practices are identified in SEI\u2019s Capability Maturity Model\u00ae Integration (CMMI\u00ae) for Acquisition, Version 1.3.", "In particular, the key best practices for preparing for risk management are determine risk sources and categories, define risk parameters, and establish a risk management strategy.", "The key best practices for identifying and analyzing risks are evaluate, categorize, and prioritize risks.", "The key best practices for mitigating identified risks are develop risk mitigation plans and implement risk mitigation plans.", "We applied the criteria from the CMMI risk management process area to determine the extent to which the expected practices were implemented, or future activities were planned for, by the program office. The rating system we used is as follows: (1) meets, or generally satisfies all elements of the specific practice; (2) partially meets, or generally satisfies a portion of specific practice elements; and (3) does not meet, or does not satisfy specific practice elements.", "In the context of the best practices methodology, we assessed the reliability of TRIO project risk data contained in DHS\u2019s risk register. We interviewed officials on how the risk register was developed and maintained, including key control activities used to provide reasonable assurance of the accuracy of the information reported in the register. We reviewed DHS\u2019s July 2016 risk register and minutes from risk management committee meetings (one meeting per quarter, randomly selected). Of 120 TRIO project risks on the July 2016 risk register, we found 13 risks with missing data. Of 47 active risks identified, 28 risk records had not been modified in the previous 3 months and the register did not indicate when their accuracy was last confirmed and 35 risks were beyond their indicated impact dates but had not been marked as issues. We concluded that the pervasiveness of these data reliability problems decreased the usefulness of the risk register in connection with managing TRIO project risks.", "To determine the key factors or challenges that have impacted the TRIO project and DHS\u2019s plans for completing remaining key priorities, we met with DHS, IBC, Office of Financial Innovation and Transformation, and Unified Shared Services Management office officials and Office of Management and Budget staff to obtain their perspectives. In addition, we reviewed documentation provided by these officials, including TRIO project status reports and memorandums, leadership briefings, and other presentations.", "We conducted this performance audit from March 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Best Practices for the Analysis of Alternatives Process", "paragraphs": ["Many guides describe an approach to an analysis of alternatives (AOA); however, there is no single set of practices for the AOA process that has been broadly recognized by both the government and private sector entities. GAO has previously identified 22 best practices for an AOA process by (1) compiling and reviewing commonly mentioned AOA policies and guidance used by different government and private sector entities and (2) incorporating experts\u2019 comments on a draft set of practices to develop a final set of practices. These practices are based on longstanding, fundamental tenets of sound decision making and economic analysis.", "In addition, these practices can be applied to a wide range of activities in which an alternative must be selected from a set of possible options, as well as to a broad range of capability areas, projects, and programs. These practices can provide a framework to help ensure that entities consistently and reliably select the project alternative that best meets mission needs. The guidance below is an overview of the key principles that lead to a successful AOA process and not as a \u201chow to\u201d guide with detailed instructions for each best practice identified.", "The 22 best practices that GAO identified are grouped into the following five phases: 1. Initialize the AOA process: Includes best practices that are applied before starting the process of identifying, analyzing, and selecting alternatives. This includes determining the mission need and functional requirements, developing the study time frame, creating a study plan, and determining who conducts the analysis. 2. Identify alternatives: Includes best practices that help ensure that the alternatives to be analyzed are sufficient, diverse, and viable. 3. Analyze alternatives: Includes best practices that compare the alternatives to be analyzed. The best practices in this category help ensure that the team conducting the analysis uses a standard, quantitative process to assess the alternatives. 4. Document and review the AOA process: Includes best practices that would be applied throughout the AOA process, such as documenting all steps taken to initialize, identify, and analyze alternatives and to select a preferred alternative in a single document. 5. Select a preferred alternative: Includes a best practice that is applied by the decision maker to compare alternatives and to select a preferred alternative.", "The five phases address different themes of analysis necessary to complete the AOA process, and comprise the beginning of the AOA process (defining the mission needs and functional requirements) through the final step of the AOA process (selecting a preferred alternative).", "We also identified four characteristics that relate to a reliable, high-quality AOA process\u2014that the AOA process is well-documented, comprehensive, unbiased, and credible. Table 4 shows the four characteristics and their relevant AOA best practices.", "Conforming to the 22 best practices helps ensure that the preferred alternative selected is the one that best meets the agency\u2019s mission needs. Not conforming to the best practices may lead to an unreliable AOA process, and the agency will not have assurance that the preferred alternative best meets mission needs."], "subsections": []}, {"section_title": "Appendix III: GAO Assessment of TRIO Components\u2019 Alternatives Analyses", "paragraphs": ["The Department of Homeland Security\u2019s TRIO components\u2014the U.S. Coast Guard (Coast Guard), Transportation Security Administration (TSA), and Domestic Nuclear Detection Office (DNDO)\u2014conducted alternatives analyses (AA) during 2012 and 2013 to determine the best alternative for transitioning to a modernized financial management system solution. We evaluated the TRIO components\u2019 AA processes against analysis of alternatives (AOA) best practices GAO identified as necessary characteristics of a reliable, high-quality AOA process (described in app. II).", "GAO\u2019s assessment of the extent to which Coast Guard\u2019s, TSA\u2019s, and DNDO\u2019s AAs met each of the 22 best practices is detailed in tables 5, 6, and 7."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, James Kernen (Assistant Director), William Brown, Courtney Cox, Eric Essig, Valerie Freeman, Matthew Gardner, Jason Lee, Jennifer Leotta, and Madhav Panwar made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-201", "url": "https://www.gao.gov/products/GAO-19-201", "title": "Security Assistance: U.S. Agencies Should Establish a Mechanism to Assess Caribbean Basin Security Initiative Progress", "published_date": "2019-02-27T00:00:00", "released_date": "2019-02-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Caribbean region, which shares geographic proximity and common interests with the United States, faces high rates of crime and violence. In 2010, the United States and Caribbean countries formally launched CBSI, which aims to increase citizen safety. GAO was asked to examine U.S. assistance through CBSI. This report (1) discusses U.S. funding for CBSI activities, (2) examines the extent to which there is a planning and reporting process for CBSI, and (3) examines the extent to which State and USAID have established objectives and performance indicators to measure progress of their CBSI activities. GAO analyzed State and USAID data; assessed government strategies and performance reports; selected a non-generalizable sample of 25 CBSI activities and analyzed State and USAID documentation related to those activities; interviewed relevant officials; and conducted fieldwork in Barbados, Dominican Republic, and Jamaica, which are the countries generally receiving the most CBSI funding."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. agencies have allocated more than $560 million for the Caribbean Basin Security Initiative (CBSI) from fiscal years 2010 through 2018 for activities related to the three pillars of CBSI\u2014reduce illicit trafficking (such as in narcotics and firearms), improve public safety and security, and promote social justice. For example, State Department's (State) Bureau of International Narcotics and Law Enforcement Affairs (INL) has ongoing activities such as advisory programs and equipment procurements, while the U.S. Agency for International Development (USAID) has activities aimed at increasing economic opportunities for at-risk youth and improving the skills of prosecutors.", "The U.S. government has undertaken some planning and reporting of CBSI activities, but State has not created an initiative-wide planning and reporting mechanism. Agencies individually set strategic goals and priorities with CBSI countries and plan and report on their CBSI activities on a country-specific basis. However, State has not created an initiative-wide planning and reporting mechanism that facilitates interagency coordination or establishes consistent performance indicators across agencies, countries, and activities\u2014key elements for effectively aligning foreign assistance strategies. Without such a planning and reporting mechanism, overall progress of the initiative cannot be assessed.", "State and USAID have established objectives and performance indicators for selected CBSI activities, and INL is taking steps to improve identified weaknesses in its program monitoring. State and USAID had established objectives and performance indicators for the 25 activities in our sample. However, INL cannot ensure the reliability of its program monitoring data because collection and maintenance of this data is conducted differently in each country and there is no centralized data storage system. INL recently contracted to improve and standardize its program monitoring data for Western Hemisphere activities, but according to INL officials, data challenges remain\u2014in particular, how to collect standardized data from each of the embassies and how to build a data management system that is compatible with State requirements. Without reliable data, INL may continue to struggle with program monitoring of CBSI activities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State (1) create an initiative-wide planning and reporting mechanism for CBSI that includes the ability to monitor, evaluate, and report the results of collaborative efforts, and (2) ensure that INL develops and implements a data management system for centrally collecting reliable CBSI data. State agreed with the recommendations, noting that it plans to develop an updated Results Framework for initiative-wide planning and reporting and to improve centralized data collection through an enhanced data management system."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States has long recognized the importance of the Caribbean region to the overall stability of the Western Hemisphere. Sometimes referred to as the \u201cthird border,\u201d the Caribbean region shares geographic proximity, common interests, and societal ties with the United States. However, this region also faces security threats that jeopardize its economic growth and development. Situated between drug production sources in South America and consumer markets in North America and Europe, the Caribbean is a major transit zone for illicit narcotics. The United Nations Office on Drugs and Crime, the World Bank, and the Inter- American Development Bank have identified drug trafficking as a primary driver of homicide and other violent crime in the region. Caribbean countries suffer from some of the highest per-capita murder rates in the world, and many countries lack the ability to counter these threats. In 2010, the United States, Caribbean Community member nations, and the Dominican Republic formally launched the Caribbean Basin Security Initiative (CBSI) to help Caribbean countries develop the capacity to respond to these threats.", "You asked us to review assistance provided through CBSI. In this report, we (1) provide information on U.S. funding for CBSI activities, (2) examine the extent to which the U.S. Department of State (State) and U.S. Agency for International Development (USAID), in conjunction with other agencies, have implemented a planning and reporting process for CBSI, and (3) examine the extent to which State and USAID have established objectives and performance indicators to measure the progress of their CBSI activities.", "To provide information on U.S. funding for CBSI, we analyzed State and USAID data on allocations, unobligated balances, unliquidated obligations, and disbursements by fiscal year, funding account, and country for fiscal years 2010 through 2018. We compared the data to those previously reported and determined that they were reliable for the purpose of reporting them according to these categories. We also obtained illustrative examples of the types of activities funded through CBSI.", "To examine the extent to which State and USAID have implemented a planning and reporting process for the initiative, we obtained relevant CBSI planning and reporting documents, including those related to the Caribbean-U.S. Security Cooperation Dialogue and strategy documents such as Integrated Country Strategies and Country Development Cooperation Strategies, and interviewed relevant State and USAID officials. We compared the planning and reporting procedures in place to the key elements for effectively aligning foreign assistance strategies in situations where multiple agencies work together to deliver foreign assistance.", "To examine the extent to which State and USAID have established objectives and performance indicators to measure progress of their CBSI activities, we selected three case study countries\u2014Barbados, the Dominican Republic, and Jamaica. We selected these three countries because they receive the greatest amount of CBSI funding and because they have program officials from State and USAID in their embassies. For each country, we requested lists of all ongoing and completed CBSI activities from State and USAID and used the lists to select a non- generalizable sample of activities, 15 implemented by State and 10 implemented by USAID, which were selected to provide a range of activity costs, implementing partners, types of activity, and location. We reviewed State and USAID documentation related to performance management for these activities, specifically focusing on the use of activity objectives and performance indicators, which are used to set and measure progress toward activity goals. Specifically, we examined contracts and agreements and program monitoring and progress reports, as well as country-level and regional-level reporting that encompassed these activities. The objectives and performance indicators in place for these activities do not represent those in place for all CBSI activities, but offer illustrative examples. We compared the performance management practices in place for the sample activities to State and USAID policies related to program management, found in the Foreign Affairs Manual (FAM) and Automated Directives System (ADS), respectively. We also interviewed officials from State, USAID, the Department of Defense (DOD), the Department of Justice, the Department of Homeland Security, and other implementing partner officials in Washington, D.C.; Barbados; the Dominican Republic; and Jamaica; and conducted site visits in these countries to determine the types of performance indicators tracked for each project.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Economic, Security, and Illicit Drug Trafficking Challenges in the Caribbean", "paragraphs": ["The countries of the Caribbean are diverse in size, culture, and level of development, and face various interrelated economic and security challenges. According to a recent International Monetary Fund report, Caribbean countries have recently fallen into a pattern of low growth and high debt, and those with tourism-intensive economies are characterized by high rates of unemployment. They have endured frequent natural disasters that reduced economic output and imposed reconstruction costs, as well as deep macroeconomic, financial, and structural challenges that have resulted in lower-than anticipated rates of economic growth, according to the same report.", "Recent reports emphasize that crime and violence in the Caribbean have inflicted widespread costs, generating a climate of fear for citizens and diminishing economic growth. These reports note that Caribbean countries have some of the highest per-capita murder rates in the world, with assault rates that are significantly above the world average, and high crime rates have stretched the capacity of their criminal justice systems, which are small and largely characterized as weak and ineffective.", "Because of their location between drug production sources in South America and consumer markets in North America and Europe, Caribbean countries have become a major transit zone for illicit drugs, particularly drugs destined for the United States. With long coastlines that are difficult to comprehensively patrol, and limited air and sea capabilities to support interdictions, the Caribbean countries often struggle to control territorial waters and stem the flow of drugs northwards."], "subsections": []}, {"section_title": "Establishment of CBSI", "paragraphs": ["Over the years, the United States has created several initiatives to engage with the countries of the Caribbean Basin region to address economic and political issues. In May 2010, the United States, Caribbean Community member states, and the Dominican Republic formally launched CBSI to strengthen regional cooperation on security. At its inception in 2010, CBSI\u2019s aim was to increase citizen safety through provision of U.S. foreign assistance to CBSI partner countries to reduce illicit trafficking, improve public safety and security, and promote social justice; these three \u201cpillars\u201d remain the overall goals of CBSI.", "There are thirteen CBSI partner countries\u2014Antigua and Barbuda, Bahamas, Barbados, Dominica, the Dominican Republic, Grenada, Guyana, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent and the Grenadines, Suriname, and Trinidad and Tobago (see fig. 1)."], "subsections": []}, {"section_title": "U.S. Government Agencies Involved in Funding and Implementing CBSI Activities", "paragraphs": ["The U.S. agencies and offices currently funding CBSI activities are State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL), State\u2019s Bureau of Political-Military Affairs (PM), and USAID (see fig. 2). State\u2019s Bureau of Western Hemisphere Affairs (WHA) plays a coordinating role for CBSI. To implement CBSI activities, State and USAID partner with nongovernmental and multilateral organizations as well as other government agencies, such as DOD and the Departments of Homeland Security, Justice, and Treasury."], "subsections": []}]}, {"section_title": "U.S. Government Agencies Have Allocated More Than $560 Million in CBSI Funds from Fiscal Years 2010 through 2018 to Support Various Security Activities", "paragraphs": ["From fiscal years 2010 through 2018, U.S. agencies have allocated more than $560 million in funding for CBSI activities. Since fiscal year 2012, annual allocations have remained relatively constant, ranging between $56.6 million and $63.5 million. Of the 13 CBSI partner countries, U.S. agencies have provided the most CBSI funding to the Dominican Republic, Jamaica, and the countries covered by the Eastern Caribbean embassy. State and USAID disbursed funds to support activities in partner countries that improve law enforcement and maritime interdiction capabilities, support activities to train and otherwise improve the capabilities of national security institutions, prevent crime and violence, and deter and detect border criminal activity. These activities are generally aligned with the three pillars of CBSI."], "subsections": [{"section_title": "State and USAID Allocated More Than $560 Million to CBSI from Various Foreign Assistance Accounts", "paragraphs": ["From fiscal years 2010 through 2018, State and USAID allocated more than $560 million in funding for CBSI activities. Of that amount, U.S. agencies have disbursed or committed approximately $361 million for CBSI activities in the 13 CBSI partner countries and for region-wide activities. Funding for CBSI activities comes from a combination of U.S. foreign assistance accounts\u2014mostly through INCLE, ESF, and FMF, with a small amount of funding provided through NADR and DA (see textbox).", "U.S. Foreign Assistance Accounts That Have Been Used to Fund Caribbean Basin Security Initiative (CBSI) Activities International Narcotics Control and Law Enforcement (INCLE): The Department of State (State)\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL) manages the INCLE account, which provides assistance to foreign countries and international organizations to develop and implement policies and programs that maintain the rule of law and strengthen institutional law enforcement and judicial capabilities, including countering drug flows and combatting transnational crime. Generally, INCLE funds are available for obligation for 2 fiscal years and must be disbursed within 5 years of the end of the period of availability for new obligations.", "Economic Support Fund (ESF): State and the U.S. Agency for International Development (USAID) share responsibility for managing the ESF account. For CBSI activities, it is primarily USAID who uses ESF funds to assist foreign countries in meeting their political, economic, and security needs. Generally, ESF funds are available for obligation for 2 fiscal years and must be disbursed within 5 years of the end of the period of availability for new obligations. Foreign Military Financing (FMF): State\u2019s Bureau of Political-Military Affairs manages the FMF account, which provides grants and loans to foreign governments and international organizations for the acquisition of U.S. defense equipment, services, and training. The Department of Defense is the main implementer of this funding. Previous acts appropriating funds for FMF have generally provided that such funds are available for obligation for 1 year, and deem such funds to be obligated upon apportionment.", "Nonproliferation, Anti-terrorism, Demining, and Related Programs (NADR): State manages the NADR account, which funds contributions to organizations supporting nonproliferation and provides assistance to foreign countries for nonproliferation, antiterrorism, demining, export control assistance, and other related activities. Generally, NADR funds are available for obligation for 2 fiscal years and must be disbursed within 5 years of the end of the period of availability for new obligations.", "Development Assistance (DA): USAID manages the DA account, which responds to long-term challenges to human and economic security by funding activities in areas such as economic growth and education. Generally, DA funds are available for obligation for 2 fiscal years and must be disbursed within 5 years of the end of the period of availability for new obligations.", "Since 2012, allocations have remained relatively constant each year, ranging between $56.6 million and $63.5 million. Table 1 summarizes the INCLE, ESF, NADR, and DA allocations and disbursements and the FMF allocations and commitments by year of appropriation. Appendix II includes a breakdown of allocated, obligated, and disbursed funds for INCLE, ESF, NADR, and DA accounts; appendix III includes a breakdown of FMF funding that State has allocated and committed to CBSI.", "Since fiscal year 2010, U.S. agencies have provided the most CBSI funding to the Dominican Republic, Jamaica, and the countries covered by the Eastern Caribbean embassy. These countries received approximately 66 percent of total CBSI allocations from fiscal years 2010 through 2018. Approximately 13 percent of total CBSI allocations went to the Bahamas, Guyana, Suriname, and Trinidad and Tobago, while 21 percent of total CBSI allocations went to regional activities. Table 2 provides a breakdown of allocated funds by country for CBSI activities."], "subsections": []}, {"section_title": "U.S. Government Agencies Support Various Security Activities throughout the Caribbean in Line with the Three CBSI Pillars", "paragraphs": ["State and USAID fund various security activities in partner countries. State uses INCLE and FMF funds to conduct activities in support of CBSI goals at all seven embassies, covering all 13 CBSI countries. State uses several different implementing mechanisms\u2014including contracts, cooperative agreements, and interagency agreements. According to INL officials, INL has an average of 10-50 distinct ongoing activities within any individual country program at any given time, ranging from multi-year, multi-million dollar embedded advisory programs to one-time procurements for equipment or individual trainings. USAID uses ESF funds for activities in three missions\u2014the Dominican Republic, Eastern and Southern Caribbean, and Jamaica. In general, USAID uses similar implementing mechanisms, but typically has fewer projects that cover multiple years.", "State primarily focuses on funding CBSI activities that fall within the pillar of reducing illicit trafficking, and USAID concentrates on funding activities within the pillar of promoting social justice. Both agencies fund activities in the pillar of improving public safety and security.", "Reducing illicit trafficking. State uses INCLE and FMF funds, through interagency agreements with DOD and other implementing partners, to increase Caribbean countries\u2019 control over their territorial maritime domain and reduce illicit trafficking, such as narcotics and firearms, as the examples below illustrate.", "Eastern Caribbean. INL and PM have provided training and equipment to the Regional Security System, a collective defense organization of Eastern Caribbean countries whose responsibilities include regional law enforcement training and narcotics interdiction. For example, U.S. assistance funded the refurbishment of aircraft operated by the Regional Security System to provide equipment for intelligence, surveillance, and reconnaissance related to drug interdiction.", "Jamaica. INL and PM have provided boats to the government of Jamaica to increase the government\u2019s capacity to conduct counternarcotic operations (see fig. 3).", "Throughout the Caribbean. INL supports activities providing training, technical assistance, policy guidance, and basic equipment to enhance the capacity of CBSI countries to combat illicit small arms and ammunition trafficking through operational forensic ballistics.", "Throughout the Caribbean. State uses an interagency agreement to support the Technical Assistance Field Team (TAFT) program. This program, supported by both FMF and INCLE funds, aims to build maritime capacity of partner countries throughout the Caribbean. The team is composed of 15 Coast Guard and DOD engineers, technicians, specialists, and logisticians, based at U.S. Southern Command, who assist Caribbean maritime security forces with maintenance and sustainment issues. The advisors have worked to implement inventory management systems within CBSI countries and conduct regular site visits to CBSI countries to assist in the maintenance and logistics of maritime assets.", "Promoting social justice. USAID and its implementing partners\u2014 multilateral and nongovernmental organizations, for the most part\u2014use ESF funds in an effort to increase economic opportunities for at-risk youth and vulnerable populations, improve community and law enforcement cooperation, improve the juvenile justice sector, and reduce corruption in public and private sectors.", "Dominican Republic. USAID has provided assistance for community- based activities, such as the Community Justice Houses. These centers are designed to provide services related to the justice sector, such as public defense and mediation efforts for populations in areas of high violence that have limited access to traditional justice institutions.", "Dominican Republic and Barbados. USAID\u2019s implementing partners work with at-risk youth to provide skills training and education for those individuals in vulnerable populations.", "Jamaica. USAID\u2019s implementing partners work with youth in the juvenile justice system to provide marketable technical skills, life skills, and individualized psychosocial attention to assist in their reintegration into society.", "Eastern and Southern Caribbean. USAID partners use a community- based approach to crime prevention to identify the underlying causes of crime and violence by collecting standardized crime data across the region.", "Increasing public safety and security. State uses INCLE to fund activities to increase the rule of law and reduce transnational crime. USAID uses ESF to support public safety and security activities by funding training and support programs that aim to build institutional capacity for police and judicial systems.", "Jamaica. INL works to enhance the government of Jamaica\u2019s capacity to disrupt and deter money laundering operations and other financial crimes by providing technical assistance, equipment and training for combating money laundering and financial crime, and for the seizure of criminally-acquired assets.", "Eastern Caribbean. INL uses training, technical assistance, equipment purchases, and operational support to combat financial crimes and increase asset forfeiture efforts.", "Dominican Republic. INL has provided funding for the government\u2019s creation of a centralized emergency \u201c911\u201d response system to increase citizen safety and security.", "Dominican Republic. Both INL and USAID provide assistance to the Dominican National Police, and USAID\u2019s implementing partners work with the judicial sector to improve the skills of prosecutors (see fig. 4). INL provides assistance to the Dominican National Police through funding training to increase police professionalization and supports training on enforcing legislation for prosecutors and judges. USAID funding works to support the reform and modernization of the Dominican National Police by strengthening the management capacity and accountability of the organization. USAID implementing partners also work with prosecutors to strengthen the criminal justice system in the Dominican Republic."], "subsections": []}]}, {"section_title": "State and USAID Undertake Some Planning and Reporting of CBSI Activities but the U.S. Government Cannot Assess Initiative-wide Progress", "paragraphs": ["The United States and Caribbean countries meet periodically to set strategic goals and to designate high-level priorities for the subsequent year, and U.S. agencies individually plan and report on CBSI activities on a country-specific basis through a variety of reporting mechanisms (see fig. 5). However, State has not created an initiative-wide mechanism for planning and reporting on CBSI activities and the U.S. government cannot assess initiative-wide progress."], "subsections": [{"section_title": "State and USAID Establish Strategic Goals and Priorities for CBSI with Partner Countries", "paragraphs": ["At the strategic and political level, U.S. government agencies and CBSI partner countries engage on a periodic basis to set strategic goals and to designate high-level priorities for the subsequent year. The process involves various technical working groups meeting throughout the year, culminating in the Caribbean-United States Security Cooperation Dialogue meeting, attended by the Caribbean Community, the Dominican Republic, the United States, and other interested Caribbean states and international partners. At the 2017 meeting, participants set strategic goals by reaffirming the initiative\u2019s three pillars of substantially reducing illicit trafficking, advancing public safety and security, and promoting social justice. Participants also produced a high-level plan of action that aimed to strengthen commitment and accountability of the countries involved and to ensure political support for implementation. Within each goal, the plan identified high-level priorities such as counternarcotics, anti-money laundering, border security, justice reform, and anti- corruption."], "subsections": []}, {"section_title": "State and USAID Generally Plan CBSI Activities on a Country- Specific Basis", "paragraphs": ["At the implementation level, State and USAID separately plan and report their CBSI activities, generally on a country-specific basis. Within State, INL develops multi-year country plans that are the basis for making decisions on CBSI activities for each country, according to INL officials. The plans describe objectives within a country for program areas such as law enforcement professionalization, rule of law, and counternarcotics, and include performance indicators related to those program areas. INL developed a country plan for each of the seven embassies in CBSI from fiscal years 2017 through 2021. In addition, a portion of INL\u2019s CBSI funding is devoted to regional activities (i.e., activities that are implemented in more than one CBSI country), and INL developed the CBSI Regional Implementation Plan to describe the objectives and performance indicators for regional activities. The CBSI activities that are funded through FMF are planned and implemented by DOD in coordination with PM.", "USAID uses its Country Development Cooperation Strategies (CDCS) as the basis for planning CBSI activities in each country, according to USAID officials. USAID developed a CDCS for each of the three missions that have a USAID presence among the CBSI countries\u2014Eastern and Southern Caribbean, the Dominican Republic, and Jamaica. The strategies outline priorities for each mission and typically cover 5 years. In each of the CDCS, USAID outlines three development objectives, including one that is CBSI-related\u2014on crime prevention and reduction\u2014 and two that are not CBSI-related\u2014on climate change and health care.", "According to INL and USAID officials, coordination of CBSI activities between the two agencies primarily occurs at the embassy level through routine meetings. Officials at embassies in the CBSI countries also compile bimonthly reporting cables that contain information on selected CBSI activities. State\u2019s WHA, which plays a coordinating role for CBSI, holds monthly coordination meetings for INL, PM, and USAID officials in Washington, D.C. to discuss high-level issues and upcoming events relevant to the initiative, as well as to prepare for meetings with Caribbean partners, according to officials."], "subsections": []}, {"section_title": "The U.S. Government Cannot Assess CBSI Initiative-wide Progress Because It Does Not Have an Initiative-wide Planning and Reporting Mechanism", "paragraphs": ["While State and USAID set strategic goals and priorities with CBSI partner countries and plan for and report on CBSI activities within each agency or bureau, State has not established a CBSI-wide planning and reporting mechanism that links agencies\u2019 activities to the three overall CBSI goals. State and USAID typically use Integrated Country Strategies (ICS) to strategically plan in a given country, and Performance Plans and Reports (PPR) to assess progress made relative to the foreign assistance priorities in a given country. Each of the U.S. embassies that cover the CBSI countries has both an ICS and PPR. However, the PPRs for the individual CBSI countries are for bi-lateral funds, and the ICSs serve as a whole-of-U.S.-government strategy in a country.", "According to State officials, since CBSI is a regional initiative, CBSI activities are included in the scope of the relevant regional planning and reporting documents. These regional documents include the WHA Joint Regional Strategy and the WHA PPR. However, these documents represent the entire Western Hemisphere and are not specific to CBSI activities. The Joint Regional Strategy does not serve as a planning mechanism for CBSI-wide activities and does not establish CBSI specific targets or performance indicators. Moreover, while the PPR reports outputs and outcomes, CBSI results are aggregated with other regionally funded activities in the Western Hemisphere, such as the Central America Regional Security Initiative. For example, while the PPR may report the number of judicial personnel trained with U.S. government assistance, that number may include officials in the Dominican Republic, Jamaica, Honduras, or any other number of countries within the Western Hemisphere. Therefore, the most recent WHA PPR does not serve as a CBSI reporting mechanism as it is not possible to always know which results are related to CBSI activities, and the CBSI-wide outputs and outcomes can be indiscernible from other regional efforts.", "In 2012, State created the CBSI Results Framework, recognizing the importance of tracking initiative-wide results. The Framework included the three CBSI pillars\u2014reducing illicit trafficking, improving public safety and security, and promoting social justice\u2014and specified intermediate results, such as reducing drug demand in target areas, improving security at ports of entry, and improving community and law enforcement cooperation. Each of the intermediate results included performance indicators for measuring and reporting CBSI results. According to WHA officials, WHA had envisioned establishing baseline data, obtaining annual reporting from each embassy, and reporting on a subset of the indicators. However, neither State nor USAID currently use the framework to gauge overall progress of CBSI. State officials that we interviewed were not aware of the reason for discontinuing use of the framework and stated that the decision to discontinue using it pre-dated their tenure. According to State officials and our assessment of program documentation, State does not currently use the framework in any official capacity. While USAID officials stated that they continue to use the framework as internal guidance on CBSI\u2019s direction, they stated that they do not use it to track progress.", "The delivery of U.S. foreign assistance often involves multiple agencies or a whole-of-government approach. We have previously identified key elements for effectively aligning foreign assistance strategies in situations where multiple agencies are working together to deliver foreign assistance, such as CBSI. These elements include, among others, the establishment of interagency coordination mechanisms, integration of strategies with relevant higher- or lower-level strategies, and assessment of progress toward strategic goals through the articulation of desired results, activities to achieve the results, performance indicators, and monitoring and evaluation plans and reports. We found that agencies that establish strategies aligned with partner agencies\u2019 activities, processes, and resources are better positioned to accomplish common goals, objectives, and outcomes. For foreign assistance that involves multiple agencies, strategies that consistently address agencies\u2019 roles and responsibilities and interagency coordination mechanisms can help guide implementation and reduce potential program fragmentation.", "The absence of a functioning CBSI-wide planning and reporting mechanism leaves open the possibility that State\u2019s and USAID\u2019s existing planning efforts may be inadequate in ensuring that activities are effectively coordinated to reduce fragmentation or overlap. In 2016, USAID contracted for an independent assessment of all of its CBSI activities. Since USAID implements CBSI in conjunction with other U.S. agencies, such as State, one of the objectives within the assessment was to determine the degree to which USAID\u2019s activities were complementary with those of other U.S. agencies and whether there were instances of overlap. The assessment noted that coordination and information exchange between the agencies about individual CBSI activities and their components appeared to be relatively ad hoc and was primarily seen as the mandate of staff in the field, though at that level, information sharing and coordination had been widely variable. It noted that in general, the level and type of communication between USAID and INL tended to be influenced by personalities, and information was not shared systematically. The assessment concluded that there was a potential for overlap between USAID and INL and recommended that USAID and INL take several actions to strengthen information sharing and coordinate and align activities. This coordination is important since overlap or unintended competition between INL\u2019s and USAID\u2019s CBSI activities has been documented on at least one occasion. According to the fiscal year 2017 annual report submitted by an implementing partner for one of USAID\u2019s activities in the Dominican Republic, the partner was directed to suspend several of its activities related to training to strengthen standards for criminal case preparation and training for police and prosecutors, reportedly because State realigned the task to INL. The report cited poor delineation of roles and relationships as an underlying cause.", "While State and USAID set strategic goals and plan and report on CBSI activities in individual countries, the U.S. government does not have a functioning initiative-wide planning and reporting mechanism that links CBSI activities to overall goals or specifies a means for assessing initiative-wide progress through articulation of desired results, performance indicators, and a monitoring and evaluation plan. Without such a mechanism that establishes consistent performance indicators across agencies, countries, and activities and determines baselines and targets, it is difficult to measure CBSI\u2019s activities across the initiative, making it difficult to assess any progress made toward achieving CBSI\u2019s overall goals. Consequently, the U.S. government has limited ability to evaluate CBSI\u2019s successes and limitations and use such information to better guide future decision-making."], "subsections": []}]}, {"section_title": "State and USAID Established Objectives and Performance Indicators and INL Is Taking Steps to Improve Weaknesses in Program Monitoring", "paragraphs": ["USAID and implementing partners have established objectives and performance indicators for selected CBSI activities that we reviewed and have been measuring and reporting on progress for those activities. Within State, INL and implementing partners have established objectives and performance indicators for all of the activities that we reviewed, and INL and PM receive quarterly monitoring reports containing performance information on the TAFT program. In response to identified weaknesses in its program monitoring, INL is taking steps to improve program monitoring for its Western Hemisphere programs, which include CBSI activities."], "subsections": [{"section_title": "State and USAID Established Objectives and Performance Indicators for Selected CBSI Activities", "paragraphs": ["State and USAID policies related to program management\u2014found in the FAM and ADS, respectively\u2014require the establishment of objectives and performance indicators for program monitoring. We found that USAID and its implementing partners established objectives and performance indicators for all 10 of the CBSI activities in our sample and use these indicators to measure activity progress. Table 3 includes examples of the types of indicators established for USAID activities in our sample.", "In addition to establishing performance indicators, USAID and its implementing partners are using these indicators to measure the progress of CBSI activities. We found that implementing partners for nearly all of the activities in our sample had submitted progress reports to USAID that used the performance indicators to measure progress and identify challenges in achieving the activities\u2019 goals.", "State and its implementing partners also established objectives and performance indicators for all 15 of the CBSI activities that we reviewed. See table 4 for examples of the types of indicators established for INL activities in our sample."], "subsections": []}, {"section_title": "INL Cannot Ensure the Reliability of Its Program Monitoring Data but Is Taking Steps to Address Weaknesses in Western Hemisphere Program Monitoring", "paragraphs": ["INL cannot ensure the reliability of its CBSI program monitoring data but is taking steps to improve its ability to consistently collect and store such data for its activities in the Western Hemisphere, including CBSI activities. We have previously reported that effective program monitoring of foreign assistance requires quality data for performance reporting. Specifically, leading practices for monitoring of foreign assistance activities include development of objectives and relevant performance indicators, procedures for assuring quality of data on performance indicators, and submission of performance reports.", "According to INL officials, in the absence of a centrally available data management system, program monitoring data is collected and maintained at each embassy. As a result, compiling and providing program monitoring data is time-consuming. For example, when we requested a list of all completed and ongoing INL-funded CBSI activities from fiscal years 2012 through 2017, INL responded that it would take several months to compile that information.", "Further, INL officials told us that they cannot ensure the reliability of their program monitoring data because of questions about the comparability of data collected across embassies. During the course of our work, INL officials at headquarters and overseas told us that program monitoring is conducted differently in every embassy, and program monitoring data is not defined or recorded in a standardized manner. These variations can result in discrepancies in how program performance data is defined and collected. For example, INL officials explained that in order to collect drug seizure information that can be analyzed across countries, the data needs to be collected in the same units of measurement and over the same time period in each country, but currently, they are not. According to INL, absent a standardized data collection process, it is difficult to track data trends across programs.", "INL has expressed concerns about its program monitoring and an inability to centrally collect reliable program monitoring data. In 2015, an independent evaluation of INL\u2019s CBSI activities noted that lack of monitoring information hinders INL\u2019s efforts to link assistance directly to goals, objectives, and results laid out in the CBSI Results Framework. It recommended that INL prioritize improving internal program monitoring capacity. INL\u2019s Functional Bureau Strategy, released in 2018, states that INL\u2019s program monitoring efforts are often constrained by the availability of reliable data.", "In response to these concerns about program monitoring, the INL office for Western Hemisphere Programs contracted with a private firm in 2017 to improve its program monitoring capabilities by creating new performance indicators meant to standardize data collection across INL\u2019s programs in the Western Hemisphere and better capture the impact of INL\u2019s assistance. The contract also included the creation of a centralized data management system for collecting and storing the program monitoring data associated with the performance indicators.", "According to INL officials and progress reports submitted by the contractor, some progress has been made. To date, the contractors have been studying the availability of data, reviewing existing performance indicators, and proposing new indicators. The contractors have been considering options for designing and building the centralized data management system. However, INL officials acknowledge that data challenges remain, such as the issue of how to collect standardized data from each of the embassies and how to build a functioning data management system that is compatible with State requirements. As of October 2018, according to INL officials, the characteristics of the centralized data management system had not yet been determined, and consequently, they are uncertain what capabilities the final data management system will have. Therefore, it is unclear whether the system will allow for the consistent collection and storage of reliable program monitoring data for all CBSI activities and the ability to distinguish these data from those of other Western Hemisphere activities. In the absence of centrally-available, reliable data for CBSI activities, INL may continue to struggle with effective program monitoring for these activities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Caribbean region faces a variety of economic and security challenges that jeopardize the region\u2019s economic growth and development. Because of close societal ties and geographic proximity, these challenges also threaten U.S. security. CBSI was created to respond to these threats\u2014to provide mutually beneficial assistance that would increase citizen security for residents of the Caribbean region and bolster economic opportunities. However, while U.S. agencies have allocated more than $560 million to CBSI since 2010, they cannot attest to the initiative\u2019s success or failure. State\u2019s WHA, which plays the coordinating role for CBSI, has not established an initiative-wide planning and reporting mechanism that ensures CBSI activities are being coordinated to maximize the impact of assistance and prevent overlap, and that provides a means for assessing overall progress. Without such a mechanism, the ability to demonstrate the efficacy of the initiative, and to emphasize positive results that have been achieved, is limited.", "Although USAID and State have established objectives and performance indicators for the CBSI activities we reviewed, State does not have a process for centrally collecting and storing reliable program monitoring data for the activities it funds through CBSI, particularly those managed by INL. While INL is taking steps to address these challenges by improving program monitoring across its activities in the western hemisphere, without reliable performance data specific to CBSI, State cannot report comprehensively or accurately on its CBSI activities or track data trends across countries."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to State: The Secretary of State should, in consultation with USAID and other stakeholders as appropriate, create an initiative-wide planning and reporting mechanism for CBSI that includes the ability to monitor, evaluate, and report the results of their collaborative efforts (Recommendation 1).", "The Secretary of State should ensure that INL\u2019s Office of Western Hemisphere Programs develops and implements a data management system for centrally collecting reliable program monitoring data for all INL- funded CBSI activities through its current program monitoring contract or by some other means (Recommendation 2)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State and USAID, DOD, the Department of Justice, and the Department of Homeland Security for review and comment. In its comments, reproduced in appendix IV, State concurred with our two recommendations. State noted that it plans to develop an updated Results Framework for CBSI that will provide the basis for initiative-wide planning and reporting. State also noted that INL\u2019s Office of Western Hemisphere Programs is working through its existing monitoring and evaluation contract to improve centralized data collection and is developing plans for an enhanced data management system that will facilitate the collection and management of both strategic and implementer-reported data. In addition, State reported that INL is developing complementary bureau-wide monitoring and evaluation guidance and procedures to ensure the consistency and reliability of collected data across INL programs, which include CBSI activities. USAID also provided written comments, which we have reproduced in appendix V. State, USAID, DOD, and the Department of Homeland Security provided technical comments, which we have incorporated as appropriate. The Department of Justice reviewed the report but did not provide comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, the Administrator of USAID, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["We were asked to review security assistance to the Caribbean region provided through the Caribbean Basin Security Initiative (CBSI). In this report we (1) provide information on U.S. funding for CBSI activities, (2) examine the extent to which the U.S. Department of State (State) and U.S. Agency for International Development (USAID), in conjunction with other agencies, have implemented a planning and reporting process for CBSI, and (3) examine the extent to which State and USAID have established objectives and performance indicators to measure the progress of their CBSI activities.", "To provide information on U.S. funding for CBSI, we obtained State and USAID data for fiscal years 2010 through 2018. We analyzed these data to determine allocations, unobligated balances, unliquidated obligations, and disbursements by fiscal year, funding account, and country. We compared the data to those previously reported to identify inconsistencies, and interviewed State and USAID officials. We determined these data were sufficiently reliable for reporting allocations, unobligated balances, unliquidated obligations, and disbursements by fiscal year, funding account, and country. To obtain additional detail on the types of assistance provided by the United States, we reviewed activity documentation; interviewed State and USAID officials in Washington, D.C. and traveled to Barbados, the Dominican Republic, and Jamaica to meet with State, USAID, and implementing partner officials. We also observed CBSI activities in these countries. We selected these countries for fieldwork because they were among the countries receiving the largest amount of CBSI funding and the embassies there included CBSI program officials from State and USAID. The findings from these countries are not generalizable to all CBSI countries.", "To determine the extent to which State and USAID have implemented a planning and reporting mechanism for CBSI, we obtained relevant CBSI planning and reporting documents, including State Bureau of International Narcotics and Law Enforcement Affairs (INL) country and regional implementation plans and documents related to the Caribbean-U.S. Security Cooperation Dialogue; and strategy documents such as Integrated Country Strategies, Country Development Cooperation Strategies, and Functional Bureau Strategies. We also assessed relevant Performance Plans and Reports for Caribbean countries and the Western Hemisphere and interviewed State officials to determine how information on CBSI activities is aggregated and reported on a country level and initiative-wide basis. In addition, we interviewed relevant State and USAID officials in Washington, D.C. and in Barbados, the Dominican Republic, and Jamaica, about their planning processes for CBSI activities. We compared the planning and reporting procedures in place to the key elements for effectively aligning foreign assistance strategies in situations where multiple agencies work together to deliver foreign assistance.", "To determine the extent to which State and USAID have established objectives and performance indicators to measure the progress of CBSI activities, we selected three case study countries\u2014Barbados, the Dominican Republic, and Jamaica. We selected these three countries because they receive the greatest amount of CBSI funding and because they have program officials from State and USAID in their embassies. We requested lists of all ongoing and completed CBSI activities from State and USAID for fiscal years 2012 through 2017 and used the lists to select a non-generalizable sample of activities, 15 implemented by State and 10 by USAID. The activities were chosen to provide a range of implementing partners, types of activity, and location. We requested State and USAID documentation related to the activities in our sample, including applications for funding, contracts, agreements, program monitoring and progress reports, financial reports, and evaluations. We reviewed the documentation to assess the performance management practices in place for these activities, as well as country-level and regional-level reporting related to the activities\u2014specifically focusing on the use of program objectives and performance indicators, which are used to set and measure progress toward program goals. The objectives and performance indicators in place for these activities do not represent those in place for all CBSI activities, but offer illustrative examples. We compared the performance management practices in place for the sample activities to State and USAID policies. For the Technical Assistance Field Team (TAFT) program implemented by the Department of Defense (DOD) and the U.S. Coast Guard on behalf of State\u2019s Bureau of Political-Military Affairs, we reviewed quarterly reports between fiscal years 2014 and 2018 for performance management information. The TAFT program is designed to provide technical assistance to enhance operational readiness and maintenance of equipment used by CBSI countries. The quarterly reports include articulation of objectives, descriptive information on the support TAFT members provided during each visit, assessments of host country capabilities, and details on where, when, and how funds were expended. While this information is not reported in the same manner as State\u2019s and USAID\u2019s performance data, we determined it appropriate to treat the information provided in the TAFT quarterly reports as comparable to the setting of objectives and performance indicators as generally carried out by State and USAID. We also interviewed State, USAID, DOD, the Department of Justice, the Department of Homeland Security, and other implementing partner officials in Washington, D.C.; Barbados; the Dominican Republic; and Jamaica; and conducted site visits in these countries to determine the types of performance indicators tracked and reported on for each activity.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Funding Data Tables", "paragraphs": ["To demonstrate how funding for Caribbean Basin Security Initiative (CBSI) activities have been allocated, obligated and disbursed, we are providing a status of CBSI funds as of November 2018. Tables 5-9 below show CBSI funding from the International Narcotics Control and Law Enforcement (INCLE); Economic Support Fund (ESF); Nonproliferation, Anti-terrorism, Demining, and Related Programs (NADR); and Development Assistance (DA) accounts. These tables illustrate, by year of appropriation, how U.S agencies have allocated, obligated, and disbursed funds for activities in CBSI partner countries. Specifically, the tables include unobligated balances\u2014that is, portions of allocated funds that have not yet been obligated\u2014and unliquidated obligations (i.e. obligated balances)\u2014that is, amounts already incurred for which payment has not yet been made."], "subsections": []}, {"section_title": "Appendix III: Status of Caribbean Basin Security Initiative Foreign Military Financing Account Funds", "paragraphs": ["Table 10 below provides the status of Caribbean Basin Security Initiative (CBSI) Foreign Military Financing (FMF) funds as of November 2018. The presentation of FMF allocations and commitments in this table is different from presentations on allocations, obligations, and disbursements of the other CBSI accounts in tables 5-9 in appendix II because FMF funds are budgeted and tracked in a different way.", "The Defense Security Cooperation Agency (DSCA) and the Defense Financing and Accounting Service (DFAS) are responsible for the financial systems that account for FMF funds as well as for tracking the implementation and expenditure of those funds. According to DSCA officials, FMF funds are obligated on apportionment. Further, DSCA\u2019s system can track only uncommitted and committed amounts, not unliquidated obligations or disbursements, of FMF funds. DFAS tracks obligations and disbursements using the Defense Integrated Finance System; however, there is no direct link between the DSCA and DFAS systems and the DFAS system does not track funding for specific initiatives, such as CBSI."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Thomas Costa (Assistant Director), Jennifer Young, Martin Wilson, Peter Choi, Debbie Chung, Benjamin Licht, Martin de Alteriis, Neil Doherty, and Mark Dowling made key contributions to this report."], "subsections": []}]}], "fastfact": ["The U.S. government and Caribbean countries formally launched the Caribbean Basin Security Initiative in 2010 to try to reduce drug trafficking, increase public safety, and promote social justice in the region. U.S. agencies allocated more than $560 million from 2010 through 2018 for this collaborative effort with 13 nations.", "Is it working?", "The State Department doesn\u2019t know. We found that while U.S. agencies plan and report on their activities with specific countries, the State Department hasn\u2019t established a way to assess overall progress.", "We recommended that State improve its ability to monitor, evaluate, and report on the Initiative."]} {"id": "GAO-19-225T", "url": "https://www.gao.gov/products/GAO-19-225T", "title": "Navy and Marine Corps: Rebuilding Ship, Submarine, and Aviation Readiness Will Require Time and Sustained Management Attention", "published_date": "2018-12-12T00:00:00", "released_date": "2018-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The 2018 National Defense Strategy emphasizes that restoring and retaining readiness is critical to success in the emerging security environment. The Navy and Marine Corps are working to rebuild the readiness of their forces while growing and modernizing their aging fleet of ships and aircraft. However, achieving readiness recovery goals will take years as both services continue to be challenged to rebuild readiness amid continued operational demands.", "This statement provides information on current and future readiness challenges facing (1) the Navy ship and submarine fleet and (2) Navy and Marine Corps aviation. GAO also discusses prior recommendations on Navy and Marine Corps readiness and progress to address them.", "This statement is based on previously published work since 2015 related to Navy and Marine Corps readiness challenges, including shipyard workforce and capital investment, ship crewing, weapon system sustainment, the fighter pilot workforce, and modernizing force structure. GAO conducted site visits to the Pacific fleet in November 2018 and analyzed updated data, as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Navy has taken steps to address training shortfalls in the surface fleet, but faces persistent maintenance and personnel challenges as it seeks to rebuild ship and submarine readiness. While the Navy has corrective actions underway, they will take years to implement. Following ship collisions in 2017, the Navy has taken steps to ensure its crews are trained to standards prior to deployment and made significant progress in those efforts. However, the Navy has struggled to complete ship maintenance\u2014with only 30 percent of maintenance completed on time since fiscal year 2012\u2014leading to thousands of days that ships were unavailable for training and operations (see figure). Additionally, manning shortfalls and experience gaps continue to contribute to high sailor workload and are likely to continue through at least fiscal year 2021. The Navy has developed a plan to improve shipyards and is re-examining its ship manning, among other actions; however, these positive steps have not yet fully addressed GAO's recommendations. Looking to the future, the Navy has indicated that it wants to grow its fleet to meet demands. However, the costs of such growth are not yet known and would likely require resourcing well above currently planned levels.", "Navy and Marine Corps aircraft availability has been limited due to numerous challenges (see figure). Specifically, the seven aircraft GAO reviewed have generally experienced decreasing availability since fiscal year 2011 and did not meet availability goals in fiscal years 2017 and 2018. The F-35\u2014the future of naval aviation\u2014also has not met availability goals due to part shortages and poor sustainment planning. In September 2018, the Department of Defense established aggressive targets for aircraft availability. While the Navy and Marine Corps are taking actions to improve aircraft availability, including addressing GAO's recommendations, aviation readiness will take many years to recover."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made a total of 45 recommendations in the prior work described in this statement. The Department of Defense concurred with most of them, and has many actions underway, but has not yet fully implemented any. Attention to these recommendations can assist the Navy and the Marine Corps as they seek to rebuild the readiness of their forces."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss issues related to Navy and Marine Corps readiness.", "In June 2017, we issued a report highlighting five key mission challenges facing the Department of Defense (DOD). In that report, we noted that the United States faces an extremely challenging national security environment at the same time it is grappling with addressing an unsustainable fiscal situation in which DOD accounts for approximately half of the federal government\u2019s discretionary spending. Within this environment, DOD is working to both rebuild the readiness of its current forces and modernize to meet future threats. Since we issued that report, the department released a new National Defense Strategy in January 2018 that prioritizes the long-term challenges posed by highly capable adversaries and emphasizes the need to rebuild readiness. Additionally, Congress has passed appropriations to fund DOD\u2019s effort to restore readiness.", "This statement provides information on current and future readiness challenges facing the (1) Navy ship and submarine fleet and (2) Navy and Marine Corps aviation. In appendix I, we also summarize our recommendations related to Navy and Marine Corps readiness that we have made in prior reports and we summarize any progress the Navy and Marine Corps have made to implement those recommendations.", "This statement is based on prior reports we issued from 2015 through 2018 examining Navy and Marine Corps readiness challenges, shipyard workforce and capital investment, ship crewing, weapon system sustainment, the fighter pilot workforce, and force structure. To perform our prior work, we analyzed Navy and Marine Corps readiness, maintenance, personnel, and training data, and interviewed cognizant Navy and Marine Corps officials involved in operations. The reports cited throughout this statement contain more details on the scope of the work and the methodology used to carry it out. This statement also includes updates to information as of November 2018, as appropriate, based on Navy and Marine Corps documentation and discussions with senior Navy leadership, the Fleet Forces Command, the Pacific Fleet, and other officials. We also conducted 10 group discussions with officers and enlisted personnel aboard a cruiser and a destroyer based in Yokosuka, Japan in November 2018 to discuss crew workload, training, and ship manning. We have also issued several classified reports since 2015 examining these issues and made recommendations to the Navy and the Marine Corps; however, this statement does not include that work.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["We testified before the Senate Committee on Armed Services in September 2017 after four significant mishaps at sea resulted in the loss of 17 sailors\u2019 lives and serious damage to Navy ships. We reported on some of the Navy\u2019s challenges, including the degraded condition and expired training certifications of ships homeported overseas, reductions to ship crews that contributed to sailor overwork and safety risks, and an inability to complete maintenance on time. Since that time, the Navy has completed two internal reviews to address these and other challenges, identifying 111 recommendations to improve surface fleet readiness. The Navy formed an executive group to guide and closely track the implementation of recommendations, and its reform efforts are ongoing. As of November 2018, the Navy reported that it had implemented 78 (i.e., 70 percent) of these recommendations. Navy officials recognize that full implementation will take significant time and management attention to address the fundamental readiness challenges identified. In figure 1, we show photographs of two of the four Navy ships involved in significant mishaps that occurred in 2017. Both the USS Fitzgerald and the USS John S. McCain were involved in collisions that resulted in sailor fatalities.", "DOD has reported that more than a decade of conflict, budget uncertainty, and reductions in force structure have degraded its readiness; in response, the department has made rebuilding readiness a priority. The 2018 National Defense Strategy emphasizes that restoring and retaining readiness across the entire spectrum of conflict is critical to success in the emerging security environment. Nevertheless, DOD reported that readiness of the total military force remains low and has remained so since 2013. Our work has shown that the Navy has experienced increasing maintenance challenges as a high pace of operations has continued and maintenance has been deferred. Maintenance and personnel challenges also hinder readiness recovery of Navy aircraft. For the Marine Corps, our work has shown that ground force readiness has improved and remained stable in recent years, but acute readiness problems remain in aviation units.", "Over the past year, DOD has made department-wide progress in developing a plan to rebuild the readiness of the military force, with the military services providing regular input on the status of their readiness recovery efforts. In August 2018, we reported that the Office of the Secretary of Defense has developed a Readiness Recovery Framework that the department is using to guide the services\u2019 efforts and plans to use to regularly assess, validate, and monitor readiness recovery. The Office of the Secretary of Defense and the services have recently revised readiness goals and accompanying recovery strategies, metrics, and milestones to align with the 2018 National Defense Strategy and Defense Planning Guidance. We have ongoing work assessing DOD\u2019s progress in achieveing its overall readiness goals.", "DOD\u2019s readiness rebuilding efforts are occurring in a challenging context that requires the department to make difficult decisions regarding how best to address continuing operational demands while preparing for future challenges. Our work has shown that an important aspect of this, across all of the services, is determining an appropriate balance between maintaining and upgrading legacy weapon systems currently in operational use and procuring new ones to overcome rapidly advancing future threats."], "subsections": []}, {"section_title": "The Navy Fleet Faces Challenges in Rebuilding Readiness and the Costs Associated with Expanding the Fleet to Enhance Readiness in the Future Are Unknown", "paragraphs": ["Based on updated information we received in November 2018, the Navy has taken steps to provide dedicated training time so its surface forces may meet existing Navy training standards and their training is certified when they deploy. However, the Navy continues to struggle with rebuilding the readiness of the existing fleet due to enduring maintenance and manning challenges. As the Navy seeks to expand its fleet by 25 percent, these challenges will likely be further exacerbated and the Navy will likely face additional affordability challenges."], "subsections": [{"section_title": "Navy Has Taken Steps to Address Training Shortfalls in the Surface Fleet", "paragraphs": ["After the collisions in 2017, the Navy focused on training surface ship crews to its existing standards. We testified in September 2017 that there were no dedicated training periods built into the operational schedules of the cruisers and destroyers based in Japan and 37 percent of training certifications for these surface ship crews had lapsed as of June 2017. Since that time, the Navy has worked to ensure surface ships are certified before they are deployed. For example, the Navy has established controls to limit waivers that allowed training lapses to worsen, now requiring multiple high-level approvals for ships to operate uncertified. Based on our analysis of updated data, the Navy has improved markedly in the percentage of cruisers and destroyers with lapsed certifications in Japan, from 41 percent of certifications expired in September 2017 to 9 percent as of November 2018, with less than 3 percent of certifications expired on ships in operational status.", "While the Navy has demonstrated its commitment to ensuring that crews are certified prior to deploying, training for amphibious operations and higher-level collective training may not be fully implemented for several years. In September 2017, we reported that some Marine Corps units were limited in their ability to complete training to conduct an amphibious operation\u2014a military operation that is launched from the sea to introduce a landing force ashore\u2014by several factors, including a decline in the number of amphibious ships from 62 in 1990 to 32 as of November 2018, access to range space, and a high pace of deployments, among others. We recommended that the Navy and the Marine Corps develop an approach to mitigate their amphibious operations training shortfalls as the services await the arrival of additional amphibious ships into the fleet. Marine Corps officials told us that the Marine Corps and the Navy are working together to maximize amphibious training opportunities. Additionally, the Navy has plans to phase in high-level collective training into the operational schedules of its ships homeported in Japan over the next several years. Previously, advanced and integrated training involving multiple ships was conducted ad hoc if at all for ships homeported in Japan. Such collective training is important because the 2018 National Defense Strategy states that the department\u2019s principal priority is to prepare for threats from strategic competitors due to the magnitude of the threat they pose. However, in November 2018, officials from Fleet Forces Command told us that fully implementing its training approach to prepare for advanced adversaries would not be fully implemented across the fleet for several years."], "subsections": []}, {"section_title": "The Fleet Faces Persistent Maintenance and Personnel Challenges as the Navy Seeks to Rebuild Readiness", "paragraphs": ["We have reported that the Navy faces persistent challenges in completing maintenance on time and providing sufficient manning to its ships. Unless these challenges are addressed, the Navy will be hampered in its ability to rebuild readiness and prepare for the future."], "subsections": [{"section_title": "Maintenance Delays for Ships and Submarines Reduce Time for Training and Operations", "paragraphs": ["Our work has found that the Navy has been unable to complete ship and submarine maintenance on time, resulting in continuing schedule delays that reduce time for training and operations and create costly inefficiencies in a resource constrained environment. The Navy\u2019s readiness recovery is premised on the rigorous adherence to deployment, training, and maintenance schedules. However, we reported in May 2016 on the difficulty that both the public and private shipyards were having in completing maintenance on time. We reported that, from 2011 through 2014, about 28 percent of scheduled maintenance for surface combatants was completed on time and 11 percent was completed on time for aircraft carriers. We updated these data as of November 2018 to include maintenance periods completed through the end of fiscal year 2018 and found that the Navy continues to struggle to complete maintenance on time. For fiscal years 2012-2018, our analysis for key portions of the Navy fleet shows that 30 percent of Navy maintenance was completed on time, leading to more than 27,000 days in which ships were delayed and unavailable for training and operations as shown in figure 2 below.", "In addition to affecting training and operations, maintenance delays are costly. In November 2018, we examined attack submarine maintenance delays and reported that the Navy was incurring significant operating and support costs to crew, maintain, and support attack submarines that are delayed getting into and out of shipyard maintenance periods. We estimated that over the past 10 years the Navy has spent $1.5 billion in fiscal year 2018 constant dollars to support attack submarines that provide no operational capability\u2014those sitting idle no longer certified to conduct normal operations\u2014while waiting to enter the shipyards, and those delayed in completing their maintenance at the shipyards (see figure 3). We recommended that the Navy analyze how it allocates its maintenance workload across public and private shipyards. DOD concurred with our recommendation, stating that it has taken the first steps to take a more holistic view of submarine maintenance requirements and impacts across both the public and private shipyards. In an update provided in November 2018, the Navy told us that they are developing a contracting strategy to conduct two additional depot maintenance periods at private shipyards in the future.", "Our prior work has shown that three primary factors at the naval shipyards contribute to maintenance delays:", "Poor conditions and aging equipment limit the ability of the shipyards to meet current and future demands. We reported in September 2017 that facility and equipment limitations at the shipyards contributed to maintenance delays for the aircraft carriers and submarines, hindering the shipyards\u2019 ability to support the Navy. Specifically, we found that the shipyards would be unable to support an estimated one-third of maintenance periods planned over the next 23 years. We recommended that the Navy take steps to improve its management of shipyard investments; the Navy concurred with this recommendation and we are encouraged by its response. For example, the Navy has developed a plan for the optimal placement of facilities and major equipment at each public shipyard, which the Navy estimates can ultimately increase its maintenance efficiency by reducing personnel and materiel travel by an average of 65 percent. This equates to recovering about 328,000 man days per year\u2014an amount roughly equal to that of an aircraft carrier maintenance period. However, the Navy\u2019s preliminary estimate \u2014that this effort will require an estimated $21 billion and 20 years to address\u2014is well beyond historical funding levels, and does not include some potentially significant costs (e.g., for utilities, roads, or environmental remediation).", "Shipyard workforce gaps and inexperience are limiting factors.", "The Navy has reported a variety of workforce challenges at the Navy\u2019s four public shipyards such as hiring personnel in a timely manner and providing personnel with the training necessary to gain proficiency in critical skills. The Navy has noted that some occupations require years of training before workers become proficient. According to Navy officials, a large portion of its workforce is inexperienced. For example, 45 percent of the Puget Sound and 30 percent of the Portsmouth Naval Shipyards\u2019 skilled workforce have fewer than 5 years of experience. According to DOD officials, workforce shortages and inexperience contribute to maintenance delays. For example, at Pearl Harbor Naval Shipyard, two submarines were delayed approximately 20 months, in part because of shortages in ship fitters and welders, among other skilled personnel. Most of DOD\u2019s depots, which include the naval shipyards, have taken actions to maintain critical skills through retention incentives, bonuses, and awards. We plan to issue a report examining DOD\u2019s depot skill gaps, including those at the naval shipyards, later this month.", "Depot supply support may not be cost-effective. In June 2016, we reported that the naval shipyards and other depots had not implemented actions that would likely improve the cost-effectiveness of their supply operations. Specifically, the Navy had not transferred certain functions to the Defense Logistics Agency (DLA) at the shipyards in the same manner as the Navy and Air Force did for their aviation depots. The Navy and Air Force aviation depots that transferred these functions to DLA had reaped a number of efficiencies in their supply operations, including a 10-percent reduction in backorders over a 5-year period. We recommended that the Navy analyze whether such a transfer of functions is warranted at the shipyards and the Navy concurred with the recommendation. However, as of October 2018, the Navy had not conducted a comprehensive analysis of transferring these functions and had provided no plans to do so."], "subsections": []}, {"section_title": "Navy Processes for Determining Manning of Ships Do Not Account for All Ship Workload", "paragraphs": ["In May 2017, we reported that the Navy\u2019s process for determining manpower requirements\u2014the number and skill mix of sailors needed on the Navy\u2019s ships\u2014did not fully account for all ship workload. The Navy was using outdated standards to calculate the size of ship crews that may have been leading to overburdened crews working long hours. We recommended steps to help ensure the Navy\u2019s manpower requirements meet the needs of the existing and future surface fleet, and the Navy has been studying ship workload and revising its guidance. As of November 2018, the Navy was continuing to analyze the manpower requirements of its ship classes to better size and compose ship crews, and the Navy was also working to improve shipboard manning. However, these efforts are not yet complete and it is too early to assess their effectiveness. Until manpower requirements are reassessed across the fleet, the Navy risks that ship crews will continue to be undersized and sailors will be overworked with potential negative effects on readiness and safety.", "Additionally, the Navy provided information in November 2018 that showed that it is taking steps to ensure that ships have a minimum percentage of crew assigned and with the appropriate skills. The Navy has prioritized manning its surface ships homeported overseas. The Navy established a minimum threshold of filling at least 95 percent of authorized billets in its ship crews with sailors (referred to as fill), with a minimum goal of 92 percent of those sailors having the right qualifications for the billet (known as fit). According to Navy officials, the Navy is for the most part meeting its fill goals Navy-wide, but has not consistently met its fit goals. However, during group discussions in November 2018 with ship crews and interviews with Navy officials in Japan, we learned that the Navy\u2019s methods for tracking fit and fill do not account for sailor experience and may be inaccurately capturing the actual presence of sailors onboard and available for duty on its ships. Moreover, sailors consistently told us that ship workload has not decreased, and it is still extremely challenging to complete all required workload while getting enough sleep. Navy officials told us that manning challenges will continue through at least fiscal year 2021 as the Navy increases its end strength and trains its new sailors to gain the proper mix of skills to operate and maintain the fleet."], "subsections": []}]}, {"section_title": "Navy Plans to Expand Its Fleet but Full Costs Are Unknown and Manning an Expanded Fleet Likely Will Be Challenging", "paragraphs": ["To meet continued operational demands, the Navy is planning for the most significant fleet size increase in over 30 years. According to the Navy\u2019s fiscal year 2019 shipbuilding plan, the Navy plans to build and maintain a fleet of 355 battle force ships\u2014an increase of about 25 percent above the Navy\u2019s current force of 287 ships. To reach its goal, the Navy plans to buy 301 ships through 2048 and extend the service life of its 66 Arleigh Burke class destroyers and up to 7 attack submarines. Together, the fiscal year 2019 shipbuilding plan and the service life extensions would allow the Navy to reach a 355-ship fleet by the 2030s.", "Congressional Budget Office reporting and our past work have shown that the Navy has consistently and significantly underestimated the cost and timeframes for delivering new ships to the fleet. For example, the Navy estimates that buying the new ships specified in the fiscal year 2019 plan would cost $631 billion over 30 years while the Congressional Budget Office has estimated that those new ships would cost $801 billion\u2014a difference of 27 percent. We also reported in June 2018 that acquisition outcomes for ship classes built during the last 10 years have often not achieved cost, schedule, quality, or performance goals that were established. Furthermore, we have reported that: all 8 of the lead ships delivered over the past decade that we reviewed were provided to the fleet behind schedule, and more than half of those ships were delayed by more than 2 years, and six ships of different classes valued at $6.3 billion were delivered to the Navy with varying degrees of incomplete work and quality problems.", "As a result of past cost and schedule problems, our work has shown that the Navy has a less-capable and smaller fleet today than it planned over 10 years ago. The Navy has also received $24 billion more in funding than it originally planned in its 2007 long-range shipbuilding plan but has 50 fewer ships in its inventory today, as compared with the goals it first established. Therefore, we have reported that as the Navy moves forward in implementing its shipbuilding plan it will be paramount for the Navy to learn from and apply lessons learned from the past.", "In addition to the cost of buying the ships and submarines to expand fleet size, the Navy will likely face affordability challenges with regard to the manning of an expanded fleet with the right number of sailors with the right mix of skills. In May 2017, we reported that the personnel costs for surface ship classes in fiscal years 2000-2015 were the largest share of total operating and support costs and that careful planning will be needed as new ships are brought into the fleet. We also reported that crew sizes on recently inducted ship classes grew from original projections as the Navy gained experience operating them. For example, the total crew size of Littoral Combat Ships has grown from 75 in 2003 to 98 personnel in 2016, a 31-percent increase. Navy officials told us that they plan to better articulate the personnel and resources needed for a larger fleet after fully accounting for workload and right-sizing ship crews. The Navy\u2019s end strength has since increased by over 11,000 personnel from fiscal year 2017 levels, which should help alleviate manning challenges as the fleet grows. In November 2018, officials from Fleet Forces Command provided us with projections of its manning shortfalls continuing through at least fiscal year 2021 and steps it was planning to take to mitigate them."], "subsections": []}]}, {"section_title": "Navy and Marine Corps Aging Aircraft and F-35s Face Maintenance and Supply Challenges That Affect Readiness Rebuilding Now and in the Future", "paragraphs": ["Our work has shown that Navy and Marine Corps aircraft availability has been limited by aging aircraft, delayed maintenance, and insufficient supply support. Pilot and maintenance personnel shortfalls further limit readiness recovery across legacy air platforms. The growing F-35 program, which is meant to replace many aging aircraft, has presented additional operational and sustainment challenges, which will likely persist into the future if not corrected. DOD, the Navy, and the Marine Corps have emphasized mission capability of critical aviation platforms\u2014 including the Navy and Marine Corps F/A-18s and F-35s\u2014and are taking steps to improve availability, but these efforts will take time to realize results."], "subsections": [{"section_title": "Aircraft Availability Has Been Limited by Aging Fleets with Maintenance and Supply Challenges", "paragraphs": ["Navy and Marine Corps aircraft availability has been limited by challenges associated with aging aircraft fleets, depot maintenance, and supply support challenges that limit the services\u2019 ability to keep aviation units ready. The Navy and Marine Corps spend billions of dollars each year on sustainment, such as for spare parts and depot maintenance, to meet aircraft availability goals. However, aircraft availability rates have generally declined since fiscal year 2011. While specific aircraft availability data are considered sensitive by the Navy and the Marine Corps, and cannot be discussed in detail, we found in September 2018 that the Navy and the Marine Corps generally did not meet aircraft availability goals in fiscal years 2011-2016 for the seven aircraft we reviewed. In updating data in November 2018, we found that none of the aircraft met aircraft availability goals for fiscal years 2017 and 2018.", "According to the Navy, the pace of operations has increased wear and tear on its aircraft and decreased the time available for maintenance and modernization\u2014a necessity for an aging fleet. For example, the average age of a legacy F/A-18A-D Hornet is 26 years, of an AV-8B Harrier is 21 years, and of the C-2A Greyhound is 29 years. Both services expect these aircraft will continue to be used for the foreseeable future and in some cases into the 2030s.", "The Navy and the Marine Corps face delays in the arrival of the F-35 to replace their legacy F/A-18A-D Hornets and AV-8B Harriers. To compensate for the delay, the Navy and the Marine Corps are planning to procure additional aircraft, such as the F/A-18E-F Super Hornet, and extend the service life and upgrade the capabilities of their legacy aircraft. However, these efforts and the sustainment of the Navy and Marine Corps legacy aircraft fleet face key challenges as shown in figure 4.", "Specifically, our prior work has shown that the Navy and the Marine Corps are confronted with two sets of challenges in sustaining their aircraft:", "Depot maintenance complexities for aging aircraft and spare parts availability. Depot maintenance on aging weapon systems, including Navy and Marine Corps aircraft, becomes less predictable as structural fatigue occurs and parts that were not expected to be replaced begin to wear out. While the Navy and the Marine Corps reported that sustainment funding accounts, such as those for depot maintenance and spare parts, have been funded at increased levels in fiscal years 2017 and 2018, efforts to improve spare parts availability take time to produce results due to long lead times for acquiring some items. In addition, Navy and Marine Corps aircraft face challenges associated with diminishing manufacturing sources and parts obsolescence. DOD has a program intended to manage these risks, but we reported in September 2017 that its implementation varied across DOD weapon system program offices. We made recommendations to improve the program\u2019s management; DOD concurred and has initiated improvement efforts.", "Maintenance personnel inexperience and retention. The Navy has had difficulty attracting and retaining skilled maintainers, such as sheet metal workers and machinists at its aviation depots (i.e., Fleet Readiness Centers), which directly affects its ability to complete planned maintenance. Some of the depots experienced challenges attracting and retaining skilled personnel due to competition with nearby contractors that are able to offer higher pay, according to Navy depot officials. Similar to the shipyards, the aviation depots also lack experienced personnel, affecting the efficiency and quality of maintenance. For example, 41 percent of the skilled workers at Fleet Readiness Center Southwest have 2 years or fewer of experience. Workforce inexperience and attrition of skilled personnel were some of the reasons cited for machining defects detected in the landing gear for F/A-18, E-2, and C-2A aircraft by a recent Navy report. All of the depots have undertaken retention efforts such as incentives, bonuses, and awards to address these issues.", "Until the Navy and Marine Corps address maintenance and supply challenges it will be difficult to meet Secretary of Defense-established mission capability goals. Specifically, in September 2018, the Secretary of Defense issued a memorandum emphasizing that a key component of implementing the 2018 National Defense Strategy is ensuring critical aviation platforms meet their mission capability targets by the end of fiscal year 2019. The memorandum established a goal of achieving a minimum of 80-percent mission capable rates for various aircraft, including for the Navy\u2019s and Marine Corps\u2019 F/A-18 inventories, by the end of fiscal year 2019 while also reducing operating and maintenance costs. To accomplish this, the Navy and the Marine Corps developed the Return to Readiness strategy in November 2018 that includes a broad array of actions to improve the availability of spare parts and evaluate the application of best commercial practices to naval aviation sustainment, among other actions. Office of the Secretary of Defense and Navy program officials told us, and based on our prior work we agree, that this goal will be challenging to achieve by the end of fiscal year 2019."], "subsections": []}, {"section_title": "Pilot Shortages Have Worsened in Recent Years and Are Projected to Remain through 2023", "paragraphs": ["We reported in April 2018 that fighter pilot shortages in the Navy and the Marine Corps have been worsening in recent years and shortfalls are projected to remain through at least fiscal year 2023. Our analysis of Navy and Marine Corps data showed that the Navy\u2019s shortage of first operational tour fighter pilots more than doubled from 12 percent in fiscal year 2013 to 26 percent in fiscal year 2017. Similarly, the Marine Corps\u2019 overall shortage of fighter pilots quadrupled from 6 percent in fiscal year 2006 to 24 percent in fiscal year 2017.", "Also, as we reported in April 2018, service officials attributed the pilot shortages to reduced training opportunities and increased attrition due to career dissatisfaction, among other factors. Officials from both services stated at the time that they have ensured that deploying squadrons have been fully staffed with fighter pilots by using various approaches including using senior pilots to staff junior positions and having pilots deploy more frequently and for longer periods. However, we reported that squadron leaders and fighter pilots said that these approaches had a negative impact on the fighter pilot training and retention and ultimately may be exacerbating the situation.", "Further compounding their pilot shortages, we also found that the services have not recently reevaluated squadron requirements to reflect an increased fighter pilot workload. As a result, the reported shortage actually could be greater. The services were taking actions, including increasing retention incentives for fighter pilots. To help determine the magnitude of the shortages and help target strategies to better meet their personnel needs, we recommended, and the Navy and Marine Corps agreed, to reevaluate fighter pilot squadron requirements."], "subsections": []}, {"section_title": "New F-35 Aircraft Facing Sustainment and Operational Challenges", "paragraphs": ["Sustainment challenges are not just an issue for older aircraft, but represent an enduring challenge for the F-35 Lightning II aircraft\u2014a key component to the future of tactical aviation for the Navy and Marine Corps. The Navy and Marine Corps are both flying F-35s now as the program ramps up development, and they plan to procure nearly 700 aircraft over the coming decades. The sustainment costs of the F-35 fleet are projected to exceed $1 trillion over its 60-year life cycle. In October 2017, we reported that:", "F-35B aircraft (including Marine Corps aircraft) were available (i.e., the aircraft were safe to fly, available for use, and able to perform at least one tasked mission) about 52 percent of the time from March 2017 through June 2017, which fell short of the 65-percent goal established by the Marine Corps for non-deployed units and", "F-35B aircraft (including Marine Corps aircraft) were fully mission capable (i.e., the aircraft were capable of accomplishing all tasked missions) about 15 percent of the time from March 2017 through June 2017, which fell short of the 60-percent goal established by the Marine Corps for non-deployed units.", "We also reported on numerous sustainment challenges leading to less than desirable outcomes for F-35 warfighter readiness. For example, F-35 aircraft were unable to fly 22 percent of the time because of parts shortages from January 2017 through August 7, 2017. Additionally, DOD\u2019s capabilities to repair F-35 parts at military depots were 6 years behind schedule, which resulted in average part repair times that are twice that of the program\u2019s objective.", "As DOD gains experience with the F-35, our work has shown that the department has encountered additional challenges. In 2017, the Marine Corps became the first military service to station F-35 aircraft overseas, transferring aircraft to Iwakuni, Japan. While in the Pacific, DOD expects to disperse its F-35s into smaller detachments to outmaneuver the enemy and counter regional threats. However, in April 2018, we reported that this approach posed logistics and supply challenges. In June 2018, we reported that the F-35 program had not improved its reliability and maintainability over the past year and continued to fall short on half of its performance targets. Furthermore, we found that the program may not meet its required targets before each variant of the F-35 is expected to demonstrate maturity\u2014the point at which the aircraft has flown enough hours to predictably determine reliability and maintainability over its lifespan. This means that the Navy and the Marine Corps may have to decide whether they are willing to accept less reliable and maintainable aircraft than originally planned. Among other outcomes, this could result in higher maintenance costs and lower aircraft availability than anticipated which also could pose readiness challenges in the future. As we reported in October 2017, the poor reliability of certain parts is already contributing to shortages of F-35 spare parts.", "Challenges posed by the F-35 program are largely the result of sustainment plans that do not fully include or consider key requirements. Our work has shown that planning for sustainment and aligning its funding are critical if DOD wants to meet its aircraft availability goals and effectively deploy to support operations. To address the challenges associated with F-35 sustainment and operational deployment, we recommended that DOD revise its sustainment plans, align associated funding, and mitigate the risks associated with key supply chain-related challenges for deployed F-35s in the Pacific, among others. DOD concurred with these recommendations and stated that it is taking steps to address them. Furthermore, as previously discussed, the Secretary of Defense has established an 80-percent mission capability goal for critical aviation assets, including the F-35. Due to current low availability and numerous sustainment issues, the F-35 fleet will be challenged in meeting the goal.", "In sum, the Navy\u2019s and Marine Corps\u2019 significant readiness challenges have developed over more than a decade of conflict, budget uncertainty, and reductions in force structure. Both services have made encouraging progress identifying the causes of their readiness decline and have begun efforts to arrest and reverse it; however, our prior work shows that fully addressing the persistent readiness challenges will require years of sustained management attention. Our work cited today contains 25 specific recommendations to the Navy and the Marine Corps and an additional 20 recommendations to various other DOD components to assist these services in rebuilding the readiness of their forces and in modernizing for the future. Attention to these recommendations can assist the Navy and the Marine Corps as they seek to rebuild the readiness of their forces.", "Chairmen Wicker and Sullivan, Ranking Members Hirono and Kaine, and Members of the Subcommittees, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have questions about this testimony, please contact John H. Pendleton, Director, Defense Capabilities and Management at (202) 512-3489 or pendletonj@gao.gov.", "Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Suzanne Wren, Assistant Director; Clarine Allen; Steven Banovac; John Bumgarner; Chris Cronin; Benjamin Emmel; Cynthia Grant; Mae Jones; Amie Lesser; Tobin McMurdie; Shahrzad Nikoo; Carol Petersen; Cody Raysinger; Michael Silver; John E. \u201cJet\u201d Trubey; and Chris Watson."], "subsections": []}]}, {"section_title": "Appendix I: Implementation Status of Prior GAO Recommendations Related to Navy and Marine Corps Readiness", "paragraphs": ["Over the past 4 years, we have issued a number of reports related to Navy and Marine Corps readiness and we used them to develop this statement. Table 1 summarizes the recommendations in these reports. The Department of Defense (DOD) concurred with most of the 45 recommendations and has many actions underway. However, DOD has not fully implemented any of the recommendations to date. For each of the reports, the specific recommendations and any progress made in implementing them are summarized in tables 2 through 16."], "subsections": []}, {"section_title": "Related GAO Products", "paragraphs": ["Report numbers with a C or RC suffix are classified. Report numbers with a SU suffix are sensitive but unclassified. Classified and sensitive but unclassified reports are available to personnel with the proper clearances and need to know, upon request.", "Navy Readiness: Actions Needed to Address Costly Maintenance Delays Facing the Attack Submarine Fleet. GAO-19-229. Washington, D.C.: November 19, 2018.", "Air Force Readiness: Actions Needed to Rebuild Readiness and Prepare for the Future. GAO-19-120T. Washington, D.C.: October 10, 2018.", "Weapon System Sustainment: Selected Air Force and Navy Aircraft Generally Have Not Met Availability Goals, and DOD and Navy Guidance Need to Be Clarified. GAO-18-678. Washington, D.C.: September 10, 2018.", "Weapon System Sustainment: Selected Air Force and Navy Aircraft Generally Have Not Met Availability Goals, and DOD and Navy Guidance Need Clarification. GAO-18-146SU. Washington, D.C.: April 25, 2018.", "Military Readiness: Update on DOD\u2019s Progress in Developing a Readiness Rebuilding Plan. GAO-18-441RC. Washington, D.C.: August 10, 2018. (SECRET)", "Military Personnel: Collecting Additional Data Could Enhance Pilot Retention Efforts. GAO-18-439. Washington, D.C.: June 21, 2018.", "F-35 Joint Strike Fighter: Development Is Nearly Complete, but Deficiencies Found in Testing Need to Be Resolved. GAO-18-321. Washington, D.C.: June 5, 2018.", "Warfighter Support: DOD Needs to Share F-35 Operational Lessons Across the Military Services. GAO-18-464R. Washington, D.C.: April 25, 2018.", "Military Readiness: Clear Policy and Reliable Data Would Help DOD Better Manage Service Members\u2019 Time Away from Home. GAO-18-253. Washington, D.C.: April 25, 2018.", "Military Personnel: DOD Needs to Reevaluate Fighter Pilot Workforce Requirements. GAO-18-113. Washington, D.C.: April 11, 2018.", "Military Aircraft: F-35 Brings Increased Capabilities, but the Marine Corps Needs to Assess Challenges Associated with Operating in the Pacific. GAO-18-79C. Washington, D.C.: March 28, 2018. (SECRET)", "Navy and Marine Corps Training: Further Planning Needed for Amphibious Operations Training. GAO-18-212T. Washington, DC.: December 1, 2017.", "F-35 Aircraft Sustainment: DOD Needs to Address Challenges Affecting Readiness and Cost Transparency. GAO-18-75. Washington, D.C.: October 26, 2017.", "Defense Supply Chain: DOD Needs Complete Information on Single Sources of Supply to Proactively Manage the Risks. GAO-17-768. Washington, D.C.: September 28, 2017.", "Navy and Marine Corps Training: Further Planning Needed for Amphibious Operations Training. GAO-17-789. Washington, D.C.: September 26, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet. GAO-17-809T. Washington, D.C.: September 19, 2017.", "Naval Shipyards: Actions Needed to Improve Poor Conditions That Affect Operation. GAO-17-548. Washington, D.C.: September 12, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet. GAO-17-798T. Washington, D.C.: September 7, 2017.", "Navy Readiness: Actions Needed to Maintain Viable Surge Sealift and Combat Logistics Fleets GAO-17-503. Washington, D.C.: August 22, 2017 (reissued on Oct 31, 2017).", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Military Readiness: Coastal Riverine Force Challenges. GAO-17-462C. Washington, D.C.: June 13, 2017. (SECRET)", "Navy Shipbuilding: Policy Changes Needed to Improve the Post-Delivery Process and Ship Quality. GAO-17-418. Washington, D.C.: July 13, 2017 Offshore Petroleum Discharge System: The Navy Has Not Mitigated Risk Associated with System Limitations. GAO-17-531C. Washington, D.C.: June 22, 2017. (SECRET)", "Navy Force Structure: Actions Needed to Ensure Proper Size and Composition of Ship Crews. GAO-17-413. Washington, D.C.: May 18, 2017.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: September 7, 2016.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-534C. Washington, D.C.: June 30, 2016. (SECRET)", "Defense Inventory: Further Analysis and Enhanced Metrics Could Improve Service Supply and Depot Operations. GAO-16-450. Washington, D.C.: June 9, 2016.", "Navy and Marine Corps: Services Face Challenges to Rebuilding Readiness. GAO-16-481RC. Washington, D.C.: May 25, 2016. (SECRET//NOFORN)", "Military Readiness: Progress and Challenges in Implementing the Navy\u2019s Optimized Fleet Response Plan. GAO-16-466R. Washington, D.C.: May 2, 2016.", "F-35 Sustainment: DOD Needs a Plan to Address Risks Related to Its Central Logistics System. GAO-16-439. Washington, D.C.: April 14, 2016.", "Navy Force Structure: Sustainable Plan and Comprehensive Assessment Needed to Mitigate Long-Term Risks to Ships Assigned to Overseas Homeports. GAO-15-329. Washington, D.C.: May 29, 2015.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["Since 2015, we have made 45 recommendations to help the Navy and Marine Corps ensure they have the personnel and equipment they need to be ready for their operations. We discussed the two services' readiness challenges in this testimony, including", "Personnel shortfalls and gaps in experience leading to high sailor workloads", "Maintenance delays that prevent ships and submarines from operating", "Unavailable aircraft in both the Navy and the Marine Corps", "While the services have taken initial steps to rebuild military readiness, fully addressing these challenges while balancing high demands will require years of sustained attention."]} {"id": "GAO-18-356", "url": "https://www.gao.gov/products/GAO-18-356", "title": "VA Health Care: Improved Guidance and Oversight Needed for the Patient Advocacy Program", "published_date": "2018-04-12T00:00:00", "released_date": "2018-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VHA has designated patient advocates at each VAMC to receive and document feedback from veterans or their representatives, including requests for information, compliments, and complaints. In recent years, the importance of a strong patient advocacy program has taken on new significance given concerns with VHA's ability to provide veterans timely access to health care, among other issues.", "The Comprehensive Addiction and Recovery Act of 2016 included a provision for GAO to review VHA's patient advocacy program. This report examines the extent to which VHA has (1) provided guidance on the governance of the program; (2) provided guidance on staffing the program; (3) assessed the training needs of patient advocates and monitored training completion; and (4) monitored patient advocacy program data-entry practices and reviewed program data. GAO reviewed VHA and VAMC documents, including summaries of program data. GAO interviewed VHA officials about the program, as well as officials from a non-generalizable selection of eight VAMCs and five VISNs selected based on the volume of veteran complaints and other factors. GAO also compared VHA policies and practices to federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["The Veterans Health Administration (VHA) provided limited guidance to Department of Veterans Affairs (VA) medical centers (VAMC) on the governance of its patient advocacy program and its guidance, a program handbook, has been outdated since 2010. VAMCs are still expected to follow the outdated handbook, which does not provide needed details on governance, such as specifying the VAMC department to which patient advocates should report. Officials from most of the VAMCs that GAO reviewed noted that the VAMC department to which patient advocates report can have a direct effect on the ability of staff to resolve veterans' complaints. The lack of updated and complete guidance may impede the patient advocacy program from meeting its expectations, to receive and address complaints from veterans in a convenient and timely manner.", "VHA also has provided limited guidance to VAMCs on staffing the patient advocacy program. VHA's handbook states that every VAMC should have at least one patient advocate and appropriate support staff; however, it did not provide guidance on how to determine the number and type of staff needed. Officials at all but one of the eight VAMCs in GAO's review stated that their patient advocacy program staff had more work to do than they could accomplish. This limited guidance on staffing could impede VAMCs' efforts to ensure that they have the appropriate number and type of staff to address veterans' complaints in a timely manner.", "Further, VHA has recommended training for patient advocates, but it has not developed an approach to routinely assess their training needs or monitored training completion. VHA officials stated that they relied on VAMC and Veterans Integrated Service Network (VISN) staff to conduct these activities. However, GAO found that for the eight VAMCs in its review, the training needs of patient advocates were not routinely assessed, and training completion was not always monitored. Without conducting these activities, VHA increases its risk that staff may not be adequately trained to advocate on behalf of veterans.", "Finally, VHA has not monitored patient advocacy program data-entry practices or reviewed the data to assess program performance. VHA officials stated that they relied on VISN and VAMC officials to ensure that all complaints were consistently entered into VHA's Patient Advocate Tracking System (PATS). However, GAO identified inconsistencies in the extent to which VAMC officials did so. VHA's lack of monitoring may pose a risk that not all complaints are entered into this tracking system\u2014a goal of the program. Additionally, VHA officials stated they did not systemically review data in the system to assess program performance and identify potential system-wide improvements because VHA considered this the responsibility of VAMCs. As a result, VHA officials may miss opportunities to improve veterans' experiences.", "VHA is beginning to address many of these governance, staffing, training, and data issues, including directing a workgroup to provide recommendations by spring of 2018. However, because the recommendations will be advisory, and because program deadlines have slipped in the past, the nature and timing of the actions needed to resolve these issues remain unclear."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 6 recommendations to improve guidance for and oversight of the patient advocacy program, focusing on governance, staffing, training, and PATS data entry and assessment. VA concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), operates one of the nation\u2019s largest health care systems. VA has faced a growing demand by veterans for its health care services due, in part, to (1) servicemembers returning from the United States\u2019 military operations in Afghanistan and Iraq and (2) the growing needs of an aging veteran population\u2014trends that are expected to continue. The total number of veteran enrollees in VA\u2019s health care system rose from 7.9 million to almost 9 million from fiscal year (FY) 2006 through FY 2016. As the number of veterans using VA health care services increases, it is important to ensure that feedback about their care is addressed in a convenient and timely manner. To that end, VHA has designated patient advocates at each VA medical center (VAMC) to receive and document feedback from veterans or their representatives, including requests for information, compliments, and complaints.", "Although VHA\u2019s patient advocacy program has been in place since 1990, it has taken on new significance in recent years given concerns about veterans\u2019 ability to receive timely and quality care, among other issues. Our work, along with that of the VA Office of Inspector General (OIG) and others, has cited longstanding concerns about VA\u2019s oversight of its health care system, including ambiguous policies and inconsistent processes. These concerns contributed to the addition of veterans\u2019 health care to GAO\u2019s High-Risk List in 2015, and its continued inclusion in the 2017 update. In 2017, the VA OIG raised concerns about the effectiveness of VHA\u2019s patient advocacy program, including a lack of monitoring of program data, such as feedback documented by advocates, to identify trends across VAMCs.", "Until recently, VHA\u2019s patient advocacy program was overseen by the Office of Patient Centered Care and Cultural Transformation (OPCC&CT). However, the Comprehensive Addiction and Recovery Act of 2016 (CARA), included a provision for VHA to establish an Office of Patient Advocacy (OPA) by July 2017 to take on oversight responsibilities for the program, such as ensuring that patient advocates at VAMCs receive training.", "CARA also included a provision for us to review VHA\u2019s patient advocacy program. This report examines the extent to which VHA has 1. provided guidance to VAMCs on the governance of the program; 2. provided guidance to VAMCs on staffing the program; 3. assessed the training needs of patient advocates and monitored 4. monitored patient advocacy program data-entry practices and reviewed program data.", "For all four objectives, we interviewed officials involved in the patient advocacy program from eight VAMCs and their five associated Veterans Integrated Service Networks (VISN), regional networks of care. We selected six of our eight VAMCs for variation in (1) the number of complaints received and entered in VHA\u2019s Patient Advocate Tracking System (PATS)\u2014an electronic system used to describe and track the resolution of veterans\u2019 feedback across VAMCs\u2014in FY 2016, (2) facility complexity level, (3) geographic location, and (4) the type of staff VAMCs used to administer the program. We selected the remaining two VAMCs based on one\u2019s involvement in piloting a new approach to recording patient advocacy program data, and one\u2019s recent changes to the structure of its program. We also ensured that at least three of the VAMCs we selected received assessments from OPCC&CT on how they had implemented the patient advocacy program to gain perspectives on the office\u2019s involvement with VAMCs. See table 1 for a list of the eight VAMCs we selected and their associated VISNs. Perspectives obtained from the eight VAMCs and five VISNs in our review cannot be generalized.", "We also interviewed VHA officials, including those who had overseen the program when it was under OPCC&CT and who transitioned to OPA once the office was established in 2017. In addition, we interviewed officials from five veterans service organizations (VSO) to obtain their perspectives on the patient advocacy program: American Legion, Disabled American Veterans, Iraq and Afghanistan Veterans of America, Veterans of Foreign Wars, and Vietnam Veterans of America.", "To examine the extent to which VHA has provided guidance to VAMCs on the governance of the patient advocacy program, we reviewed VHA\u2019s handbook for the program to determine, among other things, whether it specified the VAMC department to which patient advocates should report and whether it identifies responsibilities for VHA staff overseeing the program. We also reviewed documentation of VHA\u2019s planned efforts related to improving the governance of the program, such as a draft directive for the program. We evaluated the information we reviewed in VHA\u2019s handbook against federal internal control standards.", "To examine the extent to which VHA has provided guidance to VAMCs on staffing the patient advocacy program, we reviewed VHA\u2019s handbook for the program. Specifically, we reviewed the handbook to determine the extent to which it provided guidance on how VAMCs should determine the appropriate number and type of staff needed to administer the program. We also reviewed documentation of VHA\u2019s planned efforts related to staffing the program identified in a workgroup charter. We evaluated VHA\u2019s efforts to provide guidance to VAMCs on staffing against key principles for effective strategic workforce planning and federal internal control standards.", "To examine the extent to which VHA has assessed the training needs of patient advocates and monitored training completion, we reviewed training materials VHA provided to VAMCs, such as a list of recommended training for patient advocates. We also reviewed documentation of VHA\u2019s planned efforts related to assessing the training needs of patient advocates identified in a workgroup charter. We evaluated the extent to which VHA has monitored training of patient advocates against a guide for assessing strategic training and development efforts and federal internal control standards.", "To examine the extent to which VHA has monitored data-entry practices and reviewed data from the patient advocacy program, we reviewed VHA\u2019s handbook for the program and summaries of data from PATS. We also reviewed documentation of VHA\u2019s planned efforts related to PATS data-entry practices and reviewing program data identified in a workgroup charter. We evaluated the extent to which VHA has monitored data-entry practices and reviewed PATS data against a guide for assessing the reliability of computer-processed data and federal internal control standards.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VHA\u2019s patient advocacy program is intended to provide veterans with a means to provide feedback about health care services they receive at VAMCs. VHA sets forth minimum expectations for VAMCs\u2019 administration of the program, including that veterans must have easy access to a patient advocate and must have their complaints addressed in a convenient and timely manner."], "subsections": [{"section_title": "Administration of the Patient Advocacy Program", "paragraphs": ["The patient advocacy program is administered at the VAMC level. Each of VA\u2019s 170 VAMCs is responsible for making at least one patient advocate available to respond to veterans\u2019 feedback, and for ensuring that feedback is recorded in PATS. VAMCs may designate other staff to assist patient advocates in responding to feedback, such as lead patient advocates and service-level advocates. Service-level advocates, such as nurses or administrative staff, are designated at some VAMCs to respond to veterans\u2019 feedback before involving a patient advocate. All VAMC staff that have a designated role in the administration of the patient advocacy program are referred to as patient advocacy program staff. In addition to designating program staff, VAMCs may use a variety of methods to make veterans aware of the patient advocacy program, such as displaying signage on site and including information about the program on their websites. (See app. I for more information on the methods selected VAMCs used to make veterans aware of the program.)", "Patient advocacy program staff enter veterans\u2019 feedback in PATS using a report of contact (ROC) and assign one or more issue codes that generally describe the nature of the feedback, such as coordination of care. (See app. II for additional information on entering veterans\u2019 feedback into PATS.) Each piece of feedback shared is categorized as either a request for information, compliment, or complaint. VHA\u2019s handbook for the program specifies certain goals for data collection and resolution\u2014specifically, that all complaints should be entered in PATS to enable a comprehensive understanding of veterans\u2019 issues and concerns to, in turn, identify potential system-wide improvements; and responses should occur no later than 7 days after the complaint is made.", "With this guidance, patient advocacy program staff use a variety of approaches for entering veterans\u2019 feedback in PATS and closing it in the system once addressed. For example, when VAMCs have designated service-level advocates, the process for entering and closing feedback in PATS is generally different than the approach used by VAMCs that have only patient advocates. (See fig. 1.)", "Patient advocacy program staff at each VAMC are assisted by a VISN- level coordinator who acts as a liaison between the VAMCs and VHA and is responsible for ensuring consistency in PATS data collection within the VISN. The VISN director is responsible for designating the coordinator and ensuring that each VAMC within the VISN has at least one patient advocate."], "subsections": []}, {"section_title": "Oversight of the Patient Advocacy Program", "paragraphs": ["The VHA office responsible for overseeing the patient advocacy program changed as a result of CARA. From January 2011 to July 2017, the program was overseen by OPCC&CT under VHA\u2019s Deputy Under Secretary for Health for Operations & Management. CARA included a provision for VHA to establish OPA to begin overseeing the program and specified that this office would report directly to the Under Secretary for Health, a higher-level office within VHA. Although OPCC&CT is no longer responsible for overseeing the program, it is to continue to play an advisory role to OPA during the initial phases of its work, according to OPCC&CT officials.", "Many of OPA\u2019s oversight responsibilities are specified in CARA including ensuring that patient advocates advocate on behalf of veterans, manage PATS, and identify trends in the data to determine whether there are opportunities for improving veterans\u2019 health care. Also, OPA\u2019s director is required to ensure that patient advocates receive relevant, consistent training across VAMCs. When establishing the office in July 2017, VHA officials wrote a memo indicating that OPA\u2019s primary objectives were to implement a standardized policy for the patient advocacy program and to resolve any system-wide issues, such as concerns about care across VAMCs identified through veterans\u2019 feedback. In addition, in August 2017, OPA began soliciting feedback from VAMCs on various aspects of the patient advocacy program to identify improvement priorities and best practices. By September 2017, OPA had identified an acting program director, established a workgroup (called the National Strategic Workgroup) to develop recommendations related to program administration, and finalized a charter that identifies workgroup deliverables."], "subsections": []}]}, {"section_title": "VHA Has Provided Limited, Outdated Guidance to VAMCs on the Governance of the Patient Advocacy Program", "paragraphs": ["VHA has provided limited guidance to VAMCs on the governance of the patient advocacy program. Specifically, VHA provided limited guidance on how to meet the program\u2019s expectations that veterans have easy access to a patient advocate who will hear their complaints and address them in a timely manner. While VHA\u2019s handbook for the program provides general information on the responsibilities of patient advocacy program staff, it does not specify the VAMC department to which patient advocates should report to help ensure VAMCs meet these expectations. According to VHA officials, the lack of specific guidance was intentional and due in part to VHA officials\u2019 view that leadership at each VAMC is in the best position to understand the needs of veterans at their facilities, and therefore should have flexibility to make decisions about governance in response to those needs.", "In addition to providing limited guidance to VAMCs, VHA\u2019s patient advocacy program handbook is out of date and does not incorporate recent agency-wide changes, such as those made in response to VHA Strategic Plan FY 2013 \u2013 2018 which identifies the goal of providing proactive, patient-driven health care. The handbook for the program was issued in 2005, expired in 2010, and as of January 2018, no updates had been released. In the absence of an updated document, VAMCs are still expected to follow the outdated handbook. However, the handbook does not identify the responsibilities of the current VHA office responsible for overseeing the program. Instead, it identifies the responsibilities of the VHA office that oversaw the program before OPCC&CT began overseeing the program in 2011.", "In recent years, OPCC&CT reviewed the implementation of the patient advocacy program at some VAMCs and provided specific recommendations on how to change program governance to better reflect a more proactive patient advocacy program model. However, the recommendations from these reviews were provided only to some VAMCs; guidance that could be applicable to all VAMCs was not added to the handbook. OPCC&CT officials stated that they did not update the handbook because they decided to instead spend time trying to understand recent feedback they received from VAMC officials and ensure that any updates would reflect system-wide shifts as a result of VHA\u2019s strategic plan.", "OPCC&CT\u2019s limited and outdated guidance to VAMCs on the governance of the patient advocacy program is inconsistent with federal internal control standards for the control environment, which require agencies to establish an organizational structure, assign responsibility, and delegate authority to achieve agency objectives\u2014key aspects of governance. To do so, an agency may develop an organizational structure that assigns responsibilities to discrete units and defines reporting lines at all levels of the organization. Without providing specific, timely guidance to VAMCs on the governance of the patient advocacy program, the program is at risk of not meeting its minimum expectations.", "In light of the limited and outdated guidance on the governance of the program, patient advocacy program staff at most of our selected VAMCs noted that the VAMC department to which patient advocates report can have a direct effect on the ability of staff to resolve veterans\u2019 complaints. For example, patient advocates at one VAMC said because of the program\u2019s position within the organization, they did not have the authority to ensure that VAMC officials external to the patient advocacy program, such as physicians, quickly engaged in responding to veterans\u2019 complaints. In these cases, a patient advocate would contact the physician to resolve a complaint, but may not have received a response until the matter was brought to the attention of the physician\u2019s supervisor\u2014a reporting line that is outside of the patient advocacy program at this VAMC. Officials from several of our selected VAMCs and VSOs noted that the position of the patient advocacy program within VAMCs may not give patient advocates the authority to require VAMC staff to respond to veterans\u2019 complaints. They added that conflict-of- interest concerns could arise when a veteran has a complaint about a VAMC for which the patient advocate works. (See app. III for additional information on the governance of the patient advocacy program at selected VAMCs.)", "In VA\u2019s written comments on a draft of this report, which are reproduced in Appendix IV, VA stated that it issued its new directive for the patient advocacy program that had been in development as we were conducting our review. While the updated directive specifies that a VAMC\u2019s lead patient advocate should report to the facility director, it does not specify the VAMC department to which other patient advocacy program staff, including patient advocates who are not designated as lead patient advocates and service-level advocates, should report. In addition, OPA\u2019s National Strategic Workgroup recently submitted recommendations to OPA on the governance of the patient advocacy program. OPA officials stated that they plan to prioritize the recommendations and elicit feedback from VISN directors on how to operationalize the recommendations. However, it is unclear whether OPA will provide additional guidance related to the governance of the program based on these recommendations, such as guidance on the VAMC department to which all types of patient advocacy program staff should report. Until actions to address the weaknesses we found are completed, guidance on the governance of the program will continue to be lacking."], "subsections": []}, {"section_title": "VHA Has Provided Limited Guidance to VAMCs on Staffing the Patient Advocacy Program", "paragraphs": ["VHA has provided limited guidance to VAMCs on the number and type of patient advocacy program staff needed to ensure that complaints from veterans are addressed in a convenient and timely manner. According to VHA\u2019s existing handbook for the program, every VAMC should have at least one patient advocate and appropriate administrative, technical, and clerical support should be provided to allow for efficient performance of the responsibilities of program staff. OPCC&CT did not provide guidance on how VAMCs should determine the appropriate number of administrative, technical, and clerical staff or type of patient advocacy program staff, such as lead patient advocates and service-level advocates. According to officials, this was because no assessment was conducted to identify what staff resources would be needed to meet the expectations of the program. In the absence of such an assessment, OPCC&CT instead relied on each VAMC to determine what resources would be needed based on the facility\u2019s size and services provided. However, VHA\u2019s handbook for the program does not provide instruction for VAMC or VISN officials on how to determine the number and type of staff needed for the program. OPCC&CT officials added that budget constraints can also affect a VAMC\u2019s ability to hire the appropriate staff for the program. (See app. III for additional information on the number and type of patient advocacy program staff at selected VAMCs.)", "Officials at all but one of the selected VAMCs stated that program staff at their VAMCs had more work to do than they could handle. For example, VAMC officials cited backlogs in work, such as calls from veterans not being answered, messages not being responded to, voicemail boxes being full, and not all veterans\u2019 feedback being entered into PATS. Officials from one VAMC we spoke with in July 2017 stated that due to workload demands and not enough patient advocacy program staff at their VAMC, they had roughly 300 unanswered phone calls at that time from veterans who want to provide feedback to a patient advocate. Officials from several VSOs we spoke with stated that there is not enough patient advocate staff, adding that veterans reported that their calls to patient advocates were not answered, they were unable to reach an advocate, or their calls were not responded to in a timely manner.", "The lack of staffing guidance is inconsistent with GAO\u2019s Key Principles for Effective Strategic Workforce Planning, which states that workforce planning is essential to addressing an organization\u2019s critical need to align its human capital program with its current and emerging mission and programmatic goals. Further, federal internal control standards require agencies to design control activities to achieve objectives, a key aspect of effectively staffing a program. Such control activities may include effectively managing the agency\u2019s workforce, such as by continually assessing the knowledge, skills, and abilities of the workforce to achieve organizational goals.", "The lack of guidance on staffing may impede VAMCs\u2019 efforts to ensure that they have the appropriate number and type of staff to administer the patient advocacy program. The resulting misalignment of staff resources could have negatively affected VAMCs\u2019 ability to achieve the program\u2019s objectives, including addressing veterans\u2019 complaints in a timely manner. For example, if there are not a sufficient number of patient advocates to respond to veterans\u2019 phone calls in a timely manner, VAMCs may not be able to ensure that patient advocates can respond to veterans\u2019 complaints within 7 days, as called for by VHA\u2019s handbook for the program.", "According to VHA officials, OPA analyzed feedback from VAMCs on the factors that should be considered in developing national guidelines for staffing, such as facility size and complexity level, and directed its National Strategic Workgroup to develop recommendations for determining the extent to which VAMCs have utilized various patient advocacy program staff, such as service-level advocates, by the spring of 2018. However, OPA expects that these efforts will result in recommendations for consideration, and it is unclear what steps, if any, will be taken based on the recommendations. Until actions to address the weaknesses we found are completed, the lack of guidance for VAMCs on determining the appropriate number and types of staff will put the patient advocacy program at risk of being unable to address veterans\u2019 complaints in a convenient and timely manner."], "subsections": []}, {"section_title": "VHA Has Recommended Training for Patient Advocates, but Has Not Developed an Approach to Routinely Assess Their Training Needs or Monitored Training Completion", "paragraphs": [], "subsections": [{"section_title": "VHA Has Developed a Recommended Training List for Patient Advocates, but Has Not Developed an Approach to Assess Their Training Needs on a Routine Basis", "paragraphs": ["VHA has recently developed a list of recommended training for patient advocates. In the spring of 2017, OPCC&CT officials updated a recommended training list for patient advocates developed before 2011 when OPCC&CT began overseeing the patient advocacy program. The training list covers a wide variety of topics, including how to enter and examine trends in PATS data, as well as key responsibilities of patient advocates outlined in VHA\u2019s handbook for the program. OPCC&CT officials stated that they would like to make the trainings required, but have not pursued this because of the lengthy process within VHA to designate required training for a specific group of staff. To update the list in 2017, OPCC&CT convened a workgroup (which included several patient advocates) to determine whether the old training list was sufficient, and the workgroup shared its suggested updates with VISN- level coordinators for distribution to VAMCs in April 2017.", "We found that OPCC&CT has not developed an approach to routinely assess the training needs of patient advocates. Rather, OPCC&CT officials stated that they relied on VAMC and VISN staff to conduct these assessments. However, VHA\u2019s handbook for the program does not specify that VAMC or VISN officials are responsible for conducting routine assessments of patient advocates\u2019 training needs. None of our selected VAMCs routinely conducted assessments of the training needs of patient advocates, such as assessing whether advocates were adequately trained to carry out their responsibilities. Officials from two VAMCs said they used ad hoc approaches to assess training needs. For example, one patient advocate supervisor stated that training is offered on an \u201cas needed\u201d basis in patient advocate meetings when a training need is identified.", "The lack of an approach for routinely assessing the training needs of patient advocates is inconsistent with federal standards for internal control related to control activities. Under these standards relating to human capital, management ensures that training is aimed at developing and retaining employee knowledge, skills, and abilities to meet changing organizational needs. Management should also continually assess the knowledge, skills, and ability needs of a program so that the program is able to obtain a workforce that has the required knowledge, skills, and abilities to achieve organizational goals.", "Without an approach for routinely assessing the training needs of patient advocates, VHA may not be able to clearly identify gaps in the knowledge and skills of these staff over time, which, in turn, could put the program at risk of not meeting its goals. For example, if there is a gap in understanding among patient advocates that all complaints should be entered into PATS, addressing veterans\u2019 complaints may be delayed, if addressed at all, and opportunities to analyze complaint data for the purpose of identifying system-wide improvements may be missed.", "According to VHA officials, OPA analyzed feedback from VAMCs on the training needs of patient advocates, including how to correctly enter data into PATS, and directed its National Strategic Workgroup to develop recommendations for assessing the training needs of patient advocates by the spring of 2018. OPA expects that these efforts will result in recommendations for OPA to consider, but it is unclear what steps, if any, will be taken based on the recommendations. Until actions to address the weaknesses we found are completed, the lack of routine assessments of training needs will continue to put the program at risk of staff not having the requisite skills and knowledge to carry out their duties."], "subsections": []}, {"section_title": "VHA Has Not Monitored Training Completion for Patient Advocates", "paragraphs": ["VHA has not monitored the completion of training for patient advocates. Specifically, OPCC&CT officials said that they did not monitor the extent to which patient advocates completed the recommended training distributed in April 2017. Instead, these officials relied on patient advocate supervisors to monitor training completion. However, VHA\u2019s handbook for the program does not specify that patient advocate supervisors are responsible for monitoring the completion of training for patient advocates.", "Half of patient advocate supervisors at our selected VAMCs did not track the completion of patient advocacy training. Patient advocate supervisors said that they are able to track the completion of general VA employee training through VA\u2019s Talent Management System. However, most training specific to patient advocacy were generally not included in this system during the period of our review. Officials from our selected VAMCs who did track patient advocacy training used various methods to record completion, such as keeping attendance lists for the training provided.", "Taking steps to monitor training completion would be consistent with GAO\u2019s Guide for Assessing Strategic Training and Development Efforts in the Federal Government which identifies components of the training and development process, including having agencies collect and monitor data corresponding to establishing training objectives. Monitoring training completion would also be consistent with federal standards for internal control related to control activities. Under these standards relating to human capital, management ensures that training is aimed at developing and retaining employee knowledge, skills, and abilities to meet changing organizational needs. Management also continually assesses the knowledge, skills, and ability needs of a program so that the program is able to obtain a workforce that has the required knowledge, skills, and abilities to achieve organizational goals\u2014key components for monitoring training completion.", "If patient advocates are not properly trained in how to use PATS to document and resolve complaints, tracking the status of complaints may be more difficult, which could increase the likelihood that they are not addressed in a timely manner, if at all. Further, CARA specifies that the director of OPA should ensure that patient advocates receive training specific to patient advocacy.", "According to VHA officials, OPA did not obtain information on whether patient advocates completed recommended training and did not identify an approach for monitoring training completion moving forward. Without monitoring training completion, there is an increased risk that patient advocates have not received the training they need to effectively fulfill their responsibilities such as advocating on behalf of veterans and consistently using PATS to document and resolve complaints."], "subsections": []}]}, {"section_title": "VHA Has Not Monitored Patient Advocacy Data-Entry Practices or Reviewed Patient Advocacy Data to Assess Program Performance and Identify System-Wide Improvements", "paragraphs": [], "subsections": [{"section_title": "VHA Has Not Monitored Whether Complaints Were Always Entered into PATS and Issue Codes Assigned Consistently", "paragraphs": ["VHA officials have not monitored PATS data-entry practices to ensure complaints were always entered into PATS and issue codes were assigned consistently to ROCs. OPCC&CT officials told us they did not monitor the data-entry practices of patient advocacy program staff to ensure that all complaints were entered into PATS, a key goal according to VHA\u2019s handbook for the program. Rather, they relied on VISN and VAMC officials to ensure that program staff entered all complaints into PATS. Officials from two of the five VISNs we interviewed stated that they did not perform any audits or checks of the data entered into PATS by patient program staff at VAMCs.", "We also found inconsistencies in the extent to which VAMC officials entered complaints into PATS, with complaints always entered into PATS at one of our selected VAMCs, while at other VAMCs some complaints were left unrecorded, according to officials. For example, at one VAMC, officials stated that over a third of the complaints received were not entered into PATS due to the competing workload demands of patient advocates. Similarly, at another selected VAMC, almost a quarter of the complaints received were not entered into PATS, according to patient advocates there who explained that they primarily used a document outside of PATS to record veterans\u2019 feedback.", "In addition, OPCC&CT officials told us they did not monitor whether patient advocates used a consistent practice to assign issue codes to veterans\u2019 feedback recorded into PATS. Using a consistent data-entry practice is important to ensure that PATS data can be compared across VAMCs to better enable an accurate and comprehensive understanding of veterans\u2019 issues and concerns, a goal of the patient advocacy program. OPCC&CT officials stated that they relied on VISN-level coordinators to monitor coding practices because VHA\u2019s handbook for the program states that these coordinators should develop VISN-wide consistent approaches for entering complaints into PATS. VISN-level coordinators from two selected VISNs stated that they created a standard practice for assigning issue codes within a particular VISN; however, the coding practices differed between VISNs, making national level analysis difficult.", "We also found inconsistencies in how VAMC officials coded specific veterans\u2019 feedback. For example, patient advocates did not use consistent practices to code issues related to the Veterans Choice Program (Choice Program), one of the most common types of issues patient advocates told us they hear about from veterans. Officials from one of our selected VAMCs said they code feedback related to the Choice Program under a specific \u201crequest for information\u201d issue code, regardless of whether the feedback was a request for information, compliment, or complaint. In contrast, officials at another VAMC stated that they typically code feedback related to the Choice Program as a complaint related to billing. (See app. II for additional information on data- entry practices at selected VAMCs.)", "OPCC&CT\u2019s lack of monitoring of PATS data-entry practices is inconsistent with GAO\u2019s Assessing the Reliability of Computer-Processed Data which identifies the importance of consistent data-entry practices to ensure that data are reasonably complete and accurate. Further, federal standards for internal control related to information and communications require agencies to use quality information, such as relevant data from reliable sources, to achieve the agency\u2019s objectives. Under internal control standards for control activities, management also is to monitor performance to achieve objectives. Without OPCC&CT monitoring data- entry practices, the patient advocacy program is at risk of not meeting its goal that all complaints are entered into PATS and there is an increased likelihood of VHA not having an accurate understanding of veterans\u2019 complaints across VAMCs.", "Moving forward, in fall 2017, OPA distributed meeting minutes to all VISN and VAMC directors stating that all veterans\u2019 feedback should be consistently recorded in PATS. OPA officials also updated some of the issue codes in PATS in fall 2017 and added a code specifically for community care issues, such as issues related to the Choice Program. In addition, OPA officials stated that they plan to promote the consistent assignment of issue codes to veterans\u2019 feedback through national training, but have not specified when this training will occur or if OPA staff will monitor patient advocates\u2019 consistent assignment of issue codes or of data-entry practices generally. Until these actions are completed, however, the gaps in monitoring of PATS data-entry practices that we identified will continue to exist, putting the program at risk of incomplete or unreliable data that may not allow an accurate understanding of veterans\u2019 complaints, critical to making system-wide improvements."], "subsections": []}, {"section_title": "VHA Has Not Systematically Reviewed PATS Data to Assess Program Performance and Identify Potential System- Wide Improvements", "paragraphs": ["VHA officials have not systematically reviewed PATS data to assess program performance and identify potential system-wide improvements, goals of the patient advocacy program. Specifically, OPCC&CT officials stated that they reviewed PATS data in response to inquiries, but did not conduct systematic reviews of the data over time. For example, they did not track VAMC performance on responding to complaints in a timely manner or track the most common complaints across VAMCs to identify potential opportunities for system-wide improvements.", "OPCC&CT officials stated that they did not conduct systematic reviews of PATS data because VISN and VAMC officials were primarily responsible for these analyses. However, according to VHA\u2019s handbook for the patient advocacy program, VHA officials have a responsibility to examine PATS data for trends across VAMCs and identify any areas for system- wide improvement. Officials stated that it was challenging to analyze PATS information included in narrative text, such as descriptions of veterans\u2019 feedback.", "Not reviewing PATS data is inconsistent with federal standards for internal control for monitoring which require agencies to establish and operate monitoring activities, such as assessing the quality of performance over time, and evaluate the results. Further, not conducting systematic assessments of PATS data made it difficult for OPCC&CT to determine program performance, such as whether the program was meeting its goal that all complaints are entered into PATS and responded to within 7 days. Officials explained that VHA interprets this goal to mean that complaints are closed in PATS within 7 days. According to VA, between FY 2014 and FY 2017 there were more than 53,000 complaints per year open for greater than 7 days. If OPCC&CT officials had conducted systematic reviews of PATS data, they may have been able to identify that there were a significant number of complaints open for longer than 7 days and consider what actions should be taken, such as providing additional guidance to VAMCs on how to address complaints in a timely manner.", "Furthermore, without systematically reviewing PATS data across VAMCs to identify potential system-wide improvements, OPCC&CT officials may have been unaware of important care issues across VAMCs. For example, patient advocates from several of our selected VAMCs stated that opioid prescription issues are among the most common complaints they received from veterans. If OPCC&CT officials were to have systematically reviewed PATS data across VAMCs to determine the prevalence of these types of complaints, they could have identified the need to address them on a national level and consider system-wide policies or guidance in response.", "According to VHA officials, OPA is in the process of identifying the data it needs to review on a routine basis, and directed its National Strategic Workgroup to identify program data that could be reviewed to assess program performance and identify potential system-wide improvements by the spring of 2018. However, OPA expects that these efforts will result in recommendations for OPA to consider, and it is unclear what steps, if any, will be taken based on the recommendations. Until actions to address the weaknesses we found are completed, the lack of a systematic review of PATS data will persist, putting the program at continued risk of missed opportunities for identifying and addressing weaknesses across VAMCs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As one of the largest health care delivery systems in the nation, it is critically important for VHA to ensure that each veteran who receives health care services has easy access to an advocate who listens to that veteran\u2019s feedback and responds in a timely manner. This is especially important given concerns about veterans\u2019 ability to receive timely and quality care. However, VHA\u2019s efforts to ensure that the patient advocacy program is meeting its goals\u2014to identify potential system-wide improvements and respond to complaints within 7 days\u2014have fallen short. OPCC&CT did not provide sufficient oversight to the program in the four key areas of governance, staffing, training, and data-entry practices, which has left the program at risk for not meeting its goals.", "VHA\u2019s newly established OPA has initiated plans to improve the patient advocacy program in these four areas; however, most of these plans center around a workgroup that will make recommendations for OPA to consider, and it is unclear what specific actions, if any, will be taken based on these recommendations. Further, documentation for several of OPA\u2019s planned efforts has not been finalized. Unless specific actions to address the weaknesses we identified are completed expeditiously, the program is at risk of not meeting its goals, including addressing veterans\u2019 complaints in a convenient and timely manner. Furthermore, without addressing the weaknesses we identified, OPA misses opportunities to review PATS data across VAMCs to identify potential system-wide issues that, if addressed, could significantly improve the experience of veterans. Such reviews are critical to ensuring that VHA is taking steps to both meet its goal in its strategic plan to provide veterans with timely and quality health care, and to address recent issues it has faced, such as veterans\u2019 ability to access care in a timely manner."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to the VHA Undersecretary for Health: provide updated guidance to VAMCs on the governance of the patient advocacy program, including clear definitions of reporting lines. (Recommendation 1) assess and provide guidance to VAMCs on appropriately staffing the patient advocacy program, including guidance on how to determine the appropriate number and type of staff. (Recommendation 2) develop an approach to routinely assess the training needs of patient advocates. (Recommendation 3) monitor the completion of training for patient advocates. (Recommendation 4) monitor PATS data-entry practices to ensure all complaints are entered into PATS and that veterans\u2019 feedback is coded consistently. (Recommendation 5) systematically review PATS data to assess program performance and identify potential system-wide improvements. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to VA for comment. In its written comments, which are reproduced in Appendix IV, VA concurred with our recommendations and noted that it recently issued the new directive for patient advocacy that had been in development as we were conducting our review. The directive supersedes the outdated handbook for the patient advocacy program and describes certain aspects of program governance, including certain reporting lines, roles, and responsibilities. Accordingly, VA requested that we close our first recommendation related to governance. We revised our report to reflect the issuance of the new directive. However, we do not believe the directive fully implements our recommendation. While the updated directive specifies that a VAMC\u2019s lead patient advocate should report to the facility director, it does not specify the VAMC department to which other patient advocacy program staff, including patient advocates who are not designated as lead patient advocates and service-level advocates, should report. Until VA specifies the reporting lines for these other patient advocacy program staff, our recommendation will remain open. In addition, VA stated in its written comments that OPA has efforts underway related to staffing, training, and PATS data entry and assessment and provided estimated completion dates for these efforts. We will monitor VA\u2019s efforts to address our recommendations. VA did not provide technical comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, the Under Secretary for Health, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in Appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Awareness of the Patient Advocacy Program", "paragraphs": ["Our eight selected Department of Veterans Affairs (VA) medical centers (VAMC) use a variety of methods to make veterans or their representatives aware of the patient advocacy program, including providing brochures on the program, displaying signage, and providing program information on the VAMC\u2019s website. (See fig. 2 for examples of patient advocacy program signage at some of the VAMCs we visited.)"], "subsections": []}, {"section_title": "Appendix II: Patient Advocate Tracking System (PATS) Data Entry and Management", "paragraphs": ["Patient advocacy program staff, such as patient advocates or service- level advocates who are designated to respond to veterans\u2019 feedback, enter feedback from veterans or their representatives in the Veterans Health Administration (VHA) Patient Advocate Tracking System (PATS) by creating a report of contact (ROC). Each ROC includes basic information regarding the individuals involved, a description of the feedback provided by the veteran, and a description of the steps taken to resolve the issue. Patient advocacy program staff assign one or more issue codes that generally describe the nature of the feedback, such as \u201ccoordination of care.\u201d (See figures 3 and 4.)", "In order to organize veterans\u2019 feedback, VHA categorizes feedback as either requests for information, compliments, or complaints. Within each of these categories VHA defines specific issue codes for program staff to select from based on the description of the veteran\u2019s feedback. (See table 2.)", "The Comprehensive Addiction and Recovery Act of 2016 (CARA), includes a provision for every VAMC to display the purpose of the program, along with the contact information of a patient advocate at the facility, in as many prominent locations as deemed appropriate to be seen by the largest percentage of veterans. In September 2016, VHA Central Office sent a memo to Veterans Integrated Service Network (VISN) directors explaining this requirement and an Office of Patient Centered Care and Cultural Transformation (OPCC&CT) official obtained confirmation from all VHA facilities that this requirement was met in October 2016. Nevertheless, officials from two veterans service organizations (VSO) we interviewed stated they often encounter veterans who are not aware of the patient advocacy program.", "According to VA, in fiscal year (FY) 2017, there were 268,114 veterans associated with ROCs entered in PATS. VA also reported that, in the same year, patient advocacy program staff entered 414,256 unique reports of contact in PATS. According to VA, from the unique reports of contact in PATS, program staff documented 473,564 issues, which included (but were not limited to) 112,722 requests for information, 35,839 compliments, and 325,003 complaints. See table 3 for the top five issues that patient advocacy program staff across VAMCs entered in PATS for FY 2017. According to VA, in FY 2017, a total of 1,391 program staff system-wide entered data in PATS. In the same year, according to PATS, veterans, rather than family members or friends, most often provided feedback to patient advocacy program staff.", "Our eight selected VAMCs varied in the number of patient level advocates and service-level advocates who had access to PATS, whether veterans\u2019 feedback was recorded outside of PATS, and which issue code or codes were used to record feedback related to the Veterans Choice Program. (See table 4.)", "Examples of methods that patient advocates and service-level advocates used at selected VAMCs to record veterans\u2019 feedback outside of PATS included call logs and tracking spreadsheets. VAMC officials indicated that recording information outside of PATS helped them track their responses to veterans\u2019 feedback. Some of the information recorded outside of PATS was additional information that is not required to be entered into PATS, such as requests for information."], "subsections": []}, {"section_title": "Appendix III: Approaches to the Governance and Staffing of the Patient Advocacy Program", "paragraphs": ["The eight Department of Veterans Affairs (VA) medical centers (VAMC) selected for our review used a variety of approaches to govern the patient advocacy program, resulting in differences in the number of positions for patient advocates and service-level advocates and the title of the positions. Service-level advocates, such as nurses or administrative staff, are designated at some VAMCs to respond to veterans\u2019 feedback before involving a patient advocate. (See table 5.)", "Patient advocates reported to a variety of departments among our selected VAMCs. At two of the VAMCs, patient advocates reported to the customer or consumer relations department, while at three, patient advocates reported to the quality management department. In addition, the placement of the department that patient advocates reported to within the VAMC differed. For example, the patient advocate supervisor at one of the selected VAMCs said that patient advocates reported to the customer service manager, who did not report directly to the VAMC director. At another VAMC, the patient advocate reported directly to the VAMC director.", "In addition to the Veterans Health Administration (VHA) handbook for the patient advocacy program, all eight of our selected VAMCs developed their own policies for the administration of the program, and these policies varied. For example, while almost all of the policies specified the responsibilities with respect to the patient advocacy program of the service chiefs\u2014officials who oversee the administration and operation of service lines such as primary care, these responsibilities varied. For example, two of the policies required service chiefs to incorporate veterans\u2019 feedback into performance measures used for VAMC staff external to the patient advocacy program, such as physicians, while the other policies did not.", "We also found variation between our selected VAMCs with respect to whether they had written descriptions of the service-level advocates\u2019 roles. Of the six VAMCs that designated service-level advocates, three had written descriptions of their roles, while three did not. Further, among the VAMCs that had a written description of the role of a service-level advocate, the expectations for these advocates varied. For example, one VAMC\u2019s written description specified that service-level advocates are expected to enter veterans\u2019 feedback into PATS within 7 days of receiving the feedback. The written descriptions at the other two VAMCs did not specify this expectation."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hern\u00e1n Bozzolo (Assistant Director), Rebecca Rust Williamson (Analyst-in-Charge), Jennie F. Apter, Q. Akbar Husain, and Emily Loriso made key contributions to this report. Also contributing were Julie Flowers, Jacquelyn Hamilton, and Vikki Porter."], "subsections": []}]}], "fastfact": ["The Veterans Health Administration has designated patient advocates at each VA medical center to receive and document feedback from veterans.", "Amid concerns about veterans\u2019 ability to receive timely and quality care, we reviewed the VHA patient advocacy program.", "We found that VHA is beginning to address governance, staffing, training, and other issues, including directing a workgroup to provide recommendations by spring of 2018. However, the recommendations are only for consideration and deadlines have slipped in the past.", "We recommended 6 actions to improve guidance for and oversight of the program."]} {"id": "GAO-18-145", "url": "https://www.gao.gov/products/GAO-18-145", "title": "High-Containment Laboratories: Coordinated Actions Needed to Enhance the Select Agent Program's Oversight of Hazardous Pathogens", "published_date": "2017-10-19T00:00:00", "released_date": "2017-10-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Safety lapses continue to occur at some of the 276 laboratories in the United States that conduct research on select agents\u2014such as Ebola virus or anthrax bacteria\u2014that may cause serious or lethal infection in humans, animals, or plants, raising concerns about whether oversight is effective.", "GAO was asked to review the federal oversight approach for select agents and approaches from other countries or regulatory sectors. This report (1) evaluates the extent to which the Select Agent Program has elements of effective oversight and strategic planning documents to guide it, and (2) identifies approaches selected countries and regulatory sectors have used to promote effective oversight.", "GAO convened a meeting of experts with the help of the National Academy of Sciences to discuss oversight of select agents. GAO also reviewed relevant laws, regulations, and guidance, and interviewed officials from the Select Agent Program and laboratories it oversees. GAO also reviewed documents and interviewed officials from two countries and other U.S. sectors selected because they have alternate oversight approaches."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Select Agent Program (Select Agent Program)\u2014jointly managed by the Departments of Health and Human Services (HHS) and Agriculture (USDA)\u2014oversees laboratories' handling of certain hazardous pathogens known as select agents, but the program does not fully meet all key elements of effective oversight, as illustrated in the following examples:", "GAO's past work identified independence as a key element of effective oversight. However, the Select Agent Program is not structurally independent from all laboratories it oversees, and it has not assessed risks posed by its current structure or the effectiveness of mechanisms it has to reduce organizational conflicts of interest. Without conducting such assessments and taking actions as needed to address risks, the program may not effectively mitigate impairments to its independence.", "Another key element of effective oversight is the ability to perform reviews. Some experts and laboratory representatives raised concerns that the program's reviews may not target the highest-risk activities, in part because it has not formally assessed which activities pose the highest risk. Without assessing the risk of activities it oversees and targeting its resources appropriately, the program cannot ensure it is balancing its resources against their impact.", "Technical expertise is another key element GAO identified in past work. The Select Agent Program has taken steps to hire additional expert staff and improve training, but workforce and training gaps remain.", "Moreover, the program does not have joint strategic planning documents to guide its oversight. Although it began taking steps to develop a joint strategic plan during GAO's review, the program is not developing workforce plans as part of this effort. GAO's past work has found that strategic workforce planning is an essential tool to help agencies align their workforces with their missions and develop long-term strategies for acquiring, developing, and retaining staff. Developing a joint workforce plan that assesses workforce and training needs for the program as a whole would help the program leverage resources to ensure all workforce and training needs are met.", "Selected countries and regulatory sectors GAO reviewed promote effective oversight using approaches that differ from the U.S. Select Agent Program's approaches:", "In Great Britain, oversight of laboratories that work with pathogens is under an independent government agency focused on health and safety.", "In both Great Britain and Canada, regulators focus their oversight on (1) biological safety, due to safety incidents which provided the impetus for laboratory oversight in these countries; and (2) regulation of all potentially hazardous pathogens and activities in laboratories."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 11 recommendations for the Select Agent Program, including to (1) assess risks from its current structure and the effectiveness of its mechanisms to reduce conflicts of interest and address risks as needed, (2) assess the risk of activities it oversees and target reviews to high-risk activities, and (3) develop a joint workforce plan. HHS and USDA agreed with GAO's recommendations.", "or John Neumann at (202) 512-3841 or neumannj@gao.gov ."]}], "report": [{"section_title": "Letter", "paragraphs": ["Safety lapses continue to occur at laboratories in the United States that conduct research on hazardous pathogens\u2014such as the Ebola virus and the bacteria that causes anthrax\u2014and toxins that may pose a serious threat to humans, animals, or plants. These lapses raise concerns about whether federal oversight of these laboratories is effective. For example, in November 2016, the Department of Homeland Security discovered that a private laboratory had inadvertently sent a toxic form of ricin (a potentially lethal poison) to one of its training centers multiple times since 2011, potentially putting training participants at risk. In May 2015, the Department of Defense (DOD) discovered that a DOD laboratory had inadvertently shipped live anthrax bacteria to nearly 200 other laboratories worldwide over the course of 12 years. And in July 2014, the National Institutes of Health (NIH) discovered decades-old vials of smallpox in a storage room of a Food and Drug Administration laboratory on its campus.", "Laboratories that conduct research on pathogens fall into one of four biological safety levels (BSL), with those at BSL-3 and -4 referred to as high-containment laboratories for the purpose of this report. We\u2014along with Congress and various federal committees\u2014have, for many years, identified challenges and areas for improvement related to the safety, security, and oversight of high-containment laboratories. In 2008 and 2009, for example, we found a proliferation of high-containment laboratories across the United States, with the number of such laboratories in the government, academic, and private sectors increasing since 2001. We also found that, for the subset of these laboratories subject to federal oversight, the oversight was duplicative, fragmented, and dependent on self-policing. More recently, we found in 2016 that stronger oversight mechanisms for federal high-containment laboratories were needed at the individual federal department and component agency levels. We have made numerous recommendations over the years, including that a single entity be identified to determine the number of high-containment laboratories needed to meet national goals, the aggregate risks associated with the proliferation of laboratories, and the type of oversight needed. Federal departments have made some progress in implementing recommendations from our past reports, including addressing issues we identified regarding duplicative oversight.", "Certain hazardous pathogens and toxins that may be used in high- containment laboratories are designated as select agents because they have the potential to pose a severe threat to human, animal, or plant health and safety, or to animal or plant products. Laboratories conduct research on select agents for a variety of reasons, including to identify their characteristics and develop vaccines and other measures to help diagnose, prevent, or treat exposure to or infection with these agents. Select agent research is subject to federal oversight and regulations, as well as guided by the principles and practices of biological safety and security. The Federal Select Agent Program (Select Agent Program) was established to regulate the possession, use, and transfer of select agents in response to security concerns following bioterrorism attacks in the 1990s and early 2000s. The Select Agent Program is jointly managed by the Division of Select Agents and Toxins within the Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) and the Agriculture Select Agent Services within the U.S. Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS). Together, these components within CDC and APHIS regulate and oversee all high-containment laboratories in the United States that register to work with select agents. Such laboratories are required to follow both biological safety and security practices. According to the Biosafety in Microbiological and Biomedical Laboratories manual, biological safety practices are intended to reduce or eliminate exposure of individuals and the environment to potentially hazardous pathogens and biological security practices are intended to prevent the loss, theft, release, or misuse of hazardous pathogens and related information by limiting access to facilities and this information.", "Other countries also regulate and oversee hazardous pathogens handled in high-containment laboratories and may take different approaches to this oversight. Moreover, other high-risk sectors in the United States, such as the nuclear industry, in some cases, take different approaches to oversight. In our past work reviewing some of these sectors, we have identified five key elements of effective oversight in areas where low- probability adverse events can have significant and far-reaching effects. These elements are as follows: Independence: The organization conducting oversight should be structurally distinct and separate from the entities it oversees.", "Ability to perform reviews: The organization should have the access and working knowledge necessary to review compliance with requirements.", "Technical expertise: The organization should have sufficient staff with the expertise to perform sound safety and security assessments.", "Transparency: The organization should provide access to key information, as applicable, to those most affected by operations.", "Enforcement authority: The organization should have clear and sufficient authority to require that entities achieve compliance with requirements.", "In our past work, we have also found that requirements under the Government Performance and Results Act of 1993 (GPRA), as amended, for strategic planning at the agency level can serve as leading practices at lower levels within federal agencies, such as for individual programs. The act requires agencies to develop strategic plans that include documents and planning tools such as mission statements, strategic goals and objectives, and performance measures, which, according to our past work, can help inform agency decision making to address challenges.", "You asked us to review the effectiveness of the current approach to overseeing select agents as well as approaches from other countries and regulatory sectors. This report (1) examines the extent to which the Select Agent Program has the elements of effective oversight and has strategic planning documents to guide its oversight efforts, and (2) describes approaches that selected countries and regulatory sectors have used to promote effective oversight.", "To evaluate the extent to which the Select Agent Program has the elements of effective oversight, we first identified five key elements of effective oversight we have used in the past for assessing the effectiveness of oversight in other areas where low probability adverse events can have significant and far-reaching effects. We discussed these elements with agency officials, experts, and representatives from nongovernmental organizations to ensure their applicability to the oversight of select agents (see app. I for a description of these elements and our vetting process). We then reviewed relevant laws, select agent regulations, and joint documents from the Select Agent Program, such as program guidance, inspection checklists, memorandums of understanding guiding the program, reports on the program, information on enforcement actions, inspection data, and other documents to determine the extent to which the program performed activities or met requirements in the key elements. We took several steps to determine the reliability of the inspection data, including interviewing agency officials and comparing a subset of the data to information from other sources. We determined that the inspection data were sufficiently reliable for the purpose of this report.", "We also reviewed documents from or related to the two components of the program, CDC and APHIS, such as workforce planning documents, agency policies, budget justifications, and internal program reviews. In addition, we contacted the HHS Office of Inspector General (OIG) and USDA Office of General Counsel to obtain their legal views on the departments\u2019 authority to impose civil money penalties on federal laboratories. We interviewed officials from CDC and APHIS\u2014including senior agency leadership, senior Select Agent Program officials, and inspectors\u2014to discuss the Select Agent Program\u2019s structure, inspections and other oversight responsibilities, technical expertise, and other issues related to the five elements of effective oversight. To gain additional perspectives on the Select Agent Program, we interviewed officials from DOD and the Department of Homeland Security as well as representatives from a nongeneralizeable selection of 18 laboratories registered with the Select Agent Program. We selected these laboratories to represent a range of laboratories across various sectors (e.g., federal\u2014including CDC and APHIS\u2014academic, commercial, and state and local government), biological safety levels, and CDC or APHIS component registration. The views of these representatives are not generalizable to all registered laboratories, but they provide illustrative examples.", "To evaluate the extent to which the Select Agent Program has strategic planning documents to guide its oversight efforts, we reviewed relevant laws and our past work in this area. We also reviewed joint program documents and documents from the two components of the program, including mission statements, business plans, performance measures, and other related documents. In our interviews with program officials, we discussed the program\u2019s past and ongoing efforts related to strategic planning.", "To obtain expert views on the effectiveness of the approaches the Select Agent Program and other selected countries and regulatory sectors have used to promote effective oversight, we worked with the National Academy of Sciences to convene a meeting with 18 experts with combined expertise in biological safety, biological security, microbiology, nuclear safety, worker safety, airline safety, food safety, risk management, organizational change management, and human factor assessments. The experts were evaluated for any conflicts of interest, such as any current or financial or other interest that might conflict with the service of an individual because it (1) could impair objectivity and (2) could create an unfair competitive advantage for any person or organization. The 18 experts were determined to be free of conflicts of interest, and the group as a whole was judged to have no inappropriate biases. (See app. II for a list of the experts that participated and a description of our expert selection methodology.) The 2-day meeting was composed of six sessions covering a range of topics, such as effectiveness of the Select Agent Program\u2019s oversight, lessons learned from other oversight approaches, and considerations for the program moving forward.", "We also reviewed relevant documentation and interviewed officials from selected countries and sectors about their oversight approaches. To select countries, we first identified developed countries with high- containment laboratory oversight models based on past reports and recommendations from experts and nongovernmental organizations. We then narrowed our list of countries to those with networks of high- containment laboratories comparable to that of the United States (i.e., with multiple BSL-3 and -4 laboratories across a range of sectors that handle hazardous pathogens similar to select agents) and with key differences in their oversight models compared with that of the United States. Because of the resources needed to conduct site visits, we selected two countries from that list to visit, the United Kingdom (UK) and Canada. In addition, we interviewed officials from four additional countries\u2014France, Germany, Switzerland, and the Netherlands\u2014to learn about their oversight approaches. We conducted these interviews at a meeting of the European subgroup of the International Expert Group on Biosafety and Biosecurity Regulation in Switzerland. To learn more about other regulatory sectors\u2019 oversight approaches, we reviewed documents and interviewed officials from the Nuclear Regulatory Commission (NRC) and Department of Labor\u2019s Occupational Safety and Health Administration and collected information from the Department of Transportation\u2019s Federal Aviation Administration.", "We compared information from federal documents about the Select Agent Program\u2019s oversight and strategic planning efforts, interviews with laboratory representatives and agency officials, and our expert meeting against the five elements of effective oversight, federal internal control standards, requirements from the Office of Management and Budget (OMB), and our past work. We also reviewed the Select Agent Program\u2019s responses and actions related to recent federal reviews of the program, including CDC and APHIS internal reviews, reviews from the HHS and USDA OIGs, and reports from other federal committees.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on select agent regulations and program roles, responsibilities, and requirements; and the history of the Select Agent Program."], "subsections": [{"section_title": "Select Agent Regulations and Program Roles, Responsibilities, and Requirements", "paragraphs": ["The Select Agent Program is fragmented because oversight responsibility is, by law, split between CDC and APHIS. The two agencies have delineated roles and responsibilities to regulate laboratories\u2014including conducting inspections and other activities\u2014that possess, use, or transfer biological select agents. CDC\u2019s Division of Select Agents and Toxins is responsible for the oversight and regulation of select agents that could pose a threat to public health and safety, such as the Ebola virus. APHIS\u2019s Agriculture Select Agent Services is responsible for the oversight and regulation of select agents that could pose a threat to animal or plant health or animal or plant products, such as the virus that causes foot-and- mouth disease. Some select agents, such as Bacillus anthracis (the bacterium that causes anthrax), are regulated by both agencies because they pose a threat to both human and animal health; these agents are known as overlap agents. As part of their oversight, CDC and APHIS maintain a list of select agents that they are required to review and republish at least every 2 years.", "Generally, laboratories (including those at federal agencies and private institutions) and individuals who possess, use, or transfer these select agents must register with CDC or APHIS and renew their registration every 3 years. Most laboratories registered with the Select Agent Program are registered with CDC (238 of 276). (See fig. 1 for information about the laboratories registered with the program.) In fiscal year 2016, CDC\u2019s budget to manage its component of the Select Agent Program was about $21 million and APHIS\u2019s was about $5.5 million.", "Select agent regulations govern the possession, use, and transfer of designated select agents. To apply for a certificate of registration, the laboratory must submit an application package to either CDC or APHIS, and laboratory personnel must submit to a security risk assessment conducted by the Federal Bureau of Investigation (FBI). The Select Agent Program conducts an on-site inspection before issuing a new certificate of registration or renewing an existing registration; both are valid for a maximum of 3 years. Once approved, a laboratory\u2019s certification of registration may be amended to reflect changes in circumstances, such as replacement of the responsible official or other personnel changes, changes in ownership or control of the laboratory, changes in the activities involving any select agents, or the addition or removal of any select agents. As a condition of registration, the select agent regulations require each laboratory to designate an individual to be its responsible official, who is responsible for ensuring compliance with the regulations. In addition, the regulations require laboratories to develop various written plans, as well as provide training and maintain records of training and other activities. For example, the regulations require that laboratories registered with the program develop and implement a written security plan sufficient to safeguard each select agent against unauthorized access, theft, loss, or release; develop and implement a written biological safety plan that is commensurate with the risk of the select agent, given its intended use; provide training on biological safety and security for individuals with access to select agents; and maintain records on the activities covered by the select agent regulations."], "subsections": []}, {"section_title": "History of the Select Agent Program", "paragraphs": ["Several historical security incidents involving hazardous pathogens resulted in a series of laws and other regulatory activity that served to establish and amend the Select Agent Program. First, Congress passed section 511 of the Antiterrorism and Effective Death Penalty Act of 1996 after an individual in the United States unlawfully obtained Yersinia pestis, the bacterium that causes plague, by mail order. Section 511 directed the Secretary of HHS to promulgate regulations identifying a list of biological agents that have the potential to pose a severe threat to public health and safety, providing procedures governing the transfer of those agents, and establishing safeguards to prevent unauthorized access to those agents for purposes of terrorism or other criminal activities. The HHS Secretary delegated the authority to regulate select agents to CDC, thus establishing the Select Agent Program in its initial form. In carrying out this authority, CDC required laboratories transferring select agents to be registered with the program.", "After the terrorist events of September 11, 2001, and the subsequent anthrax attacks in October 2001, Congress passed the USA PATRIOT Act of 2001 and the Public Health Security and Bioterrorism Preparedness and Response Act of 2002. These acts significantly expanded the Select Agent Program by restricting access to select agents and increasing safeguards and security measures for select agents. The 2002 act also expanded the program to include not only the regulation of the transfer but also the use and possession of select agents, and it granted comparable authority to USDA for select agents that pose a threat to animal or plant health, or animal or plant products. The Secretary of Agriculture delegated the authority to regulate select agents that affect animal or plant health to APHIS. The act also required HHS and USDA to coordinate on overlap agents and required the Secretaries of both departments to establish, maintain, and biennially review and republish the select agent list, making revisions as appropriate to protect the public.", "On July 2, 2010, the President signed Executive Order 13546, \u201cOptimizing the Security of Biological Select Agents and Toxins in the United States.\u201d The executive order directed HHS and USDA, as a part of their ongoing review, to tier the select agents on the list, consider shortening the list, and establish physical security standards for select agents with the highest risk of misuse; HHS and USDA did so in final rules published October 5, 2012. About half of the laboratories registered with the program as of December 2016 were registered to work with tier 1 agents (142 of 276)."], "subsections": []}, {"section_title": "Select Agent Program Does Not Fully Meet Key Elements of Effective Oversight or Have Joint Strategic Planning Documents to Guide Its Efforts Select Agent Program Does Not Fully Meet Oversight Elements Related to Independence, Performing Reviews, Technical Expertise, Transparency, and Enforcement", "paragraphs": ["The Select Agent Program does not fully meet key elements of effective oversight. In particular, the program has oversight shortcomings related to each of the five key elements: independence, performing reviews, technical expertise, transparency, and enforcement. In addition, the program does not have joint strategic planning documents to guide its oversight efforts, such as a joint strategic plan and workforce plan; it did, however, begin taking steps to develop a joint strategic plan over the course of our review.", "The Select Agent Program does not fully meet our key elements of effective oversight. Specifically, the program is not independent from all laboratories it oversees, and it has not formally assessed the potential risks posed by its current organizational structure. In addition, the program regularly performs reviews of laboratories\u2019 compliance with regulatory and program requirements, but these reviews may not target the activities that pose the highest risk to biological safety and security. Moreover, even though the program has taken steps to hire additional staff and enhance the technical expertise of its staff, workforce and training gaps remain. The program has increased transparency since 2016, but the information it shares is limited and there is no consensus about what additional information could be shared, given security concerns. Lastly, the Select Agent Program has authority to enforce compliance with program requirements, but is still working to address past concerns about the need for greater consistency and clarity in actions it takes in exercising this authority."], "subsections": [{"section_title": "Program Is Not Independent and Has Not Formally Assessed All Risks Posed by Its Current Structure", "paragraphs": ["Independence The organization conducting oversight should be structurally distinct and separate from the entities it oversees.", "According to our key elements of effective oversight, to be independent, the organization conducting oversight should be structurally distinct and separate from the entities it oversees. The Select Agent Program is not structurally distinct and separate from all of the laboratories it oversees but has taken some steps to reduce conflicts of interest potentially posed by its current structure within CDC and APHIS. The two components of the Select Agent Program are located in CDC and APHIS, both of which also have high-containment laboratories registered with the program. Many experts at our meeting raised concerns that the Select Agent Program cannot be entirely independent in its oversight of CDC and APHIS laboratories because the Select Agent Program is composed of divisions of those agencies. In particular, one expert stated that to be independent, the agencies cannot regulate themselves, and others said that the agencies\u2019 oversight of their own laboratories may present a conflict of interest. However, laboratories owned by CDC and APHIS are not generally located within the same agency divisions and thus are not in the same chain of command as the Select Agent Program. The one exception is an APHIS-owned complex of laboratories in the same division as the APHIS component of the program, but that complex is registered with CDC, which means that CDC leads its inspections and oversight.", "Senior program officials, many laboratory representatives, and some experts cited a number of benefits to the Select Agent Program\u2019s current structure within CDC and APHIS, including the ability for inspectors to have access to experts and other support from their respective divisions. For example, program officials said that the Select Agent Program had reached out to CDC scientists for assistance in developing guidance documents for the program. In addition, inspectors sometimes obtain technical assistance from experts in CDC and APHIS, such as in cases where the inspectors are not familiar with certain techniques or equipment being used in a registered laboratory. However, program officials also said that they have tried to limit the extent that they rely on CDC and APHIS scientists from outside the program, so as not to raise concerns about conflicts of interest. Senior program officials from CDC and APHIS also said that the Select Agent Program\u2019s current locations within the two agencies allow for access to additional support as needed, including additional funds and administrative services. Senior program officials from CDC further stated that being located in an office focused on preparedness and response is advantageous because the Select Agent Program can quickly pivot into incident response mode, allowing for rapid response and assessment of incidents that occur in registered laboratories. They noted that this location proved advantageous during an incident in 2015, for example, when the program responded to the discovery that a DOD laboratory had inadvertently sent live Bacillus anthracis, the bacterium that causes anthrax, to nearly 200 laboratories.", "The location of the program has also raised some concerns in the past, which the Select Agent Program has taken some steps to address. In response to past concerns about conflicts of interest and separation of duties raised by HHS OIG, APHIS, and us, both CDC and APHIS made structural changes to increase the Select Agent Program\u2019s independence within their respective agencies. In particular, in 2003, in response to concerns from HHS OIG and us, CDC moved its component of the Select Agent Program into the agency\u2019s Office of Public Health Preparedness and Response because that office did not have any laboratories registered with the program. (See fig. 2 for HHS\u2019s organizational chart, including a depiction of where CDC\u2019s Select Agent Program component currently sits in relation to other agency divisions.) According to CDC officials, the director of the CDC component of the Select Agent Program has access to senior leadership at CDC as needed.", "Similarly, since 2013, APHIS has also made some organizational changes, including realigning supervisory responsibilities for the program and creating a direct line of communication from the director of the APHIS component of the Select Agent Program to the APHIS administrator. Previously, the program reported to a director whose division had a suite of laboratories that the program inspects. Now it is managed through APHIS\u2019s National Import Export Services, which has different senior-level managers that report directly to the Office of the Administrator rather than the managers who oversee registered laboratories. According to agency officials, these changes increased the level of independence between the Select Agent Program and APHIS-owned laboratories but did not fully address the appearance of a lack of independence within APHIS, since the agency\u2019s organizational chart still places the APHIS component of the Select Agent Program under Veterinary Services. (See fig. 3 for USDA\u2019s organizational chart, including a depiction of where APHIS\u2019s Select Agent Program component currently sits in relation to other agency divisions). The APHIS director of the Select Agent Program and the Associate Administrator of APHIS meet regularly to discuss incidents involving select agents, enforcement actions, and operation of the Select Agent Program, among other issues, according to agency officials, but this reporting structure is not documented. According to federal standards for internal control, management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives and should develop and maintain documentation of its internal control system. Until APHIS formally documents the reporting structure for its component of the Select Agent Program from the APHIS director of the program to the administrator of APHIS, it will continue to appear to have conflicts of interest in its oversight of APHIS-owned laboratories.", "In addition to these structural changes, the program has put mechanisms in place to reduce organizational conflicts of interest, but the agencies do not always follow a key mechanism. In particular, CDC and APHIS signed a memorandum of understanding in 2012 that stated that APHIS would provide the lead inspector for all inspections of registered laboratories owned by CDC. However, in practice, CDC inspectors still participate in inspection activities because of their expertise in human agents. In March 2015, the memorandum was amended to state that CDC would lead inspections of all USDA-owned laboratories.", "However, since the memorandum was amended, the APHIS component of the Select Agent Program has led at least three inspections of USDA- owned or operated laboratories. In particular, APHIS led an inspection of a laboratory owned by another USDA agency, the Agricultural Research Service, in November 2015; one run by the Agricultural Research Service and APHIS scientists in May 2015; and one owned by APHIS in December 2015. APHIS officials we interviewed said that they had overlooked this amendment to the memorandum of understanding and the program does not have a process in place to help ensure the memorandum is followed. According to federal standards for internal control, management should design control activities to achieve objectives and respond to risk. Such internal control activities help ensure that management directives such as those outlined in the memorandum of understanding are carried out, and should be effective and efficient in accomplishing the program\u2019s control objectives. One example of a control activity would be establishing a process to ensure APHIS and CDC comply with the memorandum to help ensure APHIS does not inspect its own laboratories. Without establishing control activities to help ensure that each component of the program carries out its inspection responsibilities as outlined in the program\u2019s memorandum of understanding, the Select Agent Program cannot have reasonable assurance that its key mechanism to reduce conflicts of interest is implemented.", "Although the Select Agent Program has taken steps to help reduce conflicts of interest, it has generally done so in response to concerns raised by others. The program itself has not formally assessed all potential risks posed by its current structure and the effectiveness of its mechanisms to address those risks. For example, the program did not identify all of the areas noted above that may present conflicts of interest and has not considered whether there may be additional areas of concern. An expert in our meeting identified benefits of an independent, third-party review of the Select Agent Program. For example, we and other audit organizations are subject to an external peer review at least once every 3 years that includes a review of documentation related to independence, among other issues. According to senior program officials we interviewed, the program as a whole has not engaged in comprehensive risk management activities but they would be willing to do so in the future.", "OMB\u2019s Circular A-123 requires federal agencies to integrate risk management activities into their program management to help ensure they are effectively managing risks that could affect the achievement of agency objectives. According to the circular, once initial risks are identified, it is important for agencies to regularly re-examine risks to identify new risks or changes to existing risks. In addition, federal internal control standards state that management should identify, analyze, and respond to risks related to achieving defined objectives. Without (1) regularly assessing the potential risks posed by the program\u2019s current structure and the effectiveness of its mechanisms to address them, such as by commissioning external reviews, and (2) taking actions as necessary to ensure any identified risks are addressed, the program may not be aware of or effectively mitigate impairments to its independence that could affect its ability to achieve its objectives."], "subsections": []}, {"section_title": "Reviews May Not Target the Highest-Risk Activities", "paragraphs": ["Ability to perform reviews The organization should have the access and working knowledge necessary to review compliance with requirements.", "According to our key elements of effective oversight, the organization conducting oversight should have the ability to perform reviews, including access to facilities and working knowledge necessary to review compliance with requirements. The Select Agent Program performs several types of reviews to ensure compliance with regulatory and program requirements, including registration inspections for laboratories seeking certification to use select agents, renewal inspections for laboratories seeking to renew their registration, and verification inspections. (See fig. 4 for additional information on these inspections). The program has the ability to access any registered laboratory for inspection, including without prior notification. Inspections typically include review of registration and other documents\u2014such as biological safety and security plans and inventory and personnel training records\u2014 as well as physical inspections of laboratory workspace and interviews with laboratory representatives, among other inspection activities. During inspections, Select Agent Program inspectors go through checklists that are based on the select agent regulations, the Biosafety in Microbiological and Biomedical Laboratories manual, and guidelines from NIH. The inspections cover a variety of topics\u2014such as facility design and operation, incident response, security, training, records management, and biological safety\u2014and may last anywhere from 1 day with 1 or 2 inspectors for simpler laboratories, to a couple of weeks with up to 10 inspectors for larger and more complex laboratories. Most laboratory representatives we spoke with said that the inspectors generally had the working knowledge necessary to review compliance and that the inspections and resulting reports were in-depth and generally fair and accurate.", "However, the program may not target the highest-risk activities in its inspections, in part because it has not formally assessed which activities pose the highest risk to biological safety and security. According to Select Agent Program officials, the program\u2019s policy is to conduct at least one verification inspection of all registered laboratories\u2014regardless of their past history or performance\u2014between each 3-year renewal inspection, and the program may consider additional inspections at laboratories that pose a higher risk. Specifically, the program scores laboratories\u2019 risk based on a number of factors, such as past inspection findings. However, a 2017 HHS OIG report found that the CDC component of the Select Agent Program had evaluated some, but not all, variables that could inform the risk a laboratory poses to health and safety and concluded that CDC may wish to enhance its risk assessment by considering additional factors, such as whether a laboratory has previously reported losses or releases of a select agent, to better inform a laboratory\u2019s level of risk over time. In addition, some experts at our meeting and laboratory representatives we interviewed raised concerns that the program\u2019s inspections do not target resources to the highest-risk activities. For example, some experts said that the program has historically not put enough emphasis on verifying that certain laboratory procedures are safe and effective, which some said may have contributed to high-profile incidents in 2014 and 2015 in which select agents were inadvertently released from high-containment laboratories. However, according to the Select Agent Program, the program does not validate or verify laboratory procedures as it is the responsibility of the laboratories themselves to do so. Further, many experts at our meeting and laboratory representatives we interviewed raised concerns about the amount of time inspectors spend assessing compliance with inventory controls (e.g., by counting and examining vials containing select agents) and reviewing inventory records during the inspection process, which takes time away from inspecting other aspects of biological safety and security. Experts at our meeting said that these activities do little to reduce the risk of theft of select agents because samples could be clandestinely removed from vials and replicated without being detected by the inventory controls currently in place. Finally, other laboratory representatives told us that activities to assess compliance with certain program requirements did little to reduce risk and were unnecessarily burdensome, such as time- consuming reviews of records so that nicknames such as \u201cRob\u201d match up to registered names, such as \u201cRobert.\u201d These inspection activities are generally intended to address biological security concerns, such as theft; however, recent high-profile incidents at registered laboratories have been related to biological safety rather than security, and no thefts have been reported since 2003, when notification requirements were first implemented, according to program officials and documents.", "Experts at our meeting generally agreed that the Select Agent Program has historically put more focus on security than on biological safety in its reviews, given that the program was established in response to terrorist incidents. For example, some experts said that the program has not focused enough on ensuring the health and safety of researchers and reducing the potential for their exposure to select agents, which some noted are more likely to occur than thefts due to security issues. Many experts questioned if the focus on security continues to be appropriate, in light of recent biological safety incidents. According to senior APHIS officials we interviewed, the Select Agent Program has been mandated to focus on security and if they move the program\u2019s focus too far from security to biological safety, they may lose the goals established when the program was formed. They also noted that, according to the select agent regulations, laboratories are responsible for developing and implementing a written biological safety plan, and therefore a balance should be maintained between the laboratories\u2019 execution of these plans and the level of oversight from the Select Agent Program. In addition, these officials stated that, during inspections, it is much easier for inspectors to ensure laboratories are meeting security requirements than carrying out their biological safety plans. For example, inspectors can easily check to make sure laboratories have required security barriers in place, such as locks on doors, but it is harder to measure whether laboratories are carrying out laboratory procedures safely. They also noted that the program does not want to be prescriptive with respect to biological safety so that laboratories can implement those biological safety practices that are most appropriate for their facility.", "A 2015 internal review of the CDC component of the Select Agent Program acknowledged uncertainties and gaps in understanding how best to balance laboratories\u2019 ability to conduct critical research using select agents with the program\u2019s need to ensure the safety and security of the public and laboratory workers. The resulting report recommended that the CDC and APHIS components of the program work together to analyze inspection and investigation data to identify trends and associations between inspection findings and risk and to improve the inspection process. According to program officials we interviewed, the Select Agent Program has not yet addressed the recommendation because the program does not currently have adequate tools to do so. They noted that the program is transitioning to a new database that will enhance their ability to analyze program data to identify such trends and associations and thereby guide improvements to the inspection process. However, the program did not provide a plan for when or how the program will carry out these analyses or use the information to improve the inspection process. Federal internal control standards state that management should identify, analyze, and respond to risks related to achieving defined objectives. In addition, the Project Management Institute\u2019s Standard for Program Management calls for program scheduling planning as a leading practice to ensure organizational activities are completed. Without developing and implementing a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities, the Select Agent Program will not have assurance that it is effectively balancing the potential safety and security gains from its oversight efforts against the use of program resources and the effect on laboratories\u2019 research."], "subsections": []}, {"section_title": "Select Agent Program Has Taken Steps to Hire Additional Expert Staff and Improve Technical Expertise, but Gaps in Workforce and Training Remain", "paragraphs": ["According to our key elements of effective oversight, the organization conducting oversight should have sufficient staff with the expertise to perform sound safety and security assessments. CDC and APHIS have hired additional staff for the program and improved training to enhance expertise, but workforce and training gaps remain.", "Technical expertise The organization should have sufficient staff with the expertise to perform sound safety and security assessments.", "The CDC and APHIS components of the Select Agent Program increased the number of full-time federal inspectors in 2016 and 2017, but have faced challenges in hiring and retaining sufficient staff with the requisite expertise to perform the necessary work in a timely manner. According to agency reports, agency officials, and laboratory representatives, Select Agent Program inspectors are subject to a large workload with an intensive travel schedule. Inspectors perform a variety of tasks, including conducting on-site inspections of laboratories, developing written reports of inspection results, processing requests for amendments to laboratory registrations, and communicating program requirements to laboratory representatives.", "According to agency reports and inspectors we spoke with, inspectors often travel 30 percent to 50 percent or more of their time in performing their duties. This intensive workload and travel schedule has led to delays in both the issuing of inspection reports and processing of registration amendments. According to a 2017 CDC report, the time to process CDC\u2019s inspection reports in 2016 ranged from 4 to 224 business days, with about 27 percent of reports exceeding the Select Agent Program\u2019s 30-day target for issuance. Workload issues were cited as one of the key reasons for delays. A 2016 APHIS internal report also identified delays in issuing inspection reports. According to the 2016 report, the time to process APHIS\u2019s inspection reports in 2014 averaged 36 days, but some reports were issued more than 100 days from the date the inspection concluded. Similarly, the processing time for amendments to registrations, which the program has not routinely tracked in the past, generally varies from a couple of weeks or months to approve simpler amendments (such as personnel changes) to a year or more to approve major changes to facilities (such as adding new laboratory space), according to laboratory representatives. Delays in issuing inspection reports or processing amendments may hamper the implementation of corrective measures to address safety issues identified in inspections or impede laboratories\u2019 research on select agents, according to agency reports and laboratory representatives. For example, representatives from one laboratory told us that they lost grant funding because it took over a year for the Select Agent Program to review and approve an amendment to its registration to allow the proposed research to be conducted.", "Workload issues have also created problems with retention, according to agency documents and program officials we interviewed, and have sometimes resulted in staff from the APHIS component of the Select Agent Program being assigned responsibilities outside their areas of expertise. For example, at the time of our review, an APHIS security specialist was given the additional responsibility of conducting reviews not related to his area of expertise, such as inspecting ventilation systems, which are critical to ensuring select agents are not released into the environment. According to the 2016 internal APHIS report, the APHIS component of the program has historically struggled with resource deficiencies and has had to implement strategies to fulfill its legal mandates and meet basic goals and objectives within its limited resources.", "Both the CDC and APHIS components of the Select Agent Program have individually taken steps to identify and address gaps in their workforce but have not coordinated these actions to manage fragmentation across the program. CDC developed a formal workforce plan for its component of the Select Agent Program in 2016, identified and secured the necessary resources to implement the plan, and is working to fill needed positions. As of August 2017, the CDC component of the program had 7 vacancies out of its 51 total inspector positions. APHIS also identified additional needed positions, through development of its 5-year business plan, and has used money from an APHIS contingency fund to fill them. APHIS hired additional inspectors in 2016 and 2017 and now has 11 inspector positions, up from 7 in 2015. APHIS also added several other new positions in the first half of 2017, including a scientific officer, a security manager, and a program analyst, among others.", "However, according to program officials we interviewed, even with the additional recently hired inspectors, the program may not have adequate staff to handle surges in workload. For example, if there is a need to respond to critical incidents similar to those that occurred at CDC and DOD in 2014 and 2015, the program may find it challenging to respond to those incidents in addition to meeting its annual inspection schedule. Moreover, according to the 2016 APHIS internal review and CDC and APHIS officials we interviewed, the complexity of laboratories that work with select agents, the select agent regulations, and inspections have continued to increase, which may continue to contribute to workload issues in the future. Program officials we interviewed said they are hopeful that the new database the program is implementing will allow the program to gain efficiencies in amendment processing and other areas, which may reduce workload issues in the future.", "Training to Improve or Maintain Expertise Most laboratory representatives we interviewed said that, in their experience, Select Agent Program inspectors generally had appropriate expertise to perform reviews. According to agency documents, the vast majority of the program\u2019s inspectors have advanced degrees, including many inspectors from CDC with doctoral degrees in microbiology or related fields and many inspectors from APHIS with doctoral degrees in veterinary medicine. However, CDC and APHIS internal reviews from 2015 and 2016, respectively, as well as some laboratory representatives we interviewed, identified some shortcomings and inconsistencies in inspectors\u2019 expertise and approach related to their regulatory responsibilities. In particular, the reports found that inspectors had inconsistent knowledge about the select agent regulations, variabilities in skill level, and divergent approaches to inspections, both within and across the two components of the Select Agent Program. In addition, several laboratory representatives said that some inspectors imposed requirements on laboratories that the inspectors considered to be best practices rather than requirements of the select agent regulations or items on inspection checklists.", "Both CDC and APHIS officials in the program identified gaps in the training available to maintain their expertise. CDC inspectors we interviewed told us they need additional training opportunities to keep up with scientific changes in the field, such as advances in laboratory techniques and equipment. APHIS officials we interviewed also identified areas where they need additional training, including in facilities and engineering aspects of laboratories; decontamination; and new laboratory techniques, technologies, and equipment. In addition, some APHIS inspectors we interviewed said that they sometimes do not have the necessary knowledge to effectively perform all aspects of inspections and, in some cases, depend on inspectors from CDC to address gaps in expertise. Relying on CDC inspectors when APHIS is inspecting CDC- owned laboratories raises conflict of interest concerns. Furthermore, according to inspectors from both CDC and APHIS, they are rarely able to attend external conferences or other external training because of their intensive workload and travel schedules and because they must compete for training funds with CDC or APHIS scientists who are not assigned to the program. Priority is given to those scientists presenting information at conferences, which Select Agent Program staff rarely do because their inspection work is not the type of information shared at conferences, according to program officials.", "In response to these concerns, both the CDC and APHIS components of the Select Agent Program have individually taken steps to improve training for program staff, including inspectors, but have not always coordinated steps to manage fragmentation across the program. For example, in 2016, APHIS increased training opportunities for two inspectors to better enable them to inspect BSL-4 laboratories. In addition, CDC developed a training strategy that identified various areas in its training program that needed improvement, including the need to provide funding support for existing training activities and enhanced professional development opportunities.", "According to CDC\u2019s training strategy, the complexity of the inspector position and evolving science on select agents demand ongoing training and professional development opportunities for staff. Among other recommendations, the strategy identified the need for three additional full- time-equivalent positions in the training area\u2014in addition to the one the CDC component of the program currently has; as of August 2017, CDC was in the process of hiring one additional training specialist. APHIS has not developed a similar formal training strategy, but during the course of our review, APHIS sought and received approval and funds to hire a full-time training coordinator, which it was in the process of filling as of July 2017. Because APHIS has not had a training coordinator dedicated to the Select Agent Program in the past, the APHIS component of the program has generally relied on CDC to address training needs, although APHIS does provide its own training to its inspectors and has coordinated with CDC to develop some training, according to APHIS officials. A senior APHIS official noted that having its own training coordinator moving forward will help ensure APHIS\u2019s training needs are met, as animal inspection needs have not explicitly been addressed in the past when CDC has taken the lead on training."], "subsections": []}, {"section_title": "Security Concerns Have Limited the Program\u2019s Transparency", "paragraphs": ["Transparency The organization should provide access to key information, as applicable, to those most affected by operations.", "According to our key elements of effective oversight, the organization conducting oversight should provide access to key information, as applicable, to those most affected by operations. Past White House and other reports, as well as experts at our meeting, also emphasized the importance of transparency, including the sharing of information on incidents and lessons learned, in the Select Agent Program. However, the program limits the information it shares about registered laboratories and violations of the select agent regulations, mainly because of security concerns. For example, the program does not disclose to the public or other laboratories the locations of laboratories registered with the program, the agents that laboratories work with, or details on violations of select agent regulations.", "The Select Agent Program has recently increased the transparency of high-level laboratory and program information it shares with the public and registered laboratories, partly in response to recent federal reports. For example, in 2016, the Select Agent Program issued its first annual public report on the program. The report provided a variety of information, such as background information on the program, statistics about registered laboratories, and aggregated information on the potential losses and releases reported to the program. In 2015, the program developed a mechanism for laboratories to request interpretation of the select agent regulations from the program and has since published several regulatory interpretations on its website. In addition, starting in summer 2016, the Select Agent Program worked with a nongovernmental organization, the American Biological Safety Association International, to develop an online forum for registered laboratories to share information with one another, which laboratory representatives told us has been very helpful. The Select Agent Program also held a workshop for responsible officials from registered laboratories in December 2016 to disseminate program information; the workshop also provided the opportunity for attendees to interact. Many laboratory representatives told us that this was very helpful, and some noted that they had not had an opportunity to communicate and share lessons learned with responsible officials from other registered laboratories in the past.", "Even so, some experts, agency officials, and laboratory representatives we interviewed said there needs to be more transparency to the public about select agent research and incidents in order to increase public trust concerning the activities conducted at high-containment laboratories. For example, several laboratory representatives noted that the media has incorrectly described their laboratories as conducting \u201cbioterror\u201d research, when the research they conduct is to mitigate the consequences of a bioterrorist attack\u2014for example, by developing vaccines and other measures to help diagnose, prevent, or treat exposure to or infection with select agents. On the other hand, many laboratory representatives told us that the program was already sharing an appropriate amount of information with the public. According to officials from HHS and USDA, this issue has been examined and discussed extensively within their departments, partly in response to recent federal reports. CDC officials pointed out that laboratories themselves could share additional information about their select agent research and any incidents. For example, the U.S. Army Medical Research Institute for Infectious Diseases and the National Biodefense Analysis and Countermeasures Center, both at Fort Detrick in Maryland, and the Galveston National Laboratory in Galveston, Texas, voluntarily share information about their select agent research and incidents with the public via their websites.", "In addition, many laboratory representatives we interviewed said the program needs to be more transparent for registered laboratories. In particular, some said that it would be helpful for the program to share more information among laboratories about select agent research and incidents to enhance the sharing of lessons learned to improve biological safety and security. According to experts at our meeting, it is important for information, such as lessons learned from incidents, to be shared among laboratories so that they can learn from one another\u2019s experiences to improve their own operations. Some laboratory representatives also said that it would be helpful for the Select Agent Program to provide additional guidance in certain areas, such as regarding the use and storage of toxins. Federal internal control standards state that management should internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives. However, there is no consensus about what additional information should be shared with laboratories. Without determining what additional information about laboratories\u2019 use of select agents, incidents, and violations of the select agent regulations is appropriate for the Select Agent Program to share with registered laboratories, the program may be missing opportunities to provide key information that ultimately could help improve biological safety and security."], "subsections": []}, {"section_title": "Program Has Authority to Enforce Compliance with Requirements and Is Working to Address Concerns about Clarity and Consistency of Enforcement Actions", "paragraphs": ["According to our key elements of effective oversight, the organization conducting oversight should have clear and sufficient authority to require entities to achieve compliance with requirements. The Select Agent Program has the authority to and takes a range of enforcement actions for violations of the select agent regulations and is working to address concerns about the clarity and consistency of enforcement actions. When the Select Agent Program identifies a possible violation of the select agent regulations, the program may take several types of compliance or enforcement actions, as follows:", "Administrative actions: The Select Agent Program can propose a corrective action plan; suspend or revoke a registered laboratory\u2019s registration; or deny a laboratory\u2019s application to possess, use, or transfer select agents.", "Referrals to HHS OIG or APHIS\u2019s Investigative and Enforcement Services: The Select Agent Program may refer violations to HHS OIG or APHIS\u2019s Investigative and Enforcement Services, both of which can levy civil money penalties, issue a Notice of Violation letter, or close the case.", "Referral to the FBI: The Select Agent Program can refer possible violations involving criminal negligence, criminal intent, or suspicious activity or person to the FBI for further investigation. Criminal enforcement may include imprisonment for up to 5 years, a fine, or both.", "The Select Agent Program has taken enforcement actions against laboratories but did not always do so consistently or according to any available criteria. The Select Agent Program has taken a range of enforcement actions for violations of the select agent regulations\u2014 including suspending or revoking registrations or proposing corrective action plans\u2014as well as referring violations to HHS OIG or APHIS\u2019s Investigative and Enforcement Services for further investigation.", "Following investigation, HHS OIG and APHIS\u2019s Investigative and Enforcement Services have taken other enforcement actions, including levying civil money penalties and issuing Notice of Violation letters. However, we previously found in 2016 that the Select Agent Program did not consistently refer laboratories to investigative entities for violations of the select agent regulations or enforce regulations related to incidents involving incomplete inactivation, and we found that this appears to be true beyond incidents involving incomplete inactivation as well. For example, from 2003 through 2016, the program suspended or revoked 10 laboratories\u2019 registrations in response to violations of the select agent regulations, only 1 of which was a federal laboratory, and neither HHS OIG nor APHIS\u2019s Investigative and Enforcement Services have levied a civil money penalty against a federal laboratory. Moreover, we previously found that the program referred various laboratories to HHS OIG for incidents involving incomplete inactivation but did not refer HHS laboratories for two incidents in 2014. We recommended in 2016 that the Select Agent Program develop and implement consistent criteria and documentation requirements for referring laboratories to investigative entities and enforcing regulations.", "The Select Agent Program is taking steps to address such past concerns about the need for greater consistency and clarity in enforcement actions and implement our recommendation. In particular, in September 2017, the program finalized a document that provides guidance on when to refer laboratories for violations and options for enforcement. This document categorizes regulatory departures along a spectrum of severity with associated enforcement options, so that inspectors and laboratories have a clear understanding of what to expect during and as a result of inspections, regardless of which Select Agent Program component conducts them. In addition, the CDC component of the program worked with HHS OIG to develop criteria to guide referrals to OIG, which CDC finalized and implemented in June 2017. APHIS is not developing a similar document at this time because APHIS officials believe the guidance on when to refer laboratories for violations and options for enforcement actions described above provides sufficient guidance on referrals for the Select Agent Program. The program\u2019s development of guidance with criteria is a positive step and the program continues to develop associated documentation requirements for referring violations to investigative entities and enforcing regulations, according to a senior program official."], "subsections": []}]}, {"section_title": "Select Agent Program Does Not Have Joint Strategic Planning Documents to Guide Oversight", "paragraphs": ["As of August 2017, the Select Agent Program does not have joint strategic planning documents to guide its shared oversight efforts across CDC and APHIS. For example, the program does not have a joint mission statement to collectively define what the program seeks to accomplish through its oversight. It also does not yet have a strategic plan, although it is taking steps to develop one. Agencies can use strategic plans to set goals and identify performance measures for gauging progress towards those goals. Strategic plans can also outline how agencies plan to collaborate with each other to help achieve goals and objectives, as well as describe the strategies and resources required to achieve the goals and objectives.", "Mission statements for the two components of the Federal Select Agent Program The Centers for Disease Control and Prevention\u2019s (CDC) Division of Select Agents and Toxins reduces the risks for thefts, losses, and releases of biological agents by ensuring regulated laboratories or importers are safe and select agents are secure through its monitoring of facilities and enforcement of regulations. The Animal and Plant Health Inspection Service\u2019s (APHIS) Agriculture Select Agent Services is a team of Agriculture Health Professionals dedicated to providing superior customer service to safeguard the health of domestic animals, plants, and their products from agricultural biological agents and toxins.", "Each component of the program has conducted some strategic planning\u2014each has an individual mission statement, some strategic planning documents, and performance measures\u2014but the components differ in what they seek to achieve and how they measure the effectiveness of their efforts. For example, according to CDC officials, in the past, the CDC component has developed yearly strategic goals, such as to improve regulatory oversight through inspections and the biological safety and security of laboratories. In contrast, APHIS developed a 5-year business plan for its component of the Select Agent Program in 2014, which it updated in July 2017. In addition, it identified a number of annual goals in 2015, 2016, and 2017, such as developing additional BSL-4 training and filling vacancies in existing and new positions. CDC\u2019s and APHIS\u2019s performance measures also differ. For example, CDC has a range of performance measures, such as tracking the number of laboratory-acquired infections and the timeliness of inspection reports, whereas APHIS\u2019s performance measures address the number of thefts, losses, and releases involving select agents and the processing of amendments.", "The Select Agent Program also does not have a joint workforce plan that collectively identifies workforce and training needs to ensure the program as a whole has the appropriate workforce with sufficient expertise to carry out its responsibilities and that resources are being leveraged appropriately across the two components of the program. According to our past work, strategic workforce planning is an essential tool to help agencies align their workforces with their current and emerging missions and develop long-term strategies for acquiring, developing, and retaining staff. Moreover, the Select Agent Program has not collectively determined its training needs. The APHIS component of the program has generally relied on CDC to help meet its ongoing training needs, as noted, but we found through our review of CDC\u2019s training strategy that it did not specifically address APHIS\u2019s training needs. According to program officials, joint training provided in the past has not always explicitly addressed animal inspection needs, as noted. Program officials noted that the program has taken some steps to coordinate training, such as holding joint inspector training and webinars.", "Senior program officials told us that, even without joint strategic planning documents, the CDC and APHIS components of the Select Agent Program manage fragmentation by collaborating on many aspects of the program, such as through maintaining frequent communication at the director level. They also said that the program had not developed a joint mission statement or strategic planning tools in the past because they prioritized other efforts in recent years, including responding to incidents that occurred in 2014 and 2015, addressing recommendations from recent reports, and developing a new database for the Select Agent Program. In addition, each component of the program has generally focused on its own agency\u2019s needs when conducting workforce planning. One senior CDC official said that the Select Agent Program had always been in \u201creactive mode\u201d and noted that the program could improve its oversight if it took a more strategic view.", "During the course of our review, senior program officials told us that they were taking steps to develop a joint strategic plan for the Select Agent Program and, in August 2017, the program began soliciting bids from contractors for the plan\u2019s development. The statement of work for the contract states that the contractor shall develop guiding principles for the Select Agent Program along with a mission statement, strategic goals and objectives, and performance measures, among other requirements. However, the statement of work for the contract does not have any requirements related to development of a joint workforce plan. We have found in the past that agencies\u2019 strategic workforce planning should be clearly linked to the agency\u2019s mission and long-term goals developed during the strategic planning process. Developing a joint workforce plan that assesses workforce and training needs for the program as a whole would help the program to better manage fragmentation by improving how it leverages resources to ensure all workforce and training needs are met; this assessment should be done in conjunction with the development of the strategic plan. Leveraging of resources is especially important given fiscal constraints and the uneven level of resources across the two components of the program."], "subsections": []}]}, {"section_title": "Selected Countries and Regulatory Sectors Employ Other Approaches to Promote Effective Oversight", "paragraphs": ["Selected countries and regulatory sectors employ approaches to promote effective oversight that, in some cases, differ from those of the Select Agent Program. For example, other countries and sectors have regulatory bodies that are structurally independent from the entities they oversee, take a risk-based approach to performing reviews, rely on scientists and other laboratory personnel to have requisite technical expertise on the pathogens and activities in their laboratories, share incident information on their public websites, and have prosecutorial authority when incidents occur."], "subsections": [{"section_title": "Structural Independence of Oversight Bodies", "paragraphs": ["Some countries and sectors we reviewed have regulatory bodies that are structurally independent from the entities they oversee. For example, Great Britain\u2019s Health and Safety Executive, whose mission is to protect worker and public health and safety and who oversees laboratories that work with pathogens, is an independent central government agency, according to officials. It has a chief executive accountable to the UK government\u2019s Department of Work and Pensions and a public-private board composed of representatives from a range of industries, including trade unions. Officials noted that this structure, an independent agency with direct access to a departmental head, allows the Health and Safety Executive to have control over defining its own budget and staffing needs. According to officials from the Health and Safety Executive and laboratory representatives we interviewed, one strength of this approach is that it avoids potential organizational conflicts of interest because none of the laboratories that the Health and Safety Executive oversees are part of the same agency.", "Great Britain\u2019s Health and Safety Executive The Health and Safety Executive is an independent regulator in Great Britain whose mission is to prevent death, injury, and illness in the workplace. It was originally established following a government review of the health and safety system in the country in 1974. One division within the Health and Safety Executive\u2014the Chemical, Explosives and Microbiological Hazards Division\u2014regulates sectors that have the potential for low- probability, high-consequence incidents, including work in high-containment laboratories. It began overseeing laboratories following a smallpox outbreak in 1978. Great Britain reviewed the regulations for animal pathogens and rewrote them to make them more aligned with the human pathogen and genetically modified organism frameworks after a 2007 safety incident in which a Great Britain laboratory inadvertently released foot and mouth disease into the environment. The Health and Safety Executive is responsible for safety oversight of pathogens that present a risk to human health as well as animal pathogens. A separate entity, the National Counter Terrorism Security Office, is responsible for security oversight of a subset of pathogens that pose biological security concerns, similar to the United States\u2019 select agents. The Health and Safety Executive and the National Counter Terrorism Security Office work closely together in providing oversight, according to officials. As of July 2017, Great Britain had a total of 434 registered high-containment laboratories across the government, academic, and private sectors.", "Some other regulatory sectors in the United States are also structurally independent from regulated facilities as a mechanism to ensure independence. For example, prior to the creation of NRC in 1974, the U.S. Atomic Energy Commission was responsible for both promotion and oversight of the nuclear industry. The Energy Reorganization Act of 1974 established NRC as a separate, independent entity. According to a relevant Senate committee report, this was a response to growing criticism that there was a basic conflict between the U.S. Atomic Energy Commission\u2019s regulation of the nuclear power industry and its development and promotion of new technology for the industry. Independence is one of NRC\u2019s \u201cPrinciples of Good Regulation\u201d that the commission seeks to follow in carrying out its regulatory activities. NRC\u2019s Office of Nuclear Reactor Regulation uses performance metrics associated with these principles\u2014including measures of the objectivity and independence of its inspectors\u2014to annually evaluate the effectiveness of its Reactor Oversight Process in meeting its pre- established goals and intended outcomes. This office reports the results of this analysis to NRC in an annual report on the self-assessment of the Reactor Oversight Process."], "subsections": []}, {"section_title": "Risk-Based Approaches to Performing Reviews", "paragraphs": ["Other countries and sectors we reviewed have adopted risk-based approaches to reviewing compliance with regulatory requirements. In particular, regulators in some countries, including Great Britain and Canada, apply a risk-based approach to target their reviews to laboratories with a documented history of performance issues or those conducting higher-risk activities. Great Britain\u2019s Health and Safety Executive prioritizes which laboratories to inspect during the year by assessing the level of risk a specific laboratory or program may have on worker or public health and safety or the environment, according to officials. This assessment takes into consideration factors such as which pathogens pose a greater risk, how these pathogens are used in the laboratory, and the potential consequences of an incident. For example, officials noted that a laboratory complex that works with many pathogens that may pose a significant risk to the country\u2014such as animal pathogens that affect livestock and the food supply\u2014may be subject to more oversight and additional inspections from regulators, based on the associated risk assessment, than a diagnostic laboratory that may destroy samples after testing.", "The Public Health Agency of Canada is responsible for promoting and protecting the health of Canadians through various public health initiatives. It was established in 2004, partly in response to an outbreak of severe acute respiratory syndrome (SARS) in 2003, when it became evident that Canada had no legal requirements for domestic laboratories to report information such as whether they were working with SARS samples, and therefore officials could not determine the potential scope of the problem. The agency sits under Canada\u2019s Minister of Health and its Centre for Biosecurity is responsible for administering and enforcing Canada\u2019s Human Pathogens and Toxins Act to oversee the safe and secure handling of human pathogens and toxins. The act came into full force in December 2015, following an extensive consultation process with stakeholders. The Centre for Biosecurity has authority to license and oversee laboratory activities involving human pathogens and toxins, some animal pathogens, and a subset of human pathogens that have additional biological security concerns. Oversight responsibility for the other animal pathogens rests with the Canadian Food Inspection Agency. As of June 2017, Canada had a total of 63 licensed high-containment laboratories across the government, academic, and private sectors.", "Similarly, officials from the Public Health Agency of Canada\u2019s Centre for Biosecurity, whose mission is to protect the health and safety of the public against the risks posed by human pathogens and toxins, stated that their division for the oversight of laboratories that work with pathogens also has a risk-based licensing and inspection scheme. Under this scheme, the stringency of licensing and inspection requirements largely depends on the pathogen\u2019s risk level. In addition, the Public Health Agency of Canada places different requirements on activities carried out in laboratories depending on their sector (e.g., public health or research) because it determined that activities in certain sectors present a higher risk than others, with the research sector having the highest associated risks. As such, the Public Health Agency of Canada places additional requirements on research scientists conducting certain activities with pathogens than it does with respect to personnel conducting activities in other types of laboratories. For example, the agency requires research scientists to develop and submit documentation that demonstrates a reasonable plan to manage risk and promote compliance with requirements. Officials noted that this approach helps the agency to understand where best to focus its efforts to achieve the desired risk mitigation results. According to officials from both Great Britain and Canada, this risk-based approach helps the oversight bodies in both countries focus their limited resources on laboratories they have identified as having the highest risks.", "In addition, Great Britain\u2019s Health and Safety Executive and the Public Health Agency of Canada apply a risk-based approach in determining the focus of their inspections. For example, according to agency officials in Great Britain and Canada, because they have not found stringent inventory requirements to be effective in reducing biological safety risks in the laboratory, neither country places as much focus, time, or resources on inventory management as the Select Agent Program does. For example, neither country spends time during every inspection counting and examining vials and comparing them to inventory logs, according to officials. Instead, Great Britain\u2019s Health and Safety Executive\u2019s approach is to sample laboratories\u2019 biological safety measures and assess whether they have mechanisms in place to mitigate the consequences of incidents should they occur. Similarly, in Canada, the Canadian Biosafety Standard requires that laboratories working with pathogens in high-containment have an inventory tracking system that is based on the risks internally identified by the laboratory, in order to allow for timely identification of missing vials if necessary.", "In addition to having less prescriptive inventory requirements than the Select Agent Program, both Great Britain\u2019s Health and Safety Executive and the Public Health Agency of Canada generally focus their oversight on (1) biological safety, and (2) regulation of all potentially hazardous pathogens in laboratories. In contrast, the Select Agent Program originated from security-related concerns and regulates only those pathogens identified on the U.S. select agent list and no other pathogens, such as West Nile virus, that may be handled in high- containment but are not select agents. In both Great Britain and Canada, specific biological safety incidents provided the impetus for establishing oversight for laboratories that work with pathogens and, as a result, their regulatory agencies generally focus on biological safety. Both Great Britain and Canada have additional oversight requirements, such as security clearances for personnel, for a limited number of pathogens for which they have heightened security concerns, similar to the security requirements for working with select agents in the U.S. For example, in Great Britain, the Health and Safety Executive focuses on only biological safety in its oversight of high-containment laboratories and works with the National Counter Terrorism Security Office for oversight of pathogens with biological security concerns. In addition, to ensure compliance with biological safety regulations, officials we interviewed in Great Britain and Canada told us it was beneficial for their programs to have oversight over all hazardous pathogens that present biological safety risks to laboratory workers and the public, regardless of their containment level and their potential to pose biological security concerns. For example, the Public Health Agency of Canada regulates any pathogens with characteristics that require handling in laboratories equivalent to U.S. BSL-2, -3, or -4, which currently covers thousands of pathogens, according to officials, as opposed to the 66 agents on the U.S.\u2019s select agent list.", "NRC also considers risk in its oversight of nuclear reactors, fuel cycle facilities, and radioactive materials. In particular, for facilities that work with nuclear materials, NRC conducts inspections of a fraction of these facilities each year because, according to officials, there is a lower risk associated with nuclear materials than there is with nuclear power plants. There are no resident inspectors at these facilities; instead, the frequency of inspections for nuclear materials is based on the risk associated with, among other things, the specific material and each facility\u2019s past performance. Sites with past issues will receive more attention, while sites with a history of good performance will generally be subject to the minimum frequency of inspections applicable to that type of site. In contrast, as part of its Reactor Oversight Process, NRC places at least two resident inspectors at each of the country\u2019s commercial nuclear power plants because they pose a higher risk. For nuclear power plants, potential incidents can have high-consequences and far-reaching effects, such as the effects of the 2011 nuclear accident at the Fukushima Daiichi reactor in Japan. To ensure that each nuclear power plant is complying with federal safety requirements, these inspectors oversee a variety of activities on a daily basis, including by visiting control rooms, reviewing logbooks, performing visual assessments, and observing tests and repairs."], "subsections": []}, {"section_title": "Drawing on Technical Expertise of Advisory Panels and Laboratories", "paragraphs": ["Other countries have adopted various approaches to help ensure they have access to individuals with the appropriate expertise to perform sound safety and security assessments. According to officials in Great Britain, regulators at the Health and Safety Executive have access to external expert advisory committees to advise on issues related to new or emerging pathogens, diseases, or other scientific issues that inspectors may encounter during inspections or when developing policy. Health and Safety Executive officials noted that they generally go to the committees with questions of science and not regulation, as the inspectors are expected to be experts in biological safety and Great Britain regulations. Both France and Germany also have expert advisory committees that regulators can consult on scientific and technical issues, according to officials from these countries.", "Merging Oversight of Human and Animal Pathogens in Great Britain and Canada Great Britain merged the inspection and oversight responsibilities for human and animal pathogens into one oversight body, the Health and Safety Executive, in 2008, following the 2007 accidental release of foot and mouth disease into the environment. Oversight of animal pathogens was originally under the United Kingdom\u2019s Department for Environment, Food, and Rural Affairs (DEFRA). When oversight of animal pathogens was first transferred to the Health and Safety Executive, DEFRA initially retained the licensing of sites with animal pathogens. In 2015, DEFRA transferred all oversight responsibilities, including licensing, to the Health and Safety Executive, but retained responsibilities for policy matters. According to agency officials and laboratory representatives in Great Britain, this change had a number of benefits, including creating a single agency contact for laboratories that work with regulated pathogens, strengthening the oversight of animal pathogens, and improving the logistics and ease of the system. Similarly, in 2013, Canada transferred the oversight responsibility for a subset of animal pathogens from the Canadian Food Inspection Agency (CFIA) to the Public Health Agency of Canada to strengthen and harmonize its biological safety oversight framework and reduce the regulatory and administrative burden on researchers and laboratory officials. CFIA continues to issue permits for other animal pathogens, such as emerging animal diseases, which, according to officials, only make up a small number of pathogens.", "Officials from the Public Health Agency of Canada noted that they address the issue of technical expertise in part by placing substantial responsibility on the scientists and other personnel in each laboratory to understand and address the risks associated with their specific work, such as the equipment and procedures used in that laboratory. Officials from the Public Health Agency of Canada noted that personnel working in licensed laboratories are the ones most at risk if a safety lapse or other incident occurs, so the agency expects the responsible individuals at the laboratories to reinforce the requirements and help ensure everyone works safely and is in compliance with requirements. Under this approach, the main responsibility is with the laboratory officials to understand and manage the risks inherent in the work being performed at their facility, while the role of the inspector is to verify that they have taken appropriate steps to identify and address the risks.", "According to officials in the Netherlands, regulators place responsibility for laboratory biological safety on biological safety officers at each of the laboratories by accrediting them for the oversight of biological safety. Regulators conduct the accreditation process, which includes a review of personnel credentials, before individuals can be accredited. A 2-day course on the laws\u2014such as details of biological safety requirements, case studies, review of transportation rules, and incident examples\u2014is offered to each new accredited biological safety officer. Biological safety officers usually first seek accreditation for the equivalent of U.S. BSL-1 or -2 laboratories and must request additional reviews to receive accreditation for higher levels after acquiring the requisite knowledge and applied laboratory experience for the levels for which they are requesting accreditation. Officials from the Netherlands noted that it is important to have biological safety officers in laboratories as these individuals are versed in biological safety and can convey to researchers what they should be doing to ensure safety, as the regulator cannot be on-site every day."], "subsections": []}, {"section_title": "Transparency through Sharing Information on Agency Websites and Other Means", "paragraphs": ["Some countries and regulatory sectors have approaches that provide transparency to entities and the public in a number of ways. For example, in Great Britain, the Health and Safety Executive shares information on licensing, enforcement actions, and prosecutions, among other information, through its website and the public register. Health and Safety Executive officials noted that the agency also issues information to licensed laboratories when there are safety alerts, lessons learned, or key decisions that it feels are pertinent to the regulated community. However, officials limit the sharing of any information that is sensitive or has security concerns, such as the names of individuals cleared to work with pathogens, which poses additional security concerns. Regulators in the Netherlands stated that they are also authorized to share a great deal of information related to some regulated pathogens, such as laboratory risk assessments, with the public and individuals who request the information. Similarly, in Switzerland, the public can request some information about laboratory licenses and the types of activities that occur at laboratories, but regulators do not share information on laboratory exposures because, according to a Swiss official, the public is not generally affected by them so the officials do not feel a need to share such information.", "NRC shares safety-related information on nuclear facilities with the public, including by posting the locations of nuclear facilities, inspection reports, and policies on its website. According to NRC officials, NRC believes transparency is important because, otherwise, secrecy can lead to distrust and negatively affect NRC\u2019s relationship with industry and the public. In addition, NRC has written policies available on its website that detail what information it shares with registered facilities and the public, as well as guidance for NRC staff on what they can and cannot share.", "NRC officials stated that NRC strives for a balance between openness and security and that, because the nuclear sector\u2019s needs and the public\u2019s concerns are constantly changing, it is important to reassess policies as the necessity arises. For example, after the September 11, 2001, terrorist attacks, NRC decided to remove some information from the public sphere in response to concerns that such information could be misused and exploited for future terrorist attacks.", "The Federal Aviation Administration also shares information with the public through its Aviation Safety Information Analysis and Sharing System, which collects information from multiple databases, including voluntarily reported near-miss data and accident information. This system is intended to promote an open exchange of safety information to continuously improve aviation safety, and it allows users to perform integrated queries, search safety data, and review incident investigations conducted by the National Transportation Safety Board. For example, analysts from the Federal Aviation Administration analyzed data from the Aviation Safety Information Analysis and Sharing System to determine which weather-related factors posed the biggest threats to pilots and aircraft. In addition, the Federal Aviation Administration provides public access to a library of lessons learned from historically significant, policy- shaping accidents to share key knowledge across the industry to improve aviation safety through the application of such lessons and to understand how the current safety regime has been influenced by past accidents. For example, the library discusses how two similar high-terrain crashes in the 1990s led to a requirement in 2000 to install a warning system in aircraft to reduce the incidence of such terrain accidents."], "subsections": []}, {"section_title": "Mechanisms of Enforcement and Nonpunitive Reporting Systems", "paragraphs": ["Countries and regulatory sectors we reviewed employ a range of mechanisms to take enforcement actions against entities or to encourage incident reporting. For example, Great Britain, Canada, France, and Switzerland all have the ability to pursue criminal prosecution in response to serious violations of their laws or regulations governing high- containment laboratories, in addition to the ability to suspend work or shut down laboratories. In Canada, penalties for the most serious violations can include up to 10 years in prison. Officials from the Public Health Agency of Canada and representatives from laboratories we spoke with noted that laboratory personnel are still encouraged to report incidents in laboratories, such as laboratory-acquired infections, regardless of the potentially heavy penalties, because certain information that is voluntarily provided during the course of an incident cannot then be used in any subsequent criminal proceedings against that individual. In addition, experts from our meeting noted that the nonpunitive nature of airline reporting systems also encourages people to report incidents, which in turn provides valuable information to regulators, pilots, airlines, and the public that has been used to improve airline safety, as noted."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In their joint management of the Select Agent Program, CDC and APHIS share a critical role in ensuring that important research on select agents can be conducted in high-containment laboratories in a safe and secure manner. This role is especially important given the significant risks that pathogens handled in high-containment laboratories may pose to laboratory workers and the public. The Select Agent Program has made a number of improvements over the past few years, such as hiring additional staff and sharing more information with the public and registered laboratories. Nevertheless, the program does not fully meet all key elements of effective oversight. For example, the program is not independent in that it is not structurally distinct and separate from all of the laboratories it oversees. Both CDC and APHIS have individually made structural changes and put mechanisms in place to reduce conflicts of interest, but the APHIS component of the program has not documented the reporting process it developed to reduce conflicts of interest. Until APHIS formally documents the reporting structure for its component of the program from the APHIS director of the program to the administrator of APHIS, it will continue to appear to have conflicts of interest in its oversight of APHIS-owned laboratories. Moreover, APHIS has, on at least three occasions, inspected its own or other USDA laboratories, which is not in keeping with the memorandum of understanding it signed with the CDC component of the program. Without establishing control activities to help ensure that each component of the program carries out its inspection responsibilities as outlined in the program\u2019s memorandum of understanding, the Select Agent Program cannot have reasonable assurance that its key mechanism to reduce conflicts of interest is implemented.", "In addition, the program has not formally assessed all potential risks posed by its current structure and the effectiveness of its mechanisms to address those risks. For example, the program did not identify some areas that may present conflicts of interest, such as APHIS carrying out inspections of its own laboratories, and has not considered whether there may be additional areas of concern. Without (1) regularly assessing the potential risks posed by the program\u2019s current structure and the effectiveness of its mechanisms to address them, such as by commissioning external reviews, and (2) taking actions as necessary to ensure any identified risks are addressed, the program may not be aware of or effectively mitigate impairments to its independence that could affect its ability to achieve its objectives.", "Further, regarding the ability to perform reviews, the program may not be targeting the highest-risk laboratory activities in its inspections and other oversight efforts. Without developing and implementing a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities, the program will not have assurance that it is effectively balancing the potential safety and security gains from its oversight efforts against the use of program resources and the effect on laboratories\u2019 research. Moreover, the program is not fully transparent because it shares only limited information about lessons learned and other matters with registered laboratories, and there is no consensus about what additional information should be shared. Without determining what additional information about laboratories\u2019 use of select agents, incidents, and violations of the select agent regulations is appropriate for the Select Agent Program to share with registered laboratories, the program may be missing opportunities to provide key information that ultimately could help improve biological safety and security. In addition, the program has not had clarity and consistency in its enforcement actions and is taking steps to address our past recommendation.", "Further, regarding technical expertise, the two components of the Select Agent Program have individually hired additional staff for the program and improved training to enhance expertise, but workforce and training gaps remain. Although the program has begun to take steps towards development of a joint strategic plan to collectively guide oversight efforts, it does not have a joint workforce plan. Developing a joint workforce plan that assesses workforce and training needs for the program as a whole would help the program to better manage fragmentation by improving how it leverages resources to ensure all workforce and training needs are met; this assessment should be done in conjunction with the development of the strategic plan. Leveraging of resources is especially important given fiscal constraints and the uneven level of resources across the two components of the program."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making 11 recommendations to the agencies that manage the Select Agent Program, including 6 to APHIS and 5 to CDC: To improve independence, the Administrator of APHIS should formally document the reporting structure for the APHIS component of the Select Agent Program from the APHIS director of the program to the Administrator of APHIS. (Recommendation 1)", "To improve independence, the CDC director of the Select Agent Program should work with APHIS to establish control activities to help ensure that each component of the program carries out its inspection responsibilities as outlined in the program\u2019s memorandum of understanding. (Recommendation 2)", "To improve independence, the APHIS director of the Select Agent Program should work with CDC to establish control activities to help ensure that each component of the program carries out its inspection responsibilities as outlined in the program\u2019s memorandum of understanding. (Recommendation 3)", "To improve independence, the CDC director of the Select Agent Program should regularly assess the potential risks posed by the program\u2019s structure and the effectiveness of its mechanisms to address those risks, such as by commissioning external reviews, and take actions as necessary to ensure that any identified risks are addressed so that impairments to independence do not affect its ability to achieve its objectives. (Recommendation 4)", "To improve independence, the APHIS director of the Select Agent Program should regularly assess the potential risks posed by the program\u2019s structure and the effectiveness of its mechanisms to address those risks, such as by commissioning external reviews, and take actions as necessary to ensure any identified risks are addressed so that impairments to independence do not affect its ability to achieve its objectives. (Recommendation 5)", "To improve the ability to perform reviews, the CDC director of the Select Agent Program should work with APHIS to develop and implement a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities. (Recommendation 6)", "To improve the ability to perform reviews, the APHIS director of the Select Agent Program should work with CDC to develop and implement a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities. (Recommendation 7)", "To improve transparency, the CDC director of the Select Agent Program should work with APHIS to determine what additional information about laboratories\u2019 use of select agents, incidents, and violations of the select agent regulations is appropriate for the program to share with registered laboratories. (Recommendation 8)", "To improve transparency, the APHIS director of the Select Agent Program should work with CDC to determine what additional information about laboratories\u2019 use of select agents, incidents, and violations of the select agent regulations is appropriate for the program to share with registered laboratories. (Recommendation 9)", "To improve technical expertise and overcome fragmentation, the CDC director of the Select Agent Program should work with APHIS to develop a joint workforce plan that assesses workforce and training needs for the program as a whole. This assessment should be done in conjunction with the development of the strategic plan. (Recommendation 10)", "To improve technical expertise and overcome fragmentation, the APHIS director of the Select Agent Program should work with CDC to develop a joint workforce plan that assesses workforce and training needs for the program as a whole. This assessment should be done in conjunction with the development of the strategic plan. (Recommendation 11)"], "subsections": []}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a draft of this report for review and comment to DOD, HHS, the Department of Homeland Security, NRC, the Department of Transportation, and USDA. We also provided copies to officials from Great Britain, Canada, and the Netherlands, as well as experts who participated in our expert meeting at the National Academy of Sciences.", "HHS and USDA\u2014the agencies to whose components our recommendations are directed\u2014both provided written comments agreeing with all of our recommendations. These comments are reprinted in appendixes III and IV, respectively. In their comments, HHS and USDA provided additional information about steps they are taking, or planning to take, to improve their oversight of select agents and to address our recommendations. For example, HHS and USDA stated that the Select Agent Program will explore options to improve independence, including reexamining previous reviews and assessing the need for additional reviews to ensure potential risks posed by the program\u2019s structure are adequately assessed and addressed. In addition, to improve the ability to perform reviews, HHS and USDA stated that the Select Agent Program is transitioning to a new secure information system that will allow the program to develop analytical tools and procedures to analyze risk- related data to improve the inspection process. Further, to enhance transparency, HHS and USDA said the program is exploring ways to disseminate information regarding common deficiencies identified during inspections. Finally, to improve technical expertise and overcome fragmentation, HHS and USDA said that the program has initiated contract support for development of a joint strategic plan that will include the assessment of workforce and training needs.", "HHS and USDA also provided technical comments, as did the Department of Homeland Security; officials from Great Britain, Canada, and the Netherlands; and a number of experts who participated in our expert meeting at the National Academy of Sciences. We incorporated these comments as appropriate. DOD, NRC, and the Department of Transportation did not comment on this report.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretaries of Agriculture, Defense, Health and Human Services, Homeland Security, and Transportation; the Chairman of NRC; the Director of CDC; the Administrator of APHIS; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Timothy M. Persons, Chief Scientist, at (202) 512-6412 or personst@gao.gov or John Neumann, Director, Natural Resources and Environment, at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Key Elements of Effective Oversight", "paragraphs": ["This appendix describes the steps we took to confirm the applicability of five elements of effective oversight we have used in the past for our evaluation of the Federal Select Agent Program (Select Agent Program). We have used these key elements in the past for assessing the effectiveness of oversight in other areas where low probability adverse events can have significant and far-reaching effects. These elements are as follows: Independence: The organization conducting oversight should be structurally distinct and separate from the entities it oversees.", "Ability to perform reviews: The organization should have the access and working knowledge necessary to review compliance with requirements.", "Technical expertise: The organization should have sufficient staff with the expertise to perform sound safety and security assessments.", "Transparency: The organization should provide access to key information, as applicable, to those most affected by operations.", "Enforcement authority: The organization should have clear and sufficient authority to require that entities achieve compliance with requirements.", "We took several steps to confirm the applicability of these elements for our examination of the Select Agent Program. First, we discussed the applicability of the criteria with senior officials from both components of the Select Agent Program, within the Centers for Disease Control and Prevention (CDC) and the Animal and Plant Health Inspection Service (APHIS). Second, we discussed the elements with representatives from the American Society of Microbiology and American Biological Safety Association International, which were selected because of their focus on microbiology and biological safety, respectively. Finally, we discussed the elements with experts during our National Academy of Sciences meeting (see app. II for information on this meeting). The officials, representatives, and experts generally agreed that the five elements were appropriate for our examination of the Select Agent Program. We compared information from federal documents about the Select Agent Program\u2019s oversight, interviews with laboratory representatives and agency officials, and our expert meeting against the five elements of effective oversight."], "subsections": []}, {"section_title": "Appendix II: List of Experts and Selection Methodology", "paragraphs": [], "subsections": [{"section_title": "\u2022 Bob Buchanan, Ph.D., Professor and Director of Center for Food Safety and", "paragraphs": ["Security Systems, University of Maryland", "Andrew Cottam, Ph.D., Head of the Microbiology and Biotechnology Unit, Health and Safety Executive, United Kingdom John Eakin, Principal Investigator, Air Data Research", "David Franz, DVM and Ph.D., Former Commander, United States Army Medical Research Institute for Infectious Diseases", "Gigi Kwik Gronvall, Ph.D., Senior Associate, Johns Hopkins Center for Health", "Marianne Heisz, Ph.D., Director, Office of Biosafety Programs and Planning, Public Health Agency of Canada", "Ruthanne Huising, Ph.D., Associate Professor, McGill University", "Gavin Huntley-Fenner, Ph.D., Principal Consultant, Huntley-Fenner Advisors Joseph Kanabrocki, Ph.D. and NRCM(SM), Associate Vice-President for Research Safety, Professor of Microbiology, University of Chicago", "Paul Keim, Ph.D., Regents Professor and Cowden Chair, Northern Arizona James LeDuc, Ph.D., Director, Galveston National Laboratory, University of Texas Medical Branch", "Carol Linden, Ph.D., Director, Office of Regulatory Science and Innovation, Food", "Allison MacFarlane, Ph.D., Professor and Director, Center for International Science and Technology Policy, George Washington University", "Brian O\u2019Shea, Ph.D., Senior Biological Safety Officer, Battelle Memorial Institute", "Karlene Roberts, Ph.D., Professor Emeritus, Haas School of Business, University Jonathan Rosen, Principal Industrial Hygiene Safety and Health Consultant, AJ Rosen and Associates, LLC The comments of these experts generally represented the views of the experts themselves and not the agency, university, or company with which they are affiliated.", "The meeting with these experts was held at NAS in January 2017. To identify experts to participate in the meeting, we worked iteratively with NAS staff to identify and review biographical information and relevant qualifications of experts, as well as factors such as representation from academia, industry, and federal government and expertise in a range of areas. The Board on Life Sciences of NAS solicited nominations for the expert panel from its extensive contacts in laboratory safety, biological security, and other regulatory sectors, such as occupational safety and health, airline safety, food safety, and chemical safety. These contacts included current and former committee members, current and former members of the Board on Life Sciences, and select members of NAS. NAS received responses from approximately 45 nominees. From this initial list, NAS selected experts based on their knowledge and expertise in the above-mentioned areas as well as their ability to attend the meeting on the chosen dates and obtained our approval of its selections. In order to facilitate discussion among participants, NAS did not include any federal employees or contractors of the Select Agent Program. The final list of 18 experts was then evaluated for any conflicts of interest. A conflict of interest was considered to be any current or financial or other interest that might conflict with the service of an individual because it (1) could impair objectivity and (2) could create an unfair competitive advantage for any person or organization. The 18 experts were determined to be free of conflicts of interest, and the group as a whole was judged to have no inappropriate biases.", "We developed the session topics for the 2-day meeting based on our researchable objectives and issues that we identified in our audit work, including our analysis of agency documents and interviews with agency officials and representatives from registered laboratories. The meeting was recorded and transcribed to ensure that we accurately captured the experts\u2019 statements, and we reviewed and analyzed the transcripts as a source of evidence. Although the expert meeting was not designed to reach formal consensus on the issues, a number of themes emerged from the group\u2019s discussion to which there was general agreement."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, Mary Denigan-Macauley (Assistant Director), Sushil Sharma (Assistant Director), Amy Bowser, William Carrigg, Marcia Crosse, Caitlin Dardenne, Shana Deitch, Karen Doran, Jack Melling, Cynthia Norris, Lesley Rinner, Sara Sullivan, Walter Vance, and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": ["Laboratories conduct research on hazardous pathogens\u2014such as Ebola virus or anthrax bacteria\u2014in more than 200 labs in the United States. Safety lapses continue to occur at some of these labs, raising concerns about whether oversight is effective.", "We looked at the Federal Select Agent Program, which is responsible for overseeing these labs, and found room for improvement. For example, the program allows some agencies to oversee their own labs, which could potentially lead to conflicts of interest. We recommended 11 actions to improve oversight."]} {"id": "GAO-18-253", "url": "https://www.gao.gov/products/GAO-18-253", "title": "Military Readiness: Clear Policy and Reliable Data Would Help DOD Better Manage Service Members' Time Away from Home", "published_date": "2018-04-25T00:00:00", "released_date": "2018-04-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 1999, Congress required DOD to monitor the time that individual service members spend away from home and set a threshold to limit excessive time away. At the time, the threshold was no more than 220 days served away from home in a 365-day period. In the interest of national security, in 2001 DOD exercised a provision in the law and waived the requirement to limit time away for service members. Recently, DOD leaders have stated that the continued high pace of military operations have limited their ability to rebuild readiness.", "Senate Report 114-255 includes a provision for GAO to review the root causes of degraded readiness, including reviewing DOD's management of perstempo. This report assesses the extent to which DOD, the services, and SOCOM have (1) policies with specific and measurable thresholds on perstempo and (2) reliable data to monitor perstempo.", "GAO analyzed DOD, service, and SOCOM perstempo policies and analyzed DOD-wide perstempo data for fiscal years 2012-2016."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD), military service, and U.S. Special Operations Command (SOCOM) policies vary in identifying specific and measurable thresholds on the total time individual service members can be away from home, known as personnel tempo or \u201cperstempo.\u201d DOD's policy issued in 2013 states that service members should not be deployed for longer than they are at home. However, the policy does not set thresholds for perstempo, which includes time away from home for exercises and training in addition to deployment. Service members are sometimes away from home for long periods for training, exercises, or other activities. For example, Air Force officials told GAO that F-16 pilots participate in multiple exercises every year that require them to spend significant time away from home. The Navy and SOCOM set specific and measurable perstempo thresholds in policy in 2014 and 2016, respectively. However, the other services either are not enforcing or have not established specific and measurable perstempo thresholds in their policies. DOD has maintained the waiver of statutory perstempo thresholds since 2001, and officials have cited the effect of the high pace of operations and training on service members; however, DOD has not taken action to focus attention on the management of perstempo thresholds within the services and department-wide. Unless DOD ensures that perstempo thresholds are established and followed while statutory thresholds are waived, DOD will be unable to judge whether service members are spending too much total time away from home and, if so, whether this has resulted in any associated effects on military readiness.", "DOD does not have reliable data to monitor perstempo because the data are incomplete. Based on available DOD-wide data, GAO estimated that for fiscal year 2016 at least 51,000 service personnel spent more than 7 months away from home. However, that number is conservative because the analysis is limited by incomplete data. Specifically:", "DOD analysis shows that perstempo records are missing for at least 145,000 personnel who deployed in fiscal years 2014-2016.", "For fiscal years 2012-2016, 30 percent of DOD's perstempo records were missing information that identifies service members' occupations, 14 percent were missing information that identifies the purpose of the perstempo events, and 8 percent were missing information that identifies the category of perstempo events.", "The Navy identified about 13,000 personnel who spent more than 220 days away from home in fiscal year 2016 but were not accounted for in the DOD-wide data, and DOD officials could not explain why they were missing.", "Without taking steps to emphasize the collection of complete and reliable perstempo data, DOD will be limited in its ability to assess the amount of time service members are serving away from home for all perstempo events and in its ability to use that information to assist in gauging the stress on the force."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD (1) clarify its policy to include specific and measurable department-wide perstempo thresholds for use while statutory thresholds are waived or ensure service-level policies are established and followed, and (2) take steps to emphasize the collection of complete and reliable perstempo data. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than a decade, Congress and the military services have reported low readiness levels, which they attribute partly to the pace of military operations. In 1999, Congress addressed the pace of military operations at that time by codifying thresholds for the amount of time individual service members serve on duty away from their homes\u2014known as \u201cpersonnel tempo\u201d or \u201cperstempo.\u201d The 1999 law required the Secretary of each military department to provide extra pay for service members who exceeded a certain threshold, required senior Department of Defense (DOD) officials to provide approval for service members to exceed these thresholds, and required the Secretary of each military department to record the number of perstempo days for each service member. However, in the aftermath of the September 2001 terrorist attacks, the Deputy Secretary of Defense exercised a provision in the law and issued a memorandum in October 2001 that waived the perstempo thresholds and the requirement that senior DOD officials provide approval when service members exceed the perstempo thresholds.", "While senior DOD leaders have kept the waiver in place, they have also expressed concern that the high pace of military operations has had a negative effect on readiness. For example, in June 2017, the Chairman of the Joint Chiefs of Staff testified that since September 11, 2001, the U.S. military has had an extraordinarily high pace of operations, which has had a negative effect on readiness. In February 2017, the Vice Chief of Staff of the Army testified in a congressional hearing that the pace of operations has had a negative effect on the Army\u2019s readiness including the readiness of Brigade Combat Teams and Combat Aviation Brigades.", "In November 2017, the Deputy Chief of Staff for Operations of the Air Force testified that 26 years of operations had taken a toll on Air Force personnel, which has affected the Air Force\u2019s readiness. In May 2017, the Commander of the U.S. Special Operations Command (SOCOM) testified that managing the pace of operations was essential to enabling special forces to maintain their readiness. Finally, in September 2017, in a testimony before the Senate Armed Services Committee about the Navy ship collisions that occurred earlier that year, the Chief of Naval Operations explained\u2014and later investigations by the Navy confirmed\u2014 that the pace of operations had contributed to deadly accidents in the Pacific.", "Title 10 of the U.S. Code requires the Under Secretary of Defense for Personnel and Readiness to monitor the tempo of the armed forces, and DOD guidance requires the military services to track perstempo data. Section 991 of title 10 distinguishes between unit operations and individual service members\u2019 time away from home when discussing tempo. \u201cPerstempo\u201d refers to the amount of time individual service members serve on official duty at a location or under circumstances that make it infeasible for them to spend off-duty time in the housing in which they reside. \u201cOperational tempo\u201d refers to the rate at which military units are involved in all military activities, including contingency operations, exercises, and training deployments. While DOD has made considerable efforts to manage operational tempo for units, managing the impact of perstempo on individual service members has been a long-standing issue for DOD. Our work has shown that the department has faced challenges establishing perstempo-related policies; determining the time individual service members should spend away from home; and managing perstempo data, as discussed later in the report.", "Senate Report 114-255, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, includes a provision for us to address the root causes of degraded readiness, including reviewing the way DOD has managed perstempo in mobilizing and deploying its forces. This report assesses the extent to which DOD, the services, and SOCOM have (1) policies in place with specific and measurable thresholds on perstempo and (2) reliable data to monitor perstempo.", "For both objectives, we interviewed officials responsible for perstempo policies and data in the Office of the Under Secretary of Defense for Personnel and Readiness, the Office of Cost Assessment and Program Evaluation, personnel and operations offices at the military services\u2019 headquarters, SOCOM, and the Defense Manpower Data Center. In addition, we compared the evidence we collected with criteria in the Standards for Internal Control in the Federal Government related to setting specific and measurable objectives and using quality information to determine whether objectives are being achieved.", "For objective one, we reviewed policies issued by the Office of the Under Secretary of Defense for Personnel and Readiness, the military services, and SOCOM to determine whether each had specific and measurable objectives related to perstempo thresholds. We reviewed policies issued by the Office of the Under Secretary of Defense for Personnel and Readiness because it is responsible for monitoring the perstempo of the armed forces. We reviewed policies issued by the services and SOCOM because each of these organizations is responsible for tracking and reporting the amount of time service members serve away from home. We also analyzed statements that senior DOD leaders have made in congressional hearings about the relationship between perstempo, operational tempo, and readiness.", "For objective two, we assessed the reliability of perstempo data from the Defense Manpower Data Center, which maintains a centralized database of perstempo data. We obtained and analyzed perstempo data from the Defense Manpower Data Center for active duty military personnel from the four military services for fiscal years 2012 through 2016. We selected this time period to maximize the amount of available data for us to determine trends in rates of perstempo. To conduct reliability assessments, we reviewed relevant documentation and interviewed agency officials, including those who attempted but were not able to use perstempo data in their analyses. We also analyzed the perstempo data provided by the Defense Manpower and Data Center to identify the number and percentage of records that were missing entries. Although these analyses showed that the perstempo data were incomplete, we found that they were sufficiently reliable for our purposes of providing a conservative estimate of the minimum number of service members with high rates of perstempo. Further, we analyzed perstempo data from the Navy to determine whether the Navy\u2019s data corresponded with the perstempo data maintained by the Defense Manpower and Data Center. We found that the Navy\u2019s perstempo data were also incomplete but were sufficiently reliable to provide a conservative estimate of the minimum number of Navy personnel with high rates of perstempo. To mitigate the limitations in both sets of perstempo data, we present perstempo statistics rounded to the nearest thousands rather than the actual statistics we calculated from the data.", "In addition, we analyzed the reliability of the Navy\u2019s perstempo waiver data, and data from the Defense Manpower Data Center on the number of service members who did not have a perstempo record but participated in a perstempo event. To assess the Navy\u2019s perstempo waiver data, we compared data collected by the Navy on the number of personnel who obtained a waiver to exceed the Navy\u2019s perstempo threshold to data from the Defense Manpower Data Center showing the number of Navy personnel with high rates of perstempo to determine if the Navy waiver data were complete. We found that these data were incomplete, but were sufficiently reliable to provide a conservative estimate of the minimum number of Navy personnel who had obtained a waiver to exceed the Navy\u2019s perstempo threshold. To mitigate the limitations in the Navy\u2019s perstempo waiver data, we present data rounded to the nearest thousands rather than the actual data. Finally, we assessed the reliability of data provided by the Defense Manpower Data Center that indicated the number of individuals who deployed in fiscal years 2014-2016 and should have had a perstempo record. To obtain these data, the Defense Manpower Data Center compared data from DOD\u2019s Contingency Tracking System with the perstempo database for fiscal years 2014 through 2016 to identify missing records. We assessed the reliability of the relevant portions of the Contingency Tracking System and the perstempo database needed to complete this analysis. We also reviewed documentation of the analysis and interviewed the analysts who performed the work. We concluded that the underlying data were sufficiently reliable and the analysis was appropriate for reporting the number of persons who participated in a perstempo event but did not have a perstempo record for this time period.", "We used the perstempo data we obtained from the Defense Manpower Data Center to calculate the time service members served away from home in fiscal year 2016. We calculated data for fiscal year 2016 because these were the most recent data available for a complete fiscal year at the time we conducted our review. To calculate the time service members served away from home, we included time they served on operational deployments, exercises, unit or home station training, and mission support temporary duty. We compared the time served away from home against the deployment perstempo threshold of 220 days in a 365-day period that is established in law, but has been waived by DOD since 2001.", "We conducted this performance audit from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Perstempo and Operational Tempo", "paragraphs": ["DOD uses two related but distinct terms to differentiate between individual service members\u2019 time away from home versus unit deployments:", "Perstempo: The amount of time individual service members serve on official duty at a location or under circumstances that make it infeasible for them to spend off-duty time in the housing in which they reside including for deployment events, such as operations, exercises, and unit training, and non-deployment events, such as individual training and hospitalization.", "Operational tempo: The rate at which military units are involved in all military activities, including contingency operations, exercises, and training deployments.", "Operational deployments are one type of deployment event, but do not account for all of the time individuals spend away from home. As a result, individual perstempo is typically higher than operational tempo."], "subsections": []}, {"section_title": "Statutes and DOD Policy Regarding Perstempo", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2000 included a provision that required the Under Secretary of Defense for Personnel and Readiness to monitor the perstempo of the armed forces, and required DOD to manage the number of days its service members are deployed. Section 991 of title 10 defines \u201cperstempo\u201d as the amount of time members of the armed forces are engaged in their official duties at a location or under circumstances that make it infeasible for a member to spend off-duty time in the housing in which the member resides. The law establishes thresholds for deployment perstempo events\u2014220 deployment perstempo days in a 365-day period and 400 deployment perstempo days in a 730-day period. The law also requires the Secretary of Defense or a delegated official to approve when service members exceed these thresholds, and requires DOD to establish a system for tracking and recording the number of deployment perstempo days for each member of the armed forces. Additionally, DOD obtained the statutory authority to pay service members an allowance for lengthy or numerous deployment perstempo events. Congress authorized DOD to waive the deployment perstempo thresholds and recordkeeping requirement, which in turn would prohibit the payment of high-deployment allowances, if the department found that the waiver is necessary in the interests of national security. See figure 1 for a timeline of these and additional congressional and DOD actions related to perstempo.", "In the aftermath of the September 11th attacks, the Deputy Secretary of Defense issued a memorandum that suspended the requirements to manage deployment days for service members and the payment of high- deployment allowances. As a matter of DOD policy, the memorandum did not suspend the recordkeeping requirement included in section 991 of title 10. In May 2001, the Under Secretary of Defense for Personnel and Readiness issued an instruction that described policy, responsibilities, procedures, and information requirements for reporting of active duty military personnel records, and this instruction included requirements for perstempo reporting. In 2009, the Under Secretary of Defense for Personnel and Readiness issued another instruction, DOD Instruction 1336.07, that was focused on the reporting of perstempo and the instruction identifies responsibilities, procedures, and information- reporting requirements for perstempo. In particular, DOD Instruction 1336.07 states that the:", "Under Secretary of Defense for Personnel and Readiness is responsible for providing overall policy guidance for DOD reporting of all perstempo events;", "Director of the Defense Human Resources Activity, through the Defense Manpower Data Center, is required to maintain a perstempo events database;", "Secretaries of the military departments are responsible for implementing these reporting requirements whenever service members participate in or are associated with a perstempo event or activity; and services must record all perstempo events, including deployment events such as operations, exercises, and unit training as well as non- deployment events such as individual training and hospitalization.", "In November 2013, the Under Secretary of Defense for Personnel and Readiness issued a memorandum conveying that the amount of time that a unit, detachment, or individual service member can be operationally deployed should be equal to or less than the amount of time not deployed. Operational deployments are one of the deployment perstempo events. The memorandum also requires the military services to register perstempo events. DOD\u2019s stated intent in the memorandum was for commanders at every level to ensure that individual service members, regardless of unit assignment, are not repeatedly exposed to combat, do not experience disproportionate deployments, and do not spend extended periods of time away from home unless required by operational necessity."], "subsections": []}, {"section_title": "Prior Work on Perstempo and DOD Readiness", "paragraphs": ["We have reported on perstempo and readiness in multiple prior reports. For example, in 1996 we reported on DOD\u2019s actions to mitigate the impact of high perstempo, including efforts to create systems for measuring perstempo. We reported that DOD had not issued regulations for the long-term management of perstempo and had not directed the services to have policies that limit perstempo. Further, we reported that it was difficult for DOD to determine the amount of perstempo time for military personnel for multiple reasons, including that the services had different systems for tracking deployments. We recommended that DOD (1) issue guidance on managing perstempo that states whether each service should have a goal for the maximum perstempo time for personnel and (2) issue regulations defining the minimum perstempo data that each service must collect and maintain. DOD concurred with these recommendations and, as we noted earlier, the Under Secretary of Defense for Personnel and Readiness issued DOD Instruction 1336.5 in 2001 that described policy, responsibilities, procedures, and information requirements for perstempo reporting. However, our recommendation has not been fully implemented because DOD Instruction 1336.5 did not include guidance on managing perstempo that states whether each service should have a goal for the maximum perstempo time for personnel, as discussed later in the report.", "In 2007, we found that Army and Marine Corps perstempo data were incomplete and inaccurate due to a lack of quality controls. We recommended that the Office of the Under Secretary of Defense for Personnel and Readiness provide guidance that directs the Army and Marine Corps to develop quality control procedures for validating the accuracy of the perstempo data. DOD concurred with our recommendation and in 2009 issued DOD Instruction 1336.07; however, our recommendation has not been fully implemented because the instruction did not provide guidance that directs the Army and Marine Corps to develop quality control procedures for validating the accuracy of perstempo data, as discussed later in the report.", "Finally, our work has identified several challenges with readiness rebuilding due in part to the high pace of operations that drives up perstempo. In 2016, we reported that the global security environment will likely continue to require significant reliance on U.S. military forces to respond to a range of demands, and the military services have attributed low readiness levels to increasingly long and frequent deployments, reduced force structure, and continuing and emerging demands. We also reported that DOD implementation and oversight of department-wide readiness rebuilding efforts did not fully include key elements of sound planning. We recommended, among other things, that DOD and the services establish comprehensive readiness goals and strategies for implementing them, as well as associated metrics that can be used to evaluate whether readiness recovery efforts are achieving intended outcomes. DOD generally concurred with our recommendations and the department has taken some steps to improve the readiness of the military forces, but it has not yet taken steps to fully implement our recommendations."], "subsections": []}]}, {"section_title": "DOD, Service, and SOCOM Policies Vary in Identifying Perstempo Thresholds for Service Members", "paragraphs": ["DOD, service, and SOCOM policies vary in identifying specific and measurable thresholds on perstempo for individual service members. DOD policy focuses on time away for deployment, which is a part of perstempo but does not encompass the full range of activities that can take service members away from home. Specifically, a 2013 memorandum from the Under Secretary of Defense for Personnel and Readiness states that individual service members should not be deployed longer than they are at their home station. However, the memorandum describes perstempo only in general terms\u2014stating that individual service members should not serve extended periods of time away from their homestation unless required by operational necessity. An official in the Office of the Under Secretary of Defense for Personnel and Readiness acknowledged that the department has not defined DOD\u2019s perstempo threshold\u2014to encompass non-deployment events\u2014in specific and measurable terms and has not directed the services to establish such perstempo thresholds.", "The Navy and SOCOM have established perstempo thresholds in their policies and clarified which types of perstempo events apply to their thresholds. While these policies vary slightly, both the Navy and SOCOM describe in their policies the need to balance the pace of operations with the quality of life of their service members. More specifically:", "Navy: In 2014, the Navy issued an instruction that includes a perstempo threshold that identifies the number of days that individual Navy service members may serve away from home. The Navy\u2019s instruction established a threshold of 220 days in a 365-day period or 400 days in a 730-day period. The Navy\u2019s instruction also identified that the threshold applies to all deployment perstempo events\u2014which comprise operations, exercises, unit training, temporary duty, and homestation training.", "Special Operations Command: In 2016, SOCOM issued a policy memorandum that establishes a perstempo threshold that identifies the number of days that individual SOCOM service members may serve away from home. The policy memorandum established a perstempo threshold of 480 days in a 730-day period. SOCOM\u2019s policy memorandum also clarified that the threshold applies to both deployment perstempo events (e.g., operational deployments and exercises) and non-deployment perstempo events (e.g., serving as a student or trainee at a school and performing administrative, guard, or detail duties in garrison at the service member\u2019s permanent duty station).", "In contrast, the Army, the Air Force, and the Marine Corps are either not enforcing or have not established a specific and measurable perstempo threshold in their policies. Officials from these services told us that they focus on managing the impact of deployments consistent with the 2013 memorandum from the Under Secretary of Defense for Personnel and Readiness, but noted that the memorandum does not set specific perstempo limits. As a result, each service has taken a slightly different approach:", "Army: In 2015, the Army issued a regulation that identified the number of days that a service member may spend away from home; however, Army officials told us it is not being enforced. The regulation updated the Army\u2019s policy to include a perstempo threshold. The regulation also defined the events that could be counted toward that threshold and included a provision for the Army to manage its personnel to that threshold. However, Army headquarters officials told us that the Army is not enforcing this perstempo threshold and that the Army only added these provisions to emphasize that collecting perstempo data was a priority. According to the Army regulation, the Secretary of the Army may suspend the applicability of this perstempo program in the interest of national security, but Army headquarters officials told us that the Secretary of the Army had not suspended the perstempo program and the officials could not provide any official action that suspended the requirement.", "Air Force: The Air Force does not have a specific and measurable perstempo threshold in policy. An Air Force personnel instruction states that the Air Force considers service members who spend more than 120 days on temporary duty to have a high perstempo. However, Air Force headquarters officials told us that this policy does not establish a threshold for the amount of time that Air Force personnel may serve away from their homestation and that the Air Force does not require units to manage the assignments of their personnel to ensure that they do not spend more than 120 days on temporary duty. Air Force headquarters officials told us that they did not think they needed to include thresholds for perstempo in Air Force policies expressed in specific, measurable terms because the Air Force relies on unit commanders to manage the perstempo of individual service members and they believed that a perstempo threshold would affect a small number of their service members.", "Marine Corps: The Marine Corps also does not have a specific and measurable perstempo threshold in its policy, but its policy accounts for perstempo time in determining individual service members\u2019 eligibility for overseas deployments, among other things. For example, Marine Corps Order 1300.8 adjusts and delays the date that service members are scheduled to deploy overseas by the amount of perstempo time accrued for those service members. The Marine Corps also issued an administrative message directing unit commanders to manage the perstempo of individual service members. However, neither of these policies establishes a specific and measurable perstempo threshold. Marine Corps officials told us that it has studied the effects of high rates of perstempo on retention and told us that these studies have not provided the Marine Corps evidence that perstempo drives retention.", "The approach taken by the Army, the Air Force, and the Marine Corps\u2014 to focus primarily on deployments\u2014reflects the focus placed on deployments in DOD\u2019s policy but this approach omits perstempo events, such as training and exercises. Such activities can take service members away from home for long periods. For example, Air Force officials told us that F-16 pilots spend considerable amounts of time participating in multiple exercises every year that require them to spend significant time away from their homestation. Similarly, a 2011 study conducted by CNA found that perstempo was very high for service members in the III Marine Expeditionary Force in Okinawa and Hawaii because of the number of exercises in which those service members participated. In particular, the study found that service members in the III Marine Expeditionary Force participate in over 70 exercises and training events per year. Additionally, relying on unit commanders to monitor the perstempo of service members without providing specific and measurable guidance leaves it to the interpretation of unit commanders to define excessive time away.", "Standards for Internal Control in the Federal Government state that management should define objectives in specific and measurable terms to enable it to identify risks to achieving those objectives. The standards also state that specific terms are those that are fully and clearly set forth so they can be easily understood, and measurable terms are those that allow for the assessment of performance toward achieving objectives. As we reported in 2007, shortly after the September 11, 2001, attacks, DOD shifted its focus away from collecting and maintaining perstempo data and began focusing on collecting and maintaining data to track deployments related to major operations, which does not include the full range of perstempo events. DOD continued this focus on managing deployments versus perstempo in its issuance of the 2013 memorandum.", "Furthermore, even as it has continued to waive the statutory perstempo thresholds and cited the effect of the high pace of operations and training on service members, DOD has not taken action to focus attention on the management of perstempo thresholds within the services and DOD. As a result, the services have taken differing approaches, with the Army, the Air Force, and the Marine Corps having no specific and measurable thresholds. Through providing specific and measurable department-wide perstempo thresholds in DOD guidance or directing the services and SOCOM to establish and follow service-specific thresholds for its service members, DOD will be better able to judge whether service members are spending too much total time away from home and, if so, whether there have been any associated effects on military readiness."], "subsections": []}, {"section_title": "DOD and the Services Do Not Have Reliable Data to Monitor Perstempo", "paragraphs": ["DOD does not have reliable perstempo data, which limits its ability to effectively monitor perstempo across the department. In part due to the incompleteness of the perstempo data, an official within the Office of the Under Secretary of Defense for Personnel and Readiness told us that the office cannot monitor perstempo even though section 136 of title 10 makes the office responsible for doing so. For example, a December 2017 Defense Manpower Data Center analysis indicated that perstempo data are missing records for at least 145,000 individuals that deployed in fiscal years 2014-2016. In addition, officials from the Office of Cost Assessment and Program Evaluation told us that they attempted to analyze the effects of high rates of perstempo on unit readiness in 2016 but that they were unable to draw conclusions from the analysis because, among other things, the perstempo data were incomplete. Officials explained that certain events were not captured in the perstempo data consistently, such as Army rotations to a combined training center. Senior service officials also told us that the analysis had limited usefulness due to unreliable data.", "Although data are incomplete, our analysis of available data indicates that tens of thousands of service personnel experienced high rates of perstempo in fiscal year 2016. Because the perstempo policies vary widely, we anchored our analysis to the 220 days in a 365-day period identified in the currently waived statutory threshold. Using that benchmark, we estimate that at least 51,000 service personnel spent more than 7 months away from their homestation in fiscal year 2016 (see table 1).", "Moreover, we believe these numbers may be far higher because our analysis is limited by incomplete perstempo data as stated above. Additionally, our estimate likely understates the number of servicemembers as we excluded records from our analysis because they were missing an end date in the data system for the perstempo event.", "Further, we found that the perstempo records we analyzed for fiscal years 2012 through 2016 were also missing other information, which limits the utility of the data for users and decision makers. For example, we found that 30 percent of perstempo records for fiscal years 2012 through 2016 were missing information that identifies the service member\u2019s occupation, 14 percent were missing information that identifies the purpose of the perstempo event, and 8 percent were missing information that identifies the category of perstempo event.", "Incomplete and unreliable data have presented management problems, particularly for the Navy and SOCOM as they have sought to manage the perstempo of their service members. For example, a Naval Personnel Command official who oversees the Navy\u2019s perstempo program told us that the 18,000 Navy personnel with more than 220 perstempo days in fiscal year 2016\u2014that we estimated using Defense Manpower Data Center data\u2014likely significantly understates the actual number of Navy personnel with high rates of perstempo. The official stated that the Navy\u2019s data showed that more than 31,000 Navy service members were away from home more than 220 days in fiscal year 2016\u2014a difference of about 13,000 personnel. Officials from the Navy and Defense Manpower Data Center were unable to explain the discrepancy. Moreover, Navy officials told us that the Navy oversees perstempo by requiring subordinate commands to obtain waivers when service members exceed 220 days in a year. However, the Navy had waivers for about 6,000 personnel in 2016, or only about one-fifth of the personnel the Navy\u2019s own data indicated were gone more than 220 days. To address this, the Navy Personnel Command official told us that the Navy plans to establish an automated system to verify that Navy service members who have exceeded the Navy\u2019s 220-day perstempo threshold have a waiver.", "In addition, a SOCOM headquarters official told us that the command does not have reliable perstempo data on its service members because of limitations in the command\u2019s information technology system. As a result, SOCOM does not currently have the ability to determine whether its units are adhering to the SOCOM perstempo threshold. The official told us that SOCOM is working to address the problem with this information technology system.", "We previously reported on challenges DOD has had with collecting reliable perstempo data in 1996 and 2007. While the department has made some progress, the reliability of perstempo data has remained a persistent challenge for the department. In 1996, we reported that DOD could not measure the increase in time away from home because no department-wide data system existed to track it. DOD generally agreed with our findings and recommendations and indicated that it had taken, and would continue to take, initiatives to manage perstempo. In 2007, we reported that Army and Marine Corps perstempo data were inaccurate and incomplete because of the lack of quality controls. We recommended that the Under Secretary of Defense for Personnel and Readiness provide guidance directing the Army and Marine Corps to develop quality control procedures for validating the accuracy of the perstempo data they collect and report to the Defense Manpower Data Center. The department concurred with the recommendation and issued an instruction in 2009 that required the services to report perstempo data to the Defense Manpower Data Center. However, the Under Secretary of Defense for Personnel and Readiness has not fully implemented our recommendation because the instruction did not direct the Army and Marine Corps to develop quality control procedures for validating the accuracy of their perstempo data.", "The Standards for Internal Control in the Federal Government state that management should use quality information to achieve its objectives and that such information should be complete and accurate. The underlying reason that perstempo data are not reliable is that DOD has not emphasized the collection of complete and reliable perstempo data. Specifically, an official from the Office of the Under Secretary of Defense for Personnel and Readiness told us that the office last reviewed perstempo data in 2012 and, at that time, determined that these data were not fully reliable. The official also told us that to address this challenge the office reiterated the requirement that the services must collect perstempo data in its 2013 memorandum, but the memorandum did not emphasize that the perstempo data collected should be complete and reliable. Without taking steps to improve the quality of its perstempo data, DOD will be limited in its ability to assess the amount of time service members are serving away from home for all perstempo events and use that information to assist them in monitoring and gauging the stress on the force."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["In the years since 2001, senior DOD leaders have expressed concern about the impact of a high pace of military operations and the high pace has continued for portions of the force. DOD has taken steps to limit operational deployments for individual service members, but has been less focused on the impact of total time away from home on personnel, commonly called perstempo. Total time away from home includes the training and other activities that can take service members away from home for long periods.", "DOD has two primary and long-standing challenges in managing perstempo: setting clear policy and gathering reliable data. First, DOD has not established a perstempo policy with specific and measurable thresholds even as it has waived a statutory requirement that sets such thresholds. In the absence of clear and specific guidance, the Navy and SOCOM have set their own thresholds. By contrast, the Army set a threshold but does not enforce it and the limits for Air Force and Marine Corps service members are unclear. Unless DOD ensures that perstempo thresholds are established and followed across the department in specific and measurable terms, DOD will be unable to judge when individual service members are spending too much time away from home. Second, perstempo data are unreliable across the department\u2014primarily because they are incomplete\u2014but high perstempo is affecting tens of thousands of personnel. For example, available data indicate that at least 51,000 active duty personnel spent more than 7 months per year away from home in fiscal year 2016, and the number may be considerably higher. Incomplete perstempo data are a persistent problem that continues to hamper efforts to oversee the impact of time on duty away from home on individual service members. Until DOD and the military services take steps to emphasize the collection of complete and reliable perstempo data, DOD will be limited in its ability to oversee the time its personnel are spending away from home or gauge the stress on the force."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to DOD.", "The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness, in conjunction with the Secretaries of the Army, the Navy, and the Air Force; the Commandant of the Marine Corps; and the Commanding General of SOCOM, clarify its guidance on perstempo thresholds as long as the statutory thresholds are waived by either establishing specific and measurable department-wide perstempo thresholds in DOD policy or ensuring that the Army, the Air Force, and the Marine Corps establish and follow their own service-specific guidance on thresholds. (Recommendation 1)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness, in conjunction with the Secretaries of the Army, the Navy, and the Air Force; the Commandant of the Marine Corps; and the Commanding General of SOCOM, take steps to emphasize the collection of complete and reliable perstempo data so that DOD, the services, and SOCOM can monitor perstempo. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, DOD concurred with our two recommendations. DOD separately provided technical comments, which we incorporated as appropriate. DOD\u2019s written comments are reprinted in their entirety in appendix I.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Under Secretary of Defense for Personnel and Readiness; the Secretaries of the Air Force, the Army, and the Navy; the Commandant of the Marine Corps; and the Commanding General of SOCOM. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3489 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["John H. Pendleton, (202) 512-3489 or pendletonj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Patricia Lentini, Assistant Director; Suellen Foth; Mae Jones; James P. Klein; Amie Lesser; Ricardo Marquez; Shari Nikoo; Joshua Parr; and Michael Silver made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Affecting the Fleet. GAO-17-809T. Washington D.C.: September 19, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet. GAO-17-798T. Washington, D.C.: September 7, 2017.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: September 19, 2016.", "Special Operations Forces: Opportunities Exist to Improve Transparency of Funding and Assess Potential to Lessen Some Deployments. GAO-15-571. Washington, D.C.: July 16, 2015.", "Military Personnel: DOD Lacks Reliable Perstempo Data and Needs Quality Controls to Improve Data Accuracy. GAO-07-780. Washington, D.C.: July 17, 2007.", "Military Readiness: A Clear Policy Is Needed to Guide Management of Frequently Deployed Units. NSIAD-96-105. Washington, D.C.: April 8, 1996."], "subsections": []}], "fastfact": []} {"id": "GAO-18-494", "url": "https://www.gao.gov/products/GAO-18-494", "title": "Committee on Foreign Investment in the United States: Action Needed to Address Evolving National Security Concerns Facing the Department of Defense", "published_date": "2018-07-10T00:00:00", "released_date": "2018-07-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Foreign acquisitions of U.S. companies can pose challenges for the U.S. government as it balances the economic benefits of foreign direct investment with the need to protect national security. CFIUS is an interagency group, led by Treasury, that reviews certain transactions\u2014foreign acquisitions or mergers of U.S. businesses\u2014to determine their effect on U.S. national security and whether the transaction may proceed.", "GAO was asked to review DOD's ability, as a member of CFIUS, to address defense issues. This report assesses factors, if any, that affect DOD's ability to identify and address national security concerns through the CFIUS process, among other objectives. GAO analyzed data on DOD co-led transactions from January 2012 through December 2017, the most recent data available. GAO also interviewed DOD and Treasury officials and reviewed documentation to identify DOD's CFIUS processes, resources, and responsibilities and selected a non-generalizable sample of nine DOD component reviewers, based on their participation in the CFIUS process."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) faces challenges identifying and addressing evolving national security concerns posed by some foreign investments in the United States.", "Resources: DOD's Office of Manufacturing and Industrial Base Policy represents the department and coordinates DOD's participation on the Committee on Foreign Investment in the United States (CFIUS). As a committee member, DOD co-leads CFIUS's review and investigation of transactions between foreign acquirers and U.S. businesses where it has expertise. DOD co-led 99 transactions in calendar year 2017, or 57 percent more transactions than it co-led in 2012, while the annual authorized positions increased from 12 to 17 during that same time period. DOD's workload has also been affected by the volume and complexity of the transactions it is responsible for co-leading, in addition to other CFIUS responsibilities, such as identifying transactions that foreign acquirers do not voluntarily file with CFIUS. DOD has taken some steps to address its resource limitations, but has not fully assessed the department-wide resources needed to address its growing workload.", "Emerging Technology and Proximity: DOD officials identified some investments that pose national security concerns from foreign acquirers gaining access to emerging technologies or being in close proximity to critical military locations, which, according to officials, cannot always be addressed through CFIUS because the investments would not result in foreign control of a U.S. business. DOD and Department of the Treasury (Treasury) officials said addressing these investments may require legislative action. DOD is taking steps to identify critical emerging technologies and military locations that should be protected from foreign investment. However, DOD has not fully assessed risks from these types of foreign investment or what additional authorities, if any, may be necessary for it to address them.", "Policy: DOD's CFIUS Instruction does not clearly identify some reviewer responsibilities or processes for identifying transactions that foreign acquirers do not voluntarily file with CFIUS. The policy is also outdated and inconsistent with current practices.", "DOD's CFIUS Instruction and federal internal control standards emphasize the importance of assessing organizational structures, policies, and procedures to respond to risks. Without assessing resources needed to address its CFIUS workload and risks from foreign investment in emerging technologies or in proximity to critical military locations, and ensuring its policies and processes clearly reflect the issues facing the department, DOD is at risk of being unable to respond to evolving national security concerns.", "This is a public version of a sensitive report that GAO issued in April 2018. Information that DOD and Treasury deemed sensitive has been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations, including that DOD assess resources needed to address workload, assess risks from foreign investment in emerging technologies and in close proximity to critical military locations, and update its policies and processes to better reflect the evolving national security concerns facing the department. DOD and Treasury agreed with GAO's recommendations, and have identified some actions to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Foreign acquisitions of U.S. companies can pose challenges for the U.S. government as it balances the economic benefits of foreign direct investment in the United States against the potential that an acquisition may harm national security. The Committee on Foreign Investment in the United States (CFIUS) is responsible for reviewing covered transactions\u2014mergers, acquisitions, or takeovers that could result in foreign control of a U.S. business\u2014and for determining the effect of such transactions on U.S. national security. Following its review of a covered transaction, the committee may draft mitigation agreement measures to address any threats to national security posed by the transaction. If CFIUS concludes national security concerns cannot be mitigated, the committee may elevate the transaction to the President to determine if the transaction should be prohibited or suspended. The committee is chaired by the Secretary of the Treasury and has eight other voting member agencies, including the Department of Defense (DOD). CFIUS\u2019s authority was last updated in 2007 with the passage of the Foreign Investment and National Security Act of 2007, which currently guides the CFIUS process. Among other changes, this legislation formalized agency responsibilities and added additional factors agencies should consider as part of their review. In 2017, bills were introduced in Congress proposing revisions to CFIUS.", "The U. S. economy has historically been the world\u2019s largest recipient of foreign direct investment, receiving $373.4 billion in 2016, according to the Bureau of Economic Analysis. The Bureau also reported that from 2012 to 2016, Chinese foreign direct investment in the United States has almost tripled from $3.6 billion to $10.3 billion. In response to these recent trends in foreign investment, including increasing Chinese investment in U.S. technology companies, members of Congress have raised questions about the effectiveness of the CFIUS process in protecting national security, particularly in protecting DOD\u2019s industrial base and critical technologies from foreign control. In addition, the National Defense Authorization Act for Fiscal Year 2018 required the development of a plan and recommendations to improve the effectiveness of the interagency vetting of foreign investments that could potentially impair the national security of the United States. Ensuring the effective protection of technologies critical to U.S. national security interests has been on GAO\u2019s High-Risk List since 2007. Our body of work in this area has identified progress in improving the effectiveness of the programs designed to protect technologies critical to U.S. national security interests, but government-wide challenges remain, including the need to address weaknesses in individual programs and fully implement export control reform. Further, in February 2018, we reported on CFIUS workload and staffing as well as views on potential changes to CFIUS.", "You asked us to review DOD\u2019s ability, as a member of CFIUS, to address defense issues. This report assesses factors, if any, that affect DOD\u2019s ability to (1) identify and address national security concerns through the CFIUS process, and (2) develop and monitor mitigation agreements through the CFIUS process.", "This report is a public version of a sensitive report that we issued on April 5, 2018. DOD and the Department of the Treasury (Treasury) deemed some of the information in our April report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information related to (1) DOD\u2019s resources to perform certain CFIUS functions, like monitoring mitigation agreements and identifying non- notified transactions; (2) the availability of location information as part of notices that companies file with CFIUS; and (3) the resources and communication required between DOD and the components to develop and monitor mitigation agreements through the CFIUS process. Although the information provided in this report is more limited, this report addresses the same objectives and uses the same methodology as the sensitive report.", "To assess what factors, if any, affect DOD\u2019s ability to identify and address national security concerns through the CFIUS process, we reviewed relevant documentation, including: CFIUS-related laws and regulations; DOD policies and guidance; and DOD and CFIUS internal reports. While there are other mechanisms that address national security concerns, including export controls such as the International Traffic in Arms Regulations and Export Administration Regulations, our review focused on DOD\u2019s responsibilities, processes, and challenges addressing national security concerns as a member of CFIUS. To assess DOD\u2019s efforts to identify and address national security concerns it identified, we analyzed data on transactions that DOD was responsible for co-leading from January 1, 2012 through December 31, 2017, the most recent data available. Based on information on the collection and management of Department of the Treasury (Treasury) and DOD transaction data, our review of related documentation, and interviews with relevant Treasury and DOD officials, we determined that these data were sufficiently reliable for our purposes. We also interviewed officials at Treasury, the Office of Manufacturing and Industrial Base Policy (MIBP)\u2014the DOD office responsible for coordinating the CFIUS process within the department\u2014 and selected DOD component reviewers to discuss DOD\u2019s CFIUS workload and resources. In this report, we define resources as the authorized positions, assigned personnel, and personnel performing contract services related to CFIUS functions, and CFIUS-related costs. We also discussed with these officials any limitations to addressing certain national security concerns through the CFIUS process, and guidance for conducting CFIUS reviews and identifying transactions not voluntarily filed with the committee\u2014known as non-notified transactions.", "We selected a non-generalizable sample of nine DOD component reviewers based primarily on their responsibilities for reviewing transactions for key issues relevant to DOD, including concerns with foreign investment in critical and emerging technologies and in proximity to critical military locations. To obtain a range of views, we also solicited MIBP\u2019s recommendations to identify components with varying levels of participation and input into the CFIUS process. We obtained responses from each component about similarities and differences in their CFIUS processes and any challenges they face identifying and addressing national security concerns. Findings based on information collected from the nine components cannot be generalized to all components.", "To assess what factors, if any, affect DOD\u2019s ability to develop and monitor mitigation agreements through the CFIUS process, we reviewed CFIUS- related laws and regulations and DOD policies and guidance to identify DOD and its components\u2019 responsibilities and processes for developing and monitoring compliance with mitigation agreements. To identify actions DOD has taken to mitigate national security concerns, we analyzed data from January 1, 2012 through December 31, 2017, the most recent data available, to determine the number of mitigation agreements DOD is responsible for, and actions DOD has taken to monitor these agreements. Based on information on the collection and management of Treasury and DOD CFIUS mitigation agreement data, our review of related documentation, and interviews with relevant Treasury and DOD officials, we determined that these data were sufficiently reliable for our purposes. We interviewed officials at Treasury, MIBP, and DOD components\u2014including those identified as part of our non-generalizable sample\u2014to identify any challenges they face developing and enforcing mitigation agreements. To provide illustrative examples of the types of measures included in CFIUS mitigation agreements, we reviewed all of the active mitigation agreements from one component with responsibilities for monitoring mitigation agreements involving proximity issues. These agreements are not generalizable to other components. Appendix II provides more information about our overall scope and methodology.", "The performance audit upon which this report is based was conducted from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD and Treasury from April 2018 to July 2018 to prepare this unclassified version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["CFIUS was established by executive order in 1975 to monitor the effect of and to coordinate U.S. policy on foreign investment in the United States. In 1988, Congress enacted the Exon-Florio amendment adding section 721 to the Defense Production Act of 1950, which authorized the President to investigate the effect of certain foreign acquisitions of U.S. companies on national security and to suspend or prohibit acquisitions that might threaten to impair national security. The President delegated this investigative authority to CFIUS. The Foreign Investment and National Security Act of 2007 further amended the Defense Production Act and formally established CFIUS in statute.", "CFIUS is responsible for reviewing and investigating covered transactions to determine the effects of the transaction on national security. The Foreign Investment and National Security Act of 2007 does not formally define national security, but provides a number of factors for consideration by CFIUS and the President in determining whether a covered transaction poses a national security risk. These factors include the potential national security effects on U.S. critical technologies and whether the transaction could result in the control of a U.S. business by a foreign government (for a full list of factors, see Appendix III). CFIUS may also consider other factors in determining whether a transaction poses a national security risk.", "Chaired by the Secretary of the Treasury, CFIUS includes voting members from the Departments of Commerce, Defense, Energy, State, Justice, and Homeland Security; the Office of the U.S. Trade Representative; and the Office of Science and Technology Policy. Treasury is responsible for a number of tasks. According to Treasury officials, these tasks include coordinating operations of the committee, facilitating information collection from parties involved in the transaction (such as a foreign acquirer and U.S. business owner involved in an acquisition), reviewing and sharing data on mergers and acquisitions with member agencies, and managing CFIUS time frames. Treasury also communicates with the parties on CFIUS\u2019s behalf. The committee generally has three core functions: review and investigate transactions that have been voluntarily submitted\u2014or notified\u2014to the committee by the parties to the transaction and take action as necessary to address potential national security concerns; monitor and enforce compliance with mitigation agreements; and identify transactions of concern that have not been voluntarily notified to CFIUS for review, referred to in this report as non-notified transactions.", "The Foreign Investment and National Security Act of 2007 does not require that parties notify CFIUS of a transaction.", "In examining covered transactions, CFIUS members seek to identify and address, as appropriate, any national security concerns that arise as a result of the transaction. CFIUS reviews notices that have been voluntarily submitted\u2014or notified\u2014to the committee by parties to potentially covered transactions. Notices to CFIUS contain information concerning the nature of the transaction and the parties involved, such as the business activities performed by the U.S. business and any products or services supplied to the U.S. government. After receiving a notice, Treasury drafts an analysis to assess whether the transaction submitted is a covered transaction, meaning whether the transaction could result in foreign control of a U.S. business.", "With limited exceptions, a transaction receives safe harbor\u2014meaning the transaction cannot be reviewed again\u2014when the CFIUS process is completed and the committee has determined that the transaction may proceed. CFIUS does not review every transaction or investment by foreign entities. According to Treasury officials, there are certain transactions by foreign entities that CFIUS does not have the authority to review. These non-covered transactions and investments include the establishment of a business, referred to as a greenfield investment, and acquisitions of assets\u2014such as equipment, intellectual property, or real property\u2014if such assets do not constitute a U.S. business.", "If CFIUS member agencies become aware of a transaction that might be covered that has not been voluntarily notified to the committee and may raise national security considerations, CFIUS may invite the parties to the transaction to submit a notice. CFIUS may choose to unilaterally review any transaction that could be covered. Treasury, DOD, and several other member agencies have processes for identifying non-notified transactions for CFIUS to potentially review."], "subsections": [{"section_title": "CFIUS Process", "paragraphs": ["The CFIUS process for examining transactions that have been notified to the committee is comprised of up to four stages: national security review (30 days), national security investigation (45 days), and presidential action.", "In some cases, before a transaction is accepted and reviewed by CFIUS, Treasury may conduct a pre-notice consultation with parties to a transaction. This is not a required part of the process. For the purposes of this review, we focus on three stages\u2014the national security review, national security investigation, and presidential action.", "For each transaction accepted and reviewed by CFIUS, an agency or agencies with relevant expertise are identified to act as a co-lead with Treasury. Each agency in turn distributes the transaction to various offices within its agency to provide an assessment of the transaction and identify national security risks, which is then provided to CFIUS. For example, the committee may reach consensus that no investigation is required if it is determined that the covered transaction will not impair national security or that the national security concerns are addressed under existing authorities, such as export controls. If these conclusions are reached, the national security review ends, and the transaction proceeds. However, if, for example, an agency identifies an unresolved national security risk, the agency may draft a risk-based analysis and CFIUS may undertake a national security investigation. If during the investigation the committee members reach consensus that a national security risk exists, but the risks can be mitigated, mitigation agreement measures are drafted to address those risks, and these measures are negotiated with the other members of the committee and the parties to the transaction.", "The CFIUS process may conclude after consensus is reached by all agencies and the co-lead agencies certify to members of Congress that there are no unresolved national security concerns, and the transaction receives safe harbor. At the end of the national security investigation, if the committee does not reach consensus that there are no unresolved national security concerns or the committee concludes by consensus that a foreign investment threatens to impair national security and the threat cannot be mitigated, CFIUS elevates the transaction to the President. The President may prohibit or suspend the transaction. At any point prior to the conclusion of the process, parties may request to withdraw from the CFIUS process. In some cases, the notice is resubmitted once the parties believe that they have addressed the committee\u2019s concerns; in other cases, the companies may choose to withdraw and abandon their transaction. See figure 1 for an overview of the CFIUS process for reviewing and investigating selected transactions."], "subsections": []}, {"section_title": "DOD CFIUS Process", "paragraphs": ["DOD Instruction 2000.25, Procedures for Reviewing and Monitoring Transactions Filed with the Committee on Foreign Investment in the United States (DOD\u2019s Instruction), provides policy and guidance on the DOD CFIUS process and assigns responsibilities in that process. In March 2011, DOD\u2019s CFIUS responsibilities were reassigned from the Defense Technology Security Administration to the Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics (OUSD (AT&L)). The transfer of responsibilities, effective in fiscal year 2012, was intended to better align CFIUS\u2019s mission with the DOD office responsible for industrial policy. Within OUSD (AT&L), MIBP serves as the lead office for CFIUS, reviews transactions for DOD equities, and distributes them to more than 30 organizations within DOD\u2014referred to in this report as DOD components \u2014to determine whether the transaction poses any national security concerns. These component reviewers include organizations within the Office of the Secretary of Defense, as well as the military departments, among others. For a full list of DOD component reviewers, see appendix I.", "According to MIBP\u2019s processes, it is responsible for reviewing and compiling comments and input from all DOD component reviewers during the 30-day national security review. When national security concerns with a transaction are identified, MIBP is to coordinate with affected DOD component reviewers to clarify issues and arrive at consensus on the DOD position for the transaction. DOD is typically designated as a co- lead agency for transactions where it has identified equities\u2014such as transactions involving companies that are DOD suppliers\u2014or other potential national security concerns. If no national security concerns are identified by DOD, MIBP will recommend that the transaction proceed.", "However, if national security concerns are identified by DOD and the committee requires additional time to complete its review, DOD recommends that the transaction proceed to a 45-day national security investigation period. During this period, MIBP coordinates with DOD component reviewers to draft and deliver a risk-based analysis to Treasury within the statutory investigation time frame. The assessment provides a description of the risk\u2014in terms of threat, vulnerability, and consequence\u2014arising from the covered transaction. If the risks can be addressed, DOD develops measures to be included in the mitigation agreement that it is then responsible for monitoring and enforcing as a signatory agency to the mitigation agreement.", "DOD guidance identifies three basic types of mitigation measures: 1. Technical mitigation measures, which seek to address risks related to vulnerabilities or critical assets with sensitive source codes, cutting- edge technologies, and communications infrastructure. 2. Personnel mitigation measures, which seek to address risks arising from foreign personnel having access to sensitive technology or other critical assets. 3. Management control mitigation measures, which seek to oversee companies\u2019 ongoing implementation of mitigation agreements related to technical or personnel mitigation measures.", "DOD, along with other lead agencies, carries out its monitoring responsibilities on behalf of the committee and reports back to the committee on the status of their responsibilities and company compliance on at least a quarterly basis. DOD\u2019s Instruction requires the identification of feasible measures to mitigate or eliminate the risks posed by a transaction and emphasizes that adequate resources, in terms of personnel and budget, should be provided to DOD and the components for monitoring and ensuring compliance with mitigation agreements."], "subsections": []}, {"section_title": "Our Prior Work on CFIUS", "paragraphs": ["We have conducted prior work related to CFIUS issues, including whether CFIUS has the resources to address its current workload and whether CFIUS is able to address national security concerns related to the proximity of certain real estate transactions to defense test and training ranges.", "In February 2018, we reported on CFIUS workload and staffing as well as stakeholder perspectives on potential changes to CFIUS. We found that as the volume and complexity of CFIUS reviews have increased in recent years, member agency officials have expressed concerns that current CFIUS staffing levels may not be adequate to complete core functions of the committee. We recommended that Treasury should coordinate member agencies\u2019 efforts to better understand the staffing levels needed to address the current and projected CFIUS workload associated with core committee functions. Treasury agreed with our recommendation.", "In December 2014, in reviewing DOD\u2019s assessment of foreign encroachment risks on federally managed land, we found that DOD did not have the information it needed to determine whether activities by foreign entities near test and training ranges, such as performing certain sensitive training techniques, could pose a threat to its mission. We also reported that CFIUS is the only formal option in regard to transactions involving foreign companies or entities that accounts for national security concerns related to proximity to military test and training ranges. We recommended that DOD develop and implement guidance for conducting an assessment of risks to test and training ranges from foreign encroachment. We also recommended that DOD collaborate with other federal agencies managing land and transactions adjacent to DOD\u2019s test and training ranges to obtain additional information on transactions near these ranges. DOD agreed with our recommendations and has begun collecting data to identify locations the military services consider to be at risk from foreign encroachment and collaborating with federal land management agencies, as discussed later in the report."], "subsections": []}]}, {"section_title": "Resources and Evolving National Security Risks Pose Challenges for Identifying and Addressing DOD\u2019s Concerns through the CFIUS Process", "paragraphs": ["DOD has reviewed hundreds of transactions involving foreign acquirers and U.S. businesses since 2012, but faces several challenges in identifying and addressing national security concerns through the CFIUS process. These challenges are: (1) resources not aligned with an increasing workload; (2) some national security concerns not defined or addressed in DOD\u2019s Instruction; (3) some investments that pose national security concerns not always able to be addressed through the CFIUS process; and (4) current component reviewer responsibilities and CFIUS processes not reflected in DOD\u2019s Instruction."], "subsections": [{"section_title": "DOD Has Not Assessed Resources to Address a Substantially Increased CFIUS Workload", "paragraphs": ["DOD faces challenges addressing an increasing CFIUS workload with its current resources. For example, we found that the number of DOD personnel with CFIUS responsibilities has not kept pace with the growing workload. The number of transactions CFIUS reviewed from 2012 through 2017 more than doubled, increasing from 114 transactions to 238 transactions. During that time, the number of transactions DOD was responsible for co-leading increased by about 57 percent, to 99 transactions in calendar year 2017. From 2016 through 2017 alone, these increases resulted in DOD reviewing almost 65 additional transactions, and co-leading about 30 additional transactions, a substantial increase in workload in one year. DOD also experienced an increase in the cumulative number of mitigation agreements it was responsible for monitoring, more than doubling from 39 in 2012 to 84 in 2017. Figure 2 provides additional information on DOD\u2019s workload and authorized positions in MIBP\u2014the lead DOD office for CFIUS.", "Based on our review of data on transactions reviewed by CFIUS, DOD\u2019s workload has also been affected by the volume and amount of time spent on the transactions it has reviewed. We found almost half of DOD\u2019s co-led transactions from 2015 through 2016\u201483 of 136 transactions, or 61 percent\u2014required 45-day national security investigations. According to Treasury officials, the number of transactions requiring national security investigations increases member agencies\u2019 workload because these transactions are usually more complex and require additional resources to review. Further, 9 DOD co-led transactions from 2015 through 2016 were withdrawn and resubmitted to CFIUS, and another 7 were withdrawn and abandoned because of national security concerns or because the committee was going to recommend that the transaction be prohibited. MIBP officials told us that withdrawn and resubmitted or withdrawn and abandoned transactions indicate the complexity of their workload, because a significant number of hours are spent either reviewing resubmitted transactions or justifying the committee\u2019s decision to prohibit the transactions. Moreover, MIBP officials said that depending on the scope and complexity of the national security concerns identified within a transaction, they have had to redirect resources from other functions to support their review responsibilities. As a result, the official said there have been instances where MIBP has had to shift priorities and delay performing other CFIUS tasks in order to assist with reviewing high priority transactions.", "In addition to reviewing transactions, as a co-lead agency, DOD is also responsible for negotiating any mitigation agreements or other conditions necessary to protect national security, and monitoring compliance with those agreements or conditions. However, according to DOD officials and documents we reviewed, there are limited resources within MIBP and at the DOD component level to do so. For example, MIBP officials said that the volume and complexity of mitigation agreements have increased their workload monitoring these agreements and strained their available resources. Specific details on the effect of mitigation agreement workload increases on MIBP\u2019s resources have been omitted because that information is considered sensitive.", "In addition, MIBP officials stated that because mitigation agreements typically do not expire, the number of agreements MIBP will be responsible for monitoring will continue to increase in the future. For example, based on our review of MIBP mitigation agreement information, 6 transactions with active mitigation agreements that MIBP is monitoring have been in place for 10 years or more.", "We also found that MIBP has limited personnel available to identify transactions not voluntarily filed with CFIUS\u2014non-notified transactions\u2014 that could pose national security concerns. In the absence of voluntary reporting by the parties involved or independent discovery of the transaction, it is possible that CFIUS may not review a non-notified covered transaction that could pose a risk to national security. To address this concern, MIBP officials began efforts to identify and research non- notified transactions in fiscal year 2016 and, at one point, had up to four personnel involved in this effort. However, according to MIBP officials, three of those personnel were reassigned to help conduct reviews of notified transactions, leaving one person responsible for identifying and researching non-notified transactions relevant to DOD. Specific details on the effect of limited personnel on MIBP\u2019s ability to identify non-notified transactions have been omitted because the information is considered sensitive.", "To perform its CFIUS responsibilities, OUSD (AT&L) began receiving some funding for CFIUS in fiscal year 2014\u2014on average about $2.4 million dollars a year. However, according to an MIBP official, the funding MIBP receives for CFIUS is typically received after other priorities within OUSD (AT&L) have been addressed. Further, OUSD (AT&L)\u2019s funding does not include CFIUS responsibilities being performed by the other DOD components, which according to MIBP officials do not typically have their own resources for performing CFIUS responsibilities. Among the components we spoke with, the amount of time and personnel dedicated to CFIUS responsibilities varies greatly. According to these components, the amount of time and personnel reviewing transactions ranged from one person dedicating a few hours a month at one component, to a full-time responsibility for six personnel at another component. However, most of the components we spoke with said that CFIUS is a part-time responsibility, and only four of the nine components we spoke with had dedicated personnel to support CFIUS responsibilities. MIBP officials confirmed that the components often have limited personnel and funding to perform CFIUS responsibilities, which can affect the level of involvement components have in reviewing transactions, monitoring mitigation agreements, and researching the non-notified transactions.", "Recognizing the resource constraints posed by its increased workload, MIBP has taken some steps to assess and adjust its CFIUS resources. For example, MIBP received an increase in its authorized positions in fiscal years 2016 and 2017. Specifically, authorized positions increased from 12 to 17, and according to MIBP officials, 16 of the 17 positions were filled as of October 2017. In January 2017, MIBP requested that component reviewers estimate their CFIUS resource needs to address increases in CFIUS workload. According to an MIBP official, this information was used to support a fiscal year 2019 request for additional funding and personnel to perform CFIUS responsibilities department- wide, and for funding to further develop information technology solutions for managing DOD\u2019s CFIUS process. However, MIBP officials told us their request was only partially funded by the department, and that MIBP would have to determine how to distribute the funding received across the various components to perform its CFIUS responsibilities.", "DOD\u2019s Instruction states that DOD components shall ensure that adequate resources, in terms of personnel and budget, are available for statutorily required mitigation agreement monitoring and compliance activities. Moreover, federal internal control standards state an agency should establish the organizational structure necessary to achieve its objectives and periodically reevaluate this structure. In this case, this includes the resources needed to accomplish CFIUS responsibilities, such as monitoring mitigation agreements and identifying non-notified transactions. However, according to an MIBP official, prior increases in authorized positions were not added based on any formal review or analysis of resource needs or capability gaps. While MIBP has taken some steps to address its resource limitations, MIBP and some other DOD component officials we spoke with who have CFIUS responsibilities continue to face resource constraints to address their growing workload. Even after receiving approval for some additional funding across DOD to support CFIUS responsibilities, DOD\u2019s resource limitations could be further exacerbated if the number of transactions continues to increase. Without a formal analysis to assess and prioritize the resources necessary for performing its current and future CFIUS responsibilities, DOD will likely face challenges carrying out the duties and responsibilities outlined in its CFIUS policy. In addition to keeping up with the workload involved in reviewing notified transactions, the risks include not knowing whether violations of mitigation agreements or non-notified transactions are occurring that could pose risks to national security."], "subsections": []}, {"section_title": "National Security Concerns for Some Investments Are Not Well- Defined in DOD Policy", "paragraphs": ["DOD faces evolving national security concerns from foreign investments in U.S. businesses developing emerging technologies and in proximity to critical military locations, but there are inconsistencies in how DOD is reviewing these investments. DOD\u2019s Instruction identifies factors to assess relevant to DOD national security interests, such as whether a firm produces critical technologies or unique defense capabilities, or whether a company being acquired is part of DOD critical infrastructure that is essential to project, support, or sustain military forces. However, DOD\u2019s Instruction does not address the extent to which emerging technologies and proximity to critical military locations are considered under these factors, or whether and how components should review and prioritize transactions for these concerns.", "Emerging Technology: Officials at several of the DOD components we spoke with identified challenges addressing concerns related to emerging technology, such as artificial intelligence and robotics, through the CFIUS process and varied as to whether they elevate concerns with transactions involving emerging technology. For example, officials at four components said that it can be difficult to explain the risks associated with foreign investment in U.S. businesses developing emerging technologies, particularly if the technology in question is not already being used in a defense program or not being acquired through a traditional merger or acquisition. Officials from another component noted that it can be difficult to identify vulnerabilities and explain the need to protect early stage technologies through the CFIUS process if the technology is not advanced enough. DOD\u2019s Instruction defines critical technologies based in part on those items that are already subject to export controls, but does not specify the types of emerging technologies that could be of concern for the department. Officials at several components noted that it can be difficult for them to identify which emerging technologies are going to be important to DOD to know whether transactions should be mitigated or prohibited. DOD has several lists identifying critical technologies or assets, but does not have an agreed-upon list of emerging technologies that should be protected from foreign investment, making it difficult for components to know which emerging technologies are of concern to the department.", "A recent DOD report noted that having an agreed-upon list of critical technologies would provide clarity on which transactions reviewed by CFIUS should be prohibited or suspended. According to MIBP officials, they recently initiated a study to identify leading companies and technology areas critical to the department now and in the future. They intend for the study, planned to be completed in spring of 2018, to identify critical and emerging technology sectors and companies not currently included in the defense industrial base. According to DOD officials knowledgeable of the study, MIBP plans to use the results to work with the department\u2019s Office of Small Business and others on ways to use internal DOD resources to protect emerging technologies and intellectual property that are critical to DOD before they are subject to foreign investment. However, officials did not state how the study would help them address emerging technology through CFIUS-related reviews or whether the results of the study would inform changes to DOD\u2019s Instruction or otherwise be used to help guide components on which emerging technologies are critical to the department.", "Proximity: Each of the military departments varies in how it reviews transactions for proximity to critical military locations. According to DOD reports, transactions near certain military locations can present encroachment issues or opportunities for persistent surveillance and collection of sensitive information of training procedures or of the integration of certain technological capabilities into major weapon systems. When asked about how transactions are reviewed for proximity concerns, MIBP officials said they defer to the military departments to identify what constitutes a concern and do not limit proximity to certain locations. Moreover, MIBP officials stated that depending on the transaction, proximity concerns can arise regardless of distance to a critical location, and that the circumstances surrounding a transaction should be reviewed on a case-by-case basis to account for those concerns.", "Proximity is not defined in the current DOD Instruction or listed as a factor that the military departments should consider when reviewing transactions. Officials from two of the military departments we spoke with review every transaction on a case-by-case basis for proximity concerns. According to documentation from the third department, it limits its reviews to acquiring companies from certain countries and only assesses those transactions for proximity concerns if the target location is within a certain distance of designated critical locations or assets. These different approaches for reviewing transactions have resulted in inconsistencies among the military departments in the types of proximity concerns they elevate to CFIUS. For example, in one transaction, we found that officials from the third military department recognized a concern near a training range used by all three military departments. While the transaction was ultimately withdrawn because CFIUS planned to recommend that the President prohibit or suspend the transaction, the third department did not identify a national security risk because it did not meet its criteria. Officials from this military department stated that greater clarification on the types of proximity concerns DOD wants to elevate through the CFIUS process, as well as criteria that component reviewers should use to identify risks, would be helpful.", "Our prior work has identified challenges DOD faces in identifying risks to foreign encroachment near defense training ranges. In a December 2014 report, we recommended that DOD develop and implement guidance for assessing risks to certain test and training ranges from foreign encroachment based on mission criticalities and level of threat. According to DOD officials, they recently conducted a data call to the military departments to identify the locations that they consider to be at risk from foreign encroachment. DOD plans to use this information to develop guidance, not related to the CFIUS process, to assess the risks that test and training ranges face from foreign encroachment.", "Federal internal control standards state that agencies should clearly define objectives and risk tolerances; identify, analyze, and respond to risks, and communicate necessary information to achieve their objectives. DOD is taking steps to identify and assess areas of concern related to emerging technology and proximity, but these efforts are not specific to the CFIUS process and have not yet been completed or communicated to components through DOD\u2019s Instruction, or otherwise. As a result, the components lack clear and consistent guidance on how to review transactions for these specific types of national security concerns facing the department. Without clarity on the types of transactions and national security risks that should be addressed, for example by incorporating the results of its efforts into DOD\u2019s Instruction, component reviewers will likely continue to be inconsistent in reviewing transactions and identifying and prioritizing national security concerns."], "subsections": []}, {"section_title": "DOD Has Identified Some Investments That Present National Security Concerns but Are Not Addressed through the CFIUS Process", "paragraphs": ["In addition to challenges identifying certain national security concerns within DOD, CFIUS officials at Treasury and DOD indicated that national security concerns for some foreign investments\u2014such as those related to critical and emerging technologies and proximity to certain military locations\u2014can arise that the committee does not have the authority to review. For example, pursuant to CFIUS regulations, the purchase of property that does not constitute a U.S. business by a foreign person or the licensing of emerging intellectual property to a foreign person are not covered transactions and therefore not addressed through the CFIUS process. As shown in figure 3, while some foreign investments that may result in national security concerns related to critical and emerging technology and proximity are addressed through the CFIUS process, others are not. According to DOD reports, CFIUS is one of the only tools able to address foreign investment in the United States, but is limited in its ability to address some investments in emerging technology and in proximity to military locations. Without the ability to address national security concerns arising from these investments, DOD is at risk of losing access to technologies, assets, and locations critical to maintaining and advancing U.S. technological superiority.", "A June 2017 DOD report found that although CFIUS is one of the only tools available to address technology transfers as a result of foreign investment, it is not effective at stopping technology transfer for investments that are not addressed through the CFIUS process, like certain joint ventures and other minority investments that do not result in foreign control. However, according to DOD documents and officials, these investments can result in technology transfers that threaten U.S. national security. For example, according to the DOD report, Chinese investors have been active in emerging technology sectors like artificial intelligence, augmented and virtual reality, and robotics, and Chinese investment in venture-backed start-ups is on the rise. The report also found that China\u2019s continued foreign investment in critical emerging technology companies may have consequences for DOD\u2019s ability to work with these companies in the future and its ability to maintain U.S. technological superiority.", "DOD officials cited concerns with their inability to address certain investments through the CFIUS process that can result in technology transfers or limit DOD access to emerging technologies. For example, DOD officials from three components cited instances when companies entered into joint ventures or other investment structures after withdrawing their transaction from the CFIUS process. A DOD official at one component cited a 2016 transaction where CFIUS planned to recommend that the President prohibit the transaction to prevent the transfer of a critical technology from a U.S. company to a foreign acquirer. Following the companies\u2019 subsequent withdrawal from the CFIUS process, they entered into a joint venture. While CFIUS is aware of the joint venture and that it could result in the same transfer of technology CFIUS attempted to prevent by proposing to prohibit the original transaction, the committee has not yet determined whether it can be addressed through the CFIUS process because CFIUS is only able to review certain types of joint ventures. According to Treasury officials, when these circumstances arise they are sometimes able to review the joint venture, depending on the structure of the investment and whether it meets the definition of a covered transaction pursuant to law and associated regulations. Yet, even if this joint venture is ultimately reviewed as a covered transaction, the technology that DOD and CFIUS were originally concerned with may have already been transferred to the foreign acquirer.", "DOD and Treasury officials also identified concerns with broader foreign investment trends in critical and emerging technology that may not be addressed through the CFIUS process. For example, according to MIBP officials, they are concerned about foreign-owned enterprises exploiting critical technologies by structuring investments to avoid the CFIUS process, and noted that multiple investment structures exist that can allow foreign acquirers to gain access and influence over critical capabilities. DOD and Treasury officials acknowledged the importance of critical and emerging technologies and the consequences to DOD\u2019s technological superiority if adversaries are able to use these technologies to advance their own military capabilities. According to Treasury officials, determining whether and how CFIUS should expand its scope to address these concerns is one of the challenges they have encountered when they have considered potential legislative changes to the CFIUS process. For example, they said that if the scope of the law was expanded, it could pose additional resource challenges, as CFIUS agencies would be required to review an expanded number of potentially complex transactions.", "According to federal internal control standards, agencies should identify, analyze, and respond to significant changes that could affect their operations. As noted earlier, DOD is in the process of identifying emerging technologies that will be essential to the defense industrial base, an important step towards informing future decision-making within the department. However, according to MIBP officials, the study will primarily be focused on identifying specific technology companies of importance to the department. As noted earlier, the study is not specific to CFIUS, and as a result plans for the study do not indicate that it will identify and assess other limitations facing MIBP, like those encountered addressing certain types of foreign investments that are not addressed through the CFIUS process but that pose risks to DOD\u2019s technological and military superiority. Given the importance of critical and emerging technology to DOD, assessing any challenges DOD faces addressing certain foreign investments in critical and emerging technologies through the CFIUS process, and considering whether additional authority is needed, would better position DOD to address any unresolved national security concerns associated with these types of foreign investments. Without such an assessment, DOD remains at risk of not having the necessary tools and authorities to prevent the transfer of critical and emerging technologies to foreign acquirers, which is important for maintaining a viable defense industrial base and U.S. technological superiority."], "subsections": [{"section_title": "Some Foreign Investments Not Addressed through CFIUS Process Pose Proximity Concerns near Critical Military Locations", "paragraphs": ["Some proximity concerns near critical military locations can be addressed by CFIUS, but DOD also identified challenges addressing proximity concerns with investments that are not able to be addressed through the CFIUS process. For example, the establishment of businesses (which may include land purchases) in the United States that do not include an existing U.S. business\u2014referred to as greenfield investments\u2014are not considered covered transactions, but can pose proximity concerns when near certain military locations. Officials at MIBP and several other components expressed concerns with their inability to address proximity concerns arising from these investments, which can pose significant national security risks and limit DOD\u2019s ability to perform necessary test and training activities. We identified at least two greenfield investments that have occurred since 2016 that have posed proximity concerns near critical military locations, and were not able to be addressed through the CFIUS process.", "One investment involving a purchase of land presented risks due to its proximity to an Air Force base. According to DOD\u2019s Report to Congress 2017 Sustainable Ranges, the investment involved a U.S. company with substantial foreign financing, potentially subjecting training range missions performed at the base to persistent monitoring by a foreign government. According to officials, although the Air Force identified concerns with the investment, because it did not result in foreign control of a U.S. business, it was determined to not be a covered transaction.", "Officials from another military department identified an investment that was not voluntarily filed with CFIUS and posed proximity issues near a training range. According to military department officials, the investment involved the same foreign acquirer that had been a source of concern in other voluntarily filed CFIUS transactions. The military department elevated its concerns to CFIUS through the non-notified process, but, according to officials, Treasury ultimately determined that it was not a covered transaction because there was no foreign control over a U.S. business. Moreover, because the investment was already completed, the company had started construction that threatened to encroach upon a training range that is one of only two in the country available to perform certain types of training. Military department officials said it was too soon to determine the effect that this investment would have on their ability to perform training, but emphasized the criticality of protecting unique testing and training range spaces.", "Our prior work on defense training ranges also identified limitations DOD faces in addressing proximity and encroachment concerns from foreign investment. For example, we found in 2014 that officials from the Navy and Air Force, in particular, had concerns about the number of investment-related projects by foreign entities near their ranges (such as leases for mining or oil or natural gas exploration), which could pose potential security risks. However, we reported that DOD does not have access to the information needed to determine whether foreign investment activities near testing and training ranges pose a threat because other civilian federal agencies, such as the Departments of Interior and Transportation, that are responsible for approving these transactions face legal, regulatory, or resource challenges that prevent them from collecting information unrelated to their missions. We found that, although DOD has had some success obtaining information on foreign investment near test and training ranges, these efforts have been based on informal coordination between military liaisons at certain bases and local Department of Interior representatives. In addition to our recommendation that DOD develop and implement guidance for assessing risks to certain test and training ranges from foreign encroachment, we recommended that DOD collaborate with these other federal agencies to gather additional information needed for transactions in proximity to DOD test and training ranges, and seek legislative relief if needed. DOD concurred with our recommendations and has taken some steps to address them. For example, as noted earlier, DOD is in the process of developing guidance to assess risks to test and training ranges based on its identification of locations it considers to be at risk from foreign encroachment. According to DOD officials, they have also drafted legislative proposals to address limitations to their ability to gather information from the land management agencies on foreign investments in proximity to critical military locations. According to DOD officials, these proposals have not been submitted to Congress due to concerns raised by the federal land management agencies, but DOD continues to explore the possibility of legislative action to address these concerns.", "We also reported that DOD uses multiple methods, in coordination with other federal agencies, to identify potential business activities near DOD test and training ranges. But CFIUS is the only formal option in regard to transactions involving foreign companies or entities that accounts for national security concerns. A 2015 DOD report to Congress on security risks related to foreign investment in the United States found that there are no authorities in the current federal land management framework that would require federal land management agencies to prevent a transaction from occurring if DOD identified a national security concern. The report further states that CFIUS and the Foreign Investment and National Security Act of 2007 are the only federal authorities available to DOD to assess national security risks posed by foreign investment in the vicinity of critical military locations, like DOD training and test ranges, but that the CFIUS process is not intended to address such national security risks. While CFIUS is able to address proximity concerns that arise through covered transactions, DOD has reported that it has limited ability to identify, assess, and mitigate national security concerns for investments that are not considered covered transactions through CFIUS, such as greenfield investments. However, DOD\u2019s report does not identify, assess, or make recommendations about what additional DOD authority, if any, would be necessary to address these concerns, and as noted earlier, DOD\u2019s efforts to develop and implement guidance based on its identification of locations that they consider to be at risk from foreign encroachment are still in progress.", "According to federal internal control standards, agencies should establish policies and procedures to respond to risks; and identify, analyze, and respond to significant changes that could affect their operations. DOD is in the process of identifying locations it considers to be at risk from foreign encroachment, which can eventually be used to inform its review of foreign investments for proximity concerns, but DOD states that it is currently unable to address concerns related to greenfield investments through the CFIUS process because they are not considered covered transactions. Moreover, DOD reported that CFIUS is not a DOD-led process, and DOD is just one of nine member agencies. Members of Congress have recently proposed legislation that would expand the definition of covered transactions to include foreign acquisitions or leases of real estate in proximity to U.S. military locations, but the legislation is pending. Taking additional steps to assess what authority, if any, is needed to address foreign investment in proximity to certain critical military locations and raising these concerns to Congress, as necessary, would better position DOD to address its concerns. Until DOD completes efforts to develop and implement guidance assessing risks to critical locations that should be protected from foreign encroachment, and assesses what authority, if any, is necessary to independently address concerns with investments near these areas, it remains at risk of not protecting these locations from the national security risks posed by foreign adversaries."], "subsections": []}, {"section_title": "Detailed Location Information Not Included in Notices Submitted to CFIUS", "paragraphs": ["Detailed location information is not always included in notices submitted to CFIUS, which can affect DOD\u2019s ability to review transactions for their proximity to critical military locations. Some CFIUS transactions can involve numerous properties or locations, and information on the geographic coordinates of these locations is used by MIBP and the components when determining if there could be national security concerns with a transaction. Specific details on the use of geographic coordinates to identify whether a transaction may pose proximity concerns near critical military locations have been omitted because the information is sensitive.", "According to Treasury officials, DOD often requests geographic coordinates once a notice is submitted, and Treasury officials said they have attempted to gather more detailed location information as part of notices. However, officials at one military department said that while there have been improvements in the availability of this information in notices, there are still some companies that do not include the geographic coordinate information. Treasury officials stated that CFIUS has the authority to require this information from companies and has considered revising its regulations to require this information. However, Treasury has not yet done so. Federal internal control standards state that agencies should establish policies and procedures to respond to risk and use quality information to achieve its objectives. Requiring information on geographic coordinates for all target locations in notices submitted to CFIUS will improve DOD\u2019s ability to more efficiently identify and address proximity concerns with covered transactions."], "subsections": []}]}, {"section_title": "DOD Has Not Updated Policy to Reflect Changes in Components\u2019 Review Responsibilities and Processes", "paragraphs": ["DOD\u2019s Instruction identifies CFIUS-related responsibilities and processes for reviewing transactions, but that policy has not been updated to reflect current component reviewer roles and responsibilities or processes for addressing non-notified transactions that may pose national security concerns for the department. The current DOD Instruction was issued in 2010\u2014prior to the transfer of CFIUS responsibilities from the Defense Technology Security Administration to MIBP\u2014but has not been updated to reflect the change. Moreover, the Instruction includes a list of the types of information components should provide to request a non-notified transaction be submitted to CFIUS for further action but has no guidance or expectations for whether or how components should identify and research them. In addition to DOD\u2019s Instruction, which is the guiding policy for DOD\u2019s CFIUS procedures, in June 2016, MIBP developed an internal process document describing its process for reviewing CFIUS transactions; developing and monitoring mitigation agreements; and identifying and reviewing non-notified transactions. While MIBP officials said the process document is based on the DOD Instruction and is more up-to-date, it is intended to be an internal reference document for MIBP employees and contractors, and it has not been distributed more broadly to the components involved in reviewing transactions for CFIUS.", "Moreover, the DOD Instruction does not reflect the department\u2019s responsibilities for reviewing transactions. For example, MIBP\u2019s internal process document identifies advisory and primary reviewers who are responsible for providing inputs on transactions. However, based on our review of the DOD Instruction, advisory and primary component responsibilities are not differentiated, and several of the advisory reviewers that are identified in MIBP\u2019s internal process document are not listed as reviewers in the current Instruction. For example, according to DOD documentation and officials, the Assistant Secretary of Defense for Research and Engineering is an advisory reviewer for CFIUS cases and coordinates input from several other reviewers\u2014including the Defense MicroElectronics Activity and Defense Advanced Research Projects Agency\u2014to determine if a transaction involves a critical technology. However, the Assistant Secretary of Defense for Research and Engineering\u2019s responsibilities for coordinating these inputs are not identified in the current DOD Instruction, nor is this office listed as a reviewer. Our review of DOD\u2019s Instruction, internal guidance, and other documentation identified several other discrepancies between component responsibilities identified in the Instruction and what is occurring in practice. For example, the Under Secretary of Defense for Personnel and Readiness, among other things, coordinates with OUSD (AT&L) and the Director of Operational Test and Evaluation on the effects of encroachment on DOD test and training areas. While MIBP officials identified the Office of the Under Secretary of Defense for Personnel and Readiness as a CFIUS reviewer, this office is not identified as a reviewer in the DOD Instruction or internal MIBP process document.", "In addition to not having up-to-date information on reviewer roles and responsibilities, the DOD Instruction does not include guidance on how MIBP and the components should identify and research non-notified transactions that may pose national security concerns. As discussed above, because the CFIUS process is based on voluntary notices submitted by parties to transactions, DOD and Treasury officials stated that it is important to monitor foreign acquisitions of U.S. companies that are not filed with CFIUS to determine if any may present national security concerns. As shown in figure 4, there were approximately 1,680 mergers and acquisitions involving foreign acquisitions of U.S. companies in 2016. While not all foreign acquisitions of U.S companies pose national security concerns that would warrant them being reviewed by CFIUS, DOD officials acknowledged challenges with their ability to identify and research these transactions. Specific details on the challenges DOD faces identifying non-notified transactions have been omitted because the information is considered sensitive.", "In addition to challenges identifying non-notified transactions within MIBP, DOD component reviewers\u2019 awareness of the non-notified transaction process varied across the components that we spoke with, and participation in this part of the process is ad hoc. For example, five of the nine components in our sample said they do not have processes in place to identify transactions that have not been voluntarily filed but present risks to national security that could warrant CFIUS review. Officials from four components we spoke with said they have identified non-notified transactions. However, officials from most other DOD components told us they either are not involved or occasionally review non-notified transactions once MIBP identifies them, and they do not proactively perform non-notified transaction research, in part due to resource constraints.", "Officials from some components were also uncertain about whether they should elevate some non-notified transactions of concern. For example, DOD\u2019s Instruction does not explain when, pursuant to CFIUS regulations, joint ventures are covered transactions. It also does not explain that, even if a non-notified transaction has been completed\u2014meaning a foreign acquirer has already finalized the purchase of a U.S. company\u2014CFIUS can still recommend that the President suspend or prohibit the transaction. Officials from two components said that they are aware of completed joint ventures or other transactions that were of concern but not voluntarily filed, and that they did not elevate them. According to these officials, they assumed the joint ventures would not be covered or that there was nothing CFIUS could do to address their concerns.", "In May 2017, the MIBP official responsible for non-notified transactions began a DOD pilot working group for researching non-notified transactions. According to the official, the working group is intended to leverage component reviewer resources and involve them in performing research on non-notified transactions identified by MIBP. However, as of June 2017, participation in the group was limited to 5 of the more than 30 DOD component reviewers, and its processes for reviewing and distributing transactions are still evolving. While this action represents a positive step towards establishing and formalizing efforts to identify non- notified transactions, MIBP officials expressed concern that their ability to identify transactions that may pose risks is not as developed as they would like it to be. Specific details on MIBP\u2019s ability to identify transactions that may pose risks have been omitted because the information is considered sensitive.", "In contrast to DOD\u2019s limited non-notified guidance, the Department of Homeland Security, another member agency of CFIUS, has guidance for reviewing non-notified transactions in its Instruction for Department of Homeland Security Participation in the Committee on Foreign Investment in the United States. According to the Instruction, each week a digest of non-notified transactions is to be sent to Department of Homeland Security components for review, and selected components are required to provide any concerns with the transaction within 7 days. The Department of Homeland Security then determines whether to prepare a non-notified request to forward the transaction on to CFIUS so that the committee can determine whether the transaction merits further action.", "Federal internal control standards state that agencies should identify and document agency responsibilities and processes in policy, and periodically review and update policies based on changes. According to MIBP officials, they have been revising DOD\u2019s Instruction for over 3 years, and recently began the formal department-wide review process. MIBP officials said they had not released updated guidance to reflect changes in responsibilities and processes sooner because of challenges with employee attrition and leadership changes, which have resulted in multiple rewrites. However, several components we spoke with referenced the need for updated or standardized guidance to inform their CFIUS review responsibilities and the development of their own component-level guidance. It has been over 5 years since MIBP was assigned responsibility for CFIUS, raising questions about the prioritization of CFIUS within the department. Without clear and updated guidance on reviewer responsibilities and established processes and guidance on the identification and review of non-notified transactions, DOD is at risk of inconsistencies in its review of transactions, and it may be unable to address non-notified transactions that pose national security concerns in a timely and efficient manner."], "subsections": []}]}, {"section_title": "DOD Faces Several Challenges Developing and Monitoring CFIUS Mitigation Agreements", "paragraphs": ["As noted above, mitigation agreements address any threats to national security posed by a transaction. DOD is responsible for most of the CFIUS mitigation agreements, but faces a variety of challenges when taking action to mitigate national security concerns and ensure the effectiveness of the agreements. These challenges relate to insufficient personnel resources compared to MIBP\u2019s workload, and unclear communication about the delineation of responsibilities between MIBP and the DOD components. Moreover, DOD has not reported to Congress on its responsibilities for monitoring and enforcing mitigation agreements."], "subsections": [{"section_title": "DOD Is Responsible for Most CFIUS Mitigation Agreements", "paragraphs": ["DOD is responsible for more mitigation agreements than other CFIUS member agencies, monitoring 84 of the total of 141 mitigation agreements for CFIUS, or about 60 percent as of the end of calendar year 2017. DOD\u2019s responsibility for mitigation agreements more than doubled between 2012 and 2017. Figure 5 shows how DOD\u2019s CFIUS mitigation agreement-related responsibilities have increased since 2000.", "We reviewed Treasury data on transactions from January 2015 through December 2016 to identify the types of national security concerns DOD mitigated through the CFIUS process. We found that the 22 mitigation agreements implemented by DOD during this period included acquisitions of U.S. companies in the aerospace, energy, real estate, and information technology industries, among others. Seventeen of these agreements were implemented to address either supply assurance\u2014DOD\u2019s access to certain products or services\u2014or proximity issues.", "Based on the Committee on Foreign Investment in the United States Annual Report to Congress for Calendar Year 2015 and our review of DOD documentation, the mitigation measures that have been negotiated and adopted since 2015 may require the parties to the transaction to take actions such as:", "Ensuring that only authorized persons have access to certain technology and information;", "Appointing a U.S. government approved security officer;", "Providing annual reports and independent audits;", "Notifying security officers or relevant U.S. government parties in advance of foreign national visits to the U.S. business for approval;", "Providing written notification when additional assets are purchased;", "Providing written notification and obtaining CFIUS approval of other parties joining the joint venture; and", "Requiring supply assurance for products or services being provided to the government.", "Based on our review of a non-generalizable sample of nine mitigation agreements provided by one of the DOD component reviewers, mitigation agreements typically have more than one measure. For example, there were between 4 and 10 different measures in each agreement we reviewed, and in one agreement, one measure required the submission of more than 100 reports. While some of the mitigation measures require the parties to the agreement to take action and report to DOD, MIBP also monitors and enforces compliance with mitigation measures by conducting on-site compliance reviews and investigations if violations are discovered.", "If a company violates a mitigation agreement, CFIUS has the authority to impose penalties, although, according to Treasury and DOD officials, the committee has not taken action to enforce penalties for non-compliance with a mitigation agreement. CFIUS regulations state that any person who intentionally or through gross negligence violates a material provision of a mitigation agreement may be liable for a civil penalty not to exceed $250,000 per violation or the value of the transaction, whichever is greater. DOD officials and the Deputy Assistant Secretary for Investment Security at Treasury stated that the regulatory standard regarding taking action against a company that has violated a mitigation agreement is high. They noted it is difficult to prove that a company violated a mitigation agreement intentionally or through gross negligence, and that the national security effect may exist even if the cause of the violation is ordinary negligence. In October 2017, MIBP officials reported six instances since 2013 where companies were not in compliance with their mitigation agreements, but stated that none of these instances were the result of intentional or grossly negligent actions. They told us that DOD has not recommended that CFIUS take action to impose penalties in these cases. In general, according to Treasury and MIBP officials, CFIUS member agencies work with companies to establish a culture of compliance and correct violations of the mitigation agreements as opposed to imposing fines or penalties."], "subsections": []}, {"section_title": "DOD Faces Challenges in Developing and Monitoring CFIUS Mitigation Agreements", "paragraphs": ["MIBP and the DOD components face a variety of challenges, to include developing and monitoring mitigation agreements as a result of limited personnel resources compared to an increasing workload; and communicating about mitigation agreement responsibilities between DOD and the components. Some of the specific details on personnel resource challenges and communication between MIBP and the components have been omitted because the information is sensitive.", "In addition to resource challenges within MIBP, resources for mitigation agreement-related activities within the DOD components are also limited and can vary. Officials from at least one component stated that they are not involved in developing or monitoring mitigation agreements because they do not have the resources to do so. Further, citing concerns with DOD\u2019s ability to effectively oversee mitigation agreements, officials from three DOD components stated that DOD should recommend prohibiting transactions more often than imposing mitigation agreements. For example, an official from one DOD component with CFIUS responsibilities stated that it is not plausible that these agreements can be properly executed because adversaries have the resources to conceal the fact that they are not complying with the mitigation agreement. Officials from another DOD component also expressed concerns with mitigation agreement enforcement, and stated that they were likely to recommend prohibiting transactions in the future instead of negotiating mitigation agreements in transactions where a national security risk has been identified.", "A June 2017 DOD report on technology transfer and emerging technology found that given concerns about the cost and effectiveness of mitigation agreements, if the mitigation agreements cannot be simple, CFIUS should recommend that the President suspend or prohibit the transaction. Similarly, officials at the Navy stated that mitigation measures are more effective if they can be fully implemented before the transaction is closed, as opposed to those that require ongoing monitoring. MIBP officials stated that if resource shortfalls continue, they run the risk of having to recommend that the President prohibit transactions because they are unable to implement or monitor additional mitigation agreements.", "To bolster available DOD resources for monitoring mitigation agreements, MIBP is in the process of expanding on a case-by-case basis its use of third-party monitors\u2014private auditing and consulting firms approved by DOD and CFIUS but paid for by the foreign acquirer. In these instances, the acquirer is responsible for contracting with qualified third-party independent monitors, which MIBP officials stated they believe could result in cost savings to the government by reducing the resources it uses to respond to routine notifications and requests for approval. MIBP officials stated that this concept would allow MIBP to better extend control over the range of agreements by focusing on monitoring the third-party monitors. However, these officials also acknowledged that the use of third-party monitors can present an inherent conflict of interest by having foreign acquirers funding their own compliance and mitigation agreement monitoring. It is too soon to assess the effect of the expansion of third- party monitoring on improving MIBP\u2019s ability to oversee compliance with mitigation agreements.", "In addition, we found that MIBP has not clearly communicated expectations and responsibilities for developing and monitoring mitigation agreements to some DOD components. This has led to confusion about what is expected of the components during this part of the process and raised uncertainty within the components we met with about the effectiveness of the mitigation agreements. For example, DOD\u2019s Instruction requires components to identify, as applicable, mitigation agreement measures as part of their risk-based analysis and participate in monitoring the mitigation agreements in instances when they have identified a risk. However, officials from several DOD components said that they either do not include mitigation measures in their risk-based analysis or have been asked not to by MIBP. According to Treasury officials, the CFIUS process has been updated and the proposal of mitigation measures can occur before or during the development of an agency\u2019s risk-based analysis, but this information is not reflected in DOD\u2019s Instruction, and DOD officials could not identify whether or how this change in process had been communicated to the components.", "In addition, officials at one DOD component cited examples of unclear communication regarding their responsibilities for mitigation agreement documentation. For example, these officials told us they requested, but did not receive, documentation from MIBP to ensure compliance with four of the nine mitigation agreements it is responsible for monitoring. According to documentation from this component, it had not received approximately 110 of 133 documents and other reporting requirements that were necessary to determine whether the company was in compliance with the mitigation agreement. According to MIBP officials, they had received the required documentation from the company but did not share it with the component because they were not related to the mitigation agreement measures that the component was responsible for monitoring. As a result of this miscommunication, the component thought that it was responsible for reviewing the missing documentation. MIBP officials stated that they plan to expand and improve their capability to provide DOD components access to the necessary documentation in the future. Officials from MIBP and the component said MIBP currently maintains a shared drive where it stores mitigation agreement documentation, but not all components have access to this documentation.", "Additionally, while DOD\u2019s Instruction states that DOD components that propose mitigation measures should participate in overseeing those measures, two of the nine components in our sample reported being actively involved in ensuring compliance with mitigation agreements or performing site visits. Two components have allocated several full-time personnel to the task and another has guidance that directs its involvement in CFIUS mitigation agreement monitoring. For example, Navy officials said they have established an office to review transactions that may pose proximity-related risks and monitor proximity-related mitigation agreements, but they have not been given the authority by MIBP to make a final determination regarding whether parties are in compliance with the agreements or to participate in all discussions with the parties. MIBP officials stated that they seek component input on all mitigation agreements, but that MIBP has taken the lead in developing and monitoring DOD mitigation agreements and ensuring compliance because the DOD components have not historically had the resources to dedicate to this responsibility.", "DOD\u2019s Instruction identifies oversight and communication mechanisms that have not been implemented, but could assist the department in addressing challenges monitoring and ensuring compliance with its CFIUS mitigation agreements. For example, DOD\u2019s Instruction establishes a CFIUS Monitoring Committee, made up of relevant DOD component reviewers, to serve as the focal point for DOD monitoring. Among other things, the CFIUS Monitoring Committee was intended to meet quarterly. DOD\u2019s Instruction also calls for the development of a DOD CFIUS Strategic Mitigation Plan to include things such as: identification of strategic policy for mitigation and monitoring efforts, taking into account resource management and filing trends; identification of methods to substantiate and document company compliance with mitigation agreements and maintain records of that compliance; and annual analysis of past mitigation in order to determine if past approaches to monitoring and mitigation can be improved.", "However, according to MIBP officials, the CFIUS Monitoring Committee and the Strategic Mitigation Plan were not implemented because MIBP did not have the resources to do so. MIBP officials also said they did not see the establishment of the CFIUS Monitoring Committee with relevant DOD components as necessary because MIBP has taken primary responsibility for monitoring mitigation agreements. In addition to not implementing these oversight and communication mechanisms, MIBP has not updated DOD\u2019s Instruction to account for policies that are no longer practiced, such as requiring proposed mitigation measures as part of the risk-based analysis, or having components take responsibility for monitoring the mitigation measures they recommend. According to federal internal control standards, to achieve an entity\u2019s objectives, management assigns responsibility and delegates authority to key roles throughout the entity. In addition, management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. Updated and improved guidance, including communication about MIBP\u2019s management of mitigation agreements and component involvement in developing and monitoring them, could help provide additional oversight of DOD\u2019s mitigation agreements and address resource challenges associated with an increasing workload."], "subsections": []}, {"section_title": "DOD Has Not Reported on Review of Mitigation Agreement Monitoring Responsibilities", "paragraphs": ["DOD has not reported its findings to Congress on a review regarding monitoring and enforcing mitigation agreements. A 2013 House Report asked the Secretary of Defense to review the role of the Deputy Assistant Secretary of MIBP in monitoring CFIUS mitigation agreements in which DOD was the lead or co-lead and determine if the Defense Security Service is suited to perform these functions, and report the findings. The House Armed Services Committee noted concerns over whether MIBP, as a policy organization, has the resources and technical expertise to provide reasonable oversight of implementation and compliance with mitigation agreements. The House Report stated that DOD may benefit from leveraging the capabilities of the Defense Security Service, which already reviews every CFIUS filing on behalf of the National Industrial Security Program, and monitors compliance with its own mitigation agreements as part of that program.", "DOD was to report on the findings on the review in 2013, but, according to MIBP officials, it has been delayed because disagreement exists within DOD regarding where responsibility for monitoring mitigation agreements should reside. Both MIBP and Defense Security Service officials we spoke with said that their office is the best equipped to perform CFIUS mitigation agreement responsibilities. As a result, formal coordination of the department\u2019s response has not been completed. As of January 2018, MIBP officials said that while they recognize the need to complete the response, DOD has not committed to a specific time frame for the response. Reporting the findings to the congressional defense committees will facilitate the identification of current challenges related to CFIUS mitigation agreement oversight, and could address questions about the capabilities and responsibilities necessary to effectively monitor and enforce CFIUS mitigation agreements."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Growing foreign direct investment in the United States provides important economic benefits, but can also pose national security risks when that investment comes from potential adversaries. Ensuring that DOD has the resources, processes, and information necessary to perform its responsibilities under CFIUS is essential at a time when the number and complexity of transactions being reviewed by CFIUS has grown significantly. According to officials, the types of investments that pose risks have evolved, making questions about foreign control difficult to determine and mitigate, including investments involving important emerging technologies or real estate purchases in close proximity to sensitive military locations.", "In light of these issues, assessing CFIUS resource requirements across the department, completing efforts to identify and communicate critical national security concerns, assessing whether DOD has the necessary authority to address these concerns, and ensuring its policies and practices reflect current DOD component reviewers and processes will be essential to DOD\u2019s ability to address the evolving risks it faces from foreign investment. For national security concerns that DOD determines it does not have the authority to address, it may be necessary for DOD to seek legislative action. Further, without updating DOD\u2019s CFIUS guidance to reflect current requirements and reporting on reviews requested by a committee of Congress on the department\u2019s responsibilities for monitoring mitigation agreements, DOD will likely continue to face challenges facilitating intra-departmental communication and questions about the prioritization of CFIUS within DOD."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of eight recommendations: four to the Secretary of Defense, three to the Deputy Assistant Secretary of Defense for MIBP, and one to the Secretary of the Treasury. Specifically: The Secretary of Defense should assess CFIUS resource requirements within MIBP and DOD component reviewers in light of increasing workload, and prioritize personnel and funding resources accordingly to review, mitigate, and monitor transactions that are of concern to the department. (Recommendation 1)", "The Secretary of Defense, in coordination with the Deputy Assistant Secretary of Defense for MIBP and Office of the Under Secretary of Defense, Personnel and Readiness, should incorporate the results of its efforts to identify, assess, and prioritize national security concerns related to foreign investment in emerging technologies and in proximity to certain critical military locations, into DOD Instruction 2000.25 and communicate the results to DOD component reviewers. (Recommendation 2)", "Following the completion of its emerging technology study, the Deputy Assistant Secretary of Defense for MIBP should assess what additional authorities may be necessary to address risks related to foreign investment in critical and emerging technologies, and seek legislative action to address risks posed by these investments as appropriate. (Recommendation 3)", "Following the department\u2019s efforts to identify critical locations and develop and implement guidance assessing risks to these locations from foreign encroachment, the Secretary of Defense should assess what additional authorities, if any, may be necessary to address national security risks from foreign investments in proximity to these locations, and seek legislative action as appropriate. (Recommendation 4)", "The Secretary of the Treasury should provide clarification to parties filing a notice of a transaction with CFIUS that for filings involving multiple locations, geographic coordinates are required to be part of the notification. (Recommendation 5)", "The Deputy Assistant Secretary of Defense for MIBP should update DOD Instruction 2000.25, to include additional guidance and clarification regarding DOD component responsibilities during the CFIUS process and DOD processes for identifying non-notified transactions. (Recommendation 6)", "The Deputy Assistant Secretary of Defense for MIBP should update and implement requirements identified in DOD Instruction 2000.25 regarding management and oversight of mitigation agreements, such as taking into account the resources needed to effectively monitor agreements, improving communication methods between MIBP and the DOD components, and clarifying component responsibilities in developing and monitoring mitigation agreements. (Recommendation 7)", "The Secretary of Defense should submit the response to the House Report reviewing the role of the Deputy Assistant Secretary of Defense for MIBP in monitoring CFIUS mitigation agreements, and determining if the Defense Security Service is suited to perform these functions. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DOD and Treasury provided written comments on a draft of the sensitive report. These comments are reprinted in appendixes IV and V, respectively. We also received technical comments from both agencies, which we incorporated as appropriate. Both departments concurred with our recommendations.", "In its written comments, DOD agreed to use a recent assessment of CFIUS resource needs to inform its upcoming budget requests. We acknowledge MIBP\u2019s recent efforts to identify and prioritize resource needs in support of its CFIUS responsibilities. As DOD develops its budget request, we encourage the department to consider increases in DOD\u2019s CFIUS workload and the resources required to support essential CFIUS functions, like monitoring mitigation agreements and identifying non-notified transactions that may pose national security risks. DOD also agreed to update its guidance related to CFIUS procedures and responsibilities, and complete assessments about additional authorities the department may need to address national security concerns related to foreign investments in U.S. companies developing critical and emerging technologies or in proximity to critical military locations. In its comments, DOD stated it has identified over 40 critical military locations and expects to develop guidance for assessing the risks posed by foreign investments in proximity to these locations. DOD also agreed to complete its response to the House Report reviewing MIBP\u2019s role in monitoring CFIUS mitigation agreements. In its comments, DOD stated it is continuing to explore the implementation of third-party monitors as an alternative solution for monitoring CFIUS mitigation agreements.", "In its written comments, Treasury concurred with our recommendation to provide clarification that parties filing a notice with CFIUS should include geographic coordinates as part of their notice. Treasury has updated information on its website to clarify that addresses and/or geographic coordinates are required for a CFIUS filing to be considered complete.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Deputy Assistant Secretary of Defense for MIBP, and the Secretary of the Treasury. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Department of Defense (DOD) Offices and Organizations with Committee on Foreign Investment in the Unites States (CFIUS) Review Responsibilities", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope and Methodology", "paragraphs": ["This report assesses factors, if any, that affect the Department of Defense\u2019s (DOD) ability to (1) identify and address national security concerns through the Committee on Foreign Investment in the United States (CFIUS) process, and (2) develop and monitor mitigation agreements through the CFIUS process.", "This report is a public version of a sensitive report that we issued on April 5, 2018. DOD and the Department of the Treasury (Treasury) deemed some of the information in our April report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information related to (1) DOD\u2019s resources to perform certain CFIUS functions, like monitoring mitigation agreements and identifying non- notified transactions; (2) the availability of location information as part of notices that companies file with CFIUS; and (3) the resources and communication required between DOD and the components to develop and monitor mitigation agreements through the CFIUS process. Although the information provided in this report is more limited, this report addresses the same objectives and uses the same methodology as the sensitive report.", "To assess what factors, if any, affect DOD\u2019s ability to identify and address national security concerns through the CFIUS process, we reviewed relevant documentation, including: CFIUS-related laws and Department of the Treasury (Treasury) regulations; DOD policies and guidance; and DOD and CFIUS internal reports to identify DOD\u2019s responsibilities and processes for identifying and addressing national security concerns through the CFIUS process. While there are other authorities, including export controls such as the International Traffic in Arms Regulations and Export Administration Regulations, which in certain circumstances may be used to address national security concerns that arise through foreign investment, our review focused on the DOD\u2019s responsibilities addressing national security concerns through the CFIUS process. To assess DOD\u2019s efforts to identify and address national security concerns it identified, we gathered and analyzed data on transactions that DOD was responsible for co-leading from January 1, 2012, through December 31, 2017, the most recent data available. To identify resources dedicated to supporting CFIUS activities within the Office of Manufacturing and Industrial Base Policy (MIBP)\u2014the DOD office responsible for coordinating the CFIUS process on behalf of DOD\u2014we analyzed MIBP data from 2012 through 2017 on DOD personnel resources, and reviewed budget amounts from 2012 through 2016 for DOD CFIUS activities from DOD budget documents. To identify the outcomes of transactions not voluntarily filed with CFIUS\u2014known as non-notified transactions\u2014we gathered and analyzed data on the number of non-notified transactions MIBP has identified and researched since the beginning of fiscal year 2016, when they started formally tracking that information. Based on information on the collection and management of Treasury and DOD transaction data, our review of related documentation, and interviews with relevant Treasury and DOD officials, we determined that these data were sufficiently reliable for the purposes of this report. To identify challenges DOD faces addressing certain national security concerns, such as protecting emerging and critical technology and foreign investments in proximity to certain critical military locations, we reviewed a non- generalizable sample of CFIUS case file information for seven transactions. We selected these transactions based on examples identified by DOD components, and the types of national security concerns, including those related to emerging technology and proximity, that DOD officials identified throughout the review. We interviewed officials at Treasury, MIBP, and selected DOD component reviewers to discuss DOD\u2019s CFIUS workload and resources. In this report, we define resources as the authorized positions, assigned personnel, personnel performing contract services related to CFIUS functions, and CFIUS- related costs. We also discussed with these officials any limitations to addressing certain national security concerns\u2014like protecting emerging technology and foreign investment in proximity to critical military locations\u2014through CFIUS, and guidance for the CFIUS process and identifying non-notified transactions. Additional information on the DOD components included in this review can be found below.", "To identify calendar year 2016 mergers and acquisitions involving U.S. businesses, and the proportion of those mergers and acquisitions involving foreign acquirers, we reviewed data available from the Bloomberg Terminal, which is a commercial database containing data on mergers and acquisitions. We gathered data on total 2016 mergers and acquisitions involving U.S. companies that were announced, pending, or completed. We also gathered data on 2016 mergers and acquisitions that were announced, pending, or completed involving U.S. companies and foreign acquirers to illustrate the number of potentially covered transactions that may not be voluntarily notified to CFIUS. We assessed the reliability of these data by reviewing relevant documentation and ensuring the data gathered aligned with the search criteria identified. We determined the data were sufficiently reliable for our purposes of displaying total U.S. mergers and acquisitions and the proportion of those transactions that involve foreign acquirers and thus could be potentially covered transactions by CFIUS.", "To assess what factors, if any, affect DOD\u2019s ability to develop and monitor mitigation agreements through the CFIUS process, we reviewed CFIUS- related laws and regulations and DOD policies and guidance to identify DOD and its component reviewers\u2019 responsibilities and processes for developing and monitoring compliance with mitigation agreements. We also reviewed the Committee on Foreign Investment in the United States Annual Report to Congress for Calendar Years 2014 and 2015. To identify actions DOD has taken to mitigate national security concerns, we analyzed data to identify the number of mitigation agreements DOD is responsible for and actions DOD has taken to mitigate and monitor transactions with national security concerns from January 1, 2012 through December 31, 2017, the most recent data available. Based on information on the collection and management of Treasury and DOD CFIUS mitigation agreement data, our review of related documentation, and interviews with relevant Treasury and DOD officials, we determined that these data were sufficiently reliable for the purposes of this report. We also reviewed executive summaries compiled by MIBP of the DOD-co-led transactions with mitigation agreements, as well as selected CFIUS case file documentation for seven transactions. We interviewed officials at Treasury, MIBP, and DOD component reviewers to identify any challenges they face developing and enforcing mitigation agreements. To provide illustrative examples of the types of measures included in CFIUS mitigation agreements, we reviewed all of the active mitigation agreements from one component with responsibilities for monitoring mitigation agreements involving proximity issues. These agreements are not generalizable to other components.", "To gather a range of views on issues related to both objectives, we selected a non-generalizable sample of nine DOD component reviewers responsible for identifying, reviewing, and investigating transactions. These components included officials from: the Departments of the Army, Air Force, and Navy; the DOD Chief Information Officer, the Defense Information Systems Agency; the Defense MicroElectronics Activity; the Defense Advanced Research Projects Agency; the National Security Agency; and the Office of Manufacturing and Industrial Base Policy, Industrial Base Assessments.", "Our selection was based primarily on these components\u2019 responsibilities for reviewing and investigating transactions for key issues DOD identified as relevant to its review of transactions, including risks related to emerging technology and proximity risks. We also solicited MIBP\u2019s recommendations to identify components with varying levels of participation and input into the CFIUS process. We interviewed all nine components and in some cases also received written responses from them to identify similarities and differences in their processes, any challenges they face identifying and addressing national security concerns through CFIUS, and their involvement and any challenges they face developing or monitoring mitigation agreements. Findings based on information collected from the nine components cannot be generalized to all DOD components. In addition to the components included in our sample, we also interviewed and received documentation from other DOD organizations about the CFIUS process. These organizations included officials from: the Defense Innovation Unit Experimental; the Defense Security Service; the Defense Technology Security Administration; the Assistant Secretary of Defense for Research and Engineering; and the Office of the Under Secretary of Defense for Intelligence. We do not include information gathered from these other components in statements based on our non-generalizable sample.", "The performance audit upon which this report is based was conducted from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD and Treasury from April 2018 to July 2018 to prepare this unclassified version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix III: Factors the Committee on Foreign Investment in the United States Considers to Determine Whether Submitted Transactions Pose a National Security Risk", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact names above, W. William Russell (Assistant Director), Katherine Trimble (Assistant Director), Meghan Perez (Analyst- in-Charge), and Heather B. Miller were principal contributors to this report. In addition, the following people made contributions to this report: Justin Fisher, Stephanie Gustafson, Kate Lenane, Alyssa Weir, and Robin Wilson."], "subsections": []}]}], "fastfact": ["Foreign investment in U.S. companies can benefit the economy, but could pose risks to national security. The Committee on Foreign Investment in the United States (CFIUS) reviews certain foreign acquisitions and mergers and can mitigate risks or block transactions.", "DOD identified some investments as national security concerns because they may give foreign investors access to emerging technologies or be in proximity to critical military locations. However, the CFIUS process doesn't cover all the types of investments DOD identified.", "Our recommendations are to help DOD and CFIUS address these risks and other concerns."]} {"id": "GAO-19-83", "url": "https://www.gao.gov/products/GAO-19-83", "title": "Orphan Drugs: FDA Could Improve Designation Review Consistency; Rare Disease Drug Development Challenges Continue", "published_date": "2018-11-30T00:00:00", "released_date": "2018-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The ODA provides incentives, including tax credits and exclusive marketing rights, for manufacturers to develop drugs to treat rare diseases, which are typically defined as affecting fewer than 200,000 people in the United States. Approximately 7,000 rare diseases affect an estimated 30 million people in the United States, and only 5 percent of rare diseases have FDA-approved treatments.", "GAO was asked to examine FDA's orphan drug processes. In this report, GAO examines, among other things, (1) the actions FDA has taken to address the growing demand for orphan designations; (2) the extent to which FDA has used consistent criteria and complete information in reviewing orphan designation applications; and (3) the steps FDA has taken to address rare disease drug development challenges. GAO analyzed FDA documents and data, as well as all designation review templates FDA completed as of March 2018 for applications received from October to December 2017. GAO interviewed agency officials, as well as stakeholders, including drug manufacturers, industry experts, and patient advocacy groups."]}, {"section_title": "What GAO Found", "paragraphs": ["The Food and Drug Administration's (FDA) Office of Orphan Products Development is responsible for reviewing drug manufacturer applications for orphan designation. Drugs granted this designation treat rare diseases and may receive various incentives under the Orphan Drug Act (ODA). As the number of orphan designation applications received and granted has grown, FDA outlined several process changes in its June 2017 modernization plan to improve designation review timeliness and consistency.", "In evaluating designation applications, FDA reviewers generally apply two consistent criteria\u2014(1) the size of the rare disease population, and (2) the scientific rationale that the drug may effectively treat the disease. To inform their evaluation, reviewers must record certain background information in a standard review template, such as the drug's U.S. marketing history. Officials told us this information provides important context, such as whether FDA has experience with a little known disease, critical to ensuring a complete designation application review. However, GAO's analysis of 148 designation review templates found that FDA does not consistently record or evaluate background information when making designation decisions. For example, 48 of 148 review templates GAO analyzed were missing information on the drug's U.S. marketing history. As such, FDA cannot be sure that reviewers are conducting complete evaluations that include all critical information needed for assessing its criteria.", "Stakeholders GAO interviewed and research GAO reviewed identified a number of rare disease drug development challenges, such as the difficulty in recruiting small populations for clinical trials, with differing opinions about the ODA incentives. For example, several stakeholders were critical of manufacturers obtaining multiple orphan designations\u2014and ODA incentives\u2014for the same drug when the drug may otherwise be profitable from treating multiple patient groups. However, many patient advocacy groups noted that granting ODA incentives in these circumstances is needed to encourage drug manufacturers to study the safety and efficacy of drugs in rare disease populations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FDA should ensure that all required information for reviews of orphan designation applications is consistently recorded and evaluated. The agency concurred with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the National Institutes of Health, there are approximately 7,000 rare diseases affecting an estimated 30 million people in the United States. A rare disease or condition (hereafter, \u201cdisease\u201d) is typically defined as affecting fewer than 200,000 people in the United States, and these diseases are often serious or life-threatening. Currently, only about 5 percent of rare diseases have treatments approved by the Food and Drug Administration (FDA).", "The Orphan Drug Act (ODA) was enacted in 1983 to provide drug manufacturers with incentives for developing treatments for small patient populations that were not expected to be profitable. The ODA, as amended, provides incentives for drug manufacturers to develop drugs and biologics (hereafter referred to collectively as \u201cdrugs\u201d) to treat rare diseases. These incentives include tax credits and exclusive marketing rights. In order to obtain the incentives, drug manufacturers must submit an application to FDA for orphan designation\u2014a status given to a drug that is intended to treat a rare disease. To receive orphan designation, a drug manufacturer must provide evidence demonstrating that its drug meets certain criteria specified in the ODA and FDA\u2019s implementing regulations.", "Demand for orphan designations has grown substantially since the ODA\u2019s enactment, with the number of designation applications nearly tripling over the past decade. Separate from orphan designation, FDA also determines which drugs may be marketed in the United States, based on evidence of safety and effectiveness. The number of orphan drugs FDA has approved for marketing has also increased over time, with 77 marketing approvals in 2017. According to FDA, the growth in orphan designations and marketing approvals is expected to continue, partly due to medical advances that make health care more personalized, genetically targeted, and likely to address rare diseases. However, the growth in orphan designations and marketing approvals has coincided with questions about FDA\u2019s orphan drug program, including that drug development challenges remain for the majority of rare diseases.", "Due to the importance of rare disease drug development, you requested that we provide information on drugs receiving orphan designations and marketing approvals, and examine certain aspects of FDA\u2019s orphan drug processes. In this report, we examine 1. actions FDA has taken to address the growing demand for orphan 2. the extent to which FDA has used consistent criteria and complete information to review applications for orphan designation, and the characteristics of drugs seeking orphan designation; 3. the orphan drugs FDA has approved for marketing; and 4. the steps FDA has taken to address challenges in rare disease drug development.", "To examine the actions FDA has taken to address the growing demand for orphan designations, we reviewed agency plans for meeting this demand and reports on timeliness metrics used to track designation reviews. We also reviewed the agency\u2019s plans for staffing levels and expertise devoted to reviewing orphan designation applications. In addition, we reviewed its plan for additional programmatic actions to meet designation demand and the mechanisms the agency has in place to respond to orphan drug issues. To describe the rate of demand for orphan designation over time, we obtained and analyzed FDA data over the past 10 years from the agency\u2019s internal database on orphan designation applications. Specifically, we determined the number of designation applications received each year from January 1, 2008, to December 31, 2017, and the rate of growth in applications and designations granted during this time frame. We assessed the reliability of data from FDA\u2019s internal database on orphan designation applications by interviewing agency officials knowledgeable about the data, reviewing related documentation, and performing electronic data testing for obvious errors, and accuracy and completeness, where applicable. We determined that the data were sufficiently reliable for the purposes of our reporting objectives. We also interviewed FDA officials about how it determines staffing levels given the growing demand for orphan designation reviews. Finally, we interviewed two former Directors of FDA\u2019s orphan drug program for their views on the level of resources dedicated over time to FDA\u2019s orphan designation process.", "To examine the extent to which FDA has used consistent criteria and complete information to evaluate applications for orphan designation, we reviewed designation criteria detailed in the ODA, program regulations, and agency guidance, as well as documentation of the agency\u2019s review process. Specifically, we reviewed guidance for orphan designation reviewers consisting of training and job aids, and a standard form used for evaluating applications. We also assessed the extent to which reviewers consistently documented and used all information required to evaluate applications against orphan designation criteria. To do so, we obtained and analyzed all 148 orphan designation review templates FDA completed as of March 2018 for designation applications it received from October to December 2017. We also assessed FDA\u2019s orphan designation processes against federal internal control standards. Finally, we interviewed FDA officials about the orphan designation process to determine how effectively its criteria results in consistent orphan designation determinations and how recent changes have affected their processes. To describe the characteristics of drugs seeking orphan designation, we analyzed rates of orphan designations granted and denied from January 1, 2008, to December 31, 2017, from the agency\u2019s internal database on orphan designation applications. We also analyzed information from this database on the characteristics of those drugs seeking orphan designation, such as population estimates and therapeutic areas.", "To examine the orphan drugs FDA has approved for marketing, we obtained and analyzed FDA data over a 10-year period. Specifically, we identified all publicly listed orphan drugs with marketing approval dates from January 1, 2008, to December 31, 2017. We then obtained and analyzed data from FDA\u2019s internal databases on the characteristics of these approved orphan drugs, including information on the time frames of each drug\u2019s FDA review, the drug\u2019s therapeutic area, and whether it was a new drug or a new use for a previously approved drug. We assessed the reliability of data from FDA\u2019s internal databases on drug approvals by interviewing agency officials knowledgeable about the data, reviewing related documentation, and performing electronic data testing for obvious errors, and accuracy and completeness, where applicable. We determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "To describe the steps FDA has taken to address challenges in rare disease drug development, we reviewed agency guidance on rare disease drugs, such as staff training materials, and guidance on developing rare disease drugs. For example, we reviewed guidance FDA has issued in collaboration with patient advocacy groups on the experiences of patients with certain rare diseases. We also reviewed FDA studies on approved orphan drugs to identify rare disease drug development challenges, and spoke to FDA officials about how they address these challenges. To further assess rare disease drug development challenges, we identified and reviewed relevant academic research and other studies on FDA\u2019s approved orphan drugs and rare disease drug challenges. We did not independently assess the methodology or challenges identified in the academic research included in our review. We also interviewed selected industry experts and stakeholders to obtain multiple perspectives on the challenges with rare disease drug development. Specifically, we selected three industry experts with published work on FDA\u2019s orphan drug program, as well as officials from the National Organization for Rare Disorders, six individual patient advocacy groups with a rare disease focus, three pharmaceutical industry associations, and four drug manufacturers with granted orphan designations. We then categorized these challenges by thematic area.", "We conducted this performance audit from October 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Drug manufacturers seeking to develop and receive approval to market an orphan drug go through two separate FDA processes. The drug manufacturer may first apply for orphan designation, where FDA determines if the drug is eligible and meets the criteria for designation.", "The manufacturer may then apply to FDA for approval to market the orphan drug."], "subsections": [{"section_title": "Orphan Designation Eligibility and FDA\u2019s Process for Granting the Designation", "paragraphs": ["There are a variety of circumstances under which a manufacturer\u2019s drug is eligible for orphan designation. A drug is eligible for orphan designation when it is intended to treat a disease that affects fewer than 200,000 people in the United States. A drug is also eligible for orphan designation when it is intended to treat a disease that affects 200,000 or more people in the United States and there is no reasonable expectation of recovering the cost of drug development and marketing from U.S. sales. In addition, a drug that is intended to treat a specific population of a non-rare disease (known as an orphan subset) is eligible for orphan designation when a property of the drug (e.g., toxicity profile, mechanism of action, or prior clinical experience) limits its use to this subset of the population.", "FDA\u2019s Office of Orphan Products Development (OOPD) administers the orphan drug program and evaluates orphan designation applications. When a drug manufacturer submits a designation application, OOPD receives and assigns it to a reviewer based on factors such as prior experience related to a particular rare disease and workload across OOPD reviewers. The drug manufacturer\u2019s application is required to include such items as a description of the rare disease, documentation of the number of people affected by the disease in the United States (the population estimate), and a scientific rationale explaining why the drug may effectively treat the disease. The manufacturer can submit an orphan designation application at any point prior to submitting a marketing application.", "When making an orphan designation decision, OOPD guidance requires reviewers to evaluate the manufacturer\u2019s application and record information about the drug and disease on a standard review template. OOPD reviewers are also expected to independently verify certain information included in the application. For example, OOPD reviewers may review independent sources to verify the population estimate provided by the manufacturer, including comparing the population estimate against prior related orphan designations.", "Once the OOPD reviewer\u2019s decision is recorded on the standard review template, it undergoes a secondary review that has typically been completed by the Director of the Orphan Drug Designation Program. This secondary review is intended to ensure the quality of the application review and the consistency of the review across all related designation applications. There are three possible outcomes from the designation review: (1) the orphan designation is granted, (2) the application is pending with the manufacturer due to OOPD finding it deficient, or (3) the orphan designation is denied. OOPD sends the drug manufacturer a decision letter detailing the outcome of its review. If the application is pending or denied, the decision letter describes OOPD\u2019s concerns with granting the orphan designation (e.g., insufficient evidence to support its scientific rationale) and the manufacturer may address these concerns either in an amendment to the original application (for pending status) or as a new application (for denied status). (See fig. 1.)"], "subsections": []}, {"section_title": "FDA\u2019s Marketing Approval Process", "paragraphs": ["FDA\u2019s marketing approval process is the same for all drugs, regardless of orphan status. (See fig. 2.) Once a manufacturer has assessed the safety and efficacy of a new drug through preclinical testing and clinical trials, it may apply to FDA for approval to market the drug in the United States. To do so, a drug manufacturer submits its research in a new drug application (NDA) or biologic license application (BLA) to FDA, which then reviews and approves the drug for marketing if it is shown to be safe and effective for its intended use. The two FDA centers responsible for reviewing applications to market drugs in the United States are the Center for Biologics Evaluation and Research (CBER) and the Center for Drug Evaluation and Research (CDER).", "Upon completing its review of a marketing application, FDA will send an action letter with its determination to the drug manufacturer. The time elapsed from the date FDA receives the application to the date it issues an action letter informing the drug manufacturer of the agency\u2019s decision is defined as one review cycle. If FDA does not approve the marketing application and the drug manufacturer resubmits the application, a new review cycle begins.", "When FDA approves a drug manufacturer\u2019s marketing application, it approves the drug to treat one or more specific uses, known as indications. The approved indication is based on the clinical trial data provided in the manufacturer\u2019s marketing application and is typically narrower than the orphan designation, which is based on early drug development data for the drug\u2019s intended use in the rare disease. For example, one drug was granted orphan designation for the treatment of cystic fibrosis (the rare disease), while the drug\u2019s marketing approval was for the treatment of cystic fibrosis in patients 12 years and older who have a certain genetic mutation (the indication). The orphan drug marketing exclusivity incentive (a period of protection from competition) only applies to the drug\u2019s approved indication. OOPD determines orphan drug marketing exclusivity after receiving notification of the drug\u2019s marketing approval from CBER and CDER.", "Because orphan drugs are often developed to treat patients with unmet medical needs, they may be eligible for one or more of FDA\u2019s expedited programs. FDA\u2019s four expedited programs\u2014accelerated approval, breakthrough therapy designation, fast track designation, and priority review\u2014are intended to facilitate and expedite the development and review of new drugs to address unmet medical needs in the treatment of a serious disease. Depending on the type of expedited program, manufacturers of new drugs may receive a variety of benefits, such as additional opportunities to meet with and obtain advice from FDA officials during drug development or a shorter FDA review time goal for the marketing application."], "subsections": []}]}, {"section_title": "FDA Implemented Its Modernization Plan to Address Growing Demand for Orphan Designations, and Has Recently Met Timeliness Goals", "paragraphs": ["In June 2017, FDA issued its Orphan Drug Modernization Plan and has implemented a number of steps under the plan to address the demand for orphan designations. According to OOPD data, the number of new designation applications received grew from 185 in 2008 to 527 in 2017 (an increase of 185 percent), while the number of designations granted also grew during the same period. (See fig. 3.) Prior to implementing the modernization plan, OOPD had amassed a backlog of 138 applications that were pending review for more than 120 days. The modernization plan therefore established two goals: (1) eliminating the backlog of designation applications within 90 days (by September 25, 2017), and (2) ensuring that new designation applications are reviewed within 90 days of receipt.", "To accomplish its first goal, the modernization plan outlined seven actions FDA planned to take to temporarily increase OOPD resources for reviewing designation applications. For example, the agency established an experienced team of senior OOPD reviewers to focus solely on the backlog of designation applications. In addition, OOPD initially enlisted temporary assistance from CBER and CDER reviewers who expressed interest in helping clear the backlog. FDA officials told us OOPD also subsequently received reviewer assistance from the Office of Medical Products and Tobacco. OOPD trained these additional reviewers on the orphan designation review process and criteria for granting orphan status. As a result of these efforts, FDA cleared the application backlog by August 28, 2017, nearly a month ahead of its goal. (See table 1 for the seven actions FDA took as part of its modernization plan to clear the designation application backlog.)", "To accomplish FDA\u2019s second goal of reviewing new designation applications within 90 days of receipt, the modernization plan outlined eight steps the agency planned to take to improve the efficiency of its application review process. For example, OOPD implemented a standard review template in October 2017 that it had developed under the modernization plan\u2019s first goal to address the backlog of applications. This template outlines information that reviewers are supposed to record, as applicable, from each application and evaluate when making a designation decision\u2014namely, the (1) background information, (2) clinical superiority analysis, (3) orphan subset analysis, (4) population estimate, and (5) scientific rationale that the drug may effectively treat the disease. (See app. I for more information about what is recorded in OOPD\u2019s review template.) The review template also includes the designation recommendation, as well as the secondary reviewer\u2019s concurrence with the designation determination. FDA officials reported that before implementing this review template, OOPD reviewers documented less-structured narrative information about each application on a prior form. In addition, OOPD introduced online training for manufacturers on the information to include in a designation application and the common issues OOPD has encountered when reviewing an application. According to officials, this training is intended to enhance the consistency and quality of designation applications, which may ultimately reduce OOPD requests for additional information from manufacturers. (See table 2 for the eight steps the agency took to improve the timeliness of its designation application review process.)", "In July 2017, OOPD began using the new internal tracking report to monitor adherence to its 90-day timeliness goal. As of March 2018, FDA officials reported that OOPD management has received these tracking reports on a daily basis, which identify the number of days that have elapsed for each application pending review, among other things. According to these tracking reports, OOPD has overall met its 90-day timeliness goal for reviewing designation applications since mid- September 2017 and has completed most application reviews within 60 days of receipt. For example, as of July 20, 2018, OOPD had 35 applications pending review for 0 to 30 days; 31 applications pending review for 31 to 60 days; 9 applications pending review for 61 to 90 days; and no applications pending review for more than 90 days."], "subsections": []}, {"section_title": "FDA Uses Consistent Criteria to Grant Orphan Designation, but Reviews Do Not Include Complete Information", "paragraphs": [], "subsections": [{"section_title": "FDA Generally Applies Consistent Criteria in Reviewing Applications for Orphan Designation, but Did Not Ensure that All Required Information was Appropriately Recorded or Used", "paragraphs": ["OOPD applies two consistent criteria (i.e., two particular criteria that all designation applications must meet) when determining whether to grant a drug orphan status: (1) the disease that the drug is intended to treat affects fewer than 200,000 people in the United States, and (2) there is adequate scientific rationale that the drug may effectively treat the disease. For circumstances involving orphan subsets of a non-rare disease or clinical superiority, additional criteria are required for orphan designation.", "According to OOPD data, of the 3,690 orphan designation applications received from 2008 to 2017, OOPD determined that the majority of them met these criteria and granted them orphan status. Specifically, approximately 71 percent of applications were granted orphan designation as of April 2018. The remaining designation applications were placed in a pending status awaiting the manufacturer\u2019s response to OOPD concerns (21 percent), denied orphan designation (5 percent), or withdrawn (2 percent). (See table 3.)", "In addition, our analysis of 148 OOPD review templates completed for new designation applications received from October to December 2017 provided further detail on OOPD\u2019s designation determinations since implementing its Orphan Drug Modernization Plan. We found that for this time period, 87 designation applications (59 percent) were granted orphan status, 57 designation applications (39 percent) were placed in pending status awaiting further information from the manufacturer, and 4 designation applications (3 percent) were denied orphan status. The most common reason OOPD did not grant orphan designation was due to concerns with the adequacy of the manufacturer\u2019s scientific rationale, which occurred in 43 of the 61 pending or denied review templates. OOPD reviewers noted various concerns with the scientific rationale provided in these designation applications, including that the manufacturer did not provide sufficient or adequate data to support their scientific rationale, or that the manufacturer did not provide data from the strongest available model for testing the drug.", "Of the five review template sections where reviewers are required to record information, we found that OOPD does not ensure that all required information is consistently recorded in the background information section and evaluated when making designation decisions. OOPD instructs reviewers to document background information, including elements of the regulatory history of the drug (e.g., U.S. and foreign marketing history), and previous orphan designations for both the drug and the disease. Our analysis found that 102 of 148 OOPD review templates were missing one or more elements of the regulatory history of a drug. (See table 4.) In addition, we found that 19 of 148 review templates did not capture all prior orphan designations for the drug and disease. In one case, the OOPD reviewer did not record any prior orphan designation for the disease in the review template and placed the designation application in pending status due to concerns with the manufacturer\u2019s population estimate. However, the disease that was the subject of the application had 36 related orphan designations at the time of the review, 7 of which had been granted in 2017.", "According to FDA officials, although the background information required in the review template may not directly affect a designation decision, it provides important context that is critical to ensuring a complete review of a designation application. For example, FDA officials told us that in cases where the designation application is for a disease with little published information available, it may help to know the drug\u2019s U.S. marketing history to identify whether CBER or CDER has experience with the disease. Additionally, the prior orphan designation history can help the OOPD reviewer identify previously accepted methodologies to estimate the population for a disease.", "Despite requiring its reviewers to record background information for each designation application, OOPD\u2019s guidance does not provide instructions on how to use this information when evaluating the applications. Internal control standards for the federal government specify that agencies should record relevant, reliable, and timely information, and process that information into quality data that enables staff to carry out their responsibilities. Without instructions on how to use the background information required in its review templates, OOPD reviewers may not consistently use all of the information needed to conduct a complete evaluation of a designation application.", "Additionally, OOPD instructs its reviewers to consider evidence found in independent sources to verify the population estimate provided in a designation application. However, in 23 of 148 OOPD review templates, reviewers did not include the results of any such independent verification in their evaluation of the manufacturer\u2019s population estimate. Internal control standards state that agencies should conduct checks of their recorded data to ensure its accuracy and completeness, but we found that OOPD does not fully conduct such data checks. Without ensuring that its reviewers conduct and record the results of independent verification of population estimates, OOPD cannot be assured that quality information is consistently informing its designation determinations.", "For the 148 templates we reviewed, we found that OOPD granted orphan designation to 26 applications missing required information. Specifically, we found that OOPD granted designation to 11 applications where the reviewer did not record prior orphan designation history, to 13 applications where the reviewer did not document independent verification of the manufacturer\u2019s population estimate, and to 2 applications where the reviewer did neither. In cases where the background information was incomplete or there was no documentation of independent verification of the manufacturer\u2019s population estimate, there also was no evidence that the secondary reviewer verified the completeness of these sections of the review templates."], "subsections": []}, {"section_title": "Most Orphan Designation Applications Had a Population Estimate of Fewer than 100,000 and Over Half of the Applications Target One of Four Therapeutic Areas", "paragraphs": ["Approximately 71 percent of orphan designation applications received by FDA from 2008 to 2017 were for drugs intended to treat diseases affecting 100,000 or fewer people. In addition, half of the applications received during this time frame were for drugs intended to treat populations of 50,000 or fewer people. (See fig. 4.) For applications that OOPD granted orphan designation, the population estimates for the diseases they were intended to treat ranged from 0 to 199,966 people.", "Of 3,491 orphan designation applications OOPD received from 2008 to 2017, over half were for the therapeutic areas of oncology (30 percent), neurology (13 percent), hematology (7 percent), and gastroenterology and liver (6 percent). Thirty-seven other therapeutic areas accounted for the remaining 44 percent of applications, with each therapeutic area accounting for 5 percent or fewer of designation applications received during this time frame. Some of these other therapeutic areas included pulmonary, immunology, cardiology, and dermatology. (See fig. 5.)", "Additionally, our analysis of 148 OOPD review templates from October to December 2017 found that", "29 applications (20 percent) requested orphan status based on an orphan subset claim, 7 of which were granted orphan designation; and", "7 applications (5 percent) requested orphan status based on a clinical superiority claim, 2 of which were granted orphan designation."], "subsections": []}]}, {"section_title": "FDA\u2019s Orphan Drug Marketing Approvals Increased from 2008 to 2017, Were Focused in Two Therapeutic Areas, and Typically Required about 9 Months for Agency Review", "paragraphs": ["FDA approved 351 orphan drugs for marketing from 2008 to 2017. Orphan drug marketing approvals have increased over this period, from 17 in 2008 to 77 in 2017, and have accounted for an increasing proportion of all FDA marketing approvals. Orphan drug marketing approvals also vary by certain characteristics, but were typically in one of two therapeutic areas and required about 9 months for FDA review, among other commonalities.", "Therapeutic area. From 2008 to 2017, 53.3 percent of orphan drug marketing approvals were in one of two therapeutic areas that were also common for granted designations: oncology (42.5 percent) and hematology (10.8 percent). There were 27 different therapeutic areas overall, with 7 of those areas having 10 or more approved orphan drugs. (See app. II for FDA\u2019s orphan drug marketing approvals from 2008 to 2017 by therapeutic area.)", "Number of indications. Of the 351 orphan drug marketing approvals from 2008 to 2017, there were 252 unique drugs, because drugs can be approved for more than one orphan indication. For example, the oncology drug Velcade received FDA approval in 2008 as a first-line therapy for multiple myeloma, and received approval for a second indication in 2014 for treatment of mantle cell lymphoma if the patient has not received at least one prior therapy. (See app. II.) The majority of drugs had one orphan indication (77.4 percent) or two orphan indications (15.9 percent). However, several drugs (6.7 percent) were approved to treat three or more orphan indications. Two oncology drugs had the most approved orphan indications: Imbruvica (10 orphan indications) and Avastin (9 orphan indications).", "New drug or new indication for previously approved drug. The majority (61.5 percent) of orphan drug marketing approvals from 2008 to 2017 have been for a new drug not previously approved for any use, while the remainder (38.5 percent) have been for a new indication for a drug previously approved to treat a rare or non-rare disease. (See fig. 6.) Of the new orphan drugs that received marketing approval, the majority have been for novel uses\u2014new molecular entities or new therapeutic biologics that are often innovative and serve previously unmet medical needs, or otherwise significantly help to advance patient care and public health.", "FDA review time. For orphan drug marketing approvals from 2008 to 2017, the median time from FDA receiving a marketing application to approval was about 9 months, and ranged from 75 days to about 17 years. FDA averaged about 1.2 review cycles for these drugs, with the number of cycles ranging from one to four reviews. Two neurology drugs each had the largest number of reviews (four).", "Expedited programs. Approximately 71 percent of orphan drug marketing approvals from 2008 to 2017 benefitted from at least one type of FDA\u2019s four primary expedited programs (accelerated approval, breakthrough therapy designation, fast track designation, or priority review). Most orphan drug approvals in each year received priority review, while less than half received accelerated approval, breakthrough therapy designation, or fast track designation in the year the drug was approved. (See fig. 7.) Very few (six) orphan drug approvals were granted all four of these expedited programs in the year approved."], "subsections": []}, {"section_title": "FDA Issued Guidance and Offered Training to Address Ongoing Rare Disease Drug Development Challenges", "paragraphs": [], "subsections": [{"section_title": "FDA Developed Guidance and Training to Better Inform Its Reviewers and the Public about Rare Disease Drug Development Challenges", "paragraphs": ["To address rare disease drug development challenges, FDA has established guidance for internal and public use, and offered training to its reviewers. FDA\u2019s guidance and training on rare diseases includes topics related to more general drug development issues, as well as the agency\u2019s marketing approval process as it applies to orphan drugs.", "In general, FDA\u2019s review centers\u2014CBER and CDER\u2014are responsible for establishing guidance on general rare disease drug development issues. For example, FDA published draft guidance for industry in August 2015 on common issues in rare disease drug development. The guidance discusses important aspects of drug development, such as the need for an adequate understanding of the natural history of the disease and the drug\u2019s proposed mechanism of action, and the standard of evidence to establish safety and effectiveness. CBER published additional draft guidance in July 2018 on rare disease drug development specific to gene therapy in order to help manufacturers consider issues such as limited study population size, safety issues, and outcomes.", "FDA has also conducted studies to understand rare disease drug development challenges. In March 2011, FDA issued a report to Congress on the strengths and weaknesses of its regulatory process with respect to rare and neglected tropical diseases. In that report, a group of expert FDA officials found that its regulations allowed experienced reviewers to use flexibility and scientific judgment in determining the safety and efficacy of rare disease drugs. However, the group also noted areas for improvement, such as the need to develop training for FDA reviewers and to increase communication efforts with stakeholders, including industry and advocacy organizations.", "One other key area the group identified was the need to analyze the agency\u2019s orphan drug marketing approvals to further understand the factors helping or hindering drug development. To do so, FDA analyzed a subset of orphan drug approvals and published two studies:", "FDA\u2019s February 2012 publication on rare disease drug approvals between 2006 and 2011 found that substantial proportions of marketing approvals were for innovative drugs, and most clinical studies were highly unique in terms of the study design, controls, and outcome measures used. FDA concluded that developing defined policy and consistency around such diverse drugs and unique clinical studies would be difficult.", "FDA\u2019s May 2012 publication on marketing applications between 2006 and 2010 concluded that, due to the high approval rates for applications targeting rare diseases in its study, increased efforts in the agency\u2019s review process would be unlikely to substantially increase the number of new rare disease drugs.", "FDA\u2019s patient engagement programs have also focused on rare disease drug development. As of February 2016, the agency reported that nearly half of patient-focused drug development meetings\u2014meetings to obtain the patient perspective on specific diseases and their treatments\u2014have been focused on rare diseases. In addition, four of six patient advocacy groups we interviewed said that they used this type of meeting or another structured meeting to provide FDA input on their rare disease. One patient advocacy group told us that its meeting with FDA helped lead to issued guidance on drug development for Duchenne muscular dystrophy.", "As part of its efforts to better inform reviewers about the agency\u2019s regulatory framework and drug development challenges with respect to rare diseases, FDA has developed a training course and holds an annual all-day meeting for reviewers. (See table 5.) In its rare disease training course, FDA describes its authority to be flexible in reviewing marketing applications for rare disease drugs. Multiple studies found that FDA has regularly used this flexibility in approving rare disease therapies; for example, by allowing marketing approval based on one adequate and well-controlled study, rather than requiring two."], "subsections": []}, {"section_title": "Stakeholders and Research Identified Ongoing Rare Disease Drug Development Challenges, while Opinions on the Orphan Drug Act Incentives Varied", "paragraphs": ["Stakeholders we interviewed, including industry experts and patient advocacy groups, and research we reviewed identified general rare disease drug development challenges, as well as more specific concerns pertaining to the ODA incentives and pricing. However, opinions of some of the concerns attributed to the ODA incentives varied among stakeholders.", "Barriers to rare disease drug development. The two barriers to rare disease drug development most commonly cited among stakeholders we interviewed were (1) the need for more basic scientific research (e.g., understanding patient experiences and progression of symptoms, known as a disease\u2019s natural history), and (2) the difficulty in recruiting small populations for clinical trials. One drug manufacturer explained that, when a disease affects a small population, it is hard to identify and recruit participants, because they may be geographically dispersed or have to travel long distances to participate in the trial. Identifying these participants and enrolling them into a clinical trial is therefore both labor- and resource-intensive.", "A number of studies conducted by FDA and others identified similar challenges, as well as other rare disease drug development issues. For example, a 2010 study by the National Academies of Science, Engineering, and Medicine noted that researchers still lack a basic understanding of the mechanisms that underlie many rare diseases. Another drug development challenge identified in the study is attracting trained investigators to study rare diseases.", "To address some of these challenges, OOPD has a number of grant programs focused on rare disease drug development, including one that funds studies that track the natural history of a disease over time to identify demographic, genetic, environmental, and other variables that may lead to drug development. In addition, FDA\u2019s fiscal year 2019 budget justification includes a request for funds to develop clinical trial networks to create an understanding of the natural history and clinical outcomes of rare diseases.", "Significance of ODA incentives in fostering drug development. Although many stakeholders we spoke with categorized the ODA\u2019s incentives as significant to rare disease drug development, two stakeholder groups we spoke with\u2014industry experts and drug manufacturers\u2014largely categorized the incentives as less important than did other stakeholders. For example, two of four drug manufacturers we interviewed told us that their company\u2019s drug development decisions are based on the disease areas it wants to target and not due to ODA incentives. In addition, several stakeholders noted non-ODA drivers of orphan drug growth, including the ability to command high prices and advances in scientific discovery for some rare diseases.", "Several studies also noted limitations of the ODA incentives, including the structure of the orphan drug tax credit, the decreasing impact of the marketing exclusivity incentive in protecting orphan drugs from competition, and the ability of the incentives to target \u201ctruly\u201d rare conditions that would not otherwise have obtained sufficient investment. For example, the Congressional Research Service reported in December 2016 that the benefits of the orphan drug tax credit are limited to companies with positive tax liabilities. As a result, the Congressional Research Service concluded that the typical small startup company investing in the development of an orphan drug may be unable to take advantage of the tax credit during its first few years of operation when its expenses exceed its revenue and cash flow may be a problem.", "Certain circumstances under which drug manufacturers may obtain ODA incentives. Several stakeholders we spoke with were critical of how drug manufacturers may obtain ODA incentives, such as for drugs that were already approved to treat another disease or for multiple orphan designations for the same drug. For example, one industry expert argued that granting multiple orphan designations for the same drug subverts the purpose of the ODA to support development of drugs that may not otherwise be profitable, as a drug manufacturer can make a return on investment from the drug from multiple patient groups rather than just one. In contrast, many patient advocacy groups we spoke with noted that drug manufacturers\u2019 ability to obtain ODA incentives under certain circumstances, such as multiple orphan designations for the same drug, are needed for further investment in drug development. In particular, they noted that this provides an incentive for manufacturers to demonstrate their drugs are safe and effective for individuals who have a rare disease (particularly for FDA-approved drugs with an unapproved use\u2014known as off-label use) and account for any differences within rare diseases.", "A number of studies raised similar concerns about these and other issues, including off-label use of orphan drugs. Specifically, one study noted that, due to increasing investment in precision medicine, manufacturers may develop drugs treating a particular genetic subset of a non-rare disease. These subsets may qualify for ODA incentives, even though they may not face the same development challenges as \u201ctrue\u201d rare diseases. For example, three orphan drugs were approved as treatments for a subset of non-small cell lung cancers that have a specific gene mutation. According to the study, these drugs can also be used off- label for diseases other than the non-small cell lung cancer subset for which they were originally approved.", "FDA has taken steps in recent years to address certain circumstances under which drug manufacturers may obtain orphan designation. For example, the agency recently issued guidance stating that it no longer plans to grant orphan designation to pediatric subsets of non-rare diseases. The agency attributed its decision, in part, to a loophole that could result in a drug receiving an orphan designation for a pediatric subset being exempt from requirements under the Pediatric Research Equity Act to study drug safety and effectiveness in pediatric subpopulations. FDA also held a workshop in May 2018 to seek input on appropriate orphan designation for certain oncology treatments to stay current with evolving knowledge.", "Orphan drug pricing. Stakeholders we interviewed and research we identified also raised concerns about the high prices drug manufacturers can charge for orphan drugs when receiving ODA incentives. Several stakeholders we spoke with noted that it was difficult to discuss the ODA without addressing concerns with how orphan drugs are priced. For example, one patient advocacy group told us that it may be appropriate for a drug to receive multiple orphan designations, but that the drug manufacturer should revise the price of its drug to reflect the number of orphan designations. Several studies have also pointed to high orphan drug prices as a public health challenge in terms of access and affordability, particularly when orphan drug development may be less costly than non-orphan drugs due to smaller and fewer efficacy and safety trials, shorter FDA review time, higher marketing approval success rates, and lower marketing costs. One study found an inverse relationship between the price of orphan drugs and their volume of use (i.e., the more expensive the orphan drug, the fewer patients who use the drug), and noted that over the past 20 years spending on medicine in the U.S. market has shifted increasingly toward drugs that treat relatively few people, such as those with rare diseases."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["With significant unmet need for most rare diseases, the ODA provides manufacturers with a variety of incentives if they develop drugs that meet orphan designation criteria. To ensure that drug manufacturers\u2019 claims in their orphan designation applications are accurate, FDA must conduct thorough and consistent evaluations. FDA took several steps beginning in June 2017 to improve the consistency and efficiency of these evaluations, including introducing a standard review template and guidance for completing it. However, we found that FDA does not always ensure that all information is consistently recorded in its review templates and evaluated when making designation determinations, which are critical steps needed to understand the full context of a drug\u2019s intended use in the rare disease. FDA has a number of options it could take to ensure that reviewers obtain all necessary information and use it to inform orphan designation determinations. For example, we found that FDA\u2019s guidance was not always clear in instructing reviewers how they should use the information they record. Clarifying these requirements in guidance could help reviewers make use of this information, including the secondary reviewers who ensure the consistency and quality of designation reviews. While FDA action to improve its designation reviews will not address the broader rare disease drug development challenges identified by stakeholders we interviewed and research we analyzed, it could help FDA ensure the consistency of its review process, particularly as demand for orphan designations continues to grow."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to FDA: The Commissioner of FDA should ensure that information from orphan drug designation applications is consistently recorded in OOPD review templates and evaluated by OOPD reviewers when making an orphan designation decision. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services (HHS) for comment. In its written comments, reproduced in appendix III, the agency concurred with our recommendation. HHS also provided technical comments, which we incorporated as appropriate.", "In its response, HHS stated that it would consider our recommendation as part of FDA\u2019s ongoing efforts to evaluate and revise the designation review template, and to train reviewers. Regarding the background information in the review template, HHS also noted that many drugs requesting orphan designation do not have relevant regulatory history, particularly adverse actions, as these drugs are early in drug development at the time of requesting orphan designation. However, HHS agreed with the importance of consistently documenting and utilizing background information, and stated that FDA will continue to apply consistent criteria to its review decisions.", "We are sending copies of this report to the Secretary of Health and Human Services, appropriate congressional committees, and other interested parties. The report is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Information Recorded in OOPD\u2019s Standard Designation Review Template", "paragraphs": ["In October 2017, the Food and Drug Administration\u2019s Office of Orphan Products Development (OOPD) introduced a standard review template, along with guidance for how to complete it, to aid its reviewers in evaluating orphan designation applications. OOPD guidance instructs its reviewers to record information about the drug and disease on the standard review template, as well as the results of independent verification done for certain information included in the application. The template is then used with the designation application to determine whether to grant orphan designation to a drug. (See table 6 for the information recorded in OOPD review templates.)"], "subsections": []}, {"section_title": "Appendix II: Orphan Drug Marketing Approvals from 2008 to 2017", "paragraphs": ["The Food and Drug Administration (FDA) approved 351 orphan drugs for marketing from 2008 to 2017 in 27 different therapeutic areas. Forty-two percent (149) of orphan drug marketing approvals were in oncology, with six other therapeutic areas having 10 or more approved orphan drugs. (See table 7 for information on orphan drug marketing approvals from 2008 to 2017 by therapeutic area.) Additionally, the 351 orphan drug marketing approvals were for 252 unique drugs, because drugs can be approved for more than one orphan indication. The majority of drugs had one orphan indication (77.4 percent) or two orphan indications (15.9 percent). However, several drugs (6.7 percent) were approved to treat three or more orphan indications."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia Crosse (Director), Robert Copeland (Assistant Director), E. Jane Whipple (Analyst-in-Charge), and Brienne Tierney made key contributions to this report. Also contributing were Kaitlin Farquharson, Alison Granger, Drew Long, and Vikki Porter."], "subsections": []}]}], "fastfact": ["How do you get drug manufacturers to make drugs that treat rare diseases\u2014when they may not sell enough to make a profit?", "The Food and Drug Administration designates some drugs as \"orphan drugs,\" which allows manufacturers to obtain incentives (like tax breaks) for developing drugs that treat rare diseases. But we found that FDA reviewers don\u2019t always include all the required information in their reviews to determine whether a drug is eligible for orphan designation.", "Especially as applications for orphan drug designations increase, we recommended improving how FDA reviews these applications."]} {"id": "GAO-18-530", "url": "https://www.gao.gov/products/GAO-18-530", "title": "Defense Contracts: Improved Information Sharing Could Help DOD Determine Whether Items Are Commercial and Reasonably Priced", "published_date": "2018-07-31T00:00:00", "released_date": "2018-07-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD buys goods and services from the commercial market to take advantage of new innovations and save on acquisition costs. However, the department's process for determining whether an item can be purchased commercially\u2014and, at a fair and reasonable price\u2014can be long and challenging in certain situations.", "GAO was asked to review this process. This report identifies (1) factors that influenced DOD's commercial item and price reasonableness determinations, and (2) the extent to which DOD has taken steps to make information available to facilitate these determinations.", "To conduct this work, GAO examined federal regulations and guidance and selected case studies, which included a non-generalizable sample of 15 contracts awarded between fiscal years 2010 and 2018. GAO identified the case studies based on input from multiple sources that those contracts involved commercial item or price reasonableness determination challenges. GAO interviewed government and contractor officials responsible for those contracts."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has a process to determine if an item is available for purchase in the commercial marketplace at a reasonable price. Among selected case studies, GAO found four interrelated factors, each with its set of challenges that influenced how and whether DOD determines if an item is commercial and if its price is reasonable. These factors are:", "Availability of marketplace information : Market research is a key component that informs commercial item and price reasonableness determinations. However, GAO found that obtaining market-related information can be challenging because the products DOD requires may not be widely available in the commercial marketplace.", "Ability to obtain contractor data : When adequate market information is not available, DOD officials turn to the contractor for information to support the commercial item determination or data to make a price reasonableness determination. In the case studies GAO reviewed, most contractors provided relevant information, but not without delays and challenges. For example, while pricing data is key to DOD's ability to determine price reasonableness, several contracting officers reported that contractors were less willing to provide this data once an item was determined commercial.", "Extent of modifications to an item : When a commercial item must be modified to meet DOD's requirements, DOD officials may have to take additional steps, such as completing a comparative analysis of commercial items to the modified item. For example, in one case, a commercial navigation system had to be modified to withstand an explosion. To make the commercial item determination DOD officials had to make an on-site visit to the manufacturer to gain in-depth understanding of the services provided and to ensure they met DOD requirements.", "Reliability of prior commercial item determinations : Contracting officers may presume that an item is commercial if a DOD component had previously made that determination. However, GAO found that, in some cases, contracting officers reviewing a prior determination discovered that it was based on inaccurate information.", "DOD has taken steps to share more information across the department to inform these determinations, but efforts are in early stages of development or informal. No comprehensive information sharing strategy exists. In 2016, DOD established the Commercial Item Group within the Defense Contract Management Agency to provide recommendations on commercial item determinations. This group created a publicly available database to centralize commercial item information across DOD. However, this effort is incomplete. Also, according to DOD officials, they have not yet established who is responsible for the funding and upkeep of the information. Additionally, GAO case studies included instances where informal information sharing resulted in better outcomes, such as a lower price. Creating more opportunities to share information internally is crucial for DOD to facilitate a timely and efficient process in making these determinations and ensuring the best financial outcome for the government."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD develop a strategy for how information related to commerciality and price reasonableness determinations should be shared across the department, including making improvements to the existing database and determining responsibilities for its funding and upkeep. DOD agreed with GAO's recommendation and stated that actions will be taken starting in 2018 to address it."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) purchases commercial items to meet many of its requirements in fulfilling its mission. In fiscal year 2017, the department spent $53 billion on commercial item contracts plus an unknown amount through subcontracts. Generally, items are considered commercial if they\u2014or something similar\u2014already exist in the marketplace or require few modifications to meet DOD\u2019s specific needs. Purchasing commercial items enables DOD to take advantage of market innovations, increase its supplier base, and reduce acquisition costs. Contractors also prefer to sell products and services as commercial items because there are fewer government-specific contractual requirements, reduced costs and risks associated with government-unique specifications, and fewer auditing requirements than for other types of procurements.", "The process to purchase commercial items can be relatively straightforward when the item or service procured is clearly commercial and a robust market of competitors exists, such as when buying a computer. However, some commercial item procurements can be more involved, such as buying a computer that has a case ruggedized for use in harsh conditions. This report focuses on these more complex procurements, and the issues that arise with them. Contractors and DOD have noted that in some cases, for instance when the item must be modified for DOD\u2019s use and is not competitively procured, the acquisition process has presented challenges. As we found in July 2017, companies that have not traditionally done business with DOD view DOD\u2019s workforce as inexperienced in making commercial item and price reasonableness determinations and view this as a challenge to entering the DOD arena. The DOD Office of Inspector General has reviewed the process of determining a fair and reasonable price on selected sole-source commercial spare parts contracts and found that on these contracts contracting officers accepted the contractors\u2019 pricing without performing a sufficient price analysis.", "You asked us to review DOD\u2019s process for acquiring commercial items. In this report we (1) identify factors that influenced DOD\u2019s process for making commercial item and price reasonableness determinations, and (2) assess the extent to which DOD has taken steps to make information available to help make these determinations.", "To identify factors that influenced DOD\u2019s process for acquiring commercial items and to assess what DOD has done to make information available, we examined the Federal Acquisition Regulation (FAR), the Department of Defense Federal Acquisition Regulation Supplement (DFARS), and associated DOD guidance. We also reviewed a nongeneralizable sample of 15 contracts awarded between fiscal years 2010 and 2018, and interviewed government officials involved with these contracts at the Air Force, Army, Navy, and the Defense Logistics Agency (DLA) as well as contractors. These contracts represent both products and services, and were selected because they had been previously identified as contracts that involved difficulties in making commercial item determinations by one or more of the following entities: the military services, the Defense Contract Management Agency (DCMA), contractors, or through previous GAO work. We selected these contracts to gain insight into why these difficulties occurred. We interviewed officials from the DCMA Commercial Item Group and reviewed the group\u2019s publicly available database that centralizes commercial item information.", "Additionally, we discussed the management and funding of the database with the Office of Defense Procurement and Acquisition Policy. See appendix I for more details on our objectives, scope, and methodology.", "We conducted this performance audit from July 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Federal Acquisition Streamlining Act of 1994 established a preference within the federal government to procure commercial items rather than items developed exclusively for the government. Between fiscal years 2013 and 2018, Congress passed additional legislation to address various aspects of how DOD defines and purchases commercial items, and how DOD makes commercial item and price reasonableness determinations. For example, legislation passed in 2015 included a provision stating DOD contracting officers may presume that previously established commercial item determinations shall serve as determinations for future procurements of an item. The law further stipulated that if a prior determination is not used for an item previously determined to be commercial, the contracting officer must request a review by the head of the contracting activity to either confirm that it is still valid or issue a revised determination.", "In January 2018, DOD revised its regulations and corresponding procedures, guidance, and information related to the procurement of commercial items to reflect recent legislative changes. The DFARS was updated to provide guidance to contracting officers for making price reasonableness determinations, promote consistency in making commercial item determinations (including updating guidance regarding the use of prior determinations), and expand opportunities for nontraditional defense contractors to do business with DOD. The department also updated its Guidebook for Acquiring Commercial Items, which includes information on how to define, determine, and price commercial items, to reflect the regulatory changes. Also in January 2018, a DOD advisory panel established to help streamline the defense acquisition process released a report with recommendations to revise definitions related to commercial buying and minimize government-unique terms applicable to commercial buying."], "subsections": [{"section_title": "DOD Process for Making Determinations When Acquiring Commercial Items", "paragraphs": ["During the pre-award process for commercial procurement actions over $1 million, two distinct determinations take place: 1. a contracting officer must determine in writing whether a product or service being procured is commercial, and 2. the contracting officer must determine if the offered price is fair and reasonable.", "According to the DOD Guidebook for Acquiring Commercial Items, the government\u2019s ability to acquire affordable products and services significantly improves when contracting officers have in-depth knowledge of the market. The guidebook establishes that market research should be an ongoing effort throughout the commercial item procurement process to: (1) identify the industry and market for capabilities or technologies; (2) identify prices at which the capabilities or technologies have been sold or offered for sale; and, (3) continuously capture market information at different points to ensure the best acquisition. When determining a fair and reasonable price, market research should be conducted in order to compare the proposed price to market pricing. Figure 1 illustrates the process contracting officers generally follow to make commercial item and price reasonableness determinations for more complex procurements.", "The contracting officer is ultimately responsible for making these determinations, but, as appropriate, he or she may seek the assistance of the Defense Contract Audit Agency (DCAA), military service organizations such as the Navy Price Fighters or the Air Force Pricing Center of Excellence, or the DCMA Commercial Item Group.", "The DCMA Commercial Item Group, which became operational in 2016, provides recommendations on commercial item determinations within DOD. It has created six Commercial Item Centers of Excellence, each of which has its own area of market expertise, to assist contracting officers in making timely and consistent commercial item determinations. These centers are staffed with engineers and price/cost analysts who advise and make recommendations on commerciality based on market analysis, commercial item reviews and determinations, and commercial pricing analysis. Additionally, the centers provide training and assistance to the DOD acquisition community on various techniques and tools used to evaluate commercial items and commercial item pricing.", "In order to make a commerciality determination, contracting officers may need information specifying whether the items have been sold or offered for sale to the general public. And, as noted above, the contracting officer must determine that the government is getting a fair and reasonable price. Some of this information may be acquired through market research; however, as appropriate, the contracting officer may require or request that the contractors submit information, such as price lists and sales invoices, with their offers or during the evaluation. For more details on the information and data required for commercial item and price reasonableness determinations at different times in the procurement process, see appendix II."], "subsections": []}]}, {"section_title": "Case Studies Identified Four Interrelated Factors That Influenced Commercial Item and Price Reasonableness Determinations, but Generally Did Not Delay Awards", "paragraphs": ["In the case studies we examined, we found four interrelated factors that influenced how DOD determines if an item is commercial and whether the price is fair and reasonable, and that each factor had its own set of challenges:", "Availability of marketplace information", "Ability to obtain contractor data", "Extent of modifications to an item needed to satisfy DOD", "Reliability of prior commercial item determinations Despite these challenges, contract award was not typically delayed. In other cases where DOD was not able to obtain the information or data it needed to make a determination, the department\u2019s options, such as not awarding the contract or exploring other suppliers, were often not feasible because DOD was working in a sole-source environment and not procuring the item was not an option."], "subsections": [{"section_title": "Limited Market Information Can Complicate Contracting Officers\u2019 Commercial Item and Price Reasonableness Determinations", "paragraphs": ["When there is a healthy marketplace of items and services that the government wants to buy, contracting officers can more readily support their commerciality and price reasonableness determinations. However, in our review, we identified cases in which limited market information made such determinations more involved. For example, the Army was working with a contractor to acquire repair and upgrade services for navigation systems. The contractor said the services were commercial, but when the contracting officer conducted market research to determine the commerciality of the services, she found no similar services available in the commercial market. According to a contracting official, the Army\u2019s particular units had to be nuclear hardened to withstand an explosion and needed some functional interfaces added, which made finding a similar commercial service difficult. In the end, the DCMA\u2019s Commercial Item Group officials completed an on-site review of the manufacturing process to gain an in-depth understanding of the services provided. Using this additional information, the contracting officer deemed the services commercial.", "In contrast, for a previous report on commercial item acquisitions, we reviewed selected Air Force contracts for information technology services and video teleconferencing design and installation. Because these items and services are available in the commercial marketplace, the availability of information helped the contracting officers efficiently determine that the items were commercial and that the prices were fair and reasonable."], "subsections": []}, {"section_title": "Obtaining Information from Contractors and Subcontractors Can Be Challenging", "paragraphs": ["Contracting officials from our case studies had difficulty obtaining information from contractors after they could not find adequate information in the marketplace. This difficulty occurred for a number of reasons, including the contractor\u2019s own challenges in obtaining information from their subcontractors. While several of the contracts we reviewed showed that either the prime contractor or subcontractor eventually provided sufficient information, obtaining this information was not without difficulties. For example: In a $1.7 billion Army sole-source contract for helicopter engines, the prime contractor asserted that two small engine parts\u2014provided by a subcontractor\u2014were commercial, but did not provide any documents to support its assertion. After several requests for information on commercial sales data, the prime contractor provided invoices for a commercial engine that contained similar engine parts. The prime contractor representative told us the reason it took so long to provide the requested information was because the subcontractor would not provide commercial sales data. As a result, the prime contractor needed to research commercial engines that used similar parts in order to support the commerciality assertion.", "In an $873 million Air Force sole-source contract for aircraft engines, the contracting officer had difficulty obtaining commercial sales data through market research for engine castings. The prime contractor did not initially provide support for its assertion that the castings were commercial, stating that it had difficulty obtaining supporting information from its subcontractor. Air Force officials visited the subcontractor\u2019s facility to determine that the item was a modified version of a commercial item and was therefore commercial.", "In a $53 million Navy sole-source contract for KC-130J aircraft propeller engineering and sustainment services, the contracting officer told us she had difficulty determining if the proposed prices for these commercial services were fair and reasonable because the contractor provided invoices with the prices redacted. After several months of back and forth, the contractor provided unredacted invoices for similar services, which the contracting officer used to determine price reasonableness. A contractor representative told us that the contractor initially provided the redacted invoices in order to quickly respond to the Navy\u2019s request for information, but that additional time was needed to evaluate if releasing the unredacted price information would violate a contractual agreement the contractor had with its suppliers.", "In other cases, the contractor provided information or data that the contracting officer considered insufficient to support a commercial item or price reasonableness determination. For example: In an F-15 aircraft production contract, Air Force contracting officials had difficulty determining whether the prices of oil bypass valves were fair and reasonable due to redactions in data the subcontractor provided. The subcontractor\u2019s proposed price was four times more than it had previously charged the government for the same item, according to contracting officials. To support its prices, the subcontractor provided a commercial price list and customer invoices with redacted customer information, which the subcontractor considered to be proprietary. According to contracting officials, the redacted invoices did not provide enough detail to confirm whether non-governmental end users were paying a price similar to the proposed price in the Air Force contract. The subcontractor subsequently provided a customer list associated with the redacted invoices. Also, while the subcontractor showed that its proposed price was lower than its commercial price list, contracting officers did not consider subcontractor-provided support sufficient to explain why the proposed price was higher than what the government had previously paid. According to contracting officials, the prime contractor absorbed the price difference between the subcontractor\u2019s proposed price and what the Air Force paid for the valves.", "On a $2 million Army task order for navigation software upgrades on Global Positioning System (GPS) units used in missiles, the DCMA Commercial Item Group obtained redacted invoices and quotes from a subcontractor to determine commerciality. But this information did not provide enough detail to substantiate the commerciality determination. A subcontractor representative told us that the company provided redacted information to the government because contractual agreements with its customers required them to not reveal the customer name. After evaluating multiple factors, the DCMA Commercial Item Group concluded that the GPS units did not match the form, fit, or function of the commercial ones, and recommended that this service and item were not commercial.", "Contractor representatives cited multiple reasons why they were unable to provide data (see text box).", "Examples of Reasons Contractors Cited for Not Providing Data:", "One prime contractor told us that some subcontractors are unwilling to provide information, such as unredacted invoices, to them and therefore prime contractors cannot provide this information to the government.", "Some subcontractors we interviewed explained that certain information, such as customer names and prices paid in invoices, is considered proprietary data.", "One subcontractor representative said that while the company cannot provide unredacted invoices to a prime contractor, it is willing to provide this information directly to the government, such as the DCMA Commercial Item Group, which can verify the content of the invoices at the contractors\u2019 facilities.", "Additionally, one contractor representative told us that when a previously determined commercial item is later determined noncommercial, specific cost or pricing data can be difficult to gather for companies that operate primarily in the commercial market. This is because these companies were not previously required to collect and provide this cost or pricing data to the government. For example, the subcontractor that produces an item for the Army told us that this item had been previously purchased by the government on a commercial basis under an agreement that was later canceled in 2014. When the government later determined this item was noncommercial, the subcontractor had difficulty providing detailed cost data for the government\u2019s units because they are procured on the same manufacturing line as their commercial units. According to contractor officials, the costs for subcomponents and labor hours for engineers that work on these units are pooled together with cost for the commercial business.", "A contracting officer\u2019s ability to obtain data is further affected once an item has been deemed commercial. Several contracting officers told us that once an item is determined commercial, contractors are less willing to provide any pricing data. While certified cost and pricing data cannot be required, the government can request uncertified data if needed to make a price reasonableness determination. As previously noted, we found cases in which contractor-provided information included redacted invoices as evidence that an item was commercial. When the government later requested uncertified cost and pricing data to determine price reasonableness\u2014after exhausting government and public market research resources\u2014the contractors were not willing or able to provide the data. In most cases contractors eventually provided data after multiple requests."], "subsections": []}, {"section_title": "Modified Items Require Additional Steps", "paragraphs": ["Our case studies showed that determining commerciality and price reasonableness for items that are modified from the commercial variant can be difficult, in part, because what can be deemed \u2018a minor modification\u2019 is subject to interpretation. The commercial item definition includes some types of commercial items that have minor modifications not customarily available in the commercial marketplace, but that are made to meet federal government requirements. For our case studies, when prime contractors or subcontractors claimed a modified item was commercial, contracting officers had to take extra steps to determine whether the commerciality assertions appropriately met the commercial item definition, such as completing a comparative analysis of commercial items to the modified item. However, determinations in our case studies were challenging to make because the items were generally acquired through sole-source procurements and had no identified commercial market. This made it more difficult for the contracting officer to make a determination based on market research.", "In one of our case studies, there was a difference of opinion within DOD as to whether a modified item was commercial. The prime contractor for an Army sole-source contract procuring modified fuel systems to meet military safety, crashworthiness, and ballistic tolerance requirements for Blackhawk helicopters claimed that its modified fuel system was a commercial item. However the contracting officer found no commercial market existed for this item so the contracting officer had to take additional steps. To make a commerciality determination, the contracting officer sought assistance from the DCMA Commercial Item Group, which recommended that the fuel system was not commercial. The contracting officer submitted a request to waive the requirement for certified cost or pricing data. The DOD official reviewing the waiver request discovered that the fuel system had previously been determined commercial for another helicopter program and the Director of Defense Pricing concurred with that commerciality determination."], "subsections": []}, {"section_title": "Contracting Officers Found Prior Commercial Item Determinations Not Always Accurate", "paragraphs": ["Some of our case studies exhibited challenges related to prior commercial item determinations:", "The Navy contracted for a radio used in a variety of aircraft throughout DOD. The contracting officer stated that the radio had been considered commercial for 20 years. However, for the most recent follow-on contract the contracting officer, who was new to the program, reviewed the prior determination and found it to be in error. In the prior determination the radio was compared to another radio considered noncommercial. As part of his review for the new determination, the contracting officer consulted with Air Force officials because they procure the same radio for some of their aircraft programs. The contracting officer ultimately determined that the radio was, in fact, commercial by comparing it\u2014at the suggestion of the Air Force\u2014to a different radio with similar features that is sold commercially to the public. According to the contracting officer, the Navy also benefited because the radio they had purchased for 20 years was also cheaper and more capable than the one that was sold commercially, to which it was compared.", "For a $2.5 billion Air Force sole-source contract, the prime contractor asserted that a cargo part, called a winch\u2014which had previously been sold to the government as a commercial item\u2014was commercial.", "However the contracting officer reviewed the support for the prior commercial item determination and found it was based on sales to a holding company for a foreign government. Additional information requested and received included catalog prices and the invoice to the foreign holding company. The contracting officer determined this support was not sufficient for determining commerciality because sales to foreign governments were not considered commercial sales. Additionally, market research did not yield any commercial sales or evidence that the part was sold in the commercial marketplace. The part was determined noncommercial.", "The National Defense Authorization Act for Fiscal Year 2016 states contracting officers may presume a prior commercial item determination made by a DOD component shall serve as a determination for subsequent procurements of an item. In fact, if a previous determination is not used, a contracting officer must request that the head of the contracting activity review the prior determination and either confirm its validity or issue a revised determination. Most contracting officers with whom we spoke indicated that prior determinations should be reviewed to determine if they were made under similar terms and conditions and whether circumstances have changed since the determinations were made. We found diverse opinions among contracting officers on whether they would elevate concerns about a previous determination to the head of the contracting activity. Some contracting officers said they would elevate the determination if they had supporting data while others would be hesitant under most circumstances due to the extensive process involved."], "subsections": []}, {"section_title": "Challenges in Making Commercial Item and Price Reasonableness Determinations Did Not Typically Delay Contract Award", "paragraphs": ["Despite the different factors involved, for most of our case studies, challenges in making the commercial item and price reasonableness determinations did not ultimately affect the government\u2019s ability to award the contract as planned. The time it took for the contractor to provide information to the government and the government to make a determination ranged from a few days to over a year. In most of our case studies, contracting officials said that this time did not solely affect the contract award because other factors, such as staff changes or awarding multiple contracts at the same time, also delayed the process.", "However, in two of our 15 cases, contracting officers told us they were delayed in awarding contracts when the contractor did not provide the requested information in the anticipated timeframe. In one example, an Army contracting official told us that a contract award was delayed when a subcontractor did not provide information to the contractor to support its commerciality assertion. The contracting officer noted that this delay also placed the program at risk of a funding loss because the service reallocated funding to another program that it viewed as less risky.", "Finally, contractors told us that they have taken steps to improve how they assert the commerciality of their items. For example, several contractors now use standardized forms to make commercial item assertions and keep prior assertions in a centralized place. Several contractor representatives we spoke with also told us that they have an internal panel of experts review commercial item and price reasonableness assertions to ensure consistency and that the assertions meet federal regulations. The contractors\u2019 hope is that these forms and processes will help reduce the back and forth in requesting information among the government, prime contractor, and subcontractors. In addition, some contractor representatives told us that they work with the DCMA Commercial Item Group to better understand what information contracting officers are requesting and to obtain assistance with subcontractors that are unwilling to provide information to the prime contractor."], "subsections": []}, {"section_title": "When Information Needed to Make Commercial Item and Price Reasonableness Determinations Is Not Readily Available, Contracting Officers\u2019 Options Are Limited", "paragraphs": ["Some contracting officials told us that they have few options at their disposal when they have difficulty obtaining information from the contractor to make a commercial item or price reasonableness determination in a sole-source environment. For example:", "For a $2 million Army task order for engineering services to upgrade navigation software and several GPS units with these upgrades, the contracting officer stated that procuring from an alternative source was not an option because this GPS was unique to the program and qualifying a different GPS would cost an estimated $50 million.", "In a nearly $2 million sole-source delivery order for Blackhawk helicopter fuel tanks, the Army contracting official told us that the program needed this fuel tank because the tank\u2019s configuration was specific to the helicopter. As a result, the contracting official said they could not walk away from the contractor. The contracting official further noted that certifying an item from a second source would be cost and time prohibitive for the government.", "Although in most of our sole-source case studies other options (e.g., contracting with a different vendor) were not viewed as being feasible, we did have one case where DOD made the choice to not award a contract, when the government and contractor could not agree on a reasonable price. DLA wanted to negotiate a long-term contract for night vision goggles, but after the contracting officer made repeated attempts to obtain data from the contractor, they could not agree on a fair and reasonable price. The prices were over 45 percent higher than prices that DLA had previously paid for the same item. As a result, the acquisition was canceled, and according to the contracting officer, the government plans to buy quantities as needed through an existing vehicle.", "Another option is to elevate issues to DOD management, which can make a determination on whether an item is commercial and is being offered at a fair and reasonable price.", "One example from our case studies includes a $1.7 billion Army sole source contract for helicopter engines. The contractor asserted commerciality for the engines, which had historically been procured as a noncommercial item. After extensive market research, the contracting officer asked for information from the contractor to support its commerciality assertion, but had difficulty obtaining it. According to the contracting officer, the Army discussed the possibility of not awarding this contract, but this was not considered feasible since the engine is used in multiple aircraft. After months of back and forth between the contracting officer and contractor, this commerciality issue was elevated to the Director of Defense Pricing, who agreed with the contracting officer\u2019s assessment that the engines were not commercial and procured them on that basis."], "subsections": []}]}, {"section_title": "Both Formal and Informal Information Sharing Efforts Exist, but With No Comprehensive Strategy", "paragraphs": ["DOD has taken steps to share more information across the department to inform commercial item and price reasonableness determinations, but efforts to date are in early stages of development or happening informally across the department. Despite these efforts, contracting officers still face challenges in obtaining adequate information to make informed commercial item and price reasonableness determinations, in part because no comprehensive information sharing strategy exists to outline responsibilities and funding of these efforts. DOD officials told us they plan to explore other options for the sharing of commercial item information, such as communities of practice, but have not made any formal plans.", "One information sharing effort still in its early stages is the DCMA Commercial Item Group\u2019s publicly available database, created in 2017 to centralize commercial item information across DOD. The database, however, has not been fully established as an effective tool. In its current form it consists of a spreadsheet primarily listing items that contracting officers have determined to be commercial. According to DCMA Commercial Item Group officials, the database contains fewer items than expected because not all DOD contracting officers have submitted their commercial item determinations. The Office of Defense Procurement and Acquisition Policy updated its Guidebook for Acquiring Commercial Items in January 2018 to state that a commercial item determination is not complete until the contracting officer submits it to the DCMA Commercial Item Group along with a summary of pricing information. These submissions are meant to improve consistency and efficiency in making commercial item determinations. On February 22, 2018, the Air Force Deputy Assistant Secretary for Contracting issued a memorandum that reminded its contracting officers of this responsibility.", "We found that the database has limitations. For example, it includes only a list of items evaluated and not the results of recommendations made on commerciality by the DCMA Commercial Item Group. These recommendations can be obtained by contacting the office directly. DCMA officials stated results of their recommendations are specifically not included in the public database because of concerns that a prime contractor may prefer a subcontractor with a commercial item determination over another without one.", "Most commercial item determinations included in the database go back only to 2016, since this is when the DCMA Commercial Item Group began collecting them. Additionally, DCMA Commercial Item Group officials said they have no funding to support the database. Officials plan to meet with DOD\u2019s Office of Defense Procurement and Acquisition Policy to discuss funding and other potential systems to maintain the information as well as provide DOD officials with direct access to copies of previous determinations and related information. Defense Procurement and Acquisition Policy and DCMA officials acknowledged that DOD has not yet determined who is responsible for the funding and upkeep of this information. Internal control standards promote assigning responsibility and delegating authority to key roles to achieve an organization\u2019s objectives. Without appropriate funding and clearly defined roles and responsibilities for management and upkeep of the database, its effectiveness as a tool to provide contracting officers with information to help make commercial item determinations will continue to be limited.", "While the database serves as a means to formally share information to help contracting officers make commercial item and price reasonableness determinations, contracting officers in our case studies noted instances where informal sharing of information between programs and services led to improved outcomes, such as a lower price. For example, In a $257 million sole source MQ-9 aircraft contract, the Air Force contracting team questioned whether a modified commercial engine being provided by a subcontractor was offered at a fair and reasonable price. While the Air Force contracting team relied on uncertified cost and pricing data provided by the subcontractor, a contracting official told us that the team also relied on information shared by Air Force officials in other programs that were procuring similar commercial items at the same time. The contracting team discovered that another contracting official obtained a lower price for a similar commercial item, and as a result, used this information to negotiate a lower price.", "In the procurement for radios used in a variety of aircraft, as discussed earlier, Navy contracting officials used informal information sharing to make a commercial item determination. The Navy obtained information from the Air Force, which was procuring the same radio and which had performed a review in January 2017 that it shared with the Navy. The review noted that other similar commercial radios existed and that a comparison of this radio to these other commercial radios could help determine that the radio is commercial. Navy contracting officials, using the Air Force\u2019s review as well as their own technical analysis, determined the radios were a modified commercial item.", "Despite the creation of the database and the informal information sharing that occurs, contracting officers still face challenges in obtaining adequate information to make informed commercial item and price reasonableness determinations. Specifically, DOD lacks a strategy for improving the sharing of commercial item and price reasonableness information across the department, such as efforts like the DCMA Commercial Item Group\u2019s database. Internal control standards promote effective sharing of information to ensure managers have the information they need to make informed decisions. In addition, internal control standards state that management should communicate information internally and assign responsibilities for key roles while also considering the cost necessary to communicate the information. In an environment where information is difficult to obtain from the contractor, as we have outlined in this report, the ability for contracting officers to have easy access to all necessary commerciality and pricing information within DOD is critical. If DOD does not have such information easily available, contracting officers will continue to struggle with obtaining all the information they need to make informed and efficient commercial item and price reasonableness determinations."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["When dealing with a limited marketplace and price data, determining commerciality and price reasonableness can be challenging for DOD\u2019s contracting staff. Ultimately, the effectiveness of determining commerciality and fair and reasonable prices will depend on what meaningful information the government successfully obtains to conduct its analysis. Therefore, information sharing within the department is critical in helping DOD\u2019s contracting officers determine commerciality and reasonable prices on DOD\u2019s acquisitions. As our findings show, DOD has made some efforts to facilitate the sharing of information, such as establishing the DCMA Commercial Item Group. This group, in turn, set up a database to increase the accessibility and utility of commercial and pricing data. But the database is not yet robust enough to eliminate the need for more sharing of information\u2014formal or informal\u2014across the department. Enhancing information sharing efforts could address some of the challenges we identified. Further, clearly defining the roles and responsibilities for management of the database and identifying viable funding sources to support the upkeep of the database will help ensure it becomes a useful resource for contracting officials."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to DOD: The Director of Defense Procurement and Acquisition Policy should work with the Defense Contract Management Agency to develop a strategy for sharing information related to commerciality and price reasonableness determinations across DOD, including a plan to increase the information available in the Commercial Item alternative mechanisms to share information, either formal or informal; and assignments of roles and responsibilities with regard to sharing commercial item information, including how the database should be funded, supported, and maintained."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix III, DOD concurred with our recommendation, stating that it plans to issue a policy memo requiring all commercial item determinations made after September 30, 2018 to be included in the existing commercial item database. DOD further stated that it will update its commercial item determination form to enhance informal information sharing. In addition, DOD stated that the Director of Defense Pricing within the Defense Procurement and Acquisition Policy office and the Director of DCMA will enter into a memorandum of agreement specifying roles and responsibilities in determining commercial item policy and funding the commercial item database.", "DOD also provided technical comments, which were incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committee, the Secretary of Defense, and the Director of Defense Procurement and Acquisition Policy. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or woodsw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to: (1) identify the factors that influenced the Department of Defense\u2019s (DOD) commercial item and price reasonableness determinations and (2) assess the extent to which DOD has taken steps to make information available to help make these determinations.", "To identify factors that influence the process and what DOD has done to address them, we reviewed relevant sections of the Federal Acquisition Regulation (FAR); Department of Defense Federal Acquisition Regulation Supplement; DOD memorandums; policy, guidance, and instructions related to the acquisition of commercial items, including the Guidebook for Acquiring Commercial Items Part A: Commercial Item Determination and Part B: Price Reasonableness Determination; and service-specific guidance regarding commercial items.", "To assess challenges in making commercial item and price reasonableness determinations, we identified a non-generalizable sample of contracts which were reported by DOD officials and contractors as a contract where it was difficult to make commercial item determinations, price reasonableness determinations, or both, from a variety of sources. Due to limitations of the Federal Procurement Data System-Next Generation (FPDS-NG) we could not identify all DOD commercial item acquisitions in the data system, specifically contracts that had been coded as having used procedures other than FAR Part 12, Acquisition of Commercial Items. Additionally, contracts which had issues in making commercial item or price reasonableness determinations would not be identifiable in FPDS-NG. Due to these limitations, we requested that three DOD services \u2013 Air Force, Army, and Navy \u2013 and the Defense Logistics Agency (DLA) each provide us with five contracts that had points of contention with the commercial item determination or the price reasonableness determination, either at the prime contract or subcontract level. We also identified contracts by asking officials at the Defense Contract Management Agency (DCMA) Commercial Item Group and the Navy Price Fighters for contracts as well as identified contracts through previous GAO work. Additionally, we asked contractors to identify contracts they believed had issues in determining commerciality and/or price reasonableness. One contractor identified two contracts, which we reviewed, but did not find to have any issues concerning commerciality or price reasonableness. From these requests we collected a non- generalizable sample of 56 contracts for commercial items.", "From the non-generalizable sample of 56 contracts, we selected 15 contracts awarded between 2010 and 2018 that met various criteria as case studies. We selected 4 case studies from the Air Force, 4 from the Army, 5 from the Navy, and 2 from DLA. The 15 case studies were selected to represent: (1) multiple services; (2) a variety of issues with commercial item or price reasonableness determinations, (3) reoccurring prime contractors or subcontractors, and (4) a mix of product and services acquired. We conducted an in-depth review of these contracts and selected related orders to assess what challenges occurred when the contracting officer was determining whether an item was commercial and whether the price was fair and reasonable, and why these challenges occurred.", "To assess challenges in making commercial item and price reasonableness determinations, we reviewed the contract file documentation for the 15 case studies, and interviewed contracting and pricing officials. We reviewed documentation including commercial item determinations, price negotiation memorandums, market research, and DCMA Commercial Item Group and Defense Contract Audit Agency reports. We also interviewed contracting officials and contractors to obtain perspectives on how an item was determined to be commercial and then subsequently, determined to be offered at a fair and reasonable price. We interviewed contracting officers to obtain their views on the effect the new Guidebook for Acquiring Commercial Items and recently passed legislation would have on these challenges, and how they might affect contracts in the future. We interviewed officials from the DCMA Commercial Item Group to understand how they assist contracting officers in making determinations, and about the publicly available database that centralizes commercial item information. We also reviewed this database to understand what types of information it contained. Additionally, we discussed the management and funding of the database with the Office of Defense Procurement and Acquisition Policy. We interviewed contractors to discuss commercial item and price reasonableness issues on the selected contracts, discuss general areas of concern with regard to commercial item and price reasonableness determinations, and identify other contentious contracts.", "We conducted this performance audit from July 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on audit objectives."], "subsections": []}, {"section_title": "Appendix II: DOD General Process for Making Commercial Item and Price Reasonableness Determinations", "paragraphs": ["Appendix II: DOD General Process for Making Commercial Item and Price Reasonableness Determinations applicable to most of the contracts in our case studies because all but one of the contracts were awarded before the DFARS changes were implemented. Furthermore, where the Federal Acquisition Regulation (FAR) and DFARS differed in terminology (e.g., the FAR noted a requirement for \u201cdata\u201d to determine price reasonableness but the DFARS noted a requirement for \u201cinformation\u201d), the table and report use the DFARS terminology."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tatiana Winger (Assistant Director), Emily Bond, Jared Dmello, Lorraine Ettaro, Julie Hadley, Julia Kennon, Timothy Moss, Miranda Riemer, Raffaele (Ralph) Roffo, and Carmen Yeung made key contributions to this report."], "subsections": []}]}], "fastfact": ["DOD contracting officers buy products \"off the shelf\" to take advantage of innovations and save money. But at times they must navigate a complex process to determine if an item is available commercially and at a fair price.", "We found that:", "Required market information on specialized products may be hard to find", "Contractors may be slow to provide information", "Additional steps may be needed to determine if a commercial item needs modification before it is DOD-ready", "Earlier determinations on products may not be valid", "We recommended DOD develop a strategy for sharing information on determining commerciality and price reasonableness across DOD."]} {"id": "GAO-19-159", "url": "https://www.gao.gov/products/GAO-19-159", "title": "Medicaid: CMS Action Needed to Ensure Compliance with Abortion Coverage Requirements", "published_date": "2019-01-04T00:00:00", "released_date": "2019-02-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["While federal law prohibits federal funding for abortions in most circumstances, state Medicaid programs are required to cover abortions in limited circumstances. CMS is responsible for monitoring state compliance with federal requirements. However, concerns have been raised about challenges women may face obtaining Medicaid coverage for abortions eligible for federal funding, as well as with abortion access more broadly.", "GAO was asked to review issues related to abortion access. This report examines (1) factors that may present challenges to women, including Medicaid beneficiaries, accessing abortions; and (2) federal and state information on the number of abortions eligible for federal Medicaid funding. GAO reviewed federal laws, regulations, and data sources; surveyed and received responses from Medicaid program officials in all 50 states and the District of Columbia; conducted a literature review; and interviewed CMS officials and eight abortion providers selected based on factors such as variation in Medicaid abortion coverage and geography."]}, {"section_title": "What GAO Found", "paragraphs": ["Women could face various challenges accessing abortions depending on where they live, and Medicaid beneficiaries may face additional challenges in some states. GAO identified seven key factors that could pose challenges to women accessing abortions, based on its interviews with providers and review of the literature: gestational limits, mandatory counseling, out-of-pocket costs, parental involvement requirements, provider availability, stigma and harassment, and waiting period requirements. The presence of these factors and their effect on abortion access\u2014such as delays in care or increased costs\u2014varied by state.", "GAO also found that state variation in Medicaid abortion coverage and payment requirements could further complicate access for program beneficiaries. State Medicaid programs are generally required to cover abortions and can seek federal funding for such coverage when the pregnancy is the result of an act of rape or incest, or the life of the pregnant woman would be endangered unless an abortion is performed. States may also cover abortions under other circumstances, but federal funds may not be used. In GAO's survey, one state reported not covering abortions in cases of rape or incest, and 14 states reported not covering the drug used in medical abortions, which they are generally required to cover if the abortion is otherwise eligible for federal funding. Officials from the Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, were unaware that these states were not covering the drug, and thus, have not taken any actions to address states' non-compliance.", "Federal information on the number of abortions eligible for federal Medicaid funding is incomplete, limiting CMS's ability to ensure proper payments and states' coverage of such abortions. For example, the form CMS-64, which states use to report Medicaid expenditures, does not collect information on the number of abortions paid for by managed care\u2014the delivery system serving most Medicaid beneficiaries. It also does not include this information from 8 states that GAO identified as incorrectly reporting abortion costs on the form. While also not complete, state information reported in GAO's survey was more comprehensive, and showed a wide range in the number of abortions eligible for federal funding covered across the 42 states that reported such information."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to CMS to ensure state compliance with federal requirements for Medicaid abortion coverage, including coverage of the drug used for medical abortions. The Department of Health and Human Services concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicaid, a joint federal-state health financing program, is one of the nation\u2019s largest sources of coverage for medical and other health-related services. In fiscal year 2017, Medicaid covered acute health care, long- term care, and other services for an estimated 74 million low income and medically needy individuals. While federal law prohibits federal funding for abortions in most circumstances, state Medicaid programs are required to cover an abortion if the pregnancy is the result of rape or incest, or the life of the pregnant woman would be endangered unless an abortion is performed. In these circumstances, abortions are eligible for federal funding. In addition, states can, at their own expense, choose to cover this procedure beyond the circumstances outlined in federal law.", "The Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that oversees Medicaid, has a critical role in monitoring states\u2019 compliance with federal requirements, including ensuring that federal funding is provided only for eligible abortions and that state Medicaid programs cover abortions eligible for such funding. However, members of Congress and others have raised concerns about women\u2019s access to abortions across states, including for Medicaid beneficiaries in circumstances eligible for federal funding. For example, concerns have been raised about the availability of facilities providing abortions, which could affect women\u2019s access. A recent study found that the number of abortion clinics varied greatly across the country with the Northeast having nearly three times more clinics than the Midwest based on regional population size. Another study found that the number of abortion clinics has declined over time and that more than a third of women across the country live in a county without an abortion clinic.", "You asked us to examine issues related to women\u2019s access to abortions. This report examines 1. factors that may present challenges to women, including Medicaid beneficiaries, accessing abortions; and 2. federal and state information on the number of abortions eligible for federal Medicaid funding.", "To examine factors that may present challenges to women, including Medicaid beneficiaries, accessing abortions, we reviewed federal laws and regulations, and surveyed Medicaid officials in all 50 states and the District of Columbia (hereafter, states) regarding their scope of abortion coverage, including coverage of medical abortions, and their requirements for Medicaid payment for abortions eligible for federal funding. All states responded to the survey. In addition, we interviewed eight abortion providers about access challenges women may face. These eight providers offered services in 21 states that represented more than 40 percent of the total national Medicaid population, but varied in terms of their Medicaid abortion coverage and geography. Our findings from these interviews are not generalizable. We also conducted a literature review to identify peer-reviewed studies that examined factors that could present challenges to women accessing abortions. We searched multiple reference databases for relevant studies published between January 2007 and September 2017, and identified 637 studies that were potentially relevant. To further refine our search, we reviewed the abstract of each study to ensure the articles met certain criteria. For the studies remaining, we examined their methodologies to determine whether they were sufficiently reliable for the purposes of our reporting objectives. As a result of these efforts, we identified 52 studies to include in our review. For more details on the literature review and a list of studies we reviewed, see appendix I. We also interviewed officials from CMS and other relevant organizations representing a range of perspectives on women\u2019s access to abortions.", "To examine federal information on the number of abortions eligible for federal Medicaid funding, we reviewed available federal data sources, such as the form CMS-64, which states use to report Medicaid expenditures to CMS for the purpose of determining federal funding, and interviewed CMS officials. To examine state information, we obtained responses through our survey to questions regarding the number of abortions eligible for federal funding that state Medicaid programs covered and denied for fiscal years 2013 through 2017. We asked states to report information by delivery system type and by the circumstance eligible for federal funding (rape, incest, or life endangerment). We did not independently verify state-reported information, but did follow up with states to clarify inconsistencies or outliers we identified. On that basis, we determined that the state-reported information was sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from May 2017 to January 2019, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Abortion in the United States", "paragraphs": ["In 1973, the U.S. Supreme Court concluded in Roe v. Wade that a woman has a fundamental right protected by the U.S. Constitution to decide whether to terminate her pregnancy. However, the Court also recognized that a state may have an interest sufficient to regulate abortion after the first trimester of the pregnancy or proscribe abortion after the fetus reaches viability, the point at which the fetus could live outside the womb. Over time, states have adopted a range of abortion- related laws or policies, including the following examples.", "Gestational limits: Prohibiting abortions after a specified gestational age.", "Insurance limitations: Limiting insurance coverage of abortions to certain circumstances in either publicly or privately funded insurance plans.", "Laws regulating abortion providers: Requiring abortion providers to meet certain standards, such as standards that specify facility room size or corridor widths.", "Mandatory counseling: Requiring specific information, including information on fetal development or gestational age of the fetus, be provided to a woman prior to an abortion.", "Parental involvement: Requiring the consent or notification of one or both parents for minors seeking an abortion.", "Waiting periods: Requiring a certain amount of time to elapse between informed consent\u2014which may include mandatory counseling\u2014and having an abortion.", "Since Roe v. Wade was decided, many of these state laws have been challenged, and the Court, in reviewing these laws, has considered whether they impose an undue burden on a woman\u2019s right to choose an abortion. Most recently, in 2016, the Court found that two Texas laws regulating abortion providers offered few, if any, health benefits and posed a substantial obstacle to women seeking abortions. Therefore, the Court found that these two Texas laws constituted an undue burden and were unconstitutional.", "The number of abortions performed in the United States has steadily declined over the past 30 years, with the abortion rate reaching its lowest point in 2014\u2014the most recent year data were available\u2014at 14.6 abortions per 1,000 women of reproductive age, according to a 2017 study. This study attributed this decline primarily to a decrease in the number of unintended pregnancies and to a lesser extent, laws or policies that may limit women\u2019s access to abortions.", "Abortions are typically performed in a clinic or other nonhospital setting and involve one of two methods: medical abortion or surgical abortion. Medical abortions involve using prescription drugs to terminate a pregnancy. The prescription drug mifepristone, sold under the brand name Mifeprex, in combination with the prescription drug misoprostol, is the only Food and Drug Administration (FDA) approved medication for medical abortions in the United States, and is approved for use through 10 weeks gestation. FDA has restricted the administration of Mifeprex to patients in certain healthcare settings under the supervision of a certified prescriber; thus, the drug cannot be sold in retail pharmacies. According to Danco Laboratories, the manufacturer of Mifeprex, there is at least one certified Mifeprex provider in every state. Surgical abortions, which can involve different procedures depending on the stage of a women\u2019s pregnancy, account for the majority of abortions in the United States. However, according to a recent study, the incidence of medical abortions increased 7 percent from 2011 to 2014, with medical abortions accounting for 31 percent of all nonhospital abortions in 2014."], "subsections": []}, {"section_title": "Medicaid Coverage of Abortions", "paragraphs": ["Medicaid expenditures are financed by both the federal government and the states. In order to receive federal funding for Medicaid expenditures, states must adhere to a broad set of federal requirements and administer their programs consistent with individual state plans approved by CMS. However, Medicaid, by design, allows significant flexibility for states to design and implement their programs. States have some discretion in, among other things, setting Medicaid eligibility standards and provider payment rates; determining the amount, scope, and duration of covered benefits; and developing their own administrative structures. For example, states must cover certain mandatory populations and services\u2014including abortions in cases of rape, incest, or life endangerment\u2014but may impose certain requirements on that coverage, such as requiring authorization before a service is provided. States may also opt to cover other optional populations and services, including abortions for which federal funding is not available.", "States may also decide how Medicaid-covered services provided to beneficiaries will be delivered. For example, states may pay health care providers for each service they provide\u2014referred to as fee-for-service (FFS)\u2014or contract with managed care organizations (MCO) to provide a specific set of Medicaid-covered services to beneficiaries and pay them a set amount per beneficiary, typically per month. While most states use both delivery systems, the percentage of beneficiaries served through comprehensive MCOs has grown in recent years, and represented nearly 70 percent of all Medicaid beneficiaries in 2016.", "Oversight of the Medicaid program is also shared by the federal government and the states, and is aimed, in part, at ensuring that funds are used appropriately and that beneficiaries have access to covered services. With respect to abortion coverage, federal law and CMS guidance outline specific requirements for federal funding to be available. For example, states that claim federal funding for abortions in the case of life endangerment must obtain a physician\u2019s certification that the abortion is necessary for this purpose. While there is not a similar certification requirement for federal funding of abortions in cases of rape or incest, CMS guidance specifies that states may impose certain additional requirements on providers and beneficiaries as a condition of Medicaid payment for abortions eligible for federal funding, provided such requirements are reasonable and do not deny or impede coverage for such abortions.", "In the case of medical abortions, federal law does not specifically require Medicaid coverage of the prescription drugs used to terminate a pregnancy. However, state Medicaid programs that opt to cover prescription drugs\u2014which is the case in all 51 states\u2014are generally required to cover outpatient drugs of any manufacturer participating in the Medicaid Drug Rebate Program. Danco Laboratories has a rebate agreement for Mifeprex, and, as result, states should generally cover it for abortions in the circumstances eligible for federal funding. In determining states\u2019 compliance with this requirement, CMS guidance states that the agency will consider several factors, including a state\u2019s authority to set limitations on covered outpatient drugs under relevant state laws.", "To inform its oversight of Medicaid, CMS relies on state-reported data that contain information on multiple aspects of the program. States claiming federal funding for Medicaid services, including abortions, are required to report quarterly expenditures to CMS on the form CMS-64. CMS uses these data to pay states for the federal share of program spending and the agency is responsible for ensuring that federal payments are made appropriately. Additionally, states submit Medicaid expenditure and utilization data that can be linked to individual beneficiaries to CMS on a monthly basis through the agency\u2019s new Transformed Medicaid Statistical Information System (T-MSIS)."], "subsections": []}]}, {"section_title": "Multiple Factors Could Present Challenges to a Woman\u2019s Access to Abortions Depending on Where She Lives", "paragraphs": ["Through provider interviews, we identified multiple factors that could present challenges to women accessing abortions, but the extent to which these factors were present in a state varied, as did their effect on access. In addition, the studies we reviewed examined some of these factors more than others, but often pointed to the challenges they could pose. Medicaid beneficiaries may experience further challenges accessing abortions in some states due to variation in Medicaid abortion coverage and related payment requirements."], "subsections": [{"section_title": "Providers and Literature Pointed to Multiple Factors that Could Present Challenges to Women Accessing Abortions across States", "paragraphs": ["We identified seven key factors as potential challenges to women accessing abortions based on our interviews with eight selected providers: (1) gestational limits; (2) mandatory counseling; (3) out-of- pocket costs; (4) parental involvement; (5) provider availability; (6) stigma and harassment; and (7) waiting periods. (See table 1.)", "The extent to which these factors are present in a state varies. For example, one provider who did not identify stigma and harassment as a factor affecting women in the state it operates in noted that women from all over the country come to its clinics. The provider said this was because women see its clinics as a safer place to obtain an abortion than seeking care in their own state, where they would likely be stigmatized or harassed. Additionally, providers in some states told us that they were able to cover the entire cost of the abortion and pay for associated costs, such as transportation, for women who could not afford to pay, while providers in other states said that they could not cover the entire cost of the abortion due to funding limitations. See figure 1 for an example of differences in factors present in two states.", "In addition, a factor could be more challenging in one state versus another, depending on the details of the factor and other factors present. For example, one provider noted that the 24-hour waiting period in one state it serves poses a minimal challenge, because women can complete part of the process online and only make one visit to the abortion provider. Conversely, a provider in another state said that the state\u2019s 72- hour waiting period requires two in-person visits and that the same doctor be present at both, which can create delays in care and increase costs, particularly if the woman needs to travel a long distance for her appointments. Differences in access can also exist within a state. Most notably, some selected providers pointed out that women in a state\u2019s rural areas typically have more limited access to abortion providers than those who live in the state\u2019s urban areas.", "The 52 studies we reviewed examined the key abortion access factors identified through our interviews with selected providers, though some factors were studied more than others. (See app. I.) Most of the reviewed studies conducted statistical analyses to evaluate the effects of a factor on abortion access and often identified access challenges. For example, nearly two-thirds of the statistical studies for the three most commonly studied factors\u2014out-of-pocket costs, parental involvement, and provider availability\u2014found that the factor adversely affected a measure of abortion access. (See table 2.)", "The other factors identified by providers\u2014gestational limits, stigma and harassment, mandatory counseling, and waiting periods\u2014were less frequently examined in the reviewed studies, and the findings from these studies were more mixed. For example, gestational limits and stigma and harassment were the least studied of all the factors with only three and two studies, respectively, and the reviewed studies found both adverse effects on access, as well as effects that were statistically insignificant. While there were more studies on waiting periods, the results were similarly mixed, with at least one study suggesting that the type of waiting period could change the effect on access. This study found that while a waiting period requiring two in-person visits could delay care, the effect of waiting periods that required fewer in-person visits was not significant. Finally, for mandatory counseling, the studies we reviewed rarely found that the factor had a statistically significant effect on a measure of abortion access (2 of 10 studies)."], "subsections": []}, {"section_title": "Variation in State Coverage and Payment Requirements Could Further Challenge Medicaid Beneficiaries\u2019 Access to Abortions", "paragraphs": ["In responding to our survey, 29 states reported limiting abortion coverage for Medicaid beneficiaries to the three circumstances required under federal law\u2014rape, incest, and life endangerment\u2014while 21 states reported broader abortion coverage. The remaining state, South Dakota, reported that it limits abortion coverage for Medicaid beneficiaries to circumstances when the pregnancy endangers the life of the woman, and does not cover abortions in cases of rape or incest. CMS confirmed that South Dakota\u2019s Medicaid state plan does not include coverage of abortions in cases of rape or incest, and shared a letter it sent to the state in 1994 outlining that the state\u2019s coverage did not comply with federal law and expressing CMS\u2019s intent to work with the state on possible solutions. However, according to CMS officials, the agency has not taken any action since that time to ensure South Dakota\u2019s compliance, and does not have plans to do so. As a result, Medicaid beneficiaries in South Dakota do not have Medicaid coverage for abortions in cases of rape or incest.", "States also varied in the extent to which their Medicaid programs covered Mifeprex, the prescription drug most commonly used for medical abortions. (See fig. 2.) As previously noted, state Medicaid programs that opt to cover prescription drugs\u2014which is the case in all 51 states\u2014are generally required to cover outpatient drugs of any manufacturer participating in the Medicaid Drug Rebate Program, subject to a few statutory exceptions. CMS officials told us that Mifeprex, which became a covered outpatient drug in 2001, does not meet any of the exceptions for categorical exclusion from coverage. However, 14 states reported that they do not cover Mifeprex. Without such coverage, Medicaid beneficiaries seeking abortions in these states would have to find another way to pay for the drug or undergo a surgical abortion instead. CMS officials were not aware that these states did not cover Mifeprex, and thus the agency had not taken any action to address states\u2019 non-compliance.", "Beyond differences in the scope of their abortion coverage, states varied in the types of requirements they imposed as a condition of Medicaid payment for abortions eligible for federal funding, which could also affect women\u2019s access to the procedure. Provider certification that the abortion met the circumstances of rape, incest, or life endangerment was the most common requirement reported by states. Other commonly reported requirements included provider certification of counseling, beneficiary certification of rape or incest, documentation of rape or incest, and prior authorization by the state Medicaid agency. (See table 3.)", "The details of particular requirements also varied across states. For example, among the 32 state Medicaid programs that claimed federal funding for abortions, we reviewed available documents implementing the federal requirement that physicians certify the abortion is necessary in the case of life endangerment and found differences among the states. In particular, some states\u2019 documents incorporated the statutory wording of the life endangerment exception, others incorporated the wording of the related federal regulation, and others used different wording. Additionally, CMS officials told us that the agency does not require that physicians fill out a specified form to meet the certification requirement, and the 32 states varied in whether or not they had such a form. In another example, of the 14 states that required documentation of cases of rape or incest, some states specifically required a police report, and other states allowed the beneficiary the option of either filing a police report or filing a report with another public agency, such as a public health agency.", "Finally, states also varied in terms of the number of requirements they imposed specific to Medicaid payment of abortions eligible for federal funding. For example, some states had no requirements specifically for these abortions, while one state had all five of the requirements most commonly reported. In general, states that used state-only funds to cover abortions in circumstances beyond those eligible for federal funding had fewer requirements. (See fig. 3.)", "Our interviews with the eight selected providers suggest that the scope of a state\u2019s Medicaid abortion coverage and related payment requirements could affect abortion access. For example, six selected providers said that they rarely submit abortion claims to state Medicaid programs that limit abortion coverage to circumstances eligible for federal funding, in part, because obtaining payment is challenging; involves multiple, often unclear requirements; and frequently results in denied claims. One of these providers noted that not obtaining Medicaid payment puts additional pressure on already strained resources, affecting its ability to cover abortions for women in general. Conversely, two providers operating in states with broader Medicaid abortion coverage stated that they frequently submit claims for abortions and receive payment.", "State-reported information on denied abortion claims suggests that the difficulty the selected providers faced in obtaining Medicaid payment for abortions eligible for federal funding in certain states could exist in other states. Specifically, among the 15 states reporting information on denials of payment for abortions in circumstances eligible for federal funding, denial rates ranged from 4 percent to nearly 90 percent, with about half of the 15 states reporting denial rates of 60 percent or more. While we did not ask states to report on their reasons for denying Medicaid payment for abortions, some states provided this information. For example, one state said that its high denial rate is due to the initial denial of all claims for abortions in cases of life endangerment that do not have the recipient\u2019s address, as required by federal regulation. In addition, 7 states reported having no payment denials, 4 of which did not receive any claims for abortions eligible for federal funding over the 5- year period.", "Findings from the studies we reviewed also highlight the potential effect of states\u2019 Medicaid coverage and payment requirements on a woman\u2019s access to abortions. Eight studies that examined the effect of limiting Medicaid abortion coverage to those eligible for federal funding found that such coverage limits were associated with a reduction in the number of women having abortions. For example, one of these studies analyzed national data from 1985 to 2005 and found that limiting Medicaid coverage to abortions eligible for federal funding reduced a state\u2019s abortion rate by 8 to 9 percent. In addition, six studies that examined providers\u2019 experiences obtaining Medicaid payment for abortions corroborated many of the concerns raised by our selected providers. For example, one study examining abortion provider experiences in six states found that many providers choose not to bill Medicaid for abortions, because obtaining payment for the procedure requires a significant time commitment, and when states do pay, the amount is typically lower than the cost of providing the abortion."], "subsections": []}]}, {"section_title": "Information on Abortions Eligible for Federal Medicaid Funding Is Incomplete, but Showed a Wide Range in the Number of Procedures Covered across States", "paragraphs": ["The usefulness of federal information\u2014namely CMS-64 data\u2014for identifying the number of abortions eligible for federal Medicaid funding is limited, which could hamper CMS\u2019s efforts to ensure proper payments and states\u2019 coverage of abortions in cases of rape, incest, or life endangerment. In particular, the CMS-64 does not include the following information.", "Abortions states paid for through MCOs. The CMS-64 does not include information on abortions eligible for federal funding provided to Medicaid beneficiaries through MCOs, because states are not required to identify expenditures for individual managed care services on the form. In our survey, 23 states reported claiming federal Medicaid funding for abortions from fiscal years 2013 through 2017 that were, at least in part, paid for through MCOs.", "Abortions in states reporting FFS abortions incorrectly. The CMS-64 is also an incomplete information source, because of inaccurate state reporting. CMS requires states to report FFS abortions for which they claim federal funding on line 14 of the form. However, in our survey, eight states reported that they include the costs of such abortions on other lines of the CMS-64, such as on the lines for outpatient hospital or physician services. According to agency officials, CMS conducts quarterly reviews of the CMS-64 data states report. CMS officials also said that reviewers are not required to confirm whether states that report no abortions on line 14 have accurately reported the information, which means that reviewers may not identify states reporting abortions elsewhere. As a result, information from the CMS-64 does not accurately reflect the number of FFS abortions for all states that may be claiming federal Medicaid funding.", "In addition, because state Medicaid programs use the CMS-64 to claim federal funding for services provided, the form does not include information from states that covered abortions for Medicaid beneficiaries in circumstances of rape, incest, or life endangerment, but did not seek federal funding for those costs. In our survey, 15 states\u2014accounting for nearly half the Medicaid population nationwide\u2014reported that, from fiscal years 2013 through 2017, they did not claim federal funding for abortions covered by their programs.", "In comparison with the CMS-64 data, the information states reported through our survey was more comprehensive. For example, 16 states claiming federal Medicaid funding provided us information on the number of abortions paid for through MCOs, information that was not captured on the CMS-64 as individual services, but often represented a significant portion of the abortions covered by these states. Similarly, the 8 states we identified as incorrectly reporting their FFS abortions on the CMS-64 reported the number of such abortions to us, and these states accounted for half of all FFS abortions for which states reported claiming federal funding in our survey. As a result, the number of abortions for which states claimed federal funding that was reported to us was substantially higher than the number in CMS\u2019s annual reports to Congress on such abortions, which are based on CMS-64 data. From fiscal year 2013 to fiscal year 2016\u2014the latest year of data available from CMS\u2019s annual reports\u2014our survey identified nearly 5,000 abortions for which states claimed federal funding versus the approximately 550 identified in the agency\u2019s reports.", "However, the information on abortions eligible for federal funding that states reported to us was also incomplete.", "Nine states, accounting for about one-third of total Medicaid enrollment, were unable to provide any information. These states use only state funds to pay for abortions, and, for example, do not require providers to report the circumstance for the abortion when requesting Medicaid payment, including those eligible for federal funding.", "Six states provided only FFS information, though they also reported paying for abortions through MCOs. Because over 60 percent of Medicaid beneficiaries in five of these states are enrolled in MCOs, information was not available for a significant portion of their beneficiaries.", "There were also other, smaller gaps in the states\u2019 information. For example, six states were not able to provide information for at least 1 year of the survey time frame, and one state was not able to provide information on abortions in the case of life endangerment, which, based on information provided by other states, typically accounts for the majority of abortions eligible for federal Medicaid funding.", "While not always complete, 42 states reported information to us on abortions eligible for federal Medicaid funding, which showed a wide range in the number of procedures covered across states. Most of these states (37 of 42) reported covering 15 or fewer abortions eligible for federal funding per year, on average, from fiscal years 2013 through 2017, though this number may be understated in some states due to the data limitations discussed above. However, during this same time frame, 3 states (Iowa, South Dakota, and Wyoming) reported covering no abortions eligible for federal funding, and 2 states (Nevada and Pennsylvania) reported annually covering an average of more than 300 and 700 such abortions, respectively. (See app. II.)", "Additionally, when excluding Nevada and Pennsylvania, states reporting information showed an aggregate decrease in the number of abortions eligible for federal Medicaid funding they covered during the fiscal year 2013 through fiscal year 2017 time period (from 383 to 200). When data from these two states were included, there was an aggregate increase (from 876 to 1,544), as the number of abortions covered by Nevada and Pennsylvania was much higher in later years.", "T-MSIS could be a potential future source of more complete information on the number of abortions eligible for federal Medicaid funding. However, in two reports issued in January 2017 and December 2017, we examined T-MSIS implementation and identified issues with the completeness and comparability of T-MSIS data across states, as well as uncertainty with respect to how CMS will ensure the quality of the data or use them for oversight purposes. Based on our findings, we recommended that CMS expedite efforts to ensure the quality of T-MSIS data and articulate its plan and associated time frame for using these data for oversight. CMS agreed with these recommendations, but as of October 2018, the agency had not fully implemented them, and we continue to believe that these recommendations remain valid. Further, due to ongoing concerns regarding the quality of T-MSIS data and the small number of abortion services relative to other Medicaid services, CMS officials said that the agency has focused its oversight efforts in other areas."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["CMS has a central role in monitoring states\u2019 compliance with federal requirements for coverage of abortions eligible for federal funding in the Medicaid program. However, our work identified limitations in CMS\u2019s oversight. In the case of South Dakota, CMS is aware that the state does not cover abortions in cases of rape or incest, as required by federal law, but has not taken any action in 25 years to ensure the state\u2019s compliance. CMS was not aware of the14 states that reported not covering Mifeprex despite the requirement to do so under federal law. Without such coverage, Medicaid beneficiaries seeking abortions in these states would have to find another way to pay for the drug or undergo a surgical abortion. Finally, incomplete federal data on the number of abortions eligible for federal Medicaid funding\u2014in part, due to inaccuracies that we identified in the reporting of these expenditures by eight states\u2014limit the agency\u2019s ability to ensure that states are covering such abortions and that federal payments are made appropriately."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following three recommendations to the Administrator of CMS.", "CMS should take action to ensure South Dakota\u2019s Medicaid state plan provides coverage for abortions in cases of rape and in cases of incest, in addition to life endangerment, to comply with federal law, which currently requires such coverage. (Recommendation 1)", "CMS should determine the extent to which state Medicaid programs are in compliance with federal requirements regarding coverage of Mifeprex and take actions to ensure compliance, as appropriate. (Recommendation 2)", "CMS should determine the extent to which state Medicaid programs are accurately reporting fee-for-service abortions on line 14 of the CMS-64 and take actions to ensure accuracy, as appropriate. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Department of Health and Human Services for comment. In its written comments, HHS concurred with our recommendations and indicated a commitment to working with states to address them. In doing so, HHS noted that while CMS encourages states to design their Medicaid programs to meet the needs of local beneficiaries, states must operate their programs consistent with all applicable federal laws, including those referenced in our report. HHS also provided technical comments, which we incorporated as appropriate. HHS\u2019s comments are reprinted in appendix III.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of HHS, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs can be found on the last page of this report. Major contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Literature Review", "paragraphs": ["To identify studies examining factors that may present challenges to women, including Medicaid beneficiaries, accessing abortions, we conducted a literature review of recently published studies. Specifically, we searched for relevant studies published from January 2007 through September 2017. We searched various peer reviewed and industry journals using databases, including ProQuest, CINAHL, Dialog, and Scopus. Key terms included various combinations and iterations of \u201cabortion,\u201d \u201caccess,\u201d \u201cchallenge,\u201d \u201climit,\u201d \u201crestrict,\u201d \u201cobtain,\u201d \u201cdeny,\u201d \u201cstate regulation,\u201d \u201cstate law,\u201d \u201cstate rule,\u201d \u201cstate policy,\u201d \u201cMedicaid,\u201d \u201cparental consent,\u201d \u201cparental notification,\u201d \u201ccounseling,\u201d \u201cwaiting period,\u201d \u201cultrasound,\u201d \u201cambulatory surgical,\u201d \u201csurgical center,\u201d \u201cadmitting privileges,\u201d \u201chospital distance,\u201d \u201chospital proximity,\u201d \u201chospital miles,\u201d \u201croom size,\u201d \u201ccorridor,\u201d \u201cprocedure room,\u201d \u201ctransfer patient,\u201d \u201ctargeted regulation of abortion providers,\u201d \u201cTRAP law,\u201d \u201cstigma,\u201d \u201cviolence,\u201d \u201cprotest,\u201d harass,\u201d \u201cgestational limit,\u201d \u201cterm limit,\u201d \u201cout-of-pocket,\u201d \u201cexpense,\u201d \u201cprovider availability,\u201d \u201cprovider shortage,\u201d and \u201cprovider participation.\u201d From our search, we identified 637 studies.", "We systemically reviewed the abstracts of these studies to determine which ones examined factors that may present challenges to women accessing abortions. In doing so, we excluded studies where the research (1) was not focused on the United States; (2) was not empirically analytical, such as theoretical articles and opinion pieces; (3) did not directly analyze the effect of a factor on a woman\u2019s ability to obtain an abortion (i.e., analyzed the effect of a factor on mental health outcomes, contraception use, or unintended birth); (4) did not focus on the civilian population; (5) evaluated personal characteristics or issues that may present challenges to obtaining abortions, such as income level or age; and (6) analyzed a number of factors together so the individual effect of any one factor could not be identified. For the studies remaining, we examined their methodologies to determine whether they were sufficiently reliable for the purposes of our reporting objectives. After taking these steps, 52 studies remained.", "The 52 studies were then reviewed and coded by analysts to determine the type of abortion access factor identified. We focused our analysis on key factors identified through interviews with selected abortion providers: (1) gestational limits; (2) mandatory counseling; (3) Medicaid challenges; (4) out-of-pocket costs, (5) parental involvement, (6) provider availability, including certain state laws regulating abortion providers; (7) stigma or harassment; and (8) waiting periods. Table 4 identifies these 52 studies and summarizes the factors they examined."], "subsections": []}, {"section_title": "Appendix II: State-Reported Information on the Number of Covered Abortions Eligible for Federal Medicaid Funding", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Carolyn L. Yocom, (202) 512-7114 or yocomc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Susan Anthony (Assistant Director), Rachel Svoboda, (Analyst-in-Charge), Marcia Crosse, Julianne Flowers, Sandra George, Ashley Nurhussein, Sara Rizik, and Jennifer Rudisill made key contributions to this report. Also contributing were Sarah Gilliland, Kaitlin Farquharson, Drew Long, Vikki Porter, and Eric Wedum."], "subsections": []}]}], "fastfact": ["To receive federal funding, state Medicaid programs are supposed to meet federal health care coverage requirements. These include coverage for abortion, but only in cases of rape, incest, or if the woman's life is endangered.", "We found state-reported practices that did not comply with federal requirements.", "1 state did not cover abortion in cases of rape or incest.", "14 states did not cover the drug used in non-surgical abortions, even when the abortion was eligible for federal funding.", "We made 3 recommendations to CMS, the Medicaid administrator, to ensure compliance with federal requirements for abortion coverage."]} {"id": "GAO-18-69", "url": "https://www.gao.gov/products/GAO-18-69", "title": "Diversity in the Technology Sector: Federal Agencies Could Improve Oversight of Equal Employment Opportunity Requirements", "published_date": "2017-11-16T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Technology companies are a major source of high-paying U.S. jobs, but some have questioned the sector's commitment to equal employment opportunity. EEOC provides federal oversight of nondiscrimination requirements by investigating charges of discrimination, and OFCCP enforces federal contractors' compliance with affirmative action requirements. GAO was asked to review workforce trends in the technology sector and federal oversight.", "This report examines (1) trends in the gender, racial, and ethnic composition of the technology sector workforce; and (2) EEOC and OFCCP oversight of technology companies' compliance with equal employment and affirmative action requirements. GAO analyzed workforce data from the American Community Survey for 2005-2015 and EEOC Employer Information Reports for 2007-2015, the latest data available during our analysis. GAO analyzed OFCCP data on compliance evaluations for fiscal years 2011-2016. GAO interviewed agency officials, researchers, and workforce, industry, and company representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["The estimated percentage of minority technology workers increased from 2005 to 2015, but GAO found that no growth occurred for female and Black workers, whereas Asian and Hispanic workers made statistically significant increases (see figure). Further, female, Black, and Hispanic workers remain a smaller proportion of the technology workforce\u2014mathematics, computing, and engineering occupations\u2014compared to their representation in the general workforce. These groups have also been less represented among technology workers inside the technology sector than outside it. In contrast, Asian workers were more represented in these occupations than in the general workforce. Stakeholders and researchers GAO interviewed identified several factors that may have contributed to the lower representation of certain groups, such as fewer women and minorities graduating with technical degrees and company hiring and retention practices.", "Both the U.S. Equal Employment Opportunity Commission (EEOC) and the Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) have taken steps to enforce equal employment and affirmative action requirements in the technology sector, but face limitations. While EEOC has identified barriers to recruitment and hiring in the technology sector as a strategic priority, when EEOC conducts investigations, it does not systematically record the type of industry, therefore limiting sector-related analyses to help focus its efforts. EEOC has plans to determine how to add missing industry codes but has not set a timeframe to do this. In addition, OFCCP's regulations may hinder its ability to enforce contractors' compliance because OFCCP directs contractors to set placement goals for all minorities as a group rather than for specific racial/ethnic groups. OFCCP also has not made changes to its establishment-based approach to selecting entities for review in decades, even though changes have occurred in how workplaces are structured. Without taking steps to address these issues, OFCCP may miss opportunities to hold contractors responsible for complying with affirmative action and nondiscrimination requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes 6 recommendations, including that EEOC develop a timeline to improve industry data collection and OFCCP take steps toward requiring more specific minority placement goals by contractors and assess key aspects of its selection approach. EEOC neither agreed nor disagreed with its recommendation, and OFCCP stated the need for regulatory change to alter placement goal requirements. GAO continues to believe actions are needed, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since the 1990s, the technology sector has become a major source of employment in the United States, and the sector is projected to continue to grow and produce high-paying jobs. As the technology sector has grown, the nation\u2019s overall workforce has become more diverse and this trend is expected to continue into the future. Recently, media reports, technology workforce organizations, and policymakers have raised questions about diversity in the technology sector workforce and the extent to which companies are making changes to improve diversity and prevent discrimination. Diversity has been a focus not only because of concerns about equal access to these growing and high paying jobs, but because studies have associated a diversity of perspectives with enhanced innovation and other business advantages. Federal law promotes equal employment opportunity by prohibiting companies from discriminating in employment on the basis of race and gender, among other things, and generally requires companies contracting with the federal government to comply with affirmative action and other equal employment opportunity provisions. The U.S. Equal Employment Opportunity Commission (EEOC) and the U.S. Department of Labor\u2019s Office of Federal Contract Compliance Programs (OFCCP) are the primary federal agencies that enforce these requirements.", "You asked us to review gender, ethnic, and racial diversity trends in technology companies and federal oversight of antidiscrimination laws in this sector. This report examines (1) the demographic trends in the representation of women and racial and ethnic groups in the technology sector for the last 10 years, and (2) the efforts by EEOC and OFCCP to oversee technology companies\u2019 and technology contractors\u2019 compliance with equal employment opportunity and affirmative action requirements.", "There is no common definition of technology workers or which industries comprise the technology sector. Therefore for this report, we defined technology workers as people who work in occupations in the fields of computing, engineering, and mathematics. We defined the technology sector as a group of industries with the highest concentration of technology workers, such as computer systems design and software publishing, which is an approach similar to what other federal agencies have used recently to analyze trends within this sector. To describe the demographic trends within the technology workforce from 2005 through 2015, we analyzed workforce data from the American Community Survey (ACS) administered by the U.S. Census Bureau and from the EEOC\u2019s Employer Information Reports (EEO-1).", "For this report, we used ACS data to estimate populations in technology occupations which we refer to as technology workers, or the technology workforce. We compared the technology workforce to the general workforce, which we defined as workers in all other occupations, excluding workers in technology occupations, as a benchmark to understand trends for the technology workforce in the context of overall workforce trends. In addition, we conducted further analysis of ACS data to compare technology workers within and outside the technology sector. Using EEO-1 data, we also analyzed workforce trends among similar occupations in the workforces of companies within and outside the technology sector. Our analysis was not designed to determine the presence or absence of discrimination.", "To understand diversity in academic preparation for technology occupations, we reviewed 2014 degree completion data from the National Center for Educational Statistics\u2019 Integrated Postsecondary Education Data System (IPEDS) as tabulated by the National Science Foundation. Using a variety of sources, such as academic research and interviews with representatives from academia, we defined technology-related fields as degree programs in computer science, engineering, and mathematics. Through a review of documentation, electronic testing, and/or interviews with agency officials knowledgeable about the data, we found these data sufficiently reliable for our purposes.", "To review EEOC and OFCCP\u2019s oversight efforts related to technology companies\u2019 and federal technology contractors\u2019 compliance with federal equal employment opportunity and affirmative action requirements, we reviewed relevant federal statutes, regulations, and agency policies and conducted interviews with agency officials. We analyzed OFCCP data on affirmative action compliance evaluations from fiscal year 2011 through 2016. We assessed the reliability of the data by reviewing agency documentation and interviewing agency officials, and we determined that the OFCCP data were sufficiently reliable for our purposes.", "Additionally, we interviewed academics and representatives from workforce and industry organizations that either promote diversity or advocate for the technology sector, as well as representatives of eight information technology companies who work on diversity and inclusion and compliance issues, to obtain information about challenges and opportunities for diversity in the sector, and perspectives on federal oversight of antidiscrimination laws. The views expressed by the companies\u2019 representatives may not be representative of all technology companies on these issues. See appendix I for more information on our methodology.", "We conducted this performance audit from May 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Technology Sector", "paragraphs": ["The technology sector has major employment hubs across the country, including the San Francisco Bay area, the greater New York City region, and the Washington-Arlington-Alexandria region (see fig. 1). In addition, technology workers are employed at companies outside the technology sector, such as in the retail or financial services industries. For example, a large retail company may require technology workers to create and manage their online sales activities, but the company itself would be considered part of the retail industry."], "subsections": []}, {"section_title": "Federal Requirements Related to Equal Employment Opportunity and Affirmative Action", "paragraphs": ["Private companies are generally prohibited by federal law from discriminating in employment on the basis of race, color, religion, sex, national origin, age, and disability status. Additionally, federal contractors and subcontractors are generally required to take affirmative action to ensure that all applicants and employees are treated without regard to race, sex, color, religion, national origin, sexual orientation, and gender identity, and to employ or advance in employment qualified individuals with disabilities and qualified covered veterans. EEOC is responsible for enforcement of federal antidiscrimination laws, and OFCCP enforces affirmative action and nondiscrimination requirements for federal contractors. EEOC and OFCCP have some shared activities and have established a memorandum of understanding (MOU) to minimize any duplication of effort. For example, under the MOU, individual complaints filed with OFCCP alleging discrimination under Title VII are generally referred to EEOC. In addition, on occasions when EEOC receives a complaint not within its purview, such as cases that involve veteran status, but over which it believes OFCCP has jurisdiction, it will refer the complaint to OFCCP."], "subsections": [{"section_title": "U.S. Equal Employment Opportunity Commission", "paragraphs": ["The EEOC, created by Title VII of the Civil Rights Act of 1964, enforces federal laws that prohibit employment discrimination on the basis of race, sex, color, religion, national origin, age, and disability. As the nation\u2019s primary enforcer of antidiscrimination laws, EEOC investigates charges of employment discrimination from the public, litigates major cases, and conducts outreach to prevent discrimination by educating employers and workers. In fiscal year 2016, EEOC received about 91,500 charges, secured more than $482 million for victims of discrimination, and filed 114 lawsuits.", "According to EEOC, many states, counties, cities, and towns have their own laws prohibiting discrimination, usually similar to those EEOC enforces, as well as agencies responsible for enforcing those laws, called Fair Employment Practices Agencies. However, in some cases, these agencies enforce laws that offer greater protection to workers. An individual can file a charge with either the EEOC or with a Fair Employment Practices Agency. When an individual initially files with a Fair Employment Practices Agency that has a worksharing agreement with the EEOC, and the allegation is covered by a law enforced by the EEOC, the Fair Employment Practices Agency will dual file the charge with EEOC (meaning EEOC will receive a copy of the charge), but will usually retain the charge for processing. If the charge is initially filed with EEOC and the charge is also covered by state or local law, EEOC dual files the charge with the state or local Fair Employment Practices Agency (meaning the Fair Employment Practices Agency will receive a copy of the charge), but EEOC ordinarily retains the charge for processing.", "EEOC also pursues a limited number of cases each year designed to combat systemic discrimination, defined by the agency as patterns or practices where the alleged discrimination presented by a complainant has a broad impact on an industry, profession, company, or geographic location. EEOC can also initiate a systemic investigation under Title VII with the approval of an EEOC commissioner, called a \u201ccommissioner charge\u201d, provided the commissioner finds there is a reasonable basis for the investigation. In addition, EEOC district directors can approve systemic investigations, called \u201cdirected investigations\u201d which are initiated by EEOC field office directors under the Age Discrimination in Employment Act and the Equal Pay Act.", "Under Title VII, EEOC generally requires that large employers and non- exempt federal contractors file Employer Information Reports (EEO-1 reports) annually, which collect employees\u2019 demographic data by business location on sex, race, and ethnic group for 10 occupational job categories. According to EEOC documentation, EEO-1 data are used in investigations of Title VII violations, litigation, research, comparative analyses, class action suits, and affirmative action plans."], "subsections": []}, {"section_title": "Office of Federal Contract Compliance Programs", "paragraphs": ["The OFCCP is responsible for ensuring that the nearly 200,000 federal contractor establishments comply with federal nondiscrimination and affirmative action requirements. Under Executive Order 11246 and other federal laws and regulations, covered federal contractors and subcontractors are prohibited from discriminating in employment on the basis of race, color, religion, sex, sexual orientation, gender identity, or national origin and are required to take affirmative action to help ensure that all applicants and employees are treated without regard to these factors. In general, OFCCP\u2019s regulations require covered contractors to comply with certain recordkeeping and reporting requirements, and provide for enforcement procedures such as compliance evaluations and complaint investigations to assist OFCCP in ensuring federal contractor compliance with these regulations.", "Among other provisions, OFCCP\u2019s regulations generally require that covered contractors prepare and maintain an affirmative action program (AAP). Under OFCCP\u2019s regulations, an AAP is a management tool that is designed to ensure equal employment opportunity, with an underlying premise that the gender, racial, and ethnic makeup of a contractor\u2019s workforce should be representative of the labor pools from which the contractor recruits and selects. Companies must create an AAP for each business establishment\u2014generally, a physical facility or unit that produces the goods or services, such as a factory, office, or store for the federal contractor. An AAP will also include any practical steps to address underrepresentation of women and minorities, such as expanding employment opportunities to underrepresented groups. Covered contractors must also comply with certain recordkeeping requirements, including records pertaining to hiring, promotion, lay off or termination, rates of pay, and applications, among other records.", "OFCCP\u2019s enforcement program represents the majority of the agency\u2019s activity and is carried out primarily by using compliance officers, who evaluate contractors\u2019 compliance with various requirements, according to agency officials. In addition to conducting compliance evaluations, OFCCP also conducts investigations in response to complaints. In 2016, we reported that according to OFCCP officials, responding to complaints accounted for close to 16 percent of OFCCP\u2019s enforcement activities. OFCCP selects contractor establishments for evaluations based on a number of neutrally applied factors, such as employee count at the establishment, contract value, or contract expiration date. We previously found that OFCCP reviews, on average, 2 percent of federal contractor establishments annually.", "As we previously reported, as part of its compliance evaluations, OFCCP is to review the selected contractor\u2019s hiring, promotion, compensation, termination, and other employment practices to determine whether contractors are maintaining nondiscriminatory hiring and employment practices. OFCCP conducts evaluations at the establishment level. When a contractor establishment is selected for evaluation, OFCCP sends the contractor a \u201cscheduling letter\u201d requesting the AAP and supporting data, such as the percentage of women and minority staff at the workplace by job group. Then, a compliance officer is to conduct a desk audit, which is an off-site review of the submitted materials. If necessary, the compliance officer may also conduct an on-site review or further off-site analysis to make a final determination as to whether the contractor is in compliance. In addition to looking at whether federal contractors maintain nondiscriminatory hiring and employment practices, which can result in finding discrimination violations, OFCCP also frequently finds other types of violations, such as failure to keep necessary records or conduct annual reviews of equal employment and affirmative action efforts. These findings by the agency often require administrative changes on the part of the contractor, such as improved record-keeping. There are many different forms of remedies for discrimination violations, including financial, employment, and organizational change remedies. Although rare, under some circumstances, OFCCP may bar a contractor from doing business with the government."], "subsections": []}]}]}, {"section_title": "Technology Workforce Grew between 2005-2015, but Women and Some Minority Groups Continued to be Less Represented", "paragraphs": [], "subsections": [{"section_title": "Compared to General Workforce, the Technology Workforce Grew at a Higher Rate and Continued to be More Educated and Better Paid", "paragraphs": ["From 2005 to 2015, the estimated number of workers in the technology workforce\u2014people who worked in mathematics, computing, or engineering occupations\u2014increased at a higher rate (24 percent) than the estimated number of workers in the general workforce (9 percent), according to ACS data. In 2015, the technology workforce comprised an estimated 7.5 million workers, an increase of slightly over 1.4 million workers since 2005. (For a complete list of the occupations we include as technology occupations, see appendix II).", "Most technology workers have a college degree and have a higher median income than workers in the general workforce. Specifically, in 2015, an estimated 69 percent of technology workers held at least a bachelor\u2019s degree, compared to 31 percent of workers in the general workforce. In 2015, the estimated median income for technology workers was $81,000 compared to $42,000 for the general workforce."], "subsections": []}, {"section_title": "Women and Certain Minority Groups Continued to be Less Represented in the Technology Workforce and Sector", "paragraphs": [], "subsections": [{"section_title": "Comparison of Technology Workforce to General Workforce, by Gender and Race", "paragraphs": ["From 2005 to 2015, the percentage of women in the technology workforce remained flat and women remained a smaller proportion of the technology workforce compared to their representation in the general workforce. In 2015, women represented 22 percent (about 1.6 million workers) of workers in technology occupations, compared to 48.7 percent of workers in the general workforce (see fig. 2).", "Although the estimated percentage of minority technology workers as a whole had grown since 2005, we found that this trend did not apply to Black technology workers. Specifically, from 2005 through 2015, although the number of Black workers increased as the technology workforce grew, there was no statistically significant change in their representation as a percentage of the entire technology workforce. In contrast, from 2005 to 2015, Hispanic and Asian technology workers had statistically significant increases in their representation in the technology workforce.", "Even with the increase in their numbers in the technology workforce, Black and Hispanic technology workers remained a smaller proportion of these workers compared to their representation in the general workforce. In contrast, Asian workers were an increasing share of the technology workforce, where they remained more represented than they were in the general workforce (see fig. 3).", "We found that when we examined gender representation for each minority group, both Black and Hispanic men and women were less represented in the technology workforce compared to their representation in the general workforce. The same was true for White women, whereas White men, Asian men, and Asian women were more represented in the technology workforce compared to their representation in the general workforce (see fig. 4).", "We defined the technology sector as those companies that have the highest concentration of technology workers and are in such industries as computer systems design and software publishing. Companies categorized as outside the technology sector, for example, retail or finance companies, may still employ some technology workers. However, we found differences in median incomes for technology workers within and outside the technology sector. In 2015, technology workers employed in the technology sector earned an estimated median income of $89,000 compared to median incomes of $78,000 for those working outside the technology sector.", "We also compared the characteristics of technology workers within the technology sector and outside the technology sector, and found male and Asian technology workers were relatively more represented in the technology sector than outside the technology sector. Similar to the lower representation of female, Black, and Hispanic technology workers in technology occupations, we found technology workers from these groups were also more likely to work outside the technology sector than in the technology sector. For example, according to our analysis of 2015 ACS data, women represented an estimated 18 percent of all technology workers employed in the technology sector, compared to 25 percent of all technology workers employed outside the technology sector (see fig. 5). White technology workers were also more represented outside the technology sector than within the technology sector.", "Companies in the technology sector also employ non-technical workers such as sales people, and the lower representation of women and certain minorities in the technology sector was also present in such non-technical job categories. According to our analysis of EEO-1 data, women were less represented across the full range of management and non- management positions at companies within the technology sector, including at leading technology companies, compared to their representation in companies outside the technology sector. We determined this by comparing specific occupations at companies both within and outside the technology sectors using 2015 EEO-1 data. For example, women held about 19 percent of senior-level management positions at companies in the technology sector compared to nearly 31 percent of such positions at companies outside the technology sector in 2015. Women were also less represented in all of the remaining job categories (mid-level managers, professionals, technicians, and all other jobs) in the technology sector. (See fig. 6.)", "Comparing EEO-1 data at three points in time for 2007, 2011, and 2015, we found women\u2019s representation in management positions as well as among professionals and technicians at companies within the technology sector remained at about the same level, and decreased for \u201call other jobs\u201d (see table 1).", "Similar to women, Black and Hispanic workers were less represented across multiple job categories in companies within the technology sector compared to those outside the technology sector (see fig.7). For example, 1.8 percent of senior level managers in the technology sector were Black compared to 3.4 percent of senior level managers in all other sectors. Appendix IV provides percentages for each minority group in different job categories within and outside the technology sector. The lower representation of Black workers in the technology sector relative to their representation in other sectors was consistent across all job categories (mid-level managers, professionals, technicians, and \u201call other jobs\u201d). Hispanic workers were less represented in the technology sector compared to outside the technology sector across all job categories (senior and mid-level managers, professionals, technicians, and \u201call other jobs\u201d). Compared to their representation across job categories within the technology sector in general, Black and Hispanic workers had slightly greater representation at the leading technology companies in senior management and technician categories, and lower representation among mid-level managers, professionals, and holders of \u201call other jobs.\u201d", "Asian workers comprised a greater proportion of managerial and professional roles in the technology sector than in other sectors, according to our analysis of 2015 EEO-1 data. Asian workers represented 11.0 percent of senior level managers in the technology sector compared to 4.3 percent in industries outside the technology sector. This higher representation of Asian workers in the technology sector was consistent among mid-level managers, professionals and technicians. Asian workers were more represented in the same categories at the leading technology companies. However, a lower proportion of Asian workers held senior management positions compared to their representation in professional positions in both the technology sector and leading technology companies. Further, the proportion of Asian workers in mid-level management positions was also lower than their representation in professional positions, from which mid-level managers might be selected, in both the technology sector and leading technology companies. In contrast, a higher proportion of White workers were in senior and mid- level management positions compared to their representation in professional positions in both the technology sector and leading technology companies.", "Comparing EEO-1 data at three points in time\u20142007, 2011, and 2015\u2014 we saw varied representation across job categories in the technology sector by race/ethnicity. For example, Black workers decreased in their representation in all job categories in the technology sector from 2007 to 2015. In contrast, Hispanic and Asian workers increased in their representation in all job categories we examined from 2007 to 2015 (see table 2)."], "subsections": []}]}, {"section_title": "Several Factors May Contribute to the Lower Representation of Women and Certain Minority Groups in the Technology Workforce", "paragraphs": ["Several factors may contribute to the lower representation of female, Hispanic, and Black workers in the technology workforce and at companies in the technology sector, based on research and interviews with researchers and representatives from workforce and industry organizations and technology companies. These include the lower diversity of degree earners in technology-related fields, and company- based factors such as hiring practices and retention of women and underrepresented minorities.", "The smaller proportion of women in the technology workforce may reflect the number of women earning technology-related degrees. Slightly over two-thirds of technology workers report having earned their bachelor\u2019s degree in a computer, engineering, mathematics, or technology field. However, according to our analysis of 2014 IPEDS data, the percentage of technology-related bachelor\u2019s and master\u2019s degrees earned by women is far less than for men, although women were comparable to men in their receipt of science, technology, engineering, and math (STEM) degrees, and surpassed men in obtaining degrees in all other fields. In 2014, about 60,000 women were awarded technology-related bachelor\u2019s or master\u2019s degrees (compared to about 50,000 in 2004) and about 190,000 men were awarded such degrees (compared to about 147,000 in 2004). (See fig. 8.) An estimated 218,000 technology workers were added to the technology workforce in 2015, according to our analysis of 2015 American Community Survey data from the U.S. Census Bureau. In addition, technology degrees are also issued at the associate\u2019s level.", "Two researchers told us that women often have the academic preparation to enter into technology-related degree programs, but they may choose not to pursue such degrees because of instances of gender bias within technology classes. Our prior work reported on studies that found women leave STEM fields at a higher rate than their male peers, citing one study that found women leave STEM academic positions at a higher rate than men in part due to dissatisfaction with departmental culture, faculty leadership, and research support. Further, a 2012 consulting firm report found that businesses viewed as male-dominated tended to attract fewer women at the entry level.", "In addition, according to our analysis of 2014 IPEDS data, three minority racial or ethnic groups each constituted 10 percent or fewer of bachelor\u2019s and master\u2019s degree earners in a technology-related field. Specifically, among the 202,200 earners of degrees in a technology-related field in 2014, there were about 20,000 Hispanic recipients, 13,000 Black recipients, and 18,000 recipients who were Multiracial or other race, which includes American Indian or Alaska Native, Other or Unknown Race, and Two or more Races, i.e. respondents who selected one or more racial designations. Among all minority groups, Asian students, including Pacific Islander, earned the highest proportion of technology- related degrees (about 24,000 individuals). (See fig. 9).", "One barrier to entry into technology degree paths for Black and Hispanic students may be lower likelihood of access to preparatory academic programs in secondary school. In 2016, we reported that the K-12 public schools in the United States with students who are mostly Black or Hispanic offered disproportionately fewer math and science classes for their students. One researcher told us some colleges and universities, to help these students be academically successful, provide additional academic support such as tutoring to help bridge knowledge gaps. To address the uneven access to preparatory math and science classes, representatives from five technology companies told us they have started to invest in exposing Black and Hispanic children to technology occupations by, for example, developing online resources targeted to them and their parents and creating partnerships with secondary schools to improve their academic preparation in computer science.", "However, we have previously also reported that the number of students graduating with STEM degrees may not be a good measure of the supply of STEM workers because students often pursue careers in fields different from the ones they studied. For example, a lower percentage of women who obtained technology-related degrees became technology workers compared to men who earned the same degrees, according to our analysis of 2015 ACS data. Specifically, among women who earned technology degrees, an estimated 33 percent worked as a technology worker compared to 45 percent of men who earned technology degrees.", "Several representatives we interviewed from workforce and industry organizations and technology companies told us that recruitment practices may also have affected diversity in the technology workforce. For example, representatives from three workforce and industry organizations said technology companies tend to recruit from a select number of universities and colleges, thereby limiting their pool of potential applicants. To address this, representatives from several of the technology companies we interviewed told us they had changed recruitment practices and offered internships targeted to underrepresented groups. For example, representatives of four technology companies told us that their companies had expanded recruitment to include more schools. Representatives from two companies told us they offer programs such as summer and semester internships for which the company actively recruits from Historically Black Colleges and Universities and other specific schools to increase its pool of diverse candidates.", "In addition, representatives from workforce organizations and technology companies discussed concerns and strategies to address companies\u2019 hiring practices and internal cultures that may limit workforce diversity.", "For example, one of these representatives said that technology companies often offer financial incentives to current employees to make referrals for new hires, which can result in reliance on social networks. These networks may be largely comprised of the same race and this practice therefore makes it harder for potential candidates from demographically different groups to have their resumes reviewed. Another workforce organization representative reported that some hiring managers filter out eligible candidates if their background and qualifications are not the same as those of previously successful employees. To address these concerns, representatives from one technology company told us that they had moved away from depending on referrals since this practice may result in leaders hiring people within their own networks, which generally does not increase diversity of gender or race/ethnicity. In addition, representatives from another company said they plan to begin reviewing resumes with names removed to limit bias by the reviewer. Further, representatives we interviewed from three technology companies told us they offer training to employees to help employees identify their own, unconscious biases.", "Other factors may affect retention of women and underrepresented minorities. For example, a representative from a workforce organization said that women leave technology occupations at a higher rate than men because they feel as if they have not been given the same opportunities for promotion and advancement within the company. A 2016 study that examined women in engineering and science found that women\u2019s concerns about pay and promotion are often an issue in male-dominated fields regardless of the industry. Further, this study found that retention difficulties become more severe as the share of men in the workforce increased and that affected women\u2019s pay and promotion.", "Representatives from one company told us another challenge is the lack of Black workers at the top levels, which might make it more difficult for Black employees in particular to see a leadership path. Representatives we interviewed from five technology companies told us they had implemented efforts to increase retention and promotion rates among minority and female workers, for example, by developing a diversity and inclusion newsletter, employee resource groups with executive sponsors, and internal training and classes for employees to improve their readiness to be promoted.", "Representatives from five technology companies told us that commitment of top leadership is an important factor that can help women and underrepresented minorities in the technology sector. For example, representatives from one company told us that top management support for diversity efforts, such as setting hiring goals, can help move a company in the direction of achieving representation goals and that leadership is very important to this effort. Representatives from several companies told us that there is often a business case for such changes: These companies work in a diverse, global environment and strive to make better products for diverse users. However, our prior work on workforce diversity in the financial services sector found that some diversity initiatives faced challenges gaining the \"buy-in\" of key employees, such as the middle managers who are often responsible for implementing such programs."], "subsections": []}]}, {"section_title": "EEOC and OFCCP Have Taken Steps to Oversee Equal Employment Opportunity and Affirmative Action Requirements, but Face Limitations", "paragraphs": [], "subsections": [{"section_title": "EEOC and OFCCP Have Taken Steps to Oversee Compliance in the Technology Sector", "paragraphs": ["According to EEOC officials, EEOC primarily oversees compliance with equal employment opportunity requirements by investigating workers\u2019 individual charges of employment discrimination filed against companies. EEOC has publicly acknowledged the low levels of diversity in the technology sector. However, we were unable to identify a specific number of charges received by EEOC against companies in industries that are part of this sector because EEOC does not require investigators to record the industry of the charged company. EEOC\u2019s database of charges and enforcement actions\u2014the Integrated Mission System (IMS)\u2014has a data field for the North American Industry Classification System (NAICS) industry code, the standard used by federal statistical agencies in classifying business establishments. However, we found that it is completed for only about half the entries in the system. EEOC officials in both the San Francisco and New York district offices told us that, while they cannot readily identify individual charges against technology companies, they believe they have received far fewer charges against technology companies than they would have expected given the public attention to the issue of diversity in the technology sector. In terms of systemic cases, according to EEOC, as of June 2017, the commission had 255 systemic cases pending since fiscal year 2011 involving technology companies (13 of these were initiated as commissioner charges and 8 were directed investigations involving age discrimination or pay parity issues). Officials from the New York region reported that they had seen an increase in systemic cases against technology companies in the past 3 years, largely involving practices of information technology staffing firms.", "Several EEOC officials we interviewed noted that technology workers may be initiating few complaints at the federal level due to factors such as fear of retaliation from employers or the availability of other employment or legal options. According to EEOC officials, fear of retaliation can affect charges across sectors and, given the growth in the technology workforce, an individual who feels discriminated against may simply leave the company because there are many other opportunities for individuals with technical skills. They also said that technology workers may generally have greater wealth and can afford to hire private attorneys to sue in state court rather than go through the EEOC. Moreover, they said that some states, including California, have stronger employment discrimination laws that allow for better remedies than federal laws, which could lead employees to file charges at the state level rather than with the EEOC.", "In addition, EEOC has acknowledged in a 2016 report that binding arbitration policies, which require individuals to submit their claims to private arbiters rather than courts, can also deter workers from bringing discrimination claims to the agency, leaving significant violations in entire segments of the workforce unreported. The report stated that an increasing number of arbitration policies have added bans on class actions that prevent individuals from joining together to challenge practices in any forum. The report concluded that the use of arbitration policies hinders EEOC\u2019s ability to detect and remedy potential systemic violations. Researchers report that the use of such clauses has grown and data on federal civil filings for civil rights employment cases reflect a marked reduction in the number of such filings.", "Beyond pursuing charges, EEOC has taken some steps to address diversity in the technology sector including research and outreach efforts. In May 2016, citing the technology sector as a source for an increasing number of U.S. jobs, EEOC released a report analyzing EEO-1 data on diversity in the technology sector in tandem with a commission meeting raising awareness on the topic. In addition, EEOC\u2019s fiscal year 2017- 2021 Strategic Enforcement Plan identified barriers to hiring and recruiting in the technology sector as a strategic priority. EEOC has also been involved in outreach efforts with the technology sector. For example, the EEOC Pacific Region described more than 15 in-person or webinar events since 2014 in collaboration with OFCCP and local organizations focused on diversity in the technology sector. The topics of these events included equity in pay and the activities of these two agencies in enforcing nondiscrimination laws. Finally, in fall 2016, EEOC initiated an internal working group to identify practices to help improve gender and racial diversity in technology, but as of June 2017 had no progress to report.", "OFCCP\u2019s regulations require covered federal contractors to take proactive steps to ensure equal employment opportunity. OFCCP annually conducts routine evaluations of selected federal contractors, which includes those in the technology sector, for compliance with federal nondiscrimination and affirmative action requirements. To the extent that technology contractors are selected for evaluation through OFCCP\u2019s normal selection process, these contractors are assessed for compliance with nondiscrimination and affirmative action laws as are other selected contractors. While evaluation of technology contractors occurs in the course of OFCCP\u2019s routine activities, OFCCP does not currently use type of industry as a selection factor, according to officials. We also found that few (less than 1 percent) of OFCCP\u2019s 2,911 closed technology contractor evaluations from fiscal years 2011 through 2016 resulted in discrimination violations, though 13 percent resulted in other violations, such as record- keeping violations and failure to establish an affirmative action program (AAP). An AAP is a key tool OFCCP requires contractors to complete to ensure equal employment opportunity. The remaining 86 percent of evaluations either found no violations or ended in administrative closure. Technology contractor evaluations that had discrimination violations resulted in back pay, salary adjustments, or other benefits totaling more than $4.5 million for 15,316 individuals (averaging about $300 per award) for fiscal years 2011 through 2016. The vast majority of discrimination violations were on the basis of gender or race/ethnicity rather than disability or veteran status. Corrective actions OFCCP identified for federal technology contractors over this timeframe also included requiring contractors to fill a total of 410 job vacancies as they arise with applicants who had been denied employment on the basis of discrimination. In addition, OFCCP recently filed three complaints against technology companies.", "According to our analysis, OFCCP conducted evaluations on 36 of the 65 leading technology companies from fiscal year 2011 through fiscal year 2016. During this timeframe there were 272 reviews of establishments\u2014 physical business locations\u2014affiliated with these 36 companies. Based on these evaluations, 15 of the 36 companies had administrative violations, and 2 of the 36 also had discrimination violations. As a result of the discrimination findings against these leading technology companies, 541 individuals received monetary benefits totaling $783,387 (an average of $1,448 per award).", "In terms of other steps to conduct oversight of the technology sector, OFCCP officials in the Pacific Region said they are hiring compliance officers with legal training to be better able to address needs for reviews in the technology sector, such as responding to lawyers representing technology contractors. Officials in both the Pacific and Northeast regions work closely with statisticians and labor economists on their cases, an effort officials said has increased over the past few years. OFCCP has also requested funding in its fiscal year 2018 congressional budget justification to establish centers in San Francisco and New York that would develop expertise to handle large, complex compliance evaluations in specific industries, including information technology."], "subsections": []}, {"section_title": "EEOC Cannot Analyze Charge Data by Industry to Identify Priorities and OFCCP Faces Challenges to Oversight of Technology Companies", "paragraphs": ["We found that by not requiring an industry code in its investigations data, EEOC cannot analyze charge data by industry to help identify investigation and outreach priorities, in contradiction to EEOC strategic planning documents and EEOC Inspector General reports, which have emphasized the importance of doing so. By not requiring the use of the NAICS code for each entry in IMS, EEOC is limited in its ability to use these data for the purposes of identifying charges by industry sector and conducting sector-related analyses. Officials were aware of substantial gaps in coding of charges by industry and acknowledged limitations in the commission\u2019s ability to analyze its investigations data by industry. However, officials expressed concern that routinely creating more complete records of the companies against which charges had been filed would require investigators to divert attention from their efforts to investigate charges. EEOC officials explained that the charging party provides initial information on the respondent company and requiring EEOC personnel to generate this information would slow down the process. They said their priority is to investigate individual charges, not to address larger trends or target specific industries. \u201cThe Strategic Enforcement Plan recommends using EEOC data to allow our enforcement and outreach efforts to focus on areas of significant concern. This might include tailoring outreach efforts for industries that experience greater likelihood of certain charges or informing enforcement decisions based on knowledge that certain industries have persistent problems, such as harassment. The data maintained in IMS provide a rich resource of information that can be used to explore the characteristics of industries that appear to have higher levels of certain allegations than comparative industries.\u201d", "In addition, reports completed by the Urban Institute for the EEOC Office of Inspector General in 2013 and 2015 similarly recommended analysis of charge data, including by industry, to help identify priorities and measure performance.", "While EEOC has plans to review a year of IMS data to clean it and determine how best to add missing industry codes, among other objectives, officials could not provide a specific timeframe for when this review would begin and end. Standards for internal control in the federal government state that management should use quality information to achieve the agency\u2019s objectives and objectives should be defined in specific terms so they are understood at all levels of the entity. This involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement. Efforts to scrub these data and identify missing codes could help EEOC determine how to collect industry information on an ongoing basis for all entries. Doing so would also help EEOC determine the level of NAICS code that would be feasible and useful for investigators to identify and input into IMS. Without analyzing its data on charges across industries, EEOC\u2019s ability to proactively identify priorities for its outreach and enforcement resource use is limited.", "We found that OFCCP also faces challenges that may hinder the agency\u2019s oversight of technology companies. Specifically, OFCCP reported facing delays in receiving information from federal contractors, including technology companies, but has not yet evaluated whether its own policies and practices also impede its efforts to hold federal technology contractors responsible for the legal requirements to take affirmative action and not discriminate against protected groups. In addition, OFCCP regulations do not require federal contractors to disaggregate data for the purpose of determining placement goals for hiring, which may hinder contractors\u2019 efforts to implement effective affirmative action programs.", "OFCCP has not analyzed delays in obtaining information from contractors OFCCP officials told us that they face delays in obtaining complete, accurate, and timely documentation from federal contractors, including technology companies, as part of the compliance review process. They said this limited their access to critical information and hindered OFCCP\u2019s ability to determine whether discrimination had occurred. Officials in the Pacific Region reported that when issues are identified during OFCCP\u2019s initial review that will require additional data, the data requests can be extensive. Consequently, technology contractors are taking longer to submit complete and accurate data that are needed to conduct analyses of the contractor\u2019s workforce. In addition, officials in both the Pacific and Northeast regions reported that companies may not provide raw data as requested, or provide access to employees for OFCCP to interview, which is part of the compliance review process. Using 2015 OFCCP compliance evaluation data, we previously reported that close to 85 percent of contractor establishments across all sectors did not submit an AAP within 30 days of being scheduled for an OFCCP compliance evaluation, as required by OFCCP policy. Officials told us of the potential need for a more flexible set of investigatory tools or sanctions, such as subpoena power to speed up data-gathering or penalties for delays in providing information, in order to obtain accurate and timely information. In the case of incomplete data, OFCCP officials said one option is to enter into an agreement with the contractor whereby the contractor will gather the missing data, and OFCCP will monitor the contractor\u2019s efforts and review detailed records at a later date. However, they said that such an agreement could give the contractor an opportunity to modify the data in the contractor\u2019s favor. Currently, OFCCP\u2019s primary sanction is the threat of debarment, which makes a company ineligible to receive future federal contracts.", "At the same time, OFCCP officials acknowledged there may additionally be delays in their own review processes. In prior work, we\u2019ve reported concerns by contractors and industry groups about lengthy and expansive OFCCP evaluations. However, OFCCP has not analyzed its data on closed evaluations to assess the cause of delays, which would help determine whether changes should be made to its internal processes or if stronger sanctions to obtain information from contractors are needed. Internal control standards state that management should identify, analyze, and respond to risks related to achieving its objectives. Further, it states that management should design appropriate mechanisms to enforce its directives to achieve those objectives and address related risks. Without more information on the root cause of the delays, these delays may continue, straining resources and inhibiting OFCCP\u2019s efforts to identify potential discrimination. \u201cAn affirmative action program is a management tool designed to ensure equal employment opportunity. A central premise underlying affirmative action is that, absent discrimination, over time a contractor\u2019s workforce, generally, will reflect the gender, racial and ethnic profile of the labor pools from which the contractor recruits and selects. Affirmative action programs contain a diagnostic component which includes a number of quantitative analyses designed to evaluate the composition of the workforce of the contractor and compare it to the composition of the relevant labor pools. Affirmative action programs also include action- oriented programs. If women and minorities are not being employed at a rate to be expected given their availability in the relevant labor pool, the contractor\u2019s affirmative action program includes specific practical steps designed to address this underutilization.\u201d \u201cThe placement goal-setting process . . . contemplates that contractors will, where required, establish a single goal for all minorities. In the event of a substantial disparity in the utilization of a particular minority group or in the utilization of women or women of a particular minority group, a contractor may be required to establish separate goals for those groups.\u201d", "According to OFCCP officials, a contractor may be required to establish separate goals for particular minority groups as part of a compliance review. We found, however, that OFCCP\u2019s regulations do not require federal contractors to disaggregate demographic data for the purpose of establishing placement goals in their AAP. This may hinder their efforts to implement effective AAPs, which are designed to assist the company in achieving a workforce that reflects the gender, racial, and ethnic profile of the labor pools from which the contractor recruits and selects. OFCCP officials in headquarters and in the field said, based on their experience evaluating companies\u2019 compliance, it was not common for companies to have placement goals disaggregated by race and ethnicity in their AAPs. A diversity and inclusion officer we interviewed from one large technology contractor noted that the requirement in the AAP to identify the need for placement goals for minorities as a whole does not address underrepresentation in certain minority groups. According to the officer, the company does not count Asian workers in setting the company\u2019s diversity goals because Asians are well represented and the company believes it should set a placement goal for groups for which the company knows it needs to make progress. Citing comments received during development of other regulations, OFCCP officials cautioned that an analysis of utilization disaggregated by race/ethnicity may be more challenging for smaller companies with fewer employees.", "Further, looking at trends in diversity for minorities as a whole may not assist a company\u2019s affirmative action efforts to identify groups that need particular outreach or support. Specifically, our analysis of workforce data found differences in representation for Black and Hispanic workers in the technology workforce compared to Asian workers. Under the current AAP regulations, companies may opt not to detect and address underrepresentation of particular minority groups since OFCCP does not require placement goals disaggregated by race/ethnicity. While OFCCP may be able to detect underrepresentation of particular minority groups during its reviews, the office reviews only 2 percent of federal contractor establishments each year. OFCCP officials said that they would need to amend their regulations in order to require disaggregated race/ethnicity information for placement goals on AAPs. The officials said disaggregating race in placement goals could help an establishment determine how to tailor outreach accordingly or better identify impediments to its equal employment opportunity efforts. However, they have not pursued this regulatory change because of competing priorities on their regulatory agenda. OFCCP\u2019s mission includes holding federal contractors responsible for the legal requirements to take affirmative action and not discriminate against protected groups. However, not requiring contractors to set placement goals for each minority group may hinder OFCCP\u2019s ability to effectively achieve this mission.", "OFCCP has not reviewed key aspects of its current approach to evaluations OFCCP officials report the agency intends to incorporate additional information on gender, racial, and ethnic disparities by industry into its compliance evaluation selection process, but we found the methodology to determine the disparities may have weaknesses. We have previously reported on the challenges OFCCP faces with its enforcement efforts, and identified additional areas that may limit OFCCP\u2019s enforcement of federal contractors\u2019 equal employment and affirmative action efforts. For example, our 2016 report found that OFCCP\u2019s weak compliance evaluation selection process, reliance on voluntary compliance, and lack of staff training create several challenges to its enforcement efforts. This report found that because OFCCP was not able to identify which factors are associated with risk of noncompliance, the agency does not have reasonable assurance that it is focusing its efforts on those contractors at greatest risk of not following nondiscrimination or affirmative action requirements. OFCCP agreed with recommendations we made to address these areas and detailed steps the agency would take. In particular, to strengthen its compliance evaluation process to select contractors at greatest risk of potential discrimination, the agency stated that it planned to incorporate information on pay disparities and employment disparities. OFCCP officials indicated this information would be based on analysis of gender and race/ethnicity by industry using ACS data and EEO-1 compensation data that was to be collected beginning March 2018. However, in August 2017, the Office of Management and Budget issued a memo suspending the pay-related data collection aspects of the EEO-1 form. Despite this change, OFCCP officials said they are exploring other options for focusing on compensation disparities by industry, including through the use of ACS data, administrative data, a previous study conducted by the Department of Labor, as well as options proposed by contractors.", "We also found OFCCP\u2019s current methodology for identifying disparities by industry with the ACS data may have some weaknesses that could affect the accuracy of the outcomes. For example, its reliance on the broadest industry level available may not sufficiently identify specific industries at elevated risk. Further, the methodology includes future plans to conduct the analysis for metropolitan areas. Given the importance of regional and local labor markets for assessing affirmative action efforts, regional and local analysis should also be completed before OFCCP incorporates this analysis into its selection process. It is important that OFCCP use reliable information in modifying its basic processes and setting priorities. For the reasons cited earlier regarding the importance of using quality information to make management decisions, it is important that OFCCP assess the quality of the methods for its analysis of employment disparities among industries. Without doing so, OFCCP may not accurately identify industries at greatest risk of potential noncompliance with nondiscrimination and affirmative action requirements so it can focus its limited investigation resources most effectively.", "Further, according to OFCCP officials, although the agency has made slight changes to various thresholds and factors for its selection process, the agency has not made any significant changes to the selection process for about 10 years, and has made no changes to its establishment-based approach since OFCCP was founded in 1965. While OFCCP currently grounds its review of a contractor in a particular physical establishment, OFCCP officials acknowledged the changing nature of a company\u2019s work can involve multiple locations and corresponding changes in the scope of hiring and recruitment. Officials we interviewed from five of our eight selected technology companies discussed their work spread across locations, including the United States or overseas, and the related challenges they face with OFCCP\u2019s establishment-based approach to reviews. One company representative said the AAP is not useful because site specific plans do not connect to business decisions. However, OFCCP has not reviewed the implications for the effectiveness of its mission of continuing with its establishment-based approach to conducting compliance evaluations.", "In addition, OFCCP officials acknowledged their inability, in identifying establishments for review, to consistently identify and include all subcontractors to which OFCCP rules should apply. They said the agency has not assessed the potential significance of any omissions of subcontractors from the oversight process. Internal control standards state that management should identify risks throughout the entity related to achieving its defined objectives to form a basis for designing risk responses, as well as the importance of periodically reviewing policies, procedures and related control activities for continued relevance and effectiveness in achieving the agency\u2019s objectives. OFCCP officials said they have informally discussed how to adjust their work based on how work is performed in today\u2019s economy\u2014with virtual sites, workplace flexibilities, and nontraditional forms of employment. However, due to competing priorities, they have not conducted a formal review of these key aspects of its current approach to selecting entities for review. They acknowledged such a review would be useful. Without assessing its current approach to its establishment-based reviews and identification of all relevant subcontractors, OFCCP does not have reasonable assurance that its approach can identify discrimination occurring within the companies it oversees and may be missing opportunities to identify more effective practices or adjust its methods to external changes.", "While OFCCP has offered an option\u2014the Functional Affirmative Action Program (FAAP)\u2014for companies to move away from establishment- based reviews and which may be more appropriate for some multi\u2013 establishment contractors, uptake has been low and the agency has not conducted an evaluation of this program. Since 2002, OFCCP has allowed companies to create FAAPs, with OFCCP approval, which are based on a business function or unit that may exist at multiple establishments. As of May 2017, 73 companies across all industries had FAAPs in place. Further, some of the companies we interviewed were unaware that the FAAP was an option or believed it was cumbersome to establish given the complexity of their workforce. Asked why the FAAP has not been more broadly adopted, OFCCP officials hypothesized it could have to do with a requirement intended to ensure that companies with FAAPs would be reviewed at least as often as others, but that may result in these companies being reviewed more often than most. Standards for internal control for government agencies state that management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives. Reviewing and refining the FAAP program could help OFCCP improve its ability to achieve its objectives and may provide broader insight for OFCCP\u2019s overall enforcement approach."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Jobs in the high paying technology sector are projected to grow in coming years. Female, Black, and Hispanic workers, however, comprised a smaller proportion of technology workers compared to their representation in the general workforce from 2005 through 2015, and have also been less represented among technology workers inside the technology sector than outside it. Both EEOC\u2019s and OFCCP\u2019s mission is to combat discrimination and support equal employment opportunity for U.S. workers; however, weaknesses in their processes impact the effectiveness of their efforts. When conducting investigations, EEOC has not been consistently capturing information on industry codes. This impedes its ability to conduct industry sector analysis that could be used to more effectively focus its limited enforcement resources and outreach activities. Similarly, OFCCP faces delays in its compliance review process but it has not analyzed its closed evaluations to understand the causes of these delays and whether its processes need to be modified to reduce them. In addition, as part of their affirmative action programs federal contractors are only required to set placement goals for all minorities in general. By not requiring contractors to disaggregate demographic data for the purpose of establishing placement goals, OFCCP has limited assurance that these contractors are setting goals that will address potential underrepresentation in certain minority groups.", "Further, OFCCP plans to incorporate information on disparities by industry into its process for selecting establishments for compliance evaluations, but has not fully assessed its planned methods. Without such assessment, OFCCP may use a process that does not effectively identify the industries at greatest risk of potential noncompliance with nondiscrimination and affirmative action requirements. In addition, key aspects of OFCCP\u2019s approach to compliance reviews of contractors\u2019 affirmative action efforts have not changed in over 50 years, whereas the structure and locations of these companies\u2019 work have changed. Finally, although OFCCP has developed an alternative affirmative action program for multi-establishment contractors, few contractors participate in this program. Because OFCCP has not evaluated the program, it does not have information to determine why there has not been greater uptake and whether it provides a more effective alternative to an establishment-based AAP."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of six recommendations, including one to EEOC and five to OFCCP. Specifically:", "The Chair of the EEOC should develop a timeline to complete the planned effort to clean IMS data for a one-year period and add missing industry code data. (Recommendation 1)", "The Director of OFCCP should analyze internal process data from closed evaluations to better understand the cause of delays that occur during compliance evaluations and make changes accordingly. (Recommendation 2)", "The Director of OFCCP should take steps toward requiring contractors to disaggregate demographic data for the purpose of setting placement goals in the AAP rather than setting a single goal for all minorities, incorporating any appropriate accommodation for company size. For example, OFCCP could provide guidance to contractors to include more specific goals in their AAP or assess the feasibility of amending their regulations to require them to do so. (Recommendation 3)", "The Director of OFCCP should assess the quality of the methods used by OFCCP to incorporate consideration of disparities by industry into its process for selecting contractor establishments for compliance evaluation. It should use the results of this assessment in finalizing its procedures for identifying contractor establishments at greatest risk of noncompliance. (Recommendation 4)", "The Director of OFCCP should evaluate the current approach used for identifying entities for compliance review and determine whether modifications are needed to reflect current workplace structures and locations or to ensure that subcontractors are included. (Recommendation 5)", "The Director of OFCCP should evaluate the Functional Affirmative Action Program to assess its usefulness as an effective alternative to an establishment-based program, and determine what improvements, if any, could be made to better encourage contractor participation. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Labor (DOL), Commerce, the Equal Employment Opportunity Commission (EEOC) and the National Science Foundation (NSF).", "We received written comments from DOL that are reproduced in appendix V. In addition, DOL, Commerce, EEOC, and NSF provided technical comments which we incorporated into the report as appropriate.", "DOL agreed with 4 of the 5 recommendations we made to improve oversight of federal contractors, and identified some steps it plans to take to implement them. Specifically, the department agreed with our recommendations to analyze internal process data to better understand the cause of delays that occur during compliance evaluations, assess the quality of methods used to incorporate consideration of disparities by industry into the process to select contractors for review, and to evaluate its current approach to identifying entities for review in light of changes in workplace structures, as well as its Functional Affirmative Action Program.", "DOL stated that it appreciated, but neither agreed nor disagreed, with our recommendation to take steps toward requiring contractors to disaggregate demographic data for the purpose of setting placement goals in the AAP rather than setting a single goal for all minorities. The department said this would require a regulatory change with little immediate benefit as contractors are already required to collect demographic data on each employee and applicant, and must conduct in- depth analyses of their total employment processes to identify where impediments to equal opportunity exist. While we acknowledge these data collection requirements for federal contractors, we remain concerned that without requiring contractors to also establish placement goals to address any underrepresentation for specific minority groups, contractors may not develop objectives or targets to make affirmative action efforts work. We maintain, therefore, that DOL should take steps toward requiring contractors to develop placement goals disaggregated by race/ethnicity.", "EEOC provided us a memo that it characterized as technical comments on the draft report. In these comments, EEOC neither agreed nor disagreed with our recommendation to develop a timeline to complete its planned effort to clean IMS data for a one-year period, which would include adding missing industry codes, but stated that it was taking some actions to enhance these data. We continue to maintain a timeline should be developed to complete this review, which is needed for the commission to conduct industry sector analysis that could be used to more effectively focus its limited resources and outreach activities. EEOC also emphasized the importance of systemic investigations, noting that while outreach may be somewhat useful in generating charges, individual charges are unlikely to make a substantial impact on a systemic practice affecting an entire employment sector. We maintain that the ability to analyze IMS data by industry could help EEOC to focus its resource use, including for systemic investigations. EEOC also noted staffing and resource constraints as issues faced by the commission.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Labor, the Chair of the Equal Employment Opportunity Commission, the Secretary of Commerce, and the Director of the National Science Foundation. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff should have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our two objectives were to: (1) identify the demographic trends in the technology workforce over the past 10 years, and (2) assess the efforts by the U.S. Equal Employment Opportunity Commission (EEOC) and the Department of Labor\u2019s Office of Federal Contract Compliance Programs (OFCCP) to oversee technology companies and technology contractors\u2019 compliance with equal employment opportunity and affirmative action requirements. This appendix provides details of the data sources used to answer these questions, the analyses we conducted, and any limitations we encountered."], "subsections": [{"section_title": "Definition of Technology Sector and Technology Occupations", "paragraphs": ["There is no commonly accepted definition of the technology sector or technology-oriented occupations. To arrive at our definition for the technology sector, we identified industries with the highest concentration of technology-oriented occupations, a similar approach to what other federal agencies have used recently to analyze trends within this sector. To identify technology-oriented occupations, we reviewed relevant research and interviewed researchers and other individuals knowledgeable about the technology sector. Based on this research, we defined technology-oriented occupations to include all computer, engineering and mathematical occupations, including managers. We selected our occupations using Bureau of Labor Statistics (BLS) Standard Occupational Classification (SOC) System codes, and crosswalked those occupations to the corresponding U.S. Census Bureau occupation codes to conduct our analysis. (For a complete list of the occupations we included as technology occupations, see appendix II).", "We defined the technology sector as a group of industries with the highest concentration of technology workers. Using data from the American Community Survey, an ongoing national survey conducted by the U.S. Census Bureau that collects information from a sample of households, we identified the 15 industries with the highest concentration of technology workers. For this analysis, we used Census industry codes since we used this dataset for many of our analyses. The concentration of technology workers in these industries ranged from a high of 62.2 percent in the computer systems design and related services industry to a low of 19.33 percent in the wired telecommunications carriers industry (see table 3). Companies in the technology sector also employ non-technical workers, such as sales people.", "We cross-walked the industries we identified in the American Community Survey with corresponding industry codes from the North American Industry Classification System (NAICS), which is the standard used by federal statistical agencies in classifying business establishments. The other data sets used in this review use NAICS codes to identify industry. The NAICS system has six levels of industry classification, with the smallest level (2-digit code) providing the most general industry classification, and the largest (6-digit) providing the most specific classification. In total, we identified 55 6-digit NAICS industry codes that comprise the technology sector using this method. (See appendix III for a list of the 6-digit NAICS codes and industry names that correspond to the Census industries we identified.)", "We compared our list of industries to those included in the 2016 reports by EEOC and the BLS on the technology sector. While each report includes a somewhat different set of industries depending on the authors\u2019 particular definition of technology occupations, most of the 15 industries we selected overlap with industries selected in these other reviews. Stemming from their particular focus, these reports included some additional industries and/or occupations excluded from our analysis, such as those in the life sciences. We also compared our findings on the demographic trends in the technology workforce to 2016 EEOC and Census Bureau reports that reviewed diversity in the technology sector. Despite the definitional and methodological variations, the demographic trends found in these other reports were generally comparable to our findings."], "subsections": []}, {"section_title": "American Community Survey (ACS) Data", "paragraphs": ["To determine the demographic trends in the technology workforce over the past decade, we analyzed quantitative data on technology workers within and outside the technology sector from 2005 through 2015 from the Census Bureau\u2019s Public Use Microdata Sample of the American Community Survey (ACS) for the years 2005, 2007, 2009, 2011, 2013, and 2015. ACS is an ongoing national survey that collects information from a sample of households. We analyzed trend data for gender, race, and ethnicity, and median salary by occupation and sector, and analyzed point-in-time data on educational background by occupation.", "We analyzed the percentage of technology workers who earned bachelor\u2019s degrees in computer, engineering, mathematics, and technology fields. For median salary, we analyzed data for workers who were employed full-time, which included those who, over the past 12 months, reported usually working 35 hours or more per week and 50 weeks or more per year, and those with wages greater than zero.", "To account for the sample representation and design used in the ACS, we used the person weight present in the ACS data. We used the successive difference replication method to estimate the standard errors around any population estimate. For each comparison, we tested the statistical significance of the difference for men and women and for specific racial and ethnic groups at the p-value <0.05 level. In addition, we tested the statistical significance of the change between 2005 and 2015 for each gender and racial/ethnic group.", "For race categories using ACS data in this report, we included only non- Hispanic members of White, Black, Asian, and Other categories. For the Asian category, we included Asian American, Native Hawaiian or Other Pacific Islander. The Hispanic category incorporated Hispanics of all races. Our analysis included American Indian or Alaskan Native, and Two or More Races, in the category reported as \u201cOther.\u201d", "We assessed the reliability of the ACS generally and of data elements that were critical to our analyses and determined that they were sufficiently reliable for our analyses. Specifically, we reviewed documentation on the general design and methods of the ACS and on the specific elements of the ACS data that were used in our analysis. We interviewed Census Bureau officials knowledgeable about the ACS data and completed our own electronic data testing to assess the accuracy and completeness of the data used in our analyses."], "subsections": []}, {"section_title": "Employer Information Report (EEO-1) Data", "paragraphs": ["To determine workforce trends in companies within the technology sector and at leading information technology companies, we analyzed data from EEOC\u2019s Employer Information Reports (EEO-1) for the years 2007, 2011, and 2015. We report EEO-1 data starting in 2007 because EEOC made significant changes to its requirements related to the reporting of EEO-1 data over time. For example, beginning in 2007, EEOC changed its requirements related to the reporting of data on managers and changed its practices for collecting certain racial/ethnicity information. EEO-1 reports contain firm-level data that is annually submitted to EEOC, generally by private-sector firms with at least 100 employees or federal contractors with at least 50 employees that have a contract, subcontract or purchase order amounting to $50,000 or more. Companies that fit the above criteria submit separate EEO-1 reports for their headquarters as well as each establishment facility. EEOC requires employers to use the North American Industry Classification System (NAICS) to classify their industry.", "To identify trends using EEO-1 data for workers, we analyzed data for companies with the NAICS codes we initially identified as technology industries. We selected the leading information technology companies using Standard & Poor\u2019s (S&P) 500 Information Technology Index list, which identifies the largest public information technology companies at a given time. In October 2016, this list consisted of 67 companies in the world that have stocks trading with the United States, and we analyzed EEO-1 data from 65 of these companies. For both analyses, we analyzed EEO-1 data from all job categories by gender, race and ethnicity, and industry sectors. For job categories, the EEO-1 form collects data on 10 major job categories including 1) Executives, Senior Level Officials and Managers; 2) First/Mid-Level Officials and Managers; 3) Professionals; 4) Technicians; 5) Sales Workers; 6) Administrative Support Workers; 7) Craft Workers; 8) Operatives; 9) Laborers and Helpers; and 10) Service Workers. In our analysis, \u201call other jobs\u201d combines sales workers, administrative support workers, craft workers, operatives, laborers and helpers, and service workers. We used the race/ethnicity categories used by the EEOC as follows: White, Black or African American, Asian (including Native Hawaiian or Other Pacific Islander), Hispanic or Latino, and \u201cTwo or more Races\u201d (including American Indian or Alaska Native).", "We assessed the reliability of the EEO-1 data and determined that despite limitations, they were sufficiently reliable for our analyses. To determine the reliability of the EEO-1 data that we received from EEOC, we interviewed knowledgeable EEOC officials, reviewed relevant documents provided by agency officials and obtained on its website, and performed manual data testing for missing variables."], "subsections": []}, {"section_title": "Integrated Postsecondary Education Data System (IPEDS)", "paragraphs": ["For our analysis of technology degree earners, we used degree completion data tabulated by the National Science Foundation from the National Center for Education Statistics\u2019 Integrated Postsecondary Education Data System (IPEDS) for the year 2014. Using a variety of sources, such as academic research and interviews with representatives from academia, we defined technology-related fields as degree programs in computer science, engineering, and mathematics. We analyzed IPEDS data by race and gender and who had obtained a bachelor\u2019s or master\u2019s degree in technology-related fields. We determined that the potential external candidates for technology positions generally had obtained either a bachelor\u2019s or a master\u2019s degree in a technology-related field. We used the race/ethnicity categories used by IPEDS as follows: White, Black, Asian (including Pacific Islander), Hispanic, and Multiracial or other (which includes American Indian or Alaska Native, Other or Unknown Race, and Two or more Races, i.e. respondents who selected one or more racial designations). Race and ethnicity breakouts are for U.S. citizens and permanent residents only, and thus do not include data on temporary residents. The analysis by gender includes temporary residents.", "To determine the reliability of IPEDs data, we reviewed relevant documents obtained on the National Center for Education Statistics website, such as annual methodology reports and the handbook of NCES survey methods. We determined that data from IPEDs were sufficiently reliable for our purposes."], "subsections": []}, {"section_title": "Analysis of EEOC and OFCCP Oversight", "paragraphs": ["To identify how EEOC and OFCCP have overseen technology companies\u2019 compliance with federal equal opportunity and affirmative action requirements, we reviewed relevant federal statutes and regulations, EEOC and OFCCP policies, strategic planning documents, and operational manuals. We interviewed EEOC and OFCCP officials in headquarters, and in two regional locations selected based on the large proportion of technology companies in those areas. At EEOC, we met with officials from the San Francisco and New York district offices. At OFCCP, we met with officials from the Pacific and Northeast regional offices.", "To explore charges of discrimination filed with the EEOC against technology companies, we planned to analyze data from the EEOC Integrated Mission System (IMS), which contains records on EEOC charges and enforcement activities. However, since industry code is not a mandatory field for investigators to complete, roughly half the entries did not have an industry code. Therefore, we could not reliably identify technology companies that have faced charges or enforcement. We attempted to match information we had developed on federal technology contractors with charges filed in the IMS database. Depending on the matching method we used, this yielded very different results and we determined this was not a sufficiently reliable method. Further, any matching method we used would have excluded technology companies that did not hold a federal contract.", "To obtain information on evaluations of technology contractors completed by OFCCP and complaints received against technology contractors, we took a two-step approach. First, using the Federal Procurement Data System\u2013Next Generation (FPDS-NG), we developed a list of company establishments and their subsidiaries that received federal contract obligations in fiscal years 2011-2015 under any of the 55 NAICS codes we included above as technology industries. We selected only company establishments that received 50 percent or more of their total federal contract obligations under these NAICS codes. Each establishment was counted only once regardless of how many federal contracts it received during the time period. Using this method, we identified 43,448 establishments in our pool of \u201ctechnology contractors.\u201d To identify subsidiaries, which are also subject to OFCCP requirements and evaluations, we identified any other establishments that shared the global vendor code with the contractors we identified, regardless of their NAICS code. This yielded 2,116 additional contractors. Second, we matched the names (removing suffixes) of the technology contractors and their subsidiaries that we identified in FPDS-NG against OFCCP\u2019s data on their evaluations of contractors to identify the evaluations of technology contractors that OFCCP opened and completed from fiscal year 2011 through fiscal year 2016. We conducted a similar matching exercise to identify the complaints OFCCP received against technology companies. In addition, we identified which of the leading technology companies had completed evaluations between fiscal year 2011 through 2016.", "We obtained information during interviews with researchers, and representatives of workforce and industry organizations and associations. In addition, we interviewed diversity and compliance representatives of eight of the leading information technology companies located in the San Francisco Bay area which were also federal contractors to discuss their efforts to increase diversity and to gain their perspectives on the federal role in overseeing compliance with nondiscrimination laws. These companies were:", "Cisco Systems, Inc.", "Facebook, Inc.", "Google Inc.", "Hewlett Packard Enterprise Company Intuit Inc.", "Oracle America, Inc."], "subsections": []}]}, {"section_title": "Appendix II: Technology Occupations", "paragraphs": ["This is the list of technology occupations that we used in our analyses. We selected our occupations using Bureau of Labor Statistics (BLS) Standard Occupational Classification (SOC) System codes, and cross- walked those occupations to the corresponding U.S. Census Bureau occupation codes."], "subsections": []}, {"section_title": "Appendix III: North American Industry Classification System (NAICS) Codes Identified as Technology-Related Industries", "paragraphs": ["This is the list of the 55 6-digit North American Industry Classification System (NAICS) codes we identified as technology-related industries. To develop this list, we identified the 15 industries with the highest concentration of technology workers using U.S. Census Bureau industry codes and then used the U.S. Census Bureau\u2019s 2012 Industry Code List for Household Surveys to crosswalk the Census codes with NAICS codes."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Betty Ward-Zukerman (Assistant Director), Kate Blumenreich (Analyst-in-Charge), Sheranda Campbell, Julianne Hartmann Cutts, Clarita Mrena, Moon Parks, Alexandra Rouse, and John Yee made significant contributions to all phases of the work. Also contributing to this report were Rachel Beers, James Bennett, Hedieh Fusfield, Julia Kennon, Jean McSween, Jessica Orr, Dae Park, James Rebbe, Almeta Spencer, and Alexandra Squitieri."], "subsections": []}]}], "fastfact": []} {"id": "GAO-17-785", "url": "https://www.gao.gov/products/GAO-17-785", "title": "Video Programming: FCC Should Conduct Additional Analysis to Evaluate Need for Set-Top Box Regulation", "published_date": "2017-09-29T00:00:00", "released_date": "2017-09-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Millions of households subscribe to cable, satellite, and telephone companies\u2014known as MVPDs\u2014for television, which is generally delivered via a set-top box attached to a television. Congress directed FCC to adopt regulations to assure a commercial market for devices to access MVPDs, and in February 2016, FCC proposed a rule intended to do so. Many industry stakeholders raised concerns about the proposal's potential effects, and FCC did not issue the proposed rule. This report examines: (1) the role of set-top boxes in accessing video programming content and (2) views of selected stakeholders and experts on the need for FCC regulation regarding set-top boxes and FCC's analysis of such need.", "GAO analyzed data from a media research group regarding the video market and interviewed 35 industry stakeholders including 12 MVPDs, 5 video content producers, 3 device manufacturers, 12 industry associations, and others; GAO selected stakeholders based on comments filed with FCC on its 2016 proposed rule. GAO also interviewed 11 industry analysts and experts selected based on industry coverage and publications."]}, {"section_title": "What GAO Found", "paragraphs": ["Set-top boxes play a significant but diminishing role in delivering video content in an evolving video market. Subscribers to multichannel video programming distributors (MVPD)\u2014companies that provide pay television services via subscriptions such as cable and satellite companies\u2014generally need a set-top box to access MVPD television services, and most subscribers lease a set-top box from their MVPD. However, consumers can now access video through a wide range of Internet-based services without a set-top box, using a variety of Internet-capable devices, such as tablets. Internet-based services include those providing on-demand video such as Netflix and some, such as Sling TV, providing live content similar to that from MVPDs. Some Internet-capable devices, such as Roku, allow people to watch Internet-based video on televisions. In recent years, subscriptions to MVPDs have fallen as more Internet-based services have become available. Partly in response to this competition, many MVPDs have begun offering content over the Internet to subscribers, accessible on many Internet-capable devices, including streaming devices that display it on televisions. While in most cases, MVPD subscribers still need a set-top box, a few MVPDs GAO interviewed now allow subscribers to access content they subscribe to solely over the Internet, without a set-top box.", "The Federal Communications Commission (FCC) has conducted limited analysis of the need for regulations to assure a commercial market for devices, such as set-top boxes, to access MVPD services. Most stakeholders and experts GAO interviewed said that further regulations for this purpose were not needed, given recent changes in the video content market. FCC is directed by law to set regulations to assure a commercial market for devices to access MVPD services. However, the law also specifies that any such regulations may no longer apply if FCC determines that the markets for both MVPD services and devices to access MVPDs are fully competitive. Moreover, while it does not extend to independent agencies, Office of Management and Budget guidance says agencies could use analyses to evaluate the need for proposed actions. However, FCC proposed a new rule in 2016 to promote a commercial set-top box market without undertaking a comprehensive analysis of the competitiveness of the market to support the proposed rule. FCC did not enact a final rule. Stakeholders had differing views on the potential effects of the proposed rule, but some raised concerns that the rule could have had negative effects on MVPDs and content providers. As described above, widespread changes in the video market in recent years have expanded consumers' choices for video services as well as devices to access those services. Nineteen of the 35 industry stakeholders GAO interviewed said rules are not needed at this time, while 8 said rules are still needed. (The rest gave uncertain answers or did not comment on this issue.) Without a comprehensive analysis, FCC lacks information on the extent of consumer choice and, furthermore, the extent to which increased options for video services affect the relative importance of consumer choice for devices to access MVPDs. Such an analysis could help FCC determine if additional regulations are needed and, as the market likely continues its rapid evolution, could serve as a benchmark in FCC's further consideration of whether market conditions have been met such that regulations may no longer apply."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FCC conduct a comprehensive analysis of how recent industry changes related to video services affect consumer choice for devices to access video services.", "FCC agreed with GAO's recommendation and provided technical comments that GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Television programming has long been an integral part of society and the economy, delivering news, entertainment, advertisements, and more to the vast majority of American households. Multichannel video programming distributors (MVPD)\u2014which include cable, satellite, and telephone companies\u2014enable consumers to subscribe to a large package of video programming that includes local broadcast channels (such as local NBC stations) as well as an array of cable channels (such as ESPN and CNN). Over 75 percent of households subscribe to an MVPD for video programming services. To do so, the household typically needs a set-top box, which provides the video feed from the MVPD\u2019s network to the television, while securing the content to ensure, for example, that only channels included in the subscription can be accessed. According to an analysis cited by the Federal Communications Commission (FCC), in 2016 approximately 99 percent of households that subscribed to MVPD service leased a set-top box, spending an average of $231 per household.", "In the Communications Act of 1934, as amended by the Telecommunications Act of 1996 (herein known as \u201cthe Act,\u201d) Congress directed FCC to adopt regulations to assure the commercial availability of devices\u2014such as set-top boxes\u2014that can access MVPD services. FCC has made efforts to meet this directive, including by issuing a Notice of Proposed Rulemaking in February 2016 that would have required MVPDs to offer certain information to companies that are not affiliated with an MVPD to allow those companies to design and build devices to access video services from MVPDs, giving subscribers more alternatives to leasing set-top boxes from their providers. However, in May 2017, the new FCC Chairman said he did not believe that the proposed rulemaking from the previous Commission furthered the goal of promoting a clear, consumer-focused, fair, and competitive regulatory path for video programming delivery, removed the proposed rule from circulation, and said he does not intend to resurrect it. Since FCC proposed the rule, a variety of stakeholders have disagreed on whether further regulation in this area is needed. In addition, some have claimed that the proposed rule would have negatively affected MVPDs and other industry stakeholders.", "You asked us to review FCC\u2019s efforts to address the Act\u2019s requirements to assure commercial availability of devices to access MVPD services. This report examines: 1) the role of set-top boxes in accessing video programming and 2) views of selected stakeholders and experts on the need for FCC regulation regarding set-top boxes and how FCC has analyzed such need.", "To review the role of set-top boxes in accessing video programming, we contracted with Kagan, a unit of S&P Global Market Intelligence, a private company, to obtain data and research on the video programming industry. We obtained data on the video programming industry, including data on subscriptions to MVPDs, online video distributors, and sales of devices including set-top boxes and devices to access Internet-based content, among other types of data. The timeframes for these data vary based on the specific data points available. To determine the reliability of these data we interviewed representatives of Kagan, reviewed documentation on their data collection and analysis methodology, and conducted a literature review to gauge how Kagan\u2019s analysis has been used in the industry, as well as in previous GAO reports. We also considered the fact that Kagan\u2019s data are often used and cited by FCC in considering the reliability of the data. We did not assess all aspects of Kagan\u2019s methodological techniques, such as its forecasting and estimation procedures, due to the proprietary nature of this information. We determined that these data were sufficiently reliable for reporting on trends in the video programming industry in this report.", "To address both objectives, we reviewed the following: relevant federal statutes and regulations including the Communications Act of 1934, as amended by the Telecommunications Act of 1996, and FCC\u2019s regulations issued in response to that statute; proposed rules, including FCC\u2019s February 2016 proposed rule on set-top boxes; and relevant literature identified through a literature search that discussed FCC\u2019s efforts to respond to the Act. We also reviewed Office of Management and Budget criteria for conducting regulatory analyses. In addition, we interviewed officials with FCC and the United States Copyright Office\u2014part of the Library of Congress\u2014and conducted semi-structured interviews with 35 stakeholders selected to include a range of industry stakeholders: nine larger MVPDs, including the five largest cable providers, as measured by number of subscribers, two satellite providers, and two telephone providers; three smaller MVPDs, selected based on recommendations from an industry association, WTA-Advocates for Rural Broadband; three manufacturers of set-top boxes and other devices to access video content; three independent, minority, or diverse programmers and interest groups; two large video broadcast networks; ten industry associations, including associations representing MVPDs, technology companies, owners of copyright content, and others; and two others representing different interests.", "In selecting the industry stakeholders beyond the MVPDs, we considered comments filed with FCC on its 2016 proposed rule. Finally, we conducted semi-structured interviews with 11 industry experts and analysts. We selected these experts and analysts based on prior GAO work that included interviews with industry experts and analysts, a review of relevant publications and literature, a review of industry analysts who cover relevant companies, and recommendations from industry experts and analysts already interviewed. These interviews with industry stakeholders and analysts and experts covered the market for video programming, the role of set-top boxes and other devices to access video content, FCC efforts to increase consumer choice in the market for devices to access video content, and the need for FCC regulations regarding set-top boxes. Following the interviews, we analyzed responses across the interviews to identify and report on common themes. The results of these interviews are not generalizable. For a complete list of industry stakeholders and industry experts and analysts we interviewed, please see appendix I.", "We conducted this performance audit from September 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Set-top boxes provide a variety of functions, including enabling consumers to access their video subscriptions. They also secure the video provider\u2019s content to ensure that the subscriber can access only the channels subscribed to, and prevent unauthorized use, such as recording of content that subscribers do not have the right to record. Among other features, set-top boxes may also allow subscribers to: view a channel guide and search for programming and record content for later viewing; view linear programming\u2014meaning video programming that appears on a given channel at a given time; and view video on demand\u2014meaning video programming available for consumers to access when they want to instead of at a specific time.", "Traditionally, video content flows from content producers to households through various intermediaries (see fig. 1). Content producers negotiate and agree to a variety of terms and conditions with the networks or local television stations that carry the content, and those networks further negotiate and agree to terms and conditions with the MVPDs that distribute the content to subscribers. For example, a content producer may agree that in addition to its program showing on the linear cable channel at a specific time, its program is also available on demand, but only for a specific period of time. Furthermore, networks may negotiate for and agree to a range of terms with MVPDs regarding channel placement and other items. Protections programmed into the set-top box help ensure that such agreements are implemented.", "For over two decades, federal statutes and regulations have sought to foster consumer choice for video services and devices to access such services. The Cable Television Consumer Protection and Competition Act of 1992, for example, requires FCC to report annually on the status of competition in the video marketplace. Furthermore, Section 629 of the Communications Act of 1934, as amended by the Telecommunications Act of 1996 (\u201cthe Act,\u201d) directed FCC to assure the commercial availability of devices that access MVPD service (which currently are typically set-top boxes) by making them available from third parties unaffiliated with MVPDs.", "In response to the Act, FCC adopted regulations in October 2003 that allowed the direct connection of digital navigation devices (typically, set- top boxes) purchased from third parties to MVPD systems. To receive and display MVPD content, these devices require a CableCARD, a card provided by a subscriber\u2019s MVPD and installed in the third party set-top box or other device, allowing a subscriber to view secure content they subscribe to with their MVPD. As a result, such third party devices, which remain available today, are known as CableCARD devices.", "Subsequent to the adoption of its CableCARD regulations, as noted earlier, FCC issued a Notice of Proposed Rulemaking in February 2016 that was intended to provide consumers additional choice for set-top boxes. In the proposed rule, FCC tentatively concluded that despite the availability of CableCARD devices, the market for navigation devices (such as set-top boxes) was not competitive, citing a previous analysis that found that approximately 99 percent of MVPD subscribers continued to lease a set-top box from their MVPD. Therefore, FCC stated in the proposed rule that it should adopt new regulations. Moreover, FCC stated that technological advances since the CableCARD regulations had been adopted enabled new solutions that, with certain ground rules, would make it easier to finally fulfill the purpose of the Act. One goal of the proposed rule was to allow third party manufacturers to create new devices and user interfaces\u2014the means through which users interact with a set-top box such as the menus, remote control, and methods of searching for programming\u2014to access MVPD services. For such devices to work, the proposal required MVPDs to transmit to third party devices video programming content and data about that programming, including channel listings and schedules and data on what programming subscribers are entitled to access. Such devices, as proposed, would not rely on a CableCARD and would be compatible with any MVPD\u2019s service. As such, as envisioned by FCC, the proposed rule would enable a consumer to switch MVPDs without having to change the set-top box.", "In September 2016, after receiving input from a wide range of stakeholders, the former FCC Chairman issued a three page fact sheet providing an overview of a proposed final rule that the Chairman scheduled for Commission vote in September 2016. According to the fact sheet, MVPDs would have been required to offer consumers a free electronic application (commonly referred to as an \u201capp\u201d), which would be controlled by the MVPD, that subscribers could download onto a variety of Internet-capable devices such as tablets and smartphones to access the programming they subscribe to. Under this scenario, control over the user interface would have been maintained by the MVPD, not the third- party device manufacturer, as the original proposed rule envisioned. However, the former Chairman ultimately deleted the proposed final rule from the list of items scheduled for consideration at the September 2016 meeting, and action on the proposed rule is no longer pending for consideration."], "subsections": []}, {"section_title": "Set-Top Boxes Play a Significant but Diminishing Role in Delivering Programming in an Evolving Video Market", "paragraphs": [], "subsections": [{"section_title": "The Internet Provides Opportunities for Viewing Video Programming without the Need For a Set-Top Box", "paragraphs": ["While over 75 percent of households still subscribe to MVPDs for video services and rely on a set-top box leased from their provider to access content, the Internet has created more opportunities for consumers to access video programming services in ways that do not require a leased set-top box. These providers vary regarding the types of video services they offer:", "Content aggregators (e.g., Netflix and Amazon): These providers offer video on-demand through a subscription. They aggregate content from multiple sources and may provide their own content (e.g., Netflix\u2019s original series House of Cards) along with content from other programmers. There are also niche aggregators such as Indie Flix that provide specialized programming.", "Direct to Consumer (e.g., CBS All Access, HBONow, and Univision Now): Some programmers and networks that distribute their content through MVPDs are now separately providing live and on-demand content directly to consumers through the Internet for a monthly subscription. Consumers do not have to subscribe to an MVPD to subscribe to such content. For example, HBO provides its content on demand to its customers through the HBO Now app without requiring a customer to subscribe through an MVPD.", "Virtual Service Providers (e.g. Sling TV, DIRECTV Now, and PlayStation Vue): These providers use a model similar to the MVPD model by providing live and on-demand programming from a variety of networks over the Internet in generally smaller channel lineups. Such services are targeted to households looking for a smaller channel line- up at a lower cost than from MVPDs.", "According to Kagan, subscriptions to content aggregators and direct to consumer Internet-based services are expected to grow from 109 million in 2016 to 137 million in 2020. Many new Internet video services have launched since 2005, and there has been a particularly large growth since 2014. (See fig. 2.)", "Subscribers can access Internet-based video services using many different Internet-connected devices and do not need a set-top box. These devices include stand-alone devices such as video game consoles (e.g., Xbox One), laptops, tablets, smart phones, and smart TVs\u2014which include an integrated computer with an Internet browser, operating system, and apps to stream Internet video subscriptions without a separate device. Third party manufacturers have also developed streaming media devices (e.g., Roku) designed to allow viewers to watch Internet-provided content on their television set. Some of these devices, such as tablets, allow consumers to view video programming content in or out of the home with an Internet connection. Figure 3 below shows the variety of devices, including set-top boxes, households can use to access video programming.", "These new Internet-based providers offer greater choice in video services, eliminating the need to lease a set-top box for households that choose to subscribe to one or more of these providers in lieu of an MVPD subscription. According to Kagan, the percentage of households subscribing to MVPDs is down from a peak of approximately 91 percent of households wired for service in 2009 to 79 percent in 2016, and Kagan estimates that in 2016 there were 29 million households that either cancelled their MVPD subscription or never had it. Additionally, Kagan projects that there will be a continued decline in MVPD video subscriptions by 2020, when 74 percent of households will subscribe to MVPDs, in part due to competition from Internet video programming. Eight of 11 industry experts and analysts we interviewed also stated that they believed MVPDs\u2019 market share is falling due in part to Internet video. Kagan reports based on results of an online survey it conducted of households that never had an MVPD subscription that many in this group are generally younger and have less income than other households, and have in the past relied on over-the-air television because the cost of MVPD service is too high. One industry expert told us that it is unclear what will happen to these younger households\u2019 viewing habits as they age. According to this expert, in the past these younger non-subscribers would eventually subscribe to MVPDs as their income grew, but it is no longer clear that this will happen due in part to Internet video options.", "While consumers are increasingly subscribing to Internet programming that does not require a set-top box, the market for alternative devices to access programming is also growing. According to Kagan, sales of these alternative devices, such as streaming devices and smart TVs, have been growing. (See fig.4.) For example, Kagan estimates that 70 percent of television shipments in 2016 were smart TVs."], "subsections": []}, {"section_title": "MVPDs Generally Still Require a Set-Top Box but Have Offered Subscribers Additional Ways to Access Video in Response to the Changing Marketplace", "paragraphs": ["Many subscribers to MVPDs are still reliant on at least one set-top box, usually leased from their provider, to access video programming. In the wake of FCC\u2019s 2003 CableCARD regulations, third-party providers developed CableCARD devices that consumers could purchase at retail outlets and use to access their MVPD subscription with a CableCARD. Such devices are still available currently. For example, one of the better- known of these options, the TiVo set-top box, was available on Amazon.com as of July 2017. However, in spite of the commercial availability of these devices, according to FCC in its 2016 proposed rule, about 99 percent of subscribers to MVPDs lease at least one set-top box from their MVPD. While all five of the large cable providers we interviewed said that their customers have the option of using a third party device, they all added that very few customers do so and the majority lease their set-top box. All five of the large cable providers we interviewed cited limited customer interest as key reason consumers did not adopt third party CableCARD devices. Each also cited one or more of the following reasons: limited functionality, including limited ability to access on-demand content when devices were first available; high up-front costs to purchase a third party device; and the ease of leasing a set-top box from a provider, which will replace the box if it breaks, compared to owning a third party device where if it breaks the consumer may have to buy a new one.", "However, public interest organizations we interviewed stated they believe that the low rate of adoption of CableCARD devices was due to limited support from MVPDs. Specifically, representatives of one public interest group we interviewed stated that MVPDs have not been advocates of third party devices and have not devoted customer service toward this effort, for example by providing their technicians with training. They also stated that MVPDs have made it difficult for customers to use CableCARD devices by, for example, requiring technicians to install the CableCARD. Representatives of one public interest group also stated that because MVPDs charge their customers a monthly fee for using CableCARD devices, as they do for a set-top box, customers have little financial incentive to adopt these alternative devices. Another public interest group stated that MVPDs do not make their subscribers aware of their ability to purchase and use such devices.", "Although subscribers to MVPDs generally require a set-top box in most cases to access content they subscribe to, many MVPDs are also offering their video programming over the Internet and through alternative devices. For example, according to Kagan, MVPDs have started to allow consumers to access their subscription content via the Internet in and out of the home, on multiple devices, and when they want, for example:", "Many cable networks allow subscribers to MVPDs that carry that network to access live or on-demand content through an app or website specific to that network. MVPDs do not develop or control these apps and websites. Such service is often referred to as \u201ctelevision everywhere.\u201d Kagan forecasts that views of Internet-based television everywhere from MVPDs will increase from approximately 5.4 billion views in 2016 to 11 billion views in 2020. All nine of the larger MVPDs we interviewed told us that their customers can access some \u201ctelevision everywhere\u201d content online.", "Many MVPDs have also developed their own apps allowing their subscribers to access a range of content. Eight of the nine larger MVPDs told us they have developed apps for Internet-capable devices such as smart phones and tablets that allow their subscribers to access content in and out of the home. Such apps may allow for viewing both live and on-demand content. For example, consumers can use a Comcast application on their smart phone out of their home to view content. In addition, some MVPDs have developed apps for streaming devices such as Roku. In some, but not all, cases such apps can be used as a replacement for a set-top box; however, only three of the nine larger MVPDs we interviewed said that their subscribers may be able to use apps and alternative devices to access their subscriptions without the need for any set-top box. For example, one MVPD told us that customers can use an app on a Roku streaming device to access content without needing any set-top boxes.", "These changes by MVPDs may be due to competition from new Internet- based services; 10 out of 11 industry experts and analysts we interviewed told us that MVPDs are providing access to their programming through alternative devices other than set-top boxes due to such competition.", "Despite growth in alternative devices and services, a Kagan report indicated and MVPDs we interviewed told us that set-top boxes will still play an important role in the near future for accessing video content from MVPDs as the industry replaces many current set-top boxes with higher end versions. For example, the set-top box for one MVPD we interviewed now provides advanced functions such as voice control, universal searching, and increased storage of programming. All nine larger MVPDs we interviewed told us that they foresee the set-top box still playing a role in their service in the near future, and only three said their customers may be able to access their subscriptions solely on alternative devices without the need for a set-top box. One MVPD told us that although it sees video providers moving to apps on their own in the future, there will still be an option for consumers to access content from their set-top box. This MVPD has made upgrades to its set-top box to provide more features and has incorporated Internet video applications such as Netflix directly into its set-top box. Additionally, eight out of the 11 experts and industry analysts we interviewed said that they expect the set-top box to continue to be needed for traditional provider services for households in the future. One expert stated that the set-top box is the most efficient way to access and deliver programming, and that it remains the best solution for consumers and an important component of video programming."], "subsections": []}, {"section_title": "Some Consumers May have Difficulty Taking Advantage of Internet Services That Do Not Require a Set-Top Box", "paragraphs": ["While the Internet has provided consumers with more choice for accessing video programming without subscribing to an MVPD and using an associated set-top box, consumers must have broadband access to be able to use these alternative products. However, FCC, in a 2016 broadband progress report, estimated that 10 percent of the population does not have adequate access to in-home fixed broadband Internet and the lack of broadband access is particularly concentrated in rural and tribal areas.", "Although subscriptions to broadband Internet service are rising as those to MVPD video services are declining, most households are dependent upon MVPDs to receive broadband Internet service. According to FCC, 97 percent of consumers are reliant on their MVPD for broadband service, and according to Kagan the ten largest video providers account for 91 percent of broadband subscriptions. However, as we recently reported, continuing technological changes may provide new options for obtaining access to broadband as, in the future, wireless Internet access may be able to serve as a substitute to in-home broadband for some consumers, and satellite-provided Internet service may also become an option for consumers who don\u2019t have access to in-home wired broadband. For example, Kagan expects wireless broadband to serve as a growing substitute choice for consumers with the advancement of higher speeds in the future."], "subsections": []}]}, {"section_title": "Experts and Stakeholders Suggest Additional FCC Efforts on Choice in Set-Top Boxes are Not Needed, but FCC has Conducted Limited Analysis of this Issue", "paragraphs": [], "subsections": [{"section_title": "Generally, Selected Stakeholders and Experts Did Not See Need for FCC Regulation to Increase Consumer Choice for Set- Top Boxes", "paragraphs": ["Most selected stakeholders and industry experts we spoke to did not see a need for FCC to intervene in the set-top box market at this time, given the changes taking place that provide consumers with more choices for services and devices to access video programming. All 11 of the experts and analysts we interviewed said that the industry is moving away from set-top boxes on its own by providing content through other means and 9 of those 11 added that, as a result, there is no need for FCC regulatory intervention. Furthermore, only 8 of the 35 total industry stakeholders we interviewed stated that regulations are needed. These stakeholders pointed to the development of apps and devices beyond set-top boxes that consumers can use to access video content. For example, one of the larger MVPDs said that competitive pressures have pushed the company to offer consumers new ways and devices with which to access the content they subscribe to.", "However, representatives of all three public interest organizations we interviewed said that FCC regulations are still needed to promote consumer choice for devices. Specifically, representatives of one public interest organization we interviewed said that although the market has evolved to provide more device choices for consumers, the fact that almost all MVPD subscribers lease a set-top box shows that the intent of the Act has not yet been met. They added that while MVPDs have been increasing the development of apps for their subscribers to access content, these apps so far do not have all the functionality of leased set- top boxes, meaning that the apps are not an adequate substitute. As discussed earlier, despite the growth in apps, most larger MVPDs we interviewed still require their subscribers to have at least one set-top box."], "subsections": []}, {"section_title": "Some Experts and Industry Stakeholders Raised Concerns about the Potential Effects of FCC\u2019s Recent Proposal to Expand Consumers\u2019 Choices for Devices", "paragraphs": ["Some industry stakeholders and experts and analysts we interviewed thought that FCC\u2019s proposed rule could have had negative effects on MVPDs as well as other industry participants, including content providers. As discussed earlier, the proposed rule would have required MVPDs to transmit information\u2014including video programming itself\u2014to third party devices. According to representatives of one industry association we interviewed, this could have meant that MVPDs, and the programmers whose content they distribute, would lose control over content that they had created or purchased the distribution rights to. Programmers negotiate terms and conditions\u2014such as channel lineup and other issues\u2014with MVPDs that distribute their content. Some stakeholders expressed concern that under the proposed rule there would be no guarantee that third party device and service companies would adhere to all those terms and conditions under which that content was provided to the MVPDs. Some MVPDs and programmers expressed concern that some third-party device companies might modify the stream of programming by, for example, changing channel placement or overlaying advertising.", "Five of the 11 experts and analysts we interviewed thought that the proposed rule could have led to copyright violations. Almost all larger MVPDs, broadcast networks, and independent and diverse programmers and interest groups we interviewed expressed concerns that should there be copyright violations, content providers could also be negatively affected. For example, one industry association said if a third party device were to overlay advertising on a program, the value of advertising availability that is usually sold by broadcast or cable networks or by cable distributors would decrease since there might be competing advertising displayed to viewers. This stakeholder added that any reduced ad revenues would, in turn, reduce the ability to invest in content. Seven of the 11 experts and analysts we interviewed reported that the proposed rule could negatively affect content providers. Furthermore, some stakeholders told us that they believed the possible negative effects of the proposed rule could have especially affected independent and diverse programmers such as Vme, a national Spanish language network. According to one independent and diverse programmer we interviewed, its business is dependent upon agreements with MVPDs that distribute its programming. Those agreements include a range of terms including advertising restrictions and channel placement. To the extent a third party could modify the content\u2014such as by overlaying advertising\u2014that programmer would have a harder time negotiating with MVPDs, potentially reducing the compensation received from MVPDs for carrying its channel, thus harming its business model. Furthermore, according to a letter written by the Copyright Office, the proposed rule could have interfered with the rights of copyright owners to license their works by requiring MVPDs to provide content to third parties that would not necessarily have a contractual relationship with the copyright owner.", "However, some other stakeholders we interviewed stated that they believed there was little likelihood that the proposed rule would have led to licensing terms not being followed and reported that the proposed rule may have provided public benefits, specifically:", "Two public interest groups we interviewed said that because there have not been violations with copyrights on CableCARD devices, such violations would be unlikely on any new devices that would have been created under the rule.", "Representatives with one industry association representing technology companies said that the proposed rule could have benefited independent and diverse programmers by increasing the number of devices available to consumers to access content, providing such programmers with increased opportunities for consumers to find their content.", "Representatives with one public interest group said that consumers would benefit from the proposed rule as new devices created in response to the rule would increase access to programming on new devices, thus increasing programming options overall.", "Representatives with a device manufacturer said that the proposal could have provided consumers with new and innovative ways to access video content."], "subsections": []}, {"section_title": "FCC Has Conducted Limited Analysis to Support Response to Statutory Requirement Regarding Consumer Choice for Set-Top Boxes", "paragraphs": ["In commenting on a draft of this report, FCC noted that the limited action of taking a not- yet-adopted proposal off circulation would not generally be an occasion for providing a regulatory impact analysis since such an action would have no regulatory effect. limited interest in adopting such devices for a variety of reasons, such as the ease of leasing a set-top box from a provider, which will replace the box if it breaks, compared to owning a third party device where if it breaks the consumer may have to buy a new one.", "The proposed rule also contained limited analysis of the potential effects of this rule on consumers, MVPDs, or others. For example, while FCC supported the proposed rule by stating that the average household pays over $230 a year in set-top box lease fees, the proposal did not estimate the extent to which any increased competition in the market for set-top boxes might lead to cost savings for consumers. More broadly, FCC has conducted some analysis of the evolving video market, which, as discussed earlier, is providing consumers with more choices for both video services as well as devices to access services. For example, FCC\u2019s most recent congressionally mandated annual video competition report\u2014 published in January 2017\u2014includes discussion of the increasing popularity of Internet-based video services and the competitive pressures they have placed on MVPDs, among other things.", "While the Act requires FCC to set regulations to assure the commercial availability of devices to access MVPD services, it also states that any regulations implemented under the statute shall cease to apply if FCC deems that: (1) the market for MVPDs is fully competitive, (2) the market for devices used to access MVPD services is fully competitive, and (3) the elimination of the regulations would promote competition and the public interest. While, as discussed above, FCC has conducted some analyses related to these issues, neither the proposed rule nor the recent video competition report reflect a comprehensive analysis looking at how these interrelated issues affect each other. In addition, May 2017 letters to Congress from the new FCC Chairman stating his intention to not move forward with this issue did not contain or cite any analysis supporting that decision.33 Specifically, FCC\u2019s analyses do not consider the effect that increasing consumer choice for video services has on the importance of consumer choice for devices to access MVPD services. Increased consumer choice for services may reduce the market power of MVPDs and may restrict what they can do and what they can charge for set-top boxes\u2014as well as potentially spurring innovation in how they offer access to their MVPD services. While the 2017 video competition report touches on consumer choice for both services and for devices, it does not discuss the extent to which new choices for services have affected the importance of consumer choice for devices. Furthermore, this analysis does not consider what level of consumer choice for devices must exist for the market for devices to be \u201cfully competitive.\u201d", "While FCC\u2019s former Chairman believed that new regulations were needed to fulfill the requirements of the Act, the current Chairman believes that the 2016 proposed rule did not further his goal of promoting a clear, consumer-focused, fair, and competitive regulatory path for video programming delivery. As stated earlier, the proposed rule contained limited analysis. In addition, the new Chairman\u2019s letters to Congress noted that he had removed his predecessor\u2019s proposal from circulation but were silent as to whether the Commission would take any future action in this proceeding. A future Commission may again determine that regulations are needed or decide not to take any further action on this issue.", "In commenting on a draft of this report, FCC noted that the limited action of taking a not- yet-adopted proposal off circulation would not generally be an occasion for providing a regulatory impact analysis since such an action would have no regulatory effect. access MVPDs. Such an analysis, conducted as part of FCC\u2019s existing annual video competition reports\u2014which, as discussed, already include relevant analyses\u2014could help FCC determine if additional regulations are needed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The market for video services and devices to access video services has evolved significantly in recent years so that consumers now have considerably more choices for video services and devices to access such services than when Congress passed the Telecommunications Act of 1996. Given the fast pace of change in the video market in recent years and the likelihood that it will continue to evolve to offer consumers more choices in how they access video content, it is important that FCC analyze the implications of these changes for its responsibilities under the Act to assure the commercial availability for devices that can access MVPD programming.", "However, FCC has not conducted a comprehensive analysis to support an informed decision as to whether further action is needed or not. FCC\u2019s recently proposed rule and most recent annual video competition report contain limited analysis of the extent to which Internet-based providers affect consumer choice for video programming and what that change means for the importance of consumer choice for devices in the context of the Act. In contrast, a comprehensive analysis could inform FCC as to whether the market conditions of competition for both video services and devices have been reached under which, as stated in the Act, any regulations implemented under the statute shall cease to apply. Should such analysis show that those market conditions have not yet been reached, a clear articulation by FCC of what elements have and have not yet been met could help as a benchmark in FCC\u2019s further consideration of this issue as the market likely continues to evolve. Without more comprehensive analysis of the industry\u2019s evolution and its effects on consumer choice for devices to access MVPD services, FCC could potentially take regulatory action\u2014or choose not to take action\u2014in a way that is not beneficial to consumers and does not meet the goals of the Act."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["To help ensure that any future decisions by FCC regarding its efforts under the Act are based on comprehensive analysis, we recommend that FCC, as part of its future annual video competition reports, analyze how the ongoing evolution in the video programming market affects competition in the related market for set-top boxes and devices, including how this evolution affects the extent to which consumer choice for devices to access MVPD content remains a relevant aspect of the competitive environment. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FCC and the Library of Congress for review and comment. FCC responded with a letter in which it agreed with our recommendation. This letter is reprinted in appendix II. FCC also provided technical comments that we incorporated as appropriate. The Library of Congress reviewed our report and did not provide any comments.", "We are sending copies of this report to interested Congressional committees and the Chairman of the FCC. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made significant contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Industry Stakeholders and Experts and Analysts Interviewed", "paragraphs": ["The following tables list the industry stakeholders and industry analysts and experts GAO interviewed as part of this engagement."], "subsections": []}, {"section_title": "Appendix II: Comments from the Federal Communications Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Mark Goldstein, (202) 512-2834 or goldsteinm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Alwynne Wilbur (Assistant Director); Matt Rosenberg (Analyst in Charge); Amy Abramowitz; West Coile; Leia Dickerson; Sharon Dyer; Camilo Flores; Joshua Ormond; Nitin Rao; Amy Rosewarne; and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-7", "url": "https://www.gao.gov/products/GAO-18-7", "title": "Combating Wildlife Trafficking: Agencies Are Taking Action to Reduce Demand but Could Improve Collaboration in Southeast Asia", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Wildlife trafficking\u2014illegal trade in wildlife\u2014is estimated to be worth $7 billion to $23 billion annually and, according to State, continues to push some protected and endangered animal species to the brink of extinction. In 2013, President Obama issued an executive order that established an interagency Task Force charged with developing a strategy to guide U.S. efforts to combat wildlife trafficking.", "GAO was asked to review U.S. agencies' CWT efforts. GAO's September 2016 report on wildlife trafficking focused on supply side activities ( GAO-16-717 ). This report focuses on demand side activities and examines, among other things, (1) what is known about the demand for illegal wildlife and wildlife products in the United States and in Asia and (2) actions agencies are taking to reduce demand for illegal wildlife products in the United States and in Asia. GAO reviewed information from U.S. agencies and international and nongovernmental organizations and interviewed U.S. officials in Washington, D.C., and Miami, Florida, and U.S. and foreign government officials in China, Thailand, and Vietnam."]}, {"section_title": "What GAO Found", "paragraphs": ["In the United States, China, and countries in Southeast Asia, there is diverse demand for illegally traded wildlife, according to data, reports, and various officials. The Department of the Interior's (Interior) U.S. Fish and Wildlife Service (FWS) has seized a variety of wildlife at U.S. ports, such as coral for aquariums, conch meat for food, seahorses for medicinal purposes, and crocodile skin for fashion items. In China and Southeast Asian countries, reports and officials have identified seizures and consumption of illegally traded wildlife products such as rhino horn, elephant ivory, pangolins (shown below), turtles, and sharks, among others, used for purposes such as food, decoration, pets, or traditional medicine.", "U.S. agencies are taking actions designed to reduce demand for illegal wildlife, including building law enforcement capacity and raising awareness, but disagreement on roles and responsibilities has hindered some combating wildlife trafficking (CWT) activities in Southeast Asia. FWS inspects shipments in the United States and facilitates law enforcement capacity building with partner nations overseas. The Department of State (State) conducts diplomatic efforts, some of which contributed to a joint announcement by China and the United States to implement restrictions on both countries' domestic ivory trade. The U.S. Agency for International Development (USAID) works with local organizations abroad to support programs intended to reduce wildlife demand, strengthen regional cooperation, and increase law enforcement capacity. Several other agencies also contribute expertise or resources to support various demand reduction activities. Certain practices can enhance and sustain collaborative efforts, such as establishing joint strategies, defining a common outcome, and agreeing on roles and responsibilities. GAO found that agencies applied the first two practices but could improve with regard to agreement on roles and responsibilities in Southeast Asia. For example, although the National Strategy for Combating Wildlife Trafficking Implementation Plan designates various Task Force agencies to lead or participate in achieving CWT strategic priorities, it does not define specific roles and responsibilities at the working level. Agencies have different views on roles and responsibilities in Southeast Asia. According to some officials, this disagreement resulted in inappropriate training activities and hindered U.S. cooperation with a host nation. More clearly defining roles and responsibilities would enhance agency collaboration."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Interior, State, and USAID work to clarify roles and responsibilities for staff collaborating on combating wildlife trafficking efforts in Southeast Asia. Agencies agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the Department of State (State), wildlife trafficking is a multibillion-dollar transnational criminal activity that is both a conservation issue and a security threat. Conservative estimates place it among the top-ranked illicit types of trade. Wildlife trafficking undermines conservation efforts, can fuel corruption, and destabilizes communities that depend on wildlife for biodiversity and ecotourism revenues. Poaching and the illegal trade in wildlife\u2014both of which are part of wildlife trafficking\u2014continue to push some protected and endangered species to the brink of extinction. Wildlife trafficking is fueled by unchecked demand for exotic pets, culinary delicacies, and traditional medicines. The capture and slaughter of animals is devastating wild populations of elephants, rhinoceroses, tigers, pangolins, turtles, exotic birds, and many other species.", "In 2013, President Obama issued an executive order that established an interagency Presidential Task Force on Wildlife Trafficking (Task Force) and charged it with developing a strategy to guide U.S. efforts to combat wildlife trafficking. The Task Force is co-chaired by the Departments of the Interior (DOI), Justice (DOJ), and State, and the White House released the Task Force\u2019s National Strategy for Combating Wildlife Trafficking (the National Strategy) in February 2014. In February 2015, the Task Force released the National Strategy for Combating Wildlife Trafficking Implementation Plan (Implementation Plan), which identifies specific objectives and steps supported by programs overseen by Task Force agencies.", "You asked us to review U.S. efforts aimed at combating wildlife trafficking (CWT). In September 2016, we issued a report focused on wildlife trafficking in Africa and supply side CWT activities that addressed security implications, agency actions, and effectiveness. We recommended that agencies work with the Task Force to develop performance targets. The agencies agreed and indicated in 2017 that they were working on implementing the recommendation.", "This report focuses on demand reduction efforts and examines (1) what is known about the demand for illegal wildlife and wildlife products in the United States and in Asia; (2) actions agencies are taking to reduce demand for illegal wildlife products in the United States and in Asia; and (3) the extent to which the U.S. Fish and Wildlife Service (FWS) within DOI, State, and the U.S. Agency for International Development (USAID) are assessing the effectiveness of their CWT activities.", "We limited the scope of this review to the United States and Asia\u2014 identified as major markets for illegal wildlife demand\u2014to complement our 2016 report and to provide geographic diversity in our work. We selected these geographic areas based on our review of reports on demand for illegally traded wildlife and discussions with U.S. government agencies.", "To address our objectives, we analyzed agency documentation and met with officials from DOI, DOJ, State, USAID, and the Department of Commerce\u2019s National Oceanic and Atmospheric Administration (NOAA), which have designated roles in the Implementation Plan to lead or participate in efforts to reduce illegal wildlife demand; the Department of Homeland Security (Homeland Security), which has a role in enforcement and capacity-building efforts; and nongovernmental organizations (NGO) that focus on combating wildlife trafficking. We conducted fieldwork in Miami, Florida; China; Hong Kong; Thailand; and Vietnam. This sample is not generalizable to all the countries or areas in which the United States has CWT-related programs. While in each location in Asia, we interviewed officials who played a role in CWT activities, which included officials from DOI, State, USAID, and Homeland Security. We also interviewed officials from host governments and representatives from NGOs.", "To describe what is known about the demand for illegal wildlife and wildlife products in the United States and Asia, we reviewed reports on wildlife trafficking, surveys about purchasing behaviors for wildlife products, and other information from U.S. agencies. We reviewed the methodologies described in the reports and surveys and determined they were sufficiently reasonable for the findings we report. However, it was beyond the scope of this review to determine the reliability of the underlying data. We also analyzed national seizure data from the FWS\u2019s Law Enforcement Management Information System to report on wildlife and wildlife products confiscated in the United States. To assess the reliability of these data, we interviewed agency officials, reviewed documentation about the data, and conducted basic logical tests. We determined the data are sufficiently reliable for the purposes of reporting seizures of wildlife and wildlife products. To gather perspectives on demand for illegally traded wildlife during our field visits to China, Hong Kong, Vietnam, and Thailand, we interviewed U.S. government and foreign government officials; representatives from NGOs that are implementing partners for U.S. agencies or have cooperated with U.S. agencies on CWT activities; and one company for illustrative purposes.", "To examine actions agencies are taking to reduce demand for illegal wildlife products in the United States and Asia, we interviewed relevant officials and reviewed information, including agency and implementing partner documentation of CWT-related projects, programs, and grants. We also analyzed how agencies combating wildlife trafficking in Southeast Asia are applying selected practices that can enhance and sustain collaborative efforts. As we have previously reported, such practices include establishing mutually reinforcing or joint strategies, defining and articulating a common outcome, and agreeing on roles and responsibilities. In addition, we conducted fieldwork at the Port of Miami, Florida, and interviewed U.S. government officials at this location to obtain insights on U.S. government activities. We selected the Port of Miami because it has been the site of large-scale CWT operations, and agency officials identified Miami as a hub for wildlife trade and an illustrative example of U.S. government CWT operations. We also conducted fieldwork in Vietnam and China, where we visited animal rescue centers and interviewed host government officials and NGO representatives.", "To examine the extent to which FWS, State, and USAID are assessing the effectiveness of their CWT activities, we reviewed program documentation and spoke with agency officials. To assess agency monitoring practices, we analyzed agency guidance and examined selected programs as illustrative examples of how agencies applied their own guidance. We included programs that had started, finished, or been ongoing from the beginning of fiscal year 2015 to the end of fiscal year 2016 and programs that are or were solely dedicated to CWT. To assess evaluation practices, we assessed a USAID midterm evaluation against key elements of quality. Appendix I provides a detailed discussion of our objectives, scope, and methodology.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The National Strategy for Combating Wildlife Trafficking and Reducing Demand", "paragraphs": ["The 2014 National Strategy defines wildlife trafficking as including all aspects of the trade, from poaching and transit through consumer use. The National Strategy outlines the guiding principles and strategic priorities for U.S. efforts to stem illegal trade in wildlife, and one of the top three priorities identified is to \u201cReduce Demand for Illegally Traded Wildlife.\u201d Specifically, the National Strategy states that, as a strategic priority, reducing demand for illegally traded wildlife calls for raising public awareness of the harms done by wildlife trafficking through outreach in the United States and public diplomacy abroad. The National Strategy also states that the Task Force will seek to enlist individual consumers in this fight through education and outreach to reduce demand for these products and change consumption patterns that drive wildlife trafficking.", "While the Implementation Plan outlines a unique set of activities to reduce demand, other activities under the plan\u2019s objectives may indirectly affect demand. For example, one of the objectives under \u201cReduce Demand for Illegally Traded Wildlife\u201d is to raise public awareness and recognition of wildlife trafficking and its negative impacts and associated risks of prosecution (emphasis added) as a means to change harmful consumption patterns. Implementing robust legal frameworks and effective enforcement increases the risk of prosecution, which may deter not only wildlife traffickers but also consumers, who may risk legal penalties. For the purposes of this report, we consider efforts to reduce consumption of wildlife and law enforcement efforts to prevent illegal use of wildlife as demand reduction-related activities.", "The Implementation Plan designates various U.S. agencies to lead or participate in achieving the strategic priority of reducing demand for illegally traded wildlife, which are outlined in table 1.", "In fiscal years 2014 through 2017, Congress directed that not less than certain specified amounts, totaling $271 million over the 4 fiscal years, be made available to combat wildlife trafficking (see fig. 1)."], "subsections": []}, {"section_title": "Global Efforts to Reduce Wildlife Trafficking", "paragraphs": ["Since September 2016, U.S. agencies and global stakeholders have taken a range of actions to address CWT issues (see fig. 2). For example, in October 2016, Congress passed the Eliminate, Neutralize, and Disrupt (END) Wildlife Trafficking Act of 2016. Among other things, the act calls for the Secretary of State, in consultation with the Secretaries of the Interior and Commerce, to submit an annual report that lists each country determined by the Secretary of State to be a focus country and a country of concern. The act also directs the Task Force to submit an annual strategic assessment of its work and provide a briefing to Congress. Additionally, the 17th Meeting of the Conference of the Parties for the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) took place September 24, 2016, to October 5, 2016. In December 2016, China announced that it would close its domestic ivory market by the end of 2017, and in March 2017, China announced closure of 67 ivory carving entities and retail outlets across the country."], "subsections": []}, {"section_title": "Estimates of the Illegal Wildlife Trade", "paragraphs": ["As reported by the United Nations, the International Criminal Police Organization (INTERPOL), and other sources, wildlife trafficking networks span the globe. Although sources have attempted to measure trade flows, there is no precise estimate of illegally traded wildlife, and available estimates are subject to uncertainty. In 2014, the United Nations Environment Programme (UNEP) reported that various sources estimate the global scale of illegal wildlife trade is between $7 billion and $23 billion annually. In 2016, UNEP and INTERPOL estimated that the scale of wildlife crime may have increased, based on a rise in environmental crime. They estimate that environmental crime increased by 26 percent since 2014 and continues to increase by 5 to 7 percent annually. Illegal, unreported, and unregulated (IUU) fishing often are not included in these estimates since discussion of wildlife trafficking, as it relates to marine species, focuses on those species protected under CITES and under statutes such as the Endangered Species Act and the Marine Mammal Protection Act, according to NOAA. While IUU fishing targets commercially harvested marine species, as the Implementation Plan outlines, the trafficking of fisheries products is a form of wildlife trafficking. In 2016, UNEP and INTERPOL estimated that the global scale of IUU fishing ranges from $11 billion to $24 billion annually."], "subsections": []}]}, {"section_title": "Demand for Illegal Wildlife and Wildlife Products Is Difficult to Measure, but Data and Reports Indicate Range of Species and Products Is Diverse", "paragraphs": ["The United States, China, and countries in Southeast Asia consume many types of legal and illegal wildlife for diverse purposes. It is difficult to measure demand for illegal wildlife and wildlife products due to the illicit nature of the trade, but various data sources and reports provide examples of the range of wildlife demand by illustrating types of wildlife that are seized by governments and purchased by consumers."], "subsections": [{"section_title": "Illegal Wildlife Demand and Trade Are Diverse in the United States", "paragraphs": ["U.S. trade in wildlife and wildlife products includes a variety of wildlife such as live reptiles, birds, mammals, and elephant ivory, according to law enforcement information, reports, and government and NGO officials. FWS and NOAA data on wildlife products seized at U.S. ports provide examples of the diversity of illegally traded wildlife in the United States. FWS and NOAA may seize wildlife products for a variety of reasons that include import, export, or sale of endangered or threatened species protected under U.S. laws and regulations. For example, FWS may seize a shipment due to invalid documentation needed to clear the shipment. From 2007 to 2016, the top 10 wildlife shipments\u2014by species or species group\u2014seized nationally by FWS were coral, crocodile, conch, deer, python, sea turtle, mollusks, ginseng, clam, and seahorse. These seized wildlife were in a variety of forms when confiscated, as shown in table 2. For example, more than half of seized seahorse shipments were dead whole animals, and a smaller percentage were medicinal parts or products. During the past 10 years, more than one-third of the wildlife shipments seized by FWS were confiscated while being imported from or exported to Mexico (13.6 percent), China (13 percent), Canada (8.6 percent). Additional examples of wildlife seized by FWS are shown in figure 3 and in appendix II.", "Seizure data from NOAA Fisheries\u2019 Office of Law Enforcement show that it has also seized a variety of marine wildlife products. From 2007 to 2016, confiscated shipments have included whale teeth and meat, seal oil pills, shark fins, and seal fur products like mittens and boots, according to NOAA\u2019s seizure data. Seizure data from FWS and NOAA provide a helpful illustration of wildlife that has been confiscated at U.S. ports but may not be fully reflective of the illegal wildlife trade and consumption.", "Seizure data show the types of wildlife confiscated at ports of entry in a country, but there are limits to what these data can tell us about the demand for products like illegally traded wildlife. Various factors influence the number of seizures at any given time or in any location such as the level of illicit trade and the level and efficacy of enforcement efforts. For example, as part of their enforcement, both NOAA and FWS conduct inspections of shipments at U.S. ports. In some cases, they conduct targeted inspections that may be based on information they have about a particular species or market, which may influence detection and seizures of illegal products. NOAA and FWS officials indicated that they can increase their enforcement efforts by targeting investigations on specific species or products. This additional effort may result in the seizure of more shipments than would be made using routine inspection processes.", "In 2016, the NGO WildAid published a baseline survey conducted by KRC Research to inform a public awareness campaign effort with FWS. The survey reported that roughly 1 in 10 respondents in the United States indicated that they had purchased or knew someone who had purchased live animals such as iguanas, parrots, parakeets, or tortoises. A smaller proportion of those that responded (roughly 1 in 20) reported that they had purchased or knew someone who had purchased ivory. Reporting by the International Fund for Animal Welfare in 2013 also identifies the United States as a key end market for reptiles such as crocodiles, pythons, and caimans and for wildlife products such as ivory.", "Based on reporting and discussions with U.S. government officials, there may be varying reasons for the demand for wildlife and wildlife products. Potential drivers of demand in the United States\u2014in particular demand for illegal wildlife from Latin America\u2014 may include a desire for rare and exotic plants and animals, according to reporting by Defenders of Wildlife. FWS officials in Miami told us that some of the wildlife products they confiscate\u2014such as products from cruise passengers\u2014 were purchased by travelers who were unaware of the restrictions on the wildlife product. FWS and U.S. Customs and Border Protection (CBP) officials told us that consumers use wildlife for many different purposes, including as pets, trophies, jewelry, food, religious items, and for medicinal purposes. For example, FWS officials in Miami told us that coral is often smuggled as part of the pet trade for use in aquariums. At the Port of Miami, an FWS official told us that FWS has also seized queen conch meat, which is exported from the Caribbean as a delicacy, according to FWS. During investigations, FWS has found wildlife intended to be used as art or trophies. During the course of their investigations, FWS officials in Miami have found a rhino bust being sold for $80,000 and a giraffe bust being sold for $100,000. FWS has also seized scarlet macaw feathers being used in jewelry, elephant ivory carved as decorative pieces, and taxidermy big cats seized as hunting trophies."], "subsections": []}, {"section_title": "Illegal Wildlife Demand and Trade Are Diverse in China and Countries in Southeast Asia", "paragraphs": ["Demand for illegally traded wildlife in China and countries in Southeast Asia includes many wildlife species and end uses, according to reports and government and NGO officials in the region. For example, iconic wildlife such as elephants and rhinos are often cited in reports and by officials in the field as examples of wildlife consumption in China and Southeast Asia, but other wildlife, such as pangolins, bears, sharks, and sea turtles are also named among the wildlife being consumed.", "China is a consumption country for illegal wildlife, while Hong Kong, Thailand, and Vietnam are consumption and transit locations, according to officials we spoke with from the U.S. government, foreign governments, international organizations, and NGOs in these locations. Thailand often serves as a transshipment point for illegal wildlife due to its land borders with China, Laos, and Cambodia, according to government of Thailand officials. Government officials in Vietnam stated a similar claim, explaining that the country is often a transshipment point due to its land borders with China and Laos. Table 3 displays examples of wildlife consumed and trafficked in China, Hong Kong, Thailand, and Vietnam, according to U.S. government, foreign government, and NGO officials in-location and at DOI Headquarters.", "The International Fund for Animal Welfare has reported that China is the world\u2019s largest consumer of illegal wildlife products due to its demand for ivory, rhino horn, pangolin scales, bear bile, tiger bone, and shark fin soup. According to analysis by the United Nations Office on Drugs and Crime (UNODC) of seizure data from the World Wildlife Seizure database, China was the destination for about 40 percent of the ivory shipments that had reported destinations from 2006 to 2015.", "Reports also identify Thailand as a part of the illegal ivory trade. INTERPOL\u2019s 2015 investigation, Operation Worthy II, resulted in seizures of several tons of elephant ivory in Thailand and Singapore. TRAFFIC, the wildlife trade monitoring network, visited retail outlets in Bangkok, Thailand, during certain periods in 2013 and 2014 and, through covert surveys of vendors, found bangles, rings, toothpicks, hairpins, chopsticks, sculptures, and other products made of ivory for sale. TRAFFIC reports that for seven consecutive months, from November 2013 to May 2014, their surveys found more than 10,000 ivory items openly on display for sale in Bangkok.", "An NGO official we spoke with in China told us that part of the NGO\u2019s efforts includes targeting Chinese tourists traveling to Africa and Southeast Asia to prevent purchasing of ivory as well as rhino horn. UNODC has reported that more than two-thirds of rhino horns seized from 2006 to 2015 were destined for China or Vietnam.", "Government officials in Hong Kong told us that they have also seized a variety of wildlife products such as pangolin scales and turtles. Examples of wildlife products seized by the government of Hong Kong are shown in figure 4 and in appendix II. Hong Kong\u2019s government has also seized elephant ivory, though as of March 2017, certain registered ivory can be legally traded in Hong Kong under a license.", "The Organisation for Economic Co-operation and Development reports that high economic growth may fuel consumer demand for status goods such as art from elephant ivory and traditional medicine using rhino horn. According to NGO officials we met with in Vietnam and China, consumers purchase illegal wildlife products as a status symbol or to demonstrate wealth. Wildlife is considered to be expensive and exotic in these countries, and there is conspicuous consumption in some areas, according to State officials in Vietnam and an FWS attach\u00e9. UNODC reports that a survey of 18 restaurants\u2014 identified as high end by UNODC\u2014 in Vietnam found that all of these restaurants sold pangolin meat. UNEP and INTERPOL describe a similar phenomenon of a culture of conspicuous consumption for wildlife products that indicate wealth. These organizations report that buyers place higher value on illegal wildlife products when they are considered rare and uncommon and thus drive up prices for illegal wildlife. Higher prices and the perception of luxury associated with products such as tiger pelts and shark fin soup may attract consumers who want to display their wealth, according to Global Financial Integrity.", "Another end use of illegally traded wildlife is in traditional medicine in China and Vietnam, according to State and NGO officials in these countries. They stated that there are beliefs that certain wildlife provide health benefits; for example, pangolin scales are believed to help lactating mothers produce milk. State and NGO officials noted that traditional Chinese medicine has a long history of using various wildlife products. For example, American ginseng root is often consumed as a medicinal ingredient in China, according to FWS. While export of American ginseng is permitted, there are restrictions based on factors such as the age of the root. FWS has seized American ginseng root being exported from the United States to China, and the Hong Kong government has seized American ginseng being smuggled into Hong Kong. For additional examples of how wildlife is consumed, see the side bar for results from surveys conducted by USAID\u2019s Asia\u2019s Regional Response to Endangered Species Trafficking (ARREST) program."], "subsections": []}]}, {"section_title": "Agencies Are Implementing Demand Reduction Efforts, but Opportunities Exist to Improve Collaboration in Southeast Asia FWS Raises Awareness and Enforces Laws in the United States and Builds Capacity Abroad", "paragraphs": [], "subsections": [{"section_title": "State Contributes to CWT- Related Diplomacy, Training, and Outreach", "paragraphs": ["State has led diplomacy efforts and implemented training and outreach programs in Southeast Asia and China.", "Diplomacy: State\u2019s diplomatic CWT efforts have included coordinating discussions between the U.S. and Chinese presidents in 2015 that, according to State, contributed to China and the United States jointly committing to further restrict ivory exports and imports. In June 2016, State and China\u2019s State Forestry Administration also led the breakout session on wildlife trafficking during the eighth round of the U.S.-China Strategic and Economic Dialogue in Beijing. In December 2016, China announced that it would implement a domestic ivory ban, and in March 2017, China announced the closure of approximately one-third of the country\u2019s licensed ivory stores and carvers.", "Training programs: State\u2019s INL works to build law enforcement capacity abroad by supporting various trainings and workshops. For example, in 2015, Thailand INL funded training in wildlife trafficking and environmental crimes for 179 participants. In 2016, ILEA Bangkok sponsored two FWS-led CWT training courses and one environmental crimes course led by officials of the U.S. Environmental Protection Agency. During our field visit to Bangkok, we observed an ILEA course on combating wildlife trafficking for law enforcement officers, which is shown in figure 7. Through the United Nations Office on Drugs and Crime, INL funds Border Liaison Offices in Burma, Cambodia, Laos, Thailand, and Vietnam, intended to enhance interdiction and investigation capacity at land borders to prevent illicit trafficking. At these offices, INL has supported training for officials on wildlife trafficking detection and investigations.", "Outreach efforts: State has supported and implemented activities to raise awareness about wildlife trafficking in Southeast Asia and China.", "For example, State collaborated with USAID and the government of Vietnam to implement Operation Game Change, a 2015 awareness- raising effort designed to inform the Vietnamese public about wildlife trafficking issues such as the trade in rhino horn. In 2016, for World Wildlife Day, State\u2019s Acting Assistant Secretary of State for Oceans and International Environmental and Scientific Affairs published an opinion editorial for the South China Post in Hong Kong to raise awareness about the illegal trade in elephant ivory."], "subsections": []}, {"section_title": "Four Major Initiatives Frame USAID CWT Efforts in Asia", "paragraphs": ["USAID conducts a range of CWT activities that are part of biodiversity, conservation, or other initiatives, but it has four major initiatives explicitly dedicated to CWT in Asia.", "Asia\u2019s Regional Response to Endangered Species Trafficking: ARREST was a multiyear program completed in 2016. The program was designed to curb wildlife trafficking by reducing consumer demand, strengthening law enforcement capacity, and boosting regional learning networks. As part of ARREST\u2019s demand reduction objective, the program implemented various awareness-raising efforts such as the iThink campaign, which developed and displayed public service announcements in airports and subways in China, Thailand, and Vietnam and on television stations in China and Vietnam. Through the initiative dubbed \u201cWildlife Friendly Skies,\u201d the ARREST program raised awareness among airline and airport staff in transport hubs identified as hotspots for wildlife trafficking, which included Bangkok, Thailand; Guangzhou, China; Hanoi, Vietnam; Nairobi, Kenya; and Nanning, China. The ARREST program also held various courses aimed at strengthening capacity across Asia. For example, the program held 14 courses for 195 trainees who were from Cambodia, Indonesia, Lao People\u2019s Democratic Republic, Thailand, and Vietnam to train participants on completing wildlife crime investigations.", "Saving Species: This USAID project began in 2016 and is a 5-year, $9.9 million effort to combat wildlife trafficking in Vietnam. The project specifically aims to reduce consumer demand for and consumption of illegal wildlife and wildlife products, strengthen wildlife law enforcement and prosecution, and improve and harmonize the legal framework for prosecuting wildlife crimes in Vietnam. Some of the project\u2019s planned activities for the first year include market surveys focused on demand for wildlife such as elephant ivory, rhinos, pangolins, and tigers. The project plans to use the survey results to inform its awareness campaign messaging. The project also plans to conduct capacity assessments of enforcement agencies in Vietnam to inform development of targeted training curricula, modules, and materials.", "Wildlife Asia: This USAID activity, in collaboration with the Association of Southeast Asian Nations, aims to reduce the demand for wildlife products and to improve regional action to end wildlife crime in Southeast Asia and China. As of August 2016, USAID has issued one contract, with an estimated value of $22.9 million, to implement this activity.", "Protect Wildlife: This USAID project began in 2016 and is a 5-year, $24.5 million effort to reduce threats to biodiversity in the Philippines such as poaching and the illegal trade of wildlife and wildlife products as well as to sustain healthy ecosystems. USAID is working with public and private partners in the Philippines to strengthen conservation policies and improve habitat management and on-site and off-site enforcement systems.", "USAID also conducts biodiversity and conservation initiatives that have CWT-related objectives but are not dedicated solely to CWT. For example, USAID implemented the Ecosystems Improved for Sustainable Fisheries project in the Philippines, designed to conserve marine biodiversity, enhance ecosystem productivity, and improve law enforcement at fisheries to combat illegal, unreported, and unregulated fishing."], "subsections": []}, {"section_title": "Other Agencies Also Contribute to CWT", "paragraphs": ["DOJ, NOAA, and Homeland Security also support efforts to combat wildlife trafficking in the United States and Asia. DOJ prosecutes criminals and publicizes through press releases the results of criminal convictions to encourage public awareness of this issue. DOJ also has participated in capacity-building workshops in Burma, Laos, Thailand, and Vietnam and CWT events such as the 2016 Hanoi Conference on Illegal Wildlife Trade and the annual U.S.\u2013China Joint Liaison Group on law enforcement, in which DOJ, State\u2019s INL, and other agencies participate in the Anti- smuggling Working Group. According to DOJ officials, DOJ also regularly advocates the use of the United Nations Transnational Organized Crime Convention as a legal basis for international cooperation to combat wildlife trafficking.", "Domestically, NOAA inspects and seizes shipments at U.S. ports, investigates cases of wildlife trafficking, and raises awareness about wildlife crimes. NOAA has a liaison at Homeland Security\u2019s CTAC and, according to NOAA officials, the CTAC has allowed NOAA to more proactively target shipments and improve coordination with FWS and CBP through daily interaction and more information sharing. As part of their efforts to raise awareness about wildlife trafficking, NOAA also works with DOJ, FWS, and State\u2019s Bureau of Public Affairs to publicly report information on and raise awareness about law enforcement efforts such as seizures. Internationally, NOAA provides technical assistance, conducts capacity-building, and serves as a resource in international policy discussions. For example, in collaboration with USAID, an analysis unit from NOAA assisted the Philippines in developing an intelligence assessment of illegal trade and trafficking in marine species. In November 2015, NOAA Office of Law Enforcement officers participated in the Association of Southeast Asian Nations Trade and Environmental Dialogue in Malaysia, providing presentations on illegal, unreported, and unregulated (IUU) fishing and ways to combat the trade in IUU fish and fish products.", "DHS\u2019s CBP supports and coordinates with FWS and NOAA to interdict illegal wildlife shipments at U.S. ports. ICE HSI investigates wildlife crime in the United States, and in Asia it supports foreign government CWT efforts through capacity building and information sharing. For example, in Vietnam, ICE HSI regularly shares information on wildlife seizures with the host government to support investigations. In 2015, in Thailand, ICE HSI conducted a 5-day workshop on advanced wildlife trafficking investigations for officials across the government."], "subsections": []}, {"section_title": "Disagreement on Roles and Responsibilities Hindered Some CWT Activities in Southeast Asia", "paragraphs": ["Although agencies have worked together to combat wildlife trafficking, disagreement on roles and responsibilities has hindered some CWT activities in Southeast Asia, according to some officials. In prior work, we defined collaboration broadly as any joint activity that is intended to produce more public value than could be produced when the organizations act alone. We also identified practices that can enhance and sustain collaborative efforts, including establishing mutually reinforcing or joint strategies, defining and articulating a common outcome, and agreeing on roles and responsibilities.", "We found that agencies applied some collaboration mechanisms but also have an opportunity to improve on agreeing on roles and responsibilities. For example, the White House established a joint strategy, the National Strategy for Combating Wildlife Trafficking, in 2014. The strategy lays out guiding principles and strategic priorities for U.S. efforts to stem illegal trade in wildlife. In Southeast Asia, the U.S. embassy in Malaysia\u2019s Integrated Country Strategy articulates mission goals and objectives for a coordinated effort among all U.S. agencies and includes prevention of illegal wildlife trafficking as a key activity, according to officials. In addition, U.S. missions in Bangladesh, Cambodia, India, Laos, Nepal, Thailand, and Vietnam are developing CWT-specific country strategies, according to officials.", "Agencies also defined and articulated a common outcome, outlined in the National Strategy for Combating Wildlife Trafficking Implementation Plan (Implementation Plan). The Implementation Plan states that success relies on agencies working in concert to carry out the objectives, which include strengthening enforcement, reducing demand for illegally traded wildlife, and building international cooperation. Under three strategic priorities, the Implementation Plan identifies 24 objectives and ways to measure progress for each. In Southeast Asia, State and USAID officials told us that they work toward those shared outcomes. In particular, they stated that to achieve the shared outcome of reducing demand for wildlife products, they cooperated on raising public awareness. For example, State collaborated with USAID in Vietnam to implement Operation Game Change, a 2015 awareness-raising effort designed to inform the Vietnamese public about wildlife trafficking issues. In addition, to achieve the common outcome of strengthening law enforcement capacity, USAID is partnering with State, FWS, and DHS and other nongovernmental actors to implement the Reducing Opportunities for Unlawful Transport of Endangered Species program, which aims to increase enforcement capacity at ports of entry in Vietnam and other countries.", "The Implementation Plan designates various U.S. agencies to lead or participate in achieving CWT strategic priorities, so it provides high-level direction on agency roles. However, the Implementation Plan does not define specific roles and responsibilities at the working level for mission staff implementing programs and activities. Officials at some missions reported that agreement on roles, responsibilities, and priorities facilitated collaboration on CWT activities in some instances. For example, an FWS attach\u00e9 in the region told us that there has been effective collaboration between FWS, State, and ICE HSI due to agreement on roles and a shared understanding of key law enforcement terms and responsibilities. In Thailand, FWS and ICE HSI officials told us that they share information on cases, and FWS and State officials indicated that they have jointly conducted a variety of capacity-building activities across the region. State officials at ILEA in Bangkok attributed their successful regional collaboration with FWS to a mutual understanding that CWT capacity building is a responsibility that should be prioritized. State officials in Cambodia indicated that their Embassy CWT Interagency Working Group has been a forum for discussion among agencies in Cambodia to collaborate on CWT roles and activities. The working group has a designated lead agency and provides a forum to prevent or resolve potential differences in points of view among the agencies.", "However, some officials also reported instances of disagreement on roles and responsibilities that they said led to bad outcomes. For example, at the mission in Bangkok, Thailand, which coordinates CWT activities across the Southeast Asia region, agencies\u2019 disagreements on roles and responsibilities have resulted in the delivery of inappropriate training activities and interference with U.S. efforts to cooperate with a foreign government, according to some officials. Specifically, FWS, State, and ICE HSI have disagreed with USAID on the roles and responsibilities that USAID implementing partners play with regard to law enforcement activities. USAID officials stated that they entrust their implementing partners to conduct law enforcement training and believe they sufficiently involve their U.S. agency counterparts. However, FWS, State, and ICE HSI officials believe that due to their law enforcement responsibilities specifically related to strengthening host countries\u2019 antiwildlife trafficking enforcement efforts, they should be consulted and involved to a greater degree on activities directly related to such efforts.", "In Thailand, a USAID implementing partner\u2019s lack of collaboration with U.S. law enforcement entities resulted in inappropriate training activities, according to some officials. Officials from FWS, ICE HSI, and an NGO told us that a CWT course conducted by a USAID implementing partner in Thailand was inappropriate due to a focus on ambush and military tactics, which are not suitable for the park rangers that received the training. In addition, another training course conducted in Thailand was not tailored for that country\u2019s landscape, according to a U.S. official, who explained that the Thai officers receiving the training would be unable to apply its lessons locally due to differences in terrain. FWS and ICE HSI officials stated that they were not sufficiently consulted prior to the training and, although they have provided feedback to USAID about these issues, they expressed concern that USAID had not fully considered the feedback. USAID officials indicated that training on ambush or military tactics would not have been allowed, and they have no evidence it occurred. USAID officials also stated that they were unaware of training that was not properly tailored and that host countries generally praised training that was provided by its implementing partner.", "FWS and State officials in Thailand also told us that agencies\u2019 and implementing partners\u2019 efforts to share information on wildlife crime with foreign governments have been fragmented due to disagreements about roles. For example, USAID\u2019s implementing partners and FWS separately approached foreign government entities to provide information or support during a recent law enforcement seizure of wildlife products. According to State and FWS officials in Thailand, while USAID\u2019s implementing partner has a role in providing information that can support CWT activities, U.S. agencies in-country are responsible for official engagement on law enforcement matters and, therefore, should take the lead in communicating with host governments, particularly in criminal investigations.", "According to USAID officials, USAID and its implementing partners share this responsibility and have a role to play. USAID officials told us that they were aware of the difference in views and acknowledged that there may have been instances in which an implementing partner overstepped. USAID officials further explained that they have made an effort to address this particular issue by changing its implementing partner as well as changing their CWT program structure from a cooperative agreement to a contract so that USAID has more oversight and control. The new implementing partner also brought in a law enforcement expert to help ensure that training and related activities will be appropriate, according to USAID officials. In addition, the new USAID program specifies that coordination with other agencies is required, and USAID conducted a regional workshop in March 2017 to serve as a mechanism for coordination.", "However, even after this conference, officials indicated that some agencies still had not agreed on the appropriate balance for how implementing partners should collaborate with U.S. law enforcement on criminal investigations. According to State and FWS officials, differences in agency views of their roles have hindered U.S. efforts to cooperate with a foreign government and confuse foreign government officials who may not realize that an implementing partner is not a U.S. government agency and thus does not have the same authority. USAID officials indicated that they were unaware of instances where its implementing partner interfered with U.S. efforts to cooperate with a foreign government.", "Our work has shown that although collaborative mechanisms differ in complexity and scope, they all benefit from certain key features, including clarity of roles and responsibilities. For example, our work also notes that agreement on roles and responsibilities helped agencies determine who will lead a collaborative effort, clarify who will perform specific tasks, organize joint and individual efforts, and facilitate decision making. In addition, we have previously reported that key issues agencies should consider whether participating agencies have clarified the roles and responsibilities of participants in collaborative efforts and whether participating agencies have agreed to a process for making and enforcing decisions. Some U.S. missions in Southeast Asia are developing CWT- specific country strategies, which could provide a platform for the Task Force to give additional guidance on roles and responsibilities of mission staff engaged in CWT efforts in the region. Doing so would help clarify which agency will do what and facilitate maximum use of resources."], "subsections": []}]}, {"section_title": "FWS, State, and USAID Have Taken Steps to Assess CWT Activities", "paragraphs": [], "subsections": [{"section_title": "FWS, State, and USAID Monitor CWT Activities", "paragraphs": ["FWS uses a range of measures to track the progress of its partners and grantees. For example, FWS has established standard indicators for CWT, which include the following: the number of arrests of large-scale wildlife traffickers resulting from a project\u2019s investigations, operations support, or both; and the number of wildlife traffickers who have been arrested who are successfully prosecuted.", "Specifically for public relations efforts, the guidance calls for applicants to identify the desired behavior that the campaign is intended to encourage. In addition, FWS required 2017 CWT project proposals to identify all expected outputs or products of key project activities. This may include management plans, brochures, posters, training manuals, number of people trained, workshops held, hours of training provided, and equipment purchased.", "One FWS-funded program designed to counter pangolin trafficking to China by laying the foundations for reducing consumer demand provides an illustrative example of how it applied FWS monitoring guidance. Among other activities, the program proposed developing and piloting strategies to change behavior, with the goal of eliminating the market for illegally traded wildlife in key areas. The proposal identifies outputs, such as reports on consumer demand, and states that key components of developing a demand reduction strategy include identification of target audiences and the specific behaviors that the campaign aims to change. Quarterly reports as of April 2017 have described progress toward goals, outlining methodological details on how motivation and potential barriers for desired behavior will be measured. The program is scheduled to conclude in September 2017.", "The FWS Office of Law Enforcement Strategic Plan 2016 \u2013 2020 identifies a set of CWT-related metrics for CWT, such as interdictions, penalties, fines, and value of illegal activities. FWS reports this information publicly. For example, Operation Crash, an ongoing nationwide criminal investigation led by FWS that focuses on the illegal trade in rhinoceros horn and elephant ivory, has resulted in 32 individuals sentenced and approximately 34 years of total prison sentences, $2 million in fines, and $6 million in forfeitures as of February 2017.", "Regarding U.S.-based partnerships, FWS monitored the U.S. Illegal Wildlife Demand Reduction Campaign by tracking the estimated number of people who see the ads (reach) and the number of times content is displayed (impressions). From launch through the middle of the second quarter of fiscal year 2017, FWS reported the following:", "Billboards: Monthly, about 5 million travelers are estimated to pass by the airport billboards at the international airports of Atlanta, Georgia; Chicago, Illinois; Los Angeles, California; and Miami, Florida. To date, an estimated total of about 45 million travelers have passed through these airports and may have seen the messages.", "Social media: On September 7, 2016, FWS and its implementing partner, WildAid, launched the campaign with joint press conferences held at the Atlanta International Airport and at the Los Angeles International Airport. This resulted in more than 1 million impressions on Twitter, engagement of more than 236,000 friends on Facebook, and 5,000 new followers on Instagram.", "In addition, at the beginning of the campaign, WildAid completed a public survey to assess what percentage of the U.S. general public was aware of wildlife trafficking. At the conclusion of the 3-year campaign, WildAid intends to facilitate another public survey to evaluate the effectiveness of the campaign, with results expected in late 2018."], "subsections": [{"section_title": "State", "paragraphs": ["INL\u2019s Guide to Developing a Performance Measurement Plan states that program teams are to monitor project activities and results in order to identify project successes and challenges, guide resource allocations, and facilitate improved performance. According to a State official, INL requires every CWT program implementer to provide quarterly progress and financial reports and final programmatic and financial reports. Quarterly reports must provide a quantitative and qualitative analysis of work performed and include, among other things, results achieved, challenges encountered, and action taken. At the end of a program, INL extracts best practices and lessons learned for future planning, according to a State official.", "We examined monitoring documentation related to three INL CWT programs as illustrative examples, described below.", "From February to March 2016, State\u2019s ILEA in Thailand provided a Wildlife Trafficking Investigators course designed to cover a range of topics, including case management, corruption, and wildlife identification. The report covering the first quarter of calendar year 2016 for this program describes progress made toward objectives and identifies challenges and corrective action. For example, the report states that students participated in crime scene processing, surveillance, undercover operations, interviewing, raid planning, and case presentation exercises \u2013 all reflective of a specific performance measurement objective. The report also identifies challenges such as securing role players for exercises and proposes using FWS instructors and ILEA staff as a solution.", "State provided an approximately $2 million grant, running from September 2015 to September 2017, to the Wildlife Conservation Society (WCS) aimed at strengthening the capacity of government and law enforcement officials on wildlife trafficking across key countries in Latin America and Asia. The report covering the first quarter of calendar year 2017 for this program describes progress and activities related to objectives. For example, one activity is intended to strengthen legislative frameworks to combat wildlife trafficking, and the report states that in Vietnam, WCS has been providing inputs to articles of the penal code relevant to wildlife protection.", "State provided approximately $400,000 to UNODC and the University of Washington for a program running from September 2015 to September 2017 to facilitate forensic DNA analysis of ivory seizures in Africa and Asia. The most recent quarterly report for the program provides information on results associated with objectives. For example, one objective is to conduct DNA analysis on 175 African elephant reference samples, and the report indicates that over 100 samples had been analyzed from countries in Africa.", "USAID\u2019s Evaluation Policy states that performance monitoring reveals whether implementation is on track and that project managers will ensure that implementing partners collect relevant monitoring data. To monitor ARREST, USAID\u2019s implementing partner collected and self-reported data on activities and progress against main goals. For example, the implementing partner reported in 2016 that to strengthen law enforcement, ARREST trained approximately 2,300 people. To reduce consumption of endangered species, ARREST\u2019s iThink campaign at its peak reached more than 40 million people per day, according to the partner\u2019s report. In addition, a contractor analyzed ARREST\u2019s iThink demand reduction campaign results. According to its report, 62 percent of the audience in China had received the message after 6 months. In Thailand, 63 percent of the audience had received the message, while in Vietnam, 75 percent of the audience had received the message. The report also provided suggestions for future work based on lessons learned, such as segmenting the market, incorporating social norms, and increasing the emphasis on social media.", "USAID designed monitoring elements into and developed plans for its recently initiated programs in Southeast Asia. For example, USAID\u2019s request for proposal (RFP) for Saving Species Vietnam, issued in January 2016 prior to the contract award, identifies key results and illustrative indicators for the main tasks. Specifically, the RFP suggests metrics for reducing consumer demand, such as percentage of target audience that receives the intended message and percentage change in purchases of targeted illegal wildlife products. In addition, the RFP calls for quarterly reports that must include, among other things, performance indicator results against targets. USAID\u2019s RFP for Wildlife Asia also designed monitoring into the program from the start by including similar elements.", "In May 2017, USAID produced an Activity Monitoring, Evaluation and Learning Plan for Saving Species (MEL Plan), which includes a Results Framework that identifies the purpose of the program and details associated tasks and key results. According to the MEL Plan, the Results Framework was developed based on a range of inputs, including USAID\u2019s Measuring Efforts to Combating Wildlife Crime \u2013 A Toolkit for Improving Action and Accountability. The MEL Plan also provides a mix of output and outcome performance indicators with baselines and targets, to be used for communication and decision making. In addition, the MEL Plan calls for Pause and Reflect Sessions, Annual Strategic Reviews, work planning sessions, and other key learning events to reflect on progress and use that knowledge to adapt accordingly. In May 2017, USAID also produced a draft MEL Plan for Wildlife Asia, which provides performance indicators with baselines and targets. In addition, the April 2017 draft MEL Plan for the Philippines Protect Wildlife program contains similar information and, according to USAID officials, the MEL Plan used the action and accountability toolkit to inform the development of CWT metrics."], "subsections": []}]}, {"section_title": "One Evaluation of CWT Activities Has Been Conducted by USAID", "paragraphs": ["One USAID CWT program in Asia conducted a midterm evaluation, but State and FWS have not conducted any evaluations. State has not conducted any evaluations of INL CWT activities because none meet State\u2019s criteria for completing an evaluation, including funding and duration thresholds, according to a State official. FWS has not conducted any evaluations of its CWT activities in Asia but has established a new CWT-focused branch, which is developing a strategic plan, a framework, and indicators to measure progress and success for CWT efforts. In March 2016, the Task Force released an annual progress report that describes U.S. government accomplishments; however, according to an official, the Task Force does not plan to issue a progress report in 2017 due to vacancies in leadership and because agencies are working on a similar report planned for completion sometime in 2017, in response to the Eliminate, Neutralize, and Disrupt Wildlife Trafficking Act of 2016.", "USAID\u2019s Evaluation Policy states that for each project, consideration will be given during the design phase to the performance evaluation that will be undertaken. The ARREST program conducted a midterm evaluation, and we assessed it against key elements to determine the quality of the evaluation. We have previously reported that addressing or requiring certain elements provides the basis for a high-quality evaluation. For this analysis, we considered a range of criteria, including the following:", "Evaluation questions align with program goals.", "Target population and sampling method are appropriate, given the scope and nature of the evaluation questions.", "Data collection is appropriate for answering the evaluation questions.", "Data analysis is appropriate to answer the evaluation questions.", "We found that overall, the midterm evaluation was acceptable in quality, although it fell short of fully addressing all the key elements. For example, the evaluation generally met the first two elements above. However, the evaluation only partially met the element for data collection and data analysis. For example, the evaluation did not clearly specify how survey recipients had been selected and did not provide precise details about how qualitative data from in-person interviews had been analyzed. USAID did not conduct a final evaluation of ARREST because, according to officials, the timing of a late midterm evaluation was such that its findings were used in the development of the new Wildlife Asia program, and it would not have been cost-effective to conduct a final evaluation, among other reasons.", "The draft Wildlife Asia MEL Plan identifies plans to prepare for a midterm and final performance evaluation at the middle and end of the program time line, and USAID officials confirmed that they intend to conduct evaluations of the program. The Saving Species MEL Plan indicates that program officials will work in collaboration with USAID to conduct a midterm evaluation and that one objective will be to provide recommendations in order to improve effectiveness and evaluate factors that help or hinder the achievement of expected outcomes and objectives. The MEL Plan also calls for a third-party firm, identified by USAID through a competitive process, to conduct the evaluation in the third year of the program. The draft Philippines Protect Wildlife MEL Plan indicates that the program will conduct a midterm and final evaluation."], "subsections": []}, {"section_title": "FWS, State, and USAID Have Identified and Applied Some Lessons Learned", "paragraphs": ["FWS, State, and USAID guidance states that agencies should learn from monitoring and evaluation efforts so they can identify what works, what does not work, and why. For example, from monitoring the first year of implementation, FWS learned from its domestic campaign that most Americans consider themselves wildlife lovers, but most know little about wildlife trafficking, indicating the need for outreach and education efforts.", "State officials told us that they took stock of regional CWT activities in Asia to improve program planning. As a result, before launching the next set of CWT courses, INL is conducting a needs assessment to clarify skill gaps, impact potential, and alignment with other activities. In addition, INL is examining approaches to strengthen sustainability such as adding train-the-trainer courses.", "USAID and implementing partner officials told us that they learned lessons during the implementation of ARREST and applied or plan to apply them to new programs. For example, in response to ARREST\u2019s midterm evaluation recommendation to focus demand reduction efforts increasingly on behavior change communication, officials stated that they adjusted the message of their campaign advertisements to target behavior change and worked to recruit a range of key opinion leaders to maximize reach and impact. USAID intends to carry this lesson over to its new regional program, according to 2016 plans that call for the use of behavior change communication methodologies, as opposed to one-off public relations campaigns, in demand reduction activities. Officials told us that in practice this means future campaigns will focus on specific species, such as pangolins, and target Chinese and Vietnamese consumers who believe pangolin scales can help with lactation. USAID\u2019s implementing partner for Saving Species also identified possible ways to improve the impact and sustainability of CWT training. For example, instead of providing traditional, onetime classroom training, officials plan to establish mentoring and on-the-job training programs in which officials in similar roles teach one another. This facilitates learning and may help identify CWT champions, enhancing sustainability and effectiveness, according to program officials."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Wildlife trafficking, worth at least an estimated $7 billion annually, continues to push some protected and endangered animal species to the brink of extinction. Although agencies have worked together to combat wildlife trafficking, as outlined in the National Strategy for Combating Wildlife Trafficking Implementation Plan, disagreement on roles and responsibilities has hindered some CWT activities in Southeast Asia. We have previously reported that key issues agencies should consider include whether participating agencies have clarified the roles and responsibilities of participants in collaborative efforts and whether participating agencies have agreed to a process for making and enforcing decisions. Agencies have collaborated on a range of CWT activities, including building law enforcement capacity, raising awareness, and helping spur partner-nation action on CWT. While agencies have applied some practices that can enhance and sustain collaborative efforts, such as establishing joint strategies and defining a common outcome, some officials in Southeast Asia reported a level of disagreement on roles and responsibilities, resulting in the delivery of inappropriate training activities and in the hindering of U.S. efforts to cooperate with a foreign government. DOI, State, and USAID are members of the Presidential Task Force on Wildlife Trafficking that is charged with coordinating among agencies combating wildlife trafficking efforts. By ensuring that all relevant member agencies have agreed on and clearly defined roles and responsibilities, agencies will have more reasonable assurance that they can effectively marshal the contributions of all agencies to take full advantage of their expertise and resources in addressing CWT issues. Taking steps to clarify specific roles and responsibilities, for example by including them in a CWT country strategy or other document, could help improve coordination, help ensure activities are mutually reinforcing, reduce the risk of fragmented efforts, and maximize the impact of CWT activities in Southeast Asia."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["GAO is making the following three recommendations:", "The Secretary of the Interior should work with the Task Force to clarify roles and responsibilities of mission staff engaged in collaborative efforts on combating wildlife trafficking in Southeast Asia. (Recommendation 1)", "The Secretary of State should work with the Task Force to clarify roles and responsibilities of mission staff engaged in collaborative efforts on combating wildlife trafficking in Southeast Asia. (Recommendation 2)", "The Administrator of the U.S. Agency for International Development should work with the Task Force to clarify roles and responsibilities of mission staff engaged in collaborative efforts on combating wildlife trafficking in Southeast Asia. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Commerce, Homeland Security, the Interior, Justice, State, and the Treasury, and USAID. The Departments of the Interior and State and USAID agreed with our recommendations, and their comments are reproduced in appendixes III, IV, and V, respectively. The Departments of Commerce, the Interior, Justice, and State and USAID provided us with technical comments, which we incorporated as appropriate.", "In its comments, USAID indicated that it objects to the phrase \u201cbad outcomes\u201d, the word \u201cinappropriate,\u201d and the description related to an implementing partner that may have \u201coverstepped\u201d as used in our discussion of agency collaboration. We attribute that language specifically to certain agency officials, acknowledge differences in agency views, and include perspectives from USAID officials for balance.", "In its comments, DOI notes that that the content in the report that most directly substantiates the recommendations occasionally reads as disagreements involving a few specific activities among a small number of U. S. government personnel. Our findings focus on a limited set of people and activities but reflect a clear opportunity to clarify roles and responsibilities. Moreover, as we mention, the mission in Bangkok coordinates CWT activities across the Southeast Asia region, so efforts to improve collaboration potentially would have a broad effect and benefit.", "We are sending copies of this report to the appropriate congressional committees and to the Secretaries of Commerce, Homeland Security, the Interior, State, and the Treasury; the Attorney General of the United States; the Administrator of USAID. In addition, the report is available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8612, or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and of Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what is known about the demand for illegal wildlife and wildlife products in the United States and in Asia, (2) actions agencies are taking to reduce demand for illegal wildlife products in the United States and Asia, and (3) the extent to which the U.S. Fish and Wildlife Service (FWS) within the Department of the Interior (DOI), the U.S. Department of State (State), and the U.S. Agency for International Development (USAID) are assessing the effectiveness of their combating wildlife trafficking (CWT) activities.", "We limited the scope of this review to the United States and Asia\u2014 identified as major markets for the illegal wildlife demand\u2014to complement our 2016 report and to provide geographical diversity in our work. We selected these geographic areas based on our review of reports on demand for illegally traded wildlife and discussions with U.S. government agencies.", "To address our objectives, we analyzed agency documentation and met with officials from DOI, State, USAID, the Department of Justice, and the Department of Commerce\u2019s National Oceanic and Atmospheric Administration, which have designated roles in the National Strategy for Combating Wildlife Trafficking Implementation Plan to lead or participate in efforts to reduce illegal wildlife demand; the Department of Homeland Security, which has a role in enforcement and capacity-building efforts; and nongovernmental organizations (NGO) that focus on combating wildlife trafficking. We conducted fieldwork in Miami, Florida; China; Hong Kong; Thailand; and Vietnam. We selected these locations using a combination of criteria: (1) Since fiscal year 2014, the location has received at least $1 million in U.S. government funding for efforts related to CWT; (2) CWT activities are under way in the location; and (3) the location has the presence of at least two U.S. government agencies conducting CWT work. This sample is not generalizable to all the locations in which the United States has CWT-related programs.", "While in each location in Asia, we interviewed officials who played a role in CWT activities, which included officials from State, USAID, and the Departments of Homeland Security and the Interior. We also interviewed officials from host governments responsible for the management of natural resources and parks and representatives from NGOs, some of which were involved in implementing U.S. government programs related to awareness raising, law enforcement, and other CWT objectives.", "To describe what is known about the demand for illegal wildlife and wildlife products in the United States and in Asia, we reviewed reports on wildlife trafficking produced by United Nations organizations, the Organisation for Economic Co-operation and Development, and NGOs about the demand for these products in our locations of interest. We also reviewed surveys conducted for programs partially or fully funded by U.S. agencies that asked questions about purchasing behaviors for these products in the United States, China, Vietnam, and Thailand. These reports were either recommended to us by officials we interviewed or had been identified during our prior work on the supply of wildlife products. We reviewed the methodologies described in the reports and surveys and determined they were sufficiently reasonable for providing examples of wildlife and wildlife products traded and consumed and drivers for consumption in China and countries in Southeast Asia. However, it was beyond the scope of this review to determine the reliability of the underlying data. Many of these reports depend heavily on seizure data, which have limitations. The amount and location of seizures depend on law enforcement efforts, efficacy of law enforcement efforts, presence of illicit trade, and other factors, which are difficult to isolate.", "Additionally, we analyzed national seizure data from the FWS\u2019s Law Enforcement Management Information System to report on wildlife confiscated in the United States. To assess the reliability of these data, we interviewed agency officials, reviewed documentation about the data, and conducted basic logical tests. We reviewed the 42,100 seizure records that FWS provided for logical consistency and removed a few hundred records for which we found duplicative, unknown, or blank values. Overall, we determined the data are sufficiently reliable for the purposes of identifying wildlife products seized between fiscal years 2007 and 2016. Data on seizures may not be indicative of underlying trends in trade and consumption, as they are dependent upon factors such as enforcement and techniques used by those importing the goods. To gather perspectives on demand for illegally traded wildlife in China and Southeast Asia, during our field visits to China, Hong Kong, Thailand, and Vietnam, we interviewed officials from DOI, State, USAID, the Department of Homeland Security, and officials at foreign ministries, NGOs that are implementing partners for U.S. agencies or have cooperated with U.S. agencies on CWT activities, and one company. We interviewed the company for illustrative purposes.", "To examine actions agencies are taking to reduce demand for illegal wildlife products in the United States and Asia, we interviewed relevant officials and reviewed information, including agency and implementing partner documentation of CWT-related projects, programs, and grants. We also analyzed how agencies combating wildlife trafficking in Southeast Asia are applying selected practices that can enhance and sustain collaborative efforts. As we have previously reported, such practices include establishing mutually reinforcing or joint strategies, defining and articulating a common outcome, and agreeing on roles and responsibilities. In addition, we conducted fieldwork at the Port of Miami and interviewed U.S. government officials at this location to obtain insights on U.S. government activities. We selected the Port of Miami because it has been the site of large-scale CWT operations, and agency officials identified Miami as a hub for wildlife trade and an illustrative example of U.S. government CWT operations. We also conducted fieldwork in China and Vietnam, where we visited rescue centers and interviewed host government officials and NGO representatives.", "To examine the extent to which FWS, State, and USAID are assessing the effectiveness of their CWT activities, we selected programs to analyze, spoke with agency officials, and reviewed documentation from the programs selected. We included programs that had started, finished, or been ongoing from the beginning of fiscal year 2015 to the end of fiscal year 2016 and that are or were solely dedicated to CWT. Specifically for State, programs must have been identified by its Bureau of International Narcotics and Law Enforcement Affairs as a discrete activity that contributed to CWT and must have been at least 3 months into implementation. Specifically for USAID, programs must have (or have had) funding greater than $1 million. To assess agency monitoring practices, we analyzed agency guidance on monitoring and examined selected programs as illustrative examples of how agencies applied their own guidance. To assess evaluation practices, we assessed a USAID midterm evaluation against key elements to determine quality. Two social science analysts independently assessed this evaluation using the same criteria, methods, and procedures that we developed for GAO-17-316. The analysts met and reconciled any initial differences in their assessments.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Photographs Related to Combating Wildlife Trafficking in the United States and Asia", "paragraphs": ["The following photographs (see fig. 8-26) were taken by GAO staff during field visits to Miami, Florida; Beijing, China; Hong Kong; Bangkok, Thailand; and Hanoi, Vietnam. GAO observed and photographed the following: shipment inspections conducted by U.S. Fish and Wildlife Service inspectors at the Port of Miami; examples of wildlife that are traded in the United States; examples of wildlife and wildlife products that have been seized by the U.S. Fish and Wildlife Service; examples of wildlife and wildlife products that have been seized in antiwildlife trafficking awareness campaigns at the Hartsfield\u2013Jackson Atlanta International Airport; Beijing Capital International Airport; Hong Kong International Airport; Suvarnabhumi Airport, Bangkok, Thailand; Chatuchak Market in Bangkok, Thailand; and a highway in Hanoi, Vietnam; wildlife at the Beijing Rescue and Rehabilitation Center; the Endangered Primate Rescue Center, Cuc Phuong National Park, Vietnam; and the Carnivore and Pangolin Rescue Center, Cuc Phuong National Park, Vietnam; and shops that sell ivory products in Hong Kong.", "To view these photographs online, please click on this hyperlink."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Kimberly M. Gianopoulos, (202) 512-8612, or gianopoulosk@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Judith Williams (Assistant Director), Marc Castellano (Analyst-in-Charge), David Dayton, Martin De Alteriis, Neil Doherty, Mark Dowling, Michael Hoffman, and Jasmine Senior made key contributions to this report."], "subsections": []}]}], "fastfact": ["What do elephants, pangolins, and tigers have in common?", "The illegal wildlife trade\u2014estimated to be worth at least $7 billion annually\u2014is pushing these and other species to the brink of extinction. The United States and Asia are key sources of demand for a variety of wildlife.", "U.S. agencies are taking steps, such as raising awareness and training local authorities, to reduce demand and improve law enforcement, but disagreements over roles and responsibilities in Southeast Asia have hindered some efforts.", "We recommended that USAID and the Departments of State and Interior clarify roles and responsibilities of staff in the region."]} {"id": "GAO-19-82", "url": "https://www.gao.gov/products/GAO-19-82", "title": "Coast Guard Shore Infrastructure: Applying Leading Practices Could Help Better Manage Project Backlogs of at Least $2.6 Billion", "published_date": "2019-02-21T00:00:00", "released_date": "2019-02-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Coast Guard, within the Department of Homeland Security (DHS), owns or leases more than 20,000 shore facilities, such as piers, docks, boat stations, air stations, and housing units, at more than 2,700 locations. In June 2017, the Coast Guard testified to Congress that it had a $1.6 billion recapitalization backlog for its shore infrastructure, which had a replacement value of about $20 billion.", "GAO was asked to review the Coast Guard's management of its shore infrastructure. This report examines: (1) what is known about the condition and costs of managing the Coast Guard's shore infrastructure, and (2) the extent to which the Coast Guard's process for managing its shore infrastructure meets leading practices.", "To answer these questions, GAO reviewed relevant laws and Coast Guard annual reports on its shore infrastructure, analyzed Coast Guard data, and interviewed Coast Guard officials. GAO also compared Coast Guard policies and procedures, and actions taken during fiscal years 2012 through 2018 to manage its shore infrastructure, against the leading practices that GAO previously identified for managing public sector maintenance backlogs."]}, {"section_title": "What GAO Found", "paragraphs": ["About 45 percent of the Coast Guard's shore infrastructure is beyond its service life, and its current backlogs of maintenance and recapitalization projects, as of 2018, will cost at least $2.6 billion to address, according to Coast Guard information. The deferred maintenance backlog included more than 5,600 projects, with an estimated cost of $900 million. The recapitalization and new construction backlog had 125 projects, with an estimated cost of at least $1.77 billion as of 2018 (see figure). GAO's analysis of Coast Guard data found that as of November 2018 there were hundreds of recapitalization projects without cost estimates\u2014the majority of recapitalization projects. Coast Guard officials told GAO that these projects are in the preliminary stages of development.", "The Coast Guard's process for managing its shore infrastructure did not fully meet 6 of 9 leading practices that GAO previously identified. Of the nine leading practices, the Coast Guard met three, partially met three, and did not meet three. For example, the Coast Guard generally has not employed models for predicting the outcome of maintenance investments and optimizing among competing investments, as called for in leading practices. In one instance, the Coast Guard used a model to optimize maintenance for its aviation pavement and, according to Coast Guard officials, found that it could save nearly $14 million by accelerating investment in this area (e.g., paving runways) sooner rather than deferring such maintenance. Coast Guard officials told us that such modeling could be applied within and across all of its shore infrastructure asset types, but the Coast Guard did not implement the results of this model and does not require their use. Without requiring the use of such models, the Coast Guard could be missing opportunities to achieve cost savings and better manage its maintenance backlogs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, which DHS agreed to implement, including that the Coast Guard align its management of its shore infrastructure backlogs with leading practices by requiring the use of models for predicting the outcome of, and optimizing among, competing investments for maintenance projects."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States Coast Guard, within the Department of Homeland Security, is the principal federal agency charged with ensuring the security and safety of the waters subject to U.S. jurisdiction and enforcing laws which prevent death, injury, and property loss in the maritime environment. To help carry out these and other missions, the Coast Guard owns or leases more than 20,000 shore facilities, such as piers, docks, boat stations, air facilities, and housing units at more than 2,700 locations. This infrastructure is often positioned along the nation\u2019s coastlines where it can be vulnerable to damage from extreme weather. All Coast Guard missions begin and end at a shore facility, and over 80 percent of Coast Guard personnel work onshore, according to the Coast Guard. In June 2017, Coast Guard officials testified that the agency had a $1.6 billion backlog of projects for recapitalization of its shore infrastructure, as well as new construction. The replacement value of this infrastructure was about $20 billion as of 2017. Being located along the U.S. coastlines has resulted in some facilities requiring unexpected repair and recapitalization, such as those impacted by superstorm Sandy, and hurricanes Harvey, Irma, Maria, and Matthew. In July 2018, we reported that the Coast Guard had not been able to address shore infrastructure projects, primarily due to lack of funding, longstanding acquisition management challenges, and that previous Coast Guard leadership prioritized the acquisition of new operational assets to replace aging ships and aircraft, over maintaining and repairing shore infrastructure.", "According to the National Research Council (NRC), public sector buildings are assets acquired through the investment of tax dollars, and underfunded maintenance can affect public health and safety, reduce productivity, and cause long-term financial losses. In 2003, we added the management of federal real property to our high-risk list of the longstanding challenges the government faces. We have previously reported on leading practices for managing public infrastructure maintenance and repair backlogs, such as having clear maintenance and repair investment objectives, conducting condition assessments as a basis for establishing appropriate expenditure levels, aligning real property portfolios with mission needs, disposing of unneeded assets, and identifying the types of risks posed by the lack of timely investment.", "We have also reported that public assets require adequate maintenance, repair, and recapitalization\u2014which can include replacing systems at the end of their useful life\u2014to keep them in good condition.", "You asked us to review the condition of and costs associated with the Coast Guard\u2019s management of its shore infrastructure. This report examines (1) what is known about the condition and costs of managing the Coast Guard\u2019s shore infrastructure, and (2) the extent to which the Coast Guard\u2019s process for managing its shore infrastructure meets leading practices for managing public maintenance backlogs.", "To identify what is known about the condition and costs of managing the Coast Guard\u2019s shore infrastructure, we reviewed Coast Guard annual reports on its shore infrastructure. We also reviewed Coast Guard documentation and data on its shore infrastructure inventory to describe the condition and costs of managing these assets. We examined the Coast Guard\u2019s shore Acquisition, Construction, and Improvements (AC&I) backlog of projects the Coast Guard has identified as necessary to fulfill its missions (i.e., its Shore Facilities Requirements List) from fiscal years 2012 through 2018, as well as its depot-level maintenance backlog as of March 2018. We also reviewed planning and budget documents such as (a) the Coast Guard\u2019s annual Unfunded Priorities List, which identifies projects the Coast Guard would undertake if funding were available, and (b) its Congressional Budget Justifications, to examine how the Coast Guards\u2019 reported Procurement, Construction, and Improvements (PC&I) backlog has changed over time. We interviewed officials from Coast Guard headquarters as well as personnel from all six Coast Guard Civil Engineering Units (CEU) with responsibilities for categorizing the condition of infrastructure, among other things, to obtain their field-level perspectives on the condition of Coast Guard shore infrastructure.", "To evaluate the extent to which the Coast Guard\u2019s process for managing its shore infrastructure met leading practices for managing public sector maintenance backlogs, we analyzed Coast Guard plans, policies, procedures, and related laws for managing, maintaining, and repairing shore infrastructure. We identified and analyzed Coast Guard guidance on its process for prioritizing projects for maintenance and repair of its shore infrastructure, and we assessed Coast Guard practices against the leading practices for managing maintenance backlogs that we identified in our prior work. We also compared Coast Guard practices with the Office of Management and Budget\u2019s (OMB) program evaluation and capital programming guidance. We used the following scale to evaluate the Coast Guard\u2019s management of its shore infrastructure deferred maintenance and repair against the leading practices:", "Met\u2014The Coast Guard properly considered the leading practice and demonstrated with documentary evidence that it had fully applied it.", "Partially Met\u2014The Coast Guard properly considered and demonstrated with some documentary evidence that it had applied the leading practice to some extent.", "Not Met\u2014The Coast Guard did not properly consider or apply the leading practice and had no documentary evidence verifying that it had applied it.", "We interviewed officials from Coast Guard Headquarters, the Shore Infrastructure Logistics Center, the Coast Guard\u2019s two operational commands (Atlantic Area Command and Pacific Area Command), and the six CEUs to obtain their perspectives on the process for maintaining and repairing shore infrastructure, and to assess the extent to which Coast Guard actions align with leading practices for managing federal agencies\u2019 deferred maintenance and repair backlogs. For both objectives, we conducted data reliability assessments, including interviewing agency officials and reviewing documentation, to ensure that the data used in our analyses were sufficiently reliable for our purposes. While we identified limitations with some of the data, as discussed later in our report, we determined that the data are sufficiently reliable for the purposes of reporting on the Coast Guard\u2019s overall portfolio of shore infrastructure assets, and reporting on the minimum amount of money the Coast Guard identified as needed to complete deferred repair and Procurement, Construction and Improvements projects. See Appendix I for additional details on our scope and methodology.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Coast Guard\u2019s Organizational Approach to Managing Its Shore Infrastructure Portfolio", "paragraphs": ["Coast Guard shore infrastructure includes buildings and structures, which it has organized into 13 asset types, known as asset lines. Table 1 provides information on Coast Guard asset lines, including examples of assets, the number within each asset line in 2017, and the Coast Guard\u2019s estimated replacement value of each asset line in 2017\u2014the most recent value available at the time of our review.", "The Coast Guard\u2019s Office of Civil Engineering sets Coast Guard-wide civil engineering policy, which includes facility planning, design, construction, maintenance, and disposal. The Coast Guard\u2019s Shore Infrastructure Logistics Center, established in 2009, is to manage and coordinate infrastructure condition assessments via six regional Civil Engineering Units (CEUs), along with other divisions and offices. The condition of individual shore infrastructure assets is determined by CEU personnel and civil engineers in the field. According to Coast Guard officials, every Coast Guard facility, such as a base or boat station, is to be inspected by a CEU representative every 3 years. The representative is to conduct a facility condition assessment of all shore infrastructure assets\u2014buildings and structures\u2014located at that facility. According to Coast Guard CEU officials, the representative is to identify if any new maintenance-related deficiencies exist at the facility and add them to the backlog of projects, review the previous backlog, and verify that the Coast Guard\u2019s shore facilities\u2019 inventory records are correct. This process is intended to help define the current conditions of assets and identify maintenance needs.", "According to Coast Guard guidance, the Shore Infrastructure Logistics Center also establishes project priorities for the acquisition, programmed depot maintenance, major repair, and modification of Coast Guard shore facilities, and implements shore infrastructure policies. Among other things, the Shore Infrastructure Logistics Center is to (1) assure that all Coast Guard facilities meet their operational and functional requirements, (2) take corrective action before advanced deterioration requires major repairs, (3) ensure preventative maintenance is performed on a routine schedule, and (4) prevent over-maintenance and under-maintenance. In addition, this guidance states that all Coast Guard property must have a documented, standardized system of maintenance for facilities by designated personnel familiar with, and properly trained on, the maintenance system in place to support its shore infrastructure."], "subsections": []}, {"section_title": "Coast Guard\u2019s Civil Engineering Program Has a Requirements-Based Budget to Determine Funding Needs", "paragraphs": ["In 2016, the Coast Guard\u2019s civil engineering program began using requirements-based budget planning to determine shore infrastructure funding needs. According to the Coast Guard, a requirements-based budget is an estimate of the cost to operate and sustain the Coast Guard\u2019s shore infrastructure portfolio of assets over the lifecycle of the asset, from initial construction or capital investment through divestiture or demolition. Coast Guard budgeting for shore infrastructure distinguishes between procurement and acquisitions and recurring and non-recurring maintenance, among other things. Procurement and acquisitions encompasses major projects to alter, acquire, or build new infrastructure\u2014for example, modifying the bay doors on a boat garage so that larger boats can be accommodated. In contrast, there are two types of maintenance for shore infrastructure. Routine recurring maintenance, known as Organizational-Level Maintenance (OLM), includes tasks such as clearing moss and debris from a rooftop drain or applying caulk to seal a building. Non-recurring maintenance, known as Depot-Level Maintenance (DLM), consists of major maintenance tasks that are beyond the capability of an individual unit, such as replacing exterior doors and windows.", "The Coast Guard uses three accounts for its shore infrastructure. Amounts in the Procurement, Construction and Improvements (PC&I) account are used for the acquisition, procurement, construction, rebuilding, and improvement of shore facilities and are directed to specific projects. Amounts in the shore OLM account are used for routine recurring maintenance, and amounts in the DLM account are used for major maintenance and repair of Coast Guard real property. See Table 2 for additional information about these accounts."], "subsections": []}, {"section_title": "Coast Guard Utilizes Planning Boards to Prioritize Shore Infrastructure Projects", "paragraphs": ["The Coast Guard makes decisions regarding the allotment of resources for shore infrastructure through PC&I, regional DLM, and central DLM planning boards, which meet twice annually to prioritize Coast Guard shore infrastructure needs on the basis of expected appropriations and other factors, such as damage caused by natural disasters. These boards are responsible for evaluating potential shore infrastructure projects that have been identified by managers who are responsible for evaluating, ranking, and recommending projects to the boards within their specified product line. For example, aviation asset line managers are responsible for aviation-related shore infrastructure projects, such as runways, landing areas, and hangars. Table 3 provides specific information on these planning board responsibilities and members.", "Figure 1 shows how the planning boards are to prioritize shore infrastructure projects. Additional details about the planning boards\u2019 processes, including the extent to which they are documented and align with leading practices, are described later in this report."], "subsections": []}, {"section_title": "Coast Guard Is Required to Report Unfunded Shore Infrastructure Priorities", "paragraphs": ["The Coast Guard is statutorily required to provide a list of each unfunded priority, including unfunded shore infrastructure priorities, to certain committees of Congress to support the President\u2019s budget, and its 5- year Capital Investment Plan (CIP). The term \u2018unfunded priority\u2019 means a program or mission requirement that (1) has not been selected for funding in the applicable proposed budget, (2) is necessary to fulfill a requirement associated with an operational need, and (3) the Commandant would have recommended for inclusion in the applicable proposed budget had additional resources been available, or had the requirement emerged before the budget was submitted."], "subsections": []}]}, {"section_title": "Almost Half of the Coast Guard\u2019s Shore Infrastructure is Beyond Its Service Life, and Project Backlogs Will Cost at Least $2.6 Billion to Address", "paragraphs": [], "subsections": [{"section_title": "Coast Guard Reported that 45 Percent of Its Shore Infrastructure Is Beyond Its Service Life", "paragraphs": ["As of 2017, the Coast Guard\u2019s annual report on shore infrastructure stated that 45 percent of Coast Guard assets have exceeded their service lives. The Coast Guard also reported that its overall shore inventory has a 65-year service life. For example, the Coast Guard\u2019s 2017 shore infrastructure report identified at least 65 percent of aviation pavements, 60 percent of aviation fuel facilities, and at least 53 percent of piers\u2014all of which the Coast Guard has identified as mission-critical assets\u2014as being past their service lives. Coast Guard officials told us that the agency had changed their service life standard from 50 years to service lives linked to each asset\u2019s assigned category code, based on Department of Defense (DOD) standards, before they reported service life calculations in their 2017 annual report on shore infrastructure. As a result of this change, some shore infrastructure that has been in service 50 to 65 years, which would previously have been identified as past its service life, will be characterized by the Coast Guard as within its service life\u2014a better condition than the Coast Guard would have reported under its 50-year standard.", "Additionally, in 2017, the Coast Guard rated its overall shore infrastructure condition as a C- based on criteria it derived from standards developed by the American Society of Civil Engineers. Some asset lines, such as aviation, whose assets are generally mission-critical, are rated lower. For example, the Coast Guard rated its industrial asset line as a D, in part because 8 of the 9 assets which comprise the Coast Guard Yard\u2014the only Coast Guard facility that can perform drydock maintenance on large Coast Guard ships\u2014are more than 5 years beyond their service life. Table 4 shows additional detail about Coast Guard asset lines, including the rate at which the Coast Guard reported these assets were functioning past their service life, and the condition grades assigned by the Coast Guard for fiscal year 2017.", "According to Coast Guard officials, the demand placed on the Coast Guard\u2019s shore infrastructure in recent years has increased because of the new ships and aircraft the Coast Guard has acquired. For example, a senior Coast Guard official told us that the agency has recently needed to upgrade some of its hangars with liquid oxygen storage facilities in order to support the Coast Guard\u2019s new HC-27A aircraft. Another official told us that because the Coast Guard\u2019s National Security Cutters\u2014which the Coast Guard began operating in 2010\u2014are 40 feet longer than the High Endurance Cutters they are replacing, the Coast Guard has had to either build new piers or lengthen existing ones."], "subsections": []}, {"section_title": "Coast Guard\u2019s Data Indicate that Project Backlogs of Shore Infrastructure Will Cost At Least $2.6 Billion to Address, as of 2018", "paragraphs": ["Coast Guard data show that it will cost at least $2.6 billion to address its two project backlogs\u2014(1) recapitalization and new construction, and (2) deferred maintenance. Given the level at which the Coast Guard has been requesting such funding, it will take many years for the agency to address the backlogs. For example, the Coast Guard estimated that based on its fiscal year 2017 appropriation it would take 395 years to address its current $1.77 billion PC&I recapitalization and new construction backlog, assuming that funding would continue at this level. This time frame estimate does not include the Coast Guard\u2019s deferred DLM maintenance backlog, which the Coast Guard estimated to be nearly $900 million in fiscal year 2018. Table 5 provides information on the Coast Guard\u2019s two shore infrastructure backlogs as of August 2018.", "However, the number of projects in the Coast Guard\u2019s backlogs and the associated cost for addressing them is incomplete. In July 2018, Coast Guard officials told us that the majority of the projects on the PC&I backlog do not yet have associated cost estimates, and thus have not been factored into the backlog cost estimates they have previously reported to Congress. In November 2018, the Coast Guard told us there were 205 projects on the PC&I backlog without cost estimates. Officials explained that they have not prepared cost estimates for these projects because they are in the preliminary stage of development and cost estimates would not be accurate. Figure 2 shows the number of projects with cost estimates and the estimated value of its PC&I backlog for fiscal years 2012 through 2018. See appendix II for additional details.", "In addition to the estimated $2.6 billion backlogs of PC&I recapitalization and new construction and DLM deferred maintenance projects, the Coast Guard carries out routine and recurring maintenance and repairs (maintenance) through OLM funding. However, Coast Guard officials stated that funding for maintenance projects cannot be disaggregated from overall OLM funding. The Coast Guard\u2019s 2017 shore infrastructure annual report states that industry studies establish that the most effective maintenance organizations spend about 17 percent of their staff labor effort on corrective maintenance (i.e., repairs) and 83 percent on preventative maintenance (e.g., activities such as changing buildings systems\u2019 filters and oil, resealing pavement surfaces, or repainting buildings). However, Coast Guard\u2019s analysis of OLM records indicated that 66 percent of their facilities\u2019 staff labor effort was used for corrective maintenance. This imbalance indicates that fewer funds are available for preventative maintenance than industry studies suggest, which could increase costs and affect service lives if preventative maintenance cannot be performed to the extent necessary. The annual report further stated that the significant investment needed for corrective maintenance reflects the state of the Coast Guard\u2019s aging infrastructure and the strain it places on maintenance personnel. Moreover, Coast Guard officials testified to Congress in June 2017 that aging infrastructure adversely affects operational efficiency. Further, in July 2018 Congressional testimony by the Coast Guard Deputy Commandant for Mission Support stated that the agency needs to rebuild shore infrastructure readiness with sound investments in operations and maintenance, but budget realities result in deferred maintenance, fewer spare parts, and infrastructure reliability and security concerns."], "subsections": []}]}, {"section_title": "The Coast Guard\u2019s Process for Managing Its Shore Infrastructure Does Not Fully Meet 6 of 9 Leading Practices, Resulting in Management Challenges", "paragraphs": ["The Coast Guard\u2019s process to manage its shore infrastructure recapitalization and deferred maintenance backlogs does not fully meet 6 of 9 leading practices we have previously identified for managing public sector maintenance backlogs. Specifically, of the nine leading practices, the Coast Guard met three, partially met three, and did not meet three, as shown in Table 6. We, as well as others, have identified that deferring maintenance and repair backlogs can lead to higher costs in the long term and pose risks to safety and agencies\u2019 missions."], "subsections": [{"section_title": "Coast Guard Met 3 of 9 Leading Practices for Managing Public Maintenance Backlogs", "paragraphs": ["The Coast Guard met 3 of 9 leading practices for managing public maintenance backlogs by identifying the types of risks posed by not making timely investments in its shore facilities; identifying the types of assets, such as buildings, that are mission-critical; and by establishing guidance that identifies the primary methods to be used for delivering maintenance and repair activities, among other things. We have previously found that these three practices are an important step toward increased transparency and more effective management of maintenance backlogs."], "subsections": [{"section_title": "Identify the Types of Risks Posed By Lack of Timely Investment", "paragraphs": ["According to leading practices, agencies should identify the types of risks posed by not investing in deteriorating facilities, systems, and components because this is important for providing more transparency in the decision-making process, and for communicating with staff at all organizational levels. The Coast Guard has a process to identify, document and report risks in its annual shore infrastructure reports for fiscal years 2015 through 2017. These reports identified the types of risks the Coast Guard faces in not investing in its facilities, including financial risk, capability risk, and operational readiness risk, but did not specifically measure these risks. The Coast Guard met this leading practice because the leading practice requires agencies to identify risk in general terms\u2014for example, in terms of increased lifecycle costs, or risk to operations. The leading practice does not require the agency to quantify or measure this risk by, for example, calculating the probability that a building or structure will fail and impair the Coast Guard\u2019s operations."], "subsections": []}, {"section_title": "Identify Types of Facilities or Specific Buildings that Are Mission-Critical and Mission- Supportive", "paragraphs": ["Leading practices state that agencies should identify buildings as mission-critical and mission-supportive to help establish where maintenance and repair investments should be targeted, to ensure that funds are being used effectively. Since at least 2012, the Coast Guard has documented its process to classify all of its real property under a tier system and established minimum investment targets by tier as part of its central DLM planning boards. These tiers\u2014mission-critical versus mission-supportive\u2014were incorporated into the guidance that Coast Guard decision-makers are to follow in their deliberations about project funding and to help them determine how to target funding more effectively. For example, the Coast Guard\u2019s PC&I planning board guidance for fiscal years 2019 through 2023 prioritized expenditures on shore infrastructure-supporting front line operations such as piers or runways over shore infrastructure providing indirect support to front line operations such as administrative buildings."], "subsections": []}, {"section_title": "Identify the Primary Methods to Be Used for Delivering Maintenance and Repair Activities", "paragraphs": ["Identification of the primary methods of delivery for maintenance and repair activities is intended to help agencies determine the level of resources that should be allocated to each type of maintenance activity and to repair projects, according to leading practices. The Coast Guard\u2019s Civil Engineering Manual and other guidance documents detail how the maintenance and repair program is structured and how budget accounts are to be utilized. For example, the manual defined how projects should be classified and funded\u2014e.g., DLM or OLM\u2014which has helped to determine the Coast Guard units responsible for carrying out these maintenance or repair activities."], "subsections": []}]}, {"section_title": "Coast Guard Partially Met 3 of 9 Leading Practices for Managing Maintenance Backlogs", "paragraphs": ["The Coast Guard partially met 3 of 9 leading practices for managing public sector maintenance backlogs, including conducting condition assessments, establishing performance goals and measures, and aligning property portfolios with mission needs and disposing of unnecessary assets."], "subsections": [{"section_title": "Conduct Condition Assessments as a Basis for Establishing Appropriate Levels of Funding Required to Reduce, If Not Eliminate, Any Deferred Maintenance and Repair Backlog", "paragraphs": ["Conducting periodic condition assessments are an effective approach for facility management as identifying condition deficiencies can inform budgeting decisions, according to leading practices. Under the Coast Guard\u2019s process, facility condition assessments are to be used to evaluate the condition of infrastructure and identify deficiencies. These assessments are to lead to the creation of the maintenance and recapitalization projects that then compose the Coast Guard\u2019s deferred maintenance backlogs. However, the Coast Guard partially met this leading practice because it has not issued specific guidance on how these assessments are to be conducted, nor do the six CEUs follow a standardized or consistent process for conducting their assessments, according to Coast Guard field and headquarters officials. Further, Coast Guard officials at 5 of the 6 CEUs told us that some or all of the officials who conduct facility condition assessments serve on a rotational basis. As a result, the level of familiarity inspectors have with the facilities they inspect may vary, which could lead to differences in the assessments they produce. Moreover, while inspectors at 3 of the 6 CEUs are to use checklists when conducting their inspections, all of these checklists are different, and the other three CEUs do not currently use checklists. We found that these differences have contributed to inconsistencies in the information collected. For example, assessment results we analyzed used different scales for prioritizing maintenance projects, such as letter grades or red/amber/green scales. One assessment we reviewed listed both DLM and OLM projects, and provided the unit commander with detailed instructions accompanied by pictures explaining how to address these issues, whereas other assessments only identified DLM projects or \u201citems of concern.\u201d One senior official acknowledged that the Coast Guard did not have standardized assessments, and that developing them had not been the highest priority among numerous guidance documents the Coast Guard is trying to complete. Without standardized assessments, the Coast Guard\u2019s ability to systematically compare projects for prioritization is limited, and this could directly impact its ability to establish appropriate levels of funding for addressing the backlog, as identified in this leading practice.", "Coast Guard officials told us they intend to issue guidance to standardize facility condition assessments, but they could not provide a date for completing the guidance that would be issued. Moreover, according to the Coast Guard, it began to modernize its shore infrastructure civil engineering management in 2006, and it has been working to develop its current asset management model, including updating guidance, since 2013. By executing plans for a standardized facility condition assessment process and developing a plan with milestones and timeframes for standardizing the process, the Coast Guard will be better positioned with more consistent data to prioritize and plan its shore infrastructure projects."], "subsections": []}, {"section_title": "Establish Performance Goals, Baselines for Performance Outcomes, and Performance Measures", "paragraphs": ["According to leading practices, establishing performance goals, baselines for performance outcomes, and performance measures allows agencies to track the effectiveness of maintenance and repair investments, provide feedback on progress, and indicate where investment objectives, outcomes, or procedures require adjustment. According to Coast Guard guidance, the Chief of the Office of Civil Engineering and the Shore Infrastructure Logistics Center are to identify and promulgate performance metrics annually. The Coast Guard partially met this leading practice by documenting and tracking facility condition information using a letter grade system and reporting this in its annual reports from 2015 through 2017. However, the Coast Guard has not set performance goals for improving an asset\u2019s grade, or established baselines to indicate where investments require adjustment, because it continues to revise the formula it uses to calculate the letter grades. Consequently, the letter grades from fiscal years 2015 through 2017 are not comparable year to year to measure performance.", "Definitions of Performance Management Common Terms Performance goal - a target level of performance expressed as a tangible, measurable objective against which actual achievement can be compared, including a goal expressed as a quantitative standard, value, or rate. A performance goal is comprised of a measure, a time frame, and a target. Performance measure - a tabulation, calculation, recording of activity or effort, or assessment of results compared to intended purpose, that can be expressed quantitatively or in another way that indicates a level or degree of performance. Performance target - quantifiable or otherwise measurable characteristic typically expressed as a number that tells how well or at what level an agency or one of its components aspires to perform. Baselines for Performance Outcomes- a quantifiable point at which an effort began and from which a change in outcomes can be measured and documented.", "In 2017, the Coast Guard reported a new performance measure for its maintenance efforts, called Average Condition Index, which reflects the average condition of the assets weighted by their replacement value. The Coast Guard set targets for this measure, but it did not establish what actions it would take to meet these targets. Limitations with the Coast Guard\u2019s performance measures for its shore infrastructure are not a new issue, as they were also identified in 2015 by an external study commissioned by the Coast Guard. Specifically, the study reported that the Coast Guard\u2019s condition index, which was more than 15 years old at the time, was not defensible because it lacked trend data and analysis capabilities. This study recommended that the Coast Guard develop key performance measures, among other things, for managing its shore infrastructure.", "Coast Guard officials told us that it has collected data and drafted some performance measures, but they have not yet implemented the recommendations from the 2015 study or set a time frame for doing so because they had not identified it as a priority. Establishing goals, measures, and baselines would better position the Coast Guard to assess their effectiveness and take appropriate actions to improve the condition of its shore infrastructure."], "subsections": []}, {"section_title": "Align Real Property Portfolios with Mission Needs and Dispose of Unneeded Assets", "paragraphs": ["Leading practices state that agencies should efficiently employ available resources, limit construction of new facilities, adapt existing buildings to new uses, and transfer ownership of unneeded buildings to other public or private organizations to align real property with mission needs. In addition, facilities that are functionally obsolete, not needed to support an agency\u2019s mission, not historically significant, or not suitable for transfer or adaptive reuse should be demolished whenever it is cost effective to do so, under this leading practice. We have previously reported that the eventual need to address deferred maintenance and repair could significantly affect an agency\u2019s future budget resources. The Coast Guard has made limited progress and partially met this leading practice by disposing of some unneeded assets, but it has not consistently or extensively aligned its property and mission needs. For example, in 2017, the Coast Guard\u2019s Civil Engineering Units and facility engineers reviewed all projects on its $1.77 billion PC&I project backlog and removed 132 projects from it because, according to officials, they were either no longer valid as a result of mission changes, a non-PC&I alternative/solution was found to be more beneficial, or the need was met through another project. This validation effort was a positive step toward aligning property and mission needs, but it raises questions about whether and to what extent the PC&I backlog is routinely and consistently managed to ensure that projects reflect mission needs.", "The Coast Guard made some progress aligning property and mission needs through the sale of some assets. For example, in 2017, it sold 189 of its 2,961 housing assets through use of an initiative to divest itself of some housing assets\u2014an effort which garnered $26.8 million in total sales proceeds over the life of the program. However, the Coast Guard\u2019s ability to dispose of unneeded assets has been limited in some instances. For example, in 2013, the Coast Guard identified 18 multimission stations with duplicative coverage that could be permanently closed, using a process based on criteria that reflected mission needs. In October 2017, we reported that closing these stations could potentially generate $290 million in cost savings over 20 years; however, as of September 2018, the Coast Guard had taken no action to close these stations or establish time frames for their closure, although Coast Guard agreed with our recommendation that they do so. Moreover, our analysis of Coast Guard planning documents found that 5 of the 18 multimission stations recommended for closure in 2013 have projects on the Coast Guard\u2019s current PC&I backlog. For example, Station Shark River, in New Jersey, was recommended for recapitalization in fiscal year 2017, despite Coast Guard recommendations to close the station in 1988, 1996, 2007, and 2013. Notably, the Coast Guard has made multiple attempts in previous years to close stations that it deemed suitable for closure but was unable to close them due to congressional intervention, and subsequent legislation prohibiting closures. Given the Coast Guard\u2019s competing acquisition, operational, and maintenance needs, and PC&I backlog that will cost at least $1.77 billion to address, difficult trade- off decisions to align real property needs by disposing of unneeded assets may help to mitigate some resource challenges."], "subsections": []}]}, {"section_title": "Coast Guard Did Not Meet 3 of 9 Leading Practices for Managing Shore Infrastructure Backlogs", "paragraphs": ["The Coast Guard did not meet 3 of 9 leading practices for managing shore infrastructure backlogs, including establishing clear maintenance and repair investment objectives, employing models for predicting the outcomes of investments and analyzing trade-offs, and structuring budgets and related information to address maintenance backlogs."], "subsections": [{"section_title": "Establish Clear Maintenance and Repair Investment Objectives and Set Priorities among Outcomes to Be Achieved", "paragraphs": ["Agencies with maintenance and repair responsibilities should determine what outcomes are most important to achieve and set priorities among them, according to leading practices. Coast Guard provided guidance for central DLM planning boards, which calls for stakeholders to identify which projects will be reviewed by the planning boards, for board members to consider project trade-offs and to make recommendations on which projects to fund, and for stakeholders to then review the results. However, Coast Guard headquarters did not provide documented guidance to the six CEUs responsible for administering regional DLM planning boards\u2014a process intended to establish clear objectives or priorities among outcomes to be achieved for approximately 70 percent of the Coast Guard\u2019s DLM funds. Coast Guard headquarters officials told us that they instead rely on each CEU to hold their respective regional planning boards in accordance with locally established practices. However, only 1 of the 6 CEUs has developed and implemented written guidance for its DLM planning board process, and it is not clear how these boards set objectives or priorities among outcomes to be achieved.", "The Coast Guard provided some documentation detailing how regional DLM planning board inputs and subsequent decisions were linked to decision-making criteria for one regional DLM planning board meeting hosted by one of its nine Districts. Table 7, among other things, shows the limited extent of documentation to substantiate Coast Guard decisions. However, the Coast Guard did not meet this leading practice because it could not demonstrate, with documentation, how decisions were linked to criteria for its PC&I planning board meetings, central DLM planning board meetings, or any other regional DLM planning board meeting. Without the full range of information on which planning board decisions were made, neither we, nor the Coast Guard, could substantiate the extent to which the Coast Guard followed its processes or evaluate whether its processes for managing shore infrastructure projects were sound.", "OMB guidance calls for agencies to use information to support decision- making, such as whether an asset is continuing to meet business needs and contribute to goals, and whether there are smarter or more cost effective ways to deliver the function. This guidance is comparable to the leading practice discussed above, which calls for agencies to establish clear maintenance and repair investment objectives and set priorities among outcomes to be achieved. Additionally, according to OMB, agencies are to have a plan for periodic, results-oriented evaluations of program effectiveness, and agencies should discuss the results of these evaluations when proposing reauthorizations. Establishing guidance for planning boards to document project prioritization decision-making, as well as the impact of trade-off decisions, would allow agency decision makers, and Congress, to better understand Coast Guard priorities and how shore infrastructure project priorities might potentially affect other priorities. The Coast Guard was unable to provide documentation showing how it prioritized projects for a number of reasons, including that they didn\u2019t have written guidance, documentation to verify the use of standardized meeting inputs such as presentations, and meeting minutes. Furthermore, officials could not explain why certain documentation was not maintained to demonstrate how the Coast Guard had made and prioritized funding decisions. Such documentation may allow the Coast Guard to show, for example, why repairing a station they previously wanted to close is a higher priority than fixing a station they appear to need to perform maintenance on certain assets (see fig. 3).", "To ensure that investment decisions are aligned with agency missions and goals, agencies should employ models to predict the future condition and performance of its facilities as a portfolio, according to leading practices. Performance-prediction models predict the deterioration of building components over time and are important because certain facility components are particularly prone to deterioration or failure, thus requiring more frequent maintenance or repairs. A 2015 review of the Coast Guard\u2019s asset management framework identified the benefit of analyzing tradeoffs between reactive and preventative maintenance and described how preventative maintenance efforts could translate into cost savings.", "Coast Guard officials provided one example of its efforts to model outcomes, but it did not meet this leading practice because it has not properly used the results of this model to optimize competing investments for that asset line or any other asset line or provided documentary evidence verifying that it properly applied it. In December 2017, a Coast Guard Aviation Pavement Study employed a model that found that the Coast Guard could more efficiently prioritize investment in aviation pavement. It also identified strategies to achieve a long-term sustainable pavement condition. A proposed fiscal year 2018 to 2020 Coast Guard aviation pavement maintenance and recapitalization plan proposed using the study results and recommended actions that it said could save the Coast Guard $13.8 million by accelerating investment in aviation pavement sooner rather than deferring such maintenance and recapitalization. According to Coast Guard officials, the analytical approach outlined in its 2017 study could be applied to all 13 of its shore infrastructure asset lines. However, the Coast Guard has not properly implemented a maintenance and recapitalization strategy based on the results of its aviation pavement plan, nor has it applied the analytical approach from this plan to other asset lines. Coast Guard officials told us they have not fully acted on the aviation pavement plan nor developed models for other asset lines. Specifically, a Coast Guard official described actions the agency is taking as piecemeal; 1 of 5 PC&I projects identified by their plan has been prioritized and funded. According to Coast Guard officials, the other pavement projects continue to be a priority for the asset line, but funding decisions have been deferred due to resource constraints and other competing priorities. As a result of not properly implementing its plan, it is unclear if the Coast Guard will achieve the cost savings it projected. By not employing similar models across its asset lines for predicting the outcome of investments, analyzing trade-offs, and optimizing decisions among competing investments, the Coast Guard is missing opportunities to potentially identify and achieve cost savings across other asset lines."], "subsections": []}, {"section_title": "Structure Budgets to Identify Funding Allotted (1) for Routine Maintenance and Repair and (2) to Address Any Backlog of Deferred Maintenance and Repair Deficiencies Because Insufficient Levels of Such Funding Can Cause Agencies\u2019 Backlogs to Increase", "paragraphs": ["According to leading practices, agencies should structure maintenance and repair budgets to differentiate between funding allotted for routine maintenance and repairs, and funding allotted to addressing maintenance and repair backlogs, to help ensure that underfunding does not affect the health and safety or reduce the productivity of employees, among other things. We found that Coast Guard budget requests did not provide Congress with accurate information about its funding needs. Specifically, we found that the Coast Guard did not meet this leading practice as its budget requests (1) have not clearly identified funding allotted for routine shore infrastructure maintenance needs, and (2) have not generally addressed deferred maintenance and repair deficiencies, resulting in increases to its backlogs. In addition, the Coast Guard has not included information in its Unfunded Priorities Lists and other related reports that clearly articulated trade-offs, or aligned with its requirements-based budget targets for shore infrastructure. Coast Guard officials were not able tell us why they have not requested maintenance and repair funding to adequately address their shore infrastructure backlog of deferred maintenance and repair deficiencies.", "First, we found that Coast Guard budget requests did not clearly identify funding allotted for routine shore infrastructure maintenance needs to address backlogs. Specifically, we found that budget requests related to shore infrastructure for fiscal years 2012 through 2019 did not provide Congress with required and complete information, as previously noted, necessary to inform decision-makers of the risks posed by untimely investments in maintenance and repair backlogs. While major maintenance and repair funding can be tracked within the Coast Guard\u2019s budget, funding for routine recurring maintenance for shore infrastructure is embedded in a budget account that is used for both maintenance and operational expenses. As a result, the Coast Guard could not disaggregate expenditures from this account or determine how much funding goes towards routine maintenance.", "Second, we found that Coast Guard budget requests did not generally identify funding to address any backlogs of deferred maintenance or recapitalization, except for one fiscal year\u20142012\u2014when the Coast Guard requested $93 million to recapitalize deteriorated/obsolete facilities and address the highest priority Shore Facilities Requirements List backlog items. The 2012 budget request also noted that the health and maintenance of its shore facilities are foundational for the safe and effective execution of Coast Guard missions. However, the Coast Guard reported on some challenges to completing maintenance projects. For example, Coast Guard officials we interviewed stated that the annual Congressional Budget cycle has contributed to infrastructure management challenges because they are prohibited from signing contracts for maintenance projects during continuing resolutions. For example, since the fiscal year 2018 budget was not passed until March 2018, they had to rush during the summer, their busiest time of year, to establish contracts and work orders to ensure projects were funded before the end of the fiscal year on September 30th.", "Third, we found that the Coast Guard\u2019s annual Unfunded Priorities Lists and other reports, including their 5-Year CIP, did not clearly describe trade-offs. In July 2018, we reported that by continuing to manage its operational asset acquisitions through its annual budget process and 5- year CIP, the Coast Guard creates constant churn as program baselines must continually realign with budget realities, instead of budgets being formulated to support program baselines. Coast Guard officials said that prioritization and trade-off decisions are made as part of the annual budget cycle, and that the shore infrastructure projects on its Unfunded Priorities List reflect the highest priorities for the department within the given top level funding. However, the annual Unfunded Priorities List does not clearly articulate prioritization decisions, including information about trade-offs among competing project alternatives, as well as the impacts on missions conducted from shore facilities in disrepair that had not been prioritized in previous years. According to Coast Guard officials, and as we previously reported, such information is not included in the 5- Year CIP or Unfunded Priorities List because it is not statutorily required. These information shortcomings are consistent with previous findings and recommendations that the DHS Office of Inspector General has made.", "Finally, we found that Coast Guard budget requests have not been aligned with its requirements-based budget targets for shore infrastructure. For example, we found that Coast Guard budget requests have not identified appropriations sufficient to meet its DLM maintenance and repair targets, which call for annual expenditures equal to two percent of plant replacement value. According to the Coast Guard, meeting its target for DLM would require allocating about $260 to $392 million annually for these repairs. Coast Guard officials told us that they have made difficult decisions to postpone necessary facility maintenance and construction projects in order to address other competing priorities related to mission execution, such as maintaining, operating, and recapitalizing its aging surface and air fleets. Between fiscal years 2012 and 2017, the Coast Guard reported that it expended an average of $208 million per year on DLM, and officials stated that the Coast Guard never met its target during this time period. Similarly, Coast Guard budget requests have not been in alignment with its PC&I targets for recapitalization. For example, Coast Guard recapitalization targets show a far greater need for funding than the allotments from the appropriations it requested between fiscal years 2012 and 2019. Specifically, Coast Guard targets for recapitalization of shore assets indicate that $290 to $392 million in PC&I funding is needed annually. However, the Coast Guard budget requests for fiscal years 2012 through 2018 have ranged between about $5 million and about $99 million annually, as shown in Table 8.", "Notwithstanding the mismatch between Coast Guard budget requests and its requirements-based budget targets, allotments for Coast Guard shore PC&I from its appropriations in fiscal years 2016 through 2018 exceeded the Coast Guard\u2019s requests. For example, in fiscal year 2016, the Coast Guard\u2019s allotment of $130 million was almost three times the nearly $47 million requested. In 2018, the almost $45 million allotted was more than four times the $10 million requested. Explanatory materials on the annual appropriations act for fiscal year 2018 indicated that the appropriated funding above requested amounts was to be used for modernization and recapitalization of facilities, and facility improvements, among other things. Without accurate and transparent information about the Coast Guard\u2019s budgetary requirements, Congress will lack critical information that could help to prioritize funding to address the Coast Guard\u2019s shore infrastructure backlogs."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The Coast Guard\u2019s inventory of shore infrastructure assets is vast, aging, and vulnerable to damage from extreme weather. Many of these assets are also critical to the Coast Guard\u2019s operational mission performance. The Coast Guard has taken some steps to manage this infrastructure by implementing 3 of 9 leading practices for managing public sector maintenance backlogs\u2014including identifying assets that are mission- critical, identifying risks posed by untimely investments, and identifying the primary methods for delivering maintenance and repair activities. However, significant work remains if the Coast Guard is going to make headway on reducing its backlog of at least $2.6 billion. Fully implementing the three leading practices that the Coast Guard now partially meets could help ensure that it benefits from establishing timeframes for and enhancing its guidance, establishing its performance metrics, baselines, and targets, and shedding unneeded assets. Additionally, fully implementing the leading practices that it does not meet\u2014including implementing new approaches for documenting its project prioritization decisions, developing models that could help identify cost savings, and providing Congress with transparent and requirements- based budget requests that clearly identify alternatives and trade-offs\u2014 could help the Coast Guard more efficiently manage existing resources and better position the Coast Guard and Congress to address the shore infrastructure challenges."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are recommending the following six actions to the Coast Guard:", "The Commandant of the Coast Guard should direct the program managers to develop a plan with milestones and time frames for standardizing Coast Guard\u2019s facility condition assessments. (Recommendation 1)", "The Commandant of the Coast Guard should direct program managers to establish shore infrastructure performance goals, measures, and baselines to track the effectiveness of maintenance and repair investments and provide feedback on progress made. (Recommendation 2)", "The Commandant of the Coast Guard should work with Congress to develop and implement a process to routinely align Coast Guard\u2019s shore infrastructure portfolio with mission needs, including by disposing of all unneeded assets. (Recommendation 3)", "The Commandant of the Coast Guard should establish guidance for planning boards to document inputs, deliberations, and project prioritization decisions for infrastructure maintenance projects. (Recommendation 4)", "The Commandant of the Coast Guard should employ models for its asset lines for predicting the outcome of investments, analyzing trade- offs, and optimizing decisions among competing investments. (Recommendation 5)", "The Commandant of the Coast Guard should include supporting details about competing project alternatives and report trade-offs in Congressional budget requests and related reports. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. In its comments, reproduced in appendix III, DHS concurred with our recommendations. DHS, through the Coast Guard, also provided technical comments, which we incorporated as appropriate.", "DHS concurred with our first recommendation that the Commandant of the Coast Guard direct program managers to develop a plan with milestones and time frames for standardizing the Coast Guard\u2019s facility condition assessments. DHS stated that the Coast Guard plans to complete a standardized facility condition assessment by December 2019. However, to fully implement the recommendation, the Coast Guard needs to ensure that it standardizes the process for conducting facility assessments\u2014action that goes beyond completing a singular standardized facility assessment.", "DHS concurred with our second recommendation that the Commandant of the Coast Guard direct program managers to establish shore infrastructure performance goals, measures, and baselines to track the effectiveness of maintenance and repair investments and provide feedback on progress made. DHS stated that the Coast Guard plans to develop initial shore infrastructure measures with associated goals and baselines during its annual strategic planning process and expects to complete this process in March 2020.", "DHS concurred with our third recommendation that the Commandant of the Coast Guard work with Congress to develop and implement a process to routinely align the Coast Guard\u2019s shore infrastructure portfolio with mission needs, including by disposing of all unneeded assets. DHS stated that the Coast Guard plans to establish, by June 2020, a process to assess current and projected operational and mission support needs to identify and recommend disposal of unneeded land, buildings, and structures. The Coast Guard reported that in the interim it will continue to communicate with Congress about unneeded assets through its required annual Conveyance of Coast Guard Real Property Report. The Coast Guard reported that in the interim it will continue to communicate with Congress about unneeded assets through its required annual Conveyance of Coast Guard Real Property Report.", "DHS concurred with our fourth recommendation that the Commandant of the Coast Guard establish guidance for planning boards to document inputs, deliberations, and project prioritization decisions for infrastructure maintenance projects. DHS stated that the Coast Guard plans to review existing guidance and issue updates as necessary and that promulgation of this guidance for its next planning boards will be completed by December 2019. To fully implement this recommendation, the Coast Guard needs to ensure that its guidance requires that inputs, deliberations, and project prioritization decisions for these boards are all fully documented.", "DHS concurred with our fifth recommendation that the Commandant of the Coast Guard employ models for its asset lines for predicting the outcome of investments, analyzing trade-offs, and optimizing decisions among competing investments. DHS stated that the Coast Guard plans to assess the use of modeling tools used by the Department of Defense as well as other alternatives to enhance its real property asset management capability. DHS stated that the Coast Guard expects to complete its initial identification of alternatives in December 2019 and complete its examination of alternatives in December 2020.", "DHS concurred with our sixth recommendation that the Commandant of the Coast Guard include supporting details about competing project alternatives and report trade-offs in Congressional budget requests and related reports. DHS stated that the Coast Guard plans to submit future budget proposals based on OMB guidance and will include additional information in its Congressionally-mandated future Unfunded Priorities Lists. To fully implement this recommendation, the Coast Guard needs to ensure it includes supporting details about competing project alternatives and report on trade-offs, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or AndersonN@gao.gov. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report are to evaluate (1) what is known about the condition and costs of managing the Coast Guard\u2019s shore infrastructure, and (2) the extent to which the Coast Guard\u2019s process for managing its shore infrastructure meets leading practices for managing public maintenance backlogs.", "To identify what is known about the condition and costs of managing the Coast Guard\u2019s shore infrastructure, we reviewed three Coast Guard annual reports on shore infrastructure, issued for 2015 through 2017. We also reviewed Coast Guard documentation and data on its shore infrastructure inventory to describe the condition and costs of managing these assets. To measure the size of the Coast Guard\u2019s total backlog, we examined the Coast Guard\u2019s shore Acquisition, Construction, & Improvements (AC&I) backlog of projects the Coast Guard has identified as necessary to fulfill its missions (i.e., its Shore Facilities Requirements List) from fiscal years 2012 through 2018, as well as its depot-level maintenance backlog as of March 2018. We also reviewed planning and budget documents to determine how the backlog has changed over time. To identify the appropriation targets the Coast Guard identified as needed to address these backlogs, we reviewed guidance and budget data for the three appropriations related to shore infrastructure, reviewed planning and budget documents such as Coast Guard\u2019s annual Unfunded Priorities List\u2014which are lists of projects the Coast Guard would undertake if funding were available\u2014and the Coast Guard\u2019s annual Congressional Budget Justifications for fiscal years 2012 through 2019, to demonstrate how the backlog has changed over time relative to budgeted funds. We also interviewed Coast Guard officials at headquarters and in the field to obtain their perspectives on the appropriation targets and budget formulation process.", "To obtain additional information about the condition of the Coast Guard\u2019s infrastructure in different parts of the country, we interviewed officials from each of the Coast Guard\u2019s six geographically-organized Civil Engineering Units (CEUs), which are responsible for implementing both District and Headquarters directives. We also interviewed officials from the Coast Guard\u2019s two geographically-defined Area Commands\u2014Pacific Area (PACAREA) and Atlantic Area (LANTAREA), who vote on the Procurement, Construction and Improvements (PC&I) and central DLM planning boards. To review the Coast Guard\u2019s longer-term planning process for its shore infrastructure, we reviewed the Coast Guard\u2019s 5-year Capital Investment Plan and interviewed agency officials.", "To assess the reliability of the Coast Guard\u2019s data discussed in this report, we interviewed knowledgeable agency officials, reviewed documentation, and electronically tested the data for obvious errors and anomalies. Specifically, we interviewed Coast Guard officials and discussed the mechanisms they use to assess the quality of their data and the extent to which Coast Guard employs quality control mechanisms, such as automated edit checks. Additionally, in August 2018, the Coast Guard informed us that its data on its shore infrastructure may not be complete if field inspectors did not identify problems at the facilities they inspected. Coast Guard officials also told us in July 2018 that not all projects on the Coast Guard\u2019s PC&I backlog have cost estimates. As a result, the amount of funding needed to address the Coast Guard\u2019s backlog of shore infrastructure projects could be understated because the Coast Guard has not identified all deficiencies that exist at its facilities nor estimated the cost to fix all of the deficiencies it knows about. Despite these limitations, we determined that the Coast Guard\u2019s data are sufficiently reliable for the purposes of reporting on the Coast Guard\u2019s overall portfolio of shore infrastructure assets and the minimum amount of money the Coast Guard identified as needed to complete deferred repair and PC&I projects.", "To identify leading practices for managing backlogs of deferred maintenance projects, we reviewed our prior work and the literature on deferred maintenance and repair as it pertains to federal real property portfolios. In our prior work, we identified nine leading practices based on studies conducted by the National Research Council (NRC) of the National Academy of Sciences between 1998 and 2012. These studies were (1) Stewardship of Federal Facilities: A Proactive Strategy for Managing the Nation\u2019s Public Assets (1998); (2) Investments in Federal Facilities: Asset Management Strategies for the 21st Century (2004); (3) Predicting Outcomes from Investments in Maintenance and Repair for Federal Facilities (2012). As we previously reported, the nine leading practices we employed were the ones we identified as being the most relevant and appropriate to federal agencies managing their deferred maintenance and repair backlogs, however these practices do not represent all actions that federal agencies can employ to improve management of their real property to include their real property maintenance and repair backlogs.", "To evaluate the extent to which the Coast Guard\u2019s process for managing its shore infrastructure met leading practices for managing public maintenance backlogs, we analyzed Coast Guard plans, policies, procedures, and related laws for managing, maintaining and repairing shore infrastructure. We identified and analyzed Coast Guard guidance on its decision-making process for determining maintenance and repair decisions, and assessed Coast Guard practices against our main criteria, the leading practice discussed above. We also compared Coast Guard practices with the Office of Management and Budget\u2019s (OMB) program evaluation and capital programming guidance.", "We used the following scale to evaluate the Coast Guard\u2019s management of its shore infrastructure deferred maintenance and repair:", "Met\u2014The Coast Guard properly considered the leading practice and demonstrated with documentary evidence that it had fully applied it.", "Partially Met\u2014The Coast Guard properly considered and demonstrated with some documentary evidence that it had applied the leading practice to some extent.", "Not Met\u2014The Coast Guard did not properly consider or apply the leading practice and had no documentary evidence verifying that it had applied it.", "To further our understanding of the Coast Guard\u2019s process for prioritizing PC&I and deferred maintenance projects and the extent to which Coast Guard actions aligned with the aforementioned leading practices, we interviewed knowledgeable Coast Guard officials with a role in making or implementing decisions related to shore infrastructure to obtain their perspectives. Specifically, we interviewed officials from Coast Guard units to (1) obtain information about local conditions and maintenance practices, and/or to (2) obtain information on the experiences these officials had pertaining to the PC&I planning board, central DLM planning board, and/or regional DLM planning board processes. We interviewed officials from all six of the Coast Guard\u2019s regional Civil Engineering Units (CEU) which are responsible for assessing the condition of Coast Guard\u2019s shore infrastructure to obtain their perspectives on this topic and to determine the extent to which data from one CEU is comparable to data from another. We also interviewed officials from the Atlantic and Pacific Areas in order to obtain a high-level regional perspective on requirements, conditions, and planning efforts. To evaluate how Coast Guard leadership assesses the condition of its infrastructure and makes trade-offs between competing projects, we also interviewed officials from Coast Guard headquarters units which oversee Coast Guard\u2019s shore infrastructure. These interviews included officials from the Office of Civil Engineering, the Shore Infrastructure Logistics Center, the Facilities Operations & Support Division, and the Office of the Assistant Commandant for Capability.", "To identify examples of (1) what is known about the condition and costs of managing the Coast Guard\u2019s shore infrastructure, and (2) obtain information about the Coast Guard\u2019s process for managing its shore infrastructure, we conducted a site visit to Coast Guard Base Alameda in Alameda, CA. The selection of Base Alameda for our site visit was based on the concentration there of regional Coast Guard leadership and Coast Guard facilities. Our findings from our Base Alameda site visit are not generalizable to other Coast Guard facilities. Additionally, because the Coast Guard personnel we interviewed were not necessarily performing the same function or role, or even stationed in Alameda, for all years covered by our review (2012-2018), our findings from these interviews are not necessarily generalizable across time. Taken as a whole, however, our site visit provided us with insights into the condition of the Coast Guard\u2019s shore infrastructure and into the processes the Coast Guard uses to maintain, repair, and replace these assets.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Characteristics of Coast Guard\u2019s Shore Infrastructure Procurement, Construction, and Improvements Backlog", "paragraphs": ["This appendix provides summary statistics for the Coast Guard\u2019s Procurement, Construction, and Improvements (PC&I) backlog as of June, for 2012 through 2018. Table 9 provides details of individual shore infrastructure projects on the PC&I backlog, table 10 provides details of aids to navigation and projects that were grouped together by the Coast Guard for planning purposes, and table 11 sums values in tables 9 and 10."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Nathan J. Anderson, (202) 512-3841 or andersonn@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact above, Dawn Hoff (Assistant Director), Andrew Curry (Analyst-in-Charge), Michael Armes, John Bauckman, Chuck Bausell, Rick Cederholm, Billy Commons, John Crawford, Michele Fejfar, Peter Haderlein, Eric Hauswirth, Landis Lindsey, Michael Pinkham, Maria Mercado, Jan Montgomery, Forrest Rule, Christine San, and Adam Vogt made key contributions to this report."], "subsections": []}]}], "fastfact": ["There is a vast, aging Coast Guard infrastructure along the shore that includes piers, docks, and other facilities. The Coast Guard estimated that its backlog of construction and improvement projects would take $1.7 billion and 395 years to address. That doesn't include the Coast Guard's maintenance backlog, which would bring the total cost to at least $2.6 billion.", "While the Coast Guard has a culture of \u201cmaking do\u201d with the resources it has, these backlogs pose financial, safety, and mission performance risks.", "We made 6 recommendations to help the Coast Guard better manage its resources to address shore infrastructure challenges."]} {"id": "GAO-18-605", "url": "https://www.gao.gov/products/GAO-18-605", "title": "Military Readiness: Air Force Plans to Replace Aging Personnel Recovery Helicopter Fleet", "published_date": "2018-08-16T00:00:00", "released_date": "2018-08-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the 1980s, the Air Force has used its HH-60G Pave Hawk helicopters to conduct life-saving missions, including for personnel recovery and medical evacuations. The aging HH-60G inventory has shrunk over the years as a result of mishaps. As the inventory was declining, the Air Force began efforts to replace its fleet with the new Combat Rescue Helicopter.", "The National Defense Authorization Act for fiscal year 2018 includes a provision for GAO to review HH-60G replacement programs. This report examines: (1) the maintenance condition and service life of the Air Force's HH-60G Pave Hawk helicopters; (2) the Air Force's schedule for fielding the new Combat Rescue Helicopter in the active and reserve components; and (3) any training challenges the Air Force has identified related to this schedule.", "GAO analyzed flight hour and availability data and contracts and fielding schedule for new and refurbished personnel recovery helicopters for the Air Force. GAO also analyzed documentation, and interviewed officials from the Air Force Headquarters, the Air Force major commands, including the Air National Guard and Air Force Reserve, and training and test and evaluation units to discuss challenges the Air Force expects to face as it fields its new helicopters."]}, {"section_title": "What GAO Found", "paragraphs": ["The material condition of the Air Forces' aging HH-60G fleet has declined and maintenance challenges have increased, in part due to extensions beyond the designed service life of the helicopters. About 68 percent of the 96-helicopter fleet were mission-capable as of fiscal year 2017, below the Air Force desired mission-capable rate of 75 percent. The fleet is experiencing maintenance challenges. For example, the helicopters undergoing depot-level maintenance spent an average of 332 days undergoing such maintenance in fiscal year 2017 compared with 233 days in fiscal year 2007, more than a 40-percent increase. Air Force officials attribute these challenges to the helicopters exceeding their initially planned service life. Currently, available helicopters across the fleet average about 7,100 flight hours about 18 percent more than their initial expected service life of 6,000 hours.", "According to Air Force officials, the schedule for fielding the new Combat Rescue Helicopters generally prioritizes the replacement of helicopters with the highest number of flight hours; as a result, the active component is scheduled to begin receiving its new helicopters in fiscal year 2020, 6 years before the reserve component. In May 2018, the Air Force's active component HH-60Gs averaged about 2,000 more flight hours per helicopter than the reserve component. Under the fielding schedule, the Air National Guard squadrons are to receive new Combat Rescue Helicopters beginning in 2027, at the end of the fielding period. According to officials, in the meantime, to address aging helicopters in the Air National Guard, the Guard is scheduled to receive refurbished Army helicopters beginning in 2019. According to Air Force officials, these helicopters will have 3,000 or fewer flight hours and will be upgraded to the Air Force's HH-60G configuration. The Air Force officials explained that these helicopters are expected to increase reliability rates, reduce the need for unscheduled maintenance, and bridge the gap until the Air National Guard receives the new Combat Rescue Helicopters.", "Due to the Air Force fielding schedule for the Combat Rescue Helicopters, the Air Force may face a challenge in supporting formal training for reserve component squadrons in fiscal year 2025 through 2028. The training squadrons at Kirtland and Nellis Air Force Bases conduct all formal HH-60G training for both the active and reserve components. By 2025, these training squadrons are scheduled to be completely transitioned to the new Combat Rescue Helicopters. Given the fielding schedule, the training squadrons will not have any legacy HH-60Gs for formal training for the reserve component. However, some squadrons in the reserve component are scheduled to continue flying HH-60Gs until 2028 and will still need formal training. Air Force reserve component officials did not concur with the new Combat Rescue Helicopter fielding schedule. However, Air Force officials said that they plan to maintain their fielding schedule because changing it would require renegotiation of the contract, likely increase costs, and possibly delay delivery of the new helicopters. Air Force officials acknowledged this potential training issue and told GAO that the Air Force was considering options to address it; including retaining some legacy HH-60Gs at a training squadron to provide training during any gap period."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations in this report. GAO requested comments from the DOD, but none were provided."]}], "report": [{"section_title": "Letter", "paragraphs": ["When U.S. pilots are shot down or U.S. servicemembers are stranded behind enemy lines, the Air Force\u2019s HH-60G Pave Hawk helicopter is a combatant commander\u2019s platform of choice to rescue them. The unique and advanced capabilities of this helicopter and its highly trained crews make it the Department of Defense\u2019s (DOD) premier personnel recovery helicopter. HH-60G units deploy frequently to support DOD personnel recovery missions and other operations around the world, and in recent years DOD has relied on these units to support medical evacuations in Iraq and Afghanistan. Although the other military services fly similar helicopters\u2014such as the Army\u2019s UH-60L\u2014the HH-60G\u2019s extensive communication suite and ability to operate at high altitudes and conduct in-flight refueling are some of the capabilities that make the HH-60G uniquely suited for recovering personnel who may be isolated in enemy territory. The HH-60G aircrew consists of two pilots and two special mission aviators\u2014personnel trained to operate both as flight engineers and as gunners for the HH-60G\u2019s two 50-caliber machine guns.", "First fielded in the 1980s, the HH-60G Pave Hawk helicopter is aging and in need of replacement. The HH-60G was initially designed to have a service life of approximately 6,000 flight hours, according to officials, and the Air Force procured 112 helicopters. As the helicopters aged and the inventory shrunk as a result of mishaps, the Air Force planned to procure a replacement helicopter\u2014the Combat Search and Rescue Replacement Vehicle. However, this replacement program was canceled in 2009. Since then the inventory has continued to shrink and currently the Air Force has 96 HH-60G Pave Hawk helicopters, 16 fewer than required. The Air Force is now planning to rebuild its inventory in two ways. First, the Air Force procured 21 Army UH-60Ls, and those helicopters are being converted into the HH-60G Pave Hawk configuration under the Air Force\u2019s Operational Loss Replacement program. Second, the Air Force is purchasing 112 new Combat Recovery Helicopters (HH-60Ws) to replace its fleet of HH-60G Pave Hawk helicopters by 2029.", "The National Defense Authorization Act for Fiscal year 2018 included a provision for us to review the Air Force\u2019s HH-60G replacement programs, which it defined as including both the Operational Loss Replacement and Combat Rescue Helicopter programs. The provision included direction to review the fielding schedule for the new Combat Rescue Helicopter. This report examines (1) the maintenance condition and the service life of the Air Force\u2019s HH-60G Pave Hawk helicopters (2) the Air Force\u2019s schedule for fielding the Combat Rescue Helicopter in the active and reserve components, and (3) any training challenges the Air Force has identified related to this schedule. Appendix I provides a brief summary of the National Commission on the Structure of the Air Force\u2019s 2014 report to the President and Congress, and the relationship of the Air Force\u2019s HH-60 replacement programs to that report.", "For objective one, we examined fiscal year 2013\u20132017 average \u201cmission capable rates,\u201d which refer to the material condition of the aircraft possessed by a squadron and their abilities to conduct their designed missions. We compared the average squadron mission capable rates to the Air Force desired mission capable rate. We also analyzed fiscal year 2013-2017 Air Force maintenance \u201ccode 3 breaks\u201d data, defined by the Air Force as an aircraft that lands and is unable to complete at least one of its primary missions. According to Air Force policy, this metric primarily indicates aircraft system reliability. To determine which \u201ccode 3 breaks\u201d were most common, we analyzed fiscal year 2013\u20132017 annual code 3 break reports across the HH-60G fleet. We also analyzed flight hour data across the HH-60G fleet. Specifically, we analyzed flight-hour data by component and major command and compared them with the initial number of flight hours that Air Force officials stated the helicopters were originally designed to fly.", "To assess the reliability of the fiscal year 2013\u20132017 mission capable rates, maintenance \u201ccode 3 break\u201d data, and flight-hour data we discussed with Air Force officials the processes used to collect the data and the internal controls used to maintain the databases where the data are maintained. We also conducted manual data testing on the flight-hour data and did not find any missing data, outliers, or obvious errors. We concluded that the data were sufficiently reliable for the purposes of determining average mission capable rates, reported flight hours by component, and the three most frequently-noted maintenance \u201ccode 3 breaks\u201d between 2013 and 2017. To corroborate our understanding of Air Force efforts to rebuild the personnel recovery helicopter inventory and maintenance, and mission capable rate data, we conducted interviews with officials from Air Force Headquarters, the Air Combat Command, the Air National Guard, the Air Force Reserve, the formal training squadrons at Kirtland and Nellis Air Force Base, and the Test and Evaluation squadron at Nellis Air Force Base.", "For objective two, we analyzed historical information from the Combat Search and Rescue Replacement Vehicle helicopter program and from the current Combat Rescue Helicopter fielding schedule. Specifically, we analyzed the Combat Rescue Helicopter fielding schedule for fiscal years 2020 through 2029 to identify which helicopter squadrons would receive the new Combat Rescue Helicopter and during which fiscal year.", "For objective three, we analyzed the Air Combat Command fielding schedule for both Operational Loss Replacement helicopters and Combat Rescue Helicopters and we spoke with the Air Combat Command, the Air National Guard, the Air Force Reserve, and the Air Education and Training Command officials to discuss the positive aspects of the Air Combat Command\u2019s schedule, any concerns the officials had with the schedule, and whether or not they had submitted any alternative schedules. Based on some concerns that were raised by reserve component officials, we reviewed and analyzed the Air Force training plan for the Combat Rescue Helicopter and discussed it with Air Force training officials. Specifically, we discussed expected differences between the HH-60G and the Combat Rescue Helicopter training, and any potential training gaps.", "We conducted this performance audit from September 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "HH-60G Pave Hawk Inventory", "paragraphs": ["According to Air Force officials, the Air Force has 82 HH-60G helicopters designated to meet its personnel recovery mission requirements. The remaining 14 HH-60Gs are designated for training and, development and testing. Figure 1 shows the Air Force\u2019s inventory of HH-60G Pave Hawk helicopters as of May 2018."], "subsections": []}, {"section_title": "Command Structure and Locations", "paragraphs": ["The Air Combat Command is the lead command for personnel recovery helicopters and as such has responsibility for all requirements associated with the helicopters, and for program funding. Formal training of helicopter aircrews takes place at Kirtland and Nellis Air Force Bases. The formal training unit at Kirtland Air Force Base is the only integrated unit with both active and reserve component forces, but the unit\u2019s helicopters are assigned to the active component. All other HH-60G Pave Hawk units consist solely of active or solely of reserve component forces. Figure 2 shows the locations and components of the HH-60G rescue squadrons. It also shows the numbers of helicopters at each location."], "subsections": []}, {"section_title": "HH-60G Helicopter Pilot Training", "paragraphs": ["It takes several years to fully train a helicopter pilot. Pilots spend about a year and half in their general introductory and specialized helicopter training. For Air Force HH-60 pilots, this initial qualification training occurs at Kirtland Air Force Base. Following that, the pilots continue their training at their assigned operational squadrons. According to weapons school officials, a few experienced HH-60 pilots are selected to attend the HH-60 weapons school at Nellis Air Force Base where the pilots assist in the development of tactics, techniques, and procedures for the HH-60 community. Figure 3 shows a typical training timeline for HH-60G pilots."], "subsections": []}]}, {"section_title": "Air Force\u2019s HH-60G Helicopters Have Experienced Declines in Condition and Increases in Maintenance Challenges, Due in Part to Extensions beyond the HH-60G\u2019s Designed Service Life", "paragraphs": ["The material condition of the Air Force\u2019s HH-60G fleet has declined and maintenance challenges have increased, in part due to extensions beyond the initially designed service life of the helicopters. In November 2017, the Air Force\u2019s HH-60Gs were about 5 percent below their desired \u201cmission capable\u201d rate of 75 percent, which refers to the material condition of a squadron\u2019s possessed aircraft and their abilities to conduct their designed missions. Mission capable rates have shown some year- to-year fluctuations, without any clear trends. However, for each of the past 5 years, the helicopters\u2019 mission capable rates have been below the Air Force\u2019s goal, and for fiscal year 2017, 68 percent of the 96 helicopter fleet were mission capable.", "As the helicopters have aged, the amount of time spent conducting maintenance on them has increased. For example, according to Air Force officials, in fiscal year 2013 the fleet averaged about 21 maintenance manhours for every HH-60G flight hour. However, by fiscal year 2017, the maintenance time spent had increased to an average of more than 25 maintenance manhours for every flight hour. According to officials, the increased time conducting maintenance is a result of an aging helicopter that requires more intensive maintenance. Further, according to officials, in 2007 the average amount of time required to conduct more extensive depot-level maintenance was 233 days, but by fiscal year 2017 it was 332 days, more than a 40 percent increase. Air Force maintenance data for fiscal years 2013-2017 show that airframes, turboshaft engines, and flight controls (see fig. 4) were the HH-60G elements that failed most often. According to Air Force officials, these structural and major component failures can require time-consuming maintenance that negatively affects availability and mission capable rates.", "According to Air Force flight-hour data, the average flight hours across the HH-60G fleet have increased by nearly 20 percent from fiscal year 2013 through May 2018. Air Force officials stated that the HH-60G was initially designed to have a service life of approximately 6,000 flight hours. However, in May 2018, the fleet-wide average was approximately 7,100 flight hours, or about 18 percent more than their initial expected service life. Table 1 shows that, as of May 2018, HH-60G training aircraft averaged about 10,500 flight hours, while the primary mission and back up aircraft averaged about 6,600 flight hours. The Air Force\u2019s two developmental and testing aircraft had an average of 5,500 flight hours. According to Air Force officials, this is because developmental and testing aircraft are flown to test specific aircraft elements and not on regular missions. As flight hours increase more maintenance is required and maintenance challenges increase, according to Air Force officials."], "subsections": []}, {"section_title": "Air Force Fielding Schedule Delivers Combat Rescue Helicopters First to High Flight-Hour Squadrons", "paragraphs": ["According to Air Force officials, the Combat Rescue Helicopter fielding schedule, which was included in the contract for the new helicopters, was designed to ensure that helicopters with the highest flying hours are generally replaced first. The officials told us that this is why the active component units, which have higher flying-hour averages, would begin receiving their new Combat Rescue Helicopters in fiscal year 2020. Based on the current Combat Rescue Helicopter fielding schedule, the Air Force Reserve is scheduled to receive its new helicopters beginning in fiscal year 2026. The Air National Guard is scheduled to receive refurbished Operational Loss Replacement helicopters in fiscal year 2019 and the new Combat Rescue Helicopters beginning in fiscal year 2027. The last Combat Rescue Helicopters are scheduled to be fielded to all three components in fiscal year 2029. Figure 5 shows the timeline for the transition to the new Combat Rescue Helicopters.", "On average, the active component helicopters had about 2,000 more flight hours per helicopter than the reserve component helicopters, in May 2018, as shown in figure 6. Specifically, the active component helicopters had on average 7,700 flight-hours, while the reserve component helicopters averaged 5,800 flight hours.", "The active component helicopters in figure 6 include the Kirtland training helicopters, which averaged about 10,600 flight hours per helicopter. According to Air Force officials, due in part to the high number of flight hours per aircraft, Kirtland is one of the first squadrons scheduled to receive the new Combat Rescue Helicopters. Specifically, Kirtland is scheduled to begin receiving its new helicopters in fiscal year 2020.", "Among the reserve component, the Air National Guard helicopters have an average of about 6,200 flight hours while the Air Force Reserve helicopters have an average of about 5,500 flight-hours per aircraft. However, the Combat Rescue Helicopter fielding schedule shows that the Air National Guard squadrons are last to receive the new Combat Rescue Helicopters. According to Air Force officials, to address the later fielding of the new Combat Rescue Helicopters to the Air National Guard, beginning in fiscal year 2019 the Air Force is replacing all of the Air National Guard\u2019s helicopters with refurbished Army helicopters. These helicopters will be upgraded to the Air Force\u2019s HH-60G configuration and will each have 3,000 or fewer flight hours. These refurbished helicopters are commonly referred to as the Operational Loss Replacement helicopters. According to Air Force officials the Operational Loss Replacement helicopters are expected to increase squadron helicopter reliability and are expected to reduce unscheduled maintenance until the Air National Guard squadrons receive their new Combat Rescue Helicopters."], "subsections": []}, {"section_title": "The Air Force Has Identified Potential Training Challenges, but Would Likely Incur Costs If It Adjusted the Fielding Schedule for Its Combat Rescue Helicopters", "paragraphs": ["Due to the Air Force fielding schedule for the Combat Rescue Helicopters, the Air Force may face a challenge in supporting formal training for its reserve component squadrons during fiscal years 2025 through 2028. The rescue squadrons at Kirtland and Nellis Air Force Bases conduct all formal HH-60G training, and by fiscal year 2025, are scheduled to transition to providing formal training for the new Combat Rescue Helicopters. Specifically, these formal training units are scheduled to completely transition to the Combat Rescue Helicopter and will have divested all of their legacy HH-60G aircraft, as shown in figure 7. However, other squadrons will continue to fly the HH-60G aircraft after fiscal year 2025. Specifically, seven rescue squadrons will fly the legacy HH-60Gs in fiscal year 2025, and some will continue flying the HH-60Gs until fiscal year 2028 and so will continue to need formal training to fly that helicopter throughout that period.", "According to the Combat Rescue Helicopter fielding schedule shown in figure 8, the reserve component squadrons will receive most of their Combat Rescue Helicopters between fiscal years 2026 through 2028. The Air National Guard squadrons will not receive their primary mission Combat Rescue Helicopters until fiscal year 2028. This is 3 years after the formal training units at Kirtland and Nellis will have stopped training students on the legacy HH-60Gs.", "The Air Force Reserve and Air National Guard did not concur with the Combat Rescue Helicopter fielding schedule. Reserve Component officials said they did not concur, in part, because the Air Force did not coordinate the fielding schedule prior to the contract\u2019s approval in 2014. However, according to Headquarters Air Force officials, the Combat Rescue Helicopter fielding schedule was coordinated with and approved by all components prior to the 2014 contract being approved. Further, Air Force officials stated they plan to maintain the fielding schedule because changing it would require the renegotiation of the contract and would likely result in increased costs and possibly a delay in delivery of the new helicopters. The Combat Rescue Helicopter contract was developed as a fixed-price contract. According to Air Force officials, as part of this fixed- price contract, specific terms such as base locations and order of delivery were predetermined.", "According to Air Force officials, while the Combat Rescue Helicopter contract does allow for some variation in the quantity of helicopters procured each year, there is no location and order variation permitted without the renegotiation of price. According to the Air Force, any changes outside the included variation of the number of aircraft to be purchased in a given year (i.e. change in the order or location of the bases) would negate the firm-fixed prices in the year where the change occurred, and in all the remaining years of the contract. Specifically, if changes are made to the order or location of the bases, potential contract line items that could increase include base level spares, readiness spares packages, support equipment, interim supply support and field support representatives for both aircraft and training systems. According to Air Force officials, fielding schedule changes could also put at risk the ability to provide timely funding for the military construction projects necessary to house new simulators at the rescue squadrons\u2019 bases. These officials stated that the current Combat Rescue Helicopter fixed-price contract is ahead of schedule and within budget, as of June 2018. Air Force officials said they expect to have new helicopters by March 2020, 3 months ahead of schedule. They also said that if changes are made to the order of deliveries under the contract, the contract would have to be renegotiated which would, in turn, likely slow the delivery of the new helicopters and increase contract costs.", "Air Force officials acknowledge that based on the current fielding schedule there is a potential training gap that will occur in fiscal years 2025 through 2028 when the formal training units will no longer have any HH-60Gs available to train the reserve component. As of June 2018, Air Force officials told us that the Air Force was considering a number of options to address future training issues, including the following:", "The Air Force would provide legacy HH-60G helicopters, for a limited time, to the Air National Guard squadron at Kirtland Air Force Base. This would allow the Air National Guard to continue providing initial and requalification training on the legacy HH-60G helicopters for several years after the active component portion of the formal training unit at Kirtland Air Force Base has divested its legacy HH-60G helicopters.", "The Air Force would require personnel that have completed training on the Combat Rescue Helicopter at Kirtland Air Force Base to then receive additional training for the legacy platform at their home stations if their squadrons are still flying the HH-60Gs."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. DOD told us that they had no comments on the draft report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense and the Secretary of the Air Force. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3489 or at pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: The National Commission on the Structure of the Air Force Report and Recommendation Implementation", "paragraphs": ["Following disagreements over the Air Force\u2019s proposals to reduce aircraft and Air National Guard end strength, the National Defense Authorization Act for Fiscal Year 2013 established the National Commission on the Structure of the Air Force. The act required the commission to conduct a study to determine whether, and how, the Air Force structure should be modified to best fulfill mission requirements in a manner consistent with available resources. In January 2014, the commission issued its final report, which included 42 recommendations. The Air Force agreed with 41 of the 42 commission\u2019s recommendations. The recommendations varied in size, scope, and duration, and they focused on a range of topics from personnel policies and systems to determining the appropriate balance between the active and reserve component. However, as we reported in 2016 many of the recommendations were interrelated and the Air Force grouped the recommendations into various lines of effort and assigned senior officials responsibility for tracking the implementation of each line of effort. The \u201cTotal Force Continuum\u201d has half (21) of the commission\u2019s 42 recommendations. Recommendation 11 is part of this line of effort and it states: As the Air Force acquires new equipment, force integration plans should adhere to the principle of proportional and concurrent fielding across the components. This means that, in advance of full integration, new equipment will arrive at Air Reserve Component units simultaneously with its arrival at Active Component units in the proportional share of each component. As the Air Force Reserve and Active Component become fully integrated, the Air Force should ensure that the Air National Guard receives new technology concurrent with the integrated units. The Air Force should no longer recapitalize by cascading equipment from the Active Component to the Reserve Components.", "In accordance with Section 1055 of the Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015, the Air Force provided the congressional defense committees with annual responses to the commission\u2019s recommendations.", "In its initial response, the Air Force stated that it was embracing the commission\u2019s intent and viewed the recommendations as a holistic approach to improving the service. With regard to recommendation 11, the Air Force stated that it agreed in principle with the recommendation and would make every attempt to concurrently and proportionally equip all components to be the most capable force within today\u2019s constrained resources.", "In its 2017 response, the Air Force cited the Combat Rescue Helicopters as one of the examples of how it is implementing recommendation 11. Specifically, the Air Force reported that its future fielding of the CRH shows the Air Force\u2019s commitment to concurrent and proportional fielding of equipment amongst its components. Headquarters, Air Force officials elaborated on this response in response to our request for clarification, stating that the Air Force was replacing all its personnel recovery helicopters\u2014for both its active and reserve component units\u2014under a single contract and that it would not cascade any of its active component helicopters to its reserve component units. As of August 2017, the Air Force stated it had completed its review of recommendation 11 and it updated its Air Force Policy Directive 10-3, Operational Utilization of the Air Reserve Component Forces in November 2017, to better reflect the intent of the recommendation."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michael Ferren, Assistant Director; Vincent Buquicchio; Mae Jones; Leigh Ann Sheffield; Mike Silver; and Nicole Volchko made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-289", "url": "https://www.gao.gov/products/GAO-18-289", "title": "DOD Financial Management: The Navy Needs to Improve Internal Control over Its Buildings", "published_date": "2018-05-10T00:00:00", "released_date": "2018-05-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This engagement was initiated in connection with the statutory requirement for GAO to audit the U.S. government's consolidated financial statements. The 2018 National Defense Authorization Act requires that the Secretary of Defense ensure that a full audit is performed on the financial statements of DOD for each fiscal year and that the results be submitted to Congress no later than March 31 of the following fiscal year. The Navy was the first military department to assert real property audit readiness related to DOD's Financial Improvement and Audit Readiness effort.", "For this report, GAO's objectives were to (1) determine the extent to which the Navy had internal control deficiencies, if any, that may impair its ability to assert that its buildings, as reported in its financial statements, exist and that the information about these buildings is complete and adequately supported by property records and (2) identify the challenges, if any, that Navy faces in valuing its buildings in accordance with federal accounting standards. GAO reviewed the Navy's policies and procedures for control activities over its buildings, performed data analyses, and tested a nongeneralizable sample of buildings. GAO also discussed with Navy officials the challenges in complying with federal accounting standards for valuing its buildings."]}, {"section_title": "What GAO Found", "paragraphs": ["Although the United States Navy (Navy) has taken actions to become audit ready for its real property, GAO identified internal control deficiencies that impaired the Navy's ability to assert that (1) buildings recorded in the internet Navy Facility Assets Data Store (iNFADS), the Navy's real property system, and reported as assets in its financial statements existed and (2) all of the Navy's buildings were recorded in iNFADS and correctly reported as assets in the Navy's financial statements. As shown in the figure below, the effects of these internal control deficiencies contributed to the Navy (1) continuing to maintain records in iNFADS for buildings that had been demolished, sometimes many years ago, and include these buildings as assets in its financial statements; (2) excluding some of the buildings it owns from being recorded in iNFADS and reported as assets in its financial statements; (3) erroneously reporting nonfunctional buildings as assets in its financial statements; and (4) excluding certain buildings from being reported as assets in its financial statements that met or exceeded the Department of Defense's (DOD) capitalization threshold.", "The Navy has various efforts under way to address challenges in valuing its buildings for financial reporting in accordance with federal accounting standards. Navy officials have acknowledged that significant delays can sometimes occur in the Navy being able to complete supporting documentation of the final costs to properly report buildings in its financial statements. Additionally, implementation of the Navy's new methodology to properly account for capital improvements will be critical for capturing accurate costs for buildings. Furthermore, the Navy has not consistently completed a physical inventory (asset evaluation) for each building every 5 years as required by DOD policy. These asset evaluations are an important control to help ensure that the information recorded for buildings in iNFADS is accurate. Finally, the Navy also faces a challenge in determining the placed in service dates for those buildings found through inventory procedures. The Navy's use of the date the building was found rather than the estimated date the building was placed in service can substantially affect the accuracy of the information in the Navy's systems and financial statements. Navy officials are aware of these challenges and have various efforts under way to address them. Effective implementation of these efforts is crucial to help address these challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to the Navy to improve internal controls for its buildings by implementing needed written procedures and control activities. The Navy concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense\u2019s (DOD) financial management has been on our High-Risk List since 1995 because of, among other things, long- standing, uncorrected deficiencies with its financial management systems, business processes, and material internal control and financial reporting weaknesses. These deficiencies prevent DOD from having auditable financial statements, which is one of the three major impediments preventing us from expressing an opinion on the accrual- based consolidated financial statements of the U.S. government.", "The effects of DOD\u2019s financial management problems extend beyond financial reporting and negatively affect DOD\u2019s ability to manage the department and make sound decisions on mission and operations. For example, we found that DOD cannot fully determine the number, size, and costs of its leases for its leased facilities because the inventory system that DOD uses to report on its leased assets contains some inaccurate and incomplete data.", "DOD\u2019s reported property, plant, and equipment represent more than 70 percent of the U.S. government\u2019s reported property, plant, and equipment. DOD manages a global real property portfolio that it reported consists of approximately 562,000 facilities\u2014including barracks, commissaries, data centers, office buildings, laboratories, and maintenance depots\u2014located on about 4,800 sites worldwide and covering more than 24.9 million acres. With a DOD-estimated replacement value of about $880 billion, this infrastructure is critical to maintaining military readiness, and the estimated cost to build and maintain it represents a significant financial commitment. However, DOD remains one of the few federal entities that cannot demonstrate its ability to accurately account for and reliably report its costs or assets.", "DOD has undertaken several financial management improvement initiatives over the years to address deficiencies in business systems, processes, and controls through its Financial Improvement and Audit Readiness (FIAR) Plan. In addition to the FIAR Plan, the 2010 National Defense Authorization Act (NDAA) required, until December 2017, that DOD provide semiannual reports to the congressional defense committees on the status of the implementation of the FIAR Plan. The 2018 NDAA repealed the requirement for the FIAR Plan and semiannual status reports and codified a requirement for DOD to submit a Financial Improvement and Audit Remediation Plan to Congress by June 30, 2019, and annually thereafter. DOD is further required to prepare a consolidated corrective action plan management summary on the status of key corrective action plans and to brief the congressional defense committees semiannually on the status of the corrective action plans.", "The results of prior audits, including ours, have raised concerns about the data reliability of certain key categories of the military services\u2019 general property, plant, and equipment. In addition, the Department of the Navy\u2019s (DON) inability to accurately account for real property assets, specifically its buildings, continues to be a primary impediment to it receiving an auditor\u2019s opinion on its financial statements. One of the previously identified material weaknesses reported by the independent auditors for fiscal year 2017 related to real property. Specifically, the independent auditors reported that the DON had insufficient internal controls and supporting documentation for real property and construction-in-progress. The DON consists of two services\u2014the United States Navy (Navy) and the United States Marine Corps. The DON was the first military department to initially assert real property audit readiness for existence and completeness. According to the Navy\u2019s accountable real property system, the internet Navy Facility Assets Data Store (iNFADS), the Navy owned 35,308 and 35,600 buildings as of September 30, 2017, and September 30, 2016, respectively.", "This engagement was initiated in connection with the statutory requirement for GAO to audit the U.S. government\u2019s consolidated financial statements. Our objectives were to (1) determine the extent to which the Navy had internal control deficiencies, if any, that may impair its ability to assert that its buildings, as reported in its financial statements, exist and that the information about the buildings is complete and adequately supported by property records and (2) identify the challenges, if any, that the Navy faces in valuing its buildings in accordance with federal accounting standards.", "To address our objectives, we interviewed DOD and Navy officials and reviewed regulations, instructions, policies, and procedures, including the Naval Facilities Engineering Command\u2019s (NAVFAC) desk-top procedures, to identify control activities over buildings. We reviewed the results from prior testing conducted by a contractor that the Navy engaged to help it achieve audit readiness for its real property. We also performed data analyses of building data elements contained in iNFADS as of September 30, 2016. To assess the reliability of data we used, we reviewed relevant Navy documentation, interviewed knowledgeable officials, reviewed policies and procedures regarding collecting and maintaining the data, and performed data analyses to look for logical inconsistencies. We concluded that the data elements we used from iNFADS were sufficiently reliable for the purposes of selecting a nongeneralizable sample of buildings to test during our site visits. We selected the Norfolk and San Diego geographic areas for site visits because of the numerous bases in each area and the proximity of the 5 installations to one another in both areas. Finally, we conducted site visits in Norfolk and San Diego to understand the processes followed and documents used to record real property transactions, test the buildings selected in our nongeneralizable samples, and review the available supporting documentation for the selected buildings.", "For the site visits, we selected a nongeneralizable sample of a total of 40 buildings from the iNFADS real property system, 20 from 5 Norfolk-area installations and 20 from 5 San Diego-area Navy installations that we visited, to test through observation whether these buildings existed (book- to-floor). We met with the real property accountable officers (RPAO) at the 10 installations we visited. In addition to testing for existence, we compared the descriptions of the buildings in iNFADS with the buildings that we observed. For example, if the date the building was placed in service was recent, we would observe whether it was a newer building. We also selected a nongeneralizable sample of an additional 39 buildings while at the installations to perform floor-to-book tests to test the completeness of Navy\u2019s recorded buildings in iNFADS.", "To identify the challenges the Navy faces in valuing its buildings in accordance with federal accounting standards, we reviewed federal accounting standards and the Navy\u2019s documents for recording assets into iNFADS and interviewed agency officials responsible for financial reporting and real property management, including the RPAOs at the installations we visited. While our audit objectives focused on certain control activities related to (1) the existence and completeness of the Navy\u2019s buildings as reported in its financial statements and the completeness and adequacy of supporting property records for those buildings and (2) the valuation of the Navy\u2019s buildings in accordance with federal accounting standards, we did not evaluate all control activities and other components of internal control. If we had done so, additional deficiencies may or may not have been identified that could affect the control activities evaluated as part of this audit. See appendix I for additional details on our audit scope and methodology.", "We conducted this performance audit from September 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Navy\u2019s Real Property Audit Assertions", "paragraphs": ["DOD has defined audit readiness as having the capabilities in place that allow an auditor to plan and perform a full financial statement audit that results in actionable feedback to DOD. In DOD\u2019s May 2016 FIAR Plan Status Report, the DON initially asserted that it would be audit ready with regard to real property (including construction-in-progress) for the existence and completeness assertions by June 2016 and with regard to the valuation assertion by March 2017. Subsequently, in DOD\u2019s November 2016 FIAR Plan Status Report, the DON asserted that it would be audit ready for the existence, completeness, and valuation assertions by March 2017. In DOD\u2019s May 2017 FIAR Plan Status Report, the DON reported that it had validated that the existence and completeness assertions for real property. Ultimately, the DON reported in DOD\u2019s November 2017 FIAR Plan Status Report that it had achieved audit readiness for the existence and completeness assertions and was in the process of determining audit readiness for the valuation assertion."], "subsections": []}, {"section_title": "Real Property Valuation Methods", "paragraphs": ["In August 2016, the Federal Accounting Standards Advisory Board issued Statement of Federal Financial Accounting Standards (SFFAS) No. 50, which allows reporting entities to apply alternative valuation methods in establishing opening balances of general property, plant, and equipment (G-PP&E). Such alternative valuation methods may be applied in reporting periods beginning after September 30, 2016. SFFAS No. 50 permits each reporting entity to use alternative methods when presenting financial statements, or one or more line items, (1) for the first time or (2) after a period during which existing systems could not provide the information necessary for producing financial statements in accordance with generally accepted accounting principles (GAAP) without using alternative methods. SFFAS No. 50 permits reporting entities to apply an alternative method only once per line item after the period during which the existing systems could not provide the information for producing financial statements in accordance with GAAP. As of March 2018, the Navy has not made an unreserved assertion attesting that its opening balances of G-PP&E are reported in accordance with SFFAS No. 50. After opening balances are established using an alternative valuation method, federal accounting standards require historical cost to be used in valuing G-PP&E acquired or constructed."], "subsections": []}, {"section_title": "Plant Replacement Value Being Used to Develop Opening Balances for the Navy\u2019s Buildings", "paragraphs": ["DOD already uses plant replacement value (PRV) for decision making and management purposes and has reported that it will use PRV to develop opening balances for the Navy\u2019s buildings. Navy is also currently using PRV (an allowable alternative valuation method under SFFAS No. 50) for financial statement reporting of its buildings and plans to do so until the DON makes an unreserved assertion that its financial statements or its G-PP&E line item or reported assets classes are presented fairly in accordance with GAAP. PRV represents an estimate of the replacement cost in current year dollars to design and construct a facility to replace an existing facility at the same location. As such, the replacement (or construction) cost factor, generally applied to buildings as a dollar amount multiplied by square footage, is also indexed to increase or decrease the amount to account for other variations in costs for different geographic areas or complexity of the facility. Once the calculation prescribed by the formula has resulted in PRV, accumulated depreciation is computed based on the placed in service date. Figure 1 shows an example of the PRV formula being applied to an enlisted housing facility. The valuation adjustment factors, as shown below, vary by location and use of the building. Acquisitions and capital improvements made to existing buildings during subsequent financial periods are to be recorded at the actual cost of obtaining the asset or improvement and placing it into service."], "subsections": []}, {"section_title": "Internal Control Activities", "paragraphs": ["Internal control activities, as defined in Standards for Internal Control in the Federal Government, are the policies, procedures, and techniques that enforce management\u2019s directives to achieve the entity\u2019s objectives and address related risks. A deficiency in internal control exists when the design, implementation, or operation of a control does not allow management or personnel, in the normal course of performing their assigned functions, to achieve control objectives and address related risks."], "subsections": []}]}, {"section_title": "Internal Control Deficiencies Impaired the Navy\u2019s Ability to Properly Record and Report Certain of Its Buildings", "paragraphs": ["We identified internal control deficiencies that impaired the Navy\u2019s ability to assert that as of September 30, 2016, (1) buildings recorded in iNFADS and reported as assets in Navy\u2019s financial statements existed and (2) all of the Navy\u2019s buildings were recorded in iNFADS and correctly reported as assets in Navy\u2019s financial statements. As shown in figure 2, the effects of these internal control deficiencies contributed to the Navy (1) continuing to maintain records in iNFADS for buildings that had been demolished, sometimes many years ago, and including these buildings as assets in its financial statements; (2) excluding some of the buildings that it owns from being recorded in iNFADS and reported as assets in its financial statements; (3) erroneously reporting nonfunctional buildings as assets in its financial statements; and (4) excluding certain buildings from being reported as assets in its financial statements that met or exceeded DOD\u2019s capitalization threshold."], "subsections": [{"section_title": "The Navy Did Not Have Properly Designed Procedures and Related Control Activities to Reasonably Assure Proper Accounting for Its Demolished Buildings", "paragraphs": ["While the Navy had written procedures for the multistep process for disposal of real property by demolition, these procedures and related control activities were not properly designed to reasonably assure that demolished buildings were recorded as disposed and removed from the accounting records. Specifically, the procedures and related control activities did not reasonably assure that RPAOs were provided with a signed demolition approval document and the related disposal form. Without these documents, an RPAO may not be aware that a building has been demolished and therefore may not take the appropriate actions to record the asset as disposed in iNFADS so that the asset record is subsequently removed from iNFADS at the end of the fiscal year and the asset is thereby not included in Navy\u2019s financial statements.", "When a building is designated for disposal, multiple parties are involved in the demolition process. This business process can involve the installation\u2019s Public Works Department; the Regional Commander; the Facilities Engineering Command realty specialist; the Commander, Navy Installations Command; the demolition project manager; the demolition contractor; and the General Services Administration. The multiple functional offices involved in the disposal by demolition business process and the lack of communication between the offices can result in buildings being demolished without the RPAO\u2019s knowledge. The Navy\u2019s procedures for the disposal of real property by demolition state that the RPAO is to receive a signed demolition approval document from the installation\u2019s Public Works Department. After the demolition has been completed, the project manager is to work with the demolition contractor (if applicable), the planner, and the RPAO to complete the disposal form. The RPAO, within 10 days of the completion of the demolition, is to upload supporting documentation about the disposed asset into iNFADS and create the iNFADS disposal record. The Navy\u2019s procedures did not include a control activity, such as a step to verify the RPAO\u2019s receipt of a signed demolition approval document and disposal form, to reasonably assure that the RPAOs are notified of all building demolitions. These notifications are critical so that each RPAO can properly account for a building by creating an iNFADS disposal record, which ultimately results in records for demolished buildings being deleted from iNFADS and therefore not included as assets in the financial statements.", "During our testing of a nongeneralizable sample of buildings in iNFADS, we identified buildings that had been demolished prior to September 30, 2016, but were still recorded in iNFADS as of September 30, 2016, and therefore were reported as assets in Navy\u2019s financial statements as of September 30, 2016. According to SFFAS No. 6, Accounting for Property, Plant, and Equipment, assets, including real property, shall be removed from the asset accounts along with the associated accumulated depreciation if the asset no longer provides service to the operations of the entity. The inclusion of demolished buildings in iNFADS results in inaccurate Navy real property records and can lead to an overstatement of reported balances for real property in Navy\u2019s financial statements. Of the 40 buildings for which we performed book-to-floor tests for existence, we found that 4 had been destroyed and no longer physically existed but were still recorded in iNFADS and reported as assets in Navy\u2019s financial statements. Because we used a nongeneralizable sample of buildings, results from the sample cannot be used to make inferences about all of the Navy\u2019s buildings. The four demolished buildings are described below.", "A six-car garage building had been demolished several years ago according to the Navy, but its operational status was shown as active in iNFADS as of September 30, 2016. Navy officials stated that while the actual demolition date for this building is not known, based on the demolition drawing for another building nearby, it appears to the Navy that the garage was demolished prior to 2001.", "A marina shop building was demolished as of June 30, 2016, so that a new building could be constructed at the same location. As of September 30, 2016, the operational status of this marina shop was shown as active in iNFADS. The disposal of the marina shop building was not recorded in iNFADS until May 2017.", "A storage building was demolished in February 2016 but was still recorded in iNFADS as of September 30, 2016. The RPAO was not notified that the building had been demolished until April 2016. After searching for the relevant paperwork, which could not be located, the RPAO prepared the disposal form that was dated December 20, 2016.", "An aviation warehouse, which had previously been demolished, was still recorded in iNFADS as of September 30, 2016. According to Navy officials, the demolition package was initiated in 2013, but the warehouse needed to remain in iNFADS until the site restoration work was completed. Based on available information, the warehouse was demolished around May 2014. The site restoration work was completed in 2016, but the RPAO was never notified. According to supporting documentation, a search for the relevant paperwork was completed, after which the building was recorded in iNFADS as disposed in March 2017.", "Consistent with our findings, the Navy Office of Financial Operations, in preparing a white paper on real property accumulated depreciation, also found that there were buildings recorded as existing in iNFADS that did not exist. For this white paper, the Navy selected a generalizable sample of 650 real property assets, including buildings, to test. Noted in the white paper as of May 31, 2017, only 584 of the 650 sampled real property assets were able to be tested. Specifically, 51 could not be validated, and an additional 15 real property assets, or 2.5 percent of the sample, were found to not exist, but were still recorded in iNFADS as existing. Based on Navy\u2019s testing, we estimated that 2.5 percent of real property in the Navy\u2019s iNFADS database as of May 2016 no longer existed but had not been recorded in iNFADS as disposed."], "subsections": []}, {"section_title": "The Navy Lacks Procedures and Related Control Activities to Reasonably Assure Proper Accounting for Certain Buildings", "paragraphs": ["During some of our site visits, the RPAOs stated that some buildings acquired or constructed with non-military construction funds (Non- MILCON) and that cost under $750,000 were not recorded in iNFADS. A Navy official confirmed that there were issues with recording Non- MILCON construction costing $250,000 and above, but under $750,000, for financial reporting purposes. Specifically, buildings or capital improvements are sometimes built using other Non-MILCON funding, and in some cases, an entity other than NAVFAC spends the funds. The RPAOs therefore may not know of buildings constructed as Non-MILCON projects if NAVFAC was not involved in the construction project. For example, at one location, we observed a sentry house that had been constructed for the Navy using Non-MILCON funding around 2006. However, the sentry house was not recorded into iNFADS until 2014 when the building was identified as existing through the Navy\u2019s physical inventory procedures.", "NAVFAC did not have final procedures and related control activities to reasonably assure that buildings funded with Non-MILCON funding below $750,000 were consistently recorded in iNFADS and, if the cost exceeded the capitalization threshold, were reported as assets in the Navy\u2019s financial statements. In 2015, the Navy began to develop both the process and system changes required to track construction-in-progress costs for the Navy\u2019s Non-MILCON projects with costs greater than $750,000, so that the cost of the buildings associated with these projects would be properly recorded in iNFADS. In March 2017, NAVFAC updated its BMS process document with the steps for Non-MILCON buildings with costs greater than $750,000 and adopted the new guidance in May 2017.", "According to NAVFAC officials, the Navy has already determined that an equivalent detailed process is needed for Navy Non-MILCON buildings costing less than $750,000 to reasonably assure that the RPAOs are aware of these projects. The RPAOs are not involved in project authorization or project funding and otherwise would be unaware of these Non-MILCON projects. As a result, the RPAOs may not know of Non- MILCON buildings acquired or constructed with operations and maintenance or other Non-MILCON funding under $750,000 and accordingly do not have documentation to record the buildings\u2019 acquisitions in iNFADS. A BMS process document that addresses Non- MILCON projects costing under $750,000 is being developed. However, according to a Navy official, a completion date has not been set for finalizing this document. Until effective procedures are implemented, Navy buildings constructed with Non-MILCON funding costing less than $750,000 may not be timely recorded in iNFADS, which would cause iNFADS to have incomplete information. If the buildings are not recorded in iNFADS, the buildings will not be reported as assets in the financial statements, as required, when the cost of the building meets or exceeds the Navy\u2019s capitalization threshold of $250,000."], "subsections": []}, {"section_title": "The Navy Lacks Written Procedures and Related Control Activities to Reasonably Assure Proper Financial Reporting for Buildings Coded as Nonfunctional", "paragraphs": ["NAVFAC did not have written procedures requiring buildings coded as nonfunctional in iNFADS to be excluded when accumulating data from iNFADS for financial reporting purposes, nor did it have related control activities to provide reasonable assurance that such buildings were excluded. As a result, the Navy incorrectly included the amounts associated with buildings coded as nonfunctional when accumulating iNFADS information for financial reporting purposes. Specifically, based on our aggregation of iNFADS data, the Navy erroneously reported 189 buildings coded as nonfunctional, amounting to $411 million in gross value, $403 million in accumulated depreciation, and $8 million in net book value, as assets in the financial statements as of September 30, 2016. For example, one building coded as nonfunctional that we observed during our site visits was constructed in 1909, with a PRV of over $5 million in iNFADS. The building has been vacant and unusable since September 11, 2002, but was included as an asset in the financial statements for fiscal year 2016.", "According to federal accounting standards, fully impaired assets, such as nonfunctional buildings, should not be included in an entity\u2019s financial statements and related notes. Specifically, SFFAS No. 6, Accounting for Property, Plant, and Equipment, states that G-PP&E, which includes real property, shall be removed from the accounts along with the associated accumulated depreciation if the asset no longer provides service to the operations of the entity. Moreover, SFFAS No. 44, Accounting for Impairment of General Property, Plant, and Equipment Remaining in Use, reiterates the requirement of SFFAS No. 6 by stating that fully impaired assets should be removed from the G-PP&E accounts along with the associated accumulated depreciation if, prior to disposal, the asset no longer provides service in the operations of the entity.", "Navy officials confirmed that they do not have written procedures or related control activities requiring buildings coded as nonfunctional in iNFADS to be excluded when accumulating iNFADS data for financial statement reporting purposes. As a result, for fiscal year 2016, the Navy erroneously included buildings coded as nonfunctional as assets on its financial statements. Navy officials agreed that nonfunctional buildings meet the impairment definition of SFFAS No. 6 and No. 44, as these buildings no longer provide service to Navy operations, and therefore should be removed from the G-PP&E accounts. For fiscal year 2017, Navy officials stated that nonfunctional buildings were reclassified from the asset class that includes buildings to the \u201cOther\u201d asset class. However, both asset classes were reported as G-PP&E on the balance sheet, and as a result, the nonfunctional buildings were again reported as assets in the G-PP&E line item in the Navy\u2019s financial statements."], "subsections": []}, {"section_title": "The Navy Lacks Written Procedures and Related Control Activities to Reasonably Assure Proper Financial Reporting for Buildings That Meet or Exceed DOD\u2019s Capitalization Threshold", "paragraphs": ["NAVFAC officials confirmed that they did not have written procedures and related control activities to reasonably assure that buildings recorded in iNFADS that met or exceeded DOD\u2019s established capitalization threshold are properly included as assets in Navy\u2019s financial statements. For financial reporting, the Navy\u2019s policy is to capitalize buildings based on the established capitalization threshold in effect when each building was placed in service.", "According to Navy officials, buildings placed in service from October 1, 2007, through September 30, 2013, should have been included as assets in the financial statements if the buildings were valued at or above $20,000, the capitalization threshold that was in place during that period. However, for buildings placed in service during this period, the Navy continued to use the previous capitalization threshold of $100,000 rather than the $20,000 threshold. An Office of the Secretary of Defense memorandum dated September 20, 2013, directed the services to increase the capitalization threshold to $250,000 for assets acquired and placed in service on or after October 1, 2013, and the Navy implemented this change. Further, the Navy incorrectly reported in the notes to its fiscal year 2016 and 2017 financial statements that the $20,000 capitalization threshold was used for real property.", "Navy officials stated that when DOD\u2019s capitalization threshold was changed to $20,000, the Navy did not adopt the reduced threshold pending an evaluation of changes needed to iNFADS and the development of procedures to implement the lower threshold. Because the Navy did not adopt DOD\u2019s $20,000 capitalization threshold and instead continued to use the $100,000 threshold, buildings placed in service in fiscal years 2008 through 2013 with a value at or above $20,000 but less than $100,000 were not reported as assets in the Navy\u2019s financial statements as of September 30, 2016, and in prior years. Navy officials could not quantify the effect on its financial statements that occurred based on the Navy\u2019s use of the $100,000 capitalization threshold instead of the $20,000 threshold for fiscal years 2008 through 2013. Additionally, the Navy by not adopting DOD\u2019s $20,000 capitalization threshold resulted in inconsistent reporting in DOD\u2019s consolidated financial statements."], "subsections": []}]}, {"section_title": "Challenges the Navy Faces in Complying with Federal Accounting Standards for Valuing Its Buildings", "paragraphs": ["The Navy faces several challenges in valuing its buildings in accordance with federal accounting standards, including (1) finalizing documentation of actual cost information for buildings that are acquired and placed in service after the Navy\u2019s opening balances have been established based on alternative valuation methods permitted by SFFAS No. 50; (2) capturing and recording costs of improvements that should be reported; (3) consistently completing asset evaluations for each building every 5 years as required by DOD Instruction 4165.14 to help ensure that each building\u2019s information in iNFADS is correct; and (4) determining placed in service dates for previously unrecorded buildings that are subsequently discovered/identified through physical inventories/asset evaluations. Navy officials are aware of these challenges and have various efforts under way to address them. Effective implementation of these efforts is crucial to help address these challenges."], "subsections": [{"section_title": "Finalizing the DD-1354 for Buildings Being Valued at Cost", "paragraphs": ["As we have previously reported, each completed military construction project includes the DD-1354, Transfer and Acceptance of DOD Real Property, to formally transfer ownership from the constructing entity to the acquiring entity. The final version of the DD-1354 documents the final total cost of the project in iNFADS, the source of real property information for financial reporting. Navy officials acknowledge that significant delays may occur in getting to the final version of the DD-1354, which occurs after all costs are determined. If there are issues such as cost overruns or contract disputes, the delays in completing the final version of the form can be substantial. The Navy considers these substantial delays in getting to the final version of the DD-1354 to be an obstacle to timely documenting the final costs of buildings that are acquired and placed in service after the Navy\u2019s opening balances have been established, based on alternative valuation methods permitted by SFFAS No. 50. During our site visits when we tested 79 buildings, we identified 13 buildings, either constructed or with capital improvements made from 2012 through 2016, for which a final DD-1354 had not yet been completed.", "According to several RPAOs we interviewed, getting to the final version of the DD-1354 is a complicated process, requiring coordination among multiple responsible parties and units, and determines all costs associated with the construction. For example, a complex project that involves the construction and demolition of multiple buildings makes the allocation of the construction costs among the buildings of the project considerably challenging."], "subsections": []}, {"section_title": "Recording Capital Improvements", "paragraphs": ["According to SFFAS No. 6, costs associated with capital improvements\u2014 those that extend the useful life of a building or improve its capacity\u2014are to be recorded in the accountable real property system if the actual cost exceeds the capitalization threshold. Navy officials reported that one obstacle to capitalizing the costs of improvements is determining the actual costs associated with the projects for capital improvements that are made after the opening balances are established using alternative valuation methods. The Navy has developed and is testing its methodology to properly account for capital improvements to buildings. This methodology uses an automated link from the Facilities Information System (which has the construction-in-progress account) to iNFADS. The success of this methodology will be critical for capturing capital improvements for buildings.", "The inability to account for the total costs associated with capital improvements to buildings after the opening balances have been established using alternative valuation methods would result in the undervaluing of the total actual cost and annual depreciation expense associated with the buildings. Once PRV is used to establish the opening balance for buildings, the Navy must accurately record capital improvements in iNFADS in order to appropriately value the buildings and record the correct depreciation expense."], "subsections": []}, {"section_title": "Performing Timely Asset Evaluations", "paragraphs": ["We observed that the Navy has taken steps to improve the quality of its asset evaluations by completing and maintaining supporting documentation. However, we found that the Navy has not consistently completed asset evaluations for each building every 5 years as required by DOD policy. An asset evaluation is a key Navy control to help ensure that the information recorded in iNFADS is accurate. While the Navy issued a revised BMS process document formalizing asset evaluations procedures, these evaluations have not been performed every 5 years as required. Specifically, in a June 30, 2017, Navy analysis, the Navy determined that while an asset evaluation is required to be performed every 5 years, the asset evaluations had not been done for more than 5 years for 17.4 percent of real property, including buildings. When asset evaluations are not done every 5 years for each building, there is an increased risk that information in iNFADS may not be accurate. In addition, as a part of asset evaluations, Navy personnel verify key information, including the square footage of buildings that is used for the PRV calculation. The Navy has efforts under way to perform asset evaluations for those buildings for which these evaluations had not been completed in a 5-year period, including using contractors to help complete the asset evaluations."], "subsections": []}, {"section_title": "Determining Placed in Service Dates for Buildings Found by Inventory", "paragraphs": ["As stated in DOD\u2019s Financial Management Regulation, real property assets and capital improvements to these assets are to be capitalized as of the date each asset was placed in service. Navy officials occasionally identify existing buildings that have not been recorded in iNFADS and are referred to as buildings found by inventory. These buildings are often identified through NAVFAC\u2019s asset evaluations and periodic virtual inventories. For these buildings, the placed in service dates may not be known. While DOD and the Navy have subsequently developed procedures for determining the placed in service dates for buildings found by inventory, for some Navy buildings, the placed in service date recorded in iNFADS was the date the building was found, rather than the actual placed in service date.", "According to previous guidance, if a placed in service date could not be identified through the due diligence process, then the building was recorded as placed in service as of the date it was found. The Navy\u2019s BMS process document for real property found by inventory, dated October 25, 2016, stated each building found by inventory is to be recorded with an estimated placed in service date determined using the criteria provided in DOD\u2019s February 2015 guidance. We were told that until December 2016, any building found by inventory was recorded with a placed in service date of the day the building was found.", "The Navy\u2019s use of the date the building was found by inventory as the placed in service date can substantially affect the information in iNFADS. For example, one of the buildings in our nongeneralizable sample was an old, abandoned maintenance shed. However, based on the iNFADS property record, the building appeared to be a relatively new building based on the recorded placed in service date of August 16, 2016, the date it was found by inventory (see fig. 3). As a result, the building is recorded in iNFADS on August 16, 2016, the placed in service date and therefore the accumulated depreciation would be less than a building with an older placed in service date. The complete, timely, and accurate recording of the placed in service date information enables ensures reliable and accurate reporting of real property information in DOD\u2019s financial statements.", "Navy officials are aware of the challenges discussed above and have various efforts under way to address them. Effective implementation of these efforts is crucial to help address these challenges."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Navy\u2019s inability to accurately account for real property assets, specifically its buildings, continues to be a material weakness reported by independent auditors. Inadequate procedures and internal control deficiencies prevent the Navy from accurately recording and reporting its buildings and knowing how many buildings it actually owns. Some buildings recorded in the Navy\u2019s accountable real property system, iNFADS, do not exist. Similarly, the Navy does not have adequate procedures and related controls to reasonably assure that all Non- MILCON buildings and capital improvements costing less than $750,000 are recorded in iNFADS. Additionally, the Navy erroneously reported nonfunctional buildings as assets in its financial statements and excluded certain buildings that met or exceeded DOD\u2019s capitalization threshold as assets in its financial statements. As a result of these deficiencies, the Navy does not have adequate information to support reliable reporting of real property in its annual financial statements, and DOD, Congress, and others do not have reliable, useful, and timely information for decision making."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Navy.", "The Commander of NAVFAC should develop and implement procedures and related control activities for real property disposed of by demolition to provide reasonable assurance that the RPAOs timely receive a signed demolition approval document and disposal form, so that demolished buildings are recorded as disposals in iNFADS and removed at the end of the fiscal year. (Recommendation 1)", "The Commander of NAVFAC should finalize and implement written procedures and related control activities to reasonably assure that all buildings costing less than $750,000 and funded with Non-MILCON funding are recorded in the Navy\u2019s iNFADS and therefore included as assets in the financial statements if they meet or exceed the Navy\u2019s capitalization threshold. (Recommendation 2)", "The Commander of NAVFAC should develop and implement written procedures and related control activities to reasonably assure that buildings coded as nonfunctional in iNFADS are excluded for financial statement reporting purposes. (Recommendation 3)", "The Commander of NAVFAC should develop and implement written procedures and related control activities related to DOD\u2019s capitalization thresholds and outline the specific information to be accumulated from iNFADS to reasonably assure that real property assets are properly reported for financial statement reporting purposes. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Navy for comment. In its comments, reproduced in appendix II, the Navy concurred with our four recommendations.", "We are sending copies of this report to the Secretary of Defense, the Under Secretary of Defense (Comptroller)/Chief Financial Officer, the Deputy Chief Financial Officer, the Office of the Assistant Secretary of Defense (Energy, Installations, and Environment), the Assistant Secretary of the Navy (Energy, Installations and Environment), the Assistant Secretary of the Navy (Financial Management & Comptroller), the Director of the Office of Management and Budget, and appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1873 or cordreyw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This engagement was initiated in connection with the statutory requirement for GAO to audit the U.S. government\u2019s consolidated financial statements. The focus of this engagement was the United States Navy\u2019s (Navy) real property, specifically buildings, because the Department of the Navy was the first military department to initially assert real property audit readiness for existence and completeness. Our objectives were to (1) determine the extent to which the Navy had internal control deficiencies, if any, that may impair its ability to assert that its buildings, as reported in its financial statements, exist and that the information about the buildings is complete and adequately supported by property records and (2) identify the challenges, if any, that the Navy faces in valuing its buildings in accordance with federal accounting standards.", "To address our first objective, we interviewed Department of Defense (DOD) and Navy officials and reviewed relevant documentation, including the Naval Facilities Engineering Command\u2019s (NAVFAC) Business Management System (BMS) process documents, which are similar to desktop procedures, to identify control activities over buildings. We reviewed the results from prior real property audit readiness testing conducted by a contractor that the Navy engaged to help it achieve audit readiness for its real property. We performed data analyses of buildings in the Navy\u2019s accountable real property system, the internet Navy Facility Assets Data Store (iNFADS) as of September 30, 2016. To assess the reliability of data we used, we reviewed relevant Navy documentation, interviewed knowledgeable officials, reviewed policies and procedures regarding collecting and maintaining the data, performed data analyses to look for logical inconsistencies, and traced a nongeneralizable sample of buildings to supporting documents. We concluded that the data elements we used from iNFADS were sufficiently reliable for the purposes of selecting a nongeneralizable sample of buildings to test.", "We selected the Norfolk and San Diego geographic areas for site visits because of the numerous bases in each area and the proximity of 5 installations to one another in each of the areas. We analyzed data from the iNFADS database as of September 30, 2016, to select buildings that fit our selection criteria for our nongeneralizable sample of buildings for book-to-floor testing from these two geographic areas. These selection criteria included age of the buildings (both older and newer buildings); square footage of the buildings, including small buildings (such as sentry houses) and large buildings (such as training facilities and barracks); cost per square foot of the buildings, including lower cost (such as warehouses) and higher cost (sentry houses with sophisticated electronics); use of the buildings, to include a variety of uses (such as electrical substations, training facilities, and offices); and operational status code of the buildings, including active and nonfunctional.", "We conducted site visits in Norfolk and San Diego to interview real property accountable officers (RPAO), observe buildings, and review the available supporting documents for the sample buildings. We tested 40 buildings book to floor by visiting these buildings at 10 Navy installations across two geographic areas. During our site visits, we also selected a nongeneralizable sample of a total of 39 buildings on Navy installations to be tested floor to book\u201419 from 5 Norfolk and 20 from 5 San Diego areas. We met with the RPAOs at each of the10 installations and tested by observation whether the 40 buildings selected for book-to-floor testing existed. In addition to testing for existence, we compared the descriptions of the buildings in iNFADS with the buildings that we observed. For example, if the placed in service date in iNFADS was recent, we would observe whether it was a newer building. We selected a nongeneralizable sample of buildings for floor-to-book testing based on proximity to the buildings we had selected for book-to-floor testing. For the 39 buildings that we tested floor to book, we reviewed available supporting documents.", "We also reviewed a Navy Office of Financial Operations white paper on the risk and potential amount of material misstatement of accumulated depreciation on the Navy\u2019s general fund consolidated balance sheet. This white paper presented the results of a statistical sample for which 15 selected real property assets were excluded from testing because the assets no longer existed. Two social science specialists with expertise in research design and statistics reviewed the methodology and sampling used in this study and found them to be sufficient for the purposes of estimating the proportion of Navy real property assets reported as existing in iNFADS that did not exist as of May 31, 2017. We used the sampling information in the study to create a confidence interval around the estimate of the proportion of buildings at the 95 percent confidence level.", "To address our second objective, we reviewed federal accounting standards, including Statement of Federal Financial Accounting Standard (SFFAS) No. 50, and the Navy\u2019s documents for recording assets into iNFADS. We also interviewed agency officials responsible for financial reporting and real property management, including the RPAOs at the installations we visited, to identify the challenges the Navy faces in recording buildings at actual cost once the opening balances have been established according to SFFAS No. 50.", "While our audit objectives focused on certain control activities related to (1) the existence and completeness of the Navy\u2019s buildings as reported in its financial statements and the completeness and adequacy of supporting property records for those buildings and (2) the valuation of the Navy\u2019s buildings in accordance with federal accounting standards, we did not evaluate all control activities and other components of internal control. If we had done so, additional deficiencies may or may not have been identified that could impair the effectiveness of the control activities evaluated as part of this audit.", "We conducted this performance audit from September 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Navy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made key contributions to this report: Paul Kinney (Assistant Director), Marcia Carlsen, Dennis Clarke, Francine DelVecchio, Maxine Hattery, Jason Kelly, Jared Minsk, Lisa Motley, Robert Sharpe, Sandra Silzer, and Shana Wallace."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-202", "url": "https://www.gao.gov/products/GAO-19-202", "title": "Washington Metropolitan Area Transit Authority: Actions Needed to Strengthen Capital Planning and Track Preventive Maintenance Program", "published_date": "2019-01-31T00:00:00", "released_date": "2019-01-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Safety incidents in recent years on WMATA's rail system have raised questions about its processes for performing critical maintenance and replacing capital assets. WMATA initiated a new preventive maintenance program for its rail track in 2017, and is currently implementing a new capital planning process.", "GAO was asked to examine issues related to WMATA's capital funding and maintenance practices. This report examines: (1) how WMATA spent its capital funds from fiscal years 2011 through 2017, (2) how WMATA's new capital planning process addresses weaknesses it identified in the prior process, and (3) WMATA's progress toward its track preventive maintenance program's goals and how the program aligns with leading program management practices. GAO analyzed WMATA's financial and program information, interviewed officials of WMATA, the Federal Transit Administration, and five transit agencies selected for similarities to WMATA. GAO compared WMATA's capital planning process and track maintenance program with leading practices."]}, {"section_title": "What GAO Found", "paragraphs": ["From fiscal years 2011 through 2017, the Washington Metropolitan Area Transit Authority (WMATA) spent almost $6 billion on a variety of capital assets, with the largest share spent on improving its rail and bus fleet (see figure). Over this period, WMATA's capital spending was, on average, about $845 million annually.", "WMATA's new capital planning process could address some weaknesses it identified in the prior process. WMATA established a framework for quantitatively prioritizing capital needs (investments to a group of related assets) over a 10-year period. However, WMATA has not established documented policies and procedures for implementing the new process, such as those for selecting specific projects for funding in its annual capital budget. WMATA is currently using its new capital planning process to make fiscal year 2020 investment decisions. WMATA has proposed a fiscal year 2020 capital budget of $1.4 billion. Without documented policies and procedures for implementing the new planning process, WMATA's stakeholders do not have reasonable assurance that WMATA is following a sound process for making investment decisions.", "WMATA has made significant progress toward its track preventive maintenance program's goals, which are to reduce both track-defect and electrical-fire incidents by 50 percent in fiscal year 2019 compared with 2017. In fiscal year 2018, WMATA met its goal for reducing track defect incidents and reduced electrical fire incidents by 20 percent. However, in designing the program, WMATA did not fully assess risks. For example, WMATA did not quantitatively assess the impact of track defects or electrical fires on its ability to provide service, nor did it consider other risks such as non-electrical track fires, which represent about 30 percent of all fires on the system, or other factors, such as resources or track time. Without a comprehensive risk assessment, WMATA lacks reasonable assurance that the program is designed to address risks affecting the safety of the rail system or other risks that could hinder the new program's success."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that WMATA establish documented policies and procedures for the new capital planning process and conduct a comprehensive risk assessment for the track preventive maintenance program. WMATA described actions planned or underway to address GAO's recommendations. GAO believes the recommendations should be fully implemented, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Washington Metropolitan Area Transit Authority (WMATA) is one of the largest transit operators in the nation, providing service for nearly 1- million rail and bus passenger trips each day, making it critical to the National Capital Area\u2019s transportation infrastructure. In recent years there have been questions about the safety of WMATA\u2019s rail transit system and whether it has effective processes in place to replace assets and perform critical maintenance. For example, the National Transportation Safety Board (NTSB) found that WMATA had ineffective inspection and maintenance practices that contributed to a January 2015 smoke incident near L\u2019Enfant Plaza station that resulted in one fatality and 91 injuries. After investigations by the NTSB and the Federal Transit Administration (FTA), among other actions, the FTA assumed direct safety oversight of WMATA in October 2015. To address safety concerns and recommendations from NTSB and FTA, WMATA conducted SafeTrack, which was a large rehabilitation project that made emergency repairs to WMATA\u2019s track infrastructure between June 2016 and June 2017. At the conclusion of SafeTrack, WMATA implemented its new track preventive maintenance program designed to better ensure the long-term reliability of its infrastructure and to prevent the need for another SafeTrack.", "In addition to its efforts to improve safety, WMATA has also had a growing maintenance backlog. In November 2016, WMATA reported that it had about $17.4 billion in state-of-good-repair needs, up from the $7.6 billion it reported in February 2010. In 2018, the District of Columbia, the state of Maryland, and the Commonwealth of Virginia each enacted legislation that is expected to provide about $500 million combined annually in additional funding to WMATA for capital purposes, a sum that may help address this backlog. This funding is in addition to the $340 million contributed on average annually by state and local jurisdictions for capital purposes from fiscal years 2011 through 2017, and almost $460 million received annually on average as grants from the federal government for capital expenses over that period. WMATA is currently developing a new capital planning process to improve its capital investment decision-making and to address weaknesses WMATA identified in its prior capital planning process.", "You asked that we review WMATA\u2019s capital funding and maintenance practices. This report examines: 1. How WMATA expended its capital funding from fiscal years 2011 2. How WMATA\u2019s new capital planning process addresses weaknesses it identified in the previous process, and 3. WMATA\u2019s progress toward its track preventive maintenance program goals and how the program aligns with leading program management practices.", "To assess WMATA\u2019s capital spending from fiscal years 2011 through 2017, we reviewed WMATA\u2019s annual budgets, fourth-quarter and year- end financial reports, budget reconciliation reports, comprehensive annual financial reports, FTA grant awards, and other documents provided by WMATA and FTA. We selected fiscal year 2011 because it was the first year in which WMATA received federal funding authorized by the Passenger Rail Investment and Improvement Act of 2008 (PRIIA), and we selected fiscal year 2017 because it was the most recent year that capital expenditure data were available at the time of our review. We also interviewed officials from WMATA and FTA to identify how WMATA budgets and spends its capital funds. To identify categories of capital spending, we collected information from WMATA\u2019s fourth-quarter reports and year-end financial reports that were presented to WMATA\u2019s board of directors and classified capital expenditures according to spending categories included in WMATA\u2019s annual capital budgets and fourth- quarter financial reports. To identify annual capital funding received by WMATA from fiscal years 2011 through 2017, we analyzed the information provided by FTA on federal funding provided to WMATA and reviewed financial reports from WMATA. We determined that these data had some limitations but were sufficiently reliable for the purposes of our review. An external audit report of WMATA financial information for fiscal year 2016 noted a material weakness with WMATA\u2019s process for accounting acquisition costs of capital assets. Specifically, there were inconsistencies between WMATA\u2019s general ledger and sub-ledger, which are used to record acquisition costs, depreciation, and other financial information related to capital assets. As a result, additional steps were required to reconcile the difference between the two sources and could have resulted in a material error. However, after interviewing WMATA officials about the weakness and assessing the available financial information, we determined that the data we used were sufficiently reliable for our purpose of showing general trends of capital expenditures.", "To assess WMATA\u2019s new capital planning process, we reviewed WMATA documentation, including its two most recent Capital Needs Inventory reports prepared in 2010 and 2016. We also reviewed available WMATA documentation on the new planning process, including guidance documents on how WMATA intends to initiate capital projects, and interviewed WMATA officials about capital planning and development of the new capital planning process. Further, we compared WMATA\u2019s new capital planning process to leading practices identified in GAO\u2019s Executive Guide on capital decision-making, leading practices for rehabilitating and replacing capital assets contained in the Transit Cooperative Research Program Report 157, and project management principles from the Project Management Institute, Inc. In addition, we interviewed officials from five peer transit agencies that are similar to WMATA to obtain information from them on how they conduct capital planning. We selected these agencies based on a number of factors, including those that were comparable to WMATA in terms of transit route miles, system use, and capital spending. The transit agencies we selected were: (1) Bay Area Rapid Transit; (2) Chicago Transit Authority; (3) Massachusetts Bay Transportation Authority; (4) Metropolitan Atlanta Rapid Transit Authority; and (5) Southeastern Pennsylvania Transportation Authority. The results of these interviews are not generalizable.", "To assess WMATA\u2019s track preventive maintenance program, we reviewed WMATA documentation about the program, interviewed WMATA officials, and analyzed track defect and wayside electrical fire data provided by WMATA from fiscal years 2016 through 2018. We interviewed WMATA officials about their procedures for collecting and analyzing these data. To assess the accuracy of these data, we also performed independent tests that included verifying WMATA\u2019s final tally of track-defect and fire incidents and verifying there were no extended periods of time in which data were missing. We determined the data were sufficiently reliable for the purposes of our report. We also interviewed officials from the American Public Transportation Association and the American Railway Engineering and Maintenance-of-Way Association to discuss best maintenance practices in the transit industry. We then compared WMATA\u2019s track preventive maintenance program to leading program management practices identified by the Project Management Institute, Inc. and internal control standards related to risk assessment published by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) and followed by WMATA. A more detailed summary of our scope and methodology appears in appendix I.", "We conducted our work from November 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["WMATA was created in 1967 through an interstate compact\u2014matching legislation passed by the District of Columbia, state of Maryland, and Commonwealth of Virginia, and then ratified by Congress\u2014to plan, develop, finance, and operate a regional transportation system in the National Capital area. A board of eight voting directors and eight alternate directors governs WMATA. The directors are appointed by the District of Columbia, Virginia, Maryland, and the federal government, with each appointing two voting and two alternate directors. WMATA operates six rail lines\u2014the Red, Orange, Blue, Green, Yellow, and Silver Lines\u2014connecting various locations within the District of Columbia, Maryland, and Virginia. WMATA\u2019s rail system has 118 linear miles of guideway: 51 miles of subway, 58 miles at ground level, and 9 miles on aerial structures.", "WMATA\u2019s capital investments are funded through multiple sources. These include a combination of grants it receives from the federal government, along with matching funds and other contributions it receives from the states and local jurisdictions in which it operates (see fig. 1).", "From fiscal years 2011 through 2017, WMATA received about $5.8 billion in capital funding. Over half of this funding came from the federal government ($3.2 billion), and state and local jurisdictions provided 41 percent ($2.4 billion). WMATA also took on about $230 million in long- term debt to finance its capital program during this time period. The federal funding included grant awards, in addition to annual appropriations authorized under PRIIA. In 2008, PRIIA authorized $1.5 billion to WMATA, available in increments over 10 years beginning in fiscal year 2009, or until expended, for capital improvements and preventive maintenance. PRIIA funding and certain federal grants require state or local jurisdictions to provide matching funds. Additionally, a large portion of funding from state and local jurisdictions is governed by capital-funding agreements, which are periodically negotiated between WMATA and the states and localities. From fiscal years 2011 through 2017, state and local jurisdictions contributed on average about $340 million annually to WMATA, generally for capital purposes. The annual capital contributions from the jurisdictions are expected to more than double as a result of the recent legislation enacted by the District of Columbia, Maryland, and Virginia in 2018. In addition, WMATA officials told us that it will have the ability to further leverage this dedicated funding and issue debt to finance its capital projects.", "WMATA has several steps in its capital planning process. These include developing the following:", "Capital Needs Inventory. WMATA periodically identifies its capital investment needs in this inventory. WMATA issued a Capital Needs Inventory in February 2010 and another in November 2016, each covering a 10-year period. According to WMATA, Capital Needs Inventories help inform the annual capital budget and capital improvement program.", "Annual Capital Budget. Each year, WMATA prepares an annual capital budget, which identifies projects WMATA plans to undertake in the next fiscal year. WMATA\u2019s fiscal year 2019 annual capital budget was approved by the board of directors at $1.3 billion.", "Six-Year Capital Improvement Program. Within WMATA\u2019s annual capital budget, WMATA includes a Six-Year Capital Improvement Program identifying capital projects WMATA plans to implement over a 6-year period. WMATA\u2019s most recent Six-Year Capital Improvement Program (covering the fiscal year 2019\u20142024 period) was approved by the board of directors at $8.5 billion.", "According to WMATA officials, WMATA is currently implementing a new capital planning process through which it will develop its fiscal year 2020 Capital Budget and fiscal year 2020-2025 Six-Year Capital Improvement Program. WMATA adopts and implements the capital budget by June 30 for the new fiscal year, which begins on July 1. The fiscal year 2020 Capital Budget is scheduled to be adopted and implemented by June 30, 2019. Among other things, the goals and objectives of this new capital planning process are to construct an objective, data-driven, and risk-based approach to estimate major rehabilitation and capital asset replacement needs; build a capital investment prioritization methodology aligned with WMATA\u2019s strategic goals and grounded in asset inventory and condition assessments; and develop a process that will support the construction and ongoing stewardship of its Transit Asset Management Plan. The latter is discussed in more detail below.", "WMATA has also recently undertaken efforts to address issues related to the condition and maintenance of its track. After SafeTrack concluded in June 2017, WMATA implemented what officials describe as its first track preventive maintenance program designed to incorporate industry-wide best practices related to track maintenance, in order to improve the rail system\u2019s long-term safety and reliability. The new program commenced in June 2017, and WMATA\u2019s board reduced late-night service to allow for longer maintenance work hours.", "To make the best use of the extra maintenance hours, WMATA focused its new program on six separate initiatives that together would address what WMATA viewed as its two most pressing track maintenance concerns\u2014electrical fires caused by cable and insulator defects along the track wayside, and defects to the track itself, including unsecured rail fasteners and worn track switches (see table 1). These initiatives are planned to cover the entire transit system and will take various amounts of time to complete.", "FTA also plays a role in WMATA activities by providing and directing the use of federal funds, overseeing safety, and requiring transit asset management. FTA provides grants that support capital investment in public transportation, consistent with locally developed transportation plans, and has provided such funding to WMATA as noted above. Additionally, though states play a role in safety oversight of rail transit systems through state safety oversight programs, FTA also has the authority to conduct various safety oversight activities such as inspections and investigations. Furthermore, FTA has the authority to assume temporary, direct safety oversight of a rail transit system if it finds the state safety oversight program is inadequate, among other things. After FTA conducted a safety management inspection and issued a safety directive with 91 required actions, it found WMATA\u2019s state safety- oversight program to be inadequate and assumed direct safety-oversight of WMATA in October 2015. Finally, FTA is responsible for assisting public transportation systems to achieve and maintain their infrastructure, equipment, and vehicles in a state of good repair. Specifically, in July 2016, FTA issued regulations establishing a National Transit Asset Management System. Applicable transit agencies were required to have an initial transit asset management plan completed by October 1, 2018. For \u201ctier I providers,\u201d such as WMATA, this plan is to contain nine elements, including an inventory of the number and type of capital assets, and a condition assessment of those inventoried assets for which a provider has direct capital responsibility. WMATA completed its Transit Asset Management plan, dated October 1, 2018. This plan outlines WMATA\u2019s policy, approach, and targeted actions to improve its asset management practices over the next 4 years."], "subsections": []}, {"section_title": "WMATA Has Focused Recent Capital Expenditures on Its Vehicle Fleet and Expects Future Expenditures to Increase to Meet State-of-Good-Repair Needs", "paragraphs": [], "subsections": [{"section_title": "Since Fiscal Year 2011, WMATA Has Expended the Largest Share of Its Capital Funds on Replacing and Maintaining Its Rail and Bus Fleets", "paragraphs": ["WMATA expends its capital funds on a variety of capital assets as part of its capital budget and Capital Improvement Program. From fiscal year 2011 through 2017, WMATA expended approximately $5.9 billion on capital investments. Of this amount, WMATA expended the largest portion on assets related to the replacement, rehabilitation, and maintenance of its revenue vehicles (railcars, buses, and vans) and lesser amounts on other categories of assets, as discussed below and shown in figure 2.", "Rail and Bus Vehicle Fleet: WMATA expended approximately $2.16 billion (36 percent) of the total $5.9 billion on projects related to its rail and bus fleet from fiscal years 2011 through 2017. The $2.16 billion included approximately $1.1 billion (51 percent) on replacing, expanding, and rehabilitating its rail fleet and approximately $956 million (44 percent) on its bus fleet. According to WMATA, it initiated its railcar replacement program in 2005 to increase capacity and reduce maintenance costs. In addition, a June 2009 Red Line collision of two trains near Fort Totten resulted in nine deaths and led the NTSB to recommend that WMATA retire and replace all 1000 series railcars. From fiscal year 2011 through 2017, WMATA expended almost $656 million on replacing these and other railcars and expanding its overall fleet. This effort includes WMATA\u2019s planned purchase of a total of 748 new 7000-series railcars (see fig. 3). Approximately $530 million was expended on replacing vehicles from fiscal years 2015 through 2017. For example, in fiscal year 2017 WMATA accepted delivery of about 50 percent (364 railcars) of its planned purchase of 748, 7000-series railcars. WMATA expects to complete its current railcar replacement program by fiscal year 2024, with an estimated total program cost of about $1.7 billion.", "Fixed Rail Infrastructure: WMATA expended about $1.23 billion of the total $5.9 billion (21 percent) to maintain its fixed-rail infrastructure. Of this $1.23 billion, WMATA expended about $650 million (53 percent) on rail infrastructure and rehabilitation projects and $573 million (47 percent) on improvements to its track and structures (e.g., bridges and tunnels). According to WMATA, the rail infrastructure and rehabilitation projects began in 2009 and were the first comprehensive rehabilitation of WMATA\u2019s rail infrastructure in its history. Typical projects included rehabilitating WMATA\u2019s water drainage pumps and tunnel ventilation, fire, and communications systems, among other things. WMATA work related to track and structures involved the maintenance and rehabilitation of the steel rail that guides railcars, the cross ties and fasteners that hold the rail in place, the third rail that provides power to trains, and the bridges and tunnels the track runs on or through. The share of WMATA\u2019s total capital expenditures going to track and structures increased from about $80 million in fiscal year 2016 to $158 million in fiscal year 2017. This expenditure was primarily to implement SafeTrack.", "Maintenance Facilities and Equipment: WMATA expended approximately $1.1 billion of the total $5.9 billion (19 percent) on assets related to maintenance facilities and equipment, which include rail yards, bus garages, and equipment used to rehabilitate and maintain WMATA\u2019s track and vehicle fleet. For example, from fiscal years 2011 through 2017 WMATA expended approximately $75 million in constructing the Cinder Bed Road bus maintenance facility in Lorton, Virginia.", "Passenger and Other Facilities: WMATA expended about $814 million of the total $5.9 billion (14 percent) on passenger, business, and security support facilities. Such facilities include rail and bus stations, police facilities, and elevator and escalator rehabilitation.", "Business Systems and Project Management Support: WMATA also expended about $628 million of the total $5.9 billion (11 percent) on assets related to operations and business support software and equipment."], "subsections": []}, {"section_title": "Prior to Fiscal Year 2017, WMATA Did Not Fully Expend Its Total Annual Capital Budget but Expects to Increase Expenditures to Address Repairs", "paragraphs": ["From fiscal years 2011 through 2017, WMATA frequently over-estimated in its annual budgets the annual amount of capital investments it could implement (see fig.4). Out of the approximately $7.5 billion that WMATA budgeted for capital investments over this period, it expended approximately $5.9 billion (80 percent). WMATA\u2019s ability to fully expend its capital budget has varied from year to year. Specifically, WMATA expended about 65 percent ($700 million) of its $1.1 billion capital budget in fiscal year 2015, compared with 85 percent ($1.1 billion) of its $1.2 billion capital budget in fiscal year 2016. In fiscal year 2017, WMATA expended nearly 100 percent of its $1.18 billion capital budget. WMATA attributed the increased expenditures to intensified efforts to address deferred maintenance, primarily through the SafeTrack initiative and an increased delivery and acceptance rate for the new 7000-series railcars, among other things. The total amount expended in fiscal year 2017 to replace the older railcars with new vehicles totaled about $335 million.", "According to WMATA, there are a number of reasons why it has not fully expended its capital budget in any given year:", "Contracting and Scheduling Issues: WMATA officials stated that there were contract and scheduling delays in the implementation of planned capital projects. For example, WMATA officials said contracts were sometimes not executed during the fiscal year in which funds were originally budgeted for the work, and in other instances contract work was not carried out according to schedule and expenditures were delayed.", "Changing Priorities: WMATA officials stated that in some instances, the reevaluation and reprioritization of contracted projects affected WMATA\u2019s ability to expend its capital budget. In such cases, new capital needs were sometimes identified and prioritized over other needs, which caused delays in work schedules and potential financial claims by contractors due to delays. For example, WMATA stated that in fiscal year 2011 the initiation of the Red Line rehabilitation program was delayed as a result of the prioritization of the safety needs in response to the 2009 Fort Totten accident.", "Federal Reimbursement Restrictions: WMATA officials cited FTA restrictions on its reimbursement of federal funds between fiscal years 2014 and 2015 as a reason for its inability to expend budgeted capital funds in those years. In a financial management oversight review completed by FTA in 2014, FTA found material weaknesses and significant deficiencies in WMATA\u2019s financial management controls, policies, and procedures regarding its receipt of federal grant funds. Based on these preliminary findings, FTA restricted WMATA\u2019s ability to automatically access federal grant reimbursements until WMATA undertook corrective actions. During these years, WMATA reported its management slowed expenditures on targeted capital projects due to concerns over reimbursement of grants. By October 2017, after WMATA implemented an action plan to improve its financial controls, FTA reinstated WMATA\u2019s ability to automatically receive all awarded federal funds on a regular schedule.", "Unpredictable Funding: WMATA officials stated that unpredictable funding affected the level of its capital expenditures from year to year. Since WMATA had multi-year capital projects with multi-year procurements, according to WMATA officials, uncertainty with regard to how much capital funding would be received on an annual basis affected the implementation of projects.", "Inadequate Capital Planning Process: WMATA attributed some of its inability to expend budgeted capital funds to the absence of a uniform and efficient capital planning process. According to WMATA, it lacked formal procedures to initiate projects and newer projects often experienced delays in implementation, which delayed expenditures on these projects. Later in this report, we discuss WMATA\u2019s efforts to develop a new capital planning process.", "Although WMATA expended more of its capital budget in fiscal year 2017 than it had in prior years, it estimated that capital spending will need to increase even more to address state-of-good-repair needs. In 2016, WMATA projected that its state-of-good-repair needs amounted to about $17.4 billion from 2017 through 2026. This level is almost $10 billion more than WMATA estimated for its state-of-good-repair needs from 2011 through 2020 in its February 2010 Capital Needs Inventory. WMATA officials attributed the increase to a capital planning process insufficient to identify capital needs and an increase in cost of needs that were previously unmet. In addition, WMATA officials said the quality and quantity of asset data had improved over time. To address its state-of- good-repair needs, in November 2016 WMATA estimated that it will need to expend about $1.74 billion annually on capital expenditures from 2017 through 2026. This is more than twice the $845 million average annual capital expenditures from fiscal year 2011 through fiscal year 2017."], "subsections": []}]}, {"section_title": "WMATA\u2019s New Capital Planning Process Could Address Some Previous Weaknesses WMATA Identified, but the Process Does Not Have Documented Policies and Procedures and Has Other Weaknesses", "paragraphs": ["WMATA\u2019s new capital planning process could address some of the weaknesses it identified in the previous process, such as better distinguishing capital needs (investments in groups of related assets) from capital projects (investments in specific assets). However, WMATA has not established documented policies and procedures to guide the developed performance measures to assess capital projects and the capital planning process; and developed a plan to obtain complete information about the inventory and condition of WMATA assets.", "These remaining weaknesses could hinder sound capital investment decisions."], "subsections": [{"section_title": "WMATA\u2019s New Capital Planning Process Could Facilitate Better Identification of Capital Investment Needs", "paragraphs": ["WMATA\u2019s new capital planning process could facilitate better identification of capital investment needs. Leading practices for capital planning, among other things, call for an organization to conduct a comprehensive assessment of its needs to meet its mission. WMATA uses the Capital Needs Inventory to assess its capital needs over a 10- year period across its various assets and help identify specific projects to include on subsequent capital improvement programs. In November 2016, WMATA issued its most recent Capital Needs Inventory, covering calendar year 2017 through 2026, and reported there were weaknesses and limitations in the process used to prepare the previous Capital Needs Inventory, issued in 2010. Those weaknesses and the actions WMATA has taken to address them include the following:", "Distinguishing capital needs from capital projects. WMATA reported in 2016 that the 2010 Capital Needs Inventory was primarily a list of proposed projects and did not provide proper attention to evaluating WMATA\u2019s overall asset needs and the readiness of projects for programming in the capital improvement program. WMATA has taken actions to potentially address this weakness. In April 2016, WMATA issued a policy/instruction document that established policies and procedures for preparing capital needs inventories. This document defined the process for capital needs identification and established a framework evaluating and prioritizing capital investment needs. Among other things, this framework requires that WMATA departments develop capital needs justification packages and that these packages be reviewed by the Capital Program Advisory Committee for completeness and accuracy before being forwarded for further review. The guidance also requires that WMATA\u2019s strategic objectives be considered when identifying and prioritizing capital projects.", "Qualitative rather than quantitative prioritization of needs. In 2016, WMATA reported that the prioritization of capital needs in the 2010 Capital Needs Inventory was primarily based on qualitative assessments by management rather than being driven by quantitative information and condition assessments. According to WMATA, the 2010 Capital Needs Inventory was largely based on the professional judgment of staff in consideration of WMATA\u2019s strategic goals but was not data-driven. WMATA has taken actions to address this weakness by issuing a policy that requires WMATA\u2019s senior management serving on the Capital Program Advisory Committee to use a more quantitative-based capital prioritization formula in preparing the Capital Needs Inventory. For example, the November 2016 Capital Needs Inventory used a quantitative approach to rank and prioritize capital needs. This approach included the use of four criteria\u2014asset condition, safety and security, service delivery, and ridership impact\u2014 to numerically score capital needs and WMATA then used a risk- based weighting approach to combine these criteria into a single overall prioritization score."], "subsections": []}, {"section_title": "WMATA Has Not Yet Established Documented Policies and Procedures, or Developed Performance Measures and Complete Asset Inventory Information", "paragraphs": ["While WMATA has addressed some weaknesses it identified in its prior planning, it has not established documented policies and procedures to guide the annual capital planning process, or developed measures to assess capital project and program performance and a plan to obtain complete information on its assets and their physical condition."], "subsections": [{"section_title": "Policies and Procedures to Guide the New Capital Planning Process", "paragraphs": ["Although WMATA established policies and procedures for prioritizing capital needs\u2014that is, investments in groups of related assets\u2014for the 2016 Capital Needs Inventory, it has not established documented policies and procedures for the new capital planning process, including how WMATA will rank and select individual projects to address those needs through its annual capital budgets and Six-Year Capital Improvement Program. For example, through its Capital Needs Inventory WMATA stated it needed to invest $17.4 billion over a 10-year period to address its state-of-good-repair needs, including replacing vehicles, rehabilitating stations, and investing in other types of assets. WMATA uses the annual capital budget and Six-Year Capital Improvement Program to identify the specific projects to be funded to meet the 10-year investment needs. However, because WMATA has not established documented policies and procedures for the new capital planning process, it has not yet identified the specific methodologies to rank and select projects for funding on an annual basis.", "According to WMATA officials, the legacy annual capital planning process was based on implementing the list of projects that resulted from its 2010 Capital Needs Inventory and WMATA did not have a documented capital planning process that it followed on an annual basis. WMATA officials told us that the legacy capital planning process was \u201cad hoc\u201d in nature, in part because WMATA was reacting to emergencies. For example, because WMATA needed to address the NTSB recommendation to replace the 1000-series railcars and address FTA safety directives after the 2015 smoke incident at the L\u2019Enfant Plaza Station, it did not adhere to a formal annual-planning process.", "The COSO internal control standards point out the importance of organizations documenting their processes to facilitate retention and sharing of organizational knowledge. Leading practices contained in the Executive Guide also recommend that organizations have defined processes for ranking and selecting projects for capital funding. In addition, the Executive Guide noted that organizations find it beneficial to rank projects because the number of requested projects often exceeds available funding.", "Officials from all five of the peer transit agencies we spoke with told us they had or planned to develop documented processes for making capital investment decisions. For example, officials from four of the five peer transit agencies we spoke with said they use a project scoring and ranking system in their capital planning process, and officials from the fifth agency told us it plans to develop such a system. Officials from one agency provided us with its project evaluation and scoring system that assigns scores using eight selection criteria that are tied to the agency\u2019s strategic business plan and state priorities. The selection criteria include such things as system preservation, safety, and cost-effectiveness. Officials from another agency told us they use an analytical tool to score projects and that every project (new or existing) gets re-scored annually.", "As a result of WMATA not having documented policies and procedures for its capital planning process, it is unclear how important parts of the process will work and the basis for WMATA\u2019s investment decisions. WMATA has outlined some high-level policies for the capital planning process and prepared limited guidance for certain parts of the process. For example, WMATA officials told us that its recently issued Transit Asset Management Plan contains asset management policies that address the ranking and selecting of capital projects. Although the Transit Asset Management Plan discusses the process for estimating and prioritizing capital needs and, which are precursors of projects, the plan does not specifically address how projects would be selected for annual capital budgets and the capital improvement program. In addition, WMATA developed limited guidance for staff to use in developing new capital projects. Under this guidance, capital funds could be provided to evaluate, plan, and develop projects. While this guidance may be useful for developing projects, it does not establish the policies and procedures WMATA will follow to decide which projects will be funded through the annual capital budget and the capital improvement program.", "Further, the documentation prepared by WMATA to date does not establish policies and procedures for the entire capital planning process and how decisions will be made throughout the process. WMATA reported in its fiscal year 2019 annual budget that it had created a capital program manual that identifies the roles, responsibilities, processes, and calendars of events to inform the fiscal year 2020 capital program. WMATA officials told us that the previous Director of the Capital Planning and Program Management Department had included this information in the draft budget proposal when these documents were being developed. However, WMATA officials told us that these documents were not completed, and that the information was mistakenly not removed from the budget before the previous director of the department left the agency.", "WMATA officials told us they plan to formalize policies, procedures, and manuals for the fiscal year 2021\u20132026 capital-investment program cycle. The current leadership of the Capital Planning and Program Management Department told us that given the time-constraints facing WMATA in the current fiscal year 2020 planning cycle, WMATA decided not to formally document the new capital planning process until after WMATA has had a chance to test it through the current planning cycle to see how it works. According to the official, the department\u2019s leadership has instructed staff to document steps taken in implementing the new process so that WMATA will have the opportunity to learn from the new process and make necessary changes before developing formal, written procedures that will guide future planning cycles.", "Although delaying formal development of policies and procedures may provide an opportunity to learn from the process while implementing it, it does not provide the guidance necessary now as WMATA uses its new capital planning process to develop the fiscal year 2020 capital program. In particular, because WMATA has not established policies and procedures for ranking and selecting projects, WMATA does not have a framework or clear criteria for programming projects in the annual capital budget for fiscal year 2020. WMATA has proposed a fiscal year 2020 capital budget of $1.4 billion. In addition, WMATA\u2019s plan to document steps taken in implementing the new process as it is occurring does not provide reasonable assurance that WMATA is making decisions using a consistent process to direct investments toward WMATA\u2019s highest priority needs. A consistent process is all the more important to ensure that WMATA does not continue to use an ad-hoc process for capital investment decisions, as it did in its legacy process. WMATA\u2019s annual capital spending is anticipated to increase substantially over the fiscal year 2020-2025 period, as WMATA expects to be programing the additional $500 million annually for capital purposes committed by the District of Columbia, Maryland, and Virginia. Without a documented planning process that includes procedures for ranking and selecting projects for funding in the fiscal year 2020 capital budget, WMATA\u2019s stakeholders lack reasonable assurance that WMATA\u2019s capital investment decisions will be made using a sound and transparent process."], "subsections": []}, {"section_title": "Performance Measures to Assess Capital Projects and the Capital Planning Process", "paragraphs": ["WMATA has also not developed performance measures to assess capital projects and the capital planning process. Leading practices from the Executive Guide suggest that one way to determine if a capital investment achieved the benefits that were intended when it was selected is to evaluate its performance using measures that reflect a variety of outcomes and perspectives. By looking at a mixture of measures, such as financial improvement and customer satisfaction, managers can assess performance based on a comprehensive view of the needs and objectives of the organization. Leading organizations we studied in preparing the Executive Guide, such as private sector companies, use financial and non-financial criteria for success that are tied to organizational goals and objectives. According to the Executive Guide, project-specific performance measures are then used to develop unit performance measures and goals, which are ultimately used to determine how well an organization is meeting its goals and objectives.", "WMATA officials told us they have not developed performance measures for assessing the performance of individual projects or the capital planning process as a whole. One WMATA official told us that WMATA would like to evaluate results of the new capital planning process to determine whether organizational goals have been met. The official suggested that WMATA would work with a consultant to demonstrate a linkage between capital planning goals and WMATA\u2019s organizational goals. However, the official did not indicate when this step would occur or provide additional information. Moreover, it is unclear whether the official\u2019s intentions for this effort would result in measures for assessing individual projects as well as the overall capital planning process. By developing measures, WMATA will be better positioned to assess whether specific capital investments met their intended outcomes or if the capital planning process itself is helping WMATA achieve its strategic goals and objectives and effectively using taxpayer funds."], "subsections": []}, {"section_title": "Information on Asset Inventories and Physical Condition Assessments", "paragraphs": ["WMATA also does not have a complete inventory or physical condition assessments of its assets. Leading practices for good capital decision- making call for organizations to conduct a comprehensive assessment of their needs and identify the organization\u2019s capabilities to meet these needs. This process includes taking an inventory of assets and their condition and assessing where there are gaps in meeting organizational needs. The Transit Cooperative Research Program has also identified asset inventory and condition assessments as the first step in determining what asset rehabilitations and replacements are needed as transit providers address their state-of-good-repair requirements. Asset inventories and condition assessments provide critical information for capital-investment decision making.", "WMATA has initiated various efforts to obtain better information about its assets and their condition. These efforts have included:", "Transit Asset Inventory and Condition Assessment Project. In 2016, WMATA began this project to provide a physical inventory of WMATA assets and their condition, in part to comply with FTA\u2019s Transit Asset Management regulations. According to WMATA, this project was to be the cornerstone in ensuring a complete, consistent, accurate, and centralized repository of relevant asset-related data. However, WMATA officials said that the project primarily focused on obtaining an inventory and condition assessment of WMATA facilities and equipment. A February 2018 WMATA memo to senior management stated that even when the project was completed, WMATA would still lack a robust database of track, guideway, infrastructure (e.g., tunnels and bridges), systems, and communication assets\u2014elements that the November 2016 Capital Needs Inventory noted were the largest gaps in the asset information used to support capital needs forecasting. According to WMATA, this project produced inventory and condition assessments for about 30 percent of WMATA\u2019s asset base. As of October 2018, WMATA considered the project complete since it provided information to help prepare WMATA\u2019s completed Transit Asset Management Plan, dated October 1, 2018. WMATA officials noted that they will continue to develop their asset inventories and condition assessments through its new Enterprise Asset Management Program, described below.", "Enterprise Asset Management Program. In December 2017, WMATA began development of an Enterprise Asset Management Program. According to WMATA, this program is an effort to institutionalize asset management practices that are aligned with industry best practices to provide, among other things, high quality asset data for informed decision-making, including for capital planning. Expected program tasks include updating asset records and improving and consolidating asset inventories in WMATA\u2019s asset system of record (called Maximo).", "WMATA\u2019s efforts to develop more complete asset inventory and condition assessments are not complete. Among other things, WMATA documentation on the Enterprise Asset Management Program cited \u201cinattention, poor standardization, and organizational silos\u201d as factors that have resulted in WMATA having multiple sets of asset records in various states of accuracy and usefulness. The Enterprise Asset Management Program, according to WMATA, is an effort to help address this situation and improve asset data quality, including inventory and condition assessments.", "Although WMATA is developing a new Enterprise Asset Management Program, it has yet to develop a plan for obtaining a complete inventory or physical condition assessments of its assets. The Project Management Institute\u2019s Guide to the Project Management Body of Knowledge, PMBOK\u00ae Guide describes the elements of good project management and their importance in achieving organizational goals. Among these elements are:", "Having a project charter that formally authorizes a project, that commits resources to the activity, and that provides a direct link to organizational strategic objectives;", "Preparing a project plan to define the basis of the project\u2019s work and how the work will be performed; and", "Establishing a monitoring and control process to track, review, and report overall progress in meeting the plan\u2019s objectives.", "WMATA has prepared draft documents that describe how it will implement the Enterprise Asset Management Program and that contain some elements of good project management. For example, in January 2018 WMATA circulated a proposed charter that once approved would authorize the Enterprise Asset Management program, identify needed resources, and link to WMATA\u2019s strategic goals. As of October 2018, this proposed charter had not yet been finalized. Draft program documents also indicate there would be a monitoring and control process that would establish regular reporting to internal stakeholders to assess program accomplishments and progress implementing the program.", "While WMATA has developed a proposed charter and a monitoring and control process for its Enterprise Asset Management Program, it has not established a plan for collecting asset inventory and condition assessment information. The draft program charter includes general tasks for updating asset records and improving and consolidating asset inventory data in Maximo. However, a plan would provide more specific details for how the work would be completed, such as the information to be collected on different assets, how and when this information would be consolidated into Maximo, milestones for completing the work, or how the effort would be funded. Without a plan to obtain asset inventory and condition assessment information WMATA will continue to lack critical information needed for good capital planning and sound investment decision-making."], "subsections": []}]}]}, {"section_title": "WMATA Reported Significant Progress toward Goals, but the Track Preventive Maintenance Program Does Not Fully Align with Leading Practices", "paragraphs": [], "subsections": [{"section_title": "WMATA Has Reduced Both Track Defect Incidents and Electrical Fires but Faces Challenges Implementing Its Track Preventive Maintenance Program", "paragraphs": ["WMATA has reported significant progress toward its goals of reducing track defects and fire incidents, but still faces several challenges with implementing its track preventive maintenance program. WMATA defines an incident as any unplanned event that disrupts rail revenue service. According to WMATA officials, within the track preventive maintenance program WMATA seeks to reduce incidents specifically caused by electrical wayside fires and track defects each by 50 percent from fiscal year 2017 to fiscal year 2019. WMATA reported that in fiscal year 2018 it had met its goal for track defect incidents but not for electrical wayside fires. According to officials, track defect incidents\u2014which include incidents caused by defective fasteners, switches, and \u201cballast\u201d\u2014were reduced by 50 percent from a total of 778 in fiscal year 2017 to 387 in fiscal year 2018. Electrical-wayside-fire incidents\u2014including incidents caused by cable and insulator fires\u2014went down 20 percent from a total of 55 in fiscal year 2017 to 44 in fiscal year 2018 (see fig.5).", "Although WMATA has reduced both track defect incidents and electrical fires, the track preventive maintenance program is not intended to address the full range of all defects and track fires that may occur on the system. WMATA officials told us that the track preventive maintenance program specifically seeks to reduce electrical-wayside-fire incidents, which are a specific sub-set of overall track fires, and does not include non-electrical fires or smoke incidents, such as the ones caused by railcars or debris. WMATA captures and publicly reports the non-electrical fires as part of its quarterly Metro Performance Report, but according to WMATA officials, these fires are not specifically addressed through the track preventive maintenance program. While electrical fires decreased in fiscal year 2018, non-electrical fires did not change, as WMATA reported 23 non-electrical fires for both fiscal years 2017 and 2018. Additionally the track preventive maintenance program addresses a certain sub-set of track defect incidents such as those caused by loose fasteners and defective switches. According to WMATA, these track defect incidents can be addressed through its track geometry, torqueing, and switch maintenance initiatives. WMATA addresses other types of track defects, such as rail breaks and third-rail defects, through its capital program. However, according to WMATA, track defects attributable to the capital program are still included as part of the overall goal to reduce all track defect incidents by 50 percent by fiscal year 2019.", "WMATA established goals for completing each of the six track preventive maintenance initiatives within a certain time period and reported that in fiscal year 2018 it was on-track to meet or exceed those goals for four of the initiatives. For example, in implementing its \u201ccable meggering\u201d initiative, WMATA established a goal to inspect and replace electric cables across its entire rail system within 4 years. According to WMATA, it met its target for fiscal year 2018 by completing 25 percent of the entire system in that year. In addition to cable meggering, WMATA also met its annual targets for the switch maintenance, track bed cleaning, and stray current-testing initiatives. As for the two initiatives behind schedule, the torqueing initiative was 70 percent complete and the tamping initiative stood at 90 percent for the 2018 target (see table 2). Officials told us they have developed various ways to improve efficiency with these initiatives. For instance, WMATA improved the productivity of its switch maintenance initiative by separating the work to inspect the switches from the follow-up repair work to grind and weld them. These activities had previously been conducted by the same team.", "However, WMATA faces challenges in implementing the track preventive maintenance program moving forward. WMATA officials described track preventive maintenance as a necessary operation that must be continuously performed and balanced in conjunction with regular train operations that provide service to their customers. According to WMATA officials, executing this new program requires regular refinements to ensure it continues to progress toward its desired outcomes. Among the implementation challenges identified by WMATA officials were the following:", "Securing Sufficient Track Time. WMATA officials told us that getting adequate time to perform track maintenance is difficult because it requires reducing the number of hours in which WMATA provides service to customers. Consequently, increased maintenance hours can result in lost revenue. Officials from the peer transit agencies we interviewed stated that the tension between conducting maintenance and providing service is common in the transit industry. According to WMATA officials, prior to SafeTrack, windows for performing track maintenance were not sufficient to complete all necessary work, partially because of this need to balance maintenance hours and service hours. To address this issue, WMATA increased its weekly overnight work hours from 33 hours to 39 hours during SafeTrack. After SafeTrack was complete, WMATA extended weekly overnight work hours again to a total of 41 hours. However, maintaining these extended overnight work hours past fiscal year 2019 requires approval from WMATA\u2019s board of directors. As a result, the long-term viability of WMATA\u2019s track preventive maintenance program is partially dependent on the board\u2019s decision to balance the competing demands for service hours and maintenance time.", "Work Time Productivity. To maintain extended track-maintenance hours into succeeding years, it will be important for WMATA to demonstrate the new program\u2019s productivity. According to WMATA officials, making the most productive use of the extended working hours is a challenge, but it will be necessary to justify the extended maintenance windows. WMATA officials told us that only a portion of overnight work hours yields productive maintenance time. For example, once a line ceases operations, it takes an additional hour for all trains to reach their final destination, and another hour after that to safely turn off all power running to the track and then establish a work zone. Once maintenance work is completed, additional time must be allotted for restoring power and allowing trains to move back into position. Because of these requirements, a five-hour work window may only yield two hours of productive work time (called \u201cwrench time\u201d). For this reason, WMATA began tracking its wrench time at the beginning of fiscal year 2018. As of June 2018, WMATA reported that average wrench time had increased from about 2.0 hours per day in July 2017 to 2.37 hours.", "Resource Constraints. According to WMATA officials, having sufficient people with the necessary skills and experience to perform track maintenance work is a significant challenge. For instance, expanded maintenance windows have increased WMATA\u2019s workforce requirements. As a result, WMATA has used contractors to assist with its stray-current testing and track bed cleaning initiatives. In another example, WMATA\u2019s torqueing initiative is particularly resource intensive as the entire rail system contains 135 miles of \u201cdirect fixation\u201d track, where the torqueing work is being done, and over 504,000 fasteners to check and tighten as necessary. According to WMATA officials, bolts and fasteners are torqued during their initial installment and then again 90 days afterward as part of the initial capital expenditure. After that, any subsequent torqueing is executed as part of the new track preventive maintenance program. WMATA stated that the torqueing initiative seeks to torque all 135 miles of direct fixation track annually. WMATA officials said the torqueing initiative is a mix of contractor and in-house staff, with contractors supplementing WMATA forces as needed."], "subsections": []}, {"section_title": "WMATA\u2019s Track Preventive Maintenance Program Does Not Fully Align with Leading Program Management Practices", "paragraphs": ["WMATA\u2019s track preventive maintenance program has followed certain leading program management practices such as establishing key performance metrics and monitoring progress toward them. Leading practices recommend that organizations establish performance baselines for their programs and communicate performance metrics to key stakeholders. For instance, as previously noted, WMATA established a measureable program goal to reduce track-defect and electrical-wayside- fire incidents by 50 percent within 2 years, and WMATA also established time periods to complete its system-wide preventive maintenance initiatives. In addition, WMATA\u2019s Rail Services Department\u2014which manages the track preventive maintenance program\u2014among other things, holds a monthly \u201cRailSTAT\u201d meeting in which the teams leading the preventive maintenance initiatives report their progress toward these goals to WMATA\u2019s management.", "However, WMATA\u2019s program does not fully align with other applicable internal-control standards or leading program-management practices. Specifically, COSO internal control standards and leading practices identified by the Project Management Institute\u2019s The Standard for Program Management stresses the importance of identifying and assessing program risks and developing a program management plan.", "COSO recommends that organizations identify risks to the achievement of its objectives and analyze risks as a basis for determining how the risks should be managed. Furthermore, the risk identification is to be comprehensive.", "The Standard for Program Management also recommends that when identifying risks, the assessments be both qualitative and quantitative in nature.", "Regarding program management plans:", "The Standard for Program Management recommends that organizations develop program management plans that align with organizational goals and objectives. This includes aligning the program management plan with the organization\u2019s overall strategic plan. Elements of the plan are to provide a roadmap that identifies such things as milestones and decision points to guide program activities.", "In developing the track preventive maintenance program, WMATA did not fully identify or quantitatively assess risks associated with the program. WMATA officials told us that in developing the track preventive maintenance program they used their professional judgment to identify track-defect and fire incidents as the most significant risks that they needed to address through the program. However, WMATA\u2019s risk identification was not comprehensive in nature, as it only considered two technical aspects of track maintenance: electrical fires and track defects. As previously mentioned, non-electrical fires\u2014which were not included in the scope of the program or risk assessment\u2014did not change from fiscal year 2017 through 2018 and represent approximately 30 percent of all fires on the system over those years. Although WMATA officials told us in designing the program they reviewed track-related incident data from 2016, they did not quantitatively analyze the impact of these incidents on service or safety. In addition, WMATA did not consider broader strategic risks to its program, such as the availability of a program\u2019s funding and stakeholders\u2019 support for the continuation of the program. Specifically, while WMATA has identified several challenges with implementing the program\u2014such as securing sufficient track time, demonstrating work time productivity, and overcoming resource constraints\u2014none of these factors, or potential mitigations, were documented in a risk assessment in developing the program.", "WMATA has also not prepared a program management plan for the track preventive maintenance program. Although WMATA has identified program goals, officials told us that WMATA has not formally documented the overall structure of the program or how it would be implemented. Instead, the officials said the presentations they provide to WMATA\u2019s board of directors, along with their ongoing staff and executive team meetings, regarding the track preventive maintenance program cover the relevant information needed for running the program. While providing such information to the WMATA board of directors provides some accountability for the program, these presentations do not represent a formal program management plan that links with WMATA\u2019s strategic plan or that identifies milestones and decision points necessary to guide the program. As we previously reported, WMATA did not develop a project management plan before starting its SafeTrack work, and due to this omission and other issues, we found that WMATA lacked assurance that the approach taken with SafeTrack was the most effective way to identify and address safety issues. Furthermore, as this is the first time WMATA has implemented a track preventive maintenance program, a program management plan could help formally establish the program, provide strategic guidance for this new program by providing accountability for both internal and external stakeholders, and ensure that program goals are met. A program management plan could also provide practical benefits, such as helping ensure that WMATA\u2019s extended overnight work hours are efficiently implemented and that sufficient resources are devoted to the program.", "Without the strategic direction provided by a comprehensive risk assessment and a formal program management plan, WMATA lacks a documented vision for how the track preventive maintenance program should be structured and implemented in order to meet the agency\u2019s strategic goals and improve track safety. Specifically, without a risk assessment that uses quantitative and qualitative data to assess risks\u2014 such as data for all fires on the system and qualitative risks such as securing sufficient time for maintenance\u2014WMATA lacks assurance that the program is comprehensively designed to address risks affecting the safety of the rail system or other risks that could hinder the program\u2019s success. Moreover, a program management plan that draws on information from a comprehensive risk assessment would provide WMATA officials with the assurance that they are prepared to respond to current and future challenges that could threaten the long-term viability of the program.", "Finally, although WMATA developed the track preventive maintenance program to prevent the need for another emergency repair project like SafeTrack, without a formal program management plan, the WMATA employees charged with managing and implementing the program lack an important document to guide their decision-making to meet that objective and the agency\u2019s overall strategic objectives. Developing a program management plan would outline the specific requirements to successfully implement the program, including necessary track time, expected productivity of program initiatives, and required resources. Furthermore, it would provide WMATA\u2019s board of directors with confidence that the program has a clear roadmap with milestones and decision points as the board considers maintaining the extended overnight work hours necessary to implement the program."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["WMATA\u2019s rail and bus systems provide nearly a million passenger trips each day, and those passengers rely on WMATA for safe and reliable public transportation in the nation\u2019s capital and the surrounding areas. The federal, state, and local jurisdictions that fund WMATA expect WMATA to wisely use taxpayer funds to ensure the system is safe and reliable. WMATA can better meet these expectations by establishing documented policies and procedures that outline how the new capital planning process will work and the basis of investment decisions. In addition, developing measures to assess the performance of individual projects and the capital planning process would provide greater assurance to WMATA\u2019s funding partners that its investment decisions result in a measurable improvement in operating performance, reliability, or other metrics. Furthermore, WMATA\u2019s recent efforts to establish an Enterprise Asset Management Program, once finalized, could help WMATA develop a more complete inventory of its assets and collect critical information on their condition\u2014both of which are consistent with sound capital planning. However, without a plan that provides specific details for obtaining this information, WMATA will continue to lack the critical asset information necessary to make lasting improvements in its capital planning process and make sound capital-investment decisions.", "Similarly, track preventive maintenance plays a critical role as WMATA works to reduce the track defects and fires that have endangered safety and service reliability. WMATA could better demonstrate the direction of the track preventive maintenance program and how it can improve track safety by more comprehensively assessing the technical and broader risks facing the program and by developing a formal plan that provides greater assurance WMATA is prepared to address challenges that could threaten the long-term viability of the program. Both actions would help WMATA better focus the program on critical maintenance needs and demonstrate its value to WMATA\u2019s board of directors and other stakeholders as WMATA endeavors to provide safe, reliable, and quality service to its riders."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to WMATA.", "The General Manager of WMATA should establish documented policies and procedures for the new capital planning process. These policies and procedures should include methodologies for ranking and selecting capital projects for funding in WMATA\u2019s fiscal year 2020 capital budget and fiscal years 2020-2025 Capital Improvement Program and for future planning cycles. (Recommendation 1)", "The General Manager of WMATA should develop performance measures to be used for assessing capital investments and the capital planning process to determine if the investments and planning process have achieved their planned goals and objectives. (Recommendation 2)", "The General Manager of WMATA should develop a plan for obtaining complete information regarding WMATA\u2019s asset inventory and physical condition assessments, including assets related to track and structures. (Recommendation 3)", "The General Manager of WMATA should conduct a comprehensive risk assessment of the track preventive maintenance program that includes both a quantitative and qualitative assessment of relevant program risks. In addition to considering technical program risks, WMATA should also consider broader program risks, such as the availability of funding for the program and stakeholders\u2019 support. (Recommendation 4)", "The General Manager of WMATA should prepare a formal program management plan for the track preventive maintenance program that aligns with WMATA\u2019s strategic plan, addresses how the program is linked to overall strategic goals and objectives, and includes program milestones and decision points. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to WMATA and the Department of Transportation for review and comment. WMATA provided written comments, which are reprinted in appendix II, and technical comments, which we incorporated as appropriate in the report. The Department of Transportation provided technical comments, which we incorporated as appropriate.", "WMATA concurred in part, or with the intent of four of the recommendations, and disagreed with a fifth. Specifically, regarding the first recommendation, which is that WMATA establish documented policies and procedures for the new capital planning process, and that the policies and procedures include methodologies for ranking and selecting capital projects for the fiscal year 2020 capital budget and fiscal year 2020\u20142025 capital-improvement program.", "WMATA stated that it agreed with the recommendation, in part. WMATA said it will continue its efforts to finalize and document policies and procedures for the capital planning process for fiscal year 2021 and beyond. WMATA noted that it already has in place numerous planning tools, such as the 2016 Capital Needs Inventory assessment, which helped inform the fiscal year 2020 capital planning process. According to WMATA, it is currently reviewing policies, procedures, training materials, and other documents for the fiscal year 2020 planning process, and those documents will be updated and formalized through final documentation in fiscal year 2021. WMATA noted that it anticipates that many of the elements we recommend regarding the capital planning process will be part of the process documented in fiscal year 2021. For example, WMATA expects that additional automation, decision-making, governance, and reporting capabilities, will be part of the process that will be documented for fiscal year 2021. However, while WMATA has tools available to inform the capital planning process, it has not prepared documented policies and procedures for this process in fiscal year 2020. As we reported, without documented policies and procedures, including those for ranking and selecting projects for the fiscal year 2020 capital budget, WMATA\u2019s stakeholders do not have reasonable assurance that capital investment decisions are made using a sound and transparent process. Taking action now to establish methodologies for ranking and selecting projects for the fiscal year 2020 capital budget would provide WMATA with an opportunity to improve upon those methodologies for the fiscal year 2021 capital planning process to better ensure investments are directed to WMATA\u2019s highest priority needs. As such, we continue to believe this recommendation is valid and that WMATA should fully implement it.", "Regarding the second recommendation that WMATA develop performance measures for assessing capital investments and the capital planning process, WMATA stated that it agreed with the intent of the recommendation. WMATA also stated that it has developed such measures through compliance with federal requirements, including the FTA\u2019s performance-based planning requirements and the requirement under MAP-21 that tier I transit providers, such as WMATA, establish state-of-good-repair targets that are linked to the capital program. WMATA noted these targets are set forth in its Transit Asset Management Plan. Although WMATA\u2019s October 2018 Transit Asset Management plan includes some broad performance measures and targets for the state-of-good-repair for its various asset classes, as we reported, WMATA has not developed performance measures to assess individual capital projects or the capital planning process itself, as suggested by leading practices in the Executive Guide. As discussed in the report, such measures are important to determine if capital investments have achieved their expected benefits and if they have achieved organizational goals. Leading practices also indicate that by using a mixture of measures managers can assess performance based on a comprehensive view of the needs and objectives of an organization. These needs and objectives can go beyond just the state-of-good-repair to include such things as measures for assessing projects that would improve service reliability, expand capacity, or achieve financial objectives. We continue to believe that fully implementing this recommendation would help ensure that capital investments meet their intended outcomes and that the capital planning process helps WMATA achieve its strategic goals and objectives.", "Regarding the third recommendation that WMATA develop a plan for obtaining complete information about asset inventories and condition assessments, WMATA stated that it agreed with the intent of the recommendation and that its 2018 Transit Asset Management Plan outlines plans for continuing its asset inventory update. WMATA also said that it is working to ensure it has a complete asset inventory that addresses legacy information and that includes accurate, up-to-date condition assessments. As we reported, the Enterprise Asset Management Program\u2014the program that WMATA told us it plans to use to continue development of asset inventories and condition assessments\u2014includes some elements of good project management, but it also lacks an established plan for collecting asset inventory and condition assessment information. Without a plan to obtain asset inventory and condition assessment information WMATA will continue to lack critical information needed for good capital planning and sound investment decision-making. Thus, we continue to believe that this recommendation is valid and that WMATA should fully implement it.", "Regarding the fourth recommendation that WMATA conduct a comprehensive risk assessment of the track preventive maintenance program that includes both quantitative and qualitative assessment of relevant program risks, WMATA stated that it agreed with the intent of the recommendation and is putting in place a new process that will address it. Specifically, WMATA stated it is in the process of developing a new Reliability Centered Maintenance process that will include a comprehensive risk assessment of track infrastructure that includes consideration of broader risks such as costs, funding, and track access. According to WMATA, the new process is an engineering framework that will define the maintenance regimen, including preventive maintenance, and improve safety, reliability, and cost-effectiveness. During our review, WMATA officials did not discuss the Reliability Centered Maintenance process in detail or provide documentation that allowed us to evaluate how this process might interface with the current track preventive maintenance program. As a result, we were not able to evaluate how it might address identification and assessment of risks associated with track preventive maintenance. As we reported, going forward track preventive maintenance will play a critical role as WMATA works to reduce track defects and fires. We will review WMATA\u2019s actions to conduct a comprehensive risk assessment as part of our routine recommendation follow-up process.", "Regarding the fifth recommendation that WMATA prepare a formal program management plan for the track preventive maintenance program, WMATA stated that it disagreed with the recommendation. WMATA noted that specific technical details of the track preventive maintenance program are evolving as it better understands the most effective maintenance regime through implementation of the Reliability Centered Maintenance process. WMATA stated that it believes the framework of Reliability Centered Maintenance is better suited to the ongoing mission of physical asset management than traditional project and program management tools. According to WMATA, the purpose of Reliability Centered Maintenance is to ensure that all efforts are focused on the safety, reliability, and cost-effectiveness of assets through their lifecycle, which is more relevant and applicable to WMATA\u2019s strategic plan than any individual preventive maintenance program. As stated above, WMATA did not provide details about Reliability Centered Maintenance during our review so we are not able to evaluate this process in relation to the track preventive maintenance program. We will review WMATA\u2019s actions related to implementation of the Reliability Centered Maintenance process as part of our routine recommendation follow-up process. We continue to believe this recommendation is valid and that WMATA should fully implement it.", "We will send copies of this report to appropriate congressional committees, the Secretary of Transportation, the Administrator of the Federal Transit Administration, and the General Manager of WMATA. In addition, we will make copies available to others upon request, and the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report examines: (1) How WMATA expended its capital funding from fiscal years 2011 through 2017; (2) How WMATA\u2019s new capital planning process addresses weaknesses it identified in the previous process; and (3) WMATA\u2019s progress toward its track preventive maintenance goals and how the program aligns with leading program management practices.", "For each of our objectives we reviewed pertinent federal statutes and regulations as well as WMATA and FTA policies and documents. We also selected a non-generalizable sample of five similar U.S. transit agencies based on similarity to WMATA in transit route mileage, system use, capital spending, system age, and rail fleet age. We also factored geographical diversity into our selection process. We then interviewed the officials from these selected transit agencies using a standard set of questions to learn how they utilize their capital funds, conduct capital planning, and oversee maintenance; and then we compared their processes to WMATA. Transit route mileage, system use, capital spending, and rail fleet age were measured using data from FTA\u2019s National Transit Database. We measured system age according to data available within the American Public Transportation Association\u2019s 2017 Public Transportation Fact Book, and geographical diversity was determined through data available from the U.S. Census Bureau. The transit agencies we selected were: (1) Bay Area Rapid Transit, Oakland, California; (2) Chicago Transit Authority, Chicago, Illinois; (3) Massachusetts Bay Transportation Authority, Boston, Massachusetts; (4) Metropolitan Atlanta Rapid Transit Authority, Atlanta, Georgia; and (5) Southeastern Pennsylvania Transportation Authority, Philadelphia, Pennsylvania.", "To assess WMATA\u2019s capital spending from 2011 through 2017, we interviewed knowledgeable officials from WMATA and FTA and also reviewed WMATA annual budgets, fourth-quarter and year-end financial reports, budget reconciliation reports, comprehensive annual financial reports, and FTA grant awards. We selected fiscal year 2011 because it was the first year in which WMATA received federal funding authorized by the Passenger Rail Investment and Improvement Act of 2008 (PRIIA), and we selected fiscal year 2017 because it was the most recent year that capital expenditure data were available at the time of our review. By analyzing this information we determined that the following sources provided the most comprehensive and reliable available data on each of the following topics for our report (see table 3): We collected the aforementioned data, analyzed them to identify errors or other anomalies, and interviewed officials to determine how the data are compiled and checked for accuracy. We determined that these data had some limitations, as an external audit report of WMATA financial information for fiscal year 2016 noted a material weakness with WMATA\u2019s process for accounting acquisition costs of capital assets. Specifically, there were inconsistencies between WMATA\u2019s general ledger and sub- ledger, which are used to record acquisition costs, depreciation, and other financial information related to capital assets. As a result, additional steps were required to reconcile the differences between the two sources and could have resulted in a material error. However, after interviewing WMATA officials about the weakness and assessing the available financial information, we determined that the data we used were sufficiently reliable for our purpose of showing general trends of capital expenditures.", "Our analysis sought to depict how WMATA allocates and expends funds according to major asset categories within its capital-improvement plan. However, these asset categories only remained consistent from 2011 through 2015, and were revised during 2016 and 2017. However, we determined that each asset category consisted of Capital Improvement Projects that were each assigned a number. These projects and their corresponding numbers remained in existence from fiscal year 2011 through 2017, even though the asset categories were updated in fiscal year 2016. Tracking by Capital Improvement Project number provided a means to report consistently through that time period. Therefore, we used the asset categories from fiscal years 2011 through 2015 as our base reporting categories. These categories consisted of: (1) Vehicles/Vehicle Parts, (2) Rail System Infrastructure Rehabilitation, (3) Maintenance Facilities, (4) Systems and Technology, (5) Track and Structures, (6) Passenger Facilities, (7) Maintenance Equipment, (8) Other Facilities, and (9) Project Management and Support. We consolidated WMATA\u2019s nine asset categories into five asset categories in order to represent broader categories of investment: Rail and Bus Vehicle Fleet (Vehicle/Vehicle Parts), Fixed Rail Infrastructure (Rail System Infrastructure and Track and Structures), Maintenance Facilities and Equipment (Maintenance Facilities and Maintenance Equipment), Passenger and Other Facilities (Passenger Facilities and Other Facilities), and Business Systems and Project Management Support (Systems and Technology and Project Management and Support). We then reviewed WMATA\u2019s fiscal year 2016 Fourth Quarter Report, fiscal year 2017 Fourth Quarter Report, and fiscal year 2017 Budget Reconciliation Report to match each project number from those two years to their corresponding category from fiscal year 2011 through 2015.", "To assess WMATA\u2019s new capital planning process and how it addresses weaknesses WMATA identified in the previous process, we interviewed WMATA officials about their capital planning process and reviewed WMATA documentation related to the capital planning process. This included Capital Needs Inventories, WMATA\u2019s policy for preparation of the 2010 and 2016 Capital Needs Inventories, annual capital budgets\u2014to include capital improvement programs, and guidance documents issued by WMATA related to submitting projects for inclusion in the annual capital budget. We also reviewed the fiscal year 2018 business plan for WMATA\u2019s Capital Planning and Program Management Department. We also interviewed officials from the Metropolitan Washington Council of Governments, the American Public Transportation Association, and FTA to discuss WMATA\u2019s capital planning and budgeting processes. Furthermore, we compared WMATA\u2019s capital planning practices to leading practices identified in GAO\u2019s Executive Guide. The Executive Guide was used since it identifies leading practices for capital decision- making that are applicable to a wide variety of organizations, both public and private. For example, the Executive Guide developed leading capital planning practices by (1) identifying government and private sector organizations recognized for outstanding capital decision-making practices and (2) identifying and describing the leading capital decision- making practices implemented by these organizations. To identify leading practices for capital planning, we also reviewed Transit Cooperative Research Program Report 157. This report developed a framework for transit agencies to use when prioritizing the rehabilitation and replacement of capital assets and discusses leading practices in how to do this. We also identified project management principles from the Project Management Institute, Inc. Finally, we discussed capital planning with the peer transit agencies and prepared a summary of various aspects of capital planning in these agencies.", "To examine progress toward goals in WMATA\u2019s track preventive maintenance program and how the program compares with leading program management practices, we reviewed WMATA documentation about the program, interviewed WMATA officials, and analyzed track- defect data and electrical-wayside-fire data provided by WMATA for fiscal years 2016 through 2018\u2014which were the only years detailed track defect and electrical fire incident data were available. In order to determine whether the data provided were sufficiently reliable, we checked the data for errors, conducted interviews with knowledgeable officials to learn their procedures for collecting and analyzing the data, and performed independent tests that included verifying WMATA\u2019s final tally of track defect and fire incidents and verifying there were no extended periods of time where data was missing. We also provided a set of data reliability questions to determine whether procedures were sufficient. After performing these steps we determined that the data were sufficiently reliable for the purposes of our report.", "In our interviews with WMATA, officials also described what goals they had created for the track preventive maintenance program, their progress in meeting those goals, and provided documentation to demonstrate their progress, which we reviewed. We also interviewed officials from the American Public Transportation Association and the American Railway Engineering and Maintenance-of-Way Association about best maintenance practices in the transit industry. We then compared WMATA\u2019s track preventive maintenance program to leading program management practices identified by the Project Management Institute, Inc.\u2019s The Standard for Program Management and internal control standards published by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Project Management Institute\u2019s, standards are utilized worldwide and provide guidance on how to manage various aspects of projects, programs, and portfolios. In particular, The Standard for Program Management provides guidance that is generally recognized to support good program-management practices for most programs, most of the time.", "We conducted our work from November 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Washington Metropolitan Area Transit Authority", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Matt Barranca (Assistant Director), Richard Jorgenson (Analyst in Charge), Melissa Bodeau, Lacey Coppage, Cory Gerlach, Erin Guinn-Villareal, Kirsten Lauber, Joshua Ormond, and Patrick Tierney made significant contributions to this report."], "subsections": []}]}], "fastfact": ["To address safety problems in the Washington, D.C., Metro rail system, Metro started a preventive track maintenance program in June 2017. The program aims to reduce service disruptions caused by track defects or electrical fires\u2014which Metro says are the most significant safety risks.", "While Metro reports making progress, it can't be sure that the program is designed effectively. For example, the program doesn't address non-electrical fires, which comprise 30% of all track fires.", "We recommended a formal risk assessment, which would use data to assess safety and strategic risks to the program, such as ensuring adequate time for maintenance work."]} {"id": "GAO-18-357T", "url": "https://www.gao.gov/products/GAO-18-357T", "title": "Inter-American Organizations: U.S. Share of Assessed Contributions and U.S. Agencies' Efforts to Monitor Assistance Agreements", "published_date": "2018-02-14T00:00:00", "released_date": "2018-02-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States belongs to several inter-American organizations, including the OAS, PAHO, IICA, and PAIGH, which promote democracy, security, health care, agricultural development, and scientific exchange in the Western Hemisphere. The United States helps finance these organizations' operating expenses through assessed contributions. The United States also provides voluntary contributions through the federal funding of assistance agreements to OAS, PAHO, and IICA.", "This testimony is based on GAO's June and December 2017 reports that, among other things, (1) determined the amounts and percentages of U.S. assessed contributions to the four organizations, (2) assessed the extent to which U.S. agencies included and documented key monitoring provisions as part of their assistance agreements, and (3) assessed the extent to which the organizations' strategic goals align with those of U.S. agencies.", "GAO analyzed documents and interviewed officials from State, HHS, USAID, USDA, and the four organizations. GAO analyzed the four organizations' audited financial reports and a nongeneralizable sample of 12 assistance agreements awarded by State, USAID, HHS, and USDA active in calendar years 2014 through 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["While the United States' assessed contributions constituted over 57 percent of total assessed contributions by member states to four inter-American organizations from 2014 to 2016, the U.S. share may be reduced in the near future (see table). In response to a statutory requirement, the U.S. Department of State (State) said it submitted to Congress a strategy that included working with the Organization of American States (OAS) member states toward ensuring that the OAS would not assess any single member state a contribution amounting to more than 50 percent of all OAS assessed contributions. At the OAS General Assembly in June 2017, OAS member states voted to draft a proposal to modify its system for determining member states' assessed contributions to potentially reduce the maximum assessed contribution to below 50 percent. The other three organizations use OAS's system for setting assessed contributions. Hence, any change in contributions at OAS should also be reflected at Pan American Health Organization (PAHO), Inter-American Institute for Cooperation on Agriculture (IICA), and the Pan-American Institute of Geography and History (PAIGH).", "State, the Department of Health and Human Services (HHS), the U.S. Agency for International Development (USAID), and the U.S. Department of Agriculture (USDA) provide voluntary contributions to OAS, PAHO, and IICA in the form of assistance agreements (e.g., grants and cooperative agreements). In December 2017, GAO reported that its review of 12 such agreements across the four agencies found that State and USDA did not include all key monitoring provisions in their agreements as called for by applicable guidance. State has since taken corrective action. GAO also found that all four U.S. agencies did not have full documentation of 18 of the 42 monitoring activities required by the 12 assistance agreements GAO reviewed. For example, USDA did not have full documentation, such as financial reports, of any of its 10 required monitoring activities, and USAID did not have full documentation of 2 of its 11 required activities. State and HHS said they initiated corrective action before our review. If an agency does not have full documentation of monitoring activities, it may lack information needed to make appropriate budgetary and programmatic decisions.", "GAO found that the strategic goals of the OAS, PAHO, IICA, and PAIGH are predominantly aligned with the strategic goals of State, USAID, HHS, and USDA. According to agency officials, the agencies employ mechanisms to ensure that assistance agreements with these organizations align with U.S. goals."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its December 2017 report, GAO recommended that (1) USDA ensure inclusion of all monitoring provisions as part of agreements and (2) USAID and USDA ensure full documentation of monitoring activities. USDA and USAID concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to discuss our work regarding U.S. assistance to inter-American organizations. The United States belongs to several inter- American organizations that, among other things, promote democracy, security, health care, agricultural development, and scientific exchange in the Western Hemisphere. These organizations include the Organization of American States (OAS), the Pan American Health Organization (PAHO), the Inter-American Institute for Cooperation on Agriculture (IICA), and the Pan-American Institute of Geography and History (PAIGH). The United States uses its membership in these organizations to promote U.S. interests in the Western Hemisphere. According to the Department of State (State), the OAS is the premier multilateral forum in the Western Hemisphere for regional dispute resolution and promotion of democratic governance. The United States also works with PAHO, IICA, and PAIGH to provide technical support and guidance in areas including public health, agriculture, and cartography.", "State provides the United States\u2019 assessed contributions to these four organizations\u2019 regular budgets. State, the Department of Health and Human Services (HHS), the U.S. Agency for International Development (USAID), and the U.S. Department of Agriculture (USDA) also provide project-specific voluntary contributions to the OAS, PAHO, and IICA through assistance agreements, which include grants and cooperative agreements. For calendar year 2016, the United States\u2019 assessed contributions to these four organizations totaled over $130 million, and voluntary contributions to the OAS, PAHO, and IICA totaled $32 million. OAS, PAHO, IICA, and PAIGH have established mechanisms for overseeing their use of these funds, such as external auditors and internal audit boards as required by the standards of the Institute of Internal Auditors. State and USDA have directly supported these oversight mechanisms.", "My testimony today summarizes the findings from our June 2017 report and our December 2017 report on U.S. assistance to inter-American organizations. This testimony addresses, for calendar years 2014 through 2016, (1) the amounts and percentages of U.S. assessed contributions to the four organizations, (2) the extent to which U.S. agencies included and documented key monitoring provisions as part of their assistance agreements, and (3) the extent to which the organizations\u2019 strategic goals align with those of U.S. agencies.", "For our reports, we analyzed strategic planning and budget documentation from the four organizations for calendar years 2014 through 2016. We also interviewed officials from the four organizations, as well as officials from State, HHS, USAID, and USDA, which provide contributions to these four organizations. To assess U.S. agencies\u2019 oversight of assistance agreements, we identified 60 active assistance agreements that these agencies awarded to OAS, PAHO, and IICA during calendar years 2014 through 2016 and selected a nongeneralizable sample of 12 agreements, three each from HHS, State, USAID, and USDA. We selected the three agreements from each agency based on the lowest, median, and highest dollar value. We assessed whether the agencies\u2019 agreements included key monitoring provisions implementing applicable agency guidance. We identified key monitoring provisions agencies are to include as part of their agreements as provisions that ensure oversight of the use of funds by requiring monitoring activities, such as financial and progress reports. We then assessed the extent to which the agencies had documentation of the required monitoring activities and examined the documentation of monitoring activities that they provided. More detailed information on our scope and methodology can be found in the two reports cited above.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to State, the OAS is the primary inter-American political forum through which the United States engages with other countries in the Western Hemisphere to promote democracy, human rights, security, and development. While PAHO, IICA, and PAIGH are independent organizations, the Charter of the Organization of American States directs them to take into account the recommendations of the OAS General Assembly and Councils. PAHO, a specialized international health agency for the Americas, works with member countries throughout the region to improve and protect people\u2019s health and serves as the Regional Office for the Americas of the World Health Organization, the United Nations agency on health. IICA, among other things, supports its member states\u2019 efforts to achieve agricultural development and rural well-being through consultation and the administration of agricultural projects through agreements with the OAS and other entities. PAIGH specializes in regional cartography, geography, history, and geophysics and has facilitated the settlement of regional border disputes."], "subsections": [{"section_title": "U.S. Assessed Contributions to Inter- American Organizations and the Reform Act", "paragraphs": ["Member states collectively finance these organizations by providing assessed contributions in accordance with the organizations\u2019 regulations. The member states\u2019 assessed contributions are intended to finance the organizations\u2019 regular budgets, which generally cover the organizations\u2019 day-to-day operating expenses, such as facilities and salaries. The budgets are based on each organization\u2019s total approved quota assessment and other projected income. Member states of each organization meet to review and approve the organizations\u2019 budgets. The exact dollar amount each member state is responsible for providing corresponds to its assessed percentage of the total approved quota assessment for any given year.", "In October 2013, the United States enacted the Organization of American States Revitalization and Reform Act of 2013 (Reform Act). The Reform Act directed the Secretary of State to, among other things, submit \u201ca multiyear strategy that\u2026identifies a path toward the adoption of necessary reforms that would lead to an assessed fee structure in which no member state would pay more than 50 percent of the OAS\u2019s assessed yearly fees.\u201d According to the Reform Act, it is the sense of Congress that, among other things, it is in the interest of the United States, OAS member states, and a modernized OAS that the OAS move toward an assessed quota structure that (1) assures the financial sustainability of the organization and (2) establishes, by October 2018, that no member state pays more than 50 percent of the organization\u2019s assessed fees."], "subsections": []}]}, {"section_title": "The United States Contributed Over Half of Total Assessed Contributions to the Four Organizations, but OAS Member States Have Voted to Consider a Reduction of the U.S. Share", "paragraphs": ["In June 2017, we reported that the United States\u2019 assessed contributions constituted over 57 percent of total assessed contributions by member states to four inter-American organizations from 2014 through 2016 (see table 1). During this time, the annual U.S. percentages (or quotas) of these organizations\u2019 assessed contributions have remained about the same. Therefore, the actual amounts assessed to the United States generally remained the same.", "All four organizations apply a similar assessed quota structure that uses the relative size of member states\u2019 economies, among other things, to help determine each member state\u2019s assessed contributions. The OAS determines the assessed quota for each member state based on the United Nations\u2019 methodology, as adapted for the OAS, using criteria that include gross national income, debt burden, and per capita income. The other three organizations use OAS\u2019s system for determining member states\u2019 quotas to calculate their member states\u2019 assessed contributions. Thus, any change in the OAS\u2019s assessed quota structure should be reflected at PAHO, IICA, and PAIGH, according to their respective processes regarding the determination of assessed contributions.", "The U.S. share of assessed contributions may be reduced in the future. The Reform Act required State to submit a strategy identifying, among other things, a path toward the adoption of necessary reforms to the OAS\u2019s assessed quota structure that would lead to a structure in which no member state would pay more than 50 percent of OAS assessed contributions. In response to that requirement, State told us that they submitted to Congress a strategy that included working with OAS member states toward ensuring that the OAS would not assess any single member state a quota of more than 50 percent of all OAS assessed contributions. State officials informed us that they worked with other OAS member states, including Canada and Mexico, to explore assessed quota reform options. For example, State officials consulted with their counterparts from Mexico to review the OAS\u2019s assessed quota structure and to consult on alternatives that would adjust all member states\u2019 quotas so that no member state\u2019s quota exceeds 50 percent of the OAS\u2019s assessed contributions. Subsequent to our June 2017 report, at the OAS General Assembly in June 2017, OAS member states voted to draft a proposal to modify the quota structure to potentially reduce the maximum assessed quota to below 50 percent. According to State officials, the modification to the quota structure, if approved, would be gradual and would not be implemented until 2019."], "subsections": []}, {"section_title": "U.S. Agencies Provided Voluntary Contributions to OAS, PAHO, and IICA through Assistance Agreements but Could Enhance Their Monitoring of These Agreements", "paragraphs": ["State, HHS, USAID, and USDA fund activities at OAS, PAHO, and IICA in the form of assistance agreements. In our December 2017 report, we reviewed 12 such agreements across the four agencies and found that State and USDA did not include all key monitoring provisions in their agreements as called for by applicable guidance. State has taken corrective action since the grants were awarded. We also found that all four agencies did not have full documentation of 18 of the 42 monitoring activities required by the 12 assistance agreements we reviewed. State and HHS both initiated corrective action prior to our review of the grants."], "subsections": [{"section_title": "U.S. Agencies Provided Voluntary Contributions through Assistance Agreements to OAS, PAHO, and IICA", "paragraphs": ["The United States provided voluntary contributions to OAS, PAHO, and IICA through project-specific assistance agreements, such as grants and cooperative agreements. According to U.S. agency officials, the organizations\u2019 regional knowledge and technical expertise make them effective implementing partners for projects serving U.S. national interests and priorities throughout the hemisphere. From calendar years 2014 through 2016, the United States provided voluntary contributions totaling about $105 million to the OAS, PAHO, and IICA, as shown in table 2. In 2016, for example, the United States contributed $32 million, or approximately 22 percent of the total of $143 million from all member states. According to U.S. officials, levels of U.S. voluntary contributions vary year-to-year due to factors that include the schedule of multiyear agreement disbursements, sudden crises, and member states\u2019 priorities. For example, in 2016, USAID approved an assistance agreement for $2 million to OAS to support international observation of government elections in Haiti."], "subsections": []}, {"section_title": "U.S. Agencies Could Enhance Their Monitoring of Assistance Agreements", "paragraphs": ["In our review of 12 selected assistance agreements from State, HHS, USAID, and USDA (out of a total of 60 active agreements during calendar years 2014 through 2016), we found that none of the agencies had both consistently included all the key monitoring provisions for their agreements and fully documented the monitoring activities required by those provisions. For example, USDA did not have full documentation, such as financial reports, of any of its 10 required monitoring activities, and USAID did not have full documentation of 2 of its 11 required monitoring activities (financial and performance reports). U.S. agencies could have greater assurance that the organizations are using these funds as intended if they enhanced their monitoring of their assistance agreements."], "subsections": [{"section_title": "Two of Four U.S. Agencies Did Not Include All Key Monitoring Provisions in the Agreements We Reviewed", "paragraphs": ["Each of the four agencies has established applicable guidance that calls for agencies to conduct monitoring activities as part of their oversight of their assistance agreements. The agencies implement their guidance by including key provisions to carry out required monitoring activities as part of their agreements. Federal standards for internal control call for agencies to include in agreements all key provisions delineating the parties\u2019 responsibilities. For the 12 agreements we reviewed, the number of key monitoring provisions per agreement varied depending on when the agency issued and updated its guidance relative to when the agreements were approved.", "Federal standards for internal control call for agencies to document internal controls, transactions, and significant events. Specifically, internal control standards state that agency management should include internal control activities (e.g., monitoring activities) in policies or directives for transactions such as assistance agreements.", "For the 12 assistance agreements we reviewed, USDA and State did not include provisions implementing 6 of the 55 total (11 percent) monitoring activities required by applicable guidance (see table 3). For example, State did not include two of the key monitoring provisions (a risk assessment and a monitoring plan) in one of its agreements. State took corrective action in 2015 by issuing a standard operating procedure.", "The agencies specify the requirements to fulfill the key monitoring provisions in the individual assistance agreements, such as by requiring financial reports on a quarterly basis or including specific information in performance reports. Grants officers, if they deem it necessary or appropriate, include additional monitoring provisions requiring activities beyond those required by the applicable guidance, such as site visits.", "Federal standards for internal control call for agency management to design monitoring activities, such as financial and performance reporting, so that all transactions are completely and accurately recorded. Recording these activities maintains their relevance and value to management in controlling operations and making decisions. Without access to complete monitoring documentation, the agencies risk weakening the effectiveness of these controls.", "None of the four U.S. agencies had full documentation of all of the monitoring activities required by their agreements we reviewed (see table 4). The agencies did not have full documentation of monitoring activities for 9 of the 12 agreements we reviewed. For the 42 monitoring activities identified across all of the individual agreements, the four agencies did not have full documentation of 18 of the activities (43 percent). However, State took corrective action in May 2017 to address its gaps in documentation, and according to HHS officials, the Food and Drug Administration addressed its gap in documentation by implementing its agreement monitoring program in fiscal year 2018."], "subsections": []}]}]}, {"section_title": "The Strategic Goals of the Four Inter- American Organizations Are Predominantly Aligned with U.S. Agencies\u2019 Strategic Goals", "paragraphs": ["In our December 2017 report, we found that the strategic goals of the four inter-American organizations are predominantly aligned with the high- level strategic goals for the Western Hemisphere documented by State, USAID, HHS, and USDA, as shown in table 5. For example, four of the five goals in State and USAID\u2019s Joint Strategy correspond with goals at the OAS, IICA, and PAIGH. According to officials, the agencies all consider U.S. strategic goals when deciding which projects to fund at OAS, PAHO, and IICA. U.S. agencies, on an ongoing basis, evaluate each inter-American organization to ensure U.S. and organization goals are aligned. For example, according to USAID officials, USAID\u2019s assistance project design and approval policies and procedures ensure that all USAID-funded activities are linked to applicable U.S. and USAID strategies.", "In conclusion, monitoring the implementation of U.S. assistance agreements and fully documenting the results of such monitoring are key management controls to help ensure that U.S. agreement recipients use federal funds appropriately and effectively. The agencies risk weakening the effectiveness of these controls by not including in their assistance agreements all the key monitoring provisions called for by applicable agency guidance. Further, if the agencies do not have full documentation of the agreements\u2019 required monitoring activities, they may not be able to effectively manage federally funded projects that support U.S. strategic goals. In addition, agencies may not have all the information they need to make budgetary and programmatic decisions.", "In our December 2017 report, we recommended that (1) USDA ensure inclusion of all monitoring provisions as part of agreements and (2) USAID and USDA ensure full documentation of monitoring activities. The agencies concurred with these recommendations and indicated that they will take actions to address them. For example, USAID said it would issue an agency notice to remind all agreement officers to maintain complete files for each agreement.", "Chairman Cook, Ranking Member Sires, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Thomas Melito, Director, International Affairs and Trade at (202) 512-9601 or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony include Pierre Toureille (Assistant Director), Julia Jebo Grant (Analyst-in- Charge), Leslie Stubbs, Paul Sturm, Alana Miller, Shirley Min, Kira Self, and Rhonda Horried. In addition, David Dayton, Martin de Alteriis, Neil Doherty, Jeff Isaacs, and Alex Welsh provided technical assistance.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The U.S. belongs to several multilateral organizations of North and South American countries, the largest of which is the Organization of American States.", "In a report on which this testimony is based, we found that the U.S. paid over 57% of total assessed contributions for these organizations between 2014 and 2016. The State Department is working with OAS to reform its fee structure so that no country pays more than 50%.", "In another report, we examined how U.S. agencies monitor organizations' activities, for example to guard against misuse of funds. Our recommendations included that agencies fully document monitoring activities."]} {"id": "GAO-18-212T", "url": "https://www.gao.gov/products/GAO-18-212T", "title": "Navy and Marine Corps Training: Further Planning Needed for Amphibious Operations Training", "published_date": "2017-12-01T00:00:00", "released_date": "2017-12-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's September 2017 report, entitled Navy and Marine Corps Training: Further Planning Needed for Amphibious Operations Training ( GAO-17-789 )."]}, {"section_title": "What GAO Found", "paragraphs": ["Navy and Marine Corps units that are deploying as part of an Amphibious Ready Group and Marine Expeditionary Unit (ARG-MEU) completed their required training for amphibious operations, but other Marine Corps units have been limited in their ability to conduct training for other amphibious operations\u2013related priorities. GAO found that several factors, to include the decline in the fleet of the Navy's amphibious ships from 62 in 1990 to 31 today limited the ability of Marine Corps units to conduct training for other priorities, such as recurring training for home-station units (see figure). As a result, training completion for amphibious operations was low for some but not all Marine Corps units from fiscal years 2014 through 2016. The services have taken steps to address amphibious training shortfalls, such as more comprehensively determining units that require training. However, these efforts are incomplete because the services do not have an approach to prioritize available training resources, evaluate training resource alternatives, and monitor progress towards achieving priorities. Thus, the services are not well positioned to mitigate any training shortfalls.", "The Navy and Marine Corps have taken some steps to improve coordination between the two services, but have not fully incorporated leading collaboration practices to improve integration of the two services\u2014naval integration\u2014for amphibious operations. For example, the Navy and Marine Corps have not defined and articulated common outcomes for naval integration that would help them align efforts to maximize training opportunities for amphibious operations.", "The Marine Corps has taken steps to better integrate virtual training devices into operational training, but gaps remain in its process to develop and use them. GAO found that for selected virtual training devices, the Marine Corps did not conduct front-end analysis that considered key factors, such as the specific training tasks that a device would accomplish; consider device usage data to support its investment decisions; or evaluate the effectiveness of existing virtual training devices because of weaknesses in the service's guidance. As a result, the Marine Corps risks investing in devices that are not cost-effective and whose value to operational training is undetermined."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss our recent report on Navy and Marine Corps training for amphibious operations. As you know, the Navy and the Marine Corps (collectively referred to as U.S. naval forces) maintain forces that are capable of conducting an amphibious operation\u2014a military operation that is launched from the sea by an amphibious force, embarked in ships or craft, with the primary purpose of introducing a landing force ashore to accomplish the assigned mission. Training forces for amphibious operations requires extensive coordination and integration between the Navy and Marine Corps. For example, the services must schedule amphibious ships to be used for training, develop operational concepts, and design and execute exercises. This training also requires significant resources, including access to Navy ships, and an adequate amount of range space to realistically conduct live-fire training exercises. The Marine Corps, as well as the other military services, has stated that the use of virtual training\u2014 including simulators or computer-generated simulations\u2014could help overcome some of the difficulties associated with training in a live-only environment.", "According to the Department of Defense (DOD), the future security environment will require forces to train across the full range of military operations\u2014including types of operations that have not been prioritized in recent years, such as amphibious operations. However, over the last 15 years, continued operational deployments have required U.S. naval forces to focus training for stability and counterinsurgency operations, while limiting training in amphibious operations, among other areas. The Navy has stated that the high demand for presence has put pressure on a fleet that is stretched thin across the globe. Our recent testimony on Navy readiness highlighted that the Navy has increased deployment lengths, shortened training periods, and reduced or deferred maintenance to meet high operational demands, which has resulted in declining ship conditions and a worsening trend in overall readiness.", "In this context, my testimony today discusses the findings from our recent September 2017 report on Navy and Marine Corps training for amphibious operations. Accordingly, this testimony addresses (1) the Navy and Marine Corps\u2019 ability to complete training for amphibious operations priorities and factors limiting that training; (2) steps taken by the Navy and Marine Corps to mitigate any training shortfalls, including the Marine Corps\u2019 use of selected virtual training devices; and (3) efforts to improve naval integration for amphibious operations. In addition, I will highlight several key actions that we recommended in our report that the Navy and Marine Corps could take to help mitigate training shortfalls and improve the integration between these services for amphibious operations.", "To conduct this work, we analyzed unit-level readiness data from fiscal year 2014 through 2016 and deployment certification reports and compared those data against the services\u2019 training requirements; reviewed service training initiatives; interviewed a nongeneralizable sample of officials from 23 Marine Corps units that were selected based on their training plans; and selected a nongeneralizable sample of six Marine Corps virtual training devices to review based on factors such as target audience. Our September 2017 report includes a detailed explanation of the methods used to conduct our work. We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards.", "In summary, Navy and Marine Corps units completed training for certain amphibious operations priorities but not others due to several factors. The most prevalent factor we found that hampered training completion was a lack of available amphibious ships on which to train. The Navy and Marine Corps have taken some steps to identify and address amphibious operations training shortfalls, but these efforts are incomplete. Specifically, the services\u2019 current approach does not incorporate strategic training and leading risk management practices. Further, the Marine Corps has not fully integrated virtual training devices into operational training. The Navy and Marine Corps have taken some steps to improve coordination, but the services have not fully incorporated leading collaboration practices that would help drive efforts to improve naval integration. We made recommendations to address these issues and DOD concurred with them."], "subsections": [{"section_title": "Background", "paragraphs": ["An amphibious force is comprised of an (1) amphibious task force and a (2) landing force together with other forces that are trained, organized, and equipped for amphibious operations. The amphibious task force is a group of Navy amphibious ships, most frequently deployed as an Amphibious Ready Group (ARG). The landing force is a Marine Air- Ground Task Force\u2014which includes certain elements, such as command, aviation, ground, and logistics\u2014embarked aboard the Navy amphibious ships. A Marine Expeditionary Unit (MEU) is the most-commonly deployed Marine Air-Ground Task Force. Together, this amphibious force is referred to as an ARG-MEU.", "An ARG consists of a minimum of three amphibious ships, typically an amphibious assault ship, an amphibious transport dock ship, and an amphibious dock landing ship. Navy ships train to a list of mission- essential tasks that are assigned based on the ship\u2019s required operational capabilities and projected operational environments. Most surface combatants, including cruisers, destroyers, and all amphibious ships, have mission-essential tasks related to amphibious operations. Figure 1 shows the current number of amphibious ships by class and a description of their capabilities.", "An MEU consists of around 2,000 Marines, their aircraft, their landing craft, their combat equipment, and about 15 days\u2019 worth of supplies. The MEU includes a standing command element; a ground element consisting of a battalion landing team; an aviation element consisting of a composite aviation squadron of multiple types of aircraft; and a logistics element consisting of a combat logistics battalion. Marine Corps units also train to accomplish a set of mission-essential tasks for the designed capabilities of the unit. Many Marine Corps units within the command, aviation, ground, and logistics elements have an amphibious-related mission- essential task. To be certified in the mission-essential task of amphibious operations, Marine Corps units must train to a standard that may require the use of amphibious ships.", "The Marine Corps\u2019 use of virtual training devices has increased over time, and advances in technology have resulted in the acquisition of simulators and simulations with additional capabilities designed to help individual Marines and units acquire and refine skills through more concentrated and repetitive training. For example, the Marine Corps utilizes a constructive simulation that provides commanders with training for amphibious operations, among other missions. The Marine Corps has introduced other virtual training devices to prepare Marines for operational conditions and for emerging threats, such as devices to replicate a variety of vehicles for driver training and egress trainers, among others. The Navy stated it does not utilize virtual training devices that simulate amphibious operations, including ship-to-shore movement."], "subsections": []}, {"section_title": "Navy and Marine Corps Units Completed Training for Certain Amphibious Operations Priorities but Not Others Due to Several Factors", "paragraphs": ["In our September 2017 report, we found that Navy and Marine Corps units deploying as part of ARG-MEUs completed required training for amphibious operations, but the Marine Corps has been unable to consistently accomplish training for other service amphibious operations priorities. Specifically, based on our review of deployment certification messages from 2014 through 2016, we found that each deploying Navy ARG completed training for the amphibious operations mission in accordance with training standards. Similarly, we found that each MEU completed all of its mission-essential tasks that are required during the predeployment training program. These mission-essential tasks cover areas such as amphibious raid, amphibious assault, and noncombatant evacuation operations, among other operations.", "However, we also reported that based on our review of unit-level readiness data from fiscal year 2014 through 2016, Marine Corps units were unable to fully accomplish training for other amphibious operations priorities. These shortfalls include home-station unit training to support contingency requirements, service-level exercises, and experimentation and concept development for amphibious operations. For example, Marine Corps officials cited shortfalls in their ability to conduct service- level exercises that train individuals and units on amphibious operations- related skills, as well as provide opportunities to conduct experimentation and concept development for amphibious operations.", "In our September 2017 report, we identified several factors that created shortfalls in training for amphibious operations priorities. Based on our analysis of interviews with 23 Marine Corps units, we found that all 23 units cited the lack of available amphibious ships as the primary factor limiting training for home-station units. The Navy\u2019s fleet of amphibious ships has declined by half in the last 25 years, from 62 in 1990 to 31 today, with current shipbuilding plans calling for four additional amphibious ships to be added by fiscal year 2024, increasing the total number of amphibious ships to 35 (see fig. 2).", "Marine Corps officials from the 23 units we interviewed also cited other factors that limit opportunities for amphibious operations training, including the following:", "Access to range space. Seventeen of 23 Marine Corps units we interviewed identified access to range space as a factor that can limit their ability to conduct amphibious operations training. Unit officials told us that priority for training resources, including range access, is given to units that will be part of a MEU deployment, leaving little range time available for other units.", "Maintenance delays, bad weather, and transit time. Ten of 23 Marine Corps units told us that changes to an amphibious ship\u2019s schedule resulting from maintenance overruns or bad weather have also reduced the time available for a ship to be used for training. The transit time a ship needs to reach Marine Corps units has further reduced the time available for training.", "High pace of deployments. Five of 23 Marine Corps units told us that the high pace of deployments and need to prepare for upcoming deployments limited their opportunity to conduct training for amphibious operations."], "subsections": []}, {"section_title": "The Navy and Marine Corps Have Taken Some Steps to Identify and Address Amphibious Training Shortfalls, but These Efforts Are Incomplete", "paragraphs": [], "subsections": [{"section_title": "Services\u2019 Approach Does Not Incorporate Strategic Training and Leading Risk Management Practices", "paragraphs": ["In our September 2017 report, we identified some steps that the Navy and Marine Corps have taken to mitigate the training shortfall for their amphibious operations priorities, such as by better defining the amount of amphibious operations capabilities and capacity needed to achieve the services\u2019 wartime requirements. However, we found these efforts are incomplete because the services\u2019 current approach for amphibious operations training does not incorporate strategic training and leading risk-management practices. Specifically, we found that:", "The Marine Corps does not prioritize all available training resources. For Marine Corps units not scheduled for a MEU deployment, officials described an ad hoc process to allocate any remaining available amphibious ship training time among home- station units. Specifically, officials stated that the current process identifies units that are available for training when an amphibious ship becomes available rather than a process that aligns the next highest- priority units for training with available amphibious ships.", "The Navy and Marine Corps do not systematically evaluate a full range of training resource alternatives to achieve amphibious operations priorities. Given the limited availability of amphibious ships for training, the Navy and Marine Corps have not systematically incorporated selected training resource alternatives into home-station training plans. During our review, we identified a number of alternatives that could help mitigate the risk to the services\u2019 amphibious capability due to limited training opportunities. These alternatives could include utilizing additional training opportunities during an amphibious ship\u2019s basic phase of training; using alternative platforms for training, such as Marine Prepositioning Force ships; utilizing smaller Navy craft or pier-side ships to meet training requirements; and leveraging developmental and operational test events.", "The Navy and Marine Corps have not developed a process or set of metrics to monitor progress toward achieving its amphibious operations training priorities and mitigating existing shortfalls. Current reporting systems do not allow officials to assess the services\u2019 progress in achieving amphibious operations priorities or to monitor efforts to establish comprehensive amphibious operations training programs. For example, we found that the Marine Corps does not capture complete data on the full demand for training time with Navy amphibious ships that could be used for such assessments.", "In our September 2017 report, we recommended that the Navy and Marine Corps develop an approach to prioritize available training resources, systematically evaluate among training resource alternatives to achieve amphibious operations priorities, and monitor progress toward achieving them. DOD concurred with our recommendation and stated that the Secretary of the Navy would develop an amphibious operations training construct capitalizing on the application of primary and alternative training resources."], "subsections": []}, {"section_title": "The Marine Corps Has Not Fully Integrated Virtual Training Devices into Operational Training", "paragraphs": ["While the Marine Corps has stated that the use of virtual training could help mitigate some of the limitations of training in a live-only environment and taken some steps to integrate these devices into operational training, we identified gaps in its process to develop and use them. Specifically, based on our review of a selection of 6 virtual training devices, we found weaknesses in three key areas:", "Front-end planning. The Marine Corps\u2019 process for conducting front- end planning and analysis to support the acquisition of its virtual training devices does not include consideration of critical factors for integrating virtual training devices into operational training, such as the specific training tasks the device is intended to address, how the device would be used to meet proficiency goals, or available time for units to train with the device. As a result, the Marine Corps does not have a reasonable basis to ensure that it is acquiring the right number and type of virtual training devices to meet its operational training needs.", "Expected and actual usage data. The Marine Corps does not consistently consider expected and actual usage data for virtual training devices to support its investment decisions. In the absence of these data, the Marine Corps risks sustained investment in virtual training devices that do not meet operational training needs.", "Training effectiveness. The Marine Corps does not consistently evaluate the effectiveness of its virtual training devices to accomplish operational training. Without a well-defined process to consistently evaluate the effectiveness of virtual training devices for training, the Marine Corps risks investing in devices whose value to operational training is undetermined.", "In our September 2017 report, we recommended that the Marine Corps develop guidance for the development and use of virtual training devices to address these gaps. DOD concurred with the recommendation and stated it would work with the Commandant of the Marine Corps in its development and implementation actions associated with the use of virtual training devices."], "subsections": []}]}, {"section_title": "Incorporating Collaboration Practices would Further Naval Integration Efforts for Amphibious Operations", "paragraphs": ["The Navy and Marine Corps have taken some steps to improve coordination between the two services, to include issuing strategic documents that discuss the importance of improving naval integration and establishing mechanisms to coordinate their amphibious operations training capabilities. However, in our September 2017 report we found that the services have not fully incorporated leading collaboration practices that would help drive efforts to improve naval integration. Our prior work on interagency collaboration has found that certain practices can help enhance and sustain collaboration among federal agencies. I would like to highlight a few practices that would especially benefit the Navy and Marine Corps\u2019 efforts to improve integration for amphibious operations.", "Common outcomes and joint strategy. The Navy and Marine Corps have issued strategic documents that discuss the importance of improving naval integration, but the services have not developed a joint strategy that defines and articulates common outcomes to achieve naval integration. This first critical step will enable them to fully incorporate other leading collaboration practices aimed at achieving a common purpose.", "Compatible policies, procedures, and systems. The Navy and Marine Corps have not fully established compatible policies and procedures, such as common training tasks and standards and agreed-upon roles and responsibilities, to ensure their efforts to achieve improved naval integration are consistent and sustained. We also found that some of the Navy and Marine Corps\u2019 systems for managing and conducting integrated training are incompatible, leading to inefficiencies in the process to manage unit-level training events.", "Leverage resources to maximize training opportunities. The services are looking to better leverage available training resources for amphibious operations. However, we identified examples of potential training opportunities during surface warfare tactical training and community relations events where enhancing the services\u2019 collaborative efforts could take greater advantage of available training time for amphibious operations.", "Mechanisms to monitor results and reinforce accountability. The Navy and Marine have not developed mechanisms to monitor, evaluate, and report on results in improving naval integration and to align efforts to maximize training opportunities. Service-level strategy documents establish critical tasks to improve naval integration, but do not constitute a process or mechanism to jointly reinforce accountability for their naval integration efforts.", "In our September 2017 report, we recommended that the Navy and Marine Corps clarify the organizations responsible and set time frames to define and articulate common outcomes for naval integration, and use those outcomes to develop a joint strategy, more fully establish compatible policies, procedures, and systems, better leverage training resources, and establish mechanisms to monitor results. DOD concurred with the recommendation and stated it will develop mutual service naval integration terminology, and training resource application and organizational monitoring constructs to achieve common amphibious operations training outcomes.", "Chairman Wilson, Ranking Member Bordallo, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact Cary Russell at (202) 512-5431, or at russellc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony are Matt Ullengren and Russell Bryan. Other staff who made contributions to the report cited in this testimony are identified in the source product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-571T", "url": "https://www.gao.gov/products/GAO-18-571T", "title": "Government Efficiency and Effectiveness: Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits", "published_date": "2018-05-23T00:00:00", "released_date": "2018-05-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government faces a long- term, unsustainable fiscal path based on an imbalance between federal revenues and spending. While addressing this imbalance will require fiscal policy changes, in the near term opportunities exist in a number of areas to improve this situation, including where federal programs or activities are fragmented, overlapping, or duplicative.", "To call attention to these opportunities, Congress included a provision in statute for GAO to identify and report on federal programs, agencies, offices, and initiatives\u2014either within departments or government-wide\u2014that have duplicative goals or activities.", "GAO also identifies areas that are fragmented or overlapping and additional opportunities to achieve cost savings or enhance revenue collection. GAO's 2018 annual report is its eighth in this series ( GAO-18-371SP ).", "This statement discusses", "new areas identified in GAO's 2018 annual report;", "the progress made in addressing actions GAO identified in its 2011 to 2017 reports; and", "examples of open actions directed to Congress or executive branch agencies.", "To identify what actions exist to address these issues, GAO reviewed and updated prior work, including recommendations for executive action and matters for congressional consideration."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's 2018 annual report identifies 68 new actions that Congress or executive branch agencies can take to improve the efficiency and effectiveness of government in 23 new program areas. For example:", "The Department of Defense (DOD) could potentially save approximately", "$527 million over 5 years by minimizing unnecessary overlap and duplication in its U.S. distribution centers for troop support goods.", "The Department of Energy may be able to reduce certain risks and save tens of billions of dollars by adopting alternative approaches to treat a portion of its low-activity radioactive waste at its Hanford Site.", "The Department of Veterans Affairs could potentially save tens of millions of dollars when acquiring medical and surgical supplies by better adhering to supply chain practices of leading hospitals.", "The Coast Guard should close its boat stations that provide unnecessarily duplicative search and rescue coverage to improve operations and potentially save millions of dollars .", "Significant progress has been made in addressing many of the 724 actions that GAO identified from 2011 to 2017. As of March 2018, Congress and executive branch agencies have fully or partially addressed 551 (76 percent) of these actions. This has resulted in about $178 billion in financial benefits, of which $125 billion has been realized and at least an additional $53 billion is estimated to accrue. These estimates are based on a variety of sources that considered different time periods, assumptions, and methodologies. GAO estimates that tens of billions of additional dollars could be saved should Congress and executive branch agencies fully address the remaining 365 open actions, including the 68 new ones identified in 2018.", "Further steps are needed to fully address these remaining actions. For example:", "Congress and the Internal Revenue Service could realize hundreds of millions of dollars in savings and increased revenues by enhancing online services and improving efforts to prevent identity theft refund fraud.", "Medicare could save $1 to 2 billion annually if Congress equalized the rates paid for certain health care services, which often vary depending on where the service is performed.", "DOD could achieve billions of dollars in savings over the next several years by continuing to employ best management practices on its weapon systems acquisition programs.", "Congress could consider modifying how Medicare pays certain cancer hospitals to achieve almost $500 million annually in program savings.", "The Social Security Administration could help prevent the loss of billions of dollars by preventing overpayments to beneficiaries of the Disability Insurance program and improper waivers of beneficiaries' overpayment debt.", "Congress could consider modifying tobacco tax rates to eliminate significant tax differentials between similar products to address future revenue losses caused by manufacturers and consumers substituting tobacco products. Federal losses ranged from $2.6 to 3.7 billion between April 2009 and February 2014."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government faces an unsustainable long-term fiscal path based on an imbalance between federal revenue and spending, primarily driven by health care spending and net interest on the debt. Addressing this imbalance will require long-term changes to both spending and revenue and difficult fiscal policy decisions. In the near term, however, opportunities exist to take action in a number of areas to better manage fragmented, overlapping, or duplicative federal agencies or programs; achieve cost savings; or enhance revenues.", "To call attention to these opportunities, Congress included a provision in statute for us to identify and report to Congress on federal programs, agencies, offices, and initiatives\u2014either within departments or government-wide\u2014that have duplicative goals or activities. These reports are issued annually to the House and Senate.", "In our first seven annual reports issued from 2011 to 2017, we presented 724 actions in 278 areas for Congress or executive branch agencies to reduce, eliminate, or better manage fragmentation, overlap, or duplication; achieve cost savings; or enhance revenue. To date, Congress and executive branch agencies have partially or fully addressed 551 (76 percent) of the actions we identified from 2011 to 2017, resulting in about $178 billion in financial benefits. We estimate that tens of billions more dollars could be saved by fully implementing our open actions.", "Our 2018 report, which we released on April 26, 2018, presents 68 new actions across 23 new program areas for Congress or executive branch agencies to reduce, eliminate, or better manage fragmentation, overlap, and duplication and achieve other financial benefits. My testimony today describes (1) new issues identified in our 2018 annual report; (2) the progress made in addressing actions identified in our past reports; and (3) examples of open actions directed to Congress or executive branch agencies.", "My comments are based upon our 2018 annual report, as well as our update on the progress made in implementing actions that we have suggested in our previous annual reports. These efforts are based on work we previously conducted in accordance with generally accepted government auditing standards. More details on our scope and methodology can be found in the full report.", "Figure 1 outlines the definitions we use for fragmentation, overlap, and duplication for this work.", "On April 26, 2018 we released the latest updates to our Action Tracker (see sidebar). Our tracker includes a downloadable spreadsheet (available in XLSX or CSV formats) that users can sort and filter based on their specific needs or interests. For example, areas and actions can be sorted by the year identified, mission area name, implementation status, and implementing entities (Congress or specific agencies).", "GAO\u2019s Action Tracker, a publicly accessible w ebsite, allows Congress, executive branch agencies, and the public to track the government\u2019s progress in addressing the issues w e have identified. GAO updates the Action Tracker twice a year, in the spring and fall. Click here to access GAO\u2019s online Action Tracker and downloadable spreadsheet (available in XLSX or CSV formats).", "Over 25 of the 68 new actions we identified in our annual report concern fragmentation, overlap, or duplication in government missions and functions (see table 1).", "In addition, our 2018 report presents over 30 new opportunities for Congress or executive branch agencies to reduce the cost of government operations or enhance revenue collections for the U.S. Treasury across 10 areas of government (see table 2).", "In addition to these new areas, we identified seven new actions that relate to six existing areas presented in our 2011 to 2017 annual reports (see table 3).", "Since our 2018 report was issued, we reported in April 2018 that four of the Centers for Medicare & Medicaid Services\u2019 (CMS) Medicare prior authorization programs potentially reduced spending by as much as $1.9 billion from September 2012 through March 2017. However, most of these programs, which ensure that Medicare coverage and payment rules have been met before the agency pays for selected items and services, such as certain wheelchairs, are either paused or will end in 2018. CMS does not have plans to extend these programs or expand the use of prior authorization to additional items and services.", "We recommended that CMS should take steps, based on results from evaluations, to continue prior authorization. The Department of Health and Human Services (HHS) neither agreed nor disagreed with the recommendation but said it would continue to evaluate prior authorization programs and take our findings and recommendations into consideration in determining next steps. We believe continued use of prior authorization for certain items and services\u2014determined by lessons learned from existing prior authorization programs\u2014could significantly reduce unnecessary Medicare spending."], "subsections": [{"section_title": "Congress and Executive Branch Agencies Continue to Address Actions That Span the Federal Government", "paragraphs": ["We monitor the progress that Congress and executive branch agencies have made in addressing the issues we identified in each of our last seven annual reports. As shown in table 4, Congress and executive branch agencies have made consistent progress in addressing many of the actions we identified from 2011 to 2017. As of March 2018, 376 (52 percent) of the actions we identified from 2011 to 2017 have been fully addressed. See our online Action Tracker for the status of all actions."], "subsections": [{"section_title": "Billions in Financial Benefits Due to Actions Taken by Congress and Executive Branch Agencies", "paragraphs": ["The progress Congress and executive branch agencies have made in addressing our open actions has resulted in $178 billion in financial benefits, including roughly $125 billion in financial benefits from 2010 through 2017, with at least an additional $53 billion in estimated benefits projected to accrue in 2018 or later. Table 5 highlights examples of these results.", "These financial benefits continue to grow as we identify and document additional agency actions that respond to our recommendations. For example, in recent months CMS has formalized changes to its oversight of spending allowed for large Medicaid demonstrations, which allow states to test new ways to deliver or pay for care. These demonstrations, by HHS policy, should not raise federal costs over what the program would have cost without the demonstration\u2014that is, they should be budget neutral. But our past work has shown that the spending HHS had authorized for these demonstrations was much higher than what was justified, as HHS had allowed states to use questionable methods when proposing spending for their demonstrations.", "CMS\u2019s new policy partially responds to a longstanding recommendation we have made to better ensure that valid methods are used to demonstrate budget neutrality. We anticipate that CMS\u2019s recent actions could potentially reduce the federal government\u2019s liability for Medicaid by billions, or tens of billions, annually.", "While not all actions result in financial benefits to taxpayers, all of our suggested actions, when implemented, can result in other benefits\u2014for instance, they make government more efficient or eliminate, reduce, or improve management of fragmented, overlapping, or duplicative programs. For example, such benefits can be seen in the results of our work on the government\u2019s acquisition of space programs. For over two decades, we and others have reported on problems caused by fragmented leadership and a lack of a single authority in oversight of these multibillion dollar programs.", "In 2012, we made a recommendation aimed at strengthening leadership and authority of space systems acquisitions. In response, in 2017 the President revived the National Space Council to provide a coordinated process for developing and monitoring the implementation of national space policy and strategy. Separately, in the National Defense Authorization Act for Fiscal Year 2018, Congress made changes to certain DOD space leadership positions and required the department to conduct a review and identify a recommended organizational and management structure for its national security space components, and submit related reports. The act also required DOD to contract with a federally funded research and development center not closely affiliated with the Air Force to develop a plan to establish a separate military department responsible for DOD national security space activities. These actions could reduce fragmentation and speed decision making in the development of a substantial investment in space systems."], "subsections": []}]}, {"section_title": "Action on Remaining and New Areas Could Yield Significant Additional Benefits", "paragraphs": ["While Congress and executive branch agencies have made progress toward addressing the 798 total actions we have identified since 2011, further steps are needed to fully address the 365 actions that are partially addressed or not addressed. We estimate that tens of billions of dollars in additional financial benefits could be realized should Congress and executive branch agencies fully address open actions. In addition to producing financial benefits, these actions make government more efficient; improve major government programs or agencies; reduce the risk of mismanagement, fraud, waste, and abuse; and increase assurance that programs comply with laws and funds are legally spent."], "subsections": [{"section_title": "Significant Open Actions Directed to Congress", "paragraphs": ["Congress has used our work to identify legislative solutions to achieve cost savings, address emerging problems, and find efficiencies in federal agencies and programs. Our work has contributed to a number of key authorizations and appropriations. In addition, congressional oversight of agencies\u2019 efforts has been critical in realizing the full benefits of our suggested actions addressed to the executive branch, and it will continue to be critical in the future.", "In our 2011 to 2018 annual reports, we directed 100 actions to Congress, including the 3 new congressional actions we identified in 2018. Of the 100 actions, 58 remain open (11 of which were partially addressed and 47 were not addressed or new) as of March 2018. Table 6 highlights areas with significant open actions directed to Congress. Appendix I has a full list of all open congressional actions."], "subsections": []}, {"section_title": "Significant Open Actions Directed to Executive Branch Agencies", "paragraphs": ["In our 2011 to 2018 annual reports, we directed 698 actions to executive branch agencies, including 65 new actions identified in 2018. Of the 698 actions, 307 remained open as of March 2018. Of these open actions, 164 were partially addressed and 143 were not addressed or new. While these open actions span the government, a substantial number of them are directed to seven agencies that made up 83 percent\u2014$3.7 trillion\u2014of federal outlays in fiscal year 2017 and have the largest number of open actions (see figures 2 and 3).", "As shown in figure 3, seven agencies have at least 25 open actions.", "The following sections highlight examples of open actions across those seven major agencies."], "subsections": []}, {"section_title": "More Efficiently Targeting Defense Resources", "paragraphs": ["In our 2011 to 2018 reports, we directed 176 actions to DOD in areas that center on DOD\u2019s effectiveness in providing the military forces needed to deter war and to protect the security of the United States. As of March 2018, 74 of these 176 actions remained open. DOD represented about 14 percent of federal spending in fiscal year 2017, with outlays totaling about $635.5 billion. Our work suggests that effectively implementing these open actions, including those related to areas listed in table 7, could yield substantial financial benefits and improve DOD\u2019s effectiveness."], "subsections": []}, {"section_title": "Improving the Efficiency of Health Care Programs", "paragraphs": ["In our 2011 to 2018 reports, we directed 111 actions to HHS in areas that contribute to HHS\u2019s mission to enhance the health and well-being of Americans. HHS provides health coverage for over 145 million Americans through three principal programs\u2014Medicare, Medicaid, and the Children\u2019s Health Insurance Program\u2014as well as the health-insurance marketplaces. HHS also operates other public health-related agencies such as the Food and Drug Administration, the Centers for Disease Control and Prevention, and the National Institutes of Health.", "HHS represented about 27 percent of the fiscal year 2017 federal budget, with outlays totaling about $1.2 trillion. As of March 2018, 56 of HHS\u2019s 111 actions remained open. Our work suggests that effectively implementing these actions, including those related to areas listed in table 8, could reduce costs, provide services more efficiently, and yield substantial financial benefits."], "subsections": []}, {"section_title": "Enhancing Federal Revenues", "paragraphs": ["In our 2011 to 2018 reports, we directed 91 actions to the Internal Revenue Service (IRS) in areas that contribute to effectively and efficiently providing high-quality service to taxpayers and enforcing the law with integrity and fairness to all. As of March 2018, 38 of these 91 actions remained open. The funding of the federal government depends largely upon IRS\u2019s ability to collect taxes legally owed. Our work suggests that effective implementation of our open actions, including those related to areas listed in table 9, could increase revenues through better compliance or reduce costs."], "subsections": []}, {"section_title": "Improving the Efficiency and Effectiveness of Homeland Security Operations", "paragraphs": ["In our 2011 to 2018 reports, we directed 79 actions to the Department of Homeland Security (DHS) in areas that contribute to the effective implementation of its mission. In fiscal year 2017, DHS spent about $63.6 billion, about 1.4 percent of federal outlays. As of March 2018, 31 of the 79 actions to DHS remained open. Fully implementing these actions, including those related to areas listed in table 10, could result in financial benefits and substantial improvements in agency operations."], "subsections": []}, {"section_title": "Advancing the Implementation of Government-Wide Policies and Performance", "paragraphs": ["Many of the results the federal government seeks to achieve require the coordinated effort of more than one federal agency, level of government, or sector. OMB manages and coordinates many government-wide efforts. In our 2011 to 2018 reports, we directed 66 actions to OMB in areas to improve the efficiency and effectiveness of government-wide programs and activities. As of March 2018, 30 of the 66 actions to OMB remained open. Fully implementing these actions, including those related to areas listed in table 11, could yield significant financial benefits and substantial program improvements across government."], "subsections": []}, {"section_title": "More Efficiently Administering Services to Retirees and Citizens with Disabilities", "paragraphs": ["In our 2011 to 2018 reports, we directed 32 actions to the Social Security Administration (SSA) in areas that contribute to SSA providing financial assistance to eligible individuals through Social Security retirement and disability benefits and Supplemental Security Income (SSI) payments. As of March 2018, 27 of these 32 actions remained open.", "In fiscal year 2017, SSA spent about $1 trillion, roughly 22 percent of federal outlays. While most of SSA\u2019s funding is used to pay Social Security retirement, survivors, and disability benefits from the Old-Age and Survivors Insurance Trust Fund and the Disability Insurance Trust Fund, our work suggests that effective implementation of these actions, including the examples listed in table 12, could result in significant benefits."], "subsections": []}, {"section_title": "Improving Support and Services for Veterans", "paragraphs": ["In our 2011 to 2018 reports, we directed 54 actions to the Department of Veterans Affairs (VA) in areas that contribute to VA effectively and efficiently achieving its mission to promote the health, welfare, and dignity of all veterans by ensuring that they receive medical care, benefits, and social support. As of March 2018, 25 of these 54 actions remained open. In fiscal year 2017, VA spent about $183.0 billion\u2014about 4 percent of federal outlays\u2014for veterans\u2019 benefits and services. Our work suggests that effective implementation of these actions, including those related to areas listed in table 13, could yield cost savings and efficiencies that would improve the delivery of services to the nation\u2019s veterans and their families.", "We will continue to look for additional or emerging instances of fragmentation, overlap, and duplication and opportunities for cost savings or revenue enhancement. Likewise, we will continue to monitor developments in the areas we have already identified. We stand ready to assist this and other committees in further analyzing the issues we have identified and evaluating potential solutions.", "Thank you, Chairman Enzi, Ranking Member Sanders, and Members of the Committee; this concludes my prepared statement. I would be pleased to answer questions."], "subsections": []}]}, {"section_title": "GAO Contacts", "paragraphs": ["For further information on this testimony or our April 26, 2018 report, please contact J. Christopher Mihm, Managing Director, Strategic Issues, at (202) 512-6806 or mihmj@gao.gov, and Jessica Lucas-Judy, Director, Strategic Issues, at (202) 512-9110 or lucasjudyj@gao.gov. Contact points for the individual areas listed in our 2018 annual report can be found at the end of each area in GAO-18-371SP. Contact points for our Congressional Relations and Public Affairs offices may be found on the last page of this statement."], "subsections": []}]}, {"section_title": "Appendix I: Open Congressional Actions, by Mission", "paragraphs": ["In our 2011 to 2018 annual reports, we directed 100 actions to Congress, of which 58 remain open. Of the 58 open congressional actions, 11 are partially addressed and 47 are not addressed or new, as of March 2018. See table 14."], "subsections": []}], "fastfact": ["Every year, we identify and report on federal agencies, programs, and initiatives with fragmented, overlapping, or duplicative goals or activities; and ways to reduce costs or enhance revenue. The government saves money when it takes the actions we've proposed\u2014an estimated $178 billion so far by taking 52% of previously recommended actions.", "We testified on our 8th annual report, in which we identified 68 new actions that Congress and executive branch agencies could take to improve operations across government.", "Fully addressing these and remaining actions from our prior reports could lead to tens of billions of dollars of additional savings."]} {"id": "GAO-18-473", "url": "https://www.gao.gov/products/GAO-18-473", "title": "San Francisco Bay Delta Watershed: Wide Range of Restoration Efforts Need Updated Federal Reporting and Coordination Roles", "published_date": "2018-08-16T00:00:00", "released_date": "2018-08-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The San Francisco Bay Delta watershed\u2014which drains a vast area of California from the Sierra Nevada Mountains to the Pacific Ocean\u2014supplies drinking water for 25 million people and provides irrigation for about half the nation's fruit and vegetable production. Decades of development and agriculture have led to large reductions in water quality and supply, natural flood protection, and habitats across the watershed's three major regions: the Bay, the Delta, and the upper watershed. Federal entities have been working with nonfederal entities for decades to protect and restore the watershed. GAO was asked to review restoration efforts in the watershed.", "This report examines, among other objectives, (1) the extent to which federal and nonfederal entities coordinate watershed restoration efforts and (2) information on the status of these efforts and related expenditures for fiscal years 2007 through 2016, the most recent data available. GAO reviewed laws; regional databases, plans, and reports; and budget documents. It also surveyed the 72 members of interagency groups (48 responded) and interviewed federal and nonfederal officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal entities, including the Department of the Interior, and nonfederal entities, such as California state agencies and nonprofits, carry out and coordinate a wide range of restoration efforts in the San Francisco Bay Delta watershed. These efforts have multiple benefits, such as improved water quality and habitat in restored marshland (see fig. below). The entities coordinate comprehensive efforts in the San Francisco Bay area (Bay) and Sacramento-San Joaquin Delta (Delta) through two groups. Federal efforts across the watershed are to be led and coordinated by Interior and the Council on Environmental Quality (CEQ) through a 2009 Interim Federal Action Plan, but not all federal entities are using the plan. Interior officials said the plan is no longer relevant because state and federal roles have changed. For example, they said a state-led committee acts as the coordinating body for federal entities; however, this committee focuses on one region of the watershed, while federal funding supports efforts in all three regions. By updating or revising the Interim Action Plan, Interior and CEQ could help clarify federal roles in supporting restoration efforts in the watershed.", "Information on the status of all restoration efforts across the watershed, including their accomplishments, is unknown because information is not being fully collected or reported. Also, related expenditures for fiscal years 2007 through 2016 are unknown, in part because federal reports do not include complete or reliable data for restoration efforts in the watershed. The 2004 CALFED Bay-Delta Authorization Act requires Interior and the Office of Management and Budget (OMB) to report annually to Congress on restoration accomplishments and federal and state expenditures in the watershed, respectively. Interior has not issued these reports since 2009, when the state agency from which Interior had obtained the state data was abolished. OMB has issued its reports with federal, but not state, data for the same reason. However, Interior and OMB have not reached out to other state entities for this information. Without obtaining and reporting available information, as required by law, Interior and OMB will not have reasonable assurance that they are providing Congress with the information needed to monitor federal and nonfederal restoration efforts and expenditures."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made seven recommendations, including that Interior and CEQ update or revise the Interim Federal Action Plan and that Interior and OMB coordinate with the state to meet the CALFED Act's reporting requirements. Interior partially concurred with the recommendations, and CEQ and OMB neither agreed nor disagreed with them. GAO maintains its recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The health of the San Francisco Bay Delta watershed\u2014which drains a vast area of California from the Sierra Nevada Mountains to the Pacific Ocean\u2014affects the well-being of millions of Americans. The watershed consists of three major geographic areas: the San Francisco Bay and its local watershed (Bay); the Sacramento-San Joaquin Delta (Delta); and the expansive upper watershed, which includes California\u2019s Central Valley and the western slope of the Sierra Nevada Mountains. Throughout the entire watershed, reservoirs, canals, and other water supply infrastructure convey fresh water to major agricultural areas and population centers in the San Francisco Bay area and southern parts of California, including water for important manufacturing, technology, and entertainment sectors. According to the Environmental Protection Agency (EPA), the watershed supplies at least some of the drinking water for about 25 million Californians and supports an important share of the U.S. economy by providing irrigation for about half the nation\u2019s fruit and vegetable production, natural flood protection for significant economic areas such as Silicon Valley, and deep water ports for international trade, among other things. Levees and other flood control infrastructure provide flood protection for farms and communities across the Central Valley and in other parts of the watershed.", "The watershed also provides habitat for hundreds of animal and plant species, including several that are endangered or threatened. Significant development and agriculture production over the past 150 years has physically modified the watershed and strained many of its natural resources. According to EPA, these changes have led to large reductions in water quality and supply, challenges for flood protection, and declines in species and their habitat. For example, most of the watershed\u2019s historical wetlands, which perform key functions such as filtering pollutants and absorbing storm surges, have been lost. Since 1972, EPA has worked with the state of California to develop and enforce water quality standards for the watershed, and since at least 1987, EPA and other federal entities have worked through a variety of partnerships with the state and other nonfederal entities, such as nongovernmental organizations, to protect and restore the watershed\u2019s complex ecosystem. Even with these activities, important parts of the watershed remain under considerable stress, and potential solutions are complicated and resource-intensive.", "According to EPA, dozens of federal and nonfederal entities, including state government agencies, have responsibilities related to water quality improvement and ecosystem restoration efforts in the San Francisco Bay Delta watershed. Key federal entities include EPA, the National Oceanic and Atmospheric Administration (NOAA), U.S. Army Corps of Engineers, U.S. Department of Agriculture (USDA), Council on Environmental Quality (CEQ), and several entities within the Department of the Interior, including the Bureau of Reclamation, U.S. Fish and Wildlife Service, and the U.S. Geological Survey. In addition, the Office of Management and Budget (OMB) is required to submit a report to Congress, in coordination with the Governor of California and certified by the Secretary of the Interior, that contains financial information related to many of these efforts. Key nonfederal entities include the Delta Stewardship Council, a California state agency that oversees the state government\u2019s plan for promoting a more reliable water supply and a healthy ecosystem, and a variety of other organizations, such as state, local, and regional government agencies and nonprofit science institutes. Different combinations of federal and nonfederal entities work in each of the watershed\u2019s three major geographic areas: the Bay, Delta, and upper watershed. See appendix I for a list of selected federal and nonfederal entities and some of their restoration-related roles in the watershed.", "You asked us to review restoration efforts in the San Francisco Bay Delta watershed. This report examines (1) the extent to which federal and nonfederal entities coordinate their San Francisco Bay Delta watershed restoration efforts, (2) the extent to which federal and nonfederal entities have developed measurable goals and approaches to assess progress for San Francisco Bay Delta watershed restoration efforts, (3) information on the status of San Francisco Bay Delta watershed restoration efforts and related expenditures for fiscal years 2007 through 2016, and (4) key factors that may limit San Francisco Bay Delta watershed restoration, according to federal and nonfederal entities.", "To address all four objectives, we reviewed relevant federal and state laws and documents and interviewed officials from 28 federal, state, and other entities. To examine the extent to which federal and nonfederal entities coordinate their San Francisco Bay Delta watershed restoration efforts, we interviewed officials from federal, state, and other entities to identify restoration activities and key regional plans and coordination efforts, and we reviewed these activities, plans, and efforts. We compared federal coordination efforts against a selection of our leading collaboration practices to assess the extent to which they followed these practices. Based on these interviews and reviews, we surveyed all federal, state, and other entities participating in selected regional interagency groups to identify coordination-related challenges, if any. We identified and sent surveys to 72 entities, of which 48 responded to our questionnaire, a response rate of 67 percent. To examine the extent to which federal and nonfederal entities have developed measurable goals and approaches to assess progress for San Francisco Bay Delta watershed restoration efforts, we reviewed regional plans and related goals and progress reports. We also interviewed officials from federal, state, and other entities, including scientific groups, about efforts to develop measurable goals and assess restoration progress.", "To examine information on the status of San Francisco Bay Delta watershed restoration efforts and related expenditures for fiscal years 2007 through 2016, we obtained and analyzed available data from regional and state databases on projects, expenditures, and cost estimates for this period, which covers the time before and after the state withdrew from a key federal-state partnership, and includes the last full fiscal year for which the most recent data were available at the time of our review. We assessed the reliability of these data by interviewing knowledgeable officials and reviewing database documentation and determined that they were not reliable for the purposes of identifying all restoration projects across the entire watershed and for reporting related expenditure data. We also reviewed federal and state reports on budget requests and authority for that period and interviewed officials from federal, state, and other entities about available sources of data on projects, expenditures, and cost estimates. Specifically, we reviewed the Bay Delta budget crosscuts, which include financial information for San Francisco Bay Delta watershed restoration efforts reported by federal and state agencies, for fiscal years 2007 through 2019. We assessed the reliability of the data in the federal budget crosscut reports and tables by interviewing federal agency officials about which data they provided for the reports and tables and analyzing the data provided in the crosscut reports. We determined that the data were reliable only for reporting examples of the magnitude of funding for individual agencies. We determined that these data were not reliable to aggregate funding levels across programs and agencies or to compare funding levels of the various agencies. We discuss these issues further in this report. We also compared OMB\u2019s written guidance on submitting data for the crosscut reports with federal standards for internal control to assess the extent to which federal agencies followed the standard for design of control activities. We conducted site visits to four restoration projects, selected to provide illustrative examples of a variety of restoration activities in different locations in the watershed.", "To determine key factors that may limit San Francisco Bay Delta watershed restoration, according to federal and nonfederal entities, we used our survey of federal, state, and other entities described above to obtain views on factors that may limit restoration progress. We also reviewed progress reports and studies exploring factors that may limit restoration progress. Appendix II contains more detailed information on the objectives, scope, and methodology of our review, and Appendix III contains a copy of the survey questionnaire we used for this review.", "We conducted this performance audit from April 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides an overview of the (1) San Francisco Bay Delta watershed, (2) multiple water demands in the watershed, (3) selected laws and agreements related to restoration efforts in the watershed, and (4) funding for restoration efforts in the watershed."], "subsections": [{"section_title": "San Francisco Bay Delta Watershed", "paragraphs": ["The San Francisco Bay Delta watershed is a single, complex ecosystem covering more than 75,000 square miles, almost entirely in California. It includes a diversity of fresh, brackish, and salt water ecosystems. Figure 1 shows the watershed and its three major geographic areas and their subregions.", "The watershed\u2019s three major geographic areas contain unique, yet inherently interconnected environmental and cultural features and face similar water quality and other threats:", "San Francisco Bay and its local watershed (Bay). The San Francisco Bay is the large body of mostly salt water through which the local watershed, as well as the entire Bay Delta watershed, drains into the Pacific Ocean. According to U.S. Census data, more than 7 million people live in the nine-county Bay area containing the local watershed\u2014an area with one of the nation\u2019s densest populations. Large cities, such as San Jose, San Francisco, and Oakland; their suburbs, including Silicon Valley; and numerous other cities occupy much of the land surrounding the Bay. Since the California Gold Rush in the mid-1800s, most of the Bay\u2019s historical wetlands have been filled for development or converted to farmland or industrial salt ponds, and the loss of these natural features has removed important barriers for flood and erosion control. Because of its urban setting and location at the downstream end of the watershed, the Bay\u2019s water quality faces threats from numerous sources of pollution, including sewage, trash, urban and industrial runoff (e.g., metals, solvents, and inorganic chemicals), and runoff from agriculture and past mining activities upstream (e.g., nutrients, pesticides, and metals).", "Sacramento-San Joaquin Delta (Delta). The Sacramento-San Joaquin Delta comprises roughly 1,000 square miles where the fresh waters of the Sacramento and San Joaquin Rivers converge south of the city of Sacramento before flowing into the San Francisco Bay through a network of more than 50 islands. It is a largely rural area that is also home to more than 500,000 people living mostly on its suburban periphery, and its communities and farmland are protected from flooding by approximately 1,100 miles of levees. During the California Gold Rush, settlers diked the Delta\u2019s channels and waterways and began building levees to create dry land, resulting in the loss of nearly all of the original wetlands in the area. As a result, the Delta has been converted from an historic plain of seasonally flooded brackish and freshwater wetlands to a mosaic of channelized waterways surrounding its islands. According to reports, many of these islands have subsequently subsided up to 25 feet below sea level due largely to the use of groundwater and farming, which can cause the islands\u2019 rich peat soil to oxidize and erode. The Delta is a major outdoor recreation destination for activities such as fishing and boating. Its key water quality threats include agricultural, urban, and past mining runoff. In addition, the complex system of water supply infrastructure projects built throughout the watershed diverts fresh water from the Delta to other parts of the state, changing the saltwater content of much of the area\u2019s wetlands and marshes.", "Upper watershed. The upper watershed is the vast area where the watershed\u2019s rivers, streams, and tributaries originate at the crest of the Sierra Nevada and other mountain ranges and then travel hundreds of miles through California\u2019s Central Valley, the nation\u2019s most productive agricultural area, according to USDA. The upper watershed includes three subregions: the Sacramento River watershed in northern California, through which water generally flows south; the San Joaquin River watershed in central California, through which water generally flows west and then north; and the Tulare Lake Basin in southern California, through which water no longer drains naturally. About 5 million people live throughout the area in a mix of rural and urban communities, including large inland cities, such as Fresno and Sacramento. In the upper watershed, the Sierra Nevada snowpack serves as temporary storage for roughly one-third to one- half of California\u2019s water, depending on the year. Most of the major rivers hold reservoirs to capture and store the snowmelt for longer- term use. As a result of mining, agriculture, and water infrastructure development, the area\u2019s historic water flows have been highly modified, the Central Valley\u2019s historic grasslands and flood plains have been converted to managed wetlands and are often threatened by land subsidence, and runoff from agriculture and past mining activities are dominant threats to water quality in low-lying areas. In the mountains and foothills, forest fires can threaten water quality, mostly by causing erosion that increases sediment in streams.", "The Bay and Delta together form the San Francisco Bay/Sacramento-San Joaquin Delta Estuary, often referred to as the Bay Delta, one of the largest estuaries in North America. The Bay Delta is the ecosystem created by the mixing of salt water from the Pacific Ocean and fresh water from the Sacramento and San Joaquin Rivers and their tributaries. It provides habitat for about 750 species of plants and animals, including more than 130 species of fish. It also contains more than 700,000 acres of farmland, and millions of users access it each year for recreational activities, such as hunting, boating, and fishing. In contrast to the managed wetlands of the upper watershed, the Bay Delta wetlands are tidal areas\u2014brackish wetland influenced by the push and pull of ocean tides. Even with the tidal influence, the saltwater content of the Bay Delta is also heavily influenced by the amount of fresh water available, much of which is diverted by water supply infrastructure projects and can vary due to multiple water demands."], "subsections": []}, {"section_title": "Multiple Water Demands in the Watershed", "paragraphs": ["Because of the watershed\u2019s economic, environmental, and cultural importance, it has been the subject of political and legal battles over multiple water demands for decades. Beginning in the 1930s, federal and then state water projects\u2014two complex networks of dams, pumps, reservoirs, canals, and other facilities\u2014have diverted water from the Sacramento and San Joaquin Rivers to agricultural, industrial, and urban consumers in the Bay area and southern parts of California. The federal Central Valley Project primarily diverts water for agricultural use, and the California State Water Project, which was developed in the 1960s, primarily diverts water for drinking and industrial use. Hundreds of water contractors, such as the Westlands Water District and the Metropolitan Water District of Southern California, purchase water from these projects, which can divert about 20 to 70 percent of the natural water flowing into the Bay Delta, depending on legal limits and seasonal levels of precipitation.", "Other water demands include habitat needs for threatened and endangered species such as the Delta smelt (a fish) and various salmon species. In particular, federal agencies have developed instream flow requirements for these species of fish that require water to be released from dams upstream to help maintain adequate water quality and temperature for the fish. As a result, most of the water in the watershed is managed by federal, state, and local water projects for use by private and investor-owned water agencies and districts and their customers, as well as for fish and habitat purposes. Any proposed changes to this complicated water allocation system\u2014which accounts for California\u2019s largest supply of fresh water\u2014often raise concerns among water users about losing water, receiving reduced priority for water supplies, or obtaining water of poor quality. For example, according to one study, the state of California has allocated more water rights than what could be available naturally. Other concerns involve the system\u2019s infrastructure\u2014 the system depends largely on a complex network of aging levees, many of which were first built in the mid-1800s\u2014and the possible effects on water supply and quality. Specifically, earthquakes, floods, subsidence, or sea level rise could cause these levees to fail and put the state\u2019s fresh water supply at risk from saltwater contamination. As a result of these and other concerns, many stakeholders in the watershed have been, and continue to be, involved in legal actions over multiple water demands."], "subsections": []}, {"section_title": "Selected Laws and Agreements Related to Restoration Efforts in the Watershed", "paragraphs": ["Construction and operation of the Central Valley Project and the State Water Project has fundamentally altered the physical environment of the Bay, Delta, and parts of the upper watershed, where nearly every tributary has been dammed to create reservoirs to supply these water projects. By the late 1980s, species decline and water quality problems became so critical in the Bay Delta that stakeholders raised concerns that the continued operation of these projects might be conflicting with federal and state water quality and endangered species laws (discussed below).", "In 1992, the Central Valley Project Improvement Act amended the Central Valley Project authorizations, which previously focused primarily on certain uses such as irrigation and power generation. The act specifies, among other things, a number of actions for the purposes of protecting, restoring, and enhancing fish, wildlife, and associated habitats in the Central Valley and Trinity River basins in California. The act\u2019s stated purposes include, among other things, to achieve a reasonable balance among competing demands for use of Central Valley Project water, including the requirements of fish and wildlife, agriculture, municipal and industrial and power contractors. Under the act, Reclamation implements several programs, including those to restore habitat on Central Valley rivers and streams, improve diversion facilities to protect certain juvenile fish, and deliver water supplies for critical wetland habitat supporting resident and migratory waterfowl and threatened and endangered species.", "To address the increasingly complex issues surrounding the Bay Delta, the federal and California state governments reached an agreement to create the CALFED Bay-Delta Program (CALFED) in 1995 to restore ecological health, improve water quality, fortify water management infrastructure, and increase water supply reliability. From 1995 through 2009, about 20 federal and state agencies collaborated through this program, issuing a record of decision in 2000 outlining CALFED goals and programs and implementing federal and state legislation enacted in the early 2000s. Under the National Environmental Policy Act of 1969, agencies issue a record of decision at the end of the environmental impact statement process, which they are required to conduct for major federal actions that have a significant effect on the environment.", "The 2000 record of decision established a program with 12 components, including water quality and ecosystem restoration, to be managed by state and federal agencies. According to the record of decision, CALFED\u2019s water quality goal was to provide good water quality for the millions of Californians who rely on the Delta for all or a part of their drinking water. CALFED\u2019s goal for ecosystem restoration under the record of decision was to improve aquatic and terrestrial habitats and natural processes to support stable, self-sustaining populations of diverse and valuable plant and animal species through an adaptive management process. This process includes reevaluating or updating goals, activities, or performance measures based on the results of ongoing monitoring and progress assessments. Under the record of decision, the water quality and ecosystem restoration programs include activities throughout the Bay, Delta, and upper watershed.", "In 2002, California enacted the California Bay-Delta Act, which established the California Bay-Delta Authority to oversee CALFED. In 2004, the Calfed Bay-Delta Authorization Act (CALFED Act), a federal law, implemented the record of decision, directed federal agencies to coordinate CALFED activities with California state agencies, and authorized federal agencies to participate in the California Bay-Delta Authority as nonvoting members for the full duration of the period it continued to be authorized by state law. CALFED received federal appropriations to develop and implement ecosystem protection and restoration projects. Section 105 of the act requires Interior to report annually on the accomplishments of various program components, including those related to additional water storage and ecosystem restoration. Section 106 of the act requires OMB, in coordination with the governor of California, to report annually on all expenditures since 1998 to achieve the program\u2019s objectives.", "However, in 2009, California repealed the California Bay-Delta Act and abolished the California Bay-Delta Authority, replacing it with the Delta Reform Act and the Delta Stewardship Council. The 2009 law focused state efforts more specifically on the Delta, in part by tasking the council with developing an enforceable Delta Plan for promoting a healthy Delta ecosystem and a more reliable water supply. According to a report by the California Legislative Analyst\u2019s Office, the CALFED federal-state partnership ended due to several challenges, including uncertain financing, weak governance, and a lack of accountability. Although California state law was amended in 2009, the federal CALFED Act has not been significantly amended since its enactment in 2004.", "As we reported in June 2015, although the CALFED record of decision remains in effect, the state\u2019s future direction for Bay Delta activities are likely to be coordinated through the Delta Plan. The Delta Plan was, under certain conditions, to incorporate a 50-year conservation plan initiated by the state, in cooperation with Reclamation, in 2006. The 50- year plan proposed restoring approximately 150,000 acres of wetlands, grasslands, and other areas in and around the Delta over 50 years and addressing water supply reliability concerns by building two large tunnels to transport fresh water under the Delta. In 2015, facing uncertainties in obtaining permits to implement the plan, the state replaced the 50-year plan with two separate initiatives managed by the California Natural Resources Agency: (1) California EcoRestore, which aims to begin restoring at least 30,000 Delta acres over 5 years, and (2) California WaterFix, which includes building the two tunnels from the 50-year plan. The ecosystem chapter of the Delta Plan is being amended, and the amended chapter is anticipated to be complete by early 2019, according to Delta Stewardship Council officials. While it does not directly incorporate EcoRestore, the Delta Plan ecosystem amendment currently under development acknowledges that EcoRestore\u2019s successful implementation is needed to achieve the restoration objectives in the Delta Reform Act, according to Delta Stewardship Council officials.", "In addition to the CALFED Act and the Central Valley Project Improvement Act, other federal laws, including water quality and endangered species laws, are relevant to restoration efforts in the watershed. Some relevant laws include the following:", "The Clean Water Act. The objective of this act is to restore and maintain the chemical, physical, and biological integrity of the nation\u2019s waters. A 1987 amendment to the act created the National Estuary Program to promote comprehensive planning for, and conservation and management of, estuaries of national significance. The National Estuary Program calls for the development of comprehensive conservation and management plans (CCMP) for these designated estuaries, including the Bay Delta estuary, which was designated under the program in 1987. Under the act, EPA also works with California to regulate water quality. In addition, section 404 of the Clean Water Act generally prohibits the discharge of dredged or fill material into waters of the United States without a permit from the Corps. The Corps administers the permitting responsibilities of the section 404 program while EPA develops, in conjunction with the Corps, the substantive environmental criteria that permit applicants must meet.", "The Endangered Species Act. This act was enacted to, among other things, provide a means to conserve the ecosystem upon which endangered species and threatened species depend and to provide a program for the conservation of such endangered species and threatened species. Under the act, species may be listed as endangered or threatened. Several species in the watershed are listed as threatened or endangered, including the Delta smelt, steelhead trout, spring- and winter-run Chinook salmon, Ridgway\u2019s rail (a bird), salt marsh harvest mouse, red-legged frog, and California tiger salamander. NOAA\u2019s National Marine Fisheries Service and the U.S. Fish and Wildlife Service, depending on the species, implement the act, including by issuing biological opinions regarding the potential effects of proposed federal actions on endangered and threatened species.", "The San Joaquin River Restoration Settlement Act. In conjunction with the settlement this act implements, it outlines, among other things, measures to achieve the goals of restoration of the San Joaquin River and the successful reintroduction of California Central Valley spring-run Chinook salmon. Under the act, Reclamation is to coordinate several actions, including the expansion of a segment of the San Joaquin River to provide habitat for juvenile salmon."], "subsections": []}, {"section_title": "Funding for Restoration Efforts in the Watershed", "paragraphs": ["Across the watershed, funding for restoration efforts typically comes from a variety of federal, state, local, nongovernmental, and private entities. According to Interior officials, federal funding includes approximately $37 million per year for CALFED overall and additional funding for implementation of the Central Valley Project Improvement Act, available for certain projects in the Delta and upper watershed. Also, according to Interior officials, the U.S. Geological Survey funds research and monitoring to support water quality management, water operations, and restoration. Additional federal sources of funding include grant programs from EPA, NOAA, and the U.S. Fish and Wildlife Service and projects funded through Reclamation, in addition to funding for water projects that can include a restoration component. For example, Reclamation has provided about $37 million annually since fiscal year 2015 for the San Joaquin River Restoration Program. A number of other federal entities, including USDA\u2019s Natural Resources Conservation Service, also fund restoration projects in the watershed. For example, USDA\u2019s Natural Resources Conservation Service has programs, such as the Environmental Quality Incentives Program and the Agricultural Conservation Easement Program, to support farm conservation efforts throughout the Central Valley.", "Funding from state sources primarily comes from state water and conservation agencies and is funded through statewide bonds and the state\u2019s general fund. For example, in 2014, California voters authorized $7.5 billion in bonds to fund ecosystems and watershed protection and restoration; water supply infrastructure projects, including surface and groundwater storage; and drinking water protection across the state, including the San Francisco Bay Delta watershed. In addition to the bond funding, in 2016, voters from nine Bay area counties authorized an annual $12 parcel tax that is expected to raise approximately $500 million over 20 years for Bay wetlands restoration, as well as other multi-benefit projects.", "In the Delta, in addition to federal and state funding for restoration efforts, according to state officials, funding often comes from water contractors that pay for major restoration efforts through their obligations under the State Water Project to address biological opinions issued by federal regulatory agencies for endangered or threatened species. For example, water contractors are responsible for funding restoration efforts under the state\u2019s California EcoRestore initiative, including at least $205 million to restore 8,000 acres of fish habitat and $171 million for 17,000 acres of floodplain improvements. EcoRestore began in 2015, and total costs for projects are expected to reach at least $300 million in the initiative\u2019s first 4 years, according to the California Natural Resources Agency.", "According to officials from several federal and nonfederal entities, including EPA and the San Francisco Estuary Partnership, no official estimates exist for the expected total future costs to restore the entire watershed, though some estimates have been developed for limited types of activities. For example, regarding cost estimates, the San Francisco Estuary Partnership typically refers to Save the Bay\u2019s 2007 Greening the Bay report, which estimates that it will cost almost $1.5 billion over 50 years to restore the 36,176 acres of Bay shoreline already set aside for restoration. Overall, according to related reports, investments on the order of tens of billions of dollars would likely be necessary to restore the entire watershed."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Coordinate Comprehensive Restoration Efforts in Specific Geographic Areas, but Federal Entities Do Not Coordinate Across the Watershed", "paragraphs": ["Federal and nonfederal entities, including state agencies and nongovernmental organizations, carry out and coordinate a wide range of restoration efforts in the watershed. These entities coordinate comprehensive restoration efforts in the Bay and Delta primarily through two coordinating bodies\u2014the San Francisco Estuary Partnership and the Delta Plan Interagency Implementation Committee, respectively. In the upper watershed, federal and nonfederal entities do not have a coordinating body for comprehensive restoration efforts, but they do coordinate restoration efforts through plans specific to entities, projects, or restoration topics. In 2009, federal entities first developed an Interim Federal Action Plan for coordinating federal restoration efforts across the entire watershed, but not all of the entities are using the plan."], "subsections": [{"section_title": "Federal and Nonfederal Entities Carry Out A Wide Range of Restoration Efforts in the Watershed", "paragraphs": ["Federal and nonfederal entities carry out a wide range of restoration efforts\u2014i.e., water quality improvement and ecosystem restoration\u2014that can involve multiple entities, vary in geographic scope, span multiple years, and are intended to achieve multiple benefits. According to our review of reports and interviews with officials from federal and nonfederal entities, water quality improvement efforts include projects intended to improve the physical, chemical, or biological characteristics of water, and ecosystem restoration efforts include projects to restore degraded habitats. According to these interviews, restoration efforts can target a range of priorities, including conservation, resiliency, mitigation, monitoring, and enhancement. In addition, these efforts can directly or indirectly support water quality improvement and ecosystem restoration goals and objectives, and they can encompass a variety of activities, such as planning, project selection, project implementation, permitting, funding, technical assistance, and assessment. Figure 2 shows the locations and different habitat types for a number of the completed and ongoing restoration projects implemented by federal and nonfederal entities\u2014 partly under the CCMP, California EcoRestore, and other efforts\u2014in the Bay Delta Estuary.", "Restoration efforts in the watershed can involve multiple levels of government, as well as nongovernmental organizations. For example, the South Bay Salt Pond Restoration Project near San Jose, California\u2014the largest tidal wetland restoration project on the west coast of the United States, according to the project\u2019s website\u2014is a joint effort among the U.S. Fish and Wildlife Service, California Department of Fish and Wildlife, and the California State Coastal Conservancy, along with local governments, donors, consultants, and other participants. Similarly, the Hamilton Wetland Restoration Project near Novato, California, which involves the restoration of tidal and seasonal wetlands, is a joint effort among the Corps, California State Coastal Conservancy\u2014the nonfederal sponsor and landowner\u2014and other federal and nonfederal entities.", "Restoration efforts in the watershed also vary in geographic scope and can span jurisdictions. The South Bay Salt Pond Restoration Project includes federal and state land and, according to the project\u2019s website, is expected to restore more than 15,000 acres of industrial salt ponds to tidal marsh and other wetland habitats in three counties located along the shores of the southern part of San Francisco Bay. (See fig. 3.)", "The Hamilton Wetland Restoration Project comprises state-owned land and, according to the California State Coastal Conservancy, has the purpose to restore approximately 2,600 acres to tidal wetland on a former army airfield and adjacent properties along the San Francisco Bay in an area 25 miles north of San Francisco. (See fig. 4.)", "In contrast, other efforts include project areas on farms. For example, under its Environmental Quality Incentives Program, USDA\u2019s Natural Resources Conservation Service has focused on providing conservation planning, among other services, for farm operators and nonindustrial forestland owners, including tribes. Officials from several federal and nonfederal entities, including EPA, the San Francisco Estuary Partnership, the Central Valley Joint Venture, and the California State Coastal Conservancy, stated that the primary focus of restoration efforts varied from one geographic area to another. For example, according to some of these officials, efforts to restore tidal wetlands are prevalent in the Bay, and efforts to address land subsidence are prevalent in the Delta. (See fig. 5.)", "Restoration efforts in the watershed can span multiple years. For example, the South Bay Salt Pond Restoration Project is an ongoing, multi-phase, 50-year effort that began with the acquisition of former industrial salt ponds in 2003. Likewise, the Hamilton Wetland Restoration Project is an ongoing, multi-phase effort that began in 1999. In the upper watershed, planning began in 2012 for California EcoRestore\u2019s ongoing Yolo Bypass Salmonid Habitat Restoration and Fish Passage Project, which aims to increase floodplain habitat for endangered and threatened fish species in the Sacramento River watershed.", "Restoration efforts in the watershed can also have multiple primary benefits. For example, the Hamilton Wetland Restoration Project was designed to reverse years of land subsidence, restore wetlands, reestablish historic habitat for wildlife and endangered species, and beneficially reuse dredged sediment. Multiple benefits could also accrue over time. For instance, according to the California State Coastal Conservancy, while the Hamilton Wetland Restoration Project currently provides habitat for migratory water birds and fish, it is expected to become thickly vegetated with a complex network of tidal channels that provide habitat for several threatened and endangered species. Restoration efforts can also provide multiple secondary benefits. For example, restoring wetlands may provide resilience against sea level rise, habitat for wildlife, and an area for recreation."], "subsections": []}, {"section_title": "Federal and Nonfederal Entities Coordinate Comprehensive Restoration Efforts in the Bay and Delta through Coordinating Bodies and Specific Restoration Efforts in the Upper Watershed", "paragraphs": ["Federal and nonfederal entities coordinate comprehensive restoration efforts in the Bay and Delta through the San Francisco Estuary Partnership and the Delta Plan Interagency Implementation Committee, respectively. In the upper watershed, federal and nonfederal entities coordinate specific restoration efforts through plans specific to entities, projects, or restoration topics. Specifically:", "Bay. In the Bay, federal and nonfederal entities coordinate comprehensive restoration efforts through the San Francisco Estuary Partnership. The partnership was established in 1987 and receives funding from EPA\u2019s National Estuary Program to implement the CCMP for the San Francisco Estuary (i.e., the Bay Delta). The partnership\u2019s members include federal, state, and local government entities; nongovernmental organizations, such as conservation groups; and a utility commission. The partnership\u2019s members provided input on developing and revising the CCMP and have integrated goals into the CCMP from their own topic- or entity-specific strategic plans. Partnership members also coordinate restoration efforts guided by the CCMP. For example, the U.S. Fish and Wildlife Service, U.S. Geological Survey, the California State Coastal Conservancy, and the California Department of Fish and Wildlife work to coordinate on managed wetlands and ponds\u2014one of the restoration efforts outlined in the CCMP. Furthermore, partnership members may carry out various activities for restoration projects in the Bay, such as project planning, regulating and permitting (e.g., for dredging and extracting sediment), on-the-ground project implementation, and scientific monitoring. Partnership members meet quarterly and participate in a conference every 2 years to provide updates on the status of projects, share scientific research, and present monitoring results.", "Delta. In the Delta, federal and nonfederal entities coordinate comprehensive restoration efforts through the Delta Plan Interagency Implementation Committee. This committee was created in 2013 by the Delta Stewardship Council, the state agency responsible for overseeing the Delta Plan\u2014the state\u2019s plan for promoting a more reliable water supply and a healthy ecosystem. The committee is made up of representatives from 7 federal and 11 state entities and helps implement the Delta Plan. Members of the committee may also carry out various activities for restoration projects in the Delta, such as scientific monitoring, on-the-ground project implementation, project planning, and regulating and permitting (e.g., for placing materials such as concrete structures or rocks into the water to support levees). The committee meets twice a year and participates in conferences to gather scientific consensus or to share recent research. Some committee members are also members of the San Francisco Estuary Partnership and coordinate separately through initiatives that may have predated the committee and that are specific to entities, projects, or restoration topics.", "Upper watershed. In the upper watershed, while federal and nonfederal entities do not have a coordinating body for comprehensive restoration efforts, they coordinate restoration efforts through plans specific to entities, projects, or restoration topics. For example, 20 federal, state, and nongovernmental entities coordinate through the Central Valley Joint Venture\u2014a partnership with the mission to conserve migratory bird habitat\u2014and its implementation plan. Likewise, dozens of federal, state, and local government entities coordinate to implement the Central Valley Flood Protection Plan, a plan adopted by California\u2019s Central Valley Flood Protection Board for managing flood risk. In addition, NOAA, the U.S. Fish and Wildlife Service, and the California Department of Fish and Wildlife coordinate on implementing a conservation strategy in parts of the Central Valley."], "subsections": []}, {"section_title": "Federal Entities Developed a Plan for Coordinating Federal Restoration Efforts across the Watershed, but Not All of the Entities Are Using the Plan", "paragraphs": ["A federal memorandum of understanding and an Interim Federal Action Plan outline how federal entities are to coordinate the federal government\u2019s restoration activities and support state efforts across the entire watershed. The California Bay-Delta Memorandum of Understanding among Federal Agencies, signed in September 2009, established a Federal Bay-Delta Leadership Committee to coordinate federal efforts related to restoration and water management across the entire watershed while the state structure was transitioning from the California Bay-Delta Authority to the Delta Stewardship Council, and the state therefore was no longer participating in the originally structured CALFED federal-state partnership. According to the memorandum, this federal committee was to be led by Interior and CEQ and to meet regularly. The signatories of the memorandum also agreed to develop a federal work plan to outline near-term federal actions and begin to identify and prioritize key longer-term federal actions for restoration efforts and water management across the watershed. The entities issued an Interim Federal Action Plan in December 2009.", "The Interim Federal Action Plan organizes federal actions into four priorities, including working with state and local authorities on joint project planning to ensure healthy Bay Delta ecosystems and to improve water quality. Specifically, the federal entities agreed to build projects to improve water supply, including through conservation efforts in municipal areas and on agricultural lands; to fund habitat restoration projects for threatened and endangered fish across the watershed; and to assess the effects of pollutants such as mercury and pesticides on water quality. According to the Interim Federal Action Plan, these priorities cut across different federal entities\u2019 missions and activities in the watershed. Further, the Interim Federal Action Plan includes actions aimed at ensuring the effective and efficient use of federal resources, such as by leveraging nonfederal resources.", "In late 2010, the agencies that signed the memorandum provided a status update on the Interim Federal Action Plan that confirmed the federal government\u2019s support of state efforts in the watershed. The status update directs the federal government to review the components of any proposed restoration plan and understand the costs and benefits such a plan would have on federal water resources and taxpayers. The President\u2019s fiscal year 2019 budget, which sets the administration\u2019s top- level priorities and was released in February 2018, reaffirmed the federal government\u2019s commitment to the Interim Federal Action Plan and stated that the plan is under the leadership of CEQ, Interior, and the Delta Stewardship Council. OMB staff stated the Interim Federal Action Plan provides overall guidance to federal agencies and clarifies that the agencies should focus their various actions in the watershed on the plan\u2019s four priorities, including while working with nonfederal entities through collaborative bodies.", "Nonetheless, not all federal entities are using the Interim Federal Action Plan. Officials from the USDA Natural Resources Conservation Service told us they use the plan to determine conservation funding levels and priorities in the watershed. However, a former official who was responsible for CEQ\u2019s Bay Delta portfolio said that although the plan still matches the needs of the watershed, agencies had stopped following it in the past several years because the plan had become less of a priority for the administration. In addition, EPA and NOAA officials stated they were not aware of agencies following the plan in the past several years. According to the plan, its most important aspect is the federal government\u2019s reaffirmation of its partnership with state and local entities and its commitment to coordinate actions with them. Yet, of the 31 nonfederal entities responding to our survey questionnaire, 11 indicated that they were not at all familiar with the Interim Federal Action Plan, and another 9 indicated that they were slightly familiar with it.", "Further, according to Interior officials, although restoration efforts described in the Interim Federal Action Plan have largely remained the same and its functions and activities are still relevant, the plan is outdated. In particular, according to these officials, the Interim Federal Action Plan refers to the state\u2019s 50-year conservation plan, which California is no longer pursuing. Moreover, according to Interior and EPA officials, the Federal Bay-Delta Leadership Committee\u2014the coordinating body for the Interim Federal Action Plan\u2014has not convened since the Delta Plan was developed in May 2013, even though the memorandum called for the committee to meet on a regular basis. Instead, according to Interior officials, the state-led Delta Plan Interagency Implementation Committee has replaced the federal leadership committee as the coordinating body for federal efforts in the watershed.", "Interior and EPA officials we interviewed said the federal role outlined in the Interim Federal Action Plan is no longer relevant because of recent leadership and strategic changes in the watershed resulting from the state\u2019s withdrawal from the originally structured CALFED program and increased focus on the Delta through the Delta Stewardship Council. According to OMB staff and Interior and Delta Stewardship Council officials, the Delta Plan Interagency Implementation Committee is the current approach for coordinating among and between federal and state entities, and according to Interior officials, federal participation in the committee is key. The committee, however, focuses specifically on the Delta, and the Delta Plan generally does not include restoration efforts in the Bay and the upper watershed. Restoration requires a robust watershed-wide approach, according to the Interim Federal Action Plan, because the Bay, Delta, and upper watershed systems are interconnected. Specifically, according to one respondent to our survey, actions in the upper watershed affect water quality improvement and ecosystem restoration success in the Delta and ultimately the Bay. For example, according to California state officials, carefully timed water releases from dams in the upper watershed are the only way to control saltwater content in the Delta, which is critical for agriculture and urban water supply. Further, a National Research Council report states that Delta planning cannot be successful if it is not integrated into statewide planning because the Delta is fed by large upstream watersheds and water from the Delta is used outside the region, such as in the Bay. In addition, federal funding supports efforts throughout the watershed.", "While the Interim Federal Action Plan is consistent with several of our leading practices for collaboration, it is not being used by all federal agencies. As we reported in 2012, key considerations for implementing interagency collaborative mechanisms include whether participating agencies have clarified roles and responsibilities, developed ways to continually update and monitor written agreements on how agencies coordinate, and identified how leadership will be sustained over the long term. We have found that agencies that articulate their agreements in formal documents, such as plans, can strengthen their commitment to working collaboratively and that transitions and inconsistent leadership can weaken coordination. A written document can incorporate agreements reached among participants in any or all of the following areas: leadership, accountability, roles and responsibilities, and resources. Although the Interim Federal Action Plan reflects several of these practices, it is not being used to lead overall federal efforts and has not been updated to reflect current roles and responsibilities in the watershed, in particular the transition of coordination from the plan\u2019s federal leadership committee to the Delta Plan Interagency Implementation Committee and the state\u2019s increased focus on the Delta. Further, the Delta Plan Interagency Implementation Committee is not an interagency coordination mechanism for the federal and state agencies to communicate complete information for the entire watershed.", "Updating, including revising or refocusing, the Interim Federal Action Plan could help federal entities more fully coordinate with and support nonfederal restoration efforts across the watershed. EPA and Interior officials stated that coordination among the regions is challenging because agency missions and activities can be siloed. Officials from the Delta Stewardship Council told us that without coordinating with federal entities, they found it difficult to plan resources and work with federal entities. In addition, 31 of the 48 federal and nonfederal entities that responded to our survey questionnaire indicated that coordination of goals for the entire watershed was a very great or great challenge. Moreover, according to our analysis of questionnaire responses, 29 of 48 federal and nonfederal entities indicated that coordination among partners at different levels of government was a very great or great challenge. For example, in narrative responses to our survey questionnaire, one respondent stated that restoration projects can be delayed because many federal and nonfederal entities focus narrowly on their own missions without considering those of other stakeholders. By updating or revising the plan to outline and reflect entities\u2019 roles and responsibilities in light of the changes in the state\u2019s role and other relevant developments since 2009, and notifying all participating entities to ensure they are aware of the plan and their role in it, Interior and CEQ could help clarify the federal government\u2019s role in supporting restoration efforts in the watershed and help ensure the effective use of federal resources in these efforts."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Have Developed Measurable Goals and Approaches to Assess Progress for Restoration Efforts in the Watershed", "paragraphs": ["Federal and nonfederal entities have developed measurable goals for comprehensive restoration efforts in the Bay and Delta and for specific restoration efforts in the upper watershed. Federal and nonfederal entities have also developed approaches to assess progress for restoration efforts in the Bay and Delta and for some goals in the upper watershed. In the Bay and Delta, the San Francisco Estuary Partnership uses indicators to rate the goals as good, fair, or poor, and in 2015, the partnership rated the overall state of the Delta as in fair to poor condition and the Bay as healthier."], "subsections": [{"section_title": "Federal and Nonfederal Entities Have Developed Measurable Goals for Comprehensive Restoration Efforts in the Bay and Delta and for Specific Efforts in the Upper Watershed", "paragraphs": ["Federal and nonfederal entities have developed measurable goals for comprehensive restoration efforts in the Bay and Delta through the coordinating bodies for these areas and have developed measurable goals for specific restoration efforts in the upper watershed. The coordinating bodies have documented the goals in plans, which often contain action items aimed at achieving those goals. In addition, all three of the regions share some similar goals, such as ecosystem restoration, climate resilience, and water quality."], "subsections": [{"section_title": "Measurable Goals for the Bay", "paragraphs": ["Federal and nonfederal entities have developed measurable goals for comprehensive restoration efforts in the Bay through the San Francisco Estuary Partnership. The partnership documented these goals in the CCMP, which provides a 35-year vision for restoring the estuary. The most recent CCMP, updated in 2016, contains four long-term goals related to broad restoration efforts: ecosystem restoration, climate resilience, water quality and quantity, and governance. Each goal contains three objectives, which detail desired outcomes that make progress toward achieving goals. To achieve the goals and objectives, the plan also identifies 32 actions\u2014each of which can be associated with multiple goals and objectives\u2014that lay out 112 priority tasks for the next 5 years. Figure 6 shows an example of a priority task and how it relates to the actions, objectives, and goals. The 2016 CCMP also includes measurements to track progress for all actions and links the plan\u2019s goals, objectives, and actions to 33 environmental indicators established by the partnership.", "Federal and nonfederal entities have developed measurable goals for comprehensive restoration efforts in the Delta through the Delta Stewardship Council and documented them in the Delta Plan, first published in 2013. The Delta Plan contains six goals and establishes funding principles to support implementation of the Delta Plan as a whole. Four of the goals\u2014protecting, restoring, and enhancing the Delta ecosystem; reducing climate-related risks; improving water quality; and governance\u2014are similar to those of the CCMP. To accomplish all six goals and meet the funding principles, the Delta Plan sets forth 87 provisions for various entities, such as local, state, and federal agencies. Fourteen of these provisions are legally enforceable regulatory policies. The Delta Plan also has 159 performance measures associated with these goals and provisions. For example, under improving water quality, the Delta Plan includes a provision related to priority habitat restoration areas. (See fig. 7.)", "Federal and nonfederal entities developed measurable goals for specific efforts in the upper watershed and documented these goals in plans specific to entities, projects, or restoration topics. These plans include goals similar to those outlined in the CCMP or the Delta Plan\u2014such as ecosystem restoration, climate resilience, and improved water quality\u2014 and some of the goals have associated performance measures. For example, several federal and nonfederal entities documented in the Central Valley Joint Venture Implementation Plan the acreage they would like to enhance annually for conserving migratory bird habitat\u2014a specific ecosystem restoration effort. Another group, California\u2019s Central Valley Flood Protection Board, documented in the state\u2019s Central Valley Flood Protection Plan that it would like to increase infrastructure performance in populous areas to result in a more resilient flood management system\u2014 an example of a specific resiliency goal. This goal contains tracking metrics, including measuring the miles of levees repaired or improved. In addition, Interior produces metrics and reports for activities under the Central Valley Project Improvement Act."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Have Developed Approaches to Assess and Report Progress toward Some Measurable Goals in the Bay, Delta, and Upper Watershed", "paragraphs": ["Federal and nonfederal entities have developed indicators to assess and report progress toward some of the measurable goals in the Bay, and have applied these in the Delta as well. In the Bay, the San Francisco Bay Regional Water Quality Control Board has implemented regional monitoring pilot studies since 1989, and in 1992 it established a regional monitoring program led by a nonprofit science center. In 1991, in addition to water quality, the science center began reporting on the monitoring and assessment of ecosystem restoration and resilience in the estuary, such as changes over time in pollution, dredging, and numbers of endangered and threatened fish and wildlife. The San Francisco Estuary Partnership then used the science center\u2019s restoration and resilience assessments to create the 1993 CCMP goals. At the same time, partly in response to a recommendation from the CCMP, the science center became the San Francisco Estuary Institute, a nonprofit scientific organization that performs monitoring to inform watershed management. The San Francisco Estuary Partnership began reporting on water quality progress in 2011. The first of these reports, titled the State of San Francisco Bay, focused on the Bay.", "In the Delta, the Delta Stewardship Council in 2013 began working to coordinate scientific monitoring efforts based on the goals outlined in the Delta Plan. Scientific monitoring efforts in the Delta include a regional water quality monitoring program, begun by the Central Valley Regional Water Quality Control Board in 2015. The monitoring efforts also include the Interagency Ecological Program, a consortium of state and federal agencies that have collaborated to monitor and research ecological conditions in the Delta since the 1970s, including by contributing to the CALFED science program. Based on the results of these separate monitoring efforts, the Delta Stewardship Council has a process in place to periodically update the Delta Plan\u2019s performance measures and goals.", "In 2015, the San Francisco Estuary Partnership updated its assessment and report to include both the Bay and the Delta and renamed it State of the Estuary. The partnership plans to update these reports approximately every 5 years and include both the Bay and the Delta. For the 2015 report, more than 100 scientists from entities such as the San Francisco Estuary Institute, the U.S. Geological Survey, and the Delta Stewardship Council collaborated to monitor and assess estuary health against environmental indicators established by the partnership. The report includes 17 indicators specifically for the Bay, 8 indicators specifically for the Delta, and 4 estuary-wide indicators (see table 1). The report rates the status of the indicators\u2014such as the safety of water for swimming, the safety of fish to eat, and the level of harbor seal populations\u2014as good, fair, or poor. For example, the State of the Estuary report assessed the regional extent of tidal marsh in the Bay as \u201cfair\u201d and \u201cimproving\u201d and the Yolo Floodplain Flows in the Delta as \u201cpoor;\u201d however, the report did not detail the partnership\u2019s methodology for delineating between \u201cfair\u201d and \u201cpoor\u201d assessments. On the basis of its assessment, the partnership rated the Delta and Suisun Bay ecosystems as being in fair to poor condition and the Bay as healthier.", "In the upper watershed, progress assessment is tied to entity- and topic- specific plans and is not summarized by any one group or in one report. For example, California\u2019s Central Valley Flood Protection Board assigns agencies to keep track of data toward tracking metrics for the goals of the Central Valley Flood Protection Plan. In another example, the state\u2019s California EcoRestore initiative provides progress reports on restoration projects to mitigate damage caused by water conveyance programs."], "subsections": []}]}, {"section_title": "The Status of All Restoration Efforts across the Watershed and Total Expenditures Is Unknown", "paragraphs": ["Information on the status of all restoration efforts across the watershed, including their accomplishments, is unknown because, while the information is being developed, complete and current information is not being fully collected or reported. Total expenditures for fiscal years 2007 through 2016 are unknown, in part because federal reports do not include complete or reliable data for federal and state expenditures in the watershed."], "subsections": [{"section_title": "Information on the Status of All Restoration Efforts across the Watershed Is Being Developed but Is Not Complete and Current", "paragraphs": ["Information on the status of all restoration efforts across the watershed, including their accomplishments, is unknown because complete and current information is not being fully collected or reported. At the state level, the San Francisco Estuary Institute and the Delta Stewardship Council each maintains a database with information about federal and nonfederal restoration efforts, including those implemented during fiscal years 2007 through 2016, but neither database contains data on all restoration efforts in the watershed. Specifically:", "EcoAltas. The San Francisco Estuary Institute, in cooperation with the San Francisco Bay Joint Venture, maintains the EcoAtlas database, which is the more comprehensive of the two databases. EcoAtlas integrates stream and wetland maps, restoration information, and monitoring results with land use, transportation, and other information important to the state\u2019s wetlands. According to institute officials, the database was originally designed to focus on the Bay and includes information on nearly every restoration effort in the Bay. According to these officials, the institute is working to update EcoAtlas and gather information on all efforts across the watershed. Officials from several federal and nonfederal entities\u2014including NOAA, the institute, the San Francisco Bay Joint Venture, and the Central Valley Joint Venture\u2014told us that the completeness of EcoAtlas\u2019s data on restoration efforts in the Delta is catching up to that for the Bay, but a lot of work remains to gather more complete data in the upper watershed, such as by gathering more complete project information from entities conducting restoration work there.", "DeltaView. The Delta Stewardship Council\u2019s DeltaView database collects state and federal data on efforts directly related to implementing the state\u2019s Delta Plan goals. As a result, DeltaView does not include information for all restoration efforts in the Delta since, for example, local government agencies and other nonfederal entities may also conduct restoration efforts in the Delta. According to its website, DeltaView is designed to track and report on Delta Plan progress and help the Delta Plan Interagency Implementation Committee make more informed decisions about implementing the Delta Plan. According to council officials, because it is designed to focus on the Delta, DeltaView does not include efforts in the Bay or upper watershed unless they directly affect the Delta. Further, while officials who manage EcoAtlas and DeltaView take steps to check the completeness of the data, such as using regional administrators to oversee project completeness for EcoAltas or following up with agency officials annually for DeltaView, they stated it is difficult to confirm their completeness because they largely rely on self-reporting by different federal and nonfederal entities. Council officials stated that while the information in EcoAtlas is generally more comprehensive, DeltaView\u2019s information on restoration efforts in the Delta is more complete than EcoAtlas\u2019s information about the Delta, and they are working with the institute on ways to merge the two databases to make more complete information available in a single database.", "On the federal level, section 105 of the CALFED Act requires Interior, in cooperation with the Governor of California, to submit a report annually to Congress that, among other things, describes the status of implementation of all CALFED components, such as water quality and ecosystem restoration across the watershed. Under the act, the report is to include the progress made in meeting certain goals as well as accomplishments in achieving certain CALFED objectives during the past fiscal year. However, according to Interior officials, the department issued the most recent of these reports in February 2009. Interior officials stated that the California Bay-Delta Authority used to collect information on all the projects in the watershed and prepare and submit these reports. However, since the California Bay-Delta Authority was abolished and replaced by the Delta Stewardship Council, Interior does not obtain this information from any state entity, although Interior is still required to submit the report annually to Congress.", "Because Interior has not issued a report since 2009, when the California Bay-Delta Authority was abolished, and because other sources of information on restoration efforts such as EcoAtlas are not yet fully developed, no complete or current information on the progress of restoration efforts is available. According to Interior officials, the requirement to report is outdated and the department does not have information to report because it stopped obtaining data from the California Bay-Delta Authority after it was abolished. However, Interior and other federal agencies continue to work with state agencies on the state\u2019s current Delta Plan, which replaced the state\u2019s CALFED plans. Also, according to Interior officials, the department has not reached out to the state to identify new sources of information, given the change in state plans or agency structure.", "Section 105 of the CALFED Act requires Interior, in consultation with California\u2019s governor, to report annually on \u201cthe status of implementation of all components of the Calfed Bay-Delta Program.\u201d The law goes on to identify the specific objectives on which Interior is to report, which include activities that Interior and other federal agencies are currently carrying out, such as research and wetland restoration. According to respondents to our survey questionnaire, having such information could help stakeholders make more informed decisions about these efforts. Specifically, according to our analysis of responses, 32 of 48 federal and nonfederal entities indicated that it would be very or extremely important to have reports on progress of federal and nonfederal entities in implementing restoration activities. In addition, according to our analysis of responses, 27 of 48 federal and nonfederal entities indicated that it would be very or extremely important to have reports on accomplishments of federal and nonfederal entities in achieving the objectives of restoration activities. Without attempting to obtain and report state information as required under section 105 of the CALFED Act, Interior will not have reasonable assurance that it is providing Congress, or others, with the information needed to monitor federal and nonfederal restoration activities."], "subsections": []}, {"section_title": "Total Expenditures for All Restoration Efforts in the Watershed Are Unknown in Part Because Federal Reporting is Incomplete", "paragraphs": ["Total expenditures for all restoration efforts in the watershed for fiscal years 2007 through 2016 are unknown in part because federal reports do not include complete or reliable expenditure data, and other tracking mechanisms are still developing this information. San Francisco Estuary Institute officials stated that EcoAtlas recently began to include expenditure data for the on-the-ground costs of implementing restoration projects, but overall expenditure data on these projects are still incomplete. In addition, as discussed earlier, EcoAtlas is still in the process of gathering complete information for efforts in the Delta and upper watershed. DeltaView includes federal and state expenditure data for efforts in the Delta; however, according to Delta Stewardship Council officials, it does not include data for all restoration efforts in the Delta, such as those funded by nongovernmental organizations. The institute\u2019s plans to expand EcoAtlas to include expenditures and data on efforts across the watershed, including by working with the council to merge the two databases, indicates that entities are taking steps to gather more complete information. As they continue to do so, more information will be available to report on expenditures for restoration efforts in the watershed.", "One source of information on federal and state expenditures across the watershed is OMB\u2019s interagency budget crosscut reports for CALFED activities; however, these reports do not contain complete or accurate expenditure data. Section 106 of the CALFED Act requires OMB to submit a financial report annually to Congress, in coordination with the Governor of California and certified by the Secretary of the Interior, that includes, among other things, an interagency budget crosscut report. The report is to display each participating federal agency\u2019s proposed budget for the upcoming fiscal year to carry out CALFED activities and identify all expenditures since 1998 by the federal and state governments to achieve the objectives of CALFED, which, as noted previously, include water quality and ecosystem restoration components. The report is also to contain a detailed accounting of all funds received and obligated by all federal and state agencies responsible for implementing CALFED activities during the past fiscal year.", "According to OMB staff, since California abolished the California Bay- Delta Authority in 2009, the state no longer submits state data for the crosscut report, so the agency only includes data reported by federal agencies in the crosscut reports and tables. OMB staff said this is because the state no longer has an agency organized around reporting this information. The Delta Stewardship Council has responsibility for the former state agency\u2019s activities, but given its narrower focus on the Delta, it is unclear whether the council could submit data to OMB for the entire watershed. According to OMB staff, OMB has not asked the Delta Stewardship Council or any other state entities to submit the data they do have to OMB; however, a council official told us the council would like an opportunity to work on the crosscut report.", "Survey responses indicate that the state crosscut data could be helpful to federal and nonfederal entities. We asked survey respondents to indicate how important, if at all, they thought reports on all federal or state expenditures and funding committed to be spent (i.e., obligations) on restoration activities would be when they carry out activities related to these responsibilities in the San Francisco Bay Delta watershed. According to our analysis of survey responses, 24 of 48 federal and nonfederal entities indicated that it would be very or extremely important to have reports on both federal and state expenditures. Also, according to our analysis of survey responses, 27 of 48 federal and nonfederal entities indicated that it would be very or extremely important to have reports on federal obligations, and 24 of the 48 entities indicated that it would be very or extremely important to have reports on state obligations. Without attempting to obtain and report state information as required under section 106 of the CALFED Act, OMB will not have reasonable assurance that it is providing Congress with the information it needs to monitor federal and nonfederal restoration expenditures.", "In addition, while there was written guidance for submitting crosscut data for fiscal years 1998 through 2011, OMB has not updated its written guidance on reporting data for the CALFED Act since the guidance expired in 2011 to reflect who should report what data. Instead, according to OMB staff, it has generally provided oral instruction to agencies on what data to submit. As a result, we found that federal agencies reported different types of data for OMB to include in the budget crosscut and that the budget crosscut was therefore not reliable for the purposes of reviewing total expenditures. Some federal agencies, including EPA and the U.S. Geological Survey, note in their crosscut submissions that the data provided are funding levels or allocations, rather than expenditures. In addition, Interior reported that it submits obligations, which are also different than expenditures. As a result, the crosscut reports and tables may include a mix of federal budget authority, obligations, and expenditures, depending on the type of data the agencies choose to submit.", "According to OMB staff, while OMB reports federal budget authority data for the most recent fiscal year in the crosscut report, OMB relies on agencies to submit data on prior year expenditures for inclusion in the crosscut. However, the crosscut report itself labels the data reported as \u201cenacted\u201d dollars\u2014or budget authority\u2014but does not mention expenditures. Some federal officials said that clearer guidance would be helpful. For example, USDA officials stated that it would be helpful for OMB to clarify whether to submit estimated funding allocations or actual obligations and to provide more specific information about the types of restoration projects to include because the data USDA currently submits provide a narrow scope for the agency\u2019s restoration-related work in the watershed.", "The lack of updated guidance is inconsistent with federal standards for internal control, which call for an agency to design control activities to achieve objectives and manage risks. Such control activities include clearly documenting internal controls, and the documentation may appear in management directives, administrative policies, or operating manuals. Because OMB has not updated its written guidance on reporting data since the guidance expired in 2011 to clearly communicate what data agencies should report, its mechanism for tracking data\u2014the crosscut reports and tables\u2014does not include complete or reliable expenditure data. As a result, congressional and other federal and nonfederal decision makers may not have the information they need to determine that resources are being used efficiently or effectively. For example, in a September 2017 report, Interior\u2019s Office of Inspector General found that Reclamation obtained $50 million over 7 years for CALFED-related purposes using a process that it did not disclose to Congress through available mechanisms, including OMB\u2019s crosscut reports. According to the Inspector General\u2019s report, these crosscuts assist the President in considering the necessary and appropriate level of funding for each of the agencies in carrying out its responsibilities under CALFED. By directing its staff to update its written guidance for federal and state agencies on submitting data for its budget crosscut reports, OMB will have more reasonable assurance that it is helping those agencies provide current, complete, and accurate data to help congressional and other decision makers achieve restoration objectives."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Entities Identified Several Factors, such as Competing Interests, Coordination, and Climate Change, As Key Factors that May Limit Restoration", "paragraphs": ["Several factors may limit restoration progress or pose risks to the long- term overall success of such efforts in the San Francisco Bay Delta watershed, according to our analysis of questionnaire responses from 48 federal and nonfederal entities. These factors reflect characteristics of watersheds in other parts of the country that we have previously discussed, including funding constraints and the effects of climate change (see fig. 8).", "Federal and nonfederal entities also identified up to three factors that pose the greatest risks to the long-term overall success of water quality improvement and ecosystem restoration efforts in the San Francisco Bay Delta watershed. Specifically, based on our analysis of the survey results, we found that federal and nonfederal entities consistently identified the following risks:", "Competing interests of water users, including residential, commercial, agricultural, and environmental. According to our analysis of survey responses, this particular risk varies by geographic area in the watershed. For example, 20 of 25 entities that indicated they conduct restoration work in the Sacramento River Watershed\u2014 part of the upper watershed region\u2014identified this factor as a greatest risk. By comparison, 19 of 34 entities that indicated they conduct restoration work in the Bay identified this factor as a greatest risk. In its survey responses, one nonfederal entity indicated that the distribution of water and other natural resources among competing interests is not clearly defined or not distributed in a method that satisfies all parties. Therefore, according to this entity, stakeholders who are not satisfied with natural resources distribution may be hesitant to invest time and money in conservation practices that benefit water quality. In another survey response, a federal entity described competing interests as one of the biggest roadblocks in planning and implementing water quality improvement and ecosystem restoration in the Bay Delta region. This entity explained that there is an extremely limited freshwater supply in the region and interests that compete for it have resulted in several lawsuits and delays for restoration projects.", "Obtaining sufficient federal funding for water quality improvement and ecosystem restoration activities. Of the 48 survey respondents, 24 indicated that this factor is one of the greatest risks to long-term overall success of water quality improvement and ecosystem restoration efforts. According to one nonfederal entity\u2019s survey response, funding for ecosystem restoration in the Bay area traditionally has come from a mix of federal and state sources. For example, the entity said a local source that will provide nearly $500 million over 20 years recently was established but needs to be leveraged by significant state and federal dollars to meet the estimated $1.5 billion needed for restoration in the Bay area. In its response to our survey, one federal entity stated that federal funding is extremely limited for restoration activities that are not part of mitigation efforts. The federal entity also stated that federal funding for long-term monitoring of restoration success and water quality improvement is difficult to sustain because these efforts are not eye- catching and do not provide quick results. A nonfederal entity stated that many state entities rely on federal grants to perform activities that result in improved water quality and ecosystem restoration.", "Planning for the effects of climate change. In their survey responses, 24 of 48 entities indicated that this factor is one of the greatest risks to long-term overall success of water quality improvement and ecosystem restoration efforts. One nonfederal entity said expected reductions in the Sierra Nevada snow pack\u2014the largest source of water supply for the watershed\u2014will result in increased demand on limited local water sources. Other respondents noted a need to consider addressing the effects of climate change at a high level. For instance, one nonfederal entity said successfully planning for climate change includes planning and coordinating at the watershed level, not at the project or jurisdictional level. Another nonfederal entity said the potential impact of sea level rise is great and ecosystem restoration solutions will require much more regional planning and agreement than more traditional engineering solutions. However, entities also acknowledged the challenges associated with planning for the effects of climate change with incomplete information. For example, in its response to our questionnaire, one entity stated it is difficult to understand the impact on water quality resulting from conservation practices on working lands, at both the private landowner level and the watershed level, if the projects have not incorporated climate change impacts such as flooding and sediment erosion.", "The factors identified by federal and nonfederal entities that may limit or pose a risk to restoration efforts are generally consistent with our prior work on large-scale ecosystem restoration efforts in other parts of the country (see Related GAO Products at the end of this report). For example, we previously reported that similar factors, such as funding constraints and the effects of climate change, may limit restoration efforts in the Great Lakes and Chesapeake Bay. Survey responses also indicate that some of these risks can be interrelated. For example, one federal entity said that while certain shoreline restoration and levee stabilization projects could ameliorate the effects of climate change, finding adequate funding to plan for and implement such projects is extremely difficult. According to this entity, all the competing interests and limited freshwater supply in the watershed further exacerbates these difficulties.", "In response to our questionnaire, federal and nonfederal entities identified what they consider to be the most important action that could be taken at a federal level to help improve restoration efforts in the watershed. For example, seven entities mentioned actions related to streamlining or coordinating federal permitting processes. Half of the entities that responded to our questionnaire also indicated a need for actions related to federal funding, and four entities indicated a need to use the best available science to direct restoration efforts."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The complex nature of the restoration efforts in the San Francisco Bay Delta watershed demands a high level of coordination across a large number of entities and competing interests. The results of federal and nonfederal entities working together can be seen in parts of the watershed, such as the Bay, where this work has resulted in the development of comprehensive regional strategies, sources of funding for some restoration projects, an expanding regional database, and an inventory of potential projects.", "In other parts of the watershed, particularly the Delta, coordination has wavered. The CALFED Act was enacted in 2004 to implement, at the federal level, a federal-state partnership for restoring the San Francisco Bay Delta watershed. When the state of California withdrew from the originally structured CALFED federal-state partnership in 2009, the effort to coordinate across the entire watershed transitioned and the focus of coordination became the Delta Plan, a state-led effort. Key federal entities, including Interior and CEQ, continue to have interests across the watershed, such as coordinating or conducting programs and projects and expending resources. To that end, in 2009 they developed a unifying vision for the federal government through the Interim Federal Action Plan. However, as the state continues to change its focus within the watershed, the Interim Federal Action Plan has become outdated, and not all relevant federal entities are using it. By updating or revising the plan to outline and reflect entities\u2019 roles and responsibilities in light of the changes in the state\u2019s role and other relevant developments since 2009, and by notifying all participating entities to ensure they are aware of the plan and their role in it, Interior and CEQ could help clarify the federal government\u2019s role in supporting restoration efforts in the watershed and help ensure the effective use of federal resources in these efforts.", "In addition, since California stopped participating in the originally structured CALFED partnership, information on projects and expenditures for restoration and other activities in the watershed have not been completely reported, or reported at all. Although California abolished the California Bay-Delta Authority, the requirements for Interior to report on the status of implementation of all CALFED components, including water quality and ecosystem restoration efforts, and for OMB to submit a financial report, including an interagency budget crosscut report, still exist, and information about related restoration efforts and expenditures remains unknown. By coordinating with the appropriate state entities to obtain and report the information available to meet the CALFED Act\u2019s requirements, Interior and OMB would have more reasonable assurance that they are providing the information congressional and other decision makers need to monitor the restoration efforts and associated expenditures. Further, by directing staff to update OMB\u2019s written guidance for federal and state agencies on submitting data for its budget crosscut reports, OMB would have more reasonable assurance that it is helping those agencies provide current, complete, and accurate data to help decision makers achieve restoration objectives."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making seven recommendations\u2014two each to Interior and CEQ to address issues with the Interim Federal Action Plan; one each to Interior and OMB to obtain and report information; and one to OMB to update its budget crosscut guidance. Specifically: The Secretary of the Interior should work with the Chair of CEQ to update or revise the Interim Federal Action Plan for the California Bay-Delta to outline and reflect entity roles and responsibilities in light of changes in the state of California\u2019s role and other relevant developments since 2009. (Recommendation 1)", "The Secretary of the Interior should notify all participating entities to ensure they are aware of the Interim Federal Action Plan and their role in it. (Recommendation 2)", "The Chair of CEQ should work with the Secretary of the Interior to update or revise the Interim Federal Action Plan for the California Bay-Delta to outline and reflect entity roles and responsibilities in light of changes in the state of California\u2019s role and other relevant developments since 2009. (Recommendation 3)", "The Chair of CEQ should notify all participating entities to ensure they are aware of the Interim Federal Action Plan and their role in it. (Recommendation 4)", "The Secretary of the Interior should coordinate with appropriate state entities to obtain and report the information available to meet the requirements under section 105 of the CALFED Act. (Recommendation 5)", "The Director of OMB should coordinate with appropriate state entities to obtain and report the information available to meet the requirements under section 106 of the CALFED Act. (Recommendation 6)", "The Director of OMB should direct staff to update OMB\u2019s written guidance for federal and state agencies on submitting data for the budget crosscut reports OMB is required to submit under section 106 of the CALFED Act. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments, Third-Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to CEQ, EPA, OMB, and the Departments of Agriculture, Commerce, Defense, and the Interior. We also provided the California Delta Stewardship Council a draft of this report for review and comment. Interior provided written comments and stated that it partially concurred with our three recommendations to the department; Interior also provided technical comments, which we incorporated into the report as appropriate. In an email from CEQ\u2019s Deputy General Counsel, CEQ provided technical comments, which we incorporated into the report as appropriate, but the agency neither agreed nor disagreed with our recommendations to it. In oral comments provided on August 8, 2018, OMB neither agreed nor disagreed with our two recommendations to the agency, but OMB staff suggested some additional language to the recommendations. In addition, USDA and Commerce provided technical comments, which we incorporated into the report as appropriate. Defense and EPA informed us that they had no comments on the draft report. The California Delta Stewardship Council provided written comments stating that its staff generally agreed with the \u201csum\u201d of the recommendations in the report. The council also provided technical comments, which we incorporated into the report as appropriate.", "In its written comments, reproduced in appendix IV, Interior stated that the department appreciated our review of the coordination of watershed restoration efforts among federal and nonfederal entities and that it partially concurred with our three recommendations to the department. Specifically, regarding our first two recommendations to update or revise the Interim Federal Action Plan and notify all participating entities of their role in the plan, Interior stated that the department believes revisiting the Interim Federal Action Plan is not the most efficient course of action because the state-led Delta Plan Interagency Implementation Committee now serves as the coordination group. Interior stated that it will continue to actively participate in the committee, which includes participation and leadership from federal agencies at the regional and Washington office levels. However, as we discuss in the report, the committee focuses on only one region of the watershed (the Delta), and federal agencies fund and carry out restoration efforts across all three regions of the watershed. Further, as we discuss in the report, the President\u2019s fiscal year 2019 budget states that federal activities are coordinated through the Interim Federal Action Plan rather than the state-led committee. Also, Interior\u2019s letter states that its bureaus are concurrently engaged with the state of California in multiple activities in the Bay Delta that span their respective mission areas. This provides further support for the plan to be updated or revised to include these types of activities. Thus, we continue to believe that Interior should update or revise the plan to better reflect changes in the state\u2019s role and other relevant developments since 2009.", "Regarding our third recommendation to Interior that it coordinate with the state to meet reporting requirements, Interior stated that the California Delta Stewardship Council compiles and reports on funding information and progress for federal and state agencies and that Interior could coordinate with the state on information not reported by the council. As we discuss in the report, the council\u2019s reporting efforts focus on only the Delta, although federal funding and efforts span the entire watershed; therefore, the council\u2019s reporting efforts cannot fully address Interior\u2019s reporting requirements. In addition, Interior has not reached out to state entities for this information since 2009, when the state agency from which Interior had previously obtained state data was abolished. Thus, we continue to believe that Interior should coordinate with the appropriate state entities to obtain and report the information available to meet the CALFED Act\u2019s reporting requirements. We note that Interior said it would actively participate in the Delta Plan Interagency Implementation Committee and could seek to coordinate with the state on information not reported by the Delta Stewardship Council, and we are encouraged that the department recognizes the need to take these actions.", "In oral comments regarding our first recommendation to OMB that it coordinate with the state to meet reporting requirements, OMB staff said it is unclear whether the Director of OMB has the authority to require or compel the state or its agencies to provide data to OMB on restoration and other projects they are carrying out. The staff suggested that we revise the recommendation to state that the Director of OMB should \u201cconsider whether there are additional opportunities to\u201d coordinate with appropriate state entities to obtain and report the available information. Our recommendation is for OMB to coordinate with appropriate state entities, not to require or compel them to do so. In addition, as stated in its written comments (reproduced in appendix V), the California Delta Stewardship Council\u2014the state agency responsible for the activities of the abolished California Bay-Delta Authority\u2014would welcome the opportunity to coordinate with OMB and contribute to the budget crosscut reports. Furthermore, Section 106 of the CALFED Act requires OMB to submit a financial report annually to Congress, in coordination with the Governor of California, that includes an interagency budget crosscut report. Thus, we believe that the recommendation is worded appropriately and captures the actions that OMB should take to coordinate with the appropriate state entities to obtain and report the information available to meet the CALFED Act's reporting requirements.", "In oral comments regarding our second recommendation to OMB that it update its written guidance for federal and state agencies on submitting data for the budget crosscut reports, OMB staff said that the agency does not have the expertise to validate or verify the quality of the information agencies submit and is not confident that the data collected will be reliable. The staff said that other entities with day-to-day experience with the programs and data and with the relevant statutory authority may be in a better position to obtain, report, and verify the quality of restoration data. The staff suggested that we revise the recommendation to state that the Director of OMB should \u201cassess whether to\u201d update OMB\u2019s written guidance for federal and state agencies on submitting data for the budget crosscut reports. However, OMB\u2019s current approach is resulting in the reporting of unreliable data. As reported above, OMB has generally provided oral instruction to agencies since its written guidance expired in 2011; as a result, the crosscut reports and tables may include a mix of federal budget authority, obligations, and expenditures. Further, Section 106 of the CALFED Act requires, among other things, that OMB identify all expenditures since 1998 by the federal and state governments to achieve CALFED objectives. Therefore, we continue to believe that OMB should update its written guidance to clarify the type of data that agencies should submit in order to ensure it is reporting the data required by the CALFED Act. We note that our recommendation does not direct OMB staff to validate or verify the quality of the information; instead, it states that OMB should clarify in guidance what data agencies should provide. In addition, if OMB determines it is appropriate, updated written guidance could advise agencies to validate and verify the data before submitting it to OMB.", "In its written comments, reproduced in appendix V, the California Delta Stewardship Council made four comments on the themes outlined in the recommendations of our report and two specific comments on the report\u2019s description of the Delta. Commenting on the themes outlined in the recommendations, the council stated that:", "No entity in California has the sole responsibility or authority for managing water supply and the Delta ecosystem; instead, authority, expertise, and resources are spread out among a cadre of federal, state, and local agencies. The council further said that its Delta Plan Interagency Implementation Committee plays a vital coordination role for the 17 state and federal agencies operating in the Delta, that federal participation is critical to the committee\u2019s success, and that it encourages federal agencies to continue to attend and actively participate in the committee.", "There is a history of coordination in the Bay Delta systems, as evidenced by events such as the State of the Estuary Conference and the Bay Delta Science Conference, as well as the CCMP. Given that the upper watershed currently lacks a collaborative structure such as the implementation committee, the council said that further exploration should be done as to how this gap could be filled.", "The council is not currently in contact with CEQ and OMB and would welcome the opportunity to coordinate with them should a revised Interim Federal Action Plan be pursued. The council also stated that, to the extent possible, such a revised plan should consider and build on existing planning frameworks such as the Delta Plan and the CCMP.", "As stated in the report, the council welcomes the opportunity to contribute to the CALFED budget crosscut reports.", "In addition, the council made two specific comments on the report\u2019s description of the Delta. First, it stated that our report is thorough in discussing many aspects of the watershed, but it somewhat neglects the importance of levees, particularly in the Delta. While we provide an overview of levees in the background section, a more detailed discussion of these and other water infrastructure facilities is beyond the scope of this review, which is to examine restoration efforts in the watershed and does not include detailed examination of issues related to water supply. Second, the council stated that the report should mention and consider characteristics associated with the Delta as an evolving place, which refers to the council\u2019s efforts to consider the interaction between environmental and social factors\u2014such as cultural values and socio- economic issues\u2014into decision making for the Delta. We believe our discussion of federal and nonfederal coordination roles within and across the watershed\u2019s three major regions, including the Delta, appropriately considers the interaction between environmental and social factors, within the scope of this review.", "We are sending copies of this report to the appropriate congressional committees, the Chair of CEQ; the Secretaries of Agriculture, Commerce, Defense, and the Interior; the Administrator of EPA; the Director of OMB; the Executive Officer of the California Delta Stewardship Council; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Selected Federal and Nonfederal Entities with Restoration-Related Roles in the San Francisco Bay Delta Watershed", "paragraphs": ["Many federal and nonfederal entities, including state and local government agencies and nongovernmental organizations, have roles related to water quality improvement and ecosystem restoration efforts in the San Francisco Bay Delta watershed. Different combinations of federal and nonfederal entities work throughout the watershed and its three major geographic areas, which are the San Francisco Bay and its local watershed (Bay), the Sacramento-San Joaquin Delta (Delta), and the upper watershed, which includes California\u2019s Central Valley and the western slope of the Sierra Nevada Mountains. See below for a list of federal and nonfederal entities and a brief description of some of their restoration-related roles in the watershed. We selected these entities based on our review of documents provided by, and interviews with, federal and nonfederal entities."], "subsections": [{"section_title": "Selected Federal Entities with Restoration-Related Roles in the Watershed", "paragraphs": ["Several federal entities have roles related to water quality improvement and ecosystem restoration efforts in the watershed. All federal agencies listed are signatories to the 2009 memorandum of understanding, unless otherwise noted. Federal agencies and some of their restoration-related roles include the following:", "Executive Office of the President.", "Council on Environmental Quality (CEQ). Under the 2009 memorandum of understanding, CEQ is to work with the Secretary of the Interior in coordinating the development and implementation of federal policy and initiatives in Bay-Delta matters and is the co- chair of the Federal Bay-Delta Leadership Committee.", "Office of Management and Budget (OMB). OMB is not a signatory to the 2009 memorandum of understanding, but under the Calfed Bay-Delta Authorization Act (CALFED Act), OMB is required to annually submit a financial report to Congress, in coordination with the Governor of California and certified by the Secretary of the Interior, that includes, among other things, an interagency budget crosscut report that identifies all expenditures since 1998 by the federal and state governments to achieve the objectives of the Calfed Bay-Delta Program (CALFED). CALFED program components include, among other things, water quality and ecosystem restoration.", "U.S. Army Corps of Engineers. According to Corps officials, the Corps plans and implements projects, including ecosystem restoration projects; participates in regional planning, while using its own return- on-investment analysis for prioritizing projects; and helps the state water agencies maintain levees. The Corps also issues permits for the discharge of dredged or fill material under section 404 of the Clean Water Act.", "U.S. Department of Agriculture (USDA).", "Natural Resources Conservation Service (NRCS). Through general conservation programs and also its targeted Bay Delta Initiative, NRCS and its local partners aim to address the critical water quantity, water quality, and habitat restoration needs of the Bay Delta region by implementing voluntary conservation practices on private lands. NRCS provides agricultural producers technical and financial assistance in the Bay Delta region to implement conservation practices and establish conservation easements that improve water quality and quantity and restore and protect wetland, riparian, and wet meadow habitat.", "U.S. Forest Service. The Pacific Southwest Region of the U.S.", "Forest Service manages 20 million acres of National Forest land in California. National forests supply 50 percent of the water in California and form the watershed of most major aqueducts and more than 2,400 reservoirs throughout the state. According to U.S. Forest Service officials, the agency\u2019s management actions on National Forest land in California are focused on ecological restoration, with the goal of retaining and restoring the ecological resilience, including water quality, of terrestrial and aquatic ecosystems. According to these officials, this work is often accomplished using an \u201call lands\u201d approach to restoration, by coordinating and collaborating across forests and wildlands regardless of ownership. Ecological restoration management actions that contribute to water quality include meadow, river, and riparian restoration to improve watershed function, as well as fuels reduction activities, such as forest thinning and prescribed fire. According to these officials, many forest lands have dense fuels and are highly susceptible to severe wildfire, which causes increased erosion rates and sedimentation and negatively affects water quality and delivery.", "U.S. Department of Commerce.", "National Oceanic and Atmospheric Administration (NOAA). NOAA implements the Endangered Species Act for certain species. Under section 7 of the act, federal agencies must ensure that any action they authorize, fund, or carry out is not likely to jeopardize the continued existence of any endangered or threatened species or result in the destruction or adverse modification of its critical habitat. To fulfill this responsibility, federal agencies must consult with NOAA\u2019s National Marine Fisheries Service, depending on the affected species, to assess the potential effects of proposed actions. Formal consultations between federal agencies and the National Marine Fisheries Service or U.S. Fish and Wildlife Service are required where a proposed action could have an adverse effect on listed species or designated critical habitat; these consultations conclude with issuance of biological opinions by the National Marine Fisheries Service or U.S. Fish and Wildlife Service. NOAA also obtains, manages, and expends funding to conduct habitat restoration. According to NOAA officials, NOAA\u2019s Restoration Center has directed federal funds toward restoration projects in the Bay Delta. In addition, funds from natural resource damage assessments have been used for habitat restoration in San Francisco Bay, according to NOAA officials.", "U.S. Department of the Interior. Under the 2009 memorandum of understanding, Interior is to serve as the lead for developing and coordinating federal policy and initiatives in Bay-Delta matters and is the co-chair of the Federal Bay-Delta Leadership Committee. Under the CALFED Act, Interior is required to annually submit a report to Congress, in cooperation with the Governor of California, that, among other things, describes the status of implementation of all CALFED components, which include water quality and ecosystem restoration components.", "Bureau of Reclamation. Reclamation administers the Central Valley Project, which has long-term contracts to supply water to more than 250 contractors in 29 of California\u2019s 58 counties, and implements a number of actions under the Central Valley Project Improvement Act. The act was enacted for several purposes, including to protect, restore, and enhance fish, wildlife, and associated habitats. Reclamation also implements other actions, such as those under the San Joaquin River Restoration Settlement Act.", "U.S. Fish and Wildlife Service. The U.S. Fish and Wildlife Service implements the Endangered Species Act for certain species. According to agency officials, the U.S. Fish and Wildlife Service is also a major landowner, with several National Wildlife Refuges throughout the watershed where restoration efforts are implemented. Additionally, according to agency officials, the U.S. Fish and Wildlife Service provides funding through grant programs, such as the North American Wetlands Conservation, National Coastal Wetlands Conservation, and Wildlife and Sportfish Restoration programs, and provides technical assistance through efforts, such as the Partner for Fish and Wildlife, Coastal, and Tribal Wildlife programs.", "U.S. Geological Survey. According to U.S. Geological Survey officials, the agency\u2019s role in the watershed includes conducting physical, chemical, and biological monitoring and scientific investigations to support water and water quality management, fish and wildlife management, and infrastructure management and protection. According to officials, the agency also provides policy- neutral technical support to Interior and other federal, state, and local entities.", "U.S. Environmental Protection Agency (EPA). EPA implements the Clean Water Act, including management of the National Estuary Program. According to agency officials, EPA also provides authorization, financial support, and oversight of the California State Water Resources Control Board, the partner state agency charged with implementing Clean Water Act programs in California, and provides direct funding, technical assistance, and oversight of programs and projects achieving Clean Water Act goals in the state."], "subsections": []}, {"section_title": "Selected State Government Entities with Restoration-Related Roles in the Watershed", "paragraphs": ["Several state government entities in California have roles related to water quality improvement and ecosystem restoration efforts in the watershed. A list of selected state agencies and information from the agencies summarizing their restoration-related roles follows:", "California Delta Stewardship Council. The Delta Stewardship Council is a planning and science agency, with some regulatory authority. The council develops and reviews the Delta Plan, the implementation of which is to further the restoration of the Delta ecosystem and a reliable water supply. The council also funds research, synthesizes and communicates scientific information to decision makers, and coordinates with Delta agencies to promote science-based adaptive management. In addition, the council establishes and oversees the Delta Plan Interagency Implementation Committee, a joint state-federal committee that implements the Delta Plan.", "California Natural Resources Agency. The Natural Resources Agency is a resource management agency, with some regulatory authority.", "Central Valley Flood Protection Board. The Central Valley Flood Protection Board establishes and enforces standards for the maintenance and operation of the flood control system; develops and implements the state\u2019s flood protection plan for the Central Valley; and coordinates activities among the Corps and local flood control agencies.", "Department of Fish and Wildlife. The Department of Fish and Wildlife plans, collaborates on, enforces, and funds species management, habitat conservation, and wetlands restoration. According to agency officials, the department also is a major owner of land where restoration efforts take place, such as the Napa-Sonoma Marsh Wildlife Area and Eden Landing Ecological Reserve, and houses the California Wildlife Conservation Board, which provides funding for restoration projects.", "Department of Water Resources. The Department of Water Resources administers the California State Water Project, including sales to water contractors. The department also implements and funds\u2014through the State Water Project\u2014two fish habitat restoration projects in response to NOAA and U.S. Fish and Wildlife Service biological opinions. In addition, the department develops the California Water Plan, the state\u2019s overall water resources plan.", "Sacramento-San Joaquin Delta Conservancy. The Sacramento- San Joaquin Delta Conservancy plans, collaborates on (with local communities), implements, and funds projects in the Delta and Suisun Marsh to protect, improve, and restore habitats and ecosystems, improve water quality, and support water-related agricultural sustainability, among other things.", "San Francisco Bay Conservation and Development Commission.", "The San Francisco Bay Conservation and Development Commission plans, collaborates on, and regulates the San Francisco Bay, Bay shoreline, and Suisun Marsh; it also permits projects that fill or extract materials from the Bay.", "Sierra Nevada Conservancy. The Sierra Nevada Conservancy plans, collaborates on, implements, and funds projects in parts of the upper watershed to protect, improve, and restore habitats and ecosystems, improve water quality, and prepare for climate change, among other things.", "State Coastal Conservancy. The State Coastal Conservancy plans, collaborates on, implements, and funds\u2014partly through voter-approved bonds\u2014projects around the Bay to protect and improve natural lands, improve water quality and wildlife habitats, and prepare for climate change, among other things.", "California Environmental Protection Agency. The California Environmental Protection Agency is a regulatory agency.", "State Water Resources Control Board. The State Water Resources Control Board allocates water rights, adjudicates water rights disputes, develops statewide protection plans, establishes water quality standards, and guides the nine regional water quality control boards.", "San Francisco Bay Regional Water Quality Control Board. One of nine regional water quality control boards in California, the San Francisco Bay Regional Water Quality Control Board exercises rulemaking and regulatory activities for the Bay.", "Central Valley Regional Water Quality Control Board. One of nine regional water quality control boards in California, the Central Valley Regional Water Quality Control Board exercises rulemaking and regulatory activities for the Central Valley (including the Delta) of the upper watershed."], "subsections": []}, {"section_title": "Other Selected Nonfederal Entities with Restoration- Related Roles in the Watershed", "paragraphs": ["Other nonfederal entities\u2014including local and regional government agencies, nongovernmental organizations, private businesses, and private landowners\u2014have roles related to water quality improvement and ecosystem restoration efforts in the watershed. Other nonfederal entities and some of their restoration-related roles include the following:", "Central Valley Joint Venture. The Central Valley Joint Venture is a cooperative, regional partnership\u2014partially supported through the U.S. Fish and Wildlife Service and established under the North American Waterfowl Management Plan\u2014that plans and coordinates migratory bird and other habitat restoration and conservation in the Central Valley.", "San Francisco Estuary Institute. The San Francisco Estuary Institute is a nonprofit science center that provides data and other technical tools for assessing the health of the waters, wetlands, wildlife, and landscapes of the Bay and Delta; manages the EcoAtlas database of restoration projects; and works closely with the California State Water Resources Control Board and the San Francisco Estuary Partnership.", "San Francisco Estuary Partnership. The San Francisco Estuary Partnership is a cooperative, regional partnership that develops and manages the comprehensive conservation and management plan for the San Francisco Estuary (i.e., the Bay Delta) under EPA\u2019s National Estuary Program, including coordinating projects and leveraging funds. The partnership is staffed by the nine-county Association of Bay Area Governments and housed by the San Francisco Bay Regional Water Quality Control Board.", "San Francisco Bay Joint Venture. The San Francisco Bay Joint Venture is a cooperative, regional partnership\u2014organized through the U.S. Fish and Wildlife Service and established under the North American Waterfowl Management Plan\u2014that plans and coordinates migratory bird and other habitat restoration and conservation in the Bay.", "Other regional government agencies. Other regional government agencies have a variety of restoration-related roles, depending on the entity. In addition to the San Francisco Estuary Partnership, examples of regional government agencies with restoration roles in the watershed include the Bay Area Clean Water Agencies, Bay Area Flood Protection Agencies Association, and California Association of Resource Conservation Districts.", "Nongovernmental organizations. Other nongovernmental organizations have restoration-related roles in the watershed, including the Audubon Society, Bay Planning Coalition, Ducks Unlimited, Nature Conservancy, and Save the Bay.", "Local governments. Local governments have a variety of restoration-related roles, depending on the entity. For example, according to U.S. Fish and Wildlife officials, Marin and San Mateo Counties are recognized leaders in planning for climate resiliency in wetland restoration. Also, Alameda County uses sediment excavated from flood control district channels to build or create wetlands to provide vital wildlife habitat. In addition, water treatment facilities work with the California State Water Resources Control Board to help fund the San Francisco Estuary Institute\u2019s water quality monitoring program.", "Dredging businesses. Dredging businesses work with the California State Water Resources Control Board to help fund the San Francisco Estuary Institute\u2019s water quality monitoring program.", "Water contractors. Through obligations under the Central Valley Project and State Water Project, water contractors help fund certain restoration projects required under biological opinions by various regulatory agencies, including NOAA, the U.S. Fish and Wildlife Service, and the California Department of Fish and Wildlife, according to state officials.", "Private landowners. Some private landowners collaborate on or sell land for various restoration and conservation projects. Private landowners include businesses (e.g., technology companies and an industrial salt pond owner) and farmers in the Bay and farmers and ranchers throughout the Delta and upper watershed."], "subsections": []}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examine (1) the extent to which federal and nonfederal entities coordinate their San Francisco Bay Delta watershed restoration efforts, (2) the extent to which federal and nonfederal entities have developed measurable goals and approaches to assess progress for San Francisco Bay Delta watershed restoration efforts, (3) information on the status of San Francisco Bay Delta watershed restoration efforts and related expenditures for fiscal years 2007 through 2016, and (4) key factors that may limit San Francisco Bay Delta watershed restoration, according to federal and nonfederal entities.", "To address all four objectives, we reviewed relevant federal and state laws and documents. We also interviewed officials from more than 28 federal, state, and other entities we identified through our review of laws and documents, snowball sampling, and their participation in regional interagency groups conducting restoration work in the San Francisco Bay Delta watershed. During these interviews, we asked about, among other things, restoration plans that coordinate multiple aspects of water quality improvement and ecosystem restoration efforts on a regional level in the San Francisco Bay Delta watershed. Officials and representatives we interviewed identified the Comprehensive Conservation and Management Plan (CCMP) and the Delta Plan as the overarching regional strategies for the Bay and Delta, respectively. We considered these strategies \u201ccomprehensive regional plans\u201d and reviewed them to address our objectives.", "To address our objectives, we obtained information from a questionnaire we sent to all 61 federal, state, and other entities that serve on the boards or implementation committees of regional interagency groups conducting restoration work in our geographic scope. These groups were the San Francisco Bay Joint Venture, San Francisco Estuary Partnership, Delta Plan Interagency Implementation Committee, and Central Valley Joint Venture. The survey group includes many of the entities listed above in appendix I. We also sent this questionnaire to federal agencies that are signatories of the CALFED record of decision and 4 other relevant organizations identified through snowball sampling. We initially identified and distributed our questionnaire to 78 entities. We sent a single questionnaire to each nonfederal entity (e.g., state agency, nongovernmental organization, local government agency, etc.) and sent more than one questionnaire, as appropriate, to federal agencies that have offices or officials working in different parts of the watershed. We determined which federal level to survey based on a review of agency organizational charts and inquiries with agency officials. We considered each office or federal designee to be a separate federal entity due to the distinct nature of their work based on geographic region. To ensure we got survey responses that reflect the opinions of an entity, we included instructions for survey points of contact to collaborate with colleagues, as needed, and indicated that we only wanted one survey response from each entity. After we began our survey effort, we identified 6 entities as out of scope for a variety of reasons, such as being a subgroup of another entity we surveyed. Our final population of surveyed entities was 72, of which 48 responded to our questionnaire, a response rate of 67 percent.", "In our questionnaire, we collected information on water quality improvement and ecosystem restoration efforts in the San Francisco Bay Delta watershed, including, among other things, (1) challenges that may limit restoration progress; (2) risks to the long-term overall success of water quality improvement and ecosystem restoration efforts; and (3) types of reports that entities could consider important when carrying out responsibilities related to water quality improvement and ecosystem restoration. To ensure that our survey questions were appropriate and that respondents could answer them in a reliable and meaningful way, we conducted survey pre-tests with 5 entities from the study population, had the questionnaire reviewed by an independent reviewer within GAO, and revised the questionnaire as appropriate based on the results of these efforts. The survey questionnaire used for this review is in appendix III. Our survey field period ran from December 4, 2017, through January 29, 2018. We distributed the questionnaire electronically through email. After the requested return date passed, we emailed or telephoned respondents who had not returned the questionnaire and asked them to respond.", "By January 29, 2018, we received 48 questionnaires. In order to minimize potential nonresponse bias, we reviewed the key characteristics of respondents to ensure we received completed questionnaires from each of our population subgroups. Because this was not a sample questionnaire, it has no sampling errors. However, the practical difficulties of conducting any survey may introduce nonsampling errors, such as difficulties in interpreting a particular question or sources of information available to respondents, which can introduce unwanted variability into the survey results. We took steps in developing the questionnaire, collecting the data, and analyzing them to minimize such nonsampling error. Survey questionnaires may also be subject to error in entering and analyzing data. We implemented quality control procedures on our data entry by verifying the accuracy of the process. We noted any missing, irregular, or incorrect responses by the respondent and resolved these responses, as needed, through email correspondence with the relevant entities.", "To examine the extent to which federal and nonfederal entities coordinate their San Francisco Bay Delta watershed restoration efforts, we interviewed officials from federal, state, and other entities to identify key regional plans and coordination efforts. We reviewed these plans and efforts and compared federal coordination efforts against a selection of our leading practices for collaboration to assess the extent to which federal entities followed these practices. The selected leading practices for collaboration include whether participating agencies have clarified roles and responsibilities, developed ways to continually update and monitor written agreements on how agencies coordinate, and identified how leadership will be sustained over the long-term. Our questionnaire discussed above also surveyed entities to identify coordination-related challenges, if any.", "To understand what restoration projects were being carried out, we obtained information from the San Francisco Estuary Institute\u2019s EcoAtlas database and the Delta Stewardship Council\u2019s DeltaView database on restoration projects. We also conducted site visits to a nonprobability sample of four projects selected to provide illustrative examples of a variety of restoration activities in different locations in the watershed. We identified these sites by asking knowledgeable stakeholders about restoration projects in each region of the watershed that involved a variety of partners, including federal agencies, that were at various stages of completion. We then arranged visits that would allow us to observe projects in each region that illustrated a range of these selection criteria. We also conducted site visits to water project facilities, including a reservoir, dam, and pumping station. In addition, we attended the State of the San Francisco Estuary Conference in Oakland, California, on October 10 and 11, 2017, and observed many presentations and panel discussions on topics ranging from Delta restoration planning to pesticides in the estuary, by a wide range of officials from federal and nonfederal entities conducting restoration efforts across the watershed.", "To examine the extent to which federal and nonfederal entities have developed measurable goals and approaches to assess progress for San Francisco Bay Delta watershed restoration efforts, we reviewed comprehensive regional plans and related goals and progress reports, including the technical appendix for the State of the Estuary report. To do so, we looked for factors such as goals with quantifiable metrics and targets, as well as indicators used to assess and report progress. We also interviewed officials from federal, state, and other entities, including scientific groups, about efforts to develop measurable goals and assess restoration progress.", "To examine information on the status of San Francisco Bay Delta watershed restoration efforts and related expenditures for fiscal years 2007 through 2016, we obtained and analyzed available data\u2014collected from the EcoAtlas and DeltaView databases\u2014that included information about projects, expenditures, and cost estimates for this period. This period covers the time before and after the state withdrew from the CALFED federal-state partnership, as originally structured, and includes the last full fiscal year for which the most recent data were available at the time of our review. We assessed the reliability of these data by interviewing knowledgeable officials and reviewing database documentation and determined that they were not reliable for purposes of identifying all restoration projects across the entire watershed and for reporting related expenditure data. We also reviewed federal and state reports on budget requests and authority for that period and interviewed officials from federal, state, and other entities about available sources of data on projects, expenditures, and cost estimates.", "We also obtained and reviewed OMB\u2019s Bay Delta budget crosscuts, which include financial information for San Francisco Bay Delta watershed restoration efforts reported by federal and state agencies, for fiscal years 2007 through 2019. We assessed the reliability of the data in the federal budget crosscut reports and tables by interviewing federal agency officials about what data they provided for the reports and tables and analyzing the data provided in the crosscut reports. We determined that the data were reliable only to report examples of the magnitude of funding for individual agencies. We determined that these data were not reliable to aggregate funding levels across programs and agencies or to compare funding levels of the various agencies, as we discuss in this report. We then compared OMB\u2019s written guidance on submitting data for the crosscut reports with federal standards for internal control to assess the extent to which federal agencies followed the standard for design of control activities.", "To determine key factors that may limit San Francisco Bay Delta watershed restoration, according to federal and nonfederal entities, we sent the survey questionnaire described above to federal, state, and other entities to obtain views on (1) challenges that may limit restoration progress and (2) risks to the long-term overall success of water quality improvement and ecosystem restoration efforts. We also interviewed officials from federal, state, and other entities about factors that may limit restoration progress, as well as reviewed progress reports and studies exploring these factors.", "We conducted this performance audit from April 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Summary Results of GAO Survey Questionnaire of Federal and Nonfederal Entities", "paragraphs": [], "subsections": [{"section_title": "We distributed this survey questionnaire to 72 federal and nonfederal entities that work in the San Francisco Bay Delta watershed. In this survey, we collected information on water quality improvement and ecosystem restoration efforts in the San Francisco Bay Delta watershed, including, among other things, (1) challenges that may limit restoration progress; (2) risks to the long-term overall success of water quality improvement and ecosystem restoration efforts; and (3) types of reports that entities could consider important when carrying out responsibilities related to water quality improvement and ecosystem restoration. The following copy of this survey questionnaire includes summary information for the responses provided by federal and nonfederal entities. It does not include information for narrative responses.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix V: Comments from the California Delta Stewardship Council", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Janet Frisch (Assistant Director), Susan Iott (Assistant Director), Chad M. Gorman (Analyst-in- Charge), Chuck Bausell, Stephen Betsock, Mark Braza, Marissa Dondoe, Ellen Fried, Carol Henn, Karen Howard, Richard Johnson, Gwen Kirby, Ben Licht, John Mingus, Tricia Moye, Rebecca Parkhurst, Sara Sullivan, Sarah Veale, Michelle R. Wong, Elizabeth Wood, and Edith Yuh made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Great Lakes Restoration Initiative: Improved Data Collection and Reporting Would Enhance Oversight. GAO-15-526. Washington, DC: July 21, 2015.", "Bureau of Reclamation: Financial Information for Three California Water Programs. GAO-15-468R. Washington, DC: June 4, 2015.", "Great Lakes Restoration Initiative: Further Actions Would Result in More Useful Assessments and Help Address Factors That Limit Progress. GAO-13-797. Washington, DC: September 27, 2013.", "Chesapeake Bay: Restoration Effort Needs Common Federal and State Goals and Assessment Approach. GAO-11-802. Washington, DC: September 15, 2011.", "Recent Actions by the Chesapeake Bay Program Are Positive Steps Toward More Effectively Guiding the Restoration Effort, but Additional Steps Are Needed. GAO-08-1131R. Washington, DC: August 28, 2008.", "Coastal Wetlands: Lessons Learned from Past Efforts in Louisiana Could Help Guide Future Restoration and Protection. GAO-08-130. Washington, DC: December 14, 2007.", "South Florida Ecosystem: Restoration Is Moving Forward but Is Facing Significant Delays, Implementation Challenges, and Rising Costs. GAO-07-520. Washington, DC: May 31, 2007.", "Chesapeake Bay Program: Improved Strategies Are Needed to Better Assess, Report, and Manage Restoration Progress. GAO-06-96. Washington, DC: October 28, 2005.", "Great Lakes: Organizational Leadership and Restoration Goals Need to Be Better Defined for Monitoring Restoration Progress. GAO-04-1024. Washington, DC: September 28, 2004.", "Watershed Management: Better Coordination of Data Collection Efforts Needed to Support Key Decisions. GAO-04-382. Washington, DC: June 7, 2004.", "Great Lakes: An Overall Strategy and Indicators for Measuring Progress Are Needed to Better Achieve Restoration Goals. GAO-03-515. Washington, DC: April 30, 2003."], "subsections": []}], "fastfact": ["The San Francisco Bay Delta watershed supplies drinking water to 25 million people and irrigation for about half the nation's fruit and vegetable production. Federal and nonfederal entities carry out activities to protect and restore the watershed, which has seen declines in water quality, flood protection, and habitat.", "We found federal agencies are not all using their plan to coordinate restoration efforts. Also, Congress required annual reports on these efforts, but reporting ceased after a key state agency was abolished in 2009.", "We made 7 recommendations aimed at improving coordination and gathering the required information for Congress."]} {"id": "GAO-17-796T", "url": "https://www.gao.gov/products/GAO-17-796T", "title": "International Mail Security: CBP and USPS Should Assess Costs and Benefits of Using Electronic Advance Data", "published_date": "2017-09-07T00:00:00", "released_date": "2017-09-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes information contained in GAO's August 2017 report, entitled International Mail Security: Costs and Benefits of Using Electronic Data to Screen Mail Need to Be Assessed ( GAO-17-606 )."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. Customs and Border Protection (CBP) is the primary federal agency tasked with targeting and inspecting inbound international items and seizing illegal goods, including illegal or inadmissible drugs and merchandise. As mail and express cargo arrive in the United States, both the U.S. Postal Service (USPS) and express consignment operators (such as FedEx and DHL) provide items to CBP for inspection. However, unlike express consignment operators, USPS is not currently required to provide CBP with electronic advance data (EAD), such as the shipper's and recipient's name and address, for inbound international mail and does not have control over mail prior to its arrival in the United States. Thus, USPS relies on foreign postal operators to collect and provide EAD voluntarily or by mutual agreement.", "In 2014 and 2015, USPS and CBP initiated two pilot programs at the New York International Service Center (ISC) to target certain mail for inspection using some of the EAD obtained under data-sharing agreements with foreign postal operators. Under the pilots, CBP uses EAD to target a small number of pieces of mail each day. According to USPS officials, when USPS employees scan either individual targeted pieces or larger sacks containing this targeted mail, they are alerted that CBP has targeted the item and set the item or sack aside for inspection. According to USPS and CBP, USPS has been unable to provide some targeted mail for inspection because locating targeted mail once it arrives at an ISC has been a challenge. Since the pilots began, USPS has provided CBP with about 82 percent of targeted mail for one pilot, and about 58 percent of targeted mail for the other. However, while USPS and CBP have collected some performance information for these pilots (including the percentage of targeted mail provided for inspection), this information is not linked to a specific performance target agreed upon by USPS and CBP--such as a specific percentage of targeted mail provided to CBP for inspection. Further, the agencies have not conducted an analysis to determine if the pilot programs are achieving desired outcomes. Because CBP and USPS lack clear performance goals for these pilots, they risk spending additional time and resources expanding them prior to fully assessing the pilots' success or failure.", "In our report we found that the costs and benefits of using EAD to target mail for inspection are unclear. For example, according to USPS and CBP officials, increasing the use of EAD to target mail for inspection may have benefits, such as reducing time and resources needed for the screening process--potentially decreasing costs--and may increase the security of inbound mail. However, the costs of collecting and implementing the use of EAD are not yet known, and neither USPS nor CPB currently collect the data necessary to know whether using EAD might increase the security of inbound mail or decrease the time and costs associated with screening. For example, CBP has collected data on the percentage of inspections resulting in a seizure for mail inspected as a result of targeting in the pilot programs at the New York ISC. However, CBP does not collect comparable data for seizures resulting from inspections conducted based on current methods of choosing mail for inspection. In light of the challenges that collecting and using these data present, it is important that CBP and USPS carefully consider actions to enhance inbound international mail security to avoid wasting time and money on potentially ineffective and costly endeavors."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In our report, we recommended that CBP, in coordination with USPS: (1) establish measureable performance goals to assess pilot programs and (2) evaluate the costs and benefits of using EAD to target mail for inspection compared with other targeting methods. CBP and USPS agreed with these recommendations and CBP plans to implement them by February 28, 2018."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our August 2017 report on international mail security, which we are publicly releasing today. The expanding international use of e-commerce and the ease and expediency of cross-border transactions have resulted in a much higher volume of global trade, as consumers may be importing goods when they make purchases over the Internet. This expansion could increase the potential for threats to national security, in addition to public health and safety, because international mail and express cargo can be used to send illegal or otherwise prohibited items to the United States. For example, there has been a recent increase in deaths in the United States related to the synthetic opioid fentanyl, a controlled substance, which could arrive in the United States in international mail or express cargo.", "The U.S. Postal Service (USPS) and express consignment operators\u2014 such as FedEx, DHL, and the United Parcel Service (UPS) \u2014play key roles handling inbound international items. U.S. Customs and Border Protection (CBP), within the Department of Homeland Security, also has a critical role as the primary federal agency tasked with targeting and inspecting suspicious inbound international items and seizing illegal goods entering the country. Some members of Congress and others have called for additional security efforts related to inbound international mail, such as increasing the collection of electronic advance data (EAD) that may provide CBP with information to better focus its targeting and inspection efforts. These data include the sender\u2019s name and address, recipient\u2019s name and address, contents\u2019 description, number of pieces, and total weight.", "My remarks today are based on our report, which addressed (1) types of items CBP has seized from mail and express cargo sent to the United States; (2) how inbound international items are inspected as they arrive in the United States; and (3) options to collect EAD for mail and the costs and benefits of using these data to target mail for inspection. For the purposes of this statement, I will focus primarily on our findings related to USPS\u2019s and CBP\u2019s efforts to obtain and use EAD to target mail for inspection. Specific details that are related to the screening process and foreign postal operators and that CBP and USPS considered sensitive are not included in our report or this statement.", "For our report, we reviewed and analyzed data on seizures of mail and express cargo items as documented in CBP\u2019s Seized Asset and Case Tracking System (SEACATS). We reviewed applicable laws and regulations; USPS and CBP guidance; USPS Office of Inspector General\u2019s reports; international mail agreements, including requirements set by the Universal Postal Union (UPU) and agreements for EAD with foreign postal operators; and proposed federal legislation. We interviewed officials from USPS, the Department of State, CBP, and the Transportation Security Administration (TSA) and representatives from the three largest express consignment operators (based on CBP cargo volume data for fiscal year 2015): UPS, FedEx, and DHL.", "We reviewed available information related to pilot programs conducted by USPS and CBP using EAD to target mail for inspection for the period from July 2014 through January 2017 (the time period for which data were available). We compared available documentation on the goals and performance of the pilots to federal internal control standards related to defining program goals. We did not assess the effectiveness of CBP\u2019s screening efforts for inbound international express cargo or mail because that was outside the scope of our review. To assess USPS\u2019s and CBP\u2019s efforts to collect and implement EAD, we compared these efforts to GAO guidance on program evaluation. Further details on our scope and methodology are included in our report. The work on which this statement is based was conducted in accordance with generally accepted government auditing standards.", "In summary, we found that CBP seizes a variety of inbound items, including drugs and merchandise, through inspections of express cargo and mail as it arrives in the United States. However, CBP and USPS have not established measureable goals for pilot programs to use EAD for targeting mail for inspection, nor have they identified the potential costs and benefits of using EAD. Given the challenges associated with collecting and using EAD, CBP should, in coordination with USPS, establish measureable goals for pilot programs and evaluate the costs and benefits of using EAD to target mail for inspection compared with other targeting methods. CBP and USPS agreed with these recommendations and CBP plans to implement them by February 28, 2018."], "subsections": [{"section_title": "CBP Seizes a Variety of Inbound Items That May Pose Threats to U.S. Safety and Security", "paragraphs": ["In our report, we found that, according to data from CBP\u2019s Seized Asset and Case Tracking System (SEACATS), during fiscal years 2012 through 2016 CBP conducted about 308,000 seizures of inbound international items that may pose a threat to U.S. security, health and safety, business, and ecology. Of those, CBP seized about 70 percent from mail and 30 percent from express cargo. Seized items are categorized in SEACATS as either drugs or merchandise. Among the approximately 308,000 seizures, illegal or inadmissible drugs accounted for about 47 percent of total seizures and merchandise accounted for about 53 percent.", "According to testimony by a U.S. Immigration and Customs Enforcement official, a recent increase in deaths related to the synthetic opioid fentanyl has resulted in an increased focus on identifying methods by which traffickers bring fentanyl into the United States. In fiscal years 2012 through 2015, CBP\u2019s seizure data reflect zero seizures of fentanyl, but according to CBP, fentanyl seizures would have been captured under other categories in SEACATS. According to CBP, a specific category code for fentanyl was added to SEACATS in fiscal year 2016. SEACATS reflects 53 seizures of fentanyl in fiscal year 2016 via both mail and express cargo."], "subsections": []}, {"section_title": "USPS\u2019s and CBP\u2019s Pilot Programs Lack Performance Targets", "paragraphs": ["As mail and express cargo arrive in the United States, both USPS and express consignment operators provide items to CBP for inspection. Express consignment operators accept items for delivery to the United States at points of sale in foreign countries and provide EAD to CBP prior to the items\u2019 scheduled arrival in the United States. CBP then analyzes the EAD and provides lists of targeted items to express consignment operators. However, unlike express consignment operators, USPS is not currently required to provide CBP with EAD for inbound international mail and does not have control over mail prior to its arrival in the United States. Thus, USPS relies on foreign postal operators to collect and provide EAD voluntarily or by mutual agreement. According to USPS data, USPS received EAD for about one third of all inbound international mail (excluding letters, flats, and military/diplomatic mail) for the period from April 2016 through March 2017. For the month of March 2017 (the most recent data available at the time of our review), USPS data indicate that EAD was available for roughly half of all inbound international mail (excluding letters, flats, and military/diplomatic mail).", "In 2014 and 2015, USPS and CBP initiated two pilot programs at the New York International Service Center (ISC) to target certain mail for inspection using some of the EAD obtained under data-sharing agreements with foreign postal operators. At the time of our review, CBP did not use EAD to target mail for inspection outside of these pilots. According to USPS documents, the goal of these pilots is to test the effectiveness of placing holds on mail that has been targeted by CBP based on EAD. Under the pilots, CBP uses EAD to target a small number of pieces of mail each day. According to USPS officials, when USPS employees scan either individual targeted pieces or larger sacks containing this targeted mail, they are alerted that CBP has targeted the item and set the item or sack aside for inspection. Since the pilots began, USPS has made efforts to locate and provide CBP with the targeted mail and CBP has collected performance data on the percentage of targeted mail USPS has provided for inspection: about 82 percent for one pilot, and about 58 percent for the other.", "In our report we note that, according to USPS and CBP, USPS has been unable to provide some targeted mail for inspection because locating targeted mail once it arrives at an ISC has been a challenge. Specifically, USPS ISCs may receive thousands of large sacks of mail per day that are scanned as they are accepted. Each sack may contain hundreds of pieces of mail that are not individually scanned upon arrival. As a result, locating a targeted item requires manually sorting through the entire sack, and USPS employees may overlook the item while sorting through the larger sack to locate targeted mail. According to USPS officials, at the time of our review they were testing an automated method to identify targeted mail within these larger sacks.", "Standards for internal control in the federal government state that defining program goals in specific and measurable terms allows for the assessment of performance toward achieving objectives. However, while USPS and CBP have collected some performance information for these pilots (including the percentage of targeted mail provided for inspection), this information is not linked to a specific performance target agreed upon by USPS and CBP\u2014such as a specific percentage of targeted mail provided to CBP for inspection. Further, the agencies have not conducted an analysis to determine if the pilot programs are achieving desired outcomes.", "In our report, we concluded that, because CBP and USPS lack clear performance goals for these pilots, they risk spending additional time and resources expanding them prior to fully assessing the pilots\u2019 success or failure. As such, we recommended that CBP, in conjunction with USPS, (1) establish measureable performance goals for pilot programs and (2) assess the performance of the pilots in achieving these goals. The Department of Homeland Security concurred with this recommendation and plans to implement it by February 28, 2018."], "subsections": []}, {"section_title": "USPS and CBP Have Not Evaluated Relative Costs and Benefits of Increased Use of Electronic Advance Data", "paragraphs": ["In our report we found that the costs and benefits of using EAD to target mail for inspection are unclear. For example, according to USPS and CBP officials, increasing the use of EAD to target mail for inspection may have benefits, such as reducing the volume of inspected mail and increasing the percentage of inspections that result in identification of a threatening or illegal item. This potential outcome could decrease time and resources needed for the screening process\u2014potentially decreasing costs\u2014and may increase the security of inbound mail. However, the costs of collecting and implementing the use of EAD are not yet known, and neither USPS nor CPB currently collect the data necessary to know whether using EAD might increase the security of inbound mail or decrease the time and costs associated with screening.", "Specifically, regarding the costs of collecting EAD, USPS has not calculated the current costs of collecting EAD from countries with which it has data-sharing agreements, but officials stated that USPS does not incur significant additional costs for each new designated postal operator or type of mail for which it begins collecting EAD. While some of the costs of obtaining EAD may be borne by designated postal operators in other countries, rather than directly by USPS, costs to USPS to use EAD to target mail for inspection may include: equipment and personnel required to identify targeted mail (such as equipment required to sort through hundreds of pieces of mail to identify a single piece of mail), and software upgrades required to exchange data with foreign postal operators and with CBP.", "In our report we found that an analysis of the costs associated with planned efforts is particularly critical given USPS\u2019s financial challenges.", "As we recently found, USPS reported a net loss of $5.6 billion in fiscal year 2016\u2014its 10th consecutive year of net losses. In light of this situation, any expenditure of financial resources to make any additional infrastructure and information technology upgrades necessary to implement the use of EAD for targeting merit careful consideration.", "Beyond costs, in our report we also determined that USPS and CBP have not performed an analysis of the benefits of using EAD to target mail for inspection, including the effectiveness of targeted inspection based on EAD relative to other methods of selecting mail for inspection. Thus, the extent to which targeting based on EAD might result in an increased ability to identify threats or other benefits over current methods is unknown. For example, CBP has collected data on the percentage of inspections resulting in a seizure for mail inspected as a result of targeting in the pilot programs at the New York ISC. However, CBP does not collect comparable data for seizures resulting from inspections conducted based on current methods of choosing mail for inspection.", "Moreover, USPS and CBP experience challenges related to inspecting mail that may limit their ability to effectively use EAD to target mail for screening and, thus, to experience EAD\u2019s possible benefits. For example, USPS depends on foreign postal operators to make EAD available. According to USPS and State Department officials, however, those operators may not share the same security priorities as USPS and CBP and may not make EAD available. If the amount of available EAD remains limited for inbound mail, this may reduce the effectiveness of CBP\u2019s targeting efforts or could constrain CBP\u2019s ability to reduce the volume of mail it inspects.", "Our prior work has found that in designing preventive measures\u2014such as the screening of inbound mail to identify potential threats\u2014it is helpful to conduct a thorough assessment of vulnerabilities as well as cost-benefit analyses of alternative strategies. In the absence of information on the relative costs of various methods of selecting mail for inspection as well as their effectiveness at identifying potential threats in inbound mail, USPS and CBP are unable to fully understand whether obtaining additional EAD for targeting purposes will provide security or resource benefits.", "In our report, we therefore concluded that, particularly in light of the challenges that collecting and using these data present, it is important that CBP and USPS carefully consider actions to enhance inbound international mail security to avoid wasting time and money on potentially ineffective and costly endeavors. As such, we recommended that CBP, in conjunction with USPS, evaluate the relative costs and benefits of collecting EAD for targeting mail for inspection in comparison to other methods. The Department of Homeland Security concurred with this recommendation and plans to implement it by February 28, 2018.", "In conclusion, existing pilots could be used as an opportunity for CBP and USPS to: (1) articulate performance goals for the pilots, (2) collect data and assess the pilots on their success in enabling USPS to provide targeted mail to CBP for inspection, and (3) assess the costs and benefits of various methods of choosing mail for inspection. We are encouraged that USPS and the Department of Homeland Security agreed with our findings and recommendations. Effective implementation of our recommendations should help CBP and USPS ensure that efforts to collect and use EAD to target mail for inspection achieve the desired security and resource benefits.", "Chairman Meadows, Ranking Member Connolly, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Lori Rectanus, Director, Physical Infrastructure Issues at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Derrick Collins and Katie Hamer. Other staff who made contributions to the report cited in this testimony are identified in the source product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-46", "url": "https://www.gao.gov/products/GAO-19-46", "title": "Global Development Lab: USAID Leverages External Contributions but Needs to Ensure Timely Data and Transparent Reporting", "published_date": "2018-11-07T00:00:00", "released_date": "2018-11-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Lab was created as a USAID bureau in April 2014. The Lab was intended to institutionalize and improve USAID's ability to harness and leverage science, technology, innovation, and partnerships in addressing development issues and goals worldwide. The Lab supports projects and activities and announces, issues, and manages awards\u2014or funding opportunities\u2014for innovators to propose new ideas, approaches, and technologies. The Lab also incorporates external (i.e., non-USAID) contributions into its programming.", "Senate Report 114-290 included a provision for GAO to review the Lab. GAO's report examines, among other things, (1) the Lab's programs, funding, and staffing resources and (2) the extent to which the Lab has documented its oversight of awards with non-USAID contributions and clearly reported these contributions. GAO reviewed and analyzed agency documents and interviewed agency officials in Washington, D.C., and from six missions. GAO also analyzed selected Lab documentation for fiscal years 2014 through 2017."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Agency for International Development's (USAID) Global Development Lab (the Lab) has programs and activities for each of its five strategic objectives: science, technology, innovation, and partnerships (STIP) and agency integration of STIP. The Lab comprises five centers and two support offices (see figure). The centers house more than 25 Lab programs focused on issues such as development research, digital development, innovation ventures, and private sector engagement. The Lab's funding for its programs has generally been decreasing, as have its staffing numbers, since fiscal year 2015. USAID allocations of program funds to the Lab decreased from $170.7 million in fiscal year 2015 to $77 million in fiscal year 2017.", "Although the Lab has documented its oversight of awards that include non-USAID contributions, some data it collects for these contributions are outdated and its public reporting of such data lacks transparency.", "For awards GAO reviewed, the Lab consistently documented its compliance with key award oversight requirements. However, its Internal Guide to Accounting for Leverage (internal guide) does not include instructions for ensuring the data for these contributions are current. As a result, GAO found the Lab's management information system contained outdated data for non-USAID contributions in 10 of 24 awards GAO reviewed.", "The Lab publicly reports a broader range of non-USAID contributions than the types described in USAID policy. However, the Lab's internal guide does not require the Lab to disclose the types of contributions represented in its public reporting. As a result, the Lab's public reporting of such contributions lacks transparency.", "USAID policy and standards for internal control in the federal government require the use and communication of timely and reliable information. Revising the Lab's internal guide to include instructions for updating data on non-USAID contributions and requiring the Lab's public reporting to disclose the types of contributions represented would help the Lab ensure accuracy and transparency in the information it reports to Congress and the public."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that USAID ensure that the Lab revises its Internal Guide to Accounting for Leverage to (1) include instructions for updating data on non-USAID contributions for awards and (2) require its public reporting of non-USAID contributions to disclose the types of contributions represented.", "USAID concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2010, the U.S. Agency for International Development (USAID) and the Department of State initiated efforts to enhance the use of science and technology to meet development challenges in the 21st century. These efforts were driven by, among other things, technological breakthroughs and improvements in connectivity that provided USAID with opportunities to change the global development landscape. According to USAID, it established the Office of Innovation and Development Alliances and the Office of Science and Technology in 2010 to open up solutions to development issues, foster scientific inquiry, and embrace an environment of entrepreneurship and ingenuity. In 2014, these efforts led to the creation of the Global Development Lab (the Lab) as a USAID bureau. According to USAID officials, since its inception, the Lab has sought innovative solutions to development challenges and used public\u2013 private partnerships to further its mission and invest in strategies to address development problems ranging from hunger to disease to literacy.", "Senate Report 114-290 included a provision for GAO to assess the structure, activities, and results of the Lab, among other things. In this report, we examine (1) the Lab\u2019s programs, funding, and staffing resources; (2) the extent to which the Lab has documented its oversight of awards with non-USAID contributions and clearly reported these contributions; and (3) the tools that the Lab uses to assess its performance as well as results that such assessments have shown.", "To examine the Lab\u2019s programs, funding, and staffing resources, we reviewed and analyzed Lab documents and data covering fiscal years 2014 through 2017. We also interviewed Lab officials representing every center and office regarding the Lab\u2019s organizational structure, programs, and services.", "To examine the extent to which the Lab has documented its oversight of awards with non-USAID contributions, we reviewed and analyzed Lab data on awards with committed non-USAID contributions in fiscal years 2014 through 2017. To assess the reliability of these data, we reviewed documentation and interviewed USAID officials to identify and rectify any missing or erroneous data. We determined that the data and information were sufficiently reliable for comparison with award documentation. We reviewed and analyzed award documentation from 24 Lab-managed awards that included non-USAID contributions. These awards represented all such awards issued during or after fiscal year 2014 and ending during or before fiscal year 2017. We also reviewed USAID guidance related to the oversight of non-USAID funding contributions contained in the agency\u2019s Automated Directives System (ADS) as well as Lab-issued guidance related to the oversight of such funds. Additionally, we met with Lab officials responsible for managing these awards and with Lab officials responsible for creating and implementing Lab guidance.", "To report on the tools the Lab uses to assess its performance, we reviewed and analyzed Lab performance and program documents, such as the Lab\u2019s strategic plan and evaluations. We also reviewed results of the Lab\u2019s performance indicators and portfolio reviews covering fiscal years 2016 through 2017. In addition, we interviewed officials from five USAID bureaus in Washington, D.C., and from six USAID missions overseas to obtain information on their interactions with the Lab. See appendix I for more information about our objectives, scope, and methodology.", "We conducted this performance audit from July 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Establishment, Mission, and Objectives of the Lab", "paragraphs": ["In 2014, USAID established the Lab as a USAID bureau by merging and restructuring two offices\u2014the Office of Science and Technology and the Office of Innovation and Development Alliances. According to USAID officials, the agency moved a number of the two offices\u2019 core programs and activities, along with staffing functions, to the Lab. In a January 2014 notification, USAID informed Congress of its intent to establish the Lab and noted initial staffing levels, funding, and short-term plans. The Lab is generally subject to guidance pertaining to operating units and bureaus, including policies and procedures set out in USAID\u2019s ADS. It also publishes and contributes to various performance and financial reporting of information, such as USAID\u2019s Annual Performance Plan and Report, which are provided to Congress and available to the public, according to Lab officials.", "The Lab was created to work collaboratively within USAID and with other government and nongovernment partners to produce development innovations, among other things. According to Lab officials, the Lab seeks to improve USAID\u2019s ability to harness the power of science, technology, innovation, and partnerships (STIP) with private and public sectors by funding and scaling breakthroughs that would accelerate the completion of foreign policy and development goals.", "The Lab has a two-part mission: 1. Produce development breakthroughs and innovations by funding, testing, and scaling proven solutions that will affect millions of people. 2. Accelerate the transformation of development enterprise (i.e., to build capacity of the public and private sectors to work in the development arena) by opening it to people everywhere with good ideas, promoting new and deepening existing partnerships, applying data and evidence, and harnessing scientific and technological advances.", "The Lab\u2019s mission, objectives, and goals are laid out in its strategic plan, which has evolved since the Lab\u2019s creation. In fiscal years 2014 and 2015, the Lab operated under an initial strategy that focused on examining the delivery capabilities and constraints of current and ongoing Lab programs; prioritizing investments of time and resources; and confirming new activities and programs. The strategy for fiscal years 2016 through 2020 presents a results framework that includes the Lab\u2019s two- part mission statement as well as five objective statements and corresponding intermediate result statements explaining how the Lab intends to achieve its goals (see fig. 1)."], "subsections": []}, {"section_title": "Structure of the Lab", "paragraphs": ["The Lab, which is headed by an Executive Director, includes five centers\u2014the Center for Development Research, the Center for Digital Development, the Center for Development Innovation, the Center for Transformational Partnerships, and the Center for Agency Integration\u2014 each focused on one of the Lab\u2019s five strategic objectives. The Lab also includes two offices, the Office of Engagement and Communication and the Office of Evaluation and Impact Assessment, which provide support services. Figure 2 shows the Lab\u2019s organizational structure.", "Table 1 describes each of the Lab\u2019s centers and offices.", "In April 2018, the USAID Administrator announced agency reorganization plans that will affect the Lab. USAID leadership plans to create a new Bureau for Development, Democracy, and Innovation and a Bureau for Policy, Resources, and Performance. According to USAID, the new bureaus will combine existing operating units that provide technical and program design support and expertise into a \u201cone-stop shop\u201d of consultancies that USAID missions can utilize. The new bureaus will absorb the Lab, along with other units, and track its contributions using new metrics that measure customer service to determine whether missions and bureaus have access to the right expertise at the right time, according to the USAID Administrator. As of October 2018, USAID had not indicated time frames for implementing the reorganization plans."], "subsections": []}, {"section_title": "Funding Mechanisms for Lab Activities", "paragraphs": ["To achieve its objectives and goals, the Lab funds and manages awards (which result in activities) that cover STIP programming as well as the Lab\u2019s operations. The Lab uses a number of different mechanisms\u2014for example, broad agency announcement procedures, annual program statements, and requests for applications\u2014when making awards, which include grants, cooperative agreements, and contracts.", "Global Development Alliance A Global Development Alliance (GDA) is a partnership involving the U.S. Agency for International Development (USAID) and the private sector. GDA partners work together to develop and implement activities that leverage and apply assets and expertise to advance core business interests, achieve USAID\u2019s development objectives, and increase the sustainable impact of USAID\u2019s development investments. Generally, according to USAID, the value of private sector expertise, capabilities, and resources contributed to an alliance must equal and, in general, should significantly exceed the value of resources provided by USAID.", "The Lab also holds competitions focused on new ideas, approaches, and technologies to address development problems, and awards prizes to individuals or groups that meet the competition\u2019s requirements. Some awards include funding from USAID as well as cash or in-kind contributions from non-USAID sources in the private or public sector. The Lab refers to the use of all non-USAID contributions as leverage and reports leverage as a programmatic performance indicator. According to USAID documents, the agency seeks to build partnerships that leverage the assets, skills, and resources of the public, private, and nonprofit sectors to deliver sustainable development impact. Examples of such leverage contributions include donated cash, services, or supplies from implementing partners or third parties to specific awards managed by the Lab. Third parties contributing to Lab managed programs have included foreign governments, international organizations, businesses and corporations, philanthropic foundations, non-governmental organizations, and higher education institutions, among others. One method USAID has approached this goal is through Global Development Alliances (see sidebar)."], "subsections": []}]}, {"section_title": "The Lab Aligns Programs to Support Its Five Strategic Objectives; Funding and Staffing Have Decreased since Fiscal Year 2015", "paragraphs": [], "subsections": [{"section_title": "The Lab Aligns Programs with Its Strategic Objectives", "paragraphs": ["Staff in the Lab\u2019s five centers, offices, and Lab-Wide Priorities manage more than 25 programs and portfolios, which encompass projects and activities under a specific issue, aligned with the Lab\u2019s five strategic objectives. The programs focus on development research (science objective), digital development (technology objective), innovation ventures (innovation objective), and private-sector engagement (partnerships objective). Table 2 shows examples of programs and portfolios aligned with each strategic objective.", "Examples of the Lab\u2019s programs and activities include the following (see app. II for more information about these and other Lab programs):", "Staff in the Lab\u2019s Center for Development Innovation manage the Grand Challenges for Development initiative, intended to foster innovations to address key global health and development problems. Since 2011, USAID and its partners have launched 10 Grand Challenges that are implemented by USAID bureaus, including the Lab. The Lab is responsible for managing the Securing Water for Food Grand Challenge and also the Scaling Off-Grid Energy Grand Challenge. Other USAID bureaus implement the other eight Grand Challenges (see app. III for a description of the Grand Challenges).", "Staff in the Lab\u2019s Center for Development Research manage the Higher Education Solutions Network. The program is a partnership with seven universities that also work with partners in academia, the private sector, civil society, and governments worldwide. The universities established eight development labs that focus on efforts to solve a range of development problems.", "The Lab\u2019s two offices support various aspects of the centers\u2019 programs and portfolios, such as internally promoting center programs throughout USAID and conducting monitoring and evaluation activities.", "Types of STIP Services Provided by the Global Development Lab Digital development: Technologies and data-driven approaches to extend the reach of development programs Catalyzing innovation: Integration of design methodologies, development innovations, and programming solutions to solve development challenges differently. Partnerships/private sector engagement: Relationships between USAID and one or many organizations, including private sector entities, in an effort to create development impact. Scientific research and capacity building: Application of science and research to solve development problems.", "In addition to managing programs, the centers provide a variety of STIP- focused services and support, including assistance with programming, to USAID field missions and headquarters bureaus as part of the Lab\u2019s mission to accelerate development impact. According to Lab documentation, the Lab can provide services related to country and regional strategic planning; project design and implementation; activity design and implementation; and monitoring and evaluation. The Lab\u2019s STIP services fall into several categories\u2014digital development, catalyzing innovation, partnerships and private sector engagement, and scientific research and capacity building, according to Lab documents (see sidebar).", "The centers, led by the Center for Agency Integration, deliver internal STIP services and mechanisms through toolkits, training, advisory services, and assessment and analysis of STIP activities or programming, according to Lab documentation. For example, at the request of missions or bureaus, the Digital Finance team in the Center for Digital Development can, among other things, review and provide technical input on awards related to digital finance. In addition, the Lab has provided advisory services to USAID operating units regarding innovative design or methods, such as co-creation, which can be used throughout the program cycle including in procurement (i.e., the broad agency announcement, annual program statements, etc.). According to Lab officials, some services are funded by the Lab at no cost to USAID operating units, while other services must be funded by the USAID operating units through funding mechanisms such as \u201cbuy-ins\u201d or cooperative agreements.", "Lab data for fiscal years 2014 through 2017 show that the Lab provided services or support frequently in digital development activities, such as geospatial support to USAID field operations, and partnership services. For example, the Lab has provided technical services to missions around the world related to the GeoCenter (housed in the Center for Digital Development), which supports the application of advanced data and geographic analysis to international development challenges to improve the strategic planning, design, monitoring, and evaluation of USAID\u2019s programs. In addition, the Lab provided partnership services related to private-sector engagement, including technical assistance and consultative services to USAID missions for more efficiently engaging, building, and maintaining relationships with the private sector at local or regional levels.", "Officials we interviewed at USAID missions and headquarters bureaus described services or tools they had received from the Lab, such as technical advice and training related to establishing private-sector partnerships and leveraging funding. For example, some USAID headquarters officials told us they had taken Lab-led private-sector engagement training that addressed developing collaborations with external stakeholders, establishing risk-sharing agreements, and engaging investors and other financial sector actors. In addition, some mission officials stated that they were involved in Lab-supported programs such as the Partnerships for Enhanced Engagement in Research and the Partnering to Accelerate Entrepreneurship Initiative and had received Lab support related to geographic information system mapping. One mission had a Lab-funded embedded advisor who provided technical assistance to a country\u2019s Ministry of Health. According to Lab officials, demand for the Lab\u2019s services and support exceeds the Lab\u2019s capacity and its resources."], "subsections": []}, {"section_title": "Program Funding for the Lab Has Decreased since Fiscal Year 2015", "paragraphs": ["Allocations of program funds from USAID to the Lab have decreased over the past few fiscal years, from $170.7 million in fiscal year 2015 to $77 million in fiscal year 2017. Similarly, the Lab\u2019s obligations of program funds have also decreased since fiscal year 2015, according to Lab data. Obligations reached around $170 million in fiscal year 2015, the Lab\u2019s first full year of operations. By fiscal year 2016, the Lab\u2019s obligations had decreased to about $109 million\u2014a reduction of over 35 percent. Although the Lab is still obligating fiscal year 2017 funding, its obligations would not exceed $77 million if it obligated the full amount of program funding provided to the Lab. As table 3 shows, from fiscal year 2014 through fiscal year 2017, the Lab obligated over $435 million of its program funds for its centers and support services (see app. IV for an overview of funding from various appropriations accounts in fiscal years 2014-2017). According to Lab officials, the program funds cover Lab- managed programs and programming (including funding for awards comprised of many activities) and the centers\u2019 services, STIP activities, and staffing (including contractors), among other things (see app. V for a discussion of Lab-managed activities and corresponding obligations for fiscal years 2014-2017).", "As table 3 shows, in fiscal years 2014 through 2017, the Lab\u2019s Center for Development Innovation obligated the most funds overall. The center houses the Development Innovation Ventures, a portfolio of innovations with the goal of reducing global poverty. Borrowing from the private sector\u2019s venture capital model, the portfolio seeks to identify and test innovative development solutions based on three principles: rigorous evidence, cost-effectiveness, and potential to scale up.", "Lab officials indicated that the Lab has reassessed and realigned programming priorities because of decreased funding. For example, the Lab temporarily suspended new applications for awards through the Development Innovation Ventures program from the end of July 2017 due to budget uncertainties in fiscal year 2018. However, Lab officials indicated that the Lab has recently secured funding for new applications for the program. Funding decreases have also caused the Lab to scale back or put some programs on hold, according to Lab officials. For example, the Lab scaled back its Partnering to Accelerate Entrepreneurship Initiative; its Lab-Wide Priorities; and its Monitoring, Evaluation, Research, and Learning Innovation programs. The Lab also put its partnerships with NextGen missions on hold indefinitely, according to Lab officials. In addition, the Lab reported that it has been able to provide only minimal support for multi-stakeholder partnerships, such as the Digital Impact Alliance and the Global Innovation Fund."], "subsections": []}, {"section_title": "Lab Staffing Has Decreased since Fiscal Year 2015", "paragraphs": ["The number of staff in the Lab has decreased since fiscal year 2015, the first year for which staffing numbers are available. Lab staff include both direct-hire staff, comprising civil service and foreign-service employees, and contractors with specialized skills who supplement the efforts of direct-hire staff. Contractors have made up at least 35 percent or more of staff each fiscal year since 2015. The total number of staff, including direct-hire staff and contractors, decreased by over 30 percent from fiscal years 2015 through 2018, dropping from 224 in fiscal year 2015 to 155 in fiscal year 2018 (see table 4).", "Lab information shows that the staff primarily comprise senior technical and professional experts and that about 80 percent of staff are on time- limited appointments, which can last 1 to 5 years, according to Lab officials. Further, according to Lab officials, due to the ever-changing nature of work in the Lab, staff may work on multiple projects and activities across several teams or may be assigned to work with one team or on a single project until it is completed. For example, Lab officials stated that when Lab-Wide Priorities are established, staff members are brought in to contribute to these efforts while also working on activities in the centers they support.", "In addition to declining staff numbers overall, since fiscal year 2015, the number of direct-hire staff employed by the Lab has decreased. According to Lab officials, because of the technical focus of its programming, the Lab has not been able to staff all authorized positions with direct-hire employees who have the necessary expertise. Instead, the Lab has filled some of these positions with contractors or science fellows. The Lab also uses a variety of other hiring mechanisms, such as the Participating Agency Service Agreement with the Department of Agriculture and the American Association for Advancement of Science fellows, to allow for flexibility and obtain the needed expertise to implement STIP and technical services throughout USAID. By fiscal year 2017, the Center for Digital Development had 40 staff members\u2014the highest overall number, including the highest number of contractor staff members\u2014among all the Lab\u2019s centers. This center\u2019s contractor staff primarily consisted of technical specialists assisting the GeoCenter (see app. VI for numbers of direct hires and contractors at each center in fiscal years 2015-2018).", "Lab officials stated that the decline in staff numbers\u2014primarily direct-hire staff\u2014over the years was due to a number of factors, including a government-wide hiring freeze, budget constraints, and a high attrition rate among the Lab\u2019s staff beginning in 2017. According to several Lab officials, the high attrition rate was due to uncertainty about the USAID reorganization and its impact on the Lab, since a large percentage of the Lab\u2019s staff is employed on a term-limited basis."], "subsections": []}]}, {"section_title": "The Lab Documented Its Oversight of Awards with Non- USAID Contributions, but Some Data Are Outdated and Public Reporting Lacks Transparency", "paragraphs": [], "subsections": [{"section_title": "The Lab\u2019s Documented Oversight of Awards with Non-USAID Contributions Followed USAID and Lab Guidance", "paragraphs": ["Our review of Lab documents showed that, for all 24 Lab-managed awards we reviewed, the Lab consistently documented certain oversight requirements for non-USAID contributions (i.e., committed, rather than actual, contributions from the private sector, the public sector, and other U.S. government agencies). We reviewed 24 Lab-managed awards that included non-USAID contributions to determine whether the Lab documented its compliance with key award oversight requirements we identified in USAID and Lab guidance.", "For all 24 awards, the Lab documented its compliance with the following key requirements: report funding amounts committed from non-USAID sources; conduct valuations of in-kind contributions, as applicable; document partners met cost-share or matching funds, if required; maintain copies of the award agreement and any modifications.", "Additionally, for awards receiving in-kind contributions, the Lab maintained documentation in award files demonstrating that officials reviewed the valuation of in-kind services and supplies. Further, in the 10 awards we reviewed containing cost-share requirements, the Lab maintained documentation to show partners\u2019 progress in meeting those requirements."], "subsections": []}, {"section_title": "The Lab\u2019s Data for Some Non-USAID Contributions Are Outdated", "paragraphs": ["We found that the Lab\u2019s management information system contained outdated data on non-USAID contributions, which the Lab reports as leverage. According to ADS 596, information should be communicated to relevant personnel at all levels within an organization and the information should be relevant, reliable, and timely. Further, Standards for Internal Control in the Federal Government states that management should use quality information to achieve the entity\u2019s objectives, including obtaining relevant data from reliable internal sources in a timely manner. Further, the Lab\u2019s \u201cInternal Guide to Accounting for Leverage\u201d (internal guide) states that data on non-USAID contributions will be collected from Lab teams semi-annually.", "Our analysis of data in the Lab\u2019s management information system found that one of two tables used to develop a number of internal and external reports contained outdated data for 10 of the 24 awards we reviewed and, in some cases, had not been updated for more than 2 years. Although this table showed a total of about $24.5 million in non-USAID contributions for these 10 awards, award documentation provided by the Lab showed the updated amount of non-USAID contributions to be about $12.1 million. For example, for an award aimed at providing hydro- powered irrigation pumps in Nepal, the table showed committed non- USAID contributions of about $262,000, while our review of award documentation found that the updated amount was about $410,000. For another award aimed at providing drip irrigation systems for small-plot farmers in India, the table showed partners had committed $362,000 in non-USAID contributions. However, in reviewing award documentation, we found that partners had ultimately committed about $61,600 to this award.", "The Lab\u2019s internal guide does not provide instructions for ensuring that the non-USAID contributions data in USAID\u2019s management information system are timely. According to Lab officials, the outdated data we identified resulted from staff\u2019s failure to manually enter updated data in both of the two tables used for external reporting. Lab officials stated that leverage data are entered manually because the Lab\u2019s management information system does not have the capacity to automatically update the tables. However, we found that the Lab\u2019s internal guide does not describe the Lab\u2019s current process for entering leverage data in the system or include instructions for ensuring that these data are regularly updated. Instead, the internal guide refers to a data collection practice that predates the Lab\u2019s management information system and that, according to Lab officials, is no longer in use.", "To the extent that the Lab used outdated data when generating external reports and budget exercises, it risks reporting incorrect information about non-USAID contributions to Lab awards. According to Lab officials, the table with outdated data on non-USAID contributions that we identified in the Lab\u2019s management information system is one of the data sources that the Lab uses for reports to the USAID Administrator\u2019s Leadership Council and the Department of State and in USAID\u2019s Annual Performance Plan and Report. According to Lab documentation, the Lab also uses these data to develop a number of annual budget formulation and justification exercises, including congressional communications. Providing instructions for updating all non-USAID contributions data in its management information system could help the Lab strengthen the timeliness and reliability of these data and of the external reports that include them."], "subsections": []}, {"section_title": "The Lab\u2019s Internal Guide Does Not Require Its Public Reporting of Leverage Data to Disclose Types of Non-USAID Contributions Represented", "paragraphs": ["The Lab\u2019s internal guide does not require its public reporting of data on non-USAID contributions, or leverage, to disclose the types of contributions represented. According to ADS 596, information should be communicated to relevant personnel at all levels within an organization and the information should be relevant, reliable, and timely. In addition, according to Standards for Internal Control in the Federal Government, management should externally communicate complete and accurate information to achieve an entity\u2019s objectives.", "The Lab defines leverage more broadly than the Agency\u2019s definition found in USAID\u2019s ADS 303. Specifically, these definitions differ in two ways. First, the Lab definition includes cost-share contributions, which the ADS definition excludes. Second, the ADS definition limits leverage to public-private partnership awards, while the Lab\u2019s definition does not contain a similar limitation.", "Because the Lab\u2019s definition of leverage differs from the definition in ADS, the Lab uses two separate indicators to track non-USAID contributions, according to Lab officials. For the leverage data it collects for USAID reporting on public-private partnerships, the Lab adheres to the ADS definition, accounting as leverage all non-USAID resources, excluding cost sharing, that are expected to be applied to a program in USAID public-private partnership awards. For the leverage data it collects for its internal performance management and external reports, the Lab accounts in its leverage calculations all cost-share contributions (from both private and public-sector partners); all other contributions (from the private sector, the public sector, and other U.S. government agencies); and gifts (from bilateral donors).", "According to Lab officials, the Lab\u2019s definition of leverage differs from the ADS definition because the Lab partners with both the private and public sectors in its contracts and awards, and the Lab\u2019s more expansive definition allows it to fully account for all non-USAID contributions. However, despite the difference in the Lab\u2019s and USAID\u2019s definitions, the Lab\u2019s internal guide does not require that its public reporting of leverage data identify the types of non-USAID contributions represented in the data. As a result, the Lab\u2019s public reporting\u2014for example, on its webpage\u2014provides the total amount leveraged but does not specify the types of contributions committed by non-USAID partners.", "Given the difference between the Lab\u2019s definition used in its public reporting and the ADS definition of leverage, USAID lacks assurance that it is reporting transparent data on leveraged non-USAID contributions. Moreover, because the Lab\u2019s internal guide does not require the Lab\u2019s public reporting of leverage to disclose the types of contributions, Congress and the public lack access to complete information about the extent and nature of the Lab\u2019s partnerships. By specifying the types of non-USAID contributions included in its data on leveraging, the Lab could increase the transparency of its public reporting for this key metric."], "subsections": []}]}, {"section_title": "The Lab Uses Various Tools to Assess Its Performance; Assessments Have Identified Both Positive Results and Some Weaknesses", "paragraphs": ["The Lab uses various tools, such as its results framework, portfolio reviews, strategic learning reviews, and evaluations, established by USAID policy or Lab-specific practices to assess its performance. Because the Lab has existed only since 2014 and has had a strategy only since 2016, it has been able to collect a limited amount of data with which to assess its performance to show any trends in achieving results. However, the performance assessment tools that the Lab uses have identified both positive results and some weaknesses or challenges."], "subsections": [{"section_title": "Results Framework Tool and Identified Results", "paragraphs": ["The Lab\u2019s strategy for fiscal years 2016 through 2020 includes a results framework comprising the Lab\u2019s five strategic objectives, as shown previously in figure 1. For each strategic objective, the framework presents a corresponding development objective\u2014that is, the most ambitious result that a Lab center aims to achieve through its projects and activities\u2014as well as targets the Lab is focused on achieving by 2020. Progress toward the targets is tracked with annual and, in some cases, semi-annual performance indicators, according to Lab officials (see app. VIII for a list and descriptions of the Lab\u2019s indicators). According to Lab officials, the Lab considers the results framework a living document and adjusts indicators and targets as necessary based on changing circumstances. The Lab\u2019s indicator data indicate that, overall, the Lab met or exceeded its targets slightly more often than it did not meet them (see table 5).", "As table 5 indicates, the Lab met or exceeded its targets for 20 of its 39 indicators in fiscal years 2016 and 2017. For example, for one indicator\u2014 total number of program or policy changes made by public sector, private sector, or other development actors that are influenced by Lab-funded research results or related scientific activities\u2014the Lab reported that it exceeded its target for both fiscal years. The Lab\u2019s targets for this indicator for fiscal years 2016 and 2017 were set at 42 and 48, respectively, with reported results of 83 and 84. For another indicator\u2014 total dollar value of private and public capital catalyzed for early-stage entrepreneurs as a result of USAID support\u2014the Lab reported it had exceeded its fiscal year 2017 target of $575 million, with an actual result of around $686 million. In addition, the Lab improved its performance for seven indicators, according to its data. For instance, for agency integration indicators\u2014such as the number of operating units that have integrated STIP at the strategic, programmatic, and organizational levels\u2014the Lab went from not meeting its targets in fiscal year 2016 to exceeding its targets in fiscal year 2017.", "The Lab\u2019s indicator data also show some areas in which the Lab has faced challenges or has not met its targets. As table 5 shows, the Lab did not meet its targets for 19 of the 39 indicators in fiscal years 2016 and 2017. For example, for one indicator\u2014number of operating units that have integrated STIP at the strategic, programmatic, and organizational levels\u2014the Lab did not meet its targets of 15 and 20, respectively, for fiscal years 2016 and 2017, with reported results of 12 and 19. For another indicator\u2014number of smart innovation methods adopted by USAID operating units\u2014the Lab set a target of eight but reported an actual result of six. Moreover, from fiscal year 2016 to fiscal year 2017, the Lab\u2019s performance declined for seven indicators. For instance, for innovation indicators\u2014number of system actors engaged in innovation methods and number of smart innovation methods adopted by agency operating units\u2014the Lab went from exceeding its targets in fiscal year 2016 to not meeting them in fiscal year 2017. Lab officials stated that the Lab\u2019s performance goals were meant to be ambitious and that the Lab would adjust goals on the basis of resource and budget constraints."], "subsections": []}, {"section_title": "Portfolio Review Tool and Identified Results", "paragraphs": ["The Lab has implemented biannual portfolio reviews of projects and activities. According to Lab officials, the portfolio reviews assess progress toward strategic objectives, provide Lab staff an opportunity to share lessons learned, and foster collaboration across the centers. In fiscal years 2016 and 2017, the Lab conducted four portfolio reviews\u2014 two at midyear and two at the end of both years. Each portfolio review discussed the performance of each center, examined how well the center was meeting the targets for its performance indicators, and addressed topics such as key achievements and challenges and priority evaluation and research questions for the upcoming fiscal year. Lab officials stated that portfolio reviews have helped the Lab become more rigorous and better understand the reasons for implementing the various projects and activities.", "The Lab\u2019s portfolio reviews for fiscal years 2016 and 2017 highlight, among other things, lessons learned and achievements made for particular projects and toward the Lab\u2019s overall strategic objectives and targets. The reviews also note challenges faced Lab-wide as well as planned adjustments to address these challenges. Examples of the portfolio reviews\u2019 findings, by strategic objective, include the following for each of the five Lab centers:", "Science. The review noted that lessons learned by the Center for Development Research included emphasis on managing relationships and the need to communicate with missions about the ways in which research can help them contribute to their objectives. The review also noted that the center\u2019s challenges included striking the right balance between different elements of the science objective in the Lab strategy and developing mission-focused tools for integrating research.", "Technology. The review noted that the Center for Digital Development achieved largely positive ratings for digital development training and for a substantial amount of technical assistance, trainings, and knowledge products. The review also noted that the center had faced some challenges, such as staffing constraints that limited staff\u2019s ability to prioritize both internal and external engagements.", "Innovation. The review noted that the Center for Development Innovation had several achievements, including positive feedback from innovators who received technical assistance from the center as well as agency partners who received program design services. The challenges noted included the center\u2019s need for more engagement with key missions and for finding balance between advisory services and direct project implementation.", "Partnerships. The review noted that the Center for Transformational Partnerships had identified lessons learned in areas such as the center\u2019s ability to support missions by helping them to identify opportunities and determine when and where partnership makes sense. One challenge that the review identified was the possibility that the center\u2019s limited resources might inhibit technical assistance to missions and bureaus. Planned adjustments included prioritizing advisory and liaison support to the regions that have lower capacity for private sector engagement.", "Agency integration. The review noted that the Center for Agency Integration achieved several successes, including introducing the Lab and STIP to over 30 Foreign Service nationals (i.e., local, non-U.S. citizens employed by USAID), several of whom continued to champion STIP at their missions. The review also noted challenges, such as staffing and capacity gaps, that hampered training efforts as well as USAID staff being overwhelmed by the amount of information flowing from the Lab."], "subsections": []}, {"section_title": "Strategic Learning Review Tool and Identified Results", "paragraphs": ["In October 2017, the Lab implemented an evaluation, research, and learning plan that includes practices recommended for bureaus. According to Lab officials, the Lab\u2019s plan is intended to help build evidence within and across the centers and ensure that resources are prioritized to support evaluation and research. As part of this plan, the Lab identified five key questions for all of the centers that evaluations, research, and learning efforts should attempt to help answer. According to Lab officials, the Lab began holding strategic learning reviews, beginning in spring 2018, to help it address theories of change\u2014that is, descriptions of how and why a result is expected to be achieved through a particular project or activity. The Lab developed the reviews to complement its portfolio reviews, according to Lab officials.", "The Lab, led by the Office of Evaluation and Impact Assessment, completed its first cross-Lab strategic learning reviews in the spring of 2018, according to Lab officials. The reviews focused on three of five key questions in the Lab\u2019s evaluation, research, and learning plan: addressing adaptive management; supporting innovators, entrepreneurs, and researchers; and sustaining results. According to the Lab, the 2-hour sessions, in which Lab officials and other selected agency subject-matter experts participated, resulted in discussions about issues that the participants considered most important for the Lab to address or improve in the future. For example, participants identified actions that could be currently achieved, such as designating time for \u201cpause and reflect\u201d exercises, particularly for reducing USAID\u2019s administrative burden for first-time Lab partners that lack the capacity to manage USAID requirements; and focusing on larger market-enabling environments rather than on a single value chain.", "According to Lab documents, the Lab plans to use data from the reviews to develop recommendations that will be reflected in an action memo and to track any actions the Lab takes to implement the recommendations. Lab officials stated that the Lab plans to hold three additional 2-hour strategic learning reviews in fall 2018."], "subsections": []}, {"section_title": "Evaluation Tool and Identified Results", "paragraphs": ["Evaluation Evaluation is the systematic collection and analysis of information about the characteristics and outcomes of programs and projects that provides a basis for judgments to improve effectiveness and/or inform decisions about current and future programming.", "The Lab assesses its performance through evaluations (see sidebar). According to Lab officials, the Lab has conducted both external evaluations and internal evaluations, and the majority of its performance evaluations are external. As of October 2018, the Lab had primarily completed performance evaluations, although Lab officials reported that the Lab was also conducting three impact evaluations and one developmental evaluation. In addition to conducting evaluations, the Lab conducts assessments\u2014management tools used to gather information about context or operating environment or to review an activity or project.", "As of October 2018, the Lab reported that it had completed 7 external performance evaluations of its programs or projects and had an additional 12 ongoing evaluations, both internal and external. The Lab\u2019s completed performance evaluations cover a variety of programs, activities, and USAID services, such as the Securing Water for Food Grand Challenge project and the Lab\u2019s technical assistance services. We reviewed the seven completed external performance evaluations and found that they identified a range of program strengths as well as challenges or weaknesses. For example:", "Mid-Term Review of Securing Water for Food: A Grand Challenge for Development. The evaluation identified program strengths, such as a diversity of innovations in the portfolio. The evaluation also found that the program had potential weaknesses, including a lack of focus on innovations for locations with greater water scarcity.", "Mid-Term Evaluation of the Partnerships for Enhanced Engagement in Research Program. The evaluation found, among other things, that partnerships between scientists in developing countries and in the United States have been of value for scientific output and strengthening professional relationships. In addition, the evaluation identified potential weaknesses in the program, including the need to facilitate broader dissemination of research findings by convening program grantees, the private sector, government officials, and civil society partners to network and share findings as well as policy and program challenges.", "Mid-Term Evaluation of the Higher Education Solutions Network. The evaluation found, among other things, that development labs housed in seven higher education institutions have begun providing data to inform USAID operating units\u2019 decision making, collaborating to develop and test new technologies and innovative approaches, and engaging in knowledge sharing and learning. Additional findings included the need for Higher Education Solutions Network labs to streamline activities, adjust resource allocations, and increase synergies based on the insights gained through the first 5 years.", "Global Broadband and Innovations Alliance Performance Evaluation. The evaluation found, among other things, successful outcomes of specific projects focused on sustainably increasing broadband internet connectivity in the developing world. The evaluation also found that USAID had been challenged by changing leadership in the agency, which resulted in shifting priorities. In addition, the evaluation found that limited marketing of the mechanism to missions and other bureaus and offices resulted in lower-than- expected initial buy-in from the missions.", "STIP Integration Performance Evaluation: West Africa Regional and Uganda. The evaluation found, among other things, that mission staff want to build their capacity to use STIP but would prefer more demand-driven services from the Lab, rather than services that do not align with mission strategies.", "In addition to completing formal evaluations, the Lab has completed over 15 assessments of its activities or projects since 2014 and also is conducting a number of ongoing assessments. The completed assessments reflect work in all five centers and cover areas such as digital finance services, co-creation, and STIP integration."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since its establishment as a USAID bureau more than 4 years ago, the Lab has supported the agency\u2019s efforts to address science, technology, innovation, and partnerships. Further, the Lab has funded and managed opportunities for innovators to propose new ideas, approaches, and technologies that tie into USAID\u2019s overall development goals and programming. The Lab\u2019s centers have pursued global partnerships with a wide range of non-USAID public and private sector stakeholders in an effort to augment their programming and further their efforts.", "However, because non-USAID contributions data that the Lab collects are not always current, some of the leverage data the Lab reports internally and externally to help demonstrate its accomplishments risks being outdated. Moreover, because the Lab\u2019s Internal Guide to Accounting for Leverage does not require its public reporting of leverage data to identify the types of contributions represented, the Lab\u2019s public reporting lacks transparency. Ensuring that the Lab\u2019s internal data on non-USAID contributions are updated and that its publicly reported information about leveraged resources from the public and private sector is transparent will enable the Lab and USAID to better demonstrate to Congress and American taxpayers that the agency is maximizing its use of development resources to pursue new and innovative approaches to development challenges."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to USAID:", "The USAID Administrator should ensure that the Executive Director of the Lab assures that the Lab\u2019s Internal Guide to Accounting for Leverage includes instructions to update all non-USAID contributions data in the Lab\u2019s management information system at least annually. (Recommendation 1)", "The USAID Administrator should ensure that the Executive Director of the Lab assures that the Lab\u2019s Internal Guide to Accounting for Leverage requires that the Lab\u2019s public reporting of leverage data discloses the types of non-USAID contributions represented. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USAID for review and comment. USAID provided written comments that are reprinted in appendix IX. In its letter, USAID concurred with, and indicated that it is already addressing, both recommendations. In addition, USAID provided technical comments on the draft, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the USAID Administrator, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examine (1) the Global Development Lab\u2019s (the Lab) programs, funding, and staffing resources, (2) the extent to which the Lab has documented its oversight of awards with non-U.S. Agency for International Development (USAID) contributions and clearly reported these contributions, and (3) the tools that the Lab uses to assess its performance as well as results that such assessments have shown."], "subsections": [{"section_title": "Programs, Funding, and Staffing", "paragraphs": ["To examine the Lab\u2019s programs, funding, and staffing resources, we reviewed and analyzed Lab program, funding, and staffing documents and data covering fiscal years 2014 to 2017. We reviewed the congressional notification in which USAID advised Congress of its intent to establish the Lab, program description documents, as well as the Lab\u2019s current strategy document which contains the Lab\u2019s results framework and strategic objectives covering science, technology, innovation, partnerships (STIP), and agency integration. In addition, we reviewed documents that provided information on services and tools the Lab provides to operating units within USAID. We reviewed and analyzed Lab funding data, by appropriations accounts, which included allocations and obligations for Lab programs by centers and offices covering fiscal years 2014 to 2017. The Lab did not yet have fiscal year 2018 funding information available. In addition, we reviewed and analyzed obligation data on Lab-managed activities for fiscal years 2014 to 2017. To report on staffing, we reviewed and analyzed Lab staffing data for fiscal years 2015 to 2018 which included data on the number of direct hire staff and contractors, hiring mechanisms used to bring staff on board, as well information on the centers and offices the staff worked in. To assess the reliability of the staffing data for fiscal years 2015 to 2018 and the funding data for fiscal years 2014 to 2017, we compared and corroborated information provided by the Lab with staffing and funding information in the Congressional Budget Justifications for the fiscal years. On the basis of the checks we performed, we determined these data to be sufficiently reliable for the purposes of this report.", "We interviewed Lab officials representing every center\u2014Center for Development Research, Center for Digital Development, Center for Development Innovation, Center for Transformational Partnerships, and Center for Agency Integration; each support office\u2014Office of Engagement and Communication, and Office of Evaluation and Impact Assessment; and all Lab-Wide Priorities\u2014Ebola, Digital Development for Feed the Future, and Beyond the Grid\u2014to understand the Lab\u2019s organizational structure, roles and responsibilities, programs, and services, among other things. We also spoke with officials in the Administrative Management Services and Program and Strategic Planning offices, which cover the Lab\u2019s financial and human resources, as well as strategic planning and reporting. To obtain insight into the Lab\u2019s interaction and STIP integration within USAID, we also interviewed agency officials from five USAID bureaus in Washington, D.C.\u2014 Democracy, Conflict, and Humanitarian Assistance; Economic Growth, Education, and Environment; Food Security; Global Health; and Policy, Planning, and Learning; and from six USAID missions overseas\u2014 Albania, Cambodia, Guinea, Haiti, Uganda, and the Regional Development Mission for Asia.", "To determine the number of activities the Lab managed from fiscal years 2014 through 2017, and the amount it had obligated for these activities in this timeframe, we reviewed and analyzed data from USAID\u2019s financial management system\u2014Phoenix. Additionally, we met with Lab officials responsible for managing and reviewing the data in this system. To ensure that we accounted for only programmatic activities in our timeframe, we removed activities, in consultation with Lab Officials, from the dataset that pertained to institutional support contracts and fellowships. We also met with officials from each of the Lab\u2019s centers to discuss the activities that they manage. We determined that the data were sufficiently reliable to account for Lab managed activities."], "subsections": []}, {"section_title": "Oversight, Documentation, and Reporting of Non- USAID Contributions", "paragraphs": ["To address oversight and documentation of awards with non-USAID contributions, we reviewed Lab and USAID policies and guidance for oversight of non-USAID contributions as of fiscal year 2017, including Lab guidance, and relevant chapters of USAID\u2019s Automated Directives System (ADS), which contain the agency\u2019s policy. We analyzed Lab- managed awards with committed funding from non-USAID partners from fiscal years 2014 through 2017 (a total of 154) from the Lab\u2019s information management system DevResults, which we determined was sufficient to allow us to select a sample of these awards for further review. Our sample included 24 awards, which represented all Lab-managed awards containing non-USAID contributions issued on or after fiscal year 2014, and ending in or before fiscal year 2017. We selected these timeframes to ensure that the awards we reviewed did not predate the creation of the Lab (fiscal year 2014) and to ensure that activities and all award documentation on activities had been completed.", "To assess the reliability of these committed funding data, we reviewed documentation and interviewed USAID officials to identify and rectify any missing or erroneous data. Since we selected only awards in our given timeframe, the results cannot be generalized to all Lab managed awards receiving non-USAID committed contributions. We determined that the data and information were sufficiently reliable to compare against award documentation. The awards we reviewed covered four of the Lab\u2019s five objectives: science (1 award), technology (3 awards), innovation (19 awards), and partnerships (1 award). To determine the extent to which the Lab had documented certain oversight requirements for these awards, we reviewed award documentation contained in the 24 award files against key oversight requirements and best practices established by USAID and the Lab. These oversight requirements include: report committed funding amounts received from non-USAID sources; conduct valuations of in-kind contributions, as applicable; document partners met cost-share or matching funds, if required; and maintain copies of the award agreement and any modifications.", "To determine the extent to which the Lab\u2019s information management system contained current data on non-USAID contributions, we reviewed committed funding data for the 24 selected awards in this system against documentation in the award files. We also reviewed the Lab\u2019s guidance on accounting for non-USAID contributions in addition to meeting with Lab officials responsible for data input and oversight of such contributions. However, we did not independently assess the accuracy of the committed contributions against actual contribution amounts because the Lab does not collect data on actual contributions received in all of its awards.", "To determine the extent to which the Lab\u2019s guidance on accounting for non-USAID contributions differs from USAID agency guidance, we compared guidance documents provided by the Lab with agency guidance from USAID\u2019s ADS 303. Among other guidance documents, we reviewed the Lab\u2019s Global Development Lab Internal Guide to Accounting for Leverage, and the Lab\u2019s \u201cIndicator Reference Sheet.\u201d We also interviewed Lab officials responsible for implementing the Lab\u2019s guidance for accounting for non-USAID contributions, as well as officials from USAID\u2019s office of Policy, Planning, and Learning who are responsible for developing and updating ADS guidance on non-USAID contributions. We also reviewed the Lab\u2019s public reporting of non-USAID contributions on USAID\u2019s website."], "subsections": []}, {"section_title": "Performance Assessment and Results", "paragraphs": ["To report on the tools that the Lab uses to assess its performance, we reviewed and analyzed numerous Lab program and performance documents. These included the Lab\u2019s strategic plan that covers fiscal years 2016 to 2020 and the Lab\u2019s results framework that outlines the strategic objectives; Performance Management Plan; evaluation, research, and learning plan; Lab portfolio reviews; and Lab strategic learning reviews.", "To learn about the Lab\u2019s performance management, program evaluation, and assessment process, we interviewed Lab officials from the Office of Evaluation and Impact Assessment and the Program and Strategic Planning office. We reviewed sections of USAID\u2019s ADS 201 that pertain to strategic planning and implementation; project design and implementation; activity design and implementation; and monitoring, evaluation, and learning. We also spoke with officials in the Bureau for Policy, Planning, and Learning regarding the performance management requirements for bureaus outlined in ADS 201.", "To report on the results of the Lab\u2019s performance indicators, we reviewed indicator data from the Lab for fiscal years 2014 to 2017. Since the Lab\u2019s strategy was created in 2016, we focused our analysis on indicator data for fiscal years 2016 and 2017 that represent the Lab\u2019s objectives as laid out in the Lab\u2019s Results Framework. The Lab provided this information from DevResults, to include targets and measurements for each indicator by fiscal year. The data that we received from the Lab contained over 250 total indicators, which included those at the objective level, intermediate level, and sub-intermediate results level. We identified and analyzed 39 indicators representing the objective and intermediate results levels (for the science, technology, innovation, partnerships, and agency integration objectives) and looked at the targets and actuals for these for fiscal years 2016 and 2017. We compared each target value with the actual value to determine whether the Lab met, exceeded, or did not meet its targets for each indicator. If the target and the actual were the same value, we designated this as \u201cmeets.\u201d If the target value was less than the actual value, we designated this as \u201cexceeds.\u201d Finally, if the target value was more than the actual value, we designated this as \u201cdoes not meet.\u201d We also identified indicators (both at the objective and intermediate results levels) where the Lab improved its performance from fiscal year 2016 to fiscal year 2017 as well as indicators where the Lab had declined in its performance from fiscal year 2016 to fiscal year 2017. To assess the reliability of the Lab\u2019s performance data base, we interviewed Lab officials and reviewed documentation, and we determined that the data was sufficiently reliable for the purposes of comparing the Lab\u2019s targets to reported results. However, it was beyond the scope of this engagement to assess the reliability of each of the 39 indicators.", "To report the results of the Lab\u2019s seven external evaluations, we reviewed the completed external evaluations that were conducted in 2016 and 2017. As applicable, we looked at the purpose of those evaluations, findings, lessons learned, and any challenges to the program or project that the evaluation covered. We did not assess whether the Lab met its evaluation requirements under ADS 201, as this issue was outside of the scope of our review. We did not independently assess the methodology that was used in the evaluations.", "To report the results of the Lab\u2019s portfolio reviews, we reviewed four portfolio reviews\u2014two at midyear and two at the end of the year\u2014that the Lab conducted in fiscal years 2016 and 2017. The portfolio reviews included sections on the Lab\u2019s five objectives. As the portfolio reviews used different approaches to collect information, we analyzed them and identified headings in the documents that pointed towards results, including findings, challenges, achievements, and lessons learned and summarized this information. To report on the results of the strategic learning reviews, we reviewed the three strategic learning reviews\u2014each a 2-page document\u2014that the Lab had conducted in spring of 2018. We summarized each review and reported on each of the reviews\u2019 questions and one of the \u201cnow what\u201d actions from each review to provide an illustrative example.", "We conducted this performance audit from July 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Description of Key Global Development Lab Programs and Portfolios by Each Center", "paragraphs": ["The Global Development Lab\u2019s (the Lab) five centers, its offices, and Lab- Wide Priorities manage more than 20 key programs and portfolios. The following are descriptions of key programs or portfolios implemented or managed by the Lab\u2019s five centers\u2014Development Research, Digital Development, Development Innovation, Transformational Partnerships, and Agency Integration."], "subsections": [{"section_title": "Center for Development Research", "paragraphs": ["Higher Education Solutions Network (HESN): According to Lab documentation, HESN is a partnership with seven universities working with partners worldwide. Leveraging nearly equal investments from each higher education institution, the universities established eight development labs that collaborate with a network of 685 partner institutions in academia, the private sector, civil society, and government across 69 countries. HESN\u2019s development labs work with the U.S. Agency for International Development (USAID) to address problems faced by developing countries.", "Partnership for Enhanced Engagement in Research (PEER): According to Lab documentation, PEER supports competitively awarded grants for collaborative research projects led by developing country scientists and engineers who partner with American researchers. PEER-funded scientists conduct applied research that can inform public policy or new practices in development with a goal of creating and leading new innovations or generating evidence for how to scale innovations. PEER also builds research capacity by providing funds, tools, technical assistance, and research opportunities for local scientists and students. The program is implemented in partnership with the U.S. National Academy of Sciences.", "Science and Research Fellowship Programs: According to Lab documentation, the Lab supports three fellowship programs that are characterized by a commitment to the use of science, technology, innovation, and partnerships. The American Association for the Advancement of Science (AAAS) Science and Technology Policy Fellowship and the Jefferson Science Fellowship both bring scientists and technical experts to serve 1- to 2-year fellowships at the U.S. Agency for International Development, contributing their knowledge and analytical skills to development policy, research, and programming. Further, the Research and Innovation (RI) Fellowship program connects U.S. graduate student researchers research, or technical expertise, to address pressing development challenges.", "Research Policy Support: According to Lab documentation, the Lab provides advice to the agency on implementing the USAID Scientific Research Policy. This may include areas like peer review and open access to research products including data and USAID staff publications."], "subsections": []}, {"section_title": "Center for Digital Development", "paragraphs": ["Digital Inclusion: According to Lab documentation, the Lab helps improve connectivity by expanding access to the internet in countries where USAID works to help ensure that the most marginalized citizens have the skills and resources to be active participants in the digital economy. The team supports missions to integrate internet solutions into existing programs to ensure health clinics, schools, and other critical facilities are connected and offer access to modern internet services.", "Development Informatics (portfolio): According to Lab documentation, the Lab seeks to make development more adaptive, efficient, and responsive to citizens and decision makers by helping transform the use of data and technology throughout development. The Lab supports mission investments in technology platforms that can collect and analyze data more efficiently to improve strategic planning and program implementation. The Lab also leads the public advocacy campaign for the Principles for Digital Development, a set of agency best practices for applying digital technology and data in development.", "GeoCenter: According to Lab documentation, the Lab applies geographic and other data analysis to improve the strategic planning, design, implementation, monitoring, and evaluation of USAID\u2019s programs. The GeoCenter works directly with USAID bureaus and missions to integrate geographic analysis, futures analysis (including scenario planning), and data analytics to inform development decisions. The team also leads a geospatial community of 50 geographic information systems specialists in field-based missions and in Washington, D.C.", "Digital Finance (portfolio): According to Lab documentation, the Lab\u2019s Digital Financial Services team is working with USAID missions and bureaus through multi-stakeholder alliances and direct technical assistance to help the world\u2019s financially excluded and underserved populations obtain access to and use financial services that meet their needs. The Digital Finance team has worked with over 30 missions and agency operating units to improve operational and programmatic efficiency as a means to accelerating development objectives within USAID projects and programs."], "subsections": []}, {"section_title": "Center for Development Innovation", "paragraphs": ["Development Innovation Ventures (DIV): According to Lab documentation, DIV is the agency\u2019s venture capital-inspired, tiered, evidence-based funding model that invests comparatively small amounts in relatively unproven concepts, and continues to support only those that prove to work. It applies three core criteria to its application review process\u2014evidence of impact, cost-effectiveness, and potential to scale. DIV accepts applications at three different funding stages from Proof of Concept ($25,000-150,000); Testing ($150,000\u2013$1.5 million); and Transitioning to Scale ($1.5 million\u2013$15 million).", "Grand Challenges for Development: According to Lab documentation, grand challenges call on the global community to discover, test, and accelerate innovative solutions around specific global challenges. The Lab is also leading efforts to apply innovation methods such as funding for challenges and prizes to accelerate innovation or incentivize action toward specific outcomes, such as the development of more efficient, lower-cost refrigeration solutions in the recently launched Off-Grid Refrigeration Competition.", "The Global Innovation Exchange: According to Lab documentation, this effort is an online platform to convene and connect innovators, funders, and experts working on development innovations around the world. The exchange is co-funded by USAID, the Australian Department of Foreign Affairs and Trade, the Korea International Cooperation Agency, and the Bill and Melinda Gates Foundation.", "Innovative Design (portfolio): According to Lab documentation, innovative design tools and approaches can help make a process more open and collaborative, incorporate human-centered design, or find a more innovative approach to solving a development problem. The Lab works to reframe development challenges, reach new audiences, and spur new ways of solving problems. It seeks to equip USAID teams with skills to design innovative programs using tools like design thinking and co- creation. It also builds diverse networks around critical systems challenges and facilitates a dialogue on the practice of innovation and design across USAID and the industry."], "subsections": []}, {"section_title": "Center for Transformational Partnerships", "paragraphs": ["Global Development Alliances (GDAs): According to Lab documentation, GDAs are partnerships between USAID and the private sector that use market-based solutions to advance broader development objectives. These partnerships combine the assets and experiences of the private sector to leverage capital, investments, creativity, and access to markets to work to solve the complex problems facing governments, businesses, and communities. GDAs leverage market-based solutions to advance broader development objectives. GDAs are co-designed, co-funded, and co-managed by all partners involved so that the risks, responsibilities, and rewards of partnership are shared.", "Partnering to Accelerate Entrepreneurship (PACE): According to Lab documentation, the Lab\u2019s PACE initiative catalyzes private-sector investment into early-stage enterprises and helps entrepreneurs grow their businesses.", "Diaspora Engagement (portfolio): According to Lab documentation, the diaspora engagement is a core focus area for the Lab, which works with non-traditional partners in diaspora communities and organizations in under-addressed technical areas to test and incubate innovative partnership models."], "subsections": []}, {"section_title": "Center for Agency Integration", "paragraphs": ["Science, Technology, Innovation, and Partnerships (STIP) Agency Integration (portfolio): According to Lab documentation, the Lab supports the application of STIP across the agency by providing technical assistance, training, and catalytic investments in mission-driven STIP programs. In fiscal year 2016, the Lab worked closely with eight missions to integrate STIP tools and approaches to accelerate their development objectives. For example, the Lab is supporting ongoing efforts with the Uganda mission and a range of local partners, including the government of Uganda, to promote and source local, sustainable off-grid power solutions to impact a majority of underserved citizens.", "Digital Development for Feed the Future: According to Lab documentation, the Lab is collaborating with USAID\u2019s Bureau for Food Security on integrating digital technologies into Feed the Future activities to accelerate reductions in global hunger, malnutrition, and poverty. An example includes facilitating greater precision agriculture through richer data collection, analysis, and packaging.", "Operational Innovation: According to Lab documentation, the Operations Innovations Team collaborates with partners to test and demonstrate viable disruptions which improve efficiency and effectiveness of Agency\u2019s internal business processes, practices, and procedures."], "subsections": []}]}, {"section_title": "Appendix III: Description of 10 Grand Challenges for Development", "paragraphs": ["Since 2011, the U.S. Agency for International Development (USAID) and its partners have launched 10 Grand Challenges for Development. Grand Challenges for Development mobilize governments, companies, and foundations around important issues. According to USAID, through these programs, USAID and public and private partners bring in new voices to solve development problems through sourcing new solutions, testing new ideas, and scaling (expanding) what works. Table 6 includes a description of each of the Grand Challenges, identifies the founding partners, and lists the primary bureau within USAID responsible for the programs. According to Global Development Lab (the Lab) officials, the Lab manages Securing Water for Food and Scaling Off-Grid Energy Grand Challenges."], "subsections": []}, {"section_title": "Appendix IV: Global Development Lab Program Fund Allocation and Obligation Totals by Account, Fiscal Years 2014-2017", "paragraphs": ["The Global Development Lab\u2019s (the Lab) funding comes from different appropriations accounts. While the majority of the funding for fiscal years 2014 to 2017 is from the Development Assistance account, the Lab has also received lesser amounts of funding from four other accounts (see table 7)."], "subsections": []}, {"section_title": "Appendix V: Global Development Lab Managed Activities in Fiscal Years 2014 through 2017", "paragraphs": ["In fiscal years 2014 through 2017, the Global Development Lab (the Lab) managed a total of 339 activities addressing science, technology, innovation, and partnerships implemented by partners and obligated about $371 million for these awards. As figure 3 shows, the number of activities the Lab managed increased each year during this period, from 149 in fiscal year 2014 to 226 in fiscal year 2017. Obligated funding for all activities also increased annually until fiscal year 2017, when it declined by 27 percent.", "The Global Development Lab obligated funds to other activities it managed during this period that are not reflected in the data presented. These include obligations for institutional support contracts and staff fellowships.", "In fiscal years 2014 through 2017, four of the Lab\u2019s centers managed a variety of activities addressing the Lab\u2019s science, technology, innovation, and partnerships objectives.", "The Center for Development Research managed 28 activities addressing the Lab\u2019s science objective. Obligations for these activities totaled about $120.4 million. The majority of this funding went to two programs, the Higher Education Solutions Network (about $81.2 million) and the Partnership for Enhanced Engagement in Research (about $27.7 million).", "The Center for Digital Development managed 17 activities addressing the Lab\u2019s technology objective, ranging from providing geospatial satellite imagery to increasing the use of mobile money and e- payments in developing countries. Obligations for these activities totaled $64.5 million, with the majority of this funding going to Digital Finance activities.", "The Center for Development Innovation managed 205 activities addressing the Lab\u2019s innovation objective. Obligations for these activities totaled about $115.4 million. This funding went to three programs: the Development Innovation Ventures program (about $57 million), the Innovation Acceleration program (about $19.3 million) and the Innovation Design program (about $39.2). The Lab\u2019s Innovation Acceleration and Design program houses the Securing Water for Food Grand Challenge.", "The Center for Transformational Partnerships managed 37 activities addressing the Lab\u2019s partnerships objective. Obligations for these activities totaled $39.8 million. For example, the Lab obligated about $13.9 million for the Partnering to Accelerate Entrepreneurship program, which aims to bring private-sector investment into businesses at early stages of development, among other things.", "In addition, other U.S. Agency for International Development (USAID) missions and bureaus have provided funding to Lab-managed projects through buy-ins. From fiscal years 2014 to 2017, USAID missions and bureaus provided funding to 55 Lab-managed projects, totaling $53 million. According to Lab officials, missions and bureaus can buy into projects in the development stage and can also buy into existing projects. For example, according to officials at USAID\u2019s mission in Haiti, the Lab developed and funded a Higher Education Solutions Network project in Haiti, which provided the Haitian Ministry of Planning with capacity- building training to improve the collection of development and funding data for all donors in the country. Because the USAID mission saw the value of this project, it bought into the project, using its own funding, to allow the project to continue for an additional 2 years."], "subsections": []}, {"section_title": "Appendix VI: Global Development Lab Centers\u2019 Direct Hires and Contractors, Fiscal Years 2015-2018", "paragraphs": ["The Global Development Lab (the Lab) has numerous contractors who provide technical expertise in the centers and fill gaps when direct-hire staff are not available, according to Lab officials. In fiscal years 2016 to 2018, the Center for Digital Development had the most contractors of all the centers (see table 8). The contractors in this center are technical specialists mainly in the Lab\u2019s GeoCenter, which uses geographic information systems to collect data to help aid development decisions in countries around the world. In fiscal year 2018, there were more contractors than direct-hire staff in the Center for Digital Development."], "subsections": []}, {"section_title": "Appendix VII: U.S. Agency for International Development Missions\u2019 and Bureaus\u2019 Views on the Global Development Lab", "paragraphs": ["Officials in the five U.S. Agency for International Development (USAID) bureaus and six missions we spoke with provided positive feedback on their interactions with the Global Development Lab (the Lab) but also identified some challenges. USAID officials identified numerous positive aspects or benefits of working with the Lab, such as the following:", "Lab staff brings diverse expertise and outside perspectives to the agency and provides technical assistance to projects that would not have been implemented otherwise. For example, some USAID officials mentioned that the Lab staff has insight into innovative approaches\u2014whether procurement-related or project design and monitoring\u2014and that the Lab has the ability to bring in contractors with specific technical expertise that the traditional development arena lacks.", "Lab staff is responsive and often willing to help with technical issues.", "Some USAID staff mentioned that Lab staff provide expertise and answer questions on an informal basis, sometimes covering areas where they are not the assigned point of contact with a particular bureau or mission.", "The Lab coordinates cross-cutting projects across the agency, such as the Grand Challenges for Development. Some bureau officials stated that Lab officials have been able to share their perspectives at training and other activities which has allowed them to be aware of what others across USAID are doing relevant to activities related to science, technology, innovation, and partnerships (STIP).", "The Lab funds projects and activities that missions and USAID headquarters operating units cannot afford. Some USAID officials mentioned that the Lab has sent staff out to provide STIP training, with the Lab covering the costs. However, some officials also mentioned that they have seen that recent budget cuts have had an impact on the Lab\u2019s funding for more recent activities.", "The Lab holds trainings on topics such as procurement processes and private sector engagement that have helped missions and bureaus adopt new approaches to work and development partnerships.", "USAID officials also noted problematic aspects or challenges in working with the Lab, such as:", "Some Lab services can be cost prohibitive. For example, some mission officials mentioned that Lab resources are centralized in headquarters and therefore the cost to missions might be high and not affordable.", "Staff turnover at the Lab is frequent, making it difficult for bureau or mission officials to maintain relationships with the Lab. For example, some officials stated there has not been consistent contact with the Lab due to Lab staff frequently moving around or leaving. This has included changes in contacts for agreement officer representatives responsible for awards impacting the mission.", "The centers\u2019 services and the ways in which bureaus or missions could work most effectively with the Labs are not always clear. For example, some mission and bureau officials mentioned that Lab staff does not always understand a country\u2019s context when suggesting or deploying potential programs or activities related to STIP. This includes working to integrate STIP activities or innovations into the Country Development Cooperation Strategy when these might not be feasible for a country context or responsive to the needs of the mission.", "USAID officials noted that when they have provided feedback to the Lab, the Lab has generally been responsive. In addition, bureau officials mentioned that the Lab\u2019s communications have improved."], "subsections": []}, {"section_title": "Appendix VIII: List and Description of Global Development Lab\u2019s Performance Indicators, Fiscal Years 2016-2017", "paragraphs": ["The Global Development Lab (the Lab) established its performance indicators when it created its strategy in fiscal year 2016 to cover fiscal years 2016-2020. The Lab\u2019s results framework, which is reflected in the strategy, includes the Lab\u2019s objective statements and intermediate results statement from which the Lab\u2019s performance indicators flow. See table 9 for a description of indicators for the Lab\u2019s five strategic objectives for fiscal years 2016 to 2017."], "subsections": []}, {"section_title": "Appendix IX: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Leslie Holen (Assistant Director), Andrea Riba Miller (Analyst in Charge), Nick Jepson, and Kelly Friedman made key contributions to this report. Also contributing were Martin De Alteriis, Jeff Isaacs, Chris Keblitis, Reid Lowe, Aldo Salerno, and Nicole Willems."], "subsections": []}]}], "fastfact": ["Since USAID\u2019s Global Development Lab started in 2014, it has sought innovative solutions to international development problems such as hunger and illiteracy. The Lab has a goal of supporting some efforts with outside contributions from private and public partners.", "We examined how the Lab uses and reports its funding. We found:", "The Lab\u2019s funds from USAID dropped from $170.7 million in 2015 to $77 million in 2017.", "Some of the Lab\u2019s public reporting on outside contributions was outdated or incomplete.", "To improve transparency, we recommended the Lab revise internal guidance to ensure up-to-date and complete reporting on outside contributions."]} {"id": "GAO-18-635", "url": "https://www.gao.gov/products/GAO-18-635", "title": "2020 Census: Census Bureau Improved the Quality of Its Cost Estimation but Additional Steps Are Needed to Ensure Reliability", "published_date": "2018-08-17T00:00:00", "released_date": "2018-09-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In October 2017, the Department of Commerce (Commerce) announced that the projected life-cycle cost of the 2020 Census had climbed to $15.6 billion, a more than $3 billion (27 percent) increase over its 2015 estimate. A high-quality, reliable cost estimate is a key tool for budgeting, planning, and managing the 2020 Census. Without this capability, the Bureau is at risk of experiencing program cost overruns, missed deadlines, and performance shortfalls.", "GAO was asked to evaluate the reliability of the Bureau's life-cycle cost estimate. This report evaluates the reliability of the Bureau's revised life-cycle cost estimate for the 2020 Census and the extent to which the Bureau is using it as a management tool, and compares the 2015 and 2017 cost estimates to describe key drivers of cost growth. GAO reviewed documentary and testimonial evidence from Bureau officials responsible for developing the 2020 Census cost estimate and used its cost assessment guide ( GAO-09-3SP ) as criteria."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2015, the Census Bureau (Bureau) has made significant progress in improving its ability to develop a reliable cost estimate. While improvements have been made, the Bureau's October 2017 cost estimate for the 2020 Census does not fully reflect all the characteristics of a reliable estimate. (See figure.) Specifically, for the characteristic of being well-documented, GAO found that some of the source data either did not support the information described in the cost estimate or was not in the files provided for two of its largest field operations. In GAO's assessment of the 2015 version of the 2020 Census cost estimate, GAO recommended that the Bureau take steps to ensure that each of the characteristics of a reliable cost estimate is met. The Bureau agreed and has taken steps, but has not fully implemented this recommendation.", "A reliable cost estimate serves as a tool for program development and oversight, helping management make informed decisions. During this review, GAO found the Bureau used the cost estimate to inform decision making.", "Factors that contributed to cost fluctuations between the 2015 and 2017 cost estimates include:", "Changes in assumptions. Among other changes, a decrease in the assumed rate for self-response from 63.5 percent in 2015 to 60.5 percent in 2017 increased the cost of collecting responses from nonresponding housing units.", "Improved ability to anticipate and quantify risk. In general, contingency allocations designed to address the effects of potential risks increased overall from $1.3 billion in 2015 to $2.6 billion in 2017.", "An overall increase in information technology (IT) costs. IT cost increases, totaling $1.59 billion, represented almost 50 percent of the total cost increase from 2015 to 2017."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations but maintains its earlier recommendation\u2014that the Secretary of Commerce direct the Bureau to take specific steps to ensure its cost estimate meets the characteristics of a high-quality estimate. In its response to this report, Commerce generally agreed with the findings related to cost estimation improvements, but disagreed that the cost estimate was not reliable. However, until GAO's recommendation is fully implemented the cost estimate cannot be considered reliable."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Census Bureau (Bureau) estimates that the 2020 Census will be the most expensive census in our nation\u2019s history, at an estimated cost of $15.6 billion after adjusting for inflation. The Bureau faces the challenge of cost effectively counting a population that is growing steadily larger, more diverse, and increasingly difficult to enumerate with a reengineered design that relies in part on automation to locate housing units and count the nation\u2019s population. In an environment of constrained resources, containing costs is imperative for the 2020 Census.", "In February 2017, we designated the 2020 Census as a high-risk area, in part because of uncertainty over costs and long-standing weaknesses in the Bureau\u2019s management of information technology intended to automate the census. At the time the 2020 Census was designated high risk, the life-cycle cost for the 2020 Census was $12.5 billion, a figure since revised downward to $12.3 billion. However, in October 2017, the Department of Commerce (Commerce) announced that it had updated its October 2015 life-cycle cost estimate and now projects the life-cycle cost of the 2020 Census will be $15.6 billion, a more than $3 billion (27 percent) increase over its earlier estimate. The higher estimated life-cycle cost is due, in part, to the Bureau\u2019s earlier failure to meet best practices for a quality cost estimate, a concern we had reported in June 2016.", "Reliable cost estimates that appropriately account for risks facing an agency can help an agency manage large complex activities like the 2020 Census and can also help Congress provide oversight and make funding decisions. Having a realistic estimate of projected costs makes for effective resource allocation, and it increases the probability of a program\u2019s success.", "You requested that we evaluate the reliability of the life-cycle cost estimate the Bureau submitted to Congress in October 2017. This report (1) evaluates the reliability of the Bureau\u2019s revised life-cycle cost estimate for the 2020 Census, and the extent to which the Bureau is using it as a management tool; and (2) compares the 2015 and 2017 life-cycle cost estimates to describe key drivers of cost growth.", "For both objectives, we reviewed documentation related to the cost estimate and interviewed Bureau officials responsible for developing the 2020 Census life-cycle cost estimate. For the first question, we interviewed Bureau officials and evaluated whether the Bureau\u2019s cost estimate was generated according to best practices of our Cost Estimating and Assessment Guide. We also assessed the extent to which the Bureau is using the cost estimate as a management tool. For the second question, we compared cost information included in the 2015 and 2017 cost estimates. We relied on our cost assessment guide as criteria. More information on our scope and methodology can be found in appendix I.", "We conducted this performance audit from December 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["A high-quality, reliable cost estimate is a key tool for budgeting, planning, and managing the 2020 Census. According to OMB, programs must maintain current and well-documented estimates of program costs, and these estimates must encompass the full life-cycle of the program. Among other things, OMB states that generating reliable program cost estimates is a critical function necessary to support OMB\u2019s capital programming process. Without this capability, agencies are at risk of experiencing program cost overruns, missed deadlines, and performance shortfalls.", "A reliable cost estimate is critical to the success of any federal government program. With the information from reliable estimates, managers can: make informed investment decisions, allocate program resources, measure program progress, proactively correct course when warranted, and ensure overall accountability for results.", "To be considered reliable, a cost estimate must meet the criteria for each of the four characteristics outlined in our Cost Estimating and Assessment Guide. According to our analysis, a cost estimate is considered reliable if the overall assessment ratings for each of the four characteristics are substantially or fully met. If any of the characteristics are not met, minimally met, or partially met, then the cost estimate does not fully reflect the characteristics of a high-quality estimate and cannot be considered reliable. Those characteristics are:", "Well-documented: An estimate is thoroughly documented, including source data and significance, clearly detailed calculations and results, and explanations of why particular methods and references were chosen. Data can be traced to their source documents.", "Accurate: An estimate is unbiased, the work is not overly conservative or overly optimistic, and is based on an assessment of most likely costs. Few, if any, mathematical mistakes are present.", "Credible: Any limitations of the analysis because of uncertainty or bias surrounding data or assumptions are discussed. Major assumptions are varied, and other outcomes are recomputed, to determine how sensitive they are to changes in the assumptions. Risk and uncertainty analysis is performed to determine the level of risk associated with the estimate. The estimate\u2019s results are cross- checked, and an independent cost estimate (ICE) is conducted to see whether other estimation methods produce similar results.", "Comprehensive: An estimate has enough detail to ensure that cost elements are neither omitted nor double counted. All cost-influencing ground rules and assumptions are detailed in the estimate\u2019s documentation."], "subsections": [{"section_title": "Past GAO Work on Census Cost Estimation", "paragraphs": ["Meeting best practices outlined in our Cost Estimating and Assessment Guide for a reliable cost estimate has been a long-standing challenge for the Bureau. In 2008 we reported that the 2010 Census cost estimate was not reliable because it lacked documentation and was not comprehensive, accurate, or credible. For example, in our 2008 report on the Bureau\u2019s cost estimation process, Bureau officials were unable to provide documentation that supported the assumptions for the initial 2001 life-cycle cost estimate as well as the updates. Consequently, we recommended that the Bureau establish guidance, policies, and procedures for estimating costs that would meet best practices criteria. The Bureau agreed with the recommendation and said at the time that it already had efforts underway to improve its future cost estimation methods and systems. Moreover, weaknesses in the life-cycle cost estimate were one reason we designated the 2010 Census a GAO High- Risk Area in 2008.", "In 2012 we reported that, while the Bureau was taking steps to strengthen its life-cycle cost estimates, it had not yet established guidance for developing cost estimates. We recommended that the Bureau finalize its guidance, policies, and procedures for cost estimation in accordance with best practices. The Bureau agreed with the overall theme of the report but did not comment on the recommendation. During this review we found that the Bureau took steps to address this recommendation, which is discussed later in this report. Such guidance can help to institutionalize best practices and ensure consistent processes and operations for producing reliable estimates.", "In a 2016 report we found that the October 2015 version of the Bureau\u2019s life-cycle cost estimate for the 2020 Census was not reliable. Overall, we reported that the 2020 Census life-cycle cost estimate partially met two of the characteristics of a reliable cost estimate (comprehensive and accurate) and minimally met the other two (well-documented and credible). We recommended that the Bureau take specific steps to ensure its cost estimate meets the characteristics of a high-quality estimate. The Bureau agreed with this recommendation, and took steps to improve the reliability of its cost estimate, which we focus on later in this report. Consequently, an unreliable life-cycle cost estimate is one of the reasons we designated the 2020 Census a GAO High-Risk Area in 2017."], "subsections": []}, {"section_title": "Development of the 2020 Cost Estimate", "paragraphs": ["In October 2015, the Bureau estimated the cost of the 2020 Census to be $12.3 billion. According to the Bureau, the October 2015 version was the Bureau\u2019s first attempt to model the life-cycle cost of its planned 2020 Census, in contrast to its earlier 2011 estimate, which the Bureau said was intended to produce an approximation of potential savings and to begin developing the methodology for producing decennial life-cycle cost estimates covering all phases of the decennial life cycle. To help control costs while maintaining accuracy, the Bureau introduced significant change to how it conducts the decennial census in 2020. Its planned innovations include reengineering how it builds its address list, improving self-response by encouraging the use of the Internet and telephone, using administrative records to reduce field work, and reengineering field operations using technology to reduce manual effort and improve productivity. In contrast to the estimated $12.3 billion in 2015, the 2020 Census would cost $17.8 billion in constant 2020 dollars if the Bureau repeated the 2010 Census design and methods, according to the Bureau\u2019s estimates.", "In October 2017, Commerce announced that it had updated the October 2015 life-cycle cost estimate, projecting the life-cycle cost of the 2020 Census to be $15.6 billion, an increase of over $3 billion (27 percent) over its 2015 estimate. (See figure 1.) In developing the 2017 version of the cost estimate, Bureau cost estimators identified cost inputs, their ranges for possible outcomes, and overall cost estimating relationships (i.e., logical or mathematical formulas, or both). To identify cost inputs and the ranges of potential outcomes, the Bureau worked with subject matter experts and used historical data to support assumptions and generate inputs. The Bureau\u2019s cost estimation team used a software tool to generate the cost estimate.", "Because cost estimates predict future program costs, uncertainty is always associated with them. For example, data from the past (such as fuel prices) may not always be relevant in the future. Risk and uncertainty refer to the fact that because a cost estimate is a forecast, there is always a chance that the actual cost will differ from the estimate. One way to determine whether a program is realistically budgeted is to perform an uncertainty analysis, so that the probability associated with achieving its point estimate can be determined, usually relying on simulations such as those of Monte Carlo methods. This can be particularly useful in portraying the uncertainty implications of various cost estimates.", "Consistent with cost estimation practices outlined in our Cost Estimating and Assessment Guide, the estimate was compared with two independent cost estimates (ICE), developed by Commerce\u2019s Office of Acquisition Management (OAM) and the Bureau\u2019s Office of Cost Estimation, Analysis, and Assessment. The offices producing the ICEs and the cost estimate team worked together to examine the process each used, an effort known as the reconciliation process. Through this reconciliation, the Bureau identified areas where discrepancies existed and elements that could require additional review and possible improvement.", "According to Bureau documentation the estimate will be updated as the program meets milestones and to reflect changes in technical or program assumptions. Figure 2 details the Bureau\u2019s cost estimation process. OAM was involved extensively in the development of the 2017 estimate, an increased involvement compared to 2015, according to Bureau officials. OAM participated in regular review meetings throughout the development of the estimate and also developed an independent cost estimate, as shown in the figure below.", "End-to-end system testing activities for the 2020 Census are currently underway in Providence, Rhode Island. According to the Bureau, information collected from the test, such as overall response rates and the use of administrative records to inform census records, will inform future versions of the life-cycle cost estimate. Some updates from the test will be incorporated into the next cost estimate, which will be available in the first quarter of the coming fiscal year."], "subsections": []}]}, {"section_title": "Census Bureau Has Made Progress but Has Not Taken All the Steps Needed to Ensure the Reliability of 2020 Cost Estimate", "paragraphs": ["Since our June 2016 report, in which we reviewed the Bureau\u2019s 2015 version of the cost estimate, the Bureau has made significant progress. For example, the Bureau has put into place a work breakdown structure (WBS) that defines the work, products, activities, and resources necessary to accomplish the 2020 Census and is standardized for use in budget planning, operational planning, and cost estimation. However, the Bureau\u2019s October 2017 cost estimate for the 2020 Census does not fully reflect characteristics of a high-quality estimate as described in our Cost Estimating and Assessment Guide and cannot be considered reliable.", "Our Cost Estimating and Assessment Guide describes best practices for developing reliable cost estimates. For our reporting needs, we collapsed these best practices into four characteristics for sound cost estimating\u2014 comprehensive, well-documented, accurate, and credible\u2014and identified specific best practices for each characteristic. To be considered reliable, an organization must meet or substantially meet each characteristic. Our review found the Bureau met or substantially met three out of the four characteristics of a reliable cost estimate, while it partially met one characteristic: well-documented. When compared to the October 2015 estimate, the 2017 estimate shows considerable improvement. (See figure 3 below.)"], "subsections": [{"section_title": "Well-Documented", "paragraphs": ["Cost estimates are considered valid if they are well-documented to the point they can be easily repeated or updated and can be traced to original sources through auditing, according to best practices. The Bureau only partially met the criteria for well-documented, as set forth in our Cost Estimating and Assessment Guide. A cost estimate that does not fully meet the criteria for well-documented cannot be used by management to make informed and effective implementation decisions.", "The well-documented characteristic comprises five best practices. The Bureau substantially met two out of five best practices (as shown in figure 4). First, the estimate describes in sufficient detail the calculations performed and the estimating methodology used to derive each element\u2019s cost, and the cost estimate had been reviewed by management. Since cost estimates can inform key decisions and budget requests, it is vital that management review and understand how the estimate was developed, including risks associated with the underlying data and methods.", "The cost estimate only partially met three best practices for the characteristic of being well-documented. In general, some documentation was missing, inconsistent, or difficult to understand. First, we found that source data did not always support the information described in the basis of estimate document or could not be found in the files provided for two of the Bureau\u2019s largest field operations: Address Canvassing and Non- Response Follow-Up (NRFU). For example, the cost estimate documentation referred to actual data from the 2010 Census and information obtained from experts as sources for address canvassing rework rates. However, the folder source documents provided as support for the basis of estimate did not include this information. Next, in several cases, we could not replicate calculations, such as for mileage costs, using the description provided. Lastly, we found that some of the cost elements did not trace clearly to supporting spreadsheets and assumption documents.", "Failure to document an estimate in enough detail makes it more difficult to replicate calculations, or to detect possible errors in the estimate; reduces transparency of the estimation process; and can undermine the ability to use the information to improve future cost estimates or even to reconcile the estimate with another independent cost estimate. The Bureau told us it would continue to make improvements to ensure the estimate is well- documented. For the estimate to be considered well-documented, the Bureau will need to address these issues."], "subsections": []}, {"section_title": "Accurate", "paragraphs": ["An accurate cost estimate supports measurement of program progress by providing unbiased and correct data, which can help management ensure accountability for scheduled results. We found the Bureau\u2019s cost estimate substantially met the criteria for accuracy. As shown in figure 5, and in line with best practices outlined in our Cost Estimating and Assessment Guide, the estimate was not overly optimistic; appeared to be free of errors; was based on historical data or input from subject matter experts; and, according to Bureau officials, is updated regularly as information becomes available.", "The Bureau can enhance the accuracy of their estimate by increasing the level of detail included in the documentation, such as detail on specific inflation indices used, and by monitoring actual costs against estimates. We identified areas for improvement, which, according to Bureau officials, will be addressed as part of its ongoing efforts. For example, while the basis of estimate document describes different inflation indexes, it was not clear exactly which indexes were applied to the various cost elements in the estimate. Also, evidence of how variances between estimated costs and actual expenses would be tracked over time was not available at the time of our analysis. Tools to track variance enable management to measure progress against planned outcomes. Bureau officials stated that they already have systems in place that can be adapted for tracking estimated and actual costs."], "subsections": []}, {"section_title": "Credible", "paragraphs": ["All estimates include a certain amount of informed judgment about the future. Assumptions made at the start of a program can turn out to be inaccurate. Credible cost estimates identify limitations due to uncertainty or bias surrounding data or assumptions, and control for these uncertainties by identifying and quantifying cost elements that represent the most risk. We found that the Bureau\u2019s cost estimate substantially met the criteria for credible, as shown in figure 6 below.", "The Bureau\u2019s cost estimate clearly identifies risks and uncertainties, and describes approaches taken to mitigate them. In line with best practices outlined in our Cost Estimating and Assessment Guide, the Bureau did the following:", "Sensitivity analysis. The Bureau conducted sensitivity analysis to identify possible changes to estimated costs for the 2020 Census based on varying major assumptions, parameters, and data inputs. For example, the Bureau calculated the likely cost implications for a range of possible response rates to identify a range of projected costs and to calculate appropriate reserves for risk. Bureau officials stated that they also identified the estimate input parameters that contributed the most to estimate uncertainty.", "Risk and uncertainty analysis. A cost estimate is a forecast, and as such, there is always a chance that the actual cost will differ from the estimate. Uncertainty is the indefiniteness about the outcome of a situation. Uncertainty is assessed in cost estimate models to estimate the risk (or probability) that a specific funding level will be exceeded. We found the Bureau performed an uncertainty analysis on a portion of the estimate to determine whether estimated costs were realistic and to establish the probability of achieving projections outlined in the estimate. The Bureau used a combination of modeling based on Monte Carlo analysis and allocations of funding for risks. The Monte Carlo simulation was performed on a portion of the estimate to account for uncertainty around various operational parameters for which a range of outcomes was possible, including Internet response rates and the extent to which data collection issues might be resolved using administrative records. To account for the inherent uncertainty of assumptions included within the life-cycle cost estimate, the Bureau added funding to the cost estimate totaling approximately $292 million to account for risks based on the results of the Monte Carlo analysis.", "For other risks, such as acquisition lead time and the possibility of delays in information technology (IT) development, contingency funding was added to the estimate to reflect the potential cost of resolving these issues, through use of a backup system or an alternative approach. These are described as \u201cspecial risks\u201d in the Bureau\u2019s basis of estimate, and total approximately $171 million.", "Based on additional sensitivity analysis, the Bureau added approximately $965 million to the cost estimate to reflect discrete risks outlined in the risk register as well as those associated with (1) variability in self-response rates, (2) the effect of fluctuations in the size and wage rate of the temporary workforce on the cost of field operations, and (3) the potential need to reduce the enumerator-to- manager staffing ratio in case expected efficiencies in field operations are not realized.", "In addition to these provisions, the Secretary of Commerce added a contingency amount of about $1.2 billion to account for what the Bureau refers to as unknown-unknowns. Bureau documentation states that conducting a decennial census is an extremely complex, high-risk operation. In order to mitigate some of the risk, contingency funding must be available to initiate ad hoc activities necessary to overcome unforeseen issues. According to Bureau documentation these include such risks as natural disasters or cyber-attacks. The Bureau provides a description of how the general risk contingency is calculated. However, this description does not clearly link calculated amounts to the risks themselves.", "In our June 2016 report we reported the Bureau had not properly accounted for risk and recommended the Bureau, in part; improve control over how risk and uncertainty are accounted for. We continue to believe the prior recommendation from our June 2016 report remains valid and should be addressed: that the Bureau properly account for risk in the 2020 Census cost estimate, among other things. As such, risks need to be linked to the $1.2 billion general risk contingency fund.", "Independent cost estimate. According to best practices outlined in our Cost Estimating and Assessment Guide, an independent cost estimate should be performed to determine whether alternate estimate approaches produce similar results. The Bureau compared their estimate with two independent cost estimates, developed by Commerce\u2019s Office of Acquisition Management and the Bureau\u2019s Office of Cost Estimation and Assessment. As part of their process for finalizing the cost estimate, Bureau officials reconciled differences between the estimates in discussions with the two offices, resulting in more conservative assumptions by the Bureau around risk and uncertainty in both cases.", "In addition to implementing our recommendation to properly account for risk, going forward, while the Bureau substantially met the credibility characteristic it will be important for them to also integrate regular cross-checks of methodology into their cost estimation process. In our analysis we observed that no specific cross-checks of cost methodology were performed. According to the Bureau, cross- checks were not performed because the Bureau considered the independent cost estimates as overall cross-checks on the reliability of their methodology and did not conduct additional cross-checks. The main purpose of cross-checking is to determine whether alternative methods for specific cost elements within the cost estimate could produce similar results. An independent cost estimate, though important for the credibility of an estimate, does not fulfill the same function as a targeted cross-check of individual elements."], "subsections": []}, {"section_title": "Comprehensive", "paragraphs": ["Comprehensive estimates have enough detail to ensure that cost elements are neither omitted nor double-counted, all cost-influencing assumptions are detailed in the estimate\u2019s documentation, and a work breakdown structure is defined. Our analysis of the 2017 cost estimate demonstrates improvement over the 2015 cost estimate when the Bureau\u2019s cost estimate only partially met the criteria for comprehensive.", "We found the Bureau met or substantially met all four best practices for the comprehensive characteristic, as shown in figure 7. For example, all life-cycle costs are included in the estimate along with a complete description of the 2020 Census program and current schedule. We also found that the Bureau substantially met criteria for documenting cost influencing ground rules and assumptions.", "A standardized WBS (as detailed in table 1) with supporting dictionary outlines the major work of the program and describes the activities and deliverables at the project level where costs are tracked. In 2016, the Bureau\u2019s WBS did not contain sufficient detail and we found significant differences in the presentation of the work between sources. In 2017, based on our review of Bureau documentation and interviews with Bureau officials, we found that the WBS is standardized and cost elements are presented in detail. The WBS is a necessary program management tool because it provides a basic framework for a variety of related tasks like estimating costs, developing schedules, identifying resources, determining where risks may occur, and providing the means for measuring program status.", "Although the Bureau\u2019s updated life-cycle cost estimate reflects three of the four characteristics of a reliable cost estimate, we are not making any new recommendations to the Bureau in this report. We continue to believe the prior recommendation, made in 2016, remains relevant: that the Secretary of Commerce ensure that the Bureau finalizes the steps needed to fully meet the characteristics of a high-quality estimate, most notably in the well-documented area. The Bureau told us it has used our best practices for cost estimation to develop their cost estimate, and will focus on those best practices that require attention moving forward. Without a reliable cost estimate, the Bureau is limited in its ability to make informed decisions about program resources and to effectively measure progress against operational objectives."], "subsections": []}, {"section_title": "Life-Cycle Cost Estimate Is Used by Management to Inform Decisions", "paragraphs": ["OMB, in its guidance for preparing and executing agency budgets, cites that credible cost estimates are vital for sound management decision making and for any program or capital project to succeed. A well- developed cost estimate serves as a tool for program development and oversight, supporting management to make informed decisions.", "According to the Bureau, the 2020 Census cost estimate is used as a management tool to guide decision making. Bureau officials stated the cost estimate is used to examine the cost impact of program changes. For example, the cost estimate served as the basis for the fiscal year 2019 funding request developed by the Bureau. The Bureau also said it used the 2020 Census life-cycle cost estimate to establish cost controls during budget formulation activities and to monitor spending levels for fiscal year 2019 activities. According to the Bureau, as detailed operational and implementation plans are defined, the 2020 Census life- cycle cost estimate has been and will continue to be used to support ongoing \u201cwhat-if\u201d analyses in determining the cost impacts of design decisions. Specifically, using the cost estimate to model the impact of changes on overall cost, the Bureau adjusted the scope of the Census Enterprise Data Collection and Processing (CEDCaP) operation."], "subsections": []}, {"section_title": "Census Bureau Guidance to Develop Cost Estimates Meets Best Practices", "paragraphs": ["The processes for developing and updating estimates are designed to inform management about program progress and the use of program resources, supporting cost-driven planning efforts and well-informed decision making. Our work has identified a number of best practices for use in developing guidance related to cost estimation and analysis that are the basis of effective program cost estimating and should result in reliable and valid cost estimates that management can use for making informed decisions.", "In 2012 we reported that the Bureau had not yet established guidance for developing cost estimates. We recommended that the Bureau establish guidance, policies, and procedures for developing cost estimates that would meet best practice criteria. The Bureau agreed with the theme of the report but did not specifically agree with the recommendation. Moreover, in June 2016, we also reported that the cost estimation team did not record how and why it changed assumptions that were provided to it and did not document the sources of all data it used. The documentation of these changes to assumptions did not happen because the Bureau lacked written guidance and procedures for the cost estimation team to follow. During this review we found the Bureau has since established reliable guidance, processes, and policies for developing cost estimates and managing the cost estimation process. The following documents, shown in table 2, establish roles and responsibilities for oversight and approval of cost estimation processes, provide a detailed description of the steps taken to produce a high-quality cost estimate, and clarify the process for updating the cost estimate and associated documents over the life of a project.", "The Decennial Census Program\u2019s Cost Estimate and Analysis Process, which provides a detailed description of the steps taken to produce a high-quality estimate, is reliable as it met the criteria for 8 steps and substantially met the criteria for 4 steps of the 12 best steps outlined in our Cost Estimating and Assessment Guide, as shown below in figure 8. To avoid cost overruns and to support high performance, it will be important for the Bureau to abide by their newly developed policies and guidance and continue to use the life-cycle cost estimate as a management tool."], "subsections": []}]}, {"section_title": "Increased Costs Are Driven by an Assumed Decrease in Self-Response Rates and Increases in Contingency Funds and IT Cost Categories", "paragraphs": ["The 2017 life-cycle cost estimate includes significantly higher costs than those included in the 2015 estimate. In 2015, the Bureau estimated that they could conduct the operation at a cost of $12.3 billion in constant 2020 dollars. The Bureau\u2019s latest cost estimate, announced in October 2017, reflects the same design, but at an expected cost of $15.6 billion. Figure 9 below shows the change in cost by WBS category for 2015 and 2017. The largest increases occurred in the Response, Managerial Contingency, and Census/Survey Engineering categories. Increased costs of $1.3 billion in the response category (costs related to collecting, maintaining, and processing survey response data) were in part due to reduced assumptions for self-response rates, leading to increases in the amount of data collected in the field, which is more costly to the Bureau. Contingency allocations increased overall from $1.35 billion in 2015 to $2.6 billion in 2017, as the Bureau gained a greater understanding of risks facing the 2020 Census. Increases of $838 million in the Census/Survey Engineering category were due mainly to the cost of an IT contract for integrating decennial survey systems that was not included in the 2015 cost estimate. Bureau officials attribute a decrease of $551 million in estimated costs for Program Management to changes in the categorization of costs associated with risks: In the 2017 version of the estimate, estimated costs related to program risks were allocated to their corresponding WBS element.", "More generally, factors that contributed to cost fluctuations between the 2015 and 2017 cost estimates include: changes in assumptions for census operations, improved ability to anticipate and quantify risk, an overall increase in IT costs, and more defined contract requirements."], "subsections": [{"section_title": "Changes in Assumptions", "paragraphs": ["Several assumptions for the implementation of the 2020 Census have changed since the 2015 cost estimate. Some assumptions contributing to cost changes, mainly in the Response (related to collecting and processing response data) and Frame (the mapping and collecting addresses to frame enumeration activities) categories, include the following:", "Self-response rates. Changes in assumptions for expected self- response rates contributed to increases in the response category, as the assumed rate decreased from 63.5 percent in 2015 to 60.5 percent in 2017, thereby increasing the anticipated percentage and associated cost of nonresponse follow-up. When the Bureau does not receive responses by mail, phone, or Internet, census enumerators visit each nonresponding household to obtain data. Thus, reduced self-response rates lead to increases in the amount of data collected in the field, which is more costly to the Bureau. Bureau officials attributed this decrease to a forecasted reduction in Internet response due to added authentication steps at log in and the elimination of the function allowing users to save their responses and return later to complete the survey.", "Productivity rates. The productivity of enumerators collecting data for NRFU is another variable in the cost estimate that was updated, contributing to cost increases in the response category. Expected productivity rates for NRFU decreased from the 2015 estimate of 4 attempts per hour to 2.9. According to Bureau documentation, this more conservative estimate is based on historical data, rather than research and test data.", "In-office address canvassing rates. The Bureau will not go door-to- door to conduct in-field address canvassing across the country to update address and map information for every housing unit, as it has in prior decennial censuses. Rather, some areas would only need a review of their address and map information using computer imagery and third-party data sources\u2014what the Bureau calls \u201cin-office\u201d address canvassing procedures. However, in March 2017, citing budget uncertainty the Bureau decided to discontinue one of the phases of in-office review address canvassing for the 2020 Census. The cancellation of that phase of in-office review is expected to increase the number of housing units canvassed in-field by 5 percent (from 25 to 30 percent of all canvassed housing units). In-field canvassing is more labor intensive compared to in office procedures. The 2017 version of the cost estimate reflects this increase in workload for in-field address canvassing, though overall changes in estimated costs for the Frame category, of which Address Canvassing is a part, were minimal.", "Staffing. Updated analysis resulted in changes to several staffing assumptions, which resulted in decreases across WBS categories. Changes included reduced pay rates for field data collection staff based on current labor market conditions and reductions in the length of staff engagement."], "subsections": []}, {"section_title": "Anticipation of Risk", "paragraphs": ["In general, contingency allocations increased overall from $1.35 billion in 2015 to $2.6 billion in 2017. This increase in contingency can be attributed, in part, to the Bureau gaining a clearer understanding of risk and uncertainty in the 2020 Census as it approaches. The Bureau developed some of its contingency based on proven risk management techniques, including Monte Carlo analysis and allocated funding for known risk scenarios. The 2017 estimate includes close to $1.4 billion in estimated costs for these risks, almost three times the amount included in the 2015 estimate. The basis of estimate contains detail on the various risks and the process for calculating the associated contingency. The 2017 version also includes a contingency amount of $1.2 billion for general risks, or unknown-unknowns, such as natural disasters and cyber-attacks.", "Contingency amounts were reallocated within the WBS to more closely reflect the nature of the risk: Bureau officials attribute a decrease from the 2015 estimate of $551 million in estimated costs for program management to changes in the categorization of costs associated with risks. Officials stated that, in 2015, discrete program risks were previously consolidated as program management costs. In 2017, these discrete costs were reallocated to associate risks with the appropriate WBS element. For example, contingency amounts related to the likelihood of achieving a certain response rate previously included in the program management work breakdown category are now a part of the \u201cresponse\u201d work breakdown category."], "subsections": []}, {"section_title": "Increased IT Costs", "paragraphs": ["Increases in IT costs, totaling $1.59 billion, represented almost 50 percent of the total cost increase from 2015 to 2017. The total share of IT costs as a percentage of total census costs increased from 28 percent in 2015 to 32 percent in 2017, or from $3.41 billion to approximately $5 billion. Increases in IT costs are spread across seven cost categories. Figure 10 shows the IT and non-IT cost by WBS for the 2017 cost estimate. IT costs in infrastructure, response data, and census/survey WBSs account for the majority of the approximately $5 billion.", "The Bureau\u2019s October 2015 cost estimate included IT costs for, among other things, system engineering, test and evaluation, and infrastructure, as well as for a portion of the Census Enterprise Data Collection and Processing (CEDCaP) program. The 2017 estimated IT cost increases were due, in large part, to the Bureau (1) updating the cost estimate for CEDCaP; (2) including an estimate for technical integration services that contributed to increases in the Census and Survey Engineering category; and (3) updating costs related to other major contracts (such as mobile device as a service, field IT services, and payroll systems)."], "subsections": []}, {"section_title": "Contract Requirements", "paragraphs": ["Bureau documents described an overall improvement in the Bureau\u2019s ability to define and specify contract requirements. This resulted in updated estimates for several contracts, including for the Census Questionnaire Assistance (CQA) contract. Assumptions regarding call volume to the CQA were increased by 5 percent to account for expected response by phone after the elimination of the option to save Internet responses and return to complete the form later. The Bureau also cited updated cost data and the results of reconciliation with independent cost estimates as factors contributing to the increased costs of other major contracts, including for the procurement of data collection devices."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["The Secretary of Commerce provided comments on a draft of this report on August 2, 2018. The comments are reprinted in appendix II. The Department of Commerce generally agreed with our findings regarding the improvements the Census Bureau has made in its cost estimates. However, Commerce did not agree with our assessment that the Bureau\u2019s 2017 lifecycle cost estimate is \u201cnot reliable.\u201d Commerce noted that it had conducted two independent cost analyses and was satisfied that the cost estimate was reliable. The Bureau also provided technical comments that we incorporated, as appropriate.", "We maintain that, to be considered reliable, a cost estimate must meet or substantially meet the criteria for each of the four characteristics outlined in our Cost Estimating and Assessment Guide. These characteristics are derived from measures consistently applied by cost estimating organizations throughout the federal government and industry and are considered best practices for the development of reliable cost estimates. Without a reliable cost estimate, the Bureau is limited in its ability to make informed decisions about program resources and to effectively measure progress against operational objectives. Thus, while the Bureau has made considerable progress in all four of the characteristics, it has only partially met the criteria for the characteristic of being well-documented. Until the Bureau meets or substantially meets the criteria for this characteristic, the cost estimate cannot be considered reliable.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of the report to the appropriate congressional committees, the Secretary of Commerce, the Under Secretary of Economic Affairs, the Acting Director of the U.S. Census Bureau, and other interested parties. In addition, this report is available at no charge on the GAO website at http://gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The purpose of our review was to evaluate the reliability of the Census Bureau\u2019s (Bureau) life-cycle cost estimate using our Cost Estimating and Assessment Guide. We reviewed (1) the extent to which the Bureau\u2019s life-cycle cost estimate and associated guidance met our best practices for cost estimation using documentation and information obtained in discussions with the Bureau related to the 2020 life-cycle cost estimate and (2) compared the 2015 and 2017 life-cycle cost estimates to describe key drivers of cost growth. For both objectives we reviewed documentation from the Bureau on the 2020 life-cycle cost estimate and interviewed Bureau and Department of Commerce officials.", "For the first objective, we relied on our Cost Estimating and Assessment Guide as criteria. Our cost specialists assessed measures consistently applied by cost-estimating organizations throughout the federal government and industry and considered best-practices for developing reliable cost estimates. We analyzed the cost estimating practices used by the Bureau against these best practices and evaluated them in four categories: comprehensive, well-documented, accurate, and credible.", "Comprehensive. The cost estimate should include both government and contractor costs of the program over its full life-cycle, from inception of the program through design, development, deployment, and operation and maintenance to retirement of the program. It should also completely define the program, reflect the current schedule, and be technically reasonable. Comprehensive cost estimates should be structured in sufficient detail to ensure that cost elements are neither omitted nor double counted. Specifically, the cost estimate should be based on a product-oriented work breakdown structure (WBS) that allows a program to track cost and schedule by defined deliverables, such as hardware or software components. Finally, where information is limited and judgments are made, the cost estimate should document all cost-influencing assumptions.", "Well-documented. A good cost estimate\u2014while taking the form of a single number\u2014is supported by detailed documentation that describes how it was derived and how the expected funding will be spent in order to achieve a given objective. Therefore, the documentation should capture in writing such things as the source data used, the calculations performed and their results, and the estimating methodology used to derive each WBS element\u2019s cost.", "Moreover, this information should be captured in such a way that the data used to derive the estimate can be traced back to, and verified against, their sources so that the estimate can be easily replicated and updated. The documentation should also discuss the technical baseline description and how the data were normalized. Finally, the documentation should include evidence that the cost estimate was reviewed and accepted by management.", "Accurate. The cost estimate should provide for results that are unbiased, and it should not be overly conservative or optimistic. An estimate is accurate when it is based on an assessment of most likely costs; adjusted properly for inflation; and contains few, if any, minor mistakes. In addition, a cost estimate should be updated regularly to reflect significant changes in the program\u2014such as when schedules or other assumptions change\u2014and actual costs, so that it is always reflecting current status. During the update process, variances between planned and actual costs should be documented, explained, and reviewed. Among other things, the estimate should be grounded in a historical record of cost estimating and actual experiences on other comparable programs.", "Credible. The cost estimate should discuss any limitations of the analysis because of uncertainty or biases surrounding data or assumptions. Major assumptions should be varied, and other outcomes recomputed to determine how sensitive they are to changes in the assumptions. Risk and uncertainty analysis should be performed to determine the level of risk associated with the estimate. Further, the estimate\u2019s cost drivers should be cross-checked, and an independent cost estimate conducted by a group outside the acquiring organization should be developed to determine whether other estimating methods produce similar results.", "If any of the characteristics are not met, minimally met, or partially met, then the cost estimate does not fully reflect the characteristics of a high- quality estimate and cannot be considered reliable.", "We also analyzed the Bureau\u2019s cost estimation and analysis guidance and evaluated them against a 12-step process outlined in our Cost Estimation and Assessment Guide. A high-quality cost estimating process integrates the following: 1. Define estimate\u2019s purpose. 2. Develop estimating plan. 3. Define program characteristics. 4. Determine estimating structure. 5. Identify ground rules and assumptions. 6. Obtain data. 7. Develop point estimate and compare it to an independent cost estimate. 8. Conduct sensitivity analysis. 9. Conduct risk and uncertainty analysis. 10. Document the estimate. 11. Present estimate to management for approval. 12. Update the estimate to reflect actual costs and changes.", "These 12 steps, when followed correctly, should result in reliable and valid cost estimates that management can use for making informed decisions. If any of the steps in the Bureau\u2019s process do not meet, minimally meet, or partially meet the 12 steps, then the cost estimate guidance does not fully reflect best practices for developing a high-quality estimate and cannot be considered reliable.", "Lastly, to describe key drivers of cost growth, we compared cost information included in the 2015 and 2017 cost estimates. We analyzed both summary and detailed cost information to assess key changes in totals overall, by WBS category, and by information technology (IT) vs. Non-IT costs. We used this analysis in conjunction with information received from the Bureau during interviews and through document transfers to describe overall changes in the cost estimate from 2015 to 2017.", "We conducted this performance audit from December 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Lisa Pearson (Assistant Director), Karen Cassidy (Analyst in Charge), Brian Bothwell, Jackie Chapin, Ann Czapiewski, Jason Lee, Ty Mitchell, Kayla Robinson, and Tim Wexler made significant contributions to this report."], "subsections": []}]}], "fastfact": ["In October 2017, the Census Bureau announced that the projected life-cycle cost of the 2020 Census had climbed to $15.6 billion, a 27-percent increase from its 2015 estimate.", "A reliable cost estimate is essential to budgeting, planning, and managing the Census. We found that, while the Census Bureau has improved its cost-estimation process, the 2017 cost estimation still doesn\u2019t meet all the necessary criteria of a reliable cost estimate. For example, the Bureau needs to improve documentation to support the cost estimate. We maintain our previous recommendation that the Census Bureau ensure that its cost estimate for the Census is reliable."]} {"id": "GAO-19-73", "url": "https://www.gao.gov/products/GAO-19-73", "title": "Defense Real Property: DOD Needs to Take Additional Actions to Improve Management of Its Inventory Data", "published_date": "2018-11-13T00:00:00", "released_date": "2018-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD manages a portfolio of real property assets that as of fiscal year 2016 reportedly included about 568,000 facilities with a combined plant replacement value of about $1 trillion and 27.2 million acres of land. DOD requires the military services and Washington Headquarters Services to collect and maintain information about each of the assets in their inventories to assist the department with management decision making.", "In May 2017, the House Armed Services Committee, Subcommittee on Readiness, asked GAO to review DOD's management and use of its real property data. This report evaluates (1) how accurately and completely RPAD reflects DOD's real property assets, (2) DOD's processes to ensure accuracy and completeness in recording and reporting real property data, and (3) DOD's actions to ensure it has addressed risks that may affect the use of real property information for managing its assets. GAO analyzed the RPAD and military services' data for fiscal years 2014-2016; reviewed documentation; conducted site visits; and interviewed DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the Department of Defense's (DOD) Real Property Assets Database (RPAD) contained inaccurate data and lacked completeness, although certain data that GAO reviewed had improved their accuracy since fiscal year 2014. RPAD is a department-wide database of real property data annually compiled by the Office of the Secretary of Defense from the inventories of the military services and DOD's Washington Headquarters Services, which manages real property in the National Capital region. DOD uses RPAD to report on DOD's real property to Congress and other federal agencies, such as the Office of Management and Budget and the General Services Administration to assist in managing federal real property.", "DOD has weaknesses in its processes for recording and reporting real property data that have led to inaccurate and incomplete information. GAO and others found military services have not consistently recorded real property transactions (i.e., acquisition of, change to, and disposal of a real property asset) and physical inventories of assets. GAO also found that the military services have not corrected identified discrepancies in their data systems, such as missing entries for utilization and facility condition and overdue asset reviews. GAO reviewed records of 120 facilities with identified discrepancies in fiscal year 2015 RPAD data and compared them to the records in the respective data system in 2017 and found that 61 discrepancies remained. The military services had corrected the data in the remaining 59 reviewed facilities in their data systems. DOD's efforts to prepare for an upcoming financial audit have helped identify issues and improve accuracy of some data. However, if DOD does not require the military services to fully monitor recording processes and implement corrective actions to resolve data discrepancies, the department will continue to have incomplete and inaccurate real property data and unreliable RPAD information.", "DOD has not addressed three risks that can adversely affect its ability to use its information to manage its real property. Specifically, DOD (1) has unfilled real property positions limiting its capacity to manage its data, (2) lacks a department-wide approach to improving its data quality, and (3) has not identified how it will complete implementation of an effort to improve access to data. These risks exist, in part, because DOD has not developed a strategy that identifies and addresses risks with accompanying time frames and performance metrics. If DOD does not develop a strategy that identifies and addresses risks to data quality and information accessibility, DOD may miss the opportunity to reasonably ensure that the information needed for effective decision making by DOD, Congress, and other federal agencies is available to meet real property accountability and reporting objectives."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations to improve DOD's real property data, including fully monitoring recording processes; developing and implementing corrective actions for identified data discrepancies; and developing a strategy to address risks associated with data quality and information accessibility. DOD concurred or partially concurred with all draft recommendations. In response, GAO agreed to combine two recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) manages a portfolio of real property assets that reportedly included about 568,000 facilities with a combined plant replacement value of about $1 trillion and nearly 27.2 million acres of land in fiscal year 2016. In January 2018, the Under Secretary of Defense (Comptroller) testified that reform efforts within DOD, such as those occurring in real property management, were dependent upon accurate data and that not having accurate data complicates those efforts. Each of the military services and DOD\u2019s Washington Headquarters Services (WHS) maintains its own data systems that include information about each of the real property assets. The information collected and maintained in these systems includes whether an asset is owned or leased, its size, and for certain types, the asset\u2019s value, percentage of space utilized, and condition, among other characteristics.", "DOD annually compiles this information into a consolidated database, called the Real Property Assets Database (RPAD), which represents the data at the end of the fiscal year. DOD uses RPAD to report to the General Services Administration\u2019s Federal Real Property Profile Management System, which is a database of real property under the custody and control of executive branch agencies. The military services and WHS are to collect and maintain information on each of their real property assets to report in annual financial statements. Furthermore, the military services and WHS must manage their portfolios of real property assets in part to identify their needs for sustainment, restoration, and modernization of their facilities.", "For more than 20 years, we have identified opportunities for DOD to improve the quality of the information that it collects on its real property to better inform decision making about these assets. For example, in 1997, we added DOD\u2019s defense support infrastructure to our list of high-risk areas in the federal government\u2014due in part to long standing challenges it faces in managing its infrastructure\u2014to include the need to improve the quality of its information in its inventory data systems. In our most recent High Risk Update in February 2017, we reported that DOD had shown some improvement in the accuracy and completeness of real property data, but needed to fully implement its planned actions to help the department assess its goals and efforts, among other things. Further, we identified the collection of reliable real property data to support decision making as a long-standing challenge that federal agencies, including DOD, continue to face.", "Further, our prior work on DOD\u2019s real property information on RPAD reported accuracy and completeness issues with the data compiled from the military services\u2019 data systems. DOD has begun to implement actions in response to our recommendations but has not fully completed the corrective actions. For example, in June 2016 we reported that the military services had not yet fully implemented a department-wide process to standardize facility condition assessments and rates. The Navy and the Air Force have since adopted a standardized process, and Army installation management officials stated they sought funding through 2021 to implement the standardized process at all Army installations. In addition, in September 2011, we reported that DOD\u2019s RPAD for fiscal year 2010 reported data on the percentage of space utilized for fewer than half of DOD\u2019s total inventory of facilities, and that much of the data were outdated and did not reflect the true usage of the structures. Since then, DOD provided guidance for measuring, maintaining, and reporting utilization consistently throughout DOD, as we recommended. As the guidance is implemented, DOD will fully address our recommendation and officials expect improvement in the accuracy and completeness of utilization data.", "In May 2017, the House Armed Services Committee, Subcommittee on Readiness, requested that we evaluate the progress that the Office of the Secretary of Defense (OSD) and the military services have made toward maintaining complete and accurate inventories of their real property assets and toward using real property inventory data to make sound decisions regarding defense support infrastructure management. For this report, we evaluated the extent to which (1) RPAD accurately and completely reflects DOD\u2019s real property assets; (2) DOD has processes to help ensure the accuracy and completeness in recording and reporting real property data; and (3) DOD has addressed the risks that may affect use of real property information for managing its assets.", "For all objectives, we reviewed DOD\u2019s policies, procedures, and other documents related to real property management and accountability. We also conducted site visits to 12 installations (3 from each military service). We selected the non-generalizable sample of installations based on criteria that considered (1) four U.S. geographic regions, (2) geographic distance between each installation, and (3) variation in the range of tests of the fiscal year 2015 RPAD data in a number of data elements for entries that did not comply with DOD\u2019s requirements for inventory information. In this report, we use discrepancies to refer to data entries that do not comply with DOD\u2019s requirements for inventory information as well as entries in two or more data sets that should match but do not. During these visits, we interviewed real property officials at each location and obtained documentary and testimonial evidence related to differences in existing and inventoried real property and processes to ensure accuracy and completeness in real property data. We also observed and collected data on specific facilities to compare to information recorded in the data system of the military services and RPAD. We selected a non-generalizable sample of 120 facilities (10 at each site) for current record review in the military services\u2019 data systems. The selections were based on variation of discrepancies among five data elements within RPAD and variation in facility type (building, structure, and linear structure). We also observed some of these facilities to compare to the information that was recorded in the data systems. These data only represent the facilities selected and are not representative of all facilities at all installations. We also interviewed officials from the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment, Washington Headquarters Services, the Air Force, the Army, the Navy, and the Marine Corps.", "For objective one, we obtained end-of-year data sets of real property information from three sources: (1) OSD\u2019s compiled RPAD, (2) submissions to OSD from the military services and WHS, and (3) military services\u2019 inventories, which we refer to as the three types of data sets. We obtained the most recently available full year data for 3 years\u2014fiscal years 2014 through 2016. We used RPAD data to conduct tests related to accuracy among five data elements for facilities for fiscal years 2014 through 2016 to identify the extent to which entries comply with DOD\u2019s inventory requirements, such as entries that were missing, out of range, or overdue, and compared each year\u2019s results to identify changes in the magnitude of those discrepancies. We selected these five data elements because they are among the most frequently used by decision makers. These tests of compliance with the inventory requirements identify a number of discrepancies that may exist in the five data elements. Because our tests were limited to five data elements, our results are not generalizable. Additional testing would be necessary to determine the full extent that discrepancies and other inaccuracies exist in all of the data elements.", "Next, we assessed documentary evidence and obtained testimonial statements about completeness issues with RPAD and we compared the number of facilities and their reported total plant replacement value in each of the three data sets for fiscal years 2014 through 2016 to describe any differences between the data sets that should have been identical.", "We assessed the reliability of the data from the three types of data sets through interviews, review of related documentation, and data testing, and found those data sufficiently reliable to describe issues related to the accuracy and completeness of the RPAD.", "For objective two, we reviewed relevant DOD documents and conducted interviews with officials at OSD, WHS, and the military services to obtain information and identify any challenges that DOD had identified with the processes. We also obtained documentary evidence related to inventory testing, data monitoring through testing, and reporting of real property since fiscal year 2014. We compared this testimonial and documentary evidence to DOD and military services\u2019 policies and procedures and federal internal control standards.", "For our third objective, we evaluated actions taken by DOD to enhance how it uses real property data since fiscal year 2014 and to identify any risks that may affect how DOD can use this information. We reviewed documentation including OSD and military service actions to improve data quality, workforce plans for real property, and data requests from various users across the department. This included reviewing documents related to OSD\u2019s planned expansion of a business information platform to include required real property inventory information. Additionally, we conducted interviews with officials from OSD to determine what actions they have taken to enhance how they use department-wide information on real property and risks to the department\u2019s ability to use real property data. We interviewed military service officials at installation management offices and real property offices during our site visits at 12 installations to identify specific actions they have taken to help ensure they can use real property information and any risks related to using that information. We assessed the information collected in documentation and interviews against guidance on risk management from DOD and the Office of Management and Budget.", "We conducted this performance audit from May 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Roles and Responsibilities for DOD Real Property", "paragraphs": ["The Under Secretary of Defense for Acquisition and Sustainment has overall responsibility and oversight for DOD\u2019s real property and provides overarching guidance and procedures for real property management. The Assistant Secretary of Defense for Energy, Installations, and Environment, assists with developing policy and guidance for real property inventory and serves as the focal point for all matters related to the inventory of real property assets. The military services and WHS are responsible for implementing policies, programs, and procedures in accordance with OSD\u2019s guidance to maintain an accurate and complete real property inventory. They are also responsible for ensuring that real property requirements are being met when other DOD components, such as defense agencies and DOD field activities, utilize real property under their jurisdiction. The defense agencies and DOD field activities are responsible for confirming that all real property assets that they occupy, operate, or maintain are contained within the real property inventory and for reconciling any real property data, when needed, with their supporting military service or WHS."], "subsections": []}, {"section_title": "Real Property Inventory Data", "paragraphs": ["Real property inventory data are used at the installation, military service, and OSD levels for the recording, planning, managing, and reporting of DOD real property assets, as shown in figure 1.", "Installation level. Real property officials are to record transactions to document new acquisitions, changes to existing facilities, and disposals and to collect information\u2014including physical characteristics, space usage, and facility condition\u2014on the real property at each installation. Officials are to enter this information into corresponding military service or WHS real property data systems. Installation officials stated they use real property information for a variety of purposes such as prioritizing facilities for sustainment and restoration projects, preparing installation master plans, and conducting fire and safety planning.", "Service level. Military service headquarters and WHS use inventory information to oversee and manage their real property needs across their installations. For example, according to officials, these data inform how they use property to support their missions and to budget for required sustainment, restoration, or construction of real property. In addition, this information is used to account for real property asset holdings that are included in financial statements prepared to meet federal financial reporting requirements.", "OSD level. OSD requires that the military services and WHS submit their real property inventories to be compiled into a department-wide data set\u2014RPAD. The OSD focal point is responsible for providing information from the RPAD to assist various OSD offices with responsibilities for budget and mission planning. For example, the information is used in budgeting for sustainment of facilities. Additionally, OSD offices use the information in mission planning for certain DOD components\u2014defense agencies, DOD field activities, and U.S. Special Operations Command\u2014and for certain types of facilities, including sustainable buildings, historic property, and ranges. Moreover, OSD uses this information to meet reporting requirements outside of DOD. These include reports to Congress on the utilization of DOD\u2019s facilities. All executive branch federal agencies are required to annually submit real property data to the General Services Administration to compile into the Federal Real Property Profile. DOD also reports information to the Office of Management and Budget on disposals and square footage of certain types of purposes to meet report requirements for the National Strategy for the Efficient Use of Real Property.", "OSD provides annual guidance that gives specific requirements for content and format for the military services\u2019 RPAD submissions, including data elements and any associated business rules. For fiscal year 2016, OSD required 216 data elements to be maintained in RPAD and provided a data dictionary, called the Real Property Information Model, which defines these elements. OSD also has a process to verify and validate the data the military services and WHS submitted annually to the RPAD that includes OSD using a verification and validation tool to determine whether each data element has an entry that is in the correct format and complies with established business rules. When data anomalies are discovered with the data, OSD provides the data back to the submitting organization for review and correction as necessary. The military services and WHS certify annually that the real property information submitted to OSD accurately reflects each of their inventories.", "Some key real property data elements are significant for planning and reporting on real property assets:", "Operational status. A code used to identify the current operational status of the real property asset, such as whether the site location of the asset is active, the existence of the asset, and the usage of the asset.", "Asset review. A date used to document any type of review of an asset. DOD requires that each facility be physically inventoried on a cycle\u2014every 5 years for non-historic facilities and every 3 years for historic facilities.", "Plant replacement value. A calculation of the cost to replace the current physical plant (facilities and supporting infrastructure) using today\u2019s construction costs (labor and materials) and standards (methodologies and codes).", "Utilization rate. A percentage (on a scale 0 to 150) used to represent the extent to which a real property asset is used by the primary user for the current program based on its design purpose. DOD has not established cutoff points to determine unutilized, underutilized, and utilized real property. However, according to OSD officials, DOD considers a utilization rate of 101 to 150 as over utilized, meaning an asset\u2019s available space is not sufficient to meet the primary user\u2019s space requirement.", "Facility condition. A measure of a facility\u2019s physical condition that is expressed as a percentage (on a scale of 0 to 100). Factors used to calculate the facility condition include the facility\u2019s estimated deferred maintenance and repair costs and the facility\u2019s plant replacement value. DOD guidance states a condition of 0 to 59 is failing; 60 to 79 is poor; 80 to 89 is fair; and 90 to 100 is good.", "Figure 2 displays these real property data elements."], "subsections": []}, {"section_title": "Real Property and Financial Management", "paragraphs": ["DOD has undertaken several financial management improvement initiatives over the years to address deficiencies in business systems, processes, and controls through its Financial Improvement and Audit Readiness (FIAR) Plan. The FIAR Plan guidance includes 40 of the data elements required to be reported to OSD and maintained in RPAD within the scope of the effort. As part of the department\u2019s FIAR effort, each of the military services developed individual plans to prepare their management processes, such as their accountability systems and procedures for real property, which would be tested during financial audit. The military services\u2019 real property efforts to prepare for financial audit have included developing manuals, monitoring activities such as testing of the implementation of real property procedures, and implementation of corrective actions to address identified deficiencies in the processes and procedures."], "subsections": []}]}, {"section_title": "DOD\u2019s Real Property Asset Database Contained Inaccurate Data and Lacked Completeness, Although Certain Data We Reviewed Improved", "paragraphs": ["DOD\u2019s RPAD has data quality issues specific to accuracy of certain data elements and completeness of the dataset, although certain data we reviewed improved since fiscal year 2014. Accuracy of data elements and completeness of RPAD are important to OSD, other federal agencies, and Congress because they use this information to determine facility sustainment funding and to understand DOD\u2019s utilization of its real property as a means to identify potential excess property for disposal, among other things."], "subsections": [{"section_title": "Accuracy of Certain Data in RPAD Improved but Other Data Did Not Comply with Information Requirements", "paragraphs": ["We found that accuracy of certain data in the selected set of key data elements we reviewed improved while other data contained discrepancies that resulted in inaccuracies in RPAD for fiscal years 2014 through 2016. For some data we reviewed, the magnitude of such discrepancies decreased while others increased from fiscal year 2014 to fiscal year 2016. Specifically, we found:", "Operational status. For operational status codes that are not an active status, such as an asset that was determined to be excess or surplus, or disposed, OSD\u2019s business rules require a corresponding date that documents when the status was determined or when a disposal was completed. If the corresponding date is not provided, then the operational status cannot be verified as correct. Our analysis of operational status from fiscal year 2014 through fiscal year 2016 found improvements in data on surplus and disposed facilities. The percentage of surplus and disposed facilities without a valid date improved from 37.5 percent to 0 percent and 3.3 percent to 0.3 percent, respectively. However, the percentage of excess facilities without a valid date increased from 22.7 percent to 47.9 percent.", "Asset review date. All facilities are required to have a date that documents a physical inventory; these reviews are to be conducted at least every 5 years, unless a historic asset. The percentage of facilities with a review date older than 5 years improved from 34.1 percent in fiscal year 2014 to 22.1 percent in fiscal year 2016. RPAD in fiscal year 2016 indicated that 143,420 facilities had a physical inventory date that was older than 5 years, which suggests that the information for these facilities may not be accurate because the information has not been updated within the required time frame. According to real property installation officials, overdue dates can occur because the physical inventory was either not conducted or the information from the physical inventory was not entered into the military services\u2019 data systems. The percentage of facilities with a missing review date increased from 3.4 percent in fiscal year 2014 to 7.2 percent in fiscal year 2016.", "Plant replacement value. All facilities are required to have a plant replacement value not less than zero, meaning it cannot be a negative number. For all 3 fiscal years, none of the facilities had a negative plant replacement value and missing entries were an insignificant number. The business rules allow for values of zero though these entries may potentially create problems for other data elements that use plant replacement value as part of their calculation. For example, plant replacement value is a denominator in the formula used to calculate facility condition index. If a plant replacement value is zero, the facility condition index cannot be determined. The percentage of facilities with a plant replacement value of zero declined from 3.4 percent in fiscal year 2014 to 2.3 percent in fiscal year 2016.", "Utilization rate. All facilities are required to have a utilization rate from 0 to 150. The percentage of facilities missing a utilization rate improved from 23.3 percent in fiscal year 2014 to 2.4 percent in fiscal year 2015 before increasing to 14.4 percent in fiscal year 2016. As such, in fiscal year 2016, about 93,600 facilities did not have an indication of the utilization and this information was not available to users of RPAD.", "Facility condition index. All facilities are required to have a facility condition from 0 to 100. The percentage of facilities that had missing facility condition entries increased from 0.5 percent in fiscal year 2014 to 5.6 percent in fiscal year 2016.", "Figure 3 displays our analysis of discrepancies between the information requirements and data entries in RPAD."], "subsections": []}, {"section_title": "RPAD Was Incomplete as It Did Not Include All of DOD\u2019s Existing Real Property Assets", "paragraphs": ["RPAD did not include all of DOD\u2019s existing real property assets in fiscal years 2014 through 2016, resulting in an incomplete data set. Specifically, we found (1) the military services have not recorded all assets that existed and reflected previously disposed facilities that no longer existed as active in their respective data systems, (2) the military services did not report all assets in the RPAD submission to OSD that were recorded in each military service\u2019s data system, and (3) OSD did not include all assets reported by the military services in RPAD, as shown in figure 4.", "We and others found instances of facilities that existed that the military services did not record in their data systems and of disposed facilities that no longer existed but were still reflected as active in RPAD. During our 12 site visits, officials at two installations stated that there were real property assets on their installations that were not recorded in their real property data system at the time of our visit. For example, real property officials at an Army installation identified over 2,000 existing assets\u2014primarily linear structures\u2014that were not in the inventory. Real property officials at a Marine Corps installation acknowledged that they were aware of assets that were not recorded in the data system but did not know the quantity of these. The officials stated they were in the process of reconciling the real property inventory with the assets in existence on the installation. In May 2018, Marine Corps Headquarters officials stated they plan to send real property officials to this location from other installations to assist with entering identified assets into the inventory. With the additional support, the officials expect the reconciliation to be completed in fiscal year 2019, 3 years earlier than initially planned.", "Moreover, in our review of 120 facilities during site visits, we found that 6 of the facilities had been disposed of but were recorded as active in the fiscal year 2015 RPAD data of the Air Force and Army. For example, all four of the Army\u2019s disposals occurred previous to fiscal year 2015 but were not entered into the data system until fiscal year 2016. The changes were made and reflected in the inventory submission for fiscal year 2016. Also, one of the Air Force\u2019s assets, fencing, had been disposed of years ago with the housing project that it enclosed, but was not included in the original disposal documentation. The real property installation officials had identified this omission when reviewing the list of assets that we selected for our review and began documenting the disposal prior to our site visit.", "DOD reported in its 2017 Agency Financial Report that material weaknesses in its internal controls over real property resulted in, among other things, that the department could not substantiate that all existing assets were recorded in the military services data systems. Similar to our site visit results, the Navy Office of Financial Operations also reported in June 2017 that 15 of 650 real property assets tested from a non- generalizable sample were reported to have been disposed of, but were not recorded as disposed of or removed from the Navy\u2019s data system.", "Additionally, we found RPAD did not include some facilities that were in the military services\u2019 data systems. The number and total plant replacement value across these three data sets should be identical, but were not in each of the 3 years that we reviewed. This means information on the excluded real property was not available to users of RPAD or to the Federal Real Property Profile. Specifically,", "The military services did not report all facilities in their data systems to OSD for inclusion into RPAD. Our analysis found the Army, Navy, and Marine Corps did not report to OSD between approximately 40,900 facilities (6.1 percent) and 103,600 facilities (15.9 percent) of the facilities included in their data systems in fiscal years 2014 through 2016. If all of these facilities still existed during those years, these unreported facilities had a total plant replacement value that ranged from $12.8 billion to $56.5 billion during the 3 fiscal years. We could not include the Air Force in this analysis because it was not able to provide its end-of-year real property inventory for fiscal years 2014 through 2016. Air Force officials stated that their contractor did not archive copies of the end-of-year real property inventory for these years but would begin to do so for fiscal year 2017.", "OSD did not include all facilities reported by the military services and WHS in RPAD. Additionally, our analysis showed that the number of facilities OSD did not include in RPAD ranged from about 3,300 facilities (0.5 percent) to 19,400 facilities (2.6 percent) of the facilities reported by the military services and WHS in fiscal years 2014 through 2016. If all of these facilities still existed during those years, the total plant replacement value of the unreported facilities ranged from $3.4 billion to $21.6 billion.", "OSD and military service officials agreed that accuracy and completeness issues with real property have been a long standing issue, but stated recent audit efforts associated with FIAR should result in some improvements of the data. For example, military service installations officials stated that they are working to reconcile differences between existing real property and information in their data systems to include adding existing assets that are not in the data system and correcting information on disposed assets. Moreover, military service officials stated that they have emphasized conducting timely physical inventories and require installations to report on the currency of their physical inventories. According to officials, when reporting real property to OSD and when OSD consolidates this information into RPAD, assets with significant errors in their records are excluded to improve the accuracy of the information in the data set. The officials explained as the accuracy of the data improves through physical inventories, fewer assets will be excluded in the reporting process, which will improve completeness of RPAD.", "However, as we describe further in this report, the audit efforts will not correct all identified accuracy and completeness issues."], "subsections": []}]}, {"section_title": "Deficiencies Exist in DOD\u2019s Processes for Recording and Reporting Real Property Data", "paragraphs": ["DOD\u2019s processes for recording and reporting real property data have deficiencies that contribute to inaccuracies and incompleteness in the RPAD data. Specifically, we identified inconsistencies in the military services\u2019 recording of real property transactions and physical inventories of assets. In addition, we found the military services have not corrected identified discrepancies in their real property data reported to OSD in the annual RPAD submissions."], "subsections": [{"section_title": "DOD Has Processes for Recording and Reporting Real Property Data", "paragraphs": ["According to a DOD instruction, OSD must establish, issue, and maintain data requirements for DOD\u2019s real property inventory. As such, DOD requires that the military services maintain an accurate and complete record of their real property, regardless of the organization using or funding the real property. The real property accountable officers at each installation must implement processes to ensure that all real property transactions are auditable and that information recorded, including physical inspections, is accurate, complete and retained in accordance with applicable laws and regulations. OSD also requires that the military services report their real property data for RPAD following OSD requirements and that they utilize OSD\u2019s verification and validation tool to identify discrepancies between data entries and DOD\u2019s real property information requirements.", "OSD and the military services have developed some procedures to implement these policies. For example, OSD established an annual reporting process, to include defining the specific content and format for the submission of information. Moreover, the military services have developed written procedures that clarify how specific transactions should be conducted. For example, the Marine Corps has developed detailed guidance on control processes for appropriately documenting disposed assets. The Navy has developed procedures for conducting physical inventories. The Army has defined roles and responsibilities for accounting for real property, including changes to facility function (i.e., category code). Lastly, the Air Force has developed overall policies and procedures for accounting for real property that defines the roles and responsibilities of accountable officials."], "subsections": []}, {"section_title": "Military Services Did Not Consistently Record Real Property Data", "paragraphs": ["The processes for recording real property information include documenting and entering into the data system when transactions\u2014 acquisition of, change to, and disposal of a real property asset\u2014or physical inventories occur. To document a transaction or physical inventory, real property installation officials are expected to complete the required supporting records. According to Standards for Internal Control in the Federal Government, appropriately designed control activities could include requiring documentation should be completed within a reasonable time frame after the event occurs. Then, the officials are to promptly enter the updated information into the real property data system.", "DOD also requires a review of each real property asset record, including a physical inventory of each real property asset every 5 years for non- historic assets or every 3 years for historic assets. Physical inventories help ensure current and accurate information on assets are reflected in the military services\u2019 data systems. Furthermore, the Standards for Internal Control in the Federal Government require agencies to design control activities to achieve objectives, to monitor activities, and to remediate identified deficiencies on a timely basis. Such activities could include appropriately documenting and accurately and timely recording transactions, and implementing procedures to help ensure that processes are monitored and evaluated for deficiencies on an ongoing basis, corrective actions are determined for any identified deficiencies, and these actions are completed and documented to correct deficiencies on a timely basis."], "subsections": [{"section_title": "Real Property Transactions", "paragraphs": ["We and the military services identified that transactions were not being consistently documented with required supporting records or entered into the military services\u2019 data systems within reasonable time frames. Specifically, during our site visits to 12 military services\u2019 installations, officials at 5 installations stated that they were experiencing delays with documenting and entering into the data system some transactions. According to the officials, this occurred due to challenges with obtaining required information from contractors, heavy workloads, and staff shortages.", "Moreover, the military services found through testing in 2017 that they did not consistently document transactions with required supporting records or enter real property transactions into the data system. The military services conducted these tests as part of their preparation for financial statement audits to identify deficiencies in the recording of real property transactions. The military services were then to develop corrective action plans and remedy any identified deficiencies prior to the department\u2019s audit of the fiscal year 2018 financial statements. Specifically,", "The Air Force conducted tests in March 2017 and reported that of 271 assets tested, 171 did not have appropriate supporting records. The Air Force also reported in a separate test of 27 assets that 17 of these were not timely or accurately recorded.", "The Army conducted tests in October 2017 and reported that more than half of the assets selected did not pass its testing for one or more of the 9 key data elements associated with plant replacement value. Lack of adequate supporting records was the most common reason for test failure.", "The Navy conducted tests in October 2017 and identified documentation issues or key elements that were not timely or accurately entered into its data system for 11 out of 58 assets tested.", "The Marine Corps conducted tests in July 2017 and identified documentation issues or key elements that were not timely or accurately entered into its data system for 20 of 55 assets tested."], "subsections": []}, {"section_title": "Physical Inventories", "paragraphs": ["We and the military services have identified that real property installation officials do not consistently document or enter physical inventory information into the military services\u2019 data systems.", "We found during our site visits to 12 military service installations that for 21 facilities out of 106 facilities tested, real property installation officials had not entered physical inventory information in the military services\u2019 data system within the last 5 years. The 21 facilities we reviewed included 16 from the Air Force (with 2 reflected as being last inventoried in January 1934 or October 1992), 4 from the Army, and 1 from the Marine Corps (which showed as being been last inventoried in November 2003).", "The military services also identified similar inconsistencies with recording physical inventories in testing of their real property assets as part of their preparation for financial statement audits:", "The Air Force conducted tests in March 2017 and reported that installation officials, for 89 out of 281 assets tested, did not have complete supporting records or did not timely provide the most recent physical inventory checklist that reconciled with the Air Force\u2019s data system.", "The Army conducted tests in September 2016 and reported 1 of the 5 installations tested did not have adequate supporting records for asset changes identified in physical inventories.", "The Navy conducted tests in June 2017, and reported 5,918 of the 34,104 assets tested had not had a physical inventory for more than 5 years. Furthermore, in October 2017, the Navy reported that 9 of 41 assets it tested did not have supporting records that the inventory was performed per DOD requirements for timeliness.", "The Marine Corps had an external auditor conduct tests in September 2017 and reported that installation officials could not support the last physical inventory performed for 83 of 998 assets tested.", "The military services did not fully monitor recording processes on an ongoing basis, including evaluating whether or the extent to which activities are being carried out and remediating any identified deficiencies. We found that this occurred in part due to the military services not being required to conduct ongoing monitoring of the processes used for recording real property transactions and physical inventories. According to military service officials, they conduct monitoring of recording and have begun developing corrective action plans as part of the recent audit readiness effort that are based on the Financial Improvement and Audit Readiness Guidance. However, this guidance aimed principally at improving financial reporting addresses 40 of the 216 data elements required to be maintained in RPAD. DOD has not determined to what extent the remaining data elements are a priority for other management purposes beyond financial reporting. Accordingly, the remaining 176 data elements, or approximately 80 percent, are not required to be monitored. For example, the recording of RPAD-required data elements for dates that support an operational status of excess, surplus, and disposed or document when a facility was built are not included in current monitoring efforts. The monitoring of the recording of only about 20 percent of the required data elements in RPAD results in inaccurate and incomplete data not being systemically evaluated and corrective actions not being taken to resolve the issues. Unless the military services are required to monitor on an ongoing basis the processes used for recording all required real property information, DOD will continue to have data quality issues related to accuracy and completeness in the military services\u2019 data systems that will be reflected in RPAD."], "subsections": []}]}, {"section_title": "Military Services Have Not Corrected Identified Discrepancies Reported in Their RPAD Submissions", "paragraphs": ["The military services have not corrected identified discrepancies in their real property data reported to OSD in the annual RPAD submissions. OSD provided the military services with a verification and validation tool to identify data that does not comply with information requirements. Specifically, from fiscal years 2014 through 2016, the military services used OSD\u2019s verification and validation tool to identify discrepancies and submitted reports summarizing the results to OSD, but have not corrected all discrepancies identified by the tool. According to real property installation officials, they have not been directed by headquarters to correct discrepancies in their data systems that were identified in their annual RPAD submission. Our review of 120 assets during the 12 installation site visits confirmed that 61 assets with discrepancies in five key data elements tested in the fiscal year 2015 RPAD data set continued to have these discrepancies in 2017.", "Based on our analysis, the military services have not corrected identified discrepancies in part because OSD\u2019s guidance for annual RPAD reporting does not define which data elements were most significant to the department\u2019s decision making and should be a priority for correction. Furthermore, we found that the guidance does not require the military services to develop and implement corrective action plans to remediate discrepancies in significant data elements in their data systems that are identified by OSD\u2019s verification and validation tool. According to OSD and military service officials, identifying significant data elements could assist with streamlining and prioritization of efforts to improve data quality. In addition, OSD officials agreed that requiring the services to develop and implement corrective action plans would benefit data quality, but stated there are challenges with the verification and validation tool that would need to be addressed to leverage its full potential. By OSD not defining significant data elements and coordinating corrective action plans to remediate discrepancies, the military services may continue to submit information with discrepancies from year to year in some data elements and will miss an opportunity to improve the accuracy of inventory data."], "subsections": []}]}, {"section_title": "DOD Has Not Addressed Risks to Its Ability to Use Information to Manage Its Real Property", "paragraphs": ["DOD has not addressed three risks\u2014unfilled real property positions to manage its data, lack of a department-wide approach to improving data quality, and a limited plan for the implementation of its expanded data platform\u2014that diminish its ability to use real property information to manage its real property."], "subsections": [{"section_title": "Unfilled Real Property Positions", "paragraphs": ["We found that DOD has not addressed how it will overcome unfilled real property positions throughout the department, which poses a risk to data quality. For example, real property installation officials at 10 of 12 installations we visited told us that they had unfilled real property positions, including real property accountable officers, engineers, realty specialists, planners, and space management analysts. Real property installation officials told us that their unfilled real property positions contributed to workload backlogs and prevented them from sufficiently maintaining their real property data. The Army, Marine Corps, and Navy completed various workforce plans that found they did not have a sufficiently sized workforce to adequately maintain their real property data:", "Army: In March 2015, the Army completed a workforce analysis that found current authorized manning documents are short 223 real property positions of the total 495 positions required to perform these functions, which include real property accountable officers and realty specialists.", "Marine Corps: In August 2016, the Marine Corps identified that it had an immediate need for 20 real property accountable officer positions to effectively maintain its real property data. According to Marine Corps officials, they have since filled 19 of the 20 positions.", "Navy: For its fiscal year 2018 planning, the Navy identified a need for 63 real property positions\u2014ranging from real property accountable officers to geospatial specialists\u2014to meet real property requirements.", "The Air Force has not identified the workforce it needs to maintain quality data on its real property, but Air Force officials told us in May 2018, that they are beginning efforts to better understand their workforce needs.", "OSD and military service officials stated that they continually face challenges due to unfilled real property positions. However, they do not expect to fill all of their authorized positions because senior leadership has prioritized staffing at other offices and military service officials stated that they face challenges in finding qualified applicants for open positions. Despite the recognized needs, DOD has not outlined how it plans to overcome challenges related to its unfilled real property positions. According to an OSD official, OSD cannot direct the military services to fill their real property positions; however, OSD has not coordinated with the military services to identify opportunities to overcome unfilled positions. Potential opportunities may include using available staff more efficiently or evaluating opportunities to better address how they will manage unfilled positions."], "subsections": []}, {"section_title": "Lack of a Department-wide Approach to Improving Data Quality", "paragraphs": ["Absent a department-wide approach to improving data at various levels within DOD, military service headquarters have individually initiated actions to improve data quality for certain data elements. These efforts are largely uncoordinated and result in inconsistent approaches to address similar data quality risks and may contribute to inefficient use of resources and accuracy issues in the real property data. For example, military service headquarters officials told us they have taken action to improve data quality when they do not receive specific guidance from OSD, including communicating priorities to installations and developing contracts to improve select data elements. We found instances where the military services took different actions to improve their information on utilization rates prior to OSD issuing a memorandum to have a standardized approach to determine this information. For example, the Army developed a database to record space authorization information for each asset. The Marine Corps used a contract to obtain space utilization information at certain installations. Moreover, a Marine Corps headquarters official stated in some cases that after Marine Corps headquarters implemented its own policy and provided guidance to the installations to fill a gap that OSD issued guidance with a different approach. The official stated that the Marine Corps had spent financial resources on a contract to improve a data element that they later had to categorize in a different way due to OSD guidance. Also, real property installation officials at a Marine Corps installation stated that their headquarters had made large-scale changes to the records of their housing assets due to a new approach to determine specific data elements for those assets, which resulted in inaccuracies. Officials noted that headquarters later retracted that approach and restored the records.", "In addition, we observed in our review of real property records during the site visits that real property installation officials did not apply the same criteria for determining an asset\u2019s operational status for the codes of disposed, closed, and nonfunctional that resulted in inaccuracies. Navy regional command officials provided written guidance and a decision support tool for determining appropriate codes for operational status to help improve accuracy within this data element. However, according to real property installation officials, the Air Force and Army did not have similar guidance. OSD and military service officials agreed that better coordination among OSD and the military services would assist their effort to improve data quality."], "subsections": []}, {"section_title": "Limited Plan for Implementation of OSD\u2019s Expanded Data Platform", "paragraphs": ["OSD has not fully identified how it will complete implementation of a new module for real property within its expanded data platform, known as the Data Analytics and Integration Support platform, and DOD faces a risk to information accessibility as it may not fully realize the anticipated benefits of the effort. OSD currently uses the platform for generating unique identification numbers for its real property assets and as a dashboard for tools related to military construction planning. However, OSD has neither outlined how it will accomplish its stated objectives and goals for expansion of this platform as OSD\u2019s new data system for real property, nor has it set time frames for the expansion. In September 2017, OSD modified its contract for updating the Data Analytics and Integration Support platform, but that contract does not specify when full implementation of the expansion to include a new module for real property will occur.", "OSD is planning to expand the use of the Data Analytics and Integration Support platform to make it a near real-time, department-wide information source of required real property information accessible to a greater number of users who manage real property. If implemented, this expanded platform would replace DOD\u2019s annual data call to the military services for end-of-year real property information to compile into the RPAD. Further, the expanded platform would interface daily with the military service data systems. This would provide near real-time information to users for the department-wide management of DOD\u2019s real property. According to OSD officials, users could also access real property information themselves and run their own data analyses when OSD expands this platform to replace the annual data call to the military services. Figure 5 displays a comparison of RPAD to the proposed expansion of the Data Analytics and Integration Support platform.", "OSD officials told us that the military services will need to ensure their data systems can fully interface with the Data Analytics and Implementation Support platform for full integration to occur. Specifically, the officials stated that the Army\u2019s data system can fully interface with OSD\u2019s expanded platform, but the Navy wants to test how its data system would interface with the platform before it can fully connect. In addition, officials noted that the Air Force\u2019s current data system is the least compatible with OSD\u2019s expanded data platform because it is currently working to design and implement a new data system for real property. OSD and Air Force, Marine Corps, and Navy officials noted that they are aware the military service data systems are not fully integrated with OSD\u2019s expanded data platform.", "Guidance from DOD and the Office of Management and Budget note that risk management is integral to effective program management. The Standards for Internal Control in the Federal Government states management should define objectives clearly such as through specific and measurable terms that allow for the assessment of performance toward achieving those objectives and that management should identify, analyze, and respond to risks related to achieving defined objectives. The office of the Assistant Secretary of Defense for Energy, Installations, and Environment is responsible for providing the guidance and procedures for implementing real property management policy, including ensuring the information is available to determine if an asset is used effectively. One way an organization can manage risk is by developing a risk management strategy that identifies risks to program objectives, and includes time frames and performance metrics for addressing those risks.", "DOD has taken some actions that when fully implemented should result in some improvements to select data elements and the potential to enhance information accessibility. However, in part, DOD\u2019s weaknesses with quality information on real property and accessibility to this information continue to exist because DOD has not developed a strategy that identifies and addresses risks, such as those previously described, and includes time frames and performance metrics. OSD and military service officials agreed that a strategy for addressing risks would help the department to further its effort to improve the quality and accessibility of the information. Developing and implementing such a strategy would allow the department to take key steps toward improving its information for managing its real property. Without a strategy for improving the quality of the data and information used to manage its real property, DOD, Congress, the Office of Management and Budget, and the General Services Administration will not have information needed for effective decision making and do not have reasonable assurance that risks to data quality and information accessibility are being managed appropriately. Specifically, information would be limited in decision making related to improving space management at installations, to adequately sustaining DOD\u2019s real property assets, and to accurately generating financial statements."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD\u2019s efforts to reform its real property management is complicated by not having quality data on its large inventory of assets\u2014over 568,000 facilities with an estimated combined plant replacement value of about $1 trillion. An accurate and complete inventory of its assets is essential for DOD to make informed management decisions about its real property. The department has taken action to improve data quality of some data elements through financial improvement and audit readiness efforts. However, deficiencies in the processes for recording and reporting real property data continue to lead to inaccurate and incomplete information. The military services do not require monitoring of the recording of all required real property information, to include evaluating on an ongoing basis whether or to what extent these activities are carried out and remediating any identified deficiencies. In addition, OSD has not defined which data elements were significant to the department\u2019s decision making and which should be a priority for correction. Also, the military services do not have plans to correct the discrepancies in significant data elements in their data systems that are identified by OSD\u2019s verification and validation tool. Without taking actions to address these deficiencies, DOD will continue to have inaccurate and incomplete real property data and unreliable information in RPAD.", "DOD also has not developed a strategy that establishes time frames and performance metrics to address risks to data quality and information accessibility. Specifically, DOD faces risks related to unfilled real property positions, a lack of a department-wide approach to improving data, and a limited plan for implementation of OSD\u2019s expanded data platform. Without a strategy to address these risks, DOD is missing an opportunity to ensure that the information needed for effective decision making, such as budget decisions and oversight by Congress, is available to meet real property accountability and reporting objectives and to avoid inefficient and potentially costly workarounds, such as additional data calls to installations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 6 recommendations to the Department of Defense: The Secretary of the Army should require monitoring of its processes used for recording all required real property information\u2014to include evaluating on an ongoing basis whether or to what extent these activities are being carried out\u2014and remediating any identified deficiencies. (Recommendation 1)", "The Secretary of the Navy should require monitoring of Navy and Marine Corps processes used for recording all required real property information\u2014to include evaluating on an ongoing basis whether or to what extent these activities are being carried out\u2014and remediating any identified deficiencies. (Recommendation 2)", "The Secretary of the Air Force should require monitoring of its processes used for recording all required real property information\u2014to include evaluating on an ongoing basis whether or to what extent these activities are being carried out\u2014and remediating any identified deficiencies. (Recommendation 3)", "The Secretary of Defense should ensure that the Undersecretary of Defense for Acquisition and Sustainment, in collaboration with the military services, defines and documents which data elements within the RPAD submissions are most significant for decision-making. (Recommendation 4)", "The Secretary of Defense should ensure that the Undersecretary of Defense for Acquisition and Sustainment, in collaboration with the military services, coordinates on corrective action plans to remediate discrepancies in significant data elements in its real property data system that are identified by OSD\u2019s verification and validation tool. (Recommendation 5)", "The Secretary of Defense should ensure that the Undersecretary of Defense for Acquisition and Sustainment, in collaboration with the military services, develops a strategy that identifies and addresses risks to data quality and information accessibility. At a minimum, this strategy should establish time frames and performance metrics for addressing risks related to (1) unfilled real property positions, (2) a lack of a department- wide approach to improving its data, and (3) implementation of OSD\u2019s expanded data platform. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for comment. In written comments, DOD concurred with four recommendations and partially concurred with three recommendations. DOD\u2019s comments are summarized below. DOD also provided technical comments, which we incorporated as appropriate.", "In written comments, DOD stated that Recommendations 2 and 3 should be combined to more appropriately align with authority and responsibility of the U.S. Navy and U.S. Marine Corps as a single Military Department and DOD concurred with the combination of the two recommendations. Based on these comments, we combined the draft recommendations for separate actions by the Secretary of the Navy and the Commandant of the Marine Corps into one recommendation. In our final report, the action is addressed to the Secretary of the Navy in Recommendation 2 and our total number of recommendations is decreased to six.", "DOD partially concurred with our recommendation that the Undersecretary of Defense for Acquisition and Sustainment collaborate with the military services to develop a strategy that identifies and addresses risks to data quality and information accessibility (Recommendation 6). We recommended that the strategy, at a minimum, include timeframes and performance metrics for addressing risks and include other specific information. However, DOD stated that it plans to collaborate with the military services on separate service strategies that reflect each military service\u2019s operating environment. We continue to believe that DOD would benefit from one department-wide strategy to improve data quality and information accessibility. For example, we found that the military services\u2019 efforts to improve data quality have been largely uncoordinated and had led to inconsistent approaches, which may have contributed to data inaccuracies. Further, we found that OSD has not fully identified how it will complete implementation of a data platform expansion to include real property information and may not realize the anticipated benefits of the effort. The platform is an effort managed by OSD and would benefit from a single DOD strategy addressing key points noted in our recommendation. Accordingly, we believe our recommendation remains warranted.", "DOD\u2019s comments are reprinted in their entirety in appendix II.", "We are sending copies of this report to the appropriate congressional committees and to the Secretary of Defense; the Under Secretary of Defense for Acquisition and Sustainment; the Under Secretary of Defense (Comptroller); and Secretaries of the Departments of Air Force, Army, and Navy, the Commandant of the Marine Corps, and the Director of Washington Headquarters Services. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Brian J. Lepore at (202) 512-4523 or leporeb@gao.gov or William J. Cordrey at (404) 679-1873 or cordreyw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are listed on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Physical Inventory", "paragraphs": ["For the military services and Washington Headquarters Services\u2019 real property inventories, DOD requires that the data elements shown below in table 1 be validated through a physical inventory of each real property asset. Physical inventories are to be performed every 5 years or every 3 years for historic assets."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Gina Hoffman (Assistant Director), Paul Kinney (Assistant Director), Susan Langley (Analyst-in- Charge), Scott Bruckner, Vincent Buquicchio, Josh Edelman, Chad Hinsch, Brad Johnson, Amie Lesser, Carol Petersen, Sam Portnow, Richard Powelson, Michael Silver, and John Yee made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["DOD Financial Management: The Navy Needs to Improve Internal Control Over Its Buildings, GAO-18-289. Washington, D.C.: May 10, 2018.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others, GAO-17-317. Washington, D.C.: February 15, 2017.", "Defense Facility Condition: Revised Guidance Needed to Improve Oversight of Assessments and Ratings, GAO-16-662. Washington, D.C.: June 23, 2016.", "DOD Financial Management: Greater Visibility Needed to Better Assess Audit Readiness for Property, Plant, and Equipment, GAO-16-383. Washington, D.C.: May 26, 2016.", "Defense Infrastructure: More Accurate Data Would Allow DOD to Improve the Tracking, Management, and Security of Its Leased Facilities, GAO-16-101. Washington, D.C.: March 15, 2016.", "Underutilized Facilities: DOD and GSA Information Sharing May Enhance Opportunities to Use Space at Military Installations, GAO-15-346. Washington, D.C.: June 18, 2015.", "Defense Infrastructure: DOD Needs to Improve Its Efforts to Identify Unutilized and Underutilized Facilities, GAO-14-538. Washington, D.C.: September 8, 2014.", "Defense Infrastructure: Army Brigade Combat Team Inactivations Informed by Analyses, but Actions Needed to Improve Stationing Process, GAO-14-76. Washington, D.C.: December 11, 2013.", "Federal Real Property: Greater Transparency and Strategic Focus Needed for High-Value GSA Leases, GAO-13-744. Washington, D.C.: September 19, 2013.", "Military Bases: Opportunities Exist to Improve Future Base Realignment and Closure Rounds, GAO-13-149. Washington, D.C.: March 7, 2013.", "Military Base Realignments and Closures: Updated Costs and Savings Estimates from BRAC 2005, GAO-12-709R. Washington, D.C.: June 29, 2012.", "Excess Facilities: DOD Needs More Complete Information and a Strategy to Guide Its Future Disposal Efforts, GAO-11-814. Washington, D.C.: September 19, 2011.", "Defense Infrastructure: The Enhanced Use Lease Program Requires Management Attention, GAO-11-574. Washington, D.C.: June 30, 2011.", "Federal Real Property: Progress Made on Planning and Data, but Unneeded Owned and Leased Facilities Remain, GAO-11-520T. Washington, D.C.: April 6, 2011.", "Military Base Realignment and Closures: DOD Is Taking Steps to Mitigate Challenges but Is Not Fully Reporting Some Additional Costs, GAO-10-725R. Washington, D.C.: July 21, 2010.", "Defense Infrastructure: Continued Management Attention Is Needed to Support Installation Facilities and Operations, GAO-08-502. Washington, D.C.: April 24, 2008.", "Federal Real Property: Progress Made Toward Addressing Problems, but Underlying Obstacles Continue to Hamper Reform, GAO-07-349. Washington, D.C.: April 13, 2007.", "Defense Infrastructure: Issues Need to Be Addressed in Managing and Funding Base Operations and Facilities Support, GAO-05-556. Washington, D.C.: June 15, 2005.", "Defense Infrastructure: Changes in Funding Priorities and Strategic Planning Needed to Improve the Condition of Military Facilities, GAO-03-274. Washington, D.C.: February 19, 2003.", "Defense Infrastructure: Military Services Lack Reliable Data on Historic Properties, GAO-01-437. Washington, D.C.: April 6, 2001.", "Military Infrastructure: Real Property Management Needs Improvement, GAO/NSIAD-99-100. Washington, D.C.: September 7, 1999."], "subsections": []}], "fastfact": []} {"id": "GAO-18-420", "url": "https://www.gao.gov/products/GAO-18-420", "title": "Federal Buildings: More Consideration of Operations and Maintenance Costs Could Better Inform the Design Excellence Program", "published_date": "2018-05-22T00:00:00", "released_date": "2018-05-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 1994, GSA has spent more than $8 billion to construct 78 new federal buildings through its Design Excellence program. Some design choices can affect a building's O&M costs and functionality.", "GAO was asked to review GSA's ability to manage O&M costs under the Design Excellence program. This report assesses the extent to which: (1) GSA's design choices affect O&M costs; (2) GSA considers O&M costs and functionality when planning and designing buildings; and (3) GSA systematically collects and shares information on O&M costs.", "GAO conducted a web-based survey of building managers for the 78 Design Excellence buildings. GAO also visited 10 Design Excellence buildings in three GSA regions selected based on several factors, including geographic and agency diversity. GAO reviewed GSA documents, and interviewed GSA officials and building tenants. Information obtained through site visits and interviews is not generalizable."]}, {"section_title": "What GAO Found", "paragraphs": ["The goals of the General Services Administration's (GSA) Design Excellence Program are to creatively design federal buildings that meet federal agencies' functional needs and become public landmarks. Some design choices for Design Excellence buildings have decreased ongoing operations and maintenance (O&M) costs, but others have increased those costs. GSA's building managers and tenants told GAO that design choices that have reduced O&M costs include the use of durable materials and low maintenance landscaping. Other design choices have increased O&M costs. For example, according to GAO's survey of 78 building managers of Design Excellence buildings, multistory atriums often led to additional O&M costs, including the need to erect expensive scaffolding for maintenance.", "While GSA aims to create Design Excellence buildings that are cost-effective and functional, it makes design choices without fully considering their effect on O&M costs and functionality. For example, GSA officials do not estimate the majority of O&M costs, such as the building maintenance associated with their design choices until the design is almost finalized. This outcome is partly because GSA procedures do not direct GSA officials to develop such estimates during the design and planning of Design Excellence buildings and because building and regional managers responsible for addressing the O&M consequences are also not involved in the design and planning process. As a result, important cost information that could help building project teams make the most cost-effective design choices is not available to help them. In addition, while building managers GAO surveyed reported that GSA's design choices generally support a building's functionality, they also reported that some design choices increased O&M costs without improving functionality. For example, they identified design choices related to material color and lighting that increased O&M costs but did not enhance the functionality of the building for the tenants.", "Although GSA has developed some information on how design choices can affect O&M costs, it does not consistently collect and share such information. For example, GSA has evaluated the performance of only six Design Excellence buildings, and does not systematically collect information on how design choices have affected O&M costs in all existing buildings. Without a process to collect and share such information, future buildings may not benefit from these lessons, and problematic choices may be repeated."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to update existing GSA procedures for planning and designing new buildings to: (1) estimate full O&M costs; (2) obtain information from personnel responsible for addressing the O&M consequences of design decisions; (3) further consider how design choices may affect building functionality; and (4) systematically collect and share lessons from existing buildings. GSA agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1994, the General Services Administration (GSA) has spent more than $8 billion to construct 78 new federal courthouses and office buildings through the Design Excellence Program. Under this program, GSA works with private-sector architects, interior designers, engineers, and construction firms to plan buildings that meet the needs of government agencies while also meeting certain design principles, such as visually representing the dignity of the federal government and avoiding uniformity. Beyond construction costs, some design choices, such as multistory atriums, can also affect how much the government spends for ongoing operations and maintenance (O&M) costs for the buildings. Design choices also can affect functionality of the building for government workers and the public. Understanding how GSA considers the tradeoffs between aesthetics, costs, and functionality is important as the agency embarks on construction projects, including current plans to spend billions of dollars more to construct courthouses and other federal buildings.", "You asked us to evaluate GSA\u2019s ability to manage O&M costs for federal buildings constructed under the Design Excellence Program. This report assesses the extent to which:", "GSA made design choices that affect O&M costs;", "GSA considers O&M costs and functionality when planning and", "GSA systematically collects and shares information on O&M costs related to design choices in existing buildings.", "Our review focused on the 78 federal buildings and courthouses that GSA has constructed under the Design Excellence Program\u2014referred to as \u201cDesign Excellence buildings\u201d\u2014since the program started in 1994. To address our objectives, we administered a web-based survey to the GSA building managers of these 78 Design Excellence buildings and achieved a response rate of 100 percent. The survey asked for information on the extent to which certain design choices affect O&M costs and building functionality. We also visited 10 Design Excellence buildings in three GSA regions to view design choices and O&M activities. We interviewed tenant agencies located in these buildings, GSA building managers responsible for managing these buildings, and officials from GSA regional offices with oversight responsibilities for these buildings. To ensure geographic and agency diversity, we selected our site-visit locations based on several factors, including location and the tenant agency. Although not generalizable to all Design Excellence buildings, information gathered from our site visits shows how O&M costs were considered in specific buildings and the effects of design choices.", "To address our objectives, we also examined relevant GSA documents pertaining to all buildings included in our review, including those detailing investment needs for maintenance and repairs and evaluations commissioned by GSA on, for example, how well these buildings comply with building standards and their overall performance. We also reviewed applicable federal regulations and guidance, including GSA procedures, policies and standards for designing, constructing, and operating federal facilities; our prior work; and reports by other federal agencies and related industry associations on topics including the standard costs of operating and maintaining office buildings. We collected information on the extent to which Design Excellence buildings are visible and accessible to the public and analyzed GSA data on project construction and O&M costs from 2000 to 2016. We assessed the reliability of these data through electronic testing and a review of documentation on the data and determined that the data were reliable for the purpose of illustrating the extent to which O&M costs make up total building costs.", "In addition, we interviewed GSA officials located in the Washington, D.C., headquarters office and in four of GSA\u2019s 11 regional offices. We selected regional offices based on the location of our site visits and included one additional regional office based on its having the highest total O&M- operating costs of the remaining eight regional offices. With GSA officials, we discussed several topics including how O&M costs were considered during planning and design and how information on design choices\u2019 O&M costs are shared. We compared GSA\u2019s efforts to consider O&M costs and functionality when planning and designing these buildings and their process for collecting and sharing O&M information across these buildings to the federal standards for internal control related to using complete and relevant information when making decisions and designing control activities and internal communications. We also compared GSA\u2019s efforts to consider O&M costs in the planning and design of these buildings to guidance from GSA and the Office of Management and Budget. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government is the largest real property owner in the United States with a vast inventory costing billions of dollars annually to operate and maintain. Federally owned buildings include courthouses, offices, warehouses, schools, hospitals, housing, data centers, and laboratories, among other things. GSA acts as the federal government\u2019s landlord, and is responsible for designing, constructing, and managing federal buildings for other federal agencies and the judiciary to occupy. There are currently approximately 1,600 federally owned buildings under GSA\u2019s custody and control.", "According to the Office of Management and Budget (OMB), agencies, including GSA, should have accurate information on acquisition and \u201clifecycle\u201d costs of current and proposed assets, including costs for designing and constructing the building, O&M, and disposal. For example, when planning and designing new federal buildings, GSA must analyze building energy and water systems (e.g., for air conditioning and heating) to identify those with the lowest acquisition and operating costs. In addition, once the building is constructed, GSA building managers and O&M contractors are responsible for maintaining the building, which includes tasks related to recurring maintenance and repair (e.g., on heating and cooling systems), maintaining the property\u2019s roads and grounds, cleaning and janitorial services, and paying for utilities.", "In 1994, GSA instituted the Design Excellence Program, a process for designing, constructing, renovating, altering, and repairing federal courthouses and office buildings. This program was developed in response to criticisms that federal buildings lacked architectural distinction. It stresses creativity in the design of buildings with the intent of constructing spaces that meet the tenant\u2019s functional needs while also becoming public landmarks. More specifically, the program aims to meet several guidelines\u2014called the Guiding Principles for Federal Architecture\u2014 including designing spaces that: reflect the dignity, enterprise, vigor, and stability of the U.S. government; avoid uniformity; and are built in locations in which federal buildings can be incorporated into the existing public streets and landscape.", "According to GSA officials, the Design Excellence Program also streamlines how GSA selects and manages the private-sector architects and engineering firms it hires for new projects. The process consists of four primary stages: planning for the prospective tenant\u2019s needs and general project details (e.g., request for proposal announcement); selecting and working with an architectural and engineering firm to design the building; selecting a contractor to construct the building; and occupancy by the tenants.", "The process is overseen by a GSA project team, consisting of a project manager, contracting officer, officials from GSA\u2019s Office of the Chief Architect, and additional subject matter experts, who work with the federal tenant that plans to occupy the space.", "A large number of the federal courthouses and office buildings constructed and controlled by GSA in the last 20 years have been completed under the Design Excellence Program. Under the program, GSA has constructed 78 facilities including 62 courthouses and 16 federal office buildings, including a data center and laboratories. These buildings account for more than 36-million square feet of space, are located in 33 states and the District of Columbia, and many have won architecture and design awards. Figure 1 shows examples of federal courthouses and office buildings constructed under the Design Excellence Program."], "subsections": []}, {"section_title": "GSA Made Design Choices That Decreased and Increased O&M Costs", "paragraphs": [], "subsections": [{"section_title": "Some GSA Design Choices Have Decreased O&M Costs", "paragraphs": ["According to interviews with GSA officials and building tenants, GSA has made choices in some Design Excellence buildings intended to reduce long-term O&M costs. For example: Increased natural light. All 10 of the Design Excellence buildings we visited were designed to include interior natural light, which some building managers reported reduced energy costs. According to GSA officials, natural light is not only aesthetically pleasing; it also improves lighting quality for building tenants and reduces lighting costs. For example, the First Street Federal Courthouse (Los Angeles, California) has a light well as part of its atrium and a serrated glass fa\u00e7ade that maximizes natural light. Building officials said that 22 of the 24 courtrooms in the building receive natural light from multiple sources, reducing energy usage and requiring less frequent replacement of lighting. In addition, building officials at the Albert Armendariz, Sr., U.S. Courthouse (El Paso, Texas) reported extensive natural light from a three story window wall and the front atrium; both features provide ample light for building tenants. (See fig. 2).", "Durable and easily maintained materials and finishes. In most of the 10 Design Excellence buildings we visited, GSA officials and building tenants reported selecting materials and finishes that (1) are highly durable and easy and inexpensive to clean; (2) are expected to last a long time; and (3) required little maintenance. For example, the lobby walls and floors of the Ronald Reagan Federal Building and Courthouse (Santa Ana, California) are made out of travertine, a very durable stone, which has lasted more than 15 years without the need for repairs or replacement. In addition, officials at a few buildings noted that the decision to install carpet tiles in lieu of large patches of carpet has made it very easy and relatively inexpensive to maintain and repair office spaces and courtrooms.", "Low-maintenance landscaping. Several of the 10 Design Excellence buildings we visited incorporated native flora into the landscape design, which can reduce energy and water costs. For example, officials planted native, drought resistant plants around the First Street Federal Courthouse (Los Angeles, California). Building officials at the Las Cruces U.S. Courthouse (Las Cruces, New Mexico), which is located in a desert environment, also reported most of the native landscape around the courthouse does not require watering."], "subsections": []}, {"section_title": "Some GSA Design Choices Have Increased O&M Costs", "paragraphs": ["According to our survey respondents\u2014building managers at all 78 Design Excellence buildings included in our review\u2014certain GSA design choices, such as multistory atriums and custom windows, have resulted in increased O&M costs compared to an average GSA building without those features. Almost all Design Excellence building managers (76 out of 78) reported that certain design choices resulted in increased O&M costs that would not have occurred had that design choice not been selected. For example, 67 out of 78 building managers for Design Excellence buildings stated that the effect of including multistory open spaces, like atriums, increased O&M costs due to the challenges associated with heating and cooling, making needed repairs, and cleaning these spaces. (See table 1). Building managers and tenants we spoke with confirmed our survey results, and provided examples of design choices that resulted in unexpected O&M cost increases. For example, officials noted increased O&M costs associated with separate structures and multistory atriums that were difficult to access for cleaning and repairs.", "Separate Structures. Managers from only 21 of 78 Design Excellence buildings reported having an attached, but separate structure (e.g., pavilions, rotundas, restaurants, and other additional spaces connected to the building), but managers at 19 of those buildings stated that the effect of such design features increased O&M costs. For example, one federal building we visited had a rotunda with a domed roof that, according to building managers, has multiple gutter leaks that are not currently accessible due to the design of the space. As a result, maintenance staff continuously patch the ceiling without addressing the cause of the leaks (see fig. 3).", "Atriums and Lobbies. Managers from 67 of 78 Design Excellence buildings reported their buildings\u2019 multistory atriums and lobbies increased O&M costs. Several GSA managers we interviewed identified additional costs to maintain a multistory atrium or lobby, including costs for renting expensive scaffolding or mechanical lifts. For example, one Design Excellence building we visited has water leaks in the lobby ceiling, which can only be reached by extensive and expensive scaffolding (see fig. 4).", "Large, Custom Windows. Managers from 65 of 78 Design Excellence buildings reported that the effect of design choices related to their buildings\u2019 windows increased O&M costs. In addition, several Design Excellence buildings we visited had custom or uniquely shaped windows, which occasionally increased the costs to replace, repair, or maintain them. For example, GSA officials at one courthouse reported repairing one two-story, custom-made window pane, which cost $80,000 to fabricate and $50,000 to install. The courthouse had eight of these windows, and a GSA official stated that the windows are an attractive feature of the building that introduced natural light, but a different window choice would have been cheaper to maintain (see fig. 5).", "Mission Spaces. Managers from 48 Design Excellence buildings reported that the effect of design choices related to mission spaces (i.e., spaces in which federal employees conduct work) increased O&M costs. Specifically, managers from 32 buildings stated that design choices made in mission spaces increased repair costs, and managers from 30 buildings reported increased cleaning costs. GSA officials at several buildings we visited discussed challenges accessing and maintaining mechanical systems incorporated into tenant mission spaces. For example, one Design Excellence building includes a heating, ventilation, and air-conditioning (HVAC) system that is hidden under a raised floor within mission spaces. Because building managers cannot easily access the system, there are maintenance delays and challenges identifying and making necessary repairs, which ultimately result in higher O&M costs. Building officials reported they considered replacing the HVAC system, but doing so would cost approximately $55 million. (See fig. 6).", "Other Design Choices. According to Design Excellence building managers that responded to our survey and at locations we visited, the effect of several other design choices including energy efficient elements (e.g., solar panels and green roofs), courtyards, floors, and circulation (e.g., hallways, stairways, and elevators) increased O&M costs. For example, according to these officials, (1) the design of green roofs led to water leaks; (2) the design of courtyards led to problems maintaining unique landscaping; (3) flooring choices, specifically selected materials, led to premature scuffing and cracking; and (4) the design of hallways and stairways made them difficult to maintain."], "subsections": []}]}, {"section_title": "GSA Does Not Fully Consider O&M and Functionality Effects When Making Design Choices", "paragraphs": ["With the Design Excellence Program, GSA aims to create buildings that are cost-effective and function well for tenants. However, GSA makes design choices for Design Excellence buildings during the planning and design stages of new projects without fully considering the effect of these choices on O&M costs and functionality."], "subsections": [{"section_title": "GSA Does Not Fully Consider How Design Choices Affect O&M Costs", "paragraphs": ["GSA does not estimate most O&M costs during planning and design. Specifically, according to GSA officials we interviewed and planning documents we reviewed, when planning and designing new buildings, officials estimate the costs of major energy systems, such as boilers and chillers. However, based on our review of GSA and industry data, these systems only account for about one-third of O&M costs in Design Excellence buildings. GSA officials stated that they do not estimate the remaining two-thirds of O&M costs\u2014which include maintenance, cleaning, and landscaping\u2014until late in the building\u2019s construction. However, GSA officials also said that it would be costly to make significant design changes at that point in the process. In addition, the O&M estimates for maintenance, cleaning, and landscaping are for the purpose of selecting a contractor to provide these services, not as a means for addressing or reducing future O&M costs, according to officials.", "GSA building and regional managers who are responsible for addressing the O&M consequences of design choices told us that they were not always integrated or asked to participate in planning and designing new Design Excellence buildings. Specifically, GSA building and regional managers at several of the buildings we visited stated that they were never, or seldom, consulted on O&M costs and issues during the design process, nor did they have an opportunity to review design documents. A few GSA building managers we spoke with stated that on rare occasions when they were consulted their input was rarely incorporated, or was requested too late in the construction stage to allow for necessary changes. According to these officials, if given the chance, they could have highlighted issues with certain design choices that would significantly increase O&M costs and could have offered potential solutions to reduce those costs. Officials responsible for overseeing the Design Excellence Program told us that other officials with an understanding of issues surrounding O&M are involved in the process for designing new buildings through, for example, subject matter reviews of the design concepts. Officials agreed, however, that more could be done to formally involve the perspective of facilities staff, such as building managers, who are responsible for the day-to-day management of O&M.", "We found that GSA\u2019s lack of consideration of how design choices may affect the O&M costs of Design Excellence buildings could be attributed to existing procedures that do not emphasize the need to consider such costs during the planning and design stage. Specifically, GSA\u2019s procedures for planning, designing, and constructing new Design Excellence buildings focus on design creativity, construction challenges, budget, and schedule and do not direct GSA to estimate O&M costs during planning and design. While these procedures promote several factors to consider in a building\u2019s design\u2014including aesthetics, functionality, and constructability\u2014and generally require firms to submit documentation on budget and schedule, they do not call for information on expected O&M costs. In addition, these procedures do not include seeking input on design decisions from facilities personnel who will have responsibility for the ongoing O&M once the building is occupied.", "Federal standards for internal control state that federal agencies should use complete and relevant information when making decisions and design control activities, including procedures, to achieve objectives. These federal standards also state that federal agencies should ensure the communication of information internally, for example through procedures that allow management to receive quality information from personnel, to help achieve the entity\u2019s objectives. In addition, guidance from GSA and the Office of Management and Budget directs officials to consider and strive for the lowest possible costs, including O&M costs, when designing buildings.", "Information on how specific design choices could affect ongoing O&M costs would allow GSA to better understand the impact of those choices. Such information is critical as O&M accounts for a significant proportion of resources dedicated to federal buildings over the long-term. According to GSA and industry associations, O&M costs are significantly higher over time than all other costs, including for construction, and typically account for between 60 and 80 percent of building lifecycle costs. To illustrate this point, we analyzed GSA construction and O&M data for Design Excellence buildings. As figure 7 shows, we estimate that over an average building\u2019s age (60 years) the total construction and O&M costs for GSA\u2019s 78 existing Design Excellence buildings could be about $18 billion\u2014$8.1 billion for construction (45 percent) and $9.9 billion for O&M (55 percent). Because GSA\u2019s procedures do not direct officials to estimate about two-thirds of O&M costs or fully integrate officials with an understanding of the O&M consequences of design decisions, officials may not have been aware of how design choices would affect approximately $6.6 billion (two-thirds of $9.9 billion) in O&M costs. In addition, without procedures that clearly emphasize the need to more fully consider O&M costs in Design Excellence buildings during the planning and design stage, GSA and other stakeholders may not have a complete picture of all relevant information necessary to make informed decisions on how to best design future federal buildings.", "GSA realizes that the focus of Design Excellence projects has been on design and construction, not O&M costs, and, in September 2017, initiated a process, called \u201cOperational Excellence\u201d, to more fully consider O&M costs. This process includes considering ways to more fully consider O&M costs during planning and design, including developing a cost tool that would estimate future O&M costs. In addition, GSA is considering ways to update existing procedures for designing and constructing new buildings to include a more comprehensive evaluation of potential O&M costs, for example, by more fully integrating knowledgeable personnel at key stages. However, according to GSA officials, they are still in the early stages of determining what needs to be done in part due to a small staff, which includes one full-time employee and one part-time employee. As of March 2018, GSA has not established a schedule for updating its procedures to require considering O&M during design."], "subsections": []}, {"section_title": "Design Excellence Buildings Generally Function Well, but Some Costly Design Choices Did Not Improve Functionality", "paragraphs": ["Most design choices made for Design Excellence buildings, including the shape and size of courtrooms and the lighting in hallways, have had a positive effect on overall building functionality (i.e., helped the tenant agency achieve its mission), according to officials we surveyed and interviewed. For example, GSA building managers we surveyed reported the functionality of at least one design choice in most buildings (72 of 78 buildings) as good or very good. Specifically, they reported that in most buildings, the overall functionality of design choices was good in many of the areas we asked them about. In addition, building managers reported that the functionality of the following design choices was also good or very good: selected material color (53 buildings) and lighting (58 buildings); shape and size of the space (61 buildings); pedestrian circulation (61 buildings); and temperature control in the areas critical for a building\u2019s operation, such as courtrooms or office space (46 buildings).", "GSA and tenant agency officials whom we interviewed were also positive about how the design choices affected the functionality of their buildings, especially the use of windows and atriums to allow natural light. Tenants also reported they enjoyed other features of the new buildings, including commissioned artwork and the design of the interior and exterior. Tenants\u2019 satisfaction with the function of Design Excellence buildings may, in part, reflect the condition of their previous office space. For example, one tenant noted that moving from temporary trailers into a state-of-the-art courthouse was a substantial functional improvement.", "However, we found that increased spending on certain design choices did not always provide improved functionality for the building tenant. For example, GSA building managers reported that in many buildings (67 of 78) atriums and lobbies (i.e., vertical penetrations) have increased O&M costs due to higher repair, cleaning, and energy costs. At the same time, building managers reported that in 51 of those 67 buildings, choices made in the design of multistory atriums and lobbies, e.g., material color and lighting, did not have a positive effect on building functionality (see table 2). Similarly, the decision to install solar panels and green roofs (e.g., energy efficient elements), increased O&M costs in several areas, particularly repair costs, but in over half of the buildings with these features, building managers did not report an improvement in functionality. For example, in two courthouses we visited solar panels installed with the intention of saving on energy costs are not supplying as much power as expected and, therefore, have not yet provided the expected energy benefits.", "Tenants we interviewed also noted that in some cases, design choices have not functioned well and are costly to maintain and operate. According to a tenant at one Design Excellence office building, while the decision to construct a multistory atrium has added aesthetic value for federal employees, it has also resulted in challenges balancing air pressure between the atrium and the adjacent office spaces. These differences in air pressure have resulted in uncomfortable working conditions, such as fluctuating temperatures, which have hampered productivity. Another tenant told us about design choices such as long hallways and elevators that do not stop at all floors, making it difficult for tenant employees to move efficiently through the building. Some of these design choices, such as elevators with mechanical systems at the bottom of the elevator shaft, have proven costly to maintain as they age more quickly. Other tenants noted that the selection of heating and cooling systems, which automatically adjust building temperatures based on time of day, for example, have not functioned as planned, resulting in variable temperatures and employee discomfort.", "In addition, GSA has sometimes made design choices in buildings that do not apply to one of the primary functional goals of the Design Excellence Program\u2014to serve as a landmark that positively represents the federal government to the public. Specifically, GSA does not consider that some buildings, due to their purpose or location, are unlikely to function as landmarks because they have limited interaction with or limited visibility by the public. In this regard, we found that most Design Excellence buildings (66 of 78) are visible and accessible to the general public, i.e., \u201cpublic-facing\u201d. Many of these buildings have succeeded in becoming public landmarks and several have won awards for their design. Specifically,", "62 serve as courthouses, which are visible from public streets and people may enter to observe judicial proceedings or conduct personal business. See figure 8 for an example of a Design Excellence courthouse with publicly visible exteriors and interiors.", "Four serve as office buildings for various federal agencies that are publicly accessible.", "In contrast, we found that 12 Design Excellence office buildings restrict the public from accessing interior spaces. Specifically,", "Seven can be seen from public sidewalks or roads, even though the building is not open to the public, such as the U.S. Secret Service Headquarters and FBI field office buildings. As a result, these buildings\u2019 exteriors could be public landmarks that represent the federal government, but the interior design features are not publicly accessible. For example, the Ronald H. Brown U.S. Mission to the United Nations Building in New York City has an impressive and publicly visible exterior fa\u00e7ade but restricts public access to a multi- story rotunda and art space (see fig. 9).", "Five have obstructed views from public roads and sidewalks in addition to restricting public access to the interior. Neither the exterior nor interior design choices, which can be expensive to operate and maintain, in these buildings can be seen or appreciated by the public. For example, according to the tenant agency and GSA officials, the visually impressive interior atrium and courtyard at the Ariel Rios Federal Building have proven logistically challenging and expensive to maintain and are not accessible to the public. In addition, the fa\u00e7ade of the National Oceanic and Atmospheric Administration Satellite Operations Facility, which, according to GSA officials, is expensive to maintain and repair, is not accessible by the public. (See fig. 10).", "According to GSA officials, when they carry out their planning and design for Design Excellence buildings, they do not differentiate between buildings that will be public-facing and those that will not. This approach may be in part due to the fact that GSA\u2019s procedures for planning and designing new Design Excellence buildings do not call for consideration of how design choices may have different functional benefits, including whether the interior and exterior of planned buildings would be accessible to the public. Federal standards for internal control state that federal agencies should use complete and relevant information when making decisions and designing control activities, including procedures to achieve objectives. By taking a \u201cone size fits all\u201d approach and not considering the functionality of design choices, such as how a building\u2019s location and intended use will affect the public\u2019s ability to see the exterior and interior, GSA may be selecting design choices that increase O&M costs without improving functionality."], "subsections": []}]}, {"section_title": "GSA Does Not Systematically Collect and Share Information on Common O&M Cost Experiences That Could Affect Design Choices", "paragraphs": ["According to GSA officials, GSA currently does not systematically collect and share information on how design choices made for previous Design Excellence projects have affected O&M costs with the project teams\u2014 consisting of a project manager, contracting officer, and other GSA officials\u2014that are responsible for overseeing the planning and design of new buildings. GSA has evaluated what is and is not working effectively in some existing Design Excellence buildings and has on occasion shared these evaluations with project teams. For example, GSA has evaluated the performance of 6 out of 78 Design Excellence buildings. These evaluations included identifying design decisions that led to higher O&M costs and, on one occasion, developed a formal presentation to share these lessons with the team working on a new Design Excellence project.", "According to officials, GSA requires agency personnel with subject matter expertise to review building design concepts provided by private-sector architects and engineers. GSA also fosters information sharing through procedures that encourage project teams to exchange ideas, lessons learned, and concerns. However, these processes either (1) are not done in a consistent or systematic way, or (2) require information sharing among a small group of officials, i.e., a project team, which might not have visibility over the extensive design choices made in all existing buildings. While all of these information-sharing initiatives offer benefits, GSA\u2019s procedures do not include a systematic collection and sharing of information with the project teams responsible for managing new Design Excellence projects on how design choices affected O&M costs in existing Design Excellence buildings. According to GSA officials, they are considering formalizing this sort of information collection and sharing as part of the Operational Excellence process, but as previously noted, GSA is in the early stages of setting up this initiative and has not established a schedule for completing its actions or updating its procedures.", "As discussed, some design choices in existing Design Excellence buildings have decreased or increased O&M costs. Since GSA does not systematically share how these types of design choices affected O&M costs with teams responsible for planning and designing new buildings, similar issues could occur in future buildings. For example, we previously mentioned that building managers indicated that using durable materials, low maintenance landscaping, and energy-efficient lighting can reduce long-term O&M costs.", "Building managers also reported common issues caused by design choices that led to increased costs including: Inefficiently located mechanical systems. Building managers reported the location of mechanical systems in Design Excellence buildings often led to increased cost. Specifically, building managers reported the location of these systems increased repair costs (41 out of 77 buildings) and energy costs (32 out of 77 buildings). In the Design Excellence buildings we visited, building managers and tenants reported issues with the location of mechanical systems (4 buildings). For example, officials indicated that air-conditioning systems were placed in inefficient locations that required more energy usage because water had to be pumped unnecessarily far distances (see fig. 11).", "Difficult-to-access lights. Building managers reported that design choices for the location of interior lights increased maintenance costs in the majority of Design Excellence buildings (55). In particular, managers reported that the location of lights in atriums and lobbies (38 buildings) and courtrooms and other mission spaces (33 buildings) increased costs. In addition, GSA officials at locations we visited said that lights above tall staircases, ceiling lights in atriums and auditoriums, and lights directly above permanent structures led to additional costs, including the need to use scaffolding or rent large equipment to maintain these lights. (See fig. 12). One way that a majority of GSA building managers (61) we surveyed are attempting to mitigate high maintenance cost for lighting issues is to install energy efficient equipment, such as light-emitting diode (LED) lights.", "Difficult-to-maintain materials and finishes. In 68 Design Excellence buildings, building managers reported that materials or finishes were chosen that are easily worn. Similarly, in buildings we visited (4 buildings), GSA officials reported that decisions on the materials used or configuration of exterior surfaces (e.g., the roof or fa\u00e7ade) of a Design Excellence building led to repair and maintenance problems, particularly water leaks. (See fig. 13).", "Hard to clean surfaces. Cleaning surfaces, especially in atriums, can be a challenge for maintaining Design Excellence buildings. For example, building managers we surveyed reported that the decision to install certain types of window treatments increased cleaning costs (49 buildings). In three buildings we visited, building managers and tenants also said Design Excellence buildings required special equipment or scaffolding to clean windows or surfaces, which led to increased cleaning costs. (See fig. 14).", "According to federal standards for internal control, agencies should use and communicate complete and relevant information when designing control activities, including procedures to achieve objectives. Without a formalized process for systematically collecting and sharing how design choices affected O&M costs in existing buildings, designs for future Design Excellence buildings may not benefit from the successful strategies used by others to reduce O&M costs or may continue to repeat problematic choices that may result in increased O&M costs."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Through the Design Excellence Program, GSA has achieved excellence in architecture and the design of federal buildings. Buildings constructed under the Design Excellence Program have created unique and aesthetically pleasing workspaces, have met the functional needs of tenant agencies, and have become public landmarks. However, because GSA does not have program procedures that call for consideration of how certain design features may affect O&M, it may not be fully aware of the costs of including these features in its building design and plans. Specifically, GSA does not estimate or gather all perspectives from building and regional managers on the full O&M costs of design choices, or consider the extent to which they will improve the functionality of the building for tenants and the public. For example, GSA\u2019s one-size fits all approach in designing these buildings does not consider whether non- public buildings need the same costly architectural elements as buildings intended to serve as public landmarks. Further, GSA is missing opportunities to improve future building designs by not systematically gathering and sharing information on the common design choices that had both positive and negative effects on O&M costs. Without a clear picture of the ongoing costs of these choices, GSA and other stakeholders are missing critical information to better inform the design and construction of new buildings. While GSA has just begun an Operational Excellence initiative to help identify future O&M costs, it is not clear what actions GSA will take to improve consideration of O&M costs during planning and design or when it will take those actions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to GSA:", "The Administrator of the General Services Administration should update existing procedures to require GSA officials to estimate the full operations and maintenance costs of design choices in the planning and design process for new Design Excellence buildings. (Recommendation 1)", "The Administrator of the General Services Administration should update existing procedures to require GSA officials to obtain information from personnel responsible for addressing the operations and maintenance consequences of design choices at key decision points during the planning and design of new Design Excellence buildings. (Recommendation 2)", "The Administrator of the General Services Administration should update existing procedures to require GSA officials to further consider and document, during the planning and design of new Design Excellence buildings, how design choices may affect building functionality, such as whether a building is publicly visible and accessible. (Recommendation 3)", "The Administrator of the General Services Administration should update existing procedures to require GSA officials to systematically collect and share information with project teams responsible for overseeing the planning and design of new buildings on the positive and negative effects of common design choices on operations and maintenance costs in existing Design Excellence buildings. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA, the U.S. Administrative Office of Courts, the Department of Homeland Security, the Department of Justice, and the Department of Commerce for comment. In written comments, reproduced in appendix IV, GSA stated that it agreed with our recommendations and provided several technical comments. GSA clarified its policies for selecting and analyzing the lifecycle costs of building systems. In addition, GSA stated that table 2 in our report did not capture the full functional benefits and reasons for making certain design choices. As we noted in the report, this table does not preclude that a specific design choice may be functional or have functional benefits. We also included several of the examples GSA highlighted in their comments, such as the functional need for a separate structure, which may serve key security functions. GSA also stated that our conclusions did not indicate that most Design Excellence buildings functioned well. We added language to the conclusions to clarify this point.", "The U.S. Administrative Office of Courts, the Department of Homeland Security, the Department of Justice, and the Department of Commerce did not provide comments.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of the General Services Administration, Director of the Administrative Office of U.S. Courts, Attorney General, and the Secretaries of Homeland Security and Commerce. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report assesses the extent to which: (1) the General Services Administration (GSA) made design choices that affect operations and maintenance (O&M) costs; (2) GSA considers O&M costs and functionality when planning and designing buildings; and (3) GSA systematically collects and shares information on O&M costs related to design choices in existing buildings.", "To address all of our objectives, we reviewed applicable federal regulations; GSA procedures, policies, and standards for designing, constructing, and operating federal facilities, including specific policies and procedures for Design Excellence buildings; our prior work; and reports by other federal agencies and related professional organizations on topics, including the standard costs of operating and maintaining office buildings. Our review examined 78 federal buildings and courthouses that GSA constructed under the Design Excellence Program\u2014referred to as \u201cDesign Excellence buildings\u201d\u2014since the program started in 1994. At our request, GSA provided a list of all buildings under the agency\u2019s custody and control that were constructed under the Design Excellence Program. Based on input from GSA officials indicating that large campuses were unlikely to have reliable O&M data, we excluded nine buildings that are part of the White Oak Campus in Silver Spring, Maryland. We reviewed relevant GSA documents pertaining to the remaining 78 Design Excellence buildings, including the most recent Asset Business Plans detailing investment needs for maintenance and repairs, strategies for efficient operations, building use, and tenant satisfaction. We analyzed GSA-provided historical data on construction and O&M costs from 2000 to 2016 for the buildings in our review and projected O&M future costs. To calculate our projection, we made several assumptions, including (1) that annual O&M costs would increase at the same level as 2016 O&M costs ($174 million), and (2) that Design Excellence buildings will reach the average age of all current GSA buildings (60 years). We assessed the reliability of these data through electronic testing and reviewing documentation on the data. We determined that the data provided were sufficiently reliable for the purpose of illustrating the extent to which O&M costs make up total building costs.", "We also conducted a web-based survey of GSA building managers responsible for overseeing O&M for the 78 Design Excellence buildings included in our review. The survey addressed the extent to which certain design choices affect O&M costs and building functionality. We developed the survey based on our objectives, prior GAO work, and site visits to 10 Design Excellence buildings. We pretested the survey with GSA officials at three Design Excellence buildings, which were selected based on building age, location, total square feet, fiscal year 2016 O&M costs, and the building\u2019s primary use (e.g., office or courthouse). As part of our pretesting, we asked GSA building managers to explain their understanding of survey questions and made edits based on their comments. We conducted the survey from November 2017 to March 2018 and our response rate was 100 percent (78 out of 78). See appendix III for a copy of the survey and summarized responses.", "We visited 10 Design Excellence buildings in three GSA regions to view design choices and O&M activities. As part of these site visits, we conducted interviews that included tenant agencies located in these buildings, GSA building managers responsible for managing these buildings and officials from GSA regional offices with oversight responsibilities for these buildings. To select our site visit locations and ensure geographic and agency diversity, we considered several factors including building operating costs, size, location, and the tenant agency. Based on these criteria we selected the buildings listed in table 3. The interviews and tours we conducted during our site visits do not allow us to generalize the findings to all Design Excellence buildings. Information gathered from our site visits did allow us to show how O&M costs were considered in specific Design Excellence buildings and the effects of design choices.", "We also interviewed GSA officials located in GSA Headquarters within the Office of Design and Construction, including the Chief Architect, and the Office of Facilities Management. We also interviewed GSA regional officials within the Office of Facilities Management in four of GSA\u2019s 11 regional offices: Greater Southwest Region, National Capital Region, Pacific Rim Region, and Southeast Sunbelt Region. We selected regional offices based on the location of our site visits and included one additional regional office based on it having the highest total O&M operating costs of the eight remaining regional offices. We discussed several topics with GSA officials, including how O&M costs were considered during planning and design and how information on the O&M costs of design choices are shared.", "To determine the extent to which GSA considers O&M costs and functionality when planning and designing buildings, we analyzed Federal Real Property Profile (FRPP) data. Our analysis of U.S. government- owned office buildings that are less than 40 years old, occupied, and needed for a tenant\u2019s mission, identified five potentially relevant variables to explain variation in the O&M costs: building type (i.e., whether a building was constructed under the Design Excellence Program), size, age, and condition of the building, as well as the median hourly wage of O&M services in the building\u2019s location. After controlling for these variables, we found that size and median hourly wage but not building type had a statistically significant relationship to O&M costs. We assessed the reliability of these data through electronic testing as well as a review of documentation for each federal data source. We determined that the data provided were sufficiently reliable for the purpose of describing our attempts to identify factors that influence O&M costs in federal buildings. We also requested and received additional information from the building managers of Design Excellence federal office buildings. Specifically we asked for information on the extent to which these federal office buildings are public-facing, have restrictions on public entry and are visible from public sidewalks or roads, and what the daily volume of public visitors was.", "We compared GSA\u2019s efforts to consider O&M costs in the planning and design of Design Excellence buildings to pertinent Standards for Internal Control in the Federal Government on using complete and relevant information when making decisions and design control activities, including procedures, to achieve objectives, as well as on communicating information internally. In addition, we compared GSA\u2019s efforts to consider these costs in the planning and design of Design Excellence buildings to guidance from GSA and the Office of Management and Budget that directs agency officials to consider and strive for the lowest possible costs, including O&M costs, when designing buildings. We also compared GSA\u2019s efforts to consider functionality when planning and designing these buildings to pertinent Standards for Internal Control in the Federal Government on using complete and relevant information when making decisions and design control activities, including procedures, to achieve objectives.", "To assess the extent to which GSA systematically collects and shares information on O&M costs related to design choices in existing Design Excellence buildings, we reviewed Post Occupancy Evaluations commissioned by GSA on six Design Excellence buildings. These evaluations contain information, such as how GSA buildings are performing and the extent to which they comply with GSA\u2019s federal standards for public buildings. These evaluations can include reviews of operations and maintenance documentation, interviews and surveys with building occupants, and interviews with relevant GSA staff, architectural and engineering design team staff, and an on-site evaluation. We also compared GSA\u2019s process for collecting and sharing how design choices affected O&M costs in existing buildings to pertinent Standards for Internal Control in the Federal Government on using and communicating complete and relevant information when designing control activities, including procedures, to achieve objectives.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Buildings Constructed under the General Services Administration\u2019s (GSA) Design Excellence Program", "paragraphs": ["GSA created the Design Excellence Program in 1994. Under this program, GSA has constructed 78 buildings in 33 states and the District of Columbia, buildings that range in size from about 35,000- to over 3- million gross square feet (see table 4)."], "subsections": []}, {"section_title": "Appendix III: Survey of General Services Administration (GSA) Building Managers and Summarized Results", "paragraphs": [], "subsections": [{"section_title": "This appendix provides a copy of the survey completed by managers for all 78 buildings constructed under GSA\u2019s Design Excellence Program included in our review. The appendix also includes the responses received for each of the close- ended questions (1a, 1b, 1c, 1e, 2a, 3a, and 4a); it does not include information on open-ended responses (1d, 1f, 2b, 3b, 3c, 4b, and 5). The purpose of this survey was to gather responses on how design choices affected operation and maintenance (O&M) costs and building function. See appendix I for additional information on our survey methodology.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Lori Rectanus, (202) 512-2834 or rectanusl@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Keith Cunningham (Assistant Director); Matthew Cook (Analyst in Charge); Eli Albagli; Sarah Arnett; Colin Ashwood; Melissa Bodeau; Lacey Coppage; Caitlin Cusati; Terrence Lam; Joshua Ormond; Dae Park; Minette Richardson; Kelly Rubin; Ardith Spence; and Dave Wise made key contributions to this report."], "subsections": []}]}], "fastfact": ["Since 1994, the General Services Administration has spent more than $8 billion to build 78 buildings under its Design Excellence program. Agency officials told us that some design choices\u2014such as use of durable materials\u2014decreased operations and maintenance costs. But others\u2014such as multistory atriums\u2014 increased them. We found that the agency", "makes design choices without fully considering effects on operations and maintenance costs", "does not consistently collect and share information on how design choices affected these costs in existing buildings", "We made 4 recommendations, including that the agency update procedures to address these issues."]} {"id": "GAO-18-456", "url": "https://www.gao.gov/products/GAO-18-456", "title": "B61-12 Nuclear Bomb: Cost Estimate for Life Extension Incorporated Best Practices, and Steps Being Taken to Manage Remaining Program Risks", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Weapons in the U.S. nuclear stockpile are aging. To refurbish or replace nuclear weapons' aging components, NNSA and DOD undertake LEPs. The B61-12 LEP is the most complex and expensive LEP to date. In October 2016, NNSA formalized a program cost estimate of about $7.6 billion, which is lower than an independent cost estimate of about $10 billion.", "Senate Report 113-44 included a provision for GAO to periodically assess the status of the B61-12 LEP. This report assesses (1) the extent to which NNSA followed best practices for cost estimation in producing the program cost estimate for the B61-12 LEP; (2) the reasons for differences between the program cost estimate and the independent cost estimate and how the differences were reconciled; and (3) the extent to which NNSA and DOD have identified and managed program risks. GAO assessed the program cost estimate against best practices, reviewed NNSA and DOD documents, conducted site visits to four NNSA and Air Force sites responsible for design, production, and management activities, and interviewed NNSA and DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Nuclear Security Administration (NNSA) incorporated most cost estimating best practices to develop the program cost estimate for the B61-12 Life Extension Program (LEP), which seeks to consolidate four versions of a nuclear weapon\u2014the B61 bomb\u2014into a bomb called the B61-12. As shown in the figure below, the program substantially met best practices for ensuring the estimate was comprehensive, well-documented, accurate, and credible.", "The B61-12 LEP's program cost estimate differs from an estimate prepared by another NNSA office independent of the program primarily because the program used different methods and assumptions than the independent office. The program developed its estimate by compiling cost and schedule estimates for activities at each of the NNSA contractor sites participating in the LEP. In contrast, the independent office evaluated program activities completed to date and applied a historical model to estimate costs and durations for remaining activities. NNSA management met with officials from both offices to reconcile the estimates but did not document the rationale for adopting the program estimate unchanged. GAO recommended in a January 2018 report that NNSA document and justify such decisions, in part because GAO's prior work has shown that independent cost estimates historically are higher than programs' cost estimates because the team conducting the independent estimate is more objective and less prone to accept optimistic assumptions. In response to the January 2018 report, NNSA agreed to establish a protocol to document management decisions on significant variances between program and independent cost estimates, but it has not yet provided evidence that it has done so.", "NNSA and the Department of Defense (DOD) have identified and are managing risks that could complicate efforts to meet the LEP's fiscal year 2025 completion date. Risks within the program's areas of responsibility include an aggressive flight test schedule for bomb delivery aircraft. The program is managing these and other risks with a formal risk management process. The program has also taken steps to address risks outside its direct control, such as risks related to the readiness and certification of the weapon's F-35 delivery aircraft, by providing information to the responsible DOD organizations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making no new recommendations but discusses a prior recommendation that NNSA document and justify decisions regarding independent cost estimates. NNSA provided technical comments, which GAO incorporated as appropriate. DOD did not have any comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) has underscored the significant contribution of B61 nuclear bombs\u2014the oldest nuclear weapons in the United States\u2019 active stockpile\u2014to assuring U.S. allies in the North Atlantic Treaty Organization (NATO) and elsewhere of the U.S. commitment to global security and nuclear nonproliferation. Critical components of these bombs are approaching the end of their operational lives. To maintain the safety, security, and effectiveness of B61 bombs, the Department of Energy\u2019s National Nuclear Security Administration (NNSA) and DOD are undertaking a life extension program (LEP) that will result in a bomb known as the B61-12. The B61-12 LEP\u2014one of four ongoing LEPs\u2014is the most complex and expensive LEP undertaken since the Department of Energy began stockpile life extension activities in January 1996.", "Our past reports on the B61-12 LEP present a mixed record of improvements and continuing challenges in program management. Most recently, in February 2016, we reported positive steps, including that the program had become the first LEP to develop and use an earned value management system to monitor cost and schedule performance and that it had developed a database to help monitor and manage program risks, such as risks related to component design and procurement of parts. Moreover, we found that the B61-12 LEP is the first NNSA defense program to issue a cost estimate that integrates all participating NNSA sites\u2019 costs into a single program cost estimate. In past LEPs, according to an NNSA official, NNSA had not integrated its individual site contractors\u2019 cost estimates, which contributed to program costs being underestimated. These improvements notwithstanding, we also reported in February 2016 that the estimated cost and schedule of the B61-12 LEP had changed significantly since the LEP\u2019s inception. Specifically, we found that the cost estimate for the program had increased from an initial rough estimate of about $4 billion at the time of our May 2011 report on the LEP to about $8.9 billion at the time of our February 2016 report; the latter estimate included about $7.3 billion for NNSA\u2019s portion of the work and $1.6 billion for DOD\u2019s portion, which is separately funded. In October 2016, NNSA formalized its cost estimate in a classified baseline cost report for the LEP at a higher figure of about $7.6 billion. The baseline cost report also established an estimated program completion date of fiscal year 2025. Concurrently with the development of the baseline cost report, NNSA\u2019s Office of Cost Estimating and Program Evaluation completed an independent cost estimate for the program. The independent cost estimate projected a higher cost of about $10 billion and a later completion date of fiscal year 2027 for NNSA\u2019s work on the B61-12 LEP.", "Senate Report 113-44, accompanying S. 1197, a bill for the National Defense Authorization Act for Fiscal Year 2014, included a provision for us to examine key elements of the B61-12 LEP and periodically review the program as it passes through the phases of the process under which NNSA and DOD jointly manage LEPs. This report examines (1) the extent to which NNSA followed best practices for cost estimation in producing the program cost estimate for the B61-12 LEP; (2) the reasons for the differences between the program cost estimate for the LEP and the independent cost estimate and how the differences were reconciled, if at all; and (3) the extent to which NNSA and DOD have identified and managed risks to the program.", "To examine the extent to which NNSA followed best practices for cost estimation in producing the program cost estimate for the B61-12 LEP, we reviewed documentation and data on the program cost estimate and interviewed program officials responsible for producing the cost estimate to understand the methods, assumptions, information, and data NNSA used to produce the estimate. Specifically, we reviewed NNSA\u2019s October 2016 baseline cost report, which is the report through which NNSA formally established its cost estimate for the B61-12 LEP. We also reviewed documentation that NNSA site contractors participating in the LEP provided to the B61-12 program office to assist it in compiling the baseline cost report. This documentation included documents that established the bases and assumptions for site contractors\u2019 contributions to the cost estimate, documents that established the contractors\u2019 work breakdown structures, and presentations on contractors\u2019 cost estimating models. In addition, we visited and interviewed federal officials and contractors at the Pantex Plant in Amarillo, Texas; the Kansas City National Security Campus in Kansas City, Missouri; and the B61-12 program office in Albuquerque, New Mexico, where we also interviewed contractors from Sandia and Los Alamos National Laboratories. We selected these sites because they are responsible for a range of design and production activities being undertaken in the program. During these site visits, we interviewed officials and contractors to discuss their cost estimating methods, and we viewed classified and unclassified systems and documents used in compiling the baseline cost report. GAO cost estimation specialists then assessed this information against the best practices for cost estimating found in GAO\u2019s cost estimating guide, which GAO developed to establish a consistent methodology that can be used across the federal government to develop, manage, and evaluate capital program cost estimates. We describe these best practices in further detail in the body of this report.", "To examine the reasons for the differences between the B61-12 program cost estimate for the LEP and the independent cost estimate and how the differences were reconciled, if at all, we reviewed information on the program cost estimate, as discussed above. We also reviewed information on the independent cost estimate and interviewed officials from NNSA\u2019s Office of Cost Estimating and Program Evaluation who were responsible for producing the independent cost estimate, to understand the methods and assumptions they used. In addition, we interviewed officials from both the program office for the B61-12 LEP and the Office of Cost Estimating and Program Evaluation to discuss how NNSA evaluated and used information from the independent cost estimate and any steps they took to reconcile the two estimates.", "To examine the extent to which NNSA and DOD have identified and managed risks to the program, we reviewed documents that establish procedures these agencies use to manage program risks, including NNSA\u2019s Risk and Opportunity Management Plan. During the interviews and site visits described above, we discussed with officials program risks and the steps NNSA and DOD are taking to manage them, viewed information in the program\u2019s classified Active Risk Manager database, and viewed weapon components and facilities to better understand the items and functions described in the documentation under review. In addition, we visited the Air Force Nuclear Weapons Center in Albuquerque to discuss program risks and risk management steps and to discuss and view information in the Active Risk Manager database. We also interviewed officials from DOD\u2019s Office of Nuclear Matters and the NNSA Program Execution Officer for LEPs about their views on the management of the LEP and any risks involved with the program.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes (1) the purpose of LEPs and the process that NNSA and DOD use to manage them, known as the phase 6.X process; (2) the management of the ongoing LEP for the W76 warhead\u2014an important historical reference for the B61-12 LEP\u2014and the status of the two other ongoing LEPs; (3) future nuclear modernization plans and our past conclusions and recommendations on the affordability of these plans; and (4) the objectives of the B61-12 LEP and the roles and responsibilities of NNSA and the Air Force in conducting the program."], "subsections": [{"section_title": "LEPs\u2019 Purpose and the Phase 6.X Process for Managing Them", "paragraphs": ["NNSA and DOD undertake LEPs to refurbish or replace nuclear weapons\u2019 components to extend their lives, enhance their safety and security characteristics, and consolidate the stockpile into fewer weapon types to minimize maintenance and testing costs while preserving needed military capabilities.", "NNSA and DOD jointly manage LEPs under a multi-step process known as the phase 6.X process. The B61-12 LEP is currently in phase 6.4 (production engineering) of this process. Figure 1 illustrates the phase 6.X process.", "The phase 6.X process and the roles and functions of DOD, DOE, and NNSA in nuclear weapon refurbishment activities are described in a guidance document known as the Procedural Guideline for the Phase 6.X Process. The document also calls for NNSA to formally update its program cost estimate and reissue it as the baseline cost report prior to entering phase 6.4. In January 2017, NNSA issued a supplemental directive that also directs the Office of Cost Estimating and Program Evaluation to prepare an independent cost estimate for each nuclear weapon system undergoing life extension before an LEP enters phase 6.4.", "The Procedural Guideline for the Phase 6.X Process also describes the roles and functions of two joint bodies that provide oversight and approval functions to LEPs and other nuclear weapons-related activities: the Nuclear Weapons Council and its Standing and Safety Committee. The Nuclear Weapons Council is the joint DOD and DOE activity that serves as the focal point for interagency activities to maintain the nuclear weapons stockpile. Its membership includes the Under Secretary of Defense for Acquisition, Technology and Logistics (generally the Chair); the Under Secretary of Defense for Policy; the Vice Chairman of the Joint Chiefs of Staff; the Commander of U.S. Strategic Command; and the Department of Energy\u2019s Under Secretary for Nuclear Security, who also serves as the Administrator of the National Nuclear Security Administration. In addition, the Nuclear Weapons Council charters a Project Officers Group for each weapon system to provide a technical forum for weapon development and management activities. Each Project Officers Group is led by a project officer from either the Navy or Air Force, the two military services that maintain and operate nuclear weapons."], "subsections": []}, {"section_title": "Management of the W76-1 LEP and Other Ongoing LEPs", "paragraphs": ["According to B61-12 program officials, the W76-1 LEP\u2014which NNSA expects to complete in fiscal year 2019\u2014has served as an important historical reference as NNSA prepared its plans and cost estimates for the B61-12 LEP. In August 2017, NNSA issued a study documenting lessons learned from difficulties it encountered in managing the W76-1 LEP. According to the study, prior to the W76-1 LEP, NNSA had not undertaken full-scale weapon system design activities since the 1982 design of the W88 warhead. Among other findings, the lessons learned study stressed the importance of using modern tools to validate and manage an LEP\u2019s system and technical requirements to maintain cost, schedule, and performance during all phases of the program. This finding is consistent with our March 2009 findings that NNSA and DOD established an unrealistic schedule for the W76-1 LEP, did not establish a consistent cost baseline, and did not effectively manage technical risks in the program. These problems resulted in delays, additional expenditures, and difficulties tracking the cost of the program. Notably, the program had to delay first production of the W76-1 from September 2007 to September 2008 when it encountered problems with the final test batch of a key material, known as Fogbank. We recommended that NNSA develop realistic schedules for the W76-1 and future LEPs that build in additional time for unexpected technical challenges that may delay the programs. NNSA agreed with our recommendation and has taken steps toward improvement in this area, which we continue to monitor.", "In addition to the B61-12 and W76-1 LEPs, NNSA and DOD are managing two other LEPs: the W88 Alteration 370 program and the W80- 4 LEP. Table 1 provides basic information on all four ongoing LEPs."], "subsections": []}, {"section_title": "Future Nuclear Modernization Plans and Their Affordability", "paragraphs": ["In addition to the four ongoing LEPs, NNSA and DOD have outlined plans for several future nuclear weapon modernization programs:", "Under NNSA\u2019s current program of record, which does not yet reflect new requirements that will be generated based on the 2018 Nuclear Posture Review, NNSA has plans for life extension efforts to transition the nuclear stockpile to three interoperable ballistic missile warheads and two air-delivered weapons. NNSA has described this plan as the 3+2 strategy. To undertake this strategy, NNSA has proposed initiating a series of interoperable warhead programs between about 2020 and 2060. NNSA\u2019s plans for the first ballistic missile warhead in the 3+2 strategy\u2014the Interoperable Warhead 1\u2014indicate that, if authorized by Congress, the warhead would cost an estimated $12.4 billion from 2020 to 2041. As we reported in August 2015, NNSA paused the Interoperable Warhead 1 program in fiscal year 2014 to provide more time to study the concept of interoperability and to reduce uncertainty about the agency\u2019s ability to achieve necessary plutonium and uranium capabilities to support the LEP. Under its current program of record, NNSA plans to resume the Interoperable Warhead 1 program in fiscal year 2019.", "Under its current program of record, NNSA has also begun preliminary planning for Interoperable Warhead 2, Interoperable Warhead 3, and B61-12 follow-on programs that, if authorized, would start in the 2020s and 2030s.", "In the 2018 Nuclear Posture Review, DOD stated a near-term intention to modify a small number of existing submarine-launched ballistic missile warheads to provide a low-yield option, and a long- term intention to pursue a modern nuclear-armed sea-launched cruise missile. The NNSA Administrator stated in March 2018 that NNSA would continue to work with DOD to determine the resources, time, and funding required to address these and other policies specified in the Nuclear Posture Review.", "As we concluded in an April 2017 report, these plans come during a particularly challenging decade for NNSA\u2019s nuclear modernization efforts, as the agency plans to simultaneously execute at least four LEPs along with major construction projects, such as efforts to modernize NNSA\u2019s uranium and plutonium capabilities. We further concluded that NNSA\u2019s modernization budget estimates for fiscal years 2022 through 2026 may exceed the funding levels programmed for modernization in future budgets, raising affordability concerns. Moreover, we concluded that NNSA had not addressed a projected \u201cbow wave\u201d of future funding needs\u2014that is, an impending and significant increase in requirements for additional funds\u2014or the mismatch between potential funding needs and potential funding available. We recommended that NNSA include an assessment of the affordability of NNSA\u2019s portfolio of modernization programs in future versions of the Stockpile Stewardship and Management Plan\u2014for example, by presenting options NNSA could consider to bring its estimates of modernization funding needs into alignment with potential future budgets. NNSA did not explicitly agree or disagree with our recommendation, but we will continue to monitor any actions NNSA takes in response to the recommendation."], "subsections": []}, {"section_title": "Objectives of the B61-12 LEP and the Roles and Responsibilities of NNSA and the Air Force", "paragraphs": ["The B61-12 LEP has several objectives: consolidating the nuclear bomb stockpile, improving the accuracy of the resulting weapon through a new guidance assembly, and addressing other age-related issues.", "Consolidating the stockpile. Under the B61-12 LEP, NNSA and the Air Force plan to consolidate and replace four of the five variants of the B61 that were in the active stockpile at the time the B61 LEP began.", "Improving accuracy. The B61-12 is to be equipped with a new tail kit guidance assembly that enables it to be delivered with greater accuracy than the B61 bombs it replaces, which are equipped with parachutes. More specifically, according to Air Force officials and documents, the assembly will provide the B61-12 with a guided freefall capability while retaining a ballistic (unguided) delivery capability. The greater accuracy of the B61-12 is to enable the B61-12 to meet all the military requirements for which past versions of the B61 were designed.", "Addressing other age-related issues. The B61-12 LEP is to extend the service life of the B61 by at least 20 years, make field maintenance of the weapon easier for Air Force technicians, and provide modern security features.", "NNSA manages its B61-12 LEP activities through a federal program office on Kirtland Air Force Base in Albuquerque, New Mexico, under the direction of the federal program manager. It manages the work of six government-owned, contractor-operated NNSA laboratories and sites that serve as design and production agencies for the LEP. Sandia National Laboratories, also located on Kirtland Air Force Base, serves as the systems-level integrator for the overall weapon design. Figure 2 shows the six sites participating in the B61-12 LEP and their respective roles.", "The Air Force\u2019s responsibilities, in addition to managing the acquisition of the tail kit guidance assembly, include integrating the B61-12 with its delivery aircraft and the operational flight program software of these aircraft. The Air Force Nuclear Weapons Center, also at Kirtland Air Force Base and under the direction of the Air Force lead project officer, manages technical integration and other LEP-related tasks required to qualify, certify, and field the weapon.", "The delivery aircraft that carry the B61-12 are being designed to deliver the weapon in two different modes with two different systems, the second of which provides the enhanced capabilities offered by the new tail kit guidance assembly. System 1 aircraft will have an analog interface with the B61-12 that is designed to deliver the weapon in a ballistic mode, with the tail kit in a fixed position. System 2 aircraft will have a digital interface with the B61-12, enabling the guided delivery capability afforded by the tail kit assembly. Figure 3 illustrates the delivery aircraft for the B61-12."], "subsections": []}]}, {"section_title": "NNSA Substantially Incorporated Best Practices in Developing the B61- 12 Program Cost Estimate", "paragraphs": ["NNSA substantially incorporated most of the cost estimating best practices identified by our past work when it developed the $7.6 billion program cost estimate for the B61-12 LEP. Our cost estimating guide identifies best practices for developing a high-quality, reliable cost estimate and identifies four characteristics of such an estimate: it is comprehensive, well-documented, accurate, and credible. These four characteristics and some of the best practices that underlie them are illustrated in figure 4.", "We assessed the B61-12 program cost estimate by comparing it with the best practices identified in our cost estimating guide and found that it substantially met the criteria for all four characteristics of a high-quality, reliable cost estimate (see fig. 5).", "A summary of our assessment is presented below, including reasons that the program cost estimate substantially met the criteria under each of the four characteristics as well as some examples of the best practices that the cost estimate could have more fully incorporated. Appendix I provides additional information on our assessment.", "Comprehensive: Substantially Met. The program established a consistent and clearly defined work breakdown structure\u2014a hierarchical structure that subdivides the work necessary to accomplish the program\u2019s objectives into smaller elements\u2014to ensure that costs were not double-counted or omitted. The clearly defined work breakdown structure also helped the B61-12 program office manage the process of integrating each site contractor\u2019s estimate for the cost of its activities into the overall program estimate. To more fully incorporate the criteria for a comprehensive cost estimate, the program would have had to take additional steps, such as including the full life-cycle costs associated with the B61-12 weapon in the estimate. Specifically, the estimate would have had to include costs such as program costs incurred prior to phase 6.3, the cost of NNSA federal program office personnel, components that are being shared by different nuclear weapon programs (such as the weapon\u2019s radar), and costs associated with maintenance of the B61-12 after the LEP ends and the weapon enters the stockpile. In addition, the estimate would have had to include an assessment of how the program would be affected if key assumptions, such as the timing of the delivery of the tail kit guidance assembly, did not hold true. Nevertheless, the program incorporated practices that substantially met the criteria for a comprehensive cost estimate, which we believe contributed to the program\u2019s estimate being reliable.", "Well-documented: Substantially met. In our visits to NNSA sites and our associated review of site contractors\u2019 documents, we found that site contractors provided detailed documentation of their contributions to the cost estimate to the B61-12 program office. At all of the sites we visited, experienced cost estimating teams captured specific information on the data and data sources used to inform their estimates. To more fully incorporate the criteria for a well-documented cost estimate, the documentation that the site contractors provided to the NNSA program office would have had to capture the reliability of the underlying data and discuss how the data were normalized. Nevertheless, the program incorporated practices that substantially met the criteria for a well-documented cost estimate, which we believe contributed to the program\u2019s estimate being reliable.", "Accurate: Substantially met. Technical personnel at both the NNSA sites and the Albuquerque federal program office discussed program risks to ensure that the program estimate represented a most likely, unbiased cost. Furthermore, all of the site-level cost estimates we examined\u2014which the federal program office integrates into the overall program cost estimate\u2014drew on historical data from primary sources, including internal financial systems from either past B61 costs or previous LEPs. Use of such sources is consistent with the best practice of grounding the estimates in a historical record of cost estimating and actual experiences on other comparable programs. In addition, the federal program office routinely reviews contract performance reports from each of the B61-12 sites to track variances between estimated and actual costs on a monthly basis. To more fully incorporate the criteria for an accurate cost estimate, the program would have had to use site estimates that were calculated in base- year dollars and then uniformly adjusted for inflation at the program level, and clearly defined the method it used to determine inflation indexes. Instead, all of the site contractors developed their cost estimates in then-year dollars and applied varied inflation indexes. Nevertheless, the program incorporated practices that substantially met the criteria for an accurate cost estimate, which we believe contributed to the program\u2019s estimate being reliable.", "Credible: Substantially met. The B61-12 LEP became the first LEP to undergo a statutorily required independent cost estimate, conducted by the Office of Cost Estimating and Program Evaluation. Additionally, a different NNSA office developed a third cost estimate for the program to aid in the preparation of NNSA\u2019s budget materials. Each of these three estimates used a different methodology. NNSA used this third estimate to cross-check overall program costs. Moreover, to assess risk and uncertainty in the program, most of the site estimates we reviewed included a detailed, quantifiable risk assessment for their portion of the overall program estimate. To more fully incorporate the criteria for a credible cost estimate, the program\u2019s sensitivity analysis would have had to more fully examine and document cost impacts for the overall estimate and the individual site estimates. Instead, according to NNSA officials, it focused primarily on schedule and critical path analysis. Moreover, to more fully incorporate the criteria for a credible cost estimate, the program would have had to address risk correlation and the calculation of confidence levels differently. In the program\u2019s analysis of risks and uncertainties in the program, we found the program inconsistently examined correlation among program risks. Specifically, according to NNSA officials, to arrive at the 70 percent confidence level for the overall program cost estimate, the program office added site-level cost estimates together at the 50 percent and 70 percent confidence levels. As noted in our cost guide, adding risk results for the underlying estimates in this way results in an incorrect confidence level for the overall estimate. Nevertheless, the program incorporated practices that substantially met the criteria for a credible cost estimate, which we believe contributed to the program\u2019s estimate being reliable.", "We consider a cost estimate to be reliable if the overall assessment ratings for each of the four characteristics are substantially or fully met\u2014as was the case with the B61-12 program cost estimate, which substantially met these criteria. For that reason, we are not making recommendations related to the program\u2019s use of cost estimating best practices. However, by fully incorporating all of the best practices for the four characteristics, NNSA can better ensure that its future cost estimates are of high quality and reliable."], "subsections": []}, {"section_title": "Varying Methods and Assumptions about Future Program Performance Led to Differences between the Estimates, but NNSA Did Not Document the Rationale for Adopting the Program\u2019s Estimate Unchanged", "paragraphs": ["The $7.6 billion program cost estimate for the B61-12 LEP differs from the $10 billion independent cost estimate primarily because the program office used different methods and assumptions than the Office of Cost Estimating and Program Evaluation, which prepared the independent cost estimate. The B61-12 program developed its estimate by compiling site- specific cost and schedule estimates for activities at each of the NNSA sites participating in the LEP; in contrast, the independent cost estimate projected a cost and completion date by evaluating program activities completed to date and applying a historical model to estimate costs and durations for remaining activities. As noted in our cost guide, both of these methods are commonly applied. To reconcile the differences between the two estimates, high-ranking NNSA officials met with officials from the B61-12 program office and the Office of Cost Estimating and Program Evaluation to discuss the estimates in 2016. However, NNSA did not document the rationale for its decision to use the program office\u2019s lower estimate unchanged or a plan for how it would take the independent cost estimate into consideration. We previously recommended that NNSA should establish a requirement for its management to document and justify key decisions based on a reconciliation of LEP cost estimates with the Office of Cost Estimating and Program Evaluation\u2019s independent cost estimates. NNSA agreed with this recommendation."], "subsections": [{"section_title": "The B61-12 Program Office and the Office That Developed the Independent Cost Estimate Used Different Estimating Methods and Assumptions", "paragraphs": ["Cost estimating best practices specify that programs should develop a point estimate\u2014the best guess at the program\u2019s cost estimate, given the underlying data\u2014by collecting, analyzing, and validating program data and then using one of several commonly used methods for estimating the program\u2019s cost. Once a program has developed a point estimate, the program should compare it to an independent cost estimate, which gives an objective measure of whether the program\u2019s point estimate is reasonable. In January 2017, NNSA issued two directives implementing statutory requirements for the Office of Cost Estimating and Program Evaluation to develop independent cost estimates for NNSA programs, including LEPs.", "The differences between the respective cost estimating methods, both of which are valid, used by the B61-12 program office and the Office of Cost Estimating and Program Evaluation are the primary reason for the differences between the program estimate and the independent cost estimate. According to B61-12 program officials, the program generally developed its point estimate by using a \u201cbottom-up\u201d method formally known as the \u201cengineering build-up\u201d cost estimating method. In using this method, a program subdivides the work necessary to accomplish its objectives into a work breakdown structure. The program then develops estimates of costs at the lowest level of the work breakdown structure, one piece at a time, and uses the sum of the pieces to form the overall estimate. To develop its cost estimate, the B61-12 program office required all participating NNSA site contractors to prepare and submit their own cost estimates for the work to be performed on the LEP and provided instructions on what data to provide to the program office. For example, these instructions specified that all sites must apply a bottom-up estimating approach that includes detailed quantities and integrated resource-loaded schedules for all work breakdown structure elements under their management. The program office then compiled the site- provided information in a database to arrive at a total program cost. The program office also aggregated schedule information from the sites, which maintain detailed resource-loaded integrated site schedules, to develop an NNSA Integrated Master Schedule. As we previously noted, the program office estimated in October 2016, based on this process, that NNSA\u2019s portion of work on the B61-12 LEP would cost $7.6 billion and that the LEP would be completed in fiscal year 2025, with a first production unit date of March 2020.", "In contrast, to develop the independent cost estimate, the Office of Cost Estimating and Program Evaluation used an estimating method that employed data on the B61-12 LEP\u2019s actual performance, coupled with historical information from the W76-1 LEP for stages of the phase 6.X process that the B61-12 LEP had not yet reached. Specifically, the office gathered data on 1,600 activities in the NNSA Integrated Master Schedule for the LEP. The office tracked these 1,600 activities from August 2014 through March 2016 by evaluating data from successive versions of the NNSA Integrated Master Schedule, which the B61-12 program office updates monthly based on actual program performance to date. In a memo summarizing the office\u2019s independent cost estimate, the office stated that the program\u2019s task completion rate lagged the baseline plan. The office concluded that the LEP\u2019s first production unit date would occur 2 years after the March 2020 target date unless the program took measures to reduce the LEP\u2019s scope by removing tasks, delaying activities until after the first production unit date, or relaxing requirements to accommodate less mature components than originally planned. The office also concluded, based on the program\u2019s spending rate of approximately $45 million per month, that pre-first production unit costs would increase by about $1 billion over the program\u2019s estimate. To estimate the cost and schedule of the program after the first production unit date, the office used both B61-12 LEP actuals and historical information from the W76-1 LEP, comparing W76-1 funding levels to B61- 12 spending levels. On the basis of its analysis, the office concluded that full-scale production of the B61-12 would cost approximately $1 billion more than the program office estimated. All told, the independent cost estimate projected that the B61-12 LEP would cost approximately $10.0 billion and take about 2 years longer\u2014with a projected completion date in fiscal year 2027\u2014barring changes to the program\u2019s scope.", "The B61-12 program office and the Office of Cost Estimating and Program Evaluation also have differences of opinion regarding the continued validity of the August 2014 schedule performance data and its relevance to the independent cost estimate. According to B61-12 program officials, the information in the NNSA Integrated Master Schedule improved and changed after the Office of Cost Estimating and Program Evaluation gathered initial schedule performance data in August 2014 and used this information as a starting point to evaluate the program\u2019s performance. These issues include the following:", "The officials described the data available to the Office of Cost Estimating and Program Evaluation in August 2014 as tentative, saying that the program can now use the NNSA Integrated Master Schedule to track performance at a more detailed level.", "According to B61-12 program officials, the program made important decisions that affected components on the program schedule\u2019s critical path at the time the August 2014 schedule performance data were gathered. Subsequent to establishing the baseline, for example, the program office restructured the path to first production unit for high- explosives components, correcting errors that had been captured in the August 2014 data and changing to a more streamlined approach to qualify high-explosives components from legacy material. This decision affected the program\u2019s critical path to first production unit, moving the completion date earlier.", "The program undertook schedule recovery efforts that eased schedule constraints affecting other program elements that were on the critical path at the time of the August 2014 data.", "As a result of these factors, B61-12 program officials said that the entire baseline schedule that the Office of Cost Estimating and Program Evaluation analyzed appeared more problematic than the updated schedule and that the entirety of the independent cost estimate was thrown off by the obsolete August 2014 data.", "Officials from the Office of Cost Estimating and Program Evaluation told us they disagree with the B61-12 program office\u2019s assessment of the independent cost estimate schedule analysis. These officials said that they understand that the schedule baseline is continuously changing but that the independent cost estimate schedule analysis is not dependent on a particular baseline. Rather, they said that the analysis is based on actual schedule performance for the 1,600 activities that represent the scope required to achieve the design maturity and that the program office specified in August 2014 as needed to reach the first production unit (phase 6.5) milestone.", "Officials from the Office of Cost Estimating and Program Evaluation said that although they will not formally assess the B61-12 LEP\u2019s schedule again until the end of phase 6.4 of the program, their informal analysis of NNSA Integrated Master Schedule data as of February 2017 still showed the same rate of activity completion that underpinned the office\u2019s independent cost estimate. At some point, according to these officials, the program will have to double or even triple its rate of activity completion to finish the LEP on schedule, which will increase cost. In contrast, B61-12 program officials stated that, given the improved quality of the program\u2019s integrated master schedule data, they expect that the independent cost estimate that the Office of Cost Estimating and Program Evaluation prepares at the end of phase 6.4 of the LEP will be closer to the program\u2019s estimate than to the October 2016 independent cost estimate.", "Program officials also said that the program\u2019s performance to date supports their position that the program cost estimate is accurate.", "The positions of the two offices also differ regarding the B61-12 program\u2019s ability to accelerate work in the production stages of the LEP to ensure that the LEP meets its completion date. B61-12 program officials stated that they have options other than to complete tasks sequentially and at a steady rate, so they do not expect the \u201cstraight-line\u201d level of productivity assumed in the independent cost estimate analysis to occur. For example, some parts do not have to be built in a particular sequence. Instead, program officials said, the production agencies can build different lots of components when they are ready, so technologies that are ready earlier than others can be moved to production in the war reserve lot while other components remain in earlier stages. They also said that the program would not maintain an even spending rate of $45 million per month, as suggested in the independent cost estimate. Rather, they noted, the program\u2019s spending rate is currently $55 million a month, and the program plans for it to rise to $65 million per month as the current production engineering phase of the LEP draws to a close and the production agencies accelerate their activities. These factors notwithstanding, one Office of Cost Estimating and Program Evaluation official observed that activities in the later stages of an LEP remain complex and carry risks. The official cited the history of the challenges that led to the delay of first production of the W76-1, cited earlier in this report, and said that the B61-12 program faces the added challenges of having to integrate with several delivery aircraft and of having more electronic components than the W76-1. As noted in our cost estimating guide, studies have shown limited opportunity for getting a delayed program back on track after it is more than 15 percent to 20 percent complete."], "subsections": []}, {"section_title": "NNSA Officials Met to Reconcile the Program\u2019s Cost Estimate and the Independent Cost Estimate but Did Not Document the Rationale for Adopting the Program\u2019s Estimate Unchanged", "paragraphs": ["Cost estimating best practices specify that a program cost estimate and an independent cost estimate should be reconciled and that differences between them should be examined and discussed to achieve understanding of overall program risk. Officials from NNSA, including from the Office of Cost Estimating and Program Evaluation and the B61- 12 program office, told us that they held several discussions in 2016 regarding the differences between the program estimate and the independent cost estimate. These included a meeting with the second- highest ranking official in NNSA\u2014the principal deputy administrator\u2014 during which the respective offices presented their estimates and explained the methods used to produce them. After these meetings, the principal deputy administrator and the NNSA Administrator agreed to approve the program estimate unchanged.", "According to B61-12 program officials, the program adapted some of its practices as a result of their interactions with the Office of Cost Estimating and Program Evaluation. For example, officials said that they changed the program\u2019s procedure for baseline changes to ensure consistency across the participating sites. The program also began to conduct baseline execution index analyses, as the Office of Cost Estimating and Program Evaluation recommended. Baseline execution index analyses track a program\u2019s execution of tasks to date by monitoring the percentage of activities that a program has completed early or on time and that have a baseline for completion within the month the analysis is conducted. According to program officials, similar to a schedule performance index in an earned value management system, the baseline execution index gives an alternate cumulative measure that gives a program an opportunity to improve as it proceeds.", "However, B61-12 program officials said that they did not document the rationale for adopting the program cost estimate without making changes informed by the independent cost estimate. They told us that any attempt to combine the results of the two estimates would have been difficult, considering the significant differences between the program\u2019s cost estimating model and the Office of Cost Estimating and Program Evaluation\u2019s model. We recommended in a January 2018 report that NNSA should establish a requirement for its management to document and justify key decisions based on a reconciliation of LEP cost estimates with the Office of Cost Estimating and Program Evaluation\u2019s independent cost estimates. We concluded in the report that without a requirement for its management to document and justify key decisions based on a reconciliation of program cost estimates with the Office of Cost Estimating and Program Evaluation\u2019s independent cost estimates, NNSA may not have assurance that the independent cost estimates are being appropriately incorporated into the LEP decision-making process, potentially decreasing the reliability of program cost estimates. Our prior work has shown that, in general, because the independent cost estimate team is outside the acquisition chain, is not associated with the program, and has nothing at stake with regard to program outcome or funding decisions, its estimate is usually considered more accurate than the program\u2019s internal estimate. In addition, our prior work has shown that independent cost estimates are historically higher than program office cost estimates because the team conducting the independent cost estimate is more objective and less prone to accept optimistic assumptions. However, we have also found that because independent cost estimates are typically higher than program office cost estimates, in some cases management may choose to ignore them because the estimates are too high. NNSA agreed with our January 2018 recommendation, stating that by March 2018, it would establish a protocol to document management decisions regarding significant variances between LEP cost estimates and the independent cost estimates produced by the Office of Cost Estimating and Program Evaluation. However, NNSA has not provided evidence that it has done so. We continue to believe that documenting key decisions regarding cost estimates is particularly important in the context of LEPs, where decisions could increase a program\u2019s costs by billions of dollars."], "subsections": []}]}, {"section_title": "NNSA and DOD Have Identified Risks and Are Taking Steps to Manage Them", "paragraphs": ["NNSA and DOD have identified and are managing various risks that could complicate efforts to meet the fiscal year 2025 completion date for the B61-12 LEP. Some of these risks that the agencies are managing are within the program\u2019s areas of responsibility, such as an aggressive flight test schedule, and additional risks could be identified within these areas. To manage risks, the program uses a formal risk management process and has taken steps such as consolidating flight tests and holding more regular meetings between NNSA\u2019s design and production agencies. The program also faces risks that program officials told us lie outside the program\u2019s direct control\u2014such as risks related to the F-35 delivery aircraft, nuclear certification, and NATO coordination issues\u2014and officials said they have provided information to the responsible DOD organizations to help address these risks."], "subsections": [{"section_title": "NNSA and DOD Have Taken Steps to Identify and Help Manage Risks within the Program\u2019s Responsibility, and They May Identify Additional Risks", "paragraphs": ["NNSA and DOD have taken steps to identify and help manage risks within the B61-12 LEP\u2019s responsibility, and program officials said that they may identify additional risks as the program progresses. More specifically, the program has a formal risk management process through which it has identified risks and could identify additional risks as the program proceeds, according to agency officials. Risks already identified and being managed include risks related to the program\u2019s aggressive schedule of flight tests and to finalizing design and coordinating procurement and delivery of components."], "subsections": [{"section_title": "Risk Identification Process", "paragraphs": ["The B61-12 LEP has a formal risk management process that has identified joint NNSA and Air Force risks within the program\u2019s areas of responsibility that could significantly impact the overall program\u2019s schedule, its cost, or the technical performance of the weapon. According to program officials and the Program Joint Risk Management Plan, this process calls for each program element in NNSA or the Air Force to be responsible for identifying and managing risks at the lowest level possible. After the program element reviews and documents a risk, it then reviews the risk to determine its applicability to be considered a joint risk\u2014that is, a risk that has the potential to affect any of the top-level program milestones or the program\u2019s ability to successfully meet system performance requirements. Program officials told us that the Air Force lead project officer decides whether to accept the risk into the joint risk list. Senior management oversees those risks through a formal management plan.", "The process includes continual reviews to identify new risks that may emerge. The Joint Risk Review Board meets as new potential risks are identified to review their likelihood and consequence. Officials from both the Office of Cost Estimating and Program Evaluation and DOD\u2019s Office of Nuclear Matters told us that during phase 6.4 and thereafter, the program may still discover new risks\u2014\u201dunknown unknowns\u201d\u2014during technical tests to qualify components and the development of production processes.", "The process also has steps to manage risks and remove them from the joint high-risk list, if the Joint Risk Management Board judges them to have been resolved to closure or a low-risk status, according to program officials. NNSA and DOD program officials said that the program\u2019s risk management process has resulted in the resolution of about three- quarters of the identified high risks on the joint risk list. They also observed that the program\u2019s Selected Acquisition Reports, through which NNSA and the Air Force report to the congressional defense committees on the program\u2019s cost and schedule, have been unchanged since 2013 regarding major program milestones. Program officials said that to provide a 90-day schedule buffer and add flexibility to the program\u2019s schedule in the event of unexpected difficulties, the program has planned to reach phase 6.5 in December 2019, ahead of the phase 6.5 date of March 2020 that is reported in the Selected Acquisition Reports. However, other officials told us that it is too soon to say whether the program can manage the identified risks, or other unidentified risks, to prevent delays in a program that has relatively little schedule margin. Problems can emerge even during the first production stage of an LEP, as happened in the W76-1 LEP due to the Fogbank production challenges we discuss earlier in this report and in our March 2009 review of W76 and B61 modernization efforts."], "subsections": []}, {"section_title": "Managing Risks Related to the Program\u2019s Aggressive Schedule of Flight Tests", "paragraphs": ["DOD and NNSA officials we interviewed generally agreed that the program faces risks in completing an aggressive flight testing schedule to support the first production unit deadline. According to the officials, the B61-12 program needs to complete more than 60 flight tests over a 3- year period to meet this deadline. Completing the tests entails actively coordinating with the Air Force organizations that manage the various aircraft that will carry the B61-12 weapon: the B-2 bomber and the F-15, F-16, F-35, and PA-200 fighters. According to B61-12 program officials, aircraft may not be available when needed for the planned flight testing. This risk is of particular concern for B-2 bombers, they said, because only one B-2 test unit is available and it is in heavy demand for other Air Force purposes. Program officials characterized the flight test schedule as aggressive and ambitious, but feasible, and told us the program has managed the risks caused by the tight testing timeframes by coordinating with the responsible organizations and consolidating tests to minimize the amount of time required on each type of aircraft. Further, when aircraft are not available as planned, program officials said they can revise the sequence of tests. For instance, they accommodated the unavailability of a B-2 test asset on a planned test date by moving up a test date on the F- 16. This schedule adjustment avoided a ripple effect of delays on the overall testing schedule, according to Air Force officials. The video in figure 6 shows an F-16 dropping an inert B61-12 bomb during a flight test on March 14, 2017.", "NNSA and DOD have identified and taken steps to manage risks related to finalizing the weapon\u2019s design and coordinating the procurement and delivery of components. These risks include:", "Technical risks associated with the design and production of various components. Officials told us some components of the bomb and tail kit assembly are on the program\u2019s list of joint risks. They said that their use of the joint risk management process calls management attention to potentially serious risks and helps the program to manage these risks as early and as continually as possible. For example, NNSA officials said that when technical risks arose in designing one classified component on the program\u2019s critical path\u2014potentially affecting the design schedule\u2014they augmented the design team with additional scientists in an effort to ensure that the component would be completed in time to support the production schedule. Similarly, to manage design risks related to the exacting specifications for certain components, Kansas City National Security Campus is working to develop sufficiently precise gages to measure the required specifications during production.", "Late design changes from design agencies provided to the production agencies. NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship and Management Plan identified late changes to component design as a risk facing the B61-12 program and other LEPs. Contractor officials we interviewed from the Kansas City National Security Campus and the Pantex Plant said that late changes to weapon design requirements from the Sandia and Los Alamos design agencies could create schedule problems for establishing production processes at the production sites. Kansas City National Security Campus officials expressed concerns that some component requirements continue to change\u2014some arising from testing results\u2014which creates a tension between improving the design and stabilizing production requirements and processes. Pantex officials also told us about a potentially significant production delay if late design changes require Pantex to get new production tools or testers. Late design changes could occur as scientists at the design agencies analyze test results. Flight tests, for example, produce a volume of information. Officials at the federal program office in Albuquerque said that 4 test flights on the B-2, conducted in July 2017, produced 4 to 6 hours\u2019 worth of data per flight. Officials at both the Pantex and Kansas City sites said they have developed management strategies to provide some flexibility in their production schedules, such as speeding production by having staff work longer shifts. Moreover, because of lessons learned from prior LEPs, officials at both sites told us that coordination between production sites and design agencies has significantly improved over past practices\u2014 specifically, by having ongoing engagement that started earlier in the weapon development process. For instance, Pantex officials told us that they hold monthly meetings with design agencies to discuss design changes. A Pantex official told us that, as a result of addressing production concerns early, design requirements developed at the design agencies are less likely to result in unanticipated production problems.", "Vendor risks associated with procuring various bomb components. According to NNSA officials we interviewed, some bomb components are procured through single commercial vendors, in small lots, or are unusual. Kansas City National Security Campus officials told us that they had to replace one vendor that could no longer provide a certain material and that they generally risk losing potential or existing vendors because vendors prefer contracts for larger volumes of components than NNSA needs for the B61-12 bomb. In addition, unique materials for the bomb include certain components with specific compositions of rubber and plastics. Officials at the Kansas City National Security Campus said that they have encountered difficulties with getting rubber and plastic components from vendors that consistently meet composition specifications or with sustaining vendors\u2019 interest in producing small batches of precision-manufactured components. In one such instance, they said they improved incentives and communication with a vendor to avoid losing a source for a key component. The officials said they also contract with smaller vendors when larger vendors may not be interested in the size of the contract NNSA offers.", "Delays in delivery of components from other production sites to Pantex for full bomb assembly. NNSA and Pantex officials told us that Pantex, which will assemble the full B61-12 bomb, depends on the other production sites delivering the components in a timely manner. NNSA production sites are scheduled to provide components to Pantex 120 days before the first production unit date. Pantex and NNSA officials have identified some schedule flexibility for assembling the first production unit at Pantex, depending on which components have delayed deliveries. Specifically, if the delayed components are those needed later in the assembly process, such as the bomb\u2019s nose assembly, Pantex could stay on schedule by assembling other delivered components until the delayed components are needed. Delivery of other components, such as detonators, is more time- sensitive, and it is essential that these be delivered on time for assembly to proceed as planned, according to Pantex officials."], "subsections": []}]}, {"section_title": "NNSA and DOD Have Taken Steps to Identify and Help Manage Risks outside the Program\u2019s Direct Control", "paragraphs": ["According to program officials, certain risks that may have a bearing on the B61-12 LEP or that may affect the fielding of the weapon lie in areas outside the program\u2019s direct control. Nevertheless, program managers have taken steps to coordinate with other responsible parties to help address these risks. For example, two of the three delivery aircraft designated as system 2 aircraft\u2014the F-35 and the B-2\u2014have not yet completed development and procurement of operational flight program software that will enable the aircraft to deliver the B61-12 with the enhanced accuracy offered by the tail kit assembly, a key feature of the LEP. B61-12 program officials told us that the program offices responsible for each of these aircraft must manage the development and procurement of the operational flight program software. To help inform the software development process, the B61-12 program provided the F-35 and B-2 program offices with information about the weapon\u2019s interface with the airplane, including information from flight tests performed on an earlier version of the F-35, according to program officials. NNSA and DOD officials characterized B-2 development related to the B61-12 as significantly more advanced than F-35 development. Specifically, Air Force officials said that a developmental version of the B-2 operational flight program software was fielded and certified in 2017 and would undergo final weapon system demonstration flight tests in October 2019 and nuclear design certification in June 2020. By contrast, they said that the F-35 software will not be ready for nuclear design certification until January 2023, after the B61-12 program\u2019s first production unit date. The F-35 program office will be responsible for funding tests and aircraft- weapon integration activities, according to the Air Force officials. Because of the need to defer some flight tests until the software for the B-2 and F- 35 aircraft is ready, only one of the three system 2 delivery aircraft has undergone testing of the B61-12 bomb\u2019s capabilities in its system 2 setting: the F-15E, on which NNSA and DOD conducted the first system 2 tests of the B61-12 in August 2017.", "Other risks outside the program\u2019s direct control concern nuclear certification and the NATO mission. Nuclear certification\u2014ensuring that people and objects that come into contact with the weapon will not adversely affect its performance characteristics\u2014is a prerequisite to fielding the B61-12 and other nuclear weapons, but it is the responsibility of the Air Force organizations that manage the delivery aircraft. In a classified report issued in January 2018, we discuss risks related to nuclear certification of dual capable aircraft, which are able to deliver conventional munitions or nuclear bombs. B61-12 program officials told us that they are working to address these risks by providing information on the weapon to all of the organizations that manage the delivery aircraft. Similarly, in another classified report issued in February 2018, we discuss a risk related to the NATO mission that may affect the B61-12 LEP; program officials told us that they are working to address this risk, as well. We made recommendations in the two classified reports related to these risks; the responsible agencies agreed with our recommendations and stated their intention to take action in response to them."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to NNSA and DOD for comment. NNSA provided technical comments, which we incorporated as appropriate. DOD indicated that it did not have any comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Defense and Energy, the Administrator of NNSA, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to the report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Results of GAO\u2019s Assessment of the B61-12 Life Extension Program Cost Estimate Compared with Best Practices", "paragraphs": [], "subsections": [{"section_title": "Characteristic Comprehensive", "paragraphs": ["Best practice The cost estimate includes all life cycle costs. The cost estimate completely defines the program, reflects the current schedule, and is technically reasonable. The cost estimate work breakdown structure\u2014a hierarchical structure that subdivides the work necessary to accomplish the program\u2019s objectives into smaller elements\u2014is product-oriented, traceable to the statement of work/objective, and at an appropriate level of detail to ensure that cost elements are neither omitted nor double-counted. The estimate documents all cost-influencing ground rules and assumptions. The documentation should capture the source data used, the reliability of the data, and how the data were normalized. The documentation describes in sufficient detail the calculations performed and the estimating methodology used to derive each element\u2019s cost. The documentation describes step by step how the estimate was developed so that a cost analyst unfamiliar with the program could understand what was done and replicate it. The documentation discusses the technical baseline description, and the data in the baseline is consistent with the estimate. The documentation provides evidence that the cost estimate was reviewed and accepted by management. The cost estimate results are unbiased, not overly conservative or optimistic, and based on an assessment of most likely costs. The estimate has been adjusted properly for inflation.", "The estimate contains few, if any, minor mistakes. The cost estimate is regularly updated to reflect significant changes in the program so that it always reflects current status. Variances between planned and actual costs are documented, explained, and reviewed. The estimate is based on a historical record of cost estimating and actual experiences from other comparable programs."], "subsections": []}, {"section_title": "Characteristic Credible", "paragraphs": ["Best practice The cost estimate includes a sensitivity analysis that identifies a range of possible costs based on varying major assumptions, parameters, and data inputs. A risk and uncertainty analysis was conducted that quantified the imperfectly understood risks and identified the effects of changing key cost driver assumptions and factors. Major cost elements were cross checked to see whether results were similar. An independent cost estimate was conducted by a group outside the acquiring organization to determine whether other estimating methods produce similar results."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Jonathan Gill (Assistant Director), Rob Grace (Analyst in Charge), Terry Hanford (Senior Analyst), and Jennifer Leotta (Senior Operations Research Analyst) made key contributions to this report. Also contributing to this report were Antoinette C. Capaccio, Scott Fletcher, Penney Harwell Caramia, Cynthia Norris, Karen Richey, and Sara Sullivan."], "subsections": []}]}], "fastfact": ["The National Nuclear Security Administration undertakes life extension programs to refurbish/replace aging components of nuclear weapons. NNSA recently estimated that the program for the B61-12 nuclear bomb would cost about $7.6 billion\u2014but an independent estimate put the cost at $10 billion.", "We found that NNSA incorporated best practices for cost estimates for the program, but also found room for improvement\u2014such as documenting management decisions on the differences between these two cost estimates."]} {"id": "GAO-18-99", "url": "https://www.gao.gov/products/GAO-18-99", "title": "Nuclear Weapons: NNSA Needs to Determine Critical Skills and Competencies for Its Strategic Materials Programs", "published_date": "2017-11-14T00:00:00", "released_date": "2017-11-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NNSA is responsible for ensuring a sustainable supply of strategic materials critical to the nation's nuclear security missions, as well as the capability to process these materials. NNSA estimates that strategic materials management activities will cost about $7.7 billion over the next 5 years.", "The House Report accompanying H.R. 4909, a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for GAO to review NNSA's management of its strategic materials programs. This report examines (1) the extent to which NNSA has, for these programs, defined requirements, including program manager roles and responsibilities, and (2) the progress of NNSA's implementation of those program requirements.", "GAO reviewed NNSA program management policies and documents related to its strategic materials program manager positions and interviewed NNSA officials and program managers."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy's (DOE) National Nuclear Security Administration (NNSA) manages strategic materials programs for uranium, plutonium, tritium, and lithium\u2014materials that are critical to national security. NNSA has set program requirements that each of the programs must follow and has established the roles and responsibilities of the program managers. NNSA has defined these requirements in two documents:", "Program Execution Instruction (2016). Outlines requirements for program management documents, such as a program plan, cost and schedule estimates, and an integrated master schedule that includes the entire scope of work for successful execution.", "Program Management Policy (2017). Outlines the program managers' authority and requirements for managing the strategic materials programs, such as managing risk, and requires each program to develop documents, such as a mission strategy and technology development plan.", "NNSA officials reported that the agency is making progress implementing the requirements outlined for each of the strategic materials programs, although some of the programs are farther along than others. For example:", "The uranium and domestic uranium enrichment programs established in 2014 are the furthest along and have developed the documents needed to meet strategic program requirements.", "The plutonium program has met some of the requirements, such as developing a program plan, work breakdown structure, and decision analysis, but does not yet have an integrated master schedule.", "The tritium program met the requirements during the course of GAO's review.", "The lithium program, which is the newest, has made the least amount of progress and to date has developed only a mission strategy, a mission requirements matrix, and a technology development plan.", "According to NNSA officials, shortage of staff assigned to the strategic materials programs has been the primary reason hampering progress in implementing the program requirements. For example, a lithium program manager has not yet been assigned, and all the other programs have identified the need for additional staff beyond the one or two staff currently assigned to each. According to officials, competing agency priorities and perceived staffing limits are the primary impediments to assigning more staff to these programs. However, GAO also found that NNSA has not determined the critical skills and competencies needed for these programs. GAO's prior work has identified certain activities or practices that can help an agency strategically manage its human capital. These activities include determining the critical skills and competencies that will be needed to achieve the program's mission and developing strategies to address gaps in the number, deployment, and alignment of staff needed. By determining the critical skills and competencies needed for the strategic materials programs and using this determination to develop strategies to address any gaps in the number, deployment, and alignment of program staff, NNSA may have the information it needs to better justify increased staffing levels for the programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NNSA determine the critical skills and competencies that will be needed for the strategic materials programs and use this determination to develop strategies for addressing any gaps related to the number, deployment, and alignment of program staff. NNSA agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Certain materials\u2014such as uranium, plutonium, tritium, and lithium\u2014are critical to the nuclear security missions of the Department of Energy (DOE). These missions include ensuring a safe, secure, and reliable nuclear deterrent; achieving designated reductions in the nuclear weapons stockpile; and supporting the nation\u2019s nuclear nonproliferation efforts. Managing these missions is the responsibility of the National Nuclear Security Administration (NNSA), a separately organized agency within DOE. To carry out this responsibility, NNSA must ensure a sustainable supply of these materials, which NNSA calls strategic materials. For example, NNSA is seeking to establish a new capability to enrich uranium\u2014a capability that it lost with the 2013 closure of the aging Gaseous Diffusion Plant in Paducah, Kentucky\u2014to sustain the production of tritium.", "NNSA has established programs for ensuring the supply of each of these four strategic materials, as well as a separate strategic materials program specifically to develop the new domestic uranium enrichment capability. NNSA\u2019s Office of Defense Programs, responsible for implementing NNSA\u2019s stockpile mission, in 2014 and 2015 named federal program managers to oversee the uranium, domestic uranium enrichment, plutonium, and tritium programs and has designated a lead point of contact for the lithium program. As we reported in November 2016, program managers play key roles in the federal government, including overseeing contracts to help agencies get what they need at the right time and at a reasonable price.", "The strategic materials program managers and lithium lead point of contact are responsible for complex programs that may take decades and cost billions of dollars to execute and that often include the design and construction of major projects (i.e., those with an estimated cost of $750 million or greater). Such projects include the Uranium Processing Facility (UPF), which is under construction in Tennessee to replace and modernize a portion of NNSA\u2019s enriched uranium capabilities, and a variety of activities to replace the capabilities of the Chemistry and Metallurgy Research Facility\u2014built in the 1950s\u2014in New Mexico for conducting plutonium analysis. NNSA estimated that it would cost about $1.4 billion in fiscal year 2018 to carry out its annual activities associated with its strategic materials programs.", "The House Armed Services Committee report accompanying H.R. 4909, a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for us to review NNSA\u2019s management of its strategic materials programs. This report examines (1) the extent to which NNSA has, for its strategic materials programs, defined program requirements, including program manager roles and responsibilities; and (2) the progress of NNSA\u2019s implementation of those program requirements.", "To examine the extent to which NNSA has defined program requirements for its strategic materials programs, we reviewed NNSA directives on program management, including its 2016 Program Execution Instruction. To review NNSA\u2019s definition of strategic materials program manager roles and responsibilities, we reviewed the NNSA memorandums that created and described strategic materials program manager positions, where applicable, as well as NNSA\u2019s 2017 Program Management Policy for Weapons and Strategic Materials Programs. To examine NNSA\u2019s progress toward implementing program requirements for its strategic materials programs, we obtained and reviewed all of the documents that NNSA programs had completed as of June 2017 in response to requirements contained in NNSA\u2019s 2017 Program Management Policy for Weapons and Strategic Materials Programs. In addition, we obtained and reviewed documents for a nonprobability sample of 22 of the 65 total requirements that strategic materials programs must implement based on NNSA\u2019s 2016 Program Execution Instruction. This sample included key documents such as program plans and the work breakdown structures for all of the strategic materials programs. The results of our review of this sample of requirements are not generalizable but represent illustrative examples of NNSA\u2019s progress. NNSA also identified a number of documents that were still being developed in response to both sets of requirements. We interviewed all four of NNSA\u2019s appointed strategic materials managers and the lithium lead point of contact, as well as other NNSA officials to better understand the steps NNSA had taken as of September 2017 to implement these requirements. We also reviewed NNSA\u2019s budget requests for fiscal years 2016, 2017, and 2018 and other relevant agency documents, such as strategies and implementation plans for the strategic materials programs.", "We conducted this performance audit from June 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NNSA\u2019s strategic materials programs include a broad range of activities. The programs often include (1) building unique new facilities, (2) modifying and repairing existing facilities and equipment, and (3) developing and deploying new technologies for processing and producing strategic nuclear materials. The programs may involve multiple NNSA and DOE sites and multiple facilities at a given site. For example, since the days of the Manhattan Project, a large portion of the nation\u2019s uranium mission has been executed at the Y-12 National Security Complex in Oak Ridge, Tennessee, with uranium production and associated operations housed in several nuclear facilities within the complex. These facilities are in some cases more than 60 years old. NNSA\u2019s uranium program is coordinating efforts to build the UPF, invest in the infrastructure of existing facilities to extend their lives, and develop and deploy several new technologies that are expected to increase the efficiency and effectiveness of uranium processing. Collectively, these uranium program activities may take more than 2 decades to implement and cost several billion dollars.", "NNSA\u2019s 2017 future-years nuclear security program estimate projected that NNSA would need about $1.4 billion in fiscal year 2018 to carry out its annual activities associated with the management of these strategic materials programs (see table 1). NNSA documents indicate that the agency expects to spend about $7.7 billion over the next 5 years on activities related to managing its strategic materials. This spending, which would represent about 12 percent of the approximately $63 billion NNSA expects to spend on all weapons activities over this same time period, includes: $4.8 billion for costs related to construction of facilities and other capital equipment purchases that will be used to support the strategic materials mission; and $2.9 billion for program costs related to general activities such as reducing risk and ensuring sufficient supply, as well as the consolidation, disposition, tracking, and accounting of nuclear materials.", "Program managers are an important part of the federal government\u2019s workforce. They interact with the managers of individual projects to provide support and guidance on those projects but also must take a broad view of the overall objectives of programs and an agency\u2019s organizational culture. According to leading practices outlined by the Project Management Institute, organizations develop program plans, capture and understand stakeholder needs, and establish processes for maintaining program management oversight, among other activities. Recognizing the importance of improving program management, in December 2016 the President signed the \u2018\u2018Program Management Improvement Accountability Act\u201d that required the Office of Management and Budget to, among other things, adopt and oversee implementation of government-wide standards, policies, and guidelines for program and project management for executive agencies and assess the quality and effectiveness of program management for these agencies. We have previously reported on DOE\u2019s and NNSA\u2019s program management challenges.", "In March 2009, we found that NNSA and the Department of Defense (DOD) established unrealistic schedules, did not establish consistent cost baselines, and did not effectively manage technical risks in some of their nuclear weapon life extension programs. These problems resulted in delays, additional expenditures, difficulties tracking the cost of the programs, and difficulties in meeting all of NNSA\u2019s and DOD\u2019s technical objectives. We recommended that NNSA develop and use consistent budget assumptions and criteria for the baseline to track costs over time, among other actions. NNSA agreed with our recommendations and made changes to its cost estimating procedures.", "In November 2014, we found that the lack of requirements for programs meant that DOE could not ensure that it was developing fully credible cost estimates for programs. We recommended that DOE revise its program management directives to require that programs develop life-cycle cost estimates in accordance with our 12 cost-estimating best practice steps. DOE agreed with our recommendation but has not yet incorporated the best practice steps into its program management directives.", "In February 2016, we found that the B61-12 life extension program, the most complex such program NNSA has undertaken to date, faces ongoing management challenges in some areas, including staff shortfalls and an earned value management system that has yet to be tested. We did not make any recommendations but reiterated previous recommendations such as those already mentioned.", "In November 2016, we found that DOE and NNSA had not established organization-wide policies or practices addressing leading practices related to program management, and we recommended that DOE do so. DOE did not agree or disagree with this recommendation. NNSA, however, in late 2016 instituted a training program for program management.", "NNSA\u2019s stockpile stewardship program has established strategic materials as one of the major elements to sustain the nation\u2019s nuclear weapons stockpile. According to NNSA budget documents, the strategic materials programs help ensure the sustainment of nuclear material processing capabilities and fund the stabilization, consolidation, disposition, tracking, and accounting of nuclear materials. Strategic materials are generally not available, or are available only in limited quantities, from commercial suppliers because of their specific properties and use in nuclear weapons or for other national security purposes. NNSA named strategic material program managers in 2014 and 2015 to integrate, oversee, plan, and execute material strategies for uranium (including domestic uranium enrichment), plutonium, and tritium.", "In addition to the general program management challenges highlighted above, we have also reported previously on challenges facing NNSA\u2019s strategic materials programs: In July 2015, we found that NNSA had identified various challenges in its lithium production strategy that may impact its ability to meet demand for lithium in the future. These challenges included insufficient supply of lithium material and constraints facing NNSA\u2019s efforts to replace the aging lithium production facility. We recommended that NNSA objectively consider all alternatives, without preference for a particular solution, as it proceeds with its analysis of alternatives process. NNSA neither agreed nor disagreed with our recommendation but did undertake a formal analysis of alternatives in 2017, according to NNSA officials.", "In August 2016, we found that NNSA had not documented important requirements for its plutonium program at Los Alamos National Laboratory in New Mexico. We recommended that, among other things, NNSA should update its program requirements. NNSA outlined actions taken and planned to address this recommendation."], "subsections": []}, {"section_title": "NNSA Has Defined Strategic Materials Program Requirements, Including Roles and Responsibilities for Program Managers", "paragraphs": ["NNSA\u2019s Office of Defense Programs has set program requirements for the strategic materials programs and has established the roles and responsibilities of the programs\u2019 managers. NNSA defined these program requirements in two documents issued in 2016 and 2017. Collectively these documents set documentation requirements as well as established the roles and responsibilities of the strategic materials program managers. According to NNSA officials, these requirements apply to each of the programs, including the lithium program. These requirements are outlined below.", "Program Execution Instruction (2016) \u2013 In January 2016, NNSA approved a Program Execution Instruction that defines requirements for carrying out NNSA defense programs, such as the strategic materials programs. This instruction outlines a series of requirements that vary based on the categorization\u2014and therefore the rigor\u2014of management applied to a program. Of the four categories outlined in the instruction\u2014Standard Management, Enhanced Management A, Enhanced Management B, and Capital Acquisition Management\u2014NNSA has generally designated the strategic materials programs as \u201cEnhanced Management B,\u201d the most rigorous designation applicable to this type of program, according to NNSA officials. The \u201cEnhanced Management B\u201d programs are required to have the following elements documented: a program plan, a work breakdown structure that details the work elements necessary to organize the total work scope with cost estimates, a decision analysis, an integrated master schedule that includes the entire scope of work required for the program\u2019s successful execution, a performance management approach, and a lessons learned/best practices review. According to the instruction, if the scope, cost, and schedule of a program are more complex, moving to a more rigorous program management category is often required. According to the instruction, when enhanced complexity and risk are associated with a program, among other things, \u201cEnhanced Management B\u201d is the appropriate designation. The instruction also allows for programs to \u201ctailor,\u201d or modify, the application of certain requirements depending on risk and other factors.", "Program Management Policy for Weapons and Strategic Materials Programs (2017) \u2013 NNSA issued a program management policy in January 2017 that defines general roles and responsibilities for all four strategic materials program managers. This policy broadly outlines the managers\u2019 authority and responsibilities for managing the strategic materials; these responsibilities include developing program documentation and managing risk. According to NNSA officials we interviewed, the policy is based on NNSA\u2019s experience in implementing the uranium program in 2014. The policy requires each of the strategic materials programs to develop a number of guidance documents, including a mission strategy, mission requirements, and a technology development plan. For each program, the policy also requires the formation of a strategic materials mission working group that is comprised of the key stakeholders involved in the program."], "subsections": []}, {"section_title": "NNSA Officials Reported Progress in Meeting Strategic Materials Program Requirements but Challenges from Staffing Shortages", "paragraphs": ["NNSA officials told us that they are making progress in implementing the program requirements outlined for each of the strategic materials programs, although some are further along than others. However, these officials said that relatively few staff had been assigned to these programs, which has challenged implementation efforts."], "subsections": [{"section_title": "Progress Reported in Implementing Program Requirements", "paragraphs": ["For its two strategic materials programs established in 2014\u2014uranium and domestic uranium enrichment\u2014NNSA officials told us that they are generally meeting the strategic materials program management requirements outlined in the Program Execution Instruction and the Program Management Policy for Weapons and Strategic Materials. NNSA officials identified documents for each program, including mission strategy, mission requirements, program plan, and work breakdown structure. For the other programs, according to agency officials, NNSA is still working to meet these requirements, though the tritium program met all requirements during the course of this review. More specifically, according to agency officials:", "The plutonium sustainment program has met some of the Program Execution Instruction requirements to date, including having in place a program plan, work breakdown structure, and decision analysis, but not an integrated master schedule (although one is being developed, according to agency officials). The plutonium program also has a mission strategy in place, as called for by the Program Management Policy for Weapons and Strategic Materials, but has not yet met the other strategic materials program management requirements. According to agency officials, those requirements are being developed.", "The tritium sustainment program has recently met the Program Execution Instruction requirements as well, including having a program plan, work breakdown structure, integrated master schedule, and performance management approach in place. Additionally, the program recently updated documentation to meet the Program Management Policy requirements including revising its Strategic Material Mission Working Group in 2017, according to agency officials.", "The lithium program is early in its development, and no program manager has been appointed yet, pending senior NNSA leadership decisions. NNSA has a lithium mission strategy, a mission requirements matrix, and a technology development plan in place, as required by the Program Management Policy for Weapons and Strategic Materials, but the rest of the strategic materials program management requirements are still in the process of being developed, according to agency officials. NNSA officials said that even though the lithium program is not subject to the same requirements, they intend for it to meet all of the same requirements as the other strategic materials programs."], "subsections": []}, {"section_title": "Staffing Challenges Reported", "paragraphs": ["Officials from the Office of Defense Programs, including the strategic materials program managers themselves, said that a shortage of staff has presented a challenge in terms of implementing the requirements of the strategic materials programs and meeting their missions. According to NNSA officials, all of the strategic materials programs have been assigned relatively few federal staff to implement the programs. The officials also said that while they plan to have all five strategic materials programs fully meet the requirements and operate as cohesive programs, the lack of staff has hampered their efforts to do so. For example, the plutonium manager said more staff were needed to successfully implement the program, and the lithium lead point of contact said that at least two full-time staff members would be required to accomplish the work needed to make the lithium program meet program requirements. Specifically, according to agency officials as of October 2017, in addition to contractor support: the uranium program had the program manager and two federal staff assigned; the domestic uranium enrichment program had the program manager and one federal staff assigned; the plutonium program had the program manager and one federal staff member; the tritium program had the program manager and no dedicated staff, relying instead on staff in other programs such as a federal program manager from a different program who acts as staff for this program; and the lithium program had the lead point of contact and no dedicated staff, although a contracted senior technical advisor provides some support.", "NNSA officials cited competing agency priorities and current perceived staffing limits as the primary impediments to assigning more staff to these programs. First, according to agency officials, the relative newness of the strategic materials programs and competing agency priorities to modernize the nuclear weapons infrastructure and modernize and extend the lives of current nuclear weapons have meant that federal staff are in high demand across the agency. This concern is consistent with issues we have identified in our past work as well. For example, in April 2017, we noted NNSA\u2019s ambitious, costly, decades-long effort to modernize the nation\u2019s nuclear security enterprise. In addition to ongoing and planned infrastructure modernization, some of which is associated with the strategic materials programs, this modernization includes four ongoing expensive weapons refurbishments and efforts to improve the agency\u2019s research, development, testing, and evaluation capabilities by, for example, continuing efforts in advanced modeling, simulation, and computing. Similarly, we found in September 2016 that the competing agency priorities for infrastructure modernization and weapons refurbishments had negatively affected another NNSA program: the Enhanced Surveillance Program.", "Second, NNSA officials said that they have limited flexibility when it comes to increasing federal staff levels. Specifically, in each year that the total number of federal employees at NNSA exceeds 1,690, the Administrator is required by law to submit to the congressional defense committees a report justifying such excess. In the NNSA Administrator\u2019s testimony before the Senate Appropriations Subcommittee on Energy and Water Development in June 2017, he stated that since 2010, NNSA\u2019s program funding had increased 28 percent, while its federal staffing levels had decreased by 17 percent. He said that initial results from a yet-to-be- completed study by the Office of Personnel Management in support of the Reform of Government Initiative indicate the need for a 20 percent increase in federal staff at NNSA.", "We have also previously reported that staffing shortages have affected NNSA\u2019s efforts to improve management capability. For example, we reported in October 2014 that NNSA determined that inadequate levels of federal staff had contributed to management problems with the UPF project. As a result, NNSA increased staffing levels for the UPF project office from 9 full-time equivalents in 2012 to more than 50 as of January 2014. According to NNSA officials, the additional staff enabled NNSA to conduct more robust oversight of the contractor\u2019s design efforts than was previously possible. Similarly, in 2016, we found that the B61-12 life extension program, the most costly and complex such program undertaken to date, successfully requested that NNSA enlarge its program office staff from 3 to 8 full-time equivalent staff to provide more management capability. However, we found that even with this increase in federal staff, some NNSA and DOD officials said that they believe that NNSA needs two to three times more personnel in the federal program manager\u2019s office to ensure sufficient federal management and oversight.", "One area that we noted in this review is that with regard to the strategic materials programs, NNSA has not conducted a workforce needs assessment. Strategic materials program officials acknowledged that they had neither specifically assessed the number or skills of staff needed to manage the strategic materials programs, nor did they have current plans to do such an assessment. Our prior work on strategic human capital management has identified certain activities or practices that can help an agency strategically manage its human capital. These activities include determining the critical skills and competencies that will be needed to achieve the programs\u2019 missions and developing strategies to address gaps in the number, deployment, and alignment of staff needed. NNSA officials said that individual offices have attempted over time to assess resource and skill needs but that these efforts have been hampered by, among other things, a lack of staff. By determining the critical skills and competencies needed to achieve each strategic material program\u2019s mission and using this determination to develop strategies to address any gaps in the number, deployment, and alignment of staff needed, NNSA may find it has better information to justify increased staffing levels for its strategic materials programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2014, NNSA has taken steps to establish programs to maintain and modernize the nation\u2019s nuclear weapons stockpile, including appointing federal program managers for four of the five strategic materials programs, as well as steps to establish and organize the programs according to internal program management requirements. This is a significant step given the importance, cost, and complexity of these strategic materials programs. However, NNSA has made varying progress implementing these strategic materials programs, in part because these programs may not have been allotted staff and management capacity commensurate with their cost and scope of work.", "Although strategic materials program officials acknowledged staffing limitations, they have not determined the critical skills and competencies that will be needed to meet program requirements and, ultimately, achieve the programs\u2019 missions. By determining the critical skills and competencies needed to achieve each strategic materials programs\u2019 missions and using that determination to develop strategies to address any gaps in the number, deployment, and alignment of staff needed, NNSA may find it has more information to justify increased staffing levels for its strategic materials programs."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The NNSA Administrator should determine the critical skills and competencies that will be needed for the strategic materials programs and use this determination to develop strategies for addressing challenges, if any, related to the number, deployment, and alignment of program staff (Recommendation 1)."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOE and NNSA for their review and comment. NNSA provided written comments, which are reproduced in full in appendix II, as well as technical comments, which we incorporated in our report as appropriate. In its comments, NNSA agreed with our recommendation and stated that the recommendation is consistent with the programs\u2019 current evolution. NNSA further stated that it recognizes the need to define the range of skills and competencies necessary to execute the programs' critical missions and that it plans to identify the complete set of core competencies needed for these programs by December 31, 2018.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, the Administrator of the National Nuclear Security Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Strategic Nuclear Materials Managed by the National Nuclear Security Administration (NNSA)", "paragraphs": ["Appendix I: Strategic Nuclear Materials Managed by the National Nuclear Security Administration (NNSA)", "NNSA has established programs for ensuring the supply of each of the following strategic materials as well as the capability to process them:", "Uranium \u2013 National security needs for uranium are met using a large existing inventory of previously enriched uranium. Although NNSA has estimated that stocks are sufficient for projected needs, existing uranium needs to be purified, machined, and recovered from existing operations. The Y-12 National Security Complex in Oak Ridge, Tennessee, is the NNSA site for conducting enriched uranium activities, producing uranium-related components for nuclear warheads and bombs, and processing feedstock for nuclear fuel for the U.S. Navy. In 2004, NNSA decided to construct a new Uranium Processing Facility (UPF) that consolidated the functions of four separate uranium facilities into a single building. In 2014, NNSA, on the advice of a peer review team, decided to pursue a uranium program that includes a smaller UPF and, among other program elements, modifications to existing uranium buildings and capabilities to include several new uranium processing technologies. Construction on the UPF continues at the Y-12 site, and NNSA continues to request funds for that project. Fiscal year 2018 funds are to be used for construction of some related subprojects. According to NNSA officials, the UPF is expected to be complete by 2025 and cost no more than $6.5 billion. NNSA estimates that additional investments needed to upgrade existing uranium facilities will cost about $20 million per year for the next 20 years.", "Domestic Uranium Enrichment \u2013 To produce tritium, the Tennessee Valley Authority (TVA) must use unobligated uranium in certain nuclear reactors, under an interagency agreement between Department of Energy (DOE) and TVA. The United States has not had a sustained uranium enrichment capability since the 2013 closure of the Paducah Gaseous Diffusion Plant, which was originally constructed in 1952. In 2014, NNSA created the domestic uranium enrichment program manager position with responsibility to sustain the agency\u2019s supply of low-enriched uranium for tritium production.", "We currently have ongoing work reviewing the program\u2019s plan to ensure supply through 2060. NNSA estimated that over the next 5 years alone, these activities will likely cost more than $400 million.", "Plutonium \u2013 A set of aging facilities at Los Alamos National Laboratory provides the backbone of NNSA\u2019s plutonium work, such as certifying the safety of existing nuclear weapons\u2019 plutonium pits and producing new pits to extend the life of nuclear weapons in the stockpile. NNSA conducts plutonium analysis in the Chemistry and Metallurgy Research facility, which was built in the 1950s, but NNSA plans to cease programmatic operations in this facility by 2019 because of its aging infrastructure and because it sits on a seismic fault line. NNSA produces pits and conducts pit surveillance in the 38- year-old high-hazard, high-security Plutonium Facility 4 at Los Alamos. Other important plutonium activities, such as NNSA\u2019s plutonium disposition efforts and the processing of plutonium used to provide heat sources for space missions, are not included in the plutonium manager\u2019s portfolio because other program offices are responsible for these activities, according to NNSA officials. Officials said that these program offices coordinate capability and facility needs with the plutonium program manager.", "In August 2014, DOE cancelled plans to construct the nuclear facility that was part of the overall Chemistry and Metallurgy Research Replacement (CMRR), which was approved in 2005 to replace the aging Chemistry and Metallurgy Research facility. In its place, DOE approved the implementation of the first part of NNSA\u2019s new plutonium strategy: the revised CMRR project, which includes a subproject to remove contaminated equipment no longer in use in Plutonium Facility 4, install new plutonium analysis equipment, and modify an existing building to handle higher quantities of plutonium. NNSA estimated that the CMRR project would cost from $2.4 billion to $2.9 billion and be completed by 2024. In addition, in November 2015, DOE approved the mission need for the implementation of the second part of the strategy: building modular nuclear facilities to add high- hazard, high-security laboratory space at Los Alamos (the Plutonium Modular Approach) to meet plutonium pit production requirements. NNSA estimated that the Plutonium Modular Approach could cost from $1.3 billion to $3.0 billion and be completed by the end of 2027.", "Tritium \u2013 NNSA has relied on tritium produced many years ago; recycling and recovery of existing tritium is currently the source of most of the tritium in the stockpile, according to NNSA officials. However, tritium decays relatively rapidly, and in 2015 NNSA identified a need to produce additional tritium. To produce tritium, lithium target rods\u2014called tritium-producing burnable absorber rods\u2014 are irradiated in TVA\u2019s reactors. The irradiated rods are transported to DOE\u2019s Tritium Extraction Facility at the Savannah River Site in South Carolina, where they are processed in a specialized facility to extract and then prepare the tritium for nuclear warheads. NNSA requested $9.8 million in design funds in fiscal year 2018 for construction of a new tritium production capability. In its fiscal year 2018 budget request, NNSA estimated that this facility would cost about $425 million and be approved for operations in 2027.", "Lithium \u2013 Lithium is a key component of nuclear weapons and is essential for their refurbishment. NNSA has a sufficient supply of enriched lithium-6 (the isotope used in refurbishments and for tritium production), but that lithium is stored in another form and must undergo complex processing before it can be used for these purposes. NNSA halted certain aspects of its lithium processing operation\u2014conducted at its Y-12 site in Oak Ridge, Tennessee\u2014in May 2013 due to the condition of the site\u2019s 72-year-old lithium production facility. Currently, NNSA is relying on a less complex but also less efficient process that results in a loss of approximately 50 percent of material. In 2013, NNSA developed a lithium production strategy that proposed a new lithium production facility, which the agency estimated would cost more than $500 million. NNSA plans to request $30.4 million in fiscal year 2019 for construction of this facility. This strategy includes sustaining current infrastructure and deploying new technologies to sustain lithium production."], "subsections": []}, {"section_title": "Appendix II: Comments from the National Nuclear Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Jonathan Gill (Assistant Director), Alisa Beyninson, Antoinette Capaccio, Jeff Larson, Cynthia Norris, and Kiki Theodoropoulos made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Modernizing the Nuclear Security Enterprise: A Complete Scope of Work Is Needed to Develop Timely Cost and Schedule Information for the Uranium Program. GAO-17-577. Washington, D.C.: September 8, 2017.", "Program Management: DOE Needs to Develop a Comprehensive Policy and Training Program. GAO-17-51. Washington, D.C.: November 21, 2016.", "DOE Project Management: NNSA Needs to Clarify Requirements for Its Plutonium Analysis Project at Los Alamos. GAO-16-585. Washington, D.C.: August 9, 2016.", "Modernizing the Nuclear Security Enterprise: NNSA\u2019s Budget Estimates Increased but May Not Align with All Anticipated Costs. GAO-16-290. Washington, D.C.: March 4, 2016.", "Modernizing the Nuclear Security Enterprise: NNSA Increased Its Budget Estimates, but Estimates for Key Stockpile and Infrastructure Programs Need Improvement. GAO-15-499. Washington, D.C.: August 6, 2015.", "DOE Project Management: NNSA Should Ensure Equal Consideration of Alternatives for Lithium Production. GAO-15-525. Washington, D.C.: July 13, 2015.", "DOE and NNSA Project Management: Analysis of Alternatives Could Be Improved by Incorporating Best Practices. GAO-15-37. Washington, D.C.: December 11, 2014.", "Project and Program Management: DOE Needs to Revise Requirements and Guidance for Cost Estimating and Related Reviews. GAO-15-29. Washington, D.C.: November 25, 2014.", "Nuclear Weapons: Some Actions Have Been Taken to Address Challenges with the Uranium Processing Facility Design. GAO-15-126. Washington, D.C.: October 10, 2014.", "Nuclear Weapons: Technology Development Efforts for the Uranium Processing Facility. GAO-14-295. Washington, D.C.: April 18, 2014.", "Plutonium Disposition Program: DOE Needs to Analyze the Root Causes of Cost Increases and Develop Better Cost Estimates. GAO-14-231. Washington, D.C.: February 13, 2014.", "Nuclear Weapons: Information on Safety Concerns with the Uranium Processing Facility. GAO-14-79R. Washington, D.C.: October 25, 2013.", "Nuclear Weapons: Factors Leading to Cost Increases with the Uranium Processing Facility. GAO-13-686R. Washington, D.C.: July 12, 2013.", "Nuclear Weapons: National Nuclear Security Administration\u2019s Plans for Its Uranium Processing Facility Should Better Reflect Funding Estimates and Technology Readiness. GAO-11-103. Washington, D.C.: November 19, 2010."], "subsections": []}], "fastfact": ["The National Nuclear Security Administration manages programs related to securing and processing uranium, plutonium, tritium, and lithium\u2014materials critical to national security. NNSA will spend an estimated $7.7 billion to manage these programs over the next 5 years.", "NNSA has set program requirements (such as developing cost and schedule estimates) for these programs but hasn't fully met them, due primarily to staff shortages. We recommended that NNSA determine the critical staff skills it will need for these programs, and use that information to address staffing shortages."]} {"id": "GAO-19-54", "url": "https://www.gao.gov/products/GAO-19-54", "title": "Defense Contracting: DOD Should Clarify Criteria for Using Lowest Price Technically Acceptable Process", "published_date": "2018-11-13T00:00:00", "released_date": "2018-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["When awarding a contract competitively, DOD may use the LPTA process, under which the lowest price is the determining factor when selecting an offer. Section 813, as amended, contained a provision for GAO to submit four annual reports on DOD's use of the LPTA process for contracts exceeding $5 million as well as how contracting officials considered eight specific criteria. GAO issued its first report in response to this provision in November 2017.", "This second report, among other things, assesses the extent to which (1) DOD used the LPTA process in fiscal year 2017 and (2) contracting officials considered Section 813 criteria when using the LPTA process.", "GAO selected a generalizable sample of 172 DOD contracts and orders valued at $5 million and above that were competitively awarded in fiscal year 2017. GAO verified that 46 of these contracts and orders used the LPTA process by reviewing solicitations. GAO selected 14 contracts and orders from the 46 based on the most frequently purchased products and services, reviewed documents, and interviewed officials to determine if the Section 813 criteria were considered."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO estimates that about 26 percent of the Department of Defense's (DOD) contracts and orders valued $5 million and above in fiscal year 2017 were competitively awarded using the lowest price technically acceptable (LPTA) process. DOD used the LPTA process to buy such things as equipment, fuel, information technology services and construction services.", "Section 813 of the National Defense Authorization Act for Fiscal Year 2017, as amended, mandated that DOD revise its regulations to require that eight criteria be considered when using the LPTA process. As of September 2018, DOD had not yet done so. Accordingly, a DOD acquisition policy official stated that contracting officers are not yet required to consider these criteria. Nevertheless, GAO found that contracting officials generally considered five of the eight criteria for the 14 contracts and orders GAO reviewed (see table).", "Source: GAO analysis of Section 813, DOD source selection guidance, contract file documents and interviews with contracting officials. | GAO-19-54", "A DOD official stated that the updated regulations will reflect these eight criteria, including that justifications be documented. However, the official could not comment on whether the revisions will clarify how DOD contracting officials should implement the two other criteria that were generally not considered. Some contracting officials GAO interviewed were confused about how to apply these two criteria. Four of the 14 contracting officials stated that they did not understand how to apply the criterion regarding whether purchased goods are predominantly expendable in nature, nontechnical, or have a short life expectancy or shelf life. Additionally, 8 of the 14 contracting officials stated the criterion regarding an assessment of life-cycle costs was not applicable to their acquisitions. Absent clarification on how to consider these two criteria, DOD increases the risk that its contracting officials will not consistently implement the requirements in Section 813, as amended."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD address, as regulations are updated, how contracting officials should apply two Section 813 criteria that were generally not considered. DOD concurred with the recommendations and plans to revise its regulations and issue additional guidance by the end of fiscal year 2019."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) obligated about $320 billion through contracts for goods and services in fiscal year 2017. When awarding a contract competitively, DOD has a number of source selection processes it can use to evaluate firms\u2019 proposals. One process DOD can use is a best value, lowest price technically acceptable (LPTA) process. In the LPTA process, DOD awards the contract to the firm presenting the lowest priced proposal that is technically acceptable, and no tradeoffs are permitted. Alternatively, DOD can use a best value tradeoff process, in which it can vary the relative importance of cost or price to other factors such as a firm\u2019s technical capability or past performance. In these cases, DOD may award a contract to a firm offering other than the lowest-priced proposal if it determines that a higher-priced proposal provides a worthwhile benefit to the department.", "Section 813 of the National Defense Authorization Act for Fiscal Year 2017, as amended, required DOD to revise the Defense Federal Acquisition Regulation Supplement (DFARS) to allow the use of the LPTA process only when eight criteria are met. For example, one criterion is that contracting officials must determine that no, or little, value would be gained from a proposal exceeding the solicitation\u2019s minimum technical requirements. The specific criteria are discussed in the background section of this report.", "Section 813 also included a provision that we report no later than December 1, 2017, and annually thereafter for 3 years on the number of instances where DOD used the LPTA process for contracts exceeding $5 million, as well as an explanation of how contracting officials considered the criteria identified in Section 813. In November 2017, we issued our first report as required by Section 813. This second report (1) determines the extent to which DOD used the LPTA process in competitively awarded contracts and orders valued at $5 million and above in fiscal year 2017; (2) identifies the reasons why contracting officials used the LPTA process for selected contracts and orders; and (3) for those same selected contracts and orders, assesses the extent to which contracting officials considered the eight criteria listed in Section 813.", "DOD does not maintain centralized data on which source selection procedure is used to award contracts and orders. Consequently, to determine the extent to which DOD used the LPTA process in competitively awarded contracts and orders valued at $5 million and above in fiscal year 2017, we used data from the Federal Procurement Data System-Next Generation (FPDS-NG) to identify the population of DOD contracts that were reported as competitively awarded contracts and valued at $5 million and above in fiscal year 2017. This resulted in the identification of approximately 3,000 contracts. We focused our review on the Army, Navy, Air Force, and Defense Logistics Agency (DLA) because they accounted for 96 percent\u2014or almost 2,900\u2014of the DOD contracts competitively awarded during this time. In addition to contracts, we used data from FPDS-NG to identify a population of approximately 1,800 DOD task and delivery orders with an estimated value of $5 million and above that were reported in FPDS-NG as competed under multiple award, indefinite delivery indefinitely quantity (IDIQ) contracts during this time. We again focused our analysis on the Army, Navy, Air Force and DLA which accounted for 81 percent\u2014or about 1,400\u2014of these orders.", "Using these data, we randomly selected a generalizable sample of 94 contracts and 91 orders from the respective populations of contracts and orders above. For each contract and order in our sample, we requested that DOD identify the source selection method used. We independently verified DOD\u2019s responses by reviewing solicitations. We removed five contracts and eight orders from our sample. Of the five contracts, we removed three contracts from our sample because they were incorrectly classified in FPDS-NG as having been competed when they were not; one contract because it was terminated after award due to a bid protest; and one contract because it was classified. Similarly, of the eight orders, we removed seven from our sample because they were incorrectly classified in FPDS-NG as being competitively awarded when they were not and one because it was incorrectly identified as having a value over $5 million. After removing these contracts and orders, our generalizable sample consisted of 89 contracts and 83 orders. By tracing relevant FPDS-NG data to the contracts and orders we reviewed, we determined these data were sufficiently reliable for us to project the number of contracts and orders valued over $5 million that the Army, Navy, Air Force, and DLA competitively awarded in fiscal year 2017 using the LPTA process.", "To identify the reasons why contracting officials chose to use the LPTA process and to assess whether those officials considered the eight criteria in Section 813, we selected from our sample six contracts and eight orders that used the LPTA process. We selected these 14 contracts and orders to include a mix of the most frequently purchased products and services. Of these 14 contracts and orders, four orders were for services for which Section 813 directs DOD to avoid using the LPTA source selection process, to the maximum extent practicable. For all of these selected contracts and orders, we obtained and analyzed relevant contract file documents including the acquisition plan, solicitation, and source selection decision document, and we interviewed contracting officials. Findings from our review of these 14 contracts and orders cannot be generalized to all contracts and orders that used the LPTA process. We also reviewed applicable sections of the Federal Acquisition Regulation (FAR), the DFARS, and DOD\u2019s March 2016 Source Selection Procedures to identify existing criteria regarding the appropriate use of the LPTA process.", "We conducted this performance audit from January 2018 through November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["FAR Part 15 describes the use of several competitive source selection processes to meet agency needs, which include the LPTA process and tradeoff process on a best value continuum (see fig. 1).", "The FAR states that when using the LPTA process, tradeoffs are not permitted. DOD may elect to use the LPTA process where the requirement is clearly defined and the risk of unsuccessful contract performance is minimal. In such cases, DOD can determine that cost or price should play a dominant role in the source selection. When using the LPTA process, DOD specifies its minimum requirements in the solicitation. Firms submit their proposals and DOD determines which of the proposals meet those requirements. No tradeoffs between cost or price and non-cost factors (for example, technical capabilities or past performance) are permitted. Non-cost factors are rated on an acceptable or unacceptable basis. The award is made based on the lowest priced, technically acceptable proposal submitted to the government. With either the LPTA or the tradeoff process, contracting officials may establish a competitive range and conduct discussions with offerors before selecting an offer for award.", "By contrast, DOD may elect to use the tradeoff process in acquisitions where the requirement is less definitive, more development work is required, or the acquisition has a greater performance risk. In these instances, non-cost factors may play a dominant role in the source selection process. Tradeoffs between price and non-cost factors allow DOD to accept other than the lowest priced proposal. The FAR requires DOD to state in the solicitation whether all evaluation factors other than cost or price, when combined, are significantly more important than, approximately equal to, or significantly less important than cost or price.", "Contracting officials have broad discretion in the selection of the evaluation criteria that will be used in an acquisition. A written acquisition plan generally should include a description of the acquisition\u2019s source selection process and the relationship of the evaluation factors to the acquisition objectives, but the FAR does not explicitly require contracting officials to document the reasons why the specific source selection procedures or evaluation factors were chosen.", "DOD\u2019s March 2016 Source Selection Procedures offer additional guidance regarding the use of the LPTA source selection process. The procedures are mandatory for acquisitions conducted as part of a major system acquisition program and all competitively negotiated FAR part 15 acquisitions with an estimated value over $10 million. The March 2016 guide states that the LPTA source selection process may be used in situations where there would not be any value on a product or service exceeding the required technical or performance requirements. The guide also states that such situations may include acquisitions for well-defined, commercial, or non-complex products or services; where risk of unsuccessful contract performance is minimal; and where DOD has determined there would be no need or value to pay more for higher performance.", "Section 813, as amended, requires that DOD revise the DFARS to require that the LPTA process only be used in situations when the following eight criteria are met. 1. DOD can clearly describe the minimum requirements in terms of performance objectives, measures, and standards that will be used to determine acceptability of offers. 2. DOD would realize no, or little, value from a proposal exceeding the solicitation\u2019s minimum technical requirements. 3. The proposed technical approaches can be evaluated with little or no subjectivity as to the desirability of one versus the other. 4. There is a high degree of certainty that a review of technical proposals other than that of the lowest-price offeror would not identity factors that could provide other benefits to the government. 5. The contracting officer has included a justification for the use of the LPTA process in the contract file. 6. The lowest price reflects full life-cycle costs, including for operations and support. 7. DOD would realize little or no additional innovation or future technological advantage by using a different methodology. 8. For the acquisition of goods, the goods being purchased are predominantly expendable in nature, nontechnical, or have a short life expectancy or shelf life.", "Section 813 required DOD to revise the DFARS within 120 days of enactment of the National Defense Authorization Act for Fiscal Year 2017. The NDAA was enacted December 23, 2016, but, as of November 2018, the DFARS had not been revised. A Defense Pricing and Contracting (DPC) official stated the revisions are in process but were delayed due to a number of reasons, including the need for the revisions to reflect two additional criteria that were added to Section 813 (shown as criteria (7) and (8) in the list above) through subsequent provisions in Section 822 of the National Defense Authorization Act for Fiscal Year 2018, and compliance with Executive Order 13771, which calls for the reduction and control of regulatory costs.", "The DPC official stated that until the DFARS is updated, DOD contracting officials are not required to consider the Section 813 criteria."], "subsections": [{"section_title": "Use of the LPTA Process for Task and Delivery Orders", "paragraphs": ["The FAR describes a wide selection of contract types that may be used in acquisitions. One of those types is an IDIQ contract, which provides for an indefinite quantity, within stated limits, of supplies or services during a fixed period of time. The FAR implements a statutory preference for multiple-award IDIQ contracts, which are awarded to two or more contractors under a single solicitation. These contracts allow agencies to establish a group of prequalified contractors to compete for future orders under streamlined ordering process once agencies determine their specific needs. These contracts can be awarded using a source selection process that is on the best value continuum, such as LPTA or tradeoff.", "When a concrete need arises, a contracting officer will issue a task order for services or delivery order for products. DOD frequently issues orders under IDIQ contracts to address its needs. DOD obligated approximately $133 billion\u201440 percent of its total fiscal year 2017 contract obligations\u2014 through such orders. With certain exceptions, the FAR requires that when a contracting officer places an order under a multiple-award IDIQ contract, the contracting officer must provide all of the IDIQ contract holders a \u201cfair opportunity\u201d to be considered for the order. Generally, a contracting officer placing an order exceeding the simplified acquisition threshold must provide a \u201cfair notice\u201d that includes the basis upon which the selection will be made to all contractors offering the required products or services under the multiple-award contract.", "We have previously found that DOD has awarded IDIQ contracts using the tradeoff process but then issued orders off of those IDIQ contracts using either the LPTA process or a tradeoff process. In other words, DOD employs both the LPTA and tradeoff processes for competitive orders issued against the same IDIQ contract, depending upon the requirement."], "subsections": []}, {"section_title": "Past GAO Reports on DOD Source Selection Process", "paragraphs": ["Since 2010, we have issued three reports on DOD\u2019s use of source selection processes. In October 2010, we found that, for 60 of the 88 contracts we reviewed, DOD used a tradeoff process and weighted non- cost factors as more important than price. In these cases, DOD was willing to pay more when a firm demonstrated it understood complex technical issues more thoroughly, could provide a needed product or service to meet deadlines, or had a proven track record in successfully delivering products or services of a similar nature. In addition, we determined that when making tradeoff decisions, DOD selected a lower priced proposal nearly as often as it selected a higher technically rated, but more costly, proposal. In so doing, DOD chose not to pay more than $800 million in proposed costs by selecting a lower priced offer over a higher technically rated offer in 18 of the contracts we reviewed. The majority of solicitations where non-cost factors were equal to or less important than cost were for less complex requirements. We also found that DOD faced several challenges when using the best value tradeoff process, including difficulties in developing meaningful evaluation factors, the additional time investment needed to conduct best value tradeoff procurements, and a greater level of business judgment required of acquisition staff when compared to other acquisition approaches.", "To help DOD effectively employ the best value tradeoff process, we recommended that DOD develop training elements such as case studies that focus on reaching tradeoff decisions. DOD concurred and implemented the recommendation in August 2012.", "In 2014, we found that DOD had increased its use of the LPTA process for new contracts with obligations over $25 million, using the LPTA source selection process to award an estimated 36 percent of new fiscal year 2013 contracts compared to 26 percent in fiscal year 2009. We found that contracting officials\u2019 decisions on which source selection process would be used was generally rooted in knowledge about the requirements and contractors. For contracts with obligations over $25 million, DOD used the LPTA source selection process primarily to acquire commercial products such as fuel, and we identified relatively few uses of the LPTA process to acquire higher dollar services. For contracts with obligations over $1 million and under $25 million, DOD used the LPTA process an estimated 45 percent of the time for a mix of products and services, including fuel, aircraft parts, computer equipment, construction-related services, engineering support services, and ship maintenance and repairs. We did not make recommendations to DOD in this report.", "In 2017, we reviewed contracts that DOD awarded using the LPTA process for service categories for which Section 813 established the LPTA process is to be avoided to the maximum extent practicable, such as those for information technology, knowledge based services, cybersecurity, and other professional support services. We found that the Army, Navy, and Air Force rarely used the LPTA source selection process for information technology and selected support services contracts valued at $10 million or more that were awarded in the first half of fiscal year 2017. Our analysis found that the three military departments awarded 781 new contracts valued at $10 million or more during this time frame. Of these 781 contracts, 133 contracts were awarded for information technology and support services. However, only 9 of the 133 contracts used the LPTA source selection process. In addition, we found that contracting officials\u2019 reasons for using the LPTA process were generally consistent with the criteria listed in Section 813. We did not make recommendations to DOD in this report."], "subsections": []}]}, {"section_title": "About One-Quarter of Fiscal Year 2017 DOD Contracts and Orders Valued $5 Million and Above Used the LPTA Process", "paragraphs": ["Based upon the results of our generalizable sample, we estimate that about 26 percent of contracts and orders competitively awarded by the Army, Navy, Air Force, and DLA valued at $5 million and above in fiscal year 2017 used the LPTA process. Table 1 shows the number and percentage of contracts and orders in our sample that we estimate to have used the LPTA process.", "We reviewed the 46 contracts and orders for which the Army, Navy, Air Force and DLA used the LPTA process and found that 20 were for products and 26 for services. Within this sample, the Army, Navy, Air Force, and DLA bought a variety of products and services (see figure 2)."], "subsections": []}, {"section_title": "Contracting Officials Used the LPTA Process for Reasons Consistent with Current Requirements", "paragraphs": ["Contracting officials associated with the 14 contracts and orders we selected used the LPTA process, in part, because they determined there was no tradeoff available or determined that DOD would not derive any benefit from paying a premium for offers that exceeded the minimum capabilities. As previously mentioned, DOD\u2019s March 2016 Source Selection Procedures currently states that the LPTA process may be used when there would not be additional value to a product or service exceeding the required technical or performance requirements. Therefore, these determinations are consistent with the DOD\u2019s current guidance. The following examples illustrate contracting officials\u2019 rationale for using the LPTA process.", "A DLA contracting official awarded a contract for natural gas with a ceiling value of approximately $14.8 million over a 2-year ordering period. The contracting official stated that no tradeoffs were available because the requirement was specifically for natural gas that would be used in government owned facilities across multiple states and an alternative fuel source was not required. Therefore, offerors were evaluated, from a technical acceptability perspective, on whether they were able to deliver the amount of natural gas required by the specified time frames.", "Similarly, the Marine Corps purchased over 15,400 general-purpose laptops with an estimated value of approximately $14.1 million. To meet a DOD initiative of upgrading general use laptops to Windows 10, Marine Corps officials determined that a commercially available laptop would meet their requirements. Marine Corps contracting officials stated that through their market research they noted there were laptops with additional capabilities available; however, they determined it was not beneficial to pay for higher capabilities.", "Overall, for the 14 contracts and orders we reviewed, contracting officials identified several reasons for using the LPTA process (see table 2). In many cases, contracting officials cited more than one reason.", "The following examples illustrate reasons contracting officials identified for the use of the LPTA process.", "The Air Force awarded a foreign military sales IDIQ contract, with a maximum ordering value of $65 million, to provide planned maintenance and supply support services for F-16 aircraft owned by Taiwan. The contract had a one-month mobilization period, a 5-year base ordering period, and two 1-year option ordering periods. According to Air Force officials, the contract\u2019s requirements were well- defined because the standard tasks and processes, such as engine maintenance, corrosion prevention, and aircraft washing, are strictly defined by an Air Force instruction. Contracting officials determined there was a low risk of contractor failure because (1) the pool of qualified firms interested in performing this type of contract is limited, and (2) the incumbent workforce had to be offered the chance to continue working under any new contract, regardless of the management company that won the award.", "The Navy issued an order under a multiple-award IDIQ contract, with a value of $6.1 million, to renovate office space in two buildings at a naval air station. The Navy determined that the risk of contractor failure on this order was low because the contractor was pre-qualified as part of the initial contract award. Additionally, contracting officials stated the requirement was well-defined, as the contractor was required to renovate the space according to the plans provided by the Navy.", "The Navy awarded a multiple award IDIQ contract with an estimated maximum value of $502.6 million, over a one-year base period and four 1-year options, for repair and maintenance of non-nuclear surface ships harbored in San Diego. Navy officials considered the requirements non-complex due to the nature of the work to be performed. In this case, the tasks included welding, marine pipefitting, sheet metal forming, and electrical/electronic repairs, among others, which were to adhere to established standards that would be specified in the orders. The contracting officials stated that for more complex repairs they would use a different contract.", "DLA awarded a contract with an estimated value of $5.7 million, over a 2-year ordering period, for a commercial jet fuel system icing inhibitor to be delivered to Middle Eastern destinations, such as Qatar. Given that the additive was a commercial product, DLA determined that awarding the contract to the offeror that could deliver the required quantity within specific time frames at the lowest price was in the government\u2019s best interests.", "Of the 14 contracts and orders we reviewed, 4 orders were for services that Section 813 identified as those that DOD should, to the maximum extent practicable, avoid using the LPTA process. These four orders were for cybersecurity services, information technology services, and knowledge-based professional services. DOD contracting officials\u2019 rationale for using the LPTA process for these four orders were also consistent with guidance in DOD\u2019s March 2016 Source Selection Procedures, as illustrated below:", "The Air Force issued an order with an estimated value of $11.6 million, with a 1-year base period and four 1-year options, for healthcare information technology system support services at several European military installations. These services included help desk support and network administration services, such as maintenance, administration, and troubleshooting services for the local computer servers. Air Force contracting officials stated the requirements were well-defined, as the services have been provided by a contractor for a long time and were well understood. Further, the officials stated they confirmed that the requiring office was not willing to pay for additional services beyond the minimum requirements. Contracting officials also determined there was a low risk of contractor failure because they were placing an order under a multiple-award IDIQ contract and all contract holders were pre-qualified to perform the work.", "The Air Force issued an order with a reported value of $21.6 million, with a 1-year base period and four 1-year options, for information technology services, which included cybersecurity services, network management administration, requirements analysis, and communications planning at a European military installation. Air Force contracting officials stated the requirements for this contract were well-understood, as the Air Force had been contracting for these services for more than 15 years. Further, contracting officials stated the contractor was required to use an existing government software program to identify any information technology threats. Finally, contracting officials determined there was a low risk of contractor failure because they were issuing an order under a multiple-award IDIQ contract for which all contract holders were pre-qualified to perform the work.", "The Army issued an order with an estimated value of $10.7 million, with a 1-year base period and two 1-year options, for professional support services at the United States Army Sergeants Major Academy at Biggs Army Airfield, El Paso, Texas. Under this order, the contractor was to provide instructors to teach a pre-existing curriculum to Sergeants Major and Master Sergeants in strategic operations, preparing them to take positions throughout the DOD. The order provided that the instructors should be former Army sergeants and hold a Master\u2019s degree, with a preference for a Master\u2019s degree in adult education. In addition, the instructors had to have or had to obtain specific Army contractor instruction certifications. Therefore, the contracting official stated there was no benefit in having instructors that exceeded these recommended qualifications.", "The Navy issued an order with a value of approximately $10 million and a period of performance of approximately four years and five months for installation of furniture/equipment onboard the USS George Washington aircraft carrier. Tasks included removing furniture, installing new, furniture in the same place, and painting, among others, to maintain ship habitability. Contracting officials determined there was no value in performing a tradeoff because the tasks were for routine work and all of the IDIQ contract holders previously were found to have the technical capability to perform the work."], "subsections": []}, {"section_title": "DOD Contracting Officials Considered Most of the Section 813 Criteria before Using the LPTA Process, but Were Confused by Some Aspects", "paragraphs": ["Contracting officials stated that they generally considered five of the eight criteria in Section 813 when awarding the 14 contracts and orders we reviewed. This was done, in part, because according to contracting officials, those criteria are inherently considered by contracting officials when determining which source selection process should be used. Further, based on our analysis, these five criteria are generally reflected in DOD\u2019s March 2016 Source Selection Procedures. Table 3 illustrates whether contracting officials considered the Section 813 criteria when they decided to use the LPTA process for the 14 contracts and orders we reviewed. As previously discussed, DOD has not yet updated regulations to put the Section 813 criteria into effect. A DPC official stated that until DOD regulations are updated, DOD contracting officials are not required to consider the Section 813 criteria.", "Most of the contract files we reviewed did not include a written justification for the use of the LPTA process. A DPC official stated when the DFARS is updated to implement Section 813, DOD intends to include a requirement for contracting officials to prepare a written justification for the use of the LPTA process.", "Some contracting officials were uncertain how to address the other two criteria that were generally not considered. For example, 4 of the 14 contracts and orders that we reviewed were for products. As stated above, one of the Section 813 criteria will require contracting officers who are purchasing goods to determine that the goods are predominantly expendable in nature, nontechnical, or have a short life expectancy or shelf life. Two of the four contracting officials for the products we reviewed stated they made this determination for these purchases. However, the other two stated that they would not have known how to consider this criterion for their procurements. Specifically, a Marine Corps contracting official who purchased general use computers stated it was unclear if a computer that will be replaced every 5 years would be considered to have a short shelf life. Additionally, an Air Force contracting official who purchased Blackberry licenses stated that it was unclear if this criterion would apply to such licenses, and if it did, whether a 1-year license would be considered a short-shelf life. As a result, this contracting official stated he would not know how to consider this criterion in similar acquisitions.", "Additionally, 12 of the 14 contracting officials we interviewed raised a number of questions about how to consider full life-cycle costs, including operations and support, which is another criterion under Section 813. In this regard,", "Eight contracting officials did not think life-cycle costs applied to their acquisitions and therefore they did not understand what costs they would have considered. For example, an Army contracting official who purchased construction quality assurance and oversight services stated the concept of life-cycle costs generally applies to products, not services. Similarly, a DLA official who contracted for a de-icing agent stated that this particular product does not have life-cycle costs associated with it.", "Three contracting officials raised questions regarding who would be in the best position to determine life-cycle costs. For instance, an Air Force contracting official stated life-cycle costs are determined by the requiring office, not by the contracting office, so it was not clear what role the contracting office would have in evaluating life-cycle costs.", "One contracting official who awarded an IDIQ contract stated this criterion would not apply to such an award because specific requirements would be determined when issuing orders under the IDIQ contract. Therefore, the contracting officer believed that any life- cycle costs should be considered when issuing subsequent orders.", "In the two remaining cases, one contracting official stated he was not confused by this criterion, but did not consider life-cycle costs when awarding the contract to provide instructors at the Army Sergeants Major Academy. In another case, the contracting official stated life-cycle costs for a $14.8 million contract for natural gas had been considered, but the official determined there were no life-cycle costs associated with the use of natural gas in this instance.", "As previously discussed, DOD has not yet revised the DFARS to include the criteria specified in Section 813, nor has DOD\u2019s March 2016 source selection procedures been updated to address consideration of the new criteria. A DPC official stated that the DFARS is in the process of being updated and will reflect Section 813. For example, the official stated that the updated regulation will require written justifications for using the LPTA process. This official, however, could not comment on whether the revisions will provide clarification, beyond what was written in Section 813, on how to apply the two criteria that DOD contracting officials generally found confusing. Without further clarification, such confusion is likely to continue. As a result, contracting officials will be at risk of not consistently applying the criteria in Section 813.", "Our work also found differing opinions on whether the criteria in Section 813 would apply to the issuance of competitive orders under multiple- award IDIQ contracts. Our prior work has found that such orders represent a significant portion of DOD\u2019s annual contract obligations. For example, 7 of the 14 contracting officials generally stated the criteria in Section 813 could apply at the order level depending on the nature of the requirement. They stated that requirements are determined when issuing orders and, as a result, it is possible that methods including the LPTA process or a tradeoff process could be used when issuing orders. Conversely, the remaining 7 contracting officials stated the criteria should not apply to the issuance of orders, in part, because these criteria would generally have been considered at the time the IDIQ contract was awarded. Military department policy officials we interviewed generally believed that the criteria in Section 813 should not be applicable to orders. When we raised this issue, a DPC official stated that DOD plans to address whether the Section 813 criteria are applicable to orders when DOD revises the DFARS."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["As DOD prepares to revise the DFARS to implement the eight criteria in Section 813, as amended, it has an opportunity to address the issues we identified. DOD stated its intent to require a written justification for using LPTA and to address whether the Section 813 criteria are applicable to the issuance of task and delivery orders. It is equally important that, in revising the regulation, DOD also clarify how contracting officers are to determine if a good is expendable in nature, nontechnical or have a short life expectancy or shelf life, and how they are to consider if the lowest price reflects full life-cycle costs, including for operations and support for services as well as products. Absent additional direction, contracting officials across DOD may not understand how to consistently apply these criteria when using the LPTA process."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Secretary of Defense should ensure that the Director, Defense Pricing and Contracting , addresses how contracting officials using the LPTA process should apply the Section 813 criterion regarding procurement for goods that are predominantly expendable in nature, nontechnical, or have a short life expectancy or shelf life as revisions to the DFARS are considered. (Recommendation 1)", "The Secretary of Defense should ensure that the Director, Defense Pricing and Contracting addresses how contracting officials using the LPTA process should apply the Section 813 criterion regarding full life- cycle costs, including for operations and support as revisions to the DFARS are considered. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in Appendix I, DOD concurred with both of our recommendations. DOD stated that, in addition to its ongoing efforts to update its regulations, a new DFARS Procedures, Guidance and Information case was opened on October 25, 2018 to provide contracting officers with supplemental internal guidance on applying the new criteria for using LPTA. DOD anticipates that the revised regulations and the internal guidance will be published in the fourth quarter of fiscal year 2019.", "DOD also provided technical comments, which were incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Director, Defense Pricing and Contracting. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Justin Jaynes (Assistant Director), Victoria Klepacz (Analyst in Charge), Jennifer Baker, Matthew Crosby, Lorraine Ettaro, Stephanie Gustafson, Julia Kennon, Roxanna Sun, Jay Still, Alyssa Weir, and Khristi Wilkins made key contributions to this report."], "subsections": []}]}], "fastfact": ["One way to award a competitive federal contract is to choose based on cost, when the cheapest option will suffice. But how does DOD decide when that's the case?", "While there are some general criteria for using this process, DOD's regulations don't provide specific criteria for making determinations. That will change when DOD updates its regulations as directed by a 2016 law.", "We found that some contracting officers were confused about how to apply 2 of the 8 criteria in the law, including how to assess the full cost to DOD over the life of the good or service being bought.", "We recommended providing more guidance on the criteria."]} {"id": "GAO-18-101", "url": "https://www.gao.gov/products/GAO-18-101", "title": "Defense Infrastructure: Action Needed to Increase the Reliability of Construction Cost Estimates", "published_date": "2018-03-27T00:00:00", "released_date": "2018-03-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Between fiscal years 2005 and 2016, Congress annually appropriated between $2.5 to $9.6 billion in MILCON funding for the active component of the U.S. military to use for projects worldwide. Reliable project construction cost estimates are of great importance, since those estimates drive these appropriations.", "House Report 114-537 accompanying a proposed bill authorizing national defense activities for fiscal year 2017 included a provision for GAO to report on DOD's MILCON cost estimating. This report examines the extent to which (1) the active component obligated and expended the MILCON appropriations received during fiscal years 2005-2016, (2) the active component reprogrammed MILCON appropriations during fiscal years 2010 through 2016, and (3) DOD's MILCON cost estimates are reliable for selected projects and DOD's guidance for developing estimates fully incorporates the steps needed for developing reliable estimates. GAO analyzed the active components' MILCON execution data and reviewed DOD's guidance for cost estimating and compared it with the best practices identified in GAO's Cost Estimating and Assessment Guide ."]}, {"section_title": "What GAO Found", "paragraphs": ["During fiscal years 2005 through 2016, Congress appropriated about $66 billion in military construction funds (MILCON) to the active duty Army, Navy, and Air Force (referred to as the active component) for projects. As of September 30, 2016, the active component had obligated all but about $5.1 billion and expended all but about $11 billion of those funds. Of the $5.1 billion remaining unobligated, about $4.6 billion was still available to be obligated because MILCON appropriations are generally available for new obligations for 5 years. According to Department of Defense (DOD) officials, available but unobligated amounts no longer needed may be either taken back by Congress or reprogrammed to other MILCON projects that the active component identifies as needing additional funding.", "During fiscal years 2010 through 2016, the active component reprogrammed about $1.6 billion in MILCON appropriations to fund emergency projects, projects that were authorized but did not receive specific appropriations, and projects needing additional funding. Of this amount, the Army reprogrammed about $789 million; the Navy, about $535 million; and the Air Force, about $295 million.", "DOD's guidance does not fully incorporate the steps needed for developing reliable estimates and the estimates for three projects that GAO reviewed were not reliable. Specifically, two of the three high-value projects GAO examined experienced a more than 30-percent increase from the initial cost estimates submitted to Congress. GAO determined that DOD cost estimators did not follow all the best practices associated with the four characteristics\u2014comprehensive, well-documented, accurate, and credible\u2014of a reliable estimate for these projects. GAO's Cost Estimating and Assessment Guide identifies 12 steps that, if used, are more likely to result in reliable and valid cost estimates. However, as shown below, DOD's construction guidance\u2014the Unified Facilities Criteria\u2014does not include all of these steps. Until DOD incorporates these steps, DOD and congressional decision-makers may not have reliable estimates to inform their decisions regarding appropriations and the oversight of projects."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD ensure that its cost estimating guidance fully incorporate the steps needed for developing reliable cost estimates. DOD partially concurred with GAO's recommendation and stated that it will issue revised cost guidance in fiscal year 2019 that more fully incorporates those steps that would benefit the military construction program."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2016, Congress appropriated $3.9 billion in military construction (MILCON) funding for the active component of the U.S. armed forces to use for projects in the United States and overseas. The Department of Defense (DOD) receives a MILCON appropriation annually and uses it for the planning, design, and construction of facilities worldwide. To use these appropriations for specific projects, DOD submits proposals and cost estimates for approval by stakeholders including Congress and the Secretary of Defense. DOD guidance states that DOD must prepare the cost estimates as accurately as possible to reflect the budgetary cost of providing facilities. However, DOD regularly experiences differences between initial cost estimates and final costs which, in some instances, necessitate changes to project schedules and budgets or requests for additional funding from Congress in order to award construction contracts and complete projects. Some differences between initial estimates and final costs for MILCON projects can be attributed to factors outside of DOD\u2019s control, such as unforeseen environmental and site conditions. However, some projects have raised congressional concerns regarding the quality of DOD\u2019s MILCON cost estimating practices.", "Obtaining approval and funding for MILCON projects requires DOD to annually submit requirements and justifications in support of its funding requests to Congress. After congressional decision-makers approve projects and appropriate MILCON amounts, DOD may award contracts and obligate and disburse funds for projects. DOD designates construction agents for the military departments and defense agencies with the primary responsibility for developing and refining these proposals and cost estimates and for managing the design and construction of projects. If amounts designated for a specific construction project are unobligated and remain available at the project\u2019s completion, the amounts are considered savings and may be reprogrammed. Reprogrammed amounts may be used to fund other projects where there are shortfalls, projects authorized by Congress but not specifically funded through the appropriations process, and emergency projects, such as facilities destroyed by fires.", "House Report 114-537 accompanying a proposed bill authorizing national defense activities for fiscal year 2017 included a provision for us to review and report on DOD\u2019s MILCON cost estimating and project management processes. We examined the extent to which (1) the active component obligated and expended the MILCON appropriations received during fiscal years 2005-2016, (2) the active component reprogrammed MILCON appropriations during fiscal years 2010 through 2016, and (3) DOD\u2019s MILCON cost estimates for select projects are reliable and DOD\u2019s guidance for developing estimates fully incorporates the steps needed for developing reliable estimates.", "For our first objective, we reviewed MILCON appropriations and congressional designated amounts for projects included in appropriation acts and accompanying explanatory statements, committee reports, and conference reports accompanying the appropriations acts for fiscal year 2005 through fiscal year 2016 because these data were available electronically. Further, we analyzed the obligation and disbursement data of the active component\u2019s MILCON accounts using appropriation status by fiscal year program and subaccount reports, bid savings reports, and annual reports from the U.S. Department of the Treasury. We also collected and compared project data from each of the military departments on projects that had been initiated and completed during fiscal year 2010 through fiscal year 2016, including the initial project estimate submitted on Form 1391 (i.e., the form DOD uses to submit project-level requirements and justifications in support of its MILCON funding requests to Congress) and the contract award amount and analyzed any differences between the two.", "For our second objective, we reviewed DOD\u2019s requests to Congress for prior approval to move MILCON funds from one project to another within a MILCON appropriation account, known as \u201creprogramming.\u201d We calculated the total number of times such requests were made and for what dollar amounts for fiscal year 2010 through fiscal year 2016. Furthermore, we selected one project from each military department from this same time frame and reviewed the accompanying Form 1391 and the reprogramming requests associated with the projects to illustrate how savings from one MILCON project may provide funds for another project. For both our first and second objectives, we assessed the reliability of the data by interviewing knowledgeable officials about the data and the steps that they had taken to verify the data\u2019s accuracy. We determined that the data were sufficiently reliable for our objectives.", "For the third objective, we compared the process for developing the cost estimate for three selected projects with the characteristics and best practices for developing a reliable cost estimate as identified in our Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs (the Cost Guide). This guide is a compilation of cost estimating best practices drawn from across industry and federal government. We selected our projects from the universe of projects that we reasonably expected could have begun execution (i.e., projects initiated during fiscal years 2012-2014); projects that were underway, but not substantially completed (i.e., between 10- and 75- percent complete); and projects that constituted a significant financial investment (i.e., projects with appropriations of $75 million or greater). Ultimately, of the 690 total projects we identified DOD-wide, 13 met these criteria. From the 13 projects, we judgmentally selected 3: (1) the construction of a replacement elementary school at Marine Corps Camp Foster, Japan; (2) the construction of a Strategic Command operations building at Offutt Air Force Base, Nebraska; and (3) the construction of a Marine Corps command headquarters and cyberspace operations building in Fort Meade, Maryland. These projects are not intended to constitute a projectable sample, but rather are intended to provide in- depth information about how cost estimates are developed, compared with best practices, across the active component.", "In conducting the assessments for these three projects, we examined the processes used to develop both the Form 1391 estimate and the independent government estimate (i.e., the estimate used to award the contract) to determine whether the project cost estimates reflected the characteristics of a high-quality and reliable cost estimate, as defined in the Cost Guide. We also reviewed DOD\u2019s Unified Facilities Criteria and the military departments\u2019 respective guidance related to MILCON cost estimating and compared them with the steps needed for developing reliable cost estimates identified in Cost Guide. We interviewed officials and military project cost estimators at headquarters and at the Air Force\u2019s Engineering Division, and we also interviewed DOD\u2019s construction agents to discuss DOD\u2019s cost-estimating requirements and the guidance they follow in preparing, documenting, and reviewing project cost estimates. We provide further details on our scope and methodology in appendix I.", "We conducted this performance audit from January 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "MILCON Appropriation and Obligation Process", "paragraphs": ["DOD\u2019s MILCON appropriations are used to fund the acquisition, construction, installation, and equipping of temporary or permanent public works, military installations, facilities, and real property needed to support U.S. military forces in the United States and overseas. As with other DOD activities, no funds may be appropriated in any fiscal year or obligated or expended for MILCON activities unless such funds have been specifically authorized by law. Each year, the National Defense Authorization Act authorizes amounts to be appropriated in each of the 18 programmatic MILCON appropriations accounts. Individual or conference committee reports accompanying each fiscal year\u2019s National Defense Authorization Act provide specific congressional direction on authorized funding levels designated for specific construction projects supported by the various MILCON accounts. Similarly, conference committee reports or explanatory statements accompanying each fiscal year\u2019s appropriations acts establish appropriated funding levels for MILCON projects.", "The process through which the active component requests funding for construction projects is supported by DOD\u2019s Form 1391 Military Construction Project Data (Form 1391). The Form 1391 is to be used to support each project proposed for inclusion in the MILCON appropriations request submitted concurrently with all other DOD appropriations requests annually. The forms are to be used for both new projects as well as urgent unforeseen projects. The Form 1391 describes the scope, total project costs, and estimates of specific project elements. Costs associated with other project elements such as contingency and supervision, inspection, and design are also to be captured and included in the total requested amount. Finally, the Form 1391 is to include a description of the proposed construction and a requirements statement indicating what requirement the project provides. Project budget estimates are initially developed at the installation level and are provided to the next responsible level for review, validation, refinement, prioritization, and approval. Administrative support is to be provided when requested across the departments, but ultimately the installation is the originator and the primary responsible entity in developing the completed Form 1391.", "MILCON appropriations are generally available for obligation for 5 fiscal years, at which time the appropriation expires. For 5 years after they expire, appropriations are available for limited purposes, such as liquidating obligations made during the period of availability or adjusting contract costs. After these 5 years, any remaining unexpended amounts, whether obligated or unobligated, are canceled and returned to the U.S. Treasury. Once funds are returned to the U.S. Treasury, they are no longer available for any purposes.", "DOD obligates its appropriations throughout the period in which the appropriation is available. An \u201cunobligated balance\u201d is the difference between the total appropriation amount and total obligations made against the appropriated amounts. An \u201cunexpended balance\u201d is the total of obligated but unliquidated and unobligated amounts. According to DOD officials, available but unobligated amounts no longer needed may be either rescinded by Congress or reprogrammed to other MILCON projects that the active component identifies as needing additional funding. Reprogrammed amounts may be used to fund other projects where there are shortfalls; for projects authorized by Congress but not specifically funded through the appropriations process; for emergency projects, such as for facilities destroyed by fires. DOD\u2019s flexibility to reprogram without congressional approval is limited by the amount to be reprogrammed to a particular project. DOD\u2019s Financial Management Regulation requires prior congressional approval for a reprogramming that would result in an increase exceeding 25 percent of a project\u2019s authorized base amount or $2 million, whichever is less. Prior approval is not required when established costs or project-related thresholds are not reached. According to DOD officials, reprogrammings requiring congressional approval are called \u201cabove-threshold reprogrammings\u201d and those that do not are called \u201cbelow-threshold reprogrammings.\u201d"], "subsections": []}, {"section_title": "DOD Construction Agents", "paragraphs": ["DOD designates construction agents for the military departments and defense agencies with primary responsibility for developing and refining MILCON proposals and cost estimates, and to manage the design and construction of projects. Typically, the Army Corps of Engineers is the construction agent for Army MILCON-funded projects and the Naval Facilities Engineering Command is the construction agent for Navy and Marine Corps MILCON-funded projects. Either of those DOD entities can be the construction agent for the defense agencies and activities, such as for the Missile Defense Agency or Defense Education Activity, with the approval of the military department having jurisdiction of the real property facility. However, both the Army and the Navy may use each other\u2019s construction agent if it is in the interest of efficiency and cost- effectiveness or when otherwise considered appropriate. The Air Force may use either the Army Corps of Engineers or Naval Facilities Engineering Command for its projects. Additionally, the Air Force Civil Engineer Center, although not a designated construction agent, reviews and approves requirements for Air Force MILCON cost estimates, and in some cases may design and construct Air Force projects where both the Air Force and the commander of the assigned construction agent agree that it is the most efficient, expeditious, and cost-effective means to complete the project."], "subsections": []}, {"section_title": "DOD Guidance for MILCON", "paragraphs": ["Within DOD there are two levels of military construction guidance: the Unified Facilities Criteria and component-level guidance. The Unified Facilities Criteria are overarching, DOD-wide technical manuals and standards used for planning, design, construction, restoration, and maintenance of DOD facility projects. The Unified Facilities Criteria was designed to standardize and streamline the process for developing, maintaining, and disseminating criteria in support of MILCON. The Unified Facilities Criteria contains guidance describing methods, procedures, and formats for the preparation of construction cost estimates and construction contract modification estimates, among other types of guidance. The Unified Facilities Criteria is to be used to the greatest extent possible by all the DOD regardless of funding source. In addition to the Unified Facilities Criteria, the military departments and agencies have also developed their own internal guidance on MILCON, providing further direction on conducting activities such as cost analysis and determining facility requirements."], "subsections": []}, {"section_title": "Our Cost Assessment Model", "paragraphs": ["We developed the GAO Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs (Cost Guide) to assist federal agencies in developing reliable cost estimates and also as a tool for evaluating existing cost estimating procedures. To develop the Cost Guide, our cost experts assessed measures applied by cost estimating organizations throughout the federal government and industry and considered best practices for the development of reliable cost estimates. While the Cost Guide has a focus on developing cost estimates in the context of government acquisition programs, it outlines best practices that are generally applicable to cost estimation in a variety of circumstances. These best practices can be used to assess (1) the specific project cost estimates an agency develops to determine whether they meet the four characteristics\u2014comprehensive, well-documented, accurate, and credible\u2014for being reliable and (2) an agency\u2019s cost estimating guidance and procedures to see how well they incorporate all the steps needed for producing a high-quality cost estimate. Figure 1 shows the four characteristics and associated best practices for each that define a reliable cost estimate and table 1 shows the 12 steps identified in the Cost Guide that, if followed correctly, should result in high-quality cost estimates that management can use for making informed decisions."], "subsections": []}]}, {"section_title": "The Active Component Obligated and Expended Most of Its Military Construction Appropriations Received during Fiscal Years 2005 through 2016", "paragraphs": ["During fiscal years 2005 through 2016, Congress appropriated about $66 billion in MILCON funds to the active component and, as of September 30, 2016, the active component had obligated all but about $5.1 billion and expended all but about $11 billion of those funds. Of the $5.1 billion that remains unobligated, about $4.6 billion was unexpired and available for new obligations (i.e., from fiscal year 2013 through 2016 appropriations). Table 2 shows the active component\u2019s combined MILCON appropriations, obligations, and unexpended funds from fiscal year 2005 through fiscal year 2016.", "In general, during the early first few years of a MILCON appropriation available for 5 years, it is often likely that most of the funds will remain unobligated. For example, as shown in table 2 above, of the nearly $3.9 billion appropriated for military construction for the active component from the fiscal year 2016-2020 appropriation, only about $1.1 billion had been obligated as of September 30, 2016. This is not surprising given the time that it takes to award, obligate and disburse funds for projects. Ultimately, though, as an appropriation nears its expiration date, all or nearly all of the amounts have generally been obligated. In fact, as shown in table 2, for each MILCON appropriation received by the active component prior to fiscal year 2013 (fiscal years 2005 through 2012), less than 2 percent of each year\u2019s appropriation was unexpended as of September 30, 2016. In appendix II, we provide additional analysis of the active component\u2019s unexpended and unobligated balances, by appropriation year and by military department.", "Although ultimately, the active component obligates and expends most of its MILCON appropriations, the active component can experience a wide range of differences between initial cost estimates and final costs during the execution of individual MILCON projects, resulting in savings or shortfalls depending on the project. For example, we found that from fiscal year 2010 through fiscal year 2016, the active component achieved about $4.2 billion in MILCON project savings as a result, for example, of canceled projects, projects with lower than expected contractor bids, or the use of less expensive building materials. In appendix III, we provide additional analysis of the active component\u2019s estimated initial costs and the contract award amounts that were funded by MILCON appropriations for fiscal year 2010 through fiscal year 2016."], "subsections": []}, {"section_title": "The Active Component Reprogrammed Hundreds of Millions of Dollars in Military Construction Appropriations in Fiscal Years 2010- 2016", "paragraphs": ["The active component reprogrammed about $1.6 billion in MILCON appropriations to fund shortfalls caused by emergency projects, projects that were authorized but did not receive specific appropriations, and projects needing additional funding in fiscal years 2010 through 2016. Of this amount, the Army reprogrammed about $789 million of about $14 billion in appropriated MILCON funds; the Navy, about $535 million of about $14 billion in appropriated MILCON funds; and the Air Force, about $295 million of about $7 billion in appropriated MILCON funds. Table 3 shows the number and amounts of above-threshold reprogrammings by the active component for fiscal years 2010 through 2016.", "As seen in table 3, for any given year there are typically hundreds of millions of dollars reprogrammed. There are generally multiple active or canceled projects that result in cost savings, which may be used to fund authorized but not specifically funded projects. Below are three examples where the active component funded MILCON projects with amounts reprogrammed from other projects:", "Repair Shop at Andersen Air Force Base, Guam: This is an Air Force project to construct a pacific air resiliency low observable/corrosion control/composite repair shop in Guam. It is an authorized project that did not receive specific funding during the appropriation process but was fully funded by reprogrammed cost savings from active construction projects. Congress authorized $34.4 million for the repair shop in fiscal year 2015; however, no funds were specifically appropriated for the project. According to Air Force officials, since this was their top unfunded military construction priority, they used $34.4 million in savings achieved from other projects to construct the repair shop. Table 4 lists the three projects whose MILCON funds were reprogrammed for the repair shop at Andersen Air Force Base in Guam.", "Training Facility at the Naval Air Station at Mayport, Florida: This is a Navy project to construct a littoral combat ship training facility in Florida. It is a specifically funded project requiring additional funds that received reprogrammed amounts from a canceled project. In fiscal year 2014, the initial cost as listed on the Form 1391 was estimated to be $20.5 million, but project costs increased by 41 percent to an estimated $28.9 million, according to a fiscal year 2016 reprogramming request to Congress. As detailed in the reprogramming request, the Navy attributed the increased cost to underestimated mission simulator and communication line requirements. To fund the increased costs, the Navy used $8.3 million in savings from a canceled project to complete the facility. Table 5 lists the canceled project that resulted in funds being reprogrammed for the training facility at Mayport.", "Barracks at Presidio of Monterey, California: This is an Army project to construct a trainee barracks in California. It is a specifically funded project in need of additional funds that received reprogrammed amounts from active and canceled construction projects. In fiscal year 2011, the initial cost for the project as listed on the Form 1391 was estimated to be $63 million, but project costs increased by 51 percent to $95 million, according to a fiscal year 2015 reprogramming request to Congress. As detailed in the reprogramming request, the Army attributed the increased costs to a 3-year delay in construction and the need to move the project to a small, steep-terrain site. The reprogramming request further noted that the delay in construction was due to the discovery at the proposed construction site of a seismic fault and a plant that is an endangered species. To fund the increased costs, the Army sought to reprogram funds from the savings achieved from the active and canceled projects. Table 6 lists the projects that generated the reprogrammed funds used for the barracks at Presidio."], "subsections": []}, {"section_title": "DOD\u2019s Cost Estimates for Selected Construction Projects Were Not Reliable and DOD\u2019s Guidance Does Not Fully Incorporate the Steps Needed for Developing Reliable Estimates", "paragraphs": ["Our analyses of the cost estimates for three selected projects shows that the cost estimates were not reliable, and DOD\u2019s cost estimating guidance does not fully incorporate all the steps needed for producing reliable estimates. We examined the cost estimates of three high-value military construction projects and noted that the initial cost estimates increased for all three projects, with cost estimates for two of the projects increasing by over 30 percent and the other, by about 7 percent. Specifically:", "Strategic Command Operations Building, Offutt Air Force Base, Nebraska. The project to construct a nuclear, space, and network command and control operations building for the command at Offutt Air Force Base, Nebraska, increased from an initial cost estimate in fiscal year 2012 of $564 million to $601 million in fiscal year 2014 (or a 7-percent increase). According to a fiscal year 2014 reprogramming request to Congress, the Air Force attributed the increased cost to the fact that the project team did not appreciate the full scope, complexity, and risk of such an information technology- intensive project. These cost issues are similar to challenges we have reported on for other information technology-intensive MILCON projects. The Air Force is the project owner and the Army Corps of Engineers is the construction agent for this project.", "Command Headquarters and Cyberspace Operations Building, Fort Meade, Maryland. The project to construct a command headquarters and cyberspace operations building with sensitive compartmented information facility in Fort Meade, Maryland, increased from an initial cost estimate in fiscal year 2013 of $84 million to $110 million in fiscal year 2015 (or a 31-percent increase). As detailed in the fiscal year 2015 reprogramming request, the Navy attributed the increased cost to higher than expected construction costs due to increased demand on the labor workforce in the Washington, D.C./Baltimore area and underestimated electrical power requirements. The Navy is the project owner and the Army Corps of Engineers is the construction agent for this project.", "Elementary School Camp Foster, Japan. The project to replace an elementary school at Camp Foster, Japan increased from an initial cost estimate in fiscal year 2012 of $79 million to $107 million in fiscal year 2014 (or a 35-percent increase). As detailed on the fiscal year 2014 reprogramming request, the Department of Defense Education Activity attributed the increased cost to the volatile construction climate in Japan caused by natural disasters; Japanese government policies, economic stimulus, and reform; and the planned developments for the 2020 Tokyo Olympic Games. Although this project is not owned by any of the military departments, it is being managed by the Army Corps of Engineers in its role as a DOD construction agent through which it plays an important role in the development of the construction cost estimate. The Department of Defense Education Activity is the project owner and the Army Corps of Engineers is the construction agent.", "To determine the reliability of the cost estimates for these three selected projects, we assessed the cost estimates against the best practices for developing a reliable estimate in our Cost Guide. As previously discussed, the Cost Guide defines the four characteristics\u2014 comprehensive, well documented, accurate, and credible\u2014of a reliable cost estimate and the associated best practices related to each characteristic. In conducting these assessments, we examined both the Form 1391 estimate (i.e., the estimate used to develop the budget) and the independent government estimate i.e., (the estimate used to award the contract) for each project. Our analysis of the cost estimates for the three selected projects shows that the cost estimators did not follow all the best practices listed for each of the four characteristics. As a result, none of the characteristics were fully or substantially met. To be reliable, a cost estimate must substantially or fully meet each of the four characteristics. As the Cost Guide states, if any of the characteristics are not met, minimally met, or partially met, then the cost estimate does not fully reflect the characteristics of a high-quality estimate and cannot be considered reliable. Table 7 provides the results of our assessment of the cost estimates for each of the three selected projects.", "The Cost Guide also identifies 12 steps that, when incorporated into an agency\u2019s cost estimating procedures and guidance, are more likely to result in reliable and valid cost estimates. However, our analysis of DOD\u2019s department-wide cost estimating guidance\u2014the Unified Facilities Criteria\u2014found that the criteria did not include all of these 12 steps. The Unified Facilities Criteria incorporates some of the 12 steps to some degree, but not others, and as a result DOD is at a greater risk of developing estimates that are not reliable. Table 8 provides our assessment of the extent to which DOD\u2019s Unified Facilities Criteria incorporates the 12 steps needed to develop a high-quality, reliable cost estimate.", "Each of the military departments is required to follow the Unified Facilities Criteria to the greatest extent possible when designing and constructing facilities. However, as shown by the table above, there are shortcomings in these criteria when compared with our Cost Guide. Despite these shortcomings, the military departments have gone beyond the Unified Facilities Criteria and developed their own guidance that more closely aligns with our Cost Guide. For example, for both the \u201cdetermining the estimating structure\u201d and \u201cobtain the data\u201d steps, we found that all three military departments had developed their own guidance that more closely aligned with the 12 steps than the Unified Criteria did. In addition, some military departments are also making improvements to their cost estimating processes, but these improvements have not been fully implemented yet. For example, the Air Force Civil Engineer Center is implementing a cost estimate improvement plan to include the training of nearly 700 airmen and has conducted a study that directly ties the 12 steps in the Cost Guide to the associated tasks to be completed by the Air Force cost estimator to meet each individual step. However, the actions contained in the cost improvement plan have not been fully implemented and still remain in the concept phase. Similarly, although the Army Corps of Engineers is investigating expanding the use the of cost and schedule risk analysis\u2014which could align with the best practices in the Cost Guide\u2014that the Army currently conducts for selected civil work construction projects to its high-cost military construction projects, the Army has not formally required the use of these tools. In appendix IV, we describe the guidance the military departments have developed beyond the Unified Facilities Criteria.", "The Cost Guide is designed to establish a consistent methodology that is based on best practices and that can be used across the federal government for developing, managing, and evaluating capital program cost estimates. Air Force and Army Corps of Engineers officials noted that there may be instances in which following all the 12 steps of the Cost Guide for every MILCON project would not be appropriate to the risk level of the project. For example, it may not be realistic or to the military departments\u2019 benefit for the military departments to conduct a sensitivity and uncertainty analysis or develop an independent cost estimate for all the construction projects they initiate every year, especially for low-cost projects. We agree that it may not be suitable to fully apply all 12 of the cost estimating steps in the Cost Guide to all MILCON projects. However, incorporating the 12 steps into the Unified Facilities Criteria would establish consistency across DOD in the cost estimating process by ensuring that, for each MILCON project, each step in the Cost Guide would at least be considered. Furthermore, DOD could choose to establish thresholds\u2014based on, for example, the dollar values of the projects\u2014to guide the services in implementing the 12 steps for the most valuable projects. Skipping or not considering any step of the 12-step cost estimating process, especially for high-value projects such as those in our case studies, increases the risk that cost estimates may use improper assumptions, lack appropriate definition, or be otherwise unreliable. Without improving the Unified Facilities Criteria with respect to cost estimating processes, DOD and the services will not be positioned well to provide reliable cost estimates to DOD and congressional decision- makers."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Each year DOD receives billions of dollars in MILCON appropriations to use for projects in the United States and overseas. The quality of project cost estimates are of great importance since those estimates are the basis for DOD\u2019s requests for appropriations. While DOD\u2019s policy is that MILCON cost estimates be prepared as accurately as possible in order to reflect the full cost of constructing DOD facilities, DOD\u2019s Unified Facilities Criteria\u2014the department\u2019s primary construction criteria for developing cost estimates\u2014does not fully incorporate all of the steps needed for producing reliable cost estimates. Until DOD incorporates the 12 steps of high-quality, reliable cost estimating into this department-wide construction criteria, DOD and congressional decision-makers may not have reliable estimates to inform their decisions regarding appropriations and the oversight of projects."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making one recommendation to DOD: The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and the Environment work with DOD\u2019s construction agents, military departments, and other offices to improve DOD\u2019s MILCON cost estimating guidance (i.e., DOD\u2019s Unified Facilities Criteria) by fully incorporating all the steps needed for developing high- quality reliable cost estimates. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD. In written comments, which are reprinted in their entirety in appendix VI, DOD partially concurred with our recommendation. DOD also provided technical comments that have been incorporated into the report as appropriate.", "DOD partially concurred with our recommendation to improve its cost estimating guidance by fully incorporating all 12 steps needed for developing high-quality, reliable estimates. DOD stated that it did not believe that it is suitable to fully apply all 12 steps to any construction project due to characteristics of the military construction program that DOD believes differ from those of major system or weapon acquisition programs. However, DOD also stated that it concurred with the intent and general applicability of the twelve steps to military construction and that DOD cost estimating guidance lacks specificity in several of these areas. DOD acknowledged that expanding its cost guidance to more fully incorporate these steps would benefit the military construction program, and that it is planning to address this by revising its cost guidance during Fiscal Year 2019.", "In our report, we recognize that it may not be appropriate to fully apply all 12 steps to each construction project. For example, it may not be realistic or to the military departments\u2019 benefit to conduct a sensitivity and uncertainty analysis or develop an independent cost estimate for all the construction projects they initiate every year, especially for low-cost projects. Accordingly, we did not recommend that DOD fully apply all 12 steps to each construction project, but rather that it fully incorporate the 12 steps into the Unified Facilities Criteria so that, at least, each step is considered for each project. DOD could then choose to establish thresholds\u2014based on, for example, the dollar values of the projects\u2014to determine for which the 12 steps should be fully applied or other circumstances in which some steps might not be applicable. We believe DOD\u2019s planned revisions will meet the general intent of our recommendation.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense, the Secretaries of the Army, Navy, and Air Force. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact me at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To examine the active component\u2019s military construction (MILCON) obligations and expended balances, we reviewed MILCON appropriations found in appropriations acts, including accompanying explanatory statements and conference committee reports from fiscal year 2005 through 2016. Further, we analyzed the obligation and disbursement data of the active component\u2018s MILCON accounts, appropriation status reports, bid savings reports, as well as annual reports from the U.S. Department of the Treasury. We also collected and compared project data from each of the active component on projects that had been initiated and completed during fiscal year 2010 through fiscal year 2016. Specifically, we compared the initial estimate as shown on the Form 1391\u2014the form DOD uses to submit requirements and justifications in support of its funding requests to Congress\u2014with the contract award amount and analyzed any differences between the two.", "To examine the amount of MILCON reprogramming during fiscal years 2010 and 2016 by the active component, we reviewed DOD\u2019s requests to Congress to reprogram MILCON funds from one project to another. We calculated the total number of times such requests were made and the dollar amounts for fiscal year 2010 through fiscal year 2016. We selected this time frame because the reprogramming requests were readily available from DOD. In addition, we judgmentally selected three projects from this same time frame and reviewed accompanying Forms 1391 and the reprogramming requests associated with the projects to illustrate instances in which savings from one MILCON project funded another project. We collected and analyzed data for fiscal years 2005 through 2016 on the active component MILCON appropriations, obligations, and disbursements and we collected reprogramming data for fiscal years 2010 through 2016. We assessed the reliability of the data by interviewing knowledgeable officials about the data and the steps that they had taken to verify the data\u2019s accuracy. We determined that the data were sufficiently reliable for our objectives.", "To determine the extent to which DOD\u2019s MILCON cost estimates are reliable and DOD\u2019s guidance for producing estimates fully incorporates all of the steps needed for developing reliable estimates, we compared the process for developing three selected projects with the characteristics and best practices for developing a reliable estimate identified in GAO\u2019s Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs (the Cost Guide). This guide is a compilation of cost estimating best practices drawn from across industry and federal government. We selected our projects from the universe of projects that we reasonably expected could have begun execution (i.e., projects initiated during fiscal years 2012-2014); projects that were underway, but not substantially completed (i.e., between 10- and 75- percent complete); and projects that constituted a significant financial investment (i.e., projects with appropriations of $75 million or greater). Ultimately, of 690 total projects we identified DOD-wide, 13 met these criteria and, from this sample, we selected the 3 projects included in this report: (1) the construction of a replacement elementary school at Camp Foster, Japan; (2) the construction of a Strategic Command operations building at Offutt Air Force Base, Nebraska; and (3) the construction of a Marine Corps command headquarters and cyberspace operations building in Fort Meade, Maryland.", "In conducting the assessments for these three selected projects, we examined the processes used to develop both the Form 1391 estimate (i.e the form DOD uses to submit project-level requirements and justifications in support of its MILCON funding requests to Congress ) and the independent government estimate (i.e., the estimate used to award the contract) to determine whether the project cost estimates had the characteristics of a high-quality and reliable cost estimate, as defined in the Cost Guide. These projects are not intended to be a projectable sample, but to illustrate how cost estimates are assessed against best practices. Although the Camp Foster project is not owned by any of the active component, the construction and planning of the project is being led by the Army Corps of Engineers in its capacity as a DOD construction agent and, as such, we decided to include it in our review. Additionally, we reviewed DOD\u2019s Unified Facilities Criteria and the active component\u2019s respective guidance related to MILCON cost estimating and compared them with the steps needed for developing reliable estimates identified in the Cost Guide. We also interviewed military project cost estimators and active component construction agents to discuss the requirements and guidance they follow in preparing, documenting, and reviewing project cost estimates. Table 9 details the documents we reviewed for our cost estimating assessments.", "We conducted this performance audit from January 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Active Component\u2019s Unobligated, Unexpended Balances, and Execution of Military Construction Appropriations, Fiscal Years 2005 through 2016", "paragraphs": ["In this appendix we provide the supporting details on the active component\u2019s unobligated and unexpended balances of military construction (MILCON) appropriations for fiscal years 2005 through 2016. We include details on unobligated and unexpended balances by appropriation year and include individual tables for each military department of the active component. Overall, the active component had high obligation and expenditure rates associated with MILCON appropriations that have expired or been canceled. The Army, the Air Force, and the Navy consistently expended over 90 percent of amounts appropriated in fiscal years 2005 through 2011.", "This appendix also provides supporting details on the active component\u2019s execution of MILCON appropriations for fiscal years 2010 through 2016. Using Department of Defense (DOD) data, we identified two groups of MILCON projects: congressionally directed and other. \u201cCongressionally directed\u201d projects are those MILCON projects specifically identified in an appropriation act, explanatory statement, and/or committee reports accompanying the appropriation act for a specific fiscal year. \u201cOther\u201d projects refer to congressionally directed MILCON projects identified in an appropriation act, explanatory statement, and/or conference committee reports in a previous fiscal year. Overall, the active component obligated about 89 percent of its fiscal years 2010 through 2012 appropriations for congressionally directed projects whose appropriations expired on September 30, 2017."], "subsections": [{"section_title": "Unobligated and Unexpended Balances", "paragraphs": ["Tables 10 through 12 present detailed information on unexpended and unobligated balances for each military department of the active component\u2019s MILCON appropriation for fiscal years 2005 through 2016, as reported by DOD as of September 30, 2016."], "subsections": [{"section_title": "Army", "paragraphs": ["Table 10 shows that for fiscal years 2005 through 2012, the Army expended almost all of its MILCON appropriations. Specifically, with the exception of fiscal year 2012, the Army expended at least 90 percent of its appropriations received each fiscal year for 2005 through 2011. Unexpended rates for amounts appropriated for fiscal years 2014 through 2016 vary and unobligated amounts for these years remain available for new obligations.", "Table 11 shows that, for fiscal years 2005 through 2013, the Air Force expended almost all of its MILCON appropriations. Specifically, the Air Force expended at least 95 percent of its appropriations received each year for fiscal years 2005 through 2011 and also in fiscal year 2013. Unexpended rates for amounts appropriated for fiscal years 2014 through 2016 vary and unobligated amounts for these years remain available for new obligations.", "Table 12 shows that for fiscal years 2005 through 2012, the Navy expended almost all of its MILCON appropriations. Specifically, the Navy expended at least 90 percent of its appropriations received each fiscal year for 2005 through 2011. Unexpended rates for amounts appropriated for fiscal years 2014 through 2016 vary and unobligated amounts for these years remain available for new obligations."], "subsections": []}]}, {"section_title": "Execution of Military Construction Appropriations", "paragraphs": ["Tables 13 through 15 provide detailed information on budget execution for each active duty military department\u2019s MILCON appropriation for \u201ccongressionally directed\u201d and \u201cother\u201d MILCON projects for fiscal years 2010 through 2016, as reported by DOD as of September 30, 2016."], "subsections": [{"section_title": "Army", "paragraphs": ["Table13 shows the obligations made by the Army for MILCON appropriations for fiscal years 2010 through 2016. We analyzed the obligations made during these appropriations\u2019 period of availability for congressionally directed and other MILCON projects. For fiscal year 2010, using data in the table, we found that about 97.2 percent of obligations were for congressionally directed projects and 2.8 percent were for other projects, as discussed above. In fiscal year 2011, about 94 percent of obligations were for congressionally directed projects and 4.2 percent were for other projects; and in fiscal year 2012, about 86.5 percent of obligations were for congressionally directed projects and 7.2 percent were for other projects.", "Table 14 shows the obligations made by the Air Force for MILCON appropriations for fiscal years 2010 through 2016. We analyzed the obligations made during these appropriations\u2019 period of availability for congressionally directed and other MILCON projects. For fiscal year 2010, using the data listed in the table, we found that 90.5 percent of obligations were for congressionally directed projects and 7.3 percent were for other projects, as discussed above. In fiscal year 2011, about 84.3 percent of obligations were for congressionally directed projects and 12.9 percent were for other projects; and in fiscal year 2012, about 87.5 percent of obligations were for congressionally directed projects and 9.0 percent were for other projects.", "Table 15 shows the obligations made by the Navy for MILCON appropriations for fiscal years 2010 through 2016. We analyzed the obligations made during these appropriations\u2019 period of availability for congressionally directed and other MILCON projects. For fiscal year 2010, using data in the table, we found that 84.7 percent of obligations were for congressionally directed projects and 15.0 percent were for other projects, as discussed above. In fiscal year 2011, about 87.7 percent of obligations were for congressionally directed projects and 11.8 percent were for other projects; and in fiscal year 2012, about 85.5 percent of obligations were for congressionally directed projects and 13.4 percent for other projects."], "subsections": []}]}]}, {"section_title": "Appendix III: Comparison of Completed Military Construction Projects\u2019 Initial Cost Estimates with Contract Award Amounts, Fiscal Years 2010 through 2016", "paragraphs": ["This appendix provides information on our analysis of DOD\u2019s estimated initial costs and contract award amounts of projects that had been initiated and completed during fiscal year 2010 through fiscal year 2016 by the active component. An official from the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment told us that, to determine whether initial cost estimates were over- or underestimated, a comparison between initial Form 1391 estimates and contract award amounts would be a valid approach since contract award amounts are, in general, estimates of the same requirements identified on a Form 1391. The official also noted that supervision, inspection, overhead, and contingency costs included on a Form 1391 are not included in contract award amounts, which could create differences between the Form 1391 cost estimates and contract award prices. Because of this, we excluded the supervision, inspection, overhead, and contingency costs from the Form 1391 estimates in the table below to eliminate those differences. Form 1391 cost estimates may also vary from contract award amounts for reasons such as changes in project size or scope, changes in project characteristics, unexpectedly high or low contractor bids, or differences in expected building material costs, among other things. A negative percent change from the Form 1391 estimate to the contract award amount indicates the estimated project cost was overestimated and a positive percent change indicates the project was underestimated. We did not determine the precise reasons for any differences between estimated costs and contract award amounts. Table 16 lists information on 414 completed projects funded with military construction (MILCON) appropriations during fiscal year 2010 through fiscal year 2016 sorted by largest percentage overestimated to largest percentage underestimated."], "subsections": []}, {"section_title": "Appendix IV: Military Department Guidance for Developing Military Construction Cost Estimates", "paragraphs": ["The military departments of the active component have gone beyond the Unified Facilities Criteria and developed their own guidance for military construction (MILCON) that more closely aligns with the 12 steps needed for developing high-quality, reliable estimates. Table 17 describes the guidance developed by the military departments to align with those steps."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Maria Storts, Assistant Director; Bonita Anderson; Shawn Arbogast; Ronald Bergman; Brian Bothwell; Robert Brown; Farrah Graham; Mae Jones; Jennifer Leotta; Amie Lesser; Felicia Lopez; Carol Petersen; Vikki Porter; Steve Pruitt; and Karen Richey made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-67", "url": "https://www.gao.gov/products/GAO-19-67", "title": "Medicare Laboratory Tests: Implementation of New Rates May Lead to Billions in Excess Payments", "published_date": "2018-11-30T00:00:00", "released_date": "2018-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Medicare paid $7.1 billion for 433 million laboratory tests in 2017. These tests help health care providers prevent, diagnose, and treat diseases.", "PAMA included a provision for GAO to review CMS's implementation of new payment rates for these tests. This report addresses, among other objectives, (1) how CMS developed the new payment rates; (2) challenges CMS faced in setting accurate payment rates and what factors may have mitigated these challenges; and (3) the potential effect of the new payment rates on Medicare expenditures. GAO analyzed 2016 Medicare claims data (the most recent data available when GAO started its work and the year on which new payment rates were based) and private-payer data CMS collected. GAO also interviewed CMS and industry officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS) revised the Clinical Laboratory Fee Schedule (CLFS) for 2018, establishing new Medicare payment rates for laboratory services. Prior to 2018, these rates were based on historical laboratory fees and were typically higher than the rates paid by private payers. The Protecting Access to Medicare Act of 2014 (PAMA) required CMS to develop a national fee schedule for laboratory tests based on private-payer data. To revise the rates, CMS collected data on private-payer rates from approximately 2,000 laboratories and calculated median payment rates, weighted by volume. GAO found that the median private-payer rates were lower than Medicare's maximum payment rates in 2017 for 88 percent of tests. CMS is gradually phasing in reductions to Medicare payment rates, limited annually at 10 percent over a 3-year period (2018 through 2020), as outlined in PAMA.", "CMS relied on laboratories to determine whether they met data reporting requirements, but agency officials told GAO that CMS did not receive data from all laboratories required to report. CMS did not estimate the amount of data it should have received from laboratories that were required to report but did not. CMS took steps to exclude inaccurate private-payer data and estimated how collecting certain types and amounts of additional private-payer data could affect Medicare expenditures. However, it is not known whether CMS's estimates reflect the actual risk of incomplete data resulting in inaccurate Medicare payment rates. GAO found that PAMA's phased in reductions to new Medicare payment rates likely mitigated this risk of inaccurate Medicare payment rates from 2018 through 2020. However, GAO found that collecting incomplete data could have a larger effect on the accuracy of Medicare payment rates in future years when PAMA allows for greater payment-rate reductions.", "CMS's implementation of the new payment rates could lead Medicare to pay billions of dollars more than is necessary and result in CLFS expenditures increasing from what Medicare paid prior to 2018 for two reasons. First, CMS used the maximum Medicare payment rates in 2017 as a baseline to start the phase in of payment-rate reductions instead of using actual Medicare payment rates. This resulted in excess payments for some laboratory tests and, in some cases, higher payment rates than those Medicare previously paid, on average. GAO estimated that Medicare expenditures from 2018 through 2020 may be $733 million more than if CMS had phased in payment-rate reductions based on the average payment rates in 2016. Second, CMS stopped paying a bundled payment rate for certain panel tests (groups of laboratory tests generally performed together), as was its practice prior to 2018, because CMS had not yet clarified its authority to do so under PAMA, according to officials. CMS is currently reviewing whether it has the authority to bundle payment rates for panel tests to reflect the efficiency of conducting a group of tests. GAO estimated that if the payment rate for each panel test were unbundled, Medicare expenditures could increase by as much as $10.3 billion from 2018 through 2020 compared to estimated Medicare expenditures using lower bundled payment rates for panel tests."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Administrator of CMS (1) collect complete private-payer data from all laboratories required to report or address the estimated effects of incomplete data, (2) phase in payment-rate reductions that start from the actual payment rates rather than the maximum payment rates Medicare paid prior to 2018, and (3) use bundled rates for panel tests. HHS concurred with GAO's first recommendation, neither agreed nor disagreed with the other two, and has since issued guidance to help address the third. GAO believes CMS should fully address these recommendations to prevent Medicare from paying more than is necessary."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicare is the single largest purchaser of laboratory tests in the United States. In 2017, Medicare paid $7.1 billion for 433 million laboratory tests that gave health care providers information they used in preventing, diagnosing, and treating disease. Medicare\u2014a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS)\u2014pays for laboratory tests under Medicare Part B using payment rates established under the Clinical Laboratory Fee Schedule (CLFS).", "On January 1, 2018, Medicare began paying for laboratory tests using rates established with a new payment rate-setting methodology (the 2018 CLFS), as required by the Protecting Access to Medicare Act of 2014 (PAMA). The 2018 CLFS reflects the first major change in payment methodology for laboratory tests in three decades. Prior to 2018, the CLFS was based on historical laboratory charges from the mid-1980s, adjusted annually for inflation and other factors, and had remained relatively unchanged.", "PAMA directed CMS to develop new rates for the CLFS based on rates paid by certain private payers, creating a single, national fee schedule for laboratory tests. PAMA also called for a phase-in of the new payment rates by limiting any reductions to 10 percent per year for each of the first 3 years of implementation. PAMA continues phasing in the reductions in the second 3-year cycle after implementation, limiting any reductions to 15 percent per year. In 2015, CMS estimated that the changes in payment rates resulting from PAMA would reduce Medicare expenditures by $360 million in the first year.", "PAMA included a provision for GAO to review CMS\u2019s implementation of the new payment rates for laboratory services in the revised CLFS. This report examines: 1. what is known about the payment rates laboratories receive from 2. how CMS developed the 2018 CLFS payment rates; 3. the challenges CMS faced in setting accurate Medicare payment rates based on complete and accurate private-payer data, and what factors may have mitigated these challenges; and 4. the potential effect of CMS\u2019s implementation of new payment rates on Medicare expenditures.", "To describe what is known about the payment rates laboratories received from private payers, we reviewed market reports from industry analysts and laboratory representatives that analyzed private-payer rates for laboratory tests. We identified these market reports by searching a database of industry analyses from 2014 through 2018. We also identified reports cited by laboratory industry representatives and reviewed information submitted to CMS by industry stakeholders during rate-setting processes. We did not independently verify the data in these reports. We also interviewed officials from three organizations representing the laboratory industry and laboratory companies that we identified. We selected these organizations because they represented a large and diverse group of laboratories and different perspectives in their support for the new payment rates initially proposed by CMS. We relied on market reports and interviews with industry officials because we were unable to identify a reliable and comprehensive source on private-payer rates for laboratory tests.", "To describe how CMS developed the 2018 CLFS payment rates, we reviewed documents from CMS, such as guidance to industry and Medicare contractors, and the agency\u2019s proposed and final rulemaking that describes the process CMS established to collect data on private- payer rates that laboratories received. We also reviewed documentation CMS published about its preliminary and final calculations of the 2018 CLFS. In addition, we compared the median private-payer rates (weighted by volume) that CMS calculated to Medicare\u2019s 2017 national limitation amounts for laboratory tests (the maximum that CMS would pay for a laboratory test). We used this comparison to determine the percentage difference between the median payment rates and the 2017 national limitation amounts. We also interviewed CMS officials and representatives from the laboratory industry and laboratory companies.", "To determine the challenges CMS faced in setting accurate Medicare rates based on complete private-payer data, and what factors may have mitigated these challenges, we conducted two types of analyses. First, we determined the share of Medicare payments in 2016 that reporting laboratories received to compare against the share that CMS estimated laboratories meeting reporting requirements would receive. We identified laboratories reporting data to CMS using the national provider identifier (NPI) they reported. We used the Medicare claims data to determine these laboratories\u2019 share of Medicare payments in 2016. We assessed the reliability of the claims data by testing for missing data and obvious outliers. On this basis, we determined that these data were sufficiently reliable for the purposes of our report.", "For our second analysis related to collecting complete data, we estimated the potential effects that collecting data from additional laboratories could have had on Medicare payment rates and expenditures from 2018 through 2020. For this analysis we used the private-payer data that CMS collected to estimate what Medicare expenditures could be if CMS had received additional data. Specifically, we used the private-payer data CMS collected to identify median private-payer rates and payment rates at other percentiles. We then estimated the amounts of additional private- payer data as well as the payment rates in these additional data that would be needed to shift median private-payer rates to these other percentiles. To estimate the amount that additional data could shift median private-payer rates, we assumed that all of the payment rates in additional data could shift these medians in the same direction, either up or down. For example, we estimated that collecting 20 percent more data with payment rates above the 60th percentile of payment rates in the data already collected could shift median rates to the 60th percentile, approximately. Conversely, we estimated that collecting 20 percent more data with payment rates below the 40th percentile of payment rates in the data already collected could shift median rates to the 40th percentile, approximately. We then estimated Medicare payment rates and expenditures using payment rates at these percentiles as median private- payer rates. See appendix II for our calculations at the different percentiles.", "To determine the challenges CMS faced in setting accurate Medicare rates based on accurate private-payer data, we analyzed the effects on Medicare expenditures of including and excluding data that CMS identified as potentially inaccurate in calculating the payment rates, assuming that the same number of laboratory tests performed in 2016 was also performed in each year from 2018 through 2020. We also interviewed CMS officials about how they addressed the effect of inaccurate private-payer data on Medicare payment rates and their estimates of the potential effect of inaccurate data on Medicare expenditures, as well as the effect of incomplete private-payer data. We compared CMS\u2019s activities to relevant federal standards for internal control related to identifying, analyzing, and responding to risk.", "To examine the potential effect of CMS\u2019s implementation of new payment rates on Medicare expenditures, we estimated Medicare expenditures from 2018 through 2020, using CLFS rates CMS published and conducted two analyses related to panel tests, which are groups of tests performed together. The first analysis examined the effect of using 2017 national limitation amounts to phase in reductions to payment rates for panel tests, which Medicare commonly paid at lower rates. We estimated changes in Medicare expenditures if CMS had limited annual reductions to payment rates for panel tests based on the average amounts Medicare had allowed for payment in 2016 instead of on the national limitation amounts from 2017.", "For our second analysis of the potential effect of CMS\u2019s implementation of new payment rates on Medicare expenditures, we examined the effect of paying for panel tests as a group using bundled payments or separately as individual component tests using multiple, unbundled payments. We estimated potential changes in Medicare expenditures due to paying separately for each component test that makes up a panel test, in comparison with paying a bundled rate. For panel tests without billing codes, we used Medicare bundled payment rates from 2016 to compare with CMS\u2019s calculated payment rates for component tests from 2018 through 2020 because bundled payment rates are not available for these years.", "We took additional steps to support or extend our analyses. We reviewed analyses conducted by CMS and reviewed information from a subcommittee to the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests regarding payment for panel tests. We interviewed CMS about its legal authority to use bundled payment rates and its actions to avoid paying more than necessary for laboratory tests. We compared CMS\u2019s actions to the relevant standards for internal control in the federal government related to using quality information and to designing and implementing control activities to respond to risks.", "We conducted this performance audit from July 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Medicare Payment for Individual and Panel Tests before PAMA\u2019s Implementation in 2018", "paragraphs": ["Medicare pays for laboratory tests that are performed individually or in a group. For individual tests, laboratories submit claims to Medicare for each test they perform that is on the CLFS; tests are identified using a billing code. Prior to the implementation of PAMA in 2018, the payment rates on the CLFS were based on rates charged for laboratory tests in 1984 through 1985 adjusted for inflation. Additionally, 57 geographic jurisdictions had their own fee schedules for laboratory tests. CMS used the 57 separate fee schedules to calculate a national limitation amount, which served as the maximum payment for individual laboratory tests. Thus, the payment rate for an individual test was the lesser of the amount claimed by the laboratory, the local fee for a geographic area, or the national limitation amount for a particular test.", "Medicare pays bundled payment rates for certain laboratory tests that are performed as a group, called panel tests. Panel tests can be divided into two categories\u2014those without billing codes and those with billing codes. Panel tests without billing codes are composed of at least 2 of 23 distinct component tests. Additionally, there are 7 specific combinations of these 23 component tests that are commonly used and have their own billing code. Prior to 2018, Medicare paid for both types of panel tests (those without or with a billing code) using a bundled rate based on the number of tests performed, with modest payment increases for each additional test conducted. For example, in 2017, Medicare paid $7.15 for panel tests with two component tests and $9.12 for panel tests with 3 component tests, with a maximum bundled payment rate of $16.64 for all 23 component tests. Prior to 2018, the Medicare Administrative Contractors would count the number of tests performed before determining the appropriate bundled payment rate. For those panel tests with a billing code, the payment rate was the same if laboratories used the associated billing code for the panel test or listed each of the component tests separately."], "subsections": []}, {"section_title": "Medicare Payment for Individual and Panel Tests after PAMA\u2019s Implementation in 2018", "paragraphs": ["After PAMA\u2019s implementation in 2018, the 57 separate fee schedules for individual laboratory tests were replaced with a single national fee schedule. The payment rates for this single national fee schedule were based on private-payer rates for laboratory tests paid from January 1, 2016 through June 30, 2016. Specifically, the payment rate for an individual test was generally based on the median private-payer rates for a given test, weighted by test volume.", "Payment for panel tests also changed in 2018. For panel tests without billing codes, Medicare Administrative Contractors no longer counted the number of component tests performed to determine the bundled payment rate; instead, Medicare paid the separate rate for each component test in the panel. For panel tests with a billing code, the payment rate depended on how the laboratory submitted the claim. If a laboratory used the billing code associated with the panel test, Medicare paid the bundled payment rate for that billing code. If a laboratory submitted a claim for the panel test, but listed each of the component tests separately instead of using the panel test\u2019s billing code, Medicare paid the individual payment rate for each component test. Table 1 below summarizes the changes to payment rates before and after 2018."], "subsections": []}, {"section_title": "Types of Clinical Laboratories", "paragraphs": ["Multiple types of laboratories receive payment under Medicare. The three laboratory types that received the most revenue from the CLFS in 2016 were independent laboratories, hospital-outreach laboratories, and physician-office laboratories. (See table 2.)", "Estimates of the size of the total U.S. laboratory market vary. For example, the Healthcare Fraud Prevention Partnership estimated that the laboratory industry received $87 billion in revenue in 2017, while another market report estimated the laboratory industry received $75 billion in revenue in 2016. Similar to Medicare, the three laboratory types that generally receive the most revenue overall are independent laboratories, hospital-outreach laboratories, and physician-office laboratories, when laboratory tests performed in hospital inpatient and outpatient settings were excluded.", "Estimates of revenue received by these laboratories also vary. For example, in recent years, estimates of the share of laboratory industry revenue generated by independent laboratories ranged from 37 percent to 54 percent. Additionally, estimates of revenue generated by hospital- outreach laboratories recently ranged from 21 to 35 percent, and physician-office laboratories ranged from 4 to 11 percent of total laboratory industry revenue."], "subsections": []}]}, {"section_title": "Private-Payer Rates for Laboratory Tests Generally Vary by Laboratory Type and Other Characteristics", "paragraphs": ["Private-payer rates for laboratory tests conducted by the three largest laboratory types generally vary by type and other characteristics, according to market reports and the laboratory industry officials we interviewed.", "Independent laboratories. These laboratories generally receive lower private-payer rates than other types of laboratories, according to industry officials we interviewed. Market reports we reviewed noted that about half of the independent laboratory market is dominated by two national laboratories and that these national laboratories provide more competitive pricing by performing a large volume of tests at one time. Medicare accounted for a smaller proportion of the revenue earned by these two national laboratories (12 percent), compared to other laboratories, according to another market report we reviewed. In contrast, a different market report noted that smaller, independent laboratories tend to earn more of their revenue from Medicare (34 percent).", "Hospital-outreach laboratories. These hospital-affiliated laboratories typically receive relatively higher private-payer rates, according to industry officials we interviewed. Although hospital- outreach laboratories perform tests similar to other laboratories, they can obtain above-average payment rates by leveraging the market power of their affiliated hospital when negotiating rates with private payers, according to industry officials and market reports. Hospital-outreach laboratories generally receive about 25 to 30 percent of their revenue from the Medicare CLFS.", "Physician-office laboratories. Physician-office laboratories typically receive higher private-payer rates than independent laboratories, according to a recent analysis by a laboratory industry association. This industry association also noted that the cost structure to operate in a setting such as a physician-office laboratory is different than in large independent laboratories, as the physician-office laboratory is unable to conduct a large number of tests at one time. Officials from another industry association we interviewed said that payment rates for these laboratories are generally dependent on the size of the physician practice group. These same officials told us that larger physician groups (e.g., 10 or more physicians) typically negotiate higher rates from private payers than smaller physician groups. Most physician-office laboratories received less than $25,000 in revenue per year from Medicare, according to CMS.", "Additionally, in 2013, the Department of Health and Human Services Office of Inspector General found that Medicare\u2019s payment rates on the CLFS were higher than rates paid by some private health insurance plans. Specifically, it found that Medicare rates for laboratory tests were 18 percent to 30 percent higher than rates paid by certain insurers under health benefits plans for federal employees."], "subsections": []}, {"section_title": "CMS Analyzed Private-Payer Data to Develop New Payment Rates", "paragraphs": ["Definition of Applicable Laboratories Required to Report Private-Payer Data to CMS CMS defined applicable laboratories as those meeting four criteria: (1) they met the definition of laboratory under regulations implementing the Clinical Laboratory Improvement Amendments of 1988; (2) they billed Medicare Part B under their own Medicare billing number, also called the national provider identifier; (3) more than 50 percent of their total Medicare revenues came from the Clinical Laboratory Fee Schedule (CLFS) and/or the Physician Fee Schedule; and (4) they received at least $12,500 in Medicare revenue from the CLFS from January 1, 2016, through June 30, 2016.", "CMS analyzed private-payer data it collected from about 2,000 laboratories to develop new payment rates for individual laboratory tests on the CLFS. PAMA defined laboratories required to report private-payer data, called applicable laboratories, as laboratories that meet certain criteria. (See sidebar.) Applicable laboratories with their own specific billing number, the NPI, submitted these data to CMS. If one organization operated multiple applicable laboratories, each with its own NPI, then the organization could report data to CMS for multiple applicable laboratories. CMS collected data from applicable laboratories on payments they received from private payers during the first half of 2016. Specifically, CMS collected data on (1) the unique billing code associated with a laboratory test; (2) the private-payer rate for each laboratory test for which final payment was made during the data collection period (January 1, 2016, through June 30, 2016); and (3) the volume of tests performed for each unique billing code at that private- payer rate. For the data CMS collected between January 1, 2017, and May 30, 2017, CMS relied on the entities reporting to CMS to attest to the completeness and accuracy of the data they submitted.", "CMS relied on each laboratory to identify whether or not it was an applicable laboratory and took steps to assist laboratories in meeting reporting requirements. According to CMS officials, they relied on laboratories to self-identify as applicable laboratories because they were unable to accurately identify the number of laboratories required to report. To assist laboratories, CMS issued multiple guidance documents to the industry outlining the criteria for being an applicable laboratory and describing the type of data CMS intended to collect. CMS also conducted educational calls when the proposed and final rules were issued and prior to the data collection period. CMS officials told us they conducted additional outreach activities, including holding conference calls with national laboratory associations and attending professional conferences. Officials said they used these outreach activities in addition to the guidance issued to inform laboratories of the reporting requirements for applicable laboratories, for example.", "In addition, CMS established a revenue threshold of $12,500 in an effort to reduce the reporting burden for entities that receive a relatively small amount of revenues under the CLFS. In its final rule, CMS noted that it expected that many of the laboratories that would be below this revenue threshold and, thus exempt from reporting data to CMS, would be physician-office laboratories. CMS also chose to use the NPI in its definition of applicable laboratory in the final rule to allow hospital- outreach laboratories that use their own NPI to submit data to the agency. In its proposed rule, CMS suggested using an alternative identification number to the NPI. However, according to the final rule, CMS chose to use the NPI in its definition of applicable laboratory to allow those hospital-outreach laboratories billing using their own NPI to submit private-payer data to the agency.", "According to CMS, at the end of the 5-month submission period, the agency had received data from approximately 2,000 applicable laboratories, representing a volume of almost 248 million laboratory tests; these data accounted for about $31 billion in revenue from private payers. CMS reported that the data it collected included private-payer rates for 96 percent of the 1,347 eligible billing codes on the CLFS. CMS used these data to calculate a median, private-payer rate, weighted by volume and phased in this change by limiting payment-rate reductions to 10 percent per year. Beginning in 2018, these new payment rates served as the single, national payment rate for individual laboratory tests. These payment rates were also used for the individual, component tests that make up panel tests and were used when laboratories billed Medicare for panel tests by listing the component tests separately.", "In general, the median payments rates, weighted for volume, that CMS calculated were lower than Medicare\u2019s previous payment rates for most laboratory tests. According to our analysis, these median payment rates were lower than the corresponding 2017 CLFS national limitation amounts (the maximum that CMS would pay for laboratory tests) for approximately 88 percent of tests. Figure 1 below describes the percentage difference between these median payment rates and Medicare\u2019s 2017 national limitation amounts for laboratory tests.", "The final payment rates that CMS calculated, which included the 10- percent, phased in, payment-rate reductions, will remain in effect until December 31, 2020; PAMA requires CMS to calculate new payment rates for the CLFS every 3 years. Reporting entities will next be required to submit data on private-payer rates to CMS in early 2020, for final payments made from January 1, 2019 through June 30, 2019. PAMA capped any reductions for the second 3-year cycle after implementation to a maximum of 15 percent per year."], "subsections": []}, {"section_title": "PAMA\u2019s Provisions and CMS\u2019s Actions May Have Mitigated Some Challenges Related to Incomplete and Inaccurate Private-Payer Data, but Future Challenges Remain Incomplete Data Likely Had a Limited Effect from 2018 through 2020 but Could Affect Future Rates", "paragraphs": ["CMS did not collect private-payer data from all laboratories required to report this information and did not estimate how much data was not reported by these laboratories, according to agency officials. CMS relied on laboratories to determine whether they met data reporting requirements and submit data accordingly. CMS emphasized the importance of receiving data from all laboratories required to report by stating that it is critical that CMS collect complete data on private-payer rates in order to set accurate Medicare rates. However, agency officials told us that CMS did not receive data from all laboratories required to report. They also told us that CMS did not have the information available to estimate how much data was missing because not all laboratories reported or the extent to which the data collected were representative of all of the data that laboratories were required to report.", "Prior to collecting private-payer data, CMS estimated that laboratories subject to reporting requirements would receive more than 90 percent of CLFS expenditures to physician-office laboratories and independent laboratories. Specifically, based on its analysis of 2013 Medicare expenditures, CMS estimated that reporting requirements would apply to the laboratories that received 92 percent of CLFS payments to physician- office laboratories and 99 percent of CLFS payments to independent laboratories.", "After laboratories reported private-payer data, we analyzed the share of CLFS expenditures received by the laboratories that reported. Our analysis found that CMS collected data from laboratories that received the majority of CLFS payments to physician-office, independent, and other non-hospital laboratories in 2016. However, the laboratories that reported private-payer data received less than 70 percent of CLFS expenditures to physician-office, independent, and other non-hospital laboratories. Specifically, using Medicare claims data, we calculated that CMS collected data from laboratories that received 68 percent of 2016 CLFS payments to physician-office, independent, and other non-hospital laboratories.", "Although it did not collect complete data, CMS concluded that it collected sufficient private-payer data to set Medicare payment rates and that collecting more data from additional laboratories that were required to report would not significantly affect Medicare expenditures. This conclusion was based, in part, on a sensitivity analyses that CMS conducted of the effects that collecting certain types and amounts of additional data would have on weighted median private-payer rates and the effects those rates could have on Medicare payment rates and, thus, expenditures. Results from these analyses showed that Medicare expenditures based on the CLFS would have changed by 2 percent or less after collecting more data from the various types of laboratories. For example, CMS estimated that doubling the amount of private-payer data from physician-office laboratories would increase expenditures by 2 percent and collecting ten times as much data from hospital outreach laboratories would increase expenditures by 1 percent. (See fig. 2.)", "PAMA\u2019s 10-percent limit on annual payment-rate reductions likely reduced the effect that incomplete private-payer data could have on the CLFS because this limit applied to most Medicare payment rates for laboratory tests. As demonstrated in figure 1, while 59 percent of tests had median private-payer rates that were at least 30 percent less than their respective 2017 national limitation amounts, CMS published Medicare rates for these tests for 2018 through 2020 that were reduced by only 10 percent per year as a result of this limit. For example, a hypothetical laboratory test with a 2017 CLFS national limitation amount of $10.00 and a median private-payer rate of $7.00 would result in CLFS rates of $9.00 in 2018, $8.10 in 2019, and $7.29 in 2020. Changes to median private-payer rates due to collecting more complete data or eliminating inaccurate data would have no effect on Medicare payment rates from 2018 through 2020 for this hypothetical test if they resulted in new median rates of $7.29 or less.", "Our analysis of the potential effects that collecting data from additional laboratories could have had on Medicare payment rates and expenditures found that the effect of CMS not collecting complete data would likely have been greater absent PAMA\u2019s limits on annual reductions to Medicare payment rates. As a result, CMS may face challenges setting accurate Medicare rates if it does not collect complete data from all laboratories required to report in the future when PAMA allows for greater annual payment-rate reductions. To conduct this analysis, we used the private-payer data CMS collected to analyze the range of effects that collecting additional data could have on Medicare expenditures, assuming 2016 utilization rates remain constant. The extent of these effects depends on the amount of additional data CMS would need to collect to obtain complete data and whether the payment rates in these additional data would have been greater or less than the medians of the rates reported. For example, we estimated that if CMS needed to collect 20 percent more data for its collection to be complete, doing so could increase Medicare CLFS expenditures from 2018 through 2020 by as much as 3 percent or reduce them by as much as 3 percent depending on the payment rates in these additional data. However, if annual limits to Medicare payment-rate reductions were not applied, collecting these additional data could increase CLFS expenditures by as much as 9 percent or reduce them by as much as 9 percent. (See fig. 3 and app. II for additional information about these estimates.)", "As demonstrated in figure 2, CMS did analyze how collecting certain types and amounts of data from additional laboratories would affect Medicare expenditures. However, without valid estimates of how much more data these additional laboratories were required to report and how much these data would change median payment rates, it remains unknown whether CMS\u2019s analyses estimate the actual risk of setting Medicare payment rates that do not reflect private-payer rates from all applicable laboratories, as mandated by PAMA. CMS could have compared the data it collected with independent information on the payment rates laboratories were required to report, for example. The independent information could be estimated by auditing a random sample of laboratories or could be estimated using data from third-party vendors, if these vendors could supply relevant and reliable information."], "subsections": [{"section_title": "CMS Mitigated Challenges of Setting Accurate Medicare Payment Rates by Identifying and Excluding Inaccurate Private-Payer Data that Could Have Led to Paying More than Necessary", "paragraphs": ["We found that CMS mitigated challenges to setting accurate Medicare payment rates by identifying, analyzing, and responding to potentially inaccurate private-payer data. CMS addressed potentially inaccurate private-payer data and other data that CMS determined did not meet reporting requirements.", "CMS removed or replaced data from four reporting entities that appeared to have or confirmed having reported revenue\u2014which is the payment rate multiplied by the volume of tests paid at that rate\u2014instead of payment rates. We estimated that if CMS had included these data that CLFS expenditures from 2018 through 2020 would have increased by 7 percent.", "CMS removed data it determined were reported in error including duplicate submissions and submissions with payment rates of $0.00. We estimated that removing these data will change CLFS expenditures from 2018 through 2020 by less than one percent.", "CMS identified four other types of potentially inaccurate data that it determined would not significantly impact Medicare payment rates or expenditures and did not exclude them from calculations of median private-payer rates. CMS considered the following potentially inaccurate data to have met its reporting requirements: 1. data from 57 entities that reported particularly high rates in at least 60 percent of their data, 2. data from 12 entities that reported particularly low rates in at least 50 percent of their data, 3. data with payment rates that were 10 times greater than the 2017 national limitation amounts or 10 times less than these amounts, and 4. data from laboratories that may not have met the $12,500 low- expenditure threshold or that reported data from a hospital NPI instead of a laboratory NPI.", "We found that each of these four types of potentially inaccurate data would have changed estimated Medicare CLFS expenditures from 2018 through 2020 by 1 percent or less if CMS had instead excluded the data. To conduct this analysis, we recalculated Medicare rates after excluding each type of data and estimated Medicare expenditures assuming 2016 rates of utilization."], "subsections": []}]}, {"section_title": "CMS\u2019s Implementation of New Payment Rates Could Lead to Medicare Paying Billions More than Necessary for Some Tests", "paragraphs": [], "subsections": [{"section_title": "CMS\u2019s Approach to Phase In Reductions to Payment Rates Temporarily Increased Some Rates and Contributed to Estimated Increases in Medicare Expenditures for Certain Laboratory Tests", "paragraphs": ["Although weighted median private-payer rates were lower than Medicare\u2019s 2017 national limitation amounts for 88 percent of tests, we estimated the total Medicare expenditures based on the 2018 CLFS would likely increase by 3 percent ($225 million overall) compared to 2016 expenditures, assuming test utilization remained at 2016 levels. This increase in estimated expenditures is due, in part, to CMS\u2019s use of above-average payment rates as a baseline to calculate payment rates for those laboratory tests affected by PAMA\u2019s annual payment-rate reduction limit of 10 percent. (See fig. 4.)", "When applying the 10-percent payment-rate reduction limit, CMS used as its starting point the 2017 national limitation amounts in order to set a single, national payment rate for each laboratory test. Thus, the Medicare payment rate for a test in 2018 could not be less than 90 percent of the test\u2019s 2017 national limitation amount. However, prior to 2018, some payment rates were commonly lower than the national limitation amounts because they were based on the lesser of (1) the amount billed on claims, (2) the local fee for a geographic area, or (3) a national limitation amount, and because panel tests had different bundled payment rates. As a result, by reducing payment rates from national limitation amounts, CMS did not always reduce rates from what Medicare actually paid.", "Panel tests, in particular, frequently received bundled payment rates that differed substantially from national limitation amounts associated with their billing codes prior to 2018. We compared national limitation amounts, which represent maximum Medicare payment rates for tests, with the average amounts Medicare allowed for payment in 2016, which reflect actual Medicare payment rates. For example, figure 5 below shows that the 2017 national limitation amount for comprehensive metabolic panel tests ($14.49) was substantially higher than both the average amount Medicare allowed for payment in 2016 ($11.45) and the median payment rate laboratories reported receiving from private payers ($9.08). As a result, using the 2017 national limitation amount as a basis for payment reductions caused Medicare\u2019s payment rate to increase from an average allowed amount of $11.45 in 2016, to a payment rate of $13.04 in 2018, instead of decreasing towards a lower median private- payer rate of $9.08. By increasing average payment rates rather than phasing in reductions to rates, CMS\u2019s implementation may lead to paying more than necessary for some tests.", "Federal standards for internal control for information and communications require agency management to use quality information to achieve its objectives. Basing reductions on national limitation amounts rather than more relevant information on how much Medicare actually paid\u2014such as the average allowable amounts in 2016, for example\u2014could result in Medicare paying more than necessary by $733 million from 2018 through 2020, according to our estimates."], "subsections": []}, {"section_title": "CMS\u2019s Changes to Payment Rates for Panel Tests Could Lead Medicare to Pay Billions of Dollars More than Is Necessary", "paragraphs": ["In implementing PAMA, CMS eliminated bundled rates for panel tests that lack billing codes and started paying separately for each component test instead. CMS also implemented the 2018 CLFS in a manner that could lead to unbundling payment rates for panel tests with billing codes. If payment rates for all panel tests were unbundled, we estimated that Medicare expenditures could increase by $218 million for panel tests that lack billing codes and by as much as $10.1 billion for panel tests with billing codes from 2018 through 2020. CMS also estimated that there could be significant risks of paying more than necessary associated with unbundling and has taken initial steps to monitor these risks and explore possible responses, but had not yet responded to these risks as of July 2018.", "CMS Unbundled Payment Rates for Panel Tests without Billing Codes Beginning in 2018, CMS no longer uses bundled payment rates for panel tests without billing codes and instead pays laboratories individual payments for each component test that comprises these panel tests. However, CMS staff and members of its advisory panel discussed concerns with this approach. At an advisory panel meeting in 2016, CMS staff relayed concerns from stakeholders that CMS would not be able to collect valid data on private-payer rates for these panel tests. According to agency staff, stakeholders had informed CMS that private payers commonly use bundled payment rates for these panel tests, but laboratories would only be able to report unbundled payment rates for individual component tests.", "We estimated that unbundling these payment rates would increase Medicare expenditures from 2018 through 2020 by $218 million in comparison to the estimated Medicare expenditures over the same time period based on Medicare\u2019s 2016 utilization and allowable amounts. For example, under the 2016 CLFS, Medicare paid approximately 435,000 claims for panel tests that included the laboratory tests assay of creatinine (HCPCS code 82565) and assay of urea nitrogen (HCPCS code 84520) at an average bundled payment rate of $6.82. In contrast, under the 2018 CLFS, these two component tests are reimbursed individually at $6.33 and $4.88, respectively, or $11.21 combined\u2014a 63 percent increase.", "Despite concerns about the validity of available private-payer data on component tests for panel tests without billing codes, CMS used these data to set payment rates for component tests. CMS officials told us that they stopped using bundled payment rates for these panel tests because it is not clear that CMS has the authority to combine the individual component tests into groups for bundled payment as it did before 2018 due to PAMA\u2019s reference to payments for each test. However, in July 2018, CMS officials told us the agency was reviewing its authority regarding this issue. CMS officials told us they are exploring alternative approaches that could limit increases to Medicare expenditures but had not yet determined what additional legal authority would be needed, if any, and did not know when CMS would make this determination. Agency officials told us that CMS has taken initial steps to monitor unbundling and explore possible responses, including the following:", "Monitoring unbundling: CMS has begun monitoring changes in panel test utilization, payment rates, and expenditures associated with its implementation of PAMA, according to officials. For example, CMS officials told us that preliminary data indicated that Medicare payments for individual component tests of panel tests has increased substantially in 2018, but, as of July 2018, it was too early to draw conclusions from these data because laboratories have up to one year to submit claims for tests.", "Collecting input on alternatives: In 2016, a subcommittee of an advisory panel that CMS established reviewed Medicare\u2019s use of bundled payment rates for panel tests and published different approaches for CMS to consider implementing in combination with other changes to implement PAMA.", "CMS\u2019s Implementation of PAMA May Have Allowed Unbundling of Payment Rates for Panel Tests with Billing Codes Beginning in 2018, laboratories that submit claims for any of the seven panel tests with billing codes by using the billing codes for the individual component tests now receive the payment rate for each component test, rather than the bundled rate. Prior to 2018, laboratories could submit claims for these panel tests either by using the specific codes for panel tests or by billing separately for each of the component tests, and, regardless of how laboratories submitted claims, Medicare Administrative Contractors would pay bundled payment rates based on how many of the 23 component tests were conducted. However, CMS instructed Medicare Administrative Contractors to stop bundling payment rates for tests that are billed individually on claims rather than billed on claims using codes for panel tests, beginning in 2018. CMS did so because it was not clear that CMS had the authority to combine the individual component tests into groups for bundled payment as it did before 2018 due to PAMA\u2019s reference to payments for individual tests, according to agency officials. This change could potentially have a large effect on Medicare spending. For example, if a laboratory submitted a claim individually for the 14 component tests that comprise a comprehensive metabolic panel it would receive a payment of $81.91, a 528 percent increase from the 2018 Medicare bundled payment rate of $13.04 for this panel test. (See fig. 6.)", "Improving how reductions to payment rates for panel tests are phased in could mitigate, but not completely counteract, the effect of unbundling these payment rates. For example, for the comprehensive metabolic panel test described in figure 6, basing maximum reductions on 2016 average allowable amounts would result in a 2018 Medicare bundled payment rate of $10.31 instead of $13.04 and individual payment rates for the 14 component tests that total $56.06\u2014a 32 percent decrease from $81.91 that Medicare would otherwise pay.", "If the payment rate for each panel test with a billing code were unbundled, we estimated that Medicare expenditures for these tests from 2018 through 2020 could reach $13.5 billion, a $10.1 billion increase from the $3.3 billion we estimated Medicare would spend using the bundled payment rates in the CLFS. Similarly, prior to implementing PAMA, CMS estimated that Medicare expenditures to physician-office, independent, and other non-hospital laboratories could potentially increase as much as $2.5 billion in 2018, alone if it paid for the same number of panel tests with billing codes as it did in 2016 but paid for each component test individually. These estimates represent an upper limit on the increased expenditures that could occur if every laboratory stopped using panel test billing codes and instead used the billing codes for individual component tests. We do not know the extent to which laboratories will stop filing claims using panel test billing codes.", "CMS officials also told us that they were aware of the risks associated with paying for the individual component tests instead of the bundled payment rate for a panel test with a billing code. However, CMS guidance, which was effective in 2018, continued to allow laboratories to use the billing codes for individual component tests rather than the billing code for the panel. CMS officials explained that this was due to PAMA\u2019s reference to payments for individual tests, similar to CMS\u2019s decision to stop paying bundled rates for panel tests without billing codes. At the time we did our work, CMS had not implemented a response to these risks but had taken some initial steps to monitor unbundling and consider alternative approaches to Medicare payment rates for these tests. HHS provided additional information on planned activities to address these risks in its written comments on a draft of this report. (See app. III.)"], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["CMS collected data on private-payer rates from laboratories that were required to report these data, but not all laboratories complied with the reporting requirement, and the extent of noncompliance remains unclear. PAMA\u2019s provision directing CMS to phase in payment-rate reductions to Medicare payment rates likely moderates the potential adverse effects of incomplete private-payer data. However, in the future, failing to collect complete data could substantially affect Medicare payment rates because private-payer rates alone will determine Medicare payment rates. In addition, we estimated that Medicare expenditures on laboratory tests will be $733 million higher from 2018 through 2020, because CMS started phasing in payment-rate reductions from national limitation amounts instead of more relevant data on actual payment rates, such as average allowable amounts. Finally, changes to payment rates, billing practices, and testing practices could increase Medicare expenditures by as much as $10.3 billion from 2018 through 2020, if CMS does not address the risks associated with unbundling payment rates for panel tests. Agency officials indicated that it was unclear if PAMA limited CMS\u2019s ability to combine individual component tests into groups for bundled payment, and, as of July 2018, CMS was reviewing this matter but did not know when it would make a determination."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CMS:", "The Administrator of CMS should take steps to collect all of the data from all laboratories that are required to report. If only partial data can be collected, CMS should estimate how incomplete data would affect Medicare payment rates and address any significant challenges to setting accurate Medicare rates. (Recommendation 1)", "The Administrator of CMS should phase in payment-rate reductions that start from the actual payment rates Medicare paid prior to 2018 rather than the national limitation amounts. CMS should revise these rates as soon as practicable to prevent paying more than necessary. (Recommendation 2)", "The Administrator of CMS should use bundled rates for panel tests, consistent with its practice prior to 2018, rather than paying for them individually; if necessary, the Administrator of CMS should seek legislative authority to do so. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHs provided written comments, which are reproduced in appendix III. HHS also provided technical comments, which we incorporated as appropriate.", "HHS concurred with our first recommendation to take steps to collect all data from laboratories required to report and commented that it is evaluating ways to increase reporting. In particular, in a November 2018 final rule, HHS changed the definition of an applicable laboratory, which it expects will increase the number of laboratories required to report data on private-payer rates to the agency.", "HHS neither agreed nor disagreed with our second recommendation to phase in payment-rate reductions that start from the actual payment rates Medicare paid prior to 2018. HHS noted that any changes to the phasing in of payment-rate reductions would need to be implemented through rulemaking. We estimated that by using the national limitation amounts as a starting point for these reductions, Medicare expenditures would increase by $733 million from 2018 through 2020. For this reason, we continue to believe CMS should revise these rates as soon as practicable and through whatever mechanism CMS determines appropriate.", "HHS neither agreed nor disagreed with our third recommendation to use bundled rates for panel tests. However, HHS commented that it is taking steps to address this issue. More specifically, for panel tests with billing codes, HHS is working to implement an automated process to identify claims for panel tests that should receive bundled payments, similar to the process used to bundle payment rates for these panel tests prior to PAMA\u2019s implementation and anticipates implementing this change by the summer of 2019. In addition, HHS posted guidance on November 14, 2018, stating that the panel tests with billing codes, laboratories should submit claims using the corresponding code rather than the codes for the separate component tests beginning in 2019. To reduce the potential of paying more than necessary, we believe it is important that CMS implement its proposed automated process to allow for these payments as soon as possible.", "In contrast, for panel tests without billing codes, HHS commented that it is continuing to review its authority and considering other approaches to payment for these panel tests, such as adding codes to the CLFS. We estimate that unbundling the payment for these panel tests could increase Medicare expenditures by $218 million from 2018 through 2020 compared to expenditures based on Medicare\u2019s 2016 utilization, and the actual amount could be higher if utilization increases. For this reason, we believe CMS should implement bundled payment rates for these panel tests to avoid excess payments.", "We are sending copies of this report to the appropriate congressional committees and the Administrator of CMS. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions about this report, please contact me at (202) 512-7114 or cosgrovej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Table of Key Dates Related to Developing the New Payment Rates for the 2018 Clinical Laboratory Fee Schedule", "paragraphs": ["Appendix I: Table of Key Dates Related to Developing the New Payment Rates for the 2018 Clinical Laboratory Fee Schedule Event Centers for Medicare and Medicaid Services (CMS) issued the CLFS proposed rule.", "CMS issued responses to frequently asked questions regarding the CLFS proposed rule.", "CMS issued the CLFS final rule.", "CMS issued responses to frequently asked questions regarding the CLFS final rule.", "CMS held the joint Annual Laboratory Public Meeting and Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests meeting.", "CMS issued laboratory billing codes subject to data collection and reporting.", "CMS issued guidance to laboratories for collecting and reporting data.", "CMS held a Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests meeting.", "CMS issued the CLFS data reporting template.", "CMS collected data on (1) the billing code associated with a laboratory test; (2) the private-payer rate for each laboratory test for which final payment was made during the data collection period (i.e., January 1, 2016, through June 30, 2016); and (3) the volume of tests performed for each billing code at that private-payer rate.", "CMS issued additional guidance for laboratories as the data collection period began.", "CMS issued the CLFS fee-for-service data collection user\u2019s manual.", "CMS issued revised guidance to laboratories for collecting and reporting data.", "CMS held a Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests meeting.", "CMS released the proposed CLFS rates.", "CMS held a Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests meeting.", "Deadline for stakeholders to submit comments on the proposed CLFS rates to CMS.", "CMS issued the final CLFS rates.", "New CLFS rates became effective."], "subsections": []}, {"section_title": "Appendix II: Estimated Effects on Medicare Expenditures from Collecting Additional Data", "paragraphs": ["Table 4 below demonstrates the challenges the Centers for Medicare & Medicaid Services (CMS) faces in setting accurate Medicare payment rates to the extent it does not collect complete data from laboratories on private-payer rates. Specifically, the table shows the potential effect that collecting additional data for each laboratory test could have on Medicare expenditures and how this effect could vary depending on (1) the amount of additional data collected, (2) payment rates in the additional data, and (3) limits to annual reductions in Medicare payment rates. These limits are in place from 2018 through 2023 to phase in changes to payment rates."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Martin T. Gahart, Assistant Director; Gay Hee Lee, Analyst-in-Charge; Kaitlin Farquharson, Sandra George, Dan Lee, Elizabeth T. Morrison, Laurie Pachter, Vikki Porter, and Russell Voth made key contributions to this report."], "subsections": []}]}], "fastfact": ["Medicare paid $7.1 billion for 433 million lab tests in 2017, and typically paid higher rates than private insurers. Medicare is required to use a new methodology to establish payment rates in 2018, which tries to address this issue.", "However, we found that this new methodology could cause Medicare to pay billions more than is necessary for several reasons. For example, it uses maximum payment rates for lab services\u2014the most Medicare will pay for\u2014rather than actual payment rates in 2017 as a baseline to reduce rates. We recommended that Medicare address this issue."]} {"id": "GAO-18-418", "url": "https://www.gao.gov/products/GAO-18-418", "title": "Identity Theft: IRS Needs to Strengthen Taxpayer Authentication Efforts", "published_date": "2018-06-22T00:00:00", "released_date": "2018-07-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Strong preventive controls can help IRS defend itself against identity theft refund fraud. These controls include taxpayer authentication\u2014the process by which IRS verifies identities before allowing people access to a resource; sensitive data; or, in some cases, a tax refund. The risk of fraud has increased as more personally identifiable information has become available as a result of, for example, large-scale cyberattacks on various entities. IRS's ability to continuously monitor and improve taxpayer authentication is a critical step in protecting billions of dollars from fraudsters.", "GAO was asked to examine IRS's efforts to authenticate taxpayers. This report (1) describes the taxpayer interactions that require authentication and IRS's methods; (2) assesses what IRS is doing to monitor and improve taxpayer authentication; and (3) determines what else, if anything, IRS can do to strengthen taxpayer authentication in the future.", "To meet these objectives, GAO reviewed IRS documents and data, evaluated IRS processes against relevant federal internal control standards and guidance, and interviewed IRS officials and state and industry representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) has identified over 100 interactions requiring taxpayer authentication based on potential risks to IRS and individuals. IRS authenticates millions of taxpayers each year via telephone, online, in person, and correspondence to ensure that it is interacting with legitimate taxpayers. IRS's estimated costs to authenticate taxpayers vary by channel.", "IRS has made progress on monitoring and improving authentication, including developing an authentication strategy with high-level strategic efforts. However, it has not prioritized the initiatives supporting its strategy nor identified the resources required to complete them, consistent with program management leading practices. Doing so would help IRS clarify relationships between its authentication efforts and articulate resource needs relative to expected benefits. Further, while IRS regularly assesses risks to and monitors its online authentication applications, it has not established equally rigorous internal controls for its telephone, in-person, and correspondence channels, including mechanisms to collect reliable, useful data to monitor authentication outcomes. As a result, IRS may not identify current or emerging threats to the tax system.", "IRS can further strengthen authentication to stay ahead of fraudsters. While IRS has taken preliminary steps to implement National Institute of Standards and Technology's (NIST) new guidance for secure digital authentication, it does not have clear plans and timelines to fully implement it by June 2018, as required by the Office of Management and Budget. As a result, IRS may not be positioned to address its most vulnerable authentication areas in a timely manner. Further, IRS lacks a comprehensive process to evaluate potential new authentication technologies. Industry representatives, financial institutions, and government officials told GAO that the best authentication approach relies on multiple strategies and sources of information, while giving taxpayers options for actively protecting their identity. Evaluating alternatives for taxpayer authentication will help IRS avoid missing opportunities for improving authentication."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 11 recommendations to IRS to estimate resources for and prioritize its authentication initiatives, address internal control issues to better monitor authentication, develop a plan to fully implement new NIST guidance, and develop a process to evaluate potential authentication technologies. IRS agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Our prior work has found that strong preventive controls can help the Internal Revenue Service (IRS) defend itself against tax fraud. These controls include taxpayer authentication\u2014in general, the process by which IRS verifies people\u2019s identities before allowing them access to sensitive data (such as tax return information from a prior year) or, in the case of a suspicious tax return, a refund. IRS also uses authentication to verify a person\u2019s identity before allowing access to a resource, such as an information technology (IT) system.", "The risk of fraud has increased as more personally identifiable information (PII) has become readily available as a result of, for example, large-scale cyberattacks on entities including IRS, the Office of Personnel Management (OPM), and, recently, Equifax. In May 2015, IRS temporarily suspended its Get Transcript service after fraudsters used personal information obtained from sources outside IRS to pose as legitimate taxpayers and access tax return information from up to 724,000 accounts. In June and July 2015, OPM announced two data breaches affecting approximately 22.1 million current or former federal employees and contractors and their family members. Among the data stolen were Social Security numbers (SSN) and financial and personal health information. In September 2017, Equifax announced that criminals had exploited a vulnerability in its systems and obtained PII on 145.5 million individuals including names, SSNs, birth dates, addresses, and in some cases, driver\u2019s license information. In March 2018, Equifax announced, after further investigation, that criminals stole partial driver\u2019s license information for an additional 2.4 million individuals. The proliferation of stolen PII poses a threat to the tax system by making it difficult for IRS to distinguish legitimate taxpayers from fraudsters. This threat is particularly acute during the filing season when IRS and taxpayers interact the most.", "IRS estimates that at least $12.2 billion in identity theft (IDT) tax refund fraud was attempted in calendar year 2016, and that it prevented the theft of at least $10.5 billion of that amount. However, IRS reports that at least $1.6 billion was paid out to fraudsters. IRS\u2019s ability to continuously monitor and improve its approach to taxpayer authentication is a critical step in defending the agency against evolving cyber threats and fraud schemes and in protecting billions of taxpayer dollars. To further address IDT refund fraud, IRS held a Security Summit in March 2015 with state tax administrators and industry partners, including tax preparation and software firms and financial institutions. This ongoing effort is intended to improve information sharing and collaboratively address critical issues, including authentication and fraud detection.", "Within this context, you asked us to examine IRS\u2019s efforts to authenticate taxpayers. This report (1) describes the taxpayer interactions that require authentication, including the general rationale behind the requirements, and IRS\u2019s authentication methods; (2) assesses what IRS is doing to monitor and improve its authentication methods, both internally and collaboratively through the Security Summit, to secure taxpayer information and reduce IDT refund fraud; and (3) determines what else, if anything, IRS can do to strengthen its authentication methods while improving services to taxpayers in the future.", "To describe the interactions that require taxpayer authentication and IRS\u2019s authentication methods, we reviewed IRS documents, policies and procedures, and IRS-reported information related to taxpayer authentication volume and costs per transaction for fiscal years 2016 and 2017. We determined that the data were sufficiently reliable for our purposes. We also interviewed IRS officials knowledgeable about the agency\u2019s authentication programs and services offered to taxpayers through various channels. For this report, we focused on the following four IRS programs and services because they require taxpayer authentication, verify a significant number of taxpayer identities each year, and illustrate IRS\u2019s different approaches to authentication: the Taxpayer Protection Program (TPP), Identity Protection Personal Identification Number (IP PIN), and IRS\u2019s online services.", "To assess IRS\u2019s efforts to monitor and improve authentication internally and through the Security Summit, we reviewed IRS policies, procedures, authentication risk assessments, and information on authentication performance. To better understand IRS\u2019s efforts to authenticate taxpayers via telephone and in-person and how customer service representatives (CSR) record data for authentication, we selected a random, generalizable sample of records from IRS\u2019s Account Management Services (AMS) to create estimates about IRS\u2019s authentication outcome data for TPP. We determined that these data were sufficiently reliable for the purpose of our review based on discussions with knowledgeable IRS officials and by checking key data elements for out-of-range or logically inaccurate data. (See appendix I for more information.) We also compared IRS\u2019s efforts to applicable activities in the IRS Identity Assurance Strategy and Roadmap (Roadmap), IRS\u2019s Strategic Plan Fiscal Years 2014-2017 (Strategic Plan), Standards for Internal Control in the Federal Government, GAO\u2019s Framework for Managing Fraud Risks in Federal Programs, and relevant National Institute of Standards and Technology (NIST) guidance.", "We interviewed IRS officials in Return Integrity and Compliance Services (RICS), Identity Assurance Office (IAO), and IT knowledgeable about the agency\u2019s taxpayer authentication programs. We also interviewed IRS, state, and industry co-leads from two Security Summit workgroups to understand IRS\u2019s collaborative efforts to improve taxpayer authentication.", "To evaluate what else, if anything, IRS can do to strengthen its authentication methods while improving services to taxpayers, we interviewed IRS officials knowledgeable about the agency\u2019s plans for taxpayer authentication. We also met with officials from the General Services Administration (GSA) who are developing a government-wide authentication platform; officials from the Office of Management and Budget (OMB) who were involved in developing IRS\u2019s Secure Access platform; and officials from the Department of Veterans Affairs (VA) who are working with a third-party identity proofing service to authenticate veterans applying for benefits online. Further, we met with knowledgeable officials from the National Institute of Standards and Technology (NIST) to discuss its guidelines for online identity-proofing and authentication. Based on referrals from NIST and Security Summit workgroup co-leads and our prior work in this area, we also interviewed a nongeneralizable selection of representatives from state revenue offices, industry, and financial institutions. In total, we met with representatives from five state departments of revenue and one association representing state tax officials, three financial institution organizations, one financial service industry association, three identity-proofing/authentication organizations, and four tax industry organizations. We compared IRS\u2019s authentication programs and plans for future improvements to its Strategic Plan and Roadmap, federal internal controls, guidance from NIST and OMB, principles for project planning, our prior work on the Government Performance and Results Act, our Information Technology Investment Management framework, and our Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs. For a more detailed description of our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from January 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Authentication Provides IRS Reasonable Assurance That It Is Interacting with Legitimate Taxpayers", "paragraphs": ["IRS authenticates taxpayers to provide the agency with reasonable assurance that it is interacting with the legitimate taxpayer. IRS verifies that it is interacting with the legitimate taxpayer through identity proofing and authentication. Identity proofing is the process of first establishing that people are actually who they claim to be. Authentication is the process of verifying that returning users are who they say they are by requiring the use of one or more authenticators\u2014such as a password, a cryptographic key, or a fingerprint\u2014before allowing them access to sensitive data or a resource. In this report, we refer to both steps collectively as \u201cauthentication.\u201d", "For high-risk interactions, such as access to prior year tax information, authentication can help IRS avoid improperly disclosing PII or issuing a fraudulent refund. Authentication is particularly important for combatting IDT refund fraud, which occurs when a fraudster obtains an individual\u2019s SSN, date of birth, or other PII and uses it to file a fraudulent tax return seeking a refund. IDT refund fraud can also affect businesses. Specifically, fraudsters can use business information to file a fraudulent corporate return requesting a refund. According to IRS officials, fraudsters can file false employer Form W-2, Wage and Tax Statements (W-2) to support fraudulent individual returns seeking refunds. We have previously reported that when IRS suspects that a tax return is fraudulent, it will stop the return from further processing, and attempt to notify and authenticate the taxpayer before issuing the refund.", "Authentication can be accomplished using different methods depending on the risk of the interaction.", "Single-factor authentication: Useful when someone wants to access a low-risk system or service, this method may require only a user name and password.", "Multi-factor authentication: For high-risk interactions such as access to systems that include PII or financial information, this method requires at least two of the following: \u201csomething you know\u201d (e.g., a user name and password); \u201csomething you have\u201d (e.g., a mobile phone or cryptographic key); or \u201csomething you are\u201d (e.g., a fingerprint or other biometric data).", "Designing authentication programs involves a balancing act\u2014IRS needs to prevent fraudsters from passing authentication using stolen taxpayer information, but it must balance that against the burden on legitimate taxpayers who must also authenticate. If IRS makes the authentication process too stringent, legitimate taxpayers may not be able to successfully authenticate to, for example, access their prior year tax information or have IRS release a frozen refund. Conversely, if the process is too easy, fraudsters will likely be able to authenticate as easily as legitimate taxpayers.", "Industry representatives told us that identity proofing and authentication are becoming more difficult with the wide availability of PII. Further, according to NIST, it is challenging for organizations to authenticate users remotely via a web application because the processes and technologies to establish and use digital identities offer multiple opportunities for impersonation or other attacks. These interactions may become even more difficult and risky for organizations like IRS, who may interact with a taxpayer only once a year.", "As shown by the data breaches discussed at the beginning of this report, fraudsters are persistent in their efforts to exploit weaknesses in online systems and, in the context of IRS, access sensitive taxpayer information. For example, IRS reported that, between January and March 2017, fraudsters were able to use PII to access information from 100,000 taxpayer accounts through IRS\u2019s Data Retrieval Tool. According to the Treasury Inspector General for Tax Administration, identity thieves may have used PII obtained outside the tax system to start the Free Application for Federal Student Aid (FAFSA) application process and access tax information through the Data Retrieval Tool. Further, we have previously reported that fraudsters can use PII obtained in a data breach to more easily create fraudulent returns that resemble authentic tax returns, making it more difficult for IRS to detect potential fraud.", "Even as IRS has adapted its IDT defenses, fraudsters have developed more complex and sophisticated methods to bypass those defenses and commit fraud undetected. IDT refund fraud affects IRS, state revenue offices, tax preparers, tax software companies, and financial institutions. According to industry representatives, as these entities improve security in one area prone to fraud, fraudsters\u2019 methods evolve to target a weaker area. For example, in March 2016, IRS alerted payroll and human resource professionals of a phishing e-mail scheme in which fraudsters posed as company executives and requested personal information on employees via e-mail, including W-2s. With this information, fraudsters can imitate the legitimate taxpayer and file fraudulent tax returns seeking refunds. In January 2018, IRS reported that the agency received about 100 reports of W-2 phishing schemes in 2016 and about 900 reports in 2017. IRS also reported that more than 200 employers, affecting hundreds of thousands of employees, were victimized by W-2 phishing schemes in 2017."], "subsections": []}, {"section_title": "IRS Has Broad Efforts Underway to Address IDT and Authentication Challenges", "paragraphs": ["IRS is working to address these challenges, in part, by collaborating with industry\u2014including tax software companies, the tax preparer community, and financial institutions\u2014as well as state partners. In March 2015, the former IRS Commissioner convened a Security Summit with industry and states to improve information sharing and fraud detection and to address common challenges. The Summit led to the creation of seven workgroups to combat IDT refund fraud across multiple platforms. Each workgroup is led by three co-leads\u2014one each from IRS, state departments of revenue or state associations, and industry partners. These workgroups collaborate on initiatives to improve IDT refund fraud prevention and detection, including authentication.", "In 2015, IRS also established the Identity Assurance Office (IAO) to increase insight into authentication and fraud detection needs agency- wide, including authentication services delivered via four channels: telephone, online, in-person, and correspondence (i.e., postal mail\u2014 hereafter referred to as mail\u2014or fax). Among other responsibilities, IAO works with stakeholders across IRS to review the agency\u2019s various authentication programs, including assessing risks of current and planned authentication efforts across the four channels and identifying ways to mitigate these risks. In December 2016, IAO released its IRS Identity Assurance Strategy and Roadmap (Roadmap) for developing a modern and secure authentication environment for all taxpayers, regardless of how they interact with IRS."], "subsections": []}, {"section_title": "NIST Established New Requirements for Digital Authentication", "paragraphs": ["Among other things, the National Institute of Standards and Technology (NIST) develops and maintains standards, guidelines, recommendations, and research on the security and privacy of information and information systems. In June 2017, NIST released guidance on digital authentication to help agencies improve the security of their identity-proofing and authentication programs. In its new guidance, NIST breaks down the digital identity environment into three separate components of assurance: 1. Identity proofing: establishing that the person is actually who they 2. Authentication: establishing that the person attempting to access a service is in control of one or more valid authenticators associated with that person\u2019s identity; and 3. Federation: the concept that one set of user credentials can be used to access multiple systems.", "The guidance directs agencies to assess the risk for each component of identity assurance, rather than conducting a single risk assessment for the entire process. According to NIST officials, this new approach provides flexibility in choosing identity proofing and authentication solutions; aligns with existing, standards-based market offerings; is modular and cost-effective; and enhances individual privacy.", "In addition to NIST\u2019s new requirements for authentication, recent technology advances and private-sector innovation are providing new options for identity proofing and authenticating users, including in cases where, for example, IRS interacts with taxpayers once a year. Some examples of these technologies include physical biometrics, such as facial recognition, as well as behavioral biometrics, such as voice patterns, computer keystroke or mouse use patterns, swipe patterns, and gait analysis."], "subsections": []}]}, {"section_title": "IRS Incorporates Risk and Other Factors to Guide Authentication Decisions for Taxpayer Interactions", "paragraphs": [], "subsections": [{"section_title": "IRS Identifies Interactions that Require Authentication and Estimates Risk to Determine Authentication Approach", "paragraphs": ["According to IRS documents and discussions with officials, the agency considers risks to both the taxpayer and IRS when making decisions about how to approach authentication, which is consistent with federal guidelines. In making these decisions, IRS considers how individuals would be affected by the unauthorized release of sensitive information. IRS also considers the impact on the agency, including the potential for financial loss or harm to IRS programs or services, and loss of public trust.", "In 2016, IRS identified over 100 interactions between the agency and taxpayers that require authentication. The interactions range in risk level and IRS categorized them based on the potential for incorrect payment of refunds, disclosure of taxpayer information, and critical impacts on IRS operations. High-risk interactions include when an individual taxpayer establishes an online account with IRS, which provides access to prior year tax information and other PII, or when a taxpayer is asked to confirm his identify before IRS processes what the agency considers to be a potentially fraudulent tax return. Lower-risk interactions include paying a tax bill online. According to IRS, as the risk level of taxpayer interactions increases\u2014for example, interactions that involve sensitive financial information\u2014the authentication process becomes more rigorous. This enhanced security helps reduce the possibility that a fraudster can successfully authenticate. Further, if tax professionals want to conduct business with IRS online, such as when working on behalf of a client to file a return or request a prior year\u2019s tax transcript, they must establish an account and authenticate their identity."], "subsections": []}, {"section_title": "IRS Can Authenticate Taxpayers through One or More Channels", "paragraphs": ["According to IRS, the agency determines the means by which a taxpayer or tax professional can authenticate his or her identity and what data are required during the authentication process to appropriately minimize risk to the agency. IRS officials told us that the agency works to balance potential risks against its resources and mission to provide all taxpayers access to IRS services and support. IRS performs authentication through the following channels.", "Telephone. Taxpayers can authenticate via telephone with a customer service representative (CSR) for selected higher-risk interactions with IRS, such as in cases of suspected IDT refund fraud. Telephone authentication can require taxpayers to respond to knowledge-based questions that a fraudster would not likely know. For example, for high- risk interactions, taxpayers must answer additional tax return-related questions. Taxpayers who fail to respond correctly to these questions are then required to authenticate in person at a Taxpayer Assistance Center. For certain lower-risk interactions, taxpayers can authenticate through an automated telephone system.", "In-person. For some interactions with IRS, taxpayers can authenticate their identity directly with an IRS employee at 1 of IRS\u2019s approximately 400 Taxpayer Assistance Centers located throughout the country. Taxpayers may need to present one or more government-issued forms of identification and other documents, such as a utility statement, depending on the level of authentication required for the specific interaction.", "Online. IRS authenticates taxpayers online for both high-risk and lower- risk interactions. For high-risk interactions such as requesting a tax transcript or looking up an Identity Protection Personal Identification Number (IP PIN), taxpayers must pass a multi-factor authentication process using IRS\u2019s Secure Access platform. IRS launched Secure Access in June 2016 following the Get Transcript data breach and, as of April 2018, was using it for 11 applications including authentication for Get Transcript, IP PIN, and the online account. Officials told us they plan to implement Secure Access for other IRS applications in 2018. Taxpayers authenticating through Secure Access establish an account by providing IRS with a valid e-mail address, basic personal information, and personal financial information. Taxpayers then provide IRS a mobile phone number and IRS sends the phone an activation code that the taxpayer enters online. This step validates that the taxpayer possesses the mobile phone. IRS authenticates returning users via a security code. For lower-risk interactions, taxpayers may authenticate online by answering several knowledge-based questions, such as questions about their current return to learn the status of their refund.", "Correspondence. In some cases, taxpayers can submit documents or request tax information via correspondence, which are then reviewed by IRS and authenticated by matching against information in IRS\u2019s systems. This method can require that IRS send the requested documents (such as a tax transcript) only to the taxpayer\u2019s address of record, or require the taxpayer to include a photocopy of identification. For example, in some instances, taxpayers who cannot authenticate via telephone and cannot travel to a Taxpayer Assistance Center in person may be able to authenticate by mail.", "Each authentication channel requires different IRS resources. These resources include IRS staff and overhead; contracts with vendors that provide identity verification services; and costs inherent to the specific channel, such as mailing costs. Figure 1 summarizes IRS\u2019s authentication channels and illustrates a number of the interactions that taxpayers or tax professionals can accomplish through one, or several, channels. It also illustrates the differences in costs per transaction. According to IRS data, in-person authentication at a Taxpayer Assistance Center is the most expensive way to authenticate taxpayers (about $89 per interaction), followed by telephone (about $54 per interaction). Online authentication costs the least, at less than $1 per interaction. According to the National Taxpayer Advocate, while requiring the appropriate level of authentication is necessary to protect IRS against fraudsters, the agency also needs to offer taxpayers a range of options for interacting with IRS."], "subsections": []}, {"section_title": "IRS\u2019s Authentication Programs and Services Are Designed to Reduce Fraud", "paragraphs": ["In this report, we focus on four key IRS programs and services that require authentication:", "Taxpayer Protection Program (TPP). Through TPP, IRS reviews tax returns that are flagged by IRS\u2019s IDT filters as potentially fraudulent, such as when a return includes characteristics of known fraud schemes. IRS sends a letter notifying taxpayers that they must authenticate their identity before IRS will process the return or issue a refund. According to IRS, in fiscal year 2017, more than 1.9 million taxpayers received such a notification, and IRS authenticated about 1.17 million of them. These taxpayers could verify their identity via telephone, in-person, and correspondence. In August 2016, IRS suspended its TPP online authentication service because of potential system security weaknesses. In mid-March 2018, IRS relaunched the first phase of a more secure TPP online authentication service, which is discussed later in this report.", "Get Transcript. This service allows individual taxpayers to request and receive a copy of their prior years\u2019 tax information. The transcript contains information from the taxpayer\u2019s tax filing history, such as information from Form 1040, U.S. Individual Income Tax Return, that can be used, for example, when applying for a mortgage or student loan, or to electronically file (e-file) an upcoming tax return. Taxpayers can request the transcript online or in-person (to be delivered online or via mail); over the telephone (to be delivered via correspondence); or by correspondence (to be delivered via mail). Taxpayers must provide authentication information before IRS will process their request. According to IRS, in fiscal year 2017, IRS delivered about 26.4 million transcripts, with about 59 percent of transcripts delivered online.", "IP PIN. IRS assigns each victim of IDT a single-use identification number to be used to file a future electronic or paper tax return. IRS also offers taxpayers in Florida, Georgia, and the District of Columbia the option to request an IP PIN to help prevent IDT in these high tax- related IDT locations. IRS automatically rejects e-filed returns if they do not include the IP PIN and will delay paper returns for extra examination when taxpayers file without the IP PIN. According to IRS, the agency mailed 3.5 million IP PINs to be used during the 2017 filing season.", "IRS\u2019s Online Services. IRS has developed a number of online services that require taxpayers and tax professionals to authenticate before accessing information online. For example, taxpayers who have established a verified online account can set up an online payment plan. Taxpayers can also check the status of their refund, as well as update their address of record. Taxpayers can also use IRS\u2019s mobile application for some of these actions, such as checking the status of a refund or making a payment to IRS. Similarly, through IRS\u2019s e-Services, tax professionals who have been vetted and approved by IRS can manage their e-file accounts, file tax returns on behalf of clients, and view their clients\u2019 tax return information.", "As noted in figure 2, the volume of taxpayers authenticated for each IRS program or service varies by channel. Further, although TPP costs IRS more than Get Transcript and affects far fewer taxpayers, IRS reported that TPP helped prevent $5.3 billion in lost tax revenue in calendar year 2016."], "subsections": []}]}, {"section_title": "IRS Has Made Progress on Its Authentication Efforts, but Has Not Prioritized Authentication Improvements and Is Not Sufficiently Assessing and Monitoring Risks for All Channels", "paragraphs": [], "subsections": [{"section_title": "IRS Has Begun to Implement Its Authentication Strategy, but Has Not Articulated Priorities and Resource Needs", "paragraphs": ["IRS has identified high-level strategic campaigns, or efforts to enhance identity assurance, in its Identity Assurance Strategy and Roadmap (Roadmap) and has established a business process to support these efforts. However, IRS has not articulated relative priorities for the foundational initiatives supporting its strategic efforts or the resources it will require to complete them. As discussed earlier, IRS\u2019s 2016 Roadmap is the agency\u2019s plan for developing a modern and secure authentication environment for all taxpayers regardless of how they interact with IRS. The Roadmap outlines six core authentication objectives, followed by 10 high-level strategic efforts, and 14 foundational initiatives to help IRS address its authentication challenges and identify opportunities for future investment. (See appendix II.) Further, IRS has identified about 90 activities to support its foundational initiatives and the responsible organizations and general duration to complete them. These initiatives include, for example, implementing a risk assessment framework that can be applied across all authentication channels and services; developing a framework of identity proofing and authentication requirements for third parties accessing and using IRS data and services; and improving taxpayer assurance by sending automated electronic alerts to taxpayers, such as when they file a return.", "To support implementation of these initiatives, IRS established a 12- member executive governance board. Board members are senior executives from business units across IRS, including the Identity Assurance Office (IAO), IT Applications Development, IT Cyber Security, and Wage and Investment. The board helps to monitor progress, risks, and challenges associated with implementing its Roadmap, and has generally met monthly since January 2017.", "Our prior work on government performance has identified several leading practices for planning at the program or initiative level. Among other things, these practices call for strategic plans to contain the goals and objectives of a program and the human, financial, and information resources required to complete them. Leading practices also call for agencies to develop estimates of benefits and costs to help prioritize new investments. Following these practices can help agencies establish priorities in a complex environment.", "IRS has made progress on some of the strategic efforts identified in its Roadmap. For example, consistent with its core objectives, IRS has taken steps to enhance fraud detection by improving telephone authentication procedures and expanding its online authentication services. In October 2016, IRS implemented a new process for high-risk telephone authentication, which includes generating questions for the taxpayer using data from internal IRS systems instead of from third-party data or credit reporting agencies. In addition, in March 2018, IRS launched the first phase of its improved online authentication service for TPP, called ID Verify. According to IRS officials, the first phase of the service will be available to taxpayers who did not file the return in question and appear to be victims of IDT refund fraud. The second phase, which IRS plans to implement later in 2018, will expand the service to all taxpayers selected for TPP.", "While IRS\u2019s Roadmap demonstrates the breadth of the agency\u2019s strategic vision and core objectives, it does not articulate the resources IRS needs to implement any of its 14 foundational initiatives and their supporting activities. For example, one of IRS\u2019s foundational initiatives is to send event-driven notifications to taxpayers, such as when they file a return or request a tax transcript. Such notifications could help IRS detect potentially fraudulent activity at the earliest stage and improve authentication of tax returns. The Roadmap identifies seven supporting activities for this foundational initiative. One is to provide taxpayers with greater control over their online accounts. Another supporting activity is to determine methods for sending notifications to taxpayers about activity on their account. However, IRS has not identified the resources required to complete these activities, and the Roadmap notes that six of the seven activities will take between 6 months to 3 years to complete. In December 2017, IRS officials stated that they had developed business requirements for the foundational initiative to give taxpayers greater control over their online accounts. However, IRS has not identified funding for the initiative\u2019s other supporting activities\u2014such as developing requirements to send push notifications to taxpayers\u2014and implementing them will depend on the availability of future resources.", "Further, while IRS has developed a business process that would help the agency prioritize initiatives, the process has not been fully implemented. In 2015, we recommended that IRS estimate and document the costs, benefits, and risks of possible options for taxpayer authentication, in accordance with OMB and NIST guidance. Consistent with our recommendation and its Roadmap, IRS developed a process to assess the costs, benefits, and risks of current and potential authentication tools. In May 2017, IRS implemented its business decision model to analyze and improve its online taxpayer authentication services and provided us with results from an analysis for implementing a text-to-voice functionality for IRS\u2019s Secure Access online authentication platform. This function would allow taxpayers the option of receiving an automated voice code for authentication on a verified landline (instead of a text message on a mobile phone). As a result of this analysis, IRS approved the proposal to implement this tool. However, in December 2017, IRS officials stated that the text-to-voice tool is not moving forward because of other competing IT improvements and funding constraints. Further, IAO has not yet applied the business decision model to other potential authentication initiatives, such as those identified in its Roadmap.", "In December 2017, IRS officials stated that each of the strategic efforts and foundational initiatives identified in the Roadmap are a high priority, and they are working to address them concurrently while balancing the availability of resources against the greatest threats to the tax environment. We recognize that a strategy is necessarily high-level and that IRS must remain flexible and use necessary resources to respond to unexpected threats. At the same time, clearly identifying resources and prioritizing its initiatives and activities will help clarify the relationships between IRS\u2019s authentication efforts and resource needs relative to expected benefits. Further, such efforts may also help IRS establish clearer timelines and better respond to unexpected events."], "subsections": []}, {"section_title": "IRS Has Not Established a Policy to Assess Risks for Telephone, In-Person, and Correspondence Authentication", "paragraphs": ["While IRS has generally performed regular risk assessments on its online authentication applications, it does not perform comparable assessments to identify, assess, and mitigate risks for its telephone, in-person, and correspondence authentication channels. Federal guidance directs agencies to regularly assess and address the risks of government IT systems. Specifically, OMB requires agencies to conduct annual risk assessments on IT systems performing remote authentication. The assessments should also be conducted when the agency plans to modify its business processes or technology. This includes reviewing new and existing electronic transactions to ensure that authentication processes provide the appropriate level of assurance outlined in NIST guidance. While federal guidelines broadly require agencies to identify and manage risks and establish specific requirements for programs using online authentication, no corresponding federal guidelines exist for telephone, in-person, and correspondence authentication, although we have previously reported that federal guidance and standards are applicable to IRS\u2019s phone authentication.", "Similarly, our Framework for Managing Fraud Risks in Federal Programs directs agencies to conduct fraud risk assessments at regular intervals and when there are changes to the program operating environment, as assessing fraud risks is an iterative process. Previously, such risk assessments have helped IRS identify security weaknesses and, in some cases, have led the agency to take an authentication service offline. For example, in response to a recommendation we made in May 2016, IRS performed an updated risk assessment on TPP\u2019s online authentication service, a key defense against IDT refund fraud. Based on the results of this assessment, IRS disabled its online authentication service until it could appropriately address the security weaknesses that it identified.", "Consistent with federal guidance, IRS has identified and analyzed risks associated with services and programs requiring online authentication, including TPP, Get Transcript, and IP PIN, among others. Further, IRS has made recent progress in updating risk assessments and improving security for its online authentication applications. Specifically, between June 2017 and April 2018, IRS reassessed authentication risk levels for some online applications, mitigated risks by moving additional applications behind its Secure Access authentication platform, and identified other compensating controls to appropriately protect its systems. In December 2017, IRS officials stated that they were working to bring remaining authentication applications in line with their most recent risk assessment. They expected to complete this work by the last quarter of fiscal year 2018.", "IRS has efforts underway to identify risks for telephone, in-person, and correspondence authentication, but has made limited progress implementing its process for assessing risks for all taxpayer authentication channels. As previously discussed, in 2016, IRS identified over 100 interactions that require taxpayer authentication and categorized these into three high-level risk outcomes. According to IRS\u2019s risk assessment process, the next step is for IRS business units to assess the effects of incorrect authentication for each interaction or program, identify gaps in existing processes, and develop options to address the gaps. IRS officials stated that this process involves conducting scenario-based workshops with subject matter experts.", "However, as of March 2018, this process has only been applied to TPP and one other IRS business practice. In early 2017, IRS conducted a 2- day, internal, scenario-based workshop to assess risks and impacts and to identify gaps for TPP authentication. Workshop participants identified 45 short-, medium-, and long-term potential enhancements to TPP\u2019s authentication processes. However, IRS had not performed similar risk impact assessments for other programs that rely on telephone, in-person, and correspondence authentication\u2014including Get Transcript and IP PIN\u2014and officials do not have a plan or timeline for conducting these assessments. Further, IRS has not developed a plan with time frames to address the deficiencies it identified for TPP. In December 2017, IRS officials stated they are reviewing the 45 TPP enhancements identified by workshop participants, but have no clear plans to implement them because of resource constraints.", "IRS has made limited overall progress on this front because it does not have a policy that requires regular assessments and timely mitigation of identified issues for telephone, in-person, and correspondence authentication, as is required for online authentication programs and services. IRS also does not have guidelines for mitigating authentication risks to these channels in a timely manner. In late November 2017, the Director of IAO stated that IAO alone does not have the authority to create and implement a policy that compels other IRS business units to use its risk assessment process or mitigate issues in a timely manner. Officials from other IRS business units stated that they continually assess risks to telephone, in-person and correspondence authentication, even without a policy to do so. However, IRS could not provide evidence of such prior risk assessments or risk mitigation plans. IRS\u2019s Roadmap states that it will implement a secure authentication platform for taxpayers regardless of how they interact with IRS\u2014online, via telephone, in- person, or correspondence\u2014to help ensure that information is secure and that the agency is interacting with a legitimate taxpayer. Without a policy for conducting risk assessments for these channels and addressing deficiencies in a timely manner, IRS may underestimate known risks and overlook emerging threats to the tax environment. As a result, these channels may be more vulnerable to fraudulent activity, including unauthorized attempts to access taxpayer information."], "subsections": []}, {"section_title": "IRS Lacks Internal Controls to Effectively Monitor Telephone, In- Person, and Correspondence Authentication", "paragraphs": ["IRS has established internal controls including procedures and mechanisms to monitor performance of online authentication, but does not have similar controls in place to monitor the performance of telephone, in-person, and correspondence authentication. Federal standards for internal control call for agencies to design their information systems in a way that meets operational needs and allows the agency to respond to risks. Further, agencies are to collect and use quality information to make informed decisions. Quality information is appropriate, current, complete, accurate, accessible, and provided on a timely basis. Further, to have an effective internal control system, agencies should also establish procedures to monitor and evaluate the performance of programs and systems as part of the normal course of operations. To this end, monitoring should be performed on an ongoing basis, and any deficiencies the agency has identified should be addressed in a timely manner. Monitoring activities are even more critical in an environment where the risk of fraud is high because such efforts allow an agency to quickly respond to emerging risks to minimize the impact of fraud. Further, IRS\u2019s Strategic Plan calls for its organizations to use analytics and research to improve program effectiveness and foster a timely, data-driven decision-making environment.", "According to IRS documentation and discussions with officials, the Secure Access online authentication platform allows IRS to conduct near real-time monitoring of taxpayer authentication outcomes. Specifically, for each online service using Secure Access, IRS is able to monitor on a daily basis how many taxpayers registered for an account; rates of successful and unsuccessful identity proofing and verification; and suspicious user patterns, such as multiple login attempts. IRS is also able to monitor system error codes for specific steps in the authentication process, such as when the secure messaging process fails. IRS officials stated that this enhanced performance monitoring of online authentication began in June 2016, and it is helping IRS determine where in the authentication process taxpayers may be having difficulties and potential causes of the problem.", "However, IRS does not have comparable procedures and mechanisms to monitor authentication outcomes for telephone, in-person, and correspondence authentication, particularly for TPP, one of IRS\u2019s key defenses against IDT refund fraud. Further, since August 2016, taxpayers have been able to authenticate using only these channels. IRS currently uses its Account Management Services (AMS) to capture telephone and in-person authentication outcomes for TPP; however, as discussed below, this is not an effective mechanism for monitoring authentication outcomes.", "AMS is IRS\u2019s primary application for recording, storing, and retrieving information on all types of taxpayer interactions over time. IRS\u2019s customer service representatives (CSR) use AMS to, among other things, record information related to taxpayer authentication performed over the phone or in person for TPP. According to IRS documentation, AMS includes a field where the CSR is to enter the authentication outcome and also an area where the CSR enters notes on the details of the taxpayer interaction. In the context of TPP, IRS officials stated that CSRs use the notes field to record, for example, the reason why the taxpayer failed the authentication process, and other information important for other CSRs to know. IRS also relies on another application to review the status of TPP cases, such as if a case is open or closed.", "To better understand how CSRs are implementing procedures to capture TPP authentication outcomes in AMS, we analyzed data in AMS from January through October 2017. The result of our analysis and related discussions with IRS officials indicate three primary internal controls issues. First, IRS does not have a reliable, direct mechanism to collect data on the number of taxpayers who pass and fail telephone, in-person, and correspondence authentication. Second, data quality issues make it difficult for IRS to understand why taxpayers may be failing these authentication processes. Third, the IRS organizations responsible for monitoring these channels do not have access to complete AMS data, making it difficult for IRS to identify potential authentication issues and develop solutions to address them.", "No mechanism to collect reliable, direct data on authentication passes and failures. As previously discussed, when a taxpayer calls IRS or visits a Taxpayer Assistance Center in regard to a TPP letter, the CSR is to enter the result of the authentication (i.e., pass or fail) into AMS with one of nine codes that accurately reflects the authentication outcome. However, AMS does not have a separate, discrete field where the CSR is to enter this information. The field available to capture authentication information is shared with 68 other issue codes, increasing the likelihood that the CSR may select a more generic issue, such as \u201cidentity theft\u201d instead of one of the nine codes designated for TPP. Further, one of the TPP outcome codes, called \u201cother issue,\u201d may be too broad for useful analysis. Of the data we reviewed, we found that about one-third of TPP authentication cases were categorized as \u201cother issue,\u201d which provides no information on the authentication outcome. According to IRS\u2019s procedures, this category is to be used in various scenarios, including when IRS does not have enough information to generate questions for authenticating the taxpayer, and in other cases when a taxpayer fails telephone authentication and must go to a Taxpayer Assistance Center. However, by combining all of these issues into one broad category, IRS has limited insight into the size of each particular problem and may be underestimating the number of taxpayers who fail TPP authentication. Further, IRS does not directly capture the results of correspondence- based authentication in AMS and is therefore unable to monitor pass and failure rates for this channel.", "Issues with data quality. We selected a generalizable random sample of AMS cases identified as TPP authentication failures for January through October 2017 and identified several data quality issues based on our analysis. First, we found that an estimated 19 percent of cases were categorized as an authentication failure, but the content of the CSR notes indicated otherwise. Further, we could not determine a clear match between the TPP authentication outcome and the CSR notes in an additional estimated 18 percent of cases. For example, in these instances, the CSRs\u2019 notes provided no information on why the taxpayer failed authentication, or the notes were clearly unrelated to TPP.", "Second, we found that CSRs do not consistently enter useful information in the notes explaining why a taxpayer failed authentication, which could provide IRS management with valuable feedback on characteristics of potential fraud or problem areas for legitimate taxpayers. Specifically, our analysis showed that in an estimated 63 percent of cases, CSRs\u2019 notes contained information that was useful or somewhat useful for helping IRS understand why a taxpayer failed authentication. In the estimated 37 percent of cases where we determined that the notes were not useful, CSRs generally documented the outcome (i.e., authentication failure) but not the details on why the taxpayer failed. We recognize that a portion of the TPP authentication failures may represent fraudsters trying to authenticate as a legitimate taxpayer. However, given that IRS\u2019s fraud detection systems have a history of high false positive rates, these failures may also represent legitimate taxpayers who may be having trouble authenticating.", "Further, while the CSR notes could provide IRS potentially valuable information on why taxpayers may be failing authentication, further data analysis may prove difficult. This is because this information is captured in a free-text notes field, rather than in a drop-down list or other standardized way to record data that can then be analyzed. Further, during our analysis of AMS data, we found variation in the way CSRs enter notes, particularly in their use of abbreviations and shorthand on why a taxpayer failed authentication. Such variation makes systematic data analysis difficult.", "According to IRS officials and documents we reviewed, there may be several causes for the data quality issues. For example, as noted earlier, CSRs may not be selecting the correct TPP authentication outcome code because there are too many options and procedures may be unclear. IRS officials also noted that when a taxpayer contacts IRS about TPP authentication, they may want to discuss multiple issues. In these cases, the CSR may choose to record information on another issue instead of the authentication outcome.", "Complete AMS data sets are not readily available for analysis. In addition to the issues described above, the organizations responsible for monitoring TPP telephone and in-person authentication data do not have access to complete AMS data for TPP. IRS officials responsible for managing TPP told us that they do not have direct access to AMS data reports because they are not the system\u2019s business owner. Instead, they receive a weekly extract of AMS data from IRS\u2019s IT department. However, officials stated that this weekly data extract is limited to approximately the first 5,000 records for each issue area or outcome code, including the codes for TPP. IRS IT officials stated that they limited the file size of the AMS weekly report because it became too large to share internally via e- mail. IT officials stated that the free-text notes entries in AMS were the main cause for large file sizes. However, this procedure of emailing an extract of the data, rather than providing direct access to AMS, makes it difficult for IRS to perform comprehensive analyses and ongoing monitoring for TPP using AMS.", "To put this into further context, IRS officials reported that in fiscal year 2017, they authenticated about 1.13 million taxpayers for TPP via telephone and at Taxpayer Assistance Centers. However, we found only about 471,600 records with a TPP outcome code in the AMS data IRS provided to us. This represents only about 42 percent of the records we were expecting to see in AMS. IRS officials stated that the discrepancy was likely due to the AMS record limit described above. Yet, in the course of our analysis, we found that only a small number of outcome codes over 42 weeks appeared to be affected by this record limit. (See appendix I for details.) IRS officials could not confirm additional explanations for the discrepancy in the number of records.", "IRS\u2019s Office of Research, Applied Analytics, and Statistics (RAAS) performs research and quantitative analysis on TPP and has studied authentication performance. For example, in April 2017, RAAS reported results of a newly implemented TPP authentication procedure and found that while the new procedures helped to reduce call times, CSRs were not following the procedures correctly in an estimated 44 percent of the calls. According to IRS officials, RAAS\u2019s research efforts provide IRS management with insight into TPP performance and officials have identified areas where TPP can be improved. However, officials face similar data limitations we described above. Further, officials from IRS\u2019s RAAS division stated that they must submit a formal data request with IT in order to receive additional data beyond what is included in the AMS weekly extract. While valuable, these research efforts are not a substitute for ongoing monitoring using complete, reliable data, which would allow IRS to identify and address potential problems in a more timely manner.", "IRS officials acknowledged that AMS has limitations and stated that they are in the process of planning a new capability in another system to analyze how taxpayers perform on specific questions during the high-risk authentication process. However, this capability will not address the issues in AMS we described above. Further, as of late November 2017, officials were uncertain when this capability would be implemented because of IT funding constraints. Without effective internal control procedures and mechanisms for collecting authentication outcome data, ensuring data quality, and using these data to perform comprehensive analyses and ongoing monitoring of TPP, IRS will continue to have limited insight into its taxpayer authentication operations. As a result, IRS may be challenged in identifying current and emerging threats to the tax system."], "subsections": []}, {"section_title": "IRS Is Working with Security Summit Partners to Improve Taxpayer Authentication", "paragraphs": ["Through the Security Summit, IRS is working with states, software companies, and financial industry partners to identify how best to address IDT and refund fraud. In February 2018, IRS announced that its key indicators for IDT dropped for the second year in a row and the number of taxpayers who reported they were victims of IDT in 2017 fell by about 40 percent, in part because of the Security Summit\u2019s ongoing efforts to stop suspected fraudulent returns from entering tax processing systems. IRS has also included key efforts led by the Security Summit in its Roadmap.", "The Security Summit\u2019s authentication workgroup leads several initiatives aimed at verifying the authenticity of the taxpayer and the tax return at the time of filing. One initiative involves analyzing data elements that are collected during the tax return preparation and filing process. In filing season 2017, the authentication workgroup collected data on 62 elements, 37 of which were new for that year. These elements included, for example, trusted customer requirements and other characteristics of the return. In addition, in 2016 the authentication workgroup worked with software providers to improve authentication procedures to protect taxpayers against their accounts being taken over by criminals. According to IRS officials, these improvements were some of the most visible to taxpayers because they included new password standards to access tax software and required the use of security questions.", "Authentication workgroup leaders also described their efforts to collaborate with industry to address authentication challenges. For example, in 2017, IRS, payroll service providers, and tax software providers expanded the Form W-2, Wage and Tax Statements (W-2) verification code pilot program. The goal of this program is to verify W-2 data submitted by taxpayers on e-filed individual tax returns, using a unique 16-character verification code printed on the form. According to IRS, verification codes appeared on more than 60 million W-2s issued for tax year 2017, compared with about 27.5 million W-2s issued for tax year 2016.", "Overall, co-leads from each of the sectors expressed positive views about the level of commitment and cooperation guiding the Security Summit authentication efforts. Officials with whom we spoke stated that they are dedicated to continuing to address authentication issues collaboratively because they all have an interest in improving authentication to reduce tax refund fraud."], "subsections": []}]}, {"section_title": "IRS Has Improved Its Authentication Methods, but Additional Actions Could Help Enhance Security", "paragraphs": [], "subsections": [{"section_title": "IRS Has Taken Preliminary Steps to Adopt NIST\u2019s New Guidance, but Does Not Have a Timeline or Detailed Plans for Full Implementation", "paragraphs": ["As described above, in June 2017, NIST released guidance related to online authentication that agencies will need to implement to ensure they are authenticating users in a secure manner. NIST\u2019s guidance is designed to (1) describe the risk management process for selecting appropriate digital identity services and (2) help agencies implement authentication programs that provide reasonable risk-based assurances that a returning user is the same user that previously accessed the service. Adherence to the NIST guidance will help IRS provide reasonable risk-based assurance that the person accessing IRS services is who they claim to be. Further, OMB guidance states that federal legacy systems have 12 months to comply with a new NIST publication, while systems under development or undergoing a major transformation need to use the current revision when deployed.", "IRS officials told us they have met with NIST officials and plan to update IRS systems and applications to comply with the new security guidelines. IRS officials also noted that the agency has taken preliminary steps to implement the new guidelines. For example, in December 2017, IRS implemented a more secure authentication option through its mobile app, IRS2Go. After taxpayers link their online account with the mobile app, they can use the app to generate a security code to log into their online account. This option is in line with NIST\u2019s new guidance and provides taxpayers with an alternative to receiving the security code via a text message. IRS has also taken other preliminary steps to implement the new NIST guidance, including forming a task force to guide the implementation of NIST guidance, working with the Security Summit to develop an authentication framework that incorporates the new guidance for state and industry partners, starting an analysis to identify gaps between IRS\u2019s current authentication procedures and the new NIST guidance, and updating authentication procedures.", "However, IRS has not yet established detailed plans, including timelines, milestone dates, and resource needs, for fully implementing the new guidance. IRS officials cited several reasons for the delay. They said the agency will have to balance maintaining current authentication programs with developing IT infrastructure to support technologies that are compliant with the new guidance. In addition, officials stated that they will need to take a slower, incremental approach to updating authentication programs because of resource constraints. In March 2018, IRS officials provided us a draft, high-level analysis of IRS systems relative to the new NIST guidance, including some action items to address potential gaps.", "This preliminary analysis is a first step to help IRS identify gaps between IRS\u2019s current authentication methods and the new NIST guidance. However, it does not include steps needed to implement the high-level action items, a timeline with milestones, or the resources needed to implement improvements to bring IRS into compliance with the new NIST guidance. IT officials stated that IRS intends to develop its implementation roadmap through 2018 and begin implementing technical solutions in 2019. However, those officials did not identify the technical solutions nor did they have a prioritization plan or documentation of a timeline to fully implement the new NIST guidance.", "Implementing the new NIST guidance and updating authentication programs to be protected by the appropriate level of assurance is consistent with federal standards for internal control and IRS\u2019s Roadmap. Standards for Internal Control notes that agencies should identify, analyze, and respond to risks, as well as assess whether risk response actions sufficiently reduce risk to an acceptable level. Further, one of IRS\u2019s initiatives in its Roadmap is to strengthen e-authentication and ensure it is in compliance with federal regulations, which includes guidance from NIST.", "Developing a plan that includes timelines with specific milestones and resource needs to implement the new NIST guidance is consistent with leading practices for effective planning and management. Specifically, in our prior work on the Government Performance and Results Act, we found that developing and using specific milestones and timelines to guide and gauge progress toward achieving an agency\u2019s desired result is a leading practice for effective strategic planning and management. Further, our body of work on IRS has noted that developing project plans with measurable goals, schedules, and resources can help the agency more effectively plan new projects and initiatives.", "According to IRS officials, IRS must balance the needs of its existing authentication efforts against potential new investments. IRS\u2019s gap analysis on current authentication procedures relative to the NIST guidance may help IRS prioritize which improvements are most critical. However, without clear plans, timelines, and milestones for performing this work, IRS may not be positioned to address the most vulnerable areas in a timely manner. IRS\u2019s timely implementation of NIST\u2019s new guidance is critical, as it can help the agency mitigate potential security weaknesses in its existing online authentication programs."], "subsections": []}, {"section_title": "IRS Does Not Have a Comprehensive Process to Evaluate Technologies That Could Help It Improve Authentication", "paragraphs": ["While IRS has made some progress in improving its authentication programs, the agency lacks a comprehensive, repeatable process to identify and evaluate potential new authentication technologies and approaches. IRS\u2019s planning documents have noted a commitment to identify and leverage authentication best practices from outside organizations to protect taxpayer data and support IRS business needs. Specifically, IRS\u2019s Roadmap states that the agency will leverage leading technology and implementation practices from the private and public sectors through a repeatable environmental scan process and, when appropriate, collaborate with partners to address its authentication needs. Similarly, IRS\u2019s Strategic Plan notes that the agency will invest in innovative, secure technology needed to protect taxpayer data and support the business needs of the agency and its partners.", "IRS officials told us the agency continuously researches new identity assurance processes and technologies and has talked with other agencies, industry groups, and vendors to better understand how particular technology solutions could apply to IRS\u2019s environment. Further, according to officials, IRS plans to work with an outside organization to analyze third-party identity proofing and authentication services; however, IRS is in the initial phases of this effort. IRS also recently established the Commissioner\u2019s Identity Assurance Executive Steering Committee to help oversee IRS\u2019s authentication efforts agency-wide. This committee is intended to serve as an advisory body, creating a forum for agency-wide collaboration, as well as providing guidance and direction for identity assurance implementation. IRS provided us documentation that it reviewed some available authentication technologies and their pros and cons in February 2016, and told us that this research helped them develop their Roadmap. However, IRS officials could not provide documentation on more recent evaluations of the broader authentication environment, or evidence of a repeatable, comprehensive process to identify and evaluate available authentication technologies and services.", "IRS officials stated that one way the agency evaluates potential technologies is through limited pilots or \u201cinnovation studies.\u201d For example, from October 2017 to January 2018, IRS conducted a limited pilot to explore the feasibility of having a third-party identity assurance service provider authenticate taxpayers on behalf of IRS. Officials stated that this pilot was possible because it required little upfront investment by IRS. Specifically, IRS received a grant from NIST to implement it, and officials stated that it required minimal integration with IRS\u2019s IT infrastructure. In January 2018, IRS officials stated they were reviewing the results of the pilot, but had not decided on any next steps. Further, IRS officials stated that the agency is considering other pilots, including one to assist with IRS\u2019s telephone authentication and one to enhance security checks during the Individual Taxpayer Identification Number application process. However, while IRS has completed preliminary planning for these pilots, it has not established priorities or timelines because each pilot requires IT support, for example, to ensure the application can be integrated with IRS\u2019s infrastructure and to make any technical changes. Further, in December 2017, IRS officials stated that all innovation studies were on hold until resources become available.", "IRS may benefit from considering new ways of approaching its authentication efforts, as other public and private entities face similar challenges of authenticating users. Our discussions with representatives from industry and financial institutions and with government officials indicate that there is no single, ideal taxpayer authentication solution that will solve IRS\u2019s challenges related to IDT refund fraud. Further, representatives from industry and financial institutions and government officials with whom we spoke advocated a layered approach to authentication that relies on multiple strategies and sources of information, while giving taxpayers options for further protecting their information. Based on our discussions with representatives from industry and state departments of revenue and government officials, some options IRS could consider include the following:", "Expanding existing IRS services to further protect taxpayers. As discussed earlier, IRS\u2019s online account offers taxpayers several services, including the ability to set up a payment plan and make payments to IRS and view their tax history. In fiscal year 2017, about 808,000 taxpayers created online accounts, and IRS expects this number to grow. IRS\u2019s Roadmap has identified enhancing taxpayer assurance by expanding authentication, such as generating and sending event-driven notifications to taxpayers to help IRS authenticate returns, which could help IRS quickly validate legitimate returns.", "With this option, IRS may be able to further protect taxpayers from IDT refund fraud. For example, IRS could develop additional functionality for the online account that allows the taxpayer to designate a bank account or a preference for a paper check for receiving a tax refund. If a fraudster filed a return with different information, the return would automatically be rejected. In February 2018, IRS officials stated that their strategic vision includes empowering taxpayers to manage their online account; however, when these services offer the ability to change personal or financial information, there is greater potential for fraudsters to exploit them.", "Federated model. A federated authentication approach allows an organization to rely on trusted authentication credentials from another entity to log into its systems, potentially without needing to save information from the trusted source. (See figure 3.) One example of a federated authentication model is when people use their Google or Facebook credentials to log into a different website or mobile application. IRS could use a trusted authentication credential from the private or public sector, or another federal agency. The General Services Administration (GSA) has developed a single sign-on authentication platform for federal agencies called Login.gov. In March 2018, GSA officials told us that the Office of Personnel Management and Customers and Border Patrol were using Login.gov and that several other agencies plan to use the authentication platform. According to IRS officials, IRS and Department of the Treasury officials have met with GSA to discuss whether Login.gov could meet IRS\u2019s authentication needs. In December 2017, IRS IT officials said they are tracking Login.gov\u2019s progress and capabilities and want to ensure that GSA officials understand IRS\u2019s requirements. IRS officials said that the agency is interested in being able to federate with different organizations, but does not want to limit federating to one entity, since different taxpayers will want to use different credentials. IRS officials also noted that the agency will need to implement additional IT infrastructure to support a federated model for authentication.", "Possession-based authentication. This type of authentication offers users a convenient, added layer of security when used as a second factor for accessing websites or systems that would otherwise rely on a username and password for single-factor authentication. As shown in figure 4, Universal Authentication Framework (UAF) solutions use biometrics, such as an embedded fingerprint, facial recognition, or voice recognition sensor on a computer or smart phone, eliminating the need for a password. Similarly, authentication with a Universal Second Factor (U2F) uses a trusted device or \u201csecurity key\u201d for authentication in addition to a username and password. According to a representative from the Fast Identity Online (FIDO) Alliance, UAF standards and U2F devices comply with NIST\u2019s new guidance for digital authentication. While IRS is not likely to provide the devices to taxpayers, it could enable its systems to accept these types of standards-based authentication technology for taxpayers who elect to use UAF or U2F devices. For example, taxpayers could use a UAF or U2F device when logging into their IRS online account for additional protection.", "States\u2019 strategies for authentication. When we met with representatives from five states to discuss how they authenticate taxpayers, representatives from three states volunteered that they use driver\u2019s license information to help authenticate taxpayers and tax returns. One state we met with compares driver\u2019s license information to other state agency data to help authenticate returns. IRS could investigate making driver\u2019s license information, or other government identification, a requirement when filing a federal return, and work with states and other outside organizations to assist with authentication. This information could be a key factor in verifying that the legitimate taxpayer is filing the return. While some industry representatives told us driver\u2019s license information is a good credential for identity- proofing, this information can be compromised. For example, fraudsters can use stolen PII to obtain fraudulent driver\u2019s licenses.", "Contracting with outside organizations. Several private-sector organizations offer identity proofing and authentication services. We spoke with officials from the Department of Veterans Affairs (VA) and representatives from the State of Alabama\u2019s Department of Revenue, both of which are currently using such services. VA is using a third- party service to identity proof and authenticate veterans accessing services through www.vets.gov. For the 2018 filing season, Alabama has contracted with a third-party organization to offer taxpayers a service that sends them an alert when a return is filed using their name, and authenticates the return as legitimate using a selfie. This photo is then digitally compared to their driver\u2019s license photo. IRS could evaluate these services to see if any meet their needs.", "Working with trusted partners. IRS could partner with organizations it trusts that are accessible to taxpayers and enable the partners to identity-proof and authenticate taxpayers. Trusted partners could include tax preparers, financial institutions, or other federal agencies. In November 2017, IRS officials told us that they had been discussing an in-person identity proofing study with the Social Security Administration (SSA), where SSA would identity proof taxpayers and transmit the authentication data to IRS. However, in June 2018, IRS officials stated that discussions with SSA are ongoing, and they have not made a decision about next steps because SSA is concerned about resources. IRS is also exploring working with the U.S. Postal Service on an information-sharing initiative that could help IRS identify potential IDT.", "Throughout the course of our work, IRS officials stated that improving the security of IRS\u2019s online authentication applications is a high priority and further noted that IRS must ensure that the highest-risk authentication improvements are completed first. In January 2018, IRS officials stated that the agency\u2019s priority is implementing tax reform, which will use IRS\u2019s limited IT resources. Further, officials noted that priorities, including resources required to develop project estimates, are determined by IRS\u2019s appropriate executive steering committees.", "Developing a repeatable, comprehensive process to identify and evaluate different alternatives for taxpayer authentication, such as the ones described above, is consistent with leading practices and can help IRS ensure that it has a sound rationale for its investment decisions. It can also help ensure that IRS has the resources it needs to make authentication improvements in a timely manner. For example, these evaluations may involve developing and documenting a business case for selected initiatives in IRS\u2019s Roadmap. Such a process could compare options for in-house authentication solutions with solutions available in the private sector based on estimates of cost, schedule, and benefits, as applicable. By identifying options and performing such an evaluation, IRS may find, for example, that an authentication technology available in the private sector already complies with the new NIST guidelines, offers IRS additional fraud detection capabilities, or is less expensive than developing a similar capability in-house. On the other hand, the process may show that minor improvements to a technology IRS is already using can provide the most secure option in relatively short time, given appropriate resources. This information could be communicated to IRS\u2019s executive steering committees, as well as to Congress, to help IRS identify resource needs and ensure it is pursuing the most efficient and effective authentication improvements to protect IRS and taxpayers against evolving threats.", "IRS\u2019s authentication environment is one component of a broad, complex IT infrastructure, and the agency faces many challenges as it modernizes its tax systems. However, given the availability of PII and the prevalence of cyberattacks, developing a repeatable, comprehensive process to identify and evaluate alternative options for taxpayer authentication and implementing improvements can help IRS ensure it is authenticating taxpayers in the most secure manner. IRS documentation acknowledges that a hybrid authentication approach using in-house solutions, third-party services, and working with trusted partners is the best approach to implementing the new NIST guidance and expanding IRS\u2019s authentication coverage. However, without a process to comprehensively identify and evaluate available or emerging authentication technologies and models, IRS may be missing an opportunity to implement the most secure, robust technologies to authenticate and protect taxpayers. Further, including these authentication options and prioritizing them with other initiatives included in IRS\u2019s Roadmap would help IRS ensure it is working on the highest priority authentication improvements first. It also provides a way for IRS to communicate its strategy and plan for authentication to IRS management and external stakeholders."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Each year, IRS authenticates millions of taxpayers via telephone, online, in-person, or correspondence to verify potentially fraudulent tax returns, provide taxpayers access to a tax transcript, or issue a replacement IP PIN. IRS\u2019s cost to authenticate taxpayers varies widely, with in-person authentication at a Taxpayer Assistance Center costing about $89 per interaction and online authentication costing less than $1 per interaction. The challenge for IRS is to provide taxpayers with options to interact with the agency, while providing IRS with reasonable assurance that it is authenticating the legitimate taxpayer.", "In its Roadmap, IRS has identified high-level strategic efforts and numerous foundational initiatives to address its most pressing authentication challenges. IRS has made progress in several areas identified in its Roadmap. However, identifying the resources the agency will need to complete its foundational initiatives and further prioritizing them would help IRS better understand the relationship between its competing priorities and limited IT resources. Further, while IRS has made progress in identifying risks and establishing internal control activities to monitor online taxpayer authentication, it has not established equally rigorous controls for telephone, in-person, and correspondence authentication. First, IRS does not have a policy for identifying, assessing, and mitigating risks for these authentication channels. Second, IRS does not have effective internal controls for collecting reliable, useful data on telephone, in-person, and correspondence authentication outcomes for TPP and for using these data to monitor authentication operations. Without effective controls for collecting these data and using it for monitoring, IRS may not be positioned to identify potential vulnerabilities in its operations and the necessary improvements.", "Given the widespread availability of PII that fraudsters can use to perpetrate tax fraud, it is essential for IRS to strengthen taxpayer authentication to stay ahead of fraudsters\u2019 schemes. Completing an analysis of IRS\u2019s current authentication procedures relative to new NIST guidance may help IRS identify and prioritize which improvements are most critical. Developing a timeline with milestones and resource needs to implement NIST\u2019s new guidance can help guide IRS\u2019s implementation and help officials gauge progress and ensure the most critical improvements are made in a timely manner. Further, implementing NIST\u2019s new guidance can help IRS ensure its online authentication applications are appropriately protecting IRS information. While improving IRS\u2019s current authentication programs would help IRS further protect taxpayer information and identify and prevent fraud, IRS may not need to conduct all of its taxpayer authentication activities in-house nor build IRS- specific authentication solutions: there are many additional tools and partners IRS could consider. Further, developing a repeatable, comprehensive process to identify and evaluate potential authentication technologies and services will help IRS avoid missing opportunities for improving authentication. Further, including and prioritizing these authentication technologies and services in IRS\u2019s Roadmap could provide useful information to decision makers given IRS\u2019s concerns over competing IT priorities and limited resources."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 11 recommendations to IRS: The Commissioner of Internal Revenue should direct the Identity Assurance Office, in collaboration with other IRS business partners, to estimate the resources (i.e., financial and human) required for the foundational initiatives and supporting activities identified in its Identity Assurance Strategy and Roadmap. (Recommendation 1)", "Based on the estimates developed in Recommendation 1, the Commissioner of Internal Revenue should direct the Identity Assurance Office to prioritize foundational initiatives in its Identity Assurance Strategy and Roadmap. (Recommendation 2)", "The Commissioner of Internal Revenue should establish a policy for conducting risk assessments for telephone, in-person, and correspondence channels for authentication. This policy should include, for example, the frequency of assessments to be performed and timeframes for addressing deficiencies. (Recommendation 3)", "Consistent with the policy developed in Recommendation 3, the Commissioner of Internal Revenue should direct the Identity Assurance Office and IRS business owners to develop a plan for performing risk assessments for telephone, in-person, and correspondence channels for authentication. (Recommendation 4)", "The Commissioner of Internal Revenue should establish a mechanism to collect data on outcomes for telephone, in-person, and correspondence authentication, consistent with federal standards for internal control. (Recommendation 5)", "The Commissioner of Internal Revenue should revise or establish, as appropriate, procedures to ensure data quality in the Account Management Services (AMS) consistent with federal standards for internal control. (Recommendation 6)", "The Commissioner of Internal Revenue should ensure that IRS business units have access to complete AMS data to monitor authentication performance and identify potential issues. (Recommendation 7)", "The Commissioner of Internal Revenue should direct the Identity Assurance Office and other appropriate business partners to develop a plan\u2014including a timeline, milestone dates, and resources needed\u2014for implementing changes to its online authentication programs consistent with new NIST guidance. (Recommendation 8)", "In accordance with the plan developed in Recommendation 8, the Commissioner of Internal Revenue should implement improvements to IRS\u2019s systems to fully implement NIST\u2019s new guidance. (Recommendation 9)", "The Commissioner of Internal Revenue should develop a repeatable, comprehensive process to identify and evaluate alternative options for improving taxpayer authentication, including technologies in use by industry, states, or other trusted partners. (Recommendation 10)", "Based on the approach developed in Recommendation 10, the Commissioner of Internal Revenue should include and prioritize these options, as appropriate, in IRS\u2019s Identity Assurance Strategy and Roadmap. (Recommendation 11)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue for review and comment. In its written comments, which are summarized below and reproduced in appendix III, IRS agreed with our 11 recommendations and stated that it is taking action to address them.", "IRS agreed with our recommendations to identify resources and prioritize the foundational authentication initiatives identified in its Roadmap. IRS noted that the Roadmap is a concept document outlining potential strategic initiatives and IRS has not finalized its approach. IRS stated that once it finalizes its authentication approach, it will estimate the resources required for each initiative and prioritize them, consistent with our recommendation. As stated earlier, we recognize that a strategy is a high- level plan and may need to change based on agency needs. Nevertheless, IRS\u2019s timely attention to identifying resources and prioritizing its approved authentication initiatives will better position the agency to respond to known and unknown threats to the tax system.", "Further, IRS agreed with our recommendations to develop a plan for fully implementing NIST\u2019s new authentication guidance and make the necessary improvements to its systems. In its written comments, IRS noted that its ability to complete these efforts will depend on the availability of resources. As noted throughout our report, we recognize the challenge of balancing competing IT priorities and limited resources, but given the importance of implementing authentication improvements consistent with NIST\u2019s guidance, we continue to believe it should be a high priority. Additional actions, including addressing our recommendations, will help IRS further mitigate potential security weaknesses in its existing online authentication programs and help prevent potentially hundreds of millions of dollars in fraudulent refunds from being issued.", "IRS also agreed with our other seven recommendations, but did not provide additional details on how it plans to address them.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Chairmen and Ranking Members of other Senate and House committees and subcommittees that have appropriation, authorization, and oversight responsibilities for IRS. We will also send copies of the report to the Commissioner of Internal Revenue and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact me at (202) 512-9110 or mctiguej@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff members who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) describe the taxpayer interactions that require authentication, including the general rationale behind the requirements, and the Internal Revenue Service\u2019s (IRS) authentication methods; (2) assess what IRS is doing to monitor and improve its authentication methods, both internally and collaboratively through the Security Summit, to secure taxpayer information and reduce identity theft refund fraud; and (3) evaluate what else, if anything, IRS can do to strengthen its authentication methods while improving services to taxpayers.", "To describe the interactions that require taxpayer authentication and IRS\u2019s methods to do so, we reviewed IRS documents, policies and procedures, IRS data and information on the number of taxpayers authenticated by channel, and interviewed knowledgeable IRS officials. IRS documents and policies we reviewed included IRS\u2019s Authentication Strategy: Current State Touchpoints, IRS\u2019s Identity Assurance Strategy and Roadmap (Roadmap), and Internal Revenue Manuals related to taxpayer authentication. For this report, we focused on the following four IRS programs and services because they require taxpayer authentication, verify a significant number of taxpayer identities each year, and illustrate IRS\u2019s different approaches to authentication: the Taxpayer Protection Program (TPP), Get Transcript, Identity Protection Personal Identification Number (IP PIN), and IRS\u2019s online services. We reviewed IRS-reported data and information on taxpayer authentication volumes and per transaction costs for these programs for fiscal years 2016 and 2017. To assess the reliability of this data, we examined it for errors and talked with knowledgeable IRS officials. We determined that the data were sufficiently reliable for our purposes. We also interviewed knowledgeable IRS officials on the agency\u2019s authentication programs and services to understand different authentication options offered to taxpayers through various channels: in-person, online, telephone, and correspondence.", "To assess IRS\u2019s efforts to monitor and improve authentication internally and through the Security Summit, we reviewed IRS policies, procedures, authentication risk assessments, and data from IRS systems on authentication performance. We compared IRS\u2019s efforts to applicable activities in the Roadmap, IRS\u2019s Strategic Plan Fiscal Years 2014-2017 (Strategic Plan), Standards for Internal Control in the Federal Government, GAO\u2019s Framework for Managing Fraud Risks in Federal Programs, and relevant National Institute of Standards and Technology (NIST) guidance. We interviewed IRS officials in IRS\u2019s Return Integrity and Compliance Services (RICS), Identity Assurance Office (IAO), and Information Technology (IT) knowledgeable about the agency\u2019s taxpayer authentication programs. For additional context and informational purposes, we visited IRS\u2019s Andover, Massachusetts call center to observe IRS customer service representatives (CSR) authenticating taxpayers for TPP. We also interviewed IRS, state, and industry co-leads from the Security Summit\u2019s Authentication workgroup and Strategic Threat Assessment and Response workgroup to understand IRS\u2019s collaborative efforts to improve taxpayer authentication.", "To better understand IRS\u2019s efforts to authenticate taxpayers via telephone and in person, and how CSRs record data for TPP authentication, we obtained data from IRS\u2019s Accounts Management System (AMS) for the weeks January 1, 2017, through October 23, 2017. This was the most recent and complete set of data at the time of our review. We reviewed AMS records coded with any of the nine TPP authentication outcome codes for tax years 2015, 2016, or with \u201c0.\u201d We assessed the reliability of the data by: (1) performing electronic testing of key data elements, including checks for missing, out-of-range, or logically inaccurate data; (2) reviewing documents for information about the data and IRS\u2019s systems; and (3) interviewing officials knowledgeable about the data to discuss any limitations. During these discussions, IRS officials stated that the AMS data we received may not include all available records in AMS. This is because the IRS office that creates the weekly AMS data report includes only the first 5,000 records for each outcome code. To assess whether this was an issue for our data set, we reviewed record counts for each of the nine TPP outcome codes for the 42 weeks of data IRS provided us. We found 12 out of these 378 instances (3 percent) where the data appeared to be affected by the 5,000 record cutoff. Each of these instances occurred in the \u201cTPP- Other \u2013 Sent to TAC\u201d issue code for which we planned no further analysis. Specifically, we did not include this issue code in the generalizable random probability sample described below. As a result, we determined that the data were sufficiently reliable for the purposes of our report.", "To assess the quality and usefulness of the data CSRs enter into AMS for TPP, we selected a random, generalizable sample of records CSRs coded as a TPP authentication failure. We stratified the population into two groups: (1) high-risk authentication failures, and (2) all other authentication failures. From each population, we drew a random sample of 96 records independently, reflecting the population size of each stratum and to be able to detect a 10 percent difference in absolute value between the sample estimate and true population number with a 95 percent confidence level; that is, a 1 out of 20 chance of failure. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Each sample record was subsequently weighted in the analysis to account statistically for all the cases in the population, including those which were not selected.", "Two analysts independently reviewed each sample record to determine (1) whether the TPP authentication outcome code generally aligned with the CSR\u2019s notes and (2) the extent to which the CSR notes were useful in understanding why a taxpayer failed authentication. First, the analysts categorized each record in the sample as \u201caligned\u201d (authentication outcome code and content of CSR notes are clearly aligned); \u201cnot aligned\u201d (authentication outcome code and content of CSR notes are clearly not aligned); or \u201ccannot determine\u201d (if the content of the CSR notes was unclear and the analyst could not confidently determine that the record was aligned or not aligned). Next, for each record in the sample, the analysts categorized the content of the notes as one of the following:", "Useful: CSR notes provided a clear explanation of why the taxpayer failed authentication (e.g., question failed; taxpayer did not have proper identification; or taxpayer did not have copy of tax return during the call/visit).", "Somewhat Useful: CSR notes provided some information on where in the process or why a taxpayer failed, but no clear explanation of the specific reason (e.g., taxpayer passed disclosure, but could not answer high risk questions).", "Not Useful: CSR notes were blank, or provided no useful information on where in the process or why a taxpayer failed authentication.", "Cannot Determine: This was selected when the content of the CSR notes was unclear and the analyst could not determine if information was useful.", "After the independent review, the analysts discussed their results and resolved any disagreements. Based on these results, we determined how many records in the sample were \u201caligned,\u201d \u201cnot aligned,\u201d or \u201cunable to determine.\u201d Further, we analyzed records categorized as \u201caligned\u201d to determine how many included CSR notes that were useful, somewhat useful, or not useful.", "To evaluate what else, if anything, IRS can do to strengthen its authentication methods while improving services to taxpayers, we interviewed knowledgeable officials from IRS and reviewed documentation to understand IRS\u2019s current authentication methods, future plans for authentication, and challenges IRS faces in taxpayer authentication. We also interviewed knowledgeable officials at the General Services Administration/18F to understand their work on a government-wide authentication platform, Login.gov, and how IRS may be able to use this technology in the future. We also interviewed Department of Veterans Affairs officials to understand how they authenticate veterans applying for benefits at www.vets.gov. Further, we met with knowledgeable officials from NIST on their guidelines for online identity-proofing and authentication, which were released in June 2017. To understand current and emerging authentication strategies and technologies, we interviewed representatives from state departments of revenue and from industry. We also interviewed knowledgeable officials from the Office of Management and Budget\u2019s (OMB) U.S. Digital Service to understand their work with IRS in 2016 in launching IRS\u2019s Secure Access online authentication platform and to understand any emerging technologies and standards for authentication. We interviewed a nongeneralizable selection of knowledgeable state and industry representatives based on referrals from NIST officials, and other government and industry representatives knowledgeable on tax issues, including co-chairs from the Security Summit\u2019s Authentication workgroup.", "In total we met with representatives from five state departments of revenue, one association representing state tax officials, three financial institution organizations, one financial service industry association, three identity-proofing/authentication organizations, and four tax industry organizations. Finally, we compared IRS\u2019s authentication programs and plans for future improvements to its Roadmap, Standards for Internal Control, GAO\u2019s Information Technology Investment Management framework, principles for project planning, GAO\u2019s prior work on the Government Performance and Results Act, GAO\u2019s Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs, and NIST and OMB guidance to determine ways IRS could strengthen its authentication methods, while improving taxpayer service.", "We conducted this performance audit from January 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Overview of IRS\u2019s Identity Assurance Strategy and Roadmap", "paragraphs": ["Prioritize technology and processes for e- Authentication to enhance identification, verification, and authorization capabilities as taxpayers continue to shift toward electronically filing.", "Establish a central authentication policy across the enterprise (i.e., channels and functions)"], "subsections": []}, {"section_title": "Appendix III: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Neil Pinney (Assistant Director), Dawn Bidne, Matthew Bond, Mark Canter, Jehan Chase, Heather A. Collins (Analyst-in-Charge), Michele Fejfar, Robert Gebhart, Steven Flint, Dae Park, and Robert Robinson made significant contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Tax Fraud and Noncompliance: IRS Can Strengthen Pre-refund Verification and Explore More Uses. GAO-18-224. Washington, D.C.: January 30, 2018.", "Identity Theft: Improved Collaboration Could Increase Success of IRS Initiatives to Prevent Refund Fraud. GAO-18-20. Washington, D.C.: November 28, 2017.", "Financial Audit: IRS\u2019s Fiscal Years 2017 and 2016 Financial Statements. GAO-18-165. Washington, D.C.: November 9, 2017.", "Information Technology: Management Attention Is Needed to Successfully Modernize Tax Processing Systems. GAO-18-153T. Washington, D.C., October 4, 2017. 2017 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-17-491SP. Washington, D.C.: April 26, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017. 2016 Filing Season: IRS Improved Telephone Service but Needs to Better Assist Identity Theft Victims and Prevent Release of Fraudulent Refunds. GAO-17-186. Washington, D.C.: January 31, 2017.", "Information Technology: Federal Agencies Need to Address Aging Legacy Systems. GAO-16-468. Washington, D.C.: May 25, 2016.", "Identity Theft and Tax Fraud: IRS Needs to Update Its Risk Assessment for the Taxpayer Protection Program. GAO-16-508. Washington, D.C.: May 24, 2016.", "Information Security: IRS Needs to Further Improve Controls over Taxpayer Data and Continue to Combat Identity Theft Refund Fraud. GAO-16-589T. Washington, D.C.: April 12, 2016.", "Information Security: IRS Needs to Further Improve Controls over Financial and Taxpayer Data. GAO-16-398. Washington, D.C.: March 28, 2016.", "Information Security: IRS Needs to Continue Improving Controls over Financial and Taxpayer Data. GAO-15-337. Washington, D.C.: March 19, 2015.", "Identity Theft and Tax Fraud: Enhanced Authentication Could Combat Refund Fraud, but IRS Lacks an Estimate of Costs, Benefits and Risks. GAO-15-119. Washington, D.C.: January 20, 2015.", "Identity Theft: Additional Actions Could Help IRS Combat the Large, Evolving Threat of Refund Fraud. GAO-14-633. Washington, D.C.: August 20, 2014.", "Internal Revenue Service: 2013 Tax Filing Season Performance to Date and Budget Data. GAO-13-541R. Washington, D.C.: April 15, 2013."], "subsections": []}], "fastfact": ["IRS estimates that in 2016 criminals used false identities to try to claim billions in tax refunds. IRS kept $10.5 billion out of their hands, but criminals got at least $1.6 billion. To help address this high risk issue, IRS works to verify the identities of millions of taxpayers each year.", "We reviewed IRS\u2019s taxpayer authentication efforts and made 11 recommendations to help IRS stay ahead of fraudsters, including:", "prioritizing its authentication initiatives,", "estimating the funding and other resources it will need to implement these initiatives, and", "developing a process to evaluate potential authentication technologies."]} {"id": "GAO-18-141T", "url": "https://www.gao.gov/products/GAO-18-141T", "title": "2020 Census: Continued Management Attention Needed to Oversee Innovations, Develop and Secure IT Systems, and Improve Cost Estimation", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["One of the Bureau's most important functions is to conduct a complete and accurate decennial census of the U.S. population, which is mandated by the Constitution and provides vital data for the nation. A complete count of the nation's population is an enormous undertaking as the Bureau seeks to control the cost of the census, implement operational innovations, and use new and modified IT systems. In recent years, GAO has identified challenges that raise serious concerns about the Bureau's ability to conduct a cost-effective count. For these reasons, GAO added the 2020 Census to its high-risk list in February 2017.", "In light of these challenges, GAO was asked to testify about the Bureau's progress in preparing for the 2020 Census. To do so, GAO summarized its prior work regarding the Bureau's planning efforts for the 2020 Census. GAO also included observations from its ongoing work on the 2018 End-to-End Test. This information is related to, among other things, recent decisions on preparations for the 2020 Census; progress on key systems to be used for the 2018 End-to-End Test, including the status of IT security assessments; execution of the test at three test sites; and efforts to update the life-cycle cost estimate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Census Bureau (Bureau) is planning several innovations for the 2020 Decennial Census, including re-engineering field operations, using administrative records to supplement census data, verifying addresses in-office using on-screen imagery, and allowing the public to respond using the Internet. These innovations show promise for controlling costs, but they also introduce new risks, in part because they include new procedures and technologies that have not been used extensively in earlier decennial censuses, if at all. GAO's prior work has emphasized the importance of the Bureau conducting a robust testing program to demonstrate that the systems and operations perform as intended under census-like conditions prior to the 2020 Census. However, because of budget uncertainties the Bureau canceled its 2017 field test and then scaled back its 2018 End-to End Test, placing these innovation areas more at risk.", "The Bureau continues to face challenges in managing and overseeing the information technology (IT) programs, systems, and contracts supporting the 2020 Census. For example, GAO's ongoing work indicates that the system development schedule leading up to the 2018 End-to-End test has experienced several delays. Further, the Bureau has not yet addressed several security risks and challenges to secure its systems and data, including making certain that security assessments are completed in a timely manner and that risks are at an acceptable level. Given that certain operations for the 2018 End-to-End Test began in August 2017, it is important that the Bureau quickly address these challenges. GAO plans to monitor the Bureau's progress as part of its ongoing work.", "In addition, the Bureau's cost estimate is not reliable and is out-of-date. Specifically, in June 2016, GAO reported that the cost estimate for the 2020 Census did not fully reflect characteristics of a high-quality estimate and could not be considered reliable. Moreover, since the Bureau did not follow cost estimation best practices, its annual budget requests based on the cost estimate may not be fully informed. Additionally, the Bureau has not yet updated its October 2015 cost estimate, but GAO expects that the cost of the current census design (around $12.5 billion in 2020 constant dollars) will increase due to, for example, expected increases in 2020 program IT costs (see figure). GAO made several recommendations to address these concerns, and the Bureau plans to address these recommendations in an updated cost estimate to be released later this fall."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Over the past 4 years, we have made 33 recommendations specific to the 2020 Census to address the issues raised in this testimony and others. As of October 2017, the Bureau had fully implemented 10 of the recommendations, and was at varying stages of implementing the remaining recommendations.", "or Robert Goldenkoff at (202) 512-2757 or goldenkoffr@gao.gov ."]}], "report": [{"section_title": "Letter", "paragraphs": ["We are pleased to be here today to discuss the U.S. Census Bureau\u2019s (Bureau) progress in preparing for the 2020 Decennial Census. As you know, one of the most important functions of the Bureau is conducting the decennial census of the U.S. population, which is mandated by the Constitution and provides vital data for the nation. The information that the census collects is used to apportion the seats of the House of Representatives; redraw congressional districts; allocate billions of dollars each year in federal financial assistance; and provide a social, demographic, and economic profile of the nation\u2019s people to guide policy decisions at each level of government. Further, businesses use census data to market new services and products and to tailor existing ones to demographic changes.", "For 2020, a complete count of the nation\u2019s population is an enormous undertaking as the Bureau seeks to control the cost of the census while it implements several innovations and manages the processes of acquiring and developing new and modified information technology (IT) systems. In recent years, we have identified challenges that raise serious concerns about the Bureau\u2019s ability to conduct a cost-effective count of the nation, including issues with the agency\u2019s research, testing, planning, scheduling, cost estimation, systems development, and IT security practices. Over the past 4 years, we have made 33 recommendations specific to the 2020 Census to help address these issues and others; however, only 10 of them had been fully implemented as of October 2017. We also added the 2020 Decennial Census to the High-Risk List in February 2017.", "The Bureau\u2019s preparations for 2020 have been further complicated by late changes to the 2018 End-to-End Test (a \u201cdress rehearsal\u201d of the actual enumeration) and by current vacancies in the positions of Bureau director and deputy director. These vacancies are due to the previous director\u2019s retirement on June 30, 2017, and the previous deputy director\u2019s appointment to be the Chief Statistician of the United States within the Office of Management and Budget in January 2017. Although interim leadership has since been named, in our prior work we have noted how turnover in the Bureau\u2019s top position makes it difficult to ensure accountability and continuity, as well as to develop and sustain efforts that foster change, produce results, mitigate risks, and control costs over the long term. With the operations for the End-to-End Test beginning in August 2017, and as preparations for 2020 ramp-up, addressing the risks jeopardizing the 2020 Census by implementing our recommendations is more critical than ever.", "Our testimony today focuses on the Bureau\u2019s progress in three areas: (1) implementing innovations aimed at controlling costs and enhancing accuracy, (2) implementing and securing critical IT systems, and (3) ensuring the reliability of the Bureau\u2019s cost estimate for the 2020 Census.", "The information in this statement is based primarily on prior work regarding the Bureau\u2019s planning efforts for 2020. For that prior body of work, we reviewed, among other things, relevant Bureau documentation, including the 2020 Census Operational Plan, recent decisions on preparations for the 2020 Census, and outcomes of key IT milestone reviews. We also interviewed Bureau staff. Other details on the scope and methodology for our prior work are provided in each published report on which this testimony is based.", "In addition, we included information in this statement from our ongoing work on the 2018 End-to-End Test examining the address canvassing operation and the readiness of IT systems. For our ongoing work on the 2018 address canvassing operation, we reviewed plans for and execution of the address canvassing portion of the 2018 End-to-End Test at each of the three test sites\u2014in Pierce County, Washington; Providence County, Rhode Island; and Bluefield-Beckley-Oak Hill, West Virginia. Across the three test sites, we observed 18 census workers conduct address canvassing operations and interviewed local office staff at each location. These observations are not generalizable.", "For our ongoing work on the readiness of the Bureau\u2019s IT systems, we collected and reviewed documentation on the status and plans for system development, testing, and security assessments for the 2018 End-to-End Test, including the Bureau\u2019s integration and implementation plan, solution architecture, and memorandums documenting outcomes of security assessments. We also interviewed agency officials.", "We provided a copy of the new information we are reporting in this testimony to the Bureau for comment on September 18, 2017. The Bureau provided technical comments, which we addressed as appropriate.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The cost of the census has been escalating over the last several decennials. The 2010 decennial was the costliest U.S. Census in history at about $12.3 billion, and was about 31 percent more costly than the $9.4 billion 2000 Census (in 2020 dollars). The average cost for counting a housing unit increased from about $16 in 1970 to around $92 in 2010 (in 2020 dollars). According to the Bureau, the total cost of the 2020 Census is estimated to be approximately $12.5 billion dollars (in 2020 dollars). As discussed later in this statement, however, the cost of the 2020 Census will likely be higher than this current estimate.", "Meanwhile, the return of census questionnaires by mail (the primary mode of data collection) declined over this period from 78 percent in 1970 to 63 percent in 2010 (see figure 1). Declining mail response rates\u2014a key indicator in determining the cost-effectiveness of the census\u2014are significant and lead to higher costs. This is because the Bureau sends temporary workers to each non-responding household to obtain census data. As a result, non-response follow-up is the Bureau\u2019s largest and most costly field operation. In many ways, the Bureau has had to invest substantially more resources each decade to match the results of prior enumerations.", "Further, achieving a complete and accurate census is becoming an increasingly daunting task, in part, because the nation\u2019s population is growing larger, more diverse, and more reluctant to participate. When the census misses a person who should have been included, it results in an undercount; conversely, an overcount occurs when an individual is counted more than once. Such errors are particularly problematic because of their impact on various subgroups. Minorities, renters, and children, for example, are more likely to be undercounted by the census.", "The Bureau faces an additional challenge of locating unconventional and hidden housing units, such as converted basements and attics. For example, as shown in figure 2, what appears to be a small, single-family house could contain an apartment, as suggested by its two doorbells. If an address is not in the Bureau\u2019s address file, its residents are less likely to be included in the census."], "subsections": [{"section_title": "The Bureau Has Redesigned the 2020 Census to Help Control Costs", "paragraphs": ["The basic design of the enumeration\u2014mail out and mail back of the census questionnaire with in-person follow-up for non-respondents\u2014has been in use since 1970. However, a key lesson learned from the 2010 Census and earlier enumerations, is that this \u201ctraditional\u201d design is no longer capable of cost-effectively counting the population.", "In response to its own assessments, our recommendations, and studies by other organizations, the Bureau has fundamentally re-examined its approach for conducting the 2020 Census. Specifically, its plan for 2020 includes four broad innovation areas (re-engineering field operations, using administrative records, verifying addresses in-office, and developing an Internet self-response option).", "The Bureau has estimated that these innovations could result in savings of over $5 billion (in 2020 dollars) when compared to its estimates of the cost for conducting the census with traditional methods. However, in June 2016, we reported that the Bureau\u2019s life-cycle cost estimate of $12.5 billion, developed in October 2015, was not reliable and did not adequately account for risk, as discussed later in this statement.", "Bureau Plans to Use IT to Drive Innovation To help drive these innovations, the Bureau plans to rely on both new and legacy IT systems and infrastructure. For example, the Bureau is developing or modifying 11 IT systems as part of an enterprise-wide initiative called Census Enterprise Data Collection and Processing (CEDCaP), which is managed within the Bureau\u2019s IT Directorate. This initiative is a large and complex modernization program intended to deliver a system-of-systems to support all of the Bureau\u2019s survey data collection and processing functions, rather than continuing to rely on unique, survey-specific systems with redundant capabilities. In addition, according to Bureau officials, the 2020 Census Directorate or other Bureau divisions are developing or modifying 32 other IT systems.", "To help inform, validate, and refine the operational design of the 2020 Census, and to test several of the IT systems, the Bureau has held a series of operational tests since 2012. Among these, in March 2017, the Bureau conducted a nationwide test (referred to as the 2017 Census Test) of households responding to census questions using paper, the Internet, or the phone. This test evaluated key new IT components, such as the Internet self-response system and the use of a cloud-based infrastructure.", "The Bureau is currently conducting the 2018 End-to-End Test, which began in August 2017 and runs through April 2019. It is the Bureau\u2019s final opportunity to test all key systems and operations to ensure readiness for the 2020 Census. The Bureau\u2019s plans for this test include, among other things, address canvassing, self-response (via paper, Internet, and phone), and nonresponse follow-up.", "To support its 2018 End-to-End Test, the Bureau plans to deploy and use 43 systems incrementally to support nine operations from December 2016 through the end of the test in April 2019. These nine operations are: (1) in-office address canvassing, (2) recruiting staff for address canvassing, (3) training for address canvassing, (4) in-field address canvassing, (5) recruiting staff for field enumeration, (6) training for field enumeration, (7) self-response (i.e., Internet, phone, or paper), (8) field enumeration, and (9) tabulation and dissemination. Appendix I includes additional details about the 43 systems, the operation or operations they support, and key deployment dates."], "subsections": []}]}, {"section_title": "The Bureau Needs to Manage Risks of Implementing Innovations", "paragraphs": [], "subsections": [{"section_title": "The Bureau Plans Four Innovation Areas for 2020, but Has Scaled Back Key Census Tests", "paragraphs": ["The four innovation areas the Bureau plans for 2020 show promise for a more cost-effective head count (see table 1). However, the innovations also introduce new risks, in part, because they include new procedures and technology that have not been used extensively in earlier decennials, if at all. Our prior work has shown the importance of the Bureau conducting a robust testing program, including the 2018 End-to-End Test. However, because of funding uncertainty the Bureau canceled the field components of the 2017 Census Test including non-response follow- up, a key census operation.", "In November 2016, we reported that the cancelation of the 2017 field tests was a lost opportunity to test, refine, and integrate operations and systems, and that it put more pressure on the 2018 End-to-End Test to demonstrate that enumeration activities will function under census-like conditions as needed for 2020. In May 2017, the Bureau scaled back the operational scope of the 2018 End-to-End and, of the three planned test sites, only the Rhode Island site would fully implement the 2018 End- to-End Test. The Washington and West Virginia state test sites would test address canvassing. In addition, due to budgetary concerns, the Bureau decided to remove three coverage measurement operations (and the technology that supports them) from the scope of the test. Without sufficient testing, operational problems can go undiscovered and the opportunity to improve operations will be lost, in part because the 2018 End-to-End Test is the last opportunity to demonstrate census technology and procedures across a range of geographic locations, housing types, and demographic groups."], "subsections": []}, {"section_title": "New Uses of Administrative Records Are Promising, but Introduce Challenges", "paragraphs": ["Administrative records\u2014information already provided to the government as it administers other programs, such as mail collection by the U.S. Postal Service\u2014have been discussed and used for the decennial census since the 1970s, and for 2020 the Bureau plans a more significant role for them. In July 2017, we reported that the Bureau had taken steps to ensure that its use of administrative records would lower the cost and improve the accuracy of the 2020 Census.", "For example, the Bureau set a rule that it would only use administrative records to count a household when a minimum amount of information was present within data sources. According to the Bureau, this would help ensure that administrative records are used only in circumstances where research has shown them to be most accurate. Additionally, before using any administrative records to support census operations, the Bureau determined it will subject each source to a quality assurance process that includes, among other things, basic checks for data integrity as well as assessments by subject matter experts of the information\u2019s fitness for various uses by the Bureau. (See figure 3.)", "According to the Bureau, it links administrative records data sources to complement each other, improving their reliability and completeness. The Bureau also creates an anonymous personal identifier for each individual in the data to reduce the risk of disclosure once the data are linked across sources.", "In July 2017, we reported that the Bureau had already tested the uses of administrative records that hold the most potential for reducing census costs, such as counting people who did not respond to census mailings. The Bureau planned to test additional applications of administrative records for the first time during the 2018 End-to-End Test. For example, the Bureau planned to use administrative records to support quality control during its non-response field enumeration. The Bureau planned to compare response data collected by enumerators to administrative records and flag significant differences based on predefined rules. The differences might be in the total count of persons in a household or in specific combinations of personal characteristics, such as age or race. According to the Bureau, flagging such differences could be used to help identify which enumeration cases to reinterview as part of the quality control operation.", "However, we reported in October 2015 that the Bureau faced other challenges with using administrative records for the 2020 Census. For example, although the Bureau has no control over the accuracy of data provided to it by other agencies, it is responsible for ensuring that data it uses for the 2020 Census are of sufficient quality for their planned uses. Another challenge we identified in 2015 is the extent to which the public will accept government agencies sharing personal data for the purposes of the census. The Bureau has recognized these challenges within its risk registers."], "subsections": []}, {"section_title": "The Bureau Has Fundamentally Re- Engineered Address Canvassing for 2020", "paragraphs": ["In-Office Address Canvassing. The Bureau has re-engineered its approach to building its master address list for 2020. Specifically, by relying on multiple sources of imagery and administrative data, the Bureau anticipates constructing its address list with far less door-to-door field canvassing compared to previous censuses.", "One major change the Bureau has made consists of using in-office address canvassing\u2014a two-phase process that was to systematically review small geographic areas nationwide, known as census blocks, to identify those that will not need to be canvassed in the field, as shown in figure 4.", "The Bureau estimated that the two phases of in-office canvassing would have resulted in roughly 25 percent of housing units requiring in-field canvassing, instead of canvassing nearly all housing units in the field as done in prior decennials. With in-office address canvassing census workers compare current aerial imagery for a given block with imagery for that block dating to the time of the last decennial census in 2010. During this first phase, called Interactive Review, specially trained census workers identify whether a block appears to have experienced change in the number of housing units, flagging each block either as stable\u2014free of population growth, decline, or uncertainty in what is happening in the imagery over time\u2014or \u201cactive,\u201d in which case it moves to the next phase. Addresses in stable blocks are not marked for in-field canvassing.", "For blocks where change is detected or suspected, the Bureau was to use a second phase of in-office canvassing, known as Active Block Resolution, to attempt to resolve the status of each address and housing unit in question within that block. During this phase, census workers use aerial imagery, street imagery, and data from the U.S. Postal Service, as well as from state, local, and tribal partners when reviewing blocks. If a block can be fully resolved during this phase of in-office canvassing, the changes are recorded in the Bureau\u2019s master address file. If a block cannot be fully resolved during the second phase of in-office canvassing, then the entire block, or some portion of the block, is flagged for inclusion in the in-field canvassing operation. A first pass of the entire country for in-office address canvassing began in September 2015 and was completed in June 2017. In-field canvassing for the 2020 Census is scheduled to begin in August 2019.", "However, in July 2017 we reported that the Bureau altered its design for re-engineered address canvassing because of budget uncertainty by suspending the second phase of in-office address canvassing. Without the second phase of in-office address canvassing, blocks that are not resolved by phase one will have a greater chance of requiring in-field canvassing. Bureau officials told us at that time that they anticipated that canceling the second phase of in-office address canvassing altogether would increase their estimated in-field canvassing workload by 5 percentage points, from 25 percent to 30 percent of housing units\u2014 increasing costs.", "The Bureau did not develop cost and quality information on address canvassing projects, and detailed information on cost tradeoffs was not available when we requested it. The information the Bureau had did not break out the estimated cost of the different phases of in-office address canvassing through 2020. However, the total estimated cost for both phases one and two was approximately $22 million. Thus, this suspension might save a portion of the $22 million, but it will potentially increase the cost of the address canvassing operation downstream. Our July 2017 report recommended, and the Bureau agreed, that the Bureau should use its evaluations before 2020 to determine the implications of in- office address canvassing on the cost and quality of address canvassing, and use this information to justify decisions related to its re-engineered address canvassing approach.", "In-Field Address Canvassing for the 2018 End-to-End Test. On August 28, 2017, temporary census employees known as address listers began implementing the in-field component of address canvassing for the 2018 End-to-End Test. Listers walked the streets of designated census blocks at all three test sites to verify addresses and geographic locations. The operation ended on September 27, 2017. As part of our ongoing work, we visited all three test sites and observed 18 listers conduct address canvassing. Generally, we found that listers were able to conduct address canvassing as planned. However, we also noted several challenges. We shared the following preliminary observations from our site visits with the Bureau: Internet connectivity was problematic at the West Virginia test site. We spoke to four census field supervisors that described certain areas as dead spots where Internet and cell phone service were not available. We also were told by those same supervisors that only certain cell service providers worked in certain areas. In order to access the Internet or cell service in those areas, census workers sometimes needed to drive several miles.", "The allocation of lister assignments was not always optimal. Listers were supposed to be provided assignments close to where they live in order to optimize their local knowledge and to limit the numbers of miles being driven by listers to and from their assignment area. Bureau officials told us this was a challenge at all three test sites. Moreover, at one site the area census manager told us that some listers were being assigned work in another county even though blocks were still unassigned closer to where they resided. Relying on local knowledge and limiting the number of miles can increase both the efficiency and effectiveness of address canvassing.", "The assignment of some of the large blocks early in the operations was not occurring as planned. At all three 2018 End-to-End Test sites Bureau managers had to manually assign some large blocks (some blocks had hundreds of housing units). It is important to assign large blocks early on because leaving the large blocks to be canvassed until the end of the operation could jeopardize the timely completion of address canvassing.", "The global positioning system-derived location for the lister was not always corresponding to the location on the map. A Bureau official confirmed that at all three test sites, the location icon jumped around or was on the wrong street. According to a Bureau official, listers were told to override the global positioning system-derived location when confirming the geographic location of the residence.", "We have discussed these challenges with Bureau officials who stated that overall they are satisfied with the implementation of address canvassing but also agreed that resolving challenges discovered during address canvassing, some of which can affect the operation\u2019s efficiency and effectiveness, will be important before the 2020 Census. We will continue to monitor address canvassing operation and plan to issue a report in the winter of 2018."], "subsections": []}]}, {"section_title": "The Bureau Continues to Face Challenges in Implementing and Securing Key IT Systems", "paragraphs": [], "subsections": [{"section_title": "The Bureau Continues to Face Challenges Implementing and Managing IT Systems", "paragraphs": ["We have previously reported that the Bureau faced challenges in managing and overseeing IT programs, systems, and contractors supporting the 2020 Census. Specifically, it has been challenged in managing schedules, costs, contracts, and governance and internal coordination for its IT systems. As a result of these challenges, the Bureau is at risk of being unable to fully implement key IT systems necessary to support the 2020 Census. We have previously recommended that the Bureau take action to improve its implementation and management of IT in areas such as governance and internal coordination. We also have ongoing work reviewing each of these areas.", "Our ongoing work has indicated that the Bureau faces significant challenges in managing the schedule for developing and testing systems for the 2018 End-to-End Test that began in August 2017. In this regard, the Bureau still has significant development and testing work that remains to be completed. As of August 2017, of the 43 systems in the test, the Bureau reported that 4 systems had completed development and integration testing, while the remaining 39 systems had not completed these activities.", "Of these 39 systems, the Bureau reported that it had deployed a portion of the functionality for 21 systems to support address canvassing for the 2018 End-to-End Test; however, it had not yet deployed any functionality for the remaining 18 systems for the test. Figure 5 summarizes the development and testing status for the 43 systems planned for the 2018 End-to-End Test, and appendix I includes additional information on the status of development and testing for these systems.", "Moreover, due to challenges experienced during systems development, the Bureau has delayed key IT milestone dates (e.g., dates to begin integration testing) by several months for the systems supporting six of the nine operations in the 2018 End-to-End Test. Figure 6 depicts the delays to the deployment dates for the operations in the 2018 End-to-End Test, as of August 2017.", "However, our ongoing work also indicates that the Bureau is at risk of not meeting the updated milestone dates. For example, in June 2017 the Bureau reported that at least two of the systems expected to be used in the self-response operation (the Internet self-response system and the call center system) are at risk of not meeting the delayed milestone dates. In addition, in September 2017 the Bureau reported that at least two of the systems expected to be used in the field enumeration operation (the enumeration system and the operational control system) are at risk of not meeting their delayed dates.", "Combined, these delays reduce the time available to conduct the security reviews and approvals for the systems being used in the 2018 End-to- End Test. We previously testified in May 2017 that the Bureau faced similar challenges leading up to the 2017 Census Test, including experiencing delays in system development that led to compressed time frames for security reviews and approvals. Specifically, we noted that the Bureau did not have time to thoroughly assess the low-impact components of one system and complete penetration testing for another system prior to the test, but accepted the security risks and uncertainty due to compressed time frames. We concluded that, for the 2018 End-to- End Test, it will be important that these security assessments are completed in a timely manner and that risks are at an acceptable level before the systems are deployed.", "The Bureau noted that, if it continues to be behind schedule, field operations for the 2018 End-to-End Test will not be performed as planned. Bureau officials are evaluating options to decrease the impact of these delays on integration testing and security review activities by, for example, utilizing additional staff. We have ongoing work reviewing the Bureau\u2019s development and testing delays and the impacts of these delays on systems readiness for the 2018 End-to-End Test.", "The Bureau faces challenges in reporting and controlling IT cost growth. In April 2017, the Bureau briefed us on its efforts to estimate the costs for the 2020 Census, during which it presented IT costs of about $2.4 billion from fiscal years 2018 through 2021. Based on this information and other corroborating IT contract information provided by the Bureau, we testified in May 2017 that the Bureau had identified at least $2 billion in IT costs.", "However, in June 2017, Bureau officials in the 2020 Census Directorate told us that the data they provided in April 2017 did not reflect all IT costs for the 2020 program. The officials provided us with an analysis of the Bureau\u2019s October 2015 cost estimate that identified $3.4 billion in total IT costs from fiscal years 2012 through 2023. These costs included, among other things, those associated with system engineering, test and evaluation, and infrastructure, as well as a portion of the costs for the CEDCaP program.", "Yet, our ongoing work determined that the Bureau\u2019s $3.4 billion cost estimate does not reflect its current plans for acquiring IT to be used during the 2020 Census and that the related costs are likely to increase: In August 2016, the Bureau awarded a technical integration contract for about $886 million, a cost that was not reflected in the $3.4 billion expected IT costs. More recently, in May 2017, we testified that the scope of work for this contract had increased since the contract was awarded; thus, the corresponding contract costs were likely to rise above $886 million, as well.", "In March 2017, the Bureau reported that the contract associated with the call center and IT system to support the collection of census data over the phone was projected to overrun its initial estimated cost by at least $40 million.", "In May 2017, the Bureau reported that the CEDCaP program\u2019s cost estimate was increasing by about $400 million\u2014from its original estimate of $548 million in 2013 to a revised estimate of $965 million in May 2017.", "In June 2017, the Bureau awarded a contract for mobile devices and associated services for about $283 million, an amount that is about $137 million higher than the cost for these devices and services identified in its October 2015 estimate.", "As a result of these factors, the Bureau\u2019s $3.4 billion estimate of IT costs is likely to be at least $1.4 billion higher, thus increasing the total costs to at least $4.8 billion. Figure 7 identifies the Bureau estimate of total IT costs associated with the 2020 program as of October 2015, as well as anticipated cost increases as of August 2017.", "IT cost information that is accurately reported and clearly communicated is necessary so that Congress and the public have confidence that taxpayer funds are being spent in an appropriate manner. However, changes in the Bureau\u2019s reporting of these total costs, combined with cost growth since the October 2015 estimate, raise questions as to whether the Bureau has a complete understanding of the IT costs associated with the 2020 program. In this regard, we have previously reported on issues with the Bureau\u2019s cost estimating practices (which are discussed in more detail later in this statement). To address these issues, in October 2017, officials stated that the Bureau is developing a new cost estimate for the entire 2020 Census program, which they expect to release by the end of this fall.", "Our ongoing work also determined that the Bureau faces challenges in managing its significant contractor support. The Bureau is relying on contractor support in many key areas of the 2020 Census. For example, it is relying on contractors to develop a number of key systems and components of the IT infrastructure. These activities include (1) developing the IT platform that is to be used to collect data from a majority of respondents\u2014those using the Internet, telephone, and non- response follow-up activities; (2) procuring the mobile devices and cellular service to be used for non-response follow-up; and (3) developing the infrastructure in the field offices. According to Bureau officials, contractors are also providing support in areas such as fraud detection, cloud computing services, and disaster recovery.", "In addition to the development of key technology, the Bureau is relying on contractor support for integrating all of the key systems and infrastructure. The Bureau awarded a contract to integrate the 2020 Census systems and infrastructure in August 2016. The contractor\u2019s work was to include evaluating the systems and infrastructure and acquiring the infrastructure (e.g., cloud or data center) to meet the Bureau\u2019s scalability and performance needs. It was also to include integrating all of the systems, supporting technical testing activities, and developing plans for ensuring the continuity of operations. Since the contract was awarded, the Bureau has modified the scope to also include assisting with operational testing activities, conducting performance testing for two Internet self-response systems, and technical support for the implementation of the paper data capture system.", "However, our ongoing work has indicated that the Bureau is facing staffing challenges that could impact its ability to manage and oversee the technical integration contractor. Specifically, the Bureau is managing the integration contractor through a government program management office, but this office is still filling vacancies. As of October 2017, the Bureau reported that 35 of the office\u2019s 58 federal employee positions were vacant. As a result, this program management office may not be able to provide adequate oversight of contractor cost, schedule, and performance.", "The delays during the 2017 Test and preparations for the 2018 End-to- End Test raises concerns regarding the Bureau\u2019s ability to effectively perform contractor management. As we reported in November 2016, a greater reliance on contractors for these key components of the 2020 Census requires the Bureau to focus on sound management and oversight of the key contracts, projects, and systems. As part of our ongoing work, we plan to monitor the Bureau\u2019s progress in managing its contractor support.", "Effective IT governance can drive change, provide oversight, and ensure accountability for results. Further, effective IT governance was envisioned in the provisions referred to as the Federal Information Technology Acquisition Reform Act (FITARA), which strengthened and reinforced the role of the departmental CIO.", "To ensure executive-level oversight of the key systems and technology, the Bureau\u2019s CIO (or a representative) is a member of the governance boards that oversee all of the operations and technology for the 2020 Census. However, in August 2016 we reported on challenges the Bureau has had with IT governance and internal coordination, including weaknesses in its ability to monitor and control IT project costs, schedules, and performance. We made eight recommendations to the Department of Commerce to direct the Bureau to, among other things, better ensure that risks are adequately identified and schedules are aligned. The department agreed with our recommendations. However, as of October 2017, the Bureau had only fully implemented one recommendation and had taken initial steps toward implementing others.", "Further, given the schedule delays and cost increases previously mentioned, and the vast amount of development, testing, and security assessments left to be completed, we remain concerned about executive- level oversight of systems and security. Moving forward, it will be important that the CIO and other agency executives continue to use a collaborative governance approach to effectively manage risks and ensure that the IT solutions meet the needs of the agency within cost and schedule. As part of our ongoing work, we plan to monitor the steps the Bureau is taking to effectively oversee and manage the development and acquisition of its IT systems."], "subsections": []}, {"section_title": "The Bureau Has Significant Information Security Steps to Complete for the 2018 End-to-End Test", "paragraphs": ["In November 2016, we described the significant challenges that the Bureau faced in securing systems and data for the 2020 Census, and we noted that tight time frames could exacerbate these challenges. Two such challenges were (1) ensuring that individuals gain only limited and appropriate access to the 2020 Census data, including personally identifiable information (PII) (e.g., name, address, and date of birth), and (2) making certain that security assessments were completed in a timely manner and that risks were at an acceptable level. Protecting PII, for example, is especially important because a majority of the 43 systems to be used in the 2018 End-to-End Test contain PII, as reflected in figure 8.", "To address these and other challenges, federal law and guidance specify requirements for protecting federal information and information systems, such as those to be used in the 2020 Census. Specifically, the Federal Information Security Management Act of 2002 and the Federal Information Security Modernization Act of 2014 (FISMA) require executive branch agencies to develop, document, and implement an agency-wide program to provide security for the information and information systems that support operations and assets of the agency.", "Accordingly, the National Institute of Standards and Technology (NIST) developed risk management framework guidance for agencies to follow in developing information security programs. Additionally, the Office of Management and Budget\u2019s (OMB) revised Circular A-130 on managing federal information resources required agencies to implement the NIST risk management framework to integrate information security and risk management activities into the system development life cycle.", "In accordance with FISMA, NIST guidance, and OMB guidance, the Office of the CIO established a risk management framework. This framework requires that system developers ensure that each of the systems undergoes a full security assessment, and that system developers remediate critical deficiencies. In addition, according to the Bureau\u2019s framework, system developers must ensure that each component of a system has its own system security plan, which documents how the Bureau plans to implement security controls. As a result, system developers for a single system might develop multiple system security plans (in some cases as many as 34 plans), which all have to be approved as part of the system\u2019s complete security documentation. We have ongoing work that is reviewing the extent to which the Bureau\u2019s framework meets the specific requirements of the NIST guidance.", "According to the Bureau\u2019s framework, each of the 43 systems in the 2018 End-to-End Test will need to have complete security documentation (such as system security plans) and an approved authorization to operate prior to their use in the 2018 End-to-End Test. However, our ongoing work indicates that, while the Bureau is completing these steps for the 43 systems to be used in the 2018 End-to-End Test, significant work remains. Specifically:", "None of the 43 systems are fully authorized to operate through the completion of the 2018 End-to-End Test. Bureau officials from the CIO\u2019s Office of Information Security stated that these systems will need to be reauthorized because, among other things, they have additional development work planned that may require the systems to be reauthorized; are being moved to a different infrastructure environment (e.g., from a data center to a cloud-based environment); or have a current authorization that expires before the completion of the 2018 End-to-End Test. The amount of work remaining is concerning because the test has already begun and the delays experienced in system development and testing mentioned earlier reduce the time available for performing the security assessments needed to fully authorize these systems before the completion of the 2018 End-to-End test.", "Thirty-seven systems have a current authorization to operate, but the Bureau will need to reauthorize these systems before the completion of the 2018 End-to-End Test. This is due to the reasons mentioned previously, such as additional development work planned and changes to the infrastructure environments.", "Two systems have not yet obtained an authorization to operate.", "For the remaining four systems, the Bureau has not yet provided us with documentation about the current authorization status.", "Figure 9 depicts the authorization to operate status for the systems being used in the 2018 End-to-End Test, as reported by the Bureau.", "Because many of the systems that will be a part of the 2018 End-to-End Test are not yet fully developed, the Bureau has not finalized all of the security controls to be implemented; assessed those controls; developed plans to remediate control weaknesses; and determined whether there is time to fully remediate any deficiencies before the systems are needed for the test. In addition, as discussed earlier, the Bureau is facing system development challenges that are delaying the completion of milestones and compressing the time available for security testing activities.", "As we previously reported, while the large-scale technological changes (such as Internet self-response) increase the likelihood of efficiency and effectiveness gains, they also introduce many information security challenges. The 2018 End-to-End Test also involves collecting PII on hundreds of thousands of households across the country, which further increases the need to properly secure these systems. Thus, it will be important that the Bureau provides adequate time to perform these security assessments, completes them in a timely manner, and ensures that risks are at an acceptable level before the systems are deployed. We plan to continue monitoring the Bureau\u2019s progress in securing its IT systems and data as part of our ongoing work."], "subsections": []}]}, {"section_title": "The Bureau Needs to Improve the Reliability of Its 2020 Cost Estimate", "paragraphs": [], "subsections": [{"section_title": "2020 Census Cost Estimate Does Not Reflect Best Practices", "paragraphs": ["In June 2016, we reported that the Bureau\u2019s October 2015 update of its life-cycle cost estimate for the 2020 Census did not conform to the four characteristics that constitute best practices, and, as a result, the estimate was unreliable. Cost estimates that appropriately account for risks facing an agency can help an agency manage large, complex activities like the 2020 Census, as well as help Congress make funding decisions and provide oversight. Cost estimates are also necessary to inform decisions to fund one program over another, to develop annual budget requests, to determine what resources are needed, and to develop baselines for measuring performance.", "In June 2016, we reported that, although the Bureau had taken steps to improve its capacity to carry out an effective cost estimate, such as establishing an independent cost estimation office, its October 2015 version of the estimate for the 2020 Census only partially met the characteristics of two best practices (comprehensive and accurate) and minimally met the other two (well-documented and credible). All four characteristics need to be substantially met in order for an estimate to be deemed high-quality:", "Comprehensive. To be comprehensive an estimate should have enough detail to ensure that cost elements are neither omitted nor double-counted, and all cost-influencing assumptions are detailed in the estimate\u2019s documentation, among other things, according to best practices. In June 2016, we reported that, while Bureau officials were able to provide us with several documents that included projections and assumptions that were used in the cost estimate, we found the estimate to be partially comprehensive because it was unclear if all life-cycle costs were included in the estimate or if the cost estimate completely defined the program.", "Accurate. Accurate estimates are unbiased and contain few mathematical mistakes. We reported in June 2016 that the estimate partially met best practices for this characteristic, in part because we could not independently verify the calculations the Bureau used within its cost model, which the Bureau did not have documented or explained outside its cost model.", "Well-documented. Cost estimates are considered valid if they are well-documented to the point they can be easily repeated or updated and can be traced to original sources through auditing, according to best practices. In June 2016, we reported that, while the Bureau provided some documentation of supporting data, it did not describe how the source data were incorporated.", "Credible. Credible cost estimates must clearly identify limitations due to uncertainty or bias surrounding the data or assumptions, according to best practices. In June 2016, we reported that the estimate minimally met best practices for this characteristic in part because the Bureau carried out its risk and uncertainty analysis only for about $4.6 billion (37 percent) of the $12.5 billion total estimated life-cycle cost, excluding, for example, consideration of uncertainty over what the decennial census\u2019s estimated part will be of the total cost of CEDCaP.", "In June 2016, we recommended that the Bureau take action to ensure its 2020 Census cost estimate meets all four characteristic of a reliable cost estimate. The Bureau agreed with our recommendation. We also reported in June 2016 that risks were not properly accounted for in the cost estimate and recommended that the Bureau properly account for risk to ensure there are appropriate levels for budgeted contingencies, and those recommendations have not yet been implemented.", "In October 2017, Bureau officials told us they were making progress towards implementing our recommendations and would provide us with that documentation when the cost estimate and supporting documentation are finalized. Moreover, Bureau officials also told us that an updated cost estimate would be available by the end of this fall. However, until the Bureau updates its estimate and we have the opportunity to review its reliability, questions will surround the quality of the 2020 Census cost estimate and the basis for any 2020 Census annual budgetary figures."], "subsections": []}, {"section_title": "The Cost of the 2020 Census Will Likely Be Higher Than Originally Planned", "paragraphs": ["While the Bureau has not updated its October 2015 cost estimate, several events since then indicate that the cost of the current design will be higher. For example:", "As previously mentioned, in August 2016 an $886 million IT integration contract was awarded. According to Bureau officials, there was no reference to this contract in the documentation for the planned contract costs supporting the October 2015 life-cycle cost estimate.", "In March 2017, the Bureau suspended part of how it is verifying address in-office procedures using on-screen imagery\u2014one of its four key design innovations intended to control the cost of the 2020 Census. According to Bureau officials, the suspension of the one part of in-office canvassing will increase the workload of the more expensive in-field (door-to-door address identification) by at least five percentage points, from 25 percent to 30 percent of housing units\u2014 increasing the cost over what had been assumed as part of the earlier cost estimate. Based on cost assumptions underlying its October 2015 life-cycle cost estimate, we found, as part of our prior work, that the potential addition of five percentage points to the field workload alone could reduce the Bureau\u2019s cost savings by $26.6 million.", "As earlier discussed, in May 2017, Bureau officials reported that the cost of the CEDCaP program has now increased by over $400 million, from about $548 million to $965 million."], "subsections": []}, {"section_title": "2020 Census Cost Estimate May Not Fully Inform Annual Budget Requests", "paragraphs": ["Cost estimates are also used by the Bureau as a tool to inform the annual budget process. However, since the Bureau did not fully follow best practices for developing and maintaining the life-cycle cost estimate, as previously described, annual budget requests based on that cost estimate may not be fully informed.", "A high-quality cost estimate is the foundation of a good budget. A major purpose of a cost estimate is to support the budget process by providing an estimate of the funding required to efficiently execute a program. Because most programs do not remain static but evolve over time, developing a cost estimate should not be a onetime event but rather a recurrent process. Effective program and cost control requires ongoing revisions to the cost estimate and budget.", "Using a reliable life-cycle cost estimate to formulate the budget could help the Bureau ensure that all costs are fully accounted for so that resources are adequate to support the program. Credible cost estimates could also help the Bureau effectively defend budgets to the Department of Commerce, OMB, and Congress. Concerns about the soundness of the life cycle cost estimate and the quality of annual budgets related to the 2020 Census are particularly important because the bulk of funds will be obligated in fiscal years 2019 through 2020. In our June 2016 report on the Bureau\u2019s life-cycle cost estimate we made several recommendations with which the Bureau agreed. We will continue to monitor the Bureau\u2019s efforts to address these recommendations.", "In conclusion, the Bureau has made progress in revamping its approach to the census and testing the new design. However, it faces considerable challenges and uncertainties in (1) implementing the cost-saving innovations; (2) managing the development and security of key IT systems; and (3) developing a quality cost estimate for the 2020 Census. For these reasons, the 2020 Census is a GAO high risk area.", "Continued management attention is vital for ensuring risks are managed, the Bureau\u2019s preparations stay on-track, and the Bureau is held accountable for implementing the enumeration as planned. We will continue to assess the Bureau\u2019s efforts to conduct a cost-effective enumeration and look forward to keeping Congress informed of the Bureau\u2019s progress.", "Chairman Gowdy, Ranking Member Cummings, and Members of the Committee, this completes our prepared statement. We would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you have any questions about this statement, please contact David A. Powner at (202) 512-9286 or by e-mail at pownerd@gao.gov or Robert Goldenkoff at (202) 512-2757 or by e-mail at goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other key contributors to this testimony include Lisa Pearson (Assistant Director); Jon Ticehurst (Assistant Director); Kate Sharkey (Analyst in Charge); Mark Abraham, Dewi Djunaidy; Hoyt Lacy; Andrea Starosciak; Umesh Thakkar; Timothy Wexler; and Katherine Wulff. Staff who made key contributions to the reports cited in this statement are identified in the source products."], "subsections": []}]}, {"section_title": "Appendix I: Status as of August 2017 of Development and Integration Testing for Systems in the 2018 End-to-End Test", "paragraphs": ["As part of its 2018 End-to-End Test, the Census Bureau (Bureau) plans to deploy 43 systems incrementally to support nine operations from December 2016 through the end of the test in April 2019. The nine operations are: (1) in-office address canvassing, (2) recruiting for address canvassing, (3) training for address canvassing, (4) in-field address canvassing operation, (5) recruiting for field enumeration, (6) training for field enumeration, (7) self-response (i.e., Internet, phone, or paper) operation, (8) field enumeration operation, and (9) tabulation and dissemination. According to the Bureau, a single system may be deployed multiple times throughout the test (with additional or new functionality) if that system is needed for more than one of these operations.", "Table 1 describes the status as of August 2017 of development and integration testing for each system in the 2018 End-to-End Test. Specifically, as of August 2017, the Bureau had completed both development work and integration testing for 4 systems, and was in the process of completing development and testing for 39 systems."], "subsections": []}], "fastfact": ["The U.S. Census Bureau is planning several innovations for the 2020 Census, such as allowing Internet responses and using technology to verify addresses. In this testimony, we noted that the Bureau has scaled back testing for the systems and operations supporting these innovations.", "We also discussed securing critical IT systems. The Bureau has significant IT security steps to complete for the end-to-end test that began in August 2017.", "In addition, we looked at the October 2015 cost estimate for the 2020 Census\u2014which can't be considered reliable. Although no updates have been publicly released, recent events suggest higher costs."]} {"id": "GAO-18-302", "url": "https://www.gao.gov/products/GAO-18-302", "title": "CMS Innovation Center: Model Implementation and Center Performance", "published_date": "2018-03-26T00:00:00", "released_date": "2018-04-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Patient Protection and Affordable Care Act created the Innovation Center within CMS to test new approaches to health care delivery and payment\u2014known as models\u2014for use in Medicare, Medicaid, or CHIP. The Innovation Center became operational in November 2010. In 2012, GAO reported on the early implementation of the Innovation Center. GAO found that, during the first 16 months of operations, the Innovation Center focused on implementing 17 new models and developed preliminary plans for evaluating the effects of each model and for assessing the center's overall performance.", "GAO was asked to update its previous work. In this report, GAO: (1) describes the status of payment and delivery models implemented and the resources used; (2) describes the center's use of model evaluations; and (3) examines the center's assessment of its own performance. GAO reviewed available documentation, such as model fact sheets and frequently asked questions, and evaluation reports for models that have been implemented. GAO reviewed obligation data and performance information for the time period for which complete data or information were available. GAO also interviewed officials from the Innovation Center and CMS's Office of the Actuary.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["As of March 1, 2018, the Center for Medicare and Medicaid Innovation (Innovation Center) had implemented 37 models that test new approaches for delivering and paying for health care with the goal of reducing spending and improving quality of care. These models varied based on several characteristics, including the program covered\u2014Medicare, Medicaid, the Children's Health Insurance Program (CHIP), or some combination of the three\u2014and the nature of provider participation\u2014voluntary or mandatory. Going forward, the Innovation Center indicated that the center plans to continue focusing on the use of voluntary participation models and to develop models in new areas, including prescription drugs, Medicare Advantage, mental and behavioral health, and program integrity. Through fiscal year 2016, the Innovation Center obligated $5.6 billion of its $10 billion appropriation for fiscal years 2011 through 2019.", "The Innovation Center has used evaluations of models (1) to inform the development of additional models, (2) to make changes to models as they are implemented, and (3) to recommend models for expansion. For example, Innovation Center officials noted that, for some instances where evaluations have shown reduced spending with maintained or improved quality of care, the center has developed new models that build upon the approaches of earlier models, but with adjustments intended to address reported limitations. In addition, the Innovation Center used evaluations to recommend two models to the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary for certification for expansion. According to CMS officials, a model evaluation and a certification for expansion differ in that a model evaluation assesses the impact of a delivery and payment approach for model participants only, while a certification for expansion assesses the future impact on program spending more broadly across all beneficiaries, payers, and providers who would be affected by the expanded model. As a result, the Office of the Actuary used the results of the evaluation and other information, such as Medicare claims data and published studies, to certify the expansion of both models.", "To assess the center's overall performance, the Innovation Center established performance goals and related measures and reported meeting its targets for some goals in 2015, the latest year for which data were available (see table below).", "Innovation Center officials told GAO that the center also recently developed a methodology to estimate a forecasted return on investment for its model portfolio. The center is in the early stages of refining the methodology and applying it broadly across its models."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal spending on health care in the United States\u2014driven primarily by Medicare and Medicaid expenditures\u2014is expected to reach over $1 trillion in 2018 and to continue increasing and exerting pressure on the federal budget. At the same time, studies have found that higher levels of spending do not reliably lead to enhanced quality of care. The Centers for Medicare & Medicaid Services (CMS), within the Department of Health and Human Services (HHS), has sought to both reduce spending and improve quality of care for beneficiaries enrolled in Medicare, Medicaid, and the Children\u2019s Health Insurance Program (CHIP) by testing new ways for delivering and paying for health care services. To further such testing, the Patient Protection and Affordable Care Act (PPACA) established the Center for Medicare and Medicaid Innovation (Innovation Center) within CMS under section 1115A of the Social Security Act.", "In establishing the Innovation Center, the law provided CMS with additional authority when testing new health care delivery and payment approaches, known as models. For example, CMS may expand the duration and scope of models tested by the Innovation Center through rulemaking instead of needing the enactment of legislation, which was required to expand the demonstrations that CMS frequently conducted in the past. In addition, the law provided a dedicated appropriation for testing models\u2014$10 billion for the Innovation Center\u2019s activities for the period of fiscal years 2011 through 2019 and $10 billion per decade beginning in fiscal year 2020.", "In November 2012, we reported on the early activities of the Innovation Center. We found that, during the first 16 months of operations, the Innovation Center focused on implementing 17 new models while assuming responsibility for 20 demonstrations that CMS began before the start of the center. We also reported that the Innovation Center developed preliminary plans for evaluating the effects of each model on spending and quality of care and assessing the center\u2019s overall performance.", "At the time of our 2012 report, however, it was too early to consider certain questions raised by members of Congress about Innovation Center operations, including the use of its dedicated funding, the impact of the models tested, and the center\u2019s overall performance. Given the amount of time that has passed\u2014the Innovation Center has been in operation for over 7 years\u2014you asked us to update our previous work to provide information on the activities of the center and to report on any results of the testing. This report examines 1. the status of the Innovation Center\u2019s testing of models and the resources used for such activities; 2. the use of model evaluations; and 3. the Innovation Center\u2019s assessment of its performance.", "To determine the status of model testing and the resources used by the Innovation Center for such activities, we reviewed Innovation Center documentation, including information on models the center was implementing or had announced, as well as web pages, model fact sheets, and frequently asked questions. We obtained and analyzed Innovation Center data on the amounts of the Innovation Center\u2019s appropriations obligated. We also interviewed and obtained written responses from Innovation Center officials. Our work focused on models tested and funded through appropriations under section 1115A of the Social Security Act, as enacted by PPACA, which established the center and provided its dedicated appropriations. In general, our work covered the period during which the Innovation Center first became operational (fiscal year 2011) through the most recent time period for which complete information was available. For the status of model testing, we considered information through March 1, 2018. For the resources used, we analyzed data on the amounts of the Innovation Center\u2019s appropriations obligated through fiscal year 2016. We assessed the reliability of the obligation data by comparing it to publicly reported amounts and discussing the data with center officials. We determined these data were sufficiently reliable for the purposes of our objectives.", "To determine how the Innovation Center used evaluations of models, we interviewed officials from the center, CMS\u2019s Office of the Actuary, evaluation contractors, and subject matter experts to discuss the use of evaluations, in general, as well as for five selected models specifically. We selected models based on a nonprobability sample that included both Medicare and Medicaid models; ongoing and completed models; models that fell under the responsibility of different Innovation Center staffing groups; and one model evaluated for expansion. Because we used a nonprobability sample, our results are not generalizable beyond the models we reviewed; however, they provide insight into how CMS uses the evaluations of its models. We also analyzed publicly available evaluation reports and other model documentation publicly available from the Innovation Center and the Office of the Actuary.", "To describe the Innovation Center\u2019s assessment of its performance, we reviewed information reported on the center\u2019s targeted and actual performance available in CMS\u2019s Congressional Budget Justifications for fiscal years 2012 through 2018. Information on the center\u2019s targets was available for performance years 2014 through 2018. Complete information on the center\u2019s actual performance was available for 2015. Partial information was available for 2014 and 2016, and no information was available for 2017 and 2018. We also interviewed Innovation Center officials regarding the assessment of performance.", "We conducted this performance audit from February 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Requirements for Innovation Center Models Implemented under Section 1115A", "paragraphs": ["Section 1115A establishes certain requirements for the Innovation Center that relate to the selection of models, use of resources, and evaluation of models. These requirements include: consulting with representatives of relevant federal agencies, as well as clinical and analytical experts in medicine or health care management, when carrying out its duties as described in the law; ensuring models address deficits in care that have led to poor clinical outcomes or potentially avoidable spending; making no less than $25 million of the Innovation Center\u2019s dedicated funding available for model design, implementation, and evaluation each fiscal year starting in 2011; evaluating each model to analyze its effects on spending and quality of care, and making these evaluations public; and modifying or terminating a model any time after testing and evaluation has begun unless it determines that the model either improves quality of care without increasing spending levels, reduces spending without reducing quality, or both.", "Under section 1115A, certain requirements applicable to previous CMS demonstrations are inapplicable to models tested under the Innovation Center. For example, while prior demonstrations generally required congressional approval in order to be expanded, section 1115A allows CMS to expand Innovation Center models\u2014including on a nationwide basis\u2014through the rulemaking process if the following conditions are met: (1) the agency determines that the expansion is expected to reduce spending without reducing the quality of care, or improve quality without increasing spending; (2) CMS\u2019s Office of the Actuary certifies that the expansion will reduce or not increase net program spending; and (3) the agency determines that the expansion would not deny or limit coverage or benefits for beneficiaries. In addition, certain requirements previously cited by the Medicare Payment Advisory Commission as administrative barriers to the timely completion of demonstrations are inapplicable. Specifically, section 1115A provides the following:", "HHS cannot require that an Innovation Center model initially be budget neutral\u2014that is, designed so that estimated federal expenditures under the model are expected to be no more than they would have been without the model\u2014prior to approving a model for testing.", "Certain CMS actions in testing and expanding Innovation Center models cannot be subject to administrative or judicial review.", "The Paperwork Reduction Act\u2014which generally requires agencies to submit all proposed information collection efforts to the Office of Management and Budget (OMB) for approval and provide a 60-day period for public comment when they want to collect data on 10 or more individuals\u2014does not apply to Innovation Center models."], "subsections": []}, {"section_title": "Innovation Center Staffing and Organization", "paragraphs": ["The Innovation Center uses a combination of staff and contractors to test models. Since the center became operational in November 2010, the number of staff increased steadily through the end of fiscal year 2016. (See fig. 1.) As of September 30, 2017, there were 617 staff\u2014a slight decrease in the number of staff from the end of the prior fiscal year. Officials indicated that, in the future, changes in the model portfolio may require additional staff to manage and support model development and implementation. However, officials do not anticipate needing to increase staffing levels at the same pace as they did between fiscal years 2011 and 2016. Additionally, the Innovation Center uses third-party contactors to perform functions related to the implementation of models and to perform evaluations of the changes in the quality of care furnished and program spending under a model.", "The Innovation Center has organized its 617 staff members primarily into eight groups and the Office of the Director. Four of the eight groups are responsible for coordinating the development and implementation of models. Staff in these four groups primarily lead efforts in developing model designs and obtaining approval for their models from CMS and HHS. Once a model is approved, staff coordinate the remaining implementation steps, including soliciting and selecting participants and overseeing the model during the testing and evaluation period. The other four groups perform key functions that support model development and implementation, such as reviewing ideas submitted for consideration as possible models, overseeing the evaluations of models, providing feedback to model participants about their performance, disseminating lessons learned across models, and monitoring budget resources. The Office of the Director, in general, has oversight responsibilities for the models led by these groups. Table 1 provides information on the staffing groups within the Innovation Center."], "subsections": []}, {"section_title": "Innovation Center Process for Model Development and Implementation", "paragraphs": ["The Innovation Center has developed internal agency guidance that outlines a general process used by the four model groups for developing and implementing models. (See fig. 2.) Appendix I provides additional information about the general process for implementing models."], "subsections": []}, {"section_title": "Innovation Center Categories for Models", "paragraphs": ["The Innovation Center has organized its models into seven categories based on delivery and payment approaches tested and program beneficiaries covered. The seven categories are as follows:", "Accountable Care. This category includes models built around accountable care organizations (ACOs)\u2014groups of coordinated health care providers who are held responsible for the care of a group of patients. The models are designed to encourage ACOs to invest in infrastructure and care processes for improving coordination, efficiency, and quality of care for Medicare beneficiaries.", "Episode-based payment initiatives. This category includes models in which providers are held accountable for the Medicare spending and quality of care received by beneficiaries during an \u201cepisode of care,\u201d which begins with a health care event (e.g., hospitalization) and continues for a limited time after.", "Initiatives Focused on Medicare-Medicaid Beneficiaries. This category includes models focused on better serving individuals eligible for both Medicaid and Medicare in a cost-effective manner.", "Initiatives Focused on Medicaid and CHIP Populations. This category includes models administered by participating states to lower spending and improve quality of care for Medicaid and CHIP beneficiaries.", "Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models. This category includes models where the Innovation Center works with participants to test state-based and locally developed models, covering Medicare beneficiaries, Medicaid beneficiaries, or both.", "Initiatives to Speed the Adoption of Best Practices. This category includes models in which the Innovation Center collaborates with health care providers, federal agencies, and other stakeholders to test ways of disseminating evidence-based best practices that improve Medicare spending and quality of care for beneficiaries.", "Primary Care Transformation. This category includes models that use advanced primary care practices\u2014also called \u201cmedical homes\u201d\u2014 to emphasize prevention, health information technology, care coordination, and shared decision-making among patients and their providers.", "For certain categories, the Innovation Center assigns primary responsibility for developing and implementing models to a single model group; for some other categories, the responsibility is shared across different groups. For example, the center assigned responsibility for models in the ACO and the Primary Care Transformation categories to the Seamless Care Model Group, whereas the responsibility for models in the Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models categories were assigned across all four model groups. Appendix II provides a summary of the number of models organized under each category and a description of each model."], "subsections": []}]}, {"section_title": "The Innovation Center Implemented 37 Models That Test Varying Delivery and Payment Approaches, and Obligated over $5.6 Billion", "paragraphs": [], "subsections": [{"section_title": "The Innovation Center Implemented 37 Models and Announced an Additional 2; Models Varied by Delivery and Payment Approaches Tested, Beneficiaries Covered, and Other Characteristics", "paragraphs": ["As of March 1, 2018, the Innovation Center had implemented 37 models under section 1115A of the Social Security Act. (See fig. 3.) Of those 37 models, the testing period has concluded for 10 of them. In addition, the Innovation Center has announced two models to begin testing in 2018.", "Innovation Center models varied based on several characteristics, including delivery and payment approaches tested and program(s) covered. Delivery and payment approaches varied across all implemented and announced models\u2014even models organized by the Innovation Center under the same model category. For example, the six models that tested an episode-based payment approach varied in terms of how episodes were defined, including the clinical and surgical episodes to which models applied. In addition, some models included multiple approaches for achieving changes in health care delivery or payment. Models also differed in terms of the programs covered, with 22 models covering Medicare only, 9 models covering Medicare and Medicaid, one model covering Medicaid and CHIP, and 7 models covering all three programs. Other characteristics by which models varied include the nature of model participation for providers (voluntary or mandatory) and the source of innovation (i.e., federal, state, or local initiatives). See table 2 for a breakdown of models across selected characteristics. Appendix II provides a full description of all models implemented and announced by the Innovation Center.", "In September 2017, the Innovation Center provided some insight into its future plans when it issued an informal \u201crequest for information\u201d that identified guiding principles under which models will be designed going forward, described focus areas for new models, and requested feedback from stakeholders. One of the guiding principles focused on voluntary models\u2014a principle consistent with a final rule published in December 2017 canceling four mandatory participation models in development and making participation in a fifth mandatory model voluntary for some geographic areas. Other guiding principles included promoting competition based on quality, outcomes, and costs; empowering beneficiaries, their families, and caregivers to take ownership of their health; and using data-driven insights to ensure cost-effective care that also leads to improvements in beneficiary outcomes. In addition, the Innovation Center indicated the following focus areas for new model development: additional advanced alternative payment models; consumer-directed care and market-based innovation models; physician specialty models; prescription drug models; Medicare Advantage innovation models; state-based and local innovation, including Medicaid- focused models; mental and behavioral health models; and program integrity."], "subsections": []}, {"section_title": "The Innovation Center Obligated over 55 Percent of Its Initial Multiyear Appropriation through Fiscal Year 2016", "paragraphs": ["According to Innovation Center documentation, through September 30, 2016, the center obligated over $5.6 billion of the $10 billion appropriated for fiscal years 2011 through 2019 under section 1115A of the Social Security Act. The obligated amounts for individual models during this period ranged from $8.4 million to over $967 million, and varied based on model scope and design. For example, a model where the Innovation Center used its waiver authority to provide additional flexibility to participants (rather than additional funding) required only $8.4 million in obligations for the evaluation of the model and implementation activities. In contrast, a model where the Innovation Center awarded funding to a broad set of partners, including providers, local government, and public- private partnerships, to test their own care delivery and payment models required more than $870 million in obligations for payments to awardees and used over $95 million for contractor evaluations and other activities that supported model development and implementation.", "Innovation Center spending falls into three categories: model programs, innovation support, and administration.", "Model programs include obligations that directly support individual models and delivery system reform initiatives.", "Innovation support includes center-wide operational expenses that are not directly attributable to a single model.", "Administration includes permanent federal full-time equivalent payroll expenses, administrative contracts, administrative interagency agreements, and general administrative expenses.", "As the Innovation Center implemented additional models each year, total annual obligations increased steadily from approximately $95 million in fiscal year 2011 to more than $1.3 billion in fiscal year 2015, but decreased slightly in fiscal year 2016. (See fig. 4) Most of these total obligations were for model programs, which followed a similar pattern, increasing from $51 million in 2011 to about $1.1 billion in fiscal year 2015, with a slight decrease in fiscal year 2016. According to officials, the 2016 decrease in obligations for model programs was due in part to some of the earlier, expensive models ending and to newer models being less costly than the older models. Officials noted, for example, that a number of newer models incorporated basic program infrastructure used in previously implemented models, which allowed for reduced model costs. Officials also indicated that the decrease in obligations may be due to newer models using payment approaches that are funded by the Medicare Trust Fund, rather than funded by the Innovation Center\u2019s dedicated appropriation. The center\u2019s obligations for both innovation support and administration increased from around $20 million for each category in fiscal year 2011 to about $163 million for innovation support and $119 million for administration in fiscal year 2016. Officials told us that as obligations for model programs grew, so did obligations for innovation support and administration, which includes indirect costs and contractor assistance."], "subsections": []}]}, {"section_title": "Evaluations Inform the Development of Models and Decisions to Certify Certain Models for Expansion", "paragraphs": [], "subsections": [{"section_title": "The Innovation Center Has Used the Results from Evaluations to Inform the Development of Additional Models and to Make Changes to Implemented Models", "paragraphs": ["The Innovation Center has used the results from model evaluations to generate ideas for new models. For some of the early implemented models, evaluation results showed reduced spending and maintained or improved quality of care, but also identified model design limitations that could affect those results. According to officials, in some of these instances, the Innovation Center has developed new models that build upon the approaches of earlier models, but include adjustments intended to address identified limitations (see text box).", "Evaluations of Implemented Models The evaluation of each model is performed by a third-party contractor, who generally determines the effect of a model on quality of care and program spending by comparing data for model participants to those of a comparison group of providers and beneficiaries with characteristics similar to model participants. For purposes of the evaluation, the Innovation Center has the authority to require the collection and submission of necessary data by model participants. Accordingly, the third-party contractor collects both quantitative and qualitative data. The quantitative data are used to assess program spending and quality of care and the qualitative data are used to provide the context needed to understand the quantitative results.", "Example of A Model That Tests the Same General Delivery and Payment Approach of a Previously Implemented Model While Addressing Limitations Bundled Payment for Care Improvement (BPCI) Model 2 tested an episode-based delivery and payment approach in which the Innovation Center set a benchmark, or target, price for all Medicare services a beneficiary might receive during a clinical episode\u2014defined by BPCI Model 2 as the initial hospital stay and all services received up to 90 days after discharge. If the total spending for Medicare services during an episode was lower than the target price, participating hospitals would receive payments in addition to the normal fee-for-service payments. If the total spending for Medicare services during an episode was higher than the target price, participating hospitals would have to reimburse Medicare. Participants could select up to 48 different clinical episodes under the model. The evaluation of BPCI Model 2 found that orthopedic surgery episodes\u2014of which approximately 90 percent were hip and knee joint replacement surgeries\u2014may have resulted in reduced program spending and improved quality of care. However, the evaluation also identified limitations affecting those results. For example, the target prices for hip and knee replacement surgeries did not account for potential differences in Medicare spending between elective surgeries and surgeries required after a fracture. As a result of this limitation, hospitals could attempt to control spending by limiting the number of episodes associated with higher cost beneficiaries (i.e., those requiring surgery due to a fracture). In part to address the design issue identified under BPCI Model 2, Innovation Center officials told us they developed the Comprehensive Care for Joint Replacement (CJR) model. Implemented in April 2016, the CJR model tests the same general delivery and payment approach used in BPCI Model 2, but focuses specifically on hip and knee joint replacement surgical episodes and adjusts the target price to account for the higher spending related to hip and knee joint replacement surgeries following a fracture. As of March 1, 2018, no evaluations of the CJR model have been publicly released.", "The Innovation Center has also used the results from evaluations as one way to improve the operational and participant support for new models. According to officials, evaluations have helped them identify lessons learned regarding support systems, such as which types of systems work well with which types of models, and then the center incorporated those lessons when designing the systems for new models. For example, officials noted that the experience with the learning system from the Bundled Payments for Care Improvement (BPCI) models informed the learning system for the Comprehensive Care for Joint Replacement (CJR) model. The lessons learned helped the Innovation Center better identify where participants would need additional support and the learning activities\u2014such as webinars and implementation guides\u2014to provide the needed support during the early stages of model implementation. Innovation Center officials told us that these lessons from evaluations helped ensure that each successive model built upon the collective experience of models implemented by the center.", "The Innovation Center also has used evaluation results to make periodic changes to models during the testing period. According to officials, these changes include adjustments to the delivery and payment approaches tested, such as refining the target population, broadening the geographic focus, and refinements of spending calculations. Innovation Center officials noted that, in general, such changes were limited to minimize their effects on the evaluation of program spending and quality of care. Officials also identified changes to operational and participant support systems, which have included changes to the timing of participant data reporting, revisions to how data are collected from participants, and changes to the way learning materials are delivered to participants. According to officials, these types of changes are generally intended to help improve the experience of participants.", "According to Innovation Center officials, evaluation results may also be used in making a decision to terminate a model prior to the end of its planned testing period. However, officials stated that the Innovation Center has not terminated any models prior to the conclusion of their testing periods, either based on the results of an evaluation or for other reasons."], "subsections": []}, {"section_title": "Evaluations Informed Innovation Center Decisions to Recommend Two Models be Certified for Expansion", "paragraphs": ["The Innovation Center used evaluation results in recommending two models be certified for expansion. According to Innovation Center officials, the evaluation of each model adequately demonstrated that the delivery and payment approach tested reduced Medicare spending while maintaining or improving quality of care. Based on these results, the Innovation Center formally requested that CMS\u2019s Office of the Actuary analyze the financial impact of a potential expansion of each model. The two models were:", "Pioneer ACO. Pioneer ACO tested an ACO delivery and payment approach that gave providers an opportunity to be paid a relatively greater share of savings generated, compared to participants in other ACO models, in exchange for accepting financial responsibility for any losses. In year 3 of the model, ACOs that met certain levels of savings in the first two years could elect to receive a portion of their Medicare fee-for-service payments in the form of predetermined, per beneficiary per month payments.", "YMCA of the USA Diabetes Prevention Program (Diabetes Prevention Program). The Diabetes Prevention Program applied a lifestyle change program recognized by the Centers for Disease Control and Prevention to reduce to the risk of Type 2 diabetes for at- risk Medicare beneficiaries. The Diabetes Prevention Program was a part of the Health Care Innovation Awards Round One model.", "When assessing the Pioneer ACO and Diabetes Prevention Program models for expansion, the officials from the Office of the Actuary considered the model evaluation results that were available and information from other sources. For example, the assessment of Pioneer ACO used historical shared savings calculations and beneficiary attribution data from ACOs in the Medicare Shared Saving Program and Pioneer ACO; Medicare claims and enrollment data; and published studies. According to CMS officials, a model evaluation and a certification for expansion differ in that a model evaluation assesses the historical impact of a delivery and payment approach for model participants only, while a certification for expansion assesses the future impact on program spending across all beneficiaries, payers, and providers who would be affected by the expanded model.", "Based on its assessments, the Office of the Actuary certified both models for expansion and steps have been taken to expand them. In certifying Pioneer ACO, the Office of the Actuary concluded that because ACOs, in general, have been shown to produce savings relative to Medicare fee- for-service, an expansion of Pioneer ACO would generate further savings to the Medicare program. According to officials, CMS expanded Pioneer ACO by incorporating elements of the model\u2014through rulemaking\u2014as one of the options that providers may choose under the Medicare Shared Savings Program. For the Diabetes Prevention Program, the Office of the Actuary concluded that certain changes considered as part of the expansion would, in the near term, improve upon the original savings achieved as part of the Health Care Innovation Awards as well as savings achieved in similar diabetes prevention programs. The Innovation Center has expanded\u2014through rulemaking\u2014the Diabetes Prevention Program under a new, nationwide model to be implemented in April 2018.", "In addition, officials from the Innovation Center and the Office of the Actuary discussed potentially assessing whether Partnership for Patients should be certified for expansion. Partnership for Patients is a model that leveraged federal, state, local, and private programs to spread proven practices for reducing preventable hospital-acquired conditions and readmissions across acute care hospitals. According to officials, the Innovation Center shared the results for Partnership for Patients\u2014which showed improved quality of care in the form of reduced preventable hospital-acquired conditions and readmissions\u2014with the officials from the Office of the Actuary. After discussing these issues, Innovation Center officials decided not to request a formal analysis for certification of expansion."], "subsections": []}]}, {"section_title": "The Innovation Center Established Performance Goals and Related Performance Measures and Reported Meeting Its Targets for Some Goals", "paragraphs": ["To assess is own performance, the Innovation Center established three center-wide performance goals and related measures.", "Goal 1: Reduce the growth of healthcare costs while promoting better health and health care quality through delivery system reform. This goal has three performance measures that focus on ACOs. As shown in table 3, the Innovation Center has reported mixed results in achieving the targets set. According to agency reported data, the Innovation Center met the targets for 2 of its 3 Goal 1 performance measures for 2015. For the remaining measure\u2014the percentage of ACOs that shared in savings\u2014the center did not meet its target during either of the two years for which data were available. According to officials, when results fall short of targets, they examine the causes and make appropriate adjustments to the program. Officials stated that the missed target was driven by the high growth in the number of ACOs that were new\u2014and therefore would not yet be expected to achieve a level of savings in which they could share\u2014and not by ACO performance deficits. As a result, officials decided that no adjustments were required to the Medicare Shared Savings Program or other ACO Models to help improve performance. However, as shown in table 3, the Innovation Center set a target for 2016 that was lower than the 2015 target. For 2017, the Innovation Center lowered the expectation for growth compared to previous years, setting a target that was 1 percent higher than the 2016 target. Moving forward, CMS believes that as more ACOs gain experience, more will share in savings. Additionally, the agency expects that with additional performance years, the targets for the measure will become more refined.", "Goal 2: Identify, test, and improve payment and service delivery models. This goal has one performance measure, which identifies the number of models that currently indicate (1) cost savings while maintaining or improving quality or (2) improving quality while maintaining or reducing cost. As of September 30, 2016, the Innovation Center reported that four section 1115A model tests have met these criteria (see table 4).", "Goal 3: Accelerate the spread of successful practices and models. For this goal, the first performance measure focuses on the number of states developing and implementing a health system transformation and payment reform plan. The second measure focuses on increasing the percentage of active model participants who are involved in Innovation Center or related learning activities. As shown in table 5, the Innovation Center reported meeting its target for the first measure for both fiscal years 2015 and 2016, but not meeting its target for the second measure. For the second measure, the Innovation Center noted in its report to Congress that although the results for fiscal year 2016 showed a slight decrease in overall participation in Innovation Center or related learning activities, the majority of models performed higher than their individual targets. Several models underperformed, however, bringing down the overall percentage rate.", "In addition to the Goal 3 performance measures, the Innovation Center identifies two related contextual indicators\u2014which according to officials are measures that provide supporting information to help understand trends or other information related to the goal. The first contextual indicator provides a snapshot of Medicare beneficiary participation at a given point in time for all models operational for more than 6 months. In fiscal year 2016, CMS reported that over 3.6 million Medicare fee-for- service beneficiaries participated in models, representing approximately 9 percent of Medicare fee-for-service beneficiaries. The second contextual indicator provides information to help understand the level of interest and participation among providers in the Innovation Center\u2019s model portfolio. In fiscal year 2016, the Center estimates that 103,291 providers participated in Innovation Center payment and service delivery models.", "In addition to the three goals established by the Innovation Center, CMS has established an agency-wide goal related to the center\u2019s performance. In 2015, CMS announced goals to help drive Medicare, and the health care system at large, toward rewarding the quality of care instead of the quantity of care provided to beneficiaries. One of these goals was to shift Medicare health care payments from volume to value using alternative payment models established under the Innovation Center. This agency- wide goal has one performance measure, which is to increase the percentage of Medicare fee-for-service payments tied to alternative payment models, such as ACOs or bundled payment arrangements. As shown in table 6, CMS reported meeting its target for 2015 and 2016.", "Looking forward, officials told us that the Innovation Center has developed a methodology to estimate a forecasted return on investment for the model portfolio, and is in the early stages of refining the methodology and applying it broadly across the portfolio in 2018. As part of the development efforts, the Innovation Center expects to utilize standard investment measures used in the public and private sectors."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment. The Department provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or kingk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Center for Medicare and Medicaid Innovation\u2019s General Process for Implementing Models", "paragraphs": ["Appendix I: Center for Medicare and Medicaid Innovation\u2019s General Process for Implementing Models An agency may issue a request for information for planning purposes."], "subsections": []}, {"section_title": "Appendix II: Models Implemented or Announced by the Center for Medicare and Medicaid Innovation under Section 1115A", "paragraphs": ["As of March 1, 2018, the Center for Medicare and Medicaid Innovation (Innovation Center) organized its models into seven categories based on delivery and payment approaches tested and program beneficiaries covered. Table 8 provides the number of models implemented and announced, organized under each category.", "The Innovation Center organized seven of its models under the Accountable Care category. (See table 9.)", "The Innovation Center organized seven of its models under the Episode- Based Payment Initiatives category. (See table 10.)", "The Innovation Center organized three of its models under the Initiatives Focused on Medicare-Medicaid Enrollees category. (See table 11.)", "The Innovation Center organized one of its models under the category, Initiatives Focused on the Medicaid and Children\u2019s Health Insurance Program Population. (See table 12.)", "The Innovation Center organized 14 of its models under the category, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models. (See table 13.)", "The Innovation Center organized three of its models under the category, Initiatives to Speed the Adoption of Best Practices. (See table 14.)", "The Innovation Center organized four of its models under the category, Primary Care Transformation. (See table 15.)"], "subsections": []}, {"section_title": "Appendix III: Models Required by Different Provisions of the Patient Protection and Affordable Care Act", "paragraphs": ["In addition to models required by section 1115A of the Social Security Act, as added by the section 3021 of Patient Protection and Affordable Care Act, the Center for Medicare and Medicaid Innovation implemented six models under different provisions of the Patient Protection and Affordable Care Act. (See table 16.)"], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Greg Giusto (Assistant Director), Aaron Holling (Analyst-in-Charge), Ashley Dixon, and Rachel Rhodes made key contributions to this report. Also contributing to the report were Sam Amrhein, Muriel Brown, and Emily Wilson."], "subsections": []}]}], "fastfact": ["Federal spending on health care\u2014driven primarily by Medicare and Medicaid\u2014is expected to top $1 trillion in 2018.", "The Affordable Care Act created the CMS Innovation Center to test new approaches to health care delivery, known as models, that could curb spending while providing better care. We reviewed the center's efforts.", "Since 2010, the center has tested or is in the process of testing 37 models. In evaluating these models, the Innovation Center has recommended the expansion of 2 Medicare models that reduced costs and maintained or improved care quality. Evaluations have also helped the center improve new model design and operation."]} {"id": "GAO-18-51", "url": "https://www.gao.gov/products/GAO-18-51", "title": "Information Technology: OMB Needs to Report On and Improve Its Oversight of the Highest Priority Programs", "published_date": "2017-11-21T00:00:00", "released_date": "2017-11-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government plans to spend almost $96 billion on IT investments in fiscal year 2018; however, as GAO has previously found, too often these investments have cost overruns and schedule delays. To enhance oversight of IT programs, for 2015, Congress directed OMB to identify the 10 highest priority IT programs that are under development across federal agencies and report on their status each quarter. Further, for 2016, Congress directed USDS to provide a quarterly report of current USDS projects, including the top 10 high priority programs.", "GAO was asked to review OMB's oversight of high priority programs. This review evaluated (1) OMB's process for identifying, overseeing, and reporting on the high priority IT investment programs and (2) USDS's process for identifying and prioritizing its projects, including its consideration of the high priority programs, and its reporting on the projects. GAO analyzed OMB memorandums and reports to Congress and interviewed OMB staff, including from USDS. In addition, GAO compared USDS's processes with IT management best practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget's (OMB) Office of E-Government and Information Technology (E-Gov) reported that it undertook a structured approach to identify the top 10 high priority IT programs in reports to Congress in June 2015 and June 2016. Specifically, OMB staff stated that they chose the top 10 programs from a longer list of agency programs requiring additional oversight (referred to as high impact programs). E-Gov staff reported that the high priority programs were already receiving greater oversight than what was provided to the other major programs due to their high impact designation. This additional oversight included frequent meetings with agency Chief Information Officer (CIO) leadership and quarterly meetings with OMB staff. However, the Federal CIO was not directly involved in this oversight. According to E-Gov staff, the Federal CIO does not typically get involved in individual programs due to the large number of programs. However, past experience has shown that Federal CIO involvement has had a significant impact. For example, Federal CIO-led reviews of troubled projects, known as TechStat reviews, resulted in $3 billion in savings in 2010. Until OMB ensures that the Federal CIO is more directly involved in the oversight of these high priority programs, it may be missing a key opportunity to improve accountability and achieve positive results.", "OMB's 2015 and 2016 reports to Congress on the top 10 high priority programs identified the status of the programs and major milestones. However, the reports were not issued on a quarterly basis, as directed. E-Gov staff stated that they were unable to do so because of other competing reporting requirements and the limited resources available to draft and fully review the report on a quarterly basis. In addition, OMB stopped issuing the reports on the top 10 high priority IT programs after June 2016. OMB stated that Congress' 2016 direction to the U.S. Digital Service (USDS)\u2014an OMB component\u2014to provide a quarterly report that described the status of USDS teams and projects, including the top 10 high priority programs, meant that OMB should only report on USDS projects considered to be high priority. However, continued identification and reporting on the top 10 high priority programs, and not just USDS projects, would further enhance congressional oversight by providing congressional stakeholders information that is not readily available on those programs in the greatest need of attention.", "USDS issued reports to Congress on the status of its key projects in December 2016 and July 2017; however, the reports did not address the top 10 high priority programs as directed by Congress, according to OMB staff, because of OMB's interpretation of Congress's direction. In addition, the reports were not issued quarterly, as directed. USDS staff attributed this to the time and effort needed to review and prepare the report. However, continuing to identify and report on the top 10 high priority programs while also reporting on USDS's projects would help to enhance congressional oversight and current administration IT governance entities' efforts by providing stakeholders with information that is not readily available."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to OMB for enhancing the oversight of high priority programs and continuing to report on both these programs and USDS projects. OMB neither agreed nor disagreed with the recommendations but disagreed with several of GAO's conclusions, which GAO continues to believe are valid as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government plans to spend almost $96 billion on information technology (IT) in fiscal year 2018. However, we have previously found that the effective and efficient acquisition of IT investments has been a longstanding challenge in the federal government and that IT expenditures have often resulted in significant cost overruns, schedule delays, and questionable mission-related achievements. Due to these and other issues, in February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas of concern for federal government agencies.", "In addition, to achieve increased oversight of federal IT programs, in December 2014, Congress stated in its explanatory statement accompanying the Consolidated and Further Continuing Appropriations Act, 2015, that the Office of Management and Budget (OMB) is to identify the 10 highest priority IT investment programs (hereafter referred to as the top 10 high priority programs) that are under development across federal agencies and report on their status each quarter. Further, in an explanatory statement accompanying the Consolidated Appropriations Act, 2016, Congress stated that the U.S. Digital Service (USDS), a component of OMB, is to provide a quarterly status report on current USDS projects, including the top 10 high priority programs.", "You asked us to review OMB\u2019s efforts to provide oversight of the top 10 high priority IT programs. Our specific objectives were to evaluate (1) OMB\u2019s process for identifying, overseeing, and reporting on the high priority IT investment programs and (2) USDS\u2019s process for identifying and prioritizing its projects, including its consideration of the high priority programs, and its reporting on the projects.", "To address the first objective, we obtained and reviewed reports that OMB sent to Congress in June 2015 and June 2016 on the high priority IT programs to discern any information about the process that was used for identifying and overseeing these programs. In the absence of documented procedures specific to the high priority programs, we also reviewed OMB memorandums addressing the identification and oversight of high impact programs, which are programs that OMB has determined merit additional support and oversight by OMB and/or agency leadership due to factors such as their size and cost. According to OMB staff, these high impact programs are a broader set of programs from which OMB selects the top 10 high priority programs.", "Further, we reviewed an OMB work plan charting the process that OMB\u2019s Office of E-Government and Information Technology (E-Gov) used to identify and oversee high impact programs. We also reviewed screenshots of a tool that OMB uses to analyze agency IT investment data as a part of their process to identify and oversee high impact programs. The tool draws information from IT portfolio summaries that agencies submit to OMB as part of the budget process. In addition, we interviewed relevant E-Gov office staff responsible for preparing the top 10 high priority reports, including the Unit Chief for the Agency Oversight and Implementation team, regarding the processes they used for identifying the programs and the oversight they provide to such programs.", "We corroborated what we learned from OMB about its oversight of high priority and high impact programs by obtaining information from eight agencies identified as having one of the top 10 high priority IT programs in the June 2016 report to Congress. We asked relevant officials within these agencies, among other things, how the oversight that OMB provided to their high priority IT programs had differed from that provided to other major investments. In addition, we asked the officials whether this oversight included the programs being discussed with OMB during quarterly portfolio review meetings known as PortfolioStat. Finally, we analyzed OMB\u2019s June 2015 and June 2016 reports to Congress identifying the top 10 high priority IT, which were issued in response to Congress\u2019s explanatory statement for fiscal year 2015.", "To address the second objective, we reviewed USDS\u2019s documentation, including its January 2017 master project list, and interviewed staff, including the former Deputy Administrator. In addition, we discussed with USDS staff the findings from a previous GAO engagement that assessed the organization\u2019s project selection process to determine any changes to their process since August 2016. Upon determining that the process had not changed, we relied on the prior engagement\u2019s evaluation of the process to determine if it addressed the best practice identified in GAO\u2019s Information Technology Investment Management Framework. This framework calls for organizations to use their defined selection process, including predefined selection criteria, to select their projects. We also analyzed OMB\u2019s December 2016 and July 2017 reports to Congress that were issued in response to the explanatory statement for fiscal year 2016, which stated that OMB was to report on the status of USDS\u2019s projects, including the top 10 high priority IT programs.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government plans to invest about $96 billion in fiscal year 2018 for IT that is critical to the health, economy, and security of the nation. However, prior IT expenditures have often resulted in significant cost overruns, schedule delays, and questionable mission-related achievements. For example,", "The Department of Health and Human Services\u2019 website, Healthcare.gov, and its supporting systems, which were to facilitate the establishment of a federal health insurance marketplace by January 2014, encountered significant cost increases, schedule slips, and delayed functionality. In a series of reports, we identified numerous planning, oversight, security, and system development challenges faced by this program.", "For almost two decades, the Department of Veterans Affairs (VA) has undertaken numerous initiatives with the Department of Defense (DOD) that were intended to advance the ability of the two departments to share electronic health records. In our report of the departments\u2019 efforts in 2015, we reported that the departments had not identified outcome-oriented goals and metrics to clearly define what they aimed to achieve from their interoperability efforts, resulting in numerous failures. During most of the last 20 years, VA has also been planning to modernize its system separately from DOD. Recently, the Secretary of VA announced that the department plans to use the same electronic health record system that DOD is in the process of acquiring. However, the significant challenges that have confronted VA in its efforts contributed to our designation of VA health care as a high risk area.", "The Department of Homeland Security\u2019s U.S. Citizenship and Immigration Services\u2019 Transformation Program, which was initiated to address processing inefficiencies and transform the agency\u2019s current paper-based system into an electronic account-based system, has faced continual management and development challenges, limiting its progress and ability to achieve its goals of enhanced national security and system integrity, better customer service, and operational efficiency. The U.S. Citizenship and Immigration Services estimates that the program\u2019s cost increased by approximately $1 billion and its schedule was delayed by over 4 years from its initial approved baseline.", "The Office of Personnel Management\u2019s Retirement Systems Modernization program, which was intended to improve the efficiency and effectiveness of its retirement claims processing, was canceled in February 2011 after the agency had spent approximately $231 million on a third attempt to automate the processing of federal employee retirement claims.", "As previously stated, due to the challenges associated with acquiring IT across the federal government, in 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas. We recently issued an update to our high-risk report and determined that, while progress has been made in addressing the high- risk area of IT acquisitions and operations, significant work remains to be completed. For example, as of May 2017, OMB and federal agencies had implemented 380 (or about 47 percent) of the 803 recommendations that we had made from fiscal years 2010 through 2015 related to IT acquisitions and operations."], "subsections": [{"section_title": "OMB\u2019s Mission and Oversight of Federal IT Programs", "paragraphs": ["By law, OMB is to oversee federal agencies\u2019 management of information and information technology. Within OMB, primary responsibility for oversight of federal IT has been given to the Administrator of the Office of Electronic Government and Information Technology, who is also called the Federal Chief Information Officer (Federal CIO). According to OMB, this oversight responsibility covers about 800 major and nearly 5,700 non-major IT investments across the federal government. As a part of the oversight, the E-Gov office develops policy and reviews federal agencies\u2019 IT strategic plans. In addition, OMB establishes processes to analyze, track, and evaluate the risks and results of IT investments made by executive agencies, and issues guidance on processes for selecting and overseeing agency privacy and security protections for information and information systems.", "OMB has also implemented a series of initiatives to improve the oversight of underperforming investments and more effectively manage IT. These initiatives include the following:", "Federal IT Dashboard. In June 2009, to further improve the transparency into and oversight of federal agencies\u2019 IT investments, OMB deployed the Federal IT Dashboard, a public website with information on the performance of these investments. OMB provided guidance to the agencies on the information they should maintain and update on the dashboard. Currently, the dashboard displays information on the cost, schedule, and performance of close to 800 major IT investments at 26 federal agencies. In addition, agencies are to submit ratings from their CIOs to the dashboard, which, according to OMB\u2019s instructions, should reflect the level of risk facing an investment relative to that investment\u2019s ability to accomplish its goals. The public display of these data is intended to allow OMB, other oversight bodies, and the general public to hold agencies accountable for mission-related outcomes. Over the past 7 years, we have issued a series of reports that have noted both significant steps OMB has taken to enhance the oversight, transparency, and accountability of federal IT investments by creating the dashboard, as well as issues with the accuracy and reliability of the data it contains.", "TechStat reviews. In January 2010, the Federal CIO began leading TechStat reviews\u2014face-to-face meetings to discuss whether to terminate or turn around IT investments that are in danger of failing or are not producing results. These meetings involved OMB and agency leadership and were intended to increase accountability and improve performance. OMB reported that federal agencies achieved over $3 billion in cost savings or avoidances as a result of these reviews in 2010. Subsequently, it empowered agency CIOs to begin holding their own TechStat reviews by June 2012. OMB\u2019s 2015 guidance specified that the TechStat reviews were to be held with agency leadership, not led by OMB as in the past, and that agencies were only required to notify OMB of the meetings\u2019 occurrence and report the results.", "In November 2015, we testified that OMB had conducted only one TechStat review between March 2013 and October 2015, and had not listed any related savings in its quarterly reporting to Congress since June 2012. In April 2017, OMB reported that it had not led a TechStat review since 2015. A report issued by the Federal CIO Council in January 2017, entitled The State of Federal Information Technology, noted that shifting TechStat reviews from OMB to agencies had diminished the executive scrutiny and impact of the initiative.", "PortfolioStat sessions. To better manage existing IT systems, in 2012, OMB launched the PortfolioStat initiative, which required agencies to conduct an annual, agency-wide portfolio review to, among other things, reduce commodity IT spending and demonstrate how their investments aligned with the agency\u2019s mission and business functions. These reviews were to be held between the Federal CIO and agency leadership. In 2014 and 2015, OMB\u2019s PortfolioStat guidance also called for it and agencies to identify high impact IT programs that merited additional support and oversight by OMB and/or agency leadership, and for these programs to be discussed during a PortfolioStat session. The 2015 guidance also changed the frequency of the PortfolioStat sessions from annually to quarterly, and the level of participation to no longer require attendance by the Federal CIO or the agency\u2019s Deputy Secretary.", "The Federal Information Technology Acquisition Reform provisions (commonly referred to as FITARA) enacted as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015 aimed to improve federal IT acquisition and operations and recognized the importance of these OMB initiatives by incorporating certain requirements into the law. For example, among other things, the act requires OMB to publicly display investment performance information and review federal agencies\u2019 IT investment portfolios.", "Further, as previously mentioned, the December 2014 explanatory statement for the Consolidated Appropriations Act, 2015, stated that OMB was to identify the top 10 high priority IT programs under development in the federal government and report on their status quarterly. Additionally, in December 2015, in the explanatory statement for the Consolidated Appropriations Act, 2016, Congress stated that USDS, an OMB component, was to provide a quarterly status report on its current projects, including the top 10 high priority programs."], "subsections": []}, {"section_title": "USDS\u2019s Mission and Organization", "paragraphs": ["The current mission of USDS is to deliver better government services to the American people through technology and design. USDS is focused on, among other things, improving the nation\u2019s most important digital services used by the public, and modernizing procurement processes and practices for the digital era. To execute its mission, USDS recruits private sector experts, such as IT engineers and designers and leading civil servants, and deploys small teams to federal agencies. It selects which projects it will apply resources to and generally initiates the effort with the federal agency that owns the IT projects. In August 2016, we reported that USDS had developed procedures and criteria for selecting and prioritizing projects to work on."], "subsections": []}, {"section_title": "Current Administration\u2019s Efforts to Improve Federal IT", "paragraphs": ["The current administration has initiated additional efforts aimed at improving federal IT, including digital services. Specifically, in March 2017, the administration established the Office of American Innovation, which has a mission to, among other things, make recommendations to the President on policies and plans aimed at improving federal government operations and services and modernizing federal IT. In doing so, the office is to consult with both OMB and the Office of Science and Technology Policy. Further, in May 2017, the administration established the American Technology Council, which has a goal of helping to transform and modernize federal agency IT and how the federal government uses and delivers digital services. The Federal CIO and the USDS Administrator are members of this council."], "subsections": []}]}, {"section_title": "OMB Identified High Priority IT Programs, but Did Not Ensure Federal CIO Oversight or Continued and Timely Reporting", "paragraphs": ["OMB reported that it undertook a structured approach to identifying the top 10 high priority IT programs it reported to Congress in June 2015 and June 2016. Specifically, staff in the E-Gov office, including the Unit Chief for the Agency Oversight and Implementation team, stated that they chose the top 10 programs from a list of high impact programs that OMB separately maintains. They added that their approach was not guided by any documented procedures or scoring techniques to distinguish the programs.", "Analysts in the E-Gov office told us that, to identify the high impact programs from which the top 10 high priority programs were selected, they used program information from IT portfolio summaries, monthly IT dashboard updates, and quarterly integrated data collection submissions that OMB receives from agencies. They also considered several additional factors, such as risk exposure, public impact, public use, criticality to agency mission, size, and cost. In addition, they considered input from USDS leadership and OMB budget examiners, as well as our reports, inspectors general reports, and CIO risk ratings.", "Further, the analysts stated that OMB sought input from officials of the 24 Chief Financial Officers Act agencies to gain a better understanding of the importance of each program. In the end, based on all of the information considered, E-Gov staff made a judgment call regarding which of the agencies\u2019 programs to identify as being high impact. According to these staff, on average, two high impact programs are identified for each of the 24 agencies, with at least one program being identified for each agency, and as many as four programs being identified for some larger agencies. Further, according to the staff, the Federal CIO approved the process for selecting the high impact programs.", "In addition, in determining the top 10 high priority programs, the E-Gov staff stated that they identified on the high impact list those programs that they believed were representative of the most important IT programs across federal agencies. They also considered other factors, such as whether a program had generated legislative interest or had performance issues. They added that the Federal CIO then approved the list of top 10 programs that they had selected.", "OMB subsequently issued two reports to Congress\u2014in June 2015 and June 2016\u2014that identified the top 10 high priority programs. Along with the status of each program, the reports identified the IT investments that were a part of each program as well as total IT spending, average CIO risk rating, major milestones, and the level of involvement USDS has with the program. Table 1 lists the programs that OMB identified in the two reports.", "As shown in the table, OMB made two changes to the top 10 list in 2016. Specifically, it replaced the Social Security Administration\u2019s Service Modernization program with the agency\u2019s Disability Case Processing System due to a change in focus within the agency. In addition, it replaced VA\u2019s Medical Appointment Scheduling System with VA\u2019s Medical 21st Century Development Core program, which is a larger effort that encompasses the scheduling system."], "subsections": [{"section_title": "OMB Oversight Efforts Did Not Ensure Federal CIO Involvement", "paragraphs": ["E-Gov staff reported that the high priority programs were already receiving greater oversight than what was provided to the other major programs due to their high impact designation. Specifically, the staff stated that OMB provides additional oversight to high impact IT programs by regularly communicating about them through quarterly, monthly, weekly, or daily meetings with agency CIOs and program staff, depending on the risk and profile of the program. In contrast, communication is much less frequent for other major IT systems. The staff added they also discuss high impact programs with agencies during quarterly PortfolioStat meetings. Further, they stated that they can request that agencies perform a TechStat review, if needed, for a troubled high impact program.", "Most agencies that owned the high priority programs identified in the June 2016 report confirmed that OMB had already provided increased oversight for the high priority programs when they were originally designated as high impact programs. Specifically, officials from six of the eight agencies stated that the programs were discussed during quarterly PortfolioStat sessions, and officials from five agencies stated that OMB had provided action items for them to address with regard to their programs. Further, officials from six agencies stated that OMB\u2019s oversight included periodic meetings (e.g., daily, weekly, or bi-weekly). Its oversight also included participation in a TechStat review of a high impact program performed by the Social Security Administration.", "Nevertheless, while additional OMB oversight of the high impact programs (and, accordingly, the identified high priority programs) is a positive step, the Federal CIO was not directly involved in this oversight. According to the E-Gov staff, the Federal CIO does not typically get involved with overseeing individual IT programs due to the large number of programs. However, the results of past CIO-led TechStat reviews suggest that the Federal CIO\u2019s involvement in overseeing such programs does have significantly positive results. Specifically, as previously mentioned, CIO-led TechStat reviews of IT investments performed in 2010 resulted in $3 billion in savings and cost avoidance.", "Further, during a September 2016 Comptroller General forum to explore challenges and opportunities for improving federal IT acquisitions and operations, current and former CIOs and other participants pointed to the importance of OMB\u2019s oversight and guidance, and specifically, to the role of the Federal CIO in helping to ensure effective IT governance. The participants cited specific OMB initiatives undertaken by the Federal CIO, including the TechStat reviews that had resulted in greater accountability and positive results. Thus, without the involvement of the Federal CIO more directly and regularly in the oversight of high impact and high priority programs, including leading TechStat reviews for the programs, OMB is likely to miss significant opportunities to improve accountability for and achieve positive results from the federal government\u2019s IT investments."], "subsections": []}, {"section_title": "OMB Has Stopped Reporting on High Priority IT Programs", "paragraphs": ["OMB issued two reports on the high priority programs\u2014one in 2015 and another in 2016. While these reports provided the requested information they were not issued quarterly. According to the E-Gov staff, OMB was not able to report quarterly on the programs because of other competing reporting requirements, limited resources available to draft the report, and the amount of time it takes to get its reports fully reviewed.", "Moreover, the staff stated that they stopped issuing the high priority reports in 2016 because they believe the explanatory statement to the Consolidated Appropriations Act, 2016, no longer directed them to continue reporting on the programs. Specifically, the explanatory statement directed USDS to provide a quarterly report to the Committees on Appropriations of the House and Senate describing the status of current USDS teams and projects, including the top 10 high priority programs, a list of USDS accomplishments, and agency project proposals. Both E-Gov staff and USDS staff said they determined this to mean that OMB should report on the USDS projects considered to be high priority given USDS\u2019s responsibilities. In addition, USDS staff stated that they did not receive any feedback from congressional stakeholders indicating otherwise.", "However, continued identification and reporting on the top ten high priority programs, and not just USDS projects, would further enhance congressional oversight by providing congressional stakeholders with information on high priority programs that is not readily available. Such information could also be useful for current administration IT governance entities such as the Office of American Innovation and the American Technology Council, to assist them with prioritizing their efforts to modernize federal agency IT."], "subsections": []}]}, {"section_title": "USDS Has a Defined Project Selection Process, but its Reporting Did Not Address High Priority Programs As Requested and Was Not Timely", "paragraphs": ["USDS has developed a process for identifying and prioritizing the IT projects to which it provides support. Moreover, as we have previously reported, its project selection process is consistent with best practices, which state that organizations should establish and implement procedures for prioritizing projects that include identifying selection criteria to help consistently select projects based on their contributions to the strategic goals of the organization.", "In explaining the process used to identify projects, USDS staff stated that they obtained input from various sources, including the Federal IT Dashboard, leadership of the relevant federal agency, E-Gov analysts, and GAO reports. In addition, the staff said they considered the high impact programs identified by the E-Gov office; they also coordinated with E-Gov analysts through monthly meetings to incorporate issues of significance to E-Gov into their selection process.", "To further facilitate the selection process, the USDS staff established three questions as criteria for prioritizing agencies\u2019 IT projects, in the following order of importance: (1) What will do the greatest good for the greatest number of people in the greatest need? (2) How effective and cost efficient will the USDS investment be? (3) What potential exists to scale or reuse a technological solution across the government? The staff said they used the criteria to create a list of all potential projects, including their descriptions and information on resource needs; they updated the list when they identified additional projects that met the criteria. This list was subsequently used by USDS leadership to make decisions about which projects to pursue. According to the staff, an important consideration when selecting a project was whether there was executive sponsorship from the agency. They added that executive sponsorship ensures that USDS has the help it needs to make changes to the projects, and it affects the efficiency and cost-effectiveness of USDS\u2019s investment. Projects that were not selected went into a backlog that is to be used to select a project when a team becomes available to work on a new engagement.", "USDS has issued two reports to Congress on the status of its projects\u2014 one in December 2016 and the other in July 2017. The report issued in December 2016 summarized the status of 11 projects that USDS is engaged in at federal agencies, and 3 broader initiatives that are intended to improve the performance and cost-effectiveness of government digital services. According to USDS staff, the 11 projects had broad impact and had made the most significant progress. For example, these included the VA\u2019s Vets.gov project, which is intended to assist the department in developing a new digital application for healthcare, and DOD\u2019s Defense Travel System, a system that facilitates travel for all DOD employees. Further, USDS reported on the status of their efforts for these three initiatives: modernizing procurement processes, development of federal shared services, and hiring top technical talent.", "The July 2017 report included summaries for 10 projects, including 5 new projects. Specifically, the new projects were the General Service Administration\u2019s Login.gov project, the Small Business Administration\u2019s effort to modernize small business certification for government contractors, DOD\u2019s Advisor Network system, DOD\u2019s Defense Personal Property System, and transforming federal IT procurement through digital acquisition training. In addition, 6 projects that were discussed in the December 2016 report were not included in the July 2017 report.", "Table 2 provides a complete list of the projects identified in the two reports.", "Our analysis determined that four of the projects identified in USDS\u2019s reports were among the high priority programs that OMB\u2019s E-Gov office had identified in its June 2015 and June 2016 reports to Congress. These projects were Healthcare.Gov, Disability Claim Processing, modernizing the immigration system at the Department of Homeland Security, and improving the Visa program at the Department of State. However, USDS\u2019s report does not specify this or provide an update on the status of the other high priority programs. USDS staff stated that they did not address all of the top 10 high priority programs because, as stated earlier in this report, they interpreted Congress\u2019s 2016 request as being focused on USDS\u2019s priority projects and not on the programs previously identified by E-Gov. As mentioned earlier, however, continuing to identify and report on the top 10 high priority IT programs while also reporting on USDS\u2019s projects would further enhance congressional oversight and current administration IT governance entities\u2019 efforts by providing stakeholders with information on high priority programs and USDS projects that is not readily available.", "Further, although USDS was directed to report quarterly, it did not do so. Instead, it issued a report in December 2016, nearly a year after Congress\u2019s direction, and in July 2017, nearly 7 months after its first report. In discussing this matter, USDS staff said they were not able to report quarterly due to the time and effort needed to prepare and review a report. As a result, USDS\u2019s reporting did not provide congressional stakeholders with the timely information needed to support their oversight responsibilities."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["While OMB\u2019s 2015 and 2016 reports to Congress on the top 10 high priority programs included the status of the programs, their total IT spending, and other information to assist Congress in monitoring the progress of critical programs, OMB did not issue the reports quarterly as directed in the explanatory statement. In addition, OMB does not plan on continuing to issue the top 10 high priority reports because it believes that, in 2016, Congress directed the agency to instead focus on providing a status of USDS\u2019s most important projects. Further, OMB\u2019s December 2016 and July 2017 reports on USDS\u2019s projects did not address the top 10 high priority programs across the government. However, continued reporting on the top 10 high priority programs would further enhance congressional oversight by providing congressional stakeholders with information that is not readily available on those programs in the greatest need of attention. Reporting on the top 10 high priority programs could also be useful for IT governance entities such as the Office of American Innovation and the American Technology Council, to assist them with prioritizing their efforts to modernize federal agency IT.", "Moreover, OMB did not issue the high priority programs and USDS reports on a quarterly basis as requested. Without OMB\u2019s quarterly reporting on the progress of both the top 10 high priority programs and the status of the USDS projects, congressional stakeholders and others may lack the timely information they need to support their oversight and other responsibilities.", "Finally, while additional OMB oversight of the high impact programs (and, accordingly, the identified high priority programs) is a positive step, the Federal CIO was not directly involved in the oversight of these programs. Based on the positive impact of direct Federal CIO involvement in leading investment reviews in the past, such involvement could significantly improve program outcomes."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to OMB:", "The Director of OMB should continue to identify and report to Congress on the status of the top 10 high priority IT programs and the extent to which USDS is involved in the programs, as was done in June 2015 and June 2016. In doing so, the Director should ensure that these reports are issued quarterly. (Recommendation 1)", "The Director of OMB should ensure that the Federal CIO is directly involved in the oversight of high priority programs. (Recommendation 2)", "The Director of OMB should continue to report on the status of USDS projects. In doing so, the Director should ensure that the reports are issued quarterly. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We received comments on our draft report via e-mail from the OMB liaison to GAO. In the comments, OMB did not specifically state whether it agreed or disagreed with our recommendations. Rather, OMB stated that it has concerns with GAO\u2019s alternative interpretations of law and that GAO\u2019s findings and conclusions are rooted in an incorrect legal interpretation of OMB\u2019s annual appropriation. Specifically, it stated that GAO considers reporting requirements specific to an annual appropriation to apply for all future annual appropriations.", "However, OMB\u2019s characterization is incorrect, as we did not assert this legal conclusion. As stated in our report, in the explanatory statement accompanying the Consolidated and Further Continuing Appropriations Act, 2015, Congress directed OMB to identify the 10 highest priority IT investment programs (referred to in our report as the top 10 high priority programs) that are under development across federal agencies and report on their status each quarter. Subsequently, the explanatory statement accompanying the Consolidated Appropriations Act, 2016, directed USDS to provide a quarterly status report on, among other things, current USDS projects, including the top 10 high priority programs. Our report does not conclude that the language of either explanatory statement establishes a legally binding requirement, whether applicable only to the subject fiscal year or beyond.", "GAO\u2019s conclusions are based on the view that continued identification and reporting on the top 10 high priority programs, and not just USDS projects, would help to enhance congressional oversight. Identifying and reporting on the top 10 high priority programs is important because such information is not readily available. We have revised relevant statements in the report to clarify our message in this regard. Further, while GAO did not assert a legal conclusion, we have, nonetheless, removed all references to our \u201cinterpretation\u201d of the explanatory statement so as to avoid the inference that we are making legal conclusions.", "OMB also said our conclusion that it has stopped reporting altogether is incorrect. However, our report does not state that OMB has stopped reporting altogether. Rather, our report states that OMB stopped issuing reports on the top 10 high priority IT programs due to its interpretation of the 2016 explanatory statement and, instead, switched to reporting on the status of USDS\u2019s projects.", "In addition, OMB stated that, while it agreed that the reports have not been submitted on a quarterly basis, it provided Congress with the requested information for the four quarters of the relevant fiscal years. In addition, OMB stated that USDS is currently discussing with congressional stakeholders whether providing quarterly briefings, instead of reports, would address the quarterly reporting requirement. As noted in our report, timely (i.e., quarterly) information would enhance congressional and other stakeholders\u2019 oversight responsibilities. Therefore, we maintain that our recommendation for reporting quarterly is appropriate.", "Finally, OMB stated that it disagreed with our conclusion that the lack of personal Federal CIO involvement in high priority IT programs had resulted in inadequate oversight. While we state that the Federal CIO was not directly involved in overseeing the high priority programs, we did not conclude that this resulted in inadequate oversight. Rather, we stated that the results of past CIO-led TechStat reviews suggest that more direct and regular involvement of the Federal CIO would improve accountability and achieve positive results for the federal government\u2019s investments. Thus, we continue to believe that our recommendation to ensure that the Federal CIO is directly involved in overseeing high priority programs is appropriate.", "OMB also provided technical comments, which we have incorporated into the report as appropriate.", "We are sending copies of this report to interested congressional committees, the Director of the Office of Management and Budget, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sabine Paul (Assistant Director), Scott Borre (Analyst in Charge), Nancy Glover, Lori Martinez, Bradley Roach, and Marshall Williams, Jr. made key contributions to the report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-619", "url": "https://www.gao.gov/products/GAO-18-619", "title": "Advanced Fossil Energy: Information on DOE-Provided Funding for Research and Development Projects Started from Fiscal Years 2010 through 2017", "published_date": "2018-09-21T00:00:00", "released_date": "2018-10-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["One aspect of DOE's mission is to secure U.S. leadership in energy technologies. To that end, DOE funds R&D for energy projects, including for advanced fossil energy (innovative technologies for coal, natural gas, and oil). DOE provides funding for R&D projects, including large projects designed to demonstrate the commercial viability of technologies. Also, DOE is authorized to make loan guarantees to support certain energy projects through its Loan Guarantee Program, which is administered by its Loan Programs Office.", "GAO was asked to review DOE's funding for advanced fossil energy projects. This report describes DOE's funding for advanced fossil energy R&D projects started from fiscal years 2010 through 2017 and the types of projects and recipients that received funding, among other objectives. For purposes of this report, GAO used the term funding to mean obligations.", "GAO analyzed relevant laws, regulations, and guidance; DOE data on R&D funding for fiscal years 2010 through 2017; and DOE documents. GAO also interviewed DOE officials in the Office of Fossil Energy, the National Energy Technology Laboratory, and the Loan Programs Office."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE) provided $2.66 billion in funding, or obligations, for 794 research and development (R&D) projects started from fiscal years 2010 through 2017 to develop advanced fossil energy technologies. Such technologies include processes for converting coal into synthesis gas composed primarily of carbon monoxide and hydrogen, and recovering methane from gas hydrates. Of the $2.66 billion, DOE provided $1.12 billion in funding for 9 later-stage, large demonstration projects, which were to assess the readiness for commercial viability of carbon capture and storage (CCS) technologies. CCS involves capturing man-made carbon dioxide at its source and storing it permanently underground. DOE provided the remaining $1.54 billion in funding for 785 other projects in amounts that were relatively small\u2014over half were for less than $1 million.", "Six demonstration projects researched CCS technologies using coal, while three used other fuels. The nine demonstration projects received funding ranging from $13 million to $284 million. As shown in the figure, three projects implementing CCS technologies were active as of the end of fiscal year 2017. Also, DOE withdrew its support for four projects, and two projects were withdrawn by the recipients\u2014all before completion. These projects did not reach completion due to several factors, such as a lack of technical progress, or changes in the relative prices of coal and natural gas that made the projects economically unviable.", "Of the 785 other projects, about 89 percent involved R&D of coal technologies, such as coal gasification\u2014the conversion of carbon-containing material into synthesis gas. The other 11 percent of the 785 projects involved R&D of oil and gas technologies, such as the development of technologies to find, characterize, and recover methane from gas hydrates."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than 100 years, three fossil fuel sources\u2014coal, oil, and natural gas\u2014have made up at least 80 percent of total U.S. energy consumption, according to the Department of Energy\u2019s (DOE) Energy Information Administration. Furthermore, in 2017, about 63 percent of U.S. electricity generation was from fossil fuels\u2014including coal, oil, and natural gas\u2014 and fossil fuels made up about 95 percent of transportation fuels in the United States. While fossil fuels are associated with some negative environmental impacts\u2014such as carbon dioxide (CO at its source and storing it underground, converting carbon- containing material (i.e., coal) into synthesis gas composed primarily of carbon monoxide and hydrogen, and recovering methane from gas hydrates. Within DOE, the Office of Fossil Energy (FE) carries out federal R&D programs on advanced fossil energy technologies, among other things. FE\u2019s primary mission is to ensure reliable fossil energy resources for clean, secure, and affordable energy while enhancing environmental protection. In addition, the National Energy Technology Laboratory (NETL)\u2014overseen by FE\u2014implements a broad spectrum of energy and environmental R&D programs; has expertise in coal, oil, and natural gas; and performs contract and project management, among other things. In addition, the laboratory coordinates and oversees R&D projects for FE.", "In addition to its R&D programs, DOE administers the Title XVII Loan Guarantee Program (LGP) for innovative energy technologies through its Loan Programs Office. One of the goals of the LGP is to encourage commercial use in the United States of new or significantly improved energy-related technologies. Title XVII of the Energy Policy Act of 2005 (EPAct), as amended, authorizes DOE to provide loan guarantees for certain energy projects in several categories, including advanced fossil energy technology. Under the LGP, to encourage such innovative energy projects, the federal government agrees to reimburse lenders for the guaranteed amount of loans if the borrowers default. If borrowers default on the loans, the federal government can be exposed to substantial financial risks.", "You asked us to review DOE\u2019s funding for advanced fossil energy projects. This report describes 1) DOE\u2019s funding for advanced fossil energy R&D projects that started from fiscal years 2010 through 2017 and the types of projects and recipients that received funding, and 2) DOE\u2019s loan guarantees, if any, for advanced fossil energy projects from fiscal year 2006 through August 2018. For the purposes of this report, we use the term funding to mean obligations.", "To address the first objective, we reviewed relevant laws, regulations, and DOE guidance. We analyzed DOE advanced fossil energy R&D project data for fiscal years 2010 through 2017. We focused our review on 794 advanced fossil energy R&D projects that received funding through NETL because the 794 projects represent all of the advanced fossil energy R&D projects in our scope started from fiscal years 2010 through 2017. We used fiscal year 2010 as the start date because DOE officials told us that DOE\u2019s current data management system came into use for the R&D projects that started in fiscal year 2010. We used fiscal year 2017 as the end date because that was the most recent complete year for which data were available. DOE provided us with a spreadsheet that included key project information\u2014such as the name of the recipient of the R&D funding and the project start date\u2014as well as obligations data for each project started during the period of our review by summing the obligations for the project from each year. We reported on DOE\u2019s funding for these R&D projects; DOE generally provided financial assistance for these projects through grants or cooperative agreements. Because advanced fossil energy R&D financial assistance for the Small Business Innovation Research and Small Business Technology Transfer programs, as well as for the DOE national laboratories, are not obligated through NETL, we excluded these projects from our scope. To assess the reliability of the funding data, as well as the specific project information for the 794 R&D projects, we interviewed data specialists at DOE Headquarters, FE, and NETL and reviewed DOE internal guidance for the maintenance of agency data. We found the data to be sufficiently reliable for our purposes. We also reviewed DOE websites and documentation, including fact sheets, and interviewed officials from FE and NETL. To characterize the recipients of advanced fossil energy R&D funding, we coded each recipient into one of three categories: university, industry or other. We developed definitions for making the coding determination for each recipient; more information on this process, including the full definitions, is in appendix I.", "To describe the status of DOE\u2019s advanced fossil energy loan guarantees, we reviewed relevant laws, regulations, and guidance, as well as past GAO reports describing DOE\u2019s administration of the loan program. We analyzed information that DOE provided on applications for loan guarantees for advanced fossil energy projects under the LGP and other related information for fiscal year 2006 through August 2018. We used fiscal year 2006 as the start date because it was the first year that DOE issued an advanced fossil energy project solicitation\u2014an announcement of opportunities for loan guarantees for advanced fossil energy projects\u2014 and we used August 2018 as the end date in order to provide the most up-to-date information possible. We also reviewed the advanced fossil energy project solicitations issued by DOE during this timeframe. To assess the reliability of the summary information, we interviewed LGP staff who maintain the information for advanced fossil energy applications, and reviewed DOE documentation. We found the data to be sufficiently reliable for our purposes. In addition, we interviewed officials from the Loan Programs Office who work on the LGP. For further details on our scope and methodology, see appendix I.", "We conducted this performance audit from March 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides an overview of 1) DOE\u2019s administration of its advanced fossil energy R&D program, and 2) DOE\u2019s Loan Guarantee Program (LGP)."], "subsections": [{"section_title": "DOE\u2019s Administration of Its Advanced Fossil Energy R&D Projects", "paragraphs": ["Within DOE, FE carries out DOE\u2019s program for fossil energy R&D, which includes federal research, development, and demonstration efforts on advanced power generation; power plant efficiency; water management; and carbon capture and storage (CCS) technologies. CCS is a process that involves capturing man-made CO at its source and storing it permanently underground. The program for fossil energy R&D also includes the development of technological solutions for the development of U.S. unconventional oil and gas domestic resources, such as from shale formations. FE also oversees the operations, infrastructure, and R&D at NETL, among other things. NETL officials told us that NETL has dual roles: it serves as project manager for advanced fossil energy R&D projects that receive federal assistance, and, as a DOE national laboratory, it also conducts applied research. FE and NETL collaborate on the selection and administration of the awards for advanced fossil energy R&D projects, according to DOE officials.", "DOE\u2019s efforts to administer its program for advanced fossil energy R&D take place across a spectrum of activities, including providing financial assistance for large demonstration projects. In the 1980s and early 1990s, DOE\u2019s fossil energy R&D program primarily focused on reducing emissions of harmful pollutants from coal-fired power plants, particularly sulfur dioxide and nitrogen oxide. For example, DOE began its large demonstration projects of advanced coal technologies in the mid-1980s; this work focused on R&D to mitigate acid rain and to reduce the pollutants released from coal combustion. More recently, DOE has provided funding for advanced fossil energy R&D to reduce COemissions by developing beneficial uses for COfrom coal-fired power plants, and to improve methods for CCS, among other things. As we have previously reported, CCS is a key technology that shows potential for reducing CO Specifically, CCS technologies separate and capture CO from other gases produced when combusting or gasifying coal, compress it, then transport it to underground geologic formations such as saline aquifers\u2014porous rock filled with brine\u2014or oil and natural gas reservoirs, where the captured CO in large quantities: the Boundary Dam plant in Canada and the Petra Nova plant in Texas. Both plants retrofitted CCS technology to existing plants. A third fossil-fueled, electricity-generating operation, the Kemper County Energy Facility in Mississippi, was scheduled to begin CCS operations in 2016, but cost overruns and delays in construction and operations led to the suspension of the plant\u2019s CCS component in June 2017. Each of these power plants using CCS systems may be described as a first-of-its-kind venture, using technologies developed at a pilot scale ramped up to commercial scale. It is not unusual for projects in the demonstration phase of the R&D process to experience higher-than-anticipated costs, delays, and other challenges, according to a 2017 Congressional Research Service report.", "DOE generally uses announcements of opportunities for federal financial assistance to competitively solicit potential applicants of advanced fossil energy R&D projects. According to DOE officials, the department sets priorities for its advanced fossil energy R&D funding each year based in part on the amount appropriated for FE R&D and on FE\u2019s R&D plans, as well as any direction that Congress may have specified for certain types of technology R&D. DOE\u2019s advanced fossil energy R&D projects typically lasted for multiple years.", "DOE sets milestones for technical progress for each year of a project to ensure that funding recipients accomplish a specific R&D objective or set of objectives, according to DOE officials. The recipient may submit some form of report on its progress on the R&D as well as accomplishments to DOE for review and approval to continue. DOE officials told us they review the progress of the recipient at each phase and the project continuation is subject to the recipient\u2019s technical progress, the recipient\u2019s compliance with all of the other terms\u2014including any financial terms\u2014of the agreement, and the availability of DOE\u2019s funds, based on congressional appropriations."], "subsections": []}, {"section_title": "DOE\u2019s Loan Guarantee Program", "paragraphs": ["The LGP was originally designed to address a fundamental impediment to innovative and advanced energy projects: securing enough affordable financing to survive the period between developing innovative technologies and commercializing them. As we have previously reported, these projects have risks, such as technology risk\u2014the risk that the new technology will not perform as expected\u2014and execution risk\u2014the risk that the borrower or project will not perform as expected. Because the risks that commercial lenders must assume to support new technologies can put the cost of private financing out of reach, companies may not be able to commercialize innovative technologies without the federal government\u2019s financial support.", "Federal loan guarantee programs such as the LGP can help companies obtain financing because the federal government agrees to reimburse the lender for the guaranteed amount if a borrower defaults. Section 1703 of EPAct authorizes DOE to provide loan guarantees for projects that avoid, reduce, or sequester air pollutants or man-made emissions of greenhouse gases and employ new or significantly improved technologies as compared to commercial technologies in service in the United States at the time the guarantee is issued. EPAct describes several categories of projects that are eligible for guarantees under the program, including, among others, renewable energy systems, efficient end-use energy technologies, advanced nuclear facilities, advanced fossil energy technology, and CCS technologies. DOE\u2019s Loan Programs Office, which administers the LGP, had issued three loan guarantees under Section 1703 supporting nuclear technologies as of August 2018, but none supporting advanced fossil energy or any other technologies."], "subsections": []}]}, {"section_title": "DOE Provided $2.66 Billion in Funding for 794 Advanced Fossil Energy R&D Projects Started from Fiscal Years 2010 through 2017 DOE Provided $1.12 Billion in Funding for Nine Large Demonstration Projects Started from Fiscal Years 2010 through 2017", "paragraphs": ["DOE provided $2.66 billion in funding for 794 advanced fossil energy R&D projects started from fiscal years 2010 through 2017. These 794 projects included 9 later-stage large demonstration projects and 785 other advanced fossil energy R&D projects. DOE provided $1.12 billion in funding to nine large projects aimed at demonstrating the commercial viability of CCS technologies. DOE provided $1.54 billion in funding to 785 other R&D projects for both coal and oil and gas technologies, mostly to universities and industry, located in 46 states and the District of Columbia.", "For nine large demonstration projects started from fiscal years 2010 through 2017, DOE provided $1.12 billion in funding. These projects received that funding from appropriations from the American Recovery and Reinvestment Act of 2009 (Recovery Act) and supported efforts to reduce the financial and technical risks of commercial CCS, according to a 2017 report by the Congressional Research Service. Six demonstration projects researched CCS technologies using coal, while three used other fuels, namely methane, ethanol, and petcoke. Recipients were generally required to provide a certain percentage of the cost of each R&D project, called cost share. Specifically, to receive funding, recipients of funding for the nine large demonstration projects agreed to pay at least $610 million in cost share for the demonstration projects. Three of those demonstration projects remained active at the end of fiscal year 2017. Four projects had their support withdrawn by DOE, and two were withdrawn by the recipient. These projects ended due to several factors such as a lack of technical progress, the closure of the Recovery Act appropriations account on September 30, 2015, and changing economic conditions\u2014such as decreased natural gas prices which resulted in changes in the relative prices of coal and natural gas.", "The nine large demonstration projects represented over 40 percent of the $2.66 billion in advanced fossil energy R&D funding for the 794 projects (see fig. 1).", "Of the $1.12 billion in funding for the advanced fossil energy demonstration projects, DOE provided $616 million in funding for three large demonstration projects that started in fiscal year 2010 and that remained active as of the end of fiscal year 2017.", "Petra Nova Parish Holdings of Texas has a demonstration project underway that has retrofitted an existing coal-fired power plant in Texas with post-combustion carbon capture technology, according to DOE documentation. The objective of this project is to demonstrate the ability to capture 90 percent of the CO According to DOE documentation, DOE\u2019s involvement with the project is scheduled to conclude in December 2019. The Petra Nova project captured and stored its first 1 million metric tons of CO in November 2017, according to DOE officials.", "Archer Daniel Midlands of Illinois had a demonstration project underway to capture CO per year using dehydration and compression processes and sequester it in the Mt. Simon Sandstone formation (a saline reservoir) in Illinois. DOE provided $141 million in funding for the project from fiscal years 2010 through 2017. DOE\u2019s involvement with the project is scheduled to conclude in September 2019, according to DOE documentation. During calendar year 2017, the project captured and stored over 500,000 metric tons of CO emitted from two large steam-methane reformers, which produce hydrogen from methane, for its demonstration project in Texas. The captured gas is compressed and sent via pipeline to oil fields in eastern Texas to be used for enhanced oil recovery and thereby sequestered, according to DOE documentation. DOE provided $284 million in funding for the project from fiscal years 2010 through 2017. DOE\u2019s involvement under this demonstration project\u2019s award concluded the last day of fiscal year 2017."], "subsections": [{"section_title": "DOE Provided $1.54 Billion in Funding for 785 Other R&D Projects Started from Fiscal Years 2010 through 2017 to Support Advanced Fossil Energy", "paragraphs": ["DOE provided $1.54 billion in funding for 785 other advanced fossil energy R&D projects started from fiscal year 2010 through 2017. For these 785 R&D projects, DOE provided: on average, $2.0 million per project; a median of $0.8 million per project; less than $5 million to 91.8 percent (721) of the 785 projects; and less than $1 million to 58.1 percent (456) of the projects.", "For projects started from fiscal years 2010 through 2017, total funding for projects by fiscal year started ranged from less than $100 million to more than $300 million (see fig. 2).", "As noted earlier, recipients of DOE\u2019s R&D funding were generally required to provide cost share to support the cost of each R&D project. For 661 of the 785 projects, the initially agreed-upon dollar amount to be covered by recipients was $617 million in cost-share. Recipients did not provide a cost-share for the remaining 124 of the 785 projects, which were predominantly grants without cost share requirements, according to DOE officials.", "According to DOE data, DOE provided the largest amount of funding for projects started in 2010 because DOE received a supplemental appropriation for fossil energy R&D through the Recovery Act. DOE provided funding for 72 of the coal technologies research projects\u2014 totaling $237 million\u2014using appropriations from the Recovery Act, according to DOE data.", "Of the 785 R&D projects for which DOE provided funding, most advanced fossil energy projects researched coal technologies rather than oil and gas, and recipients of the funding were generally universities and industry groups that were distributed across the country."], "subsections": [{"section_title": "Most of DOE\u2019s 785 Advanced Fossil Energy Projects Researched Coal Technologies", "paragraphs": ["Of the 785 projects, 698 (about 89 percent) involved coal technologies, receiving $1.40 billion (about 91 percent) of the $1.54 billion in funding DOE provided for the projects. The remaining projects and funding supported R&D for oil and gas technologies, according to DOE\u2019s categorization of the projects by fuel type (see table 1).", "Within each fuel type, projects researched various technology types, such as R&D on coal gasification systems and the mitigation of methane emissions from natural gas infrastructure. The funding for the 785 R&D projects ranged from $5,000 for a research conference (oil and gas) to $125 million for a research facility focused on next-generation CCS technologies (coal). so that it does not change phases, but rather undergoes drastic density changes over small ranges of temperature and pressure. Such cycles have shown the potential for increased heat-to- electricity conversion efficiencies, high power density, and simplicity of operation compared to existing steam-based power cycles. $5,000 for a research conference to $29 million for the University of Texas at Austin\u2019s active project on the deep-water characterization and scientific assessment of gas hydrates. Specifically, DOE identified the following four categories as oil and gas-related research areas:", "Gas Hydrates: The development of technologies to find, characterize, and recover methane from gas hydrates through field testing, numerical simulation, and laboratory experimentation, among other things. For example, DOE provided the University of California-San Diego $350,000 in funding for a 3-year active project to characterize the baselines and changes in gas hydrate systems.", "Natural Gas Infrastructure: The monitoring of the U.S. natural gas pipeline network, which includes more than 300,000 miles of interstate and intrastate transmission pipelines. For example, DOE provided the University of Pittsburgh $1.2 million in funding for a 3-year active project on multi-functional fiber sensors for pipeline monitoring and methane detections.", "Onshore Unconventional Resources: The production of hydrocarbons\u2015primarily natural gas\u2015from shale formations. For example, DOE provided the Ground Water Protection Council, of Oklahoma, $13 million for an 8-year project for data management and regulatory approaches related to hydraulic fracturing and geologic sequestration of CO The R&D projects in this area included research on geologic uncertainty prediction of oil and gas, and improvement of subsea systems reliability through automation and advanced technology."], "subsections": []}, {"section_title": "Recipients Were Generally Universities and Industry Groups That Were Distributed Across the Country", "paragraphs": ["The recipients of the funding for the 785 advanced fossil energy R&D projects were mostly universities and industry groups that were located in 47 states and the District of Columbia. Of these recipients, approximately 51 percent were universities; 43 percent were industry groups; and 5 percent were other entities, including other federal agencies, such as the U.S. Geological Survey (see table 2).", "While university recipients received funding for a majority of projects, industry recipients received a majority of the funding (see table 3).", "Recipients were located in 47 states and the District of Columbia. The three states with the highest number of projects with recipients located in their states were Texas (100), California (61), and Ohio (53). The three states where recipients received the most funding were Texas (about $169 million), Alabama (about $161 million), and California (about $152 million) (see fig. 3)."], "subsections": []}]}]}, {"section_title": "DOE Made No Loan Guarantees for Advanced Fossil Energy from Fiscal Year 2006 through August 2018", "paragraphs": ["Although DOE issued three solicitations for applications for advanced fossil energy loan guarantees\u2014most recently in fiscal year 2014, for up to $8 billion in loan guarantees\u2014DOE had not guaranteed any loans for advanced fossil energy as of August 2018. Specifically, the 2006 and 2008 advanced fossil energy solicitations were for projects that involved coal-based power generation and that would incorporate CCS, coal gasification, or other beneficial uses of carbon, among other things. However, neither solicitation resulted in any loan guarantees, in part because during this timeframe of the late 2000s, natural gas prices fell, causing a shift in the market, which led to such coal-related projects no longer being economically competitive, according to DOE officials. According to the fiscal year 2014 solicitation, applicants could use any fossil fuel\u2014including coal, oil, or natural gas\u2014that would reduce, avoid, or sequester greenhouse gases.", "In response to the 2014 advanced fossil energy solicitation, DOE officials told us that DOE had received 19 applications total. According to DOE officials:", "Five fossil energy applicants were actively moving through the process of review as of August 2018. For example, in January 2018, one applicant issued a press release stating that it was pursuing a $1.9 billion loan guarantee to support the development of infrastructure for a proposed underground storage facility for natural gas liquids and intermediates.", "Nine fossil energy applicants had been idle or not following up with the Loan Programs Office.", "Three applicants did not meet certain eligibility requirements.", "Two companies withdrew their applications\u2014one in 2014, and one in 2018.", "Of the five advanced fossil energy applicants actively in the process of DOE review, DOE offered a conditional commitment to guarantee up to $2 billion in loans to one applicant\u2014Lake Charles Methanol\u2014in December 2016. As we have previously reported, a conditional commitment is one where DOE commits to issue a loan guarantee if the applicant satisfies specific requirements. According to information on the DOE website, the Lake Charles Methanol plant in Louisiana would produce methanol from the gasification of petcoke, and capture and transport the CO to Texas for enhanced oil recovery. According to DOE documentation, the Lake Charles project planned to leverage the work and experience gained from the earlier DOE demonstration project by Leucadia Energy."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOE for review and comment. DOE provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we describe 1) the Department of Energy\u2019s (DOE) funding of advanced fossil energy research and development (R&D) projects started from fiscal years 2010 through 2017 and the types of projects and recipients that received funding, and 2) DOE\u2019s loan guarantees, if any, for advanced fossil energy projects from fiscal year 2006 through August 2018. You asked us to review DOE\u2019s funding for advanced fossil energy projects.", "To address the first objective, we reviewed relevant laws, regulations, and DOE guidance. We analyzed DOE advanced fossil energy R&D project data for fiscal years 2010 through 2017. We focused our review on advanced fossil energy R&D projects that received funding through the Office of Fossil Energy\u2019s (FE) National Energy Technology Laboratory (NETL) because the 794 projects represent all of the advanced fossil energy R&D projects in our scope started from fiscal years 2010 through 2017. We used fiscal year 2010 as the start date because DOE officials told us that DOE\u2019s current data management system came into use for the R&D projects that started in fiscal year 2010. We used fiscal year 2017 as the end date because that was the most recent complete year for which data were available. DOE provided us with a spreadsheet that included key project information\u2014such as the name of the recipient of the R&D funding and the project start date\u2014as well as obligations data for each project started for the period of our review (fiscal years 2010 through 2017), by the fiscal year during which the project was started, by summing the obligations for the project from each year. We reported on DOE\u2019s funding for these R&D projects; DOE generally provided financial assistance for these projects through grants or cooperative agreements. In addition, NETL\u2019s in-house R&D work was outside of the scope of our review. To assess the reliability of the funding data, as well as the specific project information for the 794 R&D projects, we interviewed data specialists at DOE Headquarters, FE, and NETL and reviewed DOE internal guidance for the maintenance of agency data. We found the data to be sufficiently reliable for our purposes. We also reviewed DOE websites and documentation, including fact sheets, and interviewed officials from FE and NETL.", "To characterize the kinds of groups that received advanced fossil energy R&D funding, we developed the following definitions for coding each recipient:", "University: any institution of higher education, such as a public or non-profit private college, junior college, or university.", "Federal financial assistance means assistance that non-federal entities receive or administer in the form of grants, property, cooperative agreements, food commodities, direct appropriations, or other assistance, and can also include loans, loan guarantees, interest subsidies, and insurance, depending on the context, but does not include amounts received as reimbursement for services rendered to individuals in accordance with OMB- issued guidance. 2 C.F.R. \u00a7 200.40. See also 31 U.S.C. \u00a7 7501(5). A grant agreement is generally defined as a legal instrument of financial assistance between a federal awarding agency and a non-federal entity that is used to enter into a relationship the principal purpose of which is to transfer anything of value from the federal awarding agency to the non-federal entity to carry out a public purpose authorized by law, and not to acquire property or services for the federal awarding agency\u2019s direct benefit or use. 2 C.F.R. \u00a7 200.51. A cooperative agreement is distinguished from a grant in that it provides for substantial involvement between the federal awarding agency and the non-federal entity in carrying out the activity contemplated by the federal award. 2 C.F.R. \u00a7 200.24. For purposes of our report, we use the term awards to refer to both grants and cooperative agreements. organized primarily for profit. Industry includes some organizations that were founded as non-profit corporations but call themselves \u201ccompanies\u201d and/or describe \u201cserving clients.\u201d", "Other: any entity not associated with a university or industry.", "Other includes groups such as other federal government agencies, as well as non-profit corporations and other entities which we could not identify conclusively as either industry or universities.", "We used these three categories, and their definitions, to guide us in the coding process. After developing these definitions, three analysts independently coded each recipient as a university, industry, or other. Our method was to examine the identifying information on each recipient\u2019s website and decide which category best described the entity. We also had an independent analyst check the coding category that we had assigned to each recipient and verify that we had made a reasonable coding decision.", "To describe the status of DOE\u2019s advanced fossil energy loan guarantees, we reviewed relevant laws, regulations, and guidance, as well as past GAO reports describing DOE\u2019s administration of the loan program. We also reviewed summary information that DOE provided on applications for loan guarantees for advanced fossil energy projects. We analyzed information that DOE provided on applications for loan guarantees for advanced fossil energy projects under the Loan Guarantee Program (LGP) and other related information for fiscal year 2006 through August 2018. We used fiscal year 2006 as the start date because it was the first year that DOE issued an advanced fossil energy project solicitation\u2014an announcement of opportunities for loan guarantees for advanced fossil energy projects\u2014and we used August 2018 as the end date in order to provide the most up-to-date information as possible. We also reviewed the advanced fossil energy project solicitations DOE issued during this timeframe. To assess the reliability of the summary information, we interviewed LGP staff who maintain the information for the advanced fossil energy applications, and reviewed DOE documentation. We found the data to be sufficiently reliable for our purposes. In addition, we interviewed officials from the Loan Programs Office who work on the LGP.", "We conducted this performance audit from March 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Karla Springer (Assistant Director), Rebecca Makar (Analyst-in-Charge), TC Corless, Cindy Gilbert, Carol Henn, Kirk Menard, Patricia Moye, Sheryl Stein, and Sara Sullivan made key contributions to this report. Also contributing to this report were Carolyn Blocker, Marcia Carlsen, Nirmal Chaudhary, Jaci Evans, Ryan Gottschall, Keesha Luebke, and John Yee."], "subsections": []}]}], "fastfact": ["Fossil fuels\u2014coal, oil, and natural gas\u2014will likely continue to be the major source of U.S. energy. The Department of Energy funds research and development (R&D) for innovative fossil fuel technologies.", "In the period we reviewed, the department provided $2.66 billion for 794 such projects. Among other things, we found:", "42% of the funding ($1.12 billion) went to 9 later-stage demonstration projects on carbon capture and storage technologies, which could reduce greenhouse gas emissions. Of the 9 projects, 6 used coal and 3 used other fuels.", "Most of the rest of the funding ($1.40 billion) went to 698 other coal R&D projects."]} {"id": "GAO-18-262", "url": "https://www.gao.gov/products/GAO-18-262", "title": "NASA Contractor Whistleblowers: Steps Taken to Implement Program but Improvements to Timeliness and Guidance Needed", "published_date": "2018-03-08T00:00:00", "released_date": "2018-04-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NASA obligated over $18 billion in contracts and more than $1 billion in grants in fiscal year 2016, and it relies on a significant number of contractor and grantee employees to accomplish its work. These employees are legally protected from reprisal\u2014such as demotion or firing\u2014for whistleblowing.", "GAO was asked to review NASA's whistleblower reprisal protections for contractor and grantee employees. This report addresses, among other things, the extent to which (1) NASA's Inspector General investigated contractor and grantee whistleblower reprisal complaints; (2) NASA's Administrator reviewed reprisal complaints in a timely manner; and (3) NASA communicated the applicable whistleblower reprisal protections to contractors. GAO reviewed NASA and its Inspector General's policies and guidance; reviewed a generalizable sample of 100 contracts from all NASA centers with contracts in fiscal year 2016; and interviewed relevant officials and contractors, grantees, and advocacy groups."]}, {"section_title": "What GAO Found", "paragraphs": ["From 2008 through June 2017, National Aeronautics and Space Administration (NASA) contractor and grantee employees submitted 48 reprisal complaints such as alleged firing or demotion for reporting fraud, waste, or abuse within the government. NASA's Inspector General addressed all 48 complaints, completed investigations for 6 of those complaints, and forwarded investigation reports to the NASA Administrator, who is responsible for making a final determination of whether reprisal occurred. The Administrator determined that none of the complaints qualified for protection under the law.", "Further, in 5 of the 6 cases forwarded by the OIG, the Administrator was required by statute to make a final determination of reprisal within 30 days. GAO found that the Administrator did not meet this required time frame for all 5 cases and had no documented response for one of them (see figure for all 5 cases). According to officials from NASA's Office of General Counsel, each case must be handled on a case by case basis to ensure due process and 30 days is insufficient time to issue an order of final determination of reprisal. However, in order to ensure that whistleblower reprisal complaints are handled within required timeframes, NASA would have to monitor and evaluate its processes for making final determinations of reprisal, but it has not yet taken this step. Consequently, NASA does not know what changes may be needed to ensure that it is meeting the statutory 30-day requirement.", "NASA communicates whistleblower protections to contractors through inclusion of a required contract clause. For example, GAO found that almost all\u201498 percent\u2014of contracts would be expected to include a whistleblower clause as required by statute. However, certain elements of NASA whistleblower protection guidance have contributed to a different understanding of reprisal protections among officials at headquarters, a NASA center, and the Inspector General. For example, a July 2014 procurement notice and contract clause language resulted in different interpretations about when the protections apply. Federal internal control standards require that an entity should communicate necessary quality information internally to meet the objectives of its mission. Without additional clarity in its guidance on when the protections apply, NASA centers and procurement officials will be at risk of inconsistent implementation of the law."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to NASA, including evaluating the process for reviewing reprisal complaints to ensure it is meeting the required timeframe and clarifying guidance on when protections apply to contractor employees. NASA agreed with the recommendations and plans to develop a documented process to ensure it reviews reprisal complaints in a timely manner and clarify guidance as appropriate, among other things."]}], "report": [{"section_title": "Letter", "paragraphs": ["When contractor and grantee employees report fraud, waste, abuse, and mismanagement, agencies should ensure they are prepared to fully investigate reprisal complaints\u2014such as demotion or firing\u2014for whistleblowing. Agencies also need to make a formal determination on whether reprisal occurred. Employees of contractors and grantees conduct a significant amount of work for the National Aeronautics and Space Administration (NASA). Given the sometimes enormous safety risks involved in space exploration, having an established process in place to investigate reprisal claims helps ensure NASA is able to act quickly whenever a whistleblower reports experiencing reprisal. In fiscal year 2016, NASA obligated over $18 billion in contracts to support acquisitions such as satellites and the construction of a solar plant; and more than $1 billion in grants for things such as science, technology, engineering, and math education initiatives and a student stipend for space-related research.", "Although some protections for contractor employee whistleblowers have existed for years, section 2409 of Title 10, U.S. code (the statute), was amended in 2008, 2013, and 2014 to give contractor and grantee employee whistleblowers at NASA enhanced protection from reprisal. The statute establishes that an employee of a contractor, subcontractor, grantee, subgrantee, or personal services contractor may not be subject to reprisal for disclosing certain whistleblower complaints to certain authorities.", "You asked us to evaluate NASA\u2019s implementation of whistleblower reprisal protections. This report addresses the extent to which (1) NASA\u2019s Inspector General has investigated contractor and grantee whistleblower reprisal complaints, including meeting statutory timeliness requirements, and developed guidance for the investigations; (2) NASA\u2019s Administrator meets statutory timeliness requirements to review reprisal complaints; (3) NASA communicated externally and internally about the applicable contractor whistleblower reprisal protections; and (4) NASA communicated with grantees the applicable whistleblower reprisal protections.", "To assess the extent to which NASA\u2019s Office of Inspector General (OIG) investigated reprisal complaints and developed guidance for the investigations, and the NASA Administrator met timeliness requirements, we obtained NASA guidance and relevant documentation. We conducted interviews with agency officials, including officials from the OIG and the Office of General Counsel on behalf of the Administrator about their processes and practices to conduct duties outlined in the statute. We reviewed data provided by the NASA OIG on the total number of whistleblower allegations of fraud, waste, abuse, misconduct, or mismanagement and reprisal complaints; the number of contractor and grantee employee whistleblower allegations and reprisal complaints; and the outcomes or decisions reached by the OIG of a reprisal complaint from fiscal years 2008, the year the enhanced protections were put in place, through 2017. We assessed the reliability of these data by asking the NASA OIG to describe the source(s) of information used and steps taken to identify the numbers provided, and limitations and caveats that would affect our use of these data\u2014such as the data being self-reported by the OIG and Administrator. Based on these steps, we determined the data to be sufficient for our purposes of determining the extent to which the complaints were addressed.", "To assess the extent to which NASA communicates whistleblower protections externally, to contractors and grantees, we identified new fiscal year 2016 contract awards over $300,000 as reported in the Federal Procurement Data System-Next Generation (FPDS-NG). We selected contracts that were not only over the simplified acquisition threshold (generally $150,000), but were over $300,000 to account for possible exceptions and to ensure that we were sampling contracts that would be required to include a whistleblower reprisal clause. To determine whether the required NASA Federal Acquisition Regulation (FAR) Supplement clause 1852.203-71 (NFS clause) or other potentially applicable clauses were included in NASA contracts, we selected for review a generalizable random sample of 100 contracts from a total of 270 contracts. The sample is projectable to NASA fiscal year 2016 contracts; however, making a legal determination of compliance would require a case by case review, which we did not do for contracts not in our sample. The 100 contracts consist of a random selection of 10 contracts from each NASA center that awarded new contracts in fiscal year 2016; for those centers that did not have 10 contracts, we selected all contracts. The remaining contracts were pulled from NASA Shared Services Center (NSSC), because that center does the most contracting. We estimated the percent of NASA contracts expected to include whistleblower clause(s) as the weighted average of results from the 10 contracting centers. Additionally, we selected a non-generalizable random sample of 10 grants awarded by NASA in fiscal year 2016 for review to determine whether NASA grants included a mechanism notifying grantee employees of their whistleblower rights and reprisal protections. For both the sample of contracts and grants, we conducted data reliability checks by comparing the data to the documentation and concluded the data were sufficiently reliable for our purposes to determine if relevant whistleblower reprisal protections information was communicated externally.", "To assess internal communication about whistleblower protections, we reviewed relevant documentation, including guidance, and conducted interviews with procurement officials, NASA Headquarters, NASA\u2019s Office of General Counsel, and Chief Counsels at Johnson Space Center (JSC), NSSC, and Marshall Space Flight Center. We also conducted interviews with contractors, grantees, and whistleblower advocacy groups. For additional information on our scope and methodology, see appendix I.", "We conducted this performance audit from March 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["and individuals made by an employee who believes he or she has witnessed certain wrongdoing, such as gross mismanagement Reprisal Complaint: Following a disclosure, a complaint that an employee has experienced reprisal as a result of the disclosure, such as demotion or discharge.", "For contractor and grantee employees at NASA, whistleblower protections have changed over time. For example, by statute, in 2007, NASA contractor employees were protected against reprisal if they disclosed information relating to a substantial violation of law related to a contract. However, in 2008, amendments to the whistleblower statute provided protections only to those contractor employees at NASA who reported \u201ca substantial and specific danger to public health or safety.\u201d In 2013, the statute was amended again to include disclosures of gross mismanagement of a NASA contract or grant, a gross waste of Administration funds, and abuse of authority relating to a NASA contract or grant, or a violation of law, rule, or regulation related to a NASA contract or grant. In 2014, the statute was further amended with the only significant change to protect grantee and subgrantee employees. See table 1 for detailed description of the 2008, 2013, and 2014 amendments of the statute."], "subsections": [{"section_title": "Requirements under the Current Statute", "paragraphs": ["Under the current statute, the NASA Office of Inspector General and Administrator have different responsibilities. Since the 2014 amendments, contractor, subcontractor, grantee, and subgrantee employees are protected from reprisal if they disclose to certain persons or bodies information they reasonably believe is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a federal contract or grant. Additionally, contractor employees may make whistleblower disclosures to several entities, including a management official at the contractor. Figure 1 depicts the disclosure process and the complaint process.", "NASA OIG Role: Upon receiving a reprisal complaint, the OIG must evaluate whether a reprisal complaint is covered under the statute. In addition to the steps described in figure 1 for investigating complaints, there are instances when the OIG does not investigate. The OIG might not investigate for a variety of reasons, such as in cases where the complaint is already under investigation by another authority such as another OIG, or otherwise does not allege a violation of the law, such as if whistleblower disclosure does not constitute gross fraud, waste, abuse or mismanagement. If the OIG determines the case is not covered under the statute, it may then notify the complainant that no further action will be taken on the reprisal complaint.", "Administrator Role: Upon receipt of the NASA OIG investigation report, the NASA Administrator (the head of agency) has 30 days to determine whether the contractor made a prohibited reprisal and issue an order denying or granting relief. According to NASA officials, during the 30-day period after the agency head receives the OIG report, the agency practice has been to ask the OIG for any additional investigative work and also afford the complainant and the contractor an opportunity to submit a written response to the OIG report. Any person adversely affected or aggrieved by the administrator\u2019s order may, within 60 days of issuance, obtain a limited review by the U.S. circuit court of appeals.", "Agency Procurement Official Role: Under the NFS regulations, NASA contracting officers are also responsible for inserting an NFS whistleblower clause into applicable contracts that requires contractors communicate to their employees their rights under the statute. The NFS whistleblower clause lays out the responsibility of contractors to communicate to their employees their rights under the statute, in writing and in their predominant native language. All contracts over the simplified acquisition threshold awarded on or after July 29, 2014, require a whistleblower clause. The statute also requires NASA to make best efforts to include a clause providing for the applicability of the 2013 amendments in contracts awarded before July 1, 2013\u2014the effective date of the 2013 amendments\u2014that have undergone major contract modifications. The terms \u201cbest efforts\u201d and \u201cmajor modifications\u201d are not defined in the statute. Unlike provisions affecting contractors, the statute does not require NASA to ensure that grantees or subgrantees notify employees in writing of their rights under the statute."], "subsections": []}]}, {"section_title": "NASA OIG Investigated Reprisal Complaints within Required Time Frames and Recently Updated Incomplete Guidance", "paragraphs": ["From 2008 to June 2017, NASA OIG addressed whistleblower reprisal complaints within required time frames, according to OIG officials. At the time we initiated this review, the OIG\u2019s guidance for handling reprisal complaints had been updated to reflect most statutory changes; however, it did not include guidance regarding subgrantees. During the course of our review, the OIG updated the investigation guidance in October 2017 to include subgrantee employees."], "subsections": [{"section_title": "NASA OIG Handled Reprisal Complaint Investigations within Required Time Frames", "paragraphs": ["NASA OIG completed 6 reprisal investigations within required time frames. The OIG received 277 whistleblower disclosures leading to 48 reprisal complaints from 2008 through June 2017, and handled those complaints within required time frames, according OIG officials. For the 6 of those reprisal complaints that were investigated, the OIG used extensions. OIG officials said that extensions may be necessary for a number of reasons, including that the complaint may be highly technical in nature, requiring the OIG to find subject matter expertise to better understand the nature of the whistleblower complaint and whether it constitutes gross fraud, waste, abuse, or mismanagement.", "When the OIG receives a reprisal complaint, complainants are asked to fill out a whistleblower complaint form and an investigation is initiated. See figure 2 below for the process by which the OIG conducts its investigations.", "In addition, there were 5 complaints currently under investigation and 37 complaints during this time frame that the NASA OIG did not investigate because the OIG deemed them to be frivolous, determined they were not covered under the statute, or the complaint was handled in another forum, such as the court system or by another OIG. Complaints were deemed frivolous for several reasons, including if the complainant did not want to disclose his or her identity and proceed with the claim, or the whistleblower disclosure happened after the reprisal. OIG officials told us that when cases are disposed of without an investigation, the OIG notifies the complainant of the decision in writing. Figure 3 shows the disposition of the 48 reprisal complaints received from 2008 through June 2017."], "subsections": []}, {"section_title": "The OIG Updated Investigation Guidance", "paragraphs": ["The OIG has developed guidance for conducting investigations, which includes a chapter on contractor and grantee whistleblower reprisal complaints. Although most changes to the statute (such as to whom reprisal may be reported) had been incorporated into the investigation guidance, the initial guidance provided to us by the OIG did not include a 2014 statutory requirement to extend protections to subgrantees. During the course of our review, in October 2017, the OIG updated its guidance for investigating reprisal complaints to include subgrantee employees. Because subgrantees are now protected by statute, including them in the investigation policy will help ensure they are consistently extended protections through OIG investigations.", "In addition to its guidance, OIG officials said they have developed training specific to whistleblower investigations for new investigators, conducted internal training for investigators, and external training for contractor employees. Additionally, the OIG Investigators\u2019 Central Field Office conducts periodic training for investigators that includes any updates to whistleblower protections. With regard to external training, the OIG officials said that investigators at some of the NASA centers\u2014with the largest contract activity\u2014have conducted on-site training for some contractors. This training is conducted as part of general fraud awareness training."], "subsections": []}]}, {"section_title": "NASA Administrator Did Not Meet the Required Time Frames for Reprisal Complaint Review", "paragraphs": ["The Administrator failed to meet the required review time frame and issue an order of final determination of reprisal for 5 completed investigations received from the OIG from 2008 through June 2017. In all 5 cases, the Administrator took longer than the 30 days to issue an order. In one of those 5 complaints, an official from the Office of General Counsel was unable to provide us with the issued order and said he did not believe one was completed, and could not provide an explanation as to why an order was not completed. For the 5 reprisal complaints, figure 4 shows the number of days from when the Administrator received an OIG report of findings to the time when an order of final determination was documented.", "In addition to the 5 complaints mentioned above, there was another OIG investigation of a reprisal complaint that did not require response from the administrator within 30 days, but was finalized within our review time frame, for a total of 6 completed OIG investigations of reprisal complaints. For 3 of the 6 complaints, the OIG found that reprisal had occurred and reported those findings to the administrator for final determination of reprisal. The Administrator determined that none of these 3 complaints qualified for protection under the law. For 2 of these complaints, the Administrator found that they did not qualify for protections because they fell under the 2008 version of the statute and failed to allege a violation specific to public health and safety. In 2017, a court affirmed the Administrator\u2019s position. For the third complaint, the Administrator determined reprisal could not be substantiated due to the complainant not meeting the standards of evidence under the statute.", "Further, we found that NASA does not have a standard process in place for the Administrator to review cases that qualify for protections under the statute and issue an order of final determination. According to an official from the Office of General Counsel, the agency has no standard process to ensure the contractors are afforded due process, among other things. The official from Office of General Counsel said the Administrator may need to conduct an additional investigation in some cases. He said that each case is different and would have to be handled on a case by case basis. In addition, the official said the Administrator may need to conduct hearings, independent of the OIG. Moreover, the official from Office of General Counsel highlighted concern that the Administrator\u2019s office does not have the resources to conduct additional investigative work, which he said is a key contributor for the office\u2019s inability to meet the 30-day timeline to issue an order of final determination. Despite acknowledging these challenges, the Administrator does not have a formal process or criteria to monitor and evaluate the way the office handles issuing an order of final determination of reprisal to ensure that it meets the statutory time requirements.", "Because the Administrator took longer than 30 days to respond to all reprisal complaints, including one where the Office of General Counsel failed to provide evidence that the Administrator responded at all, there may be the unintended consequence of disincentivizing future whistleblowers from making disclosures who fear their complaint will not be handled timely. Internal controls require that management should establish and operate monitoring activities to monitor the internal control system, evaluate the results, and take appropriate action to address issues on a timely basis. Without monitoring, evaluating, and taking appropriate corrective action based on the way the Administrator or his or her designee makes a final determination of reprisal, there is no assurance that whistleblower reprisal complaints will be handled within required time frames in the future."], "subsections": []}, {"section_title": "NASA Almost Always Communicates Whistleblower Protections to Contractors, but Internal Guidance Is Unclear", "paragraphs": ["In almost all of the contracts we reviewed, NASA had met its obligation to ensure its contractors are communicating whistleblower protections to their employees through a whistleblower contract clause. We also found that NASA has put in place guidance to its contracting workforce on the protections, and guidance on when to include the whistleblower clause in contracts. However, we found that some NASA officials have interpreted this guidance differently. Further, NASA\u2019s guidance does not reflect an agency-wide policy on when to include the whistleblower clause when modifying a contract."], "subsections": [{"section_title": "Whistleblower Clause Included in Almost All Contracts, but a Few Were Missing the Required Clause", "paragraphs": ["In most cases, NASA included a clause regarding whistleblower reprisal protections in applicable contracts to ensure contractors communicate rights to its employees. But we found that the clause was not included in all relevant contracts in our review. Based on our review of a generalizable sample of contracts, we estimate that 98 percent of contracts would be expected to include a whistleblower clause at the time new contracts were awarded in applicable contracts in 2016, and 2 percent would not. Within our sample, 4 contracts did not have a whistleblower reprisal clause. After we shared our contract file review findings with NASA officials, they modified 3 of the 4 contracts to include the missing required whistleblower clause. For the remaining contract, the contractor performance was complete, the contract had been closed, and no further action will be taken.", "According to NASA procurement officials, human error, combined with its former contract writing system, could explain why the contracts in our sample did not have the required clause. They explained that the former contracting writing system relied on templates and did not automatically include the NFS clause into all contracts. Under this system, contracting officers used templates that included a list of all potential or applicable NFS and FAR clauses, which are incorporated through a manual process. Officials said that if a clause were included in the templates, it is unlikely that it would be removed because doing so would require supervisory approval.", "NASA procurement officials told us that the agency launched a new contract writing system in June 2017. They said that under the new contract writing system, contracting officers use a logic system that prepopulates each contract with required clauses. They said that the new automated system will likely lead to fewer human errors because inserting the clause will not be a manual process. Because the new system is still being implemented, we were unable to evaluate whether the risk of human error has been reduced or eliminated to ensure applicable contract awards have the clause.", "Under the previous and current systems, NASA contracts are to undergo various levels of review prior to award\u2014including attorney review\u2014at the centers or headquarters based on risk level and dollar thresholds. For example, contracts awarded by JSC valued at over $50 million are to be reviewed by headquarters. NASA procurement officials stated that they conduct procurement management reviews, and centers conduct annual self-assessments; however, at one center, officials pointed out that these reviews have not previously included whether a whistleblower clause is included in new contracts or major modifications. They said this is because reviews typically focus on known issues or program risk, and inclusion of the whistleblower clause has not been previously identified as an issue or risk. Contractors we spoke with were generally aware of their responsibilities to communicate reprisal protections to their employees because their contracts with NASA included the required NFS whistleblower clause. In response to our review, NASA procurement officials said they plan to include a review of the inclusion of NFS whistleblower clause in future compliance reviews as an area of emphasis and will instruct centers to include whether the clause is included in applicable contracts as part of the centers\u2019 self-assessment process."], "subsections": []}, {"section_title": "NASA\u2019s Guidance Contributes to Different Understanding of Reprisal Protections", "paragraphs": ["Three elements of NASA\u2019s whistleblower reprisal protection guidance\u2014its procurement notice, NFS clause, and definition of major modification\u2014 contribute to potential confusion or inconsistent application of whistleblower reprisal protections.", "First, in July 2014, NASA notified its contracting officials of the changes to the NFS required by the 2013 amendments to section 2409 Title 10 of the U.S. code through a procurement notice 04-80, but this notice has been interpreted differently by officials in NASA Headquarters, a NASA center, and the OIG. Procurement notices are drafted by NASA Headquarters, reviewed and approved by NASA general counsel and NASA\u2019s Office of Procurement. The NASA centers, acting through their procurement offices and, as needed their legal counsel, review and implement the notices.", "After the procurement notice was issued, some NASA officials interpreted it differently. For example, in one instance, a NASA center Chief Counsel\u2019s office attorney advised a center procurement official that reprisal protections found in the 2013 amendments extend to contractors\u2019 employees working on contracts awarded before the effective date of the amendments. This is true, he said, regardless of whether the contract contains any clause explicitly making the 2013 amendments applicable. However, both the OIG and the Administrator\u2019s counsel have expressed a different understanding of the statute conveyed in the notice, stating that a clause making the 2013 amendments applicable must be in a contract in order for the complainant to be protected under the statute. Later, the attorney from the center Chief Counsel\u2019s office revised his understanding of the statute and concluded the procurement notice was not accurate as written.", "Second, NASA personnel have different understandings about whether the NFS clause is sufficient for contractor employees to be covered by the statute. The NFS clause instructs contractors to inform their employees in writing of contractor whistleblower employee rights; but, unlike the FAR clause that is used to implement similar legislation for other agencies, the NFS clause does not state that employees working on the contract are subject to the whistleblower rights and remedies. The attorney from a NASA center said that the NFS clause is enough to ensure contractor employees are given rights under the statute. However, OIG officials have said that without including that element of the clause, employees working under NASA contracts awarded prior to the effective date of the 2013 amendments may not be covered by those amendments. See table 2 for description of the clauses and their differences.", "Third, the lack of agency-wide guidance for when to include the clause in major modifications leads to different implementation of the requirement. The 2013 amendments require that NASA makes best efforts to include a whistleblower clause in contracts undergoing a major modification. NASA\u2019s July 2014 procurement notice also encourages contracting officers to include the NFS whistleblower clause when issuing major modifications to contracts awarded before July 29, 2014. However, it does not specify what a major modification is under this statute, and the statute itself does not define \u201cmajor.\u201d According to NASA procurement officials at headquarters and at two NASA centers, it is at the discretion of the NASA Centers\u2019 offices of procurement and contracting officers to decide if a clause is inserted into modifications, and whether they are considered major. Procurement officials and the contracting officers we spoke with told us that there is no definition of major modifications in the law, regulation, or NASA Headquarters or Center policies or guidance. NASA procurement officials said this is because it could be different for each contract and the contracting officer makes the determination based upon the facts related to the situation. Nevertheless, without communicating the factors to consider when determining whether a modification is major and whether that contract should or should not include the clause, NASA and the Centers\u2019 procurement officials are at risk of potential inconsistent incorporation of the clause among applicable contracts.", "One attorney in NASA\u2019s General Counsel\u2019s Office said there may be costs associated with asking a contractor to insert new clauses\u2014such as the whistleblower clause\u2014into an existing contract during a major modification because it would require a bilateral negotiation between the contractor and the agency. However, one contractor we spoke with said that there would be no cost to adding the clause and that doing so would not be an issue because the whistleblower clause is consistent with the internal whistleblower policies and practices of the institution. Further, he said that the institution he represents would be hesitant to argue against inclusion of the NFS clause in its contracts with NASA.", "Internal control standards require that an entity should internally communicate necessary quality information in order to meet requirements of the mission. These 3 areas of potential confusion related to NASA\u2019s current guidance could result in different application of the law, unless they are clarified."], "subsections": []}]}, {"section_title": "NASA Has Not Established a Mechanism to Communicate Whistleblower Protections to Grantees", "paragraphs": ["Although whistleblower protections are now extended to grantee employees by statute, NASA does not have a mechanism in place to communicate the protections to grantees or subgrantee employees. Unlike the requirement for NASA to ensure contractors communicate whistleblower reprisal rights to their employees in writing and in the employees\u2019 predominant language, the statute does not prescribe a similar requirement for NASA to ensure that grantees communicate whistleblower reprisal rights to their employees. During the grant application process, NASA requires grantees to attest that they will not require grantee employees to sign confidentiality agreements that would prohibit them from reporting fraud, waste, and abuse.", "NASA officials said that grant awards do not include a mechanism, such as a term or condition, to encourage NASA grantees to notify their employees of their whistleblower reprisal protections. In the 10 NASA grants from fiscal year 2016 that we reviewed, there was no requirement included for grantees to communicate these protections to employees. However, we found that all 10 grants included a statement that each award was subject to all applicable laws and regulations of the United States in effect on the date of award, including the Uniform Guidance. For federal grants in general, the Uniform Guidance provides a government- wide framework for grants management. Within this guidance, there is a reference to the whistleblower protections in the statute; however, it does not explicitly describe the statute\u2019s requirements.", "The grant advocacy group and representatives of three NASA grantees we spoke with were aware that some protections exist and noted that many grantees have their own whistleblower policies, but were not aware of the specific protections provided by the statute, which indicates that opportunities exist for improving communications between NASA and its grantees about these protections. Further, representatives of the grant advocacy group noted that the whistleblower protections for grantee employees were not specifically mentioned at recent annual meetings where grantees and federal officials discuss issues that affect grantees. Internal controls require that management externally communicate the necessary quality information to achieve the entity\u2019s objectives. Without additional communication about the protections provided by the statute, grantees may not fully understand or appreciate the significance of the rights afforded to their employees, and grantee employees may not be aware of their whistleblower reprisal protections, which could hinder their willingness to report instances of fraud, waste, and abuse."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Because contractor and grantee employee whistleblowers risk reprisal after disclosing potential fraud, waste, abuse and mismanagement, ensuring they are protected from retaliation or adverse consequences is critical. Without monitoring and evaluating the timeliness of reviewing and responding to reprisal complaints, the Administrator may not be prepared to determine reprisal on future cases within the statutorily required 30 days.", "Additionally, although NASA has developed guidance related to contractor protections, this guidance has led to inconsistent interpretation of the law and could potentially lead to inconsistent application of how contractor protections for employees are conveyed. More clear guidance would help contracting officers determine when to incorporate the NFS clause into major modifications to ensure consistency throughout the agency.", "Finally, because unlike contracts, there is no similar clause for grants, NASA is in the position to help ensure grantees know their employees\u2019 rights against reprisal if they observe and disclose fraud, waste, abuse or mismanagement. However, NASA has not effectively communicated to grantees information about these provisions and as a result grantees and their employees may not be fully aware of these protections. Consequently, if they witness fraud, waste, abuse or mismanagement, they may not be willing to disclose those for fear of reprisal."], "subsections": []}, {"section_title": "Recommendations for Executive Action:", "paragraphs": ["We are making three recommendations to NASA: The Administrator should monitor, evaluate, and make appropriate corrective actions, such as a documented process, to ensure it reviews reprisal complaints in a timely manner. (Recommendation 1)", "The Administrator should review NASA\u2019s guidance or develop other guidance, including defining major modification, to clarify when whistleblower protections are conveyed. (Recommendation 2)", "The Administrator should communicate whistleblower protections to grantees and subgrantees and their employees. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments And Our Evaluation", "paragraphs": ["We provided a draft of this product to NASA for review and comment. NASA provided written comments on a draft of this report. In its written comments, reprinted in appendix II, NASA concurred with all three recommendations. In its response to our recommendations NASA agreed to develop and document a process to ensure it reviews reprisal complaints in a timely manner to ensure all parties\u2019 due process rights are protected, review existing procurement policy and clarify guidance as appropriate, and update NASA grant guidance to communicate whistleblower protections to grantees, sub-grantees and their employees.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and members. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["To assess the extent to which National Aeronautics and Space Administration\u2019s (NASA) Office of Inspector General (OIG) has investigated contractor and grantee whistleblower reprisal complaints and developed guidance for the investigations, we reviewed data provided by the NASA OIG on the total number of whistleblower allegations of fraud, waste, abuse, misconduct, or mismanagement and reprisal claims. We also reviewed the number of contractor and grantee employee whistleblower allegations and reprisal complaints provided by the OIG and the outcomes or decisions reached by the OIG of a reprisal complaint from fiscal years 2008 through 2017. We assessed the reliability of these data by asking the NASA OIG to describe the source(s) of information used and steps taken to identify the numbers provided, and limitations and caveats that would affect GAO\u2019s use of the data\u2014such as the data being self-reported by the OIG and Office of General Counsel. Based on these steps, we determined the data to be sufficient for our purposes of determining how the complaints were addressed. Additionally, we reviewed relevant documentation to assess the extent to which the NASA OIG was conducting investigations and communicating findings to the NASA Administrator within required time frames. To determine the extent NASA OIG developed guidance, we interviewed or obtained written answers from OIG officials about their processes and practices for investigating whistleblower reprisal complaints. We reviewed the guidance and training and other materials that NASA OIG uses to implement whistleblower protection investigations. We also visited Johnson Space Center (JSC)\u2014selected because it had the highest number of reprisal cases from 2008 through 2017\u2014to discuss policies and procedures specific to that center with OIG investigators and the OIG program manager for whistleblower protections. Because they are also a part of the Investigators\u2019 Central Field Office, we also spoke with investigators at Marshall Space Flight Center and Kennedy Space Center.", "To assess the extent to which NASA\u2019s Administrator meets the statutory timeliness requirements to review reprisal complaints, we reviewed the timeliness of the Administrator\u2019s final determination to ensure that NASA was meeting statutory requirements. Specifically, we reviewed relevant documentation to assess the extent to which the Administrator was making final determination of reprisal in 30 days\u2014the required review period specified by statute. We reviewed the Administrator\u2019s documentation on the final disposition of reprisal investigations and compared the date of the Administrator\u2019s final decision to the date of receipt of the reprisal investigations from the NASA OIG. We also conducted interviews with the Office of General Counsel, who spoke on behalf of the Administrator.", "To assess the extent to which NASA communicated the applicable whistleblower reprisal protections externally with contractors, we reviewed a generalizable sample of NASA contracts to determine the extent a required whistleblower clause was included. We used the Federal Procurement Data System-Next Generation (FPDS-NG) to generate a sample of contract actions over $300,000 that were awarded by NASA in fiscal year 2016. We selected contracts that were not only over the simplified acquisition threshold (generally $150,000), but were over $300,000 to account for possible exceptions and to ensure that we were sampling contracts that would be required to include a whistleblower reprisal clause. From the 270 contracts identified, for purposes of examining the inclusion of NASA Federal Acquisition Regulation Supplement (NFS) clause 1852.203-71 (or other potentially applicable clauses) in NASA contracts, a legal requirement, we selected a generalizable random sample of 100 contracts. The sample is projectable to NASA fiscal year 2016 contracts; however, we did not make a case by case legal determination for contracts not in our sample. We randomly selected 10 contracts from each center that awarded new contracts in 2016, and for those centers that did not have 10 contracts, we selected all contracts. The remaining contracts were then pulled from the NASA Shared Services Center (NSSC) because that center does a majority of NASA\u2019s contracting. We asked for contracts awarded in fiscal year 2016 to ensure we were sampling contracts that are required to have the clause and would be reasonably accessible by NASA. We excluded interagency contracts and task or delivery orders awarded using blanket purchase agreements to ensure we sampled base contracts awarded by NASA, not other agencies.", "We estimated the percentage of NASA contracts expected to include whistleblower clause(s) as the weighted average of results from the 10 contracting centers. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that could have been drawn. Because each sample could have provided different estimates, we express the uncertainty associated with any particular estimate as a 95 percent confidence interval. This is the interval that, with repeated sampling, would be expected to contain the actual population value for 95 percent of the samples we could have drawn. As a result, we are 95 percent confident that this confidence interval contains the true percentage of contracts expected to include whistleblower clause(s); however, to assess legal compliance we would have to make a case by case determination, which we did not do. We conducted data reliability checks on the FPDS-NG dataset by comparing it to contract documentation obtained from contract files and determined it was sufficiently reliable for our purposes. Additionally, we conducted interviews with NASA procurement officials and contracting officers at multiple locations including NASA Headquarters, NSSC and JSC to discuss any additional measures NASA takes to communicate whistleblower protections to its contractors and their contractor employees. To further assess internal communication, we reviewed relevant documentation, including guidance, and conducted interviews with procurement officials, NASA\u2019s Office of General Counsel, and Chief Counsels at JSC, NSSC, and Marshall Space Flight Center.", "To assess the extent to which NASA communicated the applicable whistleblower reprisal protections with grantees, we reviewed a non- generalizable sample of grants awarded by NASA in fiscal year 2016 to determine whether NASA grants included a mechanism notifying grantees of their employees\u2019 whistleblower rights and reprisal protections. We used FPDS-NG to identify a non-generalizable random sample of 10 grants awarded by NASA in fiscal year 2016 for review to determine whether any of the selected grants included a mechanism to communicate whistleblower reprisal protections to grantee employees. We conducted data reliability checks on the FPDS-NG data by comparing it to grant documentation obtained from grant awards and determined it was sufficiently reliable for our purposes. Additionally, we conducted interviews with NASA grant making officials to discuss any additional measures NASA takes to communicate whistleblower reprisal protections to its grantees and their grantee employees.", "Finally, in order to learn about contractor and grantee experiences during NASA\u2019s implementation of enhanced whistleblower protections, we conducted interviews with or received written answers to questions from a selected group of NASA contractors and grantees. Using FPDS-NG data, we selected institutions with the highest and lowest contracts (including small business contracts) and grants by obligations in 2016. Using these selection criteria, we selected three contractors and three grantees to meet with based on the amount of funds obligated in 2016. We ultimately interviewed or obtained written answers from all selected contractors and grantees. Additionally, we spoke with two advocacy groups, one about grants and one about contracts.", "We conducted this performance audit from March 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Penny Berrier (Assistant Director), Mary Diop, Lorraine Ettaro, Alexandra Gebhard, Kurt Gurka, Stephanie Gustafson, Julia Kennon, Jordan Kudrna, Kate Lenane, Roxanna Sun, and Khristi Wilkins made key contributions to this report."], "subsections": []}]}], "fastfact": ["NASA relies on contractor employees to fulfill its mission\u2014and these employees are legally protected from reprisal, such as demotion or firing, for whistleblowing. But is the agency fulfilling its duty to investigate reprisal complaints from these employees in a timely manner?", "Since 2008, NASA has not made a final determination of whether or not a reprisal occurred in the required 30-day time frame, nor has the agency evaluated its process for reviewing those complaints in a timely manner. We recommended that NASA take steps to ensure that it meets its 30-day time frame."]} {"id": "GAO-18-87", "url": "https://www.gao.gov/products/GAO-18-87", "title": "Overseas Allowances: State Spends Almost $480 Million Annually to Compensate Employees for Costs and Hardships of Foreign Assignments", "published_date": "2017-11-02T00:00:00", "released_date": "2017-11-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["State spends millions of dollars annually on allowances to compensate its employees for costs and hardships related to foreign assignments. Many of these assignments are critical to U.S. foreign policy objectives. In accordance with U.S. law, State employees working abroad may be reimbursed for costs related to working overseas, including the cost of living in expensive locations, dependent education costs, and the costs of maintaining family members away from post. They also may be eligible for such allowances in locations where they encounter harsh or dangerous living conditions. These allowances cover over 13,000 employees across more than 275 posts.", "GAO was asked to review State's administration of allowances for its employees. GAO's September 2017 report focused on State hardship and danger pay allowances ( GAO-17-715 ), while this report (1) describes all of the allowances that State offers its employees serving overseas and (2) examines the amount State spent annually on these allowances in fiscal years 2011 through 2016. GAO analyzed State data and documents and communicated with State officials in Washington, D.C., and Charleston, South Carolina, the location of State's Bureau of the Comptroller and Global Financial Services."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State (State) offers 14 different allowances to compensate State employees serving at overseas posts for costs and hardships related to foreign assignments across four categories.", "Cost-of-living allowances consist of six types of allowances that reimburse employees for certain costs incurred from employment overseas, such as the cost for dependent education that would normally be free in the United States.", "Recruitment and retention incentive allowances consist of three types of allowances that compensate employees for service at posts where conditions may be difficult or dangerous. For example, hardship pay compensates employees for service where conditions differ substantially from those in the United States.", "Quarters allowances consist of three types of allowances that reimburse employees for substantially all housing costs at posts where government housing is not provided. For example, the temporary quarters subsistence allowance pays for temporary housing when government-provided housing is not available.", "Other allowances consist of two types of allowances that reimburse employees, such as ambassadors, who must maintain an official residence in-country or employees who incur expenses representing the U.S. government in an official capacity to a foreign government.", "State spent almost $480 million per year on its 14 allowances for employees serving overseas, totaling almost $2.9 billion in fiscal years 2011 through 2016. Most of this amount went toward cost-of-living and recruitment and retention allowances. During this period, the three largest individual allowances accounted for about 70 percent of the total spending on all allowances. These were the education allowance, about $853.0 million; hardship pay, about $732.3 million; and post allowance, used to offset the higher cost of living at certain posts, about $417.3 million."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of State (State) provides a range of allowances to compensate its employees for costs and hardships related to assignments at overseas posts, many of which are critical to advancing U.S. foreign policy objectives. State employees working abroad may be eligible for such allowances in locations where they encounter harsh or dangerous living conditions. They also may be reimbursed for costs related to working overseas, including the cost of living in locations more expensive than Washington, D.C., dependent education costs, and the costs of relocating to a new post or maintaining family members away from employees\u2019 assigned posts.", "As part of a broader request, you asked us to review State\u2019s administration of allowances for its employees. This report (1) describes the allowances State offers its employees serving overseas and (2) examines the amount State spent annually on these allowances from fiscal years 2011 through 2016.", "To describe the different allowances that State offers to its employees serving overseas, we reviewed the Foreign Affairs Manual (FAM), the Foreign Affairs Handbooks, the Department of State Standardized Regulations, and State documents. To examine State\u2019s spending at overseas posts on these allowances from fiscal years 2011 through 2016, we analyzed payroll and financial management data from State\u2019s Bureau of the Comptroller and Global Financial Services (CGFS) after determining the data sufficiently reliable for the purposes of our reporting objectives. We also interviewed CGFS and State\u2019s Office of Allowances officials. See appendix I for additional information about our objectives, scope, and methodology.", "We conducted this performance audit from May 2017 through November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["State is the lead agency responsible for implementing American foreign policy and representing the United States abroad. It operates over 275 embassies, consulates, and other posts worldwide, staffed by over 13,000 Foreign Service officers. State has the authority to grant allowances to employees serving overseas to offset the cost of living and working overseas as well as to recruit and retain employees who serve in difficult and dangerous locations.", "Two key offices within State are involved in administering and processing allowances for overseas employees.", "State\u2019s Office of Allowances in the Bureau of Administration develops and coordinates policies, regulations, standards, and procedures to administer allowances under the Department of State Standardized Regulations. The office compiles statistics on overseas living costs and conditions and computes the established allowances to compensate U.S. government civilian employees for costs and hardships related to assignments abroad.", "State\u2019s Bureau of the Comptroller and Global Financial Services (CGFS) processes allowances for State employees through the Consolidated American Payroll Processing System, State\u2019s payroll system, and captures information on payments for all allowances through the Global Financial Management System, State\u2019s accounting system. State uses the Consolidated American Payroll Processing System to process American employees\u2019 pay, including allowances paid directly to employees. This system generally captures information on the location where an employee is assigned. According to State officials, the Global Financial Management System captures information on all State payments, including those paid through vouchers, such as for rent paid directly to the landlord."], "subsections": []}, {"section_title": "State Offers 14 Allowances to Compensate Its Employees for Costs and Hardships Related to Foreign Assignments", "paragraphs": ["State provides 14 allowances to employees serving overseas to compensate them for the costs and hardships related to foreign assignments across four broad categories\u2014cost-of-living, recruitment and retention incentives, quarters, and other allowances. Table 1 includes a brief summary of these allowances."], "subsections": [{"section_title": "Cost-of-Living Allowances", "paragraphs": ["Cost-of-living allowances reimburse employees for certain excess costs, exclusive of any quarters costs, incurred from employment overseas. The following six allowances fall into this category:", "The post allowance is granted to employees officially stationed at posts or foreign areas where the cost of living, exclusive of the cost of quarters, is substantially higher than in Washington, D.C. It is designed to permit employees to spend the same portion of their salaries for standard living expenses as they would if they were living in Washington, D.C. The Office of Allowances updates the post allowance at least every other year based, in part, on a survey filled out by posts. As part of this process, posts must collect and compile prices for a sample basket of goods from stores that U.S. government employees serving at that post frequent (see fig. 1). For example, as of September 3, 2017, Embassy Port-au-Prince had a post allowance rate of 20 percent and was expected to submit its next required survey in June 2018.", "The foreign transfer allowance defrays an employee\u2019s extraordinary, necessary, and reasonable costs when he transfers to a post in a foreign area. This allowance includes four expense types\u2014 predeparture subsistence, wardrobe, lease penalty, and miscellaneous.", "The predeparture subsistence expense portion assists employees with the cost of temporary lodging, meals, laundry, and dry cleaning for up to 10 days when they vacate their permanent residence in the United States before traveling to their overseas post. This allowance may be granted before the employees\u2019 final departure from the United States, beginning not more than 30 days after they vacate their residence. The reimbursement rate is based on the per diem rate of their U.S. post.", "Employees are eligible for the wardrobe expense portion when they transfer across two climate zones for a new foreign assignment. For example, if an employee were to transfer from Saint Petersburg, Russia (zone 1), to Doha, Qatar (zone 3), then the employee would receive a wardrobe allowance. This allowance is a flat rate of $600 for individuals, $1,000 for employee and one family member, or $1,300 for employees and multiple family members.", "The lease penalty expense portion offsets a residential lease penalty unavoidably incurred by employees when they transfer.", "The miscellaneous expense portion covers employees\u2019 expenses incurred from moving, such as pet transportation, vehicle registration, and driver\u2019s license fees. These expenses are capped at the lesser of either 1 week\u2019s salary or $650 for an individual, or 2 weeks\u2019 salary or $1,300 for a family.", "The home service transfer allowance defrays an employee\u2019s extraordinary, necessary, and reasonable costs when she transfers from an overseas post to a post in the United States. To qualify for this allowance, the employee must agree to work for the U.S. government for at least 12 months after her transfer. Similar to the foreign transfer allowance, the home service transfer allowance includes four expense types\u2014subsistence, wardrobe, lease penalty, and miscellaneous.", "The subsistence expense portion covers the same types of expenses as the predeparture subsistence expense portion. However, employees are also eligible to receive reimbursements upon return to the United States based on the per diem rate for the first 30 days and then a prorated rate thereafter.", "The wardrobe, lease penalty, and miscellaneous expense types are the same for the home service transfer as for the foreign service transfer.", "The separate maintenance allowance (SMA) defrays the additional expense of maintaining family members at another location (1) because of dangerous, notably unhealthful, or excessively adverse living conditions at the overseas post of assignment, (2) for the convenience of the U.S. government, or (3) because of special needs or hardships involving the employee or a family member. There are three types\u2014involuntary, voluntary, and transitional.", "Involuntary SMA is provided when State determines that there is an adverse, dangerous, or notably unhealthful condition that should exclude family members from accompanying employees at a post. The annual rate is based on family size ranging from $6,800 for one child only to $23,000 for an adult and four or more family members.", "Voluntary SMA can be authorized based on an employee\u2019s request for special needs or hardship at posts for reasons including, but not limited to, career, health, educational, or family considerations. The annual rate is based on family size, ranging from $5,300 for one child only to $18,000 for an adult and four or more family members.", "Transitional SMA is granted for a limited time after a post\u2019s evacuation status changes or in connection with the beginning or end of an unaccompanied posting. It is paid at a daily rate based on the number of eligible family members, the standard continental U.S. per diem rate, and the amount of time the employee receives the allowance.", "The education allowance defrays extraordinary and necessary costs, not otherwise compensated for, to obtain adequate elementary and secondary education for dependent children at overseas posts that would normally be free of charge in the United States. State\u2019s Office of Overseas Schools determines the adequacy of schools at posts. State determines the approved rate based on allowable education expenses for (1) a school at the post, (2) a school away from the post, (3) home schooling / private instruction, or (4) special-needs education. For example, employees assigned to New Delhi can send their school-aged children to the American Embassy School, which State has determined is the least-expensive adequate school at post (see fig. 2). Tuition for this school costs State between about $18,000 and $30,000 per child per year, depending on the child\u2019s grade level.", "The educational travel allowance annually covers the travel expenses of one round trip for each dependent between a school attended and the overseas post of assignment. This benefit is primarily intended to reunite a full-time, postsecondary student attending college (including the postbaccalaureate level), or technical or vocational school with the employee / parent serving the U.S. government in the foreign area. Educational travel cannot be paid at the same time as the education allowance."], "subsections": []}, {"section_title": "Recruitment and Retention Incentive Allowances", "paragraphs": ["Recruitment and retention incentive allowances compensate employees for service at posts where conditions may be difficult or dangerous. State uses the following three allowances to recruit and retain staff at posts:", "Hardship pay compensates employees for service in foreign areas where conditions of environment differ substantially from conditions of environment in the continental United States in that the living conditions are extraordinarily difficult, involve excessive physical hardship, or are notably unhealthy. Employees assigned to designated posts can earn hardship pay at rates ranging from 5 to 35 percent above basic compensation in 5 percent increments, based on the severity of the hardship as determined by State.", "Danger pay compensates employees for service in foreign areas where conditions of civil insurrection, civil war, terrorism, or wartime conditions threaten physical harm or imminent danger to the health or well-being of the employee. Employees in designated danger pay locations are granted between 15 and 35 percent above basic compensation, in 10 percent increments, based on whether family members are allowed at overseas posts.", "The difficult-to-staff incentive differential is paid to employees assigned to a 15 percent or higher hardship pay post after State has determined that especially adverse conditions of environment warrant additional pay as an incentive to fill the employee\u2019s position at that post. State must establish a history of difficulty in filling positions at a post prior to posts being eligible for this incentive. For example, employees posted in Lagos, Nigeria, were eligible for this allowance following the 2016 bidding cycle. Employees filling these positions can earn 15 percent above their basic compensation. However, the difficult-to-staff incentive and danger pay allowance combined cannot exceed 35 percent of basic pay. Employees must agree to a 3-year assignment to receive the difficult-to-staff incentive."], "subsections": []}, {"section_title": "Quarters Allowances", "paragraphs": ["Quarters allowances reimburse employees for substantially all costs for either temporary or residence quarters at posts where government housing is not provided. According to State officials, while most overseas posts provide government-leased or owned housing for employees and their families at no cost to the employee, employees can receive the following three allowances to assist with housing costs:", "The living quarters allowance defrays the annual cost of suitable, adequate living quarters for the employee and his or her family at an overseas post where government-leased or government-owned housing is not provided. Rates vary by post and are designed to substantially cover the average employee\u2019s costs for rent, utilities, required taxes levied by the local government, and other allowable expenses. According to State officials, while most posts provide government housing, employees assigned to posts in Canada and Bern, Switzerland, for example, primarily rely on the rental market.", "The temporary quarters subsistence allowance assists with the reasonable cost of temporary lodging, meals, and laundry in a foreign area when an employee first arrives at a new post and permanent quarters are not yet available, or when an employee is getting ready to depart the overseas post permanently and must vacate residential quarters. The rate is based on the per diem at post, the size of an employee\u2019s family, and the amount of time the employee receives the allowance. Employees cannot receive this allowance while receiving the post allowance.", "The extraordinary quarters allowance is typically granted for up to 90 days to employees and eligible family members at an overseas post when they are required to partially or completely vacate their permanent quarters because of renovations, repairs, or unhealthy or dangerous conditions in their permanent quarters. The rate is based on the per diem at post, post allowance, and family size. In contrast to the temporary quarters subsistence allowance, employees can continue to receive the post allowance when they receive the extraordinary quarters allowance."], "subsections": []}, {"section_title": "Other Allowances", "paragraphs": ["State offers two additional allowances designed to reimburse employees who must maintain an official residence or employees who incur expenses representing the U.S. government in an official capacity to a foreign government.", "The official residence expense reimburses a principal representative, such as an ambassador, at an overseas post for expenses related to operating and maintaining a suitable official residence in-country when those expenses exceed the usual expenses incurred if he were serving at the post in any other official capacity. The allowance is intended to offset the cost of representing the United States abroad when a principal representative extends official hospitality to foreign dignitaries and important visitors and by hosting appropriate ceremonies (for an example, see fig. 3). Generally, principal representatives are expected to direct at least 3.5 percent of their salary toward maintaining their residences, and State may reimburse expenses above that.", "The representation allowance reimburses employees, including foreign national employees, and adult family members acting with or on behalf of employees, for expenses incurred in establishing and maintaining relationships of value to the United States in foreign countries. Reimbursement may include costs for entertainment and customary gifts or gratuities; for entertainment expenses, it must be clearly demonstrated that the purpose is to directly promote U.S. foreign policy interests, that the expenditure is not for personal recreation, and that it is not otherwise prohibited by regulation."], "subsections": []}]}, {"section_title": "State Spent Almost $480 Million Annually on Allowances for Its Employees Serving Overseas, Totaling Almost $2.9 Billion in Fiscal Years 2011\u2013 2016", "paragraphs": [], "subsections": [{"section_title": "State Spent about 70 Percent of Its Total Spending on Allowances from Fiscal Years 2011 through 2016 on the Education Allowance, Hardship Pay, and Post Allowance", "paragraphs": ["State spent $2.9 billion on 14 allowances from fiscal years 2011 through 2016, 70 percent of which went to the three most expensive allowances\u2014 the education allowance, hardship pay, and post allowance. The education allowance accounted for 30 percent of the total ($853.0 million), hardship pay accounted for 25 percent ($732.3 million), and the post allowance accounted for 15 percent ($417.3 million). The other 11 allowances accounted for the remaining 30 percent of the total ($870.0 million) in fiscal years 2011 through 2016 (see fig. 4). Each of these 11 allowances accounted for less than 10 percent of total spending, ranging from danger pay ($266.5 million) to the educational travel allowance ($11.4 million). For additional information on State spending across all 14 allowances by fiscal year, see appendix II."], "subsections": []}, {"section_title": "State Spent Almost $480 Million Annually in Fiscal Years 2011\u20132016, with Individual Allowances Varying", "paragraphs": ["State spent almost $480 million annually on the 14 allowances from fiscal years 2011 through 2016, with varying amounts for individual allowances. The lowest annual spending on such allowances during this period was $462.3 million in fiscal year 2011 and the highest was $496.1 million, in fiscal year 2014 (see fig. 5).", "Trends in spending for individual allowances varied from fiscal years 2011 through 2016, with the largest variation in spending from the cost-of-living allowances. The largest increase in absolute spending across all allowances during this period, as well as the largest single allowance expenditure, was for the education allowance ($39.7 million). While the overall spending for dependent education increased each year, State officials noted that the spending on this allowance varied by post and year based on the number of dependent children of overseas employees and increasing education costs at some posts. The largest decrease in absolute spending across all allowances during this period was for the post allowance ($21.1 million). According to State officials, this variation was caused, at least in part, by fluctuation in the strength of the dollar against major global currencies. The other cost-of-living allowances\u2014 SMA, home service transfer, foreign transfer, and educational travel\u2014had relatively smaller fluctuations in dollar spending across fiscal years. For example, State explained that the region\u2019s increased volatility from the \u201cArab Spring\u201d may have contributed to the change in SMA spending from fiscal years 2011 to 2012 (see fig. 6). According to State officials, this unrest likely caused more volatile security situations at many State posts, resulting in fewer family members of overseas employees living at the assigned post of their parent or spouse, and, therefore, an increase in SMA support.", "Recruitment and retention incentive allowances had the largest net decrease in allowance spending from fiscal years 2011 through 2016, about $10.6 million. Hardship pay increased by $5.3 million, with its largest single year change between fiscal years 2015 and 2016 following State\u2019s 2015 revisions to its process for determining hardship pay rates. In conjunction with an increase in hardship pay, danger pay decreased by $15.6 million during this period. The difficult-to-staff incentive differential remained relatively constant, decreasing by about $264,000 (see fig. 7).", "State\u2019s spending on quarters allowances decreased from fiscal years 2011 through 2016 by almost $1 million. According to State officials, over this period State shifted employees from the living quarters allowance into U.S. government owned and leased facilities. They explained that, as of August 22, 2017, a limited number of posts in Canada and Switzerland relied primarily on the living quarters allowance, as opposed to U.S. government-provided housing. For the extraordinary quarters allowance, State officials explained that short-term, unexpected facilities issues that render a house uninhabitable\u2014such as water damage, mold remediation, or fire\u2014cause variations in spending. These costs can vary significantly by year and by post. Spending on the temporary quarters subsistence allowance increased by $1.6 million from fiscal years 2011 through 2016 (see fig. 8).", "The other allowances category consists of the official residence expense and representation allowances. The official residence expense spending at posts decreased by $2.6 million from fiscal years 2011 through 2016. The representation allowance increased by $6.6 million during the same period (see fig. 9)."], "subsections": []}, {"section_title": "State\u2019s Spending on the Post Allowance, Separate Maintenance Allowance, Hardship Pay, and Danger Pay Varied Substantially by Country in Fiscal Years 2011\u20132016", "paragraphs": ["State\u2019s spending on the post allowance, SMA, hardship pay, and danger pay varies substantially by country because these expenditures are determined by factors specific to each post and allowance. For the post allowance, spending by country reflects allowance rates, the number of State employees, and the size of State employees\u2019 families at each of the country\u2019s posts. Spending for SMA, by country, depends upon the number of State employees maintaining their families away from post. Spending for hardship pay and danger pay, by country, reflects the allowance rate and number of State employees permanently assigned to posts in each country. For example, in fiscal year 2016 State spent about the same amount on hardship pay in Dhaka, Bangladesh (a post eligible for 35 percent hardship pay), as it did in Bangkok, Thailand (a post eligible for 10 percent hardship pay) because State had more than twice as many personnel assigned to Thailand as to Bangladesh.", "Figure 10 shows a map of State\u2019s post allowance spending by country for fiscal years 2011 through 2016. State provided this allowance in about 170 countries worldwide in that period.", "Figure 11 shows State\u2019s spending on SMA. Employees received an SMA across about 170 countries from fiscal year 2011 through 2016.", "Figure 12 shows State\u2019s spending on hardship pay. About 140 countries had posts eligible for hardship pay from fiscal years 2011 through 2016.", "As illustrated in figure 13, countries with danger pay spending in fiscal years 2011 through 2016 are largely concentrated in the Middle East and Africa. Employees from posts in about 30 countries received danger pay from fiscal years 2011 through 2016. Several countries with danger pay spending during this period\u2014including Mexico, Colombia, and Saudi Arabia\u2014were no longer eligible for danger pay as of February 5, 2017."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to State for comment. State provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of State. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-8980 or courtsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to (1) describe the allowances the Department of State (State) offers its employees serving overseas and (2) examine the amount State spent annually on these allowances from fiscal years 2011 through 2016.", "To describe the different allowances offered by State to employees serving overseas, we reviewed the Foreign Affairs Manual (FAM), Foreign Affairs Handbooks, the Department of State Standardized Regulations, and other State information. We selected 14 allowances to include in our scope based on 3 FAM Exhibit 3210. From this list we excluded the advance-of-pay allowance because it is not an additional outlay from State\u2019s budget.", "To examine State\u2019s spending at overseas posts for these allowances, we analyzed data in fiscal years 2011 through 2016 from State\u2019s Consolidated American Payroll Processing System and State\u2019s Global Financial Management System, which are administered by State\u2019s Bureau of the Comptroller and Global Financial Services (CGFS). We used the Global Financial Management System, State\u2019s accounting system, to analyze the foreign transfer, home service transfer, education allowance, educational travel, difficult-to-staff incentive, living quarters, temporary quarters subsistence, extraordinary living quarters, official residence expense, and representation allowances. We used the Consolidated American Payroll Processing System, State\u2019s payroll system, to analyze post allowance, separate maintenance allowance (SMA), hardship pay, and danger pay expenditures, including information on the outlays by country. Because CGFS processes these four allowances through payroll, it provided us with spending data for the 26 pay periods that best approximated each fiscal year from 2011 through 2016, and we used these data to summarize spending by fiscal year.", "All spending in this report is presented in nominal dollars. We also used the gross domestic product price index to analyze trends in hardship and danger pay, expressed in terms of constant (inflation-adjusted) dollars. To assess the reliability of the data that State provided, we performed testing to identify missing data, outliers, and errors; and interviewed Office of Allowances officials in Washington, D.C., and CGFS officials in Charleston, South Carolina. We determined that the data we used were sufficiently reliable for the purposes of summarizing spending by country for the post allowance, SMA, hardship pay, and danger pay and by fiscal years 2011\u20132016 for all allowances. We also communicated with State officials from the Office of Allowances, CGFS, and the Bureau of Overseas Building Operations about changes in allowance expenditures over time.", "We conducted this performance audit from May 2017 through November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our description and analysis based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Department of State Spending for Allowances for Employees Serving at Overseas Posts, Fiscal Years 2011\u20132016", "paragraphs": ["Appendix II: Department of State Spending for Allowances for Employees Serving at Overseas Posts, Fiscal Years 2011\u20132016 417,283 37,900 46,441 55,019 852,972 11,367 (21,055) (347)"], "subsections": [{"section_title": "Education travel Recruiting and retention incentive allowances Hardship differential", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hynek Kalkus (Assistant Director), Alana Miller (Analyst-in-Charge), Ashley Alley, Timothy Carr, Debbie Chung, Gita Devaney, Neil Doherty, Jill Lacey, Drew Lindsey, and Eli Stiefel made key contributions to this report."], "subsections": []}]}], "fastfact": ["The State Department has 14 allowances that compensate employees for living overseas. For example, a post allowance helps offset the cost of living in areas more expensive than Washington, D.C., an education allowance covers the cost of sending children to school overseas, and a hardship allowance pays employees up to 35% more to serve in difficult places.", "In an earlier report, we focused on hardship and danger pay. In this report, we looked at what State spent on all of its allowances, which amounted to about $2.9 billion from 2011 to 2016. The education allowance, hardship pay, and post allowance accounted for about 70 percent of the total."]} {"id": "GAO-18-320", "url": "https://www.gao.gov/products/GAO-18-320", "title": "U.S. Patent and Trademark Office: Assessment of the Covered Business Method Patent Review Program", "published_date": "2018-03-12T00:00:00", "released_date": "2018-03-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Patents can promote innovation by giving inventors exclusive rights to their inventions, and patent owners can bring infringement lawsuits against anyone who uses, makes, sells, offers to sell, or imports a patented invention without authorization. As GAO previously reported, such lawsuits can take years and cost several million dollars. USPTO's CBM program provides a trial proceeding to challenge a patent's validity at USPTO's board for, according to stakeholders, a fraction of the time and money that would be spent in the federal courts. The CBM program began in September 2012 and is slated to sunset in September 2020.", "GAO was asked to examine the CBM program. This report (1) describes the extent to which the program has been used to challenge patents, and the results of those challenges; (2) examines the extent to which USPTO ensures timeliness of trial decisions, reviews decisions for consistency, and engages with stakeholders to improve proceedings for the program; and (3) discusses stakeholder views on the effects of the program and whether it should be extended past its sunset date. GAO analyzed CBM trial data from September 2012 through September 2017, reviewed USPTO documents, and interviewed 38 stakeholders, such as legal and academic commentators, selected for their knowledge of or direct involvement in such trials."]}, {"section_title": "What GAO Found", "paragraphs": ["From September 2012 through September 2017, entities facing patent infringement lawsuits filed 524 petitions challenging the validity of 359 patents under the U.S. Patent and Trademark Office's (USPTO) covered business method (CBM) program, resulting in decisions against about one-third of these patents. The CBM program provides entities facing infringement lawsuits an opportunity to challenge the validity of a business method patent by demonstrating that it did not meet requirements for patentability. Business method patents focus on ways of doing business in areas such as banking or e-commerce. The rate of filing petitions over this period has fluctuated but has generally declined since 2015, and none were filed in August or September 2017.", "USPTO has taken several steps to ensure the timeliness of trial decisions, review past decisions, and engage with stakeholders to improve proceedings under the program:", "Timeliness: USPTO regularly informs relevant parties about paperwork requirements and due dates throughout trials. According to program data, as of September 2017, all 181 completed trials were completed within statutorily required time frames.", "Decision review: USPTO has taken several steps to review its decisions and has monitored the rate at which the Court of Appeals for the Federal Circuit affirms or reverses them. However, USPTO does not have guidance, such as documented procedures, for reviewing trial decisions, or the processes leading to decisions, for consistency. Without guidance, such as documented procedures, USPTO cannot fully ensure that it is meeting its objective of ensuring consistency of decisions.", "Stakeholder engagement: USPTO judges have engaged with stakeholders by participating in public roundtables and webinars, and attending judicial conferences, among other things.", "Stakeholders GAO interviewed generally agreed that the CBM program has reduced lawsuits involving business method patents in the federal courts. While many stakeholders favored maintaining aspects of the program, there was not strong consensus among stakeholders for how future trials should be designed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that USPTO develop guidance, such as documented procedures, for reviewing trial decisions for consistency. USPTO agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["To promote the progress of science and useful arts, the Constitution grants Congress the power to provide inventors with exclusive rights to their inventions\u2014in the form of patents\u2014for a limited time. Congress has done so by enacting statutes governing the issuance of patents, which generally allow patent owners to exclude others from making, using, selling, or importing the patented invention for up to 20 years from the date on which the application for the patent was filed at the U.S. Patent and Trademark Office (USPTO). By restricting competition, patents allow their owners to earn greater profits on inventions than if the inventions could be freely imitated. USPTO receives hundreds of thousands of applications each year from inventors seeking patents. By law, before granting a patent, USPTO must determine whether a patent application meets patentability requirements for subject matter; novelty; non- obviousness; and clarity and specificity.", "Business methods\u2014which are ways of doing business in areas such as e-commerce, insurance, banking, or stock trading\u2014were generally thought to be unpatentable until a 1998 court ruling (State Street Bank). USPTO officials told us they saw a swift increase in the number of applications for business method patents after that ruling. In part because USPTO examiners were less trained in business methods, examiners issued some patents for business methods that did not meet the clarity and specificity requirements because they were insufficiently detailed to enable someone to make and use the inventions. Examiners also issued some patents for technologies that were well known to people in the field, rather than for novel inventions. For example, the technologies for imaging, storage, and transmittal of financial data were in widespread use before two patents for these technologies were issued in June 1999 and February 2000 following the State Street Bank ruling. The owner of these two patents, DataTreasury, sued some of the nation\u2019s largest banks for patent infringement. Many banks settled the lawsuits for undisclosed amounts and paid licensing fees to keep using these technologies rather than engage in what might have been a costly court battle. In one case, a federal judge ordered a bank to pay DataTreasury more than $53 million for willful infringement. In April 2015, one of the DataTreasury patents was ultimately ruled unpatentable by USPTO; the second was ruled unpatentable in September of that year. Those invalidity rulings were affirmed by the U.S. Court of Appeals for the Federal Circuit in October 2016.", "In the late 2000s, legal commentators, technology companies, and others began raising questions about whether the patent system was working well to promote innovation. In particular, questions were raised about an increase in the number of low-quality patents\u2014those that should not have been granted because they do not meet the patentability requirements. Questions were also raised about the increase in patent infringement litigation, especially in the software and technology sectors. A common theme of such questions was whether this type of patent litigation was driven by patent owners asserting low-quality software and business method patents solely to force costly monetary settlements, which could pull resources away from research and development and other activities more closely aligned with innovation. In June 2016, we reported that the majority of defendants in patent infringement lawsuits between 2009 and 2015 were accused of infringing software and business method patents. That report recommended USPTO take a number of steps aimed at improving patent quality, especially relative to software and business method patents. USPTO agreed with our recommendations and is working to address them.", "In 2011, Congress passed the Leahy-Smith America Invents Act (AIA), which authorized three administrative proceedings for challenging an issued patent\u2019s validity, including the Transitional Program for Covered Business Method Patents (CBM program). A \u201ccovered\u201d business method patent is a patent that claims a method or corresponding apparatus for performing data processing or other operations used in the practice, administration, or management of a financial product or service. All three of the new administrative proceedings took effect in September 2012, allowing entities facing patent infringement lawsuits an opportunity to demonstrate that the patents should not have been granted because they did not meet the requirements for patentability. The proceedings are held before administrative patent judges at USPTO\u2019s Patent Trial and Appeal Board and, as reported by the House of Representatives Committee on the Judiciary, were intended to provide a more efficient and less costly alternative to district court for deciding patent validity. The CBM program is slated to sunset in September 2020.", "You asked us to examine the CBM program. This report (1) describes the extent to which the CBM program has been used to challenge patents, and the results of those challenges; (2) examines the extent to which USPTO ensures timeliness of trial decisions, reviews decisions for consistency, and engages with stakeholders to improve its administrative proceedings for the program; and (3) discusses stakeholder views on the effects of the CBM program and whether it should be extended past its scheduled September 2020 sunset date.", "To describe the extent to which the CBM program has been used to challenge patents, and the results of those challenges, we obtained data on board proceedings from RPX Corporation and Unified Patents. These data included information on all proceedings from September 2012 through September 2017. We tested the quality of the data, interviewed relevant officials, and reviewed relevant documentation for the data. We found the data to be sufficiently reliable to describe board petitions and their outcomes. To provide context for our findings, we compared the data for the CBM program with data for inter partes review, another type of administrative proceeding for challenging patent validity.", "To examine the extent to which USPTO ensures timeliness of trial decisions, reviews decisions for consistency, and engages with stakeholders to improve its administrative proceedings for the program, we reviewed the AIA and USPTO documents and interviewed USPTO officials and stakeholders. We assessed USPTO\u2019s efforts to review decisions for consistency against federal standards for internal control and USPTO\u2019s current strategic plan.", "To obtain stakeholder views on the effects of the CBM program and whether it should be extended, we conducted semistructured interviews with 38 stakeholders knowledgeable about the CBM program. To identify these stakeholders, we first identified the following sets of stakeholder groups: board petitioners and patent owners, attorneys in board proceedings, technology trade groups, public interest groups, legal and academic commentators, and venture capitalists. We then selected knowledgeable stakeholders based on a set of criteria we developed for each group. For example, we selected petitioners who challenged multiple patent owners using the CBM program, petitioners who had used other review programs heard by the board, and petitioners from a range of industries such as banks, other financial institutions, and technology companies. We selected patent owners who had experience defending more than one patent using the CBM program or who had defended a patent in more than one challenge, and patent owners of different types: individual inventors, operating companies, and non-practicing entities. The selected stakeholders did not form a random, statistically representative sample of all relevant stakeholders, so we cannot generalize the results of the interviews to the relevant total population, but the stakeholders did provide a broad spectrum of opinions on the CBM program. We identified key themes and sub-themes from the stakeholder interviews by using qualitative analysis software to group the responses. We then analyzed and categorized the themes to draw inferences about the CBM program by examining the amount and nature of agreement and disagreement between stakeholder responses and by assessing the strength of the arguments supporting each response. We also considered the way in which stakeholders\u2019 interests could influence their responses. In addition, we analyzed data from RPX Corporation on patent infringement lawsuits filed in all 94 federal district courts from January 2007 through June 2017. To assess the reliability of these data, we electronically and manually tested these data for reasonableness and interviewed knowledgeable officials, and we found these data to be sufficiently reliable to allow us to identify trends in patent litigation over a period from 5 years before the Patent Trial and Appeal Board proceedings began to 5 years after their implementation. Appendix I provides more detail on our scope and methodology.", "We conducted this performance audit from November 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient and appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides an overview of patenting in the United States, patent infringement litigation, and administrative proceedings for patent validity challenges. It also includes a brief history of court decisions that clarified eligibility requirements for the Patent Trial and Appeal Board\u2019s CBM program. See \u201cRelated GAO Products\u201d at the end of this report for a list of our prior work related to patents and intellectual property."], "subsections": [{"section_title": "Patenting in the United States", "paragraphs": ["In the United States, patents may be granted by USPTO for any new and useful process or machine, or any new and useful improvement on an existing process or machine, but there are some exceptions. Laws of nature, physical phenomena, and abstract ideas are not patentable. The U.S. Supreme Court and the U.S. Court of Appeals for the Federal Circuit have refined the boundaries of these exceptions over time, allowing some subject matter that was previously not patentable to become so. For example, U.S. Supreme Court decisions in the 1970s found mathematical formulas used by computers (i.e., software) were like laws of nature and therefore not patentable subject matter. However, a 1981 Supreme Court decision overturned USPTO\u2019s denial of a patent application for a mathematical formula and a programmed digital computer because, as a process, the claimed invention was patentable subject matter. Similarly, business methods were widely considered unpatentable subject matter until 1998, when the U.S. Court of Appeals for the Federal Circuit ruled in the State Street Bank decision that they were patentable. In 2014, however, the Supreme Court effectively limited the patentability of some business methods by ruling in Alice Corp.", "Pty. Ltd. v. CLS Bank Int\u2019l that using a generic computer to implement an abstract idea is not patentable.", "Traditionally, economic theory has held that intellectual property rights, such as those conferred by patents, can help encourage innovation and stimulate economic growth. Exclusive rights provided by patents, for example, can help patent owners recoup investments in technology and earn greater profits than if their patented technologies could be freely imitated. Moreover, to the extent that intellectual property rights encourage specialization, innovators may be more productive than they would be in the absence of patent laws. Because of complex trade-offs, however, some economists hold a more nuanced view of the potential for patents to promote innovation and increase productivity. By increasing the cost of using technologies, for example, patents may discourage not only diffusion of these technologies but also cumulative innovation that uses such technologies to develop new technologies. In addition, attempts to quantify the effect of patents on economic growth often fail to account for the creation of useful knowledge outside the patent system. Furthermore, to the extent that innovation occurs in the absence of patent laws, the need for patents can vary across industries or over time. Some researchers have suggested that some patents are currently limiting innovation, especially in areas such as software and computer technologies that overlap with business methods.", "USPTO receives hundreds of thousands of applications each year from inventors seeking patents to protect their work. According to USPTO data, applications for patents have increased in recent years, and the share of patents granted for business methods has significantly increased over the past 2 decades (see fig. 1). In calendar year 2014, patents related to business methods accounted for more than 28 percent of all issued patents.", "A patent\u2019s claims define the legal boundaries of the invention, often in complex technical language. A patent application can be written to define an invention broadly or narrowly. Patent applicants often prefer broader claims because their competitors are less able to avoid infringement by making only small changes to their patented invention, as we reported in June 2016.", "Before issuing a patent, USPTO patent examiners determine whether claimed inventions in the application meet requirements for patentable subject matter, novelty, non-obviousness, and clarity\u2014the four patentability grounds that are established by statute. Patent examiners assess whether the claimed invention consists of patentable subject matter and also ensure that the claims are described clearly enough to enable a person skilled in the art to make the claimed invention. In addition, examiners determine whether a patent application\u2019s claimed invention is novel and non-obvious by comparing the application\u2019s content to \u201cprior art\u201d\u2014 existing patents and patent applications both in the United States and abroad, as well as non-patent literature such as scientific articles.", "In February 2015, USPTO launched an Enhanced Patent Quality Initiative, which included several proposals designed to improve the quality of patent examination and issued patents. However, we found in June 2016 that USPTO faced challenges in issuing patents in accordance with standards. For example, we found that a majority of examiners (67 percent) said they have somewhat or much less time than needed to complete an examination, given a typical workload, and many examiners felt a time pressure that reduced their ability to conduct thorough searches. Examiners also said that it was difficult to issue patents that met the statutory requirements because of the limited availability of and access to non-patent prior art such as offers for sale and public use. Examiners said another limitation is their being responsible for examinations in subject areas in which they do not have adequate technical knowledge. We made seven recommendations to USPTO aimed at improving patent quality, clarity, and prior art search. USPTO agreed with the recommendations and is working to address them."], "subsections": []}, {"section_title": "Patent Infringement Litigation", "paragraphs": ["Patent owners can bring infringement lawsuits against anyone who uses, makes, sells, offers to sell, or imports the patented invention without authorization. Only a small percentage of patents in force are ever litigated, but some scholars believe that low-quality patents can make such litigation not only more complex and expensive but also more frequent. During an infringement case, the accused infringer may seek to have the lawsuit dismissed by showing the patent is invalid. When the courts rule on validity, they generally invalidate almost half of the patents, according to academic research.", "Exactly what a patent covers and whether another product infringes the patent\u2019s claims are rarely easy questions to resolve in litigation, and defending a patent infringement lawsuit in district court can take years and cost millions of dollars, not including damages if infringement is found. Whatever the outcome, costly litigation can leave defendants with fewer resources for innovation. Consequently, patent infringement defendants often find it in their best interest to settle lawsuits quickly, as we reported in August 2013."], "subsections": []}, {"section_title": "Administrative Proceedings for Challenging Patent Validity before the Patent Trial and Appeal Board", "paragraphs": ["The AIA in 2011 created the Patent Trial and Appeal Board and stated any references in federal law to USPTO\u2019s then-existing Board of Patent Appeals and Interferences be deemed to refer to the new board. By statute, the Patent Trial and Appeal Board consists of the USPTO Director, Deputy Director, Commissioner for Patents, Commissioner for Trademarks, and administrative patent judges. In practice, to issue decisions in the matters that come before it, the board involves more than 300 people serving in many positions, according to the board. The board is led by the Chief Judge and Deputy Chief Judge, who, along with other members of senior management, meet regularly to discuss operational and procedural matters of importance to the board\u2019s overall mission, according to the board.", "The AIA created three new administrative proceedings for the board to administer, each with different statutory rules (see table 1). Two proceedings were made permanent:", "Post-grant review provides a 9-month opportunity following the issuance of a patent during which a third party can file a petition to challenge a patent\u2019s validity on any of the four statutory grounds: subject matter eligibility, novelty, non-obviousness, and clarity.", "Inter partes review is available to third parties for the life of the patent, but on a limited set of grounds (non-novelty or obviousness), and on a limited set of acceptable prior art (previously issued patents and printed publications).", "The third proceeding\u2014the CBM program\u2014was included in the act as a temporary proceeding that can be used to challenge a patent at any point in its life, as allowable under the inter partes review program. However, under the CBM program, only a party (e.g., a company or an individual) that is sued or charged in an infringement suit can petition. Such petitioners can challenge a patent\u2019s validity on any of the four statutory grounds without the limits on prior art in inter partes review. Additionally, rules about which arguments parties are officially barred from being raised again in later legal actions (called estoppel provisions) are less restrictive under the CBM program than for the other two board proceedings. However, the body of patents that qualify for review under the CBM program is limited to those that claim a non-technological method involved in the practice, administration, or management of a financial service or product. A patent is \u201ctechnological\u201d if it claims a technological feature that solves a technical problem using a technical solution. Many software and business method patents issued in the wake of State Street Bank describe implementing an abstract idea on a generic computer. Since the Supreme Court\u2019s 2014 decision in Alice, which closely aligns with the CBM program\u2019s \u201cnon-technological\u201d designation, these types of ideas are no longer thought to be patentable.", "Inter partes review is the most-used of the proceedings created by the AIA and the one stakeholders we interviewed were most familiar with when they discussed the Patent Trial and Appeal Board. The other proceedings have been used less frequently, likely because of the short window for filing a challenge, in the case of post-grant review, and because of additional restrictions on what patents may be challenged, in the case of CBM.", "Under statute and regulation, the full review process at the Patent Trial and Appeal Board for any of the three proceedings generally takes up to 18 months and comprises two phases: (1) the petition phase, which lasts up to 6 months, and (2) the trial phase, which generally lasts up to 12 months. During the petition phase, the petitioner\u2014typically a party accused of patent infringement, in the CBM program\u2014 files a petition challenging the validity of one or more of the patent\u2019s claims and pays fees for each challenged claim. In some cases, a petitioner will file more than one petition challenging a patent. This might occur when a petitioner is constrained by the maximum number of pages allowed in a petition. Multiple petitions can also be filed against a single patent if the patent owner has sued more than one party for infringement, and each files a separate petition challenging the patent\u2019s validity. Petitioners might also file a petition under more than one proceeding, either concurrently or sequentially.", "When a petition is received and the fees paid, administrative personnel of the board, under direction of the Chief Judge, assign three technically trained administrative patent judges to the case. According to agency documents, these three-judge panels are put together taking into account many factors, including technical experience, experience at the board, potential conflicts of interest, and availability. The patent owner may then, within 3 months of the petition date, file a preliminary response to the petitioner\u2019s arguments. Within 3 months of submission of any preliminary response, or the last date on which such response may be filed, the panel of judges determines whether to allow the petition to move to the trial phase for review. This determination is called the \u201cinstitution decision.\u201d According to statute and regulations, in the case of the CBM program and post-grant review, a panel of judges may not institute a review unless the information presented in the petition, if not rebutted, would demonstrate that it is \u201cmore likely than not\u201d that at least one of the claims challenged in the petition is unpatentable, or in the case of inter partes review, if the petitioner has a \u201creasonable likelihood\u201d of prevailing.", "The first step in the trial phase is discovery (a step that exists in all federal civil litigation), during which the parties produce documents or testimony relevant to the challenged claims. Each party has 3 months to file discovery documents for the panel of judges\u2019 review. If a petitioner and patent owner do not settle a case or it does not otherwise terminate, the case will proceed to the oral hearing. The hearing is an opportunity for the parties to make their strongest arguments and to answer judges\u2019 questions, according to a board official, and after the hearing, the panel of judges will deliberate over the course of a few weeks or months and then issue its final written decision. The final written decision must be issued within 1 year of the institution decision, with limited exceptions. The patent owner may, for example, cancel one or more claims in the patent in an attempt to avoid institution of the trial.", "Figure 2, shows the progression of a case from the petitioner\u2019s filing to the panel of judges issuing a final written decision.", "Under its Standard Operating Procedures, every Patent Trial and Appeal Board decision is, by default, a routine opinion until it is designated as \u201crepresentative,\u201d \u201cinformative,\u201d or \u201cprecedential.\u201d", "Representative decisions typically provide a representative sample of outcomes on a particular matter; they are not binding authority.", "Informative decisions provide norms on recurring issues, guidance on issues of first impression, and guidance on the board\u2019s rules and practices; they are not binding authority.", "Precedential decisions are binding authority and emphasize decisions that resolve conflicts or address novel questions.", "Nominations for these designations can be made by a Patent Trial and Appeal Board judge, the Chief Judge, the Director of USPTO, the Deputy Director of USPTO, the Commissioner for Patents, or the Commissioner for Trademarks. Also, a member of the public may nominate a decision for a precedential designation within 60 days of its issuance. The Chief Judge can designate a nominated decision as representative or informative, but under Standard Operating Procedures, a precedential designation requires a majority agreement among all voting members of the board, including administrative patent judges and statutory members, as well as concurrence by the Director of the USPTO."], "subsections": []}, {"section_title": "Court Decisions on Eligibility for Review under the CBM Program", "paragraphs": ["Petitioners and patent owners may appeal the final written decisions of the Patent Trial and Appeal Board to the U.S. Court of Appeals for the Federal Circuit, just as unsatisfied plaintiffs or defendants may appeal a federal district court decision, and decisions may ultimately be appealed to the U.S. Supreme Court. The following decisions have significantly influenced the eligibility rules for CBM review, for different reasons: In Cuozzo Speed Technologies, LLC v. Lee (June 2016), the U.S. Supreme Court affirmed the board\u2019s use of the \u201cbroadest reasonable construction\u201d standard\u2014meaning the ordinary meaning that someone skilled in the art would reach\u2014to define the language of the claims during post-grant review as a reasonable exercise of the board\u2019s rulemaking authority. Defining claim language using the broadest reasonable interpretation meant that the number of business method patents that could be determined as financial in nature is larger than it would otherwise be, so more patents are potentially eligible for review under the CBM program.", "In Unwired Planet, LLC v. Google Inc. (November 2016), the U.S. Court of Appeals for the Federal Circuit ruled that the USPTO\u2019s policy of assessing whether a claim\u2019s activities were \u201cincidental\u201d or \u201ccomplementary\u201d to a financial activity was too broad a standard to apply when determining whether a patent claim was eligible for a CBM review. The court stated that, to be CBM-eligible, a patent must claim a method used in the practice, administration, or management of a financial product or service. Applying this narrower standard effectively reduced the number of patents accepted for review under the CBM program.", "In Secure Axcess, LLC v. PNC Bank Nat\u2019l Assoc. (February 2017), the U.S. Court of Appeals for the Federal Circuit clarified that a CBM patent must specifically have a claim that contains an element of financial activity in order for a patent to qualify for review under the CBM program. Like the Unwired Planet decision, the narrower standard expressed by the court has led to fewer patents being eligible for review under the CBM program."], "subsections": []}]}, {"section_title": "More Than 350 Patents Have Been Challenged under the CBM Program, and About One-Third of These Patents Were Ruled Unpatentable", "paragraphs": ["From September 2012 through September 2017, parties accused of patent infringement filed 524 petitions challenging the validity of 359 distinct patents under the CBM program, resulting in rulings against about one-third of these patents. The average monthly number of CBM petitions fluctuated during this period, but use of the program has declined since about 2015. Some stakeholders have expressed concern about multiple petitions being filed against the same patent, but our analysis of petition data showed that the vast majority of patents challenged under the CBM program were challenged once or twice. Overall, through September 2017, the Patent Trial and Appeal Board completed reviews of 329 of the 359 patents challenged under the program, and the board ruled at least some challenged patent claims unpatentable in about one-third of these patents."], "subsections": [{"section_title": "Petitioners Have Challenged the Validity of 359 Patents under the CBM Program, but Use of the Program Has Declined Overall", "paragraphs": ["Parties accused of patent infringement filed 524 petitions for patent review under the CBM program from September 2012 through September 2017, with the number of petitions per month fluctuating but tapering off over time (see fig. 3). During this 5-year period, an average of more than 9 petitions per month were filed under the CBM program, but this average rate has declined since 2015 to fewer than 5 per month in the last fiscal year, with no petitions filed in August or September 2017. As a point of comparison, the number of petitions for inter partes review has generally increased over the 5-year period.", "Stakeholders we interviewed suggested several possible reasons for the decline in CBM petitions. Specifically, some stakeholders told us that recent Federal Circuit and Supreme Court decisions that have changed what is patentable subject matter and the eligibility criteria for CBM review may have reduced the set of business method patents eligible for CBM review. Some stakeholders also suggested CBM petitioners successfully targeted the lowest-quality business method patents in the early years of the program, and now that those patents have been challenged, there are fewer patents that do not meet patentability requirements. Another possibility, according to stakeholders, is that owners of business method patents are wary of asserting their intellectual property and risking its invalidation, especially in light of the Alice decision, which effectively limited the patentability of some business methods. As a result, according to these stakeholders, fewer such patents end up in litigation and subsequently before the Patent Trial and Appeal Board. Some stakeholders also told us the CBM program has reduced patent infringement lawsuits, including some filed by non- practicing entities. In addition, a few stakeholders told us some patent owners may be waiting until after the CBM program sunsets to assert their patents."], "subsections": []}, {"section_title": "Patents Are Infrequently Challenged More Than Once or Twice", "paragraphs": ["Some stakeholders we interviewed were concerned about multiple petitions being filed against the same patents; however, our analysis showed that the vast majority of the 359 distinct patents challenged under the CBM program were challenged only once or twice under that program. Stakeholders have suggested that petitioners are, in some cases, using the CBM program and the inter partes review program as tools to increase costs borne by patent owners, and in the case of the CBM program, as a tool to delay district court proceedings. Some stakeholders have stated that the use of the AIA trials in this manner amounts to harassment, and at least one stakeholder has written letters to USPTO requesting the Director to intervene.", "However, our analysis of petition data showed that among the 359 patents challenged under the CBM program, 73.3 percent were challenged once and 18.4 percent were challenged twice during the 5- year period we reviewed. Another thirty patents, or 8.4 percent, were challenged more than twice under the CBM program during this period (see fig. 4). Of these 30 patents, in many cases multiple parties challenged a single patent; in others, a single petitioner or set of petitioners challenged a patent multiple times.", "In addition, of the 359 patents challenged under the CBM program during the 5-year period we reviewed, 92 were also challenged at least once in inter partes review. In some instances, petitioners filed concurrent petitions for CBM and inter partes review if, for example, they were unsure if the claims were eligible for a CBM review. In other instances, petitioners first sought CBM review and, when that was unsuccessful, filed an inter partes review. In these cases, petitioners may initially be seeking CBM review because of the additional grounds available for challenging the patents, and then turning to the inter partes review program if the CBM challenge proves unsuccessful. In other instances, petitioners first had success under the inter partes review program and then filed another petition under the CBM or inter partes review programs, according to our analysis of petition data.", "When including patent challenges under both the CBM and inter partes review programs, 52.1 percent of the 359 patents challenged under the CBM program were challenged once and 29.3 percent were challenged twice (see fig. 4). More than half of the patents challenged under both programs (50 of 92 patents) did not have any challenged patent claims instituted for trial under the CBM program, meaning that those patents, in many cases, did not meet the CBM program\u2019s eligibility requirements and may have been more appropriately challenged with an inter partes review.", "There are several other reasons why petitioners may file more than one petition against a single patent, according to stakeholders we interviewed. First, the board limits the number of pages that a petitioner may use to submit prior art and arguments for invalidity. Some petitioners might file more than one petition so they have room to present all of their art and arguments at once. Data we analyzed on CBM petitions show that many follow-on petitions are filed on or near the same day as the first petition, supporting this argument. Second, in some cases the patent owner may not identify all the asserted patent claims in the district court right away or may change the set of asserted claims later in the proceedings, necessitating an additional CBM or inter partes review petition to cover the new claims. Third, in order to get the expensive district court proceedings stayed\u2014that is, halted pending the board\u2019s decision on the patent\u2019s validity\u2014a petitioner may file a CBM petition on patentability or clarity grounds soon after the district court trial commences, because these arguments require limited time to formulate. Later, once the petitioner takes the time to investigate the prior art, the petitioner might file a second petition challenging the patent for non-novelty or obviousness. In our analysis of petition data, we found some examples that were consistent with this approach. Fourth, if a patent owner charges multiple entities with patent infringement, each of the alleged infringers has an individual right to file a petition challenging the patent\u2019s validity. The defendants in the infringement suits who become petitioners at the board may collaborate with one another and join their cases, but they may also choose to file petitions individually. In our analysis of petition data, we found examples of both. Petitioners might choose to join their cases in order to share the cost of counsel, while others may choose not to join their cases, perhaps because they use substantially different art and arguments in their petitions.", "Our analysis of the petition data found some examples of multiple petitions against a single patent that may raise questions about the legitimacy of the follow-on petitions. In some instances, a second, follow- on petition challenging the patent\u2019s validity on the same statutory grounds as it did in the first petition was filed by the same petitioner after the first petition was denied institution. This type of multiple petitioning may occur when, for instance, a procedural termination resulted from a technical error in the first petition. Board officials said it may also occur because a petitioner is using the first denial of institution to alter the arguments and guide the second petition, a strategy that the board has labeled \u201croad- mapping.\u201d In other instances, a single petitioner filed a second, follow-on petition challenging the patent on different statutory grounds after the first petition was denied institution. These follow-on petitions may be legitimate attempts to correct simple errors in the first petitions, or they may reflect practices that might raise questions about whether the program is being used as intended.", "Patent Trial and Appeal Board officials are aware of concerns over multiple petitions and recently concluded a study about the prevalence of such practices in relation to all three types of proceedings created by the AIA. The board found that almost two-thirds (63.4 percent) of follow-on petitions were filed on or near the same day as the first petition. Nearly three in four (72.4 percent) follow-on petitions were filed before the institution decision on the first petition. These findings suggest that most petitioners are not waiting to use the board\u2019s decision of non-institution as a guide for developing a second petition. Moreover, the board officials we interviewed told us they are empowered to deny a petition if they determine the petition presents the same or substantially the same prior art or arguments previously presented in another petition. Board officials told us they had denied several recent petitions on this basis. In addition, in a recent precedential opinion, the board clarified the characteristics it looks for to determine whether it should deny an inter partes review when a petitioner submits a follow-on petition. These characteristics include whether the petitioner previously filed a petition against the same patent claims; whether the petitioner provides adequate explanation for the time elapsed between filing two or more petitions against the same patent claims; and whether the petitioner knew, or should have known, about the prior art presented in the second petition at the time of the first petition."], "subsections": []}, {"section_title": "Claims Have Been Ruled Unpatentable in More Than One-Third of Patents Challenged under the CBM Program", "paragraphs": ["The Patent Trial and Appeal Board has ruled unpatentable some or all of the patent claims instituted for trial in about one-third of challenged patents and about one-third of petitions under the CBM program. Data on petition outcomes, however, are open to different interpretations depending on how they are presented. For example, board judges ruled some or all of the patent claims considered at trial unpatentable in 96.7 percent of petitions (175 of 181) under the CBM program for which they issued a final written decision from September 2012 through September 2017. On the basis of this statistic, the board could seem to invalidate the majority of the patents it reviews, as noted by some stakeholders. However, this outcome is predictable given the criteria for institution of a CBM trial\u2014a judge panel will institute a petition to the trial phase if it is \u201cmore likely than not\u201d that at least one of the claims challenged in a petition is unpatentable\u2014which tips outcomes for instituted petitions toward rulings of unpatentability. In addition, board judges did not issue final written decisions for all petitions that enter the trial phase because the parties often reach a settlement before the final written decision. When taking into account all of the CBM petitions that had an outcome as of Sept 30, 2017, board judges ruled some or all of the claims considered at trial unpatentable in 35.6 percent of the cases (175 of 492).", "The results are similar when considered by patent rather than by petition. Specifically, for patents challenged between September 2012 and September 2017 and for which a final written decision was issued in at least one petition, 95.2 percent of patents (120 of 126) had some or all the patent claims that were instituted for trial ruled unpatentable. However, because not all challenged patent claims are instituted for trial and because final written decisions are not issued for all petitions that enter the trial phase, it is also accurate to say the board judges ruled some or all of the patent claims unpatentable for 36.5 percent of challenged patents (120 of the 329) that had an outcome as of September 30, 2017 (see fig. 5).", "Changes in petition outcomes over time also challenge the idea that the board invalidates most patents it reviews. In particular, the percentage of CBM petitions instituted for trial has decreased over time (see fig. 6). In 2012, about 80.0 percent of CBM petitions had some or all challenged claims instituted. In comparison, in 2016 about 53.5 percent of CBM petitions had some or all claims instituted. Preliminary data for 2017 suggests that this trend might continue: through September 2017, about 38.5 percent of CBM petitions had some or all claims instituted. Similar to the decline in number of petitions filed, this trend might have a few explanations, according to stakeholders. Specifically, board panels might be less likely to institute a petition for trial based on conclusions of the U.S. Court of Appeals for the Federal Circuit in Unwired Planet and Secure Axcess. Another possibility is that the patents in earlier cases represented the easiest targets for validity challenges, and thus the more recent challenges are based on shakier legal grounds and less likely to meet the CBM program\u2019s institution threshold.", "In addition to declining institution rates, there has been an increase in the percentage of CBM petitions that settle before reaching an outcome. Specifically, the percentage of cases where the parties settled their dispute either before or after the institution decision increased from about 6.7 percent in 2012 to about 28.9 percent in 2016. When a case before the board is settled, it generally concludes any concurrent district court infringement case. The patent owner\u2019s intellectual property remains in place, and the patent owner is free to assert the patent against other alleged infringers later."], "subsections": []}]}, {"section_title": "The Board Met Timeliness Requirements and Has Taken Steps to Analyze Decisions and Improve Proceedings but Does Not Have Guidance to Ensure Decision Consistency", "paragraphs": ["The Patent Trial and Appeal Board has completed all trials under AIA- authorized proceedings within statutorily directed time frames, according to board data, and the board has taken steps to review issues that could affect the consistency of its trial proceedings and decisions and to engage with stakeholders to improve its proceedings. To ensure timeliness of trial proceedings, the board provided a checklist of information and time frames to petitioners and patent owners, among other things. According to board documents and interviews with officials, the board has also taken steps to review and assess its trial proceedings and decisions, but it does not have guidance for reviewing trial decisions, or the processes that lead to the decisions, for consistency. The board has also taken several steps to engage with stakeholders regarding various aspects of trial proceedings."], "subsections": [{"section_title": "Patent Trial and Appeal Board Data Indicate Trials Have Been Completed within Statutorily Directed Time Frames", "paragraphs": ["According to data on Patent Trial and Appeal Board proceedings, as of September 31, 2017, all trials under AIA-authorized proceedings, including the CBM program, have been completed within statutorily directed time frames. The board maintains a database of trial proceedings that includes the date of each petition, decision to institute a trial, and final written decision. Board officials we interviewed told us the timeliness of decisions to institute a trial and of final written decisions has not been a concern in the 5 years that it has operated. According to board officials, as of November 2017, two AIA trials\u2014one under the inter partes review program and one under the CBM program\u2014have been extended for good cause past the typical 1-year time limit between the institution decision and the final written decision, as allowed by statute.", "Board officials told us they have taken several steps to ensure that trials are completed within required time frames. According to board documentation, between 2012 and 2017, for example, the board hired more than 150 additional administrative patent judges, in part to preside over AIA trials. In addition, the board has taken several proactive administrative steps to help ensure that stakeholders are aware of requirements for information filing and dates. For example, when a petition is filed, the board\u2019s administrative staff creates a checklist of information required and due dates, and communicates these dates and requirements to petitioners and patent owners throughout the trial.", "Some stakeholders have expressed concern that AIA trial time frames are too short and deprive patent owners and petitioners of due process rights. One patent attorney that we spoke with, for example, noted that the short time frames limit discovery. As directed by the AIA, a final determination for a review generally must be issued not later than 1 year after the date a review has been instituted, and the director may extend that period by up to 6 months for good cause. Board officials we interviewed stated that they do not believe parties are having trouble completing discovery activities in the time allotted in view of the limited discovery allowed at the board. Board officials further stated that they have not found compelling reasons to extend trial proceedings on the basis of the need for additional discovery. As reflected in USPTO\u2019s strategic plan, timeliness of the board\u2019s trial process is a key program goal, and board officials said trials would be extended only in unusual circumstances. In addition, board officials stated that the board adheres to the 12-month timeline for final written decisions because this timeline gives the district courts a definitive and predictable endpoint for the trials."], "subsections": []}, {"section_title": "The Board Has Taken Several Steps to Review Issues That Affect Trial Proceedings, but It Does Not Have Guidance to Ensure the Consistency of Its Decisions", "paragraphs": ["The Patent Trial and Appeal Board has decision review processes that help ensure trial decisions are revisited as appropriate, but the board cannot ensure the consistency of these decisions because it does not have guidance for reviewing them or the processes that lead to them. For trials still in progress, board officials told us that there are several ways that management gets involved in reviews. According to officials, a review of an ongoing trial is triggered if and when a paneled judge raises any issue deserving of management attention. Such issues are brought to the attention of the Chief Judge or other members of the board\u2019s management team and are acted upon at their discretion. According to board officials, the usual response is a management meeting with the three-judge panel, with the goal of ensuring the judges are aware of any precedent or ongoing trials dealing with similar issues. The officials said these review meetings are also meant to ensure that board management is aware of any decisions that may be relevant to the stakeholder community or the public. According to board officials, issues that may prompt action include those that are not routine in nature, that involve novel questions of law, or that may result in decisions that could contradict previous board decisions. Board officials called these review meetings the first step for keeping track of key issues. Board officials told us these reviews raise a fair number of issues, but the process relies on self-reporting by the judges, and board officials told us the effectiveness of these reviews is not measured.", "Board officials also told us that a separate internal review process has evolved over time, whereby a small group of board judges, in consultation with board management, seeks to ensure decision quality and consistency by reading a large number of draft AIA trial decisions and giving feedback or suggestions to authoring judges prior to issuance. The board is currently drafting a formal charter that will outline the group\u2019s function, reviewer selection, and membership term. According to board officials, these reviews are meant to help ensure consistency with applicable board rules, other board decisions, and Federal Circuit and Supreme Court case law. In addition, such reviews may result in coaching and training to increase an individual judge\u2019s quality of performance.", "Regarding completed trials, board officials told us they review any board AIA trial decisions that are appealed to the U.S. Court of Appeals for the Federal Circuit and that the appeals court reverses or remands. Specifically, the board monitors Federal Circuit decisions and board management then reviews any reversals or remands for opportunities to improve processes and stay abreast of emerging issues. According to board officials, for any reversal or remand, board management and members of the three-judge panel that decided the case meet to discuss what steps could have been taken to avoid the Federal Circuit reversal or remand, and what else can be learned from the Federal Circuit decision. In some instances, according to officials, the board will host a session where all board judges are invited to review and discuss the trial court decision and the decision of the Federal Circuit. In addition, board officials told us they track data on Federal Circuit affirmances, remands, and reversals. The board has recently updated its Standard Operating Procedure to provide guidance on how it handles cases remanded by the Federal Circuit. This procedure creates internal norms to promote timeliness and consistency of the board\u2019s response to remands. The procedure includes a goal for the board to issue decisions on remands within 6 months of receipt and calls on the Chief Judge and the Deputy Chief Judge to discuss each remanded case with the presiding three- judge panel before the panel expends substantial effort on the case. The Chief Judge may also elect to expand the panel assigned to the remanded case, when deemed prudent.", "Furthermore, officials told us that all board decisions\u2014including final written decisions, decisions to institute a trial, and any substantive orders\u2014are reviewed by board judges on the date of issuance. Specifically, a rotating group of judges, on a voluntary basis, reads and analyzes each day\u2019s decisions and, according to board officials, sends a summary list of the number of decisions made that day along with a brief decision summary for any cases where key issues of interest were raised. Board officials said that most decisions are straightforward and generally not summarized in detail. For decisions highlighted in the summary report, according to officials, a lead judge, in most cases, will then review the decision more closely. Example summary lists provided to us by the board show brief summaries of a trial involving interpretations of prior art admissibility and a trial dealing with an interpretation of a challenge based on clarity.", "Finally, board officials told us that the board has begun to increase the number of trial decisions considered for precedential and informative designations as part of its efforts to ensure the consistency of trial decisions. Board officials also told us that increasing the number of these designations had not been a priority while the AIA trial procedures and processes were being operationalized and as the board was hiring more than 150 administrative patent judges over the past 5 years. However, officials said that they are now taking steps to simplify the vetting and voting process, and the board expects more precedential and informative designations going forward.", "Taken together, the board\u2019s review processes help ensure that board trial decisions are reviewed in some manner. However, because the board does not have documented procedures for how to review decisions for consistency, the board cannot fully ensure the consistency of the decisions or the processes that lead to them. USPTO\u2019s 2014-2018 strategic plan includes the goal to \u201coptimize patent quality and timeliness,\u201d which includes an objective to \u201cmaintain ability to provide high-quality decisions.\u201d As part of this objective, the plan states that it is \u201ccritical for the to ensure consistency in its decisions through review of decisions in proceedings.\u201d", "Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks. Such control activities include clearly documenting internal control in a manner that allows the documentation to be readily available for examination. The documentation may appear in management directives, administrative policies, or operating manuals. However, the board has not yet clearly documented how judges are to review trial decisions, or the processes that lead to the decisions, to ensure consistency. Without developing guidance, such as documented procedures, outlining the steps USPTO will take to review the Patent Trial and Appeal Board decisions and the processes that lead to decisions, USPTO cannot ensure that it is fully meeting the objective of ensuring consistency of its decisions."], "subsections": []}, {"section_title": "The Patent Trial and Appeal Board Has Taken Several Steps to Engage Stakeholders and Address Stakeholder Concerns", "paragraphs": ["The Patent Trial and Appeal Board has taken several steps to engage stakeholders regarding trial proceedings and decisions and address related concerns. USPTO\u2019s strategic plan states that the board should expand outreach to stakeholders by providing opportunities for interaction and updates on board operations and other important issues. The board has done so through several types of public outreach efforts, including participating in roundtables, webinars, and judicial conferences, among other activities. The board has made several changes to policies and procedures based on stakeholder feedback gathered through these mechanisms.", "For example, after the Patent Trial and Appeal Board had been operational for about 18 months, it conducted a series of eight roundtables in April and May of 2014 at locations around the country to publicly share information concerning trial proceedings, to obtain public feedback on these proceedings, and to launch the process of revisiting its trial rules and trial practice guide. At these roundtables, the board provided the public with statistics summarizing the administrative trial proceedings, as well as lessons learned for filing effective petitions, engaging in successful discovery and amendment practice, and effectively presenting a case at oral hearing, among other things. The board also asked for and received feedback from the public on the AIA administrative trial proceeding rules and trial practice guide, as well as on experiences in general with the AIA administrative trial proceedings. Subsequent to the 2014 roundtables, the USPTO sought public input on all aspects of AIA trial proceedings through a June 27, 2014 Federal Register notice, which included 17 specific questions regarding certain trial rules, such as claim construction, the claim amendment process, and good cause trial extensions. USPTO took a two-step approach in responding to the 37 comments received in response to this Federal Register notice. First, USPTO implemented several immediate changes to board proceedings, including changes to page limits for some documents. According to the annual report of USPTO\u2019s Patent Public Advisory Committee, these changes were favorably received by the stakeholder community. Second, in April 2016, the board implemented more substantive changes, including allowing testimonial evidence to be submitted with a patent owner\u2019s preliminary response to a petition and changing from a page limit to a word count for major briefings, among other things.", "In addition to roundtables, the board has engaged with stakeholders through several other mechanisms, including webinars and judicial conferences. For example, in February 2015, the board announced its inaugural \u201cBoardside Chat\u201d lunchtime webinar series, which has been held bi-monthly ever since. These webinars are designed to update the public on current board activities and statistics, and to allow a means for the board to regularly receive public feedback about AIA trial proceedings and any issues of concern. Topics discussed at these events include key trial decisions, proposed changes to trial rules, and best practices for prior art presentations in AIA trials, among other things. Since 2015, the board has hosted an annual judicial conference, where the board engages with stakeholders and educates them about AIA trial proceedings, answers questions, and receives feedback. Board judges present trial statistics, information about the internal functioning of the board, practice tips, and engage in discussions on topics of current interest to stakeholders. Topics have included motions to amend and the prevalence of multiple petitions. More recently, the board has conducted other outreach sessions, including: an August 2017 roundtable meeting with stakeholders from the American Intellectual Property Law Association to address a broad range of topics affecting practitioners before the board, including how patent claims are interpreted, claim amendments, and conditions under which multiple petitions from a single petitioner would be denied; a webinar on August 31, 2017, addressing common evidentiary issues that occur during AIA trial proceedings; and a webinar on September 12, 2017, with the Chief Judge to commemorate the 5th anniversary of the board, where discussion topics included the origins and mission of the board, recent board developments, and operational procedures.", "According to USPTO\u2019s Patent Public Advisory Committee, this type of outreach provides a valuable two-way conduit for constructive flow of information to and from the board. In addition to these various outreach efforts, stakeholders are encouraged to provide feedback to the board, on any topic related to trial proceedings, by e-mail or telephone.", "Board officials we interviewed told us that they review information obtained from stakeholders during roundtable meetings and other outreach events and implement changes to policies and procedures where applicable. The officials told us that stakeholder feedback has been used to inform updates to the board\u2019s trial rules guidance, to modify rules of practice, and in updating Standard Operating Procedures. In addition, board officials told us that in response to stakeholder concerns, they conducted two extensive studies covering motions to amend and the filing of multiple petitions against a single patent. Furthermore, board officials told us that they have held training sessions for judges regarding specific areas of interest to stakeholders. Lastly, board officials also told us that the board\u2019s website, including the frequently-asked-questions pages, is updated with information relevant to stakeholders, including stakeholder concerns. For example, written stakeholder comments submitted in response to a proposed rulemaking are posted on the USPTO website for public viewing."], "subsections": []}]}, {"section_title": "Stakeholders Agree the CBM Program Has Reduced Litigation, and Many See Value in Maintaining Aspects of the Program", "paragraphs": ["Stakeholders we interviewed generally agreed that the CBM program has reduced litigation, and many said there is value in maintaining some aspects of the program. Stakeholders generally agreed that the CBM program has contributed to a decrease in litigation involving business methods patents and that the program has had positive effects on innovation and investment. Most stakeholders also said there is value in maintaining, among other things, the ability to challenge patents on all four statutory grounds before the Patent Trial and Appeal Board."], "subsections": [{"section_title": "Stakeholders Generally Agreed the CBM Program Has Contributed to a Decrease in Litigation Involving Business Method Patents", "paragraphs": ["Stakeholders we interviewed generally agreed the CBM program has reduced litigation involving business method patents because the CBM program allows these patents to be more easily challenged than in district courts. Stakeholders told us that fewer business method patent lawsuits are filed and that existing lawsuits are often dropped after patents have been through the CBM program. However, stakeholders also noted that the Supreme Court\u2019s 2014 decision in Alice may have also reduced the number of business method patent lawsuits. Patents that would be found invalid under Alice are often very similar to the patents that are eligible for challenge under the CBM program, and in some cases, according to stakeholders, it is cheaper and more efficient to challenge a patent\u2019s validity in district court using Alice than it is to use the CBM program.", "Stakeholders described the following additional effects of the CBM program:", "Business method patent assertion is riskier. The CBM program makes it riskier to assert business method patents because, compared with district court, the program offers a cheaper and more efficient way for alleged infringers to challenge a patent\u2019s validity. District court litigation can take several years and cost several million dollars, while CBM trials are limited to 18 months and generally cost much less. In addition, technically trained board judges have greater expertise in patent law than an average district court judge and jury, and are often better able to understand complex patentability issues. Because of this, some alleged infringers are more willing to present complex arguments\u2014such as questions about whether the patent meets standards for clarity\u2014to the board than to a jury. As a result, the CBM program has deterred owners of financial business method patents from asserting their patents for fear those patents will be ruled unpatentable. According to stakeholders, the existence of CBM challenges has put downward pressure on settlement amounts. Patent owners may want to avoid the risk of their patent being invalidated and will demand lower settlement amounts to avoid the risk of CBM and district court proceedings. Petitioners, too, told us they use this knowledge to negotiate lower settlement fees. In addition, because challenges under the CBM program may suspend the parallel district court proceedings, it is more difficult for patent owners to expect quick settlements from alleged infringers looking to avoid the rapidly increasing court costs associated with lengthy trials. The parties can still reach settlements after the alleged infringer files a challenge under the CBM program, but the patent owners have less leverage in negotiations. On the other hand, for patent owners willing to go through a CBM challenge, their patents will emerge stronger having survived the additional review according to stakeholders we interviewed.", "Business method patent owners have adjusted assertion strategies to avoid the CBM program. Patent owners are focused on asserting business method patents that are higher quality and less vulnerable to challenge under the CBM program or based on the Supreme Court\u2019s decision in Alice; in other words, those patents that describe a technological invention that is not abstract and implemented on a generic computer. In addition, a few stakeholders told us that they have abandoned some claims in certain patents to avoid the possibility of their patents being challenged under the CBM program. Stakeholders also told us that patent owners seem to be asserting more patents, and more claims, than before the CBM program was implemented, as a strategy either to ratchet up defense costs for accused infringers and secure a settlement or to at least have success with some of the infringement charges. In addition, some stakeholders said that because the board charges fees for each petition challenging a patent, asserting more patents is a strategy to increase expected costs of defending against infringement and, thus, to increase the likelihood of a settlement. However, our analysis of RPX litigation data from 2007 to 2017 did not support these assertions. Patent litigation data did not show an increase in the monthly average number of patents asserted per case among cases involving one or more business method patents.", "The CBM program has decreased the value of business method patents. The CBM program has decreased the value of business method patents generally, even beyond those focused on financial services. Several stakeholders told us that the board\u2019s broad initial interpretation of the CBM program\u2019s eligibility requirements contributed to an increased risk to a wider swath of business method and software patents than was intended by Congress. Stakeholders told us that any patent tangentially related to financial business methods has been devalued because it could potentially be challenged under the CBM program. In addition, stakeholders said they believed that the threat of such challenges has decreased the value of all business method patents, including those that might ultimately survive a CBM challenge. Some stakeholders pointed to a decrease in licensing of business method patents and others suggested that patents have lost value on the secondary patent market. Available data that we reviewed, though limited, support the claims that patent values on the secondary market have fallen. A few stakeholders, however, told us that to the extent these patents have lost value, the devaluation is related to problems with patent quality."], "subsections": []}, {"section_title": "Stakeholders Generally Agreed the CBM Program Has Had Positive Effects on Innovation and Investment", "paragraphs": ["Stakeholders generally agreed the effects of the CBM program on innovation and investment have been minimal or mostly positive. More specifically, stakeholders told us that the CBM program is good for overall innovation and investment in financial technologies in that the program eliminates overly broad (non-specific), low-quality patents. Stakeholders told us they believe the existence and assertion of overly broad patents is bad for innovation, in part because defending against alleged infringement is expensive and time-consuming, even under the CBM program. Assertion of overly broad, unclear, or otherwise low-quality patents acts much like a tax on investment, according to stakeholders. Stakeholders also told us that removing such patents from the marketplace promotes innovation because it prevents these patents from blocking new innovation. According to stakeholders, innovation is represented by the quality of the patents issued rather than the quantity. A large number of patents in a technology space, according to stakeholders, can make it difficult to innovate within that crowded space.", "A few stakeholders had differing views, stating that the CBM program has affected some companies\u2019 ability to protect a business model with a business method patent, although one stakeholder acknowledged that the Supreme Court\u2019s decision in Alice has also had an effect. These types of comments were generally from stakeholders with company-specific interests, including individual patent owners and companies that have had patents invalidated under the CBM program. Other stakeholders, however, including those in the financial services industry, told us that innovation in their field is robust. For example, these companies are developing mobile-payment and blockchain technologies, and the companies have not seen any negative effects from the CBM program on their ability to innovate, patent, and invest in these financial services technologies.", "Stakeholders generally agreed that the CBM program and the other post- grant programs have had a positive effect on patent quality, as patent applicants are more and more aware of what it takes to ensure a patent will survive a post-grant challenge. Several stakeholders highlighted extra steps they have taken before and during the patent application and examination stages to ensure their patents will stand up to any eventual challenges. For example, one patent owner told us how his company proactively worked to get its patent examined by a foreign patent office, in an effort to understand any quality issues with the patent, before submitting a patent application to USPTO. Another stakeholder told us about an extended back-and-forth with the USPTO examiner. This stakeholder told us that the additional effort taken during the examination process resulted in a patent that is much clearer and that will be more likely to stand up to additional scrutiny."], "subsections": []}, {"section_title": "Most Stakeholders Said There Is Value in Maintaining Aspects of the CBM Program", "paragraphs": ["Most stakeholders told us there was value in maintaining aspects of the CBM program, including the ability to challenge patents on all four statutory grounds at the Patent Trial and Appeal Board, and many told us that it would be useful to expand this capability to a broader set of patents beyond business methods. However, there was no strong consensus among stakeholders for how the AIA trials should be designed in the future.", "Stakeholders generally agreed that the ability to challenge a patent\u2019s validity on subject matter eligibility grounds remains important, although there was not broad agreement among stakeholders regarding how far that ability should extend beyond business method patents.", "Stakeholders we interviewed pointed to inconsistencies in how federal courts interpret subject matter eligibility requirements and said that challenges on subject matter eligibility grounds should remain an option at the Patent Trial and Appeal Board because of the board\u2019s expertise over the courts. Some stakeholders said subject matter eligibility challenges were important for a wider scope of patents than just business methods because concerns about subject matter eligibility that apply to business method patents extend to software-related patents in general. In addition, a few stakeholders suggested that subject matter eligibility challenges should be available for patents in all areas of technology. The continued prevalence of challenges in district courts based on the Supreme Court\u2019s decision in Alice, for business method patents and for a wider array of patents, highlights the importance of retaining the ability to challenge patent validity at the board on subject matter eligibility grounds.", "Similarly, stakeholders told us that patent clarity problems exist beyond business method patents. Stakeholders said that the federal courts and jurors do not necessarily have the expertise to interpret patent clarity requirements and that the technically trained Patent Trial and Appeal Board judges were better suited to make patentability determinations, including on clarity grounds. One stakeholder, for example, told us that petitioners can delve much deeper into the invalidity argument on patent clarity grounds at a CBM trials than they can as defendants in district court, mostly because the board judges have the requisite technical expertise. In addition, many stakeholders told us that challenging patents on clarity grounds was also important for a much broader array of patents than business method patents, and some suggested that these challenges should remain an option for all patents challenged at the board. In June 2016, we reported that more than 40 percent of patent examiners experience pressure to avoid rejecting a patent application because of problems with clarity and we recommended additional steps USPTO could take to improve patent clarity. This suggests there are a potentially large number of patents, beyond and including business method patents, that could benefit from a second look by the board on these grounds, and inter partes review does not allow patents to be challenged on clarity grounds.", "Stakeholders discussed several other topics related to the future of the CBM program:", "Post-grant review is not an effective substitute for the CBM program for challenging patents on subject matter eligibility and patent clarity grounds. Stakeholders told us that the 9-month window, after a patent is issued, to file challenges using post-grant review is too short to make it an effective substitute for the CBM program. Post-grant review was established as a permanent mechanism at the board for challenging all patents on all statutory grounds. However, only 78 petitions have been filed for post-grant review through September 30, 2017. According to stakeholders, few companies have the resources to continuously monitor patent issuance in real time. In addition, even if companies do discover patents that are relevant to their business, companies, in general, are not willing or able to spend resources challenging patents that may never be used as the basis for an infringement lawsuit. As a result, the public essentially does not have the ability to challenge most patents on subject matter eligibility and clarity grounds, according to stakeholders.", "CBM challenges should not be limited to a specific technology.", "Although the CBM program was designed to address a problem caused by a narrow set of patents, some stakeholders told us they are troubled by CBM\u2019s focus on patents for financial services and products. Stakeholders said that singling out such services and products is unfair and that the need to determine eligibility for review created uncertainty for patent owners. In addition, some stakeholders told us that the singling out of a particular subset of patents may raise questions about compliance with an international treaty.", "Concerns remain about business method and software-related patents. Some stakeholders told us the patents that the CBM program was designed to address have largely been addressed by improved examination at USPTO, reducing the need for the program. In addition, some stakeholders told us that the CBM program, which was designed to be temporary, had largely succeeded in addressing the problems with business method patents. However, other stakeholders told us that patents of questionable validity, including business method and software patents, continue to be issued by the patent office. Given these continuing concerns over software-related patents, several stakeholders suggested that one viable option for the future of the CBM program is to expand its eligibility beyond financial services patents to cover all software-related patents. In addition, in contrast to the inter partes review program, the CBM program allows any form of prior art to be used to challenge a patent on novelty or obviousness grounds. This broader allowance for prior art is important because many software and business method patents were preceded by prior art not found in existing patents or printed publications."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In 2016, we reported on a number of patent quality challenges at USPTO and made several recommendations to help improve the quality and clarity of issued patents. In that report, we estimated that almost 70 percent of patent examiners did not have enough time to complete a thorough examination of patent applications given a typical examiner\u2019s workload. Given these time constraints and other patent quality challenges, the Patent Trial and Appeal Board has provided a means to challenge low-quality patents after they have been issued. Stakeholders generally agreed that the CBM program has reduced lawsuits in the federal courts involving business method patents, and many stakeholders were in favor of maintaining aspects of the program.", "The board has a track record of issuing timely decisions that have largely been upheld by the U.S. Court of Appeals for the Federal Circuit. However, the board does not have guidance, such as documented procedures, for reviewing trial decisions and the processes that led to the decisions. Without developing guidance, such as documented procedures, that outlines the steps USPTO will take to review the Patent Trial and Appeal Board\u2019s decisions and the processes that lead to decisions, USPTO cannot fully ensure that it is meeting the objective of ensuring consistency of its decisions."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to USPTO:", "The Director of USPTO should develop guidance, such as documented procedures, for judges reviewing the Patent Trial and Appeal Board\u2019s decisions and the processes that lead to the decisions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Commerce for review and comment. In its comments, reproduced in appendix II, the department agreed with the recommendation and stated that it has begun taking steps to address it, including drafting a formal, written charter that documents procedures for reviewing board decisions. The department further stated that it intends to address the recommendation within one year. In addition, it provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 8 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Commerce, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) describe the extent to which the Patent Trial and Appeal Board\u2019s Transitional Program For Covered Business Method Patents (CBM program) has been used to challenge patents, and the results of those challenges; (2) examine the extent to which USPTO ensures timeliness of trial decisions, reviews decisions for consistency, and engages with stakeholders to improve its administrative proceedings for the program; and (3) discuss stakeholder views on the effects of the CBM program and whether it should be extended past its scheduled September 2020 sunset date.", "To describe the extent to which the CBM program has been used to challenge patents, and the results of those challenges, we obtained data on board proceedings from two companies\u2014RPX Corporation and Unified Patents\u2014that included information on all of the board\u2019s proceedings from September 2012 through September 2017. RPX and Unified Patents collect, compile, and analyze data from the U.S. Patent and Trademark Office\u2019s publicly available data system. Both companies manually review these data to verify variables and to manually code additional information from other publicly available board documents. We conducted data quality testing, interviewed relevant officials, and reviewed relevant documentation for the data. We found these data to be sufficiently reliable for the purposes of our reporting objectives.", "For petitions filed at the board, data from RPX and Unified Patents include information on the patent in dispute, including its U.S. patent number, petition-filing dates, and trial institution and final written decision dates. RPX data include the patent claims challenged and the statutory grounds on which they were challenged. In addition, RPX data includes which patent claims were instituted for trial on which statutory grounds, and which patent claims were ruled unpatentable on which statutory grounds. RPX and Unified Patents provided the names of the petitioners and patent owners, as well as whether the patent owner is an operating company or one of several classifications of non-practicing entities. RPX also provided the names of the parties\u2019 attorneys. We categorized which program each petition was filed under (CBM, inter partes review, or post- grant review) to enable comparisons across programs.", "We used the data from Unified Patents on Patent Trial and Appeal Board proceedings to supplement the RPX data for outcomes of each petition. Specifically, we compared the Unified Patents\u2019 outcome variable\u2014which describes the final outcome of the proceeding\u2014and the RPX outcome variable to create a new variable that reflects the full available information about each petition\u2019s outcome. There were some\u2014fewer than 3 percent of cases\u2014where the two variable values were inconsistent with one another. In these cases, we reviewed trial documentation to determine the correct value for the outcome variable. The Unified Patents outcome variable sometimes had more information than the RPX variable. For example, cases that were terminated because of settlement were identified as settlements in the Unified Patents data, but not in the RPX data. We retained the additional detail for our analysis.", "To determine trial outcomes at the patent level, we analyzed the petition in which the patent proceeded the furthest in the CBM process. For example, if a patent was challenged under the CBM program multiple times\u2014for example, three times\u2014and two petitions were not instituted to the trial phase and one was instituted and then settled before the board judges issued a final written decision, we used the petition that proceeded the furthest for our patent-level analysis of outcomes. In this way, we were able to report what happened to patents under the CBM program, while not double-counting those patents that were challenged more than once.", "To examine the extent to which USPTO ensures trial timeliness, reviews past decisions for consistency, and engages with stakeholders to improve its administrative proceedings for the program, we reviewed the America Invents Act (AIA); USPTO\u2019s strategic plan; the Patent Trial and Appeal Board\u2019s policy and guidance documents, including the Trial Practice Guide; and we interviewed board officials on several occasions. We compared USPTO\u2019s efforts to review decisions for consistency against USPTO\u2019s current strategic plan as well as Standards for Internal Control in the Federal Government (commonly referred to as the \u201cGreen Book\u201d). In addition, we reviewed publicly available information documenting the steps the board takes to engage with stakeholders, including documentation of webinars, judicial conferences, and roundtable discussions.", "To obtain stakeholder views on the effects of the CBM program and whether it should be extended, we conducted semi-structured interviews with 38 stakeholders knowledgeable about the CBM program. To identify these stakeholders, we first identified the following sets of stakeholder groups: petitioners and patent owners who have been involved with CBM trials; attorneys who have represented clients with board proceedings; industry trade groups; academic and legal commentators; public interest groups; and venture capitalists. We identified petitioners, patent owners, and attorneys who had been involved in board proceedings using data from RPX Corporation and Unified Patents. We ranked petitioners, patent owners, and attorneys based on how many CBM cases they had been involved with, and how many inter partes review cases they had been involved with in front of the board. We then requested, via email, interviews with several stakeholders from each stakeholder group, and began our semi-structured interviews as stakeholders accepted our invitation. During our initial set of semi-structured interviews, we identified additional stakeholders through an iterative process known as a \u201csnowball selection method,\u201d whereby during each interview we solicited names of additional stakeholders it would be useful to interview. As we obtained the names of additional stakeholders, we requested additional interviews, conducted interviews, and solicited additional stakeholders, until we (a) had interviewed four or more stakeholders from each identified stakeholder group and (b) found that stakeholder responses were, in general, commonly describing the same broad themes and relevant points that previous stakeholders had described about the topics we were discussing. In total, the stakeholders we recruited and interviewed did not form a random, statistically representative sample of all relevant stakeholders. As such, we cannot generalize the results of the interviews. However, these stakeholder groups and the stakeholders we interviewed provide a broad spectrum of informed opinions on the CBM program.", "Of the 38 stakeholders interviewed, 14 had previously petitioned CBM against more than one patent owner, and many of those had also petitioned an inter partes review. In addition, we interviewed 6 patent owners that had been involved in multiple CBM trials. We also interviewed attorneys from 5 law firms that have represented multiple petitioners and patents owners in CBM cases. In addition, we interviewed officials from 4 trade groups, 4 venture capital firms, and 5 academics and legal commentators, all of whom had interest and expertise in the CBM program.", "During our semi-structured interviews, we asked stakeholders the following three broad questions:", "How much and in what way has the existence of the CBM program affected patent assertion strategies since 2012?", "How much has the CBM program influenced investment decisions and innovation for technologies related to financial-services business methods?", "Should the CBM program be allowed to expire in September 2020 or should it be renewed?", "For each question, we used a consistent set of follow-up prompts to ensure that we fully covered all aspects of each topic with the stakeholders, that we received complete answers, and that we were able to accurately record the responses. While we asked every stakeholder each of the three questions, we did so keeping in mind the particular background and experience of each stakeholder because experience and expertise differed across our wide range of stakeholders. As such, during each interview, we focused on the topics where the stakeholder had the most experience, expertise, or knowledge.", "To systematically analyze the information we collected during our semi- structured interviews, we used qualitative analysis software to group the responses into categories and themes. All information was individually coded by two analysts. We classified individual responses according to these broad themes, which generally corresponded to our main questions:", "The effect of the CBM program on patent assertion and litigation.", "The effect of the CBM program on innovation and investment in business methods.", "The future of the CBM program.", "Within each broad theme, we labeled and organized sub-themes. We established the sub-themes by identifying natural clusters of stakeholder responses.", "We analyzed the categorized themes and sub-themes to draw inferences about the effectiveness of the CBM program by taking the following steps: We first examined the amount and nature of agreement and disagreement between responses within each theme and sub-theme. We then assessed the strength of the arguments supporting each categorized response, and considered factors including the number of stakeholders who discussed a topic, including the strength of the rationale for each viewpoint and other supporting evidence provided. We also considered the way in which stakeholders\u2019 interests could influence their perspectives.", "In this report, we present the themes with the strongest and most consistent support based on rationale including the prevalence of each argument, the presence of credible evidence in support of statements, and the amount of consistency and corroboration of themes across stakeholders. Because stakeholders do not make up a defined population that we could sample from, and because the stakeholders we interviewed had a wide range of experience and expertise, we did not tally up similar responses and do not present stakeholder responses based solely on how many stakeholders agreed or disagreed with a given statement.", "We conducted this performance audit from November 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient and appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made contributions to this report: Rob Marek (Assistant Director), Kevin Bray, Mark Braza, Richard Burkard, Stephanie Gaines, Michael Krafve, Cynthia Norris, Ardith Spence, Sara Sullivan, and Sarah Williamson."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Intellectual Property: Patent Office Should Define Quality, Reassess Incentives, and Improve Clarity. GAO-16-490. Washington, D.C.: June 30, 2016.", "Intellectual Property: Patent Office Should Strengthen Search Capabilities and Better Monitor Examiners\u2019 Work. GAO-16-479. Washington, D.C.: June 30, 2016.", "Intellectual Property: Assessing Factors That Affect Patent Infringement Litigation Could Help Improve Patent Quality. GAO-13-465. Washington, D.C.: August 22, 2013.", "U.S. Patent and Trademark Office: Performance Management Processes. GAO-10-946R. Washington, D.C.: September 24, 2010.", "Intellectual Property: Enhanced Planning by U.S. Personnel Overseas Could Strengthen Efforts. GAO-09-863. Washington, D.C.: September 30, 2009.", "Check 21 Act: Most Consumers Have Accepted and Banks Are Progressing Toward Full Adoption of Check Truncation. GAO-09-8. Washington, D.C.: October 28, 2008.", "U.S. Patent and Trademark Office: Hiring Efforts Are Not Sufficient to Reduce the Patent Application Backlog. GAO-08-527T. Washington, D.C.: February 27, 2008.", "U.S. Patent And Trademark Office: Hiring Efforts Are Not Sufficient to Reduce the Patent Application Backlog. GAO-07-1102. Washington, D.C.: September 4, 2007.", "Intellectual Property: Improvements Needed to Better Manage Patent Office Automation and Address Workforce Challenges. GAO-05-1008T. Washington, D.C.: September 8, 2005.", "Intellectual Property: Key Processes for Managing Patent Automation Strategy Need Strengthening. GAO-05-336. Washington, D.C.: June 17, 2005.", "Intellectual Property: USPTO Has Made Progress in Hiring Examiners, but Challenges to Retention Remain. GAO-05-720. Washington, D.C.: June 17, 2005."], "subsections": []}], "fastfact": ["Entities facing lawsuits for infringing a certain type of patent (e.g., for online shopping) can challenge the validity of that patent through a U.S. Patent and Trademark Office program for a fraction of the time and money that would be spent in federal courts.", "Under the program, the Patent Trial and Appeal Board decides whether these patents are valid. We recommended that the Patent Office develop guidance for reviewing these decisions to ensure consistency.", "The program is set to expire in September 2020\u2014but stakeholders say that it has reduced lawsuits, and that aspects of the program should be included in other Patent Office programs."]} {"id": "GAO-18-697T", "url": "https://www.gao.gov/products/GAO-18-697T", "title": "Native American Youth: Information on Involvement in Justice Systems and Grant Programs to Help Address Juvenile Delinquency", "published_date": "2018-09-26T00:00:00", "released_date": "2018-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's September 2018 report, entitled Native American Youth: Involvement in Justice Systems and Information on Grants to Help Address Juvenile Delinquency ( GAO-18-591 )."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis of available data found that the number of American Indian and Alaska Native (Native American) youth in federal and state and local justice systems declined across all phases of the justice process\u2014arrest, adjudication, and confinement\u2014from 2010 through 2016. During this period, state and local arrests of Native American youth declined by almost 40 percent from 18,295 in 2010 to 11,002 in 2016. The vast majority of Native American youth came into contact with state and local justice systems rather than the federal system.", "However, more Native American youth were involved in the federal system than their percentage in the nationwide population (1.6 percent). For example, of all youth arrested by federal entities during the period, 18 percent were Native American. According to Department of Justice (DOJ) officials, this is due to federal jurisdiction over certain crimes involving Native Americans. Comprehensive data on Native American youth involvement in tribal justice systems were not available for analysis. GAO's analysis showed several differences between Native American and non-Native American youth in the federal justice system. For example, the majority of Native American youths' involvement was for offenses against a person, such as assault and sex offenses. In contrast, the majority of non-Native American youths' involvement was for public order offenses (e.g., immigration violations) or drug or alcohol offenses. On the other hand, in state and local justice systems, the involvement of Native American and non-Native American youth showed many similarities, such as similar offenses for each group.", "DOJ and the Department of Health and Human Services (HHS) offered at least 122 discretionary grants and cooperative agreements (grant programs) from fiscal years 2015 through 2017 that could be used to address juvenile delinquency among Native American youth. DOJ and HHS made approximately $1.2 billion in first-year awards to grantees during the period, of which the agencies awarded approximately $207.7 million to tribal governments or Native American organizations. Officials from the agencies, tribal governments, and Native American organizations identified factors they believe affect success in applying for grant programs. For example, some tribal governments and Native American organizations found being able to call or meet with federal officials during the application process helpful but found that short application deadlines are a challenge."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recently completed report on American Indian and Alaska Native (Native American) youth involvement in federal, state and local, and tribal justice systems, and federal grant programs available to help address issues of delinquency among Native American youth.", "In particular, I will highlight our findings pertaining to (1) what available data show on the number and characteristics of Native American youth in federal, state and local, and tribal justice systems; and (2) selected federal discretionary grants and cooperative agreements (grant programs) that could help prevent or address delinquency among Native American youth, and tribal governments and Native American organizations\u2019 access to them.", "According to recent reports and agency research, several risk factors make some Native American youth susceptible to becoming involved with justice systems at the federal, state and local, and tribal levels. These risk factors include exposure to violence; substance abuse; poverty; limited job market skills; and tribal communities\u2019 limited funding for mental health, education, housing, and other services.", "Native American youth who commit offenses can enter one or more justice systems at the federal, state and local, and tribal levels. Although these justice systems have unique characteristics, youth generally proceed through certain phases, including arrest, prosecution and adjudication, and in some instances, placement and confinement in a detention facility.", "When a Native American youth enters the federal criminal justice system, the Department of Justice (DOJ) and Department of the Interior (DOI), among others, have responsibility for investigating and prosecuting his or her act of delinquency or crime. Additionally, federal agencies including DOJ and the Department of Health and Human Services (HHS) provide funding through grant programs that grantees could use to help prevent or address juvenile delinquency.", "Outside Indian country, a state generally has jurisdiction to proceed against a youth who has committed a crime or act of juvenile delinquency. Federal law limits federal jurisdiction over youth if a state has jurisdiction over the youth and has a system of programs and services adequate for their needs. State and local justice systems have specific courts\u2014often at the county or city level\u2014with jurisdiction over youth alleged to have committed an act of juvenile delinquency or a crime. Inside Indian country, youth (and adults) may fall under federal, state, or tribal jurisdiction depending on several factors. These factors include the nature of the crime, the status of the alleged offender and victim\u2014that is, whether they are Indian or not\u2014and whether jurisdiction has been conferred on a particular entity by statute. The Major Crimes Act, for example, grants the federal government criminal jurisdiction over Indians in Indian country charged with serious, felony-level offenses enumerated in the statute, such as murder, manslaughter, kidnapping, burglary, and robbery. State jurisdiction in Indian country is generally limited to two instances: when both the alleged offender and victim are non-Indian, or when a federal statute confers, or authorizes, a state to assume criminal jurisdiction over Indians in Indian country. Otherwise, only the federal and tribal governments have jurisdiction in Indian country.", "For our September 2018 report, we analyzed federal, state and local, and tribal arrest, adjudication, and confinement data from 2010 through 2016 (the most recent available) from DOJ and DOI. We also analyzed DOJ and HHS grant program award documentation from fiscal years 2015 through 2017, and application information for a sample of the grant programs chosen based on the amount of funding awarded and other factors. Additionally, we also interviewed officials from DOJ, HHS, and 10 tribal governments or Native American organizations chosen to include successful and unsuccessful applicants to the grant programs, among other things. Additional information on our scope and methodology can be found in our September 5, 2018 report. For specific information about the different databases from which we gathered our data, see appendix I. Our work was performed in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "Available Data Indicate Native American Youth Involvement in Justice Systems Declined from 2010 through 2016 and Differed in Some Ways from That of Non-Native American Youth", "paragraphs": ["In our September 2018 report, we found that from 2010 through 2016 the number of Native American youth in federal and state and local justice systems declined across all phases of the justice process\u2014arrest, adjudication, and confinement\u2014according to our analysis of available data. At the federal level, arrests by federal agencies dropped from 60 Native American youth in 2010 to 20 in 2016, and at the state and local level, arrests of Native American youth declined by almost 40 percent from 18,295 arrested in 2010 to 11,002 in 2016.", "Our analysis also found that the vast majority of these Native American youth came into contact with state and local justice systems, not the federal system. For example, from 2010 through 2016, there were 105,487 total arrests of Native American youth reported by state and local law enforcement agencies (LEAs). In contrast, there were 246 Native American youth held in federal custody by the U.S. Marshals Service due to arrest by federal LEAs during the same period.", "We also found a number of similarities between Native American and non-Native American youth in state and local justice systems. For example, the offenses that Native American youth and non-Native American youth were arrested, adjudicated, and confined for were generally similar. In contrast, our analysis also showed a number of differences between Native American and non-Native American youth in the federal justice system. For example, our analysis showed variation in the types of offenses committed by each group. From fiscal years 2010 through 2016, the majority of Native American youth in the federal justice system were arrested, adjudicated, or confined for offenses against a person, with the top two specific offenses being assault and sex offenses. In contrast, the majority of involvement of non-Native American youth in the federal system during the same period was due to public order or drug and alcohol offenses at all three stages, with the top two specific offenses being drug and immigration related. Our September 2018 report contains additional information on the differences between Native American and non-Native American youth involved with the federal justice system.", "Further, we found that the percent of Native American youth involved in most state and local systems was generally similar to their representation in the youth populations in those states. For example, our analysis found that the majority (about 75 percent) of Native American youth arrested by state and local LEAs from calendar years 2010 through 2016 were located in 10 states: Alaska, Arizona, Minnesota, Montana, New Mexico, North Dakota, Oklahoma, South Dakota, Washington, and Wisconsin. These 10 states had among the highest percent of Native Americans in their states\u2019 overall youth populations, according to 2016 U.S. Census estimates we reviewed. In 2016, the largest number of arrests by state and local LEAs occurred in Arizona and South Dakota.", "In contrast, we found that representation of Native American youth arrested, referred for adjudication, and confined at the federal level during the period reviewed was greater (13 to 19 percent) than their representation in the nationwide youth population (1.6 percent).", "DOJ officials told us that the population of Native Americans in the federal justice system has historically been higher than their share in the nationwide population, and they attributed this and other differences shown by our analysis to federal government jurisdiction over certain crimes in Indian country, as well as the absence of general federal government jurisdiction over non-Native American youth. According to DOJ officials, this jurisdiction requires the federal government to prosecute offenses that would commonly be prosecuted by states if committed outside of Indian country. According to DOJ officials, a small handful of federal criminal statutes apply to all juveniles, such as immigration and drug statutes, but the federal government has been granted greater jurisdiction over Native American youth than non-Native American youth by federal laws that apply to crimes committed in Indian Country, such as the Major Crimes Act. For example, one DOJ official noted that the Major Crimes Act gives the federal government exclusive jurisdiction over crimes such as burglary and sex offenses committed in Indian country. This differs from the treatment of non-Native American youth, who are not prosecuted in the federal system for the same types of offenses, because the federal government does not have jurisdiction over those youth for such offenses. Non-Native American youth are instead subject to the general juvenile delinquency jurisdiction of state and local courts.", "Additionally, DOJ officials stated that tribal justice systems are often underfunded and do not have the capacity to handle Native American youths\u2019 cases. Therefore, they stated that when both federal and tribal justice systems have jurisdiction, the federal system might be the only system in which the youth\u2019s case may be adjudicated. For these reasons, the percentage of Native American youth offenders in the federal justice system is higher than non-Native American juveniles in accordance with population size, according to DOJ officials.", "Representatives from four of the five Native American organizations we interviewed, whose mission and scope of work focus on Native American juvenile justice issues and that have a national or geographically specific perspective, noted that federal jurisdiction is a key contributor to the higher percentage of Native American youth involved at the federal justice level. Additionally, representatives from all five organizations noted, similarly to DOJ officials, that federal jurisdiction over crimes in Indian country is typically for more serious offenses (specifically under the Major Crimes Act), such as offenses against a person.", "Comprehensive data from tribal justice systems on the involvement of Native American youth were not available. However, we identified and reviewed a few data sources that provided insights about the arrest, adjudication, and confinement of Native American youth by tribal justice systems. See appendix II for a summary of our analysis of data from these sources."], "subsections": []}, {"section_title": "DOJ and HHS Offered at Least 122 Grant Programs; Tribal Governments or Native American Organizations Were Eligible for Almost All but in a Sample of Applications We Reviewed, Applied Primarily for Programs Specifying Native Americans", "paragraphs": ["In our September 2018 report, we identified 122 discretionary grants and cooperative agreements (grant programs) offered by DOJ and HHS from fiscal years 2015 through 2017 that could help prevent or address delinquency among Native American youth. DOJ and HHS made approximately $1.2 billion in first-year awards through the 122 programs over the period, of which the agencies awarded about $207.7 million to tribal governments or Native American organizations. A list of the 122 programs, which focus on a range of issues such as violence or trauma, justice system reform, alcohol and substance abuse, and reentry and recidivism, can be found in our September 2018 report.", "The 122 DOJ and HHS grant programs we identified included 27 programs that specified tribes or Native Americans as a primary beneficiary and 95 programs that did not specify these populations but could include them as beneficiaries. For example, the Department of Justice\u2019s Office of Juvenile Justice and Delinquency Prevention offered the Defending Childhood American Indian/Alaska Native Policy Initiative: Supporting Trauma-Informed Juvenile Justice Systems for Tribes program for funding in fiscal year 2016. The goal of this program\u2014 increasing the capacity of federally recognized tribes\u2019 juvenile justice and related systems to improve the life outcomes of youth who are at risk or who are involved in the justice system and to reduce youth exposure to violence\u2014explicitly focused on tribal communities. On the other hand, the Sober Truth on Preventing Underage Drinking Act grant program, which HHS\u2019s Substance Abuse and Mental Health Services Administration offered for funding in fiscal year 2016 to prevent and reduce alcohol use among youth and young adults, is an example of a program that did not specify tribes or Native Americans as a primary beneficiary but could include them as beneficiaries.", "We found that tribal governments and Native American organizations were eligible for almost all of the grant programs we identified. Specifically, they were eligible to apply for 70 of 73 DOJ programs and 48 of 49 HHS programs. However, although tribal governments and Native American organizations were eligible to apply for almost all of the programs, we found in a non-generalizable sample of applications we reviewed that they applied primarily for the programs that specified tribes or Native Americans as a primary beneficiary. For example, we reviewed applications for 18 DOJ grant programs and found that tribal governments and Native American organizations accounted for over 99 percent of the applications for the 5 grant programs within the sample that specified tribes or Native Americans as a primary beneficiary. However, tribal governments and Native American organizations accounted for about 1 percent of the applications for the 13 programs in the sample that did not specify tribes or Native Americans as a primary beneficiary.", "We interviewed officials from DOJ\u2019s Office of Justice Programs (OJP) and seven HHS operating divisions to obtain their perspectives on why tribal governments and Native American organizations might not apply for grant programs that do not specify them as a primary beneficiary. They identified various reasons, including that tribal governments and Native American organizations might not be aware that they are eligible to apply for certain grant programs; might believe that their applications to grant programs that do not specify tribes or Native Americans as a primary beneficiary will not be competitive with other applications; or might prefer to apply for those grant programs that specify tribes or Native Americans as a primary beneficiary.", "We also interviewed representatives from 10 tribal governments and Native American organizations, who provided perspectives on whether or not a grant program\u2019s focus on tribes or Native Americans as a primary beneficiary affected their decision to apply for the program. Officials from 6 of 10 tribal governments and Native American organizations indicated that they would consider any grant program that met the needs of their communities, while the remaining 4 indicated that a grant program\u2019s focus or lack thereof on tribes or Native Americans could affect their ability to apply for it.", "Officials from the 10 tribal governments and Native American organizations also identified various federal practices they found helpful or challenging when applying for grant programs related to preventing or addressing delinquency among Native American youth. When asked what federal practices, if any, were particularly helpful when applying to receive federal funding, they most frequently responded that they found it particularly helpful to be able to call or meet with federal officials if they had questions about or needed help on their applications. Regarding the biggest challenges, they cited short application deadlines, difficulties collecting data for grant program applications, and a scarcity of grant writers and other personnel needed to complete a quality application.", "In addition, DOJ OJP and HHS officials provided perspectives on why some tribal governments and Native American organizations might be more successful in applying for federal funding than others. The officials stated, among other things, that larger and better-resourced tribal governments and Native American organizations were more successful at applying for federal funding and that previously successful grant program applicants were more likely to be successful again.", "More detailed information on the perspectives from tribal governments, Native American organizations, and agency officials regarding the factors they believe affect the ability of tribal governments and Native American organizations to apply successfully for federal grant programs can be found in our September 2018 report.", "Chairman Hoeven, Vice Chairman Udall, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}]}, {"section_title": "Appendix I: Data Sources for Federal, State and Local, and Tribal Justice Systems by Phase of the Justice Process", "paragraphs": ["For our September 2018 report, we obtained and analyzed record-level and summary data from federal, state and local, and tribal justice systems from 2010 through 2016. Figure 1 illustrates the data sources we included in our report for each phase of the justice process (arrest, adjudication, and confinement) in each justice system (federal, state and local, and tribal). Generally, state and local entities include those managed by states, counties, or municipalities."], "subsections": []}, {"section_title": "Appendix II: GAO Findings Regarding American Indian and Alaska Native Youth Involvement with Tribal Justice Systems", "paragraphs": ["Comprehensive data from tribal justice systems on the involvement of American Indian and Alaska Native (Native American) youth were not available. However, in our September 2018 report, we identified and reviewed a few data sources that can provide certain insights about the arrest, adjudication, and confinement of Native American youth by tribal justice systems. The following is a summary of our analysis of data from these sources.", "Arrests. Although comprehensive data on the number of tribal law enforcement agency (LEA) arrests were not available, we obtained and reviewed admission records from three juvenile detention centers in Indian country managed by the Department of the Interior\u2019s Bureau of Indian Affairs (BIA). Based on those records, at least 388 Native American tribal youth were admitted to these three facilities in 2016, as shown in table 1. In the Northern Cheyenne facility, for which we obtained records for 5 years, the number of youth admitted increased yearly between 2012 and 2016, from 14 to 204.", "According to BIA officials, this growth in the number of youth admitted to the Northern Cheyenne facility likely reflects an increase in admissions of Native American youth from surrounding tribes. Specifically, because the Northern Cheyenne facility is centrally located, the officials said that the facility admits youth from other tribes, which have grown accustomed to sending their youth to the facility. BIA officials also noted that the Northern Cheyenne facility services an area where there is a high rate of delinquency among youth, and because the facility works well with Native American youth struggling with delinquency issues, many tribes elect to send their delinquent youth to the facility. Further, since 2012, the Northern Cheyenne facility increased its bed space and staff, thus increasing its capacity to admit more youth, according to BIA officials.", "Even though comprehensive tribal arrest data were not available, we reported in September 2018 that the Department of Justice\u2019s (DOJ) Bureau of Justice Statistics (BJS) was undertaking an effort to increase collection of arrest data from tribal LEAs. Specifically, this data collection activity is the Census of Tribal Law Enforcement Agencies. This collection activity, which BJS plans to conduct in 2019, is to capture information including tribal LEA workloads and arrests, tribal LEA access to and participation in regional and national justice database systems, and tribal LEA reporting of crime data into FBI databases.", "Adjudication. Comprehensive data were not available to describe the extent to which tribal courts processed Native American youth or found them guilty. However, BJS concluded a tribal court data collection effort\u2014 the National Survey of Tribal Court Systems\u2014in 2015. Through this survey, BJS gathered information from more than 300 tribal courts and other tribal judicial entities on their criminal, civil, domestic violence, and youth caseloads, and pretrial and probation programs, among other things. DOJ officials told us that BJS has analyzed the data, and plans to release results in the future.", "Confinement. According to data published by BJS, the number of youth in Indian country jails declined from 190 in 2014 to 170 in 2016 (about an 11 percent decrease)."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Gretta L. Goodwin, Director, Homeland Security and Justice at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Tonnye\u2019 Conner-White, Assistant Director; Steven Rocker, Analyst-in- Charge; Haley Dunn; Angelina Torres; Taylor Matheson; Anne Akin; Paul Hobart; Jamarla Edwards; Claire Peachey; Eric Hauswirth; Heidi Neilson; Amanda Miller; and Elizabeth Dretsch. Key contributors to the previous work on which this testimony is based are listed in our September 2018 report.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Federal reports on Native American youth found challenges\u2014such as poverty and exposure to violence\u2014that can make them susceptible to being arrested, charged, or sentenced in the justice system.", "This testimony includes a discussion of our findings:", "Overall Native American juvenile delinquency rates declined 2010-2016.", "While most Native American youth in the system were at the state or local level, their share of the population in the federal system was higher than their share of the nationwide youth population\u2014likely due to federal jurisdiction on tribal lands.", "We also found 122 federal grant programs to address underlying challenges."]} {"id": "GAO-19-21", "url": "https://www.gao.gov/products/GAO-19-21", "title": "VA Medical Centers: VA Should Establish Goals and Measures to Enable Improved Oversight of Facilities' Conditions", "published_date": "2018-11-13T00:00:00", "released_date": "2018-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VHA oversees one of the largest health care systems, serving approximately 9-million veterans at numerous health care facilities, including 170 medical centers. To ensure a safe environment for veterans and employees, VHA must keep its facilities clean and well maintained.", "GAO was asked to examine (1) how VHA medical centers identify maintenance and repair needs and challenges they face in addressing those needs, and (2) to what extent VHA provides oversight to ensure medical centers are providing a safe, clean, and functional environment.", "GAO reviewed VHA's procedures and standards related to facility operations and maintenance functions at medical centers and interviewed VHA's administrative office officials regarding oversight of these functions. GAO also interviewed VHA officials from three regional offices and six medical centers selected based on factors such as geographic location and veteran population served, and conducted site visits at four of these medical centers."]}, {"section_title": "What GAO Found", "paragraphs": ["Veterans Health Administration's (VHA) medical centers conduct regular inspections of the settings in which patients receive health care services, called the \u201cenvironment of care\u201d, to identify maintenance and repair needs. These inspections also help ensure compliance with accreditation standards requiring, among other things, that utility systems operate properly and that areas are clean and in good repair. The main three steps in the process associated with these inspections are shown below. In addition to the environment of care inspections, VHA conducts other periodic assessments of facilities' major systems, such as plumbing and air conditioning.", "VHA inspections routinely identify deficiencies reflective of an aging infrastructure\u2014VHA's buildings are on average 55 years old. This situation in turn is leading to workload and staffing challenges in addressing maintenance and repair needs. For example, according to VHA's 2017 data, medical centers reported conducting approximately 11,000 total inspections for the year that resulted in about 128,000 identified deficiencies. Most of these deficiencies were closed within 14 business days, as required by VHA. However, nearly 30,000 of them were not closed or had been addressed through a plan for future work. Medical center officials added that correcting deficiencies may only be a temporary solution for issues related to aging structures that need extensive repairs and renovations. In addition, VA headquarters and field officials said that staff vacancies are common and can affect the efficiency and speed of maintenance and repairs.", "VHA provides guidance and selected oversight to ensure medical centers implement the process for environment of care inspections. However, VHA lacks performance goals, objectives, and measures that would enable it to provide effective oversight, address challenges, and assess how well it is achieving a clean, safe, and functional environment. As part of ensuring compliance with the inspection process, VHA measures whether medical centers meet certain requirements, such as having appropriate staff present for inspections. VHA does not, however, have measures that enable it to assess how well medical centers are achieving desired outcomes. Although it has stated its intent to develop such measures, VHA has not yet committed to a time frame for doing so."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VHA set a timeline for defining goals, objectives, and outcome-oriented performance measures that can address challenges and help achieve a clean and safe care environment. VA concurred with the recommendation and provided general and technical comments, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Department of Veterans Affairs (VA) administers one of the largest health care systems, serving approximately 9 million enrolled veterans annually at health care facilities across the country, including 170 VA medical centers, through the Veterans Health Administration (VHA). To ensure a safe environment for veterans and employees, VHA is responsible for keeping these facilities safe, clean, and well maintained.", "VHA obligated more than $6.5 billion for the operations and maintenance of its medical facilities for fiscal year 2018. This amount pays for day-to- day functions, such as operating heating and cooling systems, laundering textiles, maintaining hospital grounds, and making needed repairs. Efforts related to maintaining the \u201cenvironment of care\u201d\u2014the setting in which patients receive health care services\u2014are also a part of day-to-day operation and maintenance activities. Repairs can range from small, recurring maintenance projects such as repainting walls and repairing water leaks in pipes and roofs to larger non-recurring projects such as upgrading water treatment plants and modernizing boiler systems.", "You asked us to review issues related to VHA medical centers\u2019 facility operations and maintenance functions. In this report, we examine: (1) how VHA medical centers identify maintenance and repair needs and challenges the centers face in addressing those needs, and (2) to what extent VHA provides oversight to ensure medical centers are providing a safe, clean, and functional environment.", "To determine how VHA identifies maintenance and repair needs at medical centers and challenges they face in addressing those needs, we reviewed VHA procedures, policies, and standards related to operations and maintenance functions at medical centers and published reports from VA, GAO, and relevant stakeholder groups. We also reviewed VHA\u2019s environment of care inspections data for fiscal years 2016\u20132017 as reported by medical centers related to their compliance with facility maintenance standards. We focused this review on environment of care inspections because these inspections are identified in VHA guidance as critical to all aspects of patient care in a medical facility. As such, environment of care standards are important considerations for VHA\u2019s engineering staff when planning and executing maintenance and operations functions. We assessed the reliability of environment of care inspections data by reviewing documentation and interviewing knowledgeable agency officials to identify steps VA takes to ensure the quality and accuracy of the data, such as training inspectors on entering inspections data. Through these steps, we determined that the data were sufficiently reliable for the purposes of this reporting objective.", "Further, we selected three Veterans Integrated Service Networks (VISN) and six medical centers\u2014two medical centers within each VISN\u2014for review and site visits. We chose the three VISNs to include a range in terms of geographic location and veteran demographics and ones with higher numbers of identified deficiencies and percentages of deficiencies not addressed within 14 days in fiscal year 2017. We chose the six medical centers based on these factors as well as on their proximity to the selected VISN\u2019s location, and to include both urban and rural centers. We conducted in-person site visits at four of the six selected medical centers and interviewed officials responsible for overseeing, planning, and budgeting for facility maintenance and operations. We observed the environment of care inspections process at two of the medical centers during our site visits. The results of the information obtained at VISNs and medical centers are not generalizable to the entire population of VISNs and medical centers. Table 1 shows the VISNs and medical centers selected for our review.", "To determine how VHA provides oversight to ensure medical centers are providing a safe, clean, and functional environment, we reviewed VHA policy and guidance on the environment of care inspections process. We interviewed officials from the VHA administrative office that oversees compliance in the environment of care at medical centers and the selected VISNs and medical centers about: challenges that may affect VHA\u2019s ability to maintain or operate medical centers;", "VHA oversight; and the implementation of environment of care policies.", "We compared the information from these documents and interviews to best practices for results-oriented management as identified in previous GAO work.", "We conducted this performance audit from June 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VHA policy requires that all medical facilities provide a safe, clean, functional environment for patients, visitors, and employees. The Joint Commission, an organization that accredits medical centers and other hospitals throughout the country, has developed standards that require medical centers to undertake several actions that relate to engineering, environmental management, and safety including: maintaining the patient environment by ensuring that a suitable temperature is maintained, that areas are clean and appropriately lighted, and furnishings and equipment are in good repair; managing utility systems to ensure operational reliability; and minimizing fire hazards and providing a safety system in case of fire.", "To help ensure medical centers maintain these standards, VHA requires medical centers to conduct regular environment of care inspections of the facility. According to VHA officials, because of the large size of many medical centers, most conduct environment of care inspections in a different part of their facility every week throughout the year. In 2016, a VHA directive formally established VHA\u2019s Comprehensive Environment of Care Program (Environment of Care Program) and outlined management and oversight responsibilities for the program. Environment of care inspections are a main component of the program.", "In addition to the environment of care inspections, VHA uses other inspections to help execute and oversee facility operations and maintenance functions. For example, every 3 years, VA contracts for Facility Condition Assessments, where contractors evaluate all buildings and major systems at a medical facility (e.g., structural, mechanical, plumbing, and others) and identifies needed repairs and replacements. This inspection gives a graded score from A to F for VHA facilities, with \u201cC minus\u201d as the average facility score received for overall infrastructure conditions at VHA facilities as of 2015. This inspection focuses on major systems, while environment of care inspections focus on day-to-day facility conditions, including that of patient-care areas. Furthermore, preventative maintenance inspections are usually conducted on systems, such as boilers or heating, ventilation, and air-conditioning (HVAC) systems, and would vary in frequency based on the manufacturer requirements. Medical center staff also noted that facility operations and maintenance issues may be identified by staff in the course of their day- to-day duties and reported to engineering for repair.", "VHA medical centers employ staff trained in plumbing, carpentry, grounds maintenance, and other trades needed to maintain facilities, as well as housekeeping staff. These employees are responsible for carrying out the work necessary to ensure medical centers comply with safety standards, and VHA policies and inspection requirements.", "The majority of funding for medical centers, including funding for operations and maintenance, is determined on the basis of past years\u2019 allocations, veteran populations served, and the types of services provided. The budget for VA medical facilities has increased by approximately 30 percent over the last 5 fiscal years."], "subsections": []}, {"section_title": "Medical Centers Rely on Environment of Care Inspections to Identify Deficiencies but May Encounter Challenges in Completing Needed Repairs", "paragraphs": [], "subsections": [{"section_title": "Environment of Care Inspections", "paragraphs": ["The medical center director or a designee, such as the medical center\u2019s Environment of Care Coordinator, has the overall responsibility for managing and leading weekly environment of care inspections at a medical center. Each medical center should have an environment of care committee, and the medical center director or a designee should facilitate committee meetings to discuss the environment of care processes, findings, trends, and any other related issues. Inspections are conducted by an environment of care inspection team, which is made up of representatives from various facility departments, including, among others:", "Environmental Management Service\u2014which is responsible for ensuring a state of physical and biological cleanliness, including proper handling of waste materials\u2014and", "Engineering Service, which is responsible for utilities that allow the physical plant to function, including basic systems such as heating and electrical, among others.", "According to VHA guidance, the team is to conduct its inspections using a VHA checklist as a guide to determine if there are any deficiencies. For example, the checklist includes questions such as:", "Are there loose floor tiles/carpet?", "Are ceiling tiles stained or other signs of leaks?", "Are there any electrical hazards present?", "Team members record information on deficiencies that they identify into an Environment of Care inspections database, which is used to document and track the status of deficiencies.", "During interviews with medical center staff at all six of the medical centers included in our review, officials told us they follow the environment of care inspections process that VHA guidance outlines. At two of the medical centers we visited, we accompanied inspections team on environment of care inspections and observed staff following this process. The inspection teams walked through the areas designated for inspection, for example examining conditions of floors, ceilings and fire safety systems. Also, as we discuss later in the report, VHA officials also monitor aspects of the inspections process, such as who attends the inspection. VHA officials told us they also collect data on performance measures related to utilization of the environment of care checklists and environment of care inspections process but no longer track these measures because medical centers achieved 100 percent utilization of these measures in 2015. Figure 1 below details the process used to identify and address deficiencies, as outlined in VHA guidance.", "As previously mentioned, VHA guidance considers these inspections to be critical to all aspects of patient care in a medical facility, and officials at all six medical centers confirmed that they rely on these inspections to identify needed repairs. For example, officials in one medical center noted that the frequency and thoroughness of these inspections has helped them determine day-to-day wear and tear issues and informed their planning processes. Medical center staff noted that condition deficiencies identified through this process are often minor but are nonetheless important to maintenance of a clean and safe patient environment. For example, a damaged or stained ceiling tile identified during an inspection could be a potential safety hazard to patients or indicate an issue with leaking pipes. The replacement of the tile itself is a minor repair, but that repair could be an indication of an important maintenance issue at the medical center. As table 2 below shows, the deficiencies commonly identified through the inspections process include items that need to be cleaned or dusted or walls that need minor repairs.", "Medical center staff we interviewed said, in general, the most common environment of care deficiencies can be addressed by medical center staff, but medical centers told us they sometimes use contractors if warranted. In most cases, a deficiency can be addressed with simple repairs such as patching and repainting walls, replacing stained and damaged tiles, or by cleaning. On our site visits, we saw examples of the types of issues that medical center staff address during environment of care inspections. In one case, we were shown a recurring deficiency at the medical center caused by moving hospital beds. Moving beds in and out of rooms was damaging the plaster corners of a wall near the door. We were also shown the solution, which was a metal corner guard the medical center had installed in some rooms, and the center was working to install corner guards in other locations as funds became available. Figure 2 below shows examples of deficiencies we observed during environment of care inspections at medical centers.", "Other types of condition deficiencies that are not directly in the environment of care, such as a broken boiler, typically would not be identified during environment of care inspections, but rather medical center staff said they are identified during scheduled preventive maintenance activities, or during other facility inspections. Regardless of how they are identified, more serious repairs often require a different funding and approval process than day-to-day maintenance. For example, if significant damage occurred to a medical center\u2019s roof and the cost of repairs is greater than $25,000, it would most likely be deemed a non-recurring maintenance project and would require approval from either the VISN or VA\u2019s central office."], "subsections": []}, {"section_title": "Challenges in Addressing Identified Deficiencies", "paragraphs": ["The buildings that VHA manages are, on average, 55 years old, and many have substantial capital repair and improvement needs. A VA- commissioned report noted that there were significant barriers that facility management staff faced in maintaining facilities to a high quality. According to the report, while some of these barriers involved immediate resource constraints such as budgets for staffing and conducting maintenance and janitorial tasks, the root cause of many of these issues is the general age and underlying condition of VHA facilities."], "subsections": [{"section_title": "Workload", "paragraphs": ["Engineering officials at medical centers told us that the amount of work associated with conducting weekly inspections and addressing environment of care deficiencies is substantial. For example, according to VHA\u2019s data for fiscal year 2017, medical centers reported conducting about 11,000 weekly inspections, during which more than 128,000 deficiencies were identified. Most deficiencies were closed within 14 business days, as required by VHA policy, but nearly 30,000 deficiencies across all medical centers had not been addressed within 14 days or had been addressed through a plan for future work.", "One significant factor contributing to the number of deficiencies and the associated workload is the advanced age of many medical centers. A VHA commissioned study found that the general age and underlying condition of medical centers, including VHA buildings\u2019 being older than 50 years on average and lack of capital investment to address infrastructure concerns, are the root causes of many barriers that facility management staff faced in achieving their objectives of maintaining high quality facilities, and exacerbate the workload issues at these medical centers. This observation was echoed by medical center officials in our review. For example at one medical center officials told us that in some cases, correcting deficiencies found on an environment of care inspection is a temporary solution for issues related to aging structures that need extensive repairs and renovations. For example, a roof that needs to be repaired due to leaks and other structural issues may result in an increase in the number of interior ceiling tiles with water stains. Maintenance staff must then continue to identify and replace stained ceiling tiles, until the root cause, which is subject to a different funding and approval process, is addressed.", "Also, medical center staff we interviewed said the administrative requirements associated with the environment of care program contributed to workload challenges. Medical center staff are responsible for entering deficiency data into the Environment of Care inspections database, which is used to document and track results from the environment of care inspections. The same staff can also be responsible for reconciling the environment of care inspections database with other systems, like the medical center\u2019s work order system and other inspections databases. Medical center staff said that each deficiency can result in as many as four or more separate data entry actions in the Environment of Care inspections database and in a separate system used to track work orders. As an example of the administrative workload related to the inspection process, the Long Beach medical center in California, whose main building was built in 1967, reported the most deficiencies in its VISN. According to VHA data, this medical center reported more than 3,500 environment of care deficiencies related to facility condition in fiscal year 2017, and medical center officials said this resulted in as many as 12,000 or more separate data-entry actions.", "Additionally, VHA\u2019s aging information technology systems exacerbate the administrative workload. VA medical center officials told us that VHA\u2019s work order system lacks interoperability with the Environment of Care inspections database, resulting in the need to manually record information on deficiencies in both systems. Officials we spoke with at VA medical centers told us that this process can substantially add to post-inspection workload and to the administrative burden associated with tracking and closing out deficiencies. Medical center staff also noted that it can often be the same staff member performing environment of care inspections, conducting the work to correct deficiencies, and performing administrative tasks.", "Limitations in VA\u2019s information technology systems, among other things, led GAO to designate VA health care as a high-risk area. Information technology limitations we previously identified at VA include the outdated, inefficient nature of certain systems and a lack of system interoperability."], "subsections": []}, {"section_title": "Staffing", "paragraphs": ["Staffing shortages have also been recognized by VA\u2019s Central Office staff as an issue that needs to be addressed across VA facilities. For example, officials said that in addition to the engineering staff\u2019s shortages discussed below, there is also a known shortage at many medical centers of qualified cleaning and janitorial staff, a shortage that can affect the ability for medical centers to quickly address some of the environment of care deficiencies. Additionally, we have previously reported that VA is collaborating with the Office of Personnel Management to address challenges with recruiting and retaining engineering positions.", "Officials at medical centers included in our review discussed the difficulty of recruiting and retaining employees to perform maintenance work, such as painters, electricians, and other relevant maintenance trades. All six of the medical centers reported vacancies during the last year in engineering department positions that are needed to complete maintenance and repairs, such as electricians and painters. The extent to which these medical centers experienced vacancies, however, varied widely. The lowest number of reported vacancies by a medical center was two and the highest number of reported vacancies was 49. Factors cited by medical center officials on why they had difficulty hiring and retaining staff encompassed a range of issues, including loss of long-time staff due to retirement, and a lack of qualified applicants for vacant positions. For example, medical centers located in and around Los Angeles, California, reported that their location\u2014in a high cost of living area with a competitive private-sector jobs market\u2014affected their ability to recruit and retain these employees. Conversely, medical centers located farther from urban areas reported difficulty finding and retaining staff due to their relatively rural locations and smaller overall population.", "Officials from all six medical centers said that while they endeavor to address all environment of care deficiencies in accordance with the inspection requirements, these vacancies affected their ability to perform maintenance and repair functions. For example, officials from one medical center reported that four out of seven electrician positions at their medical center were vacant. The officials said in addition to their rural location, their need for engineering staff knowledgeable in a range of electrical systems made recruitment difficult. Their facility has buildings that are over 50 years old, as well as newer buildings, with significantly different electrical systems. The officials noted that while all electrical work was eventually completed, the lack of staff slowed or deferred repairs, or required contract labor. Another medical center noted that a shortage of relevant engineering staff meant that work orders and preventative maintenance functions were backlogged and that they had to utilize overtime to accomplish required functions. When faced with changing workload demands and staffing shortages, medical centers can, and do, utilize contractors."], "subsections": []}]}]}, {"section_title": "VHA Takes Steps to Help Medical Centers Comply with Inspection Requirements but Does Not Have Goals or Measures to Determine Program Effectiveness", "paragraphs": ["While VHA provides guidance and oversight to ensure medical centers implement the environment of care inspection process, it lacks performance goals, objectives, and measures that would enable it to assess how well it is achieving its policy of a clean, safe, and functional environment. We have previously found that results-oriented organizations set performance goals to define desired program outcomes and develop performance measures that are clearly linked to these performance goals and outcomes. Program goals communicate what results the agency seeks, and performance measures show the progress the agency is making toward achieving program goals. Performance measurement also gives managers crucial information to identify gaps in program performance and plan any needed improvements. Without such goals and measures in place, VHA is limited in its ability to effectively manage the Environment of Care Program, including making effective use of program data and addressing obstacles to improving program performance."], "subsections": [{"section_title": "VHA\u2019s Oversight of the Environment of Care Program Focuses on Compliance with Inspections Requirements", "paragraphs": ["VHA\u2019s oversight of the Environment of Care Program focuses on ensuring that medical centers are conducting the inspections according to VHA requirements. To help medical centers achieve compliance with the inspection requirements, VHA does the following: develops guidance for medical center and VISN staff on their roles and responsibilities in conducting inspections and compliance monitoring, and on how to use the Environment of Care inspections database software; oversees the deployment and maintenance of the Environment of Care inspections database software, which medical centers use to track deficiencies and staff attendance at inspections, among other things; and provides summary reports from inspections data on deficiencies, closure status, and staff attendance rate at inspections to officials at the medical center and VISN-level for program management purposes To monitor a medical center\u2019s compliance with environment of care requirements, VHA tracks three measures, which, according to VHA officials, were established to ensure that medical centers were meeting requirements related to the inspections process, such as having relevant staff present for the inspections. Table 3 below shows the three measures VHA currently uses along with the related performance targets.", "We have previously reported that performance measures should focus on outcomes to help agencies manage programs to achieve desired results. VHA\u2019s current measures do not indicate whether desired outcomes are being achieved or how effective inspections are but rather whether staff are following policies related to inspections. As a result, these measures provide program managers with little information on the actual quality of the environment of care, such as the level of cleanliness and safety provided. For example:", "One performance measure is based on the requirement that medical centers address deficiencies within 14 days, either by fixing the problem or by preparing an action plan describing how the problem will be fixed. However, because this requirement can be met with an action plan, it is not a useful measure for understanding the deficiencies that have not yet been remediated.", "Similarly, the two performance measures on staff attendance at inspections do not directly relate to the condition of the facility but reflect the level of compliance with inspection requirements. We spoke with officials at one medical center who said vacancies within their information security office prevented them from meeting the inspection team attendance measure. However, officials said the staff absence did not affect the inspection team\u2019s ability to perform an inspection and determine facility deficiencies, given that relevant engineering staff was present.", "Furthermore, we have previously reported that VHA needs to strengthen aspects of the environment of care inspection process to ensure more complete and accurate data on medical center compliance with environment of care standards, and provide better oversight of the system."], "subsections": []}, {"section_title": "VHA Has Not Established Outcome-Oriented Performance Goals, Objectives, and Related Measures", "paragraphs": ["VHA has not defined program goals and objectives and related performance measures, and is therefore limited in its ability to determine how well program activities, including the environment of care inspection process, are supporting the agency\u2019s broader policy of providing a clean, safe, and functional environment. VHA\u2019s current performance measures are not tied to specific performance goals for the Environment of Care Program, as such goals have not yet been created. Nor do these performance measures provide useful information on the actual condition of facilities or desired outcomes. As a result, these metrics provide VHA with limited information on how to better manage the program to ensure clean, safe, and functional medical facilities that, at a minimum, meet the Joint Commission standards. Without clearly defined and outcome- oriented goals, it will be challenging for VHA to determine what type of evaluative information it will need to monitor the progress of the Environment of Care Program, identify how system-wide challenges such as staffing shortages are affecting outcomes, and improve medical center conditions.", "VHA has stated it intends to create goals and objectives for the Environment of Care Program, along with performance measures to assess whether the goals and objectives are being achieved, but it has not yet done so. The VHA directive from 2016 that created the Environment of Care Program directed program officials to establish a steering committee, whose responsibilities would include, among other things, developing goals, objectives, and related performance measures for the program. According to a VHA official, VHA formed this committee in January 2018, following delays caused by leadership vacancies and competing demands within the agency. In June 2018, the committee finalized its charter, which states that the scope of the committee\u2019s activities is to include defining goals, objectives, performance metrics, and targets for the Environment of Care Program. VHA officials do not have a timeline in place for when they expect to complete the steps they defined in the charter."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To provide quality care for the nation\u2019s veterans, medical centers must be clean, safe, and functional. This standard can be a challenge given the substantial capital repair and improvement needs in many of these facilities. The Environment of Care Program is an important part of VHA\u2019s efforts to ensure medical centers are maintained in accordance with accreditation requirements. However, absent clear goals, objectives, and performance measures, and a timeline for developing them, VHA will continue to be limited in its ability to assess how effective the program is at ensuring a safe, clean, and functional environment. Setting outcome- oriented program goals and objectives provides structure to then reevaluate existing performance measures or set new ones, all of which would improve oversight, help VHA determine the effectiveness of the program, and target areas in need of improvement."], "subsections": []}, {"section_title": "Recommendation for Agency Action", "paragraphs": ["We are making the following recommendation to VHA: The Undersecretary for Health should set a timeline for defining goals, objectives, and outcome-oriented performance measures for the Environment of Care Program. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to VA for comment. In its written comments, reproduced in appendix I, VA stated it concurred with our recommendation. VA also provided technical comments, which we incorporated as appropriate.", "Additionally, VA provided general comments on our report. In those general comments, VA questioned how we characterized the Environment of Care Program in the context of Facility Condition Assessments, the age of its buildings, and software interoperability, and stated that responsibility for a successful Environment of Care Program lies at the medical center. We agree it is important to have a strong Environment of Care Program that is facilitated by leadership at the medical center and VISN-levels. However, even with strong leadership and a robust Environment of Care Program, underlying facility condition issues\u2014impacted by the age of the facility\u2014can affect the kind of deficiencies found during inspections. These challenges impacted elements of the Environment of Care Program at all of the medical centers in our review.", "VA also stated that the report did not adequately reflect the significance of the environment of care committees at each medical center, and that performance measures at the national level are measures of compliance, not a measure of success. We have made relevant revisions in the report to reflect the role these committees play as a part of the inspections process. We also agree with VA that the metrics established nationally are not a measure of success for the various medical centers\u2019 Environment of Care Programs. While the primary responsibility for the Environment of Care Program and its inspections is at the medical center and VISN-level, it is still important for VA to have national level performance measures. Without them, gauging national level performance and analyzing trends across medical centers is difficult. In concurring with our recommendation, VA has positioned itself to create and implement measures to support medical centers and the Environment of Care Program.", "VA also made comments related to the non-recurring maintenance approval and funding process, and highlighted a pilot to test a tool to replace its current facility condition assessment. We have made revisions to footnotes and relevant report sections as appropriate to address the changes noted by VA to the non-recurring maintenance approval and funding process, and added a footnote acknowledging the pilot.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, the Undersecretary of Veterans Affairs for Health, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact Andrew Von Ah at (202) 512-2834 or vonaha@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Inspections Related to the Condition of Veterans Health Administration\u2019s (VHA) Facilities", "paragraphs": ["Appendix II: Inspections Related to the Condition of Veterans Health Administration\u2019s (VHA) Facilities Purpose The Facility Condition Assessment evaluates all buildings and major systems at a medical facility and identifies needed repairs and replacements. This inspection gives a graded score from A to F for VHA facilities.", "Frequency Facility Condition Assessments are done on a rotating basis, with each Veterans Integrated Service Network (VISN) being evaluated every 3 years. The information gathered during each Facility Condition Assessment is put into a Facility Condition Assessment database for each facility identified by building, system, and condition. Each system has an associated cost for identified repairs and replacements. These data allow for planning and expenditure of resources within the VISNs. This information enables the VISN to plan, manage, and direct capital resources against identified needs in a consistently managed approach across the VA system.", "Green Environmental Management System ensures VHA compliance with relevant federal, state and local environmental statutes and regulations; increases the efficiency of energy, water and other resource usage; helps reduce regulated air emissions; utilizes pollution prevention principles; incorporates environmentally preferable practices for the design, construction and operation of buildings; and ensures that VHA facilities are good neighbors in the local communities.", "Green Environmental Management System inspections are done annually.", "The primary purpose and intent of the Annual Workplace Evaluation is to ensure occupational safety and health evaluations of all worksites are completed and comply with Occupational Safety and Health Administration and agency requirements. The objective is to evaluate Occupational Safety and Health Administration compliance, current building conditions, work practices, and Occupational Safety and Health Administration program implementation throughout the facility and at offsite campuses such as rented office buildings, clinics, labs, etc.", "Annual Workplace Evaluations are required to be performed at least once every fiscal year. The Annual Workplace Evaluation must be scheduled at least once during a 12- month period +/- 3 months from the start date of the previous Annual Workplace Evaluation."], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Heather J. Halliwell (Assistant Director), Betsey Ward-Jenks (Analyst-in-Charge), Dwayne Curry, and Colleen A. Taylor made key contributions to this report. Also contributing were Kelly Rubin, Michelle Weathers, and Crystal Wesco."], "subsections": []}]}], "fastfact": ["The Veterans Health Administration oversees one of the nation's largest healthcare systems, serving about 9 million veterans at numerous facilities, including 170 medical centers.", "To ensure a safe environment for veterans and employees, VHA must keep its facilities clean and well maintained. This can be a challenge given their substantial capital repair and improvement needs.", "VHA's Environment of Care Program is an important part of its efforts to ensure its facilities are regularly inspected and meet standards. We recommended VHA develop ways to better measure the program's effectiveness and target areas in need of improvement."]} {"id": "GAO-18-148", "url": "https://www.gao.gov/products/GAO-18-148", "title": "Information Technology Reform: Agencies Need to Improve Certification of Incremental Development", "published_date": "2017-11-07T00:00:00", "released_date": "2017-11-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Investments in federal IT too often result in failed projects that incur cost overruns and schedule slippages. Recognizing the severity of issues related to government-wide IT management, Congress enacted federal IT acquisition reform legislation in December 2014. Among other things, the law states that OMB require in its annual IT capital planning guidance that CIOs certify that IT investments are adequately implementing incremental development.", "GAO was asked to review agencies' use of incremental development. This report addresses the number of investments certified by agency CIOs as implementing adequate incremental development and any reported challenges, and whether agencies' CIO certification policies and processes were in accordance with FITARA. GAO analyzed data for major IT investments in development, as reported by 24 agencies, and identified their reported challenges and use of certification information. GAO also reviewed the 24 agencies' policies and processes for the CIO certification of incremental development and interviewed OMB staff."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies reported that 62 percent of major information technology (IT) software development investments were certified by the agency Chief Information Officer (CIO) for implementing adequate incremental development in fiscal year 2017, as required by the Federal IT Acquisition Reform Act (FITARA) as of August 2016. However, a number of responses for the remaining investments were incorrectly reported due to agency error. Officials from 21 of the 24 agencies in GAO's review reported that challenges hindered their ability to implement incremental development, which included: (1) inefficient governance processes; (2) procurement delays; and (3) organizational changes associated with transitioning from a traditional software methodology that takes years to deliver a product, to incremental development, which delivers products in shorter time frames. Nevertheless, agencies reported that the certification process was beneficial because they used the information from the process to assist with identifying investments that could more effectively use an incremental approach, and using lessons learned to improve the agencies' incremental processes.", "As of August 2017, only 4 of the 24 agencies had clearly defined CIO incremental development certification policies and processes that contained: descriptions of the role of the CIO in the process; how the CIO's certification will be documented; and included definitions of incremental development and time frames for delivering functionality consistent with Office of Management and Budget (OMB) guidance (see figure).", "In addition, OMB's fiscal year 2018 capital planning guidance did not establish how agency CIOs are to make explicit statements to demonstrate compliance with FITARA's incremental provisions, while the 2017 guidance did. However, OMB's fiscal year 2019 guidance provides clear direction on reporting incremental certification and is a positive step in addressing this issue."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 19 recommendations to 17 agencies, including 3 to improve reporting accuracy and 16 to update or establish certification policies. Eleven agencies agreed with GAO's recommendations, 1 partially agreed, and 5 did not state whether they agreed or disagreed. OMB disagreed with several of GAO's conclusions, which GAO continues to believe are valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies rely on information technology (IT) systems to provide essential services affecting the health, economy, and defense of the nation. In fiscal year 2017, agencies were budgeted to spend more than $89 billion on IT, including more than $43 billion on 752 major investments. With many of these investments in a development phase, it is important to ensure that agencies are making the most efficient use of their financial resources through effective management practices. However, as we have previously testified, IT projects often fail\u2014that is, even after exceeding their budgets by millions of dollars and delaying the schedules by years\u2014the results do not meet requirements.", "Recognizing the severity of challenges related to the government-wide management of IT, in December 2014, Federal Information Technology Acquisition Reform Act provisions (commonly referred to as FITARA) were enacted as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. The law states that the Office of Management and Budget (OMB) require in its annual IT capital planning guidance that each covered agency\u2019s chief information officer (CIO) certify that IT investments are adequately implementing incremental development, as defined in capital planning guidance issued by OMB.", "Further, in February 2015, we added improving the management of IT acquisitions and operations to our high-risk list\u2014a list of agencies and program areas that have a higher potential for fraud, waste, abuse, and mismanagement, or are in need of transformation. In introducing this risk area, we specifically noted that agencies had used incremental development less than 50 percent of the time for a selection of investments that we reviewed and called on agencies to improve their delivery of functionality to ensure that a minimum of 80 percent of the government\u2019s acquisitions deliver functionality every 12 months. We recently issued an update to our high-risk report in February 2017 and noted that, while progress has been made in addressing the IT acquisitions and operations high-risk area, significant work remains to be completed, including the need for demonstrated progress by agencies in delivering functionality every 12 months on major acquisitions.", "You asked us to review agencies\u2019 use of incremental development in managing major IT investments. Our objectives were to determine: (1) the number of investments certified by agencies as implementing adequate incremental development and any reported challenges that impact the agencies\u2019 incremental delivery of functionality, and (2) whether agencies are establishing policies and processes for CIO certification of incremental development in accordance with FITARA.", "To address the first objective, we analyzed fiscal year 2017 data for the major investments reported on the IT Dashboard as of August 31, 2016, by the 24 agencies required to provide this information under FITARA. These agencies are the Department of Commerce (Commerce), Department of Defense (Defense), Department of Education (Education), Department of Energy (Energy), Department of Health and Human Services (HHS), Department of Homeland Security (DHS), Department of Housing and Urban Development (HUD), Department of the Interior (Interior), Department of Justice (Justice), Department of Labor (Labor), Department of State (State), Department of Transportation (Transportation), Department of the Treasury (Treasury), Department of Veterans Affairs (VA), U.S. Department of Agriculture (USDA), Environmental Protection Agency (EPA), General Services Administration (GSA), National Aeronautics and Space Administration (NASA), National Science Foundation (NSF), Office of Personnel Management (OPM), Small Business Administration (SBA), Social Security Administration (SSA), U.S. Agency for International Development (USAID), and U.S. Nuclear Regulatory Commission (NRC).", "Among the reported investments, we identified 166 investments undertaking software development activities in which at least 50 percent or more of funding was allocated to development, modernization, and enhancement activities. For each of these investments, we assessed the status of reported certifications by the CIOs of the respective agencies. We presented the results of our data analysis to officials from each agency\u2019s Office of the CIO and incorporated any changes to the data as appropriate. We determined that the data were sufficiently reliable for the purpose of this report.", "We also presented a list of challenges identified during our past work on incremental development to officials in the Office of the CIO at each of the 24 agencies involved with investment management and software development activities. We then asked the officials to identify from the list their top three challenges to delivering incremental functionality; explain the actions they took to addresses the challenges; and describe the outcomes. In addition, we also asked agency officials to identify any challenges that were not included in the list, but which were among their top three challenges. Lastly, we also asked the agencies in our review to identify how the CIO utilized the information obtained during the process of certifying investments\u2019 adequate incremental development to make decisions regarding the agency\u2019s major IT investments.", "For the second objective, we analyzed the 24 agencies\u2019 CIO certification policies and processes to determine whether they were consistent with the provision in FITARA and OMB guidance. In addition, we interviewed staff from OMB\u2019s Office of E-Government and Information Technology regarding OMB\u2019s guidance related to incremental development and FITARA. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Investments in federal IT have the potential to make agencies more efficient in fulfilling their missions. However, as we have previously reported, these investments too often result in failed projects that incur cost overruns and schedule slippages, while contributing little to mission- related outcomes. For example:", "The Farm Service Agency\u2019s Modernize and Innovate the Delivery of Agricultural Systems program, which was to replace aging hardware and software applications that process benefits to farmers, was halted in July 2014 after investing about 10 years and at least $423 million, while only delivering about 20 percent of the functionality that was originally planned.", "Defense\u2019s Expeditionary Combat Support System was canceled in December 2012, after spending more than a billion dollars and failing to deploy within 5 years of initially obligating funds.", "VA\u2019s Financial and Logistics Integrated Technology Enterprise program was intended to be delivered by 2014 at a total estimated cost of $609 million, but was terminated in October 2011 due to challenges in managing the program.", "OPM\u2019s Retirement Systems Modernization program was canceled in February 2011, after spending approximately $231 million on the agency\u2019s third attempt to automate the processing of federal employee retirement claims.", "DHS\u2019s Secure Border Initiative Network program was ended in January 2011, after the department obligated more than $1 billion to the program, because the program did not meet cost-effectiveness and viability standards.", "The tri-agency (Defense, NASA, and the National Oceanic and Atmospheric Administration) National Polar-orbiting Operational Environmental Satellite System was a weather satellite program that was disbanded by the White House Office of Science and Technology Policy in February 2010 after the program spent 16 years and almost $5 billion.", "The VA Scheduling Replacement Project was terminated in September 2009 after spending an estimated $127 million over 9 years.", "One approach to reducing software development risks is to divide investments into smaller parts, or increments. While a traditional waterfall software development effort usually is broadly scoped, multiyear, and produces a product at the end of a sequence of phases, an incremental development approach delivers software products in smaller modules with shorter time frames. This development technique has been recognized in prior law since 1996 and in OMB guidance since 2000.", "By following an incremental development approach, agencies have the potential to: deliver capabilities to their users more rapidly, giving them more flexibility to respond to changing agency priorities; increase the likelihood that each project will achieve its cost, schedule, and performance goals; obtain additional feedback from users, increasing the probability that each successive increment and project will meet user needs; more easily incorporate emerging technologies; and terminate a poorly performing investment, with fewer sunk costs.", "Since 2000, OMB Circular A-130 has directed agencies to incorporate an incremental development approach into their policies and ensure that investments implement them. Further, since 2012, OMB has required that functionality be delivered at least every 6 months.", "In addition, FITARA states that OMB is to require in its annual IT capital planning guidance that covered agency CIOs certify that IT investments are adequately implementing incremental development, as defined in capital planning guidance issued by OMB. Accordingly, in June 2015, OMB released two related sets of guidance on the implementation of FITARA that included instructions pertaining to CIO certification of adequate incremental development. In particular, agencies were to, among other things:", "Develop policies and processes which ensure CIO certification.", "OMB required agencies to define IT policies and processes which ensure that the CIO certifies that IT resources are adequately implementing incremental development. In the guidance, OMB defined adequate incremental development as the planned and actual delivery of new or modified technical functionality to users that occurs at least every 6 months for development of software or services.", "Report the status of CIO certification. OMB\u2019s guidance required agency CIOs to certify in each major IT investment\u2019s business case whether the investment\u2019s plan for the current year adequately implements incremental development.", "OMB uses the major IT business cases to monitor major investments once they are funded. Performance information on each major investment, including the status of incremental delivery, is made publicly available on the web-based IT Dashboard. In using the IT Dashboard, OMB intends to provide transparency and oversight into these agencies\u2019 investments. This public display of data is also intended to allow Congress and government oversight bodies, as well as the general public, to hold agencies accountable for the results and progress of the investments.", "Further, OMB issued its fiscal year 2018 and fiscal year 2019 capital planning guidance in June 2016 and August 2017, respectively, which required agency CIOs to provide the certifications needed to demonstrate compliance with FITARA."], "subsections": [{"section_title": "GAO Has Reported on Efforts to Improve IT Acquisitions Using Incremental Development", "paragraphs": ["During the past several years, we have reported on a variety of challenges related to improving federal IT acquisitions through the use of incremental development. In 2011, we identified seven successful investment acquisitions and nine common factors critical to their success. Specifically, we reported that department officials had identified seven successful investments that best achieved their respective cost, schedule, scope, and performance goals. Notably, all of these were smaller increments, phases, or releases of larger projects. For example, the Defense investment in our sample was the seventh increment of an ongoing investment; Energy\u2019s system was the first of two phases; the DHS investment was rolled out to two locations prior to deployment to 37 additional locations; and Transportation\u2019s investment had been part of a prototype deployed to four airports.", "Common factors critical to the success of three or more of the seven investments were: 1. Program officials were actively engaged with stakeholders. 2. Program staff had the necessary knowledge and skills. 3. Senior department and agency executives supported the programs. 4. End users and stakeholders were involved in the development of requirements. 5. End users participated in testing system functionality prior to formal end-user acceptance testing. 6. Government and contractor staff were stable and consistent. 7. Program staff prioritized requirements. 8. Program officials maintained regular communication with the prime contractor. 9. Programs received sufficient funding.", "These critical factors help support OMB\u2019s objective of improving the management of large-scale IT acquisitions across the federal government.", "In May 2014, we reported on the status of incremental development at five agencies (Defense, DHS, HHS, Transportation, and VA). We noted that these agencies planned to deliver functionality for fewer than half of the investments in 12-month cycles and that only about one-fourth of these investments would deliver in 6-month increments, as required by OMB. Additionally, OMB staff reported to us that they did not expect that many investments would meet the 6-month requirement. Therefore, we questioned whether a 6-month delivery requirement was an appropriate government-wide goal and whether OMB should instead consider a 12- month time frame, as called for in its IT Reform Plan. Accordingly, we recommended that OMB require projects to deliver functionality at least every 12 months. OMB disagreed with our recommendation, asserting that changing the requirement from 6 to 12 months would reduce the emphasis on incremental development that it had been advocating and that 6 months was an appropriate goal. However, we noted in our report, agencies\u2019 plans to deliver functionality every 6 months was low and it would not always be practical for certain types of investments to deliver functionality every 6 months. We therefore continue to believe our recommendation is appropriate.", "We also recommended that OMB develop and issue clearer guidance on incremental development to ensure that it has the necessary information to oversee the extent to which projects and investments are implementing its guidance. OMB took action to address this recommendation and issued capital planning guidance in fiscal year 2016 that requires agencies to report on whether each of their projects has delivered a production release every 6 months and to provide a rationale if functionality is not being delivered. In addition, we recommended that the five selected agencies\u2014Defense, DHS, HHS, Transportation, and VA\u2014 update and implement their associated policies. Most agencies agreed with our recommendation or had no comment. As of September 2017, Defense, DHS, Transportation, and VA have addressed our recommendation.", "In February 2015, we added improving the management of IT acquisitions and operations to our high-risk list, citing a lack of disciplined and effective management and inconsistent application of best practices to the successful acquisition of IT projects throughout the federal government. In particular, we noted the critical importance of implementing incremental development in order to reduce investment risk and called on federal agencies to ensure that a minimum of 80 percent of the government\u2019s major acquisitions deliver functionality at least every 12 months.", "In August 2016, we reported on the status of incremental development and noted that, for fiscal year 2016, 22 agencies had reported on the IT Dashboard that 64 percent of their software development projects would deliver useable functionality every 6 months, as required by OMB. However, shortcomings in OMB\u2019s guidance\u2014the lack of clarity regarding the types of projects where incremental development would not apply, and how the status of these nonsoftware projects should be reported\u2014 affected the accuracy of the data on the IT Dashboard. We therefore recommended in August 2016 that OMB clarify its existing guidance regarding what IT investments were and were not subject to requirements on the use of incremental development and how CIOs should report the status of projects that were not subject to these requirements. OMB did not specifically agree or disagree with our recommendation, but stated that it generally agreed with our report. In April 2017, OMB staff reported that the agency had taken action and included language to address our recommendation in its fiscal year 2018 guidance; however, an analysis of that guidance showed that it still lacked direction on how CIOs are to report the status of nonsoftware projects.", "In addition, for our August 2016 report, we reviewed seven departments\u2019 guidance and found that only three departments (Commerce, DHS, and Transportation) had policies and processes to ensure that the CIO would certify that IT investments were adequately implementing incremental development in accordance with FITARA. We therefore made recommendations to the remaining four departments (Defense, Education, HHS, and Treasury) to establish a policy and process for the certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA. Two departments concurred with our recommendation, one department disagreed, and one department did not comment. As of August 2017, none of the four departments had taken action to address the recommendation; as discussed later in the report.", "We issued an update to our high-risk report in February 2017 and noted that, while progress has been made in addressing this high-risk area, significant work remains to be completed. For example, as of December 2016, OMB and agencies had implemented 366 (or about 46 percent) of the 803 open recommendations that we had made from fiscal years 2010 through 2015 related to IT acquisitions and operations. We also noted that agencies needed to make demonstrated progress in delivering functionality every 12 months on major acquisitions.", "Further, in April 2017, we reported on the results of a forum, convened by the Comptroller General on September 14, 2016, to explore challenges and opportunities for CIOs to improve federal IT acquisitions and operations\u2014with the goal of better informing policymakers and government leadership. Thirteen current and former federal agency CIOs, members of Congress, and private sector IT executives noted the importance of federal agencies\u2019 IT procurement offices and processes evolving to align with new technologies, as agencies are not always set up to take advantage of acquisitions using Agile development processes."], "subsections": []}]}, {"section_title": "Agencies Reported That Most of Their Major Software Development Investments Were Certified as Having Adequate Incremental Development, but Continue to Face Challenges and Identify Benefits", "paragraphs": ["Agencies reported to OMB through the IT Dashboard that more than half of their major software development investments were certified by the CIO as implementing adequate incremental development as of August 2016. For the remaining investments, the agencies offered various interpretations regarding what investments needed to be certified. For example, officials of several agencies reported that they were not utilizing incremental development for certain investments. In other instances, agencies did not provide a response to OMB regarding the question in the major IT business case about certification, or responded that they did not consider certification to be applicable for their investments. However, based on OMB\u2019s guidance, a number of these \u201cnot applicable\u201d responses were incorrectly reported, as these agencies had investments that included software development and were, therefore, required to report on the certification of adequate incremental development.", "In addition, officials from a majority of the agencies reported that multiple challenges had impacted their ability to implement adequate incremental development. These challenges related to inefficient governance processes; procurement delays; the lack of stable, prioritized requirements; and organizational and cultural changes associated with the transition from a traditional software methodology to an incremental methodology. Nevertheless, officials from 21 agencies reported that the certification process was beneficial because they used the information obtained during the process to assist with management oversight of major IT investments, including identifying investments that could be using a more effective incremental approach and using lessons learned to improve the agency\u2019s incremental processes."], "subsections": [{"section_title": "CIOs Certified 62 Percent of Major IT Investments as Having Adequate Incremental Development", "paragraphs": ["FITARA states that, in its annual IT capital planning guidance, OMB is to require CIOs to certify that IT investments are adequately implementing incremental development. In 2015, OMB defined adequate incremental development as the planned and actual delivery of new or modified technical functionality to users that occurs at least every 6 months for development of software or services. Further, OMB\u2019s IT capital planning guidance for fiscal year 2017 required CIOs to certify whether their agencies\u2019 major IT investments had adequately implemented incremental development for the current year. Specifically, agencies were to respond to a question in the major IT business case regarding whether the CIO certified adequate incremental development for each investment with a response of either yes, no, or not applicable. Agencies\u2019 responses to this question are publicly reported by OMB on the IT Dashboard.", "As of August 31, 2016, 21 of the 24 agencies in our review had reported on the IT Dashboard a total of 166 major software development investments that were planned to be primarily in development for fiscal year 2017. Of these 166 investments, the agencies reported that 62 percent (103 investments) were certified by the CIO as using adequate incremental development for fiscal year 2017, as shown in table 1 in alphabetical order by department and agency. (For additional details on the certification status of the 166 investments, see appendix II.)", "For the remaining 63 investments, 8 agencies either reported in the major IT business case that the investment was not certified as adequately implementing incremental development or that certification was not applicable. Three other agencies did not provide a response to the question regarding certification in the major IT business case submitted to OMB. Figure 1 shows the breakdown of responses by agency regarding investments that were not certified as implementing adequate incremental development, as reported on the IT Dashboard.", "Officials in the Office of the CIO at each of the 3 agencies provided a variety of reasons for why the 11 investments were not certified as implementing adequate incremental development. For example, HHS officials noted that certain investments are required to meet complex statutory requirements and, thus, a 6-month release schedule is not always appropriate for them. Interior officials stated that their investment had just been categorized as a major investment and, at the time of the submission of certification status, a baseline had not been approved. The officials stated, however, that the baseline has since been approved and the investment is expected to deliver functionality every 6 months. Further, SSA officials reported that 3 investments were not software development initiatives even though 2 of these investments had been inaccurately reported as such on the IT Dashboard.", "Regarding the 33 investments for which the 3 agencies did not provide a response in the major IT business case for the investment, officials from each agency\u2019s Office of the CIO attributed the lack of a response to either data entry errors or the agency not being required to publicly report this information for the investments. In particular, USDA and Treasury officials reported that the lack of certification data on the IT Dashboard was the result of a data entry error. Treasury officials also stated that the agency\u2019s missing responses were due to a lack of administrative oversight in reviewing the data for accuracy and consistency. The officials noted that the Treasury CIO had certified all of the agency\u2019s investments but some investments failed to select the proper response in the business case.", "Defense officials reported that 16 investments were categorized as national security systems and, therefore, were exempt from public reporting on the IT Dashboard (though not exempt from acquisition policies regarding the use of incremental development). The officials said that they did not provide a response on the remaining 7 investments because 1 investment was not a software development effort and the other 6 investments were designated as major automated information systems and, therefore, the agency did not have to submit business cases to OMB with this information.", "Lastly, officials from the Office of the CIO at 7 agencies reported a variety of reasons for why they had provided a response of \u201cnot applicable\u201d for 19 investments. For example, Interior officials stated that, at the time of the certification submission, the investment did not have any approved development projects and, therefore, the agency had indicated not applicable in its response for the one investment. However, the officials stated that the investment\u2019s projects have since been approved and the CIO has reviewed the investment and certified adequate incremental development.", "For the remaining 18 investments at the other 6 agencies (Commerce, DHS, Education, Energy, HHS, and Transportation), officials from each agency\u2019s Office of the CIO reported that the majority of the projects associated with their investments were not primarily related to software development, or that they were using either a non-incremental development methodology or a mixed non-incremental/incremental development methodology. As a result, the officials believed the certification of adequate incremental development was not applicable, even though at least one project within each of the investments involved software development.", "However, based on OMB\u2019s guidance, these \u201cnot applicable\u201d responses for the 18 investments were incorrectly reported and the agencies should have provided either a \u201cyes\u201d or \u201cno\u201d response to the certification question because the investment included software development. Specifically, OMB\u2019s fiscal year 2017 capital planning guidance states that certification of incremental development applies to any investment that is developing software or services, as noted in its definition of adequate incremental development. In addition, staff in OMB\u2019s Office of E-Government and Information Technology stated that a \u201cnot applicable\u201d response to the question was only acceptable in cases where software development was not occurring, such as an investment related to infrastructure or technology refreshment of equipment.", "Staff in the Office of E-Government and Information Technology acknowledged the need for more meaningful oversight of agencies\u2019 use of incremental development and stated that, beginning in fiscal year 2018, OMB will no longer require agencies to report CIO certification information in their investments\u2019 major IT business cases or on the IT Dashboard. Rather, OMB staff stated that agencies would be required to separately provide the certifications needed to demonstrate compliance with FITARA. OMB\u2019s revised approach and agencies\u2019 implementation of OMB\u2019s guidance are further discussed later in this report.", "Regardless of the reporting requirements in place, it remains critical that federal agencies report accurate incremental development information to OMB because of OMB\u2019s plans to use this information for investment management and oversight. However, our September 2016 work has highlighted the poor quality of data related to incremental development at the project level, including whether a project is delivering a release every 6 months. Specifically, we reviewed seven agencies\u2019 major IT software projects and found inconsistencies that affected the accuracy of the reported rates of delivery for all agencies\u2014and at least a 10 percentage point difference in the reported rate on the IT Dashboard for five of these agencies. We therefore made recommendations to the seven agencies to improve their reporting of incremental development data on the IT Dashboard.", "Having accurate data on agency investments\u2019 use of incremental development is critical for providing oversight and management of these investments and to ensure that OMB and lawmakers can hold CIOs accountable for the investments\u2019 performance. We have previously made recommendations to Commerce, Defense, DHS, Education, HHS, Transportation, and Treasury to improve the accuracy of reporting on the IT Dashboard and continue to believe these recommendations are appropriate. In addition, until Energy, SSA, and USDA improve their reporting of incremental development data on the IT Dashboard, their efforts to improve the use of incremental development may not be successful. As a result, the agencies increase the risk that the potential impact of utilizing incremental development to more quickly deliver useful functionality to users and improve the likelihood that these multimillion dollar projects will meet their stated goals, may not be realized."], "subsections": []}, {"section_title": "Multiple Challenges Were Commonly Identified by Agencies as Impacting the Delivery of Incremental Functionality", "paragraphs": ["The majority of the 24 agencies in our review reported that multiple challenges had impacted their ability to adequately implement incremental development for their major IT software development investments. In particular, when presented with a list of challenges identified by our past work on incremental development, 21 of the agencies selected seven common challenges to developing investments incrementally. Each of these seven challenges was selected by 5 or more agencies. For example:", "14 agencies identified problems with program staff over-utilization and the lack of skills and experience as their top challenge;", "6 agencies reported that development work was slowed by inefficient governance and oversight processes;", "5 agencies reported that development schedules were impeded by procurement delays; and", "5 agencies identified the lack of stable, prioritized requirements as a challenge.", "In addition, 3 agencies identified a new challenge which had not been described in our prior work. Specifically, they reported that organizational and cultural changes associated with the transition from a traditional waterfall software methodology to an incremental methodology required more time and resources to implement than anticipated. Table 2 summarizes the common challenges identified by agencies and the number of agencies that reported each challenge, ranked by number of agencies reporting the challenge. Examples of the challenges\u2014and actions taken to overcome them\u2014are discussed following the table.", "Project staff were over-utilized or lacked the necessary skills and experience. Officials from the Office of the CIO at 14 agencies (DHS, Education, EPA, GSA, Justice, NASA, NRC, OPM, SBA, SSA, State, Treasury, USAID, and VA) reported challenges in implementing incremental development practices associated with project staff, such as a lack of staff with the necessary skills and experience in utilizing incremental approaches, inadequate training on these approaches, overutilization of business or subject matter experts, and the lack of engagement between product owners and subject matter experts. To address these challenges, agency officials reported implementing new approaches, such as training programs focused on incremental development, coaching strategies to assist project managers in managing acquisitions, and hiring practices. For example, among these agencies:", "DHS officials reported that project staffs\u2019 lack of necessary skills and experience in understanding the requirements for managing major IT acquisitions is an ongoing issue, not only related to incremental development, but also to IT program and project management. The officials stated that they had developed an acquisition coaching and assistance strategy that was intended to establish an experienced team of acquisition coaches who were up-to-date on the latest acquisition, contracting, and development techniques to assist project managers in managing the acquisitions. The officials stated that they hoped to present lessons learned and recommendations on this strategy to the agency\u2019s Agile working group in summer 2017.", "Treasury officials reported a significant need for specialized engineers, architects, and developers with skills in older programming languages to maintain its many legacy systems. For example, officials noted that the agency is modernizing its core taxpayer account processing applications, which utilized antiquated programming languages, to more modernized platforms. Treasury officials noted that they have been shifting staff to meet immediate needs; augmenting teams with contractors, where possible; and hiring new staff to fill critical open positions. Nevertheless, the officials said they have had to slow work on four key projects and delay the launch of other projects. In addition, the officials stated that they are relying on contractors more to meet the agency\u2019s staffing needs.", "EPA officials noted that, as the agency transitions from using waterfall software development approaches to Agile-based approaches, it needs more skilled staff with experience in Agile development. These officials stated that the agency\u2019s CIO had taken several actions to address this challenge, including creating an Office of Digital Services and Technical Architecture to promote Agile and user-centered design, establishing a fellowship program to bring outside Agile experts into the project teams, and creating a blanket purchase agreement to allow agency project teams to purchase Agile programming and consulting services.", "According to NRC officials, one of the greatest incremental delivery challenges has been the difficulty of engaging sufficient business area product owners and subject matter experts. For example, the officials explained that, despite product owners\u2019 enthusiasm for increased engagement with developers, the demands of the agency\u2019s core mission work presents challenges for these owners in being available for meetings related to Agile development activities. NRC officials informed us that the agency had addressed the challenge by working to establish a predictable, recurring schedule for product owner and subject matter expert engagement on development projects, where expectations are communicated to management about time commitments.", "Further, agency officials from a number of the 14 agencies that experienced this challenge reported varying approaches to implementing new incremental development training. For example, Treasury officials stated that the agency has developed in-house training for existing developers to meet the needs of its modernized programs. Education officials noted that the agency identified a select team of IT professionals within the agency to receive formal training in incremental development practices. Further, VA officials told us that its Enterprise Program Management Office is focused on training IT personnel on incremental development principles. Finally, SSA officials reported that the agency had launched a training program that had sent hundreds of developers through a 6-week boot camp program, which included courses in incremental development and modern coding languages.", "Programs did not receive sufficient funding or received funding later than needed. Officials from the Office of the CIO at nine agencies (GSA, NASA, OPM, SSA, State, Treasury, USAID, USDA, and VA) reported challenges associated with programs not receiving sufficient funding or not receiving funding until late in the fiscal year. These challenges were a result of changing funding priorities, budget cuts, and continuing resolutions, which disrupted delivery schedules and required agencies to delay, reprioritize, or discontinue the rollout of particular investments or modernization activities. Agencies reported adopting various approaches to overcome the challenges in this area, such as delaying project schedules, developing alternate plans for delivering functionality, and using flexible contracting strategies. For example:", "USDA officials reported that funding for a number of projects was not available until late in the fiscal year, which impacted project schedules. The officials stated that one component agency addressed the funding delay by adjusting schedule start dates for projects relative to the current fiscal year, which helped to improve schedule projections.", "OPM officials told us that they had faced challenges in performing work on incremental projects due to a lack of available resources caused by delays in receiving funding. The officials stated that they addressed this challenge by developing alternate plans to delivering incremental functionality with a different scope or focus for the system.", "VA officials reported that they faced challenges with funding IT efforts that span multiple years. The officials noted that administrative priorities often change over time, impacting the level of funding approved in subsequent years to undertake incremental development projects. To address this, officials noted that they used flexible contracting strategies\u2014such as options that allow the government to continue the contract only when funding is assured, adjusting a contract\u2019s time frames to match a delay, adjusting schedules, designing contracts so that a vendor is paid based on completion of measured functionality, and using the change request process to contribute funding to other projects.", "Treasury officials stated that the lack of a dedicated funding commitment had led to difficulties in longer-term strategic planning for IT improvements. The officials stated that resources assigned to certain IT projects had to be leveraged for legislatively mandated investments, causing project delays and pauses for these projects. As a result, the officials reported that the agency had been reviewing core initiatives and infrastructure programs, such as infrastructure, hardware, and software refresh and process improvements, to determine if they can scale back scope or lengthen schedules. The officials said that at least one program has been formally paused.", "Projects experienced management and organizational challenges that introduced delays. Officials from the Office of the CIO at seven agencies (Commerce, Interior, NASA, NRC, NSF, SBA, and Transportation) reported that management and organizational challenges had introduced delays in delivering functionality to users. These challenges included delays in testing and meeting delivery schedules due to dependencies on other systems or projects and a lack of approved software or appropriate equipment. Agency officials reported implementing various approaches to overcome these challenges, such as addressing external dependencies, tailoring development processes, and providing waivers for the acquisition of software and hardware. For example:", "Commerce officials reported that they faced organizational challenges in meeting scheduled delivery time frames due to delays with another project that was not ready for testing. In particular, the officials reported that one of their systems was ready for testing but experienced delays because the system had an interface with another system that was not ready for testing. The officials said that the delay in Commerce\u2019s ability to test its system resulted in missed delivery milestones. In order to continue development, the project team separately tested its system without including the interface functionality.", "NRC officials reported that they had experienced delays in meeting their incremental projects\u2019 delivery schedules due to dependencies on multiple complex projects. These officials told us that the agency addressed these delays by improving existing processes and implementing a change control board and an enterprise test development environment.", "SBA officials reported that delays were introduced when the agency did not have necessary software and hardware available for development activities. Officials noted that these challenges were a result of the agency not maintaining an updated inventory of approved software and developers not having access to laptops needed for development activities. SBA officials stated that the agency addressed the lack of approved software and equipment needed for incremental development by processing a waiver to use software tools and procuring laptops for the developers.", "Incremental development work was slowed by inefficient governance and oversight processes. Officials from the Office of the CIO at six agencies (DHS, HUD, NRC, State, USAID, and USDA) reported that they had experienced challenges in developing projects incrementally because they were required to follow agency processes that were lengthy, inefficient, or not easily adaptable to a more rapid incremental delivery release schedule. Agency officials also noted that a lack of understanding among project staff regarding the benefits of incremental development was a challenge. The officials reported implementing new guidance and management processes to overcome these challenges. For example:", "DHS officials reported that inefficient governance and oversight processes had caused delays in obtaining necessary approvals for moving projects forward. Specifically, these officials reported that the agency\u2019s acquisition lifecycle framework did not allow for tailoring any of its processes to accommodate Agile development. The officials noted that these challenges were addressed with the publication of updated lifecycle documents that incorporated incremental development guidance into the agency\u2019s policies and procedures.", "HUD officials reported that the agency\u2019s internal approval process for the Privacy Act System of Record Notice did not accommodate incremental releases. Specifically, the agency\u2019s incremental development process called for the release of functionality every 60 days, but the agency\u2019s Privacy Office required 90 to 180 days to complete its approval process. HUD officials reported that the Office of the CIO is collaborating with the Privacy Office to expedite the existing approval process, and have proposed that a single system of record notice be prepared for each incremental development project, rather than one for each release.", "USAID officials reported that the time needed for defining and incorporating changes in response to IT security and privacy standards, processes, and artifacts provided before the system is granted an Authority to Operate is a challenge. These officials stated that the Office of the CIO has acquired additional knowledgeable staff to support projects in the incorporation and execution of security and privacy requirements.", "State officials reported that applying incremental development principles to projects has been a challenge because agency personnel have lacked a clear understanding of the benefits of incremental development and how to apply incremental concepts to unique project types. These officials reported that the agency was updating its guidance and processes to place greater emphasis on the importance of incremental development, and that the agency had established a review process to ensure projects plan for implementing incremental development.", "Project characteristics made rapid delivery of functionality infeasible or impracticable. Officials from the Office of the CIO at six agencies (Interior, Justice, Labor, SSA, Transportation, and Treasury) reported that they believed rapid delivery of functionality was infeasible or impracticable for projects that addressed human health and safety concerns, had legislative mandates that established immovable delivery time frames, were primarily for infrastructure deployment, were updates to existing systems to address legal or other regulatory changes, or were updates to legacy systems that utilize old programming languages. However, none of the agencies identified solutions for these challenges that enabled them to deliver functionality in the 6-month time frames required by OMB. For example:", "Transportation officials noted that Federal Aviation Administration projects, like those for its Next Generation Air Transportation System, are unique and complex due to safety concerns that impact the national airspace. As a result, these investments require years of design, development, and testing, which officials believe precludes using incremental approaches that must deliver usable functionality every 6 months.", "Labor officials reported that certain projects, which are initiated in response to an executive order or other external mandate, come with required delivery time frames. This results in relatively short development schedules that do not lend themselves to using an incremental approach.", "Justice officials reported that several of the agency\u2019s investments primarily dealt with the deployment of secure telecommunications, data centers, and other network infrastructure, making it difficult to translate that delivery into meaningful increments. Justice officials stated that they did not deploy incremental development because the projects were infrastructure projects.", "Treasury officials reported that the development and maintenance of some major investments, such as the agency\u2019s legacy tax systems, are not conducive to a 6-month delivery schedule due to the number of modifications that must be made based on changes to the tax laws, legislative mandates, and other system updates. Treasury officials stated that the agency has established a mature governance process for rolling out changes to these tax systems so there is only one annual update to the systems.", "SSA officials stated that using an incremental software development approach to modernize the agency\u2019s legacy applications was challenging because the code for these applications was unstructured, overly complex, heavily interdependent, and utilized old programming languages. The officials stated that, in order to modernize these legacy applications, the project teams had to break programming changes into useful segments, streamline imbedded business process requirements, and rewrite the code using modern programming languages. As a result, the officials stated that these activities could not, at least initially, deliver functionality in smaller increments.", "Incremental development schedules were impeded by procurement delays. Officials from the Office of the CIO at five agencies (Education, HUD, Interior, OPM, and USDA) reported that they had experienced challenges with meeting incremental development schedules due to delays in getting contracts awarded or getting contract modifications approved. To overcome this challenge, agency officials reported that they negotiated with vendors and worked with the offices of procurement within their agencies to reduce delays and ensure all paperwork was completed in the time frames required. For example:", "Education officials reported that the agency uses contractors to perform most of its software development work. These officials stated that modifying existing contracts to require the use of incremental development approaches had caused delays in getting vendors to deliver functionality in 6-month increments. Education officials reported that they had negotiated with vendors to restructure delivery schedules in order to meet incremental delivery time frames.", "HUD officials reported that they had faced challenges in meeting project schedules due to delays in getting paperwork approved by the agency\u2019s procurement office, which was busy with end-of-year activities. To address this, HUD officials stated that they collaborated with the Office of the Chief Procurement Officer to ensure the project teams submitted the required documentation for approval in advance of the procurement office\u2019s end-of-year activities.", "OPM officials noted that they had faced challenges with adapting their procurement process to use incremental approaches. The officials stated that they worked with their Office of Procurement to incorporate incremental development procurement methodologies in order to reduce the time from contract initiation to award, as well as to reduce the amount of contract documentation and its complexity.", "Programs did not have stable, prioritized requirements. Officials from the Office of the CIO at five agencies (DHS, Justice, NSF, Transportation, and VA) reported that maintaining stable requirements, including defining a set of initial requirements, handling ongoing changes, and managing stakeholder expectations regarding the scope of, and number of changes to requirements, were challenges. To overcome these challenges, agencies reported strengthening standards, implementing training and coaching, and exercising better requirements and business practices. For example:", "DHS officials stated that managing stakeholder expectations related to requirements was challenging because product owners and business users expected project requirements not to change once they were developed, while development teams had planned for requirements to change and be reprioritized over the course of the project since the team was using an incremental approach. These officials reported that they issued new guidance and offered assistance and coaching for programs and projects to better identify and document needs and requirements, while encouraging business users to plan for and prioritize the backlog of items to be deployed incrementally.", "Justice officials reported that it was a challenge to finalize the scope of work for various projects because disparate stakeholders had competing priorities which led to constant changes in the requirements. The officials noted that, for one of the agency\u2019s projects, the project team is currently establishing a process to obtain consensus on stakeholder priorities in advance. For other projects, Justice teams have sought or received training from experienced, certified Agile experts in developing customer requirements.", "NSF officials reported that, when first establishing its incremental development program, the agency had experienced challenges in defining a stable set of priority requirements for the initial increments. The officials told us that, to address this challenge, they elevated customers to fill the leadership roles of the working groups that provided the requirements to ensure the requirements of each increment were well defined and clearly prioritized.", "VA officials reported that, while the agency has transitioned to Agile development methods over the past several months, it still works through challenges in developing detailed user stories with its business partners, and reported many instances when a project was undertaken without knowing the full scope of requirements. VA officials reported that they took several actions to help address this challenge, including introducing a new development methodology to promote incremental development principles, and establishing an account management office that works with business partners to ensure detailed business cases are prepared prior to approval. They also integrated more rapid prototyping into the planning stages as a way to gather requirements and test assumptions early and cheaply.", "Organizational changes associated with the transition from a traditional software methodology to an incremental development methodology require time and resources. Officials from the Office of the CIO at three agencies (EPA, GSA, and Labor) independently reported challenges related to organizational changes, such as staff adapting to the culture shift from being business customers to taking on a more active role as product owners and project managers in the software development process. For example:", "EPA officials stated that the agency had experienced challenges as staff transitioned from using waterfall development practices to Agile practices because there had been skepticism within the agency on whether an Agile approach could meet the requirements for agency systems. The officials stated that the CIO had established an office to provide support to project teams that needed assistance in adopting Agile approaches, created a community of practice group, and developed guides and other maturity models to provide guidance on the adoption of Agile methodologies.", "GSA officials explained that implementing incremental delivery has required a culture shift for the agency\u2019s business customers who were accustomed to having a different set of roles and responsibilities in the traditional software development process than what is used in the incremental development process. The officials stated that they have worked to train their customers to better capture the vision of what needs to be built and to be more active product owners and managers in communicating with the development team. As a result, the officials in the GSA Office of the CIO stated that they are enabling the business customers to serve as better product owners. The officials further stated that, by implementing this change, project staffs have (1) defined and prioritized clearer requirements; (2) selected the proper technical tools to support business needs; (3) worked with the contracting office to develop better-defined contracting documents and make contract awards; (4) identified dependencies associated with development efforts; and (5) provided transparency on what work has been completed, what work is planned, and the challenges associated with the investments.", "Additionally, three agencies (Defense, Energy, and HHS) reported no challenges with implementing incremental development. However, officials from all three agencies discussed issues surrounding the use of incremental development, both as part of this review and as part of our prior work. In particular, Energy officials had told us that they had projects that failed to adequately employ incremental development practices, which required follow-up with program managers to identify corrective actions. Also, both Defense and HHS officials have reported facing management and organizational challenges, such as dependencies on integrating changes with other systems, which impacted the delivery of functionality every 6 months. Defense officials noted that many of the agency\u2019s investments were complex and could not adhere to a 6-month delivery schedule.", "Federal investments may continue to encounter increased cost and schedule risks if agencies cannot adequately implement incremental development approaches. The discussion of challenges identified in this report\u2014and the range of actions taken by the agencies to address them\u2014 is a valuable resource that could have the potential to help agencies that face similar concerns."], "subsections": []}, {"section_title": "Agencies Reported Using Information from the Incremental Certification Process to Improve Investment Management Oversight", "paragraphs": ["Although a number of agencies identified challenges in utilizing incremental development, officials in the Office of the CIO at 21 of the 24 agencies also reported that the CIO certification process was beneficial to their agencies because it had assisted them in overseeing the management of agency investments. For example, officials from 13 agencies reported that they used the information derived from the certification process to identify challenged development projects that could be using a more effective incremental development approach and officials from 2 agencies stated that the information helped them determine whether an investment should undergo a TechStat review. Table 3 lists the four benefits reported by federal agencies in utilizing the CIO certification process and the number of agencies that reported each activity, ranked by number of agencies reporting the challenge. Examples of the benefits agency officials identified from these investment management oversight activities are discussed following the table.", "More effective use of incremental development approaches. Officials from the Office of the CIO at 13 agencies (Defense, DHS, Education, Energy, EPA, GSA, Interior, NASA, NRC, SBA, SSA, Transportation, and USDA) stated that they review the information about the investment\u2019s use of incremental development to identify projects that could be implementing a more effective incremental development approach. For example, Energy, GSA, and SBA officials stated that they review projects not using adequate incremental development in order to identify necessary corrective actions, such as: (1) breaking out projects into shorter duration activities; (2) implementing the use of investment reviews, whereby funds are released incrementally upon completion of clear success criteria; (3) developing major IT investment business cases that outline project plans for incremental development; and (4) monitoring new and existing investments to ensure delivery of capabilities within schedule and cost thresholds.", "In addition, DHS, NASA, NRC, and SSA officials reported that the CIO uses the information to make corrections to projects that are not adequately implementing incremental development through such actions as the CIO\u2019s office: (1) working with project team officials to convert project activities to an incremental approach; (2) requiring any deviations from approved releases of software development products to be approved by the CIO; (3) requiring projects that deviate from the use of adequate incremental development principles to be approved by the CIO; and (4) determining which investments must use incremental development, and requiring the projects to do so.", "Provide oversight of IT investments. Officials from the Office of the CIO at seven agencies (Commerce, Interior, Labor, OPM, NSF, State, and VA) stated that they use the information to provide oversight of IT investments. In particular, Interior and NSF officials reported that their CIOs use the information obtained during the performance measurement baseline approval process to make decisions regarding the agency\u2019s major IT investments. For Interior, officials stated that the types of decisions the CIO may make include, but are not limited to, accelerating delivery, reducing scope, or halting or terminating an IT project. For NSF, officials stated that the decisions could result in changes to program objectives or scope of individual projects under the program, redirection of resources, changes to planned levels of expenditure, or recommendations for corrective actions based on the evaluation.", "In addition, Commerce officials stated that investment data are reviewed by the CIO on a monthly basis and, based on the status, can undergo further scrutiny at a review board meeting or other CIO review process. Labor officials noted that its capital planning team updates the CIO\u2019s rating and explanation for each major IT investment in the agency\u2019s capital planning and investment control system, and submits the rating information to the IT Dashboard each month.", "Improve incremental development processes. Officials from the Office of the CIO at five agencies (DHS, EPA, HUD, Justice, and USDA) stated that they leveraged the information to improve their incremental development processes. For instance, USDA officials reported that they leveraged the results of the certification process to build an incremental development community of practice. DHS officials stated that they developed coaching and other assistance to help convert projects to an incremental process. Lastly, Justice officials stated that they utilized the results of the certification process to: (1) develop best practices and lessons learned on using incremental development, (2) establish additional training, and (3) establish mentoring programs or other familiarization with incremental techniques to support business improvement.", "Determine if a TechStat is warranted. Officials from the Office of the CIO at two agencies (Labor and SBA) stated that they use the results of the certification process to determine whether an investment should undergo a TechStat review. In particular, Labor officials stated that if an investment is rated as high risk for 3 consecutive months during the review process, then a TechStat is initiated. In addition, SBA officials noted that, as part of their certification process, the Office of the CIO portfolio management team meets with the CIO to determine if any IT investments should have a Techstat review.", "Given the significant size of the federal government\u2019s annual investment in IT and the often disappointing results from IT development efforts, finding innovative ways to improve the quality and timeliness of agencies\u2019 IT investments may help improve these development efforts. The discussion of benefits identified with using the certification process\u2014and the range of management oversight activities taken by the agencies\u2014 may have the potential to help agencies improve their management and oversight of IT acquisitions."], "subsections": []}]}, {"section_title": "Most Agencies Lack Detailed CIO Certification Policies and OMB Has Improved Related Reporting Guidance", "paragraphs": ["Of the 24 agencies in our review, only 4 had clearly defined processes and policies to ensure that the CIO will certify that major IT investments are adequately implementing incremental development. The remaining 20 agencies either did not include details such as the role of the CIO in the certification process or how certification would be documented, or had not yet finalized a policy.", "OMB\u2019s fiscal year 2018 guidance was not clear regarding what actions agencies should take to demonstrate compliance with FITARA\u2019s certification requirement. However, OMB issued its new fiscal year 2019 guidance in August 2017, which addressed the weaknesses we identified."], "subsections": [{"section_title": "Only 4 of 24 Agencies Have Clearly Defined a Policy for CIO Certification of Incremental Development", "paragraphs": ["A provision in FITARA, enacted in December 2014, states that, in its annual IT capital planning guidance, OMB is to require agency CIOs to certify that IT investments are adequately implementing incremental development. Subsequent OMB guidance on the law\u2019s implementation, issued in June 2015, directed agency CIOs to define processes and policies for their agencies which ensure that they certify that IT resources are adequately implementing incremental development. As part of the guidance, OMB defined adequate incremental development as the development of software or services, with planned or actual delivery of new or modified technical functionality to users that occurs at least every 6 months.", "OMB\u2019s guidance allows agencies the flexibility to define the processes that CIOs use for ensuring the certification of adequate incremental development. For example, CIOs can rely on internal governance processes, such as investment and capital planning processes, to evaluate agency investments for adequate use of incremental development. In addition, agency CIOs are to use OMB\u2019s definition of adequate incremental development when developing their certification processes and determining whether to certify that their investments met these criteria. While OMB\u2019s guidance is not specific on what elements should be included in these certification policies and processes, GAO\u2019s Information Technology Investment Management framework notes that policies and procedures should be clearly defined, including the role of appropriate stakeholders, and have appropriate artifacts to document decisions made.", "Although OMB\u2019s requirement has been in place since June 2015, only 4 of the 24 agencies we reviewed (Commerce, DHS, Energy, and Transportation) have clearly defined processes and policies intended to ensure that their CIOs certify that major IT investments are adequately implementing incremental development. Specifically, all 4 agencies\u2019 policies contained all the elements that we evaluated in the agency guidance: descriptions of the role of the CIO in the process; how the CIO\u2019s certification will be documented; and definitions of incremental development and time frames for delivering functionality consistent with OMB guidance.", "However, the remaining 20 agencies did not have clearly defined processes and policies in place because their documentation either did not describe the CIOs\u2019 role in the certification process or how certification would be documented, define incremental development and provide delivery time frames consistent with OMB guidance; or the policy had not yet been finalized. The results of our analysis of agencies\u2019 policies is shown in figure 2, while additional details regarding the status of the 24 agencies\u2019 incremental policies are provided in appendix III.", "The four agencies that had clearly defined policies for certification took a variety of approaches to defining how the CIOs would conduct the review and certification of major IT investments, determining how certification would be documented, and ensuring OMB\u2019s guidance regarding the definition of adequate incremental development and delivery time frames was followed. Specifically:", "Commerce\u2019s capital planning guidance requires bureau CIOs or other accountable officials to review project documentation regarding project deliverables and issue an e-mail or other time-stamped document that certifies the adequate implementation of incremental development. In addition, Commerce guidance adheres to OMB\u2019s guidance requiring delivery time frames every 6 months or less and sets forth a definition of adequate incremental development that is consistent with OMB guidance.", "DHS\u2019s technical investment review guidance states that the CIO is to conduct a review of each investment using an investment review checklist that includes information provided by project managers as to whether the investments have used incremental development adequately. The CIO is to certify whether the project is implementing incremental delivery at least every 6 months and document this certification in the checklist. DHS guidance also includes a definition of adequate incremental development and time frames for delivering functionality that are consistent with OMB guidance.", "Energy\u2019s capital planning guidance states that the CIO is to review and certify each investment\u2019s adequate use of incremental development as part of monthly investment review board meetings and during the monthly review of the IT Dashboard data. The status of this certification is documented in the agency\u2019s monthly investment summary spreadsheet. In addition, Energy\u2019s guidance adheres to OMB\u2019s definition of adequate incremental development and its associated delivery time frames for its incremental development activities.", "Transportation\u2019s investment management guidance states that the CIO is to conduct a review of the investment as part of the investment review board process; this board is co-chaired by the agency CIO. The CIO is to certify adequate incremental development in the signed investment decision review document. In addition, Transportation\u2019s guidance adheres to OMB\u2019s definition of adequate incremental development and delivery time frames.", "However, the remaining 20 agencies did not have clearly defined policies and processes in place to ensure CIOs are certifying each major IT investment\u2019s adequate incremental development. In particular, while officials from the Office of the CIO at 11 agencies asserted that they had a policy for CIO certification, these policies lacked details, such as a description of the role of the CIO in the process, a description of how certification would be documented, and definitions of incremental development and delivery time frames consistent with OMB guidance. Table 4 details our evaluation of the certification policies provided to us by the 11 agencies.", "Agency officials in the Office of the CIO at each of the 11 agencies provided a variety of reasons for why their policies lacked details regarding the role of the CIO in the process and how certification was documented, or did not include definitions for incremental development and delivery time frames. For example, State officials reported that updating their policies to comply with FITARA was not seen as a priority until Congress conducted its own evaluation of incremental development in May 2016. They stated that their new policy is currently in the process of being finalized but no time frames for finalization were provided. However, we could not determine whether the guidance is expected to address the issues we identified because State provided us excerpts of its new draft policy and the new proposed guidance that did not include any details in the areas we identified.", "In addition, GSA officials stated that they had used existing governance bodies and processes to determine whether the investment would be certified. The officials stated that they did not see a reason to create a separate policy for CIO certification, since the agency always looks at using incremental development for new projects and the agency certifies the investment in the major IT business case.", "Further, OPM officials stated that their agency had been on a path to address the FITARA requirements, but progress was slowed due to the lack of a budget for fiscal year 2017. The officials stated that they intend to update the agency\u2019s policies, but had no firm plans for doing so pending the availability of budgetary resources.", "Lastly, NSF officials stated that they have not seen the need to have a policy on CIO certification for a number of reasons. NSF reported that it is a small agency with few large IT investments, and many of those are legacy systems in operations and maintenance, rather than development. Therefore, according to the officials, the agency has not had many occasions for the CIO to need to certify adequate incremental development for major IT investments. Second, the officials stated that the NSF CIO is actively involved in the investment review process and did not feel a policy was needed to describe these activities. Third, NSF officials stated that it is their belief that policies are generally only required to correct something which is not working. Lastly, NSF officials stated that the agency\u2019s definition of an Agile sprint was its definition of incremental development. However, sprints are not released directly to users, and therefore, the definition is not consistent with OMB guidance. However, the officials said they might reconsider developing a policy, but did not provide a time frame for doing so.", "Finally, 9 agencies had not yet finalized a CIO certification policy. Office of the CIO officials in each of these agencies reported that they had relied on existing IT governance processes and budget mechanisms, or created new targeted IT reviews to determine the CIO certification for fiscal year 2017 that was reported on the IT Dashboard. For example, HHS officials reported that the agency used existing project and investment milestone reviews as part of its enterprise performance lifecycle to determine whether the investment would be certified as having adequate incremental development.", "SBA officials told us that the agency\u2019s portfolio management team met with investment managers during the monthly update process for the IT Dashboard, while USAID officials noted that the agency\u2019s CIO reviews the incremental development status of all major investment software development projects on a monthly basis. Further, Justice officials reported that the IT Investment Oversight Manager\u2019s staff reviewed the major business cases and requested justification for software development investments that were not: (1) using an iterative or Agile methodology, (2) expected to have a production release containing usable functionality every 6 months, or (3) showing an actual or planned date for deployment production within a 6-month time frame.", "In addition, while six of these agencies reported plans to finalize a policy for CIO certification by December 2017, one agency reported its policy would be finalized in 2018, and two agencies did not provide a time frame for finalizing a policy. Figure 3 below shows the agencies\u2019 reported time frames for finalizing a policy on CIO certification of incremental development.", "Officials from each agency\u2019s Office of the CIO provided a variety of reasons for why they had not yet developed or finalized policies for CIO certification of adequate incremental development. For example, EPA officials stated that the agency has been focusing on standing up the programs and structures needed to support incremental development and, thus, had not prioritized developing a policy. In addition, EPA officials stated that they had not developed a definition of functionality or time frames, but that their guidance points to industry standards.", "SBA officials stated that, since the majority of the agency\u2019s investments were in operations and maintenance, they did not see the need to have policies or procedures for incremental development. In addition, HUD, NASA, and USAID officials reported that their agencies were in the process of finalizing policies, but had experienced delays due to the number of stakeholder comments or limited staff resources.", "Lastly, Defense officials stated that they had included information in their fiscal year 2018 budget submission guidance for component CIOs to certify adequate incremental development and were working to incorporate this process into their Financial Management Regulations, which were to be finalized in the first quarter of fiscal year 2018. However, the officials stated that the agency\u2019s process is driven by its efforts to comply with whatever process OMB requires in the annual capital planning guidance and, thus, they would not have a separate certification policy from the budget guidance.", "Additionally, Defense officials reported that, for their agency\u2019s investments, delivery every 12 to 18 months was more appropriate than the 6 months that OMB requires. Nevertheless, while Defense officials may believe that 12 to 18 month delivery cycles may be more appropriate for their work, OMB\u2019s guidance requires agencies to deliver functionality at least every 6 months and does not allow for exceptions. We previously recommended that Defense establish a policy on the CIO certification of incremental development. Until this guidance is finalized, Defense may not be able to ensure incremental development practices are adequately implemented at the agency. We therefore continue to believe the recommendation is appropriate.", "Annual CIO certification of incremental development is critical to ensuring that agency CIOs exercise the proper authority and oversight over their agencies\u2019 major IT investments. Having appropriate authority and oversight helps to create IT systems that add value and are aligned with agencies\u2019 missions, while reducing the risks associated with low-value and wasteful investments. In the absence of clearly defined policies, agencies continue to run the risk of failing to deliver major investments in a cost-effective and efficient manner.", "We have previously made recommendations to Defense, Education, HHS, and Treasury to establish CIO certification policies, but as noted in this report, these agencies still have not yet finalized their guidance to clearly detail their agencies\u2019 processes for certification. Therefore, we continue to believe these recommendations are appropriate.", "Agencies that lacked finalized policies may not be able to meet their reported time frames for finalizing their certification policies, since agency officials have noted that their approval processes are quite lengthy, and in some cases, the proposed dates for completion have changed several times. In addition, several policies were still being developed. Therefore, we cannot be assured that these documents will fully address the areas we noted. Until the 20 agencies update or finalize processes and policies for CIO certification, including defining the role of the CIO in the process, describing how certification will be documented, and including definitions of incremental development and delivery time frames consistent with OMB guidance, they will not be able to fully ensure adequate implementation of, or benefit from, incremental development practices. As a result, the agencies increase the risk that federal government resources will not be used in the most effective and efficient manner."], "subsections": []}, {"section_title": "OMB Has Improved Its IT Capital Planning Guidance to Ensure CIO Certification Reporting Clearly Specifies Agency Responsibilities", "paragraphs": ["FITARA states that OMB is to require in an agency\u2019s annual IT capital planning guidance that each covered agency CIO certify that IT investments are adequately implementing incremental development, as defined in capital planning guidance issued by OMB. However, since the law was enacted in December 2014, OMB has taken three different approaches to address this reporting requirement. Of the approaches, one did not clearly and consistently provide agencies with the direction needed to effectively implement this important provision and report the status of certification.", "As previously noted, OMB\u2019s fiscal year 2017 IT capital planning guidance (issued in June 2015) required each major IT investment to respond to a question in the associated major IT business case regarding whether the CIO certified the adequate implementation of incremental development with either a yes, no, or not applicable. This reporting approach required that agency CIOs provide an explicit statement regarding the certification of adequate implementation of incremental development for each major IT investment. Further, this approach allowed for the status of CIO certification of each investment to be publicly reported on the IT Dashboard via the investment\u2019s major IT business case.", "However, OMB\u2019s capital planning guidance for fiscal year 2018 (issued in June 2016) lacked clarity regarding how agencies were to address the requirement certifying adequate incremental development. While the 2018 guidance states that agency CIOs are to provide the certifications needed to demonstrate compliance with FITARA, there is no specific reference to the provision requiring CIO certification of adequate incremental development. As a result of this change, OMB placed the burden on agencies to know and understand how to demonstrate compliance with FITARA\u2019s incremental development provision. Further, because of the lack of clarity in the guidance as to what agencies were to provide, OMB could not demonstrate how the fiscal year 2018 guidance ensured that agencies provided the certifications specifically called for in the law.", "OMB staff explained that the changes to the fiscal year 2018 capital planning guidance were made with the intent to rely on agencies\u2019 reported responses on the IT Dashboard regarding the use of incremental development by an investment\u2019s projects, rather than relying on an agency\u2019s response to the yes, no, or not applicable question about the status of an investment\u2019s certification of incremental development.", "Providing a clear and consistent approach for agencies to follow in reporting the status of certification is critical to ensure that agencies are able to comply with this key FITARA provision and to ensure that CIOs are held accountable for the performance of their major IT investments. OMB staff from the Office of E-Government and Information Technology stated that the fiscal year 2019 guidance would be responsive to the issues we raised.", "Accordingly, in August 2017, OMB issued its fiscal year 2019 guidance, which addressed the weaknesses we identified in the previous fiscal year\u2019s guidance. Specifically, the revised guidance requires agency CIOs to make an explicit statement regarding the extent to which the CIO is able to certify the use of incremental development, and to include a copy of that statement in the agency\u2019s public congressional budget justification materials. As part of the statement, an agency CIO must also identify which specific bureaus or offices are using incremental development on all of their investments.", "Agency CIO certification of the use of adequate incremental development for major IT investments is critical to ensuring that agencies are making the best effort possible to create IT systems that add value while reducing the risks associated with low-value and wasteful investments. These changes to OMB\u2019s fiscal year 2019 guidance provide a key improvement for ensuring that agency CIOs have a consistent approach to follow in providing the certifications specifically called for in the law."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["One of the aims of FITARA was to encourage the use of incremental development throughout the federal government and, as of August 2016, more than half of the 24 agencies\u2019 IT investments had been certified as adequately implementing incremental development, as required by FITARA and defined in OMB guidance. However, a number of responses for agency investments were incorrectly reported and it will be critical that agencies continue to improve the accuracy of investment data reported on the IT Dashboard. While we have previously made recommendations to numerous agencies to improve the accuracy of reporting on the IT Dashboard, issues with reporting remain, reinforcing the need for agencies to ensure that accurate data are made available for the oversight and management of their investments.", "In addition, while OMB issued guidance in June 2015, requiring agency CIOs to define policies and processes for CIO certification, as of August 2017, only 4 of 24 agencies had established policies that clearly define these processes. At this point, over 2 years since the law\u2019s enactment, it is critical that agencies take action to put in place appropriate incremental certification polices to ensure CIOs exercise the proper authority and oversight over major IT investments, as required by law. Otherwise, agencies run the risk of not realizing the benefits of incremental development, as well as not implementing FITARA\u2019s requirement for incremental development. While we previously made recommendations to Defense, Education, HHS, and Treasury to establish CIO certification policies, these agencies have still not yet finalized their guidance, and therefore, we continue to believe these recommendations are appropriate.", "Further, OMB has taken three different approaches to addressing FITARA\u2019s reporting requirement for CIO certification and one did not clearly and consistently provide agencies with the direction needed to effectively implement this important provision and report the status of certification. OMB\u2019s fiscal year 2017 capital planning guidance was helpful to agencies, in that it clearly directed agencies on how to publicly report their certifications. This also helped Congress in its oversight of agencies\u2019 FITARA compliance. In contrast, OMB\u2019s fiscal year 2018 capital planning guidance was a step backward, and OMB could not demonstrate how the guidance ensured that agencies provided the certifications specifically called for in the law. Going forward, the changes in guidance that OMB has implemented for fiscal year 2019 recognize the importance of providing clear direction to CIOs and how critical it is for agencies to create IT systems that add value while reducing the risks associated with low-value and wasteful investments."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 19 recommendations to 17 departments and agencies in our review. Specifically: The Secretary of Energy should ensure that the CIO of Energy reports major IT investment information related to incremental development accurately in accordance with OMB guidance. (Recommendation 1)", "The Secretary of Agriculture should ensure that the CIO of USDA reports major IT investment information related to incremental development accurately in accordance with OMB guidance. (Recommendation 2)", "The Commissioner of the Social Security Administration should ensure that the CIO of SSA reports major IT investment information related to incremental development accurately in accordance with OMB guidance. (Recommendation 3)", "The Secretary of Housing and Urban Development should ensure that the CIO of HUD establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 4)", "The Secretary of the Interior should ensure that the CIO of Interior updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development, consistent with OMB guidance. (Recommendation 5)", "The Attorney General of the United States should ensure that the CIO of Justice establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 6)", "The Secretary of Labor should ensure that the CIO of Labor updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 7)", "The Secretary of State should ensure that the CIO of State updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 8)", "The Secretary of Agriculture should ensure that the CIO of USDA establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 9)", "The Secretary of Veterans Affairs should ensure that the CIO of VA updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 10)", "The Administrator of EPA should ensure that the CIO of EPA establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 11)", "The Administrator of GSA should ensure that the CIO of GSA updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 12)", "The Administrator of NASA should ensure that the CIO of NASA establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 13)", "The Director of the NSF should ensure that the CIO of NSF updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 14)", "The Chairman of NRC should ensure that the CIO of NRC establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 15)", "The Director of OPM should ensure that the CIO of OPM updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 16)", "The Administrator of SBA should ensure that the CIO of SBA establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 17)", "The Commissioner of the Social Security Administration should ensure that the CIO of SSA updates the agency\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes a description of the CIO\u2019s role in the certification process and a description of how CIO certification will be documented. (Recommendation 18)", "The Administrator of USAID should ensure that the CIO of USAID establishes an agency-wide policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA, and confirm that it includes: a description of the CIO\u2019s role in the certification process; a description of how CIO certification will be documented; and a definition of incremental development and time frames for delivering functionality, consistent with OMB guidance. (Recommendation 19)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We received comments on a draft of this report from OMB and the 24 agencies that we reviewed. Of the 17 agencies to which we made recommendations, 11 agencies agreed with our recommendations, 1 agency partially agreed, and 5 agencies did not state whether they agreed or disagreed with the recommendations.", "In addition, of the 7 agencies and OMB to which we did not make recommendations, 2 agencies agreed with the report and 5 agencies stated that they had no comments on the report. OMB did not agree with certain findings in the report. In addition, OMB and multiple agencies provided technical comments on the report, which we incorporated as appropriate.", "The following discusses the comments received from each agency to which we made a recommendation.", "In written comments, Energy concurred with our recommendation to ensure that the CIO reports major IT investment information related to incremental development accurately in accordance with OMB guidance, and described actions it has taken to address the recommendation. Specifically, the agency stated that its Office of the CIO reviews the accuracy of Energy\u2019s major IT investment project reporting related to incremental development as part of monthly IT Dashboard and Investment Review Board meetings. By taking these actions, the agency considered the recommendation closed.", "As noted earlier in our report, we identified issues with the accuracy of Energy\u2019s reported data related to the certification of incremental development. If Energy consistently and effectively implements its reviews of IT Dashboard data, as described, these actions should help to improve the accuracy of reported incremental development data on the IT Dashboard. We plan to continue to monitor the agency\u2019s reporting of its incremental data on the IT Dashboard and accordingly, consider our recommendation to currently remain open. Energy\u2019s comments are reprinted in appendix IV.", "In written comments, HUD concurred with our recommendation to establish an agency-wide policy and process for CIO certification of adequate incremental development and stated that it would provide more definitive information and timelines on how it plans to address the recommendation once our final report is issued. HUD\u2019s comments are reprinted in appendix V.", "In written comments, Interior stated that the agency concurred with our recommendation to update the agency\u2019s policy and process for CIO certification of adequate incremental development and described planned actions to implement it. Specifically, the agency reported that it is committed to updating its existing policy to include a description of the CIO\u2019s role in the incremental development certification process, a description of how the CIO\u2019s certification is documented, and a definition of incremental development, consistent with OMB\u2019s guidance. Interior\u2019s comments are reprinted in appendix VI.", "In an e-mail received on September 15, 2017, an audit liaison specialist in Justice\u2019s Audit Liaison Group in the Internal Review and Evaluation Office stated that the agency agreed with our recommendation to establish an agency-wide policy and process for CIO certification of adequate incremental development and described planned actions to implement it. Specifically, the official stated that Justice will amend existing policy and processes to implement this recommendation. In addition, the official stated that Justice is fully supportive of incremental development and has drafted documentation, including guidance on an incremental system development life cycle.", "In an e-mail received on September 5, 2017, an administrative officer in Labor\u2019s Office of the Assistant Secretary for Administration and Management stated that the agency had no comments on the report.", "In written comments, State did not say whether the agency agreed or disagreed with our recommendation to update the agency\u2019s policy and process for CIO certification of adequate incremental development, but described ongoing actions to implement it. Specifically, the agency reported that it has developed an incremental development policy that addresses the recommendation we noted in our report. The agency added that the policy is currently in the process of being approved. State\u2019s comments are reprinted in appendix VII.", "In an e-mail received on September 1, 2017, a senior advisor in the USDA Office of the CIO\u2019s Enterprise Management office stated that the agency concurred with our findings and recommendations to report major IT investment incremental development information accurately and to establish an agency-wide policy and process for CIO certification of adequate incremental development, and had no further comments.", "In written comments, VA partially concurred with our recommendation to update the agency\u2019s policy and process for CIO certification of adequate incremental development, stating that, while the agency does not currently have a policy in place outlining the CIO certification process, the agency CIO does direct that all investments utilize Agile and incremental delivery. The agency stated that it would take action to address our recommendation by drafting a policy that outlines the CIO\u2019s role in the certification process and describes how certification will be documented. The agency added that the policy is targeted for completion by November 2017.", "If implemented as planned, these actions should address the intent of our recommendation. VA\u2019s comments are reprinted in appendix VIII.", "In written comments, EPA stated that the agency generally agreed with our recommendation to establish an agency-wide policy and process for CIO certification of adequate incremental development, and presentation of facts in the report. The agency also noted that the policy developed in response to our recommendation is to address FITARA issues above and beyond the certification of incremental development.", "In addition, the agency noted a technical correction to a sentence in our report related to EPA\u2019s use of information from certification. We have incorporated changes to the draft, as appropriate, to address this comment. EPA\u2019s comments are reprinted in appendix IX.", "In written comments, GSA agreed with our recommendation to update the agency\u2019s policy and process for CIO certification of adequate incremental development and reported that it would develop and implement a plan to fully address it. GSA\u2019s comments are reprinted in appendix X.", "In written comments, NASA concurred with the recommendation to establish an agency-wide policy and process for CIO certification of adequate incremental development and described ongoing actions to implement it. Specifically, the agency stated that it is currently updating its policies to address the incremental development requirement. In this regard, NASA Policy Directive 2800.1 is to include a responsibility for the Office of the CIO to certify that IT resources are adequately implementing incremental development. In addition, NASA Policy Directive 7120.7 is being updated to include a definition of incremental development and processes for ensuing that the CIO certifies incremental development. According to the agency, these policies are estimated to be completed by March 2018. NASA\u2019s comments are reprinted in XI.", "In an e-mail received on September 14, 2017, a senior advisor in NSF\u2019s Office of the Director/Office of Integrative Activities stated that the agency had no comments on our report.", "In written comments, NRC stated that it was in general agreement with the findings in our report. The agency did not state whether it agreed or disagreed with our recommendation to establish an agency- wide policy and process for CIO certification of adequate incremental development, but described the planned action to implement the recommendation. Specifically, the agency reported that it plans to establish agency-wide, formalized processes and procedures for the CIO to approve the incremental development of major IT investments by December 31, 2017. NRC\u2019s comments are reprinted in appendix XII.", "In written comments, OPM concurred with the recommendation to update the agency\u2019s policy and process for CIO certification of adequate incremental development and described planned actions to implement it. Specifically, the agency reported that it intends to update its policies and processes to include a description of the CIO\u2019s role in the certification process and a description of how certification will be documented. OPM\u2019s comments are reprinted in appendix XIII.", "In an e-mail received on September 11, 2017, a program manager in SBA\u2019s Office of Congressional and Legislative Affairs stated that the agency concurred with our recommendation to establish an agency- wide policy and process for CIO certification of adequate incremental development, and had no further comments.", "In written comments, SSA agreed with our two recommendations to report major IT investment incremental development information accurately and establish an agency-wide policy and process for CIO certification of adequate incremental development, and described planned actions being taken or planned to implement them. Specifically, the agency reported that it had implemented two new processes to support incremental development certification. According to the agency, each IT investment program manager is to answer a series of questions about the investment\u2019s status and also certify whether their investment adequately implements incremental development. This information is to be used in the CIO\u2019s ongoing investment evaluation process for reporting investment information on the IT Dashboard. SSA reported that these new processes are to be defined in an upcoming revision to the agency\u2019s Capital Planning and Investment Control Guide. SSA\u2019s comments are reprinted in appendix XIV.", "In written comments, USAID did not state whether it agreed or disagreed with our recommendation to establish an agency-wide policy and process for CIO certification of adequate incremental development, but described ongoing actions to implement the recommendation. Specifically, the agency reported that it is in the process of establishing an agency-wide policy and process for the CIO\u2019s certification of adequate incremental development. It estimates that this policy will be implemented by August 31, 2018. USAID\u2019s comments are reprinted in appendix XV.", "In addition to the aforementioned comments, the seven agencies and OMB to which we did not make recommendations provided the following responses.", "In written comments, Commerce stated that the agency concurred with the report as written. Commerce\u2019s comments are reprinted in appendix XVI.", "In an e-mail received on September 7, 2017, a GAO Affairs staff member in Defense\u2019s Executive Services Directorate stated that the agency had no formal comments on the report.", "In an e-mail received on September 8, 2017, a staff member in Education\u2019s Office of the Secretary/Executive Secretariat stated that the agency had no comments on the report.", "In an e-mail received on September 11, 2017, an audit liaison in HHS\u2019s Office of the Assistant Secretary for Legislation stated that the agency had no comments on the report.", "In an e-mail received on September 11, 2017, a program analyst in DHS\u2019s GAO-Office of Inspector General\u2019s Liaison Office stated that the agency would not be sending a management response letter.", "In an e-mail received on September 8, 2017, the Director of Audit Relations and Program Improvement in Transportation\u2019s Office of the Secretary stated that the agency would not be providing a written management response.", "In an e-mail received on September 15, 2017, a supervisory IT specialist/GAO-Office of Inspector General liaison in Treasury\u2019s Office of the CIO stated that the agency generally agreed with the report. The agency also provided comments related to various challenges discussed in the report. Specifically, the official described Treasury\u2019s efforts to address challenges noted in the report related to project staff lacking the necessary skills for implementing incremental development practices and programs not receiving sufficient funding. In this regard, the official stated that the agency continues to develop knowledge, skills, and abilities for project managers and IT specialists and continues to provide specialized programming training to its IT staff in order to move to more modern programming languages and IT tools as part of system modernization efforts. In addition, the official stated that, to address challenges related to programs receiving sufficient funding, Treasury continues to adjust planned and ongoing projects to align with the availability of funds and external mandates.", "In an e-mail received on September 19, 2017, an OMB Assistant General Counsel stated that the agency generally disagreed with the tone, tenor, and conclusions of law reflected in aspects of our report. Among the concerns was that we had asserted that OMB\u2019s prior year\u2019s guidance to agencies on CIO certification of incremental development was not in compliance with OMB\u2019s statutory obligations under FITARA.", "As our report states, FITARA mandates OMB to include in its annual IT capital planning guidance, a requirement that CIOs certify that investments are adequately implementing incremental development as defined in the guidance. We reported that OMB had issued guidance for fiscal years 2017, 2018, and 2019. However, we noted that the fiscal year 2018 guidance differed from the guidance issued in the other two fiscal years in that it did not clearly establish how agency CIOs were to demonstrate compliance with FITARA\u2019s certification of adequate incremental development provision. Instead, the fiscal year 2018 guidance placed the burden on agencies to know and understand how to implement the FITARA requirement.", "Thus, while we concluded that OMB\u2019s fiscal year 2018 guidance was not clear on how agencies were to certify adequate incremental development, we did not assert that this guidance failed to comply with FITARA. Accordingly, we did not make a conclusion of law regarding OMB\u2019s guidance, as the e-mail stated. We continue to believe that our assessment of the fiscal year 2018 guidance is correct.", "OMB also stated that it disagreed with our conclusion that OMB could not demonstrate compliance with FITARA.", "However, our report did not make the conclusion that is stated in OMB\u2019s response. As noted above, our report pointed out that OMB\u2019s fiscal year 2018 guidance lacked clarity in terms of specifically stating what information agencies were to provide OMB in order to be compliant with FITARA\u2019s requirement that agency CIOs certify incremental development. Therefore, we concluded that OMB could not demonstrate how the fiscal year 2018 guidance ensured that agencies provided the certifications specifically called for in the law. As such, we continue to believe that our conclusion is appropriate.", "Further, OMB stated that our conclusion was predicated on OMB\u2019s reluctance to share agency pre-decisional budget information.", "It is up to OMB to demonstrate that its fiscal year 2018 guidance ensured agency compliance with FITARA. Though OMB asserted that our conclusion was based on OMB\u2019s reluctance to share agency pre- decisional budget information, our conclusion was instead based on the fact that OMB provided no documentary evidence to establish how agencies complied with the FITARA certification requirement for fiscal year 2018. Consequently, we believe our assessment that OMB could not demonstrate how the fiscal year 2018 guidance ensured that agencies provided the certifications specifically called for in the law is accurate.", "In a subsequent e-mail to us on October 4, 2017, the OMB Assistant General Counsel provided additional comments related to the disagreements described above. Specifically, OMB stated that our report\u2019s \u201cfocus on the use of the term \u2018certification\u2019 was confusing in that appears to reference the term \u2018certify\u2019 [found in the FITARA provision on the adequate use of incremental development], and also seems to be a reference to the requirement that CIOs \u2018approve\u2019 and define development processes.\u201d", "In our report, we discuss FITARA\u2019s requirement that OMB annually issue capital planning guidance requiring agency CIOs to certify that IT investments are adequately implementing incremental development. We analyzed the guidance that OMB has issued to meet this requirement over the past 3 years, and we evaluated agencies\u2019 progress in implementing that guidance. In doing so, we noted that OMB had also issued supplementary FITARA implementation guidance in June 2015 that required agencies to define policies and processes to ensure that the CIO certifies that IT resources are adequately implementing incremental development. Throughout our discussion, we clearly delineate between the incremental development certification provided to OMB by an agency\u2019s CIO and the agency\u2019s policies and processes that support and inform that certification. As such, we believe we have used the term \u201ccertification\u201d appropriately and consistently throughout our report.", "We are sending copies of this report to interested congressional committees, the Director of the Office of Management and Budget, the Secretaries and agency heads of the departments and agencies in this report, and other interested parties. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix XVII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives for this engagement were to determine (1) the number of investments certified by agencies as implementing adequate incremental development and any reported challenges that impact the agencies\u2019 incremental delivery of functionality; and (2) whether agencies are establishing policies and processes for chief information officer (CIO) certification of incremental development in accordance with the Federal Information Technology Acquisition Reform Act provisions (commonly referred to as FITARA) enacted as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015.", "For our first objective, we obtained and analyzed major information technology (IT) investment data reported by agencies on the IT Dashboard as of August 31, 2016, for fiscal year 2017, which was the first year that the Office of Management and Budget (OMB) required the 24 covered agencies to report the status of CIO certification of incremental development for each investment. We chose this date because it was the final day updated fiscal year 2017 data from the agencies would be publicly available until the release of the President\u2019s fiscal year 2018 budget submission.", "Initially, we analyzed the fiscal year 2017 data of major IT software development investments that were planning to allocate at least 50 percent of their funding to development, modernization, and enhancement activities. We then reviewed agency responses to the question regarding CIO certification of adequate incremental development and eliminated any investment where the agency\u2019s rationale for choosing \u201cnot applicable\u201d was due to the investment not undertaking software development activities. In doing so, we identified a total of 166 investments from 21 agencies. Three agencies (National Aeronautics and Space Administration, National Science Foundation, and U.S. Nuclear Regulatory Commission) out of the 24 in our review did not have any investments that met these criteria for fiscal year 2017. For the 21 agencies with major IT investments to review, we then determined the total number of investments that agencies reported were certified by the CIO for adequate incremental development. We also reviewed and summarized agency responses reported on the IT Dashboard for investments that did not have CIO certification.", "To help determine the reliability of the reported agency CIO certification data on the IT Dashboard, we presented the results of our analysis of CIO certification responses to officials from each agency\u2019s Office of the CIO that were involved in investment management and software development activities and solicited their input and explanations for the results. Two agencies each provided an update on one of their investments, which we have incorporated as appropriate. We determined that the data were sufficiently reliable for the purpose of this report.", "In order to identify the challenges impacting the agencies\u2019 incremental delivery of functionality, we developed a list of common challenges based on our prior work, in which eight agencies reported that the following eight challenges inhibited their delivery of functionality: 1. project staff were over-utilized or lacked the necessary skills and 2. programs did not receive sufficient funding or received funding later 3. projects experienced management and organizational challenges that introduced delays; 4. development work was slowed by inefficient governance and 5. project characteristics made rapid delivery of functionality infeasible or 6. development schedules were impeded by procurement delays; 7. programs did not have stable, prioritized requirements; and 8. incremental development was impeded by select technologies.", "We sent the list of challenges to each of the 24 agencies and asked officials from the Office of the CIO at each agency involved with investment management and software development activities to identify their top three challenges from this list that impacted their ability to deliver incremental functionality for major IT investments. We also asked agency officials to identify any challenges that were not included in the list, but which were also among their top three challenges. Finally, we asked agencies to explain what actions were taken to address the reported challenges and describe the extent to which the challenges were overcome.", "Because of the open-ended nature of the agencies\u2019 responses to our questions, we conducted a content analysis of the information we received in order to identify common challenges that impact agencies\u2019 ability to deliver incremental functionality. In doing so, team members individually reviewed the challenges reported by agencies and assigned them to various categories. Team members then compared categorization schemes, discussed the differences, and reached agreement on the final list of challenges by totaling the number of times each challenge was mentioned. For those challenges that were prompted by the list we provided to agencies, we reported challenges that were identified by five or more agencies. Three agencies also identified a new challenge that was not on our list, which we reported due to the number of agencies reporting it as a challenge. Three of the 24 agencies in our review (Departments of Defense, Energy, and Health and Human Services) reported that they had no challenges with implementing incremental development.", "We also asked the agencies in our review how the CIO utilized the information obtained during the process of certifying investments\u2019 adequate incremental development to make decisions regarding the agency\u2019s major IT investments. Because of the wide variety of responses we received from agencies, we conducted a content analysis of the information in order to identify ways the CIOs used the information. In doing so, team members individually reviewed agencies\u2019 responses and assigned them to various categories. Team members then compared their categorization schemes, discussed the differences, and reached agreement on the final characterization of ways in which agencies benefited from the certification process.", "For our second objective, we analyzed the 24 agencies\u2019 policies and processes governing the CIO certification of adequate incremental development to determine whether those policies and processes were consistent with FITARA. The provision states that OMB is to require in its annual IT capital planning guidance that agency CIOs covered by the law certify that IT investments are adequately implementing incremental development. To assess this, we reviewed guidance issued by OMB on the implementation of FITARA, and assessed agencies\u2019 documentation of incremental development certification policies and processes against GAO\u2019s IT investment management framework. This framework states that an organization\u2019s policies and procedures should be clearly defined, in that they provide details regarding the role of appropriate stakeholders and the artifacts to document decisions made.", "Because of the wide variety of responses and documents we received from agencies related to their incremental development certification processes, we conducted a content analysis of the information in order to determine compliance with OMB\u2019s guidance. In doing so, team members individually reviewed agencies\u2019 responses and documents and assigned them to various categories and sub-categories. Team members then compared their categorization schemes, discussed the differences, and reached agreement on the final characterization of compliance with OMB guidance. In cases where agencies provided multiple policies or documents, we followed up to clarify which portions were considered by the agency to support the CIO certification requirement.", "In analyzing whether the agencies\u2019 policies on CIO certification met FITARA, OMB, and GAO criteria, we assessed whether the policies clearly defined the role of the CIO in the certification of adequate incremental development, and described how CIO certification was documented. We also reviewed agencies\u2019 incremental development policies and processes to identify the agencies\u2019 definitions of incremental development and time frames for delivering functionality to determine whether they were consistent with OMB guidance. Agencies found to not have a policy where the CIO process was clearly defined were evaluated as such for one of two reasons: either the agency\u2019s formal policy did not completely address our assessment criteria or the agency\u2019s policy had not yet been finalized. For agencies that told us they had not yet finalized a policy for certification, we asked them to explain the process, if any, used by the agency to certify major IT investments for fiscal year 2017. In addition, we interviewed staff from OMB\u2019s Office of E-Government and Information Technology regarding its guidance to agencies related to FITARA\u2019s incremental development certification provision.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Federal Agency Major IT Investments\u2019 Reported Chief Information Officer Certification of Incremental Development on the IT Dashboard for Fiscal Year 2017", "paragraphs": ["Table 5 lists the 166 major information technology (IT) software development investments primarily in development, as reported on the IT Dashboard as of August 31, 2016, and the agency\u2019s reported response to the question in the major IT business case regarding whether the agency\u2019s Chief Information Officer certified the adequate use of incremental development for the investment for fiscal year 2017. All 166 investments reported in the major IT business case that the investment included software development."], "subsections": []}, {"section_title": "Appendix III: Analysis of Federal Agency Chief Information Officer Incremental Development Certification Policies", "paragraphs": [], "subsections": [{"section_title": "Table 6 shows our analysis regarding whether the agency had policies and processes that clearly defined the Chief Information Officer (CIO) certification process for the adequate use of incremental development, including: (1) describing the CIO\u2019s role in the certification process; (2) describing how CIO certification is to be documented; (3) having a definition of incremental development in the policy consistent with Office of Management and Budget (OMB) guidance; and (4) having time frames for delivering functionality in the policy consistent OMB guidance.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix V: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": [{"section_title": "The report number GAO-17-556 has been changed to GAO-18-148.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix XII: Comments from the U.S. Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the Social Security Administration", "paragraphs": [], "subsections": [{"section_title": "The report number GAO-17-556 has been changed to GAO-18-148.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix XV: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": [{"section_title": "The report number GAO-17-556 has been changed to GAO-18-148.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix XVI: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following staff made key contributions to this report: Dave Hinchman (Assistant Director), Chris Businsky, Rebecca Eyler, Justin Fisher, Valerie Hopkins (Analyst in Charge), Sandra Kerr, James MacAulay, Jamelyn Payan, Priscilla Smith, and Andrew Stavisky."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-298", "url": "https://www.gao.gov/products/GAO-18-298", "title": "Information Technology: IRS Needs to Take Additional Actions to Address Significant Risks to Tax Processing", "published_date": "2018-06-28T00:00:00", "released_date": "2018-06-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IRS relies extensively on IT investments to annually collect more than $3 trillion in taxes, distribute more than $400 billion in refunds, and carry out its mission of providing service to America's taxpayers in meeting their tax obligations. For fiscal years 2016 and 2017, the agency reported spending approximately $2.7 billion and $2.6 billion, respectively, for IT investments.", "GAO was asked to review IRS's IT operations. GAO's specific objectives were to (1) evaluate the performance of selected IRS IT investments, (2) summarize any risks associated with selected legacy systems and evaluate the steps the agency has taken to manage such risks, and (3) determine the extent to which IRS has implemented key IT workforce planning practices.", "GAO analyzed planned versus actual performance information for nine selected investments for fiscal year 2016 and the first 2 quarters of fiscal year 2017\u2014four in development and five in the operations and maintenance phase; identified risks facing three legacy investments and analyzed IRS's efforts to manage these risks against key practices; and analyzed IRS's IT workforce planning efforts against best practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The performance of the Internal Revenue Service's (IRS) selected information technology (IT) investments that GAO reviewed varied. Specifically, the four selected investments in the development phase that GAO reviewed spent less than planned, but most were behind schedule and delivered less scope than planned (see table below). In addition, the five selected investments in the operations and maintenance phase that GAO reviewed had performed internal qualitative assessments of performance as required by the Office of Management and Budget (OMB); however, none of the analyses addressed all key factors specified in OMB guidance.", "Three investments GAO reviewed in the operations and maintenance phase that are legacy investments\u2014Individual Master File (IMF), Integrated Data Retrieval System (IDRS), and Mainframes and Servers Services and Support (MSSS)\u2014 are facing significant risks due to their reliance on legacy programming languages, outdated hardware, and a shortage of human resources with critical skills. For example, IRS reported that it used assembly language code and Common Business Oriented Language (both developed in the 1950s) for IMF and IDRS, which exposes these investments to a rise in procurement and operating costs, and a decrease in staff available with the proper skill sets. Further, MSSS relies on a significant amount of outdated hardware exposing the investment to rising warranty and maintenance fees, as well as equipment failures. Despite these risks, the agency has not fully implemented key risk management practices and may be challenged in mitigating risks effectively so that they do not impact the agency's ability to carry out its mission.", "IRS has not yet fully implemented any of the key IT workforce planning practices GAO has previously identified. Specifically, the agency has developed a tool to automate the IT workforce planning process, but the tool is in the initial stages of implementation. IRS officials attributed the limited progress in implementing IT workforce planning practices to resource constraints and competing priorities. Nevertheless, until the agency fully implements these practices, it will continue to face challenges in assessing and addressing the gaps in knowledge and skills that are critical to the success of its key IT investments."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that IRS perform operational analyses consistent with guidance, implement key risk management practices, and fully implement key IT workforce planning practices. IRS did not agree or disagree with the recommendations, but said it would provide a plan for addressing each recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Internal Revenue Service (IRS) relies extensively on information technology (IT) investments to annually collect more than $3 trillion in taxes, distribute more than $400 billion in refunds, and carry out its mission of providing service to America\u2019s taxpayers in meeting their tax obligations. For fiscal years 2016 and 2017, the agency reported spending approximately $2.7 billion and $2.6 billion, respectively, for these investments.", "Given the size and significance of IRS\u2019s investments and the challenges inherent in successfully delivering them, you asked us to review the performance of key IT investments and the agency\u2019s associated risk management efforts. Specifically, our objectives were to (1) evaluate the performance of selected IRS IT investments, (2) summarize any risks associated with selected IRS legacy systems and evaluate the steps the agency has taken to manage them, and (3) determine the extent to which IRS has implemented key IT workforce planning practices.", "To address the first objective, we initially identified a non-generalizable sample of the agency\u2019s investments based on several factors, including (1) mission criticality; (2) funding for fiscal year 2016, as reported on the Federal IT Dashboard; and (3) investment risk, as determined by IRS. This resulted in the selection of nine investments for our review.", "Four of the selected investments were primarily in development during fiscal year 2016 and five investments were primarily in the operations and maintenance phase during the same time frame. For the four investments in development, we reviewed documentation, including quarterly reports showing planned versus actual cost, schedule, and scope of work delivered for fiscal year 2016 and the first 2 quarters of fiscal year 2017. We also interviewed relevant officials.", "For the five investments in the operations and maintenance phase, we obtained operational performance metrics for fiscal year 2016 and the first 2 quarters of fiscal year 2017, as well as the planned versus actual results against these metrics. We also compared IRS\u2019s efforts to assess the operational performance of these investments with key factors identified in the Office of Management and Budget\u2019s (OMB) capital programming guidance. These factors included, for example, (1) analyzing how well the investment contributes to achieving the organizations strategic goals; and (2) determining the extent to which the investment supports customer processes as designed, and how well the investment is delivering the goods or services it was designed to deliver.", "For the second objective, we chose three investments from our initial selection of nine\u2014Individual Master File (IMF), Integrated Data Retrieval System (IDRS), and Mainframes and Servers Services and Support (MSSS)\u2014because they were originally placed into operation in the late 1960s and early 1970s and, thus, are considered legacy systems. To summarize the risks associated with these systems, we reviewed risk logs, risk detail reports, and reports identifying the number of staff supporting the systems. In addition, we reviewed agency documentation identifying the legacy programming languages used and the age of the supporting hardware.", "To evaluate the steps IRS has taken to manage the risks, we analyzed documentation, including risk management plans; risk logs; risk detail reports; and meeting minutes from IRS\u2019s Applications Development Risk Review Board. In addition, we evaluated the agency\u2019s risk management efforts by comparing the aforementioned documentation to key practices identified in the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Development and OMB guidance. We also interviewed IRS officials involved in the risk management process.", "To address the third objective, we obtained documentation describing a tool that IRS is planning to implement agency-wide to address IT workforce planning. Further, we viewed a demonstration of the functionality provided by this tool, and interviewed officials in IRS\u2019s human capital office, as well as investment staff, to determine the extent to which the tool has been implemented across the agency.", "We also obtained and reviewed information relative to the agency\u2019s cross- functional acquisition training, efforts intended to strengthen IT program management, and results of IT skills assessments. We compared IRS\u2019s current and planned IT workforce planning efforts to key practices for IT workforce planning derived from sources such as the Clinger-Cohen Act of 1996; Office of Personnel Management workforce planning guidance; and OMB Circular A-130; and as identified in our report on IT workforce planning efforts.", "In addition, we interviewed staff responsible for managing four investments to identify the extent to which IT workforce planning best practices were being implemented. We selected the four investments from our initial selection of nine investments according to one or more of the following factors: (1) mission critical designation by IRS, (2) exposure to human capital risk, or (3) status as a key development effort at IRS. Additional details regarding our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from November 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The mission of the IRS, an agency within the Department of the Treasury (Treasury), is to provide America\u2019s taxpayers with top quality service by helping them understand and meet their tax responsibilities; and to enforce the tax law with integrity and fairness to all. In carrying out its mission, IRS annually collects over $3 trillion in taxes from millions of individual taxpayers and numerous other types of taxpayers. It also manages the distribution of over $400 billion in refunds. To guide its future direction, the agency has six strategic goals: (1) empower and enable all taxpayers to meet their tax obligations; (2) protect the integrity of the tax system by encouraging compliance through administering and enforcing the tax code; (3) collaborate with external partners proactively to improve tax administration; (4) cultivate a well-equipped, diverse, flexible and engaged workforce; (5) advance data access, usability and analytics to inform decision making and improve operational outcomes; and (6) drive increased agility, efficiency, effectiveness and security in IRS operations.", "The mission of IRS\u2019s Information Technology organization is to deliver IT services and solutions that drive effective tax administration to ensure public confidence. It is led by the Chief Information Officer (CIO), who oversees several subordinate offices. Figure 1 shows the structure of IRS\u2019s Information Technology organization."], "subsections": [{"section_title": "IRS Relies on Major IT Investments for Tax Processing", "paragraphs": ["For fiscal year 2016, IRS\u2019s IT portfolio contained 137 investments, of which 23 were classified as major. According to the agency, it spent approximately $2.7 billion on its IT investments during fiscal year 2016. Of the $2.7 billion, approximately $1.9 billion (70 percent) was spent for operations and maintenance activities, and approximately $800 million (30 percent) was spent for development, modernization, and enhancement.", "Among the agency\u2019s investments that we selected for our review, the following four were primarily in development during fiscal year 2016:", "The Affordable Care Act (ACA) Administration investment encompasses the planning, development, and implementation of IT systems needed to support IRS\u2019s tax administration responsibilities associated with the Patient Protection and Affordable Care Act. The agency reported spending $253 million on this investment in fiscal year 2016.", "Customer Account Data Engine 2 (CADE 2) is to, among other things, provide daily processing of taxpayer accounts, address a financial material weakness, and maintain a clean audit opinion. It is expected to replace the nearly 50 year old IMF system that IRS is using to process individual taxpayer accounts. A key project supporting CADE 2 is the Individual Tax Processing Engine project, which, according to the agency, is a complex effort to, among other things, convert approximately 200,000 lines of IMF\u2019s legacy assembly language code to Java.", "According to IRS, the agency has completed an initial phase of converting the assembly language code for core IMF components to Java; however, significant work remains to complete the conversion. Specifically, in October 2017, IRS\u2019s CIO stated that the agency could deliver a system to replace the core IMF components in 5 years if the agency was provided with 50 to 60 employees and the associated funding, direct hire authority to hire employees with the right skills, and approximately $85 million each year. The agency reported spending $182.6 million on CADE 2 in fiscal year 2016.", "The Return Review Program (RRP) is IRS\u2019s primary system for fraud detection. As such, it supports the agency\u2019s capabilities to detect, resolve, and prevent criminal and civil tax noncompliance. According to IRS, as of May 2017, the system had helped protect over $4.5 billion in revenue. The agency reported spending $100.2 million on this investment in fiscal year 2016.", "Enterprise Case Management (ECM) is to provide an enterprise solution for performing case management across IRS\u2019s business units. According to the agency, its current systems provide limited visibility into case management practices between programs, process redundancies, and multiple handoffs that can lead to, among other things, increased risks; and ECM is expected to address these limitations. The agency reported spending $38.1 million on the investment in fiscal year 2016.", "Five other investments that we selected for our review were in the operations and maintenance phase during fiscal year 2016:", "MSSS represents approximately 73 percent of IRS\u2019s IT infrastructure.", "Specifically, this investment encompasses the design, development, and deployment of servers, middleware and large systems, and enterprise storage infrastructures, including systems software products, databases, and operating systems. The MSSS investment began in 1970. The agency reported spending $499.4 million on this investment in fiscal year 2016.", "Telecommunications Systems and Support (TSS) provides the voice and data network infrastructure services, video services, and engineering throughout IRS. The TSS investment began in 2001. The agency reported spending $336.4 million on this investment in fiscal year 2016.", "End User Systems and Services (EUSS) provides desktops, laptops, mobile devices, software, incident management services, and asset management services to end users in IRS. The EUSS investment began in 2002. The agency reported spending $238.0 million on this investment in fiscal year 2016.", "IDRS is used by IRS employees to review tax information, issue notices to taxpayers, and update taxpayer records. The IDRS investment began in 1973. The agency reported spending $15.8 million on this investment in fiscal year 2016.", "IMF is IRS\u2019s system for processing individual taxpayer account data. Using this system, accounts are updated, taxes are assessed, and refunds are generated as required during each tax filing period. Virtually all IRS information system applications and processes depend on output, directly or indirectly, from this data source. As previously noted, the agency uses assembly language code to program this system, which began in the late 1960s. The agency intends to decommission IMF once CADE 2 is fully implemented; however, as we recently reported, the agency has not provided a target date for decommissioning IMF. The agency reported spending $14.3 million on this investment in fiscal year 2016."], "subsections": []}, {"section_title": "GAO Has Made Recommendations to Improve IRS\u2019s Major IT Investments, Government- Wide Legacy Systems, and IT Workforce Planning", "paragraphs": ["For several years, we have reported on the performance of IRS\u2019s IT investments and identified opportunities for improving the management of these investments.", "In February 2015, we reported that the agency had provided summary-level Chief Technology Officer risk assessment ratings for the majority of IT investments in quarterly reporting to Congress. However, the agency did not provide such ratings for selected investments for which Congress required detailed reporting, including CADE 2 and RRP, which are the subject of this review. We noted that summary-level risk assessment ratings would improve the visibility into risks faced by the investments and provide Congress with the information to more easily determine the investments requiring greater attention. Consequently, we recommended that IRS provide summary-level risk assessment ratings for all major investments in its quarterly reporting to Congress.", "In response to our recommendation, IRS began providing summary- level risk information for all major investments in its fiscal year 2015 second quarter report to Congress. In its report for the fourth quarter of fiscal year 2016, the agency reported that selected aging systems were facing increased risks. In this regard, the agency CIO provided a risk assessment rating for major IT investments, which incorporated risks associated with people, infrastructure, deferred scope, and delivery of agreed-upon scope.", "IRS reported that two investments had risk ratings that went from yellow to red. Specifically, IMF received a red risk rating for the people factor and CADE 2 received a red risk rating for the delivery of agreed upon scope factor.", "In a report in June 2016, we noted, among other things, that CADE 2 and ACA did not report information on planned versus actual delivery of functionality in accordance with best practices. In addition, ACA did not report timely information on planned versus actual costs. Accordingly, we recommended that IRS report, at least quarterly, scope and cost performance for CADE 2 and ACA, consistent with best practices.", "In response to our recommendation, the agency began reporting on planned versus actual delivery of functionality for CADE 2 starting in fiscal year 2016. However, the agency has not reported on planned versus actual functionality for ACA. In March 2017, officials responsible for managing the investment told us that the agency had not implemented the recommendation because it did not see the benefit in doing so given that the remaining development work was minimal. IRS subsequently completed the development work for ACA in September 2017, at which point the investment transitioned to operations and maintenance. Given the status of the investment, we agree that the recommendation is no longer applicable.", "In addition, our prior work has emphasized the importance of IRS more effectively managing its legacy systems.", "As part of a government-wide review in November 2013, we reported on the extent to which 10 agencies\u2019 large investments had undergone operational analyses\u2014a key performance evaluation and oversight mechanism required by OMB to ensure investments in the operations and maintenance phase continue to meet agency needs. We noted that MSSS had not had an operational analysis for fiscal year 2012. As a result, we recommended that Treasury perform an operational analysis for the investment. The department did not comment on our recommendation but subsequently performed an operational analysis for the MSSS investment.", "In May 2016, we reported on legacy IT systems across the federal government, noting that these systems were becoming increasingly obsolete and that many of them used outdated software languages and hardware parts that were unsupported by the vendor. As part of that work, we highlighted Treasury\u2019s use of assembly language code and Common Business Oriented Language (COBOL)\u2014a programming language developed in the late 1950s and early 1960s\u2014to program its legacy systems.", "We noted the need for agencies to move to more modern, maintainable languages, as appropriate and feasible. Further, we noted that a leading IT research and advisory company had reported that organizations using COBOL should consider replacing the language, and that there should be a shift in focus to using more modern languages for new products. We also pointed out that the use of COBOL presents challenges for agencies given that procurement and operating costs associated with this language will steadily rise, and because fewer people with the proper skill sets are available to support the language.", "Further, we reported that IMF was over 50 years old and, although IRS was working to modernize it, the agency did not have a time frame for completing the modernization or replacement. In addition, we noted that IRS did have not have specific activities or timelines for updating MSSS and EUSS. Thus, we recommended that Treasury direct the CIO to identify and plan to modernize or replace IRS\u2019s legacy systems. The department had no comments on our recommendation.", "We have also previously reported on agencies\u2019 IT workforce planning efforts. Specifically, in November 2016 we identified eight key IT workforce planning activities based on relevant laws and guidance and noted that the five federal departments in our review, including Treasury, had mixed progress in addressing the activities. We made one recommendation to Treasury and the department agreed with our recommendation."], "subsections": []}]}, {"section_title": "Performance of Selected IRS IT Investments Varied", "paragraphs": ["The performance of selected IRS IT investments has varied. In this regard, we found that the four selected investments in development had spent less than planned, and that most were behind schedule and had delivered less scope than planned. In addition most of these investments had significant variances, meaning that actual cost, schedule, or scope varied from plans by more than 10 percent. For the five selected investments in the operations and maintenance phase, we found that most had met all of their operational performance targets and all performed operational analyses required by OMB. However, none of the analyses addressed all key factors specified in OMB\u2019s guidance."], "subsections": [{"section_title": "The Selected Investments in Development Spent Less than Planned, but Most Were Behind Schedule and Had Delivered Less Scope than Planned", "paragraphs": ["Best practices highlight the importance of monitoring the performance of projects in development by comparing actual cost, schedule, and scope to plans in order to allow appropriate corrective actions if actual performance deviates significantly from planned performance.", "With regard to the four selected investments in development that we reviewed, IRS reported cost, schedule, and scope performance information for ECM, CADE 2, and RRP, but the agency reported only cost and schedule information for ACA. Table 1 provides details reported by the agency on the performance of these IT investments.", "Regarding ECM, the agency reported that it spent $1.5 million less than budgeted, had an approximately 9 percent schedule overrun for the three projects it worked on during the time frame of our review, and delivered about 90 percent of planned scope. However, after 18 months of working with a contractor, the agency paused all development activities for the investment because the product that was being delivered did not meet the agency\u2019s needs.", "Specifically, according to agency officials, including the CIO, the contractor\u2019s solution was not sufficiently automated to be scalable across the agency. Thus, IRS subsequently established a new effort to acquire a product that would be aligned with its business needs. The officials stated that the strategy for acquiring the new product includes collaboration with other agencies on experiences in implementing enterprise case management systems and requesting information on potential solutions from commercial vendors.", "Regarding CADE 2, IRS reported that it spent $4 million less than it budgeted, had a 54 percent schedule overrun for the 15 projects it worked on during the time frame of our review, and delivered 46 percent of the planned scope. Officials responsible for managing CADE 2 stated that the cost, schedule, and scope variances from planned performance were due to human resource and funding shortages.", "Specifically, the agency reported that it does not have an adequate number of staff with expertise in assembly language code and tax processing to perform development work on both its core tax processing system (IMF) and its tax processing system modernization effort (CADE 2), or enough Java programmers to develop and maintain new code. As a result, the agency paused 7 of the 15 projects. (IRS\u2019s efforts to address its human resources constraints are discussed later in this report.)", "For RRP, the agency reported that it spent $29.5 million less than budgeted, had a 19 percent schedule overrun for the 4 projects it worked on during the time frame of our review, and delivered about 80 percent of planned scope. According to the agency, these variances were due to, among other things, overestimation of planned costs, deferral of planned scope to a future release, and additional time needed to address a development defect.", "For ACA, the agency reported that it spent $41.6 million less than planned and was on time for the four projects it worked on. According to the agency, the cost variance was due to, among other things, an initial overestimation of the costs to complete planned work. IRS did not track scope delivery for ACA and, as a result, we could not determine the scope performance for the investment.", "As previously mentioned, in June 2016, we recommended that IRS report on actual scope information for ACA at least quarterly. In its March 2017 response to the recommendation, the agency stated that it did not see the benefits of implementing the recommendation for the investment given the minimal development work remaining. IRS has since completed this development work and transitioned ACA to the operations and maintenance phase. We agree that the recommendation is no longer applicable given the status of the investment."], "subsections": []}, {"section_title": "The Majority of Selected Investments in the Operations and Maintenance Phase Met Performance Targets", "paragraphs": ["According to OMB\u2019s fiscal year 2016 capital planning guidance, ongoing performance of operational investments should be monitored to ensure the investments are meeting the needs of the agency, are delivering expected value, and/or are consistent with the agency\u2019s enterprise architecture. To achieve these goals, agencies are required to establish and publically report on five operational metrics for major IT investments, as well as planned and actual performance against these metrics. According to OMB, these metrics seek to answer more subjective questions about areas such as customer satisfaction and financial performance.", "IRS reported operational performance metrics, as required, for the five selected investments we reviewed that were in the operations and maintenance phase. Further, three of these investments\u2014IMF, MSSS, and TSS\u2014met all of their operational performance targets, and the remaining two investments\u2014IDRS and EUSS\u2014met four of five operational performance targets during the time frame that we reviewed. Table 2 lists the operational performance metrics for each of the five investments, the metrics\u2019 areas of focus, as well as the extent to which IRS met planned performance targets.", "With regard to the investments that did not meet their performance targets: IDRS did not meet its target for IRS employees\u2019 usage of the investment for 9 out of the 18 months we reviewed. Officials responsible for managing IDRS stated that this was likely due to a reduction in the number of staff at the agency who access taxpayer accounts and to a lag experienced early in the months before notices are sent out for the filing year.", "EUSS did not meet its target for the average amount of time IRS employees wait to receive telephone support for 6 out of the 18 months we reviewed. According to officials responsible for managing EUSS, this target was missed due to the attrition of telephone support staff and the agency\u2019s inability to hire additional support staff."], "subsections": []}, {"section_title": "Operational Analyses for Selected Investments in the Operations and Maintenance Phase Addressed Most, but Not All Key Factors", "paragraphs": ["OMB\u2019s fiscal year 2016 capital programming guidance highlights the importance of operational analyses in examining the ongoing performance of operational investments. The guidance further notes that such analyses should be conducted at least annually and should address, among other things, the following: the extent to which the investment supports customer processes as designed, and how well the investment is delivering the goods or services it was designed to deliver; how well the investment contributes to achieving the organizations a comparison of current performance with a pre-established cost alternative methods of achieving the same mission needs and greater utilization of technology or consolidation of investments to better meet organizational goals.", "The five selected investments that we reviewed in the operations and maintenance phase performed operational analyses that addressed most, but not all of these key factors identified in OMB guidance. Specifically, four of the investments addressed five of the six factors, and one investment addressed four of the factors. Table 3 provides our assessment of the investments\u2019 operational analyses.", "With regard to the investments that did not address all key factors identified in OMB\u2019s guidance:", "The IMF operational analysis did not address the factor associated with greater utilization of technology or consolidation of investments to better meet organizational goals. Specifically, the analysis stated that the agency is researching the validity of converting legacy assembly language code to a modern programming language. However, the analysis did not more broadly address greater utilization of technology or consolidation to better meet organizational goals, consistent with the key factor in OMB\u2019s guidance. In addition, the analysis did not reflect IRS\u2019s progress to date in modernizing IMF and the associated challenges. This omission is concerning given the risk exposure from the agency\u2019s continued use of the legacy assembly language code. (Such risk is further discussed later in this report.)", "With respect to IDRS, while the investment is intended to, among other things, provide for systemic review of tax information, issue notices to taxpayers, and update taxpayer records, IRS\u2019s performance metrics generally focused on system availability and usage and did not address the extent to which the intended functionality was being provided. Agency officials agreed that IDRS\u2019s metrics could be improved to address the extent to which intended functionality is being provided.", "For TSS, while the investment provides, among other things, video conferencing and enterprise voice and fax services, the operational analysis did not address how well these service offerings were being delivered. IRS officials stated that they had instead evaluated these service offerings in a post-implementation review, which is a one-time effort conducted after an investment has completed development. However, by not addressing the factor in the operational analysis, which is an annual exercise, IRS risks not being continually informed of the extent to which the investment is meeting the needs of the agency. In addition, the operational analysis for the TSS investment did not appropriately include a comparison of current performance with a pre-established cost baseline. Specifically, while the analysis included planned and actual cost figures for fiscal year 2016, the planned cost figure was not complete as it did not account for reimbursable costs and user fees.", "Regarding MSSS, the operational analysis did not address alternative methods of achieving the same mission needs and strategic goals. Senior officials in IRS\u2019s Information Technology organization stated that the agency had performed analyses of alternative methods for achieving mission needs and strategic goals, but these analyses were not included in the operational analysis for the investment.", "The operational analysis for EUSS did not appropriately include a comparison of current performance with a pre-established cost baseline. Specifically, while the analysis included planned and actual cost figures for fiscal year 2016, the planned cost figure was not complete as it did not include multi-year funding and user fees.", "A Branch Chief for the IDRS investment stated that IRS has used the same operational performance metrics for the investment for 10 to 15 years, and the agency has not revisited them to justify their validity over time or to modify them. The Branch Chief further noted that the operational performance metrics are usage-based and do not provide a qualitative measure of how well the investment is delivering intended services. IRS officials did not identify the causes for the deficiencies we noted with the other selected investments\u2019 operational analyses.", "Until IRS addresses the shortcomings noted for the selected operational investments, the agency risks not having critical information needed to determine whether the investments fully meet intended objectives and whether there are alternative ways to efficiently meet the agency\u2019s mission."], "subsections": []}]}, {"section_title": "Selected Legacy Investments Face Significant Risks and IRS Has Not Implemented Steps Needed to Effectively Manage These Risks", "paragraphs": ["Three selected investments we reviewed\u2014IMF, IDRS, and MSSS\u2014are facing significant risks due to their reliance on legacy programming languages, outdated hardware, and a shortage of human resources with critical skills. However, IRS has not implemented steps needed to effectively manage these risks\u2014and thus, the agency\u2019s ability to carry out its tax processing and modernization efforts may be impacted.", "Two of the three selected investments\u2014IMF and IDRS\u2014rely on legacy programming languages, resulting in increased risk to continuing operation of these investments. Specifically, IRS reported that IMF is written in assembly language code and COBOL, and IDRS is written in COBOL. As we previously reported, reliance on assembly language code and COBOL has risks, such as a rise in procurement and operating costs, and a decrease in the availability of individuals with the proper skill sets.", "In addition, one investment in our review\u2014MSSS\u2014relies on a significant amount of outdated hardware. Specifically, at the start of fiscal year 2017, the agency reported an inventory of approximately $684.2 million in hardware associated with this investment. Of this amount, approximately $430.3 million, or 63 percent, was for outdated hardware, with about 21 percent of that amount directly supporting tax processing. The $430.3 million is broken down as follows: $112.6 million in communications equipment, which includes devices such as network switches and telephone systems; $171.5 million in systems supporting IRS employees, which includes desktop and laptop computers, scanners, and printers; $88.9 million in equipment directly supporting tax processing, which includes servers and UNISYS mainframes; and $57.3 million in storage equipment, which includes automated tape libraries and disk arrays.", "Figure 2 illustrates the categories of hardware associated with MSSS, including outdated hardware.", "IRS officials stated that the outdated hardware associated with MSSS is expensive to maintain because it is often past the warranty. Specifically, after a warranty for hardware ends, the maintenance fees for this hardware commonly increase by approximately 25 percent per year. In addition, the officials stated that, relying on this hardware has the potential to expose IRS to equipment failures that could preclude its systems from supporting the annual tax filing season and expanding the systems and tools for enforcement approaches, among other things.", "The three selected investments\u2014IMF, MSSS, and IDRS\u2014are also facing risks due to the attrition of key personnel. For example, IMF program officials noted that developers are responsible for maintaining taxpayer accounts and applying business rules associated with the tax process for a given situation or tax year, and thus require skills beyond creating or updating lines of code. However, according to an internal staffing report for IMF for 2011 to 2017, the agency experienced attrition of developers skilled in legacy programming languages and tax processing, exposing the investment to increased risks of not being able to successfully process tax information. For example:", "According to the report, from 2011 to 2017, 24 developers responsible for performing work on the IMF investment retired or were transferred to other positions. In addition, as a result of this attrition, 32 developers were available to perform IMF system updates for the 2017 tax filing season, which was about 4 developers (5,840 work hours) less than needed to perform the work. Further, as of July 2017, IMF projected a shortage of 3 developers (4,042 work hours) needed for the 2018 tax filing season.", "In an internal document identifying options to address the loss of knowledge caused by the attrition of staff for IMF, IRS reported that it has taken various actions as a result of the ongoing attrition of developers. Among others, these actions include: (1) cancelation of planned system enhancements; (2) training and transfer of developers from other projects to perform work on IMF; and (3) reduction in the amount of development work being completed for CADE 2 to address a financial material weakness.", "According to IMF risk logs, the investment also reported potential impacts on tax processing as a result of the attrition. These impacts include (1) the agency\u2019s delay in implementing modifications to IMF for the filing season to reflect changes in the tax law, (2) tax processing delays due to the lack of adequate institutional knowledge to resolve complex issues, and (3) a lack of necessary data from IMF, which the agency uses as input for other tax processing systems.", "Further, according to the agency\u2019s CIO, it takes 4 to 5 years to train developers performing work on the IMF investment. The agency, however, is facing challenges with such training and development. For example, IMF program staff stated that the agency has historically recruited and trained future developers from within the agency, where staff had an understanding of IRS business processes and concepts. However, according to the program staff, budgetary reductions limiting travel, moving costs, or stipends, have prevented the agency from continuing such efforts.", "According to our analysis of an IRS report showing staffing allocations for MSSS, as of April 2017, IRS reported that there were 12 COBOL developers supporting the MSSS investment. Agency officials noted impacts as a result of attrition among its developers, such as the loss of historical knowledge and expertise required to ensure proper maintenance of systems and prevent disruptions during the tax filing season.", "With regard to IDRS, IRS officials reported the attrition of 30 developers from January 2012 through January 2017. In addition, these officials noted that, as of March 2017, the attrition had resulted in a shortage of 20 developers required to complete work on the investment. In addition, the agency identified 10 \u201csingle points of failure\u201d for this investment, meaning that only one staff is available to support a function. Further, the officials noted that attrition of staff may result in (1) a delay in updating systems to reflect tax law changes and (2) IRS\u2019s inability to complete critical IDRS project activities on time."], "subsections": [{"section_title": "The Three Selected Legacy Investments Did Not Fully Implement Key Practices for Managing Risks", "paragraphs": ["We established an evaluation framework based on leading practices from The Software Engineering Institute and OMB guidance. The framework consists of 6 practices and 22 associated activities for managing IT investment risks. Table 4 identifies these practices and activities.", "IRS has not fully implemented all of the key practices for managing risks for any of the three selected legacy investments that we reviewed. Specifically, based on our analysis, the agency fully implemented one key practice and partially implemented the remaining five for IMF; fully implemented two key practices, partially implemented two, and did not implement the remaining two for IDRS; fully implemented one key practice, partially implemented three, and did not implement the remaining two for MSSS. Table 5 provides our assessment of the extent to which IRS implemented key risk management practices for the selected three legacy investments.", "IRS fully implemented one key risk management practice for IMF. Specifically, IRS officials responsible for managing IMF risks stated that the agency continuously identified risks through, among other things, monthly meetings. Further, these risks were documented using the Item Tracking Reporting and Control tool, IRS\u2019s risk and issue repository.", "In addition, we determined that IRS partially implemented the remaining five key risk management practices for IMF. Specifically, the agency prepared for risk management by using IRS\u2019s Application Development organization risk management strategy along with the Item Tracking Reporting and Control tool, which describe how projects are to identify, analyze, prioritize, mitigate, and monitor risks and issues. However, the risk management strategy did not address risk constraints or risk assumptions. In addition, IRS\u2019s risk analysis for IMF included criteria for evaluating and quantifying risk likelihood and severity, but it did not address residual risk, which is the exposure remaining after action has been taken to manage a risk. Further, the agency\u2019s prioritization of risks for IMF included consideration of risk criticality, but did not include the creation of a risk profile, which documents the highest priority risks.", "With respect to risk mitigation, IRS developed a Stabilization Plan in December 2016 for IMF, and used the Item Tracking Reporting and Control tool. The Stabilization Plan and tool addressed risk mitigation plans, which included specific actions to be taken, as well as an assignment of responsibility and commitment of resources. Further, the agency documented the rationale for accepted IMF risks and established a schedule or period of performance for risk handling activities. However, IRS did not meet the activities for developing alternative courses of action for all critical risks, and establishing threshold values for acceptability of risks, or threshold values for each risk category.", "Finally, regarding monitoring, IRS reviewed risks at least annually, but did not implement a strategy to escalate and monitor unresolved risks, even though the Application Development risk management strategy outlined a process for doing so. Further, the agency did not compare risks status to acceptability thresholds to determine the need for implementing a risk mitigation plan. Officials responsible for overseeing risk management activities for the investment also did not review its risk management process at least annually to ensure that the process remains appropriate and effective.", "IRS fully implemented two of the key risk management practices for IDRS. Specifically, the agency continuously identified IDRS risks via bi- weekly meetings and documented risks using the Item Tracking Reporting and Control tool. In addition, the agency prioritized risks based on a documented risk inventory and risk profile.", "In addition, IRS partially implemented two key practices. Specifically, similar to IMF, the agency prepared the IDRS investment for risk management by using IRS\u2019s Application Development organization risk management strategy; however, it did not address risk constraints or risk assumptions. Further, the agency partially analyzed IDRS risks by including criteria for evaluating and quantifying risk likelihood and severity; however, it did not include residual risks and, thus, may not be aware of additional risk mitigation actions that are needed.", "Further, IRS did not implement the remaining two practices. With respect to risk mitigation, as of March 2017, the agency did not include risk mitigation plans, as required, for 15 of the 20 risks identified for IDRS. Further, the agency did not maintain dates for risk handling activities for the investment, as the majority of completion dates and projected impact dates for identified risks had passed and these dates were not updated. The agency also did not meet any of the key activities for monitoring identified risks for the investment. For example, it did not compare risk status to acceptability thresholds to determine the need for implementing a risk mitigation plan. Further, the agency did not provide evidence that executive leadership is monitoring all top risks for IDRS. For example, while IRS officials closed 19 of 20 identified risks noting that these risks were tracked by the Applications Development Risk Review Board, the meeting minutes that we received from this board did not show that the risks were being monitored. Lastly, IRS did not review the IDRS risk management process at least annually.", "IRS fully addressed one key risk management practice for MSSS. Specifically, the agency prioritized risks in the MSSS risk log by assigning \u201cred,\u201d \u201cyellow,\u201d and \u201cgreen\u201d indicators to identified risks. Further, IRS identified the most significant risks for the MSSS investment in a weekly status report which is intended to address the agency\u2019s readiness to support the tax filing season.", "IRS partially implemented three practices for MSSS. The agency continuously identified the investment\u2019s risks via several processes. For example, the agency uses its Sustaining Infrastructure Program to address infrastructure components in need of replacement. According to IRS officials and documentation on the Sustaining Infrastructure Program, the program includes (1) an identification of aging infrastructure components; and (2) risk scoring and ranking of the components based on age, the extent to which the asset is associated with critical IRS processes, and the asset\u2019s impact on operations. IRS officials stated that this process results in a prioritized list of assets that are candidates for replacement. In addition, the agency documents MSSS risks via a risk log; however, the risk log does not include all risks for the investment. For example, while officials responsible for managing the MSSS investment told us about human resource risks, these risks were not included in the risk log.", "The agency also partially mitigated the investment\u2019s risks by developing risk mitigation plans and specific actions for the items identified in its risk log; however, the actions did not include a schedule or period of performance. IRS also did not establish threshold values for MSSS risk categories, or alternative courses of action for critical risks.", "The agency partially monitored MSSS risks by reviewing risks regularly, providing executive monitoring of top risks, and implementing a strategy to escalate unresolved risks. However, the agency did not compare risk status to acceptability thresholds to determine the need for implementing a risk mitigation plan. In addition, an IRS official responsible for managing risk and issue data for the MSSS investment stated that IRS did not review the risk management process for MSSS annually. Instead, the officials only updated the date and version number on the document that captures this process.", "In addition, IRS did not implement two key practices. First, the agency did not prepare the MSSS investment for risk management. Specifically, while the agency provided the risk management plan intended to document how it prepares the investment for risk management, we found\u2014and IRS\u2019s Director for Demand Management and Project Governance, and approver of this plan confirmed\u2014that the plan did not describe the risk management activities that the agency was carrying out for the investment. In addition, the agency did not meet key activities for analyzing MSSS risks. For example, the agency used criteria for evaluating and quantifying risk likelihood but it did not document criteria to analyze the severity of all of its risks or consider inherent and residual risks.", "IRS cited various reasons for the inconsistent implementation of risk management key practices for the three selected investments. For example, IDRS officials responsible for risk management stated that their current guidance did not clearly address some of the key practices. Further, MSSS officials responsible for risk management stated that the majority of the risk management activities for the investment are not documented. In addition, MSSS officials stated that selected risks were not documented due to their perception that a reduced budget and hiring freeze would not allow the agency to mitigate the risks. However, documenting these risks would ensure that IRS appropriately forms a baseline for initiating risk management activities.", "Until IRS fully implements all of the key practices for managing risks, it will be challenged to successfully identify and mitigate risks before they adversely impact the agency\u2019s ability to carry out its mission."], "subsections": []}]}, {"section_title": "IRS Has Not Implemented Key IT Workforce Planning Practices", "paragraphs": ["As we have previously reported, implementing effective IT workforce planning practices can better position agencies to address human capital risks. Accordingly, our prior work has highlighted four key IT workforce planning practices and supporting activities identified in various laws enacted and guidance issued over the past 20 years that call for agencies to perform workforce planning activities. These key practices are (1) setting the strategic direction for workforce planning, (2) analyzing the workforce to identify skill gaps, (3) developing strategies to address skill gaps, and (4) monitoring and reporting on progress in addressing skill gaps. The key IT workforce planning practices and supporting activities are identified below.", "While IRS has initiated IT workforce planning efforts, the agency has not yet implemented any of the four IT workforce planning practices. Specifically, we found that the Human Capital Office and IT organization have collaboratively developed a tool to automate the IT workforce planning process but the tool is in the initial stages of implementation and IRS has not yet performed any of the activities associated with setting the strategic direction for workforce planning. In addition, the agency has developed an inventory of its current IT workforce but it has not yet developed the competency and staffing requirements nor conducted any of the activities associated with analyzing the workforce to identify skill gaps, developing strategies to address skill gaps, or monitoring and reporting on progress in addressing skill gaps for the agency.", "While IRS has not implemented key practices for IT workforce planning at the agency level, staff for IMF and CADE 2\u2014two of the four investments selected for our review\u2014provided evidence of efforts they had taken to address their workforce needs. For example,", "For IMF, in 2016, IRS established a process for continuously matching the current workforce capacity, in terms of skills and staffing, with a projected level of work. In addition, IMF staff identified competencies and staffing requirements for the investment, and assessed the gaps in competencies and staffing by assessing net available staff hours with needed staff hours for particular skill types. Lastly, IMF staff developed strategies and implemented activities in an effort to address IT skill gaps by creating a Stabilization Plan, which includes short and long-term activities for training and realignment of resources.", "For CADE 2, IRS conducted an assessment in 2015 to identify government and contractor resource needs and utilization. IRS also identified skill gaps and developed strategies and implemented activities such as knowledge transfer sessions to begin addressing these skill gaps. The CADE 2 program manager stated that the program is waiting for additional guidance and direction from the human capital office, as the work in this area was a rudimentary one- time effort.", "Staff for the remaining two investments we reviewed\u2014IDRS and RRP\u2014 stated that they were awaiting further implementation of the agency-wide workforce planning tool to address their IT workforce planning needs.", "IRS officials attributed the limited progress in implementing IT workforce planning practices to resource constraints and competing priorities.", "Nevertheless, until the agency implements these practices, it will continue to face challenges in assessing and addressing the gaps in knowledge and skills that are critical to the success of its key investments, some of which we identified earlier in the report."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["IRS has performed operational analyses to examine the ongoing performance of some IT investments, but it has not fully addressed key factors specified in OMB guidance. Until IRS fully addresses all key factors for performing operational analyses, the agency risks not having the information it needs to determine whether the investments fully meet intended objectives, or if there are alternative or more efficient ways to do so.", "In addition, IRS faces significant risks that could impact key tax processing investments. Specifically, IMF, IDRS, and MSSS are reliant on legacy programming languages and outdated hardware, and the agency is experiencing shortages of staff with the skills to support these investments. However, the agency has not implemented key risk management practices, placing the tax processing and modernization efforts at risk. By fully implementing key risk management practices, IRS will have better assurance that it is proactively addressing risks before they can impact the agency\u2019s ability to carry out its mission. Further, although human capital risks have in part led to significant cost, schedule, and scope variances for CADE 2, a key modernization system, IRS has not implemented key IT workforce planning practices. Specifically, while the agency has initiated efforts to address workforce planning agency- wide, which it plans to continue, the efforts have not yet been implemented for all of the agency\u2019s IT investments. Until IRS implements effective key workforce planning practices, it will not be best positioned to address the human capital risks it faces and ensure the timely and effective delivery of its investments."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 21 recommendations to IRS: The Commissioner of the IRS should ensure the operational analysis for IMF fully addresses greater utilization of technology or consolidation of investments to better meet organizational goals. (Recommendation 1)", "The Commissioner of the IRS should ensure the operational analysis for IDRS addresses the extent to which the investments support customer processes as designed, and how well the investments are delivering the goods or services they were designed to deliver. (Recommendation 2)", "The Commissioner of the IRS should ensure the operational analysis for TSS addresses the extent to which the investments support customer processes as designed, and how well the investments are delivering the goods or services they were designed to deliver. (Recommendation 3)", "The Commissioner of the IRS should ensure the operational analysis for TSS includes a comparison of current performance with a pre-established cost baseline. (Recommendation 4)", "The Commissioner of the IRS should ensure the operational analysis for EUSS includes a comparison of current performance with a pre- established cost baseline. (Recommendation 5)", "The Commissioner of the IRS should ensure the operational analysis for MSSS addresses alternative methods of achieving the same mission needs and strategic goals. (Recommendation 6)", "The Commissioner of the IRS should fully implement the risk management key practice associated with preparing for risk management for the IMF investment. (Recommendation 7)", "The Commissioner of the IRS should fully implement the risk management key practice associated with analyzing risk for the IMF investment. (Recommendation 8)", "The Commissioner of the IRS should fully implement the risk management key practice for prioritizing risk for the IMF investment. (Recommendation 9)", "The Commissioner of the IRS should fully implement the risk management key practice associated with mitigating risk for the IMF investment. (Recommendation 10)", "The Commissioner of the IRS should fully implement the risk management key practice associated with monitoring, reporting, and controlling risk for the IMF investment. (Recommendation 11)", "The Commissioner of the IRS should fully implement the risk management key practice associated with preparing for risk management for the IDRS investment. (Recommendation 12)", "The Commissioner of the IRS should fully implement the risk management key practice associated with analyzing risk for the IDRS investment. (Recommendation 13)", "The Commissioner of the IRS should fully implement the risk management key practice associated with mitigating risk for the IDRS investment. (Recommendation 14)", "The Commissioner of the IRS should fully implement the risk management key practice associated with monitoring, reporting, and controlling risk for the IDRS investment. (Recommendation 15)", "The Commissioner of the IRS should fully implement the risk management key practice associated with preparing for risk management for the MSSS investment. (Recommendation 16)", "The Commissioner of the IRS should fully implement the risk management key practice associated with identifying risk for the MSSS investment. (Recommendation 17)", "The Commissioner of the IRS should fully implement the risk management key practice associated with analyzing risk for the MSSS investment. (Recommendation 18)", "The Commissioner of the IRS should fully implement the risk management key practice associated with mitigating risk for the MSSS investment. (Recommendation 19)", "The Commissioner of the IRS should fully implement the risk management key practice associated with monitoring, reporting, and controlling risk for the MSSS investment. (Recommendation 20)", "The Commissioner of the IRS should fully implement IT workforce planning practices, including the following actions (1) setting the strategic direction for workforce planning; (2) analyzing the workforce to identify skill gaps; (3) developing strategies and implementing activities to address skill gaps; and (4) monitoring and reporting on progress in addressing skill gaps. (Recommendation 21)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We received written comments on a draft of this report from IRS. In its comments, which are reproduced in appendix II, IRS did not state whether it agreed or disagreed with our recommendations. However, the agency acknowledged the importance of strengthening its risk management process by implementing the key leading practices we identified, and described actions underway which confirm the significance of the risks described in our report. The agency also reported actions it has taken since the end of our review to address the IT workforce planning recommendation and stated that it would provide a detailed corrective action plan addressing each of our recommendations. Further, IRS provided technical comments, which we incorporated, as appropriate.", "We are sending copies of this report to interested congressional committees, the Commissioner of IRS, and other interested parties. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) evaluate the performance of selected Internal Revenue Service (IRS) information technology (IT) investments, (2) summarize any risks associated with selected legacy systems and evaluate the steps IRS has taken to manage them, and (3) determine the extent to which IRS has implemented key IT workforce planning practices.", "To select investments for our review, we first considered investments identified by IRS as essential to tax processing. We then considered the following factors: (1) investments impacting the greatest number of IRS business areas and associated services based on our review of IRS\u2019s 2016 Technology Roadmap; (2) investments with the highest levels of funding for fiscal year 2016, as reported on the Federal IT Dashboard; (3) investments that IRS\u2019s Chief Information Officer rated as having significant risk with respect to human capital or infrastructure; and (4) investments with planned future system migration efforts as outlined in IRS\u2019s Enterprise Transition Plan.", "In addition, we considered a mix of investments in development and operations and maintenance. We selected the following nine investments (presented in order of those considered mission critical, followed by those most prominently meeting the above selection factors): (1) Individual Master File (IMF), (2) Integrated Data Retrieval System (IDRS), (3) Telecommunications Systems and Support (TSS), (4) Mainframes and Servers Services and Support (MSSS), (5) End User Systems and Services (EUSS), (6) Enterprise Case Management (ECM), (7) Customer Account Data Engine 2 (CADE 2), (8) Return Review Program (RRP), and (9) Affordable Care Act Administration (ACA).", "To address our first objective, we analyzed IRS\u2019s reporting on the performance of the nine investments in our selection. The investments included four that were primarily in development\u2014CADE 2, RRP, ECM, and ACA\u2014and five that were primarily in the operations and maintenance phase\u2014IMF, IDRS, TSS, MSSS, and EUSS. For the three investments which were using IRS\u2019s Investment Performance Tool\u2014CADE 2, RRP, and ECM\u2014we compiled and analyzed quarterly reports showing planned versus actual cost, schedule, and scope for work IRS was performing on these investments during fiscal year 2016 through the first 2 quarters of 2017. For the fourth investment\u2014ACA\u2014we compared reported planned and actual costs, as well as planned and actual completion dates for development activities for fiscal year 2016 and the first 2 quarters of 2017. IRS did not report information on ACA\u2019s performance in meeting scope goals.", "In addition, for the five operational investments, we compiled and analyzed operational performance information reported for the selected investments for fiscal year 2016 and the first 2 quarters of 2017; this information included, where reported, the performance target and actual results for each metric. Further, we determined the extent to which an operational analysis was performed for each of the investments in accordance with best practices. To do so, we obtained operational analyses for fiscal year 2016 and analyzed the analyses against relevant practices outlined in the Office of Management and Budget\u2019s (OMB) fiscal year 2016 capital programming guidance.", "To assess the reliability of the data for the investments in development used for this objective, we interviewed officials responsible for overseeing the use of the Investment Performance Tool to confirm the completeness of the data generated from the tool, as well as our understanding of what these data represent. We also followed up with these officials to discuss detected anomalies we found in the performance data. In addition, we relied on data reliability assessments we previously completed on IRS\u2019s financial management system because it is a source of the actual cost data found in the Investment Performance Tool.", "Finally, we followed up on IRS\u2019s actions to address recommendations we previously made to improve the reliability of the cost, schedule, and scope performance data. While we found additional actions are needed to address our recommendations, we determined the investments\u2019 data are sufficiently reliable for our purposes. With respect to the reported operational performance data, we reviewed documentation describing the performance metrics and interviewed IRS officials regarding the process for reporting such metrics. We determined these data were sufficiently reliable for purposes of reporting on operational performance.", "For our second objective, we selected three investments from our initial selection of nine\u2014IMF, IDRS, and MSSS\u2014because they were placed into operation in the late 1960s and early 1970s, and are therefore considered legacy investments. To summarize the risks associated with these investments, we reviewed, among other things, risk logs captured in IRS\u2019s Item Tracking Reporting and Control tool and risk detail reports. In addition, we obtained resource assessment documentation, where available, and documentation from IRS identifying staff availability and the legacy programming languages supporting these investments. We also identified aged hardware components supporting the selected investments by obtaining reports from the Knowledge, Incident/Problem, Service Asset Management system. This system is used for tracking and managing IRS assets, to include recording and tracking asset acquisitions, transfers, and disposals. We supplemented our review of documentation with interviews of IRS officials responsible for software and infrastructure maintenance.", "To evaluate the steps IRS has taken to mitigate risks, we analyzed documentation such as risk management plans; risk logs captured in IRS\u2019s Item Tracking Reporting and Control tool and through other means; risk detail reports that included the probability, impact, and overall status for identified risks; risk mitigation plans; and meeting minutes from IRS\u2019s Applications Development Risk Review Board. We also interviewed IRS officials involved in the risk management process, including software developers responsible for maintaining aging programming languages, system administrators, and risk coordinators. We selected officials based on (1) the median number of years the officials had worked to support the investment; (2) their position as an investment Branch Chief or Section Chief in order to fairly represent the management\u2019s perspective on matters discussed; (3) consideration of employees who serve in more than one role in the risk management process in order to obtain diverse perspectives on the process; and (4) their fair representation of all programming language types and infrastructure supporting the investments. We evaluated IRS\u2019s risk management efforts by comparing information obtained to key practices from the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Development, as well as OMB guidance.", "To assess the reliability of the data used for our second objective, we interviewed officials responsible for overseeing the use of IRS\u2019s Item Tracking Reporting and Control tool and users of this tool to determine if the tool was being consistently implemented. In addition, as part of our interviews with software developers responsible for maintaining aging programming languages, we determined the extent to which risks shared by these officials were consistent with formally documented risks. Lastly, we corroborated IRS\u2019s identification of legacy programming languages, and infrastructure components with our staff possessing expert knowledge of IRS\u2019s IT environment. We determined these data were sufficiently reliable for purposes of describing risks faced by selected investments, as well as for evaluating IRS\u2019s risk management efforts.", "For our third objective, we obtained documentation describing a tool that IRS is planning to implement agency-wide to address IT workforce planning. Further, we obtained a demonstration of the functionality provided by this tool, and interviewed officials in IRS\u2019s human capital office, as well as investment staff, to determine the extent to which this tool has been implemented across the agency. We also obtained and reviewed information relative to cross-functional acquisition training, efforts intended to strengthen IT program management, and results of IT skills assessments. We compared IRS\u2019s efforts to key practices for IT workforce planning derived from sources, including the Clinger-Cohen Act of 1996, Office of Personnel Management workforce planning guidance, and OMB Circular A-130, and identified in our report on IT workforce planning efforts.", "In addition, we selected four investments from our initial selection of nine\u2014IMF, IDRS, CADE 2, and RRP\u2014to identify efforts they had taken to address their workforce needs. We selected the four investments based on one or more of the following factors: (1) mission critical designation by IRS, (2) exposure to human capital risk, or (3) status as a key development effort at IRS.", "Officials responsible for managing two of the investments\u2014IMF and CADE 2\u2014provided information on their efforts. For IMF, we reviewed workforce capacity planning documentation as well as short and long- term workforce plans to assess IMF implementation of workforce planning efforts such as skills gap analysis, development of strategies and implementation of activities to address IT skills gaps, and monitoring and reporting progress in addressing IT skills gaps. For CADE 2, we reviewed documentation from its resource assessment conducted in 2015, which included information relative to resource needs and skills gaps. In addition, we reviewed documentation of efforts to address skills gaps, including training and knowledge transfer programs.", "We conducted this performance audit from November 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following staff made key contributions to this report: Sabine Paul (Assistant Director), Bradley Roach (Analyst in Charge), Andrew Banister, Mark Canter, Vern Cumarasegaran, Rebecca Eyler, Paul Middleton, and Martin Skorczynski."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-506T", "url": "https://www.gao.gov/products/GAO-18-506T", "title": "Unaccompanied Children: DHS and HHS Have Taken Steps to Improve Transfers and Monitoring of Care, but Actions Still Needed", "published_date": "2018-04-26T00:00:00", "released_date": "2018-04-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["ORR is responsible for coordinating and implementing the care and placement of unaccompanied children\u2014that is, children who enter the United States with no lawful immigration status. The number of these children taken into custody by DHS and placed in ORR's care rose from about 6,600 in fiscal year 2011 to nearly 57,500 in fiscal year 2014, many coming from Central America. Though declining somewhat, the number has remained well above historical levels. In fiscal year 2017, DHS referred 40,810 such children to ORR.", "This testimony discusses efforts by DHS and HHS to improve the placement and care of unaccompanied children in four key areas: (1) the process by which unaccompanied children are transferred from DHS to ORR custody; (2) how ORR monitors the care of unaccompanied children in its custody; (3) how ORR identifies and screens sponsors before children are transferred to their care; and (4) what is known about services these children receive after they leave ORR custody.", "This testimony is based primarily on the findings from two prior GAO reports: a 2015 report on actions needed to ensure unaccompanied children receive required care in DHS custody; and a 2016 report on further actions HHS could take to monitor their care. This testimony also includes updated information on the progress agencies have made in implementing GAO's recommendations, and more recent statistics from publicly available sources."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) and Department of Health and Human Services (HHS) have agreed to establish a joint collaborative process for the referral and placement of unaccompanied children, but the process has not yet been implemented. In 2015, GAO reported that the interagency process for referring unaccompanied children from DHS to HHS's Office of Refugee Resettlement (ORR) shelters was inefficient and vulnerable to error, and that each agency's role and responsibilities were unclear. GAO recommended that DHS and HHS jointly develop and implement an interagency process with clearly defined roles and responsibilities, as well as procedures to disseminate placement decisions, for all agencies involved. In February 2018, HHS officials told GAO that the agency was reviewing a draft of the DHS-HHS joint concept of operations.", "ORR has reported taking steps to improve monitoring of grantees that provided services to unaccompanied children. In 2016, GAO reported that ORR relied on grantees to document and annually report on the care they provide for unaccompanied children, such as housing and educational, medical, and therapeutic services, but documents were often missing and ORR was not able to complete all of its planned visits. GAO recommended that ORR review its monitoring program to ensure that onsite visits are conducted in a timely manner, that case files are systematically reviewed, and that grantees properly document the services they provide. Since 2016, ORR has reported that its grantee monitoring has improved, with more timely completion of on-site monitoring of all its grantees.", "ORR relies on grantees to identify and screen sponsors before placing children with them. In 2016, GAO reported that most unaccompanied children from certain Central American countries were released to a parent or other relative, in accordance with ORR policy (see figure).", "Sponsors' Relationship to Unaccompanied Children from El Salvador, Guatemala, and Honduras (Released from Custody from January 7, 2014, through April 17, 2015)", "In 2016, GAO reported that limited information was available on the services provided to children after they leave ORR care, and recommended that HHS develop processes to ensure its post-release activities provide reliable and useful summary data. Subsequent data from ORR indicate that the percentage of children receiving these services has increased, from about 10 percent in fiscal year 2014, to about 32 percent in fiscal year 2017. Also, in August 2017, ORR officials said that new case reporting requirements had been added to ORR's policy guide; however, further steps are needed to ensure the systematic collection of these data to provide useful information on post-release services across agencies, as GAO recommended."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss efforts by the Department of Homeland Security (DHS) and the Department of Health and Human Services (HHS) to improve the process of placing and providing care for unaccompanied children\u2014that is, children who enter the United States with no lawful immigration status. The number of unaccompanied children apprehended by DHS officials and subsequently placed in the care of HHS\u2019s Office of Refugee Resettlement (ORR) increased from nearly 6,600 in fiscal year 2011 to nearly 57,500 in fiscal year 2014. In particular, the number of unaccompanied children from three countries\u2014 El Salvador, Guatemala, and Honduras\u2014increased dramatically over this time. While the number of children DHS placed in ORR\u2019s care declined through much of fiscal year 2015, it subsequently began increasing again and has remained well above historical levels. More recent data from the U.S. Border Patrol suggest that DHS apprehended nearly 60,000 unaccompanied children at the southwest border in fiscal year 2016 and more than 41,000 in fiscal year 2017. Also, according to ORR data, DHS referred 40,810 unaccompanied children to ORR in fiscal year 2017, and in the first 6 months of fiscal year 2018, DHS apprehended nearly 22,000 unaccompanied children.", "My statement today will focus on efforts made by DHS and HHS to improve the placement and care of unaccompanied children in four key areas: (1) the process by which unaccompanied children are transferred from DHS to ORR custody; (2) how ORR monitors the care of unaccompanied children in its custody; (3) how ORR identifies and screens sponsors before children are transferred to their care; and (4) what is known about services and the status of removal proceedings for children after they leave ORR custody. My statement is based primarily on the findings from two prior GAO reports: a 2015 report on actions needed to ensure unaccompanied children receive required care in DHS custody; and a 2016 report on further actions HHS could take to monitor their care. For detailed descriptions of the methodologies used, see our prior reports. Additionally, we obtained and analyzed information and documentation on actions DHS and HHS have taken to address our recommendations in these prior two reports. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Under the Homeland Security Act of 2002, responsibility for the apprehension, temporary detention, transfer, and repatriation of unaccompanied children is delegated to DHS; and responsibility for coordinating and implementing the care and placement of unaccompanied children is delegated HHS\u2019s Office of Refugee Resettlement (ORR). U.S. Customs and Border Protection\u2019s U.S. Border Patrol and Office of Field Operations (OFO), as well as U.S. Immigration and Customs Enforcement (ICE), apprehend, process, temporarily detain, and care for unaccompanied children who enter the United States with no lawful immigration status. ICE\u2019s Office of Enforcement and Removal Operations is generally responsible for transferring unaccompanied children, as appropriate, to ORR, or repatriating them to their countries of nationality or last habitual residence. Under the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (Trafficking Victims Protection Reauthorization Act), unaccompanied children in the custody of any federal department or agency, including DHS, must be transferred to ORR within 72 hours after determining that they are unaccompanied children, except in exceptional circumstances.", "ORR has cooperative agreements with residential care providers to house and care for unaccompanied children while they are in ORR custody. The aim is to provide housing and care in the least restrictive environment commensurate with the children\u2019s safety and emotional and physical needs. In addition, these residential care providers, referred to here as grantees, are also responsible for identifying and assessing the suitability of potential sponsors\u2014generally a parent or other relative in the country\u2014who can care for the child after they leave ORR custody. To do this, grantees collect information from potential sponsors and run various background checks. In cases in which there are questions about the ability of the sponsor to meet the child\u2019s needs and provide a safe environment, and for children included in specified categories under the Trafficking Victims Protection Reauthorization Act, a home study is also conducted. In certain circumstances ORR may also arrange for post- release services for the child.", "Release to a sponsor does not grant unaccompanied children legal immigration status. Children are scheduled for removal proceedings in immigration courts to determine whether they will be ordered removed from the United States or granted immigration relief. There are several types of immigration relief that may be available to these children, for example, asylum or Special Immigrant Juvenile status."], "subsections": []}, {"section_title": "A Joint Collaborative Process for the Referral and Placement of Unaccompanied Children Has Not Yet Been Implemented", "paragraphs": ["In response to a recommendation in our 2015 report, DHS and HHS have agreed to establish a joint collaborative process for the referral and transfer of unaccompanied children from DHS to ORR shelters, but the process has not yet been implemented. It will be important to ensure that, once implemented, this process has clearly defined roles and responsibilities for each agency, as we recommended.", "In 2015, we reported that the interagency process to refer unaccompanied children from DHS to ORR shelters was inefficient and vulnerable to error. For example, as of April 2015, DHS and ORR relied on e-mail communication and manual data entry to coordinate the transfer of unaccompanied children to shelters because each agency used its own data system and these systems did not automatically communicate information with one another. These modes of communication made the referral and placement process vulnerable to error and possible delay in the transfer of these children from DHS to ORR. Each DHS component also submitted shelter requests to ORR in a different way. We reported that the roles and responsibilities of DHS components were not consistent during the referral and placement process, and DHS points of contact for ORR varied across Border Patrol sectors and ICE and OFO areas of operation. Further, we noted that the inefficiencies in the placement process for unaccompanied children had been a long-standing challenge for DHS and ORR. Therefore, we recommended that DHS and HHS jointly develop and implement a documented interagency process with clearly defined roles and responsibilities, as well as procedures to disseminate placement decisions, for all agencies involved in referring and placing unaccompanied children in ORR shelters.", "The agencies agreed with this recommendation and in response, DHS and HHS finalized a memorandum of agreement (MOA) in February 2016. The MOA provides a framework for coordinating each agency\u2019s responsibilities and establishing procedures, shared goals, and interagency cooperation with respect to unaccompanied children. The MOA states that DHS and HHS agree to establish a joint concept of operations. According to the MOA, this joint concept is to include, among other things, standard protocols for consistent interagency cooperation on the care, processing, and transport of these children during both steady state operations, as well as in the event the number of unaccompanied children exceeds standard capabilities and existing resources. In February 2018, HHS officials told us that the agency is reviewing a draft of the DHS-HHS joint concept of operations. To fully address our recommendation, DHS and HHS will need to ensure that this joint concept, once finalized and implemented, includes a documented interagency process with clearly defined roles and responsibilities, as well as procedures to disseminate placement decisions, as we recommended."], "subsections": []}, {"section_title": "ORR Reports Taking Steps to Improve Monitoring of Grantees\u2019 Provision of Services", "paragraphs": ["In response to a recommendation in our 2016 report, ORR reported taking steps to improve monitoring of its grantees, including reviewing its monitoring protocols and ensuring all grantees were monitored over a 2- year period. These steps should increase the timeliness, completeness, and consistency of ORR\u2019s monitoring; however, ORR needs to ensure that its updated processes and protocols are fully implemented and in use.", "In 2016, we reported that ORR relies on grantees to provide care for unaccompanied children, such as housing and educational, medical, and therapeutic services, and to document in children\u2019s case files the services they provide. Grantees are required to provide these services and to document that they did so. However, in our 2016 report, we found that documents\u2014such as legal presentation acknowledgment forms, records of group counseling sessions, or clinical progress notes\u2014were often missing from the 27 randomly selected case files we reviewed. In addition, we identified several cases in which forms that were present in the files were not signed or dated. We found that although ORR used its web-based data system to track some information about the services children received, and grantees reported on the services they provided in their annual reports, the documents contained in case files were the primary source of information about the services provided to individual children. We concluded that without including all of the documents in case files, it was difficult for ORR to verify that required services were actually provided in accordance with ORR policy and cooperative agreements.", "In our 2016 report, we noted that ORR\u2019s most comprehensive monitoring of grantees occurred during on-site visits, but that onsite visits to facilities were inconsistent. Prior to fiscal year 2014, project officers were supposed to conduct on-site monitoring of facilities at least once a year. However, we found in our review of agency data that many facilities had not received a monitoring visit for several years. For example, ORR had not visited 15 facilities for as many as 7 years. In 2014, ORR revised its on-site monitoring program to ensure better coverage of grantees and implemented a biennial on-site monitoring schedule. Nevertheless, ORR did not meet its goal to visit all of its facilities by the end of fiscal year 2015, citing lack of resources. In our 2016 report, we concluded that without consistently monitoring its grantees, ORR cannot know whether they were complying with their agreements and that children were receiving needed services. We recommended that the Secretary of HHS direct ORR to review its monitoring program to ensure that onsite visits are conducted in a timely manner, case files are systematically reviewed as part of or separate from onsite visits, and that grantees properly document the services they provide to children. HHS concurred with this recommendation and stated that it had created a new monitoring initiative workgroup to examine opportunities for further improvement.", "Since our 2016 report, ORR has reported achieving more timely and complete monitoring. In May 2017, ORR issued a summary of its fiscal year 2016 monitoring showing that monitoring of all of its 88 grantees was completed over the 2-year period of fiscal years 2015 and 2016. As a result of this monitoring, the agency reported issuing 786 corrective actions, almost all of which were closed within 90 days. The most common corrective actions were related to incomplete case file documentation and inconsistent implementation of some of ORR policies and procedures, according to ORR. Subsequently, for the 2-year period of fiscal years 2017 and 2018, ORR reported that as of April 2018, it had completed monitoring of 65 grantees and planned to complete monitoring of all of its remaining 39 grantees by the end of the fiscal year.", "In addition, ORR has reported that it is taking steps to ensure its monitoring processes and protocols are more systematic and uniform. During 2016, ORR announced a new Monitoring Initiative with the goal of establishing a comprehensive system of monitoring for all ORR-funded programs; HHS reported that it had conducted three trainings for ORR Project Officers and was in the process of adding two to three additional Project Officer positions to the unaccompanied children program. In April 2018, HHS reported that ORR was in the process of reviewing and revising its monitoring tools, and planned to have final versions of these tools completed by the end of fiscal year 2018. Once ORR completes its review of its monitoring tools and fully implements its revised protocols, these steps, along with its more timely monitoring, should help ensure an improved monitoring program."], "subsections": []}, {"section_title": "ORR Relies on Grantees to Identify and Screen Sponsors for Unaccompanied Children", "paragraphs": ["In 2016, we reported that ORR grantees that provide day-to-day care of unaccompanied children are responsible for identifying and screening sponsors prior to releasing children to them. During children\u2019s initial intake process, case managers ask them about potential sponsors with whom they hope to reunite. Within 24 hours of identifying potential sponsors, case managers are required to send them a Family Reunification Application to complete. The application includes questions about the sponsor and other people living in the sponsor\u2019s home, including whether anyone in the household has a contagious disease or criminal history. Additionally, the application asks for information about who will care for the child if the sponsor is required to leave the United States or becomes unable to provide care.", "Grantees also ask potential sponsors to provide documents to establish their identity and relationship to the child, and they conduct background checks. The types of background checks conducted depend on the sponsor\u2019s relationship to the child (see table 1). In certain circumstances prescribed by the Trafficking Victims Protection Reauthorization Act or ORR policy, a home study must also be conducted before the child is released to the sponsor. Additionally, other household members are also subjected to background checks in certain situations, such as when a documented risk to the safety of the unaccompanied child is identified, the child is especially vulnerable, and/or the case is being referred for a mandatory home study.", "In our 2016 report, we found that between January 7, 2014, and April 17, 2015, nearly 52,000 children from El Salvador, Guatemala, or Honduras were released to sponsors by ORR. Of these children, nearly 60 percent were released to a parent. Fewer than 9 percent of these children were released to a non-familial sponsor, such as a family friend, and less than 1 percent of these children were released to a sponsor with whom their family had no previous connection (see table 2). Historically, most of these unaccompanied children have been adolescents 14 to 17 years of age, but about a quarter of the children from these three countries in 2014 and early 2015 were younger."], "subsections": []}, {"section_title": "ORR Reports Creating New Data Collection Guidance on Post-Release Services", "paragraphs": ["In response to a recommendation in our 2016 report, ORR reported taking various steps to collect additional information on the services provided to unaccompanied children after they are released from ORR custody. We welcome this progress, but continue to believe that further steps are needed to fully address our recommendation.", "In 2016, we reported that limited information was available about post- release services provided to children and their sponsors. Post-release services include such things as guidance to the sponsor to ensure the safest environment possible for the child; assistance accessing legal, medical, mental health, and educational services for the child; and information on initiating steps to establish guardianship, if necessary. The Trafficking Victims Protection Reauthorization Act requires ORR to provide post-release services to children if a home study was conducted, and authorizes ORR to provide these services to some additional children.", "Our 2016 report noted that ORR was in a position to compile the data it collects on post-release services, and to share the data internally and externally with other federal and state agencies to help them better understand the circumstances these children face when they are released to their sponsors. ORR was already collecting some information from its post-release grantees on services provided to children after they left ORR custody, and its newly instituted well-being calls and National Call Center would allow it to collect additional information about these children. However, at the time, ORR did not have processes in place to ensure that all of these data were reliable, systematically collected, and compiled in summary form to provide useful information about this population for its use and for other government agencies, such as state child welfare services. As a result, in our 2016 report, we recommended that the Secretary of HHS direct ORR to develop a process to ensure all information collected through its existing post-release efforts are reliable and systematically collected, so that the information could be compiled in summary form to provide useful information to other entities internally and externally. HHS concurred and stated that ORR would implement an approved data collection process that would provide more systematic and standardized information on post-release services and that it would make this information available to other entities internally and externally.", "At the time of our 2016 study, a relatively small percentage of unaccompanied children who had left ORR custody were receiving post- release services. Officials said ORR\u2019s responsibility typically ended after it transferred custody of children to their sponsors. We found that slightly less than 10 percent of unaccompanied children received post-release services in fiscal year 2014, including those for whom a home study was conducted. However, the percentage of unaccompanied youth receiving post-release services has increased in recent years. According to publicly available ORR data, approximately 31 percent of unaccompanied youth received such services in fiscal year 2015, 20 percent in fiscal year 2016, and 32 percent in fiscal year 2017.", "In addition, during 2015, ORR had taken steps to expand eligibility criteria for post-release services. According to ORR officials, these changes included making all children released to a non-relative or distant relative eligible for such services. ORR also began operating a National Call Center help-line in May 2015. Children who contacted ORR\u2019s National Call Center within 180 days of release and who reported experiencing (or being at risk of experiencing) a placement disruption, also became eligible for post-release services, according to ORR officials. Additionally, our 2016 report noted that in August 2015, ORR had instituted a new policy requiring grantee facility staff to place follow-up calls, referred to as Safety and Well Being follow-up calls, to all children and their sponsors 30 days after the children are placed to determine whether they were still living with their sponsors, enrolled in or attending school, and aware of upcoming removal proceedings, and to ensure that they were safe. ORR\u2019s policy required grantees to attempt to contact the sponsor and child at least three times.", "In August 2017, ORR told us that the agency had created new guidance on case reporting, records management, retention, and information- sharing requirements for post-release service provider, and that it had collected data on Safety and Well Being follow-up calls that had been made to children and their sponsors. For example, ORR told us that during the first quarter of fiscal year 2016, its grantees reached 87 percent of unaccompanied children and 90 percent of sponsors by phone within 30 to 37 days after the child\u2019s release from ORR care. In the second quarter of fiscal year 2016, these figures were 80 percent and 88 percent, respectively. ORR also said that the agency had developed a plan for collecting and analyzing National Call Center data. However, as of April 2018, ORR officials noted that case management functionality had not yet been built into ORR\u2019s web-based portal. Further, ORR officials told us that the agency planned to create uniform data collection reporting forms for grantees providing post-release services, but as of April 2018, it had not developed these forms. ORR\u2019s steps represent progress towards systematically collecting information that can be used internally and shared, as appropriate, with external agencies; however, to ensure our recommendation is fully addressed, ORR will need to complete its data collection and reporting efforts.", "With respect to unaccompanied children\u2019s immigration proceedings, we reported in 2016 that several different outcomes are possible, and that the outcomes for many children had not yet been determined. An unaccompanied child who is in removal proceedings can apply for various types of lawful immigration status with DHS\u2019s U.S. Citizenship and Immigration Services (USCIS), including asylum and Special Immigration Juvenile status. Alternatively, an unaccompanied child who has not sought, or has not been granted, certain immigration benefits within the jurisdiction of USCIS, may still have various forms of relief available to him or her during immigration proceedings. For example, an immigration judge may order the child removed from the United States, close the case administratively, terminate the case, allow the child to voluntary depart the United States, or grant the child relief or protection from removal. Moreover, a judge\u2019s initial decision does not necessarily indicate the end of the removal proceedings. For example, cases that are administratively closed can be reopened, new charges may be filed in cases that are terminated, and children may appeal a removal order. In addition, in cases involving a child who receives a removal order in absentia, and a motion to reopen the child\u2019s case has been properly filed, the child is granted a stay of removal pending a decision on the motion by the immigration judge. In our 2016 report, we found that according to ICE data on final removal orders from fiscal year 2010 through August 15, 2015, ICE removed 10,766 unaccompanied children, and about 63 percent of these children (6,751) were from El Salvador, Guatemala, or Honduras.", "Chairman Portman, Ranking Member Carper, and Members of the Subcommittee, this concludes my prepared remarks. I would be happy to answer any questions that you may have."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For further information regarding this testimony, please contact Kathryn A. Larin at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement.", "Individuals who made key contributions to this testimony include Margie K. Shields (Assistant Director), David Barish (Analyst-in-Charge), James Bennett, Kathryn Bernet, Ramona Burton, Rebecca Gambler, Theresa Lo, Jean McSween, James Rebbe, Almeta Spencer, Kate van Gelder, and James Whitcomb.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-410", "url": "https://www.gao.gov/products/GAO-18-410", "title": "Long Island Sound Restoration: Improved Reporting and Cost Estimates Could Help Guide Future Efforts", "published_date": "2018-07-12T00:00:00", "released_date": "2018-07-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Long Island Sound, an estuary bordered by Connecticut and New York, provides numerous economic and recreational benefits. However, development and pollution have resulted in environmental impacts, such as the degradation of water quality. EPA partnered with both states to create the Study to restore and protect the Sound. The Study developed a comprehensive conservation and management plan in 1994 and updated the plan in 2015.", "GAO was asked to examine federal efforts to restore the Sound. This report examines, among other objectives, (1) what is known about the progress made toward achieving the 1994 plan, (2) how Study members plan to measure and report on progress toward achieving the 2015 plan, and (3) estimated costs of the restoration. GAO reviewed Study plans, reports, and data. GAO also interviewed 12 Study members\u2014including federal and state agency officials\u2014and representatives of 5 Study work groups about restoration efforts and progress made."]}, {"section_title": "What GAO Found", "paragraphs": ["The Long Island Sound Study (the Study) is a federal-state partnership formed in 1985 to restore Long Island Sound. The Environmental Protection Agency (EPA) and officials from Connecticut and New York provide oversight for the Study, which includes federal and state agencies, nonprofit organizations, and other groups. GAO found the following:", "Progress toward 1994 Plan. The Study established an initial plan for the Sound in 1994 and has collected data on certain indicators of the Sound's health and published progress reports on its website. However, the Study has not comprehensively assessed progress against the 1994 plan. In the absence of such an assessment, GAO interviewed Study members who generally agreed that moderate progress has been made in achieving goals for five of the six problem areas in the 1994 plan. Without a comprehensive assessment, it is not possible to determine the extent these views reflect actual progress.", "Reporting Progress for the 2015 Plan. The Study's 2015 management plan identifies 20 long-term targets and associated numerical indicators that will be used to measure future progress. The Study has also updated the format for pages on its website to provide more consistent progress reports for these targets. However, the reports do not yet fully incorporate leading practices for performance reporting that GAO has previously identified. For example, they do not include evaluations of goals that are not met for 15 targets. By ensuring that leading practices are fully incorporated into the Study's performance reporting efforts, EPA can help the Study better assess and report on future progress.", "Estimating Costs of Restoration. The Study has estimated that the future costs of restoration will be at least $18.9 billion through 2035. However, the current estimates are understated because they do not include the costs of all activities that will be needed to accomplish the 2015 plan, and they do not reflect the uncertainty associated with some of the costs. By capturing the full costs and uncertainties in cost estimates, the Study can provide decision makers critical information needed to allocate resources effectively."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that EPA work with the Study to ensure that it fully incorporates leading practices into its performance reporting efforts and that its cost estimates include the full range of activities as well as those for which there is uncertainty. EPA agreed with GAO's recommendations and highlighted steps the agency will take to meet the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For centuries, Long Island Sound (the Sound)\u2014an estuary bordered by Connecticut and New York and surrounded by one of the most densely populated areas of the United States\u2014has provided numerous public benefits including fishing, recreation, and a transportation route to the Atlantic Ocean. Development, deforestation, and industrialization across the region have resulted in degradation of water quality from pollution, such as chemicals, sediment, and sewage. Moreover, the degradation of water quality has resulted in declining fish populations. In 1985, congressional committees directed the Environmental Protection Agency (EPA) to work with the states to research, monitor, and assess estuaries including Long Island Sound. Further, in 1987, the National Estuary Program was established under amendments to the Clean Water Act to, among other things, identify nationally significant estuaries threatened by pollution, development, or overuse, and promote comprehensive management of those estuaries. EPA has designated 28 estuaries of national significance, including Long Island Sound.", "In 1985, EPA partnered with Connecticut and New York to form the Long Island Sound Study (the Study) to restore and protect the Sound. Dedicated to restoring and protecting the Sound, the Study is a partnership consisting of federal and state agencies, nonprofit and public organizations, and individuals. The director of the Study is an EPA official, and the Study is overseen by EPA and senior officials from the Connecticut Department of Energy and Environmental Protection and the New York State Department of Environmental Conservation. Study members include other federal and state agencies and an interstate group. The Study also has a Citizens Advisory Committee and a Science and Technical Advisory Committee, and representatives of those committees provide advice for implementing restoration activities or science and technical issues.", "Since it was established in 1985, the Study has developed two comprehensive conservation and management plans for the Sound that include recommended actions to restore and maintain the Sound\u2019s chemical, physical, and biological integrity, including its water quality. The Study issued the first Long Island Sound Comprehensive Conservation and Management Plan in 1994 (1994 plan). In the 1994 plan, it identified six priority problems and goals for each problem: (1) low dissolved oxygen, or hypoxia, (2) toxic substances, (3) pathogen contamination, (4) floatable debris, (5) management and conservation of living resources and their habitats, and (6) land use and development. The Study issued a revised plan in 2015 (2015 plan), which is organized around four themes, each with its own goal: (1) clean water and healthy watersheds, (2) thriving habitats and wildlife, (3) sustainable and resilient communities, and (4) sound science and inclusive management.", "You asked us to review federal efforts to restore the Sound. This report examines (1) what is known about the progress made toward achieving the 1994 plan; (2) the goals of the 2015 plan and factors, if any, that may hinder progress according to Study members; (3) how Study members plan to measure and report on progress toward achieving the 2015 plan; and (4) what Study members expended on restoration activities in fiscal years 2012 through 2016 and cost estimates for future activities.", "To examine what is known about the progress made toward achieving the 1994 plan, we analyzed the plan to gain a better understanding of it and to identify any goals associated with the six priority problems. We also reviewed data from the Study\u2019s website in November 2017, the Study\u2019s most recent progress reports, and the book Long Island Sound: Prospects for the Urban Sea, a summary of available science and environmental data for the Sound published in 2014. We reviewed data that were on the Study\u2019s website in November 2017 because the time frame coincided with the time frames for our review. These reports, data, and book included examples of progress but did not assess performance toward the goals associated with the priority problems in the 1994 plan. Therefore, we asked Study members for their responses on progress and the data that supported their responses. To do so, we interviewed representatives of the 12 Study members who agreed to participate and 5 Study work groups to learn the extent to which they believe progress has been made toward the goals and to obtain key data that they cited as evidence for their responses. For some priority problems, Study members said that they were unable to provide a response about progress toward the associated goals because they did not have sufficient knowledge or data, and as a result, the number of respondents for each problem varied. To examine the goals of the 2015 plan and factors that may hinder progress according to Study members, we analyzed the 2015 plan and interviewed Study members to identify the factors they believe may hinder progress toward achieving the goals of the 2015 plan.", "To examine how Study members plan to measure and report on progress toward achieving the 2015 plan, we analyzed sections of the plan that contained goals associated with the four themes and relevant web pages that the Study issued in March 2018 and analyzed them again in June 2018, and interviewed Study members to learn how they planned to report on progress. We also interviewed a nonprobability sample of 19 individuals with expertise on Long Island Sound to obtain their views on these sections of the plan. The 19 experts we interviewed included primarily members of academia. We identified these experts through recommendations from Study members and by reviewing the list of authors in the book Long Island Sound: Prospects for the Urban Sea. We did not interview experts who represented a Study member or were involved with the development of the 2015 plan. We asked the experts to identify which topics of the plan they could discuss based on their particular expertise. Because we used a nonprobability sample, the information obtained from these interviews is not generalizable to other individuals with Long Island Sound-related expertise but provides illustrative information.", "To examine what Study members expended on restoration activities in fiscal years 2012 through 2016 and cost estimates for future activities, we obtained and analyzed expenditure data from Study members and analyzed cost estimate information in the 2015 plan. Of the 12 Study members described above, 7 provided at least some expenditure data to us, 4 said that they do not fund restoration activities, and 1 did not reply to our request for expenditure data. We were unable to compare expenditure data across Study members because they did not track expenditures in the same way. To assess the reliability of the expenditure data, we interviewed officials to explain how the data were collected and obtained information about the completeness and accuracy of the data and found the expenditure data to be sufficiently reliable for reporting on expenditures of restoration activities for the period. We also consulted the Office of Management and Budget\u2019s general guidance for estimating costs, and analyzed EPA\u2019s funding guidance for comprehensive conservation and management plans. Further, we attended two Study meetings (on April 12, 2017, by telephone, and May 11, 2017, in person) to obtain information about how Study members make expenditure decisions. Appendix I contains a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Long Island Sound is an estuary, a body of water where fresh water from rivers draining from the land mixes with salt water from the ocean, in this case the Atlantic Ocean. The Sound is 113 miles long and 21 miles across at its widest point, with an average depth of 63 feet and a deepest point of 320 feet. The Sound\u2019s coastline is 583 miles and includes more than 60 bays, with beaches and harbors where people interact most frequently with the Sound. As shown in figure 1, the Sound is bordered by Connecticut to the north and New York to the south and west, and its watershed includes parts of Massachusetts, New Hampshire, Rhode Island, and Vermont. Nearly all of Connecticut\u2019s waters drain into the Sound, as do waters from the northern portion of Long Island and the New York City metropolitan area. New York City is the most populous city in the United States.", "In 1985, congressional committees directed EPA to work with states to research, monitor, and assess estuaries including the Sound. Around the same time, Connecticut, New York, and EPA raised concerns about pollution in the Sound due to the presence of a large population living near it, as well as 44 wastewater treatment plants and other industries that discharged into the Sound. In addition, they also raised concerns about pollution coming from sources that were not easily identified, such as runoff from land surrounding the Sound.", "To restore the health of the Sound, EPA partnered with the two states in 1985 to form the Long Island Sound Study, a partnership consisting of federal and state agencies, nonprofit and public organizations, and individuals dedicated to restoring and protecting the Sound. The Study has several committees and work groups that help to develop and implement the comprehensive conservation and management plan for the Sound. These groups include the Science and Technical Advisory Committee and the Citizens Advisory Committee, as well as the Water Quality Monitoring Work Group and the Habitat Restoration and Stewardship Work Group, which are responsible for facilitating improved collection, coordination, management, and interpretation of water quality, and promoting restoration of the Sound through an improved understanding of current threats.", "In 1987, the National Estuary Program was established under amendments to the Clean Water Act; the act further required EPA to give priority consideration to Long Island Sound, among others. According to EPA, the National Estuary Program is a community-based program designed to restore and maintain the ecological integrity of estuaries of national significance. One year after the program was established, EPA designated the Sound as such an estuary. Under the program, each estuary of national significance has a management conference that is required to develop a comprehensive conservation and management plan to restore and maintain the chemical, physical, and biological integrity of the estuary, including water quality, among other things.", "In 1990, the Long Island Sound Improvement Act required EPA to establish the Office of the Management Conference of the Long Island Sound Study, to be directed by an EPA official and to assist the Long Island Sound Study in carrying out its goals. The act required the Long Island Sound Study Office, as directed by EPA, to provide administrative and technical support to the management conference, or the Study. The act also required the Long Island Sound Study Office to report biennially on progress made in implementing the comprehensive conservation and management plan starting no more than 2 years after issuing the final plan. The Study, assisted by the Office, developed two reports\u2014the Protection and Progress report and Sound Health report\u2014to show progress toward the 1994 plan and issued the reports about every 2 years from 2001 through 2013. According to the Study, the purpose of the Protection and Progress report was to highlight regional efforts to restore and protect Long Island Sound, and the purpose of the Sound Health report was to provide a snapshot of the environmental health of Long Island Sound. In addition, the Study collects, tracks, and publishes information about environmental indicators on its website periodically, and has produced reports that summarized work done to carry out the 1994 plan.", "In its 1994 plan, the Study identified six priority problems and created associated goals (see table 1).", "In the 1994 plan, the Study identified hypoxia as the major water quality problem in the Sound, defining hypoxia as dissolved oxygen concentrations of less than 3 milligrams of oxygen per liter of water and noting that levels less than that are inadequate to support healthy populations of estuarine organisms. The Study noted that hypoxia caused significant, adverse ecological effects in the bottom water habitats of the Sound, such as reducing the abundance and diversity of adult fish and possibly reducing other species\u2019 resistance to disease.", "According to the National Oceanic and Atmospheric Administration, the most common cause of hypoxia is nutrient pollution, specifically discharges of nitrogen and phosphorus. As shown in figure 2, sources of nutrient pollution include wastewater discharged from wastewater treatment plant pipes and runoff from agricultural fields, stormwater, and groundwater. Excess nutrients can cause algae\u2014which occur naturally in oceans, lakes, rivers, and other water bodies\u2014to rapidly multiply, resulting in algal blooms that can discolor the water or accumulate as thick scums and mats. When the algae die they sink and decompose, and this decomposition consumes oxygen that is dissolved in water and used by fish and shellfish to live. Reduced oxygen levels, in turn, can lead to increased mortality for fish, shellfish, and other aquatic populations, or can drive some species to relocate to more oxygenated waters. Water in estuaries is naturally stratified, with less dense fresh warmer water generally staying on top, and denser salty cool water on the bottom.", "In 2000, Connecticut and New York developed a total maximum daily load (TMDL) to achieve water quality standards for dissolved oxygen in Long Island Sound. In the TMDL, the states described efforts to manage hypoxia and identified nitrogen as the key contributor to hypoxia and identified the sources and amounts of nitrogen contributed to the Sound. These include wastewater treatment plants in Connecticut and New York; combined sewer overflows (CSO); nonpoint source pollution, or runoff from sources such as residences and farms that includes stormwater and groundwater; and atmospheric deposition. The TMDL set a 15-year nitrogen reduction goal for Connecticut and New York, from both point and nonpoint sources of nitrogen, to be achieved by August 2014. The TMDL also calls for implementing management actions for nitrogen entering the Sound from other states where feasible. In the TMDL, Connecticut and New York identified the need for an adaptive management approach because it would require nitrogen reduction beyond the limits of technology current at the time. The states also agreed to reassess the nitrogen reduction goals and revise the TMDL as necessary."], "subsections": [{"section_title": "Although a Comprehensive Assessment of Progress Has Not Been Conducted, Study Members Believe Moderate Progress Has Been Made Since 1994 The Study Collected a Wide Range of Data and Issued Progress Reports, but Did Not Conduct a Comprehensive Assessment of Progress Toward Achieving the 1994 Plan", "paragraphs": ["Although the Study has collected a wide range of data to measure the health of Long Island Sound and has issued periodic progress reports since 2001, these progress reports have not contained a comprehensive assessment of progress toward the goals of the 1994 plan. In the absence of a comprehensive assessment of progress, Study members we interviewed said that they believe that moderate progress has been made toward goals associated with five of the six priority problems identified in the 1994 plan.", "The Study has collected a wide range of data used to measure the health of Long Island Sound. According to a Study member, the Study began identifying and collecting these data in 1998 with the purpose of evaluating progress toward achieving the goals of the 1994 plan. The data were gathered by federal and state agencies and universities, and were provided to the Study, which published the data on its website. As of November 2017, the data on the website were organized into groups of environmental indicators including water quality, marine and coastal animals, land use and population, and habitats. We found that many of the indicators and their data could be linked to goals associated with the six priority problems in the 1994 plan. Examples of these indicators and the related data and associated goals are shown in table 2.", "As required by the Long Island Sound Improvement Act, since 2001, the Study has issued periodic progress reports\u2014five Protection and Progress reports and six Sound Health reports, available on the Study\u2019s website\u2014 that have focused on specific examples of the restoration effort. The most recent of these reports were organized into sections that can be linked to the priority problems identified in the 1994 plan. For example, the most recent Protection and Progress report, issued in 2013, included sections on water quality and habitat restoration efforts that can be linked to the priority problems \u201chypoxia\u201d and \u201cmanagement and conservation of living resources and their habitats.\u201d", "The most recent progress reports also included examples of progress using indicator data that we could link to some of the goals and priority problems in the 1994 plan, such as the following:", "Both reports included examples of progress that could be linked with the priority problem \u201chypoxia.\u201d The Protection and Progress report identified pounds of nitrogen discharged into the Sound from 2001 through 2012 and provided data showing reduced nitrogen discharges over time, which the Study stated it expected to result in decreased hypoxic areas and increased dissolved oxygen. The Sound Health report identified both the area, in square miles, and duration, in days, of hypoxia in the Sound from 1987 through 2012.", "The Protection and Progress report included examples of progress that could be linked to the goal to increase the abundance and distribution of harvestable species, which is associated with the priority problem \u201cmanagement and conservation of living resources and their habitats.\u201d For example, the Protection and Progress report included examples of progress in the number of river miles restored from 1998 through 2012 as well as the number of fish returning to the rivers.", "The Sound Health report included examples of progress that could be linked to both goals associated with the priority problem \u201cpathogen contamination.\u201d These goals were to (1) increase the amount of area certified or approved for shellfish harvesting while adequately protecting the public health and (2) eliminate public bathing beach closures while adequately protecting the public health. The Sound Health report identified the number of beach closure and advisory days from 1993 through 2011 and the number of acres approved for shellfish harvesting from 2005 through 2011.", "However, the Study\u2019s progress reports did not contain a comprehensive assessment of the progress toward the goals of the 1994 plan. Specifically, the progress reports included examples of progress using indicator data and they did not include a comparison of that progress against a specific amount to be achieved\u2014a numerical goal. For example, the Protection and Progress report included an example of progress on pathogen contamination, but the report did not include a comparison of the data on acres of shellfish harvesting areas against a numerical goal for the amount of acres of shellfish approved for harvesting. In addition, the Sound Health report included examples of progress on toxic substances, but the report did not include a comparison of the reduction of toxics discharged into the Sound against a numerical goal for the reduction of toxic inputs. As we have previously reported, having a numerical goal permits expected performance to be compared with actual results. Part of the challenge for the Study to conduct such an assessment arises from the fact that only one of the goals in the 1994 plan had numerical goals against which the Study could compare progress. According to a Study member, because the rest of the goals were not numerical goals, a comprehensive assessment of progress toward achieving the 1994 plan was not conducted.", "Although such an assessment was not conducted, the Study has made available a comprehensive assessment of available science and data about the environmental dynamics of the Sound in the 2014 publication Long Island Sound: Prospects for the Urban Sea. The book\u2014written by scientists from federal and state agencies and universities\u2014includes sections on the geology and chemistry of the Sound; development patterns in the area surrounding the Sound; metals, contaminants, and nutrients discharged to the Sound; and management options for the Sound. Prospects for the Urban Sea identified science gaps and research needs and made several recommendations, including better characterizing the relationship between smaller bays and inlets and the Sound, integrating climate change across programs, prioritizing management of existing pollution sources and impairments, and improving data management and interpretation. According to Study members, the book served as a reference for scientists conducting research in Long Island Sound and as the basis for the 2015 plan."], "subsections": []}, {"section_title": "Study Members Believe Moderate Progress Has Been Made Toward Goals Associated with Five Priority Problems, but Not Toward the Goal Associated with Hypoxia", "paragraphs": ["In the absence of a comprehensive assessment of progress, we asked study members for their views regarding progress made since 1994. Nearly all of the Study members we interviewed who provided a response about progress made toward the goals of the 1994 plan agreed that the restoration effort has made moderate progress, and they cited various data to support their views. Specifically, Study members believed that moderate progress has been made toward achieving goals for five of the six priority problems: (1) toxic substances, (2) pathogen contamination, (3) floatable debris, (4) management and conservation of living resources and their habitats, and (5) land use and development. However, Study members agreed that they have not made similar progress toward the goal associated with the priority problem hypoxia because they had not observed the reductions in hypoxia that they expected; representatives from the New York State Department of Environmental Conservation said that the defined hypoxia goals have been met.", "Table 3 shows the number of Study members we interviewed who said moderate progress has been made toward goals associated with five of the priority problems in the 1994 plan and the number of Study members who provided views about progress. Although the Study members we interviewed cited various data to support their views, without a comprehensive assessment of that data it is not possible to definitively determine to what extent their assessment of progress reflects actual progress made.", "The following summarizes Study members\u2019 views about all six of the priority problems and data they cited."], "subsections": [{"section_title": "Toxic Substances", "paragraphs": ["The goal in the 1994 plan associated with the priority problem \u201ctoxic substances\u201d was to protect and restore the Sound from the adverse effects of toxic substance contamination by reducing toxic inputs, cleaning up contaminated sites, and effectively managing risk to human users. Toxic substances include metals, such as mercury and lead, and chlorinated hydrocarbons, such as the pesticide dichlorodiphenyltrichloroethane, commonly known as DDT. These substances were released from industrial and wastewater treatment plants into the air and into rivers and streams that flow to the Sound. The Study reported in a 2012 progress report that bans of toxic substances, stricter regulation of industrial facilities, and a decline in manufacturing contributed to the reduction of toxic substances.", "All nine Study members who provided a response about progress toward this goal said that moderate progress has been made. As evidence that moderate progress has been made, Study members cited data from EPA\u2019s Toxics Release Inventory. For example, two Study members said that the EPA data showed that toxic releases into the Long Island Sound watershed have been reduced.", "In addition, two Study members identified concerns about new toxic substances identified in the Sound. Specifically, they said that monitoring and research is needed to understand how toxic substances found in pharmaceutical and personal products may affect the Sound. One program that monitors toxic substances in the Sound is the Mussel Watch program, run by the National Oceanic and Atmospheric Administration\u2019s National Centers for Coastal Ocean Science. The program examines tissues of shellfish, such as oysters, to measure toxic substances that were previously unknown or unidentified that may negatively affect the Sound or human health. The research includes monitoring of substances found in everyday products including pharmaceuticals, personal care products, furniture, and plastics."], "subsections": []}, {"section_title": "Pathogen Contamination", "paragraphs": ["The two goals in the 1994 plan associated with the priority problem \u201cpathogen contamination\u201d were (1) to increase the amount of area certified or approved for shellfish harvesting while adequately protecting the public health and (2) to eliminate public bathing beach closures while adequately protecting the public health. Pathogens include bacteria or viruses from animal waste or inadequately treated sewage discharge that can accumulate in shellfish. Human consumption of contaminated shellfish can lead to illness and disease. Nine of the 10 Study members who provided a response about progress toward these goals said that moderate progress has been made. As evidence that moderate progress has been made, some Study members cited data on the number of acres approved for shellfish harvesting and on the number of beach closures and advisory days. For example, according to one Study member, since 2010 there has been an increase in the number of acres certified for shellfishing in New York\u2019s portion of Long Island Sound.", "Seven of the nine Study members who said that moderate progress has been made toward this priority problem also said that improvements in wastewater treatment plants and regulation of sewage discharge from boats have reduced the amount of pathogens in the Sound, such as by reducing the amount of waste discharged into the Sound. Several of the Study members said that these improvements have included municipalities investing in wastewater treatment plant upgrades to address combined sewer overflow (CSO) pollution. For example, New York City officials said that the city spent $2.5 billion on infrastructure projects, such as improvements in wastewater treatment plants and CSO retention tanks. As a result, the officials said that New York City\u2019s wastewater treatment plants can manage more stormwater, leading to fewer CSOs and reduced pathogen discharges overall."], "subsections": []}, {"section_title": "Floatable Debris", "paragraphs": ["The two goals in the 1994 plan associated with the priority problem floatable debris were (1) to reduce the flow of litter from its major sources and (2) to collect and pick it up once it is in the Sound. Floatable debris in the Sound mostly consists of plastic bags, plastic bottles, and food wrappers. This debris is washed into the Sound through stormwater and CSOs. In the 1994 plan, the Study proposed actions to reduce the flow of floatable debris into the Sound in two ways, engaging volunteers in cleanup efforts and collecting it from combined sewers before it enters the Sound. Nine of the 10 Study members who provided a response about progress toward these goals said that moderate progress has been made. Three Study members said that recycling or public outreach programs may have contributed to progress made in part by increasing public awareness of the problem. As evidence that moderate progress has been made, Study members cited data from coastal cleanups and from New York City\u2019s boom and skim program. For example, one Study member said that beach cleanup data show a reduction in debris collected from beach cleanups and another Study member stated that New York City has installed screens at some CSO outflows to capture debris in runoff released to the waters of Long Island Sound."], "subsections": []}, {"section_title": "Management and Conservation of Living Resources and Their Habitats", "paragraphs": ["The three goals in the 1994 plan associated with the priority problem \u201cmanagement and conservation of living resources and their habitats\u201d were to (1) assure a healthy ecosystem with balanced and diverse populations of indigenous plants and animals, (2) increase the abundance and distribution of harvestable species, and (3) assure that edible species are suitable for unrestricted human consumption. In the 1994 plan, the Study reported that it would focus on managing water quality, habitats, and species to address these goals. In particular, the Study reported in the 1994 plan that the destruction of coastal habitats has had a major impact on the diversity and abundance of plants and animals in and along the Sound.", "Eleven of the 12 Study members who provided a response about progress toward these goals said that moderate progress has been made. As evidence that moderate progress has been made, Study members cited data on several indicators, including acres of coast habitat and acres of eelgrass restored, marine mammal sightings, and the number of nesting pairs of coastal birds. For example, one Study member cited an increase in the abundance of eelgrass beds as support for moderate progress toward that type of habitat. Two other Study members cited increased sightings of dolphins and whales in the Sound as an indicator of improved habitat."], "subsections": []}, {"section_title": "Land Use and Development", "paragraphs": ["The five goals in the 1994 plan associated with the priority problem \u201cland use and development\u201d were to: (1) reduce the impacts from existing development to improve water quality, (2) minimize the impacts from new development to prevent further degradation of water quality, (3) expand information, training, and education for land use decisions to effectively incorporate water quality and habitat protection, (4) conserve natural resources and open space, and (5) improve public access so that the public can use and enjoy Long Island Sound. According to EPA, impervious cover\u2014land cover that does not allow water to infiltrate into the ground\u2014increases the amount of stormwater that runs off into streams, rivers, and other water bodies. Stormwater runoff can carry pollutants such as pathogens, toxic substances, and nutrients to storm drains, rivers, and streams that flow into the Sound. According to the 1994 plan, one way to reduce impervious cover and control stormwater runoff is through the use of green infrastructure. Green infrastructure includes practices and structures to manage stormwater that use or mimic natural processes to slow stormwater runoff, filter pollutants from the runoff, and facilitate stormwater storage for future use or to replenish groundwater. An example of a green infrastructure project implemented around the Sound is a bioswale, a vegetated area adjacent to a road, designed to collect and filter stormwater, cleaning the water and improving water quality by allowing it to seep into the soil. Figure 3 shows a bioswale developed for use in New Haven, Connecticut, as part of a Long Island Sound restoration project.", "Eleven of the 12 Study members who provided a response about progress toward these goals said that moderate progress has been made. As evidence, Study members cited data on changes in impervious cover. Study members also cited data on open space acquisitions as showing progress toward the goals related to this problem. According to Study members, one way that the Study protected open space was by identifying locations around the Sound that should be acquired and protected from development. Specifically, in 2006, the Study designated 33 locations, called Stewardship Areas, to protect habitat and wildlife from encroaching development. Stewardship Areas are locations within the Long Island Sound region that have significant ecological, educational, open space, public access, or recreational value and are protected from development. Figure 4 shows the locations of the 33 Stewardship Areas in the Long Island Sound region.", "The goal in the 1994 plan associated with the priority problem \u201chypoxia\u201d was to increase dissolved oxygen levels in the Sound to eliminate adverse impacts of hypoxia resulting from human activities. All 11 of the Study members who provided a response about progress toward this goal agreed that nitrogen has been reduced in the Sound since the 1994 plan, while 4 said that they have not observed the expected reduction in hypoxia. According to the 1994 plan, Study members based their expectation on a water quality model they used at the time. As evidence for nitrogen reduction in the Sound, Study members said that both Connecticut and New York met their 15-year TMDL wasteload allocation target to reduce nitrogen discharged into the Sound by 58.5 percent. To achieve their nitrogen targets, the Study reported that the states upgraded wastewater treatment plants. For example, communities in both states upgraded their plants with biological nutrient removal, a process in which bacteria break down and remove the reactive nitrogen found in human waste. According to EPA officials, recovery from hypoxia in coastal waters will not be rapid or predictable and evidence shows that dissolved oxygen levels in the Sound are recovering because of nitrogen reductions.", "According to Study members, hypoxia is a complex phenomenon affected by a number of factors that help to explain characteristics of hypoxia in the Sound. For example, three Study members said that an increase in water temperature can exacerbate hypoxia; warmer water holds less oxygen than cold water. As a result, in summer months the combination of temperature and salinity contributes to the isolation of the bottom layer of water from the usually well-oxygenated surface layer. Two Study members said that another factor that affects hypoxia is precipitation. For example, heavy rainfall could increase the amount of stormwater runoff that carries nutrients, such as nitrogen, into the Sound, which could lead to an increase in algal blooms and hypoxia. According to the 2012 Sound Health report, in 2012, Hurricane Sandy\u2019s storm surge overwhelmed many wastewater treatment plants, and stormwater runoff entered the Sound. In addition, four Study members said that there may be a lag between a reduction in nitrogen and a reduction in levels of hypoxia.", "Several Study members said that the water quality model they used in 1994 to predict the relationship between hypoxia and nitrogen may have incorrectly predicted the effect of reducing nitrogen on hypoxia or could be improved to better show the relationship between the two. Beginning in 2005, the Study conducted an evaluation of its water quality model that identified fundamental weaknesses with how the model captured the dynamics of hypoxia and mixing of water layers in the Sound. Subsequently, the Study has funded the development of a new model that it expects will more accurately reflect the relationship of the various sources of nitrogen and hypoxia. A Study member said that it was not possible to predict when the new model would be ready because of the nature of the work. However, the Study member added that it may be 10 to 20 years before the data show if and how nitrogen reduction efforts based on the new model reduce hypoxia."], "subsections": []}]}]}, {"section_title": "The 2015 Plan Has Four Goals to Improve Water Quality and Ecosystem Functions, but Study Members Identified Various Factors that May Hinder Progress The 2015 Plan Has Four Goals and Associated Themes to Improve Water Quality and Other Ecosystem Functions", "paragraphs": ["The 2015 plan has four goals to improve water quality and restore and protect ecosystem functions, among others. Each goal is associated with one of four broad themes: clean water and healthy watersheds, thriving habitats and wildlife, sustainable and resilient communities, and sound science and inclusive management. To achieve the goals, the Study developed specific outcomes, objectives, strategies, and action plans but stated that factors such as insufficient funding and climate change may hinder restoration efforts. In addition, most Study members stated that even if the goals of the 2015 plan are met, new and emerging challenges will require restoration efforts to continue, at a minimum, to monitor the Sound.", "The 2015 plan has four goals, associated with four themes to improve water quality and other ecosystem functions in the Sound while creating sustainable communities and using sound science as a basis for restoration. According to the 2015 plan, the goals and associated themes were developed by building upon the progress already made toward the 1994 plan and years of research and monitoring of the Sound. As previously mentioned, Study members said that the book they published with many scientists helped to develop the 2015 plan. The book Long Island Sound: Prospects for the Urban Sea, synthesized the advances in science made over the past decades in understanding the Sound. Study members also said that an update of the plan was needed to incorporate an improved understanding of the Sound and to address new issues that might affect restoration of the Sound. The four goals and their associated themes are as follows.", "Clean water and healthy watersheds. The goal associated with this theme addresses improving water quality through reducing contaminant and nutrient loads from the land and waters impacting the Sound. According to the 2015 plan, the condition of the Sound depends on the quality of the water draining from the land around it and, although progress has been made, the issues affecting water quality in the 1994 plan remain. These issues include hypoxia, pathogens, and development.", "Eelgrass Eelgrass (Zostera marina) is a rooted underwater plant with ribbon-like strands that form beds and meadows in estuaries. These beds are a haven for crabs, scallops, numerous species of fish, and other wildlife because the beds provide for them a habitat, protection from predators, nursery grounds, food, and oxygen. Additionally, eelgrass improves water clarity by filtering pollutants from runoff and by absorbing nutrients such as nitrogen and phosphorus. It also protects shorelines from erosion by absorbing wave energy. Eelgrass health can be negatively affected by excessive nutrients, limited sunlight exposure, and high water temperatures. For these reasons, the Long Island Sound Study uses eelgrass growth as an indicator for good water quality.", "Thriving habitats and abundant wildlife. The goal associated with this theme addresses restoring and protecting the Sound\u2019s ecological balance, including fish and shellfish populations and ecologically significant shorelines and habitats along the Sound, to benefit both people and the environment. According to the 2015 plan, the 1994 plan identified habitats and living resources to manage and protect and the Study identified 12 types of coastal habitats for restoration, including beaches and dunes, cliffs and bluffs, estuarine embayments, coastal and island forests, freshwater wetlands, coastal grasslands, intertidal flats, rocky intertidal zones, riverine migratory corridors, submerged aquatic vegetation such as eelgrass, shellfish reefs, and tidal wetlands. While progress has been made through acquiring thousands of acres of land, according to the 2015 plan, habitat connectivity and riverine migratory corridor reconnection can be improved.", "Sustainable and resilient communities. The goal associated with this theme addresses supporting communities to use, appreciate, and help protect the Sound. According to the 2015 plan, local government leadership, private sector engagement, community organizations, and individual stewardship will be needed to restore the Sound. The theme focuses efforts on communities, which was not a focus of the 1994 plan.", "Sound science and inclusive management. The goal associated with this theme seeks to ensure the Study is using sound science and cross-jurisdictional governance that is inclusive, adaptive, innovative, and accountable throughout its restoration efforts in the Sound. According to the 2015 plan, the Sound and its watershed covers more than 16,000 square miles in six states and includes hundreds of local watersheds. Management of the Sound involves collaboration and governance among numerous partners and stakeholders who need thorough understanding of the issues. According to the plan, such understanding comes from research, monitoring, assessment, mapping, and modeling programs.", "To achieve the goals associated with the plan\u2019s four themes, the Study also developed outcomes, objectives, strategies, and implementation actions and published these in the 2015 plan and supplemental documents. The 2015 plan defines outcomes as \u201cbroad results needed to achieve the goals.\u201d For example, as shown in table 4, an outcome associated with the \u201cclean water and healthy watersheds\u201d theme is \u201cto improve research, monitoring, and modeling for water quality.\u201d Each outcome has multiple associated objectives, which are the accomplishments needed to achieve each outcome, and each objective has multiple strategies. To carry out each strategy, the Study has developed 139 implementation actions, which are specific actions such as estimating future phosphorus loads or promoting eelgrass management. The Study also developed four supplemental documents, one for each theme, that describe the 139 implementation actions and steps to be taken in 2015 through 2019 and the expected outcomes."], "subsections": [{"section_title": "Study Members Cited Numerous Factors, Including Insufficient Funding, Climate Change, and Development and Growth That May Hinder Progress", "paragraphs": ["Study members we interviewed said numerous factors may hinder Long Island Sound restoration progress, including insufficient funding, climate change, insufficient scientific understanding or data-related issues, development and population growth, and insufficient public appreciation of the Sound. (See app. II for a list of all the factors Study members identified that may hinder progress.)", "Of the 17 Study members we interviewed about factors that may hinder progress, 14 said that insufficient funding can, for example, hinder their ability to manage restoration efforts, mitigate the effects of development and population growth, implement new projects, or effectively conduct existing projects. One Study member said that development and population growth can be overcome with mitigation activities, but that these require funding. Another Study member said that insufficient funding leads to vacant staff positions and that the Study member\u2019s organization is strained with small staff numbers. This limits the Study\u2019s ability to coordinate among the many agencies and programs working on restoration. Another Study member identified the effects of insufficient funding on a restoration project. Specifically, a town received a Study grant for a green infrastructure project near the Sound, but the town modified the project because the grant was smaller than what the project needed. The project plan included constructing the building with permeable parking surfaces and green features, such as rain gardens, to help improve water quality. According to a town official, the town wanted to do more green features but because it received a smaller grant, the number of permeable surfaces and green features the town could build were limited.", "Nine of the 17 Study members we interviewed said that climate change can hinder restoration progress. Study members discussed different types of effects that may be possible, such as affecting water temperature, weather, and sea level. For example, two Study members said that warmer waters caused by climate change could increase the Sound\u2019s susceptibility to hypoxia by increasing the risk of potential harmful algal blooms and the length of time low-dissolved oxygen remained at hypoxic levels. Another Study member stated that warmer waters can cause outbreaks of the naturally occurring bacterium Vibrio parahaemolyticus, which accumulates in shellfish and affects the shellfishing industry. In addition, two Study members said that changes in weather caused by climate change could cause an increase in stormwater and therefore the amount of pathogens washed into the Sound; another Study member said that increased storm activity could destroy marshes. According to the Study, salt marsh vegetation in tidal wetlands helps protect against erosion and typically manages to accumulate enough sediment and organic matter to keep up with naturally-occurring, gradual sea level rise. However, the Study reported that tidal wetlands in the Sound may not be able to keep up with the rise in sea level projected to result from climate change. One Study member said that marshes are already being affected by increased coastal flooding that may be caused by sea level rise.", "As we reported in November 2013, changes in the climate\u2014including warmer temperatures, changes in precipitation patterns, rising sea levels, and more frequent and intense storms\u2014affect water resources in a number of ways, such as erosion and inundation in coastal areas. In particular, we reported that a 2011 federal agency review of the potential impacts of climate change on water resources identified four interrelated areas of concern for water resource managers. One of the four is protecting coastal and ocean resources as rising sea levels and changes in storm frequency, intensity, and duration impact coastal infrastructure. Also, in September 2014, we reported that ocean acidification\u2014the increased absorption of carbon dioxide emitted by humans into the oceans\u2014is resulting in chemical changes in the oceans that may pose risks for some marine species and ecosystems, as well as for the human communities that rely upon them for food and commerce.", "Tidal wetlands and salt marshes Wetlands are areas that are inundated or saturated by surface or groundwater and that have a prevalence of vegetation adapted for life in saturated soil conditions. Tidal wetlands are specifically linked to estuaries\u2014locations where sea water mixes with fresh water to form an environment of varying salinity. Tidal wetlands are among the most productive ecosystems in the world, providing food, shelter, and breeding or nursery grounds for many species of wildlife. Salt marshes are a type of tidal wetlands that have been flooded and drained by salt water brought in by the tides. Salt marshes help protect the land from flooding and erosion in stormy weather, and filter pollutants contained in storm water runoff. Tidal wetlands are threatened by changes in the climate causing sea levels to rise more rapidly, which can cause tidal wetlands to convert to open water.", "In addition, one expert we interviewed said that gains in restoring marshes and wetlands already made by the Study may be lost due to rising sea levels. To address this problem, another expert we interviewed said that techniques such as spraying material dredged from the Sound, such as sand and silt, across these areas for the purpose of raising wetlands or marshes are being tested to keep up with sea level rise. One expert also said that increased water temperatures around the Sound may make the water uninhabitable for shellfish. EPA officials said that while increased water temperatures will affect the relative abundance and distribution of shellfish in the Sound, it cannot be concluded that the Sound will become uninhabitable for shellfish because of increased water temperatures. In addition, as we reported in October 2016, unusually high water temperatures may enhance the growth of harmful algal blooms that produce toxins causing neurological and other damage in fish populations. Warming waters will also increase the Sound\u2019s susceptibility to hypoxia because the solubility of oxygen decreases as water temperature increases.", "Five of the 17 Study members we interviewed said that insufficient scientific understanding and data related issues would hinder progress toward restoration of the Sound. For example, one Study member highlighted the need to better understand the relationship between nutrients and hypoxia. That Study member also said that incomplete data on nutrients, particularly from nonpoint sources, may hinder progress. Another Study member said that obtaining data is difficult, in particular for areas such as embayments and tributaries that are still affected with nonpoint source pollution.", "Three of the 17 study members we interviewed said that development and population growth will also hinder the progress of restoration. In addition, 7 of the 17 Study members said that the Sound cannot be restored to past conditions, and a key reason why is that development and increased human population have led to changes in the Sound that hinder full restoration. For example, one Study member said that increased population and development can negatively affect water quality because it resulted in a greater amount of impervious cover such as highways and roads, which in turn increases the nutrient and sediment pollution in runoff.", "Microbeads Microbeads are pieces of manufactured polyethylene plastic 5 millimeters or less in size that are added as exfoliants to health and beauty products, such as some cleansers and toothpastes. These tiny particles may pass through some water filtration systems and end up in the oceans and the Great Lakes, posing a potential threat to aquatic life. For example, microbeads can look like food to fish and other marine organisms. Once ingested, microbeads can obstruct an animal\u2019s digestive system. In addition, microbeads can absorb contaminants that can be hazardous to animals that eat the microbeads, and, in turn, can harm the animals and people that consume them.", "Three of the 17 Study members we interviewed said that insufficient public appreciation of the Sound would hinder progress toward restoration. In this context, two Study members highlighted that much of the land along the Sound is privately owned, which makes it difficult for some to travel to the Sound or to appreciate it.", "Nearly all of the Study members who we interviewed said that even if the goals associated with the four themes of the 2015 plan are achieved, restoration efforts will need to continue into the future because the Sound will continue to face new challenges and threats and that the Study will need to continue monitoring the Sound to understand them. For example, microbeads are an emerging issue that was not addressed in the 2015 plan. In 2015, after the Study issued the 2015 plan, a Southern Connecticut State University research team reported that it had found microbeads in New Haven Harbor, Connecticut. Microbeads are small pieces of plastic found in common household products that can make their way into waterbodies and threaten aquatic life. In December 2015, the federal government enacted the Microbead-Free Water Act of 2015, which banned the manufacturing, distribution, and offer for sale into interstate commerce of rinse-off cosmetics that contain intentionally- added plastic microbeads. In addition, in June 2015, Connecticut had enacted legislation that phased in bans on the manufacturing, import, sale, or offer for sale of personal care products and over-the-counter drugs that contain microbeads in that state. New York had proposed legislation to address the issue of microbeads in early 2015 but did not enact it."], "subsections": []}]}, {"section_title": "Study Members Have Identified Long-Term Targets and Indicators to Measure Progress, but Have Not Yet Fully Incorporated Leading Practices for Performance Reporting", "paragraphs": ["Study members said that they plan to use 20 long-term targets with associated indicators to measure progress toward the goals associated with the four themes of the 2015 plan. While 18 of the long-term targets currently have numerical goals, they do not yet have associated intermediate targets that can be used to monitor progress; but EPA officials said that the Study is working to establish them. In March 2018, the Study issued web pages for each of the 20 targets to report on such progress, but, as of June 2018, these pages do not yet fully incorporate leading practices of performance reporting."], "subsections": [{"section_title": "Twenty Long-Term Targets and Associated Indicators Will Be Used to Measure Progress and Intermediate Targets Are Being Developed", "paragraphs": ["Study members said that they have identified and plan to use 20 long- term targets with associated indicators to measure progress toward the goals of the 2015 plan (see app. III for a complete list of the 20 long-term targets and their associated indicators). The 20 targets are grouped by the four themes in the 2015 plan. All of the targets include indicators that describe how the targets will be achieved, and all but two of those indicators currently have numerical goals, with a value to be achieved by 2035. For example, the indicator for the target \u201capproved shellfish areas\u201d in the \u201cclean waters and healthy watersheds\u201d theme has a numerical goal to upgrade the percentage of shellfish acreage restricted or closed for shellfishing in 2014 in Connecticut and New York by 5 percent by 2035. According to the 2015 plan, to achieve a 5 percent increase, the states would need to upgrade 17,400 of the 349,000 acres of closed or conditionally closed shellfish areas.", "Of the 20 targets in the 2015 plan, the 2 that do not yet have indicators with numerical goals are \u201chabitat connectivity\u201d and \u201cpublic engagement and knowledge.\u201d Two of the Study members responsible for updating the indicators said that the Study is developing numerical goals for each target. According to these Study members, the main reason that these targets do not yet have numerical goals is that presently there are insufficient data that can be analyzed and interpreted to establish them. Study members are in the process of collecting data that will be used to finalize a numerical goal. These Study members said that it may take a year or more to collect the necessary data.", "Generally, the 19 experts we interviewed agreed that the indicators used by the Study were valid, accurate, and reliable ways to measure progress for the 20 long-term targets, but some experts also suggested improvements. For 12 of the 20 indicators, all of the experts we interviewed agreed that they were valid, accurate, and reliable. For example, one expert pointed out that the indicator for the riparian buffer extent target is the only practical way to measure progress. Another expert said that the indicator for the coastal habitat extent target is a good choice because it can show progress that the public can easily understand. A few experts suggested improvements to make some of the indicators more useful for measuring progress. For example, one expert said that the indicator for the target \u201cextent of hypoxia\u201d would be better if the focus were on the Western Sound, where hypoxia is a greater problem. The expert also questioned why the Study is concerned with hypoxia across the entire Sound when some areas are only slightly hypoxic and not big enough to have a great impact on the overall level of hypoxia in the Sound. EPA officials responded that the target \u201cextent of hypoxia\u201d is focused on the Western Sound. They added that it must be noted that target applies everywhere in the Study because changes in water quality could occur anywhere in the Sound.", "For the other eight indicators, not all experts we interviewed agreed on these indicators. For example, for the tidal wetlands indicator\u2014the acreage of tidal wetlands restored to help restore tidal flow\u2014eight of nine experts we interviewed said that the indicator was valid, accurate, and reliable, but one expert said that it was too simplistic. This expert said that a better indicator would focus on the amount and health of marsh grasses that are planted to restore the tidal wetlands. This is because marsh grass health is affected by nitrogen levels and sea level rise, which also impact tidal wetlands. For the approved shellfish area indicator\u2014the acreage of approved shellfishing areas\u2014six of eight experts we interviewed said that the indicator was valid, accurate, and reliable, but two experts disagreed. One of these experts said that the target is part of the theme to improve water quality and that shellfishing areas can be approved for administrative reasons that are not related to water quality improvement. The other expert added that certain shellfish areas in New York are closed because budget constraints limit the number of reviews that can be conducted to reopen shellfishing areas.", "The use of numerical goals to monitor progress toward the 20 long-term targets is consistent with leading practices for performance management that we have identified in our previous work. We have found that a key attribute of successful performance measures is that they have quantifiable numerical goals or other measurable values that permit expected performance to be compared with actual results. Additionally, we have reported that intermediate goals and measures can be used to show progress or contribution to intended results.", "During the course of our work, we shared with Study members our concern that only 2 of the 20 long-term targets have intermediate targets. In response, in web pages for the 20 targets available in June 2018, the Study had established intermediate targets for an additional 10 of the 18 long-term targets that did not have intermediate targets. For these 10 targets, the Study identified how much progress would need to be made each year to achieve each target\u2019s numerical goal by 2035. For example, for the approved shellfish areas target, the intermediate target is \u201cto approve more than 850 acres of currently closed shellfish areas per year to reach the goal of approving 17,400 acres by 2035.\u201d For the remaining 13 targets without intermediate targets, EPA officials said that the Study is working to establish intermediate targets using the indicator data collected by federal and state agencies. By incorporating intermediate targets into its web pages to report on progress, the Study can better ensure its members, the public, and Congress have important information on whether the Study is making progress toward achieving its long-term targets or whether additional actions need to be taken."], "subsections": []}, {"section_title": "Progress Reports Do Not Yet Fully Incorporate Leading Practices", "paragraphs": ["As previously mentioned, the Long Island Sound Improvement Act of 1990 required the Study to report every 2 years on progress made in implementing the comprehensive conservation and management plan. The Study reported through 2013, using the Protection and Progress and Sound Health reports but did not report again until it issued web pages for the 20 long-term targets in March 2018. According to an EPA official, the Study did not report on the evaluation of progress during that 5-year period because EPA was working with Study members to adapt the Study\u2019s reports to the 2015 plan indicators and to update the format of its web pages to report on progress. An EPA official said that the Study plans to use the web pages the agency issued in March 2018 to report progress on each of the 20 long-term targets.", "Our previous work on performance management states that reporting on performance should involve leading practices such as (1) evaluating performance compared to a plan, (2) reviewing performance for a preceding period of time (for example, 5 years), and (3) evaluating actions for unmet goals. We have found the following benefits of these leading practices:", "Evaluating performance compared to a plan allows agencies to describe the performance indicators established in the plan and the performance achieved to meet them. In addition, evaluating performance could help agencies understand the relationship between their activities and the results they hope to achieve.", "Reviewing performance for a preceding period of time, including baseline and trend data, can help agencies ensure that individuals using the report review the information in context and identify whether performance targets are realistic given the past performance. In addition, the data can assist individuals who use the report to draw more informed conclusions than they would by comparing only a single year\u2019s performance against a target.", "Evaluating actions for unmet goals explains why the goal was not met, provides plans and schedules to achieve the goal, and, if the goal is impractical, why it is impractical. Explaining the reasons for any unmet goals allows agencies to recommend actions that can be taken to achieve the goals, or needed changes to the goals.", "In our review of the Study\u2019s web pages in June 2018, we found that the Study has not yet fully incorporated the three leading practices for reporting on performance. The Study used the three practices to varying extents, as described below.", "Evaluating performance compared to the 2015 plan for 19 targets. We believe that the Study fully incorporated this practice by creating a status bar on the web pages for 19 of the 20 ecosystem targets to indicate if progress toward a target\u2019s numerical goal was behind schedule, on track, ahead of schedule, or if the numerical goal was met. For example, the Study reported that progress for the target \u201capproved shellfish areas\u201d was behind schedule.", "Reviewing performance for a preceding period of time for 11 targets. We believe that the Study partially incorporated this practice by reporting progress data for 5 or more preceding years for 11 targets but not the remaining 9. For example, on the web page for the tidal wetlands extent target, the Study reported progress data for each year from 1998 to 2017.", "Evaluating actions for unmet goals for four targets. We believe that the Study partially incorporated this practice by explaining why the goal was not met for 4 targets but did not explain why the goal was not met for 15 targets. For example, for the target \u201cpublic access to beaches and waterways,\u201d the Study reported that increasing the number of public access points may be difficult because there are many privately owned properties along the Long Island Sound coast. However, the Study provided plans and schedules to achieve unmet goals for only two targets. For example, the Study reported that to achieve the numerical goal for protected open space, an average of 200 acres of Connecticut land and 150 of New York land needs to be protected each year.", "An EPA official said that the web pages may undergo further modifications and that the Study plans to update information about the targets annually or according to how frequently the underlying data are collected. By working with the Study as it finalizes its reporting format to incorporate the leading practices of performance reporting, EPA could help ensure that the Study provides the public and Congress with the information they need to determine whether the Study is making progress toward achieving the long-term targets associated with the goals of the 2015 plan, or whether the Study should take additional action to meet the targets."], "subsections": []}]}, {"section_title": "Study Members Expended at Least $466 Million on Restoration Activities, but the Study\u2019s Estimate of At Least $18.9 Billion for Future Restoration Is Not Comprehensive", "paragraphs": ["Seven Study members who provided expenditure data to us expended at least $466 million on restoration activities in the Sound from fiscal years 2012 through 2016, although the total expenditures by all Study members over this period are unknown. In the 2015 plan, the Study estimated that future activities will cost at least $18.9 billion over 20 years, but these estimates may not reflect all future restoration costs because they address only some of the plan\u2019s long-term targets."], "subsections": [{"section_title": "Four Study Members Expended At Least $466 Million to Restore Long Island Sound, and Three Others Funded Activities that Contributed to Restoration", "paragraphs": ["Of the seven Study members who provided expenditure data to us, four Study members said that they provide funding for restoration activities specifically for the Sound. Officials from EPA, the states of Connecticut and New York, and the U.S. Fish and Wildlife Service said that they expended at least $466 million on activities to restore Long Island Sound from fiscal years 2012 through 2016. Table 5 shows their reported expenditures on restoration activities in Long Island Sound from fiscal years 2012 through 2016.", "The states of Connecticut and New York expended the majority of the $466 million to restore Long Island Sound from fiscal years 2012 through 2016. According to a Connecticut Department of Energy and Environmental Protection official, Connecticut expended about $106 million on restoration activities from fiscal years 2012 through 2016. These activities included more than $10 million for habitat restoration, more than $14 million for land acquisition, and more than $81 million for nitrogen reduction. According to the official, Connecticut expended more than $21 million in fiscal year 2012 to upgrade equipment at three wastewater treatment plants to reduce nitrogen discharged from the plants into the Sound. New York State Department of Environmental Conservation officials said that the agency could not provide us with the total amount the agency expended on Sound restoration activities in fiscal years 2012 through 2016 because the agency does not track expenditures specific to Long Island Sound restoration. However, they provided examples of activities for which they expended about $337 million. The three activities for which officials provided examples of expenditures were to upgrade wastewater treatment plants.", "From fiscal years 2012 through 2016, EPA reported expending about $22 million to operate the Long Island Sound Study, including about $19 million from the agency\u2019s Long Island Sound program and about $3 million from the National Estuary Program. On average, EPA reported expending about $4.5 million per year on Study operations, such as public outreach and education, monitoring, modeling, research, and activities to achieve the 1994 and 2015 plans. Of the $4.5 million per year, the Study provided an average of $1.3 million per year to the Long Island Sound Futures Fund. The Long Island Sound Futures Fund is a grant program that, according to the Study, funds activities in local communities that aim to protect and restore the Sound. For example, the Long Island Sound Futures Fund awarded $150,000 to the New York City Department of Parks and Recreation in 2016 to construct a living shoreline in Douglaston, New York. The purpose of this project was to stop the continued loss of urban salt marsh by reestablishing up to one acre of salt marsh and enhancing nearby forest, upland, and coastal grassland habitat.", "A U.S. Fish and Wildlife Service official said that the agency expended about $1 million in 39 activities from fiscal years 2012 through 2016. According to Long Island Sound Futures Fund documents, funds provided to the Long Island Sound Futures Fund are used to pay for restoration projects. For example, the U.S. Fish and Wildlife Service provided $55,392 in fiscal year 2016 to a project to restore a 12-acre coastal forest in the Village of Mamaroneck, New York. The focus of the project is to reverse forest fragmentation and degradation by removing non-native plants and planting native trees, shrubs, and herbs.", "In addition to the funds expended by the four Study members above, officials from three other Study members\u2014the Natural Resources Conservation Service, the U.S. Geological Survey, and the U.S. Army Corps of Engineers\u2014also said that they expended funds for restoration activities in the region around the Sound but do not isolate expenditures made specifically for the Sound. For example, officials from these Study members said that the agencies expended funds for activities in the region that contributed to restoration but were not intended solely to restore the Sound. They each provided examples of restoration expenditures or costs for fiscal years 2012 through 2016: the National Resource Conservation Service expended $54 million through programs such as the Environmental Quality Incentives Program; the U.S. Geological Survey expended about $3.8 million on data monitoring and other activities; and the U.S. Army Corps of Engineers expended $27 million for 13 projects."], "subsections": []}, {"section_title": "The 2015 Plan Estimated that Future Activities May Cost At Least $18.9 Billion, but the Estimates Address Only Some of the Plan\u2019s Long-Term Targets", "paragraphs": ["Study members estimated in the 2015 plan that future restoration activities would cost at least $18.9 billion over 20 years. Nearly all the amount was for activities addressing the goal to achieve clean waters and healthy watersheds. As shown in table 6, Study members estimated that activities under that goal could cost at least $18.1 billion from 2015 through 2035. The cost estimate included $5.5 billion specifically for work on wastewater treatment plants in New York, Connecticut, and the upper watershed states, which may include upgrading the plants with available technologies for nutrient removal. Study members also estimated that activities to reduce nitrogen by addressing CSOs and urban stormwater in Connecticut may cost at least $4.4 billion and $700 million. Finally, the cost estimate included $12.4 billion to complete ongoing work in New York and Connecticut to reduce overflows from combined sewer systems as well as sewer systems that are not combined with stormwater systems.", "The remainder of the $18.9 billion was for activities related to goals to achieve thriving habitats and other restoration themes. As shown in table 7, Study members estimated that these other activities could cost $778 million from 2015 through 2035. According to the 2015 plan, activities to address the goals to achieve thriving habitats and abundant wildlife, such as by protecting open space, may cost $650 million\u2014$500 million in New York and $150 million in Connecticut. These activities could include acquiring properties that the Study has identified as high priority for conservation to minimize coastal development in the future. Study members also estimated in the 2015 plan that Connecticut and New York would spend about $4 million each on education activities. These activities could include volunteer and outreach efforts for the general public at the 33 Long Island Sound Stewardship Areas, such as how human disturbance can affect wildlife.", "Economic guidance generally states that investment decisions should be informed by a consideration of both benefits and costs of relevant alternatives. For example, the Office of Management and Budget (OMB) has issued guidance on estimating costs and benefits to help federal agencies efficiently allocate resources through well-informed decision making about activities. This guidance includes OMB Circular A-94, which we have previously identified as providing leading practices for economic analysis. OMB Circular A-94 directs agencies to follow certain economic guidelines for estimating costs and conducting cost- effectiveness analyses of federal programs or policies to promote efficient resource allocation through well-informed decision making in certain circumstances. The guidance applies to federal agencies and programs, but we have previously found that it provides leading practices for economic analysis of investment decisions. Under OMB Circular A-94, a cost estimate is to include a comprehensive assessment of the costs.", "By developing its $18.9 billion estimate, the Long Island Sound Study has taken steps to assess the potential costs of future restoration activities. However, the 2015 plan includes 20-year cost estimates for activities related to 10 of the 20 long-term targets that the Study plans to achieve. These cost estimates focus primarily on activities to achieve clean waters and healthy watersheds and thriving habitats and abundant wildlife. These include restoration activities that address wastewater treatment plants to help achieve the long-term target nitrogen loading, and restoration activities to conserve open space to achieve the long-term target protected open spaces. However, the total does not include the cost of activities to achieve other long-term targets such as river miles restored for fish passage, tidal wetlands extent, marine debris, and public access to beaches and waterways.", "A Study member said that the Study completed 20-year estimates for proposed restoration activities where feasible and included them in the 2015 plan. The Study member also said that EPA worked with Study members to develop cost estimates using costs for past restoration activities. However, the Study member said that the exact course of action, and therefore costs, for many of the long-term targets were not defined and were still uncertain. For example, the Study only recently invested funds to evaluate nitrogen reduction targets to attain water quality standards, which can be used to determine the scope of work needed and costs to inform a cost estimate associated with achieving the nitrogen loading target. OMB Circular A-94 recognizes that estimates of costs are typically uncertain because of imprecision in underlying data and assumptions and states that this uncertainty can and should be part of the analysis and estimate. According to the circular, because such uncertainty is basic to many analyses, its effects should be analyzed and reported. One way to handle such uncertainty in a cost estimate is to perform a sensitivity analysis, which will result in a range of possible cost estimates. By working with Study members to develop cost estimates that include analyses of uncertainties for each of the targets in the plan, EPA and the Study could better estimate the comprehensive costs for Long Island Sound restoration and could better allocate resources and make decisions about their financial investments in the Sound.", "In addition to the 20-year cost estimates, the 2015 plan contained four supplemental documents that described the 139 implementation actions for carrying out the strategies for the plan\u2019s four themes in greater detail as well as estimated costs for carrying out those implementation actions for fiscal years 2015 through 2019. EPA\u2019s funding guidance for comprehensive conservation and management plans states that agencies should estimate the range of potential costs of all actions to implement the plan. For the four 5-year supplemental documents that it developed, EPA worked with the Study to create four cost ranges: (1) $0 to $25,000; (2) $25,000 to $150,000; (3) $150,000 to $1 million; and (4) greater than $1 million. The Study then assigned these ranges to the implementation actions in the four 5-year implementation plans for each theme. However, the Study only assigned 75 percent of the 139 implementation actions in the 2015 plan to these four ranges. Instead of a cost range, the Study identified the funding needs for more than a third of the remaining 25 percent of the actions as staff time or not applicable. A Study member said that the Study did not assign a range of costs for staff time and identified some action costs as not applicable because, for example, the work required would be intermittent or the associated costs were accounted for in other implementation actions. According to Circular A-94, uncertainty, such as staff time, should be included in a cost estimate. In addition, implementation actions for which costs are accounted for elsewhere could be assigned to the Study\u2019s first cost range, $0 to $25,000. According to the Study member, estimates of potential cost ranges for the implementation actions could be included in future supplements to the 2015 plan. By working with the Study to estimate the range of potential costs for all the implementation actions and including the estimates in future supplements to the 2015 plan, EPA would have better assurance that Study members have complete information to guide resource allocation decisions about activities to achieve the goals of the 2015 plan."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["By identifying six priority problems and associated goals in the 1994 plan and taking actions to achieve these goals, the Study, with EPA as director, has provided a long-standing focus on improving the water quality and other ecosystem functions in the Sound and its surrounding watershed. In its updated 2015 plan, the Study identifies further actions to be taken and has identified numerical goals for almost all of the 20 long- term targets in the 2015 plan, which unlike the 1994 plan, will enable the Study to do a comprehensive assessment of progress toward the numerical goals of the 2015 plan. As of June 2018, the Study has not yet fully incorporated leading practices for performance reporting, such as evaluating actions for unmet goals, in the web pages the Study plans to use to report progress for the 20 long-term targets. By working with the Study as it finalizes its reporting format, EPA can ensure that the leading practices of performance reporting are fully incorporated, which in turn will help ensure that the Study is providing information to the public and Congress about its restoration progress.", "In addition, the 2015 plan includes 20-year cost estimates for some, but not all the activities related to the 20 long-term targets that the Study plans to achieve. By working with Study members to develop cost estimates that include analyses of uncertainties for each of the targets in the plan, EPA and the Study could better estimate the comprehensive costs for Long Island Sound restoration and ensure better resource allocation decisions for the Sound. In addition, the Study has not estimated the range of potential costs of all 139 implementation actions in the 2015 plan. By working with the Study to estimate the range of potential costs for all the implementation actions and including the estimates in future supplements to the 2015 plan, EPA would have reasonable assurance that Study members have considered complete cost information when making resource allocation decisions about activities to achieve the goals of the 2015 plan."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Environmental Protection Agency in its capacity as the Director of the Long Island Sound Study, in coordination with Study members:", "The Director, working with the Study, should ensure that as the Study finalizes its reporting format, it fully incorporates leading practices of performance reporting. (Recommendation 1)", "The Director, working with the Study, should develop cost estimates that include analyses of uncertainties for each of the targets in the 2015 plan. (Recommendation 2)", "The Director, working with the Study, should estimate the range of potential costs for all implementation actions and include the estimates in future supplements to the 2015 plan. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to EPA and the departments of Agriculture, Commerce, Defense, and the Interior for their review and comment. We also provided a draft of the report to the Connecticut Department of Energy and Environmental Protection and the New York State Department of Environmental Conservation for their review and comment. EPA provided written comments, which are reproduced in appendix V, and stated that it agreed with the conclusions and recommendations in our report. EPA also provided technical comments, which we incorporated as appropriate. The departments of Agriculture, Defense, and the Interior, and the Connecticut Department of Energy and Environmental Protection responded by email that they did not have comments on the draft report. The Department of Commerce and the New York State Department of Environmental Conservation provided technical comments, which we incorporated as appropriate.", "In a letter signed by the Regional Administrators of EPA Region 1 and Region 2, EPA stated that the report is timely because the Study is working to transition from the 1994 plan to evaluating and reporting on the 2015 plan and highlighted steps the agency will take to meet our recommendations. EPA stated that working with the Study the agency: plans to further evaluate, develop, and apply leading practices of performance reporting as it finalizes its reporting format, estimating enhancements to the reporting format will be available on the Study\u2019s website by the end of 2019; will evaluate the range of costs needed to attain each of the targets and include cost estimates with uncertainty bounds in future updates of the plan, expecting the enhanced cost information will be available on the Study\u2019s website by the end of 2019; and will ensure that the planned update to implementation actions includes a range of costs for all implementation actions, estimating actions will be completed in 2020.", "In its written comments, EPA suggested two specific revisions to our report. First, EPA stated that the Study has established more intermediate goals than we included in our report. In our report, we said that as of March 2018, the Study had established intermediate targets for 7 of the 20 long-term ecosystem targets. According to EPA\u2019s comments, applying the methodology that we used in the report to the 20 ecosystem targets results in 11 targets having intermediate goals. EPA also stated that the agency will work with the Study to better communicate these existing intermediate goals on the web pages reporting ecosystem progress. In response to this information, we analyzed the Study\u2019s web pages that were available in June 2018 and agreed that five additional ecosystem targets had intermediate goals as of that date. We revised the report to include this information.", "Second, EPA stated that the report\u2019s statement that the 2015 plan estimates that future implementation activities may cost nearly $21.9 billion is a misleading interpretation of the 2015 plan\u2019s implementation costs because the plan does not present that figure. EPA stated that table 6 in our report appeared to double count Connecticut\u2019s combined sewer overflow costs in the 2015 plan by including both the $4.4 billion taken from text and $3 billion taken from a table in the plan. Although we presented these data to EPA during our review, the error was not caught until the draft report was reviewed. EPA stated that the 2015 plan is admittedly unclear in attributing costs to specific categories and that the agency will work with the Study to clarify the estimated implementation costs in future updates. In response to EPA\u2019s comments, we reviewed the 2015 plan and removed the $3 billion cost estimate for Connecticut\u2019s combined sewer overflow from table 6 and revised the total cost estimate for future restoration activities to $18.9 billion.", "We are sending copies of this report to the appropriate congressional committees, Administrator of EPA, Secretary of Agriculture, Secretary of Commerce, Secretary of Defense, Secretary of the Interior, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This appendix provides information on the scope of work and the methodology used to examine (1) what is known about the progress made toward achieving the 1994 Long Island Sound Comprehensive Conservation and Management Plan (1994 plan); (2) the goals of the 2015 Long Island Sound Comprehensive Conservation and Management Plan (2015 plan) and factors that may hinder progress according to Long Island Sound Study (the Study) members; (3) how Study members plan to measure and report on progress toward the goals of the 2015 plan; and (4) what Study members expended on restoration activities in fiscal years 2012 through 2016 and cost estimates for future activities.", "To examine what is known about the progress toward achieving the 1994 plan, we analyzed the plan to gain a better understanding of it and identify any goals associated with the six priority problems. We also analyzed data from the Study\u2019s website in November 2017, the Study\u2019s most recent progress reports, and the book Long Island Sound: Prospects for the Urban Sea\u2014a summary of available science and environmental data for the Long Island Sound (the Sound). We analyzed the Study\u2019s most recent progress reports\u2014Protection and Progress and Sound Health. We analyzed data that were on the Study\u2019s website in November 2017 because the time frame coincided with the time frames of our review. These data, reports, and the book included examples of progress but did not assess performance toward the goals associated with the priority problems in the 1994 plan. Therefore, we asked Study members for their responses on progress and the data that supported their responses. To do so, we interviewed Study members to obtain their views about progress toward the 1994 plan.", "For our interviews with Study members, we contacted all 16 members of the Study and representatives of the 5 Study work groups that were active at the time of this review. Of the 16 Study members, 14 agreed to participate in this review: (1) Department of Agriculture\u2019s Natural Resources Conservation Service; (2) Department of Commerce\u2019s National Marine Fisheries Service; (3) Department of Defense\u2019s U.S. Army Corps of Engineers; the Department of the Interior\u2019s (4) U.S. Fish and Wildlife Service and (5) U.S. Geological Survey; (6) Environmental Protection Agency (EPA); (7) Connecticut Sea Grant; (8) Connecticut Department of Energy and Environmental Protection; (9) New York State Department of Environmental Conservation; (10) New York Department of State; (11) New York City Department of Environmental Protection; (12) the New England Interstate Water Pollution Control Commission; (13) the Study\u2019s Citizens Advisory Committee; and (14) the Study\u2019s Science and Technical Advisory Committee.", "The 5 Study work groups are (1) Climate Change and Sentinel Monitoring Work Group, (2) Habitat Restoration and Stewardship Work Group, (3)", "Public Involvement and Education Work Group, (4) Water Quality Monitoring Work Group, and (5) Watersheds and Embayment Work Group. Representatives from all 5 work group agreed to participate in this review.", "We asked the following question for each priority problem: \u201cSince 1994, how much progress has been made addressing the priority problem in Long Island Sound: no progress, little progress, moderate progress, or goal has been met?\u201d For purposes of reporting responses to this question, we refer to Study members and work group representatives collectively as Study members. The New York State Departments of Environmental Conservation and State provided their responses together, and therefore we counted the two agencies as one Study member. The New England Interstate Water Pollution Control Commission did not provide a response to this question. As a result, 17 Study members provided responses to this question.", "As part of the interviews, we also asked Study members, \u201cWhat evidence are you basing your response on?\u201d We did not independently assess the reliability of the data they cited for the purpose of evaluating if the data showed progress toward addressing the priority problems. Instead, we noted the limitations the Study associated with the data to better interpret Study members\u2019 views. For some priority problems, Study members said that they were unable to provide a response because they did not have sufficient knowledge or data about progress toward the associated goals. As a result, the total number of Study members who answered these questions varied by priority problem and, for each priority problem, we identified the total who provided a response. In addition, we visited two Long Island Sound restoration projects to observe restoration activities and learn how these activities may contribute to progress toward the goals of the 1994 plan.", "To examine the goals of the 2015 plan and factors that may hinder progress according to Study members, we analyzed the 2015 plan to obtain information about the goals to achieve four themes in the plan. In the interviews with the 17 Study members described above, we asked them \u201cWhat factors, if any, may hinder achievement of the 2015 plan\u2019s goals.\u201d More than one Study member representative was present in many of the interviews and each representative in the interviews could identify as many factors as they thought necessary. As a result, the number of times a factor was identified\u201454\u2014was greater than number of Study members. We narrowed the number of responses to 11 categories by grouping together factors that were the same or were similar. In those cases that more than one representative of the same Study member identified the same factor, we counted that factor only once for that Study member in order to generate the statements we used in the report. See appendix II for a complete list of all the factors that were identified, the number of Study members who identified each factor, and how we grouped those factors into the 11 categories.", "To examine how Study members plan to measure and report on progress toward achieving the 2015 plan, we analyzed sections of the plan that contained goals associated with four themes and relevant web pages that the Study issued in March 2018 and then analyzed them again in June 2018. We also conducted interviews with subject matter experts to obtain their views on the sections of the 2015 plan that contained the themes and goals, and with Study members to learn how they planned to report on progress toward the 2015 plan. As a result of our analysis of the 2015 plan and interviews with Study members, we identified the 20 long-term targets and associated indicators that Study members plan to use to measure progress toward the 2015 plan, and determined that the Study plans to report on progress using the web pages.", "For our interviews with subject matter experts, we identified individuals with expertise on the 20-long term targets and their associated indicators. We identified 73 experts by asking Study members to recommend experts and identifying the contributors to Long Island Sound: Prospects for the Urban Sea. We removed from this list those individuals whom we had already interviewed, those who represented a Study member, those who were involved with the development of the 2015 plan, and those whose contact information we were unable to obtain from the Study member or an Internet search. We invited by email the remaining 47 experts to participate in interviews to obtain their views about the 20 long- term targets and their associated indicators. We also provided the experts with a list of the 20 targets and indicators and asked them to review the targets and to \u201cselect those that you would be comfortable speaking about based on your knowledge and expertise.\u201d Of the 34 experts who responded, we interviewed 19 about the targets they had expertise in and could discuss. The remaining 15 experts chose not to participate or said that they were ineligible because they were either involved with the development of the 2015 plan or affiliated with a Study member.", "We then interviewed the 19 experts about each of the targets and associated indicators that they said they had identified. The experts we interviewed included members of academia, as well as one state official and one county official. Not all of the 19 experts were able to address each of 20 targets and associated indicators. As a result, the total number of expert responses varied for each target and associated indicator and we identified the total number of experts who responded to questions about each target and associated indicator. Because we used a nonprobability sample, the information obtained from these interviews is not generalizable to other individuals with expertise on the 20 long-term targets and their associated indicators but provides illustrative information.", "For our analysis of the web pages the Study published in March 2018, we used GAO\u2019s prior work on performance management reporting, which identified leading practices that have the potential for enhancing the general usefulness of performance reports as vehicles for providing decision makers and the public with information to assess progress. We then analyzed the web pages to determine the extent to which they incorporated these leading practices.", "To examine what Study members expended on restoration activities in fiscal years 2012 through 2016 and cost estimates for future activities, we took the following steps: we analyzed EPA\u2019s Justification of Appropriation Estimates for Committee on Appropriations for fiscal years 2014 through 2018 to obtain the relevant EPA expenditure data; we obtained and analyzed expenditure data from other Study members; and we analyzed the cost estimate information in the 2015 plan. We chose this time period because it was the most recent period for which expenditure data were available during the time frames for our review. Of the 12 Study members described above, 7 provided at least some expenditure data, 4 said that they do not fund restoration activities, and 1 did not reply to our request for expenditure data. We were unable to compare expenditure data across Study members because three Study members said that they spend funds for restoration activities in the region around Long Island Sound but do not isolate expenditures made specifically for it. We assessed the reliability of these data through interviews with Study members who were familiar with these data. We found these data to be sufficiently reliable for the purpose of this reporting objective with the limitation that they represent the minimum amount of Study member expenditures on restoration activities in fiscal years 2012 through 2016. Further, we attended two Study meetings (on April 12, 2017, by phone, and May 11, 2017, in person) to obtain information about how Study members make expenditure decisions for restoration activities.", "For our analysis of cost estimate information in the 2015 plan, we consulted the Office of Management and Budget Circular A-94, which provides general guidance for estimating costs, and analyzed EPA\u2019s funding guidance for comprehensive conservation and management plans. We then analyzed the cost estimates in the 2015 plan to determine the extent to which they followed the Office of Management and Budget and EPA guidance. In our interviews with Study members and subject matter experts described above, we determined that Study members had not developed other cost estimates for restoring Long Island Sound, and experts were unaware of other such estimates. We also interviewed relevant officials from EPA, the Connecticut Department of Energy and Environmental Protection, and the New York State Department of Environmental Conservation to obtain information about how the cost estimates in the 2015 plan were created.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Factors Identified by Members of the Long Island Sound Study", "paragraphs": ["In our review of the Long Island Sound restoration efforts, we asked Long Island Sound Study (the Study) members to identify factors that may hinder Long Island Sound restoration progress. Specifically, we asked the following question to all 17 Study members we interviewed: \u201cWhat factors, if any, may hinder achievement of the goals of the 2015 Long Island Sound Comprehensive and Conservation Management Plan.\u201d More than one Study member representative was present in many of the interviews and each representative could identify one or more factors. As a result, the number of factors identified\u201454\u2014was greater than number of Study members who identified the factor. Table 8 shows the 11 categories of factors, the number of times factors in those categories were identified, and the number of Study members who identified each factor.", "We narrowed the number of responses to 11 factor categories by grouping together factors that were the same or were similar. Table 9 shows each factor category, each of the original factors that Study members identified, and the number of times the factor was identified by Study members."], "subsections": []}, {"section_title": "Appendix III: The 20 Long-Term Targets and Associated Indicators", "paragraphs": ["The 2015 Long Island Sound Comprehensive Conservation and Management Plan has four broad themes\u2014clean water and healthy watersheds, thriving habitats and abundant wildlife, sustainable and resilient communities, and sound science and inclusive management\u2014 and associated goals. It also has 20 long-term targets with associated indicators (see table 10)."], "subsections": []}, {"section_title": "Appendix IV: Expert Responses on Whether Indicators Are Accurate, Valid, and Reliable", "paragraphs": ["We interviewed a nonprobability sample of 19 individuals with expertise on Long Island Sound to obtain their views on the 20 long-term targets and their associated indicators that the Long Island Sound Study said they plan to use to measure progress toward the goals of the 2015 Long Island Sound Comprehensive Conservation and Management Plan. We asked each expert to review the targets and associated indicators and to \u201cselect those that you would be comfortable speaking about based on your knowledge and expertise.\u201d We then conducted interviews with each expert, and asked \u201cis the indicator a valid, accurate, and reliable way to measure progress to achieve the target?\u201d Table 11 shows the expert\u2019s responses for each target."], "subsections": []}, {"section_title": "Appendix V: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan Iott (Assistant Director), Michelle K. Treistman (Analyst-in-Charge), Chuck Bausell, Mark Braza, Ellen Fried, Benjamin T. Licht, James I. McCully, Katya E. Rodriguez, and Sara Sullivan made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Great Lakes Restoration Initiative: Improved Data Collection and Reporting Would Enhance Oversight. GAO-15-526. Washington, D.C.: July 21, 2015.", "Great Lakes Restoration Initiative: Further Actions Would Result in More Useful Assessments and Help Address Factors That Limit Progress. GAO-13-797. Washington, D.C.: September 27, 2013.", "Chesapeake Bay: Restoration Effort Needs Common Federal and State Goals and Assessment Approach. GAO-11-802. Washington, D.C.: September 15, 2011.", "Recent Actions by the Chesapeake Bay Program Are Positive Steps Toward More Effectively Guiding the Restoration Effort, but Additional Steps Are Needed. GAO-08-1131R. Washington, D.C.: August 28, 2008.", "Coastal Wetlands: Lessons Learned from Past Efforts in Louisiana Could Help Guide Future Restoration and Protection. GAO-08-130. Washington, D.C.: December 14, 2007.", "South Florida Ecosystem: Restoration Is Moving Forward but Is Facing Significant Delays, Implementation Challenges, and Rising Costs.GAO-07-520. Washington, D.C.: May 31, 2007.", "Chesapeake Bay Program: Improved Strategies Are Needed to Better Assess, Report, and Manage Restoration Progress. GAO-06-96. Washington, D.C.: October 28, 2005.", "Great Lakes: Organizational Leadership and Restoration Goals Need to Be Better Defined for Monitoring Restoration Progress. GAO-04-1024. Washington, D.C.: September 28, 2004.", "Great Lakes: An Overall Strategy and Indicators for Measuring Progress Are Needed to Better Achieve Restoration Goals. GAO-03-515. Washington, D.C.: April 30, 2003."], "subsections": []}], "fastfact": ["Long Island Sound, an estuary in one of the nation's most densely populated areas, provides many economic and recreational benefits. However, development and pollution have degraded water quality and led to hypoxia, low levels of dissolved oxygen that increase mortality of fish and other species.", "A federal-state partnership funded restoration projects and created a plan and cost estimates to restore the Sound. However, current reports and estimates do not provide complete information about how progress will be measured or what restoration will cost.", "We recommended steps to improve the partnership's progress reports and cost estimates."]} {"id": "GAO-18-599", "url": "https://www.gao.gov/products/GAO-18-599", "title": "2020 Census: Actions Needed to Address Challenges to Enumerating Hard-to-Count Groups", "published_date": "2018-07-26T00:00:00", "released_date": "2018-08-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A goal for the 2020 Census is to count everyone once, only once, and in the right place. Achieving a complete and accurate census is becoming an increasingly complex task, in part because the nation's population is growing larger, more diverse, and more reluctant to participate. When the census misses a person who should have been included, it results in an undercount. Historically, certain sociodemographic groups have been undercounted in the census, which is particularly problematic given the many uses of census data.", "GAO was asked to review the Bureau's plans for enumerating hard-to-count groups in the 2020 Census. This report examines (1) the Bureau's plans for improving the enumeration of the hard-to-count in 2020, and how that compares with 2010; and (2) the challenges the Bureau faces in improving the enumeration of the hard-to-count in 2020. GAO reviewed Bureau planning, budget, operational, and evaluation documents as well as documents of the hard-to-count related working groups of the Bureau's National Advisory Committee; and interviewed Bureau officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Census Bureau's (Bureau) plans for enumerating groups considered hard-to-count, such as minorities, renters, and young children, in the 2020 Census includes the use of both traditional and enhanced initiatives. For example, the Bureau plans to continue using certain outreach efforts used in 2010, such as a communications campaign with paid advertising, partnerships with local organizations, and targeted outreach to immigrant and faith-based organizations. The Bureau also plans enhancements to its outreach efforts compared to 2010. For example, to help address the undercount of young children, the Bureau revised the census questionnaire and instructions to enumerators to more explicitly include grandchildren in counts. Other planned changes include:", "Expanded languages: The Bureau plans to offer more non-English language response options and instructional materials than for 2010.", "More partnership specialists: The Bureau plans to hire nearly twice as many partnership specialists as it had planned for the 2010 Census to recruit partner organizations in local communities.", "Earlier partnership hiring : The Bureau started hiring a small number of partnership staff in October 2015\u20142 years earlier than it did for 2010.", "While efforts have been made, enumerating hard-to-count persons in 2020 will not be easy. Aside from the inherent difficulties of counting such individuals, the Bureau faces certain management challenges related to its hard-to-count efforts.", "First, the Bureau's hard-to-count efforts are distributed across over one third of its 35 operations supporting the 2020 Census. And while decentralized operations can provide flexibility, to enhance visibility over these hard-to-count efforts, the Bureau recently developed a draft operational document. However, the Bureau will continue to face challenges in ensuring its hard-to-count efforts integrate with each other. For example, some of the detailed plans for 10 of the hard-to-count efforts were released in 2016 and are awaiting updates, while 4 plans have yet to be released. With less than 2 years until Census Day (April 1, 2020), there is little room for delay. Therefore, to ensure that emerging plans related to the hard-to-count efforts integrate with existing plans, Bureau management will need to continue its focus on control of the changes in hard-to-count efforts moving forward.", "Second, the Bureau faces a challenge of a tighter labor market than existed prior to 2010 that could potentially create shortfalls or delays in its hiring of partnership staff who are needed to reach small and hard-to-count communities. In early hiring for 2020, Bureau officials reported smaller than expected applicant pools, declined offers, and turnover. Although it has plans to identify critical skills for 2020 and for tailored recruiting, collecting data on its hiring efforts will also be important. Currently, the Bureau lacks data from its 2010 Census that could have helped inform its partnership-staff hiring efforts for 2020."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Bureau take steps to ensure that forthcoming changes and decisions on its hard-to-count related efforts are integrated with other operational efforts and that it collects data on its 2020 partnership hiring efforts.", "The Department of Commerce agreed with GAO's recommendations, and the Bureau provided technical comments that were incorporated, as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["A goal of the 2020 Census is to count everyone once, only once, and in the right place. However, achieving a complete and accurate census is becoming an increasingly complex task. This is in part because the nation\u2019s population is growing larger; more diverse in culture, living arrangements, and in the number of languages spoken; and more reluctant to participate. The U.S. Census Bureau\u2019s (Bureau) efforts during the early part of the decade were largely focused on preparing and testing innovations largely designed to save money. The former Bureau director previously testified that part of these savings could go toward improving the enumeration of the \u201chard-to-count\u201d groups historically missed in the census, such as racial and ethnic minorities, renters, and young children. However, the Bureau\u2019s cost estimates have risen over the decade, eliminating much of those initial projected savings, and the Bureau has requested increased funding over multiple years while it develops its plans for enumerating these groups.", "You asked us to review the Bureau\u2019s plans for enumerating the hard-to- count groups in the 2020 Census. This report examines (1) the Bureau\u2019s plans for improving the enumeration of the hard-to-count in 2020, and how that compares with its effort for 2010; and (2) the challenges, if any, the Bureau faces in improving the enumeration of the hard-to-count in 2020.", "We generally limited our scope to the six Bureau operations with a goal or objective related to improving the enumeration of the hard-to-count groups. These operations are: Integrated Partnership and Communications, Language Services, Non-ID Processing, Group Quarters/Service-Based Enumeration, Enumeration at Transitory Locations, and Coverage Improvement.", "To address both of these objectives, we reviewed Bureau planning, budget, operational, and evaluation documents related to the Bureau\u2019s efforts to enumerate hard-to-count groups in the 2020 Census and prior decennials. We also interviewed Bureau officials responsible for planning and executing the 2020 Census and with experience in prior decennials about planned changes from the 2010 Census and related challenges.", "To address the first objective, we also analyzed the Bureau\u2019s most recently available planned hiring and life cycle cost estimates for these activities and compared those to the Bureau reported level of planned hiring and actual spending for the 2010 Census. To assess the reliability of these Bureau reported data, we compared the historical information the Bureau provided us for the 2010 Census with information found in the Bureau\u2019s 2010 Census evaluations, and interviewed knowledgeable Bureau officials. We determined that the data were sufficiently reliable to describe the Bureau\u2019s planned hiring and cost estimates for the 2020 Census compared to similar activities for the 2010 Census, except where noted.", "To address the second objective, we also reviewed related Bureau evaluations and recommendations from the 2010 Census and 2020 Census research and testing activities, and from the Bureau\u2019s National Advisory Committee and hard-to-count related working groups to identify challenges the Bureau may face in improving the enumeration of the hard to count. We supplemented our review of Bureau documentation by conducting a search of the literature for academic and other publications related to including hard-to-count groups in surveys.", "We conducted this performance audit from November 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Hard-to-Count Groups", "paragraphs": ["Although the Bureau goes to great lengths to conduct an accurate count of the nation\u2019s population, some degree of inaccuracy is inevitable. When the census misses a person who should have been included, it results in an undercount. An overcount occurs when an individual is counted more than once or in the wrong place. These errors are problematic because certain groups such as minorities, young children, and renters are more likely to be missed in the census, while other groups such as those who may own a second, seasonal home are more likely to be counted more than once. As census data are used to apportion seats in Congress, redraw congressional districts, and allocate billions of dollars in federal assistance each year, improving coverage and reducing undercounts are important.", "As an example, the Bureau reported that the 2010 Census did not have a significant net undercount or overcount nationally. However, as shown in figure 1, errors in census coverage were unevenly distributed through the population. For example, the Bureau estimated that it missed nearly 5 percent of American Indians living on reservations\u2014the sociodemographic group with the highest percent net undercount in 2010\u2014whereas the Bureau estimated it overcounted almost 1 percent of non-Hispanic whites.", "In addition to those groups with characteristics the Bureau can measure\u2014based on their responses to certain questions asked on the census questionnaire\u2014there are many other hard-to-count groups, some of which cut across sociodemographic groups, as shown in table 1. For example, lesbian, gay, bisexual, transgender, or queer/questioning persons or persons who distrust government can cut across all sociodemographic groups.", "There are complex reasons why certain groups are considered hard-to- count. According to Bureau officials, for example, one way to think about the hard-to-count problem is to consider what groups are hard to locate, contact, persuade, and interview for the census (see figure 2).", "Hard-to-locate. Some groups are hard-to-locate because where they live is unknown, or they move frequently. For example, the Bureau faces difficulty counting persons experiencing homelessness. Adding to this difficulty are reported increases in the prevalence and complexity of outdoor encampments across the country. Inhabitants design many of these encampments to remain hidden; some people may remain in an encampment for years while other people may move frequently.", "Hard-to-persuade. Other groups are hard-to-persuade to participate in the census. For example, while the Bureau had identified those who distrust government as a hard-to-count group based on research prior to the 2010 Census, in November 2017, the Bureau reported to its National Advisory Committee an increase in unprompted confidentiality concerns raised by individuals in focus groups and pretests for the 2020 Census and other surveys.", "Multiple factors. Some groups are hard to count for multiple complex reasons. For example, a Bureau taskforce found that households with young children up to 4 years old may be missed altogether due to frequent moves between rental units (hard-to-contact). Moreover, some households studied\u2014such as complex households with multiple generations\u2014also appeared to be confused about whether or not to include their young children when completing the questionnaire or when being interviewed by census enumerators. The Bureau also found that language barriers sometimes resulted in households leaving young children off their census or other survey questionnaire (hard-to- interview)."], "subsections": []}, {"section_title": "Congress Has Prioritized Funding for Decennial Partnership and Communications Efforts in Both the 2010 Census and the 2020 Census", "paragraphs": ["An appropriation in the American Recovery and Reinvestment Act of 2009 (Recovery Act) allowed the Bureau to increase the funding of the Bureau\u2019s 2010 Census partnership and communications efforts. The Bureau has partnered with governments, businesses, and local community organizations to help promote the census. The Bureau has also relied on a communications campaign including paid advertisements in national and targeted markets to help build awareness of the census. After adjusting for inflation, the Bureau spent about $123 million to expand its advertising and about $125 million to expand its partnership efforts (in 2017 dollars), primarily by hiring additional partnership-related staff beyond original plans.", "Partnership staff hired to support the 2010 Census were responsible for mobilizing local support for the census by working with local organizations to promote participation. Partnership staff for the 2010 Census included a mix of partnership specialists\u2014responsible for building relationships with and obtaining commitments from governments, local businesses, and other organizations to help promote the census\u2014managers, graphic designers, and clerical support positions. After receiving Recovery Act funding, the Bureau created a new partnership assistant position. After the partnership specialists had established agreements with local organizations, these partnership assistants were responsible for supporting the implementation of promotion efforts, such as by staffing fairs and other events. Bureau officials told us that they believed that creating a new partnership assistant position would help promote census awareness.", "The Consolidated Appropriations Act, 2018 directed the Bureau to conduct its fiscal year 2018 partnership and communications efforts in preparation for the 2020 Census at a level and staffing no less than the Bureau conducted during fiscal year 2008 in preparation for the 2010 Census. The act appropriated more than $2.5 billion for the Periodic Censuses and Programs account, which according to Bureau officials includes over $1 billion from the Bureau\u2019s fiscal year 2019 budget request intended to smooth transition of funding between fiscal years, such as in the event of a continuing resolution."], "subsections": []}]}, {"section_title": "The Bureau Plans to Enhance Outreach to and the Enumeration of Hard-to-Count Groups in 2020, but Estimated Spending Is Similar to 2010", "paragraphs": [], "subsections": [{"section_title": "The Bureau Plans Enhancements to Key 2020 Census Operations to Address Complexity Enumerating Hard-to- Count Groups", "paragraphs": ["The Bureau will continue to rely on its Integrated Partnership and Communications operation\u2014designed to communicate the importance of census participation and motivate self-response\u2014as a key component of its efforts to improve enumeration of hard-to-count persons in the 2020 Census. Evaluations conducted by the Bureau found that its partnership and communications efforts had positive effects on increasing awareness and participation among the hard-to-count in prior censuses. Because of the positive effects, the Bureau has begun outreach to the more than 257,000 tribal, state, and local governments as well as other businesses and organizations it partnered with in 2010. For example, the Bureau plans to continue using \u201ctrusted voices\u201d\u2014individuals or groups with relevance, importance, and relatability to a given population, such as local leaders and gatekeepers within isolated communities\u2014to promote the census. As part of this effort, the Bureau plans to continue outreach initiatives to specific constituencies, such as to faith-based communities, and, through its Foreign Born/Immigrant initiative, to outreach and communicate with recent immigrants, undocumented residents, refugees, and migrant and seasonal farm workers.", "In addition, the Bureau still plans to advertise in national and targeted markets. For example, to support its 2020 outreach efforts, including to hard-to-count groups, the Bureau awarded a communications contract in August 2016 to Young and Rubicam, an advertising firm. As has been done in prior censuses, this contractor has enlisted 14 partners and subcontractors to help it reach specific sociodemographic groups, such as American Indian and Alaska Native populations and Hispanic communities.", "Given the increasingly complex task of counting those historically missed in the census, the Bureau has taken steps or plans to enhance some aspects of the initiatives under its Integrated Partnership and Communications operation and to other key operations compared to the 2010 Census, as shown in table 2. For example, the Bureau overhauled a metric it has used to help manage and target field work for its partnerships to areas with hard-to-count populations, basing it now on predictions of each household\u2019s likelihood to self-respond to the census. Using this new low response score metric, the Bureau created a publicly available online mapping tool for its partnership staff and other users to better understand the sociodemographic make-up of their assigned areas and to plan their outreach efforts accordingly. Moreover, as we previously recommended in 2010, the Bureau also plans to develop predictive models to help allocate its advertising using: (1) these predictive response data, (2) results describing the complexity of difficult enumeration from its recent \u201cbehaviors, attitudes, and motivators survey\u201d study and focus groups, and (3) other third-party data.", "The Bureau is still evaluating certain initiatives before deciding whether or not to include them in its 2020 plans. For example, as part of the 2018 End-to-End Test currently underway in Providence, Rhode Island, the Bureau is piloting the use of Internet kiosks in selected post offices to help allow persons to self-respond to the census. Bureau officials said they will decide whether to move forward with the use of kiosks in post offices in 2020 after evaluating the pilot and the test.", "In addition, according to the Bureau\u2019s current planning documents, the Bureau has plans to change other key operations to help improve the enumeration of certain hard-to-count groups. For example, to help address the complex undercount of young children, the Bureau revised the census questionnaire and instructions to enumerators to more explicitly mention the inclusion of grandchildren and any non-relatives in household population counts. In addition, the Bureau\u2019s planning documents describe plans to offer administrators at certain group quarters locations, such as college dormitories, the option to electronically transfer their rosters to the Bureau. Bureau officials said that this planned change will help reduce the need for enumerators to visit those locations, and that such an efficiency gain will allow them to devote resources on the ground to other harder to enumerate group quarters.", "Recognizing the importance of reaching an increasingly linguistically diverse population, the Bureau has also made significant changes to its Language Services operation for 2020, including increasing the number of non-English languages formally supported by the Bureau. Table 3 below summarizes changes in the number of languages the Bureau plans to support. According to the Bureau, this larger choice of languages should increase the percentage of limited-English-speaking households directly supported by that operation from 78 percent in 2010 to 87 percent in 2020.", "The Bureau is still assessing the level of non-English support it will directly provide through advertising, partnership, and promotional materials. Bureau officials stated that they will decide the number of \u2014 and which\u2014non-English languages to support after it has completed research on how best to segment advertising markets in fall 2018. Until then, it has committed to at least 12 non-English languages\u2014which is less than half of the 27 non-English languages similarly supported in the 2010 Census. Bureau officials said that one action they will take to mitigate any effects if the Bureau decides on a fewer number of languages for 2020 is to provide language-independent media templates\u2014including scripts to videos ready for non-English voiceovers\u2014 to any partner groups that may need them.", "The Bureau has also formalized its language translation capabilities for the non-English languages it chooses to support based on 2010 Census evaluations that found, among other things, that the Bureau\u2019s lack of sufficient oversight of its translation process hampered consistency of its translation of promotion and outreach materials. For the 2020 Census, Bureau officials said they intend to rely on in-house translation experts adhering to translation industry standards. Bureau officials stated that the Bureau will not attempt to oversee the translations that partners may make into less commonly spoken languages using the Bureau\u2019s language-neutral materials when trying to reach more isolated language areas, though officials stated that its partners, including contractors for advertising, will rely on Bureau-developed language glossaries for census terminology when translating into other languages."], "subsections": []}, {"section_title": "The Bureau Plans Total Spending for Its 2020 Census Outreach Efforts Similar to that for 2010 Census, and to Hire More Partnership Specialists Instead of Assistants", "paragraphs": ["The Bureau estimates total spending for its 2020 partnership and communications outreach efforts to be similar to what it reported spending on those efforts for the 2010 Census after adjusting for inflation. Specifically, according to documents supporting the Bureau\u2019s most recent life cycle cost estimate for the 2020 Census, the Bureau may spend about $850 million in its outreach to promote the 2020 Census, compared to nearly $830 million in total spending in comparable categories for the 2010 Census. (See table 4.)", "Partnership staff. According to the Bureau\u2019s current planning documents, it will hire nearly twice as many partnership specialists\u2014 responsible for building relationships and obtaining commitments from organizations\u2014to support the 2020 Census than it hired to support the 2010 Census. Despite this planned increase in partnership specialists, the Bureau\u2019s total estimated spending on partnership staff\u2014$248 million\u2014is less than the $334 million the Bureau reported spending in the same cost category for 2010 after adjusting for inflation. This change is in part because the Bureau does not plan to hire any partnership assistants to support the 2020 Census.", "According to Bureau planning data from the 2010 Census, the Bureau planned to hire over 1,700 partnership assistants\u2014those that assisted specialists for the 2010 Census\u2014with Recovery Act funding. As noted previously, Bureau officials said that the additional funding it received from the Recovery Act in 2009 (about $125 million in 2017 dollars) largely funded the hiring of these partnership assistants. The effect of the Recovery Act funding on partnership hiring is shown in figure 3 below. According to Bureau officials, without the Recovery Act funding and its direction for the Bureau to increase hiring in order to stimulate the economy, the Bureau would not have hired the large number of partnership assistants that it did.", "According to Bureau officials, this shift in hiring toward more partnership specialists will enable a greater focus on creating more partnerships and require greater reliance on partner organizations to help with staffing for outreach and promotion events in local communities that partnership assistants were used for in the 2010 Census. While the ability of future partners to help with these events remains to be seen, Bureau officials involved in early outreach with partners stated that they believe this planned approach shows early promise based on the over 1,500 partners they have engaged for the 2020 Census so far.", "Headquarters support. The $111 million amount the Bureau plans to spend in headquarters support for outreach efforts is similar to the $106 million it spent in the 2010 Census after adjusting for inflation. According to Bureau documents, this support will be used for advertising, media, and partnership efforts.", "Communications campaign. The Bureau plans to spend more in its communications campaign category in the 2020 Census than what it reported spending in this area during the 2010 Census\u2014$492 million compared to $388 million after adjusting for inflation, according to the Bureau\u2019s cost estimation documents. The campaign will include paid advertising and the development of promotional materials. According to Bureau officials, they will initiate much of this spending in May 2019. This larger figure includes about $152 million for additional contracted services still being planned, but provisionally allocated for various advertising support efforts with the balance for various partnership materials not included in other contracts.", "The Bureau does not plan to repeat its \u201c2010 Census Road Tour\u201d involving a large mobile display and over a dozen cargo vans that were driven to promotional events around the country at a cost of about $16.6 million after adjusting for inflation. While the Bureau did not conduct a formal evaluation of the initiative\u2019s effectiveness at encouraging response during the 2010 Census, Bureau officials told us that they do not believe it was as effective a use of resources compared to the other options they are planning for 2020."], "subsections": []}, {"section_title": "The Bureau Started Partnership Hiring Earlier for the 2020 Census Than for 2010", "paragraphs": ["An evaluation conducted by the Bureau of its 2010 partnership efforts recommended that, for the 2020 Census, the Bureau hire at least a core group of partnership staff 3 years prior to census day instead of the 2 years prior as was done for the 2010 Census. Consistent with that recommendation, according to Bureau officials, the Bureau hired five partnership specialists for the 2020 Census in October 2015\u2014more than 2 years earlier in the decennial cycle than its first hiring of partnership specialists in January 2008 for the 2010 Census, as shown in figure 4. Bureau officials told us that this hiring helped the Bureau complete tribal consultations earlier than it had for the 2010 Census. Moreover, the Bureau continued its early hiring with 39 more partnership specialists in fiscal year 2017. Bureau officials said that, with the additional year of preparation, these staff initiated outreach to the highest level of government in each of the 50 states, the District of Columbia, and Puerto Rico, resulting in, as of April 2018, partnership staff having obtained commitments or statements of interest from all but two state governments to form State Complete Count Commissions/Committees. These Commissions/Committees are intended to help form partnerships at the highest levels of government within each state and leverage each state\u2019s vested interest in a timely and complete count of its population.", "Bureau officials said they also recently further accelerated the Bureau\u2019s planned time frames for hiring partnership specialists. These officials said that with the funds made available in the Fiscal Year 2018 Consolidated Appropriations Omnibus, the Bureau began posting job announcements for about 70 partnership specialists in April 2018 and hopes to begin hiring in July 2018\u20143 months earlier than October 2018, as had otherwise been planned.", "In addition, with 2018 funds, Bureau officials said they are working to identify elements of the communications campaign to begin earlier than the planned start date of October 1, 2018. The Bureau and the lead communications contractor identified possible efforts to start months earlier. According to Bureau officials, they are finalizing how to accelerate these efforts, including the Statistics in Schools initiative, media planning, and hosting a creative development workshop with the communications contractors."], "subsections": []}]}, {"section_title": "The Bureau Faces Internal Management and External Workforce Challenges in Improving the Enumeration of Hard- to-Count Groups in 2020", "paragraphs": [], "subsections": [{"section_title": "The Bureau Faces an Internal Management Challenge Integrating Its Many Hard-to-Count Efforts", "paragraphs": ["According to the Bureau and as shown in figure 5, over one-third of its 35 operations (14 of 35) are designed, at least in part, to help improve the enumeration of hard-to-count groups. These efforts range from the earliest field data collection operations\u2014such as address canvassing when the Bureau aims to identify all possible addresses where people live, including hidden housing units such as basement apartments or attics\u2014to some of its later field operations, such as nonresponse follow- up when census enumerators visit each household that did not self- respond.", "Each of the 35 operations is implemented by a separate team that manages and controls its activities and, according to Bureau governance documents, is also responsible for reviewing and managing its risks, schedule, and scope, as well as developing needed capability requirements. Team leads are responsible for ensuring integration with other operation teams, and escalating risks to management, as well as ensuring communication upward to the various governance bodies overseeing the decentralized structure. Operational decisions within the scope of plans that have been approved by the governance bodies are made at the team level, while ultimate responsibility rests with respective associate directors for the decennial, field, communications, and other directorates, whose staff largely comprise the teams, and the Director of the Census Bureau itself. The Bureau exercises change control over the scope, schedule, and documentation of its baseline program design, with a change control board comprising process and program managers with responsibility over the operational teams. Approved changes are formally communicated via e-mail to stakeholders in the change control process.", "Managing decentralized operations in such a way can be effective and provide an agency flexibility in responding to changing conditions on the ground, such as when adapting census methods in response to natural disasters as the Bureau had to do during the 2010 Census for areas affected by Hurricane Katrina. However, such decentralization also presents a challenge to management as it tries to ensure the integration of its efforts to improve enumeration of the hard-to-count groups.", "To help address the challenge of managing so many hard-to-count efforts that cut across the decentralized operations, during our review, the Bureau developed a draft operational design document. This document describes the major operations and initiatives that contribute to, at least in part, its goal to improve the enumeration of hard-to-count groups in the 2020 Census. This is the Bureau\u2019s first comprehensive look at the hard- to-count goal for the 2020 Census. Bureau officials said that they developed the document because they realized that looking across the Bureau\u2019s operations and how they relate to difficulties enumerating hard- to-count groups would provide them a useful perspective that could help identify any gaps or interdependencies in their various hard-to-count efforts. Bureau officials said they plan to refine and include this document as a chapter in the fall 2018 update of their broader 2020 Census Operational Plan. Although this is a good first step to elevate the visibility of the hard-to-count goal, we identified a number of other areas where additional steps or management focus may be needed in order to help ensure integration of certain hard-to-count related efforts, including the following:", "During exchanges of information between the Bureau and its National Advisory Committee in 2017 and 2018, the Bureau proposed using additional focus groups with certain population groups, census interviewers, and trusted community messengers. These focus groups are intended to identify root causes and ways to overcome the confidentiality concerns increasingly being raised by respondents in the Bureau\u2019s earlier testing by helping to inform messaging and outreach plans as well as staff support documents and training materials. However, as of May 1, 2018, the Bureau reported that it had yet to identity the resources needed to conduct the additional focus groups it had proposed. If the Bureau is going to take this step, it would need to complete its analysis from these proposed focus groups with interviewers and others before starting to develop its 2020 messaging, currently scheduled to begin in October 2018. Any delays in scheduling these activities could have an effect on activities intended to help improve enumeration of the hard-to-count in other related operations.", "The detailed operational plans for 10 of the Bureau\u2019s 14 hard-to- count-related operations have been documented and released publicly. However, we found that several of the detailed plans already released\u2014while self-described as being updated over time to reflect changes in strategies based on ongoing planning, research, and testing\u2014are nearly two years old and may not reflect more recent decisions made. Attention by Bureau management to the details of these operational plans as they are updated will be critical to ensure that their interdependencies with other efforts are accounted for.", "Similarly, as of May 2018, little detail is available about what interdependencies the other 4 hard-to-count related efforts will have on the overall 2020 Census Operational Plan and on the Bureau\u2019s efforts to improve the enumeration of the hard-to-count in particular. For example, the Bureau\u2019s operation to enumerate persons at transitory locations\u2014key to counting mobile persons, including those living at motels or with traveling carnivals\u2014is one of the 4 efforts without a detailed operational plan yet. Because the Bureau is not scheduled to test the integration of this enumeration with other systems before the 2020 Census, it remains to be seen how its forthcoming design may interact with other related operations and systems. While Bureau officials stated that procedures likely to be used for this operation are well established from prior censuses, they also stated that there may be significant changes from the past in the process the Bureau uses to determine where to count persons in this operation and may rely on changes in the non-ID processing operation\u2014helping enumerate persons not having a pre-assigned census identification number. With less than 2 years to go until Census Day (April 1, 2020), there is little room for delay in considering how forthcoming details on hard-to-count efforts yet to be finalized\u2014 or changed based on ongoing testing or other decisions\u2014may have consequences on other related efforts.", "According to the Project Management Institute\u2019s A Guide to the Project Management Body of Knowledge, integrated change control can help address overall risk to related efforts, which often arises from changes made without consideration of the overall goals or plans. A significant amount of hard-to-count-related planning for the 2020 Census is currently underway, and in the less than 2 years remaining before Census Day, it will be important for Bureau management to maintain a focus that helps ensure that hard-to-count-related decisions yet to be made as well as any changes to those already made are integrated with other related efforts. Focused attention on these efforts will also help ensure that any interdependencies, synergies, or gaps are identified and included in the change-control processes the Bureau already has in place."], "subsections": []}, {"section_title": "Hiring Partnership Staff with Critical Skills in a Tight Labor Market Creates a Workforce Challenge for the Bureau and It Lacks Data from 2010 to Guide Its Efforts", "paragraphs": ["As noted previously, a key component of the 2010 Census was the hiring of partnership staff to help build relationships with and obtain commitments from local organizations to help encourage census participation, particularly among hard-to-count groups. For the 2020 Census, in addition to the core relationship-building skills, Bureau officials said they are working to identify specialized skills needed to operate partnership initiatives in a 2020 environment, such as advanced knowledge of digital media. However, the Bureau faces a significant challenge in hiring these kinds of staff because it is operating in a much tighter labor market than it did prior to the 2010 Census. As a result, it may not be able to hire the partnership staff with the skills it now needs as easily as it had in the past.", "According to Bureau of Labor Statistics data, the unemployment rate in January 2008, when the Bureau first hired partnership staff for the 2010 Census, was 5 percent. That number increased to more than 7 percent by December 2008, and then ranged from more than 7.5 percent to 10 percent in 2009 and through Census Day in April 2010. During this time, the Bureau hired nearly 3,000 partnership staff, many of which the Bureau hired in a few short months after receiving additional funding from the Recovery Act. The unemployment rate is substantially lower now as we approach the comparable part of the decade for the 2020 Census. Specifically, the rate has ranged from 4.9 percent in October 2016, when the Bureau starting hiring for an early round of about 40 partnership staff, to less than 4 percent in May 2018.", "Bureau officials reported experiencing challenges during these early hiring efforts for partnership staff, although they were ultimately able to fill the nearly 40 positions the Bureau sought to fill across its six census regions. Bureau officials in the regional field offices reported observing smaller applicant pools, declined job offers, and early turnover due to a lower pay rate the Bureau offered compared to the local economy. Moreover, these officials reported seeing fewer applicants through local job markets, which had been successful recruiting mechanisms in the prior census. According to the Bureau\u2019s planning documents, the Bureau plans to ramp up its hiring of partnership specialists between July 2018 and 2019. If the unemployment rate generally holds steady at around the 4 percent of May 2018, the Bureau will likely face challenges recruiting and retaining partnership staff with the critical skills needed.", "Bureau officials said that they will develop customized recruiting strategies to fill specific needs as they identify and refine the mix of partnership skills needed to support their 2020 efforts. For example, Bureau officials acknowledged the need to more effectively use USAJobs, the federal recruiting website, and targeted job announcements. They also identified the possibility of hiring additional partnership staff for short- term assignments closer to census day to help meet specific needs, such as assisting with non-English language enumeration and connecting with faith-based or immigrant communities in areas with low participation. Following through on its plans to identify an optimal mix of skill-sets and tailored recruiting strategies, in accordance with leading practices, will be important for the Bureau as it operates in a tight labor market because delays or shortfalls in hiring partnership staff could put the Bureau\u2019s plans for building support for the census at risk.", "As the Bureau has decided to rely more heavily on partnership specialists as part of its outreach and promotion strategy to reach hard-to-count groups and still faces decisions about where to staff them, it has done so without the benefit of data on its actual hiring of partnership staff from the 2010 Census. During our review, the Bureau was unable to readily provide us with data on the actual number or timing of partnership specialists and assistants hired to support the 2010 Census, and instead, we had to use detailed Bureau planning documents for our analysis. Bureau officials reported that their records in 2010 did not clearly link the positions and grades recorded in the payroll system for individual staff who were hired to support a different operation to the roles they subsequently played in carrying out the partnership efforts.", "Standards for Internal Control in the Federal Government state that management should use quality information to achieve the entity\u2019s objectives. Bureau officials recognize the importance of having such data readily available both for evaluating implemented efforts and for future planning, and said they will take steps to better record these types of data for the 2020 Census. Doing so will better position the Bureau to evaluate the effectiveness of its hiring strategy and tradeoffs in alternative approaches, to learn lessons from the 2020 implementation, and to optimize related staffing strategies in the future."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Much of the Bureau\u2019s planning efforts to help address the longstanding challenge of enumerating hard-to-count groups in the 2020 Census are underway. Importantly, the various operations and initiatives related to the hard-to-count are either in the planning or early implementation stages. While the Bureau has taken some steps to better understand the scope of these efforts, going forward, it will be important for the Bureau to ensure that management maintains a focus on forthcoming changes and decisions on hard-to-count related efforts to ensure they are integrated with other hard-to-count related efforts across the Bureau\u2019s decentralized operations. Doing so will help the Bureau identify possible synergies, interdependencies, or gaps specific to how they might affect the Bureau\u2019s ability to improve the census and help address overall risk to related efforts.", "In addition, information about related efforts in prior censuses can help inform management and its ongoing planning. However, the Bureau\u2019s lack of complete and reliable data on hiring partnership staff for the 2010 Census\u2014such as numbers, dates, and positions filled\u2014affects its ability to fully consider tradeoffs it is making among types of staff it plans to hire for the 2020 Census. As the Bureau continues to ramp up its hiring of partnership specialists and other staff to support enumeration of the hard- to-count, improved recording of hiring numbers, dates, and positions filled\u2014particularly for staff supporting multiple operations\u2014can help position the Bureau to evaluate the effectiveness of its hiring strategy and support efforts to optimize any related hiring in future censuses."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Department of Commerce and the Census Bureau:", "The Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau takes steps to ensure that forthcoming changes and decisions on hard-to-count related efforts are integrated with other hard-to-count related efforts across the Bureau\u2019s decentralized operations. (Recommendation 1)", "The Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau takes steps to ensure for the purposes of evaluation and future planning that information is recorded and available on partnership hiring numbers, dates, positions filled, and in support of what part of the 2020 Census. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Commerce. In its written comments, reproduced in appendix I the Department of Commerce agreed with our findings and recommendations and said it would develop an action plan to address them. The Census Bureau also provided technical comments that we incorporated, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Commerce, the Undersecretary of Economic Affairs, the Acting Director of the U.S. Census Bureau, and the appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at https://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. The GAO staff that made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Robert Goldenkoff, (202) 512-2757 or goldenkoffr@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Ty Mitchell, Assistant Director; Chris Falcone, Analyst-in-Charge; Mark Abraham, Ann Czapiewski, Kayla Robinson, Cynthia Saunders, and Stewart Small made key contributions to this report."], "subsections": []}]}], "fastfact": ["For the 2020 Census, the Census Bureau is planning to increase its efforts to include hard-to-count groups, such as minorities, renters, and young children. It is adding more language choices for its materials, hiring more people for outreach in local communities, and hiring earlier.", "Still, the Bureau faces challenges such as integrating its outreach and promotion activities across its many different operations, and a tighter labor market that could make hiring people with key skills more difficult.", "We recommended the Bureau take steps to ensure changes in its efforts are incorporated across its operations, and collect detailed hiring data."]} {"id": "GAO-18-564", "url": "https://www.gao.gov/products/GAO-18-564", "title": "Medicaid: CMS Needs to Better Target Risks to Improve Oversight of Expenditures", "published_date": "2018-08-06T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Medicaid has grown by over 50 percent over the last decade, with about $370 billion in federal spending in fiscal year 2017. CMS is responsible for assuring that expenditures\u2014reported quarterly by states\u2014are consistent with Medicaid requirements and matched with the correct amount of federal funds. CMS's review of reported expenditures has become increasingly complex due to variation in states' Medicaid programs and an increasing number of different matching rates.", "GAO was asked to examine CMS's oversight of state-reported Medicaid expenditures. In this report, GAO examined how CMS assures that (1) expenditures are supported and consistent with requirements; and (2) the correct federal matching rates were applied to expenditures subject to a higher match. GAO also examined the financial impact of resolved errors. GAO reviewed documentation for the most recently completed quarterly reviews by 3 of CMS's 10 regional offices for six states that varied by Medicaid program expenditures and design. GAO also reviewed policies, procedures, and data on resolved errors; and interviewed CMS and state officials. GAO assessed CMS's oversight processes against federal standards for internal control."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS), which oversees Medicaid, has various review processes in place to assure that expenditures reported by states are supported and consistent with Medicaid requirements. The agency also has processes to review that the correct federal matching rates were applied to expenditures receiving a higher than standard federal matching rate, which can include certain types of services and populations. These processes collectively have had a considerable federal financial benefit, with CMS resolving errors that reduced federal spending by over $5.1 billion in fiscal years 2014 through 2017.", "However, GAO identified weaknesses in how CMS targets its resources to address risks when reviewing whether expenditures are supported and consistent with requirements.", "CMS devotes similar levels of staff resources to review expenditures despite differing levels of risk across states. For example, the number of staff reviewing California's expenditures\u2014which represent 15 percent of federal Medicaid spending\u2014is similar to the number reviewing Arkansas' expenditures, which represents 1 percent of federal Medicaid spending.", "CMS cancelled in-depth financial management reviews in 17 out of 51 instances over the last 5 years. These reviews target expenditures considered by CMS to be at risk of not meeting program requirements.", "CMS told GAO that resource constraints contributed to both weaknesses. However, the agency has not completed a comprehensive assessment of risk to (1) determine whether oversight resources are adequate and (2) focus on the most significant areas of risk. Absent such an assessment, CMS is missing an opportunity to identify errors in reported expenditures that could result in substantial savings to the Medicaid program.", "GAO also found limitations in CMS's processes for reviewing expenditures that receive a higher federal matching rate.", "Internal guidance for examining variances in these expenditures was unclear, and not all reviewers in the three CMS regional offices GAO reviewed were investigating significant variances in quarter-to-quarter expenditures.", "Review procedures for expenditures for individuals newly eligible for Medicaid under the Patient Protection and Affordable Care Act were not tailored to different risk levels among states. For example, in its reviews of a sample of claims for this population, CMS reviewed claims for the same number of enrollees\u201430\u2014in California as for Arkansas, even though California had 10 times the number of newly eligible enrollees as Arkansas.", "Without clear internal guidance and better targeting of risks in its review procedures for expenditures receiving higher matching rates, CMS may overpay states."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that CMS improve its risk-based targeting of oversight efforts and resources, and clarify related internal guidance. The Department of Health and Human Services concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Over the last decade, Medicaid\u2014a joint, federal-state program that finances health care coverage for low-income and medically needy populations\u2014has increased by over 50 percent, both in terms of enrollment and cost. In fiscal year 2017, Medicaid covered an estimated 73.5 million individuals at an estimated cost of $596 billion, including about $369 billion in federal spending. Federal projections indicate that those costs will continue to grow.", "The Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that oversees Medicaid, is responsible for providing federal funds on the basis of state estimates of expenditures. CMS subsequently reconciles states\u2019 actual expenditures against those estimates. Thus, a key part of CMS\u2019s oversight responsibility is to review state-reported expenditures to assure that they are supported and consistent with Medicaid requirements. Each quarter, states report their expenditures to CMS through its CMS-64 form. CMS regional offices are responsible for reviewing these reported expenditures and working with states to resolve any questionable expenditures. If CMS identifies errors\u2014which can include (1) errors in the amounts reported or (2) reported expenditures that are not allowable\u2014the agency can require states to reduce reported expenditures or return federal funds. Because Medicaid requirements include higher than standard federal matching rates for certain types of services and for certain populations of enrollees, part of CMS\u2019s review process is to assure that expenditures are being matched at the correct rate. For example, states receive higher matching rates for services provided in Indian Health Service (IHS) facilities and for family planning services. They also receive higher matching rates for individuals newly eligible under the Patient Protection and Affordable Care Act (PPACA), referred to in this report as Medicaid expansion enrollees.", "While there is a common reporting form, state expenditure reporting varies depending upon the populations and services states cover and how they deliver and finance care. These variations reflect the diversity of the design of states\u2019 Medicaid programs; however, the task of reviewing reported expenditures has grown increasingly complex due to this variation, and is further complicated by the growing number of different federal matching rates for expenditures. When reporting errors or inappropriate expenditures go undetected, it can result in overpayment by the federal government.", "Given the significance of federal Medicaid expenditures and past concerns about the challenges CMS has faced in ensuring that expenditures are being matched at the correct rate, you asked us to examine CMS oversight of state-reported expenditures. This report examines the following: 1. CMS\u2019s policies and procedures for assuring that state-reported Medicaid expenditures are supported and consistent with Medicaid requirements. 2. How CMS assures that correct federal matching rates are applied to expenditures subject to a higher than standard matching rate. 3. The financial impact of CMS\u2019s efforts to resolve errors in reported expenditures.", "To examine CMS\u2019s policies and procedures for assuring that state- reported Medicaid expenditures are supported and consistent with Medicaid requirements, we reviewed CMS\u2019s internal guidance to regional offices on conducting quarterly reviews of reported expenditures. We also reviewed CMS\u2019s guidance to states on reporting expenditures, including the reporting forms. To examine how CMS\u2019s regional offices implemented this guidance, we selected 3 of 10 regional offices to achieve geographic variation. We selected regional offices 3, 6, and 9, which cover states in the East, South, and West of the United States. Within our three regional offices, we selected six states to review CMS\u2019s oversight: Arkansas, California, Maryland, Nevada, Pennsylvania, and Texas. We selected these states to achieve variation in program expenditures, enrollment, and program features, including whether they expanded Medicaid eligibility under PPACA. Together these six states account for approximately 30 percent of total federal Medicaid expenditures in fiscal year 2015. We visited our selected regional offices to conduct a walkthrough of their review of expenditures for our selected states for the most recently completed quarter at the time we planned our site visits, generally the first quarter of fiscal year 2017.", "We obtained and examined copies of reviewers\u2019 documentation of the steps taken to complete their quarterly reviews in the six selected states, including the completed review guides, summary memos, and correspondence with state officials. We also reviewed CMS\u2019s internal guidance for conducting financial management reviews, and obtained and examined documentation of reviews conducted from 2014 through 2017 (the first 4 years of expansion under PPACA), and resources assigned to review functions. In reviewing documentation of the quarterly reviews and the financial management reviews, we determined whether current procedures were resulting in reviewers identifying errors, but did not assess the magnitude of the errors identified. We interviewed officials from CMS\u2019s central office and our three selected regional offices about their review policies, processes, and resources. We also interviewed Medicaid officials from our six selected states about their experiences submitting data and undergoing CMS\u2019s review processes. In evaluating this information, we compared policies and procedures against the Standards for Internal Control in the Federal Government.", "To examine how CMS assures that correct matching rates are applied to expenditures, we reviewed CMS policies and procedures for reviewing expenditures subject to a higher than standard federal matching rate, including the quarterly review guide. In addition, we examined the extent to which these were consistently applied by reviewing the quarterly review documentation for our three selected regional offices. Specifically, we examined how they reviewed expenditure reporting for four types of expenditures for which states receive a higher federal matching rate: IHS, services for certain women with breast or cervical cancer, family planning, and Medicaid expansion. We selected these four expenditure types because they cover a variety of services and populations, and under CMS\u2019s quarterly review guidance, they are subject to specific review procedures. We also tested CMS\u2019s reviews by completing our own reviews of reported expenditures in the six states. Specifically, we calculated the variance in expenditures from the quarter under review to the previous quarter, which is in line with CMS\u2019s review guidance. We also interviewed CMS officials, including officials in our selected regional offices about their review process. In evaluating the measures CMS has taken to assure that correct matching rates are applied to different expenditures, we compared policies and procedures against the Standards for Internal Control in the Federal Government.", "To examine the financial impact of errors resolved by CMS, we reviewed data on errors resolved in fiscal years 2014 through 2017, the four most recent years of available data. Specifically, we reviewed data on the magnitude of errors resolved through states reducing reported expenditures and on errors resolved by CMS issuing a disallowance, which requires a state to return federal funds. We also reviewed data on deferrals of federal funds (i.e., CMS defers payment until issues are resolved) as of the end of fiscal year 2017. We asked CMS officials responsible for overseeing data on errors to describe the reliability of the data, including any limitations. For the data on disallowances, deferrals, and errors resolved by states reducing reported expenditures, we reviewed relevant documentation; examined the data for obvious errors, such as missing values; and compared the results to other supporting documentation to ensure accuracy, when possible. We determined that all data were sufficiently reliable for the purposes of our reporting objectives. We also reviewed the documentation from the three selected regional offices\u2019 quarterly expenditure reviews for examples of errors resolved in our six selected states. Using the data on disallowances, and documentation from the quarterly expenditure reviews, we analyzed the range in types of errors and the range in the financial impact of errors resolved by CMS. We also interviewed CMS officials from the regional offices and CMS\u2019s central office about the errors resolved and their procedures for issuing deferrals and disallowances.", "We conducted this performance audit from April 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "State Expenditure Reporting", "paragraphs": ["In order to receive federal matching funds, states report expenditures quarterly to CMS on the CMS-64. States are required to report their expenditures to CMS within 30 days of the end of each quarter, but may adjust their past reporting for up to 2 years after the expenditure was made, referred to as the 2-year filing limit. Adjustments can reflect resolved disputes or reclassifications of expenditures. Expenditures reported after the 2-year filing limit are generally not eligible for a federal match, with certain exceptions.", "The CMS-64 is a series of forms that capture expenditure data for different aspects of states\u2019 Medicaid programs, such as different types of services, populations, and different federal matching rates. (See table 1 for examples of the expenditure types captured by the CMS-64.) States report their expenditures quarterly on the CMS-64 at an aggregate level\u2014 such as a state\u2019s total expenditures for such categories of services as inpatient hospital services\u2014and these reported expenditures are not linked to individual enrollees or services. States\u2019 reporting may vary depending on the features of their Medicaid program. Some examples of this variation include the following:", "States that expanded eligibility under PPACA would need to report expenditures not only by the type of services (e.g., inpatient hospital services), but also by populations receiving different federal matching rates, such as expansion enrollees.", "States with waivers\u2014that is, where the state received approval from HHS to waive certain Medicaid requirements in order to test and evaluate new approaches for delivering and financing care under a demonstration\u2014would need to report those expenditures associated with these waivers on additional forms."], "subsections": []}, {"section_title": "CMS Oversight of State Expenditure Reporting", "paragraphs": ["CMS is responsible for assuring that expenditures reported by states are supported and allowable, meaning that the state actually made and recorded the expenditure and that the expenditure is consistent with Medicaid requirements. CMS regional offices perform the ongoing oversight, with enhanced oversight procedures in the 20 states with the highest federal Medicaid expenditures. (See fig.1)", "CMS is required to review the expenditures reported by states each quarter. (See fig. 2.) Regional office reviewers have 50 days to review the expenditures and compute the federal share of states\u2019 Medicaid expenditures.", "As part of the quarterly review, regional office reviewers also check that expenditures receive the correct matching rate. In general, the amount of federal funds that states receive for Medicaid services is determined annually by a statutory formula\u2014the Federal Medical Assistance Percentage (FMAP), which results in a specific federal matching rate for each state. However, there are a number of exceptions where higher federal matching rates can apply for certain types of beneficiaries, services, or administrative costs. See table 2 for examples of higher matching rates that apply for expenditures for certain types of enrollees, services, or administrative costs.", "When CMS identifies questionable expenditures or errors through its reviews, there are several ways that they can be resolved, as summarized below.", "Deferral of federal funds. CMS can defer federal matching funds if, during the quarterly review, the regional office reviewer needs additional information to determine whether a particular expenditure is allowable. The reviewer may recommend that CMS defer the expenditure until the state provides additional support or corrects the reporting.", "State reducing reported expenditures. If the state agrees that the questionable expenditure is an error, the state can submit an adjusted report during the quarterly review or make an adjustment in a subsequent quarter. These adjustments prevent federal payments for those expenditures.", "Disallowance of expenditure. If CMS determines an expenditure is not allowable, CMS can issue a disallowance, and the state returns federal funds through reductions in future federal allocations. States may appeal disallowances."], "subsections": []}]}, {"section_title": "CMS Has Processes in Place to Assure that State-Reported Medicaid Expenditures Are Supported and Allowable, but Weaknesses Limit Its Ability to Effectively Target Risk", "paragraphs": ["CMS uses a variety of processes to assure that state-reported expenditures are supported during quarterly reviews and performs focused financial management reviews on expenditures considered at risk of not complying with Medicaid requirements. Although we found that CMS was identifying errors and compliance issues using both review methods, we also found weaknesses in how CMS targets its oversight resources to address risks."], "subsections": [{"section_title": "CMS Uses Quarterly Reviews, Supplemented with More Focused Reviews, to Assure that Reported Expenditures Are Supported and Allowable and Has Detected Errors in the Process", "paragraphs": ["CMS uses quarterly reviews to assess whether expenditures are supported by the state\u2019s accounting systems; are in accordance with CMS approved methodologies, plans, and spending caps; and whether there are significant unexplained variances\u2014changes in expenditures\u2014 from one quarter to the next (referred to as a variance analysis). CMS review procedures include validation measures that check to ensure that expenditures were reported within the 2-year limit, which is a check done on all types of expenditures. Another validation measure compares expenditures to various approval documents. For example, when a state has a waiver in place, expenditures are reviewed against waiver agreements that authorize payment for specified services or populations. Other examples include comparing supplemental payment expenditures to caps set for those expenditures. (See table 3.)", "Our examination of the quarterly reviews indicated that the reviews involved significant coordination with other CMS staff and the state. In addition to reviewing state documentation, officials from two regional offices told us that they consult other regional office staff who oversee the approval of new expenditures to ensure that expenditures reflect approved program features. For example, officials in region 9 told us that in reviewing managed care expenditures, they consult with their colleagues who review the state\u2019s payment methodologies for capitated payments. In reviewing information technology development expenditures\u2014which are subject to a higher federal matching rate\u2014 reviewers for all six selected states examined advanced planning documents, which requires coordination with staff who approve those documents to ensure that the state was receiving the correct matching rates and staying within the approved amounts. With regard to coordination with states, we found that regional reviewers for all six reviews contacted states to follow-up on issues identified during the review. Officials also described being in regular contact with states to stay abreast of program, system, and staffing changes to inform their reviews. For example, according to regional officials, Arkansas experienced some significant and unexpected staffing challenges in 2016 that resulted in delays in the state reporting expenditures and returning federal overpayments, and the reviewer worked closely with state staff to track the state\u2019s progress.", "We found evidence that reviewers identified errors during their quarterly reviews. In the six quarterly reviews we examined, regional offices identified errors in three of the six states. For example, region 3 reviewers found errors in Maryland\u2019s expenditure reporting\u2014including claims for the wrong matching rate for two enrollees who were not eligible for PPACA\u2019s Medicaid expansion and reporting provider incentive payments on the wrong line\u2014and worked with the state to correct those errors. Additionally, region 9 reviewers found errors in California\u2019s reporting of expenditures. For example, they found that the state reported waiver expenditures for the incorrect time period, which has implications for CMS\u2019s ability to monitor and enforce spending limits for the waiver. Reviewers worked with the state to correct those errors.", "To supplement the quarterly reviews, CMS generally directs regional offices to conduct a focused financial management review (FMR) each year on an area of high risk within the region, typically within one state. According to regional officials, CMS uses these reviews to investigate expenditures in greater depth and detail than is reasonable within the timeframes of a quarterly review. For example, reviewers can examine individual claims for services from providers or the methodologies developed for certain payment types. Regional reviewers also use these reviews to investigate errors that could not have been detected by the quarterly review. For example, regional office 6 officials told us that they uncovered inappropriate financing arrangements when they used an FMR to examine how Texas financed the state share of its supplemental payments to hospitals in one of its counties. To do so, the regional office reviewed payments from the state to the provider, project plans, and interviewed providers\u2014steps that are not part of the quarterly review process. Rather, in the quarterly review, the reviewer only checks that state-reported payments are supported by state accounting records and are within applicable caps; thus, inappropriate financing of the state share would not have been detected through the quarterly review.", "In fiscal years 2014 through 2017, CMS used FMRs to review various expenditures considered to be at risk for not complying with Medicaid requirements. Specifically, as outlined in annual work plans, regional offices planned to conduct 31 FMRs and estimated that the total amount of federal funds at risk in expenditure areas covered by their planned reviews was $12 billion. (See app. I.) Planned FMRs targeted a wide range of topics, with the reviews most frequently targeting expenditures for the Medicaid expansion population. (See table 4.)", "We found that CMS frequently identified compliance issues through FMRs. As of March 2018, CMS reported that reviewers had identified compliance issues with financial impact in 11 of the 31 planned FMRs, though most of those findings were still under review. More findings from the planned FMRs are likely as some of the reviews were still ongoing. We reviewed the draft results for 5 FMRs. Among these, CMS found that four states were reporting expenditures that were not allowable. For example, as noted earlier, a 2014 FMR on supplemental payments in Texas revealed inappropriate funding arrangements, and CMS issued a disallowance for approximately $27 million. In some cases, FMRs did not have apparent financial findings, but identified significant internal control weaknesses in the state and recommended specific corrective actions\u2014 such as better aligning eligibility and expenditures systems to better detect and correct irregularities\u2014that would provide greater assurances that federal funds are appropriately spent.", "Both the quarterly reviews and the FMRs occur in conjunction with other ongoing CMS financial oversight activities. For example in addition to reviewing expenditures, regional office reviewers assess how states estimate their costs, set payment rates for managed care and home and community based services, and allocate costs among different Medicaid administrative activities under their cost allocation plans. CMS officials told us that issues relating to state compliance with Medicaid requirements for expenditures could be identified during these other oversight activities and could inform follow-up during the quarterly reviews or be the subject of a FMR. Officials also told us that since FMRs were instituted, the agency has built in more front-end procedures for preventing problems with the accuracy and allowability of reported expenditures. As examples, they cited their work on managed care rate reviews, among other things."], "subsections": []}, {"section_title": "Weaknesses Limit CMS\u2019s Ability to Effectively Target Risk in Its Oversight of Expenditures", "paragraphs": ["We identified two weaknesses in how CMS is allocating resources for overseeing state-reported expenditures that limited the agency\u2019s ability to target risk in its efforts to assure that these expenditures are supported and consistent with Medicaid requirements. First, we found that CMS has allocated similar staff resources to states with differing levels of risk. For example, the staff resources dedicated to reviewing California\u2019s expenditures\u2014ranking first nationally in expenditures and constituting 15 percent of all federal Medicaid expenditures\u2014are comparable to significantly smaller states in other regions, despite California\u2019s history of reporting challenges and its inability to provide electronic records, which requires on-site review. (See fig. 3.) CMS has allocated 2.2 staff to review California\u2019s expenditures in contrast to one person to review Arkansas\u2019 expenditures, which constitute 1 percent of federal Medicaid expenditures, and Arkansas does not have a similar history of complex reporting challenges. We also found that California\u2019s reviewers have set a higher threshold for investigating variances in reported expenditures than in the five other selected states. Specifically, reviewers investigated variances in California of plus or minus 10 percent if the variances represented more than 2 percent of medical expenditures, or $450 million in the quarter we reviewed. The state experienced an approximately 24 percent increase in its prescription drug expenditures\u2014roughly $200 million\u2014during that quarter, but the variance was deemed not significant. In contrast, for two of our five other selected states, we found that reviewers generally investigated variances of plus or minus 10 percent regardless of the dollar amount of the variance and in the remaining three states they had significantly lower dollar thresholds than used for California.", "Second, CMS reported cancelling the FMR requirement for regional offices in 17 out of 51 instances in the last 5 years when faced with resource constraints. In some cases, CMS excused individual regional offices from conducting planned FMRs due to staff shortage as the agency did for regions 3 and 7 in 2014; region 8 in 2016; and regions 3, 7, 8, and 9 in 2018. In 2015, according to CMS officials, all 10 regions were excused from conducting an FMR, because the regional offices needed their staff to focus on implementing new procedures for validating expenditures for the Medicaid expansion population. In addition to cancelling FMRs, CMS was delayed in finalizing FMRs. Among the eight FMRs that were conducted in fiscal year 2014, three have been issued as final reports,", "CMS decided no report was needed on a fourth, and the four remaining FMRs from 2014 were still under review as of March 2018, delaying important feedback to states on their vulnerabilities.", "According to CMS officials, resource constraints have contributed to both of these weaknesses. Our analysis of staffing data indicated that, from fiscal years 2014 to 2018, the number of full time equivalent staff dedicated to financial oversight activities declined by approximately 19 percent across all 10 regions. These staff are responsible not only for completing the quarterly reviews and FMRs, but also other financial oversight activities, including resolving audit findings and other on-going oversight activities noted previously. During this period, federal Medicaid expenditures are estimated to have increased by approximately 31 percent, and the reporting of expenditures has grown more complex. In addition to the decline in dedicated staff, officials told us they faced challenges in filling vacancies either because of hiring restrictions or challenges in recruiting qualified candidates. Officials described instances where regional offices shared resources with other offices to address critical gaps in resources. For example region 9 was able to obtain part-time assistance from a region 6 reviewer to help review California\u2019s expenditures. However, CMS officials told us that they had not permanently reallocated resources between regional offices, because all regional offices are under-resourced given their various oversight responsibilities as of May 2018. With regard to cancelling FMRs, CMS officials noted that other oversight responsibilities, including the quarterly reviews, are required under statute or regulation and thus have a higher priority than FMRs.", "Compounding its resource allocation challenges, CMS has not conducted a comprehensive, national assessment of risk to determine whether resources for financial oversight activities are (1) adequate and (2) allocated\u2014both across regional offices and oversight tools\u2014to focus on the greatest areas of risk. Agency officials told us that they have not conducted a formal risk assessment, because they are assessing risk on an on-going basis, allocating resources within each region accordingly and sharing resources across regions to the extent possible. However, this approach does not make clear whether the level of resources dedicated to financial oversight nationally is adequate given the risk.", "Federal internal control standards for risk assessment require agencies to identify and analyze risks related to achieving the defined objectives (i.e., assuring that state-reported expenditures are in accordance with Medicaid rules), and respond to risks based on the significance of the risk. Without completing a comprehensive, national assessment of risk and determining whether staff resources dedicated to financial oversight are adequate and allocated commensurate with risk, CMS is missing an opportunity to improve its ability to identify errors in reported expenditures that could result in hundreds of millions of dollars in potential savings to the Medicaid program."], "subsections": []}]}, {"section_title": "Vulnerabilities Exist in CMS\u2019s Review of Expenditures for Which States Receive Higher Federal Matching Rates", "paragraphs": ["CMS reviewers in the selected regional offices we reviewed did not consistently perform variance analyses\u2014which compare changes in expenditures from the quarter under review to the previous quarter\u2014of higher matched expenditures during quarterly reviews. Further, the sampling procedures used to examine Medicaid expansion expenditures did not account for varying risks across states."], "subsections": [{"section_title": "CMS Did Not Consistently Conduct Variance Analyses When Reviewing Certain Types of Expenditures that Receive Higher Federal Matching Rates", "paragraphs": ["CMS has multiple procedures in place to review expenditures that receive a higher federal matching rate. As with other expenditures, reviewers are required to complete a variance analysis, comparing reported expenditures in the quarter under review to those reported in the prior quarter and investigating variances above a certain threshold. However, we found that our three selected regional offices were not consistently conducting these analyses across several different types of expenditures with higher matching rates.", "While CMS\u2019s internal guidance required that regional offices conduct variance analyses on expenditures with higher matching rates, we found that for the quarter we investigated (generally the 1st quarter of fiscal year 2017), our selected regional offices did not consistently do so for three types of expenditures that we reviewed: IHS, family planning, and certain women with breast or cervical cancer. Two of the three regional offices (regions 3 and 9) did not conduct or did not document these required variance analyses, and the remaining regional office (region 6) conducted the analyses but deviated from standard procedures outlined in CMS guidance, as summarized below.", "CMS region 3. Reviewers did not conduct variance analyses for either Maryland or Pennsylvania. Regional office staff with whom we spoke said that as part of the quarterly review they conduct the standard variance analysis on category of service lines of the CMS-64. Expenditures for IHS, family planning and services for certain women with breast or cervical cancer are not separately identified at that level. Although CMS reviewers said they thought the standard analysis was sufficient, net changes within a broad service category may obscure major changes within these higher matched expenditures. For example, examining changes in total inpatient hospital expenditures would not necessarily reveal a significant variance limited to inpatient expenditures in IHS facilities that receive a higher federal match.", "CMS region 9. Reviewers told us that they examined higher matched expenditures for California; however, no variance analyses of IHS, family planning, or breast or cervical cancer services were included in the work papers provided to us. In addition, they told us that they do not conduct a variance analysis on IHS, family planning, and services for certain women with breast or cervical cancer for Nevada, noting that expenditures in these areas tend to be quite small.", "CMS region 6. Reviewers conducted a variance analysis of these higher matched expenditures for Arkansas and Texas and provided us documentation; however, the documentation showed some deviation from the required steps specified in CMS\u2019s guidance. For example, for Texas, spending on two of the three categories was beyond the threshold for significance, but the reviewer did not document any follow-up with the state.", "Although expenditures for IHS, family planning, and certain women with breast or cervical cancer constituted a small share of total federal spending on Medicaid services\u2014roughly 1 percent\u2014combined spending on these categories was approximately $1 billion in the first quarter of fiscal year 2017. Our analysis indicated that variances in spending for these three services ranged widely across our six states, and in four of the states, some of their expenditures were above the thresholds for significance. (See fig. 4.) For example, in regional office 3, Maryland experienced a significant variance in its family planning expenditures\u2014an increase of approximately $8 million dollars or 7,700 percent from the previous quarter\u2014but there was no indication in the documentation provided that the regional office identified or investigated that variance.", "Similar to the variance analyses for other higher matched expenditure types, we found that the selected regional offices did not consistently conduct variance analyses on expenditures reported for the Medicaid expansion population. First, although five of our six states opted to expand Medicaid under PPACA, two of the five states (Maryland and Pennsylvania) were not subjected to a variance analysis for their expansion populations, a segment that accounted for nearly $7 billion in Medicaid expenditures in fiscal year 2016. Among the remaining three states, CMS regional office staff conducted a variance analysis, but in two of them, the reviewers did not document whether they investigated significant variances, leaving it unclear whether this required step was taken. Specifically, for two of the three remaining states\u2014Arkansas and Nevada\u2014reviewers did not document which variances were deemed significant or that any such variances were discussed with state officials.", "The guidance specified in CMS\u2019s quarterly review guide is not always clear or consistent. For example:", "For IHS, family planning, and certain women with breast or cervical cancer, the guidance is explicit that the analysis is required, but the automated variance report used by reviewers for the step does not include these expenditures.", "For Medicaid expansion expenditures, the review guide is not explicit about whether a variance analysis is required, but CMS has an automated variance report available for these expenditures, which suggests that such an analysis was expected.", "The guidance suggests that a variance analysis should be conducted for expansion enrollees; however, it does not specify whether the analysis should be conducted in conjunction with\u2014or take the place of\u2014more in-depth examinations.", "According to federal internal controls standards for information and communication, agencies should communicate the information necessary for staff to achieve the agency\u2019s objectives. CMS\u2019s guidance on conducting variance analyses for types of expenditures with higher federal matching rates has not been sufficiently clear to assure that such analyses are being consistently conducted. By not consistently conducting such checks, errors may be going undetected and CMS may be providing federal funds at a higher matching rate than is allowable."], "subsections": []}, {"section_title": "The Sampling Procedures Used to Examine Medicaid Expansion Expenditures Did Not Account for Varying Risks across States", "paragraphs": ["CMS has additional procedures in place to review service expenditures reported for the Medicaid expansion population, a category of expenditures that received a 95 percent federal match in 2017. Specifically, in addition to a variance analysis, CMS guidance specifies that each regional office reviewer is to review claims for a sample. The guide directs the reviewer to obtain a full list of all expansion enrollees from the state and to select 30 to 40 for further review. Next, the reviewer is to obtain supporting documentation from the state listing the eligibility factors for the sampled enrollees, such as age, pregnancy status, Medicare enrollment, and income. The reviewer is to select a single claim for each enrollee and verify that the corresponding expenditures were reported under the correct federal matching rate category\u2014i.e., that the sample claim for each individual was accounted for in the relevant section of the CMS-64. The review guide specifies that the sample review be conducted each quarter unless the state has had four consecutive quarters with three or fewer errors, in which case, the sampling must be performed only annually.", "We found that regional offices were identifying errors in their sampling reviews. For example, region 3 reviewers found that Pennsylvania had incorrectly categorized an individual in the sample as a Medicaid expansion enrollee, with the selected expenditures initially reported as eligible for the higher matching rate. According to CMS central office officials, the sampling methodology has helped identify systemic issues with state expenditure systems in some states and resulted in corrections, adjustments, and in one case, a disallowance. Under current procedures, among our five selected states that expanded Medicaid under PPACA, all five were determined to have had four consecutive clean quarters according to agency officials; that is, the state had three or fewer errors in each quarter. Nationally, all but one of the 33 states that have implemented Medicaid expansion under PPACA had four consecutive clean quarters as of March 2018, according to CMS officials.", "We found, however, that CMS\u2019s procedures for sampling reviews had a key weakness in that they did not account for varying risks across states, as illustrated in the following examples.", "We found that sample size does not account for significant differences in program size. For example, both California and Arkansas have expanded Medicaid under PPACA, and regional office staff told us they reviewed claims for 30 expansion enrollees in each of the two states, despite the fact that California has over 10 times as many expansion enrollees as Arkansas. Region 9 officials told us that for California they had initially sampled 100 enrollees during the first quarter they were required to conduct this analysis, but the review was time consuming given staff resources, and they were advised by CMS\u2019s central office to limit their sample to 30 individuals. CMS officials told us that the sampling procedures are resource intensive and that the sample size they decided upon was what they thought they had the resources to complete.", "Additionally, the sample size does not account for previously identified risks in a state\u2019s program. Specifically, as we noted in a 2015 report, CMS\u2019s sampling review of expansion expenditures was not linked to or informed by reviews of eligibility determinations conducted by CMS, some of which identified high levels of eligibility determination errors. According to CMS officials, the expenditure review is primarily intended to ensure that states are correctly assigning expenditures for the expanded eligibility groups as initially determined, not whether the eligibility determination is correct.", "Federal standards for internal control related to risk assessment require that agencies identify, analyze, and respond to risks. However, because CMS\u2019s sampling methodology does not account for risk factors like program size and high levels of eligibility determination errors, the agency\u2019s review of expansion population expenditures may be missing opportunities to detect systemic issues with improperly matched expenditures.", "Quarterly variance analyses and sampling of Medicaid expansion enrollees can be supplemented by financial management reviews. For fiscal year 2016, CMS recommended regional offices conduct FMRs on expenditure claims for expansion enrollees. As of March 2018, however, regional offices had completed an FMR on Medicaid expansion expenditures in only one state, with no findings, and were in the process of completing FMRs for five other states. According to CMS officials, no additional reviews in this area were planned for fiscal year 2018."], "subsections": []}]}, {"section_title": "CMS Resolved over $5.1 Billion in Expenditure Errors in Fiscal Years 2014 through 2017", "paragraphs": ["Financial Impact of Expenditure Reviews Compared with Program Integrity Recoveries The impact of CMS\u2019s expenditure review activities is greater than the impact from other program integrity efforts. For example, in fiscal year 2015, CMS resolved errors through expenditure reviews that saved over $1.4 billion in federal funds. In the same year, CMS reported that efforts by states and the federal government to identify improper payments to providers\u2014for example, services that were billed by a provider but were not received by a beneficiary\u2014resulted in recoveries that totaled $852.9 million, in both state and federal funds.", "In fiscal years 2014 through 2017, CMS\u2019s regional offices resolved expenditure errors that reduced federal spending by over $5.1 billion, with at least $1 billion in errors resolved in each of three of those four years. Errors were resolved through states agreeing to reduce their reported expenditures, which prevented federal payments to the state for those expenditures; and through CMS issuing disallowances, under which states are required to return federal funds. Although CMS resolved over $1 billion in expenditure errors in each year of fiscal years 2014 through 2016, CMS resolved less than $600 million in fiscal year 2017. CMS officials explained that this change likely reflects delays in clearance of disallowances due to the transition between presidential administrations. (See fig. 3.) In addition to these resolved errors, as of the end of 2017, CMS had $4.47 billion in outstanding deferrals of federal funds, where CMS was delaying federal funds until additional information was provided. Expenditures flagged for deferrals may or may not represent errors.", "All 10 CMS regional offices resolved errors from fiscal years 2014 through 2017, though the magnitude varied across regions. (See table 5.) Among the 10 regional offices, 9 reported that they had resolved errors through states agreeing to reduce reported expenditures. Additionally, 9 regional offices issued a total of 49 disallowances across 16 states, with the majority of the disallowances occurring in regional offices 2 and 3. Finally, all 10 regional offices had taken deferrals for questionable expenditures, with 22 states having outstanding \u201cactive\u201d deferrals that had not been resolved as of the fourth quarter of fiscal year 2017, which ranged in amount from $178 to $444 million. CMS officials told us that the range of resolved errors and deferred funds across regional offices may reflect differences in the proportion of high-expenditure states. For example, regional office 4 oversees four states ranking in the top 20 in terms of Medicaid expenditures, while regional office 8 does not oversee any top- 20 states. The variation may also reflect large actions taken in specific states. For example, the majority of the disallowed funds in regional office 2 from fiscal years 2014 to 2017 were due to a single disallowance of $1.26 billion in one state.", "The financial significance of individual errors resolved by CMS\u2019s regional offices varied significantly. We found that regional offices resolved errors that ranged from reporting errors that had no federal financial impact\u2014 such as expenditures that were allowable, but were reported on the incorrect line\u2014to hundreds of millions of dollars in expenditures that were found to be unallowable under Medicaid requirements. Over the fiscal years we reviewed, more than half of the disallowances CMS issued were less than $15 million; however, in four states CMS issued disallowances of over $100 million, including a disallowance of over $1 billion in New York. (See fig. 5.)", "In some cases, actions taken by CMS to resolve errors were the culmination of years of work. For example, over several years the California Medicaid program reported a large volume of expenditures for which it did not yet have sufficient supporting documentation. The regional office officials told us that the state reported these expenditures in order to comply with the 2-year filing limit, and had reported these as \u201cplaceholder claims,\u201d with the intention of providing additional support at a later time. Over the course of at least 6 years, CMS deferred hundreds of millions of dollars in federal funds related to these placeholder claims. Of the active deferrals as of the end of fiscal year 2017, most of the total amount of deferred funds was taken for expenditures in California, which represented $3.4 billion of the $4.5 billion in total active deferrals. According to CMS officials, in 2015, CMS prohibited California from reporting additional placeholder claims. Region 9 officials told us that they continue to work with the state to clear the deferrals related to this issue. They were able to resolve 9 related deferrals in fiscal year 2017; however, another over 60 deferrals were still unresolved."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The growth of federal Medicaid expenditures, estimated at about $370 billion in fiscal year 2017, makes it critically important to assure expenditures are consistent with Medicaid requirements. CMS has a variety of processes in place to review state-reported expenditures, and those reviews have resulted in CMS resolving errors that have saved the federal government a considerable amount of money; over $5 billion in the last 4 years. However, the increasing complexity of expenditure reporting is occurring as resources to review these expenditures are decreasing, hindering CMS\u2019s ability to target risk and potentially allowing for hundreds of millions of federal dollars in errors to go undetected. In the absence of a comprehensive risk assessment, which CMS has not conducted, CMS may be missing opportunities to better target resources to higher risk expenditures and increase the savings from these oversight activities.", "The variety of different matching rates has contributed to the increased complexity of CMS\u2019s expenditure reviews. Although CMS has review procedures in place to assure that the correct matching rate is applied for services and populations receiving a higher federal matching rate, unclear guidance has contributed to inconsistency in the extent to which these reviews are conducted. In addition, we found weaknesses in the sampling methodology CMS requires its regional offices to use to help ensure that expenditures for Medicaid expansion enrollees\u2014expenditures that receive a higher matching rate and that represented almost 20 percent of total federal Medicaid spending in 2016\u2014are consistent with Medicaid requirements. In particular, the methodology does not account for risk factors like program size or vulnerabilities in state eligibility-determination processes and systems. As a result of the inconsistency in reviews and a sampling methodology that does not consider program risk, errors may be going undetected, resulting in CMS providing federal funds at higher federal matching rates than is allowable. In addition, CMS could be missing opportunities to identify any systemic issues that may contribute to such errors."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following three recommendations to CMS: 1. The Administrator of CMS should complete a comprehensive, national risk assessment and take steps, as needed, to assure that resources to oversee expenditures reported by states are adequate and allocated based on areas of highest risk. (Recommendation 1) 2. The Administrator of CMS should clarify in internal guidance when a variance analysis on expenditures with higher match rates is required. (Recommendation 2) 3. The Administrator of CMS should revise the sampling methodology for reviewing expenditures for the Medicaid expansion population to better target reviews to areas of high risk. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS concurred with all three recommendations, noting that it takes seriously its responsibilities to protect taxpayer funds by conducting thorough oversight of states\u2019 claims for federal Medicaid expenditures. Regarding our first recommendation\u2014that CMS complete a comprehensive, national risk assessment and take steps to assure that resources are adequate and allocated based on risk\u2014HHS noted that CMS will complete such an assessment, and, based on this review, will determine the appropriate allocation of resources based on expenditures, program risk, and historical financial issues. CMS will also identify opportunities to increase resources. Regarding our second recommendation\u2014clarifying internal guidance on when a variance analysis on higher matched expenditures is required\u2014HHS noted that CMS will issue such internal guidance. Regarding our third recommendation\u2014that CMS revise the sampling methodology for reviewing expenditures for the Medicaid expansion population to better target reviews to areas of high risk\u2014HHS noted CMS is considering ways to revise its methodology.", "HHS\u2019s comments are reproduced in appendix II.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services, appropriate congressional committees, and other interested parties. The correspondence is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: CMS Financial Management Review (FMR) Topics and Estimated Amounts at Risk, Fiscal Years 2014 through 2017", "paragraphs": [], "subsections": [{"section_title": "Regional office 1", "paragraphs": ["Public psychiatric residential treatment facilities Medicare Part B premium buy-ins Outpatient hospital reimbursement for mental health services Review of comprehensive psychiatric emergency program rates Provider taxes implemented to avoid program reductions Health homes data and expenditures reporting Provider incentive payments for health information technology 1115 demonstration provider incentive payments Public psychiatric residential treatment facilities Managed care organizations\u2019 provider payments Provider incentive payments for health information technology Federally qualified health center reimbursement payments Eligibility and enrollment maintenance and operations Managed care organizations\u2019 reporting of drug rebates 3 CMS cancelled these 2014 FMRs due to a staffing shortage. Region 8 was excused from the requirement to conduct an FMR in 2016 due to staffing constraints."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan Barnidge (Assistant Director), Jasleen Modi (Analyst-in-Charge), Caroline Hale, Perry Parsons, and Sierra Gaffney made key contributions to this report. Also contributing were Giselle Hicks, Drew Long, and Jennifer Whitworth."], "subsections": []}]}], "fastfact": ["The Centers for Medicare & Medicaid Services (CMS) review state spending reports to verify that states appropriately spent their federal Medicaid funds.", "CMS reviewers have saved over $5 billion in the past 4 years by identifying errors in state spending reports\u2014finding expenditures that lacked supporting data or were not allowed under Medicaid rules.", "Could they be finding more? CMS may be missing chances to save because of how it targets its reviews. For example, CMS has 1 staff member reviewing Arkansas reports and only 2.2 staff reviewing California, which spends 15 times as much. Our recommendations address this and other issues we found."]} {"id": "GAO-18-27", "url": "https://www.gao.gov/products/GAO-18-27", "title": "DOD Financial Management: Additional Actions Needed to Complete the Army's Analyses of Unsupported Accounting Entries for Its General Fund", "published_date": "2017-10-20T00:00:00", "released_date": "2017-10-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Defense (DOD) remains on GAO's High-Risk List in part because of its long-standing financial management deficiencies, which have prevented it from having auditable financial statements. One of the contributing factors is the billions of dollars of unsupported JVs within DOD's accounting systems, with the largest portion attributable to the Army's general fund. Because the National Defense Authorization Act for Fiscal Year 2014 required that DOD submit audit results to Congress for fiscal year 2018, a Working Group was established to address the Army's unsupported JVs, including analyzing root causes and developing corrective action plans.", "This report examines to what extent the Working Group, as of March 2017, has performed analyses and developed corrective action plans to address identified root causes. GAO reviewed and analyzed relevant documentation and interviewed agency officials and members of the Working Group."]}, {"section_title": "What GAO Found", "paragraphs": ["Since February 2015, the Journal Voucher Working Group (Working Group), which is comprised of Department of the Army (Army) and Defense Finance and Accounting Service personnel, has been actively working toward implementing new processes to address inadequate support for journal vouchers (JV) in the Army's general fund. JVs are accounting entries manually entered or system generated to record corrections or adjustments in an accounting system. From October 2016 to March 2017, the Working Group identified more than 121,000 unsupported JVs totaling $455 billion in one of its reporting systems, Defense Departmental Reporting System-Budgetary (DDRS-B).", "In the May 2017 Financial Improvement and Audit Readiness Plan Status Report, the Army stated that it had completed its root cause analyses for all JVs. However, GAO found that the Working Group had conducted the analyses on only a small percentage of the total number of unsupported JVs that existed as of March 2017. Specifically, as of March 2017, the Working Group had been focusing on manual JVs processed in DDRS-B, which only represent 10 percent of the dollar value and 3 percent in the total number of unsupported JVs in that system alone. Therefore, the analyses cannot be considered complete because the Working Group had not yet analyzed the remainder of the population, including those in other systems. Members of the Working Group indicated that in March 2017, the Working Group began including system-generated JVs in its analyses, which made up 90 percent in dollar value and 97 percent in total number of unsupported JVs processed in DDRS-B as of March 2017, but had not yet begun identifying any root causes. Members of the Working Group stated that these efforts will be an ongoing, iterative process because of anticipated new challenges that continually arise from new business processes or programs.", "As of March 2017, the Working Group reported that it had developed 38 corrective action plans to address all of the identified root causes of unsupported manual JVs in DDRS-B for the Army's general fund. According to members of the Working Group, 18 of the 38 have been implemented. However, the Working Group is unable to determine how many more corrective action plans will need to be developed to resolve the unsupported JV issue until the root cause analyses are complete. Further, GAO found that the Working Group's monitoring of corrective action plan implementation does not include a method that sufficiently identifies the progress toward fully addressing the issue of unsupported JVs or to what extent each implemented corrective action plan has reduced unsupported JVs. Members of the Working Group stated that the Working Group uses monthly JV metrics reports to monitor its implemented corrective actions, but the reports are not designed to provide the level of detail necessary to sufficiently monitor whether root causes identified are resolved through corrective action plans. Therefore, the metrics cannot demonstrate to what extent the Working Group has reduced unsupported JVs and how much more effort is required to fully address the issue and help ensure that the Army's financial statements are auditable for fiscal year 2018."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Army (1) ensure that the entire population of unsupported JVs is identified and analyzed and (2) develop metrics that sufficiently monitor the extent to which the Working Group has identified root causes and determine the extent to which unsupported JVs are being reduced based on the implemented corrective actions. The Army concurred with GAO's recommendations and provided information on actions it has taken or plans to take to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) has been on GAO\u2019s High-Risk List since 1995 in part because of long-standing, uncorrected deficiencies with its financial management systems, business processes, financial manager qualifications, and material internal control and financial reporting weaknesses. These deficiencies prevent DOD from having auditable financial statements, which is one of the three major impediments preventing us from expressing an opinion on the consolidated financial statements of the U.S. government. According to DOD, one of the contributing factors to its inability to produce auditable financial statements is the billions of dollars of unsupported journal vouchers (JV) within its accounting systems, with the largest portion attributed to the Department of the Army\u2019s (Army) general fund. JVs are accounting entries to record corrections or adjustments to a business transaction in an accounting system. While the use of JVs is a common accounting practice, they should be fully supported with detailed information to appropriately justify the accounting entries. Without such support, management and auditors are unable to assess the validity of the accounting entries, and to the extent that the unsupported JVs are material to the financial statements, the auditors would be unable to complete their audit. When financial statements are not prepared with supported accounting entries, there is a risk that DOD and Army management cannot rely on the Army\u2019s accounting system data when making management and resource decisions.", "The National Defense Authorization Act (NDAA) for Fiscal Year 2014 required that the Secretary of Defense ensure that a full audit is performed on DOD\u2019s fiscal year 2018 financial statements and that the results be submitted to Congress no later than March 31, 2019. Therefore, with oversight from the Office of the Assistant Secretary of the Army for Financial Management and Comptroller (ASA(FM&C)), personnel from the Army and the Defense Finance and Accounting Service (DFAS), the Army\u2019s service provider, formed a Journal Voucher Working Group (Working Group) in February 2015 to address the inadequate support of JVs affecting the Army\u2019s financial statements. The Working Group has been tasked to actively work toward reducing the number of unsupported JVs for the Army\u2019s general fund. Specifically, one of the main focuses of the Working Group is to determine the root causes of unsupported JVs and to develop corrective action plans for the identified root causes. The Working Group conducts biweekly meetings to discuss current initiatives, any outstanding issues, and progress toward its goals. Additionally, ad hoc meetings are scheduled as needed.", "This audit was initiated as part of the mandate that requires GAO to audit the U.S. government\u2019s consolidated financial statements, which cover all accounts and associated activities of the executive branch agencies, including DOD, because of the significance of the military services\u2019 financial statements to the audit of the consolidated financial statements of the U.S. government. Our objectives were to report the extent to which the Working Group, as of March 2017, (1) performed analyses to determine the root causes of unsupported JVs for the Army\u2019s general fund and (2) developed and monitored the implementation of corrective action plans to address identified root causes of unsupported JVs.", "To address our first objective, we reviewed various Army, DFAS, and DOD financial reporting guidance; performed walk-throughs of the JV process; and interviewed agency officials to gain an understanding of the processes for recording JVs and analyzing causes of unsupported JVs. We also reviewed documentation provided and interviewed the Working Group members to determine the extent to which root cause analyses have been performed and completed as of March 2017 and whether the population of accounting entries used for analyses included all unsupported JVs. To address our second objective, we obtained documentation of and inquired about the development and monitoring of the implementation of the Working Group\u2019s corrective action plans to address the root causes identified as of March 2017. We also obtained and analyzed monthly JV metrics reports (metrics) produced by DFAS. Members of the Working Group use the metrics as their primary source for monitoring progress. We inquired about any limitations or challenges that prevented the Working Group from fully implementing any developed corrective action plans. Further details on our scope and methodology are provided in appendix I.", "We conducted this performance audit from December 2015 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government began preparing and we began auditing the consolidated financial statements of the U.S. government in fiscal year 1997. However, we have been unable to render an opinion on them in part because of serious financial management problems at DOD that have prevented its financial statements from being auditable. Pursuant to the NDAA for Fiscal Year 2010, DOD developed and has updated a Financial Improvement and Audit Readiness (FIAR) Plan. The FIAR Plan includes the specific actions to be taken and costs associated with (1) correcting the financial management deficiencies that impair DOD\u2019s ability to prepare complete, reliable, and timely financial management information and (2) ensuring that DOD\u2019s financial statements are validated as ready for audit by September 30, 2017. Further, the NDAA for Fiscal Year 2014 mandated that the Secretary of Defense ensure that an audit is performed on DOD\u2019s fiscal year 2018 financial statements and that the results are submitted to Congress no later than March 31, 2019.", "DOD has undertaken several financial management improvement initiatives over the years to address deficiencies in business systems, processes, and controls through its FIAR Plan and financial management reform methodology contained in its FIAR Guidance. In its April 2016 FIAR Guidance, DOD identified seven critical capabilities that are necessary to achieve auditability. One of the seven critical capabilities identified is the ability to support or eliminate certain material JVs and other adjustments made to financial transactions, trial balances, and financial statements. As of September 2015, DOD determined that the largest portion attributable to the billions of dollars of unsupported JVs relates to the Army\u2019s general fund. In 2015, DOD created the Working Group, made up of both Army and DFAS personnel, to develop solutions to reduce the number of required JVs and reduce or eliminate the number of unsupported JVs that affect the Army\u2019s general fund.", "In July 2016, DOD\u2019s Office of the Inspector General (OIG) released a report indicating that about 90 percent of the dollar value and number of the Army general fund JVs the OIG tested, which were defined by the Army as \u201csupported,\u201d were in fact unsupported because the JVs either (1) forced account balances to agree with other data sources without reconciling the differences or determining which data sources were correct, (2) corrected errors or reclassified amounts to other accounts without adequately documenting why the JVs were needed, or (3) changed ending balances of accounts without adequate documentation to support the JVs.", "DOD acknowledged in its November 2016 FIAR Plan Status Report that it still faces a significant challenge in reducing the number and amount of unsupported JVs. The November 2016 FIAR Plan Status Report also set a December 2016 completion date for the Army to (1) perform JV root cause analyses for all financial statements for all JVs and (2) implement corrective action plans and verify successful implementation of DFAS\u2019s corrective actions."], "subsections": [{"section_title": "Army\u2019s Financial Systems", "paragraphs": ["As shown in figure 1, the Army uses multiple systems to document, record, and report activities at the transaction level, which are then consolidated and uploaded into DOD\u2019s reporting system known as the Defense Departmental Reporting System (DDRS). JVs can be used to record accounting entries and make any necessary corrections or adjustments within any of these systems at the transaction level or consolidated level. JVs can also be manually entered or system generated in the accounting systems. Manual JVs are those prepared by DFAS personnel to adjust errors identified during financial statement compilation, to record necessary accounting entries caused by system limitations or timing differences, and to prepare required month- and year- end closing accounting entries. System-generated JVs are those automatically generated based on system change requests and without manual involvement by DFAS personnel.", "The General Fund Enterprise Business System (GFEBS) is the Army\u2019s primary accounting system used to record the majority of the Army\u2019s activities, including budget execution, procurement, civilian pay, collections, and disbursements. The Army also has a separate accounting system for supply-related transactions called the Global Combat Support System (GCSS). Accounting entries for transactions recorded in GCSS are sent to GFEBS to consolidate all of the Army\u2019s transaction data into a single accounting system. Then, at month\u2019s end, all the information in GFEBS is uploaded into the budgetary module of DDRS known as the Defense Departmental Reporting System-Budgetary (DDRS-B).", "The Army also has several legacy systems that continue to process transactions but were not designed to interface with GFEBS as the accounting formats are not compatible. Therefore, at each month\u2019s end, the balances for the legacy systems are configured into a format that can be read by DDRS-B and crosswalks to the accounts within the DDRS-B accounting system before they are sent to DDRS-B. Once the balances have been uploaded, DDRS-B performs edit checks to identify any errors that may exist. DFAS personnel then pull the data into the Electronic Error Correction and Transaction Analysis (ELECTRA) application to review any errors identified during the edit checks and use ELECTRA to create a JV to be uploaded into DDRS-B that makes necessary corrections or adjustments.", "After the Army has consolidated all information into DDRS-B from both GFEBS and legacy systems each month, DFAS personnel will review the information to determine whether any additional JVs are necessary to correct errors identified during the reconciliation process or to record any JVs that could not be processed prior to the upload into DDRS-B.", "On a quarterly basis after all necessary corrections are made, all information in DDRS-B is consolidated and uploaded into a second module within DDRS known as the Defense Departmental Reporting System-Audited Financial Statements (DDRS-AFS), which is used to prepare the financial statements. At this level, additional JVs can be made if DFAS personnel determine that further corrections are necessary or if information is received subsequent to the upload from DDRS-B."], "subsections": []}]}, {"section_title": "The Working Group Has Identified Some Root Causes but Has Not Started Analyses of the Majority of Unsupported Journal Vouchers", "paragraphs": ["The Working Group has been actively working toward implementing new processes to support JVs and eliminate unsupported JVs in the Army\u2019s general fund. From October 2016 to March 2017, the Working Group, based on DFAS-produced metrics, reported that it had identified more than 121,000 unsupported JVs totaling $455 billion.", "The Working Group prioritized its identifying of root causes of unsupported JVs based upon factors such as potential correction complexity, materiality, and volume. In the May 2017 FIAR Plan Status Report, DOD stated that the Army had completed its root cause analyses for all JVs. However, we found that the analyses have been performed on only a small percentage of the total number of unsupported JVs that existed as of March 2017 and cannot be considered completed for all unsupported JVs. In addition, members of the Working Group confirmed as of June 2017 that the Working Group has not yet performed all analyses necessary and stated that the Working Group\u2019s efforts will be an ongoing, iterative process because of anticipated new challenges that continually arise from new business processes or programs.", "A critical capability to achieve auditability, described in the April 2016 FIAR Guidance, is that all material JVs be supported and the population of accounting entries reconcile with each financial statement line item as well as the originating system of the accounting entry. As highlighted in figure 2, the Working Group focused its efforts on manual JVs processed at the consolidated level within DDRS-B as these JVs were consistent with its prioritization method in conducting the analyses and getting the financial statements audit ready.", "In December 2015, DFAS began requiring a form to be attached to all manual DDRS-B JVs that serves as a checklist of all documents necessary to be included for a JV to be considered supported. However, as indicated on the metrics provided through March 2017, manual unsupported JVs were still being recorded in DDRS-B. Further, as of March 2017, the Working Group had not included in its root cause analyses (1) any unsupported JVs at the transaction level, such as within GFEBS, which are mostly attributed to year-end closing accounting entries; (2) any unsupported JVs within DDRS-AFS, which are used to prepare the financial statements; or (3) system-generated JVs. As a result, a significant number of JVs still require analyses.", "Our review of the population of unsupported JVs from October 2016 to March 2017 found that system-generated JVs made up 90 percent in dollar value and 97 percent in number of total unsupported JVs. In July 2016, the DOD OIG similarly found that the Working Group had not been analyzing its system-generated JVs and recommended that the Working Group periodically review system-generated JVs to understand the reasons for the JVs and to verify the support for the JVs. Acting on the DOD OIG\u2019s recommendation, members of the Working Group indicated that in March 2017, the Working Group began including system- generated JVs in its population of JVs to analyze but had not yet begun its analyses or identified any root causes. In addition, members of the Working Group stated that in February 2017, the Working Group began planning a new initiative called the Business Mission Area Champions (BMAC) Initiative. This initiative is to expand the Working Group\u2019s analyses of root causes for JVs beyond those recorded at the consolidated level within DDRS-B and begin analyzing transaction-level JVs recorded in its systems that feed into DDRS-B before consolidation, such as GFEBS. However, as of May 2017, no details have been developed, such as planned actions or timelines. Therefore, because of the recent inclusion of the large population of system-generated JVs in the total population and because the BMAC Initiative is not yet under way, a significant amount of analyses remains to fully identify root causes and ultimately correct the Army\u2019s overall unsupported JV issue. Figure 3 summarizes the progress of the Working Group\u2019s root cause analyses of unsupported JVs as of March 2017.", "According to OMB Circular A-123, agencies should perform a root cause analysis of the deficiencies to ensure that subsequent strategies and plans address the root cause of the problem and not just the symptoms. Identifying and developing an understanding of the root cause is management\u2019s responsibility. In addition, Standards for Internal Control in the Federal Government states that management should complete and document corrective actions to remediate control deficiencies on a timely basis. Because it has not yet performed root cause analyses on the majority of unsupported JVs, the Working Group has not been able to identify appropriate corrective actions to eliminate such unsupported JVs and ultimately help produce auditable financial statements for the Army\u2019s general fund."], "subsections": []}, {"section_title": "The Working Group Has Developed Corrective Action Plans for All Identified Root Causes but Is Not Sufficiently Monitoring Implementation", "paragraphs": ["As of March 2017, members of the Working Group reported that the Working Group had developed 38 corrective action plans to address all of the identified root causes of unsupported manual JVs at the consolidated level in DDRS-B for the Army\u2019s general fund. According to these members, of the 38 corrective action plans developed, 18 have been implemented. In addition, because the root cause analyses have been limited, the Working Group has not yet been able to determine how many more corrective action plans will need to be developed to resolve the unsupported JV issue.", "Further, we found that the Working Group\u2019s monitoring of corrective action plan implementation does not include a method that sufficiently identifies the progress that has been made toward fully addressing the issue of unsupported JVs or to what extent each implemented corrective action plan has reduced unsupported JVs. The April 2016 FIAR Guidance provides specific tasks for DOD reporting entities, including the Army, to complete so that DOD can achieve its audit readiness objective. One of these tasks specific to JVs is to describe plans for implementing corrective actions to address the root causes of unsupported JVs. In addition, the Implementation Guide for OMB Circular A-123 recommends that management identify measurable indicators to better assess progress and more rapidly make course corrections to ensure timely and effective resolution of identified issues. In order to monitor whether a corrective action plan was implemented effectively, members of the Working Group stated that the Working Group uses metrics to monitor implementation of corrective actions for unsupported manual JVs at the consolidated level in DDRS-B. DFAS creates monthly metrics reports of DDRS-B accounting entries that include all unsupported and supported JVs for the month.", "The JVs used to create these metrics are the same JVs that the Working Group uses to conduct its JV root cause analyses. However, the metrics organize the JVs into broad categories that do not provide enough details to link to the categories that the Working Group uses. For example, the metrics use broad categories, such as data calls or correcting entries to classify the JVs, whereas the root cause analyses are conducted at a more detailed level, such as for a specific transaction. The Working Group was unable to demonstrate to us which metric category was affected by the corrective action plan implemented for each root cause identified. In addition, the Working Group\u2019s reported progress was based on an increase in the percentage of supported JVs in relation to the total population of JVs from October 2016 to March 2017 as reported in the metrics. However, during this period, the metrics also show an increase in the actual number and dollar amount of manual unsupported JVs. Specifically, based on the Working Group\u2019s reporting method, the percentage of unsupported manual JVs decreased in relation to the total population of manual JVs from October 2016 to March 2017 by 8 percent in the number of JVs and 14 percent in the dollar value of JVs. However, the actual number and dollar value of the unsupported manual JVs reported on the October 2016 and March 2017 metrics increased from 329 to 462 and from a total of $3.3 billion and $7.0 billion, respectively. Because the metrics used to monitor corrective action plans do not clearly indicate which JVs are affected by a specific root cause identified, resolved JVs cannot be tied to an implemented corrective action plan. Therefore, the Working Group is unable to demonstrate to what extent it has moved closer to eliminating and reducing unsupported JVs and to what extent the Army\u2019s financial statements are becoming auditable for fiscal year 2018.", "In addition, according to members of the Working Group as of March 2017, 16 of the 20 remaining corrective action plans developed are pending implementation because they require system changes, which need to be negotiated with the contractor selected to make the system changes. Therefore, the Working Group has developed temporary mitigating procedures to support those JVs required to be recorded until system changes are implemented. For example, one of the root causes that the Working Group identified was a JV recorded in DDRS-B related to the accounting entry to record a customer refund from a prior year purchase. When DFAS personnel record an accounting entry for a customer refund from a prior year purchase into GFEBS, the system erroneously records the transaction as a current year refund, through the reimbursements and other income earned\u2014collected account, rather than as a current year obligation and outlay as required by OMB Circular A-11, Preparation, Submission, and Execution of the Budget. Until this system change is made to GFEBS so that it can differentiate between the return of a prior year purchase or a current year purchase, DFAS has to reverse each entry and record the current year obligation and outlay with an additional JV into DDRS-B to correct the error made and include with the JV an explanation of the situation as well as detail level transactions to support the JV. DFAS considers this type of support to be a temporary solution; however, until system changes are made, the Working Group will be unable to implement the corrective action plans developed and resolve the root causes identified or determine whether the corrective action plan developed for this issue will be effective."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Since 2015, the Working Group has been analyzing manual unsupported JVs in DDRS-B to determine their root causes and to concentrate its efforts on getting the Army\u2019s financial statements audit ready. As of March 2017, the Working Group had not analyzed system-generated JVs that constitute 90 percent of the total dollar value or 97 percent of the total number of unsupported JVs because of the volume and potential correction complexity of these JVs. Also, the Working Group had not analyzed unsupported JVs at the transaction level or in DDRS-AFS. Although we recognize that these efforts will be an ongoing, iterative process, until the Working Group has identified and completed its analyses of root causes for all unsupported JVs, the Army will not be able to correct the overall unsupported JV issue.", "As of March 2017, the Working Group had developed 38 corrective action plans and verified successful implementation of 18 corrective action plans to address the issue of unsupported JVs in the Army\u2019s general fund. However, because the Working Group\u2019s root cause analyses were limited to a small percentage of the total unsupported JVs, the development of corrective action plans was likewise limited. In addition, the metrics used to analyze JVs and monitor implemented corrective actions are not designed to provide the level of detail necessary to sufficiently monitor whether root causes identified are resolved through corrective action plans. As a result, the Army cannot determine to what extent it has reduced unsupported JVs in its general fund and how much more effort is required to fully address the issue and help ensure that the Army\u2019s financial statements will be auditable for fiscal year 2018."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Army: The Assistant Secretary of the Army for Financial Management and Comptroller should ensure that the Working Group identifies and analyzes the full population of manual unsupported JVs at the transaction level and in DDRS-AFS and determines the root causes for these JVs. (Recommendation 1)", "The Assistant Secretary of the Army for Financial Management and Comptroller should work with DFAS to enhance the monthly JV metrics report or develop another method to sufficiently monitor the extent to which the Working Group has identified the root causes of unsupported JVs and to determine the extent to which unsupported JVs are being reduced based on the implemented corrective actions. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Army for review and comment. In its written comments, reprinted in appendix II, the Army concurred with our recommendations and provided information on actions it has taken or plans to take to address them.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Under Secretary of Defense (Comptroller) and Chief Financial Officer, the Deputy Chief Financial Officer, the Director of Financial Improvement and Audit Readiness, the Secretary of the Army, and the Director of the Defense Finance and Accounting Service. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9869 or khana@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to report on the extent to which the Journal Voucher Working Group (Working Group) had, as of March 2017, (1) performed analyses to determine the root causes of unsupported journal vouchers (JV) for the Department of the Army\u2019s (Army) general fund and (2) developed and monitored the implementation of corrective action plans to address identified root causes of unsupported JVs.", "To address our first objective, we reviewed our prior relevant reports and reports by the Department of Defense (DOD) and DOD\u2019s Office of Inspector General to gain an understanding of the nature of the issues identified related to the Army\u2019s unsupported JVs for its general fund and how they affect DOD\u2019s audit readiness as described in the Financial Improvement and Audit Readiness (FIAR) Guidance. We also reviewed various Army, Defense Finance and Accounting Service, and DOD financial reporting guidance; performed walk-throughs of the JV process; and interviewed agency officials to gain an understanding of the processes for recording JVs and analyzing causes of unsupported JVs, including (1) the various types of JVs recorded and reasons why the JVs are unsupported, (2) parties responsible for preparing and approving JVs, and (3) requirements for determining and documenting the root causes of unsupported JVs and monitoring such efforts.", "Further, we obtained the Working Group\u2019s root cause analyses performed and completed as of March 2017. We analyzed the documentation provided and interviewed agency officials to determine the extent to which (1) root cause analyses have been performed for all unsupported JVs of the Army\u2019s general fund and (2) root causes had been identified to address the issue of unsupported JVs. We also reviewed documentation provided to determine whether the Working Group was including all unsupported JVs in the population used for analyses.", "To address our second objective, we obtained the Working Group\u2019s documentation of corrective action plans developed and implemented as of March 2017 to address the root causes identified by the Working Group. We inquired about the development and the status and implementation of each corrective action plan. We also inquired about the steps the Working Group has taken to validate and monitor the effectiveness of corrective action plans that have been implemented to address root causes identified. We also inquired about how the Working Group measures its progress using the monthly JV metrics reports, which the Working Group identified as its primary source for monitoring progress, and analyzed the JV metrics reports from October 2016 to March 2017. Further, we inquired of the reasons why corrective action plans had not been fully implemented.", "We also interviewed members of the Working Group to confirm our understanding of any limitations or challenges identified during the root cause analyses. We obtained their views on these or other concerns and reviewed relevant documentation supporting their evaluation of the root causes, efforts to address the root causes, and the potential impact on the Army\u2019s financial management and future auditability.", "We interviewed Army officials about efforts to monitor the effectiveness of the Working Group\u2019s corrective action plans to determine what actions, if any, the Army has taken to monitor the corrective action plans regarding deficiencies related to unsupported JVs. We considered whether the Working Group\u2019s efforts for developing and monitoring the implementation of corrective action plans addressing identified deficiencies followed the relevant criteria contained in internal control standards; Office of Management and Budget Circular A-123, Management\u2019s Responsibility for Enterprise Risk Management and Internal Control; and DOD FIAR Guidance.", "We conducted this performance audit from December 2015 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Army", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made key contributions to this report: Lynda Downing (Assistant Director), Francine DelVecchio, Natasha Guerra, Cole Haase, Jason Kelly, and David Scouten."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-422", "url": "https://www.gao.gov/products/GAO-18-422", "title": "Biological Select Agents and Toxins: Actions Needed to Improve Management of DOD's Biosafety and Biosecurity Program", "published_date": "2018-09-20T00:00:00", "released_date": "2018-09-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In May 2015, DOD discovered that one of its laboratories (formerly called the Life Sciences Division) at Dugway Proving Ground, Utah, had inadvertently made 575 shipments of live Bacillus anthracis \u2014the bacterium that causes anthrax\u2014to 194 laboratories and contractors worldwide from 2004 through 2015. A December 2015 investigation by the Army determined that there was insufficient evidence to establish a single point of failure and made recommendations for improving safety and security at DOD laboratories that handle BSAT.", "The NDAA for Fiscal Year 2017 included a provision for GAO to review DOD's actions to address the Army's recommendations. GAO assessed the extent to which (1) DOD has implemented recommendations from the Army's 2015 investigation report, (2) the Army has implemented the BSAT Biosafety and Biosecurity Program and developed a strategy and implementation plan, (3) the Army's biological T&E mission is independent from its biological R&D mission, and (4) DOD has carried out a required study and evaluation. GAO reviewed DOD documents and key actions in response to the Army's recommendations and conducted site visits to DOD's BSAT laboratories."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has made progress by taking a number of actions to address the 35 recommendations from the Army's 2015 investigation report on the inadvertent shipments of live Bacillus anthracis (anthrax). However, DOD has not yet developed an approach to measure the effectiveness of these actions. As of March 2018, DOD reports 18 recommendations as having been implemented and 17 as having actions under way to implement them. These actions are part of a broader effort to improve biosafety, biosecurity, and overall program management. For example, in March 2016, DOD established the Biological Select Agents and Toxins (BSAT) Biorisk Program Office to assist in overseeing the BSAT Biosafety and Biosecurity Program and implementation of the recommendations. Measuring the effectiveness of each implemented recommendation would help better determine if the actions taken are working, if there are unintended consequences, or if further action is necessary.", "The Secretary of the Army, as DOD's Executive Agent, has implemented a BSAT Biosafety and Biosecurity Program to improve management, coordination, safety, and quality assurance for the DOD BSAT enterprise. However, DOD has not developed a strategy and implementation plan for managing the program. Without a strategy and implementation plan, Dugway Proving Ground, Utah, and DOD's laboratory facilities that currently produce and handle BSAT may be unclear about DOD's strategy to harmonize BSAT operations to ensure safety, security, and standardization of procedures throughout DOD's BSAT enterprise.", "The Army has not fully institutionalized measures to ensure that its biological test and evaluation (T&E) mission remains independent from its biological research and development (R&D) mission so that its T&E procedures are objective and reliable. In April 2016, the Army directed the transfer of the operational T&E mission from West Desert Test Center-Life Sciences Division at Dugway Proving Ground, Utah, to Edgewood Chemical Biological Center, Maryland. The Army issued a memorandum of agreement between the two entities to lay out roles and responsibilities for test processes and procedures. However, the memorandum does not distinguish T&E from R&D mission requirements, and does not contain guidelines to mitigate risks associated with potential conflicts of interest between the R&D and T&E missions. Without these measures, there is a potential risk to the independence of the T&E mission.", "The National Defense Authorization Act (NDAA) for Fiscal Year 2017 required DOD to report by February 1, 2017, on the feasibility of consolidating BSAT facilities within a unified command, partnering with industry for the production of BSAT in lieu of maintaining such capabilities within the Army, and whether such operations should be transferred to another government or commercial laboratory. DOD has not completed this required study and evaluation of its BSAT infrastructure which, when complete, will affect the future infrastructure of the BSAT Biosafety and Biosecurity Program. Further, DOD officials have no estimated time frames for when DOD will complete the study and evaluation. Without time frames for completing the study and evaluation, DOD is unable to provide decision makers with key information on its infrastructure requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD develop an approach to assess the effectiveness of the recommendations, a strategy and implementation plan for its BSAT Biosafety and Biosecurity Program, measures to ensure independence, and time frames to complete a study. DOD concurred with all four of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Safety lapses involving hazardous pathogens have occurred at some of the 276 government, private, and academic laboratories in the United States that conduct research on biological select agents and toxins (BSAT). Such agents may cause serious or lethal infection in humans, animals, or plants. BSAT materials, such as the Ebola virus and Bacillus anthracis\u2014the bacterium that causes anthrax\u2014have been determined to have the potential to pose a severe threat to public health and safety. Laboratories conduct research on BSAT for a variety of reasons, including identifying their characteristics and developing vaccines and other measures to help diagnose, prevent, or treat exposure to or infection by these agents. Safety lapses involving hazardous pathogens have occurred in the past at some of the Department of Defense (DOD) laboratories that handle BSAT to conduct research on medical and physical countermeasures to protect the warfighter from biological threats. Such incidents raise concerns about whether oversight of biosafety and biosecurity in these laboratories is effective.", "In May 2015, DOD discovered that one of its laboratories\u2014formerly called the Life Sciences Division\u2014at Dugway Proving Ground, Utah, had inadvertently shipped incompletely inactivated (i.e., live) Bacillus anthracis to 194 laboratories and contractors worldwide over the course of 12 years. In response to this discovery, the Deputy Secretary of Defense ordered an immediate 30-day review in May 2015 that resulted in a moratorium on the production, handling, testing, and shipment of inactivated Bacillus anthracis. The Deputy Secretary of Defense subsequently directed a more detailed review by the Army. In December 2015, the Army issued an investigation report on its findings which, among other things, determined that although the inadvertent shipment of incompletely inactivated Bacillus anthracis was a serious breach of regulations and raised biosecurity concerns, it did not pose a public health risk. The investigation also determined that there was insufficient evidence to establish a single failure as the cause for the inadvertent shipments of incompletely inactivated Bacillus anthracis. However, the report cited scientific and institutional issues and said that senior management at Dugway Proving Ground had contributed to \u201ca culture of complacency, resulting in laboratory personnel not always following rules, regulations, and procedures.\u201d The Army\u2019s 2015 investigation report resulted in recommendations to the Army to improve scientific knowledge gaps on irradiation and viability testing processes, address institutional concerns to reduce the risk of future mishaps involving biological material, and address individual accountability for the failures that contributed to the inadvertent shipment of incompletely inactivated Bacillus anthracis.", "DOD\u2019s Chemical and Biological Defense Program (CBDP) leads the department\u2019s efforts to protect military personnel, particularly the warfighter, against a wide range of threats, including biological threats. The CBDP Enterprise is comprised of 26 DOD organizations that determine warfighter requirements, provide science and technology expertise, conduct research and development and test and evaluation on capabilities needed to protect the warfighter, and provide oversight. In fiscal year 2017, according to DOD officials, CBDP received about $1.2 billion to support research, development, testing, and evaluation, and procurement efforts. For fiscal year 2018, CBDP received nearly $1.4 billion. The Army supports CBDP, and the Secretary of the Army is the Executive Agent for the BSAT Biosafety and Biosecurity Program.", "Since 2007, we have testified and reported on issues associated with high-containment laboratories that handle BSAT and have recommended improvements for federal oversight and enhancements to biosafety and biosecurity. Our most recent testimonies and reports have addressed the effectiveness of the current federal approach to overseeing select agents and issues related to the inactivation of pathogens in high-containment laboratories. For example, in our July 2015 testimony before the House Energy and Commerce Subcommittee on Oversight and Investigations, we noted that DOD had begun to track biosafety and biosecurity incidents at the senior department level, which it had not done prior to the May 2015 incident at Dugway Proving Ground in which incompletely inactivated Bacillus anthracis was inadvertently shipped to other laboratories and contractors worldwide.", "In March 2016, we issued a report that made recommendations to various federal departments and agencies with responsibility for managing BSAT in high-containment laboratories. Some of these recommendations were addressed to DOD. The department concurred with the recommendations on improving oversight mechanisms of high- containment laboratories. In implementing those recommendations, DOD reported in 2016 that it was taking actions, such as revising existing department policies for managing hazardous biological agents in high- containment laboratories; analyzing inspection trends and incident reports to identify recurring issues in safety, security, or administration; requiring routine reporting results from laboratories that are not registered to handle select agents and laboratory incidents; and developing implementation time frames for the recommendations from a July 2015 DOD review of the incident at Dugway Proving Ground.", "Section 218 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 included a provision for us to review DOD\u2019s actions to address findings and recommendations of the Army\u2019s December 2015 investigation report regarding the inadvertent shipment of incompletely inactivated Bacillus anthracis from Dugway Proving Ground, Utah. It also included a provision for us to review DOD\u2019s efforts to implement quality control and assurance measures for the department\u2019s BSAT Biosafety and Biosecurity Program, among other things. This report discusses the extent to which (1) DOD has implemented the recommendations from the Army\u2019s 2015 investigation report and has developed an approach to measure the effectiveness of actions taken to address the recommendations, (2) the Army has implemented the BSAT Biosafety and Biosecurity Program and developed a strategy and implementation plan, (3) the Army has developed measures to ensure that its biological test and evaluation mission remains independent from its biological research and development mission, and (4) DOD has carried out a study and evaluation in compliance with the requirements of section 218, subsection (d), of the NDAA for Fiscal Year 2017.", "For objective one, we reviewed key policy, guidance, and other documents, including the recommendations from the Army\u2019s 2015 investigation report, and assessed the actions that DOD took from May 2015 through May 2018 to address those recommendations. In addition, we reviewed the Standards for Internal Control in the Federal Government and DOD Instruction 5010.40, Managers\u2019 Internal Control Program Procedures, to identify criteria for communicating quality information and performing monitoring and reporting activities.", "For objective two, we obtained and reviewed documentation from DOD officials on current policies, procedures, and directives identifying oversight and governance authorities involved in supporting DOD\u2019s BSAT Biosafety and Biosecurity Program. We compared the actions of the Army to leading practices for strategic planning and the recommendations from the Army\u2019s 2015 investigation report. We interviewed DOD officials from the military services to identify their strategies and efforts in supporting DOD\u2019s plans to effectively manage DOD\u2019s BSAT Biosafety and Biosecurity Program. We also interviewed cognizant officials to identify any biosafety and biosecurity improvements that have been made to DOD laboratories that possess, use, or transfer biological select agents and toxins made since the 2015 incident at Dugway Proving Ground. In addition, we conducted site visits to all six DOD BSAT laboratories, five of which currently are responsible for handling BSAT. We also conducted voluntary facilitated group discussions with small, self-selected groups of laboratory staff at each of these facilities to obtain their views on the effect of the incident at Dugway Proving Ground on covered facilities and on DOD\u2019s subsequent corrective actions.", "For objective three, we reviewed and compared an Army regulation on test and evaluation to an Army general order that directed the reassignment of the West Desert Test Center \u2013 Life Sciences Division at Dugway Proving Ground, Utah, to the U.S. Army Materiel Command Research, Development and Engineering Command \u2013 U.S. Army Edgewood Chemical Biological Center at Aberdeen Proving Ground, Maryland. We also compared that Army regulation to an Army directive that provided guidelines for the transfer of the Life Sciences Division (now known as the BioTesting Division) from Army Test and Evaluation Command to Army Research, Development and Engineering Command\u2019s Edgewood Chemical Biological Center. We conducted interviews with senior staff at the BioTesting Division, the West Desert Test Center, and Edgewood Chemical Biological Center to determine what procedures are in place to ensure that the BioTesting Division\u2019s test and evaluation activities are not being influenced by Edgewood Chemical Biological Center\u2019s research and development efforts.", "For objective four, we compared the relevant requirements from the NDAA for Fiscal Year 2017 contained in section 218, subsection (d), with DOD\u2019s April 2017 report to the congressional defense committees, to determine whether the report included all of the required elements. Specifically, DOD is required to evaluate (1) the feasibility of consolidating covered facilities within a unified command to minimize risk, (2) opportunities to partner with industry on the production of BSAT and related services in lieu of maintaining such capabilities within the Army, and (3) whether BSAT operations should be transferred to another laboratory that may be better suited to execute production for non-DOD customers. We also reviewed our prior reports that evaluated federal oversight of high-containment laboratories and DOD\u2019s management of infrastructure within the CBDP Enterprise, and we toured all six DOD BSAT laboratory facilities to observe the current physical space\u2014both operational and under construction\u2014for handling and testing BSAT. More detailed information on our scope and methodology can be found in appendix I of this report.", "We conducted this performance audit from May 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Biodefense Roles and Responsibilities", "paragraphs": ["Multiple federal departments and agencies\u2014including DOD\u2014have responsibilities as part of their missions to assess the threat of biological agents and carry out key biodefense roles as delineated in Homeland Security Presidential Directive 10, Biodefense for the 21st Century, and the National Strategy for Countering Biological Threats. Since the 2001 anthrax incident, in which powdered Bacillus anthracis spores were deliberately put into letters that were mailed through the U.S. postal system that resulted in five deaths, the federal government has experienced growth and proliferation of research programs to protect public health and agriculture in the event of a natural emergency, man- made biological incident, or act of biological terrorism. DOD laboratories that handle and research deadly pathogens are important components of the U.S. biodefense infrastructure that supports such biological research programs."], "subsections": []}, {"section_title": "The Federal Select Agent Program", "paragraphs": ["Select agent research is subject to federal oversight and regulations and is guided by the principles and practices of biosafety and biosecurity. The Federal Select Agent Program was established to regulate the possession, use, and transfer of BSAT, in response to security concerns following bioterrorism attacks in the 1990s and early 2000s. The Federal Select Agent Program is jointly managed by the Centers for Disease Control and Prevention (CDC), Division of Select Agents and Toxins, within the Department of Health and Human Services (HHS), and the Animal and Plant Health Inspection Service (APHIS), Agriculture Select Agent Services, within the Department of Agriculture (USDA). These two agencies jointly regulate and oversee laboratories in the United States that are registered to work with BSAT. The Federal Select Agent Program also conducts inspections of registered entities for compliance with the select agent regulations."], "subsections": []}, {"section_title": "DOD\u2019s Designated Infrastructure Manager for CBDP, Including BSAT", "paragraphs": ["CBDP was established to develop defense capabilities to protect the warfighter from current and emerging chemical and biological threats. The CBDP Enterprise\u2019s mission is to enable the warfighter to deter, prevent, protect against, mitigate, respond to, and recover from chemical, biological, radiological, and nuclear threats and effects as part of a layered, integrated defense. The CBDP Enterprise conducts research and develops defenses against chemical threats\u2014such as cyanide and mustard gases\u2014and biological threats\u2014such as anthrax and Ebola\u2014and tests and evaluates capabilities and products to protect military forces from them. We reported in June 2015 on the need for DOD to designate an entity to identify, align, and manage its chemical and biological defense infrastructure, which includes its BSAT-related infrastructure. We found that CBDP had not fully identified the infrastructure capabilities required to address threats, had not planned to identify potential duplication without considering information from existing federal studies, and had not updated its guidance and planning process to include specific responsibilities and time frames for risk assessments. As a result, we recommended, among other things, that DOD identify and designate an entity within the CBDP Enterprise with the responsibility and authority to lead the effort to ensure achievement of infrastructure goals, and establish time lines and milestones for achieving the goals it has identified for chemical and biological infrastructure, including the Program Analysis and Integration Office\u2019s 2008 recommendation that the CBDP Enterprise identify its required infrastructure capabilities.", "DOD concurred with all of our recommendations. In response to our recommendations, DOD, among other things, designated an infrastructure manager for CBDP and is implementing a three-phase process to identify and define the roles and responsibilities of the position by the end of 2018.", "As part of its BSAT infrastructure, DOD currently has five covered facilities that contain various laboratories across the military services that possess and handle BSAT. Each of these facilities currently is registered with the Federal Select Agent Program to possess BSAT in the United States. A sixth DOD facility, the BioTesting Division at Dugway Proving Ground, Utah, is working to regain its certification as a covered facility (see fig. 1).", "DOD officials said that other DOD facilities, in addition to these six, are registered with the Federal Select Agent Program to handle BSAT in an emergency outbreak situation. However, according to DOD officials, they do not currently possess BSAT. CBDP officials stated that DOD used to have more facilities that possessed and handled BSAT, but as a result of prior base realignment and closure activities, the department has consolidated its BSAT laboratory capabilities within the six facilities highlighted in figure 1, based on the unique capabilities and missions performed by each facility to support the warfighter. One of these unique capabilities, for example, is the Whole System Live Agent Test Chamber located at the BioTesting Division at Dugway Proving Ground, Utah, a one-of-a-kind chamber designed and constructed primarily for biological agent aerosol testing. For more information on the unique capabilities DOD has identified for each of the DOD laboratories that handle BSAT, scroll over figure 1 to see an interactive display of information on each facility or see appendix II for static images of this information."], "subsections": []}, {"section_title": "BSAT Policies and Guidance", "paragraphs": ["DOD and the military services have issued a number of policies and guidance aimed at ensuring safety and security for BSAT materials and establishing standards for the handling of BSAT within DOD facilities. In particular, DOD issued Instruction 5210.88, Security Standards for Safeguarding Biological Select Agents and Toxins (BSAT), which established security standards for safeguarding BSAT materials and identified roles and responsibilities for BSAT biosecurity. These include oversight responsibilities for the BSAT security program, which is led by the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs. Oversight responsibilities include establishing security standards for safeguarding BSAT, coordinating with the Federal Select Agent Program, and establishing and maintaining a database of all BSAT at DOD covered facilities.", "In response to DOD Instruction 5210.88, each of the military services has received waivers or issued separate policies for securing BSAT materials. The Army has been granted a waiver to its existing policies that are inconsistent with DOD Instruction 5210.88 and, according to Army officials, is in the process of updating its policies to align with the DOD instruction. According to Navy officials, the Navy has been granted waivers while it is updating existing policies that do not currently align with DOD Instruction 5210.88. The Air Force has issued policies directing alignment with the DOD instruction. Further, a national strategy and a number of executive orders and presidential directives have been issued addressing a range of concerns, such as biological defense and safety and security for handling BSAT. For example, in 2010 the President issued an executive order directing federal agencies to harmonize their policies and guidance on BSAT to align them with the select agent regulations in order to mitigate any conflicting direction and promote research and innovation."], "subsections": []}, {"section_title": "The Army\u2019s Investigation into the May 2015 Dugway Incident", "paragraphs": ["In May 2015, DOD discovered that the Life Sciences Division\u2014currently known as the BioTesting Division\u2014at Dugway Proving Ground, Utah, had inadvertently made 575 shipments from 2004 through 2015 of incompletely inactivated Bacillus anthracis\u2014the bacterium that causes anthrax\u2014to 194 laboratories and contractors worldwide (see fig. 2 for locations).", "Laboratory officials at Dugway Proving Ground believed that the samples of Bacillus anthracis (see sidebar) they were shipping had been inactivated\u2014that the hazardous effects of the pathogen had been destroyed, while the pathogen retained characteristics of interest for research purposes. DOD was inactivating samples to support research on the detection, identification, and characterization of biological threats (see fig. 3).", "Anthrax is a serious infectious disease caused by the pathogen known as Bacillus anthracis. This pathogen occurs naturally in soil and commonly affects domestic and wild animals around the world. It can survive in the environment for decades. Contact with Bacillus anthracis can cause severe illness in both humans and animals. The bacteria can multiply, spread out in the body, produce toxins (poisons), and cause severe illness. Humans can be infected by breathing in spores, eating food or drinking water that is contaminated with spores, or getting spores in a cut or scrape in the skin. It is very uncommon for people in the United States to become sick with anthrax. Because Bacillus anthracis is both infectious and exceptionally resilient, it is ideally suited for potential adversaries\u2019 biological weapons programs. Therefore, Department of Defense (DOD) biodefense officials believe that it is critical for the department to have a strong countermeasures program to protect the warfighter against this dangerous pathogen.", "As of March 2018, DOD reported having implemented 18 of 35 recommendations in the Army\u2019s 2015 investigation report. DOD reported that it has actions under way to implement the remaining 17 recommendations. The Secretary of the Army, as Executive Agent for DOD\u2019s BSAT Biosafety and Biosecurity Program, is responsible for implementing the recommendations from the 2015 investigation report. Since 2015, the Army has taken multiple types of actions\u2014including operational, administrative, and personnel actions\u2014to implement the recommendations from the report.", "We asked DOD to characterize the relative priority of the recommendations and describe those actions that have been taken or are under way. DOD reported that", "12 recommendations were considered \u201chigh\u201d priority, 7 of these being assessed as implemented and 5 as in progress,", "18 recommendations were considered \u201cmoderate\u201d priority, 10 of these being assessed as implemented and 8 as in progress, and", "5 recommendations were considered \u201clow\u201d priority, 1 being assessed as implemented and 4 as in progress.", "Appendix III shows the implementation status of the 35 recommendations from the Army\u2019s 2015 investigation report that we reviewed.", "Rather than focus exclusively on the recommendations from the Army\u2019s 2015 investigation report, the BSAT Biorisk Program Office (BBPO) incorporated actions to implement the 2015 recommendations into broader Army efforts to improve biosafety, biosecurity, and overall program management. Appendix IV describes BBPO\u2019s roles and responsibilities. For example, Army Directive 2016-24, Department of Defense Biological Select Agent and Toxins Biosafety Program, incorporates some of the recommendations from the Army\u2019s 2015 investigation report, such as establishing a mentorship program for laboratory staff and others who work with BSAT, as well as directing studies into the science of inactivation of Bacillus anthracis. In addition, the Army has developed implementation guidance to carry out Army Directive 2016-24, which provides clarification on the directive and on the reporting requirements to the BBPO and Executive Agent Responsible Official (hereafter referred to as the EARO) in support of the NDAA for Fiscal Year 2017.", "BBPO officials told us that recommendations from the Army\u2019s 2015 investigation report that are not incorporated in the directive have been or are being addressed through a combination of establishing working groups and, at one time, through a General Officers Steering Committee. This committee monitored implementation through updates to the EARO and the Director of the Army Staff. For example, BBPO officials told us that, from 2016 to 2017, quarterly meetings between the General Officers Steering Committee and the Director of the Army Staff were used to discuss the status of requirements in Army Directive 2016-24. These quarterly meetings also provided status updates on target completion dates for the Army\u2019s 2015 investigation report recommendations that were incorporated in the directive. We found that the quarterly information briefs included information on the status and time frames for implementing recommendations that were incorporated into the Army directive."], "subsections": []}, {"section_title": "BBPO Has Not Yet Developed an Approach to Measure the Effectiveness of Actions Taken to Address Recommendations", "paragraphs": ["In carrying out broader biosafety efforts and implementing recommendations from the Army\u2019s 2015 investigation report as well as recommendations from other entities, BBPO has established processes to track the status of actions that it has taken and monitor time lines for completion by responsible DOD organizations. This helps BBPO understand what actions have been taken and where they fit into a larger plan to improve biosafety at specific facilities and organizations and across the DOD BSAT enterprise.", "According to Standards for Internal Control in the Federal Government, an internal control provides reasonable assurance that the objectives of an entity will be achieved, including the use of ongoing monitoring, evaluations, or a combination of the two to obtain reasonable assurance of the operating effectiveness of the entity\u2019s internal controls over the assigned process. It also states that managers should identify, analyze, and respond to risks. Such evaluations and risk assessments are necessary to help officials understand whether the actions they have taken\u2014or will take\u2014address the situations that prompted the original recommendations.", "We found that BBPO\u2019s approach to planning for and executing actions to implement the 2015 Army recommendations and other recommendations fulfills the monitoring element of the internal control standards. BBPO has not, however, systematically carried out the evaluation element. Based on our review of DOD documentation, such as the quarterly information briefs on status of recommendations, and on subsequent interviews with BBPO officials, we found that BBPO has not developed an approach to assess the effectiveness of each implemented recommendation in achieving its intended purpose. According to DOD officials, BBPO has been focused on implementing not only the recommendations from the 2015 Army investigation report but also its broader efforts for the DOD BSAT Biosafety and Biosecurity Program and has not yet formalized an approach to evaluating the effectiveness of actions taken to address the recommendations from the 2015 Army investigation report.", "There are many ways to assess effectiveness that could assist BBPO in improving its implementation processes. One approach we found related to DOD\u2019s implementation of recommendations for the defense nuclear enterprise provides an example that may be useful. In 2017, we reported on DOD\u2019s process to monitor progress and identify risks while implementing recommendations within the defense nuclear enterprise\u2014a community that, like chemical and biological defense, operates in a low- probability, high-risk environment. In that report, we noted that DOD\u2019s Office of Cost Assessment and Program Evaluation had developed a tracking tool that applied a systematic approach for stating the underlying problem, identifying and overseeing offices of responsibility, implementation actions, milestones, and metrics to measure the effectiveness of the actions taken toward implementing each of the recommendations to support the defense nuclear enterprise. We also found that identifying risks can help an agency to track and measure the completion of tasks over time. This example incorporates both the monitoring and evaluation elements of internal control that we discussed earlier. Measuring the effectiveness of each implemented recommendation would help bolster BBPO\u2019s existing efforts. It would also help BBPO to better determine whether the actions taken are working, whether there are unintended consequences, or if further action is necessary."], "subsections": []}]}, {"section_title": "The Army Has Implemented a BSAT Biosafety and Biosecurity Program but Does Not Have a Completed Strategy and Implementation Plan", "paragraphs": [], "subsections": [{"section_title": "The BSAT Biosafety and Biosecurity Program Is a Broad Effort to Improve Management, Coordination, Safety, and Quality Assurance", "paragraphs": ["In response to the 2015 incident at Dugway Proving Ground and various subsequent DOD and external reviews of management, operational, coordination, safety, and quality assurance incidents between 2004 and 2015, DOD has initiated a broad range of efforts to address these types of incidents and to improve DOD\u2019s BSAT enterprise. The designation of the Army as the DOD Executive Agent for the DOD Biosafety and Biosecurity Program is one example of DOD\u2019s efforts to improve management. Prior to 2015, there was no centralized oversight authority for DOD\u2019s BSAT enterprise. The Secretary of the Army\u2019s designation as the Executive Agent and subsequent delegation of this authority to The Army Surgeon General has, according to BBPO and laboratory officials, resulted in improved coordination and communication across DOD and with the Federal Select Agent Program. According to these same officials, BBPO also has contributed to improved communication between DOD laboratories by establishing working groups and is developing a process for approving standard operating procedures for working with BSAT across the CBDP Enterprise.", "DOD has made key safety improvements by taking a number of actions to address the incident at Dugway Proving Ground and the recommendations from the Army\u2019s 2015 investigation report. These key safety improvements include (1) establishing a DOD Executive Agent and a support office to provide oversight, (2) implementing improved quality control and assurance standards at its covered facilities, (3) developing a new quality management system, (4) conducting additional scientific studies on BSAT inactivation, and (5) taking multiple actions to address requirements associated with Army Directive 2016-24 and the Army\u2019s 2015 investigation report. Appendix V provides detailed information on the key safety improvements DOD has completed in response to the incident at Dugway Proving Ground and the recommendations from the Army\u2019s investigation report.", "According to BBPO officials, in addition to implementing improved quality control and assurance standards at covered facilities, they also have established a quality control and assurance working group to address and track implementation of the recommendations in accordance with the Army\u2019s Implementation Guidance for Army Directive 2016-24 and to implement the quality control and assurance measures from section 218 of the NDAA for Fiscal Year 2017. Further, the EARO has established a BSAT Biorisk and Scientific Review Panel to review and assess biosafety and biosecurity concerns associated with new and existing procedures conducted at DOD BSAT laboratories and to provide recommendations to the EARO on their acceptability for use to enhance biosafety and biosecurity across the DOD BSAT programs.", "To provide additional insights into DOD\u2019s actions to make safety improvements and to better understand the effects of those actions on laboratory staff and operations following the 2015 incident at Dugway Proving Ground, we conducted facilitated discussions with a non- generalizable sample of supervisory and non-supervisory staff at the six DOD laboratories that handled BSAT. We used these facilitated discussions to obtain the views of those laboratory staff who have and will be implementing key biosafety and biosecurity actions from multiple sources. Appendix VI presents selected comments, organized by key themes, from laboratory staff at DOD facilities that handle BSAT in response to actions taken by DOD following the 2015 incident at Dugway Proving Ground. We heard a broad range of views on the effects of the Dugway incidents as well as the effects of subsequent actions to improve the BSAT Biosafety and Biosecurity Program. For example, some individuals were concerned about the effect of administrative requirements on the efficiency of their work, while others believed that the organizational changes made by the Army have improved communication and coordination. We did not validate any of the views expressed to us, but they may be of value to BBPO and officials throughout the BSAT enterprise in considering both how their program efforts are perceived and how best to carry them out."], "subsections": []}, {"section_title": "BBPO Has Not Completed a Strategy and Implementation Plan to Assist the Program in the Long Term", "paragraphs": ["BBPO has begun to develop a draft concept plan to establish roles and responsibilities for the BSAT Biosafety and Biosecurity Program. However, we found that BBPO has not developed a strategy or implementation plan for the long term. BBPO\u2019s draft concept plan identified manpower and funding requirements for the BSAT Biorisk Program Office but did not go further in laying out a strategy and implementation plan. According to BBPO officials, BBPO currently is relying on DOD Instruction 5210.88 as overarching guidance for managing BSAT biosecurity operations and bringing DOD into compliance with Executive Order 13546, Optimizing the Security of Biological Select Agents and Toxins in the United States, and select agent regulations. BBPO also relies on DOD Manual 6055.18-M for managing DOD BSAT biosafety operations. In addition, DOD is in the process of drafting an overarching directive for the combined DOD BSAT Biosafety and Biosecurity Program that will be based on DOD Instruction 5210.88 and DOD Manual 6055.18-M. According to BBPO officials, BBPO plans to develop a multi-service policy to consolidate biosafety and biosecurity initiatives for combined biorisk management and replace Army Directive 2016-24 once the Army has fully implemented its directive. While efforts to develop the draft concept plan and overarching guidance are important, BBPO has not identified long-term goals, objectives, external factors that can affect goals, use of metrics to gauge progress, an evaluation plan for monitoring goals and objectives, and an overall time frame for completion of a strategy and implementation plan.", "According to Office of Management and Budget Circular (OMB) A-11, in addition to fulfilling the requirements of the GPRA Modernization Act of 2010, strategic planning serves a number of important management functions related to achieving an agency\u2019s mission. For example, strategic planning is a valuable tool for communicating a vision for the future and should include goals and objectives that align with resources and guide decision making to accomplish priorities and improve outcomes. An overall strategy would also help to prioritize funding; accomplish priorities to improve outcomes; and coordinate biosafety and biosecurity protocols, practices, and procedures to achieve harmonization across the military services and the DOD BSAT enterprise. To accomplish these things, a strategy and implementation plan can include such things as long-term goals, objectives, external factors that can affect goals, use of metrics to gauge progress, and a time frame for completion.", "BBPO officials acknowledged that they need a strategy and implementation plan for the BSAT Biosafety and Biosecurity Program. They said that once they complete the concept plan, they will develop a strategy that will include specific goals and tasks to support programmatic efforts. They explained that they have not been able to develop a strategy and implementation plan because BBPO still is organizing the office and carrying out its other responsibilities while working toward obtaining stakeholder support for the program.", "As DOD completes a concept plan for the program and turns its attention to a strategy and implementation plan for the program over the long term, BBPO has an opportunity to incorporate the following key elements typically found in such strategies and implementation plans and specified in OMB guidance: long-term goals, objectives, external factors that can affect goals, use of metrics to gauge progress, evaluation of the plan to monitor goals and objectives, and an overall time frame for completion of the strategy and implementation plan. Without a strategy and implementation plan, Dugway Proving Ground and DOD\u2019s currently covered facilities may not be able to determine how to inform DOD\u2019s long- term planning efforts. In addition, components of the DOD BSAT enterprise may remain unclear about the department\u2019s strategy to harmonize BSAT operations to ensure safety, security, and standardization of procedures throughout DOD\u2019s BSAT enterprise. A strategy and implementation plan could also help ensure unity of command among the military services to employ department-wide policies and procedures for managing the biosafety and biosecurity of BSAT. They also could help DOD to identify the capabilities necessary to support laboratory improvements, mitigate biological mishaps similar to the 2015 incident at Dugway Proving Ground, and allocate resources that support the BSAT enterprise."], "subsections": []}]}, {"section_title": "The Army Has Not Fully Institutionalized Measures to Ensure the Independence of Edgewood Chemical Biological Center\u2019s Test and Evaluation Mission", "paragraphs": ["The Army has not fully institutionalized measures to ensure that its biological test and evaluation mission remains independent from its biological research and development mission at Edgewood Chemical Biological Center. This is important for preventing undue influence of test and evaluation procedures on research and development procedures, and vice versa. In April 2016, the Army issued General Order 2016-04 in response to a recommendation from the Army\u2019s Biosafety Task Force, which directed the transfer of the West Desert Test Center \u2013 Life Sciences Division at Dugway Proving Ground, Utah, and its reassignment to the U.S. Army Materiel Command-Research, Development and Engineering Command \u2013 U.S. Army Edgewood Chemical Biological Center at Aberdeen Proving Ground, Maryland. This transfer took place in July 2016, and the former Life Sciences Division was subsequently renamed the BioTesting Division. Edgewood Chemical Biological Center\u2019s traditional mission primarily is focused on research and development, while the West Desert Test Center\u2019s traditional mission is focused on test and evaluation.", "DOD subsequently reported to the congressional defense committees on April 10, 2017, that it had realigned the BioTesting Division in order to place it under staff with more experience in handling BSAT. According to the CBDP\u2019s 2017 Annual Report to Congress, the realignment of the BioTesting Division will enable tracking, reporting, and meeting of audit requirements within an approved framework for managing governance, risks, and compliance. Figure 4 illustrates the transfer of command and control of the BioTesting Division.", "Officials at Edgewood Chemical Biological Center identified a number of steps they have taken and plan to take to address concerns related to potential conflict of interest, including the following: In June 2016, the Army Test and Evaluation Command and Army Research, Development and Engineering Command signed a memorandum of agreement addressing reassignment of the BioTesting Division that lays out roles and responsibilities for test processes and procedures between the two entities. The memorandum also notes that the Research, Development and Engineering Command will develop a mitigation strategy for conflicts of interest when Edgewood Chemical Biological Center is the developer and the BioTesting Division is the tester.", "In November 2017, Edgewood Chemical Biological Center elevated the BioTesting Division from a branch to a division to raise its visibility and alleviate concerns about independence between the test and evaluation functions and the research and development functions of Edgewood Chemical Biological Center.", "However, as of March 2018, the Army has not institutionalized measures, such as policies, standard operating procedures, protocols, and roles and responsibilities to ensure independence between the biological research and development mission and the test and evaluation mission. Specifically, the Army has not provided any measures beyond the memorandum of agreement that acknowledged the potential for conflict of interest, such as the conditions under which one or more officials\u2014even without intent\u2014exercises undue influence of test and evaluation mission procedures on research and development procedures. The Army also recognizes the need for a mitigation strategy\u2014to ensure independence between the biological research and development function and the test and evaluation function that takes the transfer of command and control into account. The memorandum of agreement does not contain, for example, criteria that distinguish the mission requirements for operational test and evaluation for the BioTesting Division from the mission requirements for research and development, and risk management guidelines to mitigate risks associated with potential conflicts of interest between the Edgewood Chemical Biological Center research and development mission and the BioTesting Division\u2019s test and evaluation mission.", "Army officials explained that a mitigation strategy has not been developed\u2014and that there is no time frame for developing such a strategy\u2014because there is no testing of BSAT materials under way at the BioTesting Division, since its BSAT registration has been withdrawn. According to Army officials, this condition could last for at least 1 to 2 years. While a mitigation strategy to prevent potential conflict of interest is envisioned by the memorandum of agreement, Edgewood Chemical Biological Center officials currently are focused on re-registering the BioTesting Division with the Federal Select Agent Program and bringing it back up to full operational capability. A senior official at Edgewood Chemical Biological Center acknowledged that the risk to independence between Edgewood Chemical Biological Center and the BioTesting Division is an issue that remains unresolved and there are currently no measures in place to prevent potential conflict of interest.", "According to Army Regulation 73-1, Test and Evaluation: Test and Evaluation Policy, independence is important to ensure that the decision maker is provided with, for example, unbiased, objective advice about the status of the development of a system. In addition, as we have reported, independence between research and development functions and test and evaluation functions is key to the effectiveness of operational test and evaluation. We have reported long-standing conflicts between the research and development mission and the test and evaluation mission when there is a lack of independence, including (1) how many and what types of tests to conduct; (2) when testing should occur; (3) what data to collect, how to collect it, and how best to analyze it; and (4) what conclusions are supportable given the analysis and the limitations of the test program.", "One example where the Army considered a potential conflict of interest was between the Army Test and Evaluation Command\u2019s chemical test and evaluation mission and Edgewood Chemical Biological Center\u2019s chemical research and development mission. Specifically, Army Directive 2016-24 directed the Army Test and Evaluation Command to conduct a separate evaluation to determine whether to transfer the \u201cremaining elements,\u201d that is, the chemical mission, from West Desert Test Center to Edgewood Chemical Biological Center. Officials from the Army Test and Evaluation Command stated that after developing alternative courses of action, they decided\u2014in contrast to their decision on the biological mission\u2014to keep the chemical mission under the Army Test and Evaluation Command rather than transferring it to the Edgewood Chemical Biological Center. According to officials at the Army Test and Evaluation Command, the transfer of operational command and control of their chemical mission could create an independence issue by placing the chemical test and evaluation function within the same command as the research and development function. The chemical mission represents a major operational command and control element of the Army Test and Evaluation Command.", "Without measures in place to preserve independence\u2014such as criteria that establish mission requirements for operational test and evaluation for the BioTesting Division or risk management guidelines\u2014there is a potential risk to the independence of the testing and evaluation mission conducted by the BioTesting Division. For example, the BioTesting Division might be compelled to prioritize the testing of Edgewood Chemical Biological Center products over those of other DOD and non- DOD customers. Officials in the Army Test and Evaluation Command stated that the transfer of the biological test and evaluation mission may increase the complexity of the evaluation mission by requiring additional coordination. Furthermore, the BioTesting Division\u2019s procedures on particular efforts could be influenced, resulting in test and evaluation that may not be objective or reliable. Without developing measures to prevent conflicts of interest, the Army will not have reasonable assurance of the independence of the BioTesting Division\u2019s test and evaluation mission."], "subsections": []}, {"section_title": "DOD Has Not Completed the Study and Evaluation Required by the NDAA for Fiscal Year 2017 to Determine Specific Infrastructure Needs for the BSAT Program", "paragraphs": ["DOD has not completed its BSAT infrastructure study to determine its infrastructure needs, as required by the NDAA for Fiscal Year 2017. DOD was to report to the congressional defense committees by February 1, 2017, among other things, on the results of its study to evaluate (1) the feasibility of consolidating covered facilities within a unified command to minimize risk, (2) opportunities to partner with industry for the production of BSAT and related services in lieu of maintaining such capabilities within the Army, and (3) whether operations under the BSAT production program should be transferred to another government or commercial laboratory that might be better suited to produce BSAT for non-DOD customers. Moreover, Standards for Internal Control in the Federal Government provides specific guidance to federal agencies on how to communicate clearly defined objectives that are to be achieved\u2014 including time frames for completing those objectives\u2014and to inform decision makers in a timely manner.", "DOD provided a report to the congressional defense committees on April 10, 2017, stating that the department is still identifying its BSAT infrastructure requirements. However, as of March 2018, CBDP officials acknowledged that these study efforts are still ongoing and that there are no estimated time frames for completing any of them. DOD officials stated that they are focusing on identifying enterprise-wide infrastructure for CBDP, of which BSAT infrastructure is just one part. Officials explained that they have prioritized their efforts to first address the recommendations from our 2015 report, which included calling for DOD to designate an entity to take responsibility for CBDP Enterprise infrastructure. CBDP officials stated that when they established the infrastructure manager position, they decided to study CBDP Enterprise infrastructure from a \u201cclean slate\u201d and leverage lessons learned from previous studies. According to DOD officials, this information will be used to identify any capability gaps, right-size the CBDP Enterprise infrastructure, and support DOD\u2019s final report to Congress regarding BSAT infrastructure.", "Regarding DOD\u2019s first required task\u2014to study the feasibility of consolidating covered facilities within a unified command to minimize risk\u2014DOD officials stated that study efforts are ongoing and highlighted initial consolidation actions the department has taken. Specifically, DOD officials stated that (1) DOD had established the Secretary of the Army as Executive Agent to further consolidate command oversight of DOD\u2019s BSAT Biosafety and Biosecurity Program and (2) the Army had transferred the command and control of the BioTesting Division from the Army Test and Evaluation Command to Edgewood Chemical Biological Center, as previously discussed.", "Regarding DOD\u2019s second required task, DOD officials stated that the Army and DOD have not yet begun any specific studies on opportunities to partner with industry to produce BSAT and related services as an alternative to maintaining these capabilities within the Army. CBDP officials stated that they continually look for opportunities to partner with industry on production. CBDP officials told us that they plan to determine if there are opportunities to partner with industry after the CBDP Enterprise-wide study effort is completed. In the meantime, officials highlighted that the Army\u2019s Defense Biological Product Assurance Office within the Joint Program Executive Office for Chemical and Biological Defense\u2014formerly known as the Critical Reagents Program\u2014has taken action to study its office\u2019s BSAT-related commercial product line, which has resulted in the office divesting itself of inactivated BSAT materials.", "Regarding the third required task, the NDAA for Fiscal Year 2017 required DOD to study whether BSAT production operations should be transferred to another government or commercial laboratory that might be better suited to produce BSAT for non-DOD customers. DOD reported that it has taken steps to support a future decision on this issue and, according to DOD officials, once it has completed the CBDP Enterprise- wide study of infrastructure capabilities and capacity, it will determine whether the BSAT community needs to transfer any part of its production to another entity. With regard to the production of BSAT for non-DOD customers, Army officials stated that when the BioTesting Division at Dugway Proving Ground becomes fully operational and re-registers with the Federal Select Agent Program in fiscal year 2019, it will no longer be producing and shipping BSAT to non-DOD customers. The Army took steps to address the issue prior to the NDAA for Fiscal Year 2017. Specifically, in August 2015, the Army established a Biosafety Task Force working group that examined, among other things, DOD\u2019s covered facilities and options for locations for producing BSAT. Subsequently, in February 2016, the Army recommended that additional analysis be conducted before any decision is made to change the current BSAT laboratory infrastructure. Appendix VII shows what DOD has reported and completed in response to the requirements in the NDAA for Fiscal Year 2017.", "The NDAA for Fiscal Year 2017 is not the first time that DOD has been directed to review its BSAT infrastructure. Biosafety, biosecurity, and biodefense issues have been long-standing concerns for the nation. We found that the federal government\u2014including DOD\u2014has spent over a decade studying biosafety and biosecurity issues, including BSAT infrastructure. DOD has contributed to and is continuing to support a number of federal efforts regarding size, safety, security, and oversight of high-containment laboratories across the United States, including the efforts of the Federal Experts Security Advisory Panel and Fast Track Action Committee to examine the size and scope of laboratories working with BSAT across the United States. Appendix VIII describes and provides a summary of selected federal panels, task forces, and working groups that have examined biosafety, biosecurity and biodefense issues since 2004. (Our prior reports related to these matters are included in Related GAO Products at the end of this report.)", "According to CBDP officials, once CBDP gathers information on the capacity and needs of its enterprise-wide infrastructure and determines where there are capability gaps, it anticipates providing a report to the congressional defense committees. These officials said that the report will provide information on whether DOD should consolidate or transfer infrastructure and opportunities to partner with industry on BSAT. The EARO has periodically met with congressional authorizers, according to BBPO officials, to provide programmatic updates on the DOD BSAT Biosafety and Biosecurity Program. However, CBDP officials stated that they have not provided an update to the congressional defense committees on the results of the study efforts since they issued their preliminary report on April 10, 2017. In addition, CBDP officials told us that they do not have an estimated time frame for when they will be able to provide the final report on the results of the study of BSAT infrastructure. DOD has reported that its mandated study efforts on BSAT-related infrastructure still are ongoing because DOD is focused first on identifying CBDP Enterprise-wide infrastructure and has no estimated time frames for completing the mandated study. Unless DOD establishes time frames for finalizing its study, decision makers will not have reasonable assurance that DOD is taking the necessary steps in a timely manner to provide the required BSAT infrastructure CBDP needs to support the warfighter."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The inadvertent shipments of incompletely inactivated Bacillus anthracis from Dugway Proving Ground, according to the Army\u2019s 2015 investigation report, constituted serious breaches of regulations and raised biosafety and biosecurity concerns. Since then, DOD has taken steps to improve biosafety and biosecurity and made significant progress in addressing the recommendations from the Army\u2019s investigation report. The department currently has an opportunity to take several additional management actions that, if implemented fully, will help it capitalize on the progress that it has made. Addressing the gap in assessing how effectively the recommendations and actions taken address the original condition and contributing factors they were intended to resolve would bolster the Army\u2019s long-term efforts. The Army could incorporate such an approach into its existing processes to monitor the implementation of recommendations from the Army\u2019s 2015 investigation report.", "The Army clearly has a concept in mind for the BSAT Biosafety and Biosecurity Program. However, that concept does not constitute a strategy and implementation plan that identifies specific long-term goals, objectives, external factors that can affect goals, and tasks to support programmatic efforts through the use of metrics to gauge progress; milestones; an evaluation of the plan; and an overall time frame for completion. Without a strategy and implementation plan, the Army may not be able to harmonize BSAT operations to ensure safety, security, and standardization of procedures throughout DOD\u2019s BSAT enterprise.", "The Army recognizes that the transfer of operational command and control of the BioTesting Division from West Desert Test Center at Dugway Proving Ground, Utah, to Edgewood Chemical Biological Center at Aberdeen Proving Ground, Maryland, could result in unintended consequences, such as a potential risk to the independence of the testing and evaluation mission. However, although Army officials said they intend to develop a strategy to mitigate this risk, there is no time frame for doing so, because there is no testing under way at the BioTesting Division and there will be none for at least 1 to 2 years. This hiatus in testing should not preclude Army efforts to develop a mitigation strategy. Without measures in place to prevent or mitigate a risk to independence, the transfer of operational command and control could ultimately compromise the quality of future technologies used by the warfighter.", "Finally, DOD is focusing on identifying the enterprise-wide infrastructure necessary for CBDP. However, it has not yet determined time frames for completion of the study required by the NDAA for Fiscal Year 2017 related to consolidation of command, transfer of BSAT production responsibilities, and opportunities to partner with industry for the production of BSAT. Without time frames for reporting on the final results of this study, DOD is unable to provide decision makers with key information needed to determine infrastructure requirements for the BSAT program and contribute to federal-level efforts to determine the appropriate number of high-containment laboratories in the United States."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Department of Defense: The Secretary of the Army should ensure that The Surgeon General of the Army, as the EARO for DOD\u2019s BSAT Biosafety and Biosecurity Program, incorporates into existing processes an approach for assessing how effectively the recommendations from the Army\u2019s 2015 investigation report address the original condition and contributing factors that they were intended to resolve. (Recommendation 1)", "The Secretary of the Army should ensure that The Surgeon General of the Army, as the EARO for DOD\u2019s BSAT Biosafety and Biosecurity Program, develops a strategy and implementation plan for the DOD BSAT Biosafety and Biosecurity Program that includes long-term goals, objectives, external factors that can affect goals, use of metrics to gauge progress, an evaluation plan for monitoring goals and objectives, and a time frame for completion. (Recommendation 2)", "The Secretary of the Army should ensure that the Commander of Army Materiel Command establishes measures to prevent the potential risk to independence posed by transferring operational command and control of the BioTesting Division from West Desert Test Center to the Edgewood Chemical Biological Center. Such measures could include, for example, criteria that establish mission requirements for operational test and evaluation for the BioTesting Division, in accordance with DOD and Army regulations, and risk management guidelines to mitigate risks associated with potential conflicts of interest between the Edgewood Chemical Biological Center research and development mission and the BioTesting Division\u2019s test and evaluation mission. (Recommendation 3)", "The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Chemical and Biological Defense establishes time frames to complete the study and its evaluations required by the NDAA for Fiscal Year 2017, Section 218(d), regarding the feasibility of consolidating covered facilities within a unified command, opportunities to partner with other industry for the production of BSAT, and transfer of BSAT production responsibilities. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In written comments on a draft of this report, DOD concurred with all four of our recommendations, discussed actions it is taking and plans to take to implement them, and provided target dates for completing implementation of these actions. The full text of DOD\u2019s written comments are reprinted in appendix IX. DOD also provided us with several technical comments, which we incorporated in the report, as appropriate. We believe these actions, if fully implemented, will address our recommendations.", "USDA and HHS did not provide formal agency comments on a draft of this report, but provided us with a technical comment, which we incorporated in the report, as appropriate.", "We are sending copies of this report to the congressional defense committees as well as other appropriate congressional committees; the Secretaries of Defense, Agriculture, and Health and Human Services; the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs; the Deputy Assistant Secretary of Defense for Chemical and Biological Defense; the Department of Defense Inspector General; the Secretaries of the Army, the Air Force, and the Navy and the Commandant of the Marine Corps; the Directors, Centers for Disease Control and Prevention and Animal and Plant Health Inspection Service; and other cognizant officials, as appropriate. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact Joseph Kirschbaum at (202) 512-9971 or KirschbaumJ@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The National Defense Authorization Act (NDAA) for Fiscal Year 2017 included a provision for us to report on the Department of Defense\u2019s (DOD) actions to address findings and recommendations of the Army\u2019s December 2015 investigation report (hereafter, the Army\u2019s 2015 investigation report) regarding the inadvertent shipment of incompletely inactivated Bacillus anthracis from Dugway Proving Ground, Utah. It also included a provision for us to report on DOD\u2019s efforts to implement quality control and assurance measures for the department\u2019s Biological Select Agents and Toxins (BSAT) Biosafety and Biosecurity Program, among other things. This report discusses the extent to which (1) DOD has implemented the recommendations from the Army\u2019s 2015 investigation report and has developed an approach to measure the effectiveness of actions taken to address the recommendations, (2) the Army has implemented the BSAT Biosafety and Biosecurity Program and developed a strategy and implementation plan, (3) the Army has developed measures to ensure that its biological test and evaluation mission remains independent under its biological research and development mission, and (4) DOD has carried out a study and evaluation in compliance with the requirements contained in section 218, subsection (d), of the NDAA for Fiscal Year 2017.", "To determine how DOD has implemented the recommendations from the Army\u2019s 2015 investigation report and has developed an approach to measure the effectiveness of actions taken to address the recommendations, we reviewed the Army\u2019s 2015 investigation report recommendations and assessed the subsequent actions that DOD had taken to address those recommendations. To determine whether specific recommendations have been addressed, we analyzed guidance that DOD and the Army issued to instruct department and military service activities on roles and responsibilities and implementation efforts to support DOD\u2019s BSAT Biosafety and Biosecurity Program, such as DOD Instruction 5210.88, Security Standards for Safeguarding Biological Select Agents and Toxins (BSAT); Army Directive 2016-24, Department of Defense Biological Select Agent and Toxins Biosafety Program; and Implementation Guidance for Army Directive 2016-24. We also analyzed supporting documentation from DOD officials to demonstrate how those specific recommendations were addressed.", "As of March 2018, DOD had designated a priority level and had updated the completion status of its implementation for each of the 35 of 39 recommendations from the Army\u2019s 2015 investigation report that we reviewed. This update and priority level designation was conducted at our request. We also asked that DOD provide us with milestones and risk assessments associated with the implementation of the recommendations from the Army\u2019s investigation report. However, DOD was unable to provide this information. (We did not review the 4 recommendations in the investigation report that pertain to individual accountability.) We interviewed cognizant DOD and military service officials to obtain their perspectives on efforts to address the recommendations in response to the 2015 incident at Dugway Proving Ground. In addition, we reviewed Standards for Internal Control in the Federal Government and DOD Instruction 5010.40, Managers\u2019 Internal Control Program Procedures to identify criteria for communicating quality information and performing monitoring and reporting activities.", "To determine the extent to which the Army has implemented the BSAT Biosafety and Biosecurity Program and developed a strategy and implementation plan, we obtained documentation from DOD officials on current policies, procedures, and directives identifying oversight and governance authorities involved in supporting DOD\u2019s BSAT Biosafety and Biosecurity Program. Also, we obtained examples of working groups responsible for developing quality control and assurance guidance and standard operating procedures for working with BSAT in DOD laboratories and across the Chemical and Biological Defense Program (CBPD) Enterprise. In addition, we compared the actions of the BSAT Biorisk Program Office (BBPO), such as developing the draft Department of Defense Biological Select Agents and Toxins Biorisk Program Office Concept Plan, to leading practices for sound management identified in the GPRA Modernization Act of 2010, and the Army\u2019s 2015 investigation report recommendations. Further, we interviewed DOD officials from the military services to determine their strategies and efforts in supporting DOD\u2019s plans to effectively manage DOD\u2019s BSAT Biosafety and Biosecurity Program. We also interviewed cognizant officials to determine any biosafety and biosecurity improvements made since the 2015 incident at Dugway Proving Ground.", "We toured all six DOD BSAT laboratory facilities, five of which currently are responsible for handling BSAT, to observe the current physical space\u2014both operational and under construction\u2014for handling and testing BSAT. These site visits were conducted at the (1) BioTesting Division, Dugway Proving Ground, Utah; (2) Edgewood Chemical Biological Center, Aberdeen Proving Ground, Maryland; (3) U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, Maryland; (4) Naval Medical Research Center, Fort Detrick, Maryland; (5) Chemical, Biological, and Radiological Defense Division, Naval Surface Warfare Center \u2013 Dahlgren Division, Dahlgren, Virginia; and (6) 711th Human Performance Wing, Wright \u2013 Patterson Air Force Base, Ohio.", "We also conducted facilitated discussions between September 2017 and November 2017 with groups of laboratory non-supervisory staff at each of the six DOD BSAT laboratories\u2014five of which currently are responsible for handling BSAT\u2014to obtain their views of the effects of the 2015 discovery at Dugway Proving Ground and the subsequent investigation and management actions to respond to identified problems. Generally, discussion groups are designed to obtain in-depth testimonial information about participants\u2019 views, opinions, and/or experiences on specific issues, which cannot be easily obtained from single interviews. In preparation for each discussion group, we asked the leadership at each of the six DOD laboratories to distribute our e-mail inviting all laboratory staff to participate in an on-site discussion group. These small groups consisted of self-selected volunteers, and were not random samples of research staff at each of these laboratories. The number of non-supervisory laboratory staff participants in each group ranged from 3 to 17 and totaled 44 participants.", "A GAO team member facilitated each discussion group, using a structured discussion guide with open-ended questions. The team did not record the discussions. Instead, multiple GAO team members took notes of the discussion, without ascribing comments to specific individuals.", "We later summarized the information collected for each discussion group and identified recurring themes. We did not design these discussion groups to provide results that were generalizable to the whole research staff at each laboratory. Laboratory staff who did not participate in these discussion groups may have different opinions and observations from those who participated in our discussion groups. Moreover, while we designed our discussion method to encourage participants to offer whatever comments they wished, we cannot assume that participants mentioned all of the effects that may have influenced their laboratory activities since 2015.", "We also reviewed our prior work on the management of hazardous biological agents in high-containment laboratories at federal departments and agencies, including DOD. A list of related GAO products on high- containment laboratories is included in the Related GAO Products pages at the end of this report.", "To examine the extent to which DOD has developed measures to ensure that the BioTesting Division\u2019s test and evaluation mission remains independent from the research and development mission that resides at Edgewood Chemical Biological Center, we reviewed and compared Army Regulation 73-1 on testing and evaluation to Army General Order 2016-04, which first directed the transfer of the Life Sciences Division\u2014 later renamed the BioTesting Division\u2014from the Army Test and Evaluation Command to Edgewood Chemical Biological Center. We also compared AR 73-1 to Army Directive 2016-24, Department of Defense Biological Select Agent and Toxins Biosafety Program, which provided additional guidelines for this transfer. We also reviewed the memorandum of agreement between the Army Test and Evaluation Command and the Army Research, Development and Engineering Command to assess plans, roles, and responsibilities for transfer and reassignment of the BioTesting Division from the West Desert Test Center to the Edgewood Chemical Biological Center. We also conducted interviews with senior staff at the BioTesting Division, the West Desert Test Center, and the Edgewood Chemical Biological Center to determine what procedures are in place to ensure that the BioTesting Division\u2019s test and evaluation activities are not being influenced by the Edgewood Chemical Biological Center\u2019s research and development efforts.", "To examine the extent to which DOD has carried out a study and evaluation in compliance with the requirements contained in section 218, subsection (d), of the NDAA for Fiscal Year 2017, we compared the relevant requirements from the NDAA for Fiscal Year 2017 with DOD\u2019s April 10, 2017, report to the congressional defense committees to determine whether the report included all of the required elements concerning consolidation, transfer, and opportunities to partner with industry on the production of BSAT. We also obtained\u2014through interviews with agency and written responses\u2014the status of DOD\u2019s efforts to address NDAA for Fiscal Year 2017 concerning infrastructure requirements for the BSAT program and enterprise-wide infrastructure for CBDP. We reviewed the Standards for Internal Control in the Federal Government to identify criteria providing guidance to federal agencies to communicate clearly defined objectives that are to be achieved, including time frames for completing those objectives and informing decision makers.", "Information used in our analysis primarily covers the period from May 2015 through July 2018 and the information is the most recent available. We included budget information from fiscal year 2016 to fiscal year 2018. To conduct our work, we obtained documentation and interviewed cognizant officials from DOD organizations, offices, and military commands responsible for funding, managing, and overseeing the production, handling, testing, and shipment of BSAT; the Departments of Health and Human Services (HHS) and Agriculture (USDA) agencies that manage the Federal Select Agent Program, which jointly regulate and oversee covered entities in the United States that are registered to possess, use, and transfer BSAT; and all six DOD BSAT laboratories, five of which currently are responsible for handling BSAT. See below for a complete list of organizations and agencies."], "subsections": [{"section_title": "Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Department of Health and Human Services", "paragraphs": ["Centers for Disease Control and Prevention, Atlanta, Georgia We conducted this performance audit from May 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Static Images and Information for Map of Department of Defense Biological Select Agents and Toxins Laboratories", "paragraphs": ["ECBC fosters research, development, testing, and application of technologies for protecting warfighters, first responders, and the nation from chemical and biological warfare agents. ECBC currently is developing better ways to remotely detect these chemical and biological materials and technologies to counter everything from homemade explosives to biological aerosols to traditional and non-traditional chemical hazards.", "USAMRIID\u2019s mission is to provide leading edge medical capabilities to deter and defend against current and emerging biological threat agents. USAMRIID has the largest BSAT program within DOD and is committed to protecting U.S. Armed Forces from biological threats worldwide by conducting a range of efforts in the research and development of medical countermeasures and other technologies to prevent or mitigate the health effects of biological agents and emerging diseases.", "ECBC BioTesting Division, Dugway Proving Ground\u2019s primary mission is to support the Chemical Biological Defense Program through test and evaluation of biological systems, methodologies, and any associated need that requires biological capabilities. ECBC Dugway possesses the Whole System Live Agent Test Chamber, a high capacity, one-of-a-kind biological agent aerosol containment chamber designed and constructed primarily for biological warfare agent aerosol-detection system testing.", "The Chemical, Biological, Radiological Defense Division at NSWCDD provides full-spectrum life cycle support for chemical, biological, and radiological detection, protection, decontamination, and modeling and simulation systems. This mission includes shipboard, fixed-site, and expeditionary chemical, biological, and radiological defense applications. NSWCDD maintains the only Navy Biological Safety Level-3 laboratory devoted to non-medical chemical, biological, and radiological defense applications, and is a leader in chemical and biological decontamination research, centering on the decontamination of Bacillus anthracis.", "The Biological Defense Research Directorate at the Naval Medical Research Center serves as a national resource providing testing and analysis for the presence of potential biological hazards. The researchers are considered leaders in the field of detection, including hand-held assays, molecular diagnostics, and confirmatory analysis.", "The 711th Human Performance Wing conducts research on technologies for the rapid detection of chemical, biological, and radiological events; hyperbaric medical research; and light, durable intensive care capabilities for aeromedical evacuation. It also has the nation\u2019s only Radiological Assessment Teams available for 24/7 deployment."], "subsections": []}, {"section_title": "Appendix III: Actions Taken to Implement Recommendations from the Army\u2019s 2015 Investigation Report as of March 2018", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2017 contained a provision for us to review the actions taken by the Department of Defense (DOD) to address the findings and recommendations of the Army\u2019s 2015 investigation report regarding the incident at Dugway Proving Ground, including any actions taken to address the culture of complacency in the biological select agents and toxins (BSAT) program that was identified in the report.", "As of March 2018, DOD had designated a priority level and had updated the completion status of its implementation for each of the 35 of 39 recommendations from the Army\u2019s 2015 investigation report that we reviewed. This update and priority level designation was conducted at GAO\u2019s request. We also asked that DOD provide us with milestones and risk assessments associated with the implementation of the recommendations from the Army\u2019s investigation report. However, DOD was unable to provide this information. We did not review the 4 recommendations in the investigation report that pertain to individual accountability. Of the 35 recommendations, DOD officials identified 12 as high priority, 18 as moderate priority, and 5 as low priority. DOD officials also provided us with an update of the completion status for implementation of each of the recommendations. Of those 35 recommendations, DOD officials indicated that 18 had been completed and 17 were in progress. (We did not independently assess whether each recommendation and DOD\u2019s subsequent actions addressed the problems identified in the Army\u2019s report.) Table 2 lists the 35 recommendations (tasks) by category, the priority assigned to each recommendation by DOD, the reported actions DOD has taken to address them, and the completion status DOD has reported for each as of March 2018."], "subsections": []}, {"section_title": "Appendix IV: Delegation of Authority for the Biological Select Agents and Toxins Biosafety and Biosecurity Program", "paragraphs": ["The Deputy Secretary of Defense designated the Secretary of the Army on July 23, 2015, as the Executive Agent for the Department of Defense\u2019s (DOD) Biological Select Agents and Toxins (BSAT) Biosafety Program. According to DOD Instruction 5210.88, the Secretary of the Army is responsible for performing technical reviews and conducting inspections, and harmonizing protocols and procedures across DOD laboratories that handle BSAT.", "DOD used a sequential delegation of authority to establish leadership roles and responsibilities initially for the DOD BSAT Biosafety Program and subsequently for the DOD BSAT Biosecurity Program. First, on October 26, 2015, the Secretary of the Army designated The Surgeon General of the Army as the Executive Agent Responsible Official (EARO) for the DOD BSAT Biosafety Program to consolidate oversight of BSAT biosafety operations across the department. Second, on December 9, 2016, The Surgeon General of the Army further delegated EARO authority to the Commanding General, U.S. Army Medical Research and Materiel Command, for the DOD BSAT Biosafety Program. Third, on January 3, 2017, the Deputy Secretary of Defense designated the Secretary of the Army as the DOD Executive Agent for the BSAT Biosecurity Program. Fourth, on March 31, 2017, the Secretary of the Army further designated The Surgeon General of the Army as the EARO for the DOD BSAT Biosecurity Program. Finally, on May 30, 2017, The Surgeon General of the Army delegated EARO responsibility for the DOD BSAT Biosecurity Program to the Commanding General, U.S. Army Medical Research and Materiel Command.", "Army Directive 2016-24, Department of Defense Biological Select Agent and Toxins Biosafety Program, directs The Surgeon General of the Army to coordinate with the Office of the Deputy Assistant Secretary of Defense for Chemical and Biological Defense for requirements and resources\u2014 including force structure, manpower, and infrastructure\u2014and to prioritize resources for research requirements to advance the field of BSAT biosafety. Figure 10 shows the alignment and organization of offices within DOD and the military services that are responsible for carrying out and supporting the Chemical and Biological Defense Program Enterprise.", "According to BSAT Biorisk Program Office (BBPO) officials, BBPO was established in March 2016 to support the EARO in its oversight of DOD\u2019s BSAT Biosafety and Biosecurity Program and implementation of tasks and recommendations in Army Directive 2016-24. BBPO manages a scientific review panel, inspection of DOD laboratories, harmonization of DOD\u2019s BSAT-related regulations and procedures, and coordination of interaction and information with the Federal Select Agent Program. BBPO also is responsible for establishing a system to track and manage BSAT and BSAT-related products across DOD, providing oversight for laboratory biosafety, and advancing BSAT-related scientific research to address knowledge gaps. According to DOD officials, in fiscal year 2016, BBPO received approximately $805,000 for operation costs; in fiscal year 2017, BBPO received approximately $2 million. In addition, in fiscal year 2018, BBPO received approximately $2 million.", "As part of BBPO\u2019s oversight responsibilities, it acts as a single point of contact for coordinating with the Federal Select Agent Program. In June 2017, the EARO and the directors of the Centers for Disease Control and Prevention, Division of Select Agents and Toxins, and the Animal and Plant Health Inspection Service (APHIS), Agriculture Select Agent Services, on behalf of the Federal Select Agent Program, executed a memorandum of understanding that articulates agency responsibilities. This memorandum includes (1) oversight coordination, (2) Centers for Disease Control and Prevention and APHIS notifying DOD BSAT Biosafety and Biosecurity Programs of any referrals of a DOD-registered entity to the Department of Health and Human Services Office of Inspector General that may involve compliance violations with select agent regulations, and (3) facilitating coordinated inspections. For example, according to BBPO officials, BBPO receives every inspection report and reviews it for DOD-wide implications.", "The Army has established a joint service inspection program that is led by the Department of the Army Inspector General. That office, according to BBPO officials, has worked closely with the Federal Select Agent Program in coordination with BBPO to enhance the effectiveness of joint inspections and unannounced or short-notice inspections. According to an Army official, the Department of the Army Inspector General coordinates with the other military services\u2019 Inspectors General, who identify subject matter experts with operational experience to serve on every joint service inspection team.", "In addition, BBPO officials told us that, as part of its oversight and coordination responsibilities, the office established the BSAT Biorisk and Scientific Review Panel, which was formally chartered in August 2017. This panel is charged with convening at least twice a year to review and assess biosafety, biosecurity, and technical concerns associated with currently established and new procedures conducted at DOD BSAT laboratories. The panel will review and assess scientific evidence that supports the mitigation of biosafety risks and provide recommendations to the EARO on approval of new or existing laboratory procedures. It also serves in an advisory capacity to the EARO on any matters that pertain to biosafety and biosecurity associated with BSAT-related research."], "subsections": []}, {"section_title": "Appendix V: The Department of Defense Has Made Key Safety Improvements by Implementing Recommendations", "paragraphs": ["The Department of Defense (DOD) has made key safety improvements by taking a number of actions to address the incident at Dugway Proving Ground and the recommendations from the Army\u2019s 2015 investigation report. Key safety improvements include (1) establishing a DOD Executive Agent and a support office to provide oversight, (2) implementing improved quality control and assurance standards at its covered facilities, (3) developing a new quality management system, (4) conducting additional scientific studies on biological select agents and toxin (BSAT) inactivation, and (5) taking multiple actions to address Army Directive 2016-24 and the Army\u2019s 2015 investigation report. These safety improvements are discussed below in more detail."], "subsections": [{"section_title": "DOD Has Established an Executive Agent for DOD\u2019s BSAT Biosafety and Biosecurity Program", "paragraphs": ["One of the key safety improvements DOD took in response to the incident at Dugway Proving Ground was to establish an Executive Agent for the BSAT Biosafety and Biosecurity Program (see appendix IV). Specifically, at the direction of the Deputy Secretary of Defense, the Secretary of the Army was designated in July 2015 as the Executive Agent for DOD\u2019s BSAT Biosafety Program, and subsequently in January 2017 as the Executive Agent for the DOD BSAT Biosecurity Program. In October 2015, the Secretary of the Army further designated The Surgeon General of the Army as the Executive Agent Responsible Official for the DOD BSAT Biosafety Program to consolidate oversight of BSAT biosafety operations across the department. The Secretary of the Army, as outlined in DOD Instruction 5210.88, is responsible for performing technical reviews, conducting inspections, and harmonizing protocols and procedures across DOD laboratories that handle BSAT."], "subsections": []}, {"section_title": "DOD Has Improved Quality Control and Assurance at Dugway Proving Ground and Currently Covered Facilities", "paragraphs": ["Another key safety improvement DOD took in response to the incident at Dugway Proving Ground was to improve quality control and assurance at Dugway and other DOD facilities that currently handle BSAT. The Army\u2019s 2015 investigation report made several recommendations to the Army to enhance and improve quality control and assurance at Dugway Proving Ground. These included (1) establishing a quality control and assurance manager, (2) carrying out an environmental sampling and inspection program, and (3) developing and enhancing the video surveillance program. BSAT Biorisk Program Office (BBPO) officials explained that the DOD BSAT laboratories had some quality control and assurance measures in place prior to the National Defense Authorization Act (NDAA) for Fiscal Year 2017.", "The quality control and assurance recommendations from the Army\u2019s 2015 investigation report, which initially applied only to Dugway Proving Ground, were subsequently enacted in section 218 of the NDAA for Fiscal Year 2017 to apply to all DOD covered facilities. These requirements include: 1. designation of an external manager to oversee quality assurance and 2. environmental sampling and inspections; 3. production procedures that prohibit operations where live BSAT are used in the same laboratory where viability testing is conducted; 4. production procedures that prohibit work on multiple organisms or multiple strains of one organism within the same biosafety cabinet; 5. a video surveillance program that uses video monitoring as a tool to improve laboratory practices in accordance with regulatory requirements; 6. formal, recurring data reviews of production in an effort to identify trends and nonconformance issues before such issues affect end products; 7. validated protocols for production processes to ensure that process deviations are adequately vetted prior to implementation; and 8. maintenance and calibration procedures and schedules for all tools, equipment, and irradiators.", "BBPO officials told us that, in response to the requirements in the NDAA for Fiscal Year 2017, they are developing a department-wide quality control and assurance program for the BSAT community. BBPO also developed several policies that address the measures mandated by the NDAA for Fiscal Year 2017. These policies address setting minimum requirements for (1) monitoring environmental quality, (2) performing maintenance on laboratory equipment, and (3) controlling laboratory cross-contamination between organisms or strains within the same biological safety cabinet and between live and inactivated BSAT.", "DOD officials said that some NDAA for Fiscal Year 2017 requirements do not necessarily apply to every laboratory. According to DOD officials, some of these requirements are no longer relevant as a result of certain events, such as the inadvertent shipment of incompletely inactivated anthrax from the BioTesting Division at Dugway Proving Ground that currently is not handling BSAT. Furthermore, some of the requirements need further clarification. For example, the NDAA for Fiscal Year 2017 required DOD covered facilities to implement quality control and quality assurance measures, including a video surveillance program that uses video monitoring, in accordance with regulatory requirements. (In providing technical comments on a draft of this report, both the Department of Health and Human Services\u2019 Centers for Disease Control and Prevention and Department of Agriculture\u2019s Animal and Plant Health Inspection Service\u2014which jointly manage the Federal Select Agent Program\u2014said that select agent regulations do not require development and utilization of a video surveillance program.)", "The Army\u2019s 2015 investigation report also recommended the development and utilization of a video surveillance program in accordance with Federal Select Agent Program regulatory requirements. DOD officials stated that there is no such requirement in federal select agent regulations and, therefore, to implement a video surveillance program would result in laboratories having an unfunded requirement for maintenance costs. According to a BBPO official, DOD officials reached out to congressional staff to obtain clarification on implementing this requirement and, according to these officials, were advised to \u201cinterpret the requirement as appropriate.\u201d DOD officials stated that because the federal select agent regulations do not require video surveillance, DOD is not obligated to implement a video surveillance program in accordance with the provision in the NDAA for Fiscal Year 2017. Army Regulation 190-17 for the BSAT security program, however, already includes a requirement that all Army Biosafety Level-3 and 4 laboratories have operational closed-circuit television cameras installed and positioned so that all areas of the research room can be viewed. In response to the NDAA for Fiscal Year 2017 and its requirement to implement a video surveillance program, BBPO officials stated that recommendations for the use of video surveillance are being established by the Quality Assurance Working Group that supports BBPO for all laboratories in each of the military services that handle BSAT."], "subsections": []}, {"section_title": "DOD is Developing a New Quality Management System", "paragraphs": ["Example of a Potential Quality Control and Assurance Procedure at the Department of Defense (DOD) DOD\u2019s future quality management system will include critical control points for helping to prevent personnel from making mistakes while conducting scientific procedures. For example, a certain procedure for extracting genetic information from pathogens that also inactivates pathogens uses a chemical mixture called TRIzol. The quality management system will include a critical control point for this procedure in the form of achieving a ratio of pathogen sample to the amount of TRIzol. In this new system, the scientist or laboratory technician may be required to enter the amount into the new system to show that the ratio is correct to inactivate the pathogen.", "DOD officials report that, to enhance quality control and assurance at Dugway Proving Ground and across DOD\u2019s currently covered facilities, the Joint Program Executive Office for Chemical and Biological Defense, on behalf of BBPO, is in the process of developing a new quality management system known as the Joint Interagency Biorisk System. The system would centralize information on DOD\u2019s BSAT Biosafety and Biosecurity Program, such as operational and governance documentation. For example, the system would gather applicable quality assurance-related information from Dugway Proving Ground and DOD\u2019s currently covered facilities to provide BBPO with the ability to track inventory and shipment of BSAT materials and ensure that approvals and waivers for exceptions to laboratory protocols are made at the appropriate level, among other things. DOD currently is identifying the critical control points that would be built into the Joint Interagency Biosafety System to ensure quality throughout the BSAT handling, production, storage, containment, shipment, destruction, and inactivation processes. According to officials from BBPO, DOD\u2019s future quality management system will include critical control points to help personnel prevent mistakes while conducting scientific procedures (see sidebar for additional information)."], "subsections": []}, {"section_title": "DOD Has Conducted Studies on Inactivating Pathogens and Is Continuing Its Research", "paragraphs": ["In response to the results of DOD\u2019s July 2015 30-day review, the Deputy Secretary of Defense directed the Under Secretary of Defense for Acquisition, Technology and Logistics to develop a plan for research related to the development of standardized irradiation and viability testing protocols. The Army\u2019s subsequent 2015 investigation report also identified specific actions the Secretary of the Army should consider taking, including directing additional research to address existing gaps in scientific knowledge regarding the inactivation of BSAT.", "Chemical and Biological Defense Program officials said that they are developing a validated method for inactivating Bacillus anthracis spores using irradiation to improve safety. DOD reported completion of the first phase of the study for developing a validated method with scientists from three DOD laboratories, using a weakened strain of Bacillus anthracis. The second phase of the Bacillus anthracis inactivation study was completed in October 2017, according to Army officials, using a potentially lethal strain of Bacillus anthracis. In April 2018, DOD officials stated that as a result of the first two phases of this study, they have received approval from peer reviewers to publish their study results, which will recommend these results as a validated inactivation method. The next step will be to analyze the data from these studies to determine whether additional studies are needed to answer further questions about factors that may affect testing for the presence of live pathogens."], "subsections": []}, {"section_title": "The Army Has Taken Multiple Types of Actions at Dugway Proving Ground to Implement Recommendations from the Army\u2019s 2015 Investigation Report", "paragraphs": ["Since 2015, the Army also has taken multiple types of actions specifically at Dugway Proving Ground\u2014including operational, administrative, and personnel actions\u2014to implement the recommendations from the Army\u2019s 2015 investigation report. The report made several recommendations for improvements at the BioTesting Division at Dugway Proving Ground. The Army\u2019s subsequent Directive 2016-24 assigned responsibility for implementing some of these recommendations and called for additional actions, including reassigning command and control of the division to the Army\u2019s Edgewood Chemical Biological Center at Aberdeen Proving Ground, Maryland. According to DOD officials, as part of this action, a new management team was established at the BioTesting Division that includes new managers responsible for quality control and assurance. In addition to hiring personnel, the BioTesting Division established training programs for all laboratory staff, including training sessions on biological safety, for which participants received certification after completing coursework.", "In response to the 2015 incident at Dugway Proving Ground, the Centers for Disease Control and Prevention suspended Dugway Proving Ground\u2019s BioTesting Division\u2019s certificate of registration in accordance with federal select agent regulations in August 2015. In May 2017, DOD\u2019s request for withdrawal of the laboratory\u2019s registration was approved and remaining BSAT in its possession was either transferred or destroyed. DOD officials explained that the withdrawal of the BioTesting Division\u2019s registration has allowed the division time to implement recommendations, modernize and make repairs to laboratories, and retrain personnel without the added burden of continuous inspections. Officials from the BioTesting Division stated that they are in the process of re-registering with the Federal Select Agent Program and are taking a phased approach in anticipation of reaching full operational status in fiscal year 2019. Figure 11 is a timeline of selected actions DOD has taken.", "Because BBPO is focused on broader issues and not just the Army\u2019s 2015 investigation report recommendations, BBPO officials have also compiled and consolidated recommendations and actions from multiple reports, including the Army\u2019s 2015 investigation report, the DOD Review Committee Report, a DOD Inspector General report, and the NDAA for Fiscal Year 2017. BBPO officials explained that they developed tasks to operationalize the recommendations and acknowledged that BBPO and the now-terminated General Officers Steering Committee had not yet developed a standardized definition for recommendations deemed complete. BBPO officials told us they consider all of these recommendations to be part of their broader DOD biosafety efforts."], "subsections": []}]}, {"section_title": "Appendix VI: Key Themes and Selected Comments from Staff at Department of Defense BSAT Facilities", "paragraphs": ["As part of our review, we conducted facilitated discussions between September 2017 and November 2017 using a self-selected sample of supervisory and non-supervisory staff at six Department of Defense (DOD) laboratories, five of which currently handle biological select agents and toxins (BSAT). The purpose of the discussions was to better understand the effects of DOD actions on laboratory staff and operations following the 2015 discovery that staff at Dugway Proving Ground had incompletely inactivated Bacillus anthracis and subsequently shipped live anthrax to multiple locations. The intent was to obtain the views of those laboratory staff who have and will be implementing recommendations from multiple reports. Using a protocol we developed, one of our analysts facilitated each discussion group by asking a similar set of questions about effects of the DOD response to the 2015 incident at Dugway Proving Ground. Our analysts documented laboratory staffs\u2019 comments as closely as possible to the original language used by participants. During subsequent reviews and sorting (coding) of the participants comments, we found that four key themes emerged. Within each of the four themes, our analysts also identified related sub-themes.", "For the purposes of selecting individual comments as shown in table 3 below, our analysts considered several factors including clarity and relevance to our study\u2019s objectives. Our self-selected convenience sample of laboratory staff provided comments describing the various effects of the 2015 anthrax incident on laboratory staff and operations. We did not verify the factual basis of the laboratory staff comments. Moreover, the comments that we have identified cannot be generalized to all DOD laboratory staff at the six facilities we visited. Table 3 lists the key theme, sub-theme, and selected comments made by laboratory staff during our facilitated discussion groups at each of the six DOD covered laboratories, five of which currently handle BSAT."], "subsections": []}, {"section_title": "Appendix VII: Department of Defense Reported Responses to Tasks Required by the NDAA for Fiscal Year 2017", "paragraphs": ["The Department of Defense (DOD) issued a report to the defense congressional committees on April 10, 2017, in response to section 218 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017. As of March 2018, DOD officials stated that the tasks required by the NDAA for Fiscal Year 2017 to study the consolidation of commands, opportunities to partner with industry for the production of biological select agents and toxins (BSAT), and the transfer of BSAT production responsibilities are still ongoing. Table 4 shows the status of DOD\u2019s efforts to respond to the tasks required by the NDAA for Fiscal Year 2017."], "subsections": []}, {"section_title": "Appendix VIII: Summary of Selected Federal Panels, Task Forces, and Working Groups Examining Biodefense-Related Issues", "paragraphs": ["Biosafety, biosecurity, and biodefense issues have been a long-standing concern for the nation. The federal government has been examining biosafety, biosecurity, and biodefense issues for over a decade through many voluntary and federally mandated commissions, task forces, and federal panels and working groups. These issues have been reviewed from a variety of perspectives\u2014scientific, regulatory, academic, health, national defense, and homeland security. Table 5 provides a summary of some key recommendations and observations to address biosafety, biosecurity, and biodefense issues and related topics. The Department of Defense (DOD) participated in many of these efforts, some of which are ongoing, including the National Science Advisory Board for Biosecurity and the Federal Experts Security Advisory Panel. Observations represent comments made by individual participants and do not represent organizational recommendations."], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contact and GAO Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, GAO staff who made key contributions on this report include Mark A. Pross (Assistant Director); Latrealle Lee (Analyst-in-Charge); Amy Bowser; Patricia Farrell Donahue, Ph.D.; Alexandra Gonzalez; Ashley Grant, Ph.D.; Matthew Jacobs; Joanne Landesman; Amie Lesser; Amber Lopez Roberts; Timothy M. Persons, Ph.D.; Bethann Ritter Snyder, and Lillian Yob."], "subsections": []}]}, {"section_title": "Glossary", "paragraphs": ["assay: A quantitative or qualitative procedure for detecting the presence, estimating the concentration, and/or determining the biological activity of a macromolecule (e.g., an antibody or antigen, molecule, ion, cell, pathogen, etc.). Assays are based on measurable parameters that allow differentiation between sample and control. biodefense: Prevention, protection against, and mitigations for biological threats that could have catastrophic consequences to the nation. biological agent: Microorganism (or derived toxin) that causes disease in humans, animals, or plants. biological weapon: A harmful biological agent used as a weapon to cause death or disease usually on a large scale. biorisk management: The effective management of risks posed by working with infectious agents and toxins in laboratories; it includes a range of practices and procedures to ensure the biosecurity, biosafety, and biocontainment of those infectious agents and toxins. biosafety: The combination of practices, procedures, and equipment that protect laboratory workers, the public, and the environment from the infectious agents and toxins used in the laboratory. biosecurity: The measures taken to protect infectious agents and toxins from loss, theft, or misuse. biotechnology: The manipulation of living organisms or their components to produce useful usually commercial products. biological select agents and toxins certified personnel: Personnel certified and cleared to work with biological select agents and toxins. covered facility: Any facility of the Department of Defense that produces biological select agents and toxins. decontamination: The removal or count reduction of contaminating pathogens present on an object.", "Federal Select Agent Program: A regulatory program established to regulate the possession, use, and transfer of biological select agents and toxins. high-containment laboratory: Biosafety level (BSL)-3 or 4 facilities in which studies are conducted on a variety of dangerous pathogens and toxins. inactivation: A procedure to render pathogens as non-toxic while retaining characteristics of interest for future use. irradiation: A process by which radiation (e.g., ultraviolet light, gamma rays, and X-rays) is used. nonviable: A pathogen that is no longer capable of growing, replicating, infecting, or causing disease. protocol: A detailed plan for a scientific procedure. select agent: A biological agent or toxin that (1) potentially poses a severe threat to public health and safety, animal or plant health, or animal or plant products and (2) is regulated by select agent rules for possession, use, and transfer (7 C.F.R. Part 331 (2018), 9 C.F.R. Part 121 (2018), and 42 C.F.R. Part 73 (2018)). toxin: The toxic material or product of plants, animals, microorganisms (including, but not limited to, bacteria, viruses, fungi, or protozoa), or infectious substances, or a recombinant or synthesized molecule, whatever their origin and method of production, and includes (1) any poisonous substance or biological product that may be engineered as a result of biotechnology produced by a living organism or (2) any poisonous isomer or biological product, homolog, or derivative of such a substance. ultracentrifuge: A high-speed centrifuge able to separate colloidal and other small particles and used especially in determining the sizes of such particles or the molecular weights of large molecules. validation: For the purpose of inactivation methods, the method must be scientifically sound and produce consistent results each time it is used such that the expected result can be ensured. Methods of validation may include (1) use of the exact conditions of a commonly accepted method that has been validated, (2) a published method with adherence to the exact published conditions, or (3) for in-house methods, validation testing should include the specific conditions used and appropriate controls (from the Federal Select Agent Program). validated inactivation procedure: A procedure to render a select agent non-viable but which allows the select agent to retain characteristics of interest for future use; or to render any nucleic acids that can produce infectious forms of any select agent virus non-infectious for future use. The efficacy of the procedure is confirmed by demonstrating the material is free of all viable select agents."], "subsections": []}, {"section_title": "Related GAO Products", "paragraphs": ["DOD Personnel: Further Actions Needed to Strengthen Oversight and Coordination of Defense Laboratories\u2019 Hiring Efforts. GAO-18-417. Washington, D.C.: May 30, 2018.", "High-Containment Laboratories: Coordinated Efforts Needed to Further Strengthen Oversight of Select Agents. GAO-18-197T. Washington, D.C.: November 2, 2017.", "High-Containment Laboratories: Coordinated Actions Needed to Enhance the Select Agent Program\u2019s Oversight of Hazardous Pathogens. GAO-18-145. Washington, D.C.: October 19, 2017.", "Biodefense: Federal Efforts to Develop Biological Threat Awareness. GAO-18-155. Washington, D.C.: October 11, 2017.", "Public Health Information Technology: HHS Has Made Little Progress toward Implementing Enhanced Situational Awareness Network Capabilities. GAO-17-377. Washington, D.C.: September 6, 2017.", "High-Containment Laboratories: Actions Needed to Mitigate Risk of Potential Exposure and Release of Dangerous Pathogens. GAO-16-871T. Washington, D.C.: September 23, 2016.", "High-Containment Laboratories: Improved Oversight of Dangerous Pathogens Needed to Mitigate Risk. GAO-16-642. Washington, D.C.: August 30, 2016.", "High-Containment Laboratories: Comprehensive and Up-to-Date Policies and Stronger Oversight Mechanisms Needed to Improve Safety. GAO-16-305. Washington, D.C.: March 21, 2016.", "High-Containment Laboratories: Preliminary Observations on Federal Efforts to Address Weaknesses Exposed by Recent Safety Lapses. GAO-15-792T. Washington, D.C.: July 28, 2015.", "Chemical and Biological Defense: Designated Entity Needed to Identify, Align, and Manage DOD\u2019s Infrastructure. GAO-15-257. Washington, D.C.: June 25, 2015.", "Standards for Internal Control in the Federal Government. GAO-14-704G. Washington, D.C.: September 2014.", "High-Containment Laboratories: Recent Incidents of Biosafety Lapses. GAO-14-785T. Washington, D.C.: July 16, 2014.", "High-Containment Laboratories: Assessment of the Nation\u2019s Need Is Missing. GAO-13-466R. Washington, D.C: February 25, 2013.", "Homeland Security: Agriculture Inspection Program Has Made Some Improvements, but Management Challenges Persist. GAO-12-885. Washington, D.C.: September 27, 2012.", "Environmental Justice: EPA Needs to Take Additional Actions to Help Ensure Effective Implementation. GAO-12-77. Washington, D.C.: October 6, 2011.", "High-Containment Biosafety Laboratories: Preliminary Observations on the Oversight of the Proliferation of BSL-3 and BSL-4 Laboratories in the United States. GAO-08-108T. Washington, D.C.: October 4, 2007.", "Test and Evaluation: Impact of DOD\u2019s Office of the Director of Operational Test and Evaluation. GAO/NSIAD-98-22. Washington, D.C.: October 24, 1997."], "subsections": []}], "fastfact": []} {"id": "GAO-18-666", "url": "https://www.gao.gov/products/GAO-18-666", "title": "Small Business Contracting: Small Business Administration Could Further Strengthen HUBZone Eligibility Reviews in Puerto Rico and Programwide", "published_date": "2018-09-24T00:00:00", "released_date": "2018-09-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The HUBZone program is intended to stimulate economic development in economically distressed areas. Certified HUBZone firms are eligible for federal contracting benefits, including limited competition awards such as set-aside contracts, and are required to be recertified every 3 years. The Puerto Rico Oversight, Management, and Economic Stability Act of 2016 required SBA to develop criteria and guidance for a risk-based approach to verify firm eligibility for the program and included a provision for GAO to review SBA's development and implementation of the required criteria and guidance. This report examines, among other objectives, (1) SBA's development of criteria and guidance on using a risk-based approach for certifying and recertifying HUBZone firms, and (2) SBA's implementation of the revised policies and procedures for firms located in Puerto Rico.", "GAO analyzed SBA documents and reviewed files of a non-generalizable sample of 12 firms located in Puerto Rico that received certification between March 2017 and March 2018. GAO also interviewed SBA officials, representatives from HUBZone-certified firms in Puerto Rico, and local economic development agencies in Puerto Rico."]}, {"section_title": "What GAO Found", "paragraphs": ["The Small Business Administration (SBA) adopted criteria and guidance for a risk-based approach to certifying and recertifying firms for the Historically Underutilized Business Zone (HUBZone) program in March 2017, but the extent to which it conducted a risk assessment to inform its approach is unclear. In 2009, in response to GAO's prior recommendations to address weaknesses in the HUBZone certification process, SBA increased documentation requirements for certification, but not recertification (which every 3 years determines continued program eligibility).", "In March 2017, SBA changed its recertification criteria and guidance to require firms with $1 million or more in HUBZone contract awards to provide documentation to support continuing eligibility.", "SBA officials stated they completed a risk assessment of the HUBZone recertification process, but as of July 2018, had not provided GAO with documentation on when they performed the risk assessment, which risks were identified and considered, or what analysis established the $1 million threshold.", "GAO previously found SBA lacked key controls for its recertification process and recommended in 2015 that SBA assess the process.", "GAO continues to believe that an assessment of the recertification process would help inform a risk-based approach to reviewing and verifying information from firms that appear to pose the most risk to the program.", "Based on GAO's review of case files for a non-generalizable sample of 12 firms in Puerto Rico that received HUBZone certification in March 2017\u2013March 2018, SBA did not consistently document or follow its policies and procedures for certification reviews.", "SBA did not have complete documentation in 9 of 12 cases. SBA officials described alternative procedures they used to determine firms' eligibility, but SBA has not updated its internal policy manuals to reflect these procedures and analysts did not document use of such procedures in the files GAO reviewed.", "In 4 of 12 cases, SBA did not follow its policy to conduct three levels of review (by an analyst, a senior analyst, and the program director or deputy) when determining to approve or deny a firm.", "It is not known to what extent SBA reviewed staff compliance with certification and recertification review procedures. SBA provided an assurance letter stating it evaluated the Office of HUBZone's internal controls and concluded the controls were effective, but the letter did not specify what steps SBA took for the evaluation.", "Standards for internal control state management should document its control policies and conduct periodic reviews to ensure controls are effective. Because SBA has not updated its internal policy manuals or conducted a documented review of staff compliance with its quality review procedures, it lacks reasonable assurance that firms are eligible or its review process is effective. In turn, this increases the risk of ineligible firms participating in the HUBZone program and receiving contracting preferences to which they are not entitled."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that SBA (1) update internal policy manuals to reflect current policies and procedures, and (2) review and document staff compliance with procedures for certification and recertification reviews of firms. SBA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The purpose of the Historically Underutilized Business Zone (HUBZone) program is to provide federal contracting preferences to qualified small businesses located in economically distressed communities (referred to as HUBZones) that employ residents of the areas. The contracting preferences that a certified HUBZone firm (one that meets requirements to participate in the program) can receive include sole-source and set- aside contracts, and the application of a price evaluation preference on awards under full and open competition.", "We and the Office of Inspector General (OIG) at the Small Business Administration (SBA) reported over the past 12 years on the need for SBA\u2014which administers the HUBZone program\u2014to strengthen its internal controls and fraud prevention to help ensure that only eligible firms participate in the program. Fraud risks include risks that firms would misrepresent their program eligibility and potentially receive contract awards for which they do not qualify. We identified internal control-related deficiencies in the HUBZone program. For example, in February 2015 we identified problems with the mechanisms that SBA used to certify and monitor firms and that SBA was not following its policy of recertifying firms every 3 years (a certified firm can participate in the program as long as it remains eligible and is recertified). In March 2017, we reported that oversight improved but some weaknesses remained.", "The Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) of 2016 mandated that by March 27, 2017, SBA develop and implement criteria and guidance on using a risk-based approach for requesting and verifying information from entities applying to be certified or recertified as a qualified HUBZone small business firm. PROMESA also granted an exemption to a requirement for HUBZone designation that allowed more HUBZones to be established in Puerto Rico.", "PROMESA included a provision that we assess SBA\u2019s development and implementation of the required criteria and guidance for HUBZone certification and recertification. This report (1) examines SBA\u2019s development of criteria and guidance on using a risk-based approach for certifying and recertifying HUBZone firms, (2) examines SBA\u2019s implementation of the revised policies and procedures for certifying and recertifying firms located in Puerto Rico, and (3) describes any economic impacts of HUBZone expansion and recent trends in federal small business contracting in Puerto Rico.", "To examine SBA\u2019s development of criteria and guidance for HUBZone certification and recertification, we reviewed prior GAO and SBA OIG reports, applicable statutes and regulations, and SBA documents, including criteria and guidance for certifying and recertifying firms. We compared the process SBA followed to federal internal control standards and GAO\u2019s framework for managing fraud risk. To examine SBA\u2019s implementation of the criteria and guidance in Puerto Rico, we used SBA\u2019s Dynamic Small Business Search database to identify HUBZone firms located in Puerto Rico that received HUBZone certification after March 27, 2017. We randomly selected a non-generalizable sample of 12 firms from the total of 47 firms that met those criteria and reviewed case files for the 12 firms\u2019 certification applications. We also reviewed the files for two HUBZone firms in Puerto Rico that were subject to recertification during that time. To describe any economic impacts of the expansion of the HUBZone program in Puerto Rico and recent federal contracting trends, we used the Dynamic Small Business Search database and federal procurement data from the Federal Procurement Data System- Next Generation to analyze the number of firms in different HUBZones in Puerto Rico and the dollar amount of federal contract obligations awarded to the firms from fiscal years 2006 through 2018 (June)\u2014that is, from the starting point for the analysis used in our 2017 report to the most recent available data at the time of our current review. We assessed the reliability of the SBA small business database and federal procurement database by reviewing relevant related documentation and determined that they were sufficiently reliable for analyzing trends and for describing economic conditions in HUBZone areas. For all of the objectives, we interviewed SBA officials in Washington, D.C., and Puerto Rico and representatives from the Puerto Rico Chamber of Commerce and the Federal Contracting Center. In addition, we conducted a site visit to San Juan, Puerto Rico, in May 2018 and conducted two discussion groups and one interview with representatives from nine HUBZone firms located there. The views of these representatives are not generalizable to all HUBZone firms. Appendix I describes our scope and methodology in greater detail.", "We conducted this performance audit from February 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The HUBZone Act of 1997 (which established the HUBZone program) identified HUBZones as (1) qualified census tracts, which are determined generally by area poverty rate or household income; (2) qualified nonmetropolitan counties, which are determined generally by area unemployment rate or median household income; and (3) lands meeting certain criteria within the boundaries of an Indian reservation. Congress subsequently expanded the criteria for HUBZones to add former military bases, counties in difficult development areas outside the continental United States, and certain areas affected by disasters. According to SBA officials, 5,306 firms were HUBZone certified as of July 1, 2018. As of that date, there were 20,154 HUBZone qualified census tracts, 834 HUBZone qualified non-metropolitan counties, 125 HUBZone base realignment and closure areas, 593 HUBZone Native American lands (Indian lands), and 95 HUBZone qualified disaster areas (87 qualified disaster census tracts and 8 qualified disaster non-metropolitan counties).", "The HUBZone program provides certified small businesses located in designated areas with contracting opportunities in the form of set-asides, sole-source awards, and price-evaluation preferences. A set-aside restricts competition for a federal contract to specified contractors. For example, competition may be restricted to SBA-certified HUBZone businesses if there is a reasonable expectation of at least two SBA- certified HUBZone bidders and a fair market price. A sole-source award is a federal contract awarded, or proposed for award, without competition. Also, in any full and open competition for a federal contract, the HUBZone price evaluation preference allows the price that a HUBZone firm offers to be deemed lower than the price of another offeror (if the HUBZone firm\u2019s offer is not more than 10 percent higher than the other offer and the other offeror is not a small business concern)."], "subsections": [{"section_title": "HUBZone Certification and Recertification Processes and Related GAO Recommendations", "paragraphs": ["To be certified to participate in the HUBZone program, a firm must meet the following criteria: when combined with its affiliates, be small by SBA size be at least 51 percent owned and controlled by U.S. citizens, or owned by an Indian Tribal Government, Alaska Native Corporation, Community Development Corporation, or small agricultural cooperative; have its principal office\u2014the location where the greatest number of employees perform their work\u2014in a HUBZone; and have at least 35 percent of its employees reside in a HUBZone.", "In a 2008 report, we found that SBA had relied on information that firms entered into an online application system called the HUBZone Certification Tracking System to indicate they met the size, ownership, location, and employee residence standards. At the time, SBA performed limited verification of the self-reported information. Although agency staff could request additional supporting documentation, SBA did not have specific guidance or criteria for such requests. Thus, we recommended that SBA develop and implement guidance to more routinely and consistently obtain supporting documentation from applicant firms. SBA agreed with the recommendation and changed its certification procedures.", "Since fiscal year 2009, SBA has required all firms applying for HUBZone certification to provide supporting documentation about their size, ownership, location, and employees\u2019 residence, which the agency then is to review to verify the firm\u2019s eligibility for the program. According to SBA officials, the current initial certification process has two components: (1) submission and review of an online application, which is processed by SBA through the HUBZone Certification Tracking System; and (2) submission of corroborative documentation, which SBA processes through a document review. The tracking system contains information on firms that apply to the HUBZone program, as well as on certified firms that apply for recertification. Firms wishing to remain in the program must recertify their continued eligibility to SBA every 3 years. The tracking system automatically identifies firms that are due for recertification and sends notifications to those firms.", "In 2015, we reported that SBA implemented controls for certification, but generally did not require firms seeking recertification to submit any information to verify continued eligibility. Instead, the agency relied on firms\u2019 attestations of continued eligibility. According to SBA officials at the time, they did not believe they needed to request supporting documentation from recertifying firms because all firms in the program had undergone a full document review. We noted that SBA could apply a risk-based approach to its recertification process to review and verify information from firms that appeared to pose the most risk to the program. We concluded that recertification essentially remained a self-certification process. We recommended that SBA reassess its recertification process and add additional controls, such as developing criteria and guidance on using a risk-based approach to requesting and verifying firm information. SBA agreed with our recommendation and noted it would assess the process. In March 2017, we reported that SBA planned to address our recommendation using a technology solution."], "subsections": []}, {"section_title": "GAO\u2019s Fraud Risk Framework and Related Legislation", "paragraphs": ["According to federal internal control standards and GAO\u2019s fraud risk framework, managers in executive branch agencies are responsible for managing fraud risks and implementing practices for combating those risks. When fraud risks can be identified and mitigated, fraud may be less likely to occur. Federal internal control standards call for agency management officials to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that management should consider the potential for fraud when identifying, analyzing, and responding to risks. Risk management is a formal and disciplined practice for addressing risk and reducing it to an acceptable level.", "In July 2015, we issued the fraud risk framework, which provides a comprehensive set of key components and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. The Fraud Reduction and Data Analytics Act of 2015 required the Office of Management and Budget to establish guidelines for federal agencies to create controls to identify and assess fraud risks and design and implement antifraud control activities. In July 2016, the Office of Management and Budget issued guidelines that, among other things, affirm managers should adhere to the leading practices identified in GAO\u2019s fraud risk framework."], "subsections": []}, {"section_title": "National Defense Authorization Act for Fiscal Year 2018", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2018 includes a number of provisions relating to the HUBZone program. For example, the act requires SBA (by January 1, 2020) to verify the accuracy of documentation provided by a HUBZone firm seeking recertification to determine whether the firm remains qualified for HUBZone certification. The act also requires SBA to begin conducting examinations of qualified HUBZone firms by January 1, 2020, using a risk-based analysis to select firms to be examined. According to the act, these risk-based examinations are intended to ensure that each firm examined meets the program requirements for certification. The act also specifies that any small business that SBA determines to have misrepresented its status as a qualified HUBZone firm be subject to liability for fraud."], "subsections": []}, {"section_title": "HUBZone Expansion in Puerto Rico", "paragraphs": ["On June 16, 2016, SBA announced it had revised the definition of qualified census tracts eligible to be designated as HUBZones to provide more opportunities for firms in Puerto Rico. Previously, in addition to poverty rate and income, SBA applied a statutory population cap that limited the number of eligible census tracts. According to the announcement, SBA had determined that the 20 percent population cap was not in keeping with the spirit and intent of the HUBZone program. On June 30, 2016, PROMESA authorized an exemption to the 20 percent cap for HUBZone designations in Puerto Rico for a limited time (10 years or until the date on which the Financial Oversight and Management Board for Puerto Rico ceased to exist, whichever came first). It also required SBA to promulgate regulations to implement the exemption. SBA promulgated the regulations, which became effective December 22, 2017.", "By lifting the population cap in June 2016, SBA increased the number of eligible census tracts in Puerto Rico by 516 (from 260 to 776). As a result, nearly all of Puerto Rico now qualifies as a HUBZone (see fig.1)."], "subsections": []}, {"section_title": "2017 Hurricanes", "paragraphs": ["In 2017, two major hurricanes (Irma and Maria) hit Puerto Rico. Hurricane Irma skirted Puerto Rico and left more than 1 million people without power. Hurricane Maria, a Category 4 hurricane, made landfall and caused catastrophic damage. For instance, Hurricane Maria wiped out the power grid, resulting in outages across Puerto Rico that continued for months after the storm. The majority of the island had its power restored by April 4, 2018, according to the Department of Energy. However, the power grid remains fragile. For example, Puerto Rico experienced an island-wide outage on April 18, 2018."], "subsections": []}]}, {"section_title": "SBA Adopted Criteria and Guidance for a Risk-Based Approach to HUBZone Certification and Recertification but the Extent to Which It Conducted a Risk Assessment of the Recertification Process Is Unclear SBA Adopted New Documentation Requirements for Recertifying Certain HUBZone Firms", "paragraphs": ["In response to the PROMESA provision to implement a risk-based approach to HUBZone certification and recertification, SBA adopted certification and recertification criteria and guidance on March 27, 2017, for requesting and verifying information. Since 2009 and in response to a prior GAO recommendation, SBA has required and reviewed documentation from all small businesses seeking initial certification to show compliance with HUBZone eligibility requirements. The criteria and guidance adopted by SBA in March 2017 did not change the HUBZone certification process. SBA\u2019s internal guidance directs staff to review and confirm the accuracy of all documentation provided by the firms applying for HUBZone certification.", "However, the 2017 guidance and criteria introduced some documentation requirements to the recertification process. (Before March 2017, firms seeking HUBZone recertification were not required to submit documentation to demonstrate continued compliance with eligibility requirements.) Currently, any certified firm seeking recertification that received $1 million or more in HUBZone contract dollars since its last certification or recertification has to demonstrate compliance with the 35 percent HUBZone employee residency and principal office requirements. More specifically, under the March 2017 guidance and criteria, certified HUBZone small business concerns that have received $1 million or more in HUBZone contract dollars since their initial certification or most recent recertification must submit (1) a list of all current employees, identifying the name of the employees, their addresses, the number of hours they worked per month, and the location at which they performed their work; and (2) payroll documentation. HUBZone firms seeking recertification that have not received $1 million in HUBZone contract dollars are not required to submit documentation supporting continual eligibility for the program."], "subsections": [{"section_title": "Extent to Which SBA Conducted a Risk Assessment of the Recertification Process Is Unclear", "paragraphs": ["SBA officials stated that they had completed a risk assessment of their HUBZone recertification process to develop the March 2017 guidance and criteria. In our 2015 report, we found SBA did not require firms to submit supporting documentation as part of the recertification process\u2014in effect, firms self-certified. We recommended that SBA conduct an assessment of the recertification process and implement additional controls, such as developing criteria and guidance on using a risk-based approach to requesting and verifying firm information.", "However, as of July 31, 2018, SBA had not provided documentation of when the risk assessment was performed or of what risks were identified and considered in developing the criteria and guidance. SBA officials stated that out of necessity, given their current information system and staffing resources, they chose the $1 million threshold as the only criterion for their risk-based approach.", "As of July 31, 2018, SBA also had not provided documentation of what analysis was performed to establish the $1 million threshold. According to SBA officials, the threshold was determined based on the belief that, when a firm received contract awards over $1 million, it increased opportunity for the firm to fall out of compliance with HUBZone requirements.", "SBA officials noted that they plan to review the current threshold at the end of fiscal year 2018 and that the threshold amount will likely decrease because a relatively small number of firms have exceeded the $1 million threshold. Based on our analysis of Federal Procurement Data System- Next Generation data, we estimated that from fiscal year 2015 through fiscal year 2017 about 9 percent of HUBZone firms nationally exceeded the $1 million threshold. SBA officials also noted that the agency has been developing a new information system to replace the current certification tracking system. According to SBA officials, the new system will help simplify the application process and allow firms to submit additional documentation more easily. SBA officials said the 2017 criteria and guidance will be built into the parameters of the new information system, which will allow SBA to expand the review of documentation submitted by firms seeking recertification. Officials have stated that subject to funding and resources, the HUBZone Certification Tracking System is scheduled to be decommissioned in fiscal year 2019.", "In the past, SBA has implemented a number of actions to better ensure that only eligible firms participate in the HUBZone program and to address internal control weaknesses that we have identified in previous GAO reports. However, in 2015, we found that SBA lacked key controls for its recertification process. Specifically, SBA did not require firms to submit supporting documentation as part of the recertification process\u2014in effect, firms self-certified. We reported that by not routinely requiring and reviewing key supporting documentation from recertification applicants, SBA was missing an additional opportunity to reduce the risk that ineligible firms obtain HUBZone contracts. We recommended that SBA conduct an assessment of the recertification process and implement additional controls, such as developing criteria and guidance on using a risk-based approach to requesting and verifying firm information.", "Standards for Internal Control in the Federal Government state that management should identify, analyze, and respond to risks related to achieving the defined objectives of the program. Additionally, the standards state that management should use a risk assessment to identify and analyze risks related to achieving the defined objectives to form a basis for designing risk responses. Once identified, management can analyze the identified risks to estimate their significance and design responses to the analyzed risks. Similarly, according to GAO\u2019s fraud risk framework, leading practices for managing fraud risk include identifying inherent fraud risks affecting the program, assessing the likelihood and impact of inherent fraud risks, and examining the suitability of existing fraud controls. The Fraud Reduction and Data Analytics Act of 2015 states that agencies shall conduct an evaluation of fraud risks using a risk-based approach, and then design and implement financial and administrative control activities to mitigate identified fraud risks. Additionally, as discussed above, the National Defense Authorization Act for Fiscal Year 2018 requires that SBA perform examinations of HUBZone firms using a risk-based selection process.", "As we reported in 2015, the characteristics of firms and the status of HUBZone areas\u2014the bases for program eligibility\u2014can often change, and need to be monitored. We continue to believe that conducting a risk assessment of the recertification process would help inform a risk-based approach to reviewing and verifying information from firms that appear to pose the most risk to the program. For example, a risk assessment could help inform SBA\u2019s planned review of the current threshold for requesting and verifying information from firms seeking HUBZone recertification."], "subsections": []}, {"section_title": "SBA Did Not Consistently Document or Follow Its Policies and Procedures for Certification Reviews for Firms in Puerto Rico That We Reviewed SBA Had Complete Documentation for Office Location but Not Employee Residency for Firms in Puerto Rico We Reviewed and Had Not Updated Its Policies", "paragraphs": ["Our review of 12 case files for Puerto Rican firms that recently received HUBZone certification found incomplete documentation for certification reviews (and by extension, recertification reviews) and undocumented procedures. SBA also did not consistently follow its procedures to complete three distinct levels of review when approving the 12 firms for certification. Representatives of firms in Puerto Rico with whom we spoke said certification was generally straightforward, but identified some challenges, including with providing documentation.", "We found that all 12 cases we reviewed in a non-generalizable sample of Puerto Rican firms that had received HUBZone certification between March 2017 and March 2018 had complete documentation to demonstrate that the primary office was located in a HUBZone. However, we also found that documents were missing, illegible, or did not corroborate the information claimed regarding employees\u2019 residency for 9 of 12 firms that we reviewed. We focused on the document review process for the principal office location and the employee residency requirements because, according to SBA\u2019s March 2017 guidance for the certification and recertification processes, firms must corroborate their compliance with these requirements at both certification and recertification. In addition, SBA officials told us that the document review process is essentially the same for firms seeking certification as it is for firms seeing recertification. We also reviewed the files of two HUBZone firms in Puerto Rico that were subject to recertification between March 2017 and March 2018, but neither met the threshold to trigger a document review under the updated criteria and guidance.", "SBA\u2019s guidance for the certification process requires firms to submit documentation so that SBA can verify that a firm meets the employee residency and principal location requirements. The documentation must show that each individual is an employee of the firm (payroll documentation), each individual asserted to be a HUBZone resident lives at the address they claim (proof of address, such as a driver\u2019s license), and the address is in a HUBZone (copy of a HUBZone map indicating the employee and his or her address), and the firm\u2019s primary office is located in a HUBZone (such as a copy of a lease or rental agreement and list of employees who work there).", "Additionally, SBA\u2019s internal policy manuals describe procedures that analysts are to follow in reviewing and verifying these documents, including the types of documents that firms may submit to demonstrate eligibility, and scenarios in which analysts should request additional information or clarification from the firm (for example, if a driver\u2019s license is expired).", "For 9 of 12 cases we reviewed, SBA lacked complete documentation to verify that every employee asserted to be a HUBZone resident lived in a HUBZone. That is, although SBA analysts contacted firms during the certification process to obtain additional documentation, and firms responded to the requests, SBA analysts still had incomplete information for 9 of the 12 cases at the time they approved the firms.", "In 5 of these 9 cases, the firm would not be eligible for HUBZone certification if the SBA analyst had not counted employees for which documentation was missing or did not corroborate the information claimed regarding an employee\u2019s address. Specifically, in 3 cases, the address on the employee\u2019s identification for at least one employee did not match the address at which the firm claimed the employee lived. in 3 cases, the identification for at least one employee was expired. in 1 case, the copies of the HUBZone maps did not indicate to which employees they referred. in 1 case, payroll documentation demonstrating that individuals were employees of the firm was missing. in the other 4 cases, the firm still would be eligible for HUBZone certification (would meet the 35 percent residency requirement) even if the analyst had not counted the employee for which documentation was missing or illegible (1 case) or for which identification did not match the claimed residency address (4 cases).", "We also identified an inconsistency when reviewing the case files for the only Puerto Rican HUBZone firm recertified between June 2017 and May 2018. Specifically, the firm reported on its application that it had zero employees, but also claimed 19 of its employees lived in a HUBZone. The firm did not provide any supporting documentation because it did not meet the threshold in the new recertification criteria to require a document review. SBA officials said this likely resulted from a display error in the online system. SBA officials said that they did not contact the recertifying firm because the firm was not required to submit corroborating documentation. However, without confirmation of the correct total number of employees, SBA analysts would not be able to determine the firm\u2019s compliance with the employee residency requirement (35 percent living in a HUBZone) and therefore would not be able to determine the firm\u2019s eligibility to continue HUBZone participation.", "SBA officials explained how they handled incomplete information provided by firms by describing other procedures that analysts followed in these cases. For example, if any employee\u2019s address did not match across the firm\u2019s employee list, the employee\u2019s identification, or the HUBZone map, the analyst reviewing the firm\u2019s application would request clarification and enter the address from the identification into the current HUBZone map. Or if the address could not be plotted, the analyst would presume the employee lived in a HUBZone if the broader geographic area on their identification (such as zip code) was clearly in a HUBZone.", "SBA officials said this approach is useful for applications from firms in Puerto Rico, because of difficulties with mapping addresses in the territory. SBA officials also said that if a firm did not provide documentation for an employee or SBA could not verify it, but the firm clearly met the 35 percent resident requirement, the analyst would not follow up with additional documentation requests and not count that employee as a HUBZone resident.", "However, these procedures are not documented in SBA\u2019s internal written policies for certifying HUBZone firms and analysts did not document their use of these procedures in the case files we reviewed. Specifically, the policy manuals do not include certain procedures SBA officials explained to us they used for the document review process, such as assumptions of eligibility for addresses located in a broader geographic area that is clearly a HUBZone. SBA has not updated its three internal policy manuals since 2014, 2010 and 2007, respectively.", "According to SBA officials, analysts rely on oral direction from the HUBZone program director or deputy to review and process HUBZone certifications and recertifications to supplement outdated policy documents. Internal control standards state that management should document in policies the internal control responsibilities of the organization.", "Because SBA has not updated its internal policy manuals, analysts who review applications for HUBZone certification and recertification may not be consistently following applicable internal policies and procedures. As a result, management does not have reasonable assurance that analysts are following procedures correctly to obtain and review all of the required documents from firms. Without such review, SBA may not have reasonable assurance that firms meet the eligibility criteria for HUBZone participation\u2014which increases the risk of ineligible firms participating in the program. Because SBA officials told us that firms seeking recertification that meet the threshold for additional document review undergo essentially the same reviews as firms seeking certification, the gaps in certification cases that we observed suggest that gaps are possible in recertification as well."], "subsections": []}, {"section_title": "SBA Did Not Consistently Follow Its Quality Review Procedures When Certifying Firms In Puerto Rico That We Reviewed", "paragraphs": ["SBA did not consistently follow its quality review procedures to complete three distinct levels of review when approving the 12 Puerto Rican firms in our non-generalizable sample for certification. In 4 of 12 cases, one person reviewed the application for two levels of review; in the other 8 cases, three different analysts reviewed the application. We found that SBA notified all 12 firms of their approval in writing, in accordance with its policy.", "SBA\u2019s internal policy states that the certification process has three levels of review: (1) an analyst reviews the application documents and makes a recommendation to approve or deny the firm, (2) a senior analyst reviews the application and the first analyst\u2019s recommendation, and (3) the program director or deputy finalizes the approval or denial and notifies the firm of the decision. The three levels of review are intended to provide quality assurance. For example, the second analyst reviews the case file and the first analyst\u2019s recommendation for completeness, accuracy, and consistency with eligibility criteria.", "SBA officials told us that, in some cases, one individual\u2019s review may count as two of the three levels of reviews in order to make the most efficient use of available analyst capacity. SBA officials said the deputy director reviewed several applications from Puerto Rican firms, including the four cases we identified, as part of work to develop an application screening tool and to engage the Puerto Rico district office when processing applications from firms in Puerto Rico. These reviews were counted as two of the three levels of review. Officials said that in these cases, the program director completes the final review and should annotate the case file notes about the quality assurance actions that were taken. In three of the four cases, the program director noted that she completed the final review and approval but not what quality assurance actions were taken; the deputy director completed both the second and final review in the other case. SBA officials described the third-level review (final approval or denial) as a high-level review to ensure no questions or unresolved matters are outstanding in order to approve or deny the application. Therefore, it is not likely that the program director would be reviewing supporting documents to identify any problems that could be identified if an additional analyst conducted a second-level, quality assurance review.", "Internal control standards state that management should design control activities at various levels with a segregation of duties, and periodically review its procedures and associated internal control activities for effectiveness. Management should also monitor its internal control system through ongoing monitoring to assess the quality and effectiveness of the internal control system\u2019s performance over time.", "SBA provided an assurance letter prepared in response to the Federal Managers Financial Integrity Act that stated the agency evaluated the Office of HUBZone\u2019s internal controls and concluded the controls were effective. However, it is not known to what extent SBA reviewed staff\u2019s compliance with certification and recertification quality review procedures as part of this assessment, because the letter does not describe what steps SBA took to conduct the evaluation.", "Without reviewing staff compliance with certification and recertification procedures, SBA lacks reasonable assurance that analysts follow such procedures and that internal controls function effectively. This increases the risk that ineligible firms could receive HUBZone certification and thus contracting preferences to which they are not entitled."], "subsections": []}, {"section_title": "Representatives of Firms in Puerto Rico We Interviewed Said Certification Process Generally Was Straightforward, but Documentation Requests Presented Some Challenges", "paragraphs": ["Representatives of nine HUBZone firms we interviewed in Puerto Rico were not aware of changes made to the recertification process, but said that the certification process they followed was straightforward and generally easy. However, they reported some challenges, including with documentation.", "Representatives of most of the firms said that the most difficult part of the certification process was documenting the address for their primary office location and employees\u2019 residences to show they are located in a HUBZone. They said this is time-consuming and tedious, especially for firms with many employees. Although they felt that SBA\u2019s HUBZone mapping software had improved, they said the formatting of addresses in Puerto Rico creates a challenge, consistent with what we reported in 2017. One representative described having to pinpoint locations manually in Google Maps to obtain geographic coordinates, and then enter the coordinates into SBA\u2019s HUBZone map instead of street addresses. Other representatives noted that some of their employees have informal living arrangements and cannot easily provide proof of address.", "Some representatives said that they struggled with the specific time frames that payroll documentation must cover. SBA requires firms to submit payroll documentation for the pay period that includes the date of their application and a sufficient number of preceding payrolls to cover a 4-week period, but firms said it was difficult to submit payroll reports at exactly the right time to meet this requirement.", "According to representatives from HUBZone firms and two economic development organizations we interviewed, some challenges with certification may be unique to firms in Puerto Rico, including the address format issue described above. Representatives from one firm and the economic development organizations said that some firms in Puerto Rico may face language barriers if Spanish is their primary language, or if they lack formal documentation required for certification, such as not having computerized records. The 2017 hurricanes also created several challenges for firms. For example, some firms did not have electricity and closed for several months. Firms that closed while trying to obtain HUBZone certification could not respond to follow-up requests from SBA immediately or provide documentation of their business operations for the time period in which they were affected.", "Representatives from firms we interviewed said they had little contact with SBA other than in relation to compliance. Although some have attended SBA events, representatives said they generally worked with SBA partner organizations, such as the Federal Contracting Center and Small Business and Technology Development Center to obtain assistance with gaining HUBZone certification and applying for federal contracts. Representatives from three firms we interviewed said that officials from SBA visited their offices to provide technical assistance support.", "According to SBA officials in Washington, D.C., they have improved their communications with firms and increased outreach for the HUBZone program in recent years. For example, the HUBZone tracking system automatically generates emails to firms, such as reminders that they are due for recertification, which according to SBA officials, has eliminated the backlog of recertifications on which we reported in February 2017. Representatives from the Puerto Rico District Office also said they increased promotion of the HUBZone program in recent years through monthly events and seminars on all SBA programs across Puerto Rico, including a seminar on obtaining HUBZone certification. Representatives from the district office said they are not involved with the certification and recertification processes, but provide support by conducting from three to six site visits to HUBZone firms annually in Puerto Rico and the U.S. Virgin Islands."], "subsections": []}]}, {"section_title": "HUBZone Set-Aside Contracting Was Minimal in Comparison to Other Small Business Contracting in Puerto Rico; However, Assessment of HUBZone Expansion Impacts Might Be Premature", "paragraphs": ["An increase in HUBZone set-aside contracts could theoretically help deliver economic impact to Puerto Rico, but it is likely too soon to assess larger-scale economic benefits resulting from HUBZone program expansion in Puerto Rico as of June 2018. From fiscal years 2006 through June 2018, the share of HUBZone set-aside contracts as a percentage of small business contracts in Puerto Rico has remained low despite sharp increases in the number of HUBZone firms and overall federal contracting in Puerto Rico. Over this period, small businesses in Puerto Rico have been winning a large and increasing percentage of total federal contracting obligations in Puerto Rico. Firms, economic development organizations, and SBA representatives said any impacts of HUBZone expansion in Puerto Rico may not yet be observable due to hurricane-related setbacks. They also identified longer-standing challenges that Puerto Rican firms have faced in obtaining HUBZone set- aside contracts consistent with those we identified in 2017. In 2018, SBA established a procurement center representative (PCR) in Puerto Rico, which the agency expects will help address some of those challenges."], "subsections": [{"section_title": "Economic Impacts of HUBZone Expansion in Puerto Rico Not Yet Apparent", "paragraphs": ["Based on our analysis as of June 30, 2018, it appears that larger-scale economic benefits from HUBZone expansion have not been realized (it may be too early to assess the impact of program expansion). While HUBZone certification alone likely would not have a direct economic impact (such as on job creation) in Puerto Rico, the expansion of HUBZones in Puerto Rico, which now cover nearly the entire island, gives opportunities to more firms to qualify for and pursue preferential contracting opportunities. The number of HUBZone firms has risen since the expansion\u2014from 20 in September 2016 to 101 as of June 30, 2018.", "The program could help deliver economic impacts if HUBZone firms received contract awards as a result of contract preferences such as set- aside or sole-source contracts. For instance, employees hired to fulfill HUBZone set-aside contracts could represent jobs created in Puerto Rico (if those contracts otherwise would have been awarded to a firm outside Puerto Rico). However, if the contract otherwise would have been awarded to another Puerto Rican firm, the new jobs would represent an economic transfer, not jobs created.", "Our analysis of HUBZone set-aside contracts in Puerto Rico indicated that a few, newly certified HUBZone firms received set-aside contracts, which can be a source of job creation.", "Six of the nine firms that received HUBZone set-aside contracts in fiscal years 2017 and 2018 (through June 2018), totaling $5.1 million, were certified after the 2016 program expansion.", "One newly certified HUBZone firm that we interviewed said that program expansion resulted in the firm becoming HUBZone- eligible. The firm\u2019s representative said that it obtained a 5-year HUBZone set-aside contract for $700,000, which resulted in the firm hiring six employees to fulfill the contract.", "But HUBZone set-aside contract obligations have remained largely unchanged in recent years, and firms face both temporary and longer- standing challenges in accessing and winning contract awards, as we discuss later in this section. For a description of contracting trends in Puerto Rico, see appendix II."], "subsections": []}, {"section_title": "Federal Contracting to Small Businesses in Puerto Rico More Than Doubled Over the Past 3 Years", "paragraphs": ["Based on our analysis, federal contracts to businesses in Puerto Rico increased from $355 million in fiscal year 2015 to $841 million in fiscal year 2018 (through June 2018). Similarly, federal contracts to small businesses in Puerto Rico increased from $244 million to $688 million in the same period (see fig. 2).", "Although HUBZone set-aside contract obligations have remained largely unchanged in recent years, small businesses in Puerto Rico also have been winning a large and increasing percentage of total federal contracting obligations in Puerto Rico. Specifically, federal contract obligations to small businesses located in Puerto Rico as a percentage of total federal contract obligations in Puerto Rico increased from 69 percent in fiscal year 2015 to 82 percent in fiscal year 2018 (through June 2018). A significant portion of the increase in overall contracting and small business contracting to Puerto Rican firms in fiscal year 2018 (through June 2018) was related to hurricane relief. Specifically, we calculated that 55 percent of total federal contracting obligations in Puerto Rico and 64 percent of obligations awarded to Puerto Rican small businesses in fiscal 2018 were associated with hurricane relief."], "subsections": []}, {"section_title": "HUBZone Set-Aside Contracts as a Share of Federal and Small Business Contracts in Puerto Rico Remained Relatively Low in Recent Years", "paragraphs": ["While the obligations for federal contracting to small businesses in Puerto Rico sharply increased in recent years, as did the number of HUBZone firms, the share of HUBZone set-asides as a percentage of small business contracts in Puerto Rico remained low and relatively unchanged (see fig. 3). HUBZone set-aside contract obligations increased from negative $20,881 in fiscal year 2016 to $3.8 million in fiscal year 2017 (1 percent of the total value of small business contracts in Puerto Rico). The set-aside obligations dropped to $1.7 million through June 2018 (0.2 percent of the total value of small business contracts in Puerto Rico).", "Representatives of two economic development organizations that we interviewed stated that continued low use of HUBZone set-aside contracts by contracting agencies could subsequently decrease firms\u2019 willingness to participate in the HUBZone program in Puerto Rico. Representatives of firms and two economic development organizations noted that the process of monitoring, identifying, and applying for HUBZone set-aside contracts is time consuming and without the availability of set-aside contracts program participation may not be worthwhile for firms in Puerto Rico."], "subsections": []}, {"section_title": "Temporary Challenges May Hinder Use of HUBZone Set-Aside Contracts in Puerto Rico in the Short Term", "paragraphs": ["Representatives of firms and two economic development organizations and SBA officials in Washington D.C. and the Puerto Rico District Office told us that use of HUBZone set-aside contracts and any resulting economic impacts of HUBZone expansion in Puerto Rico may not yet be observable because of temporary challenges, such as advance contracts and outmigration due to the 2017 hurricanes."], "subsections": [{"section_title": "Advance Contracts", "paragraphs": ["One temporary challenge they cited was the use of advance contracts by agencies in response to the 2017 hurricanes. In advance contracts, an agency establishes contracts before a disaster for goods and services typically needed during a disaster response.", "Such contracts may prevent contracting officers from establishing a HUBZone set-aside on contracts awarded for disaster response and recovery. For example, a representative from one firm we interviewed said that in the wake of the 2017 hurricanes it had ample supplies of a vaccine in high demand on the island. The firm\u2019s representative thought that contracting officers previously established an advance contract with a company in the continental United States to supply the vaccine. Therefore, contracting officers were unable to contract the Puerto Rican HUBZone firm to supply the vaccine to the island. However, SBA officials in the Puerto Rico District Office told us that once advance contracts are completed, the contracting agency can replace the contract with another contract to perform those services, which could be a HUBZone set-aside contract."], "subsections": []}, {"section_title": "Outmigration from 2017 Hurricanes", "paragraphs": ["Representatives of firms and one economic development organization and SBA officials in the Puerto Rico District Office told us that outmigration from Puerto Rico after the 2017 hurricanes reduced the amount of talent and workers available to fulfill contracts. Representatives of one firm said that contracting officers may be concerned that the defection of talent from Puerto Rico could limit firms\u2019 abilities to complete contracts, limiting the contracting officers\u2019 willingness to set aside contracts.", "However, representatives of firms and one economic development organization said that contracts can be fulfilled by multiple Puerto Rican firms if necessary. Also, representatives of firms and one economic development organization said that people who left the island have started returning and replenishing the workforce."], "subsections": []}]}, {"section_title": "Longer-Standing Challenges Also May Hinder Use of HUBZone Set-Aside Contracts", "paragraphs": ["Representatives of firms and two economic development organizations and SBA officials in Washington D.C. and the Puerto Rico District Office also identified longer-standing challenges to increased use of HUBZone set-aside contracts in Puerto Rico, including difficulty meeting procurement requirements, limited knowledge of the federal contracting process, lack of access to contracting officers, and award of contracts to firms outside Puerto Rico. These concerns are similar to those we recognized in our 2017 report on SBA contracting program in Puerto Rico."], "subsections": [{"section_title": "Difficulty Meeting Procurement Requirements", "paragraphs": ["Representatives of some firms we interviewed stated that procurement requirements for federal contracts (such as performance history for construction contracts) posed challenges for small businesses in Puerto Rico. Representatives of some firms said that as an island, Puerto Rico faces specific challenges in meeting procurement requirements. For example, one firm\u2019s representative said that the construction of a school required a business to demonstrate experience in developing several schools in the past. According to this representative, opportunities to construct schools are limited in Puerto Rico and many Puerto Rican firms would be capable of fulfilling these contracts, but relevant experience constructing similar buildings is not considered as meeting this requirement.", "In 2017, we reported that the experience of construction businesses in Puerto Rico does not match procurement requirements, which are often standardized to mainland building standards and do not consider unique conditions in Puerto Rico. As a result, firms and associations that we interviewed in 2017 said that agencies\u2019 contracting officers may not consider the experience of Puerto Rican businesses as qualifying. Representatives from four associations that we interviewed in 2017 stated that construction businesses in Puerto Rico demonstrate in their construction plans greater understanding of building requirements in Puerto Rico, such as accounting for tropical climate or the risk of seismic activity, but these factors were not incorporated into federal procurement requirements."], "subsections": []}, {"section_title": "Limited Knowledge of the Federal Contracting Process", "paragraphs": ["Representatives of firms and two economic development organizations and SBA officials in the Puerto Rico District Office said that limited knowledge of the federal contracting process can be a challenge for HUBZone firms in Puerto Rico. One firm\u2019s representative explained that responding to agencies\u2019 requests for information was important because to create a HUBZone set-aside contract a federal agency must demonstrate that at least two firms could compete for the contract. Another firm\u2019s representative said that because it was unaware of the importance of responding to the requests for information, it had not responded to requests for information for any contract opportunities. Firms\u2019 representatives also noted that the process of responding to requests for information and requests for proposals is time consuming and often infeasible because they lack the financial and personnel resources of larger businesses.", "Firms can obtain information about federal and small business contracting from several sources. Firms\u2019 representatives we interviewed said that they generally seek assistance from SBA partner organizations, such as the Federal Contracting Center and Small Business and Technology Development Center, to gain a better understanding of the contracting process. Officials from SBA\u2019s Puerto Rico District Office said that they hold regular training on contracting programs and how to navigate the contracting process. The District Office also holds one-on-one appointments with businesses to help them navigate the federal contracting process and has offered training on proposal writing."], "subsections": []}, {"section_title": "Lack of Access to Contracting Officers", "paragraphs": ["Representatives of firms we interviewed said that obtaining HUBZone set- aside contracts was difficult for small businesses in Puerto Rico partially because of a lack of access to contracting officers. Most firms\u2019 representatives we interviewed said that, similar to obtaining assistance in navigating the contracting process, they seek assistance from SBA partner organizations, such as the Federal Contracting Center and Small Business and Technology Development Center, to identify HUBZone contract opportunities and connect with contracting officers.", "Firms\u2019 representatives also said that they attend conferences and matchmaking events at which they meet contracting officers; however, they said that this approach has not yet helped them to obtain increased HUBZone set-aside contracts in Puerto Rico. One firm\u2019s representative said that the advice at networking events is that firms should approach contracting officers, but small businesses do not have the contacts to approach contracting officers. Representatives of some firms said that SBA should act as an advocate or facilitator to provide connections between small businesses and contracting officers. Some of the firms\u2019 representatives noted that in the absence of HUBZone set-aside contracts, they tend to pursue subcontracts with companies that have prime federal contracts."], "subsections": []}, {"section_title": "Award of Contracts to Firms Outside of Puerto Rico", "paragraphs": ["Representatives of two economic development organizations we interviewed said that most HUBZone set-aside contracts and most of the hurricane relief-related contracts performed in Puerto Rico were awarded to firms outside Puerto Rico. In 2017, we similarly reported that representatives from four associations stated that challenges such as lack of access to contracting officers and difficulty meeting procurement requirements led to concerns about contracts being awarded to businesses located outside of Puerto Rico for work to be performed in Puerto Rico.", "Representatives of firms and one economic development organization also pointed out that for some industries, work does not need to be physically performed at the contract location; therefore, Puerto Rican HUBZone firms could be competitive for contracts located in other states. According to firms and one economic development organization, this is especially true in the technology industry, which is well represented in Puerto Rico with multiple HUBZone firms. However, representatives of the Puerto Rican technology firms we contacted noted that they have experienced great difficulty obtaining HUBZone contracts. One firm\u2019s representative suggested that this challenge might be partially due to Puerto Rican firms having less experience than firms outside of Puerto Rico in competing for HUBZone set-aside contracts. To compete for contracts, one firm said that its chief executive officer permanently moved to Washington, D.C., and another firm said its staff travels to Washington, D.C., once a month."], "subsections": []}]}, {"section_title": "Procurement Center Representative Based in Puerto Rico May Help Address Some Challenges Faced by HUBZone Firms in Puerto Rico", "paragraphs": ["In 2018, SBA established a PCR in Puerto Rico and SBA officials said the agency expects that the PCR will help address some of the challenges discussed previously. SBA PCRs work with federal agencies and small businesses to identify contracting opportunities for small businesses. The Puerto Rico PCR said that she plans to hold events for HUBZone firms to help them better understand and navigate the federal contracting process. For example, she plans to hold a Federal Acquisition Regulation \u201cboot camp,\u201d a 40-hour training to educate firms on the federal contracting process. She also stated that through regular interaction with other PCRs and with contracting officers, she can identify and discuss opportunities for HUBZone set-aside contracts for Puerto Rican small businesses. One economic development organization we interviewed said that it is too early to see an effect of the new Puerto Rico PCR, but that they have met with her and have been encouraged by her efforts to date.", "In 2017, we reported that several stakeholders identified the lack of an SBA PCR in Puerto Rico as a disadvantage for small businesses in Puerto Rico seeking contracts with the federal government. According to a representative from the Federal Contracting Center that we interviewed in 2017, having a PCR in Puerto Rico is important because the PCR can advocate for small businesses there. For example, the PCR can work with contracting officers to determine small business set-asides, make adjustments to procurement requirements, and make agency contracting officers more aware of businesses in Puerto Rico. According to one economic development organization\u2019s representative, the PCR could assist local businesses and promote businesses located in Puerto Rico to federal agencies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Our review of a sample of 12 case files for Puerto Rican firms certified between March 2017 and March 2018 found that SBA lacked complete documentation for one of two requirements we reviewed and did not consistently follow its own procedures for quality control reviews when approving firms. This suggests potential gaps in internal controls for both the certification and recertification processes, as SBA reviews firms\u2019 compliance with program requirements at both certification and recertification. Although SBA policy includes documentation reviews and a quality control process, its internal policy manuals do not reflect all document review procedures, and analysts did not always follow procedures for quality control reviews. SBA has not updated its policy manuals and, it is not known to what extent it has reviewed staff compliance with the quality review procedures. Although SBA provided an assurance letter stating its internal controls are effective, the letter did not describe steps taken in the evaluation. Documenting all procedures would help ensure that analysts consistently follow policy when certifying and recertifying firms. Documented reviews of staff compliance also could serve to identify and remediate any noncompliance with certification and recertification processes. Both actions would serve to strengthen the verification function in the HUBZone program, which is necessary to help ensure that only eligible firms participate in the program."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to SBA. Specifically: The Administrator of SBA should update the agency\u2019s internal policy manuals for certification and recertification reviews to reflect existing policies and procedures not currently in written guidance. (Recommendation 1)", "The Administrator of SBA should conduct and document reviews of staff compliance with procedures associated with HUBZone certification and recertification. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to SBA. In response, SBA provided written comments, which are reproduced in appendix III. SBA also provided technical comments, which we incorporated as appropriate. SBA generally agreed with both of our recommendations. However, SBA disagreed with three of our findings in the draft report.", "In the draft report, we stated that SBA\u2019s guidance for the certification process requires firms to submit documentation so that SBA can verify that a firm meets the employee residency requirement, including documentation showing that each employee\u2019s address is located in a HUBZone, for employees claimed to be HUBZone residents. We noted that documents were missing, illegible, or did not corroborate the information claimed regarding at least one employee\u2019s residency for 9 of 12 certifying firms that we reviewed. We also stated that in 5 of these 9 cases, the firm would not be eligible for HUBZone certification if the SBA analyst had not counted such employees. In its comments, SBA stated that it is only required to verify that no fewer than 35 percent of a HUBZone firm\u2019s employees reside in a HUBZone. SBA asserted that it had sufficient documentation to conclude that at least 35 percent of each firm\u2019s employees resided in a HUBZone for each of the 12 firms we reviewed. While SBA analysts may have addressed insufficient documentation by following additional procedures, which are described in the report, we found that these procedures were not documented in SBA\u2019s internal written policies for certifying HUBZone firms and analysts did not document their use of these procedures in the case files we reviewed. Therefore, we were not able to verify that SBA took such steps to verify the employees\u2019 addresses.", "In the draft report, we identified an inconsistency when reviewing the case files for the only Puerto Rican HUBZone firm recertified between June 2017 and May 2018. Specifically, the firm reported on its application that it had zero employees, but also claimed 19 of its employees lived in a HUBZone. In its comments, SBA stated that these numbers came from a program examination system that is no longer used by the agency and therefore would not have been administratively correct to use in the 2017 recertification process. However, the file we received from SBA\u2019s HUBZone Certification Tracking System asks for such information and had a response date noted as December 26, 2017. We recognize and noted that the firm was not required to submit corroborating documentation to verify employee information, because it was under the $1 million threshold. However, SBA policy states that recertifying firms must represent that the circumstances relative to their eligibility at the time of certification have not materially changed. In this instance, SBA recertified the firm when basic information obtained for the firm appeared to be erroneous and did not indicate that the firm was in compliance with the employee residency requirement.", "In the draft report, we stated that SBA did not consistently follow its quality review procedures to complete three distinct levels of review when approving the 12 Puerto Rican firms in our non-generalizable sample for certification. In its comments, SBA stated that while its legacy system, the HUBZone Certification Tracking System, requires three levels of review, its internal policies do not require that each level of review be performed by different staff. However, SBA internal policies that we reviewed state that the three levels of review should be conducted by different people, specifically an analyst, a senior analyst, and the program director. Furthermore, internal control standards state that management should design control activities at various levels with a segregation of duties, and periodically review its procedures and associated internal control activities for effectiveness.", "We are sending copies of this report to congressional committees, the Small Business Administration, and other interested parties. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-8678 or shearw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives in this report were to (1) examine the Small Business Administration\u2019s (SBA) development of criteria and guidance on using a risk-based approach for certifying and recertifying Historically Underutilized Business Zone (HUBZone) firms, (2) examine SBA\u2019s implementation of the revised policies and procedures for firms located in Puerto Rico, and (3) describe any economic impacts of HUBZone expansion and recent trends in federal small business contracting in Puerto Rico.", "To examine SBA\u2019s development of its criteria and guidance for HUBZone certification and recertification, we reviewed SBA\u2019s policies and procedures for certifying and monitoring HUBZone firms. To learn about SBA\u2019s risk-based approach, we interviewed officials at the headquarters level responsible for certifying and recertifying HUBZone firms. We reviewed prior GAO and SBA Office of Inspector General reports, applicable statutes and regulations, and SBA documents. We also compared the development of SBA\u2019s certification and recertification processes with federal internal control standards and relevant federal guidance and statutes for managing fraud risk.", "To examine SBA\u2019s implementation of the revised recertification processes in Puerto Rico, we used SBA\u2019s Dynamic Small Business Search database to identify HUBZone firms located in Puerto Rico that received HUBZone certification after March 27, 2017. We examined SBA\u2019s document review process for Puerto Rican firms that received HUBZone certification or were due for recertification between March 2017 and March 2018. We reviewed the case files for a non-generalizable sample of 12 firms that received initial certification and two firms that were due for recertification during this time period. We reviewed documents submitted by firms to SBA as part of the initial certification process. But we were unable to examine the document review component of recertification directly. According to SBA officials, only two firms in Puerto Rico recertified between March 27, 2017, and May 30, 2018, when we received the applicant case files from SBA, and neither met the threshold of $1 million in contract awards to trigger a full document review.", "From SBA\u2019s small business database, we identified 443 firms in Puerto Rico that had had HUBZone certification at any point as of March 12, 2018, and removed 350 firms that exited the program in order to review only currently certified firms (leaving 93 certified firms). From this universe, we identified 47 HUBZone-certified firms located in Puerto Rico with a certification date later than March 27, 2017, after removing duplicates. We chose a judgmental sample of 12 firms that we randomly selected from the total of 47 firms using a random number generator. We checked the city and industry of each of the 12 firms to confirm the firms provided some geographical and industry variation. Results from this sample are not generalizable to all HUBZone-certified firms.", "We examined the contents of the case files for each of the 12 firms, which included the application the firm submitted through SBA\u2019s HUBZone Certification Tracking System and supporting documents that firms submitted to corroborate their eligibility, including proof of office location, payroll documentation, HUBZone maps, and employees\u2019 identification such as driver\u2019s licenses. We compared the case file contents to SBA\u2019s guidance on which documents firms must submit and internal guidance for analysts reviewing applications.", "To determine which documents to review, we compared SBA\u2019s list of required documents for certification to those required at recertification and identified which are similar. We reviewed SBA analysts\u2019 notes, which are recorded in the HUBZone tracking system to verify that they reviewed the documents to determine the firms\u2019 eligibility. We also reviewed any emails exchanged between SBA and the applicant to identify cases in which SBA requested follow-up from the firm.", "We reviewed the name of the SBA analyst who completed each level of review, as indicated in the tracking system file, to determine whether SBA followed its policy of completing three levels of review. We also reviewed the tracking system files to verify the final approval and whether SBA sent the certification notice to the firm. We compared these files to SBA\u2019s internal policy manuals.", "To describe any economic impacts of the expansion of the HUBZone program in Puerto Rico, and to describe recent federal contracting trends, we used SBA\u2019s small business database and federal procurement data from the Federal Procurement Data System-Next Generation. We analyzed the number of firms in designated HUBZones in Puerto Rico and the amount of federal contract obligations awarded to the firms from fiscal year 2006 through June of fiscal year 2018\u2014that is, from the starting point for the analysis we used in our 2017 report to the most recent available data at the time of our current review. We assessed the reliability of the two databases by reviewing database guides and prior GAO work, and determined them to be reliable for the purposes of that analysis.", "For all of the objectives, we also interviewed SBA officials in Washington, D.C., and Puerto Rico and representatives from the Puerto Rico Chamber of Commerce and the Federal Contracting Center. In addition, we conducted a site visit to San Juan, Puerto Rico, in May 2018. There, we conducted two discussion groups and one interview with representatives from nine HUBZone firms located in Puerto Rico to obtain their perspectives on the HUBZone certification process, federal contracting opportunities, economic impacts of HUBZone expansion in Puerto Rico, and economic impacts of the 2017 hurricanes. We invited every Puerto Rican HUBZone firm to participate in the discussion groups and met with the nine firms that responded to our email. The views of representatives from these firms are not generalizable.", "We conducted this performance audit from February 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Federal Contracting Trends and Use of Socioeconomic Set-Asides in Puerto Rico, Fiscal Years 2006\u20132018", "paragraphs": ["This appendix provides information, based on our analysis of federal procurement data, on small business contracting in Puerto Rico, including the use of socioeconomic set-aside contracts and contracting by sector and agency."], "subsections": [{"section_title": "Small Business Contracting in Puerto Rico", "paragraphs": ["Annual federal contract obligations to small businesses in Puerto Rico more than doubled from fiscal year 2015 through June 2018. Small businesses in Puerto Rico also won a larger percentage of total federal contracting obligations in Puerto Rico."], "subsections": []}, {"section_title": "Use of Socioeconomic Set-Asides in Puerto Rico", "paragraphs": ["Although federal contract obligations to small businesses in Puerto Rico sharply increased in recent years, obligations through set-aside contracts for the Historically Underutilized Business Zone (HUBZone), 8(a) Business Development, Women-Owned Small Business, and Service- Disabled Veteran-Owned Small Business programs remained relatively unchanged (see fig. 4). The increases in federal contract obligations to small businesses in fiscal years 2017 and 2018 came mostly through free and open competition and awards reserved for small businesses that excluding those for the 8(a), HUBZone, Women-Owned Small Business, and Service-Disabled Veteran-Owned Small Business programs.", "HUBZone set-aside contract obligations increased from negative $20,881 in fiscal year 2016 to $3.8 million in fiscal year 2017 (1 percent of the total value of small business contracts in Puerto Rico), but dropped to $1.7 million through June 2018 (0.2 percent of the total value of small business contracts in Puerto Rico). Furthermore, 17.3 percent of the $21.9 million in contract obligations awarded to Puerto Rican HUBZone firms in fiscal year 2017 were through HUBZone set-aside contracts, and 3.3 percent of the $50.5 million awarded in fiscal year 2018 (see fig. 5). Other socioeconomic set-asides accounted for the highest share of obligations awarded (76.6 percent in 2017 and 80.1 percent in 2018) and free and open competition accounted for the rest (6.1 percent in 2017 and 16.6 percent in 2018).", "The fiscal year 2017 increase in federal contracting obligations in Puerto Rico were not substantially tied to hurricane relief since Hurricane Irma and Hurricane Maria hit Puerto Rico in September, the last month of the fiscal year. One percent of total federal contracting obligations in Puerto Rico and 1 percent of obligations awarded to Puerto Rican small businesses were associated with hurricane relief (see table 1). However, a significant portion of the increase in overall contracting and small business contracting to Puerto Rican firms in fiscal year 2018 (through June 2018) was related to hurricane relief. Specifically, 55.3 percent of total federal contracting obligations in Puerto Rico and 64.3 percent of obligation awarded to Puerto Rican small businesses were associated with hurricane relief. Furthermore, 16.1 percent of HUBZone set-aside contract obligations awarded to Puerto Rican firms were hurricane-related through June 2018."], "subsections": []}, {"section_title": "Contracting in Puerto Rico by Sector", "paragraphs": ["In fiscal years 2017 and 2018, overall federal prime contracting obligations in Puerto Rico and those awarded to small businesses in Puerto Rico were concentrated in the construction sector (about 25 percent in 2018), the manufacturing sector (about 20 percent in 2018), and the administrative and support and waste management sector (about 36 percent in 2018). For contracts awarded using HUBZone set-asides in Puerto Rico, the construction sector (about 52 percent in 2018), the information sector (about 11 percent in 2018), and the health care sector (about 37 percent in 2018) were most represented (see table 2)."], "subsections": []}, {"section_title": "Contracting in Puerto Rico by Agency", "paragraphs": ["Among federal agencies, the Department of Defense has awarded the greatest percentage of overall federal prime contracting obligations, obligations to small businesses, and HUBZone set-aside contract obligations to firms located in Puerto Rico. Specifically, in fiscal year 2018, Department of Defense contract obligations represented 58 percent of total obligations, 64 percent of obligations to small businesses, and 84 percent of HUBZone set-aside obligations to Puerto Rican firms (see table 3). Although, Department of Homeland Security contract obligations in Puerto Rico typically have represented less than 3 percent of total obligations and less than 5 percent of obligations to small businesses in Puerto Rico, those percentages increased to 21 percent and 23 percent, respectively, in fiscal year 2018 due to hurricane-related contracts awarded to Puerto Rican firms."], "subsections": []}]}, {"section_title": "Appendix III: Comments from SBA", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["William B. Shear, (202) 512-8678 or shearw@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Harry Medina (Assistant Director), Chris Ross (Analyst in Charge), Tarik Carter, Lilia Chaidez, Pamela Davidson, Erika Huber, Julia Kennon, John McGrail, John Mingus, Barbara Roesmann, and Jena Sinkfield made key contributions to this report."], "subsections": []}]}], "fastfact": ["For the Spanish translation of the one-page English Highlights for this document, see GAO-19-203.", "The Historically Underutilized Business Zone program is intended to increase employment and development in distressed areas. Businesses operating in these areas may qualify for federal contracting benefits such as limited competition for contracts.", "A 2017 law", "required the Small Business Administration to do more to address fraud risk when vetting firms seeking to participate or remain in the program", "allowed more HUBZones in Puerto Rico.", "We reviewed 12 newly certified firms in Puerto Rico, and found SBA did not consistently follow its risk management policies. We recommended SBA boost staff compliance with its policies and take other actions."]} {"id": "GAO-18-366", "url": "https://www.gao.gov/products/GAO-18-366", "title": "Federal Disaster Assistance: Individual Assistance Requests Often Granted but FEMA Could Better Document Factors Considered", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FEMA's IA program provides help to individuals to meet their immediate needs after a disaster, such as shelter and medical expenses. When a state, U.S. territory, or tribe requests IA assistance through a federal disaster declaration, FEMA evaluates the request against regulatory factors, such as concentration of damages, and provides a recommendation to the President, who makes a final declaration decision.", "GAO was asked to review FEMA's IA declaration process. This report examines (1) the number of IA declaration requests received, declared, and denied, and IA actual obligations from calendar years 2008 through 2016, (2) the extent to which FEMA accounts for the regulatory factors when evaluating IA requests, and (3) any challenges FEMA regions and select states reported on the declaration process and factors and any FEMA actions to revise them. GAO reviewed FEMA's policies, IA declaration requests and obligation data, and FEMA's RVARs from July 2012 through December 2016, the most recent years for which data were available. GAO also reviewed proposed rulemaking comments and interviewed FEMA officials from all 10 regions and 11 state emergency management offices selected based on declaration requests and other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["From calendar years 2008 through 2016, the Department of Homeland Security's (DHS) Federal Emergency and Management Agency (FEMA) received 294 Individual Assistance (IA) declaration requests from states, U.S. territories, and tribes to help individuals meet their immediate needs after a disaster. Of these, the President declared 168 and denied 126 requests. Across the various types of IA declaration requests, severe storms (190) were the most common disaster type and drought (1) was among the least common. FEMA obligated about $8.6 billion in IA for disaster declarations during this period.", "GAO found that FEMA regions did not consistently obtain and document information on all elements of established IA regulatory factors when making IA recommendations to headquarters. Following a declaration request, a FEMA region is to prepare a Regional Administrator's Validation and Recommendation (RVAR)\u2014a document designed to include data on each of the six IA regulatory factors for each declaration request as well as the regional administrator's recommendation. GAO reviewed all 81 RVARs from July 2012\u2014the date FEMA began using the new RVAR template\u2014through December 2016. GAO found that regions did not consistently obtain and document information for the elements required under the six regulatory factors (see table). For example, only 44 of the 81 RVARs documented all elements under the concentration of damage factor. By evaluating why regions are not completing all elements of each current IA regulatory factor, FEMA could identify whether any corrective steps are needed.", "Officials from the 10 FEMA regions and 11 states GAO interviewed, reported positive relationships with each other, but also cited various challenges with the IA declaration process and regulatory factors. For example, these officials told GAO that there are no established minimum thresholds for IA, making final determinations more subjective and the rationale behind denials unclear. However, as required by the Sandy Recovery Improvement Act of 2013, FEMA has taken steps to revise the IA factors by issuing a notice of proposed rulemaking. According to FEMA, the proposed rule aims to provide more objective criteria, clarify the threshold for eligibility, and speed up the IA declaration process. As of April 2018, the proposed rule was still under consideration. According to FEMA officials, they plan to finalize the rule in late 2018; therefore, it is too early to know the extent to which it will address these challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FEMA evaluate why regions are not completing the RVARs for each element of the current IA regulatory factors and take corrective steps, if necessary. DHS concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Natural disasters in 2017, such as the California wild fires and the Atlantic hurricane season, affected approximately 25.8 million people in the United States\u2014nearly 8 percent of the U.S. population. As a result of these disasters, 4.7 million individuals applied for assistance in 2017 from the Federal Emergency Management Agency (FEMA) through its Individual Assistance (IA) program, which provides help to individuals and families to meet their immediate needs, shelter, and medical needs in the wake of a disaster. FEMA provided more than $2 billion in IA funds in response to these disasters. FEMA is a component of the Department of Homeland Security (DHS) that leads the federal effort to prepare, respond to, and help recover from disasters, both natural and man-made. Following a major disaster declaration by the President, FEMA may provide three principal forms of assistance. These include IA; Public Assistance, which addresses repairs to communities\u2019 and states\u2019 infrastructure; and Hazard Mitigation Assistance, which provides funding for projects a state submits to reduce the threat of future damage.", "To obtain federal disaster assistance, a state or tribe must request a disaster declaration through FEMA (IA declaration), and then FEMA determines whether to make a recommendation to the President to declare a major disaster. In reviewing the state or tribe\u2019s IA disaster declaration request, FEMA is to consider six primary factors, established in regulation in 1999, to determine the severity, magnitude, and impact of a disaster event. These IA regulatory factors include: (1) concentration of damages (e.g., homes destroyed); (2) trauma (e.g., injuries and death); (3) special populations (e.g., elderly and disabled); (4) voluntary agency assistance; (5) insurance coverage; and (6) average amount of individual assistance by state. After Hurricane Sandy, Congress passed the Sandy Recovery Improvement Act of 2013 to improve certain aspects of disaster assistance, and the act directed FEMA to review, update, and revise the IA factors in order to provide more objective criteria, clarify the threshold for eligibility, and speed the IA declaration process.", "You asked us to review the IA declaration process and regulatory factors along with FEMA\u2019s proposed changes to the factors. This report examines (1) the number of IA declaration requests received, declared, and denied, including the types of disasters and related obligations for IA major disaster declarations from calendar years 2008 through 2016; (2) the extent to which FEMA accounts for the six IA factors when evaluating state and tribal IA declaration requests; and (3) what challenges, if any, FEMA regions and selected states report regarding the factors used in the IA declaration process, and what actions, if any, FEMA has taken to revise these factors.", "To answer our first objective, we reviewed FEMA policies and procedures, regulations, and internal documents related to the IA disaster declaration process such as FEMA\u2019s guidance on the process, manual on damage assessment, and fact sheets on IA programs. We obtained and analyzed data from FEMA\u2019s systems for disaster declaration requests made by states and tribal entities; and IA actual obligations for declarations made from calendar years 2008 through 2016, the most recent data available at the beginning of our review. To assess the reliability of these data, we reviewed the data and discussed data quality control procedures with FEMA officials. We determined that the data we used from these systems were sufficiently reliable for the purposes of this report.", "To answer our second objective, we reviewed relevant laws, FEMA policies and procedures, regulations, guides, memoranda, internal documents, and other documents related to the IA disaster declarations process, including the current IA factors established in regulation. We reviewed and analyzed the completeness of all 81 FEMA nonemergency and nonexpedited Regional Administrator\u2019s Validation and Recommendations (RVAR) prepared from July 2012 through December 2016, the most recent years for which data were available at the time of our review. We excluded emergency and expedited disaster declaration requests because such requests are not required to include all the information related to the regulatory factors. We did not include RVARs prepared prior to July 2012, after FEMA updated its RVAR guidance and training and began recommending the use of a new RVAR template in order to help ensure consistency across regions. We also obtained a copy of the RVAR template, which we determined contained 28 elements, most of which pertain to the six IA factors identified in the regulation. We used these elements to analyze the 81 RVARs to determine if information on the IA regulatory factors were obtained and documented. We interviewed officials from FEMA headquarters and all 10 FEMA regions on their consideration of the IA regulatory factors and development of the RVARs. We also compared the 81 RVARs to Standards for Internal Control in the Federal Government. To assess the reliability of the RVARs, we reviewed and analyzed the RVARs that FEMA officials provided and discussed quality control procedures with them. We determined that the information we used from the RVARs was sufficiently reliable for the purposes of this report.", "To answer our third objective, we reviewed relevant laws and FEMA policies and procedures, notices, regulations, and guidance related to the IA disaster declaration process and FEMA\u2019s proposed rulemaking, which proposes revisions to the current six IA regulatory factors. We interviewed officials from all 10 FEMA regions, FEMA headquarters officials, and state-level emergency management officials in 11 states to discuss their perspectives on the IA declaration process and current regulatory factors, any associated challenges, and their perspectives on the proposed changes to the current IA regulatory factors. We selected the 11 states based on those that have undergone multiple IA requests from calendar years 2008 through 2016 and those that have experienced various types of disasters in different regions of the country. We selected California, Illinois, Indiana, Kentucky, Mississippi, Missouri, New York, Ohio, Oklahoma, South Dakota, and Virginia. We made three site visits to obtain more detailed information on the IA declaration processes. We visited FEMA regions IX and V, and spoke with regional FEMA officials, as well as with emergency management officials for the states of California and Illinois. We also visited region IV and we spoke with FEMA officials for that region. We chose these locations to obtain examples and experiences across a wide variety of disaster types and regions. The information gathered during these site visits is not generalizable to other states or regions, but the details provide insights regarding FEMA\u2019s and states\u2019 management of these processes. We also reviewed and summarized the 14 public comments states submitted on FEMA\u2019s proposed rulemaking that proposes changes to the current IA regulatory factors.", "We conducted this performance audit from January 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our finding and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), as amended, establishes the process for states or tribal entities to request a presidential disaster declaration. The act also generally defines the federal government\u2019s role during the response and recovery after a disaster and establishes the programs and process through which the federal government provides disaster assistance to state, local governments, tribal entities and individuals. In addition to its central role in recommending to the President whether to declare a disaster, FEMA has primary responsibility for coordinating the federal response when a disaster is declared as well as recovery, which typically consists of providing grants to assist state and tribal entities to alleviate the damage resulting from such disasters. Once a disaster is declared, FEMA provides assistance through the IA, Public Assistance, and Hazard Mitigation Assistance programs. For instance, some declarations may provide grants only for IA and others only for Public Assistance. Hazard Mitigation Assistance grants, on the other hand, are available for all declarations if the affected area has a FEMA-approved Hazard Mitigation plan. The process for requesting assistance is the same for the three types of assistance."], "subsections": [{"section_title": "Disaster Declaration Process", "paragraphs": ["Under the Stafford Act, states\u2019 governors or tribal chief executives may request federal assistance, if state and tribal resources are overwhelmed after a disaster. As part of the request to the President, a governor or tribal chief executive must affirm that the state or tribe has implemented an emergency plan and that the situation is of such severity and magnitude that effective response is beyond the capabilities of the state or tribal entity, among other things. After a state or tribe submits a request for disaster declaration through FEMA\u2019s regional office, the regional office is to evaluate the request and make a regional recommendation through the RVAR, which is submitted to FEMA headquarters for further review. The FEMA administrator then is to review the state\u2019s or tribe\u2019s request and the RVAR, and recommend to the President whether a disaster declaration is warranted. Figure 1 shows the process for a disaster declaration from the time a disaster occurs until the President approves or denies a declaration request."], "subsections": []}, {"section_title": "Five Programs Available under Individual Assistance", "paragraphs": ["The IA program provides financial and direct assistance to disaster victims for expenses and needs that cannot be met through other means, such as insurance. The IA comprises five different programs as shown below. When states or tribal entities request disaster declarations, they may request assistance under any or all of the five programs. Likewise, when the President makes a disaster declaration, the declaration may authorize IA which may also include any or all of the five IA programs. 1. Individuals and Households Program provides assistance to eligible disaster survivors with necessary expenses and serious needs which they are unable to meet through other means, such as insurance. According to FEMA headquarter officials, direct assistance is provided to individuals to meet housing needs. 2. Crisis Counseling Program assists individuals and communities by providing community-based outreach and psycho-educational services. 3. Disaster Legal Services provides assistance through an agreement with the Young Lawyers Division of the American Bar Association for free legal help to survivors who are unable to secure legal services adequate to meet their disaster-related needs. 4. Disaster Case Management Program involves a partnership between a FEMA disaster case manager and a survivor to develop and carry out a Disaster Recovery Plan. 5. Disaster Unemployment Assistance provides unemployment benefits and reemployment services to individuals who have become unemployed as a result of a major disaster and who are not eligible for regular state unemployment insurance."], "subsections": []}, {"section_title": "The Six IA Regulatory Factors Used to Assess IA Declaration Requests", "paragraphs": ["In accordance with its responsibilities under the Stafford Act, FEMA issued a regulation in 1999 that outlines the six factors regional and headquarters officials are to consider when assessing requests for a disaster declaration and when developing a recommendation to the President for a federal disaster declaration. The regulation states that FEMA considers the six factors not only to evaluate the need for IA but also to measure the severity, magnitude, and impact of the disaster. The state or tribe provides information on these factors when submitting its disaster declaration request. The six factors for IA include the following: 1. Concentration of Damages\u2014characterizes the density of the damage in individual communities. The regulation states that highly concentrated damages \u201cgenerally indicate a greater need for federal assistance than widespread and scattered damages throughout a state.\u201d For example, concentration of damage data includes the numbers of homes destroyed, homes with major or minor damages, and homes affected. 2. Trauma\u2014the regulation provides conditions that might cause trauma including large numbers of injuries and deaths, large-scale disruption of normal community functions, and emergency needs such as extended loss of power or water. 3. Special Populations\u2014FEMA considers the impact of the disaster on special populations, such as low-income populations, the elderly, or the unemployed. 4. Voluntary Agency Assistance\u2014involves the availability and capabilities of voluntary, faith, and community-based organizations, and state and local programs to help meet both the emergency and recovery needs of individuals affected by disasters. 5. Insurance Coverage\u2014addresses the level of insurance coverage among those affected by disasters. Because disaster assistance cannot duplicate insurance coverage, as recognized in the regulation, if a disaster occurred where almost all of the damaged dwellings were fully insured for the damage that was sustained, FEMA could conclude that a disaster declaration by the President was not necessary in accordance with this factor. 6. Average Amount of Individual Assistance by State\u2014according to the regulation, there is no set threshold for recommending IA. However, it states that the averages, depicted in table 1, may prove useful to states and voluntary agencies as they develop plans and programs to meet the needs of disaster victims. The inference is that these averages generally indicate the amount of damages that could be expected for a state based on its size (small, medium, and large). The averages contained within the regulation and depicted in table 1 are based on disasters that occurred between July of 1994 and July of 1999."], "subsections": []}]}, {"section_title": "The President Declared 57 Percent of All IA Requests from 2008 through 2016, with Total Obligations of Approximately $8.6 Billion", "paragraphs": [], "subsections": [{"section_title": "The Number of IA Declarations Varied by Region and Severe Storms Were the Most Frequent Disaster Type", "paragraphs": ["The President declared 57 percent of all IA declaration requests from calendars years 2008 through 2016, with total IA obligations of approximately $8.6 billion. FEMA received 294 IA declaration requests from calendar years 2008 through 2016. Of these, the President declared 168 requests (57 percent), and 51 percent of these declarations were from Regions IV and VI, as shown in table 2.", "Additionally, of the 126 IA declaration requests denied by the President, Regions X and IX had the highest percentage of denials, at 71 percent (10 out of 14) and 67 percent (12 out of 18), respectively, and Region I had the lowest percentage of denials at 13 percent (2 out of 15), as shown in table 3. See appendix I for the number of IA declarations requested, declared, and denied by states and tribes from each FEMA region for disaster declarations requested from calendar years 2008 through 2016.", "According to a FEMA headquarters official, when a disaster declaration is denied, FEMA sends a denial letter to states or tribes based on the review of all the information available. The letter generally states that the damage was not of such severity and magnitude as to be beyond the capabilities of the state, affected local governments, and voluntary agencies, and accordingly the supplemental federal assistance is not necessary. Of the emergency management officials we interviewed in 11 states, officials in five states reported that FEMA provided a rationale behind the denial, while officials in three states reported that no rationale was provided.", "Among the various types of disasters for which IA declaration requests were received, severe storms, flooding, and tornados accounted for the highest number of IA requests, with drought, fishery closure, and contaminated water being the least common, as shown in table 4."], "subsections": []}, {"section_title": "FEMA IA Obligations Varied by Region and State", "paragraphs": ["FEMA obligated a total of approximately $8.6 billion in IA for disaster declarations made from calendar years 2008 through 2016. These actual obligations were provided to 46 states and they ranged from less than $1 million to more than $1 billion as shown in figure 2. See appendix II for FEMA\u2019s IA actual obligations by state and type of disasters for disaster declarations made from calendars years 2008 through 2016.", "Additionally, actual obligations for IA declarations made from calendar years 2008 through 2016 varied greatly by FEMA region, as also shown in figure 3. For example, FEMA Region VI had the highest obligations at around $3.3 billion. Region X had the lowest obligations at $24.8 million. As shown in table 5, the amount of obligations for disasters declarations also varied greatly by state. For example, Louisiana had the highest obligations at approximately $2 billion, followed by New York and Texas at about $1.3 billion and $1.1 billion, respectively. The state with the lowest obligations was the U.S. Virgin Islands at about $2,100."], "subsections": []}]}, {"section_title": "FEMA Regions Varied in How They Considered IA Regulatory Factors and Did Not Consistently Obtain and Document Information on All Elements of These Factors", "paragraphs": [], "subsections": [{"section_title": "FEMA Regions Varied in Their Consideration of the IA Regulatory Factors Based on Disaster Circumstances", "paragraphs": ["Six of FEMA\u2019s 10 regional offices reported using all six regulatory factors when evaluating states\u2019 or tribes\u2019 IA declaration requests. Officials from the other 4 regions reported using five of the six factors, with the exception being the average amount of individual assistance by state factor. These officials noted that they do not use this factor because FEMA considers the factor to be outdated or they consider all of the factors holistically.", "Officials from FEMA\u2019s regional offices also generally reported that the extent to which they consider the six IA regulatory factors equally in all cases varies, depending on the circumstances of the related disaster. Specifically, officials from 7 of the 10 regions stated that they use the regulatory factors on a case-by-case basis as certain factors are more relevant than others based on the disaster. For example, if a tornado hits a rural community and completely destroys all properties within the community with no death or injury, then the regulatory factor for trauma may not be as applicable, while the concentration of damages regulatory factor would have greater relevance. On the other hand, if a tornado hits the center of a town resulting in damages with death and injuries, then the trauma regulatory factor would become more important to consider.", "Additionally, officials in 3 of the 10 regions reported that in addition to the six regulatory factors, they also take into account institutional knowledge and staff experience when evaluating the regulatory factors. For example, officials in one region stated that their staff have more than 10 years of IA declaration experience, and as such, they are familiar with the extent of the information needed and collect the information accordingly."], "subsections": []}, {"section_title": "FEMA Regions Did Not Consistently Obtain and Document Information on All Elements of the IA Regulatory Factors in RVARs", "paragraphs": ["Based on our analysis of RVARs from July 2012 through December 2016 used to recommend approving or denying IA requests, FEMA regional offices did not consistently obtain and document information on all elements of the IA regulatory factors. As described earlier, FEMA regions are to use the RVAR to document information on the IA factors and to recommend to the FEMA administrator whether a disaster should be declared.", "According to FEMA headquarters officials, FEMA developed the RVAR template in June 2012 to help ensure consistency across regions when making recommendations to headquarters on IA declaration requests. Officials stated that prior to the template, information on the six factors was mainly provided in narrative format. The new template listed the various elements found within each of the six regulatory factors, guiding the regional offices to provide information based on those elements. For example, instead of providing a general narrative on the trauma factor, the new template listed the elements to be provided under trauma, such as the number of injuries and deaths, as well as information on power outages and disruption of other community functions and services. Also, instead of summarizing the concentration of damages factor, the template allowed regional offices to categorize the damage concentration as low, medium, high, or extreme. Furthermore, the template also provided a uniform format to present quantitative information such as the number of homes destroyed; whether home damages are major or minor; the number of homes affected; and level of home ownership. See appendix III for a sample RVAR template.", "We analyzed 81 RVARs developed by the 10 FEMA regions from July 2012 through December 2016 and found that regions did not consistently obtain and document information on all elements related to each of the six regulatory factors in their RVARs. As shown in table 6, all 81 RVARs had at least some elements documented but not all for each of the IA regulatory factors. For example, for the IA concentration of damages regulatory factor, the six elements to be addressed include the number of homes destroyed, damaged or affected, damage concentration, and damage to critical facilities. While 44 of the 81 RVARs documented all of the six elements, 37 documented some but not all of the elements. Similarly, for the trauma regulatory factor, the four elements to be addressed include injuries, death, power outages, and disruption of community functions. While 30 of the 81 RVARs documented all of the four elements, 51 documented some but not all of the elements. For the insurance coverage factor, while five RVARs documented all of the elements, 73 RVARs documented some but not all of the elements. Elements under this factor include home ownership, insurance, and flood insurance, when applicable. None of the six regulatory factors were fully documented across all RVARs. See appendix IV for detailed information on the extent to which all of the elements of the six regulatory factors were documented in the RVARs from July 2012 through December 2016.", "FEMA headquarters officials acknowledged that information related to all the elements for each of the IA regulatory factors were missing from the RVARs. They stated that they had not collected all information on all factors because one factor may have more weight than another based on the specific incident that has occurred. However, they also indicated that they do not fully know and have not evaluated all of the reasons why a region may have omitted information on an element of a factor. FEMA headquarters officials agreed that having complete information on all elements of the regulatory factors in the RVARs would assist in their recommendation process.", "Standards for Internal Control in the Federal Government suggest that agencies should establish and operate monitoring activities to ensure that internal controls\u2014such as the documentation of all of the elements of the IA regulatory factors FEMA regions considered\u2014are effective, and to take corrective actions as appropriate. Because it is unclear why regions are not completely documenting all elements related to the current six regulatory factors, such an evaluation could help FEMA identify whether any corrective steps are needed. Doing so could help FEMA ensure it is achieving its stated goals in providing consistency in the evaluation process and in the types of factors it considers."], "subsections": []}]}, {"section_title": "FEMA and States Reported Challenges in the IA Declaration Process, and FEMA Is Revising the Regulatory Factors Used to Assess Declaration Requests", "paragraphs": [], "subsections": [{"section_title": "FEMA and State Officials Reported Both Positive Relationships and Some Challenges in the IA Declaration Process", "paragraphs": ["Officials we interviewed in 9 of the 10 FEMA regions and state emergency management offices in all 11 states reported the positive relationship they maintain with each other as a strength in the IA declaration process. For example, both FEMA regional officials and state emergency management officials stated that they have a good working relationship and are in regular communication via telephone or in-person meetings with each other. Also, state emergency management officials we spoke to stated that whenever they are in need of assistance, they know they can reach out to FEMA regional officials for assistance. However, FEMA regional and state emergency management officials we spoke to also reported various challenges with the process. These include the subjective nature of the IA regulatory factors given the lack of eligibility thresholds, the lack of transparency in the decision-making process, and difficulty gathering information on IA regulatory factors.", "Subjective nature of the IA factors and lack of eligibility thresholds. Officials from 9 of 10 FEMA regions stated the subjective nature of the IA program is a challenge; and officials in 6 of the 10 regions also said they found the lack of eligibility thresholds a challenge. An official in one region stated that unlike FEMA\u2019s Public Assistance program, which has minimum thresholds for eligibility, it is unclear when states should apply for IA funds. Under the Public Assistance program, for example, for states or tribes to qualify for assistance, they must demonstrate that they have sustained a minimum of $1 million in damages and the impact of damages must amount to $1.00 per capita in the state. An official in another region explained that although the subjectivity of the IA factors provides flexibility in determining the type of IA program needed, having some quantifiable criteria could help officials explain to states why their requests were denied or approved.", "Similarly, officials we interviewed in 7 of the 11 states said they found the subjective nature of the factors with no threshold to be a challenge. A state emergency management official in one state said this subjectivity makes it difficult to determine whether or not the state should make an IA request. A state emergency management official in another state reported that the subjectivity can cause the IA declaration process to be inconsistent, and it is not always clear how or why certain declarations were approved and others were not. Further, a state emergency management official in an additional state also pointed to the subjective nature of the factors with no threshold as a reason for not being able to provide a more detailed rationale behind a declaration denial.", "To illustrate this, table 7 shows how four states requested IA declarations related to the same tornado in 2012 and varied in what they reported across the six IA factors, such as the levels of damages incurred, special populations among their residents, and insurance coverage. Two of these four states\u2014Kentucky and Indiana\u2014received IA declarations and the other two\u2014Ohio and Illinois\u2014were denied.", "Lack of transparency. Another challenge reported by FEMA regional and state emergency management officials was the lack of transparency in how FEMA evaluates and provides a recommendation to the President on whether a declaration is warranted. For example, officials we interviewed in 4 of 10 regions indicated the lack of transparency as a challenge. A FEMA official in one region stated that the region would like more transparency regarding what FEMA headquarters recommends to the President and whether the President\u2019s decision aligns with FEMA\u2019s recommendation. State emergency management officials we interviewed in 10 of 11 states also reported that lack of transparency with the IA process is a challenge. For example, an emergency management official in one state said it is not clear how or if FEMA considers all of the factors. Also, an emergency management official in another state reported that it was unclear to him why his state\u2019s declaration request was denied while the requests of other states with similar incidents were declared.", "Difficulty gathering information on IA regulatory factors. Officials in 4 of 10 FEMA regions reported difficulty gathering information, such as income or insurance coverage, as a challenge. An official in one region stated that it is difficult to obtain information related to IA factors from states. For example, the official said that calculating the concentration of damages is difficult absent technical guidance from FEMA headquarters, as the current guidance only accounts for the number of structure damage but not the impact of damage. Further, officials in two FEMA regions stated that states lack a dedicated IA official, making it difficult for state officials, who play multiple roles, to provide the necessary information related to the IA factors in their IA declaration request. Additionally, a state emergency management official in one state also reported that lack of staff resources in her state makes it difficult to verify all the local damage assessments prior to making a declaration request."], "subsections": []}, {"section_title": "FEMA Is Taking Steps to Revise the IA Regulatory Factors", "paragraphs": ["Pursuant to the Sandy Recovery Improvement Act of 2013, in November 2015, FEMA issued a Notice of Proposed Rulemaking to revise the six current IA regulatory factors to the following proposed factors: state fiscal capacity and resource availability; uninsured home and personal property losses; disaster-impacted population profile; impact to community infrastructure; casualties; and disaster-related unemployment.", "According to FEMA headquarters officials, the revisions aim to provide more objective criteria, clarify the threshold for eligibility, and speed the declaration. The officials said the proposed rule also seeks to provide additional clarity and guidance for all the established factors. Table 8 shows FEMA\u2019s description of current and proposed IA factors.", "FEMA received public comments from 14 states in the Federal Register during the comment period for the proposed rule and proposed guidance. The 14 states expressed concern about the proposed factor for state fiscal capacity and resource availability, including the reliability and relevance of data sources such as total taxable resources. These states expressed concern that the data collection necessary to meet the new requirements would fall upon them, adding to the cost burden of completing an IA disaster declaration request. They also explained that the use of total taxable resources and other similar data is not an effective way to assess a state\u2019s current ability to provide resources following a disaster. Also, these states indicated that the data points such as total taxable resources and per capita personal income that would be used to evaluate state fiscal capacity are outdated and inaccurate and would be an inefficient way to evaluate a state\u2019s true fiscal capacity to respond to a disaster.", "Regarding the other five proposed factors, several states in their comments raised questions about ambiguities in interpreting the factors or the feasibility and cost of gathering related data. For example, in regards to the factor on disaster impacted population, five states expressed concern that the data required for the disaster-impacted population factor would be a cost burden to the state or that the data would be inappropriate for evaluation. Additionally, two states said unemployment related to a disaster incident for the disaster-related unemployment factor would be hard to quantify in the first 30 days following a disaster. They stated that this was especially an issue given that states work to submit an IA disaster declaration request as soon as possible following a disaster.", "According to the Office of Management and Budget\u2019s Office of Information and Regulatory Affairs website, the projected date for finalization of the proposed rule is September 2018; however, as of April 2018, FEMA officials stated that they were not certain whether that timeframe would be met. Until the proposed rule is finalized, we will not know the extent to which the various challenges FEMA regions and state officials raised in our interviews and in comments on the proposed rule will be addressed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FEMA has obligated over $8.6 billion nationwide in IA from calendar years 2008 through 2016, highlighting the importance of FEMA\u2019s evaluation of states\u2019 and tribes\u2019 IA declaration requests. FEMA\u2019s regional offices evaluate the request and make a regional recommendation through the Regional Administrator\u2019s Validation and Recommendation, which documents information on all relevant IA regulatory factors. FEMA has developed the Regional Administrator\u2019s Validation and Recommendation to ensure regions consistently obtain and document the information needed by FEMA to make a disaster declaration recommendation to the President based on the IA regulatory factors. However, FEMA\u2019s regional offices do not consistently obtain and document information on all elements of the current IA regulatory factors. Because it is unclear why regions are not always documenting all of the elements related to these factors, evaluating the reasons why could help FEMA identify if any corrective steps are needed. Doing so could also help FEMA ensure it is meeting its stated goals in providing consistency in the evaluation process and in the types of factors it considers."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Administrator of FEMA evaluate why regions are not completing the Regional Administrator\u2019s Validation and Recommendations for each element of the current IA regulatory factors and take corrective steps, if necessary."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for its review and comment. DHS provided written comments, which are summarized below and reproduced in full in appendix V. DHS concurred with the recommendation and described planned actions to address it. In addition, DHS provided written technical comments, which we incorporated into the report as appropriate.", "DHS concurred with our recommendation that FEMA evaluate why regions are not completing the Regional Administrator\u2019s Validation and Recommendations for each element of the IA regulatory factors and take corrective steps, if necessary. DHS stated that a FEMA working group consisting of headquarters stakeholders will draft survey questions for FEMA region officials to identify the common reasons why an element of an IA regulatory factor may not be addressed within a RVAR. According to DHS, the working group will also analyze, assess, and present the findings of the survey responses to FEMA senior leadership, and if needed, FEMA will develop and send a memorandum to the regions with additional guidance regarding the appropriate preparation of RVARs. DHS stated that the estimated completion date is in the fall of 2018. These actions, if implemented effectively, should address the intent of our recommendation.", "We will send copies of this report to the Secretary of Homeland Security, the FEMA Administrator, and the appropriate congressional committees.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Individual Assistance Declarations Requested, Declared, and Denied, Calendar Years 2008-2016", "paragraphs": ["Table 9 provides the total number of Individual Assistance declaration requests made, declared, and denied, by region, state, and tribe for disaster declarations requested from calendar years 2008 through 2016."], "subsections": []}, {"section_title": "Appendix II: Individual Assistance Actual Obligations for Declarations Made, Calendars Years 2008-2016", "paragraphs": ["Table 10 provides Federal Emergency Management Agency\u2019s (FEMA) Individual Assistance (IA) actual obligations for declarations made from calendar years 2008 through 2016 by state and type of disaster."], "subsections": []}, {"section_title": "Appendix III: Regional Administrator\u2019s Validation and Recommendation Template", "paragraphs": ["As part of the Federal Emergency Management Agency\u2019s (FEMA) declaration process, FEMA\u2019s regional offices are to evaluate states\u2019 or tribes\u2019 declaration requests, including the IA declaration request, and make a recommendation called the Regional Administrator\u2019s Validation and Recommendation (RVAR) and submit the RVAR to FEMA headquarters. In June 2012, FEMA headquarters issued a template for FEMA regional offices to use in developing the RVAR as identified in figure 3."], "subsections": []}, {"section_title": "Appendix IV: Information on the Elements of the Six Individual Assistance Regulatory Factors", "paragraphs": ["Tables 11 through 16 provide information on each element of the 6 Individual Assistance (IA) regulatory factors documented in the Regional Administrator\u2019s Validation and Recommendation (RVAR) from July 2012 through December 2016 by the Federal Emergency Management Agency region."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Aditi Archer (Assistant Director), Su Jin Yon (Analyst-In-Charge), Hiwotte Amare, Eric Hauswirth, Susan Hsu, Jun S. (Joyce) Kang, Christopher Keisling, Heidi Nielson, Hadley Nobles, Anne Rhodes-Kline, and Jerome (Jerry) Sandau made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-653", "url": "https://www.gao.gov/products/GAO-18-653", "title": "Embassy Construction: Pace Is Slower Than Projected, and State Could Make Program Improvements", "published_date": "2018-09-25T00:00:00", "released_date": "2018-10-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 1998, terrorists bombed two U.S. embassies in East Africa, killing over 220 people and injuring more than 4,000 others. In 1999, State launched the CSCP with the primary goal of providing secure, safe, and functional workplaces, and OBO adopted a streamlined, standard design for all new embassies. In 2011, OBO shifted to the Excellence approach for new embassies, where greater use of custom designs is intended to improve embassies' functionality, quality, operating costs, and appearance.", "GAO was asked to review the performance of the CSCP. This report examines (1) the pace of the CSCP in constructing new embassies, (2) the cost and schedule performance of OBO's recent embassy construction projects, and (3) key factors that have affected State's ability to deliver construction projects efficiently. GAO analyzed information from State planning, funding, and reporting documents and interviewed State and contractor officials. As part of an assessment of nine construction case-study projects, selected for cost or schedule increases, GAO conducted four site visits to embassies under construction."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State's (State) Bureau of Overseas Buildings Operations (OBO) has constructed new embassies at a slower pace than forecast due in part to unexpected building requirements and inflation. In 1999 State identified a need to replace 180 embassies. In 2005, with about 30 projects underway, State planned to replace the other 150 embassies by 2018. Since 1999, OBO has built 77 embassies under its Capital Security Construction Program (CSCP), at a total cost of about $24 billion as of fiscal year 2017. CSCP's pace has been affected by unexpected additional building requirements, such as office annexes and Marine quarters. Also, CSCP received only one program funding adjustment for inflation since 1999, and State does not intend to seek annual adjustments. Currently, OBO does not provide information on inflationary effects on CSCP or an estimated total capital investment or feasible time frames for the nearly 50 embassies identified for replacement beyond 2022. Lack of such information may affect stakeholders' ability to make informed budget decisions.", "While cost growth occurred on a majority of completed embassy projects and durations averaged about 36 months, these were generally within budgeting and planning allowances. GAO could not assess performance of Excellence projects because none had been completed as of the end of fiscal year 2017.", "Staffing workload and contractor collaboration have affected OBO's project delivery. Without an OBO-wide workforce analysis, it is unclear whether OBO's staffing is commensurate with its workload needs. OBO maintains that its office overseeing project design reviews is understaffed, adversely affecting some of its critical functions. Contractors also expressed concerns about the quality of design reviews, which may be affected by a staffing shortage and the use of temporary contractors. Also, OBO and contractor officials acknowledged weaknesses in collaboration, particularly with regard to contractors less experienced with embassy construction. Of the five contractors GAO spoke with, three said they are unlikely to pursue future projects because of issues working with OBO. Formal construction partnering\u2014an industry best practice\u2014between OBO and its contractors could help avoid adversarial relationships that inhibit swift resolution of issues. OBO's two long-standing contractors that have completed most of the CSCP embassy projects participated in early projects OBO identified as having used formal partnering."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State (1) provide information on the estimated effects of inflation on planned projects, (2) provide an analysis of estimated total costs and time frames to complete the CSCP, (3) conduct an OBO-wide workforce analysis, and (4) pilot formal construction partnering. State concurred with our recommendations and also conveyed it is now pursuing other initiatives beyond Excellence."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Department of State (State) operates more than 275 embassies, consulates, and other diplomatic missions worldwide. More than 86,000 U.S. government employees are housed in these facilities. On August 7, 1998, terrorists bombed the U.S. embassies in Nairobi, Kenya, and Dar es Salaam, Tanzania, killing over 220 people and injuring more than 4,000 others. Following those attacks, the Secure Embassy Construction and Counterterrorism Act of 1999 required State to develop and report a list of diplomatic facilities scheduled for replacement, prioritized on the basis of their vulnerability to terrorist attack. At that time, State determined that embassies at more than 180 posts needed to be replaced to meet security standards and initiated the Capital Security Construction Program (CSCP) to construct new secure, safe, and functional embassies, administered by State\u2019s Bureau of Overseas Buildings Operations (OBO). To expedite construction, OBO standardized embassies\u2019 designs and streamlined their construction through a design- build project delivery method, which combined design and construction under a single contract. In 2006, we reported that OBO\u2019s Standard Embassy Design (SED) and design-build approach had made significant progress in expediting construction and helped to cut the average completion time of projects to about 3 years\u2014nearly half the time of embassies built during the prior construction era following the 1983 Beirut embassy bombing.", "In 2011, in response to criticisms that some SED embassies had a \u201cfortress-like\u201d appearance and were not as adaptable to local conditions, OBO replaced the SED with a new Excellence in Diplomatic Facilities initiative (Excellence). In contrast to SED, Excellence makes use of customized designs for each embassy, which OBO maintains will improve embassies\u2019 functionality, quality, and operating costs, as well as their appearance in representing the United States. However, stakeholders have expressed concern that the Excellence approach may add to the cost to construct embassies and slow the rate of moving personnel into more secure facilities. In a 2017 report, we examined the implementation and evaluation of Excellence within OBO headquarters.", "You asked us to review the performance of the CSCP. This report examines (1) the pace of the program in constructing new embassies, (2) the cost and schedule performance of State\u2019s recent embassy construction projects, and (3) factors that have affected State\u2019s ability to deliver construction projects efficiently.", "To conduct this review, we obtained information from agency planning, funding, and reporting documents and interviewed State officials within OBO; the Bureau of Diplomatic Security (Diplomatic Security); and the Office of Acquisitions Management. We also examined cost data drawn from the Federal Procurement Data System as well as OBO-provided data on contract costs and schedules, which we found to be sufficiently reliable for our purposes. In addition, we also interviewed officials from construction contractors that have built embassies for State. Further, we selected nine construction projects as case studies from among projects awarded in fiscal year 2008 through fiscal year 2015 and funded through CSCP. Selection criteria included projects whose construction time exceeded or was estimated to exceed 36 months (as informed by GAO\u2019s 2006 assessment that early CSCP embassies were built in about 36 months and OBO\u2019s projection that Excellence embassies will generally not take any longer to build), or projects with actual or estimated construction contract cost increases of more than 5 percent over initial contract price at award (OBO\u2019s typical cost contingency at contract award), or projects meeting both conditions. We sought to include as many different CSCP contractors in our case studies as possible from the pool of eight contractors constructing embassies from fiscal year 2008 through fiscal year 2017. We also reviewed the design contracts for two projects that had just begun construction. For each of our case studies, OBO compiled relevant information into project narratives. In general, we attribute information from these narratives to OBO.", "In September 2017, we traveled to Jeddah, Saudi Arabia; Jakarta, Indonesia; The Hague, Netherlands; and Pristina, Kosovo to observe construction progress and meet with U.S. embassy officials responsible for construction, facilities maintenance, post management, and security. In addition we interviewed contractor officials in these locations and in the United States. We also reviewed the results of a 2016 survey of OBO staff. Specifically, we have included narrative responses from that survey commenting on issues we encountered during our audit work for this report. Views expressed in the survey may not be representative of all OBO staff views on given topics. For more information on our OBO staff survey, its results, and methodology, see GAO-17-296. See appendix I for more information on our scope and methodology for this report.", "We conducted this performance audit from April 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Following terrorist attacks against the U.S. embassy in Beirut, Lebanon, in 1983, State began an embassy construction program\u2014known as the Inman program\u2014to protect U.S. personnel. However, as we\u2019ve previously reported, State completed only 24 of the 57 planned construction projects, in part due to poor planning, systemic weaknesses in program management, difficulties acquiring sites, schedule delays, cost increases, and subsequent funding limitations. Following the demise of the Inman program in the early 1990s, State initiated very few new embassy projects until after the two 1998 embassy bombings in Kenya and Tanzania. Following the bombings in Africa, the Secure Embassy Construction and Counterterrorism Act of 1999 required State to develop and report a list of diplomatic facilities scheduled for replacement based on their vulnerability to terrorist attack. One of the congressional findings in the Secure Embassy Construction and Counterterrorism Act of 1999 was that unless embassy vulnerabilities are addressed in a sustained and financially realistic manner, the lives and safety of U.S. employees in diplomatic facilities will continue to be at risk from further terrorist attacks. State subsequently initiated the CSCP to construct new embassies. The CSCP is administered by OBO, which in April 2018 had about 1,135 direct-hire civil service personnel, U.S. Foreign Service officers, and personal services contractors stationed in Washington, D.C., and overseas.", "The Secure Embassy Construction and Counterterrorism Act of 1999 calls for new diplomatic facilities to be sufficiently sized to ensure that all U.S. government personnel at a post are located on a single secure site and that those facilities are set back not less than 100 feet from the site\u2019s perimeter boundary. Before constructing a new embassy, State must certify to Congress that, among other things, the facility\u2019s design incorporates adequate measures for protecting classified information and activities as well as personnel working in the facilities. OBO contracts with architectural and engineering firms (design firms) to develop bridging or full designs meeting security and other project requirements. These design firms submit their designs for reviews by OBO and Diplomatic Security to ensure conformance with building code and security standards, respectively. Diplomatic Security, in consultation with the Office of the Director of National Intelligence, must certify that the design meets security standards prior to the start of construction. While this certification occurs during the design phase of a project, Diplomatic Security also has other roles in the process, such as participating in site selection, ensuring OBO contractors have necessary security clearances, and ensuring facilities are securely constructed.", "After passage of the Secure Embassy Construction and Counterterrorism Act of 1999, State determined that embassies at 180 posts\u2014out of 260 posts at the time\u2014needed to be replaced to meet security standards. State adjusted this milestone\u2014to building 150 embassies by 2018\u2014in 2005, when it worked with the Office of Management and Budget (OMB) to establish the Capital Security Cost-Sharing Program (cost-sharing), with a primary goal of accelerating the replacement of embassies. Under cost-sharing, nearly 30 U.S. agencies with a presence in U.S. embassies were to provide a total of $17.5 billion for constructing the 150 new embassies by 2018\u201412 years sooner than had been projected without cost sharing. In justifying its cost-sharing approach, State emphasized that, among other things, requiring agencies to pay for overseas staff would make them more likely to closely assess the need for each overseas position, thereby rightsizing overseas staffing levels."], "subsections": [{"section_title": "Standard Embassy Design (SED)", "paragraphs": ["OBO sought to expedite construction and control CSCP costs through adoption of the SED and streamlined construction through a design-build delivery method. The SED was a set of documents providing prototypical plans for a medium-sized embassy including specifications and design criteria, and explaining how to adapt those to a particular site and project. The SED was not a complete design but rather a standardized template for the structural, spatial, and security requirements of a new embassy compound to guide a contractor\u2019s final design. Compound elements described by the SED generally included the main office building; U.S. Marine security guards\u2019 living quarters; a warehouse; a utility building; compound access control buildings and perimeter walls; and parking facilities. The SED also allowed for the standardization of building components such as security windows and doors. Figure 1 shows the prototypical facilities defined by the SED.", "OBO combined the SED with the design-build delivery method, which integrates completion of the design as well as all construction responsibilities into a single contract. Under this model, the design-build contractor is responsible for both design and construction and thus generally bears the risks, such as added cost, for any design problems because the contractor hires the design firm to bring the design to completion. Under the SED approach, OBO hired its own design firms beforehand to conduct project development activities such as planning surveys, site studies, and other analyses needed to inform the project\u2019s design. OBO would utilize these design firms to develop a scope of work and provide the design-build contractor a concept or schematic design showing how OBO expected the office chancery and supporting embassy facilities to be arranged on the site using the SED prototypical design to include standard site and building plans, technical specifications, design criteria, and instructions for its adaptation for a particular project and contract requirements. The contractor\u2019s design firm would then use the SED documentation to develop a 100-percent completed design adapted for a site at a particular post. Figure 2 provides an overview of the embassy construction process under OBO\u2019s implementation of design- build utilizing the SED."], "subsections": []}, {"section_title": "Transition to Excellence", "paragraphs": ["In 2006, we reported that the SED approach and design-build delivery method had enabled OBO to make significant progress in completing new embassies and had helped to reduce the average time to complete projects to about 3 years (36.7 months). This was nearly 3 years faster than embassies built during the Inman era. However, while the SED approach enabled OBO to accelerate the construction of new embassies, some stakeholders raised concerns about the aesthetics, quality, location, and functionality of those facilities. Criticisms included that the SED embassies had a \u201cfortress-like\u201d appearance that detracted from their symbolic value in presenting American ideals of openness and innovation; that the emphasis on speed and cost control resulted in poorer-quality buildings and removal of functional elements such as warehouses; that the 10-acre lot specified by the SED required siting embassies too far from urban centers where foreign government offices are located; and that the standardized aspects of its design were difficult to adapt to unique site conditions and post needs.", "To address some of these criticisms, OBO began to use design-build with bridging (bridging) as a delivery method in 2008 with the first construction project awarded in 2009. Generally under this method, OBO first contracts with a design firm (the bridging architect) to develop a project- specific, partial design package (bridging design) that conveys State\u2019s design vision and a higher level of detail for key design requirements. Such details that State might convey in a bridging design could include the selection of specific building systems (e.g., the types of structural foundation systems to be used for each building on the site) or post- specific security features (e.g., location, types, and heights of security walls and bollards to be used around and within the site). Unlike the SED, each bridging design is project-specific, customized, and separately executed by an outside design firm contracted by OBO. The extent of each bridging design varies by project but generally approximates an overall 35- to 50-percent completed design, according to OBO officials. OBO\u2019s procedure is to then separately contract with a construction contractor (and its own design firm) to complete the design and build the project. Figure 3 provides an overview of the embassy construction process under bridging.", "Although customized, OBO\u2019s bridging designs continued to use the SED as a starting point for several years after OBO adopted bridging in 2008. However, criticisms aimed at the underlying SED elements continued, for instance, that the standardized design sometimes hindered adaptation of designs in response to different climates, countries, or unique post functions. In 2011, OBO initiated the Excellence approach, which placed greater emphasis on custom designs for each project. OBO subsequently phased out the SED as the basis for embassy designs, and according to OBO officials, SED specifications, standards and guidance were incorporated into OBO\u2019s Design Standards and Design Guide. According to OBO officials, by 2014, design firms hired by OBO to develop bridging designs no longer used the SED as a starting point. In addition, OBO shifted to greater use of the design-bid-build delivery method alongside bridging. Generally under design-bid-build, OBO first solicits and contracts with a design firm to develop a 100-percent design. Under this method, OBO then uses the completed design to solicit bids from prospective construction contractors. According to OBO documentation, OBO selects a project\u2019s delivery method, either bridging or design-bid-build, based on an evaluation of a project\u2019s local context, complexity, construction factors, and urgency. Figure 4 provides an overview of the embassy construction process under design-bid-build.", "Under both bridging and design-bid-build, OBO generally bears greater risk than it did under strict design-build in the SED approach. That is because if design errors impact construction, the contractor may seek additional costs and schedule relief from OBO for needed corrections and changes it attributes to problems with the design provided by the government. Additionally some stakeholders have expressed concern that the added design-work inherent to the Excellence approach may add to the cost to construct embassies and slow the rate of moving personnel into more secure facilities. However, OBO has maintained that greater design control under Excellence will improve embassies\u2019 functionality, quality, operating costs, and their overall public impact in representing the United States."], "subsections": []}]}, {"section_title": "State\u2019s Project Delivery Pace Has Been Slower Than Projected, as Unforeseen Building Requirements and Inflation Have Affected Progress", "paragraphs": ["Although State has built 77 new embassies since 1999 and at the end of fiscal year 2017 had another 21 under construction, the CSCP\u2019s project delivery pace has fallen short of State\u2019s 2005 target of constructing 150 new embassies by 2018. This is due, in part, to unexpected building requirements and the effects of inflation. In 2012, recognizing the erosion of purchasing power as a result of inflation, the Benghazi Accountability Review Board (ARB) recommended State work with Congress to increase the CSCP\u2019s annual funding level from $1.4 billion to approximately $2.2 billion in fiscal year 2015 and for up to 10 years thereafter. OBO plans to begin construction of 25 embassies in fiscal years 2018\u20132022 and nearly 50 more beyond fiscal year 2022, but it is unclear whether OBO can maintain its average pace of 5 new embassy contract awards per year\u2014particularly as State has not defined the overall capital cost and potential timeframes needed to achieve this goal, nor does it currently expect to seek year-to-year adjustments for inflation."], "subsections": [{"section_title": "State Will Not Meet Its Original Project Delivery Goals", "paragraphs": ["Although State has made progress in constructing more secure embassies, State\u2019s CSCP will not achieve the target of constructing 150 new embassies by 2018, a milestone that the 2005 cost-sharing was intended to facilitate. From fiscal year 1999 through 2017, State completed 77 new embassies and had 21 under construction. In fiscal year 2017, State also forecast a potential need for 72 additional embassies beyond those completed or under construction. Of those 72, State planned to begin construction on 25 new embassies in fiscal years 2018 through 2022, at an estimated pace of 5 new starts per year. The remaining 47 locations were identified by State as candidates for new embassy compounds beyond 2022. Figure 5 shows the status of CSCP embassy projects as of the end of fiscal year 2017.", "Total CSCP funding from 1999 through 2017 reached approximately $24.2 billion (in nominal dollars). Figure 6 shows the cumulative progress in completing the 77 embassies along with year-to-year cumulative funding from fiscal year 1999 through fiscal year 2017.", "State\u2019s CSCP will not achieve the 2005 target of constructing 150 new embassies by 2018. To achieve this target, State would have had to complete an average of about 10 embassies per year. Instead, on average, State has completed 5 new embassy compounds each year since cost-sharing was authorized in 2005. If State\u2019s project delivery pace remains unchanged, it would take more than 15 years to complete the 72 new embassies identified in State\u2019s CSCP planning schedule at the end of fiscal year 2017."], "subsections": []}, {"section_title": "The CSCP Has Had to Cover Unforeseen Additional Building Requirements and Has Received One Inflation Adjustment", "paragraphs": ["The pace of CSCP has been affected by unexpected building requirements and inflation. Beyond the 77 completed embassies and the 21 under construction, the $24 billion for CSCP since 1999 has also funded additional building requirements that State had not originally envisioned. According to State, these unforeseen requirements included: 1. On-compound staff housing at some posts, such as Beirut; 2. New or reopened posts, such as Kabul, 3. Marine security guard quarters on some new and existing compounds, such as Monterrey, in response to a recommendation in the 2012 Benghazi ARB report and as State revised its policy governing the presence of U.S. Marines at some posts. 4. New security requirements at high threat posts\u2014such as taller perimeter walls, guard towers, and unique security support spaces. 5. Office annexes; for example OBO is now building new annexes in Kampala, Uganda and Nairobi, Kenya, posts where new embassies were completed in 2001 and 2006 respectively. From 1999 through 2017 State completed 28 annex office buildings under the CSCP\u2014 such as for U.S. Agency for International Development\u2014or acquired buildings and upgraded them for use as an embassy.", "Figure 7 shows completed annex projects along with embassy completions. OBO officials told us that unforeseen requirements continue to affect the CSCP.", "Over time, CSCP funding has also been subject to the effects of inflation. The 1999 ARB following the bombings of U.S. embassies in Tanzania and Kenya recommended that embassy construction and other security improvements be funded at $1.4 billion per year over 10 years. With the introduction of cost-sharing in 2005, State set an annual CSCP funding goal of $1.4 billion, as the 1999 ARB had recommended, as well as the goal of completing 150 new embassies by 2018 for a projected funding total of $17.5 billion. However, State officials indicated that when the program was established, no provision was made for potential inflation over the life of the program. Therefore, while CSCP funding generally increased from 2005 through 2010, OBO officials stated that CSCP funding gradually purchased less than anticipated due to the lack of an inflation adjustment. This absence of inflation as a built-in factor in program planning is in contrast to OBO\u2019s cost estimates for individual new embassy projects. Those project-level cost projections account for inflation and recognize that the projects will typically take at least 3 years to build. If annual CSCP program-level funding is held constant as individual project costs generally increase over time, fewer projects can be funded in later years of the program resulting in a slower pace of project delivery.", "In 2012, recognizing the erosion of purchasing power as a result of inflation, the Benghazi ARB recommended that State work with Congress to restore the CSCP capacity to its earlier level by increasing its annual funding level to approximately $2.2 billion starting in fiscal year 2015 and for up to 10 years thereafter. Based on State data, that recommended funding level was not met in 2015, but was generally met in fiscal years 2016 and 2017 due to the provision of additional Overseas Contingency Operations funding. In general, according to OBO, such funding is used to support State requirements in high-threat locations, which, according to OBO, are subject to the highest rates of project cost change. State generally considers this funding to be non-enduring and supplemental to funding through State\u2019s regular budgets. Figure 8 shows State funding data representing the total annual CSCP funding from fiscal year 1999 through 2017\u2014including cost-sharing, supplemental, and Overseas Contingency Operations funding\u2014compared with State\u2019s 2005 CSCP funding goal ($1.4 billion annually) and the 2012 Benghazi ARB annual funding recommendation ($2.2 billion annually), proposed for implementation in fiscal year 2015."], "subsections": []}, {"section_title": "State Has Not Estimated Total CSCP Cost and Time Frame and Has Not Planned for Future Inflation", "paragraphs": ["Lack of Reliable Data on the Number of Staff Moved into New Embassies The number of U.S. government staff moved into more secure facilities has been a reported performance measure for the Capital Security Construction Program (CSCP) since the time of the Standard Embassy Design approach. For example, the U.S. Department of State (State) reported moving over 30,000 people (out of more than 86,000) into more secure facilities from 2000 through 2014. We attempted to assess CSCP performance on this measure on a project-by-project basis but found it unreliable for the purpose of establishing how many staff have been moved into newly constructed facilities. State\u2019s Bureau of Overseas Buildings Operations (OBO) officials explained that the \u201cnumber of staff moved\u201d metric was based on the projected desk and non-desk positions within each embassy construction contract. However, OBO never established a policy or procedure on how these data should be collected, managed, or validated. The data for this metric were informally tracked within OBO\u2019s Office of Construction Management. As a result, information for this performance measure is inconsistent, precluding a progress assessment of the CSCP using this metric. For example, totals for some years included data for major renovation projects of existing buildings while other years\u2019 data may have included acquired buildings purchased by State (and built by others). In 2017, we found State\u2019s one strategic CSCP-related performance indicator\u2014the relocation of staff into more secure and functional facilities\u2014provides no performance assessment on the extent to which Excellence facilities are any more functional, sustainable, or effective in supporting U.S. diplomacy. We recommended State determine whether this measure is still appropriate or needs to be revised. According to OBO officials, this metric is being revisited as part of a broader evaluation of OBO\u2019s performance measures. See GAO-17-296.", "Although the CSCP schedule for fiscal year 2017 identifies nearly 75 embassies still requiring replacement, the overall capital cost and likely time frame expected to achieve the program\u2019s goal are unknown, as OBO has not made such estimates. According to OBO officials, State is not focused on replacing a set number of embassies within an estimated total capital investment cost (e.g., 150 embassies for $17.5 billion, as planned in 2005) or by a given end-date (e.g., 150 embassies by 2018, as planned in 2005). Rather, OBO\u2019s approach is to request $2.2 billion annually in accordance with the Benghazi ARB\u2019s recommendation. According to these officials, this approach allows agencies that contribute to cost- sharing to consistently plan for a predictable funding level, and OBO will work to complete as many projects as soon as possible within this annual funding level. Further, they noted that State does not intend to seek annual inflation adjustments for the CSCP.", "In general, according to OBO policy, the CSCP is guided by Diplomatic Security\u2019s annual Security Environment Threat List of security rankings for posts, from which OBO develops a \u201cTop 80\u201d list of the 80 most at-risk posts needing a new embassy. OBO uses the Top 80 list to develop and adjust the CSCP schedule, which presents planned embassy awards for the current fiscal year and for each of the next 5 fiscal years. For example, the November 2016 CSCP schedule (current at the end of fiscal year 2017) listed the 5 posts slated for awards in fiscal year 2017. In addition, it listed the 25 posts slated for awards in fiscal years 2018 through 2022, grouped by the specific fiscal year when OBO anticipated being able to award the relevant construction contracts. The nearly 50 embassies planned for beyond fiscal year 2022 were broadly categorized in an \u201cout-year\u201d category in the November 2016 CSCP schedule.", "According to leading practices in capital decision-making we have previously identified, agencies\u2019 long-term capital plans should provide insight into likely funding and other resources and time frames needed to achieve organizational mission goals. We also noted in our guide to leading practices that, while out-year cost estimates are preliminary, they help provide decision makers with an overall sense of funding needs and that such long-range planning assists in developing both current and future budgets.", "OBO\u2019s fiscal year 2017 CSCP schedule does not identify estimated costs, either at the project or aggregate level. According to OBO officials, scope, cost, and size estimates are communicated on a project-specific basis to stakeholders through briefings and each fiscal year\u2019s congressional notifications listing projects to be implemented in the coming years. According to these officials, the CSCP schedule is intended to be a flexible way to communicate a snapshot of OBO\u2019s prioritization of posts to receive embassy awards over the next 5 fiscal years, emphasizing that the exact list can change. For example, a new embassy project might be advanced sooner than originally planned due to a change in State\u2019s security or policy priorities. Conversely, a project may be moved out to a later fiscal year due to challenges that OBO believes may be posed by the host government or other challenges identified during or after site acquisition. Although the CSCP does track the projected timing of some specific projects, State lacks a strategic planning document that estimates longer term CSCP resource needs. For example, the CSCP schedule contains no estimated 5-year program cost for the next 25 embassies OBO plans to build, nor does it provide stakeholders an estimate or cost range for the total capital investment and feasible time frames needed to address the 47 embassies that OBO has identified for replacement beyond the next 5 years.", "Additionally, guidance from OMB indicates that when developing budget estimates agencies should consider the effect that economic or other changes can have on program levels beyond the budget year. OMB guidance further states that agencies should be prepared to discuss the impact that program levels and changes in methods of program delivery will have on program operations and administration. OMB guidance states that for discretionary programs, agencies may include an allowance for the full rate of anticipated inflation, less than the full rate, or no allowance for inflation. The guidance recognizes that agencies must make trade-offs between budget increases for inflation versus other increases for programmatic purposes.", "Given that it contains no cost information, the CSCP schedule is not meant to be a tool to forecast and convey to stakeholders the long-term effects of inflation on program capacity. Therefore, considering the 72 embassies yet to be replaced, past inflationary effects, and the CSCP\u2019s pace thus far, it is unclear what pace OBO will be able to maintain without some level of inflation adjustment to its funding goal of $2.2 billion per year. Without information on the projected pace of construction and estimated effects of inflation, stakeholders\u2019 may lack complete information to make fully-informed budget decisions."], "subsections": []}]}, {"section_title": "Completed Embassy Projects Have Generally Stayed within Budgeting and Planning Allowances", "paragraphs": ["While cost growth occurred on a majority of completed embassy projects and durations averaged about 36 months, these were generally within budgeting and planning allowances. We could not assess cost and schedule performance of projects begun under the Excellence approach because none had been completed by 2017. OBO maintains that the greater upfront investment in more customized designs under this approach will yield long-term benefits in embassies\u2019 functionality, quality, and operating costs, as well as in their appearance in representing the United States. While an assessment of those potential benefits cannot be made at this time, we did find examples of Excellence and Excellence-like projects illustrating how innovative designs can increase upfront project costs."], "subsections": [{"section_title": "Contract Costs for Most Completed Projects Have Increased but Generally Stayed within Contingency Allowances", "paragraphs": ["While construction contract costs increased after award for most of the 22 completed projects we reviewed, the increases were generally less than contingency allowances, and most projects were completed within their contingency budgets. State reserves a contingency amount in its project budget\u2014ranging from 5 to 10 percent of the contract value at award\u2014to cover unforeseen project changes and cost increases. OBO\u2019s overall project budgets also include funding for other nonconstruction costs and contracts, such as planning, design, and on-site project management and security.", "For the 22 completed embassy construction projects we reviewed, 16 (almost 75 percent) were finished within 10 percent or less of the original contract value at award, and 3 of these 16 projects finished under the original contract value at award. Six of the projects (over 25 percent) exceeded the original contract value at award by over 10 percent.", "For the 6 projects whose final costs were more than 10 percent over the original contract value at award, some of the cost increases were due to events unrelated to original design or construction issues. For example, in Khartoum, Sudan, OBO project documentation indicates that the contract increase was due, in part, to host government restrictions on the importation of needed construction materials and having to restart the project. In other instances, as discussed earlier, additional building requirements increased project costs. For example, OBO officials noted that a U.S. Agency for International Development office annex was added to the embassy project in Kyiv, Ukraine, and Marine security guard quarters were added to the projects in Monterrey, Mexico; Mbabane, Swaziland; and Vientiane, Laos.", "Table 1 shows the original construction contract value at award and the final or current contract value for the 22 completed projects as of the end of fiscal year 2017. Of these 22 projects, 16 were SEDs; four were \u201cExcellence-like,\u201d meaning they were transition projects awarded after OBO\u2019s 2011 decision to institute Excellence but before OBO finished implementing Excellence in 2014; and 2 were not based on the SED template but predated the Excellence initiative. Contract value for some completed projects may change, in part due to outstanding requests for costs from the contractor or legal claims. Our cost assessment of the 22 completed projects included no Excellence projects, as none had been completed as of the end of fiscal year 2017.", "For the 21 ongoing construction projects that we reviewed, 14 (including 7 Excellence projects and 4 Excellence-like projects) had experienced some cost growth beyond the original contract value at award as of the end of fiscal year 2017. Because these were ongoing projects and 6 of the 21 had been awarded in fiscal year 2017 and therefore had not substantially progressed, we could not determine whether they would finish within their budget contingency, nor could we compare cost increases of Excellence projects\u2014none of which had been completed\u2014 with cost increases of SED projects. See appendix II for the cost status of these ongoing projects as of the end of fiscal year 2017."], "subsections": []}, {"section_title": "Innovative Designs Can Increase Project Costs", "paragraphs": ["OBO maintains that its greater upfront investment in unique designs under Excellence will yield long-term benefits in embassies\u2019 functionality, quality, and operating costs, as well as their appearance in representing the United States. Critics of the Excellence program assert that aspects of unique designs, such as buildings\u2019 shapes and layouts, construction materials, or the architectural products used, are often expensive to design, build, and maintain. For example, some Excellence or Excellence-like designs specify stylized, custom-built architectural facades that are to be installed on the buildings\u2019 exteriors. These can include cantilevered roofs; customized windows; architectural screens; glass curtain-wall systems; or very specific stone, brick, or concrete work. Some critics have also raised concerns about some aspects of buildings\u2019 interior architectural features. For example a project official reported to us that State could have saved nearly $950,000 had it utilized an aluminum handrail\u2014rather than a bronze handrail\u2014for one embassy\u2019s main staircase. The bridging design called for all metal site furnishings and railings to be a bronze tone in color. The bridging designer specifically indicated the use of bronze color throughout the design was intended to relate to the local metal craft of the region. An OBO official we spoke with indicated that while he understood there might be some savings for changing the handrail to aluminum, he felt the designer\u2019s intent in specifying the use of a bronze handrail was clear and was approved by OBO during the design review process, and thus he did not feel it would be appropriate to make a change. Figure 9 depicts the more custom and stylized Excellence exterior designs alongside more standardized SED projects.", "In reviewing our case study projects, we found instances of custom exteriors that had led to greater construction costs. For example, OBO project documentation shows the use of a customized glass exterior wall designed for the Jakarta, Indonesia, embassy significantly impacted cost and schedule after contract award, adding at least $18 million to the cost and 180 days to the schedule. According to project documentation as well as OBO and contractor officials, OBO\u2019s decision to employ a unique glass curtain-wall system for that project and subsequent questions raised by Diplomatic Security about the design, led OBO to modify the contract to add (1) $2.2 million and 180 added days to explore alternative designs and conduct redesign work in order to obtain Diplomatic Security certification; (2) $13.3 million, which OBO told us was for a dedicated facility to be established in the United States to securely fabricate the glass curtain wall before secure shipment to the site; and (3) $3 million to have cleared American workers install portions of the wall. OBO had not previously employed such a system in a completed embassy project and could not provide us with documentation analyzing the risks of such a feature to cost and schedule\u2014which might have included potential delays to get Diplomatic Security\u2019s approval of the design\u2014compared with conventional concrete construction. Figure 10 shows this glass curtain wall under construction.", "Additionally, on the Hyderabad, India, project, OBO project documentation shows the initial design of the unique exterior screen concerned OBO management, leading to more design development by the contract architect, further review by OBO\u2019s design staff, and added cost. Senior management expressed concerns about the appearance of the screen, mainly that the screen was too traditional compared with the spirit of the design of the building and the rest of the campus and that the pattern of the screen needed more variation for daylight and views. To respond to this concern, OBO issued two contract modifications to OBO\u2019s architect for additional design work for the exterior screen. OBO told us that subsequent design development for three alternatives for the screen contributed an additional design cost of about $750,000, raising the final bridging design cost to approximately $10.5 million. That figure excludes roughly $816,000 for support services during construction, of which OBO reports a minor portion was attributable to ensuring that the construction contractor achieved the design intent for the exterior screen. Figure 11 shows schematic design renderings of the approved screen design.", "In our 2016 survey of OBO staff, several staff indicated that unique Excellence project designs can impact costs. Table 2 provides examples of such comments."], "subsections": []}, {"section_title": "Construction of Completed Projects Averaged Around 36 Months", "paragraphs": ["For the 22 completed embassies we reviewed, the average time to completion was just over 36 months, though with some distinctive outliers. To assess schedule, we compared embassy construction durations with a benchmark of 36 months. We used that planning allowance because, in the past, OBO has maintained that a SED would generally take no more than 36 months to construct and that construction durations would not be any different under Excellence. For the 22 completed construction projects, 14 (about 64 percent) were completed in 36 months or less, including one Excellence-like project. The remaining 8 projects (36 percent) were completed in over 36 months, including 4 SED projects and 3 Excellence-like projects.", "Construction durations can be affected by factors not controlled by the U.S. government, such as host government relations, adverse security conditions, or border/port closures. For example, one schedule outlier was due to a work stoppage and restart in Khartoum, Sudan, where the short schedule does not capture the construction activities performed under an earlier 2005 contract. Other events extending construction duration included, as referenced earlier, the addition of U.S. Marine security guard quarters to the projects in Monterrey, Mexico and Mbabane, Swaziland, as well as delays related to host government permitting issues in Bishkek, Kyrgyzstan, according to State project documentation. Figure 12 summarizes schedule performance on the basis of construction duration for these 22 completed embassy construction projects. Our schedule assessment of 22 completed projects included no Excellence projects, as none had been completed as of the end of fiscal year 2017.", "We did not assess the final schedule performance of the 21 construction projects ongoing at the end of fiscal year 2017 because there were at different stages of construction. As a result, it is too early to draw conclusions regarding schedule performance of individual Excellence projects compared with SED projects. See appendix II for the schedule status of these projects as of the end of fiscal year 2017."], "subsections": []}]}, {"section_title": "Staffing Workload and Contractor Collaboration Challenges Impede Efficiency of Project Delivery", "paragraphs": ["After shifting to the use of more customized designs under Excellence, it is unclear if OBO\u2019s staffing levels, particularly in its Office of Design and Engineering (Design and Engineering), are sufficient to execute its full workload. Staffing workload challenges were cited by program stakeholders across the organization, but no strategic workforce analysis exists to fully assess OBO\u2019s human capital capacity against the full range of its real property responsibilities, including the CSCP. With regard to project implementation, formal partnering between OBO and its construction contractors could help avoid adversarial relationships that inhibit swift resolution of issues."], "subsections": [{"section_title": "It Is Unclear If OBO\u2019s Staffing Is Commensurate with Its Workload under the Excellence Approach OBO Faces Staffing Workload Challenges in Design and Other Offices", "paragraphs": ["According to OBO officials, OBO\u2019s workload and responsibilities exceed its available staff. In April 2018, OBO officials told us the bureau\u2019s authorized federal staffing level\u2014including both domestic and overseas positions\u2014is 1,415 positions. However, according to OBO officials roughly 280 (about 20 percent) were vacant due to both attrition and State\u2019s recent hiring freeze. OBO federal staff at that time consisted of approximately 1,135 people, including direct-hire civil service and Foreign Service staff, as well as personal services contractors (PSC) whom OBO defines as individuals who have direct employment contracts with State. In addition, OBO is supported by nearly 300 individuals who are employed by companies that provide those individuals to OBO as supplemental staff. Those 300 individuals are referred to by State as third-party contractors because their employment contracts are not with State but rather with their respective companies.", "Design and Engineering is one of the key offices supporting Excellence. According to OBO budget planning documents and the Managing Director of the directorate that includes Design and Engineering, this office has faced workload and staffing challenges for several years. Some OBO officials told us that the office\u2019s need for more staff has been ongoing since 2014, which roughly corresponds with OBO\u2019s full implementation of Excellence. In 2015, the staff within Design and Engineering conducted a workload and workforce review in preparation for the office\u2019s annual, internal budget planning process. Based on that review, the Director of Design and Engineering briefed OBO\u2019s Director and Deputy Director that some critical functions were not being performed or had been diminished, including quality design reviews (insufficient depth of review); advanced planning (master planning, feasibility studies); project analysis (scenario planning, life cycle analysis); and guidance to design firms (limited interactions).", "In the 2015 briefing, the Director of Design and Engineering proposed two courses of action to OBO\u2019s Director and Deputy Director: (1) workload prioritization or (2) workforce increase. The first approach sought to identify critical workload responsibilities\u2014such as new embassy construction\u2014that the existing staff should prioritize over other responsibilities that may need to be addressed with additional staffing or outsourced to private industry. The second approach, increasing the workforce, proposed that OBO hire more Design and Engineering staff to support all the office\u2019s responsibilities. According to a senior OBO official, OBO\u2019s Deputy Director at the time determined the best course of action was to implement a workforce increase, and in 2016 he instructed Design and Engineering\u2019s Director to plan to increase the office\u2019s authorized staff from approximately 150 to 250 people over several years. However, OBO officials told us this decision was a goal at that time and did not reflect any formal staffing authorization by OBO or State; for that reason, it was not reflected in any OBO human capital staffing assessment or plan. In the interim, until Design and Engineering could get authority and funding for more federal direct-hire or PSC positions, OBO planned to make increased use of third-party contractors. Since 2015, direct-hire authorized staffing levels for this office generally have not increased.", "In April 2018, OBO officials indicated that Design and Engineering needed about 300 staff to meet the office\u2019s workload responsibilities. Design and Engineering\u2019s internal 2018 budget planning documents show that since fiscal year 2015, the office has had 154 authorized civil service and PSC positions. However, in April 2018 OBO reported to us that Design and Engineering had filled only 108 of the 154 authorized positions, amounting to a vacancy rate of roughly 30 percent. OBO also reported that Design and Engineering was using 31 temporary third-party contractors, for a total combined on-board federal and contractor staffing level of 139 positons. Design and Engineering\u2019s internal fiscal year 2018 budget planning documents show that the office proposed to increase its authorized staff level from 154 positions to 304 positions by 2020, effectively increasing by 50 positions each fiscal year.", "According to senior OBO officials, requests for increased federal staffing for Design and Engineering and other OBO offices have generally not been approved since at least fiscal year 2015, in part, because of general budgeting and fiscal constraints. OBO officials indicated the denials of staffing requests were generally executive-level decisions made at different stages during the budget planning process within OBO, State, and OMB. In general, OBO officials characterized those decisions as common when agencies are under pressure to control program costs.", "Design and Engineering Announcements The following are examples of third-party contractor job announcements for positons intended to support the Office of Design and Engineering in the Bureau of Overseas Buildings Operations (OBO):", "Senior Architect \u2013 fills OBO \u201cfluctuating skill needs and gaps\u201d in architecture design, project planning, building code analysis, and construction design reviews; reviews plans, specification and technical reports; mentors more junior architects.", "As previously noted, Design and Engineering is utilizing private-sector companies to hire temporary third-party contractors in order to execute its workload and, in part, until OBO can receive authority to hire additional direct-hire staff. According to OBO officials, OBO in the past has primarily used third-party contractors to meet needs that were genuinely of a temporary nature, such as to conduct planning surveys and staff overseas projects during construction. More recently, however, OBO has begun to rely more on third-party contractors to provide key professional capabilities, as evidenced by some recent contractor hiring announcements for positons intended to support Design and Engineering (see sidebar). senior expert on interior design and space planning; reviews construction submittals; advises on contract bids, change orders, schedule extensions, cost increases; coordinates on planned embassy spaces with Diplomatic Security, the intelligence community, and OBO\u2019s construction contractors.", "We previously reported that new embassies are state-of-art facilities that have unique security features and whose designs must be certified by State as meeting security standards prior to the start of construction. Design reviews to assess proposed project designs in accordance with State standards and building codes are a key responsibility of Design and Engineering. Such reviews are important to the success of a construction project because insufficient design reviews by agency staff can lead to design errors and omissions that can affect project cost and schedule.", "Federal Facilities Council Study on Design Oversight The Federal Facilities Council report indicated that to provide effective design oversight an agency\u2019s interest is best served if the in-house staff can fulfill the functions of a \u201csmart buyer,\u201d whereby the agency retains in-house staff that understands the agency\u2019s mission, its requirements, and customer needs. The council noted that if the agency does not have the staff capacity to operate as a smart buyer, an agency risks project schedule and cost overruns, as well as facilities that do not meet performance objectives. The Federal Facilities Council also reported that uncontrollable circumstances have resulted in nearly all agencies\u2019 engineering functions being contracted to outside consultants at one time or another. As long as sufficient skills are retained in-house to meet the smart buyer approach, according to the council report, there does not appear to be any greater risk from contracting out a broader range of design review functions including construction document reviews and code compliance. However, complex projects that include unique and specialized features of high mission relevance, such as high- security facilities, were an exception cited by the council. When federal agencies are building such unique facilities, the council advised that they retain key expertise in- house as core competencies, with design review a primary in-house responsibility. quality, and performance. The council also concluded that effective design review processes result in more comprehensive and accurate design and construction documents that, in turn, lower project costs. (See sidebar for additional information on the council\u2019s report.)", "Construction contractors we spoke with expressed concerns about the quality of OBO\u2019s design reviews and capabilities to manage the amount of questions from construction contractors about OBO\u2019s Excellence designs. Two contractors believe OBO is using more third-party contractors to perform design reviews than it did previously and that some may lack specialized knowledge of embassy standards and security measures. The two contractors said that this may lead to lack of design consistency and continuity across projects. One construction contractor also indicated OBO takes more time to resolve design issues because it typically will consult with OBO\u2019s contracted Excellence design firm before answering a construction contractor\u2019s design-related question or approving a design change that may arise during construction. In our 2016 survey, several OBO staff raised concerns regarding OBO\u2019s capability to perform design oversight with existing staff. Table 3 lists some of those selected staff comments.", "OBO senior management stated that similar staffing challenges compared with workload also exist in OBO\u2019s Construction, Facility, and Security Management directorate. According to OBO documentation the Office of Construction Management is authorized 111 direct hire Foreign Service Construction Engineers worldwide but as of March 2018, it had 86, amounting to about a 20 percent vacancy rate. Those direct-hire Foreign Service engineers typically serve overseas as Project Directors (PD) for an embassy construction project.", "Other Third-Party Contractor Job Announcements We found examples of third-party contractor job announcements intended to support the Bureau of Overseas Buildings Operations Office of Construction, Facility, and Security Management directorate:", "Construction Management Program Analyst \u2013 reports on projects\u2019 problem areas for resolution; monitors projects\u2019 financial progress; prepares change requests and contract modifications; documents scope, cost, or schedule changes; provides guidance and training to lower level analysts; ensures internal controls and data integrity.", "According to the Office of Construction Management\u2019s 2018 internal budget planning documents, the office sought to covert 50 third-party contractors deployed overseas to direct-hire PSCs. Those positions\u2014 typically civil, electrical, or mechanical engineers\u2014serve as on-site technical staff under the PD, to oversee construction activities and respond to construction contractors\u2019 questions or proposed changes.", "Facility Manager \u2013 serves on an interim basis at posts lacking a facility manager; deals with unusual or emergency facility- related conditions that may impact embassy operations; oversees the day- to-day safe operation and maintenance of embassy facilities; manages post\u2019s building maintenance staff; performs design reviews.", "Similarly, OBO\u2019s Office of Facility Management reported to us that, for fiscal year 2018, it expected that it may be unable to fill 33 (about 15 percent) of its 224 authorized Foreign Service Facility Manager positions, at both newer and existing legacy embassies. Those positons serve as the single U.S. facilities officer overseeing primarily locally hired embassy staff that operate and maintain embassy building systems. As of March 2018, OBO reported it was trying to cover these positions through temporary staff assignments for 2 to 3 months. As with Design and Engineering, we found examples of positions within Construction, Facilities, and Security Management\u2014including Facility Managers\u2014 where OBO was relying on third-party contractors to provide key professional capabilities (see sidebar).", "Physical Security Specialist \u2013 reviews design plans, especially for sensitive embassy spaces; oversees transit security plans for sensitive project materials; determines on-site construction security staffing needs; serves on interagency security committees; prepares responses to State\u2019s Inspector General, GAO, and Congressional inquiries.", "Despite OBO-wide workload and staffing challenges, OBO cannot precisely quantify these challenges or their effects because it lacks a strategic workforce assessment of OBO-wide staffing levels and workload capacity needed to support the CSCP under Excellence. According to OBO, Excellence is a holistic effort to improve every aspect of OBO\u2019s operations, including real estate acquisition, security methods and technologies, cost management, construction management, and facilities management. OBO\u2019s \u201cGuiding Principles for Excellence in Diplomatic Facilities\u201d conveyed that delivering Excellence would be a comprehensive process that seeks to utilize the best methods, technologies, and staff abilities and that each of\ufb01ce, person, and action in OBO contributes to the realization of this goal. However, OBO\u2019s 2011 decision memo approving the shift to Excellence did not identify possible effects to OBO-wide workload, staff levels, and personnel costs, including likely costs to hire either more federal staff or third-party contractors. In addition, the decision memo did not address whether the new design-centric program might affect the staffing needs to manage other OBO responsibilities, such as renovations and security upgrades to existing embassies.", "As we have previously reported, the use of bridging and design-bid-build under Excellence entails a time and cost investment in design on the project\u2019s front-end. When two contracts are utilized by OBO\u2014one for design and one for construction\u2014additional administrative and programmatic effort is needed to develop, award, and manage multiple contracts. Diplomatic Security officials also reported to us that reviewing customized Excellence designs increased their workload.", "In 1999, OPM published a five-step model that suggests agencies should define their strategic direction, assess their current and future workforces, and develop and implement action plans for closing identified gaps in future workforce needs. Further, according to GAO human capital best practices, strategic workforce planning addresses two critical needs: (1) aligning an organization\u2019s human capital program with its current and emerging mission and programmatic goals and (2) developing long-term strategies for acquiring, developing, and retaining staff to achieve programmatic goals. Without an OBO-wide analysis of workload capacity and existing staffing, State senior managers and key program stakeholders will lack essential information to make decisions about workload priorities, staffing resources, and budget needs pertaining to CSCP and OBO\u2019s Excellence approach."], "subsections": []}, {"section_title": "Formal Partnering during Construction Could Help Avoid Collaboration Challenges That Affect Efficiency of Project Delivery", "paragraphs": ["Working collaboratively as a team to efficiently deliver new embassies has been a challenge for OBO and some of its construction contractors. OBO officials said some construction contractors selected to build new embassies have struggled to deliver projects, in part because they had less experience in terms of the number of embassies they had built, or were new to the embassy program. Construction contractors have to learn a great deal of information very quickly\u2014to include State security standards, design specifications, and operating procedures\u2014and many do not succeed, according to these OBO officials. Of the six contractors involved with our nine project case studies, four of the five that we spoke with relayed concerns about poor working relationships with some OBO on-site Project Directors (PD) and that OBO was a difficult business partner, similar to concerns raised about OBO that we have previously reported. Formal construction partnering (partnering) is a recognized construction industry best practice to foster improved collaboration and problem solving and continues to be utilized by major federal construction agencies."], "subsections": [{"section_title": "On-Site OBO-Contractor Relationship Is Important to Project Collaboration", "paragraphs": ["Contractor and OBO officials stressed the importance of the on-site relationship between the OBO PD and the contractor in successfully completing projects. According to State policy, OBO\u2019s PDs are the Contracting Officer\u2019s Representative at the site and have primary responsibility for overseeing the contractor. The PD serves as State\u2019s principal technical contact for the construction contractor and reviews all change proposals. Per OBO guidance, the PD (under advisement with Design and Engineering) renders interpretations of the contract plans and specifications and acts as arbiter of any technical disputes with the contractor. In cases where the recommended proposal amount exceeds the PD\u2019s dollar-value authority for changes, the PD makes a recommendation for action to State\u2019s Contracting Officer in Washington, D.C.", "OBO and contractor officials indicated that OBO\u2019s PDs are critical to the success of embassy projects and noted that while some PDs make an active effort to collaborate with contractors, other PDs do not. Our interviews with OBO and contractor officials reflected that PDs who do not collaborate well can have a challenging relationship with the contractor that makes it difficult to reach timely solutions to project and contract issues. In addition, contractor officials stated that strained relationships with some PDs may be further exacerbated because OBO headquarters often takes too long to make decisions\u2014in support of their PDs in the field\u2014on proposed changes and additional work that State is considering or that contractors propose as being needed. Three of the five contractors we spoke with cited such concerns about PDs and OBO headquarters as a long-standing or systemic issue. Officials from one contractor indicated that when PD-contractor disagreements arise and combine with delays by OBO headquarters, an issue that could be resolved at a lower cost or schedule impact can become a critical problem leading to greater cost and schedule impacts for the government, the contractor, or both.", "Senior OBO officials acknowledged differing styles and capabilities among OBO\u2019s PDs, as well as the need to improve response times in OBO headquarters. With regard to PDs, senior OBO officials stated that some PDs\u2019 working styles are more proactive in cooperatively seeking to resolve issues face-to-face and through meetings with the contractor\u2019s on-site team; conversely, other PDs\u2019 styles are more geared to corresponding with the contractor\u2019s team through written communication and contractual correspondence. One of these officials stated that he did not believe the latter style was as effective, but that it is sometimes needed when contract issues cannot be solved by the two sides.", "Another OBO official stated that OBO needs to look beyond individuals\u2019 technical engineering or architectural skills and experience and examine their \u201csoft skills\u201d\u2014such as communication abilities, problem-solving skills, and how they work with others\u2014to better assess who might excel when OBO assigns staff to projects. According to OBO officials, it can be very challenging to determine whether and to what degree a PD is reasonably enforcing the contract and doing their best to collaborate with the contractor to resolve project issues that arise."], "subsections": []}, {"section_title": "OBO Headquarters-Contractor Response Times Are Also a Collaboration Issue", "paragraphs": ["Regarding response times, senior OBO officials stated that OBO is working to improve turnaround on proposed changes during construction. However, they emphasized the necessity of PDs frequently having to go back to OBO headquarters to ensure an on-site change proposal is in accordance with OBO\u2019s contracted designer\u2019s intent as well as State\u2019s design and security standards. In addition, they stated that lack of timely responses can sometimes be the fault of the contractor, particularly if the contractor is less experienced with embassy construction or new to the program and unfamiliar with OBO\u2019s process requirements.", "OBO now allows for more time to resolve contractor requests for equitable adjustment that involve increases to contract cost or schedule than it had in the past. In 2008, OBO guidance called for State to acknowledge in writing contractors\u2019 requests for equitable adjustments\u2014 due to cost or schedule changes\u2014within 3 days and to seek to evaluate the merits of such requests and make final decisions within 55 days. In 2016, State changed its guidance to allow 15 days to acknowledge contractors\u2019 requests for equitable adjustments and 90 days for State to make a final decision. OBO documentation indicates that the process can take even longer than 90 days if State determines that the contractor has not provided enough information for State to assess the merits of the request for additional time or cost. Two of the contractors we spoke with stated that excessive delays in responding to a request for an equitable adjustment can increase the likelihood of contractor-initiated litigation. With regard to changes initiated by State, contractors were also frustrated when OBO issues a request for proposal to a contractor\u2014to provide a price and schedule for the prospective change\u2014and then OBO does not make a timely decision as to whether it wants to implement the change.", "OBO officials said they are trying to shorten the time it takes them to make decisions concerning contractors\u2019 requests for information, proposals for equitable adjustments to contract price or schedule, and OBO proposals to undertake additional work. In April 2018, OBO officials noted that they recently expanded the scope included in OBO\u2019s generic statement of work for \u201cconstruction phase services\u201d that it requests from contracted design firms. The responsibilities added to the statement of work are an effort to utilize and leverage the design firms to provide more support to OBO\u2019s PDs in the field, enabling the PDs to respond to OBO contractors more quickly."], "subsections": []}, {"section_title": "Case Studies Contained Examples of Both Adversarial and Cooperative Relationships", "paragraphs": ["Three of our nine case-study projects (involving six contractors) had adversarial relationships between OBO and three of its contractors. In our discussions with both OBO and contractor officials, as well as a review of OBO and contractor documentation, we found that those relationships were characterized by poor on-site collaboration and claims of delays in acting on proposed changes that affected project efficiency. In all three cases, both parties took the position that it was the performance of the other party when dealing with challenges and changes that most impacted the project\u2019s progress. The federal contractor performance evaluations for these projects also reflected the strained relationships between OBO and the contractors. Two of these situations involved contractors less experienced with the CSCP. In five of our nine case studies, OBO PDs and the contractor generally had cooperative relationships that responded effectively to project issues and resolved conflicts successfully. Four of these five projects involved the CSCP\u2019s two long-standing contractors. The third contractor, who reported a positive contractual relationship with OBO on one of our project case studies, indicated it had very poor relationship with OBO on its only other CSCP project. Information on four of our case studies\u2014two that had more adversarial relationships between State and the contractors and two that exhibited more cooperative relationships\u2014is included in the text box, and appendix III contains more information on these projects and our other five construction case studies.", "Example Case-Study Relationships between Overseas Buildings Operations (OBO) and Its Contractors Bishkek, Kyrgyzstan: A poor working relationship between OBO and the contractor inhibited resolution of a variety of disagreements. These disagreements included responsibility for obtaining zoning approvals and building permits with the host government, and whether the contractor could remove a satellite dish in the construction zone. Issues regarding timeliness of decision-making by OBO headquarters and quality of contractor submissions were also raised on this project.", "Jeddah, Saudi Arabia: This project was challenged by errors and omissions in the design provided to the contractor, according to OBO and contractor officials. Both OBO and the contractor acknowledged that a difficult working relationship slowed efforts to deal with such challenges. Disagreement also arose regarding timely response to proposed changes; the contractor maintained that OBO headquarters was delaying work due to slow decision-making, while OBO maintained that the contractor failed to mitigate schedule delays for which the contractor was responsible.", "The Hague, Netherlands: Both OBO and the contractor said they had a good working relationship and indicated that OBO\u2019s Project Director and his on-site project architect enabled OBO to more collaboratively and effectively react to technical inquiries from the contractor. Both OBO and the contractor noted that the two sides worked cooperatively to resolve environmental issues and permitting issues raised by the local government.", "Kyiv, Ukraine: Both OBO and the contractor observed that each side worked very cooperatively on-site and at the headquarters level to swiftly accommodate and mitigate the cost and schedule impact resulting from the addition of an office annex for the U.S. Agency for International Development."], "subsections": []}, {"section_title": "Partnering Is a Recommended Practice Intended to Foster More Effective Project Collaboration", "paragraphs": ["According to the Federal Facilities Council, facility acquisition traditionally has been an adversarial environment between facility owners and construction contractors. The council also indicated conflicting interests between the parties can result in poor communication, poor problem solving, and poor results. Further, the council has reported that when multiple organizations make a commitment to work cooperatively toward a common objective utilizing teambuilding techniques on building projects, the practice is called \u201cpartnering.\u201d", "OBO does not utilize formal partnering, though State\u2019s supplement to the Federal Acquisition Regulations System acknowledges that partnering may be used in the context of alternative dispute resolution. According to the State supplement, this partnering involves an agreement in principle to share the risks involved in completing a project, and to establish and promote a partnership environment. It notes that partnering itself is not a contractual agreement and it does not create any legally enforceable rights. Instead, partnering seeks to create a new cooperative attitude in completing government contracts. The three basic steps in partnering identified by State\u2019s supplement are as follows: 1. Establish the new relationship through personal contact among the principals for the government and the contractor before the work begins. 2. Prepare a joint statement of goals establishing common objectives in specific detail for reaching the goals. 3. Identify specific dispute prevention processes designed to head off problems, evaluate performance, and promote cooperation.", "Both the General Services Administration (GSA) and the U.S. Army Corps of Engineers call for partnering as a preferred management process on all major projects as a cooperative approach with their contractors to resolve problems and reduce conflicts, litigation, and claims.", "For example, GSA recommends formal partnering for all construction projects developed by its Public Building Services in excess of $10 million in estimated construction costs. One GSA executive official we spoke with cited partnering as a best practice that can mitigate cost growth and schedule delays by providing a more collaborative process to reach fair and equitable decisions faster to the benefit of both the government and the contractors.", "The Corps of Engineers has recommended formal and professionally facilitated partnering as an integral element on designated \u201cmega projects,\u201d which generally are those costing in excess of $200 million, have schedules that exceed 2 years, or have national or international significance, among other considerations. The Corps of Engineers reports that partnering is an organized process that can remove organizational impediments to communication and is consistent with the government\u2019s implicit duty to act in a fair and reasonable manner."], "subsections": []}, {"section_title": "Long-Standing CSCP Contractors May Be Better Able to Informally Partner with OBO Than Less Experienced Contractors", "paragraphs": ["As of the end of fiscal year 2017, there were five construction contractors building new embassies under the CSCP. For the 21 ongoing new embassy construction projects, 18 (approximately 85 percent) were under contract with 2 construction contractors who have historically received the majority (60 percent) of OBO construction contract awards since 1999. The 3 other projects were each being built by one of the contractors less experienced with embassy construction. Two of our case studies\u2014 Jeddah and Jakarta\u2014included work begun by two earlier contractors that had been terminated by State, according to OBO officials. Further, the two long-standing OBO construction contractors were awarded 9 of the 10 new embassy construction projects in fiscal years 2016 and 2017. In our discussions with OBO officials, they recognized that they have had persistent challenges in bringing new contractors into the CSCP but retain an interest in expanding OBO\u2019s contractor pool.", "Left unaddressed, some contractors\u2019 frustrations with OBO projects may be a factor in shrinking State\u2019s contractor pool. Three of the five contractors we spoke with (all less experienced with embassy construction) indicated they will not be pursuing future embassy projects because they believe State has not acted as a fair partner in overseeing its embassy construction projects. Examples of negative perceptions some of the contractors cited from their perspective included that State had not been fair in working with the contractors to resolve challenges such as design-related issues, security-related issues, government- directed changes, or unique issues posed by the countries in which the projects were located. Contractors said that such issues affected their and State\u2019s costs and schedules.", "OBO officials acknowledged that OBO\u2019s relationships with some contractors have posed challenges and saw both parties as bearing some responsibility. They also acknowledged that two long-standing OBO contractors continue to build most new embassies, and they expressed an interest in expanding OBO\u2019s contractor pool. We reported similar collaboration concerns raised by OBO contractors in 2009 when we examined contractor participation in the embassy construction program and the decline in the number of contractors participating in the program. In 2009, 10 of 17 construction contractors rated State as a poor or fair business partner. Of the 17 construction contractors surveyed in 2009, 3 had received about 62 percent of OBO\u2019s construction contract awards from 2001 through 2007. In general, many contractors at that time told us they were not making as much profit as anticipated and most contractors also expressed concerns about State\u2019s management of the program and State\u2019s on-site PDs.", "Executive officers from one of OBO\u2019s two long-standing contractors stated that due to the firm\u2019s experience with CSCP, it is able to carry out informal partnering with OBO to better address project challenges. This firm knows OBO\u2019s requirements and processes, as well as who within OBO headquarters to call to discuss specific issues, if the firm believes that such issues are not being addressed in a timely manner by the PD or contracting officer. For example, this long-standing contractor said it was generally able to overcome a variety of project issues and disagreements in Pristina, Kosovo, through the firm\u2019s knowledge of, and informal partnering relationship with, OBO headquarters. The OBO PD and contractor\u2019s on-site project manager could not reach resolution on the cost or schedule impacts of a variety of issues including (1) the extent to which State\u2019s approving the contractor\u2019s local-hired construction workers was delayed, (2) the timing and responsibility for bringing permanent power to the site, and (3) the extent to which there were differing site conditions requiring the contractor to excavate unsuitable soils and existing foundations.", "In January 2018\u2014after our September 2017 site visit to Pristina\u2014this contractor\u2019s headquarters office was able to resolve some issues with OBO and State\u2019s Office of Acquisitions that otherwise had not been resolved by their on-site project manager and OBO\u2019s PD. The firm\u2019s executive officers stated that contractors with personnel less experienced with the CSCP\u2014including with OBO and Diplomatic Security requirements and procedures\u2014do not have this in-depth knowledge and may experience greater challenges on their first few CSCP projects as a result. They suggested that OBO should utilize more formal partnering to bring new contractors into the program. They also cited the need to have both formal and informal processes for elevating and resolving issues in order to provide accountability at all levels and ensure that issues are addressed in a timely manner. The contractor believes that formal partnering could lessen the learning curve for new firms, reduce the conflicts between OBO PDs and the contractors\u2019 project managers on- site, and keep more firms in the program.", "Formal partnering, particularly with firms that have less experience with embassy construction, could help avoid adversarial working relationships between OBO and contractors that inhibit swift resolution of, or even exacerbate, challenges experienced on already-complex projects. Where more cooperative project relationships\u2014informal partnering\u2014occurred on our case-study projects, either on-site between OBO\u2019s PD and the contractor or between OBO headquarters and the contractor, we found that this dynamic helped to more easily resolve challenges and facilitate project efficiency. In discussing the possible use of partnering on OBO projects, one senior OBO official reported that while OBO utilized formal partnering to a limited extent on some the CSCP\u2019s early projects\u2014 Nairobi, Kenya; Tunis, Tunisia; and Conakry, Guinea\u2014he commented that he did not think it was very valuable. In his view, it seemed like the contractors at that time were using the partnering agreement to claim that OBO was not partnering properly. However, other OBO officials stated that they understood the practice of partnering by some federal agencies has evolved since that time. OBO officials agreed that although OBO had not considered formal partnering recently, it could potentially be useful, particularly if tried on smaller projects with new contractors or those less experienced with embassy construction. They added that such piloting would have to be done judiciously to determine how it might best work. We note that two of those three early projects OBO identified as having used formal partnering included the current two long-standing contractors that have completed most of the CSCP embassy projects."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["In passing the Secure Embassy Construction and Counterterrorism Act of 1999, one of the congressional findings was that, unless embassy vulnerabilities are addressed in a sustained and financially realistic manner, the lives and safety of U.S. employees in diplomatic facilities will continue to be at risk from further terrorist attacks. State\u2019s CSCP made steady progress through fiscal year 2017, completing 77 new embassies and starting construction on 21 more at a cost of just over $24 billion. However, State will not achieve its 2005 forecast for building 150 embassies by 2018 because progress has been hampered, in part, by unforeseen building requirements and inflation that were not originally factored into CSCP funding levels. These issues will affect State\u2019s progress as it continues to replace embassies that do not meet security standards. Because State does not currently intend to seek annual inflationary adjustments for CSCP, although individual projects do address inflation to some extent, the CSCP\u2019s pace of embassy production is likely to be reduced over time. As State continues to work with the Congress to chart the future course, priorities, and funding levels for the program, regular information on the effects of cost inflation would be helpful as stakeholders reassess the CSCP program\u2019s funding level from year to year.", "Moreover, State plans to begin the construction of 25 new embassies within the next 5 years and has identified the need to replace nearly 50 additional embassies in later years. While the CSCP schedule identifies future embassy replacements, it does not address the projected cost and time needed to achieve the CSCP\u2019s ultimate critical goal of replacing embassies that do not meet State\u2019s security standards. Recognizing that precise estimates cannot be easily made for later years, even a notional long-term estimate of the CSCP\u2019s overall capital funding investment and time frames, along with an assessment of risk factors such as inflation, would strengthen State\u2019s ability to support and sustain its funding needs, encourage dialogue with congressional committees, and promote consensus by decision makers in the executive and legislative branches on funding levels and expectations for program progress.", "Additionally, State\u2019s shift to the Excellence approach was predicated on the idea that customized designs would produce embassy compounds that are more innovative, functional, and sustainable than those built using the SED approach, and would also be at least as secure and more cost efficient to operate. It is too early to tell whether this greater upfront investment in design will yield cost and schedule benefits during construction of Excellence embassies or over their life cycle. While past embassies have generally been completed within expected cost and schedule allowances, given the number of embassies yet to be built to meet urgent security needs amid a constrained resource environment, it remains incumbent upon State to realistically assess its ability under Excellence to deliver embassies as efficiently as possible. By comprehensively evaluating its human capital needs against CSCP priorities and other workload demands, OBO can provide program stakeholders\u2014including State, OMB, and Congress\u2014the ability to make fully informed choices as to the capacity of OBO\u2019s design and construction organization to support embassy production of these embassies in the near and longer term.", "Furthermore, formal partnering could provide OBO with a tool to enhance collaboration both on-site and between contractors and OBO headquarters. This could mitigate the unforeseen issues that arise on all of these challenging overseas projects, but which may be more complicated to resolve for Excellence projects because each one is unique. Piloting a partnering program, particularly with newer or less experienced construction firms could also provide one option to facilitate State\u2019s long-standing goal of expanding its contractor base."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to State: The Secretary of State should determine the estimated effects of cost inflation on planned CSCP embassy construction capacity and time frames and update this information for stakeholders on a regular basis, such as through the annual budgeting process. (Recommendation 1)", "The Secretary of State should provide an analysis for stakeholders identifying those embassies that still need to be replaced to meet State\u2019s security standards and estimating total CSCP costs and projected time frames needed to complete those projects. (Recommendation 2)", "The Secretary of State should ensure that the Director of OBO conducts an OBO-wide workforce analysis to assess staffing levels and workload capacity needed to carry out the full range of OBO\u2019s mission goals, to include the CSCP. Such an assessment could provide a basis for broader stakeholder discussion of OBO\u2019s human capital needs and potential prioritization of activities. (Recommendation 3)", "The Secretary of State should ensure that the Director of OBO pilots formal construction partnering for the CSCP, particularly with construction firms that are new or less experienced with the program. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State for comment. State provided written comments that are reprinted in appendix IV. In its letter, State concurred with our four recommendations and described actions planned to address each of them. In addition, State made several observations, including that it has moved beyond Excellence to pursue several new initiatives that aim to lower project and long-term operations and maintenance costs. We acknowledge the continued evolution of State\u2019s CSCP. However, our recommendations transcend the pros and cons of any particular delivery method and will be helpful to State, and stakeholders, as it works to improve the design and construction of new embassies. State also provided technical comments on the draft, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of State. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact either Brian M. Mazanec at (202) 512-5130 or at mazanecb@gao.gov or Lori Rectanus at (202) 512-2834 or at rectanusl@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the pace of the Department of State\u2019s (State) Capital Security Construction Program (CSCP) in constructing new embassies, (2) the cost and schedule performance of State\u2019s recent embassy construction projects, and (3) factors that have affected State\u2019s ability to deliver construction projects efficiently.", "To conduct this review, we obtained information from agency planning, funding, and reporting documents and interviewed State officials within the Bureau of Overseas Buildings Operations (OBO); the Bureau of Diplomatic Security (Diplomatic Security); and the Office of Acquisitions Management. Within OBO, we spoke with officials from offices responsible for site acquisition, planning, project development, design and engineering, cost management, construction management, facility management, policy and program analysis, and financial management. We also interviewed officials from construction contractors that have constructed embassies for State.", "To examine the pace of the CSCP, we reviewed OBO project completion data for projects awarded from fiscal year 1999 (after the two embassy bombings in Africa) through the end of fiscal year 2017. We then compared these data against the goals of the program as reported in State documentation, such as past budget justifications and long-term planning reports. We also compared completion data against CSCP funding levels since fiscal year 1999, and further compared those funding levels with recommendations in the Accountability Review Board reports from 1999 and 2012 (following terrorist attacks against U.S. facilities). We also examined OBO\u2019s CSCP schedule outlining embassies planned to begin construction through fiscal year 2022 and other embassies identified beyond that time frame. We further consulted GAO\u2019s guide to leading practices in capital decision-making as well as budget guidance from the Office of Management and Budget (OMB). We also attempted to assess CSCP performance in moving U.S. government staff into secure facilities but found State\u2019s data unreliable for this purpose.", "To examine the cost and schedule performance of State\u2019s recent embassy construction projects, we selected projects awarded from fiscal year 2008 through 2017. We chose fiscal year 2008 because that year OBO modified its Standard Embassy Design (SED) delivery program to allow for more bridging design to better tailor the SEDs to specific sites. This time frame would also capture Excellence-like projects awarded between the introduction of Excellence in 2011 and the full implementation of Excellence in 2014, as well as pure Excellence projects awarded in 2014 and later. Of the embassy construction projects awarded since fiscal year 2008, we identified 22 completed projects and another 21 underway.", "To assess the cost performance of these projects, we used cost data drawn from the Federal Procurement Data System and back-checked against OBO-provided contract data, which we found to be sufficiently reliable for our purposes. We then compared any increases in cost from the contract value at award to OBO\u2019s general cost contingency for unforeseen changes on embassy construction projects, which ranges from 5 to 10 percent. To assess schedule performance, we compared construction durations from contract documentation with a benchmark of 36 months. We used that benchmark because, in the past, OBO has maintained that a SED would generally take no more than 36 months to construct and that construction durations would not be any different under Excellence. This benchmark was further informed by past GAO reporting. We did not assess the cost or schedule performance of the 21 projects still ongoing at the end of fiscal year 2017. Because these were ongoing projects at different stages of construction, we could not determine whether they would finish within their budget contingency, nor could we assess their final schedule performance. Furthermore, because no pure Excellence projects had been completed by the end of fiscal year 2017, we could not compare cost increases or schedule performance of Excellence projects with SED projects.", "To examine factors that have affected State\u2019s ability to deliver construction projects efficiently, we selected nine construction case studies out of our universe of projects awarded in fiscal year 2008 through fiscal year 2015, and funded through CSCP. Criteria for selection included projects with construction contract cost increases, actual or estimated, of more than 5 percent over the life of the contract projects, as well as projects whose construction duration exceeded, or was estimated to exceed, 36 months. We also sought to include as many different contractors, delivery types (e.g., design-bid-build), and construction approaches (e.g., Excellence) as possible. Our final nine construction case studies included projects in Kyiv, Ukraine; Monterrey, Mexico; Santo Domingo, Dominican Republic; Bishkek, Kyrgyzstan; Jakarta, Indonesia; Jeddah, Saudi Arabia; The Hague, Netherlands; Pristina, Kosovo; and Port Moresby, Papua New Guinea. Because many of OBO\u2019s pure Excellence projects were more recently awarded, we also reviewed the design contracts for Hyderabad, India, and Beirut, Lebanon.", "For each case study, we examined Federal Procurement Data System data, OBO project data and documentation, as well as official contract documentation\u2014including modifications that involved changes in cost or schedule. Additionally, for each of our case studies, OBO compiled information from its Office of Project Development and Coordination, Office of Construction Management, Office Cost Management, and Office of Financial Management into project narratives. Each narrative was then cleared by project managers, project directors, office directors, and managing directors of the affected directorates. In general, we attribute information from these narratives to OBO. We also interviewed relevant OBO and contractor officials involved with the projects, including on-site personnel from both completed and ongoing projects. In September 2017, we conducted fieldwork in Jeddah, Jakarta, The Hague, and Pristina to observe and discuss construction progress with on-site U.S. embassy and contractor officials. U.S. embassy officials we spoke with included those responsible for construction, facilities maintenance, post management, and security.", "To further explore issues arising from our case studies we obtained information from OBO planning, funding, and staffing documents and also interviewed State and contractor officials in Washington. We also reviewed the results of our 2016 survey of OBO staff. Specifically, we have included narrative responses from that survey commenting on issues we encountered during our audit work for this report. In some cases we edited responses for clarity or grammar. Views expressed in the survey may not be representative of all OBO staff views on given topics.", "We conducted this performance audit from April 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Cost and Schedule Status of Ongoing Embassy Construction Projects as of the End of Fiscal Year 2017", "paragraphs": ["This appendix contains contract values and schedule information for 21 embassy construction projects that were ongoing as of the end of fiscal year 2017. Table 4 shows contract values for these projects, while figure 13 illustrates schedule information."], "subsections": []}, {"section_title": "Appendix III: Embassy Construction and Design Case-Study Projects", "paragraphs": ["This appendix contains information on selected U.S. Department of State (State) Bureau of Overseas Buildings Operations (OBO) case-study projects included in our review. Nine studies focus on the construction phase of the projects, and two are design case studies. For each case study, we examined Federal Procurement Data System data, OBO project data and documentation, as well as official contract documentation\u2014including modifications that involved changes in cost or schedule. We also interviewed relevant OBO and contractor officials involved with the projects, including on-site personnel from both completed and ongoing projects. For details on our selection of the projects and our case-study methodology, see appendix I.", "For the nine construction case studies, we include timelines showing dates for notices to proceed, the original estimated completion dates, and either (a) the actual substantial completion dates (for projects completed as of end of September 2017) or (b) the scheduled completion date (for ongoing projects as of the end of September 2017). The start and end points by which State measures the schedule performance of a project are, respectively, the date when State issues a notice to proceed and the date when it issues a notice of substantial completion. During the course of a project, State may grant schedule extensions for reasons such as (1) changes (i.e., change orders); (2) government-caused delays (e.g., delays in issuing a notice to proceed to the contractor); (3) differing site conditions than represented in the contract; or (4) excusable delays (e.g., for circumstances that could not reasonably be foreseen or avoided).", "Similarly, while the value of construction contracts increased for all of the construction case-study projects we reviewed, State typically reserves a contingency amount in its project budgets\u2014ranging from 5 to 10 percent of the contract value at award\u2014to cover unforeseen project changes and cost increases. OBO\u2019s overall project budgets also include funding for other nonconstruction costs and contracts, such as planning, design, and on-site project management and security. We are not reporting overall project budgets. As of August 2018, the only ongoing case studies that State reported to us for which they notified Congress of the need to reprogram funding to cover additional costs were Jakarta and Jeddah.", "For each of the following case studies, OBO compiled information from its Office of Project Development and Coordination, Office of Construction Management, Office of Cost Management, and Office of Financial Management into project narratives. Each narrative was then cleared by project managers, project directors, office directors, and managing directors of the affected directorates. In our case studies, we generally attribute information from these narratives to OBO. For contract value at award and contract value as of the end of fiscal year 2017 we relied upon data from the Federal Procurement Data System. We used OBO narratives and project data and documentation as the basis for our description of the contract delivery type, the date of award, dates of issuance for notice to proceed and substantial completion, and original estimated completion date. The discussion in the following case studies of notable contract actions, such as modifications, requests for equitable adjustment, and terminations is based upon OBO project narratives and contract documentation, as well as statements by government and contractor officials. In some but not all cases, we had relevant contract documentation available to compare against OBO project data and documentation or what OBO officials told us.", "Table 5 lists the case-study projects described in this appendix, ordered by the fiscal years in which the construction or design contracts were awarded."], "subsections": [{"section_title": "Construction Case Study: U.S. Embassy in Kyiv, Ukraine Project Overview", "paragraphs": ["State established the U.S. Embassy in Kyiv in 1991 upon the dissolution of the Soviet Union. According to OBO, State originally redeveloped and rehabilitated an existing leased facility, built in 1950, to serve as the chancery office building, while post consular services, public diplomacy and the Marine security guard quarters were in leased facilities off-site. OBO reported that while security improvements were made at these locations over the years, none of these buildings fully satisfied the Secure Embassy Construction and Counterterrorism Act of 1999 security standards, such as the 100-foot setback from the street. In September 2008, State purchased a 10-acre site to build a new embassy compound.", "A $209.9 million design-build contract for the new embassy was awarded in September 2008. The project was based on the Standard Embassy Design (SED). As of September 2017, the contract value was $238.6 million, an increase of $28.7 million or 13.7 percent. According to OBO, State issued a notice to proceed in March 2009, and the original estimated completion date was November 2011. Substantial completion was in September 2011, 2 months early.", "Figure 14 shows two views of the new embassy and the timeline for the original schedule compared with the final schedule."], "subsections": [{"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["According to OBO, the most significant change to the contract was the addition of an annex for the U.S. Agency for International Development (USAID), at a cost of $28 million. OBO reports that State granted the contractor a 12-month extension for adding the annex; however, the project was completed 2 months ahead of the original estimated contract completion date. Both State and contractor officials observed that each side worked very cooperatively to mitigate cost and schedule effects of adding the USAID office annex. The other major cost driver was a $4.6 million contract modification to address utility issues. One State official reported that site utility and below grade infrastructure requirements were challenging given the cold climate."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Consulate in Monterrey, Mexico", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to OBO, State had occupied the former U.S. consulate in Monterrey since 1969, and further, the facility did not meet security standards set by the Secure Embassy Construction and Counterterrorism Act of 1999. State documented shortcomings with the building\u2019s air conditioning and electrical systems. OBO documentation indicated the former site also lacked the space to accommodate staff growth in U.S. agencies\u2019 offices and the consulate\u2019s functions. OBO reported that consular demand for services had increased significantly\u2014from 12 to 65 consular windows\u2014and the consulate overall had added desks for 60 U.S. staff and 132 locally engaged staff.", "In September 2009, State awarded a $101.9 million design-build contract for the new consulate based on a bridging design. The bridging design was based on the standard embassy design. As of September 2017, the contract value was about $125 million, an increase of $23.1 million or about 23 percent. According to OBO, State issued the notice to proceed for the project in April 2010 and the original estimated completion date was January 2013. Substantial completion occurred in May 2014, 16 months after the original estimated completion date.", "Figure 15 shows two views of the new consulate and the timeline for the original schedule compared with the final schedule."], "subsections": []}, {"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["According to State, the scope of work in the original contract for the compound included a consulate office building, vehicle maintenance building, access control facilities, recreational facility, parking structure, mail screening facility, site perimeter barrier, and associated security features as well as off-site roadway construction and improvements. OBO documentation shows the primary cost and schedule increase on the project was due to the addition of Marine security guard quarters; that contract modification increased the value of the contract by $16.3 million and also extended the length of the contract by 337 days. OBO reported that another contract modification\u2014adding a photovoltaic power system to the project\u2014increased the contract value by $2.3 million."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in Santo Domingo, Dominican Republic", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to State, it built the former U.S. embassy in 1950 to accommodate 75 staff. Prior to the construction of the new embassy, the U.S. mission comprised 17 U.S. government agencies employing hundreds of people working in eight office buildings throughout the city. OBO reported that most of those buildings did not meet security setback standards that Congress established in 1999 or fire and life safety codes.", "According to OBO, in September 2010, State awarded a $148.8 million design-build contract for the new embassy based on a bridging design. The project was based on the SED. As of September 2017, the contract value was about $150.4 million, an increase of about 1 percent. According to OBO, State issued the notice to proceed for the project in January 2011 and the original estimated completion date was October 2013. Substantial completion occurred in May 2014, 7 months after the original estimated completion date. Figure 16 shows an architectural rendering and photograph of the new embassy office building, along with the timeline for the original schedule compared with the final schedule."], "subsections": []}, {"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["Five contract modifications totaling about $1.6 million accounted for most of the cost increase. The largest modification totaled over $600,000, which OBO told us resulted from a need to increase switchgear capacity. According to OBO, in the several years since substantial completion, the contract has not been closed, and unexpended funds remain. As a result, the final contract value may change. OBO reported that the contractor had submitted one outstanding request for equitable adjustment for about $450,000. Further, on its side, the U.S. government is withholding around $7 million for liquidated damages, punch list deficiencies, and warranty items."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in Bishkek, Kyrgyzstan", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to OBO, State established the U.S. embassy in Bishkek in 1991 after the dissolution of the Soviet Union. Specifically, a pre- engineered factory-manufactured building was shipped to Bishkek and assembled on an 11-acre, U.S. government-owned site in 1996. OBO reported that by 2008, the U.S. diplomatic mission had outgrown the 1996 facility, and in 2009 it became clear that, in addition to new facilities, significant security upgrades were needed to meet current security standards.", "The new embassy project was to include a chancery (office annex), utility building, Marine security guard quarters, compound access control facilities, support buildings (warehouse and shops), and surface parking. A $116.8 million design-build with bridging contract for the new embassy was awarded in April 2011. The project was based on the SED. As of September 2017, the contract value was about $123.3 million, an increase of $6.5 million, or about 5.6 percent. According to OBO, State issued the notice to proceed for the project in July 2012, and the original estimated completion date was December 2014. Substantial completion occurred in March 2017, 27 months after the original estimated completion date.", "Figure 17 shows the 1996 chancery office building, the new chancery office building, and the timeline for the original schedule compared with the final schedule."], "subsections": []}, {"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["A number of factors contributed to increases in contract cost and schedule for this project. For example, according to OBO, off-site electrical power upgrades required a $2 million contract modification for switchgear installation and building a redundant power line to a substation 3 kilometers away from the new embassy compound. OBO also reported that one contract modification extended the schedule by 37 days and added $3.4 million to the contract because State temporarily halted the contractor\u2019s work in some areas of the building due to Bureau of Diplomatic Security (Diplomatic Security) requirements. According to State and contractor officials, challenges to the project included (1) a six- phase construction plan to accommodate building on an operational compound; (2) frequent staff changes (including four on-site OBO project directors, two OBO construction executives at headquarters, and many contractor staff changes) and poor relations between OBO and the contractor; and (3) disagreement regarding OBO and contractor roles and responsibilities (including, for example, responsibility for obtaining zoning permits)."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in Jakarta, Indonesia Project Overview", "paragraphs": ["According to OBO, the U.S. government-owned chancery in the Indonesian government center in Jakarta was built in the 1950s, and its mechanical, electrical, and plumbing systems are outdated, inefficient, and expensive to operate. State decided to build a new, secure embassy on the current embassy site. When completed, the embassy compound will include a chancery, Marine security guard quarters, support facilities, preserved historic structures, community facilities, and parking.", "A $302 million design-build with bridging contract for the new embassy was awarded in September 2012. The project was guided by State\u2019s Excellence in Diplomatic Facilities principles but was awarded before OBO fully implemented Excellence in 2014. As of September 2017, the contract value was $339 million, an increase of $37 million, or 12 percent. According to OBO, State issued a notice to proceed for the project in December 2012, and the original estimated completion date was December 2017. OBO reported to us that by September 2017 the scheduled completion date had been extended to February 2019, 14 months after the original estimated completion date.", "Figure 18 shows a model of the embassy compound, the new chancery office building under construction and the timeline for the original schedule compared with the schedule as of the end of September 2017."], "subsections": [{"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["Before the current construction contract for the new embassy on the existing embassy compound, State separately contracted for the construction of temporary office buildings to relocate staff during construction. According to OBO, the work on the temporary office buildings fell behind the contracted schedule and would not be completed before the new embassy contractor\u2019s arrival on-site. Consequently, State terminated the first contract for temporary buildings and awarded the remaining work to the current contractor.", "OBO encountered significant challenges due to its decision to employ a glass curtain-wall system for the new embassy\u2019s chancery office building. OBO project documentation shows the use of the customized glass exterior wall designed for the embassy significantly impacted cost and schedule after contract award, adding at least $18 million to the cost and 180 days to the schedule. OBO\u2019s decision to employ a unique glass curtain-wall system for this project and subsequent questions raised by Diplomatic Security about the design led OBO to modify the contract to add (1) $2.2 million and 180 days to explore alternative designs and conduct redesign work in order to obtain Diplomatic Security approval, (2) $13.3 million so that a dedicated facility could be established in the United States to securely fabricate the glass curtain wall before secure shipment to the site, and (3) $3 million to have cleared American workers install portions of the glass curtain wall. OBO had not previously employed such a system in a completed embassy project and could not provide us with documentation analyzing the risks of such a feature to cost and schedule\u2014which might have included potential delays to get Diplomatic Security\u2019s approval of the design\u2014compared with conventional concrete construction.", "As of the end of September 2017, OBO reported that State and the contractor had agreed to extend substantial completion to February 2019 after settling the contractor\u2019s request for equitable adjustment, which had claimed that five events delayed construction: (1) the late turnover of unimpeded access to the early site work; (2) the redesign of compound access facilities; (3) the redesign of portions of controlled areas of the building; (4) additional time for the certification of security requirements, specifically related to the curtain-wall system; and (5) design changes to the curtain-wall system itself.", "Post officials also expressed concerns that this new embassy compound was originally planned to accommodate only the U.S. embassy to Indonesia. Subsequently, State opened a permanent mission to the Association of Southeast Asian Nations in Jakarta to be collocated within the new embassy. Because of this and other staff growth, U.S. embassy officials told us that the new embassy will have little to no room for future growth."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Consulate in Jeddah, Saudi Arabia", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to OBO, the current consulate built in 1952 served as the chancery before the U.S. embassy moved to Riyadh in 1984. In 2004 an attack on the consulate resulted in the deaths of five employees and wounded many more. The new Jeddah compound will include a consulate office building, staff housing, ambassador\u2019s residence, consul general\u2019s residence, Marine security guard quarters, and various supporting facilities.", "OBO reported that construction of the new consulate started under a design-build contract awarded in 2007, but the construction contractor was terminated-for-default in 2012, leaving State with a partially built project. In September 2012 State awarded a $100.5 million construction contract for the new compound to a second contractor. The project was based on the SED. As of September 2017, that second contract value was $131.3 million, an increase of $30.8 million, or 30.6 percent. According to OBO, State provided notice to proceed in October 2013 and the estimated completion date was October 2015. According to State documentation, this completion date was subsequently extended to February 2017. State and contractor officials told us that, at the end of September 2017, a modification was pending that would further extend the schedule to January 2018, 27 months after the original estimated completion date.", "Figure 19 shows the existing consulate, the new consulate office building under construction, and the timeline for the original schedule compared with the schedule as of the end of September 2017."], "subsections": []}, {"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["According to OBO, State hired a design firm\u2014previously a subcontractor of the first construction contractor\u2014to finish the design so that contract bids could be solicited from new contractors to complete the project. In doing so, State effectively changed the project delivery method from design-build to design-bid-build, whereby it directly contracted the design firm to finish the construction documents and then contracted a construction firm to build the project.", "Both State and contractor officials reported to us that this project was consistently challenged by design errors and omissions. According to OBO, approximately $14 million of the nearly $31 million cost increase\u2014 and 131 calendar days\u2014were due to issues with this project\u2019s design.", "According to State and contractor officials, the project was generally completed in March of 2017, which both sides termed \u201cvirtually substantially complete.\u201d However, they stated that significant issues with the consulate building\u2019s cooling and fire suppression systems effectively prevented OBO from contractually accepting the project as complete and allowing consulate staff to move in. As of September 2017, State and the contractor could not provide a firm date for when they expected consulate staff to be able to occupy the new compound.", "Both OBO and contractor officials acknowledged that a difficult working relationship slowed efforts to deal with project challenges. For example, they stated the project had at least four different OBO project directors. One OBO official characterized the collaboration on the project by State, the contractor, and State\u2019s designer as \u201chaving a lot of conflicts\u201d and said that as problems with the project arose during construction, all parties \u201cdug their heels in.\u201d In September 2017, one official indicated the then temporary Project Director had improved the working relationship with post and the contractor and was doing his best to work through the current issues and delay. Disagreement also arose regarding timely response to proposed changes; the contractor maintained that OBO headquarters was delaying work due to slow decision-making, while OBO maintained that the contractor\u2019s proposals did not meet requirements.", "The functionality of the completed compound may also be affected by several issues. According to post officials, after the February 2015 closure of the U.S. Embassy in Yemen, State relocated some of those staff to Jeddah, requiring the conversion of five newly built apartments into office space. Post officials also reported that the original plan for the staff apartments was predicated on the post remaining an unaccompanied duty assignment whereby U.S. staff may not bring family members. Those officials expressed concern that space would become limited because family members are now allowed to accompany Foreign Service Officers to Jeddah. An additional concern was that the consulate was originally intended to provide consular services only for U.S. citizens but was now authorized to issue nonimmigrant visas for Saudis seeking to travel to the United States, which post officials predicted would increase consular traffic flow beyond the new building\u2019s intended volume."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in The Hague, Netherlands", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to OBO, the previous U.S. embassy in The Hague was located on a downtown square opposite the Netherlands Parliament. Completed in 1959, the chancery sat directly adjacent to a major road and sidewalks and did not meet State security standards set by the Secure Embassy Construction and Counterterrorism Act of 1999.", "The new embassy compound is located within the municipality of Wassenaar, adjacent to The Hague. The compound includes a chancery office building, Marine security guard quarters, support buildings, and parking. According to OBO, the design phase included a lengthy site planning, landscape design, and architectural design period due to local ordinances and stringent permitting requirements. OBO reported that this design contract was awarded in November 2012, and the design was completed in July 2013. The project delivery method was design-bid- build.", "A $125 million construction contract for the new embassy was awarded in September 2013. As of September 2017, that contract value was $131.7 million, an increase of about $6.7 million, or approximately 5 percent. According to OBO, State issued a notice to proceed for the project in June 2014, and the estimated completion date was June 2017. In September 2017, OBO reported that it and the contractor had extended the contract completion date to July 2017. In addition, as of September 2017, OBO and the contractor were negotiating over further cost and schedule changes.", "Figure 20 shows a historical photo of the 1959 embassy, the new embassy under construction, and a timeline showing the original schedule compared with the schedule as of the end of September 2017."], "subsections": []}, {"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["According to OBO, the official permit for construction was received in August 2013, with an effective date of September 2013. However, the permit was issued with a number of conditions that OBO reported took approximately 9 months for State to resolve and resulted in a delay of full notice to proceed until June 2014. Both OBO and the contractor said that the two sides worked cooperatively to resolve permitting issues raised by the local government. Based on OBO reporting, these issues contributed, in part, to over $1 million in cost modifications on the contract. Further, technical omissions that were not discovered during design review resulted in changes to sprinklers, fire alarms, security window treatments, and classified data interconnections. According to OBO, these late changes resulted in further requests for time extensions from the contractor.", "In addition, according to OBO, State did not plan for the colocation of one tenant agency onto the compound (8 people) and a second tenant agency increased its staffing by approximately 40 percent (19 people). Because of those staffing changes, post officials reported that there is no additional space for future growth in the new compound."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in Pristina, Kosovo Project Overview", "paragraphs": ["According to OBO, State established this post in 1999 as a U.S. liaison office during the military intervention in Kosovo by North Atlantic Treaty Organization forces. When the U.S. government opened the post, OBO reported that it assembled a number of contiguous residential properties under short-term leases and closed the adjacent streets. State designated the post as an embassy in 2008. Figure 21 shows some of the existing houses that State converted for use as the embassy.", "In September 2014, State awarded a $158.4 million design-build contract for the new embassy under a bridging design. The new embassy is one of the first projects fully designed and constructed under the Excellence approach. As of September 2017, that contract value was $159.6 million, an increase of less than 1 percent. According to OBO, State issued a notice to proceed for the project in December 2014, and the original estimated completion date was October 2017. As of September 2017, completion was scheduled for January 2018, 3 months after the original estimated completion date).", "Figure 22 shows an architectural rendering of the new embassy, a photo of it under construction, and a timeline for the original schedule compared with the schedule as of the end of September 2017."], "subsections": [{"section_title": "Contributors to Contract Cost or Schedule Changes", "paragraphs": ["According to OBO, the largest change in cost resulted from State adding additional security cameras to improve monitoring of the compound and its facilities. In a separate change, OBO also granted the contractor a schedule extension of 98 days to account for changes in security requirements at project startup and funds to include adjustments made by State to the locations of the recreation facility, pool, and other items relative to the perimeter security wall.", "As of September 2017 in our interviews with them, the OBO Project Director and contractor\u2019s on-site Project Manager could not reach resolution on the cost or schedule impacts of a variety of issues. These included (1) the delay in State\u2019s approving the contractor\u2019s locally hired construction workers, (2) the timing of and responsibility for bringing permanent power to the site, and (3) site condition issues related to unsuitable soils and existing foundations."], "subsections": []}]}, {"section_title": "Construction Case Study: U.S. Embassy in Port Moresby, Papua New Guinea", "paragraphs": [], "subsections": [{"section_title": "Project Overview", "paragraphs": ["According to OBO, the current U.S. embassy is housed in a building constructed in 1970 in Port Moresby\u2019s business district. The lease will expire in September 2020. Furthermore, the facility is overcrowded, functionally deficient, and does not meet the latest security standards.", "Also according to OBO, in 2009 the U.S. government acquired a 7.26- acre site for a new embassy compound through a long-term lease from the government of Papua New Guinea. State planned for the new embassy to be a standard secure mini-compound and awarded a construction contract in late 2011 with an estimated completion date in mid-2014. However, according to a State official, because the embassy requirements changed, State decided to terminate the contract for the convenience of the government.", "The project delivery method is design-bid-build. A $95 million construction contract for the new embassy was awarded in September 2015. As of September 2017, that contract value was $102.5 million, an increase of $7.5 million, or about 8 percent. According to OBO, State issued the notice to proceed for the project in March 2017, after a delay of about a year due to another prospective contractor disputing the contract award. As of September 2017, the estimated completion date remained unchanged at September 2019.", "Figure 23 shows an architectural rendering of the new embassy, an aerial view of the embassy under construction, and the timeline for the schedule as of the end of September 2017."], "subsections": []}, {"section_title": "Contributors to Contract Cost and Schedule Changes", "paragraphs": ["According to OBO, in 2013, after the initial contractor had completed approximately 40 percent of the project, State changed the project scope: (1) Staffing was increased from 47 desks to 77 desks, which could not be accommodated in the standard secure mini-compound; (2) classified information processing was added as a new requirement; and (3) a Marine security guard detachment was assigned to post, requiring the addition of a residence for them. Due to these new requirements, according to a State official, State decided to terminate the contract for the convenience of the government.", "According to OBO, the embassy compound was redesigned under a design contract to accommodate the new project scope. The redesign contract lasted 14 months, from April 2014 to June 2015. OBO reported that when the first contractor stopped work on the standard secure mini- compound, the concrete structures for all buildings on the compound had been completed. The new design, finished in June 2015, added a four- story office tower next to the existing chancery structure, with additional general work areas, and new controlled access areas. The redesigned site also added a nine-bed Marine security guard quarters, enlarged the building for the warehouse and shops, and added upgraded community facilities. According to OBO, further cost increases could accrue because of damage to government-provided equipment left by the first contractor, which may need to be re-purchased."], "subsections": []}]}, {"section_title": "Design Case Study: U.S. Embassy in Beirut, Lebanon Project Overview", "paragraphs": ["According to OBO, the embassy currently operates out of a nearly 18- acre compound in East Beirut consisting of a mixture of office and residential facilities that are both government-owned and leased. According to State, this site is severely cramped and does not meet current security standards.", "The new embassy site consists of just over 44 acres situated on a steep hilltop area near the existing U.S. embassy. State typically seeks to build new embassy compounds on 10 acres of land. OBO noted to us the new compound will include a chancery office building, staff residences, support buildings such as a warehouse and recreation facility, and Marine security guard quarters. Figure 24 shows architectural renderings of the new embassy."], "subsections": [{"section_title": "Background on the Design", "paragraphs": ["The design contract for this design-bid-build project was awarded in September 2014 for $39.6 million. Project documentation indicates the design process included the development of three initial concepts, which were reviewed by OBO\u2019s Industry Advisory Group and OBO senior management. OBO reported a single design concept was selected in January 2015 for further development. The design firm then developed a schematic design (less than 35 percent design) that OBO indicated was approved by the OBO Director in March 2015.", "The design proceeded through design development (35 percent) and construction document development (60 percent and 90 percent); OBO reported to us the final construction documents were completed in April 2016. Following completion of the 100 percent design and subsequent contract solicitation activities, in December 2016 State awarded a $613.3 million construction contract to build the new embassy. As of September 2017, a notice to proceed for construction had just been issued."], "subsections": []}, {"section_title": "Contributors to Design Contract Cost Changes", "paragraphs": ["OBO reported that the 100 percent design was completed in April 2016 (19 months after contract award). OBO reports that final design cost by itself was $45.3 million, amounting to a $5.7 million, or about 14.5 percent, increase over the original design contract value. OBO documentation shows the increase in the cost for the project\u2019s design was, in part, attributed to added design for temporary construction support facilities\u2014to include both temporary office space and 40 secure housing units\u2014that would be needed on-site by State\u2019s project management team during the construction. However, the total contract cost as of the end of fiscal year 2017 was $58 million, about 46.5 percent more than the original contract value. This larger value includes approximately $13 million primarily for \u201cTitle II, construction phase services.\u201d Through these services, the design firm provides technical support to OBO during construction to answer the construction contractor\u2019s questions about the design and generally to support OBO\u2019s review of the construction contractor\u2019s material samples, drawings, building systems and product data, test and inspection reports, and any design changes or substitutions.", "State\u2019s estimated construction costs increased during the project\u2019s design from approximately $500 million to over $660 million due to what OBO reports were challenging site conditions that required the extensive use of retaining walls and engineered foundation systems. Additional perimeter security in the form of guard towers was also added. OBO indicated these scope changes required additional design and increased the construction cost estimate."], "subsections": []}]}, {"section_title": "Design Case Study: U.S. Consulate, in Hyderabad, India Project Overview", "paragraphs": ["Established in 2009, the U.S. consulate general in Hyderabad is the first new U.S. diplomatic post to open in India since India\u2019s independence in 1947. According to OBO, in 2007 the U.S. government leased the current 4-acre consulate property\u2014that was once used as a palace\u2014for use as an interim consulate location. OBO indicated the new consulate will be built on a 12.3-acre site located in Hyderabad\u2019s financial and high-tech districts. Further, the new compound will include a consulate office building, three compound access facilities, a support annex to include a warehouse, a recreation facility, and Marine security guard quarters. Figure 25 shows the existing interim consulate and an architectural rendering of the new consulate."], "subsections": [{"section_title": "Background on the Design", "paragraphs": ["State issued a task order for the design of the project in September 2014 with the intent that the project would be a design-bid-build project and that the design firm OBO tasked would prepare a 100 percent design. OBO indicted the construction contract for the project was planned to be awarded in fiscal year 2017. However, after beginning initial design, OBO determined that changing the delivery method from design-bid-build to design-build with bridging would allow for an earlier construction contract award in fiscal year 2016.", "With this change in the project delivery method, the design task order was modified such that OBO\u2019s design firm would provide bridging documents\u2014roughly a 35 percent design\u2014rather than a 100 percent design. The bridging documents would then be used by the design-build construction contractor to complete the design and construct the project. The design firm that had been tasked by OBO to prepare the bridging documents would also (1) review and process design submittals from the design-build contractor, (2) answer any request for information about the bridging design intent, and (3) ensure the design intent represented by the bridging design was maintained throughout design development by the design-build contractor."], "subsections": []}, {"section_title": "Contributors to Design Contract Cost or Schedule Changes", "paragraphs": ["According to OBO, the bridging design was completed in April 2016 (19 months after the initial contract task order). As noted earlier in this report, OBO project documentation shows the initial design of the building\u2019s unique exterior screen concerned OBO management, leading to more design development by the contract architect, further review by OBO\u2019s design staff, and added cost. OBO senior management expressed concerns about the look of the screen, mainly that the screen was too traditional compared with the spirit of the design of the building and the rest of the campus and that the pattern of the screen needed more variation for daylight and views.", "To respond to these concerns, OBO issued two contract modifications to OBO\u2019s architect for additional design work for the exterior screen. According to OBO, subsequent design development for three alternatives for the screen contributed an additional design cost of about $750,000, raising the final bridging design cost to approximately $10.5 million. That amount does not include the roughly $816,000 for the design firm to provide additional support services during construction, of which OBO reports a minor portion is attributable to ensuring the construction contractor achieved the design intent for the exterior screen. According to OBO data, the design-build contract to complete the design and build the project was awarded in September 2016 at a value of $203 million. OBO also reported the design-build contractor received full notice to proceed with construction in March 2017. As of the end of September 2017, the project was still under construction."], "subsections": []}]}]}, {"section_title": "Appendix IV: Comments from the U.S. Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": ["Brian M. Mazanec, (202) 512-5130 or mazanecb@gao.gov. Lori Rectanus, (202) 512-2834 or rectanusl@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Leslie Holen (Assistant Director), Michael Armes (Assistant Director), David Hancock, John Bauckman, and Eugene Beye, made key contributions to this report. David Dayton, Justin Fisher, Alex Welsh, and Neil Doherty provided technical assistance."], "subsections": []}]}], "fastfact": ["Responding to two 1998 terrorist bombings of U.S. embassies, the State Department embarked on a program to construct more secure embassies. While it had completed 77 as of September 2017, State won't reach its goal of 180 new embassies by 2018.", "Unexpected requirements\u2014such as adding office annexes\u2014and not accounting for inflation have contributed to slowing project delivery. With over 20 embassies under construction and 72 planned, State faces staffing shortages and strained contractor relationships.", "We made recommendations to State to plan for inflation, analyze funding and workforce needs, and seek improved contractor relationships."]} {"id": "GAO-18-234T", "url": "https://www.gao.gov/products/GAO-18-234T", "title": "Information Technology: Further Implementation of FITARA Related Recommendations Is Needed to Better Manage Acquisitions and Operations", "published_date": "2017-11-15T00:00:00", "released_date": "2017-11-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government plans to invest almost $96 billion on IT in fiscal year 2018. Historically, these investments have too often failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. Accordingly, in December 2014, Congress enacted FITARA, aimed at improving agencies' acquisitions of IT. Further, in February 2015, GAO added improving the management of IT acquisitions and operations to its high-risk list.", "This statement summarizes agencies' progress in improving the management of IT acquisitions and operations. It is based on GAO's prior and recently published reports on (1) data center consolidation, (2) risk levels of major investments as reported on OMB's IT Dashboard, (3) implementation of incremental development practices, and (4) management of software licenses."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget (OMB) and federal agencies have taken steps to improve the management of information technology (IT) acquisitions and operations through a series of initiatives, and as of November 2017, had fully implemented about 56 percent of the approximately 800 related GAO recommendations made between fiscal years 2010 through 2015. However, important additional actions are needed.", "Consolidating data centers . OMB launched an initiative in 2010 to reduce data centers, which was reinforced by the Federal Information Technology Acquisition Reform Act (FITARA) in 2014. However, in a series of reports that GAO issued over the past 6 years, it noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in several areas, including agencies' data center consolidation plans, data center optimization, and OMB's tracking and reporting on related cost savings. These reports contained a matter for Congressional consideration, and a total of 160 recommendations to OMB and 24 agencies, to improve the execution and oversight of the initiative. Most agencies and OMB agreed with the recommendations or had no comments. As of November 2017, 84 of the recommendations remained open.", "Enhancing transparency . OMB's IT Dashboard provides information on major investments at federal agencies, including ratings from Chief Information Officers that should reflect the level of risk facing an investment. Over the past 6 years, GAO has issued a series of reports about the Dashboard that noted both significant steps OMB has taken to enhance the oversight, transparency, and accountability of federal IT investments by creating its Dashboard, as well as concerns about the accuracy and reliability of the data. In total, GAO has made 47 recommendations to OMB and federal agencies to help improve the accuracy and reliability of the information on the Dashboard and to increase its availability. Most agencies agreed with the recommendations or had no comments. As of November 2017, 25 of these recommendations remained open.", "Implementing incremental development . OMB has emphasized the need for agencies to deliver investments in smaller parts, or increments, in order to reduce risk and deliver capabilities more quickly. Since 2012, OMB has required investments to deliver functionality every 6 months. Further, GAO has issued reports highlighting additional actions needed by OMB and agencies to improve their implementation of incremental development. In these reports, GAO made 42 recommendations. Most agencies agreed or did not comment on the recommendations. As of November 2017, 34 of the recommendations remained open.", "Managing software licenses . Effective management of software licenses can help avoid purchasing too many licenses that result in unused software. In May 2014, GAO reported that better management of licenses was needed to achieve savings, and made 136 recommendations to improve such management. Most agencies generally agreed with the recommendations or had no comments. As of November 2017, 112 of the recommendations remained open."]}, {"section_title": "What GAO Recommends", "paragraphs": ["From fiscal years 2010 through 2015, GAO made about 800 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations, and included recommendations to improve the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the Dashboard, incremental development policies, and software license management. Most agencies agreed with GAO's recommendations and had taken some actions or had no comments. In addition, from fiscal year 2016 to present, GAO has made more than 200 new recommendations in this area. GAO will continue to monitor agencies' implementation of these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to provide an update on federal agencies\u2019 efforts to improve the acquisition of information technology (IT). As I have previously testified, the effective and efficient acquisition of IT has been a long-standing challenge in the federal government. In particular, the federal government has spent billions of dollars on failed and poorly performing IT investments, which often suffered from ineffective management. Recognizing the importance of government-wide acquisition of IT, in December 2014, Congress enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA).", "In addition, in February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas for the federal government. We recently issued an update to our high-risk report and noted that, while progress has been made in addressing the high-risk area of IT acquisitions and operations, significant work remains to be completed.", "My statement today provides an update on agencies\u2019 progress in improving the management of IT acquisitions and operations. The statement is based on our prior and recently published reports that discuss federal agencies\u2019 (1) data center consolidation efforts, (2) risk levels of major investments as reported on OMB\u2019s IT Dashboard, (3) implementation of incremental development practices, and (4) management of software licenses. A more detailed discussion of the objectives, scope, and methodology for this work is included in each of the reports that are cited throughout this statement.", "We conducted the work upon which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to the President\u2019s budget, the federal government plans to invest more than $96 billion for IT in fiscal year 2018\u2014the largest amount ever. However, as we have previously reported, investments in federal IT too often result in failed projects that incur cost overruns and schedule slippages, while contributing little to the desired mission-related outcomes. For example:", "The Department of Veterans Affairs\u2019 Scheduling Replacement Project was terminated in September 2009 after spending an estimated $127 million over 9 years.", "The tri-agency National Polar-orbiting Operational Environmental Satellite System was halted in February 2010 by the White House\u2019s Office of Science and Technology Policy after the program spent 16 years and almost $5 billion.", "The Department of Homeland Security\u2019s Secure Border Initiative Network program was ended in January 2011, after the department obligated more than $1 billion for the program.", "The Office of Personnel Management\u2019s Retirement Systems Modernization program was canceled in February 2011, after the agency had spent approximately $231 million on its third attempt to automate the processing of federal employee retirement claims.", "The Department of Veterans Affairs\u2019 Financial and Logistics Integrated Technology Enterprise program was intended to be delivered by 2014 at a total estimated cost of $609 million, but was terminated in October 2011.", "The Department of Defense\u2019s Expeditionary Combat Support System was canceled in December 2012 after spending more than a billion dollars and failing to deploy within 5 years of initially obligating funds.", "Our past work found that these and other failed IT projects often suffered from a lack of disciplined and effective management, such as project planning, requirements definition, and program oversight and governance. In many instances, agencies had not consistently applied best practices that are critical to successfully acquiring IT.", "Such projects have also failed due to a lack of oversight and governance. Executive-level governance and oversight across the government has often been ineffective, specifically from chief information officers (CIO). For example, we have reported that some CIOs\u2019 roles were limited because they did not have the authority to review and approve the entire agency IT portfolio."], "subsections": [{"section_title": "Implementing FITARA Can Improve Agencies\u2019 Management of IT", "paragraphs": ["FITARA was intended to improve agencies\u2019 acquisitions of IT and enable Congress to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. The law includes specific requirements related to seven areas.", "Federal data center consolidation initiative (FDCCI). Agencies are required to provide OMB with a data center inventory, a strategy for consolidating and optimizing their data centers (to include planned cost savings), and quarterly updates on progress made. The law also requires OMB to develop a goal for how much is to be saved through this initiative, and provide annual reports on cost savings achieved.", "Enhanced transparency and improved risk management. OMB and covered agencies are to make detailed information on federal IT investments publicly available, and agency CIOs are to categorize their investments by level of risk. Additionally, in the case of major IT investments rated as high risk for 4 consecutive quarters, the law requires that the agency CIO and the investment\u2019s program manager conduct a review aimed at identifying and addressing the causes of the risk.", "Agency CIO authority enhancements. CIOs at covered agencies are required to (1) approve the IT budget requests of their respective agencies, (2) certify that OMB\u2019s incremental development guidance is being adequately implemented for IT investments, (3) review and approve contracts for IT, and (4) approve the appointment of other agency employees with the title of CIO.", "Portfolio review. Agencies are to annually review IT investment portfolios in order to, among other things, increase efficiency and effectiveness and identify potential waste and duplication. In establishing the process associated with such portfolio reviews, the law requires OMB to develop standardized performance metrics, to include cost savings, and to submit quarterly reports to Congress on cost savings.", "Expansion of training and use of IT acquisition cadres. Agencies are to update their acquisition human capital plans to address supporting the timely and effective acquisition of IT. In doing so, the law calls for agencies to consider, among other things, establishing IT acquisition cadres or developing agreements with other agencies that have such cadres.", "Government-wide software purchasing program. The General Services Administration is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law requires that, to the maximum extent practicable, the General Services Administration should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user.", "Maximizing the benefit of the Federal Strategic Sourcing Initiative. Federal agencies are required to compare their purchases of services and supplies to what is offered under the Federal Strategic Sourcing Initiative. OMB is also required to issue regulations related to the initiative.", "In June 2015, OMB released guidance describing how agencies are to implement FITARA. This guidance is intended to, among other things: assist agencies in aligning their IT resources with statutory establish government-wide IT management controls that will meet the law\u2019s requirements, while providing agencies with flexibility to adapt to unique agency processes and requirements; clarify the CIO\u2019s role and strengthen the relationship between agency CIOs and bureau CIOs; and strengthen CIO accountability for IT costs, schedules, performance, and security.", "The guidance identified several actions that agencies were to take to establish a basic set of roles and responsibilities (referred to as the common baseline) for CIOs and other senior agency officials, which were needed to implement the authorities described in the law. For example, agencies were required to conduct a self-assessment and submit a plan describing the changes they intended to make to ensure that common baseline responsibilities were implemented. Agencies were to submit their plans to OMB\u2019s Office of E-Government and Information Technology by August 15, 2015, and make portions of the plans publicly available on agency websites no later than 30 days after OMB approval. As of November 2016, all agencies had made their plans publicly available.", "In addition, in August 2016, OMB released guidance intended to, among other things, define a framework for achieving the data center consolidation and optimization requirements of FITARA. The guidance includes requirements for agencies to: maintain complete inventories of all data center facilities owned, operated, or maintained by or on behalf of the agency; develop cost savings targets for fiscal years 2016 through 2018 and report any actual realized cost savings; and measure progress toward meeting optimization metrics on a quarterly basis.", "The guidance also directs agencies to develop a data center consolidation and optimization strategic plan that defines the agency\u2019s data center strategy for fiscal years 2016, 2017, and 2018. This strategy is to include, among other things, a statement from the agency CIO indicating whether the agency has complied with all data center reporting requirements in FITARA. Further, the guidance indicates that OMB is to maintain a public dashboard that will display consolidation-related costs savings and optimization performance information for the agencies."], "subsections": []}, {"section_title": "IT Acquisitions and Operations Identified by GAO as a High-Risk Area", "paragraphs": ["In February 2015, we introduced a new government-wide high-risk area, Improving the Management of IT Acquisitions and Operations. This area highlighted several critical IT initiatives in need of additional congressional oversight, including (1) reviews of troubled projects; (2) efforts to increase the use of incremental development; (3) efforts to provide transparency relative to the cost, schedule, and risk levels for major IT investments; (4) reviews of agencies\u2019 operational investments; (5) data center consolidation; and (6) efforts to streamline agencies\u2019 portfolios of IT investments. We noted that implementation of these initiatives was inconsistent and more work remained to demonstrate progress in achieving IT acquisition and operation outcomes.", "Further, our February 2015 high-risk report stated that, beyond implementing FITARA, OMB and agencies needed to continue to implement our prior recommendations in order to improve their ability to effectively and efficiently invest in IT. Specifically, from fiscal years 2010 through 2015, we made 803 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations. These recommendations included many to improve the implementation of the aforementioned six critical IT initiatives and other government-wide, cross-cutting efforts. We stressed that OMB and agencies should demonstrate government-wide progress in the management of IT investments by, among other things, implementing at least 80 percent of our recommendations related to managing IT acquisitions and operations within 4 years.", "In February 2017, we issued an update to our high-risk series and reported that, while progress had been made in improving the management of IT acquisitions and operations, significant work still remained to be completed. For example, as of November 2017, OMB and agencies had fully implemented 452 (or about 56 percent) of the 803 recommendations. This was an increase of about 284 recommendations compared to the number of recommendations we reported as being fully implemented in 2015. Figure 1 summarizes the progress that OMB and agencies have made in addressing our recommendations as compared to the 80 percent target, as of November 2017.", "In addition, in fiscal year 2016, we made 202 new recommendations, thus further reinforcing the need for OMB and agencies to address the shortcomings in IT acquisitions and operations. Also, beyond addressing our prior recommendations, our 2017 high-risk update noted the importance of OMB and federal agencies continuing to expeditiously implement the requirements of FITARA. To further explore the challenges and opportunities to improve federal IT acquisitions and operations, we convened a forum on September 14, 2016, to explore challenges and opportunities for CIOs to improve federal IT acquisitions and operations\u2014with the goal of better informing policymakers and government leadership. Forum participants, which included 13 current and former federal agency CIOs, members of Congress, and private sector IT executives, identified key actions related to seven topics: (1) strengthening FITARA, (2) improving CIO authorities, (3) budget formulation, (4) governance, (5) workforce, (6) operations, and (7) transition planning. A summary of the key actions, by topic area, identified during the forum is provided in figure 2.", "In addition, in January 2017, the Federal CIO Council concluded that differing levels of authority over IT-related investments and spending have led to inconsistencies in how IT is executed from agency to agency. According to the Council, for those agencies where the CIO has broad authority to manage all IT investments, great progress has been made to streamline and modernize the federal agency\u2019s footprint. For the others, where agency CIOs are only able to control pieces of the total IT footprint, it has been harder to achieve improvements."], "subsections": []}, {"section_title": "Current Administration Has Undertaken Efforts to Improve Federal IT", "paragraphs": ["The current administration has initiated additional efforts aimed at improving federal IT, including digital services. Specifically, in March 2017, the administration established the Office of American Innovation, which has a mission to, among other things, make recommendations to the President on policies and plans aimed at improving federal government operations and services and on modernizing federal IT. In doing so, the office is to consult with both OMB and the Office of Science and Technology Policy on policies and plans intended to improve government operations and services, improve the quality of life for Americans, and spur job creation.", "In May 2017, the administration also established the American Technology Council, which has a goal of helping to transform and modernize federal agency IT and how the federal government uses and delivers digital services. The President is the chairman of this council, and the Federal CIO and the United States Digital Service administrator are members."], "subsections": []}, {"section_title": "Congress Has Taken Action to Continue Selected FITARA Provisions and Modernize Federal IT", "paragraphs": ["Congress has recognized the importance of agencies\u2019 continued implementation of FITARA provisions, and has taken legislative action to extend selected provisions beyond their original dates of expiration. For example, Congress has passed legislation to: remove the expiration date for enhanced transparency and improved risk management provisions, which were set to expire in 2019; remove the expiration date for portfolio review, which was set to expire in 2019; and extend the expiration date for FDCCI from 2018 to 2020.", "In addition, Congress is considering legislation to ensure the availability of funding to help further agencies\u2019 efforts to modernize IT. Specifically, recently proposed legislation calls for agencies to establish working capital funds for use in transitioning from legacy systems, as well as for addressing evolving threats to information security. The legislation also proposes the creation of a technology modernization fund within the Department of the Treasury, from which agencies could borrow money to retire and replace legacy systems as well as acquire or develop systems."], "subsections": []}]}, {"section_title": "Agencies Have Taken Steps to Implement FITARA, but Additional Actions are Needed to Address Related Recommendations", "paragraphs": ["Agencies have taken steps to improve the management of IT acquisitions and operations by implementing key FITARA initiatives. However, agencies would be better positioned to fully implement the law and, thus, realize billions in cost savings and additional management improvements, if they addressed the numerous recommendations we have made aimed at improving data center consolidation, increasing transparency via OMB\u2019s IT Dashboard, implementing incremental development, and managing software licenses."], "subsections": [{"section_title": "Agencies Have Made Progress in Consolidating Data Centers, but Need to Take Action to Achieve Planned Cost Savings", "paragraphs": ["One of the key initiatives to implement FITARA is data center consolidation. OMB established FDCCI in February 2010 to improve the efficiency, performance, and environmental footprint of federal data center activities, and the enactment of FITARA reinforced the initiative. However, in a series of reports that we issued from July 2011 through August 2017, we noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in several areas, including agencies\u2019 data center consolidation plans, data center optimization, and OMB\u2019s tracking and reporting on related cost savings. In these reports, we made a matter for Congressional consideration, and a total of 160 recommendations to OMB and 24 agencies to improve the execution and oversight of the initiative. Most agencies and OMB agreed with our recommendations or had no comments. As of November 2017, 84 of these recommendations remained open.", "For example, in May 2017, we reported that the 24 agencies participating in FDCCI collectively had made progress on their data center closure efforts. Specifically, as of August 2016, these agencies had identified a total of 9,995 data centers, of which they reported having closed 4,388, and having plans to close a total of 5,597 data centers through fiscal year 2019. Notably, the Departments of Agriculture, Defense, the Interior, and the Treasury accounted for 84 percent of the completed closures.", "In addition, that report noted that 18 of the 24 agencies had reported achieving about $2.3 billion collectively in cost savings and avoidances from their data center consolidation and optimization efforts from fiscal year 2012 through August 2016. The Departments of Commerce, Defense, Homeland Security, and the Treasury accounted for approximately $2.0 billion (or 87 percent) of the total.", "Further, 23 agencies reported about $656 million collectively in planned savings for fiscal years 2016 through 2018. This is about $3.3 billion less than the estimated $4.0 billion in planned savings for fiscal years 2016 through 2018 that agencies reported to us in November 2015. Figure 3 presents a comparison of the amounts of cost savings and avoidances reported by agencies to OMB and the amounts the agencies reported to us.", "As mentioned previously, FITARA required agencies to submit multi-year strategies to achieve the consolidation and optimization of their data centers no later than the end of fiscal year 2016. Among other things, this strategy was to include such information as data center consolidation and optimization metrics, and year-by-year calculations of investments and cost savings through October 1, 2018.", "Further, OMB\u2019s August 2016 guidance on data center optimization contained additional information for how agencies are to implement the strategic plan requirements of FITARA, and stated that agencies were required to publicly post their strategic plans to their agency-owned digital strategy websites by September 30, 2016.", "As of April 2017, only 7 of the 23 agencies that submitted their strategic plans\u2014the Departments of Agriculture, Education, Homeland Security, and Housing and Urban Development; the General Services Administration; the National Science Foundation; and the Office of Personnel Management\u2014had addressed all five elements required by the OMB memorandum implementing FITARA. The remaining 16 agencies either partially met or did not meet the requirements. For example, most agencies partially met or did not meet the requirements to provide information related to data center closures and cost savings metrics. The Department of Defense did not submit a plan and was rated as not meeting any of the requirements.", "To better ensure that federal data center consolidation and optimization efforts improve governmental efficiency and achieve cost savings, in our May 2017 report, we recommended that 11 of the 24 agencies take action to ensure that the amounts of achieved data center cost savings and avoidances are consistent across all reporting mechanisms. We also recommended that 17 of the 24 agencies each take action to complete missing elements in their strategic plans and submit their plans to OMB in order to optimize their data centers and achieve cost savings. Twelve agencies agreed with our recommendations, 2 did not agree, and 10 agencies and OMB did not state whether they agreed or disagreed.", "More recently, in August 2017, we reported that agencies needed to address challenges in optimizing their data centers in order to achieve cost savings. Specifically, we noted that, according to the 24 agencies\u2019 data center consolidation initiative strategic plans as of April 2017, most agencies were not planning to meet OMB\u2019s optimization targets by the end of fiscal year 2018. Further, of the 24 agencies, 5\u2014the Department of Commerce and the Environmental Protection Agency, National Science Foundation, Small Business Administration, and U.S. Agency for International Development\u2014reported plans to fully meet their applicable targets by the end of fiscal year 2018; 13 reported plans to meet some, but not all, of the targets; 4 reported that they did not plan to meet any targets; and 2 did not have a basis to report planned optimization milestones because they do not report having any agency-owned data centers. Figure 4 summarizes agencies\u2019 progress in meeting OMB\u2019s optimization targets as of February 2017, and planned progress to be achieved by September 2017 and September 2018, as of April 2017. Figure 4: Agency-Reported Plans to Meet or Exceed the Office of Management and Budget\u2019s (OMB) Data Center Optimization Targets FITARA required OMB to establish a data center optimization metric specific to measuring server efficiency, and required agencies to report on progress in meeting this metric. To effectively measure progress against this metric, OMB directed agencies to replace the manual collection and reporting of systems, software, and hardware inventory housed within agency-owned data centers with automated monitoring tools and to complete this effort no later than the end of fiscal year 2018. Agencies were required to report progress in implementing automated monitoring tools and server utilization averages at each data center as part of their quarterly data center inventory reporting to OMB.", "As of February 2017, 4 of the 22 agencies reporting agency-owned data centers in their inventory\u2014 the National Aeronautics and Space Administration, National Science Foundation, Social Security Administration, and U.S. Agency for International Development\u2014reported that they had implemented automated monitoring tools at all of their data centers. Further, 10 reported that they had implemented automated monitoring tools at between 1 and 57 percent of their centers, and 8 had not yet begun to report the implementation of these tools. In total, the 22 agencies reported that automated tools were implemented at 123 (or about 3 percent) of the 4,528 total agency-owned data centers, while the remaining 4,405 (or about 97 percent) of these data centers were not reported as having these tools implemented. Figure 5 summarizes the number of agency-reported data centers with automated monitoring tools implemented, including the number of tiered and non-tiered centers.", "To address challenges in optimizing federal data centers, in our August 2017 report, we made recommendations to 18 agencies and OMB. Ten agencies agreed with our recommendations, three agencies partially agreed, and six (including OMB) did not state whether they agreed or disagreed."], "subsections": []}, {"section_title": "Risks Need to Be Fully Considered When Agencies Rate Their Major Investments on OMB\u2019s IT Dashboard", "paragraphs": ["To facilitate transparency across the government in acquiring and managing IT investments, OMB established a public website\u2014the IT Dashboard\u2014to provide detailed information on major investments at 26 agencies, including ratings of their performance against cost and schedule targets. Among other things, agencies are to submit ratings from their CIOs, which, according to OMB\u2019s instructions, should reflect the level of risk facing an investment relative to that investment\u2019s ability to accomplish its goals. In this regard, FITARA includes a requirement for CIOs to categorize their major IT investment risks in accordance with OMB guidance.", "Over the past 6 years, we have issued a series of reports about the Dashboard that noted both significant steps OMB has taken to enhance the oversight, transparency, and accountability of federal IT investments by creating its Dashboard, as well as concerns about the accuracy and reliability of the data. In total, we have made 47 recommendations to OMB and federal agencies to help improve the accuracy and reliability of the information on the Dashboard and to increase its availability. Most agencies agreed with our recommendations or had no comments. As of November 2017, 25 recommendations remained open.", "In June 2016, we determined that 13 of the 15 agencies selected for in- depth review had not fully considered risks when rating their major investments on the Dashboard. Specifically, our assessments of risk for 95 investments at the 15 selected agencies matched the CIO ratings posted on the Dashboard 22 times, showed more risk 60 times, and showed less risk 13 times. Figure 6 summarizes how our assessments compared to the selected investments\u2019 CIO ratings.", "Aside from the inherently judgmental nature of risk ratings, we identified three factors which contributed to differences between our assessments and the CIO ratings:", "Forty of the 95 CIO ratings were not updated during April 2015 (the month we conducted our review), which led to differences between our assessments and the CIOs\u2019 ratings. This underscores the importance of frequent rating updates, which help to ensure that the information on the Dashboard is timely and accurately reflects recent changes to investment status.", "Three agencies\u2019 rating processes spanned longer than 1 month.", "Longer processes mean that CIO ratings are based on older data, and may not reflect the current level of investment risk.", "Seven agencies\u2019 rating processes did not focus on active risks.", "According to OMB\u2019s guidance, CIO ratings should reflect the CIO\u2019s assessment of the risk and the investment\u2019s ability to accomplish its goals. CIO ratings that do no incorporate active risks increase the chance that ratings overstate the likelihood of investment success.", "As a result, we concluded that the associated risk rating processes used by the 15 agencies were generally understating the level of an investment\u2019s risk, raising the likelihood that critical federal investments in IT are not receiving the appropriate levels of oversight.", "To better ensure that the Dashboard ratings more accurately reflect risk, we made 25 recommendations to 15 agencies to improve the quality and frequency of their CIO ratings. Twelve agencies generally agreed with or did not comment on the recommendations and three agencies disagreed, stating that their CIO ratings were adequate. However, we noted that weaknesses in these three agencies\u2019 processes still existed and that we continued to believe our recommendations were appropriate."], "subsections": []}, {"section_title": "Agencies Need to Increase Their Use of Incremental Development Practices", "paragraphs": ["OMB has emphasized the need to deliver investments in smaller parts, or increments, in order to reduce risk, deliver capabilities more quickly, and facilitate the adoption of emerging technologies. In 2010, it called for agencies\u2019 major investments to deliver functionality every 12 months and, since 2012, every 6 months. Subsequently, FITARA codified a requirement that agency CIOs certify that IT investments are adequately implementing incremental development, as defined in the capital planning guidance issued by OMB. Further, subsequent OMB guidance on the law\u2019s implementation, issued in June 2015, directed agency CIOs to define processes and policies for their agencies which ensure that they certify that IT resources are adequately implementing incremental development.", "However, in May 2014, we reported that 66 of 89 selected investments at five major agencies did not plan to deliver capabilities in 6-month cycles, and less than half of these investments planned to deliver functionality in 12-month cycles. We also reported that only one of the five agencies had complete incremental development policies. Accordingly, we recommended that OMB clarify its guidance on incremental development and that the selected agencies update their associated policies to comply with OMB\u2019s revised guidance (once made available), and consider the factors identified in our report when doing so.", "Four of the six agencies agreed with our recommendations or had no comments, one agency partially agreed, and the remaining agency disagreed with the recommendations. The agency that disagreed did not believe that its recommendations should be dependent upon OMB taking action to update guidance. In response, we noted that only one of the recommendations to that agency depended upon OMB action, and we maintained that the action was warranted and could be implemented.", "Subsequently, in August 2016, we reported that agencies had not fully implemented incremental development practices for their software development projects. Specifically, we noted that, as of August 31, 2015, 22 federal agencies had reported on the Dashboard that 300 of 469 active software development projects (approximately 64 percent) were planning to deliver usable functionality every 6 months for fiscal year 2016, as required by OMB guidance. The remaining 169 projects (or 36 percent) that were reported as not planning to deliver functionality every 6 months, agencies provided a variety of explanations for not achieving that goal. These included project complexity, the lack of an established project release schedule, or that the project was not a software development project.", "Further, in conducting an in-depth review of seven selected agencies\u2019 software development projects, we determined that 45 percent of the projects delivered functionality every 6 months for fiscal year 2015 and 55 percent planned to do so in fiscal year 2016. However, significant differences existed between the delivery rates that the agencies reported to us and what they reported on the Dashboard. For example, for four agencies (the Departments of Commerce, Education, Health and Human Services, and Treasury), the percentage of delivery reported to us was at least 10 percentage points lower than what was reported on the Dashboard. These differences were due to (1) our identification of fewer software development projects than agencies reported on the Dashboard and (2) the fact that information reported to us was generally more current than the information reported on the Dashboard.", "We concluded that, by not having up-to-date information on the Dashboard about whether the project is a software development project and about the extent to which projects are delivering functionality, these seven agencies were at risk that OMB and key stakeholders may make decisions regarding the agencies\u2019 investments without the most current and accurate information. As such, we recommended that the seven selected agencies review major IT investment project data reported on the Dashboard and update the information as appropriate, ensuring that these data are consistent across all reporting channels.", "Finally, while OMB has issued guidance requiring agency CIOs to certify that each major IT investment\u2019s plan for the current year adequately implements incremental development, only three agencies (the Departments of Commerce, Homeland Security, and Transportation) had defined processes and policies intended to ensure that the CIOs certify that major IT investments are adequately implementing incremental development. Accordingly, we recommended that the remaining four agencies\u2014the Departments of Defense, Education, Health and Human Services, and the Treasury\u2014establish policies and processes for certifying that major IT investments adequately use incremental development.", "The Departments of Education and Health and Human Services agreed with our recommendation, while the Department of Defense disagreed and stated that its existing policies address the use of incremental development. However, we noted that the department\u2019s policies did not comply with OMB\u2019s guidance and that we continued to believe our recommendation was appropriate. The Department of the Treasury did not comment on its recommendation.", "More recently, in November 2017, we reported that agencies needed to improve their certification of incremental development. Specifically, agencies reported that 62 percent of major IT software development investments were certified by the agency CIO for implementing adequate incremental development in fiscal year 2017, as required by FITARA as of August 2016. Table 1 identifies the number of federal agency major IT software development investments certified for adequate incremental development, as reported on the IT Dashboard for fiscal year 2017.", "Officials from 21 of the 24 agencies in our review reported that challenges hindered their ability to implement incremental development, which included: (1) inefficient governance processes; (2) procurement delays; and (3) organizational changes associated with transitioning from a traditional software methodology that takes years to deliver a product, to incremental development, which delivers products in shorter time frames. Nevertheless, 21 agencies reported that the certification process was beneficial because they used the information from the process to assist with identifying investments that could more effectively use an incremental approach, and used lessons learned to improve the agencies\u2019 incremental processes.", "In addition, as of August 2017, only 4 of the 24 agencies had clearly defined CIO incremental development certification policies and processes that contained descriptions of the role of the CIO in the process and how the CIO\u2019s certification will be documented; and included definitions of incremental development and time frames for delivering functionality consistent with OMB guidance. Figure 7 summarizes our analysis of agencies\u2019 policies for CIO certification of the adequate use of incremental development in IT investments.", "Lastly, we reported that OMB\u2019s capital planning guidance for fiscal year 2018 (issued in June 2016) lacked clarity regarding how agencies were to address the requirement for certifying adequate incremental development. While the 2018 guidance stated that agency CIOs are to provide the certifications needed to demonstrate compliance with FITARA, the guidance did not include a specific reference to the provision requiring CIO certification of adequate incremental development. We noted that, as a result of this change, OMB placed the burden on agencies to know and understand how to demonstrate compliance with FITARA\u2019s incremental development provision. Further, because of the lack of clarity in the guidance as to what agencies were to provide, OMB could not demonstrate how the fiscal year 2018 guidance ensured that agencies provided the certifications specifically called for in the law.", "Accordingly, in August 2017, OMB issued its fiscal year 2019 guidance, which addressed the weaknesses we identified in the previous fiscal year\u2019s guidance. Specifically, the revised guidance requires agency CIOs to make an explicit statement regarding the extent to which the CIO is able to certify the use of incremental development, and to include a copy of that statement in the agency\u2019s public congressional budget justification materials. As part of the statement, an agency CIO must also identify which specific bureaus or offices are using incremental development on all of their investments.", "In our November 2017 report, we made 19 recommendations to 17 agencies to improve reporting and certification of incremental development. Eleven agencies agreed with our recommendations, 1 partially agreed, and 5 did not state whether they agreed or disagreed. OMB disagreed with several of our conclusions, which we continued to believe were valid.", "In total, from May 2014 through November 2017, we have made 42 recommendations to OMB and agencies to improve their implementation of incremental development. As of November 2017, 34 of our recommendations remained open."], "subsections": []}, {"section_title": "Agencies Need to Better Manage Software Licenses to Achieve Savings", "paragraphs": ["Federal agencies engage in thousands of software licensing agreements annually. The objective of software license management is to manage, control, and protect an organization\u2019s software assets. Effective management of these licenses can help avoid purchasing too many licenses, which can result in unused software, as well as too few licenses, which can result in noncompliance with license terms and cause the imposition of additional fees.", "As part of its PortfolioStat initiative, OMB has developed policy that addresses software licenses. This policy requires agencies to conduct an annual, agency-wide IT portfolio review to, among other things, reduce commodity IT spending. Such areas of spending could include software licenses.", "In May 2014, we reported on federal agencies\u2019 management of software licenses and determined that better management was needed to achieve significant savings government-wide. In particular, 22 of the 24 major agencies did not have comprehensive license policies and only 2 had comprehensive license inventories. In addition, we identified five leading software license management practices, and the agencies\u2019 implementation of these practices varied.", "As a result of agencies\u2019 mixed management of software licensing, agencies\u2019 oversight of software license spending was limited or lacking, thus potentially leading to missed savings. However, the potential savings could be significant considering that, in fiscal year 2012, 1 major federal agency reported saving approximately $181 million by consolidating its enterprise license agreements, even when its oversight process was ad hoc. Accordingly, we recommended that OMB issue needed guidance to agencies; we also made 135 recommendations to the 24 agencies to improve their policies and practices for managing licenses. Among other things, we recommended that the agencies regularly track and maintain a comprehensive inventory of software licenses and analyze the inventory to identify opportunities to reduce costs and better inform investment decision making.", "Most agencies generally agreed with the recommendations or had no comments. As of November 2017, 112 of the recommendations had not been implemented. Table 2 reflects the extent to which agencies implemented recommendations in these areas.", "In conclusion, with the enactment of FITARA, the federal government has an opportunity to save billions of dollars; improve the transparency and management of IT acquisitions and operations; and to strengthen the authority of CIOs to provide needed direction and oversight. The forum we held also recommended that CIOs be given more authority, and noted the important role played by the Federal CIO.", "Most agencies have taken steps to improve the management of IT acquisitions and operations by implementing key FITARA initiatives, including data center consolidation, efforts to increase transparency via OMB\u2019s IT Dashboard, incremental development, and management of software licenses; and they have continued to address recommendations we have made over the past several years. However, additional improvements are needed, and further efforts by OMB and federal agencies to implement our previous recommendations would better position them to fully implement FITARA.", "To help ensure that these efforts succeed, OMB\u2019s and agencies\u2019 continued implementation of FITARA is essential. In addition, we will continue to monitor agencies\u2019 implementation of our previous recommendations.", "Chairmen Meadows and Hurd, Ranking Members Connolly and Kelly, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Dave Powner, Director, Information Technology at (202) 512- 9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Kevin Walsh (Assistant Director), Chris Businsky, Rebecca Eyler, Meredith Raymond, and Bradley Roach (Analyst in Charge).", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-9", "url": "https://www.gao.gov/products/GAO-19-9", "title": "Illegal Marijuana: Opportunities Exist to Improve Oversight of State and Local Eradication Efforts", "published_date": "2018-11-14T00:00:00", "released_date": "2018-11-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Marijuana is generally illegal under federal law. Nonetheless, an increasing number of states have legalized medical or recreational marijuana under state law. However, in these states, some marijuana-related activity may still be illegal under state law. Since 1981, DEA's DCE/SP has provided financial support to participating state and local agencies for their efforts to eradicate illegal marijuana.", "GAO was asked to review DEA's DCE/SP. This report examines (1) DCE/SP funding and expenditures in recent years, (2) how DEA ensures that participating agencies expend funds in accordance with program requirements, and (3) how DEA uses performance assessment to help manage DCE/SP. GAO analyzed DCE/SP guidance, and expenditure and performance information from 2015 through fiscal year 2017, and evaluated DEA's oversight and performance management efforts against internal control standards. GAO also interviewed officials from DEA, the U.S. Forest Service, and participating agencies in six states, which GAO selected to include varying levels of DCE/SP funding and numbers of marijuana grow sites eradicated in recent years."]}, {"section_title": "What GAO Found", "paragraphs": ["The Drug Enforcement Administration (DEA) obligated over $17 million annually on average from 2015 through 2018 to its Domestic Cannabis Eradication/ Suppression Program (DCE/SP)\u2014which supports participating state and local law enforcement agencies' efforts to eradicate illegal marijuana. DEA obligated funds to participating agencies in states with and without marijuana legalization laws. Participating agencies expended the majority of funds on aviation support and overtime (see fig. below). Officials told GAO they expended funds to help eradicate marijuana that was not in compliance with state and local marijuana laws. For example, officials in California\u2014a state with medical and recreational marijuana legalization laws\u2014said that all of their eradication occurs on public lands such as national forests, or private land that had been trespassed upon. In total, agencies have eradicated several million plants annually in recent years.", "Participating Agencies' Top Domestic Cannabis Eradication/Suppression Program (DCE/SP) Expenditures in Recent Years", "DEA oversees participating agencies' compliance with program expenditure requirements in various ways, but does not consistently collect supporting documentation for expenditure reports. DEA field officials collect varying levels of documentation, and headquarters officials were not aware of these varying practices. DEA officials said they are now working to address this issue, but they have not developed a plan with specific actions and time frames for completion. By developing and implementing such a plan, DEA could have greater assurance that funds are being expended appropriately.", "DEA collects information on program activities to help manage DCE/SP, such as number of plants eradicated. However, participating agencies GAO spoke with have practices for reporting some program activities that differ from DEA's guidance due to varying interpretations of the guidance. As a result this information is neither fully accurate nor reliable for assessing program performance. Also, DEA has not clearly documented all of its program goals or developed performance measures to assess progress toward those goals. Improving the reliability of the information it collects, clearly documenting all program goals, and developing performance measures could provide DEA with the information it needs to manage the program more effectively."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that DEA develop a plan to ensure the collection of consistent documentation of expenditures, clarify its guidance for reporting program activities, document all of its program goals, and develop performance measures. DEA concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Marijuana is the most widely available and commonly used illegal drug in the United States, and the only major illegal drug grown domestically, according to the Drug Enforcement Administration (DEA). Within the Department of Justice (DOJ), DEA is the primary federal law enforcement agency responsible for investigating and enforcing potential violations of the Controlled Substances Act of 1970, as amended. Under the Act generally, it is a federal crime for any person to knowingly or intentionally manufacture, distribute, dispense, or possess marijuana. As part of its marijuana enforcement efforts, DEA began providing financial assistance to state and local law enforcement agencies to support their efforts to eradicate and suppress illegal, domestically-grown marijuana in 1979. DEA formally established this assistance through its Domestic Cannabis Eradication/Suppression Program (DCE/SP) in 1981. In fiscal year 2018, DEA obligated $14 million to state and local law enforcement agencies through DCE/SP to support eradication and suppression of illegal marijuana.", "Despite the federal government\u2019s long-standing prohibition on marijuana, an increasing number of states have legalized medical or recreational marijuana under state law over the past two decades. In 2015, we reported on DOJ\u2019s efforts to monitor the effects of state marijuana legalization relative to DOJ marijuana enforcement policy, including August 2013 guidance which provided additional clarification of DOJ\u2019s priorities and certain circumstances that may warrant DOJ to challenge a state\u2019s implementation of its marijuana legalization program. The August 2013 guidance instructed DOJ\u2019s prosecutorial and law enforcement components to focus marijuana enforcement efforts on priorities that were particularly important to the federal government, leaving all other enforcement of state law pertaining to marijuana-related activity to state and local law enforcement agencies and regulatory bodies. We recommended that DOJ document a plan specifying its monitoring process, and share the plan with DOJ components. DOJ concurred with the recommendations. In January 2018, the Attorney General rescinded DOJ\u2019s marijuana enforcement policy, including the August 2013 guidance. Subsequently, we closed this recommendation as not implemented.", "Given trends in marijuana legalization under state law, questions have been raised about the necessity and effectiveness of DEA\u2019s DCE/SP. You asked us to review DEA\u2019s DCE/SP. This report addresses the following questions: 1. How much funding has DEA obligated to DCE/SP in recent years, and how have participating agencies expended program funds? 2. How does DEA ensure that participating agencies expend DCE/SP funds in accordance with program requirements? 3. How does DEA use performance assessment to help manage DCE/SP?", "To address all three questions, we analyzed relevant DEA documentation, and interviewed DEA officials in headquarters. We also conducted semi-structured interviews with officials from DEA, the U.S.", "Forest Service, and participating agencies in the following six states: California, Georgia, Kentucky, Michigan, Nevada, and Texas. We selected these states to include varying levels of DCE/SP funding and numbers of marijuana grow sites eradicated from 2014 through fiscal year 2016\u2014the most recent year for which DEA data were available at the time of our state selection. The six states in our sample collectively received approximately 52 percent of total DCE/SP funding obligated to states from 2014 through fiscal year 2016. When selecting states, we also considered whether a state had experienced a significant level of marijuana eradication on national forests in recent years, as well as the status of medical or recreational marijuana legalization under state law. For each of our selected states, we interviewed DEA field officials responsible for implementing DCE/SP in the state; Forest Service law enforcement officials responsible for overseeing and conducting marijuana eradication efforts on national forests in the state; and participating agencies\u2019 points-of-contact for DCE/SP. We conducted our interviews in person in California, Georgia, and Texas. The information we obtained from these interviews cannot be generalized to all states that received DCE/SP funding, but provides a range of perspectives and experiences regarding DCE/SP from federal, state, and local law enforcement officials.", "To address our first question, we also reviewed DEA documentation related to DCE/SP funding, including DEA\u2019s funding requests for DCE/SP from DOJ\u2019s Assets Forfeiture Fund for fiscal years 2015 through 2018. We reviewed documents describing how participating agencies use program funds, including the DCE/SP Coordinator Handbook and Program Guide (DCE/SP Handbook), participating agencies\u2019 annual strategic plans for using DCE/SP funds to conduct eradication and suppression activities, and letters of agreement between participating agencies and DEA. Also, we analyzed DEA data on (1) DCE/SP funding obligated to participating agencies, and to DEA for program support from 2015 through fiscal year 2018 and (2) DCE/SP funding expended by participating agencies in each state from 2015 through fiscal year 2017, organized by categories of expenses, such as overtime and equipment.", "To assess the reliability of DEA\u2019s funding data, we reviewed the data for any missing elements, outliers, and obvious errors, and interviewed agency officials knowledgeable about the data. We determined that DEA\u2019s funding data for DCE/SP were sufficiently reliable for the purpose of reporting obligations at the program and state levels, as well as participating agencies\u2019 aggregate expenditures by category. Furthermore, we interviewed DEA and Forest Service headquarters and field officials, and officials from participating agencies in each of our selected states to obtain perspectives on how participating agencies expended DCE/SP funds. We also viewed items that participating agencies purchased using DCE/SP funds in California, Georgia, and Texas, and observed a marijuana grow site on federal land that participating agencies eradicated in California and Georgia as part of our in-person visits.", "To address our second question, we also reviewed DEA\u2019s guidance for expending DCE/SP funds, including the DCE/SP Handbook and letters of agreement between DEA and participating agencies. We reviewed documentation related to DEA\u2019s processes for overseeing participating agencies\u2019 expenditure of program funds, including purchase request forms, quarterly expenditure reports, and reports describing the results of DEA site visits to participating agencies\u2019 facilities and operations during fiscal year 2017\u2014the first year for which these reports were available. Furthermore, we interviewed DEA headquarters officials responsible for the overall management and oversight of DCE/SP, and DEA field officials responsible for providing guidance to participating agencies on expending program funds, and for collecting and reviewing participating agencies\u2019 information on program expenditures. We also interviewed officials from participating agencies in each of our selected states, and reviewed supporting documentation for DCE/SP expenditures to better understand the amount and types of information participating agencies submit to DEA. We evaluated DEA\u2019s efforts to oversee participating agencies\u2019 expenditure of DCE/SP funds, such as its practices for collecting and reviewing receipts and supporting documentation for program expenditures, against agency requirements for participating agencies to submit information on program expenditures to DEA. We also compared these efforts against standards for project management.", "To address our third question, we also reviewed DEA documentation related to performance management, including the DCE/SP Handbook and congressional budget justifications for fiscal years 2012 through 2018. We analyzed DEA\u2019s data on the marijuana eradication and suppression activities conducted as part of DCE/SP, such as the number of marijuana plants eradicated, pounds of processed marijuana seized, and arrests made, for 2015 and fiscal years 2016 through 2017\u2014the most recent year for which these data were available. To assess the reliability of DEA\u2019s data on marijuana eradication and suppression activities, we reviewed the data for any missing elements, outliers, and obvious errors, and reviewed documentation about the data. We also interviewed officials from DEA and participating agencies about the reliability of the data. Specifically, we interviewed DEA field officials responsible for providing guidance to participating agencies on reporting data to DEA, and for reviewing the data that participating agencies report. Furthermore, we interviewed officials from participating agencies in each state about how they collect and report data to DEA on their agency\u2019s marijuana eradication and suppression activities. We determined that the data were not fully reliable for the purpose of assessing program performance. As a result, we do not include these data in this report. In addition, we interviewed DEA headquarters officials to determine how DEA uses the data it collects to help manage the program, including the extent to which DEA uses the data to measure progress toward goals and performance measures for DCE/SP. We evaluated DEA\u2019s practices for collecting and using program data to assess performance and manage the program, which we derived from our review of agency documentation and interviews with DEA officials, against the Government Performance and Results Act of 1993 (GPRA), as amended by the GPRA Modernization Act of 2010 (GPRAMA); federal internal control standards related to defining and measuring progress on agency objectives and using and communicating quality information; and our prior work describing important attributes of successful performance measures.", "We conducted this performance audit from September 2017 through November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal and State Marijuana Laws", "paragraphs": ["Marijuana refers to the dried leaves, flowers, stems, and seeds from the cannabis plant, which contains the psychoactive or mind-altering chemical delta-9-tetrahydrocannabinol (THC), as well as other related compounds. Marijuana is a controlled substance under federal law and is classified as a Schedule I drug\u2014the most restrictive of categories of controlled substances by the federal government. The Controlled Substances Act of 1970, as amended, does not allow Schedule I drugs, including marijuana, to be dispensed with a prescription, and provides federal sanctions for the possession, manufacture, distribution, dispensing, or use of such drugs.", "However, as of July 2018, 32 states and the District of Columbia had passed voter initiatives or legislation legalizing marijuana for medical purposes under state or territorial law. Of these, nine states and the District of Columbia had also passed voter initiatives or legislation legalizing marijuana for recreational purposes under state or territorial law. In addition, another 15 states have laws only pertaining to the use of products containing cannabidiol, also known as CBD, one of the non- psychoactive ingredients in marijuana plants. Nonetheless, federal penalties remain, and some marijuana-related activity may also be illegal under state law, including in states that have legalized marijuana for medical or recreational purposes. Figure 1 shows a map of marijuana legalization under state or territorial law, as of July 2018."], "subsections": []}, {"section_title": "Illegal Marijuana Cultivation and Eradication", "paragraphs": ["Marijuana is the only major illegal drug grown domestically, according to DEA. Individuals and larger organized groups, such as drug trafficking organizations, establish outdoor and indoor grow sites to cultivate marijuana. Outdoor grow sites can be located on privately-owned land, such as residential yards, farms, and timber lands, and publicly-owned land, such as national forests, as shown in Figure 2. Indoor grow sites can be located in residential houses and larger warehouses.", "Previously, we, along with the U.S. Department of Agriculture\u2019s (USDA) Office of Inspector General (OIG) have reported on the environmental effects of illegal marijuana cultivation on federal lands. For example, in 2010, we reported that illegal marijuana cultivation on federal lands can involve, among other things, the application of pesticides, herbicides, fertilizers, and other chemicals, including chemicals that may be banned in the United States; removal of natural vegetation; diversion of water from streams; and deposits of large amounts of trash and human waste. In 2018, USDA\u2019s OIG reported that trash and chemicals such as pesticides and fertilizers may remain at eradicated marijuana grow sites on national forest lands for multiple years, partly due to the cost of cleanup, which can reach as high as $100,000. Figure 3 shows examples of environmental effects of illegal marijuana cultivation on federal lands in California and Georgia.", "Marijuana eradication operations can encompass the following activities: seizure and destruction of marijuana plants, seizure and destruction of processed marijuana\u2014which is smokeable marijuana in the drying process, loose, or packaged; confiscation of weapons and assets; and apprehension of individuals at the grow site. Additionally, operations may include the removal of trash and infrastructure, such as propane tanks and irrigation tubing, from outdoor grow sites during or after eradication operations to reduce the likelihood that growers will return."], "subsections": []}, {"section_title": "DEA\u2019s Domestic Cannabis Eradication/Suppression Program", "paragraphs": ["DEA established DCE/SP in 1981 to support participating state and local law enforcement agencies in their efforts to eradicate and suppress illegal, domestically-grown marijuana. Over the past three decades, DEA has provided support for marijuana eradication and suppression efforts through DCE/SP in all 50 states, Puerto Rico, Guam, and the U.S. Virgin Islands. In fiscal year 2018, DEA obligated DCE/SP funding to 125 participating agencies in 37 states.", "DEA\u2019s Office of Operations Management, Investigative Support Section is responsible for the overall management and oversight of DCE/SP. Personnel from DEA\u2019s field divisions and contractors are responsible for implementing DCE/SP in the field. Specifically, DEA field divisions assign a special agent to serve as DCE/SP coordinator for each state in its area of responsibility. DCE/SP coordinators are responsible for reviewing participating agencies\u2019 annual strategic plans for DCE/SP, and approving certain purchase requests, among other things. DEA also contracts for analytical and administrative support for the program. The contract provides DEA with six personnel, referred to as regional contractors, whose primary duties include providing guidance to participating agencies on allowable program expenditures, and reviewing the information participating agencies report to DEA on their program expenditures and eradication and suppression activities.", "DEA\u2019s implementation of DCE/SP is a multi-step process with activities performed by DEA and participating agencies during each step, as shown in Figure 4. Each year, DEA requests and receives funding for DCE/SP from DOJ\u2019s Assets Forfeiture Fund. To participate in DCE/SP, a state or local law enforcement agency must apply and enter into a reimbursable funding agreement with DEA. Specifically, a participating agency must submit an annual strategic plan describing, among other things, how it intends to use DCE/SP funding to address the illegal domestic marijuana threat in its area of responsibility, and coordinate with other federal agencies, such as the Forest Service. DEA and the participating agency then sign a letter of agreement, whereby the participating agency agrees to eradicate and suppress illegal marijuana as part of DCE/SP, and DEA agrees to provide a specified amount of funding to the participating agency to defray the costs of those activities. This agreement also outlines program restrictions and requirements for participating agencies, which include only using DCE/SP funds to reimburse expenses that DEA has deemed allowable; obtaining approval from DEA prior to expending DCE/SP funds on certain items; submitting an expenditure report to DEA each quarter; and collecting and reporting to DEA information on its marijuana eradication and suppression activities."], "subsections": []}]}, {"section_title": "DEA Obligated Over $17 Million Annually on Average to DCE/SP in Recent Years; Participating Agencies Expended Most Funds on Aviation Support and Overtime", "paragraphs": [], "subsections": [{"section_title": "DEA Obligated Between $12.4 Million and $22 Million Annually to DCE/SP from 2015 Through Fiscal Year 2018; Five States Were Obligated About Half of the Funds Each Year", "paragraphs": ["DEA obligated about $17.7 million annually on average to DCE/SP from 2015 through fiscal year 2018. As shown in Figure 5, the total amount of funding DEA obligated to DCE/SP decreased from $22 million in 2015 to $12.4 million in fiscal year 2017, and increased to $18 million in fiscal year 2018.", "During each year of the 4-year time frame we reviewed, DEA obligated most of the DCE/SP funds to support the marijuana eradication efforts of the participating agencies\u2014for example, $14 million of the $18 million in fiscal year 2018 went to 125 participating agencies in 37 states, or approximately $378,000 on average per state. DEA obligated the remaining funds\u2014for example, $4 million in fiscal year 2018\u2014to pay for program support. This support includes payments for the following items:", "The DEA Aviation Division, which provided reconnaissance, surveillance, undercover operations, and marijuana eradication support to selected participating agencies, according to DEA documentation. The Aviation Division prioritized its support to participating agencies based upon their past eradication operations, the availability of aviation support provided by other participating agencies, and DCE/SP coordinators\u2019 request for support.", "Equipment, travel, and training for DEA headquarters and field divisions to support eradication activities.", "Six regional contractors that provided administrative support to the program.", "Figure 5 also shows that in each year from 2015 through fiscal year 2018, about half of total DCE/SP funds went to participating agencies in five states. For example, in fiscal year 2018 DEA obligated 48 percent of these funds to participating agencies in California, Kentucky, Georgia, Texas, and Tennessee. Moreover, by magnitude, California, Kentucky, Georgia, and Tennessee were among the top five states in each of the 4 years we examined.", "DEA headquarters officials reported that they obligate funding to participating agencies based on various factors, including the agencies\u2019 past performance, their level of matching investment in the program, and the approximate amount of illegal growing in an area. DEA headquarters officials noted that some marijuana grows may still be illegal under state and local law\u2014even in those states that have legalized or regulated marijuana in some form under state or local law. As such, DEA has obligated funds to participating agencies in states with and without some form of marijuana legalization under state law."], "subsections": []}, {"section_title": "Participating Agencies Expended Most Funds on Aviation Support and Overtime in Recent Years", "paragraphs": ["Participating state and local agencies have expended DCE/SP funds on a range of items, as described below. However, we calculated that two items\u2014 aviation support and overtime \u2014accounted for a large majority of their expenditures in each of the 3 years we reviewed from 2015 through fiscal year 2017. For example, participating agencies expended 46 percent on overtime and 38 percent on aviation support in fiscal year 2017, as shown in Figure 6.", "Aviation Support. Participating agencies expended 43 percent ($17.0 million) of their DCE/SP funds to rent aircraft or purchase fuel for aviation support from 2015 through fiscal year 2017, according to DEA data. For example, officials from a participating state agency in California reported expending DCE/SP funds to contract for the use of helicopters for at least 90 days per year, which they use to support marijuana eradication efforts across the state. Officials from participating local agencies in California reported that aircraft support is critical to their marijuana eradication efforts because it allows them to conduct aerial surveillance to detect possible marijuana grow sites, transport personnel in and out of grow sites in remote areas, and remove large quantities of marijuana plants from grow sites, as shown in Figure 7.", "Overtime. Participating agencies expended 40 percent ($16.0 million) of their DCE/SP funds to pay employee overtime from 2015 through fiscal year 2017, according to DEA data. Officials from a participating agency in Nevada told us that marijuana eradication is labor-intensive\u2014in some cases involving long hikes and camping in the mountains\u2014which can result in overtime costs. In addition, officials from a participating agency in Michigan told us that they expend DCE/SP funds to reimburse members of state task force teams for overtime costs incurred during their participation in marijuana eradication operations, which generally involves 1- to 3-hour extensions of their regular shifts.", "Travel and per diem. Participating agencies expended 6 percent ($2.3 million) of their DCE/SP funds to pay travel and per diem costs from 2015 through fiscal year 2017, according to DEA data. For example, officials from a participating agency in Nevada reported that traveling to marijuana grow sites in remote areas may take up to 6 hours, which requires them to incur travel and per diem costs for overnight stays. In addition, DEA headquarters officials reported that officials from participating agencies who attend the DCE/SP national strategic meeting are permitted to expend DCE/SP funds to pay for travel and per diem expenses. According to DEA headquarters officials, federal, state, and local officials from across the country attend the strategic meeting to discuss trends and issues related to illegal marijuana cultivation, and DCE/SP\u2019s priorities and goals.", "Supplies, clothing, and protective gear. Participating agencies expended 3 percent ($1.1 million) of their DCE/SP funds to purchase supplies, and another 2 percent ($0.8 million) to purchase clothing and protective gear from 2015 through fiscal year 2017, according to DEA data. For example, officials from a participating agency in Texas reported expending DCE/SP funds to purchase machetes for cutting marijuana plants; cameras for taking pictures or filming at eradication sites; backpacks and hydration bladders; Global Positioning System devices for navigation; first aid kits; gloves to protect personnel from pesticides, fertilizers, and other hazardous chemicals; and heavy-duty pants and shirts, as shown in Figure 7.", "Equipment. Participating agencies expended 3 percent ($1.0 million) of their DCE/SP funds to purchase equipment from 2015 through fiscal year 2017, according to DEA data. For example, officials from participating agencies in Georgia, Kentucky, and Texas told us that they have expended DCE/SP funds to purchase all-terrain vehicles, which they use to help access marijuana grow sites more quickly than on foot, and help them to navigate difficult terrain, including mountainous areas. Figure 7 includes a photo of an all-terrain vehicle purchased with DCE/SP funds.", "All other expenditures. Participating agencies expended 2 percent ($0.6 million) of their DCE/SP funds on training, and another 1 percent ($0.4 million) on miscellaneous commercial contracts from 2015 through fiscal year 2017. Participating agencies also expended less than 1 percent of their DCE/SP funds on both container and space rental ($0.2 million) and vehicle rental ($0.1 million) from 2015 through fiscal year 2017.", "Factors that affect how participating agencies expended funds. Officials from participating agencies we spoke with in six selected states\u2014California, Georgia, Kentucky, Michigan, Nevada, and Texas\u2014as well as DEA and Forest Service, provided perspectives on factors that affected how participating agencies expended DCE/SP funds to support their marijuana eradication efforts.", "State marijuana legalization. Officials we spoke with said that they expended DCE/SP funds to help eradicate marijuana grow sites not in compliance with their state and local laws. For example, in Georgia\u2014where medical or recreational marijuana has not been legalized under state law\u2014state officials reported that they strive to eradicate all marijuana grow sites. By comparison, state and local officials in California\u2014where medical and recreational use of marijuana is legal under state law\u2014said that all of the grow sites they eradicate are in violation of state and local laws. These grow sites include those on public lands such as national forests, and private land that had been trespassed upon.", "Marijuana eradication on national forests. DEA requires participating agencies to coordinate with Forest Service when conducting DCE/SP-funded eradication efforts on national forests.", "Officials from Forest Service and participating agencies we spoke with reported that they coordinate with one another when planning and conducting marijuana eradication on national forests\u2014and that some of these efforts are funded by DCE/SP. For example, Forest Service officials in Kentucky reported that they participate in planning meetings with the state\u2019s marijuana eradication task force. During the eradication season, Forest Service conducts aerial surveillance in helicopters funded by the state police using DCE/SP funds, and assists with eradication operations when available. As another example, officials in Georgia reported expending DCE/SP funds to conduct aerial surveillance to detect possible marijuana grow sites on national forests.", "Officials from some participating agencies we spoke with reported that they were able to expend DCE/SP funds to assist Forest Service with the removal of infrastructure such as sleeping bags and irrigation tubes at marijuana grow sites on national forests. For example, officials from a participating state agency in California reported that they assist with the removal of basic infrastructure and chemicals when feasible. However, Forest Service is responsible for the removal of infrastructure and subsequent environmental reclamation on national forests."], "subsections": []}]}, {"section_title": "DEA Oversees Participating Agencies\u2019 Expenditure of DCE/SP Funds in Various Ways, but Does Not Consistently Collect the Supporting Documentation", "paragraphs": [], "subsections": [{"section_title": "DEA Provides Guidance, Pre-approves Purchases, Conducts On-Site Observations, and Reviews Information on Participating Agencies\u2019 Expenditures to Help Ensure Compliance with Program Requirements", "paragraphs": ["DEA oversees participating agencies\u2019 expenditure of DCE/SP funds in various ways to help ensure compliance with program requirements, including the following: Provides guidance. DEA provides participating agencies a copy of its DCE/SP Handbook which describes, among other things, information on allowable and non-allowable uses of DCE/SP funds. For example, the Handbook explains that participating agencies may expend DCE/SP funds to pay overtime costs of officers participating in eradication activities if the officers otherwise would be unable to participate, but may not expend DCE/SP funds to pay for employee benefits. In addition, participating agencies may expend DCE/SP funds on equipment, such as all-terrain vehicles and Global Positioning System devices, but not purchase body armor, firearms, or tasers. See Table 1 for additional information on allowable uses of DCE/SP funds.", "Pre-approves certain purchases. DEA pre-approves certain equipment purchases, and requires additional review procedures to pre-approve higher-cost items. According to DEA guidance and headquarters officials, participating agencies are required to submit a purchase request form to DEA for the purchase of all durable supplies, materials, and equipment. A participating agency must also attach supporting documentation along with the request form\u2014including price quotes, a description of the items, and intended use. Purchases up to $2,500 are approved by the DCE/SP coordinator, while purchases greater than $2,500, or 10 percent or more of an agency\u2019s obligated funds, also require approval from the DEA Special Agent in Charge in the applicable DEA field division, who then passes the request along to DEA headquarters officials for final approval.", "Conducts on-site observations. DEA headquarters officials told us that, as part of their oversight for fiscal year 2017, they conducted on-site observations of participating agencies in seven states at training events, eradication operations, and participating agencies\u2019 facilities. DEA headquarters officials said that they selected the site visit locations based on participating agencies\u2019 funding levels and input from DEA field officials, among other factors. According to these officials, site visits allowed DEA to observe participating agencies\u2019 equipment and compare it with documentation on pre-approved equipment purchases and reported expenditures.", "DEA was unable to provide information about the location or results of site visits prior to fiscal year 2017 due to both a lack of documentation and recent personnel turnover. However, DEA began documenting the location and results of site visits for fiscal year 2017. According to officials, the site visits did not reveal instances of misuse of funds in fiscal year 2017. Officials noted that documenting site visits is an important practice that will help inform the program\u2019s plans for future site visits, and could help DEA identify best practices for marijuana enforcement to share with participating agencies.", "In addition, some DCE/SP coordinators we spoke with said that on-site observations help them to oversee participating agencies\u2019 expenditure of program funds in the field. For example, one DCE/SP coordinator said that he has daily on-site contact with participating agencies, and that although he had not observed any misuse of funds, his on-site presence would allow him to detect misuse if it were to occur.", "Reviews information on program expenditures. DEA\u2019s DCE/SP Handbook requires participating agencies to submit cumulative quarterly expenditure reports specifying how much the agency expended in each of the allowable expense categories, such as overtime, aviation support, and equipment. DEA regional contractors are required to review quarterly expenditure reports, and sign and submit the reports to headquarters for further review. Headquarters officials told us that they may ask participating agencies to clarify reported expenditures, and DEA may withhold funding if necessary until any issues are resolved. DEA also requires participating agencies to provide supporting documentation, such as receipts, for certain expenses claimed in the end-of-year quarterly expenditure reports."], "subsections": []}, {"section_title": "DEA Does Not Consistently Collect Supporting Documentation for Participating Agencies\u2019 Reported Expenditures", "paragraphs": ["Notwithstanding these efforts to oversee participating agencies\u2019 expenditure of DCE/SP funds, DEA does not consistently collect supporting documentation from participating agencies regarding their reported DCE/SP expenditures. As noted above, participating agencies are required to submit a copy of a receipt or other supporting documentation for certain expense claimed in the end-of-year quarterly expenditure reports, and regional contractors are responsible for collecting this information. However, the DEA regional contractors we spoke with had differing understandings of DEA\u2019s requirement regarding the collection of information on DCE/SP expenditures, and indicated to us that they are collecting varying levels of supporting documentation. For example,", "One regional contractor told us that DEA does not specify the completeness of supporting documentation that regional contractors are required to collect. Nonetheless, he still collects supporting documentation for all expenses, which in some cases may consist of 200 pages for a single quarterly expenditure report.", "Another regional contractor told us that he is required to collect quarterly expenditure reports, and participating agencies are required to maintain supporting documentation internally. He stated that the completeness of supporting documentation he collects varies by participating agency within his region. For example, one participating state agency in his region submits supporting documentation to DEA for pre-approved equipment purchases only, but maintains supporting documentation for other expenditures internally as required. In contrast, he explained, other participating agencies in his region provide supporting documentation for all expenditures, including aviation support and overtime.", "A third regional contractor said the only clear requirement DEA has regarding the collection of information on program expenditures is that regional contractors must collect supporting documentation for large equipment expenditures. However, he still collects supporting documentation for all expenditures, including overtime.", "A fourth regional contractor told us that he is only required to collect supporting documentation for equipment, material, supply, and clothing expenditures. Accordingly, he collects supporting documentation for these expenditures from all participating agencies in his region. Some participating agencies in his region provide supporting documentation for all their expenditures, including aviation support and overtime.", "Officials in headquarters told us that although they were not fully aware of these varying practices for collecting supporting documentation, they had confidence that participating agencies were maintaining documentation internally as required. Moreover, DEA headquarters officials told us that they expect regional contractors to collect supporting documentation for aviation support and overtime expenses when participating agencies submit their end-of-year quarterly expenditure report. However, it is our assessment that this expectation differs from DEA\u2019s written requirement because the requirement does not include supporting documentation for overtime expenses.", "Based on the results of our audit work, DEA headquarters officials said that they had taken initial steps to address this issue. In particular, officials said that they plan to convene a working group to discuss a potential update to DEA\u2019s requirements for the collection of supporting documentation after the eradication season in 2018. In addition, officials said they had met with regional contractors to discuss potential solutions to address this issue. However, DEA headquarters officials could not provide us with a plan for this effort. Standards for project management call for developing a plan with specific actions and time frames. By developing and implementing such a plan to ensure that regional contractors are implementing DEA\u2019s requirement for collecting supporting documentation in the intended manner, DEA could have greater assurance that program funds are being expended appropriately."], "subsections": []}]}, {"section_title": "DEA Collects and Uses Information on Program Activities to Help Manage DCE/SP, but Should Strengthen Data Reliability, Clearly Document Goals, and Establish Measures", "paragraphs": [], "subsections": [{"section_title": "DEA Collects and Uses Information on Number of Plants Eradicated and Other Program Activities to Help Manage DCE/SP", "paragraphs": ["DEA collects information from participating agencies and DEA field officials on their marijuana eradication and suppression activities to help manage DCE/SP, such as the number of marijuana plants eradicated, pounds of processed marijuana seized, and number of arrests made. For example, according to DEA\u2019s DCE/SP statistical reports, over 4 million illegal domestic marijuana plants, on average, were eradicated annually from 2015 through fiscal year 2017. Participating agencies are required to report information on their marijuana eradication and suppression activities to DEA. DEA also collects information on marijuana eradication and suppression activities its officials conduct in the field. For example, DEA field officials may unilaterally conduct eradication and suppression activities or provide support to other law enforcement agencies that do not receive program funding (nonparticipating agencies) on marijuana enforcement efforts, and report information on these activities.", "According to DEA documents and headquarters officials, DEA uses this information to help manage the program in a variety of ways. Specifically, DEA uses the information to develop and maintain a national assessment of illegal domestic marijuana cultivation; inform the scope and nature of program activities for future years; support the program\u2019s funding request and determine funding levels for participating agencies; and assess performance on an agency-wide objective related to dismantling drug trafficking organizations. DEA also reports this information on DCE/SP\u2019s public website."], "subsections": []}, {"section_title": "Participating Agencies\u2019 Practices for Reporting Some of Their Marijuana Eradication and Suppression Activities Differ from DEA Guidance", "paragraphs": ["We found that participating agencies have practices for reporting information on some of their marijuana eradication and suppression activities that differ from DEA\u2019s written guidance. Moreover, we found that stakeholders at all levels\u2014participating agencies as well as DEA field and headquarters officials\u2014had varying understandings of what participating agencies are required to report to DEA for DCE/SP. As a result, the information DEA collects is not fully reliable for the purpose of assessing program performance.", "According to DEA guidance, participating agencies are required to report information\u2014such as the number of marijuana plants eradicated\u2014only from eradication and suppression activities funded by DCE/SP. However, among the six states we contacted, officials from participating agencies in four states and a DCE/SP coordinator from a fifth state told us that they also include information on activities from nonparticipating agencies in the information reported to DEA. As a result of this broadening of information being reported, DEA does not have a fully accurate representation of the activities being performed by agencies receiving DCE/SP funding. Officials from these five states told us that they included this information to provide DEA with a more comprehensive assessment of the illegal domestic marijuana cultivation issue in their area. DEA headquarters officials were not aware of this reporting practice. Moreover, officials said that participating agencies should only report information resulting from their DCE/SP-funded operations, which may include results from support they provide to nonparticipating agencies. For example, if a participating agency provides support to a nonparticipating agency in the form of aircraft surveillance to help identify illegal grow sites, or additional officers to assist with an eradication operation, the participating agency should report the results from those activities to DEA. However, these expectations are not defined in DEA guidance.", "DEA guidance also states that participating agencies should make every effort to not report eradication and suppression information resulting from interdiction activities, which are not considered DCE/SP-funded operations. For example, marijuana seized by a participating agency during a routine traffic stop\u2014a type of interdiction activity\u2014should not be reported. However, we found that participating agencies had varying understandings of whether or not to report this information to DEA. As a result, information DEA collects from these officials is not consistent. Specifically, we identified three different practices that participating agencies followed to report eradication and suppression information resulting from routine traffic stops: report marijuana seized during routine traffic stops only if the marijuana can be linked back to a domestic source; report all marijuana seized during routine traffic stops irrespective of source; and do not report any marijuana seized during routine traffic stops.", "Further, we found that DEA field officials responsible for providing guidance to participating agencies had varying understandings of whether participating agencies should report information on marijuana seized during routine traffic stops to DEA. For example, two DCE/SP coordinators told us that information resulting from routine traffic stops should not be reported because DCE/SP is focused on the eradication of illegal marijuana grow sites. However, 3 of the 4 DEA regional contractors we spoke with said that participating agencies should report information resulting from routine traffic stops only if the marijuana seized can be tracked to a domestic source.", "DEA headquarters officials were not aware of these differing reporting practices and varying understandings. Headquarters officials told us that they expect participating agencies to report information on marijuana seized during routine traffic stops only if the marijuana can be linked to a domestic source. However, our assessment is that this expectation is not consistent with DEA\u2019s written guidance. Officials explained that interdiction activities, such as routine traffic stops, are relevant to marijuana suppression, especially in light of recent changes in illegal marijuana cultivation and trafficking trends. For example, according to DEA officials, Kansas\u2014a state without marijuana legalization\u2014has recently experienced a decrease in the number of illegal outdoor marijuana grow sites in conjunction with an increase in the amount of illegal domestic marijuana being trafficked into the state from Colorado\u2014 a state with recreational and medical marijuana legalization.", "Standards for Internal Control in the Federal Government state that management should use quality information\u2014including accurate and consistent information\u2014to achieve the entity\u2019s objectives. Federal standards for internal control also state that management should communicate the necessary quality information internally and externally to achieve the entity\u2019s objectives. Based on the results of our audit work, DEA headquarters officials said that they had taken initial steps and have additional plans to update DEA\u2019s written guidance. For example, officials told us that they plan to convene a working group to help address this issue after the eradication season in 2018. This working group will, according to officials, elicit input from DEA headquarters, regional contractors and DCE/SP coordinators in the field, as well as participating agencies. However, DEA headquarters officials could not provide us with any details or documentation of its initial steps and additional plans to address this issue. Clarifying the guidance and communicating it to participating agencies and DEA field officials\u2014for example, by sharing the updated guidance with them, discussing reporting practices during its national strategic meeting, or including the guidance in DEA information systems\u2014would help ensure the consistent application of the guidance, and as a result, improve the reliability of the information DEA collects. The improved information could help DEA assess program performance and manage the program more effectively."], "subsections": []}, {"section_title": "DEA Has Not Clearly Documented All of Its Program Goals, and Does Not Have Measures to Assess Performance", "paragraphs": ["Although DEA collects and uses information on DCE/SP activities to help manage the program, it has not clearly documented all of its program goals and has not developed performance measures to assess whether the agency is making progress towards achieving its goals.", "We did not find explicitly-labeled program goals in the DCE/SP Handbook, DEA budget justification documents, and DEA\u2019s webpage which we reviewed. However, we found the following four statements which appeared to reflect program goals: 1. halt the spread of marijuana cultivation in the United States; 2. eradicate marijuana that is illegally cultivated by a person or drug trafficking organization; 3. disrupt and dismantle drug trafficking organizations and deprive these organizations of significant revenue streams; and 4. deter the illegal cultivation of marijuana through arrest, prosecution, incarceration of cultivators and seizure of drug-derived assets, and by making cultivation untenable due to increased law enforcement activities.", "DEA headquarters officials confirmed to us that the statements above reflected the goals of the program. However, they also described the following additional goals that are not explicitly defined in agency or program documentation: maximize the number of law enforcement agencies that participate in improve safety during operations through increased access to training and eradication schools; and share information on illegal marijuana cultivation among law enforcement agencies.", "Headquarters officials explained that because they are still relatively new to the program\u2014having arrived in 2016\u2014they had not yet documented these goals. Officials said they plan to document the program goals in the future, but did not provide specific time frames for doing so. Standards for Internal Control in the Federal Government state that management should define objectives clearly to enable identification of risks and define risk tolerances. Moreover, objectives are to be specific and measurable so they can be understood at all levels of the entity and that performance towards achieving those objectives can be assessed.", "Further, DEA has not developed performance measures with baselines, measurable targets, and linkage to program goals\u2014several important attributes we have previously identified that performance measures should include if they are to be effective in monitoring progress and determining how well programs are achieving their goals. Baselines enable decision makers to assess the program\u2019s performance over time. Identifying and reporting deviations from the baseline as a program proceeds provides valuable oversight by identifying areas of program risk and their causes to decision makers. Measurable targets help decision makers conduct assessments of whether program goals were achieved. Lastly, linkages between an organization\u2019s goals and performance measures create a line of sight so that everyone understands how program activities contribute to the organization\u2019s goals.", "DEA headquarters officials agreed that developing baselines to monitor trends in program performance over time would be useful for program management. However, officials said that setting measurable targets would be challenging because of factors outside of DEA\u2019s control that may affect eradication efforts, including extreme weather events and changes in illegal marijuana cultivation and trafficking trends. However, DEA currently has performance measures with measurable targets for some of its drug enforcement-related programs and activities. For example, DEA has a performance measure with a measurable target for its agency-wide objective related to dismantling drug trafficking organizations\u2014maximizing the monetary value of currency, property, and drugs seized. This performance measure reflects the outcomes of multiple activities across DEA, including DCE/SP. Further, while we agree that developing drug enforcement-related performance measures with measurable targets may be difficult, targets can help DEA evaluate past performance and make informed decisions about future operations, including allocating resources or developing strategies for the purpose of maintaining or improving performance.", "GPRAMA directs agencies to develop and document goals, as well as performance measures to assess progress towards their goals. While those requirements are applicable to the department or agency level (e.g., DOJ), we have previously reported that they can serve as leading practices at other organizational levels, including the program, project, or activity level. Agencies can use performance measurement to make various types of management decisions to improve programs and results, such as developing strategies and allocating resources, including identifying problems and taking corrective action when appropriate. Clearly documenting all program goals and developing performance measures with baselines, measurable targets, and linkage to program goals could provide DEA with the information it needs to assess progress and make informed decisions about current and future operations."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Despite states\u2019 legalization of marijuana for medical or recreational purposes, illegal marijuana cultivation continues to occur. As the nation\u2019s primary federal law enforcement agency for investigating and enforcing potential violations of controlled substance laws and regulations, DEA aims to halt the spread of illegal domestic marijuana cultivation. To accomplish this goal, DEA has provided financial assistance through DCE/SP to support participating state and local law enforcement agencies\u2019 efforts to curb illegal domestic marijuana cultivation for almost four decades. These participating agencies have collectively eradicated several million illegal domestic marijuana plants annually in recent years.", "Nonetheless, DEA management can take further actions to improve its oversight of various aspects of the program. Specifically, by developing and implementing a plan with specific actions and time frames to ensure that DEA field staff are consistently implementing the agency\u2019s requirements for collecting information on program expenditures, DEA will be better positioned to ensure that program funds are being expended appropriately. Additionally, by clarifying its guidance on the eradication and suppression activities participating agencies are required to report\u2014 and communicating the guidance to participating agencies and relevant DEA officials\u2014DEA will have more reliable information to assess program performance and manage the program effectively. Finally, by clearly documenting program goals for DCE/SP and developing related performance measures with baselines, measurable targets, and linkage to those goals, DEA will be better able to assess the program\u2019s performance over time and, if necessary, redirect resources to effective eradication and suppression efforts. Moving in this direction could help program investments achieve even greater results."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DEA:", "The DEA Administrator should develop and implement a plan with specific actions and time frames to ensure that regional contractors are implementing DEA\u2019s requirement for collecting documentation supporting participating agencies\u2019 DCE/SP program expenditures in the intended manner. (Recommendation 1)", "The DEA Administrator should clarify DCE/SP guidance on the eradication and suppression activities that participating agencies are required to report, and communicate it to participating agencies and DEA officials responsible for implementing DCE/SP. (Recommendation 2)", "The DEA Administrator should clearly document all DCE/SP program goals. (Recommendation 3)", "The DEA Administrator should develop DCE/SP performance measures with baselines, targets, and linkage to program goals. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOJ, including DEA, and USDA for review and comment. In its comments, reproduced in appendix II, DEA concurred with our recommendations and described planned actions to address them. DEA also provided technical comments, which we incorporated as appropriate. USDA told us that they had no comments on the draft report.", "In response to our first recommendation that DEA develop and implement a plan with specific actions and time frames to ensure that regional contractors are implementing DEA's requirement for collecting documentation supporting participating agencies' DCE/SP program expenditures in the intended manner, DEA concurred and stated that it will take measures to ensure that contract personnel are documenting and reporting expenditures in accordance with policy. Furthermore, DEA reported plans to update its DCE/SP Handbook by the end of the second quarter of fiscal year 2019 to provide uniform policy guidance on this matter. These actions, if implemented as described, should address the intent of our recommendation.", "DEA also concurred with our second recommendation that DEA clarify DCE/SP guidance on the eradication and suppression activities that participating agencies are required to report, and communicate it to participating agencies and DEA officials responsible for implementing DCE/SP. In its response, DEA reported plans to update the DCE/SP Handbook by the end of the second quarter of fiscal year 2019 so that the handbook clearly articulates the requirements and methods for reporting eradication and suppression data. Furthermore, DEA reported plans to conduct site visits and conference calls in the third and fourth quarters of fiscal year 2019 to communicate the requirements. These actions, if implemented as described, should address the intent of our recommendation.", "DEA concurred with our third recommendation that DEA clearly document all DCE/SP program goals. In its response, DEA reported plans to amend and document program goals for fiscal year 2019 and ensure that they are explicitly included in the DCE/SP Handbook and budget submissions. These actions, if implemented as described, should address the intent of our recommendation.", "DEA concurred with our fourth recommendation that DEA develop DCE/SP performance measures with baselines, targets, and linkage to program goals. In its response, DEA stated that it had identified performance measures for DCE/SP and convened an ongoing working group of subject matter experts to select a subset of these performance measures in order to better inform DCE/SP processes and management decision-making. These actions, if implemented as described, should address the intent of our recommendation.", "We are sending copies of this report to the appropriate congressional committees, the Attorney General, the DEA Administrator and the Secretary of Agriculture, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Domestic Cannabis Eradication/Suppression Program Funds Obligated to and Expended by Participating Agencies, 2015 through Fiscal Year 2018", "paragraphs": ["From 2015 through fiscal year 2018, the Drug Enforcement Administration (DEA) obligated about $56 million through its Domestic Cannabis Eradication/Suppression Program (DCE/SP) to state and local law enforcement agencies (participating agencies) in 43 states and the U.S. Virgin Islands to support their marijuana eradication and suppression activities. See table 2.", "In the table below, we also provide the status of marijuana legalization under state or territorial law, as of July 2018. Specifically, these categories include: recreational and medical legalization (R&M); medical legalization only (M); cannabidiol product access laws only (CBD); and no legalization (No)."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Justice", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brett Fallavollita (Assistant Director), David Bieler (Analyst-in-Charge), Matthew T. Lowney, Billy Commons, Pamela Davidson, Steve Gaty, Eric Hauswirth, Benjamin Licht, Kimberly McGatlin, and Adam Vogt made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Drug Enforcement Administration has recently obligated, on average, over $17 million a year to help state and local agencies eradicate millions of illegal marijuana plants. Agencies in states where marijuana is legal also received funds because illegal growing can occur on national forests or trespassed farm lands.", "Much of these funds were used for helicopter support and overtime, reflecting long days in remote areas.", "We found that agencies inconsistently reported data to DEA, making it difficult for DEA to reliably assess program performance.", "We recommended that DEA improve its oversight of program performance and spending."]} {"id": "GAO-18-701T", "url": "https://www.gao.gov/products/GAO-18-701T", "title": "Immigration: Progress and Challenges in the Management of Immigration Courts and Alternatives to Detention Program", "published_date": "2018-09-18T00:00:00", "released_date": "2018-09-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Justice's EOIR is responsible for conducting immigration court proceedings, appellate reviews, and administrative hearings to fairly, expeditiously, and uniformly administer and interpret U.S. immigration laws. The Department of Homeland Security's ICE manages the U.S. immigration detention system, which houses foreign nationals, including families, whose immigration cases are pending or who have been ordered removed from the country. ICE implemented the ATD program in 2004 to be a cost-effective alternative to detention that uses case management and electronic monitoring.", "This statement addresses (1) EOIR's caseload, including the backlog, and how EOIR manages immigration court operations, including hiring, workforce planning, and technology use; and (2) participation in and the cost of the ATD program and the extent to which ICE has measured the performance of the ATD program. This statement is based on two reports and a testimony GAO issued from November 2014 through April 2018, as well as actions agencies have taken, as of September 2018, to address resulting recommendations. For the previous reports and testimony, GAO analyzed EOIR and ICE data, reviewed documentation, and interviewed officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In June 2017, GAO reported that the Executive Office for Immigration Review's (EOIR) immigration court case backlog\u2014cases pending from previous years still open at the start of a new fiscal year\u2014more than doubled from fiscal years 2006 through 2015 (see figure), primarily due to declining cases completed per year.", "GAO also reported in June 2017 that EOIR could take several actions to address management challenges related to hiring, workforce planning, and technology utilization, among other things. For example, EOIR did not have efficient practices for hiring immigration judges. EOIR data showed that on average from February 2014 through August 2016, EOIR took more than 21 months to hire a judge. GAO also found that EOIR was not aware of the factors most affecting the length of its hiring process. GAO recommended that EOIR assess its hiring process to identify efficiency opportunities. As of January 2018, EOIR had made progress in increasing its number of judges but remained below its fiscal year 2017 authorized level. To better ensure that it accurately and completely identifies opportunities for efficiency, EOIR needs to assess its hiring process.", "In November 2014, GAO reported that the number of aliens who participated in U.S. Immigration and Customs Enforcement's (ICE) Alternatives to Detention (ATD) program increased from 32,065 in fiscal year 2011 to 40,864 in fiscal year 2013. GAO also found that the average daily cost of the program\u2014$10.55\u2014was significantly less than the average daily cost of detention\u2014$158\u2014in fiscal year 2013. Additionally, ICE established two performance measures to assess the ATD program's effectiveness, but limitations in data collection hindered ICE's ability to assess program performance. GAO recommended that ICE collect and report on additional court appearance data to improve ATD program performance assessment, and ICE implemented the recommendation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO previously made recommendations to EOIR to improve its hiring process, among other things, and to ICE to improve ATD performance assessment. EOIR and ICE generally agreed and implemented or reported actions planned to address the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our work on the immigration court system and the Alternatives to Detention (ATD) program. Each year, the Department of Homeland Security (DHS) initiates hundreds of thousands of cases with the U.S. immigration court system to decide whether respondents\u2014foreign nationals charged on statutory grounds of inadmissibility or deportability\u2014are removable as charged; and, if so, should be ordered removed from the United States or granted any requested relief or protection from removal and permitted to lawfully remain in the country. Within DHS, U.S. Immigration and Customs Enforcement (ICE) operated on a budget of nearly $3 billion in fiscal year 2017 to manage the U.S. immigration detention system, which houses foreign nationals, including families, whose immigration cases are pending or who have been ordered removed from the country.", "With regards to the immigration court system, the Department of Justice\u2019s (DOJ) Executive Office for Immigration Review (EOIR) is responsible for conducting immigration court proceedings, appellate reviews, and administrative hearings to fairly, expeditiously, and uniformly administer and interpret U.S. immigration laws and regulations. Within EOIR, immigration judges at 58 immigration courts located nationwide preside over removal proceedings for respondents detained by ICE or released pending the outcome of their proceedings, to determine their removability and eligibility for any relief being sought. In addition to removal proceedings, immigration judges also conduct certain other types of hearings, such as to review negative credible fear determinations and ICE custody and bond decisions, as well as make decisions on motions, such as motions to reopen cases or reconsider prior decisions. Members of EOIR\u2019s Board of Immigration Appeals hear and issue decisions regarding appeals of immigration judges\u2019 decisions and certain DHS decisions.", "With regards to the ATD program, ICE is responsible for the oversight of foreign nationals who, if not detained in a detention facility, were released into the community. In November 2014, we reported that ICE uses one or more release options when it determines that a foreign national is not to be detained in ICE\u2019s custody\u2014including bond, order of recognizance, order of supervision, parole, or on condition of participation in the ATD program. ICE implemented the ATD program in 2004 to be a cost- effective alternative to detention that uses case management and electronic monitoring to ensure adult foreign nationals released into the community comply with their release conditions\u2014including requirements to appear at immigration court hearings\u2014and comply with final orders of removal from the United States.", "The ATD program seeks to provide an enhanced monitoring option for those foreign nationals for whom ICE, or an immigration judge, has determined that detention is neither mandated nor appropriate, yet may need a higher level of supervision than that provided by the less restrictive release conditions, such as being released on bond. Foreign nationals enrolled in the ATD program may be subject to various types of supervision, including office visits, unscheduled home visits, and electronic monitoring\u2014Global Positioning System (GPS) equipment or a telephonic reporting system. ICE generally makes all decisions about the appropriate level of supervision and type of technology with which a foreign national should be monitored. However, a private contractor carries out the case management for foreign nationals enrolled in one of the two components of the ATD program that were available at the time of our November 2014 report.", "My statement today addresses: (1) EOIR\u2019s caseload, including the backlog, and how EOIR manages immigration court operations, including workforce planning, hiring, and technology utilization; and (2) participation in and the cost of the ATD program and the extent to which ICE has measured the performance of the ATD program. This statement is based on two reports and one testimony that we issued between November 2014 and April 2018, as well as actions agencies have taken, as of September 2018, to address our recommendations from the reports. To perform the work for our previous reports and testimony on the immigration courts, we analyzed data on immigration case receipts and completions from EOIR\u2019s case management system for fiscal years 2006 through 2015; examined documentation, such as contracts for workforce planning services; and interviewed EOIR and DHS officials from headquarters and six immigration courts. To perform the work for our previous report on ATD, we reviewed agency documents, analyzed ATD program data from fiscal years 2011 through 2013, and interviewed ICE officials responsible for the ATD program. More detailed information about our scope and methodology can be found in our reports and testimony. To determine actions the agencies have taken to address recommendations we made in these reports as of September 2018, we collected documentation and testimony from ICE and EOIR officials.", "The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "The Immigration Court Backlog Grew and EOIR Has Faced Long-Standing Management Challenges", "paragraphs": [], "subsections": [{"section_title": "The Immigration Courts\u2019 Caseload and Case Backlog Grew As Immigration Courts Completed Fewer Cases", "paragraphs": ["We reported in June 2017 that our analysis of EOIR\u2019s annual immigration court system caseload\u2014the number of open cases before the court during a single fiscal year\u2014showed that it grew 44 percent from fiscal years 2006 through 2015 due to an increase in the case backlog, while case receipts remained steady and the immigration courts completed fewer cases. For the purpose of our analysis, the immigration courts\u2019 annual caseload was comprised of three parts: (1) the number of new cases filed by DHS; (2) the number of other case receipts resulting from remands from the Board of Immigration Appeals and motions to reopen cases, reconsider prior decisions, or recalendar proceedings; and (3) the case backlog\u2014the number of cases pending from previous years that remain open at the start of a new fiscal year. During this 10-year period, the immigration courts\u2019 overall annual caseload grew from approximately 517,000 cases in fiscal year 2006 to about 747,000 cases in fiscal year 2015, as shown in figure 1.", "We further reported in June 2017 that, according to our analysis, total case receipts remained about the same in fiscal years 2006 and 2015 but fluctuated over the 10-year period, with new case receipts generally decreasing and other case receipts generally increasing. Over the same period, EOIR\u2019s case backlog more than doubled. Specifically, immigration courts had a backlog of about 212,000 cases pending at the start of fiscal year 2006 and the median pending time for those cases was 198 days. By the beginning of fiscal year 2009, the case backlog declined slightly to 208,000 cases. From fiscal years 2010 through 2015, the case backlog grew an average of 38,000 cases per year. At the start of fiscal year 2015, immigration courts had a backlog of about 437,000 cases pending and the median pending time for those cases was 404 days.", "The increase in the immigration court case backlog occurred as immigration courts completed fewer cases annually. In particular, the number of immigration court cases completed annually declined by 31 percent from fiscal year 2006 to fiscal year 2015\u2014from about 287,000 cases completed in fiscal year 2006 to about 199,000 completed in 2015. According to our analysis, while the number of cases completed annually declined, the number of immigration judges increased between fiscal year 2006 and fiscal year 2015. This resulted in a lower number of case completions per immigration judge at the end of the 10-year period.", "Additionally, we reported in June 2017 that initial immigration court case completion time increased more than fivefold between fiscal year 2006 and fiscal year 2015. Overall, the median initial completion time for cases increased from 43 days in fiscal year 2006 to 286 days in fiscal year 2015. However, case completion times varied by case type and detention status. For example, the median number of days to complete a removal case, which comprised 97 percent of EOIR\u2019s caseload for this time period, increased by 700 percent from 42 days in fiscal year 2006 to 336 days in fiscal year 2015. However, the median length of time it took to complete a credible fear case, which comprised less than 1 percent of EOIR\u2019s caseload during this period, took 5 days to complete in fiscal year 2006 as well as in fiscal year 2015. Initial case completion times for both detained and non-detained respondents more than quadrupled from fiscal year 2006 through fiscal year 2015. The median case completion time for non-detained cases, which comprised 79 percent of EOIR\u2019s caseload from fiscal year 2006 to fiscal year 2015, grew more than fivefold from 96 days to 535 days during this period. Similarly, the median number of days to complete a detained case, which judges are to prioritize on their dockets, quadrupled over the 10-year period, increasing from 7 days in fiscal year 2006 to 28 days in fiscal year 2015.", "EOIR officials, immigration court staff, DHS attorneys, and other experts and stakeholders we interviewed provided various potential reasons why the case backlog may have increased and case completion times slowed in recent years. These reasons included: a lack of court personnel, such as immigration judges, legal clerks, and other support staff; insufficient funding to appropriately staff the immigration courts; a surge in new unaccompanied children cases, beginning in 2014, which may take longer to adjudicate than other types of cases; frequent use of continuances\u2014temporary case adjournments until a different day or time\u2014by immigration judges; and issues with the availability and quality of foreign language translation."], "subsections": []}, {"section_title": "EOIR Has Initiated Actions to Improve Its Management of the Immigration Courts, but Has Faced Long-Standing Challenges", "paragraphs": ["We also reported in June 2017 that EOIR has faced long-standing management and operational challenges. In particular, we identified challenges related to EOIR\u2019s workforce planning, hiring, and technology utilization, among other things. We recommended actions to improve EOIR\u2019s management in these areas. EOIR generally concurred and has initiated actions to address our recommendations. However, EOIR needs to take additional steps to fully implement our recommendations to help strengthen the agency\u2019s management and reduce the case backlog.", "Workforce planning. In June 2017, we reported that EOIR estimated staffing needs using an informal approach that did not account for long- term staffing needs, reflect EOIR\u2019s performance goals, or account for differences in the complexity of court cases. For example, in developing its staffing estimate, EOIR did not calculate staffing needs beyond the next fiscal year or take into account resources needed to achieve the agency\u2019s case completion goals, which establish target time frames in which immigration judges are to complete a specific percentage of certain types of cases. Furthermore, we found that, according to EOIR data, approximately 39 percent of all immigration judges were eligible to retire as of June 2017, but EOIR had not systematically accounted for these impending retirements in its staffing estimate.", "At the time of our review, EOIR had begun to take steps to account for long-term staffing needs, such as by initiating a workforce planning report and a study on the time it takes court staff to complete key activities. However, we found that these efforts did not align with key principles of strategic workforce planning that would help EOIR better address current and future staffing needs. EOIR officials also stated that the agency had begun to develop a strategic plan for fiscal years 2018 through 2023 that could address its human capital needs. We recommended that EOIR develop and implement a strategic workforce plan that addresses key principles of strategic workforce planning.", "EOIR agreed with our recommendation. In February 2018, EOIR officials told us that they had established a committee and working group to examine the agency\u2019s workforce needs and would include workforce planning as a key component in EOIR\u2019s forthcoming strategic plan. Specifically, EOIR officials stated that the agency had established the Immigration Court Staffing Committee in April 2017 to examine how to best leverage its existing judicial and court staff workload model to address its short- and long-term staffing needs, assess the critical skills and competencies needed to achieve future programmatic results, and develop strategies to address human capital gaps, among other things. In February 2018, EOIR officials stated that the agency replaced this committee, which had completed its work, with a smaller working group of human resource employees charged with addressing the agency\u2019s strategic workforce planning. These are positive steps, but to fully address our recommendation, EOIR needs to continue to develop, and then implement a strategic workforce plan that: (1) addresses the agency\u2019s short- and long-term staffing needs; (2) identifies the critical skills and competencies needed to achieve future programmatic results; and (3) includes strategies to address human capital gaps. Once this strategic workforce plan is completed, EOIR needs to monitor and evaluate the agency\u2019s progress toward its human capital goals.", "Hiring. Additionally, in our June 2017 report, we found that EOIR did not have efficient practices for hiring new immigration judges, which has contributed to immigration judges being staffed below authorized levels and to staffing shortfalls. For example, in fiscal year 2016, EOIR received an appropriation supporting 374 immigration judge positions but had 289 judges on board at the end of the fiscal year. EOIR officials attributed these gaps to delays in the hiring process. Our analysis of EOIR hiring data supported their conclusion. Specifically, we found that from February 2014 through August 2016, EOIR took an average of 647 days to hire an immigration judge\u2014more than 21 months. As a result, we recommended that EOIR (1) assess the immigration judge hiring process to identify opportunities for efficiency; (2) use the assessment results to develop a hiring strategy that targets short- and long-term human capital needs; and (3) implement any corrective actions related to the hiring process resulting from this assessment.", "In response to our report, EOIR stated that it concurred with our recommendation and was implementing a new hiring plan as announced by the Attorney General in April 2017 intended to streamline hiring. Among other things, EOIR stated that the new hiring plan sets clear deadlines for assessing applicants moving through different stages of the process and for making decisions on advancing applicants to the next stage, and allows for temporary appointments for selected judges pending full background investigations. In February 2018, EOIR indicated to us that it had begun to use the process outlined in its hiring plan to fill judge vacancies. The Attorney General also announced in April 2017 that the agency would commit to hire an additional 50 judges in 2018 and 75 additional judges in 2019. In January 2018, EOIR officials told us that the agency had a total of 330 immigration judges, an increase of 41 judges since September 2016. However, EOIR remained below its fiscal year 2017 authorized level of 384 immigration judges based on funding provided in fiscal years 2016 and 2017. Additionally, the Consolidated Appropriations Act, 2018 provided funding for EOIR to hire at least 100 additional immigration judge teams, including judges and supporting staff, with a goal of fielding 484 immigration judge teams nationwide by 2019.", "In September 2018, EOIR reported it had a total of 351 immigration judges and was continuing to hire additional judges.", "Hiring additional judges is a positive step; however, EOIR has not assessed its hiring process to identify opportunities for efficiency, and we found in our June 2017 report that EOIR was not aware of the factors most affecting its hiring process. For example, we reported that EOIR officials attributed the length of the hiring process to delays in the Federal Bureau of Investigation background check process, which is largely outside of EOIR\u2019s control. However, our analysis found that while background checks accounted for an average of 41 days from fiscal year 2015 through August 2016, other processes within EOIR\u2019s control accounted for a greater share of the total hiring time. For example, for the same period our analysis found that an average of 135 days elapsed between the date EOIR posted a vacancy announcement and the date EOIR officials began working to fill the vacancy. By assessing its hiring process, EOIR could better ensure that it is accurately and completely identifying opportunities for efficiency. To fully address our recommendation, EOIR will need to continue to improve its hiring process by (1) assessing the prior hiring process to identify opportunities for efficiency; (2) developing a hiring strategy targeting short- and long-term human capital needs; and (3) implementing corrective actions in response to the results of its assessment of the hiring process.", "Technology utilization. In June 2017 we also reported on EOIR\u2019s technology utilization, including the agency\u2019s oversight of the ongoing development of a comprehensive electronic-filing (e-filing) capability\u2014a means of transmitting documents and other information to immigration courts through an electronic medium, rather than on paper. EOIR identified the implementation of an e-filing system as a goal in 2001, but had not, as of September 2018, fully implemented this system. In 2001, EOIR issued an executive staff briefing for an e-filing system that stated that only through a fully electronic case management and filing system would the agency be able to accomplish its goals. This briefing also cited several benefits of an e-filing system, including, among other things, reducing the data entry, filing, and other administrative tasks associated with processing paper case files; and providing the ability to file court documents from private home and office computers.", "As we reported in June 2017, EOIR initiated a comprehensive e-filing effort in 2016\u2014the EOIR Court and Appeals System (ECAS)\u2014for which EOIR had documented policies and procedures governing how its primary ECAS oversight body\u2014the ECAS Executive Committee\u2014would oversee ECAS through the development of a proposed ECAS solution. However, we found that EOIR had not yet designated an entity to oversee ECAS after selection of a proposed solution during critical stages of its development and implementation. We recommended that in order to help ensure EOIR meets its cost and schedule expectations for ECAS, the agency identify and establish the appropriate entity to oversee ECAS through full implementation. EOIR concurred and stated that it had selected and convened the EOIR Investment Review Board to serve as the ECAS oversight body with the EOIR Office of Information Technology directly responsible for the management of the ECAS program.", "EOIR officials told us in February 2018 that the board convened in October 2017 and January 2018 to discuss, among other things, the ECAS program. However, as we reported in June 2017, EOIR officials previously told us that the EOIR Investment Review Board was never intended to oversee ECAS implementation due to the detailed nature of this system\u2019s implementation. As of September 2018, EOIR has not demonstrated its selection of, or how the EOIR Investment Review Board is to serve as the oversight body for ECAS. Additionally, we recommended in June 2017 EOIR develop and implement a plan that is consistent with best practices for overseeing ECAS to better position the agency to identify and address any risks and implement ECAS in accordance with its cost, schedule, and operational expectations. As of September 2018, EOIR has not indicated that it has developed such a plan."], "subsections": []}, {"section_title": "ATD Participation Increased and Costs Less than Detention; ICE Established Program Performance Measures Participation in the ATD Program Increased and Average Daily Cost of the Program Was Lower than the Average Daily Cost of Detention", "paragraphs": ["In November 2014 we reported that the number of foreign nationals who participated in the ATD program increased from 32,065 in fiscal year 2011 to 40,864 in fiscal year 2013 in part because of increases in either enrollments or the average length of time foreign nationals spent in one of the program\u2019s components. For example, during this time period, the number of foreign nationals enrolled in the component of the program that was run by a contractor who maintained in-person contact with the foreign national and monitored the foreign national with either GPS equipment or a telephonic reporting system, increased by 60 percent. In addition, the average length of time foreign nationals spent in the other component of the program, which offered a lower level of supervision at a lower contract cost but still involved ICE monitoring of foreign nationals using either telephonic reporting or GPS equipment provided by a contractor, increased by 80 percent\u2014from about 10 months to about 18 months. ICE officials stated that how long a foreign national is in the ATD program before receiving a final decision on his or her immigration proceedings depends on how quickly EOIR can process immigration cases.", "We also found in our November 2014 report that the average daily cost of the ATD program was $10.55 in fiscal year 2013, while the average daily cost of detention was $158. While our analyses showed that the average daily cost of the ATD program was significantly less than the average daily cost of detention, the length of immigration proceedings affected the cost-effectiveness of the ATD program to varying extents under different scenarios. As previously discussed, immigration judges are to prioritize detained cases, and our June 2017 report found that EOIR data showed that median case completion times for non-detained cases were greater than for detained cases. Accordingly, the length of immigration proceedings for foreign nationals in detention may be shorter than those in the ATD program.", "Specifically, in our November 2014 report, we conducted two analyses to estimate when the cost of keeping foreign nationals in the ATD program would have surpassed the cost of detaining a foreign national in a facility. Under our first analysis, we considered the average costs of ATD and detention and the average length of time foreign nationals in detention spent awaiting an immigration judge\u2019s final decision. We found that the ATD program would have surpassed the cost of detention after a foreign national was in the program for 1,229 days in fiscal year 2013\u2014 significantly longer than the average length of time foreign nationals spent in the ATD program in that year (383 days). In our second analysis, we considered the average costs of ATD and detention and the average length of time foreign nationals spent in detention\u2014regardless of whether they had received a final decision from an immigration judge\u2014since some foreign nationals may not be in immigration proceedings or may not have reached their final hearing before ICE released them from detention. ICE reported that the average length of time that a foreign national was in detention in fiscal year 2013 was 29 days. Using this average, we calculated the average length of time foreign nationals could have stayed in the ATD program before they surpassed the cost of detention would have been 435 days in fiscal year 2013."], "subsections": []}, {"section_title": "ICE Established ATD Performance Measures, and Took Actions to Ensure the Measures Monitored All Foreign Nationals Enrolled in the Program", "paragraphs": ["We found in our November 2014 report that ICE established two program performance measures to assess the ATD program\u2019s effectiveness in (1) ensuring foreign national compliance with court appearance requirements and (2) ensuring removals from the United States, but limitations in data collection hindered ICE\u2019s ability to assess overall program performance.", "Compliance with court appearances. For the component of the ATD program managed by the contractor, data collected by the ATD contractor from fiscal years 2011 through 2013 showed that over 99 percent of foreign nationals with a scheduled court hearing appeared at their scheduled court hearings while participating in the ATD program. The court appearance rate dropped slightly to over 95 percent of foreign nationals with a scheduled final hearing appearing at their hearing. However, we reported that ICE did not collect similar court compliance data for foreign nationals in the component of the ATD program that ICE was responsible for managing\u2014which accounted for 39 percent of the overall ATD program in fiscal year 2013. As a result, we recommended that ICE collect and report data on foreign national compliance with court appearance requirements for participants in this component of the ATD program.", "As of June 2017, ICE reported that the ATD contractor was collecting data on foreign nationals\u2019 court appearance compliance for foreign nationals in both components of the ATD program, and at that time, was collecting data for approximately 88 percent of foreign nationals that were awaiting a hearing. ICE officials stated that they did not expect that 100 percent of foreign nationals in the ATD program would be tracked for court appearance compliance by the contractor because there may be instances where ICE has chosen to monitor a foreign national directly, rather than have the contractor track a foreign national\u2019s compliance with court appearance requirements. Officials stated that ICE officers may decide to monitor a foreign national directly because they determined that it is in the government\u2019s best interest, or it was fiscally responsible when a foreign national\u2019s court date was far in the future and court tracking conducted by the contractor would be costly. In July 2017, ICE reported that they assessed whether ICE officers that directly monitor foreign nationals in the ATD program had reliable data to determine court appearance compliance and found no practical or appropriate way to obtain such data without devoting a significant amount of ICE\u2019s limited resources. Although ICE is not collecting court appearance compliance data for all foreign nationals in both components of the ATD program, as of July 2017, it has met the intent of our recommendation by collecting and reporting on all available data on the majority of foreign nationals in both components of the ATD program.", "Removals from the United States. For this program performance measure, a removal is attributed to the ATD program if the foreign national (1) was enrolled in ATD for at least 1 day, and (2) was removed or had departed voluntarily from the United States in the same fiscal year, regardless of whether the foreign national was enrolled in ATD at the time the foreign national left the country. The ATD program met its goal for removals in fiscal years 2012 and 2013. For example, in fiscal year 2013, ICE reported 2,901 removals of foreign nationals in the ATD program\u2014surpassing its goal of 2,899 removals.", "ATD program performance measures provide limited information about the foreign nationals who are terminated from the ATD program prior to receiving the final disposition of their immigration proceedings, or who were removed or voluntarily departed from the country. Specifically, ICE counts a foreign national who was terminated from the program and was subsequently removed from the United States toward the ATD removal performance measure as long as the foreign national was in the program during the same fiscal year he or she was removed from the country. However, foreign nationals who were terminated from the program do not count toward court appearance rates if they subsequently do not appear for court. ICE officials reported that it would be challenging to determine a foreign national\u2019s compliance with the terms of his or her release after termination from the ATD program given insufficient resources and the size of the nondetained foreign national population. In accordance with ICE guidance, staff resources are instead directed toward apprehending and removing foreign nationals from the United States who are considered enforcement and removal priorities.", "Chairman Johnson, Ranking Member McCaskill, and Members of the Committee, this completes my prepared statement. I would be happy to respond to any questions you or the members of the committee may have."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Rebecca Gambler at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Taylor Matheson (Assistant Director), Tracey Cross, Ashley Davis, Paul Hobart, Sasan J. \u201cJon\u201d Najmi, and Michele Fejfar. Key contributors for the previous work on which this testimony is based are listed in each product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["This testimony addresses our earlier work on 2 immigration topics:", "The U.S. immigration court system, which considers hundreds of thousands of removal cases a year. The case backlog doubled from 2006 through 2015, even as new cases declined. We recommended improving the system's management, including its hiring process.", "The Alternatives to Detention program, in which people with pending cases are released and may be monitored electronically. Immigration and Customs Enforcement reported high levels of program compliance from 2011 through 2013 but did not collect data on the entire program. We recommended improving program performance measures."]} {"id": "GAO-18-484T", "url": "https://www.gao.gov/products/GAO-18-484T", "title": "Federal Real Property: DHS and GSA Have Not Implemented Recommendations to Strengthen the Management of DHS Headquarters Consolidation", "published_date": "2018-04-12T00:00:00", "released_date": "2018-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DHS and GSA have been managing efforts to consolidate DHS executive leadership, operational management, and other personnel at one secure headquarters location rather than at multiple locations throughout the Washington, D.C., metropolitan area. The consolidation is to include the development of multi-billion dollar headquarters facilities at the St. Elizabeths campus in Washington, D.C.", "In September 2014, GAO issued a report entitled: Federal Real Property: DHS and GSA Need to Strengthen the Management of DHS Headquarters Consolidation (GAO-14-648). This statement summarizes the key findings and recommendations from this report, and provides a status update as of April 2018 on DHS and GSA implementation of GAO's recommendations.", "To complete the September 2014 report, GAO compared DHS and GSA capital planning efforts against applicable leading practices, interviewed officials, and reviewed cost and schedule estimates for the St. Elizabeths project. To assess subsequent DHS and GSA actions to implement GAO's September 2014 recommendations, GAO conducted periodic follow-up with agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In its September 2014 report, GAO found that Department of Homeland Security (DHS) and General Services Administration (GSA) planning for the DHS headquarters consolidation at the St. Elizabeths campus in Washington, D.C. did not fully conform with leading capital decision-making practices intended to help agencies effectively plan and procure assets. Specifically, GAO found that DHS and GSA had not conducted a comprehensive assessment of current needs, identified capability gaps, or evaluated and prioritized alternatives that would help officials adapt consolidation plans to changing conditions and address funding issues as reflected in leading practices. GAO recommended that DHS and GSA conduct various assessments and analyses and use the results to inform updated DHS headquarters consolidation plans. The agencies concurred with this recommendation.", "In its September 2014 report, GAO also found that DHS and GSA cost and schedule estimates for the headquarters consolidation project at St. Elizabeths did not conform or, only minimally or partially conformed, with leading estimating practices, and were therefore unreliable. Thus, GAO recommended that DHS and GSA develop revised cost and schedule estimates for the remaining portions of the consolidation project in accordance with leading practices, and the agencies concurred with this recommendation.", "The DHS Headquarters Consolidation Accountability Act of 2015, enacted in April 2016 would, according to the accompanying Senate committee report, ensure that DHS and GSA fully address the recommendations from GAO's September 2014 report and provide Congress the information needed to make sound decisions regarding the project. Among other things, the Act required DHS, in coordination with GSA, to submit information to Congress, including various assessments and updated cost and schedule estimates related to the DHS headquarters consolidation. As of April 2018, however, DHS and GSA had not submitted the information to Congress that would either meet the requirements of the Act or address GAO's recommendations. DHS and GSA officials cited funding instability as one challenge to updating consolidation plans and cost and schedule estimates."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Among other things, GAO recommended in its September 2014 report that DHS and GSA develop revised DHS headquarters plans that reflect leading practices for capital decision making and also reliable cost and schedule estimates. DHS and GSA concurred with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Department of Homeland Security (DHS) headquarters consolidation project at St. Elizabeths campus in Washington, D.C., including a status update on the recommendations that we made in a 2014 report on this issue. The multi-billion dollar construction project, managed by DHS and the General Services Administration (GSA), is the centerpiece of DHS\u2019s larger effort to manage and consolidate its workforce of over 20,000 in the National Capital Region. As conceived in 2006, the federally owned St. Elizabeths site was designed to consolidate DHS\u2019s executive leadership, operational management, and other personnel at one secure location rather than at multiple locations throughout the Washington, D.C., metropolitan area. The St. Elizabeths project is intended to allow for more efficient DHS operations and provide long-term cost savings by reducing reliance on leased space. From fiscal year 2006 through fiscal year 2014, the St. Elizabeths consolidation project had received approximately $495 million through DHS appropriations and approximately $1.1 billion through GSA appropriations, for a total of over $1.5 billion. However, since construction began in fiscal year 2009, the project has generally received less funding than requested, which DHS and GSA officials have stated has led to cost escalations and schedule delays. The President\u2019s fiscal year 2019 budget requests a total of about $400 million for continued consolidation and new development funds for the project.", "In September 2014, we made three recommendations to improve the management of DHS headquarters consolidation, and DHS and GSA concurred with the recommendations.", "In 2014, we recommended that: 1. DHS and GSA conduct the following assessments and use the results to inform updated DHS headquarters consolidation plans: a comprehensive needs assessment and gap analysis of current and needed capabilities that take into consideration changing conditions; and an alternatives analysis that identifies the costs and benefits of leasing and construction alternatives for the remainder of the project and prioritizes options to account for funding instability. 2. DHS and GSA develop revised cost and schedule estimates for the remaining portions of the consolidation project that conform to GSA guidance and leading practices for cost and schedule estimation, including an independent evaluation of the estimates. 3. DHS designate the headquarters consolidation program a major acquisition, consistent with DHS acquisition policy, and apply DHS acquisition policy requirements.", "In our September 2014 report, we further stated that Congress should consider making future funding for the St. Elizabeths project contingent upon DHS and GSA developing a revised headquarters consolidation plan that conforms with leading practices and that (1) recognizes changes in workplace standards, (2) identifies which components are to be colocated at St. Elizabeths and in leased and owned space throughout the National Capital Region, and (3) develops and provides reliable cost and schedule estimates.", "Subsequently, in 2015, we designated our three recommendations to DHS and GSA as \u201cPriority Recommendations\u201d due in part to the important fiscal and operational implications of DHS headquarters consolidation. In addition, we have designated the broader areas of Managing Federal Real Property and Strengthening DHS Management Functions as High Risk areas due to mismanagement vulnerabilities or a need for transformation.", "The Department of Homeland Security (DHS) Headquarters Consolidation Accountability Act of 2015, enacted in April 2016 would, according to the accompanying Senate committee report, ensure that DHS and GSA fully address the recommendations from our September 2014 report and provide Congress the additional information needed to make sound decisions regarding the headquarters consolidation project. Among other things, the Act requires DHS, in coordination with GSA, to submit information to Congress about DHS headquarters consolidation efforts not later than 120 days after enactment (enacted April 29, 2016). Required information includes a comprehensive assessment of the difference between the current real property and facilities needed by DHS in the National Capital Region, an analysis that identifies the costs and benefits of leasing and construction alternatives for the remainder of the consolidation project, and updated cost and schedule estimates. Furthermore, under the Act, the Comptroller General is to report on its review and evaluation of the quality and reliability of the cost and schedule estimates not later than 90 days after their submittal to Congress. As of April 2018, DHS and GSA had not submitted the required headquarters consolidation information to Congress or implemented our related recommendations.", "Although DHS and GSA have yet to provide the information to Congress, construction is proceeding at the St. Elizabeths campus. Figures 1 and 2 show progress made to the Center Building from September 2016 to March 2018. This structure will house the Secretary of Homeland Security and other key leadership.", "My testimony summarizes the key findings of our September 2014 report on DHS and GSA efforts to manage the DHS headquarters consolidation project, and provides a status update on DHS and GSA implementation of our recommendations. To complete our September 2014 report, we compared DHS and GSA capital planning efforts against applicable leading practices in capital decision making and interviewed DHS and GSA officials responsible for the planning and management of the DHS headquarters consolidation. We also compared DHS and GSA documents on the estimated cost and schedule for the St. Elizabeths project with cost- and schedule-estimating leading practices we have identified in our prior work, and relevant GSA guidance. To assess subsequent DHS and GSA actions to implement our September 2014 recommendations, we conducted periodic follow-up with DHS and GSA officials and obtained relevant documentation. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Consolidation Plans Did Not Fully Conform with Leading Capital Decision- Making Practices and GAO Recommendation Has Not Been Implemented", "paragraphs": ["In our September 2014 report, we found that DHS and GSA planning for the DHS headquarters consolidation did not fully conform with leading capital decision-making practices intended to help agencies effectively plan and procure assets. Specifically, we found that DHS and GSA had not conducted a comprehensive assessment of current needs, identified capability gaps, or evaluated and prioritized alternatives that would help officials adapt consolidation plans to changing conditions and address funding issues as reflected in leading practices. At that time, DHS and GSA officials reported that they had taken some initial actions that may facilitate consolidation planning in a manner consistent with leading practices. For example, DHS had an overall goal of reducing the square footage allotted per employee across the department in accordance with workplace standards, such as standards for telework and hoteling. As we reported in 2014, DHS and GSA officials acknowledged that new workplace standards could create a number of new development options to consider, as the new standards would allow for more staff to occupy the space at St. Elizabeths than previously anticipated. DHS and GSA officials also reported at that time that analyzing different leasing options could affect consolidation efforts. However, we found that the consolidation plans, which were finalized between 2006 and 2009, had not been updated to reflect these actions.", "In addition, we found in September 2014 that funding for the St. Elizabeths project had not aligned with what DHS and GSA initially planned. We reported that according to DHS and GSA officials, the funding gap between what DHS and GSA requested and what was received from fiscal years 2009 through 2014, was over $1.6 billion. According to these officials, this gap created cost escalations of over $1 billion and schedule delays of over 10 years relative to original estimates. We found in 2014 that these delays posed challenges for DHS in terms of its leasing portfolio. Specifically, DHS\u2019s long-term leasing portfolio was developed based on the original expected completion date for St. Elizabeths development in 2016. In 2014, DHS and GSA reported that they had begun to work together to consider changes to the DHS headquarters consolidation plans, but they had not announced when new plans would be issued. Furthermore, because final documentation of agency deliberations or analyses had not yet been developed, it was unclear if any new plans would be informed by an updated comprehensive needs assessment and capability gap analysis as called for by leading capital decision-making practices. Therefore, in our September 2014 report we recommended that DHS and GSA conduct various assessments and analyses and use the results to inform updated DHS headquarters consolidation plans. DHS and GSA concurred with this recommendation and stated that their forthcoming draft St. Elizabeths Enhanced Consolidation Plan would contain these analyses.", "As of April 2018, however, the agencies had not submitted updated plan information to Congress that would either meet the requirements of the DHS Headquarters Consolidation Accountability Act or address our recommendation. According to DHS officials, the agencies prepared a comprehensive response to the Act, including updated analyses, but the information is no longer current and now needs to be revised and revalidated before it is submitted to Congress. Officials told us that the updated consolidation plans and analyses assumed that the project would receive more funding in fiscal years 2017 and 2018 than was appropriated. Further, officials told us that the current Administration is expected to provide input on the planned DHS component occupancies at the St. Elizabeths campus. We continue to believe that DHS and GSA attention to following leading capital decision-making practices\u2014including having a consolidation plan that justifies future actions\u2014is critical given the project\u2019s multi-billion dollar cost and impact on departmental operations."], "subsections": []}, {"section_title": "Cost and Schedule Estimates for the St. Elizabeths Project Did Not Reflect Leading Practices and GAO Recommendation Has Not Been Implemented", "paragraphs": ["In our September 2014 report, we found that DHS and GSA cost and schedule estimates for the headquarters consolidation project at St. Elizabeths did not conform or only minimally or partially conformed with leading estimating practices, and were therefore unreliable. Furthermore, we found that in some areas, the cost and schedule estimates did not fully conform with GSA guidance relevant to developing estimates.", "In 2014, we found that DHS and GSA cost estimates for the headquarters consolidation project at St. Elizabeths did not reflect leading practices, which rendered the estimates unreliable. For example, we found that the 2013 cost estimate\u2014the most recent available at the time of our 2014 report\u2014did not include (1) a life-cycle cost analysis of the project, including the cost of repair, operations, and maintenance; (2) was not regularly updated to reflect significant changes to the program including actual costs; and (3) did not include an independent estimate to determine whether other estimating methods produce similar results. In addition, a sensitivity and a risk and uncertainty analysis had not been performed to assess the reasonableness of the cost estimate. We have previously reported that a reliable cost estimate is critical to the success of any program. Specifically, we have found that such an estimate provides the basis for informed investment decision making, realistic budget formulation and program resourcing, meaningful progress measurement, proactive course correction when warranted, and accountability for results. Accordingly, in 2014, we concluded that DHS and GSA would benefit from maintaining current and well-documented estimates of project costs at St. Elizabeths\u2014even if project funding is not fully secured.", "In 2014, we also found that the 2008 and 2013 schedule estimates (the estimates available at the time of our review) did not include all activities for both the government and its contractors necessary to accomplish the project\u2019s objectives and did not include schedule baseline documents to help measure performance as reflected in leading practices and GSA guidance. For the 2008 schedule estimate, we found that resources (such as labor, materials, and equipment) were not accounted for and a risk assessment had not been conducted to predict a level of confidence in the project\u2019s completion date. In addition, we found the 2013 schedule estimate was unreliable because, among other things, it was incomplete in that it did not provide details needed to understand the sequence of events, including work to be performed in fiscal years 2014 and 2015.", "In 2014, we concluded that developing cost and schedule estimates consistent with leading practices could promote greater transparency and provide decision makers needed information about the St. Elizabeths project and the larger DHS headquarters consolidation effort. However, in commenting on our analysis of St. Elizabeths cost and schedule estimates, DHS and GSA officials said that it would be difficult or impossible to create reliable estimates that encompass the scope of the entire St. Elizabeths project. In response to our findings, officials said that given the complex, multiphase nature of the overall development effort, specific estimates are created for smaller individual projects, but not for the campus project as a whole. Therefore, in their view, leading estimating practices and GSA guidance cannot reasonably be applied to the high-level projections developed for the total cost and completion date of the entire St. Elizabeths project. GSA stated that the higher-level, milestone schedule currently being used to manage the program was more flexible than the detailed schedule we proposed, and had proven effective even with the highly variable funding provided for the project.", "However, our September 2014 review found this high-level schedule was not sufficiently defined to effectively manage the program. For example, our review showed that the schedule did not contain detailed schedule activities that included all government, contractor, and applicable subcontractor efforts. In our 2014 report, we recognized the challenges of developing reliable cost and schedule estimates for a large-scale, multiphase project like St. Elizabeths, particularly given its unstable funding history and agreed that incorporating cost- and schedule- estimating leading practices could involve additional costs. However, we also concluded that unless DHS and GSA invest in these practices, Congress risked making funding decisions and DHS and GSA management risked making resource allocation decisions without the benefit that a robust analysis of levels of risk, uncertainty, and confidence provides. Therefore, in our September 2014 report we recommended that DHS and GSA develop revised cost and schedule estimates for the remaining portions of the consolidation project in accordance with leading practices. DHS and GSA concurred with the recommendation.", "As of April 2018, however, the agencies had not submitted revised cost and schedule information to Congress that would either meet the requirements of the DHS Headquarters Consolidation Accountability Act or address our recommendation. GSA is leading efforts to revise the project\u2019s cost and schedule estimates, and according to GSA officials, the revised figures will take into account leading cost- and schedule- estimation practices, including a risk assessment. We continue to believe that creating up-to-date, reliable cost and schedule estimates for DHS headquarters consolidation should be an integral part of DHS and GSA efforts to reassess the project. Without this information, it will be more difficult for agency officials and Members of Congress to make informed decisions regarding resource allocations and compare competing funding priorities."], "subsections": []}, {"section_title": "DHS Did Not Consistently Apply Its Acquisitions Guidance When Overseeing the St. Elizabeths Project, but Has Taken Steps to Implement GAO\u2019s Recommendation", "paragraphs": ["In our September 2014 report, we also found that DHS had not consistently applied its major acquisition guidance for reviewing and approving the headquarters consolidation project. Specifically, we found that DHS had guidelines in place to provide senior management the opportunity to review and approve its major projects, but DHS had not consistently applied these guidelines to its efforts to work with GSA to plan and implement headquarters consolidation. Part of the inconsistency was the result of DHS designating the headquarters consolidation project as a major acquisition in some years but not in others. For example, we found that in 2010 and 2011, DHS identified the headquarters consolidation project as a major acquisition and included the project on DHS\u2019s Major Acquisitions Oversight List. Thus, the project was subject to the oversight and management policies and procedures established in DHS major acquisition guidance; however, the project did not comply with major acquisition requirements as outlined by DHS guidelines. For example, we found that the project had not produced any of the required key acquisition documents requiring department-level approval, such as life-cycle cost estimates and an acquisition program baseline, among others.", "As we reported in 2014, in 2012, the project as a whole was dropped from the list. Subsequently, in 2013 and 2014, DHS included the information technology (IT) acquisition portion of the project on the list, but not the entire project. DHS officials explained that they considered the St. Elizabeths project to be more of a GSA acquisition rather than a DHS acquisition because GSA owns the site and the majority of the building construction is funded through GSA appropriations. In our 2014 report, we recognized that GSA had responsibility for managing contracts associated with the headquarters consolidation project. However, we also noted that a variety of factors, including the overall cost, scope, and visibility of the project, as well as the overall importance of the project in the context of DHS\u2019s mission, made the consolidation project a viable candidate for consideration as a major DHS acquisition. By not consistently applying this review process to headquarters consolidation, we concluded that DHS management risked losing insight into the progress of the St. Elizabeths project, as well as how the project fits in with its overall acquisitions portfolio. Thus, in our September 2014 report we recommended that the Secretary of Homeland Security designate the headquarters consolidation program a major acquisition and apply DHS acquisition policy requirements. DHS concurred with the recommendation.", "As of April 2018, DHS has made some progress implementing this recommendation. For example, on September 16, 2014, DHS issued an Acquisition Decision Memorandum designating the DHS-funded portions of the headquarters consolidation program as a Major Acquisition Program to be overseen by the departmental Acquisition Review Board (ARB). DHS also made progress implementing this recommendation by conducting and documenting an ARB of the program in November 2016. The ARB process provided DHS greater oversight of headquarters consolidation, and provided a forum for officials to consider a wide range of issues affecting consolidation efforts, such as funding and project scope. In addition, in January 2018, DHS officials reported that they were working to align headquarters consolidation program documentation to meet the spirit of DHS acquisition policy guidance. We will reassess the status of this recommendation after the consolidation plan and cost and schedule estimates are updated and submitted to Congress per the DHS Headquarters Consolidation Accountability Act. At that time, we believe there will be more certainty about the future direction of the project overall, and DHS\u2019s funded portion in particular, and we will be better able to assess the level of DHS acquisitions oversight for the project.", "Chairman Perry, Ranking Member Correa, and Members of the Subcommittee, this concludes my prepared statement. I look forward to responding to any questions that you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact Chris Currie, Director, Homeland Security and Justice Issues, at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this statement are John Mortin (Assistant Director), Karen Richey (Assistant Director), Juan\u00e1 Collymore, Jennifer Leotta, Thomas Lombardi, David Lutter, and Erin O\u2019Brien.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Department of Homeland Security is planning to consolidate operations and thousands of its workers at the St. Elizabeths campus in Washington, D.C. Construction began at the site in 2009.", "Over $2 billion has been appropriated for the project since fiscal year 2006, which was less than requested. DHS and General Services Administration officials told us this led to cost increases and delays.", "Since our 2014 report, Congress has required DHS, in coordination with GSA, to give them cost, schedule, and other information consistent with our report\u2019s recommendations. For this testimony, we found that the information has not yet been provided."]} {"id": "GAO-18-431T", "url": "https://www.gao.gov/products/GAO-18-431T", "title": "Personnel Security Clearances: Additional Actions Needed to Implement Key Reforms and Improve Timely Processing of Investigations", "published_date": "2018-03-07T00:00:00", "released_date": "2018-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The government-wide personnel security clearance process was designated as a high-risk area in January 2018 because it represents one of the highest management risks in government.", "This testimony focuses on, among other things, the extent to which executive branch agencies (1) made progress reforming the security clearance process, and (2) are meeting timeliness objectives and reducing NBIB's investigative backlog.", "GAO's statement is based on information from public versions of its reports issued in November 2017 on continuous evaluation of clearance holders and in December 2017 on clearance reform efforts. Information that ODNI and OPM deemed sensitive was omitted. For those reports, GAO reviewed Executive Orders and PAC strategic documents; obtained data from the Office of the Director of National Intelligence (ODNI) on the timeliness of initial clearances and periodic reinvestigations; and interviewed officials from ODNI, NBIB, and other agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["Executive branch agencies have made progress reforming the security clearance process, but long-standing key initiatives remain incomplete. Progress includes the issuance of federal adjudicative guidelines and updated strategic documents to help sustain the reform effort. However, agencies still face challenges in implementing aspects of the 2012 Federal Investigative Standards\u2014criteria for conducting background investigations\u2014and in implementing a continuous evaluation program. In addition, while agencies have taken steps to establish government-wide performance measures for the quality of investigations, neither the Director of National Intelligence (DNI) nor the interagency Security, Suitability, and Credentialing Performance Accountability Council (PAC) have set a milestone for completing their establishment.", "GAO's analysis of timeliness data for specific executive branch agencies showed that the number of agencies meeting investigation and adjudication timeliness objectives for initial secret and top secret security clearances and periodic reinvestigations decreased from fiscal years 2012 through 2016. For example, while 73 percent of agencies did not meet timeliness objectives for initial clearances for three of four quarters in fiscal year 2012, 98 percent of agencies did not meet these objectives in fiscal year 2016. The DNI has not developed a government-wide plan, including goals and milestones, to help agencies improve timeliness. Agencies' challenges in meeting timeliness objectives have contributed to a significant backlog of background investigations at the agency that is responsible for conducting the majority of investigations, the National Background Investigations Bureau (NBIB). NBIB documentation shows that the backlog of pending investigations increased from about 190,000 in August 2014 to more than 710,000 as of February 2018, as shown below. NBIB leadership has not developed a plan to reduce the backlog to a manageable level."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In November 2017 and December 2017, GAO made 12 recommendations to the DNI and the Director of NBIB, including setting a milestone for establishing measures for investigation quality, developing a plan to meet background investigation timeliness objectives, and developing a plan for reducing the backlog. NBIB concurred with the recommendations. The DNI concurred with some, but not all, of GAO's recommendations. GAO continues to believe they are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss personnel security clearance reforms. The government-wide personnel security clearance process was designated as a high-risk area in January 2018 because it represents one of the highest management risks in government. A high-quality personnel security process is necessary to minimize the risks of unauthorized disclosures of classified information and to help ensure that information about individuals with criminal histories or other questionable behavior is identified and assessed. In 2014, emphasis on security clearance reform was renewed following high-profile events such as the September 2013 shooting at the Washington Navy Yard by an individual who had both access to the facility and a security clearance. In November and December 2017, we reported, among other things, that the executive branch faces challenges completing key reform efforts, processing security clearances, and reducing a significant backlog in background investigations.", "In January 2018, in light of the serious challenges facing the interagency Security, Suitability, and Credentialing Performance Accountability Council (PAC), the entity responsible for driving the implementation of and overseeing the reform efforts, we placed the government-wide personnel security clearance process on GAO\u2019s High-Risk List. We made this designation out-of-cycle because it was important to call attention to these challenges now. My testimony today focuses on three of the key challenges that led to the high-risk designation, including: (1) the extent to which executive branch agencies made progress reforming the security clearance process; (2) the extent to which executive branch agencies are meeting timeliness objectives and reducing the National Background Investigations Bureau\u2019s (NBIB) investigative backlog; and (3) the potential effects of continuous evaluation\u2014a process to review the background of clearance holders and individuals in sensitive positions at any time during the eligibility period\u2014on executive branch agencies.", "My testimony is primarily based on our November and December reports on these topics. For those reports, we reviewed relevant statutes, Executive Orders, and PAC strategic documents; obtained data from the Office of the Director of National Intelligence (ODNI) on the timeliness of initial personnel security clearances and periodic reinvestigations for fiscal years 2012 through 2016 for specific executive branch agencies; and interviewed PAC, Office of Personnel Management (OPM), NBIB, ODNI, and Department of Defense (DOD) officials. Our November and December 2017 reports include a detailed explanation of our scope and methodology. In these reports, we made 12 recommendations to the Director of National Intelligence and the Director of NBIB, some of which I will discuss today. NBIB concurred with the recommendations. The Director of National Intelligence concurred with some, but not all, of our recommendations. We continue to believe these recommendations are valid. Information that ODNI and OPM deemed sensitive was omitted. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "Executive Branch Agencies Have Made Progress Reforming the Security Clearance Process, but Long-Standing Key Initiatives Remain Incomplete", "paragraphs": [], "subsections": [{"section_title": "The PAC Has Made Progress Reforming the Personnel Security Clearance Process", "paragraphs": ["The PAC has made progress in reforming the personnel security clearance process and implementing various security clearance reform initiatives. For example, the PAC has taken action on 73 percent of the recommendations of a February 2014 review conducted in the wake of the Washington Navy Yard shooting. Actions in response to these recommendations included ODNI and OPM jointly issuing Quality Assessment Standards in January 2015, which establish federal guidelines for assessing the quality of investigations. Additionally, ODNI developed the Quality Assessment Reporting Tool, through which agencies will report on the completeness of investigations.", "Similarly, the PAC reported quarterly on the status and progress of key initiatives, as part of the Insider Threat and Security Clearance Reform cross-agency priority goal. This reporting included the milestone due date and status for each initiative. According to PAC Program Management Office officials, although the data are no longer publicly reported, they have continued to track the status of these milestones internally, and identified almost half of the initiatives\u201416 of 33\u2014as complete as of the third quarter of fiscal year 2017.", "Additionally, the PAC has issued three documents that serve as its updated strategic framework for the next 5 years. In July 2016, it issued its Strategic Intent for Fiscal Years 2017 through 2021, which identifies the overall vision, goals, and 5-year business direction to achieve an entrusted workforce. In October 2016, it issued an updated PAC Enterprise IT Strategy, which provides the technical direction to provide mission-capable and secure security, suitability, and credentialing IT systems. According to PAC program management officials, the third document\u2014PAC Strategic Intent and Enterprise IT Strategy Implementation Plan\u2014was distributed to executive branch agencies in February 2017. Further, we reported in December 2017 that PAC members noted additional progress in reforming the personnel security clearance process, such as the development of Security Executive Agent Directives, the identification of executive branch\u2014wide IT shared service capabilities, and the standardization of adjudicative criteria."], "subsections": []}, {"section_title": "Long-Standing Key Reform Initiatives Remain Incomplete", "paragraphs": ["Although the PAC has reformed many parts of the personnel security clearance process, the implementation of certain key initiatives, including the full implementation of the 2012 Federal Investigative Standards and the development of government-wide performance measures for the quality of investigations, remain incomplete. The Federal Investigative Standards outline criteria for conducting background investigations to determine eligibility for a security clearance, and are intended to ensure cost-effective, timely, and efficient protection of national interests and to facilitate reciprocal recognition of the resulting investigations.", "However, the standards also changed the frequency of periodic reinvestigations for certain clearance holders and include continuous evaluation as a new requirement for certain clearance holders.", "Continuous evaluation is a key executive branch initiative to more frequently identify and assess security-relevant information, such as criminal activity, between periodic reinvestigations. Continuous evaluation is a process to review the background of an individual who has been determined to be eligible for access to classified information or to hold a sensitive position at any time during the period of eligibility. Continuous evaluation involves automated record checks conducted on a more frequent basis, whereas periodic reinvestigations are conducted less frequently and may include, among other things, subject and reference interviews. The types of records checked as part of continuous evaluation are the same as those checked for other personnel security purposes. Security-relevant information discovered in the course of continuous evaluation is to be investigated and adjudicated under the existing standards.", "Efforts to implement an executive branch continuous evaluation program go back to at least 2008, with a milestone for full implementation by the fourth quarter of fiscal year 2010. In November 2017, we reported that while ODNI has taken an initial step to implement continuous evaluation in a phased approach across the executive branch, it had not determined when the future phases of implementation will occur. We recommended, among other things, that the Director of National Intelligence develop an implementation plan. ODNI generally concurred with that recommendation.", "Regarding government-wide measures for the quality of background investigations, as noted earlier, ODNI and OPM issued the Quality Assessment Standards and ODNI issued the Quality Assessment Reporting Tool. The Quality Assessment Standards established federal guidelines for assessing the quality of investigations. The Quality Assessment Reporting Tool is a tool through which agencies will report on the completeness of investigations. However, measures for quality have not been developed, and it is unclear when this key effort will be completed. The original milestone for completing government-wide measures was fiscal year 2010, and no new milestone has been established. In our December 2017 report, we recommended that the Director of National Intelligence, in his capacity as the Security Executive Agent, and in coordination with the other PAC Principals, establish a milestone for the completion of government-wide performance measures for the quality of investigations. ODNI disagreed with the recommendation, stating that it is premature to establish such a milestone and that it will do so once the Quality Assessment Reporting Tool metrics have been fully analyzed. We continue to believe that setting a milestone, which takes into consideration the amount of time needed to analyze Quality Assessment Reporting Tool data, will help to ensure that the analysis of the data is completed, initial performance measures are developed, and agencies have a greater understanding of what they are being measured against."], "subsections": []}]}, {"section_title": "Agencies Meeting Timeliness Objectives for Clearances Decreased, and a Government-Wide Approach Has Not Been Developed to Improve Timeliness or Address the Backlog", "paragraphs": ["Our analysis of government-wide and agency-specific data shows a decline in the number of executive branch agencies meeting the timeliness objectives for processing clearances. While ODNI has taken steps to address timeliness challenges, it has not developed a government-wide approach to help agencies improve the timeliness of initial personnel security clearances. Additionally, the backlog of background investigations conducted by NBIB\u2014the primary entity responsible for conducting background investigations\u2014has steadily increased since 2014 and as of February 2018 exceeds 710,000 cases. NBIB personnel are attempting to decrease the backlog by making the background investigation process more effective and efficient and increasing investigator capacity. However, NBIB faces challenges in developing a plan to reduce the size of the investigation backlog to a manageable level."], "subsections": [{"section_title": "Agencies Meeting Timeliness Objectives Decreased", "paragraphs": ["Our analysis showed that the percentage of executive branch agencies meeting timeliness objectives for investigations and adjudications decreased from fiscal years 2012 through 2016. The Intelligence Reform and Terrorism Prevention Act of 2004 (IRTPA) established an objective for each authorized adjudicative agency to make a determination on at least 90 percent of all applications for a personnel security clearance within an average of 60 days after the date of receipt of the completed application by an authorized investigative agency. The objective includes no longer than 40 days to complete the investigative phase and 20 days to complete the adjudicative phase. In assessing timeliness under these objectives, executive branch agencies exclude the slowest 10 percent and report on the average of the remaining 90 percent (referred to as the fastest 90 percent).", "As part of the Insider Threat and Security Clearance Reform cross- agency priority goal, the PAC reported quarterly on the average number of days to initiate, investigate, adjudicate, and complete the end-to-end process for initial secret and initial top secret cases and periodic reinvestigations for the executive branch as a whole from fiscal year 2014 through 2016. For fiscal year 2016, the PAC reported that the government-wide average for executive branch agencies did not meet the 40-day investigation objective for the fastest 90 percent of initial secret clearances for any quarter; the averages ranged from 92 days to 135 days; did not meet ODNI\u2019s revised investigation objective for the fastest 90 percent of initial top secret clearances for any quarter; the averages ranged from 168 days to 208 days; did not meet the goal of conducting the investigative portion of periodic reinvestigations within 150 days for the fastest 90 percent of cases for any quarter; the averages ranged from 175 days to 192 days; and did not meet the goal of completing periodic reinvestigations\u2014the end-to-end goal\u2014within 195 days for any quarter of fiscal year 2016; the averages ranged from 209 days to 227 days.", "Our analysis of timeliness data for specific executive branch agencies showed that the percentage of agencies meeting established investigation and adjudication timeliness objectives for initial secret and top secret personnel security clearances and periodic reinvestigations decreased from fiscal year 2012 through 2016. We found that agencies with delegated authority to conduct their own investigations and those that use NBIB as their investigative provider experienced challenges in meeting established investigative timeliness objectives. Specifically, in fiscal year 2012, we found that", "73 percent of the agencies, for which we obtained data, did not meet investigation and adjudication objectives for at least three of four quarters for initial secret clearances,", "41 percent did not meet those objectives for initial top secret", "16 percent did not meet the investigative goal for at least three of four quarters for the fastest 90 percent of periodic reinvestigations.", "By fiscal year 2016, the percentage of agencies that did not meet these same objectives had increased to 98 percent, 90 percent, and 82 percent, respectively.", "Furthermore, ODNI requests individual corrective action plans from agencies not meeting security clearance timeliness objectives. However, the executive branch has not developed a government-wide plan, with goals and interim milestones, to meet established timeliness objectives for initial security clearances that takes into consideration increased investigative requirements and other stated challenges. In our December 2017 report, we recommended that the Director of National Intelligence, as Security Executive Agent, develop a government-wide plan, including goals and interim milestones, to meet timeliness objectives for initial personnel security clearance investigations and adjudications. Although the DNI did not specifically comment on this recommendation, we continue to believe a government-wide plan would better position ODNI to identify and address any systemic government-wide issues.", "We also recommended that the Director of National Intelligence conduct an evidence-based review of the investigation and adjudication timeliness objectives and take action to adjust the objectives if appropriate. He did not agree with this recommendation and stated that it is premature to revise the existing timeliness goals until NBIB\u2019s backlog is resolved. We continue to believe that our recommendation to conduct an evidence- based review, using relevant data, is valid. As we noted in our report, even agencies with delegated authority to conduct their own investigations are experiencing challenges meeting established timeliness objectives. We also noted that ODNI has not comprehensively revisited the investigation or adjudication timeliness objectives for initial security stemming from the implementation of the 2012 Federal Investigative Standards."], "subsections": []}, {"section_title": "Backlog of Background Investigations Has Steadily Increased since 2014", "paragraphs": ["The executive branch\u2019s challenges in meeting investigation timeliness objectives for initial personnel security clearances and periodic reinvestigations have contributed to a significant backlog of background investigations at the primary entity responsible for conducting background investigations, NBIB. NBIB personnel are attempting to decrease the backlog by making the background investigation process more effective and efficient. To do so, NBIB conducted a business process reengineering effort that was intended to identify challenges in the process and their root causes. Specifically, NBIB officials cited efforts that have been implemented to reduce the number of personnel hours necessary to complete an investigation, such as centralizing interviews and using video-teleconferencing for overseas investigations (to decrease travel time), automated record checks, and focused writing (to make reports more succinct and less time-consuming to prepare). However, NBIB has not identified how the implementation of the business process reengineering effort will affect the backlog or the need for additional investigators in the future. In December 2017, we recommended that the Director of NBIB develop a plan, including goals and milestones, that includes a determination of the effect of the business process reengineering efforts on reducing the backlog to a \u201chealthy\u201d inventory of work, representing approximately 6 weeks of work. NBIB concurred with this recommendation.", "NBIB documentation shows that the backlog of pending investigations increased from about 190,000 in August 2014 to more than 710,000 as of February 2018, as shown in figure 1. NBIB\u2019s Key Performance Indicators report states that a \u201chealthy\u201d inventory of work is around 180,000 pending investigations, representing approximately 6 weeks of work, and would allow NBIB to meet timeliness objectives.", "ODNI officials stated that several significant events contributed to agency challenges in meeting timeliness objectives over the past 5 fiscal years, including a government shutdown, the 2015 OPM data breach, a loss of OPM contractor support, and OPM\u2019s review of the security of its IT systems, which resulted in the temporary suspension of the web-based platform used to complete and submit background investigation forms. In addition, executive branch agencies noted the increased investigative requirements stemming from the 2012 Federal Investigative Standards as a further challenge to meeting established timeliness objectives in the future.", "While NBIB has taken steps to increase its capacity to conduct background investigations by increasing its own investigator staff as well as awarding new contracts, in our December 2017 report we noted that NBIB officials have assessed four scenarios, from the status quo\u2014 assuming no additional contractor or federal investigator hires\u2014to an aggressive contractor staffing plan beyond January 2018. The two scenarios that NBIB identified as most feasible would not result in a \u201chealthy\u201d inventory level until fiscal year 2022 at the earliest. In our December 2017 report, we recommended that the Director of NBIB establish goals for increasing total investigator capacity\u2014federal employees and contractor personnel\u2014in accordance with the plan for reducing the backlog of investigations, as noted above. NBIB concurred with this recommendation."], "subsections": []}]}, {"section_title": "The Potential Effects of Continuous Evaluation on Executive Branch Agencies Are Unknown", "paragraphs": ["We reported in November 2017 that the potential effects of continuous evaluation on executive branch agencies are unknown because future phases of the program and the effect on agency resources have not yet been determined. ODNI has not yet determined key aspects of its continuous evaluation program, which has limited the ability of executive branch agencies to plan for implementation in accordance with ODNI\u2019s phased approach. For example, while ODNI has initiated the first phase of continuous evaluation in coordination with implementing executive branch agencies, it has not yet determined what the future phases of implementation will entail, or when they will occur. As we reported in November 2017, the uncertainty regarding the requirements and time frames for the future phases of the program has affected the ability of executive branch agencies to plan to implement continuous evaluation and estimate the associated costs.", "Although executive branch agencies have identified increased resources as a risk associated with implementing continuous evaluation, and ODNI has acknowledged that risk, ODNI, in coordination with the PAC, has not assessed the potential effects of continuous evaluation on an agency\u2019s resources. Further, ODNI has not developed a plan, in consultation with implementing agencies, to address such effects, including modifying the scope or frequency of periodic reinvestigations or replacing periodic reinvestigations for certain clearance holders.", "Moreover, the potential effect of continuous evaluation on periodic reinvestigations is unknown. Executive branch agencies have expressed varying views about potential changes to the periodic reinvestigation model:", "DOD officials stated that with workload and funding issues, they see no alternative but to replace periodic reinvestigations for certain clearance holders with continuous evaluation, as the record checks conducted are the same for both processes.", "State Department officials expressed concerns that relevant information, such as state and local law-enforcement records that are not yet automated, would be missed if it did not conduct periodic reinvestigations.", "State Department officials, along with officials from the Departments of Justice and Homeland Security, stated it may be possible to change the frequency or scope of periodic reinvestigations at some point in the future.", "The Security Executive Agent Directive for continuous evaluation, issued since our report, clarified that continuous evaluation is intended to supplement but not replace periodic reinvestigations.", "In our November 2017 report, ODNI officials stated that ODNI is not opposed to further improving the security clearance process, and that once continuous evaluation is operational, it plans to determine the efficiencies and mitigation of risks associated with the approach. Specifically, these officials stated that once continuous evaluation is further implemented and ODNI has gathered sufficient data\u2014which they estimated would take about a year from May 2017\u2014they can perform analysis and research to determine whether any changes are needed to the periodic reinvestigation model.", "We recommended that the Director of National Intelligence assess the potential effects of continuous evaluation on agency resources and develop a plan, in consultation with implementing agencies, to address those effects, such as modifying the scope of periodic reinvestigations, changing the frequency of periodic reinvestigations, or replacing periodic reinvestigations for certain clearance holders. ODNI generally concurred with this recommendation.", "Finally, the National Defense Authorization Act for Fiscal Year 2018, enacted in December 2017, will have a significant impact on the personnel security clearance process. Among other things, the act authorized DOD to conduct its own background investigations and requires DOD to begin carrying out a related implementation plan by October 1, 2020. It also requires the Secretary of Defense, in consultation with the Director of OPM, to provide for a phased transition. These changes could potentially affect timeliness, the backlog, and other reform initiatives but the effect is unknown at this time. DOD\u2019s investigations represent the majority of the background investigations conducted by NBIB.", "Chairman Burr, Vice Chairman Warner and Members of the committee, this concludes my prepared testimony. I look forward to answering any questions."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Brenda S. Farrell at (202) 512-3604 or at farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. GAO staff who made key contributions to this testimony are Kimberly Seay (Assistant Director), James Krustapentus, Michael Shaughnessy, and John Van Schaik.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-94", "url": "https://www.gao.gov/products/GAO-18-94", "title": "Private School Choice: Federal Actions Needed to Ensure Parents Are Notified About Changes in Rights for Students with Disabilities", "published_date": "2017-11-16T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Growth of voucher and ESA programs has drawn attention to the ways states ensure accountability and transparency to the public and prospective parents. With over half of voucher and ESA programs specifically designed for students with disabilities, there is interest in the information parents receive about special education services and rights when enrolling in a choice program. GAO was asked to examine these topics in more depth.", "This report examines (1) academic, administrative, and financial accountability mechanisms in private choice programs; (2) information available to the public and families on private choice programs and participating schools; and (3) how parents of students with disabilities are informed about changes in rights when enrolling in private choice programs. GAO analyzed information from all voucher and ESA programs operating in January 2017 and interviewed officials from Education, national groups, and six of the largest private choice programs. GAO reviewed websites of a nationally representative sample of private voucher schools, and worked with private choice groups and national organizations to contact families that recently interacted with a choice program. GAO interviewed all 17 families that responded."]}, {"section_title": "What GAO Found", "paragraphs": ["States include different academic, administrative, and financial accountability mechanisms in their voucher and education savings account (ESA) programs\u2014programs that use public funds for private school educational expenses (see figure). Of the 27 programs operating in January 2017, most had academic and administrative accountability mechanisms for participating schools, such as academic testing requirements (18 of 27) or health and safety requirements (25 of 27). In addition, 15 of 27 programs required schools to demonstrate financial soundness and 8 of 27 programs required annual financial audits.", "Almost all of the 27 private school choice program websites provide a directory of participating schools and some provide guidance on selecting schools. However, GAO estimates that no more than half of all schools participating in any type of voucher program mention students with disabilities anywhere on their websites, according to GAO's review of a nationally generalizable sample of websites of private schools in voucher programs. Further, GAO estimates that no more than 53 percent of private schools in voucher programs designed for students with disabilities provide disability-related information on their websites.", "GAO found private school choice programs inconsistently provide information on changes in rights and protections under the Individuals with Disabilities Education Act (IDEA) when parents move a child with a disability from public to private school. In 2001, the U.S. Department of Education (Education) strongly encouraged states and school districts to notify parents of these changes, but according to Education, IDEA does not provide it with statutory authority to require this notification. According to GAO's review of information provided by private school choice programs, and as confirmed by program officials, in school year 2016-17, 83 percent of students enrolled in a program designed specifically for students with disabilities were in a program that provided either no information about changes in IDEA rights or provided information that Education confirmed contained inaccuracies about these changes. Officials from national stakeholder groups, private choice programs, and Education told GAO that some parents do not understand that certain key IDEA rights and protections\u2014such as discipline procedures and least restrictive environment requirements\u2014change when parents move their child from public to private school. Ensuring that quality information is communicated consistently and accurately to parents can help address potential misunderstanding about changes in federal special education rights."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider requiring states to notify parents/guardians about changes in federal special education rights when a parent moves a child from public to private school. In addition, GAO recommends Education review and correct inaccurate IDEA-related information provided by states. Education generally agreed with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the past decade, the number of private school voucher and education savings account (ESA) programs\u2014collectively referred to as private school choice programs\u2014has more than quadrupled from six programs in 2006 to 27 in 2016. Private school choice programs use public funds to pay elementary and secondary students\u2019 educational expenses in private schools and other non-public settings. In school year 2016-17, there were 23 voucher and four ESA programs operating in 14 states and Washington, D.C. Except for the federally funded District of Columbia Opportunity Scholarship Program, all of these private school choice programs are administered and funded by states. This growth has drawn attention to the role of academic, administrative, and financial accountability mechanisms in these programs. Further, as more than half of these programs are specifically for students with disabilities, there is interest in the information families receive about special education and disability-related supports when enrolling in a choice program. The U.S. Department of Education (Education) administers the Individuals with Disabilities Education Act (IDEA) and provides states, school districts, parents, and the public with information about the rights of students with disabilities under IDEA. You asked us to examine accountability and transparency in private school choice programs, including the information provided to families of students with disabilities.", "This report examines (1) the academic, administrative, and financial accountability mechanisms in private school choice programs; (2) the information available to the public and prospective parents on private school choice programs and participating private schools; and (3) how parents of students with disabilities are informed about any changes in their rights under federal law when enrolling in private school choice programs, including how the U.S. Department of Education provides information about these rights.", "To obtain information for all three objectives, we reviewed relevant federal laws, regulations, and guidance, including IDEA and related guidance and information from Education.", "To determine key program characteristics, including which accountability mechanisms these programs had in place and the type of information they provided publicly, we reviewed publically available documents from all 23 voucher programs and all four ESA programs operating in the United States as of January 2017. Further, we reviewed documents and conducted interviews with program officials in six private school choice programs in five states (Arizona, Florida, Indiana, Ohio, and Wisconsin). These voucher and ESA programs are among the largest, and collectively served more than two-thirds of all voucher and ESA students in school year 2016-17. Selecting these programs also enabled us to examine programs with varying requirements and accountability mechanisms.", "To describe information that participating private schools make available to the public and prospective families, we reviewed a nationally representative, stratified random sample of 344 websites of private schools participating in a voucher program. In addition, we interviewed officials from Education, as well as from national stakeholder groups and private school choice researchers, which we selected to obtain a range of perspectives on private school choice initiatives. To provide examples of how individual schools and programs make information available to the public and families, we also visited and interviewed officials at two private school choice programs, three private schools, and one school district in Florida. Finally, we held three discussion groups and conducted interviews with a total of 17 families who chose to speak to us about their recent experiences with private school choice programs. We worked with private school choice organizations and national stakeholder groups to contact families who had recently interacted with private school choice programs. We interviewed all of the families who responded to our interview request, individually or in a group, and these families had at least one child with a disability. These interviews and discussions are intended to provide illustrative examples of the sources, types, and usefulness of information parents may rely on as they make school choice decisions for their children. For more information about our scope and methodology, see appendix I.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["States operate and administer several types of private school choice programs. This report focuses exclusively on vouchers and ESAs.", "Vouchers: These programs generally provide interested parents with funds for tuition at a participating private school. The first voucher program began in 1990.", "ESAs: These programs are typically designed to fund a broader set of educational expenses, such as online learning programs, private tutoring, or education therapies. The first ESA program began in 2011.", "The size of voucher and ESA programs varies widely (see fig. 1 and appendix II for more details). In school year 2016-17, student participation in individual programs ranged from fewer than 10 to more than 34,000, for a total of 181,624 students across all programs."], "subsections": [{"section_title": "Design of Private School Choice Programs", "paragraphs": ["States establish the eligibility criteria for students to participate in choice programs as well as any accountability requirements for participating private schools. As noted in our prior work, these requirements can vary considerably across states.", "Eligibility criteria: Almost all private school choice programs use a student\u2019s disability status or family income as eligibility criteria (see table 1).", "Accountability mechanisms: For purposes of this report, we define accountability mechanisms as requirements that private school choice programs place on private schools as a condition for participation. These mechanisms act as minimum participation requirements for private schools (see fig. 2). See appendix II for more details on accountability mechanisms by program."], "subsections": []}, {"section_title": "Individuals with Disabilities Education Act", "paragraphs": ["IDEA Part B requires each state to ensure that a free appropriate public education (FAPE) is made available to all eligible children with disabilities. An eligible child with a disability in a public school setting, or placed in a private school by a public agency as a means of providing special education and related services, is entitled to FAPE. FAPE means special education and related services that (1) have been provided at public expense, under public supervision, and without charge; (2) meet the standards of the state educational agency, including the requirements of IDEA; (3) include an appropriate preschool, elementary school, or secondary school education in the state involved; and (4) are provided in conformity with an individualized education program (IEP).", "When a parent of a child with a disability chooses to enroll their child in a private elementary or secondary school, whether or not through a private school choice program, that child is considered a \u201cparentally placed\u201d private school child under IDEA. A school district\u2019s obligations to parentally placed private school children with disabilities are not as extensive as those for children enrolled in public schools or for children with disabilities placed in a private school by a public agency, according to Education documents. Under IDEA, a child with a disability who is parentally placed in a private school does not have a right to FAPE, or an individual right to receive some or all of the special education and related services that the child would be entitled to receive if enrolled in a public school. However, parentally placed children must be included in the population whose needs are considered for services under IDEA\u2019s \u201cequitable services\u201d provisions. See table 2 for a summary of key differences in rights under IDEA for children with disabilities in public school and private school."], "subsections": []}, {"section_title": "The Role of the U.S. Department of Education", "paragraphs": ["Education has two offices that can address questions and provide information related to parentally placed private school children with disabilities, including those in private school choice programs.", "Education\u2019s Office of Special Education and Rehabilitative Services (OSERS) administers IDEA in all of its aspects. It also supports programs that help educate children and youth with disabilities, including developing and distributing evidence-based products, publications, and resources to help states, local school district personnel, and families improve results for children with disabilities.", "Education\u2019s Office of Non-Public Education (ONPE) fosters maximum participation of nonpublic school students and teachers in federal education programs and initiatives. ONPE\u2019s activities include providing parents with information regarding education options for their children, and providing technical assistance, workshops, and publications to states, school districts, private schools, and other education stakeholders."], "subsections": []}]}, {"section_title": "State Private School Choice Programs Emphasize Different Accountability Mechanisms and Approaches to Monitoring", "paragraphs": [], "subsections": [{"section_title": "Most Programs Have Academic and Administrative Accountability Mechanisms; Fewer Have Financial Accountability Mechanisms", "paragraphs": [], "subsections": [{"section_title": "Academic Accountability Mechanisms", "paragraphs": ["Most private school choice programs have academic accountability mechanisms, which can include requirements for participating private schools to administer tests, report testing results, obtain accreditation, and teach core subjects, according to our analysis of information from program documents and officials. (See fig. 3.)", "We found that testing is the most common academic accountability mechanism in private choice programs, and that programs design this requirement in different ways. Academic testing and reporting requirements can help the public compare the academic achievement of private school choice students with students in public schools. Two-thirds of private choice programs (18 of 27)\u2014which represented 78 percent of all students participating in voucher and ESA programs in school year 2016-17\u2014require private schools to test voucher or ESA students. Of the 18 programs that require testing, nine programs require participating schools to administer their state\u2019s standardized test and six require schools to administer some type of norm-referenced test. See appendix II for more information on testing requirements by program.", "Private schools appeared to have mixed experiences implementing the testing requirements in private school choice programs. For example, officials from four of the six programs we examined in depth noted that most private schools in their programs did not experience challenges administering the testing requirements, and said that many private schools had testing practices in place before joining the programs. However, officials in two programs also said that some private schools were unfamiliar with or unequipped to administer standardized tests. Officials from several state and national private school choice organizations also told us that smaller private schools sometimes lack the staff and budgets to administer standardized tests.", "One-third (9 of 27) of programs require that schools publicly report test results, including three of the four largest voucher programs\u2014Wisconsin\u2019s Milwaukee Parental Choice Program, Indiana\u2019s Choice Scholarship Program, and Ohio\u2019s EdChoice Scholarship Program\u2014which publicly report test results via online systems. However, in our interviews, officials from two voucher programs noted some private schools experienced challenges administering standardized tests or providing the program offices with data. For example, according to officials in one program, most private schools did not have systems for administering the state\u2019s standardized tests electronically. Officials in another program also noted that protecting student privacy in small private schools can be challenging.", "Few of the 15 choice programs that are designed specifically for students with disabilities have accountability mechanisms related to special education and related services. For example, Arkansas\u2019s Succeed Scholarship Program requires schools to meet accreditation requirements for providing services to severely disabled individuals. Mississippi\u2019s Dyslexia Therapy Scholarship for Students with Dyslexia Program requires schools to provide a specific learning environment for dyslexia therapy; and Louisiana\u2019s School Choice Program for Certain Students with Exceptionalities requires schools to provide special education services for at least 2 years prior to joining the program."], "subsections": []}, {"section_title": "Administrative Accountability Mechanisms", "paragraphs": ["Most private school choice programs have some administrative accountability mechanisms, and these varied across programs, according to our analysis of information from program documents and officials. Administrative accountability mechanisms include requirements that participating private schools employ teachers, paraprofessionals, and/or specialists who have minimum qualifications, conduct background checks on employees, comply with state and local health and safety standards, and comply with site visits by program officials. (See fig. 4.)", "Most programs (25 of 27) require participating private schools to comply with state and local health and safety standards. Eight of the 25 programs rely on other state agencies to oversee the safety of school facilities rather than impose separate health and safety requirements on participating schools. In addition, about half of all voucher and ESA programs (17 of 27)\u2014including three of the largest programs, which represented 73 percent of all students participating in voucher and ESA programs in school year 2016-17\u2014require participating private schools to conduct background checks on all employees, or all employees with direct and unsupervised contact with children.", "About two-thirds (19 of 27) of programs require participating private schools to employ teachers and other staff with specific qualifications or credentials. For example, 13 programs require teachers to have a degree and/or state teaching license. Other programs, such as Florida\u2019s John M. McKay Scholarships for Students with Disabilities Program, require private schools to employ teachers with either a bachelor\u2019s degree, three years of experience, or specific credentials or special skills, knowledge, or expertise to provide instruction in certain subjects. Similarly, about half (14 of 27) of programs require schools to hire paraprofessionals and/or specialists with specific qualifications or credentials.", "More than half (15 of 27) of programs require site visits to participating private schools, and program officials we interviewed described various ways of implementing this requirement. For example, officials in three programs told us they conduct site visits to verify information submitted by participating private schools. Officials in one program noted that site visits are routine for entities that receive state funds; officials coordinate with the school beforehand, meet with the principal and staff, and perform spot checks on student files. Some program officials told us they also monitor participating schools using risk-based school reviews, requesting graduation rates, or by requiring schools to meet an attendance rate benchmark."], "subsections": []}, {"section_title": "Financial Accountability Mechanisms", "paragraphs": ["Although financial accountability mechanisms are the least common mechanisms used by private choice programs, more than half of programs had at least one such requirement. (See fig. 5.)", "Just over half (15 of 27) of programs require private schools to provide proof of fiscal soundness in order to participate. Most of these programs give private schools two options: schools must either submit proof they have been in operation for a specified length of time (ranging from 1 to 5 years) or provide a surety bond to the state to insure against any losses. For example, in Florida\u2019s John M. McKay Scholarships for Students with Disabilities Program, schools must have been operating for at least 3 years or provide the Florida Department of Education with a surety bond or letter of credit equal to the amount of voucher funds the private school receives quarterly.", "Less than a third (8 of 27) of programs\u2014which represented fewer than a quarter of all students participating in voucher and ESA programs in school year 2016-17\u2014require participating schools to provide annual audits. Officials in two programs we examined in depth described concerns about the limited financial accountability provisions in their programs\u2019 statutes. In one program with no financial accountability mechanisms, program officials said they would prefer to have the authority to remove private schools with financial issues from the program. Similarly, officials in the other program stated that they had some concerns about the financial stability of some of their participating schools but do not have authority to deny participation in the program based on financial criteria.", "In addition, all ESA programs, which generally provide funds directly to eligible individuals, have financial accountability mechanisms for parents. For example, Florida\u2019s Gardiner Scholarship Program is administered by two organizations that review parents\u2019 expenditures for compliance with program requirements and reimburse parents accordingly. Certain categories of purchases are pre-approved, but generally approvals are made on a case-by-case basis. In contrast, Arizona\u2019s ESA program provides parents with a debit card for educational purchases. Parents are expected to use the debit card appropriately and retroactively submit itemized expense reports to the program each quarter. If program staff reviewing expenditures find any that do not meet statutory requirements, families are directed to reimburse the program."], "subsections": []}]}, {"section_title": "Private Choice Programs Described Various Approaches to Monitoring Participating Schools", "paragraphs": ["The six private choice programs we examined in depth took various approaches to monitoring participating schools\u2019 compliance with their programs\u2019 academic, administrative, and financial accountability requirements. Officials from several of these programs also described coordinating with accrediting agencies, other state departments, and independent auditors to help monitor private schools and ensure quality and safety. For example, officials in one program told us they received a number of complaints about a lack of adult supervision at a participating private school and asked local Child Protective Services to intervene. Program officials in two states said they use their state\u2019s private school accreditation process to help enforce program accountability requirements because private schools must be accredited to participate.", "Programs often require participating schools to attest to meeting accountability requirements, although some program officials said they have limited resources to independently verify this information. For example, program officials in one state said they have limited resources to independently verify the information submitted by schools in their annual applications because processing voucher payments takes priority.", "Program officials in another state said financial constraints prevented them from visiting all of the schools that were flagged for not complying with program requirements last year.", "Finally, some program officials we spoke to told us that their states provide programs with limited authority to intervene with participating private schools when there are concerns. For example, officials in one program described being concerned that a particular school\u2019s buildings were unsafe. However, they said that the choice program\u2019s statute does not contain requirements related to the safety of participating schools, and the city must issue a safety notice before program staff could remove the school from the program."], "subsections": []}]}, {"section_title": "Private School Choice Programs and Participating Schools Provide a Range of Information to the Public and Prospective Families", "paragraphs": [], "subsections": [{"section_title": "Most Private School Choice Programs Provide Directories of Participating Schools, Which Include Varying Information", "paragraphs": ["Almost all private school choice programs provide a directory of participating private schools for the public and prospective families, although the information included\u2014and the way it is provided\u2014varies. For example, 21 of 27 programs provide contact information, and 20 programs provide information on grades served. Far fewer programs provide information on school accreditation status (6 programs), student race and ethnicity data (5 programs), and graduation rates (4 programs). (See fig. 6.)", "Parents we interviewed had mixed responses about the information provided by private school choice programs and reported using other sources of information as well. Some parents mentioned using private choice program websites as key sources of information to identify and narrow their school choice options, while other parents said they wished that the programs would provide more information to help them consider potential schools. Parents also reported consulting family, friends, and other trusted community members or advisers and conducting internet searches when making school decisions.", "Along with directories, some private school choice programs provide additional guidance for parents on their websites. Just over one-third (10 of 27) of private school choice programs\u2014serving 65 percent of students in choice programs\u2014provide guidance to parents on how to choose a school. For example, the Ohio Department of Education Scholarship program office and Indiana Department of Education provide a checklist of questions parents might ask potential schools. These suggested questions include admission requirements, tuition and other costs, and discipline policies.", "We also found that one state\u2014Florida\u2014provides a link on its website to a federally-created decision tool on choosing schools. This tool, developed by Education, is designed to help families navigate the process of choosing a school, and includes questions that parents may want to ask as well as a discussion of school choice options. However, the document was last updated in 2007 and does not reference the Elementary and Secondary Education Act of 1965, as amended by the Every Student Succeeds Act. It also has few questions tailored to parents of students with disabilities or about special education/disability services and accommodations in educational settings. During the course of our review, Education officials said they were in the process of reviewing and determining whether to update existing guidance, including this document. As part of this review, Education officials said they plan to issue an updated version of the document in 2018 and may consider including additional questions for parents of students with disabilities.", "We found that only 3 of the 15 programs designed for students with disabilities provide guidance on their websites on making informed school choice decisions that is specifically tailored to these families. For example, Georgia\u2019s guidance recommends families ask how a school will accommodate their child\u2019s needs and Tennessee\u2019s guidance advises parents to consider whether the school provides inclusive educational settings."], "subsections": []}, {"section_title": "Private Schools Participating in Voucher Programs Provide Varying Information on Their Websites; Most Websites Do Not Have Information Related to Special Education Services", "paragraphs": ["Much like the private school choice programs in which they participate, private schools vary in the information they provide to the public and prospective families on their websites. In our review of a nationally representative sample of 344 websites of private schools participating in the 23 voucher programs operating as of January 2017, we found notable differences in the type and amount of information on the sites (see fig. 7). For example, we estimate that 85 percent of participating private schools describe their curriculum or teaching philosophy on their websites; 68 percent indicate how long the school has been in operation; 27 percent provide information on the number of students attending the school; and 13 percent provide information on student performance on standardized tests. (See fig. 7.) schools in voucher programs for students with disabilities mention students with disabilities or special education services anywhere on their websites. In addition, we estimate that no more than 21 percent of private schools participating in a voucher program specifically designed for students with disabilities provide certain types of special education/disability-related information on their websites that might be of interest to prospective families choosing a school for their student with a disability. (See fig. 8.) of disabilities schools served as well as the disability-related services schools offer. Parents described attempts to enroll their student with disabilities in multiple schools before finding one that would admit their child or that was the right fit for their child\u2019s needs. Several parents described the process of finding the right school for their children as trial and error.", "Lack of information can result in parents discovering key information about a school only after enrolling their child. For example, a family who has a student currently enrolled in a private school choice program told us they wished they had known that they would be charged for some of the special education services the private school was providing to their child. One family told us they were surprised to learn that teachers providing special education services to their child were not trained to provide those services, and another parent described changing schools because they learned aspects of their child\u2019s disability could not be accommodated only after enrolling their child in a school."], "subsections": []}]}, {"section_title": "Private Choice Programs Do Not Provide Consistent Information about Changes in IDEA Rights When a Parent Moves a Child from Public to Private School, and IDEA Does Not Require That Parents Be Notified", "paragraphs": [], "subsections": [{"section_title": "Parents of Students with Disabilities May Not Be Consistently or Correctly Notified about IDEA Rights upon Enrolling in Choice Programs", "paragraphs": ["When a parent moves a child with a disability from public school to a private school, the child\u2019s rights under IDEA change. Specifically, when a child with a disability is enrolled in a private school by his or her parents or guardians (i.e., a parentally placed private school student), regardless of participation in a private school choice program, the child is no longer entitled to FAPE and other key rights and protections under IDEA. There is no requirement under IDEA or in Education\u2019s regulations that parents be told about this change in rights to services when enrolling their children in private schools.", "Private school choice programs are not consistently providing information on changes in rights under IDEA when a child with a disability moves from public to private school, and some programs are providing incorrect information. Specifically, in our review of information provided by all 27 private school choice programs in operation as of January 2017, we found that 9 of the 27 programs did not provide any information about these changes in rights. Moreover, among the 15 programs specifically for students with disabilities, we found that 4 programs provided no information about changes in rights under IDEA when a child with a disability moves from public to private school. As shown in figure 9, these 4 programs enrolled the majority of students participating in disability choice programs in school year 2016-17 (73 percent). Another 5 of these programs\u2014which enrolled 10 percent of students participating in disability choice programs in school year 2016-17\u2014provided information that included inaccurate statements about rights under IDEA, as confirmed by Education officials. Some of these inaccuracies were related to IDEA\u2019s \u201cequitable services\u201d provisions, under which parentally placed private school students with disabilities may be eligible to receive federally funded equitable services.", "Education officials reiterated that IDEA does not require states to provide notification about changes in disability rights when a parent moves a child from a public school to a private school. However, federal internal control standards state that agencies should provide quality information to external stakeholders. In addition, Education officials stated that, in the past, when the agency has been aware of cases where states are providing inconsistent or inaccurate information, the agency has worked with states to correct the information in order to avoid further dissemination of inaccurate information."], "subsections": []}, {"section_title": "Education Recommends but Does Not Require That Parents Be Notified of Changes in Rights", "paragraphs": ["Education does not require states or districts to notify parents of key changes in disability rights when a parent moves their child from public to private school, but the agency has recommended that states and districts notify parents of these changes. Specifically, in 2001, Education issued a document\u2014which Education refers to as a policy letter\u2014stating that \u201cin order to avoid parental misunderstanding, the Department strongly recommends that the state and local educational agency notify parents who choose private school placement under [a private school choice program] that the students may retain certain rights under Section 504 and Title II of the ADA, although the student will not be entitled to a free appropriate public education under IDEA, while enrolled in the private school.\u201d", "In addition, while Education has issued guidance documents explaining the obligations of states and school districts under IDEA to ensure the equitable participation of parentally placed private school children with disabilities, Education has not developed guidance or other documents that could serve as specific notification to parents of changes in IDEA rights when a parent moves a child with a disability from public to private school. When we asked Education officials about this issue, they reiterated that IDEA does not require such notification, and referred us to two publications by ONPE and OSERS regarding the equitable participation requirements in IDEA that apply to parentally placed private school children. The first is a 2011 ONPE document, titled The Individuals with Disabilities Education Act: Provisions Related to Children with Disabilities Enrolled by Their Parents in Private Schools. The second is a 2011 OSERS document, titled Questions and Answers on Serving Children with Disabilities Placed by Their Parents in Private Schools (revised April 2011). While these documents explain how children\u2019s rights under IDEA are affected when parents place their child in a private school, they do not specifically address key IDEA rights and protections\u2014 such as discipline procedures and the least restrictive environment requirements\u2014that do not apply when a student with a disability is moved from a public school to a private school by their parent. Further, these documents do not include the agency\u2019s prior recommendation on parental notification, or provide sample language that stakeholders could use to notify parents of these changes in rights. Education also noted that under IDEA and its regulations, a notice of IDEA procedural safeguards must be provided to parents at least once a year and at other specified times, but also is not required to notify parents that if a child is parentally placed in a private school, the child is not entitled to FAPE and that these key rights and protections no longer apply.", "A wide variety of stakeholders, including officials from national school choice and disability organizations, private school choice programs, and Education told us that parents in private choice programs do not always understand that they will not have all of the same IDEA rights and protections when moving their children from public to private school. For example, some stakeholders said that confusion arises because parents are under the impression that since school choice programs are operated and funded by the state, and are often designed for students with disabilities, their children will have similar protections to those ensured to public school children under IDEA. Other stakeholders told us that because private schools sometimes request a copy of a student\u2019s IEP, parents can mistakenly assume that the private school will provide the services and accommodations outlined in the document.", "Among the 17 families we interviewed, their views ranged from not being concerned about possible changes in rights\u2014because they felt their students were not being served well in public schools\u2014to echoing the stakeholder concerns described above. These 17 families also had differing understandings of the change in disability rights when enrolling their students in private school choice programs. For example, some families we interviewed said they were not aware that some of the disability services and therapies provided at private schools came at additional costs, because these services at public schools were provided free of charge. Parents of children with physical disabilities said they were surprised that some private schools, including schools for students with disabilities, were not accessible for children with physical disabilities.", "Education officials told us that IDEA does not provide it with statutory authority to require states and school districts to give parents notice that IDEA rights and protections\u2014such as discipline procedures and least restrictive environment requirements\u2014do not apply when a student with a disability is moved from public to private school by a parent. Absent a requirement that states notify parents about changes in key federal special education rights when a child is moved from public to private school by their parents, states may inconsistently provide information, contributing to confusion about the change in key federal disability rights and protections."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In the past decade, school choice options, including private school choice programs, have expanded across the country, providing more education alternatives for students and families, and this trend is expected to continue. School choice places more responsibility and decision making in the hands of parents, increasing the importance of high quality information to help parents make informed decisions. As more than half of the current private school choice programs are designed specifically for students with disabilities, it is critical that parents have access to quality information about changes in special education rights when they are considering moving their child from public to private school. Although Education has strongly recommended that states and districts notify parents that IDEA rights change when they move their parentally placed child from public to private school, in 2016-17, more than 80 percent of students in private choice programs designed for students with disabilities were enrolled in a program that either provided no information about changes in IDEA rights or provided some inaccurate information about these changes. Absent a requirement in IDEA that states notify parents of such changes, states are unlikely to begin providing parents with consistent and accurate information about changes that affect some of our nation\u2019s most vulnerable children."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider requiring that states notify parents/guardians of changes in students\u2019 federal special education rights when a student with a disability is moved from public to private school by their parent."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Assistant Secretary for Special Education and Rehabilitative Services should review information provided by states related to changes in federal special education rights when a parent places a student with a disability in a private school and work with states to correct inaccurate information."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for review and comment. Education\u2019s comments are reproduced in appendix III. Education also provided technical comments, which we incorporated as appropriate.", "Education generally agreed with our recommendation to correct inaccurate information provided by states related to changes in federal special education rights when a parent places a student with a disability in a private school. During the course of our review, Education confirmed that five private school choice programs provided information that included inaccurate statements about rights under IDEA. However, Education stated that the department believes it is necessary to review the full documents containing information provided by states, so that it can determine the context in which the information was presented. We will coordinate with Education as appropriate to facilitate such a review. Reviewing and evaluating the information provided by states are important first steps. However, we continue to believe that it is critical that Education take the next step to work with states to correct any inaccurate information about the rights of students with disabilities under IDEA being provided by private school choice programs.", "Our draft report also included a recommendation for Education to require states to notify parents/guardians of changes in students\u2019 federal special education rights, including that key IDEA rights and protections do not apply when a student with a disability is moved from public to private school by their parent. In response, Education stated that IDEA does not include statutory authority to require such notice, and suggested that the department instead encourage states to notify parents. However, as noted in our draft report, Education already strongly encourages states and school districts to provide such notice. Despite these efforts, we found that in 2016-17, more than 80 percent of students nationwide who are enrolled in private choice programs designed for students with disabilities were enrolled in a program that either provided no information about changes in IDEA rights, or provided some inaccurate information about these changes. We therefore continue to believe that states should be required, not merely encouraged, to notify parents/guardians about key changes in federal special education rights when a parent moves a child with a disability from public to private school. To this end, we have converted our recommendation into a Matter for Congressional Consideration to require such notice.", "In its comments, Education stated that the draft report title could be improved. Because, in the final report, we issued the Matter for Congressional Consideration discussed above, we have revised the title to reflect that federal actions are needed to ensure parents are notified about key changes in rights for students with disabilities.", "Education also inaccurately asserted that statements in the draft report about the availability of information for parents are based on limited reviews and small samples. As stated in the draft report, our findings about the information for parents are derived from two sources: private school choice programs and private schools participating in these programs. Our findings about information provided by private school choice programs are based on a comprehensive review of all 27 voucher and educational savings account programs operating in the United States during the 2016-17 school year. In addition, as noted in the draft report, we verified these findings with officials from each of these programs. Our findings about information participating private schools make available are based on a nationally representative, generalizable sample of websites from 344 private schools participating in voucher programs during the 2016-17school year. Finally, contrary to Education\u2019s assessment that we based findings on a small sample of 17 families, as stated in the draft report, our discussion groups and interviews with these families provided illustrative examples of the types of information families used when making private school choice decisions. These illustrative examples were not the basis of any findings. We have clarified the language in the final report as appropriate.", "Further, Education commented that the draft report did not address factors that often lead parents to enroll their children in private schools in state choice programs. These factors were not addressed because they are beyond the scope of our objectives for this report. Finally, Education noted that parents may believe that educational benefits or services provided by private schools to their children with disabilities outweigh any rights conferred by IDEA or services provided by public schools. This is an important point, and this perspective was included in the draft Education reviewed. For example, in the draft Education reviewed, we stated that some families with whom we spoke were not concerned about any changes in rights because they felt their students were not being well served in public schools.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to interested congressional committees and to the Department of Education. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the academic, administrative, and financial accountability mechanisms in private school choice programs; (2) the information available to the public and prospective families on private school choice programs and participating private schools; and (3) how families of students with disabilities are informed about any changes in their rights under federal law when enrolling in private school choice programs, and how the U.S. Department of Education provides information to families about these rights."], "subsections": [{"section_title": "Overall Methodology", "paragraphs": ["To obtain information for all three objectives, we reviewed relevant federal laws, regulations, and guidance. To determine key program characteristics, including accountability mechanisms these programs had in place and the type of information they provided publicly, we reviewed publically available documents from all 23 voucher programs and four education savings account (ESA) programs, referred to in this report as private school choice programs, operating in the United States as of January 2017 to obtain information about program design and requirements. We confirmed this information with each program. In addition, we reviewed documents and conducted interviews with program officials in six private school choice programs in five states (Arizona, Florida, Indiana, Ohio, and Wisconsin). We also interviewed officials from the U.S. Department of Education (Education) as well as national stakeholder groups and private school choice researchers, which we selected to obtain a range of perspectives on private school choice initiatives. To describe information that participating private schools make available to the public, we conducted a review of a nationally representative stratified random sample of 344 private schools participating in one of the voucher programs to identify information provided on school websites to parents and the public. To obtain information on how parents are informed about changes in their child\u2019s rights under federal law, we reviewed Education guidance and policy documents on the Individuals with Disabilities Education Act (IDEA) and parentally placed private school students. To provide examples of how individual schools and programs make information available to the public and families, we also visited and interviewed officials at two private school choice programs, three private schools, and one school district in Florida. Additionally, we spoke with 17 families who had recently interacted with private school choice programs.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Analysis of Private School Choice Programs\u2019 Accountability Mechanisms", "paragraphs": ["We defined \u201caccountability mechanisms\u201d as requirements that private school choice programs place on participating private schools. These requirements are intended to set minimum standards that private schools must meet to participate in the choice program. We compiled our list of mechanisms based on research conducted by national school choice organizations and other organizations, interviews with private school choice researchers, and our previous audit work. The list includes mechanisms likely to be used by multiple programs and is not meant to be exhaustive. We confirmed the appropriateness of our list of selected mechanisms during subsequent interviews with private school choice researchers and national stakeholder groups who confirmed that the mechanisms were common elements in program statutes, and/or standard mechanisms for establishing accountability in education. To identify the presence of each of the mechanisms in a choice program, we reviewed publicly available documents on the program\u2019s website. We also reviewed documents linked to the program\u2019s website. To confirm our assessment of each school choice program, we sent our analysis to the program\u2019s administrators for verification. All programs responded and any changes are reflected in the report. We did not independently verify these requirements in state laws or regulations."], "subsections": []}, {"section_title": "Interviews in Selected Private School Choice Programs", "paragraphs": ["To obtain a richer understanding of accountability and transparency decisions, and challenges facing private school choice programs, we selected a non-generalizable sample of six private school choice programs in five states (Arizona, Florida, Indiana, Ohio, and Wisconsin) for a more in-depth review. These selected programs collectively served the majority of voucher and ESA students in school year 2016-17. In total, these programs represented about two-thirds of all participating students. For the selected programs, we reviewed program documents, and conducted interviews with programs officials and school choice organizations.", "In addition, we conducted a site visit to Florida in March 2017. Florida has the second largest school voucher program (the John M. McKay Scholarships for Students with Disabilities Program), and the largest ESA program (the Gardiner Scholarship Program). Collectively the two programs served approximately one-fifth (22 percent) of voucher and ESA students nationwide in school year 2016-17. To gather information on all three objectives, we interviewed officials from program administration offices for both programs. To obtain schools\u2019 perspective on all three objectives, we interviewed officials at three private schools that participate in both school choice programs, and officials at a public school district. To obtain information on how families of students with disabilities are informed about any changes in their rights under federal law when enrolling in private school choice programs and families\u2019 understanding of these changes, we conducted a series of interviews with families of students with disabilities."], "subsections": []}, {"section_title": "Private Schools\u2019 Websites Review", "paragraphs": ["To determine the extent to which participating private schools provided information to prospective families and the public, we reviewed websites from a nationally representative sample of 344 private schools eligible to participate in one of the 23 voucher programs in operation as of January 2017. We limited our review to voucher school programs because we were unable to determine the universe of schools participating in all of the four ESA programs operating at the time of our review.", "Our sampling frame consisted of all schools eligible for participation in a private school choice voucher program. To create the frame, we downloaded the most currently available list of eligible schools as of April 3, 2017, from each program\u2019s website. We identified 4,011 schools eligible to participate in at least one of the private school choice voucher programs covered by this review. Ohio\u2019s Jon Peterson Special Needs Scholarship Program and Autism Scholarship Program allow multiple types of providers to receive voucher funds. As such, the lists for these programs included public schools, private companies, individual specialists, chartered private schools, and unchartered private schools. A chartered private school is a private school that has been approved by Ohio\u2019s State Board of Education, according to program officials. As program officials told us, chartering is Ohio\u2019s version of state accreditation. Because chartered schools were the only readily identifiable type of provider included in the downloaded lists from the program\u2019s website, we decided to limit our list to chartered private schools and drop other providers from our schools list.", "Because web addresses were not always included in programs\u2019 lists of schools, we used information provided in the lists to conduct internet searches to locate school websites. This enabled us to produce an estimate on the number of participating schools without a website. In order to review comparable information across the sampled schools\u2019 websites, we developed a standardized web-based data collection instrument which we used to examine each website for academic, administrative, and financial information and information related to students with disabilities. We used a combination of information from our audit work on identifying accountability mechanisms, Education guidance on choosing a school, and our interviews to develop the questions included in the data collection instrument. We reviewed all websites from April 19 through 27, 2017. An analyst recorded information in the data collection instrument. The information was then checked for completeness by another analyst. We then analyzed the information across schools.", "We stratified the population using two design variables\u2014one for whether or not the school participated in programs with eligibility limited to students with disabilities, and one for whether or not the school participated in one of the largest four voucher programs. This resulted in four sampling strata. The resulting sample of 344 schools allowed us to make national estimates about the availability of school information by program type. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 6 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Confidence intervals are provided along with each sample estimate in the report. All website review results presented in the body of this report are generalizable to the estimated population except where otherwise noted."], "subsections": []}, {"section_title": "Parent Interviews and Questionnaires", "paragraphs": ["To obtain information from parents on both our second and third objectives, we conducted interviews with 17 families who had recent experiences with private school choice programs. We also created a short questionnaire that included questions on the type of information families want and use when making private school choice decisions for their children. The questionnaire also included questions on how families of students with disabilities are informed about any changes in their rights under federal law when enrolling in private school choice programs and their understanding of those changes. We worked with private school choice organizations and national stakeholder groups that directly communicate with parents to contact parents on our behalf to answer the questionnaire and be interviewed. The questionnaire was given to each parent we interviewed or who participated in each of the discussion groups conducted during our Florida site visit. Parents completing the questionnaire had at least one child with a disability and either participated or considered participating in a private school choice program designed for students with disabilities."], "subsections": []}]}, {"section_title": "Appendix II: Key Information about Private School Choice Programs, School Year 2016- 17", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the U.S. Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nagla\u2019a El-Hodiri (Assistant Director), Alison Grantham (Analyst-in-Charge), Kelsey Burdick, Cheryl Jones, and Alex Squitieri made key contributions to this report. Also contributing to this report were Susan Aschoff, Carl Barden, James Bennett, Deborah Bland, Sarah Cornetto, Lawrence Malenich, Shelia McCoy, Tom Moscovitch, Kelly Rubin, Andrew Stavisky and Barbara Steel-Lowney."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-123", "url": "https://www.gao.gov/products/GAO-18-123", "title": "Rental Assistance Demonstration: HUD Needs to Take Action to Improve Metrics and Ongoing Oversight", "published_date": "2018-02-20T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HUD administers the Public Housing program, which provides federally assisted rental units to low-income households through PHAs. In 2010, HUD estimated its aging public housing stock had $25.6 billion in unmet capital needs. To help address these needs, the RAD program was authorized in fiscal year 2012. RAD allows PHAs to move (convert) properties in the public housing program to Section 8 rental assistance programs, and retain property ownership or transfer it to other entities. The conversion enables PHAs to access additional funding, including investor equity, generally not available for public housing properties.", "GAO was asked to review public housing conversions under RAD and any impact on residents. This report addresses, among other objectives, HUD's (1) assessment of conversion outcomes; (2) oversight of resident safeguards; and (3) provisions to help preserve the long-term affordability of units. GAO analyzed data on RAD conversions through fiscal year 2017; reviewed a sample of randomly selected, nongeneralizable RAD property files; and interviewed HUD officials, PHAs, developers, academics, and affected residents."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Housing and Urban Development (HUD) put procedures in place to evaluate and monitor the impact of conversion of public housing properties under the Rental Assistance Demonstration (RAD) program. RAD's authorizing legislation requires HUD to assess and publish findings about the amount of private-sector leveraging. HUD uses a variety of metrics to measure conversion outcomes. But, the metric HUD uses to measure private-sector leveraging\u2014the share of private versus public funding for construction or rehabilitation of assisted housing\u2014has limitations. For example, HUD's leveraging ratio counts some public resources as leveraged private-sector investment and does not use final (post-completion) data. As a result, HUD's ability to accurately assess private-sector leveraging is limited.", "HUD does not systematically use its data systems to track effects of RAD conversions on resident households (such as changes in rent and income, or relocation) or monitor use of all resident safeguards. Rather, since 2016, HUD has required public housing agencies (PHA) or other post-conversion owners to maintain resident logs and collect such information. But the resident logs do not contain historical program information. HUD has not developed a process for systematically reviewing information from its data systems and resident logs on an ongoing basis. HUD has been developing procedures to monitor compliance with some resident safeguards\u2014such as the right to return to a converted property\u2014and begun a limited review of compliance with these safeguards. However, HUD has not yet developed a process for monitoring other safeguards\u2014such as access to other housing voucher options. Federal internal control standards require agencies to use quality information to achieve objectives, and obtain and evaluate relevant and reliable data in a timely manner for use in effective monitoring. Without a comprehensive review of household information and procedures for fully monitoring all resident safeguards, HUD cannot fully assess the effects of RAD on residents.", "RAD authorizing legislation and the program's use agreements (contracts with property owners) contain provisions intended to help ensure the long-term availability of affordable units, but the provisions have not been tested in situations such as foreclosure. For example, use agreements between HUD and property owners specify affordability and use restrictions that according to the contract would survive a default or foreclosure. HUD officials stated that HUD intends to develop procedures to identify and respond to risks to long-term affordability, including default or foreclosure in RAD properties. However, HUD has not yet done so. According to federal internal control standards, agencies should identify, analyze, and respond to risks related to achieving goals and objectives. Procedures that address oversight of affordability requirements would better position HUD to help ensure RAD conversions comply with program requirements, detect potential foreclosure and other risks, and take corrective actions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes five recommendations to HUD intended to improve leveraging metrics, monitoring of the use and enforcement of resident safeguards, and compliance with RAD requirements. HUD agreed with our recommendations to improve metrics and build on existing oversight."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2011, the Department of Housing and Urban Development (HUD) reported that its public housing stock had approximately $25.6 billion in backlogged capital needs, with an average repair need of about $23,365 per unit, and according to HUD these figures have increased since then. HUD\u2019s Rental Assistance Demonstration (RAD) program was created, in part, to address these capital needs. Under the traditional public housing program, public housing agencies (PHA) generally cannot use private funding sources to address the capital needs of their properties. Furthermore, HUD estimates 10,000 units of public housing are demolished or disposed of each year due to disrepair. RAD allows PHAs to access other programs that create incentives for private investments, such as the Low-Income Housing Tax Credit (LIHTC) program or insured loans available through the Federal Housing Administration (FHA), or conventional loans to address capital needs. In RAD, properties move (convert) from the public housing program into Section 8 rental assistance programs. RAD also permits PHAs to transfer ownership of the public housing property as long as ownership or control of the Section 8 assisted units is by a public or nonprofit entity, although PHAs may elect to retain ownership. If approved by HUD, the PHA can transfer the public housing property to a for-profit entity to facilitate private investment through tax credits provided that the PHA preserves its interest in the property.", "You asked us to examine the public housing component of the RAD program to determine if it is achieving the goals it was enacted to accomplish, including the long-term preservation of affordable units and protection of residents. This report examines (1) HUD\u2019s assessment of the physical and financial outcomes of RAD conversions to date; (2) how RAD conversions affected residents and what safeguards were in place to protect them, including while temporarily relocated; (3) what challenges, if any, PHAs faced in implementing RAD; and (4) the extent to which RAD provisions are designed to help preserve the long-term affordability of units.", "To examine physical and financial outcomes in properties, we obtained and analyzed RAD data on conversions as of September 30, 2017. We assessed the reliability of the data by verifying that data fields\u2014such as the total number of units converted, dates for conversions, and financial information\u2014were reasonable and consistent with our data request, and by reviewing internal HUD procedures and data dictionaries, and determined that the data were sufficiently reliable for the purposes of describing rehabilitation and new construction in RAD projects and evaluating RAD leveraging metrics. In addition, we obtained HUD documentation to review the methodology used to calculate RAD leverage metrics. We also reviewed RAD documentation and selected conversion files. We randomly selected a nongeneralizable sample of files for converted properties (31 files closed as of July 19, 2017) that planned to incur construction costs (undergo rehabilitation or new construction). We reviewed published RAD evaluations and metrics. We interviewed PHAs at each of eight locations we visited and developers at five of those locations (some PHAs acted as the developer). We selected site visit locations to include a range of PHA sizes from small to large, and PHAs that proposed a range of construction costs for RAD conversion (from no construction costs to $594 million in construction costs). Using a nonprobability sample based on PHA size, RAD subsidy type, planned rehabilitation and resident relocation, number and size of RAD transactions, transaction closing dates, construction costs, and location we selected and spoke with an additional 10 PHAs by telephone about HUD postclosing monitoring. We also reviewed HUD\u2019s postclosing procedures and interviewed HUD officials about their processes.", "To determine how RAD affected residents in converted units, we analyzed HUD public housing and Section 8 household data before and after conversion including demographic characteristics of residents and changes in rent, income, and household location. We determined that some statistics were sufficiently reliable for the purpose of describing some characteristics of RAD households, while others were not. We discuss our assessment of household data reliability later in this report. Further, for additional information on our data reliability assessment and determination see appendix I. To describe safeguards for residents, we reviewed legal requirements in HUD notices and HUD documentation on RAD monitoring and compliance procedures. We also reviewed selected conversion files to help determine how HUD implemented safeguards and interviewed HUD about its implementation of resident safeguards. Finally, we held focus groups with residents during our site visits to better understand any effects on their living conditions.", "To determine challenges PHAs faced in implementing RAD, we reviewed HUD guidance and related documents for PHAs in the program. We also interviewed 8 PHAs during our site visits and spoke with another 10 PHAs by telephone about the benefits and challenges of participating in the RAD program.", "To examine provisions designed to help preserve long-term affordability of units, we reviewed the RAD authorizing statute and amendments and HUD notices. For a nongeneralizable sample of 31 randomly selected properties, we examined templates for contractual agreements for RAD closings and analyzed closing contracts to determine if agreements matched program requirements. We interviewed HUD staff and staff of 18 PHAs (8 site visit PHAs and 10 by teleconference) to obtain their views on the potential strengths or weaknesses of preservation provisions in the case of default or foreclosure.", "We conducted this performance audit from February 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The RAD program was authorized by Congress and signed into law by the President in November 2011 under the Consolidated and Further Continuing Appropriations Act, 2012 with amendments in 2014, 2015, 2016, and 2017. The RAD program consists of two components. The first component of the RAD program\u2014and the focus of our review\u2014 provides PHAs the opportunity to convert units subsidized under HUD\u2019s public housing program and owned by the PHAs to properties with long- term (typically, 15\u201320 years) project-based voucher (PBV) or project- based rental assistance (PBRA) contracts. These are two forms of Section 8 rental assistance that tie the assistance to the unit to provide subsidized housing to low-income residents. In a RAD conversion, PHA- owned public housing properties can be owned by the PHA, transferred to new public or nonprofit owners, or transferred to private, for-profit owners when necessary to access LIHTC financing, if the PHA preserves its interest in the property in a HUD-approved manner. The second component of RAD converts privately owned properties with expiring subsidies under old rental assistance programs to PBV or PBRA in order to preserve affordability and encourage property rehabilitation.", "The goals of the RAD program include preserving the affordability of federally assisted rental properties and improving their physical and financial condition. Specifically, postconversion owners (PHAs, nonprofits, or for-profit entities) can leverage the subsidy payments under the newly converted contracts to raise capital through private debt and equity investments, or conventional private debt, to make improvements. The RAD program provides added flexibility for PHAs to access private and public funding sources to supplement public housing funding. These financing sources may include debt financing through public or private lenders; mortgage financing insured by FHA; PHA operating reserves; replacement housing factor funds; seller or take-back financing; deferred developer fees; equity investment generated by the availability of 4 percent and 9 percent LIHTC; or other private or philanthropic sources.", "PHAs also may pursue various options for their conversions, which often depend on property needs and available financing, including property rehabilitation or new construction. Additionally, PHAs may undertake conversion involving no property rehabilitation or new construction to meet certain financial goals or for future rehabilitation or new construction, as long as the PHA can demonstrate to HUD that the property does not need immediate rehabilitation and can be physically and financially maintained for the term of the Section 8 Housing Assistance Payment contract (HAP contract).", "The RAD authorizing legislation and RAD Notice also specify requirements for ownership and control of converted properties. That is, converted properties must have public or nonprofit ownership or control, with limited exceptions. The RAD authorizing legislation, RAD Notice, HAP contracts, and RAD Use Agreement also establish procedures to help ensure that public housing remains a public asset should challenges arise, such as default, bankruptcy, or foreclosure.", "Oversight of RAD conversion and properties is primarily divided among three HUD offices. The Office of Recapitalization is responsible for administering the conversion process but generally does not oversee converted properties. Before conversion, the Office of Public and Indian Housing oversees the properties. After conversion, oversight remains with Public and Indian Housing for properties that convert to PBV contracts and transfers to the Office of Multifamily Housing Programs for PBRA.", "The RAD program has been implemented and expanded in phases. Since its authorization, the RAD unit cap gradually increased from 60,000 units in 2011 to 225,000 units in May 2017. The RAD program is currently fully subscribed with all 225,000 units allocated. As of September 30, 2017, 689 conversions were closed that involved a total of 74,709 units (see fig. 1 for a breakdown by fiscal year). Additionally, 706 conversions involving 79,078 units were in the process of structuring conversion plans. The remaining conversions under the cap were allocated to specific properties and in the process of having commitments issued or reserved under multi-phase or portfolio awards, according to HUD officials.", "RAD conversions begin with the submission of an application by PHAs after which they are notified of selection. The PHA is then required to submit a financing plan within 180 days or a later deadline based on the nature of the financing proposed.", "A RAD conversion is considered closed when the HAP contract is signed and financial documents are executed. The properties are considered converted to Section 8 assisted housing on the effective date of the HAP, which is generally the first day of the following month. Once the RAD conversion is closed, the PHA or ownership entity can move forward with its submitted proposals or RAD-related rehabilitation or new construction and is responsible for complying with RAD requirements and associated contracts. In some cases, rehabilitation can take place in advance of conversion closing if public housing funds are being used."], "subsections": []}, {"section_title": "Most RAD Conversions Involved Construction and Tax Credits, but HUD\u2019s Leveraging and Construction Metrics Are Limited", "paragraphs": [], "subsections": [{"section_title": "Most RAD Conversions Involved Property Rehabilitation or New Construction, and Financing Often Included Tax Credits", "paragraphs": [], "subsections": [{"section_title": "Most Conversions Involved Construction and Many Used Tax Credits", "paragraphs": ["Most RAD conversions involved some type of construction. Our analysis of HUD data showed that as of September 30, 2017", "417 of 689 closed conversions (61 percent) involved planned rehabilitation to the property, 86 (12 percent) new construction, and 186 (27 percent) no construction; and", "361 of 706 active RAD conversions (51 percent) involved planned rehabilitation, 89 (13 percent) new construction, and 256 (36 percent) no construction.", "HUD officials stated that they approve conversions that involve no immediate planned rehabilitation or new construction as long as the property has no immediate needs to be addressed. Such conversions allow PHAs to better position themselves to access additional capital to address future rehabilitation or construction plans.", "Our review of 31 conversion files also showed that the scope of proposed physical changes varied among RAD conversions. For properties that included scope of work narratives, physical changes included renovations to mitigate hazardous materials, aesthetic renovations, code and accessibility compliance, and construction of new buildings, among other changes.", "Financing for RAD conversions involved multiple public and private sources, but many conversions used LIHTC. Our analysis of HUD data showed that as of September 30, 2017, 173 of 689 closed RAD conversions (25 percent) utilized 4 percent LIHTC, 99 (14 percent) utilized 9-percent LIHTC, and 416 (60 percent) did not use LIHTC. By dollar amount, major financing sources were 4 percent LIHTC at $2.4 billion; new first mortgages at $1.8 billion; and 9 percent LIHTC at $1.1 billion.", "Construction costs constituted the highest-dollar use of financing for RAD conversions, but not all conversions incurred construction costs, as discussed earlier. On average, construction costs per closed conversion were $6.4 million (ranging from no construction costs to $236 million) and nearly $60,000 per-unit converted to RAD. Construction costs represented the highest-dollar use of financing for closed RAD conversions at $4.4 billion followed by building and land acquisition costs, and developer fees. For more information on financing sources and uses, see appendix II."], "subsections": []}, {"section_title": "Stakeholders Cited Various Factors Influencing Financing for RAD Conversions", "paragraphs": ["PHA officials and developers we interviewed cited various factors that influence financing sources needed for RAD conversions. For example, property needs assessments help establish the level of rehabilitation or new construction that would address the capital needs of the property. In turn, needs assessments can derive from physical assessment results and incorporate federal, state, or local compliance requirements. For instance, rehabilitation or construction would need to address the accessibility requirements of the Americans with Disabilities Act and local building codes, among other requirements.", "PHA officials and developers we interviewed also said they had to consider competition or access to financing for RAD conversions. For example, PHAs noted that tax credit applications and other financing had to be competitive. Some PHAs we interviewed also noted that while the 9 percent LIHTC provides more equity to finance low-income units (finances 70 percent of the costs of the units), there is more competition for the 9 percent LIHTC, while the 4 percent LIHTC can be automatically awarded for certain deals involving tax exempt bonds and federally subsidized projects. Thus, while some PHAs and developers might prefer to obtain 9 percent LIHTC, they often apply for 4 percent LIHTC to increase the chances of obtaining some tax credit equity. For example, one particular PHA that had used both 4 percent and 9 percent LIHTCs noted that in one transaction it had to compete against 74 applicants for 25 available awards of 9 percent credits."], "subsections": []}]}, {"section_title": "HUD\u2019s Metric for Financial Outcomes\u2014the RAD Leverage Ratio\u2014May Not Be Accurately Calculated, Partly because Final (Postcompletion) Financial Information Is Not Used", "paragraphs": [], "subsections": [{"section_title": "The RAD Leverage Ratio Does Not Reflect the Amount of Private-Sector Leveraging", "paragraphs": ["The RAD authorizing statute requires HUD to assess and publish findings regarding the amount of private capital leveraged as a result RAD conversions. A leverage ratio relates the dollars other sources provide to the dollars a program provides to an institution or a project. HUD uses various quantitative, qualitative, and processing and efficiency metrics to measure conversion outcomes. To meet the RAD statutory requirement, HUD published an overall RAD leverage ratio that has fluctuated between 19:1 and 9:1 since 2014. HUD\u2019s most recent leverage ratio in fiscal year 2017 was 19:1, nearly double what the agency reported the prior year. We asked HUD officials why the leverage ratio nearly doubled between 2016 and 2017 and received conflicting information during the course of our audit.", "Initially, officials noted that the ratio was intended to replicate the methodology used by PD&R in its September 2016 report.", "Subsequently, the officials clarified that they did not follow PD&R\u2019s methodology for categorizing financial source data. Specifically, officials did not review or make manual adjustments to the financial data PHAs entered in open source fields to ensure sources actually represented public, private, or other funding categories when calculating the leverage ratio.", "Finally, they noted that they disagreed with the methodology used in the PD&R September 2016 report and stated that there are various ways to calculate leverage. For the purposes of announcing the most recent leverage ratio in 2017, HUD officials decided that a leverage ratio comparing federally appropriated public housing resources would reflect the amount of financing leveraged had RAD not existed.", "We found, and officials from HUD acknowledged, three limitations to the RAD leverage calculation. First, HUD generally had data on funding sources and amounts a RAD conversion proposed to use (at the time of its application to HUD and at the time of closing of construction financing) rather than data after construction is completed on funding sources and amounts. HUD officials stated that they were reviewing final closing packages to confirm that the data reflect the latest reported information on sources and uses of funds for each conversion at closing. However, sources and uses of funds and amounts at the time the RAD conversion is closed may differ from amounts upon completion of construction. In October 2017, HUD implemented procedures to verify completion of planned construction activities and costs, which we discuss later in this report.", "Second, HUD\u2019s leverage ratio, published in 2017, did not manually adjust funding source data to accurately account for all sources in calculating the leverage ratio for RAD. Specifically, HUD did not isolate funding sources that were federally appropriated, contributed by the PHA, or contributed by state or local municipalities to calculate leverage. For example, among approximately $2 billion from other financial sources, HUD included Moving to Work (MTW) funding (which may include public housing capital funds, public housing operating funds, and voucher funds) and tax credit equity as leveraged sources. However, these are not necessarily private sources, which we explain later in this report. As a result, HUD\u2019s current calculation does not reflect the amount of private- sector leveraging. HUD calculated and published a RAD leverage ratio in May of 2017 using the following formula: Total leverage ratio = (total dollars from all sources \u2013 public housing dollars)", "To calculate the RAD leverage ratio, HUD uses some but not all financial source data it collects (see app. II for a list of data fields collected by HUD). For example, HUD mistakenly excluded data that capture private funds, reducing the amount of total sources in the numerator. HUD calculates \u201cpublic housing dollars\u201d by adding data that capture replacement factor funds, public housing operating reserve funds, and prior-year public housing capital funds. HUD considers tax credit equity, new first mortgages, and \u201cother funding\u201d data to be non-public housing dollars (see app. II for a list of fields in HUD\u2019s calculation). PHAs enter a description and amount for other funding sources in \u201cother funding\u201d data fields (see app. II). For example, a PHA may enter a federal financial source in one of the open-entry \u201cother funding\u201d data fields, requiring a manual adjustment to properly account for the financial source. According to HUD, additional fields were included in mid-2016 to better differentiate certain sources such as from the HOME Investment Partnerships Program (HOME) and seller take-back financing. Prior to this point, these financial sources were placed into \u201cother\u201d fields, and the standard resource desk report had not been updated until mid-2017 to include all of these fields.", "Third, HUD does not categorize and report its leveraging by private and public sources. According to HUD officials, informative leverage methodologies could calculate the ratio based on the leveraging of public housing program funds, the leveraging of all federally appropriated funds, or the leveraging of PHA funds (i.e., sources in the transaction that have come from the PHA itself even if not federally appropriated through the public housing program), among other methodologies. The RAD authorizing statute requires HUD to assess and publish findings on the amount of private-sector leveraging. In addition, Standards for Internal Control in the Federal Government require agencies to communicate quality information with external parties, such as other government entities, to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives.", "HUD also does not use final (postcompletion) funding data in another metric of RAD leveraging. Specifically, in June 2017 HUD publicly reported that RAD \u201chas leveraged more than $4 billion in capital investment in order to make critical repairs and improvements.\u201d HUD calculates this figure by summing the construction costs\u2014a subcomponent of total costs\u2014with data from the time a conversion closes and not upon completion of construction. HUD officials we spoke with clarified that this metric solely reports construction investments and does not reflect any conclusion regarding private leverage of public funds. But, HUD publically characterized this measure in different ways, including as the amount of \u201cpublic-private investment in distressed public housing,\u201d the amount of \u201cconstruction achieved under RAD,\u201d and the amount of \u201cnew private and public funds leveraged by RAD.\u201d", "HUD\u2019s 2016 interim report calculated and published multiple leverage ratios, but chose to highlight a RAD leverage ratio that is consistent with ratios used for other HUD programs. However, the ratio does not specifically follow the prescribed ratio language in the authorizing statute because the report states that the ratio represents the amount of private and public external sources invested for every dollar invested by PHAs but the statutory language only discusses private-sector leveraging. Officials further noted that the statute does not require a particular methodology and HUD relies on PD&R\u2014and its independent contractor\u2014 to determine the appropriate methodology for purposes of compliance with the statute. Lastly, the statute does not preclude the use of other leverage metrics for other purposes, such as using the ratio to measure the amount of nonpublic housing funds leveraged in RAD transactions that would not be available to the property absent RAD. As a result, HUD\u2019s leverage metrics announced in May 2017 do not accurately reflect the amount of private-sector leveraging achieved through RAD, do include public funding as private sources, and inconsistently measured sources that were federally appropriated or contributed by PHAs, potentially under- or over-reporting the program\u2019s performance. Additionally, in October 2017, HUD began implementing procedures to collect data after construction is completed and is not yet able to calculate a leverage metric using final (postcompletion) financial sources rather than the financial sources collected at closing. The lack of a consistent metric for private leveraging could also lead to inconsistent reporting of the leverage ratio, as has occurred in prior years."], "subsections": []}, {"section_title": "Recalculations, Including of Funding Sources, Can Increase Accuracy of the RAD Leverage Ratio", "paragraphs": ["We recalculated RAD leverage ratios in a number of different ways, including to correct errors we identified during our review. For example, HUD\u2019s 2016 interim report noted that data on closed transactions do not provide detailed description of \u201cother sources,\u201d requiring a crosswalk between applications and closed transactions to develop estimates for the allocation of \u201cother sources\u201d across financial source categories. Abbreviated descriptions are provided in the form of notes that are not always clear and consistent; therefore public housing sources may include federally appropriated sources, as well state, city, or county sources. Through our estimates, we found that the overall leverage ratio could range from 7.44:1 for a ratio recalculating HUD\u2019s leverage ratio to 1.23:1 for a ratio estimating private-sector leveraging.", "Recalculation with HUD methodology and financial source recategorization. As discussed previously, HUD\u2019s methodology does not account for all financial data collected by HUD and includes \u201cother\u201d funding sources erroneously considered as leveraged funds. Thus, we manually adjusted RAD funding source data and found that nearly $1.2 billion were erroneously considered leveraged funds because they are not private funds. For example, HUD included MTW funds; public housing operating reserves; public housing capital funds; replacement housing factor funds; other federal funds; other state, local, or county funds; and take-back financing funds as leveraged financial sources. For more information, see appendix II.", "We obtained documentation from HUD to replicate their methodology and recategorized financial sources that corrected errors in the data, and found that the RAD leverage ratio was less than half of HUD\u2019s most recently publicly reported leverage ratio (19:1), approximately 7.44:1 (see app. II).", "Recalculation to exclude LIHTC and other federal sources. We previously reported that LIHTCs are considered a federal source because tax credit equity represents foregone federal tax revenue and, therefore, are a direct cost to the government. Accordingly, we recalculated the RAD leverage ratio by excluding all federal funding sources and obtained a ratio of approximately 1.43:1 (see app. II).", "Recalculation of private-sector leveraging. Lastly, the RAD authorizing statute requires HUD to assess and publish findings on the amount of private-sector leveraging, but HUD\u2019s current calculation does not present the amount of private-sector leveraging and does not include all available data (for example, the \u201cOther Private\u201d funds collected by HUD). We estimated the amount of private-sector leveraging by grouping public housing sources, other public sources, and private sources, resulting in a leverage ratio of approximately 1.23:1 (see app. II)."], "subsections": []}]}, {"section_title": "HUD Implemented Procedures to Verify Completion of Planned Construction Activities and Costs in October 2017, but Does Not Collect Final Comprehensive Financial Data", "paragraphs": ["In October 2017, HUD implemented procedures to certify completion after developers finish RAD-approved rehabilitation or construction. Previously, HUD had a limited ability to monitor and evaluate final (postcompletion) physical and financial changes in RAD projects with existing data. According to HUD officials, HUD did not implement completion certification procedures before October 2017 because it had been addressing what it considered to be the highest risks first (such as clarifying requirements for RAD participants, resident safeguards, and other procedural and administrative requirements).", "HUD\u2019s October 2017 completion certification procedures include instructions for owners to report final construction costs and documentation on completion of repairs or construction within 45 days of the completion date recorded in the RAD Conversion Commitment. More specifically, HUD requires owners to list a final construction cost amount\u2014a subcomponent of total costs\u2014in the RAD resource desk, describe variances from the approved construction cost amount in a comment box, and describe how increases in costs were addressed. Additionally, a third-party must certify that the repairs in the scope of work were completed by providing an attestation to HUD.", "However, HUD\u2019s procedures do not require documentation from the owners to support the final total cost figures, which include not only construction costs but also building and land acquisition costs, and developer fees, among others as noted earlier in this report. These procedures also do not require a certification from owners on all financing sources and costs recorded in the RAD Conversion Commitment.", "Standards for Internal Control in the Federal Government require that management implement control activities through documented policies and procedures to provide reasonable assurance that the objectives of the agency will be achieved, and also communicate quality information with external parties to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives.", "While HUD now has certification completion procedures in place, this process provides the agency limited financial information from owners. As a result, HUD is unable to report metrics that reflect final (postcompletion) RAD financial outcomes after construction is completed. Furthermore, HUD is limited in its ability to effectively oversee conversion budget and cost variances, and expenditures that require HUD approval. Lastly, the RAD authorizing statute requires that the Secretary of HUD demonstrate the feasibility of the RAD conversion model to recapitalize and operate public housing properties under various situations and by leveraging other sources of funding to recapitalize properties. Without metrics that reflect the final (postcompletion) financial outcomes of RAD after construction is completed, HUD and congressional decisionmakers are unable to make informed decisions concerning the RAD program."], "subsections": []}]}, {"section_title": "HUD Has Not Systematically Analyzed Household- Level Data on Residents in RAD Conversions or Monitored Implementation of Some Resident Safeguards", "paragraphs": ["HUD has not systematically tracked or analyzed household data on residents in RAD-converted units that are available from its public housing or Section 8 databases or from PHAs or other postconversion owners\u2014the main sources of resident data for the RAD program. In addition, HUD has not yet developed monitoring procedures for all the resident safeguards in the RAD program. Finally, residents told us of some concerns about information they received on RAD conversions, communications opportunities, and the relocation process."], "subsections": [{"section_title": "HUD Has Not Systematically Analyzed Household-Level Data on the Effects of RAD Conversion on Residents", "paragraphs": ["HUD officials told us that the agency does not systematically track or analyze household-level data on residents in RAD-converted units across existing program databases (HUD maintains household data for the public housing and Section 8 rental assistance programs in two databases). In particular, HUD does not track changes in household characteristics before and after conversion, such as changes in rent, as well as relocations or displacement of individual households.", "However, according to HUD officials, their databases are not designed to track the impact of RAD conversion on residents and they are unable to electronically link household information submitted before RAD conversion to information submitted after conversion. Once a property is converted, the property and corresponding household information are removed from the public housing database. Owners of converted properties are to use software to manually enter household information into the databases for the Section 8 program when submitting tenant certifications and information for assistance payments. This procedure is the standard for administration of all project-based Section 8 properties. HUD officials stated that they have explored the possibility of transferring household data from one system to another at the time of a property\u2019s conversion.", "While HUD has not systematically analyzed household information from its public housing and Section 8 databases, we were able to perform a limited analysis. We requested and received data from HUD on the households affected by RAD. Using the data provided that were current as of June 2017, we were able to identify about 26,000 households that lived in units that were converted to a PBV subsidy, but we were unable to identify the total number of households converted to a PBRA subsidy. Based on our analysis of 26,000 PBV households, we found about 2,700 (about 11 percent of) households were headed by an about 6,800 (about 26 percent of) households were headed by an individual with a disability; about 2,700 households (about 10 percent of) households were headed by an elderly person who also had a disability; over half (about 14,000 or 54 percent) of the households were headed by an individual identified as black; close to 11,000 households (about 41 percent) were identified as white; and about 1,000 households (about 4 percent) were identified as Asian. Close to 3,100 households (about 12 percent) were headed by an individual identified as Hispanic; about half (about 49 percent) of the PBV households were single- person households; the median annual income of PBV households both before and after RAD conversion was about $10,000; and about 5,300 (about 20 percent) of households were paying a flat rent rather than income-based rent before RAD conversion.", "However, the data on PBV households were not comprehensive. For example, while about 10,000 residents (about 57 percent) experienced a rent increase following RAD conversion under PBV, we could not determine if the rent increase was the result of an increase in resident income. We also could not determine changes in location among the PBV households following RAD conversion.", "Rather than relying on the public housing and Section 8 databases for tracking household information during conversion, HUD officials indicated that the agency will rely on locally maintained resident logs, which contain household information collected by property owners, as the starting point when HUD determines a compliance review is warranted. The logs will be the primary way the agency collects household information for compliance reviews under the RAD program, according to HUD officials. In November 2016, HUD issued a notice, which requires the PHA or other postconversion owner to maintain a log about every household at a converting project, including information on race and ethnicity, household size, and disability. The notice also requires owners to track residence status throughout the relocation process, including whether the resident has returned, moved elsewhere, was permanently relocated or evicted; relocation dates; and details on any temporary housing and moving assistance provided. Owners are required to make the information available to HUD upon request for audits and other purposes. According to HUD officials, the agency expects the information in the resident logs to be more robust than what they would collect through the public housing and Section 8 databases, which do not track residents while they are relocated.", "HUD officials stated that the agency plans to review selected resident logs as part of an ongoing limited compliance review of about 90 RAD conversion projects. HUD officials told us they are developing procedures for performing compliance reviews\u2014such as developing a mechanism to review a sample of logs on a periodic basis\u2014but they have not yet done so because they have been focusing on developing procedures for activities that present a high risk to the program as described in the following section. HUD has not established a time frame for developing these procedures. However, HUD officials indicated that they plan to select resident logs for review based on risk of noncompliance and do not plan to analyze program-wide information currently collected in the public housing and Section 8 databases for program monitoring. HUD officials also noted that that PD&R is planning to track a sample of residents through its evaluation of the program, which we previously mentioned.", "While HUD has decided to rely on resident logs because of the difficulty of tracking household information across its program databases, using resident logs to assess the effects of the RAD program on residents has limitations. While the resident logs would contain detailed household information, they were not required prior to November 2016 and may not contain information on households converted before that date (RAD conversions started in 2013). HUD\u2019s public housing and Section 8 databases contain information on such households. Second, as previously mentioned, HUD plans to review resident logs only when there is a risk of noncompliance, but they collect household information in their databases on a rolling basis. Standards for Internal Control in the Federal Government require agencies to use quality information to achieve their objectives, and obtain and evaluate relevant and reliable data in a timely manner for use in effective monitoring.", "Without a comprehensive review of household information\u2014one based on information in HUD data systems as well as resident logs\u2014HUD cannot reasonably assess the effects of ongoing and completed RAD conversions on residents and compliance with resident safeguards, as discussed in the next section."], "subsections": []}, {"section_title": "HUD Has Been Developing Procedures to Monitor Some RAD Resident Safeguards", "paragraphs": ["HUD has not yet developed monitoring procedures for certain resident safeguards under the RAD program. RAD requirements include those intended to ensure that residents whose units are converted through RAD are informed about the conversion process; can continue to live in a converted property following RAD conversion; are afforded certain protections carried over from the public housing are afforded a phase-in of any rent increases under Section 8 program requirements.", "Currently, based on HUD notice requirements, PHAs must document compliance with three safeguards (PHA plan amendments, resident notification, and procedural rights) in their RAD application and other conversion paperwork. For example, PHAs must submit comprehensive written responses to resident comments received in connection with the required resident meetings with their RAD application. For one safeguard, PHAs are not required to report to HUD but must retain documentation of compliance to be made available to HUD as part of the monitoring for the program. For others, the HUD notice does not specify reporting and monitoring requirements.", "Based on our review of files for selected conversions, which we previously discussed, we found PHAs generally submitted documentation of their efforts to inform residents about RAD conversion, such as providing evidence to HUD of meetings with residents and written responses to resident questions as required. However, the specific documents for these requirements were not available from HUD in all cases. HUD\u2019s review of amendments to PHA plans was documented in all but one of the conversions we reviewed. Documentation requirements for resident relocations have changed since RAD was introduced, which made the documentation more difficult to assess.", "HUD developed and started implementing procedures in October 2017 that require owners to certify and provide data supporting compliance with the resident right-to-return requirements. For example, owners must certify the number of residents who exercised their right to return to a converted property compared with the number of residents who did not return. HUD is also developing standard operating procedures to review each conversion for compliance with RAD relocation provisions. Specifically, the procedures would describe the review steps required at different stages of the conversion process, a process for identifying risks, and how to address instances of noncompliance with RAD requirements. Additionally, HUD noted that they have 2 compliance reviews under way including 1 involving a set of HUD requirements that affect relocations of more than 1 year and the limited compliance review of 90 projects that we previously described.", "HUD officials noted that they are developing additional guidance in other areas. First, HUD officials indicated that as part of an overall update of RAD standard operating procedures, they are developing additional protocols on resident notification and how residents\u2019 comments are addressed through conversion planning. Second, the agency had not been consistently collecting required documentation on \u201chouse rules,\u201d which describe the conditions and procedures for evicting residents and terminating assistance at RAD PBRA properties, so it has developed and implemented additional legal review procedures as part of the implementation of RAD resident eviction and grievance procedural rights requirements. According to HUD officials, they have been focusing primarily on right-to-return and relocation requirements because they represent areas of highest risk.", "HUD has not developed separate monitoring procedures for other resident safeguards\u2014the phase-in of tenant rent increases, resident representation through tenant organizations, and choice mobility requirements. However, HUD officials told us that they plan to assess how administrative data can be used to monitor choice mobility as part of the planning for a separate PD&R evaluation of this safeguard. HUD officials also indicated that there are procedures for residents to report complaints to HUD if resident representation and organization requirements are not met. Standards for Internal Control in the Federal Government require agencies to implement control activities through documented policies and procedures to provide reasonable assurance that agency objectives will be achieved. These standards also require agencies to design procedures to achieve goals and objectives, and identify, analyze, and respond to risks related to achieving the defined objectives. Table 1 includes a description and information on implementation of resident safeguards that most directly affect residents\u2019 experience with the conversion process and ability to live at the property following conversion. Appendix III describes these and other RAD resident safeguards.", "HUD officials indicated that the safeguards for the phase-in of tenant rent increases, resident representation, procedural rights, and choice mobility presented a lower risk than the right-to-return requirements, so they were a lower priority, and in some cases were addressed through general monitoring of the Section 8 program. For choice mobility options, HUD indicated that its data systems are not designed to track whether residents are able to exercise these options, such as tracking whether residents left a property to exercise choice mobility or for other reasons.", "All but two of the resident safeguards do not take effect until after a property has been converted and is part of the Section 8 program. For example, residents are only eligible to use vouchers through choice mobility after they have lived in the converted property for 1 or 2 years depending on the assistance contract involved (PBV or PBRA). Moreover, certain RAD safeguards are not typically available for Section 8 residents. For example, RAD establishes resident representation provisions and procedural rights that are more in line with public housing rather than Section 8 requirements. While HUD has indicated that the Section 8 program has experience administering different types of assistance contracts, RAD nonetheless creates separate requirements for certain provisions from the public housing and Section 8 programs.", "As previously mentioned, RAD conversions have been completed at an increasing pace in the last 5 years. However, because HUD has not yet developed separate monitoring procedures for certain requirements\u2014the phase-in of tenant rent increases, resident representation through tenant organizations, and choice mobility requirements, many of which take effect after a conversion\u2014and without using all available household data, the agency will not be able to reasonably ensure that these safeguards were implemented."], "subsections": []}, {"section_title": "Residents Described Mixed Experiences during the RAD Conversion Process", "paragraphs": ["Residents who participated in our focus groups expressed some concerns about information they received on RAD conversions, communications opportunities, and the relocation process. Residents indicated that they were notified about RAD conversion in a variety of ways. Residents in 5 of 14 focus groups found the information presented to them on RAD to be helpful. Residents in 7 of 14 focus groups indicated that the information they received was not helpful. Across these focus groups, a range of concerns was expressed, including that the information provided was not always clear or reflective of the final changes resulting from RAD conversion, and that the PHA and management were not always forthcoming with information about the RAD changes.", "Residents in some focus groups also indicated that they were not involved in the RAD conversion. Residents in 5 of 14 groups indicated that they were not given the opportunity to provide input into the RAD changes, while residents in 6 of 14 groups indicated that their concerns were not addressed and their suggestions were not incorporated.", "Residents also described problems with relocations. Some of the concerns expressed by resident focus groups on relocation related to the location of the temporary units (3 of 14 focus groups), the timing of relocation or amount of notice given (7 of 14 focus groups), and moving issues (such as items damaged during moves).", "Residents were asked to describe ways in which RAD conversion improved or harmed their living conditions. Residents in several focus groups indicated that RAD improved their living conditions, including both the condition (7 of 14 focus groups) and appearance of their units or the property in which they lived (6 of 14 focus groups). Some of the changes residents liked included the installation of new appliances, mold and pest removal, and safety and energy efficiency improvements. However, residents in several of the focus groups identified problems with their living conditions following RAD conversion. The problems residents identified included security concerns (10 of 14 focus groups); renovations that were of poor quality (6 of 14 focus groups); and other problems with the units (10 of 14 focus groups), such as pest problems; decreased amenities (8 of 14 focus groups), such as the removal of common areas or in-unit washing machines; and issues with property management (11 of 14 focus groups). For example, in several instances, residents stated that new managers or owners in place following RAD conversion were not responsive to their needs or concerns.", "During our site visits, residents described other experiences with RAD conversion. Residents in all of the groups identified being notified about RAD. Residents in 9 of 14 focus groups indicated that their rent was the same following RAD conversion. Residents in a few focus groups indicated that their rent had increased because of changes in their income or conversion from a flat rent. However, residents in a few focus groups experienced challenges in how their income was certified for the purpose of calculating rents, such as problems with requests for information (2 of 14 focus groups) and other issues with the process (4 of 14 focus groups). For example, residents reported having to provide the same paperwork multiple times. No instances in which residents were permanently involuntarily displaced were reported. One resident organization expressed concerns about fewer eviction protections and resident representation after RAD conversion."], "subsections": []}]}, {"section_title": "PHAs Identified Benefits and Challenges of RAD Participation", "paragraphs": ["We spoke with 18 PHAs, some of which cited benefits as well as several challenges of RAD participation and some noted HUD responsiveness to their circumstances and concerns. According to many of the PHAs we spoke with, benefits of participating in the RAD program included reducing administrative requirements in Section 8 programs and opening avenues for additional sources of funding. In particular, many of the PHAs noted that RAD allowed them to access tax credit equity and other funding to complete the bulk of their repairs and renovations at once. Over half of the PHAs we spoke with also found HUD to be flexible and responsive to individual PHA circumstances. The majority of PHAs we spoke with indicated that remaining in the public housing program was not tenable because funding for the public housing program was not enough to meet their long-term capital needs.", "PHAs we contacted also noted several challenges of participating in RAD: financing constraints, timing challenges, and evolving requirements.", "Financing constraints. Some PHAs noted that program rent requirements can limit PHA participation in RAD. Each year, HUD calculates a contract rent\u2014the total rent for a unit, including operating subsidy and resident contribution. PHAs must use the contract rent to calculate Section 8 subsidies for properties converting under RAD. According to HUD and several PHAs, contract rents for RAD-converted Section 8 units are lower than rents in traditional Section 8 assisted units, and are almost always lower than market-rate rents. Several PHAs and HUD officials have described the difficulty of converting units from the public housing program with this rent limitation. For example, when the cost of needed rehabilitation or construction is high, low allowable contract rents might not be sufficient to access appropriate capital for the conversion.", "In certain localities, PHAs have found solutions to augment rents and have used RAD flexibilities to allow them to convert and plan for operating expenses. For example, the PHA in Tacoma, Washington, used the Moving to Work program flexibilities to increase contract rents and housing officials in San Francisco used an allowable procedure to transfer RAD assistance from converted buildings to properties throughout its portfolio (each is a blend of traditional project-based vouchers with higher contract rents and RAD assistance). In Montgomery County, Maryland, the PHA similarly included RAD assistance in some mixed-finance properties that contain other high-rent subsidies and market-rate rents.", "Timing challenges. Some PHAs said they faced major challenges in coordinating RAD timelines with HUD, lenders, or other parties or with the requirements of the LIHTC process. HUD officials acknowledged that PHAs with more complex transactions, including those involved in the LIHTC process, struggle to implement their conversion plans within RAD time frames. HUD officials noted that because there is a statutory cap on the number of units that can be converted under RAD, they have established time frames to stay under the cap and ensure that PHAs that are planning to convert are ready to participate in the program.", "Additionally, according to HUD, it has made technical assistance available to all PHAs that receive a Commitment to enter into a Housing Assistance Payment contract during the RAD process to help ensure their readiness for RAD closing and to meet remaining conversion deadlines.", "On the other hand, some PHAs expressed concern to us about delays in the conversion process that put them at risk for missing state LIHTC deadlines. HUD officials described putting conversions on a fast-track on a case-by-case basis to meet LIHTC deadlines. For example, in one case a PHA relocated residents before closing and without HUD approval. HUD required the PHA to fund an escrow account until it was able to determine any payments that might need to be made to residents and any other necessary corrective action. This was done so that HUD could look into the issue while mitigating additional harm to the residents and continuing to move the PHA toward closing and aligned with tax credit application deadlines.", "The timing of conversion can also create gaps in the payment of Section 8 funds to PHAs. Section 8 funding should begin in January of the year following conversion. PHAs rely on annual public housing subsidies for the conversion year\u2014public housing program funds are paid to PHAs annually and are not recaptured by HUD following RAD conversion. However, according to some PHAs we interviewed, Section 8 funding did not begin on time. For example, in Baltimore, Maryland, subsidy flow after conversion had not begun as of June of the following year. HUD officials told us inadequate guidance from HUD and confusion from PHAs regarding the necessary steps to request payment in a timely manner have been the major cause of the problems. HUD has tried to remedy delays and updated its notice to provide clearer guidance on the timing of subsidy flow around the time of conversion to Section 8. Moreover, HUD officials indicated that there has been confusion among PHAs on how to request funds, so HUD is currently revising and updating the guidance on steps PHAs must take to request payment under the PBRA program. HUD officials also indicated that it has begun monitoring whether new participants are taking the steps needed well before their first request for funding.", "Some PHAs we contacted also mentioned difficulty in coordinating with HUD on fulfilling internal RAD requirements and reviews. According to some, the different offices involved in RAD conversions within HUD were not well aligned and had different interpretations of the rules. For example, some RAD conversions require a civil rights review by HUD\u2019s Office of Fair Housing and Equal Opportunity Office, including those transactions that require new construction or resident relocations. Some PHAs indicated that such reviews occurred too late in the conversion process even after other HUD offices had approved the conversion. HUD officials acknowledge that different HUD offices have different objectives in the RAD process. HUD officials indicated that the agency is trying to coordinate more effectively among these offices and streamline the conversion process as much as possible.", "Evolving requirements. While the majority of PHAs with which we spoke said that HUD provided clear, sufficient, and timely information, some PHAs noted that it also was challenging to adapt to evolving requirements.", "Some PHAs noted that as HUD identified problems in the early years of the program, it would change the guidance in response. For example, HUD officials explained that it had clarified fair housing review requirements in response to PHA concerns that the fair housing review occurred too late in the process and could affect successful conversion of projects. The most recent RAD notice (effective January 2017) is the third version since 2013 and revisions have involved substantial changes. For example, this notice provided PHAs with greater flexibilities on the funding sources they can use to raise initial contract rents and the ways they can demonstrate ownership and control of a converted property. In addition, HUD introduced a notice in November 2016 to strengthen resident protections.", "Some PHAs told us they found the pace or timing of the evolving requirements difficult to manage and also noted confusion about conversion instructions and guidance due to changing requirements. For example, one PHA indicated that the agency had problems reporting information into a new RAD data field in HUD\u2019s Voucher Management System because there was no guidance at the time on how to complete this field. However, HUD has since included additional instructions in the user\u2019s manual that became effective in April 2017."], "subsections": []}, {"section_title": "Strength of Protections Intended to Preserve Affordability Is Unknown and HUD Does Not Have Procedures to Address Preservation Risks", "paragraphs": [], "subsections": [{"section_title": "RAD Provisions and Use Agreements Have Not Been Tested", "paragraphs": ["The Committee has included language to establish procedures that will ensure that public housing remains a public asset in the that event that the project experiences problems, such as default or foreclosure.", "In each RAD conversion, HUD and the property owner execute a use agreement, which specifies affordability and use restrictions for the property. The use agreement generally exists concurrently with the HAP contract, which is executed to govern the provision of either the PBRA or PBV subsidy for the unit. The use agreement must be recorded in a superior position to new or existing financing or other encumbrances on the converted property. Under a Section 8 HAP contract, residents pay 30 percent of adjusted household income. In the absence of the HAP contract, the use agreement is set up to control the amount paid: If the HAP contract is removed due to breach, noncompliance, or insufficiency of appropriations, under the use agreement new households in all units previously covered under the HAP contract must have incomes at or below 80 percent of the area median income for households of the size occupying an appropriately sized unit for their family size at the time of admission, and rents may not exceed 30 percent of 80 percent of area median income for the remainder of the term of the use agreement.", "For new residents at or below 80 percent of the area median income, under the use agreement the resident rent contribution without a HAP contract generally would be higher than that paid under a HAP contract, which is based on household income instead of the universally determined area median income.", "Although the use agreement maintains some level of affordability, the owner receives no subsidy under PBRA or PBV without a HAP contract and resident rent contribution is not tied to individual household income but rather based on a universal area income calculation (see fig. 3).", "According to HUD officials, other program requirements support the goal of long-term preservation:", "HAP contracts are executed for 20 years for PBRA or 15\u201320 years for PBV properties and compliance with all affordability requirements in the HAP and statute and regulation governing the PBRA and PBV programs must be maintained while the contract is in force.", "According to the authorizing statute, PHAs (for PBV contracts) and HUD (for PBRA contracts) shall offer and project owners shall accept a renewal contract at the expiration of the initial HAP contract and at each subsequent renewal. Each renewal contract will be subject to a RAD use agreement, governing the use of the property consistent with HUD requirements.", "According to the RAD notice, the project owner also is to establish and maintain a replacement reserve to aid in funding extraordinary maintenance and repair and replacement of capital items. The reserve account must be built up to and maintained at a level determined by HUD to be sufficient to meet projected requirements. According to HUD officials, during the conversion, HUD staff review each capital needs assessment to try to determine whether a property\u2019s capital needs can be addressed over the forthcoming 20-year period.", "We reviewed 31 completed conversion files, the set of documentation required by HUD to enable a PHA to convert units from public housing to a Section 8 subsidy, and associated RAD contracts. In each file, key contractual protections appeared consistent with program requirements. Specifically, in all cases executed use agreements (which included requirements to limit residency eligibility to households making less than 80 percent of area median income) were included and not altered from the HUD template. In most files we reviewed, we found foreclosure riders were included and that they stated that use agreements would survive foreclosure, meaning that any new owners would take ownership subject to the agreements. Executed HAP contracts, requiring that residents\u2019 contributions be set at 30 percent of adjusted household income, also were present in all files we reviewed.", "According to HUD officials, PHAs, and two housing groups we spoke with, provisions in the RAD use agreement to keep units affordable appear to be strong, with use and affordability protections designed to survive foreclosure, but the strength of provisions cannot yet be fully determined because the provisions have not yet been tested in foreclosure proceedings or in courts. According to HUD officials, as of October 2017 no RAD properties had entered foreclosure.", "The RAD authorizing statute requires that ownership be transferred to a capable public entity or, if not one, a capable entity as determined by HUD, or if necessary to fulfill LIHTC requirements for the property, to a HUD-approved for-profit entity (provided the PHA retained sufficient interest in the property). HUD also subjects any subsequent transfer of the property to HUD review and requires the successor ownership to meet these same requirements. As stated in the use agreement, a lien holder must give HUD notice prior to declaring a default and provide HUD concurrent notice with any written filing of foreclosure (providing that the foreclosure sale must not be sooner than 60 days after the notice), but the use agreement does not prohibit a lien holder from foreclosing on the lien or accepting a deed in lieu of foreclosure. The RAD use agreement, which is recorded superior to other liens and places use and affordability restrictions on the property, survives foreclosure. With or without a HAP contract in place, the lender or new owner must maintain the units for low- income households according to the terms of the use agreement. Therefore, according to HUD officials, the lender or new owner has an incentive to identify an appropriate owner and secure HUD approval to avoid a default under the HAP contract, which provides a Section 8 subsidy to the owner. That is, if no HAP contract were in place, the owner would collect only the tenant rent contribution (30 percent of 80 percent of area median income), rather than the tenant rent contribution plus the subsidy.", "HUD has discretion to enforce or waive certain use and affordability protections.", "According to the authorizing statute, in the case of foreclosure, bankruptcy, or termination and transfer of assistance for material violation or substantial default, the priority for ownership or control must be provided to a capable public entity, or, if no such entity can be found, to a capable entity as determined by the Secretary of HUD.", "Additionally, the statute allows the transfer of property to for-profit entities to facilitate the use of LIHTC financing, with requirements to maintain the PHA\u2019s interest, which was discussed above. As of September 30, 2017, about 40 percent of RAD conversions involved LIHTC financing.", "According to the RAD notice, in the event of a default of a property\u2019s use agreement or HAP contract, HUD may terminate the HAP contract and transfer assistance to another location to retain affordable units. HUD will determine the appropriate location and owner entity for the transferred assistance consistent with statutory goals and requirements for RAD.", "The RAD use agreement will remain in effect even in the case of abatement or termination of the HAP contract for the term the contract would have run, unless HUD agreed differently in writing. In this case, the RAD notice limits HUD discretion to terminate the use agreement to only cases involving a transfer of assistance to another property."], "subsections": []}, {"section_title": "HUD Does Not Have Procedures in Place to Identify and Respond to Preservation Risks", "paragraphs": ["HUD has not yet developed procedures to monitor RAD projects for risks to long-term affordability of units, including default or foreclosure. HUD officials described an ongoing effort to develop oversight procedures it would need to reasonably ensure compliance with RAD agreements and avoid risks to long-term affordability once conversions closed and units moved to Section 8 but, as previously discussed, the agency has not yet completed this effort or fully implemented a monitoring system.", "HUD officials told us they also planned to develop protocols to more closely monitor properties at risk of foreclosure, including developing indicators, procedures, roles, and responsibilities within HUD, but they have not finalized the design of procedures or fully implemented them. To develop protocols, HUD created an asset management working group in September 2016. The officials also stressed that no one can take possession of or foreclose on a property without HUD involvement and approval. For example, HUD officials said they expect few foreclosures among RAD-converted properties because lenders tend to communicate with the agency early so that it can become involved to prevent foreclosure. HUD officials pointed to a robust structure to oversee program properties in the PBRA program, but stated PBV property oversight continues to be developed by the Office of Public and Indian Housing.", "According to Standards for Internal Control in the Federal Government, agencies should design procedures to achieve goals and objectives, such as the preservation of unit affordability, and respond to risks, in this case the risk of default or foreclosure or noncompliance with program requirements. Additionally, management should identify, analyze, and respond to risks related to achieving its goals and objectives. According to HUD officials, the agency had not yet fully developed and implemented oversight procedures for postconversion monitoring because since 2012, the agency has focused on RAD start-up and review and oversight procedures for the conversion process. HUD officials also said that many projects would receive ongoing monitoring from other parties, which also could serve as a safeguard for unit affordability and help ensure the appropriate financial and physical condition of the property after RAD conversion. For example, just under half of all RAD properties use LIHTC financing as part of financing packages, which can also include local and state bonds. According to HUD officials, oversight by tax credit allocating agencies, investors, and lenders, while not alone sufficient, helps secure affordable units in a property for the long-term. However, tax credit allocating agencies, investors, and lenders are not signatories to the HAP contract or use agreement and have no formal role in reasonably ensuring that properties meet requirements exclusive to RAD.", "Although other entities may exercise some oversight of properties, by not developing and implementing procedures for ongoing oversight, HUD in its role as program administrator will not be able to reasonably ensure that properties adhere to requirements or meet basic program goals. Furthermore, without such monitoring HUD would be limited in its ability to identify and assist with properties at risk of foreclosure."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["RAD was created to demonstrate the feasibility of converting public housing units to other rental assistance programs to help preserve affordable rental units and address the significant backlog of capital needs in the public housing program. However, demonstrating the feasibility of RAD conversion is contingent on collecting and assessing quality information about the conversion projects. HUD has an opportunity to improve the demonstration\u2019s metrics. For instance, implementing robust postclosing oversight and collecting information on financial outcomes upon completion of construction would not only improve HUD\u2019s oversight capabilities but also allow it to report quality information. Moreover, limitations in HUD\u2019s methodology for calculating leverage ratios for RAD may obscure the effect of funding sources used to help fund RAD conversions, potentially under- or over-reporting the program\u2019s capital leveraging. By collecting comprehensive information on final (postcompletion) financing sources and costs and developing quality metrics, HUD would be better positioned to more accurately report the results of the demonstration program.", "Additionally, a focus on the conversion process itself (and less on its results), and limitations in HUD\u2019s data have contributed to limited monitoring by HUD in other areas. Specifically, by not developing and implementing monitoring procedures to assess the effect of RAD on residents HUD cannot ensure compliance with resident safeguards. Further, HUD collects and maintains household data for the public housing and Section 8 programs, yet it does not systematically use this information to ensure that resident safeguards are in place. Finally, HUD could benefit from additional procedures to assess RAD properties for risks to long-term preservation to be able to respond to property default or foreclosure."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to HUD: HUD\u2019s Assistant Secretary for Housing should include provisions in its postclosing monitoring procedures to collect comprehensive high quality data on financial outcomes upon completion of construction, which could include requiring third-party certification of and collecting supporting documentation for all financing sources and costs. (Recommendation 1)", "HUD\u2019s Assistant Secretary for Housing should improve the accuracy of RAD leverage metrics\u2014such as better selecting inputs to the leverage ratio calculation and clearly identifying what the leverage ratio measures\u2014and calculate a private-sector leverage ratio. (Recommendation 2)", "HUD\u2019s Assistant Secretary for Housing should prioritize the development and implementation of monitoring procedures to ensure that resident safeguards are implemented. (Recommendation 3)", "HUD\u2019s Assistant Secretary for Housing should determine how it can use available program-wide data from public housing and Section 8 databases, in addition to resident logs, for analysis of the use and enforcement of RAD resident protections. (Recommendation 4)", "HUD\u2019s Assistant Secretary for Housing should prioritize the development and implementation of procedures to assess risks to the preservation of unit affordability. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HUD for comment. HUD provided written comments on the draft report, which are summarized below and reproduced in appendix IV. HUD also provided technical comments, which we incorporated as appropriate.", "In its comment letter, HUD stated that it agreed with our findings that HUD can improve metrics used to assess program impact and build on existing oversight structures. HUD described actions it intends to take to implement our recommendations to the extent possible and consistent with resource limitations.", "More specifically, HUD agreed with our first recommendation to ensure it collects comprehensive quality data on financial outcomes in its postclosing monitoring procedures (which could include supporting documentation for all financing sources and costs). HUD agreed it should routinely collect an updated list of funding sources and uses and related documentation when projects had cost overruns or other significant changes. HUD intends to review and revise, as appropriate, required postcompletion certifications. HUD added that in most cases, funding sources and uses do not materially change between closing and construction completion. HUD stated that securing the postclosing information in such cases might be of minimal benefit relative to the additional reporting burden. However, it is not clear how HUD would determine if projects had significant changes in costs or uses because HUD lacks postcompletion information that would show the magnitude of changes. In relation to reporting burden, HUD already has implemented procedures to collect limited financial information following the completion of construction in October 2017. We believe any additional reporting would not be disproportionate to the benefits of improving HUD's oversight capabilities through project completion and enhancing its reporting to more accurately reflect the results of the demonstration program.", "For our second recommendation to improve the accuracy of RAD leverage metrics and calculate a private-sector leverage ratio, HUD agreed that RAD leverage metrics can be improved. HUD will ensure that the private-sector leverage ratio required by statute is clearly identified and included in its RAD evaluation. HUD also intends to identify a small number of relevant leverage ratios with distinct methodologies and will routinely publish these ratios with clear identification and explanations. In relation to our finding of misidentified funding sources, HUD plans to re- examine its chart of accounts and review prior transaction records to address errors and properly classify transaction sources.", "In response to our third recommendation to prioritize the development and implementation of monitoring procedures for resident safeguards, HUD agreed that it is important to better document and expedite development and implementation of monitoring procedures. HUD also agreed that additional monitoring was needed to ensure the right of residents to request and move with a tenant-based voucher after a period of residency (choice-mobility). HUD noted that its Office of Policy Development and Research is seeking funding for additional research on RAD with a focus on the use and effect of choice-mobility options, which would inform HUD's monitoring efforts. Finally, while HUD said that we did not find the safeguards to be weak or inadequate, we did not perform an audit designed to assess the safeguards and therefore cannot opine on their adequacy. On the basis of our findings, we found that HUD\u2019s implementation of these safeguards could be strengthened.", "Regarding our fourth recommendation that HUD determine how it can use available program-wide data and resident logs for analysis of RAD resident protections, HUD agreed to examine how it could use its existing data systems to further enhance its monitoring efforts. HUD added that the systems have limitations, so that the agency also uses other mechanisms to track and monitor implementation of resident protections.", "For our fifth recommendation to prioritize the development and implementation of procedures to assess risks to the preservation of unit affordability, HUD agreed that it is important to assess and mitigate risks to unit affordability. HUD stated that it employs robust underwriting standards prior to permitting conversion, and relies on existing procedures to conduct ongoing oversight of Project-Based Rental Assistance (PBRA) properties, which we discussed in the draft. However, as we noted, HUD has not yet developed procedures to more closely monitor RAD properties at risk of foreclosure, though it plans to establish indicators of foreclosure risk and oversight roles and responsibilities within HUD. HUD said that since the summer of 2017, it has been evaluating what additional oversight procedures might be needed for RAD Project-Based Voucher properties. HUD also described plans to augment its existing oversight procedures to preserve affordable units in the event of foreclosure by developing protocols in the following areas: transfer of property ownership to a capable entity, transfer of the rental assistance to another site, and protection of residents in the event a Housing Assistance Payment contract was terminated.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Housing and Urban Development and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are listed on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines aspects of the Department of Housing and Urban Development\u2019s (HUD) Rental Assistance Demonstration (RAD) program. More specifically, this report addresses (1) HUD\u2019s assessment of the physical and financial outcomes of RAD conversion to date; (2) how RAD conversions affected residents and what safeguards were in place to protect them, including while temporarily relocated and during conversion; (3) what challenges, if any, public housing agencies (PHA) faced in implementing RAD; and (4) the extent to which RAD provisions are designed to help preserve the long-term affordability of units.", "To address all four objectives, we analyzed agency documentation and interviewed officials from HUD. The documentation we reviewed included policies and procedures for RAD; manuals describing HUD data systems; draft policies and procedures for implementing postclosing oversight; and reports on RAD performance. We interviewed HUD headquarters officials from the Office of Recapitalization within the Office of Housing, which oversees the administration of RAD, and the Office of Policy Development and Research (PD&R). We also interviewed PHA officials and developers involved in RAD transactions, as well as selected experts and other stakeholders to obtain their perspectives on RAD. Additionally, we conducted a literature search to identify publications related to RAD.", "We visited a nonprobability sample of eight PHAs in Maricopa County, Arizona; Alameda County, California; Montgomery County, Maryland; and in the cities of San Francisco, California; Baltimore, Maryland; New Bern, North Carolina; El Paso, Texas; and Tacoma, Washington, to observe housing units before, during, or after renovation when possible as well as common areas that had planned or undergone renovation. We selected sites to include varying PHA sizes, RAD subsidy types, planned rehabilitation and resident relocation, numbers and sizes of RAD transactions, closing dates, constructions costs, and geographic locations across the United States. At each site, we conducted semistructured interviews with PHA officials and, when available, developers (5 sites).", "We also conducted one or two focus-group interviews with groups of 6\u2013 15 residents who lived at the converted properties to obtain their perspectives and experiences. In each location, we asked the PHAs to invite residents to participate in the focus groups based on their availability. We also met with the Resident Advisory Board in each location that had one. For 7 of 8 site visits, we selected two RAD properties to conduct resident focus groups (in Alameda County, California we held one focus group). We conducted a content analysis based on resident focus group interviews to describe resident experiences and the RAD program\u2019s effects on residents. Utilizing the selection criteria noted above, we conducted semistructured telephonic interviews with an additional nonprobability sample of 10 PHAs in Fresno, California; Fort Collins, Colorado; Dekalb County, Georgia; Chicago, Illinois; Ypsilanti, Michigan; Cuyahoga County, Ohio; Philadelphia; Pennsylvania; Spartanburg, South Carolina; McKinney, Texas; and Yakima, Washington. Because we selected a non-probability sample of PHAs to visit and interview, the information we obtained cannot be generalized more broadly to all PHAs. However, it provides context on RAD particularly on implementation challenges and perspectives on physical and financial impacts, long-term affordability, and resident protections.", "We also selected the following 11 individuals and organizations as experts and stakeholders: 1. Council of Large Public Housing Authorities 2. National Association of Housing and Redevelopment Officials 3. Center on Budget and Policy Priorities 4. Public Housing Authorities Directors Association 5. National Housing Law Project 6. Community Legal Services of Philadelphia 7. Maryland Legal Aid 8. Disability Rights Maryland 9. Jaime Alison Lee, Associate Professor of Law and Director, Community Development Clinic, University of Baltimore School of Law 10. Yumiko Aratani, Assistant Professor, Columbia University Mailman 11. University of California, Berkeley, Terner Center for Housing We interviewed experts and stakeholders on resident impacts and implementation challenges associated with RAD. The entities may not represent all views on these topics, but their views provide insights on RAD. To select these individuals and groups, we met with three major PHA associations and two resident advocacy groups, and asked for referrals for organizations or individuals with expertise in RAD.", "We also selected a nonprobability, random sample of 31 RAD conversion files to review. Utilizing HUD RAD Resource Desk data, we randomly selected 31 RAD files for properties that had closed conversion as of June 30, 2017 and that planned to incur construction costs. We used the files to help us determine physical changes to RAD conversions and the impacts of RAD on residents through, for example, relocation. We excluded RAD conversions with no construction costs from the random sample because they would not have physical changes and no resident relocation would occur before or during our review.", "To address our first objective on the physical and financial outcomes of RAD conversion to date and how HUD measured these outcomes, we first obtained and analyzed HUD data on RAD conversions since RAD\u2019s authorization (from fiscal years 2013 through 2017). We assessed the reliability of these data by reviewing system documentation, interviewing knowledgeable officials about system controls, and conducting electronic testing. We determined that the data were sufficiently reliable for the purposes of describing rehabilitation and new construction in RAD projects and evaluating RAD leveraging metrics. We included in our analysis all RAD conversions that were active or closed. We used these data to determine the number of closed RAD conversions, associated financial sources and uses, subsidy types, and type of construction (rehabilitation, new construction, and no rehabilitation or new construction). In addition, during our interviews with PHAs and developers, we obtained their perspectives on potential contributing factors to financial decisions and type of construction pursued through RAD conversion. As noted earlier, we also reviewed 31 randomly selected files of converted properties with construction costs to describe property physical changes in RAD conversions.", "Furthermore, we reviewed HUD documents, such as HUD and PD&R evaluations, publications, and policies and procedures to gain additional context for how HUD measures RAD outcomes. We also interviewed HUD officials, including PD&R and Office of Recapitalization officials, on RAD data and metrics, as well as other performance monitoring activities. We further analyzed data from the HUD RAD Resource Desk to determine how these data support HUD\u2019s metrics and performance monitoring activities. As previously mentioned, we determined that these HUD data were sufficiently reliable for the purposes of this report. Specifically, we assessed and calculated RAD leverage ratio and construction activity. We assessed HUD\u2019s performance monitoring activities and reporting against the RAD authorizing statute, Standards for Internal Control in the Federal Government.", "To recalculate estimates of the RAD leverage metric, we obtained documentation from the Office of Recapitalization to review the methodology used to calculate their most recent leverage ratio. We aligned the methodology they provided with RAD Resource Desk Transaction Log data that was downloaded on August 7, 2017. We replicated HUD\u2019s methodology and matched the data utilized with the descriptors from the Transaction Log. To isolate financial sources and manually adjust the \u201cother source\u201d data, we compiled matched descriptors and funding amounts and categorized each observation based on the funding source description, as a federal source, state/county/city source, or PHA source, among others. For additional information and results, see appendix II.", "To determine how RAD affected residents in converted units, we analyzed HUD public housing and Section 8 household data before and after conversion (demographic characteristics of residents and changes in rent, income, and location). Specifically, we examined data from 2013\u2014 when the first transactions closed\u2014through June 30, 2017. HUD compiled and provided custom extracts of data on households in RAD- converted properties from the Inventory Management System/Public and Indian Housing Information Center (IMS/PIC) (public housing and Section 8 PBV) and Tenant Rental Assistance Certification System (Section 8 PBRA). We assessed the reliability of the data extracts provided by HUD by (1) performing electronic testing of required data elements, (2) reviewing existing information about the data and the system that produced them, and (3) interviewing agency officials knowledgeable about the data. We determined the data on PBV households were sufficiently reliable for the purposes of our reporting objectives, but that the data on PBRA households was not sufficiently reliable for purposes of describing some characteristics of RAD households. For example, in trying to determine participation in the RAD program by year, we received several thousand PBRA entries that preceded the establishment of the RAD program. Moreover, as we previously mentioned, the postconversion household data for PBRA conversions is in a separate data system, so some variables, such as those related to race, ethnicity, rent, and income, differ from the other household data for that program. Because of these limitations, the data for PBRA households were not reliable for purposes of comparing RAD household characteristics before and after conversion as we had intended. To describe safeguards for residents and help ascertain how HUD implemented protections, we reviewed legal protections and requirements in HUD notices, reviewed selected conversion files, and interviewed HUD officials about monitoring and compliance processes. Finally, as previously described, we held focus groups with residents to better understand any effects on their living conditions and quality of life.", "To determine challenges PHAs faced in implementing RAD, we reviewed HUD guidance and related documents for PHAs in the program. We also interviewed eight PHAs during our site visits and spoke with another 10 PHAs by telephone about the benefits and challenges of participating in the RAD program.", "To examine provisions designed to help preserve long-term affordability of units, we reviewed the RAD authorizing statute and amendments and HUD notices and interviewed HUD staff to verify our understanding of agency affordability protections. For a sample of 31 randomly selected properties, we examined templates for contractual agreements for RAD closings and analyzed closing documents and contracts to determine if agreements matched program requirements. We interviewed HUD staff and staff of 18 PHAs to obtain viewpoints on the potential strengths or weaknesses of preservation in the case of default or foreclosure.", "We conducted this performance audit from February 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: HUD\u2019s Reported Leverage Ratios and Our Recalculation Estimates", "paragraphs": ["The Department of Housing and Urban Development\u2019s (HUD) Office of Recapitalization collects financial sources and use data from Rental Assistance Demonstration (RAD) participants. Table 2 lists the financial source fields collected by HUD.", "Table 3 lists the financial cost fields collected by HUD.", "Table 4 provides additional financial source detail pertaining to HUD\u2019s leverage ratio calculation.", "Table 5 and Table 6 show the total financial source amounts collected by HUD. Specifically, Table 5 shows total financial source amounts prior to recategorization, while Table 6 shows total financial source amounts after manual adjustments. Manual adjustments included isolating funding source observations in \u201cother funding\u201d fields 1-6 and incorporating them into existing fields, as appropriate.", "Table 7 replicates HUD\u2019s methodology for calculating the RAD leverage metrics after manual adjustments in HUD data. See Table 4, above, to compare changes in each category.", "Table 8 recalculates the leverage ratio by deducting federal sources as leveraged sources.", "Table 9 recalculates the leverage ratio by deducting public sources as leveraged sources (compare to Table 8 above)."], "subsections": []}, {"section_title": "Appendix III: RAD Resident Safeguard and Monitoring Requirements", "paragraphs": ["The Rental Assistance Demonstration (RAD) program has numerous requirements intended to ensure residents whose units are converted through RAD receive certain protections. The following is a description of these safeguards and their reporting and monitoring requirements."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": [{"section_title": "GAO\u2019s Mission", "paragraphs": ["The Government Accountability Office, the audit, evaluation, and investigative arm of Congress, exists to support Congress in meeting its constitutional responsibilities and to help improve the performance and accountability of the federal government for the American people. GAO examines the use of public funds; evaluates federal programs and policies; and provides analyses, recommendations, and other assistance to help Congress make informed oversight, policy, and funding decisions. GAO\u2019s commitment to good government is reflected in its core values of accountability, integrity, and reliability."], "subsections": []}, {"section_title": "Obtaining Copies of GAO Reports and Testimony", "paragraphs": ["The fastest and easiest way to obtain copies of GAO documents at no cost is through GAO\u2019s website (https://www.gao.gov). Each weekday afternoon, GAO posts on its website newly released reports, testimony, and correspondence. To have GAO e-mail you a list of newly posted products, go to https://www.gao.gov and select \u201cE-mail Updates.\u201d"], "subsections": [{"section_title": "Order by Phone", "paragraphs": ["The price of each GAO publication reflects GAO\u2019s actual cost of production and distribution and depends on the number of pages in the publication and whether the publication is printed in color or black and white. Pricing and ordering information is posted on GAO\u2019s website, https://www.gao.gov/ordering.htm.", "Place orders by calling (202) 512-6000, toll free (866) 801-7077, or TDD (202) 512-2537.", "Orders may be paid for using American Express, Discover Card, MasterCard, Visa, check, or money order. Call for additional information."], "subsections": []}]}, {"section_title": "Connect with GAO", "paragraphs": ["Connect with GAO on Facebook, Flickr, Twitter, and YouTube. Subscribe to our RSS Feeds or E-mail Updates. Listen to our Podcasts. Visit GAO on the web at https://www.gao.gov."], "subsections": []}, {"section_title": "To Report Fraud, Waste, and Abuse in Federal Programs", "paragraphs": [], "subsections": []}, {"section_title": "Congressional Relations", "paragraphs": [], "subsections": []}, {"section_title": "Public Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Strategic Planning and External Liaison", "paragraphs": ["James-Christian Blockwood, Managing Director, spel@gao.gov, (202) 512-4707 U.S. Government Accountability Office, 441 G Street NW, Room 7814, Washington, DC 20548 Please Print on Recycled Paper."], "subsections": []}]}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Paul Schmidt (Assistant Director), Julie Trinder-Clements (Analyst in Charge), Meghana Acharya, Enyinnaya David Aja, Alyssia Borsella, Juan J. Garcia, Ron La Due Lake, Amanda Miller, Marc Molino, Barbara Roesmann, Jessica Sandler, MaryLynn Sergent, Rachel Stoiko, and William Woods made major contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-462", "url": "https://www.gao.gov/products/GAO-18-462", "title": "Capital Investment Grants Program: FTA Should Address Several Statutory Provisions", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FTA's Capital Investment Grants program is the primary source of federal financial assistance to support transit projects that are locally planned, implemented, and operated. FTA evaluates and rates projects seeking funding through this program according to statutory criteria and recommends to Congress which projects to fund. The funding that project sponsors receive is subject to congressional appropriation.", "MAP-21 includes a provision for GAO to biennially review FTA's implementation of the Capital Investment Grants program. This report discusses: (1) FTA's progress in addressing statutory provisions contained in MAP-21 and the FAST Act and (2) how the evaluation and rating process FTA has established for Core Capacity Improvement projects enables FTA to verify that statutory requirements are met before recommending such projects for funding. GAO reviewed the relevant laws and FTA's guidance. GAO also interviewed FTA officials and six project sponsors, representing seven of the eight Core Capacity Improvement projects in the Capital Investment Grants program at the time of GAO's review."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Transit Administration (FTA) has not addressed three statutory provisions concerning the Capital Investment Grants program contained in the Moving Ahead for Progress in the 21st Century Act (MAP-21) and the Fixing America's Surface Transportation Act (FAST Act). Specifically, FTA has not:", "issued regulations regarding the evaluation and rating process for Core Capacity Improvement projects, which are a category of eligible projects within the program;", "established a program of interrelated projects designed to allow for the simultaneous development of more than one transit project within the Capital Investment Grants program; or", "implemented a pilot program designed to create a fast-track approval process for transit projects that meet specific statutory criteria.", "Throughout this review, FTA officials told GAO they do not have immediate plans to address these three statutory provisions. Officials cited a proposal by the President to phase out the Capital Investment Grants program as one of the factors influencing this decision. However, in March the Consolidated Appropriations Act, 2018, provided the program with more than $2.6 billion and required FTA to continue to administer the program in accordance with the procedural and substantive requirements specified in statute. Subsequently, FTA officials told GAO that they are reviewing the Act and determining next steps. However FTA officials did not indicate that they intend to address these provisions. If FTA does not implement the outstanding provisions, FTA and project sponsors\u2014that is, local transit agencies\u2014may be missing opportunities to deliver transit projects more efficiently.", "Based on a review of FTA's policy guidance, on FTA's instructions for applying to the Capital Investment Grants program, and on other documentation supporting the two Core Capacity Improvement projects that FTA has recommended for funding as of June 2017, GAO found that FTA has established a process to verify that proposed Core Capacity Improvement projects meet statutory requirements before recommending projects for funding. Core Capacity Improvement projects are capital investments designed to increase the capacity of an existing transit system and must meet specific statutory requirements to be eligible for funding through the program. GAO found that prior to recommending a project for funding FTA works with project sponsors to verify that their proposed project includes elements that will increase transit system capacity versus maintaining the current system, that the required amount of local funding is committed to the project, and that sponsors have the technical and financial capacity to complete the project they are proposing, among other statutory requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FTA should initiate a rulemaking regarding the evaluation and rating process for Core Capacity Improvement projects and take steps to address two other statutory provisions. FTA agreed with the recommendations but disagreed with certain findings on which they are based. GAO believes these findings are valid, as discussed in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since the 1970s, the Federal Transit Administration\u2019s (FTA) Capital Investment Grants program has been the primary source of federal financial assistance to new \u201cfixed-guideway\u201d projects or extensions to existing fixed-guideway systems across the United States. Projects that compete for funding through this program are planned and implemented locally, and include capital investments in heavy and light rail, commuter rail, streetcars, and ferries as well as bus rapid transit. FTA evaluates and rates projects seeking funding through this program based on statutory criteria, recommends to Congress which projects to fund, and awards funding to projects. Program funding is provided through the annual appropriations process, and over the last 10 fiscal years FTA has awarded over $19 billion to cities, states, and other localities across the country.", "In March 2017, the President\u2019s fiscal year 2018 budget proposed phasing out the program, stating that future investments in new transit projects should be funded by the localities that use and benefit from those projects, and the administration reiterated that intent as part of its fiscal year 2019 budget proposal in February 2018. Consequently, FTA recommended that Congress limit future funding for the Capital Investment Grants program. However, in March 2018 the Consolidated Appropriations Act, 2018, provided the program with more than $2.6 billion, and required FTA to continue to administer the Capital Investment Grants program in accordance with the program\u2019s procedural and substantive requirements.", "The Moving Ahead for Progress in the 21st Century Act (MAP-21), enacted in 2012, included a provision for us to biennially review FTA\u2019s processes and procedures for evaluating and rating projects seeking funding through the Capital Investment Grants program. In April 2016, we issued our most recent report in response to the provision, focusing on FTA\u2019s efforts in implementing changes that MAP-21 made to the program\u2019s processes, changes that were aimed at expediting project delivery. We reported that FTA was taking steps to implement MAP-21, such as by implementing a provision directing FTA to issue policy guidance outlining the review and evaluation process for new fixed- guideway projects and Core Capacity Improvement projects (hereafter Core Capacity projects), and reported that FTA intended to take action to address other provisions over the next few years. However, we also reported that the Fixing America\u2019s Surface Transportation Act (FAST Act), enacted in 2015, contained new provisions for FTA to address.", "FTA\u2019s progress in addressing outstanding statutory provisions as amended by MAP-21 and the FAST Act, and how FTA\u2019s evaluation and rating process enables it to verify that statutory requirements are met before recommending a Core Capacity project for funding.", "In conducting this review, we focused on reviewing FTA\u2019s progress addressing statutory provisions that were outstanding at the time of our previous biennial review as well as the evaluation and rating requirements specified in statute for Core Capacity projects. To address our objectives, we reviewed the relevant provisions of MAP-21 and the FAST Act. We also reviewed FTA\u2019s policy guidance; other pertinent agency documents, such as FTA\u2019s instructions for applying to the program, its templates for evaluating and rating projects in the program, and its annual reports to Congress with funding recommendations; and prior GAO reports. We also reviewed documentation, such as FTA\u2019s assessments, supporting the two grant agreements it had awarded for Core Capacity projects at the time we initiated this review. For both objectives, we compared the requirements specified in statute with FTA\u2019s implementation of those requirements. In addition, we interviewed FTA officials, representatives of the American Public Transportation Association, and representatives of six project sponsors in the Capital Investment Grants program. The six project sponsors we interviewed represented seven of the eight Core Capacity projects in the program at the time we initiated this review. We also visited the sites of those seven projects, which are located in California, Illinois, Indiana, New Jersey, and Texas. During our visits we obtained information about the transportation challenges that these projects are attempting to address and the sponsors\u2019 perspectives on FTA\u2019s processes and procedures for evaluating and rating Core Capacity projects. For a description of the Core Capacity projects in the program at the time we initiated this review, see appendix I.", "We conducted this performance audit from June 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The primary source of federal funding for new fixed-guideway projects or extensions to existing fixed-guideway systems is FTA\u2019s Capital Investment Grants program, which is a discretionary and competitive grant program funded through annual appropriations. The program is governed by statutory provisions, and funding is provided in the form of a construction grant agreement, which is subject to congressional appropriations.", "Projects that compete for funding through the Capital Investment Grants program are designed and implemented by project sponsors, which are usually local transit agencies. Prior to 2012, project sponsors typically applied for funding as either a New Starts or Small Starts project. New Starts projects are capital investments whose sponsors request $100 million or more in Capital Investment Grants funding or have an anticipated capital cost of $300 million or more. Small Starts projects are capital investments whose sponsors request less than $100 million in Capital Investment Grants funding and have an anticipated capital cost of less than $300 million.", "In 2012, Congress created a third category of eligible projects called Core Capacity projects. Unlike New Starts and Small Starts, for which the amount of funding project sponsors request and the anticipated capital cost of a project are key factors, Core Capacity projects are not defined by cost. Instead, Core Capacity projects are \u201ccorridor-based capital investments\u201d in existing fixed-guideway systems that increase the capacity of a corridor by not less than 10 percent, in a corridor that is at or above capacity or is expected to be within 5 years. Examples of Core Capacity projects include capital investments to expand a transit system\u2019s platforms and acquire real property, rights of way, or rail cars associated with corridor improvements increasing capacity.", "To enter the Capital Investment Grants program, project sponsors submit an application to FTA with information on the proposed project, such as a description of the transportation problem the project seeks to address, among other requirements. If accepted into the program, project sponsors must then follow a multi-step, multi-year development process outlined in statute during which FTA determines if the project is eligible for funding through the Capital Investment Grants program. The development process that project sponsors must follow varies depending on whether the project is a New Starts or Core Capacity project, or a Small Starts project. For example, New Starts and Core Capacity projects are required to complete a two-phase development process. During the first phase, called Project Development, project sponsors must complete an environmental review process outlined in the National Environmental Policy Act of 1969 and address other statutory requirements. Project sponsors must also provide FTA with sufficient information for FTA to evaluate and rate the project, among other FTA requirements. To complete the second phase, called Engineering, project sponsors must, among other requirements, develop a firm and reliable cost, scope, and schedule for their project and obtain all non-Capital Investment Grants program funding commitments. Small Starts projects complete a development process that is similar but consists of only one phase, called Project Development.", "During the development process, FTA is required to evaluate and rate projects using a number of statutory criteria designed to assess the merit of a project (i.e., project justification). For example, for Core Capacity projects, FTA is required to evaluate and rate a project against six criteria: (1) mobility improvements, (2) environmental benefits, (3) cost- effectiveness, (4) the congestion relief associated with the project, (5) the economic development effects associated with the project, and (6) the existing capacity needs of the corridor. FTA is also required to evaluate and rate the local financial commitment to a project, including evidence of stable and dependable financing sources, as well as the project sponsor\u2019s ability to operate the project and continue to operate any related transit system. FTA\u2019s ratings are \u201cpoint-in-time\u201d evaluations\u2014meaning that they can change\u2014as a project progresses through the development process.", "To receive funding, project sponsors must complete the development process outlined in statute and meet all statutory eligibility requirements. Projects must also address all FTA requirements, and FTA must recommend the project for funding to Congress. FTA\u2019s recommendations are based on its evaluation and rating of the project using the criteria specified in statute, the availability of Capital Investment Grants program funds, and the readiness of the project, such as whether the project\u2019s cost, scope, and schedule are advanced enough to be considered reliable. As mentioned earlier, the funding that projects receive is subject to congressional appropriations.", "As we previously reported, both MAP-21 and the FAST Act made numerous changes to the Capital Investment Grants program. For example, in addition to establishing Core Capacity projects as a new category of eligible projects, MAP-21 reduced the number of phases in the development process that projects in the Capital Investment Grants program must follow to be eligible for and receive funding. According to FTA officials, changes the FAST Act made to the program include raising the dollar threshold for eligibility for New Starts and Small Starts projects and increasing the number of projects that are eligible for funding by allowing joint public transportation and intercity-passenger-rail service to compete for funding."], "subsections": []}, {"section_title": "FTA Has Not Addressed Three Out of Four Outstanding Statutory Provisions", "paragraphs": ["FTA has not addressed three of four outstanding statutory provisions concerning the Capital Investment Grants program. As shown in table 1, three of these provisions stem from MAP-21, which was enacted in 2012, and the fourth stems from the FAST Act, enacted in 2015.", "When we initiated our review, FTA officials told us FTA did not have immediate plans to address the outstanding statutory provisions due to the administration\u2019s stated intent to phase out the Capital Investment Grants program. As mentioned earlier, in 2017 the President\u2019s Fiscal Year 2018 budget first proposed phasing out the program, stating that future investments in new transit projects should be funded by the localities that use and benefit from those projects. Since then, FTA\u2019s annual reports to Congress, which contain funding recommendations for the program, have reflected this direction. For example, FTA\u2019s Fiscal Year 2018 report recommended that Congress only fund those projects that had already received a grant agreement through the program, and FTA\u2019s Fiscal Year 2019 report stated that FTA neither requests nor recommends any funding for projects in the Capital Investment Grants program beyond those that have already received a grant agreement. However, as also mentioned earlier, in March 2018 the Consolidated Appropriations Act, 2018, provided the program with more than $2.6 billion, and also directed FTA to continue to administer the Capital Investment Grants program in accordance with the program\u2019s procedural and substantive requirements. Following the enactment of the Consolidated Appropriations Act, 2018, FTA officials told us that they are reviewing the law and determining next steps. However, they did not indicate that they have any immediate plans to address those provisions. Moving forward, if FTA does not take steps to address the outstanding provisions, FTA runs the risk of violating federal law.", "During our review, FTA officials told us that other factors have also influenced FTA\u2019s decisions. For example, FTA officials noted that since our last report, issuing regulations regarding the evaluation and rating process for Core Capacity projects was not identified as one of the Department\u2019s regulatory priorities and, currently, FTA has no plans to issue such regulations. However, issuing regulations to address this provision is important. FTA\u2019s policy guidance notes that aspects of the development process, such as the steps to get into and through the development process, were not subject to public outreach and are open to be discussed in future updates to the Major Capital Projects rule. While FTA officials emphasized that the agency\u2019s policy guidance is intended to serve as a guide for running the program until such time that FTA initiates further rulemaking, FTA\u2019s policy guidance also notes that further rulemaking is needed to fully implement the changes MAP-21 and the FAST Act made to the Capital Investment Grants program. Until FTA initiates this rulemaking, it is unclear when if at all, FTA might address most of these outstanding provisions.", "With respect to addressing the program of interrelated projects provisions, FTA officials reiterated their concerns, as we noted in our last report, that establishing an evaluation and rating process for a program of interrelated projects is difficult. As an example, FTA officials noted that as part of the New Starts, Small Starts, and Core Capacity evaluation process, FTA takes into account factors such as a corridor\u2019s current ridership estimates and future ridership projections. According to FTA officials, evaluating and rating projects that encompass multiple corridors is challenging because it requires that FTA establish new measures and breakpoints\u2014that is, thresholds for FTA\u2019s ratings. Both FTA officials and the American Public Transportation Association representatives we spoke with told us that FTA has sought input from the transit industry in the past to help address these concerns. However, FTA officials also told us that addressing their concerns requires additional research and public outreach on FTA\u2019s part and that undertaking that work has not been a priority of the Department of Transportation. Representatives from two of the sponsors we spoke with, as well as representatives of the American Public Transportation Association, told us that the transit industry is interested in seeing FTA implement the program of interrelated projects provisions and that doing so could help transit agencies deliver projects more efficiently. For example, according to one sponsor, implementing those provisions could help this sponsor purchase materials in bulk and reduce costs. Until FTA takes steps to address this provision, the federal government or project sponsors may be missing opportunities to deliver transit projects more efficiently.", "In the case of the FAST Act\u2019s provision establishing a pilot program\u2014 called the \u201cExpedited Project Delivery for Capital Investment Grants Pilot Program,\u201d designed to create a fast-track approval process for projects that meet specific statutory criteria, such as having a maximum federal share of 25 percent\u2014FTA published a notice in the Federal Register in 2016 stating that it would publish guidance describing the process project sponsors should follow to apply for consideration as a pilot project. However, at the time of our review, FTA had not provided sponsors with information that describes the process they should follow to apply for consideration as a pilot project. FTA officials told us that project sponsors have generally not expressed interest in participating in the program under the FAST Act, and most of the project sponsors that we spoke with agreed. Specifically, four of the six Core Capacity project sponsors told us that some FAST Act requirements, such as a requirement that projects in the program be supported in part by a public-private partnership, made participating in the program less attractive. According to two of the sponsors, private investors do not have an incentive to invest in public transit projects unless they can profit from their investment, but the FAST Act limits that opportunity by requiring that projects participating in the pilot program be operated and maintained by employees of an existing public transportation provider. Nonetheless, in February 2018, the President\u2019s infrastructure plan recommended restructuring this program, with changes, to better achieve the goals of expediting project delivery. Among the changes recommended are allowing the pilot program to be available to all projects and not just on a pilot basis, and increasing the federal share from 25 to 50 percent. Taking steps to describe the steps project sponsors should follow to apply for consideration as a pilot project under this program could help FTA better understand whether further changes are needed.", "The statutory provision FTA has addressed relates to a MAP-21 provision directing FTA to use an expedited technical-capacity review process for certain experienced project sponsors. At the time of our 2016 report, FTA was in the process of finalizing the development of a tool to address this provision, and since then, FTA has implemented that tool. Specifically, the tool helps FTA staff determine the level of review required of project sponsors based on a number of risk factors, such as the complexity of a proposed project and the sponsor\u2019s experience level. According to FTA, this tool helps FTA staff develop project-specific oversight plans that specify the resources FTA should devote when overseeing a particular project. Projects that FTA determines are at lower risk have fewer oversight resources allocated to them, and FTA officials told us that they have been using this tool on all projects in the program since mid-2017."], "subsections": []}, {"section_title": "FTA Has a Process to Verify That Requirements Are Met before Recommending a Core Capacity Project for Funding", "paragraphs": ["Based on our review of FTA\u2019s policy guidance, instructions for applying to the Capital Investment Grants program, and interviews with FTA officials and six Core Capacity project sponsors, we found that FTA has established a process to verify that proposed Core Capacity projects meet statutory requirements before recommending projects for funding. In addition, based on our review of documentation supporting FTA\u2019s funding recommendations for the two Core Capacity projects with grant agreements as of June 2017, as well as interviews with FTA officials and both project sponsors, we found that FTA took steps to verify that the statutory requirements were met before recommending those two projects for full funding grant agreements. Representatives of the other four sponsors we spoke with also confirmed that FTA is taking steps to verify that their projects meet the statutory requirements. Such requirements include specific project eligibility and other requirements that projects must meet during the Project Development and Engineering phases of the development process.", "Project Eligibility: Under statute, Core Capacity projects must meet specific eligibility requirements. For example, along the lines previously noted, statutory provisions require that a Core Capacity project be a substantial corridor-based capital investment located in a corridor that is at or over capacity, or projected to be at or over capacity within the next 5 years. These projects must also increase the corridor\u2019s capacity in the peak hour and direction of travel by not less than 10 percent. To verify that projects meet these requirements, project sponsors and FTA officials told us that FTA staff assisted project sponsors in refining their project\u2019s corridor (see fig. 1), and reviewed information provided by the sponsors on such things as the corridor\u2019s current ridership estimates; the type, configuration, and capacity of light- and heavy-rail cars; and the number of seats on commuter rail cars. FTA\u2019s policy guidance outlines the criteria that FTA uses, criteria that FTA developed after consulting industry standards and reaching out to the transit industry. FTA officials emphasized that they apply these criteria consistently across projects when evaluating whether a project\u2019s corridor is at capacity.", "As another example, under statute, Capital Investment Grant funding for Core Capacity projects may not be applied to \u201cstate of good repair\u201d improvements to the transit system. \u201cState of good repair\u201d improvements include, among other things, the replacement or rehabilitation of existing rail cars, tracks, or communications equipment due to normal wear and tear or preventive maintenance. Core Capacity projects are likely to be intertwined with state of good repair improvements, however, and FTA staff work with project sponsors to identify which project costs within the project corridor are eligible to receive Core Capacity funding and which are related to maintaining a state of good repair.", "Project Development Phase: As with the project eligibility requirements discussed above, statutory provisions identify specific requirements that must be met during the Project Development phase, and we found that FTA has a process to verify that those requirements are met. For example, under statute, Core Capacity projects have 2 years after the day on which they enter into Project Development to complete the activities required to obtain a project rating by FTA. Completion of the Project Development phase is marked by the completion of the environmental review process required under the National Environmental Policy Act of 1969 and FTA\u2019s assignment of a project rating. FTA\u2019s policy guidance encourages project sponsors to perform whatever work they feel is necessary prior to requesting entry into Project Development to enable them to complete this phase within 2 years. According to both FTA officials and representatives from each of the six Core Capacity project sponsors, FTA staff work closely with project sponsors to assist them with preparations to enter Project Development, review their documentation, and complete this phase on time. Further, each of the six Core Capacity project sponsors we spoke with told us that FTA follows up with sponsors to ensure that all statutory and FTA requirements for the Project Development phase are met. For example, the project sponsors reported that FTA officials hold a variety of periodic (e.g., weekly, monthly, quarterly) meetings with project sponsors during which they discuss various aspects of the sponsor\u2019s progress toward meeting the statutory requirements.", "Under statute, to assign a project rating, FTA must evaluate and rate Core Capacity projects against specific project justification criteria and local financial commitment criteria, as well as ensure that the project has satisfied the project eligibility and other statutory requirements, such as having been selected as the locally preferred alternative and adopted into the appropriate regional transportation plans. To obtain the information needed to make these evaluations, FTA provides project sponsors with reporting instructions and templates on its website specifying its documentation requirements. These instructions and templates allow for the standardized review of the project eligibility requirements previously discussed, as well as aspects of the project justification and local financial commitment criteria. Representatives of two of the six Core Capacity project sponsors described these instructions and templates as helpful, and said the templates enable them to gauge what their project\u2019s potential rating might be. Representatives of four sponsors also reported that when completing the templates they are in frequent contact with FTA officials to help ensure they are appropriately providing all required information. FTA officials inform sponsors that the agency reviews completed templates along with other information to assign project ratings.", "Pursuant to statute, once FTA determines that a Core Capacity project meets the specified project eligibility requirements, assigns the project a rating, and determines that the environmental review process has been completed, among other requirements, the project is ready to enter the Engineering phase. Before advancing the project to Engineering, FTA requires project sponsors to provide proof that at least 30 percent of the non-Capital Investment Grants funding necessary to complete the project is committed, as well as a variety of other documentation, such as a 20- year financial plan; a detailed cost estimate; a detailed project management plan and project schedule; a preliminary safety hazard, threat, and vulnerability analysis; and a draft \u201cbefore and after\u201d study plan. Once a project sponsor indicates it is ready to advance its project to the Engineering phase, FTA assigns oversight contractors, who take a prominent role in overseeing the day-to-day management of the project in order to provide FTA with ongoing reports of the project sponsor\u2019s financial and technical progress.", "Engineering Phase: Based on our review of documentation for the two Core Capacity projects that have received a grant agreement, we found that FTA also has a process to verify that the requirements specified in statute applicable to the Engineering phase are met before recommending a Core Capacity project for funding. Pursuant to statute, during the Engineering phase the project sponsor must continue to show the financial capability to complete the project and maintain and operate the future transit system with stable and dependable funding sources. FTA requires that project sponsors show increasing financial capacity during the first 3 years in this phase by providing proof of commitments for at least 50 percent of all non-Capital Investment Grants funding. Pursuant to statute, project sponsors must also continue to show the technical capability to complete the project. FTA requires that project sponsors show increasing technical capacity during this phase by making sufficient progress advancing the level of project design.", "According to representatives from the two Core Capacity projects that have received a grant agreement, FTA\u2019s oversight contractors interact with project sponsors frequently throughout the Engineering phase, and are responsible for assisting FTA in determining whether sponsors have the technical and financial capacity to complete their projects. Both FTA officials and the two project sponsors reported that these oversight contractors review project documentation throughout the Engineering phase to verify that the sponsor meets FTA requirements to execute a grant agreement, and are otherwise acceptable for advancing a project. In reviewing documentation for the two Core Capacity projects that have received a grant agreement, we found these oversight contractors provided FTA with their comprehensive assessments of the project sponsor\u2019s technical and financial capacity. FTA officials said they use these assessments when evaluating whether a project should be recommended for a grant agreement."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["For years, the Capital Investment Grants program has served as the primary source of federal financial assistance to new transit projects across the United States. During this review, however, the future of that program has been unclear, given the administration\u2019s stated intent to phase out the program and FTA\u2019s actions, which have reflected that direction. The Consolidated Appropriations Act, 2018, provided FTA with both the funding to continue awarding grants through the program and the direction to administer the program in accordance with the requirements specified in law. FTA stated that it is reviewing the law and determining next steps but did not indicate that it has specific plans or timeframes for addressing the three outstanding provisions discussed in this report. By not addressing those provisions, FTA runs the risk of failing to implement provisions of federal law, and the federal government or project sponsors may be missing opportunities to deliver transit projects more efficiently."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Department of Transportation:", "The FTA Administrator should initiate a rulemaking regarding the evaluation and rating process for Core Capacity Improvement projects, consistent with statutory provisions. (Recommendation 1)", "The FTA Administrator should take steps, such as undertaking additional research or public outreach, to enable FTA to evaluate and rate projects in a program of interrelated projects, in a manner consistent with statutory provisions. (Recommendation 2)", "The FTA Administrator should take steps to describe the process project sponsors should follow to apply for consideration as a pilot project under the Expedited Project Delivery for Capital Investment Grants Pilot Program. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Transportation for review and comment. In its comments, which are reproduced in appendix II, the Department concurred with our recommendations. However, the Department also stated in its letter that our report did not adequately describe the steps FTA has completed to implement the statutory provisions discussed in this report. Further, the Department stated that FTA has demonstrated its intent to address the outstanding provisions.", "We agree with the Department that FTA has taken numerous actions toward addressing various statutory provisions of the Capital Investment Grants program, provisions contained in either MAP-21 or the FAST Act. As noted above in this report, we discussed many of those actions in our April 2016 review of the Capital Investment Grants program. At that time, we reported that FTA was making progress implementing MAP-21 and that FTA intended to take action over the next 2 years toward addressing the remaining provisions of MAP-21 and the new requirements of the FAST Act. However, as of this report, FTA has still not addressed all the provisions, and as the Department stated in its letter, FTA cannot specify when action will be taken to address the outstanding provisions. Accordingly, we believe that our assessment is an accurate reflection of FTA\u2019s progress in addressing the outstanding statutory provisions of the Capital Investment Grants program as amended by MAP-21 and the FAST Act.", "We are sending copies of this report to interested congressional committees and the Secretary of the Department of Transportation. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions or would like to discuss this work, please contact me at (202) 512-2834 or GoldsteinM@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Core Capacity Improvement Projects", "paragraphs": ["Appendix I: Core Capacity Improvement Projects Project description The Metropolitan Transportation Authority proposes to implement capacity improvements to the Canarsie L Line, which operates between South Brooklyn and Manhattan. Improvements include three new power substations and other upgrades necessary to increase capacity on the line. The Metropolitan Transportation Authority estimates that when the project is complete, capacity in the corridor will be increased 10 percent.", "The Dallas Area Rapid Transit is proposing to extend and modify platforms along two existing light rail lines to accommodate longer trains. The Dallas Area Rapid Transit estimates that when the project is complete, capacity in the corridor will be increased 12 percent.", "The Dallas Area Rapid Transit is proposing to implement a second light-rail alignment through the central business district of Dallas to supplement the existing alignment. The Dallas Area Rapid Transit estimates that when the project is complete, capacity in the corridor will be increased 100 percent.", "The Northern Indiana Commuter Transportation District is proposing to construct a second track and make additional improvements along a 26.6-mile segment of its South Shore commuter rail line between Gary and Michigan City.", "The Joint Powers Board (also known as Caltrain) is implementing capacity improvements that include upgrading and electrifying a 51-mile commuter rail line extending from San Francisco to San Jose. Caltrain estimates that when the project is complete, capacity in the corridor will be increased 11 percent.", "The New Jersey Transit Corporation, in cooperation with the Port Authority of New York and New Jersey, the Gateway Program Development Corporation, and Amtrak are proposing to replace an over 100-year-old drawbridge across the Hackensack River in Hudson County, New Jersey, with a new, two-track bridge, among other capacity improvements. The sponsors estimate that when the project is complete, capacity in the corridor will be increased 10 percent.", "The Chicago Transit Authority is implementing capacity improvements along a 5.6-mile corridor on the north side of Chicago. Improvements include the reconstruction of four stations, the installation of a new higher-capacity signal system, and the procurement of 32 new railcars. The Chicago Transit Authority estimates that when the project is complete, capacity in the corridor will be increased 15 percent.", "The Bay Area Rapid Transit District is proposing to implement capacity improvements between Oakland and Daly City in South San Francisco. Improvements include implementing communication-based train control equipment, the procurement of 252 rail cars, additional power substations, and the expansion of a maintenance facility. The Bay Area Rapid Transit District estimates that when the project is complete, capacity in the corridor will be increased 37 percent."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Brandon Haller (Assistant Director); Melissa Bodeau; Kelsey Burdick; Geoffrey Hamilton; Wesley A. Johnson; Elke Kolodinski; Malika Rice; and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Federal Transit Administration's Capital Investment Grants program is the main source of federal funds for local transit projects such as light rail and street cars. FTA decides which projects to recommend to Congress for funding based on criteria set by Congress, such as the level of economic benefit and congestion relief.", "We found that the agency had not addressed three congressional requirements for the grants program, in part because the program was slated to be cut. However, funding was restored. We recommended that FTA start developing the regulations and meet the requirements."]} {"id": "GAO-19-134T", "url": "https://www.gao.gov/products/GAO-19-134T", "title": "Tribal Broadband: FCC's Data Overstate Access, and Tribes Face Barriers Accessing Funding", "published_date": "2018-10-03T00:00:00", "released_date": "2018-10-03T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in two GAO reports: Broadband Internet: FCC\u2019s Data Overstate Access on Tribal Lands , ( GAO-18-630 ) and Tribal Broadband: Few Partnerships Exist and the Rural Utilities Service Needs to Identify and Address Any Funding Barriers Tribes Face ( GAO-18-682 ). Specifically, it addresses (1) the extent to which FCC\u2019s approach to collecting broadband availability data accurately captures broadband access on tribal lands, (2) the extent to which FCC obtains tribal input on the data, (3) partnerships tribes have formed with entities to deploy broadband infrastructure on tribal lands, and (4) barriers tribes face in obtaining federal funding. For these reports, GAO analyzed FCC and RUS data, and interviewed agency officials as well as a non-generalizable sample of stakeholders representing tribes and broadband providers."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Communications Commission\u2019s (FCC) approach to collecting data on broadband availability causes it to overstate broadband access\u2014the ability to obtain service\u2014on tribal lands. In FCC\u2019s approach, broadband is considered to be \u201cavailable\u201d for an entire census block if the provider could serve at least one location in the census block. FCC, tribal stakeholders, and providers have noted that this approach leads to overstatements of broadband availability. Because FCC uses these data to measure broadband access, it also overstates broadband access on tribal lands. By developing and implementing methods for collecting and reporting accurate and complete data on broadband access specific to tribal lands, FCC would be better able to target federal broadband funding to tribal areas that need it the most.", "FCC does not have a formal process to obtain tribal input on the accuracy of provider-submitted broadband data. Most of the tribal stakeholders GAO interviewed stated FCC should work more directly with tribes to improve the accuracy of FCC\u2019s data. Establishing a formal process to obtain input from tribal governments could help improve the accuracy of FCC\u2019s broadband data for tribal lands.", "Tribes have formed partnerships with different types of entities to deploy broadband infrastructure on tribal lands, but such partnerships are not widespread. The partnerships GAO identified included private providers, a community access network provider, an electric cooperative, a regional consortium, and tribally owned broadband providers.", "GAO reviewed four federal programs to deploy broadband services and found that from 2010 to 2017, less than 1 percent of funding has gone directly to tribes or tribally owned providers. The tribal entities GAO contacted cited barriers to obtaining funds from the Rural Utilities Service (RUS) grant funding, such as preparing network design, demonstrating financial sustainability of the broadband project within 5 years, and obtaining matching funds required to apply for federal grants. However, according to RUS officials, RUS has not taken steps to identify or address the barriers tribes face when applying for RUS grant funding due to limited resources and multiple competing priorities for those resources. By identifying and addressing regulatory barriers that may impede tribal entities\u2019 access to RUS funding, RUS could help tribes obtain funding to expand broadband deployment on tribal lands."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In GAO-18-630 , GAO made three recommendations to FCC, two of which related to improving its collection of broadband data. In GAO-18-682 , GAO made one recommendation to RUS to address regulatory barriers. FCC agreed and RUS neither agreed nor disagreed and both agencies described actions planned to address the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our September 2018 reports on the Federal Communications Commission\u2019s (FCC) data regarding broadband access on tribal lands and barriers tribes face in obtaining federal funding for broadband deployment. Broadband infrastructure is critical for economic development, educational and job opportunities, and public health and safety. However, residents of tribal lands continue to have lower levels of broadband access than other Americans.", "Policy-makers have noted the need for accurate information in order to target funding to areas lacking broadband access, and FCC has identified the need to work with tribes to ensure such information is accurate for tribal lands. Currently, the primary source of information regarding where broadband is and is not available is the FCC, which collects this information from broadband providers. FCC collects this data by requiring that fixed and mobile broadband providers report on their broadband deployment by filing a form twice a year (Form 477). FCC uses data from this form to determine which areas qualify for broadband funding.", "One barrier to increasing access to broadband on tribal lands is the cost to providers of deploying infrastructure to tribal lands located in rugged, sparsely populated areas. In an attempt to address this and other issues, the federal government administers a number of programs to subsidize broadband deployment in areas in which the return on investment has not attracted private investment. For example, FCC administers the Connect America Fund\u2014a Universal Service Fund program\u2014which provides subsidies to fixed and mobile providers of telecommunications and broadband services in rural, insular, and other remote areas where the cost of providing service is high. To be eligible to receive subsidies under the Connect America Fund, a provider must be designated an eligible telecommunications carrier. In addition, the Rural Utilities Service (RUS) has a current program and had a prior program and the National Telecommunications and Information Administration (NTIA) had a prior program that provided funding to improve broadband service in unserved or underserved areas. The RUS and NTIA prior programs were authorized by the American Recovery and Reinvestment Act of 2009 (Recovery Act) to expand high-speed Internet service in unserved areas, and there is no current funding for these programs.", "My statement today discusses: (1) the extent to which FCC\u2019s approach to collecting broadband availability data accurately captures the ability of Americans living on tribal lands to access broadband Internet services; (2) the extent to which FCC obtains tribal input on the data; (3) examples of partnership arrangements that tribal entities have used to increase broadband deployment on tribal lands; and (4) barriers that tribal entities face in obtaining federal funding for broadband deployment. This statement is based on two reports that we issued in September 2018. To perform the work for our report on FCC\u2019s broadband data, we analyzed FCC\u2019s broadband availability data for tribal lands as well as FCC\u2019s processes for collecting and using those data. We interviewed FCC officials as well as a non-generalizable sample of tribal and industry stakeholders and reviewed relevant FCC rulemaking proceedings. To perform the work for our report on tribal partnerships and barriers to federal funding, we reviewed program documentation from FCC, RUS, and NTIA. We also interviewed FCC, RUS, and NTIA officials and a non- generalizable sample of representatives from tribal governments, tribally owned broadband providers, and tribal associations. More detailed information about our scope and methodology can be found in our reports.", "The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "FCC\u2019s Data Overstate Broadband Access on Tribal Lands", "paragraphs": ["In our September 2018 report on broadband access on tribal lands, we found that FCC collects broadband availability data from broadband providers, but its method for collecting the data does not accurately or completely capture broadband access\u2014the ability to obtain service\u2014on tribal lands. Specifically, FCC directs fixed broadband providers to submit a list of census blocks where service is available on their Form 477 filings. In the Form 477 instructions, FCC defines \u201cavailable\u201d as whether the provider does\u2014or could, within a typical service interval or without an extraordinary commitment of resources\u2014provide service to at least one end-user premises in a census block. Thus, in its annual reports and maps of fixed broadband service, FCC considers an entire block to be served if a provider reports that it does, or could offer, service to at least one household in the census block. As shown in figure 1, FCC\u2019s definition of availability leads to overstatements of fixed broadband availability on tribal lands by: (1) counting an entire census block as served if only one location has broadband, and (2) allowing providers to report availability in blocks where they do not have any infrastructure connecting homes to their networks if the providers determine they could offer service to at least one household. FCC has noted that overstatements of availability can be particularly problematic in rural areas, where census blocks cover larger areas.", "According to FCC officials, FCC requires providers to report fixed broadband availability where they could provide service to: (1) ensure that it captures instances in which a provider has a network nearby but has not installed the last connection to the homes, and (2) identify where service is connected to homes, but homes have not subscribed. FCC officials also told us that FCC measures availability at the census block level because sub-census block data may be costly to collect. However, FCC acknowledged that by requiring a provider to report where it could provide service, it is not possible to tell whether the provider would be unable or unwilling to take on additional subscribers in a census block it lists as served. In addition, when reporting on broadband access in tribal lands, FCC uses the broadband availability data described above, and does not collect information on factors that FCC and tribal stakeholders have stated can affect broadband access. These factors include affordability, service quality, and service denials.", "By developing and implementing methods for collecting and reporting accurate and complete data on broadband access specific to tribal lands, FCC would be better able to target federal broadband funding to tribal areas that need it the most. We recommended FCC develop and implement methods for collecting and reporting accurate and complete data on broadband access specific to tribal lands. FCC agreed with this recommendation and stated that it is exploring methods to collect more granular broadband deployment data."], "subsections": []}, {"section_title": "FCC Does Not Have a Formal Process to Obtain Tribal Input on its Broadband Data", "paragraphs": ["As we reported in September 2018, FCC does not have a formal process to obtain input from tribes on the accuracy of the data and tribal stakeholders can face difficulties obtaining information from providers. FCC\u2019s 2010 National Broadband Plan noted the need for the federal government to improve the quality of data regarding broadband on tribal lands and recommended that FCC work with tribes to ensure that any information collected is accurate and useful. Although the Plan also noted that tribal representatives should have the opportunity to review mapping data and offer supplemental data or corrections, FCC lacks a formal process to obtain tribal input on its broadband data. FCC officials told us that they address questions and concerns regarding providers\u2019 coverage claims submitted to FCC\u2019s Office of Native Affairs and Policy. However, about half of the tribal representatives we spoke to stated that they were not aware of the Form 477 data or corresponding maps, or raised concerns about a lack of outreach from FCC to inform tribes about the data. Most of the tribal stakeholders we interviewed told us that FCC should work more directly with tribes to obtain information from them to improve the accuracy of FCC\u2019s broadband deployment data for tribal lands. These stakeholders identified several ways in which FCC could work with tribes on this issue, including onsite visits, increased outreach and technical training, and opportunities for tribes to collect their own data or submit feedback regarding the accuracy of FCC\u2019s data.", "FCC\u2019s National Broadband Plan also noted the importance of supporting tribal efforts to build technical expertise with respect to broadband issues. A few of the stakeholders we interviewed noted that tribes have faced difficulties when they attempt to challenge FCC\u2019s broadband availability data. For example, in 2013, all of the tribal entities that challenged FCC\u2019s data on mobile service availability were unsuccessful in increasing the number of eligible areas. A few tribal stakeholders provided varying reasons for this, one of which was the need for more technical expertise to help the tribes meet FCC\u2019s requirements regarding the information needed to support a challenge. Because FCC lacks a formal process to obtain tribal input on its broadband data, FCC is missing an important source of information regarding areas in which the data may overstate broadband service on tribal lands.", "By establishing a process to obtain input from tribal governments on the accuracy of provider-submitted broadband data as recommended in the National Broadband Plan, FCC could help tribes develop and share locally-specific information on broadband access and improve FCC\u2019s data for tribal lands. However, the success of such an effort may rely on the tribes\u2019 knowledge of, and technical ability to participate in, the process. Thus, we recommended FCC develop a formal process to obtain tribal input on the accuracy of provider-submitted broadband data that includes outreach and technical assistance to help tribes participate in the process. FCC agreed with this recommendation and stated that it will work with stakeholders to explore options for implementing such a process.", "Finally, some tribes face challenges accessing data from providers. In 2011, FCC required that providers receiving funds to serve tribal lands meaningfully engage with the tribes and discuss broadband deployment planning. In 2012, FCC issued guidance on meeting this requirement and stated that the guidance would evolve over time based on the feedback of both tribal governments and broadband providers. However, FCC has taken limited steps to obtain such feedback and has not updated the guidance. About half of the tribal stakeholders we interviewed raised concerns about difficulties accessing information from providers regarding broadband deployment on their tribe\u2019s lands (which providers may consider proprietary), and some providers told us that they attempt to engage with tribes, but the level of responsiveness they receive from tribes varies. Thus, we recommended, and FCC agreed, that FCC obtain feedback from tribal stakeholders and providers to determine whether it needs to clarify its tribal engagement guidance."], "subsections": []}, {"section_title": "Few Tribal Broadband Partnerships Exist", "paragraphs": ["In our September 2018 report on tribal partnerships, we found that partnership arrangements between tribes and other entities to increase broadband deployment on tribal lands are not widespread. Because of the greater costs associated with deploying broadband on unserved tribal lands that are generally rural, with possibly rugged terrain, there may be little to no private sector incentive to deploy broadband or enter into a partnership arrangement to do so. The partnership examples we identified were ones that obtained federal funding under past programs funded by the Recovery Act. Among these examples, tribes partnered with several different types of entities, including private providers, a community access network provider, an electric cooperative, a regional consortium, and tribally owned providers."], "subsections": []}, {"section_title": "Tribes Face Barriers to Obtain Federal Funding for Broadband Deployment", "paragraphs": ["We also reported in September 2018 that FCC and RUS are the primary sources of federal funding to deploy broadband infrastructure in rural and remote areas where the cost of providing service is high, including tribal lands. Based on our review of the funding provided by four federal programs targeted to increase deployment in unserved areas, very little has gone directly to tribes or to tribally owned broadband providers. Specifically, we found that from 2010 to 2017, less than 1 percent of FCC funding and about 14 percent of RUS funding went directly to tribes and tribally owned providers. Combined, FCC and RUS funding totaled $34.6 billion during that time period and tribes and tribally owned providers received $235 million, or about 0.7 percent.", "FCC\u2019s 2010 National Broadband Plan stated that tribes needed substantially greater financial support than was available to them at the time and that accelerating tribal broadband deployment would require increased funding. Furthermore, the National Congress of American Indians expressed concerns that the needs for federally funded broadband projects are greater on tribal lands but tribes do not receive the appropriate share of federal funding aimed at increasing broadband deployment. Several of the tribes we visited told us they were trying to deploy broadband infrastructure or offer service because the private providers were not building out on their lands.", "Through our analysis, we found that from 2010 to 2017, 14 tribal entities received federal funding from FCC and RUS to increase broadband deployment (see fig. 2).", "The tribal officials, tribal associations, and tribally owned broadband providers we interviewed cited several barriers that tribes may face when seeking federal funding for broadband deployment. The two primary barriers these interviewees cited were (1) the statutory requirement for the eligible telecommunications carrier (ETC) designation and (2) grant application requirements. Regarding the statutory requirement for ETC designation, FCC officials told us there were 11 tribes that have providers designated as ETCs and therefore would be eligible to receive support from FCC\u2019s Connect America Fund (CAF)\u2014the largest source of federal funding for broadband deployment in unserved and underserved areas. Although FCC adopted rules in 2011 to create CAF and modernize the program so that it could support broadband capable networks, FCC officials told us that most ETCs are the telephone companies that were in existence when the Telecommunications Act of 1996 was enacted into law. According to FCC officials, FCC has explored whether it has authority to allow non-ETC providers to receive CAF support payments but determined that the statute is clear that only ETCs can receive program support. Between 2012 and 2017, FCC officials said FCC received nine ETC applications, four of which were from tribally owned providers. Of those four, only one tribally owned provider was designated as an ETC.", "According to representatives from a tribal association we contacted, FCC has provided ETCs with billions of dollars to deploy service to unserved areas, but FCC\u2019s efforts have not always been successful in the hardest to reach areas, particularly tribal lands. The representatives stated that FCC\u2019s competitive market approach does not work where competition cannot be supported and that there needs to be a different approach. Similarly, tribal officials from Idaho told us that although the provider in their area has received millions of dollars in CAF subsidies, it has not deployed broadband on the tribal lands. Other tribal officials from Idaho told us that although private providers received CAF subsidies to deploy broadband service to their reservation, the private providers told the tribe it would be years before they offer service on tribal lands.", "Additionally, the tribal officials, tribal associations, and tribally owned broadband providers we interviewed said tribes may face barriers completing federal grant applications to obtain funding for broadband deployment. For example, they said tribes face regulatory barriers in applying for RUS\u2019s grant funding, including preparing existing and proposed network design, demonstrating financial sustainability of the broadband project within 5 years, and obtaining matching funds.", "The National Broadband Plan recommended that federal agencies facilitate tribal access to broadband funding opportunities. Furthermore, recognizing the need to reduce barriers to expand broadband deployment, the Broadband Opportunity Council, established in March 2015, issued a memorandum stating that federal agencies should use all available and appropriate authorities to identify and address regulatory barriers that may unduly impede either broadband deployment or the infrastructure to augment broadband deployment. However, according to RUS officials, RUS has not taken steps to identify or address the barriers tribes face when applying for RUS grant funding due to limited resources and multiple competing priorities for those resources. We recommended that RUS identify any regulatory barriers that may unduly impede efforts by tribes to obtain RUS grant funds for broadband deployment on tribal lands and implement any steps necessary to address the identified barriers. By doing so, RUS could help tribes obtain funding to expand broadband deployment on tribal lands. RUS neither agreed nor disagreed with this recommendation.", "Chairman Hoeven, Vice Chairman Udall, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Mark Goldstein, Director, Physical Infrastructure Issues at (202) 512-2834 or GoldsteinM@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Rose Almoguera, Katherine Blair, Keith Cunningham, Crystal Huggins, Sally Moino, and Tina Paek. Other staff who made contributions to the reports cited in this testimony are identified in the source product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Broadband provides high-speed Internet service, which can improve communications and drive economic growth. However, tribal lands have lower levels of broadband access than the rest of the nation. Congress has prioritized identifying unserved areas and targeting funds to increase broadband deployment, including on tribal lands.", "In this testimony, we found:", "this digital divide on tribal lands may be larger than estimated because FCC data overstate availability on tribal lands", "tribes face barriers to obtaining funds to improve access. Less than 1 percent of broadband funding from programs we reviewed went directly to tribes from 2010 to 2017."]} {"id": "GAO-19-196", "url": "https://www.gao.gov/products/GAO-19-196", "title": "Consumer Data Protection: Actions Needed to Strengthen Oversight of Consumer Reporting Agencies", "published_date": "2019-02-21T00:00:00", "released_date": "2019-03-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CRAs collect, maintain, and sell to third parties large amounts of sensitive data about consumers, including Social Security numbers and credit card numbers. Businesses and other entities commonly use these data to determine eligibility for credit, employment, and insurance. In 2017, Equifax, one of the largest CRAs, experienced a breach that compromised the records of at least 145.5 million consumers.", "GAO was asked to examine issues related to federal oversight of CRAs. Among other things, this report discusses (1) measures FTC has taken to enforce CRA compliance with requirements to protect consumer information, (2) measures CFPB has taken to ensure CRA protection of consumer information, and (3) actions consumers can take after a breach. GAO reviewed relevant laws, documentation related to CRA examinations, and policies and practices of selected CRAs; and interviewed representatives of regulatory agencies, CRAs, consumer and industry groups, and Attorneys General from four states with consumer reporting requirements."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2008, the Federal Trade Commission (FTC) has settled 34 enforcement actions against various entities related to consumer reporting violations of the Fair Credit Reporting Act (FCRA), including 17 actions against consumer reporting agencies (CRA). Some of these settlements included civil penalties\u2014fines for wrongdoing that do not require proof of harm\u2014for FCRA violations or violations of consent orders. However, FTC does not have civil penalty authority for violations of requirements under the Gramm-Leach-Bliley Act (GLBA), which, unlike FCRA, includes a provision directing federal regulators and FTC to establish standards for financial institutions to protect against any anticipated threats or hazards to the security of customer records. To obtain monetary redress for these violations, FTC must identify affected consumers and any monetary harm they may have experienced. However, harm resulting from privacy and security violations can be difficult to measure and can occur years in the future, making it difficult to trace a particular harm to a specific breach. As a result, FTC lacks a practical enforcement tool for imposing civil money penalties that could help to deter companies, including CRAs, from violating data security provisions of GLBA and its implementing regulations.", "Since 2015, the Consumer Financial Protection Bureau (CFPB) has had five public settlements with CRAs. Four of these settlements included alleged violations of FCRA; and three included alleged violations of unfair, deceptive, or abusive practices provisions. CFPB is also responsible for supervising larger CRAs (those with more than $7 million in annual receipts from consumer reporting) but lacks the data needed to ensure identification of all CRAs that meet this threshold. Identifying additional sources of information on these CRAs, such as by requiring them to register with the agency through a rulemaking or leveraging state registration information, could help CFPB ensure that it can comprehensively carry out its supervisory responsibilities. According to CFPB staff, the bureau does not have authority to examine for or enforce the GLBA\u2019s safeguards provisions. After the Equifax breach, however, CFPB used its existing supervisory authority to examine the data security of certain CRAs. CFPB\u2019s process for prioritizing which CRAs to examine does not routinely include an assessment of companies\u2019 data security risks, but doing so could help CFPB better detect such risks and prevent the further exposure or compromise of consumer information.", "If a CRA experiences a data breach, affected consumers can take actions to mitigate the risk of identity theft\u2014such as implementing a fraud alert or credit freeze\u2014and can file a complaint with FTC or CFPB. However, consumers are limited in the direct actions they can take against the CRA. Consumers generally cannot exercise choice in the consumer reporting market\u2014such as by choosing which CRAs maintain their information\u2014if they are dissatisfied with a CRA\u2019s privacy or security practices. In addition, according to CFPB, consumers cannot remove themselves from the consumer reporting market entirely because they do not have a legal right to delete their records with CRAs. This limited control by consumers, coupled with the large amount and sensitive nature of the information CRAs possess, underscores the importance of appropriate federal oversight of CRAs\u2019 data security."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Congress consider giving FTC civil penalty authority to enforce GLBA\u2019s safeguarding provisions. GAO also recommends that CFPB (1) identify additional sources of information on larger CRAs, and (2) reassess its prioritization of examinations to address CRA data security. CFPB neither agreed nor disagreed with GAO\u2019s recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2017, the consumer reporting agency (CRA) Equifax, Inc., disclosed that it had experienced a data breach and that unknown individuals had extracted from its databases sensitive consumer information\u2014such as names, addresses, birth dates, and credit card, driver\u2019s license, and Social Security numbers\u2014of at least 145.5 million consumers in the U.S. Such unauthorized access to personally identifiable information could lead to identity theft, raising concerns among policymakers about how CRAs in general are collecting, using, and protecting sensitive consumer information. We have addressed issues related to data breaches and identity theft in our prior work, including our recent analysis of the Equifax data breach.", "According to the Consumer Financial Protection Bureau (CFPB), the consumer reporting market comprises more than 400 companies, and the Consumer Data Industry Association reports that these companies issue three billion reports and make more than 36 billion updates to consumer files each year. These companies collect vast amounts of sensitive consumer information, package it into consumer reports, and sell the reports to third parties. Banks, employers, and others use these reports to make credit, employment, insurance, and other decisions. According to a 2018 Department of the Treasury report, the three nationwide CRAs\u2014 Equifax, Experian, and TransUnion\u2014maintain credit files on nearly 210 million Americans.", "You asked us to examine issues related to the causes of the Equifax breach, Equifax\u2019s response to the breach, federal oversight of CRAs, and the role of CRAs in federal agencies\u2019 implementation of government programs. This report, one in a series of our reports that addresses these issues, examines the oversight of CRAs, specifically (1) the federal laws and regulations governing CRAs\u2019 collection, use, and protection of consumer information; (2) measures the Federal Trade Commission (FTC) has taken to enforce CRA compliance with requirements to protect consumer information; (3) measures CFPB has taken to ensure that CRAs protect consumer information; and (4) FTC\u2019s and CFPB\u2019s roles in assisting consumers following a data breach and actions consumers can take following a data breach of a CRA.", "To examine the laws governing CRAs, we identified relevant laws and reviewed them for their application to CRAs. We interviewed and reviewed documentation from the three nationwide CRAs and interviewed three additional CRAs that produce or compile consumer reporting information. We selected these CRAs because they are not sector- specific and hold information on a broad segment of the population. We conducted a site visit to Equifax\u2019s Alpharetta, Georgia data center to learn more about steps the company takes to comply with relevant consumer protection laws. In addition, we interviewed staff from CFPB and FTC, and the Office of the Attorney General of four states with existing or proposed information protection laws or regulations that vary from federal requirements (California, Illinois, Massachusetts, and New York). We also interviewed associations representing companies that furnish consumer information to and use consumer reports from CRAs\u2014the American Bankers Association, the Property Casualty Insurance Association of America, and the National Retail Federation\u2014about their roles in the collection, use, and protection of consumer data, and steps they take to comply with relevant laws.", "To assess FTC and CFPB measures to enforce information protection provisions and to ensure CRAs\u2019 proper collection, use, and protection of consumer information, we reviewed documents from FTC and CFPB. We reviewed the types of enforcement actions available to FTC and CFPB for violations of relevant laws, as well as specific enforcement actions these agencies have brought against CRAs. We also reviewed documentation on the scope of CFPB examinations of larger market participant CRAs since 2015, as well as findings from recent CRA examinations. In addition, we reviewed CFPB examination guidance for supervising these CRAs, including CFPB\u2019s internal guidelines for conducting data security examinations. We also reviewed documents related to CFPB\u2019s process for prioritizing which institutions and which product lines should receive supervisory examination, and we interviewed CFPB staff about this process. We interviewed officials from FTC and CFPB on their oversight activities, and we interviewed representatives of industry, consumer, and privacy groups on their views about supervision and oversight of CRAs.", "To assess FTC\u2019s and CFPB\u2019s roles in assisting consumers, as well as actions consumers can take following a data breach of a CRA, we reviewed the two agencies\u2019 websites and other publicly available consumer educational materials. We also interviewed staff from these agencies about their roles in assisting consumers following a breach. To identify actions consumers can take following a data breach, we reviewed our prior related reports and spoke with the industry and consumer representatives noted above. See app. I for a more detailed discussion of our scope and methodology for this report.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Consumer Reporting Process", "paragraphs": ["Information on consumers is exchanged through a consumer reporting process that includes consumers, CRAs, furnishers, and users of that information (see fig.1).", "Consumers are individuals whose information is collected and shared to make eligibility decisions, such as for credit, insurance, or employment.", "CRAs are companies that assemble or evaluate consumer information for the purpose of furnishing consumer reports to third parties who use the reports to determine consumer eligibility for employment, or products and services such as credit and insurance.", "Furnishers are entities such as banks or credit card companies that provide CRAs with consumer information, such as account openings, bill payments, or delinquency information. CRAs use this information, along with other information, including from public records such as bankruptcies, to compile consumer reports.", "Users are banks, credit card companies, employers, or other entities that use consumer reports to make eligibility decisions for individual consumers. Users vary in the specific information they request from CRAs and how they interpret the data. Some institutions, such as banks, may act as both furnishers and users.", "During the consumer reporting process, a consumer would not necessarily interact with the CRA; however, if the consumer discovered inaccurate information on their credit report as a result of, for example, being denied credit, the consumer could file a dispute with the CRA or the furnisher. Consumers may also request copies of their consumer reports from CRAs directly, and CRAs may provide consumers with disclosures about how their information is being shared."], "subsections": []}, {"section_title": "Oversight Agencies", "paragraphs": ["FTC and, most recently, CFPB, are the federal agencies primarily responsible for overseeing CRAs. FTC has authority to investigate most organizations that maintain consumer data and to bring enforcement actions for violations of statutes and regulations that concern the security of data and consumer information. CFPB, created in 2010 by the Dodd- Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), has enforcement authority over all CRAs for violations of certain consumer financial protection laws. In general, it also has the authority to issue regulations and guidance for those laws. CFPB has supervisory authority over larger market participants in the consumer reporting market. In 2012, CFPB defined larger market participant CRAs as those with more than $7 million in annual receipts from consumer reporting. CFPB\u2019s supervision of these companies includes monitoring, inspecting, and examining them for compliance with the requirements of certain federal consumer financial laws and regulations. As discussed below, these laws include most provisions of the Fair Credit Reporting Act (FCRA); several provisions of the Gramm-Leach-Bliley Act (GLBA); and provisions of the Dodd-Frank Act concerning unfair, deceptive, or abusive acts or practices."], "subsections": []}, {"section_title": "Data Breaches and the Equifax Breach", "paragraphs": ["Although there is no commonly agreed-upon definition of \u201cdata breach,\u201d the term generally refers to an unauthorized or unintentional exposure, disclosure, or loss of sensitive information. This information can include personally identifiable information such as Social Security numbers, or financial information such as credit card numbers. A data breach can be inadvertent, such as from the loss of an electronic device; or deliberate, such as from the theft of a device. A breach can also occur as a result of a cyber-based attack by individuals or groups, including organizations\u2019 own employees, foreign nationals, or terrorists. Data breaches have occurred at all types of organizations, including private, nonprofit, and federal and state entities.", "In the Equifax data breach, Equifax system administrators discovered on July 29, 2017, that intruders had gained unauthorized access via the Internet to a server housing the company\u2019s online dispute portal. The breach compromised the personally identifiable information of at least 145.5 million individuals, and included names, addresses, and birth dates; and credit card, driver\u2019s license, and Social Security numbers. Equifax\u2019s investigation of the breach identified factors that led to the breach: software vulnerabilities, failure to detect malicious traffic, failure to isolate databases from each other, and inadequately limiting access to sensitive information such as usernames and passwords. Equifax\u2019s public filings after the breach noted that the company took steps to improve security and notify individuals about the breach. Our August 2018 report provides more information on the breach and Equifax\u2019s response.", "While data breaches do not always result in measurable harm, intruders may retain or resell stolen information to commit identity theft, which can include existing-account fraud and new-account fraud. In existing-account fraud, identity thieves use financial account identifiers, such as credit card or debit card numbers, to take over an individual\u2019s existing accounts to make unauthorized charges or withdraw money. In new-account fraud, identity thieves use an individual\u2019s identifying data, such as Social Security and driver\u2019s license numbers, to open new financial accounts and incur charges and obtain credit in an individual\u2019s name without that person\u2019s knowledge. In addition, identity thieves may commit synthetic identity fraud, where they combine real and/or fictitious information to create identities with which they may defraud financial institutions, government agencies, or individuals."], "subsections": []}]}, {"section_title": "Several Federal Laws Govern the Collection, Use, and Protection of Consumer Information", "paragraphs": [], "subsections": [{"section_title": "FCRA Governs the Accuracy, Use, and Sharing of Consumer Information, and CRAs Reported Taking Actions to Comply", "paragraphs": ["FCRA, enacted in 1970, is one of the primary federal laws governing the personal information that CRAs hold. It governs the accuracy of this information and gives consumers rights to view, correct, or opt out of the sharing or use of certain aspects of their personal information among affiliates. FCRA also applies to how CRAs can use and share the information.", "Accuracy of collected information. FCRA requires that when preparing a consumer report, CRAs follow reasonable procedures to assure \u201cmaximum possible accuracy\u201d of the information concerning the individual about whom the report relates. Companies that furnish information to CRAs also must take steps regarding the accuracy of information they report, as required by FCRA and its implementing regulation, Regulation V. A 2012 CFPB report cited steps that nationwide CRAs take to help ensure that information they collect from furnishers is legitimate and accurate. The report notes that initial screening of furnishers generally includes an inspection of the companies\u2019 physical headquarters, phone numbers, websites, business licenses, and company records such as annual reports. In addition, these CRAs may hire third-party investigation services to screen for illegal or unethical business practices. They may also conduct additional inspections in response to consumer complaints, variations in data reporting, or changes in a furnisher\u2019s ownership. To conduct quality checks on data submitted by furnishers, CFPB reported that the nationwide CRAs check for blank fields or logical inconsistencies. Representatives of CRAs we spoke with provided examples of the quality assurance steps they take. For example, one representative told us that they look for violations of logical patterns, such as a loan going from 30 days past due to 90 days past due over the course of one month. CFPB reported that when inaccuracies are identified, the CRAs can reject the information. These steps may improve the quality of the information received from furnishers, but they cannot ensure the accuracy of such data.", "Use and sharing of information. FCRA permits CRAs to provide users with consumer reports only if the user has a \u201cpermissible purpose,\u201d such as to process a credit application, screen a job applicant, or underwrite an insurance policy, subject to limitations where the credit or insurance transaction is not initiated by the consumer. FCRA also prohibits the use of a consumer report for any purpose other than that specified to the CRA when the user obtained the report. It also requires that CRAs take steps to validate the legitimacy of users and their requests for consumer report information and apply FCRA requirements to the sharing of information within their companies.", "Validating the legitimacy of users and their requests for consumer report information. Representatives of CRAs told us they take several steps to validate the legitimacy of users and their requests, including verifying credit transactions, periodically evaluating user agreements, and validating users\u2019 identities. For example, representatives of one CRA said they sometimes conduct on-site visits to verify the existence of an entity and the business it conducts. In addition, they said they randomly select 6,000 to 8,000 consumer files each year and ask users associated with those files to show proof that the consumers engaged in the credit transactions contained in those files. However, several CRAs told us that these steps cannot guarantee that the users and requests are valid. For example, representatives of one CRA noted that once a user has the information, a CRA would find it difficult to prevent that user from retaining and reusing it for purposes other than the original permissible purpose.", "Applying FCRA requirements to sharing information internally. As amended by the Fair and Accurate Credit Transactions Act of 2003, FCRA limits the ability of affiliated companies to market products or services to consumers using shared consumer data. Affiliates may use consumer report information for product or service marketing only if they clearly and conspicuously disclose to the consumer that the information may be shared for such solicitations, the consumer is provided a simple method to opt out of such solicitations, and the consumer does not opt out. Representatives of CRAs told us that they apply the same FCRA protections when they share consumer reporting data among their departments or subsidiaries, which may use the data for other purposes. For example, one nationwide CRA said that one of its internal groups seeks to ensure that the company implements appropriate legal protections when it shares data for other uses within the company.", "Staff from state Attorneys General offices we spoke with told us that their states also have laws pertaining to consumer reporting, which have similar requirements to those in FCRA. In addition, they noted that while there is no federal data breach notification law, all 50 states have laws requiring companies to notify consumers in the event of a data breach. According to the National Conference of State Legislatures, those laws have varying requirements, such as the timing or method of notification, and who must be notified."], "subsections": []}, {"section_title": "GLBA and Other Laws Govern the Protection of Consumer Information", "paragraphs": ["Congress enacted GLBA in part to protect the privacy and security of nonpublic personal information that individuals provide to financial institutions. According to FTC staff, CRAs may be considered financial institutions under GLBA if they collect, maintain, and report on consumer information. As with FCRA, GLBA restricts financial institutions from sharing consumers\u2019 private information, but GLBA restricts sharing with nonaffiliated third parties specifically, and those parties face similar restrictions in how they may further share or use the information.", "In addition, unlike FCRA, GLBA includes a provision directing FTC and certain federal regulators (not including CFPB) to establish standards specifically with respect to protection against any anticipated threats or hazards to the security of customer records. Specifically, under GLBA, these federal regulators are directed to establish appropriate standards for financial institutions under their jurisdiction to ensure the security and confidentiality of customer records and information; protect against any anticipated threats or hazards to the security or integrity of such records; and protect against unauthorized access to or use of such records or information that could result in substantial harm or inconvenience to any customer. To implement these standards for CRAs, and other entities that fall under its jurisdiction, FTC adopted its Safeguards Rule, which requires, among other things, that financial institutions have a written information security program, assess the risks to customer information, and evaluate and adjust the information security program in light of foreseeable risks. FTC staff told us that because GLBA applies to information about a consumer with a customer relationship with a financial institution, the Safeguards Rule may not apply in all cases where a CRA holds personal information on individuals. For example, they said that GLBA would more clearly apply if the consumer had purchased credit monitoring or other products or services directly from the CRA, or if the CRA obtained customer information from another financial institution, such as a bank. Representatives of the three nationwide CRAs told us that for purposes of protecting information, they do not distinguish between consumers with whom they have a direct customer relationship and those with whom they do not.", "CRAs we spoke with provided examples of how they protect consumer information and meet GLBA requirements to maintain administrative, technical, and physical safeguards. For example, with respect to administrative safeguards, representatives of one CRA said they enforce contractual requirements for data access and data security. Representatives of another CRA said that the technical safeguards they use include firewalls, anti-virus software, and malware protection. Examples of physical safeguards from another CRA included monitoring data centers by video and restricting access to secure data rooms. To address data protection more generally, representatives of CRAs we spoke with told us they routinely conduct internal audits of their data security systems, and that the financial institutions they work with frequently conduct audits of their risk management practices, including CRAs\u2019 data security controls.", "Provisions related to unfair or deceptive acts or practices also may apply to CRAs\u2019 protection of consumer data. Specifically, under FTC\u2019s authority, section 5 of the Federal Trade Commission Act (FTC Act) prohibits \u201cunfair or deceptive acts or practices\u201d in or affecting commerce. In the context of privacy and security, these provisions require companies to truthfully represent practices to consumers. For example, FTC has found companies that alleged that they were following certain security protections, but did not in fact have such security features, to have engaged in unfair or deceptive practices. Similarly, the Dodd-Frank Act prohibits providers of consumer financial products or services from engaging in \u201cunfair, deceptive, or abusive acts or practices,\u201d and CFPB has authority to enforce and supervise for compliance with this provision. CFPB has alleged that claims to consumers that transactions are safe and secure while simultaneously lacking basic security practices can constitute unfair, deceptive, or abusive acts or practices. FTC and CFPB officials said that in the case of data breaches, they would examine each case individually to determine whether the institution violated these provisions in connection with the breach.", "Some states also have laws that protect consumer information, including laws that generally govern data security. For example, staff from the Massachusetts Attorney General\u2019s office told us that their state has a data security law similar to FTC\u2019s Safeguards Rule but with more specific requirements, including those for malware detection and firewalls. According to the National Consumer Law Center, all 50 states have consumer protection laws that prohibit unfair or deceptive practices. Staff from state Attorneys General offices told us that they can prosecute entities for potential violations of these provisions, including data breaches. They told us that following the Equifax breach, several states\u2019 Attorneys General launched a joint investigation into whether Equifax violated state laws, including prohibitions of unfair or deceptive practices. According to staff from one state Attorney General office, as of February 2019, this investigation was ongoing. In addition, Equifax reported that individual states have also filed legal action or have ongoing investigations. For example, Massachusetts and West Virginia have filed civil enforcement actions against Equifax that seek various remedies, including civil penalties."], "subsections": []}]}, {"section_title": "FTC Has Taken Enforcement Measures against CRAs but Lacks Civil Penalty Authority for GLBA Data Protection Provisions", "paragraphs": [], "subsections": [{"section_title": "FTC Enforces CRA Compliance with Consumer Protection Laws", "paragraphs": ["FTC enforces compliance with consumer protection laws under authorities provided in FCRA, GLBA, and the FTC Act. FCRA authorizes FTC to enforce compliance for nearly all companies not supervised by either a federal banking regulator or certain other federal agencies. GLBA authorizes FTC to issue certain rules and enforce compliance for all nonbank financial institutions and other entities not under the jurisdiction of a federal banking regulator, the National Credit Union Administration, Securities and Exchange Commission, or state insurance regulators. The FTC Act authorizes FTC to investigate and take administrative and civil enforcement actions against companies under its jurisdiction that engage in unfair or deceptive acts or practices in or affecting commerce. According to FTC, in the last 10 years, it has brought 34 enforcement actions for FCRA violations, including 17 against CRAs. In addition, FTC said that it had taken a total of 66 actions against companies (not just in the last 10 years), including CRAs, that allegedly engaged in unfair or deceptive practices relating to data protection.", "If FTC has reason to believe that a company has violated laws under its jurisdiction, it may initiate an investigation to determine whether to take enforcement action. FTC staff said that in determining whether to take on a case related to privacy and data security matters, they consider factors such as the company\u2019s size and the sensitivity of the data in the company\u2019s network. For example, FTC may choose not to investigate a data breach of a small company that affects few people; however, it may investigate a potential data security violation of a large company, even without evidence of a breach. Under its statutory authority, FTC can ask or compel companies to produce documents, testimony, and other materials to assist in its investigations. In June 2018, FTC notified Equifax that it was considering legal action against the company as a result of its 2017 data breach, including seeking civil penalties.", "If FTC finds that a company violated consumer law, the agency may take several different actions depending on its legal authority and what it considers to be the most appropriate response. For example, FTC may, in administrative proceedings, issue cease-and-desist orders for unfair or deceptive acts or practices. Further, FTC generally may seek a range of remedies from the U.S. district courts, including injunctions, damages to compensate consumers for their actual losses, and disgorgement of ill- gotten funds. In limited circumstances, FTC also may seek civil money penalties, which are monetary fines imposed for a violation of a statute or regulation.", "Examples of FTC enforcement actions related to consumer reporting include: In May 2016, FTC settled with a furnisher that allegedly violated FCRA requirements to have adequate policies and procedures for reporting accurate credit information to CRAs. FTC alleged that a debt collector acting as a furnisher did not have a written policy regarding the accuracy and integrity of information it furnished, and in numerous instances failed to inform consumers about these outcomes.", "In 2011, FTC brought enforcement actions against three CRAs that merge, and then sell, information from the three nationwide CRAs. FTC alleged that these companies did not meet GLBA standards and violated unfair or deceptive practices prohibitions by not providing reasonable and appropriate security for consumers\u2019 personal information. These violations included not developing and disseminating information security policies, and not addressing risks by, for example, evaluating the security of end users\u2019 computer networks.", "In 2006, FTC settled with ChoicePoint\u2014a CRA\u2014and imposed a $10 million civil penalty for violations of FCRA stemming from a 2005 data breach. In 2009, FTC obtained an additional $275,000 in equitable monetary relief due to ChoicePoint\u2019s violation of the order after an additional data breach occurred in 2008."], "subsections": []}, {"section_title": "FTC\u2019s Lack of Civil Penalty Authority for GLBA May Hinder Its Effectiveness in Enforcing Data Security Provisions", "paragraphs": ["As previously discussed, in some circumstances, FTC enforcement authority can include civil money penalties. This includes cases of knowing violations of FCRA. For example, in a 2014 settlement, FTC levied $525,000 in civil penalties against a CRA after alleging that the company did not comply with FCRA provisions to ensure the accurate and permissible use of its reports. FTC does not have civil penalty authority for initial violations of the FTC Act but may obtain civil penalties from companies for violations of FTC Act orders.", "FTC\u2019s civil penalty authority does not extend to initial violations of GLBA\u2019s privacy and safeguarding provisions, which require administrative, physical, and technical safeguards with an emphasis on protection against anticipated threats and unauthorized access to customer records. For violations of GLBA provisions, which are enforced pursuant to FTC Act authority, FTC may seek an injunction to stop a company from violating these provisions and may seek redress (damages to compensate consumers for losses) or disgorgement. However, determining the appropriate amount of consumer compensation requires FTC to identify the consumers affected and the amount of monetary harm they suffered. In cases involving security or privacy violations resulting from data breaches, assessing monetary harm can be difficult. Consumers may not be aware that their identities have been stolen as a result of a breach and or identity theft, and related harm may occur years in the future. In addition, it can be difficult to trace instances of identity theft to specific data breaches. According to FTC staff, these factors can make it difficult for the agency to identify which individuals were victimized as a result of a particular breach and to what extent they were harmed and then obtain related redress or disgorgement. Having civil penalty authority for GLBA provisions would allow FTC to fine a company for a violation such as a data breach without needing to prove the monetary harm to individual consumers.", "FTC staff told us and testified before Congress that civil penalties are often the most appropriate remedy for a data breach, and that such penalties serve as an effective deterrent in cases involving weak data privacy and security policies and practices. FTC staff noted that in the case of a data breach, each consumer record exposed could constitute a violation; as a result, a data breach that involved a large number of consumer records could result in substantial fines. Unlike FTC, other regulators have civil penalty authority to punish entities that violate provisions of GLBA. For example, the Office of the Comptroller of the Currency has said that it can enforce GLBA privacy and safeguard provisions with civil money penalties against any insured depository institution or institution-affiliated party subject to its supervision.", "In our 2009 report on modernizing the financial regulatory framework, we stated that financial regulators should have the authority to carry out and enforce their statutory missions. In the case of FTC, this includes having the tools necessary to meet its mission of protecting consumers from harm, including the harm caused by misuse of personal information, by having the range of authorities to punish entities for violations of the statutes and regulations the agency enforces.", "In 2006, we suggested that Congress consider providing FTC with civil penalty authority for its enforcement of GLBA\u2019s privacy and safeguarding provisions. We noted that providing this authority would give FTC a practical enforcement tool to more effectively enforce provisions related to security of data and consumer information. Following the 2008 financial crisis, Congress introduced several bills related to data protection and identity theft, which included giving FTC civil penalty authority for its enforcement of GLBA. However, in the final adoption of these laws, Congress did not provide FTC with this authority. Since that time, data breaches at Equifax and other large organizations have highlighted the need to better protect sensitive personal information. Accordingly, we continue to believe FTC and consumers would benefit if FTC had such authority."], "subsections": []}]}, {"section_title": "CFPB Enforces and Examines CRAs for Compliance with Consumer Protection Laws but Does Not Fully Consider Data Security in Prioritizing Examinations", "paragraphs": [], "subsections": [{"section_title": "CFPB Enforces and Examines CRA Compliance with Consumer Protection Laws", "paragraphs": ["CFPB enforces compliance with most provisions of FCRA; several provisions of GLBA; and the prohibition of unfair, deceptive, or abusive acts or practices under the Dodd-Frank Act. According to CFPB staff, CFPB cannot enforce data security standards under these statutory provisions or the FTC\u2019s implementing rules because CFPB does not have authority to supervise for or enforce compliance with the GLBA\u2019s safeguards provision or FCRA\u2019s red flags or records disposal provisions.", "Since 2015, CFPB has had five public settlements with CRAs. Four of these settlements included alleged violations of FCRA and three included alleged violations of unfair, deceptive, or abusive practices provisions. For example, in March 2017, CFPB settled with Experian for $3 million in civil penalties for an alleged violation of FCRA and alleged deceptive acts or practices. Experian marketed to consumers an \u201ceducational credit score\u201d that the company claimed lenders used to make credit decisions. CFPB alleged that lenders did not use these \u201ceducational credit scores\u201d for this purpose, and that Experian violated FCRA\u2019s implementing regulation by requiring consumers to view Experian advertisements before obtaining a free credit report. In December 2015, CFPB levied a fine of $8 million against another CRA\u2014Clarity Services, Inc.\u2014for obtaining consumer reports without a permissible purpose in violation of FCRA and failing to investigate consumer disputes. CFPB is also continuing its investigation of Equifax\u2019s data breach.", "CFPB supervises the larger market participant CRAs (those with more than $7 million in annual receipts from consumer reporting, as defined by CFPB) and has the authority to examine these CRAs for compliance with federal consumer financial protection laws. From 2015 through 2017, CFPB examined several CRAs. Some of these examinations resulted in findings of deficiencies related to data accuracy and dispute processes, and follow-up examinations were conducted as necessary. As part of its supervisory role, CFPB also periodically monitors the nationwide CRAs by requesting information on their activities and identifying any changes in risk to consumers and the market. CFPB uses this information to learn of changes to a CRA\u2019s compliance, personnel, issues raised by the CRA\u2019s internal audits, or other developments that might affect CFPB\u2019s strategy for supervising the CRA."], "subsections": []}, {"section_title": "CFPB May Not Be Identifying All CRAs under Its Supervisory Authority", "paragraphs": ["CFPB has examined several larger market participant CRAs, but may not be identifying all CRAs that meet the $7 million threshold. CFPB staff told us that as of October 2018, they were tracking between 10 and 15 CRAs that might qualify as larger market participants (as defined by CFPB). CFPB staff told us that they believe the CRA market is highly concentrated and there were not likely to be many larger market participants beyond the 10 to 15 they are tracking. However, CFPB staff said that the 10 to 15 CRAs may not comprise the entirety of larger market participants because whether CRAs meet the threshold may vary from year to year and CFPB has limited data to determine whether CRAs meet the threshold. Specifically, CFPB staff said that identifying additional larger market participant CRAs can be challenging. For example, the Securities and Exchange Commission does not require nonpublicly traded CRAs to file financial and other information that CFPB could otherwise use to identify these CRAs, which are generally not widely known to the public. In addition, CFPB staff said they do not ask CRAs to provide their annual receipts, with the exception of the specific CRAs being considered for examination in a given year, because CFPB staff said calculating these receipts could create an additional cost to the companies.", "Our January 2009 report on reforming the U.S. financial regulatory structure noted that regulators should be able to identify institutions and products that pose risks to the financial system, and monitor similar institutions consistently. One method for identifying institutions for oversight, particularly where data are limited, is to require companies to register with the relevant regulator. For example, among other requirements, insured depository institutions must obtain a charter to operate, and money services businesses generally must register with the Financial Crimes Enforcement Network. Similarly, CFPB could identify CRAs that meet the larger market participant threshold by requiring such businesses to register with them, subject to a rulemaking process and cost-benefit analysis of the burden it could impose on the industry. Another method CFPB could use to identify CRAs and inform its oversight activities would be to leverage information collected by states. Stakeholders we spoke with cited New York and Maine as examples where CRAs are required to register with the state. Implementing strategies such as registration or leveraging existing information could be a cost-effective way for CFPB to identify all CRAs under its authority. Identifying additional sources of information on the population of larger market participant CRAs\u2014including those that are lesser-known, possibly unknown to CFPB, and possibly in possession of large amounts of sensitive consumer information\u2014could help ensure that CFPB has more comprehensive information for carrying out its supervisory responsibilities."], "subsections": []}, {"section_title": "CFPB\u2019s Prioritization of CRA Examinations Does Not Specifically Account for Data Security Risk", "paragraphs": ["To determine which product lines, institutions, and compliance issues to examine, CFPB determines the institutions (for example, banks, credit unions, non-bank mortgage servicers, and CRAs) and the consumer product lines that pose the greatest risk to consumers, and prioritizes these for examinations annually (see fig.2). CFPB segments the consumer product market into institution product lines, or specific institutions\u2019 offerings of consumer product lines. CFPB then assesses each institution product line\u2019s risk to consumers at the market level and institutional level. To assess risk at the market level, CFPB considers market size and other factors that contribute to market risk. Market size includes a consideration of a product\u2019s market size relative to other consumer finance product markets. Other market risk factors include the potential risk to consumers from new or existing products offered in the market as well as emerging risks and trends in consumer financial products. For example, CFPB noted that a market may be considered higher risk if consumers cannot choose the provider of a financial product or service in that market, or if the transactions occur between two businesses rather than between a business and consumers. Because they do not face the same risk of losing customers as companies in other markets, companies in higher-risk markets may not have the same financial incentives to protect the interests of consumers.", "To assess risk at the institution level, CFPB considers an institution\u2019s market share within a product line, as well as field and market intelligence. An institution\u2019s market share correlates with the number of consumers who could be affected by that institution\u2019s practices; therefore, CFPB generally places a higher priority on larger providers of products. Field and market intelligence includes quantitative and qualitative information on an institution\u2019s operations for a given product line, including the strength of its compliance management systems, the number of regulatory actions directed at the institution, findings from prior CFPB examinations, information obtained from CFPB\u2019s quarterly monitoring of institutions, public reports, and the number and severity of consumer complaints CFPB has received about the institution. Field and market intelligence can also include information about an institution\u2019s fair lending practices and its ability to provide fair, equitable, and nondiscriminatory access to credit.", "Taking market and institutional considerations together, CFPB places institution product lines into tiers based on its determination of their relative risk to consumers. These risk tiers range from 1 to 5, with 1 being the lowest risk and 5 being the highest risk. Risk tiers then feed into CFPB\u2019s development of its supervision strategy, which includes other information, including information from subject matter experts and recent legal and policy decisions that could affect examinations, and consultations with internal stakeholders. CFPB uses both the risk tiers and information from its supervision strategy to identify potential institutions for examination. Following this process, CFPB has regularly determined CRAs\u2019 consumer reporting to be a high priority for examination since it began supervising them in 2012.", "After identifying institution product lines to examine, CFPB determines specific areas of compliance to assess. These determinations are made by considering sources such as consumer complaints, public filings and reports, and past examination findings related to the same or similar products or institutions. Most recently, CFPB examinations of CRA\u2019s consumer reporting have focused on issues such as data accuracy, dispute processes, compliance management, and permissible purposes.", "Although CFPB\u2019s examination prioritization incorporates several important factors and sources, the process does not routinely include assessments of data security risk, such as how institutions detect and respond to cyber threats. According to CFPB staff, the agency\u2019s process for determining risk tiers incorporates the risk factors specifically cited in the Dodd-Frank Act, including those related to the size of a product market. The Act also states that CFPB should consider other factors it determines to be relevant; as such, CFPB staff noted that certain elements of data protection have been included in the scope of some of its past CRA examinations. For example, CFPB staff said that in assessing compliance with FCRA\u2019s permissible purposes provision, the examination scope would include ensuring that data are not improperly shared. CFPB staff noted that the bureau cannot examine for compliance with or enforce the data security standards in provisions of GLBA and FCRA or FTC\u2019s implementing rules, even at larger participant CRAs. After the Equifax breach, however, CFPB used its existing supervisory authority to develop internal guidelines for examining data security, and conduct some CRA data security examinations. CFPB staff said that they do not routinely consider data security risks during their examination prioritization process and have not reassessed the process to determine how to incorporate such risks going forward.", "The Dodd-Frank Act requires CFPB, when implementing its risk-based supervision program, to consider risks posed to consumers in the relevant product and geographic markets. In addition, federal internal control standards state that agencies should identify, analyze, and respond to risks related to achieving defined objectives. This can entail considering all significant internal and external factors to identify risks and their significance, including magnitude of impact, likelihood of occurrence, nature of the risk, and appropriate response. In light of the Equifax breach, as well as CFPB\u2019s acknowledgment of the CRA market as a higher-risk market for consumers, it is important for CFPB to routinely consider factors that could inform the extent of CRA data security risk such as the number of consumers that could be affected by a data security incident and the nature of potential harm resulting from the loss or exposure of information.", "CFPB\u2019s reliance primarily on consumer complaints, information from public filings, and information and findings from past examination for prioritizing examinations may not fully detect data security risks that CRAs pose. Data accuracy and dispute resolution feature prominently in consumer complaints, according to CFPB staff, because consumers mostly interact with CRAs in these contexts. But consumers likely did not know, for example, about Equifax\u2019s data security challenges prior to its breach, so that vulnerability was not a focus of complaints. While the three nationwide CRAs acknowledged the risk of data breaches in recent public filings, other larger participant CRAs may not be publicly traded and therefore may not have public filings. Further, if CFPB\u2019s past examinations have not addressed data security, the agency cannot use those past examination findings to target current risks.", "The Equifax breach demonstrated the vulnerability that CRAs may face with regard to data security. We have noted that advancements in technology, combined with the increasing sophistication of hackers and others with malicious intent, have increased the risk of sensitive personal information being exposed and compromised. We have also reported that rapid developments in new technologies will continue to pose new threats to security, privacy, and safety. In recent years, insured depository institutions\u2014which, like CRAs, maintain large amounts of sensitive consumer data\u2014have been subject to regular information technology examinations, which, according to one regulator, may include a cybersecurity component. Banking regulators have noted that unauthorized access to the information and systems that support these institutions can affect operations, pose risk to consumers through exposure of private information, and undermine consumer confidence.", "The risks may be similar for CRAs\u2014companies that by definition also maintain extensive amounts of sensitive consumer information. By including routine consideration of data security risks into its process for prioritizing CRA examinations, CFPB can better ensure that its supervision of CRAs proactively detects such risks and helps prevent the further exposure or compromise of consumer information."], "subsections": []}]}, {"section_title": "Regulators Inform Consumers about Protections Available and Consumers Can Take Some Actions after a CRA Data Breach FTC and CFPB Provide Consumers with Information on How to Address Identity Theft Risk", "paragraphs": ["FTC and CFPB provide educational information for consumers on ways to mitigate the risk of identity theft. For example, FTC has a dedicated website (IdentityTheft.gov) that allows consumers to report suspected identity theft to FTC and develop and implement a recovery plan. In addition, FTC offers businesses guidance on steps to take in the event of a data breach, including notification of relevant parties and a model notification letter. CFPB\u2019s website offers consumers tips on how to protect their information and spot identity theft. CFPB also publishes a consumer guide that lists CRAs and their websites, and ways to obtain free credit reports.", "After a breach, FTC and CFPB publish information specific to that breach. For example, shortly after Equifax\u2019s announcement of the breach, FTC published information on when the breach occurred, the types of data compromised, and links to additional information on Equifax\u2019s website. Similarly, CFPB released three blog posts and several social media posts shortly after Equifax\u2019s public announcement of the breach. These included information on ways that consumers could protect themselves in the wake of the breach and special protections and actions for service members."], "subsections": [{"section_title": "Consumers Have Options to Mitigate Identity Theft Risk and Respond to Breaches", "paragraphs": ["At any time, consumers can take actions to help mitigate identity theft risk. For example, consumers can implement a credit freeze free of charge, which can help prevent new-account fraud by restricting potential creditors from accessing the consumer\u2019s credit report. Similarly, implementing a free fraud alert with a credit bureau can help prevent fraud because it requires a business to verify a consumer\u2019s identity before issuing credit. Consumers also can monitor their credit report for suspicious activity, either through self-review or by using a free or paid credit monitoring service. FTC and others recommend that consumers regularly review their credit card and bank statements to detect fraudulent charges.", "Consumers whose data have been compromised in any data breach can file a complaint with FTC or CFPB. FTC has an online \u201ccomplaint assistant,\u201d and FTC staff told us they use consumer complaints to help inform their investigatory and enforcement activity. CFPB staff told us that they use consumer complaints to help prioritize examinations and inform enforcement activity. In the 6 months following Equifax\u2019s announcement of its data breach, CFPB received more than 20,000 consumer complaints about the impact of the breach or Equifax\u2019s response.", "However, consumers are limited in the direct actions they can take against a CRA in the event of a data breach, for two primary reasons. First, consumers generally cannot trace the source of the data used to commit identity theft to a particular breached entity. As a result, it can be difficult to link a breach by a CRA (or any other entity) to the harm a consumer suffers from a particular incidence of identity theft, which may make it challenging to prevail in a legal action. Second, unlike with many other products and services, consumers generally cannot exercise choice if they are dissatisfied with a CRA\u2019s privacy or security practices. Specifically, consumers cannot choose which CRAs maintain information about them. In addition, consumers do not have a legal right to delete their records with CRAs, according to CFPB staff, and therefore cannot choose to remove themselves entirely from the CRA market.", "FTC and CFPB have noted that the level of consumer protection required can depend on the consumer\u2019s ability to exercise choice in a marketplace. For example, when determining whether a practice constitutes an unfair practice, FTC considers whether the practice is one that consumers could choose to avoid. Similarly, according to CFPB staff, the consumer reporting market may pose higher risk to consumers because consumers cannot choose whether or which CRAs possess and sell their information."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The 2017 data breach of Equifax highlighted the data security risks associated with CRAs. While companies in many industries have experienced data breaches, CRAs may present heightened risks because of the scope of sensitive information they possess and because consumers have very limited control over what information CRAs hold and how they protect it. These challenges underscore the importance of appropriate federal oversight of CRAs\u2019 data security.", "While FTC has taken significant enforcement actions against CRAs that have violated federal privacy or data security laws, it is important that the agency have all of the appropriate enforcement options to fulfill its mission of protecting consumers. However, GLBA, one of the key laws governing the security of consumer information, does not provide FTC with civil penalty authority. The remedies that FTC does have available under GLBA\u2014such as disgorgement and consumer redress\u2014may be less practical enforcement tools for violations involving breaches of mass consumer data. Accordingly, providing FTC with civil penalty authority can enable it to more effectively or efficiently enforce GLBA\u2019s privacy and safeguarding provisions.", "Although CFPB is responsible for overseeing larger market participant CRAs, it lacks the data to identify with certainty all the CRAs under its supervision, in part because the sources it is using, such as public filings, are not comprehensive. Using additional methods to obtain information, such as requiring larger market participant CRAs to register with the agency or leveraging state registration information, would help CFPB ensure it is tracking all CRAs under its supervision and is providing appropriate oversight.", "CFPB considers a number of market and institutional factors in prioritizing which CRAs to examine, but data security has not routinely been among these factors. Given the nature and amount of consumer information CRAs hold, as well as increasing threats from hackers and others with malicious intent, vulnerabilities in these companies\u2019 data security can pose significant risk to a vast number of consumers. By ensuring that its process for determining the scope of CRA examinations routinely includes factors that would detect data security risks, CFPB can better ensure the effectiveness of its supervision and help prevent further exposure or compromise of consumer information."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider providing the Federal Trade Commission with civil penalty authority for the privacy and safeguarding provisions of the Gramm-Leach-Bliley Act to help ensure that the agency has the tools it needs to most effectively act against data privacy and security violations. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to CFPB: The Director of CFPB should identify additional sources of information, such as through registering CRAs or leveraging state information, that would help ensure the agency is tracking all CRAs that meet the larger participant threshold. (Recommendation 1)", "The Director of CFPB should assess whether its process for prioritizing CRA examinations sufficiently incorporates the data security risks CRAs pose to consumers, and take any needed steps identified by the assessment to more sufficiently incorporate these risks. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to CFPB, the Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation, FTC, and the Office of the Comptroller of the Currency. All of the agencies provided technical edits, which we incorporated as appropriate. In addition, we received written comments from CFPB, which are reprinted in appendix II.", "CFPB neither agreed nor disagreed with our recommendations. Regarding our recommendation that it identify additional sources of information that would help ensure that it is tracking all CRAs that meet the larger market participant threshold, CFPB noted that it cannot require CRAs to register with the bureau without first undertaking a rulemaking. While we acknowledge the challenges of tracking larger participant CRAs, we maintain that CFPB should be able to identify and monitor them consistently. In its letter, CFPB stated that this may be feasible. The agency noted that, short of rulemaking, there may be cost-effective ways to better ensure that it is appropriately tracking larger participant CRAs and added that they intend to track these CRAs by exploring ways to leverage state registration information. These actions, if fully implemented, would meet the intent of our recommendation.", "With respect to the recommendation that CFPB assess whether its process for prioritizing CRA examinations sufficiently incorporates data security risks, CFPB said it will continue to evaluate risks to consumers, including data security risks, as part of its prioritization process. CFPB also said it will assess whether that process should incorporate data security risks CRAs pose to consumers. However, CFPB expressed concern with the scope of its statutory authority, such as its lack of authority to supervise for compliance with GLBA safeguard provisions.", "CFPB noted that we did not adequately consider or discuss its limited statutory authority in the area of data security. Specifically, CFPB stated that it does not have authority to supervise for, enforce compliance with, or write regulations implementing GLBA\u2019s safeguards provisions or FCRA\u2019s records disposal provision. In response, we added language in the report to clarify CFPB\u2019s lack of certain authorities over these data security provisions. Nonetheless, as we discuss in the report, CFPB has conducted data security examinations of some CRAs under its existing authority, including its authority to assess compliance with the requirements of federal consumer financial law. We continue to believe that effective supervision of CRAs and the protection of consumer information require that CFPB consider data security risks in its prioritization of CRA examinations.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, CFPB, the Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation, FTC, and the Office of the Comptroller of the Currency. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Michael Clements at (202) 512-8678 or clementsm@gao.gov, or Nick Marinos at (202) 512-9342 or marinosn@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) the federal laws and regulations governing consumer reporting agencies\u2019 (CRA) collection, use, and protection of consumer information; (2) measures the Federal Trade Commission (FTC) has taken to enforce CRA compliance with requirements to protect consumer information; (3) measures the Consumer Financial Protection Bureau(CFPB) has taken to ensure that CRAs protect consumer information; and (4) FTC\u2019s and CFPB\u2019s roles in assisting consumers following a data breach and actions consumers can take following a data breach of a CRA.", "To examine the laws governing CRAs, we identified the relevant laws, including the Fair Credit Reporting Act, the Gramm-Leach-Bliley Act, and statutes related to unfair or deceptive acts or practices. We reviewed these laws for their application to CRAs and their collection, use, and protection of consumer information. We interviewed representatives of relevant federal agencies, including CFPB and FTC, about these laws and regulations and how they apply to CRAs. We also reviewed documents from and interviewed federal banking regulators on their role in overseeing financial institutions\u2019 management of third-party risk, including those of CRAs. We selected four states with existing or proposed information protection laws or regulations that vary from federal requirements (California, Illinois, Massachusetts, and New York); reviewed related documentation; and interviewed Attorneys General from these states about their enforcement of state laws. In addition, we interviewed and reviewed documentation from the three nationwide CRAs and interviewed three other CRAs that produce or compile consumer reporting information. We selected these CRAs because they are not sector-specific and hold information on a broad segment of the population. We conducted a site visit to Equifax\u2019s Alpharetta, Georgia data center to learn more about steps the company takes to comply with relevant consumer protection laws. We also interviewed representatives of furnishers and users of CRA consumer information\u2014the American Bankers Association, the Property Casualty Insurance Association of America, and the National Retail Federation\u2014about their roles in the collection, use, and protection of consumer data, and steps their members take to comply with relevant laws.", "To assess FTC\u2019s and CFPB\u2019s measures to enforce information protection provisions and to ensure CRAs\u2019 proper collection, use, and protection of consumer information, we reviewed agency documentation and interviewed agency officials on their oversight activities. We reviewed the types of enforcement actions available to FTC and CFPB for violations of laws related to consumer reporting, as well as specific enforcement actions these agencies have brought against CRAs, data furnishers, and users of consumer reports. We also interviewed agency staff about FTC enforcement actions against CRAs and how it determines when to pursue such actions. We reviewed CFPB documentation on the scope of its supervisory examinations of larger market participant CRAs since 2015, as well as findings from recent CRA examinations. In addition, we reviewed CFPB examination guidance for supervising these CRAs, including CFPB\u2019s internal guidelines for conducting data security examinations. We also reviewed documents related to CFPB\u2019s process for prioritizing which institutions and which product lines (specific product offerings) should receive supervisory examination, and we interviewed CFPB staff about this process. Finally, we interviewed representatives of industry, consumer, and privacy groups for their views on the supervision of CRAs. These included the three nationwide CRAs, three other CRAs, the Consumer Data Industry Association, National Consumer Law Center, Consumer Federation of America, Consumers Union, World Privacy Forum, ID Theft Resource Center, and Consumer Action.", "To assess FTC and CFPB roles in assisting consumers, and actions consumers can take following a data breach of a CRA, we reviewed the two agencies\u2019 efforts to inform and educate consumers following breaches. Specifically, we reviewed consumer education materials on FTC\u2019s and CFPB\u2019s websites related to data breaches and identify theft in general, as well as specific information posted after the Equifax data breach. We also interviewed staff from these agencies about their roles in assisting consumers following a breach. To identify actions consumers can take following a data breach, we reviewed our prior related reports and spoke with representatives of the industry and consumer representatives noted above.", "We conducted this performance audit from November 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Bureau of Consumer Financial Protection", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "GAO Staff Acknowledgments:", "paragraphs": ["In addition to the individuals named above, John de Ferrari and John Forrester (Assistant Directors); Winnie Tsen (Analyst-in-Charge), Bethany Benitez, Kavita Daitnarayan, Farrah Graham, Andrea Harvey, Thomas Johnson, Tovah Rom, Rachel Siegel, Jena Sinkfield, and Tina Torabi made key contributions to this report."], "subsections": []}]}], "fastfact": ["Consumer reporting agencies are companies that collect, maintain, and sell vast amounts of sensitive data. In 2017, a breach at Equifax, one of the largest of these companies, compromised at least 145.5 million consumers' data.", "Consumers have little control over what information these companies have, so federal oversight is important\u2014and it could be improved. For example, the Consumer Financial Protection Bureau doesn't routinely consider data security risk when prioritizing its examinations of these companies.", "We recommended improving federal enforcement of data safeguards and oversight of these companies' security practices."]} {"id": "GAO-18-277T", "url": "https://www.gao.gov/products/GAO-18-277T", "title": "NASA: Preliminary Observations on the Management of Space Telescopes", "published_date": "2017-12-06T00:00:00", "released_date": "2017-12-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Acquisition management has been a long-standing challenge at NASA, although GAO has reported on improvements the agency has made in recent years. Three space telescope projects are the key enablers for NASA to achieve its astrophysics' science goals, which include seeking to understand the universe. In its fiscal year 2018 budget request, NASA asked for about $697 million for these three projects, which represents over 50 percent of NASA's budget for its astrophysics' major projects. In total, these projects represent an expected investment of at least $12.4 billion.", "This statement reflects preliminary observations on (1) the current status and cost of NASA's major telescope projects and (2) lessons learned that can be applied to NASA's management of its telescope projects. This statement is based on ongoing work on JWST and ongoing work on the status of NASA's major projects. Both reports are planned to be published in Spring 2018. This statement is also based on past GAO reports on JWST and NASA's acquisitions of major projects, and NASA input."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Aeronautics and Space Administration's (NASA) current portfolio of major space telescopes includes three projects that vary in cost, complexity, and phase of the acquisition life cycle.", "GAO's ongoing work indicates that these projects are each making progress in line with their phase of the acquisition cycle but also face some challenges. For example, the current launch date for the James Webb Space Telescope (JWST) project reflects a 57-60-month delay from the project's original schedule. GAO's preliminary observations indicate this project still has significant integration and testing to complete, with very little schedule reserve remaining to account for delays. Therefore, additional delays beyond the delay of up to 8 months recently announced are likely, and funding available under the $8 billion Congressional cost cap for formulation and development may be inadequate.", "There are a number of lessons learned from its acquisitions that NASA could consider to increase the likelihood of successful outcomes for its telescope projects, as well as for its larger portfolio of projects, such as its human spaceflight projects. For example, twice in the history of the JWST program, independent reviews found that the program was not holding adequate cost and schedule reserves. GAO has found that NASA has not applied this lesson learned to all of its large projects, and similar outcomes to JWST have started to emerge. For example, NASA did not incorporate this lesson with its human spaceflight programs. In July 2016 and April 2017, GAO found that these programs were holding inadequate levels of cost and schedule reserves to cover unexpected cost increases or delays. In April 2017, GAO recommended that NASA reassess the date of the programs' first test flight. NASA concurred and, in November 2017, announced a launch delay of up to 19 months."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations in this statement, but has made recommendations in prior reports to strengthen NASA's acquisition management of its major projects. NASA has generally agreed with GAO's recommendations and taken steps to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the National Aeronautics and Space Administration\u2019s (NASA) management of its astrophysics\u2019 space telescope projects. These telescopes are the key enablers for the agency to achieve its astrophysics\u2019 science goals, which include seeking to understand the universe and our place in it. These major space telescope projects\u2014projects with a life cycle cost greater than $250 million\u2014 include: the James Webb Space Telescope (JWST), which is designed to help understand the origin and destiny of the universe, the creation and evolution of the first stars and galaxies, and the formation of stars and planetary systems; the Transiting Exoplanet Survey Satellite (TESS), whose mission goal is to discover exoplanets\u2014or planets in other solar systems\u2014during transit, the time when the planet\u2019s orbit carries it in front of its star as viewed from Earth; and the Wide-Field Infrared Survey Telescope (WFIRST), which is designed to perform wide-field imaging and survey of the near- infrared sky to answer questions about the structure and evolution of the universe and expand our knowledge of planets beyond our solar system.", "In its fiscal year 2018 budget request, NASA asked for about $697 million for these three projects, which represents over 50 percent of NASA\u2019s budget for its astrophysics\u2019 projects. In total, these projects represent an expected investment of at least $12.4 billion. As such, while it is important for NASA to continually stretch technological boundaries to further scientific research, it is also important to manage these projects prudently, with clear accountability and oversight for taxpayer dollars.", "For over two decades, acquisition management has been a long-standing challenge at NASA, although we have reported on improvements the agency has made in recent years. We first designated NASA\u2019s acquisition management as a high-risk area in 1990 in view of NASA\u2019s history of persistent cost growth and schedule slippage in the majority of its major systems. Our work has identified a number of causal factors related to these issues, including poor cost estimating and underestimation of risks associated with the development of its major systems. We have also identified a set of best practices that can help agencies manage development risks. NASA leadership has made concerted efforts to address these causal factors. In our February 2017 High Risk Update, however, we found that more needs to be done with respect to anticipating and mitigating risks\u2014especially with regard to large programs, estimating and forecasting costs for its largest projects, and implementing management tools.", "My statement today provides our preliminary observations on (1) the current status and cost of NASA\u2019s major telescope projects and (2) lessons learned that can be applied to NASA\u2019s management of its telescope projects. This statement is based on our ongoing work for this committee and others on the JWST project and our annual review of the status of all of NASA\u2019s major projects, as well as our February 2017 High- Risk Update and other past reports. To assess the cost and schedule performance of these projects, we collected information on these areas from projects using a data collection instrument, analyzed projects\u2019 monthly status reports, interviewed NASA project and headquarters officials, and reviewed project documentation. For JWST and TESS, which are in the implementation phase, we compared current cost and schedule estimates to their original cost and schedule baselines. To identify lessons learned that can be applied to NASA\u2019s management of its telescope projects, we examined NASA\u2019s efforts to address issues identified in our prior JWST work, such as the quality of the cost and schedule risk analyses, and our February 2017 High-Risk Update.", "We are conducting the work on which this statement is based in accordance with generally accepted government auditing standards. We plan to issue a final report on our annual review of the JWST program, as well as our annual assessment of NASA\u2019s major projects, in Spring 2018. NASA provided us technical comments on information that is included in this statement on the telescope projects, which we incorporated as appropriate."], "subsections": [{"section_title": "Background", "paragraphs": ["NASA\u2019s mission is to drive advances in science, technology, aeronautics, and space exploration, and contribute to education, innovation, our country\u2019s economic vitality, and the stewardship of the Earth. To accomplish this mission, NASA establishes programs and projects that rely on complex instruments and spacecraft. NASA\u2019s portfolio of major projects ranges from space satellites equipped with advanced sensors to study the Earth to a telescope intended to explore the universe to spacecraft to transport humans and cargo to and beyond low-Earth orbit. Some of NASA\u2019s projects are expected to incorporate new and sophisticated technologies that must operate in harsh, distant environments.", "The life cycle for NASA space flight projects consists of two phases\u2014 formulation, which takes a project from concept to preliminary design, and implementation, which includes building, launching, and operating the system, among other activities. NASA further divides formulation and implementation into phase A through phase F. Major projects must get approval from senior NASA officials at key decision points before they can enter each new phase. Figure 1 depicts NASA\u2019s life cycle for space flight projects.", "Formulation culminates in a review at key decision point C, known as project confirmation, where cost and schedule baselines are established and documented in a decision memorandum. To inform those baselines, each project with a life-cycle cost estimated to be greater than $250 million must also develop a joint cost and schedule confidence level (JCL). The JCL initiative, adopted in January 2009, is a point-in-time estimate that, among other things, includes all cost and schedule elements, incorporates and quantifies known risks, assesses the impacts of cost and schedule to date, and addresses available annual resources. NASA policy requires that projects be baselined and budgeted at the 70 percent confidence level.", "The agency baseline commitment established at key decision point C includes cost and schedule reserves held at the project\u2014those within the project manager\u2019s control\u2014and NASA headquarters level. Cost reserves are for costs that are expected to be incurred\u2014for instance, to address project risks\u2014but are not yet allocated to a specific part of the project. Schedule reserves are extra time in project schedules that can be allocated to specific activities, elements, and major subsystems to mitigate delays or address unforeseen risks."], "subsections": []}, {"section_title": "Status of NASA\u2019s Major Telescope Projects", "paragraphs": ["NASA\u2019s current portfolio of major space telescopes includes three projects\u2014WFIRST, TESS, and JWST\u2014that vary in cost, complexity, and phase of the acquisition life cycle. WFIRST, a project that entered the concept and technology development phase and established preliminary cost and schedule estimates in February 2016, is in the earliest stages of the acquisition life cycle. With preliminary cost estimates ranging from $3.2 billion to $3.8 billion, this project is an observatory designed to perform wide-field imaging and survey of the sky at near-infrared wavelengths to answer questions about the structure and evolution of the universe and to expand our knowledge of planets beyond our solar system. The current design includes a 2.4 meter telescope that was built and qualified for another federal agency over 10 years ago; the project is evaluating which components to reuse and which to modify, refurbish, or build new. TESS\u2014a smaller project whose latest cost estimate is approximately $337 million\u2014is targeted to launch in March 2018 and will be used to conduct the first extensive survey of the sky from space for transiting exoplanets.", "And finally, JWST, with a life-cycle cost estimate of $8.835 billion, is one of NASA\u2019s most complex projects and top priorities. The telescope is designed to help understand the origin and destiny of the universe, the creation and evolution of the first stars and galaxies, and the formation of stars and planetary systems. With a 6.5-meter primary mirror, JWST is expected to operate at about 100 times the sensitivity of the Hubble Space Telescope. JWST\u2019s science instruments are to detect very faint infrared sources and, as such, are required to operate at extremely cold temperatures. To help keep these instruments cold, a multi-layered tennis-court-sized sunshield is being developed to protect the mirrors and instruments from the sun\u2019s heat.", "We have reported for several years on the JWST project, which has experienced significant cost increases and schedule delays. Prior to being approved for development, cost estimates for JWST ranged from $1 billion to $3.5 billion, with expected launch dates ranging from 2007 to 2011. Before 2011, early technical and management challenges, contractor performance issues, low levels of cost reserves, and poorly phased funding levels caused JWST to delay work after confirmation, which contributed to significant cost and schedule overruns, including launch delays. The Chair of the Senate Subcommittee on Commerce, Justice, Science, and Related Agencies requested from NASA an independent review of JWST in June 2010. In response, NASA commissioned the Independent Comprehensive Review Panel, which issued its report in October 2010. The panel concluded that JWST was executing well from a technical standpoint, but that the baseline cost estimate did not reflect the most probable cost with adequate reserves in each year of project execution, resulting in an unexecutable project.", "Following this review, Congress in November 2011 placed an $8 billion cap on the formulation and development costs for the project and NASA rebaselined JWST with a life-cycle cost estimate of $8.835 billion that included additional money for operations and a planned launch in October 2018. The new baseline represented a 78 percent increase to the project\u2019s life-cycle cost from the original baseline and a launch date in October 2018, a delay of 52 months. The revised life-cycle cost estimate included a total of 13 months of funded schedule reserve.", "Our ongoing work indicates that these three projects are each making progress in line with their phase of the acquisition cycle, but also face challenges in execution. Some of these challenges are unique to the projects themselves and some are common among the projects in NASA\u2019s portfolio. For example, when projects enter the integration and test phase, unforeseen challenges can arise and affect the cost and schedule for the project. Table 1 provides more details about the current acquisition phase, cost, and schedule status of NASA\u2019s major space telescope projects based on our ongoing work.", "WFIRST. NASA\u2019s preliminary cost and schedule estimates for the WFIRST project are currently under review as the project responds to findings in the WFIRST Independent External Technical/Management/Cost Review. This independent review was conducted to ensure the mission\u2019s scope and required resources are well understood and executable. NASA initiated this review in April 2017 to address the National Academies\u2019 concerns that WFIRST cost growth could endanger the balance of NASA\u2019s astrophysics program and negatively affect other scientific priorities. The review found that the mission scope is understood, but not aligned with the resources provided and concluded that the mission is not executable without adjustments and/or additional resources. For example, the study team found that NASA\u2019s current forecasted funding profile for the WFIRST project would require the project to slow down activities starting in fiscal year 2020, which would result in an increase in development cost and schedule. NASA agreed with the study team\u2019s results and directed the project to reduce the cost and complexity of the design in order to maintain costs within the $3.2 billion cost target.", "The project is currently identifying potential ways to reduce the scope of planned activities (called \u201cdescopes\u201d), assessing the science impact of those descopes, and then developing recommendations for the Astrophysics Division leadership. An example of a descope that may be considered is the requirement for WFIRST to be \u201cstar-shade ready,\u201d which means the design must be compatible with a star-shade device that is positioned between it and the star being observed to block out starlight while allowing the light emitted by the planet through.", "TESS. The TESS project is currently holding cost and schedule reserves consistent with NASA center requirements, but there are no longer headquarters-held cost reserves to cover a delay if the project cannot launch as planned in March 2018. According to a project official, the project is holding 16 days of schedule reserve to its target March 2018 launch readiness date, which includes 6 days for the completion of integration and test, and 10 days for launch operations. The project previously used schedule reserves to accommodate the delayed delivery of its Ka-band transmitter, which is essential for TESS as it transmits the mission data back to Earth, due to continued performance and manufacturing issues. The two main risks to the March 2018 launch date are if: 1) SpaceX requires additional time past December 2017 for NASA\u2019s Launch Services Program to certify that TESS can fly on its upgraded launch vehicle\u2014certification is necessary because it will be the first time that NASA will use this version of the vehicle\u2014and 2) any issues are identified during the remainder of environmental testing.", "The project is also conducting additional testing on its spare camera at temperatures seen in space to better understand expected camera performance on orbit. TESS will use four identical, wide field-of-view cameras to conduct the first extensive survey of the sky from space for transiting exoplanets. However, during thermal testing, the project found that the substance attaching the lenses to the camera barrel places pressure on the lenses and causes the cameras to be slightly out of focus. In June 2017, NASA directed the project to proceed with integrating the cameras\u2014as they are expected to meet TESS\u2019s top level science requirements even with the anomaly. At its most recent key decision review in August 2017, NASA reallocated $15 million of TESS\u2019s headquarters-held reserves to the WFIRST project. While this had the effect of decreasing life cycle costs for TESS, it also increased risk as the project no longer has any additional headquarters-held cost reserves to cover a launch delay past March 2018.", "JWST. The JWST project continues to make progress towards launch, but the program is encountering technical challenges that require both time and money to fix and may lead to additional delays, beyond a delay recently announced. While the project has made much progress on hardware integration and testing over the past several months, it also used all of its remaining schedule reserves to address various technical issues, particularly on the spacecraft element. In September 2017, the JWST project requested from the European Space Agency\u2014who will contribute the Ariane V launch vehicle\u2014a launch window from March to June 2019, or 5 to 8 months later than the planned October 2018 launch readiness date, established in 2011. The project based this request on the results of a schedule risk assessment that incorporated inputs from the contractor on expected durations of ongoing spacecraft element integration work and other challenges that were expected to increase schedule.", "With the later launch window to June 2019, the project expected to have up to 4 months of new schedule reserves. However, shortly after requesting the revised launch window, the project learned from its contractor that up to another 3 months of schedule reserve use is likely, due to lessons learned from conducting deployment exercises of the sunshield, such as reach and access limitations on the flight hardware. As a result, and pending further examination of the schedule, the project now has approximately one month of schedule reserve to complete environmental testing of the spacecraft element and the final integration phase. The final integration phase is where the instruments and telescope will be integrated with the spacecraft and sunshield to form the completed observatory. As I previously noted, our work has shown the integration and test is the riskiest phase of development, where problems are most likely to be found and schedules slip. Given the risks associated with the integration and test work ahead, coupled with a level of schedule reserves that is currently well below the level stated in the procedural requirements issued by the NASA center responsible for managing JWST, additional delays to the project\u2019s revised launch readiness date of June 2019 are likely. As a result, the funding available under the Congressional cost cap of $8 billion may be inadequate as the contractor will need to continue to retain higher workforce levels for longer than expected to prepare the mission for a delayed launch."], "subsections": []}, {"section_title": "Lessons Learned from NASA Acquisitions", "paragraphs": ["As Congress, NASA, and the science community consider future telescope efforts, it will be exceedingly important to shape and manage new programs in a manner that minimizes cost overruns and schedule delays. This is particularly important for the largest programs as even small cost increases can have reverberating effects. NASA\u2019s telescope and other science projects will always have inherent technical, design, and integration risks because they are complex, specialized, and often push the state of the art in space technology. But too often, our reports find that management and oversight problems\u2014which can include poor planning, optimistic cost estimating, funding gaps, lax oversight, and poor contractor performance, among other issues\u2014are the real drivers behind cost and schedule growth.", "To its credit, NASA has taken significant steps, partly in response to our past recommendations, to reduce acquisition risk from both a technical and management standpoint, including actions to enhance cost and schedule estimating, provide adequate levels of reserves to projects, establish better processes and metrics to monitor projects, and expand the use of earned value management to better monitor contractor performance. For example, in November 2012, we found that NASA employee skill sets available to analyze and implement earned value management vary widely from center to center, and we recommended that NASA conduct an earned value management skills gap analysis to identify areas requiring augmented capability across the agency, and, based on the results of the assessment, develop a workforce training plan to address any deficiencies. NASA concurred with this recommendation and developed an earned value management training plan in 2014 based on the results of an earned value management skills gap analysis that was conducted in 2013. Moreover, in recent years, we have found that many of the projects within the agency\u2019s major project portfolio have improved their cost and schedule performance. Nevertheless, the extent to which NASA has adopted some of the following lessons learned within its portfolio of major projects is mixed, and NASA has an opportunity to strengthen its program management of major acquisitions, including its space telescopes, by doing so.", "Manage Cost and Schedule Performance for Large Projects to Limit Implications for Entire Portfolio. In 2013, following JWST\u2019s cost increases and schedule growth, we found that though cost and schedule growth can occur on any project, increases associated with NASA\u2019s most costly and complex missions can have cascading effects on the rest of the portfolio. For example, we found that the JWST cost growth would have reverberating effects on the portfolio for years to come and required the agency to identify $1.4 billion in additional resources over fiscal years 2012 through 2017, according to Science Mission Directorate officials. NASA identified approximately half of this required funding from the four science divisions within the Science Mission Directorate account. The majority of the cuts were related to future high priority missions, missions in the operations and sustainment phase, and research and analysis.", "In essence, NASA had to mortgage future high priority missions and research to address JWST\u2019s additional resource needs. Similarly, the National Academy of Sciences has concluded in the past that it is important for NASA to have a clearly articulated and consistently applied method for prioritizing why and how its scarce fiscal resources are apportioned with respect to the science program in general and on a more granular level among component scientific disciplines. The academy noted that failure to do so could result in a loss of capacity, capability, and human resources in a number of scientific disciplines and technological areas that may take a generation or more to reconstitute once eliminated. NASA\u2019s establishment of the WFIRST Independent External Technical/Management/Cost Review that I previously discussed is a step in the right direction to help ensure the Astrophysics Division incorporates this lesson learned.", "Establish Adequate Cost and Schedule Reserves to Address Risks. Twice in the history of the JWST program, independent reviewers found that the program\u2019s planned cost reserves were inadequate. First, in April 2006, an Independent Review Team confirmed that the project\u2019s technical content was complete and sound, but expressed concern over the project\u2019s reserve funding, reporting that it was too low and phased in too late in the development lifecycle. The review team reported that for a project as complex as JWST, 25 to 30 percent total reserve funding was appropriate. The team cautioned that low reserve funding compromised the project\u2019s ability to resolve issues, address risk areas, and accommodate unknown problems. As I previously mentioned, following additional cost increases and schedule threats, NASA commissioned the Independent Comprehensive Review Panel. In 2010, the panel again concluded JWST was executing well from a technical standpoint, but that the baseline cost estimate did not reflect the most probable cost with adequate reserves in each year of project execution, resulting in an unexecutable project.", "NASA heeded these lessons when it established a new baseline for JWST in 2011. For example, the revised schedule included more reserves than required by the procedural requirements issued by the NASA center responsible for managing JWST. We have found, however, that NASA has not applied this lesson learned to all of its large projects\u2014 most notably with its human spaceflight projects, including the Space Launch System, Orion Crew Capsule, and associated ground systems\u2014 and similar outcomes to the JWST project have started to emerge with these projects. We previously reported that all three of these programs were operating with limited cost reserves, which limited each program\u2019s ability to address risks and unforeseen technical challenges.", "For example, we found in July 2016 that the Orion program planned to maintain very low levels of annual cost reserves until 2018. The lack of available cost reserves in the near term led to the program deferring work to address technical issues to stay within budget, and put the program\u2019s future cost reserves at risk of being overwhelmed by deferred work. In April 2017, we also found that all three programs faced development challenges in completing work, and each had little to no schedule reserve remaining to the launch date\u2014meaning they would have to complete all remaining work with minimal delay during the most challenging stage of development. We found that it was unlikely that the programs would achieve the planned launch readiness date and recommended that NASA reassess the date. NASA agreed with this recommendation and stated that it would establish a new launch readiness date. In November 2017, NASA announced that a review of the possible manufacturing and production schedule risks indicated a launch date of June 2020\u2014a delay of 19 months\u2014but the agency will manage to a December 2019 launch date because, according to NASA, they have put in mitigation strategies for those risks. We will follow-up on those mitigation strategies as part of future work on the human space exploration programs.", "Regularly and Consistently Update Project JCLs to Provide Realistic Estimates to Decision Makers. In 2009, NASA began requiring that programs and projects with estimated life-cycle costs greater than $250 million develop a JCL prior to project confirmation. This was a positive step for NASA to help ensure that cost and schedule estimates are realistic and projects are thoroughly planning for anticipated risks. This is because a JCL assigns a confidence level, or likelihood, of a project meeting its cost and schedule estimates. Our cost estimating best practices recommend that cost estimates should be updated to reflect changes to a program or be kept current as a program moves through milestones. As new risks emerge on a project, an updated cost and schedule risk analysis can provide realistic estimates to decision-makers, including the Congress. This is especially true for NASA\u2019s largest projects as updated estimates may require the Congress to consider a variety of actions.", "However, there is no requirement for NASA projects to update their JCLs, and our prior work has found that projects\u2014including JWST\u2014do not regularly update cost risk analyses to take into account newly emerged risks. Our ongoing work indicates that of the 16 major projects currently in NASA\u2019s portfolio that have developed JCL estimates, only 2 have reported updating their JCLs (other than required due to a rebaseline). For example, the Interior Exploration using Seismic Investigations, Geodesy, and Heat Transport Project (InSight), a Mars lander, updated its JCL after the project missed its committed launch date. As a result, the project was able to provide additional information to decision makers about the probability that it will meet its revised cost and schedule estimates. As a project reaches the later stages of development, especially integration and testing, the types of risks the project will face may change. An updated project JCL would provide both project and agency management with data on relevant risks that can guide the project decisions. For example, in December 2012, we recommended the JWST project update its JCL. NASA concurred with this recommendation; however, we recently closed the recommendation because NASA had not taken steps to implement it and the amount of time remaining before launch would not have allowed the benefit of implementing the recommendation to be realized. An updated JCL may have portended the current schedule delays, which could have been proactively addressed by the project.", "Enhance Oversight of Contractors to Improve Project Outcomes. In December 2012, we found that the JWST project had taken steps to enhance communications with and oversight of its contractors. According to project officials, the increased communication allowed them to better identify and manage project risks by having more visibility into contractors\u2019 activities. The project reported that a great deal of communication existed across the project prior to the Independent Comprehensive Review Panel; however, additional improvements were made. For example, the project increased its presence at contractor facilities as necessary to provide assistance; this included assigning two engineers on a recurring basis at a Lockheed Martin facility to assist in solving problems with an instrument. The JWST project also assumed full responsibility for the mission system engineering functions from Northrop Grumman in March 2011. NASA and Northrop Grumman officials both said that NASA is better suited to perform these tasks.", "We continue to see instances in our ongoing work that highlight the importance of implementing this lesson learned from JWST. For example, we found in 2017 that the Space Network Ground Segment Sustainment project\u2014a project that plans to develop and deliver a new ground system for one Space Network site that provides essential communications tracking services to NASA and non-NASA missions\u2014exceeded its original cost baseline by at least $401.7 million and been delayed by 27 months. The project has attributed some of the cost overruns and schedule delays to the contractor\u2019s incomplete understanding of its requirements, which led to poor contractor plans and late design changes. The project also took steps to assign a new NASA project manager, increase physical presence at the contractor facility, and have more staff focused on validation and verification activities.", "In summary, NASA continues to make progress developing its space telescopes to help understand the universe and our place in it. But much like other major projects that NASA is developing, there continues to be an opportunity for NASA to learn from JWST and other projects that have suffered from cost overruns and schedule delays. Key project management tools and prior GAO recommendations that I have highlighted here today, could help to better position these large, complex, and technically challenging efforts for a successful outcome. We look forward to continuing to work with NASA and this subcommittee in addressing these issues.", "Chairman Babin, Ranking Member Bera, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Cristina T. Chaplain, Director, Acquisition and Sourcing Management at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this statement include Molly Traci, Assistant Director; Richard Cederholm, Assistant Director; Carrie Rogers; Lisa Fisher; Laura Greifner; Erin Kennedy; and Jose Ramos.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["In this testimony, we note that NASA's 3 major telescope projects are all making progress in development, but also face some challenges.", "For example, the James Webb Space Telescope has made progress in developing and testing its hardware and instruments, and addressing technical problems. However, the project has already been delayed by up to 60 months. Additional delays are likely given the risks associated with final integration of the telescope and the spacecraft\u2014the next phase of the project."]} {"id": "GAO-18-309", "url": "https://www.gao.gov/products/GAO-18-309", "title": "Drinking Water and Wastewater Infrastructure: Opportunities Exist to Enhance Federal Agency Needs Assessment and Coordination on Tribal Projects", "published_date": "2018-05-15T00:00:00", "released_date": "2018-06-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Tens of thousands of American Indians and Alaska Natives do not have safe drinking water or wastewater disposal in their home\u2014referred to as needs arising from a sanitation deficiency\u2014at a higher percentage than the general population, according to IHS. Among other things, IHS assesses homes, either individually or by reviewing public water systems, to determine any deficiencies. Seven agencies, including IHS, EPA, and USDA, have programs that provide drinking water and wastewater infrastructure assistance to Indian tribes.", "GAO was asked to review federal efforts to provide water infrastructure assistance to Indian tribes. This report examines, among other objectives, the extent to which selected federal agencies (1) identified tribes' drinking water and wastewater infrastructure needs and (2) funded tribal water infrastructure projects, including tribes' most severe sanitation deficiencies. GAO reviewed agency data on tribal needs, analyzed agency funding data for tribal water infrastructure projects, reviewed agency policy documents, and interviewed agency officials and officials from 22 tribes representing different geographic locations."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal agencies have identified several billion dollars in existing and future tribal drinking water and wastewater infrastructure needs. Specifically, the Indian Health Service (IHS) worked with tribes to identify, in fiscal year 2016, an estimated $3.2 billion in water infrastructure projects to address existing sanitation deficiencies in Indian homes, and the Environmental Protection Agency (EPA) identified an additional $2.4 billion in future tribal drinking water infrastructure needs over the next 20 years. However, IHS could enhance the accuracy of its information about the water infrastructure needs of some Indian homes. In February 2018, the database that IHS uses to track Indian homes' sanitation deficiencies showed that about one-third of the homes (138,700) had no deficiency. However, because the database does not provide IHS with a way to record if a home's deficiency has been assessed, IHS could not determine whether these homes had no deficiency or if they had not yet been assessed to identify a deficiency. IHS officials stated that improving the database's accuracy would be beneficial. By implementing a way to indicate in its database whether these homes' deficiencies have been assessed, IHS could also more efficiently address any deficiencies in these homes.", "Federal agencies provided about $370 million for tribal drinking water and wastewater infrastructure projects in fiscal year 2016, including some projects to address what the agencies identified as the most severe sanitation deficiencies (i.e., communities that lack safe drinking water or wastewater disposal). IHS and U.S. Department of Agriculture (USDA) policies direct the agencies to fund tribal projects that address these deficiencies. However, agency scoring processes may not always prioritize the projects that address them:", "IHS assigns points to projects using eight scoring factors, including sanitation deficiency and cost. Based on GAO's review of IHS documents and interviews with agency officials, IHS's process for selecting projects can discourage funding some projects that address the most severe sanitation deficiencies, especially those with a relatively high cost per home. As a result, some projects to serve homes without water infrastructure can remain unfunded for many years. IHS officials said the scoring factors balance a number of interests, and the agency is looking to improve the extent to which it funds projects that address these deficiencies.", "USDA uses a different set of scoring factors to assign points when evaluating project applications for its tribal water program, including rural population and income levels. However, USDA does not have a scoring factor to assign points to a project based on whether it will serve homes that lack safe drinking water or wastewater disposal, as it does with another program with similar goals. Instead, USDA officials said they use discretionary points to score projects on this basis, but these points may not be awarded at all. As a result, USDA may not have reasonable assurance that it consistently evaluates project applications in a way that aligns with agency policy to fund projects that address the most severe sanitation deficiencies.", "By IHS reviewing and USDA updating their scoring processes, the agencies could have more assurance that the projects they fund address the most severe sanitation deficiencies in Indian communities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 16 recommendations, including that (1) IHS develop a way to indicate in its database if homes' deficiencies have been assessed and (2) IHS and USDA review and update project scoring processes. IHS agreed with these recommendations, and USDA proposed an approach for addressing the recommendation on scoring, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Tens of thousands of American Indians and Alaska Natives do not have safe, potable water available in their homes for drinking, cooking, and cleaning, or adequate facilities to safely dispose of wastewater, according to the Department of Health and Human Services\u2019 Indian Health Service (IHS). The agency has stated that, nationwide, members of Indian tribes are more likely to live in homes without safe drinking water and wastewater facilities than non-Indians in part due to the remoteness of many Indian reservations. Moreover, IHS has reported that inadequate access to safe drinking water and wastewater disposal can lead to many health problems, including increased hospitalizations for pneumonia, influenza, and other illnesses.", "The federal government\u2019s role in funding construction and repair of drinking water and wastewater systems in Indian country differs from its role in funding such systems in the rest of the country. According to IHS estimates, the federal government provides a significant share of the financial assistance to construct and repair drinking water and wastewater infrastructure in Indian country. In contrast, in non-tribal communities, utilities typically sell municipal bonds and raise revenues to pay for construction of drinking water and wastewater infrastructure by charging customers. These communities and utilities can receive funding and planning assistance from their respective states and the federal government to repair, replace, and upgrade their drinking water and wastewater infrastructure. In Indian country, tribes, tribally owned utilities, or separate entities are generally responsible for operating and maintaining drinking water and wastewater infrastructure. However, according to a national intertribal organization, tribes typically do not have access to the same array of financing options as state or local governments, and do not necessarily charge their customers for services.", "Seven federal agencies administer programs that provide drinking water and wastewater infrastructure assistance to Indian tribes. IHS, the Environmental Protection Agency (EPA), and the U.S. Department of Agriculture (USDA) have drinking water and wastewater infrastructure programs that are specifically targeted to provide financial assistance for planning and construction to address Indian tribes\u2019 needs. According to IHS documentation, such needs arise from a sanitation deficiency in existing drinking water or wastewater infrastructure (or lack thereof) that can negatively affect public health. In addition, the Department of Housing and Urban Development (HUD), the Department of the Interior\u2019s Bureau of Reclamation, the U.S. Army Corps of Engineers, and the Department of Commerce\u2019s Economic Development Administration (EDA) administer programs that may provide financial assistance to tribes for drinking water and wastewater infrastructure. The types of assistance these agencies provide vary by program, and each program has its own eligibility requirements and authorities.", "You asked us to review federal efforts to provide drinking water and wastewater assistance to Indian tribes, including interagency collaboration efforts. This report examines the extent to which the seven federal agencies, as applicable, (1) identified Indian tribes\u2019 drinking water and wastewater infrastructure needs; (2) funded tribal drinking water and wastewater infrastructure projects, including projects to address the most severe sanitation deficiencies; and (3) collaborated to meet Indian tribes\u2019 drinking water and wastewater infrastructure needs.", "To determine the extent to which these federal agencies identified Indian tribes\u2019 drinking water and wastewater infrastructure needs, we identified requirements for IHS and EPA to collect and report information on needs, but we did not identify such requirements for the other agencies. We reviewed IHS\u2019s and EPA\u2019s most recent reports describing tribal drinking water and wastewater infrastructure needs and reviewed the supporting data in IHS\u2019s Sanitation Deficiency System (SDS) on proposed tribal drinking water and wastewater infrastructure projects from fiscal year 2016, the most recent year of data available at the time of our review. To assess the reliability of SDS project data and EPA needs information, we discussed the data and any of its limitations with agency officials and determined that the data were sufficiently reliable to provide descriptive information about tribes\u2019 drinking water and wastewater infrastructure project needs. We also assessed the reliability of specific information in IHS\u2019s Home Inventory Tracking System (HITS), including the sanitation deficiencies associated with homes, by reviewing documentation and interviewing IHS officials. As we discuss later in this report, we indicate when we found certain limitations with that information. We did not assess the reliability of other information in HITS that was not relevant to our review. We interviewed IHS and EPA officials involved with identifying tribal water needs from all 12 IHS areas and the 9 EPA regions that administer tribal drinking water and wastewater infrastructure programs. We also interviewed officials from the other five agencies regarding any efforts to collect information on tribal drinking water and wastewater infrastructure needs.", "To determine the extent to which the agencies funded tribal drinking water and wastewater infrastructure projects, we analyzed obligations data from the seven agencies that administer programs that provide drinking water and wastewater infrastructure assistance to Indian tribes\u2014 IHS, EPA, USDA, HUD, Reclamation, Corps, and EDA\u2014from fiscal years 2012 through 2016. To assess the reliability of the data obtained from these agencies, we discussed the funding data, each agency\u2019s data system, and any limitations with agency officials and determined that the data were sufficiently reliable for the purposes of our reporting objective. To determine the extent to which agency funding addressed the most severe sanitation deficiencies, we identified programs that have documented goals in regulation and policy to fund projects that address these needs. For these programs, we compared the number of funded projects that addressed the most severe deficiencies with the number of funded projects that met other needs for fiscal year 2016. During the course of reviewing these regulations and agencies\u2019 obligations data, we identified issues with how USDA awarded grants under one of its tribal programs\u2014the Rural Alaska Village Grant program. We then obtained and reviewed documentation of these grant awards and interviewed officials who manage the program and officials from the agency\u2019s Office of the General Counsel.", "To determine the extent to which the federal agencies collaborated to meet tribal water needs, we reviewed documentation of national-level interagency collaboration, including memorandums of understanding. We compared the agencies\u2019 actions to the key features of interagency collaboration that we have previously identified. We reviewed agencies\u2019 collaboration at the regional level by surveying the seven agencies about their joint actions on activities related to tribal drinking water and wastewater in six states\u2014Alaska, Arizona, California, New York, Oklahoma, and South Dakota\u2014and by conducting a network analysis using the survey responses. We selected regional offices that operate in individual states as the unit of analysis because the federal agencies organize their field structures differently, with some using region, area, and state offices to work with tribes\u2014we refer to all of these office types as regional offices. We selected this nonprobability sample of six states to include a large percentage of the number of federally recognized tribes, to obtain a range in the total federal obligations to tribes and the identified needs of tribes, and for geographic diversity. The sample of states is not generalizable, and the results of our work do not apply to all states where Indian tribes are located. However, they provide illustrative examples of interagency collaboration within the six selected states, which include about 70 percent of the 573 federally recognized tribes.", "We sent collaboration surveys to the regional offices of each of the seven federal agencies in the six states. We also sent a survey to the State of Alaska because the state provides a 25 percent match for two federal water infrastructure programs, but we did not include other state agencies in our survey because they do not provide a similar match. The survey asked each agency regional office in each state about the mechanisms that it used to collaborate with each of the other regional offices within the same state for the 3-year period prior to our survey, the factors that affected their collaboration, and any additional mechanisms that would be beneficial to use in the future. We disseminated a total of 46 surveys and obtained and analyzed 46 responses. We conducted site visits to three of the six states, selected based on their geographic diversity and the range of identified water infrastructure needs. We also interviewed federal agency officials and officials with the State of Alaska about their collaboration in the six states. We interviewed officials from 22 Indian tribes and representatives from 8 intertribal organizations to obtain their perspectives on obtaining drinking water and wastewater infrastructure assistance from the seven agencies in the six selected states. We selected these tribes to obtain a range in their geographic locations and the amount of drinking water and wastewater infrastructure assistance they have received. Our findings are not generalizable to all tribes but provide illustrative examples. Appendix I contains a detailed description of our scope and methodology, and appendix II contains additional information about our survey and network analysis, including questions and summary responses.", "We conducted this performance audit from August 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on water infrastructure in Indian country, federal programs that provide drinking water and wastewater infrastructure assistance to Indian tribes, and our prior work on interagency collaboration."], "subsections": [{"section_title": "Water Infrastructure in Indian Country", "paragraphs": ["The 573 federally recognized Indian tribes in the United States vary greatly in terms of their culture, language, population size, land base, location, and economic status. Many are located in remote and often environmentally challenging areas. According to the U.S. Census Bureau\u2019s American Community Survey, in 2016, about 26 percent of American Indians and Alaska Natives were living below the poverty line, compared with 14 percent for the nation as a whole.", "According to EPA databases, tribes operate about 950 public drinking water systems and about 340 public wastewater systems. Drinking water systems often include groundwater wells, water treatment plants, and pipelines to deliver water to homes. A regulated, centralized wastewater system may include sewer lines, tanks, and wastewater treatment plants or lagoons, but small, rural communities are more likely to have decentralized wastewater systems, such as individual septic systems. Once centralized water or wastewater systems are constructed in Indian country, ownership is typically transferred to the tribe. A tribally owned utility, tribal government, or a separate entity operates and maintains the system on behalf of the tribe. Some tribal utilities charge user fees to help offset operations and maintenance costs, but other tribal utilities do not charge these fees because of users\u2019 low income levels or for cultural reasons, according to IHS and tribal officials.", "According to EPA, thousands of Indian homes are not currently served by a regulated, centralized drinking water or wastewater system, due in part to the logistical and other challenges associated with Indian water systems that must serve widely dispersed populations in remote locations. Instead, as we reported in September 2017, homes that are not served by water systems may have private wells and septic systems, or they may be entirely unserved. According to EPA and IHS documents, some tribal members may haul drinking water from a regulated drinking water source. However, containers used to haul and store the water can introduce bacteria and other contaminants. Also, because the regulated water source in some communities may be many miles away, residents may haul drinking water from nearby unregulated water sources, such as streams or livestock wells. For homes without access to a wastewater disposal system, residents may use a privy, use honeybuckets, or discharge waste directly to the ground.", "According to researchers with the Centers for Disease Control and Prevention, restricted access to clean water for hand washing and hygiene, along with manually disposing of waste, exposes people\u2014 especially infants and the elderly\u2014to higher rates of illness and hospitalization. We reported in January 2017 that such health concerns underscore the importance of quality health care\u2014including preventative care, such as providing safe sanitation facilities\u2014for American Indian and Alaska Native people. Further, according to IHS, American Indian and Alaska Native families living in homes with satisfactory environmental conditions, which include safe water and sewer systems, require appreciably fewer medical services and place fewer demands on primary health care delivery systems."], "subsections": []}, {"section_title": "Federal Drinking Water and Wastewater Infrastructure Programs to Assist Indian Tribes", "paragraphs": ["Seven federal agencies administer a number of programs that provide assistance to tribes for drinking water and wastewater infrastructure projects. Each agency has its own programs and processes for providing this assistance, with some similarities. Tribes can apply to one or more federal programs for financial assistance. In some cases, federal agencies coordinate to jointly fund the same project if the project is too large for one agency to fund. In other cases, agencies may work together by separately funding different parts of a large project or different phases of a multi-year project. Of these agencies, IHS, EPA, and USDA administer drinking water and wastewater infrastructure programs that are specific to Indian tribes.", "IHS\u2019s mission is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. To fulfill this mission, IHS provides primary health care and disease prevention services. IHS\u2019s Office of Environmental Health and Engineering\u2019s Sanitation Facilities Construction program, established in 1959, contributes to IHS\u2019s disease prevention efforts. This program provides technical and financial assistance to Indian tribes for the cooperative development and construction of drinking water and wastewater systems and support facilities. According to the Indian Health Care Amendments of 1988, it is the policy of the United States that all Indian communities and Indian homes, new and existing, be provided with safe and adequate water supply systems and sanitary wastewater disposal systems as soon as possible. IHS\u2019s 12 regional offices, called Areas, are responsible for working with tribes when administering the Sanitation Facilities Construction program.", "The Indian Health Care Amendments of 1988 require that IHS report annually to Congress on the sanitation deficiency levels for Indian tribes and communities, including, among other things, the amount of funds necessary to raise all Indian tribes and communities to zero sanitation deficiency. The act identifies five deficiency levels, and IHS uses a deficiency level of 0 to represent the absence of a deficiency in its data systems (see table 1).", "To develop its annual report to Congress and identify sanitation deficiencies in Indian communities and homes, IHS maintains two data systems: (1) the Sanitation Deficiency System (SDS), which contains proposed drinking water and wastewater infrastructure projects to address identified sanitation deficiencies; and (2) the Home Inventory Tracking System (HITS), which contains home-specific information that complements the SDS\u2019s project-specific information. According to IHS program documentation, the project descriptions in the SDS are to include information about the sanitation deficiency level that each project will address, the project\u2019s estimated cost, and the number of Indian homes that the project will serve. According to IHS documents, HITS is to include information about each Indian home that may have a sanitation deficiency that is eligible to receive Sanitation Facilities Construction program assistance, including the home\u2019s geographic location and deficiency level. Eligible homes can be located on or off reservations, but according to IHS officials, the agency typically does not collect information about Indian homes located in large urban areas. According to IHS program documentation, IHS uses information in HITS to track the status of and plan for the provision of sanitation facilities for Indian homes.", "To address tribes\u2019 identified sanitation facility needs, IHS is authorized to construct essential sanitation facilities, including domestic and community water supplies and facilities, as well as wastewater disposal facilities for Indian homes, communities, and lands. Under the Sanitation Facilities Construction program, IHS administers two primary drinking water and wastewater infrastructure activities: one to address sanitation deficiencies in existing homes and communities based on needs identified in the SDS, and one to provide water infrastructure for newly constructed or recently renovated Indian homes\u2014these needs are not included in the SDS. According to IHS policy, the agency selects projects to fund that address deficiencies in existing homes based on ranked project lists contained in the SDS, by area.", "According to IHS policy, the agency can manage sanitation projects on behalf of a tribe (direct service), or a tribe or tribal entity can elect to manage projects. According to this policy, to implement a project under direct service, a tribe formally requests IHS assistance, and IHS engineers typically develop projects to include in the SDS. When IHS selects the project to fund, the tribe decides whether it will complete the project design and manage the construction contract or have IHS engineers do so.", "EPA provides annual grants to states to help finance drinking water and wastewater infrastructure through its Drinking Water and Clean Water State Revolving Fund programs, respectively. EPA sets aside a certain percentage of the appropriations it receives for these programs to make grants directly to Indian tribes for drinking water and wastewater infrastructure. Nine EPA regions administer the Drinking Water Infrastructure Grants Tribal Set-Aside and the Clean Water Indian Set- Aside programs, while states administer the State Revolving Funds. Under the drinking water set-aside program, EPA funds projects for community water systems that serve tribal populations, as well as for non- profit, non-community water systems owned by a tribal government that serve a tribal population. Under the clean water set-aside program, EPA provides funding for the planning, design, and construction of wastewater treatment plant facilities that serve federally recognized Indian tribes, Alaska Native villages, and certain tribes in Oklahoma. According to EPA officials, tribes are among those eligible to receive loans from the states\u2019 State Revolving Fund programs. In addition, EPA administers the separate Alaska Native Villages and Rural Community Water Grant program that awards grants to the State of Alaska to, among other things, improve sanitation in rural and Alaska Native villages.", "USDA\u2019s Rural Utilities Service allocates a portion of its appropriation for rural water and wastewater disposal programs to make drinking water and wastewater infrastructure grants to Indian tribes; this is referred to as the Native American program. USDA administers the Native American program at the national level and works with tribes at the state office and local level to conduct outreach and assist with the application process, among other things. The Native American program provides grants for water and wastewater facilities and services to rural and low-income tribal communities \u201cwhose residents face significant health risks \u2026 due to the fact that a significant proportion of the community\u2019s residents do not have access to, or are not served by, adequate affordable water supply systems or waste disposal facilities.\u201d In addition, USDA administers the Rural Alaska Village Grant program, which provides grants to the State of Alaska for development and construction of water and wastewater systems that address dire sanitation conditions in rural or Alaska Native villages with 10,000 or fewer people. Tribes are also eligible to receive loans and grants for infrastructure investments from the agency\u2019s Water and Waste Disposal Program, which is administered by USDA\u2019s state offices. Tribes that are located close to the U.S.-Mexico border and that meet the definition of a colonia are eligible for assistance from USDA\u2019s Colonias program, a water infrastructure grant program to serve state- designated, low-income, unincorporated areas along the border. Finally, USDA administers a grant program to provide technical assistance and training, and the agency makes pre-planning grants available to tribes, organizations that serve tribes, and other recipients through multiple programs to assist with the development of application components, such as preliminary engineering or environmental reports."], "subsections": [{"section_title": "Additional Agencies", "paragraphs": ["Four additional agencies may provide drinking water or wastewater assistance to Indian tribes through other programs not specific to drinking water or wastewater or as authorized by statute:", "HUD. HUD administers the Indian Community Development Block Grant program, a set-aside from the agency\u2019s Community Development Block Grant program that is specific to Indian tribes. Indian Community Development Block grants can be used for construction of public facilities, provision of public services, housing, and certain economic development projects, among other things. HUD also awards Indian Housing Block Grants to tribes for affordable housing activities, which may include the development and rehabilitation of utilities, necessary infrastructure, and utility services.", "Reclamation. As authorized by statute, Reclamation provides assistance for drinking water infrastructure in the 17 western states, including rural water supply projects for tribes. Some of the statutes that direct Reclamation to construct rural water supply projects for tribes are enacted Indian water rights settlements. In addition, until September 2016, Reclamation\u2019s rural water supply program was authorized to conduct appraisal investigations and feasibility studies for proposed rural water supply projects, including those that serve Indian tribes, but the program was not authorized to construct rural water supply projects.", "Corps. As authorized by statute, the Corps may provide designated communities, counties, and states with design and construction assistance for drinking water and wastewater infrastructure. For example, Congress has authorized and made appropriations for the Corps to provide assistance to Indian tribes for water-related environmental infrastructure projects\u2014including wastewater treatment facilities and water supply, storage, treatment, and distribution facilities\u2014through the Corps\u2019 Section 219 Environmental Infrastructure Program.", "EDA. EDA\u2019s Public Works Program provides grants to economically distressed areas to, among other things, help rehabilitate, expand, and improve their public works facilities, including drinking water and wastewater facilities. The Economic Adjustment Assistance Program provides grants for, among other things, development of public facilities, including drinking water and wastewater facilities. EDA\u2019s Planning Program provides grants to various entities, including tribes, to pay the costs of economic development planning, which can include planning for water infrastructure."], "subsections": []}]}, {"section_title": "Prior GAO Work on Interagency Collaboration", "paragraphs": ["As part of our body of work on interagency collaboration, our September 2012 report discussed a variety of mechanisms to implement interagency collaborative efforts and identified key features that all efforts benefit from. Mechanisms to implement interagency collaborative efforts include establishing interagency task forces or signing memorandums of understanding. Key features, many of which are related to practices to enhance and sustain collaboration identified in our previous work, fall into the following categories: outcomes and accountability, bridging organizational cultures, leadership, clarity of roles and responsibilities, participants, resources, and written guidance and agreements."], "subsections": []}]}, {"section_title": "Federal Agencies Estimated About $3 Billion in Existing Tribal Drinking Water and Wastewater Infrastructure Needs in Fiscal Year 2016, but the Needs Are Underestimated", "paragraphs": ["IHS and EPA estimated costs for tribal water infrastructure needs, with IHS identifying at least $3.2 billion in estimated costs for infrastructure projects to address existing drinking water and wastewater infrastructure needs for fiscal year 2016 and EPA estimating the costs of future tribal drinking water infrastructure needs at an additional $2.4 billion over the following 20 years. However, IHS\u2019s estimate of existing needs is likely too low because IHS has not identified all eligible Indian homes that may have existing sanitation deficiencies\u2014drinking water or wastewater infrastructure needs\u2014and some data in the system that IHS uses to track home-specific infrastructure needs are not accurate."], "subsections": [{"section_title": "IHS and EPA Have Estimated Several Billion Dollars in Existing and Future Tribal Water Infrastructure Needs", "paragraphs": ["In fiscal year 2016, IHS identified about $3.2 billion in estimated costs for projects to address existing tribal drinking water and wastewater infrastructure needs. This estimate represented more than 2,000 projects in the SDS to address 373 tribes\u2019 existing drinking water and wastewater infrastructure needs. To develop these projects, IHS policy directs area staff to invite all federally recognized tribes to identify existing drinking water and wastewater infrastructure needs each year. IHS staff then work with interested tribes to develop projects, including cost estimates, to include in the SDS. In fiscal year 2016, projects to address deficiency levels 4 and 5\u2014homes or communities that lack a safe drinking water supply or wastewater disposal system, or both\u2014accounted for $1.6 billion, or about half, of the total estimated costs of tribal infrastructure needs in the SDS. More than 80 percent of the deficiency level 4 and 5 project costs were located in the IHS Alaska and Navajo areas. In addition, in fiscal year 2016, IHS determined that more than 60 percent of the total existing drinking water and wastewater infrastructure needs in the SDS were infeasible, mostly due to the significant costs associated with infeasible deficiency level 5 projects.", "EPA collects and reports data on the drinking water infrastructure needs of the nation\u2019s public water systems, including the future needs of tribally owned or operated drinking water systems. Specifically, EPA is required to assess capital improvement needs of all eligible public water systems every 4 years, and EPA has conducted its Drinking Water Infrastructure Needs Survey and Assessment to obtain this information every 4 years from 1995 through 2015. EPA last reported in 2013 on the estimated costs of capital improvement projects needed to repair, replace, and upgrade existing tribal and other public drinking water systems over the following 20 years. In its 2013 report, EPA estimated the costs of future tribal drinking water needs of public systems at approximately $2.4 billion. EPA does not, and is not required to collect information about future tribal wastewater infrastructure needs.", "Other agencies that provide tribes with assistance for drinking water or wastewater infrastructure projects do not\u2014and are not required to\u2014 systematically identify tribal drinking water or wastewater infrastructure needs. For example, USDA officials explained that tribes identify needs through the applications they submit to the agency\u2019s programs. These officials stated that they also identify tribal needs through outreach to tribes and coordination with other agencies, such as IHS. In addition, HUD officials said that they do not collect information specifically about tribal water infrastructure needs because they rely on the tribes to propose or identify projects to meet any needs based on the tribes\u2019 priorities."], "subsections": []}, {"section_title": "IHS Underestimates Existing Tribal Water Infrastructure Needs Because IHS Has Not Identified All Eligible Homes with Infrastructure Needs and Relevant Data Are Not Accurate", "paragraphs": ["IHS area staff work with tribes each year to (1) identify Indian homes eligible for and in need of IHS drinking water or wastewater infrastructure assistance to include in IHS\u2019s home-specific tracking system, HITS; and (2) develop projects aimed at correcting any identified sanitation deficiencies in these homes to include in the SDS. Through this process, IHS has entered information about hundreds of thousands of eligible Indian homes in HITS and developed thousands of projects in the SDS. According to agency documents, HITS is to include information about each Indian home that is eligible to be served by the Sanitation Facilities Construction program and that may have an existing sanitation deficiency. However, based on our review of IHS documentation and interviews with IHS officials, HITS does not contain all eligible Indian homes that may have existing sanitation deficiencies, and some data in the system are not accurate."], "subsections": [{"section_title": "HITS Does Not Contain All Eligible Indian Homes That May Have Existing Water Infrastructure Needs", "paragraphs": ["According to IHS officials, as of February 2018, HITS contained information for about 406,000 Indian homes. However, according to IHS area officials, the system does not contain information about all Indian homes eligible to be served by the Sanitation Facilities Construction program. For example, Oklahoma City Area officials we interviewed estimated that, based on Census data and their professional experience, more than 100,000 Indian homes in their area may be eligible for IHS program assistance but are not included in the system, and an unknown number of those homes likely have existing drinking water and wastewater infrastructure needs. These officials, as well as tribal officials administering the Sanitation Facilities Construction program for their tribes in Oklahoma, said that the system does not contain all eligible Indian homes, in part because it is difficult to identify where tribal members are living since most of the communities in the state are a mixture of tribal and non-tribal residents and are not located on reservations. In addition, Portland Area officials stated that they believe the system is missing an unknown number of eligible Indian homes in their area because it is challenging to identify eligible homes that are in scattered locations away from tribal community facilities. In contrast, Navajo Area officials said they believe the system is more than 95 percent complete for their area, in part because the area aligns with the Navajo Nation\u2019s lands.", "IHS headquarters officials stated that they do not expect HITS to capture all eligible Indian homes, in large part because some tribes have chosen to not provide such information to IHS for cultural or other reasons. These officials said they are focused on working collaboratively with tribes to identify homes that have existing deficiencies rather than all homes eligible for services but added that IHS areas are expected to identify such homes during the normal course of their work. IHS area officials and tribal officials we interviewed stated that identifying eligible Indian homes not located on reservations is resource intensive, and they do not have sufficient resources to locate these homes. IHS Oklahoma City Area officials said it would be helpful to find efficient ways to identify additional eligible homes that may have sanitation deficiencies. For example, these officials said they have started using EPA data to target communities with water systems that do not meet EPA\u2019s water quality standards and identify eligible homes within those communities, but they have made limited progress with their existing resources.", "Standards for Internal Control in the Federal Government calls for management to use quality information to achieve the entity\u2019s objectives; such information is appropriate, current, complete, accurate, accessible, and provided on a timely basis. We recognize that it would be resource intensive for IHS to locate every eligible Indian home to include in HITS, but because the system may not contain roughly 20 percent of eligible Indian homes, opportunities exist for IHS to identify in a targeted, efficient way additional homes with existing deficiencies to include in HITS. By implementing a targeted, resource-efficient method to identify additional eligible Indian homes that may have existing sanitation deficiencies to include in HITS, IHS could have better assurance that it has more complete information to help improve its estimate of the number of eligible Indian homes that may need sanitation facilities assistance."], "subsections": []}, {"section_title": "Deficiency Levels Are Not Accurate For Every Home in HITS", "paragraphs": ["Deficiency levels for thousands of homes may not be accurately captured in HITS. IHS headquarters officials stated that, as of February 2018, of the roughly 406,000 total tribal homes in HITS, about 229,400 homes had a deficiency level of 0. Therefore, the remaining approximately 176,600 tribal homes had deficiency levels 1 through 5. HITS automatically assigns a deficiency level 0 to each home when IHS enters it into the system, and homes remain at a deficiency level 0 until IHS develops projects in the SDS to serve those homes. HITS does not provide IHS with the option of recording a home\u2019s deficiency level as unassessed, so a deficiency level 0 could indicate that there is no deficiency or that the home has not yet been assessed to determine a deficiency.", "IHS area officials we interviewed stated that they were aware of homes with sanitation deficiencies that were not accurately reflected in HITS. For example, Phoenix Area staff said they knew of homes with a deficiency level 4 or 5 that had a deficiency level 0 in HITS because these homes were not yet included within the scope of an SDS project. Also, California Area officials estimated that they had not assessed deficiency levels for about 20,000 eligible homes in their area, and Oklahoma City Area officials said they had not assessed more than 100,000 homes in their area\u2014these homes\u2019 deficiency levels all appeared as deficiency level 0 in HITS, but their actual deficiencies were unknown.", "According to IHS officials, there are multiple ways to assess homes\u2019 deficiency levels. For homes that are not connected to a public water system, such as homes with private wells, IHS staff may need to visit homes to identify any existing deficiencies, with permission of the tribe. For homes connected to a public water system, staff can assign the homes the deficiency level associated with the water system but may need to visit the community to assess the system\u2019s overall deficiency level. IHS officials from the California and Oklahoma City areas said they did not have the staff resources to begin the process of identifying whether the deficiency level 0 homes in their areas had deficiencies and developing projects for the SDS to serve them.", "IHS headquarters officials stated that they have identified homes that the Sanitation Facilities Construction program has served since implementing HITS in 2015. For example, IHS officials stated that of the about 229,400 homes with a deficiency level 0 in HITS, they had determined that about 90,700 correctly show that deficiency level because they have been included in a project in the SDS since 2015. IHS had not included the remaining approximately 138,700 homes with a deficiency level 0 in a project in the SDS. Therefore, using HITS, IHS could not determine if these homes had (1) no deficiency, (2) a deficiency that IHS addressed prior to 2015, or (3) an unknown deficiency because the homes had not been assessed.", "IHS officials stated that in the future they will be able to use HITS to better track the agency\u2019s service and project history at the individual home level. However, IHS officials did not explain what steps they would take to identify deficiencies for the approximately 138,700 homes in HITS that had not been included in an SDS project. Standards for Internal Control in the Federal Government calls for management to use quality information to achieve the entity\u2019s objectives; such information is appropriate, current, complete, accurate, accessible, and provided on a timely basis. IHS officials said that improving the system\u2019s accuracy would be beneficial. By implementing a mechanism to indicate in HITS whether each home with a deficiency level of 0 has been assessed, IHS could also have more efficient ways to take steps to address the deficiencies of the homes contained in HITS."], "subsections": []}]}]}, {"section_title": "Federal Agencies Provided Funding for Tribal Water Infrastructure Projects, but Processes May Not Prioritize Projects That Address the Most Severe Deficiencies", "paragraphs": ["In fiscal year 2016, federal agencies obligated approximately $370 million for tribal drinking water or wastewater infrastructure projects. The agencies with tribal-specific programs for drinking water and wastewater infrastructure\u2014IHS, EPA, and USDA\u2014funded some projects to address what they identified as the most severe sanitation deficiencies\u2014 communities and homes that do not have safe drinking water or wastewater disposal facilities. However, the agencies\u2019 processes may not always prioritize projects that address the most severe sanitation deficiencies. In addition, during the course of our review, we identified issues with how USDA awarded grants under its Rural Alaska Village Grant program."], "subsections": [{"section_title": "Federal Agencies Provided About $370 Million in 2016 for Tribal Water Infrastructure Projects", "paragraphs": ["In fiscal year 2016, federal agencies provided about $370 million to develop, construct, or repair tribal drinking water and wastewater infrastructure projects to address tribes\u2019 needs. This amount represents about 11 percent of the more than $3 billion in total existing tribal drinking water and wastewater infrastructure needs that IHS identified in 2016. Appendix III contains additional detail about agency obligations for tribal drinking water and wastewater infrastructure projects for fiscal years 2012 through 2016.", "Federal agency obligations were used to address a variety of tribal drinking water and wastewater infrastructure needs. For example, IHS, EPA, USDA, and the State of Alaska provided approximately $15.9 million for multiple, phased projects to bring first-time, in-home piped drinking water and wastewater service to approximately 90 homes in the Native Village of Eek in Alaska (see fig. 1). The residents of Eek obtain their drinking water by hauling water from the village washeteria, a building that contains toilets, washing machines, and a spigot for purchasing water for use in the home. Most homes in the community do not have piped water or sewer service to kitchens or bathrooms, and residents use washbasins for handwashing and food preparation and honeybuckets for wastewater disposal. As of April 2017, construction was ongoing, and officials estimated that the entire community of about 300 people would be served by the fall of 2018. See appendix IV for other examples of tribal drinking water and wastewater infrastructure projects that we visited.", "In addition to providing financial assistance for projects to design or construct water infrastructure, federal programs provided grants for technical assistance and training for tribal utilities and staff. For example, in fiscal year 2016, USDA awarded a $130,000 grant from its Technical Assistance and Training program to one organization that works with tribes. USDA also awarded a contract to the National Rural Water Association for it to employ a network of technical consultants who can provide on-site technical assistance to eligible systems, including tribally operated systems experiencing day-to-day operational issues, among other challenges.", "Federal programs mostly did not provide financial assistance for routine operations and maintenance of installed community or individual infrastructure. Tribal officials we interviewed, however, said that paying for operations and maintenance is often the tribe\u2019s biggest challenge once a system is constructed or upgraded. For example, officials from one tribe said that the tribe did not have sufficient resources to operate and maintain a newly constructed water treatment system. Tribal officials we interviewed stated that their members are often unable to afford the utility fees needed to support the water system. For private systems, officials from two tribes said some of their members have trouble maintaining new drinking water filtration and septic systems because, for example, the systems are technically complex and costly to maintain. Officials from another tribe said homeowners who have difficulty operating and maintaining a system may return to using an unsafe drinking water source they previously used, for example. According to IHS officials, the agency has been collaborating with EPA, USDA, and tribes to improve collection of information about the cause of some systems\u2019 premature failure and to analyze best practices for operations and maintenance of tribal water systems."], "subsections": []}, {"section_title": "Agencies Funded Some Projects to Address the Most Severe Sanitation Deficiencies", "paragraphs": ["Agencies with tribal-specific programs for water infrastructure\u2014IHS, EPA, and USDA\u2014selected and funded projects that address the most severe sanitation deficiencies. Three of these agencies\u2019 programs\u2014IHS\u2019s Sanitation Facilities Construction, EPA\u2019s clean water set-aside, and USDA\u2019s Native American program\u2014documented in regulation or policy their goal of funding projects to address these needs. Specifically, according to IHS\u2019s Sanitation Facilities Construction program policy, the program\u2019s goal includes providing funding first and in greater degree to homes and communities with the greatest needs, that is, those that lack safe drinking water or wastewater disposal, or both. EPA\u2019s clean water set-aside program policy states the program\u2019s goal is to protect public health in Indian country by addressing the lack of access to sanitation facilities (i.e., deficiency levels 4 and 5 for IHS and EPA). Finally, under the applicable requirements and policy, USDA\u2019s Native American program\u2019s objective is to provide water and waste disposal facilities and services to low-income rural communities whose residents face significant health risks. The program\u2019s goal includes funding the neediest projects, giving priority to areas that lack running water, flushing toilets, and modern sewage disposal systems.", "According to agency policy, IHS\u2019s Sanitation Facilities Construction program and EPA\u2019s clean water set-aside program prioritize and select projects to fund according to the projects\u2019 rankings in each IHS area\u2019s SDS list. To create the ranked lists, IHS staff assign scores to each project based on a set of eight scoring factors, each with a different number of points that may be assigned to a project (see table 2).", "USDA prioritizes and selects projects to fund from its Native American program using a different process than IHS and EPA. USDA\u2019s process involves tribes, working with USDA state offices, submitting project grant applications to the headquarters office. USDA state offices score project applications before submitting them to the headquarters office. USDA policy directs the program to make funds available according to priority, and the agency accepts and evaluates applications and awards grants throughout the year. USDA officials said the program maintains a wait list for eligible applications received after all available funds have been obligated each year. According to USDA\u2019s scoring sheet for the Native American program, the agency evaluates project applications based on a set of five scoring factors, each with a different number of points to award. These scoring factor categories include population, income, joint financing, and discretionary points that can be awarded at state offices and headquarters (see table 3). USDA officials said that they also take SDS deficiency levels into account when reviewing project applications, but that the statute authorizing the Native American program does not specifically reference IHS\u2019s deficiency level definitions.", "Using their respective processes to prioritize and select projects for funding, IHS\u2019s Sanitation Facilities Construction program, EPA\u2019s clean water set-aside program, and USDA\u2019s Native American program obligated a total of nearly $110 million in fiscal year 2016 for projects to meet a mixture of needs. For example, for approximately 190 projects from the SDS that IHS, EPA, and others funded in fiscal year 2016, about 40 percent were projects to address deficiency levels 2 and 3, and about 60 percent were projects to address deficiency levels 4 and 5. Further, in fiscal year 2016, USDA reported that its Native American program funded four projects that provided new drinking water and wastewater service to some tribal communities and funded nine projects that replaced, renovated, or expanded existing infrastructure. Based on our review of IHS and USDA documents, deficiency level 2 and 3 projects as well as replacement and renovation projects can address important water quality and other problems, but they generally do not address the most severe deficiencies or the most significant health risks.", "Based on our review of IHS and EPA documents and interviews with these agencies\u2019 officials, we found that their process for prioritizing and selecting projects to fund from the SDS can discourage funding some deficiency level 4 and 5 projects, especially those with a relatively high cost per home. According to some IHS area officials we interviewed, applying IHS\u2019s scoring factors and the points associated with each factor means that deficiency level 3 projects may score higher than\u2014and therefore receive funding before\u2014deficiency level 4 or 5 projects. For example, a project\u2019s cost per home is a significant contributor to its score because IHS assigns as low as minus 20 points for projects that have a relatively high cost to implement per home. IHS officials said that, typically, deficiency level 3 projects replace existing community infrastructure and serve more homes, which makes those projects\u2019 relative cost per home lower than deficiency level 4 and 5 projects. IHS headquarters officials explained that they developed the SDS scoring system in consultation with tribes so the system could balance the need to fund deficiency level 4 and 5 projects with the need to fund projects with lower deficiencies that address health needs and serve a larger number of homes. However, because deficiency level 4 and 5 projects may rank lower than some projects that address less severe deficiencies and rank too low to be funded in a given year, hundreds of feasible projects to address the most severe sanitation deficiencies have remained on SDS lists for 5 years or more, based on our review of these lists. As of the end of fiscal year 2016, many of these projects had not been selected for funding from IHS or EPA.", "IHS headquarters officials said that the agency is working to improve the extent to which it funds feasible projects to address the highest sanitation deficiencies. For example, these officials said that they are updating the 2003 Sanitation Facilities Construction program guidelines to incorporate subsequently issued guidance, and this update should also more directly align the guidelines with the program\u2019s original focus\u2014to prioritize service to Indian homes and communities that lack access to piped water and sewer systems. However, a senior IHS official said that changing the SDS scoring factors is not part of this effort because the current scoring factors balance a number of interests in addition to projects\u2019 deficiency levels. The official said that higher deficiency level projects ranking lower than other projects on the SDS list in a given year does not mean that public health needs are going unaddressed. Yet, our analysis shows that projects to address the highest deficiency levels have remained in the SDS for many years. We recognize that IHS faces trade-offs when selecting tribal infrastructure projects to fund. By reassessing the point distribution across the SDS scoring factors as part of IHS\u2019s program guidelines update, in light of trade-offs between funding projects that address the most severe sanitation deficiencies and projects that meet other needs, IHS may have better assurance that its projects address the most severe sanitation deficiencies in Indian communities.", "Regarding USDA\u2019s Native American program, based on our review of agency documents and interviews with USDA officials, we found that the agency\u2019s process for prioritizing and selecting projects may not provide USDA with reasonable assurance that it is selecting projects to fund that address the most severe sanitation deficiencies. Specifically, USDA\u2019s scoring factors for its Native American program do not include a scoring factor category to evaluate the extent to which projects will address health risks that stem from tribes\u2019 lack of drinking water and wastewater infrastructure. In contrast, USDA prioritizes projects to fund under its Colonias grant program using an additional scoring factor that awards points based on the extent to which a proposed project will address health risks stemming from lack of safe drinking water and wastewater disposal in a colonia. For example, USDA awards 50 points for projects in colonias where a lack of access to safe drinking water and wastewater disposal results in a significant health risk. We recommended in December 2009 that USDA take steps to better target its limited funds for the Colonias program, and USDA responded in part by creating the additional scoring factor for colonias to ensure that the neediest colonias receive funding.", "To prioritize Native American program applications that address significant health risks, USDA officials said they use discretionary points. However, according to program policy, USDA state office and headquarters officials may award discretionary points to meet other purposes that are not related to addressing health risks, such as encouraging projects with green infrastructure or promoting geographic diversity among grantees, or they may not award these points at all. As a result, USDA may not have reasonable assurance that it is consistently evaluating or funding project applications in a way that aligns with the Native American program\u2019s goal. USDA policy states that both the Native American and Colonias programs are to prioritize areas that lack running water, flushing toilets, and modern sewage disposal systems. By implementing a scoring factor similar to the one in the Colonias program\u2014that is, one that awards points for proposed projects that address health risks from a lack of access to safe drinking water and wastewater disposal\u2014for the Native American program, USDA would have more assurance that it is evaluating project applications consistently and funding projects to address the most severe sanitation deficiencies in Indian communities, consistent with the program\u2019s goal."], "subsections": []}, {"section_title": "USDA Did Not Always Award Rural Alaska Village Grants to Authorized Recipients, and the Program\u2019s Regulations Are Inconsistent with Its Authority", "paragraphs": ["During the course of reviewing funding for tribal drinking water and wastewater infrastructure projects, we encountered several issues with one of USDA\u2019s tribal drinking water and wastewater infrastructure programs, the Rural Alaska Village Grant program. Specifically, section 306D of the Consolidated Farm and Rural Development Act authorizes USDA to make grants to the State of Alaska for the benefit of rural or Native villages to provide for the development and construction of drinking water and wastewater systems. According to USDA reports, these grants are used for projects that have provided, for example, rural Alaska Native residents with access to safe drinking water and flush toilets in their homes. From the program\u2019s beginning in fiscal year 1997 through fiscal year 2016, USDA awarded 455 grants totaling more than $444 million to provide safe drinking water and wastewater disposal to thousands of Alaska Natives in remote communities.", "We found that from fiscal year 1997 through fiscal year 2016, USDA awarded 159 Rural Alaska Village grants totaling about $157 million to recipients not authorized by section 306D. These recipients were Alaska Native villages, municipalities, and the Alaska Native Tribal Health Consortium, which is the tribal organization that administers IHS\u2019s Sanitation Facilities Construction program in Alaska. USDA\u2019s appropriations acts for fiscal years 2012 through 2017, however, authorized USDA to provide Rural Alaska Village grants to the Consortium. Of the 159 grants, USDA awarded 127 grants (about $121 million) to municipalities and Alaska Native villages from 1997 through 2016, and it awarded 32 grants (about $36 million) to the Consortium in 2011 before first receiving authority to do so in fiscal year 2012. Based on our review of a list of USDA grant agreements, selected agreements, and according to agency officials, in 2011, USDA signed 32 such agreements with the Consortium and the communities on whose behalf the Consortium administered the grants. USDA officials stated that the agency made seven total obligations to the Consortium in 2011 for these grants.", "USDA officials stated that they did not agree that the agency had awarded Rural Alaska Village grants to ineligible entities because the program\u2019s authorizing statute gives the State of Alaska control over the use of the grants, and the state concurred with USDA making some grants directly to other parties. For example, the USDA officials stated that a 2011 memorandum of agreement between USDA, the State of Alaska, IHS, and the Consortium was a vehicle for the state to direct a portion of the Rural Alaska Village grants to other parties. These officials stated that since the statute does not prevent the state from redirecting portions of the grant to other parties, it is not improper for USDA to enter into an agreement with the state to award the grants directly to other parties so that the state does not have to redirect them. In commenting on a draft of this report, USDA noted that the agency has awarded two grants to municipalities since signing the 2011 agreement.", "In addition, USDA officials said that they entered into the memorandum of agreement and began awarding grants to the Consortium in 2011 to address problems with the program\u2019s administration, which resulted in projects that were delayed or halted. For example, USDA stated in a 2010 report that the State of Alaska had not adequately documented project costs and that USDA staff were concerned that the state had not applied the obligations it received from USDA to the intended communities. According to USDA officials, they have seen a significant improvement in the state\u2019s grant administration and more timely delivery of projects since the 2011 agreement. In addition, the Rural Alaska Village Grant program manager said the agency awards grants directly to Native villages that have the capacity to administer them. In commenting on a draft of this report, USDA stated that the agency has made all grants to the Consortium pursuant to the 2011 memorandum of agreement.", "The State of Alaska can choose to make subgrants once it receives the Rural Alaska Village grant, but section 306D of the Consolidated Farm and Rural Development Act only authorizes USDA to award grants to the State of Alaska. Moreover, the 2011 memorandum of agreement cannot authorize USDA to award grants to recipients that are not authorized by statute. By ensuring that all Rural Alaska Village grants are awarded only to recipients identified as eligible in section 306D or USDA appropriations acts, USDA will have assurance that it is complying with the law. If USDA wants to award Rural Alaska Village grants to municipalities and Alaska Native villages, it should seek authority to do so, as it did to award such grants to the Consortium.", "In addition, the regulations governing the Rural Alaska Village Grant program identify rural or native villages in Alaska as eligible grant recipients. USDA officials explained that the agency amended the Rural Alaska Village Grant program regulations in 2015 to codify the 2011 memorandum of agreement. However, this regulation identifying rural and Alaska Native villages as eligible grant recipients expands USDA\u2019s authority to award grants beyond the existing statutory authorities, which do not list rural or Alaska Native villages as eligible recipients. Until USDA amends the Rural Alaska Village Grant program regulations to be consistent with USDA\u2019s authority, the agency\u2019s regulations will continue to recognize recipients not authorized by statute."], "subsections": []}]}, {"section_title": "The Extent to Which Federal Agencies Collaborated to Meet Tribes\u2019 Water Infrastructure Needs Varied at the National Level and in Six Selected States", "paragraphs": ["Most of the seven federal agencies that administer programs to provide drinking water and wastewater infrastructure assistance to Indian tribes have taken actions to collaborate at the national level, and the agencies have identified additional opportunities to collaborate. At the regional level, seven federal agencies we surveyed reported collaborating on a range of activities within six selected states\u2014with some agencies frequently working together and others rarely collaborating\u2014and the agencies identified opportunities to increase collaboration at the regional level to better serve tribes."], "subsections": [{"section_title": "Most Reviewed Agencies Have Taken Actions to Collaborate at the National Level on Tribal Water Infrastructure and Have Identified Additional Opportunities to Increase Collaboration", "paragraphs": ["Most of the seven federal agencies we reviewed have taken actions to collaborate at the national level and identified additional opportunities to collaborate that they have not yet taken. In our previous work, we found that achieving important national outcomes\u2014such as providing access to safe drinking water and wastewater disposal\u2014often requires coordinated and collaborative efforts of a number of programs spread across the federal government. For example, IHS, EPA, USDA, HUD, and Reclamation have formed a national tribal infrastructure task force to facilitate the agencies\u2019 collaborative efforts when providing services, support, and technical assistance to tribes.", "The tribal infrastructure task force\u2019s efforts reflect some of the key features that we have found all collaborative mechanisms benefit from in our previous work:", "Written guidance and agreements. We have previously reported that agencies that articulate their agreements in documents can strengthen their commitment to working collaboratively. The members of the tribal infrastructure task force first documented their agreement in a memorandum of understanding in 2007, the year the task force was created. The agencies updated the memorandum most recently in 2013, and they use the document to formally agree on the group\u2019s common goal and purposes and to clarify and define roles and responsibilities. Having participating agencies document their agreements on how they will be collaborating, and continually updating and monitoring these agreements, are practices that are consistent with our prior work.", "Outcomes and accountability. In our previous work, we have reported on the importance of groups having clear goals. In its 2013 memorandum of understanding, the tribal infrastructure task force identified a common goal of improving access to safe drinking water and basic sanitation for American Indians and Alaska Natives. In the memorandum, the member agencies also agreed on the task force\u2019s stated purposes, one of which is to enhance the efficient leveraging of funds.", "Leadership. We have found that identifying one agency as the leader of a collaborative group is often beneficial because it centralizes accountability and can speed decision making. EPA has served as the federal focal point for the task force; this has included hosting the task force\u2019s website that serves as a common source for documents the group has produced. According to an official involved with the task force, EPA\u2019s role has provided continuity in leadership.", "The task force\u2019s efforts have yielded some specific results. For example, in 2013, tribal infrastructure task force members agreed to adopt a uniform preliminary engineering report template, a key supporting document that multiple agencies require in their project application and evaluation processes. Task force members created this template in part in response to our October 2012 recommendation that EPA and USDA develop such a document. According to agency officials we interviewed, the report template has been helpful for tribes since they no longer have to produce different versions of the same document when submitting multiple applications to different agencies. USDA officials said they have since worked with other agencies to develop an online version of the preliminary engineering report that is accessible to task force members and others to further improve collaboration.", "However, according to agency officials involved with the task force, there may be additional opportunities to improve the efficiency of their collaboration at the national level. For example, in 2011, a workgroup of the task force identified a series of 10 options to increase the efficiency of collaboration by streamlining their application processes. As of November 2017, according to agency officials, the task force had not acted on most of the options. One such option was for agencies to better align their different funding and application cycles where possible. Several tribal officials and representatives from a tribal organization we interviewed cited challenges with complying with the agencies\u2019 different application requirements. For example, they said that doing so can be resource intensive and can make it difficult to obtain funds for one project. Other tribal officials we interviewed also identified ways that agencies could improve their collaboration that would benefit tribal applicants and that the task force did not identify in its 2011 report. For example, various tribal officials suggested that agencies standardize federal program application processes and coordinate their outreach to tribes to discuss agency programs and their requirements.", "According to an agency official involved with the task force, when the group considered which options from the 2011 report to implement, member agencies focused their efforts on implementing those that were most achievable given the agencies\u2019 limited resources. Other officials also said that it would be worthwhile to reconsider some of the options identified in the report. As stated in the task force\u2019s 2013 memorandum of understanding, one of its purposes is to enhance the member agencies\u2019 efficient leveraging of funds. By reviewing the 2011 task force report and identifying and implementing additional actions to help increase their collaboration, the task force member agencies could improve their ability to leverage limited program funds."], "subsections": []}, {"section_title": "Federal Agencies\u2019 Regional Offices Collaborated to Varying Extents within Six Selected States and Reported That Additional Collaboration Would Be Beneficial", "paragraphs": ["The regional offices of the seven federal agencies we surveyed collaborated with each other to varying extents in the six selected states (Alaska, Arizona, California, New York, Oklahoma, and South Dakota). In the 2013 memorandum of understanding, the tribal infrastructure task force member agencies\u2014IHS, EPA, USDA, HUD, and Reclamation\u2014 agreed that they are expected to collaborate at the regional level to achieve a common goal of providing safe drinking water and basic sanitation for tribes. However, based on our review of agency survey responses, these agencies did not always collaborate in each of the six states. We measured agency collaboration in terms of the number of instances in which one agency regional office reported using a collaborative mechanism with another agency. These collaborative mechanisms include state- or project-level working groups, memorandums of understanding, and shared databases, among others. In responses to our survey, we found that the number of instances of agency regional offices reporting that they used one or more collaborative mechanism with other agencies varied across the six states. For example, the agencies\u2019 regional offices collaborated the most in Alaska and the least in New York and Oklahoma. Figure 2 shows the percentage of instances where an agency reported using a collaborative mechanism with another agency when jointly working on tribal drinking water and wastewater activities in the six states, out of the total possible instances. Appendix II contains additional details about our survey and agency responses.", "In responses to our survey, certain agencies\u2019 regional offices reported collaborating with each other in some states but not in other states. For example, EPA and USDA regional offices both reported working together in Alaska, Arizona, and California, but not in New York, Oklahoma, or South Dakota. IHS and HUD reported collaborating with each other in three states but not in the other states. Not all agencies work with tribes in every state. For example, Reclamation does not operate in Alaska or New York, so we did not survey the agency in those states. The Corps\u2019 regional offices responded that they are not authorized to work on drinking water or wastewater infrastructure with tribes in two of the six states. In contrast, IHS and EPA regional offices reported collaborating with each other in all six states, the most of any agency pair.", "In their responses to our survey and in interviews, the seven federal agencies\u2019 regional offices most frequently identified three key factors that limited how much they collaborated in the six states. Specifically: Incompatibility of agency policies and missions. Agencies\u2019 regional offices reported that having incompatible policies or agency missions was a factor that had hindered their collaboration with other agencies. For example, IHS and HUD regional offices in four states reported that a restriction on IHS\u2019s ability to serve new homes constructed with grants from HUD\u2019s housing programs limited their collaboration. Several agencies\u2019 regional offices reported that having compatible policies helped their collaboration. For example, IHS and USDA regional offices in Alaska responded that multiple agencies\u2019 use of IHS\u2019s SDS list as a common source for identifying potential projects to fund has helped collaboration. We previously found that adopting compatible policies and procedures is one way for agencies to establish means of operating across agency boundaries.", "Insufficient resources. An additional factor that hindered agencies\u2019 collaboration was insufficient staff and financial resources. For example, HUD and IHS regional officials we interviewed in Arizona said that a state-level tribal infrastructure working group they were involved in became inactive in 2016, after the lead agency determined it was unable to continue dedicating staff resources to that role and none of the other agencies picked up the lead. In contrast, several IHS and EPA regional offices reported that the existence of standard interagency agreements that facilitate transferring EPA funds to IHS helped them collaborate and leverage funding for projects that each agency would not have funded on its own. Identifying and leveraging the resources needed to initiate or sustain a collaborative effort is a key consideration for implementing the interagency collaborative mechanisms we previously identified.", "Absence of personal relationships. Agencies\u2019 regional offices also reported that the absence of relationships with staff from other agencies hindered their collaboration. In contrast, agencies\u2019 regional offices reported that having good working relationships with staff from other agencies helped their collaboration. For example, USDA\u2019s regional office and the State of Alaska reported that their strong relationships with each other and other agencies in Alaska helped their collaboration, and that these relationships were enhanced by agency staff\u2019s frequent communication through regular meetings. We previously found that having positive working relationships can bridge organizational cultures and build trust.", "In their responses to the survey and in interviews, several agencies\u2019 regional offices identified examples of inefficiencies that have occurred when they did not collaborate, including inefficient use of their limited resources. For example, officials from one EPA region we interviewed said that there have been years when EPA staff spent time developing a project only to learn that USDA had already funded the same project. The officials stated that this inefficiency could have been avoided if they had been communicating with their USDA counterparts about the projects that each agency was considering to fund. Also, in two states, EPA\u2019s regional office reported that EPA and USDA may be missing opportunities to leverage funding for individual projects by not sharing information about projects.", "In all six states, nearly all of the federal agency regional offices responded that it would be beneficial to increase their collaboration. Specifically, more than 90 percent of the federal agency respondents identified at least one collaborative mechanism that would be beneficial for them to begin using with another agency. The specific mechanisms that the agencies identified appeared to relate to the amount of collaboration in which they had already engaged. For example, agency regional offices that reported not having collaborated with another agency most frequently said that it would be beneficial to begin having informal communications with their counterparts in other agencies and to start sharing project-specific documents such as preliminary engineering reports. Alternatively, agency regional offices that reported having collaborated with another agency most frequently responded that it would be beneficial to begin using a memorandum of understanding as an additional mechanism for collaborating where they had not already done so. In the tribal infrastructure task force\u2019s 2013 memorandum of understanding, the member agencies\u2014IHS, EPA, USDA, HUD, and Reclamation\u2014agreed that they are expected to collaborate at the regional level to provide safe drinking water and basic sanitation for tribes and to more efficiently leverage program funds. By directing their regional offices to identify and pursue additional mechanisms to increase their collaboration, the task force member agencies would have better assurance that their regional offices are efficiently leveraging limited program funds and following through on the commitment to collaborate."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Identifying and addressing drinking water and wastewater infrastructure needs in Indian country is a difficult undertaking. IHS dedicates a significant effort each year to working with tribes to identify their existing drinking water and wastewater infrastructure needs. However, one of IHS\u2019s systems\u2014HITS\u2014may be missing tens of thousands of eligible Indian homes, an unknown number of which may have existing sanitation deficiencies. Additionally, some homes\u2019 deficiency levels in HITS are inaccurate. By implementing a targeted, resource-efficient method to identify additional eligible Indian homes that may have existing sanitation deficiencies to include in HITS, IHS could have better assurance that it has more complete information to help improve its estimate of the number of eligible Indian homes that may need sanitation facilities assistance. Also, IHS officials said that improving the system\u2019s accuracy would be beneficial. By implementing a mechanism to indicate in HITS whether each home with a deficiency level of 0 has been assessed, IHS could also have more efficient ways to take steps to address the deficiencies of the homes contained in HITS.", "IHS and USDA funded some projects to address the most severe sanitation deficiencies, but residents of many Indian homes remain without safe drinking water or wastewater disposal as the agencies also prioritized and funded projects that addressed other needs. We recognize that IHS faces trade-offs when selecting tribal infrastructure projects to fund. By reassessing the point distribution across the SDS scoring factors as part of IHS\u2019s program guidelines update, in light of trade-offs between funding projects that address the most severe sanitation deficiencies and projects that meet other needs, IHS may have better assurance that its projects address the most severe sanitation deficiencies in Indian communities. Also, by USDA implementing a scoring factor similar to the one in its Colonias program\u2014that is, one that awards points for proposed projects that address health risks from a lack of access to safe drinking water and wastewater disposal\u2014for the Native American program, USDA would have more assurance that it is evaluating project applications consistently and funding projects to address the most severe sanitation deficiencies in Indian communities, consistent with the program\u2019s goal.", "USDA has provided thousands of Alaska Natives with safe drinking water and wastewater infrastructure through its Rural Alaska Village Grant program. However, USDA awarded some grants to recipients not authorized by statute. By ensuring that all Rural Alaska Village grants are awarded only to recipients authorized by statute, USDA will have assurance that it is complying with the law. If USDA wants to award Rural Alaska Village grants to municipalities and Alaska Native villages, it should seek authority to do so as it did to award these grants to the Alaska Native Tribal Health Consortium. Also, until USDA amends the Rural Alaska Village Grant program regulations to be consistent with USDA\u2019s authority, the agency\u2019s regulations will continue to recognize recipients not authorized by statute.", "The five agencies that participate in the national tribal infrastructure task force have committed to working together at the national and regional levels to increase tribes\u2019 access to safe drinking water and basic sanitation. In our previous work, we have found that achieving important national outcomes, such as providing access to safe drinking water and wastewater disposal, often requires collaborative efforts by a number of programs across the federal government. At the national level, the task force has not acted on most of the options it previously identified to improve member agencies\u2019 collaboration. By reviewing the 2011 task force report and identifying and implementing additional actions to help increase their collaboration, the task force member agencies could improve their ability to leverage limited program funds. At the regional level, we found that the task force member agencies had not fulfilled their commitment to collaborate in all of the six states we reviewed. Responses to our survey also indicated that there is unrealized potential for the task force member agencies\u2019 regional offices to increase the extent of their collaboration. By directing their regional offices to identify and pursue additional mechanisms to increase their collaboration, the task force member agencies would have better assurance that their regional offices are leveraging limited program funds and following through on their commitment to collaborate."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making 16 recommendations\u2014two to IHS to improve information in HITS; one each to IHS and USDA to review their project selection processes; two to USDA to address issues with its Rural Alaska Village Grant program; and two each to IHS, USDA, EPA, HUD, and Reclamation to increase collaboration at the national and regional levels.", "The Director of IHS should implement a targeted, resource-efficient method to identify additional eligible Indian homes that may have existing deficiencies to include in HITS. (Recommendation 1)", "The Director of IHS should implement a mechanism to indicate in HITS whether each home with a deficiency level of 0 has been assessed. (Recommendation 2)", "The Director of IHS should reassess the point distribution across the SDS scoring factors as part of its program guidelines update, in light of trade-offs between funding projects that address the most severe sanitation deficiencies and projects that meet other needs. (Recommendation 3)", "The Assistant to the Secretary of Agriculture for Rural Development should implement a scoring factor that awards points for proposed Native American program grant projects that address health risks from a lack of access to safe drinking water and wastewater disposal, as it does with the Colonias grant program. (Recommendation 4)", "The Assistant to the Secretary of Agriculture for Rural Development should ensure that all Rural Alaska Village grants are awarded only to recipients authorized by law or seek authority to award grants to municipalities and Alaska Native villages. (Recommendation 5)", "The Assistant to the Secretary of Agriculture for Rural Development should amend the Rural Alaska Village Grant program regulations so that they are consistent with USDA\u2019s authority. (Recommendation 6)", "The Director of IHS, in cooperation with other members of the tribal infrastructure task force, should review the 2011 task force report and identify and implement additional actions to help increase the task force\u2019s collaboration at the national level. (Recommendation 7)", "The Administrator of EPA, in cooperation with other members of the tribal infrastructure task force, should review the 2011 task force report and identify and implement additional actions to help increase the task force\u2019s collaboration at the national level. (Recommendation 8)", "The Assistant to the Secretary of Agriculture for Rural Development, in cooperation with other members of the tribal infrastructure task force, should review the 2011 task force report and identify and implement additional actions to help increase the task force\u2019s collaboration at the national level. (Recommendation 9)", "The Deputy Assistant Secretary of the Department of Housing and Urban Development\u2019s Office of Native American Programs, in cooperation with other members of the tribal infrastructure task force, should review the 2011 task force report and identify and implement additional actions to help increase the task force\u2019s collaboration at the national level. (Recommendation 10)", "The Commissioner of Reclamation, in cooperation with other members of the tribal infrastructure task force, should review the 2011 task force report and identify and implement additional actions to help increase the task force\u2019s collaboration at the national level. (Recommendation 11)", "The Director of IHS, in cooperation with other members of the tribal infrastructure task force, should direct IHS area offices to identify and pursue additional mechanisms to increase their collaboration. (Recommendation 12)", "The Assistant to the Secretary of Agriculture for Rural Development, in cooperation with other members of the tribal infrastructure task force, should direct USDA state offices to identify and pursue additional mechanisms to increase their collaboration. (Recommendation 13)", "The Administrator of EPA, in cooperation with other members of the tribal infrastructure task force, should direct EPA regional offices to identify and pursue additional mechanisms to increase their collaboration. (Recommendation 14)", "The Deputy Assistant Secretary of the Department of Housing and Urban Development\u2019s Office of Native American Programs, in cooperation with other members of the tribal infrastructure task force, should direct HUD regional offices to identify and pursue additional mechanisms to increase their collaboration. (Recommendation 15)", "The Commissioner of Reclamation, in cooperation with other members of the tribal infrastructure task force, should direct Reclamation regional offices to identify and pursue additional mechanisms to increase their collaboration. (Recommendation 16)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Department of Health and Human Services (for IHS), HUD, the Department of the Interior (for Reclamation), EPA, USDA, the Department of Defense (for the Corps), and the Department of Commerce (for EDA). Of the five agencies to which we directed recommendations, three\u2014 Health and Human Services, HUD, and Interior\u2014agreed with the recommendations directed to them. The fourth agency, EPA, agreed with one of the recommendations and agreed with the intent of the second recommendation but proposed revised language, as discussed below. The Acting Director of Grants Evaluation for HUD\u2019s Office of Native American Programs provided comments by e-mail, and Health and Human Services, Interior, and EPA provided written comments that are reproduced in appendixes V, VI, and VII, respectively. The fifth agency to which we directed recommendations, USDA, disagreed with the two recommendations regarding the Rural Alaska Village Grant program and neither agreed nor disagreed with the other three recommendations directed to it, although the agency proposed alternative language for two of these recommendations in its written comments, reproduced in appendix VIII. Of the two agencies to which we did not direct recommendations, Defense provided a letter, reproduced in appendix IX, in which it indicated the agency had no comments on the report, and Commerce\u2019s Audit Liaison stated in an e-mail that Commerce would not send a formal comment letter. In addition, Health and Human Services, USDA, and EDA (for Commerce) provided technical comments, which we incorporated in the report as appropriate.", "In its written comments, EPA requested that we revise the language of the recommendation that the members of the tribal infrastructure task force direct their regional, state, or area offices to identify and pursue additional mechanisms to increase their collaboration. EPA stated that it agreed with the intent of the recommendation but that it was concerned that, as worded, the recommendation may not achieve the intended goal. Instead, EPA stated that it can accomplish increased regional collaboration through multiple avenues and as such, provided revised language that would remove reference to its regional offices taking the recommended action. We encourage EPA to take advantage of increasing regional collaboration through all avenues it sees fit. However, because EPA\u2019s regional offices are the entities that collaborate with other agencies in the various regions, we continue to believe it is important for these offices to participate in identifying and implementing the means for increasing collaboration in their respective regions. As a result, we did not modify the recommendation language in response to EPA\u2019s comment.", "In its written comments, USDA stated it disagreed with our statements concerning the Rural Alaska Village Grant program and asked that we remove the two corresponding recommendations from our report. Specifically, USDA stated that our recommendations are unnecessary because the agency is operating within its authorities. USDA stated that it believes providing grants directly to parties other than the state\u2014 including Alaska Native villages and municipalities\u2014under the 2011 memorandum of agreement is consistent with the purpose of section 306D of the Consolidated Farm and Rural Development Act and appropriations made for the program. As we state in the report, we agree that the State of Alaska can choose to make subgrants once it receives the Rural Alaska Village grant. We also state in the report that we did not see any evidence of grants being used for other than their intended purposes during the course of our review. However, the language of section 306D only authorizes USDA to award grants to the State of Alaska and not directly to other entities. Therefore, we believe that our recommendations are necessary. If USDA wants to make Rural Alaska Village grants to municipalities and Alaska Native villages, it should seek authority to do so as it did to award such grants to the Alaska Native Tribal Health Consortium.", "Regarding our fourth recommendation that USDA implement a scoring factor that awards points for proposed Native American program projects that address health risks, USDA stated that it would like clarification as to what form of scoring factor would be acceptable to address this recommendation. USDA stated that it would prefer to use its discretionary points under the program\u2019s existing regulations to award additional points to give a higher priority to projects that address a lack of access to safe drinking water and wastewater disposal, and that the agency could implement this change at the start of fiscal year 2019 or sooner. In contrast, USDA stated that changing the program\u2019s regulations to implement the scoring factor could take 18 months or longer. USDA also stated that this approach would only have a programmatic effect in fiscal years when demand for Native American program grant funds exceeds the available funding. Our intent for the recommendation as written is to provide USDA with the flexibility to best determine how to implement it. If USDA has determined that using its discretionary points under the program\u2019s existing regulations gives greater priority to addressing health risks faced by Native American communities, and that such an approach is consistent with applicable law, such an approach could meet the intent of our recommendation.", "USDA also requested in its written comments that we modify the language of the ninth recommendation aimed at increasing collaboration at the national level by removing reference to increasing national collaboration and that we modify the thirteenth recommendation aimed at increasing regional collaboration by removing reference to the agency\u2019s state offices and regional level collaboration. USDA did not provide a clear rationale for its requested change for either recommendation. We continue to believe that implementing these recommendations, as worded, would help improve collaboration at the national and regional levels. Therefore, we did not modify the language in response to USDA\u2019s comments.", "In several places in its written comments, USDA stated that our draft either omitted information or contained inaccurate information and requested that we make modifications. Specifically, USDA stated that we omitted statutory language for the Native American program in a few places in the report. In response, we added additional language from and about the Native American program\u2019s authorizing statute in several places. USDA also stated the report is missing information about the scope of some of its programs, including its Technical Assistance and Training program. In response, we added more information about this program, including obligations made to non-profit organizations that work on behalf of tribes. Further, USDA stated that we did not accurately characterize certain activities that USDA conducts under some of its programs, including identifying tribal needs and conducting operations and maintenance. In response, we modified language to reflect additional information about how USDA identifies tribal needs and to indicate that the Native American program is not authorized to fund operations and maintenance. Regarding the Rural Alaska Village Grant program, USDA stated that we did not accurately represent information shared by a USDA official and information about the number of grants made to the Consortium. We revised language attributed to the official and clarified information about the number of grants awarded based on additional information that USDA provided by e-mail after submitting its written comments.", "In other cases where USDA requested revisions to the draft in its written comments, we did not make suggested changes because they did not align with the scope of our review. Specifically, in addition to its Technical Assistance and Training program, USDA asked that we add information about tribal obligations under its Solid Waste Management program. Since federal agency efforts to fund solid waste management projects are outside the scope of this review, we did not make this revision. In addition, USDA requested that we limit our discussion of Rural Alaska Village Grant awards to fiscal year 2011 and forward. We did not make this change because USDA\u2019s grants to municipalities and Native villages prior to 2011 are directly relevant to our findings and are within the scope of this review. Finally, USDA asked that we edit our description of the findings of a 2010 report to Congress by citing a different report instead. We did not make this change because the original report contained relevant information for our findings.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Agriculture, the Secretary of Commerce, the Secretary of Defense, the Secretary of Health and Human Services, the Secretary of Housing and Urban Development, the Secretary of the Interior, the Administrator of the Environmental Protection Agency, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Anne-Marie Fennell at (202) 512-3841 or fennella@gao.gov or J. Alfredo G\u00f3mez at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to examine the extent to which the seven federal agencies, as applicable, (1) identified Indian tribes\u2019 drinking water and wastewater infrastructure needs; (2) funded tribal drinking water and wastewater infrastructure projects, including projects to address the most severe sanitation deficiencies; and (3) collaborated to meet Indian tribes\u2019 drinking water and wastewater infrastructure needs.", "To address these objectives, we reviewed our previous reports, other agency reports, and agency obligations to identify the federal agencies that provide financial or other assistance to Indian tribes for drinking water and wastewater infrastructure. We identified seven agencies, as shown in table 4. We identified the Indian Health Service (IHS), Environmental Protection Agency (EPA), and U.S. Department of Agriculture (USDA) as federal agencies that have drinking water and wastewater infrastructure programs specifically targeted to provide financial assistance for planning and construction to address Indian tribes\u2019 needs. According to IHS documentation, such needs arise from a sanitation deficiency in existing drinking water or wastewater infrastructure (or lack thereof) that can negatively affect public health. In addition, the Department of Housing and Urban Development (HUD), the Department of the Interior\u2019s Bureau of Reclamation, the Department of Commerce\u2019s Economic Development Administration (EDA), and the U.S. Army Corps of Engineers administer programs that may assist tribes with drinking water and wastewater infrastructure planning and construction. The types of assistance these agencies provide vary by program, and each program has its own eligibility requirements and authorities.", "To determine the extent to which these federal agencies identified Indian tribes\u2019 drinking water and wastewater infrastructure needs, we identified requirements for IHS and EPA to collect and report information on needs, but we did not identify such requirements for the other agencies. We reviewed IHS\u2019s project-level tribal drinking water and wastewater infrastructure needs data from the Sanitation Deficiency System (SDS) for fiscal year 2016, the most recent year of data available at the time of our review. The SDS contains information about proposed drinking water and wastewater infrastructure projects, including each project\u2019s estimated cost. IHS policy directs area staff to invite all federally recognized tribes to identify potential projects each year. Area staff then work with interested tribes to develop projects and enter project information into standard fields in the SDS. As of the end of fiscal year 2016, the SDS included more than 2,000 projects for 373 tribes. We also reviewed IHS\u2019s most recent reports describing tribal drinking water and wastewater needs. In addition, we reviewed information about tribal public drinking water systems reported in EPA\u2019s 2013 Drinking Water Infrastructure Needs Survey and Assessment report. EPA assesses and reports on the nation\u2019s public water systems\u2019 capital improvement needs every 4 years, including needs of tribally owned or operated drinking water systems. For its 2013 report, EPA assessed tribal water system needs by administering a survey to a statistical sample of 306 tribal water systems out of 956 identified tribal public drinking water systems.", "We assessed the reliability of SDS project-level needs data and information from EPA\u2019s 2013 Drinking Water Infrastructure Needs Survey and Assessment report by reviewing our previous related work regarding the use of these data and documentation from IHS and EPA. We also interviewed IHS and EPA officials involved with identifying tribal water needs from headquarters and all 12 IHS areas and 9 EPA regions that administered the drinking water and clean water set-aside programs, discussing the data and any of its limitations. We tested the data for accuracy and completeness by identifying any duplicate, missing, or invalid records and cross-referencing with relevant datasets. We determined that IHS\u2019s SDS project-level needs data and information from EPA\u2019s 2013 report were sufficiently reliable to provide descriptive information on tribes\u2019 needs for drinking water and wastewater infrastructure projects for this report.", "Further, we reviewed documentation on the Home Inventory Tracking System (HITS)\u2014IHS\u2019s database containing home-specific information that the agency also uses in administering the Sanitation Facilities Construction program. The information in HITS includes each home\u2019s geographic location and individual sanitation deficiency, and IHS officials said in February 2018 that the system contained a total of 405,986 homes. We also interviewed IHS headquarters and area officials about this system\u2019s contents, uses, and limitations, and we compared this information to the agency\u2019s implementation plan and other documentation for HITS. We identified issues with the information contained in the system related to its completeness (whether it contains the correct number of homes in light of its purpose) and related to the accuracy of homes identified as having no deficiency, as we discuss in the report. These issues were sufficient for us to determine that the number of homes in the system was incomplete and that deficiency level information was not accurate for all homes in the system. As a result, we did not assess the reliability of other information in HITS that was not relevant to our review. We also interviewed officials from the other five agencies regarding any efforts to collect information on tribal drinking water and wastewater infrastructure needs.", "To determine the extent to which the agencies funded tribal drinking water and wastewater infrastructure projects, we analyzed data from the seven agencies administering programs that provide assistance to tribes for drinking water and wastewater infrastructure\u2014IHS, EPA, USDA, HUD, Reclamation, EDA, and Corps. Specifically, we obtained and analyzed obligations data for drinking water and wastewater projects under programs that are specifically for or available to tribes. Generally, we reviewed each agency\u2019s obligations data for fiscal years 2012 through 2016, the most recent 5 years of data available at the time of our review. Corps provided us with information on obligations for projects that involved tribal drinking water or wastewater infrastructure, but none of these obligations were in fiscal years 2012 through 2016. We assessed the reliability of the other agencies\u2019 data by reviewing our previous related work regarding the use of these data and any available documentation from each agency; interviewing knowledgeable agency officials involved with collecting or analyzing these data; and testing data for accuracy and completeness by identifying any duplicate, missing, or invalid records. We present more details about each agency\u2019s data, any limitations, and how we addressed those limitations below. On the basis of these efforts, we determined that the data obtained from these agencies were sufficiently reliable for our descriptive purposes unless otherwise noted below.", "IHS. IHS provided us with project-level obligations data from fiscal years 2012 through 2016 for tribal drinking water and wastewater infrastructure projects from its Project Data System. In reviewing these data, we found data reliability issues that posed challenges to accurately reporting IHS\u2019s project obligations separate from other agencies\u2019 contributions to projects, which IHS also tracks in the system. We determined that the project-level obligations data from the Project Data System were not sufficiently reliable for the purposes of this objective. However, we determined that using IHS\u2019s information on allocations to areas for the same time frame would introduce fewer limitations to our reporting. IHS provided us with information from fiscal years 2012 through 2016 on allocations to each of its 12 areas by Sanitation Facilities Program activity (i.e., sanitation deficiencies, new housing, and emergency and special projects). IHS officials stated that the IHS Director of the Division of Sanitation Facilities Construction determines the area allocations amounts annually, and that IHS obligated all of its area allocations each fiscal year. IHS did not separate the area allocations information by drinking water, wastewater, or solid waste projects; therefore, we report total obligations with solid waste projects included.", "EPA. EPA provided us with project-level obligations data from fiscal years 2012 through 2016 from each of its three tribal-specific programs listed in table 4. EPA uses its Tribal Direct Implementation Nexus system to track project obligations for the Clean Water Indian Set-Aside and Drinking Water Infrastructure Grants Tribal Set-Aside programs, but the agency relies on the State of Alaska to provide similar project-level information for its Alaska Native Villages and Rural Community Water Grant program. In reviewing EPA\u2019s data, we found several duplicate project records. We confirmed the issue with EPA officials and deleted those duplicate records to accurately aggregate EPA\u2019s obligations by fiscal year for our report.", "USDA. USDA provided us with grant and loan obligations data from fiscal years 2012 through 2016 for all of its programs specifically for or available to tribes from its Community Program Application Processing system. First, we removed solid waste and landfill projects that were indicated as such in the project name. To determine the project obligations for programs specifically for tribes, we included all obligations from USDA\u2019s Native American and Rural Alaska Village Grant programs. USDA also awarded grants and loans to tribes or non-profit organizations working on behalf of tribes from non-tribal specific programs such as from its Water and Waste Disposal program as well as the Section 306C Colonias, Emergency Community Water Assistance Grant, Predevelopment Planning Grants, Special Evaluation Assistance for Rural Communities and Households, and Technical Assistance and Training programs. To determine the project obligations for those programs, we included projects that had an applicant or customer type as a tribe or tribal entity (e.g., an organization working on behalf of a tribe or tribes such as tribal health consortia or tribal utility authorities) and projects that served a population of at least 50 percent tribal users. For these awards, we included the full amount of the award regardless of the percent of tribal users served.", "HUD. HUD provided us with project-level obligations data from fiscal years 2012 through 2016 for its Indian Community Development Block Grant program from its Performance Tracking Database. We worked with HUD officials to identify projects that included drinking water and wastewater infrastructure and to identify the amount of the obligations used for those purposes to determine HUD\u2019s overall fiscal year project obligations for tribal water infrastructure.", "Reclamation. Reclamation provided us with project-level obligations data from fiscal years 2012 through 2016 for the tribal portions of authorized water system projects, including projects authorized by enacted Indian water rights settlements. For the Indian water rights settlement project obligations, Reclamation provided both mandatory and discretionary amounts. We included both rural water system projects and Indian water rights settlements projects in reporting Reclamation\u2019s overall fiscal year obligations.", "EDA. EDA provided us with project-level obligations data from fiscal years 2012 through 2016 for tribal projects funded by its Public Works, Economic Adjustment Assistance, and Planning programs from its Operations Planning and Control System. To determine whether the EDA projects included drinking water or wastewater infrastructure, we reviewed each project\u2019s description or scope of work for mention of a drinking water or wastewater infrastructure component. If we determined that the project included water infrastructure, we included the entire project\u2019s obligation amount for each fiscal year we report.", "In addition, to determine the extent to which agencies\u2019 funding addressed the most severe sanitation deficiencies, we identified programs that have documented goals in regulation and policy to fund projects that meet these needs, which the programs identify as the absence of safe drinking water or wastewater disposal facilities. These selected programs included IHS\u2019s Sanitation Facilities Construction program, EPA\u2019s clean water set- aside program, and USDA\u2019s Native American program. For these programs, we compared the number of funded projects to address the most severe sanitation deficiencies with the number of funded projects that met other needs for fiscal year 2016. Specifically, for IHS and EPA, we calculated the percentage of projects for each deficiency level that the agencies and other entities selected to fund from the fiscal year 2016 SDS list. For USDA, we reviewed the list of Native American program project obligations in fiscal year 2016 and determined the number of projects where USDA reported the purpose as new, replacement, renovation, or expansion. We also reviewed documentation of the agencies\u2019 project identification and selection methods to determine whether these methods aligned with stated goals. We interviewed IHS and EPA officials from headquarters and all area and regional offices that administer these programs, and USDA officials from headquarters and six state-level offices (see below for state selection information), regarding their administration of these programs. Additionally, we analyzed IHS\u2019s data from the SDS from fiscal years 2005 through 2016 to identify projects that remained unfunded and that were in the SDS for more than 5 years. We did not review the extent to which EPA\u2019s drinking water set- aside program addressed the most severe sanitation deficiencies because EPA regions implement the program using a variety of different processes.", "During the course of evaluating the extent to which federal agencies have provided funding for tribal drinking water and wastewater infrastructure projects, we identified issues with USDA\u2019s Rural Alaska Village Grant program. We reviewed obligations data in light of the program\u2019s authorizing statute, implementing regulations, and relevant provisions in USDA appropriations acts. USDA provided us with the Rural Alaska Village Grant program\u2019s award amounts for fiscal years 1997 through 2016, and we determined whether the grant recipients were eligible or ineligible at the time of the award. We interviewed agency officials who manage the program and from USDA\u2019s Office of the General Counsel.", "To determine the extent to which the federal agencies collaborated to meet tribal water needs, we reviewed documentation of national-level collaboration, including federal program and interagency documents, such as national-level memorandums of understanding and interagency agreements. We interviewed headquarters officials from the seven agencies about their interagency collaboration. We compared the agencies\u2019 actions to the key features of interagency collaboration that we have previously identified. We reviewed agencies\u2019 collaboration at the regional level by surveying the seven agencies about their joint actions on activities related to tribal drinking water and wastewater in six states\u2014 Alaska, Arizona, California, New York, Oklahoma, and South Dakota\u2014 and by conducting a network analysis using the survey responses. We selected agency regional offices within these six states as the unit of analysis because the federal agencies organize their field structures differently, with some using region, district, area, or state offices to work with tribes\u2014we refer to all of these office types as regional offices. We selected the nonprobability sample of six states to include a large percentage of the number of federally recognized tribes, to obtain a range in the total federal obligations to tribes and identified needs of tribes in the SDS, and for geographic diversity. The sample of states is not generalizable, and the results of our work do not apply to all states where Indian tribes are located. However, reviewing federal agency collaboration in these states provides illustrative examples of interagency collaboration within the six selected states, which include about 70 percent of the 573 federally recognized tribes. We compared the agencies\u2019 reported collaboration with a national-level memorandum of understanding that contained commitments for collaborating at the regional level. For a detailed description of our survey methodology and the analysis of our results, see appendix II.", "We also interviewed federal agency and State of Alaska officials to discuss the extent to which their drinking water and wastewater assistance programs collaborate with other agencies to meet tribal needs in the six selected states. We interviewed, either in person or by telephone, officials from the eight IHS areas, five EPA regions, and six USDA state offices that work with tribes and other agencies in the six states. We conducted site visits from February through April 2017 to three of the six states\u2014Alaska, Arizona, and Oklahoma. During these visits, we met with tribal officials and staff and federal agency officials, and we visited tribal water infrastructure project sites. We selected these states for site visits based on geographic diversity and to obtain a range in the amount of tribal water infrastructure needs identified in the SDS. We met with or interviewed by telephone officials from 22 Indian tribes and representatives from 8 intertribal organizations that represent and work with tribes on water infrastructure issues to obtain their views about the water and wastewater infrastructure assistance that they receive from federal agencies. We judgmentally selected these tribes and organizations to obtain a range in their geographic locations and the amount and variety of federal drinking water and wastewater infrastructure assistance they have received. Our findings are not generalizable to all tribes but provide illustrative examples of input provided by tribal officials.", "We conducted this performance audit from August 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Survey of Federal Agency Collaboration on Tribal Water Infrastructure Projects in Six Selected States", "paragraphs": ["This appendix describes how we selected the sample and administered the survey, designed the survey questionnaire, and conducted the network analysis for our survey on interagency collaboration regarding tribal drinking water and wastewater infrastructure projects."], "subsections": [{"section_title": "Sample Selection and Survey Administration", "paragraphs": ["To determine the extent to which the selected federal agencies have collaborated to meet tribal water needs, we surveyed officials at seven federal agencies: Indian Health Service (IHS), Environmental Protection Agency (EPA), U.S. Department of Agriculture (USDA), Department of Housing and Urban Development (HUD), Economic Development Administration (EDA), Bureau of Reclamation, and the U.S. Army Corps of Engineers. Specifically, we surveyed agency officials in six states: Alaska, Arizona, California, New York, Oklahoma, and South Dakota. Appendix I describes how we selected these agencies and states. The results of this survey are not generalizable beyond these agencies in these states.", "We reviewed maps of each agency\u2019s regional or state offices and identified and confirmed the offices that work with tribes and other agencies in the six selected states. If one state included multiple regions from the same agency, we administered the survey to officials in all relevant regional offices. In addition, if one agency\u2019s region covered more than one of the selected states, we administered a survey to the agency\u2019s regional office for each state. The federal agencies and regional offices we included in our survey were:", "Corps divisions: Great Lakes & Ohio River, Northwestern, Pacific Ocean, South Pacific, Southwestern;", "EDA regions: Austin, Denver, Philadelphia, Seattle;", "EPA regions: 2, 6, 8, 9, 10 (Alaska Operations Office);", "HUD regions: Alaska, Eastern Woodlands, Northern Plains, Southern IHS areas: Alaska, California, Great Plains, Nashville, Navajo, Oklahoma City, Phoenix, Tucson;", "Reclamation regions: Great Plains, Lower Colorado, Mid-Pacific; and", "USDA state offices: Alaska, Arizona, California, New York, Oklahoma, South Dakota.", "In Alaska, we also included the Alaska Department of Environmental Conservation as a respondent because the state provides a 25 percent match for two federal water infrastructure programs. We did not include other state agencies because they do not provide a similar match. We also included the Alaska Native Tribal Health Consortium because it administers IHS\u2019s Sanitation Facilities Construction program in Alaska.", "The practical difficulties of conducting any survey may introduce errors, commonly referred to as non-sampling errors. For example, respondents may have difficulty interpreting a question, they may have limited information to respond to a question, or officials from different agencies may have different recollections regarding the extent of collaboration on a particular project. We sought to minimize the impact of non-sampling error by conducting six pretests of the draft questionnaire with agency officials; five pretests were conducted by telephone and one pretest was conducted in person. We selected officials to cover a range of agencies and locations. During these pretests, we sought to determine whether (1) the questions were clear and unambiguous, (2) terminology was used correctly, (3) the questionnaire did not place an undue burden on agency officials, (4) the information could feasibly be obtained, and (5) the survey was comprehensive and unbiased. We modified the questionnaire in response to these pretests. To further minimize the impact of non- sampling error, we conducted a sensitivity analysis.", "We customized the questionnaire for each agency regional office so that we asked each office to respond about its collaboration only with the other agencies located in its state. We e-mailed these questionnaires to 46 respondents from May 15 through May 17, 2017, and conducted follow-up as necessary. We received a 100 percent response rate."], "subsections": []}, {"section_title": "Survey Questionnaire Design", "paragraphs": ["In the survey, we asked each agency regional office whether it had jointly conducted activities related to tribal drinking water or wastewater projects during the past 3 years with each of the other agencies\u2019 regional offices within the same state. If an agency regional office responded \u201cyes,\u201d we then provided a list of tribal drinking water and wastewater activities and asked the agency regional office if it had jointly conducted any of the listed activities related to tribal drinking water and wastewater infrastructure projects in collaboration with the other agency. The activities included: identifying infrastructure needs, communicating information to tribes about programs that fund projects, planning and designing proposed projects, evaluating proposed projects according to eligibility and scoring criteria, selecting projects to fund, constructing projects, providing technical assistance for operating and maintaining water infrastructure, and negotiating or implementing Indian water rights settlements. We developed the list of activities based on our initial interviews and pretests with agency officials.", "We next provided a list of collaborative mechanisms. For each of these collaborative mechanisms, we asked the agency regional office if it had used the mechanism when jointly conducting activities in collaboration with the other agency related to tribal drinking water and wastewater infrastructure projects within the same state during the past 3 years. The mechanisms included: state-, regional-, or project-level memorandum of understanding or agreement; interagency agreement to transfer funding; working group, task force, or committee; consulting on project selection; sharing project documents; geographic co-location; shared database or other data sharing; conferences or forums; informal or ad hoc communication; and personnel detailing or sharing. If the agency regional office responded that it had not used one of the listed mechanisms, we asked if it would be beneficial to use that mechanism to collaborate in the future. We identified the list of mechanisms based on our prior work on interagency collaboration and pretests with agency officials. We also asked the agency regional office what factors, if any, helped it to collaborate with the other agency on tribal drinking water and wastewater infrastructure projects in the state and what factors, if any, hindered it from collaborating with the other agency. For both questions, we asked the agency regional office to consider agency policies and procedures, available resources, leadership, personalities, presence of written agreements, and accountability measures.", "If an agency regional office responded \u201cno\u201d to the initial question of whether it had jointly conducted activities related to tribal drinking water or wastewater projects during the past 3 years with another agency\u2019s regional office, we asked a shorter set of follow-up questions. We provided the list of collaborative mechanisms and asked if it would be beneficial for the agency regional office to use any of the listed mechanisms to collaborate with the other agency on activities related to tribal drinking water and wastewater infrastructure projects in the future in the state. We also asked the agency regional office to describe the factors, if any, that hindered its collaboration with the other agency."], "subsections": []}, {"section_title": "Network Analysis", "paragraphs": ["To quantify the extent of interagency collaboration during the past 3 years and the potential for future collaboration among the federal agencies we surveyed, we conducted a Network Analysis\u2014a method of analyzing the patterns of interaction among multiple entities. Specifically, we aggregated the survey responses to our questions about drinking water and wastewater activities and collaborative mechanisms for each pair of agencies in all six states. We configured these aggregated data into networks representing the pattern of collaboration among the agencies. We then analyzed these networks to determine how extensively the agencies have collaborated and the extent to which additional future collaboration could be beneficial for them. We also analyzed these networks to assess how the pattern of collaboration varied by state. We describe the steps of our analysis and agency survey responses below."], "subsections": [{"section_title": "Quantifying Collaboration between Pairs of Federal Agencies", "paragraphs": ["To quantify the extent of collaboration among the federal agencies across the six states during the past 3 years, we aggregated the responses to our survey by agency pair. The seven federal agencies form 21 possible agency pairs. For each agency pair, we combined the first agency\u2019s responses regarding its collaboration with the second agency and the second agency\u2019s responses regarding its collaboration with the first agency. We aggregated the agency pair responses in this way for each of the three measures of collaboration for all six states, specifically:", "Drinking water and wastewater activities. We calculated the total number of instances in which each agency in a pair reported having worked on an activity with the other agency in that pair during the past 3 years (see column 2 in table 5). We examined this measure to identify the pairs of agencies that collaborated most and least extensively. For example, IHS and EPA reported the highest number of instances of jointly conducting tribal drinking water and wastewater activities across the six states. In contrast, EDA and IHS reported no such instances of collaboration.", "Use of collaborative mechanisms. We calculated the total number of instances in which each agency in a pair reported having used a mechanism to collaborate with the other agency in that pair during the past 3 years (see column 3 in table 5). We examined this measure to identify the pairs of agencies that collaborated most and least extensively. The pattern of collaboration based on this measure is similar to the pattern based on drinking water and wastewater activities. For example, IHS and EPA also reported the highest number of instances of using specific collaborative mechanisms across the six states.", "Potential future collaboration. We calculated the total number of instances in which each agency in a pair reported that it would be beneficial to use a mechanism to collaborate with the other agency in that pair in the future (see column 4 in table 5). We compared this measure to the number of mechanisms the agency pairs reported having used during the past 3 years. Each of the agency pairs reported that it would be beneficial to use additional collaborative mechanisms in the future, including those pairs that had reported not collaborating. For example, the agency pairs of EDA-IHS and EDA- Reclamation both reported no instances of using a mechanism to collaborate with each other and both reported multiple instances in which use of a collaborative mechanism would be beneficial in the future."], "subsections": []}, {"section_title": "Quantifying the Potential for Increased Collaboration", "paragraphs": ["To quantify the potential to increase collaboration among the federal agencies, we configured the agency pair data into two networks. The first network represented recent collaboration among the agencies\u2014the instances in which agencies reported having used a mechanism to collaborate during the past 3 years (based on column 3 in table 5). The second network represented potential future collaboration among the agencies (based on the sum of columns 3 and 4 in table 5). As such, it captures the instances in which agencies reported having used a mechanism to collaborate during the past 3 years plus the instances in which they reported it would be beneficial to use an additional mechanism in the future.", "Figure 3 shows a graphical illustration of these two networks. In this figure, the circles represent agencies and the lines represent collaboration between the agencies. Specifically, the darkness of the lines indicates the number of mechanisms used by the corresponding pair of agencies. The left side of figure 3 illustrates reported use of collaborative mechanisms during the past 3 years, and the right side of figure 3 illustrates potential future collaboration. The figure shows that overall collaboration would increase if the agencies began using the additional mechanisms that they reported would be beneficial.", "We quantified the difference between these networks in two ways. First, we calculated the increase in overall collaboration that would occur if agencies began using the additional mechanisms that they reported would be beneficial. Based on this calculation, the number of instances of agencies using collaborative mechanisms would approximately triple. Specifically, agencies reported 403 instances of having used a specific mechanism to collaborate with another agency\u2014this number would increase to 1,249 if agencies began using all of the identified mechanisms that they reported would be beneficial. This difference is shown in figure 3, in which the right side of the figure (potential future collaboration) has a greater number of darker lines connecting the agencies compared with the left side of the figure (recent collaboration).", "Second, we measured how the relative amount of collaboration for each agency would change if the agencies began using additional mechanisms they reported would be beneficial. To do this, we aggregated the agency pair data for each of the agencies. For the network of recent collaboration, for example, we added (1) the number of instances that each agency reported using a collaborative mechanism with any of the other agencies and (2) the number of instances that any of the other agencies reported using a collaborative mechanism with the first agency. We performed a similar calculation using the agency pair data for the network of potential future collaboration. The analysis shows that the use of collaborative mechanisms during the past 3 years was primarily centered on three agencies (IHS, EPA, and USDA). If all of the agencies began using the additional mechanisms that they reported would be beneficial, however, collaboration would be distributed more evenly across the entire network of agencies. This difference is also shown in figure 3, in which agencies such as HUD, Reclamation, and Corps are connected to other agencies with dashed lines on the left side of the figure (representing less extensive recent collaboration), but with thick lines on the right side of the figure (representing more extensive potential future collaboration)."], "subsections": []}, {"section_title": "Quantifying the Variation in Collaboration by State", "paragraphs": ["To quantify the extent of variation in collaboration by state, we disaggregated the agency pair data reported in table 5 by each of the states for the three measures of collaboration we asked about in our survey. In particular, tables 6, 7, and 8 show the number of instances in which an agency reported collaborating on drinking water and wastewater infrastructure activities with another agency during the past 3 years (table 6), using collaborative mechanisms with another agency during the past 3 years (table 7), and collaborative mechanisms that would be beneficial to use with another agency in the future (table 8). The totals in the bottom rows of these tables show the extent of collaboration based on these measures by state. Specifically, tables 6 and 7 show that agencies worked together on activities and used collaborative mechanisms most extensively in Alaska and least extensively in New York and Oklahoma. Table 8 shows that agencies in New York and Oklahoma reported the greatest potential for using additional collaborative mechanisms. The totals in the far right columns of these tables show the extent of reported collaboration by activity (table 6), collaborative mechanism (table 7), and the extent of potential future collaboration by collaborative mechanism (table 8)."], "subsections": []}]}]}, {"section_title": "Appendix III: Federal Agency Obligations for Tribal Drinking Water and Wastewater Infrastructure Projects, Fiscal Years 2012 through 2016", "paragraphs": ["Appendix III: Federal Agency Obligations for Tribal Drinking Water and Wastewater Infrastructure Projects, Fiscal Years 2012 through 2016 According to Environmental Protection Agency officials, obligations listed may not match annual appropriations because the agency may have de-obligated and re-obligated any unexpended obligations to other projects. We determined that the U.S. Department of Agriculture awarded a grant or loan from its non-tribal specific programs for a tribal drinking water or wastewater infrastructure project if the recipient was a tribe or tribal entity (for example, an organization working on behalf of a tribe or tribes such as tribal health consortia or tribal utility authorities) and if the project was to serve a population of at least 50 percent American Indian or Alaska Native. The Economic Development Administration obligated approximately $34,000 for one project in fiscal year 2012, which is not reflected in the table due to rounding. We determined that the Economic Development Administration awarded a grant for a tribal drinking water or wastewater infrastructure project if the project\u2019s description or scope of work mentioned a drinking water or wastewater infrastructure component. Obligations are combined from three programs: Public Works, Economic Adjustment Assistance, and Planning."], "subsections": []}, {"section_title": "Appendix IV: Examples of Tribal Water Infrastructure Projects We Visited", "paragraphs": ["This appendix contains summaries and photographs of selected tribal drinking water and wastewater infrastructure projects we visited from February through April 2017 in Alaska, Arizona, and Oklahoma."], "subsections": [{"section_title": "Portable Alternative Sanitation System Pilot Project, Native Village of Kivalina, Alaska", "paragraphs": ["The Native Village of Kivalina, located on a barrier island above the Arctic Circle, is one of approximately 30 communities in Alaska where residents do not have access to safe drinking water and wastewater disposal facilities in their homes. Kivalina, a community of 469 residents, has a community washeteria with washing machines, dryers, and drinking water available for purchase. Like many Alaska Native villages, the harsh winter climate, limited revenue, and isolation create challenges for installing and operating water infrastructure. Erosion due to diminishing sea ice and other factors threaten Kivalina, and the community is considering relocation. As such, infrastructure improvements are limited to small projects consisting of moveable, low-water use infrastructure to provide interim sanitation improvements. In 2015, the Alaska Native Tribal Health Consortium installed a pilot sanitation system in nine homes. This system is called the Portable Alternative Sanitation System and consists of a bathroom sink, rainwater catchment, in-home water treatment, and a separating toilet, where liquid waste is collected separate from solid waste. According to a Consortium report, the system is a low-cost alternative to traditional piped infrastructure. The total cost was $633,000 to design, install, and monitor the system, with the Indian Health Service (IHS) and the Consortium contributing to the project. The Consortium recommended expanding the pilot system to the rest of Kivalina, and a Consortium official said it is working with IHS to test the system in several homes in three other unserved communities in Alaska."], "subsections": []}, {"section_title": "Village of Shungopavi Sewer Line Q & Dump Stations Construction Project, Hopi Tribe, Arizona", "paragraphs": ["As of 2015, more than 30 percent of the nearly 80 homes in the Hopi Village of Shungopavi did not have adequate wastewater disposal. The Sewer Line Q and Dump Stations construction project included installing a sewer main to connect nine homes to sewer service. Previously, some of these homes had discharged wastewater directly onto the ground, and one had a septic system. The project also involved installing three honeybucket dump stations in the village and connecting them to the existing sewer system so that an additional 19 homes could dispose of raw sewage in an environmentally safe manner. According to IHS officials, solid rock a few feet beneath the surface made it challenging and expensive to lay the sewer pipes. The total estimated cost was $666,000, with the Environmental Protection Agency (EPA), the Village of Shungopavi, and IHS contributing to the project. According to IHS officials, the project is expected to be fully constructed in 2018."], "subsections": []}, {"section_title": "Oaks Wastewater Lagoons Construction Project, Cherokee Nation, Oklahoma", "paragraphs": ["The Cherokee Nation\u2019s Oaks Wastewater Lagoons project serves an estimated 85 Indian-owned homes in the community of Oaks, Oklahoma. The project consisted of constructing three wastewater lagoons and a spray irrigation field. According to a tribal official, because the previous lagoons leaked into the adjacent creek, local residents who used the creek for swimming, fishing, and other traditional purposes were at high risk of coming in contact with lagoon leakage. The total cost of the project was an estimated $1.22 million, and the U.S. Department of Agriculture, EPA, IHS, the Department of Housing and Urban Development, and the Oklahoma Water Resources Board made contributions to the project. The Cherokee Nation completed the project in 2012 under the provisions of its self-governance compact with IHS."], "subsections": []}, {"section_title": "Drinking Water Pump Station Replacement Project, Sasakwa Rural Water District, Seminole Nation of Oklahoma", "paragraphs": ["The Sasakwa Rural Water District is owned and operated by the Seminole Nation of Oklahoma and serves 61 households\u2014about 60 percent of which are Indian homes, according to tribal officials. The Drinking Water Pump Station Replacement project involved drilling new wells and constructing a new pump station and treatment system. IHS constructed the original Sasakwa water treatment plant in 1972. According to an IHS project summary, the problems with the prior system included (1) recurring leaks in the water transmission line and distribution system and (2) deterioration of the pump and treatment building and equipment due to weather, vandalism, and poor water quality. The project cost approximately $700,000, with EPA funding the project. According to tribal officials, the replacement water treatment plant became operational in 2014."], "subsections": []}]}, {"section_title": "Appendix V: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Jeffery D. Malcolm (Assistant Director, in memoriam), Leslie Kaas Pollock (Analyst in Charge), Carolyn S. Blocker, Mark Braza, John Delicath, David Dornisch, Cynthia Grant, Susan Iott, Serena Lo, Elizabeth Luke, Micah McMillan, Jon Melhus, Jeanette Soares, Sara Sullivan, Kiki Theodoropoulos, and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": ["Tens of thousands of American Indians and Alaska Natives do not have safe drinking water or wastewater disposal in their homes, which may negatively affect their health.", "We found that the Indian Health Service (and other federal agencies that fund tribal water projects) spent about $370 million on these projects in 2016. However, they didn't always prioritize projects in areas that lacked safe drinking water or wastewater disposal.", "We recommended that IHS and the Department of Agriculture update their processes to prioritize tribal water infrastructure projects in communities that currently lack safe drinking water and wastewater disposal."]} {"id": "GAO-19-120T", "url": "https://www.gao.gov/products/GAO-19-120T", "title": "Air Force Readiness: Actions Needed to Rebuild Readiness and Prepare for the Future", "published_date": "2018-10-10T00:00:00", "released_date": "2018-10-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The 2018 National Defense Strategy emphasizes that restoring and retaining readiness across the entire spectrum of conflict is critical to success in the emerging security environment. Air Force readiness has steadily declined primarily due to the persistent demand on a fleet that has aged and decreased in size since the 1990s. The Air Force is working to both rebuild the readiness of its forces and modernize its aging fleet to meet future threats. However, according to the Air Force, its readiness goals will take years to achieve as it continues to be challenged to rebuild readiness amid continued operational demands.", "This statement provides information on Air Force (1) readiness and management challenges including personnel, equipment, training, and organization and utilization, and (2) plans to grow and modernize its force in the context of readiness recovery across DOD. Also, GAO summarizes recommendations to address these challenges and actions taken by the Air Force.", "This statement is based on previously published work since 2016 related to Air Force readiness challenges, fighter pilot workforce requirements, weapon sustainment, aviation training, and force structure."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work has highlighted that the Air Force faces management and readiness challenges in four interrelated areas:", "Personnel: The Air Force has reported that pilot and aircraft maintainer shortfalls are a key challenge to rebuilding readiness. GAO found in April 2018 that the Air Force had fewer fighter pilots than authorizations for 11 of 12 years, from fiscal years 2006 through 2017. Even as unmanned aerial systems had become more prevalent and fighter pilot workloads had increased, the Air Force had not reevaluated fighter squadron requirements. GAO recommended that the Air Force reevaluate fighter pilot squadron requirements to ensure it has the pilots necessary for all missions.", "Equipment: Air Force aircraft availability has been limited by challenges associated with aging aircraft, maintenance, and supply support. GAO reported in September 2018 that, from fiscal year 2011 through 2016, the Air Force generally did not meet availability goals for key aircraft. Further, in October 2017 GAO found F-35 availability was below service expectations and sustainment plans did not include key requirements. GAO recommended that DOD revise F-35 sustainment plans to include requirements and decision points needed to implement the F-35 sustainment strategy.", "Training: The Air Force has identified the need to ensure its forces can successfully achieve missions to address a broad range of current and emerging threats. However, GAO reported in September 2016 that Air Force combat fighter squadrons did not complete annual training requirements due to aircraft availability and training range limitations, and had used the same underlying assumptions for its annual training requirements from 2012 to 2016. GAO recommended that the Air Force reassess its annual training requirements to ensure its forces can accomplish a full range of missions.", "Organization and Utilization: Air Force management of its force structure can also exacerbate readiness challenges. GAO found in July 2018 that the Air Force's organization of its small F-22 fleet had not maximized aircraft availability, and that its utilization of F-22s reduced opportunities for pilots to train for missions in high-threat environments. GAO found that unless the Air Force assesses the organization and use of its F-22s, F-22 units are likely to continue to experience aircraft availability and pilot training rates that are below what they could be. GAO recommended that the Air Force reassess its F-22 organizational structure to reduce risk to future operations.", "Looking to the future, the Air Force will have to balance the rebuilding of its existing force with its desire to grow and modernize. To meet current and future demands, the Air Force has stated that it needs to have more squadrons. However, the costs of such growth are as yet unknown, and will have to compete with other military services looking to increase their force structure and recapitalize their forces. Even with growth, the Air Force would be dependent on the force of today for decades to come and will need to stay focused on rebuilding the readiness of existing forces. Addressing GAO's recommendations are necessary steps to meet current and future needs and can assist the Air Force moving forward."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made 14 recommendations in prior unclassified work described in this statement. DOD generally concurred with most of them and has implemented 1. Continued attention to these recommendations can assist and guide the Air Force moving forward as it seeks to rebuild the readiness of its forces."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss issues related to Air Force readiness.", "In June 2017, we issued a report highlighting five key mission challenges facing the Department of Defense (DOD). In that report, we noted that the United States faces an extremely challenging national security environment at the same time it is grappling with addressing an unsustainable fiscal situation in which DOD accounts for approximately half of the federal government\u2019s discretionary spending. Within this environment, DOD is working to both rebuild the readiness of its current forces and modernize to meet future threats. Since we issued that report, the Department released a new National Defense Strategy in January 2018 that prioritizes the long-term challenges posed by highly capable adversaries and emphasizes the need to rebuild readiness. Additionally, Congress has passed appropriations to fund DOD\u2019s effort to restore military readiness.", "This statement provides information on Air Force (1) readiness and management challenges in four interrelated areas of personnel, equipment, training, and organization and utilization, and (2) plans to grow and modernize its force in the context of rebuilding readiness across DOD. We also summarize our recommendations to address these Air Force challenges and their actions taken.", "This statement is based on our body of work issued from 2016 to 2018 examining Air Force readiness challenges, fighter pilot workforce requirements, weapon system sustainment, aviation training, and force structure. To perform our prior work, we analyzed Air Force readiness, personnel, maintenance, and training data, and interviewed cognizant Air Force officials involved in operations. The reports cited throughout this statement contain more details on the scope of the work and the methodology used to carry it out. We have also issued several classified reports since 2016 examining these issues and made recommendations to the Air Force; however this statement does not include that work.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD has reported that more than a decade of conflict, budget uncertainty, and reductions in force structure have degraded military readiness; in response, the department has made rebuilding the readiness of the military forces a priority. The 2018 National Defense Strategy emphasizes that restoring and retaining readiness across the entire spectrum of conflict is critical to success in the emerging security environment. Nevertheless, DOD reported readiness of the total military force remains low and has remained so since 2013. Our work has shown that Air Force readiness, in particular, has steadily declined due to a persistent demand for forces, a decline in equipment availability and experienced maintenance personnel, the effect of high deployment rates on units\u2019 ability to conduct needed training, and a smaller inventory of aircraft. DOD has made department-wide progress in developing a plan to rebuild readiness of the military force. In August 2018, we reported that the Office of the Secretary of Defense has developed a Readiness Recovery Framework that the Department is using to guide the military services\u2019 efforts and plans to regularly assess, validate, and monitor readiness recovery. According to officials, the Office of the Secretary of Defense and the military services are currently revising readiness goals and accompanying recovery strategies, metrics, and milestones to align with the 2018 National Defense Strategy and Defense Planning Guidance. However, additional work remains to ensure that the actions DOD is taking will ultimately achieve overall readiness goals.", "DOD\u2019s readiness rebuilding efforts are occurring in a challenging context that requires the department to make difficult decisions regarding how best to address continuing operational demands while preparing for future challenges. An important aspect of this, across all of the military services, is determining an appropriate balance between maintaining and upgrading legacy weapon system platforms currently in operational use and procuring platforms able to overcome rapidly advancing future threats. Air Force leaders have stated that striking such a balance is exceptionally difficult. While each of the military services, including the Air Force, must grapple with these choices, senior leaders have called for immediate readiness rebuilding with particular focus on aviation. In a memorandum on September 17, 2018, the Secretary of Defense noted that DOD faces shortfalls in aviation squadrons across the force with the aviation inventory and supporting infrastructure suffering from systemic underperformance and unrealized capacity. In order to focus on meeting DOD\u2019s most critical priorities first, the Secretary of Defense emphasized the need to rebuild readiness. As such, the Secretary directed the Air Force to achieve a minimum of 80 percent mission capable rates for fiscal year 2019 for the F-35, F-22, and F-16, while simultaneously reducing these platforms\u2019 operating and maintenance costs every year starting in fiscal year 2019."], "subsections": []}, {"section_title": "Air Force Faces Several Interrelated Management and Readiness Challenges", "paragraphs": ["Our prior work has identified management and readiness challenges in four interrelated areas\u2014personnel, equipment, training, and organization and utilization, and we have made recommendations to help the Air Force address rebuilding the readiness of its existing fleet."], "subsections": [{"section_title": "Personnel: Pilot and Aircraft Maintainer Shortfalls Have Impeded Readiness Recovery", "paragraphs": ["The Air Force has reported that manpower shortfalls, particularly among skilled pilots and maintainers, are a primary challenge to rebuilding readiness. As we have previously reported, developing fighter pilots requires a significant investment of time and funding. According to Air Force officials, a fighter pilot requires approximately 5 years of training to be qualified to lead flights, at a cost of between about $3 million to $11 million depending on the specific type of aircraft. In April 2018, we reported that according to Air Force pilot staffing level and authorizations data for fiscal years 2006 through 2017, the Air Force had fewer fighter pilots than authorizations for 11 of those 12 years (see fig. 1). This gap grew from 192 fighter pilots (5 percent of authorizations) in fiscal year 2006, to 1,005 (27 percent) in fiscal year 2017. According to briefing documents prepared by the Air Force, this gap was concentrated among fighter pilots with fewer than 8 years of experience. The Air Force forecasted that the fighter pilot gap will persist over time, even as the Air Force takes steps to train more fighter pilots and improve retention.", "Air Force officials identified multiple factors that led to low numbers of fighter pilots. For example, the military services trained fewer fighter pilots than targeted over the last decade. In fiscal years 2007 through 2016, the Air Force trained 12 percent fewer new fighter pilots than the targeted amount. In our April 2018 report, we found that the military services had not reevaluated squadron requirements to reflect increased fighter pilot workload and the emergence of unmanned aerial systems. Fighter pilots and squadron leaders from each of the military services we interviewed at the time consistently told us that the fighter pilot occupation has significantly changed in recent years due to changes in fighter aircraft tactics and technology, additional training requirements, and the removal of administrative support positions from squadrons. Without updating squadron requirements to reflect this growing administrative burden on fighter pilots, the currently identified differences between fighter pilot numbers and authorizations may be understated. By contrast, without updating future fighter pilot requirements to take into account changing roles and missions\u2014in particular the increasing role of unmanned aerial systems in combat operations\u2014forecasted fighter pilot gaps may be overstated. In short, we concluded that reevaluating fighter pilot requirements is a key first step to help the military services, including the Air Force, clearly determine the magnitude of the gaps and target strategies to meet their personnel needs. In our April 2018 report, we recommended that the Air Force reevaluate fighter pilot squadron requirements to ensure it has the pilots necessary for all missions. DOD concurred with this recommendation.", "The Air Force is also trying to manage a shortage of aircraft maintainer personnel\u2014both uniformed personnel and depot civilians. In September 2018, we found that the Air Force reported losing experienced maintainers, either to retirement or to other programs such as the F-35 Lightning II (F-35). For example, we reported that the Air Force\u2019s C-17, which is a long-range, heavy logistics transport aircraft, requires depot modifications to keep it viable, but there was a shortage of depot maintainer personnel due to attrition, inability to retain skilled workers, and hiring freezes. The Air Force has several initiatives underway, including hiring additional maintainer personnel and temporarily transitioning active-duty maintenance units from some legacy aircraft. As of August 2018, the Air Force had requested an increased end strength of 8,000 personnel to fill critical personnel needs in maintenance and pilots. Officials stated that progress was being made in increasing end strength and hiring additional personnel, which should address these challenges. However, according to Air Force officials, it may take several years before newly hired maintainer personnel will have the training and experience they need to improve aircraft availability rates. We have work underway to examine the Air Force\u2019s management of its aircraft maintainer workforce and DOD depot skill gaps and plan to report on these issues over the next 6 months."], "subsections": []}, {"section_title": "Equipment: Aircraft Availability Has Been Limited by Aging Aircraft, Costly Maintenance, and Diminished Supply Support", "paragraphs": ["Air Force aircraft availability has been limited by challenges associated with aging aircraft, maintenance, and supply support. According to the Air Force, the average age of the fleet is 28 years. The average ages of the B-52 strategic bomber and the KC-135 tanker each exceed 50 years, and the Air Force expects to continue to use these aircraft for decades. The Air Force spends billions of dollars each year to sustain its fixed-wing aircraft fleet\u2014comprised of both legacy and new aircraft\u2014which needs expensive logistics support, including maintenance and repair, to meet its availability goals. We reported in September 2018 that from fiscal year 2011 through 2016, the Air Force generally did not meet aircraft availability goals while it continued to accrue increased maintenance costs. Figure 2 summarizes the sustainment challenges we reported that face selected Air Force aircraft.", "Sustainment challenges are not just an issue for older aircraft, but represent an enduring challenge for the Air Force. The F-35\u2014which is intended to replace a variety of legacy fighter aircraft in the Air Force and more broadly represents the future of tactical aviation for DOD\u2014has projected sustainment costs of over $1 trillion over a 60-year life cycle. In October 2017, we reported that DOD\u2019s projected operating and support costs estimate for the F-35 rose by 24 percent from fiscal year 2012 to fiscal year 2016 and are not fully transparent to the military services.", "In October 2017, we also reported that the F-35 fleet faced sustainment challenges that pose risks to its ability to meet current and future warfighter readiness requirements. The Air Force planned to procure more than 1,700 F-35 aircraft and, as the largest participant in the F-35 program, its readiness could be disproportionately affected by the sustainment challenges facing this program. In particular, DOD\u2019s capabilities to repair F-35 parts at military depots were 6 years behind schedule, which resulted in average part repair times of 172 days\u2014twice that of the program\u2019s objective. These repair backlogs have contributed to significant F-35 spare parts shortages\u2014from January to August 7, 2017, F-35 aircraft were unable to fly 22 percent of the time because of parts shortages. As a result, the Air Force had generally not met its aircraft availability goals for its fielded F-35 aircraft (See fig. 3 for Air Force personnel performing maintenance on the F-35).", "Our work has shown that these challenges are largely the result of sustainment plans that do not fully include key requirements or timely and sufficient funding. In our October 2017 report, we recommended, among other things, that DOD revise sustainment plans to ensure that they include the key requirements and decision points needed to fully implement the F-35 sustainment strategy and align funding plans to meet those requirements. DOD concurred with this recommendation and DOD officials report that they are focusing actions and resources toward achieving key production, development and sustainment objectives by 2025. In addition, the conference report accompanying a bill for fiscal year 2019 defense appropriations directed a higher appropriation amount for the Air Force\u2019s aircraft procurement than DOD requested in its budget. This appropriation may create more demand on the already strained sustainment enterprise for which DOD has not always provided timely funding (for example, funding for spare parts)."], "subsections": []}, {"section_title": "Training: Units Are Challenged To Achieve Full Spectrum Readiness", "paragraphs": ["The Air Force has identified the need to ensure a full-spectrum capable force that can successfully perform missions addressing a broad range of current and emerging threats; however, the Air Force has had difficulty training for full spectrum readiness. For more than a decade, the Air Force focused its training on supporting operations in the Middle East, including Iraq and Afghanistan. Commanders established training requirements that they deemed necessary to prepare aircrews to conduct missions in these locations\u2014such as close air support-to-ground forces\u2014 limiting training for other missions. In September 2016, based on our analysis of data on the completion of annual training, we found that combat fighter squadrons were generally able to complete mission training requirements for ongoing contingency operations, but were unable to meet annual training requirements across the full range of missions. Wing and squadron commanders we interviewed at the time cited several common limitations related to the challenges discussed in this testimony that affected the ability of their squadrons to complete training across the full range of missions including the maintenance unit\u2019s ability to provide adequate numbers of aircraft for training, adversary air tasking, and manpower shortfalls in the squadrons.", "We also reported in September 2016 that F-22 and F-35 squadrons faced training range limitations. F-22 squadron commanders told us that the airspace available limits their ability to train for their more complex missions, including offensive counter air and defensive counter air missions. Additionally, the commanders we interviewed at the time for squadrons flying F-22 and F-35 aircraft told us that limits in training range capabilities, such as threat replicators and targets, affected the training completed at smaller regional training ranges, as well as at larger training ranges such as the Utah Test and Training Range and the Nevada Test and Training Range. According to these officials, the training ranges lacked many of the more advanced threat replication systems that can challenge F-35 and F-22 capabilities and provide effective training across their full range of missions.", "The 2018 National Defense Strategy cites, as the department\u2019s principal priority, the need to prepare for threats from advanced adversaries due to the magnitude of the threat they pose. Further, the Air Force reports that it will confront an increasingly complex security environment in the coming years that will demand a wider range of skill sets and different capabilities than are currently being employed. For example, aircrews may be called upon to conduct missions that require freedom of maneuver in highly-contested air spaces. However, in our September 2016 report, we found that the Air Force has used the same underlying assumptions to establish its annual training requirements from 2012 through 2016, which may not reflect current and emerging training needs. Specifically, the total annual live-fly training sorties by aircraft, the criteria for designating aircrews as experienced or inexperienced, and the mix between live and simulator training remained the same from 2012 through 2016. We concluded that without fully reassessing the assumptions underlying its training requirements, the Air Force could not be certain that its annual training plans are aligned with its stated goals to ensure a full-spectrum capable force that can successfully achieve missions across a broad range of current and emerging threats. We recommended that the Air Force reassess its annual training requirements and make any appropriate adjustments to its future training plans to ensure that its forces can accomplish a full range of missions. The Air Force has a number of efforts under way to study or address some of the factors that limit the ability of fighter squadrons to meet annual training requirements."], "subsections": []}, {"section_title": "Organization and Utilization: Air Force Management of Its Forces Can Diminish Existing Capability", "paragraphs": ["The Air Force\u2019s management of its limited force structure can also exacerbate some of the problems discussed above, as we found for the F-22 fleet. The F-22, widely regarded as the best air superiority fighter aircraft in the world, is an integral part of the U.S. military\u2019s ability to defeat high-end adversaries (See fig. 4 for an image of the F-22).", "To meet its assigned air superiority responsibility, the Air Force is to provide the combatant commanders with both mission capable aircraft and pilots who are trained to fly those aircraft in the expected threat environments. However, in July 2018, we found that Air Force organization and utilization of its small fleet of F-22s has reduced its ability to provide these two elements, thereby further limiting this important capability.", "Specifically, we found that the Air Force\u2019s organization of its small F-22 fleet has not maximized the availability of these 186 aircraft. Availability was constrained by maintenance challenges and unit organization. For example, maintaining the stealth coating on the outside of the F-22 aircraft was time consuming and significantly reduced the aircraft\u2019s availability for missions. Maintenance availability challenges were exacerbated by the Air Force\u2019s decision to organize the F-22 fleet into small units of 18 or 21 aircraft per squadron and one or two squadrons per wing. Traditional fighter wings have three squadrons per wing, with 24 aircraft in each squadron, which creates maintenance efficiencies because people, equipment, and parts can be shared, according to Air Force officials. Further, the Air Force organized F-22 squadrons to operate from a single location. However, it generally deployed only a part of a squadron, and the remaining part struggled to keep aircraft available for missions at home. Larger, traditional Air Force squadrons and deployable units provide a better balance of equipment and personnel, according to service officials. The Air Force had not reassessed the structure of its F-22 fleet since 2010 and may be foregoing opportunities to improve the availability of its small yet critical F-22 fleet, and better support combatant commander air superiority needs in high threat environments.", "Further, we found that the Air Force\u2019s utilization of its F-22 fleet limited pilot opportunities to train for air superiority missions in high threat environments. To complete the annual training requirements for air superiority missions, F-22 pilots must train almost the entire year. However, F-22 pilots were not meeting their minimum yearly training requirements for air superiority missions, according to Air Force training reports and service officials. Moreover, using F-22s for exercises and operational missions that do not require the F-22\u2019s unique capabilities interrupted pilot training and led to reduced proficiency. For example, F- 22 units were often directed to participate in partnership building exercises. However, during these exercises, F-22 pilots may be restricted from flying the F-22 the way they would fly it in combat\u2014due to security concerns about exposing the F-22\u2019s unique capabilities. These restrictions not only limited the value of the exercises, but also could result in pilots developing bad habits, according to Air Force officials. The Air Force also uses F-22s to support alert missions\u2014that is, a mission that requires certain bases to have jets ready at all times to respond to threats from civil or military aviation. The alert mission does not require the advanced capabilities of the F-22, but we reported that because there are no other operational Air Force fighter squadrons based at the F-22 locations in Alaska and Hawaii, the alert mission fell on the F-22 units. Pilots and aircraft assigned to the alert mission could not be used for any other purposes, limiting opportunities for pilots to enhance air superiority skills. Unless the Air Force takes steps to assess and make necessary adjustments to the current organization and use of its F-22s, F-22 units are likely to continue to experience aircraft availability and pilot training rates that are below what they could be. As a result, the Air Force may incur increased risks in future operations in high threat areas. In July 2018, we recommended that the Air Force reassess its F-22 organizational structure and identify ways to increase F-22 pilot training opportunities for high-end missions to reduce risk to future operations. DOD concurred with both recommendations."], "subsections": []}]}, {"section_title": "Air Force Will Need to Balance Near-term Readiness Recovery with Plans to Grow and Modernize the Force", "paragraphs": ["In September 2018, the Secretary of the Air Force described the need to grow the number of Air Force squadrons from 312 to 386\u2014a 24 percent increase\u2014between fiscal years 2025 and 2030 in order to meet persistent operational demands and address the challenges identified in the National Defense Strategy. However, the details and costs of such growth are as yet unknown and will have to compete with other military services looking to increase their force structure and major defense capabilities that require recapitalization. For example, over the next three decades, the Navy plans to grow its fleet by nearly 25 percent\u2014at an estimated cost of about $800 billion\u2014and modernizing and maintaining the nation\u2019s nuclear arsenal could cost $1.2 trillion over the same timeframe. All of these investments would need to be made amid a deteriorating national fiscal picture.", "Even if it grows, the Air Force will be dependent on the force of today for decades to come and will need to stay focused on rebuilding its readiness. Many of the Air Force\u2019s fourth generation fighters will be part of the force structure for the next decade or more, and the Air Force plans to retain the F-22 aircraft until 2060. In addition, the Air Force proposed divesting the A-10 to make budgetary room for more modern aircraft. However, as we reported in August 2016, the Air Force did not fully examine the implications of this course of action and could not demonstrate how it would meet the multiple missions being performed by the aging A-10. Therefore, focusing on rebuilding the existing force will be crucial to positioning the Air Force for the future. While these challenges are particularly acute in the Air Force, the Air Force is not alone among the military services. Given persistently low readiness levels across the military, we have called for a comprehensive readiness rebuilding plan for the entire Department of Defense to guide rebuilding efforts, including setting clear goals and identifying resources required to meet those goals for all services, including the Air Force.", "In sum, as it plans for the future, the Air Force will need to balance the rebuilding of its existing force with its desire to grow and modernize. We have made a number of recommendations\u2014with which the Air Force have generally concurred with but most have not yet been implemented\u2014 that provide a partial roadmap to address important readiness challenges. Implementing our recommendations to reevaluate fighter pilot squadron requirements, revise F-35 sustainment plans, reassess annual training requirements, and examine how the Air Force organizes and utilizes its F- 22 organizational structure are necessary steps to meet current and future needs and can assist the Air Force moving forward. In addition, sustained management attention and continued congressional oversight will be needed to ensure that the Air Force demonstrates progress in addressing its personnel, equipment, training, and organization and utilization challenges.", "Chairman Sullivan, Ranking Member Kaine, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have questions about this testimony, please contact John Pendleton, Director, Defense Capabilities and Management at (202) 512-3489 or pendletonj@gao.gov.", "Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Chris Watson, Assistant Director; Nick Cornelisse, Amie Lesser, Shari Nikoo, Michael Silver, Nicole Volchko, and Lillian Yob."], "subsections": []}]}, {"section_title": "Appendix I: Implementation Status of Key Prior GAO Recommendations Related to Air Force Readiness", "paragraphs": ["Over the past three years, we issued several reports related to Air Force readiness that are cited in this statement. Table 1 summarizes the status of our key recommendations related to Air Force readiness since 2016; a total of 14 recommendations. The Department of Defense (DOD) has implemented 1 of these recommendations. For each of the reports, the specific recommendations and their implementation status are summarized in tables 2 through 7."], "subsections": []}, {"section_title": "Related GAO Products", "paragraphs": ["Report numbers with a C or RC suffix are classified. Report numbers with a SU suffix are sensitive but unclassified. Classified and sensitive but unclassified reports are available to personnel with the proper clearances and need to know, upon request.", "Weapon System Sustainment: Selected Air Force and Navy Aircraft Generally Have Not Met Availability Goals, and DOD and Navy Guidance Need to Be Clarified. GAO-18-678. Washington, D.C.: September 10, 2018.", "Military Readiness: Air Force Plans to Replace Aging Personnel Recovery Helicopter Fleet. GAO-18-605. Washington, D.C.: August 16, 2018.", "Military Aviation Mishaps: DOD Needs to Improve Its Approach for Collecting and Analyzing Data to Manage Risks. GAO-18-586R. Washington, D.C.: August 15, 2018.", "Military Readiness: Update on DOD\u2019s Progress in Developing a Readiness Rebuilding Plan. GAO-18-441RC. Washington, D.C.: August 10, 2018. (SECRET)", "Force Structure: F-22 Organization and Utilization Changes Could Improve Aircraft Availability and Pilot Training. GAO-18-190. Washington, D.C.: July 19, 2018.", "Military Personnel: Collecting Additional Data Could Enhance Pilot Retention Efforts. GAO-18-439. Washington, D.C.: June 21, 2018.", "Air Force Readiness: Changes to Readiness Reports Could Help Stakeholders Take More Informed Actions. GAO-18-65C. Washington, D.C.: June 18, 2018. (SECRET)", "Force Structure: Changes to F-22 Organization and Utilization Could Improve Aircraft Availability and Pilot Training. GAO-18-120C. Washington, D.C.: April 27, 2018. (SECRET//NOFORN)", "Military Readiness: Clear Policy and Reliable Data Would Help DOD Better Manage Service Members\u2019 Time Away from Home. GAO-18-253. Washington, D.C.: April 25, 2018.", "Warfighter Support: DOD Needs to Share F-35 Operational Lessons Across the Military Services. GAO-18-464R. Washington, D.C.: April 25, 2018.", "Weapon System Sustainment: Selected Air Force and Navy Aircraft Generally Have Not Met Availability Goals, and DOD and Navy Guidance Need Clarification. GAO-18-146SU. Washington, D.C.: April 25, 2018.", "Military Personnel: DOD Needs to Reevaluate Fighter Pilot Workforce Requirements. GAO-18-113. Washington, D.C.: April 11, 2018.", "Military Aircraft: F-35 Brings Increased Capabilities, but the Marine Corps Needs to Assess Challenges Associated with Operating in the Pacific. GAO-18-79C. Washington, D.C.: March 28, 2018. (SECRET)", "F-35 Aircraft Sustainment: DOD Needs to Address Challenges Affecting Readiness and Cost Transparency. GAO-18-75. Washington, D.C.: October 26, 2017.", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Air Force Training: Further Analysis and Planning Needed to Improve Effectiveness. GAO-16-864. Washington, D.C.: September 19, 2016.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: September 7, 2016.", "Force Structure: Better Information Needed to Support Air Force A-10 and Other Future Divestment Decisions. GAO-16-816. Washington, D.C.: August 24, 2016.", "Air Force Training: Further Analysis and Planning Needed to Improve Effectiveness. GAO-16-635SU. Washington, D.C.: August 16, 2016.", "Force Structure: Better Information Needed to Support Air Force A-10 and Other Future Divestment Decisions. GAO-16-525C. Washington, D.C.: July 12, 2016. (SECRET//NOFORN)", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-534C. Washington, D.C.: June 30, 2016. (SECRET)", "Air Force: Service Faces Challenges to Rebuilding Readiness. GAO-16-482RC. Washington, D.C.: May 25, 2016. (SECRET)", "Force Structure: Performance Measures Needed to Better Implement the Recommendations of the National Commission on the Structure of the Air Force. GAO-16-405. Washington, D.C.: May 6, 2016.", "F-35 Sustainment: DOD Needs a Plan to Address Risks Related to Its Central Logistics System. GAO-16-439. Washington, D.C.: April 14, 2016.", "F-35 Sustainment: Need for Affordable Strategy, Greater Attention to Risks, and Improved Cost Estimates. GAO-14-778. Washington, D.C.: September 23, 2014.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["To be ready to carry out its operations, the Air Force needs to have well-maintained equipment and trained personnel. However, Air Force readiness has declined steadily since the 1990s.", "Today, the Air Force is working to rebuild readiness and modernize its fleet to meet future threats. This testimony discusses challenges in these 4 areas:", "Addressing shortfalls of skilled pilots and maintenance professionals", "Ensuring aircraft can be used for missions", "Training for current and future threats", "Managing and using the small F-22 fleet"]} {"id": "GAO-19-112", "url": "https://www.gao.gov/products/GAO-19-112", "title": "Improper Payments: Selected Agencies Need Improvements in Their Assessments to Better Determine and Document Risk Susceptibility", "published_date": "2019-01-10T00:00:00", "released_date": "2019-01-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Improper payments are a long-standing problem in the federal government, estimated at almost $141 billion for fiscal year 2017. Agencies are required to perform risk assessments to identify programs that may be susceptible to significant improper payments.", "GAO was asked to review federal agencies' improper payment risk assessments. This report examines the extent to which certain agencies' improper payment risk assessments for selected programs provided a reasonable basis for determining their susceptibility to significant improper payments. GAO analyzed the most recent risk assessments, from 2015 through 2017, for the following five programs: USDA's Agriculture Risk Coverage and Price Loss Coverage programs; HHS's Head Start; DOJ's Law Enforcement; and Treasury's Interest on the Public Debt and Home Affordable Modification Program. GAO selected these programs, focusing on programs that recently underwent a risk assessment and size of programs' gross outlays\u2014which totaled about $330 billion in fiscal year 2017 for the five programs GAO selected."]}, {"section_title": "What GAO Found", "paragraphs": ["The Improper Payments Information Act of 2002, as amended (IPIA), defines \u201csignificant\u201d improper payments as improper payments in the preceding fiscal year that may have exceeded either (1) 1.5 percent of program outlays and $10 million or (2) $100 million (regardless of the improper payment rate). GAO found that the Departments of Health and Human Services (HHS), the Treasury (Treasury), Justice (DOJ), and Agriculture (USDA) assessed the five programs GAO selected for review as at low risk for susceptibility to significant improper payments; however, HHS, Treasury, and DOJ lacked sufficient documentation to assess the extent to which their risk assessments provided a reasonable basis for their risk determinations. On the other hand, USDA's quantitative risk assessment of its program's susceptibility to significant improper payments provided a reasonable basis for its low-risk determination.", "Although HHS, Treasury, and DOJ considered, among other factors, the nine risk factors from IPIA and Office of Management and Budget guidance, they did not document or effectively demonstrate how these factors affected their programs' susceptibility to significant improper payments. These programs' risk assessments did not contain sufficient documentation to determine how the agencies arrived at their risk determinations for each risk factor, or how the total scores for all risk factors led to low-risk determinations. For example, HHS determined that its Head Start program was at high risk for several risk factors\u2014including complexity per transaction and volume of payments\u2014but did not document how these high-risk ratings informed its overall determination that Head Start was not susceptible to significant improper payments.", "Further, the agencies did not have documentation to demonstrate how they determined the weighting of each risk factor or the risk level ranges from the risk assessment templates as they relate to the programs' susceptibility to significant improper payments. For example, based on GAO's analysis of Treasury's risk assessment template, the agency could identify areas of risk related to each of the nine risk factors. But because of the assigned weights given to each risk factor, Treasury's final risk calculation would still not determine the program to be at high risk of susceptibility to significant improper payments. Without documenting the basis for the assigned weights, Treasury cannot demonstrate, and GAO cannot determine, that its process for determining its programs' susceptibility to significant improper payments was reasonable. Until HHS, Treasury, and DOJ revise their risk assessment processes to help ensure that they result in reliable assessments, they cannot be certain whether their programs are susceptible to significant improper payments and therefore whether they are required to estimate the amount of improper payments.", "GAO also found that HHS did not assess many of its programs and activities at least once during the 3-year period from fiscal years 2015 through 2017, as required by IPIA. Based on the analysis of HHS information, GAO identified at least 140 programs or activities that were not assessed during the 3-year period. When not all eligible programs are reviewed as required, there is an increased risk that the agency may not identify all risk-susceptible programs and activities, resulting in incomplete improper payment estimates."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Treasury, DOJ, and HHS revise their improper payment risk assessment processes, and that HHS revise its procedures to help ensure that all programs are assessed at least once every 3 years. In their responses, Treasury and HHS agreed with the recommendations, and DOJ disagreed with GAO's recommendation. GAO continues to believe that the recommendation is valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Improper payments\u2014payments that should not have been made or were made in incorrect amounts under statutory, contractual, administrative, or other legally applicable requirements\u2014are a long-standing, significant problem in the federal government. For fiscal year 2017, estimated federal improper payments totaled about $141 billion. Although agencies report improper payment estimates annually, in our report on the Fiscal Years 2017 and 2016 Consolidated Financial Statements of the U.S. Government, we continued to report that the federal government is unable to determine the full extent to which improper payments occur and reasonably assure that actions are taken to reduce them. In addition, we have previously noted that some inspectors general (IG) have reported issues related to agencies\u2019 improper payment estimates, including processes that may not produce reliable estimates.", "The Improper Payments Information Act of 2002, as amended (IPIA), requires, among other things, that at least once every 3 years, each federal agency review all of its programs and activities to identify those that may be susceptible to significant improper payments\u2014a process commonly referred to as an improper payment risk assessment. Under IPIA, improper payments are considered \u201csignificant\u201d if in the preceding fiscal year they may have exceeded either (1) 1.5 percent of program outlays and $10 million or (2) $100 million (regardless of the improper payment rate). Properly executed improper payment risk assessments are the cornerstone of a government-wide effort to identify and reduce improper payments. Agencies are required to develop improper payment estimates and corrective action plans for any programs that agencies, OMB, or statute identifies as susceptible to significant improper payments.", "You requested that we review federal agencies\u2019 improper payment risk assessments. This report examines the extent to which certain federal agencies\u2019 improper payment risk assessments for selected programs provided a reasonable basis for determining their susceptibility to significant improper payments.", "To address our objective, we selected a nongeneralizable sample of 4 agencies and five programs for review. We considered improper payment information for the 24 agencies subject to the Chief Financial Officers Act of 1990. In considering which agencies to review, we selected a mix of agencies that did and did not report improper payment estimates for fiscal year 2017, and included at least one agency that administered eligibility- based programs. The 4 agencies that we selected for our review were the Departments of Agriculture (USDA), Health and Human Services (HHS), Justice (DOJ), and the Treasury (Treasury). We then selected five programs across these agencies to review, focusing on programs that underwent a risk assessment during fiscal years 2015 through 2017 and the size of programs\u2019 gross outlays for fiscal year 2017. The five programs that we selected for review were USDA\u2019s Commodity Credit Corporation Agriculture Risk Coverage and Price Loss Coverage programs; HHS\u2019s Head Start program; DOJ\u2019s Law Enforcement program; and Treasury\u2019s Interest on the Public Debt and Home Affordable Modification Program. Fiscal year 2017 outlays for these programs totaled approximately $330 billion.", "We reviewed improper payment risk assessment requirements in IPIA and the related guidance in Office of Management and Budget (OMB) Circular A-123, Appendix C, Requirements for Effective Estimation and Remediation of Improper Payments (OMB M-15-02). We also reviewed relevant internal control standards to determine the activities needed to help ensure that agencies conduct effective improper payment risk assessments\u2014assessments that provide a reasonable basis for determining the susceptibility to significant improper payments. We obtained the most recent improper payment risk assessment that USDA, HHS, DOJ, and the Treasury conducted on the selected programs during the 3-year period covered by our review (fiscal years 2015 through 2017). We then analyzed those risk assessments against relevant IPIA requirements, OMB guidance, and internal control standards to determine whether the agencies had evaluated the appropriate risk factors for improper payments, appropriately considered those factors in their risk assessments, and provided a reasonable basis for their risk determinations. Additionally, we interviewed officials at the selected agencies on their processes for conducting improper payment risk assessments and reviewed documented policies and procedures. For agencies that lacked supporting documentation or did not provide a reasonable basis for their risk determinations, we interviewed appropriate agency officials to determine the reasons they did not. Appendix I provides further details on our scope and methodology.", "We conducted this performance audit from December 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Improper Payment Requirements", "paragraphs": ["IPIA defines an improper payment as any payment that should not have been made or that was made in an incorrect amount (including overpayments and underpayments) under statutory, contractual, administrative, or other legally applicable requirements. It includes duplicate payments, any payment made to an ineligible recipient, any payment for an ineligible good or service, any payment for a good or service not received (except for such payments where authorized by law), and any payment that does not account for credit for applicable discounts. OMB M-15-02 also provides that when an agency\u2019s review is unable to determine whether a payment was proper as a result of insufficient or lack of documentation, this payment must also be considered an improper payment.", "IPIA also defines the scope of payments subject to improper payment requirements. Specifically, a payment is any transfer or commitment for future transfer of federal funds\u2014such as cash, securities, loans, loan guarantees, and insurance subsidies\u2014to any nonfederal person or entity that is made by a federal agency, a federal contractor, a federal grantee, or a governmental or other organization administering a federal program or activity.", "Executive branch agencies are required to take various steps regarding improper payments under IPIA and as directed by OMB M-15-02. The steps include the following: 1. reviewing all programs and activities and identifying those that may be susceptible to significant improper payments (commonly referred to as a risk assessment), 2. developing improper payment estimates for those programs and activities that agency risk assessments, OMB, or statute identifies as being susceptible to significant improper payments, 3. analyzing the root causes of improper payments and developing corrective actions to reduce them, and 4. reporting on the results of addressing the foregoing requirements.", "Figure 1 illustrates these steps, as well as the major components of conducting an improper payment risk assessment.", "IPIA requires that agencies conduct improper payment risk assessments for all federal programs and activities at least once every 3 years and identify any program or activity that may be susceptible to significant improper payments. OMB guidance provides that programs that have been determined to be susceptible to significant improper payments and that are already reporting an estimate\u2014or in the process of establishing an estimate\u2014do not have to conduct additional improper payment risk assessments. IPIA defines \u201csignificant\u201d improper payments as improper payments in the preceding fiscal year that may have exceeded either (1) 1.5 percent of program outlays and $10 million or (2) $100 million (regardless of the improper payment rate). OMB M-15-02 provides guidance for implementing the IPIA requirements and covers agencies\u2019 responsibilities for improper payment risk assessments, estimation, and reporting.", "OMB M-15-02 also lists steps that agencies should take when conducting improper payment risk assessments. Agencies must institute a systematic method of reviewing all programs and activities to identify those that may be susceptible to significant improper payments, as defined by IPIA. According to OMB M-15-02, this systematic method could be a quantitative evaluation based on a statistical sample or a qualitative method (e.g., a risk-assessment questionnaire). Prior to fiscal year 2018, at a minimum, agencies were required to take into account nine risk factors\u2014seven specified in IPIA and two in OMB guidance\u2014that are likely to contribute to improper payments, regardless of which method was used by the agency (see table 1).", "In June 2018, OMB revised its guidance for improper payments in OMB Circular A-123, Appendix C, Requirements for Payment Integrity Improvement (OMB M-18-20). In the revised guidance, OMB no longer directs agencies to consider the two additional risk factors that were included in OMB M-15-02 in their risk assessments. Rather, OMB directs agencies to take into account those risk factors that are likely to contribute to a susceptibility of significant improper payments. The revised guidance also states that beginning in fiscal year 2020, agencies should use quantitative evaluations for programs or activities with outlays exceeding $5 billion. As specified in OMB M-18-20, the end goal of the systematic method of reviewing all programs, whether qualitative or quantitative, is to determine whether a program is susceptible to significant improper payments. Accordingly, OMB M-18-20 states that if a qualitative method is used, it must be designed to accurately determine whether the program is susceptible to significant improper payments."], "subsections": []}, {"section_title": "Characteristics of Programs Reviewed", "paragraphs": ["When conducting improper payment risk assessments, each federal agency, unless otherwise specified by OMB Circular A-11, after consultation with OMB, is generally authorized to determine the grouping of programs that most clearly identifies and reports improper payments for the agency. The five programs we reviewed serve a variety of purposes and are administered by various agencies across the federal government."], "subsections": [{"section_title": "Head Start", "paragraphs": ["HHS\u2019s Head Start program was established in 1965 to deliver comprehensive educational, social, health, nutritional, and psychological services to low-income families and their children. These services include preschool education, family support, health screenings, and dental care. Head Start was originally aimed at 3- to 5-year-olds. The Head Start program makes grants directly to approximately 1,600 local organizations, including community action agencies, school systems, tribal governments and associations, and for-profit and nonprofit organizations.", "The Head Start program has several primary eligibility criteria to enroll in the program\u2014including that the child\u2019s family earns income below the federal poverty level; the child\u2019s family is eligible for or, in the absence of child care, would potentially be eligible for public assistance; the child is in foster care; or the child is homeless. Head Start services are to be provided free of charge to eligible families.", "Prior to fiscal year 2013, HHS reported improper payment estimates for the Head Start program. However, as of fiscal year 2013, HHS, in consultation with its Office of Inspector General (OIG) and with approval from OMB, no longer reports annual improper payment estimates related to the program. According to HHS, Head Start\u2019s fiscal year 2017 outlays were approximately $9.4 billion."], "subsections": []}, {"section_title": "Interest on the Public Debt", "paragraphs": ["Public debt is defined as Treasury-issued securities, primarily consisting of marketable Treasury securities (i.e., bills, notes, and bonds), and a smaller amount of nonmarketable securities, such as savings bonds and special securities issued to state and local governments. A portion is debt held by the public and a portion is debt held by federal government accounts.", "Debt held by the public represents federal debt held by investors outside of the federal government, including individuals, corporations, state or local governments, the Federal Reserve, and foreign governments. Types of securities held by the public include Treasury bills, notes, and bonds and State and Local Government Series securities. Debt held by the public primarily represents the amount the U.S. government has borrowed from the public to finance cumulative cash deficits. As of September 30, 2017, total debt held by the public was $14.7 trillion.", "Debt held by federal government accounts (intragovernmental holdings) represents balances of federal government accounts of certain federal agencies that are either authorized or required to invest excess receipts in Treasury securities. As of September 30, 2017, total debt held by federal government accounts was $5.6 trillion.", "Interest calculations on the public debt differ depending on the types of securities, their associated terms, and average interest rates. According to Treasury, total interest paid on public debt for fiscal year 2017 was approximately $294.8 billion."], "subsections": []}, {"section_title": "Home Affordable Modification Program", "paragraphs": ["In February 2009, as part of a broader plan to stabilize the housing market and economy, Treasury established the Making Home Affordable Program to help struggling families avoid possible foreclosure. As part of this plan, Treasury announced a national modification program for first- lien mortgages, the Home Affordable Modification Program (HAMP). The program offered eligible homeowners who are at risk of foreclosure reduced monthly mortgage payments that are more affordable and sustainable over the long term. Homeowners who chose to participate in the program had to show (1) documented financial hardship and (2) an ability to make their monthly mortgage payments after a modification.", "HAMP works by encouraging participating mortgage servicers to modify mortgages so struggling homeowners can have lower monthly payments and avoid foreclosure. It has specific eligibility requirements for homeowners and includes strict guidelines for servicers.", "In December 2016, entrance into the Making Home Affordable program expired. However, payments for previously approved participants in HAMP will continue until approximately September 2023. According to Treasury, HAMP\u2019s fiscal year 2017 outlays were approximately $4.1 billion."], "subsections": []}, {"section_title": "Law Enforcement", "paragraphs": ["For improper payment risk assessment purposes, DOJ has five mission- aligned program groups. The Law Enforcement group is the largest in terms of annual outlays and consists of the following five components: 1. the Bureau of Alcohol, Tobacco, Firearms, and Explosives; 2. the Drug Enforcement Administration; 3. the Federal Bureau of Investigation; 4. Offices, Boards, and Divisions; and 5. the United States Marshals Service.", "According to DOJ, Law Enforcement\u2019s fiscal year 2017 outlays were approximately $11.8 billion."], "subsections": []}, {"section_title": "Agriculture Risk Coverage and Price Loss Coverage", "paragraphs": ["The Agriculture Risk Coverage (ARC) and Price Loss Coverage (PLC) programs were authorized by the 2014 Farm Bill to provide farmers with protection against adverse changes in market conditions. Although ARC and PLC are considered two separate programs, they are grouped as one program for the purposes of conducting improper payment risk assessments. The programs are managed by the Commodity Credit Corporation, whose activities are primarily administered by USDA\u2019s Farm Service Agency.", "Within the ARC program, farmers have the choice of an individual-based option, known as ARC-Individual, or a county-based option, known as ARC-County. Both options provide revenue loss coverage to farmers when the legislative guarantee for a crop exceeds the actual year revenue.", "PLC program payments are issued to farmers when a crop\u2019s \u201creference price,\u201d as specified in the 2014 Farm Bill, is in excess of an average price, which is determined at the national level each year for the covered commodities.", "ARC/PLC statutes and regulations establish a series of eligibility criteria that farmers must meet in order to enroll in the programs. Among other things, to be eligible farmers must produce a certain quantity of at least 1 of the 21 covered commodities, actively engage in the farming process, meet income eligibility limits, and meet certain land conservation requirements. According to USDA, ARC/PLC\u2019s fiscal year 2017 outlays were approximately $9.6 billion."], "subsections": []}]}]}, {"section_title": "Four of the Five Risk Assessments Lacked Documentation to Support Their Risk Determinations, and Many of HHS\u2019s Programs Were Not Assessed", "paragraphs": [], "subsections": [{"section_title": "HHS\u2019s Improper Payment Risk Assessment for Head Start Lacked Documentation to Support Its Low Risk Determination, and Many Other Programs Were Not Assessed HHS\u2019s Improper Payment Risk Assessment for Head Start Lacked Documentation to Support Its Low Risk Determination", "paragraphs": ["In its fiscal year 2016 qualitative risk assessment, HHS assessed its Head Start program as at low risk of susceptibility to significant improper payments. However, HHS did not have sufficient documentation on how it developed its risk assessments, so we could not determine if the risk assessment process was designed to provide a reasonable basis for making risk determinations.", "Although HHS did take into account the nine risk factors, among other factors, HHS did not document or effectively demonstrate how each specific risk factor affected Head Start\u2019s susceptibility to significant improper payments. HHS\u2019s improper payment risk assessment template included the nine risk factors, among other factors, and described how the divisions should consider each risk factor. However, HHS did not document how the descriptors or individual risk factors relate to the program\u2019s susceptibility to significant improper payments. Further, although HHS used a risk assessment template to assess each of the risk factors, which included space for the divisions to provide additional information regarding the risk determinations, the division responsible for the Head Start program did not always provide sufficient documentation or support for us to determine how it arrived at its risk determinations for each risk factor. For example, see the following:", "Eligibility determination: HHS considered the eligibility of initial Head Start payments that HHS made to the initial grantees\u2014local organizations\u2014as low risk. However, HHS did not consider the Head Start eligibility decisions that these organizations made at the subrecipient level\u2014calling into question the reliability of HHS\u2019s risk assessment. In the Head Start program, local organizations, not HHS, make the eligibility determinations for individuals to be enrolled in the program. In addition, local organizations, not HHS, are responsible for maintaining the documentation to substantiate the eligibility of enrollees. HHS did not consider the impact of these determinations in its improper payment risk assessment. Our analysis of improper payment estimates from paymentaccuracy.gov for fiscal years 2016 and 2017 indicates that the inability to authenticate eligibility is one of the largest root causes of improper payments.", "Audit findings: HHS assigned a low-risk rating for findings from oversight agencies. However, in the risk assessment, it identified nine audit reports that the OIG issued pertaining to Head Start agencies with findings on unallowable costs, enrollment, and misuse of grant funds. According to agency officials, these OIG reports contained findings related to costs and misuse of grant funds that are specific to particular grantees and may not be indicative of widespread programmatic issues. However, HHS did not document the rationale for this assessment.", "Program management report: HHS assigned a low-risk rating for findings related to program management reports. According to HHS\u2019s Report to Congress on Head Start Monitoring for Fiscal Year 2015, \u201callowable and allocable costs\u201d was the most commonly cited noncompliance issue in its fiscal reviews of grantees. Specifically, 8.8 percent of grantees included in a fiscal review were found to be noncompliant with regard to allowable and allocable costs. However, HHS did not document whether it considered the impact of noncompliance by grantees in its Head Start risk assessment.", "According to HHS officials, divisions were required to maintain supporting documentation for their risk assessments, although submission of the related documents along with the risk assessment was not mandatory.", "HHS officials stated that this policy was orally communicated to the divisions; however, it was not formally documented. Lack of a written policy for the divisions to maintain such information may have contributed to HHS\u2019s inability to provide sufficient supporting documentation for its low risk determinations.", "HHS\u2019s qualitative risk assessment for Head Start also did not document or effectively demonstrate how the total score for all risk factors led to a determination that the program was not susceptible to significant improper payments. Our analysis of HHS\u2019s risk assessment showed that for several of its risk factors, HHS did not score those factors as low risk. For example, HHS assigned a high-risk rating for three of the nine risk factors: (1) permanency of the program, (2) volume of payments made through the program, and (3) complexity per transaction. HHS\u2019s risk assessment did not document or support how it determined Head Start to overall be at low risk for susceptibility to significant improper payments given the high-risk ratings for certain risk factors. Without supporting documentation, HHS cannot demonstrate, and we cannot determine, if HHS\u2019s low risk determination for Head Start was reasonable.", "Additionally, based on HHS\u2019s risk assessment scoring template, a program could be considered \u201chigh risk\u201d for all nine risk factors, but because of the assigned weight given to each of the nine risk factors, HHS\u2019s final risk calculation would still not determine the program to be at high risk of susceptibility to significant improper payments. According to HHS officials, the agency has procedures to review the improper payment risk assessments that the individual divisions perform; however, these review procedures are not formally documented. HHS officials stated that while no risk assessment has identified all nine risk factors as high risk, if all nine risk factors were identified as high risk by a division, the agency would require supporting documentation from the division for review and could overrule the outcome calculated based on the risk assessment scoring template if necessary. Without documented procedures for this review process, HHS lacks assurance that this process, if applicable, would consistently take place.", "According to HHS, the fiscal year 2016 improper payment qualitative risk assessment template used for Head Start was designed to calculate an overall risk rating of low, medium, or high based on program management responses to each individual risk factor. However, HHS did not have documentation to demonstrate how it determined the weighting of the risk factors or how the numerical risk level ranges from the risk assessment template related to a program\u2019s susceptibility to significant improper payments. Additionally, HHS did not have documentation demonstrating the basis for its determination that specific risk factors do or do not lead to susceptibility to significant improper payments. HHS officials stated that OMB does not have specific guidance on establishing weights for each risk factor or assigning numerical risk level ranges to determine overall susceptibility to significant improper payments. HHS officials also stated that HHS developed its own numerical risk level ranges based on experience and data from previous risk assessments. When asked for documentation to support its weighting of the various risk factors, HHS officials stated that they did not document this analysis. Without documenting the basis for the assigned weights, HHS cannot demonstrate, and we cannot determine, that its process for determining Head Start\u2019s susceptibility to significant improper payments was reasonable.", "Federal internal control standards state that management should develop control activities to achieve objectives and respond to risks and implement control activities through policies. As part of these standards, management should clearly document internal controls and other significant events in a manner that allows the documentation to be readily available for examination. Additionally, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness. Further, federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. As such, to reasonably determine if a program is susceptible to significant improper payments, agencies\u2019 risk assessments would have a logical connection with, or bearing upon, the statutory definition of significant improper payments. Until HHS revises its risk assessment process to help ensure that it results in a reliable assessment, it will be uncertain whether Head Start may be susceptible to significant improper payments and therefore require an estimate of its improper payments."], "subsections": [{"section_title": "HHS Did Not Conduct Risk Assessments for Many of Its Programs and Activities", "paragraphs": ["During our agency and program selection process, we found that HHS did not assess many of its programs and activities at least once during the 3- year period from fiscal years 2015 through 2017, as required by IPIA. Although HHS conducted improper payment risk assessments for a total of 71 programs and activities during the 3-year period, based on our analysis of HHS-provided outlay data, HHS did not conduct the required risk assessment for at least 140 programs. For example, HHS did not assess its Block Grants for Prevention and Treatment of Substance Abuse program that had outlays of approximately $1.8 billion in fiscal year 2016. According to HHS officials, HHS has limited resources, so it took a risk-based approach when selecting programs to include in its improper payment risk assessment process. Further, HHS officials stated that HHS was transitioning in fiscal year 2015 to a new risk assessment process. As such, HHS\u2019s procedures directed its divisions to select one program per division for fiscal year 2015 and two programs per division for fiscal years 2016 and 2017.", "Federal internal control standards state that management should design control activities to achieve objectives and respond to risks and implement control activities through policies. Without properly designed control activities to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years, as required by IPIA, there is an increased risk that HHS may not identify all risk-susceptible programs and activities, resulting in incomplete improper payment estimates."], "subsections": []}]}, {"section_title": "Treasury\u2019s Improper Payment Risk Assessments for Interest on the Public Debt and HAMP Lacked Documentation to Support Its Low Risk Determinations", "paragraphs": ["In its fiscal year 2017 qualitative risk assessments, based on fiscal year 2016 outlay data, Treasury assessed its Interest on the Public Debt and HAMP as at low risk of susceptibility to significant improper payments. However, Treasury did not have sufficient documentation for how it developed its risk assessments, so we could not determine if the risk assessment process was designed to provide a reasonable basis for making risk determinations.", "Although Treasury did take into account the nine risk factors, among other factors, it did not document or effectively demonstrate how each specific risk factor affected the programs\u2019 susceptibility to significant improper payments. Treasury\u2019s risk assessment templates for these programs had 62 questions which required \u201cYes,\u201d \u201cNo,\u201d or \u201cNot applicable\u201d responses. Treasury did not document how each of the 62 questions related to each program\u2019s susceptibility to significant improper payments. Further, the template did not require the bureaus responsible for the Interest on the Public Debt and HAMP risk assessments to provide documentation or support other than a check mark in response to these questions. Without descriptions of how to answer the questions or documentation to support the responses, we could not verify the reasonableness of the Interest on the Public Debt or HAMP improper payment risk assessments.", "For example, the Interest on the Public Debt program\u2019s risk assessment questionnaire was completed for 11 different payment types under the program. For the TreasuryDirect payment type, Treasury answered \u201cNo\u201d to the question, \u201cAre there risks due to a high volume of payments for TreasuryDirect?\u201d Treasury did not provide documentation or other support for how the agency determined that there was no risk for this question. Further, since the template lacked descriptors, it is unclear if responses related to the number of transactions or the dollar amount of transactions. In fiscal year 2016, TreasuryDirect payments totaled almost $300 billion, representing about 7.8 percent of all the federal government outlays. In contrast, Treasury answered \u201cYes\u201d to this same question for the HAMP program, for which payments were about 1 percent (about $4 billion) of the total payments made by TreasuryDirect.", "Similarly, in the HAMP risk assessment questionnaire, Treasury answered \u201cNo\u201d to the question, \u201cAre payment or payment eligibility decisions made outside the agency?\u201d However, under HAMP, financial institutions, not Treasury, determine whether borrowers are eligible for loan modification through the program. Treasury did not document why a \u201cNo\u201d response was appropriate.", "Treasury\u2019s risk assessments for Interest on the Public Debt and HAMP also did not document or effectively demonstrate how the total scores for all risk factors led to the determinations that the programs were not susceptible to significant improper payments. For example, in its risk assessment, Treasury\u2019s responses indicated several improper payment risks for Interest on the Public Debt, including (1) complexity of administering the payment type, (2) unmitigated risks relying on contractors to perform critical agency operations, and (3) payments being made to incorrect payees or ineligible recipients.", "Further, based on total payments for the Interest on the Public Debt, Treasury would have to be over 99.97 percent accurate in its payments in order for the activity to not reach the $100 million threshold for significant improper payments. Treasury\u2019s risk assessment did not document or support how it determined Interest on the Public Debt to be at low risk for susceptibility to significant improper payments considering these risks for improper payments.", "Similarly, Treasury\u2019s responses in its risk assessment questionnaire indicated several improper payment risks for HAMP, including (1) an emphasis on expediting payments, (2) risks resulting from recent changes in agency operations and personnel, (3) complicated criteria for manually computing payments, and (4) a high volume of payments. Treasury\u2019s risk assessment did not document or support how it determined HAMP to be at overall low risk for significant improper payments considering these risks for improper payments. Without supporting documentation, Treasury cannot demonstrate, and we cannot determine, if Treasury\u2019s low risk determinations for Interest on the Public Debt and HAMP were reasonable.", "Additionally, based on our analysis of Treasury\u2019s risk assessment template, a bureau could identify areas of risk related to each of the nine risk factors for a program, but because of the assigned weights given to each of the nine risk factors, Treasury\u2019s final risk calculation would still not determine the program to be at high risk of susceptibility to significant improper payments.", "According to Treasury officials, Treasury provides general instructions on how to complete the risk assessment templates, but the bureaus are responsible for assessing the risks. In addition, according to Treasury, the fiscal year 2017 improper payment risk assessment template used for Interest on the Public Debt and HAMP was designed to calculate an overall risk rating of low, medium, or high based on bureau responses to each individual question. However, Treasury did not have documentation to demonstrate how it determined the weighting of the risk factors or the numerical risk level ranges from the template related to the programs\u2019 susceptibility to significant improper payments. Additionally, Treasury did not have documentation demonstrating the basis for its determination that specific risk factors do or do not lead to susceptibility to significant improper payments. According to Treasury officials, Treasury considered the severity of the impact on the program\u2019s improper payments when developing its weights for each question. However, Treasury officials stated that they did not have documentary support for this analysis. Without documenting the basis for the assigned weights, Treasury cannot demonstrate, and we cannot determine, that its process for determining its programs\u2019 susceptibility to significant improper payments was reasonable.", "Federal internal control standards state that management should develop control activities to achieve objectives and respond to risks and implement control activities through policies. As part of these standards, management should clearly document internal controls and other significant events in a manner that allows the documentation to be readily available for examination. Additionally, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness. Further, federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. As such, to reasonably determine if a program is susceptible to significant improper payments, agencies\u2019 risk assessments would have a logical connection with, or bearing upon, the statutory definition of significant improper payments. Until Treasury revises its risk assessment process to help ensure that it results in reliable assessments, it will not be certain whether Interest on the Public Debt or HAMP may be susceptible to significant improper payments and therefore require an estimate of improper payments."], "subsections": []}, {"section_title": "DOJ\u2019s Improper Payment Risk Assessment for Law Enforcement Lacked Documentation to Support Its Low Risk Determination", "paragraphs": ["In its fiscal year 2017 risk assessment, DOJ assessed its Law Enforcement program as at low risk of susceptibility to significant improper payments. However, DOJ did not have sufficient documentation for how it developed its risk assessments, so we could not determine if the risk assessment process was designed to provide a reasonable basis for making risk determinations.", "Although DOJ conducted a quantitative evaluation as part of its improper payment risk assessment for its Law Enforcement program, the evaluation did not reliably indicate the program\u2019s susceptibility to significant improper payments. Specifically, our analysis of Law Enforcement\u2019s improper payment risk assessment found that the quantitative evaluation\u2019s baseline was largely based on the prior fiscal year\u2019s improper payment amount identified through recovery activities, which may not reliably represent the estimated improper payment amount that the agency incurred. For example, improper payment recovery activities do not include underpayments.", "DOJ\u2019s qualitative analysis on improper payments also did not document or effectively demonstrate whether the program may be susceptible to significant improper payments. Although DOJ\u2019s risk assessment template did take into account the nine risk factors, among other factors, and descriptors of how the components should consider each risk factor, DOJ did not document or effectively demonstrate how each specific risk factor affected the program\u2019s susceptibility to significant improper payments. Further, although DOJ used a risk assessment template to assess each of the risk factors, which included a voluntary comments section for each risk factor so that components can explain answers or justify the risk ratings, the components frequently left the comment sections blank. As such, DOJ did not always provide sufficient documentation or support for us to determine how the components arrived at their risk determinations for each risk factor.", "DOJ\u2019s risk assessment for Law Enforcement also did not document or effectively demonstrate how the total score for all risk factors led to the determination that the program was not susceptible to significant improper payments. For example, in its risk assessment, DOJ\u2019s Offices, Boards, and Divisions\u2019 responses indicated risks for contract payments related to (1) changes in funding, authorities, practices, or procedures; (2) results of monitoring activities; (3) results of recapture audit activities; (4) volume and dollar amount of payments; (5) inherent risks; and (6) capability of personnel. DOJ\u2019s risk assessment did not document or support how it determined Law Enforcement to be at low risk for susceptibility to significant improper payments given the identified risks for certain risk factors. Without supporting documentation, DOJ cannot demonstrate, and we cannot determine, if DOJ\u2019s low risk determination for Law Enforcement was reasonable. Additionally, based on our analysis of DOJ\u2019s risk assessment template, a component could identify areas of risk related to each of the nine risk factors, but because of the assigned weight given to each of the nine risk factors, DOJ\u2019s final risk calculation would still not determine the program to be at high risk of susceptibility to significant improper payments.", "According to DOJ, the fiscal year 2017 improper payment qualitative risk assessment template used for Law Enforcement was designed to calculate an overall risk rating of low, medium, or high based on component responses to each individual risk factor. However, DOJ did not have documentation to demonstrate how it determined the weighting of the risk factors or the numerical risk level ranges from the template related to the program\u2019s susceptibility to significant improper payments. Additionally, DOJ did not have documentation demonstrating the basis for its determination that specific risk factors do or do not lead to susceptibility to significant improper payments. Further, DOJ\u2019s qualitative risk assessment template indicated that the overall risk determination does not relate to the program\u2019s susceptibility to significant improper payments. For example, the template stated that \u201ca risk rating of high risk for the purposes of this assessment does not mean that the payment type is susceptible to significant improper payments but may indicate that additional focus and testing should be placed on that payment type to better estimate the improper payment rate for the payment type.\u201d DOJ officials stated that DOJ held internal discussions and considered the severity of the impact on the program\u2019s improper payments when developing its weights for each risk factor. When asked for supporting documentation, DOJ officials stated that OMB guidance does not direct agencies to demonstrate how the weights for each risk factor or overall risk ratings relate to the definition of significant improper payments.", "However, without documenting the basis for the assigned weights, DOJ cannot demonstrate, and we cannot determine, that its process for determining Law Enforcement\u2019s susceptibility to significant improper payments was reasonable.", "Federal internal control standards state that management should develop control activities to achieve objectives and respond to risks and implement control activities through policies. As part of these standards, management should clearly document internal controls and other significant events in a manner that allows the documentation to be readily available for examination. Additionally, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness. Further, although OMB does not direct agencies to demonstrate how the weights for each risk factor or overall ratings relate to the definition of significant improper payments, federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. As such, to reasonably determine if a program is susceptible to significant improper payments, agencies\u2019 risk assessments would have a logical connection with, or bearing upon, the statutory definition of significant improper payments. Until DOJ revises its risk assessment process to help ensure that it results in a reliable assessment, it will be uncertain whether Law Enforcement may be susceptible to significant improper payments and therefore require an estimate of improper payments."], "subsections": []}, {"section_title": "USDA\u2019s Improper Payment Risk Assessment for ARC/PLC Provided a Reasonable Basis for Its Risk Determination", "paragraphs": ["USDA\u2019s fiscal year 2017 improper payment risk assessment for ARC/PLC consisted of a qualitative analysis and a quantitative evaluation. Both assessments determined that the program was not susceptible to significant improper payments. We found that the quantitative evaluation, based on statistical sampling, provided a reasonable basis for USDA\u2019s determination that the program was at low risk for susceptibility to significant improper payments. Specifically, based on its statistical sample, USDA estimated that ARC/PLC\u2019s improper payment rate was 0.73 percent of program outlays with an estimated improper payment amount of $38.6 million. As such, the analysis clearly demonstrated that ARC/PLC did not meet the statutory definition of significant improper payments under IPIA\u2014estimated improper payments that may have exceeded either (1) 1.5 percent of program outlays and $10 million or (2) $100 million (regardless of the improper payment rate)."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Properly executed improper payment risk assessments are a cornerstone of government-wide efforts to estimate and reduce such payments. Although the qualitative risk assessments we reviewed for HHS, Treasury, and DOJ considered the nine risk factors required by IPIA or directed by OMB, none of them demonstrated how the factors affected a program\u2019s susceptibility to significant improper payments. Additionally, despite the agencies identifying multiple factors as areas of risk in individual program risk assessments, each of the agencies\u2019 overall determinations for the risk assessments we reviewed was \u201clow risk,\u201d and none of the agencies had documentation with which to explain the basis for their assessments.", "Revising their processes for conducting improper payment risk assessments, including preparing sufficient documentation to support the assessments, would better position HHS, Treasury, and DOJ to demonstrate the reliability of the assessments. Without properly designed risk assessments, the departments will continue to be uncertain whether improper payment estimates should be prepared for most programs we reviewed, potentially affecting the completeness of their improper payment estimates and hampering efforts to reduce improper payments."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations\u2014two to HHS, one to Treasury, and one to DOJ: The Secretary of Health and Human Services should revise HHS\u2019s process for conducting improper payment risk assessments for Head Start to help ensure that it results in a reliable assessment of whether the program is susceptible to significant improper payments. This should include preparing sufficient documentation to support its risk assessments. (Recommendation 1)", "The Secretary of Health and Human Services should revise HHS\u2019s procedures for conducting improper payment risk assessments to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years, as required by IPIA. (Recommendation 2)", "The Secretary of the Treasury should revise Treasury\u2019s processes for conducting improper payment risk assessments for Interest on the Public Debt and HAMP to help ensure that the processes result in reliable assessments of whether the programs are susceptible to significant improper payments. This should include preparing sufficient documentation to support its risk assessments. (Recommendation 3)", "The Attorney General should revise DOJ\u2019s process for conducting improper payment risk assessments for Law Enforcement to help ensure that it results in a reliable assessment of whether the program is susceptible to significant improper payments. This should include preparing sufficient documentation to support DOJ\u2019s risk assessments. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for comment to OMB, HHS, DOJ, Treasury, and USDA. DOJ and HHS provided written comments, which are reproduced in appendixes II and III, respectively. OMB, HHS, and Treasury provided technical comments, which we incorporated as appropriate. Treasury\u2019s Acting Director of its Risk and Control Group notified us by email that Treasury concurred with the report and recommendation. A USDA management analyst notified us by email that USDA had no comments on the report.", "In its written comments, HHS stated that it concurs with both recommendations and is committed to reducing improper payments in all of its programs. HHS also described actions it plans to take to address these recommendations, including (1) issuing a written policy directing divisions to maintain supporting documentation for risk assessments, (2) documenting the agency review procedures for risk assessments that the divisions perform and the rationale for assigning weights to the risk factors, and (3) developing an automated program identification process for monitoring and inclusion in risk assessments to help ensure that all programs and activities are reviewed. The actions described by HHS, if implemented effectively, would address our recommendations.", "In its written comments, DOJ stated that it disagreed with our conclusions and recommendation. DOJ explained that its risk assessment methodology includes a qualitative evaluation and a quantitative analysis, and that it considers the nine risk factors likely to contribute to improper payments. Additionally, DOJ provided an overview of its risk assessment tool and guidance and stated that its methodology includes all steps required by OMB. We acknowledged in the draft report that DOJ did take into account the nine risk factors, among others, as directed by OMB and provided an overview of DOJ\u2019s risk assessment template and process.", "DOJ stated that it believes that some of our interpretations exceed the risk assessment requirements, and believes that its methodology complies with requirements and adequately demonstrates whether a program may be susceptible to significant improper payments. DOJ stated that the risk factor ratings summarized in its risk assessment provided a clear link of how the individual risk factor ratings support the overall assessed risk of significant improper payments. Further, DOJ stated that the risk assessment tool provides sufficient documentation for the formulas and logic for the risk rating conversions and weight-based summarization of risk factor scoring.", "We disagree that our interpretations exceed the risk assessment requirements, and we continue to believe that DOJ\u2019s risk assessment did not adequately demonstrate whether a program is or is not susceptible to significant improper payments. We believe that while agencies are not specifically directed to demonstrate how the weights for each risk factor or overall ratings relate to the definition of significant improper payments, management should use quality information to achieve the entity\u2019s objectives as stated in federal internal control standards. As such, to reasonably determine if a program is susceptible to significant improper payments, agencies should have documentation to support how their risk assessments provided a logical connection with, or bearing upon, the statutory definition of significant improper payments. DOJ did not provide sufficient support for how it determined the weighting of the risk factors or the numerical risk level ranges. Because DOJ did not have sufficient documentation for how it developed its risk assessment template, we could not determine if the risk assessment was designed to provide a reasonable basis for the risk determinations.", "DOJ stated that the report does not accurately portray DOJ\u2019s risk assessment process. Specifically, DOJ stated that we incorrectly reported that DOJ\u2019s quantitative evaluation did not include improper payments related to lack of documentation. Based on the information DOJ provided, we removed the lack of documentation example from our report.", "DOJ also stated that it was misleading to report that although DOJ\u2019s risk assessment template included a voluntary comments section for each risk factor for components to explain answers or justify risk ratings, the comment sections were frequently left blank. DOJ stated that its components only need to provide a comment when they believe it is necessary to qualify their responses and that obvious answers do not need to be explained. However, as previously noted, DOJ did not provide sufficient documentation or support for us to determine how the components arrived at their risk determinations for each risk factor. Without such documentation, DOJ cannot demonstrate, and we cannot determine, whether DOJ\u2019s assessment for each risk factor was reasonable.", "Further, DOJ stated that the Offices, Boards, and Divisions example was inaccurate and misleading. DOJ stated that the summary table in its risk assessment questionnaire documented that the risks identified were determined to be low risk and therefore supported the conclusions reached. DOJ also stated that its approach acknowledges that risks exist in every disbursement process and allows process owners to assess the level of risk that exists and determine whether a program may be susceptible to significant improper payments. We disagree that the Offices, Boards, and Divisions example is inaccurate or misleading. Although we recognize that DOJ\u2019s summary table, or scoring template as referred to in the report, documented that the risks identified were determined to be low risk, we do not believe that it provided support for that determination. Specifically, the summary table was populated based on component responses and predetermined weights to calculate an overall risk rating of low, medium, or high; however, DOJ did not provide documentation to demonstrate how it determined the weights of the risk factors or the numerical risk level ranges involved in that calculation. Without documenting the basis for the assigned weights, DOJ cannot demonstrate, and we cannot determine, that its process for determining Law Enforcement\u2019s susceptibility to significant improper payments was reasonable.", "We continue to believe that our recommendation to DOJ is valid to help ensure that DOJ\u2019s risk assessment reliably results in determining whether Law Enforcement may be susceptible to significant improper payments.", "We are sending copies of this report to the appropriate congressional committees, the Director of the Office of Management and Budget, the Secretary of Agriculture, the Secretary of Health and Human Services, the Secretary of the Treasury, the Acting Attorney General, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2623 or davisbh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["This report examines the extent to which certain federal agencies\u2019 improper payment risk assessments for selected programs provided a reasonable basis for determining susceptibility to significant improper payments.", "To address our objective, we reviewed improper payment risk assessment requirements in the Improper Payments Information Act of 2002, as amended (IPIA), and the related guidance in Office of Management and Budget (OMB) Circular A-123, Appendix C, Requirements for Effective Estimation and Remediation of Improper Payments (OMB M-15-02). We analyzed this statute and guidance to identify key criteria that agencies must meet when conducting improper payment risk assessments. IPIA identifies seven risk factors and OMB guidance includes two additional risk factors that agencies must consider, at a minimum, in their improper payment risk assessments to determine susceptibility to significant improper payments. IPIA also directs agencies to conduct risk assessments for all programs and activities at least once every 3 years. We also reviewed relevant internal control standards to determine the relevant processes and procedures needed to help ensure that agencies conduct effective improper payment risk assessments to determine the susceptibility to significant improper payments.", "For this objective, we selected a nongeneralizable sample of 4 agencies and five programs to review. To select the agencies, we considered data for the 24 agencies subject to the Chief Financial Officers Act of 1990 (CFO Act). Specifically, we considered the timing of the agencies\u2019 improper payment risk assessments, findings reported by the agencies\u2019 inspectors general (IG), the number of programs and activities for which the agencies reported improper payment estimates for fiscal year 2017, the types of programs and activities that the agencies administered, and agency gross outlays in fiscal year 2017. To ensure we were including agencies that had most recently conducted improper payment risk assessments, we limited our selection to agencies that conducted improper payment risk assessments for any programs or activities in fiscal year 2017. In order to avoid duplicate efforts, we also eliminated agencies that reported IG findings related to risk assessments. We then selected a mix of agencies with and without improper payment estimates for fiscal year 2017, and ultimately selected 4 agencies based primarily on their fiscal year 2017 outlays for programs determined to be not susceptible to improper payments. Specifically, we selected one agency that did not report any improper payment estimates, one agency that reported a few improper payment estimates (for three or fewer programs or activities), and one agency that reported several improper payment estimates (for five or more programs or activities). We also selected one agency that administered eligibility-based programs in fiscal year 2017 because of the unique application and approval processes generally associated with eligibility determinations and their increased risk of improper payments.", "We then selected up to two programs or activities at each agency, for a total of five programs. To facilitate our program selection, we requested a listing of all programs and activities at the selected agencies that underwent a risk assessment in fiscal years 2015 through 2017 (the most recent 3-year period at the time of our review) along with the gross outlay amounts associated with these programs and activities. Through our selection process, we noted that the Department of Health and Human Services (HHS) did not assess at least 140 of its programs and activities in the 3-year period from fiscal years 2015 through 2017, and therefore our program selection for HHS was limited to approximately 70 programs or activities.", "To select programs, we considered outlay data, the timing of the most recent improper payment risk assessment conducted for each program or activity, and whether eligibility determinations were required for payments under each program or activity. Our selection was primarily based on the size of program and activity gross outlays reported for fiscal year 2017. We focused on outlays because the overall impact of any issues identified with an agency\u2019s risk assessment process may be greater for programs and activities with higher gross outlays, as a higher volume of payments or higher payment amounts could potentially involve higher improper payments. Based on these data, we selected five programs for review. Our findings are limited to the five selected programs and cannot be generalized to all programs and activities at the 24 CFO Act agencies. The agencies and relevant programs selected for review are shown in table 3.", "We interviewed officials at the selected agencies on their processes for conducting improper payment risk assessments and reviewed documented policies and procedures. We obtained the most recent improper payment risk assessments that the agencies conducted on the selected programs during the latest 3-year period at the time of our review (fiscal years 2015 through 2017). We then analyzed those risk assessments against relevant IPIA requirements, OMB guidance, and internal control standards to determine whether the agencies had evaluated the appropriate risk factors for improper payments, appropriately considered those risk factors in their risk assessments, and provided a reasonable basis for the risk determination. For any agencies that did not adhere to the improper payment risk assessment requirements, lacked supporting documentation for their risk assessments, or did not provide a reasonable basis for the risk determinations, we interviewed appropriate agency officials to determine the reasons they did not. We also interviewed OMB staff regarding their roles in developing risk assessment guidance.", "We conducted this performance audit from December 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Justice", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Matthew Valenta (Assistant Director), Stephanie Adams (Auditor in Charge), Marcia Carlsen, Pat Frey, Gina Hoover, Diana Lee, Zhen Li, and Charles Varga made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-696T", "url": "https://www.gao.gov/products/GAO-18-696T", "title": "Electronic Health Records: Clear Definition of the Interagency Program Office's Role in VA's New Modernization Effort Would Strengthen Accountability", "published_date": "2018-09-13T00:00:00", "released_date": "2018-09-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2008 included provisions that VA and DOD jointly develop and implement electronic health record systems or capabilities and accelerate the exchange of health care information. The act also required that these systems be compliant with applicable interoperability standards. Further, the act established a joint Interagency Program Office to act as a single point of accountability for the efforts, with the function of implementing, by September 30, 2009, electronic health record systems that allow for full interoperability.", "This testimony discusses GAO's previously reported findings on the establishment and evolution of the Interagency Program Office over the last decade. In developing this testimony, GAO summarized findings from its reports issued in 2008 through 2018, and information on the departments' actions in response to GAO's recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["Since its establishment in 2008, the Department of Defense (DOD) and Department of Veterans Affairs (VA) Interagency Program Office has been involved in various approaches to increase health information interoperability. However, the office has not been effectively positioned to function as the single point of accountability for the departments' electronic health record system interoperability efforts. For example,", "Between July 2008 and January 2010, GAO issued reports on VA's and DOD's efforts to set up the office, which highlighted steps the departments had taken, but also identified deficiencies, such as vacant leadership positions and a lack of necessary plans. GAO recommended that the departments improve management of their interoperability efforts by developing a project plan and results-oriented performance goals and measures.", "In April 2009, the Interagency Program Office was assigned responsibility for establishing a lifetime electronic record for servicemembers and veterans, called the Virtual Lifetime Electronic Record. GAO reported in February 2011 that, among other things, the office had not developed and approved an integrated master schedule, a master program plan, or performance metrics for the initiative, as outlined in the office's charter. Accordingly, GAO recommended that the departments correct these deficiencies to strengthen their efforts to establish the Virtual Lifetime Electronic Record.", "In March 2011, VA and DOD committed to jointly developing a new, common integrated electronic health record system and empowered the Interagency Program Office with increased authority, expanded responsibilities, and increased staffing levels for leading the integrated system effort. However, in February 2013, the departments abandoned their plan to develop the integrated system and stated that they would again pursue separate modernization efforts. In February 2014, GAO reported on this decision and recommended that VA and DOD take steps to better position the office to function as the single point of accountability for achieving interoperability between the departments' electronic health record systems.", "VA and DOD stated that they agreed with the above GAO recommendations. However, in several cases the departments' subsequent actions were incomplete and did not fully address all recommendations.", "In June 2017 VA announced that it planned to acquire the same electronic health record system that DOD has been acquiring. GAO testified in June 2018 that a governance structure had been proposed that would be expected to leverage existing joint governance facilitated by the Interagency Program Office. At that time, VA's program officials had stated that the department's governance plans for the new program were expected to be finalized in October 2018. However, the officials have not yet indicated what role, if any, the Interagency Program Office is to have in the governance process. Ensuring that the role and responsibilities of the office are clearly defined within these governance plans is essential to VA successfully acquiring and implementing the same system as DOD."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VA clearly define the role and responsibilities of the Interagency Program Office in the governance plans for acquisition of the department's new electronic health record syst"]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to participate in today\u2019s hearing on the Department of Defense (DOD) and Department of Veterans Affairs (VA) Interagency Program Office and the office\u2019s role regarding VA\u2019s Electronic Health Record Modernization (EHRM) program. As you know, these departments operate two of the nation\u2019s largest health care systems, which provide coverage to millions of veterans and active duty service members and their beneficiaries. The use of information technology (IT) is crucial to helping the departments effectively serve the nation\u2019s veterans and, each year, the departments spend billions of dollars on information systems and assets.", "Both VA and DOD have long recognized the importance of advancing the use of shared health information systems and capabilities to make patient information more readily available to their health care providers, reduce medical errors, and streamline administrative functions. Toward this end, the two departments have an extensive history of working to achieve shared health care resources. Over many years, however, the departments have experienced challenges in managing a number of critical initiatives related to modernizing major systems. Such initiatives include modernizing VA\u2019s electronic health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA).", "To expedite the departments\u2019 efforts to exchange electronic health care information, Congress included in the National Defense Authorization Act for Fiscal Year 2008, provisions that required VA and DOD to jointly develop and implement electronic health record systems or capabilities and to accelerate the exchange of health care information. The act also required that these systems or capabilities be compliant with applicable interoperability standards, implementation specifications, and certification criteria of the federal government.", "Further, the act established a joint Interagency Program Office to act as a single point of accountability for the electronic health care exchange efforts. The office was given the function of implementing, by September 30, 2009, electronic health record systems or capabilities that would allow for full interoperability of personal health care information between the departments.", "In addition, the act included a provision that GAO report on the progress that VA and DOD have made in achieving the goal of fully interoperable personal health care information. Our reports in response to this requirement included information on the departments\u2019 efforts to set up the joint Interagency Program Office. We also subsequently produced reports that have discussed the Interagency Program Office in relation to VA\u2019s efforts to develop a lifetime electronic health record capability for servicemembers and veterans, develop a joint electronic record capability with DOD, and promote increased electronic health record system interoperability.", "At your request, my testimony today summarizes findings from our prior work that examined the establishment and evolution of the Interagency Program Office over the last decade. The testimony also discusses the roles this office has played in VA\u2019s and DOD\u2019s efforts to increase interoperability and electronic health record capabilities, and any challenges the office has faced in doing so.", "In developing this testimony, we relied on our previous reports and testimonies related to the Interagency Program Office, as well as VA\u2019s and DOD\u2019s electronic health record system programs and modernization efforts. We also incorporated information on the departments\u2019 actions in response to recommendations we made in our previous reports. In addition, we discussed this testimony with the Executive Director of VA\u2019s EHRM office. The reports cited throughout this statement include detailed information on the scope and methodology of our prior reviews.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Historically, patient health information has been scattered across paper records kept by many different caregivers in many different locations, making it difficult for a clinician to access all of a patient\u2019s health information at the time of care. Lacking access to these critical data, a clinician may be challenged in making the most informed decisions on treatment options, potentially putting the patient\u2019s health at risk.", "The use of technology to electronically collect, store, retrieve, and transfer clinical, administrative, and financial health information has the potential to improve the quality and efficiency of health care. Electronic health records are particularly crucial for optimizing the health care provided to military personnel and veterans. While in active military status and later as veterans, many DOD and VA personnel, along with their family members, tend to be highly mobile and may have health records residing at multiple medical facilities within and outside the United States.", "VA and DOD operate separate electronic health record systems that they rely on to create and manage patient health information. In particular, VA currently uses its integrated medical information system\u2014VistA\u2014which was developed in-house by the department\u2019s clinicians and IT personnel and has been in operation since the early 1980s. Over the last several decades, VistA has evolved into a technically complex system comprised of about 170 modules that support health care delivery at 170 VA Medical Centers and over 1,200 outpatient sites. In addition, customization of VistA, such as changes to the modules by the various medical facilities, has resulted in about 130 versions of the system\u2014referred to as instances.", "For its part, DOD relies on its Armed Forces Health Longitudinal Technology Application (AHLTA), which comprises multiple legacy medical information systems that were developed from commercial software products and customized for specific uses. For example, the Composite Health Care System (CHCS), which was formerly DOD\u2019s primary health information system, is used to capture information related to pharmacy, radiology, and laboratory order management. In addition, the department uses Essentris (also called the Clinical Information System), a commercial health information system customized to support inpatient treatment at military medical facilities.", "In July 2015, DOD awarded a contract for a new commercial electronic health record system to be developed by the Cerner Corporation. Known as MHS GENESIS, this system is intended to replace DOD\u2019s existing AHLTA system. The transition to MHS GENESIS began in February 2017 and implementation is expected to be complete throughout the department in 2022."], "subsections": [{"section_title": "Interoperability: An Overview", "paragraphs": ["The sharing of health information among organizations is especially important because the health care system is highly fragmented, with care and services provided in multiple settings, such as physician offices and hospitals, that may not be able to coordinate patient medical care records. Thus, a means for sharing information among providers, such as between DOD\u2019s and VA\u2019s health care systems, is by achieving interoperability.", "The Office of the National Coordinator for Health IT, within the Department of Health and Human Services, has issued guidance, describing interoperability as: the ability of systems to exchange electronic health information and the ability to use the electronic health information that has been exchanged from other systems without special effort on the part of the user.", "Similarly, the National Defense Authorization Act for Fiscal Year 2014 defines interoperability, per its use in the provision governing VA\u2019s and DOD\u2019s electronic health records, as \u201cthe ability of different electronic health records systems or software to meaningfully exchange information in real time and provide useful results to one or more systems.\u201d Thus, in these contexts, interoperability allows patients\u2019 electronic health information to be available from provider to provider, regardless of where the information originated.", "Achieving interoperability depends on, among other things, the use of agreed-upon health data standards to ensure that information can be shared and used. If electronic health records conform to interoperability standards, they potentially can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization, thus providing patients and their caregivers the information needed for optimal care. Information that is electronically exchanged from one provider to another must adhere to the same standards in order to be interpreted and used in electronic health records, thereby permitting interoperability.", "In the health IT field, standards may govern areas ranging from technical issues, such as file types and interchange systems, to content issues, such as medical terminology. On a national level, the Office of the National Coordinator has been assigned responsibility for identifying health data standards and technical specifications for electronic health record technology and overseeing the certification of this technology.", "In addition to exchanging the information, systems must be able to use the information that is exchanged. Thus, if used in a way that improves providers\u2019 and patients\u2019 access to critical information, electronic health record technology has the potential to improve the quality of care that patients receive and to reduce health care costs. For example, with interoperability, medical providers have the ability to query data from other sources while managing chronically ill patients, regardless of geography or the network on which the data reside."], "subsections": []}, {"section_title": "VA and DOD Have a Long History of Efforts to Achieve Electronic Health Record Interoperability", "paragraphs": ["Since 1998, DOD and VA have relied on a patchwork of initiatives involving their health information systems to exchange information and increase electronic health record interoperability. These have included initiatives to share viewable data in existing (legacy) systems; link and share computable data between the departments\u2019 updated health data repositories; develop a virtual lifetime electronic health record to enable private sector interoperability; implement IT capabilities for the first joint federal health care center; and jointly develop a single integrated system. Table 1 provides a brief description of the history of these various initiatives.", "In addition to the initiatives mentioned in table 1, DOD and VA previously responded to provisions in the National Defense Authorization Act for Fiscal Year 2008 directing the departments to jointly develop and implement fully interoperable electronic health record systems or capabilities in 2009. The act also called for the departments to set up the Interagency Program Office to be a single point of accountability for their efforts to implement these systems or capabilities by the September 30, 2009, deadline."], "subsections": []}]}, {"section_title": "The Interagency Program Office Has Not Functioned as the Single Point of Accountability for VA and DOD\u2019s Efforts to Increase Electronic Health Record Interoperability", "paragraphs": ["The Interagency Program Office has been involved in the various approaches taken by VA and DOD to increase health information interoperability and modernize their respective electronic health record systems. These approaches have included development of the Virtual Lifetime Electronic Record (VLER) and a new, common integrated electronic health record (iEHR) system. However, although the Interagency Program Office has led efforts to identify data standards that are critical to interoperability between systems, the office has not been effectively positioned to be the single point of accountability as called for in the National Defense Authorization Act for Fiscal Year 2008. Moreover, the future role of the office with respect to VA\u2019s current electronic health record modernization program is uncertain."], "subsections": [{"section_title": "The Interagency Program Office Became Operational, but Was Not Positioned to Be the Single Point of Accountability for Achieving Interoperability", "paragraphs": ["Although VA and DOD took steps to set up the Interagency Program Office, the office was not positioned to be the single point of accountability for the departments\u2019 efforts to achieve electronic health record interoperability by September 30, 2009. When we first reported in July 2008 on its establishment, VA and DOD\u2019s efforts to set up the office were still in their early stages. Leadership positions in the office were not yet permanently filled, staffing was not complete, and facilities to house the office had not been designated. Further, the implementation plan for setting up the office was in draft and, although the plan included schedules and milestones, the dates for several activities (such as implementing a capability to share immunization records) had not yet been determined, even though all capabilities were to be achieved by September 2009.", "We concluded that without a fully established program office and a finalized implementation plan with set milestones, the departments could be challenged in meeting the required date for achieving interoperability. Accordingly, we recommended that the departments give priority to fully establishing the office by putting in place permanent leadership and staff, as well as finalizing the draft implementation plan. Both departments agreed with this recommendation.", "We later reported in January 2009 that VA and DOD had continued to take steps to set up the Interagency Program Office. For example, the departments had developed descriptions for key positions within the office. In addition, the departments had developed a document that depicted the Interagency Program Office\u2019s organizational structure; they also had approved a program office charter to describe, among other things, the mission and functions of the office.", "However, we pointed out that VA and DOD had not yet fully executed their plan to set up the office. For example, among other activities, they had not filled key positions for the Director and Deputy Director, or for 22 of 30 other positions identified for the office.", "Our report stressed that, in the continued absence of a fully established Interagency Program Office, the departments would remain ineffectively positioned to assure that interoperable electronic health records and capabilities would be achieved by the required date. Thus, we recommended that the departments develop results-oriented performance goals and measures to be used as the basis for reporting interoperability progress. VA and DOD agreed with our recommendation.", "Nevertheless, in a subsequent July 2009 report, we noted that the Interagency Program Office was not effectively positioned to function as a single point of accountability for the implementation of fully interoperable electronic health record systems or capabilities between VA and DOD. While the departments had made progress in setting up the office by hiring additional staff, they continued to fill key leadership positions on an interim basis. Further, while the office had begun to demonstrate responsibilities outlined in its charter, it was not yet fulfilling key IT management responsibilities in the areas of performance measurement (as we previously recommended), project planning, and scheduling, which were essential to establishing the office as a single point of accountability for the departments\u2019 interoperability efforts. Thus, we recommended that the departments improve the management of their interoperability efforts by developing a project plan and a complete and detailed integrated master schedule. VA and DOD stated that they agreed with this recommendation.", "In our January 2010 final report in response to the National Defense Authorization Act for Fiscal Year 2008, we noted that VA and DOD officials believed they had satisfied the act\u2019s September 30, 2009, requirement for full interoperability by meeting specific interoperability- related objectives that the departments had established. These objectives included: refine social history data, share physical exam data, and demonstrate initial document scanning between the departments.", "Additionally, the departments had made progress in setting up their Interagency Program Office by hiring additional staff, including a permanent director. In addition, consistent with our recommendations in the three previously mentioned reports, the office had begun to demonstrate responsibilities outlined in its charter in the areas of scheduling, planning, and performance measurement.", "Nevertheless, the office\u2019s efforts in these areas did not fully satisfy the recommendations and were incomplete. Specifically, the office did not have a schedule that included information about tasks, resource needs, or relationships between tasks associated with ongoing activities to increase interoperability. Also, key IT management responsibilities in the areas of planning and performance measurement remained incomplete. We reiterated that, by not having fulfilled key management responsibilities, as we had previously recommended, the Interagency Program Office continued to not be positioned to function as a single point of accountability for the delivery of the future interoperable capabilities that the departments were planning."], "subsections": []}, {"section_title": "The Interagency Program Office Was to Be the Single Point of Accountability for Establishing a Lifetime Electronic Record for Servicemembers and Veterans, but VA and DOD Did Not Develop Complete Plans for the Effort", "paragraphs": ["Although the Interagency Program Office charter named the office as the single point of accountability for the initiative, the office did not have key plans to define and guide the effort. In April 2009, the President announced that VA and DOD would work together to define and build VLER to streamline the transition of electronic medical, benefits, and administrative information between the two departments. VLER was intended to enable access to all electronic records for service members as they transition from military to veteran status, and throughout their lives. Further, the initiative was to expand the departments\u2019 health information sharing capabilities by enabling access to private sector health data.", "Shortly after the April 2009 announcement, VA, DOD, and the Interagency Program Office began working to define and plan for the VLER initiative. Further, the office was rechartered in September 2009 and named as the single point of accountability for the coordination and oversight of jointly approved IT projects, data, and information sharing activities, including VLER.", "In our February 2011 report on the departments\u2019 efforts to address their common health IT needs, we noted that, among other things, the Interagency Program Office had not developed an approved integrated master schedule, master program plan, or performance metrics for the VLER initiative, as outlined in the office\u2019s charter. We noted that if the departments did not address these issues, their ability to effectively deliver capabilities to support their joint health IT needs would be uncertain. Thus, we recommended that the Secretaries of VA and DOD strengthen their efforts to establish VLER by developing plans that would include scope definition, cost and schedule estimation, and project plan documentation and approval. Although the departments stated they agreed with this recommendation, they did not implement it."], "subsections": []}, {"section_title": "The Interagency Program Office Was Responsible for the Development of a Joint Electronic Health Record System for VA and DOD, but the Office Was Not Positioned for Effective Collaboration", "paragraphs": ["The Interagency Program Office was assigned responsibility for the development of an electronic health record system that VA and DOD were to share. However, the departments did not provide the office with control over the resources (i.e., funds and staff) it needed to facilitate effective collaboration.", "In March 2011, the Secretaries of VA and DOD committed the two departments to developing the iEHR system, and in May 2012 announced their goal of implementing it across the departments by 2017. To oversee this new effort, in October 2011, VA and DOD re-chartered the Interagency Program Office to give it increased authority, expanded responsibilities, and increased staffing levels for leading the integrated system effort. The new charter also gave the office responsibility for program planning and budgeting, acquisition and development, and implementation of clinical capabilities. However, in February 2013, the Secretaries of VA and DOD announced that they would not continue with their joint development of a single electronic health record system.", "In February 2014, we reported on the departments\u2019 decision to abandon their plans for iEHR. Specifically, we reported that VA and DOD had not addressed management barriers to effective collaboration on their joint health IT efforts. For example, the Interagency Program Office was intended to better position the departments to collaborate, but the departments had not implemented the office in a manner consistent with effective collaboration. Specifically, the Interagency Program Office lacked effective control over essential resources such as funding and staffing. In addition, decisions by the departments had diffused responsibility for achieving integrated health records, potentially undermining the office\u2019s intended role as the single point of accountability.", "We concluded that providing the Interagency Program Office with control over essential resources and clearer lines of authority would better position it for effective collaboration. Further, we recommended that VA and DOD better position the office to function as the single point of accountability for achieving interoperability between the departments\u2019 electronic health record systems by ensuring that the office has authority (1) over dedicated resources (e.g., budget and staff), (2) to develop interagency processes, and (3) to make decisions over the departments\u2019 interoperability efforts. Although VA and DOD stated that they agreed with this recommendation, they did not implement it."], "subsections": []}, {"section_title": "The Interagency Program Office Subsequently Took Steps to Improve Interoperability Measurement and Additional Actions Are Planned", "paragraphs": ["In light of the departments\u2019 not having implemented a solution that allowed for seamless electronic sharing of medical health care data, the National Defense Authorization Act for Fiscal Year 2014 included requirements pertaining to the implementation, design, and planning for interoperability between VA and DOD\u2019s separate electronic health record systems. Among other things, the departments were each directed to (1) ensure that all health care data contained in VA\u2019s VistA and DOD\u2019s AHLTA systems complied with national standards and were computable in real time by October 1, 2014, and (2) deploy modernized electronic health record software to support clinicians while ensuring full standards- based interoperability by December 31, 2016.", "In August 2015, we reported that VA and DOD, with guidance from the Interagency Program Office, had taken actions to increase interoperability between their electronic health record systems. Among other things, the departments had initiated work focused on near-term objectives, including standardizing their existing health data and making them viewable by both departments\u2019 clinicians in an integrated format. The departments also developed longer-term plans to modernize their respective electronic health record systems. For its part, the Interagency Program Office issued guidance outlining the technical approach for achieving interoperability between the departments\u2019 systems.", "However, even with the actions taken, VA and DOD did not certify by the October 1, 2014, deadline established in the National Defense Authorization Act for Fiscal Year 2014 for compliance with national data standards that all health care data in their systems complied with national standards and were computable in real time.", "We also reported that the departments\u2019 system modernization plans identified a number of key activities to be implemented beyond December 31, 2016\u2014the deadline established in the act for the two departments to deploy modernized electronic health record software to support clinicians while ensuring full standards-based interoperability. Specifically, DOD had issued plans and announced the contract award for acquiring a modernized system to include interoperability capabilities across military operations. VA had issued plans describing an incremental approach to modernizing its existing electronic health records system. These plans\u2014if implemented as described\u2014indicated that deployment of the new systems with interoperability capabilities would not be completed across the departments until after 2018.", "With regard to its role, the Interagency Program Office had taken steps to develop process metrics intended to monitor progress related to the data standardization and exchange of health information consistent with its responsibilities. For example, it had issued guidance that calls for tracking metrics, such as the percentage of data domains within the departments\u2019 current health information systems that are mapped to national standards.", "However, the office had not yet specified outcome-oriented metrics and established related goals that are important to gauging the impact that interoperability capabilities have on improving health care services for shared patients. As a result, we recommended that VA and DOD, working with the Interagency Program Office, take actions to establish a time frame for identifying outcome-oriented metrics, define goals to provide a basis for assessing and reporting on the status of interoperability-related activities and the extent to which interoperability is being achieved by the departments\u2019 modernized electronic health record systems, and update Interagency Program Office guidance to reflect the metrics and goals identified.", "Subsequently, we reported that VA and DOD had certified in April 2016 that all health care data in their systems complied with national standards and were computable in real time. However, VA acknowledged that it did not expect to complete a number of key activities related to its electronic health record system until sometime after the December 31, 2016, statutory deadline for deploying modernized electronic health record software with interoperability.", "Further, in following up on implementation of the recommendations in our August 2015 report, we found that VA, DOD, and the Interagency Program Office had addressed the recommendations in full by updating guidance to include goals and objectives and an approach to developing metrics that would improve the departments\u2019 ability to report on the status of interoperability activities."], "subsections": []}, {"section_title": "The Interagency Program Office\u2019s Role in Governing VA\u2019s New Electronic Health Record System Acquisition Is Uncertain", "paragraphs": ["In June 2017, the former VA Secretary announced a significant shift in the department\u2019s approach to modernizing the department\u2019s electronic health record system. Specifically, rather than continue to use VistA, the Secretary stated that the department planned to acquire the same Cerner electronic health record system that DOD has been acquiring.", "Accordingly, the department awarded a contract to Cerner in May 2018 for a maximum of $10 billion over 10 years. Cerner is to replace VistA with a commercial electronic health record system. This new system is to support a broad range of health care functions that include, for example, acute care, clinical decision support, dental care, and emergency medicine. When implemented, the new system will be expected to provide access to authoritative clinical data sources and become the authoritative source of clinical data to support improved health, patient safety, and quality of care provided by VA.", "Deployment of the new electronic health record system at three initial sites is planned for within 18 months of October 1, 2018, with a phased implementation of the remaining sites over the next decade. Each VA medical facility is expected to continue using VistA until the new system has been deployed at that location.", "As we testified in June 2018, VA has taken steps to establish a program management office and has drafted a structure for technology, functional, and joint governance of the electronic health record implementation. Specifically, in January 2018, the former VA Secretary established the Electronic Health Record Modernization (EHRM) program office that reports directly to the VA Deputy Secretary.", "Further, VA has drafted a memorandum that describes the role of governance bodies within VA, as well as governance intended to facilitate coordination between the department and DOD. According to EHRM program documentation, VA is in the process of establishing a Functional Governance Board, a Technical Governance Board, and a Governance Integration Board comprised of program officials intended to provide guidance and coordinate with DOD, as appropriate. Further, a joint governance structure between VA and DOD has been proposed that would be expected to leverage existing joint governance facilitated by the Interagency Program Office.", "Nevertheless, while VA\u2019s plans for governance of the EHRM program provide a framework for high-level oversight for program decisions moving forward, EHRM officials have noted that the governance bodies will not be finalized until October 2018. Accordingly, the officials have not yet indicated what role, if any, the Interagency Program Office is to have in the governance process."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The responsibilities of the Interagency Program Office have been intended to support the numerous approaches taken by VA and DOD to increase health information interoperability and modernize their respective electronic health record systems. Yet, while the office has led key efforts to identify data standards that are critical to interoperability between systems, the office has not been effectively positioned to be the single point of accountability originally described in the National Defense Authorization Act for Fiscal Year 2008. Further, the future role of the Interagency Program Office remains unclear despite the continuing need for VA and DOD to share the electronic health records of servicemembers and veterans. In particular, what role, if any, that the office is to have in VA\u2019s acquisition of the same electronic health record system that DOD is currently acquiring is uncertain."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to VA: The Secretary of Veterans Affairs should ensure that the role and responsibilities of the Interagency Program Office are clearly defined within the governance plans for acquisition of the department\u2019s new electronic health record system. (Recommendation 1)", "Chairman Banks, Ranking Member Lamb, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact Carol C. Harris, Director, Information Technology Management Issues, at (202) 512-4456 or harrisc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this testimony are Mark Bird (Assistant Director), Jennifer Stavros-Turner (Analyst in Charge), Rebecca Eyler, Jacqueline Mai, Scott Pettis, and Charles Youman.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-486", "url": "https://www.gao.gov/products/GAO-18-486", "title": "Unemployment Insurance: Actions Needed to Ensure Consistent Reporting of Overpayments and Claimants' Compliance with Work Search Requirements", "published_date": "2018-08-22T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The UI program, which is overseen by DOL and administered by states, paid $30 billion to about 5.7 million individuals in 2017. Under federal law, to be eligible for benefits, individuals are generally required to actively search for work, but the specific work search requirements vary by state. Yet, states found that some benefits were overpaid to UI claimants who were ineligible because they were not meeting work search requirements. GAO was asked to review improper payments due to UI claimants' failure to actively search for work. Building on GAO's prior work ( GAO-18-133R ), this report examines (1) state administrative practices associated with work search overpayments; (2) selected states' approaches to address work search overpayments; and (3) DOL's oversight and support of states' efforts.", "GAO analyzed DOL data, including the results of state reviews of a representative random sample of UI payments made from fiscal years 2013 through 2017. GAO also reviewed UI information from six states selected for variation in work search requirements and overpayment rates, interviewed DOL and state officials, and reviewed relevant federal laws, regulations, and guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis of Department of Labor (DOL) data found that certain state administrative practices, such as reviewing a higher percentage of claimant-reported work search activities and frequent use of formal warnings, were associated with lower estimated work search overpayment rates for the Unemployment Insurance (UI) program. According to DOL data, 22 states were warning claimants after the first discovered occurrence of their failure to meet work search requirements (i.e., issuing formal warnings) rather than reporting that an overpayment was made, while the other states were reporting such cases as overpayments. In 2017, DOL determined that federal law does not permit states to use such policies. GAO's analysis of DOL data shows that in fiscal year 2017, estimated work search overpayments were nearly $1.4 billion (see fig.), but would have been an estimated $1.8 billion (+/-$0.2 billion) greater if states had not issued formal warnings and established overpayments. DOL officials told GAO in July 2017 that the agency would issue a letter to states informing them that federal law does not permit them to warn claimants instead of establishing an overpayment. To date, DOL has not issued the letter. Until DOL provides states with such notification, states may continue to report inconsistent information on overpayments.", "State officials GAO interviewed reported using multiple approaches to address work search overpayments, including using their online systems that automate collecting information on claimants' work search activities; conducting audits of claimants work search activities beyond those required; and sending automated messages to claimants regarding their work search requirements. Officials said that their approaches encouraged claimants to conduct a more active work search and prevented work search overpayments in some cases.", "DOL monitors states' work search overpayment rate estimates and has helped states address such overpayments, but lacks clear procedures for how states should verify claimants' work search activities. DOL directs states to verify a \u201csufficient\u201d number of work search activities during their audits but has not provided information on what is considered sufficient. DOL data show that some states did not review claimants' work search activities for a majority of audited cases. DOL officials said that the agency plans to clarify its procedures after issuing a letter about formal warnings. By clarifying these procedures, DOL will have greater assurance that states are complying with verification requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to DOL, including that it provide states information about its determination that the use of state formal warning policies is no longer permissible and clarify its work search verification requirements. DOL agreed with GAO's recommendations and stated that it would take action to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal-state Unemployment Insurance (UI) program provides temporary income support to eligible workers who become unemployed through no fault of their own. Individuals who claim unemployment are generally required to actively search for work as a condition of receiving benefits. However, the specific work search requirements\u2014such as the number of weekly contacts a claimant must have with potential employers\u2014vary by state, according to the Department of Labor (DOL).", "Overseen by DOL, and administered by states, the UI program paid approximately $30 billion to about 5.7 million individuals in 2017. The UI program had the seventh-highest reported improper payment estimate among all federal programs in fiscal year 2017 (about $4 billion or about 12.5 percent of benefits paid). Currently, the leading reported cause of UI improper payments is overpayments to claimants who failed to meet work search requirements, according to DOL data.", "You asked us to review states\u2019 and DOL\u2019s approaches to address improper payments that result from UI claimants\u2019 failure to actively search for work. In November 2017, we reported that some states use formal warnings for claimants who fail to actively seek work instead of counting them as overpayments, which affects DOL\u2019s improper payment estimates, and that additional instruction from DOL could help. In this report, we build on the findings from that prior report and provide additional information on how selected states and DOL are addressing overpayments due to claimants\u2019 failure to meet work search requirements, i.e., work search overpayments.", "Specifically, we examine (1) the extent to which state administrative practices are associated with reported work search overpayments, (2) the approaches that selected states have used to address work search overpayments, and (3) the extent to which DOL oversees and supports states\u2019 progress in reducing work search overpayments.", "To examine the extent to which state administrative practices are associated with reported work search overpayments, we analyzed DOL\u2019s Benefit Accuracy Measurement (BAM) Program data for fiscal years 2013 through 2017, the most recent data available. We estimated work search overpayment rates and amounts overpaid, produced descriptive statistics, and conducted a regression analysis. (See app. I for more information on our regression analysis.) We assessed the reliability of the data by (1) performing electronic testing of relevant data elements, (2) reviewing existing information about the data and the system that produced them, including results from prior audits, and (3) collecting information from DOL officials knowledgeable about the data. Based on these reviews, we determined that the data were sufficiently reliable for our purposes. Related to these administrative practices, we also reviewed relevant federal laws, regulations, and DOL guidance. We assessed DOL actions against its internal procedures and federal internal controls standards related to monitoring and communication.", "To identify approaches states have used to address work search overpayments, we reviewed documentation, such as work search verification procedures, and interviewed state UI officials from six states\u2013 Indiana, Nevada, New Jersey, Mississippi, Pennsylvania, and Utah\u2013 selected for variation in work search requirements, overpayment rates, and DOL region. The information we obtained from those states is not generalizable to all states.", "To determine the extent to which DOL oversees and supports states\u2019 efforts to address work search overpayments, we interviewed DOL officials from the national office and collected information from all six DOL regional offices on how they oversee state BAM systems, such as monitoring procedures and state plans submitted by our selected states. We also reviewed relevant federal laws, regulations, and DOL guidance. We assessed DOL actions against its internal procedures and relevant federal internal controls standards.", "We conducted this performance audit from January 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "UI Program Administration and Funding", "paragraphs": ["The federal-state UI program provides temporary cash benefits to eligible workers who lose their jobs through no fault of their own. Under this arrangement, states administer their own programs according to certain federal requirements and under the oversight of DOL\u2019s Office of Unemployment Insurance. States have considerable flexibility to set benefit amounts and their duration, or the maximum period of time that the state pays benefits, and establish eligibility requirements.", "UI benefits are funded primarily through state payroll taxes on employers, and administrative costs are primarily funded through a federal payroll tax on employers. The states collect taxes that will be used to pay UI benefits, and the U.S. Department of the Treasury holds these funds in trust on behalf of the states in the Unemployment Trust Fund. DOL certifies for payment to the states administrative grants to operate their UI programs, which amounted to about $2.7 billion in fiscal year 2017. DOL is responsible for ensuring that state UI laws include certain provisions, which is a condition of the state receiving its UI administrative grant.", "Individuals typically claim their UI benefits by filing claims with their state UI agency online or by phone on a weekly or bi-weekly basis. In fiscal year 2017, the average weekly UI benefit was about $350, and claimants remained on the program for an average of 15 weeks, according to DOL data."], "subsections": []}, {"section_title": "Work Search Requirements for UI Claimants", "paragraphs": ["Federal law establishes a work search requirement for UI eligibility, but the specific work search activities UI claimants are expected to conduct vary by state, according to a DOL report. To be eligible for unemployment benefits, individuals are generally required to actively search for work under federal law. The Middle Class Tax Relief and Job Creation Act of 2012 amended the Social Security Act to, among other things, require states to have work search requirements for UI claimants specified in their laws as a condition of eligibility for the states\u2019 UI administrative grants. Specifically, states must have laws that require UI claimants to be \u201cactively seeking work\u201d as a condition of eligibility for unemployment compensation for any week. Because federal law does not specifically define actively seeking work, states have some discretion to establish a reasonable definition, according to DOL\u2019s 2013 guidance to states. For example, a state can specify a minimum number of weekly contacts a claimant must have with potential employers. Acceptable work search activities might also include searching for jobs online, submitting job applications, visiting a job center, attending a networking event, or establishing a LinkedIn account, according to a DOL report.", "Depending on the state, UI claimants may be directed to register for work with their state\u2019s Employment Service, which provides job search assistance, job placement assistance, and referrals to employers. In addition, in some cases UI claimants may be directed to participate in reemployment services at an American Job Center. In 2017, DOL provided $115 million in grants to states to provide Reemployment Services and Eligibility Assessments (RESEA). RESEA services include in-person reemployment services and eligibility assessments in American Job Centers for ex-service members and UI claimants determined to have a high likelihood of exhausting their UI benefits. RESEA-funded activities include developing an individual reemployment plan, providing labor market information, identifying job skills and prospects, and reviewing the claimant\u2019s continued eligibility for UI benefits."], "subsections": []}, {"section_title": "Process for Identifying Work Search Overpayments in State Benefit Accuracy Measurement Audits", "paragraphs": ["DOL uses its Benefit Accuracy Measurement (BAM) system to determine the accuracy of UI benefit payments and estimate the amount and rate of improper payments. Under the BAM system, each state reviews a number of randomly selected cases on a weekly basis and reconstructs the UI claims process to assess the accuracy of the payments that were made. The state determines what the benefit payment should have been according to its laws and policies. States report the results of their BAM case reviews to DOL\u2014including overpayments and underpayments\u2014through an online data system. DOL uses the data to estimate improper payment rates by state, as well as to calculate a nationwide rate.", "State BAM audits involve reviews of existing records in the state\u2019s UI claims information system as well as original fact-finding by the state BAM investigator. DOL requires states to use a standard claimant questionnaire when conducting BAM audits. The questionnaire includes numerous questions about the claimant\u2019s circumstances\u2014including their work search efforts\u2014during the week under review. The questionnaire includes questions that could indicate that a claimant qualifies for an exemption from work search requirements, or made specific job contacts and the results of the job contacts, such as whether the claimant submitted an application and received a job offer.", "State BAM investigators are also expected to take steps to verify the information reported by the claimant by collecting documentation from claimants and contacting employers or other third parties. According to DOL\u2019s 2016 BAM annual report and BAM procedures, state BAM investigators are to review a sufficient number of work search activities to determine whether the claimant has complied with the state\u2019s minimum requirement for the number of weekly work search activities. The BAM program assigns one of three classifications to each of the work search activities reviewed:", "Acceptable \u2013 Documentation exists that the work search activity reported by the claimant, such as an employer contact, employment application, or other state approved work search activity, was made by the claimant and was acceptable according to the state\u2019s law or policy.", "Unverifiable \u2013 The investigator was unable to establish sufficient information to make a judgment of whether the work search activity was either acceptable or unacceptable according to the state\u2019s law or policy.", "Unacceptable \u2013 Written documentation exists that the work search activity reported by the claimant was not made at all by claimant, or was made but was unacceptable according to the state\u2019s law or policy.", "According to DOL\u2019s BAM annual report, work search activities classified as acceptable or unverifiable may be considered in calculating whether the claimant has satisfied the state\u2019s required number of work search activities for purposes of BAM. If the state investigator finds that the claimant\u2019s work search is unacceptable and does not meet the state\u2019s requirements, he or she may determine the claimant was ineligible for benefits and establish an overpayment, depending on state law (see fig. 1). Currently, several states have formal warning policies and provide claimants warnings for the first instance of noncompliance with work search requirements, whereas states without these policies count these cases as overpayments, according to DOL."], "subsections": []}, {"section_title": "Reported Causes of UI Improper Payments", "paragraphs": ["Since 2002, federal agencies have been required to identify and report improper payments. The leading reported cause of UI improper payments in fiscal year 2017 was overpayments to claimants who failed to meet work search requirements. DOL data show that states made an estimated $1.36 billion in overpayments to such claimants in fiscal year 2017. Other major reported causes of UI improper payments in fiscal year 2017 included payments made to individuals who continue to make claims even after returning to work (benefit year earnings) and payments made to claimants who were determined ineligible due to disqualifying job separations, such as quitting a job without good cause or being discharged for misconduct (separation issues). (See fig. 2. Table 8 in app. II provides greater detail.)", "According to DOL officials, many UI improper payments cannot be prevented given certain legal requirements that states pay claims in a timely manner and provide claimants with due process when the state finds an eligibility issue. Specifically, according to DOL, federal law requires that when an eligibility issue is detected, the claimant has a right to receive notice and provide the state information before being denied benefits. In addition, if an eligibility issue associated with work search, or any other matter, is detected but not resolved, the state is still required to pay for a claimed week no later than the week after an eligibility issue is detected, according to DOL. The time it takes to work through the necessary due process steps can prevent states from stopping the payment before it must be paid."], "subsections": []}, {"section_title": "Trend in Reported Work Search Overpayments", "paragraphs": ["Nationally, the estimated work search overpayment rate and the estimated amount of work search overpayments have risen in recent years. Specifically, in fiscal year 2013, approximately $1 billion in estimated work search overpayments were made to claimants who were not actively searching for work and, in fiscal year 2017, the amount increased to close to an estimated $1.36 billion (see fig. 3). The national work search overpayment rate for such claimants also increased during this time. (See table 9 in app. II for additional details.) According to DOL officials, some states implemented more stringent work search requirements, which may account for the recent trend. As work search requirements become more stringent, the opportunities for non- compliance and errors increase and thus higher improper payment rates, according to DOL officials. While the national work search overpayment rate was 4.5 percent in fiscal year 2017, state work search overpayment rates varied widely from an estimated 0 to 41 percent of the UI benefits that states paid in fiscal year 2017. (See table 10 in app. II for state-by- state estimates of work search overpayment rates and amounts.)", "States use various methods to recover overpayments to UI claimants, including setting up payment plans, off-setting UI benefits, or deducting refunds from federal or state income tax returns. Like all recovered UI overpayments, recoveries of work search overpayments must be deposited in the unemployment trust fund of the state that recovered the money and can be used only for the payment of UI benefits, according to DOL officials. National data are not available on the amount of work search overpayments that states have recovered because, although DOL collects recovery data from states, it does not require states to separate out work search overpayment recoveries from other types of recoveries in their reporting."], "subsections": []}]}, {"section_title": "Conducting More Work Search Investigations Is Associated With Lower Estimated Work Search Overpayment Rates, As Is the Use of Formal Warnings", "paragraphs": ["Based on our analysis of DOL data, we found that certain state administrative practices, including investigating a higher percentage of claimant-reported work search activities and frequent use of formal warnings, were associated with lower reported state work search overpayment rates. However, DOL recently determined that federal law does not permit states to warn claimants the first time they failed to meet work search requirements (i.e., issue formal warnings) instead of establishing that an overpayment was made. Additionally, a higher percentage of claimants required to search for work is associated with higher reported state work search overpayment rates."], "subsections": [{"section_title": "Investigating Claimant- Reported Job Contacts Is Associated with Lower Work Search Overpayment Estimates, but the Extent to Which States Verified Contacts Varied", "paragraphs": ["One of the administrative practices significantly associated with lower work search overpayment estimates was investigations of claimants\u2019 reported job contacts. Specifically, a higher percentage of cases with claimants whose contacts were investigated by the state UI agency as part of the state\u2019s BAM audit was associated with a lower work search overpayment rate estimate. According to our analysis, for every 1 percentage point increase in the percentage of cases with claimants\u2019 whose job contacts were investigated, there was a 0.072 percentage point decrease in the work search overpayment rate estimate.", "The extent to which states attempted to verify claimants\u2019 reported job contacts through these investigations varied, according to our analysis of DOL data. Nationally, in fiscal year 2017, states investigated job contacts in about 80 percent of BAM cases where claimants were required to search for work. However, among the states, the proportion of cases in which job contacts were investigated was less than 50 percent in 5 states. (Table 11 in app. II shows the percentage of contacts that were investigated for each state.)", "Furthermore, states often were not able to verify the information claimants reported. Of the job contacts that were investigated, states reported that about 48 percent of the job contacts were acceptable, about 8 percent were unacceptable, and about 45 percent could not be verified (see fig. 5).", "Our analysis of BAM data for fiscal year 2017 also shows that for the overpayments that states were able to detect, that a large portion were found through investigating and verifying claimants\u2019 work search contacts. Specifically, 47 percent of reported work search overpayments were found through this practice. Interviewing claimants about their work search was the next most common way states detected work search overpayments. States reported identifying 32 percent of work search overpayments in fiscal year 2017 using this practice.", "Although overpayments can be the result of actions taken by the claimant or the agency administering the program, states reported that most work search overpayments are associated with claimants. For example, claimants may provide inadequate or incorrect information needed by the UI agency to determine if the claimant met work search requirements. In fiscal year 2017, states attributed about 99 percent of overpayments at least partially to claimant action, while they attributed about 2 percent at least partially to administrative errors at the state agency."], "subsections": []}, {"section_title": "Frequent Use of Formal Warnings Is Associated with Reporting Lower Work Search Overpayments, but DOL Recently Determined Their Use Is Legally Impermissible", "paragraphs": ["According to DOL data, 22 states issued formal warnings to one or more claimants at some point between fiscal year 2013 and fiscal year 2017 for failure to meet work search requirements instead of finding that the claimants were overpaid. Although the states that made use of these warnings varied over this period, the number of states issuing formal warnings has generally increased over time from 13 states issuing formal warnings in fiscal year 2013 to 19 states in fiscal year 2017. Overall, states that most frequently issued formal warnings had lower reported work search overpayment rates than states that did not issue formal warnings. However, their work search overpayment rates are lower because, under their state policies, they did not count an overpayment when they issued a formal warning.", "Our analysis indicates that states which issued formal warnings frequently\u2014in 75 percent or more of cases involving work search errors\u2014 had estimated work search overpayment rates that were 3.5 percentage points lower, on average, than states that did not issue formal warnings. However, states that use formal warnings less frequently\u2014in fewer than 75 percent of cases involving work search errors\u2014reported work search overpayment rates that were between 3 and 4 percentage points higher than states that did not issue formal warnings. See appendix I for a detailed discussion of our econometric analysis.", "Table 1 shows the average work search overpayment rate estimates for each of these groups of states when formal warnings are not counted as overpayments, and the potential average work search overpayment rate when formal warnings are counted as overpayments. Excluding formal warnings, two of the groups\u2014frequent and low users of formal warnings\u2014had average work search overpayment rate estimates lower than the average for states that did not use formal warnings. However, when formal warnings are included in the overpayment rate, only low users of formal warnings have a work search overpayment rate estimate lower than the average for states that did not use formal warnings.", "GAO\u2019s analysis of DOL data shows that in fiscal year 2017, estimated work search overpayments were nearly $1.4 billion, but potentially would have been an estimated $1.8 billion greater if states had not issued formal warnings and established overpayments. Our analysis further shows that if formal warning cases had been included in DOL\u2019s calculation of the UI overpayment rates for fiscal year 2017, the nationwide UI overpayment rate would have increased by about 6 percentage points, from an estimated 12 percent to an estimated 18 percent. Moreover, these figures represent an increase from the fiscal year 2016 figures we presented in our previous report on states\u2019 use of formal warnings related to work search requirements. At that time, we found the nationwide UI overpayment rate would have increased by about 5 percentage points from an estimated 11 percent to an estimated 16 percent with the inclusion of formal warning cases. The amount of UI payments made to claimants for weeks in which they received formal warnings in fiscal year 2016 was about $1.6 billion. Table 12 in appendix II shows how the estimated UI overpayment rate in each state issuing formal warnings in fiscal year 2017 may have increased if formal warnings were not used.", "State use of formal warnings has resulted in inconsistent reporting of work search overpayments, which affects DOL\u2019s reported improper payment rate for the UI program. Specifically, states that issue formal warnings have not counted as overpayments cases in which claimants did not actively search for work and received a UI benefit payment. On the other hand, states that did not have formal warning policies counted such cases as overpayments, which are factored into DOL\u2019s reported improper payments rate. The variation among states related to formal warning policies makes it difficult for DOL and others to understand the reasons behind states\u2019 reported work search overpayments.", "DOL has determined and documented in its FY 2017 Agency Financial Report that the use of formal warnings is no longer allowed under the 2012 federal law, which generally requires UI claimants to actively seek work. DOL officials told us in July 2017 they would soon issue a letter to states to inform them that they are no longer permitted to use formal warnings when they determine that claimants failed to meet work search requirements. To date, DOL has not issued such a letter. In May 2018, DOL officials told us that they expect to issue the letter by the end of calendar year 2018. Federal internal control standards direct agency management to remediate identified internal control deficiencies on a timely basis. Federal internal controls standards also state that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives. Additionally, these standards state that agency management should establish and operate monitoring activities to monitor the internal control system and evaluate the results.", "According to DOL officials, they began discussing the need for a potential discontinuation of formal warnings at conferences with states in the first half of 2017. However, we found that states continued to implement their formal warning policies, potentially resulting in an increase in the estimated amounts of overpayment dollars associated with formal warnings between fiscal year 2016 and 2017. Until DOL informs states of the need to discontinue the use of formal warnings through a letter or another mechanism, states will continue to be inconsistent in whether they count as overpayments cases in which claimants who failed to search for work in any week were provided benefits. Additionally, once DOL provides additional information to states on formal warnings, it should monitor states\u2019 responses to help ensure that DOL achieves its desired results. Furthermore, having more consistent information on overpayments related to work search issues could help DOL assess how the program is working nationwide and whether further federal and state actions would be needed to address this leading source of reported improper payments in the UI program.", "DOL officials stated that the national work search overpayment rate is likely to increase in the future as states begin to eliminate their formal warning practices. Officials also stated that this may take some time as some states may need to amend laws or regulations in order to do so."], "subsections": []}, {"section_title": "Higher Percentages of Claimants Required to Search for Work Are Associated with Higher Work Search Overpayment Rate Estimates", "paragraphs": ["State work search overpayment rate estimates were higher for states where a higher proportion of claimants were required to search for work. Based on our analysis, for every one percentage point increase in the fraction of cases with claimants required to search for work, there was a 0.084 percentage point increase in the work search overpayment rate estimate on average, all else being equal.", "Nationwide in fiscal year 2017, states reported that work searches have been required in 80 percent of cases, with requirements in individual states ranging from 38 to 100 percent of cases. Three states reported requiring fewer than 50 percent of claimants to perform work searches, while five states reported requiring more than 95 percent of their claimants to perform work searches. The most common reasons states exempted claimants from work searches were because claimants were \u201cjob-attached\u201d (e.g. temporarily laid-off, recalled), or they had union deferrals because they were seeking employment through their union, according to DOL data. The map in figure 6 shows the range among all the states in the percentage of UI claimants required to search for work, according to our analysis of DOL data for fiscal year 2017."], "subsections": []}]}, {"section_title": "Selected States Used Multiple Approaches to Address Work Search Overpayments, but Cited Challenges Verifying Claimants\u2019 Work Search Activities", "paragraphs": ["Selected states used multiple approaches to address work search overpayments, including online systems to facilitate the work search reporting and verification process, work search audits beyond the BAM audits, and messaging to inform claimants of their work search responsibilities. For example, three of six states in our review had online systems where claimants could report specific work search activities as part of filing their weekly claims, according to state officials (see table 2). Some of the approaches states used were specifically designed for UI claimants participating in state reemployment programs.", "State officials cited several benefits of the approaches they use to address work search overpayments. The online systems, work search audits, and messaging helped prompt work search activities and prevent work search overpayments in some cases, according to state officials. According to officials from the selected states that used them and a study on work search improper payments, online systems can facilitate the work search reporting and verification in several ways:", "Automatically documenting the claimants\u2019 work search activities.", "Online reporting of work search activities can help prevent overpayments because their work search is documented in the online claims system, which means the claimant does not need to keep a work search log. In addition, online job search/training systems can be used to track the work search activities completed by claimants, making it easier for the state to verify that the work search was completed. For example, officials in Mississippi and Indiana told us they piloted an online system called NextJob and required RESEA program participants to conduct work search activities through the system. Mississippi officials reported that NextJob motivated claimants to conduct their job search and increased the speed of reemployment among these individuals. Similarly, New Jersey officials told us that UI claimants selected to participate in New Jersey\u2019s RESEA program are required to use an online job search and training system called OnRamp, which, for example, allows job seekers to create or upload their resume on the website, search for jobs, access online training, and receive email alerts on potential job matches. In addition, officials in Nevada said that the online reporting system is beneficial because the work search activities are documented in the system and are more reliably retrieved if the claimant is selected for a BAM audit because few claimants maintain and retain their work search effort logs.", "Performing automated checks on data the claimants submit. The online claims systems can identify potentially duplicate job contacts and check whether the claimant reported the required number of job contacts. For example, Utah officials reported that if a claimant enters job contacts from another week, officials would follow up with the claimant by phone after it is flagged by their online system. If claimants report self-disqualifying information, such as an insufficient number of job contacts, the system can automatically put a hold on a claim until the issue is resolved.", "Facilitating communication with the claimant. Some states added messages to their online claims system that pop up if the claimant enters incorrect or insufficient information. For example, Mississippi officials stated that they used messaging to better inform claimants of their responsibilities and to encourage them to report accurate information. According to the officials, if claimants do not report the required number of work search activities in the online system, a questionnaire will pop up requesting that the claimants explain why they did not do so. The system requires the claimants to enter more information in order to submit their claims and to receive their benefit payments. Mississippi officials also stated that adding targeted messaging resulted in fewer denials of benefits due to claimant failure to meet work search requirements and also reduced the number of appeals related to this type of denial. Some state officials said that messaging encouraged accurate reporting. For example, Indiana officials told us that at the end of the online claim filing process, claimants receive a message notifying them of the state\u2019s work search requirements and informing them that they are required to search for work to continue receiving benefits. In Utah, officials developed a video that covers claimants\u2019 responsibilities, including work search requirements, which claimants must view before receiving their initial benefit payment, according to state officials.", "Officials in three of the states we reviewed reported using additional work search audits beyond BAM to help reinforce their state policies. Pennsylvania officials reported conducting 7,182 work search audits for RESEA program participants in 2016. As a result, officials reported that the state issued 1,300 warnings to claimants. The two other states\u2014 Mississippi and Utah\u2014report that their random work search audits, coupled with their online systems, helped prevent work search overpayments as they are able to disqualify claims before the payment goes out. Mississippi and Utah officials also reported that they were also able to identify and recover some work search overpayments (see table 3).", "Despite implementing these approaches, state officials in five of the six states we contacted told us they face challenges with verifying work search activities. These officials stated that they have difficulty verifying work search activities as some claimants do not understand the work search requirements or do not keep accurate records of their work search activities, which makes it difficult for the state to confirm compliance with the state requirements. In addition, state officials also said that many employers do not keep records of job seekers\u2019 inquiries or do not respond to state requests for information when they are trying to verify claimants\u2019 work search activities. For example, Nevada officials said that work search contacts are often virtually unverifiable as many companies outsource their hiring processes to contractors who refer the job candidate for a job posting and keep the job application. Officials said these contractors also rarely respond to state inquiries about claimants\u2019 job applications. As discussed later, DOL has provided states tools to help address this issue, such as a messaging toolkit to help states improve communications with claimants and employers."], "subsections": []}, {"section_title": "DOL Monitors States\u2019 Work Search Overpayment Rate Estimates and Provides Assistance, but Lacks Clear Procedures on Work Search Verification", "paragraphs": [], "subsections": [{"section_title": "DOL Monitors States\u2019 Work Search Overpayment Rate Estimates and Has Identified Strategies and Provided Tools to Help States Reduce Their Rates", "paragraphs": ["DOL uses UI performance data to monitor state progress in reducing the estimated improper payment rate, including data on overpayments to claimants who failed to meet work search requirements. To do so, DOL requires states to submit State Quality Service Plans, which serve as the performance reporting and grant application documents through which states receive administrative funding. The plans include a summary of state performance on various measures related to operating the UI program, including the improper payment rate, according to DOL documentation we reviewed. States with estimated improper payment rates of 10 percent or more are required to submit corrective action plans to DOL. For example, data from two of the six states we reviewed\u2013 Nevada and New Jersey\u2013had estimated improper payment rates above 10 percent during DOL\u2019s most recent planning cycle and developed corrective action plans. Nevada\u2019s corrective action plan noted that the state expects their rate to decline due to their June 2017 implementation of online work search reporting as part of their UI claims system. New Jersey\u2019s corrective action plan noted that the state plans to implement new online tools that will help them verify wage and employment information. DOL separately monitors each state\u2019s estimated work search overpayment rate. In addition, all states, including those who estimated improper payment rates of less than 10 percent, are required to prepare a state-specific action plan that describes the root causes of improper payments and the state\u2019s strategies to address them. According to agency officials, DOL reviews plans to monitor state performance and help states identify strategies to improve performance.", "Although DOL requires states with estimated improper payment rates of 10 percent or more to develop corrective action plans, according to DOL, the agency has limited options to require state UI agencies to take actions to respond to high improper payment rates. DOL officials told us that, beyond routine monitoring and providing states with technical assistance to help reduce their improper payments rate, their enforcement options are limited to withholding the state\u2019s administrative funding or removing federal tax credit reductions, which is, in effect, a tax increase for the state\u2019s employers. According to DOL officials, both are considered extraordinary sanctions that require significant due process. The agency has not withheld state administrative funding to address improper payments, according to DOL officials. DOL officials also told us that they are concerned about the effects on UI claimants if they were to withhold administrative funding. The administration\u2019s fiscal year 2019 congressional budget justification includes a legislative proposal that would authorize the Secretary of Labor to require states to implement corrective action measures for poor state performance in the UI program, helping to reduce improper payments in states with the highest estimated rates.", "DOL has identified strategies to address the leading causes of UI improper payments\u2014including work search issues\u2014and provided states tools and funding to help implement them. For example:", "Pathway to Reemployment Framework. In 2016, DOL and the National Association of State Workforce Agencies published a framework that contained a broad menu of work search options that states could adopt to better reflect how individuals search for work, such as allowing use of online job search tools to count as an approved work search activity. The framework also includes suggestions for how states could document or verify claimants\u2019 work search activities for eligibility purposes.", "Messaging toolkit. In 2012, DOL published a messaging toolkit designed in part to improve claimants\u2019 understanding of work search requirements as a condition of eligibility for benefits. According to DOL, claimants who fully understand their responsibilities and the consequences of not fulfilling them may be more likely to complete the required work search activities, thereby reducing instances of claimants\u2019 failing to search for work. DOL provided states supplemental funding to support improved messaging and tracked state implementation of the strategies.", "Online tool to record work search activities. In 2011, DOL provided supplemental funding to New York to develop an online work search record that could be replicated by other states. This tool is designed to reduce improper payments that result from inadequate documentation of work search activities. Claimants can use the tool to record their work search online when they file their UI claims. The work search record is automatically shared with state job centers, which in turn act to enhance claimants\u2019 work search and connect claimants with jobs. New York used open source technologies when designing the tool in an effort to help more states replicate the product at a lower cost.", "UI Integrity Center. The DOL-funded UI Integrity Center of Excellence (UI Integrity Center) was established as a way to help states develop and share innovative strategies to prevent and detect UI improper payments, reduce fraud, and improve program integrity. For example, the UI Integrity Center funded a pilot project in 2016 to support a state in implementing an online tool that trains claimants on how to effectively search for jobs and allows claimants to use the tool to complete their work search activities. The UI Integrity Center also hosted national conferences in 2016 and 2018 that included presentations on state practices to address work search improper payments."], "subsections": []}, {"section_title": "DOL Directs States to Investigate a Sample of Claimants\u2019 Work Searches, but Has Not Clarified Procedures on Verifying Work Search", "paragraphs": ["Although DOL monitors states\u2019 work search overpayment rate estimates and has provided assistance to help states address such overpayments, it has provided limited direction to states on the level of effort states must make to verify whether claimants are actively searching for work. Specifically, DOL\u2019s BAM procedures direct states to investigate a sufficient number of work search contacts in its BAM sample of UI cases to determine if the claimants met the state\u2019s work search requirement. However, DOL has not provided states any additional direction on what is considered \u201csufficient.\u201d As previously mentioned, the extent to which states attempted to verify job contacts from claimants\u2019 work searches varied across states. Some states reported to DOL that they did not investigate work search activities for a majority of their BAM cases even though work search was required and the claimant reported job contacts.", "Federal internal control standards state that agency management should externally communicate the necessary quality information to achieve its objectives, including addressing related risks. According to DOL officials, the agency plans to clarify its BAM procedures, to include providing more definitive instructions to states on work search verification requirements, after the agency issues its planned letter to states about discontinuing the use of formal warning policies. As of May 2018, the agency said it plans to issue the letter on formal warning policies by the end of calendar year 2018. However, as previously stated, it has been nearly a year since DOL initially told us they were planning to issue the letter to states.", "Effective monitoring of state compliance with the clarified work search verification requirements will also be important once DOL revises its BAM procedures. Federal internal control standards state that agency management should establish and operate monitoring activities to monitor the internal control system and evaluate the results. Monitoring states\u2019 responses could help ensure that DOL achieves its desired results. By providing clear direction to states about work search verification requirements and monitoring states\u2019 implementation of these requirements, DOL would have greater assurance that states are complying with its requirements."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The health of the UI program depends, in part, on the ability of states to control its benefit payments by accurately determining individuals\u2019 eligibility. Improper payments, including overpayments, in the UI program have led to billions of federal and state funds being used inappropriately.", "Actively seeking work has generally been an eligibility requirement for individuals receiving unemployment benefits under federal law since 2012, but states have not consistently implemented the requirement for claimants in similar circumstances. States with formal warning policies reported lower work search overpayments not necessarily because they are better at ensuring claimants\u2019 compliance with requirements, but because they are not counting cases where claimants receive formal warnings as overpayments. Furthermore, although DOL determined in 2017 that states are not permitted to issue formal warnings rather than reporting an overpayment, it has not officially told states to stop using warnings. Without providing states with this information and monitoring their response, states will continue to report inconsistent information on the extent of work search overpayments.", "State efforts to check whether claimants are meeting work search requirements also vary. Our evidence suggests that states making a greater effort to investigate work search activities tend to have lower overpayment rate estimates associated with this issue. However, some states are not investigating claimant-reported work search activities as part of their BAM audits despite DOL\u2019s procedures directing them to do so. Until DOL provides clear direction to states about verifying work search and monitors state compliance, DOL has little assurance that states are complying with its requirements."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Department of Labor:", "The Assistant Secretary of DOL\u2019s Employment and Training Administration should provide states with information about its determination that the use of state formal warning policies is no longer permissible under federal law. (Recommendation 1)", "The Assistant Secretary of DOL\u2019s Employment and Training Administration should monitor states\u2019 efforts to discontinue the use of formal warning policies. (Recommendation 2)", "The Assistant Secretary of DOL\u2019s Employment and Training Administration should clarify information on work search verification requirements in its revised Benefit Accuracy Measurement procedures. The revised procedures should include an explanation of what DOL considers to be sufficient verification of claimants\u2019 work search activities. (Recommendation 3)", "The Assistant Secretary of DOL\u2019s Employment and Training Administration should monitor states\u2019 compliance with the clarified work search verification requirements. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Labor (DOL) for review and comment. In its written comments, reproduced in appendix IV, DOL agreed with all four of our recommendations and stated that it would take action to address them. DOL also provided technical comments, which we incorporated as appropriate. Additionally, we provided excerpts of the draft report to state UI officials in the selected six states we included in our review. We incorporated their technical comments as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Department of Labor, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Econometric Analysis of Estimated State Work Search Overpayment Rates", "paragraphs": [], "subsections": [{"section_title": "Data", "paragraphs": ["We used the Department of Labor\u2019s (DOL) Unemployment Insurance Benefit Accuracy Measurement (BAM) data. The BAM program is designed to determine the accuracy of paid and denied claims for unemployment insurance (UI) in three major UI programs\u2014state UI, Unemployment Compensation for Federal Employees (UCFE), and Unemployment Compensation for Ex-Servicemembers (UCX). The BAM data covers claimants in the 50 U.S. states, the District of Columbia, and Puerto Rico. Each week, state workforce agencies select random samples of paid and denied unemployment insurance claims (i.e., cases). State BAM investigators then audit these cases to determine whether the claimant was properly paid or was properly denied benefits in the week for which the claim was made (i.e., key week). The bases for determining whether paid and denied claims were accurate are federal and state law, regulations, and policy.", "We used BAM cases for paid claims for all UI programs and all states for fiscal years 2013 through 2017. The number of cases for each state is determined by DOL for each year. Cases are chosen randomly each week from the population of claims for that week. The normal weekly number of paid claims sampled in most states is 9, with a minimum of 6, for an annual sample of around 480 cases. For the 10 states with the smaller UI workloads, the normal weekly number of paid claims sampled is 7, with a minimum of 5, for an annual sample of around 360 cases.", "For each paid claim case, the BAM data include variables describing the claimant, as well as information on their UI benefit year, separation from their last job, monetary eligibility, benefit payment history, employment services registration and work search, and the outcome of the BAM investigation. For cases for which BAM auditors identify errors, the BAM data also include information on the errors. In 2016, work search issues, benefit year earnings, and separation issues were the most common causes of reported overpayments:", "Work search issues. These occur when the state finds that claimants did not actively search for work during the key week. Federal law generally requires people receiving unemployment compensation to be actively searching for work. States have discretion to establish requirements for what constitutes active work search, and these requirements vary by state.", "Benefit year earnings issues. These occur when claimants have earnings that exceed the threshold for UI eligibility in their state or when these earnings are not properly reported.", "Separation issues. These occur when claimants are ultimately determined to be ineligible for UI due to disqualifying job separations, such as quitting a job without good cause or being discharged for misconduct under the state UI law.", "Other causes of overpayments include incorrect reporting of wages used to calculate benefits, able and available to work issues, employment service registration issues, and other issues. For some cases, BAM investigators identify multiple errors with different causes. When this occurs, BAM investigators determine the overpayment amount associated with each cause.", "BAM sample data is weighted to make inferences about the population. In accordance with DOL\u2019s method, we calculated the weight on each BAM sample case as (1) the number of unemployment compensation payments to claimants for the state and the week from which the BAM sample case was selected divided by, and (2) the number of completed BAM sample cases for that week, as long as there were two or more completed cases for the week.", "Because each state followed a probability procedure based on random selections to pick cases, the BAM sample is only one of a large number of samples that they might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of the BAM sample\u2019s results using confidence intervals. For example, a 95 percent confidence interval is the interval that would contain the actual population value for 95 percent of the samples that could have been drawn. In some tables we provide the margin of error instead of the confidence interval, where the margin of error is the half-width of the confidence interval.", "Our analysis sample consists of cases with no missing or invalid values of variables used in our analysis that also have positive sample weights. Our analysis sample includes 98.1percent of all cases."], "subsections": [{"section_title": "Estimated Overpayment Rates Due to Failure to Meet Work Search Requirement", "paragraphs": ["In accordance with DOL\u2019s method, the estimated overpayment rate is equal to the amount of UI benefits overpaid as a percentage of the total amount of UI benefits paid. The amount of UI benefits overpaid includes fraud, nonfraud recoverable, and nonfraud nonrecoverable overpayments; and overpayments from all causes and responsible parties. The amount overpaid excludes overpayments that DOL considers as technically proper. An overpayment may be considered technically proper by DOL under a finality rule, which generally means that too much time has passed between the decision to pay the claimant and the detection of the eligibility issue, or for some other reason. Our estimated work search overpayment rate is calculated using the same method as the official overpayment rate and is generally comparable to work search overpayment rates reported by DOL.", "More specifically, we used the BAM data to identify cases with overpayments and with overpayments due to work search, excluding formal warnings and other payments DOL considers to be technically proper. Next, we applied DOL\u2019s proration algorithm to allocate overpayment amounts for each error associated with a case so that the total amount of overpayments from all errors does not exceed the key week amount paid. Then, we calculated the total overpayment amount and work search overpayment amount for cases with overpayments and work search overpayments, respectively. Finally, we tracked the key week amount paid for each case. To estimate the work search overpayment rate for each state and fiscal year, we calculated the weighted sum of work search overpayment amounts as a percentage of the weighted sum of amounts paid.", "Table 4 shows the estimated national work search overpayment rate, the average estimated state work search overpayment rate, and the median estimated state work search overpayment rate for each fiscal year. The national work search overpayment rate estimate has increased from 2.4 percent in 2013 to 4.5 percent in 2017. Over the same time period, the average state work search overpayment rate estimate has increased from 2.6 to 4.6 percent, and the median state work search overpayment rate estimate has increased from 1.4 percent to 2.7 percent. Most states\u2019 work search overpayment rate estimates are less than 5 percent, but some states\u2019 rates are more than 10 percent.", "To identify state practices and other factors that may be associated with state work search overpayment rates, we reviewed DOL documents describing the BAM program and summarizing key features of states\u2019 UI programs, as well as research on factors associated with time claimants spend searching for employment. Based on our review, we identified factors that may be associated with work search overpayments that can be measured using variables in the BAM data:", "Exemptions from work search requirements. According to DOL, while federal law generally requires claimants to be actively seeking work, it does allow states to exempt claimants in some circumstances. For example, according to DOL, because states may not deny benefits to an individual in approved training, all states provide an exemption from the requirements to be able and available for work and conducting an active work search for any week the individual is in approved training. In addition, according to DOL, some states allow work search exemptions if the worker is union-attached and finds work through the union hall, or if a separation is classified as a temporary lay-off and there is a reasonable expectation that the worker will return to work soon. According to DOL, other state work search exemptions include that the worker has a specified start date for new employment, has jury duty, has a compelling personal reason, is in a labor dispute with the employer, is the victim of domestic violence, or labor market or other information indicates no suitable employment.", "It is possible for a case with a claimant who indicated he or she was not required to search for work to have a work search error if the claimant provided an invalid reason for being exempt from his or her state\u2019s work search requirement. For example, the claimant may have said that he or she was a member of a union with a hiring hall and obtained employment through union referrals or that he or she had a definite recall date, and therefore, the work search requirement was waived. However, the BAM investigator\u2019s verification with the union found that the claimant was not in good standing, or the investigator\u2019s verification with the employer found that the claimant had no definite recall date. In such a situation, the claimant might be held ineligible for a failure to conduct an active work search because the exemption was invalid.", "Claimant response. According to DOL, the claimant interview anchors the BAM audit and is a major error detection point, and the claimant questionnaire is a required standard form. Claimants may provide information for the BAM audit either in person, over the phone, or via mail or some other method. Some claimants may not respond to the audit at all. For the period from 2013 to 2017, of the work search overpayments that BAM auditors detected in their BAM sample of cases, about 37 percent of cases were uncovered during the claimant interview.", "State investigation of job contacts. Claimants are asked to provide information about job contacts as evidence that they were actively searching for work as part of the required claimant questionnaire. In addition, even if the claimant does not respond to the BAM audit, job contacts may be available for BAM auditors to investigate if the state\u2019s continued claim process captured the claimant\u2019s work search information. BAM staff must investigate a sufficient number of contacts to establish whether the claimant has met the state\u2019s work search requirement. For the period from 2013 to 2017, of the work search overpayments that BAM auditors detected in the BAM sample of cases, about 45 percent were uncovered by investigating claimant- provided job contacts.", "State use of formal warnings. If the BAM audit of a case determines that the claimant\u2019s work search during the key week was not acceptable, the state might issue a formal warning to the claimant instead of finding that the claimant received a work search overpayment, and these cases are not included in the calculation of the work search overpayment rate for that state. Over the period from 2013 to 2017, of the BAM sample of cases for which work search errors were identified, state workforce agencies issued formal warnings for about 46 percent.", "Claimant demographic and other characteristics. Characteristics of claimants that are associated with the amount of time claimants spend searching for work include age, education, gender, length of time between initial claim and key week, and weekly benefit amount as a percentage of the normal weekly wage in the claimant\u2019s industry. To the extent that they affect time spent searching for work, these characteristics may also be associated with the likelihood of claimants receiving a work search overpayment.", "Some factors that may be associated with work search overpayments cannot be measured using variables in the BAM data and, thus, are excluded from our analysis. Examples include:", "Minimum number of work search activities. According to DOL, the minimum number of work search activities required per week varies across states and can vary based on labor market conditions, which can, for example, produce different requirements in a rural area versus an urban area. However, some states do not specify a required number of work search activities and instead require that the number of work search activities be \u201creasonable,\u201d according to a DOL report.", "Type of required employer contacts. According to DOL, some states allow claimants to search for part-time work as well as full-time work, while others do not. In addition, according to DOL, some states specify that participation in reemployment services counts as a contact, and some states require claimants to make at least one contact through the state online system.", "Frequency and method of reporting. According to DOL, some states require weekly claimant reporting of work search activities, while others require bi-weekly reporting. In addition, according to DOL, some states require claimants to report online as part of their continued claim, while others require claimants to keep a log of their work search activities."], "subsections": []}, {"section_title": "Econometric Mode", "paragraphs": ["Our econometric model is the following: work search overpayment rates, = \u03b1 + \u03b2\u2217work search requireds, + \u03b3*n-person responses, + \u03b3*telephone responses, + \u03b3*mail, email, fax, or other responses, + \u03b4*contacts investigateds, + \u03c6 + X\u2019\u0398 + year indicators + \u03b5, where s and y denote state and year, respectively, and the explanatory variables in the model are the following:", "Work search required is the estimated fraction of cases with claimants for whom work search is required, according to the BAM data.", "In-person response, telephone response, and mail, email, fax, or other response are the estimated fractions of cases with claimants who responded to the BAM audit in person, by telephone, or by mail, email, fax, or other method, respectively.", "Contacts investigated is the estimated fraction of cases for which BAM auditors investigated one or more job contacts.", "Low, moderate, and frequent formal warning use are binary indicator variables equal to 1 if the state issued a low, moderate, or high number of formal warnings in the fiscal year as a percentage of BAM cases with work search errors, respectively, and 0 otherwise. We defined low formal warning states as those that issued formal warnings for some but less than 25 percent of the cases with work search errors, moderate formal warning states as those that issued formal warnings for at least 25 percent but less than 75 percent of cases with work search errors, and high formal warning states as those that issued formal warnings for anywhere from 75 to 100 percent of cases with work search errors. The omitted group is states that issued no formal warnings during the fiscal year.", "X is a list of other characteristics of claimants that may be associated with work search, including the estimated distributions of cases across claimants\u2019 age groups, education levels, gender, length of time between initial claim and key week, and weekly benefit amount as a percentage of the normal weekly wage for their occupation. \u03b5 is an error term.", "The parameters of interest in our econometric model are \u03b2, \u03b3, \u03b3, \u03b3, \u03b4, \u03c6 is an estimate of the change in the work search overpayment rate associated with a 1 percentage point increase in the fraction of cases with claimants who responded to the BAM audit in person, all else being equal. The parameters \u03b3 and \u03b3 are estimates of the change in the work search overpayment rate associated with a 1 percentage point increase in the fraction of cases with claimants who responded to the BAM audit by telephone and by mail, email, fax, or other method, respectively, all else being equal.", "The parameter \u03b4 is an estimate of the change in the work search overpayment rate associated with a 1 percentage point increase in the fraction of cases for which BAM auditors investigated one or more job contacts, all else being equal.", "The parameters \u03c6Table 5 shows descriptive statistics for the explanatory variables, other than formal warnings.", "Table 6 shows descriptive statistics for states\u2019 use of formal warnings.", "Our analysis is subject to several limitations, and the results we discuss below should be interpreted with caution.", "No causality. Our econometric approach can establish correlations between state work search overpayment rate estimates and the factors we analyzed, but it cannot establish causal relationships. This limitation is especially important when it comes to interpreting the relationship between work search overpayment rate estimates and the fraction of cases for which BAM auditors investigated job contacts. BAM investigations can only detect work search overpayments, not prevent them, because BAM investigators are reviewing cases after the payment has already been made. Preventing work search overpayments is the only way to reduce the work search overpayment rates. Thus, the relationship between investigation of claimant- provided contacts and work search overpayment rates likely reflects not a causal relationship but an equilibrium relationship in which claimants who know that their job contacts will be investigated are more likely to search for work, all else being equal.", "Nongeneralizability. Our results do not generalize to other time periods with different labor market conditions, different rules and regulations about unemployment insurance, or other differences.", "Omitted variables. As discussed above, we have excluded from our models some state practices that may be associated with work search overpayments because those variables were not included in the BAM data. For example, we do not account for the fact that, according to DOL, some states require claimants to engage in more work search activities than other states, which could affect the likelihood that a claimant receives a work search overpayment. In addition, according to DOL, some states require claimants to report their work search activities in order to continue receiving benefits, which might prevent some work search overpayments from occurring. We have also likely excluded some relevant claimant characteristics as well. For example, total income for a claimant\u2019s household and a claimant\u2019s number of dependents may affect their work search efforts. However, variables describing a claimant\u2019s household income and composition are not included in the BAM data and thus are omitted from our analysis. To the extent that these factors are correlated with the factors we included, our estimates of the relationships between work search overpayment rates and the included factors could be biased.", "Measurement error. Our variables may have been measured with error, which could bias our coefficient estimates. If the measurement error is random, our coefficient estimates would be biased down, but if the measurement error is systematic, then we cannot say whether our coefficient estimates would be biased down or up."], "subsections": []}]}, {"section_title": "Results", "paragraphs": ["Our baseline specification suggests that some state practices are associated with state work search overpayment rates estimates (see column 1 of table 7). We used the 10 percent level of significance as our threshold for statistical significance because we have a relatively small number of observations (259).", "State work search overpayment rate estimates were higher in states with more cases with claimants who were required to search for work. A 1 percentage point increase in the fraction of cases with claimants required to search for work was associated with a 0.084 percentage point increase in the work search overpayment rate estimates on average, all else being equal.", "Work search overpayment rate estimates were lower in states with more cases for which the BAM auditors investigated one or more job contacts. A one percentage point increase in the fraction of cases for which the BAM auditors investigated contacts was associated with a 0.072 percentage point reduction in the work search overpayment rate on average, all else being equal.", "Compared to states that did not issue any formal warnings, work search overpayment rate estimates were higher in states that made low or moderate use of formal warnings but lower in states that issued formal warnings frequently. Work search overpayment rate estimates in states that were low and moderate users of formal warnings were 3.9 and 3.1 percentage points higher on average than those in states that issued no formal warnings, all else being equal. Work search overpayment rate estimates in states that were frequent users of formal warnings were 3.5 percentage points lower on average than those in states that issued no formal warnings.", "Our state-level analysis also suggests that some characteristics of cases are not associated with state work search overpayment rate estimates, but others are. State work search overpayment rate estimates were not significantly associated with the distribution of cases by claimant age, gender, duration of unemployment benefits receipt, or key week amount as a percentage of the normal weekly wage in their occupation, or with the number of cases. However, state work search overpayment rate estimates were higher in states with more cases with claimants with some college or an associate\u2019s degree relative to cases with claimants without a high school degree or GED. A one percentage point increase in the estimated fraction of cases with claimants with some college or an associates degree was associated with a 0.192 percentage point increase in estimated work search overpayment rates on average, all else being equal.", "To assess the sensitivity of our results, we estimated fractional response models with robust standard errors instead of clustered standard errors (see column (2) of table 7). We also estimated fractional response models that replaced the fractions of cases by claimant response method with the fraction of cases with claimants who responded to the BAM audit by all methods combined, with both types of standard errors. Finally, we estimated linear models, also with both types of standard errors. While the direction and magnitude of the relationship between estimated work search overpayment rates and the fraction of cases with claimants required to search for work was generally similar across specifications, it was not always statistically significant. The direction, magnitude, and statistical significance of the relationship between estimated work search overpayment rates and the fraction of cases for which BAM auditors investigated job contacts was generally similar across specifications, with the exception of the linear model with clustered standard errors, where it was not statistically significant. The directions, magnitudes, and statistical significance of the relationship between estimated work search overpayment rates and estimated state formal warning use were generally similar across specifications."], "subsections": []}]}, {"section_title": "Appendix II: Additional Benefit Accuracy Measurement Data Tables", "paragraphs": ["This appendix contains several tables that show the underlying data used throughout this report, using the Department of Labor\u2019s Benefit Accuracy Measurement (BAM) data for fiscal years 2013 through 2017.", "According to DOL, because the BAM data are based on a statistical survey, estimates produced from our analysis of the BAM data are subject to sampling and non-sampling errors. Sampling errors are errors that arise in a data collection process as a result of taking a sample from a population rather than using the whole population. Non-sampling errors are errors or biases that arise in a data collection process as a result of factors other than taking a sample, such as the timeliness of data collection, data entry errors, biased questions in fact-finding, biased decision-making, and inappropriate analysis and conclusions completed by state investigators or false or inaccurate information provided by survey respondents. We express our confidence in the precision of our results by reporting the margins of error associated with 95 percent confidence intervals. This is the interval that would contain the actual population value for 95 percent of the samples the respective agency could have drawn.", "In addition, it may be misleading to compare one state's work search overpayment rates with another state's rates. According to DOL, no two states' written laws, regulations, and policies specifying eligibility conditions are identical, and differences in these conditions influence the potential for error.", "The following tables and information are included in this appendix:", "Table 8: The estimated overpayment amounts for the Unemployment Insurance (UI) program by cause in fiscal year 2017 (also represented in fig. 2 in the letter portion).", "Table 9: The national work search overpayment rate estimates and dollar amounts for fiscal years 2013 through 2017 (also represented in fig. 3 in the letter portion).", "Table 10: The work search overpayment rates estimates and dollar amount of work search overpayments in each state in fiscal year 2017, excluding cases where formal warnings were given.", "Table 11: The percentage of cases in which claimants were required to search for work and the percentage of those cases in which job contacts were investigated in each state in fiscal year 2017.", "Table 12: For states that issued formal warnings in 2017, the UI overpayment rate estimates excluding and including cases in which formal warnings were issued, and the difference in the dollar amount of overpayments if formal warnings were not used."], "subsections": []}, {"section_title": "Appendix III: Summary of Six States\u2019 Work Search Requirements for Unemployment Insurance Claimants", "paragraphs": ["Work search requirements for Unemployment Insurance claimants vary by state. According to our review of program documents in our six selected states, the minimum number of work search activities required per week ranged from not specified to four. Three of the states limited the work search activities to applying for jobs or contacting employers in other ways and the three other states had broader definitions of what would qualify as a work search activity. See table 13 below for a summary of the work search requirements, confirmed by state officials, for the six states included in our review."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Cindy Brown Barnes 202-512-7215 or brownbarnesc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact names above, Danielle Giese (Assistant Director), Cathy Roark (Analyst in Charge), Carl Barden, Rachel Beers, Deborah Bland, Beryl Davis, Holly Dye, Alex Galuten, Dana Hopings, Joel Marus, Phillip McIntyre, Sheila R. McCoy, Jean McSween, Courtney LaFountain, Stacy Spence, Almeta Spencer, Matt Valenta made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-91", "url": "https://www.gao.gov/products/GAO-18-91", "title": "Federal Pay: Opportunities Exist to Enhance Strategic Use of Special Payments", "published_date": "2017-12-07T00:00:00", "released_date": "2017-12-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies can provide additional compensation by using seven broadly available special payment authorities to recruit and retain employees to address needed skills. Though special payments can help fill mission-critical skills gaps, agencies also face constrained budgets, which underscores the importance of cost-effective use of authorities. OPM and the CHCO Council play important roles in assuring effective federal human capital management.", "GAO was asked to examine agency use, challenges, and improvements needed, if any. This report 1) describes CHCO agencies' use of special payment authorities in fiscal years 2014-2016; 2) assesses to what extent CHCO agencies examined effectiveness; and 3) evaluates how OPM has helped agencies address recruitment and retention needs. GAO obtained information from CHCO agencies on use of authorities through a questionnaire. GAO also analyzed OPM personnel data and agency documents, and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Generally, federal agencies have seven broadly available government-wide special payment authorities to help address recruitment and retention challenges. Chief Human Capital Officer (CHCO) Council agencies reported using these authorities to varying degrees but overall for few employees in fiscal years 2014-2016. For example, in fiscal year 2016, less than 6 percent of the over 2 million CHCO agencies' employees received compensation from at least one of the authorities (see figure). The two most frequently used\u2014special rates and retention incentives\u2014were used for over 74,000 employees and over 13,000 employees, respectively, each year. The least-used\u2014critical position pay\u2014was used for as few as seven employees a year. CHCO agencies also reported using the range of authorities to help address skills gaps, particularly for science, technology, engineering, and mathematics occupations.", "CHCO Agency Employees Receiving Special Payments, Fiscal Year 2016", "CHCO agencies reported that these authorities had positive impacts\u2014such as on-staff retention and applicant quality\u2014but had few documented effectiveness assessments. Nine of 10 agencies that reported having documented assessments provided them, but GAO found that only 3 had information on effectiveness, such as its impact on meeting staffing needs.", "The Office of Personnel Management (OPM) collects agency data on use but has not tracked data to analyze how much authorities help agencies improve recruitment and retention government-wide. OPM may be missing opportunities to promote strategic use by providing guidance and tools on assessing effectiveness. For example, OPM has not explored reasons for trends in use of critical position pay or consistently shared best practices and innovative ways to use authorities. Without tracking data and providing guidance to help agencies assess effectiveness, OPM will be unable to determine whether use of special payment authorities helps agencies to improve recruitment and retention."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that OPM should work with the CHCO Council on tracking data and providing guidance and tools to assess effectiveness of authorities, among others. OPM concurred or partially concurred with all recommendations, and described planned steps to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies can provide additional payments to current employees and offer additional compensation to prospective employees in certain circumstances to support their recruitment and retention efforts, and address human capital challenges. These special payments can be strategic tools to help recruit and retain highly qualified personnel. However, balancing constrained budgets with a potential wave of employee retirements and the need to fill gaps in mission-critical skills within the federal workforce underscores the need for agencies to cost effectively use special payment authorities. These include special pay rates, incentives, and student loan repayments.", "The Office of Personnel Management (OPM) works with agency chief human capital officers (CHCOs) to provide human capital tools and guidance to support agency missions. Continued collaborative efforts between OPM and the CHCO Council assist agencies in using compensation flexibilities to address human capital challenges. Our prior work has shown that increasing agencies\u2019 awareness of available flexibilities and evaluating existing tools are key aspects for successfully managing the range of human capital flexibilities. Moreover, we have reported that building agency capacity in using human capital flexibilities increases the likelihood of agencies using these tools appropriately and cost effectively to address human capital challenges.", "You asked us to examine how much agencies use various available special payment authorities, challenges agencies face, and improvements needed to better ensure that agencies use these authorities to more effectively recruit and retain employees. This report (1) describes what is known about how much CHCO Council agencies used selected special payment authorities in fiscal years 2014-2016; (2) assesses the extent to which CHCO agencies evaluate the effectiveness of these authorities and identifies challenges, if any, the agencies reported facing in using the authorities to address mission-critical skills gap areas; and (3) evaluates how OPM has helped agencies address federal recruitment and retention needs.", "To address our first objective, we administered a questionnaire to the 27 CHCO agencies to collect data on frequency of use, dollars spent, and whether agencies used the authorities to help address recruitment and retention needs in mission-critical skills gap areas in fiscal years 2014- 2016. All 26 CHCO agencies that reported use of the authorities responded to our questionnaire. We also analyzed OPM\u2019s Enterprise Human Resources Integration (EHRI) personnel data for fiscal year 2014 to describe the use of authorities by occupational family, and for fiscal year 2016 to determine the total number of federal employees at the CHCO agencies.", "In addition, we analyzed OPM reports on the student loan repayment and the critical position pay authorities to describe government-wide use by occupation in calendar year 2015\u2014the most recent available reports at the time of our review. To assess the reliability of the CHCO agency reported data and the OPM EHRI data, we compared frequencies in the two data sets by agency for fiscal year 2014 (the one year of available overlapping data); reviewed OPM documentation; and interviewed OPM officials. We determined that the data were sufficiently reliable to describe agency use of these authorities over this time period.", "To address our second objective, we analyzed CHCO agency responses from our questionnaire on the extent to which these agencies assessed the effectiveness of using these authorities, agency-reported challenges in using these authorities, and potential changes to operations or procedures to help agencies more effectively use these authorities.", "To address our third objective, we reviewed OPM procedures to collect and analyze data, and provide tools and guidance on the effective use of special payment authorities. We also reviewed the processes OPM uses to review and approve agencies\u2019 requests to use certain special payment authorities. We also interviewed OPM officials to discuss the review and approval processes and procedures. We compared the data collection, analysis, guidance, and approval processes for consistency and to determine whether they meet criteria for designing and implementing control activities in Standards for Internal Control in the Federal Government. See appendix I for a more detailed discussion of our objectives, scope, and methodology, and appendix II for a copy of our questionnaire.", "We conducted this performance audit from September 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Title 5 Special Payment Authorities", "paragraphs": ["Generally, federal agencies have seven broadly applicable special payment authorities available government-wide under Title 5 of the United States Code (hereinafter \u201cTitle 5\u201d)\u2014listed below in table 1\u2014for recruitment and retention. Table 1 describes each authority\u2019s legal reference, purpose, payment ranges, and whether an agency must seek OPM approval prior to use."], "subsections": []}, {"section_title": "Mission-Critical Skills", "paragraphs": ["Federal agencies face mission-critical skills gaps that pose a risk to agencies\u2019 ability to cost effectively serve the public and achieve results. Agencies can have skills gaps for different reasons. For example, skills gaps may arise in the form of: (1) staffing gaps, in which an agency has an insufficient number of individuals to complete its work; (2) competency gaps, in which an agency has individuals without the appropriate skills, abilities, or behaviors to successfully perform the work; or (3) both staffing and competency gaps. Mission-critical skills gaps may be broad\u2014 affecting several agencies\u2014or may be specific to a given agency.", "We, and others including OPM and federal agencies, have identified and reported on mission-critical skills gap areas across the government and within specific agencies. In 2015, OPM and the CHCO Council worked with agencies to refine their inventory of government-wide and agency- specific skills gaps. They identified 6 government-wide and 48 agency- specific mission-critical skills gap areas for closure. The six government- wide areas identified were Cybersecurity; Acquisition; Human Resources; Auditing; Economics; and Science, Technology, Engineering, and Mathematics (STEM). Some of the agency-specific skills gaps included border patrol agents at the Department of Homeland Security and nurses at the Veterans Health Administration and the Department of Health and Human Services. Skills gaps played a contributing role in 15 of the 34 high-risk areas identified in our most recent report on government operations with greater vulnerabilities to fraud, waste, abuse, and mismanagement, or that are in need of transformation to address economy, efficiency, or effectiveness challenges."], "subsections": []}, {"section_title": "Office of Personnel Management", "paragraphs": ["OPM is responsible for performing a number of functions to assist agencies in using the compensation flexibilities, including issuing regulations and, as necessary, providing approval authority, to ultimately help agencies build successful, high-performance organizations. OPM provides agencies with guidance and assistance on using special payment authorities via individual consults, memorandums, its website, training, and initiatives that focus on specific issues. OPM\u2019s website has guidance on each special payment authority including references to regulations.", "For special payment authorities requiring OPM approval, OPM regulations provide agencies instruction concerning the information needed for OPM to review and decide whether to approve or deny requests. Although the information needs vary by authority, generally agencies are to submit information and evidence reflecting recruitment and retention challenges for the specific position(s), previous efforts to address the problem, and the basis for requested payment amounts.", "OPM is responsible for oversight of the federal government\u2019s use of special payment authorities to ensure agencies are acting in accordance with applicable requirements. For example, as a part of its delegated examination audits and human resource management evaluations, OPM reviews selected samples of agency\u2019s personnel actions to assess how well they complied with statutory and regulatory requirements. In cases where agencies used certain special payment authorities, OPM uses a checklist to guide its review of documents agencies must develop and maintain to justify their uses.", "OPM also is responsible for reporting to Congress on the federal government\u2019s use of certain special payment authorities. Annually, OPM requests or receives data from agencies and reports to Congress on agency use of two authorities\u2014critical position pay and the student loan repayment. The reports include information on the use of these authorities each calendar year\u2014such as data showing how many received payments\u2014and the total dollar or relative amounts of special payments. OPM was required to annually report to Congress on agencies\u2019 use of the recruitment, relocation, and retention (3R) incentives in calendar years 2005-2009."], "subsections": []}, {"section_title": "Chief Human Capital Officers Council", "paragraphs": ["The Chief Human Capital Officers Act of 2002 established the CHCO Council to advise and coordinate the activities of member agencies on such matters as the modernization of human resources systems, improved quality of human resources information, and legislation affecting human resources operations and organizations. The Director of OPM is the Chairperson of the CHCO Council, and the Deputy Director for Management in OMB is the Vice Chairperson. The council includes CHCOs of the executive departments and any other members designated by OPM. It serves to coordinate and collaborate on the development and implementation of federal human capital policies. For example, the CHCO Council manages the Human Resources University (HRU) website, which is a web-based platform to share knowledge, training, best practices, and resources across agencies."], "subsections": []}]}, {"section_title": "Agencies Reported Using Special Payment Authorities to Varying Degrees but for Few Employees in Fiscal Years 2014-2016", "paragraphs": [], "subsections": [{"section_title": "Agencies Reported Using a Range of Special Payment Authorities", "paragraphs": ["CHCO agencies used a range of special payment authorities to recruit and retain employees. Our analysis of CHCO agency data found that for six selected authorities, 20 or more agencies used each between fiscal years 2014-2016, as shown in figure 1. Seven agencies reported having used the critical position pay authority."], "subsections": []}, {"section_title": "Agency Data Show, Overall, Few Employees Received Compensation from Special Payment Authorities", "paragraphs": ["We found that CHCO agencies reported using the seven authorities for a small number of federal employees overall. For example, in fiscal year 2016, less than 6 percent of the over 2 million federal employees at CHCO agencies received compensation under at least one of the seven special payment authorities, as shown in figure 2.", "Moreover, many agencies reported using most of these authorities for a limited number of employees each year. For example, of the 24 agencies that reported using superior qualifications and special needs pay setting\u2014the authority reportedly used by the highest number of CHCO agencies\u2014over half (13 agencies) reported using the authority for fewer than 100 employees per year. In addition, of the 23 agencies that reported using recruitment incentives in fiscal years 2014-2016, 11 agencies reported using the authority for 10 or fewer employees per year.", "As shown in table 2, agencies reported that more employees received compensation from the special rates authority, followed by use of retention incentives in fiscal years 2014-2016. Specifically, agencies reported using special rates for over 74,000 employees, of the over 2 million CHCO agency employees, in each of these fiscal years. On the other end of the spectrum, agencies reported using the critical position pay authority for fewer than 40 employees in each of these years.", "Special rates: Although CHCO agencies reported that more employees received special rates compensation than the other authorities in fiscal years 2014-2016, our analysis showed usage generally declined from between 2001- 2005, when over 139,000 employees received a special rate. An OPM official said that over time agencies have relied less on these special rates due to the introduction of locality pay. For example, in its 2005 annual review of special rates, OPM reported that 14 special rates schedules would be terminated because higher locality rates applied at all steps of each covered grade.", "Critical position pay: We found that the critical position pay authority was used for the lowest number of employees of these authorities each year in fiscal years 2014-2016. The authority\u2019s lower use relative to the other authorities is to be expected to some extent because of the government-wide cap of 800 positions for this authority."], "subsections": []}, {"section_title": "Agencies Reported Spending about $800 Million on 3R Incentives and Student Loan Repayments", "paragraphs": ["Our analysis of CHCO agency questionnaire responses found that these agencies reported spending about $805 million total on 3R incentives and the student loan repayment authorities in fiscal years 2014-2016. In addition, we found that these agencies reported spending more on retention incentives than on the other three authorities in each of these years, as shown in figure 3. Specifically, over 40 percent (about $333 million) of this total reported spending was for retention incentives.", "In addition, the agency reported use of recruitment and relocation incentives increased in each year. Overall, recruitment and relocation incentives were about $174 million and $149 million, respectively, of the total approximately $805 million in reported spending between fiscal years 2014-2016. OPM officials stated that until recently agency spending on 3R incentives had been frozen, and many agencies had to limit their use of these incentives. Finally, agency reported use of the student loan repayment authority increased in each of these years and was approximately $148 million of the total approximately $805 in reported spending."], "subsections": []}, {"section_title": "Agencies Used the Range of Authorities to Address Skills Gaps", "paragraphs": [], "subsections": [{"section_title": "CHCO Agencies Reported Using Authorities to Help Address Different Skills Gaps, Particularly for STEM Occupations", "paragraphs": ["All 26 CHCO agencies reported using special payment authorities to support mission-critical skills gap areas in fiscal years 2014-2016. We found that the number of CHCO agencies that used each of these authorities varied by skills gap area, as shown in table 3. For example, we found that superior qualifications and special needs pay setting was the authority used by the largest number of CHCO agencies in two of the five skills gap areas\u2014STEM and Cybersecurity. We also found that 19 or more agencies reported using at least one authority to support four skills gap areas\u2014STEM, Cybersecurity, Acquisitions, and Human Resources. Some CHCO agencies reported that certain skills gap areas were not mission critical for them. Specifically, 11 agencies reported that healthcare was not a skills gap area for them as compared to 2 or 3 agencies each for the other skills gap areas.", "STEM: Our analysis of the CHCO agency data found that, of the five skills gap areas, more agencies generally reported using the special payment authorities to support STEM occupations. Of the 21 agencies that reported using at least one authority to support the STEM area, we found that 18 agencies reported using the superior qualifications and special needs pay setting authority for these occupations in fiscal years 2014-2016. The Department of Agriculture (USDA), for example, reported that this authority had been a valuable tool in recruiting for critical STEM positions from a small and highly competitive Ph.D. applicant pool. The Department of the Treasury (Treasury) reported using special payment authorities generally to match private-sector salaries or to help mitigate disparities between private- and public-sector compensation for STEM occupations.", "Cybersecurity: Similarly, of the 21 agencies that reported using at least one authority to support the cybersecurity area, 16 reported using superior qualifications and special needs pay setting to support these positions in fiscal years 2014-2016, and 13 agencies reported using recruitment incentives. For example, the Small Business Administration reported that the superior qualifications and special needs pay setting authority has helped to attract top cybersecurity talent by narrowing the gap between public- and private-sector salaries.", "Acquisitions: Of the 20 agencies that reported using at least one authority to support the acquisitions area, 14 agencies reported using the student loan repayment authority, and 13 agencies reported using the superior qualifications and special needs pay setting authority for these positions. For example, the Department of Education reported using student loan repayments to help retain acquisitions employees, and in one instance, had retained an expert in multiple functional areas of government contracting.", "Other agency-identified skills gap areas: We also found that 20 of the 26 CHCO agencies reported using special payment authorities to varying degrees to help address other or agency-specific skills gap areas. For example, Treasury reported using recruitment incentives for auditors, while the Department of Homeland Security (DHS) reported using multiple authorities, including the 3R incentives for law enforcement positions in fiscal years 2014-2016."], "subsections": []}, {"section_title": "Agencies Frequently Used the Student Loan Repayment Authority to Support Mission- Critical Occupations", "paragraphs": ["Our analysis of OPM\u2019s Federal Student Loan Repayment Program Calendar Year 2015 Report on government-wide use found that agencies frequently used the student loan repayment authority for employees in mission-critical occupations (MCOs). Specifically, we found that for the five agencies that most frequently used student loan repayments that year\u2014the Departments of Defense (DOD), Veterans Affairs (VA), Justice (DOJ), and State (State), and the Securities and Exchange Commission (SEC)\u2014over 50 percent of the employees at each agency who received these benefits were in agency-specific MCOs. For example, SEC reported to OPM that approximately 72 percent of its student loan repayments were made to employees in MCOs such as accountants, attorneys, and securities compliance examiners. We also found that other agencies used the authority for employees in MCOs. For example, the Department of the Interior (Interior) reported to OPM that using the authority has been helpful in filling MCOs such as petroleum engineers, geophysicists, and biologists.", "Our analysis of OPM\u2019s 2015 report also found that the 32 agencies that had used the authority that year did so for over 200 occupations. Overall, we found that agencies most frequently used student loan repayments for attorney-, engineer-, and contracting-related occupations, as shown in figure 4.", "Our review of OPM\u2019s report to Congress on critical position pay in calendar year 2015 found that, as of calendar year 2015, all four positions that received the critical position pay authority were for director or other senior executive positions. For example, the positions of Administrator of the Transportation Security Administration and the Director of the National Institutes of Health received compensation under this authority in calendar year 2015. Since OPM\u2019s 2015 report, OPM officials told us that they had approved 68 additional positions for the critical position pay authority for certain Medical Center Director positions at VA. According to data provided by VA in response to our questionnaire, the agency reported using its recently approved authority in fiscal year 2016 for 27 of these positions."], "subsections": []}]}]}, {"section_title": "Agencies Generally Reported Positive Impacts but Few Documented Their Assessments of Special Payment Authorities", "paragraphs": [], "subsections": [{"section_title": "Agencies Generally Reported Positive Impacts", "paragraphs": ["CHCO agencies generally reported that special payment authorities positively affected areas of operation. More specifically, these agencies reported the authorities somewhat or very positively affected at least one of seven areas we identified in our questionnaire such as staff retention, ability to meet staffing needs, or ability to fill mission-critical positions (see appendix III for the results for the other special payment authorities). For example, the 19 agencies that reported using the special rates authority said it had somewhat or very positively impacted their ability to meet their staffing needs, and 17 reported the same for staff retention and achieving their missions (see table 4).", "CHCO agencies generally reported that special payment authorities somewhat or very positively affected their ability to fill mission critical positions. Agencies provided specific examples of the positive impact of special payment authorities and ways they responded to challenges using special payment authorities:", "Student loan repayment authority: The Department of Commerce reported that multiple components found this authority useful for competing with the private sector and for building a pipeline of top talent given that most of these employees were at the beginning of their careers.", "Relocation incentives: The Department of Energy reported using these incentives to relocate employees to meet emergency needs, including a shutdown of the Waste Isolation Plant Project in Carlsbad, New Mexico.", "Recruitment incentives: DOD reported that it would not have been able to effectively recruit individuals in several career fields, including engineering and nursing, without these incentives. Moreover, the Social Security Administration credited these incentives for its success in hiring experts from major corporations for cybersecurity and other program policy area positions.", "Retention incentives: The Environmental Protection Agency credited a retention incentive for successfully retaining a senior research scientist, thereby addressing a mission-critical skills gap and allowing the agency\u2019s mission to continue uninterrupted and at significant savings. Moreover, State explained how using a retention incentive helped to address its Bureau of Medical Services\u2019 severe staffing shortages due to uncompetitive base salaries. VA also stated that these incentives helped create a smooth transition of institutional knowledge to newer employees and facilitate continuity of operations. DHS responded to its need to attract and retain employees in information technology (IT) and cybersecurity by developing a unique retention incentive plan that focused on specialized certification for employees in these fields. The Department of Health and Human Services\u2019 (HHS) Centers for Disease Control and Prevention (CDC) used retention incentives to retain employees that might have moved to the private sector.", "Superior qualifications and special needs pay: HHS\u2019s CDC reported it has been successfully using this authority to attract IT specialists, an occupation series designated as \u201chard-to-fill.\u201d HHS credited this authority with attracting highly qualified applicants who would otherwise have accepted higher starting salaries outside the federal government. USDA included use of this authority in its approach to addressing challenges recruiting and retaining employees in the remote oil boom Bakken region in North Dakota and Montana."], "subsections": []}, {"section_title": "Most Agencies Reported Assessing Special Payment Authorities, but Few Agencies Documented Their Effectiveness Assessments", "paragraphs": ["Twenty-five of 26 CHCO agencies reported assessing the effectiveness of at least one special payment authority used in fiscal years 2014-2016. However, our analysis found in many cases agencies did not document their assessments. Moreover, agencies often did not assess the effectiveness of all authorities they used. For example,", "4 agencies reported having no assessments for the majority of the special payment authorities they used, and", "11 agencies reported not assessing at least one of the authorities they used.", "As seen in table 5, overall, CHCO agencies reported conducting informal effectiveness assessments more often than documenting assessments of their uses of special payment authorities.", "Our analysis of CHCO agency responses found the extent to which these agencies documented assessments of effectiveness varied by payment authority. For example, agencies reported most frequently documenting assessments for recruitment incentives and the student loan repayment authority. On the other hand, 3 of the 24 agencies using the superior qualifications and special needs pay setting authority reported documented assessments. For each of the authorities, a small number of agencies reported not assessing effectiveness at all. For instance, 5 of the 21 agencies using retention incentives did not assess their effectiveness. OPM said it did not document assessments of the effectiveness of the authorities the agency used for its own employees because meaningful analyses were not possible due to the few employees who received compensation under the authorities OPM used.", "CHCO agencies that reported documenting assessments identified the various impacts they assessed for the special payment authorities they used. More specifically, of the 10 CHCO agencies that reported having documented assessments, agencies most frequently reported evaluating the impact of these authorities on meeting staffing needs and on their effectiveness relative to other human capital flexibilities. This included DOD, which reported documenting assessments for five authorities\u2014 special rates, the 3Rs, and student loan repayments\u2014on its operations.", "We requested copies of documented assessments from the 10 CHCO agencies that reported having them and 9 responded. Three of the nine responding agencies provided documents with information on authorities\u2019 effectiveness, such as the impact on meeting staffing needs. Specifically, Interior provided documentation that showed the agency tracked workforce data, such as the number of vacancies and turnover rates related to using the 3Rs and special rates focused on oil and gas extraction. DOD and DHS included information on the student loan repayment authority in their annual reports to OPM, and credited student loan repayments with helping to retain highly qualified employees. Six of the nine responding agencies provided documentation that justified or reported on the use of special payment authorities rather than documentation that assessed the impacts that using authorities had on agency operations. For example, three of these six agencies provided examples of reviews or information addressing compliance with regulations relevant to the use of special payment authorities. Three other of these six agencies provided documents to justify and request approval to use 3R incentives, such as to show applicants\u2019 qualifications or current employees\u2019 performance appraisals."], "subsections": []}, {"section_title": "The Most Frequently Identified Challenge Was Insufficient Resources, but Most Agencies Reported Rarely or Never Experiencing Other Types of Challenges", "paragraphs": ["CHCO agencies reported that, among the six potential challenges we identified in our questionnaire, insufficient resources was the most common challenge they experienced in using special payment authorities. Most CHCO agencies reported they rarely or never experienced other challenges. With respect to insufficient resources, 13 of the 26 agencies said they regularly or always experienced this challenge (see figure 5). According to three of these agencies, budget constraints prevented them from using special payment authorities more frequently or limited their use to filling only the most critical vacancies.", "Four CHCO agencies said they regularly or always experienced challenges with burdensome documentation or complex approval process when using special pay authorities.", "We also sought feedback on certain agencies\u2019 experiences with OPM\u2019s approval processes for special payment authorities. Below are details of challenges that agencies provided.", "Interior stated that the department and its components were required to provide a significant amount of historical data to justify the need for special salary table, and that publicly-available data on market analyses and trends should drive the special pay rate process, thereby making it easier for agencies to submit requests and to adapt to current conditions.", "HHS reported that documenting special payment authorities was overly complicated for some of its divisions with smaller human resources (HR) staffs.", "The Department of Transportation (DOT) commented on the timeliness of OPM and OMB approvals for using the critical position pay authority. DOT said this delay\u2013approximately 5 months\u2013could have been a driving factor that negatively affected recruitment for a position, as other agencies could negotiate to offer the candidate higher salaries.", "Interior similarly cited a concern with approval process timeliness due to OPM\u2019s limited staff and expertise coordinating between all the involved federal agencies with which it must deal.", "Interior suggested that when an agency must request pay flexibilities that can be approved by only OPM, OPM should train the agency\u2019s HR staff and managers on the processes and materials needed to justify their requests, and should provide a clear understanding of timelines for approvals.", "However, multiple CHCO agencies reported only rarely or never experiencing documentation or process challenges. For example, Interior credited OPM with collaborating to establish special rates to address challenges in competing with the oil and gas industry for the talent needed to meet Interior\u2019s mission. DOD and DOJ also conveyed positive views on OPM\u2019s approval process, crediting it with expediting a waiver request for a group retention incentive limitation and use of special rates, respectively."], "subsections": []}, {"section_title": "Agencies Reported That Manager Training Would Likely Improve Use of Special Payment Authorities", "paragraphs": ["CHCO agencies most frequently said training for agency managers is a change that would very likely or certainly improve the agency\u2019s ability to effectively use special payment authorities (see figure 6). Conversely, about a quarter of responding agencies said legislative changes very likely or certainly would improve their ability to use special payment authorities.", "CHCO agencies provided examples of how potential changes would improve their ability to effectively use special pay authorities. VA responded that its central HR office was developing a pay authority toolkit to provide information on processes and procedures for using the authorities and related training for HR specialists and managers. According to VA, the toolkit, mandatory training, and regularly-scheduled refresher training were likely to increase staff\u2019s knowledge and ease with using pay flexibilities to develop competitive compensation packages to help recruit and retain quality talent and fill critical positions. HHS also expressed concerns about the use of special payment authorities in the context of ongoing budget constraints. Specifically, HHS noted that budget restraints over the last several years have led to retirements and resignations among its more experienced HR staff. This resulted in a loss of institutional knowledge on complex pay and leave authorities, including those affecting special payments. HHS officials said the loss of experienced HR staff diminishes the agency\u2019s internal capacity to train remaining staff. In addition, budgetary controls result in fewer resources for external training. Also, Interior commented that, for special payment authorities that can be approved by only OPM, OPM should provide training for their HR staff and managers responsible for using them."], "subsections": []}]}, {"section_title": "OPM Has Provided Some Guidance and Collects Some Data, but Has Not Assessed Effectiveness or Documented Approval Processes", "paragraphs": [], "subsections": [{"section_title": "OPM Provided Guidance and Other Assistance", "paragraphs": ["OPM has taken a number of steps to provide agencies with additional guidance and assistance on using special payment authorities. For example, in April 2015, OPM and the CHCO Council held a web-based, virtual human resources conference for agency officials which included a session on special payment authorities for recruitment and retention. Moreover, in January 2016, OPM issued a memorandum to agency CHCOs that stated that OPM recognized the 3Rs are essential pay flexibilities for agencies facing serious staffing challenges. The memorandum provided guidance on exceptions to spending limits on 3R incentives and OPM website links to related guidance on using the authorities. In August 2017, OPM posted a web-based training course for agency officials on special payment authorities and other flexibilities, including examples of their use and resources for additional information.", "OPM has also pursued initiatives that focus attention on addressing mission-critical skills gaps areas. As part of government-wide efforts to develop and strengthen the cybersecurity workforce, in November 2016, OPM issued a memorandum and guidance to CHCOs on strategic and cost-effective use of the various flexibilities agencies may employ to recruit and retain employees in cybersecurity positions. The guidance included checklists of steps agencies need to complete to use various special payment authorities, and described ways to combine use of special payment authorities, when appropriate, to make federal agencies more competitive in recruiting and retaining cybersecurity employees.", "OPM also formed Federal Agencies Skills Teams (FASTs) for occupations as an effort to help agencies address mission-critical skills gaps areas. As part of FASTs, OPM collected and reviewed information from agencies on the root causes of skills gaps and found that compensation levels play a role in skills gaps, in some cases. As of August 2016, OPM\u2019s approach included a strategy to hold agencies accountable for closing skills gaps in their MCOs, and to monitor metrics and progress through fiscal year 2020. In January 2015, we reported that the measures agencies had in place limited OPM and the CHCO Council\u2019s ability to track progress in closing skills gaps government- wide. Accordingly, we recommended that OPM strengthen the approach and methodology for addressing skills gaps by working with the CHCO Council to develop targets that are clear, measurable, and outcome oriented. OPM partially concurred with the recommendation."], "subsections": []}, {"section_title": "OPM Does Not Track Special Payment Authorities to Assess Whether Using Them Improves Recruitment and Retention", "paragraphs": ["It is important to identify the necessary data and establish measures to track a program\u2019s effectiveness, as well as establish a baseline to measure changes over time and assess the program in the future. We have reported that agencies can use these measurements to help them determine if a program is worth the investment, and to distinguish which of the available human capital flexibilities is better suited to address recruitment and retention needs. Standards for Internal Control in the Federal Government also state that management should obtain relevant data from reliable sources that can be used to effectively monitor programs. We have reported that understanding the relative effectiveness of various flexibilities can help identify any changes needed for agencies to more effectively use them. As we also recently reported, collecting and using data to assess the effectiveness of authorities would be a critical first step in making more strategic use of flexibilities to effectively meet hiring needs.", "OPM collects agency data on the use of special payment authorities via annual reporting on certain authorities and EHRI, but has not analyzed whether the payment authorities help agencies to improve recruitment and retention government-wide. Nor has OPM assessed trends and factors that can affect the use of these authorities. As required by statute, OPM annually collects data from agencies to report to Congress on the use of the student loan repayment and critical position pay authorities.", "Student loan repayment: OPM collects some information from agencies about their use of student loan repayment authority and invites agencies to provide details about their experiences in administering the authority, but has not conducted an analysis of the authority\u2019s effectiveness for addressing recruitment and retention needs. As discussed previously, we analyzed the government-wide use of this authority by occupation and identified those occupations for which agencies most frequently used the authority (see figure 4). In addition, we used OPM\u2019s 2015 report and information from its FASTs skills gap initiative to identify the use of this authority for MCOs. These are two examples of analyses that OPM could perform to help understand how agencies are using this authority.", "Critical position pay: OPM collects data on agency use of critical position pay from the agencies with existing OPM approval, but the information does not help OPM understand how the payment authority supports recruitment or retention. OPM collects data that it is required by statute to report to Congress such as who received the higher rate and the rate paid, but does not include information on the impact on recruitment and retention.", "OPM has stopped regularly collecting and analyzing data for the 3R incentives, except on the use of retention incentives for employees likely to leave for other federal agencies, and does not collect and analyze data for special rates, leaving a void for conducting government-wide analysis that would help determine whether special payment authorities help address agency recruitment and retention needs:", "3R incentives: In a February 2010 memorandum to agency CHCOs on 3R incentives, OPM called for it and agencies to more actively manage the program and track data. OPM said that validated data would help OPM and agencies to understand the nature and trends of use of the incentives and better track incentives on an ongoing basis. OPM and agencies would also, if necessary, be better able to investigate any 3R data anomalies and take corrective actions. Based on its request to agencies in October 2011, OPM prepared a draft report on its analysis of agency-provided data and information on use of 3R incentives in calendar years 2010 and 2011, including what agencies reported as barriers to using the authorities and whether 3R improved recruitment and retention. However, OPM did not distribute the report or take action on it. Although OPM said it planned to conduct periodic reviews on an ongoing basis, since the 3R reporting requirement expired and OPM\u2019s October 2011 agency data request, OPM does not regularly collect and review government- wide information on the level of use and potential barriers.", "Special rates: In conducting its annual review of special rates, each year OPM asks that agencies review their respective applicable special pay rate tables to determine whether the rates should be terminated, reduced, or increased. OPM considers requests to make changes based on the agency reviews, but according to OPM officials, in recent years, agencies have not identified any needed changes to special rates during that annual review process.", "Moreover, OPM has not used its EHRI data to better understand trends in the use of these authorities government-wide and how agencies are using them to address their recruitment and retention challenges. As an example, we analyzed EHRI data to describe government-wide use of selected authorities by occupational family in fiscal year 2014. From that analysis, we identified differences in use across various occupational families that could be helpful in understanding how agencies are using these authorities. For example, we found that the Medical, Hospital, Dental, and Public Health family was the top occupational family for four of the five authorities. See appendix IV for additional information.", "OPM also has not explored trends in agency use of the critical position pay authority. OPM has not pursued reasons why agencies have not requested approval for over 750 available slots or why agencies have used only 4 of the 36 authorized positions as of calendar year 2015. As part of an initiative to close skills gaps for the STEM workforce, in October 2014, the White House Office of Science and Technology Policy, OPM, and OMB identified the critical position pay authority as a potentially underused flexibility. However, according to the 2015 OPM report, OPM had authorized critical position pay for 36 positions in 10 agencies as of calendar year 2015. And, only four of those agencies reported using the critical position pay authority in 2015 for four current employees (see table 6).", "In July 2017, the Treasury Inspector General for Tax Administration (TIGTA) recommended that the Internal Revenue Service (IRS) pilot the use of critical position pay authority to recruit highly-qualified experts to lead IRS\u2019s cybersecurity and related specialized functions. According to TIGTA, IRS would enhance its recruitment efforts by using the authority. OPM officials attribute low use of critical position pay to: (1) agencies\u2019 views that the approval process is cumbersome; (2) management resistance or cultural issues based on views about pay inequity between employees, or employees receiving higher salaries than their managers; and (3) agencies using other compensation flexibilities that do not require prior OPM approval.", "OPM is not tracking government-wide data on the use of the range of special payment authorities to better understand whether or how various authorities improve recruitment and retention. OPM officials said the information they collect on special payment authorities depends on reporting requirements for the specific payment authority. For example, they said they collect information on assessing the effectiveness of student loan repayments because of the reporting requirements in the law. However, the reporting requirement does not include assessments to examine effectiveness or impediments to help OPM determine whether potential changes may be needed to address recruitment and retention challenges. Instead, OPM\u2019s annual data request memorandums invite agencies to provide additional details on their experiences in administering the student loan repayments.", "OPM officials said they may sometimes perform ad hoc analyses of EHRI data on certain authorities but do not regularly analyze EHRI data on the use of the various authorities government-wide. For example, OPM officials said they have queried the EHRI database on the use of selected special payment authorities for cybersecurity employees and found the numbers of 3R incentives and agencies using them increased from fiscal year 2015 to 2016, while use of student loan repayments decreased during that period. However, OPM does not regularly conduct such analyses on this or other uses of special payment authorities to understand how they are used to address skills gaps.", "By not tracking and analyzing data on the use of special payment authorities, OPM and the CHCO Council do not have the information they need to help determine what potential changes may be needed, and have limited assurance that special payment authorities are helping agencies meet their needs and achieve recruitment and retention goals."], "subsections": []}, {"section_title": "OPM May Be Missing Opportunities to Promote Strategic Use of Special Payment Authorities", "paragraphs": ["Standards for Internal Control in the Federal Government requires that agency management design and implement control activities, which are the actions management puts in place through policies and procedures to achieve objectives and respond to risks. We have reported on OPM\u2019s important leadership role and the CHCO Council\u2019s support in assisting agencies with identifying and applying human capital flexibilities across the federal government. In its most recent strategic plan, OPM reported it would lead federal human capital management by partnering with its stakeholders\u2014including federal agencies\u2014to develop and implement effective and relevant human resources solutions to build an engaged, productive, and high-performing workforce and develop effective compensation packages, among other things. OPM also has acknowledged its leadership role in strategically promoting the effective use of at least one special payment authority\u2014student loan repayment\u2014 and assisting agencies in the strategic use of this and other recruitment and retention tools as necessary to attract and retain a well-qualified federal workforce and support agency mission and program needs.", "We have also previously reported on the lack of awareness among federal managers about using flexibilities to address human capital challenges. In 2014, we reported that in a forum of CHCO Council agencies we convened, CHCOs said they wanted OPM to do more to raise awareness and assess the utility of tools and guidance it provides to agencies to address key human capital challenges. Accordingly, we recommended that OPM evaluate the communication strategy for and effectiveness of relevant tools, guidance, or leading practices created by OPM or the agencies to help ensure agencies are getting the guidance and tools that they need. OPM concurred with the recommendation."], "subsections": [{"section_title": "Guidance on Assessing Effectiveness", "paragraphs": ["OPM does not provide guidance on assessing effectiveness of special payment authorities in the agency\u2019s handbook on human capital flexibilities for any of the authorities we reviewed. For example, OPM does not offer examples of assessments to illustrate what data are needed and what methodologies are available for determining whether special payment authorities improve recruitment and retention. OPM has provided supplemental information on assessing effectiveness in some student loan repayment authority annual reports and provided links to those reports on its website, but has not done so for other payment authorities. OPM officials said that they believe agencies are in the best position to collect and analyze data to determine which special payment authorities are effective for addressing recruitment and retention needs at their agency.", "However, we found that CHCO agencies often did not document assessments for the special payment authorities they used. The documents agencies prepared were most often focused on justifying or reporting on use of authorities rather than on evaluating their effectiveness in improving recruitment and retention. As mentioned previously, documents addressed compliance with regulations and justifications that agencies prepared to request approval for using the authorities.", "Our review found examples of data and methodologies that agencies could use to help assess whether an authority helped improve recruitment and retention. For example, DOD used data from interviews with employees hired into its entry-level developmental trainee programs to gather feedback on student loan repayment. The feedback consistently indicated that the program was a major contributing factor in employees\u2019 decisions to accept these positions. Also, Interior collected and monitored data on retention rates to assess the effectiveness of special rates in retaining its oil and gas workforce. State said that it conducted some informal assessments of its use of retention incentives but could add a question to its employee exit survey to collect data on how these incentives affect attrition. Some CHCO agency questionnaire responses included examples of other types of data or analyses that could be used to assess special payment authorities such as (1) the reduced level of resignations in a department that had experienced staffing shortages; (2) an increased rate of filling certain hard-to-fill positions; and (3) counts of the numbers of employees successfully recruited into mission-critical skills gap areas."], "subsections": []}, {"section_title": "Tools and Guidance to Support Strategic Decisions", "paragraphs": ["OPM does not provide consistent information via tools and guidance to support effective use of special payment authorities. OPM\u2019s website guidance for the student loan repayment authority provides agencies with tools including best practices, sample agency plans, and answers to frequently asked questions. However, its website guidance for superior qualifications and special needs pay setting authority, for example, only has fact sheets which generally restate and reference the related regulations. Table 7 summarizes the various types of tools and guidance information on the agency\u2019s website about special payment authorities.", "In addition to the tools and guidance noted above, the student loan repayment website includes links to OPM annual reports which include details that could support agency use of this authority. In OPM\u2019s annual requests for data on student loan repayments, OPM regularly invites agencies to submit information for these reports, including on these topics: establishing a business case, program impediments, and ways to improve the student loan repayment program.", "OPM\u2019s guidance on using special pay authorities to address cybersecurity skills gaps illustrates how OPM provides useful information which could be applied in other mission-critical skills areas. In assisting agencies on ways to combine authorities to hire cybersecurity specialists, the guidance includes hypothetical scenarios where desirable job candidates have competing job offers or are currently employed, and provides example competitive compensation packages for entry-, mid-, and senior/expert-level employees. Such information could be useful for other government-wide or agency-identified mission-critical skills gaps or other positions where agencies face serious recruitment or retention challenges.", "OPM officials said they recognized tension between any effort to promote use of special payment authorities and OPM\u2019s role of providing oversight of special payment authorities. OPM officials said the agency promotes the use of the authorities when agencies seek OPM\u2019s help, rather than undertaking efforts to more broadly ensure agencies are fully aware of the potential benefits and innovative ways to use authorities. Further, OPM has not worked with the CHCO Council to gather and disseminate illustrative examples of data needed and methodologies to assess the effectiveness of the authorities.", "With guidance to assess effectiveness and consistent tools and guidance across the range of authorities, OPM and CHCO agencies could more fully support strategic use of special payment authorities to improve recruitment and retention across the federal government."], "subsections": []}]}, {"section_title": "OPM Approval Processes Are Not Fully Documented", "paragraphs": ["Standards for Internal Control in the Federal Government require management to design and implement control activities through policies to achieve objectives and respond to risks. Documentation and periodic review of policies and procedures are important parts of the standards and are necessary to design, implement, and operate controls effectively. Documentation provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel. Documentation is also evidence that controls can be monitored and evaluated. As we previously reported, streamlining administrative processes is a key practice for effectively using human capital flexibilities. Since agency officials must view administrative processes as worth their time compared to the expected benefit to be gained, perceived burdens and slow approval processes could dissuade them from seeking approval to use special payment authorities that could address recruitment and retention needs.", "OPM regulations implementing the statutory provisions set forth the basic criteria for OPM approval of certain special payment authorities, but OPM does not have documented procedures to guide OPM staff in assessing agency requests for approval. For example, OPM does not have documented criteria to assess the sufficiency of the information to support the request, such as the soundness of the methodology or reliability of underlying data for calculating payment amounts, or the sufficiency of prior agency efforts to recruit and retain employees without having to resort to additional pay.", "OPM officials noted that the complexity and nature of recruitment and retention difficulties can vary significantly between agencies and the authority requested. To make decisions about an agency\u2019s request for approval, OPM officials said they apply the criteria in law, regulations, and guidance posted on OPM\u2019s website.", "Our analysis shows that, since January 2009, OPM generally took 4 to 6 months to make approval decisions on CHCO agency special rates and critical position pay requests. OPM officials said they have conversations with agency officials about their views on the process, but do not have procedures to systematically monitor or evaluate the process, such as to seek agency feedback on whether the approval processes are burdensome, complex, and a barrier to wider use. As noted earlier, we sought feedback on certain agencies\u2019 experiences with OPM\u2019s approval processes for special payment authorities. Although some had positive comments, others expressed concerns about the timeliness of the process, including that the length of the process may lead to missed opportunities to hire desirable candidates.", "The July 2017 Treasury Inspector General for Tax Administration (TIGTA) report also said that lengthy approval processes for using critical position pay is a reason for low overall use of the authority. If pursued by IRS, the approval process would include getting the request cleared internally, approved by the Secretary of the Treasury and then, in turn, by OPM and OMB. OPM has not established a time frame within which agencies could expect a decision from OPM and OMB. OPM officials estimated that it may take several weeks or up to several months to complete the approval process, according to TIGTA. As part of its recommendation to IRS, TIGTA recommended tracking in detail the time and effort to get the request for approval cleared internally and approved by the Secretary of the Treasury, OPM, and OMB.", "OPM officials said they do not have documented procedures with criteria for approving use of special payment authorities because the complexity and nature of the requests vary significantly between agencies and the authority requested. OPM officials noted that in reviewing applications they need to be able to take into account relevant and important variables necessary to make fact-specific and reasonable determinations to help an agency find the most appropriate solution to its staffing problems. They said there is no \u201cone-size-fits-all\u201d formula for approving or denying requests.", "However, without documented procedures for assessing requests for approval, OPM lacks a means to review and assure that approval processes achieve their objectives. Without such documents, OPM also increases the likelihood of inconsistent decisions to grant or decline approval for the use of special pay authorities. Moreover, it also increases the risk of losing organizational knowledge of the personnel with expertise in assessing requests. Additionally, by not periodically examining the procedures, OPM is not well-positioned to consider alternatives for streamlining the approval process."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To deal with staffing challenges resulting from skills gaps, reduced budgets, and the upcoming wave of retirements, agencies have compensation tools at their disposal that can be coupled with other flexibilities to produce an attractive package for potential and current employees. CHCO agencies generally reported that special payment authorities positively contributed to areas such as employee retention, applicant quality, and ability to meet staffing needs, among others.", "OPM has acknowledged its leadership role in strategically promoting the effective use of at least one special payment authority\u2014student loan repayment\u2014and assisting agencies in strategic use of this and other human capital tools. However, OPM has not tracked or analyzed the government-wide data on agencies\u2019 use of various special payment authorities to better understand whether or how various authorities improve recruitment and retention. By tracking and analyzing these data, OPM could have information it needs to determine what potential changes may be needed, and have better assurance that special payment authorities are helping agencies meet their needs and achieve recruitment and retention goals. Moreover, OPM has not been consistent in providing guidance on assessing effectiveness of the range of special payment authorities in attracting and retaining a well-qualified federal workforce to support agency mission and program needs. Few agencies are documenting assessments. OPM has not worked with the CHCO Council agencies to provide illustrative examples of data needed and methodologies to assess the effectiveness of the authorities. By providing guidance on assessing effectiveness of these authorities, OPM and CHCO agencies could be better positioned to know whether use of the authorities is improving recruitment and retention or what changes might be needed to improve their effectiveness.", "Agency officials may also perceive documentation and approval processes as time consuming or burdensome barriers to using compensation tools. Perceived delays or inefficiency in OPM\u2019s approval processes could discourage agencies from seeking to use Title 5 special payment authorities that could address recruitment and retention challenges. OPM also had not documented procedures for assessing the sufficiency of the information agencies submit to request approval. By establishing documented procedures and periodically reviewing them, OPM would increase the likelihood of consistent decisions to grant or decline agency requests for approval to use these authorities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to OPM.", "The Director of OPM, together with the CHCO Council, should track government-wide data to establish a baseline and analyze the extent to which the seven Title 5 special payment authorities are effective in improving employee recruitment and retention, and determine what potential changes may be needed to improve the seven authorities\u2019 effectiveness. (Recommendation 1)", "The Director of OPM, together with the CHCO Council, should provide guidance on assessing effectiveness and tools\u2014such as best practices or frequently asked questions\u2014for the range of Title 5 special payment authorities. (Recommendation 2)", "The Director of OPM should establish documented procedures to assess special payment authority requests requiring OPM approval and periodically review approval procedures to consider ways to streamline them. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OPM for review and comment. We also provided relevant draft report excerpts to CHCO agency officials for comment in cases where we more extensively reported an agency\u2019s illustrative examples, or where an agency\u2019s views were more significant in context of the report. OPM provided written comments, which are reproduced in appendix V and summarized below. Of our three recommendations, OPM concurred with one and partially concurred with the other two. OPM also outlined its planned steps to implement the recommendations. OPM and CHCO Council agency officials also provided technical comments, which we incorporated as appropriate.", "In response to our first recommendation, OPM partially concurred and outlined its plans to track data that cover a limited period to analyze agencies\u2019 use of certain Title 5 special payment authorities. OPM said it planned to analyze both student loan repayment authority data by occupation for one calendar year (2016) and the most recently available data for five of the other six special payment authorities covered in this report. This includes use for government-wide mission-critical occupations. While these actions may provide some degree of insight into the extent to which and how agencies use some of the special pay authorities, examining only recent and available data will not support establishing a baseline to measure changes over time, tracking effectiveness, or determining any changes needed in future years. We made revisions to the recommendation to clarify the value of tracking data over time for the seven special payment authorities. OPM stated that tracking government-wide workforce data available to them will not provide a complete assessment of the effectiveness of the special payment authorities because agencies are in the best position to analyze such information. We agree that agencies have first-hand information on use of special payments. Agencies also have data that can inform discussions between OPM and the CHCO Council on potential strategies for a government-wide approach to enhance strategic use of these authorities to address mission-critical skill gaps. By working with the agencies through the CHCO Council, OPM is better positioned to track government-wide data to analyze the extent to which Title 5 special payment authorities improve employee recruitment and retention and determine what potential changes may be needed to improve authorities\u2019 effectiveness.", "In response to our second recommendation, OPM concurred and outlined plans such as issuing guidance with examples of assessments to illustrate what data are needed and what methodologies are available for determining whether special payment authorities help improve recruitment and retention. We believe OPM could also assist agencies by providing tools or other guidance for the authorities that OPM does not approve\u2014such as on establishing a business case, best practices, answers to frequently asked questions, or lessons learned\u2014to help ensure consistent information is shared with agencies to support effective use for the range of Title 5 special payment authorities. OPM could also provide agencies with tools and guidance for other mission-critical skills areas similar to those shared for addressing cybersecurity skills gaps. Such tools and guidance could include hypothetical recruitment scenarios, checklists of required steps, and examples of competitive compensation packages. OPM stated it would work on any guidance that the CHCO Council identifies to improve use of special payment authorities. With consistent tools and guidance across the range of authorities, OPM and CHCO agencies can be positioned to fully support strategic use of special payment authorities to improve recruitment and retention across the federal government.", "In response to our third recommendation, OPM partially concurred and commented that there is no \u201cone-size-fits-all\u201d formula for approving or denying agency requests. It added that applying a rigid formula could result in unwarranted disapprovals. OPM also stated that it would document additional procedures to guide staff in evaluating agency requests and periodically review the procedures. We believe establishing documented procedures would guide staff in considering such complex factors such as the soundness of the methodology and the reliability of underlying data for calculating payments amounts. Documentation of policies and procedures is an important part of internal control standards. By documenting procedures to review requests, OPM will help ensure consistency in approval decisions and retain organizational knowledge of personnel with expertise in assessing requests.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 14 days from the report date. At that time, we will are send copies of this report to appropriate congressional committees, the Acting Director of OPM, and other interested parties. In addition, the report will be available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2717 or jonesy@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes what is known about how much Chief Human Capital Officer (CHCO) Council agencies used selected special payment authorities in fiscal years 2014-2016; (2) assesses the extent to which CHCO agencies evaluate the effectiveness of these authorities and identifies challenges, if any, the agencies reported facing in using the authorities to address mission-critical skills gap areas; and (3) evaluates how the Office of Personnel Management (OPM) has helped agencies address federal recruitment and retention needs. We limited our scope to the seven broadly available special payment authorities generally available government-wide under Title 5 of the United States Code to address federal agencies\u2019 recruitment and retention issues: (1) special rates, (2) recruitment incentives, (3) relocation incentives, (4) retention incentives, (5) superior qualifications and special needs pay setting, (6) student loan repayments, and (7) critical position pay.", "To describe what is known about how much CHCO Council agencies used selected special payment authorities in fiscal years 2014-2016, we developed and administered a questionnaire to the 27 CHCO agencies to collect their fiscal years 2014-2016 data\u2014to the extent available\u2014on frequency of use, dollars spent, and whether they used the authorities to help address recruitment and retention needs in mission-critical skills gap areas. All 26 CHCO agencies that reported use of the authorities responded to our questionnaire. We asked agencies to not report information related to agency-specific or non-Title 5 authorities. In our report, we use the aggregate CHCO agency reported data by authority. Federal employees may receive compensation under more than one authority in a given fiscal year, and in these instances would be counted for each authority received. For example, an employee who received a recruitment incentive and student loan repayments in the same fiscal year would be counted once for each authority in that year. We did not verify the amounts agencies reported spending.", "In addition, we used CHCO reported data to determine the total use of these authorities and OPM Enterprise Human Resources Integration (EHRI) personnel data, which contains personnel action and workforce data for most federal civilian employees, to identify the approximate percentage of employees who received at least one of these seven authorities in fiscal year 2016. In calculating the percentage, we used CHCO agency reported data for the numerator and OPM EHRI data for the total number of federal employees at the 26 CHCO agencies\u2014as of September 30, 2016\u2014for the denominator.", "We also analyzed OPM EHRI personnel data for fiscal year 2014 to describe the government-wide use of certain authorities by occupational family. To do so, we calculated the number of unique employees who received a certain authority in each fiscal year. We included federal employees on permanent and nonpermanent appointments, and all work schedules (seasonal, nonseasonal, intermittent, and full-time and part- time). Individual employees who switched occupational families during a fiscal year could be counted more than once if they received a special payment authority under both occupational families. We primarily relied on the following EHRI data variables to describe agencies\u2019 use of certain authorities:", "Special rates: We used the \u201cpay rate determinant\u201d to identify employees who were receiving a special rate as of the end of the applicable fiscal year, and then used the \u201cspecial pay table identifier\u201d to limit our analysis to special rates authorized under 5 U.S.C \u00a7 5305. OPM officials provided a list of all authorized Title 5 special rate tables active during the fiscal years included in our review.", "3R incentives: We used the \u201clegal authority\u201d and \u201cnature of action\u201d codes to identify employees for whom 3R incentives were authorized during the fiscal year.", "Superior qualifications and special needs pay setting: We used the \u201cpay rate determinant\u201d and \u201cnature of action\u201d codes for new appointments to identify the number of employees who had received a superior qualifications and special needs pay setting authority during the fiscal year.", "We reviewed OPM documentation, including OPM\u2019s Guide to Data Standards\u2014the guidance document that describe data elements in EHRI\u2014to identify the specific codes used to designate employees who had received these authorities.", "We also analyzed OPM calendar year 2015 reports\u2014the most recently available at the time of our review\u2014on the student loan repayment authority and the critical position pay authority to describe agencies\u2019 use of these two authorities by occupation. For the student loan repayment authority, we calculated the top occupations series that received this authority government-wide. We aggregated the 18 engineering-related occupations into one engineering series. In addition, for the agencies that most frequently used the authority, we calculated the approximate percentage of occupations that received the authority that were identified as mission critical by these agencies as part of OPM\u2019s and the CHCO Council\u2019s initiative to close skills gaps.", "To assess the reliability of the CHCO agency reported data and OPM data, we compared frequencies from the various data sources by agency for fiscal year 2014 (the one year of available overlapping data); reviewed OPM documentation; and interviewed OPM officials. We determined that the data were sufficiently reliable to present agency use of special payment authorities over this time period.", "To assess the extent to which CHCO agencies evaluate the effectiveness of special payment authorities and to identify challenges they reported facing in using the authorities, in our questionnaire to agencies we asked about their views on the impacts of each authority used in fiscal years 2014-2016. We analyzed and summarized closed-ended question response data agencies reported on authorities\u2019 impacts on agency operations, including the extent of positive or negative effects in areas such as employee retention, applicant quality, and ability to achieve the agency mission. We also asked whether and how they assessed each authority\u2019s effectiveness. We summarized closed-ended question response data on whether agencies had done documented, informal, or no effectiveness assessments of authorities in impact areas such as agency mission, meeting staffing needs, or addressing mission-critical skills gap areas. We contacted the 10 agencies that reported having documented assessments for one or more authorities to request copies of them. Nine agencies provided requested documents. We analyzed the documents to determine the type of information they provided, including whether they had information on how use of the authority had been effective in the impacts the questionnaire asked about. To learn more about agencies views on authorities\u2019 effectiveness, we also asked an open-ended question for agencies to provide examples of how authorities helped address mission-critical skills gaps. We reviewed the narratives agencies provided to identify and report examples appropriate to illustrate the various effects agencies reported.", "We also asked agencies about their views on any challenges they experienced in using special payment authorities and potential changes to operations or procedures to help improve effective use of authorities. We analyzed and summarized the closed-ended question response data agencies reported on how often they experienced certain challenges, including insufficient resources, management resistance, burdensome documentation, and complex approval process. For the two most common challenges agencies reported other than insufficient resources\u2014 burdensome documentation and the complex approval process\u2014we followed up with the three agencies that reported regularly or always experiencing both challenges. Two agencies responded. We also asked an open-ended question for agencies to provide narrative examples of how they identified and responded to challenges in using these authorities. We analyzed the content of the narrative responses to identify and report examples appropriate to illustrate various challenges and responses to challenges agencies reported.", "To learn more about agencies\u2019 experiences with OPM\u2019s approval processes for special payment authorities, we analyzed OPM\u2019s data on agency requests to use the special payment authorities that OPM approves. In addition to our CHCO agency questionnaire response follow- up, we contacted selected agencies that OPM data identified as having requested approval to use a special payment authority since 2009. We asked seven agencies to provide narrative of their views on such topics as what worked well, challenges experienced, and any suggestions for improving the process. To provide an opportunity to learn how approval processes could affect agency decisions to not seek such approvals, we included two agencies\u2014EPA and HHS\u2014that had not made such requests to ask for narrative explanations of why they had not sought such approvals. All agencies provided their views. We analyzed agencies\u2019 narrative responses to illustrate examples of the experiences agencies reported.", "We also analyzed and summarized the closed-ended question response data agencies reported on how likely potential changes would improve use of special payment authorities. We followed up with five agencies that identified the three most common potential changes that would very likely or certainly improve their ability to effectively use special pay authorities\u2014 changes to training for agency managers, training for agency human resources employees, and OPM regulations. We asked them to provide narrative descriptions of changes they had in mind and how changes would improve their agency\u2019s effective use of special payment authorities. Four agencies responded. We reviewed the narratives agencies provided to identify examples appropriate to illustrate the various views on potential changes agencies reported.", "To evaluate how OPM has helped agencies address federal recruitment and retention needs, we interviewed OPM officials and reviewed OPM\u2019s procedures to collect and analyze data on agency use of special payment authorities, including through automated systems (EHRI) and information requests and reporting. We reviewed the procedures to assess whether OPM tracks data to assess the level and effective use of the payment authorities to improve recruitment and retention. We also reviewed and summarized the various ways OPM provides agencies information on special payment authorities, including through OPM\u2019s memorandums, opm.gov website tools and guidance on each special payment authority, and guidance for using special payment authorities to address cybersecurity skills gaps. We compared the types of information and consistency of the various ways OPM provides information to promote the strategic use of special payment authorities to include supporting agency effectiveness assessments and increased awareness and strategic decision making on the use special payment authorities. We reviewed procedures to collect information on the use of critical position pay authority and a July 2017 Treasury Inspector General for Tax Administration report on the topic. We also interviewed OPM officials and reviewed available documents on OPM\u2019s processes to review and approve agencies\u2019 requests to use certain special payment authorities, and analyzed OPM data to determine the average months it took OPM to make approval decisions on CHCO agency requests received from January 2009 through January 2017. We compared OPM\u2019s procedures for collecting, analyzing, and providing information on the effective, strategic use of special payment authorities, and its procedures for approving use of special payment authorities, to criteria identified in our related reports on federal human capital management and in Standards for Internal Control in the Federal Government, including standards that agency management design and implement controls and document procedures.", "We conducted this performance audit from September 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Special Payment Authorities Questionnaire Sent to Chief Human Capital Officer Agencies", "paragraphs": [], "subsections": [{"section_title": "Section I: Definitions", "paragraphs": ["1. Mission critical skills gaps are one or more of the following and may impede the federal government from cost-effectively serving the public and achieving results: staffing gap in which an agency has an insufficient number of individuals to complete its work; and/or a competency gap in which an agency has individuals without the appropriate skills, abilities, or behaviors to successfully perform the work.", "Mission critical skills gaps may be identified broadly as affecting several agencies or may be specific to a given agency (such as mission-critical occupations agencies have identified to the Office of Personnel Management (OPM) for skills gap closure)."], "subsections": []}, {"section_title": "Section 2: Use of Special Pay Authorities at Your Agency", "paragraphs": ["1. For the special pay authorities below, does your agency have agency- specific guidance (including documented policies or plans) on the use of the special pay authorities below? (Check all that apply) agency level(s)", "2. In the last three fiscal years (2014-2016), how many federal employees in your agency received compensation under the following special pay authorities? (if none, enter zero) (FY 2014) (FY 2015) (FY 2016)", "3. In Fiscal Years 2014-2016, what was your agency\u2019s total spending (in dollars) for the following special pay authorities?", "4. In the last three fiscal years (2014-2016), how often has your agency experienced the following challenges related to using special pay authorities?", "5. In your opinion, how likely would changes in the following areas improve your agency\u2019s ability to effectively utilize special pay authorities at your agency?", "Instructions: If your agency utilized during FY2014-2016, please complete this section, otherwise continue onto the next Section. 1. In Fiscal years 2014-2016, did your agency use to support the following mission critical skills gap areas? at my agency (not mission critical)", "Acquisitions (e.g. Contract Specialist)", "Healthcare Professionals (non-Title 38)", "2. Does your agency assess the following to determine the effectiveness of using ?", "3. In your opinion, how has the use of impacted the following?"], "subsections": []}, {"section_title": "Section 10: Agency- specific Examples of Special Pay Authorities Use", "paragraphs": ["1. In what ways have special pay authorities helped your agency to successfully address mission critical skills gaps? (Please provide at least one specific example) 2. In what ways has your agency identified and responded to challenges related to the use of special pay authorities? (Please provide at least one specific example)"], "subsections": []}]}, {"section_title": "Appendix III: CHCO Agencies Reported Use of Special Payment Authorities Affecting Selected Areas of Operation", "paragraphs": ["The following six tables present data on the responses reported by CHCO agencies on the impacts on selected areas of operation from using the following special payment authorities\u2014superior qualifications, critical position pay, recruitment incentives, retention incentives, relocation incentives, and student loan repayment."], "subsections": []}, {"section_title": "Appendix IV: Office of Personnel Management Data on Use of Special Payment Authorities by Occupational Family", "paragraphs": ["Our analysis of OPM data found that, overall, agencies used five special payment authorities\u2014special rates; superior qualifications and special needs pay setting; and the recruitment, relocation, and retention (3R) incentives\u2014to varying extents for different occupational families. When we analyzed OPM data to identify the top five occupational families for each of these five special payment authorities, we found certain occupational families appeared among the top groups for multiple authorities (see those highlighted in table 14). Specifically, we found that two occupational families\u2014(1) Medical, Hospital, Dental, and Public Health; and (2) Engineering and Architecture\u2014were among the top five families for four and five of these special payment authorities, respectively. The Medical family was the top occupational family for four of the five authorities\u2014superior qualifications and special needs pay setting, and the 3R incentives. Further, we found that certain occupational families were among the top five for one or two authorities but not for the other authorities. For example, the Information Technology and Copyright, Trademark, and Patent occupational families were among the top five families for special rates and superior qualifications and special needs pay setting, but not for the other three authorities."], "subsections": []}, {"section_title": "Appendix V: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "Contact", "paragraphs": ["Yvonne D. Jones, Director, (202) 512-2717 or jonesy@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Signora May, Assistant Director; Ronald W. Jones, Analyst-in-Charge; Melinda Cordero, Ann Czapiewski, Sara Daleski, Christopher Falcone, Karin Fangman, Kerstin Hudon, John Hussey, Steven Putansu, Alan Rozzi, and Albert Sim contributed to this report."], "subsections": []}]}], "fastfact": ["Federal agencies can tap an array of incentives when they need to recruit or retain experts in cyber security, engineering, or some other in-demand field.", "Seven special payment authorities allow agencies to pay higher wages, help pay off student loans, and offer other incentives.", "We found that less than 6% of employees received special payments. Agencies reported that incentives were helpful, but few documented their impacts, and the Office of Personnel Management has not assessed their effectiveness.", "We recommended that OPM track incentive impacts, identify needed improvements, and guide agencies on assessing effectiveness."]} {"id": "GAO-18-139", "url": "https://www.gao.gov/products/GAO-18-139", "title": "Defense Contracting: DOD's Use of Lowest Price Technically Acceptable Source Selection Procedures to Acquire Selected Services", "published_date": "2017-11-30T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD obligated about $300 billion through contracts for goods and services in fiscal year 2016. When awarding a contract competitively, DOD may use the LPTA source selection process to select the lowest-priced offer that is technically acceptable. In contrast, DOD may use the trade-off source selection process to award a higher-priced contract to a firm if the firm's offer provides greater benefit and it is worth paying the additional cost. The National Defense Authorization Act for Fiscal Year 2017 calls on DOD to avoid using the LPTA process for information technology, cybersecurity, and other knowledge-based professional support services.", "The Act also included a provision for GAO to report on DOD's use of LPTA procedures for contracts valued at more than $10 million. This report assesses the (1) extent to which DOD used LPTA procedures for certain services, and (2) factors that contracting officials considered when deciding to use LPTA procedures.", "GAO reviewed data from the Federal Procurement Data System-Next Generation to identify 781 contracts valued at $10 million or above awarded by the Army, Navy, and Air Force in the first half of fiscal year 2017, the most recent period for which data were available. GAO then selected 133 of these contracts for information technology and support services, which include services reflected in the Act. GAO identified that 9 contracts used LPTA procedures and reviewed 7 of these, including interviewing officials and reviewing contract documents.", "DOD had no comments on the draft report."]}, {"section_title": "What GAO Found", "paragraphs": ["During the first half of fiscal year 2017, the Army, Navy, and Air Force rarely used lowest price technically acceptable (LPTA) source selection procedures when awarding contracts valued at $10 million or more for the types of services identified by the National Defense Authorization Act, such as information technology services. Department of Defense (DOD) guidance states that LPTA procedures are typically for requirements that are well-defined, commercial, or non-complex products or services with a minimal risk of unsuccessful contract performance. The figure shows the military departments' limited use of LPTA procedures for contracts for selected services.", "For the 7 contracts that GAO reviewed, contracting officials determined that the government would not receive a benefit for paying more than the lowest price. Contracting officials also stated that LPTA was used, in part, because the requirements were well-defined, non-complex, or reoccurring. For example, the Navy used LPTA procedures to award a contract for commercially available monthly telephone maintenance services. In addition, the Air Force used LPTA procedures to award a contract for mail sorting and delivery. Section 813 of the fiscal year 2017 National Defense Authorization Act requires DOD to amend its regulations to require contracting officers to consider specific criteria when deciding to use LPTA procedures. DOD has not yet revised its regulations to implement Section 813. Nevertheless, for the 7 contracts GAO reviewed, contracting officials' considerations when choosing to use LPTA procedures were often consistent with most of these new criteria. DOD officials are currently developing the revisions to the Defense Federal Acquisition Regulation Supplement that are contemplated by Section 813."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) obligated about $300 billion through contracts for goods and services in fiscal year 2016. When awarding a contract competitively, DOD has several source selection procedures it can use to evaluate firms\u2019 proposals. For example, DOD may use a best value, lowest price technically acceptable (LPTA) process. In the LPTA process, DOD awards the contract to the firm presenting the lowest priced proposal that is technically acceptable, and no tradeoffs are permitted. Alternatively, it can use a best value tradeoff process, in which it can vary the relative importance of cost or price to other factors such as technical capability or past performance in its solicitations to firms. In these cases, DOD may award a contract to a firm presenting other than the lowest-priced proposal if it determines that a higher-priced firm provides a greater benefit to the department, and this greater benefit is worth paying an additional cost.", "Section 813 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 calls for DOD to avoid using LPTA procedures when doing so would deny DOD the benefits of making cost and technical tradeoffs in the source selection process. To implement this policy, Section 813 requires that DOD revise the Defense Federal Acquisition Regulation Supplement (DFARS) to allow the use of LPTA procedures only when certain criteria are met. For example, one criterion is that contracting officials must determine that no, or little, value would be gained from a proposal exceeding the solicitation\u2019s minimum technical requirements. The specific criteria are discussed in the background section of this report.", "Section 813 also requires that LPTA procedures must be avoided to the \u201cmaximum extent practicable\u201d in procurements of: Information technology (IT) services, cybersecurity services, systems engineering and technical assistance services, advanced electronic testing, audit or audit readiness services, or other knowledge-based professional services;", "Personal protective equipment, such as body armor; and", "Knowledge-based training or logistics services in contingency or other operations outside the United States.", "Further, Section 813 included a provision that we report on the number of instances where DOD used LPTA procedures for contracts exceeding $10 million, as well as an explanation of how acquisition officials considered the new criteria identified in Section 813. The objectives of this report were to assess the (1) extent to which DOD used LPTA procedures for contracts awarded in the first half of fiscal year 2017 for certain services and products identified in Section 813 valued at $10 million and above, and (2) factors that contracting officials considered when deciding to use LPTA procedures for these contracts. We selected the first half of fiscal year 2017 because that was the most recent time period for which data were available.", "To determine the extent to which DOD used LPTA source selection procedures in the first half of fiscal year 2017, we used data from the Federal Procurement Data System-Next Generation (FPDS-NG) to identify a population of contracts valued at $10 million or above that were awarded between October 1, 2016 and March 31, 2017 by the Departments of the Army, Navy, and Air Force. These military departments represented almost 80 percent of DOD procurement spending in fiscal year 2016, and collectively accounted for 781, or over 64 percent, of DOD\u2019s 1,212 new contracts reported in FPDS-NG with total estimated values of $10 million or above awarded during the 6-month period we reviewed. We determined that FPDS-NG was sufficiently reliable for the purposes of identifying these contracts by tracing relevant FPDS-NG data to the contracts we reviewed and related documents. We identified a population of 781 new contract awards that were within the scope of our review. Our scope includes stand-alone contracts and the initial award of indefinite delivery, indefinite quantity (IDIQ) contracts, but excludes subsequent orders issued under these contracts because solicitation data is not readily available for orders. Our scope also excluded blanket purchase agreements and basic ordering agreements.", "We focused our review on contracts for categories of products and services that could include those listed in Section 813 of the fiscal year 2017 NDAA for which DOD should, to the maximum extent practicable, avoid using LPTA source selection procedures. Through analysis of FPDS-NG product and service code information, we identified the following four categories which could contain such products or services: Information technology and telecommunications;", "Support services, which include", "Ammunition and explosives, which include tactical sets that may include personal protective equipment; and", "Clothing and individual equipment, which includes protective clothing and personal armor (or in other words, personal protective equipment).", "From the 781 contracts that were within the scope of our review, we identified 147 contracts in one of these four categories. Fourteen of these were in the ammunition category. We did not identify any contracts in the clothing category. We reviewed descriptions of what was purchased under these 14 awards and also requested that DOD identify any contracts that included the purchase of personal protective equipment. The Army, Navy, and Air Force confirmed that none of the 14 contracts in the ammunition category included personal protective equipment. The remaining 133 contracts identified were for services coded as IT or support services, which include knowledge-based professional services.", "Because FPDS-NG does not identify the source selection procedure used to award contracts, we provided contract numbers for these 133 contracts to the Army, Navy, and Air Force and requested that these departments identify contracts for which LPTA procedures were used, and provide supporting documentation for that determination.", "Of the 133 contracts valued at $10 million and over, DOD officials responded to us that 9 were awarded through LPTA source selection procedures and 124 were not. To assess the accuracy of LPTA status information provided by DOD, we reviewed 36 of the 75 unique solicitations for the 124 contracts that DOD identified as non-LPTA. We could not find information for 39 solicitations, likely because these solicitations were no longer available through online portals, and so for these solicitations, we could not verify the source selection method. For the 36 solicitations we examined, we found that all had been properly classified by DOD as non-LPTA. We excluded 2 of the 9 contracts awarded through LPTA procedures from further study because those awards were protested, resulting in 7 contracts awarded through LPTA procedures that were included in our review for more detailed assessment. Each of these 7 contracts was for IT or support services.", "To identify the factors contracting officials considered when deciding to use LPTA procedures on these 7 contracts, we obtained and analyzed relevant contract documents including the acquisition plan, solicitation, and source selection decision memorandum. In addition, we interviewed contracting officials for each of these 7 contracts. We also reviewed applicable sections of the Federal Acquisition Regulation (FAR), the DFARS, and DOD\u2019s March 2016 Source Selection guide. Finally, we assessed contract documents and interviewed contracting officials to determine whether they were aware of the new policy of Section 813. Because the criteria in Section 813 have not yet been incorporated into the DFARS, we also determined the extent to which criteria similar to those in Section 813 had been considered in the decision to use LPTA procedures in the 7 procurements we examined.", "We conducted this performance audit from March 2017 through November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The FAR establishes several types of source selection procedures, which include the tradeoff procedure on one end of the best value continuum and LPTA procedures on the other end. (see fig. 1).", "DOD may elect to use the LPTA procedure where the requirement is clearly defined and the risk of unsuccessful contract performance is minimal. In such cases, DOD has determined that cost or price should play a dominant role in the source selection. When using LPTA procedures, DOD specifies its minimum requirements in the solicitation. Firms submit their proposals and DOD determines which of the proposals meet or exceed those requirements, no tradeoffs between cost or price and non-cost factors (for example, technical capabilities or past performance) are permitted, and the award is made based on the lowest price technically acceptable proposal submitted to the government. Non- cost factors are rated on an acceptable or unacceptable basis.", "By contrast, DOD may elect to use tradeoff procedures in acquisitions where the requirement is less definitive, more development work is required, or the acquisition has a greater performance risk. In these instances, non-cost factors may play a dominant role in the source selection process. Tradeoffs between price and non-cost factors allow DOD to accept other than the lowest priced proposal. The FAR requires DOD to state in the solicitation whether all evaluation factors other than cost or price, when combined, are significantly more important than, approximately equal to, or significantly less important than cost or price.", "DOD\u2019s March 2016 Source Selection guide offers additional guidance regarding the use of LPTA source selection procedures. The guidance is mandatory for acquisitions conducted as part of a major system acquisition program and all competitive FAR part 15 procurements with an estimated value over $10 million. The guidance states that LPTA procedures may be used in situations where there would not be any value on a product or service exceeding the required technical or performance requirements. The guidance also states that such situations may include acquisitions for well-defined, commercial, or non-complex products or services and where risk of unsuccessful contract performance is minimal, and when it has been determined there would be no need or value to pay more for higher performance.", "Section 813 of the fiscal year 2017 NDAA required that DOD revise the DFARS to require that LPTA procedures only be used in situations when the following six criteria are met. 1. DOD can clearly describe the minimum requirements in terms of performance objectives, measures, and standards that will be used to determine acceptability of offers; 2. DOD would realize no, or little, value from a proposal exceeding the solicitation\u2019s minimum technical requirements; 3. The proposed technical approaches can be evaluated with little or no subjectivity as to the desirability of one versus the other; 4. There is a high degree of certainty that a review of technical proposals other than that of the lowest-price offeror would not identity factors that could provide other benefits to the government; 5. The contracting officer has included a justification for the use of LPTA procedures in the contract file; and 6. The lowest price reflects full life-cycle costs, including for operations and support.", "Section 813 also established that implementing revisions to the DFARS were to be completed within 120 days of enactment of the NDAA, but the revisions had not been put in place as of October 2017. DOD officials stated that the changes to the DFARS are currently in progress."], "subsections": [{"section_title": "Past GAO Reports on DOD Source Selection Procedures", "paragraphs": ["In 2010 and 2014, we reported on DOD\u2019s use of best value tradeoff source selection procedures. In 2010, we found that, for 60 of the 88 contracts reviewed, DOD used a tradeoff process and weighted non-cost factors as more important than price. In these cases, DOD was willing to pay more when a firm demonstrated it understood complex technical issues more thoroughly, could provide a needed good or service to meet deadlines, or had a proven track record in successfully delivering products or services of a similar nature. In addition, we determined that when making tradeoff decisions, DOD selected a lower priced proposal nearly as often as it selected a higher technically rated, but more costly, proposal. In so doing, DOD chose not to pay more than $800 million in proposed costs by selecting a lower priced offer over a higher technically rated offer in 18 contracts. The majority of solicitations where non-cost factors were equal to or less important than cost were for less complex requirements. DOD faced several challenges when using best value tradeoff procedures, including: the difficulties in developing meaningful evaluation factors, the additional time investment needed to conduct best value procurements, and the greater level of business judgment required of acquisition staff when compared to other acquisition approaches.", "To help DOD effectively employ the best value tradeoff process, we recommended that DOD develop training elements such as case studies that focus on reaching tradeoff decisions. DOD concurred and implemented the recommendation in August 2012.", "In 2014, we found that DOD had increased its use of LPTA procedures for new contracts with obligations over $25 million\u2014using LPTA source selection procedures to award an estimated 36 percent of new fiscal year 2013 contracts compared to 26 percent in fiscal year 2009\u2014and that officials\u2019 decisions on which source selection method would be used was generally rooted in knowledge about the requirements and contractors. For contracts with obligations over $25 million, DOD used LPTA source selection procedures primarily to acquire commercial products such as fuel, and we identified relatively few uses of LPTA to acquire higher dollar services. For contracts with obligations over $1 million and under $25 million, DOD used LPTA procedures an estimated 45 percent of the time for a mix of products and services, including fuel, aircraft parts, computer equipment, construction-related services, engineering support services, and ship maintenance and repairs. We did not make recommendations to DOD in this report."], "subsections": []}]}, {"section_title": "DOD Used LPTA Procedures Infrequently for Contracts Valued at $10 Million or More for Information Technology or Support Services", "paragraphs": ["The Army, Navy, and Air Force rarely used LPTA source selection procedures for IT and support services contracts valued at $10 million or more that were awarded in the first half of fiscal year 2017. Our analysis found that the three military departments awarded 781 new contracts valued at $10 million or more during this time frame. Of these 781 contracts, 133 contracts were awarded for IT and support services. However, only 9 of the 133 contracts used LPTA source selection procedures (see fig. 2).", "Table 1 provides information on the 7 contracts we reviewed that were awarded in the first half of fiscal year 2017 that used LPTA source selection procedures. As previously noted, we excluded 2 of the 9 contracts from further review due to bid protests."], "subsections": []}, {"section_title": "Factors DOD Officials Considered When Determining to Use LPTA Procedures", "paragraphs": [], "subsections": [{"section_title": "DOD Officials Considered Several Factors, Including the Nature of the Requirement, When Determining to Use LPTA Procedures", "paragraphs": ["Contracting officials cited a number of factors that were considered when determining to use LPTA procedures in the 7 selected contracts we reviewed. For all of the contracts, officials determined that the government would not receive a benefit for paying more than the lowest price. For these contracts, contracting officials also stated that LPTA procedures were used, in part, because the requirements were well- defined, non-complex, or reoccurring. Additional details on the contracts follow.", "The Army awarded an IDIQ contract, with a one-year base period and four 1-year options, for support services in Afghanistan with an estimated ceiling value of $85,000,000. This is a reoccurring requirement to hire Afghan nationals to provide on-site construction management, engineering, and technical support services for reconstruction projects throughout Afghanistan. The acquisition plan states that Afghan nationals can more freely move about the country compared to U.S. personnel. Further, a contracting official stated that it was determined that no additional value would be gained by paying a premium for these services and that the lowest price was the best choice. In addition, to mitigate risk of poor performance, one requirement of the contract is to maintain a qualified workforce. Officials stated that approximately 90 percent of personnel performing on the previous contract are working on the current contract.", "The Air Force awarded three contracts for base operation support services\u2014vehicle maintenance, airfield maintenance, fuel management, and traffic management\u2014at an Air Force Reserve Base and two Air Reserve Stations. All of the contracts were awarded with a one-month orientation period, one-year base period, four 1-year options, and a final 6-month option, with total estimated values ranging from $24.7 million to $38.2 million. Acquisition plans for these requirements stated that the services were well defined. Additionally, contracting officials stated that there is at least a decade of past experience with these requirements, and, as a result, the requirements are well known.", "The Air Force awarded a contract for centralized mail sorting services in Germany. The contract consists of a 2-month phase-in period, a 2- month base period, four 1-year options, and one 8-month option, with a total estimated value of approximately $21.5 million. The acquisition plan for this requirement stated that a LPTA source selection procedure was chosen because the requirement was well-defined and not technically complex. For example, the acquisition plan noted that there was more than a decade of historical data that helped define and estimate the volume of mail that would need to be sorted. Contracting officials reiterated that LPTA was used since the service was well-defined, the risk of poor performance was low, and that it was determined that additional trade-offs would not provide an additional benefit to the taxpayer.", "The Army awarded an IDIQ contract to look for vulnerabilities in software code. The contract, which was set aside for small businesses, had a 5-year ordering period and an estimated ceiling value of $17.1 million. The contractor was required to perform a software review using several government approved code analysis tools and then characterize any potential vulnerabilities identified by the tools in terms of risk levels prescribed by established government cybersecurity standards. Army requirements officials stated that they determined there was no additional value to be gained from additional innovations in doing either task. Our review found some indication that the requirement, however, might not have been clearly understood by offerors. For example, the Army received 12 offers which ranged from $800,177 to $46,680,003. The contracting officer attributed the range of offers to the inexperience of some offerors with preparing proposals or misunderstanding this type of requirement, and the two lowest offers were determined to be technically unacceptable.", "The Navy awarded a contract to perform commercially available monthly telephone maintenance, which includes preventive and remedial maintenance on a specific brand of phone systems that Navy locations in California use. The contract consists of a one-year base period and two 1-year options, with an estimated total value of approximately $15.9 million. The acquisition plan stated that only certified authorized dealers could perform maintenance on these phones. A contracting official stated the requirement was well-defined and required the highest tier of maintenance options that could be offered, and, as a result, there was no tradeoff available. The highest tier requires that maintenance be available 24 hours a day, 7 days a week in multiple Navy locations, and that the contractor must respond to emergencies within 15 minutes during normal business hours. The contract also includes maintenance for all switches, inside wiring and any necessary relocation services, among other support requirements."], "subsections": []}, {"section_title": "Factors Cited by Contracting Officials When Choosing LPTA Procedures Were Generally Consistent with Criteria Listed in Section 813", "paragraphs": ["1. One contracting official determined that minimum performance requirements for the $15.9 million contract for monthly telephone maintenance services could be described using objective performance measures, and the contract documents showed the technical acceptability of offers was tied to the description of these requirements in the statement of work. In another example, documents related to the award of a $27.9 million Air Force contract for base operations services show performance objectives and standards set forth as evaluation factors. procedures may be used only when DOD would realize little or no value from a proposal that exceeds the solicitation\u2019s minimum technical requirements. Our interviews with contracting officials and review of contract documents found that in each case, DOD officials assessed whether the department could receive value from a contract awarded on a tradeoff basis where the proposal exceeded the minimum technical requirements, and determined that there would be no additional value to be gained.", "3. Most officials said they felt that it was possible to evaluate the proposals they received with little subjectivity, although they had not always explicitly made and documented this assessment. Officials for two contracts stated, for example, that the threshold question of technical acceptability for their contracts was whether the offering firms possessed certain licenses or accreditation to perform services on specific equipment or in specific locations. No subjectivity was involved in this assessment; therefore, they viewed the question of technical acceptability as essentially objective. However, because they were not required to document this assessment, contract documents did not provide evidence of an assessment of subjectivity. 4. Officials for most of the contracts we reviewed stated they had determined that a review of technical proposals other than that of the lowest-price offeror would not identity factors that could provide other benefits. In one case officials ultimately reviewed additional proposals, which is allowed under current DOD source selection guidance.", "DOD\u2019s March 2016 source selection guidance does not require contracting officers to consider the fifth and sixth criteria listed in Section 813. Accordingly, we found that contracting officers did not always document justifications for choosing LPTA procedures and did not determine that the lowest price offered reflected full life-cycle costs. Specifically, we found that: 5. Although the files for all 7 contracts contained some record of the choice of LPTA source selection procedures, files for 3 of the 7 contracts simply stated that LPTA procedures would be used and did not include an explanation or justification for the choice. Only the documents for the four Air Force contracts included some explanation of the reasons for choosing LPTA source selection procedures. While not required by DOD source selection guidance when our selected contracts were approaching source selection, providing a justification for using LPTA is one of the criteria that Section 813 requires DOD to include among the revisions to the DFARS. 6. None of the officials for our selected contracts had confirmed that the lowest price offered reflected full life-cycle costs, which is one of the criteria that Section 813 requires DOD to include among the revisions to the DFARS. For the mail delivery, telephone maintenance, and base operations support contracts we reviewed, two contracting officials noted that full life-cycle costs were not applicable and a third stated that life-cycle costs cannot be determined for a service contract. As previously noted, all of the contracts in our review were for services, not for products. A Defense Procurement and Acquisition Policy official acknowledged that the application of the criterion could cause confusion and that DOD officials are considering this issue as part of efforts to revise the DFARS.", "As previously noted, DOD is currently developing the revisions to the DFARS that are contemplated by Section 813. DOD officials could not provide a specific timeframe for when the DFARS would be revised, noting that the revisions would need to be reviewed by the Office of Information and Regulatory Affairs at the Office of Management and Budget, and then released for public comment before the revisions could be finalized."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We are not making any recommendations in this report. We provided a draft of this report to DOD for comment. DOD had no comments on the draft report.", "We are sending copies of this report to appropriate congressional committees and the Secretary of Defense. The report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following staff members made key contributions to this report: Justin Jaynes (Assistant Director), Matthew T. Crosby, Lorraine Ettaro, Stephanie Gustafson, Julia Kennon, Victoria Klepacz, W. William Russell, Roxanna Sun, Ann Marie Udale, Khristi Wilkins, and Lauren Wright."], "subsections": []}]}], "fastfact": ["Savvy customers may seek the lowest prices when choosing to have their neighbor\u2019s kid mow their lawn, but may think twice when selecting a surgeon.", "DOD faces a similar choice\u2014it may use the \"lowest price technically acceptable\" process and pay less or use a \"trade-off\" process and possibly pay more if additional benefits outweigh the higher cost.", "Recent legislation states DOD should avoid using the lowest price process for complex services like cybersecurity. We found that for contracts worth over $10 million, DOD seldom used the lowest price process for complex services, but rather for services like phone maintenance."]} {"id": "GAO-19-8", "url": "https://www.gao.gov/products/GAO-19-8", "title": "K-12 Education: Public High Schools with More Students in Poverty and Smaller Schools Provide Fewer Academic Offerings to Prepare for College", "published_date": "2018-10-11T00:00:00", "released_date": "2018-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Poverty can have a profound effect on academic outcomes and college readiness and students from low-income families are less likely to go to college. The low rates of degree attainment for low-income students raises questions about whether the students who wish to pursue higher education have access to courses that support their readiness for college. GAO was asked to review college preparatory course offerings in U.S. high schools.", "This report (1) examines the extent to which high schools of different poverty levels offer courses to prepare students academically for college, and (2) describes the challenges students in high-poverty schools face being prepared to attend college. GAO analyzed 2015-16 Education data on course offerings by school poverty level, type, and size, and developed a generalized linear regression model to explore whether certain school-level characteristics may be associated with course offerings; reviewed a generalizable sample of public 4-year college websites for course requirements for admission; and interviewed officials from Education and the Department of Justice. GAO also conducted site visits to 12 high-poverty high schools in 3 states selected to provide variation in course offerings, among other things. In this review, GAO focused on public 4-year colleges because they offer a bachelor's degree and are generally a more affordable 4-year option."]}, {"section_title": "What GAO Found", "paragraphs": ["Students in relatively poor and small schools had less access to high school courses that help prepare them for college, according to GAO's analysis of Department of Education (Education) data for school year 2015-16 (the most recent available). While most public high schools, regardless of poverty level, offered courses like algebra and biology, disparities in access were associated with school poverty level for more advanced courses like calculus, physics, and those that may allow students to earn college credit, like Advanced Placement (AP) courses (see figure). High-poverty schools were less likely to offer the math and science courses that most public 4-year colleges expect students to take in high school, according to GAO's analysis of college websites. GAO's regression analysis also showed that smaller schools and certain types of schools, like charter schools, are less likely to offer the college preparatory math or science courses that many colleges look for during the admissions process.", "Officials GAO interviewed in selected high-poverty high schools said their students can face a number of complex challenges in preparing for college. For instance, officials said that many students are academically behind when they enter high school and are unable to progress to more advanced courses. Further, high-poverty schools may not offer rigorous courses, such as AP courses, due to lack of resources or teaching staff. Students in high-poverty schools also face other stressors that can make going to college challenging. Officials at 9 of the 12 schools GAO visited cited the effects of poverty on their students, such as homelessness, hunger, and trauma, that make preparing for college difficult. School officials also said the steps involved in applying to and enrolling in college can be difficult to navigate for many students in high-poverty schools. Officials in selected schools reported efforts to address these challenges, such as offering free college courses and obtaining outside supports to assist with college advising."]}], "report": [{"section_title": "Letter", "paragraphs": ["Students from low-income families earn bachelor\u2019s degrees at rates that are significantly lower than their more affluent peers. This is concerning because higher levels of education are associated with higher lifetime earnings, and a bachelor\u2019s degree, in particular, can be a powerful tool for lifting individuals out of poverty. One study found that among individuals who started out in the lowest 20 percent income group, those earning a college degree were over four times more likely to move to the highest income group than those who did not finish college. Similarly, another study found that adults with a bachelor\u2019s degree or higher are more likely to report that they are at least doing okay financially than those with a high school degree or less. Not all students are interested in pursuing a 4-year college degree. However, the low rates of degree attainment for low-income students raises questions about whether the students who wish to pursue higher education have access to courses that support their admission to college.", "You asked us to review the spectrum of college preparatory course offerings available in high-poverty schools and challenges students in these schools face preparing for college. Specifically, we (1) examined the extent to which high schools of different poverty levels offer courses to prepare students academically for college, and (2) described challenges that students in high-poverty schools face in being prepared to attend college.", "To determine the extent to which schools offer courses to prepare students academically for college, we analyzed U.S. Department of Education (Education) data on course offerings, among other things, on the nation\u2019s public schools. Specifically, we analyzed data from Education\u2019s school year 2015-16, the most recent available, Civil Rights Data Collection (CRDC), which collects data on course offerings in schools, among other things, such as characteristics of students attending schools (e.g., race, sex, disability), school type (e.g., traditional, charter), and school size. To explore whether course offerings varied by level of school poverty, we matched schools in the CRDC to the same schools in another Education data collection, the Common Core of Data (CCD), which contains information on the percentage of students in a school eligible for free or reduced-price lunch, for school year 2015-16, and sorted them into poverty quartiles. To understand the interplay of poverty and race, we further analyzed the student demographics of schools in these poverty quartiles. In addition, this descriptive analysis also examined the variation in course offerings by school size, type, and locale. Both the CRDC and CCD are school-level data collections of K-12 public schools. We determined these data were sufficiently reliable for the purposes of this report by reviewing documentation, conducting electronic testing, and interviewing Education officials.", "Colleges often look for students to have taken certain courses or a sequence of courses in preparation for college. To test whether offering certain courses or sequences of courses were associated with school characteristics, like its poverty level, we conducted an additional analysis using Education\u2019s data. Specifically, we used a generalized linear regression with a logistic regression model to test whether a school offering: at least three math courses (algebra I, geometry, and algebra II); at least three science courses (biology, chemistry, and physics); and any Advanced Placement (AP) courses was associated with particular school characteristics, like poverty, while controlling for other school characteristics, like school size and demographic makeup. Similarly, we conducted a separate regression for individual course offerings (algebra I, calculus, biology, etc.). By controlling for other related school characteristics that might also be associated with offering a given course or sequence of courses, the model tests whether an association with a particular school characteristic of interest, such as poverty, remains when controlling for other related school characteristics. To better understand the courses that colleges expect students to take in high school, we reviewed the academic admission criteria posted on the websites of a nationally-representative random sample of public 4-year colleges in the Unites States. We focused on public 4-year colleges because these institutions offer a bachelor\u2019s degree and are generally a more affordable 4-year option because they often offer lower tuition to in-state residents.", "To gather information on the challenges students in high-poverty schools face in being prepared for college, we conducted site visits to 12 high schools: 4 schools in each of 3 states (California, Georgia, and Wisconsin). We selected high-poverty schools that provided us with a range in the numbers of different types of math, science, and AP courses offered. We also selected high schools that provided variation in size, school type, and location. At each of the 12 high schools, we interviewed the principal and other key leadership staff, and high school counselors. We interviewed by phone state educational agency officials in each of the three states, as well as school district officials for most of the high schools we visited. For each state, we also interviewed college admission officials representing at least one public, 4-year college, and representatives of college advising organizations. In selecting the states in our review, we considered variation in state policies on college readiness and geographic diversity.", "We conducted this performance audit from May 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. See appendix I for more information on our objectives, scope, and methodology."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Poverty in U.S. High Schools", "paragraphs": ["Poverty can adversely affect academic and other outcomes in profound ways. Specifically, living in poverty is linked with negative conditions for children at home, in schools, and in neighborhoods and communities, and can include substandard housing, homelessness, inadequate nutrition and food insecurity, inadequate home-based child care, increased health care costs, and unsafe neighborhoods. Poverty has a particularly adverse effect on the academic outcomes of children that starts in early childhood and continues through the academic pipeline. Chronic stress associated with living in poverty has been shown to adversely affect children\u2019s concentration and memory which may impact their ability to learn. Census data from 2014 show a relationship between the rate at which students dropped out (left school without obtaining a high school credential) and family income. The dropout rate of students from high- income families was 2.8 percent, while the dropout rate for individuals from low-income families was 11.6 percent.", "Our prior work describes how the nation\u2019s schools have become increasingly comprised of students in poverty. In school year 2015-16, of the 12.5 million students in public high schools (schools with grades 9- 12), over 5 million (40 percent) attended schools where at least half of the students were experiencing poverty, as indicated by eligibility for free or reduced-priced lunch. Nearly 1.8 million (over 14 percent) attended schools where at least three-quarters of the students were experiencing poverty (see table 1).", "Our prior work has also discussed the association between poverty and race or ethnicity. High schools with a relatively large proportion of students in poverty also tend to have a higher proportion of minority students, students with disabilities, and English learners. The link between racial and ethnic minorities and poverty is long-standing, and studies have noted concerns about this segment of the population that falls at the intersection of poverty and minority status in schools and how this affects their access to quality education."], "subsections": []}, {"section_title": "Characteristics of U.S. High Schools and the College Preparation Process", "paragraphs": ["Of the roughly 12.5 million students who were enrolled in public high schools during the 2015-16 school year, about 87 percent attended traditional public schools, according to Education data; the remaining students were enrolled at charters, magnets, and other types of public schools (see table 2).", "While not all students will decide to pursue college, those who do generally must prepare for and navigate the college admissions process while in high school. This process can involve multiple administrative and financial steps, according to information from Education and college advising organizations. (See figure 2 for more information on the college application and admissions process.)"], "subsections": []}, {"section_title": "U.S. Department of Education College Readiness Initiatives", "paragraphs": ["The Department of Education plays a role in helping students be prepared for college through initiatives in several of its offices. For example, Education\u2019s Office of Postsecondary Education (OPE) administers several discretionary grant programs designed to increase college readiness among students from disadvantaged backgrounds, such as the Gaining Early Awareness and Readiness for Undergraduate Programs (GEAR UP). GEAR UP aims to increase the number of low- income students who are prepared to enter and succeed in postsecondary education. In 2016, OPE awarded approximately $323 million in grants through GEAR UP. In addition, Education\u2019s Office of Elementary and Secondary Education (OESE) provides grants and technical assistance to states and districts to encourage advanced course opportunities and college and career readiness initiatives. OESE also oversees states\u2019 and districts\u2019 use of Title I, Part A funds under the Elementary and Secondary Education Act, as amended. These funds provide financial assistance to school districts and schools with high numbers or high percentages of children from low-income families to help ensure that all children meet challenging state academic standards, and can be used to provide additional courses and college readiness programs in schools. Finally, Education\u2019s Office of Federal Student Aid (FSA) is responsible for managing the student financial assistance programs authorized under Title IV of the Higher Education Act of 1965. These programs provide grants, loans, and work-study funds to students attending college or career school. FSA also publishes guidance and other resources related to federal student aid and college costs. These resources are designed for students and parents who are navigating the college application and financial aid processes. (For more information on Education\u2019s grant programs relevant to college readiness, see appendix II.)"], "subsections": []}, {"section_title": "Federal Efforts to Promote Equitable Access to Educational Resources", "paragraphs": ["Education and the Department of Justice (Justice) promote equitable access to education resources as part of their missions in two key ways: (1) conducting investigations of discrimination complaints; (2) issuing guidance on ways to address potential disparities; and (3) providing technical assistance. Education and Justice are responsible for enforcing a number of civil rights laws that prohibit discrimination in public schools on the basis of race, sex, disability, color, and national origin. (For examples of cases resolved by Education and Justice related to access to college preparation resources, see appendix IV.)", "To enforce relevant civil rights laws, Education carries out complaint- driven and agency-initiated investigations, which are called compliance reviews and which target problems that Education has determined are particularly acute. For example, in a recent review, Education\u2019s OCR reviewed whether Black students in a Virginia school district had the same access to educational opportunities as other students. OCR found a significant disparity between the numbers of Black and White high school students who take AP, advanced courses, and dual credit programs. These discrimination cases can be resolved through several means, including voluntary resolution, dismissal, or closure due to insufficient evidence. Education may also terminate federal funds if Education determines that a recipient is in violation of civil rights laws and the agency is unable to reach agreement with the parties involved.", "Justice has the authority to file suit in federal court to enforce the civil rights of students in public education. Specifically, Justice investigates discrimination in school resources based on complaints filed under federal civil rights laws and monitors and enforces open federal school desegregation orders where Justice is a party to the litigation. For example, in 2015 Justice entered into a court-approved agreement with a Louisiana city school board after finding that more college preparatory courses were offered in schools that predominantly serve White students than in schools that predominately serve Black students. This agreement required, among other things, that the district ensure that all students were given the opportunity to take all courses offered in the district.", "In addition to enforcement actions, Education and Justice help promote equitable access to education resources by issuing guidance and providing technical assistance. For example, in 2014, OCR issued guidance addressing equitable access to educational resources, in part, to address chronic and widespread racial disparities in access to rigorous courses, academic programs, and extracurricular activities which can hinder the education of students of color. In this guidance, OCR describes proactive ways to address potential disparities in academic and extracurricular programs that are differentiated based on academic rigor (e.g., gifted and talented or college preparatory programs) or content (e.g., business, music, art, or career and technical education programs). This guidance includes the following steps that states and school districts can take to help ensure equal access to educational resources: designating an employee to review policies governing how resources are distributed to and within schools; evaluating resource access across and within schools; notifying parents, students, and community members of avenues to raise concerns about resource access; and taking proactive steps to identify disparities in access to resources.", "Education also offers technical assistance, through various means, such as conducting webinars, sponsoring and presenting at conferences, and disseminating resource guides to schools and school districts."], "subsections": []}]}, {"section_title": "High-Poverty Schools Offer Fewer of the Courses That Prepare Students for Public 4- Year College", "paragraphs": ["At a Glance: Student Access to College Preparation Courses and Admissions Expectations", "Poverty and Student Demographics", "Schools with the highest concentration of poor students were predominantly comprised of Black and Hispanic students.", "Access to more advanced math and science courses (e.g., calculus and physics) decreased as the level of school poverty increased.", "Larger high schools offered more advanced math and science courses than smaller schools, regardless of poverty level.", "Charter schools offered fewer advanced math and science courses than traditional and magnet schools, regardless of poverty level.", "Public 4-year colleges generally expect applicants to have completed three or four math and three or four science credits in high school, but we found that the percentage of schools offering these recommended courses decreased as poverty level increased."], "subsections": [{"section_title": "High-Poverty High Schools Largely Comprised of Black and Hispanic Students", "paragraphs": ["Our analysis of Education data for school year 2015-16 showed that high- poverty high schools were predominately comprised of Black and Hispanic students, while low -poverty schools had a higher proportion of White students. Specifically, roughly 80 percent of students attending high-poverty schools were either Black or Hispanic, but were less than 20 percent of students enrolled in low-poverty schools (see fig. 3)."], "subsections": []}, {"section_title": "Access to Advanced High School Courses Varies Based on School Poverty Level, Size, and Type", "paragraphs": [], "subsections": [{"section_title": "Poverty Level", "paragraphs": ["Our analysis of Education data for school year 2015-16 showed that students\u2019 access to more advanced high school courses decreased as the level of school poverty increased. High-poverty schools represented 17 percent of all high schools in 2015-16.", "College Admissions Perspective Admissions officials from all four public, 4- year universities we interviewed reported that they look for students to take advanced coursework in high school in order to be more competitive applicants. Some college admissions officials and college advising organizations reported that students face academic difficulties when they get to college if they did not take advanced courses that help prepare for the rigor of college. A college admissions official we interviewed reported that over 90 percent of the university\u2019s incoming freshmen took courses in high school that could earn college credit, such as Advanced Placement (AP), International Baccalaureate (IB), or dual enrollment courses.", "Across all poverty levels, almost all schools offered the basic math courses (algebra I and geometry); however, disparities in offering advanced math courses grew as school poverty level increased (see fig. 4). For calculus in particular, the percentage of schools offering the course decreased as school poverty level increased, with the gap between low- and high-poverty schools widening to nearly 35 percentage points (85 percent of low-poverty schools versus about 50 percent of high-poverty schools). Generally, a similar pattern emerged for science courses. Again, the majority of all schools, at least 90 percent across all poverty levels, offered biology; but for chemistry and physics, disparities grew as poverty increased. For example, almost 90 percent of low- poverty schools offered physics, with the percentage decreasing steadily to 62 percent for high-poverty schools.", "For courses that allow students to earn college credit and that can help make students more competitive applicants (see text box), our analysis showed a similar trend, with disparities that deepened as school poverty increased. For Advanced Placement (AP) courses overall, our analysis showed that the gap in courses offered was widest between the lowest and highest poverty schools\u2014with over 80 percent of low-poverty schools offering at least one AP course compared to about 60 percent of high- poverty schools. We found a similar pattern for AP math and science courses. Among schools that offered any AP courses, nearly all low- poverty schools offered AP math compared to 75 percent of high-poverty schools, a nearly 20 percentage point gap (see fig. 5).", "Advanced Placement courses: Upon successful completion of the course and a standardized AP exam, a student may be qualified to receive college credit and/or placement into advanced college courses. International Baccalaureate courses: The International Baccalaureate (IB) courses are designed as an academically challenging and balanced program of education, with final examinations, that prepares students, usually aged 16 to 19, for success in college. Dual Enrollment/Credit programs: Dual enrollment/dual credit programs provide opportunities for high school students to take college-level courses offered by colleges, and earn concurrent credit toward a high school diploma and a college degree while still in high school.", "Across all poverty levels, larger public high schools offered more advanced math and science courses than smaller schools, according to our analysis of Education\u2019s school year 2015-16 data. As illustrated in figure 7, this pattern held true for all math and science courses. In particular, among high-poverty schools, 90 percent of large schools offered calculus, compared to 54 percent and 11 percent of medium and small schools, respectively. Similarly, among high-poverty schools, over 90 percent of large schools offered physics compared to about two-thirds of medium and about a third of small schools.", "A similar pattern was evident for AP courses (see fig. 8). Among high- poverty schools, 97 percent of large schools offered AP courses compared to 68 percent of medium and 11 percent of small schools.", "Across all poverty levels, access to advanced courses differed by school type. We found that, in general, fewer charter schools, across all poverty levels, offered math, science, and AP courses, compared to traditional and magnet schools, according to our analysis of Education\u2019s school year 2015-16 data (see fig. 9). Further, a higher percentage of magnet schools offered advanced courses (such as physics and AP courses), compared to traditional schools. We also analyzed alternative schools and special education schools. When analyzing Education\u2019s data by school type, these schools had the lowest percentage of schools offering college preparatory courses. We focused our analyses in the body of the report on traditional, magnet, and charter schools, the school types with larger enrollments. Alternative and special education schools enroll fewer than 1.5 percent of high school students. See appendix V for full data tables, which include breakouts for alternative and special education schools.", "For AP courses, across all poverty levels, a lower percentage of charter schools offered these courses compared to traditional and magnet schools (see fig. 10). In particular, among high-poverty schools, 33 percent of charter schools offered any AP courses compared to 71 percent of traditional and 94 percent of magnet schools.", "We also analyzed high school course offerings based on whether schools were located in an urban, suburban, or rural location, but our regression model did not find a consistent association between school locale and course offerings. For example, a lower percentage of high-poverty schools in rural areas offered advanced math and science courses compared to high-poverty urban or suburban schools. However, a higher percentage of low-poverty rural schools offered advanced math and science courses than did low-poverty urban schools. For full results by school locale, see appendix V."], "subsections": []}]}, {"section_title": "High-Poverty Schools Were Less Likely to Offer Math and Science Courses Needed for College Admission", "paragraphs": ["Colleges often look for students to have completed multiple credits of a subject in high school, such as math or science; however, our analysis suggests that some high-poverty schools may not offer the math and science courses needed to meet basic admission expectations for public 4-year colleges. Based on our analysis of a generalizable sample of U.S. public 4-year college websites, an estimated 95 percent of colleges expected applicants to have completed three or four credits of math (see text box). Further, a majority of public 4-year colleges specifically recommended that applicants take algebra I, geometry, and algebra II. With respect to science an estimated 76 percent of colleges expected students to have completed three or four credits of science, with many specifically recommending biology, chemistry, or physics. (See fig. 11).", "Our analysis of Education data for school year 2015-16, however, found that the percentage of schools offering these recommended math and science courses decreased as poverty level increased. With respect to math courses, 7 percent of low-poverty schools did not offer the recommended math courses (at least algebra I, geometry, and algebra II), compared to 17 percent of high-poverty schools that did not offer these courses. Further, while 12 percent of low-poverty schools did not offer the recommended science courses (at least biology, chemistry, and physics), 41 percent of high-poverty schools did not. (See fig. 12).", "Odds of offering at least algebra I, geometry, and algebra II Generally, no statistically significant association.", "Odds of offering at least biology, chemistry, and physics Higher poverty schools were associated with lower odds of offering these courses compared to lower poverty schools.", "Odds of offering any AP courses Higher poverty schools were generally associated with lower odds of offering any AP courses, compared to lower poverty schools."], "subsections": [{"section_title": "Race", "paragraphs": ["Higher levels of Hispanic or Asian students were associated with lower odds of offering these courses.", "Higher levels of Black, Hispanic, or American Indian/Alaskan Native students were associated with lower odds of offering these courses.", "Generally, no statistically significant association."], "subsections": []}, {"section_title": "School Size", "paragraphs": ["Smaller schools were associated with lower odds of offering these courses, compared to larger schools.", "Smaller schools are associated with lower odds of offering these courses, compared to larger schools.", "Smaller schools were associated with lower odds of offering AP courses, compared to larger schools."], "subsections": []}, {"section_title": "School Type", "paragraphs": ["Alternative schools were associated with lower odds of offering these courses compared to traditional schools; however, the results were not statistically significant for other school types.", "Charter schools and alternative schools were associated with lower odds of offering these courses compared to traditional schools.", "Charter schools were associated with lower odds of offering any AP courses and magnet schools were associated with higher odds of offering any AP courses, compared to traditional schools."], "subsections": []}]}]}, {"section_title": "Officials from All 12 High-Poverty Schools Stated That Their Students Face Multiple, Complex Challenges to Prepare for College, and Some Had Efforts in Place to Help", "paragraphs": [], "subsections": [{"section_title": "Students in High-Poverty Schools Confront Complex Challenges to Prepare for College", "paragraphs": ["Across the three selected states, officials representing the 12 high- poverty schools we visited consistently reported that students confront multiple challenges to being prepared to attend college. They cited a range of academic roadblocks to college, including that students are behind academically before they get to high school; that the schools they attend lack rigorous courses, such as AP courses; and that students struggle to attain grade point averages (GPA) high enough for admission to some 4-year colleges. Officials explained that family challenges and obligations can compound the academic challenges and make navigating the college admissions and enrollment process difficult for their students.", "Students have not made sufficient academic progress to be admitted to college, according to officials we interviewed at 12 high-poverty schools (see fig. 13). Officials representing most of these schools (10 of 12) reported that their students were often academically behind. For example, at one urban and predominantly Black Wisconsin high school, officials said that 80 percent of 9th graders were performing below grade-level targets for reading and math, and at a Georgia high school where nearly all of the students were eligible for free or reduced-price lunch, officials said that over 30 percent of freshman students in school year 2016-17 had to repeat the 9th grade.", "Insufficient academic progress can be compounded by challenges high- poverty schools face in offering advanced coursework. For example, officials at five schools said they did not offer calculus; officials at three of these schools noted this was because most students typically did not take algebra I in middle school and, therefore, did not have the time to progress to calculus. Officials at a high school with over 900 students reported they did not offer calculus or AP math courses due to low student demand and that they must weigh the cost of providing a course with the number of students who would benefit. Two high-poverty high schools we visited that did not offer calculus courses were exploring offering the courses to students through videoconference. However, an official from one school district we interviewed said the district uses videoconference as a last resort because they have found students learn better with a teacher physically present allowing for more exchange of dialogue. In addition, the challenge of finding and retaining high-quality teachers can exacerbate the difficulties high-poverty schools face in offering advanced courses, according to state educational agency officials in two of the states we visited. Offering advanced courses is important to providing challenging opportunities for students and avoiding remedial coursework once in college, according to college and high school officials we interviewed. Officials we interviewed stressed that taking advanced courses provides students with challenging academic opportunities that help to prepare students for the rigor of college courses, whether they pass their AP exams or not. A representative of a college advising organization said that while it is possible to get into college without higher-level math courses, these courses often determine if a student needs remedial math in college. Officials from two college advising organizations said that when students are required to take remedial courses in college, it can have a detrimental effect. They said remedial courses generally cost money but do not provide credits towards graduation and can delay graduation, and sometimes can contribute to students leaving college without a degree.", "School officials for almost all the schools we visited (11 of 12) also said that students often had low GPAs and SAT or ACT scores, which made them less competitive applicants for admission or scholarships to 4-year colleges. For example, the average GPA for 11th grade students at three Wisconsin high schools we visited was below 2.0; officials at one school told us that last year\u2019s valedictorian had a 3.0 GPA. Further, officials at multiple schools said students feared they would not do well on the ACTs or SATs; and one counselor said this means that many students did not even try. Low GPAs and college entrance exam scores may be a particularly acute roadblock to 4-year college in areas where the state university system has grown increasingly competitive due to high demand, according to a counselor at one predominantly Hispanic California high school who said the state system is looking for students with 4.0 GPAs."], "subsections": [{"section_title": "Difficult Life Circumstances", "paragraphs": ["In addition to insufficient academic progress, a confluence of family, financial, and social-emotional challenges often confronts students in high-poverty schools, making it difficult for them to prepare for college, according to our interviews with school officials (see fig. 14).", "School and state education officials said that a range of stressors can compound the difficulties poor students face with learning and academic achievement. Officials at most of the schools (9 of 12) we visited and one state educational agency cited adverse conditions associated with poverty\u2013\u2013such as hunger, homelessness, living in foster care, witnessing or experiencing violence or abuse\u2014that made it hard for students to focus on school work. In one high school, officials reported that a school staff member handed out care packages to students every Friday to ensure students had something to eat on the weekend. Officials also reported that students demonstrated behavioral and emotional issues in their schools. Officials at one Wisconsin school said they have noticed a large increase in anxiety among students. This anxiety can be paralyzing for some students and, for others, can result in explosive and violent behavior that affects other students\u2019 ability to learn, according to the school officials.", "Officials in 11 of the high-poverty schools we visited said that going to college often conflicts with a student\u2019s need to help support their families or that the cost of college can be prohibitive. Some students provide an important source of income for their family or are the caregiver for family members, according to officials in nine schools. Family obligations can also affect students\u2019 decisions about whether to take college preparation courses, according to one school administrator. For example, the principal of a California charter school said a high-performing student dropped an AP course because the demands from family were so great. In addition, officials in six schools said that the cost of college can deter low-income students. One of these officials reported that even with financial aid and scholarships, their students may not be able to cover even small gaps in funding. According to one high school counselor, the cost of going to college plus the practicalities of getting to and from school and figuring out how to pay for meals during breaks if dorms or the cafeteria are closed, are concerns for low-income students.", "Parents struggling with poverty may not expect their children to go to college, according to college advising officials and officials at most schools (10 of 12) we visited. For example, officials at one Georgia high school said that many students are aiming to be the first in the family to graduate high school (first generation high school graduates), and do not prioritize college. Similarly, at another school, officials said parents and students do not have the expectation of going to college because the parents had not been to college themselves. Students from high-poverty schools may continue to harbor low expectations upon admission to college because they feel they do not belong, according to a principal and a college advising official. In addition, first generation students usually do not have the family support and knowledge to feel confident in their abilities to navigate college life, as a college admissions official noted. School officials at one high school we visited said their students, who attend high school in a highly segregated area, have felt overwhelmed and intimidated trying to transition to a college with a predominately white student population."], "subsections": []}, {"section_title": "Barriers to Navigating College Processes", "paragraphs": ["A variety of factors\u2014from the availability of high school counselors to taking college entrance exams\u2014can make the college admissions and enrollment processes difficult for students in high-poverty schools, according to school, college, and college advising organizations in the communities we visited (see fig. 15).", "College admission officials in two of the states we visited noted the importance of the high school counselor in navigating the college admissions process, such as taking students to college fairs and building relationships with colleges. However, counselors often face high caseloads and competing priorities, such as getting kids to graduate and handling emotional and social issues, according to multiple school officials and local college advising organizations. In one rural school we visited, one counselor handled the needs of about 400 students and was also the bus driver and occasional substitute nurse. Taking the SAT and ACT exams can also pose challenges for students. For example, according to administrators at one school, the cost of the exams may be a deterrent. At another high school, counselors noted that students may lack transportation to the test site and, at another school, officials said weekend jobs kept students from taking the tests.", "Applying for financial aid can also be challenging for students from high- poverty schools, according to school and college advising organization officials. At six of the schools we visited, officials said that sometimes parents are reluctant to report their income, because they are undocumented or because the process is unfamiliar. In addition, some school officials told us that even families with legal immigration status can be reluctant to submit personal information to government websites because they distrust how the information will be used. College advising officials we interviewed in two states said that complicated family financial situations, such as when a student cannot obtain income information from a parent, can also make the financial aid process difficult. In addition, officials from two college advising organizations said that financial aid award packages can be difficult to understand. For instance, they said that these packages may not clearly explain what amount the student is responsible for paying. Further, the aid letters may not indicate the additional cost associated with room and board, books, and transportation, according to one of these officials.", "Finally, even after a student has been admitted to college, they still may experience obstacles before classes begin, according to our interviews. Four officials reported that lack of college advisement over the summer after high school graduation has led to \u201csummer melt,\u201d when students do not attend college as planned. Officials from a college advising organization said that sometimes students missed a step in the enrollment process, such as paying deposits or tuition balances before the semester begins."], "subsections": []}]}, {"section_title": "Some High-Poverty Schools Are Trying to Ease Roadblocks to College", "paragraphs": ["Officials representing selected state educational agencies, school districts, and high-poverty schools we visited reported that they try to mitigate the barriers students in high-poverty schools face in being prepared to attend a 4-year college, despite resource challenges.", "Free access to college courses. Providing students with free access to college courses was one way some states and schools have been able to help students prepare for college. For example, Georgia\u2019s dual enrollment program allows high school students to earn college credit for free while working on their high school diploma. The program covers tuition, mandatory fees, and books. Administrators at a Georgia high school reported that the program has allowed some students to earn an associate\u2019s degree upon graduation from high school, helping to ease the cost burden of college. A charter school we visited in California partners with local colleges and covers tuition, text books, and transportation for college courses. The school principal said that the school does not offer calculus, but students can take it at a local community college and receive college credit.", "Outside supports for college advising. In Georgia, officials from a college advising organization reported helping with the college admission process in selected schools, including registering students to take the ACT or SAT, organizing college visits, helping students research colleges, and helping students and parents apply for financial aid. They also said they used text messages as a way to reach out to students and remind them to complete certain steps in the enrollment process. In addition, officials from half of the schools we visited (6 of 12) reported their schools had, or previously had, federal grants that supported college readiness activities for disadvantaged students. For example, one Wisconsin high school where most students are eligible for free or reduced-priced lunch (90 percent) and are Black (82 percent) or Hispanic (14 percent) had a GEAR UP grant that supported students in the classes of 2017 and 2018 since middle school, according to the school administrators.", "Strategies to exhibit a college-going culture. To help encourage students to consider college as a possibility, officials at some high-poverty schools we visited reported using strategies to exhibit a \u201ccollege-going culture\u201d within the school. For example, based on our site visit interviews and observations, schools displayed college banners; opened college and career counseling centers; provided incentives, such as prizes, to complete financial aid applications; and posted testing and scholarship information in prominent locations (see figs. 16 and 17). At one urban high school we visited in Georgia, teachers displayed their alma maters on their classroom doors and the school held \u201cCollege Fridays\u201d so students could learn about different colleges, according to school administrators.", "All-hands-on deck approach. One California school reported using an \u201call-hands-on-deck\u201d approach to getting students through the college admission process. Teachers, counselors, and administrators work together to track and follow up with students to ensure they take the needed coursework and do not miss a step in the admissions process. Officials reported that school staff built personal connections with the students and with the community outside of the school to encourage buy- in surrounding the college application process. At a high school in Georgia where 100 percent of students were eligible for free or reduced- priced lunch, school officials said they also used an all-hands-on-deck approach to help students persevere through personal challenges they face, such as balancing work and school or dealing with trauma. The school provides a team of administrators and counselors for each grade level to better identify when a student may be struggling and help support students\u2019 college preparation goals, according to school administrators.", "Alignment of graduation requirements and college admission requirements. Wisconsin officials reported that the state made changes to better align high school requirements with college and career readiness expectations, and universities\u2019 expectations by increasing its math and science graduation requirements from two units to three units of each, starting with the 2017 graduating class. According to a 2014 analysis by the Education Commission of the States, 18 states have complete or partial alignment between state high school graduation requirements and statewide higher education minimum admission requirements. In addition, the University of California and the California State University systems have established a uniform minimum set of courses, known as A-G requirements, required for admission as a freshman. These courses, offered in California high schools and online schools, are designed to ensure students have attained a body of general knowledge for more advanced study, according to information from the University of California. Even though it is not a state requirement, one Georgia school district reported that it requires two units of foreign language because it is a requirement of the University System of Georgia.", "Free college admission tests. In two of the states we visited, officials reported that students may take select college entrance exams or preparatory exams during a school day free of charge. Georgia pays for all 10th graders in public schools to take the Preliminary SAT (PSAT). Wisconsin officials reported that the state requires and provides the funding for all 11th graders in the state to take the ACT. A school district in California we visited noted that it covers the cost of the PSAT for 9th, 10th, and 11th graders in the district, as well as the SAT for 11th graders. In addition, officials at several schools said they offer students free online test preparation tools.", "College initiatives to improve access and retention. Officials at colleges in all three states we visited reported having initiatives that helped increase admissions or ease the transition to college for low- income or first-generation students. For example, officials at the University of Georgia said the college guarantees admission to the valedictorian of every accredited high school in the state. Admissions officials said this helped students with fewer educational opportunities to be competitive for admissions. California State University (CSU)\u2013Los Angeles, as well as other CSU campuses, has a program to help improve access and retention of low-income and educationally disadvantaged students. Under the program, the university accepts a limited number of students who do not meet regular admission criteria and provides academic, and in some cases financial, assistance to these students. The university also offers a 6-week \u201csummer bridge\u201d program for first generation students since they are most in danger of dropping out between high school graduation and the first day of college classes in the fall. At the University of Wisconsin-Milwaukee, an admissions official said the university develops transfer plans for students who start at a 2-year community college, to ease the transition to a 4-year college."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Education and Justice for review and comment. These agencies provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committee, the Secretary of Education, the Attorney General, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": [], "subsections": [{"section_title": "Overview", "paragraphs": ["The objectives of this report were to (1) examine the extent to which high schools of different poverty levels offer courses to prepare students academically for college and (2) describe challenges that students in high-poverty schools face in being prepared to attend college.", "For our first objective, we analyzed federal data on college preparatory course offerings by school poverty level quartiles; and within these quartiles, we analyzed the demographic composition of students in those schools. We also analyzed course offerings of schools in each poverty quartile by school type, size, and locale. Further, we reviewed college admissions expectations for a generalizable random sample of public 4- year colleges and compared course offerings from schools in each poverty quartile to these expectations. Lastly, we conducted a regression analysis to explore whether and to what extent certain school-level characteristics were associated with higher rates of college preparatory course offerings.", "For our second objective, we visited selected high-poverty high schools in three states to provide illustrative examples of challenges students face in being prepared for college. In those states, we also interviewed officials from state educational agencies, school districts, college advising organizations, and public 4-year colleges. We focused on public 4-year colleges because these institutions offer a bachelor\u2019s degree and are generally a more affordable 4-year option, compared to private colleges. The following sections contain detailed information about the scope and methodology for this report."], "subsections": []}, {"section_title": "Analysis of College Preparatory Courses National Data", "paragraphs": ["To determine the extent to which schools offer courses to prepare students academically for college, we conducted statistical analyses using the U.S. Department of Education\u2019s (Education) Civil Rights Data Collection (CRDC) and the Common Core of Data (CCD). Specifically, the CRDC is a biennial survey that is mandatory for every public school and district in the United States. Conducted by Education\u2019s Office for Civil Rights (OCR), the survey collects data on the nation\u2019s public schools (pre-K through 12th grade), including course offerings, student characteristics and enrollment, and disciplinary actions. The CRDC collected data from nearly every public school in the nation (approximately 17,000 school districts, 96,000 schools, and 51 million students in school year 2015-16). The course offering variables we used in our analysis are for those courses typically associated with and reported by high schools. As a result, our analysis only includes high schools that have all grades 9, 10, 11, and 12 (a total of 14,111 high schools). We thus excluded schools that had any grades K-8. Further, we excluded juvenile justice facilities\u2014because the provision of educational offerings may function differently in those schools\u2014and schools with fewer than 10 students. Our analysis was conducted using the public-use data file of the CRDC for school year 2015-16, the most recent data available at the time of our analysis. We matched schools in the CRDC for school year 2015-16 to schools in the CCD for school year 2015-16 to enable us to perform certain analyses based on variables that are unique to the different datasets, and excluded schools for which there was not a match. CRDC data are self-reported by districts and schools, and consequently there is potential for misreporting of information. Although our analyses of these data showed disparities, taken alone, these disparities do not establish whether unlawful discrimination has occurred.", "The 2015-16 CRDC survey collected data on several math and science courses that are considered by Education to be college-preparatory courses. The college-preparatory math courses included in the CRDC are: algebra I; geometry; algebra II; advanced mathematics; and calculus. The college preparatory science courses included in the CRDC are: biology; chemistry; and physics. The CRDC also collected data on a number of variables related to Advanced Placement (AP) course offerings as well as other course offerings that potentially offer students college credit. See table 4 for full definitions of key variables."], "subsections": [{"section_title": "Analysis by Poverty and Student Demographics", "paragraphs": ["To analyze course offerings by the poverty level of the school, we pulled in data on free or reduced-price lunch (FRPL) eligibility from the 2015- 2016 CCD, and matched it to our universe of 14,111 high schools in the 2015-16 CRDC, given that the CRDC does not collect FRPL eligibility data. The CCD is administered by Education\u2019s National Center for Education Statistics (NCES), and annually collects nonfiscal data about all public schools in the nation. A student is generally eligible for free or reduced-price lunch based on federal income eligibility guidelines that are tied to the federal poverty level and size of the family. State educational agencies supply these data for their schools and school districts.", "We then sorted high schools into poverty quartiles based on the percentage of students eligible for free or reduced-price lunch as follows: schools with 0 to 24.9 percent of students that are FRPL eligible, which we call low-poverty schools; schools with 25 to 49.9 percent of students that are FRPL eligible; schools with 50 to 74.9 percent of students that are FRPL eligible; and schools with 75 to 100 percent of students that are FRPL eligible, which we call high-poverty schools (see table 5). The poverty thresholds and measure of poverty discussed here and throughout this report were commonly used in the literature and also aligned with how Education analyzed its data. Further, to understand which students attend schools in the different poverty quartiles, we analyzed student demographic composition for each group of schools.", "Beginning in the 2014-15 school year, the National School Lunch Program included a new provision for providing free meals to all students in the school, without needing to collect individual applications from students to determine eligibility. This provision\u2014known as the Community Eligibility Provision (CEP)\u2014was implemented to expand access to free meals to all students and decrease household and administrative burdens for participating schools. We assessed whether the CEP variable had the potential to make sorting schools into quartiles based on the percentage of students eligible for free or reduce-price lunch unreliable. Our analysis showed that the number of schools in each poverty quartile remained roughly the same as in prior years and thus, we concluded the reported FRPL data was reliable for our purposes."], "subsections": []}, {"section_title": "Analysis by School Size", "paragraphs": ["To analyze course offerings by the size of public school a student attended, we sorted the 14,111 high schools in our universe into three groups, based on the number of students enrolled in the school, according to the 2015-16 CRDC data (see table 6). We excluded schools with fewer than 10 students because (1) schools of this size likely do not have the resources or infrastructure to offer advanced courses and (2) to prevent minor fluctuations in the data from having large effects on our results.", "We grouped schools into one of three size categories based on the number of students enrolled. The Department of Education and the CRDC do not have classifications of schools by size, so we determined reasonable size categories based on our analysis of the data. To arrive at these categories, we looked at average number of advanced course offerings by school size strata in groupings of 100 students. This analysis led to three categories based on the distribution of the data: 1 to 200 students (small schools); 201 to 1000 students (medium schools); and 1,001 or more students (large schools)."], "subsections": []}, {"section_title": "Analysis by School Type", "paragraphs": ["To analyze course offerings by the type of public school a student attended, we sorted the 14,111 schools in our universe into mutually exclusive categories using the self-reported school type variable in the CRDC. The CRDC allowed schools to self-identify as special education, magnet, charter, and alternative schools (see table 7).", "The categories of public schools in the CRDC were not mutually exclusive; that is, schools could select multiple school types to describe their schools, such as a charter school that was also an alternative school. To create mutually exclusive categories for analytical purposes, we applied the following criteria:", "Alternative school: all schools that selected \u201calternative\u201d as the school type in the CRDC, even if they selected other types as well.", "Special education school: schools that selected \u201cspecial education\u201d as the school type in the CRDC, except those schools that also selected the alternative school type.", "Charter school: schools that selected \u201ccharter\u201d as the school type, except those schools that also selected the alternative school type or the special education school type.", "Magnet school: schools that selected \u201cmagnet\u201d as the school type, except those schools that also selected the alternative school type, the special education school type, or the charter school type.", "Traditional school: schools that did not select any other school type in the CRDC.", "Table 8 provides the breakdown of students and schools captured in the 2015-16 CRDC after applying these criteria."], "subsections": []}, {"section_title": "Analysis by School Locale", "paragraphs": ["To analyze courses offerings by the locale of public school a student attended, we pulled in the school locale variable from the 2015-16 CCD and matched it to schools in the CRDC, which did not collect data on school locale. The locale variable in the CCD is primarily based on a school\u2019s location relative to populous areas. The locale variable is divided into four main types: City, Suburb, Town, and Rural. For the purposes of our analyses, we combined the Town and Rural variables into one Town/Rural variable because they are defined similarly (see table 9).", "Table 10 provides the breakdown of students and schools captured in the 2015-16 CRDC after applying the GAO Categories above."], "subsections": []}]}, {"section_title": "CRDC and CCD Data Reliability", "paragraphs": ["We determined that the data we used from the CRDC and CCD were sufficiently reliable for the purposes of this report by reviewing technical documentation, conducting electronic testing, and interviewing officials from Education\u2019s OCR and NCES. Past releases of the CRDC have subsequently been updated by Education to correct errors and omissions in the data. For our analysis of the 2015-16 CRDC, we used the data file that was publically available as of April 24, 2018."], "subsections": []}, {"section_title": "Regression Analysis", "paragraphs": ["We conducted a generalized linear regression with a logistic regression model using the 2015-16 CRDC and CCD data to explore whether and to what extent certain school-level characteristics were associated with higher rates of college preparatory course offerings, while controlling for other factors. Such a model allowed us to test the association between the offering of college preparatory courses and school characteristics, including poverty, while holding other school characteristics constant (school type, school size, school locale, student demographics). Table 11 lists the variables we included in our regression model. We conducted a separate regression for each of the course offerings or sequence of offerings listed as an outcome variable.", "Our regression model used the same universe of 14,111 schools as our descriptive analysis of the CRDC data. Since the regression model is based on observations across all independent variables, and some variables had a small number of missing data points, our final model had 13,278 observations.", "All regression models are subject to limitations and for this model the limitations included:", "Data we analyzed were by school rather than student. Consequently, we were not able to describe the association between our independent variables and a student\u2019s access to college preparatory courses, while controlling for characteristics of an individual student, such as sex, race or ethnicity, disability status, or grade level. Instead, the school-level nature of the CRDC data limited our description of the associations between school characteristics and course offerings to whether there was an increase, decrease, or no effect on course offerings for schools with a given characteristic, controlling for other characteristics of the entire school\u2019s population, such as school type.", "Some variables that may be related to student access to advanced courses are not available in the data. For example, in this context, it could be that parent education level or household type (single- versus multiple-headed household) could be related to course access.", "Results of our analyses are associational and do not imply a causal relationship.", "Typically, a logistic regression model, which is a generalized linear regression model, is appropriate when the model assumption of normality is not appropriate, as is the case with a binary (yes/no) outcome. A logistic regression model provides an estimated odds ratio, where a value greater than one indicates a higher or positive association, in this case, between whether a course is offered and the independent variable of interest, such as being a charter school or having a higher percentage of Black students. An estimated odds ratio less than one indicates lower odds of offering a given college preparatory course when a factor is present.", "Given the limitations of our model as described above, we present the results of our regression model in tables 12, 13, and 14 by describing the direction of the associations, rather than the estimated odds of outcome variables. For categorical variables in these tables, we provided the comparison school characteristic in brackets. For example, the results in these tables should be interpreted as charter schools were significantly less likely than traditional schools to offer AP courses, because the association is negative. For continuous variables (i.e., those starting with \u201cPercent\u201d), the results in these tables should be interpreted as the likelihood of offering courses decreased, if the association was negative, as the percentage of students in the school with a given characteristic increased. For example, as the percentage of Black students increased, we found that the likelihood of offering the sequence of at least three science courses decreased."], "subsections": []}, {"section_title": "Review of College Admission Criteria", "paragraphs": ["To determine which academic courses colleges expect applicants to take while in high school, we reviewed websites from a generalizable stratified random sample of 100 public 4-year colleges in the United States. The sample was selected from Education\u2019s 2015-16 Integrated Postsecondary Education Data System (IPEDS), which contains data for colleges that participate in federal student aid programs authorized under Title IV of the Higher Education Act of 1965, as amended. Our sampling frame consisted of all public 4-year degree granting colleges that participated in Title IV federal student aid programs, predominately award baccalaureate degrees, have full-time first-time undergraduate students, and that are located in a U.S. state or the District of Columbia, yielding a universe of 555 colleges. We stratified the sample by groupings colleges based on admission rates into four strata. We computed the sample size of 100 schools to achieve a precision of at least plus or minus 10 percentage points for an estimate of a population proportion at the 95 percent confidence level. We then proportionally allocated the sample size across the defined strata. This sample allowed us to make national estimates about the admission criteria for expected high school coursework at public 4-year colleges.", "To review comparable information across the sampled schools, we developed a standardized web-based data collection instrument that we used to examine the admission criteria for first-time freshman applicants posted on each college\u2019s website. Specifically, we attempted to identify the minimum required or recommended units of math, science, social studies, English, Foreign Language, and Fine Arts courses applicants are expected to take in high school to be considered for admission to the college. For math and science courses, we also attempted to identify any specified courses the colleges provide to meet the required or recommended units for those subject. We also collected information on whether or not each college required students to submit SAT or ACT exam scores to be considered for admission. We reviewed websites from September 2017 through November 2017. One analyst recorded information in the data collection instrument. The information was then checked and verified by another analyst. We collected complete information for all 100 colleges in our sample. We then analyzed the information across colleges. We did not, as part of our review of college websites, assess whether the information provided on the website accurately reflected the current admission policies of the college. Instead, this review was intended to better understand the courses that colleges expect students to take in high school."], "subsections": []}, {"section_title": "High School Site Visits", "paragraphs": ["To obtain information on the challenges students attending high-poverty high schools face in being prepared to attend public 4-year colleges, we selected three states\u2014California, Georgia, and Wisconsin\u2014and conducted site visits to four high schools in each of the states (for a total of 12 high schools). To select states for our site visits, we used the 2013- 14 CRDC data\u2014the most recent available at the time of our selection\u2014to sort states based on the percentage of their schools offering courses commonly associated with college readiness. We selected states that fell below the national average in percentage of schools offering Algebra II. We also considered states that were at or above the national average in percent of high-poverty schools offering two or fewer math and science courses. We also selected states providing us with a mix of state policies on college readiness and geographic diversity.", "Within each of the three states we used 2013-14 CRDC data to select high schools to visit that had greater than 75 percent of students eligible for free or reduced-price lunch (FRPL) and that offered a range of math and science courses. We also considered the number of AP courses offered by the school. As secondary criteria, we selected schools to achieve variation in school size, school type, and locale, to gather perspectives from officials in a diverse array of high-poverty schools. At each of the 12 schools, we interviewed the principal and other key leadership staff, and high school counselors.", "To supplement our site visits, we interviewed by phone state educational agency officials in each of the three states, as well as school district officials for most of the schools we visited. We interviewed officials from at least one local college advising organization in each of these states. In addition, we interviewed officials from at least one public 4-year university in each of the three states, for a total of four public 4-year universities. We selected universities that admit a high percent of in-state students, to attempt to talk to officials who were familiar with the high schools that we selected. These interviews provided us with information about what college admission officers view as challenges in admitting students from high poverty schools and the challenges students face in being successful in completing college.", "Because we selected the schools judgmentally, based on our criteria, the findings about the challenges these schools reported or the strategies they used to help students address those challenges cannot be generalized to all schools nationwide."], "subsections": []}, {"section_title": "Additional Interviews", "paragraphs": ["In addition to interviews in our site visit states, we interviewed officials from the Education Commission of the States, National Association for College Admission Counseling, and the College Board. We also held interviews and reviewed documentation from the U.S. Departments of Education and Justice to gather information on their programs supporting access to college preparation opportunities. We also reviewed relevant literature, as appropriate.", "We conducted this performance audit from May 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: U.S. Department of Education Discretionary Grant Programs to Increase College Readiness in K-12 Students", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Federal Agencies Responsible for Enforcing Civil Rights Laws in Public Schools", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Selected Federal Civil Rights Enforcement Cases Related to Access to College Preparation Courses and Programs", "paragraphs": [], "subsections": [{"section_title": "Department of Education", "paragraphs": ["According to administrative data from the U.S. Department of Education (Education), the Office for Civil Rights (OCR) received over 480 civil rights cases related to college and career readiness and resource comparability from FY 2011 through 2017. Some of these cases were initiated by external complaints and other reviews were initiated by Education. In the selected cases described below Education found underrepresentation of minority students or English learners in advanced, honors, or Advanced Placement (AP) middle and high school courses or in other types of college preparatory programs. This selection of cases is not generalizable, and was selected for illustrative purposes only.", "Education Case 1: Equitable Access to Advanced Courses for Black Students in an Ohio School District. In a 2016 investigation, OCR identified a number of potential Title VI compliance concerns regarding equitable access to certain resources for Black students at some schools. Specifically, OCR found that students at three schools, including two predominantly Black high schools, did not have the opportunity to take advanced courses taught live at their schools and, therefore, could not engage in-person with the course instructors. According to OCR\u2019s investigation, students participated remotely, watching the class through a video system. When the classes first started during the 2011-12 school year, the district staffed the distance classroom with paraprofessionals to assist the students. For that year, the district reported using technology to offer greater curriculum choices to its students through distance learning, especially when a sufficient number of students did not sign up for an advanced course at a specific school. After OCR notified the district of its concerns regarding this practice, the district placed teachers in these classrooms effective the 2014-15 school year. The district reported to Education that it was also pursuing efforts that would allow students to earn college credit, increase the number of courses, and improve the courses to provide high-level course choices for students. Before OCR concluded its investigation, district school officials voluntarily entered into a resolution agreement with Education, which committed the district to take certain actions, such as implementing programs designed to ensure that equally effective and qualified teachers are equitably distributed throughout the district and ensure Advanced Placement and other higher-level college preparatory courses are taught in the district\u2019s predominantly Black high schools, and provide students the opportunity to engage in-person with course instructors.", "Education Case 2: Equitable Access to College Preparatory Programs for Black, Hispanic, and English Learner (EL) Students in a New York School District. In 2013, OCR investigated whether a New York school district discriminated against Black, Hispanic, and EL students by establishing and implementing policies and procedures that resulted in their exclusion from college and career ready programs and courses, such as honors courses and AP courses. OCR reviewed information that the district provided regarding its high school honors courses and analyzed data from the district that revealed that Black, Hispanic, and EL students were underrepresented to a statistically significant degree in high school honors courses and AP courses. OCR also reviewed information concerning the district\u2019s gifted and talented program at the elementary and middle school levels and its advanced courses at the middle school level. Data provided by the district indicated that Black, Hispanic and EL students were underrepresented to a statistically significant degree in middle school advanced courses, as well as in some of the district\u2019s enrichment programs. OCR noted that enrollment in these programs and courses could potentially have an effect on later enrollment in high school honors and AP courses. Before the conclusion of OCR\u2019s investigation, the district voluntarily entered into a resolution agreement with Education. The agreement committed the district to take specific actions including hiring a consultant with expertise in addressing the underrepresentation of Black, Hispanic, and EL students in advanced and enrichment courses. According to the agreement, the consultant was to study the underrepresentation and make specific recommendations, as appropriate, for improving the district\u2019s efforts to provide all students with equal access to and an equal opportunity to participate in its advanced courses and programs.", "Education Case 3: Representation of Black Students in Advanced Courses and Enrichment Programs in a New Jersey School District. In 2014, OCR determined that Black students in a New Jersey school district were underrepresented in high school AP courses. Specifically, OCR found that Black students comprised 51.5 percent of high school students in the district, but only 18.7 percent of students in AP courses in school year 2012-13. In addition, OCR determined that in middle schools, Black students were underrepresented in the district\u2019s advanced math courses, as well as in the math enrichment programs at certain schools in the district. Before the conclusion of OCR\u2019s investigation, the district voluntarily entered into a resolution agreement with Education. The agreement committed the district to take specific actions including hiring a consultant with expertise in addressing the underrepresentation of Black students in college and career preparatory courses. According to the agreement, the consultant was to study the underrepresentation and make recommendations, as appropriate, for improving the district\u2019s efforts to provide all students with equal access to and an equal opportunity to participate in its advanced courses and programs.", "Education Case 4: College Preparation Opportunities for Black Students in a Virginia School District. In 2014, OCR investigated whether a Virginia school district discriminated against Black students by failing to provide them with the same resources and educational opportunities that it provided to White students to prepare them for postsecondary education or careers. As part of this review, OCR reviewed information regarding the district\u2019s high school higher-level learning opportunities, including advanced courses, AP courses, and dual credit programs (where students enroll in courses at a local community college). In addition, OCR collected and reviewed information about other possible barriers to college and career readiness, including student discipline. OCR found a significant disparity between the numbers of Black and White high school students who take AP, advanced courses, and dual credit programs. Preliminary information provided by the district indicated disproportion in the representation of Black students in advanced math classes, gifted programs, and accelerated reading programs in elementary schools. When speaking with students about what they considered in determining whether to enroll in these courses, many students informed OCR that they took AP or advanced courses if they took advanced courses in middle school and elementary school. OCR also reviewed student discipline, particularly exclusionary disciplinary that removes students from the school setting, because, according to OCR, such removals can serve as a potential barrier to college and career readiness. Before OCR concluded its investigation, the district voluntarily entered into a resolution agreement with Education to resolve the case. The agreement committed the district to retain the services of a consultant with expertise in addressing the underrepresentation of Black students in gifted programs, elementary and middle school advanced courses, and high school AP and dual credit courses. The consultant\u2019s role was to examine the root causes for underrepresentation and to make recommendations about what measures, if any, the district should take as part of its on-going efforts to provide all students with equal access to advanced courses and programs. According to the agreement, the consultant was to study the underrepresentation and make recommendations, as appropriate, for improving the district\u2019s efforts to provide all students with equal access to and an equal opportunity to participate in its advanced courses and programs."], "subsections": []}, {"section_title": "Department of Justice", "paragraphs": ["Justice also investigates allegations of discrimination related to school resources in response to complaints filed under federal civil rights statutes and monitors and enforces open federal school desegregation orders where Justice is a party to the litigation. Justice sometimes partners with OCR on these cases. In September 2017, Justice officials stated that there were 172 open cases to which the agency was a party. The selected cases described below summarize Justice\u2019s findings and the agreed upon remedies. This selection of cases is not generalizable, and was selected for illustrative purposes only.", "Justice Case 1: Equal Educational Opportunities in an Alabama School District. As part of an ongoing civil rights lawsuit against an Alabama school district, in 2015, the U.S. District Court for the Northern District of Alabama approved a consent order filed by Justice and the district to reconfigure school attendance zones, improve access to quality course offerings, and address racial discrimination in student discipline, among other areas. The proposed consent order required the district to provide equal educational opportunities to Black students by revising attendance zones and growing and strengthening magnet programs to improve diversity at many of its schools. It also required the district to expand access for Black students by taking a number of steps, including expanding access for Black students to college counseling and advance course offerings such as AP and International Baccalaureate (IB). It also required the district to expand access for Black students to pre- kindergarten, gifted programs, and academic afterschool programs. The district agreed to implement measures to promote faculty and administrator diversity and to ensure that all students are aware of and can equally participate in extracurricular activities.", "Justice Case 2: Equitable Access to Course Offerings in a Louisiana School District. As part of an ongoing civil rights lawsuit against a Louisiana School Board, in 2015, the U.S. District Court for the Western District of Louisiana approved a consent decree between Justice and the school board. This consent decree addressed district\u2019s fulfillment of its desegregation obligations, terminating long-standing judicial supervision of the district in this matter. Prior to this consent decree, in 2010, the court directed the district to offer the same courses at every high school. However, 5 years later, the court found that a high school in the district, which predominantly served White students, offered 32 more courses, including college preparatory courses, than another high school, which predominantly served Black students. Similarly, across all schools in the district (elementary, middle, and high), the schools that were racially identifiable as White had far more gifted and talented course offerings than other schools. In the consent decree, the district agreed, among other things, to strive to have all courses listed in its course catalog taught at each high school. Further, if a course is ultimately not taught at a given school, students at that school would be given the opportunity to take the course at another school in the district. The district also agreed to provide free transportation, at the student\u2019s request, and to adjust the student\u2019s schedule and the scheduling and location of the course, as necessary, to facilitate the student\u2019s attendance at the course.", "Justice Case 3: Access to College and Career Readiness Programs and Courses for American Indian Students in a New Mexico School District. In 2017, Justice and OCR resolved a compliance review of a New Mexico school district. The purpose of the review was to determine whether the district discriminated against American Indians by excluding them from college and career readiness programs and courses, such as gifted and talented, AP, and honors courses. Justice and OCR also evaluated whether the district discriminated against American Indian parents by not providing them with information surrounding the aforementioned programs and courses in a language they understand. District staff surveyed during this review recommended ways to address American Indian student underrepresentation in college and career readiness programs and courses. On February 14, 2017, the district entered into a resolution agreement with OCR and Justice, committing to take specific actions to ensure that it is providing an equal opportunity and equal access for all students to its advanced and higher level learning opportunities. The district agreed to several actions including reaching out to an equity assistance center or consultant for technical assistance in addressing the underrepresentation of American Indian students in the college and career readiness programs and courses and improving outreach to the American Indian community."], "subsections": []}]}, {"section_title": "Appendix V: Additional Data Tables", "paragraphs": ["This appendix contains several tables that show the underlying data used throughout this report, as well as additional analyses we conducted using the Department of Education\u2019s Civil Rights Data Collection (CRDC) and Common Core of Data (CCD) for school year 2015-16. The following tables and information are included in this appendix:", "Table 17: High schools offering math and science courses, by school poverty level.", "Table 18: High schools offering math and science sequences, by school poverty level.", "Table 19: High schools offering Advanced Placement courses, International Baccalaureate program, and Dual Enrollment options, by school poverty level.", "Table 20: High schools offering different numbers of Advanced Placement courses, by school poverty level.", "Table 21: High schools offering math courses, by school size and poverty level.", "Table 22: High schools offering science courses, by school size and poverty level.", "Table 23: High schools offering math and science sequences, by school size and poverty level.", "Table 24: High schools offering Advanced Placement courses, International Baccalaureate program, and Dual Enrollment options, by school size and poverty level.", "Table 25: High schools offering math courses, by school type and poverty level.", "Table 26: High schools offering science courses, by school type and poverty level.", "Table 27: High schools offering math and science sequences, by school type and poverty level.", "Table 28: High schools offering Advanced Placement courses, International Baccalaureate program, and Dual Enrollment options, by school type and poverty level.", "Table 29: High schools offering math courses, by school locale and poverty level.", "Table 30: High schools offering science courses, by school locale and poverty level.", "Table 31: High schools offering math and science sequences, by school locale and poverty level.", "Table 32: High schools offering Advanced Placement courses, International Baccalaureate program, and Dual Enrollment options, by school locale and poverty level."], "subsections": []}, {"section_title": "Appendix VI: Additional Figures", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: College Admission Website Review", "paragraphs": ["As described in Appendix I, we reviewed websites from a nationally- representative sample of 100 public 4-year colleges in the United States to determine which academic courses colleges expect applicants to take while in high school. Our sampling frame consisted of all public 4-year degree granting colleges that participated in Title IV federal student aid programs, predominately award baccalaureate degrees, have full-time first-time undergraduate students, and that are located in a U.S. state or the District of Columbia, yielding a universe of 555 colleges. Based on our review, an estimated 88 percent of public 4-year colleges posted recommended or required high school coursework as admission criteria for applicants. Of the colleges that had coursework criteria posted on their websites, the results are shown in table 33 below."], "subsections": []}, {"section_title": "Appendix VIII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sherri Doughty (Assistant Director), Cady Panetta (Analyst-in-Charge), James Ashley, James Bennett, David Dornisch, Holly Dye, Alison Grantham, Connor Kincaid, Grant Mallie, Benjamin Sinoff, Walter Vance, and Sonya Vartivarian made key contributions to this report. Also contributing were Deborah Bland, Aaron Karty, Sheila R. McCoy, and Margie Shields."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-476", "url": "https://www.gao.gov/products/GAO-18-476", "title": "NASA Commercial Crew Program: Plan Needed to Ensure Uninterrupted Access to the International Space Station", "published_date": "2018-07-11T00:00:00", "released_date": "2018-07-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2014, NASA awarded two firm-fixed-price contracts to Boeing and SpaceX, worth a combined total of up to $6.8 billion, to develop crew transportation systems and conduct initial missions to the ISS. In February 2017, GAO found that both contractors had made progress, but their schedules were under mounting pressure. The contractors were originally required to provide NASA all the evidence it needed to certify that their systems met its requirements by 2017.", "A House report accompanying H.R. 5393 included a provision for GAO to review the progress of NASA's human exploration programs. This report examines the Commercial Crew Program, including (1) the extent to which the contractors have made progress towards certification and (2) how NASA's certification process addresses safety of the contractors' crew transportation systems. GAO analyzed contracts, schedules, and other documentation and spoke with officials from NASA, the Commercial Crew Program, Boeing, SpaceX, and two of NASA's independent review bodies that provide oversight."]}, {"section_title": "What GAO Found", "paragraphs": ["Both of the Commercial Crew Program's contractors, Boeing and Space Exploration Technologies Corporation (SpaceX), are making progress finalizing designs and building hardware for their crew transportation systems, but both contractors continue to delay their certification milestone (see figure). Certification is the process that the National Aeronautics and Space Administration (NASA) will use to ensure that each contractor's system meets its requirements for human spaceflight for the Commercial Crew Program.", "Further delays are likely as the Commercial Crew Program's schedule risk analysis shows that the certification milestone is likely to slip. The analysis identifies a range for each contractor, with an earliest and latest possible completion date, as well as an average. The average certification date was December 2019 for Boeing and January 2020 for SpaceX, according to the program's April 2018 analysis. Since the Space Shuttle was retired in 2011, the United States has been relying on Russia to carry astronauts to and from the International Space Station (ISS). Additional delays could result in a gap in U.S. access to the space station as NASA has contracted for seats on the Russian Soyuz spacecraft only through November 2019. NASA is considering potential options, but it does not have a contingency plan for ensuring uninterrupted U.S. access.", "NASA's certification process addresses the safety of the contractors' crew transportation systems through several mechanisms, but there are factors that complicate the process. One of these factors is the loss of crew metric that was put in place to capture the probability of death or permanent disability to an astronaut. NASA has not identified a consistent approach for how to assess loss of crew. As a result, officials across NASA have multiple ways of assessing the metric that may yield different results. Consequently, the risk tolerance level that NASA is accepting with loss of crew varies based upon which entity is presenting the results of its assessment. Federal internal controls state that management should define risk tolerances so they are clear and measurable. Without a consistent approach for assessing the metric, the agency as a whole may not clearly capture or document its risk tolerance with respect to loss of crew."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that NASA develop a contingency plan for ensuring a U.S. presence on the ISS and clarify how it will determine its risk tolerance for loss of crew. NASA concurred with three recommendations; partially concurred on the recommendation related to loss of crew; and non-concurred with a recommendation to report its schedule analysis to Congress. GAO believes these recommendations remain valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Following the retirement of the Space Shuttle in 2011, the United States was left with no domestic ability to provide crew access to the International Space Station (ISS). Since then, the National Aeronautics and Space Administration (NASA) has relied on obtaining seats on the Russian Soyuz spacecraft to maintain a U.S. presence on the station. NASA\u2019s Commercial Crew Program is facilitating the commercial development of a crew transportation system that can provide safe, reliable, and cost-effective transportation to and from the ISS and that would end this dependency. NASA\u2019s goal is to have one or more contractors that can provide crew transportation services to the ISS. NASA is planning for the ISS to be operational until at least 2024.", "NASA\u2019s acquisition strategy for the Commercial Crew Program is similar to the one it used on the Commercial Cargo Program, but different from other spacecraft it has built for humans, from Mercury to Gemini and Apollo to the Space Shuttle. Each contractor is to design, develop, build, own, and operate its own spaceflight system and infrastructure. The contractors will have access to NASA\u2019s expertise and resources throughout the development process, but NASA engineers are not the ones making design decisions and NASA personnel will be less involved in processing, testing, launching, and operating the crew transportation system. In the end, NASA will buy a crew transportation service\u2014a ride for its astronauts to and from the ISS\u2014much like it does for ISS cargo.", "In the most recent phase of the Commercial Crew Program, NASA awarded firm-fixed-price contracts in 2014 to Boeing and Space Exploration Technologies Corporation (SpaceX), valued at up to $4.2 billion and $2.6 billion, respectively, for the development of crew transportation systems that meet NASA requirements and for the initial service missions to the ISS. According to the contracts, the companies were originally supposed to complete certification\u2014the process by which each contractor provides NASA the evidence it needs to certify that its systems meet performance and safety requirements\u2014by 2017.", "The House Report accompanying H.R. 5393, Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2017 includes a provision for GAO to review the acquisition progress of NASA\u2019s human exploration programs, including the Commercial Crew Program. For this review, we assessed (1) the extent to which the contractors have made progress towards meeting NASA\u2019s certification requirements and NASA\u2019s plans to ensure continued access to the ISS; and (2) how NASA\u2019s certification process addresses safety of the contractors\u2019 crew transportation systems. To assess the contractors\u2019 progress toward certification, we reviewed Commercial Crew Program and contract documents, including quarterly progress updates, monthly risk charts, and monthly schedule summaries. We also interviewed program and contract officials to identify steps being taken to mitigate risks and assess the extent of cost or schedule effects if the risk is realized. For each contractor, we compared the original contract schedule to the most current contract schedule and the contractors\u2019 internal development schedules to determine upcoming events and expected delays. We also spoke with ISS program officials to determine how NASA plans to mitigate the effects of these delays on its access to the ISS.", "To assess how NASA\u2019s certification process addresses safety of the contractors\u2019 crew transportation systems, we reviewed agency safety policies, program plans, and contract documents to establish when certification approval would be granted, what safety assessments were required of the program, and which safety factors would be considered in certification reviews. For each contractor, we compared agency requirements to contract requirements for a key safety metric known as \u201closs of crew,\u201d and interviewed program and agency officials to determine how loss of crew would be assessed and considered throughout the certification process. We reviewed program and agency documentation and interviewed program and agency officials to determine the role of the safety and mission assurance technical authority in the program. We also met with two organizations that provide NASA with independent assessments of the program, the program\u2019s standing review board and the Aerospace Safety Advisory Panel, to gain their perspectives on the contractor\u2019s progress and how NASA addresses safety in its certification process. Appendix I contains detailed information about our scope and methodology.", "We conducted this performance audit from April 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NASA\u2019s Commercial Crew Program is a multi-phased effort that began in 2010. Across the phases, NASA has engaged several companies, using both agreements and contract vehicles to develop and demonstrate crew transportation capabilities. As the program has passed through these phases, NASA has generally narrowed down the number of participants. The early phases of the program were under Space Act agreements, which is what NASA calls the agreements entered into pursuant to its other transaction authority. These types of agreements are generally not subject to the Federal Acquisition Regulation (FAR) and allow the government and its contractors greater flexibility in many areas. Under these Space Act agreements, NASA relied on the commercial companies to propose specifics related to their crew transportation systems, including their design, the capabilities they would provide, and the level of private investment. In these phases, NASA provided technical support and determined whether the contractors met certain technical milestones. In most cases, NASA also provided funding.", "For the final two phases of the program, NASA awarded FAR-based contracts. By using FAR-based contracts, NASA gained the ability to procure missions to the ISS, while continuing to provide technical expertise and funding to the contractors. NASA levied two sets of requirements on the contractors: the ISS program requirements, which must be met by all spacecraft visiting the ISS whether they carry cargo or crew; and the Commercial Crew Program requirements, which have a focus on system capabilities and safety rather than design.", "The program also established a verification closure notice process, in which the contractors submit data to NASA to verify they have met all the requirements to be certified. This certification must occur before contractors are allowed to fly initial crewed missions to the ISS."], "subsections": [{"section_title": "Current Program Contracts", "paragraphs": ["In September 2014, NASA awarded firm-fixed-price contracts to Boeing and SpaceX, valued at up to $4.2 billion and $2.6 billion, respectively, for the Commercial Crew Transportation Capability phase. Under a firm- fixed-price contract, the contractor must perform a specified amount of work for the price negotiated by the contractor and government. This is in contrast to a cost-reimbursement contract, in which the government generally agrees to pay the contractor\u2019s allowable costs regardless of whether work is completed. During this phase, the contractors will complete development of crew transportation systems.", "Boeing\u2019s spacecraft\u2014CST-100 Starliner\u2014is composed of a crew module and a service module.", "The crew module will carry the crew and cargo. It also includes communication systems, docking mechanisms, and return systems for Earth landing.", "The service module provides propulsion on-orbit and in abort scenarios as well as radiators for thermal control.", "SpaceX\u2019s spacecraft\u2014Dragon 2\u2014is composed of a capsule, which we refer to as the crew module, and a trunk, which we refer to as the support module.", "The crew module is composed of a pressure section and a service section. This module will carry the crew and cargo. It also includes avionics, docking mechanisms, and return systems for a water landing.", "The support module includes solar arrays for on-orbit power and guidance fins for escape abort scenarios.", "Figure 1 shows the spacecraft and launch vehicles for Boeing and SpaceX\u2019s crew transportation systems.", "The Commercial Crew Transportation Capability phase contracts include three types of services:", "Contract Line Item 001 encompasses the firm-fixed-price design, development, test, and evaluation work needed to support NASA\u2019s certification of the contractor\u2019s spacecraft, launch vehicle, and ground support systems.", "Contract Line Item 002 covers any service missions that NASA orders to transport astronauts to and from the ISS. Under this indefinite-delivery, indefinite-quantity line item, NASA has ordered six post-certification missions from each contractor. Each service mission is its own firm-fixed-price task order. NASA must certify the contractors\u2019 systems before they can fly these missions.", "Contract Line Item 003 is an indefinite-delivery, indefinite-quantity line item for any special studies, tests, and analyses that NASA may request. These tasks do not include any work necessary to accomplish the requirements under contract line item 001 and 002. As of April 2018, NASA had funded studies worth approximately $30 million to Boeing, including approximately $27 million for additional testing of the parachute system. NASA had funded studies worth approximately $44 million to SpaceX, including approximately $34 million for additional testing of the parachute system. For each contractor, the maximum value of this contract line item is $150 million.", "NASA has made changes to the contracts that have increased their value. While the contracts are fixed-price, their values can increase if NASA adds work or otherwise changes requirements, among other means. As of April 2018, NASA requirement changes had increased the value of contract line item 001 for Boeing by approximately $191 million and for SpaceX by approximately $91 million."], "subsections": []}, {"section_title": "Certification", "paragraphs": ["NASA divided the certification work under contract line item 001 into two acceptance events: the design certification review and the certification milestone. An acceptance event occurs when NASA approves a contractor\u2019s designs and acknowledges that the contractor\u2019s work is complete and meets the requirements of the contract.", "The first acceptance event\u2014the design certification review\u2014verifies the contractor\u2019s crew transportation system\u2019s capability to safely approach, dock, mate, and depart from the ISS, among other requirements. After the contractor has successfully completed all of its flight tests, as well as various other activities, the second acceptance event\u2014the certification milestone\u2014determines whether the crew transportation system meets the Commercial Crew Program\u2019s requirements. Following this contract milestone is an agency certification review, which authorizes the use of a contractor\u2019s system to transport NASA crew to and from the ISS. Figure 2 shows a notional path leading up to the agency certification review.", "The Commercial Crew Program\u2019s certification plan outlines how the program will incrementally review required deliverables leading up to, and supporting, the agency certification review. For each review, the plan describes the information that the contractor and the program will present. At the agency certification review, which is chaired by the Associate Administrator of the Human Exploration and Operations Mission Directorate, the agency will review the program\u2019s formal recommendation to certify the contractor\u2019s crew transportation system. Program officials said that their goal is to develop and review certification evidence incrementally in order to reduce the risk that issues will be identified during the agency certification review."], "subsections": []}, {"section_title": "Prior GAO Work", "paragraphs": ["In our February 2017 report, we evaluated the progress made by the two contractors on the Commercial Crew Program and found the following:", "Both of the Commercial Crew Program\u2019s contractors had made progress developing their crew transportation systems, but both also had aggressive development schedules that were increasingly under pressure. We reported that both Boeing and SpaceX had determined that they would not be able to meet their original 2017 certification dates, and both expected certification to be delayed until 2018. We found that the schedule pressures were amplified by NASA\u2019s need to provide a viable crew transportation option because its contract with Russia\u2019s space agency was to provide crew transportation to the ISS for six astronauts through 2018 with rescue and return through late spring 2019. Purchasing additional seats from Russia involves a contracting process that typically takes 3 years. Without a viable contingency option for ensuring uninterrupted access to the ISS in the event of further Commercial Crew delays, we concluded that NASA was at risk of not being able to maximize the return on its multibillion dollar investment in the space station.", "The Commercial Crew Program was using mechanisms laid out in its contracts to gain a high level of visibility into the contractors\u2019 crew transportation systems, but maintaining that level of visibility through certification could add schedule pressures. We noted that, for example, due to NASA\u2019s acquisition strategy for this program, its personnel were less involved in the testing, launching, and operation of the crew transportation system. While the program developed productive working relationships with both contractors, obtaining the level of visibility that the program required had also taken more time than the program or contractors had anticipated. Ultimately, we noted that the program had the responsibility for ensuring the safety of U.S. astronauts, and its contracts gave it deference to determine the level of visibility required to do so. We concluded that the program office could face difficult choices moving forward about how to maintain the level of visibility it feels it needs without adding to the program\u2019s schedule pressures.", "In order to ensure that the United States had continued access to the ISS if the Commercial Crew Program\u2019s contractors experienced additional schedule delays, we recommended in our February 2017 report that the NASA Administrator develop a contingency plan for maintaining a presence on the ISS beyond 2018, including options to purchase additional Russian Soyuz seats, and report to Congress on the results. NASA concurred with this recommendation, and in February 2017, NASA executed a contract modification that purchased two seats and included an option to purchase three additional crewmember seats from Boeing on the Russian Soyuz vehicle. These seats represent a contingency plan for U.S. access to the ISS through 2019. In April 2017, NASA informed the Congress of this action."], "subsections": []}]}, {"section_title": "Contractors Have Made Progress, but NASA Has Not Finalized Plans to Ensure ISS Access Given Persistent Delays", "paragraphs": ["Boeing and SpaceX continue to make progress developing their crew transportation systems, but both contractors have further delayed the certification milestone to early 2019. These changes have occurred as the contractors continue to work to aggressive schedules, and they have had to delay key events regularly. Further delays are likely as the Commercial Crew Program\u2019s schedule risk analysis shows that the certification milestone is likely to further slip. In addition, as of mid-June 2018, NASA officials told us that these dates may change soon but that both contractors have not yet provided official updates to their schedules to NASA. NASA has not fully shared information with Congress regarding the risks of future schedule delays for the contractors and, as a result, Congress lacks insight into when the contractors will be certified. Also, there may be a gap in access to the ISS if the Commercial Crew Program experiences additional delays. While NASA has begun to discuss potential options, it currently does not have a contingency plan for how to ensure an uninterrupted presence on the ISS beyond 2019."], "subsections": [{"section_title": "Contractors Continue to Make Progress, but Risks Remain", "paragraphs": ["Boeing and SpaceX have continued to make progress finalizing their designs and building hardware as they work toward their certification milestones. The contractors are manufacturing test articles to demonstrate system performance and flight spacecraft to support the uncrewed and crewed flight tests, which are expected to demonstrate the ability to meet contract requirements. As table 1 shows, these test articles and spacecraft vary in levels of completion. Some are built and undergoing testing while others are starting the manufacturing phase. Should any issues arise during integration and test or the flight tests, the contractors may have to complete rework on the spacecraft already under construction.", "While both contractors are making progress, the Commercial Crew Program is tracking risks that each contractor has to address through testing and other means as they work towards the certification milestone.", "As we have previously reported, these types of risks are inherent in NASA\u2019s major acquisitions, which are highly complex, specialized, and often pushing the state of the art in space technology, but they could also delay the contractors\u2019 progress if issues arise during testing.", "The Commercial Crew Program\u2019s top programmatic risks identified for Boeing include challenges related to its abort system performance, parachutes, and launch vehicle.", "Abort System: Boeing is addressing a risk that its abort system, which it needs for human spaceflight certification, may not meet the program\u2019s requirement to have sufficient control of the vehicle through an abort. In some abort scenarios, Boeing has found that the spacecraft may tumble, which could pose a threat to the crew\u2019s safety. To validate the effectiveness of its abort system, Boeing has conducted extensive wind tunnel testing and plans to complete a pad abort test in July 2018.", "Parachute System: Boeing is also addressing a risk that during descent, a portion of the spacecraft\u2019s forward heat shield may re- contact the spacecraft after it is jettisoned and damage the parachute system. Boeing\u2019s analysis indicates the risk exists only if one of two parachutes that pull the forward heat shield away from the spacecraft does not deploy as expected, and that potential re-contact is non- detrimental. However, NASA\u2019s independent analysis indicates that this may occur even if both parachutes deploy as expected. If the program determines this risk is unacceptable, Boeing would need to redesign the parachute system, which the program estimates could result in at least a 6-month delay.", "Launch Vehicle Data: One of the program\u2019s top programmatic and safety concerns is that it may not have enough information from Boeing\u2019s launch vehicle provider, United Launch Alliance, to assess whether the Atlas V launch vehicle prevents or controls cracking that could lead to catastrophic failures. NASA estimates that unfinished work in this area could take Boeing and the United Launch Alliance until the fourth quarter of 2018 to complete. Additionally, the first stage of the Atlas V is powered by the Russian built RD-180 engine, and, according to program and Boeing officials, access to its data is highly restricted by agreements between the U.S. and Russian governments. Since our last report, the Commercial Crew Program has lowered the risk that certification of the launch vehicle might not occur by negotiating steps to access necessary data, but work is still ongoing.", "The Commercial Crew Program\u2019s top programmatic risks identified for SpaceX are in part related to ongoing design and development efforts related to its launch vehicle design, the Falcon 9 Block 5.", "Composite Overwrap Pressure Vessel: This Block 5 design includes SpaceX\u2019s redesign of the composite overwrap pressure vessel, which is intended to contain a gas under high pressure. SpaceX officials stated the newly designed vessel aims to eliminate risks identified in the older design, which was involved in an anomaly that caused a mishap in September 2016. SpaceX plans to qualify the updated design for flight prior to the uncrewed flight test design certification review.", "Engine Turbine Cracking: The Block 5 design also includes design changes to address cracks in the turbine of its engine identified during development testing. NASA program officials told us that they had informed SpaceX that the cracks were an unacceptable risk for human spaceflight. SpaceX officials told us that they have made design changes to this Block 5 upgrade that did not result in any cracking during initial testing. However, this risk will not be closed until SpaceX successfully completes qualification testing in accordance with NASA\u2019s standards without any cracks. As of March 2018, SpaceX had not yet completed this testing.", "Propellant Loading Procedures: Both the program and a NASA advisory group have raised SpaceX\u2019s plan to fuel the launch vehicle after the astronauts are on board the spacecraft to be a potential safety risk. In the May 2018 meeting minutes, however, the Aerospace Safety Advisory Panel stated that with appropriate controls in place, this approach could be a viable option for the program to consider. SpaceX\u2019s perspective is that this operation may be a lower risk to the crew because it reduces the crew exposure time while the launch vehicle is being loaded with propellant. To better understand the propellant loading procedures, the program and SpaceX agreed to demonstrate the loading process five times from the launch site in the final crew configuration prior to the crewed flight test. The five events include the uncrewed flight test and the in-flight abort test. Therefore, delays to those events would lead to delays to the agreed upon demonstrations, which could in turn delay the crewed flight test and certification milestone."], "subsections": []}, {"section_title": "Program\u2019s Schedule Risk Analysis Indicates More Delays Likely to Certification Milestone", "paragraphs": ["Both contractors have notified NASA that their certification milestones have slipped to January 2019 for Boeing and February 2019 for SpaceX, but the Commercial Crew Program\u2019s schedule risk analysis indicates more delays are likely. This analysis identifies a range for each contractor, with an earliest and latest possible completion date, as well as an average. In April 2018, the program\u2019s schedule risk analysis found there was zero percent chance that either contractor would achieve its current proposed certification milestone. The analysis\u2019s average certification date was December 2019 for Boeing and January 2020 for SpaceX. Figure 3 shows the original Boeing and SpaceX contract schedules and the current proposed schedule for five key events in each contract, as well as NASA\u2019s schedule risk analysis for the certification milestone.", "Each month, the program updates its schedule risk analysis based on the contractors\u2019 internal schedules as well as program officials\u2019 perspectives and insight into specific technical risks. The Commercial Crew Program manager told us that differences between the contractors\u2019 proposed schedules and the program\u2019s schedule risk analysis include:", "The contractors are aggressive and use their schedule dates to motivate their teams, while NASA adds additional schedule margin for testing.", "Both contractors assume an efficiency factor in getting to the crewed flight test that NASA does not factor into its analysis.", "The program manager also told us that the program meets with each contractor monthly to discuss schedules and everyone agrees to the relationships between events in the schedule even if they disagree on the length of time required to complete events. The program manager added, however, that she relies on her prior experience to estimate schedule time frames as opposed to relying on the contractors\u2019 schedules, which are often optimistic.", "Our analysis also shows that the contractors often delay their schedules. Both contractors have repeatedly stated that their schedules are aggressive and have set ambitious\u2014rather than realistic\u2014dates, only to frequently delay them. Since the current contracts were awarded in 2014, the Commercial Crew Program has held 13 quarterly reviews for each contractor. For the five key events identified above, Boeing has reported a delay at 7 of those quarterly reviews and SpaceX has reported a delay at 9 of them.", "In mid-June 2018, NASA officials told us that the dates for these key events may change soon. The information presented in Figure 3 above is based on first quarter calendar year 2018 data. NASA officials stated both contractors have not yet officially communicated new schedule dates to NASA as of the second quarter calendar year 2018. We found that both contractors have updated schedules that indicate delays are forthcoming for at least one key event, but NASA officials told us they lack confidence in those dates until they are officially communicated to NASA by the contractors. As a result, NASA is managing a multibillion dollar program without confidence in its schedule information as it approaches several big events, including uncrewed and crewed flight tests."], "subsections": []}, {"section_title": "NASA Has Neither Shared Complete Information on Delay Risk with Congress nor Developed a Contingency Plan", "paragraphs": ["The risk of future delays in the contractors\u2019 schedules is critical information that NASA has not fully shared with Congress. Moreover, NASA has not yet developed a contingency plan to address the potential gaps that these delays could have on U.S. access to the ISS after 2019. Specifically, in the Explanatory Statement accompanying the fiscal year 2018 Consolidated and Further Continuing Appropriations Act, the House Appropriations Committee stated its expectation that NASA report quarterly to the Senate and House Committees on Appropriations on the status of the Commercial Crew Program contracts. Previously, members of Congress had asked for this information in order to ensure that Congress had adequate insight into this program. While NASA includes both contractors\u2019 proposed schedules in its quarterly report to Congress, NASA does not include the results of its own schedule risk analysis. Given the frequency with which the contractors delay key events in their schedules, the program\u2019s schedule risk assessment provides valuable insight into potential delays that NASA currently is not providing to Congress.", "In addition, as previously mentioned, NASA executed a contract modification that purchased two seats and included an option to purchase three additional crew member seats through Boeing for an undisclosed value and reported this action to Congress in April 2017. Ultimately, the option was exercised, and NASA purchased a total of five seats on four different Soyuz flights. Boeing obtained these seats through a separate settlement with the Russian firm RSC Energia, which manufactures the Soyuz.", "These seats were intended to serve as a contingency plan based on schedule information available at that time. However, subsequent delays, as well as the risk of future delays as discussed above, indicate that this contingency plan will likely no longer be sufficient. The earliest and latest possible completion dates for certification in NASA\u2019s April 2018 schedule risk analysis indicate it is possible that neither contractor would be ready before August 2020, leaving a potential gap in access of at least 9 months. We calculated the potential gap based on the contractor certification milestone dates, but there could be some additional time required between that review and the first post-certification service mission to the ISS.", "As seen in figure 4, if the contractors can maintain their current proposed schedules for their respective certification milestones, a gap in access to the ISS is not expected. However, there would be a gap in access to the ISS if neither contractor has its certification milestone before November 2019, which is when NASA expects the final Russian Soyuz seat for a U.S. astronaut to return.", "Senior NASA officials told us that sustaining a U.S. presence on the ISS is essential to maintain and operate integral systems, without which the ISS cannot function. Given the importance of maintaining a U.S. presence on the ISS, NASA officials have stated they are working on options to address the potential gap in access. However, officials told us that planning for contingencies is difficult given the extensive international negotiations required for some options. Obtaining additional Soyuz seats seems unlikely, as the process for manufacturing the spacecraft and contracting for those seats typically takes 3 years\u2014meaning additional seats would not be available before 2021. As a result, according to NASA\u2019s Associate Administrator for Human Exploration and Operations, the options NASA is considering include:", "Refine the remaining Soyuz launch schedule to allow for a return in January 2020, as opposed to November 2019. This would provide 2 additional months of access to the ISS before the commercial crew flights need to start.", "Use the crewed flight tests as operational flights to transport U.S. astronauts to and from the ISS. In March 2018, NASA modified Boeing\u2019s contract to allow NASA to add a third crew member and extend the length of the flight test, if NASA chooses to do so. This would have limited usefulness, however, in filling a potential gap in access to the ISS if the schedule for Boeing\u2019s crewed flight test slips past the return date for the last Soyuz flight and SpaceX also continues to experience delays.", "NASA\u2019s Associate Administrator for Human Exploration and Operations stated that he is \u201cbrainstorming\u201d other options to ensure access to the ISS but does not have a formal plan. While options are not unlimited and decisions have to be made within the context of the current geopolitical environment, Congress stated in the NASA Authorization Act of 2005 that it is U.S. policy to possess the capability for human access to space on a continuous basis. In 2010, Congress further stated that one of the key objectives of the United States\u2019 human spaceflight policy is to sustain the capability for long-duration presence in low-Earth orbit through full utilization of the ISS. If NASA does not develop options for ensuring access to the ISS in the event of further Commercial Crew delays, it will not be able to ensure that the U.S. policy goal and objective for the ISS will be met."], "subsections": []}]}, {"section_title": "Agency Certification Process Includes Mechanisms to Assess Safety, but Is Complicated by Assessment of Key Safety Metric and Oversight Structure", "paragraphs": ["The Commercial Crew Program relies on several contractual mechanisms to assess safety throughout the certification process, and those mechanisms are in varying stages of completion. The program itself, its contractors, and two of NASA\u2019s independent review organizations have raised concerns about the program\u2019s ability to assess and evaluate all of the deliverables in a timely manner. In addition, one of the key safety requirements levied by the program is loss of crew, which captures the probability of death or disability to a crew member. NASA does not have a consistent approach for how to incorporate key inputs to assess this metric, which means the agency as a whole may not clearly capture or document its risk tolerance with respect to loss of crew. Further, the program\u2019s chief safety and mission assurance officer is dual hatted to serve simultaneously in a programmatic position as well as the program\u2019s safety technical authority. This approach creates an environment of competing interests because it relies on the same individual to manage technical and safety aspects on behalf of the program while also serving as the independent oversight of those same areas."], "subsections": [{"section_title": "Program Has Several Contractual Mechanisms to Assess Safety", "paragraphs": ["The contractors are required to provide several key deliverables to the Commercial Crew Program, which inform the agency certification review and help NASA determine the level of risk it is accepting with respect to safety of each spacecraft. As described below, these deliverables are in varying stages of completion and the program itself, its contractors, and two of NASA\u2019s independent review organizations have raised concerns about the program\u2019s ability to assess and evaluate all of the deliverables in a timely manner.", "Certification Data Package. Among other things, the certification data package includes a list of seven system safety assessments. For example, the certification data package includes a fault tolerance assessment, which describes the system\u2019s ability to sustain a certain number of undesired events, such as software or operational anomalies. A human error analysis\u2014one of the seven assessments in the data package\u2014evaluates human errors to minimize their negative effects on the system.", "Boeing held its uncrewed flight test design certification review in December 2017 and submitted its certification data package for NASA approval. Boeing plans three more updates to this data package prior to the final certification milestone.", "SpaceX has begun to submit data and plans to submit its final certification data package as part of its crewed flight test design certification review, which is scheduled for September 2018.", "According to the program\u2019s certification review plan, program officials will review and approve the contractors\u2019 certification data packages, which will be used to inform the agency certification review.", "Phased Safety Review Process. A three-phased safety review process informs the program\u2019s quality assurance activities, and it is intended to ensure that the contractors have identified all safety-critical hazards and implemented associated controls prior to the first crewed flight test.", "In phase one, the contractors identified risks in their designs and developed reports on potential hazards, the controls they put in place to mitigate them, and explanations for how the controls will mitigate the hazards.", "In phase two, which is nearing completion, the program reviews and approves the contractors\u2019 hazard reports and develops strategies to verify and validate that the controls are effective. For example, if a control requires that an item be waterproofed, verification and validation strategies could include inspections and tests to confirm that the item is waterproof. As of April 2018, the program had yet to complete this phase, having approved 97 percent of Boeing\u2019s phase two reports and 72 percent of SpaceX\u2019s phase two reports.", "In phase three, the contractors will conduct the verification activities and submit the hazard reports to the program for approval. The program has begun phase three, including approving 19 percent of Boeing\u2019s phase three reports.", "Program Requirements. While the program manager told us that all of the requirements contribute to the safety of the commercial systems, safety officials are required to approve a subset of these requirements. Examples of requirements approved by safety officials include the ability to leave the spacecraft in an emergency or to abort a launch. When a contractor is ready for NASA to verify that it has met a requirement, the contractor submits data for NASA to review through a verification closure notice. We define \u201csafety-specific notices\u201d as those requiring safety officials\u2019 approval. As shown in table 2, as of March 2018, the program had approved 2 percent of Boeing\u2019s safety-specific notices and 0 percent of SpaceX\u2019s safety-specific notices.", "Testing. The program also requires testing to verify and validate the crew transportation system. Agency officials emphasized the importance of testing to safety, stating that testing reduces uncertainty about a system\u2019s performance and can uncover unknown problems. As noted above, both contractors will be conducting an uncrewed and a crewed flight test prior to being certified. While a certain level of risk needs to be accepted to conduct human spaceflight, these flight tests help to mitigate this risk by validating the integrated performance of the hardware and software. Agency and program officials stated that the contractors\u2019 flight tests are critical evidence to support certification of a safe and reliable system.", "As evidenced by the data above, the program still has a significant amount of work ahead with respect to approving certification packages and closing hazard reports and verification closure notices. We have previously found that the program\u2019s workload was an emerging schedule risk, and the contractors have continued to express concern about program officials\u2019 ability to process and approve certification paperwork in a timely manner. Workload has also been a concern for two of NASA\u2019s independent review organizations. For example, the Aerospace Safety Advisory Panel noted in its January 2018 annual report that the sheer volume of work that remains for the program in terms of closing hazard reports and verification closure notices is significant. In addition, the program\u2019s safety and mission assurance office identified the upcoming bow wave of work in a shrinking time period as a top risk to achieving certification."], "subsections": []}, {"section_title": "NASA Lacks a Consistent Approach to Assess Key Safety Metric", "paragraphs": ["One mechanism the program put in place to assess the overall safety of each spacecraft\u2014loss of crew\u2014has been a focus of the Aerospace Safety Advisory Panel, Members of Congress, our prior work, and the program itself. Loss of crew captures the probability of death or permanent disability to one or more crew members. It has received a lot of attention, in part, because it has been a top risk for the program since 2015. Specifically, the program has been concerned that neither contractor would be able to meet the contract requirement of a 1 in 270 probability of incurring loss of crew. We identified two key concerns with how NASA is using the loss of crew metric: (1) inconsistent approaches to assess the loss of crew metric and (2) no identified plan to share lessons learned about using the loss of crew metric as a safety threshold.", "A loss of crew value is generated through a probabilistic safety analysis, which models scenarios that could result in the loss of crew using various inputs. According to the program\u2019s analysis, the probability of on-orbit debris damaging the vehicle has the greatest effect on a loss of crew value. This probability is informed by an orbital debris (debris) model, which was updated in 2014, after the loss of crew requirement was established. The updated debris model makes it harder to meet a loss of crew value, in part, because the modeling environment where the contractors\u2019 systems will operate has changed. For example, the updated model includes a larger span of orbit, greater range of debris sizes, and the addition of material density classifications, which were not included in the former model. Further, the probabilistic safety analysis may include operational mitigations, such as on-orbit inspections that would include using cameras on the ISS to visually survey the spacecraft for damage, which, according to officials, makes it easier to meet a loss of crew value.", "NASA describes the probabilistic safety analysis as a powerful tool that should be used as part of the overall risk management process to ensure the risk associated with development and operation of a system is understood, evaluated, managed, and mitigated. However, we found differences in the approaches that officials plan to use to assess loss of crew as well as in the loss of crew value being measured that could limit the usefulness of this tool.", "Agency Certification. The agency certification review for each contractor will include an assessment of whether its crew transportation system meets a loss of crew threshold of 1 in 150 for missions to the ISS, which is based on a May 2011 safety memo from the Office of Safety and Mission Assurance. A loss of crew value with a higher denominator, such as 1 in 270, is harder to meet than with a lower denominator, such as 1 in 150. According to the Chief of the Office of Safety and Mission Assurance, he will assess the 1 in 150 threshold using a probabilistic safety analysis that includes the updated debris model and operational mitigations, such as the on- orbit inspections cited above.", "Program Office. According to program officials, they will assess whether either contractor meets a 1 in 270 loss of crew value based on a probabilistic safety analysis using the former debris model (not the updated model) and not including operational mitigations.", "Contracting Officer. According to the contracting officer, each contractor\u2019s loss of crew requirement is 1 in 270 without including operational mitigations. The contracting officer stated that SpaceX\u2019s contract requirement uses the updated debris model in the probabilistic safety analysis, whereas Boeing\u2019s contract requirement uses the former debris model in the probabilistic safety analysis.", "Program\u2019s Chief Safety and Mission Assurance Officer. According to the program\u2019s chief safety and mission assurance officer, he will conduct a probabilistic safety analysis using the updated debris model and will not include operational mitigations to assess whether each contractor meets a 1 in 200 loss of crew value. This loss of crew value stems from a program update that occurred after the initial contracts were signed.", "These different approaches are summarized in table 3 below.", "Agency policy requires human spaceflight programs to set a safety threshold, which NASA did for the Commercial Crew Program when it identified the 1 in 150 loss of crew threshold in the May 2011 safety memo. Subsequently, the program set more rigorous loss of crew values in contract and program documents. NASA also updated the debris model, which we previously noted makes it more difficult to meet a loss of crew value. As a result, NASA does not have a consistent approach for how to incorporate key inputs to the probabilistic safety analysis, including changes to the debris model. Instead, the risk tolerance that NASA is accepting with loss of crew varies based upon which entity is presenting the results of its probabilistic safety analysis. For example, it is possible that the program\u2019s assessment will determine that neither contractor will meet the 1 in 270 contract requirement, but that the agency\u2019s assessment will determine that the contractors meet the 1 in 150 agency certification value because that analysis will include operational mitigations. Or the program\u2019s assessment could determine that Boeing meets the 1 in 270 contractual loss of crew requirement, but the agency\u2019s assessment may determine that Boeing does not meet the 1 in 150 agency certification value because that analysis will use the updated debris model.", "Federal internal controls state that agency management should define objectives clearly to enable the identification of risks and define risk tolerances. Specifically, management should define risk tolerances in specific and measurable terms, so they are clearly stated and can be measured. In this case, because there will be multiple analyses conducted using different inputs, NASA risks not clearly capturing or documenting, in a coherent manner, its overall risk tolerance with respect to loss of crew before a final decision must be made on whether to certify either crew transportation system.", "Moreover, capturing the challenges and lessons learned from using the loss of crew metric is critical, particularly because agency officials told us that this is the first time this metric has been used as a safety threshold. Also, there are different viewpoints about the utility of the metric as a safety threshold across the agency. The program manager repeatedly told us that loss of crew is best used as a design tool. For example, program officials told us that both contractors incorporated additional orbital debris shielding into their designs to mitigate the orbital debris risk and improve their loss of crew values. In addition, the Aerospace Safety Advisory Panel reported in 2018 that loss of crew should not be viewed as an absolute measure of actual risk during operations. However, the May 2011 agency safety memo states that a breach of the loss of crew threshold would initiate a termination review of the Commercial Crew Program, which is a more strict application of the loss of crew metric.", "Both program and safety officials told us that, after the agency certification is complete and lessons learned are available to be compiled, sharing those lessons learned across NASA would be a good idea given the complexities associated with assessing the loss of crew metric. As of April 2018, however, agency officials said they did not have a plan for loss of crew knowledge-sharing. We have previously found that lessons learned provide a powerful method of sharing good ideas for improving work processes, facility or equipment design and operation, quality, safety, and cost-effectiveness. Further, according to NASA\u2019s Knowledge Policy on Program and Projects, which is managed through the Office of the Chief Engineer, a principle of each center and mission directorate\u2019s knowledge strategy is that knowledge is the cornerstone of NASA\u2019s ability to achieve mission success. The policy acknowledges that NASA faces continuous challenges in using what it knows effectively. These challenges include, but are not limited to, enabling the identification and flow of knowledge across organizational boundaries; preserving knowledge at risk of being lost; and providing means for individuals, teams, and the organization to learn from experiences. If NASA does not capture lessons learned from the Commercial Crew Program on using the loss of crew requirement to set a program\u2019s safety threshold and whether it met the agency\u2019s intended goal, future programs will not be able to benefit from the knowledge gained from this multibillion dollar investment."], "subsections": []}, {"section_title": "The Commercial Crew Program\u2019s Organizational Structure Impairs Independence of Safety Technical Oversight Supporting the Certification Process", "paragraphs": ["NASA\u2019s governance model prescribes a management structure that employs checks and balances among key organizations to ensure that decisions have the benefit of different points of view and are not made in isolation. As part of this structure, NASA established the technical authority process as a system of checks and balances to provide independent oversight of programs and projects in support of safety and mission success through the selection of specific individuals with delegated levels of authority. The technical authority process has been used in other parts of the government for acquisitions, including the Department of Defense and Department of Homeland Security.", "The Commercial Crew Program is organizationally connected to three technical authorities within NASA: the Office of the Chief Engineer technical authority, the Office of Chief Health and Medical technical authority, and the Office of Safety and Mission Assurance (safety) technical authority. The safety technical authority is responsible for ensuring from an independent standpoint that the program\u2019s products and processes satisfy NASA\u2019s safety, reliability, and mission assurance policies. The NASA safety technical authority has delegated authority through the Kennedy Space Center Director to the Chief Safety and Mission Assurance Officer for the Commercial Crew Program.", "We have previously reviewed how NASA has organized its technical authorities for its Exploration Systems Development organization\u2014an organization that oversees the development of the Space Launch System, Orion crew capsule, and associated ground systems that have the goal of extending human presence beyond low-Earth orbit. In October 2017, we found that the Exploration Systems Development organization had established an organizational structure in which the technical authorities for engineering and safety and mission assurance were dual hatted simultaneously in programmatic positions. We found that having the same individual simultaneously fill both a technical authority role and a program role created an environment of competing interests, where the technical authority\u2019s ability to impartially and objectively assess the programs while at the same time acting on behalf of the Exploration Systems Development organization in programmatic capacities may be subject to impairments.", "We found that this was in contrast to a recommendation from the Columbia Accident Investigation Board report\u2014the result of an in-depth assessment of the technical and organizational causes of the 2003 Space Shuttle Columbia accident\u2014for NASA to establish a technical authority to serve independently of the Space Shuttle program, so that employees would not feel hampered to bring forward safety concerns or disagreements with programmatic decisions. The board\u2019s findings that led to this recommendation included a broken safety culture in which it was difficult for minority and dissenting opinions to percolate up through the hierarchy; dual center and programmatic roles vested in one person that had confused lines of authority, responsibility, and accountability and made the oversight process susceptible to conflicts of interest; and oversight personnel in positions within the program, increasing the risk that these staffs\u2019 perspectives would be hindered by too much familiarity with the programs they were overseeing. In October 2017, we recommended that the division no longer dual hat two individuals who had both programmatic and technical authority responsibilities. As of April 2018, NASA had taken steps to separate the engineering technical authority position from the programmatic position, and NASA\u2019s Chief of Safety and Mission Assurance said he planned to separate the safety position but had not yet completed that action.", "The Commercial Crew Program employs a similar structure to the Exploration Systems Development organization in that the safety technical authority is dual hatted simultaneously in a programmatic position as the Commercial Crew Program\u2019s Safety and Mission Assurance Manager. According to the program\u2019s safety technical authority, in his programmatic role for the program, he helps set priorities for safety issues, including how staff will be utilized to meet those priorities. In the technical authority role, he provides independent oversight in support of safety and mission success. In his dual-hatted role, this official will be responsible for endorsing the program\u2019s certification recommendations in two different capacities: as the technical authority and as a program authority.", "As a result, this structure relies on the same individual to completely separate two roles\u2014one to manage the Commercial Crew Program\u2019s safety issues within programmatic cost and schedule constraints, and the other to assess the same issues in an independent oversight role. While the Commercial Crew Program may have an additional level of separation between the safety technical authority and the program\u2019s involvement in the design of commercial systems due to its shared assurance model with the commercial providers, the Commercial Crew Program still maintains a structure where one individual simultaneously serves in both technical authority and programmatic roles. Figure 5 describes some of the conflicting roles and responsibilities of this official in his two different positions.", "During our review, officials cited several factors in support of a dual- hatted approach:", "The safety technical authority retains independence because his technical authority reporting path and performance reviews are not under the purview of the Commercial Crew Program chain of command.", "Due to the Commercial Crew Program\u2019s shared assurance model with commercial providers, the program is operating in a quality assurance role that provides an additional level of separation between the safety technical authority and the program\u2019s involvement in the design of commercial systems.", "For safety decisions involving cost and schedule where the individual who is dual hatted with both technical authority and programmatic responsibilities may feel conflicted, he stated that he would discuss these matters with his management to validate the logic behind his decision.", "There are cost and knowledge efficiencies gained from one individual serving in both programmatic and safety technical authority capacities.", "NASA\u2019s Chief of Safety and Mission Assurance stated that he has great confidence in the individual currently serving in the dual hatted role for the Commercial Crew Program, but acknowledged there is inherent conflict even with the program\u2019s shared assurance model. In December 2017, he stated that, based on our previous work and current discussions, he intends to decouple the programmatic and technical authority responsibilities for the Commercial Crew Program but had not done so as of April 2018. Federal internal control standards state that an agency should design control activities to achieve objectives and respond to risks, which includes segregation of key duties and responsibilities to reduce the risk of error, misuse, or fraud. By overlapping technical authority and programmatic responsibilities, NASA will continue to run the risk of creating an environment of competing interests for the Commercial Crew Program\u2019s safety technical authority."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["NASA\u2019s Commercial Crew Program is a multibillion dollar effort to facilitate the commercial development of a crew transportation system that can end the United States\u2019 reliance on Russia to maintain an uninterrupted presence on the ISS. Boeing and SpaceX continue to make progress developing a capability to fly to the ISS, but both have continued to experience delays. Program analysis indicates risks of further delays in each contractor\u2019s current schedule, but NASA has not provided that information to Congress in its routine briefings. Without this information, Congress does not know the full extent of potential delays to inform decision making. Additional delays could also disrupt U.S. access to the ISS. While NASA is working on potential solutions, there is no contingency plan in place to address this potential gap. Without a viable contingency plan, NASA puts at risk achievement of the U.S. goal and objective for the ISS.", "NASA must balance safety with acceptable risk for human spaceflight. As part of the certification process for each contractor\u2019s spacecraft, NASA has developed one key safety metric, loss of crew. However, the complicated nature of this metric is further muddled by the inconsistent approaches being used across NASA about what inputs to be considered. As a result, there is no clear articulation of what level of risk NASA will accept with respect to this program. In addition, NASA does not have plans to capture lessons learned from how the Commercial Crew Program has used this metric to assess safety and is missing an opportunity to capture this knowledge for future human spaceflight programs.", "Finally, a space program\u2019s management and oversight approach is an integral part of ensuring that human spaceflight is as safe and successful as possible. Independence of the program management and oversight functions is key to achieving the balance between safety and success. The Commercial Crew Program\u2019s approach, however, burdens the safety technical authority with both programmatic and independent technical authority responsibilities. As a result, NASA has limited assurance that independence can be maintained as part of its institutional process to ensure safety and success."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to NASA: The NASA Associate Administrator for Human Exploration and Operations should direct the Commercial Crew Program to include the results of its schedule risk analysis in its mandatory quarterly reports to Congress. (Recommendation 1)", "The NASA Administrator should develop and maintain a contingency plan for ensuring a presence on the ISS until a Commercial Crew Program contractor is certified. (Recommendation 2)", "The NASA Administrator should direct the Chief of Safety and Mission Assurance, the NASA Associate Administrator for Human Exploration and Operations, the Commercial Crew Program Manager, and the Commercial Crew Program Contracting Officer to collectively determine and document before the agency certification review how the agency will determine its risk tolerance level with respect to loss of crew. (Recommendation 3)", "After completing the agency certification review, NASA\u2019s Chief Engineer and Chief of Safety and Mission Assurance, with support from the NASA Associate Administrator for Human Exploration and Operations and the Commercial Crew Program Manager, should document lessons learned related to loss of crew as a safety threshold for future crewed spaceflight missions, given the complexity of the metric. (Recommendation 4)", "The NASA Chief of Safety and Mission Assurance should restructure the technical authority within the Commercial Crew Program to ensure that the technical authority for the Office of Safety and Mission Assurance is no longer dual hatted with programmatic and independent technical authority responsibilities. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to NASA for review and comment. NASA provided written comments that are reprinted in appendix II.", "In its response, NASA concurred with three of our recommendations, did not concur with one, and partially concurred with another.", "NASA concurred with our recommendation to develop and maintain a contingency plan to ensure a U.S. presence on the ISS and expects to take action to close this recommendation by the end of December 2018.", "NASA concurred with our recommendation to document lessons learned related to the loss of crew requirement and expects to take action to close this recommendation by the end of May 2019.", "NASA concurred with our recommendation to restructure the safety technical authority so that it is no longer dual hatted with programmatic and independent technical authority responsibilities. NASA expects to take action to close this recommendation by the end of August 2018.", "NASA did not concur with our recommendation that the Commercial Crew Program should include the results of its schedule risk analysis in its quarterly reports to Congress. NASA stated that it uses the contractors\u2019 schedules as a baseline to provide qualitative statements in the NASA summary that accompanies each contractor\u2019s quarterly reports to Congress. NASA believes that this approach is appropriate and is in accordance with the explanatory statement accompanying the Consolidated and Further Continuing Appropriations Act, 2015. NASA also stated that it will be working to ensure that the contractors\u2019 schedules and the program\u2019s internal assessments sync up as the program gets closer to launch. As a result, NASA explained that there will not be a requirement for a detailed NASA assessment, because the contractors\u2019 schedule will either match NASA\u2019s analysis or NASA will discuss its position as it has done in previous reports to Congress.", "We continue to believe the recommendation is valid because the program\u2019s schedule risk analysis would provide Congress with valuable insight into potential delays, which are likely. Both contractors have repeatedly stated that their schedules are aggressive and that the dates are ambitious. As a result, we found that the contractors frequently delay dates for key events. For example, Boeing has delayed its certification milestone by 17 months and SpaceX by 22 months since the original schedules were established. The program\u2019s recent schedule risk analysis indicates that more delays to certification are likely, but that information is not presented to Congress in NASA\u2019s quarterly reports. Without this information, Congress does not know the full extent of potential delays to inform decision making.", "NASA partially concurred with our recommendation that the Chief of Safety and Mission Assurance, the NASA Associate Administrator for Human Exploration and Operations, the Commercial Crew Program Manager, and the Commercial Crew Program Contracting Officer should collectively determine and document how the agency will determine its risk tolerance level with respect to loss of crew before the agency certification review. In its response, NASA stated that it documented the agency\u2019s risk tolerance level with respect to loss of crew for the program in its May 2011 safety memo. Further, NASA stated that it documented the requirement to limit risks to the loss of crew in a certification requirements document. NASA stated that ultimately the Commercial Crew Program is accountable for ensuring that the contractors\u2019 systems meet the loss of crew value in this certification requirements document, which is a loss of crew value of 1 in 270. If a contractor\u2019s system cannot meet that loss of crew value, or any other requirement, the program will request a waiver as part of the human rating certification process to ensure transparency.", "NASA acknowledged in its response that the existence of multiple documents defining residual risk requirements and an agency threshold for loss of crew can be confusing. NASA\u2019s response, however, does not address our finding that it does not have a consistent approach for how to incorporate key inputs, including which debris model should be used or whether to include operational mitigations. NASA stated that it had taken action to address this recommendation; however, NASA did not outline any steps it took to resolve the concern that the risk tolerance for the loss of crew requirement depends on which entity is presenting the results of its analysis. We continue to believe that, before the agency certification review, the key parties must collectively determine how the agency will determine its risk tolerance with respect to loss of crew. We believe this approach will reduce confusion and increase transparency.", "We are sending copies of this report to NASA Administrator and interested congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202)512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to assess (1) the extent to which the contractors have made progress towards meeting the National Aeronautics and Space Administration\u2019s (NASA) certification requirements and NASA\u2019s plans to help ensure continued access to the International Space Station (ISS); and (2) how NASA\u2019s certification process addresses safety of the contractors\u2019 crew transportation systems.", "To assess the contractors\u2019 progress towards certification, we obtained and reviewed program and contractor documents, including monthly and quarterly updates from April 2017 through May 2018. We interviewed program and contractor officials to discuss the contractors\u2019 recent progress, including upcoming events and any expected delays, and to understand technical risks, potential consequences, and planned mitigation activities. To identify total delays to date, we compared original contract schedules to Boeing and SpaceX\u2019s calendar year 2018 first quarter proposed schedules, which are the most recent. Based on our review of program and contractor documents, we defined the contractors\u2019 key events as: the uncrewed and crewed flight tests, the design certification reviews for each of those flights, and the certification milestone. We selected the two flight tests for each contractor as key events because they are intended to test key system capabilities, including the ability to launch, dock with the ISS, and return safely to Earth. We selected the design certification reviews because they verify the contractors\u2019 crew transportation systems\u2019 capability to safely approach, dock, mate, and depart from the ISS, among other requirements. We selected the certification milestone because it determines whether the crew transportation system meets the Commercial Crew Program\u2019s requirements.", "To determine the extent to which contractors have delayed these key events over time, we analyzed the contractors\u2019 schedule data from the 13 quarterly progress reports to date, from first quarter 2015 through first quarter calendar year 2018. We also obtained the results of the program\u2019s April 2018 schedule risk analysis. We presented the schedule analysis range from the end of the month of the earliest possible completion date to the end of the month of the latest possible completion date. We reviewed the program\u2019s Congressional requirements to report on cost, schedule, and technical status. Finally, to assess the potential effects of any certification delays on NASA\u2019s access to ISS, we reviewed NASA\u2019s contracts with Boeing and the Russian Federal Space Agency for transportation on the Soyuz vehicle. We interviewed officials from the ISS program and NASA\u2019s Human Exploration and Operations Mission Directorate to determine if the agency had developed contingency plans to mitigate the effects of any certification delays on its access to the ISS.", "To assess how NASA\u2019s certification process addresses safety of the contractors\u2019 crew transportation systems, we reviewed agency safety policies, program plans, and contract documents to identify what safety assessments were required of the program, which safety factors would be considered in certification reviews, and when certification approval would be granted. We also interviewed program officials and the contractors about their safety policies and procedures as well as about the certification process. We identified the loss of crew requirements for the program and the contractors, and interviewed program and agency officials to determine how loss of crew would be assessed and considered throughout the certification process. To gain a broader understanding of the relative importance of loss of crew, we reviewed NASA safety policies, prior GAO reports, and annual reports from the Aerospace Safety Advisory Panel. To determine how the Orbital Debris Engineering Model (ORDEM) was updated and to assess differences between the former and updated models, we reviewed NASA documentation about the ORDEM 2000 and ORDEM 3.0 models and obtained information about the models from NASA\u2019s Orbital Debris Program Office.", "To assess the program\u2019s progress in closing requirements, including those requirements specifically related to safety, we reviewed program data for each contractor on contract requirements and closure status. We limited this analysis to requirements included in the CCT-REQ-1130 ISS Crew Transportation and Services Requirements Document because these requirements are verified by the Commercial Crew Program, whereas requirements contained within SSP 50808 ISS to Commercial Orbital Transportation Services Interface Requirements Document are managed by the ISS Transportation and Integration Office. We classified requirements as \u201csafety-specific\u201d when the program\u2019s Office of Safety and Mission Assurance was listed as a verification closure notice signatory (i.e., approver). We then analyzed the program\u2019s data to determine how many verification closure notices had been approved for all requirements and for the subset of safety-specific requirements. We reviewed program and agency documentation, such as organizational charts, program plans, and safety policies as well as interviewed program and agency officials, to determine the role of the safety and mission assurance technical authority in the program. We also reviewed the 2003 Columbia Accident Investigation Board\u2019s Report\u2019s findings and recommendations related to culture and organizational management of human spaceflight programs. We reviewed annual briefings and reports and met with representatives from two organizations that provide NASA with independent assessments of the program, the program\u2019s standing review board and the Aerospace Safety Advisory Panel, to gain their perspectives on the contractor\u2019s progress and how NASA addresses safety in its certification process. We also met with representatives from the National Transportation Safety Board and three experts with background on safety in human spaceflight in order to increase our contextual understanding of the role of safety in human spaceflight missions.", "We conducted this performance audit from April 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Cristina T. Chaplain, (202) 512-4841 or chaplainc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Molly Traci, Assistant Director; Kazue Chinen; Lorraine Ettaro; Lisa Fisher; Laura Greifner; Kurt Gurka; Miranda Riemer; Juli Steinhouse; Roxanna T. Sun; Hai Tran; Kristin Van Wychen; and Alyssa Weir made significant contributions to this report."], "subsections": []}]}], "fastfact": ["NASA contracted with two companies, Boeing and SpaceX, to develop vehicles to transport astronauts to the International Space Station. Neither is expected to be ready until 2019.", "Before any missions happen, NASA will have to certify that both contractors' vehicles are safe for human spaceflight. One way that NASA will assess safety is the loss of crew metric, which captures the probability of a crew member's death or disability. However, NASA doesn't have a consistent approach for calculating this metric, so results can vary based on who within NASA is conducting the analysis.", "We recommended that NASA clarify how it will assess loss of crew."]} {"id": "GAO-18-545", "url": "https://www.gao.gov/products/GAO-18-545", "title": "NIH Research: Action Needed to Ensure Workforce Diversity Strategic Goals Are Achieved", "published_date": "2018-08-10T00:00:00", "released_date": "2018-08-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NIH's success depends on its ability to attract, retain, develop, and otherwise support biomedical investigators\u2014including those employed in its intramural research program as well as those working in its extramural program at universities, academic health centers, and other research institutions. For decades, the agency has faced challenges in supporting early career investigators and those from underrepresented groups, including ethnic and racial minorities and women. The 21st Century Cures Act included provisions that NIH coordinate policies and programs to promote early research independence and enhance the diversity of the scientific workforce.", "The act also contained a provision that GAO examine NIH's efforts. GAO reviewed the actions NIH has taken to support (1) investigators beginning their biomedical careers; and (2) investigators from underrepresented groups and women. GAO analyzed NIH data from fiscal years 2013 through 2017 on grant funding for investigators by career phase and demographic status. GAO also reviewed relevant laws and NIH policies, programs, and initiatives, and interviewed NIH officials and stakeholders from the scientific research community."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Institutes of Health (NIH), within the Department of Health and Human Services (HHS), plays a prominent role in the nation's biomedical research. While it employs investigators in its intramural research program, over 80 percent of its budget supports its extramural program, primarily through grant funding to investigators at other research institutions. Given this, NIH has a vested interest in supporting a robust national biomedical workforce, but the agency has acknowledged that the environment is highly competitive and many investigators find that it takes years to obtain the type and amount of funding that typically spurs research independence. GAO's analysis found that extramural investigators who had received at least one large NIH research grant during fiscal years 2013 through 2017 were more likely to receive such grants in subsequent application cycles than investigators who had not yet received such grants. In response to the 21st Century Cures Act, enacted in December 2016, NIH introduced an initiative to prioritize these grants for (1) early stage investigators, who are beginning their careers and have never received a large research grant, and (2) intermediate stage investigators, who are within 10 years of receiving their first large grant as an early stage investigator. However, it is too early to assess this new initiative, which was introduced in August 2017. NIH is currently considering revising the program to include investigators whose careers are more advanced.", "NIH implemented recommendations made by internal advisory bodies to support investigators from racial and ethnic groups considered by NIH to be underrepresented in biomedical research. GAO's analysis shows disparities for underrepresented racial and ethnic groups, and for female investigators, from 2013 through 2017. For example, in 2017, about 17 percent of investigators from underrepresented racial groups\u2014African Americans, American Indians/Alaska Natives, and Native Hawaiian/Pacific Islanders combined\u2014who applied for large grants received them. In contrast, about 24 percent of Hispanic or Latino applicants, an underrepresented ethnic group, received such grants. Asians and whites\u2014well represented groups\u2014were successful in receiving large grants about 24 and 27 percent of the time, respectively. Though women represent about half of all doctorates in biological science, GAO found that women investigators employed by NIH in its intramural program comprised about one-quarter of tenured investigators. NIH has taken positive steps such as establishing the position of Chief Officer of Scientific Workforce Diversity, who in turn created a strategic workforce diversity plan, which applies to both extramural and intramural investigators. The plan includes five broad goals for expanding and supporting these investigators. However, NIH has not developed quantitative metrics, evaluation details, or specific time frames by which it could measure the agency's progress against these goals."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The Director of NIH should develop quantitative metrics, evaluation details, and time frames to assess NIH's efforts to diversify its scientific workforce against its diversity strategic plan goals, and take action as needed. HHS agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The National Institutes of Health (NIH), within the Department of Health and Human Services (HHS), is the nation\u2019s leader in supporting biomedical research. Its mission is to advance scientific knowledge and innovation that enhances health, lengthens life, and reduces illness and disability. The agency plays a prominent role in researching life processes and many diseases and conditions, including those that are among the leading causes of death both in the United States and globally. In fiscal year 2018, NIH invested over $37 billion in medical research. NIH relies, in part, on biomedical scientists, known as \u201cinvestigators,\u201d who are employed by the agency in its intramural research program. However, most of the agency\u2019s budget\u2014over 80 percent\u2014is devoted to funding research that supports investigators and research personnel working at universities, medical schools, and other research institutions in its extramural research program. Given NIH\u2019s prominent role in biomedical research, its success depends on its ability to attract, retain, develop, and otherwise support a robust national biomedical workforce, at the agency as well as in the overall biomedical field. Through its research grants NIH provides a significant source of financial support for investigators participating in its extramural research program. In addition, the agency provides certain incentives, such as its Loan Repayment Program (LRP), which, according to NIH, offers educational loan repayment benefits to qualifying intramural or extramural investigators conducting research in NIH mission-critical research areas.", "However, over the past several decades, NIH and its stakeholder community have been concerned about the long-term growth and stability of the nation\u2019s biomedical research workforce. For example, some have reported on the challenges extramural investigators face when beginning careers in this field. NIH has acknowledged that the environment is highly competitive and many investigators may find that it takes years to obtain the type and amount of funding that typically spurs research independence. A review of NIH\u2019s research grants going back to 1982 has shown a steady drop in the number of investigators younger than age 46, despite a period when funding for NIH almost tripled. Even with long- standing congressional support for early research independence and NIH funding, investigators at the early stages of their careers find it increasingly difficult to obtain their first large NIH research grant, and retain that support in subsequent years, according to NIH.", "Reports have shown that increasing the number of investigators from diverse backgrounds can help maintain a stable U.S. biomedical research workforce and contributes greatly to scientific innovation; however, some have reported that achieving a diverse scientific workforce has been a challenge. Though women have seen gains in some scientific fields, they continue to lag behind men in academic and professional advancement. Further, the representation of some racial and ethnic minority groups in the biomedical sciences remains at low levels despite public and private initiatives to increase the diversity of the nation\u2019s biomedical research workforce. Certain racial groups have been found by research institutions and government agencies to be underrepresented in the biomedical research workforce. For example, the number of American Indians and Alaska Natives, African Americans or blacks, and Native Hawaiian and Pacific Islanders working in the biomedical sciences was reported by the National Academies of Sciences, Engineering, and Medicine to be disproportionately low relative to their representation in the general population. Hispanics and Latinos were also reported by the National Academies to be an underrepresented ethnic group in biomedical research. NIH considers the following racial groups to be underrepresented in biomedical research: Blacks or African Americans, American Indians or Alaska Natives, and Native Hawaiians and other Pacific Islanders. NIH considers Hispanics and Latinos to be an ethnic group underrepresented in biomedical research. For this report, we use the same definitions.", "The 21st Century Cures Act (Cures Act), which was enacted in December 2016, included provisions that NIH coordinate efforts to promote and provide opportunities for investigators beginning their biomedical research careers through the Next Generation Researchers Initiative (NGRI). NIH launched this initiative and announced details regarding its implementation in August 2017. The Cures Act also included new authorities for NIH to expand its LRP\u2014a recruitment and retention tool for both intramural and extramural investigators\u2014to help the agency address gaps in certain research areas and also in the nation\u2019s biomedical research workforce. The act also provides the NIH Director with the authority to raise the maximum annual loan repayment amount. Additionally, the law included a provision that we examine NIH\u2019s efforts to support\u2014that is attract, retain, and develop\u2014investigators beginning their biomedical research careers as well as those from underrepresented groups, such as women, racial and ethnic minorities.", "This report examines the actions NIH has taken to support investigators (1) beginning their biomedical research careers; and (2) from underrepresented groups.", "For both of our audit objectives, we reviewed relevant laws, policies, research studies, and reports about the agency\u2019s efforts and initiatives to support investigators in the beginning of their biomedical research careers, investigators from underrepresented groups, and biomedical research workforce diversity. Given the lack of data exclusive to the newly implemented Next Generation Researchers Policy\u2014which was called for in the Cures Act and had been in place less than a year at the time we did our work\u2014we reviewed data on NIH research grants and the demographics of the biomedical research community from fiscal years 2013 through 2017. This allowed us to provide information on NIH\u2019s funding of certain grants both before and after the enactment of the Cures Act in 2016, and to describe the agency\u2019s recent efforts to attract, retain, and develop early career investigators and biomedical research workforce diversity. We examined NIH data in the following ways:", "To identify the support provided to extramural investigators and research funding trends by gender and racial and ethnic group, we examined data on NIH applications, applicants, awardees, and awards for research project grants, career development grants, and LRP payments.", "To identify trends in the representation of women and racial and ethnic groups, we examined data on the NIH intramural and extramural workforce.", "We assessed the reliability of these data by reviewing related documentation, performing data reliability checks (such as examining the data for missing values and checking values against other documentation), and interviewing relevant agency officials with knowledge of NIH\u2019s biomedical grants programs. On the basis of these steps, we determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "Finally, we interviewed relevant NIH officials about the agency\u2019s efforts to attract, retain, and develop investigators beginning their research careers and enhance diversity in the biomedical research workforce. We also interviewed stakeholders from a variety of entities within the scientific research community to obtain their perspectives on NIH\u2019s efforts. Their comments are not representative of the views of the scientific research community and our reporting of stakeholders\u2019 comments should not be interpreted as an endorsement of their views. We considered NIH\u2019s actions to address these workforce challenges in the context of federal internal control standards for monitoring and evaluation, and best practices for strategic workforce planning and diversity management.", "We conducted this performance audit from October 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "NIH Institutes and Centers and Biomedical Research", "paragraphs": ["NIH, which had total budgetary resources of $32 billion in fiscal year 2016, is comprised of the Office of the Director and 27 institutes and centers that focus on specific diseases, particular organs, or stages in life, such as childhood or old age. As the central office at NIH, the Office of the Director establishes agency policy and is responsible for overseeing the institutes and centers to ensure that they operate in accordance with NIH\u2019s policies. The institutes and centers accomplish their missions primarily through extramural research programs. Most extramural research funding is provided for investigator-initiated research projects for which researchers, through their institutions, submit applications in response to NIH announcements. In addition to these announcements, the institutes and centers may issue more narrowly scoped solicitations, through request for proposals, for research targeting specific areas.", "All extramural research project applications are to follow NIH\u2019s process of peer review, which includes two sequential levels of review. The first level involves non-governmental experts assessing the scientific merit of the proposed applications and assigning them a priority score. The second level involves advisory councils at the institute or center associated with the grant application, that, in addition to scientific merit, consider the institutes\u2019 and centers\u2019 missions and strategic plan goals and public health needs. Advisory councils review grant applications and their scores, and, based on this review, make recommendations about which grant applications should be awarded funding. The director of each institute or center makes the final extramural funding decisions.", "NIH investigators also conduct research through NIH\u2019s intramural research program. These efforts accounted for approximately 10 percent of NIH\u2019s total budgetary resources of $32 billion in fiscal year 2016. NIH employs about 3,600 investigators working in its own laboratories and clinics. In addition, this research relies on another 6,000 investigators at various stages of research training who come to NIH for a few years to work as non-employee trainees, including about 2,500 who are postdoctoral fellows. According to NIH officials, intramural investigators are generally not allowed to apply for extramural or private grants, because their salaries are funded with the agency\u2019s appropriations."], "subsections": []}, {"section_title": "Career Path of Independent Extramural Investigators", "paragraphs": ["The career path to become an independent extramural investigator generally consists of students completing graduate level education (i.e., research doctorate or clinical doctorate), postdoctoral research, or medical residency. When postdoctoral research is completed, the researcher will generally seek opportunities to become an investigator at a medical research center or as a faculty member at a university and begin the process of obtaining academic tenure\u2014that is, a full-time, permanent faculty position. Once the postdoctoral researcher becomes a faculty member, he or she can generally begin applying for large NIH research project grants. Some researchers may become affiliated with other types of research institutions and also apply for grants.", "Investigators in medical research centers and university faculty are generally dependent on external funding to cover the cost of their research. Although biomedical investigators may be funded by other federal agencies\u2014such as the National Science Foundation\u2014and nonfederal sources, studies have shown that NIH is the most likely source of government funding for biomedical research."], "subsections": []}, {"section_title": "NIH Grants", "paragraphs": ["NIH\u2019s research support for extramural investigators includes research project grants, fellowships, training grants, and career development grants. Some of the main funding mechanisms provided to institutions by NIH that fund investigators beginning their research careers include the following extramural grants:", "Large grants. NIH awards large renewable research project grants: R01 and R01-equivalent (R01e) grants. According to NIH, in fiscal year 2016, the average size of large grants was typically in excess of $460,000 total. R01and R01e grants are NIH\u2019s most common type of grant, according to NIH. They are generally the largest type of grant available to investigators beginning their careers and, for purposes of this report, are therefore referred to as \u201clarge\u201d grants. Large grants provide 3 to 5 years of financial support for discrete, specified research projects. According to NIH, it is generally expected that within that period a project can be completed, results published, and sufficient time will remain for the investigator to prepare a subsequent application for a renewal or new award before funding ends.", "Smaller grants. While some non-R01 equivalent (non-R01e) grants may match or exceed the amount of some R01e grants, they are generally of a lesser amount and, for purposes of this report, are therefore referred to as \u201csmaller\u201d grants. According to NIH, in fiscal year 2016, smaller grants were, on average, amounts that ranged from about $61,000 to about $1.1 million total. These grants provide limited funding for a relatively short period of time to support a variety of exploratory or developmental projects, including pilot or feasibility studies, collection of preliminary data, and secondary analysis of existing data.", "Career development grants. Also known as K-series grants, these grants are intended to provide mentored research opportunities and career enhancement experiences to support investigators or postdoctoral fellows at various stages of their research careers. NIH\u2019s data show that in fiscal year 2016, career development grants were, on average, about $178,000 total."], "subsections": []}, {"section_title": "Extramural Investigator Career Status", "paragraphs": ["NIH generally classifies the career status of an extramural investigator based on whether the investigator has received a large NIH research grant. NIH considers early career investigators to be those who meet the definition of early stage and intermediate stage investigators. NIH also recognizes established and \u201cother\u201d investigators among those who apply for research grants. Table 1 lists NIH extramural investigators\u2019 career stages and descriptions of these stages.", "According to NIH, it generally takes an early stage investigator up to 2 years to develop a successful application for a large grant and receive funding. Typically, investigators devote between 6 months to 1 year to write their first large NIH grant application. Most of these grants, with a funding period of over 3 years, require significant preliminary data to support the proposed hypothesis contained in the application. In addition, the median average time elapsed for applicants to learn whether they have been awarded a grant is 270 days, or 9 months. According to NIH, because most investigators beginning their careers do not receive large NIH research grants on their first attempt, these investigators might apply for smaller grants. They may also apply for career development grants that are intended to provide mentored research or training opportunities."], "subsections": []}, {"section_title": "Concerns Regarding the Stability and Diversity of the Biomedical Research Workforce", "paragraphs": ["According to research by the National Academies of Sciences, Engineering, and Medicine, and others, the biomedical research workforce is growing older at a rate that is disproportionate to the general American labor force. Some stakeholders in the scientific community have voiced concerns that large NIH research grants that can launch early career investigators are often being awarded to established investigators rather than early stage and intermediate stage investigators. For example, a recent National Academies report pointed out that between 1998 and 2003, the NIH budget grew from $13 billion to $27 billion, but the percentage of grants awarded to investigators who were in the early stages of their careers steadily declined. Many in the field have reported on the need to support investigators who are researching varied biomedical issues in order to maximize the number of new discoveries. Further, stakeholders within the scientific research community have reported on the uncertain path that investigators may encounter early in their careers and the prospect that they will ultimately pursue other career options.", "Several reports have found that certain racial and ethnic groups are underrepresented in the biomedical research workforce and in science. These reports have also provided data on gender workforce disparities. For example, a 2011 publication by the National Academies of Sciences, Engineering, and Medicine showed that, in 2006, underrepresented minorities made up about 29 percent of the U.S. population, but, in 2007, were awarded about 5 percent of science and engineering doctorates. Other studies have shown significant research funding disparities for investigators from underrepresented groups that apply to NIH for large research grants, such as R01 grants. In 2011, NIH funded a study that examined the association between grant recipients and the applicants\u2019 race and ethnicity. The study found that R01 applicants that self-identified as African American were 13 percentage points less likely than white applicants to receive these grants. After controlling for other variables\u2014 including educational background, training, previous research grants, and publication record\u2014African American applicants were 10 percentage points less likely to be awarded such a grant than a white applicant. Further, while women comprise about half of the postdoctoral graduates for the biological sciences in the United States, studies have shown a disparity in the number of female investigators in senior science research positions at universities. This disparity may result in a smaller number of female investigators among NIH grant applicants and may further contribute to their underrepresentation in certain facets of science. However, we previously reported that once female investigators apply for NIH grants, their likelihood of receiving NIH grants is the same as their male counterparts."], "subsections": []}]}, {"section_title": "NIH Has Promoted Efforts to Support Early and Intermediate Stage Investigators, but Those Who Have Not Yet Received a Large NIH Research Grant Remain Less Competitive", "paragraphs": [], "subsections": [{"section_title": "NIH Has Promoted Programs and Policies to Support Early and Intermediate Stage Extramural Investigators, but It Is Too Early to Assess Its Most Recent Initiative", "paragraphs": ["Over the last 10 years, NIH has introduced programs and policies to support extramural investigators competing for their first large NIH research grant that leads to research independence. NIH developed certain programs to fund extramural researchers with the goal of stabilizing the biomedical research workforce. These targeted programs were intended to promote support for extramural investigators that had not yet received a large NIH research grant. The various programs include both large and smaller research grants, career development grants, and student loan repayments. Of particular note are the NIH Director\u2019s New Innovator Award, which is intended to support investigators beginning their research careers with reviewer-determined highly novel research; and the Director\u2019s Early Independence Award, which is intended to support reviewer-determined exceptional investigators who wish to pursue independent research directly, forgoing the traditional postdoctoral training period. In addition, the Pathway to Independence Award provides investigators beginning their research careers with a mentored research experience, which may lead to independent research positions.", "Some institutes and centers have established their own programs to support investigators beginning their research careers. For example, a subset of the National Institute of General Medical Sciences\u2019 \u201cMaximizing Investigators\u2019 Research Award program\u201d targets funding for laboratories led by an early stage investigator. In addition, the National Institute of Arthritis and Musculoskeletal and Skin Diseases\u2019 \u201cSupplements to Advance Research from Projects to Programs,\u201d supports intermediate stage investigators by providing supplemental funding to existing research projects to encourage broader innovation and exploration of high-risk ideas.", "In addition, NIH\u2019s LRP is designed to help recruit and retain highly qualified individuals into biomedical research careers. This program provides student loan repayments in return for a commitment to engage in NIH mission-relevant and certain statutorily-defined approved research. We examined the funding rates of early stage and intermediate stage extramural and intramural investigators who applied for both initial and renewal LRP payments.", "LRP payments to extramural investigators: The LRP funding rate (awardees/applicants) for extramural investigators applying for total (both initial and renewal) payments between fiscal years 2013 through 2017 was about 50 percent. During this period, 8,186 extramural investigators applied for initial LRP payments and 3,206 received them; 5,131 extramural investigators applied for renewal payments and 3,426 received them. Therefore, the funding rates were 39 percent for initial applicants and 67 percent for renewal applicants. Early stage and intermediate stage investigators had similar funding rates in receiving LRP payments during the 5-year period, though there was some variation each year. Early stage and intermediate stage investigators seeking initial LRP payments had funding rates of about 40 percent and 35 percent, respectively. Both of these categories of investigators seeking renewal LRP payments had a funding rate of 67 percent.", "LRP payments to intramural investigators: The LRP funding rate (awardees/applicants) for intramural investigators applying for total (both initial and renewal) LRP payments from fiscal years 2013 through 2017 was about 87 percent; 397 intramural investigators applied for both initial and renewal LRP payments, and NIH funded 345 of the applicants. The funding rate for applicants seeking initial LRP payments during this 5-year period was about 83 percent, whereas the funding rate for those applying to renewal LRP payments was 90 percent.", "NIH also implemented policies to improve opportunities for early and intermediate stage extramural investigators. For example, to address the concerns about established investigators receiving a disproportionate share of research funds, NIH established its Early Stage Investigator Priority Policy in 2008. The policy specified that early stage investigator status would be considered a factor when applications were being selected for award. Studies have shown that under the Early Stage Investigator Priority Policy, grants being awarded to early stage investigators stopped declining and remained flat for several years. They also showed that the field of biomedical research continued to be very competitive for early stage investigators.", "However, some have expressed concern that these accomplishments are not sufficient. For example, according to a recent report by the National Academies of Sciences, Engineering, and Medicine, a variety of steps have been taken over the years to address the challenges facing early and intermediate stage investigators, but these efforts have not resolved the underlying problems that make it difficult for them to establish their careers.", "More recently, the Cures Act required that NIH implement the NGRI, which the agency established in August 2017. NIH\u2019s Office of the Director, which oversees the initiative and its implementation, directed the NIH institutes and centers to reprioritize large NIH research grant support for early stage and intermediate stage investigators. The policy\u2019s stated goal for fiscal year 2017 was to increase the number of large NIH research grants provided to both early stage investigators and intermediate stage investigators by 200 grants each compared to the number that were awarded in fiscal year 2016. These 400 grants would redirect approximately $210 million from NIH\u2019s base budget to support additional early career investigators in the first year of NGRI\u2019s implementation. However, with only one month to implement the policy, NIH did not meet this goal. From fiscal year 2016 to fiscal year 2017, the number of large NIH research grants awarded increased by 57 for early stage investigators and decreased by 2 for intermediate stage investigators. Similarly, the goal to increase funding for the additional 400 grants was not met; funding increased by about $107 million during this period. Given that this initiative is in the early stages and its goals were set late in fiscal year 2017, it is too early to fully assess the impact of this effort.", "According to NIH officials, the agency is in the process of reevaluating which investigators should be the focus of the NGRI initiative and may revise the program to include investigators whose careers are more advanced. NIH officials stated that the NGRI policy\u2019s intention to direct more research funding to early stage investigators will remain in place. However, NIH\u2019s NGRI Working Group no longer designates intermediate stage investigators\u2014or what it calls \u201cearly established investigators\u201d\u2014as a distinct group. NIH\u2019s current definition\u2014that of being within 10 years of receiving a first large NIH research grant as an early stage investigator\u2014 includes investigators who could have completed their graduate level education (i.e., research doctorate or clinical doctorate), postdoctoral research, or medical residency between 15 and 20 years ago. According to NIH officials, NIH\u2019s working group is considering broadening this definition even further. It is concerned that intermediate stage investigators, facing increasing pressure to secure additional sources of research funding to prevent the closure of their laboratories if their first large NIH research grant is not renewed, could lose all NIH support and become likely to leave the biomedical research workforce. Therefore, the working group is considering a different approach for all established investigators, with a focus on all meritorious investigators (regardless of career stage) who are doing high quality research, yet are still at risk for losing all NIH funding. Specifically, NIH officials said the working group plans to reevaluate ways that it can provide additional, prioritized support to these investigators in order to further their career trajectories. The working group may recommend to NIH that the NGRI be expanded to also target support for certain investigators whose careers are in more advanced stages, rather than just those in the early stages of their careers.", "In addition, NIH has not yet implemented the expansion of its LRP as directed by the Cures Act. The Cures Act amended the LRP by increasing the eligible annual loan repayment amount from a maximum of $35,000 to a maximum of $50,000. The act also gave the NIH Director the discretion to amend the research categories that are eligible for intramural or extramural loan repayment based on emerging scientific priorities or workforce needs. The agency has established a working group to provide recommendations to the NIH Director regarding any suggested structural changes and associated timelines for implementation. NIH officials told us that they are awaiting recommendations from this working group on how to use the agency\u2019s new authorities. They said that they expect to implement program changes to the LRP, as permitted by the Cures Act, by fiscal year 2020."], "subsections": []}, {"section_title": "Investigators Who Had Received at Least One Large NIH Grant Had Higher Funding Rates for All Grant Types Compared to Those Who Had Not", "paragraphs": ["Our analysis shows that intermediate stage investigators are more successful at competing for grants than early stage investigators. Our examination of the trends of NIH grant data showed that the applicant funding rates (awardees/applicants) for investigators who had previously received an initial large NIH research grant was greater than the applicant funding rates for investigators who had never received such a grant. We analyzed 5 years of grant data to determine an overall perspective of funding rates from fiscal years 2013 through 2017. We found that intermediate stage and established investigators\u2014groups comprised of investigators who had already received their first large grant award\u2014had greater applicant funding rates for all three grant types compared to early stage and other investigators. For example, we found that in fiscal year 2017, the most recent year for which data were available, intermediate stage investigators had funding rates that were comparable to those of established investigators. Investigators that had not yet been awarded their first large NIH research grant\u2014early stage investigators and other investigators\u2014were not as successful when competing for large NIH research grants, small grants, or career development grants. (See table 2.)", "We also found that over time\u2014from fiscal years 2013 through 2017\u2014 intermediate stage investigators and established investigators had greater applicant funding rates for all three grant types compared to early stage and other investigators. Of the investigators that had not yet been awarded their first large NIH research grant, early stage investigators were more successful in competing for NIH grants than the other investigators that were outside of the 10-year period of having completed their graduate level education (i.e., research doctorate or clinical doctorate), postdoctoral research, or medical residency. For instance, we found that early stage investigator funding rates ranged from about 5 to 11 percentage points lower than intermediate stage or established investigators for each of the five fiscal years examined. Similarly, other investigator funding rates ranged from about 12 to 14 percentage points lower than intermediate stage or established investigators for each of the five fiscal years examined. (See fig. 1.)", "Finally, we found that during this 5-year period, two of the four extramural investigator groups were more likely to receive large, small, and career development grants than the other two groups. Specifically, investigators beginning their research careers\u2014the early stage and intermediate stage investigators\u2014were more likely to receive these grants. Although early stage investigators were more likely than intermediate stage investigators to apply for smaller research grants (about 4,500 applicants compared to about 2,000 applicants, respectively) and career development grants (about 2,000 applicants compared to about 50 applicants, respectively), intermediate stage investigators were still more successful in competing for these grants, as well as the large NIH research grants. For more information on the trends in the number of grants awarded to early stage and intermediate stage investigators, by award type, for fiscal years 2013 through 2017, see appendix I."], "subsections": []}]}, {"section_title": "NIH Has Taken Steps to Support a Diverse Scientific Workforce, but Disparities Persist and Its Diversity Efforts Have Not Been Fully Evaluated", "paragraphs": [], "subsections": [{"section_title": "NIH Established Working Groups and Programs to Support Investigators from Underrepresented Groups", "paragraphs": ["Over the last 7 years, NIH established advisory groups and other programs to determine how best to support extramural and intramural investigators from underrepresented groups. NIH\u2019s Working Group on Diversity in the Biomedical Research Workforce was established in response to the 2011 NIH study that examined the association between R01 grant recipients and the applicants\u2019 race and ethnicity. NIH directed the group to provide recommendations to improve retention of underrepresented minorities, the disabled, and scientists from disadvantaged backgrounds. In June 2012, the working group issued 13 recommendations, which, we found that NIH uses as the foundation of some NIH-wide efforts to diversify the extramural and intramural biomedical research workforce. Other advisory groups that have examined or are currently examining related topics include the following:", "NIH Working Group on Women in Biomedical Careers was established in 2007 in response to a report from the National Academies of Sciences, Engineering, and Medicine on barriers women in biomedical science experience in advancing their careers. It produced a workshop and report in 2008 on best practices for sustaining the careers of women in biomedical research;", "Addressing Gender Inequality in the NIH Intramural Research Program Action Task Force was established in 2016 in response to data showing women are underrepresented in top NIH research positions. It produced recommendations in 2017 aimed at ensuring that female and male investigators have equal opportunities in the intramural research program at NIH, among other things; and", "African-American/Black R01 Funding Disparities Working Group was established in response to the 2011 NIH study that found a funding disparity between blacks and whites applying for R01 grants. This group analyzed data on the funding rates of applicants that self- identify as African American or black compared to other racial groups.", "NIH has acted on some of the advisory groups\u2019 recommendations. For example, in response to recommendations made by the Diversity in the Biomedical Research Workforce advisory group, the agency hired a Chief Officer of Scientific Workforce Diversity in 2014; implemented the three- tiered Diversity Program Consortium, which includes the Building Infrastructure Leading to Diversity program, the National Research Mentoring Network, and the Coordination and Evaluation Center; and established a permanent advisory group on diversity. NIH also developed a \u201ctoolkit\u201d that includes training modules to educate intramural investigator search committee members on biases that can lead to a less diverse workforce, among other things. In fiscal year 2017, NIH created an Equity Committee to address recommendations made by the Addressing Gender Inequality in the NIH Intramural Research Program Action Task Force to further examine concerns about parity between male and female intramural investigators and other diversity issues.", "Other NIH-wide policies and programs may also help to attract, retain, and develop investigators from underrepresented groups. The 24 NIH institutes and centers that fund research and the Office of the Director provide funds for its investigators, called research supplements, to recruit graduate students, postdoctoral fellows, and others from underrepresented racial and ethnic groups, as well as those with disabilities and from economically disadvantaged backgrounds. These funds provide graduate students, postdoctoral fellows, and others an opportunity to conduct research and be mentored by an investigator supported by the specific NIH institute or center or office. Some stakeholders we interviewed said that the agency\u2019s LRP also may help to retain investigators from underrepresented groups, noting that the student loan debt for African American or black graduate students is higher than that of white graduate students. Physicians from a professional organization we interviewed said that the LRP helps to attract physician scientists from underrepresented groups into research careers. Physicians we interviewed stressed the importance of the LRP to attract physician scientists into research careers, because these scientists often have significant medical school debt. Our analysis of extramural LRP data showed that, in 2017, African Americans or black, non-Hispanics had a funding rate of about 34 percent for receiving an LRP payment. White, non-Hispanic applicants had a funding rate for receiving an LRP payment of about 52 percent. More recently, the National Academies of Sciences, Engineering, and Medicine recommended that NIH make the LRP available to all individuals pursuing biomedical physician-scientist researcher careers, regardless of their research area or clinical specialty. They also suggested NIH increase the monetary value of loan repayment to reflect the debt burden of current medical trainees. Some stakeholders said that NIH\u2019s family friendly policies, such as reimbursement for child care expenses and parental leave, may also help address work-life balance issues for female investigators that may otherwise forego some research duties to care for young children.", "Additionally, many\u2014at least 17 of 27\u2014of NIH\u2019s institutes and centers have established their own policies and programs to attract, retain, and develop investigators from underrepresented groups. For example, the National Cancer Institute initiated the Continuing Umbrella of Research Experiences program to provide training and career development opportunities to enhance and increase diversity in the cancer research workforce. This program offers research opportunities and development to future and current scientists from underrepresented groups from middle school students to investigators who have yet to achieve research independence."], "subsections": []}, {"section_title": "NIH Research Funding and Workforce Data Shows that Disparities Persist for Underrepresented Groups", "paragraphs": ["Although NIH has implemented numerous diversity-related efforts, our analysis of NIH research grant funding and intramural workforce data from fiscal years 2013 through 2017 shows that some disparities persist for investigators from underrepresented racial and ethnic groups, and for female investigators."], "subsections": [{"section_title": "NIH Research Grant Applicants", "paragraphs": ["Our analysis of NIH data shows that investigators from underrepresented racial and ethnic groups comprise a small percentage of applicants. For example, in fiscal year 2017, applicants from underrepresented racial groups\u2014that is, American Indian or Alaskan Native, African American or black, and Native Hawaiians and Pacific Islanders\u2014were 0.2 percent, 1.8 percent, and 0.1 percent, respectively, of all applicants for large NIH research grants. Applicants from underrepresented ethnic groups\u2014 Hispanics or Latinos\u2014 comprised 4.3 percent of the applicants for large NIH research grants. (See table 3.) In contrast, white applicants were about 64 percent of all applicants for large NIH grants in fiscal year 2017. Investigators from underrepresented racial and ethnic groups also comprise a smaller number of applicants than other groups for smaller NIH grants and career development grants.", "Among grant applicants from underrepresented racial groups, African American or black applicants were consistently the largest group represented. For example, in 2017, among underrepresented racial groups, African American or black applicants were named as investigators on about 88 percent of applications for large NIH research grants, about 89 percent of applications for smaller NIH grants, and about 92 percent of career development grant applications. Hispanics and Latinos were about 5 percent of applicants for smaller NIH grants and about 6 percent of applicants for career development grants in 2017.", "According to data published by the National Science Foundation in 2017, women represent slightly more than half of all doctorates in biological sciences. However, from 2013 through 2017, women represented less than one-quarter of all tenured NIH intramural investigators. For example, in 2017, 191, (23 percent) of NIH\u2019s 822 intramural tenured investigators were women. In addition, in 2017, 79, (37 percent), of NIH\u2019s 211 tenure-track intramural investigators were women. Further, in fiscal years 2013 through 2017, nearly one-third of all extramural investigators that applied for large grants were women. (See table 4.) Nearly one-third of all applicants for smaller research grants, and close to half of all applicants for NIH career development grants, were women. (See app. II for information on the number of smaller and career development grant applicants by racial and ethnic groups and gender.)", "Stakeholders from 8 of the 12 entities we interviewed suggested potential reasons why the number of NIH research grant applicants among underrepresented racial and ethnic groups and for women may be limited. Attrition of biomedical science doctoral students and early career investigators from these groups is one explanation. Some stakeholders said that, while in graduate school, students from these groups may be discouraged from pursuing a biomedical research career as a result of implicit bias that they encountered with their mentors. Some stakeholders said lower numbers among women investigators is the result of decisions of some to start a family in the early stages of their careers, and further noted the difficulty in re-entering the biomedical research workforce. In addition, some stakeholders said that students from underrepresented groups may lack exposure to a sufficiently rigorous education in mathematics or the sciences prior to entering college, resulting in the low numbers of biomedical researchers from these groups. Others said the low numbers of investigators from these groups makes studying this issue difficult due to a small sample size. Additional administrative demands placed on individuals who pursue careers as investigators also affect the number of applicants. For example, some stakeholders said that once investigators from an underrepresented group attain faculty positions\u2014 particularly if there are few faculty members from such groups\u2014they are frequently tasked with additional administrative duties. We were told that, often, they are selected because they may be one of a handful of members of underrepresented groups at some institutions. Their additional duties include participation on institutional committees as well as mentoring, particularly undergraduate or graduate students from underrepresented groups. In addition, representatives of one stakeholder group said that some research faculty from underrepresented groups feel additional pressure to participate in such activities, because their absence would be more apparent and they worry that this may adversely affect them. Stakeholders also told us that additional duties are time consuming and leave less time to devote to applying for grant funding. They said that some biomedical graduate students from underrepresented groups decide to pursue other fields, because of the competing demands associated with being an academic, such as grant writing and teaching responsibilities."], "subsections": []}, {"section_title": "NIH Research Grant Applicant Funding Rates", "paragraphs": ["Our analysis of NIH data from fiscal years 2013 through 2017 also shows that the funding rate for applicants from underrepresented racial groups applying for large and small NIH grants lags behind that of white applicants. For example, in fiscal year 2017, the applicant funding rate for large grants was about 17 percent for underrepresented racial groups and about 24 percent for Hispanics and Latinos. The funding rate for white applicants was about 27 percent. (See fig.2.)", "Among underrepresented racial groups, African American or black applicants consistently had a lower funding rate for large and smaller grants than well represented groups during this period (see table 5).", "The applicant funding rate for career development grants for underrepresented racial groups increased from about 22 percent to about 32 percent from fiscal years 2013 to 2017, and, for Hispanic and Latino applicants, from about 30 percent to about 36 percent during the same period. The applicant funding rate was about 34 percent for white applicants throughout this period.", "The large grant funding rate for female investigators was slightly lower than male investigators. (See fig. 3.)", "When looking exclusively at R01 grants, as opposed to all large grants, research has shown that women are less likely to have their initial R01 grant renewed. Our analysis of R01 grant renewal funding showed that, in fiscal year 2017, the R01 grant renewal funding rate for female applicants was about 31 percent compared to about 38 percent for male applicants. (See fig 4.) According to research by NIH, some applicants that are unsuccessful in obtaining an initial R01 grant may have greater success if they reapply; however, some stakeholders we interviewed said women, and some underrepresented racial groups, are less likely to reapply for an initial R01 grant if they are unsuccessful with their first attempt. (See app. III for information on the applicant funding rates for smaller grants and career development grants by gender.)", "Many stakeholders attributed the underrepresented groups\u2019 lower funding rates to two factors. First, many stakeholders cited a perceived implicit bias within the peer review process, which they said may affect the funding rates for investigators from underrepresented racial and ethnic groups. They stressed that, many times, peer reviewers approve grants for investigators from top tier institutions that they are familiar with and are reluctant to provide high scores to grant applications from other institutions. Some stakeholders advocated for anonymizing grant applications to some extent to address this issue. NIH\u2019s Center for Scientific Review\u2014the center responsible for organizing peer reviews for grants\u2014is conducting a study that anonymizes certain large grant applications, and a training module on implicit bias is currently being offered to NIH peer reviewers. In addition, NIH\u2019s African American/Black R01 Funding Disparities Working Group has conducted an analysis on the R01 funding disparities for African American or black applicants from fiscal years 2010 through 2015, and is currently pursuing several efforts to address its findings. Lower grant application priority scores and application resubmission rates among African American or black applicants were among their findings. The working group is also pursuing a randomized control trial to assess the effect of mentoring and coaching on R01 resubmissions and award rates. Second, some stakeholders told us that only a very small percentage of biomedical science professors at top tier research schools are from underrepresented racial or ethnic groups. Some stakeholders suggested that many investigators from underrepresented groups seeking grants are affiliated with institutions outside of the top tier that may lack the infrastructure, grant writing support, and mentoring opportunities, which could help ensure their success. As a consequence, many investigators from underrepresented groups are at a disadvantage compared to their peers at top tier institutions, according to the stakeholders we interviewed."], "subsections": []}]}, {"section_title": "The Effect of NIH\u2019s Efforts to Strengthen Diversity Is Unclear; Assessments of Some Targeted Efforts Are Incomplete, and Strategic Goals Lack Quantitative Metrics and Time Frames", "paragraphs": ["Although NIH has taken steps to address concerns about the diversity of the biomedical research workforce, its accomplishments have not been fully evaluated."], "subsections": [{"section_title": "Stakeholders Reported Mixed Views on NIH\u2019s Efforts to Strengthen Diversity", "paragraphs": ["Positive comments from some stakeholders we interviewed included praise for the steps NIH has taken to diversify the biomedical research workforce, the value of the National Research Mentoring Network, and the research supplements and other training grants offered by NIH\u2019s centers and institutes, which provide opportunities for students and postdoctoral fellows from underrepresented groups to work with established investigators. NIH\u2019s support of conferences and programs, such as the Annual Biomedical Research Conference for Minority Students and the Institutional Research and Academic Career Development Award, was also well regarded by stakeholders. They also noted NIH\u2019s commitment to diversity and willingness to investigate diversity issues through advisory groups, and commended the agency on working to address recommendations from the Working Group on Diversity in the Biomedical Research Workforce, including hiring a Chief Officer of Scientific Workforce Diversity. Some stakeholders were actively engaged in working with NIH on diversity issues. For example, some physicians from an organization we interviewed said they are working with the National Institutes on Minority Health and Health Disparities on issues related to research workforce diversity.", "Stakeholders, though, also offered less favorable views and characterized NIH\u2019s efforts as stagnant, ineffective, or in need of better coordination. For example, some stakeholders suggested that for NIH\u2019s National Research Mentoring Network, the matching of mentees to mentors could be improved or mentioned uncertainty about the program; questioned how often research supplements are utilized, or noted that better mentoring and follow-up after the postdoctoral fellow\u2019s work is completed is warranted; reported that while their organizations initially collaborated with the scientific workforce diversity office, that office is not very active or communication eventually dissipated; expressed concern about NIH\u2019s outreach to minority serving institutions and organizations, such as historically black colleges and universities, when it began creating programs like the Building Infrastructure Leading to Diversity program and the National Research Mentoring Network and for other efforts; and stressed that NIH should collaborate more with organizations that represent underrepresented groups, which have already implemented programs shown to be effective in engaging these communities in biomedical research."], "subsections": []}, {"section_title": "Multiple Assessments of Targeted Diversity Efforts Are Ongoing", "paragraphs": ["According to NIH officials, evaluations of various NIH efforts are ongoing and have not been completed. Some examples include the following:", "Data collection and analysis by the Diversity Program Consortium\u2019s Coordination and Evaluation Center began in 2017, and is ongoing.", "In 2017, NIH\u2019s Center for Scientific Review began conducting a study to anonymize R01 grant applications from African American or black and white applicants to detect potential reviewer bias during peer review. The results of this study are expected in 2019.", "An evaluation of the National Cancer Institute\u2019s Continuing Umbrella of Research Experiences program, which provides training and career development opportunities to enhance diversity in the cancer research workforce, was submitted for publication in a scientific journal and is currently pending review.", "Some NIH institutes and centers have conducted evaluations of their specific diversity efforts. For example, in 2015, the National Institute of General Medical Sciences analyzed the research supplements provided to graduate students and postdoctoral fellows from underrepresented racial and ethnic groups between 1989 and 2006. The study found that about 65 percent of graduate students and postdoctoral fellows supported by the program entered research careers in academia, industry, and government research. About 41 percent of doctoral graduates and 45 percent of postdoctoral fellows supported by this program entered careers in academic research or teaching compared to about 43 percent of the U.S. doctoral degree workforce. In 2011, the National Institute on Aging evaluated its research supplement program and found that the NIH research grant applicant success rate of former participants from 2002 to 2010 was about 21 percent. The average research grant success rate for National Institute on Aging grants was about 18 percent during this same period."], "subsections": []}, {"section_title": "NIH Has Developed a Scientific Workforce Diversity Strategic Plan, but It Does Not Include Quantitative Metrics or Time Frames to Assess the Progress of Its Strategic Goals", "paragraphs": ["In 2016, NIH\u2019s Chief Officer of Scientific Workforce Diversity established a 5-year strategic plan that describes the agency\u2019s five workforce diversity goals and supporting objectives. The strategic plan includes goals and objectives that apply to both extramural and intramural investigators. During the course of our audit work, NIH updated this plan to describe progress made on each of its diversity goals, which are to: expand scientific workforce diversity as a field of inquiry, build and implement evidence related to diversity outcomes, understand the role of sociocultural factors in biomedical recruitment sustain nationwide workforce diversity with seamless career transitions, and promote the value of scientific workforce diversity.", "NIH officials provided us with performance measures that its scientific workforce diversity office will use to gauge the agency\u2019s progress in achieving each of its five strategic plan\u2019s goals. However, these items outline the particular areas that NIH plans to evaluate, rather than provide quantitative metrics, evaluation details, or time frames associated with any of the areas by which to evaluate progress in fulfilling the goals of the strategic plan. For example, for the first scientific workforce diversity goal \u201cexpand scientific workforce diversity as a field of inquiry\u201d one of the performance measures is \u201cnumber of publications stored in the scientific workforce diversity office\u2019s online database.\u201d Neither the strategic plan nor the additional documentation that NIH provided specifies a quantitative metric for the number of publications to be stored in its database and the time frame for doing so. Similarly, for the second scientific workforce diversity goal, to \u201cbuild and implement evidence related to diversity outcomes\u201d one of the performance measures identified by NIH is to compare the large grants awarded to African American or black scientists to those received by scientists who are white or from other racial and ethnic groups. However, there is no description in either the strategic plan or the additional documentation provided by NIH that indicates how and when these comparisons will be made, how the results of these comparisons will be assessed, and what will be considered as fulfilling this goal. All of the other areas or \u201cperformance measures\u201d associated with each of the five goals also do not include such details or time frames. According to documentation provided by NIH its strategic plan does not explicitly list \u201cspecific metrics\u201d because they will be defined within \u201cthe implementation phase of the plan.\u201d However we are at the midpoint of the implementation of NIH\u2019s 5-year plan, which covers the period of 2016 through 2020. As of May 2018, these specific metrics were not yet available.", "Without quantitative metrics, evaluation details, or time frames for assessing the agency\u2019s performance against the five goals in its strategic plan, NIH will be unable to hold itself accountable for fulfilling its goals. This is inconsistent with best practices for strategic workforce planning, which call for agencies to monitor and evaluate their progress toward their human capital goals. These best practices also call for performance metrics to be specified at the outset to avoid a biased determination of what counts as \u201csuccess\u201d after the results are known. Further, this is inconsistent with federal internal control standards for monitoring, which require that an agency evaluate and document the results of ongoing monitoring to determine whether its management strategies are effectively supporting its objectives, or need corrective action. NIH\u2019s establishment of goals and associated areas of future evaluation are positive steps, but absent specific measures by which to hold itself accountable, the agency will not have a basis to judge its success."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["NIH\u2019s ability to fulfill its mission of advancing scientific knowledge and innovation to enhance health, lengthen life, and reduce illness and disability is dependent on its success in sustaining a thriving and diverse workforce. For decades, concerns have been raised by the biomedical research community about NIH\u2019s ability to support investigators beginning their research careers. Similar concerns have been expressed regarding support for investigators from groups underrepresented in the sciences, including those from racial and ethnic groups and women. While the agency has taken many steps during this time, disparities in its research grant funding persist. NIH has conducted some evaluations of individual programs and activities, but these have been relatively narrow in focus and the results of many efforts are not yet available. More recently, NIH has taken positive steps such as by establishing the position of Chief Officer of Scientific Workforce Diversity, who in turn, created a strategic workforce diversity plan and related goals and identified areas of future evaluation. However, NIH does not have quantitative metrics, evaluation details, and time frames to assess its progress in meeting its strategic workforce diversity goals. Without these elements, NIH\u2019s ability to assess how its diversity strategic plan goals are being achieved is hindered. Thus, NIH is missing an opportunity to better position itself to support underrepresented groups and address longstanding disparities."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The NIH Director should develop quantitative metrics, evaluation details, and specific time frames to assess its current efforts to support investigators from underrepresented groups against its scientific workforce diversity strategic goals, and use the results of its assessment to guide any further actions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment. In its written comments, which are reproduced in appendix IV, HHS concurred with our recommendation and outlined the steps NIH is taking to implement it. Notably, for example, HHS indicated that NIH is establishing time frames to assess its progress in meeting its workforce diversity goals. HHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Health and Human Services. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or crossem@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Trends in the Number of Grants Awarded to Early Career Extramural Investigators by Award Type, for Fiscal Years 2013 through 2017", "paragraphs": ["Table 6 provides details on the number of grants awarded, number of awardees and award type for early stage and intermediate stage investigators from fiscal year 2013 through fiscal year 2017."], "subsections": []}, {"section_title": "Appendix II: Total Number of Applicants for Smaller Grants and Career Development Grants for Fiscal Years 2013 through 2017", "paragraphs": ["Tables 7 through 10 provide details on the demographics of NIH grant applicants during fiscal years 2013 through 2017."], "subsections": []}, {"section_title": "Appendix III: Applicant Funding Rates for Smaller Grants and Career Development Grants for Fiscal Years 2013 through 2017", "paragraphs": ["Figures 5 and 6 provide details on the demographics of NIH grant applicants during fiscal years 2013 through 2017."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Geri Redican-Bigott (Assistant Director), Carolina Morgan (Analyst-in-Charge), Jackie Hamilton, Toni Harrison, and Drew Long made key contributions to this report. Muriel Brown, Giselle Hicks, and Hayden Huang also made contributions to this report."], "subsections": []}]}], "fastfact": ["The National Institutes of Health plays a key role in biomedical research to reduce illness and lengthen life. It has its own scientific staff but more than 80% of its budget goes to researchers working in universities and other institutions.", "NIH funding can be critical to careers and competition is intense. Grants tend to be awarded to experienced researchers. Researchers with less experience and from some underrepresented groups have found it difficult to secure NIH funding.", "NIH has a diversity strategic plan but lacks certain measures of plan progress. We recommended it develop these measures and assess plan progress."]} {"id": "GAO-19-95", "url": "https://www.gao.gov/products/GAO-19-95", "title": "Food Insecurity: Better Information Could Help Eligible College Students Access Federal Food Assistance Benefits", "published_date": "2018-12-21T00:00:00", "released_date": "2019-01-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Increasing evidence indicates that some college students are experiencing food insecurity, which can negatively impact their academic success. However, college students are only eligible for SNAP in certain cases. Given the substantial federal investment in higher education and the risk posed if students do not complete their degrees, GAO was asked to review food insecurity among college students.", "This report examines (1) what is known about the extent of food insecurity among college students and their use of SNAP; (2) how selected colleges are addressing student food insecurity; and (3) the extent to which federal programs assist students experiencing food insecurity. GAO reviewed relevant federal laws and agency documents and studies on student food insecurity; analyzed 2016 federal student data (the most recent available), and visited four states, selected based on actions taken to address student food insecurity, geographic diversity, and other factors. GAO interviewed researchers; officials from Education, FNS national and regional offices; and officials at 14 colleges, including students at 8 of these colleges. GAO also emailed all state SNAP agencies about their efforts related to students."]}, {"section_title": "What GAO Found", "paragraphs": ["There is limited information about the national prevalence of food insecurity among college students. GAO reviewed 31 studies that identified a wide range of food insecurity rates among the students studied, but the studies did not provide national estimates. College students at risk of food insecurity may be eligible for benefits from the Food and Nutrition Service's (FNS) Supplemental Nutrition Assistance Program (SNAP). However, GAO's analysis of Department of Education (Education) data shows that almost 2 million at-risk students who were potentially eligible for SNAP did not report receiving benefits in 2016. According to GAO's analysis, having a low income is the most common risk factor for food insecurity among college students. Among low-income students, most have one additional risk factor associated with food insecurity, such as being a first-generation student or a single parent.", "The 14 selected colleges that GAO contacted were addressing student food insecurity in a number of ways. For example, all 14 were providing free food to students through on-campus food pantries, and most were offering emergency funds to help students pay for living expenses that might otherwise force them to choose between buying food or staying in school. Many of these colleges had centralized student services to better address their students' basic needs and provide other support, such as screening students for potential eligibility and helping them apply for federal benefit programs like SNAP.", "Federal student aid generally does not cover all college costs for low-income students, and college students may have limited access to federal food assistance programs such as SNAP because of program eligibility restrictions. Some state SNAP agencies reported that they are taking steps to help students access SNAP by conducting outreach to colleges and developing guidance. Nevertheless, at 9 of the 14 colleges GAO contacted, some college officials and students said that they were unfamiliar with or did not fully understand SNAP's student eligibility rules. Some college officials said that they would like information from FNS to better explain SNAP student rules, but FNS has not made such information easily accessible on its website. Further, college officials and state SNAP agencies noted that FNS does not share examples of actions taken by other states to help eligible students access SNAP. Clarification of SNAP student eligibility rules and enhanced information sharing about state efforts could help ensure that potentially eligible college students can access federal food assistance programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FNS (1) improve student eligibility information on its website and (2) share information on state SNAP agencies' approaches to help eligible students. FNS partially concurred, and plans to review its information. GAO continues to believe additional action is warranted, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the federal government spent over $122 billion in grants, loans, and work-study funds through federal student aid programs to help make college accessible to students. This substantial federal investment in higher education is at risk if college students drop out because they cannot afford basic necessities like food. The federal government also spent $98 billion in fiscal year 2017 on nutrition assistance programs, including $68 billion on the Supplemental Nutrition Assistance Program (SNAP), the nation\u2019s largest nutrition assistance program, to combat food insecurity. College students enrolled at least half time, however, are generally not eligible for SNAP benefits unless they fall into certain categories designed to more narrowly target students in need of assistance. According to some studies, college students who experience food insecurity, which the U.S. Department of Agriculture (USDA) defines as the condition of limited or uncertain access to adequate food, may also experience decreased academic performance, symptoms of depression and anxiety, and other negative mental health indicators. In light of the potential obstacles to college students\u2019 academic success posed by lack of access to adequate food, you asked us to review the issue of food insecurity among college students.", "This report examines: (1) what is known about the extent of food insecurity among college students and their use of SNAP; (2) how selected colleges are addressing student food insecurity; and (3) the extent to which federal programs assist college students experiencing food insecurity.", "To determine what is known about the extent of food insecurity among college students, we conducted an in-depth review of studies. To be included, studies had to: (1) be based on research conducted in and published in the United States; (2) be published after 2007; and (3) contain original, direct estimates of food insecurity rates among college students. We identified 35 studies that met these criteria, but subsequently eliminated 4 of these from our in-depth review due to concerns about their methodological limitations. We reviewed and summarized the remaining 31 studies.", "We also analyzed National Postsecondary Student Aid Study (NPSAS) data from the 2015-2016 academic year, the most recent year available, to estimate the prevalence of risk factors for food insecurity among college students. Nationally representative survey data that would support direct estimates of the prevalence of food insecurity among college students do not currently exist. However, the National Center for Education Statistics at the Department of Education (Education) regularly collects NPSAS data, which contain nationally representative, detailed demographic and financial data about college students. We assessed the reliability of the NPSAS data by reviewing existing information about the data and the system that produced them and by interviewing agency officials knowledgeable about the data. As a result, we determined that the data were sufficiently reliable for the purposes of this report. We identified risk factors associated with food insecurity through a literature review and through interviews with academic researchers, college officials, state and federal officials, and relevant policy organizations. We also analyzed NPSAS data to estimate SNAP participation among potentially eligible students.", "To understand how selected colleges address student food insecurity, we conducted site visits in California, Kentucky, Massachusetts, and Michigan. We selected a geographically diverse group of states where colleges or state SNAP agencies were actively addressing food insecurity among college students. In selecting these states, we reviewed literature and asked researchers we interviewed about colleges and states that were actively addressing food insecurity on campus. In each state, we met with administrators, faculty, and students at selected 2- and 4-year public colleges and with officials from the state agencies that administer the SNAP program and other relevant organizations. Overall, we contacted 14 colleges\u2014seven 2-year and seven 4-year colleges\u2014that were actively addressing food insecurity among their students. We also interviewed researchers and staff at policy organizations knowledgeable about SNAP and college student food insecurity.", "To assess the extent to which federal programs assist college students experiencing food insecurity, we reviewed relevant federal laws, regulations, and agency guidance and program documents. We emailed the 51 state SNAP agency directors (all 50 states and the District of Columbia) to ask whether their state agency is taking any action to address college student food insecurity and received responses from 50 of them. We interviewed state SNAP agency directors in our site visit states of California, Kentucky, Massachusetts, and Michigan, as well as in Washington because of its innovative partnerships with colleges. We also interviewed USDA Food and Nutrition Service (FNS) officials at the national office as well as at four of the seven FNS regional offices. We compared FNS\u2019s communication and information sharing activities against federal internal control standards. Further details on our methodology are available in appendix I.", "We conducted this performance audit from July 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government, states, colleges, students and their families all play important roles in financing higher education costs. Under Title IV of the Higher Education Act of 1965, as amended, the federal government offers students at all types of colleges financial assistance to help pay for their education, such as through the William D. Ford Federal Direct Loan (Federal Direct Loan), the Federal Pell Grant (Pell Grant), and the Federal Work-Study programs. Some of this aid is targeted toward students based on their financial need. For example, Education provided almost $27 billion in Pell Grants to low-income students in fiscal year 2017. States also provide funding to public colleges through state appropriations for operating expenses and grant programs that provide financial aid directly to students based on financial need, merit, or a combination of both. Despite the substantial federal expenditure in higher education, rising college costs have outpaced federal and state grant aid and, over time, have led to an increasing share of the cost being borne by students and their families. For example, over the past 30 years, the average in-state net price for a full-time undergraduate student at a public 4-year college\u2014after taking into account all grant aid and education tax benefits\u2014has nearly doubled, from about $8,000 in 1990-1991 to nearly $15,000 in 2017-2018. At public 2-year colleges, the net price for full-time students increased over the same time period from about $6,800 to $8,000.", "To plan for the cost of college, students and their families must consider the full cost of attendance, which includes not only tuition and fees, but also room and board and other miscellaneous expenses. The federal government requires colleges to estimate and distribute information on the full cost of attendance to prospective and enrolled students. The amount of need-based federal aid a student is eligible for is based, in part, upon the school\u2019s estimated cost of attendance."], "subsections": [{"section_title": "Changes in College Student Demographics", "paragraphs": ["National data show that, over the past several decades, an increasing percentage of students from low-income households are enrolling in college. According to NPSAS data, the percentage of all undergraduates who had a household income at or below 130 percent of the federal poverty line increased from 28 percent in 1996 to 39 percent in 2016. In addition, the percentage of college students receiving a Pell Grant has nearly doubled over roughly the same time period. For example, in 1999- 2000, approximately 23 percent of college students received a Pell Grant, and in 2016, this figure was about 40 percent. Some researchers have suggested that reductions in federal and state funding of higher education relative to the increasing cost of college have coupled with these student demographics to increase the share of college costs borne by students, which can reduce the amount students have to support their basic needs, such as food and housing.", "A traditional college student is generally considered to be someone who is enrolled in college full time immediately after graduating from high school, is financially dependent on his or her parents, and either does not work during the school year or works part time. However, these students represent a minority of students enrolled in college today. According to NPSAS data, about half of all undergraduate students enrolled in college in 2016 were considered financially independent from their parents. About 22 percent had dependent children themselves, and 14 percent were single parents. The average college student in 2016 was 26 years old and first enrolled at age 21. Sixty-four percent of college students in 2016 worked at least part time while enrolled, and a quarter worked full time. See figure 1 for the percentages of traditional and nontraditional students in 2016 and for Education\u2019s list of traditional and nontraditional student characteristics."], "subsections": []}, {"section_title": "Federal Food Assistance Programs Available to College Students", "paragraphs": ["FNS oversees the states\u2019 administration of SNAP, the main federal benefit program to address food insecurity for low-income households. In fiscal year 2017, the program provided benefits to about 42 million individuals in more than 20 million households. The purpose of the SNAP program is to safeguard the health and well-being of the nation\u2019s population by providing a monthly cash benefit to raise the purchasing power and nutrition level of low-income households. FNS is responsible for establishing program regulations and ensuring that state officials administer SNAP in compliance with program rules. Officials in seven FNS regional offices assist officials from the FNS national office in this oversight work. FNS shares information and policy guidance with state SNAP agencies in part through its regional offices, the FNS website, and annual conferences. The states, or in some cases counties within a state, administer SNAP by determining whether households meet the program\u2019s eligibility requirements, calculating monthly benefits for qualified households, issuing benefits to participants on an electronic benefits transfer card, and investigating and prosecuting recipient fraud. States are also allowed to establish some state-specific modifications in how they administer SNAP policy.", "Beyond SNAP, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is another federal food assistance program available to eligible college students who are pregnant or postpartum. FNS also oversees the WIC program, which is administered by state and local agencies through approximately 10,000 clinic sites."], "subsections": []}, {"section_title": "College Student Eligibility for SNAP", "paragraphs": ["SNAP eligibility is largely based on a household\u2019s income and certain other characteristics. However, in 1980 federal law restricted college students who are enrolled at least half time from receiving SNAP benefits. This law generally prevents traditional college students\u2014who may appear to have a low income while attending college but receive financial support from their parents\u2014from receiving SNAP benefits. Federal law establishes several exemptions to this restriction so that college students who are enrolled at least half time and have a legitimate need can access SNAP. For example, assuming that they meet all other SNAP eligibility criteria, a full-time college student may be exempt from the college student restriction if they are: younger than age 18 or age 50 or older; a parent caring for a child under age 6; a parent caring for a child aged 6 to 11 who is unable to obtain childcare to attend school and work; a single parent caring for a child under 12 years old and enrolled full working a minimum of 20 hours per week at paid employment; participating in a state- or federally-financed work-study program; receiving Temporary Assistance for Needy Families (TANF) benefits; not physically or mentally fit (e.g., have a disability); or enrolled in certain programs for the purpose of employment and training.", "FNS officials told us that states have flexibility regarding which programs may qualify a student for the exemption pertaining to enrollment in certain programs for the purpose of employment and training. These programs must be operated by a state or local government, target low-income households, and increase participants\u2019 employability. State SNAP agencies have discretion to determine which programs in their state qualify. These employment and training programs may be operated at community colleges, among other community partners.", "FNS officials said that in 2014 the agency expanded its focus on SNAP Employment & Training (E&T) program services, which are intended to help individuals in SNAP households acquire skills, training, and work experience that will increase their ability to obtain regular employment that will ultimately lead to greater self-sufficiency and reduce their reliance on SNAP. State agencies have flexibility in designing SNAP E&T program services, and FNS encourages states to enter into partnerships with established providers, including community colleges, to deliver SNAP E&T program services. For example, a SNAP recipient could train to become a Certified Nursing Assistant at a community college as part of a state\u2019s SNAP E&T program. In addition to providing employment and training services, state SNAP E&T programs are required to provide participants with necessary supportive services, such as transportation, childcare, and textbooks."], "subsections": []}]}, {"section_title": "Information about the Prevalence of Food Insecurity among College Students Nationally is Limited and Many Potentially Eligible, At-Risk Students Do Not Receive SNAP", "paragraphs": [], "subsections": [{"section_title": "Studies Identify a Range of Food Insecurity Rates among Respondents, but Results Cannot Be Generalized to All Students", "paragraphs": ["Our review of 31 studies provided some information regarding food insecurity among college students, but all of the studies have limitations and none provide estimates of food insecurity for this population in general. Estimates of food insecurity among college students included in the studies we reviewed ranged from 9 percent to well over 50 percent, with 22 of these of 31 studies estimating food insecurity rates of over 30 percent. These results reflect the studies\u2019 different samples and methods, and the estimates from the studies included in our review are not generalizable to the college student population as a whole. None of these studies are based on a sufficiently large or diverse random sample of college students to constitute a representative study. The studies addressed the difficulty of sampling the college student population in different ways, including by extrapolating from household data, surveying students in a particular degree program or on a particular campus, or targeting particular, non-random sub-groups of the college student population. Most of the studies were also conducted on only one campus, although some studies gathered data from more than one campus. Despite the limitations, these studies as a whole help shed some light on the range of food insecurity that exists among some groups of college students.", "Of the 31 studies we reviewed, 2 used nationally representative household data sets, the Current Population Survey and the Survey of Income and Program Participation. The study that used the Current Population Survey data from 2011-2015 found that an estimated:", "11 percent of households with a student in a 4-year college", "14 percent of households with a student in vocational/technical education experienced food insecurity, and", "17 percent of households with a student in a community college experienced food insecurity.", "These national household surveys assess the food security of households with a college student member, but they do not directly survey college students and only measure food security at the household, and not the individual, level. For example, these household data may not capture a college student\u2019s food insecurity in situations where the student member of the household does not live at home for most of the year.", "The remaining 29 studies we reviewed collectively surveyed college students on approximately 200 campuses across multiple states, including two large state university systems, and produced a wide range of estimates of food insecurity. In most cases, the results can be characterized as applying only to the respondents of the survey. The 29 studies based on campus surveys provide a range of food insecurity rates among respondents, from 9 percent to over 50 percent.", "For example, a study first published in 2017 found that 15 percent of student respondents at one 4-year college experienced food insecurity, with an additional 16 percent of student respondents at that college estimated to be at-risk for food insecurity.", "Two recent surveys of college systems in California found that 40 percent of respondents from University of California campuses and 42 percent of respondents from California State University campuses experienced food insecurity.", "Estimates of food insecurity rates in the studies we reviewed tended to be higher at 2-year than at 4-year colleges. Four studies examined only 2- year college students and three of these studies estimated food insecurity rates among respondents at 2-year colleges to be 40 percent or higher. Three studies looked at both 2-year and 4-year colleges and estimated food insecurity to be higher among students at 2-year colleges. For example, a large, multi-college study conducted in 2017 found that during the 30 days preceding the survey, 42 percent of community college students who responded and 36 percent of students at 4-year colleges who responded indicated they were food insecure. Further, the two studies that used national household data sets found that households with community college and vocational education student members had higher food insecurity levels than households with students at 4-year colleges."], "subsections": []}, {"section_title": "Federal Data Show Most Low-Income Students Had Multiple Risk Factors Associated with Food Insecurity in 2016", "paragraphs": ["We identified and analyzed the prevalence of risk factors associated with food insecurity among students through our review of peer-reviewed publications on food insecurity and through interviews with academic researchers, college officials, state and federal officials, and officials from relevant policy organizations. In the studies we reviewed and in our interviews with researchers, having a low income was consistently identified as a key risk factor for food insecurity. The other risk factors we included in our analysis are: being a first-generation college student, receiving SNAP, being a single parent, being disabled, being homeless or at risk of homelessness, and being a former foster youth.", "In our analysis, we focused on students with a household income at or below 130 percent of the federal poverty line, which represents 39 percent of all undergraduates. While having a low income is itself the most common risk factor for food insecurity among college students, our analysis found that the majority of low-income students also experience additional risk factors for food insecurity. The three most common risk factors for food insecurity among low-income students were being a first- generation college student; receiving SNAP (receiving SNAP can be considered a risk factor in that it may reduce, but not entirely eliminate, food insecurity); and being a single parent. Of the approximately 7.3 million low-income students, 31 percent were first-generation college students, 31 percent reported receiving SNAP, and 25 percent were single parents. The prevalence of risk factors among low-income students was lower at 4-year colleges compared to other colleges. For example, about 21 percent of low-income 4-year college students were single parents in 2016 compared to about 42 percent of low-income students in less than 2-year programs. Low-income individuals enrolled in less than 2-year programs had the highest prevalence for almost all risk factors (see table 1).", "Twenty-nine percent of all U.S. undergraduates had a low income and experienced at least one additional risk factor for food insecurity, according to our analysis of 2016 NPSAS data\u201414 percent had a low income and one other risk factor and 15 percent had a low income and two or more additional risk factors associated with food insecurity (see table 2). Risk factors associated with food insecurity are more prevalent among low-income students than among the general student population, with 75 percent of low-income students experiencing one or more additional risk factors. Students at 2-year colleges and those in less than 2-year programs were also more likely to have multiple risk factors."], "subsections": []}, {"section_title": "Fifty-Seven Percent of Potentially Eligible Low- Income Students with Food Insecurity Risk Factors in 2016 Did Not Participate in SNAP", "paragraphs": ["In our analysis of SNAP participation among students, we focused on low-income students with at least one additional risk factor for food insecurity because these students would likely meet the income threshold for SNAP eligibility and have an additional risk factor that could put them in need of food assistance. Our analysis of 2016 NPSAS data identified about 5.5 million low-income students with at least one additional risk factor for food insecurity and found that about 59 percent of these students (3.3 million) reported being enrolled at least half time and meeting a SNAP student eligibility exemption. About 1.8 million of these low-income students with an additional risk factor reported meeting a student exemption and also that they were not receiving SNAP benefits. In other words, among potentially SNAP eligible low-income students with at least one additional factor for food insecurity, 57 percent did not report participating in SNAP in 2016 (see fig. 2).", "About one-quarter of the 5.5 million low-income students with at least one additional risk factor for food insecurity did not meet any of the student exemptions we could identify in the NPSAS data and reported that they did not receive SNAP benefits. These students would likely be ineligible to participate in SNAP unless they begin meeting one of the student eligibility exemptions in the future, such as working 20 hours per week."], "subsections": []}]}, {"section_title": "Selected Colleges Are Using a Range of Approaches to Address Student Food Insecurity", "paragraphs": ["The 14 selected colleges we contacted are addressing student food insecurity in three main ways: by educating faculty, staff, and students; by providing students free food and emergency assistance; and by centralizing and coordinating their student services and helping students apply for federal and state benefits. Officials at 9 of these colleges said that they viewed student food insecurity as part of students\u2019 increasing inability to meet their basic needs as a result of the decreasing affordability of higher education or the high cost of living. This sentiment was echoed by selected students we spoke with during discussion groups (see text box).", "All of the colleges we contacted have implemented on-campus initiatives to combat students\u2019 food insecurity with the goal of improving their student outcomes, such as retention, completion, and loan repayment rates. As one community college official told us: \u201cWe have come to realize that we can\u2019t address retention and completion without addressing students\u2019 basic needs.\u201d See figure 3 for the range of initiatives the 14 colleges we contacted were taking to address food insecurity among college students on their campuses.", "Educating the campus community. Officials at several of the selected colleges told us that many administrators, faculty, staff, and students on their campus are unaware that students experience food insecurity, which hinders their college\u2019s efforts to address the issue (see text box). At all 14 colleges we contacted, officials said they are educating their campus community about available resources, both on campus and off, to address student food insecurity.", "All of the 14 colleges we contacted also educate their students about the resources available to address food insecurity in a variety of ways, such as by providing information during student orientations, on flyers and pamphlets, or through social media and text messages. Eight of the 14 colleges we contacted hold trainings or distribute information to faculty and staff about the on-campus and community resources available to students. Nine of these colleges have created supplemental or for-credit courses on topics such as financial literacy or cooking and nutrition. For example, one college we visited runs a workshop for first-year students on writing a spending plan and a food budget. At several of the selected colleges, faculty members include blurbs about basic needs-related resources, such as campus food pantries, in their syllabi.", "Providing food and emergency financial assistance. All of the 14 colleges we contacted address student food insecurity by providing students free food and most provide students emergency financial assistance. Nationwide, the College and University Food Bank Alliance has reported that at least 656 colleges have or were developing food pantries as of September 2018. Each of the 14 colleges we contacted had a food pantry, with 7 having started their pantry in the past 5 years.", "According to college officials, individual faculty and staff members are often first to identify food insecurity as a campus concern and provide food to students. For example, officials at several of the colleges we contacted traced the origins of their college\u2019s food pantry to a drawer of food a faculty or staff member kept in their office for students, or to a professor who brought jars of peanut butter or bagels for any student who wanted one.", "The college food pantries we visited varied in terms of their size and location, which can depend upon the space available on campus. For example, some pantries we visited consisted of only a couple of shelves of non-perishable items, while others spanned multiple rooms containing refrigerators and freezers. Directors at four of the selected food pantries said that student need was great enough to support expanding the food pantry, but that they had been unable to expand because space on campus is at a premium (see text box).", "Several pantries also had separate sections providing students personal health items and clothing and offered auxiliary services, such as information about cooking, food budgeting, or SNAP enrollment (see fig. 4 for pictures of some of the college food pantries at selected colleges).", "Officials at 11 of the selected colleges we contacted said that a major barrier they face is overcoming the stigma some students associate with accepting help for their basic needs, such as using the food pantry (see text box). Concern about this stigma led at least 3 of the colleges we contacted to place their food pantry in a less-public area of campus to address students\u2019 privacy concerns. In contrast, 3 other colleges we contacted centrally located their food pantry to advertise its existence and normalize its use. One college president we spoke with said that \u201cuntil normalized and pulled it to the center of campus, it was underutilized,\u201d and stated that moving the food pantry to the center of campus quadrupled its use.", "Officials at 9 of the 14 colleges we contacted reported that their campus food pantry had seen an increased number of users over time as the student body became aware of this resource. One student we spoke with said that his college\u2019s food pantry was his only source of food, while another estimated that the food pantry allowed him to save about $100 per month on food.", "Officials at 10 of the 14 selected colleges we contacted told us they partner with national organizations or campus dining services or both to try to respond to the needs of students who might be experiencing food insecurity. For instance, public colleges in California receive state funding to incentivize them to address student food insecurity in a variety of ways, including by establishing campus food pantries, providing information to students about SNAP benefits, and establishing meal point donation programs. Two California colleges we contacted were working with a national organization to set up a meal point donation program. One college in another state we visited included in their contract with their private dining services vendor funding for several initiatives, such as a campus-wide survey of student food insecurity, on-campus farmer\u2019s markets, and a learning kitchen that teaches students hands-on cooking skills. Additionally, 2 of the colleges we contacted are working to have SNAP benefits accepted at campus markets.", "Beyond providing students with free food, officials at 12 of the 14 colleges we contacted said that their college makes emergency cash assistance available to students through small loans, grants, or grocery store or gas station gift cards. These emergency funds are intended to help students pay bills for one-time financial emergencies, such as buying groceries or paying for a car repair or a utility bill. One community college we visited directly ties this assistance to its retention efforts, providing a one-time amount of up to $500 for students judged to have sufficient need and who are likely to remain in school if the bill is paid.", "Centralizing and coordinating student services and access to benefits. Officials at many of the colleges we contacted told us they have centralized their student support and financial aid services, among others, and several have introduced a case management approach to better collaborate across departments and more efficiently and holistically address their students\u2019 basic needs (see text box). Of the 14 colleges we contacted, 8 had centralized some or all of their student services. For example, one community college we visited has co-located many of its student services\u2014including its financial aid, academic counseling, payroll, food pantry, veterans\u2019 services, and women\u2019s resource center, among others\u2014around a central hub of the student union. Students visiting this central hub may be assigned a caseworker to connect them with the on- campus, community, state, and federal benefits for which they are eligible. Officials at a few of the colleges we contacted said that centrally locating student services also helped faculty and staff by providing a single point of contact to refer students. One official said that she tells faculty and peer mentors: \u201cIf you see a student in any kind of distress at all\u2014mental health, hunger, homelessness, anything\u2014send them to us.\u201d She added that it is too much to ask faculty to figure out which office or official to send students to for specific concerns.", "Officials at 8 of the 14 colleges we contacted told us their campus has established a coordinated benefits access program or is actively screening students for potential eligibility for, and helping them enroll in, federal and state benefit programs like SNAP, WIC, Medicaid, and the Earned Income Tax Credit. For example, one community college we contacted had a staff member build a statistical model to analyze the college\u2019s existing data on first-time students, such as data on students\u2019 household income, demographics, and course enrollment, to identify students at risk of not returning to college and to provide these students, their professors, and their faculty advisors with information about on- campus resources. Officials at one college we visited told us the campus hosts weekly clinics with county SNAP eligibility analysts to screen students for SNAP eligibility and help them apply for benefits. At a community college system we visited, the administration told us they were working with the state SNAP agency to identify which students were receiving SNAP benefits and they plan to send targeted information on SNAP to those potentially eligible students not receiving benefits.", "Officials at three of the colleges we contacted said that their college was purchasing software that creates a centralized portal where faculty and staff can share information about a student\u2019s situation with student support providers so they can better provide help. For example, at a college we visited that is using such software, officials said that a professor might note in the centralized portal that an at-risk student was either failing or not attending a class, and that student would be flagged in the portal to notify academic advisors, counselors, and other college staff who can direct the student to the on-campus resources they may need, such as the food pantry or help in completing a SNAP application."], "subsections": []}, {"section_title": "While SNAP Can Supplement Other Federal Aid for Some Low-Income Students, FNS Does Not Share Key Information to Help States Better Leverage SNAP to Assist Students", "paragraphs": [], "subsections": [{"section_title": "Federal Programs Are Limited in the Extent to Which They Can Address the Needs of College Students Experiencing Food Insecurity", "paragraphs": [], "subsections": [{"section_title": "Federal Student Aid Generally Does Not Cover All College Costs for Low-Income Students", "paragraphs": ["Federal grant aid is available to help low-income college students and their families pay for college, but for many students, the maximum amount of grant aid available to them does not cover all of the costs associated with attending college. Officials from many of the organizations we interviewed said that the federal Pell Grant Program for low-income college students was a major source of financial support for these students, but that it does not cover the full cost of college attendance for many students, and particularly for those at 4-year colleges or in areas with high costs of living. Most low-income students also work while attending college. Despite this, several college officials we interviewed told us that the gap between the amount of financial aid available and what it costs to attend college is continuing to grow. One financial aid director told us that students used to be able to pay for groceries or rent with some of their financial aid \u201crefund\u201d money (that is, financial aid funds refunded to a student after tuition, fees, and other school charges are paid, which can be used to pay for other education and living expenses); however, he said students rarely receive a refund any more. According to data from Education\u2019s National Center for Education Statistics, the average Pell Grant used to cover more of the cost of college than it does today. For example, about 40 years ago\u2014 soon after the Pell Grant Program was established\u2014the average award covered about 50 percent of the average cost of in-state tuition, fees, room, and board at public 2-year colleges, and 39 percent at public 4- year colleges. Today, the average Pell Grant award amount covers just 37 percent of these costs at public 2-year colleges, and 19 percent at public 4-year colleges. Federal Work-Study Program employment opportunities may be available to qualifying students, but several officials we interviewed noted that funding for this program is extremely limited, especially at community colleges where there are more students at risk of food insecurity.", "When grant funds and student earnings are insufficient to cover the full cost of college, students can take out federal student loans to make up the difference. Officials at a national association of community colleges and at a few colleges we visited told us that low-income students often use federal loans to help them pay for basic living expenses\u2014such as food or rent. While these loans can be helpful for some students who need additional funds to support themselves while in college, officials at a few community colleges also cautioned that loans may not be the best choice for all students, and may worsen the financial position of already vulnerable students. For example, at one 4-year college we visited, the financial aid director said that many of their students have reached their maximum federal lifetime loan limit (see text box for an example). He also noted that graduates have, on average, $25,000 of student loan debt. He said his college has historically trained its students for public sector careers, e.g., teachers or counselors, and he worries that salaries in these professions will not allow graduates to repay this amount of student loans."], "subsections": []}, {"section_title": "College Students Have Limited Access to Federal Food Assistance Programs", "paragraphs": ["Given the limitations of federal student aid funding, officials from several organizations we interviewed spoke about the importance of leveraging other federal benefits, such as food assistance programs, to help address the needs of college students experiencing food insecurity. According to research on the effect of SNAP benefits, these benefits can provide some help to students, although they may not completely eliminate their food insecurity. However, college students have limited access to several key federal food assistance programs that could help address some of their needs. For example, several college officials we spoke with noted that many low-income students received federally subsidized free or reduced price lunch while in elementary and secondary school, but a comparable program does not exist for college students, even though many face the same level of need. In addition, many college students are prohibited from receiving federal SNAP benefits because of restrictions on student eligibility. Several college officials told us that when students are unable to meet one of the student exemptions for SNAP benefits, they will try to connect them to community resources or to the on-campus food pantry, but a few characterized these as short-term solutions to their students\u2019 problems. We also heard from officials at several colleges that students who are pregnant or postpartum may qualify for the WIC program, which provides food assistance to mothers with infants and young children; however, this program serves only a small minority of college students who may be experiencing food insecurity."], "subsections": []}]}, {"section_title": "Some State SNAP Agencies Are Assisting Potentially Eligible Students to Access SNAP Benefits", "paragraphs": ["About one-third of state SNAP agencies reported they were taking actions to inform college students about SNAP and help them access SNAP benefits. These state SNAP agencies reported assisting college students in various ways, including by developing guidance or training for state and college officials on student eligibility rules, by conducting outreach at local colleges, or by providing students with options to qualify for a SNAP student exemption by participating in employment and training services."], "subsections": [{"section_title": "Several States Are Clarifying Student Rules and Conducting Training and Outreach about SNAP Student Eligibility", "paragraphs": ["Eleven state SNAP agencies reported clarifying policy on college student eligibility to SNAP staff who determine eligibility for benefits or providing training to third-party partners to increase awareness of students\u2019 potential eligibility for SNAP. For example, in 2015 and 2017 California\u2019s state SNAP agency issued policy letters to its county offices clarifying college student eligibility rules and expanding the list of college programs that qualify a student for an exemption under the employment and training provision. Minnesota\u2019s state SNAP agency reported that it conducts technical assistance training on student eligibility issues for its caseworkers twice a year.", "State SNAP agencies also reported partnering with colleges to increase awareness of potential student SNAP eligibility or to reduce the burden of the application process for students. For example, Missouri\u2019s state SNAP agency reported that it recently began a partnership with the state\u2019s community college association to increase students\u2019 awareness of their potential eligibility for SNAP. To reduce the burden students face in applying for SNAP benefits, Rhode Island\u2019s state SNAP agency reported that its outreach partner holds regular \u201coffice hours\u201d at state community college campuses to answer questions about SNAP, screen students for potential eligibility, and assist with application completion. Officials from California\u2019s state SNAP agency stated that its county SNAP agencies periodically hold SNAP enrollment clinics on college campuses. At one time, a community college in California had a county SNAP staff member located on campus to assist their students with benefit applications.", "Finally, two of the states we visited partially fund their state higher education grants for low-income college students with some of their federal TANF block grant dollars. Because these grant recipients receive TANF benefits, they are eligible for the corresponding SNAP student exemption. For example, the California state SNAP agency issued guidance in February 2017 to all of its county offices to explain that this SNAP student exemption applies to any student who receives the state\u2019s higher-education grant for low-income students. In Massachusetts, the state SNAP agency issued similar guidance in August 2017 to state SNAP staff who determine eligibility for benefits."], "subsections": []}, {"section_title": "Some States Are Implementing Approaches that Provide Additional Employment and Training Options for Certain Students", "paragraphs": ["Some state SNAP agencies are taking steps related to the exemption for students who are enrolled in certain employment and training programs, which can be offered at 2-year colleges and other community-based organizations. Seven states reported taking steps to designate specific programs at their community colleges to qualify as employment and training programs to make it easier for students and SNAP staff who determine eligibility for benefits to identify students who could meet this exemption. In these states, according to the SNAP agency, they have determined that certain programs at community colleges qualify enrolled students for one of the student SNAP exemptions because they are programs for low-income households, aimed at employment, and run by a state or local government.", "According to FNS, state SNAP agencies have the authority to decide which programs would qualify enrolled students for this exemption, and several states have identified qualifying programs at community colleges in their state. Students in these designated community college programs who attend at least half time and do not meet one of the other student exemptions can be eligible for SNAP under this provision if they meet all other eligibility criteria. In 2010, Massachusetts\u2019 state SNAP agency began using a dedicated form that provides community college students in these state-designated employment and training programs support for their SNAP application. According to officials at the state SNAP agency, this form has helped to streamline the application process for both students and state SNAP agency staff who determine eligibility for benefits.", "Other states are developing opportunities for students to meet the employment and training exemption through partnerships with the states\u2019 SNAP Employment & Training (E&T) programs. Twenty-four state SNAP agencies reported that they have implemented a third-party partnership with at least one community college to deliver SNAP E&T program services on campus. Under these state SNAP E&T program partnerships, the state SNAP agency works with community colleges to enroll SNAP recipients in programs that are designed to increase the employability of the participant. One FNS official told us that state SNAP E&T programs were an ideal way to provide college students who qualify for SNAP benefits with additional services and support, such as counseling or transportation assistance, and that they can help students persist in their community college program and ultimately improve their self-sufficiency.", "According to FNS, state agencies can enroll individuals in these SNAP E&T programs in one of two ways. A SNAP recipient may enroll in the designated community college training program affiliated with the state\u2019s SNAP E&T program, which allows them to continue receiving SNAP benefits even if they attend the program more than half time. Or, the community college partner can refer individuals already enrolled at the college to the state SNAP agency to determine if they are eligible for state SNAP E&T program services\u2014a process known as a \u201creverse referral.\u201d In the case of a reverse referral, individuals who are enrolled in certain training programs and who are experiencing food insecurity may be able to qualify for a student exemption to receive SNAP, as well as additional services through state SNAP E&T programs. According to Washington\u2019s state SNAP agency, SNAP E&T programs operate at all 34 community colleges in the state, and have served approximately 20,000 students each fiscal year since 2015. A senior program official at Washington\u2019s state SNAP agency told us that the vast majority of incoming community college students in Washington are screened for potential eligibility and reverse referral into the state\u2019s SNAP E&T program services."], "subsections": []}]}, {"section_title": "College and State Officials Reported That FNS Does Not Share Key Information That Could Help Them Assist Students Experiencing Food Insecurity", "paragraphs": ["At 9 of the 14 colleges we contacted, some officials and students we spoke with indicated that they either did not know about or found it difficult to understand the SNAP student rules. For example, in a student discussion group at one community college, some students said they were uncertain about how SNAP student rules applied to them when they lived with their parents but received no financial support or food from them. Officials at another college told us that many students are not even aware of or do not realize that the SNAP student rules apply to them. In a student discussion group we held at another college, some students told us that they had been unaware that they may be eligible for SNAP until they spoke to someone at their college. Further, we found college officials may also have difficulty understanding SNAP student rules\u2014for example, officials at one college said that they believed that college students are not eligible for SNAP. College officials can be an important source of information for students regarding SNAP, but this can create barriers to access if college officials do not have the correct information. For example, at one college we visited, two students said they were misinformed by officials at their college or their state SNAP agency about their potential eligibility for SNAP.", "Officials we met with at three colleges said that they would like information from FNS about college student eligibility rules so they can help educate and enroll students in SNAP, but FNS has not developed such targeted information to distribute to colleges and students. Officials at one college said they requested information from FNS to distribute to students, but the general SNAP eligibility brochure FNS provided did not reference college student eligibility requirements. A senior FNS official said developing printed materials expressly explaining the college student eligibility requirements is primarily a state agency responsibility, and that information about this topic was available on the FNS website. However, we found that the information specifically related to college student eligibility requirements on the FNS website was not easy to find. For example, the main webpage of FNS\u2019s SNAP eligibility website lists the special circumstances under which certain specific populations may be SNAP eligible, but it does not include college students nor does it link to the webpage listing the student exemptions. Further, the webpage containing information on SNAP for college students restates the list of student exemptions from the regulations, using legal and technical language that is not always easy to understand. For example, the webpage states that students \u201cmay be able to get SNAP benefits if otherwise eligible, and they \u2018get public assistance benefits under a Title IV-A program of the Social Security Act.\u2019\u201d Many college officials and students may not realize this refers to TANF benefits. In addition, the website does not list being \u201cnot physically or mentally fit\u201d (e.g., having a disability) as one of the ways to qualify for a student exemption, nor does it provide information relevant to how students may qualify for an exemption because they are assigned to or placed in certain employment and training programs.", "A senior official from the FNS national office said that college student eligibility and the student exemptions were among the most complicated SNAP policies to explain and that they frequently receive questions from the general public about how the rules apply to certain students in certain situations. This official said that because the student SNAP rules are so difficult to navigate, FNS responds to these individual questions and circumstances as they arise, rather than developing materials that could apply broadly to every situation, and that state SNAP agencies are primarily responsible for assisting students. Officials at all four FNS regional offices we spoke with said materials explaining the student rules tailored to colleges and college students would prove useful to states and colleges in their regions. While developing clear written materials about a complicated policy is challenging, Standards for Internal Control in the Federal Government states that agencies should communicate key information to their internal and external stakeholders. Further, a core activity of the SNAP program is to work with its partners to ensure that those eligible for nutrition assistance can make informed decisions about applying for the program. The lack of clear and easily accessible information on student SNAP eligibility requirements can make it difficult for potentially eligible students to make informed choices about applying for SNAP, and for colleges to develop their own materials to help potentially eligible students apply for SNAP. As a result, students could miss opportunities to obtain the additional support they may need to stay in college and graduate.", "In addition, we found that some state SNAP agencies had limited information about approaches that they could take to help potentially eligible college students who may qualify for a student exemption. Specifically, officials at four of the five state SNAP agencies and at three of the four FNS regional offices that we spoke with said that it is not entirely clear to them under which circumstances college students may be eligible for a student exemption if they are enrolled in a qualifying employment and training program run by a community college. State SNAP agency officials in four of the five states, as well as officials in three of the four FNS regional offices, told us that they would like more information from FNS about how to implement the approach some state SNAP agencies are taking to help college students who may qualify for an employment and training exemption access SNAP. One state SNAP agency official said that she believes that the lack of guidance and leadership from FNS on this issue leaves many state SNAP agencies operating with uncertainty, and, as a result, many of them do not take any actions to identify those college students who may qualify for an employment and training exemption under SNAP rules.", "Several of the FNS regional office officials we interviewed agreed that the FNS national office was uniquely positioned to collect and share information about potential approaches that states are using to implement the student exemption for employment and training programs so that other states could also consider using such approaches to assist low- income college students who may qualify. Officials at one FNS regional office said that an FAQ-type document on college student eligibility scenarios would be helpful. At the same time, a few FNS regional office officials said that the national office is cautious about developing information for all states when each state\u2019s SNAP program operates slightly differently. According to FNS national office officials, FNS issued the most recent document discussing general SNAP eligibility for students in August 2010. This document explained that certain employment and training services provided by a state or local government may qualify a student for a SNAP student exemption. In November 2016, six federal agencies including USDA (on behalf of FNS) released an interagency letter, Aligning Federal Supports and Program Delivery for College Access and Completion, that includes information from FNS related to general student eligibility for SNAP.", "However, neither of these documents included specific strategies or examples of approaches states have used or can use to help potentially eligible college students access SNAP benefits. Standards for Internal Control in the Federal Government states that agency management should internally communicate the necessary information to achieve the program\u2019s objectives. In addition, part of the role of the FNS national office is to work with its partners, including its regional offices and the state SNAP agencies, to improve program administration and ensure access to benefits for eligible individuals. FNS officials told us FNS has several existing mechanisms for information sharing with the regional offices and the state SNAP agencies, including policy memos, webinars, and annual conferences. However, a senior FNS official told us that she was not aware of any plans to share additional information with state SNAP agencies or regional offices on this topic, noting that college students are a relatively small population compared to other SNAP recipients. As a result, state SNAP agencies may not be aware of approaches other states have used that they could take to assist college students experiencing food insecurity in accessing SNAP benefits, and FNS may not be fulfilling its role to ensure program access for college students who are eligible.", "In addition to noting how complicated the college student SNAP eligibility rules are, most state higher education and SNAP policy organization officials we interviewed remarked that the student exemptions can make it challenging for many students who are food insecure to obtain SNAP benefits that could help them succeed in college. Specifically, a few researchers and state higher education officials said the eligibility restrictions were instituted when college students were generally from higher-income households, whereas many students enrolled in college today are from low-income households. Several higher education officials and one researcher noted that when a student qualifies for a student exemption by working 20 hours a week, it can have a detrimental impact on college completion. For example, research has shown that full-time college students who work more than 15 hours a week or who reduce their college course load and attend part time in order to increase their work hours are less likely to complete their degree or educational program.", "At the same time, FNS officials and officials at one state SNAP agency stressed the importance of having proper controls in place to prevent certain students from improperly receiving benefits. A senior FNS official noted that the college student restrictions were established to prohibit traditional college students who are supported by their parents from receiving SNAP benefits. This official said that the student eligibility rules should ensure that middle-class and wealthy students do not access SNAP while attending college. Further, officials at a few organizations and one state SNAP agency we interviewed expressed support for some of the student exemptions, such as the exemption for college students who work 20 hours per week."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The federal government invests billions of dollars annually in higher education through grants and loans to low-income students. Partially as a result of this investment, a college education is accessible to more low- income Americans than ever before. Despite this federal support, many low-income college students struggle to meet their basic needs, including obtaining the food that they need, and may drop out of college as a result. SNAP can be an important source of support for low-income students, although it may not completely ameliorate food insecurity. However, because the SNAP eligibility requirements for college students can be difficult for students and colleges to understand, students may be unaware of or misinformed about their potential eligibility for SNAP. FNS has not made information that clearly explains student SNAP eligibility requirements easily accessible to students and college officials and, as a result, students experiencing food insecurity may remain unaware that they could be eligible for SNAP.", "In addition, some states are exercising existing state flexibilities to help students experiencing food insecurity to access SNAP, but FNS does not actively share this information among state SNAP agencies. By collecting and sharing information on approaches taken by state SNAP agencies active in this area, FNS could potentially help state SNAP agencies identify ways to help eligible students who are experiencing food insecurity. Better supporting these students will also help the Department of Agriculture and the Department of Education meet their respective goals and make good use of the substantial federal investment in higher education while improving the health and nutrition of individuals experiencing food insecurity."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to FNS: The Administrator of FNS should make information on their website regarding student SNAP eligibility requirements easier to understand and more accessible, as a resource for colleges and state SNAP agencies. (Recommendation 1)", "The Administrator of FNS should coordinate with its regional offices to collect and review information about existing SNAP flexibilities and examples of approaches state SNAP agencies are taking to assist eligible college students to access SNAP benefits, and share such information with state SNAP agencies. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Agriculture and the Department of Education for review and comment. The Department of Education provided technical comments, which we incorporated into the report as appropriate. On November 28, 2018, and December 7, 2018, the Directors of the FNS SNAP Program Development Division and Office of Employment and Training met with us to provide the agency\u2019s comments orally. At the December 7, 2018 meeting, FNS officials told us they partially concur with our recommendations and believe that FNS has sufficient guidance in place for states to provide further information to colleges. However, the agency agrees with the intent of GAO\u2019s recommendations and plans to review its existing guidance to determine if any improvements are warranted. We continue to believe that additional action is necessary to address our recommendations. While reviewing its existing information would be helpful, we believe that changes to FNS\u2019s existing information are also needed to improve the clarity and accessibility of information about SNAP student eligibility requirements on FNS\u2019s website, and that FNS needs to work with its regional offices to identify and share additional information about state approaches to assist eligible college students with access to SNAP benefits. In response to FNS officials\u2019 comments, we also clarified both recommendations to focus more on actions that fall under the responsibility of the FNS National Office. FNS also provided technical comments, which we incorporated into the report as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretaries of Agriculture, Education, appropriate congressional committees, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what is known about the extent of food insecurity among college students and their use of the Supplemental Nutrition Assistance Program (SNAP); (2) how selected colleges are addressing student food insecurity; and (3) the extent to which federal programs assist college students experiencing food insecurity. This appendix provides details of the data sources used to answer these questions, the analyses we conducted, and any limitations to our analysis.", "We used multiple methodologies to conduct this review. We conducted a review of academic studies based on original research to determine what is known about food insecurity among college students. We assessed the quality of these studies by evaluating their research methods and determined that the studies we included in our review were sufficiently reliable for our use. To describe the prevalence of risk factors for food insecurity among college students, we used data on student characteristics from the nationally representative National Postsecondary Student Aid Study (NPSAS). We assessed the reliability of NPSAS data by reviewing existing information about the data and the system that produced them and by interviewing agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purposes of describing the prevalence of risk factors for food insecurity among college students and students\u2019 participation in SNAP.", "To understand how selected colleges address student food insecurity, we conducted four state site visits (California, Kentucky, Massachusetts, and Michigan) selected based on whether colleges and/or state government agencies were taking steps to address food insecurity among students, and geographic diversity, among other criteria. In each state, we visited public colleges and universities, where we met with college officials, students, and researchers. We also interviewed state higher education and SNAP officials, as well as experts from relevant policy organizations. To assess federal efforts, we identified federal programs that may assist college students in need of food, interviewed officials from Education and USDA, and reviewed relevant federal laws, regulations, and agency guidance and program documents, as well as federal internal controls standards applicable to these programs.", "To understand what is currently known about the extent of food insecurity among college students, we conducted an in-depth review of studies. Our preliminary search in Scopus identified a recent systematic literature review on food insecurity on college campuses. Upon reviewing the article\u2019s scope and methodology, we chose to update rather than duplicate their efforts. We expanded the original search terms to include \u201chigher education\u201d and \u201cpostsecondary\u201d among others, and searched two additional research databases (ProQuest and Scopus) in addition to the original list of sources (MEDLINE, PSYCHINFO, and Web of Science). We identified peer-reviewed journal articles and other published research through this search. Through news reports on food insecurity and interviews with researchers, we also identified studies published up to August 31, 2018 that may not have been included in our initial review. We included studies in our review if they met the following criteria: (1) were based on research conducted and published in the United States; (2) were published since 2007; and (3) contained original, direct estimates of food insecurity rates among college students.", "We identified a total of 35 studies that met these criteria and conducted an initial review to determine if the studies met generally accepted social science standards and were appropriate for our purpose to provide information on the prevalence of food insecurity among college students. We eliminated some studies if we determined that the methods were not appropriate or rigorous\u2014specifically, we concluded that we could not report the results of four studies due to research design limitations. For instance, some studies did not fully disclose their methods, had small sample sizes, used data based on low survey response rates, or did not attempt to correct for or address potential biases in their methodology. For studies included in this report, we performed an initial in-depth review of the findings and methods, and a GAO methodologist performed a second review to confirm our reported analysis of the findings. As a result, we determined 31 studies to be of sufficient quality and we summarized the findings of these 31 studies in our report (see table 3).", "While these 31 studies are of sufficient quality to provide information on what is known about food insecurity among college students, the generalizability of their findings require significant caveats. Most of the survey results in these studies are not generalizable to a population larger than their sample size, meaning that the findings apply only to the respondents of the survey. None of the studies in our review conducted non-response bias analyses or attempted to address potential selection bias in the sample. Despite these limitations, the studies collectively offer assessments of food insecurity conducted on over 200 campuses in more than 30 states, at both 2- and 4-year schools, and all but three of the studies used adapted versions of the USDA food insecurity measure.", "We analyzed data from the Department of Education\u2019s (Education) National Postsecondary Student Aid Study (NPSAS). Because no federal datasets contain food insecurity data specifically about college students, we chose to analyze NPSAS data for the prevalence of risk factors associated with food insecurity. Additionally, we used some summary statistics from frequencies presented in the 2016 NPSAS data codebook.", "NPSAS data contain nationally representative, detailed demographic and financial aid data for college students enrolled in less than 2-year, 2-year, 4-year, and graduate postsecondary programs. These data come from institutional records, government databases, and interviews with students. Because the NPSAS data are based on probability samples, estimates are calculated using the appropriate sample weights provided which reflect the sample design. Each of these samples follows a probability procedure based on random selection, and they represent only one of a large number of samples that could have been drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Unless otherwise noted, all percentage estimates from the NPSAS data analysis have 95 percent confidence intervals within plus or minus 5 percentage points of the percent estimate, and other numerical estimates have confidence intervals within plus or minus 5 percent of the estimate itself. We compared 95 percent confidence intervals to identify statistically significant differences between specific estimates and the comparison groups. The information provided in the NPSAS data, particularly those from the interview portion of the study, are self-reported and not all of the data are based on federal determinations or cross-verified with outside sources. For example, students self-report their disability status, their hours worked, and so on. Such self-reported data are subject to several sources of nonsampling error, including the inability to obtain information about all sample cases; difficulties of definition; differences in the interpretation of questions; respondents\u2019 inability or unwillingness to provide correct information; and errors made in collecting, recording, coding, and processing data. These nonsampling errors can influence the accuracy of information presented in the report, although the magnitude of their effect is not known.", "Identification of Risk Factors for Food Insecurity In order to identify risk factors associated with food insecurity among college students, we reviewed published articles and reports on the topic of food insecurity and interviewed researchers, college and state officials, and officials at relevant policy organizations. We present the list of risk factors for food insecurity we considered in table 4. Not all of the risk factors we identified have a corresponding NPSAS variable. For example, NPSAS does not ask respondents about unmet medical needs or childhood food insecurity. Additionally some of the risk factors overlapped and were thus not included in our analysis. For example, the NPSAS dataset contains multiple variables pertaining to student and student household income, such as household income, financial aid, and receipt of public benefits. Many indicators of low-income status likely overlap (e.g., being eligible for a Pell Grant and receiving other financial aid), and many students who have one indicator will likely have others.", "Although this is not an exhaustive list of risk factors, individuals who experience one of the following seven characteristics may be at risk of food insecurity: being disabled, homeless or housing insecure, being a former foster youth, receiving SNAP benefits, being a single parent, and being the first-generation in a student\u2019s family to attend college. Table 5 shows how we compared these risk factors with corresponding variables from the 2016 NPSAS data.", "Table 5. Selected Risk Factors and Corresponding Variables in the 2016 National Postsecondary Student Aid Study Data Set Description Indicates student has some type of disability or condition.", "Includes some students who were determined by a professional to be homeless (via the Free Application for Federal Student Aid or FAFSA), but predominantly measures student- determined \u201crisk of homelessness.\u201d This is not a direct measure of homelessness.", "Indicates student is an orphan, ward of court, emancipated minor, or in legal guardianship.", "Indicates whether any member of the student\u2019s household received Food Stamp (SNAP) Benefits during the 2013 or 2014 calendar year.", "Identifies independent students who were single parents/caretakers during the 2015-2016 academic year.", "Indicates total 2014 income as a percentage of the federal poverty level thresholds for 2014. For our purposes, low income is defined as having a household income level at or below 130 percent of the federal poverty level.", "Indicates the highest level of education achieved by a parent, stepparent, or guardian of the student. Per previous Department of Education studies, we define first generation as college students whose parents\u2019 maximum educational attainment was a high school diploma or less. Note that students who did not know their parent\u2019s highest education were not counted as first generation students.", "The data are self-reported. The student may not be eligible for or receiving federal disability benefits. The data are reported by the student and their family on the FAFSA or during the student interview. National level, individual SNAP enrollment data are not available to verify this variable, as states provide aggregate statistics to FNS.", "Because our analysis does not include some of the risk factors for food insecurity listed in table 4, our findings may underestimate the number of college students who have a risk factor for food insecurity. For example, we heard in some of our interviews with researchers and in our discussions with students that being an undocumented or an international student was a risk factor for food insecurity. Such students are generally ineligible for federal financial aid and are restricted in the type of other federal aid they can receive. Undocumented students are also more likely than other students to be poor. However, NPSAS does not contain detailed data about undocumented or international students, so we could not include this risk factor for food insecurity in our analysis. The risk factors for food insecurity we included in our analysis may also be correlated with one another and can co-occur. For example, youth who were formerly in foster care are more likely than other youth to be low- income. Indeed, the prevalence of additional risk factors for food insecurity is higher among low-income than wealthier students. We did not analyze the extent to which some risk factors are more strongly associated with food insecurity than others or attempt to rank or weight the relative importance of risk factors.", "To calculate potential student SNAP eligibility, we first calculated the number of students who might qualify for SNAP based upon having a household income at or below 130 percent of the federal poverty line, which is the standard income requirement for households that do not include a member who is 60 years of age or older or disabled to qualify for SNAP benefits. Next, we analyzed NPSAS variables to identify those that corresponded with SNAP student eligibility rules. We deemed all students who met the income requirements, were enrolled in school at least half time, and met one of the student eligibility exemptions we were able to identify in the data as potentially eligible for SNAP.", "However, our analysis has limitations and does not precisely identify all students who are SNAP eligible. The 2016 NPSAS data set contains several variables that match up closely with certain student eligibility exemptions. For example, the exemptions related to age, having young dependents, working 20 hours per week, and receiving certain federal benefits have corresponding NPSAS variables (see table 6). For two of the exemptions, we used variables from the NPSAS data set that do not perfectly correspond to the statute but were the closest available proxies in the data. For the eligibility exemption that covers parents caring for a child 6-11 years old who are unable to obtain childcare to attend school and work, we identified students who have a child 6-11 years old and indicate they have no paid childcare. However, some individuals may have unpaid childcare, such as family members, and be able to work and attend school despite not having paid childcare, meaning they would not meet this SNAP student eligibility exemption. For the disability exemption, we used the NPSAS variable based on an interview question that asks students if they have a mental or physical disability. However, because of different definitions, the NPSAS disability variable may include students with disabilities who would not qualify for the SNAP student exemption related to disability. Specifically, to qualify for this SNAP student exemption, the student must not be \u201cphysically or mentally fit,\u201d, while the NPSAS interview question asks students if they have some type of disability or condition, including a long-lasting condition such as serious difficulty hearing; blindness or serious difficulty seeing; difficulty concentrating, remembering or making decisions, a serious learning disability, depression, or Attention Deficit Hyperactivity Disorder; or serious difficulty walking or climbing stairs. As a result, we may overestimate the number of students who would qualify for the student exemption related to having a disability or caring for a child age 6-11. Lastly, NPSAS does not contain a variable to capture the student eligibility exemption related to enrollment in certain programs aimed at employment, such as the Workforce Innovation and Opportunity Act or Temporary Assistance for Needy Families employment and training programs. Therefore, we could not identify any students who met this eligibility exemption for SNAP and may have therefore underestimated the number of students who were potentially eligible for SNAP.", "Additionally, SNAP eligibility for college students depends not only on income and meeting a student exemption, but also on other determinations such as the level of the individual\u2019s financial assets, including savings and any state policy waivers that may apply to the individual\u2019s eligibility. Given that our analysis relied on self-reported information, and did not capture all aspects of student SNAP eligibility, we did not make any legal determinations about whether individuals were eligible for SNAP, and therefore our analysis can be characterized as providing only a rough estimate of those students who may potentially be eligible for SNAP benefits.", "To understand how selected colleges address student food insecurity, we conducted four state site visits (California, Kentucky, Massachusetts, and Michigan). We selected these states based on the following criteria:", "Mentioned in interviews with researchers or government officials as being a state that is: actively addressing college food insecurity, or has at least one public college that is taking action to address food insecurity among college students (number of mentions).", "School or state program on hunger or food insecurity featured in research papers or policy briefs (number of mentions).", "FNS data on food insecurity rates in the state, to indicate whether food insecurity among college students might also be a problem (rank by state).", "FNS data on SNAP enrollment and participation in the state, to indicate the level of SNAP usage in the state (rank by state).", "FNS information regarding the number of SNAP waivers a state has received, as a proxy for SNAP policy activity in the state (rank by state).", "We also sought geographic diversity in our site visit states. To achieve this, we created summary rank ordering of states based upon our criteria, then, from those states that ranked in the top 15, we selected one state from the Northeast, South, Midwest, and West census regions. Some of our criteria were purely qualitative in nature, such as information from interviews, research papers, and policy briefs regarding states and colleges with promising practices. Our site visit selection focused specifically on states and colleges with documented activity addressing college student food insecurity, and is therefore biased toward those that had taken action to address college student food insecurity. Our selection strategy did not capture situations where there was high food insecurity among students but the college or state was taking no action to address it, nor did we seek to identify or visit locations where food insecurity had not been identified as a problem. In addition to our site visits, we conducted interviews with officials from one college in Texas and one college in Ohio to learn about specific campus food insecurity initiatives in these states.", "In each site visit state, we visited several colleges that were taking action to address food insecurity among their student populations, selected based on recommendations from researchers and college officials. We also considered geographic proximity when selecting colleges to visit. Overall, we spoke with officials representing 14 2- and 4-year public colleges (12 in-person and 2 telephone interviews). In each of our site visit states, we visited at least one large public university and one community college. See table 7 for a list of the 2- and 4-year colleges we interviewed in each state.", "At colleges, we asked members of the leadership team, financial aid officers, student affairs administrators, and other staff members questions about how they recognize, measure, and address college student food insecurity. We also conducted discussion groups with students at seven colleges we visited and asked about their experiences with food insecurity and federal assistance programs, such as SNAP. Students were invited by college officials to participate in these meetings. In each state we visited, we also met with officials from the state agencies that administer SNAP and any state governmental agencies, such as those overseeing higher education or involved in addressing food insecurity among college students. Lastly, in each site visit state, we identified and interviewed staff members at policy organizations, such as legal policy institutes or hunger advocacy groups, involved in efforts to address food insecurity among college students.", "Assessing Federal Efforts to Address Food Insecurity We assessed the extent to which federal programs assist college students experiencing food insecurity by reviewing relevant federal laws, regulations, and agency guidance and program documents related to specific SNAP requirements for college students and we interviewed FNS national office officials, including representatives of the Divisions of SNAP Program Development, Employment and Training, and Retailer Policy. We also interviewed FNS regional office officials in four of the seven FNS regions about their experiences working with the FNS national office and with state SNAP agencies in their regions to address college student food insecurity and access to SNAP.", "We also sent an email to all 51 state SNAP agency directors (all 50 states plus the District of Columbia) to ask about any actions their state has taken to address college student food insecurity. We received responses from 50 of the 51 state SNAP agencies, for a 98 percent response rate. This email inquiry was conducted in March and April 2018 and may not include all state actions that have occurred since April 2018.", "We conducted in-depth interviews with officials at five state SNAP agencies and asked about any specific policies or actions their agencies have taken to address college student food insecurity or to assist potentially eligible college students to access SNAP. We conducted these interviews in person with state SNAP agencies during our four state site visits, and interviewed the Washington state SNAP agency by phone.", "We conducted this performance audit from July 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michelle L. St. Pierre (Assistant Director), Nora Boretti (Analyst-In-Charge), Jessica K. Rider, and Stephen C. Yoder made significant contributions to this report. Also contributing to this report were Holly A. Dye, Barbara J. El Osta, Sarah C. Gilliland, Alison E. Grantham, Gina M. Hoover, Saida B. Hussain, Sheila R. McCoy, John W. Mingus Jr., Mimi Nguyen, Monica P. Savoy, Benjamin A. Sinoff, Almeta Spencer, Rachel R. Stoiko, Elaine L. Vaurio, and David A. Watsula."], "subsections": []}]}], "fastfact": ["Many college students may not have enough to eat\u2014but nobody knows exactly how many. Studies show a range of estimates, but none of the 31 we reviewed provided a national estimate. We also looked at student use of the Supplemental Nutrition Assistance Program. Of the 3.3 million students who were potentially eligible in 2016, less than half said they participated.", "Colleges have responded to student hunger by opening food pantries and helping students understand complicated SNAP rules.", "We recommended the Food and Nutrition Service clarify the rules and share information on how states help eligible students use SNAP."]} {"id": "GAO-19-145", "url": "https://www.gao.gov/products/GAO-19-145", "title": "Army Corps of Engineers: Information on Shellfish Aquaculture Permitting Activities", "published_date": "2019-02-21T00:00:00", "released_date": "2019-02-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Entities undertaking shellfish aquaculture activities (i.e., the breeding and harvesting of oysters, clams, and mussels) may need to submit an application to the Corps in certain circumstances for authorization to conduct these activities. The Corps authorizes such activities using various permits, as long as the activities comply with various environmental and other laws.", "GAO was asked to review the Corps' process for authorizing shellfish aquaculture activity in U.S. coastal waters. This report describes, for 2012 through 2017, (1) the number and outcomes of the applications the Corps received for shellfish aquaculture activities and the types of permits the Corps used to authorize such activities, and (2) the experiences of permit applicants in selected districts in seeking Corps' authorization for their shellfish aquaculture activities.", "GAO reviewed laws and permitting documents and analyzed data on the number, outcomes, and types of permits the Corps used for 2012 through 2017 from the Corps' permitting database and assessed its reliability. GAO also reviewed detailed information from a non-generalizable sample of 15 permit applications and interviewed the applicants and Corps officials from four Corps districts, selected to reflect variation in geographic location and shellfish activity; the information from the four districts is not generalizable to other Corps districts."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Army Corps of Engineers (Corps) authorized most (87 percent) of the 3,751 shellfish aquaculture applications it received from 2012 through 2017, according to Corps data. Of the 19 Corps districts that have coastal waters within their geographic areas of responsibility, 17 districts received and authorized applications. The majority of those districts (13 of 17) authorized applications using Nationwide Permit 48, a type of permit intended to streamline the authorization process for shellfish aquaculture activities. Additionally, districts may add conditions to nationwide permits or develop region-specific permits to address state or regional environmental concerns. Of the four districts GAO reviewed in detail, two districts added regional conditions applicable to Nationwide Permit 48, such as prohibiting shellfish activity within submerged aquatic vegetation beds or saltmarshes.", "The 15 permit applicants from the four districts GAO reviewed had mixed views on their experiences with seeking authorization for their shellfish aquaculture activities. For example, 10 applicants across the four districts described the length of time to authorize their activities\u2014ranging from 1 day to about 4 months\u2014as reasonable, with several applicants indicating the Corps was efficient in reviewing their applications. In contrast, five applicants from three Corps districts said that the amount of time it took for the Corps to authorize their shellfish aquaculture activities\u2014ranging from 18 days to about 8 months\u2014was unreasonable. Corps officials from the four districts indicated they have taken some steps to help reduce authorization review time. For example, the four districts took steps to more efficiently conduct reviews under the Endangered Species Act. This has in turn helped reduce the Corps' time frames for issuing authorizations, according to Corps officials GAO interviewed. For instance, officials from one district said their review time declined from over 30 days to 1 to 2 days as a result of the change in the review process."]}], "report": [{"section_title": "Letter", "paragraphs": ["Shellfish aquaculture\u2014the breeding, rearing, and harvesting of oysters, clams, and mussels\u2014plays a vital role in supplying commercial seafood, supporting jobs in coastal communities, and contributing to healthy ecosystems. In 2016, U.S. shellfish growers produced 37 million pounds of oysters, 10 million pounds of clams, and 900,000 pounds of mussels at an estimated value of $340 million, according to a National Oceanic and Atmospheric Administration (NOAA) report. With a trade deficit in seafood, there has been growing interest in expanding U.S. seafood production, including generating new opportunities for shellfish aquaculture across U.S. coastal waters. In 2011, NOAA established a National Shellfish Initiative in partnership with shellfish growers and others to increase shellfish populations through commercial production and conservation activities. Following the launch of the National Shellfish Initiative, several states developed state initiatives to further promote shellfish aquaculture production.", "Shellfish aquaculture activities often involve a complex regulatory path. Various local, state, tribal, and federal requirements may apply to aquaculture activities. For example, state and local authorities may require licenses, aquatic leases, and food safety provisions, among other things, for commercial aquaculture activities. At the federal level, the U.S. Army Corps of Engineers (Corps), under section 10 of the Rivers and Harbors Act of 1899 and section 404 of the Clean Water Act, issues permits respectively for activities affecting navigable waterways and discharges of dredged or fill material into waters of the United States, which can include shellfish aquaculture activities in coastal waters. The Corps authorizes activity under these permits subject to, among other things, a determination that a regulated activity is not contrary to the overall public interest, including consideration of compliance with other applicable federal laws, such as the Endangered Species Act and the National Environmental Policy Act. Entities who wish to undertake shellfish aquaculture activities may need to submit an application to the Corps for written authorization to conduct such activities under permits issued by the Corps.", "You asked us to review the Corps\u2019 process for authorizing shellfish aquaculture activity in U.S. coastal waters. This report describes, for 2012 through 2017, (1) the number and outcomes of the applications the Corps received for shellfish aquaculture activities and the types of permits the Corps used to authorize such activities, and (2) the experiences of permit applicants in selected districts in seeking Corps authorization for their shellfish aquaculture activities.", "To conduct our work, we reviewed relevant federal laws, regulations, and Corps documents on permitting, and interviewed officials from Corps headquarters. We also selected a non-generalizable sample of four Corps districts for a closer examination of the nature of shellfish aquaculture activities and the types of permits used by districts to authorize such activity. The four districts were Baltimore, New Orleans, Norfolk, and Seattle. We selected these districts based on several factors, including geographic region, the commercial value of shellfish cultivated, and the type and level of shellfish aquaculture activity authorized by the Corps. We conducted site visits from July 2017 to March 2018 to each of the four Corps districts to observe aquaculture activities and learn about the types of permits the districts use to authorize shellfish aquaculture activities. During our site visits, we interviewed state agency officials in Maryland, Louisiana, Virginia, and Washington involved in permitting at the state level to learn about state permitting requirements and coordination with the Corps districts on various aspects of shellfish aquaculture permitting. We also interviewed other stakeholders such as federal agencies involved in permitting activities, including regional officials from the Department of the Interior\u2019s U.S. Fish and Wildlife Service and NOAA\u2019s National Marine Fisheries Service, within the Department of Commerce. The information we obtained from the four districts and stakeholders is not generalizable to other Corps districts or stakeholders but illustrates the variation in the Corps\u2019 shellfish aquaculture permitting at the district level.", "To examine the number, outcomes, and types of permits the Corps used to authorize shellfish aquaculture activity, we obtained and analyzed data from the Corps\u2019 permitting database: the Operations and Maintenance Business Information Link Regulatory Module 2. Specifically, we analyzed nationwide data on shellfish aquaculture applications submitted to Corps district offices with a decision date from January 1, 2012, through October 26, 2017, which were the most recent data available at the time of our review. These applications covered various types of shellfish aquaculture activities, including commercial operations, as well as oyster reef restoration activities. For all Corps districts, we analyzed the number of applications received, authorized, withdrawn, or denied, and under which type of permit an application was submitted to the Corps. We took steps to determine the reliability of the Corps\u2019 permitting data, including comparing the data to the administrative files for three to five randomly selected applications from four districts we reviewed. We also reviewed agency guidance on data entry and interviewed agency officials knowledgeable about the Corps\u2019 permitting data, including officials from the four districts and headquarters. Based on these steps, we found the data to be sufficiently reliable to provide nationwide and district-level summary information on applications, authorizations, and the types of permits the Corps used during the period of our review.", "To determine the experiences of permit applicants in selected districts in seeking Corps authorization for their shellfish aquaculture activities, we randomly selected 15 applications submitted by different applicants during the time period of our review to the four Corps districts in our review. We reviewed the documents included in the Corps\u2019 administrative files and conducted semi-structured interviews with each of the applicants and Corps officials responsible for reviewing these applications about their experiences with the application process. We then analyzed and categorized the interview responses based on common themes that we identified across the interviews. The information we obtained from the permit applicants and Corps officials we interviewed is not generalizable to other applicants, but illustrates the types of experiences permit applicants in the four districts had in seeking authorization for their shellfish aquaculture activities. We also interviewed Corps officials in the four districts and headquarters to identify any steps the Corps has taken to address difficulties raised by the permit applicants and reviewed documentation related to these steps. Appendix I presents a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from June 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to NOAA documentation on domestic aquaculture production, shellfish aquaculture represents a large and growing segment of seafood production in the United States, with aquaculture operations present in all coastal regions of the United States (see table 1). The economic value of shellfish varies based on factors such as market, location, and species. For example, one species of clam, the geoduck\u2014a large saltwater clam found in the Pacific Northwest\u2014has sold for as much as $100 per pound in the Asian market, where it is valued as a luxury food.", "NOAA and scientific research have recognized the role that shellfish aquaculture can play in supporting healthy coastal ecosystems. For example, scientific research has shown that the filter feeding activity of oysters can help improve water clarity and quality by reducing concentrations of suspended materials such as algae. Additionally, research has demonstrated that oyster reefs can serve as natural breakwaters that may protect shorelines against damage from wind, waves, and flooding. In contrast, some effects of shellfish aquaculture are less well known or understood. For instance, there are knowledge gaps of the effects that aquaculture activities may have on submerged aquatic vegetation, according to NOAA reports.", "Geoduck clams are the world\u2019s largest burrowing clam, generally weighing between 1 and 3 pounds, with a shell length that can exceed 7 inches. Geoducks can be found in the wild in the Pacific Northwest, and growers in Washington State have cultivated geoducks through aquaculture on a commercial scale since the 1990s. Washington State produced about 90 percent of farmed geoducks globally in 2013, according to a report by the University of Washington. In Asian markets, geoducks are sought-after in high-end seafood restaurants where they can be prepared for cooked or raw consumption.", "In general, commercial growers cultivate shellfish by two methods: on the bottom of coastal waters, or in the water column, which extends from the surface to the bottom of those waters. Commercial growers harvest oysters and clams grown on the bottom of waters by hand or by mechanical means such as dredging, raking, or other tilling activities. Commercial growers who cultivate shellfish within the water column generally grow them in racks or cages suspended in the water (see fig. 1). Growers use different methods of cultivation depending on the target commercial market, the environment for cultivation, and the need to protect the shellfish from predatory species such as fish or crabs.", "Shellfish aquaculture activities can be subject to various requirements at local, state, tribal, and federal government levels. For example, local authorities in the county, town, or other jurisdiction where shellfish activities are planned may require a shellfish grower to ensure compliance with local policies before commencing cultivation activities. In addition, some states have specific regulations that apply to shellfish aquaculture activities. These can include, for example, a certification that aquaculture activities meet state water quality standards, or a requirement that the activities are covered by an aquatic lease. Treaties grant certain tribes the rights to a portion of shellfish harvest in a particular area.", "At the federal level, a shellfish grower may need authorization from the Corps to undertake shellfish aquaculture activities. The Corps is responsible for ensuring compliance with Section 10 of the Rivers and Harbors Act of 1899, which requires authorization for structures in or work affecting navigable waters of the United States, or both, that could interfere with navigation. Structures used in shellfish aquaculture activities may include buoys, floats, racks, nets, and lines. The Corps is also responsible for ensuring compliance with section 404 of the Clean Water Act, which requires authorization for the discharge of dredged or fill material, or both, into waters of the United States. Shellfish aquaculture activities such as seeding, rearing, cultivating, transplanting, and harvesting shellfish may affect waters of the United States, and the Corps reviews these activities in accordance with applicable laws and regulations.", "Nineteen Corps districts have coastal waters within their geographic areas of responsibility and therefore may authorize shellfish aquaculture activities (see fig. 2). Under the direction of eight regional division offices and headquarters, the district offices are responsible for reviewing, authorizing, and ensuring appropriate levels of coordination for shellfish aquaculture activities in their districts.", "In authorizing shellfish activities, the Corps must implement various legal requirements, which may entail consulting or coordinating with other federal agencies, states, tribes, the public, and other parties. These legal requirements include:", "National Environmental Policy Act. Under the act, the Corps generally must evaluate the potential environmental effects of projects proposed for approval (e.g., by permit), such as shellfish aquaculture activities, by preparing either an environmental assessment or a more detailed environmental impact statement.", "Endangered Species Act. Under section 7 of this act, if a proposed Corps action may affect a listed species or designated critical habitat, formal consultation is required with the U.S. Fish and Wildlife Service or the National Marine Fisheries Service. The Corps may also undertake programmatic consultations with these agencies, which generally combine reviews for similar activities into one consultation.", "Magnuson-Stevens Fishery Conservation and Management Act.", "Under this law, the Corps must consult with the National Marine Fisheries Service if a proposed federal action may adversely affect essential fish habitat that a regional fisheries management council has identified.", "National Historic Preservation Act. Under section 106 of the act, the Corps must take into account the effects of shellfish aquaculture activities on historic properties and afford the Advisory Council on Historic Preservation a reasonable opportunity to comment on such activities. The Corps must also consult with the relevant state or tribal historic preservation officer, as appropriate.", "The Corps uses different types of general and individual permits to authorize a wide range of activities, including shellfish aquaculture activities, as shown in table 2.", "In some cases, if an entity\u2019s shellfish aquaculture activities comply with the terms and conditions laid out in a general permit, then the entity may undertake the activities without written authorization from the Corps. In such instances, according to its permitting guidance, the Corps would consider those activities to be authorized under the specified general permit.", "In other cases, however, entities who wish to undertake shellfish aquaculture activities under a general permit may need to submit an application to the Corps for written authorization to conduct such activities. For example, some terms and conditions may require entities to notify the Corps if their proposed activities may affect areas inhabited by submerged aquatic vegetation or endangered species or their designated critical habitats. In such instances, entities must submit applications to the Corps with required information, including the location and technical information about the proposed activity. Based on Corps guidance, the agency then assesses the applicant\u2019s proposed activities to determine whether they comply with all of the general permit\u2019s terms and conditions.", "If the Corps verifies compliance, it issues a written authorization for the entity to undertake the proposed activities.", "In March 2007, the Corps developed a nationwide permit\u2014Nationwide Permit 48\u2014to help streamline the process for authorizing existing commercial shellfish aquaculture activities, effective for a 5-year period. In 2012, the Corps revised and reissued Nationwide Permit 48 to, among other things, authorize new activities and to clarify some reporting requirements. The Corps most recently reissued Nationwide Permit 48 in March 2017, which defined the activities that constitute new commercial aquaculture activities, among other revisions, and remains in effect until March 2022. Corps districts may also develop and use other types of programmatic and regional general permits to authorize shellfish aquaculture activities. Generally, entities that submit an application and receive authorization under a general permit need to resubmit their application upon expiration of their permit to re-seek authorization to continue their aquaculture activities."], "subsections": []}, {"section_title": "The Corps Authorized Most of the 3,751 Applications Received for Shellfish Aquaculture Activities from 2012 through 2017 Using Various Types of Permits", "paragraphs": ["Based on our analysis of data from the Corps\u2019 permitting database, we found that the Corps authorized most of the 3,751 shellfish aquaculture applications it received from 2012 through 2017 using various types of general and individual permits. Of the 19 Corps districts that have coastal waters within their geographic areas of responsibility, 17 Corps districts received shellfish aquaculture applications, with the Seattle District receiving the most applications and the New England District receiving the next highest amount (see table 3). The number of applications does not correspond to the level of shellfish activity in a particular district, however, as some activities may be authorized under a general permit without triggering the need for an entity to submit an application for Corps authorization, as previously noted.", "Of the 3,751 applications the Corps received from 2012 through 2017, the Corps authorized 3,281, or about 87 percent of the applications, according to our analysis of Corps data. Four applications (less than 1 percent) were denied, and the remaining 466 applications (about 12 percent) were withdrawn. Applications were denied or withdrawn for a variety of reasons. For example, Corps officials we interviewed said that the Corps would deny an application if the applicant was denied the necessary approvals from state or other relevant regulatory authorities. An application may have been withdrawn, according to the Corps officials, if the applicant decided to seek an individual rather than a general permit or did not provide sufficient information in its application for the Corps to determine that the applicant could meet the terms and conditions of the requested permit, among other reasons.", "According to Corps data, the applications the Corps authorized from 2012 through 2017 corresponded to 2,631 unique shellfish aquaculture projects. Almost half of these projects (49 percent) were located in the Seattle District, about 29 percent were located in the New England District, and the remaining 22 percent were spread across 15 other coastal districts.", "The majority of Corps districts (13 of 17) authorized shellfish aquaculture applications using Nationwide Permit 48, according to our analysis of Corps data. Specifically, nearly two-thirds of the applications (2,138 of 3,281) were authorized under Nationwide Permit 48, as shown in table 4. Four districts did not authorize activity under Nationwide Permit 48, but instead used a different type of general permit to authorize shellfish aquaculture activity. For example, the New England District, which includes the states of Connecticut, Rhode Island, and Maine, authorized shellfish activity using state-specific general permits. The majority of districts (13 of 17) also authorized shellfish activities under individual permits, but overall individual permits represented about 3 percent (85 of 3,281) of authorized activity.", "While many applications were authorized under Nationwide Permit 48, we found that Corps districts added conditions to this or other general permits to account for state or regional environmental or other relevant regulatory concerns. For example, two districts we reviewed\u2014Norfolk and Seattle\u2014generally used Nationwide Permit 48 to authorize shellfish aquaculture activities in their districts, but added conditions to the nationwide permit to address concerns specific to their regions as follows: In the Norfolk District, the Corps developed several regional conditions applicable to the Nationwide Permit 48 issued in March 2017. These regional conditions prohibit activity within submerged aquatic vegetation beds or saltmarshes and prohibit removing or damaging vegetation in these areas, among other things. Norfolk District officials said that these regional conditions align with requirements under Virginia state regulations. As long as shellfish aquaculture growers meet those requirements, according to these officials, then growers may conduct their projects without a state permit or submitting an application to the Corps for authorization.", "Because these growers do not submit applications to either the state of Virginia or the Corps for authorization for their activities, district officials said they do not know how much shellfish activity may be occurring under Nationwide Permit 48 in the district, but Virginia is among the largest shellfish producing states.", "In the Seattle District, the Corps also developed several regional conditions applicable to Nationwide Permit 48. For example, one regional condition prohibits harvesting clams using certain hydraulic harvesting equipment. Any entity seeking to undertake shellfish aquaculture activities in the Seattle District needs to submit an application to the Corps for authorization, district officials explained. According to the National Marine Fisheries Service, almost all locations for shellfish activity in Washington State are designated as critical habitat for one or more threatened or endangered species listed under the Endangered Species Act. The presence of listed species or their designated critical habitats is one trigger under nationwide permits, including Nationwide Permit 48, requiring entities to submit an application to the Corps for review and authorization for conducting those activities.", "In certain instances, Corps headquarters officials said that some districts may find that a nationwide permit, such as Nationwide Permit 48, does not address the activity or requirements in their districts. Corps officials said that in such cases a district may have a region-specific general permit that more closely follows state or local requirements. Two Corps districts we reviewed\u2014New Orleans and Baltimore\u2014generally used or have used regional permits to authorize shellfish aquaculture activities in their regions. Specifically, In the New Orleans District, when Nationwide Permit 48 was first issued in 2007, Corps officials said that the district was generally using a programmatic permit that incorporated existing Louisiana regulations on coastal development. The New Orleans District was generally using this programmatic permit to authorize shellfish aquaculture and other coastal activities in Louisiana. Among the conditions in the permit are prohibitions on structures with proximity to flood control and hurricane damage risk-reduction levees, and activities that would impact barrier islands, bird rookeries, and coral reefs\u2014coastal areas of Louisiana that are regarded by the state as environmentally sensitive. As a result, district officials said they continue to use their programmatic permit to allow the state of Louisiana a lead role in regulating coastal activities.", "The Baltimore District used a regional permit to authorize shellfish aquaculture activities until August 2016. According to district officials, Maryland had few existing commercial shellfish aquaculture projects before 2010, and at that time the Corps restricted the use of Nationwide Permit 48 to existing shellfish aquaculture activities. Any new activities required an individual permit, which involved a more extensive review process. The state of Maryland began to promote shellfish aquaculture in 2010, and many new growers entered the industry, district officials said. In response, the Baltimore District created a regional permit for new shellfish aquaculture projects, which district officials said allowed for a more streamlined process than the process needed for an individual permit. The regional permit expired in August 2016; instead of updating it, the Baltimore District replaced it with Nationwide Permit 48. Nationwide Permit 48 issued in March 2012 and in March 2017 covers new as well as existing shellfish aquaculture activities, and district officials said that there was no longer a need to use their regional permit and could use the Nationwide Permit 48 upon expiration of the regional permit."], "subsections": []}, {"section_title": "Applicants Across the Four Selected Districts Had Mixed Views on their Experiences in Seeking Authorization for their Shellfish Activities", "paragraphs": ["Through our interviews with 15 permit applicants from the four districts we reviewed and with Corps district and headquarters officials, we found that applicants had mixed views on their experiences in seeking authorization for their various shellfish aquaculture activities. Overall, 10 of the 15 applicants across the four districts said they understood the application process. Several of these applicants said that their knowledge stemmed from previous experience seeking authorization from the Corps or from information provided by state or Corps officials. Similarly, 10 applicants from the four districts described the length of time the Corps took to authorize their activities as reasonable, with several applicants commenting that the Corps was efficient in reviewing and authorizing their application. For these applications, the length of time ranged from 1 day to about 4 months.", "In contrast, 11 permit applicants across the four districts cited facing one or more difficulties with various aspects of the application process. For example, 5 of the 15 applicants indicated they were unclear about what steps were involved in the application process such as the information they needed to submit as part of the application or how to meet the requirements outlined in the permit terms and conditions. One applicant in the Seattle District said it was difficult to know how to address a condition in Nationwide Permit 48 that restricts shellfish activity in areas adjacent to potential spawning habitat for certain species of forage fish. When seeking clarification from the Corps, he said Corps officials could not specify how far away from spawning habitat his project should be located. Seattle Corps District officials said the Corps has been reviewing how to consistently define adjacent spawning areas, among other requirements, but had not yet made a determination when this application was reviewed.", "Eight of the 15 permit applicants from three Corps districts expressed concern that they did not receive sufficient information about the status of their application after submitting it to the Corps for review. Two of these applicants said they contacted the Corps to get information on the status of their applications but that sometimes it was difficult to reach Corps officials. The applicants said their shellfish activities had time-sensitive needs and that not knowing the status or time frames associated with the permitting process was problematic. For example, one permit applicant in the New Orleans District said not knowing when permitted activity would be authorized jeopardized the ability to take advantage of the naturally occurring seasonal oyster spawn that was critical to the viability of the project. New Orleans District officials agreed that it may be difficult for applicants to quickly determine the status of their applications, as a phone call to the Corps is the only way to obtain such information. Officials from two districts we reviewed said their goal is to generally respond to inquiries within 2 days, but this is not always possible due to heavy workloads or staffing constraints. For example, in the New Orleans District, officials said the workload across their permitting program is high, with a typical project manager responsible for reviewing 35 to 40 permit applications at any one time.", "In addition, five permit applicants from three Corps districts said they believed that the amount of time it took for the Corps to authorize their shellfish aquaculture activities was unreasonable. For these applications, the length of time ranged from 18 days to about 8 months. One applicant from the Seattle District who waited about 8 months to receive authorization for the application in 2012 said that he continued his shellfish operations while waiting authorization, but was concerned that operating without the Corps\u2019 authorization put his operations at risk from potential legal challenges. Officials in the Seattle District said they have seen an increase in applications for shellfish aquaculture authorizations over the last several years, which has significantly increased their workload and, in some cases, affected their ability to issue authorizations in a timely manner. Corps officials from headquarters and the four districts said it is generally their goal to authorize applications within 60 days, but limited staffing, heavy workloads, and the need to coordinate or consult with other federal, state, or tribal agencies may prevent them from doing so.", "Corps officials from the four selected districts have taken some steps to address difficulties applicants have experienced with understanding permit terms and conditions. For example, officials in the Seattle and Baltimore Districts have taken steps to help explain some permit terms and conditions. In Seattle, district officials said they have held quarterly meetings since 2015 for interested applicants and other stakeholders to address concerns or clarify certain Nationwide Permit 48 conditions. Seattle District officials said that attendees generally provided positive feedback about these quarterly meetings and that they plan to continue holding such meetings to discuss permit conditions or other issues that may arise. Similarly the Baltimore District has held aquaculture workshops on an as-needed basis for applicants and other stakeholders to clarify permit conditions. For example, in September 2016, the Baltimore District held a workshop to explain a permit condition intended to prevent endangered sea turtles from entanglements in aquaculture gear. One applicant we interviewed said this workshop was helpful and provided a better understanding of permit conditions. Officials from the Baltimore District said that they plan to conduct additional aquaculture workshops in 2019 and will invite representatives from the Maryland Department of Natural Resources to participate.", "The four Corps districts have also taken some steps to address difficulties applicants have experienced with the time it takes to authorize shellfish aquaculture activities. For example, in 2017, the Seattle District developed an approach to expedite its application process for the Nationwide Permit 48 issued in March 2017. Specifically, for those applicants who had previously been authorized under Nationwide Permit 48 in 2012 and who did not anticipate changes to their activities for the 2017 permitting cycle, district officials said they could base their review on previously submitted documentation from the applicants, allowing them to more quickly reauthorize those activities. The five permit applicants we interviewed from the Seattle District said that the Corps\u2019 expedited process initiated in March 2017 improved the timeliness of receiving their authorizations. For instance, one applicant who waited about 8 months to receive his authorization in 2012 said the Corps issued his most recent authorization in 2017 in 2 months.", "In addition, Corps officials from across the four districts said they have taken steps to reduce the time needed to review applications through efforts to more efficiently conduct reviews under the Endangered Species Act. For example:", "Corps officials from the Baltimore and Norfolk Corps districts worked with the National Marine Fisheries Service in 2017 to develop a regional programmatic consultation to help streamline Endangered Species Act assessments of the potential impact that shellfish aquaculture activities may have on listed species or their designated critical habitats. Corps officials from the Baltimore District said the review process, developed in association with the programmatic consultation, decreased their review time from over 30 days to 1 to 2 days, which in turn has helped reduce the Corps\u2019 time frames for issuing authorizations.", "In 2015, New Orleans District officials said they implemented a standardized process for evaluating applications for Endangered Species Act compliance. The district developed a standardized form, called the Standard Local Operating Procedure for Endangered Species in Louisiana, which district officials said helps to facilitate evaluations by allowing program managers to quickly assess whether or not an application requires further review and consultation and reducing the overall time to process shellfish aquaculture-related applications.", "Corps officials from the Seattle District worked with the National Marine Fisheries Service and U.S. Fish and Wildlife Service to develop a programmatic consultation, issued in 2016. The programmatic consultation identified methods for carrying out shellfish aquaculture activities that would avoid adverse environmental effects on listed species and their critical habitats, and reduce water quality impacts. Corps officials from the Seattle District said that this programmatic consultation has resulted in a more efficient review process for applicants seeking authorization under Nationwide Permit 48 by reducing the amount of time needed to assess whether an applicant\u2019s proposed activities may have the potential to affect listed species or their critical habitats.", "To further improve the application process, Corps headquarters officials said that they are initiating training in fiscal year 2019 through online modules that will cover various aspects of permitting such as clarifying the necessary elements needed from entities in submitting an application. Also, in October 2018, Corps headquarters launched a community of practice on shellfish aquaculture permitting, which officials said will allow project managers and others with an interest in shellfish aquaculture to share lessons learned and to collaborate on relevant issues in the future. A Corp official said the Corps plans to hold quarterly meetings for the shellfish aquaculture permitting community of practice going forward."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Defense for review and comment. The department provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Army, the Chief of Engineers and Commanding General of the U.S. Army Corps of Engineers, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or FennellA@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report describes, for 2012 through 2017, (1) the number and outcomes of the applications the Corps received for shellfish aquaculture activities and the types of permits the Corps used to authorize such activities, and (2) the experiences of permit applicants in selected districts in seeking Corps authorization for their shellfish aquaculture activities.", "To conduct our work, we reviewed relevant federal laws, regulations, and Corps documents on permitting, and interviewed officials from Corps headquarters. We selected a non-generalizable sample of four Corps districts\u2014Baltimore, New Orleans, Norfolk, and Seattle\u2014for a closer examination of the nature of shellfish aquaculture activities and the types of permits used by districts to authorize such activity. We selected these districts based on several factors:", "Geographic region. We selected at least one district from each of the Pacific, Atlantic, and Gulf coasts to cover any differences in shellfish activity by geographic location.", "Commercial value of shellfish. The states in which the four districts reside\u2014Washington (Seattle District); Maryland (Baltimore District); Virginia (Norfolk District); and Louisiana (New Orleans District)\u2014 account for more than 60 percent of the commercial shellfish sales in the United States as of 2013, the most recent data available as of December 2018.", "Type and level of permitting activity authorized by the Corps. We also chose districts to represent different types of general and individual permits the Corps districts used to authorize shellfish aquaculture as well as the level of permitting activity. The four districts received more than half of the shellfish aquaculture applications authorized by the Corps during 2012 through 2017.", "We conducted site visits from July 2017 to March 2018 to each of the four selected districts to observe aquaculture activities and learn about the types of permits the districts use to authorize shellfish aquaculture activities. We also interviewed stakeholders with a regulatory role in shellfish aquaculture and non-governmental organizations with an advocacy role, as follows:", "Federal Officials. We interviewed officials from three regional offices of the National Marine Fisheries Service and U.S. Fish and Wildlife Service to understand how they work with the four Corps districts on shellfish aquaculture permitting. We gained their perspectives on how they coordinate with the Corps to meet various legal requirements, such as those under the National Environmental Policy Act, Endangered Species Act, and Magnuson-Stevens Fishery Conservation and Management Act.", "State Officials. We interviewed state agency officials involved in permitting at the state level to learn about state permitting requirements and coordination undertaken with the Corps districts on various aspects of shellfish aquaculture permitting. Specifically, we interviewed officials from the Maryland Department of Natural Resources, Washington Department of Ecology, Virginia Marine Resources Commission, Louisiana Department of Natural Resources, and Louisiana Department of Wildlife and Fisheries.", "Non-governmental Officials. We also interviewed non-governmental organizations with an advocacy role related to shellfish aquaculture or conservation to gain their perspectives on the Corps\u2019 permitting process. We interviewed officials from the Chesapeake Bay Foundation, The Nature Conservancy, Pacific Coast Shellfish Growers Association, East Coast Shellfish Growers Association, Oyster South, Center for Food Safety, the Coalition to Protect Puget Sound Habitat, the Coalition to Restore Coastal Louisiana, and the Coastal Protection and Restoration Authority of Louisiana. We selected these organizations because each had interacted with one or more of the four Corps districts we reviewed on shellfish aquaculture issues during the period of our review.", "The information we obtained from officials from the four districts and stakeholders is not generalizable to other Corps districts or stakeholders but illustrates the variation in Corps\u2019 shellfish aquaculture permitting at the district-level.", "To examine the number, outcomes, and types of permits the Corps used to authorize shellfish aquaculture activity, we obtained and analyzed data from the Corps\u2019 permitting database, the Operations and Maintenance Business Information Link Regulatory Module 2. Specifically, we analyzed nationwide data on shellfish aquaculture applications submitted to Corps district offices with a decision date from January 1, 2012, through October 26, 2017, which were the most recent data available at the time of our review. The information we analyzed from the database included applications for various types of shellfish aquaculture activities for which entities sought Corps authorization, including commercial operations, as well as shellfish aquaculture and oyster reef restoration activities. For all Corps districts, we analyzed the number of applications received, authorized, withdrawn, or denied, and under which type of permit an application was submitted to the Corps. We took steps to determine the reliability of the Corps\u2019 data, including comparing the data to the administrative files for three to five randomly selected applications from the four districts we reviewed. We also reviewed agency guidance on data entry and interviewed agency officials knowledgeable about the Corps\u2019 permitting data, including officials from the four districts and headquarters. Based on these steps, we found the data to be sufficiently reliable to provide nationwide and district-level summary information on applications, authorizations, and the types of permits the Corps used during the period of our review.", "To determine the experiences of permit applicants in selected districts in seeking Corps\u2019 authorization for their shellfish aquaculture activities, we randomly selected 15 applications submitted by different applicants during the time period of our review to the four Corps districts in our review. We reviewed the materials included in the Corps\u2019 administrative files to determine the nature of activities being proposed, documentation of any interactions between the Corps\u2019 and the applicants throughout the review process, and the time frames for the review, among other things. We conducted semi-structured interviews with each of the applicants to gain their experience during the application process, including their perspectives on the steps involved in submitting an application, the times frames for receiving authorization, their understanding of permit terms and conditions, and the nature of any interactions with the Corps, among other things. We also conducted semi-structured interviews with the Corps managers responsible for reviewing these applications to obtain their perspectives about their review process for the selected applications. We then analyzed and categorized the interview responses based on common themes that we identified across the interviews. The information we obtained from the permit applicants and Corps officials we interviewed is not generalizable to other applicants, but illustrates the types of experiences permit applicants in the four districts have had in seeking authorization for their shellfish aquaculture activities.", "In addition, we also interviewed Corps officials in the four districts and headquarters and reviewed related documentation to identify any steps the Corps has taken to address difficulties raised by the permit applicants. We then requested and reviewed supporting documentation when officials identified examples of steps they have taken to help improve the application process.", "We conducted this performance audit from June 2017 to January 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Alyssa M. Hundrup (Assistant Director), Ginny Vanderlinde (Analyst in Charge), Justin Fisher, Melissa Greenaway, Rich Johnson, Ying Long, Danny Royer, Sheryl Stein, and Jina Yu made key contributions to this report. Mark Braza, Juan Garay, and Gina Hoover also made contributions to this report."], "subsections": []}]}], "fastfact": ["Shellfish aquaculture projects\u2014the breeding, rearing, and harvesting of oysters, clams, and mussels\u2014may require authorization from the U.S. Army Corps of Engineers. Among other things, the Corps examines compliance with navigation and environmental laws.", "We reviewed permit applications for such projects from 2012 through 2017 and found the Corps approved 87% of the 3,751 applications it received. It denied less than 1%. The rest were withdrawn.", "We also reviewed the experiences of 15 applicants. Ten said the time it took to get a permit, which ranged from 1 day to 4 months, was reasonable. Five said their 18-day to 8-month waits were not."]} {"id": "GAO-18-183", "url": "https://www.gao.gov/products/GAO-18-183", "title": "Federal Rulemaking: OMB Should Work with Agencies to Improve Congressional Review Act Compliance during and at the End of Presidents' Terms", "published_date": "2018-03-13T00:00:00", "released_date": "2018-03-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Presidential Transitions Improvements Act of 2015 includes a provision for GAO to assess multiple characteristics of final significant regulatory actions promulgated by executive departments during presidential transition periods (September 23 through January 20) at the end of Presidents Clinton, Bush, and Obama's administrations and compare them to each other and to regulations issued during the same 120-day period in nontransition years since 1996.", "Among other objectives, GAO assessed the extent to which there was variation in 1) the number of regulations, their scope, and other indicators; and 2) agencies' reported compliance with procedural requirements for promulgating the regulations. To address these objectives, GAO reviewed the text of the regulations published in the Federal Register , and reviewed the universe of all 527 economically significant final regulations (generally those with an annual effect of $100 million or more) published during the specified transition and nontransition periods and a generalizable stratified random sample of 358 of the 1,633 significant final regulations published during the same time periods."]}, {"section_title": "What GAO Found", "paragraphs": ["During transition periods at the end of presidential administrations, agencies published more final regulations and more frequently provided advanced notice to the public on those regulations compared to nontransition periods. The Clinton, Bush, and Obama administrations published on average roughly 2.5 times more economically significant regulations during transition periods than during nontransition periods. But agencies more often, relative to nontransition periods, provided the public an opportunity to influence the development of the transition-period regulations by providing advanced notice of their issuance and opportunities to comment on proposed regulations before they were finalized.", "In their published regulations, agencies reported that compliance with four of five procedural requirements was high during both transition and nontransition periods, but not with the Congressional Review Act (CRA). During all periods, agencies reported complying with requirements, such as the Regulatory Flexibility Act, for nearly all economically significant regulations and the majority of significant regulations. Agencies less often complied with one or more CRA requirements. (See figure.) Though agencies are responsible for complying with CRA, the Office of Management and Budget (OMB) is responsible for oversight of agencies' rulemaking, consistent with law, and reviews regulations before publication, which provides an opportunity to identify and help agencies avoid potential noncompliance. The most common CRA deficiency was agencies' failure to provide Congress the required time to review and possibly disapprove regulations, which GAO has also identified as a deficiency in previous work. Economically significant regulations for which OMB completed its review within 3 months before the planned effective date were at high risk of not complying with CRA, thus increasing the risk that agencies would not provide Congress with the required time for its reviews.", "Economically Significant Regulations Determined to be Noncompliant with the Congressional Review Act"]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that OMB, as part of its regulatory review process, identify economically significant regulations at potential risk of not complying with CRA and work with agencies to ensure compliance. OMB staff did not agree or disagree with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Prior studies have indicated that agencies typically issue a larger number of regulations during the transition from the end of one presidential administration to the beginning of the next administration, relative to comparable periods earlier in the administration. This phenomenon is often referred to as \u201cmidnight rulemaking.\u201d Officials from outgoing administrations generally attribute this increased regulatory activity to agencies completing long-planned regulatory initiatives. However, the Congressional Research Service (CRS) has noted that some members of Congress and individuals outside the government have expressed concerns that \u201cmidnight rules\u201d may be rushed through the analytical and procedural processes agencies are expected to use, providing fewer opportunities for the public to provide input, and therefore resulting in lower quality regulations. CRS has also pointed out that presidential transitions in which party control of the White House changes\u2013which occurred during the four most recent transitions in 1993, 2001, 2009, and 2017\u2013may increase the incentive for Presidents and agencies to engage in midnight rulemaking because it may be difficult for the subsequent administration to change or eliminate regulations after they have taken effect.", "Section 5 of the Edward \u201cTed\u201d Kaufman and Michael Leavitt Presidential Transitions Improvements Act of 2015 includes a provision for us to assess final significant regulatory actions promulgated by executive departments during specified presidential transition periods and to analyze and compare multiple characteristics of regulations issued during these transition periods to each other and to regulations issued during the same 120-day periods in nontransition years since 1996. The transition periods identified in the act are those ending on January 20 in 2001, 2009, and 2017, which occurred at the end of the administrations of Presidents Clinton, Bush, and Obama. For the transition periods, and among these transition periods and the same 120-day periods in nontransition years, our objectives were to assess the extent to which there were variations in (1) the number of regulations and other indicators related to the scope and transparency of these regulations; (2) agencies\u2019 reported compliance with procedural requirements for promulgating the regulations; and (3) the anticipated economic effects agencies reported would result from the regulations.", "For each of the three transition periods and the 18 other periods cited in the mandate, we reviewed what the act defines as \u201ccovered regulations\u201d published by executive agencies in the Federal Register. For purposes of this review, executive agencies are those cabinet departments and other agencies that answer directly to the President and exclude the independent regulatory agencies. The definition of a \u201ccovered regulation\u201d in the mandate is the same as the definition of a final significant regulatory action under Executive Order (E.O.) 12866. Under E.O. 12866, the Office of Management and Budget (OMB) reviews significant proposed and final regulations from all federal agencies (other than independent regulatory agencies) before they are published in the Federal Register. The order defines significant regulatory actions as those that are likely to result in a rule that may 1. Have an annual effect on the economy of $100 million or more, or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or state, local, or tribal governments or communities (generally referred to as \u201ceconomically significant\u201d regulations); 2. Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; 3. Materially alter the budgetary effects of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or 4. Raise novel legal or policy issues arising from legal mandates, the President\u2019s priorities, or the principles set forth in the executive order.", "For the purposes of this report, we differentiate between the results for \u201ceconomically significant\u201d regulations (criterion 1 above, i.e., generally those with annual economic effects greater than $100 million) and the results for other significant regulations (criteria 2-4 above, i.e., those expected to have less than $100 million in economic effects but are deemed significant under the order\u2019s other three definitions of significance). We will refer to the latter category as \u201csignificant regulations.\u201d We primarily relied on OMB\u2019s Reginfo.gov database on regulations reviewed under E.O. 12866 to compile a list of final economically significant and final significant regulations published during the specified periods. We refined and supplemented the lists from the Reginfo.gov database with information from our database on rules submitted to us under the Congressional Review Act (CRA), and the Government Printing Office\u2019s Federal Digital System database on the Federal Register. To test the reliability of these databases, we reviewed relevant documentation, interviewed knowledgeable agency officials, looked for missing data and outliers (for example, by identifying missing records or those included in error), traced a sample of entries to source documents, and conducted additional checks. We concluded that the data were sufficiently reliable for our purposes.", "We reviewed the universe of all 527 final economically significant regulations published during the specified periods and a generalizable stratified random sample of 358 final significant regulations from the population of 1,633 final significant regulations published during the specified periods. For economically significant regulations, we can provide precise statistics on the extent of a finding, because we reviewed the universe. For significant regulations, our findings are based upon a sample designed to achieve a margin of error no greater than plus or minus 7 percentage points at the 95 percent level of confidence for each presidential transition period and the nontransition periods combined. Our findings for the sample are generalizable for the population of all covered significant regulations published in each transition period and, collectively, all nontransition periods, but are not generalizable to the individual agencies that published those regulations.", "To assess the number of regulations and other variations related to the scope and transparency of these regulations, we tallied total numbers of final regulations published during each specified period. We identified whether the regulations were economically significant or significant, and which agencies had published the regulations to assess scope. We also reviewed other indicators, such as whether the final regulation had a prior proposed rule and whether the agency had provided advanced notice that the regulation was being developed in the Unified Agenda, to provide insights on the type of rulemaking procedures that agencies used and the transparency of those rulemakings.", "To assess variations in agencies\u2019 compliance with procedural requirements and the anticipated economic effects of regulations, we reviewed the published text of the regulations and, for regulations that were also major rules, the reports that we prepared for Congress under CRA. We reviewed agencies\u2019 reported compliance with procedural requirements for promulgating regulations under five statutes\u2014CRA, the Regulatory Flexibility Act (RFA), the Paperwork Reduction Act (PRA), the Unfunded Mandates Reform Act of 1995 (UMRA), and the Small Business Regulatory Enforcement Fairness Act (SBREFA). We also reviewed the published regulations to see whether agencies identified expected economic effects (benefits, costs, and transfers). Consistent with our prior governmentwide review of regulations, we did not evaluate the agencies\u2019 decisions regarding procedural requirements or their determinations regarding the potential effects of their regulations. Instead, we are providing information about what the agencies published in the Federal Register. Appendix I contains more information on our objectives, scope, and methodology.", "We conducted this performance audit from May 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies implement specific elements of laws through regulations, which typically require or prohibit certain actions. Congresses and Presidents have required agencies to comply with multiple procedural and analytical requirements prior to issuing regulations.", "Administrative Procedure Act (APA). APA established the basic framework of administrative law governing federal agency action, including rulemaking. Before promulgating a regulation, agencies are generally required to publish a notice of proposed rulemaking (NPRM) in the Federal Register and take comments concerning the proposed rule. However, agencies may issue final rules without the use of an NPRM in certain cases, including when the agency determines for \u201cgood cause\u201d that notice and comment procedures are \u201cimpracticable, unnecessary, or contrary to the public interest.\u201d Further, Congress sometimes enacts laws that direct an agency to issue regulations without notice and comment.", "Regulatory Flexibility Act. RFA was enacted in response to concerns about the effect that federal regulations can have on small entities. RFA requires agencies to consider the impact of their regulations on small entities and to prepare regulatory flexibility analyses, unless the head of the agency certifies that the rule would not have a \u201csignificant economic impact upon a substantial number of small entities.\u201d", "Paperwork Reduction Act. PRA was enacted to help minimize the burden that federal information collections (e.g., forms, surveys, or questionnaires) impose on the public, while maximizing their public benefit. PRA requires agencies to provide public notice, solicit comments, and request approval by OMB before imposing new information collection requirements.", "Unfunded Mandates Reform Act of 1995. UMRA was enacted to address concerns about federal statutes and regulations that require nonfederal parties to expend resources to achieve legislative goals without being provided funding to cover the costs. Among other things, UMRA generally requires federal agencies to prepare a written statement containing a \u201cqualitative and quantitative assessment of the anticipated costs and benefits\u201d for any rule that includes a federal mandate that may result in the expenditure of $100 million or more in any 1 year by state, local, and tribal governments in the aggregate, or by the private sector.", "Small Business Regulatory Enforcement Fairness Act. Under SBREFA, the Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) are required to convene Small Business Review Panels (also known as SBREFA panels) for rulemaking efforts that are expected to have a significant economic impact on a substantial number of small entities. These panels are intended to seek direct input early in the rulemaking process from small entities that would be impacted by the rulemakings.", "Congressional Review Act. CRA was enacted to better ensure that Congress has an opportunity to review and possibly disapprove regulations, in certain cases, before they become effective. CRA established expedited procedures by which Congress may disapprove agencies\u2019 regulations by introducing a resolution of disapproval that, if adopted by both Houses of Congress and signed by the President, can nullify an agency\u2019s action. CRA states that an agency may not reissue the regulation in \u201csubstantially the same form,\u201d as a regulation Congress disapproved. CRA requires us to provide Congress with a report on rules OMB\u2019s Office of Information and Regulatory Affairs (OIRA) determines to be major rules, including our assessment of the issuing agency\u2019s compliance with the procedural steps required by various acts and executive orders governing the rulemaking process. CRA\u2019s definition of a major rule is similar to E.O. 12866\u2019s definition of economically significant rules, and generally, economically significant regulations are classified for purposes of CRA as major rules and significant regulations are classified as nonmajor rules. CRA generally provides Congress time to review major rules before those rules take effect.", "Executive Orders and Relevant Guidance. In addition to the statutory requirements described above, executive agencies must also follow requirements Presidents have set in executive orders and related guidance:", "Role of OIRA: Under E.O. 12866, issued in 1993, OIRA reviews regulations deemed significant. The Administrator of OIRA is responsible for providing meaningful guidance and oversight with respect to regulatory planning and review to the extent permitted by law. Further, the order states that OIRA is to be the repository of expertise concerning regulatory issues.", "Role of agencies and assessment of costs and benefits: Among other things, under E.O. 12866 agencies are responsible for developing regulations and assuring that the regulations are consistent with applicable law. The order also requires agencies to prepare an agenda of all regulations under development or review. For economically significant regulations, E.O. 12866 requires agencies to provide to OIRA (unless prohibited by law) an assessment, including the underlying analysis, of the costs and benefits anticipated from the regulatory action and feasible alternatives. For significant regulations, E.O. 12866 requires agencies to provide to OIRA an assessment of the potential costs and benefits anticipated from the planned regulatory action. Circular A-4, published in 2003, provides guidance to agencies on how to conduct the required analysis and, among other things, directs agencies to estimate the costs and benefits of a regulation and \u201ctransfer\u201d payments that may result from the regulation. Transfer regulations redistribute income from (usually) taxpayers to program beneficiaries (e.g., Medicare recipients), but generally do not result in economic benefits or costs."], "subsections": []}, {"section_title": "Agencies Published More Final Regulations and More Frequently Provided Advanced Notice to the Public during Transition Periods", "paragraphs": ["The three administrations published a higher number of economically significant and significant final regulations at the end of each President\u2019s second term compared to the nontransition periods. (See figures 1 and 2.) The administrations published on average roughly 2.5 times more economically significant regulations during their transition periods than during nontransition periods.", "Our analysis also showed that within their transition periods (September 23 through January 20), the administrations of Presidents Clinton and Obama increased their rate of economically significant rulemaking following the elections held in 2000 and 2016 (between Election Day in November and January 20), while President Bush\u2019s administration decreased the rate of economically significant rulemaking following the 2008 election. (See appendix II.)"], "subsections": [{"section_title": "Economically Significant Regulations Published in Both Transition and Nontransition Periods Were Concentrated in Certain Agencies", "paragraphs": ["We found that the majority of economically significant regulations were published by a subset of agencies across the three administrations and between transition and nontransition periods. In particular, the Department of Health and Human Services (HHS) published one-third of the economically significant regulations we reviewed across all periods and was the most active agency in both transition and nontransition periods. (See table 1.) For example, the Centers for Medicare & Medicaid Services typically published regulations every calendar year describing reimbursement rates for medical providers serving Medicare patients.", "For significant regulations, HHS was the most active agency during both transition and nontransition periods. (See table 2.) However, significant rulemaking was less concentrated in a subset of agencies than was economically significant rulemaking. Specifically, five of the agencies that published the largest number of economically significant regulations accounted for between 65 and 70 percent of these regulations during both transition and nontransition periods, while the five agencies that published the largest number of significant regulations accounted for 42 percent of these regulations during both transition and nontransition periods."], "subsections": []}, {"section_title": "For Economically Significant Regulations, Agencies More Frequently Provided Advanced Notice to the Public during Transition Periods", "paragraphs": ["To provide perspective on the transparency of regulatory activity and the types of rulemaking procedures agencies used during transitions, we examined two indicators: 1) whether regulations were advertised in the previous spring\u2019s Unified Agenda and 2) whether the final regulation was preceded by a proposed rule or NPRM:", "Prior Appearance in the Unified Agenda: The semi-annual Unified Agenda was established by E.O. 12866 and provides uniform reporting of data on those regulatory and deregulatory activities under development or review throughout the federal government. By including a planned regulation in the previous spring\u2019s Unified Agenda, policy makers provided members of the public with several months of notice before a final regulation was published during any of the transition or nontransition periods.", "Notice of Proposed Rulemaking: The notice and comment process was established by the APA and gives the public an opportunity to provide information to agencies on the potential effects of a regulation or to suggest alternatives for agencies to consider before the agency publishes the final regulation. By publishing an NPRM, policy makers provided members of the public with an opportunity to influence the development of the regulation.", "Overall, we found that agencies more frequently provided advanced notice of regulations to the public during transition periods by announcing planned activities in the Unified Agenda and publishing NPRMs. A higher percentage of economically significant regulations appeared in the previous spring\u2019s Unified Agenda during Presidents Bush\u2019s and Obama\u2019s transition periods compared to nontransition periods. (See figure 3.) President Clinton\u2019s administration published a smaller percentage of regulations in the Unified Agenda during its transition period compared to its nontransition periods. This decrease is explained by the Department of the Interior (Interior) and HHS not entering four regulations they typically update each year into the spring 2000 Unified Agenda pertaining to migratory bird hunting and Medicare.", "For significant regulations, we estimate that a higher percentage of regulations published during Presidents Bush\u2019s and Obama\u2019s transition periods appeared in the previous spring\u2019s Unified Agenda compared to President Clinton\u2019s transition period. However, we found no statistical differences between the nontransition periods combined and any of the three transition periods. (See figure 4.)", "Across all three administrations, economically significant regulations published during transition periods were more often preceded by proposed regulations compared with those published during nontransition periods. (See figure 5.)", "We estimated that significant regulations published during Presidents Clinton\u2019s and Bush\u2019s transition periods were more often preceded by proposed regulations than significant regulations published during nontransition periods. However, we found no statistical differences between President Obama\u2019s transition period and the other transition and nontransition periods. (See figure 6.)"], "subsections": []}]}, {"section_title": "Nearly All Economically Significant Regulations Reported to the Public Compliance with Four Procedural Requirements, but a Quarter Did Not Comply with the Congressional Review Act", "paragraphs": [], "subsections": [{"section_title": "Agencies Reported to the Public that They Complied with Four Procedural Requirements for Nearly All Economically Significant Regulations and the Majority of Significant Regulations", "paragraphs": ["Regulatory Flexibility Act (RFA), Paperwork Reduction Act (PRA), and the Unfunded Mandates Reform Act of 1995 (UMRA): We found that 91 percent of economically significant regulations across all periods reviewed explained to the public the determinations the agencies made regarding these three procedural requirements. Further, there was little difference between transition and nontransition periods in whether agencies provided explanation of these three procedural requirements. For the regulations that did contain explanation, agencies indicated that more economically significant regulations published during transition periods than in nontransition periods: (1) would not have a significant impact on a substantial number of small entities (RFA), (2) contained information collection requirements on nonfederal entities (PRA), and (3) generally could impose federal mandates on nonfederal entities (UMRA). For significant regulations, we estimate that 64 percent across all periods reviewed provided explanation to the public of the determinations the agencies made regarding these three procedural requirements. More specific information about the determinations agencies reached is presented in appendix II.", "For economically significant and significant regulations that did not contain explanations of one or more of these procedural requirements, this does not necessarily indicate noncompliance by the agency. An agency may not need to address a particular procedural requirement if the substance of the rule or exceptions and thresholds in the requirement lead the agency to determine that a specific regulation did not trigger the requirement. For example, regulations that were significant but not economically significant under E.O. 12866 would not be expected to contain a federal mandate that would result in the expenditure of $100 million or more in any 1 year, so would not trigger the requirement for an UMRA written statement.", "Small Business Regulatory Enforcement Fairness Act (SBREFA): EPA and OSHA reported holding small business review panels for 16 economically significant regulations reviewed, and we confirmed that the proceedings of all but one of these panels had been documented on the Small Business Administration\u2019s website. EPA also reported holding a small business review panel for one of the significant regulations we reviewed, and we confirmed that this proceeding also had been documented."], "subsections": []}, {"section_title": "Over 25 Percent of Economically Significant Regulations and an Estimated 15 Percent of Significant Regulations Did Not Comply with the Congressional Review Act", "paragraphs": ["CRA requires agencies to submit regulations to Congress and to us and to delay the effective date of certain regulations in order to provide Congress an opportunity to review and possibly disapprove of regulations before they become effective. We reviewed agencies\u2019 compliance with the requirements to: (1) submit the regulation to Congress and to us, (2) provide the required delay between submission of the regulation to Congress and us and its effective date, and (3) provide the required delay between publication of the regulation and its effective date. See figure 7 for these requirements regarding delays in effective dates.", "Our analysis determined that 132 of the 527 economically significant regulations across all periods reviewed failed to meet at least one of the requirements described above, and none of these regulations included agencies claiming \u201cgood cause,\u201d which would have allowed them to delay the effective date. (See figure 8.)", "We found that noncompliance for economically significant regulations was primarily associated with agencies\u2019 failure to delay the effective date of their regulations, while the failure to submit regulations to Congress and us accounted for a smaller proportion of the deficiencies. Of the 132 noncompliant economically significant regulations:", "95 did not provide the required delay between the submission of the regulation to Congress and us and the effective date. Further, agencies generally missed the deadline by more than 5 days (70 of 92 regulations). It is our practice to alert the relevant congressional committees when we observe this particular deficiency in our major rule reports. Further, we also reported to Congress in 2007 that there appeared to be a broader pattern of noncompliance with this requirement, noting: \u201cA consistent difficulty in implementing CRA has been the failure of some agencies to delay the effective date of major rules for 60 days as required by CRA.\u201d", "74 did not provide the required delay between publication in the Federal Register and the effective date. Once again, agencies generally missed this deadline by more than 5 days (62 of 74 regulations). It is our practice to alert the relevant congressional committees when we observe this particular deficiency in our major rule reports.", "10 had not been submitted to us as of November 13, 2017.", "Among the most active regulatory agencies for economically significant regulations, HHS and the Department of Transportation (Transportation) had higher rates of noncompliance than the government-wide percentages for both the transition and nontransition periods we reviewed. (See table 10 in appendix II.) However, noncompliance was not limited to HHS and Transportation; 17 of the 23 agencies that published economically significant regulations during the periods we reviewed had at least one noncompliant regulation. As noted previously, our sample of significant regulations was not designed to provide estimates concerning individual agencies\u2019 noncompliance with CRA.", "In addition, we estimate that 15 percent of significant regulations published across all periods reviewed failed to meet at least one of the CRA requirements we reviewed. (See figure 9.) We did not identify any statistical differences in the noncompliance rate among the three transition periods and nontransition periods combined.", "For significant regulations, we developed estimates for the following CRA deficiencies:", "Regulations submitted after the stated effective date: An estimated 15 percent of significant regulations published during all periods reviewed were not submitted to Congress and us before the stated effective date as required. Significant regulations were generally nonmajor rules, which do not have a requirement to delay the effective date by 60 days. There were no statistical differences among the three transition periods and the nontransition periods regarding this deficiency.", "Regulations not submitted to us: An estimated 7 percent of significant regulations published during all periods reviewed had not been submitted to us as of November 17, 2017, with no statistical differences among the three transition periods and nontransition periods.", "Agencies\u2019 noncompliance with CRA has the overall effect of making it more difficult for Congress to exercise its oversight role under CRA; however, the precise effects of noncompliance depend on the type of regulation and the specific deficiencies. CRA provides expedited procedures that make it easier to overturn a regulation compared to following the regular legislative process. For economically significant regulations, which are generally classified as major rules under CRA, failing to provide the required delay for congressional review means that Congress has a shorter amount of time to use these expedited procedures to disapprove the regulation before the agency potentially starts enforcement actions. Furthermore, in general, if a rule is not submitted to Congress as required by CRA, Congress cannot use these expedited procedures. Moreover, not submitting a rule to Congress can potentially create legal uncertainty for agencies and regulated parties because courts have differed on the impact of noncompliance with CRA on the enforceability of the regulation.", "OIRA staff noted that CRA states that agencies are responsible for complying with the act\u2019s requirements, and E.O. 12866 states that agencies are responsible for adhering to applicable laws. However under E.O. 12866, OIRA is also responsible for oversight of agencies\u2019 rulemaking, consistent with law, and reviews regulations before publication, which provides it an opportunity to identify and help agencies avoid potential noncompliance. OIRA staff asserted that they already take steps to check agencies\u2019 compliance with CRA. However, we found that OIRA completed its E.O. 12866 reviews for 110 of the 132 noncompliant economically significant regulations within 90 days of the stated effective date. OIRA staff noted that they cannot monitor every action agencies take following their review of draft final regulations, such as the specific date a regulation is published in the Federal Register or whether an agency submits a copy of the regulation to Congress or us. However, because economically significant regulations are generally classified as major rules under CRA, this indicates that OIRA frequently completes its review in close proximity to the start of the 60-day period intended for congressional review, and in such cases the regulation is at high risk of noncompliance with CRA.", "This close proximity to the 60-day period provides an opportunity for OIRA to identify potentially noncompliant regulations before agencies publish them and work with agencies on actions that would avoid noncompliance. Our analysis identified such actions agencies could use to comply with CRA. For example, we found instances of agencies explaining to the public that CRA requires a 60-day review period for major rules and therefore identifying an effective date more than 2 months after publication in the Federal Register. In other instances, agencies stated that the regulation would take effect 60 days after publication in the Federal Register, which ensures compliance with CRA provided that the regulation is submitted to Congress and us on or before the day it is published. In other cases, agencies stated they had \u201cgood cause,\u201d to not delay the effective delay, such as a statutory or judicial deadline or an emergency situation."], "subsections": []}]}, {"section_title": "Variations Existed between Transition and Nontransition Periods in Agencies\u2019 Anticipated Types of Economic Effects for Economically Significant Regulations", "paragraphs": ["Agencies anticipated that economically significant regulations published during transition periods were more likely to result in economic costs and benefits and generally less likely to result in \u201ctransfers\u201d of income from taxpayers to program beneficiaries. To identify the types of economic effects that agencies anticipated, we placed the 527 economically significant regulations reviewed across all periods into one of four categories based on information agencies provided in the published regulation concerning the anticipated costs, benefits, or transfers resulting from a regulation:", "Expected economic costs, benefits, or both: For 197 of the 527 economically significant regulations (or 37 percent), agencies expected costs or benefits or both to result and made no mention of transfers. Our previous work has noted that regulations typically require a desired action or prohibit certain actions by regulated parties. Such requirements may impose costs on private-sector parties, such as businesses and individuals, and may also provide benefits to society as a whole. Examples we reviewed included EPA regulations limiting emissions from industrial facilities with the goal of improving air quality and Labor Department regulations intended to improve workplace safety.", "Transfers: For 184 of the 527 economically significant regulations (or 35 percent), agencies expected transfers to result from the regulation and made no mention of either costs or benefits. Examples we reviewed included HHS regulations stating how much Medicare will reimburse Medicare providers and Department of Agriculture regulations providing disaster assistance to farmers. While these payments increase the incomes of Medicare providers and farmers, Circular A-4 directs agencies to avoid misclassifying these transfers as economic costs or benefits because they do not change aggregate social welfare.", "Combination of economic costs, benefits, or transfers: For 108 of the 527 economically significant regulations (or 20 percent), agencies expected costs or benefits or both to occur and also expected transfers to occur. Examples we reviewed included regulations that expanded access to health insurance for tribal employees and established paid sick leave for federal contractors that were anticipated to result in both administrative costs and transfers.", "No economic analysis: The remaining 38 of the 527 economically significant regulations (or 7 percent) provided no economic analysis. Of these regulations, 22 were updates to migratory bird hunting regulations Interior published during Presidents Clinton\u2019s Administration and President Bush\u2019s first term. During the 2003-2004 nontransition period of President Bush\u2019s Administration, Interior began providing a brief summary of the economic effects anticipated to result from hunting these birds.", "Comparing these reported effects between transition and nontransition periods, we found that agencies indicated that economically significant regulations published during transition periods were more likely to result in costs and benefits to society than those published during nontransition periods across all three administrations. (See figure 10.) In contrast, regulations involving only transfers became a smaller proportion of the economically significant regulations published during Presidents Bush\u2019s and Obama\u2019s transition periods. Regulations that involved various combinations of costs, benefits, and transfers became a larger proportion of regulations published during Presidents Bush and Obama\u2019s transition periods and overall became a larger proportion of economically significant regulatory activity that occurred during President Obama\u2019s transition period.", "Executive guidance encourages agencies to quantify and monetize expected costs and benefits to help decision makers understand the consequences of regulatory approaches. E.O. 12866 states that for economically significant regulations agencies should analyze costs and benefits to the extent feasible, and Circular A-4 encourages agencies, to the extent possible, to provide monetized estimates of these costs and benefits. For economically significant regulations, we found that agencies were more likely to monetize anticipated costs and transfers compared to benefits and were more likely to monetize anticipated costs during Presidents Clinton and Bush\u2019s transition periods. (See figures 11-13.) For economically significant regulations, we also did additional analysis of the extent to which agencies anticipated the benefits would justify the costs and the extent to which net costs or benefits were calculated. (See appendix II.)", "In examining the extent to which agencies anticipated that costs, benefits, and transfers would result from significant regulations, we found that an estimated 57 percent across all periods reviewed provided information on the anticipated costs, benefits, transfers, or some combination of these, with no statistical differences among the three transition periods and the nontransition periods combined. An estimated 43 percent of significant regulations across all periods reviewed did not include any information on the anticipated costs, benefits, transfers, or some combination of these, with no statistical differences among the three transition periods and the nontransition periods combined."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Although we confirmed that agencies published a larger number of regulations during transition periods than during the same months in nontransition periods, the variety of other indicators we examined generally suggest that there were few significant differences\u2014other than their numbers\u2014when comparing regulations published during the three transitions to each other and to those published during nontransition periods. Among the few exceptions, economically significant regulations published during the transition periods were more likely to have provided advanced notice to the public and more likely to result in private sector costs and potential benefits to society.", "However, agencies\u2019 noncompliance with the requirements of CRA for economically significant regulations (major rules under CRA) grew worse over time. Under CRA, agencies must allow additional time for Congress to review these most impactful regulations before they take effect unless the agency claims good cause for not delaying the effective date. Our review did highlight a potential opportunity for OIRA to work with agencies to improve CRA compliance going forward. Specifically, OIRA staff have the unique opportunity to work with agencies before economically significant regulations and regulations deemed significant for other reasons are published in final form in the Federal Register. OIRA staff should use this opportunity to identify economically significant regulations whose planned effective dates appear at risk of not providing Congress with sufficient time to review the regulation.", "To do this, our analysis points to a simple \u201crule of thumb\u201d OIRA reviewers could use. If an agency is planning to make an economically significant regulation effective in less than 3 months from the time OIRA is completing its review, OIRA staff should discuss with agency officials strategies for ensuring compliance with CRA. These could include delaying the planned effective date, stating in the submission to the Federal Register that the regulation will go into effect 60 days after publication and ensuring prompt submission to Congress and us, or discussing whether the agency has a reasonable basis to claim \u201cgood cause\u201d for not delaying the effective date and ensuring that the use of \u201cgood cause\u201d is clearly explained in the regulation. Ensuring that agencies consistently provide Congress with the required time to review, and possibly disapprove regulations, is important throughout a President\u2019s term, and particularly following a presidential transition when Congress typically has a larger number of regulations to potentially review."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to the Director of OMB:", "The Director of OMB should ensure that OIRA\u2019s staff, as part of the regulatory review process, examine the planned timeframes for implementing economically significant regulations or major rules and identify regulations that appear at potential risk of not complying with the Congressional Review Act\u2019s delay requirements and then work with the agencies to ensure compliance with these requirements (Recommendation 1)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Director of OMB on January 18, 2018. In oral comments received on February 22, 2018, staff from OIRA and the Office of General Counsel discussed the findings, conclusions, and recommendation. OMB staff did not agree or disagree with our recommendation. However, they identified some concerns regarding the recommendation to improve agencies\u2019 compliance with CRA. They noted that: (1) CRA states that agencies are responsible for complying with the act\u2019s delay and submission requirements; (2) agencies determine when their regulations will take effect and when they submit the regulations to Congress and us, neither of which OMB has direct control over; and (3) where OMB does exercise authority\u2014the regulatory review process under E.O. 12866\u2014OIRA staff already take steps to check agencies\u2019 compliance with CRA, and they do not see what more they could do to improve agencies\u2019 compliance with the act. The staff also provided technical comments that were incorporated as appropriate.", "Regarding the first two concerns raised by OIRA staff, we believe our report sufficiently recognizes agencies\u2019 responsibilities under CRA. Regarding the third concern, we disagree that OMB has done all that it can to improve compliance with CRA. As noted above, OMB staff asserted that they do take steps to check for CRA compliance, and these checks could provide a starting point for OMB to address our recommendation. However, our analysis raises questions about how effective these checks have been. OIRA completed its review for 110 of the 132 noncompliant economically significant regulations within 90 days of the stated effective date. This analysis points to a simple \u201crule of thumb\u201d for OIRA reviewers to use. If a regulation has a planned effective date in less than 90 days, it is at high risk of noncompliance with CRA. Further, our report identifies three specific strategies OIRA staff could discuss with agency officials on how to comply with CRA. Thus, we believe that our report shows that OMB could do more to ensure CRA compliance and identifies specific ways OMB could help agencies accomplish this.", "We are sending copies of this report to the Director of OMB as well as appropriate congressional committees and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-6806 or krauseh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Section 5 of the Edward \u201cTed\u201d Kaufman and Michael Leavitt Presidential Transitions Improvements Act of 2015 includes a provision for us to assess final significant regulatory actions promulgated by executive departments during specified presidential transition periods and to analyze and compare multiple characteristics of regulations issued during these transition periods to each other and to regulations issued during the same 120-day period (September 23 to January 20) in nontransition years since 1996. The transition periods identified in the act are those ending on January 20 in 2001, 2009, and 2017, which occurred at the end of the administrations of Presidents Clinton, Bush, and Obama.", "For purposes of this review, executive agencies are cabinet departments and other agencies that answer directly to the President and exclude the independent regulatory agencies. The definition of what the mandate refers to as a \u201ccovered regulation\u201d is the same as the definition of a final significant regulatory action under Executive Order (E.O.) 12866. Under E.O. 12866, the Office of Management and Budget\u2019s (OMB) Office of Information and Regulatory Affairs (OIRA) reviews significant proposed and final regulatory actions from all federal agencies (other than independent regulatory agencies) before they are published in the Federal Register. The order defines significant regulatory actions as those that are likely to result in a regulation that may: 1. Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities (generally referred to as \u201ceconomically significant\u201d regulations); 2. Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; 3. Materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or 4. Raise novel legal or policy issues arising out of legal mandates, the President\u2019s priorities, or the principles set forth in the executive order.", "For each of the three transition periods, and among these transition periods and the same 120-day periods in the 18 nontransition periods, our objectives were to assess the extent to which there were variations in: 1. The number of regulations and other indicators related to the scope and transparency of these regulations; 2. Agencies\u2019 reported compliance with procedural requirements for promulgating the regulations; and 3. The anticipated economic effects agencies reported would result from the regulations.", "In general, to address each of these objectives we reviewed the universe of all 527 final economically significant regulations published during the specified time periods and a generalizable stratified random sample of 358 final significant regulations from the population of the 1,633 final significant regulations published during those same periods. For economically significant regulations, we can provide precise statistics on the extent of a finding, because we reviewed the universe of final economically significant regulations. For significant regulations, our findings are based on a sample designed to achieve a 7 percent margin of error and 95 percent level of confidence for each stratum in the population of all covered significant regulations published in each transition period and, collectively, all nontransition periods. Our findings for the sample are not generalizable to the individual agencies that published those regulations. We divided the significant regulations into four strata depending on when the regulation was published: 1) the 2000- 2001 transition period; 2) the 2008-2009 transition period; 3) the 2016- 2017 transition period; and 4) all the nontransition periods consolidated into one stratum. We made two modifications to the data for each stratum before we selected our sample: 1) We added to the sampling frames additional significant regulations that we had become aware of during our review of economically significant regulations; and 2) we reviewed the sampling frames and filtered out duplicate entries. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (for example, plus or minus 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Table 3 summarizes the population and sample size by stratum for significant regulations.", "We primarily relied on the Reginfo.gov database on OMB\u2019s regulatory reviews under E.O. 12866 to compile lists of final economically significant and significant regulations published during each of the transition and nontransition periods. As described in more detail below, we refined and supplemented the lists from the Reginfo.gov database with information from our database of rules submitted to us under the Congressional Review Act (CRA), and the Government Printing Office\u2019s Federal Digital System database on the Federal Register. To test the reliability of these databases, we reviewed relevant documentation, interviewed knowledgeable agency officials, looked for missing data and outliers (for example, by identifying missing records or those included in error), traced a sample of entries to source documents, and conducted additional checks. We concluded that the data were sufficiently reliable for our purposes.", "Further for all objectives and for both economically significant and significant regulations, our primary source was the text of the published regulation. However, as described below, we did sometimes supplement that information with information from other publicly available sources. We downloaded copies of published regulations from the website maintained by the Government Printing Office, which securely controls content to ensure the integrity and authenticity of the Federal Register. We used a data collection instrument to collect standardized information about individual regulations as described below. We did not evaluate the agencies\u2019 decisions regarding procedural requirements or their determinations regarding the effects of their rules. Instead, consistent with our practice in preparing major rule reports to Congress under CRA and prior reports on federal rulemaking, we are providing information about what the agencies published in the Federal Register.", "To assess the number of regulations and other variations related to the scope and transparency of these regulations, we first reviewed and refined our lists of economically significant and significant regulations published during each of the transition and nontransition periods. For economically significant regulations, we compared the initial lists compiled from Reginfo.gov against lists of major rules agencies had submitted to us under CRA to look for potential omissions. We then reviewed each of the published regulations to identify explanations agencies may have provided of a selected regulation\u2019s classification as economically significant under E.O. 12866 to tally total numbers of economically significant regulations published during each of the time periods and the agencies publishing them. To identify economically significant regulations published annually, we looked for indications in the title or summary of the regulation and confirmed that these regulations appeared in multiple time periods reviewed. For significant regulations, we obtained data from Reginfo.gov concerning the number of regulations reportedly published and the agencies reported to have published them. We also reviewed the published regulations for explanations of the regulations\u2019 classification under E.O. 12866. Our sample of significant regulations was not designed to make estimates for individual agencies, so we used data from Reginfo.gov instead. For both economically significant and significant final regulations, we compiled information on the rulemaking procedures used by agencies to determine whether the agencies had published a prior notice of proposed rulemaking (NPRM).", "We did this by looking for discussion of a proposed regulation in the published final regulation. As necessary, we supplemented that review with information from our major rule reports, if available, and data from Reginfo.gov concerning the rulemaking history. To describe the extent to which regulations had been advertised in the previous spring\u2019s Unified Agenda, we searched for the regulation\u2019s identification number(s) in the online database for the Unified Agenda.", "To assess the extent to which there were variations in agencies\u2019 reported compliance with procedural requirements for promulgating the regulations, we reviewed the published text of the regulations and, for regulations that were also major rules, the major rule reports that we prepared for Congress under CRA. We reviewed agencies\u2019 reported compliance with procedural requirements for promulgating regulations under five statutes\u2014CRA, the Regulatory Flexibility Act (RFA), the Paperwork Reduction Act (PRA), the Unfunded Mandates Reform Act of 1995 (UMRA), and the Small Business Regulatory Enforcement Fairness Act (SBREFA)\u2014including whether and, if so, how the agency addressed the requirement in the published regulation. To determine whether the Environmental Protection Agency and the Occupational Safety and Health Administration held the panels they were required to hold under SBREFA, we also reviewed the information on the Small Business Administration\u2019s website summarizing these panels.", "We took multiple steps to identify noncompliance with CRA. We first determined whether every regulation had been submitted to us, and for regulations that had been submitted, we recorded the date we received it. We used the date a regulation had been submitted to us when assessing whether a regulation\u2019s stated effective date was consistent with CRA requirements. We also reviewed whether agencies had claimed \u201cgood cause\u201d for not delaying the effective date. For regulations not submitted to us or those regulations submitted to us after they should have been submitted, we conducted additional checks of the Congressional Record to see if we could find evidence that the agency had provided a copy of the regulation to either of the Houses of Congress in time for the regulation\u2019s stated effective date to be consistent with CRA requirements. If we could find evidence that any of these requirements had been met, we removed the regulation from further consideration as potentially noncompliant. As such, our methodology was designed to identify instances of noncompliance. Our methodology does not allow us to conclude that the remaining regulations were fully compliant. In addition, it was beyond the scope of our review to evaluate the appropriateness of agencies claiming \u201cgood cause\u201d for not providing the required delay.", "To assess the extent to which there were variations in agencies\u2019 reported anticipated economic effects resulting from the regulations, we reviewed the published regulations to see whether they contained a section clearly identified as economic analysis or discussion of the analytical requirements concerning E.O. 12866. We used selected elements from OMB Circular A-4 to review the analyses included in the published regulations to identify expected costs, benefits, or transfers, and whether that information was provided in monetary, quantitative, or qualitative terms. To help identify regulations that involved transfers, we also reviewed the annual reports OMB prepares for Congress on the costs and benefits of federal regulations. OMB includes in these reports a list of transfer regulations and has used a consistent definition over time. We also looked for indication in the published regulation\u2019s economic analysis that the regulation involved such topics as transfers, or federal payments to certain groups in society (for example, Medicare recipients), subsidies for certain economic activities, or user fees or royalties people pay the government to name several common examples. To determine the extent to which agencies discussed whether they expected that the benefits would justify the costs, we looked for \u201cbottom line\u201d or other concluding statements agencies may have provided in their economic analysis. We also looked, when relevant, for a discussion of what the net benefits or costs were expected to be. For transfer regulations that were economically significant, we examined the extent to which agencies quantified or monetized the expected transfers. If available, we used accounting statements agencies may have prepared summarizing the anticipated economic effects to help collect all of this information. We did not assess whether the agencies\u2019 determinations regarding the benefits and costs were reasonable. In addition, we did not assess whether the agencies analyzed regulatory alternatives and uncertainty.", "We conducted this performance audit from May 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Additional GAO Analysis of Final Regulations Published During Specified Periods, 1996-2017", "paragraphs": ["The figures and tables in this appendix provide more detailed information on the results of additional analyses we completed for this report related to each of our three objectives. For economically significant regulations, we provide precise statistics on the extent of a finding, because we reviewed the universe. For significant regulations, our findings are based on a sample and include the upper and lower bounds of confidence intervals for estimated values."], "subsections": [{"section_title": "Analyses of Indicators Related to the Numbers, Scope, and Transparency of Regulations", "paragraphs": ["In this section, we provide additional information from our analyses of: the extent to which economically significant regulations were published before or after the presidential elections in 2000, 2008, and 2016; the most active rulemaking agencies for economically significant and significant regulations among the three administrations\u2019 transition and nontransition periods; the number of economically significant regulations for which agencies reported they were under a statutory or judicial deadline to promulgate the regulation; and the median length, in days, of Office of Information and Regulatory Affairs (OIRA) regulatory reviews under Executive Order (E.O.) 12866 for draft final economically significant and significant regulations during transition and nontransition periods.", "We reviewed the extent to which economically significant regulations were published before or after the presidential elections in 2000, 2008, and 2016 and found that Presidents Clinton and Obama\u2019s administrations increased their rate of rulemaking following the election, while President Bush\u2019s administration decreased its rate of rulemaking. (See figure 14.)", "We identified the most active rulemaking agencies for economically significant regulations among the three administrations\u2019 transition and nontransition periods and did the same for significant regulations. (See tables 4-9.)", "Agencies can indicate on Reginfo.gov whether they are required by a statutory or judicial deadline to promulgate a regulation. We did additional analysis for economically significant regulations and found agencies were less likely to indicate they were under such a deadline during the three administrations\u2019 transition periods compared to nontransition periods.", "Under E.O. 12866, agencies are expected to submit regulations deemed significant to OIRA for review. Nearly all regulations we reviewed had been reviewed by OIRA. For a small number of economically significant regulations (13 across all periods or approximately 2 percent of the economically significant population), we could not find evidence on Reginfo.gov that OIRA reviewed the regulation. However, the absence of evidence on Reginfo.gov does not necessarily mean that OIRA did not review those regulations and may instead indicate that the review dates were not entered into Reginfo.gov. Our review found that the median length of OIRA\u2019s review increased for economically significant regulations during each transition. (See figure 15.) For significant regulations, there were no statistical differences among the three transition periods and compared to nontransition periods combined. (See figure 16.)"], "subsections": []}, {"section_title": "Analyses of Indicators Related to Agencies\u2019 Reported Compliance with Selected Procedural Requirements for Promulgating Regulations", "paragraphs": ["In this section, we provide additional information from our analyses of: agencies\u2019 determinations regarding their regulations under the Regulatory Flexibility Act (RFA); agencies\u2019 determinations regarding their regulations under the Paperwork Reduction Act (PRA); agencies\u2019 determinations regarding their regulations under the Unfunded Mandates Reform Act of 1995 (UMRA); and", "Congressional Review Act (CRA) noncompliance rates for the agencies publishing the largest number of regulations.", "We reviewed agencies\u2019 discussions of three procedural requirements\u2013 RFA, PRA, and UMRA\u2013for economically significant regulations. (Figures 17-19 summarize the determinations agencies reached.)", "We reviewed agencies\u2019 discussions of three procedural requirements\u2013 RFA, PRA, and UMRA\u2013for significant regulations. Figures 20-22 summarize the determinations agencies reached. We found the following statistical differences in comparing the determinations agencies reached for significant regulations:", "RFA: There were no statistical differences among the three transition periods and nontransition periods in the determination that regulations might have a significant economic impact on a substantial number of small entities. Regulations published during President Clinton\u2019s transition period were less likely than regulations published during President Bush\u2019s transition period and nontransition periods to determine that the regulation would not have a significant economic impact on a substantial number of small entities. There were no statistical differences between Presidents Clinton\u2019s and Obama\u2019s transition periods for this determination under RFA. We also found statistical differences in the remaining two categories\u2013regulations not subject to RFA and those not discussing RFA.", "PRA: Significant regulations published during Presidents Obama\u2019s and Clinton\u2019s transition periods more frequently contained information collection requirements covered by PRA compared to nontransition periods. In addition, significant regulations published during President Clinton\u2019s transition period more frequently contained information collections requirements compared to President Bush\u2019s transition period. There were no other statistical differences in significant regulations containing information collection requirements. For the other categories, there were no statistical differences, except that significant regulations published during nontransition periods were less likely to discuss PRA than those published during President Obama\u2019s transition period.", "UMRA: There were no statistical differences among the transition and nontransition periods in potential federal mandates covered by UMRA.", "We examined the CRA noncompliance rates for the agencies publishing the largest number of economically significant regulations. (See table 10)."], "subsections": []}, {"section_title": "Analyses of Indicators Related to the Anticipated Economic Effects Agencies Reported would Result from the Regulations", "paragraphs": ["In this section, we provide additional information from our analyses of the extent to which: agencies indicated benefits justified costs for economically significant agencies estimated net costs or benefits for economically significant agencies anticipated costs, benefits, or transfers resulting from significant regulations.", "We examined additional indicators related to the economic analyses that E.O. 12866 and Circular A-4 encourage agencies to conduct when promulgating regulations. E.O. 12866 states that an agency should propose or adopt a regulation only upon a reasoned determination that the benefits of the intended regulation justify its costs. We examined the extent to which agencies indicated that the anticipated benefits from economically significant regulations would justify their costs and found that agencies during Presidents Clinton\u2019s and Obama\u2019s transition periods were more likely to indicate that benefits justified costs compared to these administrations\u2019 nontransition periods. (See figure 23.) During President Bush\u2019s transition period, agencies were less likely to indicate that the anticipated benefits of the regulation would justify its anticipated costs. We did not extend this analysis to significant regulations because the examples were too limited to provide statistically reliable estimates for the three transition periods and nontransition periods combined.", "Monetizing both costs and benefits potentially allows an agency to calculate the net costs or benefits of a regulation and thus estimate how much better or worse off society will be as a result of the chosen regulatory approach. We found that agencies during Presidents Bush\u2019s and Obama\u2019s administrations, during both transition and nontransition periods, were more likely to calculate net costs or benefits than agencies during President Clinton\u2019s transition and nontransition periods. (See figure 24.) We did not extend this analysis to significant regulations because the examples were too limited to provide statistically reliable estimates for the three transition periods and nontransition periods combined.", "For significant regulations that did identify anticipated costs, benefits, or transfers, we found the following statistical differences in comparing the three transition periods and nontransition periods combined as explained below and in figure 25:", "Economic Costs or Benefits or Both: For regulations falling into this category, the only statistical difference we found was that agencies were more likely during President Clinton\u2019s transition period to identify anticipated economic costs or benefits or both compared to President Bush\u2019s transition period.", "Transfers: For regulations falling into this category, the only statistical difference we found was that agencies were less likely during President Obama\u2019s transition period to identify anticipated transfers compared to President Bush\u2019s transition period and all three administrations\u2019 nontransition periods combined.", "Both economic costs or benefits and transfers: For regulations falling into this category, the only statistical difference we found was that agencies were less likely during President Clinton\u2019s transition period to indicate this compared to President Bush\u2019s transition period.", "No economic analysis: An estimated 43 percent of significant regulations across all periods reviewed contained no economic analysis and there were no statistical differences among the three transition periods reviewed and the nontransition periods combined."], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Tim Bober (Assistant Director), Michael O\u2019Neill (Analyst in Charge), Carl Barden, Tim Guinane, Krista Loose, Ned Malone, Alexander Ray, Cynthia Saunders, Christie Stassel, and Andrew J. Stephens made key contributions to this report. Donna Miller, John Hussey, Steven Flint, and Rob Letzler also contributed."], "subsections": []}]}], "fastfact": ["Studies have found that federal agencies issue more regulations shortly before a president leaves office. This is often called \"midnight rulemaking.\"", "We looked at the last 120 days of the Clinton, Bush, and Obama administrations and compared the activity level to non-transition years. We found agencies in these periods:", "published about 2.5 times as many regulations,", "were more likely to provide advanced notice and opportunities for public comment, and", "were less likely to provide Congress the required time to review and possibly disapprove a regulation.", "We recommended that OMB work with agencies to bolster Congressional Review Act compliance."]} {"id": "GAO-18-258", "url": "https://www.gao.gov/products/GAO-18-258", "title": "K-12 Education: Discipline Disparities for Black Students, Boys, and Students with Disabilities", "published_date": "2018-03-22T00:00:00", "released_date": "2018-04-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Research has shown that students who experience discipline that removes them from the classroom are more likely to repeat a grade, drop out of school, and become involved in the juvenile justice system. Studies have shown this can result in decreased earning potential and added costs to society, such as incarceration and lost tax revenue. Education and Justice are responsible for enforcing federal civil rights laws that prohibit discrimination in the administration of discipline in public schools.", "GAO was asked to review the use of discipline in schools. To provide insight into these issues, this report examines (1) patterns in disciplinary actions among public schools, (2) challenges selected school districts reported with student behavior and how they are approaching school discipline, and (3) actions Education and Justice have taken to identify and address disparities or discrimination in school discipline. GAO analyzed discipline data from nearly all public schools for school year 2013-14 from Education's Civil Rights Data Collection; interviewed federal and state officials, as well as officials from a total of 5 districts and 19 schools in California, Georgia, Massachusetts, North Dakota, and Texas. We selected these districts based on disparities in suspensions for Black students, boys, or students with disabilities, and diversity in size and location. We also reviewed federal laws and a non-generalizable sample of seven recently resolved federal school discipline investigations (selected in part based on the type of alleged discrimination). We incorporated technical comments from the agencies as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Black students, boys, and students with disabilities were disproportionately disciplined (e.g., suspensions and expulsions) in K-12 public schools, according to GAO's analysis of Department of Education (Education) national civil rights data for school year 2013-14, the most recent available. These disparities were widespread and persisted regardless of the type of disciplinary action, level of school poverty, or type of public school attended. For example, Black students accounted for 15.5 percent of all public school students, but represented about 39 percent of students suspended from school\u2014an overrepresentation of about 23 percentage points (see figure).", "Officials GAO interviewed in all five school districts in the five states GAO visited reported various challenges with addressing student behavior, and said they were considering new approaches to school discipline. They described a range of issues, some complex\u2014such as the effects of poverty and mental health issues. For example, officials in four school districts described a growing trend of behavioral challenges related to mental health and trauma. While there is no one-size-fits-all solution for the issues that influence student behavior, officials from all five school districts GAO visited were implementing alternatives to disciplinary actions that remove children from the classroom, such as initiatives that promote positive behavioral expectations for students.", "Education and the Department of Justice (Justice) documented several actions taken to identify and address school discipline issues. For example, both agencies investigated cases alleging discrimination. Further, to help identify persistent disparities among the nation's schools, Education collects comprehensive data on school discipline every other year through its Civil Rights Data Collection effort."]}], "report": [{"section_title": "Letter", "paragraphs": ["Students who face certain types of discipline in school may be affected in profound ways that influence their lives as adults. Starting in pre-school, children as young as 3 and 4 have been suspended and expelled from school, a pattern that can continue throughout a child\u2019s education. Research has shown that students who are suspended from school lose important instructional time, are less likely to graduate on time, and are more likely to repeat a grade, drop out of school, and become involved in the juvenile justice system. The effects of certain discipline events, such as dropping out, can linger throughout an individual\u2019s lifetime and lead to individual and societal costs. For example, one study of California youth estimated that students who dropped out of high school due to suspensions would result in about $2.7 billion in costs for the state, stemming from lost wages and tax revenue, increased crime, and higher welfare and health costs. Another study estimated that Florida high school students who drop out earn about $200,000 less over their lifetimes than high school graduates.", "We were asked to report on the issue of discipline in schools. This report examines (1) the patterns in disciplinary actions among public schools, (2) the challenges selected school districts reported with student behavior and how they are approaching school discipline, and (3) the actions the Department of Education (Education) and the Department of Justice (Justice) have taken to identify and address any disparities or discrimination in school discipline.", "To obtain information on the patterns in disciplinary actions among public schools, we analyzed Education\u2019s Civil Rights Data Collection (CRDC) for 2013-14 (the most recent available). CRDC collects a range of information, including discipline data, from nearly every public school by student demographics (e.g., race, sex, disability) and school type (e.g., magnet or charter). The CRDC captures data on six broad categories of discipline: (1) out-of-school suspensions, (2) in-school suspensions, (3) referrals to law enforcement, (4) expulsions, (5) corporal punishment, and (6) school-related arrests. It does not capture data on less severe disciplinary actions, such as detentions. Using the CRDC, we also developed a regression model to explore whether certain school characteristics, such as the poverty level of the school, were associated with higher rates of certain disciplinary actions. Our analyses of these data, taken alone, do not establish whether unlawful discrimination has occurred. We determined these data were sufficiently reliable for the purposes of this report by reviewing documentation, conducting electronic testing, and interviewing Education officials.", "To obtain information on how selected school districts are addressing discipline issues, we interviewed state education, school district, and school officials in five states (California, Georgia, Massachusetts, North Dakota, and Texas). We selected one district in each state, and 19 schools within those districts, to serve as illustrative (non-generalizable) examples based on several criteria, including the presence of disparities in suspensions from school for Black students, boys, or students with disabilities, as reported in Education\u2019s CRDC data, size of the district, and geographic diversity.", "To determine how Education and Justice are identifying and addressing discipline disparities and discrimination, we interviewed agency officials and reviewed agency documentation, administrative data, federal laws and regulations, and a non-generalizable selection of resolved school discipline investigations undertaken by Education and Justice (which we refer to as cases). We selected four school discipline cases from Education and three from Justice that covered pre-kindergarten through grade 12 students, included a mix of types of alleged discrimination (e.g., based on race or disability status) and types of discipline (e.g., suspension, expulsion, arrest, etc.), and were resolved between 2014 and May 2017. Regarding administrative data, Education provided information from its internal database on the number of complaints received and cases investigated that were categorized as being related to school discipline. We assessed the reliability of this source through discussion with knowledgeable officials and reviewing key documents and determined the data to be reliable for our purposes. See appendix I for detailed information about our scope and methodology.", "We conducted this performance audit from November 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Research on Student Behavior and School Discipline", "paragraphs": ["The issue of who gets disciplined and why is complex. Studies we reviewed suggest that implicit bias\u2014stereotypes or unconscious associations about people\u2014on the part of teachers and staff may cause them to judge students\u2019 behaviors differently based on the students\u2019 race and sex. Teachers and staff sometimes have discretion to make case- by-case decisions about whether to discipline, and the form of discipline to impose in response to student behaviors, such as disobedience, defiance, and classroom disruption. Studies show that these decisions can result in certain groups of students being more harshly disciplined than others. Further, the studies found that the types of offenses that Black children were disciplined for were largely based on school officials\u2019 interpretations of behavior. For example, one study found that Black girls were disproportionately disciplined for subjective interpretations of behaviors, such as disobedience and disruptive behavior. A separate study used eye-tracking technology to show that, among other things, teachers gazed longer at Black boys than other children when asked to look for challenging behavior based on video clips. The Department of Health and Human Services (HHS) reported that this research has highlighted implicit bias as a contributing factor in school discipline and may shed some light on the persistent disparities in expulsion and suspension practices, even though the study did not find that teacher gazes were indicative of how they would discipline students.", "Children\u2019s behavior in school may be affected by health and social challenges outside the classroom that tend to be more acute for poor children, including minority children who experience higher rates of poverty. Research shows that experiencing trauma in childhood may lead to educational challenges, such as lower grades and more suspensions and expulsions; increased use of mental health services; and increased involvement with the child welfare and juvenile justice systems, according to HHS\u2019s Substance Abuse and Mental Health Services Administration (SAMHSA). Further, a substantial share of children nationwide are estimated to have experienced at least one trauma, referred to as an adverse childhood experience (ACE), according to the National Survey of Children\u2019s Health. Additionally, as we recently reported, there has been an increase in certain mental health issues within the school age population. For example, from 2005 to 2014, the suicide rate of youth ages 15 to 19 rose slightly, with older youth having a much higher rate of suicide than younger youth, and since 2007, the percentage of youth ages 12-17 experiencing a major depressive episode increased."], "subsections": []}, {"section_title": "K-12 Students and Discipline", "paragraphs": ["About 50 million students were enrolled in K-12 public schools during the 2013-14 school year, according to the CRDC. About 90 percent of students attended traditional public schools; the remainder were enrolled at public charters, magnets, and other types of schools (see table 1).", "About half of all public school students were White and the other half fell into one of several minority groups, with Hispanic and Black students being the largest minority groups (see fig. 1). The number of boys and girls in public schools was almost evenly split. A larger percentage of boys were students with disabilities.", "Nearly half of all public school students went to schools where 50 percent or more of the students were low-income, and about a quarter went to schools where 75 percent or more of the students were low-income (see table 2).", "Discipline of students dropped between 2011-12 and 2013-14 over the six broad categories of discipline reported in Education\u2019s CRDC, which were (1) out-of-school suspensions, (2) in-school suspensions, (3) referrals to law enforcement, (4) expulsions, (5) corporal punishment, and (6) school- related arrests. For example, in school year 2011-12 about 3.4 million (or 6.9 percent) of K-12 public school students were suspended out-of-school at least once, and in school year 2013-14 these suspensions fell to about 2.8 million (or 5.7 percent). Other disciplinary actions affected a much smaller portion of the student body\u2014specifically, less than 0.5 percent of all K-12 public school students were expelled, referred to law enforcement, had a school-related arrest, or experienced corporal punishment in 2013-14, according to Education\u2019s reported data."], "subsections": []}, {"section_title": "Education and Justice Enforcement Responsibilities", "paragraphs": ["Education\u2019s Office for Civil Rights and Justice\u2019s Civil Rights Division are responsible for enforcing a number of civil rights laws, which protect students from discrimination on the basis of certain characteristics (see table 3). As part of their enforcement responsibilities, both agencies conduct investigations in response to complaints or reports of possible discrimination. Education also carries out agency-initiated investigations, which are called compliance reviews and which target problems that Education has determined are particularly acute. Education may also withhold federal funds if a recipient is determined to be in violation of the civil rights laws and the agency is unable to reach agreement with the parties involved. In addition, Justice has the authority to file suit in federal court to enforce the civil rights of students in public education.", "Education and Justice have also issued guidance to assist public schools in meeting their obligations under federal law to administer school discipline without unlawfully discriminating against students on the basis of race, color, or national origin. According to the guidance, public schools are prohibited by federal law from discriminating in the administration of student discipline based on protected characteristics. Further, Education and Justice have noted in their guidance that disciplinary policies and practices can result in unlawful discrimination based on race, for example, in two ways: first, if students are intentionally subject to different treatment on account of their race; and second, if a policy is neutral on its face but has a disproportionate and unjustified effect on students of a particular race, referred to as disparate impact.", "According to Education and Justice guidance, significant and unexplained racial disparities in student discipline give rise to concerns that schools may be engaging in racial discrimination that violates federal civil rights laws; however, data showing such disparities, taken alone, do not establish whether unlawful discrimination has occurred."], "subsections": []}, {"section_title": "Selected Recently Enacted Federal Laws with Provisions Related to School Discipline", "paragraphs": ["Two significant, recently enacted laws include provisions related to school discipline: the Every Student Succeeds Act (ESSA) and the Child Care and Development Block Grant Act of 2014 (CCDBG Act of 2014). ESSA, enacted in December 2015, amended Title I program requirements to allow states\u2019 accountability systems to use multiple indicators of success, which can include measures of school climate and safety. As we previously reported in 2017, some states were considering measures related to suspension rates or school attendance. Additionally, ESSA amended the Elementary and Secondary Education Act of 1965 to authorize the Student Support and Academic Enrichment Program, under which school districts may use grant funding to, among other things, design and implement a locally-tailored plan to reduce exclusionary discipline practices in elementary and secondary schools. These grants also allow the use of funding to expand access to school- based mental health services, including counseling.", "In addition, the CCDBG Act of 2014 allows states to use certain funds to support the training and professional development of child care workers through activities such as behavior management strategies and training that promote positive social and emotional development and reduce challenging behaviors, including reducing expulsions of young children for those behaviors."], "subsections": []}]}, {"section_title": "Black Students, Boys, and Those with Disabilities Were Disproportionately Disciplined Regardless of Type of Discipline, Level of School Poverty, or Type of School", "paragraphs": ["Black students, boys, and students with disabilities were disproportionately disciplined in K-12 public schools, according to our analysis of Education\u2019s most recent CRDC data. This pattern of disproportionate discipline persisted regardless of the type of disciplinary action, level of school poverty, or type of public school these students attended."], "subsections": [{"section_title": "Type of Disciplinary Action", "paragraphs": ["Across each disciplinary action, Black students, boys, and students with disabilities experienced disproportionate levels of discipline. Black students were particularly overrepresented among students who were suspended from school, received corporal punishment, or had a school- related arrest (see fig. 2). For example, Black students represented 15.5 percent of all public school students and accounted for 39 percent of students suspended from school, an overrepresentation of about 23 percentage points. Differences in discipline were particularly large between Black and White students. Although there were approximately 17.4 million more White students than Black students attending K-12 public schools in 2013-14, nearly 176,000 more Black students than White students were suspended from school that school year. See appendix IV, table 12 for additional data on the disciplinary experiences of different racial or ethnic groups. For example, American Indian and Alaska Native students had higher than average rates of receiving each of the six disciplinary actions.", "This pattern of disproportionate discipline affected both Black boys and Black girls\u2014the only racial group for which both sexes were disproportionately disciplined across all six actions. For example, Black girls were suspended from school at higher rates than boys of multiple racial groups and every other racial group of girls (see fig. 3).", "Further, boys as a group were overrepresented, while girls were underrepresented among students disciplined across each action. Specifically, boys accounted for just over half of all public school students, but were at least two-thirds of students disciplined across each of the six actions, according to our analysis of Education\u2019s school year 2013-14 data. Boys were particularly overrepresented among students who received corporal punishment, by about 27 percentage points (see fig. 4). These kinds of disparities presented as early as pre-school (see sidebar). Additional information about discipline for pre-school students is in appendix IV, table 17.", "Regardless of the level of school poverty, Black students, boys, and students with disabilities were suspended from school at disproportionately higher rates than their peers (see fig. 6). This was particularly acute for Black students in high-poverty schools, where they were overrepresented by nearly 25 percentage points in suspensions from school. This pattern persisted across all six disciplinary actions, as well. A similar pattern emerged for boys and students with disabilities. However, unlike Black students, boys and students with disabilities were particularly overrepresented among students suspended from low-poverty public schools (poverty less than 25 percent).", "Effect of School Poverty on Discipline GAO used a regression model to examine the independent effect of school poverty on discipline in school year 2013-14. The model showed that increases in the percentage of low-income students in a school were generally associated with significantly higher rates for each of the six disciplinary actions GAO reviewed (in-school and out-of-school suspensions, referrals to law enforcement, expulsions, corporal punishment, and school- related arrests).", "In these schools, boys and students with disabilities were overrepresented by approximately 24 and 20 percentage points, respectively. See appendix IV, table 14 for more information on discipline by the poverty level of the school. In addition, see sidebar for regression results that were relevant to poverty and school discipline. Full results from our regression model are in appendix I, table 10."], "subsections": []}, {"section_title": "Type of Public School", "paragraphs": ["Regardless of the type of public school a student attended\u2014traditional, magnet, charter, alternative, or special education\u2014Black students, boys, and students with disabilities were disciplined at disproportionately higher rates than their peers, with few exceptions (see fig. 7). For example, Black students were disproportionately suspended from all types of public schools, and this was particularly acute in charter schools. That is, although they represented about 29 percent of all students in charter schools, Black students accounted for more than 60 percent of the students suspended from charter schools (about 32 percentage points higher than their representation in those schools). Boys and students with disabilities were particularly overrepresented among students suspended from traditional public schools (roughly 19 and 14 percentage points, respectively, above their representation in traditional public schools).", "Effect of School Type on Discipline GAO used a regression model to examine the independent effect of attending different types of public schools on disciplinary outcomes. The model showed several significant associations between school type and the likelihood of receiving discipline. For example, attending an alternative school was associated with a significantly higher likelihood of being suspended (in-school or out-of-school), expelled, referred to law enforcement, or arrested for a school-related incident, compared to attending a traditional public school. The model also showed that students were significantly less likely to be suspended (in-school or out-of-school) if they attended a magnet, charter, or special education school as compared to a traditional public school.", "We found a few exceptions to the general pattern of Black students, boys, and students with disabilities receiving disproportionately high rates of discipline by school type. For example, Black students attending special education schools did not receive corporal punishment at disproportionate levels. See appendix IV, table 15 for additional information on discipline by the type of public school. In addition, see sidebar for regression results that were relevant to school type and school discipline. Full results from our regression model are in appendix I, table 10. We also found a regional component to discipline in public schools. For example, corporal punishment generally occurred in southern states. See appendix II for maps showing the rates of disciplinary actions by public school district."], "subsections": []}]}, {"section_title": "Five Selected Districts Reported Changing Their Approach to Discipline in Order to Address Student Behavior Challenges", "paragraphs": [], "subsections": [{"section_title": "Selected School District and School Officials Said Complex Issues Confronting Students Make It Challenging to Address Student Behavior", "paragraphs": ["We spoke with school officials at five school districts about how they are addressing discipline, including challenges they face in responding to student conduct given the complex issues influencing student behavior. Several school officials noted a range of issues, including complex issues such as the effects of poverty, mental health issues, and family dysfunction, that they said contributed to behavior that leads to discipline (see fig. 8). For example, officials at a high-poverty Georgia high school said that their students have additional responsibilities, such as raising or watching siblings or working to support their family, which may cause students to be late to, or skip, class. This observation is consistent with our recent report on child well-being, which cited research showing that children in poverty are more likely to face academic and social challenges than their peers, and with our analysis of CRDC data, which showed that rates of chronic absenteeism (being absent 15 or more days in a school year), were higher in high-poverty schools. See appendix IV, table 19 for detailed data on chronic absenteeism. At one high school in Georgia, officials said that attendance issues were the reason for a majority of disciplinary actions at their school. They said that if students were repeatedly late to school or did not get to their next class within the set amount of time, students could amass enough infractions to warrant suspension from school. In contrast, an official at an elementary school in Georgia said that they usually do not discipline their students for being late to school, as they have found that it was often due to circumstances beyond the child\u2019s control. According to several school officials, some groups such as homeless youth, American Indian, or Lesbian, Gay, Bisexual, Transgender, or Questioning (LGBTQ) students have had greater attendance problems than others. For example, education officials in California said that homeless and foster youth frequently miss school because of all the transitions and instability in their lives. In a school in Texas, officials also reported attendance issues with students who are homeless or in foster care because they lack transportation and clothing. Similarly, we previously reported that American Indian students face school attendance challenges, including access to reliable transportation. In addition, American Indian and Alaska Native students had the highest rates of chronic absenteeism in school year 2013-14, compared to students of other races, according to our analysis of CRDC data (see appendix IV). LGBTQ students are at a high risk of suicide and other emotional issues during adolescence, and often feel disconnected from their peers and families, according to county education officials in California. According to these officials, this can contribute to attendance problems.", "Officials in our five selected school districts also described what they perceived as a growing trend of behavioral challenges or provided examples related to mental health and trauma, such as increased anxieties, thoughts of and attempts at suicide, and depression among students. For example, state education officials in Georgia said they viewed a growing number of their students as being \u201ctrauma complex.\u201d Officials at one school in Massachusetts said that they involve the mental health clinicians or social worker for additional support when students are dealing with traumatic experiences, depression, or are struggling to self- regulate. Further, officials at another school in Massachusetts said that many of their students have experienced trauma and this may lead to more aggressive behaviors at the elementary school level, and to more self-destructive behaviors at the middle school level. Specifically, these officials said that children who have experienced trauma may kick, bite, and punch others when they are younger and cut themselves or become suicidal when older. Similarly, officials at a school in Texas said that they have seen a growth in suicidal ideation and self-harm among the students. Some school officials also said that they felt ill-equipped or that schools lacked resources to deal with the increase in students with mental health issues and the associated behaviors.", "School officials in all five of the selected states also said that social media results in conflicts or related behavioral incidents among students, such as related bullying and arguments. Officials at a school in Georgia said that social media arguments can cause students who were not part of the original situation to be pulled in, creating classroom disruptions that end in discipline for a larger group. Moreover, officials in a North Dakota middle school said that disagreements on social media last for longer periods of time. They said that social media has also been used to facilitate the purchase of illegal drugs, which can result in students being arrested in school and expelled.", "Use of Corporal Punishment in School for Five Selected States California, Massachusetts, and North Dakota: Corporal punishment in schools is prohibited. Texas: If a school district adopts a policy to permit corporal punishment, school staff may use corporal punishment unless the student\u2019s parent has provided a written, signed statement prohibiting it. None of the schools GAO visited used corporal punishment, according to officials. Georgia: Boards of education are authorized to determine policies related to corporal punishment, including allowing school staff, at their discretion, to administer corporal punishment in order to maintain discipline. However, none of the schools GAO visited used corporal punishment, according to officials.", "School district officials from three of the five selected districts we visited stated that officials at individual schools generally have a lot of discretion in determining what discipline a student receives. In several schools, officials said they often try other avenues first to address behavior, such as detention, alerting or having a discussion with the parent, or taking away certain privileges such as making the student eat lunch with the teacher instead of with their friends. However, for certain offenses, officials in most districts said that discipline was automatically more severe. Gun possession, for example, prompts an automatic expulsion at most of the school districts we visited. In another example, school district officials in Texas said drug-related incidents, physical assault of a teacher or student, or extreme sexual behaviors can result in a student being placed in an alternative school. School officials at one alternative school we visited stated that 80 to 90 percent of their students are there due to drug-related incidents. Officials in several of the school districts said their districts had School Resource Officers who only become involved in school disciplinary issues when requested by school administrators. In a Texas high school with over 3,800 students, a school official said School Resource Officers patrol school grounds, monitor gang activity, and may become involved when there are illegal drug issues. Officials also said that School Resource Officers sometimes provide trainings for students, parents, or school staff on subjects such as safety, good decision making, substance abuse, and peer pressure. Further, although corporal punishment was legal in two of the five states we visited (see sidebar), the school district officials with whom we spoke in those states said it was not used anymore in their districts. Our analysis of schools nationwide using school year 2013-14 data showed that corporal punishment tended to be most prevalent in southern states (see maps in appendix II)."], "subsections": []}, {"section_title": "All Selected School Districts Described Changing Their Approach to Discipline", "paragraphs": ["While there is no one-size-fits-all solution to addressing challenging student behavior, or to the evident disparities in discipline for certain student groups, officials in two school districts we visited told us they recognize the importance of finding alternatives to discipline that unnecessarily removes children from the learning environment. Some school officials said they have begun to specifically address disparities for certain student groups. Officials in all selected school districts reported they are implementing efforts to better address student behavior or reduce the use of exclusionary discipline. For example, officials in all school districts said that they are implementing alternative discipline models that emphasize preventing challenging student behavior and focus on supporting individuals and the school community, such as positive behavioral interventions and supports (PBIS), restorative justice practices, and social emotional learning (SEL) (see sidebar). For example, officials at a selected school district in Texas said they have implemented a classroom management model that uses positive behavior techniques. Texas state law allows schools to develop and implement positive behavior programs as disciplinary alternatives for very young students. This was also true in California, where state law specifically lists suggested alternatives to suspension, including restorative justice, a positive behavior support approach with tiered interventions, and enrollment in programs that teach positive social behavior or anger management.", "Examples of Alternatives to Discipline that Removes Students from the Classroom Positive Behavioral Interventions and Supports (PBIS): A school-wide framework that focuses on positive behavioral expectations. By teaching students what to do instead of what not to do, the school can focus on the preferred behaviors. All of the selected school districts used some form of positive behavioral intervention and supports. One school official told us that PBIS has significantly reduced their discipline referral numbers and provided teachers more tools to get behavior situations under control. Restorative Justice Practices: This approach focuses on repairing harm done to relationships and people. The aim is to teach students empathy and problem-solving skills that can help prevent inappropriate behavior in the future. For example, according to officials we interviewed at one school, their restorative practices help students take ownership of their actions and work collaboratively to restore relationships that may have been strained. Officials at another school said schools use mediation techniques as alternatives to suspensions. Social and Emotional Learning (SEL): SEL enhances students\u2019 abilities to deal effectively and ethically with daily tasks and challenges. SEL integrates the following five core competencies: self-awareness, self- management, social awareness, relationship skills, and responsible decision making. At a school implementing this model, officials said that they are strengthening their SEL program to improve the whole child instead of treating discipline and mental and behavioral health separately.", "With regard to directly addressing disparities in school discipline, officials at one school district in California said they created a new leadership team for equity, culture, and support services, and developed a district- wide equity plan that includes mandatory training on implicit bias for principals. Officials from that district also said they had recently changed a policy to increase the consistency of discipline actions across the district\u2019s schools. Similarly, officials at a school district in Massachusetts reported they were working to build awareness among school leadership to address racial bias and the achievement gap through multiyear trainings. Officials we spoke with at a school within that district said they conduct trainings for staff on implicit bias and other related issues to reduce school discipline disparities. As some of the schools and districts we visited have begun implementing alternative discipline models and efforts to reduce the use of exclusionary discipline in recent years, we heard from officials in two districts that there has been difficulty with implementation due to limited resources, staffing turnover, and resistance on the part of some parents.", "During our visits to schools, we observed classroom spaces that school officials used to manage student behavior, including through various alternative approaches to discipline (see fig. 9). Officials in two school districts said they are moving away from exclusionary discipline because it decreases the amount of academic instruction. Officials at one school district in Georgia said that the district had a history of overusing exclusionary discipline and they understood that schools cannot \u201csuspend their way out of behavioral and discipline issues.\u201d Officials at that district said they are currently rolling out PBIS to their schools, although progress has been slow. While they said discipline rates have decreased and they have received fewer parent and staff complaints, change is difficult because of limited resources, staff turnover, and some resistance to alternative discipline versus punitive discipline on the part of both some school staff and parents.", "State education officials in all five states said that changes to state law were made or considered related to school discipline in the past several years. For example, California officials said that state law now prohibits suspensions and expulsions for children in grades K-3 for willful defiance. For all ages suspensions may only be used when other means of correction fail to bring about proper conduct. Similarly, Massachusetts law requires that during a student meeting or a hearing to decide disciplinary consequences for a student, school administrators consider ways to re-engage students in the learning process and that expulsion only be used after other remedies and consequences have failed. Massachusetts also revised its state law effective July 2014 to require that schools provide educational services for expelled students. Georgia state law includes a preference for reassignment of disruptive students to alternative educational settings in lieu of suspending or expelling such students. In addition, most of the selected states plan to include school discipline or absenteeism as measures of school quality in their state ESSA Title I plans (see sidebar)."], "subsections": []}]}, {"section_title": "Education and Justice Identify and Address School Discipline Issues by Investigating Cases, Analyzing Data, and Providing Guidance and Support", "paragraphs": [], "subsections": [{"section_title": "Education Has Investigated and Found Instances of Discrimination and Disparities in School Discipline", "paragraphs": ["According to administrative data from Education, the Office for Civil Rights (OCR) resolved over 2,500 K-12 school discipline cases between 2011 and summer 2017 through several means, including voluntary resolution (leading to agreed-upon actions and subsequent monitoring), dismissal, or closure due to insufficient evidence. These cases stemmed both from external complaints and reviews self-initiated by Education. When we analyzed a non-generalizable sample of resolved cases, we found that most of them focused on alleged racial discrimination or disability status. In the four cases we selected for more in-depth review, the school districts agreed to address discipline issues by, for example, designating a discipline supervisor, training staff, revising district policies, holding student listening sessions, and regularly reviewing data to identify disparities (see case descriptions below). Some of these remedies are designed to reduce exclusionary discipline or improve overall school climate, and others are more directly focused on addressing disparities in school discipline. For example, having school leadership regularly review data, particularly when disaggregated by race and other student characteristics, would increase awareness of disparities.", "Education Case 1: Race and Exclusionary Discipline in a Mississippi School District. OCR\u2019s 2014 investigation of the Tupelo Public School District found that Black students were disproportionately disciplined in nearly all categories of offenses. These commonly included subjective behaviors like disruption, defiance, disobedience, and \u201cother misbehavior as determined by the administration.\u201d The consequences for \u201cother misbehavior\u201d in high school could be severe, ranging from detention to referral to an alternative school. Once at the alternative school, students were searched thoroughly each day upon entry, escorted by security officers when changing classes, and not allowed to carry purses or book bags. OCR concluded that the district\u2019s discipline codes afforded administrators broad discretion, and found different treatment of Black students when looking at specific disciplinary records. For example, among several students who were disciplined for the first offense of using profanity, Black students were the only ones who were suspended from school, while White students received warnings and detention for substantially similar behavior. To address these issues, the district entered into a voluntary resolution agreement whereby it committed to taking specific actions to ensure that all students have an equal opportunity to learn in school. It agreed, among other things, to revise its student discipline policies, practices, and procedures to include clear and objective definitions of misconduct, eliminate vague and subjective offense categories, and describe criteria for selection within the range of possible penalties when imposing sanctions. The district also agreed to require that alternatives to suspension and other forms of exclusionary discipline be considered in all cases except where immediate safety of students or staff is threatened, and where the behavior in question is such that the disruption to the educational environment can only be remedied by removal, or where the student\u2019s removal is a result of the district\u2019s progressive discipline policy.", "Education Case 2: Disability and Restraint & Seclusion in a Non- Public California School. This 2016 OCR investigation focused on restraint and seclusion of a student with disabilities who was placed at the non-public school with which Oakland Unified School District contracted to provide the student with certain services, including developing and implementing behavior intervention plans. OCR found the use of prone restraint on this student to be severe, persistent, and pervasive: staff held the student face-down 92 times over a period of 11 months, with the longest duration of a single face-down restraint being 93 minutes. Examples of behaviors that led to the use of restraint included disruptive behavior, not following directions, pushing desks, and ripping up assignments. Staff said that the student wanted to be disciplined and understood prone restraint to be disciplinary. OCR determined that the district allowed the student to be treated differently for non-dangerous behavior on the basis of disability. The district entered into a resolution agreement, committing to resolve these issues by offering individual relief to the student\u2014arranging for an evaluation of the student for adverse effects of the restraint and seclusion, with recommendations for addressing areas of harm\u2014and implementing district-wide policy changes related to restraint and seclusion. The latter included establishing a protocol for responding to any contracted non-public schools\u2019 reports of restraining or secluding district students, and providing training on positive interventions.", "Excerpt from Christian County, KY Case An African American 10th grader was assigned 1-day out-of-school suspension for skipping school. In comparison, a white 12th grader was assigned a conference with the principal for skipping school. The African American student had 19 previous disciplinary referrals, while the white student had 28 previous disciplinary referrals. Education reported that it would be difficult for the district to demonstrate how excluding a student from attending school in response to the student\u2019s efforts to avoid school meets an important educational goal.", "Education Case 3: Race and Exclusionary Discipline in a Kentucky School District. In this 2014 case, OCR found that Christian County School District disciplined Black students more frequently or harshly than similarly situated White students. Specifically, Black students were more than 10 times more likely than White students to receive out-of-school suspension for disorderly conduct, and Black students were more likely to be assigned to an \u201cIsolated Classroom Environment\u201d when discipline was for a violation that afforded discretion. OCR also found that the district\u2019s discipline code did not define 61 types of violations, including ones that involve interpretation, such as disorderly conduct, failure to follow directions, deliberate classroom disruption, and profanity. OCR found that administrators had wide discretion in determining the consequences for such actions, and noted that the discipline code allowed for virtually every type of sanction, including expulsion, for each type of violation. OCR also found inconsistencies in treatment of students in different racial groups when looking at individual records (see sidebar). Although district officials said they were aware of the higher rates of discipline for Black students, OCR found that there were no safeguards to ensure that discretion would be exercised in a nondiscriminatory manner. To resolve these issues, the district agreed to ensure as much as possible that misbehavior is addressed in a way that avoids exclusionary discipline, collaborate with experts on research-based strategies to prevent discrimination in discipline, and provide support services to decrease behavioral difficulties, among other things.", "Education Case 4: Race and Informal Removals in a California Charter School. In this 2015 case, OCR investigated whether Black students were disproportionately disciplined at a charter school which emphasizes Hmong culture and language. The complaint noted that the student\u2019s parents had been asked to take him home on a few occasions because he was disruptive in class. School administrators confirmed the practice of \u201cearly dismissal\u201d in response to misbehavior, but said they did not consider the dismissal to be disciplinary. Because the school did not maintain records of these removals, OCR was unable to determine if the student was subjected to discriminatory discipline. However, OCR noted that the practice of removing students from school for disciplinary reasons without appropriate recordkeeping and due process makes it almost impossible for the school to assess whether it is fully meeting its duty of ensuring nondiscrimination with respect to discipline. To resolve these issues, the school agreed, among other things, to revise its discipline policies, provide due process and alternatives to exclusionary discipline, and clearly prohibit the kinds of informal suspensions that OCR observed."], "subsections": []}, {"section_title": "Justice Has Investigated Discrimination in School Discipline Based on Long- standing Desegregation Orders and Public Complaints", "paragraphs": ["Justice also investigates discrimination in school discipline based on complaints filed under federal civil rights statutes and as part of monitoring desegregation orders. Three recently-resolved cases investigated exclusionary discipline or restraint and seclusion for students of color and those with disabilities (see case descriptions below).", "Justice Case 1: Race and Exclusionary Discipline in an Arkansas School District. This Justice case, originally stemming from a desegregation order, focused on whether the Watson Chapel School District was discriminating against Black students in its administration of school discipline. Justice found that the district suspended and expelled Black students at significantly higher rates than White students, and that district policies and procedures were responsible for this difference. The parties signed a Consent Order in 2016, under which the school district agreed to implement positive interventions and supports, transition away from exclusionary discipline, revise the code of conduct to list specific levels of disciplinary infractions and consequences, prohibit corporal punishment, establish a memorandum of agreement with any law enforcement agency that supplies school resource officers, and provide training to staff. In addition, the district agreed to provide due process before students receive out-of-school suspensions, expulsions, or referrals to the alternative education program because of disruptive behavior.", "Justice Case 2: Race and Disability in a Maryland School District. Justice investigated complaints that discipline policies in the Wicomico County Public School District resulted in the discriminatory suspension of Black and Latino students and students with disabilities. After the investigation, Justice and the district negotiated and entered into a voluntary out-of-court settlement agreement in January 2017. The district agreed to hire a consultant to implement positive behavioral interventions and supports and restorative practices, revise the code of conduct to include objective definitions of behavioral infractions and incorporate alternatives to exclusionary discipline, establish clear guidelines for when law enforcement intervention is appropriate, and provide appropriate due process procedures.", "Justice Case 3: Race and Restraint & Seclusion in a Kentucky School District. This 2017 Justice case investigated whether Covington Independent Schools\u2019 disciplinary practices, including the use of exclusionary discipline, restraint, and seclusion, discriminated on the basis of race, national origin, or disability. The parties agreed to negotiate a settlement agreement under which the district agreed to develop a process to regularly identify students who disproportionately had disciplinary referrals, with a focus on offenses that may be the result of unaddressed behavioral needs such as disruptive behavior or aggression, defiance, and being \u201cbeyond control.\u201d The district also agreed to discontinue the use of \u201ccalm rooms\u201d (where students are isolated during an episode of misbehavior) and prohibit the use of physical restraint except in the case of imminent danger that could not be addressed through de-escalation techniques. The district agreed to adopt an intervention procedure to meet the needs of students with disabilities who may need support beyond the standard discipline policies. In addition, if parents of students with disabilities were asked to come to the school to become involved in an ongoing instance of misbehavior, the district could no longer require the parent to take the student home unless the student had been assigned an out-of-school suspension or expulsion."], "subsections": []}, {"section_title": "Education and Justice Provide Guidance and Resources on School Discipline and Related Issues, Including How to Identify and Address Disparities", "paragraphs": ["Education and Justice collaborated on a \u201cRethink Discipline\u201d campaign in 2014 to address what they viewed as widespread overuse of suspensions and expulsions. This awareness campaign included comprehensive guidance to help states and schools implement alternatives to exclusionary discipline, reduce discrimination, and identify root causes of disparities (see sidebar). The agencies have also collaborated to provide guidance encouraging school districts that use school resource officers to formalize partnerships with local law enforcement agencies and clarify that school resource officers should not administer discipline in schools.", "Education has also issued special guidance related to the discipline of students with disabilities, including an explanation of the requirement to provide appropriate strategies to address behavior in students\u2019 individualized education programs (IEPs). This guidance stated that when a student with a disability is regularly sent home early from school for behavior reasons, it is likely that the child\u2019s opportunity to make progress in the general education curriculum is significantly impeded (see sidebar). The guidance states that being sent home regularly in this way constitutes a disciplinary removal, which comes with statutory reporting obligations and other considerations. For further information on available federal guidance related to discipline in public schools, see appendix III. available could result in an inappropriately restrictive placement. demonstrates that disciplinary measures such as short-term removals from the current placement (e.g., suspension), or other exclusionary disciplinary measures that significantly impede the implementation of the individualized education program (IEP), generally do not help to reduce or eliminate reoccurrence of the misbehavior.", "Education and other federal entities have also awarded grants and established special initiatives related to student behavior and school discipline, many of which started around the same time as the federal Rethink Discipline campaign and were designed to be complementary. For example, Education awarded about $130 million from 2014-2016 to states and school districts through the School Climate Transformation Grant, which was established in 2014 to support districts taking steps to improve behavioral outcomes. According to Education, nearly 3,000 schools have worked to implement these behavioral support systems through the grant, and preliminary outcomes data have shown increased student attendance and fewer disciplinary referrals. In addition, Education awarded about $68 million for fiscal years 2015-2019 to over 20 school districts under Project Prevent\u2014a grant to promote conflict resolution skills in students, particularly when they have been exposed to pervasive violence. According to the districts\u2019 grant summary documents, these districts have experienced nearly 10,000 fewer violent behavioral incidents and have provided access to mental health services for over 5,000 students. Justice\u2019s research arm, the National Institute of Justice, also started the Comprehensive School Safety Initiative in 2014 and has since provided about $84 million to fund nearly 40 research projects and interventions that address school discipline and safety, such as implementing restorative practices and studying the root causes of the school-to-prison pipeline. More recently, Education collaborated with HHS to fund the Pyramid Equity Project for early learning programs, which is designed to address implicit bias in school discipline, implement culturally responsive practices in addressing student behavior, and use data systems to understand equity issues.", "For ongoing technical assistance related to student behavior and school discipline, Education sponsors centers on supportive learning environments, improving student engagement and attendance, and implementing positive behavioral interventions and supports (PBIS). For example, the National Center on Safe Supportive Learning Environments provides information and resources on addressing school discipline, mental health, substance abuse, physical safety, student engagement, and other related issues. Justice funds a technical assistance center on school-justice partnerships that works to enhance collaboration among schools, mental and behavioral health specialists, and law enforcement officials. This center recently published a bulletin on the intersection of exclusionary school discipline and the juvenile justice system, which offers tips for judges who handle school-related cases and information on successful efforts to reduce the number of school-based referrals to law enforcement. For a list of other technical assistance centers related to student behavior or discipline, see appendix III.", "Lastly, to help identify discipline disparities among the nation\u2019s schools, Education collects comprehensive data on school discipline every other year through the CRDC. The agency publicly releases highlights from these data through their \u201cFirst Look\u201d documents and in annual reports, which typically focus on a limited number of disciplinary actions (primarily suspensions) and student demographics (usually race and disability status). Education\u2019s public analyses of school discipline data have not included school characteristics like poverty level or type of school. Education encourages districts and schools to disaggregate their data by various student demographics and examine it for disparities. In addition, Education\u2019s Office of Special Education and Rehabilitative Services recently examined racial and ethnic disparities for students with disabilities using data collected under IDEA, Part B. This IDEA report provides the public with information on whether districts had significant disproportionality on the basis of race or ethnicity in the discipline of students with disabilities."], "subsections": []}]}, {"section_title": "Agency Comments, Third Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Education and Justice for review and comment. These agencies provided technical comments, which we incorporated as appropriate. We also provided selected draft excerpts relevant to officials we interviewed in state agencies, school districts, and school officials. We received technical comments from those officials in four of our five selected states, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Education, the Secretary of Health and Human Services, the Attorney General, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to examine (1) the patterns in disciplinary actions among public schools, (2) the challenges selected school districts reported with student behavior and how they are approaching school discipline, and (3) the actions the Department of Education (Education) and the Department of Justice (Justice) have taken to identify and address any disparities or discrimination in school discipline.", "To conduct this work we (1) analyzed federal discipline data by student demographics and school characteristics; (2) visited five school districts to provide illustrative examples of approaches to school discipline; and (3) interviewed federal agency officials and reviewed agency documentation, federal laws, regulations and policies, selected state laws, and a selection of resolved school discipline cases. To inform all aspects of our work, we interviewed representatives from several nonfederal civil rights organizations and advocacy organizations that represent parents and families, individuals with disabilities, and people from specific racial or ethnic backgrounds, such as Hispanic, African-American, and American Indian communities. We also met with academic subject matter experts to discuss issues related to school discipline, including disparities in school discipline and initiatives intended to reduce exclusionary discipline. In addition, we reviewed two dozen articles containing research that had been published since 2010 to further understand the context of school discipline issues and programs. We evaluated the methods used in the research and eliminated the research if we felt the methods were not appropriate or rigorous. The following sections contain detailed information about the scope and methodology for this report."], "subsections": [{"section_title": "Analysis of School Discipline National Data", "paragraphs": ["To determine the patterns in disciplinary actions among public schools, we used Education\u2019s Civil Rights Data Collection (CRDC) to analyze discipline data from all public schools by student demographics (e.g., race, sex, disability) and school characteristics (e.g., school type, such as charter or magnet school). Our analyses of this data, taken alone, do not establish whether unlawful discrimination has occurred. The CRDC is a biennial survey that is mandatory for every public school and district in the United States. Conducted by Education\u2019s Office for Civil Rights, the survey collects data on the nation\u2019s public schools (pre-K through 12th grade), including disciplinary actions as well as student characteristics and enrollment, educational and course offerings, and school environment, such as incidents of bullying. CRDC data are self-reported by districts and schools, and consequently there is potential for misreporting of information. In school years 2011-12 and 2013-14, the CRDC collected data from nearly every public school in the nation (approximately 17,000 school districts, 96,000 schools, and 50 million students in school year 2013-14). Using the public-use data file of the CRDC, we focused our analysis primarily on data for school year 2013- 14, the most recent data available at the time of our analysis. We also compared disciplinary data from school years 2011-12 and 2013-14 to analyze how discipline may have changed over that period.", "The 2013-14 CRDC collected data on six broad types of disciplinary actions: (1) out-of-school suspensions, (2) in-school suspensions, (3) referrals to law enforcement, (4) expulsions, (5) corporal punishment, and (6) school-related arrests. The CRDC did not collect data on less severe forms of discipline, such as detentions, Saturday school, or removing privileges to engage in extracurricular activities, such as athletic teams or field trips. As shown in table 4, we combined related variables for out-of- school suspension and expulsion; we also provide a crosswalk of discipline variables used in this report and those captured in the CRDC.", "For each of the six disciplinary actions in our review, we examined discipline counts and rates both overall and disaggregated by student demographic characteristics. Specifically, we examined counts and rates for each disciplinary action by student sex (boy or girl), race or ethnicity (see table 5), disability status (students with or without disabilities), and English Language Learners. Using the CRDC, we also examined race and sex intersectionally, for example, disciplinary rates for Black boys or White girls.", "In order to analyze discipline counts and rates by the poverty level of the school, we pulled in data on free or reduced-price lunch eligibility from the 2013-14 Common Core of Data (CCD), and matched it to schools in the 2013-14 CRDC, which did not collect eligibility data. The CCD is administered by Education\u2019s National Center for Education Statistics, and annually collects nonfiscal data about all public schools in the nation. A student is generally eligible for free or reduced-price lunch based on federal income eligibility guidelines that are tied to the federal poverty level and the size of the family. State education agencies supply these data for their schools and school districts.", "We then sorted schools into quartiles based on the percentage of students eligible for free or reduced-price lunch as follows: 0 to 25 percent, 25.1 to 49.9 percent, 50 to 74.9 percent, and 75 to 100 percent (see table 6). The poverty thresholds and measure of poverty discussed here and throughout this report were commonly used in the literature and also aligned with how Education analyzed its data.", "To analyze discipline counts and rates by the type of public school a student attended, we sorted schools into mutually exclusive categories and reviewed disciplinary data by student demographic information. The 2013-14 CRDC allowed schools to self-identify as special education, magnet, charter, and alternative schools (see table 7).", "The categories of public schools in the CRDC were not mutually exclusive; that is, schools could select multiple school types to describe their school, such as a charter school that was also an alternative school. To create mutually exclusive categories for analytical purposes, we applied the following criteria:", "Alternative school: all schools that selected \u201calternative\u201d as the school type in the CRDC, even if they selected other types as well.", "Special education school: schools that selected \u201cspecial education\u201d as the school type in the CRDC, except those schools that also selected the alternative school type.", "Charter school: schools that selected \u201ccharter\u201d as the school type in the CRDC, except those schools that also selected the alternative school type and/or the special education school type.", "Magnet school: schools that selected \u201cmagnet\u201d as the school type in the CRDC, except those schools that also selected the alternative school type, the special education school type, and/or the charter school type.", "Traditional school: schools that did not select any other school type in the CRDC.", "Table 8 provides the breakdown of students and schools captured in the 2013-14 CRDC after applying these criteria.", "For each of our school discipline analyses, we also examined disparities in disciplinary rates by student demographics. Specifically, we compared each student groups\u2019 representation among students disciplined to their representation in the overall student population. For example, if boys accounted for 50 percent of all K-12 public school students, but represented 75 percent of students that received a given disciplinary action, then boys would be overrepresented among students that received that type of discipline by 25 percentage points. We also compared disciplinary rates across student groups and similarly examined disparities based on school poverty level and school type for all students.", "We also analyzed CRDC data on discipline of pre-school students. The disciplinary data for pre-school students that was collected in the CRDC for school year 2013-14 was different than disciplinary data collected for K-12 students. Specifically, data on pre-school discipline was limited to out-of-school suspensions and expulsions. Findings from our analysis of pre-school discipline data are included where applicable in the report and additional data are provided in appendix IV, table 17.", "In addition to analyzing data on school discipline, we also analyzed data on chronic absenteeism, which was defined as students who were absent 15 or more days during the school year for any reason, which could include for suspensions and expulsions. The CRDC also collected data on instances in which students were restrained\u2014both physically and mechanically\u2014or secluded at school. Education has provided a resource document with principles to school districts that indicates restraint and seclusion should only be used in instances where a student\u2019s \u201cbehavior poses imminent danger of serious physical harm to self or others,\u201d and should never be used as punishment or discipline. However, multiple sources, including civil rights complaints filed with Education, news stories, and other reports have alleged that these practices have been used in response to student misbehavior, in particular for students with disabilities. We included data on chronic absenteeism and restraint and seclusion in our analyses, and present related findings in appendix IV, tables 18 and 19.", "We determined that the data we used from the CRDC and CCD were sufficiently reliable for the purposes of this report by reviewing technical documentation, conducting electronic testing, and interviewing officials from Education\u2019s Office for Civil Rights and National Center for Education Statistics. For our analysis of the 2013-14 CRDC, we used the final data file that was publicly available as of June 2017 because it corrected errors in the original data previously submitted by several school districts."], "subsections": []}, {"section_title": "Regression Analysis", "paragraphs": ["We conducted a generalized linear regression using the 2013-14 CRDC and CCD data to explore whether and to what extent certain school-level characteristics were associated with higher rates of each disciplinary action. Such a model allowed us to test the association between a given school characteristic and the percentage of students receiving a given disciplinary action, while holding other school characteristics constant. We selected different school characteristics (our independent variables) for the regression based on factors that Education\u2019s Office for Civil Rights and other researchers have identified as potential drivers of school discipline rates (our dependent, or outcome variables). Table 9 lists the variables we included in our regression model. We conducted a separate regression for each of the six disciplinary actions listed as an outcome variable.", "We excluded some schools from our regression model. Specifically, we excluded schools that met one or more of the following criteria:", "Data were not available in both the CRDC and CCD data sets, and therefore we were unable to determine the percentage of students eligible for free or reduced-price lunch in these schools or whether these schools were located in rural, suburban, or urban areas.", "School was listed as \u201cungraded\u201d in the CRDC because we could not determine if these schools offered grade 6 or above.", "School only offered pre-school because pre-school disciplinary data were reported separately and differently than K-12 disciplinary data in the CRDC.", "School identified as a juvenile justice facility in the CRDC. In the 2013-14 CRDC, schools could identify as a juvenile justice facility, and select one of the other school types in our analysis (i.e., traditional, magnet, charter, alternative, and special education schools). Due to this overlap, and because it is reasonable to expect discipline within a juvenile justice facility could function differently than discipline in other schools, we excluded these schools from our regression model.", "School had less than 10 students enrolled because in smaller schools minor fluctuations in the numbers of students receiving a given disciplinary action could have a large effect on disciplinary rates.", "In the 2013-14 data, these exclusions reduced the total number of public schools in our regression model from a universe of 95,507 public schools to 86,769 public schools.", "All regression models are subject to limitations and for this model the limitations included:", "Data we analyzed were by school rather than student. Consequently, we were not able to describe the association between our independent variables and a student\u2019s rate of different disciplinary actions, while controlling for characteristics of an individual student, such as sex, race or ethnicity, disability status, or grade level. Instead, the school-level nature of the CRDC data limited our description of the associations between school characteristics and disciplinary rates to whether there was an increase, decrease, or no effect on disciplinary rates for schools with a given characteristic, controlling for other characteristics of the entire school\u2019s population, such as percent of students who are boys or are Black.", "Some variables that may be related to student behavior and discipline are not available in the data. For example, in this context, it could be that parent education or household type (single- versus multiple- headed household) could be related to student behaviors, such as those that lead to receiving the six disciplinary actions we analyzed.", "Results of our analyses are associational and do not imply a causal relationship because, for example, CRDC data were not gathered by a randomized controlled trial, where students would be randomized to attend schools with certain characteristics.", "Typically, a generalized linear regression model provides an estimated incidence rate ratio, where a value greater than one indicates a higher or positive association, in this case, between the disciplinary outcome and the independent variable of interest, such as being a charter school or having a higher percentage of Black students. An estimated incidence rate ratio less than one indicates a lower incidence of a given disciplinary action when a factor is present.", "Given the limitations of our model as described above, we present the results of our regression model in table 10 by describing the direction of the associations, rather than an estimated rate (incidence) of disciplinary outcomes. For categorical variables in table 10, we provided the comparison school characteristic in brackets and italics. For example, the results in this table should be interpreted as students attending alternative schools were significantly more likely than students attending traditional schools to be suspended out of school. For continuous variables (i.e., those starting with \u201cPercent\u201d), the results in this table should be interpreted as the likelihood of receiving a given disciplinary action as the percentage of students in the school with a given characteristic increased. For example, as the percentage of students eligible for free or reduced- price lunch increased, we found that the likelihood of receiving each of the six disciplinary actions also increased.", "It should be noted that interactions (i.e., where we combine both race and sex variables) should be interpreted differently than other variables in table 10. Though an interaction may be \u201cnegative,\u201d it does not necessarily imply that the group presented in the interaction was significantly less likely to receive the given disciplinary action because interactions are interpreted relative to the main effect of each variable in the interaction. For example, as shown in table 10, the interaction for percentage of Black boys was negative for out-of-school suspensions; however, the estimated incidence of out-of-school suspensions for a school with a higher than average percentage of Black students and a higher than average percentage of boys was positive. Since the contribution for an interaction coefficient is relative, in this example the contribution of the main effects outweighed that of the interaction, resulting in a positive effect altogether, despite the negative interaction."], "subsections": []}, {"section_title": "School District Site Visits", "paragraphs": ["To obtain information on how selected school districts are addressing discipline issues, including any challenges they face in doing so, we selected five school districts to serve as illustrative examples. To select school districts, we used CRDC data to sort school districts into categories based on district size; the presence of disparities in out-of- school suspension rates for boys, Black students, or students with disabilities; and whether the out-of-school suspension rate was increasing or decreasing between the two most recent CRDC collections. With regard to size, we collapsed several categories that Education has previously used into three groupings, each with roughly one-third of all students attending public schools in school year 2013-14:", "Large School District: 25,000 or more students (34.7% of all students in 2013-14)", "Medium School District: 5,000 to 24,999 students (33.2% of all students in 2013-14)", "Small School District: Less than 5,000 students (32.1% of all students in 2013-14)", "Further, we focused on out-of-school suspensions for selection purposes because this disciplinary action was one of the most frequently reported disciplinary actions employed by schools in Education\u2019s two most recent data collection efforts on the issue (2011-12 and 2013-14 CRDC). Moreover, out-of-school suspensions are an exclusionary disciplinary action; that is, they remove or exclude students from the usual instructional or learning environment. Selecting districts with a range of out-of-school suspension rate was intended to generate a mix of districts that commonly use exclusionary discipline, as well as those that may employ alternatives.", "For site selection, we used out-of-school suspension data in two ways. First, we excluded districts that did not have a disparity in out-of-school suspension rates for Black students, boys, or students with disabilities. Prior GAO work and Education\u2019s data showed that these groups were particularly vulnerable to discipline disparities, and the purpose of this research objective was to understand district efforts to identify and address such disparities. Second, we grouped school districts by whether their out-of-school suspension rate increased or decreased between 2011-12 and 2013-14. Exploring school districts that changed in different ways over time was intended to help us identify successful efforts to reduce suspensions as well as challenges districts face in addressing disparate discipline.", "Using the above criteria, we grouped school districts into the following categories:", "Category 1 and 2: Large school district and out-of-school suspension rate that increased (or decreased) from 2011-12 to 2013-14", "Category 3 and 4: Medium school district and out-of-school suspension rate that increased (or decreased) from 2011-12 to 2013- 14", "Category 5 and 6: Small school district and out-of-school suspension rate that increased (or decreased) from 2011-12 to 2013-14.", "After sorting school districts into the above categories, we randomized the list within each category to improve the methodological rigor of selecting school districts. In addition, we applied a series of post-checks to our list of districts in each grouping to ensure we had appropriate variety to consider other key factors in school discipline. Specifically, we checked for variety in: types of public schools in the district, geographic diversity both in terms of region of the country and use of corporal punishment in the district, and use of restraint or seclusion in the district.", "To select specific districts, we started with the district in each category that was at the top of the randomized list and then applied the above post-checks. We then conducted outreach to district superintendents or their designees via telephone and email to obtain their agreement to participate in this review. When school districts were unresponsive to our outreach or unwilling to participate, we contacted additional districts that had similar characteristics in order to achieve variety in our final selections. This resulted in the selection of five schools districts, one each in California, Georgia, Massachusetts, North Dakota, and Texas (see table 11).", "We visited each district and interviewed district-level officials involved in school discipline and school climate initiatives. These officials included superintendents, assistant superintendents, program managers, and directors of applicable district departments (e.g., student support services and special education). We also reviewed district-level discipline data, school district discipline policies, and relevant state laws related to school discipline to better understand the local context in each selected district.", "In the five districts we visited, we also interviewed officials at a total of 19 schools. At each school, we typically met with principals and/or assistant principals, and in some instances, spoke with other personnel at the school, such as counselors, attendance coordinators, school resource officers (i.e., law enforcement officers), and teachers. In each district, we selected a variety of schools to visit based on grade level, school type, and disciplinary data.", "For each selected district, we also interviewed officials from the state educational agency that oversees that district to better understand the statewide context around discipline, such as state laws that may affect district disciplinary policies, statewide initiatives related to discipline, and state-level monitoring of district-level disciplinary actions. In California, we also met with the county office of education that oversees the district we selected because, in that state, counties have a primary role in the local school district accountability structure.", "Because we selected these school districts judgmentally, we cannot generalize the findings about these districts\u2019 approaches to discipline, and the challenges they face, to all school districts and schools nationwide."], "subsections": []}, {"section_title": "Review of Federal Actions", "paragraphs": ["To determine the extent to which, and in what ways, Education and Justice are identifying and addressing discipline disparities and discrimination, we interviewed agency officials at headquarters and regional offices, reviewed agency documentation and administrative data, reviewed federal laws and regulations, and reviewed a non-generalizable sample of seven recently resolved school discipline investigations undertaken by Education and Justice (which we refer to as cases). With both agencies, we interviewed officials about each agency\u2019s responsibilities with respect to federal civil rights laws and regulations, as well as the actions the agencies took to enforce them. We also discussed each agency\u2019s guidance, support to school districts on these issues (e.g., grants and technical assistance), and data collection activities. In addition, we collected and reviewed relevant agency procedures and guidance documents. We also requested and reviewed Education\u2019s data on the number of civil rights complaints received and cases related to school discipline investigated from 2011 to August 2017 to better understand the scope of the agency\u2019s efforts. Education provided these data from their internal database, where investigators categorized cases as being related to school discipline. We assessed the reliability of this source through discussion with knowledgeable officials and reviewing key documents and determined the data to be reliable for our purposes.", "To select resolved school discipline cases to review, we searched Education\u2019s and Justice\u2019s respective online repositories of resolved investigations and compliance reviews, as well as Education\u2019s annual reports, to create a list of resolved cases related to school discipline. We then narrowed the list to cases resolved in approximately the past 3 years (from 2014 to May 2017) and excluded long-standing cases that were opened several decades ago to help ensure the information in the cases reflected recent policies and practices in each agency. We also excluded cases regarding institutions of higher education because they were outside the scope of this review. This resulted in a list of 12 relevant resolved cases\u20149 for Education and 3 for Justice. From this list, we selected 7 cases to review in depth to better understand Education\u2019s and Justice\u2019s investigatory processes and resolutions with regard to school discipline cases in pre-K through 12th grade, and to provide illustrative examples in our report. We selected 4 cases from Education that provided a mix of the type of alleged discrimination (e.g., race or disability) and type of discipline (e.g., suspension, expulsion, arrest, etc.). We selected all 3 relevant cases from Justice. For each case, we reviewed the type of investigation (complaint investigation or compliance review); the reason for the investigation; any applicable findings or recommendations; and the ultimate resolution of the investigation, such as a voluntary agreement with the school district or remedies to address findings. In all instances, we are presenting Education\u2019s and Justice\u2019s findings and do not reach any independent conclusions regarding the cases.", "We conducted this performance audit from November 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Maps of Disciplinary Actions by School District", "paragraphs": ["This appendix contains maps showing rates of disciplinary actions by school district for each of the six disciplinary actions captured in the Department of Education\u2019s Civil Rights Data Collection for school year 2013-14."], "subsections": []}, {"section_title": "Appendix III: Key Federal Resources Related to Student Behavior and School Discipline", "paragraphs": [], "subsections": [{"section_title": "Technical Assistance Centers", "paragraphs": ["Funded by Department of Education (Education):", "National Center on Safe Supportive Learning Environments: offers information and technical assistance focused on improving student supports and academic enrichment. This includes resources on using positive approaches to discipline, as well as promoting mental health for students and ensuring the safety and effectiveness of physical learning environments. https://safesupportivelearning.ed.gov/.", "National Student Attendance, Engagement, and Success Center: a center that disseminates evidence-based practices and facilitates communities of practice to help students attend school every day, be engaged in school, and succeed academically, so that they graduate high school prepared for college, career, and civic life. It offers webinars on identifying the root causes of chronic absence, linking school climate and exclusionary discipline to absenteeism, and improving attendance for vulnerable students. http://new.every1graduates.org/nsaesc/", "National Technical Assistance Center for the Education of Neglected or Delinquent Children and Youth: provides technical assistance to state agencies with Title I, Part D programs and works to improve education services for children and youth who are neglected, delinquent, or at risk. This includes running the Supportive School Discipline Communities of Practice, which brings together education and justice leaders for knowledge-sharing events and offers webinars on discipline initiatives such as restorative practices. https://www.neglected-delinquent.org/", "Positive Behavioral Interventions and Supports Technical Assistance Center: funded by Education\u2019s Office of Special Education Programs, this center supports implementation of a multi- tiered approach to social, emotional and behavior support. In addition, it offers resources on cultural responsiveness, addressing discipline disproportionality, and interconnecting mental health with behavior support systems, among other issues. https://www.pbis.org/.", "Funded by Department of Health and Human Services (HHS):", "Center of Excellence for Infant and Early Childhood Mental Health Consultation: supports states, tribes, and communities in promoting mental health and school readiness. It provides training to leaders in early childhood education around mental health and school readiness issues. https://www.samhsa.gov/iecmhc", "Center for School Mental Health: works to strengthen policies and programs in school mental health to improve learning and promote success for youth. This center is supported in full by HHS\u2019s Maternal and Child Health Bureau, Division of Child, Adolescent and Family Health Adolescent Health Branch in the Health Resources and Service Administration. http://csmh.umaryland.edu/", "National Center for Trauma-Informed Care and Alternatives to Seclusion and Restraint: works to develop approaches to eliminate the use of seclusion, restraints, and other coercive practices and to further advance the knowledge base related to implementation of trauma-informed approaches. https://www.samhsa.gov/nctic", "National Child Traumatic Stress Network: works to improve access to care, treatment, and services for children and adolescents exposed to traumatic events. The group provides a comprehensive focus on childhood trauma by collaborating with the health, mental health, education, law enforcement, child welfare, juvenile justice, and military family service systems. http://nctsn.org/", "National Resource Center for Mental Health Promotion and Youth Violence Prevention: offers resources and technical assistance to states, tribes, territories, and local communities to promote overall child wellness and prevent youth violence. http://www.healthysafechildren.org/", "Now Is the Time Technical Assistance Center: provides national training and technical assistance to recipients of the Healthy Transitions (youth access to mental health) and Project Advancing Wellness and Resilience Education (AWARE) grants. https://www.samhsa.gov/nitt-ta/about-us Funded by Department of Justice (Justice):", "School-Justice Partnership National Resource Center: provides trainings and webinars, and partners with stakeholders in the law enforcement, juvenile justice, mental health, and public education arenas. The National Council of Juvenile and Family Court Judges operates this center. https://schooljusticepartnership.org/", "Office of Juvenile Justice and Delinquency Prevention (OJJDP)"], "subsections": []}, {"section_title": "Key Federal Guidance", "paragraphs": [], "subsections": []}, {"section_title": "Other Related Resources", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix IV: Additional Discipline and Discipline-Related Data Tables", "paragraphs": ["This appendix contains several tables that show the underlying data used throughout this report, as well as additional analyses we conducted using the Department of Education\u2019s Civil Rights Data Collection (CRDC) and Common Core of Data (CCD) for school year 2013-14. Our analyses of Education\u2019s data, as reflected in these tables, taken alone, do not establish whether unlawful discrimination has occurred. The following tables and information are included in this appendix:", "Table 12: students who received disciplinary actions captured in the CRDC, disaggregated by student sex, race or ethnicity, and English Language Learner status.", "Table 13: students with or without disabilities who received disciplinary actions captured in the CRDC, disaggregated by student sex and race or ethnicity.", "Table 14: students who received disciplinary actions captured in the CRDC, disaggregated by the poverty level of the school and other student characteristics.", "Table 15: students who received disciplinary actions captured in the CRDC, disaggregated by the type of public school and other student characteristics.", "Table 16: students who received disciplinary actions captured in the CRDC, disaggregated by the grades offered in the school and other student characteristics.", "Table 17: pre-school students who were suspended from school, disaggregated by student sex and race or ethnicity, as well as the poverty level of school and the type of public school.", "Table 18: students who were restrained\u2014mechanically or physically\u2014or secluded, disaggregated by student sex, race or ethnicity, and disability status as well as the poverty level of school and the type of public school.", "Table 19: students who were chronically absent, disaggregated by student sex, race or ethnicity, and disability status, as well as the poverty level of school and the type of public school.", "Table 20: schools that reported having access to a school counselor or sworn law enforcement officer, disaggregated by the poverty level of school and the type of public school.", "Table 21: students disciplined for harassment or bullying, disaggregated by student sex, race or ethnicity, and disability status."], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sherri Doughty (Assistant Director), Amy Moran Lowe (Analyst-in-Charge), James Bennett, Holly Dye, Aaron Karty, Jean McSween, John Mingus, James Rebbe, Sonya Vartivarian, and David Watsula made key contributions to this report. Also contributing were Johana Ayers, Deborah Bland, Irina Carnevale, Caitlin Croake, Vijay D\u2019Souza, Gretta Goodwin, Gloria Hernandez-Saunders, Reginald Jones, DuEwa Kamara, John Karikari, Ted Leslie, Sheila R. McCoy, Brittni Milam, Cady Panetta, Moon Parks, Caroline Prado, Steven Putansu, Maria Santos, Margie K. Shields, Ruth Solomon, Alexandra Squitieri, and Barbara Steel-Lowney."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-285", "url": "https://www.gao.gov/products/GAO-18-285", "title": "Rural Housing Service: Better Data Controls, Planning, and Additional Options Could Help Preserve Affordable Rental Units", "published_date": "2018-05-17T00:00:00", "released_date": "2018-05-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Under its rural housing program, RHS provides mortgages and rental assistance to support affordable rental units for low-income tenants (see figure). When these mortgages reach the end of their terms (mature), property owners may exit the program; current law does not allow RHS to continue providing rental assistance when such exiting occurs. As a result, tenants in properties with mortgages that are maturing may face rent increases or lose their housing altogether.", "GAO was asked to examine how RHS is addressing the risks posed by maturing mortgages. This report examines RHS's efforts to (1) estimate rural housing property exit dates and (2) preserve the affordability of rural rental properties with maturing mortgages. GAO reviewed RHS mortgage loan data and preservation documents, and interviewed RHS officials and industry stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Department of Agriculture's Rural Housing Service (RHS) implemented an automated tool to estimate when properties could exit the rural rental housing program, but RHS lacked sufficient controls to ensure the accuracy, completeness, and timeliness of those estimates. In 2016, RHS developed its Multi-Family Housing Property Preservation Tool to replace a manual process of estimating exit dates. RHS data suggest that a smaller number of properties could exit RHS's program in the near term, but between 2028 and 2050, over 90 percent of RHS's properties and units could exit the program (about 13,000 properties with 407,000 units). However, RHS lacked controls that would better ensure the accuracy and completeness of these estimated exit dates, such as the verification of key data input at mortgage origination. In addition, RHS had not established a regular process to update the preservation tool's underlying data due to staff turnover and data system challenges. Without these controls, RHS may lack assurance that is has reliable data for calculating exit dates and initiating preservation efforts.", "While RHS has taken actions to address properties with maturing mortgages, such as offering property owners options designed to prevent property exits, about 60 percent of properties with maturing mortgages exited the program between 2014 through 2017. The agency's planning efforts lacked key steps such as (1) establishing preservation goals, (2) developing metrics for evaluating preservation efforts, and (3) analyzing and responding to risks facing its portfolio such as resource limits and growing capital rehabilitation needs. Without taking these actions, RHS is not well positioned to preserve affordable housing in the near term or when much larger numbers of properties and units could exit the program starting in 2028. Although taking the steps above would help RHS's preservation efforts, some tenants may still be at risk of losing rental assistance when mortgages mature. Accordingly, allowing RHS to renew rental assistance after mortgage maturity could protect assisted low-income tenants from increased rents or displacement from their units. When the Department of Housing and Urban Development (HUD) faced a similar loss of affordable housing subsidies, Congress authorized the department in 2011 to continue providing rental assistance at properties after contracts expired."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider granting RHS authority to continue providing rental assistance to tenants in properties with maturing mortgages. GAO is also making five recommendations, including that RHS improve data quality and take steps to comprehensively plan for preserving properties with maturing mortgages. We provided a draft of this report for review and comment to RHS and HUD. RHS agreed with all five of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Department of Agriculture\u2019s (USDA) rural rental housing program was created in the 1960s and 1970s to help provide funding for the development of affordable multifamily rental properties. Through the department\u2019s Rural Housing Service (RHS), USDA has provided mortgage loans (mortgages), interest subsidies, and rental assistance for more than 14,000 properties with 400,000 units of affordable rental housing for low- and very-low income rural tenants, including vulnerable residents such as the elderly and people with disabilities.", "Some of RHS\u2019s oldest rural rental mortgages have begun to mature\u2014that is, reach the end of their repayment schedules, at which point they could exit the affordable housing program. Property owners whose RHS mortgages have matured are no longer required to provide housing to low-income tenants and no longer receive RHS rental assistance, which covers the difference between the tenant\u2019s contribution and the unit\u2019s rent. As a result, tenants in properties whose mortgages have matured may no longer be able to afford their rents. RHS has therefore identified ways to preserve affordable housing for tenants in properties with maturing mortgages.", "You asked us to examine what information RHS has on rural rental housing maturing mortgages and the extent to which RHS has tools and strategies to preserve those properties. This report examines RHS\u2019s efforts to (1) estimate the dates that properties may exit the rural rental housing program due to mortgage maturity and (2) preserve the affordability of rural rental properties with maturing mortgages.", "To examine RHS\u2019s efforts to estimate property exit dates, we analyzed RHS documentation and interviewed RHS officials about the data the agency uses to identify and preserve properties with maturing mortgages. To assess the accuracy and completeness of data used to determine property exit dates, we reviewed and analyzed two different types of data. First, we analyzed a stratified random sample of RHS mortgage loan documents in five selected states\u2014California, Illinois, Minnesota, Pennsylvania, and Virginia. We selected these states based on their geographic diversity and number of rural rental properties, and because they had a high number of mortgages nearing maturity. Second, we reviewed and assessed the underlying data the agency uses to estimate property exit dates. To assess the reliability of these data, we reviewed RHS documentation, tested the data for missing or erroneous values, and interviewed RHS officials. As discussed later in this report, we identified a selected number of errors in the data for the sample of RHS mortgage documents and underlying data that we reviewed. However, we determined the data we used were sufficiently reliable for purposes of estimating the number of properties, units, and units with rental assistance that could exit the rural rental housing program between 2017 and 2050, and for properties that are eligible to prepay their mortgages.", "To examine steps RHS has taken to preserve properties with maturing mortgages, we reviewed RHS guidance and documentation on the agency\u2019s options for preventing properties from exiting the program. In addition, we interviewed RHS national and state officials about what tools, resources, and plans were in place for addressing maturing mortgages and rehabilitating properties. We also interviewed officials from a judgmental sample of rural housing industry organizations that we selected by identifying stakeholders that represented a diverse range of roles in the rural housing industry including: developers, borrower and tenant advocacy organizations, and organizations advocating for the retention or expansion of affordable housing. To determine how other agencies approached expiring rental assistance contracts and low- income housing preservation, we reviewed past GAO reports and interviewed officials from the Department of Housing and Urban Development. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from May 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Mortgages under RHS\u2019s program can be used to build, acquire, and rehabilitate rental housing in rural areas and are generally 30-year loans with 50-year amortization periods and include subsidized interest rates as low as 1 percent. To help finance housing projects and keep rents affordable to low-income tenants, RHS offers rental assistance subsidies to some property owners, which cover the difference between the tenant\u2019s contribution and a unit\u2019s rent.", "The rental assistance program, authorized in 1974, provides the rental subsidies through agreements with property owners for an amount estimated to last for 1 year as required under the program\u2019s appropriations acts. Eligible tenants pay no more than 30 percent of their income toward the rent, and RHS pays the balance to the property owner. Tenants must be low-income (incomes above 50 percent of area median income but not more than 80 percent of area median income) or very-low- income (with incomes not more than 50 percent of area median income) to be eligible for rental assistance. The agreements with the owners expire when the original dollar amount obligated is fully expended. Agreements specify that owners will receive payments on behalf of tenants in a designated number of units at the property. In addition, property owners must certify tenants\u2019 incomes annually or when a tenant experiences a substantial change in income. Statutorily, rental assistance is tied to RHS loans for rural rental housing and is no longer provided to property owners once mortgages mature.", "The program supports five general types of rural rental housing projects\u2014 family; elderly (units may be occupied by an income-eligible household that includes a tenant or co-tenant who has a disability or is age 62 or older, or both); mixed (project has both family and elderly units); congregate housing (project may be occupied by income-eligible elderly households that need meals or other services); and group homes (may be occupied by income-eligible elderly persons or individuals with disabilities who share living space within a rental unit).", "Properties with RHS rental housing mortgages can exit the program in three ways\u2014foreclosure, prepayment, and natural maturity of the mortgage. When an owner defaults on loan payments and the property is foreclosed, it may exit RHS\u2019s program. Properties can also exit the program when loans mature naturally, meaning the loan is paid off as scheduled by the original loan term. Loans can also be prepaid, meaning payments are made ahead of schedule, which ends the loan term early. Only those loans made on or after December 15, 1989, are ineligible to prepay. As previously noted, once a property exits RHS\u2019s program, owners are generally no longer required to provide housing for low- income tenants and properties are no longer eligible to receive rental assistance that is used to keep rents affordable for tenants.", "Some owners that are reaching the end of their RHS mortgage terms may wish to exit the program. Other owners may wish to remain in the program and continue renting to low-income tenants. RHS has offered tools and incentives to help owners stay in the program and preserve the affordability of rural rental housing. Some of these tools involve extending mortgage terms, which extends the availability of rental assistance to properties.", "RHS\u2019s June 2017 data showed that the program had approximately 14,000 properties containing 427,000 rental units. Of these, approximately 12,000 properties (85 percent) and 282,000 units (66 percent) received rental assistance. According to RHS, the agency has not financed any new rental housing properties since 2011. Instead, RHS has generally used program funding to repair and rehabilitate existing program properties.", "RHS properties are geographically dispersed, but one-quarter of the RHS program, or about 3,500 properties, was concentrated in six states as of June 2017: Texas (670 properties); Missouri (609); North Carolina (595); Michigan (564); Illinois (534); and Minnesota (509) (see fig. 1). Appendix II provides data in table form for RHS properties, units, and units with rental assistance.", "RHS\u2019s Multi-Family Housing Portfolio Management Division and the Multi- Family Preservation-Direct Loan Division administer USDA\u2019s rural rental housing loan program. RHS\u2019s national office also maintains the Automated Multi-Family Housing Accounting System (AMAS) and Multi- Family Information System (MFIS) databases, develops program policy, and oversees management of the program. RHS state offices administer the day-to-day operations of the rural rental housing program, including entering key mortgage and project information contained in hard copy mortgage closing documents into the AMAS and MFIS databases."], "subsections": []}, {"section_title": "RHS Developed a Tool That Estimates That Large Numbers of Mortgages Will Mature Starting in 2028, and Better Controls Could Improve Data Accuracy", "paragraphs": [], "subsections": [{"section_title": "RHS Developed a Tool to Estimate Property Exit Dates", "paragraphs": ["In March 2016, RHS developed the Multi-Family Housing Property Preservation Tool (preservation tool), an electronic system designed to use data from AMAS and MFIS to estimate mortgage maturity and property exit dates and to calculate new dates that may result from RHS\u2019s preservation efforts. Before introducing the preservation tool in 2016, RHS officials manually calculated exit dates for rural rental properties, a process that was subject to errors and inconsistencies due to properties with multiple mortgages and mortgages that could be prepaid. AMAS and MFIS track loan closing dates; loan amounts; interest rates; and property location, among other information, but were not designed to estimate property exit dates.", "According to RHS officials, the preservation tool and the underlying data it uses are publicly accessible via the Internet and are intended to improve program transparency and help support the agency\u2019s preservation efforts. Users can search for the date a property began operating; total number of units; units receiving RHS rental assistance; mortgage amount and interest rate; mortgage prepayment eligibility; and property exit date estimates, among other information. The preservation tool enables RHS to look at trends in property exits across years and help determine when RHS will need to take preservation actions. As of April 2018, RHS had estimated property exit data available from 2017 to 2050, but not information on properties whose mortgages may mature in 2051 or beyond. RHS officials said that data will be released publically on its website when available."], "subsections": []}, {"section_title": "RHS Data Show a Significant Increase in Maturing Mortgages after 2027", "paragraphs": ["Our analysis of data used by the preservation tool showed that approximately 900 properties (6 percent of the program\u2019s portfolio), including 20,000 units (5 percent), will have maturing mortgages and could exit the program between 2017 and 2027. Industry stakeholders said that low-income tenants living in these properties could face escalating rents or lose their housing altogether. In addition, over 13,000 properties (94 percent) and about 407,000 units (95 percent) are estimated to have mortgages that will mature between 2028 and 2050 (see fig. 2).", "Our analysis of RHS\u2019s June 2017 data, the most recent data available, also showed that 35 percent of RHS\u2019s rural rental properties (4,944 out of 14,075 properties) have mortgages that are eligible for prepayment and could exit the RHS program ahead of their original mortgage maturity date. This earlier exit could cause tenants to face rent increases or search for alternative affordable housing earlier than expected (see fig. 3). According to RHS, if an owner prepays and a property exits the RHS program, rental assistance is no longer available to assist that property\u2019s tenants. Concerns about the loss of affordable units led Congress to enact legislation that precluded prepayment for loans made on or after December 15, 1989. For those properties that are eligible for prepayment, RHS officials said they cannot predict which owners might make this choice and the agency has not been collecting data on borrower\u2019s prepayment choices. As a result, outreach to these owners is particularly important for possible preservation of affordable housing."], "subsections": []}, {"section_title": "Better Controls Could Improve the Accuracy and Utility of Maturing Mortgage Data", "paragraphs": ["Our review identified three internal control shortcomings that could impact the accuracy, completeness, and timeliness of RHS\u2019s data on properties with maturing mortgages.", "First, RHS lacks sufficient controls to help ensure the accuracy of all loan information for each mortgage at the time of initial data entry because it only retroactively reviews a sample of loan document information entered into AMAS and MFIS. Although RHS staff reviews some loan information through the agency\u2019s State Internal Review process, officials noted that the review of mortgage data entered into AMAS and MFIS only occurs for each field office at least once every 5 years and includes a step for staff to review and reconcile AMAS information with loan documents to help ensure the accuracy of RHS debt instruments. RHS officials added that they improved the guidance in October 2017 by adding specific data checks intended to help ensure that loan amount, interest rate, and amortization period information were correct. In addition, during our review of RHS\u2019s rural rental housing loan documents, we identified mismatches between loan document information and the data in AMAS and MFIS used by the preservation tool. We found errors in the data on mortgage amounts, closing dates, and repayment periods in an estimated 3 percent to 5 percent of the properties in five states we examined. While the data we reviewed had limited errors, without appropriate internal controls, RHS cannot be assured that the data that is used by the preservation tool will be reliable in the future, and the mismatches suggest that RHS could improve how data are entered into AMAS and MFIS.", "According to RHS officials, these systems were not designed to estimate the expected maturity of rural rental housing mortgages. At the time of the systems\u2019 development, officials said that it was not a priority to build in controls to ensure the accuracy of such estimates. RHS officials said that rural rental housing mortgages would not mature for many years after they were originated. As a result, RHS did not create controls intended to ensure the accuracy of data related to mortgage maturity and did not prioritize establishing a process to check that data.", "Federal internal control standards state that management is responsible for designing control activities for information systems and information processing objectives to support the completeness, accuracy, and validity of information processing. Without these controls, mortgage information used by the preservation tool to estimate property exit dates may be inaccurate and could affect the reliability of exit date estimates needed to identify properties for possible preservation.", "Second, RHS lacked controls to check the accuracy and completeness of underlying data used by the preservation tool. When we examined the underlying data the preservation tool uses to estimate property exit dates, we observed missing (blank) values for some property address; property state; borrower address; and management company name information. For example, borrower address and property address were missing for 588 and 141, respectively, of the roughly 14,000 properties. In addition, some properties in RHS\u2019s data included estimated property exit dates but contained incomplete information (\u201cN/A\u201d designations) for key variables such as property name; property address; property state; number of units; and type of housing.", "Although RHS has been developing and implementing the preservation tool since 2016 and has made the preservation tool\u2019s exit date estimates available on its website, the agency has not yet developed a control process to identify potential issues with its underlying data. As noted above, federal internal control standards require activities to help ensure the completeness, accuracy, and validity of program information. Without information that has been checked for accuracy, RHS might not be assembling the most complete and accurate information with which to estimate exit dates and begin possible preservation of rural rental housing for low-income tenants. In addition, RHS is missing an opportunity to improve data on properties with maturing mortgages and be better positioned to address those properties to protect low-income tenants.", "Third, the agency has not developed a regular, timely process for updating the preservation tool\u2019s underlying data and exit date information. Since RHS developed the tool in March 2016, RHS updated the underlying data for September and December 2016 and June 2017 but not for 2018. RHS staff said the data were intended to be updated quarterly because information that affects exit date calculations changes as RHS preserves rural rental housing or properties exit the RHS program. However, RHS officials said that they have been unable to update the preservation tool quarterly due to staff attrition and competing program demands across RHS.", "Federal internal control standards require activities to help ensure the accuracy and validity of program information. For RHS\u2019s information to be accurate and valid, it needs to be as current as possible for program management purposes. Since the mortgage maturity dates of properties are affected by RHS\u2019s preservation options and the exit dates of properties can change over time as mortgages mature, it is critical for RHS to have accurate, complete, and timely rural rental housing information.", "Without controls to help ensure that RHS, industry stakeholders, and the public have the most recent data available, they might not have the most current information that could be used for estimating property exit dates and starting preservation."], "subsections": []}]}, {"section_title": "RHS Has Taken Steps to Address Properties with Maturing Mortgages, but Lacked Comprehensive Planning and Faces Statutory Constraints That Limit Preservation", "paragraphs": ["While RHS has taken steps to address properties with maturing mortgages, such as identifying various options and incentives intended to preserve the affordability of properties for low-income tenants, a majority of properties with maturing mortgages from 2014 to 2017 have exited RHS\u2019s rural rental housing program. Moreover, RHS has not taken important steps to comprehensively plan and prepare for the much larger number of potential property exits in future years, such as developing goals and metrics to assess the effectiveness of its preservation efforts and analyzing risks to its ability to preserve properties. While taking these steps would help RHS\u2019s preservation efforts, some tenants may still be at risk of losing rental assistance when mortgages mature because RHS cannot continue to provide rental assistance. RHS also cannot provide vouchers to tenants residing in properties whose mortgages have matured."], "subsections": [{"section_title": "RHS has Taken Steps to Preserve Properties with Maturing Mortgages with Limited Success to Date", "paragraphs": ["In addition to developing the preservation tool as a first step in preserving properties with maturing mortgages, RHS officials said they commissioned two studies on the impacts of maturing mortgages to advance the agency\u2019s understanding of key issues. Officials said they hoped the two studies would help the agency prepare for maturing mortgages. In September 2016, the Housing Assistance Council completed its first study for RHS, which identified the characteristics of RHS\u2019s rural housing program and the impact that maturing mortgages may have on tenants and geographic regions. The report noted that understanding these characteristics and effects is important for planning and implementing strategies to preserve the properties. According to officials, the second study, which was under review by the agency as of December 2017, was intended to outline issues facing RHS\u2019s multifamily housing program, such as the estimated $5.6 billion needed to rehabilitate properties program-wide, and possible policy solutions for addressing potential property exits.", "RHS has offered property owners several options to prevent property exits and preserve the access to and affordability of housing for low- income tenants (see fig. 4).", "Reamortization: Loan reamortization and a shortened reamortization process (known as \u201cRe-Am Lite\u201d) allow borrowers to repay outstanding loan balances over new, longer repayment periods. By extending the term of the loan, officials said that the agency can continue providing rental assistance to that property. Re-Am Lite does not require borrowers to have their properties appraised, which officials said can shorten the reamortization application process by 60 to 90 days.", "Deferral: Borrowers can defer repayment of direct loans for up to 20 years. This prevents property exits and preserves affordability for low- income tenants by continuing the payment of rental assistance to property owners. Loan deferrals can be offered under the Multi- Family Housing Preservation and Revitalization program. This 12- year-old demonstration program offers a combination of property rehabilitation funding and the opportunity for owners to reamortize or defer loan payments to help keep rents affordable. Officials said the program can also be used to attract new owners who wish to stay in the affordable housing program by offering a funding source for property rehabilitation.", "Prepayment Offer: If borrowers decline RHS\u2019s options that extend loan terms (reamortization, Re-Am Lite, and deferral), but wish to remain in the RHS portfolio, the agency encourages property owners to submit a request to prepay their mortgage, if eligible to do so and if their mortgages are 12 or more months from maturity. After an owner submits a prepayment request, RHS is authorized to offer owners incentives to avert prepayment. These incentives include increased returns on investment to for-profit owners, additional rental assistance units, and equity loans.", "Prepayment: If borrowers decline RHS\u2019s options, the agency encourages property owners to prepay their loans. While owners who prepay would no longer have rural rental housing loans with RHS or be eligible to receive rental assistance from the agency, prepayment of a loan allows RHS to provide vouchers to tenants affected by the loss of affordable housing. According to RHS data, only about 5,000 of the 14,000 properties within RHS\u2019s multifamily housing program are eligible to prepay loans.", "Transfer: RHS has taken steps to facilitate the sale (transfer) of properties to new owners to prevent property exits. Officials described this as a key preservation tool because new RHS mortgage terms typically accompany the sale and allow for rental assistance to continue at properties where applicable. First, the agency established a more centralized and standardized transfer process based on input from developers, owners, and other stakeholders, which officials say reduced the average property transfer time from 156 to 112 days. Second, RHS maintains a spreadsheet available on the agency\u2019s website, called the Preliminary Assessment Tool, which officials said streamlines and provides greater transparency to the property transfer process for potential buyers and sellers. The agency also hosted three conferences in 2016 designed to help find new buyers for RHS properties whose owners were seeking to sell their properties. Finally, in September 2016, RHS announced a 2-year pilot program to encourage nonprofit organizations to purchase rural rental properties with maturing mortgages, which could create new loan terms that would extend the repayment period and continue the properties\u2019 affordability. Prior to the pilot, nonprofit owners were not required to make an initial equity contribution to projects and therefore could not earn any return on investment. Under the pilot, loan transfers to nonprofits would allow nonprofits to earn returns on their own resources initially invested in the property.", "Despite the preservation options and incentives identified by RHS, 61 percent (148 of 244) of the properties with mortgages that matured between January 2014 and December 2017 exited the agency\u2019s rural rental housing program (see table 1). Some industry stakeholders said that options and incentives did not adequately or broadly appeal to property owners. They added that existing options and incentives would be used primarily by owners who have no other choice but to stay in the program. Stakeholders explained that owner choice might be limited because of the condition of their property or because their property is located in a market that would not accommodate the sale of a property or rent increases to market levels. Some stakeholders also said options that extend loan terms only offer a short-term solution to preservation challenges because mortgages cannot be extended indefinitely."], "subsections": []}, {"section_title": "RHS Has Not Comprehensively Planned to Preserve Properties with Maturing Mortgages", "paragraphs": ["RHS\u2019s efforts lacked a number of important steps that would better position the agency to preserve properties. First, RHS lacked documented goals for preserving its program and has not created measures for tracking progress toward those goals. In the absence of documented goals, RHS national officials stated that the agency\u2019s goal is to preserve all properties within its program that are needed to ensure sufficient affordable housing, though they acknowledged that current resource levels would preclude that possibility and that some owners may leave the program regardless of the options the agency offers.", "Second, RHS is not monitoring and assessing options and incentives it is providing in a way that would inform or improve the use of these options. While the agency can track preservation status\u2014meaning whether a property is still within the program or not\u2014through its preservation tool discussed above, it is not actively tracking preservation outcomes. RHS is also not systematically collecting data for monitoring purposes. RHS officials said agency databases contain variables that would show which options owners choose to use, but added that this information is not available in a single source. RHS is also not collecting information that would help them assess options. For example, the agency is not collecting information from property owners on what options and incentives appeal to them. This information would help the agency assess preservation options on how well they are being received by borrowers. Similarly, RHS is not monitoring the results of efforts to preserve properties, including information on how many properties were transferred as a result of its three buyers-sellers conferences.", "Finally, RHS has not fully analyzed or responded to the risks facing its rural rental housing program, such as the following:", "Owner behavior\u2014RHS officials told us a key risk to preserving its rural rental housing program is that the agency cannot predict whether owners will choose to leave the program or stay. To help respond to this risk, the agency directed staff to notify owners 3 years in advance that their loan is maturing and that options are available for preserving the property within the program. While this window could provide RHS with the time to plan for property exits, RHS is not collecting information from owners on why they may choose to exit rather than stay in the affordable housing portfolio. The agency\u2019s effort to predict owner behavior would be aided by collecting and analyzing data on how many owners choose to leave the program and why.", "Resource constraints\u2014During a May 2017 conference, a senior RHS official highlighted the issue of agency resource constraints for addressing maturing mortgages, saying that the agency does not have the ability or the financial resources to preserve all of the properties that could leave the program once the loans mature. RHS has also acknowledged that, even at lower levels of about 80 maturing mortgages each year, the agency does not have the resources to provide all preservation options to every owner who wishes to use them. RHS has also not analyzed or planned for how it would prioritize the use of limited resources. RHS national office officials said there is some guidance that could be used by state offices to prioritize the use of resources, but this guidance was not specific to addressing maturing mortgages and was in the process of being updated to include information that could be used to help prioritize limited resources for preserving properties. That update is expected by January 2019.", "Management of maturing mortgages\u2014RHS has not analyzed or responded to risks involving staff management of maturing mortgages. For example, the agency\u2019s national office said that staff attrition and turnover in the national, state, and field offices that manage mortgages have resulted in fewer staff managing its program in general and that they were not sure what the effect of maturing mortgages would have on staff workloads. RHS staff in some of the states we visited expressed concern that workloads are already heavy and that any increase caused by maturing mortgages, including smaller numbers occurring now, might affect their ability to be responsive to program needs. Similarly, some state office staff expressed concerns that they were not trained for managing and responding to properties with maturing mortgages and needed additional guidance from the national office. RHS national office officials said that while the agency does not provide training specific to maturing mortgages, it does provide training on loan servicing, which includes the use of preservation options, and the national office conducts monthly conference calls that all state offices participate in, which have included maturing mortgages as a topic and which can be used to answer staff questions about maturing mortgages.", "Rehabilitation Costs\u2014RHS has commissioned two studies on the risks that program-wide rehabilitation costs pose to its ability to preserve its program, but has not analyzed or planned for how it would address the estimated $5.6 billion needed to rehabilitate its aging portfolio of properties. Officials said that they have met with industry stakeholders and Congress about capital needs estimates, but no additional steps such as requesting additional funding were taken. Officials added that federal budget uncertainties caused by years of continuing resolutions and a sequestration have made planning for maturing mortgages and program-wide rehabilitation more difficult. However, RHS has been aware of growing rehabilitation needs since at least 2004, when the agency released a commissioned study that said capital needs program-wide would continue to increase and cost more if not addressed.", "Federal internal control standards call for agencies to define objectives in specific and measurable terms to enable management to identify, analyze, and respond to risks related to achieving those objectives. Specifically, these standards call for agencies to establish goals and performance measures for tracking progress toward achieving goals; establish activities that monitor performance and assess results so that appropriate action is taken; and identify, analyze, and respond to risks related to achieving their goals.", "RHS officials said that, as of December 2017, they had not taken steps to develop goals and measures, perform key monitoring and assessments, and analyze and respond to risks because the larger number of potential property exits is not expected to begin for another 10 years (2028). RHS officials said that they were using this time to see how their existing options and resources perform, and that the agency would make resource and other adjustments over time as they gained experience with preservation. However, as discussed above, mortgages have already begun to mature and the majority of properties with maturing mortgages between 2014 and 2017 exited the agency\u2019s rural rental housing program. Some property owners may have chosen to exit the program regardless of additional actions or incentives. For example RHS officials noted that many of the property owners whose mortgages are currently maturing are nearing retirement or prefer market returns to RHS\u2019s options and incentives. However, the percentage of exits (61 percent) suggests that RHS\u2019s current planning efforts have not proven sufficient to prevent the majority of properties with mortgages that have matured from exiting its rural housing program.", "By not having taken the planning steps identified above, RHS is not well positioned to respond to properties that currently have maturing mortgages and require action, nor is the agency prepared for the future larger number of potential property exits that starts in 2028. In particular, without developing goals and measures, conducting sound monitoring and assessments of rural rental housing program developments, and analyzing and responding to risks, RHS may not have the key information, staff, tools, and resources in place to effectively preserve properties and prevent the financial hardship that increasing housing costs could cause rural low-income tenants or the loss of their housing altogether."], "subsections": []}, {"section_title": "Law Limits RHS\u2019s Ability to Offer Rental Assistance and Vouchers to Low- income Tenants", "paragraphs": ["RHS has options to extend loan terms in order to continue rental assistance at properties but cannot continue providing rental assistance to tenants once the loan is paid off and the property exits RHS\u2019s affordable housing program. Some owners of properties with maturing mortgages may be open to continue offering rental assistance and agree to restrict the units to eligible low-income tenants after mortgage maturity. Further, some industry stakeholders cited that having the ability to extend existing rental assistance contracts after mortgage maturity would be useful in protecting tenants from rent increases or displacement.", "However, in some cases, property owners may not want to extend rental assistance contracts after mortgage maturity. Tenants living in these properties could be subject to rent increases or the risk of displacement. RHS lacks the authority to provide vouchers to tenants in these situations. Voucher assistance would allow RHS to provide assistance to the tenants to help pay for rent in their existing unit or at other rental housing in the private market without requiring the owner to serve low-income tenants exclusively.", "In 2016, legislation was introduced that would have allowed RHS to continue providing rental assistance to properties through new contracts with owners after their loans matured or to provide vouchers to tenants under different circumstances, including mortgage maturity. In exchange for accepting rental assistance payments on behalf of eligible tenants, the legislation would have required the property owners to enter into an agreement with RHS to ensure that the property remained subject to low- income use restrictions for an additional period of time. In cases where a new rental assistance contract is not possible, RHS would offer vouchers to tenants after mortgage maturity. The proposed legislation was introduced on April 12, 2016, but no further action on the bill was taken.", "In the past, Congress has taken legislative action to continue rental assistance to low-income tenants and protect them from the impact of terminated assistance. For example, beginning in fiscal year 2006, Congress has authorized RHS to provide vouchers to tenants affected by loan prepayments, which leads to the property owners\u2019 exit of the RHS\u2019s housing program. Tenants receiving vouchers after the prepayment of a loan could use them to remain in the property after it exits RHS\u2019s program or to find other suitable housing in the private market. Congress has limited the amount that RHS paid in subsidies. The amount of a voucher is limited to the difference between the comparable fair market rent for the housing unit occupied by a tenant and the rent paid by the tenant on the date of prepayment or foreclosure.", "In addition, when the Department of Housing and Urban Development (HUD) faced a similar loss of affordable housing, Congress gave the department authority in 2011 to further protect tenants through the creation of the Rental Assistance Demonstration (RAD). Before the RAD program, HUD had limited authority to extend rental assistance at these properties when contracts expired or owners terminated contracts. However, this demonstration, among other things, allowed HUD to continue providing rental assistance to property owners after the original contracts expired. In 2014, we reported that the conversion of rental assistance should not have an effect on voucher program costs because HUD uses the same calculation for providing budget authority for the project-based vouchers converted under RAD as it does for calculating budget authority for tenant-protection vouchers.", "Without the authority to continue providing rental assistance or to provide vouchers to tenants at existing properties whose mortgages have matured, RHS is not well positioned to protect tenants from potential increased rents or displacement from their units. The agency could lose important sources of low-income housing, which for some communities may be the only source of affordable housing. Further, without the authority to offer vouchers to tenants living in units that received rental assistance at mortgage maturity, tenants may also face rent increases and not be able to afford their rents in properties where the owners choose not to extend their rental assistance contracts. Continued provision of rental assistance could be limited to units or tenants that were receiving rental assistance at mortgage maturity and would not represent an expansion of the number of units or tenants assisted. Furthermore, Congress could structure this to have no or limited budgetary impact, similar to what was done under HUD\u2019s RAD program. For example, subsidies could be kept at a level that is similar to what was provided at mortgage maturity."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["RHS\u2019s preservation tool is a positive first step to help the agency estimate property exit dates, alert stakeholders to properties with maturing mortgages, and begin to preserve their affordability. However, the lack of data controls for information on RHS rural rental properties raises concerns about data used by the preservation tool, especially as RHS applies preservation options that extend mortgages and result in new exit dates. The lack of controls for underlying data used by the preservation tool, and missing information on some properties, demonstrate that RHS has opportunities to improve rural housing program data as properties continue to have maturing mortgages. RHS has not been able to update the preservation tool\u2019s data on a regular basis. Developing controls with clear guidance on the frequency and process for routinely updating data on RHS\u2019s website could help ensure that preservation efforts are based on the most current information available. Regular updated information would also help ensure that industry and other stakeholders have the most recent information available on RHS\u2019s rural rental housing program.", "While RHS has taken steps to better understand maturing mortgage challenges and preserve properties, RHS\u2019s strategy to use the next several years to plan for the larger number of expected future maturations and test available preservation options does not address the significant number of mortgages that will mature before then. The agency has also not taken important planning steps required by federal internal control standards to establish goals and performance measures for tracking progress toward achieving goals; establish activities that monitor performance and assess results so that appropriate action is taken; and identify, analyze, and respond to risks related to achieving their goals. Actions to enhance the agency\u2019s data and controls, and strengthen its comprehensive planning and program evaluation processes, would better position RHS to respond to maturing mortgages, preserve its rural rental housing program, and maintain affordable housing for low-income tenants.", "Further, the agency lacks the authority to continue rental assistance to properties with matured mortgages and is limited in its ability to issue vouchers to tenants affected by property exits. Even if the agency takes additional steps to plan for maturing mortgages or increases options and incentives for preserving housing, these limits to rental assistance and vouchers restrict RHS\u2019s ability to protect tenants. These limits also effect RHS\u2019s ability to meet the agency\u2019s objective of providing decent, safe, and sanitary housing to low-income rural residents. Expanding RHS\u2019s ability to protect existing tenants would give the agency tools that are available to other affordable rental housing programs, and could be implemented in a way to maintain, rather than increase, program size and costs."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration:", "For RHS properties whose mortgages have matured, Congress should consider granting RHS the authority to renew annual rental assistance payments to owners who wish to continue to receive them and provide vouchers to tenants living in rental assistance units in properties whose owners choose to no longer receive rental assistance."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to RHS:", "The RHS Administrator should establish additional controls to check the accuracy of all loan information entered into RHS information technology systems, to help ensure complete, accurate, and reliable data for estimating rural rental housing property exit dates. (Recommendation 1)", "The RHS Administrator should establish a process to help ensure regular and frequent updates for the preservation tool and its underlying data. (Recommendation 2)", "The RHS Administrator should establish performance goals and measures for its rural rental housing preservation and rehabilitation efforts and report out these outcomes. (Recommendation 3)", "The RHS Administrator should monitor the results of rural rental housing preservation efforts and assess the degree to which those efforts yielded intended outcomes. (Recommendation 4)", "The RHS Administrator should identify, analyze, and respond to risks to achieving its preservation goals, including resource and staffing limitations. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to RHS and HUD. RHS provided technical comments, which we incorporated into the report, and stated that it agreed with all five of our recommendations but did not provide a formal agency comment letter. HUD stated that it had no comments on the draft.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Secretary of Housing and Urban Development, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine the Rural Housing Service\u2019s (RHS) efforts to (1) estimate the dates that properties may exit the rural rental housing program due to mortgage maturity, and (2) preserve the affordability of rural rental properties with maturing mortgages.", "To examine RHS\u2019s efforts to estimate property exit dates, we analyzed RHS documentation and interviewed RHS officials about the data the agency uses to identify and preserve properties with maturing mortgages. To determine what steps RHS has taken to help ensure the accuracy and reliability of RHS\u2019s Multi-Family Housing Property Preservation Tool (preservation tool), we reviewed documentation that included the preservation tool\u2019s user guide, and the capabilities it offered the agency and the public. We also conducted interviews with RHS national and state office officials about the preservation tool and about how the agency\u2019s Automated Multi-Family Housing Accounting System (AMAS) and the Multi-Family Housing Information System (MFIS) operate. AMAS contains data on loans and rental assistance contracts and MFIS tracks monthly loan and rental assistance payments and contains data on the location of RHS\u2019s rural rental properties. Both systems provide data used by the preservation tool to calculate mortgage maturity and exit dates for rural rental housing properties. To determine how the preservation tool was built and the main information it uses to determine mortgage maturity and property exit dates, and the information it calculates for users, we interviewed the contractor hired by the agency to create and populate the preservation tool.", "To analyze the accuracy of AMAS and MFIS data used by the preservation tool to calculate mortgage maturity and property exit dates, we reviewed mortgage documents that RHS uses to populate those systems. We reviewed loan documents for a generalizable stratified random sample of 100 properties in five states\u2014California; Illinois; Minnesota; Pennsylvania; and Virginia\u2014to determine if loan information found within mortgage documents matched data contained in AMAS and MFIS for selected variables relevant to mortgage maturity and property exit date calculations. We stratified the population of 2,152 loan documents in the five states by state, number of loans per property, and age groups. We computed an initial sample size of 60 properties for a simple random sample to achieve an upper bound of no more than 5 percentage points, an expected error (inaccurate data field) rate of 0 percent, and a 95 percent confidence level. We then proportionally allocated the sample across the strata and increased sample sizes in stratum within each state so that we selected at least 10 properties with more than 1 loan and 10 properties older than 20 years old. States we visited were selected based on their geographic diversity, diversity (age and size of program) of rural rental housing properties, and their proximity to GAO offices.", "To select properties\u2019 loan files for this review, we created a nongeneralizable sample of 20 properties in each of the five states. We also interviewed agency officials knowledgeable about the data\u2014 including officials from RHS, Rural Development\u2019s Office of Operations and Management, and the U.S. Department of Agriculture\u2019s (USDA) National Financial and Accounting Operations Center\u2014about the processes used to populate these systems and any quality checks in place for ensuring that data were inputted completely and accurately, including any available documentation on these steps. We also interviewed RHS state office officials, who service loans, about the process for identifying errors in these systems and making corrections.", "To determine which rural rental housing properties were estimated to exit the RHS program and where these properties were located, we analyzed RHS\u2019s raw data from June 2017 (the latest available RHS data). We analyzed the data to determine the number of properties, units, and rental assistance units with property exit dates by state and by year from 2017 to 2050. We also generated summary statistics on the number of properties that were eligible to prepay their mortgages. In assessing RHS\u2019s data we also conducted checks on the data for outliers and missing information. Although we found a selected number of data anomalies that point to the need for better data controls, we determined the data we used were sufficiently reliable for purposes of describing the estimated number of properties that could exit the RHS program between 2017 and 2050.", "To better understand the calculations used by the preservation tool, we reviewed the logic or code it uses to calculate mortgage maturation dates. For this analysis, we used documentation on the program used to generate estimates and compared this documentation to the code to see if there were any operational differences. Additionally, we reviewed each of the functions within the logic and looked for inconsistencies in logic or deviations from financial convention that might cause incorrect predictions.", "To examine steps RHS has taken to preserve properties with maturing mortgages, we reviewed documents that listed options available for retaining properties with maturing mortgages. We gathered and analyzed documentation on any comprehensive planning efforts by RHS to address rural rental housing maturing mortgages, including documentation showing preservation goals and measures, and any assessments of RHS\u2019s plans, efforts, or resources needed to address maturing mortgages. We also analyzed documentation and interviewed national and state RHS officials about any training and guidance that was being provided to staff on maturing mortgages. In addition, we interviewed RHS national and state officials about what tools, resources, and plans were in place for addressing maturing mortgages and their limits. Further, we asked about ongoing efforts to address maturing mortgages, including any plans to obtain additional resources for managing maturing mortgages now and in the future when a larger number of properties are expected to have loans mature. We reviewed and interviewed officials about studies commissioned by RHS on the effects of maturing mortgages on the rural affordable rental housing program and affected communities and on program-wide rehabilitation needs and cost estimates. We also assessed how the studies and reports were conducted for any flaws in their approaches and methodologies.", "To determine stakeholder perspectives on how RHS was managing maturing mortgages, we interviewed officials from a judgmental sample of rural housing industry organizations. We took multiple steps to identify these industry organizations. First, we met with an affordable housing organization with a national membership that represents owners; developers; housing advocates; and tenants. We asked this national organization to identify industry organizations that work with RHS. From that list, we focused on organizations that also had a multi-state or national focus. Second, during interviews with these organizations, we requested additional contacts. We interviewed organizations that were named during multiple interviews. This selection process allowed us to identify stakeholders that represented a diverse range of roles in the rural housing industry including: developers, borrower and tenant advocacy organizations, and organizations advocating for the retention or expansion of affordable housing.", "To determine how other agencies approached expiring rental assistance contracts and low-income housing preservation, we also interviewed Department of Housing and Urban Development officials. More specifically, we determined what key steps and best practices the department used to preserve its multifamily housing program properties, including properties with maturing mortgages, and what tools and resources were required for managing its housing program.", "We conducted this performance audit from May 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Number of Properties and Units That Could Exit the Rural Housing Service\u2019s Program between 2017 and 2050", "paragraphs": [], "subsections": [{"section_title": "State", "paragraphs": [], "subsections": []}, {"section_title": "State", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Harry Medina (Assistant Director); Steve Ruszczyk (Analyst in Charge); Holly Hobbs; Enyinnaya David Aja; Jim Ashley; Stephen Brown; William Chatlos; DuEwa Kamara; John McGrail; Marc Molino; and Tovah Rom made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-222", "url": "https://www.gao.gov/products/GAO-18-222", "title": "Highway and Transit Projects: Evaluation Guidance Needed for States with National Environmental Policy Act Authority", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2005, over 30 provisions have been enacted in law to speed up the delivery of highway and transit projects, mainly by streamlining the NEPA review process. NEPA requires federal agencies to evaluate the potential environmental effects of proposed projects on the human environment. These project delivery provisions included new categorical exclusions to streamline the review process, and a provision allowing DOT to assign federal NEPA approval authority to states.", "Congress included provisions in statute for GAO to assess the use of these provisions and whether they have accelerated project delivery. This report examines: (1) which project delivery provisions were used by state DOTs and selected transit agencies and the reported effects, and (2) the extent to which DOT has assigned NEPA authority to states and the reported effects, among other objectives. GAO surveyed all state DOTs and interviewed federal and state DOT officials and 11 selected transit agencies GAO determined were likely to have been affected by the provisions, and analyzed information from NEPA assignment states."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Transportation's (DOT) Federal Highway Administration (FHWA) and Federal Transit Administration (FTA) are responsible for National Environmental Policy Act (NEPA) compliance on highway and transit projects. Project sponsors that receive federal funds, typically a state DOT or transit agency, develop documents necessary for NEPA compliance for FHWA and FTA to evaluate and approve. Project sponsors prepare an environmental impact statement (EIS) when a project will have a significant environmental impact, or an environmental assessment to determine if a project will have a significant impact. Projects that fit within a category of activities pre-determined to have no significant impact (such as repaving a road) can receive a categorical exclusion, and an EIS or environment assessment is generally not needed. GAO found:", "State DOTs and selected transit agencies reported using provisions enacted in law to speed up the delivery of highway and transit projects, and while state DOTs reported that a number of provisions they used sped up delivery of highway projects, the effects on transit projects were less clear. For example, according to GAO's survey responses, 10 of 17 provisions that mainly created new \u201ccategorical exclusions\u201d were used by 30 or more state DOTs and generally sped up projects. The provision state DOTs and transit agencies most often reported using was one that authorizes parkland or a historic site to be used for a transportation project if that project has a minimal impact on the environment. A majority of the 11 transit agencies GAO reviewed were not clear whether provisions they used sped up project delivery because these agencies did not track how long it took projects to complete the NEPA process, among other reasons.", "DOT assigned NEPA authority to six states: Alaska, California, Florida, Ohio, Texas, and Utah. Under agreements with FHWA, state DOTs calculate time savings by comparing NEPA completion times before (the baseline) and after assuming the authority. Only California and Texas have reported results; California reported that it reduced EIS review time 10 years from a 16-year baseline. However, these reported time savings are questionable because the comparisons do not consider other factors, such as funding, that can affect timelines. In establishing baselines, both states have also faced challenges, such as how many and which projects to include. California reported to its legislature that its baseline may not be meaningful because of the relatively small sample of five projects, but nevertheless presents these data on its web site as evidence of \u201csignificant\u201d time savings.", "FHWA does not review the states' timeliness measures and time savings estimates, but has broad authority to offer guidance and technical assistance, which can include helping states develop sound evaluation methodologies and baselines. FHWA officials stated that they provide general technical assistance, but that no state has requested help developing evaluation methodologies. Offering and providing such assistance could help ensure that states considering applying for NEPA assignment base their decisions on reliable information, and that FHWA and Congress have reliable information to assess whether NEPA assignment results in more efficient environmental reviews."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FHWA should offer and provide guidance or technical assistance to NEPA assignment states on developing evaluation methodologies, including baseline time frames and timeliness measures. DOT partially concurred with the recommendation, saying it would clarify environmental review start times. GAO continues to believe further evaluation guidance is needed, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The National Environmental Policy Act of 1969 (NEPA)\u2014which requires federal agencies to evaluate the potential environmental effects of proposed projects on the human environment\u2014has been identified by critics as containing time-consuming requirements and praised by proponents for, among other things, helping protect the environment and bringing public participation into the government\u2019s decision making. The Department of Transportation\u2019s (DOT) Federal Highway Administration (FHWA) through its division offices in each state and the Federal Transit Administration (FTA) through its 10 regional offices are the federal agencies responsible for NEPA compliance on highway and transit projects, respectively. Project sponsors\u2014typically a state department of transportation (state DOT) or a local transit agency\u2014receive FHWA and FTA grant funds, oversee the construction of highway and transit projects, develop the documents on which FHWA and FTA base their evaluations of environmental effects, and collaborate with federal and state stakeholders. In short, project sponsors generally prepare the documents necessary for NEPA compliance, while the federal agencies must ultimately approve the documents. In this report we refer to these activities collectively as \u201cenvironmental review\u201d or \u201cNEPA review.\u201d", "We have previously reported that environmental review is one of a number of factors affecting the time frame for completing transportation projects (delivery). The past three surface transportation reauthorizations\u2014the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) in 2005; the Moving Ahead for Progress in the 21st Century Act (MAP-21) in 2012; and the Fixing America\u2019s Surface Transportation Act (FAST Act) in 2015\u2014contain a number of provisions, called \u201cproject delivery provisions\u201d\u2014aimed at accelerating the delivery of highway and transit projects, mainly by streamlining the NEPA review process. These provisions include, for example, the NEPA Assignment Authority provision, which provides authority for the relevant DOT administration, under certain circumstances, to assign federal NEPA authority to states and thereby eliminate the federal approval role with respect to individual projects. In this case, FHWA and FTA are the relevant DOT administrations to assign NEPA authority to states for highway and transit projects, respectively.", "MAP-21 and the FAST Act included provisions for GAO to assess, among other things, whether project sponsors have used the project delivery provisions and the extent to which the provisions have sped up the delivery of highway and transit projects. This report: identifies provisions aimed at accelerating the delivery of highway and transit projects that were included in the last three surface transportation reauthorizations; examines which provisions were used by state DOTs and selected transit agencies and the provisions\u2019 reported effects, if any, on accelerating the delivery of projects; and evaluates the extent to which DOT has assigned NEPA authority to states and the reported effects.", "In addition, in appendix I, we identify available information on the number and percentage of the different types of NEPA reviews and the costs of conducting NEPA reviews.", "To address the first objective, we reviewed the past three surface reauthorizations to identify highway and transit project delivery provisions and categorized these provisions. To determine states\u2019 use and reported effects of the provisions on highway projects, we surveyed state DOTs within all 50 states, the District of Columbia, and Puerto Rico. We had a 100 percent response rate. Based on the survey results, we conducted follow-up interviews with officials from 10 state DOTs to discuss their perceived effects of the provisions in greater detail. We selected these state DOTs to include geographically diverse states and states that reported varying levels of use of the provisions and effects. To determine use and the perceived effects of the provisions applicable to selected transit projects, we selected 11 transit agencies and interviewed officials at those agencies. We selected these agencies based primarily on the number of times they issued a notice of intent to prepare an environmental impact statement (EIS) in the Federal Register from 2005 through 2016 to identify those transit agencies that may have experience preparing EISs or some another NEPA review and experience using transit project delivery provisions. We also considered other factors, such as ridership and geographic location, to select the 11 transit agencies. The results of the states\u2019 and transit agencies\u2019 interviews are not generalizable.", "To evaluate the extent to which DOT has assigned NEPA authority to states, and the effects states have reported from assuming NEPA authority, we identified the states that have been assigned NEPA authority, based on information from FHWA, and interviewed state DOT officials in those states. However, we did not include one of these states because that state did not assume NEPA authority until November 2017. For the states we included, we interviewed state DOT officials and reviewed relevant documentation including memorandums of understanding and analyses the state DOTs conducted on NEPA assignment authority, such as methodologies for calculating NEPA assignment time savings. In addition, we interviewed FHWA officials about procedures to oversee the performance of NEPA assignment states and interviewed FHWA division officials from those states. We compared FHWA\u2019s procedures to oversee NEPA assignment states against standards for information and communication contained in Standards for Internal Control in the Federal Government.", "To determine available information on the number and percentage of the different NEPA reviews and costs of conducting NEPA reviews for highway and transit projects, we reviewed relevant publications, documents, and analyses, and discussed these with FHWA and FTA officials.", "For all objectives, we interviewed agency officials and stakeholders involved in highway and transit projects including FHWA, FTA, and relevant transportation and environmental organizations. We conducted this performance audit from August 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. For more information on our objectives, scope, and methodology, see appendix II."], "subsections": [{"section_title": "Background", "paragraphs": ["FHWA and FTA fund and oversee highway and transit projects, respectively. FHWA funds highway projects through formula grants to state DOTs, provides technical expertise to state DOTs, and conducts oversight of highway projects through its division offices in each state. FTA funds a variety of transit programs through formula and competitive grants and conducts oversight of transit projects\u2019 planning and design through 10 regional offices. Completing major highway and transit projects involves complex processes that depend on a wide range of stakeholders conducting many tasks. Project sponsors\u2014the state DOTs and local transit agencies\u2014are the entities that develop the environmental review documents to be approved by the federal agencies. Examples of highway projects that may undergo environmental review are bridge construction or roadway repaving, and examples of transit projects include extension of light rail lines or construction of passenger ferry facilities. Project sponsors that do not use federal funds for a project generally do not need to meet NEPA requirements, but may still need to satisfy state or local environmental review requirements.", "As we have previously reported, highway projects typically include four phases, and transit projects also follow similar processes. 1. Planning: Project sponsors assess the need for a project in relation to other potential transportation needs. 2. Preliminary design and environmental review: Project sponsors identify potential transportation solutions based on identified needs, the potential environmental and social effects of those solutions, a project\u2019s cost, and construction location. They then analyze the effect, if any, of the project and potential alternatives on the environment. Based on the analysis as well as public input the preferred alternative is selected. 3. Final design and right-of-way acquisition: Project sponsors finalize design plans and, if necessary, acquire private real property for the project right-of-way and relocate any affected residents and businesses. 4. Construction: Project sponsors award construction contracts, oversee construction, and accept the completed project.", "In the preliminary design and environmental review phase, many activities are to be carried out by the project sponsor pursuant to NEPA and other federal laws. NEPA\u2019s two principal purposes are to ensure (1) that an agency carefully considers detailed information concerning significant environmental impacts and (2) that environmental information is available to public officials and citizens before decisions are made and actions are taken. For highway and transit projects, the project sponsor is responsible for preparing documentation showing the extent of the project\u2019s environmental impacts, in accordance with NEPA, and determining which of the three following documentation types is needed:", "An environmental impact statement (EIS), the most comprehensive of the three documentation types, is required for projects that have a significant effect on the environment. In broad terms, the lead federal agency, FHWA or FTA, starts the EIS process by publishing a notice of intent in the Federal Register. The lead agency then must engage in an open process\u2014inviting the participation of affected government agencies, Indian tribes, the proponent of the action, and other interested persons\u2014for determining the scope of issues to be addressed and for identifying the significant issues related to a proposed action. The lead agency then is to coordinate as appropriate with resource agencies, such as the U.S. Army Corps of Engineers or the Fish and Wildlife Service, solicit comments from the public on a draft EIS, incorporate comment responses as appropriate into a final EIS, and issue a record of decision.", "Project sponsors are to prepare environmental assessments when, among other things, it is not clear whether a project is expected to have significant environmental impacts. An environmental assessment is intended to be a concise document that, among other things, briefly provides sufficient evidence and analysis for determining whether to prepare an EIS. If the agency determines that there are no significant impacts from the proposed action, then the agency prepares a Finding of No Significant Impact that presents the reasons why the agency made that determination. If the agency determines the project may cause significant environmental impacts, it conducts an EIS.", "Categorical exclusions refer to projects that would not individually or cumulatively have a significant effect on the environment. These projects generally require no or limited environmental review or documentation under NEPA. Examples of highway projects that are generally processed as categorical exclusions include resurfacing roads, constructing bicycle lanes, installing noise barriers, and landscaping.", "While FHWA and FTA are the federal agencies responsible for ensuring NEPA compliance on highway and transit projects, if certain requirements are met, FHWA or FTA may assign a state and that state may assume federal NEPA authority. States assume this authority subject to the same procedural and substantive requirements as would apply to FHWA or FTA. Specifically, the NEPA Assignment Authority provision provides authority for FHWA to assign federal NEPA authority to states for approving an EIS, environmental assessment, or categorical exclusion. States must apply to FHWA or FTA, which reviews the state\u2019s suitability to assume the authority based on meeting certain regulatory requirements and the state\u2019s capability to assume the responsibility. States must enter into a written memorandum of understanding (MOU) and must, among other things, expressly consent to the jurisdiction of federal courts by waiving sovereign immunity for any responsibility assumed for NEPA. The MOU is for a term of not more than 5 years and is renewable. MOUs are unique to each state; however they all contain certain sections such as assignments of authority, acceptance of jurisdiction, and performance measures. For the first 4 years, FHWA is to conduct an annual audit to ensure compliance with the MOU, including compliance with all federal laws. After the fourth year, FHWA is to continue to monitor state compliance with the MOU, using a more limited review.", "In prior reports, we identified a number of factors that can affect the length of time required to complete transportation projects. For highway projects, we found that the large number of stakeholders and steps (which include environmental reviews) in the project delivery process, availability of funding, changing priorities, and public opposition can lead to longer project time frames. For transit projects, we found that local factors specific to each project determine the project development time frame, including the extent of community support and extent of local planning prior to approval of funding. We found that for 32 projects we reviewed, the environmental review process was tied with stakeholder coordination as the third most frequently cited factor by transit project sponsors contributing to the length of the project development process."], "subsections": []}, {"section_title": "The Three Most Recent Transportation Authorizations Included Numerous Provisions for Accelerating Highway and Transit Project Delivery", "paragraphs": ["We identified 34 project delivery provisions that apply to highway projects and 29 such provisions that apply to transit projects. These provisions are intended to streamline various aspects of the NEPA process, making it more efficient and timely. Most of the provisions apply to both types of projects. Based on our review, we grouped the provisions into four general categories: Accelerated NEPA Review, Administrative and Coordination Changes, NEPA Assignment, and Advance Planning (see table 1). See appendix III for the full list and a description of each project delivery provision we identified.", "The Accelerated NEPA Review category\u2019s provisions generally establish certain conditions that permit projects, if the specific conditions are applicable, to exclude certain actions from a more detailed NEPA review. For instance, these provisions are primarily comprised of new categorical exclusions. Additionally, the Minor Impacts to Protected Public Land provision authorizes a historic site, parkland, or refuge to be used for a transportation project if that project is determined to have a de minimis impact on the environment.", "The Administrative and Coordination Changes category\u2019s provisions are more process oriented. These provisions, for example: (1) establish time frames for parts of the NEPA review process, (2) encourage the use of planning documents and programmatic plans as well as a coordination plan for public and federal agency participation in the environmental review process, and (3) seek to avoid duplication in NEPA review documents.", "The NEPA Assignment category\u2019s provisions authorize FHWA or FTA, as discussed above, to assign their NEPA authority to states. The first of the two provisions\u2014the \u2018NEPA Assignment Authority\u2019 provision\u2014authorizes FHWA or FTA to assign federal NEPA authority to states for reviewing EIS, environmental assessment, and some categorical exclusion reviews, so long as the categorical exclusion does not require an air-quality review that involves the Environmental Protection Agency. The second provision\u2014the Categorical Exclusion Determination Authority provision\u2014 allows FHWA or FTA to assign limited NEPA authority to states to review categorical exclusions. This authority can apply to categorical exclusions with air-quality reviews, as well as all other categorical exclusions.", "The Advance Planning category\u2019s provisions are not part of the agency\u2019s environmental review process and are not applicable to transit projects. These provisions allow for certain activities in the highway project development cycle, such as land acquisition, to occur prior to NEPA approval. The three provisions in this category include the following:", "The Advance Design-Build Contracting provision permits a state to release requests for proposals and award design-build contracts prior to completing the NEPA process; however, a contractor may not proceed with final design or construction during the NEPA process.", "The Advance Acquisition of Real Property provision authorizes states to acquire real property interests, such as land, for a project before completion of the NEPA process.", "The 2-phase Contracts provision authorizes the awarding of contracts on a competitive basis for preconstruction services and preliminary project design before the completion of the NEPA process.", "Most of the project delivery provisions are optional, which we define to mean that the relevant entities (a federal agency or state or local transportation agency), can choose to use the provision if circumstances allow. For example, a state highway project within an existing operational right-of-way may have the option to use the categorical exclusion for projects within an existing operational right-of-way. Specifically, 22 of the 34 highway project delivery provisions and 17 of the 29 transit project delivery provisions are optional. By contrast, 12 provisions are requirements for both highway and transit projects, which we define to mean that federal agencies, or state or local transportation agencies that are subject to a provision must adhere to the requirements and obligations in the provision, if all the conditions for its use have been satisfied. Required provisions are primarily contained in the Administrative and Coordination Changes category. For example, for highway projects, the Programmatic Agreements for Efficient Environmental Review provision, enacted in 2012, requires FHWA to seek opportunities with states to enter into agreements that establish streamlined processes for handling routine projects, such as highway repair. Prior to 2012, FHWA actively encouraged programmatic agreements between state DOTs and FHWA division offices, but seeking opportunities to enter such agreements were not required."], "subsections": []}, {"section_title": "State DOTs Reported That a Number of Provisions They Used Sped Up Highway Project Delivery, While for Most Selected Transit Agencies Effects Were Unclear", "paragraphs": [], "subsections": [{"section_title": "More Than Half of Optional Provisions Were Reported to Be Used by a Majority of State DOTs on Highway Projects", "paragraphs": ["According to survey responses, 10 of the 17 optional provisions included in the survey\u2014which primarily fall under the Accelerated NEPA Review category\u2014were each used by 30 or more state DOTs (see fig. 1). Fifty state DOTs reported using the Minor Impacts to Protected Public Land provision\u2014the most of any of the provisions. Some of the less widely used provisions\u2014the 7 provisions reported to be used by 21 or fewer states\u2014only apply to specific circumstances or highway projects that many state DOTs undertake less frequently. For example, the Categorical Exclusion for FHWA-funded Ferry Facility Rehabilitation or Reconstruction provision would only apply to states that operate ferry services, a circumstance that may explain its relatively low use. Also, for 3 of these 7 provisions, 10 or more states reported that they plan to use the provision in the future. For example, while 21 state DOTs used the Reduce Duplication by Eliminating Detailed Consideration of Alternative Actions provision, an additional 17 state DOTs reported that they plan to use it. All of the optional provisions were reported to be used by at least 14 state DOTs.", "Some states reported that they have not used certain provisions and have no plans to do so. Our survey served as a nationwide review of the use of the provisions and was not designed to determine why each state did or did not use each provision. However, our discussions with selected states and optional comments provided in the survey provided some additional insight into states\u2019 use of the provisions. Officials at some state DOTs reported that they had not used certain categorical exclusions because other categorical exclusions could also apply to those projects. Specifically, officials in 4 state DOTs told us that they did not use 4 categorical exclusion provisions for this reason. For example, officials at the Colorado DOT said that the Categorical Exclusion for Geotechnical and Archeological Investigations provision has not been used in Colorado because other categorical exclusions were more applicable. Similarly, officials at the Oklahoma DOT said that they had not used the Categorical Exclusion for Projects within the Existing Operational Right-of-Way provision because most of those projects already qualify for a categorical exclusion under other criteria. For other provisions, such as the Categorical Exclusion for Multimodal Projects provision, some state DOTs, such as the Nebraska DOT, indicated that they do not conduct multimodal projects and have no plans to do so for the foreseeable future."], "subsections": []}, {"section_title": "About Two-Thirds of the Optional Provisions Reportedly Sped Up Highway Project Delivery for the Majority of Users", "paragraphs": ["For 11 of the 17 optional provisions included in our survey, a majority of state DOTs that indicated they used the provisions (users) reported that the provisions sped up project delivery (see fig. 2).", "Over 90 percent of users of the Minor Impacts to Protected Public Land provision reported that it sped up project delivery (46 out of 50 state DOTs using the provision). FHWA officials said that without the Minor Impacts to Protected Public Land provision, a state DOT would need to complete an environmental assessment to show that performing even a small project, such as adding a small bus stop on the periphery of a park, would not have significant effects on the environment. The Minor Impacts to Protected Public Land provision now allows a state DOT to complete transportation projects that have a minimal environmental effect on historic sites and parklands more quickly because the state DOT can bypass the environmental assessment process. In our survey and discussions with state DOTs, some officials noted how much time the provision can help them save. Officials at the Virginia DOT estimated that a 9-month to 1-year review could be cut to 2 to 4 months. An official at the Colorado DOT said that reviews that used to take 6 months now take 30 days. And officials at the Mississippi DOT said that they used the provision when adding turn lanes near parks and were able to bypass a review process that previously took 6 to 12 months.", "Other examples of sped-up project delivery provided by state DOTs include the following:", "Categorical Exclusion in Emergencies provision: Mississippi DOT officials said that this provision has been helpful, particularly given project delivery lessons learned since Hurricane Katrina. They said the provision allows the state DOT to use a categorical exclusion, which takes 6 to 8 months for some projects, in place of an environmental assessment, which can take 12 to 18 months and involves additional review steps such as providing evidence and analysis as to why a project does not require an EIS.", "Use of Federal Highway or Transit Funds to Support Agencies Participating in the Environmental Review Process provision: Arizona DOT officials said that the state DOT funds positions in the Army Corps of Engineers and the Fish and Wildlife Service that help lessen the time it takes for those agencies to provide comments on Arizona DOT project\u2019s NEPA reviews. The officials estimated these positions reduce review time by about one month compared to when these agencies did not have Arizona DOT-funded positions.", "For the remaining six optional provisions, 41 to 58 percent of users reported that the provisions had no effect on project delivery. Based on discussions with selected state DOTs and comments included with survey responses, officials at some state DOTs reported that the provisions did not have any effect because the states had already developed similar processes, either through programmatic agreements with their FHWA division office or at their own initiative. As a result, the state DOTs did not realize any new time savings after the provisions were enacted in law. For example, for each of three provisions that allow for certain documentation to be eliminated for categorical exclusions, officials at seven state DOTs reported that they had already developed similar processes through programmatic agreements with their FHWA division office. Further, five state DOTs reported that the Early Coordination Activities in Environmental Review Process provision had no effect because they already had a similar coordination process in place. Some states used such a process at their own initiative and others in conjunction with their FHWA division office."], "subsections": []}, {"section_title": "Among Required Provisions, about Three- Quarters of State DOTs Reported That \u201cProgrammatic Agreements\u201d Helped Speed Up Highway Projects, While the Effects Are Mixed for Other Provisions", "paragraphs": ["Of the 12 required provisions\u2014which fall into the Administrative and Coordination Change category\u2014only the Programmatic Agreements for Efficient Environmental Review provision was reported by a majority of state DOTs (39) to have sped up project delivery (see fig. 3). For example, officials at the Mississippi DOT reported that a programmatic agreement with the FHWA division office can allow it to save 6 to 8 months when processing categorical exclusions for projects with minimal right-of-way acquisition. They explained that they no longer had to wait for the FHWA division office to process the categorical exclusion. As previously discussed, prior to 2012, FHWA actively encouraged, but did not require, programmatic agreements between state DOTs and FHWA division offices. In interviews and optional comments from the survey, officials reported that programmatic agreements, both those entered into before and after the enactment of the provision, had sped up project delivery. We did not determine the number of state DOTs that attributed the speed up in project delivery to the 2012 provision, as opposed to those who attributed it to the earlier programmatic agreements with their FHWA division offices. All of the required provisions reportedly sped up project delivery for at least 4 state DOTs.", "For 5 of the 12 provisions, between 10 and 18 states responded that the provisions sped up project delivery. For example, officials at the Ohio DOT estimated that the Combine Final Environmental Impact Statement and Record of Decision in Certain Cases provision saves them a minimum of 3 months. For the remaining 6 provisions, between 4 and 7 states reported that the provisions sped up project delivery, but each of these provisions also had at least 16 states that reported the provision had no effect on project delivery. Our survey served as a broad-based review of the effects of the provisions and was not designed to determine why each provision had the reported effects; however, some states provided voluntary comments in the survey. As with various optional provisions, some state DOT officials reported no effect because the state had already developed processes and practices that they said achieved what the provisions formalized, for example:", "Coordination Plan for Public and Agency Participation provision: In discussions and from optional comments, 4 state DOTs said that they already had a similar process in place. Officials at the Louisiana DOT stated that they performed a similar process prior to the \u2018Coordination Plan for Public and Agency Participation\u2019 provision\u2019s enactment in law in an effort to coordinate with the public and other government agencies.", "45-Day Limit to Identify Resource Agencies provision: In interviews and optional survey comments, officials at 2 state DOTs said that they already had a similar process in place to promptly identify stakeholder agencies.", "Issue Resolution Process provision: Wyoming DOT officials said that they had been performing a similar process prior to this provision\u2019s enactment in law to ensure consensus among stakeholders.", "Some state DOTs reported that it was too early to determine the effects of several provisions, particularly more recently enacted provisions. For 5 of the 12 required provisions, more than one third of state DOTs (over 17 states) reported that it was too soon to judge the provisions\u2019 effects. Four of these 5 provisions were enacted in the FAST Act in 2015. Consequently, state DOTs that used the provision had a short window of time to assess any potential effect on project delivery\u2014particularly given that highway projects often take a number of years to complete. Also, while our survey did not ask state DOTs when they had most recently initiated an EIS, several state DOTs voluntarily noted that they had not done so since the FAST Act. Certain provisions apply only to projects undergoing an EIS; states that have not done an EIS since such provisions were enacted would not have had the opportunity to use the provision. One such provision is the 45-Day Limit to Identify Resource Agencies provision, for which 19 state DOTs reported that it was too early to judge the effects.", "For 5 of the 12 provisions, a relatively few state DOTs, between one and eight, reported that the provision had slowed down project delivery. Eight states reported that the Coordination Plan for Public and Agency Participation provision slowed down project delivery, the most for any provision. According to the Minnesota DOT, this provision slowed down project delivery because it formalized and required a specific coordination process in addition to those that had already been voluntarily occurring with relevant federal and state resource agencies. Formalizing this process resulted in resource agencies taking longer to provide responses to the Minnesota DOT. Other states similarly said that this provision\u2019s additional formal processes slowed down project delivery.", "We defined required provisions to mean that federal agencies or state or local transportation agencies that are subject to the provision must adhere to requirements and obligations in the provision, if all the conditions for its use have been satisfied. States may not have had the opportunity to apply some of the required provisions that apply to them because they did not have exposure to the circumstances and conditions that would invoke this provision\u2019s use. For example, a state would not be exposed to the 150-Day Statute of Limitations provision if it had not been subject to a lawsuit. Unlike the optional provisions, we did not ask states whether they elected to use the required provisions since state DOTs, if subject to the provision, must adhere to the requirements and obligations in the provision."], "subsections": []}, {"section_title": "Selected State DOTs Reported Using the Three Advance Planning Provisions That Affect Project Delivery but Precede NEPA Review", "paragraphs": ["Two of the three provisions from the Advance Planning category were used by a majority of the 10 state DOTs we interviewed, and most of the state DOTs that used each provision stated that it sped up project delivery. This use is illustrated more specifically:", "Advance Design-Build Contracting provision: 8 state DOTs used this provision, 5 of which reported it sped up highway project delivery.", "Advance Acquisition of Real Property provision: 6 state DOTs used this provision, 4 of which reported it sped up highway project delivery.", "2-phase Contracts provision: 5 state DOTs used this provision, 4 of which reported it sped up highway project delivery.", "Some state DOT officials provided examples of how the provisions affected their project delivery. For example, California DOT officials said that the Advance Acquisition of Real Property provision saved them a few months on small projects, involving one or two parcels of land; for a large project involving hundreds of commercial and residential parcels, they estimated time savings of more than a year. Similarly, Illinois DOT officials said that the provision has yielded time savings of 6 months to a year in instances where the DOT needs to purchase residential property."], "subsections": []}, {"section_title": "Most Project Delivery Provisions Were Used by Selected Transit Agencies, but the Provisions\u2019 Effects on Project Delivery Were Generally Unclear", "paragraphs": ["More than two-thirds of the provisions designed to speed up transit project delivery were reportedly used by 11 selected transit agencies. We asked officials in selected transit agencies to report their use of 29 project delivery provisions applicable to transit agencies, 17 of which are optional and 12 of which are required. Of the 29 provisions, 6 were used by 4 or more selected transit agencies (see fig. 4). The most used optional provision, by 7 transit agencies, was the Minor Impacts to Protected Public Land provision described earlier followed by the Planning Documents Used in NEPA Review provision, used by 6 transit agencies.", "Some transit agencies told us that the provisions they used sped up project delivery. In addition, some provided estimated time savings.", "Chicago Transit Authority (CTA) officials told us that the Minor Impacts to Protected Public Land provision was extremely helpful for recent CTA projects involving historic properties. For example, CTA has implemented projects that involve track work at a station that is adjacent to a historic boulevard. They estimated that the Minor Impacts to Protected Public Land provision has reduced the time to complete documentation by several months. Similarly, a Tri-County Metropolitan Transportation District of Oregon official stated the Minor Impacts to Protected Public Land provision has been instrumental since in the past, the agency would have to stop the project if it affected a park land.", "Southeastern Pennsylvania Transportation Authority (SEPTA) officials told us that they used the Categorical Exclusion for Minor Rail Realignment provision one or two times within the past 2 years. SEPTA estimated the provision saved the agency several months in time savings per project. Officials stated that the provision allowed the SEPTA to use a categorical exclusion in place of an environment assessment. SEPTA officials also said they saved staff time and approximately $100,000 a year in consultant fees and agency staff resources by using the Categorical Exclusion for Preventative Maintenance to Culverts and Channels provision.", "Capital Metro officials in Austin, Texas, told us they used the Categorical Exclusion for Projects within the Existing Operational Right-of-Way provision for a rail right-of-way project. They estimated the provision helped save at least 4 to 6 months in project delivery because the agency was not required to do an environmental assessment.", "While some selected transit agencies reported using some provisions and added that this provision\u2019s use helped speed up project delivery or lower costs, the effects of the provisions\u2014whether they sped up project delivery or streamlined the NEPA review process\u2014were not clear to a majority of the selected transit agencies. Because transit agencies in our review do not track NEPA reviews\u2014including their start and end dates\u2014they were not able to assess how project time frames or costs were affected by the provisions. Officials from several selected transit agencies told us that their understanding of the project delivery provisions\u2019 effects was also limited by their reliance on engineering and environmental-planning consultants to prepare their NEPA documents. Officials from 4 of the 11 transit agencies told us that they rely on these consultants\u2019 knowledge of the provisions to prepare their NEPA documents. Further, officials from 1 transit agency said they required the assistance of their consultants to respond to our requests for information.", "Nine of the 29 provisions were not used by any of the agencies, and no provision was used by more than 7 agencies. Our discussions with selected transit agency and FTA officials provided some insight into transit agencies\u2019 use of the provisions, specifically:", "Limited transit projects needing EISs: Transit agencies that do not prepare EISs may have fewer opportunities to use some of the provisions. Following discussions with FTA officials, we examined the number of times transit agencies filed a notice of intent to prepare an EIS in the Federal Register from 2005 through 2016 as a proxy to identify those transit agencies that would likely use a number of the project delivery provisions. We found that 48 transit agencies (out of several hundreds of transit agencies) filed notices of intent from fiscal year 2005 through 2016 but that of the 48 transit agencies, 34 had filed a notice of intent only once during that time. In general, the vast majority of transit agencies have little recent experience preparing EIS documentation and using the provisions that are triggered by an EIS. For example, only one transit agency (Tri-County Metropolitan Transportation District of Oregon) had filed a notice of intent to prepare an EIS after the FAST Act was enacted in 2015.", "Duration of transit projects: Some instances where transit project delivery provisions were not used could be due to the number of years it takes to complete transit projects. According to FTA officials, where sponsors for highway projects may have new projects initiating and requiring NEPA reviews on a rolling basis, transit agencies operate differently. A transit agency may have a project that goes through a NEPA review and then begins construction of the project that can last a number of years. The transit agency may not have another project that requires an EIS for several years. For example, New York Metropolitan Transportation Authority (MTA), the largest transit agency by ridership in the country, completed its last EIS review in 2004 and has since been working on construction of that project, according to FTA officials. While MTA has been receiving FTA funds for construction, no additional project has undergone an EIS.", "Changing provisions and delayed guidance: Some transit agency officials told us that the changing provisions across the three enacted surface transportation authorization acts pose challenges to using the project delivery provisions. Understanding the changes in the project delivery provisions\u2014for example, changes in categorical exclusions\u2014 included in SAFETEA-LU, MAP-21, and the FAST Act was challenging according to some selected transit agencies. Further, some transit agency officials stated that the lag time in receiving guidance from FTA on the changing provisions also posed challenges to using some of the provisions."], "subsections": []}]}, {"section_title": "DOT\u2019s FHWA Has Assigned Six States NEPA Authority, and Two States Reported Time Savings, but FHWA Has Not Provided Guidance on Measuring Effects", "paragraphs": ["DOT, specifically FHWA, has assigned its NEPA approval authority to six states, and other states are interested in this authority. Of the six states, California and Texas have completed some NEPA reviews and determined they have achieved time savings through state approval of NEPA documents rather than federal approval. However, we found the reported time savings to be questionable for several reasons, including challenges faced by California and Texas in establishing sound baselines for comparison. Despite this finding, the reported time-savings information is used by other states to seek out NEPA authority and in reporting to DOT and Congress. FHWA focuses its oversight of NEPA assignment states on ensuring these states have the processes in place to carry out FHWA\u2019s NEPA responsibilities, according to a written agreement between each state and FHWA, and does not focus on determining whether states are achieving time savings."], "subsections": [{"section_title": "FHWA Has Assigned Six States NEPA Authority, and Additional States Are Interested", "paragraphs": ["FHWA has assigned its NEPA authority to six states, enabling those state DOTs to assume FHWA\u2019s authority and approve state-prepared NEPA documentation for highway projects, in lieu of seeking federal approval. California\u2019s NEPA authority began in 2007, as the first state in the then- pilot program, and continued when the program was made permanent in 2012. Once eligibility expanded to all states, Texas became the second state to be assigned NEPA authority, in 2014, followed more recently by Ohio in 2015, Florida in 2016, and Utah and Alaska in 2017.", "The 2005 Conference Report accompanying SAFETEA-LU indicates that the NEPA Assignment Authority provision was created to achieve more efficient and timely environmental reviews, which are a key benefit sought by participating states. The report states that the NEPA assignment program was initially created as a pilot program to provide information to Congress and the public as to whether delegation of DOT\u2019s environmental review responsibilities resulted in more efficient environmental reviews. In addition, in MAP-21, Congress declared that it is in the national interest to expedite the delivery of surface transportation projects by substantially reducing the average length of the environmental review process. State DOT officials from the five NEPA assignment states we reviewed cited anticipated time savings or greater efficiency in environmental review as a reason for taking on this authority. For example, Texas DOT officials said they expected to save time by eliminating FHWA approval processes that they described as time consuming. With NEPA authority, the state puts in place its own approval processes to carry out the federal government\u2019s NEPA review responsibilities, and agrees to take on the risk of legal liability for decisions made in this capacity.", "Additional states have expressed interest and have taken steps to apply for NEPA authority. Officials from three state DOTs told us they plan to apply for NEPA authority, and one of these, the Arizona DOT, has taken the first step in the process and obtained the requisite changes in state law. In explaining the anticipated benefits of NEPA assignment to the state legislature, an Arizona DOT official cited time savings reported by California and Texas as a reason for taking on the application process. Time savings\u2019 results had been shared by California and Texas DOT officials during a peer exchange event held by an association of state highway officials in 2015 for states that are in the early stages or are considering applying for NEPA authority. Also, the Texas DOT had testified before a congressional committee in 2015 and described the time savings for environmental assessment reviews under its NEPA authority and its role communicating this information to other states pursuing NEPA authority."], "subsections": []}, {"section_title": "State DOTs Calculate Time Savings, but Reported Savings Are Questionable", "paragraphs": ["The MOUs, signed with FHWA by each of the five states we reviewed, set out performance measures for comparing the time of completion for NEPA approvals before and after the assumption of NEPA responsibilities by the states. To calculate time savings, each state has established a baseline\u2014of the time it took to complete NEPA review before it assumed NEPA authority\u2014to compare to the time it takes to complete NEPA review after assuming NEPA authority. The baseline is to serve as a key reference point in determining the efficiency of state-led NEPA reviews. Thus far, the two states that have had NEPA authority long enough to report results are California and Texas, and only California has reported results for EISs. The California DOT reported that its EIS reviews now take about 6 years to approve, which it determined to be a 10-year improvement over the 16-year (15.9 years) baseline the state DOT established. For environmental assessment reviews, the California DOT reported completion times of about 3.5 years, which it determined to be a 1-year improvement over the established baseline. The Texas DOT has not started and completed an EIS review since assuming NEPA authority but reported that its environmental assessment reviews have taken about 1.5 years, compared to the baseline of almost 2.5 years.", "However, we found California and Texas DOTs\u2019 reported time savings to be questionable due to the methods used to compare time frames and challenges associated with establishing baselines. First, there is an inherent weakness in comparing the NEPA review time frames before and after NEPA authority because the comparison does not isolate the effect of assuming NEPA authority on NEPA review time frames from other possible factors. As discussed earlier, we have previously found that such factors include the extent of public opposition to a project and changes in transportation priorities, among other factors. Further, according to a report from the American Association of State Highway and Transportation Officials, such a comparison does not include information to control for non-environmental factors that are important to project delivery time frames, including delay in completion of design work necessary to advance the environmental review and changes in project funding that put a project on hold. Moreover, neither California nor Texas DOTs\u2019 time frame comparisons isolate the effects of NEPA assignment from other streamlining initiatives that may have helped accelerate delivery of projects, such as potential benefits realized from other project delivery provisions.", "Second, California and Texas have faced challenges creating appropriate baselines. States are responsible for determining how many and which projects to include in baseline calculations and adopting their own methodologies. While circumstances and conditions are different across states and states can be expected to have different experiences, California\u2019s current 16-year EIS baseline is over double that of Texas\u2019 EIS baseline. In 2012, we found that for the 32 projects in which FHWA was the lead agency and signed the EIS in fiscal year 2009, the average time to complete the process was about 7 years. According to information contained in California DOT reports to the state legislature from 2007 and 2009, California\u2019s original baseline for EISs was comprised of 1 project that resulted in an EIS baseline of 2.5 years. In 2009 state DOT officials increased the number of EIS projects in order to achieve what they viewed as a more representative mix. This process increased California\u2019s EIS baseline six-fold, which has been consistently used since that time. Specifically, California used the median of five projects that had review times of around 2.5 years, 6.2 years, 15.9 years, 16.6 years, and 17.3 years. These projects were selected because they were among the final EIS projects that were reviewed prior to California\u2019s assuming NEPA authority.", "However, the EIS baseline may not be meaningful. First, it includes outlier projects, which are projects that take much longer than usual to complete. According to California DOT officials, this factor is a limitation to determining time savings because the outliers increased the EIS baseline and therefore makes subsequent time savings look greater than they are. Next, despite the increase in EIS projects included in the baseline, a 2016 California DOT report to the state legislature stated that this new EIS baseline may still not be meaningful because of the relatively small sample size, and therefore the inferences that can be made from EIS analysis on time savings are limited. The report caveats that \u201cthe EIS analysis should not be used as a major indicator of the effectiveness of NEPA assignment,\u201d but still reports the EIS analysis results. However, California DOT uses the figure in determining and reporting time savings. For example, information available on the California DOT\u2019s web site as of November 2017 presents these data and states that they are evidence of saving \u201csignificant time in reviewing and approving its NEPA documents since undertaking NEPA assignment.\u201d", "Moreover, the California DOT\u2019s reported median time frame of 6 years for EIS reviews only accounts for those projects that have both started and completed their environmental review since the state assumed NEPA authority. As only 10 years have passed since California assumed NEPA authority in 2007, all EIS reviews started and completed since 2007 automatically have shorter time frames than the 16-year baseline. Thus, it will be 2023 before any EIS reviews in California could equal the baseline, let alone exceed it, making any EIS review started after assumption of NEPA authority and completed before 2023 appear to demonstrate time savings.", "Texas DOT officials stated that they had challenges determining a baseline for environmental assessments because there is no nationally accepted standard definition of when an environmental assessment begins. Moreover, Texas DOT recently revised its environmental assessment baseline, reducing it from 3 years to 2.5 years and including projects over a 2-year period instead of a longer 3-year period due to uncertainties with quality of the older data, according to Texas DOT officials. Texas also included, then excluded three outliers from its revised baseline (reviews that took between 6 and 9 years to complete) because officials determined they were not representative of typical environmental assessment reviews. While improving project data to create more accurate baselines is beneficial, it also results in different time savings\u2019 estimates over time and illustrates the challenges of constructing sound baselines.", "As previously discussed, states that are considering or have recently decided to assume NEPA assignment authority have relied, at least in part, on time savings reported by California and Texas. As additional NEPA assignment states begin calculating and reporting time savings as outlined in their MOUs with FHWA, the inherent weakness of a pre- and post-assignment baseline comparison, combined with challenges establishing sound baselines, creates the potential for questionable information about the program\u2019s effects to be reported and relied upon by other states considering applying for NEPA assignment. Questionable information also negatively affects DOT\u2019s and Congress\u2019 ability to determine whether NEPA assignment is having its intended effect and resulting in more efficient environmental reviews."], "subsections": []}, {"section_title": "FHWA Has Focused on States\u2019 Compliance and Processes but Has Played a Limited Role in Time Savings Measures", "paragraphs": ["FHWA focuses its oversight of NEPA assignment states through audits and monitoring to ensure that states have the processes in place to carry out FHWA\u2019s role in the NEPA process and that they comply with the MOU agreed to between FHWA and each of the NEPA assignment states. According to the MOUs, FHWA\u2019s annual audits include evaluating the attainment of performance measures contained in each MOU. Each of the five MOUs contains four performance measures including: (1) documenting compliance with NEPA and other federal laws and regulations, (2) maintaining internal quality control and assurance measures for NEPA decisions including legal reviews, (3) fostering communication with other agencies and the general public, and (4) documenting efficiency and timeliness in the NEPA process by comparing the completion of NEPA documents and approvals before and after NEPA assignment.", "According to FHWA officials, the agency interprets evaluating the attainment of performance measures contained in the MOU as ensuring that the state has a process in place to assess attainment. For the efficiency and timeliness measures, FHWA does not use its audits to measure whether the state is achieving performance goals. FHWA only ensures that the state has a process in place to track the completion of NEPA documents and approvals before and after NEPA assignment, and that states follow the process, according to FHWA officials. For example, FHWA officials from the California division office stated that they did not assess the baseline methodology or assess its validity or accuracy. FHWA\u2019s Texas division officials added that setting the baseline has not been an FHWA role. FHWA does not assess or collect information on states\u2019 calculations of their time savings from NEPA assignment.", "FHWA officials stated that their focused approach on compliance and processes is consistent with the authority they have been granted and that it is not required by statute to measure environmental review efficiency and timeliness performance of participating states. Moreover, according to these officials, this authority limits their ability to request state information on issues related to, and otherwise assess, states\u2019 performance measures, including time savings, specifically:", "According to an FHWA program document, FHWA is statutorily authorized to require the state to provide any information that FHWA reasonably considers necessary to ensure that the state is adequately carrying out the responsibilities assigned to the state. Further, a request for information is reasonable if it pertains to FHWA\u2019s reviewing the performance of the state in assuming NEPA assignment responsibilities. However, FHWA officials told us they do not consider an assessment of efficiency and timeliness measures to be necessary to ensure that the state is adequately carrying out its responsibilities.", "Additionally, FHWA considers timeliness performance measures to be a state role. FHWA officials told us that the timeliness performance measures in the NEPA assignment MOUs were added by the states, not FHWA. For instance, California added a timeliness performance measure based on its state legislature\u2019s reporting requirements. Each of the subsequent four NEPA assignment states we reviewed also included timeliness performance measures in their respective MOUs. However, the DOT Office of Inspector General reported in 2017 that while FHWA is not statutorily required to measure performance regarding the environmental review process for NEPA assignment states, the lack of data collection and tracking inhibits FHWA\u2019s ability to measure the effectiveness of NEPA assignment in accelerating project delivery. The DOT Office of Inspector General recommended that FHWA develop and implement an oversight mechanism to periodically evaluate the performance of NEPA assignment states, which has not yet been implemented.", "While FHWA does not, according to officials, have the authority to assess states\u2019 measurement of timeliness performance, FHWA has a role and the authority to provide guidance or technical assistance to states to help find solutions to particular problems and to ensure complete and quality information is provided to Congress, state DOTs, and the public to help make informed policy choices. Federal standards for internal control state that agencies should use quality information to determine the extent to which they are achieving their intended program outcomes. Characteristics of quality information include complete, appropriate, and accurate information that helps management make informed decisions and evaluate the entity\u2019s performance in achieving strategic outcomes. FHWA\u2019s mission to advance the federal-aid highway program is articulated in its national leadership strategic goal, which states that FHWA \u201cleads in developing and advocating solutions to national transportation needs.\u201d To carry out its mission, FHWA engages in a range of activities to assist state DOTs in guiding projects through construction to improve the highway system. Specifically, according to agency documents, FHWA provides technical assistance and training to state DOTs and works with states to identify issues and develop and advocate solutions. Its broad authority to offer guidance and technical assistance can include helping states develop sound program methodologies. Such assistance or guidance could also include sharing best practices and lessons learned on evaluation methodologies, including creation of baselines, and potentially result in better quality information to assess the results of NEPA assignment. Without quality information reported from NEPA assignment states on time savings, questionable information about the program effects may be relied upon by other states considering applying for NEPA authority, and may negatively impact DOT\u2019s and Congress\u2019 ability to determine whether NEPA assignment is having its intended effect and resulting in more efficient environmental reviews.", "FHWA officials stated that they advise NEPA assignment states on process improvements and technical assistance, but that no state has requested assistance developing evaluation methodologies or baselines. However, offering guidance or technical assistance on evaluation methodologies to measure time savings can help ensure that states are basing decisions to participate on reliable information and that, in turn, those NEPA assignment states can provide reliable information to FHWA and Congress to help assess whether NEPA assignment results in more efficient environmental reviews."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["A number of factors can affect the time it takes to complete highway and transit projects, including the NEPA review process. Congress has stated that it is in the national interest to expedite the delivery of surface transportation projects by substantially reducing the average length of the environmental review process, and has taken a number of steps in this direction, including allowing DOT to assign NEPA authority to the states. We found that the time savings results publicly shared by current NEPA assignment states have spurred interest among other states seeking NEPA authority. However, states are making program decisions\u2014taking on risk and assuming federal authority\u2014based on questionable information and reports of success.", "Given questions about participating states\u2019 reported time savings, FHWA can help provide some assurance that the performance measures states develop and use to report out are based on sound methodologies. FHWA has the authority to issue program guidance and offer and provide technical assistance to help state DOTs find solutions to particular problems, including the development of sound evaluation methodologies. Without such assistance, states may continue to face difficulties establishing sound baselines. And without a sound baseline, the time savings states calculate\u2014which may continue to be subsequently publicly reported\u2014may be of questionable accuracy and value. And Congress, in turn, would not have reliable information on whether the assignment of NEPA authority to states is having its intended effect."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The FHWA Administrator should offer and provide guidance or technical assistance to NEPA assignment states on developing evaluation methodologies, including baseline time frames and timeliness measures. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOT for review and comment. DOT provided a written response (see app. VI), as well as technical comments, which we incorporated as appropriate. DOT partially concurred with our recommendation. Specifically, DOT stated that it would clarify environmental review start times and communicate this to all FHWA divisions and states. DOT also stated it would provide the NEPA assignment states with any new federal government-wide guidance developed on performance measures of environmental reviews. DOT also stated that it already provides technical assistance to NEPA assignment states in other areas and that FHWA is not required by statute to measure the environmental review efficiency and timeliness of NEPA assignment states. Further, DOT stated that focusing only on timeliness metrics for environmental reviews overlooks other significant benefits of NEPA assignment, such as state control over when and how to conduct environmental reviews, which according to DOT is one of the most significant factors that a state considers in deciding whether to request NEPA assignment authority.", "We are encouraged that DOT stated it would clarify environmental review start times. This step can improve the accuracy of environmental assessment review time frames, which is a part of developing sound baselines. In addition, while providing general guidance related to performance measures of environmental reviews would be helpful, we continue to believe that FHWA needs to provide further guidance or technical assistance to NEPA assignment states on developing sound evaluation methodologies. We recognize that FHWA has stated that it is not required by statute to measure environmental review efficiency; however, FHWA does have broad authority to offer guidance and technical assistance to help states develop sound program methodologies, including sharing practices and lessons learned on evaluation methodologies. As we reported, Congress indicated its interest in more efficient and timely environmental reviews when it created the NEPA assignment program. FHWA can help provide reasonable assurance that the performance measures states develop and use to report information are based on sound methodologies, which would in turn help provide Congress reliable information on whether the assignment of NEPA authority to states is having its intended effect. Further, while we acknowledge that other benefits of NEPA assignment may be important to states, all the NEPA assignment states we reviewed consistently identified time savings as a reason for taking on this authority. Offering guidance on evaluation methodologies to measure time savings can help FHWA ensure that additional states interested in NEPA authority for this reason are basing decisions to participate on reliable information.", "We are sending copies of this report to interested congressional committees, the Secretary of the Department of Transportation, and other interested parties. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Available Information about the Number, Percentage, and Costs of NEPA Reviews for Highway and Transit Projects", "paragraphs": ["Based on 2009 data, we previously reported that 96 percent of environmental reviews are completed through categorical exclusions and a smaller number of highway projects undergo EISs and environmental assessments, 1 and 3 percent respectively. We have previously reported that government-wide data on the cost of NEPA reviews are not readily available because agencies do not routinely track the cost of completing NEPA reviews and there is no government-wide mechanism to do so. To comply with congressional reporting requirements, FHWA maintains the Project and Program Action Information (PAPAI) system, which is a monitoring database that tracks projects\u2019 NEPA review progress at major milestones. FHWA developed PAPAI in 2013 in response to statutory reporting requirements on NEPA time frames. PAPAI tracks EIS and environmental assessment start and end dates, among other information, allowing FHWA to track the processing time for these reviews. FTA does not have a similar monitoring system that tracks NEPA reviews, but has developed a new grant management system, the Transit Award Management System (TrAMS), which FTA also uses to track EIS and environmental assessment start and end dates. However, FTA officials told us that TrAMS is still in the early phases of deployment and may contain incomplete information on NEPA time frames on transit projects."], "subsections": [{"section_title": "Highway Projects", "paragraphs": ["While some information is available on the number of NEPA reviews (i.e., NEPA review time frames) for highway projects, little to no information is known about the percentage breakdown of the three types of NEPA reviews that have been conducted for these projects and their associated costs.", "Number of NEPA Reviews: Some information is available regarding the number of EIS and environmental assessments; however, less is known about the number of categorical exclusions. In an October 2017 report to Congress, FHWA stated that 29 EISs were initiated since 2012, of which 3 EISs were completed and 26 EISs remain active. In its October 2013 report to Congress and consistent with MAP-21 reporting requirements, FHWA reported the number of EISs that state DOTs \u201cinitiated\u201d from 2002 through 2012. In this report, FHWA stated that the number of EISs that initiated decreased over time. For example, FHWA reported that 38 EISs were initiated in fiscal year 2002 compared to 15 EISs that were initiated in 2012.", "Regarding the number of environmental assessments state DOTs conduct for highway projects, FHWA\u2019s October 2017 report to Congress stated 232 environmental assessments were initiated since 2012, of which 103 environmental assessments were completed and 129 environmental assessments remain active. FHWA\u2019s October 2013 report to Congress did not report on the number of environmental assessments. FHWA officials told us that prior to fiscal year 2013, FHWA division offices were not required to submit data on environmental assessments.", "While some information on categorical exclusions exists, the total number of categorical exclusions is unknown. FHWA does not actively track categorical exclusions because state DOTs process most categorical exclusions without involvement from FHWA, as allowed by established programmatic agreements.", "Percentage of NEPA Reviews by Type: The percentage breakdown of EIS, environmental assessments, and categorical exclusions conducted by state DOTs for federal-aid highway projects is largely unknown since FHWA has systematically collected numerical data only on EIS reviews and environmental assessments since fiscal year 2013. We previously reported that, FHWA estimated that approximately 96 percent of NEPA reviews were categorical exclusions, 3 percent were environmental assessments, and 1 percent were EISs. While the current percentage breakdown of NEPA reviews is not known, FHWA officials told us that categorical exclusions still constitute the vast majority of NEPA reviews for highway projects. Furthermore, highway projects requiring an EIS likely remain the smallest portion of all projects and are likely to be high-profile, complex, and expensive.", "Costs of NEPA Reviews: The costs of completing NEPA reviews are unknown according to officials we interviewed. Officials from FHWA and the National Association of Environmental Professionals believe that data on the cost of processing NEPA reviews do not exist and are not tracked. In our survey of state DOTs, we found that a majority (37 of the 52 state DOTs surveyed) do not collect cost data. For example, officials from Virginia DOT stated that they do not track NEPA costs and that compiling this information would be difficult and labor- intensive."], "subsections": []}, {"section_title": "Transit Projects", "paragraphs": ["Number and Percentage of NEPA Reviews: FTA has some data on the number of categorical exclusions that transit agencies process, but has just begun to collect data on the number of EIS reviews or environmental assessments. According to an August 2016 report, FTA reported that 24,426 categorical exclusions were processed for 6,804 projects between February 2013 and September 2015. However, the same report cited a number of limitations and challenges with the underlying data, and as a result, the data may not be accurate. FTA officials told us that its new internal grant management system, TrAMS, also has the capability to track EIS reviews and environment assessments, but they are in the early stages of collecting this information. Given that data on the number of NEPA reviews are either not available (EIS and environmental assessments) or potentially unreliable (categorical exclusions), data on the percentage of NEPA reviews are also not available. However, FTA officials believe that similar to highway projects, the most common type of NEPA reviews that transit agencies process are categorical exclusions.", "Costs of NEPA Reviews: FTA and transit agencies do not track costs of processing NEPA reviews for transit projects. According to FTA and our previously issued work, separating out the costs for NEPA reviews (versus \u201cplanning\u201d costs or \u201cpreliminary design\u201d costs) within the project delivery process would be difficult to determine."], "subsections": []}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["Our work focused on federal-aid highway and transit projects and the provisions included in the past three surface transportation reauthorizations that are intended to accelerate the delivery of such projects (i.e., project delivery provisions). In particular, this report: (1) identifies the provisions aimed at accelerating the delivery of highway and transit projects that were included in the last three surface transportation reauthorizations; (2) examines the extent to which the provisions were used by state departments of transportation (state DOT) and transit agencies and the provisions\u2019 reported effects, if any, on accelerating the delivery of projects; and (3) evaluates the extent to which DOT has assigned National Environmental Policy Act of 1969 (NEPA) authority to states and the reported effects. In addition, in appendix I, we identify available information on the number and percentage of the different types of NEPA reviews, and costs of conducting NEPA reviews.", "To identify all relevant project delivery provisions, we reviewed language in the three most recent surface transportation reauthorizations and included those provisions with the goal to accelerate the delivery of federal-aid highway or transit projects. The three reauthorizations we reviewed are as follows: the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU)\u2014the seven project delivery provisions we used were derived from provisions we had previously identified from SAFETEA-LU, Title VI, on Transportation Planning and Project Delivery; the Moving Ahead for Progress in the 21st Century Act (MAP-21), Division A, Title 1, Subtitle C, entitled Acceleration of Project Delivery (Sections 1301 through 1323); and the Fixing America\u2019s Surface Transportation Act (FAST Act), Division A, Title 1, Subtitle C, entitled Acceleration of Project Delivery (Sections 1301 through 1318).", "One provision (MAP-21 \u00a71318(a)-(c)) included statutory language directing the Department of Transportation (DOT) to develop additional project delivery provisions through rulemaking. Accordingly, we reviewed the DOT regulations promulgated in response to that requirement (23 C.F.R. \u00a7\u00a7 771.117(c)(24)-(30), 771.118(c)(14)-(16), 771.118(d)(7)-(8) and identified 12 additional project delivery provisions. We combined provisions that were modified in later statutory language and did not specify between different versions of the provisions, as this precision was not necessary for our purposes. For example, the 150-Day Statute of Limitations provision was created in SAFETEA-LU (section 6002) as a 180-day statute of limitations and amended in MAP-21 (section 1308) to 150 days, which is the version we used. We also grouped the provisions into categories for ease of understanding; determined if provisions were applicable to highway projects or transit projects, or both; and specified if provisions were required or optional, based on professional judgement and legal review. We define \u201crequired\u201d provisions to mean that federal agencies or state or local transportation agencies that are subject to a provision must adhere to the requirements and obligations in the provision, if all the conditions for its use have been satisfied. We define \u201coptional\u201d provisions to mean that the relevant entity (a federal agency or state or local transportation agency) can choose to use the provision if circumstances allow.", "We met with officials from the Federal Highway Administration (FHWA) and the Federal Transit Administration (FTA) to confirm that we had a complete list of project delivery provisions for highway and transit projects.", "To determine states\u2019 awareness, use, and perceived effects of the project delivery provisions on highway projects over the previous 5 years, we surveyed state DOTs within all 50 states, the District of Columbia, and Puerto Rico. We directed the survey to officials in state DOTs that oversee environmental compliance for highway projects under NEPA. Because these officials do not have responsibilities with respect to three Advance Planning category\u2019s provisions that allow certain activities to occur prior to the completion of a NEPA review, we excluded these project delivery provisions from the survey. We also excluded two provisions from the survey that are related to DOT assignment of federal NEPA authority, because their use requires a written agreement between FHWA and state DOTs, and we addressed those provisions separately through interviews with states that have such written agreements in place. Our survey response rate was 100 percent. In order to ensure that respondents would interpret our questions as intended, prior to administering the survey, we conducted pretests with state DOTs in four states: Georgia, Ohio, Texas, and Washington. In each pretest, we conducted a session with state DOT officials during which the officials completed the survey and then provided feedback on the clarity of the questions. Based on the feedback, we refined some questions and restructured parts of the survey. After the four pretests were completed, we provided a draft copy of the survey to FHWA and the American Association of State Highway and Transportation Officials (AASHTO) for their review and comment. Both provided technical comments that we incorporated, as appropriate. Based on early interviews with highway project stakeholders and our pretests, we determined that the survey should be sent to environmental officials at the state DOTs. Additional information about our survey methodology includes the following:", "To determine whom we should send the pretest and survey to (i.e., the survey respondent), we used a list of environmental officials at the state DOTs compiled by AASHTO. We took steps, such as sending early notification e-mails, to help ensure that the list of respondents we created was accurate.", "We launched our survey on March 7, 2017. We sent e-mail reminders and telephoned survey respondents who had not completed the survey after two weeks, urging them to do so as soon as possible. We reviewed survey responses for omissions and analyzed the information provided. The survey and aggregated responses\u2014with the exception of open-ended responses and information that would identify individual state DOTs\u2014are provided in appendix IV.", "For each of the provisions included on the survey, we included references to legal citations in order to minimize confusion among provisions or versions of provisions.", "We provided space in the survey for respondents to provide optional comments for each individual provision and for each category of provisions. We analyzed these comments primarily for additional context and as a source of illustrative examples.", "Because all state DOTs were included in our survey, our analyses are not subject to sampling errors. However the practical difficulties of conducting any survey may introduce non-sampling errors. For example, differences in how a particular question is interpreted or the sources of information available to respondents can introduce errors into the survey results. We included steps both in the data collection and data analysis stages, including pretesting, to minimize such non- sampling errors. We also sent a draft of the questionnaire to FHWA and AASHTO for review and comment.", "We examined the survey results, reviewed survey responses during follow-up interviews with selected states, and performed computer analyses to identify inconsistencies and other indications of error and addressed such issues, where necessary. A second, independent analyst checked the accuracy of all computer analyses to minimize the likelihood of errors in data processing.", "Based on the survey results, we conducted follow-up interviews with officials from 10 state DOTs to discuss their views about the effects the project delivery provisions had on the duration of highway projects in their states in the past 5 years. We did not independently verify state DOT officials\u2019 estimates of time savings. We selected state DOTs that reported a range of use and effects of the provisions; we also selected geographically diverse states. The 10 states we selected were Arizona, California, Colorado, Illinois, Maine, Minnesota, Mississippi, Texas, Virginia, and Wyoming. We also asked these state DOTs about their use and experiences with the three Advance Planning category\u2019s provisions we excluded from the survey. These interviews are not generalizable to all states but provide additional context for responses.", "To determine transit agencies\u2019 awareness, use, and views about the effects of the project delivery provisions applicable to transit, we selected a non-generalizable sample of 11 transit agencies, provided a \u201cchecklist\u201d of the provisions to the officials regarding their awareness and use of the provisions, and interviewed officials at those agencies that oversee NEPA reviews for transit projects. We selected these agencies based primarily on the number of times they issued a notice of intent to prepare an EIS in the Federal Register from 2005 through 2016 to identify those transit agencies that may have experience preparing EISs or some another NEPA review and experience using transit project delivery provisions. While notices of intent to prepare an EIS do not always result in a transit agency\u2019s conducting an actual EIS review, they indicate instances in which a transit agency plans to conduct an EIS review. Other factors, such as ridership and geographic location, were also considered to select the 11 transit agencies. We identified contacts for the transit agencies by calling the transit agencies\u2019 Planning and Environmental Review departments and identifying individuals that had experience with environmental reviews and project delivery provisions. We interviewed officials at the following transit agencies:", "Capital Metro (Austin, Texas),", "Chicago Transit Authority,", "Houston Metropolitan Transit Authority,", "Los Angeles County Metropolitan Transportation Authority,", "Metropolitan Atlanta Rapid Transit Authority,", "Sacramento Regional Transit District,", "San Francisco Bay Area Water Emergency Transportation Authority,", "San Francisco Municipal Transportation Agency,", "Sound Transit (Seattle, Washington),", "Southeastern Pennsylvania Transportation Authority, and", "Tri-County Metropolitan Transportation District of Oregon.", "Similar to the survey we provided to state DOTs regarding highway projects, we provided the transit agencies with a \u201cchecklist\u201d of the provisions in which the transit agency officials indicated whether they had heard of and used the provisions. To understand why the provisions may not be used by selected transit agencies, we also examined the frequency in which transit agencies filed a notice of intent to prepare an EIS in the Federal Register. After discussions with FTA, we used the number of times transit agencies filed a notice of intent to prepare an EIS as a proxy because agencies that have performed multiple EISs, which are typically complex in nature, are more likely to use the provisions and be able to offer insight. Transit agencies may also have experience using provisions related to categorical exclusions since transit agencies process their NEPA reviews more commonly using categorical exclusions. However, we did not examine the extent to which categorical exclusions are used by transit agencies as a proxy to identify agencies that have experience using the provisions in part because FTA\u2019s current database, TrAMS, does not have comprehensive data on categorical exclusions. We discussed transit agency officials\u2019 views about the effects of the provisions during our interviews. These interviews are not generalizable to all transit agencies but provide anecdotal information and context.", "To evaluate the extent that DOT has assigned NEPA authority to states and the effects states have reported from assuming NEPA authority, we identified states that have assumed NEPA authority based on information from FHWA: Alaska, California, Florida, Ohio, Texas, and Utah. We did not include Alaska in our review because that state did not assume NEPA authority until November 2017. For the five states we reviewed, we interviewed state DOT officials and reviewed relevant documentation including memorandums of understanding and analyses the state DOTs conducted on NEPA assignment authority, such as methodologies for calculating NEPA assignment time savings. We also surveyed the state DOTs that have not yet sought NEPA authority to assess their interest in assuming NEPA authority. In addition, we interviewed FHWA officials about procedures to oversee the performance of NEPA assignment states and interviewed FHWA division officials from those states. We compared FHWA\u2019s procedures to oversee NEPA assignment states against standards for information and communication contained in Standards for Internal Control in the Federal Government.", "To determine available information on the number and percentage of the different NEPA reviews and costs of conducting NEPA reviews for highway and transit projects, we reviewed relevant publications, obtained documents and analyses from federal agencies, and interviewed federal officials and individuals from professional associations with expertise in conducting NEPA analyses. We also included a question on costs of conducting NEPA reviews in the survey we administered to state DOTs.", "For all objectives, we interviewed agency officials and stakeholders involved in highway and transit projects from FHWA and FTA headquarters and transportation industry and environmental organizations that are familiar with project delivery and environmental review.", "We conducted this performance audit from August 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Project Delivery Provisions Included in the Three Most Recent Federal Transportation Reauthorization Acts That Apply to Highway and Transit Projects", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Highway Questionnaire and Summarized Responses", "paragraphs": ["This appendix provides a copy of the survey sent to state departments of transportation in all 50 states, the District of Columbia, and Puerto Rico concerning their use of the project delivery provisions for highway projects. The appendix also includes the responses received for each of the provisions; it does not include information on non-responses, which resulted either from the survey\u2019s skip patterns or from state officials voluntarily declining to respond.", "GAO also developed names for the provisions in the survey; we subsequently modified the names of several of the provisions for the text of our report to make them more intuitive for readers. The following list matches the provisions that have different names in our report than in the survey."], "subsections": [{"section_title": "Report Name", "paragraphs": [], "subsections": []}, {"section_title": "\u2022 Categorical Exclusion for Projects within the", "paragraphs": [], "subsections": []}, {"section_title": "Report Name", "paragraphs": [], "subsections": []}, {"section_title": "\u2022 Procedures for Initiation of Environmental Review", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix V: Transit Agency Provisions Checklist and Responses Regarding Awareness and Use", "paragraphs": [], "subsections": [{"section_title": "Provision", "paragraphs": ["Description Authorizes the lead agency of a multimodal project to apply categorical exclusions from the NEPA implementing regulations or procedures of a cooperating DOT operating administration.", "Designates the repair or reconstruction of any road, highway, or bridge that was damaged by an emergency as a categorical exclusion, subject to certain conditions.", "Designates a project within an operational right-of-way as a categorical exclusion, subject to certain conditions.", "Authorizes the designation of a categorical exclusion for projects receiving less than $5 million in federal funds, or less than 15 percent federal funds for a project under $30 million, subject to an annual inflation adjustment.", "For transit projects, designates bridge removal and bridge removal related activities, such as in-channel work, disposal of materials and debris as a categorical exclusion.", "For transit projects, designates preventative maintenance, including safety treatments, to culverts and channels within and adjacent to transportation right-of-way as a categorical exclusion.", "For transit projects, designates geotechnical and archeological investigations to provide information for preliminary design, environmental analyses, and permitting purposes as a categorical exclusion For transit projects, designates minor transportation facility realignment for rail safety reasons, such as improving vertical and horizontal alignment of railroad crossings, as a categorical exclusion.", "For transit projects, designates modernization or minor expansions of transit structures and facilities outside existing right-of-way, such as bridges, stations, or rail yards, as a categorical exclusion.", "Authorizes a historic site, park land, or refuge to be used for a transportation program or project if it is determined that \u201cde minimis impact\u201d would result.", "Bars claims seeking judicial review of a permit, license, or approval issued by a federal agency for projects unless they are filed within 150 days after publication of a notice in the Federal Register announcing the final agency action, unless a shorter time is specified in the federal law under which the judicial review is allowed."], "subsections": []}, {"section_title": "Provision", "paragraphs": ["Description Authorizes the lead agency for a project to use planning products, such as planning decisions, analysis, or studies, in the environmental review process of the project.", "Requires that any federal agency responsible for environmental review to give substantial weight to a state or metropolitan programmatic mitigation plan, if one had been developed as part of the transportation planning process, when carrying out responsibilities under NEPA or other environmental law.", "Allows the lead agency of a project, in order to expedite decisions, to use an errata sheet attached to a final EIS, instead of rewriting it, if the comments are minor. Also, to the maximum extent practicable, combines the final EIS and record of decision in certain cases.", "Authorizes the operating administrations of DOT to adopt a draft EIS, EA, or final EIS of another operating administration without recirculating the document for public review if the proposed action is substantially the same as the project considered in the document to be adopted.", "Establishes a 45-day limit after the notice of intent date for a lead agency to identify other agencies to participate in the environmental review process on EIS projects.", "To the maximum extent practicable and consistent with federal law, requires lead agencies to develop a single NEPA document to satisfy the requirements for federal approval or other federal action, including permits.", "Creates several requirements at the start of a project\u2019s Section 139 environmental review process, such as 1) establishing a 45-day deadline for DOT to provide a written response to the project sponsor on initiation of the environmental review process; 2) establishing a 45-day deadline for DOT to respond to a request for designation of a lead agency; and 3) requiring the development of a checklist by the lead agency to help identify natural, cultural, and historic resources, to identify agencies and improve interagency collaboration.", "Authorizes the lead agency to reduce duplication, by eliminating from detailed consideration an alternative proposed in an EIS if the alternative was already proposed in a planning process or state environmental review process, subject to certain conditions.", "Allows a state to use its federal funds to support a federal or state agency or Indian tribe participating in the environmental review process on activities that directly contribute to expediting and improving project planning and delivery."], "subsections": []}, {"section_title": "Provision", "paragraphs": ["Description Establishes procedures to resolve issues between project sponsors and relevant resource agencies.", "At the request of a project sponsor or a governor of the state in which the project is located, requires DOT to provide additional technical assistance for a project where EIS review has taken 2 years, and establish a schedule for review completion within 4 years.", "Requires DOT to seek opportunities with states to enter into programmatic agreements to carry out environmental and other project reviews.", "Encourages early cooperation between DOT and other agencies, including states or local planning agencies, in the environmental review process to avoid delay and duplication, and suggests early coordination activities. Early coordination includes establishment of MOUs with states or local planning agencies.", "Limits the comments of participating agencies to subject matter areas within the special expertise or jurisdiction of the agency.", "Requires a coordination plan for public and agency participation in the Section 139 environmental review process within 90 days of a Notice of Intent or the initiation of an Environmental Assessment, including a schedule.", "Issues that are resolved by the lead agency with concurrence from stakeholders cannot be reconsidered unless there is significant new information or circumstances arise.", "Permits states or local transportation agencies to release requests for proposals and award design-build contracts prior to the completion of the NEPA process; however, it precludes a contractor from proceeding with final design or construction before completion of the NEPA process.", "Authorizes states to acquire real property interests for a project before completion of the NEPA process.", "Authorizes the awarding of contracts for the preconstruction services and preliminary design of a project using a competitive selection process before the completion of the NEPA process."], "subsections": []}]}, {"section_title": "Appendix VI: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Steve Cohen (Assistant Director); Brian Chung (Analyst-in-Charge); Rich Johnson; Delwen Jones; Hannah Laufe; Ethan Levy; Ned Malone; Josh Ormond; Tina Paek; Cheryl Peterson; and Joe Thompson made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-45", "url": "https://www.gao.gov/products/GAO-18-45", "title": "Solid Rocket Motors: DOD and Industry Are Addressing Challenges to Minimize Supply Concerns", "published_date": "2017-10-26T00:00:00", "released_date": "2017-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD relies on a multi-tiered supply chain to provide SRMs, the propulsion systems behind the various missile systems that provide defense capabilities to meet U.S. national security objectives. The SRM industrial base includes manufacturers that turn to an extensive network of suppliers that provide the raw materials, components, and subsystems needed to build SRMs. DOD is responsible for developing a strategy for the national industrial base that ensures that defense contractors and their suppliers are capable of providing the goods and services needed to achieve national security objectives.", "GAO was asked to review the state of the U.S. industrial base for SRMs. This report addresses (1) SRM industry trends, (2) single source supplier risks, and (3) opportunities for SRM manufacturers' engineering workforce development. GAO analyzed DOD's annual industrial capabilities reports to Congress for fiscal years 2009 through 2016, which reflect DOD's most current information on SRM risks, and reviewed DOD budget data and information from missile prime contractors and SRM manufacturers. GAO also interviewed missile prime contractors, SRM manufacturer representatives, and officials from DOD and the military departments."]}, {"section_title": "What GAO Found", "paragraphs": ["Over the past two decades, the solid rocket motor (SRM) industrial base has undergone various changes including consolidation and recent expansion. Specifically, since 1995, the industry has consolidated from six U.S. manufacturers to two U.S. manufacturers. With regard to expansion, a foreign supplier entered the market in 2012, and in 2017, a U.S. firm, which is ultimately foreign-owned, was also established. According to the Department of Defense (DOD) while it supports competition, its current demand for SRMs can only sustain two manufacturers. Although at this stage it is too early to know how, or if, these new entrants will impact the economic viability of the more long-standing U.S. manufacturers.", "The consolidation in the SRM industrial base has also been accompanied by a decrease of suppliers throughout the supply chain. For example, one SRM manufacturer estimated a decrease in suppliers, from approximately 5,000 to 1,000, over the last 20 years. This increases the risk of production delays and disruptions in the event that key components and materials available from a single source become unavailable from that source. GAO found that DOD and industry are taking steps to identify and mitigate these risks, such as by establishing alternative sources and requiring advance notice when suppliers are considering exiting the market.", "In its annual industrial capabilities reports to Congress, DOD has consistently stated that the limited number of new missile development programs inhibits its ability to provide opportunities to help SRM manufacturers maintain their workforce capabilities. Specifically, with few new missile programs being initiated, engineers have had fewer opportunities to develop their engineering skills related to SRM concept designs, system development, and production, which are critical if SRM performance issues arise. However, in 2016, DOD funded a 4-year project to enhance engineering design skills for less experienced engineers working for the two U.S. manufacturers and help them develop advanced SRM technologies."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations at this time."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) relies on multiple types of missiles\u2014 including tactical missiles used for short distances, longer-range strategic missiles, and missile defense systems to intercept enemy missiles\u2014to provide essential defense capabilities. Many of these missiles are powered by solid rocket motor (SRM) propulsion systems, which provide the thrust the missiles need to reach their intended targets. DOD acquires missiles from prime contractors, which in turn contract with other manufacturers to acquire SRMs. Over the past two decades, the number of U.S. companies that manufacture SRMs has consolidated to two manufacturers. These manufacturers rely on a network of suppliers, which have also experienced consolidation, to obtain the raw materials, components and parts needed for the SRM. The consolidation of the supplier base at various levels in the supply chain and decreased demand for SRM materials has reduced competition, and single source suppliers have become more common throughout the supplier network.", "Within DOD, the Manufacturing and Industrial Base Policy (MIBP) office claims responsibility for ensuring the health, viability and resiliency of the industrial capabilities that DOD needs. For nearly a decade, MIBP has reported on various challenges that, if left unaddressed, could impede a supplier\u2019s ability to provide SRMs for DOD\u2019s missile programs. Since at least 2009, DOD has identified the health of the SRM industrial base as an area of concern, driven, in part, by constrained budgets that have led to decreased spending to procure missiles that use SRMs. The Senate Appropriations Committee has also weighed in with concerns\u2014 particularly regarding SRMs for tactical missiles such as the Advanced Medium Range Air-to-Air Missile (AMRAAM)\u2014about reduced spending and the use of foreign suppliers.", "As a result of these concerns, you asked us to review the state of the U.S. supplier base that provides SRMs for tactical missiles. We examined (1) SRM industry trends, (2) single source supplier risks, and (3) opportunities for SRM manufacturers\u2019 engineering workforce development.", "To determine SRM industry trends, supplier risks, and workforce opportunities, we reviewed DOD industrial capabilities reports provided to Congress from 2009 to 2016. Three of these reports focused exclusively on DOD\u2019s assessment of SRM industrial capabilities\u2014contractors\u2019 knowledge, skills, facilities, manufacturing processes, equipment and technologies that enable the production of SRMs. These reports provided insight into the risks to the SRM industrial base and helped us determine actions that DOD has taken to address such risks. Given new entrants to the SRM market for tactical missiles, we reviewed DOD\u2019s fiscal year 2009 through 2017 budget data to gain additional insight into its demand for tactical missile programs. We also reviewed information provided by the prime contractors and SRM manufacturers. We interviewed officials from MIBP and the military departments responsible for identifying industrial base risks to determine their processes for identifying, analyzing, and responding to industrial base risks. We also interviewed representatives from the two prime contractors that produce missiles for all of DOD\u2019s tactical missile programs as well as some strategic and missile defense programs. In addition, we spoke with officials from the three SRM manufacturers with facilities in the United States to understand the risks to them and their suppliers.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Solid Rocket Motors (SRM)", "paragraphs": ["SRMs are the propulsion systems that propel various types of missiles and are also used in space launch activities, including the National Aeronautics and Space Administration\u2019s (NASA) Space Shuttle program. Across the military departments, DOD has approximately 40 missile programs that currently use SRMs, including tactical programs such as the Army\u2019s Guided Missile Launch Rocket System and the Navy and Air Force AIM-9X Sidewinder.", "As shown in figure 1, an SRM consists of a casing filled with solid propellant that, when ignited, expels hot gases through a nozzle to produce thrust. DOD describes the overall SRM components as being consistent among the missile types, although size and scale of propellant requirements vary. For example, tactical missiles use the smallest SRMs\u2014ranging from about 3 inches up to 24 inches in diameter\u2014and require between 3 and almost 1,600 pounds of propellant. Strategic missiles use large SRMs that exceed 40 inches, while missile defense systems utilize both small and large SRMs. Space launch SRMs can exceed 150 inches and can require more than a million pounds of propellant.", "In order to be used in a missile, the SRM and its components, such as the propellant ingredients or casing materials, are subject to testing to demonstrate that they meet DOD\u2019s technical specifications and requirements. For instance, this testing can confirm that the construction of the SRM allows it to function at certain altitudes or in certain temperatures or environments required by the missile. The SRM is tested as a stand-alone item and as part of the overall missile system before production begins. By successfully completing testing, the missile becomes qualified, and the SRM and its components are deemed suitable to meet the missile\u2019s specific requirements going forward. Any changes in the SRM or its components may require additional testing and, if the changes are significant or if there are multiple changes, may require the missile to be retested and thus, requalified\u2014which DOD has noted is an expensive and time-consuming process that can take years and cost millions of dollars."], "subsections": []}, {"section_title": "SRM Supply Chain", "paragraphs": ["DOD relies on a multi-tiered supply chain to provide the SRMs that are used for missile propulsion. Industry representatives we spoke to estimate the supply chain extends to more than 1,000 suppliers that provide the raw materials, components, and sub-systems needed to manufacture the SRM. The missile\u2019s prime contractors are ultimately responsible for delivering the missiles and for selecting and managing the subcontractors that manufacture the SRM. The SRM manufacturers then subcontract with suppliers that provide the components and materials used to manufacture the SRM. Those suppliers might, in turn, work with another tier of suppliers to meet their needs. For example, an SRM manufacturer may obtain the materials needed for the casing from a first- tier supplier. The first-tier supplier may obtain the materials and components it needs from multiple second-tier suppliers, and so on. According to DOD reports, the SRM supplier base, including the sub-tier suppliers, is nearly identical across missile defense, tactical, and strategic missile systems that use SRMs. Figure 2 is an illustrative version of the SRM supply chain.", "Historically, the demand for SRMs was mostly driven by their use in solid rocket boosters for NASA space programs, such as the Space Shuttle program. DOD has reported that NASA\u2019s retirement of the Space Shuttle program in 2011 had a negative impact on the SRM supply chain as it led to decreased demand for SRMs and the related raw materials and components. Similarly, we reported in August 2017 that the demand for solid rocket motor propellant had dropped by more than 75 percent, from 20 million pounds to 5 million pounds, since the end of the Space Shuttle program. DOD has reported that these changing market conditions have resulted in excess capacity, where production demand is less than what is optimal to sustain the suppliers. Thus, excess capacity keeps SRM manufacturers from being cost competitive, which can jeopardize the viability of the manufacturers as well as their sub-tier suppliers."], "subsections": []}, {"section_title": "MIBP\u2019s Role in Identifying Industrial Base Risks", "paragraphs": ["MIBP, which is part of the Under Secretary of Defense for Acquisition, Technology, and Logistics, is DOD\u2019s primary representative for issues affecting the defense industrial base. MIBP officials told us they conduct analyses of risks affecting defense supply chains and provide information to decision makers, including required annual reports to Congress. These reports cover a wide range of industrial capabilities for various types of systems, including missiles. For example, in fiscal year 2014, MIBP assessed the fragility and criticality risks facing missile production, by analyzing factors that would cause potential disruptions and would be difficult to replace if disrupted. This assessment identified solid rocket motors as one of the key risks.", "While individual program offices and military departments are generally responsible for identifying risks within their own areas, MIBP officials stated that they coordinate and share information with relevant stakeholders for issues that affect multiple programs within or across the military departments. MIBP\u2019s coordination role, according to these officials, includes participating in or leading various coordinating bodies within DOD or other federal departments. For example, MIBP leads the Joint Industrial Base Working Group, which shares industrial base information across DOD agencies and military departments. In addition, MIBP co-leads the Critical Energetic Materials Working Group, a DOD- sponsored entity that focuses on ensuring the near- and long-term availability of energetic materials such as those used in SRMs, and suggesting risk mitigation strategies.", "MIBP officials told us that they also conduct an annual data collection effort among the military departments and other DOD agencies to identify defense industrial base areas of risk and to learn about ongoing issues across the industrial base. In addition, they noted that MIBP works closely with the Industrial Analysis Group within the Defense Contract Management Agency (DCMA), which conducts assessments to identify industrial base risks facing individual acquisition programs at various points in the program\u2019s life cycle and makes recommendations to program offices to help sustain a resilient and innovative defense industrial base. Additionally, DOD officials we spoke to said weapon program-specific risks are communicated through the military departments and to MIBP, which tracks them and determines their implications for the industrial base."], "subsections": []}]}, {"section_title": "Industry Trends Create Uncertainty for U.S. Solid Rocket Motor Suppliers", "paragraphs": ["Over the last 20 years, the SRM industrial base has consolidated from six to two U.S. manufacturers\u2014Aerojet Rocketdyne and Orbital ATK. Both manufacturers produce the small and large SRMs used in tactical and missile defense systems, and Orbital ATK also produces SRMs for strategic missiles. A senior MIBP official told us that current DOD needs require two SRM manufacturers, but there is not enough demand to keep three companies economically viable.", "In DOD\u2019s industrial base reports to Congress, MIBP has reported that, while other industrial sectors are supported by commercial markets in addition to government needs, SRM manufacturers cater largely to the defense and space missions of the government and generally do not have a commercial base that can sustain production when the federal government\u2019s demand fluctuates. As a result, similar to the impact of NASA\u2019s Space Shuttle retirement on the SRM supplier base, trends or decisions made in a particular program area can have broader effects and potentially result in cost increases for other programs. For example, we found that a company that is supporting space launch has decided to source its SRMs from Orbital ATK instead of Aerojet Rocketdyne, which had previously produced the motors. This arrangement will take effect in 2019, and Aerojet Rocketdyne officials said that it is consolidating its facilities to reduce costs due to excess production capacity for these types of large SRMs. According to DOD, the resulting impact may affect costs in Aerojet Rocketdyne\u2019s remaining business units, including those that provide the smaller SRMs used for tactical missiles. DOD says that these costs would likely be passed on to the missile systems programs. Additionally, if Aerojet Rocketdyne decides to exit the large SRM market altogether, the lack of competition is likely to result in increased costs for other DOD programs that use large SRMs.", "When there is limited demand, then a small supplier base can also be impacted by competition from foreign suppliers. Specifically, in the past several years, the two U.S. manufacturers have faced competition from a foreign supplier, Nammo Raufoss, and, more recently in 2017, a newly established U.S. corporation, Nammo Energetics Indian Head, Inc. (NEIH). These two new entrants are both ultimately wholly owned by the same Norwegian parent company and, according to an MIBP official, have the potential to take away market share from the two longstanding domestic SRM manufacturers. Figure 3 shows the industry trends among SRM manufacturers.", "Nammo Raufoss, the foreign SRM manufacturer, began providing SRMs for the AMRAAM program in 2012, after the U.S. SRM manufacturer had encountered production challenges. According to an MIBP official, no U.S. SRM manufacturer, including the supplier at the time, was offered the opportunity to design a new SRM, which would have solved the production issues. Further, according to the MIBP official, the Norwegian government contributed funding to this effort. Additional funding was provided by the prime contractor\u2014Raytheon\u2014and the program offices, to develop, test, and produce the new SRM for AMRAAM.", "Currently, Nammo Raufoss provides SRMs for two tactical missile programs used by DOD\u2014Evolved Sea Sparrow Missile and AMRAAM. The programs for which Nammo Raufoss provides SRMs accounted for approximately 4 percent of the tactical missiles procured by DOD in fiscal year 2017, a slight increase over the 3 percent share since it first provided SRMs for the AMRAAM missiles in fiscal year 2012. The remaining missile programs use SRMs produced by Aerojet Rocketdyne and Orbital ATK.", "While the missile prime contractor found it viable to turn to a foreign source for the AMRAAM program, Congress and DOD have been concerned about the potential negative impacts the addition of a foreign supplier could have on a fragile domestic SRM industrial base. For example, the Senate Appropriations Committee recently noted concerns about reduced spending and the use of foreign suppliers. Similarly, even though DOD recognizes that access to global markets provides the necessary competitive pressures to incentivize U.S. suppliers to remain competitive and control costs, it has also noted that there needs to be a commitment to investing in the U.S. SRM industrial base to develop and produce critical technologies for the next generation of weapon systems. Further, by law, DOD must limit specific conventional ammunition procurements to sources within the industrial base if it determines such limitation is necessary to maintain a facility, producer, manufacturer, or other supplier available for furnishing an essential item of ammunition or ammunition component in cases of national emergency or to achieve industrial mobilization. According to MIBP officials, the current threat to the existing U.S. SRM manufacturer from a foreign supplier is not great enough to force it from the market. Therefore, it is difficult to restrict SRM procurements to the U.S. industrial base. Instead, an MIBP official told us they have raised concerns to DOD program offices and missile prime contractors about expanding the use of the Norwegian SRM supplier, Nammo Raufoss, as this potentially could have a negative impact on the near- or long-term survivability of U.S. manufacturers.", "Moreover, our review found that the newly established NEIH as a U.S. SRM manufacturer also creates competition within the existing domestic supplier base and also raises uncertainty for Aerojet Rocketdyne and Orbital ATK. Specifically, NEIH is in the early stages of establishing its production capabilities, which includes remodeling the manufacturing facility at Indian Head, over the next three years. Further, an MIBP official told us that MIBP plans to monitor the competitive landscape among the three companies, but as NEIH is a U.S. company, it is considered a part of the domestic industrial base and would not be subject to DOD restrictions on foreign suppliers. At this stage, it is too early to tell how, if at all, the newest competitor, whose product line is focused on small SRMs, will disrupt the business of the two long-standing U.S. SRM manufacturers that produce large and small SRMs."], "subsections": []}, {"section_title": "Single Source Suppliers Drive Material Availability Risks but Mitigation Actions Underway", "paragraphs": ["During our review, we found that the decreased demand for SRMs has resulted in a loss of suppliers in the supply chain, increasing the risk that key components and materials are only available from single sources. Should such components and materials become unavailable, production delays could result. MIBP\u2019s industrial base reports to Congress and our discussions with industry representatives showed increased awareness of supply chain risks and steps taken to identify and mitigate risks before they affect SRM production, including coordination of efforts to address key chemicals needed for SRM propulsion."], "subsections": [{"section_title": "Single Source SRM Suppliers Increase Risk", "paragraphs": ["As decreased demand for SRMs has contributed to the consolidation of manufacturers, a main concern for DOD and industry is the impact of similar reductions among the manufacturers\u2019 sub-tier suppliers. According to MIBP\u2019s reports to Congress, relying on a decreased number of sub-tier suppliers exacerbates the risk that needed SRM materials become unexpectedly unavailable and disrupt missile production. MIBP emphasizes that in the current lower-production environment, sub-tier suppliers who are primarily supporting defense and space missions rather than commercial businesses, must determine how to remain viable or decide to exit the SRM market. SRMs contain few commercial off-the- shelf components and a great number of defense-unique components, which leads to an extensive reliance on sole-source suppliers.", "Further, DOD reported that the missiles that are powered by SRMs experience rapid production during times of conflict. While surge production can create additional business opportunities, it is greatly impacted by the availability of materials and components that comprise the SRM for the missile. Industry representatives told us that managing complex supply chains is a part of their business, but noted that there has been a great deal of consolidation among SRM suppliers in recent years. One SRM manufacturer estimated that the supply chain has dropped from approximately 5,000 sub-tier suppliers to about 1,000 suppliers over the last 20 years. As a result, manufacturers are heavily dependent on only one supplier for some of the raw materials and key components of the SRM. For example, manufacturers provided us with information showing that they rely on a single company for ignition components for most of the tactical missiles they produce.", "Single Source Supplier Issues for the Advanced Medium-Range Air-to-Air Missile (AMRAAM) A U.S. manufacturer experienced problems with the propellant mixture used in the AMRAAM solid rocket motor (SRM). The root cause was not discovered, but experts believe that variation in the raw material for a particular propellant ingredient resulted in the SRM functioning differently than intended. As a result, Raytheon, the prime missile contractor, stopped accepting the manufacturer\u2019s SRMs in 2010 and AMRAAM production was disrupted for about 2 years. At the time, Raytheon had been working to qualify a second SRM supplier. According to DOD, the qualification process was accelerated to speed up production of the missiles that were needed to support military operations. AMRAAM production resumed approximately 2 years after the SRM issues occurred.", "These dependencies increase as they move into the lower tiers of the supply chain. Components can be available from one source for either of the following two instances: (1) only one sole source is available for the material, component, or chemical and no other alternative exists; or (2) other suppliers exist, but only one single source supplier has been qualified or chosen to produce the item. Either situation poses a risk of disrupting the supply of SRMs and ultimately, the production of the missile. DOD officials noted that, even if other suppliers exist, it can be costly and time-consuming for them to be qualified as alternative sources. For example, in its assessments, DCMA has stated that energetic materials\u2014which are used in SRM propellants\u2014are among the most expensive components to requalify. As there are approximately 25 to 30 ingredients in the typical SRM\u2019s propellant, changes in any of the ingredients require that the propellant be retested for effectiveness.", "Further, disruptions among single source suppliers can take place for other reasons besides leaving the market. Production changes, such as altering manufacturing processes or even relocating production facilities, can affect the material or component produced in unexpected ways. In addition, there has been a long-standing concern that SRM manufacturers are dependent on a single source supplier for an SRM propellant ingredient\u2014ammonium perchlorate\u2014as only one U.S. company is certified to provide this ingredient. The House version of the Fiscal Year 2018 National Defense Authorization Act calls for DOD to study the future costs and availability of ammonium perchlorate. MIBP officials told us they have conducted extensive analysis of the issues for this critical component, including two studies conducted in 2016."], "subsections": []}, {"section_title": "Industry\u2019s Efforts to Manage Its Supply Chain", "paragraphs": ["Industry representatives from missile prime contractors and SRM manufacturers we spoke with said that managing their supply chain to ensure the availability of needed materials is a primary concern. Prime contractor representatives said that SRM subcontractors are generally expected to manage their suppliers and ensure that they suppliers can meet their contract requirements. However, the prime contractors said they are particularly involved when the risks relate to material availability. While losing a supplier is always a risk, they try to mitigate this through increased awareness of their supply chains and taking quick actions when risks are identified.", "To increase awareness, prime contractor representatives said they consider potential availability issues before contracts are awarded and include requirements that they be notified of these issues in their subcontracts, which the SRM manufacturers apply to their subcontract suppliers, in order to minimize surprises. One SRM manufacturer confirmed that it includes subcontract requirements for its own sub-tier suppliers to report any changes in the product, materials, or production location as soon as the change is known.", "In addition, both of the U.S. SRM manufacturers noted that they have staff dedicated to monitoring potential issues with supply chain availability. In one case, a manufacturer conducted a business continuity study that analyzed suppliers\u2019 business plans for the next 5 years to identify potential problems.", "After issues\u2014such as a financially fragile supplier\u2014are identified, representatives said the key factor is the amount of time they have to mitigate the issue. In this respect, the U.S. SRM manufacturers we spoke with said their processes have improved in recent years and they receive more advanced notice when suppliers plan to exit the market, allowing them to take steps such as stockpiling supplies or making last buys while additional suppliers are identified. Taking such steps also allows time to more fully assess and take necessary steps\u2014including qualifying a new supplier, if needed."], "subsections": []}, {"section_title": "DOD Efforts to Respond to Supply Chain Risks", "paragraphs": ["MIBP officials told us that they coordinate regularly with industry and the affected DOD program offices to be informed of potential issues in the supply chains, but noted that it can be challenging to be aware of SRM suppliers beyond the initial tiers. However, the officials said that through their coordination efforts\u2014which include participating in multiple working groups with the military departments and DOD components, as well as NASA and industry\u2014they are aware of the SRM sub-tier suppliers that are at the greatest risk. For example, MIBP co-leads the Critical Energetic Materials Working Group to track availability issues with the chemicals that DOD relies on, including SRM propellant ingredients. Officials said that MIBP also works closely with DCMA, which conducts industrial base assessments that provide additional insights into contractors\u2019 supply chains. Further, officials said that MIBP is in the early stages of developing a business analytics tool to help them better understand the interdependencies in the sub-tier supplier base. Their hope is to be able to proactively identify risks, rather than wait for program offices or DCMA to elevate concerns to MIBP.", "DOD officials and industry representatives identified cases in which actions were taken when essential materials\u2014typically chemicals\u2014were at risk of becoming unavailable. For example, MIBP coordinated with other DOD stakeholders and industry to mitigate risks in the cases summarized in table 1.", "Additionally, an official said that MIBP is conducting a munitions industrial base resiliency study in 2017 that addresses, among other issues, how DOD plans for risks in the missile sector, particularly those related to the loss of qualified suppliers, including for SRMs.", "In September 2017, we reported that DOD program offices have limited information from contractors that would help them to identify and proactively manage risks stemming from a single source of supply for missile systems, among other items. We recommended that DOD develop a mechanism to ensure that program offices, such as those for missile programs, obtain information from contractors on single sources of supply risks. DOD concurred with this recommendation and indicated that modifications to current contractual regulations and policy would be beneficial. In light of DOD\u2019s planned actions in response to our previous recommendation, we are not making any additional recommendations at this time."], "subsections": []}]}, {"section_title": "Manufacturing Engineers\u2019 Solid Rocket Motor Design Skills Declining but Workforce Project Initiated", "paragraphs": ["MIBP\u2019s annual industrial capabilities reports to Congress have consistently stated that the limited number of new missile development programs inhibits DOD\u2019s ability to provide opportunities that maintain the workforce capabilities SRM manufacturers need to meet current and future national security objectives. These capabilities include engineering skills related to SRM concept designs, system development, and production, which are critical to meeting potential requirements for new SRM designs. With few new-start missile programs being initiated and decades-old programs having reached a steady state of design, SRM engineers are not typically engaged at the early stages of development and newer engineers have not fielded new SRM designs, thus creating a skills gap. According to reports from DOD, the lack of new programs for missiles has also limited opportunities to recruit and train the next generation of SRM scientists and engineers. The SRM manufacturers we spoke with also acknowledged experiencing attrition among workers with the requisite experience, as design experts are at or near eligibility for retirement. Industry representatives noted that engineers and chemists do not typically go to school to become SRM engineers, but must be trained by the SRM manufacturers. In a report to Congress, MIBP stated that one SRM manufacturer estimated that it can take up to 5 years to fully train SRM engineers or production workers.", "Key to this issue is the limited number of new missile programs or updates requiring new SRM designs, which would provide the workforce with development opportunities that DOD and industry find to be critical. Current research and development efforts are generally limited to updates or modifications for legacy missile programs, rather than for new missile programs. For example, the Joint Air-to-Ground Missile, a tactical missile program that officials said has started and stopped development several times since the late 1990s, had planned to incorporate a new SRM design. However, due to budget limitations and affordability concerns related to the SRM, the program opted to use a legacy SRM from the Hellfire missile, which has been in production since 1982. While the legacy SRM requires some modifications to change the casing material from steel to composite materials that are stable enough to withstand fire, mechanical shocks, and shrapnel, yet still burn correctly to propel the warhead and destroy the intended target, it does not involve the same level of skill as is needed to design new SRMs. Similarly, a DOD official said the AIM-9X program proposed designing a new SRM, but this plan was later abandoned due to concerns about the overall program costs. There are currently only two missile programs\u2014Army\u2019s Long Range Precision Fire missile and the Navy\u2019s Advanced Anti-Radiation Guided Missile Extended Range\u2014planning to use new solid rocket motor designs. Although these programs present opportunities for industry to develop SRM design skills, MIBP does not believe it will close the current skills gap. Further, MIBP officials said they have raised concerns that the use of foreign SRM suppliers results in fewer opportunities for domestic SRM manufacturers such as exercising their design skills. For example, MIBP noted that domestic engineers did not have the chance to design the new SRM used by AMRAAM.", "In its reports to Congress, MIBP has stated that the loss of design capabilities could result in costly delays and unanticipated expenses and impair DOD\u2019s readiness to support existing systems and field new capabilities. One of the elements that heighten SRM criticality for missile systems is the long lead time for restarting production in the event of stoppage. Specifically, one MIBP report stated that SRM manufacturers estimated that it can take from 3 to 5 years to fully restart if there is some ongoing production, and up to 8 years if production has completely ceased. In addition, according to MIBP, restarting production processes would incur costs, including those associated with retraining engineers. MIBP also indicated that the loss of SRM capabilities could delay future development of missile programs by 5 to 10 years.", "MIBP has an effort underway intended to address these diminishing design skills. According to MIBP officials, in 2016 they awarded a 4-year risk mitigation project that will provide approximately $14 million to Orbital ATK and Aerojet Rocketdyne during the course of the project. The purposes of the project are to provide opportunities for the SRM manufacturers to develop new SRM design skills for less experienced engineers and mature advanced technologies. The engineers will incorporate technology into a new SRM as designed by each company. According to an official, MIBP provided general guidelines for the resulting SRM, but purposely did not provide strict specifications in an effort to allow engineers to identify their own solutions for a new motor design."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We are not making recommendations in this report. We provided a draft of this report to DOD for comment. DOD reviewed the draft and offered technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in the appendix."], "subsections": []}]}, {"section_title": "Appendix: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Marie A. Mak, (202) 512-4841 or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Candice Wright (Assistant Director), Alyssia Borsella, Jennifer Dougherty, Leigh Ann Haydon, Emily Bond, Lorraine Ettaro, Kurt Gurka, and Roxanna Sun made key contributions to this report."], "subsections": []}]}], "fastfact": ["Solid rocket motor (SRM) propulsion systems play an important role in the nation's defense. Using a solid propellant that expels hot gases when combusted, SRMs provide the thrust behind a variety of DOD's missiles\u2014from short-range tactical missiles to longer-range strategic ones.", "But the industrial base for SRMs has shifted. U.S. manufacturers have consolidated, and foreign-owned manufacturers have entered the market. According to one estimate, the number of suppliers of raw materials, components, and sub-systems fell from 5,000 to 1,000 over the last 20 years. In this report, we examine SRM trends, risks, and opportunities."]} {"id": "GAO-18-600", "url": "https://www.gao.gov/products/GAO-18-600", "title": "Coast Guard Acquisitions: Polar Icebreaker Program Needs to Address Risks before Committing Resources", "published_date": "2018-09-04T00:00:00", "released_date": "2018-09-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To maintain heavy polar icebreaking capability, the Coast Guard and the Navy are collaborating to acquire up to three new heavy polar icebreakers through an integrated program office. The Navy plans to award a contract in 2019. GAO has found that before committing resources, successful acquisition programs begin with sound business cases, which include plans for a stable design, mature technologies, a reliable cost estimate, and a realistic schedule.", "Section 122 of the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to assess issues related to the acquisition of the icebreaker vessels. In addition, GAO was asked to review the heavy polar icebreaker program's acquisition risks. This report examines, among other objectives, the extent to which the program is facing risks to achieving its goals, particularly in the areas of design maturity, technology readiness, cost, and schedule. GAO reviewed Coast Guard and Navy program documents, analyzed Coast Guard and Navy data, and interviewed knowledgeable officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Coast Guard\u2014a component of the Department of Homeland Security (DHS)\u2014did not have a sound business case in March 2018, when it established the cost, schedule, and performance baselines for its heavy polar icebreaker acquisition program, because of risks in four key areas:", "Design. The Coast Guard set program baselines before conducting a preliminary design review, which puts the program at risk of having an unstable design, thereby increasing the program's cost and schedule risks. While setting baselines without a preliminary design review is consistent with DHS's current acquisition policy, it is inconsistent with acquisition best practices. Based on GAO's prior recommendation, DHS is currently evaluating its policy to better align technical reviews and acquisition decisions.", "Technology. The Coast Guard intends to use proven technologies for the program, but did not conduct a technology readiness assessment to determine the maturity of key technologies prior to setting baselines. Coast Guard officials indicated such an assessment was not necessary because the technologies the program plans to employ have been proven on other icebreaker ships. However, according to best practices, such technologies can still pose risks when applied to a different program or operational environment, as in this case. Without such an assessment, the program's technical risk is underrepresented.", "Cost. The lifecycle cost estimate that informed the program's $9.8 billion cost baseline substantially met GAO's best practices for being comprehensive, well-documented, and accurate, but only partially met best practices for being credible. The cost estimate did not quantify the range of possible costs over the entire life of the program. As a result, the cost estimate was not fully reliable and may underestimate the total funding needed for the program.", "Schedule. The Coast Guard's planned delivery dates were not informed by a realistic assessment of shipbuilding activities, but rather driven by the potential gap in icebreaking capabilities once the Coast Guard's only operating heavy polar icebreaker\u2014the Polar Star \u2014reaches the end of its service life (see figure).", "GAO's analysis of selected lead ships for other shipbuilding programs found the icebreaker program's estimated construction time of 3 years is optimistic. As a result, the Coast Guard is at risk of not delivering the icebreakers when promised and the potential gap in icebreaking capabilities could widen."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations to the Coast Guard, DHS, and the Navy. Among other things, GAO recommends that the program conduct a technology readiness assessment, re-evaluate its cost estimate and develop a schedule according to best practices, and update program baselines following a preliminary design review. DHS concurred with all six of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Coast Guard, a component within the Department of Homeland Security (DHS), is developing the first heavy icebreakers it has bought in over 40 years. Overall, the Coast Guard and the Navy plan to invest up to approximately $9.8 billion in lifecycle costs for the acquisition, operations, and maintenance of three heavy polar icebreakers (HPIB). These ships will enable the Coast Guard to maintain heavy polar icebreaking capability and recapitalize its icebreaking fleet. Congressional committees have expressed concern regarding the Coast Guard\u2019s ability to ensure year-round access to the Arctic and Antarctic with the current fleet, which affects U.S. economic, maritime, and national security interests in these regions. As the only operating HPIB nears the end of its service life, the Coast Guard is planning for delivery of the lead ship by as early as 2023 to avoid a gap in capability, with subsequent ship deliveries anticipated in 2025 and 2026. In 2016, in response to a Congressional report, the Navy and the Coast Guard established an integrated program office (IPO) to leverage the Navy\u2019s shipbuilding expertise for acquiring the icebreakers for Coast Guard operations. In March 2018, the Navy released the solicitation for a contract to design and construct up to three HPIBs. The Navy indicated that it anticipates awarding the contract in the third quarter of fiscal year 2019 with $270 million in Navy funding that Congress has appropriated for the program.", "Section 122 of the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to assess issues related to the procurement of the HPIB vessels. We were asked to review any risks to the HPIB program\u2019s ability to carry out its planned acquisition. This report examines (1) the extent to which the HPIB program has taken steps to develop mature designs and technologies consistent with best practices, (2) the extent to which the HPIB program has taken steps to set realistic cost and schedule estimates, and (3) the status of the HPIB program\u2019s contracting efforts and funding considerations.", "To assess the extent to which the HPIB program has taken steps to develop mature designs and technologies consistent with GAO-identified best practices, we reviewed program performance and design requirements, including the program\u2019s operational requirements documents, specifications, and technical baseline. We also reviewed the program\u2019s alternatives analysis study, tailored systems engineering plan, test and evaluation master plan, model testing results; cooperative agreements with Canada related to the HPIB; excerpts from industry studies; and the March 2018 detail design and construction request for proposals and subsequent amendments. We also reviewed relevant DHS, Coast Guard, and Department of Defense (DOD) acquisition guidance and instructions. From these documents, we determined the program\u2019s design and technology efforts and compared them to GAO\u2019s various best practices, including the knowledge-based approaches to shipbuilding and major acquisitions in general, and approaches to evaluating technology readiness.", "To assess the extent to which the HPIB program has taken steps to set realistic cost and schedule estimates, we determined the extent to which the estimates were consistent with best practices as identified in GAO\u2019s Cost Estimating and Assessment and Schedule Assessment guides. To assess the cost estimate, we reviewed the HPIB\u2019s January 2018 lifecycle cost estimate used to support the program\u2019s initial cost baselines, examined Coast Guard and Navy documentation supporting the estimate, relevant program briefs to Coast Guard leadership, and HPIB program documentation containing cost, schedule, and risk information, among other steps. To assess the program\u2019s schedule, we compared the HPIB schedule documents, including the program\u2019s initial schedule baselines, delivery schedules from the HPIB\u2019s request for proposals for the detail design and construction contract, and integrated master schedule, to selected GAO best practices for project schedules. These best practices include establishing the duration of activities, conducting a schedule risk analysis, and ensuring reasonable total buffer or margin. In addition, we compared the HPIB program schedule to other shipbuilding programs\u2019 schedules, among other steps.", "To determine the status of the HPIB program\u2019s contracting efforts and funding considerations, we reviewed the program\u2019s acquisition plan, March 2018 request for proposals and subsequent amendments, certification of funds memorandum, budget justifications, program lifecycle cost estimate, and the Coast Guard\u2019s fiscal year 2019 Capital Investment Plan. For all objectives, we interviewed knowledgeable DHS, Coast Guard, and Navy officials. Appendix I presents a more detailed description of the scope and methodology of our review.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of the Polar Icebreakers and Icebreaking Capability Gap", "paragraphs": ["The Coast Guard has been responsible for carrying out the nation\u2019s polar icebreaking missions since 1965\u2014when it assumed primary responsibility for the nation\u2019s polar icebreaking fleet. The Coast Guard\u2019s responsibilities are outlined in various statutes, policies, and interagency agreements.", "A 2010 Coast Guard study identified gaps in the Coast Guard\u2019s ability to support and conduct missions in the Arctic and Antarctic. As a result, in June 2013, the Coast Guard established the need for up to three heavy polar icebreakers and three medium icebreakers to adequately meet these Coast Guard mission demands. More recently, in November 2017, Coast Guard officials reiterated that they will be able to fulfill all mission requirements\u2014which include support to agencies with Arctic responsibilities such as DOD, the National Science Foundation (NSF), Department of State, National Oceanic and Atmospheric Administration, and National Aeronautics and Space Administration\u2014with a fleet of three heavy and three medium polar icebreakers. Coast Guard officials told us they are not currently assessing acquisition of the medium polar icebreakers because they are focusing on the HPIB acquisition and plan to assess the costs and benefits of acquiring medium polar icebreakers at a later time.", "The Coast Guard currently has two active polar icebreakers in its fleet\u2014 the Polar Star, a heavy icebreaker, and the Healy, a medium icebreaker. An additional Coast Guard heavy icebreaker, the Polar Sea, has been inactive since 2010 when it experienced a catastrophic engine failure. Commissioned in 1976, the Polar Star is the world\u2019s most powerful active non-nuclear icebreaker. The less powerful Healy primarily supports Arctic research. Although the Healy is capable of carrying out a wide range of activities, it cannot operate independently in the ice conditions in the Antarctic or ensure timely access to some Arctic areas in the winter. See figure 1 for the Coast Guard\u2019s active icebreakers.", "The Coast Guard has faced challenges in meeting the government\u2019s icebreaking needs in recent years. For example, in June 2016, we found that when neither the Polar Sea nor the Polar Star was active in 2011 and 2012, the Coast Guard did not maintain assured, year-round access to both the Arctic and Antarctic, as the Healy cannot reach ice-covered areas with more than 4\u00bd feet of ice. According to a January 2017 Coast Guard assessment, the Coast Guard does not plan to recommission the Polar Sea because it would not be cost-effective."], "subsections": []}, {"section_title": "Polar Star Sustainment Efforts", "paragraphs": ["According to Coast Guard planning documents, the Polar Star\u2019s service life is estimated to end between fiscal years 2020 and 2023. This creates a potential heavy polar icebreaker capability gap of about 3 years, assuming the Polar Star\u2019s service life ends in 2020 and the lead HPIB is delivered by the end of fiscal year 2023 as planned. If the lead ship is delivered later than planned in this scenario, the potential gap could be more than 3 years. As a result, according to a 2017 polar icebreaking bridging strategy, the Coast Guard is planning to recapitalize the Polar Star\u2019s key systems starting in 2020 to extend the service life of the ship until the planned delivery of the second HPIB (see figure 2).", "In September 2017, we found that the Coast Guard\u2019s $75 million cost estimate for the Polar Star life extension project may be unrealistic, in part because it was based on the assumption of continuing to use parts from the decommissioned Polar Sea, as has been done in previous maintenance events. Because of the finite number of parts available from the Polar Sea, the Coast Guard may have to acquire new parts for the Polar Star that could increase the $75 million estimate. As a result, we recommended that the Coast Guard complete a comprehensive cost estimate and follow cost estimating best practices before committing to the life extension project. The Coast Guard concurred with this recommendation.", "As of May 2018, Coast Guard officials told us they were still conducting ship engineering inspections on the Polar Star to determine the details of the work needed for the limited service life extension, which will then inform the development of a cost estimate. In January 2018, the Coast Guard completed its ship structures and machinery evaluation board report. Coast Guard officials told us that this report will help to determine the details of the work needed for the limited life extension. The January 2018 report estimated the remaining service life of the Polar Star as 5 years or less. In April 2018, the Coast Guard approved the Polar Star life extension project to establish requirements and evaluate the feasibility of alternatives that will achieve the requirements. Coast Guard officials stated they completed a notional cost estimate in April 2018 and plan to complete a detailed formal cost estimate by June 2020."], "subsections": []}, {"section_title": "Coast Guard\u2019s and Navy\u2019s Roles in the Heavy Polar Icebreaker Program", "paragraphs": ["The Coast Guard and the Navy established the IPO to collaborate and develop a management approach to acquire three HPIBs. Through the IPO, the Coast Guard planned to leverage the Navy\u2019s shipbuilding expertise and pursue an accelerated acquisition schedule. A Coast Guard program manager heads the IPO, which includes embedded Navy officials who provide acquisition, contracting, engineering, cost- estimating, and executive support to the program. The IPO has responsibility for managing and executing the HPIB\u2019s acquisition schedule, acquisition oversight reviews, budget and communications, and interagency coordination. In addition, the IPO coordinates with several key organizations within the Coast Guard and Navy that contribute to the HPIB program, including:", "Coast Guard Capabilities Directorate: This directorate is responsible for identifying and providing capabilities, competencies, and capacity and developing standards to meet Coast Guard mission requirements. The directorate sponsored the HPIB\u2019s operational requirements document, which provides the key performance parameters the HPIB must meet\u2014such as icebreaking, endurance, and interoperability thresholds and objectives.", "Ship design team: The ship design team includes Coast Guard and Navy technical experts that develop ship specifications based on the HPIB operational requirements document. The ship design team is under the supervision of a Coast Guard ship design manager, who provides all technical oversight for development of the HPIB design, including development of \u201cindicative,\u201d or concept, designs used to inform the ship\u2019s specifications and the program\u2019s lifecycle cost estimate. Generally, the purpose of an indicative design is to determine requirements feasibility, support cost estimating, and provide a starting point for trade studies.", "Naval Sea Systems Command (NAVSEA) Cost Engineering and Industrial Analysis Group (NAVSEA 05C): The group developed the HPIB lifecycle cost estimate, which informs the program\u2019s cost baselines and affordability constraints. NAVSEA 05C developed the HPIB\u2019s lifecycle cost estimate based on the ship design team\u2019s indicative design and the technical assumptions outlined in the program cost estimating baseline document.", "NAVSEA Contracts Directorate (NAVSEA 02): This directorate includes the Navy contracting officer who released the HPIB detail design and construction contract\u2019s solicitation in March 2018 and plans to award the contract under Navy authorities. The contracting officer performs contract management services and provides guidance to the IPO to help ensure the HPIB\u2019s contract adheres to DOD and Navy contracting regulations and guidance.", "Figure 3 shows key organizations that support the HPIB program and their responsibilities prior to the award of the contract.", "Since establishing the IPO, the Coast Guard, DHS, and the Navy formalized agreements on their approach for the HPIB acquisition in three 2017 memorandums of agreements and understanding. These agreements define the Navy\u2019s and Coast Guard\u2019s roles in the HPIB acquisition with respect to funding responsibilities, acquisition oversight functions, and contracting and program management authorities, among other things."], "subsections": []}, {"section_title": "Heavy Polar Icebreaker Program\u2019s Acquisition Framework", "paragraphs": ["DHS, the Coast Guard, and the Navy have agreed to manage and oversee the HPIB program using DHS\u2019s acquisition framework, as Coast Guard is a component within DHS. DHS\u2019s acquisition policy establishes that a major acquisition program\u2019s decision authority shall review the program at a series of predetermined acquisition decision events (ADE) to assess whether the major program is ready to proceed through the acquisition life-cycle phases (see figure 4).", "As we found in April 2018, the Coast Guard and the Navy will adhere to a tailored DHS acquisition framework for the HPIB program that supplements DHS ADE reviews with additional \u201cgate\u201d reviews adopted from the Navy\u2019s acquisition processes. The DHS Under Secretary for Management retains final decision authority for the HPIB\u2019s ADEs as the acquisition decision authority.", "The HPIB program achieved a combined ADE 2A/2B in February 2018, when DHS approved the program\u2019s baselines and permitted the program to enter into the Obtain Phase of the DHS acquisition framework. The corresponding acquisition decision memorandum was signed in March 2018. The Coast Guard and the Navy plan to start detail design work for the HPIB in June 2019, once the detail design and construction contract is awarded. In Navy shipbuilding, detail design work can include outlining the steel structure of the ship; determining the routing of systems, such as electrical and piping, throughout the ship; and developing work instructions for constructing elements of the ship, such as installation drawings and material lists.", "The program\u2019s ADE 2C, or the low-rate initial production decision, corresponds with the approval to start construction of the lead ship, which is planned to begin no later than June 2021. Key steps typically taken in the construction phase of a Navy ship include steel cutting and block fabrication, assembly and outfitting of blocks, keel laying and block erection, launch of the ship from dry dock, system testing and commissioning, sea trials, and delivery and acceptance (see appendix II for more detailed information on each shipbuilding phase). ADE 3, scheduled to be held no later than March 2026, authorizes the program to start follow-on test and evaluation.", "Figure 5 shows the HPIB\u2019s acquisition framework, including ADE milestones and major program decision points, and how they relate to the shipbuilding phases.", "DHS acquisition policy establishes that the acquisition program baseline is the fundamental agreement between programs, component, and department-level officials establishing what will be delivered, how it will perform, when it will be delivered, and what it will cost. Specifically, the program baseline establishes a program\u2019s schedule, costs, and key performance parameters, and covers the entire scope of the program\u2019s lifecycle. The HPIB acquisition program baseline serves as an agreement between the Coast Guard and DHS that the Coast Guard will execute the acquisition within the bounds detailed in the document. The acquisition program baseline establishes objective (target) and threshold (maximum acceptable for cost, latest acceptable for schedule, and minimum acceptable for performance) baselines. Tables 1, 2, and 3 show selected cost, schedule, and performance baselines that DHS approved for the HPIB program at ADE 2A/2B in March 2018.", "After DHS approved the HPIB\u2019s program baselines, the Navy released the solicitation for the program\u2019s detail design and construction contract in March 2018. As revised, the solicitation requires offerors to submit their technical proposals in August 2018 and their price proposals in October 2018. The Navy plans to competitively award the HPIB detail design and construction contract to a single shipyard for all three ships in June 2019. The contract award would include design (advance planning and engineering) and long lead time materials, with separate options for detail design and construction of each of the three ships. The HPIB contract award and administration will follow DOD and Navy contracting regulations and policies, including the Defense Federal Acquisition Regulation Supplement. Although the Navy is planning to award the contract, the source selection authority is from the Coast Guard, with both Coast Guard and Navy personnel serving on the source selection evaluation board."], "subsections": []}, {"section_title": "Starting Programs with Sound Business Cases", "paragraphs": ["Our prior work has found that successful programs start out with solid, executable business cases before setting program baselines and committing resources. For Coast Guard programs, such a business case would be expected at ADE 2A/2B. A sound business case requires balance between the concept selected to satisfy operator needs and the resources\u2014technologies, design knowledge, funding, and time\u2014needed to transform the concept into a product\u2014or in the HPIB\u2019s case, a ship. At the heart of a business case is a knowledge-based approach\u2014we have found that successful shipbuilding programs build on attaining critical levels of knowledge at key points in the shipbuilding process before significant investments are made. We have previously found that key enablers of a good business case include firm, feasible requirements; plans for a stable design; mature technologies; reliable cost estimates; and realistic schedule targets. Without a sound business case, acquisition programs are at risk of breaching the cost, schedule, and performance baselines set when the program was initiated\u2014in other words, experiencing cost growth, schedule delays, and reduced capabilities.", "In November 2016, we found that a particular challenge for Congress is the fact that committees must often consider requests to authorize and fund a new program well ahead of program initiation\u2014the point at which key business case information would be presented. Given the time lag between budget requests and the decision to initiate a new acquisition program, Congress could be making critical funding decisions with limited information about the soundness of the program\u2019s business case. Although the HPIB program has already proceeded through ADE 2A/2B and established acquisition program baselines, information about the soundness of the HPIB\u2019s business case will be helpful for decision makers as the Coast Guard and the Navy request funding in preparation for the detail design and construction contract award in June 2019 and anticipated construction start by the end of June 2021\u2014two points at which significant resource commitments will need to be made."], "subsections": []}]}, {"section_title": "The Coast Guard Did Not Assess Design Maturity or Technology Risks Prior to Setting the Polar Icebreaker Program\u2019s Baselines", "paragraphs": ["The Coast Guard set the HPIB\u2019s acquisition program baselines at ADE 2A/2B without conducting a preliminary design review to assess the design maturity of the ship or a technology readiness assessment to determine the maturity of key technologies. This approach meets DHS acquisition policy requirements but is contrary to our best practices (see figure 6).", "While the Coast Guard is committed to a stable design prior to the start of lead ship construction, it established baselines without clear knowledge of the ship design because it does not plan to assess design maturity until after the planned June 2019 award of the detail design and construction contract. In addition, without a technology readiness assessment, the Coast Guard does not have full insight into whether the technologies are mature, potentially underrepresenting technical risk and increasing design risk. As a result, the Coast Guard will be committing resources to the HPIB program without key elements of a sound business case, increasing the risk that the program will exceed its planned costs and schedule."], "subsections": [{"section_title": "Polar Icebreaker Program Took Steps to Identify Design Risks but Did Not Assess Design Maturity Prior to Setting Baselines", "paragraphs": [], "subsections": [{"section_title": "Early Efforts to Identify Design Risks", "paragraphs": ["To help inform the HPIB\u2019s key performance parameters, specifications, and design considerations prior to setting the acquisition program baselines, the Coast Guard conducted design studies and partnered with Canada (with which the United States has an existing cooperative agreement) to gain knowledge on the HPIB\u2019s design risks. For example:", "Starting in November 2016, the HPIB ship design team developed an indicative (or concept) design, which has undergone several revisions as more information became available, completing a fifth iteration in September 2017. To inform the HPIB indicative design, the ship design team told us they used design elements with validated characteristics, such as the hull form, from existing Coast Guard icebreakers, including the Polar Star, Polar Sea, Healy, and the Mackinaw (a Great Lakes icebreaker). Collectively, these icebreakers informed elements of the indicative design such as the size and producibility of the ship. The indicative design represents an icebreaker design that meets the threshold key performance parameter of breaking 6 feet of ice at a continuous speed of 3 knots rather than the objective parameter of 8 feet of ice at a continuous speed of 3 knots. Coast Guard officials stated that based on preliminary analysis, a design that meets the HPIB\u2019s objective key performance parameters would be an entirely separate design and would be too costly to construct. Coast Guard officials told us that in addition to price, the shipbuilders\u2019 HPIB proposals will be evaluated on design factors, including how much the potential design exceeds the threshold icebreaking performance parameters.", "In February 2017, the Coast Guard contracted with five shipbuilders, who teamed with icebreaker design firms, to conduct a series of iterative design studies. These studies examined major design cost drivers and technology risks for the HPIB program. Coast Guard officials stated the results of these studies helped inform and refine the ship\u2019s specifications and provided them with a better understanding of the technology risks and schedule challenges. As of February 2018, each contract was valued at about $5.6 million. Under these contracts, each shipbuilder completed five detailed industry study iterations. For example, the shipbuilders analyzed various hull forms, propulsion systems, cold weather operations, space arrangements, and icebreaking enhancements.", "In April 2017, the Coast Guard completed an alternatives analysis study\u2014an independent study required prior to ADE 2A that identifies the most efficient method of addressing an identified capability gap. The study examined various options, including whether existing foreign icebreakers could meet the Coast Guard\u2019s HPIB performance requirements. The Coast Guard analyzed 18 domestic and foreign icebreaker designs against the HPIB\u2019s key performance parameters and other requirements, such as seakeeping and habitability. The icebreaker designs included a variety of icebreakers in terms of propulsion power and size, such as nuclear-powered Russian icebreakers and polar research and supply vessels from Australia, Finland, and Germany.", "The alternatives analysis found that only a Russian nuclear-powered icebreaker and a design for a Canadian diesel-electric-powered icebreaker, which has yet to be constructed, passed initial screening for design maturity and performance requirements. Given a previous independent study analyzing the cost-effectiveness of nuclear- powered icebreakers, the Coast Guard deemed a nuclear-powered icebreaker design as infeasible. The alternatives analysis also noted that the Canadian design met icebreaking requirements. However, Coast Guard officials told us the Canadian design did not meet requirements such as habitability and military-oriented multi-mission tasks, but the design could potentially be modified to meet those needs. In addition, IPO officials stated the Canadian design was designed for science missions rather than military missions. The Canadian design was considered among some of the shipbuilders as a starting point in examining HPIB design risks.", "From May to August 2017, the Coast Guard tested two scale models of icebreakers at the Canadian National Research Council\u2019s ice tank facility in Newfoundland. Coast Guard officials told us the testing helped to mitigate potential design risks with the hull form and propulsors\u2014a mechanical device that generates thrust to provide propulsion for the ship. The Coast Guard tested the resistance, powering, and maneuvering of the model icebreakers\u2019 hull form and propulsion to inform their indicative design and discovered that the ship\u2019s maneuverability was a challenge during model testing. However, through model testing, the Coast Guard was able to validate general characteristics of its indicative design, including power needs and the hull form. In addition to model testing, Canadian Coast Guard officials told us that the U.S. Coast Guard has engaged with them in formal and informal exchanges regarding icebreaker acquisitions more generally.", "As a result of its indicative design, industry studies, and model testing efforts, the Coast Guard identified the integrated power plant, propulsors, and hull form as key design considerations for the HPIB. Because these design elements work together to ensure the HPIB can meet its icebreaking requirements, we determined that these are the HPIB\u2019s main design risks (see figure 7).", "Although the Coast Guard undertook early efforts to identify design risks, it did not conduct a preliminary design review for the HPIB program prior to setting program acquisition baselines at ADE 2A/2B. These baselines inform DHS\u2019s and Coast Guard\u2019s decisions to commit resources. Our best practices for knowledge-based acquisitions state that before program baselines are set, programs should hold key systems engineering events, such as a preliminary design review, to help ensure that requirements are defined and feasible and that the proposed design can be met within cost, schedule, and other system constraints. Similarly, in November 2016, we found that establishing a preliminary design through early detailed systems engineering results in better program outcomes than doing so after program start. During the HPIB\u2019s preliminary design review, the Coast Guard plans to verify that the contractor\u2019s design meets the requirement of the ship specifications and is producible, and the schedule is achievable, among other activities.", "The Coast Guard has yet to conduct a preliminary design review for the HPIB program because DHS\u2019s current acquisition policy does not require programs to do so until after ADE 2A/2B. The Coast Guard plans to hold the preliminary design review by December 2019, after the award of the detail design and construction contract. Holding a preliminary design review after ADE 2A/2B is consistent with DHS policy. However, in April 2017, we found that DHS\u2019s sequencing of the preliminary design review is not consistent with our acquisition best practices, which state that programs should pursue a knowledge-based acquisition approach that ensures program needs are matched with available resources\u2014such as technical and engineering knowledge, time, and funding\u2014prior to setting baselines. In that report, we found that by initiating programs without a well-developed understanding of system needs through key engineering reviews such as the preliminary design review, DHS increases the likelihood that programs will change their user-defined key performance parameters, costs, or schedules after establishing their baselines. As a result, we recommended that DHS update its acquisition policy to require key technical reviews, including the preliminary design review, to be conducted prior to approving programs\u2019 baselines. DHS concurred with this recommendation and stated that it planned to initiate a study to assess how to better align its processes for technical reviews and acquisition decisions. Upon completion of the study, DHS plans to update its acquisition policies, as appropriate.", "Instead of establishing the HPIB program\u2019s acquisition program baselines after assessing the shipbuilder\u2019s preliminary design, the Coast Guard established cost baselines based on a cost estimate that used the ship design team\u2019s indicative design. Coast Guard officials told us that the selected shipbuilder will develop its own HPIB design as part of the detail design and construction contract, independent of the indicative design. The ship design team noted that the indicative design informed the ship\u2019s specifications but is not meant to be an optimized design, does not represent a design solution, and will not be provided to the shipbuilders. Coast Guard officials stated that the shipbuilders that respond to the request for proposals will propose their own designs based on their production capabilities, which will drive where they will place components, such as bulkheads, within the design. As a result, the shipbuilder\u2019s design will be different from the indicative design.", "By setting the HPIB\u2019s acquisition program baselines prior to gaining knowledge on the shipbuilder\u2019s design, the Coast Guard has established cost, schedule, and performance baselines without a stable or mature design. Although completing the preliminary design review after setting program baselines is consistent with DHS policy, this puts the Coast Guard at risk of breaching its established baselines and having to revise them later in the acquisition process, after a contract has been signed and significant resources have already been committed to the program. At that point, the program will be well underway and it will be too late for decision makers to make appropriate tradeoff decisions between requirements and resources without causing disruptions to the program.", "Consistent with DHS acquisition policy, DHS and the Coast Guard must monitor the HPIB program against the acquisition program baselines set at ADE 2A/2B; however, DHS acquisition policy does not require an official update to the baseline unless the program breaches its baselines or until the next major milestone, whichever occurs first. For the HPIB, the next milestone is ADE 2C, which is currently planned for no later than June 2021. ADE 2C corresponds to the approval of low-rate initial production and in the case of the HPIB, the start of construction for the lead ship. Evaluating the HPIB\u2019s baselines at ADE 2C\u2014immediately before the shipbuilder is authorized to start construction\u2014is too late because the funding required for the construction phase likely would have already been requested and provided. On the other hand, evaluating the acquisition program baselines after the preliminary design review but before ADE 2C would help to ensure that the knowledge gained during the preliminary design review is used to inform the program baselines and business case for investing in the HPIBs before significant resource commitments are made.", "Although the Coast Guard set the acquisition program baselines prior to gaining knowledge on the feasibility of the selected shipbuilder\u2019s design, it has expressed a commitment to having a stable design prior to the start of lead ship construction. In Navy shipbuilding, detail design typically encompasses three design phases:", "Basic design. Includes fixing the ship steel structure; routing all major distributive systems, including electricity, water, and other utilities; and ensuring the ship will meet the performance specifications.", "Functional design. Includes providing further iteration of the basic design, providing information on the exact position of piping and other outfitting in each block, and completing a 3D product model.", "Production design. Generating work instructions that show detailed system information and including guidance for subcontractors and suppliers, installation drawings, schedules, material lists, and lists of prefabricated materials and parts.", "Shipbuilding best practices we identified in 2009 found that design stability is achieved upon completion of the basic and functional designs. At this point of design stability, the shipbuilder has a clear understanding of the ship structure as well as how every system is set up and routed throughout the ship. Consistent with our best practices, prior to the start of construction on the lead ship, the Coast Guard will require the shipbuilder to complete basic and functional designs, develop a 3D model output, and provide at least 6 months of production information to support the start of construction. IPO officials have stated that they are committed to ensuring that the HPIB\u2019s design is stable before construction of the lead ship begins, given the challenges prior Navy shipbuilding programs have experienced when construction proceeded before designs were completed."], "subsections": []}]}, {"section_title": "Coast Guard Intends to Use Proven Technologies for the Polar Icebreaker Program but Has Not Assessed Their Maturity", "paragraphs": ["The Coast Guard intends on using what it refers to as proven technologies for the HPIB but has not conducted a technology readiness assessment to determine maturity of key technologies that drive performance of the ship prior to ADE 2A/2B, which is inconsistent with our best practices. A technology readiness assessment is a systematic, evidence-based process that evaluates the maturity of critical technologies\u2014hardware and software technologies critical to the fulfillment of the key objectives of an acquisition program. This assessment does not eliminate technology risk but, when done well, can illuminate concerns and serve as a basis for realistic discussions on how to mitigate potential risks. According to our best practices, a technology readiness assessment should be conducted prior to program initiation. DHS systems engineering guidance also recommends conducting a technology readiness assessment before ADE 2A to help ensure that the program\u2019s technologies are sufficiently mature by the start of the program.", "The Coast Guard intends on using what it has deemed \u201cstate-of-the- market\u201d or \u201cproven\u201d technologies for the HPIB. DHS\u2019s technical assessment of the HPIB noted that the February 2017 design studies resulted in industry producing designs that used commercially available, state-of-the-market, and proven technologies. From the studies and industry engagement, Coast Guard officials determined that the technologies required for the HPIB, such as the integrated power plant and azimuthing propulsors\u2014thrusters that rotate up to 360 degrees and provide propulsion to the ship\u2014are available commercially and do not need to be developed. Coast Guard officials further stated that the integrated power plant is the standard power plant used on domestic and foreign icebreakers. Coast Guard officials told us that similarly, market survey data on azimuthing propulsors shows that ice-qualified azimuthing propulsors in the power range have been used on foreign icebreakers. The Coast Guard has also communicated to industry through the request for proposals that the HPIB should have only proven technology and plans to have the shipbuilders provide information on the maturity of the technologies when they submit their proposals. As a result, Coast Guard officials stated the HPIB program does not have any critical technologies, as defined by DHS systems engineering guidance, and does not need to conduct a technology readiness assessment.", "However, according to DHS systems engineering guidance, a technology element is considered critical if the system being acquired depends on this technology to meet operational requirements, and if the technology or its application is new, novel, or in an area that poses major technological risk during detailed design or demonstration. The guidance further states that technologies can become critical if they need to be modified from prior successful use or expected to operate in an environment beyond their original demonstrated capability. Similarly, according to our best practices for assessing technology readiness, critical technologies are not just technologies that are new or novel. Technologies used on prior systems can also become critical if they are being used in a different form, fit, or function.", "Our technology readiness assessment guide notes that program officials sometimes disregard critical technologies when they have longstanding history, knowledge, or familiarity with them. The best practices guide cites examples of organizations not considering a technology critical if it has been determined to be mature, has already been fielded, or does not currently pose a risk to the program. Additionally, our guide notes that contractors may be overly optimistic about the maturity of critical technologies, especially prior to contract awards. According to our best practices guide, presuming a previously used technology as mature is problematic when the technologies are being reapplied to a different program or operational environment.", "As a result, based on our analysis of available Coast Guard information, we believe the HPIB\u2019s planned integrated power plant and azimuthing propulsors should be considered critical technologies given their criticality in meeting key performance parameters, their use in a different environment from prior ships, and the extent to which they pose major cost risks (see table 4).", "Without conducting a technology readiness assessment, the Coast Guard does not have insight into how mature these critical technologies are. According to our best practices, evaluating critical technologies requires disciplined and repeatable steps and criteria to perform the assessment and make credible judgments about their maturity. The evaluation of each critical technology must be based on evidence such as data and test results. In addition, the team that assesses the technologies must be objective and ideally independent. Instead, the Coast Guard has relied on industry to provide information on the maturity of the HPIB\u2019s technologies and uses terms such as \u201cstate-of-the-market\u201d or \u201cproven,\u201d which do not translate into meaningful measures for systematically communicating the technology readiness, especially when discussing new applications of existing technologies.", "Additionally, even if the Coast Guard determines the maturity levels of the HPIB\u2019s technologies through an objective and independent technology readiness assessment, the program\u2019s planned level of maturity for the ship\u2019s technologies falls short of our best practices. According to the HPIB\u2019s systems engineering tailoring plan and request for proposals, the program intends on implementing only proven technologies that have been demonstrated in a relevant environment, commensurate with a technology readiness level (TRL) of 6. However, our best practices do not consider a technology to be mature until it has been demonstrated in an operational environment, commensurate with a TRL 7. Specifically, our best practices for shipbuilding recommend that programs should require critical technologies to be matured into actual prototypes and successfully demonstrated in an operational or a realistic environment (TRL 7) before a contract is awarded for the detail design of a new ship. DHS\u2019s systems engineering guidance also states that critical technologies below TRL 7 should be identified as technical risks.", "By not conducting a technology readiness assessment and identifying, assessing, and maturing its critical technologies prior to setting the HPIB\u2019s program baselines and prior to awarding the detail design contract, the Coast Guard is underrepresenting the program\u2019s technical risks and understating its cost, schedule, and performance risks. Technology risks that manifest later could require the shipbuilder to redesign parts of the ship, which increases the risk of rework and schedule delays during the construction phase."], "subsections": []}]}, {"section_title": "The Coast Guard Based the Polar Icebreaker Program\u2019s Baselines on a Cost Estimate That Is Not Fully Reliable and an Optimistic Schedule", "paragraphs": ["The cost estimate and schedule that informed DHS\u2019s decision to authorize the HPIB program do not reflect the full scope of the program\u2019s risks. We found that while the Navy substantially adhered to a number of best practices when it developed the HPIB\u2019s cost estimate, the estimate is not fully reliable, primarily because it does not reflect the full range of possible costs over the HPIB\u2019s 30-year lifecycle. We also found the HPIB schedule was not informed by a realistic assessment of the work necessary to construct the ship. Rather, the schedule was driven by the potential gap in icebreaking capabilities once the Coast Guard\u2019s only operating HPIB reaches the end of its service life. Reliable cost estimates and schedules are key elements of an executable business case, and are needed at the outset of programs\u2014when competitive pressures to obtain funding for the program are high\u2014to provide decision makers with insight into how risks affect a program\u2019s ability to deliver within its cost and schedule goals."], "subsections": [{"section_title": "Polar Icebreaker Program\u2019s Cost Estimate Substantially Met Best Practices but Is Not Fully Reliable Because It Does Not Include Full Range of Possible Costs", "paragraphs": ["We found that the lifecycle cost estimate used to inform the HPIB program\u2019s baselines substantially adheres to most cost estimating best practices; however, the estimate is not fully reliable. The cost estimate only partially met best practices for being credible primarily because it did not quantify the range of possible costs over the entire life of the program. We assessed the program\u2019s lifecycle cost estimate, which was performed by NAVSEA 05C, against our best practices for cost estimating. For our reporting purposes, we collapsed 18 of our applicable best practices into the four general characteristics of a reliable cost estimate: comprehensive, well-documented, accurate, and credible. Figure 8 provides a summary of our assessment of the HPIB\u2019s lifecycle cost estimate.", "Comprehensive. We found the HPIB cost estimate substantially met the best practices for being comprehensive. For example, the estimate includes government and contractor costs over the full lifecycle of all three ships and contains sufficient levels of detail in the program\u2019s work breakdown structure\u2014a hierarchical breakdown of the program into specific efforts, including system engineering and ship construction. The estimate also documents detailed ground rules and assumptions, such as the learning curve used to capture expected labor efficiencies for follow- on ships. However, we found that the costs for disposal of the three ships were not at a level of detail to ensure that all costs were considered and not all assumptions, particularly regarding operating and support costs, were varied to reflect the impact on cost should these assumptions change.", "Well-Documented. We also found the cost estimate substantially met the best practices for being well-documented. Specifically, the cost estimate\u2019s documentation mostly captured the source data used as well as the primary methods, calculations, results, rationales, and assumptions used to generate each cost element. However, the documentation alone did not provide enough information for someone unfamiliar with the cost estimate to replicate what was done and arrive at the same results. For example, NAVSEA officials discussed and showed us how historical data from the analogous ships were used to create the estimate, but these specific sources were not found in the cost estimate documentation.", "Accurate. We found the estimate substantially met best practices for being accurate. In particular, the estimate was properly adjusted for inflation, and we did not find any mathematical errors in the estimate calculations we inspected. Officials stated that labor and material cost data from recent, analogous programs were used in the estimate. While the documentation does not discuss the reliability, age, or relevance of the cost data, NAVSEA officials provided us with additional information regarding those data characteristics. Additionally, officials provided documentation that demonstrated that they had updated the cost estimate several times in the last 2 years.", "Credible. We found the HPIB cost estimate partially met the best practices associated with being credible. A credible cost estimate should analyze the sensitivity of the program\u2019s expected cost to changes among key cost-driving assumptions and risks. It should also quantify the cost impact of risks related to assumptions changing and variability in the underlying data used to create the cost estimate. Credible cost estimates should also be cross-checked internally and reconciled with an independent cost estimate that is performed by an outside group. These two best practices ensure that the estimate has been checked for any potential bias. Our review of the HPIB cost estimate determined it partially met the best practices for being credible due to the following:", "Exclusions of major costs from sensitivity analysis and risk and uncertainty analysis. The cost estimators conducted sensitivity analysis as well as risk and uncertainty analysis on only a small portion of the total lifecycle costs. For both the sensitivity analysis and risk and uncertainty analysis, we found that NAVSEA only modeled cost variation in the detail design and construction portion of the program and excluded from its analyses any risk impacts related to the remainder of the acquisition, operating and support, and disposal phases, which altogether comprise about 75 percent of the lifecycle cost. The cost estimate documents that the limited number of active icebreakers and available data prevented NAVSEA from identifying accurate risk bounds for the operating and support and disposal phases. Further, NAVSEA officials told us because they used historical data, including average maintenance costs from the Healy, they felt that their estimate was reasonable. However, similar to how NAVSEA consulted with the ship design team to establish high and low-end costs using analogous ships, NAVSEA could have used cost ranges in the historical data to develop risk bounds for the remaining costs in the acquisition, operations and support, and disposal phases. Without performing a sensitivity analysis on the entire life cycle cost of the three ships, it is not possible for NAVSEA to identify key elements affecting the overall cost estimate. Further, without performing a risk and uncertainty analysis on the entire life cycle cost of the three ships, it is not possible for NAVSEA to determine a level of confidence associated with the overall cost estimate. By not quantifying important risks, NAVSEA may have underestimated the range of possible costs for about three-quarters of the entire program.", "Lack of applied correlation in the risk and uncertainty analysis. In its independent assessment of the HPIB cost estimate, the DHS Cost Analysis Division similarly found that the results of the risk and uncertainty analysis may understate the range of possible cost outcomes for the HPIB. The DHS assessment noted that NAVSEA did not use applied correlation\u2014which links costs for related items so that they rise and fall together during the analysis\u2014in its cost model. According to a joint agency handbook on cost risk and uncertainty, applied correlation helps to ensure that cost estimates do not understate the possible variation in total program costs. Omitting applied correlation when assessing a cost estimate for risk can cause an understated range of possible program costs and create a false sense of confidence in the cost estimate. For example, absent applied correlation, the DHS assessment noted that the Navy calculated with a 99-percent level of confidence that the program will not exceed its threshold (maximum acceptable) acquisition cost. Navy officials explained that they will incorporate applied correlation in future updates to the cost estimate when better data are available. However, by applying correlation factors from the joint agency handbook to the same data that NAVSEA used, DHS\u2019s Cost Analysis Division determined that NAVSEA overstated the likelihood of the program not exceeding its threshold acquisition cost.", "Cost estimate not fully reconciled with a comparable independent cost estimate. While the Naval Center for Cost Analysis performed an independent cost estimate of the HPIB program, the office used a different methodology from NAVSEA\u2019s, and its estimate was based on an earlier version of the indicative ship design and associated technical baseline. NAVSEA officials told us that before the Coast Guard\u2019s ship design team updated the indicative ship design and technical baseline, NAVSEA met twice with Naval Center for Cost Analysis to reconcile their results. However, NAVSEA officials told us that due to the speed at which the program was progressing, no reconciliation occurred after the ship design team finalized the indicative ship design. While we did not find any specific ground rules and assumptions that differed between the two estimates, some ship characteristics had changed, such as the weight estimates for propulsion and auxiliary systems, among others. The use of two different technical baselines creates differences in the two estimates and makes them less comparable to one another.", "For additional details on our assessment of the HPIB\u2019s cost estimate against our 18 cost estimating best practices, see appendix III.", "By excluding the majority of the HPIB program\u2019s lifecycle costs from the sensitivity analysis as well as the risk and uncertainty analysis, and reconciling the estimate with an independent cost estimate based on a different iteration of the ship design, the cost estimate does not provide a fully credible range of costs the program may incur. Moreover, the exclusion of applied correlation further provides a false sense of confidence that the program will not exceed its threshold cost. As a result, the estimate provides an overly optimistic assessment of the program\u2019s vulnerability to cost growth should risks be realized or current assumptions change. This, in turn, may underestimate the lifecycle cost of the program and calls into question the cost baselines DHS approved and used to inform the HPIB\u2019s budget request. Without a reliable cost estimate to inform the business case for the HPIB prior to award of the contract option for lead ship construction, Congress is at risk of committing to a course of action without a complete understanding of the program\u2019s longer-term potential for cost growth."], "subsections": []}, {"section_title": "Polar Icebreaker Program\u2019s Optimistic Schedule Is Driven by Capability Gap and Does Not Reflect Robust Analysis", "paragraphs": ["The Coast Guard set an optimistic schedule baseline for the HPIB based on operational need, but its approach does not reflect a robust analysis of what is realistic and feasible. According to DHS and Coast Guard acquisition guidance, the goal of ADE 2A/2B is, among other things, to ensure that the program\u2019s schedule baseline is executable at an acceptable cost. Rather than building a schedule based on knowledge\u2014including determining realistic schedule targets, analyzing how much time to include in the schedule to buffer against potential delays, and comprehensively assessing schedule risks\u2014the Coast Guard used the estimated end date of the Polar Star\u2019s service life as the primary driver to set the lead ship\u2019s objective (or target) delivery date of September 2023 and threshold (latest acceptable) delivery date of March 2024."], "subsections": [{"section_title": "Analysis Conducted to Determine Lead Ship Construction Schedule Not Robust", "paragraphs": ["The Coast Guard and the Navy did not conduct a robust analysis to determine how realistic the 2.5- to 3-year construction cycle time is for the lead HPIB before setting the schedule baseline. Our best practices for developing project schedules state that, rather than meeting a particular completion date, estimating how long an activity takes should be based on the effort required to complete the activity and the resources available. Doing so ensures that activity durations and completion dates are realistic and supported by logic.", "The Coast Guard and the Navy validated the reasonableness of the 2.5- to 3-year construction time by comparing this duration to historical Navy ship construction data. Program officials told us that they used 211 Navy ships in their analysis and determined that the HPIB\u2019s construction schedule was within historical norms given its weight. However, program officials told us they included both lead and follow-on ships in their analysis. As we have found in our prior Navy shipbuilding work, schedule delays tend to be amplified for lead ships in a class. Therefore, we believe the program\u2019s analysis for the lead ship was overly optimistic.", "The Coast Guard also sought industry feedback to determine whether 2.5 to 3 years to build the lead HPIB was feasible. Design study information provided to the Coast Guard by several shipbuilders estimated that they would need between 2.5 to 3.5 years to build the lead ship. We determined that the Coast Guard used the more optimistic estimate of 2.5 years for the objective delivery date and 3 years for the threshold delivery date. Three years was also the time frame reflected in the request for proposals for the detail design and construction contract. The request for proposals lists December 2023 as the target delivery date for the lead ship, which is approximately 3 years from the objective construction start date.", "Further, we compared the HPIB\u2019s planned construction schedule to the construction schedules of delivered lead ships for major Coast Guard and Navy shipbuilding programs active in the last 10 years as well as the Healy. We found that the HPIB\u2019s lead ship construction cycle time of 2.5 to 3 years is optimistic, as only three of the ten ships in our analysis were constructed in 3 years or less. For the purposes of our analysis, we included information on each ship\u2019s weight and classification, both of which can affect complexity and, therefore, construction times (see figure 9).", "The Coast Guard also did not conduct any analysis to identify a reasonable amount of margin to include in the program schedule baseline to account for any delays. Estimating and documenting schedule margin based on an analysis of schedule risks helps to ensure that a program\u2019s baseline schedule is achievable despite delays that may unexpectedly arise. Program officials told us that the only margin included in the HPIB schedule is the 6 months between the objective and threshold dates\u2014the maximum time between objective and threshold dates before DHS policy requires additional rationale and justification. According to the request for proposals, the winning shipbuilder will examine schedule risks while preparing an integrated schedule. In addition, Coast Guard officials told us that the current schedule will remain largely notional until the winning shipbuilder provides detailed updates to the schedule.", "Delays in project schedules, whether they are in the program\u2019s control or not, should be expected. For example, in prior shipbuilding programs we have reviewed, we have found that delays have resulted from a number of issues, including redesign work to address issues discovered during pre-delivery testing, key system integration problems, and design quality issues. Delays outside of the program\u2019s control such as funding instability, late material delivery, and bid protests have previously affected a program\u2019s ability to meet schedule. Program officials told us these and other schedule risks are not accounted for in the HPIB schedule.", "Further, our analysis of 12 selected shipbuilding acquisition programs active in the last 10 years shows that the Navy and the Coast Guard have delayed delivery of all but one lead ship from their original planned delivery dates by more than 6 months, with delays occurring both before and after the start of construction. The delays in lead ship deliveries ranged from 9 months to 75 months. For the purposes of our analysis, we included the lead ships of major Coast Guard and Navy shipbuilding programs that have been active from 2008 to 2018. We excluded the Navy submarines and aircraft carriers from our analysis because we determined that their size and complexity did not make them reasonable comparisons to the HPIB (see figure 10).", "By supporting the lead ship construction time with overly optimistic analysis and by not conducting analysis to estimate a reasonable amount of margin, the Coast Guard\u2019s HPIB schedule does not fully account for likely or unforeseen delays, which would help ensure that the planned delivery date for the lead ship is feasible."], "subsections": []}, {"section_title": "Schedule Risks after Construction Start Not Identified", "paragraphs": ["The Coast Guard has set the HPIB\u2019s schedule baselines, including when all three ships are planned to achieve full operational capability, but has not yet identified risks for the program\u2019s schedule that could occur after the start of lead ship construction, such as risks related to the construction schedule or concurrency between ship testing and construction of subsequent ships. According to the HPIB risk management plan, the program should formally track risks, which includes developing risk mitigation plans and reporting risks to DHS. Prior to setting its baselines, the Coast Guard formally tracked some schedule risks that affect the program\u2019s ability to start construction on time, such as an aggressive schedule for releasing the request for proposals for the detail design and construction contract. IPO officials told us they retired that risk because the Navy released the request for proposals in March 2018. However, our analysis of the HPIB construction schedule and 6- month margin for delays found the program\u2019s schedule was optimistic, thereby warranting additional risk tracking and management.", "The DHS Office of Systems Engineering also identified and recommended the Coast Guard track and take steps to mitigate HPIB\u2019s schedule risks, including those related to concurrency. In its technical assessment, this office noted that the program plans to deliver the first two ships prior to completing initial operational testing and evaluation for the lead ship. The assessment further noted that construction on the third ship is planned to be nearly three-quarters finished prior to completing initial operational testing and evaluation. DHS\u2019s Office of Systems Engineering found that this concurrency creates cost, schedule, and technical risk resulting from rework that may be necessary to address deficiencies found during initial testing. By not comprehensively and formally tracking risks to the HPIB schedule that occur after the start of lead ship construction, the program may not sufficiently identify and take timely risk management actions to address this key phase in the acquisition.", "By not conducting a robust analysis to inform whether the HPIB\u2019s schedule baselines are feasible, the Coast Guard is not providing Congress with realistic dates of when the ships may be delivered before requesting funding for the construction of the lead ship. While the Coast Guard is planning a service life extension of the Polar Star starting in 2020, as noted above, the HPIB\u2019s optimistic schedule may put the Polar Star at risk of needing to operate longer than planned. The HPIB schedule\u2019s optimism also puts the Coast Guard at risk of not fully implementing a knowledge-based acquisition approach to meet its aggressive schedule goals. Our prior work on shipbuilding programs has shown that establishing optimistic program schedules based on insufficient knowledge can create pressure for programs to make sacrifices elsewhere. For example, we found that the Navy moved forward with construction with incomplete designs and when key equipment was not available when needed. Additionally, some Navy programs pushed technology development into the design phase or pushed design into the construction phase. These concurrencies often result in costly rework to accommodate changes to the design, further delays, or lower than promised levels of capability."], "subsections": []}]}]}, {"section_title": "Polar Icebreaker Program\u2019s Anticipated Contract May Be Funded by Both the Coast Guard and the Navy, but They Have Not Fully Documented Responsibility for Addressing Cost Growth", "paragraphs": ["According to the IPO, the HPIB\u2019s anticipated detail design and construction contract may be funded by both Coast Guard and Navy appropriations, but how certain types of cost growth will be addressed between the Coast Guard and the Navy has not been fully documented. The HPIB\u2019s acquisition strategy anticipates award of a contract that will have options, includes efforts aimed at mitigating cost risks, and acknowledges the use of foreign suppliers to provide components and design services as allowable under statute and regulation. Since 2013, the program has received $360 million in funding, which includes both Coast Guard and Navy appropriations. Moving forward, it is unclear how much Coast Guard and Navy funding will be used to fund the contract. The Coast Guard and the Navy have an agreement in place for funding issues, but the agreement does not fully address how they plan to address cost growth on the program."], "subsections": [{"section_title": "Acquisition Strategy Anticipates Use of Contract Options, Ways to Mitigate Cost Risks, and Foreign Suppliers", "paragraphs": ["As part of the HPIB\u2019s acquisition strategy, the Navy structured the detail design and construction of each of the ships as contract options in the March 2018 request for proposals. Specifically, the request for proposals structured the detail design and construction work into four distinct contract line items, all under a fixed-price incentive (firm-target) contract type. Generally, this contract type allows the government and shipbuilder to share cost savings and risk through a specified profit adjustment formula, also known as a share ratio; ties the shipbuilder\u2019s ability to earn a profit to performance by decreasing the shipbuilder\u2019s profit after costs reach the agreed upon target cost; and, subject to other contract terms, fixes the government\u2019s maximum obligation to pay at a ceiling price. Table 5 provides information on the HPIB\u2019s request for proposals as of May 2018.", "According to the request for proposals, in addition to potentially earning profit by controlling costs, the shipbuilder may also earn up to $34 million in incentives for achieving other programs goals, such as quality early delivery, reducing operations and sustainment costs, and production readiness. IPO officials stated that they based the incentives on prior Navy shipbuilding contract examples. However, in March 2017, we found that the Navy had not assessed the effectiveness of added incentives for the reviewed fixed-price incentive contracts in terms of improved contract outcomes across the applicable shipbuilding portfolio. As a result, we recommended that DOD direct the Navy to conduct a portfolio-wide assessment of the Navy\u2019s use of additional incentives on fixed-price incentive contracts across its shipbuilding programs. DOD concurred with this recommendation, but the Navy has not yet taken steps to implement it.", "As part of the HPIB acquisition strategy, the IPO is striving to control costs on the detail design and construction contract through the following:", "A fixed-price incentive (firm-target) contract type. Because the shipbuilder\u2019s profit is linked to performance, fixed-price incentive contracts provide an incentive for the shipbuilder to control cost. Most of the Navy\u2019s proposed share ratios and ceiling prices for the detail design and construction work are consistent with DOD\u2019s November 2010 Better Buying Power memo, which states a 50/50 share ratio and 120 percent ceiling price should be the norm, or starting point, for fixed-price incentive contracts.", "Full and open competition. The Navy plans to competitively award the HPIB\u2019s detail design and construction contract. From market research and industry engagement, the IPO determined that there were multiple viable competitors. In March 2017, we found that competition helped to strengthen the Navy\u2019s negotiating position with shipbuilders when setting contract terms, such as the share line and ceiling price for fixed-price incentive type contracts.", "Providing offerors the government\u2019s estimated ship costs. The request for proposals does not set affordability caps but does include information on the government\u2019s estimated cost for the ships, including $746 million for the lead ship\u2019s advance planning, engineering, detail design, and construction, and an average ship price of $615 million across all three ships. Navy contracting officials explained that offers will not be disqualified from the source selection solely for being higher than the estimated costs. Instead, the estimated costs provide the offerors with cost bounds to help appropriately scope the capabilities. For example, IPO officials stated that they are striving to appropriately size the integrated power plant so that it is generating sufficient power to meet key performance parameters but not so much power that it drives up the cost.", "Inquiries on block buys and economic order of quantity purchases. The Navy gave offerors an opportunity to provide the estimated savings that the government could achieve if it were to take a \u201cblock buy\u201d approach in purchasing the ships or purchasing supplies in economic order quantities. The Navy did not include a definition of \u201cblock buy\u201d in the HPIB request for proposals synopsis. Based on our prior work, block buy contracting generally refers to special legislative authority that agencies seek on an acquisition-by-acquisition basis to purchase more than one year\u2019s worth of requirements. The request for proposals synopsis stated a preference for submission of the estimated savings within 60 days of the release of the request for proposals, or by May 2018. As of June 2018, the Navy had not received any formal responses from industry on potential savings from block buys or economic order quantities. For the HPIB request for proposals, the Navy stated that any information on block buys or economic order of quantities would be optional and would not be used as part of the evaluation of proposals submitted by offerors.", "Our prior work on block buy contracting approaches for the Littoral Combat Ship and F-35 Joint Strike Fighter programs found that the terms and conditions of the contracts affect the extent to which the government achieves savings under a block buy approach. For example, the Littoral Combat Ship\u2019s block buy contracts indicated that a failure to fully fund the purchase of a ship in a given year would make the contract subject to renegotiation. DOD has pointed to this as a risk that the contractors would demand higher prices if DOD deviated from the agreed to block buy plan.", "In its HPIB acquisition strategy, the IPO has also considered the use of foreign suppliers as allowable under the law. According to the February 2018 HPIB acquisition plan, the HPIB must be constructed in a U.S. shipyard given statutory restrictions, including restrictions on construction of Coast Guard vessels and major components in foreign shipyards unless authorized by the President. However, foreign suppliers will be permitted to provide components and design services to the extent applicable statutes and regulations allow. According to Coast Guard officials, foreign design firms have extensive expertise and knowledge to produce the design for HPIBs. As a result, the U.S. shipbuilders planning to submit proposals on the HPIB solicitation may partner with these foreign design firms when submitting proposals. Similarly, Coast Guard officials stated that the azimuthing propulsors that have the necessary power and ice classification for the HPIB are manufactured by foreign companies. Therefore, the selected shipbuilder may subcontract with these companies to acquire the propulsors.", "In addition, Navy contracting officials stated that the program did not need to obtain a waiver from the Buy American Act\u2014which generally requires federal agencies to purchase domestic end products when supplies are acquired for use in the United States, and use domestic construction materials on contracts performed in the United States\u2014for certain components. The Act includes exceptions, such as when the domestic end products or construction materials are unavailable in sufficient and reasonably available commercial quantities and of a satisfactory quality."], "subsections": []}, {"section_title": "Program Has Received Both Coast Guard and Navy Funds, but Unclear How Program Will Be Funded Moving Forward", "paragraphs": ["From 2013 through 2018, the program has received $360 million in funding\u2014$60 million in the Coast Guard\u2019s Acquisition, Construction, and Improvement appropriations (hereafter referred to as Coast Guard funding) and $300 million in Navy\u2019s Shipbuilding and Conversion, Navy advance procurement appropriations (hereafter referred to as Navy appropriations). In addition, according to Coast Guard officials, in fiscal year 2017, Coast Guard reprogrammed $30 million in fiscal year 2016 appropriations for the HPIB from another program (see figure 11).", "According to IPO and Navy contracting officials, the Navy plans to use $270 million of the $300 million in Navy appropriations to award the detail design and construction contract in fiscal year 2019, which would fund the advanced engineering, long lead time materials, and detail design work. Navy officials stated the remaining $30 million in Navy appropriations will be held in reserves for potential scope changes. Of the $60 million in Coast Guard funding, the IPO has used $41 million for program office costs and the February 2017 design study contracts, and plans to use the remaining $19 million for program office costs. Coast Guard officials stated that they used the $30 million in reprogrammed 2016 appropriations to fund the design studies, model testing, and Navy warfare center support.", "As the program prepares to award a contract worth billions of dollars if all the options are exercised, Congress, the Coast Guard, and the Navy face key funding considerations. These include the extent to which the program will be funded using Coast Guard and Navy appropriations in the future and whether each of the ships will be fully or incrementally funded. Navy contracting officials stated that by structuring the contract\u2019s construction work as options, the contract has flexibility to accommodate any type of additional funding the program may receive.", "The National Defense Authorization Act for Fiscal Year 2018 authorized procurement of one Coast Guard heavy polar icebreaker vessel. The Navy did not request any funding in fiscal year 2019 for the HPIB, while Coast Guard requested $30 million. Subsequently, after discretionary budget caps were relaxed by Congress, the Administration\u2019s fiscal year 2019 budget addendum requested an additional $720 million in fiscal year 2019 Coast Guard appropriations for the program. Although the Navy did not request fiscal year 2019 funding for the lead ship, and Navy officials told us they have no plans to budget for the HPIB program moving forward, Congress may still choose to appropriate funds for the HPIB to the Navy. For example, in fiscal years 2017 and 2018, the Navy did not request funding but received $150 million in appropriations each year for the HPIB (see figure 12).", "Additionally, the Coast Guard has been expressly authorized to use incremental funding for the HPIB. This authorization is reflected in the Coast Guard\u2019s January 2018 affordability certification memo, submitted to DHS leadership. These memos are required to certify that a program\u2019s funding levels are adequate and identify tradeoffs needed to address any funding gaps. However, as noted above, with the addition of the Administration\u2019s fiscal year 2019 budget request addendum, the Coast Guard requested $750 million in full funding for the lead ship. The Navy has informed us that it plans to award the advance planning, design, engineering, long lead time material contract line item with its $270 million in appropriations. Navy officials also told us they are in the process of determining whether it needs to be authorized by Congress to use an incremental funding approach to fund the detail design and construction options if full funding is not received by the Navy.", "According to the Office of Management and Budget\u2019s A-11 budget circular, full funding helps to ensure that all costs and benefits of an acquisition are fully taken into account at the time decisions are made to provide resources. The circular goes on to say that when full funding is not followed, without certainty if or when future funding will be available, the result is sometimes poor planning, higher acquisition costs, cancellation of major investments, or the loss of sunk costs. The circular, however, also notes that Congress may change the agency\u2019s request for full funding to incremental funding to accommodate more projects in a year than would be allowed with full funding."], "subsections": []}, {"section_title": "Plans to Address Cost Growth Not Fully Documented", "paragraphs": ["Regardless of the funding strategy and which service funds the contract, the Coast Guard and the Navy do not have a clear agreement on how certain types of cost growth within the program will be addressed. The budgeting and financial management appendix of the July 2017 agreement between the Coast Guard and Navy for the HPIB notes that any cost overruns will be funded by the originating source of the appropriation and be the responsibility of the organization that receives the funding. However, the Coast Guard and the Navy have interpreted \u201ccost overruns\u201d differently in the context of the agreement.", "Coast Guard and Navy officials are in agreement that given the fixed- price incentive contract type, the government\u2019s share of cost overruns between the target cost and ceiling price (based on the share ratio) will be the responsibility of the organization that provided the funding for the contract line item. Navy officials also noted that because the contract type is fixed-price incentive, any cost overruns above the ceiling price are generally the responsibility of the contractor, not the government.", "However, the Coast Guard and the Navy have not addressed in an agreement how they plan to handle any cost growth stemming from changes to the scope, terms, and conditions of the HPIB detail design and construction contract. For example, if the Coast Guard or the Navy revises the program\u2019s requirements, this could increase the scope and value of the contract and result in additional contract costs. It is unclear in this instance, which organization is responsible for paying for the additional costs. Further, our 2005 work on Navy shipbuilding programs found that the most common causes of cost growth in these programs were related to design modifications, the need for additional and more costly materials, and changes in employee pay and benefits, some of which required changes in contract scope.", "IPO officials told us that unplanned changes to the program\u2019s scope and any corresponding funding requests for unanticipated cost growth would require discussions and agreements with both Coast Guard and Navy leadership. Coast Guard and Navy officials stated that they are in the process of reviewing the July 2017 budget appendix of the agreement to clarify the definition of cost overruns and plan to finalize revisions no later than September 2018. Our prior work on implementing interagency collaborative mechanisms found that agencies that articulate their agreements in formal documents can strengthen their commitment to working collaboratively, which can help better overcome significant differences when they arise. Different interpretations or disagreements on financial responsibility between the Coast Guard and the Navy on cost growth for the HPIB program could result in funding instability for the program, which could affect the program\u2019s ability to meet its cost and schedule goals."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In the last several years, the Coast Guard and the Navy have made significant strides in their efforts to acquire heavy polar icebreakers. It has been over 40 years since the United States has recapitalized its aging heavy polar icebreaker fleet, and Congress has expressed the need for investment in the HPIB program to help ensure our continued presence in the polar regions. The Coast Guard and the Navy have taken steps to examine design risks and expressed commitment to design maturity before starting construction on the lead ship.", "However, the Coast Guard and the Navy did not take key steps to reduce risks on the HPIB program before setting the HPIB\u2019s program baselines\u2014 namely, conducting a preliminary design review, conducting a technology readiness assessment, developing a fully reliable cost estimate, and conducting analysis to determine a realistic schedule and risks to that schedule. By setting the program\u2019s baselines prior to obtaining sufficient knowledge in the design, technologies, cost, and schedule of the HPIB, DHS, the Coast Guard, and the Navy are not establishing a sound business case for investing in the HPIB nor putting the program in a position to succeed. There is risk that the program will cost more than the planned $9.8 billion and the lead ship will not be delivered by 2023 as planned. Further, without clear agreement between the Coast Guard and the Navy on which service will be responsible for any cost growth on the HPIB, the program is at further risk of not meeting its ambitious goals. In the current budget environment, it is imperative that the Coast Guard and the Navy obtain sufficient acquisition knowledge and put together a sound business case before asking Congress and taxpayers to commit significant resources to the HPIB program."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making six recommendations total to the Coast Guard, DHS, and the Navy:", "The Commandant of the Coast Guard should direct the polar icebreaker program to conduct a technology readiness assessment in accordance with best practices for evaluating technology readiness, identify critical technologies, and develop a plan to mature any technologies not designated to be at least TRL 7 before detail design of the lead ship begins. (Recommendation 1)", "The Commandant of the Coast Guard, in collaboration with the Secretary of the Navy, should direct the polar icebreaker program and NAVSEA 05C to update the HPIB cost estimate in accordance with best practices for cost estimation, including (1) developing risk bounds for all phases of the program lifecycle, and on the basis of these risk bounds, conduct risk and uncertainty analysis, as well as sensitivity analysis, on all phases of the program lifecycle, and (2) reconciling the results with an updated independent cost estimate based on the same technical baseline before the option for construction of the lead ship is awarded. (Recommendation 2)", "The Commandant of the Coast Guard should direct the polar icebreaker program office to develop a program schedule in accordance with best practices for project schedules, including determining realistic durations of all shipbuilding activities and identifying and including a reasonable amount of margin in the schedule, to set realistic schedule goals for all three ships before the option for construction of the lead ship is awarded. (Recommendation 3)", "The Commandant of the Coast Guard should direct the polar icebreaker program office to analyze and determine appropriate schedule risks that could affect the program after construction of the lead ship begins to be included in its risk management plan and develop appropriate risk mitigation strategies. (Recommendation 4)", "The DHS Under Secretary for Management should require the Coast Guard to update the HPIB acquisition program baselines prior to authorizing lead ship construction, after completion of the preliminary design review, and after it has gained the requisite knowledge on its technologies, cost, and schedule, as recommended above. (Recommendation 5)", "The Commandant of the Coast Guard, in collaboration with the Secretary of the Navy, should update the financial management and budget execution appendix of the memorandum of agreement between the Coast Guard and the Navy to clarify and document agreement on how all cost growth on the HPIB program, including changes in scope, will be addressed between the Coast Guard and the Navy. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS and DOD for review and comment. In its comments, reproduced in appendix IV, DHS concurred with all six of our recommendations and identified actions it planned to take to address them. The Navy stated that it deferred to DHS and the Coast Guard on responding to our recommendations. DHS, the Coast Guard, and the Navy also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of Homeland Security, the Commandant of the Coast Guard, the Secretary of the Navy, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to the report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the extent to which the heavy polar icebreaker (HPIB) program has taken steps to develop mature designs and technologies consistent with best practices, (2) the extent to which the HPIB program has taken steps to set realistic cost and schedule estimates, and (3) the status of the HPIB program\u2019s contracting efforts and funding considerations.", "To assess the extent to which the HPIB program has taken steps to develop mature designs and technologies consistent with GAO-identified best practices, we reviewed program performance and design requirements, including the program\u2019s operational requirements documents, system specifications such as the power plant, propulsion system, and hull, and technical baseline; the program\u2019s alternatives analysis study, tailored systems engineering plan, test and evaluation master plan, and model testing results; cooperative agreements with Canada related to the HPIB; excerpts from industry studies; and the March 2018 detail design and construction request for proposals and subsequent amendments. We also reviewed relevant Department of Homeland Security (DHS), Coast Guard, and Department of Defense (DOD) acquisition guidance and instructions. From these documents, we determined the program\u2019s design and technology efforts and compared them to GAO\u2019s various best practices, including using a knowledge-based approach to shipbuilding, knowledge-based approach to major acquisitions, and evaluating technology readiness. We also interviewed knowledgeable officials from the Coast Guard\u2019s Capabilities Directorate, Research and Development Center, and Marine Transportation Systems Directorate; DHS\u2019s Science and Technology Directorate\u2019s Office of Systems Engineering; the Canadian Coast Guard; and the National Science Foundation.", "To assess the extent to which the HPIB program has taken steps to set realistic cost and schedule estimates, we determined the extent to which the estimates were consistent with best practices as identified in GAO\u2019s Cost Estimating and Assessment and Schedule Assessment guides. To assess the cost estimate, we reviewed the HPIB\u2019s January 2018 lifecycle cost estimate used to support the program\u2019s initial cost baselines, Coast Guard and Navy documentation supporting the estimate, relevant program briefs to Coast Guard leadership, and HPIB program documentation containing cost, schedule, and risk information. We met with Naval Sea Systems Command (NAVSEA) officials responsible for developing the cost estimate to understand the processes used by the cost estimators, clarify information, and request additional documentation to support the estimate. Because we did not have direct access to the HPIB cost model, we observed portions of the model during a presentation and discussion with Navy cost estimators. We also reviewed the Naval Center for Cost Analysis\u2019 September 2017 independent cost estimate for the HPIB program, the DHS Cost Analysis Division\u2019s January 2018 independent cost assessment of the HPIB lifecycle cost estimate, and DHS Office of Systems Engineering\u2019s January 2018 technical assessment of the HPIB program. We also conducted interviews with officials from the Naval Center for Cost Analysis, DHS Cost Analysis Division, and the DHS Office of Systems Engineering.", "To assess the program\u2019s schedule, we compared the HPIB program\u2019s schedule, including the program\u2019s initial schedule baselines, delivery schedules from the HPIB\u2019s request for proposals for the detail design and construction contract, and integrated master schedule, to selected GAO best practices for project schedules, including establishing the duration of activities, ensuring reasonable total buffer or margin, and conducting a schedule risk analysis. To specifically assess the HPIB lead ship\u2019s 3- year construction schedule estimate, we reviewed the Coast Guard\u2019s and the Navy\u2019s analysis supporting the HPIB schedule. We did not assess the reliability of the historical ship construction data the Coast Guard and Navy used for this analysis. We also compared the HPIB lead ship\u2019s 3- year construction schedule to historical construction cycle times of lead ships among a nongeneralizable sample of major Navy and Coast Guard shipbuilding programs. We selected programs that were active within the last 10 years and have completed construction of the lead ship. We also included the Coast Guard\u2019s Healy medium polar icebreaker, even though it is not a recent shipbuilding program, because it is the most recent polar icebreaker to be built in the United States. We excluded the Coast Guard Fast Response Cutter, Navy submarines, and Navy aircraft carriers because we determined that their size and complexity did not make them reasonable comparisons to the HPIB for construction times. This resulted in an analysis of construction schedules for 10 shipbuilding programs. We obtained data on these programs\u2019 construction schedules from program documentation, such as acquisition program baselines, Navy selected acquisition reports, and Navy and Coast Guard budget documentation. We selected only lead ships for comparison because we have found in our prior work that schedule delays are amplified for lead ships in a class. Lead ships are thus more comparable to the HPIB lead ship than follow- on ships. We reviewed ship displacement data from the Naval Vessel Registry and the Coast Guard to control for the size of the ships. To assess the reliability of Naval Vessel Registry data, we reviewed the Navy\u2019s data collection and database maintenance documentation, cross- checked select data across Navy websites, and interviewed cognizant Navy officials regarding internal controls for the database. We determined the ship displacement data were reliable for our purposes. To assess the degree to which the 6-month schedule margin that the HPIB baseline affords the lead ship is in keeping with historical ship delivery delays, we reviewed Coast Guard, Navy, and DHS acquisition documentation from a nongeneralizable sample of major Navy and Coast Guard shipbuilding programs. We selected programs active within the last 10 years and analyzed changes in lead ship delivery dates. We excluded Navy submarines and aircraft carriers because we determined that their size and complexity did not make them reasonable comparisons to the HPIB for delivery delays. We included programs that have not yet delivered their lead ships. This resulted in an analysis of construction schedules for 12 shipbuilding programs. For delivered ships, we used the actual delivery date; for ships not yet delivered, such as the Offshore Patrol Cutter and DDG 1000, we used the most recent, planned delivery date in the program baseline.", "To determine the status of the HPIB program\u2019s contracting efforts and funding considerations, we reviewed the program\u2019s acquisition plan, March 2018 request for proposals and subsequent amendments, certification of funds memorandum, budget justifications, lifecycle cost estimate, and the Coast Guard\u2019s fiscal year 2019 Capital Investment Plan. We also interviewed knowledgeable officials from the Coast Guard\u2019s Office of Budget and Programs, NAVSEA Contracts Directorate, NAVSEA Comptroller Directorate, and the Office of the Assistant Secretary of Navy\u2019s Financial Management and Comptroller.", "For all objectives, we reviewed relevant DHS and Coast Guard policies and interviewed knowledgeable officials from DHS, the Coast Guard\u2019s and the Navy\u2019s HPIB integrated program office, and ship design team.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Shipbuilding Phases", "paragraphs": ["There are four primary phases in shipbuilding: pre-contracting activities and contract award, detail design and planning, construction, and post- delivery activities (see table 6)."], "subsections": []}, {"section_title": "Appendix III: Summary of Results of Heavy Polar Icebreaker Program\u2019s Cost Estimate Assessed against GAO\u2019s Best Practices", "paragraphs": ["The GAO Cost Estimating and Assessment Guide (GAO-09-3SP) was used as criteria in this analysis. Using this guide, GAO cost experts assessed the heavy polar icebreaker (HPIB) program\u2019s lifecycle cost estimate against measures consistently applied by cost-estimating organizations throughout the federal government and industry that are considered best practices for developing reliable cost estimates. For our reporting purposes, we grouped these best practices into four categories\u2014or characteristics\u2014associated with a reliable cost estimate: comprehensive, accurate, well documented, and credible. A cost estimate is considered reliable if the overall assessment ratings for each of the four characteristics are substantially or fully met. If any of the characteristics are not met, minimally met, or partially met, then the cost estimate does not fully reflect the characteristics of a high-quality estimate and cannot be considered reliable. After reviewing documentation the Navy submitted for its cost estimate, conducting interviews with the Navy\u2019s cost estimators, and reviewing other relevant HPIB cost documents, we found the HPIB lifecycle cost estimate substantially met three and partially met one characteristic of reliable cost estimates.", "We determined the overall assessment rating by assigning each individual rating a number: Not Met = 1, Minimally Met = 2, Partially Met = 3, Substantially Met = 4, and Met = 5. Then, we took the average of the individual assessment ratings to determine the overall rating for each of the four characteristics. The resulting average becomes the Overall Assessment as follows: Not Met = 1.0 to 1.4, Minimally Met = 1.5 to 2.4, Partially Met = 2.5 to 3.4, Substantially Met = 3.5 to 4.4, and Met = 4.5 to 5.0. See table 7 for a high level summary of each best practice and the reasons for the overall scoring."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition the contact named above, the following staff members made key contributions to this report: Rick Cederholm (Assistant Director), Claire Li (Analyst-in-Charge), Peter Anderson, Brian Bothwell, Juan\u00e1 Collymore, Laurier Fish, Kristine Hassinger, Karen Richey, Miranda Riemer, Roxanna Sun, David Wishard, and Samuel Woo."], "subsections": []}]}], "fastfact": ["The Coast Guard and Navy are planning to invest up to $9.8 billion to build and maintain three heavy polar icebreakers to conduct missions in the Antarctic and Arctic. The first ship is scheduled for delivery in 2023.", "We found the icebreaker program faces risks in 3 key areas:", "the program has not fully assessed how well key technologies will work in this particular effort,", "its cost estimate may underestimate the funding needed, and", "it set ship delivery dates that are optimistic and not based on a realistic shipbuilding assessment.", "We made six recommendations to address these and other risks."]} {"id": "GAO-19-138", "url": "https://www.gao.gov/products/GAO-19-138", "title": "Federal Building Security: Actions Needed to Help Achieve Vision for Secure, Interoperable Physical Access Control", "published_date": "2018-12-20T00:00:00", "released_date": "2018-12-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A 2004 federal directive and the related standard set forth a vision for using information technology to verify the identity of individuals accessing federal buildings. The vision calls for secure and reliable forms of identification that work in conjunction with access control systems. Interoperability of these systems across departments and agencies is part of the vision. OMB and GSA have government-wide responsibilities related to this effort. ISC provides guidance to non-military executive branch agencies on physical security issues. GAO was asked to examine PACS implementation efforts.", "This report discusses (1) steps OMB and GSA have taken to fulfill their government-wide responsibilities related to PACS and (2) challenges selected federal agencies face in meeting current requirements. For review, GAO analyzed documents from Commerce, GSA, ISC, and OMB. GAO selected five non-military agencies based on factors including number of buildings and geographic location. GAO reviewed relevant requirements and key practices. GAO also interviewed federal agency officials, PACS vendors, and knowledgeable industry officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget (OMB) and the General Services Administration (GSA) have taken steps to help agencies procure and implement secure, interoperable, GSA-approved \u201cphysical access control systems\u201d (PACS) for federal buildings. PACS are systems for managing access to controlled areas within buildings. PACS include identification cards, card readers, and other technology that electronically confirm employees' and contractors' identities and validate their access to facilities (see figure). Steps taken include the following:", "OMB issued several memos to clarify agencies' responsibilities. For example, OMB issued a 2011 memo citing Department of Homeland Security (DHS) guidance that agencies must upgrade existing PACS to use identity credentials before using relevant funds for other activities. But, GAO found OMB's oversight efforts are hampered because it lacks baseline data on agencies' implementation of PACS. Without such data, OMB cannot meet its responsibility to ensure agencies adhere to PACS requirements or track progress in implementing federal PACS requirements and achieving the vision of secure, interoperable systems across agencies.", "GSA developed an Approved Products List that identifies products that meet federal requirements through a testing and evaluation program. Federal agencies are required to use the Approved Products List to procure PACS equipment. GSA also has provided procurement guidance to agencies through its identity management website.", "Officials from the five selected agencies that GAO reviewed identified a number of challenges relating to PACS implementation including cost, lack of clarity on how to procure equipment, and difficulty adding new PACS equipment to legacy systems. Officials from OMB, GSA, and industry not only confirmed that these challenges exist but also told GAO that they were most likely present across the federal government. The Interagency Security Committee (ISC), chaired by the DHS and consisting of 60 federal departments and agencies, has a mission to develop security standards for non-military agencies. In this capacity the ISC is well-positioned to determine the extent that PACS implementation challenges exist across its membership and to develop strategies to address them. An ISC official told GAO that the ISC has taken steps to do so including setting up a working group to assess what additional PACS guidance would be beneficial."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends (1) that OMB determine and regularly monitor a baseline level of progress on PACS implementation and (2) that ISC assess the extent of, and develop strategies to address, government-wide challenges to implementing PACS. OMB had no comment on the recommendation. DHS concurred with the recommendation to ISC."]}], "report": [{"section_title": "Letter", "paragraphs": ["In an effort to increase the security of federal facilities and information systems where there is potential for terrorist attacks such as those that occurred on September 11, 2001, Homeland Security Presidential Directive 12 (HSPD-12) established the requirement for a mandatory, government-wide identification standard for federal government employees and contractor personnel in August 2004. The standard specifies the technical requirements for physical access control systems to issue secure and reliable identification credentials to federal employees and contractors for gaining access to federal facilities and information systems. In order to meet this standard, agencies have begun implementing enhanced physical access control systems for controlling employees\u2019 and contractors\u2019 access to buildings. These systems use personal identity verification (PIV) cards that operate with networked physical access control systems, so that agencies can make sure that the employees and contractors who enter federal buildings are who they claim to be and have the proper authority to enter. To implement this vision and in response to HSPD-12, standards and guidance also call for the interoperability of these systems across agencies.\u201d", "Several federal agencies have key government-wide responsibilities for this effort. The Office of Management and Budget (OMB) is responsible for the program\u2019s overall direction and oversight. The General Services Administration (GSA) is responsible for testing physical access control systems to ensure they meet security and interoperability standards and identifying such systems through its Approved Products List. OMB and the Federal Acquisition Regulation require agencies to use the Approved Products List when buying physical access control systems to achieve an integrated approach to physical security. The Interagency Security Committee (ISC), chaired by the Department of Homeland Security (DHS), plays a key role in ensuring the protection of nondefense buildings and facilities and security for them in the United States. The Department of Commerce\u2019s National Institute of Standards and Technology (NIST) sets technical specifications that form the basis of standards, including for example, the minimum requirements for a federal PIV system that meets the control and security objectives of HSPD -12.", "Implementation of physical access control systems at federal agencies represents a significant federal investment. For example, over the next 5 years, TSA plans to spend about $73 million to implement physical access control systems with the bulk of these funds ($51 million) going toward the acquisition of new systems from the Approved Products List. TSA is one of hundreds of federal agencies. In addition, according to GSA officials, GSA has spent millions of dollars to test these systems. However, a congressional committee and some industry stakeholders have raised questions about the implementation of this directive, specifically about the extent to which agencies are using the Approved Products List to purchase physical access control systems. Not only could purchasing products not on the Approved Products List lead to wasteful spending, but such purchases could result in security breaches if, for example, elements of access credentials are counterfeited, cloned, or copied, and physical access control systems fail to detect them.", "In support of congressional oversight of federal buildings\u2019 security, you asked that we examine issues related to agencies\u2019 implementation of federal physical access control system requirements. Our objectives were to (1) assess steps OMB and GSA have taken to fulfill their government- wide responsibilities related to requirements for implementing physical access control systems and (2) identify challenges selected federal agencies face in meeting requirements for federal physical access control systems.", "To address these objectives, we interviewed OMB and GSA about their efforts to fulfill their government-wide responsibilities in this area. We also asked them to provide data on agencies\u2019 Approved Products List usage. We interviewed private sector companies that have key roles in government-wide implementation of HSPD-12, specifically: seven manufacturers of physical access control systems, five integrators (contractors who install the equipment and connect it to agency networks with software), as well as other industry organizations, including a trade association, GSA\u2019s contractor that tests physical access control systems for the Approved Products List, and a long-time industry consultant.", "To identify illustrative examples of the progress that individual agencies have made in using the Approved Products List to implement HSPD-12 requirements, as well as the challenges that they have faced in doing so, we selected five executive branch agencies: (1) the U.S. Coast Guard in DHS; (2) the Bureau of Prisons in the Department of Justice (Justice); (3) the Transportation Security Agency (TSA) in DHS; (4) the Environmental Protection Agency (EPA); and (5) the General Services Administration. Our criteria for agency selection included, but were not limited to, agencies with facilities (1) held by non-defense executive branch agencies; (2) located in the United States; and (3) totaling 200 or more buildings. We limited our scope to non-defense agencies because we also have other ongoing work related to these issues at the Department of Defense. We interviewed knowledgeable officials at these agencies about the Approved Products List and reviewed information on agencies\u2019 purchases of GSA-approved physical access control systems equipment using the Approved Products List since 2013, the year GSA began conducting more rigorous testing and approval of physical access control system equipment. Our use of the term stakeholders in this report may refer to agencies, physical access control manufacturers, integrators, and knowledgeable organizations or officials. Results from our interviews with the selected agencies cannot be generalized. To identify challenges selected federal agencies face in adhering to federal physical access control system requirements, we reviewed relevant trade industry literature and conducted an analysis of our interviews with agency officials. In addition to considering the range of federal requirements related to physical access control, we evaluated agency activities related to monitoring and oversight against pertinent standards for internal controls in the federal government and leading practices for collaboration identified in prior GAO work. See Appendix I for more detail about our methodology.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Personal Identity Verification Cards", "paragraphs": ["Developed in response to HSPD-12, Personal Identity Verification (PIV) cards are a common authentication mechanism used across the federal government, and are a component of physical access control systems. PIV cards are used to securely identify federal government employees and contractor personnel seeking access to valuable and sensitive federal resources, including facilities and information systems. Also known as a \u201csmart card,\u201d a PIV card is similar in size to a credit card and contains information that is either printed on the outside or stored on the card\u2019s integrated circuit chip (see fig. 1 below). PIV cards are required to be interoperable with all GSA-approved physical access control system equipment included on the Approved Products List, regardless of that equipment\u2019s manufacturer. Likewise, GSA-approved physical access control system equipment is required to be interoperable with all PIV cards."], "subsections": []}, {"section_title": "Access to Controlled Areas", "paragraphs": ["Physical access control systems are used to manage access to controlled areas, such as a building or a room in a building. Physical access control products include devices such as card readers and the ID cards used to validate an individual\u2019s authorization to enter a building (see fig.2 below). This report focuses on physical access and does not address logical (computer network) access.", "A physical access control system works as follows. When employees or contractors who are PIV cardholders attempt to enter a controlled area managed by a physical access control system, they will encounter the physical access control system at the \u201cfront end.\u201d At this point, depending on the controlled area\u2019s level of security, the cardholder will scan their PIV cards via a card reader, insert their PIV cards and enter personal identification numbers (PIN) via an input device such as a keypad, or insert their PIV cards, enter PINs, and provide biometric identification (such as a fingerprint) via an input device.", "After the cardholders present their identification information, the cardholders\u2019 identification information from a PIV card\u2019s integrated circuit chip is transmitted to the physical access control system\u2019s \u201cback end,\u201d which consists of physical and logical access control systems and authorization data. At the back end, the physical access control system determines the validity of the cardholder\u2019s access authorization. The cardholder will be able to access the area only if the authorization is valid.", "When deciding which access control mechanisms to implement, agencies must first understand the level of risk associated with the facility. The higher the risk level, the greater the need there is for agencies to implement a high-assurance-level access control system. Physical access control systems can be electronically connected in different ways, including within a given building or across an agency or department. The level of interoperability determines the level at which PIV cards and access authorization will be accepted. For example, a PIV card and corresponding access authorization may be accepted within a single building, across an agency, or potentially across the federal government. In this report, we describe a system in which a PIV card works in multiple physical access control systems as \u201cinteroperable\u201d. In order to realize the full security benefit of PIV cards, physical access control systems must have a network connection that enables them to validate a given cardholder\u2019s access credentials."], "subsections": []}, {"section_title": "Federal Requirements", "paragraphs": ["Homeland Security Protection Directive-12: HSPD-12 is a 2004 presidential directive establishing the requirement for a mandatory, government-wide standard for secure and reliable forms of identification (PIV cards) issued by the federal government to its employees and contractors. It specified that the standard must include criteria authenticating employees\u2019 identities and permissions at graduated levels of security, depending on the agency environment and the sensitivity of facilities and data accessed.", "Federal Information Processing Standards (FIPS) 201: The Department of Commerce\u2019s NIST initially published the Federal Information Processing Standards (FIPS) 201 in 2005 to support HSPD- 12. The FIPS 201 standard established the PIV card as a common authentication mechanism across the federal government. FIPS 201 set standards for PIV systems in three areas: (1) identity proofing and registration, (2) card issuance and maintenance, and (3) protection of card applicants\u2019 privacy. In addition, the standard provides technical specifications for the implementation and use of interoperable smart cards in physical access control systems. An update to FIPS 201 (called FIPS 201-2), was released in August 2013. Among other things, it made the collection of a facial image mandatory for PIV cards and changed the maximum lifespan of a card from 5 to 6 years.", "Approved Products List \u2013 The Approved Products List is a list of all physical access control system equipment that is compliant with FIPS identification standards. Agencies must acquire federally-approved products and services from this list in order to help ensure government- wide interoperability of physical access control systems. All products on the Approved Product List have gone through end-to-end testing and evaluation, as part of a complete physical access control system. Federal agencies are required to use the Approved Products List when purchasing physical access control system equipment. The Approved Products List is intended to provide assurance to federal agencies that listed vendors\u2019 products comply with the various federal standards and requirements."], "subsections": []}, {"section_title": "Government-wide Roles and Responsibilities", "paragraphs": [], "subsections": [{"section_title": "Office of Management and Budget (OMB)", "paragraphs": ["HSPD-12 designates OMB as the lead entity with responsibility for ensuring that federal government departments and agencies implement this directive in a manner consistent with ongoing government-wide activities and existing OMB policies and guidance."], "subsections": []}, {"section_title": "General Services Administration (GSA)", "paragraphs": ["GSA supports OMB by administering product testing through a contractor, managing the Approved Products List, and making the physical access control system\u2019s products and services available to federal agencies via GSA\u2019s Federal Acquisition Service. The Federal Acquisition Service manages a large portion of GSA\u2019s Federal Supply Schedules program (GSA Schedule), which establish long-term government-wide contracts with commercial firms to provide federal agencies access to millions of commercial products and services at volume discount pricing. Further, GSA\u2019s Office of Government-wide Policy (OGP) provides tools and support for identity, credential, and access management activities across the federal government, including for physical access control systems. GSA also has a government-wide landlord role through its Public Buildings Service and installs physical access control systems in many GSA-owned and leased buildings that it manages."], "subsections": []}, {"section_title": "Interagency Security Committee", "paragraphs": ["The ISC is chaired by DHS and consists of 60 federal departments and agencies. ISC\u2019s mission is to develop security standards, best practices, and guidelines for nonmilitary federal facilities in the United States. Each of the five selected agencies included in our report, or their home departments, is a member of the ISC. The ISC has the authority to convene working groups from its member agencies to produce documents, which are task-based and provide ISC\u2019s members with a forum for information sharing to address a wide range of issues related to physical security at federal buildings. ISC also produces standards and best practices guidance for agencies to use when addressing security issues. For example, in December 2015 ISC released Best Practices for Planning and Managing Physical Security Resources: An Interagency Security Committee Guide. This document is intended to identify practices most beneficial for physical security programs, determine the extent to which federal agencies currently use these practices, and compile and circulate best practices agencies can use as a supplement to the ISC\u2019s existing security standards."], "subsections": []}]}]}, {"section_title": "OMB and GSA Have Taken Steps to Fulfill Their Responsibilities to Implement Physical Access Control Systems, but Oversight Is Limited", "paragraphs": [], "subsections": [{"section_title": "OMB and GSA Have Supported Implementing Physical Access Control Systems", "paragraphs": ["OMB and GSA have taken steps to help agencies procure and implement secure and interoperable GSA-approved physical access control systems across the federal government. For example, OMB has issued three guidance memorandums to clarify agency responsibility to use GSA\u2019s Approved Products List. 1. In 2005, OMB designated GSA as the \u201cexecutive agent for government-wide acquisitions of information technology\u201d for the products and services required for physical access control and delineated agency responsibilities with regard to implementing HSPD- 12. Also, to ensure government-wide interoperability, all agencies must acquire products and services that are compliant with standards and included on the Approved Products List. 2. In 2006, OMB reiterated that agencies must purchase physical access control systems from GSA\u2019s Approved Products List and that GSA will make approved products and services available through acquisition vehicles (Schedules) that are available to federal agencies. 3. In 2011 OMB issued a memo that cited DHS guidance that stated effective in fiscal year 2012 agencies must upgrade existing physical and logical access control systems to use PIV credentials prior to using relevant funds for other activities. The memorandum further stated that the upgrades must be in accordance with NIST standards.", "In addition, GSA, as the lead agency for government-wide acquisition of information technology, has undertaken a number of efforts to promote the implementation of GSA-approved physical access control systems: 1) Testing and evaluation: GSA administers and conducts testing and evaluation to develop an Approved Products List. Testing is performed by either third-party accredited testing labs or GSA- managed testing labs. GSA tests a variety of products and services including smart cards; physical access control systems; which include card readers and infrastructure for example; and integrators which provide or install access control services. According to GSA officials, GSA has fully tested all physical access control system equipment included on the Approved Products List and evaluated and approved the suitability of vendors and system integrators. GSA shares information about vendors, system integrators and Approved Products List equipment with federal agencies. 2) Guidance and support: GSA has taken several actions to improve guidance and facilitate the implementation of physical access control systems. First, GSA manages IDManagement.gov, which guides federal agencies through the process of identifying Approved Products List-compliant physical access control system equipment. Second, GSA established the U.S. Access program to enable federal civilian agencies to issue common HSPD-12 approved credentials to their employees and contractors. Finally, GSA developed a list of system integrators that can be used to install physical access control systems that have been approved for the Approved Products List. These integrators (there are 25 as of November 2018) are listed on the GSA\u2019s IDManagement.gov website. 3) Information sharing: According to GSA officials, GSA responds to email questions from agencies about the Approved Products List, and GSA makes subject matter experts available to any agency representatives with questions. 4) Procurement support: According to GSA officials, GSA provides standard procurement language for agencies to include in statements of work before their requests for proposal go out for physical access control systems. However, according to officials, GSA has no control over whether agencies decide to include the language that it provides.", "Stakeholders including agencies and manufacturers that we interviewed generally considered the Approved Products List to have achieved its intent. For example, government and industry officials said that they believe the list provides assurance to government agencies that physical access control systems will work as intended and will help facilitate a more interoperable system government-wide, thereby enhancing security. Moreover, stakeholders we interviewed said they generally thought the associated costs and burdens of going through GSA\u2019s testing and evaluation have been worth the effort. Without the Approved Products List, these stakeholders believe that the quality and interoperability of products would diminish. According to some stakeholders, prior to the current end-to-end testing of products, companies submitted products to the Approved Products List that either did not work as intended or were not compatible with other products. Stakeholders also commented on the improvements to the Approved Products List since GSA took over the certification testing, noting that use of manufacturer self-testing prior to 2012 was not successful. In addition, the cost to industry to do self-testing was high, according to vendors, and some companies did not do it well, according to GSA, EPA, and TSA officials."], "subsections": []}, {"section_title": "OMB Lacks Necessary Information to Conduct Oversight", "paragraphs": ["We found that neither OMB nor GSA currently collect data on agency efforts to implement physical access control system requirements, including use of the Approved Products List. This is significant because our interviews with physical access control systems\u2019 manufacturers, integrators, and selected agencies indicate that government-wide implementation of physical access control systems may be limited and raises questions about government-wide progress. Officials from four of the five selected agencies we reviewed told us that, since 2013, when physical access control system end-to-end testing requirements began, they had only purchased GSA-approved physical access control system equipment for a limited number of their facilities. Moreover, they said that where purchasing occurred, it was sometimes for physical access control systems that required replacement because they were nearing the end of their useful life.", "For the five selected agencies, we found the following:", "General Services Administration: According to GSA officials, a limited number of GSA facilities have physical access control systems that fully adhere to the latest requirements. According to GSA officials, GSA has met federal physical access control system requirements for 70 out of approximately 340 of its non-courthouse buildings with another 90 being partially in line with requirements (e.g., PIV access credentials are used). The remaining facilities do not yet meet federal physical access control system requirements. GSA staff also told us that GSA administers the public spaces in approximately 360 courthouse buildings and is developing a security implementation plan for these spaces. GSA officials told us that GSA also administers about 8,000 leased buildings where the tenants in these spaces are generally responsible for setting up physical access control systems and GSA does not track this information.", "Environmental Protection Agency: According to EPA officials, none of EPA\u2019s 72 facilities (including, for example, its headquarters building in the District of Columbia and 10 regional headquarters buildings) currently adhere to the latest physical access control system requirements. Specifically, EPA officials told us that the agency used GSA\u2019s Approved Products List to purchase physical access control system equipment in the past. However, because requirements have changed over time, the 72 buildings where EPA is responsible for physical access control need to be upgraded to the latest requirements. To do so, EPA officials said they will procure these systems using the Approved Products List and prioritize implementation in the future to those facilities with the highest assessed risk. EPA officials said that in August 2013, changes to physical access control systems\u2019 standards required the agency to purchase and install complete physical access control systems that GSA has tested end-to-end and that adhere to the latest requirements. EPA officials said they expect the end-to-end tested physical access control systems to lead to systems that are more secure and interoperable.", "Bureau of Prisons: The Bureau of Prisons has implemented Approved Products List-compliant physical access control system equipment in regional and central offices according to agency officials we interviewed. According to officials, the Bureau of Prisons purchased physical access control systems using the Approved Products List for its headquarters complex (three buildings) and six regional offices beginning in 2009 and made upgrades to this equipment in 2015 to adhere to federal physical access control system requirements at the time. However, Bureau of Prisons officials told us that the agency has not implemented physical access control systems at its institutions (prisons). Bureau of Prisons officials told us that physical security and screening procedures at prisons are more stringent than those that occur with typical building-access procedures as persons and belongings are scanned and searched. Physical access control system equipment at these prisons may in fact be problematic because, according to Bureau of Prisons officials, doors should not automatically be opened based on a PIV card without manual checks to ensure staff are not under duress or fraudulent access is being attempted. Bureau of Prisons officials said that at the prisons, identification credentials are first visually examined by prison personnel before access is granted, and all gates and points of entry are controlled by prison personnel.", "Transportation Security Administration: According to TSA officials, since 2013, 64 TSA facilities have implemented some physical access control system upgrades using products from the Approved Products List, while an additional 75 leased facilities have been upgraded by GSA. While the 139 facilities are not fully compliant, the only item missing to make these facilities compliant, according to TSA officials, is the capability for interoperable, secure identification checks among federal agencies. This would allow TSA\u2019s physical access control systems to recognize revoked PIVs from any federal agency. TSA told us that it plans to roll out this capability in fiscal year 2019. Our review of TSA\u2019s 2015 plan to meet the latest physical access control system requirements indicates that the agency is taking steps toward full compliance. TSA\u2019s implementation plan was developed in response to DHS\u2019s 2012 Modernization Strategy for Physical Access Control Systems, which provides guidance to DHS for implementing secure and compliant end-to-end physical access control systems from GSA\u2019s Approved Products List. Over the next 5 years, TSA plans to spend about $73 million in physical access control system implementation with the bulk of these funds ($51 million) going toward the acquisition of new systems from the Approved Products List.", "United States Coast Guard: Coast Guard officials told us that none of the agency\u2019s 1,400 facilities where it has security responsibilities fully adhere to the latest federal physical access control system requirements. However, 53 of these facilities have been prioritized for physical access control system implementation. In addition, since 2013, four Coast Guard locations have begun to implement GSA- approved physical access control systems using the Approved Products List. These locations are Jacksonville, FL; New York, NY; Corpus Christi, TX; and the Coast Guard\u2019s Security Center in Chesapeake, VA. Decisions about physical access control system equipment are made on a facility-by-facility basis, according to Coast Guard officials. These officials said that due to the decentralized nature of Coast Guard\u2019s decision-making process for physical access control systems, it is difficult to say where purchases have been made, and there is no systematic tracking. The Coast Guard does not have a formal plan for upgrading its physical access control systems, but Coast Guard officials told us that they continue to pursue opportunities to upgrade facilities with physical access control system equipment using the Approved Products List. For example, Coast Guard officials told us that they currently emphasize system upgrades for those systems that reach the end of their useful life or otherwise necessitate replacement.", "These five selected agencies are illustrative of the oversight difficulties that OMB faces because it does not have baseline information about agencies\u2019 efforts to implement physical access control systems, including implementation of GSA-approved systems. This lack of information hampers OMB\u2019s efforts to (1) meaningfully track and monitor agencies\u2019 adherence to physical access control system requirements, or (2) provide an incentive for agencies to be more accountable with regard to where their physical access control systems stand in terms of their ability to prevent security breaches. Federal internal-control standards state that establishing a baseline is an internal control that can be used to perform monitoring activities. Baseline data allow organizations to identify and address performance issues and deficiencies. Establishing a baseline to understand the current status of physical access control system implementation could improve efforts to evaluate progress federal agencies are making and could also provide an incentive to agencies to further improve. Moreover, federal internal-control standards also direct agencies to hold organizations accountable for their assigned responsibilities.", "OMB staff said that OMB oversees physical access control systems\u2019 requirements as part of its normal process of reviewing agencies\u2019 budget submissions but does not conduct oversight outside of this process. This approach, however, does not allow OMB to identify or monitor the extent to which agencies are purchasing physical access control systems that meet the latest requirements or take action if agencies lag in this area."], "subsections": []}]}, {"section_title": "Selected Agencies Have Faced Various Challenges in Meeting Physical Access Control Systems\u2019 Requirements and May Benefit from Additional Government-wide Support", "paragraphs": ["Selected federal agencies face cross-cutting, as well as agency-specific, challenges to acquiring and integrating physical access control system equipment, according to agency representatives and industry stakeholders we spoke to. These challenges include cost, confusion regarding GSA Schedule\u2019s use, lack of trained agency officials, adapting legacy systems, and security concerns about integrating physical access control systems.", "Cost: Officials from most of the five selected agencies, from physical access control system manufacturers, and from integrators we interviewed told us that the cost of buying GSA-approved physical access control systems using the Approved Products List and installing them in adherence to federal physical access control system requirements is a challenge in the current budget environment. Agency representatives also told us they view the regulatory and OMB requirement to upgrade physical access control systems as a costly unfunded mandate that these agencies have difficulty meeting. For example, TSA officials estimate that TSA will need over $14 million per year to continue implementing GSA-approved physical access control systems using the Approved Products List in its 625 facilities, an expense for which the agency receives no additional funds. However, OMB staff told us that agencies have had 13 years in which to replace physical access control systems\u2019 technology with products that meet federal requirements, and that the issue may be agencies\u2019 training and planning, rather than cost. OMB staff told us that the expectation was, that over time, agencies would implement physical access control systems that used equipment that was exclusively from the APL and compliant with FIPS.", "Confusion regarding GSA Schedules: Officials from some of the five selected agencies and some stakeholders told us that there is some uncertainty in government and industry about which GSA contracting Schedule should be used to acquire GSA-approved physical access control system equipment and services. For example, some stakeholders are unsure which GSA Schedule they should use to provide their services. GSA Schedule 70 is generally used for information technology purchases.", "GSA Schedule 84 is generally used for physical security equipment purchases, including products such as security alarms and surveillance equipment. However, some stakeholders told us they found federal guidance unclear as to whether Schedule 70 or 84 should be used for GSA-approved physical access control system purchases. For example, some integrators told us that it was not always clear for what Schedule they should seek approval to be on to sell their services. Federal regulations and an OMB memo both mention Schedule 70 as being the appropriate Schedule for purchasing physical access control systems, but do not explicitly exclude the use of Schedule 84.", "Complicating matters, some stakeholders told us some companies are only approved for Schedule 84 because getting approved for both Schedules was time-consuming and costly, and not worth the effort given the lack of clarity regarding which Schedule is required. According to OMB staff, guidance is clear that Schedule 70 should be used to purchase physical access control equipment because this equipment is considered to be information technology. OMB staff explained that their memo on this subject was not intended to introduce ambiguity on the issue of what Schedule is appropriate for use, but to accommodate practices at the Department of Defense, which performs some of its own product testing separate from GSA\u2019s testing program. According to GSA\u2019s Office of Government-wide Policy (OGP), GSA is aware of the confusion among GSA\u2019s federal customers regarding GSA Schedule use. To address this situation, GSA convened a \u201creverse industry\u201d training event in September 2018, at which industry representatives provided feedback to GSA on the acquisition process and ways that it could be improved, including issues pertaining to acquisitions related to physical access control systems. According to federal officials, one point of emphasis by industry was that purchasing physical access control equipment from the Approved Products List was not sufficient for having a functioning physical access control system; system integration was also necessary. During this event, GSA officials took the position that both Schedule 70 and Schedule 84 could be used to purchase physical access control systems, but OMB staff maintain that Schedule 70 is preferred. OMB staff explained that Schedule 84 does not have the testing and evaluation requirements for PACS equipment on it that Schedule 70 does. According to OMB, this frustrates industry vendors that follow the Schedule 70 approval process because these vendors are spending time and money to get approved for Schedule 70, while others are still selling their equipment on Schedule 84 and skirting this process because GSA allows the sale of physical access control system equipment on both Schedules. Schedule 84 has historically been used for security hardware while Schedule 70 is used for information technology. Since physical access control systems are essentially information technology systems today, OMB believes that Schedule 70 should be used exclusively for physical access control system equipment.", "Adapting legacy systems: According to officials at most of the five selected agencies, most manufacturers, and all integrators we spoke to, integrating new physical access control systems\u2019 equipment with existing legacy systems can be challenging. Some stakeholders told us that integrating new physical access control systems with old equipment is often more difficult and more costly than starting from scratch. As an illustration of this difficulty, TSA officials told us that integrating new physical access control system equipment with legacy systems has contributed to delays in the integration of TSA\u2019s newly installed physical access control system equipment. Partly as a result, only one TSA region is currently integrated into DHS\u2019 agency-wide network.", "Security concerns about integrating physical access control systems: Officials at two of the selected agencies and one system integrator we spoke to told us that some agency officials are reluctant to more fully integrate their physical access control systems. This reluctance is due to concern about a perceived increase in security risks resulting from more broadly networking physical access control systems\u2019 equipment and access credentials like PIV cards. However, other federal officials told us that this concern is unfounded. According to these officials, integrating agencies\u2019 physical access control systems will enhance security, increase government efficiency, reduce identity fraud, and protect personal privacy by electronically authenticating the validity of access credentials.", "Lack of trained agency officials: Stakeholders told us they believe that some federal agency officials have limited knowledge of physical access control system requirements. According to most physical access control systems\u2019 manufacturers and integrators we spoke to, federal agencies\u2019 contracting officers commonly lack sufficient understanding of federal physical access control system requirements. This insufficient understanding of physical access control system requirements may lead contracting officers to award contracts for the installation of physical access control systems to under-qualified integrators, which can lead to systems being improperly deployed or integrated. These experts said that this situation could lead to security vulnerabilities at these agencies and expensive future costs. OMB staff told us that it may be desirable to raise agencies\u2019 awareness of federal physical access control system requirements, and a DHS official told us that this issue could be addressed by the training of program staff by GSA who support contracting officers.", "OMB staff and officials from ISC and GSA indicated that they are aware of some of the challenges described above, as well as the possibility that some may be more broadly present across the federal government. Staff said that OMB and GSA are working with ISC to develop a consolidated guidance document concerning federal identification credentials. However, OMB staff told us that this guidance is primarily intended to consolidate and replace existing guidance documents, and does not contain new information related to the challenges identified by the selected agencies or other stakeholders we spoke to. Best practices that we have previously identified indicate that an interagency mechanism, such as an interagency group led by component or program-level staff, can help federal agencies address policy and program challenges. The guidance of such an interagency group could help agencies to address the challenges that we identified and that are related to implementing physical access control systems.", "ISC, with its unique role in addressing interagency security issues, is well- positioned to assess how the physical security community can help to address the government-wide challenges with physical access control system implementation. For example, ISC is well-positioned to determine through its membership the extent to which the challenges we identified are present across the federal government. In addition, ISC may be able to harness recent interagency efforts, such as the interagency information sharing and collaboration that produced ISC\u2019s guidance on planning and managing security resources, to develop guidance addressing agencies\u2019 cost issues through the mechanisms that we have previously identified, such as leveraging resources. Further, working with GSA, ISC could help to resolve confusion about which Schedule is the appropriate contracting vehicle, to the extent that this lack of clarity persists. ISC may also be positioned to provide a venue for information sharing to allow agencies to address training needs, such as those related to technical challenges, associated with legacy equipment and establish compatible policies to address this challenge. Finally, ISC\u2019s experience with interagency communication and collaboration could also facilitate agencies\u2019 response to concerns about the benefits of interoperable physical access control systems, and could work to reach consensus on the matter. According to a senior ISC official, the ISC has updated its countermeasures standard to assist the physical security community to better understand the references and policies associated with procuring and installing physical access control systems. Additionally, an ISC official told GAO that the ISC has approved commissioning a working group to assess what additional guidance related to physical access control would be beneficial for to the federal physical security community. However, without a government- wide review of the challenges we have identified, those challenges will be difficult to overcome. If these issues are not addressed, the fully interoperable, physical access control system network envisioned post September 11, 2001, and the increased security and efficiency that it would entail, will be difficult to attain."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["OMB and GSA have taken various actions to help federal agencies implement GSA-approved physical access control systems. However, selected agencies have made limited progress, and have faced challenges that impede their progress. Lacking a baseline level of information on adherence to physical access control system requirements prevents OMB from gauging the level of progress being made by agencies. Likewise, an increased understanding of the extent and nature of the challenges that federal agencies may face as they implement physical access control systems may help enhance adherence to physical access control system requirements. This two-pronged approach, the establishment of a baseline and a better understanding of the challenges agencies face as they implement physical access control systems, could prove beneficial in achieving the vision of secure, interoperable systems across departments and agencies."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making one recommendation to OMB, and one recommendation to DHS.", "The Director of OMB should determine a government-wide baseline level of progress in meeting physical access control system requirements, including implementation of GSA-approved systems, and should monitor progress in meeting these requirements. (Recommendation 1)", "The Secretary of Homeland Security should direct the ISC, in collaboration with member agencies, to assess the extent of, and develop strategies to address, government-wide challenges to implementing physical access control systems. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Commerce, Justice, and Homeland Security, EPA, GSA, and OMB for their review and comment. DHS, GSA, and OMB provided technical comments, which we incorporated as appropriate. DHS provided written comments and concurred with our recommendation. DHS\u2019s comments are reprinted in appendix II. OMB staff told us that they did not have a comment on our recommendation. The Departments of Commerce and Justice and EPA did not have any comments on our report.", "We will send copies of this report to the Ranking Member, Subcommittee on Oversight and Management Efficiency, Committee on Homeland Security, House of Representatives and the Secretaries of Commerce and Homeland Security, the Assistant Attorney General for the Department of Justice, the Administrator of the General Services Administration, the Director of the Office of Management and Budget, and the Acting Administrator of the Environmental Protection Agency. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were: (1) to assess the steps the Office of Management and Budget (OMB) and the General Services Administration (GSA) have taken to fulfill their government-wide responsibilities related to physical access control system implementation requirements and (2) to identify challenges selected federal agencies face in adhering to federal physical access control system requirements.", "To assess the steps OMB and GSA have taken to fulfill their government- wide efforts to implement Homeland Security Presidential Directive 12\u2019s (HSPD-12) requirements, and to assess progress in these efforts, we interviewed OMB and GSA about their efforts to ensure that agencies meet the requirement to use GSA\u2019s Approved Products List. We also asked them to provide data, if available, on agencies\u2019 Approved Products List usage. We interviewed seven physical access control system manufacturers (AMAG, Gallagher Group, HID Global, Identiv, Lenel, Software House, and XTec), five integrators (contractors that install the equipment and connect it to agency networks with software) (Convergint Technologies, Chenega Corporation, MC Dean, Parsons, and Systems Engineering, Inc.), as well as other industry organizations\u2014GSA Schedules Inc., the Secure Technology Alliance, and CertiPath\u2014 based on multiple recommendations from previous interviews.", "To identify illustrative examples of the progress that individual agencies have made in using the Approved Products List and implementing other HSPD-12 requirements, as well as the challenges that they have faced in doing so, we selected five executive branch agencies. These included (1) U.S. Coast Guard in the Department of Homeland Security (DHS); (2) Bureau of Prisons in the Department of Justice; (3) Transportation Security Agency in DHS; (4) Environmental Protection Agency (EPA); and (5) GSA. We interviewed officials from these agencies about the Approved Products List and collected data on agencies\u2019 purchases of GSA-approved physical access control system equipment using the Approved Products List since 2013. Our criteria for agency selection included agencies with facilities (1) held by non-defense executive branch agencies; (2) located in the United States; (3) totaling 200 or more buildings; and, (4) that are geographically dispersed (having buildings in 10 or more states). We also gave consideration to agencies with large numbers of buildings (choosing four larger, one smaller) and selected at least two agencies with homeland security responsibilities. We limited our scope to non-defense agencies because we have ongoing work related to these issues at the Department of Defense. We also requested and reviewed documents concerning Approved Products List usage and physical access control systems\u2019 deployment from each of these five selected agencies. Our use of the term stakeholders may include agencies, physical access control manufacturers, integrators, and knowledgeable organizations or officials. Results from our interviews with the selected agencies cannot be generalized. To identify the challenges most frequently cited by agencies, manufacturers, integrators, and other stakeholders, we conducted an analysis of our interviews, reviewed documents provided by agencies, and performed a literature review. In addition to considering the range of federal requirements related to physical access control, we considered relevant internal control standards from federal standards for internal-control in the areas of monitoring, enforcement, planning, and training and collaboration best practices identified in prior GAO work. Further, we reviewed other relevant documents including GAO reports, GSA documentation, OMB memorandums, National Institute of Standards and Technology standards, Interagency Security Committee guidance, a report from the DHS Office of the Inspector General, and additional federal guidance related to physical access control systems.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual name above, Dave Sausville (Assistant Director); Kieran McCarthy (Analyst in Charge); Adam Gomez; Cam Flores; Elizabeth Wood; Josh Ormond; and Melissa Bodeau made key contributions to this report."], "subsections": []}]}], "fastfact": ["Efforts are underway to improve security with a government-wide approach to regulate access to controlled areas in federal buildings. Access control systems use ID cards, card readers, and other technologies to confirm identities and access rights.", "The Office of Management and Budget and the General Services Administration have helped agencies move toward an interoperable system. However, OMB lacks information on agency progress and this hampers its oversight.", "Agencies reported high costs and difficulty adding new equipment to existing systems.", "Among other things, we recommended that OMB determine and monitor agencies' progress."]} {"id": "GAO-19-27", "url": "https://www.gao.gov/products/GAO-19-27", "title": "Drug Control: DOD Should Improve Its Oversight of the National Guard Counterdrug Program", "published_date": "2019-01-17T00:00:00", "released_date": "2019-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 1989, DOD has received billions of dollars to fund the National Guard's participation in a counterdrug program focused on domestic drug interdiction activities. DOD received $261 million for this program in fiscal year 2018. This program provides military support to assist state, local, and tribal law enforcement organizations with counterdrug activities and operates in 54 states and territories across the United States.", "Senate Report 115-125 included a provision for GAO to evaluate the National Guard counterdrug program. This report (1) evaluates the extent to which DOD has strategy and implementing guidance for the National Guard counterdrug program, and (2) assesses DOD's processes to approve states' counterdrug plans and distribute funding to the program, among other things. GAO reviewed DOD's counterdrug strategy and guidance; DOD funding and personnel data; and its processes to distribute funding."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) lacks current strategy and guidance to implement the National Guard counterdrug program. Although a number of key national-level strategies, such as the National Drug Control Strategy, have been updated since 2011 to address changing drug threats, GAO found that DOD's 2011 Counternarcotics and Global Threats Strategy has not been updated to reflect these changes. In addition, the National Guard lacks detailed procedures and processes for the states to implement the National Guard counterdrug program, such as how to conduct cross-state aerial reconnaissance. Without current strategy or guidance, it will be difficult for the National Guard to operate its counterdrug program effectively.", "DOD's processes to approve state counterdrug plans and distribute funding to the state-level counterdrug programs could be improved. Since at least 2009, DOD has provided funding to the states without first approving state plans for counterdrug activities, as required by statute. GAO found that the delay in approval of state counterdrug plans has worsened since fiscal year 2009; in fiscal year 2018, approval took over 9 months (283 days); see figure below. In 2018, DOD took some steps to address the timely review of state plans, but GAO found that those steps did not rectify the problem.", "GAO also found that the process used by the National Guard to distribute funding to the states within the program does not incorporate DOD's strategic counternarcotics priorities, such as the U.S. southwest and northern border areas. GAO's work on results-oriented management states that strategy should inform program activities and resourcing. Until National Guard's process to distribute funding to state counterdrug programs is improved, it risks directing funding toward lower priority counterdrug activities at the expense of higher priority activities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making a total of five recommendations, including, among others, that DOD issue a strategic framework that addresses current drug threats, the National Guard issue guidance with detailed procedures on how states should administer the program, DOD assess the revised process for approving state plans, and the National Guard incorporate DOD's strategic counternarcotics priorities into its funding distribution process. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1989, Congress has provided billions of dollars to the Department of Defense (DOD) to fund the National Guard\u2019s participation in domestic drug interdiction and counterdrug activities. The type of military support provided by the National Guard can range from reconnaissance to analytical support, but it generally reflects the drug interdiction priorities of the Governors of the 50 states, the District of Columbia, and three U.S. territories; the capabilities of each state\u2019s National Guard; and the needs of interagency partners. These interagency partners include state, local, and tribal law enforcement organizations, as well as several federal agencies\u2014 including the Departments of Justice, Homeland Security, and Treasury\u2014all of which are involved in efforts to disrupt and dismantle the infrastructure of major drug-trafficking organizations. According to the National Guard Bureau, in fiscal year 2017, the National Guard counterdrug program employed over 3,700 personnel who supported law enforcement\u2019s efforts to remove over 3.3 million pounds, or nearly $11.2 billion, in illicit drugs from U.S. communities. In addition to providing support to law enforcement partners, the National Guard Bureau operates five counterdrug schools that provide training in drug interdiction and counterdrug activities. According to the National Guard Bureau, these schools trained over 41,400 law enforcement officers, community based organization members, and military personnel in fiscal year 2017.", "Senate Report 115-125 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 contained a provision that we evaluate the National Guard counterdrug program and its approach to resource allocation. This report: (1) evaluates the extent to which DOD has strategy and implementing guidance for the National Guard counterdrug program, (2) describes the actions taken by the National Guard Bureau to improve the availability of funds when operating under continuing resolutions, and (3) assesses DOD\u2019s processes to approve states\u2019 counterdrug plans and distribute funding to the program.", "To address our objectives, we reviewed documentation and interviewed officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats; the National Guard Bureau; select state counterdrug programs; Office of the Under Secretary of Defense, Comptroller; and Army and Air National Guard Budget Execution Offices. Our analysis of the National Guard counterdrug program focused on Title 32 state activities, which includes five specific projects: 1) state plans, 2) counterdrug schools, 3) counterthreat finance, 4) linguist support, and 5) linguist and data analysis.", "In addition, we used a non-generalizable sample of 9 of the 54 participating states, territories, and the District of Columbia as case studies and interviewed officials in those states to get their perspectives on strategy, policy, guidance, and funding for the program. The nine states we included in our review were: Alaska, California, Maine, Mississippi, Missouri, New Mexico, New York, Tennessee, and Texas. To select these case studies for our sample, we relied on five criteria. First, we selected states from each of the four counterdrug program regions: Northeast, Northwest, Southeast, and Southwest. Second, we selected both low and high drug threat level states from each region, as determined by the National Guard Bureau\u2019s funding distribution model known as the threat-based resource model in 2018. Third, we selected states that experienced large fluctuations in their threat level between fiscal years 2016 and 2018 as a consequence of changes to the National Guard Bureau\u2019s threat-based resource model for fiscal year 2018, such as the expansion in the number of drug threat variables in the model and the institution of seizure thresholds to better distinguish which drug seizures would be considered within the model. Fourth, we selected states that received what National Guard Bureau officials referred to as a \u201cfunctional\u201d level of funding for fiscal year 2018, meaning that funding was provided at a level necessary to support two counterdrug missions in that state or territory, regardless of its threat level. Finally, we selected from states that have an international border and that border international waters.", "To address our first objective, we reviewed DOD\u2019s 2011 Counternarcotics and Global Threats Strategy and other executive branch strategy documents, including the Office of National Drug Control Policy\u2019s National Drug Control Strategy and geographic drug control strategies. We evaluated DOD\u2019s strategy to determine the extent to which it aligned with current national-level strategies and drug threats. We also reviewed a DOD Inspector General assessment of the National Guard counterdrug program that addresses the counternarcotics and global threats strategy. In addition, we reviewed whether the National Guard Bureau has issued guidance on counterdrug support in accordance with Chief National Guard Bureau policy that assigns responsibility for the issuance of supporting guidance for the National Guard counterdrug program.", "To address our second objective, we analyzed DOD\u2019s budget requests and congressionally-directed increases for fiscal years 2004 through 2018. We also analyzed the National Guard counterdrug program\u2019s total budget authority and obligation amounts by project code and calculated overall obligation rates for fiscal years 2010 through 2017. Further, we examined the number of personnel on-orders by month supporting National Guard counterdrug program activities for October 2012 through August 2018. Finally, we reviewed DOD\u2019s process to distribute funds to the National Guard counterdrug program and funding received under each appropriation period\u2014including continuing resolutions and final appropriations\u2014for fiscal years 2014 and 2018, including the timing and amount of funds received.", "To address our third objective, we reviewed DOD\u2019s process for approving state drug interdiction and counterdrug activities plan submissions and distributing funding to state counterdrug programs for fiscal years 2009 through 2018. We compared DOD\u2019s process for approving state plan submissions to the law governing the use of funds for state counterdrug activities and to DOD policy. Finally, we examined the National Guard Bureau\u2019s threat-based resource model and its process to distribute funding to the program and assessed it based on GAO\u2019s work on results- oriented management.", "We assessed the reliability of the following types of data on the National Guard counterdrug program: DOD\u2019s budget requests and congressionally-directed increases for fiscal years 2004 through 2018; total budget authority and obligations amounts for fiscal years 2010 through 2017; program personnel on orders by month for October 2012 through August 2018; threat-based resource model percentages for fiscal years 2015 through 2018 and planned funding levels by state or territory program for fiscal years 2012 through 2018; and state plans approval dates for fiscal years 2009 through 2018. We assessed the reliability of all sources of data by examining them for missing values, outliers, and obvious errors as well as by interviewing knowledgeable agency officials regarding their accuracy and completeness. For data on DOD\u2019s budget requests, congressionally-directed increases, total budget authority, and obligation amounts, we examined other sources that provide the same types of data to ensure consistency. In addition, we also assessed data on DOD\u2019s budget requests and congressionally-directed increases by comparing them to amounts presented in a prior GAO report. We determined that all the data we report on were sufficiently reliable for the purposes of our review.", "We conducted this performance audit from August 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "National Guard Counterdrug Program", "paragraphs": ["The National Guard counterdrug program is part of DOD\u2019s broader counterdrug mission, which focuses on supporting local, state, federal, and foreign government agencies in addressing the illegal drug trade and narcotics-related terrorism. The program was originally conceived as a reconnaissance support mission largely focused on marijuana eradication efforts. In 1977, the Hawaii National Guard became the first state National Guard to assist law enforcement agencies in counterdrug missions. Hawaii law enforcement officials sought Hawaii National Guard helicopter transport to support Operation Green Harvest, a marijuana eradication mission. By 1984, four additional states\u2019 National Guards were supporting state law enforcement agencies with counterdrug efforts. That number grew to 32 states in 1988. However, this assistance was limited in scope and generally conducted as Guard units performed normal training activities, and costs associated with this assistance were paid for by the states.", "The National Defense Authorization Act, Fiscal Year 1989 tasked DOD with the mission to ensure the availability of military support to law enforcement agencies nationwide. This law established DOD as the single lead agency of the federal government for the detection and monitoring of aerial and maritime transit of illegal drugs into the United States, and it amplified the National Guard\u2019s role as a support agency for state law enforcement in counterdrug support missions under the Governor of each state, territory, and the District of Columbia. By 1994, the program was in operation in 54 states and territories across the United States.", "As of fiscal year 2018, National Guard Bureau policy allows state counterdrug programs to perform 15 support activities grouped into five broad mission categories\u2014(1) technical support (including linguist and translator, operational and investigative case and criminal analyst, and counterthreat finance support), (2) general support (including domestic cannabis suppression and eradication operations and transportation support), (3) reconnaissance and observation (including ground and aerial reconnaissance), (4) civil operations and coalition development, and (5) counterdrug training."], "subsections": []}, {"section_title": "Legal Authorities of the National Guard Counterdrug Program", "paragraphs": ["The National Guard counterdrug program conducts activities under the authority of two titles in the United States Code\u2014Title 32 and Title 10. Section 502 of title 32 allows a member of the National Guard to be ordered to full-time National Guard duty status under regulations prescribed by the Secretary of the Army or Secretary of the Air Force. In addition, Section 112 of title 32 authorizes personnel of the National Guard of a State, under regulations prescribed by the Secretary of Defense, to be ordered to perform full-time National Guard duty under section 502 for the purposes of carrying out drug interdiction and counterdrug activities in accordance with state plans. Section 112 also authorizes the Secretary of Defense to provide funds to support the approved drug interdiction and counter-drug activities plan of state governors.", "In addition, Title 10 allows the Secretary of the Army or Air Force to order a member of the National Guard, under the Secretary\u2019s jurisdiction, to active duty with the consent of the member and the governor of that state. Under Section 284 of title 10, DOD provides support to a number of partners, such as federal agencies, in their counterdrug activities, at times using National Guard personnel on active duty. Table 1 provides a summary of the Title 32 and Title 10 authorities."], "subsections": []}, {"section_title": "Funding for the National Guard Counterdrug Program", "paragraphs": ["To fund DOD\u2019s counterdrug mission, Congress appropriates amounts to DOD\u2019s Drug Interdiction and Counterdrug Activities, Defense account. The categories of activities funded by the account include: detection and monitoring; international support; intelligence, technology, and other; domestic support, which includes the National Guard counterdrug program; and drug demand reduction. Of all the activities, the domestic support activity, which includes the National Guard counterdrug program, receives the largest amount of funding from DOD\u2019s Drug Interdiction and Counterdrug Activities account. In fiscal year 2018, Congress appropriated about $934.8 million to the Drug Interdiction and Counterdrug Activities, Defense account, of which about $261.4 million, or 28 percent, was appropriated for the National Guard counterdrug program. Figure 1 shows the program funding in DOD\u2019s Drug Interdiction and Counterdrug Activities Account for fiscal year 2018.", "DOD\u2019s budget request to the President for the National Guard counterdrug program was generally steady from fiscal year 2004 through fiscal year 2012, but was reduced significantly in fiscal year 2013. Since then, congressionally-directed increases have generally accounted for 50 percent or more of the program\u2019s total funding, as shown in figure 2 below.", "In fiscal year 2018, the Senate Committee on Appropriations expressed concerns that DOD reduced overall funding for the National Guard counterdrug program from the fiscal year 2017 enacted levels and failed to include an individual budget line in its budget request for the National Guard counterdrug schools program. DOD\u2019s budget request for fiscal year 2018 was about $116.4 million, while the final appropriation designated $261.4 million for the program\u2014approximately a 125 percent increase."], "subsections": []}, {"section_title": "Roles and Responsibilities", "paragraphs": ["On July 31, 2002, the Deputy Secretary of Defense issued a memorandum that, among other things, assigned responsibility for DOD\u2019s counternarcotics program to the Deputy Assistant Secretary of Defense for Counternarcotics. The responsibilities include developing and implementing DOD\u2019s counternarcotics policy, conducting analyses, making recommendations, and issuing guidance regarding DOD\u2019s counternarcotics plans and programs. In addition, the office is responsible for coordinating and monitoring DOD\u2019s counternarcotics plans and programs to ensure adherence to this policy.", "Chief National Guard Bureau Instruction 3100.01A, National Guard Counterdrug Support, establishes policy and assigns responsibilities for the National Guard counterdrug program. The instruction assigns the Director of the National Guard Domestic Operations and Force Development as the proponent for the program. The Director\u2019s responsibilities include publishing supporting documents for the instruction, verifying that the plans outlining each state\u2019s proposed activities are consistent with annual instructions published by the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats and are processed efficiently and on-time, and conducting periodic evaluations of program operations at the state level."], "subsections": []}]}, {"section_title": "DOD Lacks a Current Strategy and Guidance for the National Guard Counterdrug Program", "paragraphs": [], "subsections": [{"section_title": "DOD Counternarcotics and Global Threats Strategy Is Outdated", "paragraphs": ["DOD\u2019s 2011 Counternarcotics and Global Threats Strategy, the governing strategy for the National Guard counterdrug program, is outdated and does not reflect current drug threats outlined in more recent executive branch strategies. While the 2011 Counternarcotics and Global Threats Strategy shares common themes with the updated executive branch strategies, such as the importance of combatting transnational criminal organizations involved in drug trafficking, it has not been updated to reflect changes in the drug threats faced by the United States that are outlined by the more recent executive branch strategies. Table 2 provides details on national-level strategies that have been released since 2011.", "The Office of National Drug Control Policy released a new National Drug Control Strategy each year between 2011 and 2016. Each update discussed the threat posed by opioids, which the 2016 update labeled as the greatest drug threat facing the nation. The 2017 National Security Strategy also addressed opioids by emphasizing the need to dismantle transnational criminal organizations that feed the illicit opioid epidemic. However, DOD\u2019s 2011 Counternarcotics and Global Threats Strategy does not address the domestic opioid epidemic. In addition, the 2016 National Southwest Border Counternarcotics Strategy states that the increased role of Mexican heroin manufacturers and traffickers is altering previously established trafficking patterns. While the 2011 Counternarcotics and Global Threats Strategy considers the illicit trafficking of cocaine from the Southwest border, it does not consider changes in the heroin threat. Further, because DOD\u2019s Counternarcotics and Global Threats Strategy has not been updated, it does not take into consideration other strategies that have since been issued, such as the 2015 Caribbean Border Counternarcotics Strategy. According to officials from the National Guard Bureau, DOD\u2019s 2011 counternarcotics strategy only addresses the National Guard counterdrug program in a limited capacity and therefore they are challenged to provide strategic direction to the state counterdrug programs.", "DOD\u2019s 2011 Counternarcotics and Global Threats Strategy states that officials will ensure that the strategy remains consistent with and integrates key DOD and executive branch strategies, such as National Drug Control Strategy. It also states that, given the dynamic environment within which the challenges related to the flow and impact of illegal drugs exist, the strategy is meant to be a living document, to be modified regularly. However, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats acknowledged that they have not regularly modified the strategy and that the security environment has changed. These officials stated that they have been in the process of developing an updated Counternarcotics and Global Threats Strategy with revised strategic goals and objectives since 2013, but the document has not been signed and released by the Secretary of Defense. DOD officials stated that after the 2018 National Defense Strategy was issued, they delayed the release of an updated Counternarcotics and Global Threats Strategy in order to ensure alignment between the two documents. However, according to DOD officials, the 2018 National Defense Strategy, which was issued in January 2018, did not address DOD counternarcotics efforts as they had anticipated, requiring them to reconsider their approach.", "Officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated that they now plan to issue a strategic framework, which would allow them to respond to changes in the security environment more quickly because updates to the framework would not require Secretary of Defense approval, as is the case with a DOD strategy. However, they stated that they are now waiting for the release of a new National Drug Control Strategy before issuing the framework. Officials with the Office of National Drug Control Policy stated that, while they have drafted a new National Drug Control Strategy, they have not committed to an issuance date and are waiting for their new director to be confirmed by the Senate before proceeding with reviewing and issuing the draft. However, a substantial amount of time has lapsed since DOD\u2019s counternarcotics strategy was last issued\u2014over 7 years\u2014 and there have been significant developments during that time in the nature of the drug threats facing the United States. DOD officials acknowledged that because the process to update its strategic framework requires less review than a full strategy, DOD could quickly update it, if necessary, to ensure that it aligns with a new National Drug Control Strategy once one is released. Without a DOD counternarcotics and global threats strategic framework that reflects DOD\u2019s current strategic priorities and drug threats, the National Guard counterdrug program risks focusing activities and resources in areas that are less imperative to address than others and that do not counter current drug threats."], "subsections": []}, {"section_title": "The National Guard Bureau Does Not Have Guidance for Operating and Administering the Counterdrug Program", "paragraphs": ["The National Guard Bureau had guidance\u2014National Guard Regulation 500-2\u2014that prescribed policies, procedures, and responsibilities for the National Guard counterdrug program, but it was rescinded in September 2014 by Chief National Guard Bureau Instruction 3100.01 to conform with new National Guard publications guidance, according to National Guard Bureau officials. Chief National Guard Bureau Instruction 3100.01A, which replaced Chief National Guard Bureau Instruction 3100.01 in June 2015, establishes policies and assigns responsibilities for the National Guard counterdrug program, but it does not provide detailed procedures and processes that states can use to implement these policies. For example, National Guard Regulation 500-2 provided information on how states should operate and administer the National Guard counterdrug program, including how to perform counterdrug financial management, acquisition and logistics management, personnel and administration, records and reports, and operate the counterdrug schools. Chief National Guard Bureau Instruction 3100.01A does not provide these types of instructions. State counterdrug program officials we interviewed stated that without the detailed procedures and processes included in National Guard Regulation 500-2, they have no administrative guidance regarding hiring, retirement, budgeting, and planning for their counterdrug programs. Additionally, National Guard Bureau officials stated that they do not have procedures and processes instructing states on how to provide cross-state support. For example, there are currently no guidelines on how a state that can perform aerial reconnaissance activities could provide these resources to another state upon request. National Guard Bureau officials told us they should have guidelines to facilitate cross-state support. Table 3 provides an overview of National Guard Bureau publications.", "To help implement policy established by Chief National Guard Bureau instructions, the National Guard Bureau can issue more detailed guidance on the corresponding procedures and processes in the form of a Chief National Guard Bureau Manual. Additionally, Chief National Guard Bureau Instruction 3100.01A, National Guard Counterdrug Support, assigns the Director of National Guard Domestic Operations and Force Development the responsibility to publish supporting documents to implement the instruction and counterdrug program when required. However, the National Guard Bureau officials acknowledge that they have not issued a manual that provides detailed procedures and processes to implement National Guard counterdrug program policies since the prior operating guidance in the National Guard regulation was rescinded in September 2014.", "National Guard Bureau officials stated that they intended to publish a Chief National Guard Bureau Manual in September 2014, concurrent with Chief National Guard Bureau Instruction 3100.01, which would have provided additional operating guidance for administering and operating the counterdrug program. However, according to National Guard officials, issuance of the manual was delayed because of disagreements among National Guard Bureau officials about its content. Specifically, some National Guard Bureau officials stated that the draft manual was too focused on support for Title 10 activities and did not adequately address Title 32 support, which reflects the bulk of the activities conducted by the program. National Guard Bureau officials stated that they intended to re- issue National Guard Regulation 500-2 as interim guidance until they completed the Chief National Guard Bureau Manual; however, they have yet to do so because they have been focused on other efforts. National Guard Bureau officials stated that they have now worked with state counterdrug program officials to more adequately address Title 32 support activities and intend to publish a Chief National Guard Bureau Manual in June 2019.", "The draft manual is in the beginning of the review process. However, the National Guard Bureau will not have guidance to operate the counterdrug program until at least June 2019. Without interim guidance that provides detailed procedures and processes for the National Guard counterdrug program, such as reissuing National Guard Regulation 500-2, states will continue to be left without clear instructions on how to operate and administer the program, such as how and when to provide support across state lines and to interagency partners."], "subsections": []}]}, {"section_title": "The National Guard Bureau Has Taken Steps to Improve the Availability of Funds When Operating under Continuing Resolutions", "paragraphs": ["The federal government has operated under a continuing resolution for 36 of the last 40 years. National Guard counterdrug program officials stated that they have experienced program disruptions during these periods. The disruptions described by the officials are similar to the problems that other programs experience during continuing resolutions. For example, National Guard Bureau officials stated that continuing resolutions have created challenges for the National Guard counterdrug program in fully obligating its funds. DOD data show that the program obligated 84 and 82 percent of total budget authority amounts in fiscal year 2011 and 2013 respectively, although the gap between total budget authority amounts and obligations has decreased since then. According to National Guard officials, the differences over the years between the amounts obligated and total budget authority amounts were partly due to the timing and amount of funding received by the program. Specifically, they stated that it is difficult to fully obligate funds when DOD provides them with a significant portion of their funding close to the end of the fiscal year.", "Remaining unobligated amounts are transferred back to DOD\u2019s Drug Interdiction and Counterdrug Activities, Defense account. Figure 3 details the counterdrug program\u2019s obligations from fiscal years 2010 through 2017.", "State counterdrug program officials stated that the timing of DOD\u2019s distribution of funds also creates program execution challenges. For example, state counterdrug program officials stated that prior to fiscal year 2017, they began each year with a minimal number of personnel performing state drug interdiction and counterdrug activities until DOD provided more funding to the program after the enactment of the appropriation for the remainder of the fiscal year. Thereafter, state program officials stated that they increased the number of National Guard personnel supporting National Guard counterdrug program activities. However, state program officials said that after the appropriation expired at the end of each fiscal year, they were once again forced to reduce the number of personnel performing state drug interdiction and counterdrug activities until the enactment of another final appropriation was passed. Figure 4 provides a summary of the number of National Guard personnel performing state drug interdiction and counterdrug activities by month during fiscal years 2012 through 2017.", "According to state counterdrug program officials, the majority of funds provided after a final appropriation is passed fund temporary personnel and seasonal work, rather than analysis support activities deemed a priority for the National Guard counterdrug program by the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats. State counterdrug program officials stated that this is because they cannot hire, train, and integrate personnel on a full-time basis and that law enforcement agencies are looking more for long-term, rather than temporary support. State counterdrug officials told us that as a result of the funding uncertainty they experience significant fluctuations in the number of personnel performing state drug interdiction and counterdrug activities and that they are challenged in obtaining and retaining highly qualified National Guard personnel. Additionally, state counterdrug program officials stated that withdrawing National Guard personnel from partner organizations after appropriations expire can severely affect their operations and diminish trust between counterdrug programs and law enforcement partners.", "According to National Guard Bureau officials, the National Guard Bureau revised its process for funding the National Guard counterdrug program in fiscal year 2017 to try to mitigate the effects of DOD\u2019s process for providing funds under continuing resolutions on the program. Specifically, the National Guard Bureau worked with the Army and Air National Guard budget execution offices to establish a process to expedite funding made available to the state-level counterdrug programs. Under the revised process, the Army and Air National Guard budget execution offices reprogram available amounts from other programmatic activities, such as funds for annual training, to the counterdrug program earlier in the fiscal year. According to Army and Air National Guard budget execution officials, amounts provided through reprogramming are based on a number of factors, including prior years\u2019 appropriations for the program, execution levels, current-year appropriations and congressional directions, and an assessment of risk to the other activities.", "The National Guard Bureau and state counterdrug program officials stated that this revised funding process has helped mitigate challenges arising from uncertainty of when and how much funding would be provided to the states. For example, state counterdrug program officials said that in fiscal year 2017, the funding process enabled them to retain more personnel on orders and decrease the amount of funds that went unspent. The total number of personnel assigned to the National Guard counterdrug program at the beginning of fiscal year 2018 was approximately 2,250. Conversely, the program began fiscal year 2016 with approximately 1,350 personnel on orders. In addition, program officials stated that the process to provide funding earlier in the fiscal year helped them to obligate almost 97 percent of the total budget authority in fiscal year 2017, a higher percentage compared to many of the previous fiscal years. National Guard officials stated that while reprogramming amounts from other programmatic activities has helped to address the fiscal challenges of the National Guard counterdrug program, they cannot provide assurance that this funding process will continue from year to year. However, National Guard Bureau officials have assessed the risks and believe this is the best solution available for funding the program during a continuing resolution until the enactment of the final appropriation."], "subsections": []}, {"section_title": "DOD Could Improve Its Processes for Approving and Distributing Funds to State Counterdrug Programs DOD Has Provided Funding to State Counterdrug Programs without Approved Plans", "paragraphs": ["DOD has established a process for development and review of the state plans\u2014an annual plan of each state\u2019s counterdrug activities\u2014to ensure that state counterdrug program activities reflect DOD\u2019s counternarcotics strategic priorities. However, since at least 2009 DOD has not met the statutory requirement to examine the adequacy of state plans prior to distributing funding to state counterdrug programs.", "To develop the state plans, counterdrug coordinators in each state counterdrug program use guidance in annual memorandums issued by DOD. According to the guidance, the plans should identify the state\u2019s counterdrug priorities and how each state counterdrug program intends to obligate its available funds. Counterdrug coordinators then work with their state\u2019s Adjutant General, Attorney General, and Governor, who each review and sign them, before the plans are sent to the National Guard Bureau for further review. Once the National Guard Bureau reviews the plans, they are forwarded to the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats. Officials from that office review the plans and make recommendations to the Secretary of Defense to approve or disapprove the plans. Based on these recommendations, the Secretary of Defense reviews the plans for adequacy, and when satisfied, signs a memorandum of agreement approving the plans. Figure 5 provides an outline of the process to approve state plans for their counterdrug activities.", "However, since at least 2009, DOD has provided funding to the state counterdrug programs prior to the Secretary of Defense approving states\u2019 plans for their counterdrug activities, according to National Guard Bureau officials. This is inconsistent with section 112 of title 32 of the United States Code, which requires that before funds are provided to the Governor of a state for counterdrug activities and before members of the National Guard of that State are ordered to full-time National Guard duty, the Secretary of Defense must examine the adequacy of the plan submitted by the Governor. We found that that the delay in approval of states\u2019 plans for their counterdrug activities has worsened since 2009, and in fiscal year 2018, approval took over 9 months (283 days) after funding was provided at the beginning of the fiscal year. Figure 6 provides information on the number of days between the beginning of the fiscal year, when states received funding, and when all plans were approved in fiscal years 2009 through 2018.", "Officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats and the National Guard Bureau stated that several factors have contributed to delays in the state plan approval process. First, officials stated that, prior to fiscal year 2016, the National Guard Bureau submitted state plans to the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats signed by the Division Chief of the National Guard counterdrug program, a colonel in the Army or the Air Force. However, in fiscal year 2016, officials from the Office of the Secretary of Defense found the Counterdrug Program Division Chief\u2019s review and approval of the state plans to be insufficient because the approving official did not have the appropriate rank to approve state plans on behalf of the National Guard Bureau. As a result, officials from the National Guard Bureau elevated the level of approval within the National Guard Bureau to the National Guard Bureau Joint Staff Director of Domestic Operations and Force Development, a Major General in the Army National Guard or Air National Guard. Officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated that this resulted in an increase in the number of days that it took the National Guard Bureau to provide reviewed state plans. Officials stated that they are working to develop an updated timeline to address delays created by the approval process. Specifically, officials stated that they are working to submit the plans for review earlier in order to allow enough time to ensure that state plans are approved before funds are provided to state counterdrug programs.", "Second, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated that their office required state plans to include information, such as narratives detailing states\u2019 planned activities that were not critical to determining plans\u2019 alignment with DOD priorities. In addition, officials stated that, over time, states had expanded the narratives in their plans, which increased the length of each submission. As a result of this required information, officials stated that the department\u2019s review of state plans took longer than had the extra information not been included. Officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated they have reviewed the statutory requirements for the plans to identify which components are necessary and streamlined the format of the plans for use in fiscal year 2019.", "Third, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated that in the past the Office of the Secretary of Defense would not accept state plans from the National Guard Bureau in batches, but instead insisted on receiving and reviewing them altogether, delaying the review process. These officials noted that they have since begun accepting state plans from National Guard Bureau in batches in order to speed up the approval process.", "On June 7, 2018, the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats issued a memorandum to the Chief of the National Guard Bureau that required all states and territories to submit their plans, through National Guard Bureau and the Joint Staff, to his office no later than August 31, 2018. According to officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats, the state plans were to detail fiscal year 2019 National Guard counterdrug program activities and provide the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats additional time to review state plans prior to the beginning of the fiscal year.", "However, in October 2018, officials from the National Guard Bureau and the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats told us that none of the fiscal year 2019 plans had been approved prior to the beginning of the fiscal year, and that DOD had provided state counterdrug programs with funding for fiscal year 2019. As of mid-November, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats told us that 39 of the 54 state plans had been approved. DOD has not assessed why the steps it took to improve the state plan review process did not result in timely approval of the state plans. GAO\u2019s Standards for Internal Control in the Federal Government note that management should monitor activities and evaluate the results of programmatic changes. Assessing the revised process for reviewing states\u2019 plans would enable DOD to determine what additional actions are needed to ensure the plans are approved by the Secretary of Defense before funding is provided to state counterdrug programs, as statutorily required by section 112 of title 32."], "subsections": [{"section_title": "National Guard Bureau\u2019s Funding Distribution Process Does Not Incorporate DOD Strategic Counternarcotics Priorities", "paragraphs": ["We found that the National Guard Bureau\u2019s funding distribution process does not consider DOD\u2019s strategic counternarcotics priorities. For example, while DOD\u2019s 2011 Counternarcotics and Global Threats Strategy prioritizes efforts on the southwest and northern borders, the National Guard Bureau\u2019s funding distribution process does not specifically account for this. Rather than taking into account established DOD counternarcotics priorities to inform funding distribution, the National Guard Bureau uses survey results and statistics on drugs from a number of national-level databases to develop a distribution percentage for each state within its threat-based resource model that reflects its relative drug threat. Each state\u2019s threat-based resource model percentage is then applied to the funding transferred to the National Guard Bureau from the Drug Interdiction and Counterdrug Activities, Defense account and disbursed to the 54 state programs. For example, Arizona\u2019s threat percentage was determined to be 6.25 percent based on existing drug threats; as a result, Arizona received about $11.8 million in funding for state plans in fiscal year 2018.", "National Guard Bureau officials stated that while the threat-based resource model\u2019s variables and the data that feed the model relate to DOD strategic counternarcotics priorities, they do not adjust the process to reflect these priorities when distributing funding. When we asked National Guard Bureau officials why its funding distribution process does not consider DOD\u2019s strategic counternarcotics priorities, National Guard Bureau officials stated that they were focused on identifying variables and data sources within the threat-based resource model to reflect relative drug threats and did not consider incorporating DOD\u2019s strategic counternarcotics priorities as part of the funding distribution process.", "Our work on results-oriented management states that strategy should inform program activities and resourcing. In addition, the National Guard Bureau reported that the goal of the threat- based resource model is to prioritize the most pressing threats from a national perspective, informed by current national and DOD counternarcotics strategies. Both the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats and National Guard Bureau officials stated that incorporating DOD\u2019s strategic counternarcotics priorities into the National Guard Bureau\u2019s funding distribution process would help ensure that DOD priorities are resourced. National Guard Bureau officials stated that they are considering how to align the funding distribution process with DOD\u2019s strategic counternarcotics priorities. They added that the next time they could make changes to their funding distribution process would be for use in fiscal year 2020. Until the National Guard Bureau incorporates DOD\u2019s strategic counternarcotics priorities into the funding distribution process, the National Guard Bureau risks directing funding toward lower priority counterdrug activities at the expense of higher priority activities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The National Guard counterdrug program was established nearly 30 years ago to assist efforts of the Governors of the 50 states, District of Columbia, and three U.S. territories in addressing illicit drug production, trade, and consumption. The drug threats facing the nation are complex and continue to evolve over time, and efforts to combat those threats will require continued support from DOD, to include the National Guard counterdrug program.", "DOD lacks current strategy and guidance for the National Guard counterdrug program. Although DOD has a counternarcotics and global threats strategy from 2011, it is outdated and does not reflect current drug threats or changes in national-level strategies, which are critical for informing DOD\u2019s strategic counternarcotics priorities. Issuing a strategic framework will ensure that DOD\u2019s counterdrug priorities are aligned with the priorities of other agencies involved in counternarcotics efforts, provide direction for DOD\u2019s counternarcotics activities, and ensure that the National Guard counterdrug program addresses current drug threats. Further, the National Guard Bureau guidance to operate and administer the program was rescinded and has not been replaced, leaving state counterdrug programs officials without clear instructions on how to operate and administer program activities. Issuing interim guidance would provide detailed processes and procedures that states could use to operate their counterdrug programs. Without current strategy or guidance for the National Guard counterdrug program, it will be difficult for the program to operate effectively.", "In addition, it is important to ensure that funding is distributed to the state- level programs in support of DOD\u2019s strategic counternarcotics priorities. Although the Secretary of Defense is statutorily responsible for reviewing the adequacy of states\u2019 plans prior to providing funds to the states, these reviews have not occurred before state counterdrug programs received funding. Also, the National Guard Bureau has not incorporated DOD\u2019s strategic counternarcotics priorities into its funding distribution process, which is instead wholly reliant on survey responses and drug data. While these are important factors to consider when distributing funding, incorporating DOD strategic counternarcotics priorities into the National Guard Bureau\u2019s funding distribution process would better inform such decisions. Until DOD\u2019s process to approve state plans and the National Guard Bureau\u2019s process to distribute funding are improved, DOD may not be able to ensure that resources are applied to its strategic counternarcotics priorities.", "Taken together these actions should improve the Department\u2019s oversight of the National Guard counterdrug program and help ensure that the program uses resources effectively and achieves positive results."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making five recommendations to DOD.", "The Secretary of Defense should ensure that the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats issues its counternarcotics and global threats strategic framework that incorporates relevant national-level strategies and reflects current drug threats, and update it, as appropriate, upon issuance of the new National Drug Control Strategy. (Recommendation 1)", "The Secretary of Defense should ensure that the Chief of the National Guard Bureau issues interim guidance that provides detailed procedures and processes on how to operate and administer the National Guard counterdrug program. (Recommendation 2)", "The Secretary of Defense should ensure that the Chief of the National Guard Bureau take steps to ensure it issues a manual to accompany Chief National Guard Bureau Instruction 3100.01A, National Guard Counterdrug Support, by June 2019. (Recommendation 3)", "The Secretary of Defense should ensure that the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats, in coordination with the Chief of the National Guard Bureau, assess the revised process for reviewing states\u2019 plans for their counterdrug activities, and take actions based on the assessment to ensure the plans are approved by the Secretary of Defense before funding is provided to state counterdrug programs, as statutorily required. (Recommendation 4)", "The Secretary of Defense should ensure that the Chief of the National Guard Bureau incorporate the strategic counternarcotics priorities, to be outlined in DOD\u2019s counternarcotics and global threats strategic framework, into the National Guard Bureau\u2019s funding distribution process. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In written comments on a draft of this report, DOD concurred with all five of our recommendations and identified actions it plans to take to improve its oversight of the National Guard counterdrug program. DOD\u2019s comments are reprinted in their entirety in appendix VI. DOD also provided technical comments on a draft of this report, which we incorporated as appropriate. For example, we adjusted the wording of our fifth recommendation, replacing threat-based resource model with funding distribution process, to reflect the department\u2019s technical comment that it is unlikely that the National Guard Bureau would change the threat-based resource model, but rather add strategic priorities to the funding distribution process to meet the intent of our recommendation.", "We are sending copies of this report to appropriate congressional committees, the Acting Secretary of Defense, the Assistant Secretary of Defense for Special Operations/Low-Intensity Conflict, and the Chief of the National Guard Bureau. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact me at (202) 512-2775 or fielde1@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: National Guard Counterdrug Program Funding by Project Code", "paragraphs": ["Department of Defense (DOD) budgets for National Guard counterdrug program activities using 5 projects codes: 7403\u2014State Plans\u2014funds DOD support to U.S. State Governors in accordance with State requests in the form of drug interdiction and counter-drug activities plans submitted in accordance with 32 U.S.C. \u00a7 112(c). 7415\u2014Counterdrug Schools\u2014funds five National Guard Counterdrug Schools as authorized by \u00a7901 of the Office of National Drug Control Policy Reauthorization Act of 2006, as amended, and as identified in plans submitted by host State Governors to the Secretary of Defense in accordance with 32 U.S.C. \u00a7 112(c). 9301\u2014Counterthreat Finance\u2014funded reserve military pay and associated support costs for National Guard personnel in support of State, Federal, and Combatant Command efforts to identify, target, and disrupt illicit financial systems that enable drug trafficking, and when vital to U.S. national security interests\u2014terrorism and transnational organized crime. 1295\u2014Linguist and Data Analysis\u2014funds DOD support for combatant command and interagency law enforcement efforts to detect and disrupt transnational criminal organizations\u2019 operations using linguistic and analytical skills of National Guard personnel. 9498\u2014Linguist Support\u2014funds language transcription, translation, and data analysis support to the U.S. Department of Justice and Drug Enforcement Administration using Utah National Guard personnel.", "DOD\u2019s budget request for the National Guard counterdrug program increased steadily from fiscal year 2004 through fiscal year 2012, peaking at just more than $205 million. However, in fiscal year 2013 DOD\u2019s budget request for the program decreased substantially and continued to decline through fiscal year 2017. The decrease in requested funding amounts for the program is primarily in the State Plans and Counterdrug Schools project codes. In fiscal year 2018, the budget request for the program increased slightly and included additional funding amounts within the State Plans and Counterdrug Schools project codes. Table 4 provides a summary of DOD\u2019s budget request for the National Guard counterdrug program, by project code, in fiscal years 2004 through 2018.", "Since at least 2004, Congress has directed increases above DOD\u2019s budget request level for the activities of the National Guard counterdrug program. Congressionally-directed increases have been directed to the State Plans and Counterdrug Schools project codes. Beginning in fiscal year 2013, congressionally-directed increases have generally made up half or more of the total funding appropriated to the National Guard counterdrug program. Table 5 provides a summary of congressionally- directed increases for the National Guard counterdrug program, by project code, in fiscal years 2004 through 2018.", "According to DOD\u2019s data, total budget authority for the National Guard counterdrug program varied from fiscal year 2010 through fiscal year 2017. Total budget authority may be above or below congressionally- enacted amounts because DOD can transfer or reprogram amounts into other authorized accounts and activities based on program requirements. Table 6 provides a summary of total budget authority for the National Guard counterdrug program, by project code, in fiscal years 2010 through 2017.", "According to DOD\u2019s data, obligation amounts for the National Guard counterdrug program varied from fiscal year 2010 through fiscal year 2017. According to National Guard officials, variation was partly due to the timing and amount of allocations received by the program. Funds transferred from the Drug Interdiction and Counterdrug Activities, Defense account to various other DOD drug interdiction accounts or programs, including the National Guard program, can be transferred back to the account upon a determination that all or part of the funds are not necessary and remain unobligated. Once funds are returned to the Drug Interdiction and Counterdrug Activities, Defense account, they are available for transfer to other DOD counterdrug programs for obligation. Table 7 details the counterdrug program\u2019s obligations from fiscal years 2010 through 2017."], "subsections": []}, {"section_title": "Appendix II: Overview of State Counterdrug Program Planned Support Activities, Fiscal Year 2018", "paragraphs": ["As of fiscal year 2018, National Guard Bureau policy allows state counterdrug programs to perform 15 approved support activities grouped into five broad mission categories. The five mission categories are technical support (including linguist and translator, operational and investigative case and criminal analyst, and counterthreat finance support), general support (including domestic cannabis suppression and eradication operations and transportation support), reconnaissance and observation (including ground and aerial reconnaissance), civil operations and coalition development, and counterdrug training. Of the 15 approved support activities, the investigative case and analyst support activity was the most frequently provided activity; it accounted for 42 percent of all support provided in fiscal years 2011 to 2014. Among all of the supported organizations from fiscal year 2011 to fiscal year 2014, law enforcement agencies received about 38 percent of all support provided by the National Guard counterdrug program. Table 8 lists the fiscal year 2018 approved state plan mission categories and support activities."], "subsections": []}, {"section_title": "Appendix III: Process to Fund the National Guard Counterdrug Program", "paragraphs": ["After Congress appropriates amounts to the Drug Interdiction and Counterdrug Activities, Defense account, there are multiple steps performed by various organizations before counterdrug funds are provided to each individual state program. To begin the process to distribute funding, the Department of Defense (DOD) Counternarcotics and Global Threats program officials prepare and submit to the Office of the Under Secretary of Defense (Comptroller) a reprogramming action (DD1415-3), which details the allocation of funds by appropriation or budget activity account for each program they manage. DOD Comptroller officials review and approve the DD1415-3 and forward it to the Office of Management and Budget. Once approved by the Office of Management and Budget, the DOD Comptroller issues a funding authorization document to transfer funds to the military services appropriation accounts (such as military personnel or operation and maintenance). The military services then transfer funds to appropriation accounts managed by Army National Guard and Air National Guard, which, in turn, distribute the funds onto each state National Guard participating in the program. The National Guard Bureau\u2019s Counterdrug Program office coordinates the process involving the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats, the Army and Air National Guard budget and financial management offices, and the individual state counterdrug programs. According to officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats, the process to complete the DD1415-3 takes 3 full weeks and then an additional 8 weeks, on average, for the funding to become available for state counterdrug programs. Figure 7 outlines the process to fund the National Guard counterdrug program."], "subsections": []}, {"section_title": "Appendix IV: Funding Provided by the Department of Defense under Congressional Appropriations", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Threat-Based Resource Model", "paragraphs": ["The National Guard Bureau\u2019s threat-based resource model has been used since fiscal year 2012 to help determine funding distribution percentages for the state counterdrug programs. Between fiscal years 2013 and 2015, National Guard Bureau officials stated that they determined planned funding amounts based on a combination of historical funding levels and threat-based resource model threat percentages. According to officials, beginning in fiscal year 2016, funding aligned more closely with threat-based resource model threat percentages. However, National Guard Bureau officials stated that funding distribution percentages from the threat-based resource model were deemed unusable in fiscal year 2017 due to concerns they had with the amount of reporting and the quality of the data that was reported. As a result, officials stated that the fiscal year 2016 threat-based resource model funding percentages were used to distribute fiscal year 2017 funding to state programs while National Guard Bureau officials revised the model for use in fiscal year 2018. Updates to the model included expanding the number of variables to better respond to changes in drug threats, adjusting the model so that it did not treat all drug seizure incidents and amounts equally, and increasing the number of data sources. Table 10 provides threat-based resource model percentages and table 11 funding amounts, by state, for fiscal years 2012 through 2018."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Status of October 2015 Recommendations on National Guard Counterdrug Program", "paragraphs": ["In October 2015, GAO issued a report on the National Guard counterdrug program titled Drug Control: Additional Performance Information Is Needed to Oversee the National Guard\u2019s State Counterdrug Program. In that report, we made two recommendations aimed at ensuring that resources are being efficiently applied to meet the National Guard counterdrug program\u2019s objectives. Table 12 provides an update on the status of the recommendations from that report."], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Rich Geiger (Assistant Director), Joy Booth, Carol Henn, Jesse T. Jordan, Amie M. Lesser, Shari Nikoo, Tobin J. McMurdie, Carol D. Petersen, Clarice Ransom, Michael D. Silver, Alexandra L. Stewart, and Sarah B. Warmbein, made key contributions to this report."], "subsections": []}]}], "fastfact": ["The National Guard counterdrug program has supported domestic law enforcement counterdrug activities for more than 30 years.", "In our review of the program, we found:", "DOD's strategy is out of date and doesn't reflect current drug threats.", "In 2014, the National Guard rescinded its guidance for states on how to operate and administer the program\u2014and hasn't replaced it yet.", "DOD has funded state counterdrug activities without first approving their plans.", "We recommended ways for DOD and the National Guard to address these issues."]} {"id": "GAO-18-669", "url": "https://www.gao.gov/products/GAO-18-669", "title": "Humanitarian Assistance: USAID Should Improve Information Collection and Communication to Help Mitigate Implementers\u2019 Banking Challenges", "published_date": "2018-09-20T00:00:00", "released_date": "2018-09-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2012, the United States has provided approximately $36 billion in humanitarian assistance to save lives and alleviate human suffering. Much of this assistance is provided in areas plagued by conflict or other issues that increase the risk of financial crimes. The World Bank and others have reported that humanitarian assistance organizations face challenges in accessing banking services that could affect project implementation.", "GAO was asked to review the possible effects of decreased banking access for nonprofit organizations on the delivery of U.S. humanitarian assistance. In this report, GAO examines (1) the extent to which State and USAID partners experienced banking access challenges, (2) USAID partners' reporting on such challenges, and (3) actions U.S. agencies have taken to help address such challenges. GAO selected four high-risk countries\u2014Syria, Somalia, Haiti, and Kenya\u2014based on factors such as their inclusion in multiple financial risk-related indices, and selected a non-generalizable sample of 18 projects in those countries. GAO reviewed documentation and interviewed U.S. officials and the 18 partners for the selected projects."]}, {"section_title": "What GAO Found", "paragraphs": ["Implementing partners (partners) for 7 of 18 Department of State (State) and U.S. Agency for International Development (USAID) humanitarian assistance projects that GAO selected noted encountering banking access challenges, such as delays or denials in transferring funds overseas. Of those 7 projects, 1 partner told us that banking access challenges adversely affected its project and 2 additional partners told us that the challenges had the potential for adverse effects. Moreover, the majority of partners (15 out of 18) for the 18 projects noted experiencing banking access challenges on their global portfolio of projects over the previous 5 years.", "USAID's partners' written reports do not capture potential risks posed by banking access challenges because USAID generally does not require most partners to report in writing any challenges that do not affect implementation. Six of the 7 projects that encountered challenges were USAID-funded. Of those 6 USAID projects, 5 partners told us that these challenges did not rise to the threshold of affecting project implementation that would necessitate reporting, and 1 did not report challenges although its project was adversely affected. Additionally, GAO's review of about 1,300 USAID partner reports found that the few instances where challenges were mentioned lacked sufficient detail for GAO to determine their type, severity, or origin. Without information on banking access challenges that pose potential risks to project implementation, USAID is not aware of the full extent of risks to achieving its objectives.", "The Department of the Treasury (Treasury) and State have taken various actions to help address banking access challenges encountered by nonprofit organizations (NPO), but USAID's efforts have been limited. Treasury's efforts have focused on engagement between NPOs and U.S. agencies, while State has issued guidance on the topic to its embassies and designated an office to focus on these issues. In contrast, USAID lacks a comparable office, and NPOs stated that it is difficult to find USAID staff to engage with on this topic. Further, GAO found that awareness of specific challenges was generally limited to USAID staff directly overseeing the project. Without communicating these challenges to relevant parties, USAID may not be aware of all risks to agency objectives and may not be able to effectively engage with external entities on efforts to address these challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that USAID should take steps to (1) collect information on banking access challenges experienced by USAID's partners and (2) communicate that information both within USAID and with external entities, such as other U.S. agencies and partners. USAID concurred with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States, primarily through the Department of State (State) and the U.S. Agency for International Development (USAID), has provided approximately $36 billion in humanitarian assistance over the previous 6 years in order to save lives, alleviate human suffering, and reduce the social and economic impact of disasters worldwide. Partners including nonprofit organizations (NPO) implement much of this assistance in areas experiencing conflict, instability, or other issues that increase the risk of financial crimes.", "The World Bank and others have expressed concerns that derisking and decreased banking access make it more difficult for NPOs to transfer funds to areas that are perceived as high-risk, in part because of concerns about possible terrorist abuse or money laundering risks. For example, a recent survey by the Charity and Security Network (CSN), a trade association for NPOs, found that two-thirds of U.S.-based NPOs with international operations experienced banking access challenges, including delays in transferring funds, increased fees, and account closures. As a result, there have been concerns that NPOs, including State and USAID implementing partners (partners), may face long delays in transferring funds or be unable to transfer funds at all to implement projects or respond to humanitarian disasters, such as those in Syria, Somalia, and elsewhere. In addition, NPOs may be forced to move money through less transparent, less traceable, and riskier channels. Further, a large group of NPOs, banks, and others gathered at a World Bank meeting on derisking stated that the inability to get humanitarian assistance to refugees from political conflicts or natural disasters could result in death from starvation, exposure, and disease.", "This is one of four GAO reports addressing a congressional request to review the various effects of derisking, including on the delivery of humanitarian assistance. In this report, we examine (1) the extent to which State and USAID partners experience banking access challenges that affect their implementation of humanitarian assistance projects, (2) USAID partners\u2019 reporting on banking access challenges, and (3) actions relevant U.S. agencies have taken to help address banking access challenges encountered by NPOs. In addition, we provide information on the extent to which State and USAID experience banking access challenges in providing assistance in high-risk countries in appendix I.", "To address these objectives, we selected 18 U.S.-funded humanitarian assistance projects in four high-risk countries \u2013 Syria, Somalia, Haiti, and Kenya \u2013 and interviewed the 18 unique partners for each of these projects. We selected the four high-risk countries based on factors including the high level of humanitarian assistance they received from U.S. agencies, their inclusion on multiple financial-risk-related indices showing they are at higher risk for financial crimes, and to obtain geographical diversity. The conclusions drawn from the information we obtained from our interviews and the examination of projects in these four countries cannot be generalized beyond our selected partners and projects. See appendix II for a description of the countries we selected for this review.", "To examine the extent to which State and USAID partners experienced banking access challenges that affected their implementation of humanitarian assistance projects, we conducted semi-structured interviews with 18 partners about (1) the specific project we had selected in one of our high-risk countries and (2) their experiences implementing their global portfolio of humanitarian assistance projects over the previous 5 years. We did not ask the partners to quantify the number of projects they had implemented over the previous 5 years, nor did we ask them to quantify the number of projects in their global portfolio for which they had experienced banking access challenges. To determine our sample, we selected 18 projects from our selected countries (7 projects in Syria, 5 in Somalia, 3 in Haiti, and 3 in Kenya). We selected more projects in Syria and Somalia because those countries had received a greater proportion of the U.S. humanitarian assistance. We selected our projects to ensure that we included 18 unique partners (15 NPOs and 3 United Nations organizations), as well as a mix of State and USAID projects (3 State and 15 USAID). Our sample included several partners that operate in over 100 countries, as well as a few that operate in less than 20 countries.", "The partners in our sample had fiscal year 2016 annual revenues ranging from $5.9 billion to just over $10 million.", "We also interviewed several NPOs not included in our sample and several NPO groups to obtain their views on banking access challenges faced by those providing humanitarian assistance. Lastly, we reviewed relevant studies on banking access challenges for NPOs conducted by the World Bank and CSN. A survey conducted for the CSN study was designed to be generalizable to all U.S. NPOs working internationally and received more than 300 responses from these organizations, of which more than 70 reported that they had received U.S. government funding. We examined their aggregate responses in detail. We also reviewed documentation and interviewed the officials responsible for the survey and determined that they had used a reasonable methodology to conduct the survey.", "To examine USAID partners\u2019 reporting on banking access challenges, we reviewed fiscal year 2017 progress reports for our 18 sample projects to determine if banking access challenges the partners told us about had been reported in accordance with requirements in the award agreement. We also reviewed over 1300 USAID partner reports for fiscal years 2016 and 2017 from a wider selection of high-risk countries to determine the extent to which banking access challenges are being reported to USAID.", "To examine actions relevant U.S. agencies have taken to help address banking access challenges encountered by NPOs, we reviewed documentation from and conducted interviews with State, USAID, and the Department of the Treasury (Treasury) on actions they have taken to help address these challenges. We also interviewed relevant staff at the World Bank on efforts undertaken to address banking access challenges. See appendix III for additional details about our scope and methodology.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "U.S. Humanitarian Assistance Funds Sent Overseas Often Rely on Multiple Banks to Reach Their Final Destination", "paragraphs": ["International financial transactions, including the transfer of U.S. humanitarian assistance funds, rely on a system of correspondent banking relationships. State and USAID provide humanitarian assistance through funding awards to partners. Funds to U.S. partners are deposited into the partners\u2019 bank accounts located in the United States. The partners are then responsible for transferring the funds to recipient countries for project implementation. These transfers typically involve the use of a correspondent, or intermediary, bank to transfer the funds from a U.S.-based account to an account held at the recipient country, where the funds are then used by in-country staff to implement the project. See appendix IV for more information on the State and USAID offices providing humanitarian assistance.", "According to research by the Bank for International Settlements, the number of correspondent banking relationships has declined over the past several years, especially for banks that are located in higher-risk jurisdictions (such as those subject to sanctions), have customers perceived as higher-risk, and who generate revenues insufficient to recover compliance costs. Further, the Financial Stability Board noted that a decline in the number of correspondent banking relationships could affect the ability to send and receive international payments and may drive some payment flows underground, with potential consequences on growth, financial inclusion, and the stability and integrity of the financial system."], "subsections": []}, {"section_title": "U.S. Banks Must Comply with Anti-Money Laundering Regulations and U.S. Sanctions", "paragraphs": ["When performing overseas money transfers, U.S. banks and financial institutions must comply with the Bank Secrecy Act\u2019s (BSA) anti-money laundering (AML) regulations and relevant regulations that implement U.S. sanctions.", "The BSA has established reporting, recordkeeping, and other AML requirements for financial institutions. BSA/AML regulations require that each bank tailor a compliance program that is specific to its own risks based on factors such as products and services offered, and customers and locations served. By complying with BSA/AML requirements, U.S. financial institutions assist government agencies in the detection and prevention of money laundering and terrorist financing by, among other things, maintaining compliance policies, conducting ongoing monitoring of customers and transactions, and reporting suspicious financial activity.", "In addition to BSA regulations established by Treasury, federal banking regulators have issued their own BSA regulations. These regulations require banks to establish and maintain a BSA compliance program that, among other things, identifies and reports suspicious activity. The banking regulators are also required to review banks\u2019 compliance with BSA/AML requirements and regulations, and they generally do so every 12 to 18 months as a part of their routine safety and soundness examinations. Among other things, examiners review whether banks have an adequate system of internal controls to ensure ongoing compliance with BSA/AML regulations. The federal banking regulators may take enforcement actions using their prudential authorities for violations of BSA/AML requirements. They may also assess civil money penalties against financial institutions and individuals.", "Banks must also comply with relevant regulations that implement U.S. sanctions in certain countries. When the United States imposes sanctions on an entity or individual, it freezes assets subject to U.S. jurisdiction. All U.S. transactions with the entity or individual are prohibited, including transactions by banks and NPOs. When appropriate, Treasury\u2019s Office of Foreign Assets Control (OFAC) may issue a general license authorizing the performance of certain categories of transactions, including funds transfers for the provision of humanitarian assistance. OFAC also issues specific licenses on a case-by-case basis under certain limited situations and conditions."], "subsections": []}, {"section_title": "Treasury Helps Prevent Financial Crimes and Considers NPOs Providing Humanitarian Assistance in High-Risk Areas Potentially Vulnerable to Exploitation", "paragraphs": ["Treasury, as a lead agency in fighting financial crimes and as an issuer of regulations that have a significant effect on charities\u2019 access to the banking system, takes actions to help prevent financial crimes, and considers NPOs operating in conflict areas and other high risk zones as potentially vulnerable to such crimes. Treasury leads U.S. efforts to fight various financial crimes primarily through its Office of Terrorism and Financial Intelligence (TFI). TFI develops and implements U.S. government strategies to combat terrorist financing domestically and internationally, and develops and implements the National Money Laundering Strategy as well as other policies and programs to fight financial crimes. Relevant offices under TFI include:", "The Office of Terrorist Financing and Financial Crimes (TFFC). TFFC, the policy development and outreach office for TFI, works across all elements of the national security community \u2013 including the law enforcement, regulatory, policy, diplomatic, and intelligence communities \u2013 and with the private sector and foreign governments to identify and address the threats presented by all forms of illicit finance to the international financial system.", "The Office of Foreign Assets Control (OFAC). OFAC administers and enforces economic and financial sanctions based on U.S. foreign policy and national security goals against targeted foreign countries and regimes, terrorists, international narcotics traffickers, transnational criminal organizations, human rights abusers and corrupt actors, those engaged in activities related to the proliferation of weapons of mass destruction, and other threats to the national security, foreign policy, or economy of the United States.", "The Financial Crimes Enforcement Network (FinCEN). FinCEN, among other duties, is responsible for administering the BSA, has authority for enforcing compliance with its requirements and implementing regulations, and also has the authority to enforce the BSA, including through civil money penalties. FinCEN issues regulations under the BSA and relies on the examination functions performed by other federal regulators, including federal banking regulators. FinCEN also collects, analyzes, and maintains the reports and information filed by financial institutions under BSA and makes those reports available to law enforcement and regulators.", "According to Treasury, organizations, including NPOs, implementing humanitarian assistance in high-risk areas may be vulnerable to exploitation by terrorist groups and their support networks. These terrorist groups and support networks may establish or abuse charities to raise and move funds, or provide other forms of support, that benefit the terrorist groups. As of May 2017, Treasury, through OFAC, had designated 67 charities, branches, and foreign terrorist organizations\u2019 potential fundraising front organizations for violations of U.S. sanctions."], "subsections": []}]}, {"section_title": "The Majority of Selected State and USAID Implementing Partners Experienced Banking Access Challenges", "paragraphs": ["For 7 of our 18 selected projects, State and USAID partners told us that they had experienced banking access challenges. Additionally, 15 of the 18 partners we interviewed noted that they had experienced banking access challenges on their global portfolio of humanitarian assistance projects over the previous 5 years. Most of the 18 partners we interviewed told us that they were able to mitigate these challenges through various actions or the challenges were not significant enough to affect project implementation. Nevertheless, a few partners noted that projects they were implementing were adversely affected by such challenges. For example, 1 of our 18 selected projects faced repeated delays as a result of banking access challenges. Additionally, 2 partners noted that they had to reduce the scope of implementation or suspend projects in their global humanitarian assistance portfolio because of banking access challenges. Furthermore, several partners and other NPOs told us that such challenges posed potential risks to project implementation. Lastly, a recent study found that more than two-thirds of all U.S.-based NPOs that work internationally experienced banking access challenges, but that few NPOs canceled programs as a result of those challenges."], "subsections": [{"section_title": "Funds Transfer Delays and Denials Were among the Most Frequently Cited Banking Access Challenges Banking Access Challenges Experienced on Selected U.S.- Funded Projects", "paragraphs": ["For our 18 selected U.S.-funded projects, 7 of the partners told us that they had experienced banking access challenges in implementing their projects, with the majority citing delays or denials of funds transfers. Specifically, 3 (of 5) partners in Somalia and 4 (of 7) partners in Syria told us that they had experienced banking access challenges related to the selected project. None of the partners implementing selected sample projects in Haiti or Kenya noted that they had experienced any banking access challenges. Denials of funds transfers to the destination country was the most frequently cited banking access challenge (experienced by 5 of the 7 projects), followed by delays of funds transfers (experienced by 3 of the 7 projects) (see fig. 2).", "Fifteen of the 18 partners that we interviewed noted that they had experienced banking access challenges on their global portfolio of humanitarian assistance projects implemented over the previous 5 years (see fig. 3). The most frequently cited challenges were funds transfer delays and denials. Twelve partners noted that they had experienced transfer delays, with 8 noting that the delays occurred occasionally and 6 noting that the delays lasted weeks or months. Most partners that noted experiencing delays told us that the delays were caused exclusively by intermediary banks. Eleven partners noted that they had experienced transfer denials, including 5 that told us the denials occurred occasionally. Five partners also noted that transfers were denied by intermediary banks.", "In addition, 2 partners noted that they had experienced challenges opening new bank accounts; 3, increased costs to transfer funds; 1, a bank-initiated account closure; and 2, other challenges. For more information on the types of banking access challenges that partners identified, including details on the duration of delays and the frequency of denials, see appendix V."], "subsections": []}, {"section_title": "Some Banking Access Challenges Adversely Affected or Posed a Potential Risk to Project Implementation", "paragraphs": ["Some partners that experienced banking access challenges told us that those challenges had adversely affected or posed a potential risk to implementation of projects. Of those partners experiencing challenges, 3 partners noted that banking access challenges had adversely affected a project\u2019s implementation. Specifically, 1 partner that experienced challenges on one of our selected projects and 2 partners that experienced challenges on projects outside of our sample noted that the challenges they had experienced resulted in a project being adversely affected in some form, such as:", "Reduced scope of implementation. One partner told us that its project in the Democratic People\u2019s Republic of Korea was scaled back significantly because of difficulty transferring funds to the country.", "Delays implementing a project. One partner told us that for one of our selected projects, in part because of banking access challenges, implementation of the project was delayed and required approval for two no-cost extensions from USAID. The partner noted that it had experienced recurring issues with funds transfers to Syria, including 3- to 6-week delays and frequent denials of transfers.", "Suspension of an in-progress project. One partner told us that an ongoing project it implemented in Syria (outside of our sample of projects) to deliver food assistance had been suspended for about a week because its funds transfers to the country were denied.", "While some projects were adversely affected, 6 of the 7 partners of our selected projects that noted experiencing banking access challenges told us that the challenges they had experienced did not adversely affect project implementation. Similarly, 12 of the 15 partners that noted experiencing banking access challenges on their global portfolio of humanitarian assistance told us that the challenges did not affect project implementation. Additionally, for both our selected projects and their global portfolio of humanitarian assistance projects, the challenges experienced were either not significant enough to affect project implementation, or were mitigated through various actions. For example, partners told us that they had mitigated challenges by:", "Maintaining a funding buffer. Partners may keep enough funding to operate a project for several weeks in order to mitigate delays and denials of funds transfers. For example, one partner noted that projects maintain approximately 4 weeks of operating funds on hand, which is enough to mitigate transfer delays that last up to 3 weeks.", "Using alternate methods to move funds. Partners may use alternate methods to move funds, such as using different intermediary banks or money transmitters, or by carrying cash. For example, one partner told us that when its U.S. bank stopped allowing funds transfers to Syria, the partner opened an account with a different bank. That partner also told us that because it was unable to reliably transfer funds to Syria, it regularly transfers funds to Lebanon\u2014either to intermediaries or to the personal accounts of individuals involved in the projects\u2014and manually moves the physical currency to Syria.", "Maintaining multiple bank accounts. Partners may maintain accounts with multiple banks in order to mitigate the risk of a bank-initiated account closure. For example, one partner told us that after a bank closed all of its accounts without warning or explanation, the partner opened accounts across three different banks in order to mitigate the effects of any individual bank closing its account.", "While most partners\u2019 projects did not experience adverse effects as a result of banking access challenges, three USAID partners\u2014as well as another NPO that we spoke with\u2014told us that banking access challenges posed a potential risk to project implementation, such as:", "Potential for physical violence. One partner told us that, for one of our selected projects, there were concerns of violence if payments were halted because of funds transfer delays, while another partner told us that violence was a concern if it was unable to pay vendors on time. An NPO also told us that there was a potential for physical violence if local staff were not paid on time.", "Potential for insolvency of vendors. One partner told us that, for one of our selected projects, transfer delays prevented it from reimbursing a money transmitter it used to move funds to Somalia, which in turn caused that money transmitter to experience financial difficulties. The partner stated that the delays were almost significant enough to affect operations, though it was able to resolve the situation in time to prevent its vendor from becoming insolvent.", "Potential for project suspension. One partner told us that it provides advance funding for projects to account for delays, but at times transfer delays have come close to exhausting the advance funding. For example, the partner told us that it provided funding for projects 4 weeks in advance and experienced transfer delays averaging 3 weeks. In addition, an NPO told us that staff are sometimes not paid for several months because of such delays; thus, if transfer delays worsened or staff were unwilling to work without being paid, project implementation may be adversely affected."], "subsections": []}, {"section_title": "Approximately Two-Thirds of U.S. NPOs That Operate Internationally Experienced Banking Access Challenges, According to a Trade Association Survey", "paragraphs": ["A recent study by Charity and Security Network on banking access for U.S. NPOs, which included NPOs that received U.S. government funds, found widespread banking challenges for U.S.-based NPOs. Data for a survey conducted as part of this study indicated that about two-thirds of the responding U.S.-based NPOs that work internationally experienced banking access challenges. The challenges included delays of wire transfers, unusual requests for documentation, and increased fees. Some NPOs also cited experiencing account closures and refusals to open accounts.", "About 15 percent of the NPOs that responded to the survey noted that they experienced these banking access challenges constantly or regularly, and about 3 percent of NPOs reported cancelling a project because of banking access challenges. Furthermore, transfers to all parts of the globe were affected, and the challenges were not limited to conflict zones. According to the report, NPOs with 500 or fewer staff were more likely to experience delayed wire transfers, fee increases, and account closures. Smaller organizations were more likely to receive unusual requests for documentation, according to the report. The smallest NPOs, those with 10 or fewer employees, reported experiencing more trouble opening accounts than larger organizations. According to the report, as a result of the challenges they experienced, NPOs were sometimes forced to move money through less transparent, less traceable, and less safe channels, such as carrying cash.", "As shown in table 1, survey data from the Charity and Security Network study indicated that there were only minor differences between NPOs receiving and not receiving U.S. government funding in terms of experiencing banking access challenges. For example, about 15 percent of responding NPOs, regardless of whether or not they received U.S. funds, noted experiencing banking access challenges regularly or constantly, with transfer delays the challenge most frequently cited by both groups. Additionally, about the same proportion of NPOs that received or did not receive U.S. funds reported that they rarely or never experienced banking access challenges. Both groups of NPOs also noted taking similar measures to deal with banking access challenges."], "subsections": []}]}, {"section_title": "USAID Implementing Partners\u2019 Reports Do Not Capture Potential Risks Posed by Banking Access Challenges", "paragraphs": ["USAID\u2019s partners\u2019 written reports do not capture potential risks posed by banking access challenges because USAID generally does not require most partners to report in writing any challenges that do not affect implementation. Six of the 7 projects that noted experiencing banking access challenges were USAID projects. None of those 6 USAID partners reported on the banking access challenges they had experienced to USAID in their regular project reporting. USAID requires partners to report adverse effects to their projects, but 1 partner that faced delays on its project as a result of banking access challenges did not identify these challenges as the reason for delays in its reporting to USAID. We also reviewed over 1,300 USAID partner reports for fiscal years 2016 and 2017 from high-risk countries and found no explicit discussion of banking access challenges."], "subsections": [{"section_title": "USAID Generally Requires Implementing Partners Only to Report Banking Access Challenges That Affect Project Implementation", "paragraphs": ["USAID generally requires partners implementing humanitarian assistance projects to report challenges that affect project implementation. USAID, through the Office of U.S. Foreign Disaster Assistance (OFDA) and the Office of Food For Peace (FFP), provides humanitarian assistance and monitors the implementation of projects through various methods, including periodic performance reports. USAID\u2019s reporting requirements, as well as the number of partners of selected projects that told us they had experienced banking access challenges, are as follows:", "USAID/OFDA. USAID/OFDA agreements for the selected projects we reviewed require the awardee to report via email (1) developments that have a significant effect on the activities supported by the agreement, and (2) problems, delays, or adverse conditions that materially impair the ability to meet the objectives of this agreement. The agreements also require Program Performance Reports that must address reasons why established goals were not met, the impact on the program objectives, and how the impact has been or will be addressed. Four of the 6 USAID partners that told us they had experienced banking access challenges were implementing USAID/OFDA projects.", "USAID/FFP. USAID/FFP\u2019s Fiscal Year 2017 Annual Program Statement for International Emergency Food Assistance requires partners to report, as part of their quarterly reporting, any challenges that the project has faced during the quarter and how they were resolved and discuss any potential challenges or delays that may affect the program\u2019s ability to achieve its objectives. Each of the agreements\u2014both for NPOs and for public international organizations\u2014that we reviewed require the partner to notify USAID of any developments, problems, or delays that may have an adverse effect on the project. Two of the 6 USAID partners that told us they had experienced banking access challenges were implementing USAID/FFP projects."], "subsections": []}, {"section_title": "USAID Implementing Partners That Noted Experiencing Banking Access Challenges Did Not Include These Challenges in Their Program Performance Reports", "paragraphs": ["Five of the 6 USAID partners of selected sample projects that noted experiencing banking access challenges told us those challenges did not adversely affect project implementation and therefore did not need to be reported. The sixth\u2014a partner that noted its project was adversely affected by banking access challenges\u2014did not include these challenges in its reporting to USAID, although the challenges met the reporting threshold of adversely affecting project implementation. While both USAID and the partner told us that the delays were communicated to USAID through emails and conversations with a designated USAID contact and in the justification for the no-cost extensions submitted to USAID, our review of the partner\u2019s program performance reports to USAID and the no-cost extensions found no explicit discussion of banking access challenges."], "subsections": []}, {"section_title": "USAID Partner Reports Did Not Include Any Explicit Mention of Banking Access Challenges for Fiscal Years 2016 and 2017", "paragraphs": ["Our review of the over 1,300 publicly available USAID partner reports for fiscal years 2016 and 2017 from high-risk countries found no explicit discussion of banking access challenges. Overall, we identified 5 reports out of the over 1,300 that included some mention of challenges related to banking access. However, those reports lacked sufficient detail for us to determine the type, severity, or origin of the challenges. For example, one report stated that there are sometimes delays in the payment of salaries through foreign accounts, with no further details about the delays, while another report stated that subgrantees experienced delays in payments without identifying the reasons for these delays, which could include late reports, late verification, late processing, or banking issues.", "While most of the partners we interviewed noted that they did not report banking access challenges because the challenges did not adversely affect their projects, an NPO advocacy group and a large international NPO told us that NPOs may be reluctant to discuss or report banking access challenges publicly because of concern about being perceived as high-risk or unable to carry out their mission, and that any public mention of banking access challenges could adversely affect their ability to raise funds. Standards for Internal Control in the Federal Government require agencies to identify and respond to risks related to achieving their goals, and USAID currently has no other process for collecting information on banking access challenges affecting its partners. Without this information, USAID does not have a record of the frequency and prevalence of the challenges and may not be aware of the full extent of risks to achieving its humanitarian assistance objectives. Further, as mentioned previously, two USAID partners stated that their projects faced potential adverse effects from banking access challenges. Documenting the prevalence and frequency of banking access challenges experienced by USAID partners is important given the potential adverse effects that these challenges can have on project implementation."], "subsections": []}]}, {"section_title": "Treasury and State Have Taken Various Actions to Help Address Banking Access Challenges Encountered by NPOs, While USAID Efforts Have Been Limited by a Lack of Communication Both within the Agency and Externally", "paragraphs": ["Both Treasury and State have taken actions to help address banking access challenges encountered by NPOs; however, USAID\u2019s efforts to address these challenges have been limited by a lack of communication about them\u2014both within the agency and with external entities. Treasury, as a lead agency in fighting financial crimes and as an issuer of regulations that have a significant effect on charities\u2019 access to the banking system, has conducted meetings between charities, banks, and government officials to discuss banking access challenges and released guidance on sanctions and other related issues. State, as a provider of funding for humanitarian assistance, has issued guidance to its overseas posts on banking access challenges. In addition, both State and Treasury are involved in international efforts led by the World Bank and the Financial Action Task Force (FATF) to help address banking access challenges. Although USAID\u2019s partners have experienced banking access challenges, USAID has had more limited engagement than State and Treasury with other agencies, international organizations, and NPOs on addressing such challenges\u2014in part because of a lack of communication about them, both within the agency and with external entities."], "subsections": [{"section_title": "Treasury Is Involved in Several Efforts to Help Address Banking Access Challenges Experienced by NPOs", "paragraphs": ["Treasury\u2019s efforts to help address banking access challenges encountered by NPOs include holding roundtable meetings and issuing guidance and resources for charitable organizations. Treasury, in its role as a regulator of the banking system, serves as a nexus between the banks and the U.S. agencies providing humanitarian assistance. Treasury has organized several roundtable meetings with the charitable sector to facilitate a dialogue on banks\u2019 expectations. These sessions brought together representatives from charities, banks, financial supervisors, and the U.S. government to discuss the factors that banks consider related to charity accounts and that examiners use in their review of banks\u2019 procedures. Since 2013, Treasury\u2019s Office of Terrorist Financing and Financial Crimes (TFFC) has dedicated three of these roundtable meetings specifically to banking access challenges affecting charities, as follows:", "December 17, 2013: This initial Treasury / TFFC working group meeting with charities included a discussion of terrorist financing risk mitigation guidance. There was also a discussion of banking access challenges, during which TFFC provided an overview of the NPO section of the manual used by bank examiners to conduct bank examinations and explained the bank examination process to the charities.", "March 21, 2014: This meeting focused on a discussion of access to financial services for charities. A Muslim-American charity delivered a presentation on how it has managed its banking relationships over the past several years. Several banks also delivered presentations to help charities better understand the factors that banks consider and the complex processes related to banking transactions and opening or maintaining bank accounts.", "November 12, 2015: This meeting included a stakeholder discussion of banking access challenges for charities, with charities, bankers, and regulators presenting each of their perspectives and discussing the challenges faced on all sides.", "In addition, in May 2015, Treasury, with the Department of Homeland Security, conducted a roundtable on banking access challenges with Syrian-American charities, U.S. regulators, and bankers. This event was focused on challenges affecting the Syrian-American charitable community and delivering humanitarian assistance to Syria during the worsening conflict. Treasury provided guidance related to OFAC\u2019s general license 11a for U.S. charities to provide humanitarian assistance for Syria. Further, officials reported that Treasury also maintains contact with the charitable sector through various domestic and international events, and holds frequent meetings with members of the charitable sector in Washington, D.C. and around the United States. Treasury has also issued guidance and resources on its website for charities, including frequently asked questions and best practices. Treasury\u2019s website provides information and resources for all stakeholders in four strategic areas\u2014private sector outreach, coordinated oversight, targeted investigations, and international engagement. The guidance includes: voluntary best practices regarding anti-terrorist financing for charities, lists of frequently asked questions regarding sanctions and charities, list of charities that have been designated by OFAC for assisting or having ties to terrorist organizations, several international multilateral organization reports on banking access challenges and terrorist exploitation of charities, and", "OFAC guidance specifically related to the provision of humanitarian assistance.", "Lastly, Treasury has taken actions on derisking challenges more generally. According to Treasury officials, these more general actions focused on encouraging dialogue and making clear to financial institutions that they are expected to make individual risk-based decisions rather than wholesale, indiscriminate policies for entire sectors or classes of customers.", "Treasury officials noted that banks retain the flexibility to make business decisions such as which clients to accept, since banks are in the best position to know whether they are able to implement controls to manage the risk associated with any given client. These officials indicated that Treasury pursues market-driven solutions and cannot order banks to open or maintain accounts. The officials have stated that Treasury does not view the charitable sector as presenting a uniform or unacceptably high risk of money laundering, terrorist financing, or sanctions violations. However, charities delivering critical assistance in high-risk conflict zones have, in some cases, had terrorist organizations and their support networks exploit donations and operations to support terrorist activities."], "subsections": []}, {"section_title": "State Has Issued Guidance to All of Its Overseas Posts to Help Address Banking Access Challenges", "paragraphs": ["State has issued guidance to its staff overseas to help address banking access challenges encountered by NPOs and others and identified a focal point for banking access challenges within the agency. In July 2017, State issued internal guidance, through a document issued to all of its overseas embassies, regarding derisking. State, based on guidance from Treasury, developed guidance for all personnel that provides background on \u201cde-risking\u201d and related talking points, additional web-based resources, and an assessment framework tool to evaluate the current state of banking relationships in a given market. The guidance includes links to resources from Treasury, U.S. banking regulators, and various international organizations, such as the World Bank, International Monetary Fund, and FATF. The guidance is designed to give embassy staff some tools to work with host governments on these issues and to help identify countries and markets where further U.S. government engagement is necessary.", "In addition, State\u2019s Office of Threat Finance Countermeasures serves as the main focal point for all banking access challenges brought to the attention of State. This office provides assistance to State\u2019s embassies when banking-access-related issues are raised through the embassy to State headquarters. All embassy staff, as part of the guidance issued on derisking, have been instructed to direct all questions received on banking access issues to the Office of Threat Finance Countermeasures. In addition, this office is responsible for interfacing with Treasury on banking access issues and staff from this office have attended all of the relevant Treasury-hosted roundtable meetings focused on banking access challenges encountered by charities."], "subsections": []}, {"section_title": "Treasury and State Are Also Involved in Efforts Undertaken by the World Bank and the Financial Action Task Force Aimed at Addressing Banking Access Challenges", "paragraphs": ["The World Bank and FATF have several efforts underway\u2014with participation from Treasury and State\u2014to address banking access challenges for NPOs. The World Bank, in collaboration with the Association of Certified Anti-Money Laundering Specialists (ACAMS), is working with humanitarian organizations, banks, and U.S. regulators on the question of how humanitarian organizations can maintain access to the financial system. More specifically, the World Bank and ACAMS have launched three primary work streams focused on different aspects of banking access to improve NPOs\u2019 understanding of what the financial institutions require and to improve the banks\u2019 understanding of how NPOs operate. According to a World Bank official, the three workstreams are as follows:", "Work Stream 1: This work stream aims to ensure a better understanding of bank examiners of the NPO sector and to enable more risk differentiation on the part of those examiners when they conduct on-site supervision and examine bank client accounts.", "Work Stream 2: This work stream aims to help banks conduct due diligence on charities more easily through the use of technological tools, such as databases that contain key information on charities.", "Work Stream 3: This work stream aims to work with the regulatory bodies to help bank examiners change their perceptions of the risk potential of charities.", "In addition, the World Bank and ACAMS have organized roundtable meetings as part of the ongoing Stakeholder Dialogue on De-Risking. The objectives of a January 2017 meeting were to promote access of humanitarian organizations to financial services and to discuss practical measures to foster the relationship between NPOs and financial institutions, improve the regulatory and policy climate for financial access for NPOs, and build coalitions and create opportunities for sharing information and good due diligence practices. Officials from Treasury and State have been involved with the dialogues and various work streams.", "FATF, with participation from both Treasury and State, also has several efforts underway to help address banking access challenges, including revising its recommendations and issuing guidance. Derisking has been a stated FATF priority since October 2014. In June 2016, FATF revised its recommendation that pertains to how countries should review NPOs and its interpretive note to better reflect how to implement measures to protect NPOs from terrorist abuse, in line with the proper implementation of the risk-based approach. According to Treasury, this approach emphasizes that not all charities are considered high-risk. Specific changes included defining NPOs, removal of the words \u201cparticularly vulnerable\u201d from previous language, and emphasis on a risk-based approach for evaluating NPOs. The FATF has also issued guidance and best practices to guide both financial institutions and regulators on how to properly implement the risk-based approach, in line with the revised FATF recommendations. Additionally, according to Treasury, the FATF updated a report analyzing the global terrorist threat to the charitable sector, gathering over 100 examples of terrorist abuse of charities to pinpoint which types of charities are considered higher-risk. This report and its findings were published in June 2014."], "subsections": []}, {"section_title": "USAID\u2019s Efforts to Address Banking Access Challenges Are Limited by Lack of Communication, Both within the Agency and with External Entities, on Challenges Faced by Partners", "paragraphs": ["USAID efforts to address banking access challenges have been limited, in part because of a lack of communication within the agency and with external entities about challenges faced by USAID\u2019s partners.", "Within USAID, we found that information on banking access challenges faced by partners was not always communicated beyond staff directly overseeing the project. We found that the USAID staff who had direct responsibility for managing the project were generally aware of banking access challenges that affected project implementation, and had taken steps to help mitigate these challenges on a project-level basis. However, other relevant staff, such as USAID management and country-level headquarters staff, were not aware of these challenges. For example, partners in Syria and Somalia that we interviewed noted experiencing banking access challenges, but the USAID officials representing these countries in headquarters told us they were not aware of such challenges occurring recently. This situation may be, in part, because USAID has no designated office or process that focuses on communicating these issues throughout the agency to other relevant officials, including USAID management. Federal standards for internal control note that management should use quality information to achieve the entity\u2019s objectives, and that entity management needs access to relevant and reliable communication related to internal as well as external events. If information on banking access challenges experienced by USAID partners is only reported to program-level staff and not communicated to a wider audience within the agency, then the agency as a whole may not fully recognize the overall risks posed by banking access challenges to USAID\u2019s ability to achieve its objectives. Further, the agency may miss opportunities to assist other partners that might be experiencing similar issues based on lessons learned from previous experiences, if staff are not aware of the banking access challenges that have been experienced by its partners implementing other projects or working in other countries.", "USAID participation in interagency and partner efforts to address banking access challenges has been limited, in part because of a lack of communication with these external entities. According to Treasury officials, because there is no main focal point at USAID for banking access challenges, there is no consistency on who attends, or whether anyone attends, the Treasury-hosted roundtable meetings on banking access challenges from USAID. Further, an NPO trade association and other NPOs told us that it is difficult to find a person at USAID to engage with on banking access challenges. Lastly, a USAID/OFDA official stated that USAID has had limited engagement on issues related to banking access challenges. The OFDA official stated that once OFDA fully staffs its new Award, Audit, and Risk Management Team, it will be able to more fully engage on these issues. Federal standards for internal control state that management should communicate the necessary quality information both internally and externally to achieve the organization\u2019s objectives. Without effective communication with partners and other government agencies about banking access challenges its partners face, USAID\u2019s ability to effectively and consistently engage with these entities or contribute to efforts to help address these challenges is limited."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The United States provides humanitarian assistance in countries that are often plagued by conflict, instability, or other issues that increase the risk of financial crimes. Some of these countries also face U.S. sanctions that are aimed at their governments or other actors that engage in terrorism or illicit activities. Additionally, to ensure that the U.S. financial system is not used for money laundering or financing terrorism, financial institutions such as banks are subject to various U.S. laws and regulations that require banks to conduct proper due diligence on entities, such as those transferring funds to high-risk countries. However, there is concern among some organizations that banks\u2019 higher level of due diligence, especially for clients such as charitable organizations that provide humanitarian assistance in high-risk countries, may create undue difficulties, including delays, for these organizations.", "Charitable organizations and others believe that because the United States and a key multilateral organization previously labeled charitable organizations as high-risk, banks remain reluctant to serve these organizations even though a case-by-case assessment of risk is now recommended. As such, we found that the majority of implementing partners\u2014many of which are charitable organizations\u2014of U.S. government assistance that we interviewed had experienced some banking access challenges.", "Despite our findings and others\u2019 findings on the prevalence of banking access challenges facing humanitarian assistance organizations, USAID\u2019s current partner reporting does not capture information related to the potential risks of banking access challenges faced by its partners. Without collecting this information, USAID cannot help the partners mitigate banking access challenges. Additionally, if these challenges are not documented and shared throughout the agency, the prevalence of the challenges and potential risks cannot be fully assessed. Further, without communicating about banking access challenges faced by its partners throughout the agency and to others, the potential risk to agency objectives will not be known and USAID\u2019s ability to engage with other agencies and organizations in helping to address these challenges is limited."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to USAID: The Administrator of USAID should take steps to collect information on banking access challenges experienced by USAID\u2019s implementing partners. (Recommendation 1)", "The Administrator of USAID should take steps to communicate information on banking access challenges faced by partners both within USAID and with external entities, such as other U.S. agencies and U.S. implementing partners. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to State, USAID, and Treasury for comment. We received written comments from USAID that are reprinted in appendix VI. USAID concurred with our recommendations. Treasury provided technical comments, which we incorporated as appropriate. State told us that it had no comments on the draft report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, the Administrator of the U.S. Agency for International Development, the Secretary of the Treasury, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9601 or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Banking Access Challenges Experienced by State and USAID Did Not Affect Operations in High Risk Countries", "paragraphs": [], "subsections": [{"section_title": "State and USAID Experience Some Banking Access Challenges, Such as Delays in Overseas Transfers of Funds", "paragraphs": ["While the Department of State (State) and the U.S. Agency for International Development (USAID) have encountered some banking access challenges, such as closed accounts and delays in transferring funds, these challenges did not affect their operations for providing assistance to high-risk countries. To send funds overseas, State, through two U.S. disbursement offices managed by State\u2019s Bureau of the Comptroller and Global Financial Services (CGFS), maintains foreign currency bank accounts in 172 countries. Funds are transferred from a Federal Reserve Bank to a U.S. dollar bank account maintained by State, after which the funds are directed through a correspondent bank or a foreign exchange broker to a foreign bank account maintained by State. A correspondent bank serves as the intermediary between the bank sending a transfer, in this case a U.S. dollar denominated bank account, and the bank issuing payment to the recipient, in this case the State-held account in the recipient country. Both the bank sending the transfer and the bank receiving the transfer hold an account at the correspondent bank, which is used for fund transfers, cash management, and other purposes.", "According to State, all State transfers overseas, as well as the majority of USAID payments overseas, are managed by CGFS, and in fiscal year 2017 CGFS\u2019s two disbursement offices processed approximately 3 million payments through accounts managed by State in 172 countries. State officials told us that State encounters occasional banking access challenges, including short delays in funds transfers, denials of funds transfers to certain countries, and one bank-initiated account closure."], "subsections": []}, {"section_title": "Banking Access Challenges Do Not Affect State and USAID Operations", "paragraphs": ["State officials told us that they are able to mitigate the occasional banking access challenges that they encounter to ensure operations are not affected. For example:", "State\u2019s transfers to countries sanctioned by the Office of Foreign Asset Control (OFAC) are occasionally flagged by intermediary banks. According to State, in fiscal year 2017 approximately one- tenth of one percent (0.1%) of payments were delayed because of OFAC sanctions. When this occurs, State receives questions on the details of those transfers. According to officials, this is an ongoing challenge, but State resolves such delays within 2 weeks\u2014and typically within days\u2014and there are no operational effects as a result of the delays.", "In some instances\u2014including once in 2012, and once in 2018\u2014an intermediary bank used by CGFS\u2019s U.S. bank stopped processing transfers to a recipient bank in a specific country. According to State officials, in both cases State identified an alternative intermediary bank to transfer funds to the destination country. In both cases, there were no operational effects.", "In 2014, an intermediary bank used by CGFS\u2019s U.S. bank ended its banking relationship with an OFAC-sanctioned country (Syria), and State was unable to move funds from its U.S.-dollar denominated accounts to that country. State, with the advice of the recipient bank in the OFAC-sanctioned country, identified an alternative intermediary bank that was able to move funds to that country using euro-denominated accounts.", "In 2014, a U.S. bank\u2014at which State maintained an account and that State used to fund its operations in Brunei\u2014notified State that it would be closing State\u2019s account with 29 days\u2019 notice. State worked with Treasury to identify an alternative bank that would be willing to maintain a State bank account. The operation was not affected."], "subsections": []}]}, {"section_title": "Appendix II: GAO-Selected Countries Have an Increased Risk of Financial Crimes", "paragraphs": ["For this review, we selected four countries\u2014Syria, Somalia, Haiti, and Kenya\u2014that may have a higher risk of financial crimes because of conflict, instability, or other issues. We selected them based on factors including the level of humanitarian assistance they received from U.S. agencies, their inclusion on multiple financial-risk-related indices, and geographical diversity.", "Syria. Since 2011, Syria has been plagued by an ongoing multisided armed conflict fought primarily between the government of President Bashar al-Assad, along with its allies, and various forces opposing both the government and each other. Syria\u2019s economy has deeply deteriorated amid the ongoing conflict, declining by more than 70 percent from 2010 to 2017. During 2017, the ongoing conflict and continued unrest and economic decline worsened the humanitarian crisis, necessitating high levels of international assistance, as more than 13 million people remained in need inside Syria and the number of registered Syrian refugees increased from 4.8 million to more than 5.4 million. Multiple terrorist groups operate inside Syria, raising the potential risk of terrorist financing. Additionally, according to a Central Intelligence Agency report, Syria is a transit point for opiates, hashish, and cocaine bound for regional and Western markets, and weak anti-money-laundering controls and bank privatization may leave it vulnerable to money laundering. The U.S. maintains a comprehensive Syria sanctions program. A general license in the Syria regulations authorizes nonprofit organizations to provide services, including financial services, to Syria in support of certain not-for-profit activities, such as activities to support humanitarian projects to meet basic human needs and support education in Syria. Organizations providing humanitarian assistance that is not authorized by the general license may apply for a specific license to engage in those transactions. The United States has provided approximately $3.3 billion in humanitarian assistance for Syria since 2012.", "Somalia. Since 1969, Somalia has endured political instability and civil conflict, and is the third-largest source of refugees, after Syria and Afghanistan. Somalia lacks effective national governance and maintains an informal economy largely based on livestock, money transfer companies, and telecommunications. In the absence of a formal banking sector, money transfer companies have sprung up throughout the country, handling up to $1.6 billion in remittances annually. According to a 2016 State report, Somalia remained a safe haven for terrorists who used their relative freedom of movement to obtain resources and funds, recruit fighters, and plan and mount operations within Somalia and neighboring countries. The United States maintains a targeted list-based Somalia sanctions program. Organizations providing humanitarian assistance may apply for a specific license to engage in transactions that otherwise would be prohibited by the Somalia sanctions regulations. The United States has provided approximately $1.2 billion in humanitarian assistance for Somalia since 2012.", "Haiti. Currently the poorest country in the western hemisphere, Haiti has experienced political instability for most of its history. Remittances are the primary source of foreign exchange, equivalent to more than a quarter of GDP, and nearly double the combined value of Haitian exports and foreign direct investment. In January 2010, a catastrophic earthquake killed an estimated 300,000 people and left close to 1.5 million people homeless. Hurricane Matthew, the fiercest Caribbean storm in nearly a decade, made landfall in Haiti on October 4, 2016, creating a new humanitarian emergency. An estimated 2.1 million people were affected by the category 4 storm, which caused extensive damage to crops, houses, livestock, and infrastructure across Haiti\u2019s southern peninsula. Haiti is identified as a fragile state by the Organisation for Economic Co-operation and Development, and as a jurisdiction of primary concern for money laundering in State\u2019s International Narcotics Control Strategy Report. According to USAID, the agency has provided $187.8 million in humanitarian assistance for Haiti since 2012.", "Kenya. Kenya is the economic, financial, and transport hub of East Africa. Since 2014, Kenya has been ranked as a lower middle income country because its per capita GDP crossed a World Bank threshold. Al-Shabaab aims to establish Islamic rule in Kenya\u2019s northeastern border region and coast and carried out a spate of terrorist attacks in Kenya. Kenya is identified as a fragile state by the Organisation for Economic Co-operation and Development, and as a jurisdiction of primary concern for money laundering in State\u2019s International Narcotics Control Strategy Report. The United States has provided approximately $807 million in humanitarian assistance for Kenya since 2012."], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope and Methodology", "paragraphs": ["This report examines (1) the extent to which implementing partners of the Department of State (State) and the U.S. Agency for International Development (USAID) experience banking access challenges that affect their implementation of humanitarian assistance projects, (2) USAID implementing partners\u2019 reporting on banking access challenges, and (3) actions relevant U.S. agencies have taken to help address banking access challenges encountered by nonprofit organizations (NPO). In addition, we provide information on the extent to which State and USAID experience banking access challenges in providing assistance in high-risk countries in appendix I.", "To address these objectives, we examined U.S.-funded projects and their implementers in four high-risk countries\u2014Syria, Somalia, Haiti, and Kenya. We selected these countries based on factors including the high level of humanitarian assistance they received from U.S. agencies, their higher propensity for the occurrence of financial crimes based on their inclusion on multiple financial-risk-related indices, and to obtain geographical diversity. More specifically, to identify our list of high-risk countries in terms of banking or financial risk, we used several indices including ones based on financial risk, money laundering risk, and counterterrorism-related risk. The indices we chose to use were", "State\u2019s International Narcotics Control Strategy Report (2014- 2016) (Money Laundering Risks), the Department of the Treasury\u2019s (Treasury) Office of Foreign Assets Control (OFAC) sanctions, the Organisation for Economic Co-operation and Development\u2019s (OECD) Fragile State Index (2014-2016), the 2017 Financial Action Task Force (FATF) High Risk and Non- Cooperative Jurisdictions list, and the BASEL AML Index, 2017.", "We then identified 19 countries that appeared on at least two of the five lists and received at least $100 million in U.S. based humanitarian assistance from 2012 through 2017, based on data from the United Nations Office for the Coordination of Humanitarian Affair\u2019s financial tracking system. We then applied the following primary selection criteria to select our four countries: whether they (1) appeared on at least three of the five identified lists and (2) have received at least $100 million in U.S. humanitarian assistance since 2012. Secondary considerations that informed our selection included whether a country had been identified as having banking access challenges by USAID, geographical diversity, and ensuring we had at least one country from each of the five indices we chose. The data we obtained for these four countries cannot be generalized beyond our selected projects and partners.", "For our first objective, to examine the extent to which implementing partners of State and USAID experienced banking access challenges that affected their implementation of humanitarian assistance projects, we conducted semi-structured interviews with 18 partners about (1) one of 18 specific projects we had selected in one of our high-risk countries and (2) their experiences implementing their global portfolio of humanitarian assistance projects over the previous 5 years. In order to determine our sample of partners, we selected a weighted, non-generalizable sample of 18 projects located in our four selected high-risk countries. We selected our projects from a list, provided by State and USAID, of 195 projects that were active as of the end of fiscal year 2017 in these countries. In making our selection of projects we made sure that our sample included a mix of projects from each country (7 projects for Syria, 5 for Somalia, 3 for Haiti, and 3 for Kenya), and a mix of State and USAID projects (3 State and 15 USAID). We selected those numbers for each country and each agency based on the number of projects in each country and the proportion of assistance provided. We selected one State project in each of the three countries where they were active.", "Once we had determined these parameters for our non-generalizable sample, we made the final selections of the projects at random, making sure that we did not select more than one project for any one partner. Several of the implementing partners in our sample operate in over 100 countries in every part of the world, while a few operate in 20 or fewer countries. Three of the partners are United Nations organizations. The implementing partners in our sample had fiscal year 2016 annual revenues ranging from $5.9 billion to just over $10 million. We conducted semi-structured interviews with each of the 18 implementing partners on potential banking access challenges, such as the ability to open and maintain new accounts and make transfers in a timely fashion, and the effect of those challenges on project implementation. Our interviews were separated into two distinct sets of questions\u2014one on banking access challenges the implementing partner encountered on the selected project, and the other on any banking access challenges the implementing partner encountered in its global portfolio of humanitarian assistance projects over the previous 5 years (2013-2017).", "When discussing their global humanitarian assistance portfolios, the partners did not limit their responses to projects funded by U.S. government agencies, but instead considered projects funded by all of their donors. We did not ask the partners to quantify the number of projects they had implemented over the previous 5 years, nor did we ask them to quantify the number of projects in their global portfolio of humanitarian assistance for which they had experienced banking access challenges. Our interview followed a protocol that asked both closed and open-ended questions. For most banking access challenges, when interview respondents indicated that their project or organization had experienced a banking access challenge, we probed for details of the challenge, including whether the challenge had caused an adverse effect on the project, such as project delays or cancellations. After the interviews had been conducted, we content-coded some of the open- ended answers we received. Specifically, we developed codes on whether any challenges reported had adversely affected the projects, the extent and duration of delays in transferring funds, and the extent and frequency of denials of international fund transfers. Two analysts independently coded each interview. The analysts then compared their coding and reconciled any initial disagreements.", "We also reviewed relevant studies on banking access challenges for NPOs conducted by the World Bank and the Charity and Security Network (CSN). The study conducted by CSN included a survey that was designed to be generalizable to the population of all U.S. NPOs with activities outside the U.S., including providing humanitarian assistance. This survey received more than 300 responses, which constituted a reported response rate of about 38 percent. The researchers conducting the survey indicated that this response rate could be considered high for a public opinion telephone survey but low for a survey like the Census. The study determined the survey findings to be representative of the population with some qualifications, such as the fact that smaller organizations were more likely to complete the survey than larger organizations. The maximum margin of error was estimated to be 5.4 percent. More than 70 of the NPOs reported that they had received U.S. government funding. We requested and received some additional data analysis from the researchers who had conducted this survey. We examined the aggregate survey responses in detail and compared them to the responses we received to our semi-structured interview questions, which probed into similar aspects of financial access. We reviewed documentation and interviewed the officials responsible for the survey and determined that they had used a reasonable methodology to conduct the survey. We also interviewed several NPOs and NPO groups that were not part of our sample to obtain their views on banking access challenges affecting those delivering humanitarian assistance.", "For our second objective, to examine USAID implementing partners\u2019 reporting on banking access challenges, we reviewed the fiscal year 2017 progress reports, including quarterly, semi-annual, and annual reports, that USAID provided for our selected projects to determine if banking access challenges the implementing partners told us about in the interviews had been reported in accordance with requirements in the individual award agreements. In total, we reviewed 26 reports from these partners. We also interviewed USAID agreement officers for the projects that stated they had experienced banking access challenges about implementing partners\u2019 reporting of those banking access challenges. To obtain a broader context, we also reviewed over 1300 USAID implementing partner reports for fiscal years 2016 and 2017 from a wider selection of high-risk countries to determine the extent to which banking access challenges are being reported to USAID.", "To identify the relevant USAID progress reports, we searched USAID\u2019s Development Experience Clearinghouse (DEC) for all periodic progress reports filed for fiscal years 2016 and 2017 by implementing partners working in selected 19 high-risk countries for instances of reporting on financial access challenges. Using these criteria, we identified 1,369 reports from fiscal years 2016-2017 from our selected 19 high-risk countries. The reports included annual reports, final contractor / grantee reports, final evaluation reports, and periodical and periodic reports (such as quarterly or semi-annual reports). The 1,369 reports constituted our universe of reports for which we used a textual analysis program to automatically scan and search for words and phrases that we identified in a lexicon of financial access terms. We developed this lexicon of financial access terms based on a review of relevant research, interviews with industry organizations, and a manual review of USAID progress reports. Using the lexicon, our textual analysis program identified all mentions of identified terms in the universe of reports. Next, two analysts independently reviewed the mentions identified through our textual analysis software program to determine whether the mentions actually constituted a reporting of a financial access challenge. The analysts then reconciled any differences in their reviews. For the purposes of this review, we considered a relevant financial access challenge to be any challenge encountered by the implementing partner in obtaining U.S. banking services, or in transferring funds from the United States to the destination country. We did not conduct a similar review of State partner reporting because we only had a sample of three State projects and one of the projects did not require direct written reporting to State. In addition, State does not have a central depository for partner reports that we could search, such as USAID\u2019s DEC.", "For our third objective, to examine actions relevant U.S. agencies have taken to help address banking access challenges encountered by NPOs, we conducted interviews with and reviewed documentation from State, USAID, and Treasury on actions they have taken to help address these challenges. We also discussed U.S. agency involvement in efforts to help address these challenges with relevant organizations that represent NPOs. In addition, we reviewed relevant documentation published by the World Bank and the Financial Action Task Force on actions they have taken to help address banking access challenges encountered by NPOs, and interviewed relevant staff at the World Bank on efforts undertaken to address banking access challenges.", "To examine the extent to which State and USAID encountered banking access challenges in providing assistance in high-risk countries, we interviewed State officials responsible for conducting overseas transfers of funds for both State and USAID to determine if any banking access challenges exist that are specific to our case study countries as well as for U.S. assistance worldwide. We also interviewed State and USAID officials with responsibility for overseeing programs in our four selected countries to determine if they had seen any effects of banking access challenges. We focused primarily on these agencies\u2019 ability to access banking services in the United States and on the transfer of funds to the ultimate destination.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: State and USAID Are the Primary Providers of U.S. Humanitarian Assistance", "paragraphs": ["The United States provides humanitarian assistance primarily through offices and bureaus within the Department of State (State) and the U.S. Agency for International Development (USAID). The primary humanitarian offices and bureau are:", "State\u2019s Bureau of Population, Refugees, and Migration (PRM). PRM\u2019s stated mission is to provide protection, ease suffering, and resolve the plight of persecuted and uprooted people around the world by providing life-sustaining assistance, working through multilateral systems to build global partnerships, promoting best practices in humanitarian response, and ensuring that humanitarian principles are integrated into U.S. foreign and national security policy. PRM does not operate refugee camps or give aid directly to refugees, but rather works with entities that operate these programs, including the United Nations, other international organizations, and nonprofit organizations.", "USAID\u2019s Office of U.S. Foreign Disaster Assistance (OFDA). OFDA states that it helps countries prepare for, respond to, and recover from humanitarian crises. According to USAID, OFDA works with the international humanitarian community to give vulnerable populations resources to build resilience and strengthen their ability to respond to emergencies. Assistance includes provision of emergency relief supplies, establishing early warning systems, and training on search and rescue efforts, as well as programs to help victims of disasters recover.", "USAID\u2019s Office of Food For Peace (FFP). FFP\u2019s stated mission is to partner with others to reduce hunger and malnutrition, and help ensure that all individuals have adequate, safe, and nutritious food to support a healthy and productive life. According to FFP, it works to mobilize resources to predict, prevent, and respond to hunger overseas. FFP\u2019s emergency activities include food assistance to help reduce suffering and support the early recovery of people affected by conflict and natural disaster emergencies."], "subsections": []}, {"section_title": "Appendix V: Prevalence of Delays and Denials of Funds Transfers Experienced by Selected Implementing Partners", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Mona Sehgal (Assistant Director), Michael Maslowski (Analyst in Charge), Ming Chen, Debbie Chung, Martin de Alteriis, Leia Dickerson, Mark Dowling, Erin Guinn- Villareal, Chris Keblitis, and Benjamin L. Sponholtz made key contributions to this report."], "subsections": []}]}], "fastfact": ["U.S. agencies partner with nonprofit organizations to deliver humanitarian assistance around the world.", "Unstable or high-conflict areas, where aid is often needed, have a higher risk of financial crimes such as money laundering and terrorism financing. Banks may limit risk by limiting services to those areas\u2014which we found can reduce agency partners' ability to deliver assistance.", "The U.S. Agency for International Development\u2014a major source of aid\u2014should address its partners' banking access challenges to ensure the agency can meet its humanitarian objectives. We recommended collecting and sharing information to help mitigate the challenges."]} {"id": "GAO-17-775", "url": "https://www.gao.gov/products/GAO-17-775", "title": "Managing for Results: Further Progress Made in Implementing the GPRA Modernization Act, but Additional Actions Needed to Address Pressing Governance Challenges", "published_date": "2017-09-29T00:00:00", "released_date": "2017-09-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Full implementation of GPRAMA could facilitate efforts to reform the federal government and make it more effective. GPRAMA includes a provision for GAO to review the act's implementation. This report assesses how GPRAMA implementation has affected the federal government's progress in resolving key governance challenges in (1) addressing cross-cutting issues, (2) ensuring performance information is useful and used, (3) aligning daily operations with results, and (4) building a more transparent and open government.", "To address these objectives, GAO reviewed statutory requirements, OMB guidance, and GAO's recent work related to GPRAMA implementation and the key governance challenges. GAO also interviewed OMB staff and surveyed a stratified random sample of 4,395 federal managers from 24 agencies on various performance and management topics. With a 67 percent response rate, the survey results are generalizable to the government-wide population of managers."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget (OMB) and agencies have made some progress in more fully implementing the GPRA Modernization Act (GPRAMA), but GAO's work and 2017 survey of federal managers highlight numerous areas where improvements are needed.", "Cross-cutting issues: Various GPRAMA provisions are aimed at addressing cross-cutting issues, such as cross-agency and agency priority goals and related data-driven reviews of progress towards those goals. To ensure alignment with the current administration's priorities, OMB's 2017 guidance removed the priority status of those goals, which stopped quarterly data-driven reviews and related public progress reports until new goals are published. OMB plans to resume implementation of these provisions in February 2018. GPRAMA also requires OMB and agencies to implement an inventory of federal programs, which could help decision makers better identify and manage fragmentation, overlap, and duplication. OMB and agencies implemented the inventory once, in May 2013. In October 2014, GAO found several issues limited the usefulness of that inventory. Since then, OMB has postponed updating the inventory, citing among other reasons the passage of subsequent laws. OMB has yet to develop a systematic approach for resuming implementation of the inventory and specific time frames for doing so. A systematic approach to developing the inventory could help ensure it provides useful information for decision makers and the public.", "Performance information: Survey results show federal managers generally reported no improvements in their use of performance information in decision making for various management activities, or practices that can enhance such use, since GAO's 2013 survey. For example, the use of performance information to streamline programs to reduce duplicative activities (an estimated 33 percent in 2017) is statistically significantly lower relative to 2013 (44 percent). In contrast, managers who were familiar with and whose programs were subject to quarterly data-driven reviews reported that those reviews were used to make progress toward agency priority goals. Identifying and sharing practices to expand the use of such reviews\u2014for other performance goals and at lower levels within agencies\u2014could lead to increased use of performance information.", "Daily operations: Agencies have made progress in developing results-oriented cultures but need to take additional actions. GAO's past work found that high-performing organizations use performance management systems to help individuals connect their daily activities to organizational goals. In 2017, about half of federal managers reported using performance information when setting expectations with employees (no change from GAO's last survey in 2013).", "Transparent and open government: GAO's past work identified a number of needed improvements to Performance.gov, the central government-wide website required by GPRAMA. The site is to provide quarterly updates on priority goals in effect through September 2017, but those updates stopped in December 2016. According to OMB, the existing information for cross-agency priority goals is the final update, and agencies should publish final updates on their priority goals in annual performance reports. Performance.gov does not provide users with this information, thereby limiting the transparency and accessibility of those results."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In addition to following through on plans to resume implementation of key GPRAMA provisions, GAO recommends that OMB (1) consider a systematic approach to developing the program inventory, (2) revise guidance to provide specific time frames for inventory implementation, (3) identify and share practices for expanding the use of data-driven reviews, and (4) update Performance.gov to explain that reporting on priority goals was suspended and provide the location of final progress updates. OMB staff agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The performance planning and reporting framework originally put into place by the Government Performance Results Act of 1993 (GPRA), and significantly enhanced by the GPRA Modernization Act of 2010 (GPRAMA), provides important tools that can help decision makers address challenges facing the federal government. Full and effective implementation of GPRAMA could facilitate efforts to reform the federal government and make it more efficient, effective, and accountable. In April 2017, the Office of Management and Budget (OMB) announced that agencies are to develop and submit to OMB reform plans by September 2017, and OMB will develop crosscutting proposals that are to leverage many of GPRAMA\u2019s \u201cperformance tracking and accountability\u201d tools. OMB is to work with agencies to finalize agency reform plans and release a final government-wide plan as part of the President\u2019s fiscal year 2019 budget request.", "The federal government faces a number of significant budget, management, and performance challenges as it seeks to achieve diverse and complex results. For example, since 2011, our series of annual reports has identified 724 actions for Congress or executive branch agencies to address fragmentation, overlap, and duplication; achieve other cost savings; or enhance revenue in 249 different areas. In addition, weaknesses in management capacity, both government-wide and in individual agencies, impair efficient and effective government operations. In the latest update to our High-Risk List, we identified 34 areas that need broad-based transformation or are vulnerable to fraud, waste, abuse, or mismanagement. Addressing these challenges will require tough choices in setting priorities and reforming programs and management practices.", "GPRAMA includes a statutory provision for us to periodically evaluate and report on (1) how implementation of the act is affecting performance management at the 24 major departments and agencies subject to the Chief Financial Officers (CFO) Act of 1990, as amended, including whether performance management is being used to improve the efficiency and effectiveness of agency programs; and (2) crosscutting goal implementation. Since 2012, we have issued over 30 products in response to this provision; this is the third summary report. This report assesses how implementation of GPRAMA has affected the federal government\u2019s progress in resolving key governance challenges in (1) addressing crosscutting issues, (2) ensuring performance information is useful and used in decision making, (3) aligning daily operations with results, and (4) building a more transparent and open government.", "We reviewed relevant statutory requirements, related OMB guidance, and our recent work related to GPRAMA implementation and the four key governance challenges included in our reporting objectives. Since our last summary report in September 2015, we examined various aspects of GPRAMA implementation in 12 products that covered 34 agencies, including the 24 CFO Act agencies. (See figure 1.) We also interviewed OMB and Performance Improvement Council (PIC) staff to obtain (1) their perspectives on GPRAMA implementation and progress on the four governance challenges and (2) updates on the status of our past recommendations.", "To supplement this review, we administered and analyzed the results of our periodic survey of federal managers on organizational performance and management issues. We surveyed a stratified random sample of 4,395 individuals from a population of 153,779 mid-level and upper-level civilian managers and supervisors at the 24 CFO Act agencies. We obtained the sample from the Office of Personnel Management\u2019s Enterprise Human Resources Integration (EHRI) database as of September 30, 2015, which was the most recent fiscal year data available at the time. We administered the web-based survey between November 2016 and March 2017. The overall survey results are generalizable to the population of managers government-wide. The survey\u2019s results are comparable to other surveys we conducted in 1997, 2000, 2003, 2007, and 2013.", "Concurrently with this report, we are issuing online supplemental material that shows responses to all survey items at the government-wide and individual agency levels. For the 2017 survey, we received usable questionnaires from about 67 percent of the eligible sample. The weighted response rate at each agency generally ranged from 57 percent to 82 percent, except the Department of Justice, which had a weighted response rate of 36 percent.", "Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. The percentage estimates presented in this report based on our sample for the 2017 survey have 95 percent confidence intervals within plus or minus 5.5 percentage points of the estimate itself, unless otherwise noted. We also note in this report when we are 95 percent confident that changes from 1997 or 2013 relative to 2017 are statistically significant. The supplemental material also shows the percentage estimates and associated 95 percent confidence intervals for each item for each agency and government-wide.", "To help determine the reliability and accuracy of the EHRI database elements used to draw our sample of federal managers for the 2017 survey, we checked the data for reasonableness and the presence of any obvious or potential errors in accuracy and completeness and reviewed our past analyses of the reliability of this database. We believe the data used to draw our sample are sufficiently reliable for the purpose of the survey. Appendix I provides additional information about our objectives, scope, and methodology.", "We conducted this performance audit from January 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["GPRAMA significantly enhances GPRA, the centerpiece of a statutory framework that Congress put in place during the 1990s to help resolve longstanding performance and management problems in the federal government and provide greater accountability for results. Congress passed GPRAMA in 2010 to address a number of persistent federal performance challenges, including focusing attention on crosscutting issues and enhancing the use and usefulness of performance information."], "subsections": [{"section_title": "Goals and Objectives", "paragraphs": ["OMB and agencies are to establish various government-wide and agency-specific performance goals, in line with GPRAMA requirements or OMB guidance. These include the following:", "Cross-agency priority (CAP) goals: CAP goals are crosscutting and include outcome-oriented goals covering a limited number of policy areas as well as goals for management improvements needed across the government. OMB is to coordinate with agencies to establish CAP goals at least every 4 years. OMB is also required to coordinate with agencies to develop annual federal government performance plans to, among other things, define the level of performance to be achieved toward the CAP goals.", "Strategic objectives: A strategic objective is the outcome or impact the agency is intending to achieve through its various programs and initiatives. Agencies establish strategic objectives in their strategic plans and may update the objectives during the annual update of performance plans.", "Agency priority goals (APG): At the agency level, every 2 years, GPRAMA requires that the heads of certain agencies, in consultation with OMB, identify a subset of agency performance goals as APGs. These goals are to reflect the agencies\u2019 highest priorities. They should be informed by the CAP goals as well as consultations with relevant congressional committees and other interested parties.", "In a schedule established by GPRAMA, OMB and agencies are to develop and publish new CAP goals, APGs, and strategic plans (with updated strategic objectives) in February 2018."], "subsections": []}, {"section_title": "Performance Reviews", "paragraphs": ["GPRAMA and related OMB guidance require agencies to regularly assess their progress in achieving goals and objectives through performance reviews.", "Data-driven reviews: Agency leaders and managers are to use regular meetings, at least quarterly, to review data and drive progress toward key performance goals and other management-improvement priorities. For each APG, GPRAMA requires agency leaders to conduct reviews at least quarterly to assess progress toward the goal, determine the risk of the goal not being met, and develop strategies to improve performance. Similarly, the Director of OMB, with relevant parties, is to review progress toward each CAP goal.", "Strategic reviews: OMB guidance directs agency leaders to annually assess progress toward achieving each strategic objective using a broad range of evidence."], "subsections": []}, {"section_title": "Leadership Positions and Council", "paragraphs": ["GPRAMA establishes certain senior leadership positions and a council, as described below.", "Chief Operating Officer (COO): The deputy agency head, or equivalent, is designated COO, with overall responsibility for improving agency management and performance.", "Performance Improvement Officer (PIO): Agency heads are to designate a senior executive within the agency as the PIO. The PIO reports directly to the COO and assists the agency head and COO with various performance management activities.", "Goal leaders: Goal leaders are responsible for developing strategies to achieve goals, managing execution, and regularly reviewing performance. GPRAMA requires goal leaders for CAP goals and agency performance goals, including APGs. OMB guidance directs agencies to designate goal leaders for strategic objectives.", "Performance Improvement Council (PIC): The PIC is charged with assisting OMB to improve the performance of the federal government and achieve the CAP goals. The PIC is chaired by the Deputy Director for Management at OMB and includes agency PIOs from each of the 24 CFO Act agencies as well as other PIOs and individuals designated by the chair. Among its responsibilities, the PIC is to work to resolve government-wide or crosscutting performance issues, and facilitate the exchange among agencies of practices that have led to performance improvements within specific programs, agencies, or across agencies."], "subsections": []}, {"section_title": "Transparency and Public Reporting", "paragraphs": ["GPRAMA includes several provisions related to providing the public and Congress with information, as described below.", "Performance.gov: GPRAMA calls for a single, government-wide performance website to communicate government-wide and agency performance information. Among other things, the website\u2014 implemented by OMB as Performance.gov\u2014is to include (1) quarterly progress updates on CAP goals and APGs; (2) an inventory of all federal programs; and (3) agency strategic plans, annual performance plans, and annual performance reports.", "Reporting burden: GPRAMA establishes a process to reexamine the usefulness of certain existing congressional reporting requirements. Specifically, GPRAMA requires an annual review (including congressional consultation), based on OMB guidance, of agencies\u2019 reporting requirements to Congress. Additionally, OMB is to include in the budget a list of plans and reports determined to be outdated or duplicative and may submit legislation to eliminate or consolidate such plans or reports."], "subsections": []}, {"section_title": "The Administration\u2019s Plans for Federal Performance Management", "paragraphs": ["In early 2017, the administration announced several efforts that are intended to improve government performance. The 2018 Budget Blueprint states that the President\u2019s Management Agenda will seek to improve the federal government\u2019s effectiveness by using evidence-based approaches, balancing flexibility with accountability to better achieve results, improving mission support functions, and developing and monitoring critical performance measures. In addition, OMB issued several memoranda detailing the administration\u2019s plans to improve government performance by reorganizing the government, reducing the federal workforce, and reducing federal agency burden.", "A number of these efforts, which are to leverage GPRAMA and our past work, have the potential to further progress in addressing key governance challenges. As part of reorganization efforts, OMB and agencies are developing government-wide and agency reform plans, respectively, that are to leverage various GPRAMA provisions. For example, an April 2017 memorandum states that OMB intends to monitor implementation of the reform plans using CAP goals, APGs, annual strategic reviews, and Performance.gov. The government-wide plan also is to include crosscutting reform proposals, such as merging agencies or programs that have similar missions. To that end, the memorandum states agencies should consider our reports, including our work on fragmentation, overlap, and duplication, as well as inspectors general reports."], "subsections": []}]}, {"section_title": "Despite Progress in Selected Areas, the Executive Branch Needs to Take Additional Actions to Manage Crosscutting Issues", "paragraphs": [], "subsections": [{"section_title": "Agencies Have Made Progress in Some Areas, but Continued Attention Is Needed to Better Manage Crosscutting Issues", "paragraphs": ["Many of the meaningful results that the federal government seeks to achieve, such as those related to ensuring public health, providing homeland security, and promoting economic development, require the coordinated efforts of more than one federal agency, level of government, or sector. For more than 2 decades, we have reported on agencies\u2019 missed opportunities for improved collaboration through the effective implementation of GPRA and, more recently, GPRAMA. Our reports also have demonstrated that collaboration across agencies is critical to address issues of fragmentation, overlap, and duplication as well as many of the areas on our High-Risk List.", "Fragmentation, Overlap, and Duplication: Since 2011, our annual reports have identified 133 crosscutting areas that require the coordinated effort of more than one federal organization, level of government, or sector. For instance, for the area of federal grant awards, we found in January 2017 that the National Park Service (NPS), Fish and Wildlife Service, Food and Nutrition Service, and Centers for Disease Control and Prevention (CDC) had not established guidance and formal processes to ensure their grant-management staff review applications for potential duplication and overlap among grants in their agencies before awarding. We recommended that these agencies do so, and they agreed. As of August 2017, these agencies had taken several actions to address the recommendation. For example, the Department of the Interior (Interior) provided documentation showing that the Fish and Wildlife Service now requires discretionary grant applicants to provide a statement that addresses whether there is any overlap or duplication of proposed projects or activities to be funded by the grant. Fish and Wildlife also updated its guidance to grant awarding offices instructing them to perform a potential overlap and duplication review of all selected applicants prior to award. Our Action Tracker provides details on the status of actions from our annual reports.", "Within the 133 crosscutting areas, since 2011 we have identified 315 targeted actions where opportunities exist to better manage fragmentation, overlap, and duplication, including 29 new actions in our most recent report issued in April 2017. We found that the executive branch and Congress addressed 145 (46 percent) of the 315 actions. For example, in November 2014, we recommended that the U.S. Coast Guard and Consumer Product Safety Commission establish a formal approach to coordination (such as a memorandum of understanding) to facilitate information sharing; better leverage their resources; and address challenges, including those related to fragmentation and overlap that we identified. In response to this recommendation, the two agencies signed a formal policy document to govern their coordination in May 2015. This policy document outlined procedures for determining jurisdictional authority for recreational boat-associated equipment and marine safety items. Specifically, the procedures clarified that upon receiving notice of a possible defect, the agency receiving such notice shall determine whether the item properly falls within its jurisdiction, and if not, initiate discussions to determine the appropriate jurisdiction. These new procedures should help the agencies share information and leverage each other\u2019s resources so they can better ensure that recreational boat-associated equipment and marine safety items are fully regulated.", "However, more work is needed on the remaining 170 actions (54 percent) that have not been fully addressed. For example, in July 2016, we reported that four federal agencies\u2014the Departments of Defense, Education, Health and Human Services, and Justice\u2014manage at least 10 efforts to collect data on sexual violence, which differ in target population, terminology, measurements, and methodology. We found that data collection efforts use 23 different terms to describe sexual violence. Data collection efforts also differed in how they categorized particular acts of sexual violence, the context in which data were collected, data sources, units of measurement, and time frames. We recommended that OMB convene an interagency forum to better manage fragmentation of efforts to collect sexual violence data. In commenting on that report, OMB stated it would consider implementing the action in the future but did not believe it was the most effective use of resources at that time, in part because the agencies were not far enough along in their research. In response, we stated that given the number of federal data collection efforts, the range of differences across them, and the potential for causing confusion, it would be beneficial for agencies to discuss these differences and determine whether they are, in fact, necessary. As of July 2017, OMB had not provided an update on the status of this recommendation.", "High-Risk List: Since the early 1990s, our high-risk program has focused attention on government operations with greater vulnerabilities to fraud, waste, abuse, and mismanagement or that are in need of transformation to address economy, efficiency, or effectiveness challenges. As of February 2017, there were 34 high-risk areas covering a wide range of issues including human capital management, modernizing the U.S. financial regulatory system, and ensuring the security of federal information systems and cyber critical infrastructure. Many of these high- risk areas require a coordinated response from more than one branch of government, agency, or sector.", "In the time between our 2015 and 2017 High-Risk Updates, many of these high-risk areas on our list demonstrated solid progress. During that period, 15 high-risk areas fully met at least one of the five criteria required for removal from the High-Risk List. In many cases, progress was possible through the joint efforts of Congress and leadership and staff in agencies. For example, Congress passed over a dozen laws following our 2015 High-Risk Update to help address high-risk issues. In addition, in 2017, we removed one high-risk area on managing terrorism-related information, because significant progress had been made to strengthen how intelligence on terrorism, homeland security, and law enforcement is shared among federal, state, local, tribal, international, and private sector partners. Despite this progress, continued oversight and attention is also warranted given the issue\u2019s direct relevance to homeland security as well as the constant evolution of terrorist threats and changing technology.", "Our February 2017 High-Risk Update also highlighted a number of long- standing high-risk areas that require additional attention. We also added three new crosscutting areas to incorporate the management of federal programs that serve tribes and their members, the government\u2019s environmental liabilities, and the 2020 decennial census. Based on our body of work on federal programs that serve tribes and their members, we concluded that federal agencies had (1) ineffectively administered Indian education and health care programs and (2) inefficiently fulfilled their responsibilities for managing the development of Indian energy resources. For example, we identified numerous challenges facing Interior\u2019s Bureau of Indian Education (BIE) and Bureau of Indian Affairs, and the Department of Health and Human Services\u2019 (HHS) Indian Health Service (IHS), in administering education and health care services. We concluded that these challenges put the health and safety of American Indians served by these programs at risk. In May 2017, we issued two additional reports on accountability for school construction and safety at schools funded by BIE. Although these agencies have taken some actions to address recommendations we made related to Indian programs, about 50 recommendations have yet to be fully resolved. We are monitoring federal efforts to address the unresolved recommendations. We also are reviewing IHS\u2019s workforce, and tribal nations\u2019 management and use of their energy resources."], "subsections": []}, {"section_title": "The Executive Branch Could Better Leverage GPRAMA Implementation to Work across Organizational Boundaries", "paragraphs": ["Many of the crosscutting areas highlighted by our annual reports on fragmentation, overlap, and duplication and designated as high-risk would benefit from enhanced collaboration among the federal agencies involved in them. GPRAMA establishes a framework aimed at taking a more crosscutting and integrated approach to focusing on results and improving government performance. Our survey results and past work demonstrate that agencies continue to face difficulties when working together on crosscutting issues, but also that implementing certain GPRAMA requirements can have a positive effect on collaboration.", "An item related to coordination in our survey of federal managers is statistically significantly lower in 2017, relative to our previous survey in 2013 and our initial survey in 1997. In 2017, an estimated 43 percent of managers agreed that they use information obtained from performance measurement to a great or very great extent when coordinating program efforts with internal or external organizations (compared to an estimated 50 percent in 2013 and an estimated 57 percent in 1997). Moreover, our past work has found that agencies face a variety of challenges when working across organizational boundaries to deliver programs and improve performance. For example, our work has found that interagency groups have, at times, encountered difficulty clarifying roles and responsibilities or developing shared outcomes and performance measures.", "In contrast, our past work demonstrates that implementing GPRAMA provisions can improve collaboration. For example, in May 2016, we found that OMB and the PIC updated the governance structure for CAP goals to include both agency-level and Executive Office of the President goal leaders and held regular, senior-level reviews on CAP goal progress. Moreover, CAP goal teams told us that the CAP goal designation increased leadership attention and improved interagency collaboration on their crosscutting issues. Furthermore, our prior work has found that priority goals and related data-driven reviews have also been used to help manage crosscutting issues and enhance collaboration."], "subsections": [{"section_title": "Priority Goals and Related Reviews Can Help Address Crosscutting Issues", "paragraphs": ["Various GPRAMA requirements are aimed at improving agencies\u2019 coordination of efforts to address crosscutting issues. As with our 2013 survey, our 2017 survey continues to show that CAP goals, APGs, and related data-driven reviews\u2014also called quarterly performance reviews (QPR)\u2014are associated with reported higher levels of collaboration with internal and external stakeholders. For example, our 2017 survey data indicate that about half of federal managers (an estimated 54 percent) reported they were somewhat or very familiar with CAP goals. Among these individuals, those who viewed their programs as contributing to CAP goals to a great or very great extent (36 percent) were more likely to report collaborating outside their program to a great or very great extent to help achieve CAP goals (62 percent), as shown in figure 2. Our analysis shows a similar pattern exists for APGs and QPRs.", "Our past work also has highlighted ways in which OMB and agencies could better implement GPRAMA\u2019s crosscutting provisions\u2014many of which have been addressed. A continued focus on fully and effectively implementing these provisions will be important as OMB and agencies establish new CAP goals and APGs, and assess progress toward them through related QPRs.", "Cross-agency priority (CAP) goals: In May 2012 and June 2013, we found that OMB had not always identified relevant agencies and program activities as contributors to the initial set of CAP goals. OMB took actions in response to our recommendations to include relevant contributors. Our most recent review, in May 2016, found that all relevant contributors had been identified for a subsequent set of CAP goals. In that report, we also found that OMB and the PIC had improved implementation of the CAP goals, in part, by helping agencies build their capacity to contribute to implementing the goals. Appendix II summarizes our past recommendations related to GPRAMA and the actions agencies have taken to address them.", "Agency priority goals (APGs): In April 2013, we found that agencies did not fully explain the relationship between their APGs and crosscutting efforts.", "Identify contributors: Similar to OMB\u2019s responsibilities with the CAP goals, agencies are to identify the various organizations and programs that contribute to each of their performance goals, including APGs. We found that agencies identified internal contributors for their APGs, but did not list external contributors in some cases. We recommended that the Director of OMB ensure that agencies adhere to OMB\u2019s guidance for website updates by providing complete information about the organizations, program activities, regulations, tax expenditures, policies, and other activities\u2014both within and external to the agency\u2014 that contribute to each APG. In response, in April 2015, OMB asked agencies to identify organizations, program activities, regulations, policies, tax expenditures, and other activities contributing to their 2014-2015 APGs. Based on an analysis of the final quarterly updates for those APGs, published in December 2015, we found that agencies made progress in identifying external organizations and programs for their APGs.", "Describe how agency goals contribute to CAP goals: Agencies generally did not identify how their APGs contributed to CAP goals. We recommended that OMB direct agencies to describe in their performance plans how the agency\u2019s performance goals\u2014including APGs\u2014contribute to any of the CAP goals as required by GPRAMA. In response, in July 2013, OMB updated its guidance directing agencies to include a list of the CAP goals to which the agency contributes and explain the agency\u2019s contribution to them in their strategic plans, performance plans, and performance reports.", "Data-driven reviews: For their data-driven reviews of agency priority goals, agencies are to include, as appropriate, relevant personnel within and outside the agency who contribute to the accomplishment of each goal. However, in February 2013, we found that most Performance Improvement Officers (PIO) we surveyed (16 of 24) indicated that there was little to no involvement in these reviews from external officials who contribute to achieving agency goals. We recommended that OMB and the PIC help agencies extend their QPRs to include, as relevant, representatives from outside organizations that contribute to achieving their APGs. OMB staff told us that they generally concurred with the recommendation, but believed it would not always be appropriate to regularly include external representatives in agencies\u2019 data-driven reviews, which they considered to be internal management meetings.", "In a subsequent review, we found in July 2015 that PIOs at 21 of the 22 agencies we surveyed said that their data-driven reviews had a positive effect on collaboration among officials from different offices or programs within the agency. Despite the positive effects, most agency PIOs (17) indicated that there continued to be little to no involvement in the reviews from external officials who contribute to achieving agency goals. In May 2016, OMB and PIC staff reported that, in response to our earlier recommendation, they were working with agencies to identify examples where agencies included representatives from outside organizations in data-driven reviews, and to identify promising practices based on those experiences. PIC staff told us they would disseminate any promising practices identified through the PIC Internal Reviews Working Group and other venues. In August 2017, OMB staff told us they plan to hold a summit with agencies later in the year to discuss implementing various performance management requirements, which could include agencies highlighting experiences and promising practices related to involving external officials in their data-driven reviews. We continue to believe data- driven reviews should include any relevant contributors from outside organizations and will continue to monitor progress.", "Despite the important role priority goals and related reviews can play in addressing crosscutting issues and enhancing collaboration, OMB recently removed the priority status of the current sets of priority goals. According to OMB staff, removing the priority designation from CAP goals and APGs returned them to regular performance goals, which are not subject to quarterly data-driven reviews or updates on the results of those reviews on Performance.gov. In a June 2017 memorandum, OMB stated that CAP goals and APGs are intended to focus efforts toward achieving the priorities of current political leadership, and therefore reporting on the priority goals of the previous administration on Performance.gov was discontinued for the remainder of the period covered by the goals (through September 30, 2017, the end of fiscal year 2017). The memorandum further noted that agencies and teams working on those goals should continue working on the current goals where they align with the priorities of the current administration. Moreover, the memorandum states that agencies have flexibility in structuring their data-driven reviews, but they should continue such reviews focused on agency priorities.", "When asked about these actions, OMB staff told us that they believed they were working in line with the intentions of GPRAMA, which realigned the timing of goal setting with presidential terms, to better take into account changes in priorities. This is the first presidential transition since GPRAMA was enacted, and OMB staff told us they thought the act was unclear on how to handle priority goals during the changes in administrations and priorities. They stated that it was not practical to continue reporting on the priority goals of the prior administration as agencies worked to develop new strategic plans and priority goals for publication in February 2018. Hence, they told us OMB ended the current round of CAP goals and directed agencies to remove the priority designation from the APGs, returning them to regular performance goals. OMB staff further told us that although the guidance was published in a June 2017 memorandum, these decisions had been made and previously communicated to agencies during the transition in administrations. Therefore, reporting on the fiscal year 2014-2017 CAP goals, fiscal year 2016-2017 APGs, and related reviews stopped much earlier in the year, well before goal cycles were planned to be completed on September 30, 2017.", "OMB staff further stated that although the goals no longer had priority designations, work towards them largely continued in 2017. For example, one of the prior administration\u2019s CAP goals was to modernize the federal permitting and review process for major infrastructure projects. OMB staff told us that they and agencies have continued many of the activities intended to achieve that goal, but they are no longer subject to quarterly data-driven reviews or updates on the results of these reviews on Performance.gov. Moreover, they expect most of this work will continue towards a new and refocused CAP goal on infrastructure permitting modernization.", "OMB staff reaffirmed to us their intentions to resume implementation of CAP goals, APGs, and related data-driven reviews when the new planning and reporting cycle begins in February 2018. This is in line with stated plans to leverage various GPRAMA provisions to track progress of proposed government-wide and agency-specific reforms, as outlined in OMB\u2019s April 2017 memorandum on the reform plans. In addition, OMB\u2019s July 2017 update to its guidance for implementing GPRAMA similarly focuses on continued implementation of the act."], "subsections": []}, {"section_title": "Strategic Reviews and Program Inventory Also Could Help with Crosscutting Issues", "paragraphs": ["Additional aspects of GPRAMA implementation could similarly help improve the management of crosscutting issues.", "Strategic reviews: OMB\u2019s 2012 guidance implementing GPRAMA established a process in which agencies, beginning in 2014, were to conduct leadership-driven, annual reviews of their progress toward achieving each strategic objective established in their strategic plans. As we found in July 2015, effectively implementing strategic reviews could help identify opportunities to reduce, eliminate, or better manage instances of fragmentation, overlap, and duplication. Under OMB\u2019s guidance, agencies are to identify the various organizations, program activities, regulations, tax expenditures, policies, and other activities that contribute to each objective, both within and outside the agency. Where progress in achieving an objective is lagging, the reviews are intended to identify strategies for improvement, such as strengthening collaboration to better address crosscutting challenges, or using evidence to identify and implement more effective program designs. If successfully implemented in a way that is open, inclusive, and transparent\u2014to Congress, delivery partners, and a full range of stakeholders\u2014this approach could help decision makers assess the relative contributions of various programs to a given objective. Successful strategic reviews could also help decision makers identify and assess the interplay of public policy tools that are being used to ensure that those tools are effective and mutually reinforcing, and that results are being efficiently achieved.", "In July 2017, OMB released guidance which updated the status of the 2017 strategic reviews. Because agencies are currently developing new strategic goals and objectives, OMB stated that agencies may forego the reporting and categorization requirements for any current strategic objectives that an agency determines will be substantively different or no longer aligned with the current administration\u2019s policy, legislative, regulatory, or budgetary priorities. In addition, OMB stated that while there will be no formal meetings between OMB and the agencies to discuss findings and related progress from the 2017 strategic reviews, it expects that agencies will continue to conduct strategic reviews or assess progress made toward strategic goals and objectives aligned with administration policy. Furthermore, OMB stated that during this transition year, updates of progress on agency strategic objectives will only be published in the agency\u2019s annual performance report and will not be reported to Performance.gov. Full reporting through Performance.gov is to resume after new agency strategic plans are published in February 2018. Agencies are to include a progress update for strategic objectives as part of their progress update in their fiscal year 2017 annual performance reports. Agencies also must address next steps for performance improvement as part of their fiscal year 2019 annual performance plans.", "Program inventories: GPRAMA requires OMB to publish a list of all federal programs, along with related budget and performance information, on a central government-wide website. Such a list could help decision makers and the public fully understand what the federal government does, how it does it, and how well it is doing. An inventory of federal programs could also be a critical tool to help decision makers better identify and manage fragmentation, overlap, and duplication across the federal government.", "Agencies developed initial program inventories in May 2013, but since then have not updated or more fully implemented these inventories. In October 2014, we found several issues limited the completeness, comparability, and usefulness of the May 2013 program inventories. OMB and agencies did not take a systematic approach to developing comprehensive inventories. For example, OMB\u2019s guidance in Circular No. A-11 presented five possible approaches agencies could take to define their programs and noted that agencies could use one or more of those approaches in doing so. We found that because the agencies used inconsistent approaches to define their programs, the comparability of programs was limited within agencies as well as government-wide. In addition, we found that the inventories had limited usefulness for decision making, as they did not consistently provide the program and related budget and performance information required by GPRAMA. Moreover, we found that agencies did not solicit feedback on their inventories from external stakeholders\u2014which can include Congress, state and local governments, third party service providers, and the public. Doing so would have provided OMB and agencies an opportunity to ensure they were presenting useful information for stakeholder decision making. We concluded that the ability to tag and sort information about programs through a more dynamic, web-based presentation could make the inventory more useful. In October 2014, we made several recommendations to OMB to update relevant guidance to help develop a more coherent picture of all federal programs and to better ensure relevant information is useful for decision makers. For example, we recommended that OMB revise its guidance to direct agencies to consult with relevant congressional committees and stakeholders on their approach to defining and identifying programs when developing or updating their inventories.", "OMB staff generally agreed with these recommendations, but have not yet taken any actions to implement them. OMB\u2019s guidance for the program inventory has largely remained unchanged since 2014, when OMB postponed further development of the program inventory and eliminated portions of the guidance. For example, the guidance no longer describes, or provides directions for agencies to meet, GPRAMA\u2019s requirements for presenting related budget or performance information for each program. OMB decided to postpone implementing a planned May 2014 update to the program inventory in order to coordinate with the implementation of the public spending reporting required by the Digital Accountability and Transparency Act of 2014 (DATA Act). OMB subsequently stated that it would not begin implementing the program inventory until after the DATA Act was implemented in May 2017, despite requirements for regular updates to the program inventory to reflect current budget and performance information.", "The DATA Act is now being implemented, but OMB has postponed resuming the development of the program inventory. In July 2017, OMB staff told us that they are now considering how to align GPRAMA\u2019s program inventory provisions with future implementation of the Program Management Improvement Accountability Act (PMIAA). This was reflected in OMB\u2019s July 2017 update to its guidance, which states that OMB is working with agencies to determine the right strategy to merge the implementation of the DATA Act and PMIAA with GPRAMA\u2019s program inventory requirements to the extent possible to avoid duplicating efforts. For example, PMIAA requires OMB to coordinate with agency Program Management Improvement Officers to conduct portfolio reviews of agency programs to assess the quality and effectiveness of program management.", "GPRAMA requires OMB to issue guidance for implementing the program inventory requirements, among other things. Moreover, federal internal control standards state that organizations should clearly define what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement. As described above, OMB\u2019s current guidance for the program inventory lacks some of those details\u2014such as describing and providing direction to meet GPRAMA\u2019s requirements for budget and performance information\u2014in part because OMB is working with agencies to determine a strategy for implementation. Ensuring all GPRAMA requirements are covered and taking action on our past recommendations would help OMB improve its guidance to more fully implement the program inventory and improve its usefulness.", "To that end, in a report issued earlier this month, we identified a series of iterative steps that OMB could use in directing agencies to develop a useful inventory, as described in figure 3. A useful inventory would consist of all programs identified, information about each program, and the organizational structure of the programs. Our work showed that the principles and practices of information architecture\u2014a discipline focused on organizing and structuring information\u2014offer an approach for developing such an inventory to support a variety of uses, including increased transparency for federal programs. Such a systematic approach to planning, organizing, and developing the inventory that centers on maximizing the use and usefulness of information could help OMB ensure the inventory is implemented in line with GPRAMA requirements and meets the needs of decision makers and the public, among others.", "OMB\u2019s guidance also lacks specific time frames, with associated milestones for resuming implementation of the program inventory requirements. As part of PMIAA\u2019s requirements, OMB is to issue standards, policies, and guidelines for program and project management for agencies by December 2017. OMB staff told us that, within a year after that, they expect to issue further guidance on moving forward with resuming the program inventory. However, that general time frame was not reflected in the July 2017 update to OMB\u2019s guidance. Providing specific time frames and associated milestones would bring the program inventory guidance in line with other portions of OMB\u2019s guidance for implementing GPRAMA requirements, which contains a timeline of various performance planning and reporting requirements, including specific dates for meeting those requirements and related descriptions of required actions. For example, OMB\u2019s July 2017 guidance identifies over 30 actions agencies should take between June 2017 and December 2018 to implement various GPRAMA provision. More specific time frames and milestones related to the program inventory requirements would help agencies prepare for resumed implementation by allowing them to know what actions they would be expected to take and by when. Moreover, publicly disclosing planned implementation time frames and associated milestones also would help ensure that external stakeholders are prepared to engage with agencies as they develop and update their program inventories."], "subsections": []}]}, {"section_title": "The Executive Branch Does Not Systematically Assess the Results Achieved by Tax Expenditures, Which Represent Over $1 Trillion in Annual Forgone Revenue", "paragraphs": ["Effectively implementing various GPRAMA tools could help inform assessments of the performance of tax expenditures, which are reductions in tax liabilities that result from preferential provisions (figure 4). In fiscal year 2016, tax expenditures represented an estimated $1.4 trillion in forgone revenue, an amount greater than total discretionary spending that year. Despite the magnitude of these investments, our work has also shown that little has been done to determine how well specific tax expenditures work to achieve their stated purposes and how their benefits and costs compare to those of spending programs with similar goals.", "GPRAMA requires OMB to identify tax expenditures that contribute to the CAP goals. In addition, OMB guidance directs agencies to identify tax expenditures that contribute to their strategic objectives and APGs. However, our past work reviewing GPRAMA implementation found that OMB and agencies rarely identified tax expenditures as contributors to these goals. Fully implementing our recommendation to identify how tax expenditures contribute to various goals could help the federal government establish a process for evaluating the performance of tax expenditures.", "To that end, in May 2017, we provided the Director of OMB with three priority recommendations that require attention:", "Develop framework for reviewing performance: In June 1994, and again in September 2005, we recommended that OMB develop a framework for reviewing tax expenditure performance. We explained that the framework should (1) outline leadership responsibilities and coordination among agencies with related responsibilities, (2) set a review schedule, (3) identify review methods and ways to address the lack of credible tax expenditure performance information, and (4) identify resources needed for tax expenditure reviews. Since their initial efforts in 1997 and 1999 to outline a framework for evaluating tax expenditures and preliminary performance measures, OMB and the Department of the Treasury (Treasury) have ceased to make progress and retreated from setting a schedule for evaluating tax expenditures.", "Inventory tax expenditures: In October 2014, we found that OMB had not included tax expenditures in the federal program inventory, and therefore was missing an opportunity to increase the transparency of tax expenditures and the outcomes to which they contribute. We recommended that OMB should designate tax expenditures as a program type in relevant guidance, and develop, in coordination with the Secretary of the Treasury, a tax expenditure inventory that identifies each tax expenditure and provides a description of how the tax expenditure is defined, its purpose, and related budget and performance information. OMB staff said they neither agreed nor disagreed with these recommended actions. As noted earlier, OMB has not resumed updates to the program inventory. Therefore, OMB had not taken any actions in response to this recommendation, according to OMB staff as of July 2017.", "Identify contributions to agency goals: In July 2016, we found that agencies had made limited progress identifying tax expenditures\u2019 contribution to agency goals, as directed by OMB guidance. As of January 2016, 7 of the 24 CFO Act agencies identified tax expenditures as contributing to their missions or goals. The 11 tax expenditure they identified\u2014out of the 169 tax expenditures included in the President\u2019s Budget for Fiscal Year 2017\u2014represented approximately $31.9 billion of the $1.2 trillion in estimated forgone revenues for fiscal year 2015. (See figure 5.) To help address this issue, we recommended that OMB, in collaboration with the Department of the Treasury, work with agencies to identify which tax expenditures contribute to their agency goals, as appropriate. In particular, we recommended that they identify which specific tax expenditures contribute to specific strategic objectives and APGs. In July 2017, OMB staff said they had taken no actions to address the recommendation.", "Our July 2016 report also identified options for policymakers to further incorporate tax expenditures into federal budgeting processes, several of which options align with the recommendations discussed above. These options could help achieve various benefits, but we also reported that policymakers would need to consider challenges and tradeoffs in deciding whether or how to implement them. For example, one option was to require that all tax expenditures, or some subset of them, expire after a finite period. This option could result in greater oversight, requiring policymakers to explicitly decide whether to extend more or all tax expenditures. One consideration with this option is that it could lead to frequent changes in the tax code, such as from extended or expired tax expenditures, which can create uncertainty and make tax planning more difficult."], "subsections": []}]}, {"section_title": "Long-standing Weaknesses Persist in Ensuring Performance Information Is Useful and Used; Expanded Use of Data-Driven Reviews Could Help Agencies Better Achieve Results", "paragraphs": [], "subsections": [{"section_title": "Federal Managers Generally Did Not Report Improvements in Their Use of Performance Information in Decision Making", "paragraphs": ["Our previous work has shown that using performance information in decision making is essential to improving results. Performance information can be used across a range of management activities, such as setting priorities, allocating resources, or identifying problems to be addressed. However, our work continues to show that agencies can better use performance information in decision making, as shown in the example in the text box below.", "Department of Justice (DOJ) Could Better Analyze Performance Information to Reduce Backlog in Immigration Courts In June 2017, we found that the case backlog\u2014cases pending from previous years that remain open at the start of a new fiscal year\u2014at DOJ\u2019s Executive Office for Immigration Review (EOIR) courts more than doubled from fiscal years 2006 through 2015. Stakeholders identified various factors that potentially contributed to the backlog, including continuances\u2014temporary case adjournments until a different day or time. Our analysis of continuance records showed that the use of continuances increased by 23 percent from fiscal years 2006 through 2015. We found that EOIR collects continuance data but does not systematically assess them. Systematically analyzing the use of continuances could provide EOIR officials with valuable information about challenges the immigration courts may be experiencing, such as with operational issues like courtroom technology malfunctions, or areas that may merit additional guidance for immigration judges. Further, using this information to potentially address operational challenges could help that office meet its goals for completing cases in a timely manner. We recommended that the Director of EOIR systematically analyze immigration court continuance data to identify and address any operational challenges faced by courts or areas for additional guidance or training. EIOR agreed with this recommendation. EOIR stated that it supports conducting additional analysis of immigration court continuance data and recognizes that additional guidance or training regarding continuances may be beneficial to ensure that immigration judges use continuances appropriately in support of EOIR\u2019s mission to adjudicate immigration cases in a careful and timely manner. We will monitor EOIR\u2019s progress in taking these actions.", "Our 2017 survey of federal managers shows little change in their reported use of performance information. Using a set of survey questions, we previously developed an index that reflects the extent to which managers reported that their agencies used performance information for various management activities and decision making. The index suggests that government-wide use of performance information did not change significantly between 2013 and 2017, and it is statistically significantly lower relative to our 2007 survey, when we created the index. Figure 6 shows the questions included in the index and the government-wide results.", "In regard to individual survey items, in 2017 federal managers reported no changes or decreases in their use of performance information when compared to our last survey and when those survey items were first introduced. These results are generally consistent with our last few surveys. For example, in 2008 we found that there had been little change in federal managers\u2019 reported use of performance information government-wide from 1997 to our 2007 survey. Citing those results, the Senate Committee on Homeland Security and Governmental Affairs report accompanying the bill that would become GPRAMA stated that agencies were not consistently using performance information to improve their management and results. The report further stated that provisions in GPRAMA are intended to address those findings and increase the use of performance information to improve performance and results. However, five items that were highlighted in our 2008 statement on the 2007 survey results generally show no improvement when compared to the 2017 results, as shown in figure 7.", "The one exception is for managers\u2019 reported use of performance information to refine program performance measures. While this item was statistically significantly higher in 2013 relative to 2007\u2014an estimated 46 percent to 53 percent\u2014the 2017 result (43 percent) is a statistically significant decrease relative to 2013 and is not statistically different from the 2007 results. Another item, the use of performance information to adopt new program approaches or change work processes, also was statistically significantly lower in 2017 (47 percent) when compared to 2007 and 2013 (53 and 54 percent, respectively). This is of particular concern as agencies are developing their reform plans. Moreover, when compared to our 1997 survey, the 2017 results show four of the five items are statistically significantly lower, and the remaining item\u2014allocating resources\u2014has not changed.", "Similarly, we found there was no improvement in 2017 for more recent survey items on other uses of performance information compared to the years in which they were introduced, as shown in figure 8.", "Although one item, on the use of performance information to develop program strategy, was statistically significantly higher in 2013 relative to 2007 (an estimated 58 and 51 percent, respectively), the 2017 result (53 percent) does not represent a statistically significant change from either of those years. Another item, on the use of performance information to streamline programs to reduce duplicative activities, is statistically significantly lower relative to 2013, when it was introduced (from 44 to 33 percent in 2017). This is especially concerning because streamlining and reducing duplication are to be key parts of agencies\u2019 reform plans.", "There is one area in the survey where we saw improvement: an estimated 46 percent of managers agreed to a great or very great extent that employees who report to them pay attention to their agency\u2019s use of performance information in management decision making. That is statistically significantly higher relative to 2013 (40 percent), as well as when compared to when the item was introduced in 2007 (37 percent). For a new and related item in the 2017 survey that asked managers the amount of attention their employees pay to the use of performance information in decision making when compared to 3 years ago, we found an estimated 48 percent reported that employees pay about the same", "33 percent reported that employees pay somewhat or a great deal more attention."], "subsections": []}, {"section_title": "Federal Managers Generally Did Not Report Changes in Applying Management Practices That Promote the Use of Performance Information", "paragraphs": ["In September 2005, we identified five practices that agencies can apply to enhance the use of performance information in their decision making and improve results: demonstrating management commitment; communicating performance information frequently and efficiently; improving the usefulness of performance information, such as by ensuring the accessibility of the information; developing the capacity to use performance information; and aligning agency-wide goals, objectives, and measures.", "Many of the requirements put in place by GPRAMA reinforce the importance of these practices. Our 2017 survey of federal managers includes a number of items related to these practices. However, the 2017 results suggest that managers have not effectively adopted them. In the following sections, we examine several of the practices to enhance the use of performance information and their related survey items further. In doing so, we also highlight a subset of six survey items related to these practices that, while separate from those in our use of performance information index, we found in September 2014 to have a statistically significant and positive relationship with it."], "subsections": [{"section_title": "Demonstrating Management Commitment", "paragraphs": ["The commitment of agency leaders to results-oriented management is critical to increased use of performance information for policy and program decisions. GPRAMA requires top leadership involvement in performance management, including leading data-driven performance reviews. However, we have previously reported that improvements are needed to strengthen leadership\u2019s commitment to use performance information, as discussed in the text box below.", "Department of Defense Should Strengthen Leadership Responsibilities for Using Performance Information In January 2005, we designated the Department of Defense\u2019s (DOD) approach to business transformation as high-risk because DOD had not taken the necessary steps to achieve and sustain business reform on a broad, strategic, department-wide, and integrated basis. In the February 2017 update to our High-Risk List, we found that DOD had taken some positive steps to improve its business transformation efforts.continuing to hold business function leaders accountable for diagnosing performance problems and identifying strategies for improvement, and leading regular DOD performance reviews regarding transformation goals and associated metrics and ensuring that business function leaders attend these reviews to facilitate problem solving.", "In July 2017, DOD officials told us that the department\u2019s performance reviews have been put on hold until after the new Agency Strategic Plan is issued. We will review DOD\u2019s updated Agency Strategic Plan when it is issued (expected in February 2018, as required by GPRAMA) to see if it addresses continuing to hold business function leaders accountable for diagnosing performance problems and identifying strategies for improvement. We will continue to monitor the status of these actions.", "GAO, High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others, GAO-17-317 (Washington, D.C.: Feb. 15, 2017).", "Results from our 2017 survey show no statistically significant difference relative to 2013 in managers\u2019 perceptions of leaders\u2019 and supervisors\u2019 attention and commitment to the use of performance information. (See figure 9.)", "Three items are statistically significantly different from the years when they were introduced. Two items increased between 1997 and 2017: changes by management to my program(s) are based on results-oriented information (from an estimated 16 to 25 percent), and the individual I report to periodically reviews with me the outcomes of my program(s) (from 42 to 54 percent). For the third item, top leadership demonstrates a strong commitment to using performance information to guide decision making, results decreased from 49 percent in 2007 to 42 percent in 2017.", "New items in the 2017 survey show some improvement in management commitment to the use of performance information in decision making. An estimated 36 percent of federal managers reported that, when compared to 3 years ago, the individual they report to pays somewhat or a great deal more attention to the use of performance information in decision making, while 46 percent said they pay about the same amount of attention. Additionally, an estimated 21 percent of federal managers said that, when compared to 3 years ago, the head of their agency pays somewhat or a great deal more attention to the use of performance information in decision making, while 33 percent said they pay about the same amount of attention."], "subsections": []}, {"section_title": "Communicating Performance Information", "paragraphs": ["Communicating performance information frequently and effectively throughout an agency can help to achieve the agency\u2019s goals. GPRAMA includes requirements for communicating performance information, such as reporting progress updates for APGs at least quarterly. However, our prior work has found that some agencies could continue to improve in the communication of performance information, as illustrated by the example in the text box below.", "Department of Education (Education) Could Better Share Effective Practices across States in Grant Program Education awards 21st Century Community Learning Centers grants to states, which in turn competitively award funds to local organizations that use them to offer academic enrichment and other activities to improve students\u2019 academic and behavioral outcomes. In April 2017, we found that states are experiencing substantial difficulty in sustaining their programs after 21st Century funding ends. We further found that Education was missing opportunities in its monitoring efforts to collect information on states\u2019 strategies and practices for program sustainability\u2014information that could be useful for sharing promising practices across states. We recommended that Education use the information it collects from its monitoring visits and ongoing interactions with states to share effective practices across states for sustaining their 21st Century programs once program funding ends. Education neither agreed nor disagreed with the recommendation but outlined steps it is taking to address it. We will continue to monitor progress on the implementation of this recommendation.", "There is no difference for two survey items on federal managers communicating performance information relative to 2013 or since those items were introduced in 2007. In 2017, we estimate that 44 percent of federal managers agreed to a great or very great extent that agency managers at their level effectively communicate performance information on a routine basis. In addition, 34 percent agreed to a great or very great extent that managers at their level use performance information to share effective program approaches with others.", "Our 2017 survey data also indicate that agencies may not be effectively communicating to their employees about contributions to CAP goals or progress toward achieving APGs. Of the estimated 54 percent of federal managers who indicated they were familiar with CAP goals, 23 percent reported that their agency has communicated to its employees on those goals to a great or very great extent. Of the 74 percent of federal managers who indicated familiarity with APGs, 44 percent reported that their agency has communicated on progress toward achieving those goals to great or very great extent."], "subsections": []}, {"section_title": "Improving the Usefulness of Performance Information", "paragraphs": ["Our prior work has shown that agencies should consider users\u2019 differing needs\u2014for accessibility, accuracy, completeness, consistency, ease of use, timeliness, and validity, among others things\u2014to ensure that performance information will be both useful and used. GPRAMA introduced several requirements that could help to address aspects of usefulness, such as requiring agencies to disclose more information about the accuracy and validity of their performance data and actions to address limitations to the data. However, agencies face challenges in ensuring their performance information is useful, with one instance from our past work described in the text box below.", "The Environmental Protection Agency (EPA) Could Improve Usefulness of Information in Planned Grantee Portal EPA monitors performance reports and program-specific data from grantees to ensure that grants achieve environmental and other program results. However, in July 2016, we found that EPA\u2019s 2014 internal analysis of its grants management business processes identified improvements that, if implemented into EPA\u2019s planned web-based portal, could improve the accessibility and usefulness of information in grantee performance reports for EPA, grantees, and other users. We recommended, among other actions, that EPA incorporate expanded search capability features, such as keyword searches, into its proposed web- based portal for collecting and accessing performance reports to improve their accessibility. EPA agreed with our recommendation but stated that it is a long- term initiative, subject to the agency\u2019s budget process and replacement of its existing grants management system. As of May 2017, EPA officials said that they have not begun work on the web-based portal project, which is subject to the availability of funds.", "Federal managers generally responded similarly in 2017 on a variety of survey items related to usefulness, relative to earlier surveys. On a broadly worded item, less than half of managers agreed to a great or very great extent that agency managers at their level take steps to ensure that performance information is useful and appropriate. At an estimated 43 percent in 2017, this represents no statistically significant change compared to our last surveys in 2013 or 2007, when the item was introduced.", "Responses to four survey items indicate no changes in hindrances related to the usefulness of performance information. There is no statistically significant change in managers reporting hindrances compared to 1997 or 2013, as shown in figure 10.", "In addition, there was a statistically significant increase when compared to 2013 on only one of six items about managers\u2019 views on the usefulness of performance information, as shown in figure 11.", "As the figure shows, approximately one-third to half of managers agreed to a great or very great extent on each item related to the usefulness of performance information. Although less than half of managers reported having sufficient information on validity of performance data used to make decisions, this represents a statistically significant increase to an estimated 42 percent in 2017 compared to 36 percent in 2013, and from 28 percent in 2000, when this item was introduced. This is a notable improvement because our September 2014 report found that the strongest driver of the use of performance information was whether federal managers had confidence in its validity.", "Our analysis suggests that easy access to performance information is related to the effective communication of performance information. Of the estimated 49 percent of federal managers in 2017 who agreed to a great or very great extent that performance information is easily accessible to managers at their level, 63 percent also agreed that agency managers at their level effectively communicate performance information on a routine basis to a great or very great extent. Conversely, of the 20 percent that agreed to a small or no extent that performance information is easily accessible to managers at their level, 12 percent also agreed that agency managers at their level effectively communicate performance information on a routine basis to a great or very great extent."], "subsections": []}, {"section_title": "Developing the Capacity to Use Performance Information", "paragraphs": ["Our prior work has shown that building capacity\u2014including analytical tools and staff expertise\u2014is critical to using performance information in a meaningful manner. GPRAMA lays out specific requirements that reinforce the importance of staff capacity to use performance information. GPRAMA directed the Office of Personnel Management (OPM) to take certain actions to support agency hiring and training of performance management staff. Specifically, by January 2012, OPM was to identify skills and competencies needed by government personnel for setting goals, evaluating programs, and analyzing and using performance information for improving government efficiency and effectiveness. By January 2013, OPM was to incorporate these skills and competencies into relevant position classifications and to work with each agency to incorporate the identified skills into employee training.", "In April 2013, we found that OPM had completed its work on the first two responsibilities and taken steps to work with agencies to incorporate performance management staff competencies into training. However, OPM did not assess competency gaps among agency performance management staff to inform its work. Without this information, OPM, working with the PIC, was not well-positioned to focus on the most- needed resources and help other agencies use them. We recommended that the Director of OPM, in coordination with the PIC and the Chief Learning Officer Council, work with agencies to take the following three actions: 1. Identify competency areas needing improvement within agencies. 2. Identify agency training that focuses on needed performance management competencies. 3. Share information about available agency training on competency areas needing improvement.", "In July 2017, PIC staff stated they have not focused on identifying competency areas because the competencies do not resonate strongly with the performance community. Instead, staff said they identified a need for introductory training on performance management, which they have developed and piloted. They said that they are not sure when they will implement the training, since the PIC is reviewing priorities with its new executive director. We continue to believe that identifying the competency areas would be useful, and will monitor the PIC\u2019s efforts to identify and share training.", "The need for performance management training is further highlighted by our survey results. Our 2017 survey shows no statistically significant change in managers\u2019 responses about the availability of training on various performance management activities relative to 2013, including the use of performance information to make decisions. However, the response to each of the six questions related to specific training is statistically significantly higher relative to the year in which it was introduced, as shown in figure 12.", "Similarly, in 2017 there was no statistically significant change on four survey items related to agencies\u2019 analysis and evaluation tools and staff\u2019s skills and competencies when compared to 2013 or when these items were introduced. We estimate that in 2017", "29 percent of managers agreed to a great or very great extent that their agencies were investing in resources to improve the agencies\u2019 capacity to use performance information;", "28 percent of managers agreed to a great or very great extent that their agencies were investing the resources needed to ensure that performance data are of sufficient quality;", "33 percent of managers reported that they agreed to a great or very great extent that their agencies have sufficient analytical tools for managers at their levels to collect, analyze, and use performance information; and", "33 percent of managers reported that they agree to a great or very great extent that the programs they are involved with have sufficient staff with the knowledge and skills needed to analyze performance information."], "subsections": []}]}, {"section_title": "Conducting Additional Data-Driven Reviews Could Increase the Use of Performance Information in Decision Making", "paragraphs": ["Performance reviews can serve as a strategy to bring leadership and other responsible parties together to review performance information and identify important opportunities to drive performance improvements. Our prior work has examined how different types of performance reviews\u2014strategic reviews, data-driven reviews, and retrospective regulatory reviews\u2014can contribute to agencies assessing progress toward desired results.", "Strategic reviews: As previously mentioned, in implementing GPRAMA, OMB established a review process in which agencies are to annually assess their progress in achieving each strategic objective in their strategic plans, known as strategic reviews. Given the long-term and complex nature of many outcomes, the strategic review should be informed by a variety of evidence regarding the implementation of strategies and their effectiveness in achieving outcomes. OMB\u2019s guidance states that the strategic review process should consider multiple perspectives and sources of evidence to understand the progress made on each strategic objective. It further states that the results of these reviews should inform many of the decision-making processes at the agency, as well as decision making by the agency\u2019s stakeholders, in areas such as long-term strategy, budget formulation, and risk management. In 2017, agencies are completing their fourth round of these reviews.", "Our prior work has identified ways in which agencies can effectively conduct these reviews and leverage the results that come from them. In July 2015, we identified seven practices federal agencies can employ to facilitate effective strategic reviews. (See sidebar.) In addition, earlier this month we reported on selected agencies\u2019 experiences in implementing these reviews. Specifically, we found that (1) strategic reviews helped direct leadership attention to progress on strategic objectives, (2) agencies used existing management and performance processes to conduct the reviews, and (3) agencies refined their reviews by capturing lessons learned.", "Data-driven reviews: GPRAMA requires agencies to review progress toward APGs at least once a quarter. The Senate Committee on Homeland Security and Governmental Affairs report accompanying the bill that would become GPRAMA stated that this approach is aimed at increasing the use of performance information to improve performance and results. In February 2013, we identified nine leading practices to promote successful data-driven performance reviews in the federal government. (See sidebar.) In July 2015, we found that most of the 24 CFO Act agencies were conducting their reviews in line with GPRAMA requirements and our leading practices. Moreover, agencies reported that their data-driven performance reviews had positive effects on progress toward agency goals, collaboration between agency officials, the ability to hold officials accountable for progress, and efforts to improve the efficiency of operations.", "Our 2017 survey shows that federal managers remain largely unfamiliar with their agency\u2019s data-driven performance reviews, also known as quarterly performance reviews (QPRs). An estimated 35 percent of managers reported familiarity with their agency\u2019s QPRs. Survey results show that a greater percentage of Senior Executive Service (SES) managers than non-SES managers reported that they were familiar with QPRs. Approximately 50 percent of SES managers reported being somewhat or very familiar with QPRs; 34 percent of non-SES reported the same.", "However, for the estimated 35 percent of managers who reported familiarity with QPRs, the more they viewed their programs being subject to a QPR, the more likely they were to report their agency\u2019s QPRs were driving results and conducted in line with our leading practices. Figure 13 shows several illustrative examples of these survey items. For example, of the estimated 48 percent of federal managers who reported their programs being subject to QPRs to a great or very great extent, 83 percent also reported their agencies use QPRs to identify problems or opportunities associated with agency performance goals. Conversely, for the 24 percent of managers who reported their programs were subject to QPRs to a small or no extent, 22 percent also reported the reviews were used for these purposes to a great or very great extent.", "Being subject to a QPR is also positively related to viewing QPRs as having led to similar meetings at lower levels. An estimated 62 percent of federal managers who reported being subject to QPRs to a great or very great extent also reported their agencies have similar meetings at lower levels to a great or very great extent. An estimated 16 percent of federal managers subject to QPRs to a small or no extent reported the same.", "Despite the reported benefits of and results achieved through QPRs, as found by our past work and survey data, these reviews are not necessarily widespread. GPRAMA requires agencies to conduct QPRs for APGs, which represent a small subset of goals\u2014generally 2 to 8 priority goals at each designated agency, with approximately 100 total government-wide. Moreover, these required reviews are at the department (or major independent agency) level. These reasons may explain why most managers reported they were not familiar with the reviews.", "As was described previously, our 2017 survey data show that the reported use of performance information in decision making generally has not improved and in some cases is lower than it was 20 years ago. Survey data also show that managers generally have not reported increases in their employment of practices that further promote the use of performance information in decision making. This suggests that agencies could increase the use of performance information in decision making and the likelihood of achieving desired results by going beyond the specific GPRAMA requirements and expanding their use of data-driven performance reviews\u2014in line with leading practices\u2014to more broadly cover other agency-wide performance goals, as well as goals at lower levels within the agency. For example, such reviews at the program level could help inform the previously mentioned portfolio reviews required by the Program Management Improvement Accountability Act (PMIAA).", "We have already suggested expanding reviews to other performance goals. Our management agenda for the presidential and congressional transition includes a key action to expand the use of data-driven performance reviews to assess progress toward meeting agency performance goals. Our prior work has stated that although GPRAMA\u2019s requirements apply at the agency-wide level, they can also serve as leading practices at other organizational levels, such as component agencies, offices, programs, and projects. In addition, federal internal control standards call for the design of appropriate control activities, such as top-level reviews of actual performance and reviews by management at the functional or activity level. The standards also recommend that management design control activities at the appropriate levels in the organizational structure.", "The July 2017 update to OMB\u2019s guidance states that agency leaders, including various chief officer positions, are to conduct frequent data- driven reviews to drive improvements on various management functions. For example, the agency Chief Human Capital Officer is to conduct quarterly data-driven reviews (known as HRStat) to monitor the progress of human capital goals and measures contained in the human capital operating plan. Beyond these management areas, OMB\u2019s guidance also states that agencies may expand quarterly progress reviews beyond APGs to include other goals and priorities. However, OMB\u2019s guidance does not identify practices for agencies to expand the use of these reviews to other goals, such as other agency-wide performance goals or those at lower levels within the agency. As mentioned previously, one of the responsibilities of the Performance Improvement Council (PIC) is to facilitate the exchange among agencies of practices that have led to performance improvements within specific programs, agencies, or across agencies. By working with the PIC to identify and share among agencies practices to expand the use of data- driven reviews, OMB could help agencies increase the use of performance information in decision making and achieve results.", "Retrospective regulatory reviews: In retrospective reviews, agencies evaluate how existing regulations are working in practice and whether they are achieving expected outcomes. GPRAMA requires agencies to identify and assess how their various program activities and other activities, including regulations, contribute to APGs. However, in April 2014, we found that agencies reported mixed experiences linking retrospective analyses to APGs. We recommended that OMB strengthen these reviews by issuing guidance for agencies to take actions to ensure that contributions made by regulations toward achieving APGs are properly considered, and improve how retrospective regulatory reviews can be used to help inform assessments of progress toward these APGs. OMB staff agreed with this recommendation and stated that the agency was working on strategies to help facilitate agencies\u2019 ability to use retrospective reviews to inform APGs.", "To that end, in April 2017, OMB issued guidance to agencies that, among other things, emphasized the importance of performance measures related to evaluating and improving the net benefits of their respective regulatory programs. OMB included explicit references to section 6 of Executive Order 13563, which directed agencies\u2019 efforts to conduct retrospective regulatory reviews. Specifically, the updated guidance encourages agencies to establish and report \u201cmeaningful performance indicators and goals for the purpose of evaluating and improving the net benefits of their respective regulatory programs.\u201d The guidance further states that agencies\u2019 efforts to improve such net benefits may be conducted as part of developing agency strategic and performance plans and priority goals. In July 2017, OMB confirmed that the updated guidance was issued, in part, to address our April 2014 recommendation."], "subsections": []}, {"section_title": "Evidence-Based Tools Can Help Federal Agencies Use Performance Information for Decision Making", "paragraphs": ["For several years, OMB has encouraged agencies to expand their use of evidence\u2014performance measures, program evaluation results, and other relevant data analytics and research studies\u2014in budget, management, and policy decisions with the goal of improving government effectiveness. In particular, OMB has encouraged agencies to strengthen their program evaluations\u2014systematic studies that use research methods to address specific questions about program performance. Evaluation is closely related to performance measurement and reporting. Evaluations can be designed to better isolate the causal impact of programs from other external economic or environmental conditions in order to assess a program\u2019s effectiveness. Thus, an evaluation study can provide a valuable supplement to ongoing performance reporting by measuring results that are too difficult or expensive to assess annually, explaining the reasons why performance goals were not met, or assessing whether one approach is more effective than another.", "Despite the valuable insights and information that program evaluations can provide, we continue to find that most federal managers lack access to or awareness of such studies. Our 2017 survey shows that an estimated 40 percent of managers reported that an evaluation had been completed within the past 5 years of any program, operation, or project in which they were involved\u2014comparable to the results in our 2013 survey, when questions about program evaluations were added. In recent years, OMB has encouraged agencies to explore evidence-based tools to strengthen agency and grantee evaluation capacity, consider the effectiveness of their programs, and foster innovation rooted in research and rigorous evaluation. During the past 2 years, we examined several of those tools, as described below.", "Pay for success: Also known as social impact bonds, pay for success is a contracting mechanism under which investors provide the capital the government uses to provide a social service. The government specifies performance outcomes in pay for success contracts and generally includes a requirement that a program\u2019s impact be independently evaluated. The evaluators also are to regularly review performance data, while those managing and investing in a project focus on performance and accountability, as shown in the figure 14.", "In September 2015, we found that the federal government\u2019s involvement in pay for success had been limited. In addition, a formal mechanism for federal agencies to collaborate on pay for success did not exist. We concluded that, given the evolving nature of pay for success, a mechanism for federal agencies to collaborate would increase access to leading practices. We therefore recommended that OMB establish a formal means for federal agencies to collaborate on pay for success. OMB concurred and, in February 2016, announced that it had developed the Pay for Success Interagency Learning Network with representatives from 10 federal agencies to share lessons, hone policy, and strengthen implementation.", "Tiered evidence grants: Tiered evidence grants seek to incorporate evidence of effectiveness into grant making. Federal agencies establish tiers of grant funding based on the level of evidence grantees provide on their approaches to deliver social, educational, health, or other services. (See figure 15.)", "Smaller awards are used to test new and innovative approaches, while larger awards are used to scale up approaches that have strong evidence of effectiveness. This creates incentives for grantees to use approaches supported by evidence and helps them build the capacity to conduct evaluations.", "In September 2016, we found that interagency collaboration had helped federal agencies that administer tiered evidence grants address challenges and share lessons learned. At that time, such collaborative efforts relied on informal networks. We recommended that OMB establish a formal means for agencies to collaborate on tiered evidence grants. OMB had no comment on the recommendation. In July 2017, OMB staff told us that they had established an interagency working group and other mechanisms to facilitate collaboration and disseminate information on tiered evidence grants.", "Performance partnerships: Performance partnerships allow federal agencies to provide grant recipients flexibility in how they use funding across two or more programs along with additional flexibilities. In exchange, the recipient commits to improve and assess progress toward agreed-upon outcomes. Figure 16 provides an overview of the performance partnership model.", "In April 2017, we examined two performance partnership initiatives authorized by Congress: the Environmental Protection Agency\u2019s Performance Partnership Grants and the Performance Partnership Pilots for Disconnected Youth, which allows funding from multiple programs across multiple agencies to be combined into pilot programs serving disconnected youth. For the Performance Partnership Pilots for Disconnected Youth, we found that the agencies involved in the initiative had not fully identified the key financial and staff resources each agency would need to contribute over the lifetime of the initiative in line with leading practices for interagency collaboration. This was because agencies primarily had been focused on meeting near-term needs to support design and implementation. We also found that agencies had not developed criteria to help determine whether, how, and when to implement the flexibilities tested by the pilots in a broader context. (This is known as scalability.) Officials involved in the pilots told us it was too early in pilot implementation to determine such criteria. However, by not identifying these criteria while designing the pilots, they were risking not collecting needed data during pilot implementation. We recommended that OMB coordinate with federal agencies to identify (1) agency resource contributions needed for the lifetime of the pilots and (2) criteria and related data for assessing scalability. OMB neither agreed nor disagreed with these recommendations. We continue to monitor progress on these recommendations."], "subsections": []}]}, {"section_title": "Agencies Have Made Some Progress in Aligning Daily Operations with Results, but Could Take Additional Actions", "paragraphs": [], "subsections": [{"section_title": "Agencies Could Take Additional Actions to Further Develop Results- Oriented Cultures", "paragraphs": ["In 2003, we identified nine key practices for effective performance management that collectively create a \u201cline of sight\u201d between individual performance and organizational success. (See sidebar on next page.) Our recent work and the results of our 2017 survey of federal managers highlight areas where agencies have made progress but could take additional action to better reflect several of these practices, thereby better instilling results-oriented cultures.", "Align individual performance expectations with organizational goals: Our 2003 report found that high-performing organizations use their performance management systems to help individuals see the connection between their daily activities and organizational goals. The executive branch has taken several steps to link individual and organizational results. For example, in October 2000, OPM issued guidance to link SES performance expectations with GPRA-required goals. In January 2012, OPM and OMB released a government-wide SES performance appraisal system that provided agencies with a standard framework to manage the performance of SES members.", "However, our work continues to identify areas for improvement.", "Goal leaders and deputy goal leaders are responsible for achieving APGs, but our July 2014 review found that the performance plans for a sample of goal and deputy goal leaders generally did not link their individual performance and the broader goal. We recommended that OMB ensure that those plans demonstrate a clear connection with APGs. OMB staff generally agreed with our recommendation. In July 2017, OMB staff stated that components of both OMB and OPM guidance support accountability for agency priority goals. Despite this, we continue to believe that ensuring an explicit connection in performance plans to APGs will improve accountability, and that additional action is needed to do so.", "In May 2016, we found that the Federal Emergency Management Agency (FEMA) had not aligned Federal Disaster Recovery Coordinators\u2019 performance expectations with its organizational goals for implementing the National Disaster Recovery Framework. We concluded that without this linkage, FEMA could not evaluate how effectively the coordinators performed in implementing the framework. We recommended that FEMA align performance expectations consistent with leading practices. The Department of Homeland Security concurred with our recommendation. In July 2017, FEMA stated that it is preparing the Field Leader Manual, which will define the core competencies and duties of coordinators. We will continue to monitor FEMA\u2019s actions to implement this recommendation.", "Our 2017 survey also shows that this linkage could be improved for other federal employees. An estimated 58 percent of federal managers reported using performance information to a great or very great extent in setting expectations for employees they manage or supervise. The 2017 responses do not represent a statistically significant change when compared to our last survey in 2013 (62 percent) or to 1997 (61 percent), the year this survey item was introduced.", "Address organizational priorities: Our prior work showed that, by requiring and tracking follow-up actions on performance gaps, high- performing organizations underscore the importance of holding individuals accountable for making progress on their priorities. Our past and 2017 surveys have identified differences in responses between SES and non-SES managers reporting being held accountable for results. For example, in 2017, our survey results indicate that there was a statistically significant difference between SES and non-SES managers reporting to a great or very great extent that they were held accountable for results of the programs for which they are responsible. However, our 2017 survey shows no change compared to our last survey in either SES or non-SES managers reporting they were held accountable for results. There are statistically significant increases when compared to 1997, when these survey items were introduced. For example, an estimated 79 percent of SES managers and 64 percent of non-SES managers reported being held accountable to a great or very great extent for results of the programs for which they are responsible in 2017. This does not represent a statistically significant change from our 2013 survey (80 percent and 67 percent, respectively), but it is statistically significantly higher than the 62 percent of SES managers and 54 percent of non-SES managers in 1997. (See figure 17.)", "Similarly, as shown in figure 18, an estimated 71 percent of SES managers reported being held accountable to a great or very great extent for accomplishing agency strategic goals in 2017. This represents no statistical change since 2013 (73 percent), but it is a statistically significant increase compared to when this item was introduced in 2003 (61 percent). Additionally, as figure 18 shows, a gap between being held accountable for strategic goals and having the decision-making authority needed to help accomplish those goals has nearly closed, due to an increase in the latter survey item. The estimated 69 percent of SES managers who reported having such authority to a great or very great extent in 2017 is a statistically significant increase relative to both 2013 (61 percent) and 1997 (51 percent).", "As noted earlier, GPRAMA requires goal leaders for CAP goals and APGs. Our past work has generally found that they are in place. GPRAMA also requires agencies to identify an agency official responsible for resolving major management challenges, which can help ensure accountability. (See sidebar.) However, in June 2016 we found that 17 of the 24 CFO Act agencies had not identified an agency official responsible for resolving each of their challenges, partly because OMB guidance was not clear that major management challenges should be identified in agency performance plans. We recommended that the 17 agencies identify such officials in their performance plans, and that OMB clarify its guidance. OMB revised its guidance accordingly in July 2016, and, as of July 2017, 7 of the 17 agencies had identified officials responsible for resolving major management challenges.", "Link pay to individual and organizational performance: High- performing organizations seek to create pay, incentive, and reward systems that clearly link employee knowledge, skills, and contributions to organizational results. Our work has found that agencies have made progress in this area. For example, in July 2013, we found that the Securities and Exchange Commission (SEC) lacked mechanisms to monitor how supervisors used its performance management system to recognize and reward performance. To help enhance the credibility of SEC\u2019s performance management system, we recommended that it create mechanisms to monitor how supervisors use the performance management system. In a subsequent (December 2016) report, we found that, in response to our recommendation, SEC began monitoring how supervisors provide feedback, recognize and reward staff, and address poor performance.", "However, federal managers generally reported no change on three items related to recognizing and rewarding employee performance since our last survey in 2013 (figure 19). One of those items\u2014managers agreeing to a great or very great extent that employees in their agency receive positive recognition for helping the agency to accomplish its strategic goals\u2014had a statistically significant increase between 1997 and 2017 (from an estimated 26 percent to 46 percent).", "Make meaningful distinctions in performance: Effective performance management requires the organization\u2019s leadership to meaningfully distinguish between acceptable and outstanding performance of individuals and to appropriately reward those who perform at the highest level. For example, in January 2015, we found disparities in performance ratings for SES among agencies. Across the 24 CFO Act agencies, the percent of SES rated at the highest level ranged from about 22 percent to 95 percent in fiscal year 2013. To help address these disparities, we recommended that the Director of OPM consider the need to refine the performance certifications guidelines addressing distinctions in performance. To address this recommendation, OPM informed us, in June 2015, that it had convened a cross-agency working group that developed a standard template for agencies to complete and post on a website to more transparently justify their SES ratings distributions.", "In May 2016, we found that about 74 percent of non-SES employees under a five-level appraisal system\u2014the most commonly used system\u2014 were rated in the top two of five performance categories in 2013. We explored this issue further in our December 2016 review of human capital challenges at the Veterans Health Administration (VHA), which illustrates the importance of making meaningful distinctions in performance for non- SES employees. We found that in fiscal year 2014, about 73 percent of VHA employees were rated in the top two of five performance categories. This may have been due, in part, to a policy that did not require standards to be defined for each level of performance. We recommended that VHA ensure that meaningful distinctions are being made in employee performance ratings by reviewing and revising performance management policies consistent with leading practices, among other actions. The Department of Veterans Affairs partially concurred with our recommendation. In May 2017, the department stated that it had begun piloting a new performance management process and would analyze results at the end of fiscal year 2017."], "subsections": []}, {"section_title": "Additional OMB Actions Could Help Address Long- Standing Performance Measurement Issues", "paragraphs": ["One key aspect of connecting daily operations to results is aligning program performance measures to agency-wide goals and objectives. However, in 2017, an estimated 50 percent of federal managers agreed to a great or very great extent that managers at their level took steps to create such an alignment. There has been no statistically significant change since this item was introduced in 2007.", "In addition, GPRAMA calls for agencies to develop a balanced set of performance measures, which reinforces the need for agencies to have a variety of measures across program areas. Our 2017 survey shows that managers have not reported any difference in the availability of performance measures for their programs when compared to the 2013 results. However, the 2017 result (an estimated 87 percent) represents a statistically significant increase when compared to 1997 (76 percent). When asked about the availability of certain types of performance measures, three of the five types (outcome, output, and efficiency) were statistically significantly higher in 2017 when compared to our initial 1997 survey. However, when comparing 2017 results to those in 2013, two of the five types (output and quality) showed a statistically significant decrease, and the other types did not change. These are illustrated in figure 20.", "Beyond the survey results, our work has found that some agencies had not developed or used outcome measures, but have taken steps to do so. Agencies have been responsible for measuring program outcomes since GPRA was enacted in 1993. The text box below describes two illustrative examples from our past work.", "Examples of Agencies That Did Not Develop or Use Outcome Measures Patient access to electronic health information: In March 2017, we found that the Department of Health and Human Services (HHS) had invested over $35 billion since 2009 to enhance patient access to electronic health information, among other things. HHS had not developed outcome measures to gauge the effectiveness of these efforts, which meant the department did not have information to determine whether the efforts were contributing to its overall goals. We recommended that HHS develop relevant outcome measures and HHS concurred. Safety interventions: According to the Federal Motor Carrier Safety Administration (FMCSA), between 2011 and 2015, over 4,000 people died in crashes involving motor carriers each year.", "GAO, Motor Carriers: Better Information Needed to Assess Effectiveness and Efficiency of Safety Interventions, GAO-17-49 (Washington, D.C.: Oct. 27, 2016).", "Further OMB actions could also help agencies make progress in measuring the performance of different program types. In our June 2013 report on initial GPRAMA implementation, we found that agencies experienced common issues in measuring the performance of various types of programs, such as contracts and grants. We recommended that OMB work with the PIC to develop a detailed approach to examine those difficulties. Although they took some actions, OMB and the PIC have not yet developed a comprehensive and detailed approach to address these issues. We concluded that, without such an approach, it would be difficult for the PIC and agencies to fully understand these measurement issues and develop a crosscutting approach to help address them. In August 2017, OMB staff stated that efforts related to the future implementation of the Program Management Improvement Accountability Act (PMIAA) could help address this recommendation. As highlighted in table 1, our work continues to show why it is important for OMB and the PIC to take actions to more fully address our recommendation."], "subsections": []}]}, {"section_title": "Increased Transparency and Public Engagement Could Improve Government Oversight and Foster Innovation", "paragraphs": [], "subsections": [{"section_title": "Further OMB Action Could Improve the Transparency of Government-wide Performance and Financial Data", "paragraphs": ["Congress has passed legislation to increase the transparency and accessibility of federal performance and financial data. For example, GPRAMA modernized agency reporting requirements to ensure that they make timely, relevant data available to inform decision making by Congress and agency officials as well as improve transparency for the public. Results of our 2017 survey, however, show the need for improvements in the public availability of agency performance information. An estimated 17 percent of managers reported that their agency\u2019s performance information is easily accessible to the public to a great or very great extent, the same percentage as in 2013. Moreover, of the 87 percent of managers that reported there are performance measures for the programs they are involved in, 25 percent reported that they use information obtained from performance measurement when informing the public about how programs are performing to a great or very great extent. This is not statistically different from the 30 percent estimated in 2013.", "The DATA Act, enacted in 2014, built on previous transparency legislation by expanding what federal agencies are required to report regarding their spending. The act significantly increases the types of data that must be reported, requires government-wide data standards, and regular reviews of data quality to help improve the transparency and accountability of federal spending data. OMB provides websites and guidance to make agency performance and financial information available to the public; however, our prior work has identified a number of areas related to Performance.gov and the DATA Act where OMB action is needed to improve the transparency and accessibility of this information.", "Performance.gov: Since 2013, our work has identified a number of issues with Performance.gov, the website intended to serve as a central source of information on the federal government\u2019s goals and performance. Over time, we have recommended that OMB take a number of specific actions to improve the website. For example, in June 2013, we found that the website offered an inconsistent user experience and presented accessibility and navigation challenges. To clarify the purpose of the website and enhance its usability, we recommended that OMB take steps to systematically collect customer input.", "In August 2016, we reported that OMB was not meeting all of the reporting requirements for Performance.gov, and did not have a plan to develop and improve the website. We recommended that OMB ensure that information presented on Performance.gov consistently complies with reporting requirements and develop a plan for the website that includes, among other things, a customer outreach plan. OMB agreed with these recommendations and, in July 2017, OMB staff informed us that they will be partnering with a vendor to redesign Performance.gov to improve the accessibility of information on the website. To inform this redesign, OMB staff said that they will consider our previous recommendations and plan to engage a wide group of stakeholders, including Congress, agency staff, and interested members of the public and outside organizations. OMB staff anticipated releasing updated agency reporting guidance in the fall of 2017 and the redesigned website in February 2018.", "Under GPRAMA, OMB is required to make available, through Performance.gov, quarterly updates on progress toward CAP goals and APGs. As described earlier, in June 2017 OMB announced that reporting to Performance.gov has been discontinued through the end of fiscal year 2017 as agencies develop new priority goals. However, Performance.gov does not state that it will not be updated, nor does it provide the location of the final progress updates for these goals. OMB\u2019s guidance states that agencies should report the results of progress on their previous APGs in their annual performance reports for fiscal year 2017. Moreover, OMB staff told us that the existing updates on Performance.gov for CAP goals, last updated in December 2016, represent the final updates on those goals, although they are not labeled as such on the website. As a result, those interested in progress updates and reported results for the previous priority goals may not know where they will be able to find this information, limiting the transparency and accessibility of those results for decision makers and the public.", "DATA Act: The DATA Act requires federal agencies to disclose their spending and link this to program activities so that policymakers and the public can more effectively track federal spending. The act has the potential to improve the accuracy and transparency of federal spending information and increase its usefulness for government decision making and oversight. Since the DATA Act became law, OMB and Treasury have taken significant steps to make more complete and accurate federal spending data available. These have included standardizing data element definitions to make it easier to compare different federal agencies\u2019 financial information, and issuing guidance to help agencies submit required data. In May 2017, federal agencies started to report data under the standardized definitions developed under the act.", "We have made a number of recommendations to address challenges that could affect the consistency and quality of the data. Addressing these recommendations could help ensure that financial data are provided to the public in a transparent and useful manner. For example, in January 2016, we found some standardized data element definitions were imprecise or ambiguous, which could result in inconsistent or potentially misleading reporting. We recommended that OMB provide agencies with additional guidance to address potential issues with the clarity, consistency, and quality of reported data. OMB released guidance in May and November 2016, but in April 2017 we found that additional guidance was needed to help agencies implement certain data definitions to produce data that would be consistent and comparable across agencies. We are in the process of examining the quality of the data that was submitted by agencies in May 2017 and was made available to the public on an early version of the USAspending.gov website. We expect to issue the results of this work in fall 2017."], "subsections": []}, {"section_title": "More Complete Public Reporting of Performance Information Could Enhance Oversight and Accountability", "paragraphs": ["Our past work also identified a number of actions agencies need to take to make performance information more transparent. Increasing the accessibility of this information could enhance oversight and accountability of agency performance and results.", "CAP goals: In May 2016, we found that while selected CAP goal teams were working to develop performance measures to track progress, they were not consistently reporting on their efforts to develop these measures. We recommended that OMB report on Performance.gov the actions that CAP goal teams are taking to develop performance measures and quarterly targets to help ensure that measures are aligned with major activities, and ensure that it is possible to track teams\u2019 progress toward establishing measures. While OMB agreed with this recommendation, it did not address it before reporting on the CAP goals was discontinued, as discussed earlier.", "Customer service standards: As we described earlier, in 2017, an estimated 48 percent of federal managers that indicated they have performance measures for the programs they are involved in also agreed to a great or very great extent that they have customer service performance measures. There has been no statistically significant change relative to our last survey in 2013, or the initial survey in 1997. Relatedly, in October 2014, we reviewed customer service standards at five federal agencies. Customer service standards inform customers about what they have a right to expect when they request services, and the standards should include goals for the quality and timeliness of a service an agency provides to its customers. They should also be easily available to the public so that customers know what to expect, when to expect it, and from whom. In our review of standards at five agencies, however, we found that only Customs and Border Protection had standards that were easily available to the public. We recommended the other four agencies\u2014the United States Forest Service, Federal Student Aid, the National Park Service (NPS), and the Veterans Benefits Administration (VBA)\u2014make their standards more easily accessible to the public. As of July 2017, only VBA had done so.", "Major management challenges: In June 2016, we found that 14 of the 24 CFO Act agencies did not describe their major management challenges in their performance plans, as required by GPRAMA. Furthermore, 22 of the 24 agencies reviewed did not report complete performance information for each of their major management challenges, including performance goals, milestones, indicators, and planned actions that they have developed to address such challenges. As a result, it was not always transparent what these agencies considered to be their major management challenges or how they planned to resolve these challenges. We recommended that the 22 agencies describe their major management challenges in their agency performance plans and include goals, measures, milestones, and information on planned actions and responsible officials. As of August 2017, 8 agencies\u2014the U.S. Agency for International Development, Small Business Administration, Nuclear Regulatory Commission, OPM, National Aeronautics and Space Administration (NASA), and the Departments of Education, State, and Veterans Affairs\u2014had fully implemented our recommendations; the other 14 agencies had not.", "Quality of performance information: In September 2015, we found that six selected agencies reported limited information on the actions they are taking to ensure the quality of their performance information for selected APGs, as required by GPRAMA. We recommended that all six of the agencies work with OMB to fully report this information. In response, the Department of Homeland Security and NASA described how they ensure reliable performance information is reported to external audiences. As of June 2017, the Departments of Agriculture, Defense, the Interior, and Labor had not yet taken actions to address this recommendation by providing more specific explanations of how they ensure reliable performance information is reported for their APGs.", "Unnecessary reports: GPRAMA requires that OMB guide an annual review of agencies\u2019 plans and reports for Congress and include in the President\u2019s budget a list of those plans and reports determined to be outdated or duplicative. However, in July 2017, we found that OMB did not implement the report review process on an annual basis, as required. We also found that OMB published the list of agency plans and reports on Performance.gov, rather than in the President\u2019s annual budget, where they may be more visible and useful to congressional decision makers and others. Therefore, we recommended that OMB instruct agencies to identify outdated or duplicative reports on an annual basis and submit or reference the list of identified plans and reports with the President\u2019s annual budget. OMB agreed with these recommendations. In July 2017, OMB stated it would include a list of report modification proposals in the President\u2019s fiscal year 2019 budget as required by GPRAMA.", "For all of the unimplemented recommendations described above, we will continue to monitor agencies\u2019 actions."], "subsections": []}, {"section_title": "Open Innovation Can Help Agencies Engage the Public to Achieve Results, but Guidance for Implementing Initiatives Should Be Improved", "paragraphs": ["In addition to providing access to performance and financial information, federal agencies can directly engage and collaborate with citizens, nonprofits, academic institutions, and other levels of government using open innovation strategies. Open innovation involves using various tools and approaches to harness the ideas, expertise, and resources of those outside an organization to address an issue or achieve specific goals. In October 2016, we found that in recent years agencies had frequently used five open innovation strategies\u2014singularly or in combination\u2014to collaborate with citizens and encourage their participation in agency initiatives. (See figure 21.)", "Our October 2016 report found that agencies can use these strategies for a variety of purposes.", "To develop new ideas, solutions to specific problems, or new products: For example, from April 2015 to November 2016, the Department of Energy held a prize competition to create more efficient devices that would double the energy captured from ocean waves. According to the competition\u2019s website, the winning team achieved a five-fold improvement.", "To enhance collaboration and agency capacity by leveraging external resources, knowledge, and expertise: For example, every 2 years since 2009, the Federal Highway Administration has regularly engaged stakeholders to identify and implement innovative ideas that have measurably improved the execution of highway construction projects.", "To collect the perspectives and preferences of a broad group of citizens and external stakeholders: For example, the Food and Drug Administration used in-person and online dialogue to engage outside stakeholders in the development of an online platform designed to make key datasets easily accessible to the public.", "Subsequently, in June 2017, we found that OMB, the Office of Science and Technology Policy (OSTP), and the General Services Administration (GSA) developed resources to support the use of open innovation strategies by federal agencies. These resources included guidance, staff to assist agencies in implementing initiatives, and websites to improve access to relevant information. For example, GSA developed a step-by-step implementation guide, program management team, and website to help agency staff carry out prize competitions and challenges. Agencies have also developed their own resources, including guidance, staff positions, and websites, to reach specific audiences and to provide tailored support for open innovation strategies they use frequently. For example, NASA\u2019s Solve website provides a central location for the public to find the agency\u2019s challenges and citizen science projects, as well as links to relevant resources.", "We also evaluated key government-wide guidance for the five strategies listed above to determine the extent to which the guidance reflects leading practices for effectively implementing open innovation initiatives.", "We identified these practices in our October 2016 report. We found that the guidance for each strategy reflected these practices to differing extents, as shown in figure 22.", "We made 22 recommendations to GSA, OMB, and OSTP to enhance the guidance. GSA and OMB generally agreed with these recommendations and OSTP neither agreed nor disagreed. We will monitor their progress toward implementing these recommendations."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["GPRAMA provides important tools that can help decision makers better achieve results and address the federal government\u2019s significant and long-standing governance challenges. Although OMB and agencies have made progress in improving implementation of the act over the years, our work has highlighted numerous opportunities for further improvements.", "In 2017, OMB removed the priority designation of CAP goals and APGs. For those goals, this action stopped related data-driven reviews and quarterly updates of progress on Performance.gov until new priority goals are published next year. What OMB considers to be the final results of CAP goals for fiscal years 2014 to 2017 already are on Performance.gov (although not labeled as such). In addition, agencies may report on their former APGs in their annual fiscal year 2017 performance reports. However, Performance.gov does not state that it will not be updated or provide the location of the final progress updates for these goals, limiting transparency and its value to the public. OMB has stated its plans to restart implementation of those provisions in February 2018, with the start of a new goal cycle. We believe it is critical for OMB to do so, given the important role those tools play in addressing key governance challenges and the results we have seen in better managing crosscutting areas and driving performance improvements across the government.", "In addition, OMB has postponed implementation of the federal program inventory. To date, the inventory has only been developed once, in 2013, despite requirements for regular updates to reflect current budget and performance information. OMB has given a variety of reasons for the delays over the past 4 years\u2014most recently, to determine the right strategy to merge implementation of the DATA Act and PMIAA with GPRAMA\u2019s program inventory requirements. Although OMB staff told us that they expect to issue guidance by the end of 2018 to resume implementation of the program inventory requirements, they have not provided more specific time frames and milestones related to the program inventory requirements. Doing so would help agencies prepare for resumed implementation. Moreover, publicly disclosing planned implementation time frames and associated milestones would help ensure that interested stakeholders, such as federal decision makers and the public, are prepared to engage with agencies as they develop and update their program inventories, which in turn could help ensure the inventories meet stakeholders\u2019 needs.", "A well-developed inventory would provide key program, budget, and performance information in one place to help federal decision makers better understand the federal investment and results in given policy areas, and better identify and manage fragmentation, overlap, and duplication. Information architecture offers one approach to developing an inventory. As OMB determines a strategy for implementing the program inventory and develops its guidance, considering such a systematic approach to planning, organizing, and developing the inventory that centers on maximizing the use and usefulness of information could help it ensure the inventory meets GPRAMA requirements as well as the needs of decision makers and the public. Moreover, such an approach could also help OMB implement our past recommendations related to the program inventory, which are intended to ensure the inventory provides more complete information and is useful to various stakeholders.", "Our survey of federal managers continues to generally show no improvement in their reported use of performance information in decision making, nor in the employment of practices that can enhance such use. One area where our survey data and past work show promise is through the use of regular, leadership-driven reviews of performance data at agencies, especially when conducted in line with related leading practices. However, GPRAMA only requires these data-driven reviews for APGs, which represent a small subset of goals, both within individual agencies as well as across the government. This is probably why most federal managers were not familiar with the reviews. Identifying and sharing practices for expanding the use of those reviews\u2014such as for additional agency-wide performance goals and at lower levels within agencies\u2014could significantly enhance the use of performance information and drive to better and greater results."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to OMB: The Director of OMB should update Performance.gov to explain that quarterly reporting on the fiscal year 2014 through 2017 CAP goals and fiscal year 2016 and 2017 APGs was suspended, and provide the location of final progress updates for these goals. (Recommendation 1)", "The Director of OMB should revise and publicly issue OMB guidance\u2014 through an update to its Circular No. A-11, a memorandum, or other means\u2014to provide time frames and associated milestones for implementing the federal program inventory. (Recommendation 2)", "The Director of OMB should consider\u2014as OMB determines its strategy for resumed implementation of the federal program inventory\u2014using a systematic approach, such as the information architecture framework, to help ensure that GPRAMA requirements and our past recommendations for the inventory are addressed. (Recommendation 3)", "The Director of OMB should work with the Performance Improvement Council to identify and share among agencies practices for expanding the use of data-driven performance reviews beyond APGs, such as for other performance goals and at lower levels within agencies, that have led to performance improvements. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Director of the Office of Management and Budget for review and comment. In comments provided orally and via email, OMB staff agreed with the recommendations in this report.", "OMB staff also asked us to (1) consider revising the draft title of the report, to better reflect progress in GPRAMA implementation, and (2) clarify our recommendations on issuing guidance for implementing the federal program inventory and expanding the use of data-driven performance reviews, by describing possible actions that could be taken to implement them. We agreed and made revisions accordingly.", "We are sending copies of this report to interested congressional committees, the Director of the Office of Management and Budget, and other interested parties. This report will also be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or mihmj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The GPRA Modernization Act (GPRAMA) includes a statutory provision for us to periodically evaluate implementation of the act. Since 2012, we have issued over 30 products in response to this provision; this is the third summary report. This report assesses how implementation of GPRAMA has affected the federal government\u2019s progress in resolving key governance challenges in (1) addressing crosscutting issues, (2) ensuring performance information is useful and used in decision making, (3) aligning daily operations with results, and (4) building a more transparent and open government.", "We reviewed relevant statutory requirements, related Office of Management and Budget (OMB) guidance, and our recent work related to GPRAMA implementation and the four key governance challenges included in our reporting objectives. Specifically, since our last summary report in September 2015, we examined various aspects of GPRAMA implementation in 12 products that covered 35 agencies, including the 24 agencies covered under the Chief Financial Officers (CFO) Act of 1990, as amended (identified in table 2). We interviewed OMB and Performance Improvement Council staff to obtain (1) their perspectives on GPRAMA implementation and progress on the four governance challenges, and (2) updates on the status of our past recommendations. We also received updates from other agencies on the status of our past recommendations to them related to GPRAMA implementation.", "To supplement this review, we administered our periodic survey of federal managers on organizational performance and management issues from November 2016 through March 2017. This survey is comparable to five previous surveys we conducted in 1997, 2000, 2003, 2007, and 2013. We selected a stratified random sample of 4,395 people from a population of approximately 153,779 mid-level and upper-level civilian managers and supervisors working in the 24 executive branch agencies covered by the CFO Act, as shown in table 2. We obtained the sample from the Office of Personnel Management\u2019s (OPM) Enterprise Human Resources Integration (EHRI) database as of September 30, 2015, which was the most recent fiscal year data available at the time. We used file designators indicating performance of managerial and supervisory functions. In reporting survey data, we use the term \u201cgovernment-wide\u201d and the phrases \u201cacross the government\u201d or \u201coverall\u201d to refer to the 24 CFO Act executive branch agencies. We use the terms \u201cfederal managers\u201d and \u201cmanagers\u201d to collectively refer to both managers and supervisors.", "We designed the questionnaire to obtain the observations and perceptions of respondents on various aspects of results-oriented management topics. These topics include the presence and use of performance measures, any hindrances to measuring performance and using performance information, agency climate, and program evaluation use. To assess implementation of GPRAMA, the questionnaire included questions to collect respondents\u2019 views on various provisions of GPRAMA, such as cross-agency priority goals, agency priority goals, and related quarterly performance reviews.", "Similar to the five previous surveys, the sample was stratified by agency and by whether the manager or supervisor was a member of the Senior Executive Service (SES). The management levels covered general schedule (GS) or equivalent schedules at levels comparable to GS-13 through GS-15 and career SES or equivalent. Stratifying the sample in this way ensured that the population from which we sampled covered at least 90 percent of all mid- to upper-level managers and supervisors at the departments and agencies we surveyed.", "Most of the items on the questionnaire were closed-ended, meaning that depending on the particular item, respondents could choose one or more response categories or rate the strength of their perception on a 5-point extent scale ranging from \u201cno extent\u201d to \u201cvery great extent.\u201d On most items, respondents also had an option of choosing the response category \u201cno basis to judge/not applicable.\u201d A few items had other options, such as \u201cyes,\u201d \u201cno,\u201d or \u201cdo not know,\u201d or a 3-point familiarity scale (\u201cnot familiar,\u201d \u201csomewhat familiar,\u201d and \u201cvery familiar\u201d).", "We asked many of the items on the questionnaire in our earlier surveys, though we introduced a number of new items in 2013, including the sections about GPRAMA and program evaluations. For 2017, we added a new question on use of performance information (question 12) and a new question on program evaluation (question 24). Before administering the survey, questions were reviewed by our staff, including subject matter experts, a survey specialist, and a research methodologist. We also conducted pretests of the new questions with federal managers in several of the 24 CFO Act agencies. We changed the wording of subquestions or added clarifying examples based on pretester feedback.", "To administer the survey, we e-mailed managers in the sample to notify them of the survey\u2019s availability on our website and we included instructions on how to access and complete the survey. To follow up with managers in the sample who did not respond to the initial notice, we emailed or called multiple times to encourage survey participation or provide technical assistance, as appropriate.", "Similar to our last survey, we worked with OPM to obtain the names of the managers and supervisors in our sample, except for those within selected subcomponents whose names were withheld from the EHRI database. Since Foreign Service officials from the Department of State (State) are not in the EHRI database, we drew a sample for that group with the assistance from State. We worked with officials at the Department of Homeland Security (DHS) and the Department of the Treasury (Treasury) to gain access to these individuals to maintain continuity of the population of managers surveyed from previous years. The Department of Justice (DOJ) was concerned about providing identifying information (e.g., names, e-mail addresses, and phone numbers) of federal agents to us, so we administered the current survey to DOJ managers in our sample through DOJ officials. To identify the sample of managers whose names were withheld from the EHRI database, we provided DOJ with the last four digits of Social Security numbers, the subcomponent, duty location, and pay grade information. To ensure that DOJ managers received the same survey administration process as the rest of the managers in our sample to the extent possible, we provided DOJ with text for the survey activation and reminder e-mails similar to ones we emailed to managers at other agencies. DOJ administered the survey to these managers and emailed them one reminder to complete the survey.", "To help determine the reliability and accuracy of the EHRI data elements used to draw our sample of federal managers, we checked the data for reasonableness and the presence of any obvious or potential errors in accuracy and completeness and reviewed past analyses of the reliability of this database. For example, we identified cases where the managers\u2019 names were withheld and contacted OPM to discuss this issue. We also checked the names of the managers in our selected sample provided by OPM with the applicable agency contacts to verify these managers were still employed with the agency. We noted discrepancies when they occurred and excluded them from our population of interest, as applicable. On the basis of these procedures, we believe the data we used from the EHRI database are sufficiently reliable for the purpose of the survey.", "Of the 4,395 managers selected for the 2017 survey, we found that 388 of the sampled managers had retired, separated, or otherwise left the agency or had some other reason that excluded them from the population of interest. These exclusions included managers that the agency could not locate, and therefore we were unable to request that they participate in the survey. We received usable questionnaires from 2,726 sample respondents, for a weighted response rate of about 67 percent of the remaining eligible sample. The weighted response rate across 23 of the 24 agencies ranged from 57 percent to 82 percent, while DOJ had a weighted response rate of 36 percent. See the supplemental material for each agency\u2019s response rate.", "We conducted a nonresponse bias analysis using information from the survey and sampling frame as available. The analysis confirmed discrepancies in the tendency to respond to the survey related to agency and SES status. The analysis also revealed some differences in response propensity by age and GS level; however, the direction and magnitude of the differences on these factors were not consistent across agencies or strata. Our data may be subject to bias from unmeasured sources for which we cannot control. Results, and in particular estimates from agencies with low response rates such as DOJ, should be interpreted with caution because these estimates are associated with a higher level of uncertainty.", "The overall survey results are generalizable to the government-wide population of managers as described above. The responses of each eligible sample member who provided a usable questionnaire were weighted in the analyses to statistically account for all members of the population. All results are subject to some uncertainty or sampling error as well as nonsampling error, including the potential for nonresponse bias as noted above. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn.", "The magnitude of sampling error will vary across the particular surveys, groups, or items being compared because we (1) used complex survey designs that differed in the underlying sample sizes, usable sample respondents, and associated variances of estimates, and (2) conducted different types of statistical analyses. For example, the 2000 and 2007 surveys were designed to produce agency-level estimates and had effective sample sizes of 2,510 and 2,943, respectively. However, the 1997 and 2003 surveys were designed to obtain government-wide estimates only, and their sample sizes were 905 and 503, respectively. Consequently, in some instances, a difference of a certain magnitude may be statistically significant. In other instances, depending on the nature of the comparison being made, a difference of equal or even greater magnitude may not achieve statistical significance.", "Because each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. The percentage estimates presented in this report based on our sample for the 2017 survey have 95 percent confidence intervals within plus or minus 5.5 percentage points of the estimate itself, unless otherwise noted. We also note in this report when we are 95 percent confident that changes from 1997 or 2013 relative to 2017 are statistically significant. Online supplemental material shows the questions asked on the survey along with the percentage estimates and associated 95 percent confidence intervals for each item for each agency and government-wide. In a few instances, we report estimates with larger margins of error because we deemed them reliable representations of given findings due to the statistical significance of larger differences between comparison groups. In all cases, we report the applicable margins of error.", "In addition to sampling errors, the practical difficulties of conducting any survey may also introduce other types of errors, commonly referred to as nonsampling errors. For example, difficulties in how a particular question is interpreted, in the sources of information available to respondents, or in how the data were entered into a database or analyzed can introduce unwanted variability into the survey results. With this survey, we took a number of steps to minimize these nonsampling errors. For example, our staff with subject matter expertise designed the questionnaire in collaboration with our survey specialists. As noted earlier, the new questions added to the survey were pretested to ensure they were relevant and clearly stated. When the data were analyzed, a second independent analyst on our staff verified the analysis programs to ensure the accuracy of the code and the appropriateness of the methods used for the computer-generated analysis. Since this was a web-based survey, respondents entered their answers directly into the electronic questionnaire, thereby eliminating the need to have the data keyed into a database, thus avoiding a source of data entry error.", "To supplement descriptive analysis of the survey questions, we generated an index to gauge government-wide use of performance information. The index, which was identical to one we reported in 2014, averaged manager\u2019s responses to 11 questions deemed to relate to the concept of performance information use. The index runs from 1 (corresponding to an average value of \u201cto no extent\u201d) to 5 (corresponding to an average value of \u201cto a very great extent\u201d). We used Cronbach\u2019s alpha to assess the internal consistency of the scale. Our government- wide index score weights each agency\u2019s contribution equally, and provides a relative measure of the use of performance information over time rather than an absolute indicator of the government-wide level of use of performance information.", "We conducted this performance audit from January 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Recommendations from GAO\u2019s Work Related to the GPRA Modernization Act", "paragraphs": ["The Office of Management and Budget (OMB) and agencies have taken some actions to address our recommendations related to implementation of the GPRA Modernization Act of 2010 (GPRAMA); however, the majority of recommendations remain open. Since GPRAMA was enacted in January 2011, we have made 100 recommendations in 18 reports to OMB and agencies aimed at improving the act\u2019s implementation (table 3). Of those 100, OMB and the agencies have implemented 42 recommendations. Fifty-eight recommendations require additional action.", "Nearly half (47) of our recommendations are directed to OMB. For the 23 recommendations that OMB has implemented, many represent revisions to guidance to better reflect GPRAMA\u2019s requirements or to enhance implementation. Many of the 24 recommendations to OMB that are not implemented deal with long-standing or complex challenges, on which OMB has taken limited action to date. Of those, we have designated 3 as priorities for OMB to address. Agencies have also taken some action on our recommendations, implementing 19 of the 53 recommendations we have made.", "The following tables present each of the 100 recommendations along with a summary of actions taken to address it. Tables 4 and 5 provide information about our recommendations to OMB that are implemented and not implemented, respectively. Tables 6 and 7 provide information about our recommendations to other agencies that are implemented and not implemented, respectively."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the above contact, Benjamin T. Licht (Assistant Director) and Shannon Finnegan (Assistant Director) supervised this review and the development of the resulting report. Leah Q. Nash (Assistant Director), Elizabeth Fan (Analyst-in-Charge), and Adam Miles (Analyst-in- Charge) supervised the development and administration of the Federal Managers Survey and the resulting supplemental material. Peter Beck, Valerie Caracelli, Karin Fangman, Steven Flint, Robert Gebhart, Ricky Harrison Jr., John Hussey, Jill Lacey, Won Lee, Krista Loose, Meredith Moles, Anna Maria Ortiz, Steven Putansu, Alan Rozzi, Cindy Saunders, Stephanie Shipman, Shane Spencer, Andrew J. Stephens, and Brian Wanlass also made key contributions. Ann Czapiewski and Donna Miller developed the graphics for this report. John Ahern, Divya Bali, Jeff DeMarco, Alexandra Edwards, Ellen Grady, Jyoti Gupta, Erinn L. Sauer, and Katherine Wulff verified the information presented in this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": [], "subsections": [{"section_title": "Prior Summary Reports on the Government Performance and Results Act (GPRA) Modernization Act (GPRAMA) Implementation", "paragraphs": ["Managing for Results: Implementation of GPRA Modernization Act Has Yielded Mixed Progress in Addressing Pressing Governance Challenges. GAO-15-819. Washington, D.C.: September 30, 2015.", "Managing For Results: Executive Branch Should More Fully Implement the GPRA Modernization Act to Address Pressing Governance Challenges. GAO-13-518. Washington, D.C.: June 26, 2013."], "subsections": []}, {"section_title": "Results of the Periodic Surveys on Organizational Performance and Management Issues", "paragraphs": ["Supplemental Material for GAO-17-775: 2017 Survey of Federal Managers on Organizational Performance and Management Issues. GAO-17-776SP. Washington, D.C.: September 29, 2017.", "Program Evaluation: Annual Agency-wide Plans Could Enhance Leadership Support for Program Evaluations. GAO-17-743. Washington, D.C.: September 29, 2017.", "Managing for Results: Agencies\u2019 Trends in the Use of Performance Information to Make Decisions. GAO-14-747. Washington, D.C.: September 26, 2014.", "Managing for Results: Executive Branch Should More Fully Implement the GPRA Modernization Act to Address Pressing Governance Challenges. GAO-13-518. Washington, D.C.: June 26, 2013.", "Managing for Results: 2013 Federal Managers Survey on Organizational Performance and Management Issues, an E-supplement to GAO-13-518. GAO-13-519SP. Washington, D.C.: June 26, 2013.", "Program Evaluation: Strategies to Facilitate Agencies\u2019 Use of Evaluation in Program Management and Policy Making. GAO-13-570. Washington, D.C.: June 26, 2013.", "Government Performance: Lessons Learned for the Next Administration on Using Performance Information to Improve Results. GAO-08-1026T. Washington, D.C.: July 24, 2008.", "Government Performance: 2007 Federal Managers Survey on Performance and Management Issues, an E-supplement to GAO-08-1026T. GAO-08-1036SP. Washington, D.C.: July 24, 2008.", "Results-Oriented Government: GPRA Has Established a Solid Foundation for Achieving Greater Results. GAO-04-38. Washington, D.C.: March 10, 2004.", "Managing for Results: Federal Managers\u2019 Views on Key Management Issues Vary Widely Across Agencies. GAO-01-592. Washington, D.C.: May 25, 2001.", "Managing for Results: Federal Managers\u2019 Views Show Need for Ensuring Top Leadership Skills. GAO-01-127. Washington, D.C.: October 20, 2000.", "The Government Performance and Results Act: 1997 Governmentwide Implementation Will Be Uneven. GAO/GGD-97-109. Washington, D.C.: June 2, 1997."], "subsections": []}, {"section_title": "Reports Related to GPRAMA Implementation", "paragraphs": ["Federal Programs: Information Architecture Offers a Potential Approach for Inventory Development. GAO-17-739. Washington, D.C.: September 28, 2017.", "Managing for Results: Selected Agencies\u2019 Experiences in Implementing Strategic Reviews. GAO-17-740R. Washington, D.C.: September 7, 2017.", "Federal Reports: OMB and Agencies Should More Fully Implement the Process to Streamline Reporting Requirements. GAO-17-616. Washington, D.C.: July 14, 2017.", "Open Innovation: Executive Branch Developed Resources to Support Implementation, but Guidance Could Better Reflect Leading Practices. GAO-17-507. Washington, D.C.: June 8, 2017.", "Performance Partnerships: Agencies Need to Better Identify Resource Contributions to Sustain Disconnected Youth Pilot Programs and Data to Assess Pilot Results. GAO-17-208. Washington, D.C.: April 18, 2017.", "Open Innovation: Practices to Engage Citizens and Effectively Implement Federal Initiatives. GAO-17-14. Washington, D.C.: October 13, 2016.", "Tiered Evidence Grants: Opportunities Exist to Share Lessons from Early Implementation and Inform Future Federal Efforts. GAO-16-818. Washington, D.C.: September 21, 2016.", "Performance.gov: Long-Term Strategy Needed to Improve Website Usability. GAO-16-693. Washington, D.C.: August 30, 2016.", "Tax Expenditures: Opportunities Exist to Use Budgeting and Agency Performance Processes to Increase Oversight. GAO-16-622. Washington, D.C.: July 7, 2016.", "Managing for Results: Agencies Need to Fully Identify and Report Major Management Challenges and Actions to Resolve them in their Agency Performance Plans. GAO-16-510. Washington, D.C.: June 15, 2016.", "Managing for Results: OMB Improved Implementation of Cross-Agency Priority Goals, But Could Be More Transparent About Measuring Progress. GAO-16-509. Washington, D.C.: May 20, 2016.", "Managing for Results: Greater Transparency Needed in Public Reporting on the Quality of Performance Information for Selected Agencies\u2019 Priority Goals. GAO-15-788. Washington, D.C.: September 10, 2015.", "Pay for Success: Collaboration among Federal Agencies Would Be Helpful as Governments Explore New Financing Mechanisms. GAO-15-646. Washington, D.C.: September 9, 2015.", "Managing for Results: Practices for Effective Agency Strategic Reviews. GAO-15-602. Washington, D.C.: July 29, 2015.", "Managing for Results: Agencies Report Positive Effects of Data-Driven Reviews on Performance but Some Should Strengthen Practices. GAO-15-579. Washington, D.C.: July 7, 2015.", "Program Evaluation: Some Agencies Reported that Networking, Hiring, and Involving Program Staff Help Build Capacity. GAO-15-25. Washington, D.C.: November 13, 2014.", "Government Efficiency and Effectiveness: Inconsistent Definitions and Information Limit the Usefulness of Federal Program Inventories. GAO-15-83. Washington, D.C.: October 31, 2014.", "Managing for Results: Selected Agencies Need to Take Additional Efforts to Improve Customer Service. GAO-15-84. Washington, D.C.: October 24, 2014.", "Managing for Results: Enhanced Goal Leader Accountability and Collaboration Could Further Improve Agency Performance. GAO-14-639. Washington, D.C.: July 22, 2014.", "Managing for Results: OMB Should Strengthen Reviews of Cross-Agency Goals. GAO-14-526. Washington, D.C.: June 10, 2014.", "Managing for Results: Implementation Approaches Used to Enhance Collaboration in Interagency Groups. GAO-14-220. Washington, D.C.: February 14, 2014.", "Managing for Results: Leading Practices Should Guide the Continued Development of Performance.gov. GAO-13-517. Washington, D.C.: June 6, 2013.", "Managing for Results: Agencies Should More Fully Develop Priority Goals under the GPRA Modernization Act. GAO-13-174. Washington, D.C.: April 19, 2013.", "Managing for Results: Agencies Have Elevated Performance Management Roles, but Additional Training Is Needed. GAO-13-356. Washington, D.C.: April 16, 2013.", "Managing for Results: Data-Driven Performance Reviews Show Promise But Agencies Should Explore How to Involve Other Relevant Agencies. GAO-13-228. Washington, D.C.: February 27, 2013.", "Managing for Results: A Guide for Using the GPRA Modernization Act to Help Inform Congressional Decision Making. GAO-12-621SP. Washington, D.C.: June 15, 2012.", "Managing for Results: GAO\u2019s Work Related to the Interim Crosscutting Priority Goals under the GPRA Modernization Act. GAO-12-620R. Washington, D.C.: May 31, 2012.", "Managing for Results: Opportunities for Congress to Address Government Performance Issues. GAO-12-215R. Washington, D.C.: December 9, 2011."], "subsections": []}]}], "fastfact": ["The GPRA Modernization Act was designed to help the federal government address longstanding performance and management problems. Among other things, it requires agency leaders to set goals and use data to review progress toward them.", "We surveyed more than 4,000 federal managers and found overall use of performance data in decision making has dropped since 2007. However, the survey shows that data-driven reviews agencies conducted for a subset of goals did improve program performance.", "We recommended that OMB work with agencies to identify and share practices for conducting performance reviews for additional goals."]} {"id": "GAO-18-381", "url": "https://www.gao.gov/products/GAO-18-381", "title": "Paperwork Reduction Act: Agencies Could Better Leverage Review Processes and Public Outreach to Improve Burden Estimates", "published_date": "2018-07-11T00:00:00", "released_date": "2018-08-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies collect a wide variety of information to ensure the public is kept safe from harm, receives benefits to which they are entitled, and fulfill their missions. Such collections can also impose significant burdens on the public. The goal of the PRA is to minimize the burden of these collections and maximize their utility. To help accomplish this, the PRA requires agencies to estimate the burden, and consult with the public on these estimates.", "This report examines (1) how agencies estimate burden hours and costs of their collections, and any limitations of agencies' approaches; and (2) the extent to which agencies consult with the public on estimated burden. To address these objectives, GAO selected four agencies with the largest burden hour estimates, reviewed the 50 ICRs with the largest burden hour estimates at each agency, with a focus on the 2 largest ICRs at each as case studies, and interviewed agency officials and OMB staff."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies GAO reviewed\u2014the Departments of Agriculture (USDA), Health and Human Services (HHS), and Transportation (DOT), and the Internal Revenue Service (IRS)\u2014generally used existing data, such as historical data, to estimate the time, or \u201cburden hours,\u201d it takes for the public to complete an information collection request (ICR). IRS reported gathering original data on public burden through surveys of taxpayers to help estimate the burden for its two largest ICRs. When data were unavailable for one or more elements of the burden calculation (e.g., average time per response), agencies relied on professional judgment, informed in some instances by internal consultation with issue area experts.", "GAO found two limitations with the agencies' current approaches for estimating burden. First, 76 of 200 ICRs that GAO reviewed, including the 2 largest ICRs at IRS and DOT, did not translate burden hours into dollars, or estimated \u201crespondent time costs.\u201d Although the Office of Management and Budget (OMB) requires agencies to include these costs, it reviewed and approved all 76 ICRs. ICRs that included respondent time costs did not consistently include fringe benefits, such as insurance contributions, in part because of a lack of clear guidance from OMB. Inconsistencies in estimating respondent time costs could lead to inconsistent implementation of new requirements under Executive Order 13771 that agencies offset the incremental costs of new regulations with reductions in regulatory burden, including paperwork burden, elsewhere.", "Second, while all agencies and OMB reported having independent review processes in place, as required by the Paperwork Reduction Act (PRA), GAO found instances where 3 of the 4 selected agencies\u2014USDA, HHS, and DOT\u2014did not detect math errors through these review processes or inconsistencies among estimates provided on Reginfo.gov, and in the more detailed ICR supporting statements. For example, GAO found that one ICR underestimated burden by as much as $270 million, and another overestimated burden time by more than 12 million hours. Agencies acknowledged they followed their review processes but not detect the errors and inconsistencies. OMB also did not detect the errors and inconsistencies in its review of the ICRs. Until agencies ensure that their review processes detect errors or inconsistencies, the public may have less confidence in agencies' ability to effectively manage and minimize burden.", "While the agencies solicited public comments through the Federal Register , as required by the PRA, IRS and DOT did not always provide the level of information in the notices (e.g., the frequency of the collection) needed to allow the public to evaluate the burden estimates. Also, agencies did not always consult with the public beyond these notices, as required under the PRA. Of the 200 ICRs GAO reviewed, 113 contained information in their supporting statements indicating public consultation beyond the Federal Register notices. Only 6 of these 113 indicated that public outreach was related to the burden hour estimates. OMB could help ensure that agencies consistently obtain public input by directing agencies to consult with the public beyond the Federal Register notices on each ICR, as required in the PRA. However, OMB continues to believe that additional consulting should occur only for ICRs where important information may be missed by the public notice and comment period. Congressional action to clarify the PRA requirement may be needed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider more explicitly requiring agencies to consult with the public beyond the Federal Register notices. GAO is also making 11 recommendations: 1 to OMB on ensuring consistent application of the requirement for estimating respondent time costs; 4 on reexamining processes for reviewing ICRs to OMB, USDA, HHS, and DOT; 2 on improving public notices to IRS and DOT; and 4 on better leveraging existing public consultation to USDA, HHS, DOT, and IRS. USDA, HHS, DOT, and IRS agreed with the recommendations. OMB staff did not agree or disagree."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies collect a wide variety of information to ensure that the public is kept safe from harm, that qualified recipients receive benefits to which they are entitled, and that agencies otherwise fulfill their respective missions. For example, the Internal Revenue Service (IRS) collects information from individuals and businesses to help taxpayers meet their tax responsibilities and help IRS enforce the law with integrity and fairness. Overall, based on government-wide estimates, the public spent about 9.8 billion hours responding to federal information collections in fiscal year 2015.", "The primary goal of the Paperwork Reduction Act (PRA) is to minimize the burden of these collections on the public and maximize their utility. To accomplish this, the Act requires agencies to (1) justify, or describe the necessity, of the information collected; (2) provide estimates of the burden they will impose (i.e., the time and costs required to comply with the collection); and (3) publish notices in the Federal Register and otherwise consult with the public to obtain input. Reliable, publicly informed burden estimates are essential to assist federal agencies to minimize the burden and maximize the utility of their information collections, and to effectively measure agencies\u2019 progress toward burden reduction goals.", "Executive Order 13771 required executive agencies to identify at least two existing regulations to be repealed whenever they publicly propose or otherwise promulgate a new regulation, unless prohibited by law. The Executive Order also required that for fiscal year 2017, the total cost of all new regulations, including the savings for regulations that have been repealed, must be zero or less, unless otherwise required by law or consistent with advice provided in writing by the Director of the Office of Management and Budget (OMB). According to OMB guidance implementing the Executive Order, meaningful burden reduction through the repeal or streamlining of mandatory paperwork requirements qualifies as savings that can be used to offset new regulations.", "You asked us to review the methodologies agencies used to estimate burden and the steps agencies take to obtain input on their information requests. This report examines (1) how agencies estimate both the burden hours and costs of their information collections, and any limitations of their approaches; and (2) the extent to which agencies consult with and receive comments from the public on the collections\u2019 estimated burden.", "To address both of these objectives, we selected four agencies as case studies based on OMB data of federal information collection requests (ICR) available on Reginfo.gov as of April 7, 2017. We selected IRS, which is responsible for the majority of the federal government\u2019s burden hours, and the three departments with the next highest percentages of the federal government\u2019s total information collection burden hours: the Departments of Health and Human Services (HHS), Agriculture (USDA), and Transportation (DOT). Together, the four selected agencies represent more than 85 percent of the total estimated burden hours across the federal government.", "For each of these four agencies, we selected the 50 largest information collections based on total burden hours (for a total of 200 information collections) to obtain information about estimated burden hours and resource costs, and the agencies\u2019 efforts to consult with the public.", "To examine how agencies prepare burden estimates, we selected the two largest information collection requests from the 50 ICRs with the largest burden hour estimates at each of the four agencies as case studies. For these ICRs, we reviewed the data used to develop burden estimate, checked the math used to calculate the burden estimate, and interviewed agency officials about the review process for approving the ICR (see table 1 for list of case study ICRs).", "These eight case study ICRs represent the majority of information collection burden at each agency, and roughly 59 percent of the federal government\u2019s total burden hours.", "We reviewed documents related to the eight case study ICRs, including the supporting statements that accompanied each ICR. We also reviewed Federal Register notices issued by the agencies to solicit comments from the public on these ICRs. Additionally, we reviewed agency and OMB requirements under the PRA as well as OMB guidance issued to assist agencies in developing and reviewing their information collections. We interviewed officials at the four selected agencies about the methodologies for estimating burden. We also interviewed agency officials and OMB staff about the processes for reviewing ICRs more generally. Appendix I provides additional information about our objectives, scope, and methodology.", "To assess the reliability of data on ICR burden estimates in Reginfo.gov, we compared them with the data found in the supporting statements. We interviewed agency officials and OMB staff about discrepancies between these two data sources. We reviewed documentation on the Reginfo.gov website and the underlying system that agencies use to track information collection requests. We found that the data were sufficiently reliable for the purpose of selecting case study agencies and ICRs.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to OMB\u2019s regulation implementing the PRA, \u201cinformation\u201d is broadly defined as any statement or estimate of fact or opinion, regardless of form or format, whether in numerical, graphic, or narrative form, and whether oral or maintained on paper, electronic, or other media. Federal agencies collect this information in various formats, such as forms and applications, recordkeeping information maintained by entities, and third-party disclosures (see figure 1). Agencies collect this information to ensure that the public is kept safe from harm, that qualified recipients receive benefits to which they are entitled, and that agencies otherwise fulfill their respective missions.", "For example, DOT requires commercial motor vehicle drivers to record information about the hours drivers spend operating their vehicles with the goal of improving operational safety and reducing crashes, injuries, and fatalities involving trucks or buses. USDA oversees SNAP, which provides food assistance to low-income individuals and families, and state agencies that administer the program must collect information from applicants in order to determine eligibility. HHS collects compliance information from entities and businesses to ensure that they are appropriately safeguarding individuals\u2019 health information. While such information collection activities are important for the fulfillment of agency missions, they have the potential to impose significant burdens on individuals, businesses, and other entities.", "The PRA created the Office of Information and Regulatory Affairs (OIRA) within OMB to review and approve individual ICRs and oversee how agencies implement the PRA. OIRA provides agencies with instructions for preparing the supporting statements required for each ICR submitted for review. OIRA also provides agencies with guidance documents on specific information collection requirements, including how to conduct pre- testing on new or complex information collections, and how PRA applies to the use of social media."], "subsections": [{"section_title": "Estimating Information Collection Burden", "paragraphs": ["An integral part of an agency\u2019s ICR submission is the estimated burden on the public associated with the collection\u2014in terms of both time (i.e., burden hours) and costs (i.e., dollars spent). Under the PRA and OMB regulations, agencies are required to develop a specific, objectively supported estimate of the burden associated with each collection. OMB directs agencies to estimate burden hours and costs to respondents for each information collection as part of the ICR justification in the supporting statement. According to OMB staff, estimated costs to respondent should include the wage rate and any applicable employee fringe benefits, such as paid leave, insurance, and retirement contributions. The formulas shown in figure 2 illustrate the calculations generally used by agencies to determine burden hours and costs associated with the collections.", "ICRs are subject to multiple levels of review to ensure that they comply with the requirements of the PRA. Programs or components within an agency (e.g., bureaus) often perform an initial review. In addition, PRA requires that agencies have an independent review process, whereby agency staff who are independent of program responsibilities review the ICRs. During this review, staff evaluate the need for the information collection and the burden estimate, including whether the information collection minimizes burden on the public, among other things. Before an information collection is submitted by an agency to OMB for final review and approval, the independent reviewer must certify that the collection meets the standards that are set forth in the PRA. These standards include ensuring that the collection contains sufficient information to allow respondents to evaluate the estimated burden.", "Once an ICR has been submitted to OMB, OMB will then review it for compliance with procedural requirements of the PRA and OMB\u2019s PRA regulations. OMB can approve an ICR without changes or request changes or additional information from the agency. OMB can approve a collection for up to 3 years at one time. If the agency wants to continue to collect the information after the approval period, it must submit another ICR to OMB for approval and provide the public with an opportunity to comment on the continuation of the collection."], "subsections": []}, {"section_title": "Public Comment and Consultation", "paragraphs": ["The PRA requires agencies to solicit public input on their ICRs as a means of validating their burden estimates. Agencies can engage the public in a variety of ways such as through a notice of proposed rulemaking (NPRM), a PRA 60-day notice published in the Federal Register, or other agency-specific mechanisms. Figure 3 shows the process that agencies generally use to engage the public, which involves a PRA 60-day notice published in the Federal Register. In some circumstances, an NPRM in the Federal Register can be used to solicit input on an information collection in lieu of the 60-day notice where an information collection is part of larger rulemaking."], "subsections": []}]}, {"section_title": "Selected Agencies Used Data and Professional Judgment to Estimate Burden, but Limitations Include Inconsistent Cost Estimates and Insufficient Review", "paragraphs": [], "subsections": [{"section_title": "IRS Used Original Data to Estimate Burden, While Other Agencies Used Existing Data and Professional Judgment", "paragraphs": ["When estimating burden hours, USDA, HHS, DOT, and IRS used data and professional judgment to develop their estimates. The PRA requires that agencies develop an objectively supported burden hour estimate, but neither the act, nor OMB regulations, prescribe how agencies should develop these estimates. Among our four agencies, IRS was the only one to report gathering original data on public burden through surveys of individual taxpayers and businesses to help inform the estimates for its two largest ICRs. Each year, IRS surveys a representative sample of taxpayers who submitted completed tax returns, according to IRS officials. The surveys collect information on the actual time and cost that taxpayers invest in paperwork-related activities.", "For the U.S. Individual and Business Tax Return ICRs\u2014the federal government\u2019s two largest information collections\u2014IRS used its Taxpayer Burden Model to combine original survey results with existing taxpayer data to estimate taxpayer burden in terms of both time and out-of-pocket costs. The survey results also help IRS forecast its burden hour estimates each year, taking into account changes in law, regulations, and technology.", "For the remaining six case study ICRs that we reviewed, USDA, HHS, and DOT used already existing data and information to estimate at least one burden hour element (i.e., number of respondents, frequency of responses, or average burden time per response), such as in the following examples:", "Historical data. To estimate the number of respondents for the SNAP ICR, USDA\u2019s Food and Nutrition Service used historical program data on the number of applicants in previous years.", "Other internal agency data. To estimate the number of respondents, such as drivers and motor carriers, for the Hours of Service of Drivers Regulations ICR, DOT\u2019s Federal Motor Carrier Safety Administration (FMCSA) used data from the 2014 Pocket Guide to Large Truck and Bus Statistics, according to agency officials. This publication compiles data from the Federal Highway Administration, the National Highway Traffic Safety Administration, and FMCSA\u2019s Motor Carrier Management Information System, including data on the number of commercial motor vehicle drivers operating in the United States.", "Third-party data. To estimate the frequency of response for some of the third-party disclosures included in its Prescription Drug Labeling ICR, HHS\u2019s Food and Drug Administration used data from a survey conducted by the National Association of Boards of Pharmacy, according to agency officials. The data included the number of drugs on the market and the percentage of drugs requiring medication guides. These data helped Food and Drug Administration staff estimate how often the pharmaceutical industry might need to comply with the information collection.", "Research studies. To help estimate the burden of applying for SNAP benefits, USDA\u2019s Food and Nutrition Service relied, in part, on a program research study. Specifically, a 2004 Food Stamp Program Access Study estimated that applicants spend, on average, 2.2 hours travelling for face-to-face interviews during the application process. Food and Nutrition Service staff incorporated this information in its burden hour estimates to determine the average burden time per response for the SNAP ICR.", "In cases where data did not exist to inform burden hour estimates, such as for average burden time per response, the selected agencies relied on their professional judgment to develop estimates, informed in some instances by internal consultation or public input. For example, HHS\u2019s Office for Civil Rights (OCR) did not have data for the average burden time per response for some Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules information collection activities. The information collection addresses HIPAA requirements related to the use, disclosure, and safeguarding of individually identifiable health information. According to HHS officials, some of the reporting or recordkeeping activities required by HIPAA may be conducted by security experts. To help estimate the average burden time for these particular activities, OCR officials stated that they consulted with internal HHS security experts to determine the time it might take a security expert to complete the applicable information collection activities.", "When available, public input helped some agencies refine their burden hour estimates. For example, as part of its Prescription Drug Labeling information collection, HHS\u2019s Food and Drug Administration had originally estimated that it would take approximately 5 seconds for a pharmacist to provide a patient with a medication guide. During the 2001 renewal of the ICR, however, the agency received a comment from a distributor stating that such disclosure could take additional time, especially if the pharmacist did not already receive the medication guides and had to print them on-site, according to agency officials. After receiving this comment, agency officials considered that some distributions of medication guides to patients may take longer than others, and revised its previous estimate from 5 seconds to 3 minutes."], "subsections": []}, {"section_title": "Agencies Did Not Always Estimate Time Costs nor Estimate Time Costs Consistently", "paragraphs": ["In some cases, the four agencies did not estimate respondent time costs as a monetized dollar amount in their supporting statement, as required by OMB. Of the 200 ICRs reviewed (including the 8 largest ICRs), 76 ICRs did not include respondent time cost estimates.", "Specifically, of the 50 ICRs with the largest burden hours at each agency, we found agencies did not include total annual respondent time costs for IRS\u2014all 50, including its 2 largest ICRs;", "DOT\u201419, including its 2 largest ICRs;", "HHS\u20145, including its second-largest ICR; and", "USDA\u20142 ICRs.", "OMB requires agencies to include estimated respondent time costs in the ICR supporting statements. Supporting statements provide the public with detail information about the burden estimates and underlying methodology used to calculate them, among other things. However, OMB reviewed and approved all 76 ICRs we identified that did not include these estimates.", "Agencies provided a variety of reasons for not including these estimates in the supporting documents. For example:", "According to IRS officials the model they used to generate burden estimates for all but their two largest information collection requests is unable to calculate respondent time costs. They told us that the model they used to generate burden estimates for their two largest collections\u2014called the Taxpayer Burden Model\u2014 does calculate respondent time cost, but the IRS did not include this information in the supporting statement. According to IRS officials, OMB is aware of the old model\u2019s limitation and told IRS its resources should be devoted to transitioning these collections to its Taxpayer Burden Model. IRS officials said that the agency plans, but has not developed a timeline, to use the Taxpayer Burden Model on future ICRs and to phase in use of the new model over a number of years, giving higher priority to tax forms that affect the most taxpayers.", "DOT officials stated that some respondent time costs were not included in ICR supporting statements because, based on their professional judgment, the information collection activities are incidental to routine business operations and therefore should not be included in respondent time cost estimates. While OMB\u2019s guidance states that agencies should not include burden hour estimates for customary and usual business practices, the guidance also instructs agencies to estimate respondent time costs for any estimated burden hours included in the supporting statement. That is, any estimated burden hours should have a corresponding time cost for carrying out the information collection activities. DOT\u2019s inclusion of burden hours in the supporting statement in these cases indicates that the information collection activities are not incidental to routine business operations, and that respondent time costs should have been provided based on OMB\u2019s guidance.", "An HHS official told us that, in general, while costs are not ignored, they are also not considered high-impact information.", "USDA officials said that it did not include respondent time costs in the supporting statement in part because an ICR had been merged with another information collection, but stated the agency would include these costs in the ICR renewal\u2019s supporting statement.", "Unless OMB takes action to ensure that agencies consistently follow its guidelines to include respondent time costs, agencies will likely continue to not meet the requirement and omit this information. The PRA requires that OMB establish and oversee standards and guidelines by which agencies are to estimate the burden to comply with a proposed collection of information. As part of its guidelines, OMB directs agencies to provide certain standard information in its supporting statements, including estimated respondent time costs. According to OMB staff, OMB reviews these supporting statements as part of its ICR review process and has the option of requesting changes from the agency prior to approving the ICR. However, OMB staff said that the process is decentralized with individual OMB desk officers responsible for managing their own review of ICRs. OMB reviewed and approved all 76 ICRs we identified that did not include these estimates. OMB officials told us that they will review the findings in this report to determine what response is needed. Monetized respondent time cost estimates will be particularly important if agencies can use reductions in paperwork to offset new regulations under Executive Order 13771.", "For ICRs with monetized respondent time costs, agencies were inconsistent in whether they included fringe benefits, such as paid leave, insurance, and retirement contributions. OMB\u2019s instructions for submitting ICRs direct agencies to provide respondent time costs, but the instructions do not specify how to calculate such costs. Of the 119 ICRs we identified where employees might complete an information collection activity on behalf an employer, 35 applied fringe benefits to their respondent time cost estimates and 84 did not, as shown in table 2.", "Table 3 shows that including fringe benefits in respondent time cost estimates can have a significant effect on the total estimated respondent time costs for an information collection. Of the two ICRs with the largest burden hour estimates at USDA, the Mandatory Country of Origin Labeling of Covered Commodities ICR includes fringe benefits, while the SNAP ICR does not. The SNAP ICR\u2019s respondent time cost for state employees would have been $118 million higher if it had applied the same fringe benefit estimate (33 percent of the wage rate) as the Mandatory Country of Origin Labeling ICR. While different types of respondents (e.g., state employees, farmers, or doctors) may not receive the same percentage of wages as fringe benefits, the exclusion of such benefits leads to an underestimate of respondent time costs.", "OMB has not provided agencies with any formal, final guidance for calculating respondent time costs or applying fringe benefits. The PRA requires the Director of OMB to develop standards and guidelines for information collections. Additionally, Standards for Internal Control in the Federal Government states that management should externally communicate the necessary quality information to external parties to achieve the entity\u2019s objectives. OMB provided non-binding draft guidance on reviewing agency information collections in 1999 that states that any wage rates used to estimate respondent time costs should be \u201cfully-loaded\u201d to reflect the full cost of labor, including employee fringe benefits, such as paid leave, insurance, and retirement contributions. OMB staff told us that OMB continues to believe that using \u201cfully-loaded\u201d wage rates is important. Without formal, final guidance clearly communicating how agencies should apply fringe benefits to respondent time cost estimates, agencies may continue to calculate costs inconsistently.", "Agencies\u2019 inconsistent application of fringe benefits could contribute to agencies underestimating the burden costs. Such underestimation could contribute to inconsistent implementation of Executive Order 13771. As previously stated, OMB guidance implementing the Executive Order states that agencies may offset the incremental costs of new regulations through the repeal or streamlining of mandatory information collection burdens. HHS officials said that they have considered potential information collection burden reductions as part of their efforts to comply with the order. While USDA and IRS officials said that the agencies were aware of the order, they did not yet have specific plans to reduce information collection burden for the purposes of the order. Without clear guidance about how to consistently estimate respondent time costs, Congress and the administration cannot effectively compare information collection cost savings for the public."], "subsections": []}, {"section_title": "Agencies\u2019 Independent Review Processes Did Not Detect Errors in Burden and Cost Estimates or Other Discrepancies", "paragraphs": ["While our selected agencies reported having multiple levels of independent review processes in place as part of the overall process for preparing ICR burden estimates, we found instances where USDA, HHS, and DOT did not detect math errors or inconsistencies. We found multiple calculation errors in the supporting statements at three of the four selected agencies\u2014USDA, HHS, and DOT\u2014that over- or underestimated burden hours and costs to varying degrees, sometimes by millions of hours or hundreds of millions of dollars. We also found inconsistencies among estimates in Reginfo.gov and supporting statements. Reginfo.gov provides summary information to the public on information collections, including information on the estimated time and cost burdens. Supporting statements provide the public with more detailed information on the underlying methodology used to estimate burden, among other things.", "The PRA requires that agencies establish a process independent of program responsibility to review each ICR before submission to OMB for approval, including a specific, objectively supported estimate of the burden. Agency officials reported that reviewers assessed the reasonableness of burden estimates by reviewing calculations, comparing current estimates to previously approved estimates, or reading the accompanying narrative in the supporting statement, which contains the assumptions used in calculating burden hours and costs. However, the agencies we reviewed did not adequately follow their own review processes, resulting in estimates that misrepresented the burden hours and costs of information collection activities, as described in the following examples.", "Department of Agriculture: We found math errors in the supporting statement of USDA\u2019s second largest ICR based on estimated burden hours. Specifically, we found that USDA\u2019s Agricultural Marketing Service did not follow its stated assumptions in calculating burden hours and respondent time costs for the Mandatory Country of Origin Labeling ICR, resulting in an overestimation of hours and an underestimation of costs. By using the incorrect number of respondents when calculating burden hours, the Agricultural Marketing Service overestimated the Mandatory Country of Origin Labeling ICR\u2019s total burden by 171,444 hours.", "In addition, the agency did not consistently apply its stated assumptions (e.g., about the average burden time per response) in the development of respondent time cost estimates, resulting in underestimated costs presented to the public, as shown in table 4. For instance, the ICR contained two different maintenance recordkeeping costs: one described in the narrative and another in the summary tables in the supporting statement. Both underestimated recordkeeping costs. Our review found that, had the agency\u2019s stated assumptions been consistently applied, the actual cost estimate would have been approximately $463.2 million, or $104.5 million higher than the largest maintenance recordkeeping cost estimate in the supporting statement. According to Agricultural Marketing Service officials, external pressure and accelerated timelines resulted in a less effective review of the ICR. Agency officials acknowledged that they did not follow review processes or adequately review the supporting statement. An official said that the agency will ensure that estimates for this ICR are corrected in the future.", "Department of Health and Human Services: We found both math errors in the supporting statements and inconsistencies between the supporting statements and Reginfo.gov for some of HHS\u2019s 50 largest IRCs based on estimated burden hours. Specifically, HHS did not detect calculation errors in the supporting statements in 6 of 50 ICRs (none of which were the top two case study ICRs for HHS) that we reviewed, resulting in incorrect burden hour or cost estimates. For example, in a Centers for Medicare & Medicaid Services (CMS) ICR, we found that the agency correctly stated its assumptions in the supporting statement but, due to a math error that was not detected during the review process, incorrectly calculated the respondent time cost in the second year of the collection based on these assumptions. Because it did not detect this error, HHS underestimated respondent time costs by approximately $14.4 million or about 40 percent of the published total respondent time costs in the second year for that ICR, as shown in table 5.", "In another ICR, published in July 2013, CMS overestimated the public\u2019s burden by approximately 12.8 million hours. Agency officials attributed the discrepancy to two significant math errors. Officials said that these math errors were resolved and the burden hours recalculated in a subsequent renewal of the information collection in 2017. According to HHS officials, ICRs go through multiple levels of review before HHS approves the ICR. Program offices conduct an initial review of ICRs before passing them on to the Office of the Chief Information Officer (OCIO), which then conducts a final review of ICRs before final submission to OMB, including a basic check of the math used in calculating burden hours.", "Additionally, in 19 of the 50 HHS ICRs we reviewed, including HHS\u2019s largest ICR and the two CMS examples above, we identified discrepancies in reported burden hours between the supporting statements and Reginfo.gov (see table 6). For the public to evaluate the methodology used to develop the final burden estimate posted on Reginfo.gov, the two sources need to be consistent. Reasons for such discrepancies, according to HHS officials, included data entry errors, estimate changes made in supporting statements that were not reflected on Reginfo.gov, and calculation errors. We also found 14 instances where HHS did not include an ICR supporting statement on Reginfo.gov. Based on our findings, HHS examined the discrepancies in table 6, and in June 2018 reported that all of the issues that we identified had been corrected. CMS said that in general most of the issues identified can be attributed to human error due in part to staff shortages and tight ICR submission timelines. CMS said that it takes the errors very seriously and will continue to work to refine its internal review processes to improve the quality of its ICR submissions.", "HHS officials attributed some the discrepancies between the burden estimates found in the supporting statements and the estimates found on Reginfo.gov to instances when OMB works directly with program offices within the department on revisions to a burden estimate without involving OCIO. For example, according to HHS officials, in one instance shown in table 6, the supporting statement reported an initial estimate of 30,708 burden hours. Later, the estimate was revised based on input that OMB provided directly to the program office and was reported on Reginfo.gov as 12,845,827 burden hours. OCIO was not aware that the change had been made. Officials from HHS OCIO said the office is working to improve coordination and serve more as an intermediary between OMB and HHS components.", "Department of Transportation: We found, and DOT officials acknowledged, a calculation error in the supporting statement for the Inspection, Repair, and Maintenance ICR, DOT\u2019s second largest ICR based on estimated burden hours. In the ICR\u2019s supporting statement, DOT calculated its total annual burden hours by using an average burden time per response of 170 seconds for one information collection activity. However, DOT did not include 30 seconds for one of the inspection tasks that was stated in the calculation\u2019s assumptions found in the supporting statement. Officials said that this error may have been an inadvertent miscalculation and identified 200 seconds as the accurate average burden time per response. As a result, DOT underestimated the ICR\u2019s total annual burden by approximately 450,000 hours, nearly 4 percent of the reported total annual burden hours for the ICR (see table 7).", "As part of its review process, DOT uses a checklist for reviewing ICRs, which includes checking the math for burden hours and costs in supporting statements. An official acknowledged that, while DOT follows its review process, the agency missed this calculation error at multiple steps. The official said that the information collection had been active for a long period of time and that not detecting the error was not material in terms of PRA compliance. However, this example illustrates that a small error of 30 seconds per response can have a large impact on the overall burden hour and cost estimate. The DOT official said that it will correct the error in a revised ICR.", "In the examples above, both OMB and agencies reviewed and approved the ICRs\u2014including some of the largest ICRs at each of the agencies\u2014 but did not detect or address the math errors in the supporting statements, inconsistencies between published estimates in supporting statements and Reginfo.gov, or missing supporting statements during the review process, allowing incorrect burden hour and cost estimates to be publicly released. The PRA requires OMB to provide directions and oversee the review and approval of collections of information and the reduction of the information collection burden. OMB reviews the ICRs to ensure they are consistent with applicable laws and policies related to information quality. According to OMB officials, OMB desk officers check the burden calculations for consistency and reasonableness. The desk officers also check that the estimates are properly and consistently calculated. This includes reviewing the burden calculations to ensure that they are mathematically accurate. When we asked OMB officials about the ICRs cited in this report where we detected mathematical errors, they told us that they will review these ICRs to determine what response is needed.", "Until agencies ensure that their review processes adequately detect errors and inconsistencies, the agencies cannot ensure that their burden estimates are reliable, may result in less confidence in agencies\u2019 ability to accurately compute and report burden and as such, less confidence in agencies\u2019 ability to effectively manage and minimize the burden they impose on the public. According to the Standards for Internal Control in the Federal Government, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives. Therefore, if agencies\u2019 review processes do not detect errors or inconsistencies in supporting documents, then the public may have inaccurate or incomplete information on the burden imposed by an information collection. Additionally, without reliable burden estimates and complete information, Congress and the administration cannot ensure that agencies\u2019 efforts to reduce burden to comply with Executive Order 13771 are effective."], "subsections": []}]}, {"section_title": "Agencies We Reviewed Conducted Varying Levels of Public Consultation and Received Little Input on Burden Estimates", "paragraphs": [], "subsections": [{"section_title": "Agencies Conducted Public Outreach, but Public Notices Received Few Comments and Did Not Always Contain Needed Information to Evaluate Burden Estimates", "paragraphs": ["Agencies met the PRA requirement to post Federal Register notices and solicit public comments for all 200 information collections that we reviewed. They generally received few, if any, comments from the public in response. We found that 161 ICRs solicited comments through 60- day notices. Table 8 shows that while 35 of the 161 ICRs received comments (including 3 of the top 8 case study ICRs), only 10 received comments that were related to the burden estimates (including only one case study ICR), according to the ICR supporting statement and related documents.", "Based on our review of these 10 comments, 2 comments resulted in increases to agencies\u2019 burden estimates while another 5 resulted in no burden estimate change, but allowed the agency to further explain the basis for its estimates, and provided increased transparency for the public. For example, as a result of feedback from a trade association, USDA revised its burden hour estimate for a particular component of the National Organic Program ICR from 1 hour to 10 hours. The trade association said it would take 10 to 60 hours to develop a label and get it approved. Because this estimate was not based on a formal survey, USDA did not use the upper range provided by the commenter but did acknowledge that it may have underestimated the burden, according to the ICR supporting statement. In the other example, DOT officials revised the overall burden for an ICR on drivers\u2019 medical certificates from 9.8 million hours to 10.2 million hours based on a comment that called to their attention an incorrect assumption about the collection\u2019s frequency. The agencies also made more transparent the specific sources used to determine the burden estimates for five of the ICRs in response to public comments. For example, one comment prompted HHS to provide additional details on the components of the burden hour estimate for the ICR and identify the relevant source data.", "Officials at DOT and HHS said that, in some cases, they rely on public input in response to the 60-day Federal Register notices to validate their burden estimates, and if they do not receive any comments, they do not make any changes to the ICRs. For example, according to DOT officials, FMCSA relies on public comments to suggest revisions to ICRs that are up for renewal. In cases where no one has submitted any comments on the burden estimate, DOT officials reported that they assume the burden hour estimate per respondent is accurate and do not change the estimate.", "Despite the value of public input, agencies\u2019 Federal Register notices did not always contain a complete description of the elements that make up the burden estimates. As a result, the public may not have had enough information to comment on the reasonableness of the estimates. PRA and OMB regulations require that agencies solicit comments from the public both in the Federal Register and through other means, in part to evaluate the accuracy of the agency\u2019s burden estimate, including the validity of the methodology and assumptions used to calculate the burden. Generally, three basic elements of the burden estimate formula in the Federal Register notices provide the public with sufficient information to review the burden estimates. As previously stated, these elements are: (1) the number of respondents, (2) the frequency of response, and (3) the average burden time per response. However, agencies do not consistently include all of these elements in the Federal Register notices.", "Figures 4 and 5 show two examples of 60-day Federal Register notices in which agencies provided varying levels of detail on the burden hour estimates. In figure 5, USDA has provided burden information in its SNAP information collection by using tables and a summary that provides the estimated number of respondents, the frequency of response (i.e., number of responses per respondent), and the average burden time per response. In addition to providing data on these three elements, USDA grouped burden estimates by activity and type of respondent. This made it possible for the public to be able to review and comment on the specific assumptions used to develop the estimated hours per response. In particular, the notice shows burden data for time spent on the application, recertification application, reports, and notices for both state agencies and households.", "Conversely, figure 5 shows an example where IRS has only provided the estimated total annual burden hours for the ICR without providing any of the elements used to calculate the estimated burden hours\u2014the frequency of the information collection, the number of respondents, and the average burden time per response.", "A member of the public is more likely to be able to meaningfully comment on the average burden time per response (e.g., 19 minutes for a household to complete the initial SNAP application, as shown in figure 4) than an aggregate estimate (e.g., 284,599 total burden hours to complete a form used to report and summarize income from rents, royalties, partnerships, and other sources, as shown in figure 5).", "In 9 of the 10 instances in which USDA, HHS, and DOT received comments related to the burden estimates, the 60-day notices contained either all of these required elements or sufficient information to be able to calculate all of these elements. Agencies that do not consistently include these basic elements of the burden estimate reduce the likelihood that the public will be able to provide meaningful input to improve the accuracy of their burden estimates. For the two ICRs that resulted in a change in the burden estimate, USDA and DOT included detailed information for the burden time per response in their respective 60-day notices, which allowed the public to comment on these estimates.", "As shown in table 9, of the 200 ICRs that we reviewed, 25 did not contain enough information to allow the public to reasonably determine the frequency of response, number of respondents, or average burden time per response: 13 at IRS, 11 at DOT, and 1 at HHS. In general, if agencies do not provide sufficient data for the elements needed to evaluate burden estimates, they may not benefit from receiving well- informed comments to ensure more reliable estimates, or to provide an opportunity for greater transparency concerning their rationale for existing burden estimates.", "Our analysis found that 13 IRS ICRs (none of which were case study ICRs) did not have enough information on the frequency of the collection to allow the public to reasonably review the burden estimate and thereby provide meaningful input. IRS officials said that they did not always include data on the frequency of the collection because it might cause confusion for those instances where only a portion of the respondent population will respond to the collection more than once in a given year. Instead, IRS officials noted that their current policy is to include the estimated number of respondents, the estimated time per response, and the estimated total burden hours in each Federal Register notice for ICRs.", "In early 2017, IRS established a new position to review ICRs and ensure that the agency\u2019s PRA policies are properly implemented. According to IRS, this has helped to ensure that IRS includes estimated number of respondents, the estimated time per response, and the estimated total burden hours in each Federal Register notice. However, if IRS does not also report on the frequency of the collection and the frequency cannot be calculated using the other elements, the public may not be able to fully evaluate the burden estimate.", "According to a DOT official, in some instances, program officials did not follow DOT\u2019s prescribed templates for Federal Register notices, which direct officials to include the number of respondents, the frequency of response, and burden time per respondent to be able to calculate the total annual burden hours in each notice. According to the DOT official, in response to our findings, DOT\u2019s Office of General Counsel is conducting an education campaign to reinforce the necessity of providing fully transparent information regarding ICR burden during all stages of the notice process.", "In addition, DOT did not always include the average burden time per response in its Federal Register notices, in part because DOT\u2019s templates do not direct officials to provide this information. A DOT official said that the templates presume that the individual reading the notice will have sufficient information to calculate this element. However, we found that average burden time per response could not reasonably be calculated using the other information provided in 10 of the notices that we reviewed in part because one or more other elements of the burden estimate were missing. Average burden time per response is a key element for the public to be able to reasonably evaluate the burden. A DOT official said that DOT plans to update the template based on our findings."], "subsections": []}, {"section_title": "Agencies Did Not Always Consult with the Public beyond Public Notices and Did Not Solicit Input about Burden Estimates", "paragraphs": ["The agencies we reviewed did not always consult with the public on information collections beyond Federal Register notices, as required by the PRA and regulations. While the PRA requires consultation on every ICR, OMB guidance only recommends public consultation in general but does not direct agencies to consult beyond the publication of the notices. When they did consult with the public, agencies did not always use these consultations as an opportunity to explicitly ask about burden hour estimates. Of the 200 information collections we reviewed, 113 contained information in their supporting statements indicating that the agencies performed public consultations beyond the Federal Register notices (see table 10). Only 3 of the 8 case study ICRs that we reviewed indicated that the agencies performed public consultations beyond the Federal Register notices.", "In the 50 ICRs we reviewed, DOT provided information about public consultation in about one-quarter of its ICR supporting statements. A DOT official stated that DOT generally conducts outreach through the rulemaking process through discussions with stakeholders about the activities and fundamentals of the rule. Through this outreach process, rather than speaking explicitly about estimated burden hours, DOT and stakeholders discuss what the regulations require and whether those requirements are burdensome. According to the official, stakeholders will tell OMB if the burden estimate is incorrect. But DOT generally does not conduct additional outreach about burden estimates during ICR renewals, which occur at least every 3 years. HHS also provided information about public consultation in about one-third of its ICRs.", "Agencies\u2019 public consultation beyond the publication of Federal Register notices include federal advisory committee meetings, board meetings, webinars, and periodic stakeholder meetings. In addition, the outreach targeted a wide range of stakeholders, including associations, individuals subject to the information collection, and industry representatives.", "OMB\u2019s guidance directs agencies to include descriptions in ICR supporting statements of efforts to consult with the public about information collection burden. However, only 6 of these 113 ICR supporting statements\u20144 at USDA and 2 at DOT\u2014indicated that public outreach was related to the burden hour estimates, despite OMB\u2019s guidance. Agencies generally did not use public consultation beyond the publication of Federal Register notices to seek input on burden estimates. For example, USDA officials said that the Agricultural Marketing Service engages industry on a regular basis through meetings and seminars, but that it does not explicitly ask for feedback on the ICR burden hour or cost estimates and assume that industry representatives will raise any existing issues with the ICRs at these meetings.", "At HHS, Office for Civil Rights (OCR) officials stated that there are instances where they receive feedback during conferences or through communications initiated by the public or members of Congress. However, OCR officials let people bring up the subject of the accuracy of OCR\u2019s burden hour estimates on their own. At DOT, for five of the six Federal Railroad Administration ICRs we reviewed that involved consultation with the Railroad Safety Advisory Committee, the supporting statements do not show evidence of discussions of the ICRs\u2019 burden estimates during committee meetings, and the agency did not reference any comments on these estimates or summarize them in the supporting statements. At IRS, 40 of the 43 IRS ICR supporting statements that identified public consultation specifically highlighted periodic meetings to discuss tax laws and tax forms with representatives of professional associations in the fields of law and accounting. IRS officials said that they do not specifically raise the issue of burden hour estimates during these meetings, but only ask stakeholders for general comments.", "The lack of public consultation beyond Federal Register notices is due, in part, to a lack of guidance from OMB. In 2005, we recommended that OMB alter its current guidance to all federal agencies to direct agencies to consult with potential respondents beyond the publication of Federal Register notices. OMB disagreed with this recommendation, stating that it interprets publication in the Federal Register as the principal means of agency consultation with the public, with PRA notices on forms providing an opportunity for further public input. OMB staff told us in January 2018 that they still hold this view. Specifically, OMB staff said that additional consulting should occur for those ICRs where important information may be missed by the notice and comment period. In a June 2018 conversation, OMB staff acknowledged that public consultation could be particularly beneficial the first time that an ICR is renewed after the initial approval. At that point, the public will have had its first experiences responding to the information collection, which can inform its feedback to agencies. However, given the different types of changes that can occur over time that could affect burden estimates\u2014such as changes in technology, the economy, and the original source data used to generate burden estimates\u2014we continue to believe that it is important to actively consult with the public on each renewal, particularly given the low level of response that agencies receive in response to Federal Register notices for ICR renewals.", "In our 2005 report, agencies also expressed concerns that consultation for every ICR would not be a good use of agency resources. Officials stated that the greatest opportunity is at the rulemaking stage. However, as previously discussed, agencies have existing public outreach efforts whose broader use would not require significant additional time and resources. Without leveraging opportunities to engage in direct public consultation with the public for every ICR, agencies may miss opportunities to obtain additional comments on ICRs, which some agencies stated they rely on to check the accuracy of their estimates and in two cases have resulted in significant revisions. Further, emphasizing those elements of the burden estimate where quality data are limited and stakeholder experiences are most relevant (e.g., the time per response) could help agencies focus outreach on the most pertinent information.", "We maintain that the PRA requirement regarding public consultation in addition to the 60-day Federal Register notice is clear: both requirements are introduced together, with no distinction between them: agencies shall \u201cprovide 60-day notice in the Federal Register, and otherwise consult with members of the public and affected agencies concerning each proposed collection.\u201d Based on our review of the four agencies, we believe that such consultation can be completed in an efficient and effective consultation manner using many of the outreach mechanisms currently in place. However, given OMB\u2019s continued disagreement with our 2005 recommendation, congressional action may be needed to clarify the language in the PRA to more explicitly require federal agencies to consult with potential respondents on each information collection beyond the publication of Federal Register notices."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["One of the PRA\u2019s key requirements is for agencies to produce estimates of the burden that information collections will impose on the public. This information is essential for agencies to appropriately balance the burden of these information collections with their public benefit and for properly measuring progress toward applicable burden reduction goals. The PRA provides two mechanisms to help ensure the quality of these estimates: a multi-layered independent review process and mandatory public consultation requirements. However, the errors, omissions, and other discrepancies that we found in agencies\u2019 ICRs indicate these mechanisms are not operating as effectively as they could be.", "Independent review processes are only able to ensure an accurate and reliable estimate when agencies and OMB use them consistently to detect errors and correct them. However, we found that USDA, HHS, and DOT failed to adequately apply their own review processes, resulting errors and discrepancies between the supporting statement and Reginfo.gov. Similarly, OMB approved ICRs containing mathematical errors in the supporting statements and inconsistencies between the supporting statements and Reginfo.gov. If the agencies\u2019 and OMB\u2019s review processes do not detect mathematical errors and inconsistencies, then Congress and the public may have inaccurate or incomplete information on the estimated burden imposed by an information collection may result in less confidence in agencies\u2019 abilities to accurately compute and report the burden and as such, less confidence in agencies\u2019 ability to effectively manage and minimize the burden they impose on the public.", "As part of its review process, OMB also reviews ICRs for compliance with PRA and applicable regulations, and policies. However, OMB approved numerous ICRs without the required respondent time cost information. If OMB does not take action to ensure that agencies consistently follow its guidance to include respondent time costs, agencies will likely continue to and omit this information. In addition, OMB\u2019s current formal guidance does not offer specific instructions on when and how to include fringe benefits like paid leave and retirement contributions in respondent time costs. Without clear guidance, agencies may continue to inconsistently estimate respondent time costs, which could potentially result in underestimated time costs at some agencies as well as inconsistent implementation of efforts to reduce regulatory burden.", "Public input, when available, often resulted in improvements in the quality of agencies\u2019 burden estimates. However, the four agencies are missing opportunities to improve the quality of their estimates by not better leveraging existing public outreach efforts. While Federal Register notices provide the public with an opportunity to comment on the burden estimates, we found that DOT and IRS did not always provide sufficient information in their notices on the methodologies used to calculate the burden to allow the public to meaningfully comment on agencies\u2019 burden estimates.", "At the same time, given the few comments that agencies receive in response to these notices, it is clear that Federal Register notices alone are not sufficient. We found that agencies are already actively engaging with stakeholders through a number of means, including federal advisory committee meetings, periodic stakeholder meetings, and webinars, but are not fully using these opportunities to explicitly seek input on their burden estimates. Emphasizing those elements of the burden estimate (e.g., average time per response) during these events could help the agencies target their outreach on the most pertinent information.", "IRS uses a methodically rigorous process to develop the initial burden estimates for the federal government\u2019s two largest information collections\u2014U.S. Individual and Business Tax Return ICRs. This process includes gathering detailed information from the public on the time and money spent on tax preparation through its taxpayer surveys. IRS plans to transition additional information collections to this more rigorous approach in the coming years. This could improve the quality of burden hour estimates and provide the cost estimates that IRS is currently lacking for other collections. IRS could also do more do consult with the public after the initial burden estimate has been developed. IRS reported that it already periodically meets with representatives from professional associations to discuss tax laws and tax forms. If IRS used these opportunities to explicitly seek input on the initial burden estimate, the agency could both obtain valuable feedback on burden estimates and comply with the consultation requirements in PRA.", "OMB could help ensure that agencies more consistently obtain valuable public input on each of their ICRs by providing guidance directing agencies to consult with the public beyond the Federal Register notices on every ICR, as required in the PRA and as we previously recommended. However, while we consider the PRA requirement regarding public consultation in addition to the 60-day Federal Register notice for each ICR to be clear, OMB continues to believe that additional consulting should occur for those ICRs where important information may be missed by the public notice and comment period. We maintain that agencies should comply with the additional consultation requirement in the PRA. We acknowledge OMB\u2019s concerns that public consultation not overly be burdensome to agencies. However, we found that the agencies we reviewed have already identified efficient and effective mechanisms for gathering input from the public, such as through periodic stakeholder meetings and webinars. Given that OMB continues to disagree with our 2005 recommendation, congressional action to clarify the legal requirement may be required."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration: Congress should consider amending the Paperwork Reduction Act to more explicitly require federal agencies to consult with potential respondents on each information collection beyond the publication of Federal Register notices using efficient and effective consultation methods. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 11 recommendations, including 2 to OMB; 2 each to the Departments of Agriculture and Health and Human Services; 3 to the Department of Transportation; and 2 to the Internal Revenue Service.", "The Director of OMB should ensure the consistent application of the requirement for respondent time costs, including clarifying instructions for when and how to include fringe benefits. (Recommendation 1)", "The Director of OMB should review the policies, procedures, and related control activities to ensure that the agency\u2019s Paperwork Reduction Act review process is operating effectively. (Recommendation 2)", "The Secretary of Agriculture should review the policies, procedures, and related control activities to ensure that the agency\u2019s Paperwork Reduction Act review process is operating effectively. (Recommendation 3)", "The Secretary of Agriculture should leverage existing consultation with stakeholders and the public to explicitly seek input on the burden imposed by information collections. (Recommendation 4)", "The Secretary of Health and Human Services should review the policies, procedures, and related control activities to ensure that the agency\u2019s Paperwork Reduction Act review process is operating effectively. (Recommendation 5)", "The Secretary of Health and Human Services should leverage existing consultation with stakeholders and the public to explicitly seek input on the estimated burden imposed by information collections. (Recommendation 6)", "The Secretary of Transportation should review the policies, procedures, and related control activities to ensure that the agency\u2019s Paperwork Reduction Act review process is operating effectively. (Recommendation 7)", "The Secretary of Transportation should leverage existing consultation with stakeholders and the public to explicitly seek input on the estimated burden imposed by information collections. (Recommendation 8)", "The Secretary of Transportation should include enough information in Federal Register notices to allow the public to reasonably calculate or determine the number of respondents, the frequency of response, and the average burden time per response for each information collection activity. (Recommendation 9)", "The Commissioner of Internal Revenue should leverage existing consultation with stakeholders and the public to explicitly seek input on the estimated burden imposed by information collections. (Recommendation 10)", "The Commissioner of Internal Revenue should include enough information in Federal Register notices to allow the public to reasonably calculate or determine the number of respondents, the frequency of response, and the average burden time per response for each information collection activity. (Recommendation 11)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Director of OMB; the Secretaries of USDA, HHS, DOT; and the Commissioner of the IRS for comment, respectively. OMB did not provide written comments, and OMB staff informed us that OMB neither agreed nor disagreed with our recommendations to the agency. The Audit Liaison from the USDA\u2019s Office of the Chief Information Officer informed us in an email that USDA concurs with our recommendations to the agency. HHS, DOT, and IRS provided written comments, which we have reprinted in appendixes II, III and IV.", "In its written comments, HHS and DOT concurred with our recommendations to the agencies. HHS said it intends to continually review PRA processes and procedures as well as closely monitor their implementation to further reduce human error. DOT stated that the agency has taken action to improve its PRA program, and reported that it issued a new Federal Register notice for its Inspection, Repair, and Maintenance ICR to address mathematical errors identified in this report.", "In its written comments, IRS also concurred with our recommendations to the agency. However, IRS stated that its existing PRA policies and procedures sufficiently address the PRA requirements. In response to our recommendation on leveraging existing consultation mechanisms to obtain public comments on ICR burdens, IRS noted its public participation process includes consultation with stakeholders. Specifically, IRS said that, as resources allow, it partners with industry and stakeholder groups to consult with taxpayers on tax product development and assess the burden experience in understanding the tax forms and complying with requirements to complete them.", "However, we believe that IRS could better leverage this stakeholder consultation. Our analysis of supporting statements and interviews with IRS officials indicates that IRS did not explicitly seek input on burden estimates for its largest collections during these consultations. Soliciting input through the published forms themselves provides additional opportunities to obtain valuable stakeholder input, but it is not a substitute for actively reaching out to stakeholders for input on its burden estimates prior to approval, which could be readily accomplished through the mechanisms IRS already has in place for stakeholder consultation.", "In response to our recommendation on providing the public with sufficient information in its public notices to allow the public to evaluate an ICR\u2019s burden, IRS acknowledged that public notices issued before February 2017 may not have included all the elements needed by the public to be able to evaluate the burden estimates (number of respondents, frequency of response, and average burden time per response). However, according to IRS, the agency has since implemented a procedure to ensure that these elements are in the ICRs and that recent ICR public notices contain all three elements. If effectively implemented, these new procedures could help ensure that the public has the information it needs to review and provide input to on the specific assumptions used to develop the burden estimates.", "The public notices we reviewed for this report were all published prior to February 2017. When we spoke with IRS officials in February 2018, they said that their current policy is to include the estimated number of respondents, the estimated time per response, and the estimated total burden hours in each Federal Register notice for ICRs. IRS officials added that they did not always include data on the frequency of the collection because it might cause confusion for those instances where only a portion of the respondent population will respond to the collection more than once in a given year. Although IRS stated in its written comments that it had implemented new procedures to include all the necessary elements, we found some ICRs issued after February 2017 that do not contain the necessary elements, including frequency, to allow the public to evaluate the specific assumptions used to develop the burden estimates. We will follow-up with IRS to ensure that new ICR procedures fully address the issues we identified.", "OMB, USDA, HHS, and DOT also provided technical comments, which we incorporated as appropriate throughout our report.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Director of the Office of Management and Budget; the Secretaries of the Departments of Agriculture, Health and Human Services, and Transportation; and the Commissioner of the Internal Revenue Service, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact Tranchau (Kris) T. Nguyen at (202) 512-2660 or Nguyentt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how agencies estimate both the burden hours and costs of their information collections, and any limitations of their approaches, and (2) the extent to which agencies consult with and receive comments from the public on the collections\u2019 estimated burden.", "To address both of these objectives, we reviewed Office of Management and Budget (OMB) data on federal information collection requests (ICR) available on Reginfo.gov as of April 7, 2017. To obtain more information about the ICR process at the agency level, we selected four agencies to serve as case studies. We identified the four agencies with the largest number of total annual estimated burden hours across the federal government based on the Reginfo.gov data. The selected agencies are the Internal Revenue Service (IRS)\u2014which alone accounts for approximately 70 percent of the federal government\u2019s total information collection burden hours\u2014and the Departments of Health and Human Services (HHS), Agriculture (USDA), and Transportation (DOT). HHS represents 12 percent of the total burden hours in the federal government, while USDA and DOT each represent 2 percent of the federal information collections burden. The four selected agencies represent more than 85 percent of the total estimated burden hours across the federal government.", "For each of the four agencies, we selected the 50 largest ICRs based on total annual burden hours, for a total of 200 ICRs, to provide us with information about the agencies\u2019 efforts to consult with the public and their approach for estimating burden hours, respondent time costs, and resource costs related to each ICR. As part of this analysis, we reviewed information about (1) burden hour and (2) cost estimates and public consultation from Reginfo.gov and the ICR supporting statement.", "To obtain a more detailed understanding of the methodologies, policies, and public outreach efforts related to estimating and reviewing the burden associated with each ICR, we selected the two ICRs with the largest burden hour estimates from each selected agency as case studies. The eight case study ICRs, shown in table 11, represent the majority of information collection burden at each agency and roughly 59 percent of the federal government\u2019s total burden hours. We reviewed the supporting statements for each case study ICR to determine how the agencies calculated burden hours, respondent time costs, and respondent resource costs.", "We reviewed the Federal Register notices issued by the agencies to solicit comments from the general public on these ICRs, as well as the comments received in response to the 60-day notices. We reviewed the Paperwork Reduction Act and OMB guidance issued to assist agencies in developing and reviewing their information collections. We interviewed knowledgeable officials at the four selected agencies to obtain information on the methodologies used to estimate burden time and costs, the processes and policies for ICR review and submission, and public participation in providing comments about the burden estimates. In addition, we interviewed OMB staff to obtain information about its role in reviewing ICRs submitted by agencies, as well as its relationship with the selected agencies.", "To assess the reliability of Reginfo.gov data on burden hours and annualized costs for each ICR, we interviewed OMB staff and reviewed documentation of the Reginfo.gov website and the Regulatory Information Service Center/Office of Information and Regulatory Affairs Consolidated Information System (ROCIS), which is the system that agencies use to track information collection requests and that underlies information provided on Reginfo.gov. We compared the data from Reginfo.gov with the data found in the supporting statements. We interviewed agency officials and OMB staff about the discrepancies between these two information sources. We found that the Reginfo.gov data were sufficiently reliable for the purpose of selecting the case study agencies and ICRs subject to our review.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the above contact, Thomas J. McCabe (Assistant Director) and Joseph L. Santiago (Analyst-in-Charge) supervised the development of this report. Michael Bechetti, Tim Bober, Alyssia Borsella, Jaqueline Chapin, Steven Flint, Tim Guinane, Heather Krause, Ying Long, Sharon Miller, Ed Nannenhorn, Kayla Robinson, Robert Robinson, Cindy Saunders, Wesley Sholtes, and Chris Zakroff made major contributions to this report. Dawn Bidne, Jeffrey DeMarco, Jessica Nierenberg, and Laurel Plume verified the contents of this report."], "subsections": []}]}], "fastfact": ["Each year, nearly every adult and business provides some form of information to a federal agency, whether via tax forms or benefits applications. Agencies estimate the time and resources it takes to provide this information to help manage the paperwork burden placed on the public. How do they ensure their estimates are accurate?", "The law requires agencies to solicit public input on information collections to validate their estimates. While agencies often consulted the public via stakeholder and board meetings, they often did not explicitly ask for input on estimates. We recommended that they better leverage public outreach to improve estimates.", "(This figure was updated to include a source line.)"]} {"id": "GAO-19-160", "url": "https://www.gao.gov/products/GAO-19-160", "title": "Military Personnel: Strategy Needed to Improve Retention of Experienced Air Force Aircraft Maintainers", "published_date": "2019-02-05T00:00:00", "released_date": "2019-02-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Air Force aircraft maintainers are responsible for ensuring that the Air Force's aircraft are operationally ready and safe for its aviators\u2014duties critical to successfully executing its national security mission. With more than 100,000 maintainers across the Air Force's active and reserve components, according to Air Force officials, aircraft maintenance is the Air Force's largest enlisted career field\u2014accounting for about a quarter of its active duty enlisted personnel.", "The conference report accompanying the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to review the adequacy of the Air Force's aircraft maintainer workforce. This report assesses the extent to which, from fiscal years 2010 through 2017, the Air Force (1) had aircraft maintainer staffing gaps, (2) experienced attrition of maintainers and took steps to help retain maintainers, and (3) met its annual technical school completion rate goals for maintainers.", "GAO analyzed aircraft maintainer staffing levels, loss and reenlistment rates, and technical school completion rates from fiscal years 2010-2017, the most recent data available; conducted five non-generalizable discussion groups with maintainers; and interviewed aviation industry, Department of Defense, and Air Force officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Air Force has reduced overall aircraft maintainer staffing gaps, but continues to have a gap of experienced maintainers. The Air Force reduced the overall gap between actual maintainer staffing levels and authorized levels from 4,016 maintainers (out of 66,439 authorized active component positions) in fiscal year 2015, to 745 in fiscal year 2017 (out of 66,559 positions). However, in 7 of the last 8 fiscal years, the Air Force had staffing gaps of experienced maintainers\u2014those who are most qualified to meet mission needs and are needed to train new maintainers. Maintainers complete technical school as 3-levels and initially lack the experience and proficiency needed to meet mission needs. Following years of on-the-job training, among other things, maintainers upgrade to the 5- and 7-levels. In fiscal year 2017, the Air Force had gaps of more than 2,000 5-level and 400 7-level maintainers, and a surplus of over 1,700 3-levels. Air Force officials anticipate that staffing gaps will continue off and on through fiscal year 2023.", "Over the past 8 fiscal years, the Air Force has increasingly lost experienced aircraft maintainers, and it does not have goals and a strategy to help retain maintainers. While overall maintainer loss rates have remained generally stable, loss rates of 5-levels increased from 9 percent in fiscal year 2010 to 12 percent in fiscal years 2016 and 2017 (see figure). Air Force officials expect 7-level loss rates to also increase. Air Force officials stated that they need to retain more maintainers to help address experience gaps, but the Air Force has not developed annual retention goals for maintainers. In addition, while the Air Force has increased its use of retention bonuses since fiscal year 2015, according to Air Force officials, it does not have a strategy to improve retention. Without goals to measure progress and a retention strategy to guide efforts, the Air Force could face further challenges in managing its maintenance workforce, including ensuring there are enough experienced maintainers to meet mission needs.", "The Air Force consistently met technical school completion rate goals for aircraft maintainers from fiscal years 2010 through 2017. In fiscal year 2017, about 9,600 active component maintainers completed technical school, an increase from about 5,700 in fiscal year 2015. This increase in completions has helped to address overall staffing gaps, but cannot immediately resolve experience imbalances, due to the time and training needed to reach the 5- and 7- levels."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Air Force develop annual retention goals and a retention strategy for aircraft maintainers. The Air Force concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Air Force aircraft maintainers are responsible for ensuring that the Air Force\u2019s aircraft are operationally ready and safe for its aviators\u2014duties that are critical to ensuring that the department is able to successfully execute its national security mission. Maintainers at the squadron-level perform a wide range of duties, including conducting inspections before and after flights, diagnosing and repairing system malfunctions, and loading and unloading munitions and explosives on aircraft, among many others. With more than 100,000 maintainers across the Air Force\u2019s active and reserve components, according to Air Force officials, aircraft maintenance is the Air Force\u2019s largest enlisted career field\u2014accounting for about a quarter of its active duty enlisted personnel.", "In September 2016, we reported that the Air Force cited aircraft maintainer staffing gaps\u2014actual staffing levels that are lower than authorized levels\u2014as a factor limiting its ability to produce the number of aircraft required to meet certain annual training requirements and that, while the Air Force was taking steps to address these gaps, it could take several years to improve aircraft availability rates. The conference report accompanying the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to review the adequacy of the Air Force\u2019s aircraft maintainer workforce. This report addresses, from fiscal years 2010 through 2017, the extent to which the Air Force: (1) had aircraft maintainer staffing gaps, (2) experienced attrition of aircraft maintainers, including any effects of competition with the commercial aviation industry, and took steps to help retain maintainers, and (3) met its annual technical school completion rate goals for aircraft maintainers.", "For our first objective, we compared staffing levels authorized by the Air Force for enlisted aircraft maintainers\u2014for the active and reserve components\u2014with the actual number of maintainers available to staff those positions for fiscal years 2010 through 2017. We selected this timeframe to capture staffing levels before and after the Air Force\u2019s fiscal year 2014 reduction in end strength, and fiscal year 2017 was the most recent year for which complete data were available at the time of our review. Specifically, we analyzed the data to identify overall maintainer staffing gaps as well as any gaps by maintenance specialty and skill level. In addition, we compared maintainer personnel requirements to authorized staffing levels\u2014the number of those requirements that were funded. To assess the reliability of the Air Force\u2019s requirements, authorized staffing levels, and actual staffing levels, we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe the Air Force\u2019s aircraft maintainer staffing levels and associated gaps from fiscal years 2010 through 2017. Additionally, we conducted interviews with relevant Air Force, Air National Guard, and Air Force Reserve Command officials to identify reasons for staffing challenges and actions the Air Force has taken to address them.", "For our second objective, we calculated maintainer loss rates\u2014the number of maintainers who leave the career field or the Air Force within the fiscal year over the number of maintainers at the start of the fiscal year\u2014for the active and reserve components from fiscal years 2010 through 2017. We also analyzed overall aircraft maintainer reenlistment rates\u2014the number of maintainers reenlisting each fiscal year over the number of maintainers eligible to reenlist\u2014for the active component for fiscal years 2010 through 2017. To assess the reliability of the Air Force\u2019s maintainer loss and reenlistment rate data, we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe both the Air Force\u2019s aircraft maintainer loss and reenlistment rates from fiscal years 2010 through 2017. In addition, we reviewed the Air Force\u2019s 2015 and 2017 aircraft maintainer retention survey analyses and conducted five discussion groups with a non-generalizable sample of aircraft maintainers to obtain their views on factors affecting maintainer retention, on-the-job training capacity, and commercial aviation industry opportunities, among other things.", "We also reviewed the state of the commercial labor market for aircraft mechanics and aerospace engineers. We analyzed data from the Department of Labor\u2019s Bureau of Labor Statistics\u2019 Current Population Survey on the unemployment rate, employment, and median weekly earnings from 2012 through 2017, in accordance with economic literature. We chose this period because we previously reported on the data from 2000 through 2012. We reviewed documentation about the Bureau of Labor Statistics data and the systems that produced them, as well as our prior report, and determined the data were sufficiently reliable for the purposes of our indicator analysis. In addition, we conducted interviews with four commercial aviation industry stakeholders regarding any imbalances in aircraft mechanic demand and supply. We selected three of these organizations based on our previous work and one based on a recommendation from one of the three organizations. To determine what is known about the effects of the commercial aviation industry on the Air Force\u2019s aircraft maintainer workforce, we conducted a literature search and review. We chose fiscal year 2010 as a starting point to match the timeframe for which we analyzed Air Force maintainer loss rates. We identified and screened 49 studies using a multi-step process to gauge their relevance and evaluate their methodology. We identified 1 study that had reliable and relevant information and we discuss the associated findings of this study below.", "To assess the extent to which the Air Force has taken steps to help retain maintainers, we analyzed the number and total costs of selective retention bonuses (retention bonuses) that the Air Force awarded by maintenance specialty and skill level from fiscal years 2010 through 2017 for the active and reserve components. To assess the reliability of the Air Force\u2019s retention bonus data, we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe the number and total costs of the Air Force\u2019s aircraft maintainer retention bonuses from fiscal years 2010 through 2017. In addition, we conducted interviews with relevant Air Force officials regarding retention goals and monetary and non-monetary incentives to improve maintainer retention. We compared this information to Standards for Internal Control in the Federal Government related to monitoring activities and key principles of strategic workforce planning that we have identified in our prior work, such as developing strategies that are tailored to address gaps in numbers of people, skills, and competencies.", "For our third objective, we calculated technical school completion rates\u2014 the number of aircraft maintainers completing technical school compared to the number of programmed or expected completions\u2014for the active component for fiscal years 2010 through 2017. We compared those completion rates to the Air Education and Training Command (AETC) established completion rate goal for the active component. For the Air National Guard and Air Force Reserve Command, we compared programmed completions to actual completions to determine their ability to meet training needs. To assess the reliability of the technical school completion data, we assessed the data for errors, omissions, and inconsistencies, and interviewed officials. We determined that the data were sufficiently reliable to describe the Air Force\u2019s aircraft maintainer technical school completion rates from fiscal years 2010 through 2017, rounded to the nearest hundreds up to fiscal year 2013, and more- precisely from fiscal years 2014 and beyond. In addition, we observed maintainer technical school training at Sheppard Air Force Base in Texas and Eglin Air Force Base in Florida. We selected these locations because they are two of the primary locations where aircraft maintainer technical school training occurs. Finally, we conducted interviews with technical school instructors about the training process, as well as AETC, Air National Guard, and Air Force Reserve Command officials about training challenges and programmed training needs. Our scope and methodology is described in detail in appendix I.", "We conducted this performance audit from April 2018 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Air Force Aircraft Maintenance Specialties", "paragraphs": ["Air Force aircraft maintainers are assigned to a specific maintenance specialty and, in some cases, also to a specific aircraft on which they are qualified to perform maintenance. As of April 2018, the Air Force had 37 enlisted maintenance specialties, each designated by an Air Force Specialty Code. See table 1 for examples of various Air Force maintenance specialties and examples of aircraft specific to those specialties, if applicable."], "subsections": []}, {"section_title": "Maintainer Training Process and Skill Level Advancement", "paragraphs": ["According to officials, following basic training, most airmen assigned to the aircraft maintenance career field attend some portion of technical school at Sheppard Air Force Base in Texas. Depending on the maintenance specialty, some maintainers may continue their technical training at a second location. For example, maintainers specializing on the F-35 complete additional training at Eglin Air Force Base in Florida after completing initial courses at Sheppard Air Force Base. Maintainers spend anywhere from 23 to 133 academic days in technical school learning about aircraft maintenance fundamentals and their specific maintenance specialties through a mix of classroom instruction and hands-on training. Hands-on training is conducted on both partially- functioning components of aircraft\u2014called \u201ctrainers\u201d\u2014that replicate tasks on working aircraft, and on ground instructional training aircraft. Figure 1 shows various training equipment used by maintainers during technical school.", "Air Force aircraft maintainers complete technical school as 3-levels, or apprentices. Maintainers are eligible to advance to the 5-level (journeyman) after completing additional coursework and a minimum of 12 months of on-the-job training. According to Air Force data, depending on the maintenance specialty, it takes an average of 1 to 2 years to advance to the 5-level. Maintainers are eligible to enter upgrade training to advance to the 7-level after being selected for the rank of Staff Sergeant. According to Air Force officials, the average time in service for promotion selection is 4.4 years. The 7-level is achieved by completing additional coursework, and completing a minimum of 12 months of on- the-job training. Depending on the maintenance specialty, it takes maintainers an average of 1 to 2 years after entering upgrade training to advance to the 7-level. Figure 2 shows an overview of the Air Force\u2019s aircraft maintainer training process and skill-level advancement."], "subsections": []}, {"section_title": "Air Force Process for Determining Maintainer Positions", "paragraphs": ["Department of Defense (DOD) Directive 1100.4 states that staffing requirements are driven by workload and shall be established at the minimum levels necessary to accomplish mission and performance objectives. In addition, assigned missions shall be accomplished using the least costly mix of personnel (military, civilian, and contract) consistent with military requirements and other needs of DOD as prescribed in Title 10, United States Code. Air Force officials reported that they fill their requirements based on the number of those requirements that are funded\u2014called authorized staffing levels\u2014and the number of trained and qualified personnel available to be staffed to those positions. In this report, we refer to the number of maintainers available to fill authorized staffing levels as actual staffing levels.", "The Air Force uses the Logistics Composite Model to determine maintainer staffing requirements. The model is a statistical simulation that estimates monthly labor-hours and personnel required to accomplish direct maintenance tasks. According to an Air Force official, locations are staffed according to the worldwide average for each particular maintenance specialty. For example, if the crew chief maintenance specialty worldwide is staffed at 88 percent, the Air Force would staff each overseas Major Command at 88 percent and distribute those resources to ensure the bases are staffed at that worldwide average, followed by domestic locations. An Air Force official stated that there are a number of reasons why a particular location may be staffed below or over the worldwide average, such as early releases from tours."], "subsections": []}, {"section_title": "Commercial Aviation Industry and Airframe and Power Plant Certificates", "paragraphs": ["Maintainers in the commercial aviation industry are commonly employed by commercial air carriers, corporate flight departments, repair stations, or manufacturers of aircraft or aircraft components. Aircraft mechanics inspect, service, and repair aircraft bodies (airframe) and engines (power plant). Aircraft mechanics can earn a mechanic certificate from the Federal Aviation Administration with an airframe rating, power plant rating, or combined airframe and power plant rating, and are referred to as certificated mechanics. According to Federal Aviation Administration data, almost all certificated mechanics hold airframe and power plant ratings. Certification is not necessary to work as an aircraft mechanic; however, without it, a mechanic cannot approve an aircraft for return to service and must be supervised by a certificated mechanic. Certificated mechanics that hold airframe and power plant ratings generally earn a higher wage and are more desirable to employers than mechanics who are not certificated, according to the Bureau of Labor Statistics.", "For an applicant to be authorized to take the mechanics examination for the combined airframe and power plant rating, the applicant must either (1) complete a Federal Aviation Administration-certificated aviation maintenance technician school, and demonstrate and document relevant airframe and power plant work experience gained through on-the-job training, or (2) demonstrate and document work experience or some combination of work experience and education gained through the military working with airframes and engines.", "Since 2002, the Community College of the Air Force has administered the Federal Aviation Administration-approved Joint Services Aviation Maintenance Technician Certification Council (the Joint Services Council) program that, upon completion, confers a certificate of eligibility\u2014 equivalent to a training program diploma\u2014to take the airframe and power plant exam. According to Community College of the Air Force officials, although the airframe and power plant certificate is not required for Air Force maintainer work, it does benefit maintainers\u2019 potential career prospects. The Joint Services Council\u2019s program is available to members of all services who have attained minimum requirements in aviation maintenance\u2014typically after 3 years of experience in a related position\u2014 and includes three self-paced courses taken online in addition to on-the- job training. Additionally, the Air Force has established its Credentialing Opportunities On-Line program to help airmen find information on certifications and licenses related to their jobs. The program requires that the courses be accredited and be sought after within their industry or sector as a recognized, preferred, or required credential. The program also provides some funding assistance in obtaining airframe and power plant certificates."], "subsections": []}]}, {"section_title": "The Air Force Has Significantly Reduced Overall Aircraft Maintainer Staffing Gaps but Continues to Lack Experienced Maintainers", "paragraphs": ["Since fiscal year 2016, the Air Force has taken steps to significantly reduce the gap between actual aircraft maintainer staffing levels and authorized levels, a gap which exceeded 4,000 maintainers in fiscal year 2015. However, gaps remain for experienced maintainers\u2014those at the 5- and 7-levels who are most qualified to meet mission needs. The Air Force\u2019s reserve component has also experienced aircraft maintainer staffing gaps over the past 8 fiscal years, although the Air National Guard\u2019s gaps have been more consistent and significant than those of the Air Force Reserve Command."], "subsections": [{"section_title": "The Air Force Has Made Significant Reductions to Overall Aircraft Maintainer Staffing Gaps", "paragraphs": ["Since fiscal year 2016, the Air Force has taken steps to significantly reduce overall enlisted aircraft maintainer staffing gaps. According to our analysis of Air Force data, for all aircraft maintenance specialties combined, the Air Force reduced the gap between actual staffing levels and authorized levels from a peak of 4,016 maintainers (94 percent of authorized levels filled) in fiscal year 2015 to 745 maintainers (99 percent) in fiscal year 2017. In addition to a reduction in overall gaps, the number of maintenance specialties experiencing staffing gaps also decreased over this period. Specifically, while 12 maintenance specialties had actual staffing levels that were less than 90 percent of authorized levels in fiscal year 2015, only 4 did in fiscal year 2017. Additionally, in fiscal year 2017, actual staffing levels for 18 of the Air Force\u2019s maintenance specialties met or exceeded authorized levels.", "While the Air Force had a surplus of 1,705 maintainers in fiscal year 2010 (103 percent of authorized levels filled), actual staffing levels decreased to 99 percent of authorized levels in fiscal year 2011, and continued to decrease through fiscal year 2015. Air Force officials attributed these staffing gaps to an increase in authorized positions\u2014due to the acquisition of the F-35 and increased maintenance needs for legacy aircraft, such as the F-15, F-16, and B-52\u2014and a decrease in actual staffing levels, due to a reduction in end-strength from fiscal years 2014 through 2015. These officials stated that the Air Force reduced its actual maintainer staffing levels through involuntary separations and reduced accessions due, in part, to the planned divestiture of the A-10 and other aircraft. However, these officials stated that the divestiture did not occur, which contributed to further staffing gaps.", "Since fiscal year 2016, the Air Force has taken a number of steps to reduce aircraft maintainer staffing gaps, such as increasing accessions and, beginning in fiscal year 2017, contracting out some maintenance positions. The Air Force also issued memorandums in August 2016 and September 2017 that restricted the ability of certain maintainers to retrain to a career field outside of aircraft maintenance. Additionally, from fiscal years 2016 through 2018, through the High Year of Tenure Extension Program, the Air Force extended the maximum number of years that maintainers in certain maintenance specialties could remain on active duty. According to October 2018 testimony, the Secretary of the Air Force stated that the Air Force planned to eliminate the overall maintainer staffing gap by December 2018. Air Force officials acknowledged that while staffing levels have started to improve since the reduction in end- strength, they anticipate that the Air Force will continue to experience maintainer staffing gaps off and on through fiscal year 2023, when the gap is projected to be about 500 maintainers, due, in part, to an increase in F-35 maintenance requirements. According to these officials, this estimate is based on recruitment cycles and retention trends, and could change if there are any programmatic changes, such as the addition or divestment of any aircraft types.", "Over the past 8 fiscal years, the Air Force has accepted some level of risk in deciding how much of its maintainer requirements to fund. For example, according to our analysis, from fiscal years 2010 through 2017, the Air Force authorized or funded 95 to 97 percent of its maintainer requirements across maintenance specialties\u2014that is, about 1,800 to 3,900 requirements were not funded each year. According to DOD officials, across all Air Force specialties decisions have to be made about how to fund requirements, and it is not uncommon for authorized levels to fall below requirements. Figure 3 compares the Air Force\u2019s active component aircraft maintainer staffing levels, authorized levels, and requirements for all maintenance specialties combined over the past 8 fiscal years.", "Air Force officials acknowledged that when taking into account increases in requirements\u2014due in part to aging aircraft systems\u2014maintainer staffing gaps have been higher than reported. Specifically, while the gap between actual and authorized staffing levels exceeded 4,000 maintainers in fiscal year 2015, when considering the number of requirements that were not funded, the gap was about 5,800 maintainers. Moreover, while maintainer requirements increased by about 1,200 between fiscal years 2015 and 2017, the number of authorized positions only increased by 120."], "subsections": []}, {"section_title": "The Air Force Continues to Have Staffing Gaps of Experienced Aircraft Maintainers", "paragraphs": ["Our analysis of Air Force data found that the Air Force has had staffing gaps of experienced aircraft maintainers\u2014those at the 5- and 7-levels\u2014in 7 of the past 8 fiscal years. While the Air Force\u2019s actual maintainer staffing levels were 99 percent of authorized levels in fiscal year 2017, 3- level maintainers were the only skill level without a staffing gap. Specifically, in fiscal year 2017, the Air Force had a gap of 2,044 5-level maintainers (94 percent of authorized levels filled) and a gap of 439 7- level maintainers (97 percent). However, the Air Force had a surplus of 1,745 3-level maintainers (112 percent). Figure 4 compares, by skill level, actual aircraft maintainer staffing levels with authorized levels for all active component maintenance specialties combined over the past 8 fiscal years.", "In fiscal years 2015 and 2016, the Air Force had significant gaps of 3- level maintainers\u20143,536 and 2,401, respectively\u2014due to a decrease in accessions as part of its reduction in end strength. Air Force officials stated that these previous staffing gaps of 3-level maintainers have contributed to the current staffing gap of 5-level maintainers, since maintainers who were at the 3-level in fiscal years 2015 and 2016 would have likely upgraded to the 5-level by fiscal year 2017. These officials stated that, similarly, the current staffing gap of 5-level maintainers is expected to contribute to an increase in the size of the 7-level maintainer staffing gap over the next few fiscal years.", "In fiscal year 2017, certain maintenance specialties and aircraft faced greater experience gaps than others. For example, the advanced fighter aircraft integrated avionics specialty had a gap of 140 7-level maintainers (70 percent of authorized levels filled) and a gap of 56 5-level maintainers\u2014all specifically trained on the F-35 (78 percent). In contrast, the aerospace ground equipment specialty had a surplus of 28 7-level maintainers (104 percent). Table 2 shows authorized versus actual staffing levels for select active component maintenance specialties and aircraft, by skill level, in fiscal year 2017.", "Air Force officials stated that it is important to have a balance of maintainer experience levels, but noted that current experience imbalances cannot be corrected as quickly as overall staffing gaps because rebuilding experience takes time. As previously discussed, depending on the maintenance specialty, the average time to upgrade from a 3-level to a 5-level ranges from 1 to 2 years, and the average time to upgrade from a 5-level to a 7-level after entering upgrade training is 1 to 2 years. Air Force officials highlighted that there is no substitute for experience.", "Noting that new 3-level maintainers will initially lack the experience and proficiency needed to meet mission needs\u2014and will require supervision to oversee their technical progression\u2014the Air Force has taken steps to ensure that experienced maintainers are assigned to maintenance roles that will improve operational readiness and influence the growing workforce. Specifically, the Air Force Deputy Chief of Staff for Logistics, Engineering and Force Protection issued a memorandum in July 2016 to all of the Major Command Vice Commanders noting the importance of maximizing utilization of experienced maintenance personnel in mission generation and repair network jobs. Air Force officials stated that it is critical that experienced maintainers be in the field training the surplus of new 3-level maintainers and getting them the experience they need. In addition, beginning in fiscal year 2017, in order to retrain 600 experienced maintainers on the F-35, the Air Force contracted some aircraft maintenance for three legacy aircraft in certain locations. These maintenance contracts are to run from fiscal years 2017 through 2020."], "subsections": []}, {"section_title": "The Air National Guard Has Had Consistent Aircraft Maintainer Staffing Gaps, While Air Force Reserve Gaps Have Been Smaller", "paragraphs": ["Over the past 8 fiscal years, the Air Force\u2019s reserve component has also experienced aircraft maintainer staffing gaps; however, the Air National Guard\u2019s gaps have been more consistent and significant than those of the Air Force Reserve Command. Figure 5 compares actual aircraft maintainer staffing levels with authorized levels for the Air National Guard and the Air Force Reserve Command over the past 8 fiscal years.", "According to our analysis, the Air National Guard has had consistent aircraft maintainer staffing gaps from fiscal years 2010 through 2017\u2014 ranging from 84 percent to 89 percent of authorized levels filled. In fiscal year 2017, the Air National Guard had a staffing gap of 3,219 maintainers (87 percent of authorized levels filled), which was primarily spread evenly across 5- and 7-level maintainers. The Air National Guard\u2019s staffing gaps have remained despite a significant decrease in authorizations over this period. Specifically, the Air National Guard\u2019s authorized positions decreased from 28,654 in fiscal year 2010, to 24,198 in fiscal year 2017. Air National Guard officials stated that the decrease in authorizations is a result of mission and aircraft changes\u2014in particular, while the Guard has increased its use of unmanned aerial systems, it primarily relies on contract maintenance for those systems, reducing the need for Air Force maintainers.", "In comparison, the Air Force Reserve Command experienced smaller maintainer staffing gaps over the past 8 fiscal years. According to our analysis, the percent of authorized levels filled ranged from a low of 95 percent in fiscal year 2010 (a gap of 733 maintainers), to a high of 103 percent in fiscal year 2013 (a surplus of 514). In fiscal year 2017, the Air Force Reserve Command had an overall staffing gap of 374 maintainers (97 percent of authorized levels filled), which primarily consisted of 7-level maintainers. Specifically, in fiscal year 2017, the Air Force Reserve Command had a gap of 777 7-level maintainers (89 percent of authorized levels filled), and a surplus of 566 5-level maintainers (108 percent).", "Officials from both the Air National Guard and the Air Force Reserve Command stated that aircraft maintainer staffing levels differ by wing and location. For example, Air Force Reserve Command officials noted that maintainer requirements have recently increased at certain Air Force bases due to the arrival of fifth-generation fighter aircraft, and that while those locations are working to increase their maintainer staffing levels, they are currently below authorized levels. Air Force Reserve Command officials identified a strong economy with multiple civilian employment opportunities, disparities in active duty versus technician pay, and long hiring processes as factors affecting its full-time maintainer staffing levels. As a result, these officials noted that that they are looking at ways to improve maintainer retention. Air National Guard officials stated that any maintainer-specific recruitment or retention challenges would be identified and addressed at the local level and that, as a result, they were unable to describe challenges Air National Guard-wide."], "subsections": []}]}, {"section_title": "The Air Force Has Increasingly Lost Experienced Aircraft Maintainers and Does Not Have Goals and a Strategy to Improve Retention", "paragraphs": ["The Air Force has had challenges retaining experienced maintainers, with loss rates of 5-level maintainers increasing over the past 8 fiscal years. While the commercial aviation industry is experiencing similar staffing challenges, the effects of these challenges on the Air Force\u2019s maintainer workforce are unknown. In addition, since fiscal year 2015, the Air Force has increased retention bonuses to improve retention among certain critical maintenance specialties, but the Air Force does not have retention goals or an overall strategy to help retain maintainers and sustain recent staffing level improvements."], "subsections": [{"section_title": "Air Force Losses of Experienced Maintainers Have Increased since Fiscal Year 2010", "paragraphs": ["The Air Force monitors maintainer retention through loss rates\u2014the percentage of maintainers who leave the career field or the Air Force during a given fiscal year for reasons such as separation or retirement\u2014 and reenlistment rates, according to Air Force officials. Our analysis of Air Force data found that overall enlisted aircraft maintainer loss rates have remained relatively stable over the past 8 fiscal years. Specifically, overall loss rates ranged from 9 to 10 percent\u2014mirroring overall enlisted loss rates across the Air Force\u2014with the exception of fiscal year 2014, when the loss rate was 13 percent due, in part, to reductions in end strength. Air Force officials stated that they need to retain more maintainers than in past fiscal years to help address experience gaps. However, gaps of experienced maintainers\u2014those at the 5-level\u2014have increased. Specifically, loss rates among 5-level maintainers increased from 9 percent in fiscal year 2010 to 12 percent in fiscal years 2016 and 2017. Loss rates of 7-level maintainers were 8 and 9 percent in fiscal years 2016 and 2017, respectively. Figure 6 compares, by skill level, active component maintainer loss rates with loss rates for all Air Force enlisted personnel over the past 8 fiscal years.", "While loss rates of 7-level maintainers were comparable to overall maintainer loss rates in fiscal years 2016 and 2017, Air Force officials expect those rates to increase over the next few fiscal years due to changes in reenlistment behaviors and the current staffing gap of 5-level maintainers. According to our analysis of Air Force data, overall reenlistment rates for aircraft maintainers have generally decreased since fiscal year 2010, from a peak rate of 82 percent in fiscal year 2011, to a low of 73.4 percent in fiscal year 2017\u2014similar to reenlistment rates for all Air Force enlisted personnel. Over this period, reenlistment rates decreased most significantly for maintainers making their first reenlistment decision\u2014from 70.5 percent in fiscal year 2010, to 58.3 percent in fiscal year 2017. Reenlistment rates at the second reenlistment decision point decreased as well\u2014from 88 percent in fiscal year 2010, to 81.3 percent in fiscal year 2017. Table 3 provides reenlistment rates for active component aircraft maintainers over the past 8 fiscal years.", "In 2015 and 2017, the Air Force conducted aircraft maintenance retention surveys in order to identify areas of opportunity to improve career experiences, job satisfaction, and to understand retention drivers. Air Force officials stated that these surveys and reports are used as informational tools, but that they are researching methods to further dive into specific concerns. Maintainers who responded to the 2017 survey cited job stress, overall job satisfaction, and satisfaction with the career field as top factors influencing them to leave the Air Force. Survey respondents also stated that military benefits, the retirement program, and job security were the top reasons to remain in the Air Force. The survey also found that mid-tier enlisted personnel\u2014Senior Airmen, Staff Sergeants, and Tech Sergeants\u2014reported lower levels of satisfaction with leadership than did higher enlisted ranks.", "Participants in all five of our discussion groups with maintainers cited job dissatisfaction as a factor affecting their reenlistment decisions. Specifically, participants discussed the stress of the job, physical toll of the work, heavy workload, and undesirable working conditions. In addition, participants in all discussion groups noted challenges in providing on-the-job training to the large number of 3-level maintainers arriving at their squadrons due to staffing gaps of 5- and 7-level maintainers\u2014who are needed to supervise that training. Participants stated that the lack of experienced maintainers has increased workloads and stress levels, which they stated may negatively affect reenlistment decisions. Some participants in all five discussion groups were interested in retraining into other specialties outside of aircraft maintenance as a way to continue their Air Force careers. However, as previously discussed, since 2016, the Air Force has placed certain restrictions on retraining to non-maintenance career fields in an effort to address maintainer staffing challenges."], "subsections": []}, {"section_title": "Hiring Difficulties May Exist in the Commercial Aviation Industry, but Its Effects on the Air Force\u2019s Maintainer Workforce Are Unknown", "paragraphs": ["According to our analysis of Bureau of Labor Statistics data from 2012 through 2017, unemployment rate, employment, and wage earnings for the aircraft mechanic and service technician, and aerospace engineer occupations were consistent with the existence of hiring difficulties. While no single metric can be used to say whether a labor shortage exists, it is possible to look at certain \u201cindicators\u201d in conjunction with views of stakeholders. Specifically, we previously found that according to economic literature, if a job shortage were to exist, one would expect (1) a low unemployment rate signaling limited availability of workers in that profession, (2) increases in employment due to increases in demand for that occupation, and (3) increases in wages offered to draw people into that profession. Table 4 shows these specific indicators from 2012 to 2017, since we last reported, measured using the Bureau of Labor Statistics\u2019 Current Population Survey.", "As table 4 indicates, the direction of all three of these indicators is consistent with difficulty in hiring of both aircraft mechanics and aerospace engineers. However, the indicators should be viewed with appropriate caveats. First, from 2012 to 2017, median wages for aerospace engineers and aircraft mechanics increased at a greater percentage than wages for all occupations, approximately 1.5 and 2.0 percent per year, respectively, compared to about 1 percent for all occupations. However, while median wages increased for aerospace engineers and aircraft mechanics during this entire period, it did not increase in every year, and it exhibited swings by as much as 13 percent. Second, from 2012 to 2017, employment for aerospace engineers and aircraft mechanics increased by approximately 1.3 and 1.2 percent per year, respectively. In comparison, for all occupations, employment increased by about 2 percent per year over this period. Finally, over this period, the average unemployment rate for aerospace engineers and aircraft mechanics was approximately 1.5 and 2.5 percent on average, respectively, compared to about 6 percent for all occupations.", "In addition, according to the Bureau of Labor Statistics Occupational Outlook Handbook, overall employment of aircraft and avionics equipment mechanics and technicians is projected to grow 5 percent from 2016 to 2026, about as fast as the average for all occupations. Job opportunities are expected to be good because there will be a need to replace those workers leaving the occupation. Industry stakeholders we spoke with anticipate similar growth in demand for labor, and cited ways companies were recruiting maintainers into the industry, such as raising wages, incorporating additional training, and paying maintainers during their airframe and power plant certificate coursework.", "The effects of the commercial aviation industry\u2019s hiring difficulties on the Air Force\u2019s maintainer workforce are unknown. Air Force officials stated that the Air Force has not assessed the effects, and that while some maintainers will leave the Air Force to work for the commercial aviation industry, they do not believe it is an overarching issue. However, Air National Guard and Air Force Reserve Command officials noted that a base\u2019s location, in particular its proximity to commercial aviation industry opportunities, may affect its ability to recruit and retain maintainers. While the industry stakeholders we spoke with noted that military maintainers are attractive to the commercial aviation industry because of their previous training, work ethic, and discipline, they also noted challenges in recruiting military maintainers. Specifically, one stakeholder stated that many military maintainers require similar training for private sector positions as their non-military peers, citing to the specificity of training military maintainers receive compared to the broader approach taken by the commercial aviation sector.", "Only one study we identified through our literature search examined the potential effects of the commercial aviation industry\u2014specifically the commercial airlines\u2014on Air Force aircraft maintainer staffing levels. This study, published in 2016 by RAND and reviewing data from fiscal years 2004 through 2013, did not estimate the effect of any specific development in the commercial aviation industry on the Air Force. However, it identified several factors that suggest that the effects, if any, are likely to be limited. It found this based on four indicators: (1) the Air Force kept steady maintainer retention rates while the airline maintainer population fluctuated over the same period of time; (2) the Air Force offered competitive maintainer salaries compared with several airlines, making it unlikely that maintainers would separate or retire for better earnings potential alone; (3) few Air Force maintainers seemed to be pursuing airframe and power plant certification, which is often a prerequisite to employment in the airline industry; and (4) on average, there were considerably more qualified Air Force maintainers separating or retiring than projected airline maintenance jobs available. However, the report focused only on the commercial airlines. Air Force officials stated that they are more likely to experience outside recruitment of maintainers from defense contractors than from commercial airlines.", "Participants in four of our five discussion groups with maintainers cited better pay as a reason to transition from the Air Force to the commercial aviation industry. They also noted consistent schedules, 8-hour work days, and overtime pay as additional benefits. However, participants in all of our discussion groups also discussed an interest in careers outside of aircraft maintenance, such as police work, firefighting, cyber security, information technology, and real estate, among others.", "For maintainers who want to pursue a career in the commercial aviation industry upon separation or retirement from the Air Force, DOD has undertaken several actions to facilitate airframe and power plant certification of its servicemembers. For example, as previously discussed, since 2002 the Community College of the Air Force has administered the Federal Aviation Administration-approved Joint Services Council program that, upon completion, confers a certificate of eligibility to take the airframe and power plant exam. According to Community College of the Air Force data, in fiscal year 2017, there were 95 graduates from the Joint Services Council\u2019s airframe and power plant preparation program. Table 5 shows the number of Air Force personnel that enrolled in and graduated from the Joint Services Council\u2019s airframe and power plant program from fiscal years 2010 through 2017.", "Air Force officials noted a decrease in enrollments since fiscal year 2015 due to additional enrollment requirements, including completing initial coursework. From fiscal years 2015 through 2017, about 900 personnel used Air Force funding for airframe and power plant certificates through the Air Force Credentialing Opportunities On-Line program, which was established in fiscal year 2015."], "subsections": []}, {"section_title": "The Air Force Has Increased Its Use of Retention Bonuses for Some Maintenance Specialties, but Does Not Have Retention Goals or a Maintainer Specific Strategy to Improve Retention", "paragraphs": ["The Air Force has increased its use of retention bonuses since fiscal year 2015 to help retain critical maintenance specialties. Per DOD Instruction 1304.31, the secretary of a military department may use service retention bonuses to obtain the reenlistment or voluntary extension of an enlistment in exchange for a military service member\u2019s agreement to serve for a specified period in at least one of the following categories: a designated military skill, career field, unit, or grade; or to meet some other condition of service. In fiscal year 2015, the Air Force awarded 1,590 bonuses to aircraft maintainers in certain specialties, totaling more than $60 million. Bonuses increased in fiscal year 2016\u2014with 2,415 bonuses awarded at a total cost of more than $87 million. Bonuses decreased slightly in fiscal year 2017\u2014with 1,797 bonuses awarded primarily to 5-level maintainers, at a total cost of over $65 million. Figure 7 shows the increases in the number and total costs of Air Force active component retention bonuses awarded to aircraft maintainers over the past 8 fiscal years.", "According to Air Force officials, retention bonuses remain a critical incentive for reenlistment. Participants in four of our five discussion groups with maintainers highlighted retention bonuses as a motivating factor to remain in the Air Force. Some participants stated that they were a major factor in their decision-making, while others were unsure of the availability or amount of bonuses, making it difficult to appropriately consider them in their decisions.", "Air Force officials have stated that they need to retain more maintainers than in past fiscal years to help address experience gaps, but the Air Force has not established retention goals for maintainers. Standards for Internal Control in the Federal Government states that management should establish and operate monitoring activities and evaluate the results. In addition, the Standards provide that, in reviewing actual performance, management tracks achievements and compares them to plans, goals, and objectives. While the Air Force has mechanisms to monitor the health of the maintenance career field, such as through loss and reenlistment rates, it has not developed annual retention goals for maintainers. As a result, the Air Force cannot identify how many 5-level and 7-level maintainers it needs to retain to support new 3-level maintainers in training and certification of flight line work. Given increases in losses of experienced maintainers and decreasing reenlistment rates, the Air Force faces challenges in managing the overall maintenance workforce, including ensuring that there are enough experienced maintainers to fulfill mission and training needs. Without annual retention goals\u2014for both loss and reenlistment rates\u2014the Air Force cannot assess how many maintainers it needs to retain each year, by skill level, to sustain recent staffing level improvements and, ultimately, to ensure the health of its maintenance workforce.", "The Air Force also lacks a retention strategy to focus its efforts in retaining maintainers. As previously discussed, the Air Force has conducted aircraft maintenance retention surveys to gauge the health of the workforce and identify opportunities to improve the career field, but Air Force officials have stated that these surveys are currently used only for informational purposes. In addition, while the Air Force offers retention bonuses for certain maintenance specialties\u2014and has extended the maximum number of years maintainers in certain specialties can remain on active duty through the High Year of Tenure Extension Program\u2014 according to Air Force officials, it does not have a maintainer specific strategy or other initiatives (either monetary or non-monetary) that address the factors the Air Force has identified through its biennial surveys as negatively influencing maintainer retention. A key principle of strategic workforce planning is developing strategies that are tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies.", "Without a retention strategy\u2014including initiatives that are tailored to the specific needs and challenges of maintainers\u2014the Air Force may be missing opportunities to retain experienced 5- and 7-level maintainers, who are needed to train the recent increase of new 3-level maintainers in the field. According to participants from our discussion groups with maintainers, increases in 3-level maintainers could negatively affect retention of experienced maintainers if this increase continues to affect their workloads. While the Air Force has some tools in place to monitor retention and identify factors affecting reenlistment decisions, such as its retention surveys, without a retention strategy to address concerns raised in these surveys, and goals against which to measure progress, it may not be able to sustain recent staffing level improvements or improve the overall health of the maintenance workforce as effectively."], "subsections": []}]}, {"section_title": "The Air Force Has Consistently Met Technical School Completion Rate Goals for Aircraft Maintainers", "paragraphs": ["Over the past 8 fiscal years, the Air Force has consistently met overall aircraft maintainer technical school completion rate goals. However, after technical school, additional on-the-job training is required to produce a fully qualified maintainer. In addition, the Air Force reserve component\u2019s programmed technical school completions have consistently exceeded actual completions over this period."], "subsections": [{"section_title": "The Air Force Has Met Overall Technical School Completion Rate Goals for Aircraft Maintainers Since Fiscal Year 2010", "paragraphs": ["Our analysis of Air Force data found that the Air Force consistently met technical school completion rate goals from fiscal years 2010 through 2017. According to Air Education and Training Command (AETC) officials, AETC established a maintainer technical school completion rate goal for the active component of 90 percent\u2014that is, the number of actual technical school completions compared to the number of programmed or expected completions. According to AETC officials, the goal is not documented, but it has been in place since at least fiscal year 2010 and is intended to measure the health and well-being of the training program. In fiscal year 2017, the completion rate was 97 percent, with all but two maintenance specialties meeting their goals. According to AETC officials, there are a number of reasons a particular maintenance specialty may not meet its technical school completion rate goals, such as low technical school entry rates, security clearance delays, and challenging course topics. Figure 8 shows the Air Force\u2019s active component technical school completion rates for all maintenance specialties combined over the past 8 fiscal years.", "In fiscal year 2017, approximately 9,600 active component maintainers completed technical school, an increase from about 7,200 and 5,700 in fiscal years 2016 and 2015, respectively. While increased technical school completions help to address overall aircraft maintainer staffing gaps, they cannot immediately resolve staffing imbalances across experience levels. Air Force officials noted that while they track the number of maintainers they are producing by technical school completions (the number of new 3-level maintainers), maintainers are not fully qualified for the job until they are 5-levels, which requires, as previously discussed, at least a year of on-the-job training, among other things. Technical school instructors agreed that while technical school is important for teaching basic concepts, on-the-job training is what produces a fully-qualified maintainer.", "AETC officials stated that the technical schools continue to have the capacity to meet completion rate goals even with the increase in students, but that they have experienced significant challenges in recent years receiving enough instructors in a timely manner\u2014both civilian and military\u2014and getting them qualified to teach. These officials stated that this is a result of issues with the formula that determines instructor staffing needs, the instructor staffing process for military personnel, and civilian hiring delays, among other things. According to AETC officials, they have been able to consistently meet completion rate goals despite these challenges by waiving some course requirements for multiple instructors (except when there are safety concerns), contracting some instruction, and assigning temporary duty personnel to serve as instructors. These officials noted that while those actions have allowed them to continue to meet their mission, they have also masked the severity of the instructor staffing challenges and increased existing instructors\u2019 stress and workloads. This was confirmed by the technical school instructors with which we spoke. Additionally, AETC officials noted challenges with aging infrastructure and hangars, and in obtaining high fidelity, realistic aircraft and trainers. However, they did highlight a recent success in acquiring updated avionics trainers.", "Over the past few fiscal years, AETC has conducted annual field interviews with technical school graduates and graduate supervisors to evaluate the technical school training program. Specifically, AETC uses the interviews to gauge satisfaction with the graduates\u2019 abilities to perform tasks required in the career field, and to identify areas to improve training quality or revise training standards. In the memorandum resulting from the fiscal year 2017 field interviews, AETC made a number of recommendations to improve maintainer technical school training, such as improving knowledge and task retention by increasing hands-on repetition and decreasing delays between technical school and a maintainer\u2019s first assignment, reexamining aspects of the technical school training curriculum, and improving instruction related to maintenance forms and technical orders.", "The memorandum also noted that while there are initiatives that the technical schools can undertake to increase overall satisfaction, there are some disconnects between supervisor expectations in the field and the training program that should be resolved. Technical school instructors agreed that there is a disconnect between what students learn in technical school and what their supervisors in the field expect them to have learned in technical school versus on the job. The memorandum identified opportunities to clarify these expectations, such as workshops to identify training requirements."], "subsections": []}, {"section_title": "The Air Force Reserve Component\u2019s Programmed Technical School Completions Have Consistently Exceeded Actual Completions", "paragraphs": ["Over the past 8 fiscal years, the Air Force reserve component\u2019s programmed technical school completions for aircraft maintainers have consistently exceeded actual completions. Specifically, according to our analysis, from fiscal years 2010 through 2017, the Air National Guard\u2019s actual technical school completions, as compared to programmed completions, ranged from about 60 to 95 percent. Similarly, the Air Force Reserve Command\u2019s completion rates ranged from about 50 to 85 percent. The highest completion rate for both was in fiscal year 2017. According to Air National Guard and Air Force Reserve Command officials, they do not have technical school completion rate goals like the active component since they also recruit prior servicemembers, as discussed below. Table 6 compares the Air Force reserve component\u2019s programmed versus actual technical school completions over the past 8 fiscal years.", "According to an AETC official, it is common for the reserve component to have significantly more programmed completions than actual technical school completions in a given fiscal year. For example, this official stated that the Air National Guard and Air Force Reserve Command program their training spaces 2 to 3 years in advance and it can be difficult to anticipate training needs. Specifically, Air National Guard officials stated that the number of training spaces requested each year are to fill vacancies and that those vacancies are filled by both prior servicemembers (who may have already attended maintainer technical school and do not need to do so again) and non-prior servicemembers (who will need to attend technical school). An AETC official noted that the number of personnel that will fall into each category each year is difficult to anticipate. For example, according to Air Force Reserve Command officials, the number of non-prior service accessions has decreased over the past 8 fiscal years, accounting for about 33 percent of accessions in fiscal year 2017, a decrease from about 43 percent in fiscal year 2010. Air National Guard officials stated that if they do not program enough training spaces, it can be difficult to add spaces later.", "Air National Guard officials stated that they have been conservative in programming training spaces since fiscal year 2016\u2014to minimize unfilled spaces\u2014which, along with high maintainer turnover, is reflected in increased completion rates. Specifically, in fiscal year 2017, the Air National Guard programmed 1,528 completions and the number of actual completions was 1,418, amounting to a completion rate of 93 percent\u2014its highest rate over the past 8 fiscal years. Air National Guard officials noted that the training spaces it did not fill over the past 2 fiscal years were generally due to last minute cancellations for health, family, or civilian employment issues. AETC officials stated that they can fill unused reserve component training spaces with active duty maintainers or students from international partners, which has provided AETC more flexibility to increase active duty maintainer training over the past few fiscal years."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Air Force has significantly reduced overall aircraft maintainer staffing gaps since fiscal year 2016, in part by increasing accessions. While the Air Force has consistently met its technical school completion rate goals for newly accessed aircraft maintainers, it continues to have staffing gaps of experienced maintainers\u2014who are needed to supervise and provide on-the-job training to those new maintainers following technical school. Air Force officials have highlighted the need to retain more aircraft maintainers to help address experience gaps, but losses of experienced maintainers have increased since fiscal year 2010, and the Air Force expects losses to continue to increase for certain maintainers over the next few fiscal years. While the Air Force has increased its use of retention bonuses for some critical maintenance specialties, it does not have annual retention goals for aircraft maintainers or a maintainer- specific retention strategy to help it meet such goals and to sustain recent staffing level improvements. As a result, the Air Force may continue to face challenges in managing its largest enlisted career field and may miss opportunities to retain a sufficient number of experienced maintainers to meet mission needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Secretary of the Air Force should develop annual retention goals for aircraft maintainers by skill level\u2014for both loss and reenlistment rates\u2014in alignment with authorized levels. (Recommendation 1)", "The Secretary of the Air Force should develop an aircraft maintainer retention strategy, including initiatives that are tailored to the specific needs and challenges of maintainers to help ensure that the Air Force can meet and retain required staffing levels. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["In written comments on a draft of this report, the Air Force concurred with both of the recommendations. The Air Force also noted initial actions it has taken to develop an aircraft maintainer retention strategy. The Air Force\u2019s comments are reprinted in appendix III.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Defense, and the Secretary of the Air Force. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions regarding this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To assess the extent to which the Air Force had aircraft maintainer staffing gaps, we compared staffing levels authorized by the Air Force for enlisted aircraft maintainers\u2014for the active and reserve components\u2014 with the actual number of maintainers available to staff those positions for fiscal years 2010 through 2017. We selected this timeframe to capture staffing levels before and after the Air Force\u2019s fiscal year 2014 reduction in end strength, and fiscal year 2017 was the most recent year for which complete data were available at the time of our review. Specifically, we analyzed the data to identify overall maintainer staffing gaps, as well as any gaps by maintenance specialty and skill level. In addition, we compared maintainer personnel requirements to authorized staffing levels\u2014the number of those requirements that are funded\u2014for the overall maintainer population, each maintenance specialty, and each skill level. To assess the reliability of the Air Force\u2019s requirements, authorized staffing levels, and actual staffing levels (for both the active and reserve components), we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe the Air Force\u2019s aircraft maintainer staffing levels and associated gaps from fiscal years 2010 through 2017. Additionally, we conducted interviews with relevant Air Force, Air National Guard, and Air Force Reserve Command officials to identify reasons for staffing challenges and actions the Air Force has taken to address them.", "To assess the extent to which the Air Force experienced attrition of aircraft maintainers, we calculated maintainer loss rates\u2014the number of maintainers who leave the career field or the Air Force within the fiscal year (for reasons such as separation or retirement) over the number of maintainers at the start of the fiscal year\u2014for fiscal years 2010 through 2017. We calculated loss rates for the overall maintainer population as well as by skill level and maintenance specialty for the active and reserve components. We also analyzed overall aircraft maintainer reenlistment rates\u2014the number of maintainers reenlisting each fiscal year over the number of maintainers eligible to reenlist\u2014for the active component for fiscal years 2010 through 2017. To assess the reliability of the Air Force\u2019s maintainer loss and reenlistment rate data, we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe the Air Force\u2019s aircraft maintainer loss and reenlistment rates from fiscal years 2010 through 2017.", "In addition, we reviewed the Air Force\u2019s 2015 and 2017 aircraft maintainer retention survey analyses and conducted discussion groups with a non- generalizable sample of aircraft maintainers to obtain their views on factors affecting maintainer retention, on-the-job training capacity, and commercial aviation industry opportunities, among other things. We selected Tinker Air Force Base in Oklahoma and Eglin Air Force Base in Florida as the locations for these discussion groups based on geographic diversity, base size, and the types of aircraft maintained at each base. At each location, we moderated two to three discussion groups with aircraft maintainers for a total of five discussion groups ranging from between 3 and 12 maintainers per group. While these discussion groups allowed us to learn about many important aspects of the aircraft maintenance workforce from the perspective of aircraft maintainers, they were designed to provide anecdotal information and not results that would be representative of all the Air Force\u2019s more than 100,000 aircraft maintainers as of fiscal year 2017.", "To review the state of the commercial labor market for aircraft mechanics and aerospace engineers, we analyzed data from the Department of Labor\u2019s Bureau of Labor Statistics\u2019 Current Population Survey on the unemployment rate, employment, and median weekly earnings from 2012 through 2017, in accordance with economic literature we reviewed for a prior report. These data can be used as indicators of whether labor market conditions are consistent with a shortage. We chose this period because we had previously reported on the data from 2000 through 2012, and 2017 was the most recent data at the time of our review. We reviewed documentation about the Bureau of Labor Statistics data and the systems that produced them, as well as our prior report that used the data. Based on prior testing of the data from these systems, we determined the data were sufficiently reliable for the purposes of our indicator analysis to provide context on the labor market. We also reviewed the Bureau of Labor Statistics\u2019 Occupational Outlook for Aircraft and Avionics Equipment Mechanics and Technicians for 2016 to 2026 to determine anticipated future workforce trends. In addition, we conducted interviews with four commercial aviation industry stakeholders regarding any imbalances in demand and supply, and actions the industry is taking to address them. Specifically, we conducted interviews with officials from the Aeronautical Repair Station Association, the Aerospace Industries Association, Aerotek, and the General Aviation Manufacturers Association. We selected three of these organizations based on our previous work and one based on a recommendation from one of the three organizations.", "To determine what is known about the extent to which the commercial aviation industry affects the Air Force\u2019s aircraft maintainer staffing levels, we conducted a literature search and review to identify relevant studies. Specifically, we conducted a literature search for studies published in books, reports, peer-reviewed journals, and dissertations since fiscal year 2010. We chose fiscal year 2010 as a starting point so that the scope of the search would match the timeframe for which we analyzed Air Force maintainer loss rates. We searched five databases, including ProQuest, Scopus, and EBSCO. Our search used Boolean search phrases, including variations of words such as aviation, maintenance, and retention. We identified and screened 49 studies using a multi-step process to gauge their relevance and evaluate their methodology. We excluded studies that did not specifically focus on our objective, military maintainers, or the U.S. commercial aviation industry. We retained 1 study after screening and reviewed its methodology, findings, and limitations. Three GAO staff (two analysts and an economist) were involved in the screening and a systematic review of the study, which was determined to be sufficiently relevant and methodologically rigorous.", "We also analyzed data on the number of Air Force personnel completing the Joint Services Aviation Maintenance Technician Certification Council (Joint Services Council) airframe and power plant certificate program from fiscal years 2010 through 2017, and the number of Air Force personnel receiving airframe and power plant certificate funding from the Community College of the Air Force\u2019s Air Force Credentialing Opportunities On-line program from fiscal years 2015 through 2017. We selected this timeframe because the Air Force\u2019s airframe and power plant funding program began in fiscal year 2015, and fiscal year 2017 was the most recent data available at the time of our review. To assess the reliability of the Air Force\u2019s airframe and power plant certificate program data, we interviewed officials. We determined that the data were sufficiently reliable to describe the number of Air Force personnel completing the Joint Services Council\u2019s airframe and power plant certificate program from fiscal years 2010 through 2017 and the number of personnel receiving funding from fiscal years 2015 through 2017.", "To assess the extent to which the Air Force has taken steps to help retain maintainers, we analyzed the number and total costs of selective retention bonuses (retention bonuses) that the Air Force awarded, by maintenance specialty and skill level, from fiscal years 2010 through 2017 for the active and reserve components. We normalized the cost data to constant fiscal year 2017 data. To assess the reliability of the Air Force\u2019s retention bonus data, we reviewed related documentation; assessed the data for errors, omissions, and inconsistencies; and interviewed officials. We determined that the data were sufficiently reliable to describe the number and total costs of the Air Force\u2019s aircraft maintainer retention bonuses from fiscal years 2010 through 2017. In addition, we conducted interviews with relevant Air Force officials regarding retention goals and monetary and non-monetary incentives to improve maintainer retention, and Department of Defense officials regarding retention bonuses. We compared this information to Standards for Internal Control in the Federal Government related to monitoring activities and key principles of strategic workforce planning that we have identified in our prior work, such as developing strategies that are tailored to address gaps in numbers of people, skills, and competencies.", "To assess the extent to which the Air Force met its annual technical school completion rate goals for aircraft maintainers, we calculated technical school completion rates\u2014the number of aircraft maintainers completing technical school compared to the number of programmed or expected completions\u2014for the overall maintainer population and each maintenance specialty for the active component, for fiscal years 2010 through 2017. We compared those completion rates to the Air Education and Training Command (AETC) established active component completion rate goal. For the Air National Guard and Air Force Reserve Command, we compared programmed completions to actual completions to determine the extent to which they met their technical school training needs. To assess the reliability of the technical school completion data (for both the active and reserve components), we assessed the data for errors, omissions, and inconsistencies, and interviewed officials. We determined that the data were sufficiently reliable to describe the Air Force\u2019s aircraft maintainer technical school completion rates from fiscal years 2010 through 2017, rounded to the nearest hundreds up to fiscal year 2013, and more-precisely from fiscal years 2014 and beyond.", "In addition, we observed maintainer technical school training\u2014both classroom-based and hands-on\u2014as well as training equipment at Sheppard Air Force Base in Texas and Eglin Air Force Base in Florida. We selected these locations because they are two of the primary locations where aircraft maintainer technical school training occurs. Specifically, according to Air Force officials, the majority of aircraft maintainers receive at least a portion of their technical school training at Sheppard Air Force Base, and all F-35-specific maintainer training occurs at Eglin Air Force Base. Additionally, as part of our previously discussed non-generalizable sample of discussion groups with aircraft maintainers, we obtained maintainers\u2019 perspectives on technical school and on-the-job training. We also reviewed training policies as well as other documentation, such as Career Field Education and Training Plans and training evaluations. Finally, we conducted interviews with technical school instructors and supervisors about the maintainer training process as well as AETC, Air National Guard, and Air Force Reserve Command officials about training challenges and programmed training needs.", "We conducted this performance audit from April 2018 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Air Force Reserve Component Aircraft Maintainer Retention from Fiscal Years 2010-2017", "paragraphs": ["According to Air National Guard and Air Force Reserve Command officials, they monitor retention of aircraft maintainers through loss rates\u2014 the number of maintainers who leave the career field or the Air Force within the fiscal year, over the number of maintainers at the start of the fiscal year\u2014and have used selective retention bonuses (retention bonuses) and taken other actions to improve retention.", "According to our analysis of Air National Guard data, aircraft maintainer loss rates have fluctuated over the past 8 fiscal years. For example, loss rates increased significantly for all maintenance specialties and skill levels combined, from 12 percent in fiscal year 2010, to 36 percent and 30 percent in fiscal years 2012 and 2013, respectively. While Air National Guard maintainer loss rates decreased from fiscal years 2014 through 2017, they remained higher than fiscal year 2010 rates. Table 7 provides loss rates for Air National Guard aircraft maintainers over the past 8 fiscal years.", "Air National Guard officials stated that maintainer loss rates are often location dependent, and that retention bonuses are the primary tool used to improve retention. According to these officials, while the Air National Guard looks at nationwide staffing when determining which occupational specialties are eligible for bonuses, some locations may have more critical needs than others. The number of retention bonuses that the Air National Guard has awarded to aircraft maintainers has decreased over the past 8 fiscal years, while the total cost has increased. Specifically, in fiscal year 2010, the Air National Guard awarded 1,587 retention bonuses at a total cost of $4,580,295. However, in fiscal year 2017, the Air National Guard awarded 653 retention bonuses at a total cost of $5,373,000. Over the past 8 fiscal years, the majority of its retention bonuses were awarded to 7-level maintainers.", "The Air Force Reserve Command\u2019s aircraft maintainer loss rates over the past 8 fiscal years have ranged from 10 to 13 percent. In addition, the loss rates of 5- and 7-level maintainers have been similar to the loss rates of all skill levels combined over this period. Similar to the Air National Guard, Air Force Reserve Command officials stated that maintainer staffing challenges and loss rates are partly location dependent, though they also cited opportunities and higher pay in the civilian labor market; high operations tempo; lack of career growth, opportunities, and flexibility; and pay disparities with the active component as factors affecting retention. Table 8 provides loss rates for Air Force Reserve Command aircraft maintainers over the past 8 fiscal years.", "The Air Force Reserve Command has also used retention bonuses to help improve retention. Specifically, over the past 8 fiscal years, the Air Force Reserve Command has increased the number of retention bonuses awarded and their total costs. For example, in fiscal year 2012, the Air Force Reserve Command awarded 15 retention bonuses totaling $242,593. In fiscal year 2015, it increased to 572 bonuses awarded totaling $8,913,229. In fiscal year 2017, the Air Force Reserve Command awarded 317 retention bonuses at a total cost of $4,550,000. According to Air Force Reserve Command officials, the Air Force Reserve Command has taken a number of steps to help improve technician retention, such as paid permanent change of station and student loan repayment. These officials stated that they are also currently working to improve career path options and medical benefits for technicians. Further, Air Force Reserve Command officials highlighted Human Capital Management 2.0 as an effort focused on balancing the human capital supply and demand across the Air Force Reserve Command, including improving recruitment and retention."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Lori Atkinson (Assistant Director), Benjamin Bolitzer, Molly Callaghan, Timothy Carr, Christopher Curran, Matthew Dobratz, Amie Lesser, Grant Mallie, Mike Silver, Carter Stevens, and Lillian M. Yob made significant contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["DOD Depot Workforce: Services Need to Assess the Effectiveness of Their Initiatives to Maintain Critical Skills. GAO-19-51. Washington, D.C.: December 14, 2018.", "Air Force Readiness: Actions Needed to Rebuild Readiness and Prepare for the Future. GAO-19-120T. Washington, D.C.: October 10, 2018.", "Military Aviation Mishaps: DOD Needs to Improve Its Approach for Collecting and Analyzing Data to Manage Risks. GAO-18-586R. Washington, D.C.: August 15, 2018.", "Military Personnel: Collecting Additional Data Could Enhance Pilot Retention Efforts. GAO-18-439. Washington, D.C.: June 21, 2018.", "Military Personnel: DOD Needs to Reevaluate Fighter Pilot Workforce Requirements. GAO-18-113. Washington, D.C.: April 11, 2018.", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Military Compensation: Additional Actions Are Needed to Better Manage Special and Incentive Pay Programs. GAO-17-39. Washington, D.C.: February 3, 2017.", "Unmanned Aerial Systems: Air Force and Army Should Improve Strategic Human Capital Planning for Pilot Workforces. GAO-17-53. Washington, D.C.: January 31, 2017.", "Air Force Training: Further Analysis and Planning Needed to Improve Effectiveness. GAO-16-864. Washington, D.C.: September 19, 2016.", "Unmanned Aerial Systems: Further Actions Needed to Fully Address Air Force and Army Pilot Workforce Challenges. GAO-16-527T. Washington, D.C.: March 16, 2016.", "Unmanned Aerial Systems: Actions Needed to Improve DOD Pilot Training. GAO-15-461. Washington, D.C.: May 14, 2015.", "Air Force: Actions Needed to Strengthen Management of Unmanned Aerial System Pilots. GAO-14-316. Washington, D.C.: April 10, 2014.", "Aviation Workforce: Current and Future Availability of Airline Pilots. GAO-14-232. Washington, D.C.: February 28, 2014.", "Aviation Workforce: Current and Future Availability of Aviation Engineering and Maintenance Professionals. GAO-14-237. Washington, D.C.: February 28, 2014.", "Military Cash Incentives: DOD Should Coordinate and Monitor Its Efforts to Achieve Cost-Effective Bonuses and Special Pays. GAO-11-631. Washington, D.C.: June 21, 2011."], "subsections": []}], "fastfact": ["Aircraft maintenance is the Air Force\u2019s largest enlisted career field, with more than 100,000 active and reserve maintainers to ensure its fleet is safe and ready to operate.", "However, the Air Force still needs more aircraft maintainers\u2014particularly those with more skills and experience. It has struggled to retain the ones it has, in part due to the workload and stress from not having enough experienced maintainers on staff.", "The Air Force uses retention bonuses to keep maintainers with certain critical skills, but does not have a comprehensive strategy or goals to help retain experienced maintainers. We recommended it develop both."]} {"id": "GAO-18-203", "url": "https://www.gao.gov/products/GAO-18-203", "title": "Federal Criminal Restitution: Most Debt Is Outstanding and Oversight of Collections Could Be Improved", "published_date": "2018-02-02T00:00:00", "released_date": "2018-02-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["One of the goals of federal criminal restitution is to restore victims of federal crimes to the position they occupied before the crime was committed by providing compensation. Various entities within the federal government are involved in the process of requesting, ordering, and collecting restitution for crime victims, including DOJ and the judiciary.", "The Justice for All Reauthorization Act of 2016 includes a provision for GAO to review the federal criminal restitution process for fiscal years 2014 through 2016. This report addresses, among other things: (1) the extent to which information is available on restitution requested by DOJ and ordered by courts; (2) the amount of restitution debt DOJ collected and the amount that remains outstanding; and, (3) the extent to which DOJ has conducted oversight on the collection of restitution. GAO analyzed laws, policies and procedures as well as USSC data on restitution orders and DOJ data on restitution collected from fiscal years 2014 through 2016. GAO also selected a non-generalizable sample of six federal judicial districts based on restitution collections and spoke with USAO officials and federal probation officers."]}, {"section_title": "What GAO Found", "paragraphs": ["Officials from selected U.S. Attorney's Offices (USAO) stated that they document requests for restitution in case files and employ other internal controls, such as the use of templates and forms, throughout the prosecution process to ensure that prosecutors request restitution as appropriate. GAO's analysis of U.S. Sentencing Commission (USSC) data\u2014an agency within the judiciary\u2014showed that information on restitution orders was available for 95 percent of all offenders sentenced from fiscal years 2014 through 2016. Specifically, 214,578 federal offenders were sentenced during this time period and restitution was ordered for 33,158, or 15 percent, of those offenders. Collectively, courts ordered these offenders to pay $33.9 billion in restitution. Most federal offenders sentenced during these years were sentenced for immigration or drug-related offenses. In interviews, USAO officials stated that these offenses do not typically have victims requiring restitution. GAO found that data on reasons why restitution was not ordered were incomplete for 5 percent of all offenders sentenced from fiscal years 2014 through 2016. Determining why data on restitution orders are incomplete may inform the judiciary of the cause of the incomplete data and any efforts needed to improve USSC data.", "GAO's analysis of Department of Justice (DOJ) data showed that USAOs collected $2.95 billion in restitution debt in fiscal years 2014 through 2016, see figure below. However, at the end of fiscal year 2016, $110 billion in previously ordered restitution remained outstanding, and USAOs identified $100 billion of that outstanding debt as uncollectible due to offenders' inability to pay.", "DOJ identified improving debt collection\u2014including restitution\u2014as a major management initiative in its 2014-2018 Strategic Plan. While DOJ is developing analytical tools to monitor the collection of restitution, it has not established performance measures or goals. Performance measures and goals would allow DOJ to gauge USAOs' success in collecting restitution and, by extension, the department's success in achieving a major management initiative."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations. GAO is making one to the judiciary to determine why data on restitution orders are incomplete. GAO is making two recommendations to DOJ, including one to implement performance measures and goals for the collection of restitution. The judiciary and DOJ concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The impact of crime on victims often has significant emotional, psychological, physical, financial, and social consequences. One of the goals of federal criminal restitution is to restore victims of federal crimes to the position they occupied before the crime was committed. Various entities within the federal government are involved in the process of requesting, ordering, and collecting restitution for crime victims, including the Department of Justice (DOJ) and the judiciary. Prosecutors within DOJ have the burden of proving a victim\u2019s losses in court; victims are those who suffered a physical injury or financial loss as a direct and proximate result of the offense. When restitution is ordered by the court, it is to be in the full amount of each victim\u2019s losses without consideration of the economic circumstances of the defendant. Once restitution is ordered by the court, DOJ is responsible for collecting restitution payments and has delegated these activities to Financial Litigation Units (FLU) within each U.S. Attorney\u2019s Office (USAO). FLUs are also to coordinate with federal probation officers supervising offenders to ensure offenders pay restitution ordered.", "The collection of federal criminal restitution has been a longstanding challenge. We reported in 2001 that the amount of uncollected criminal debt\u2014of which restitution is a component\u2014had more than doubled from September 30, 1995 to September 30, 1999. Specifically, we found that DOJ had not collected most of the outstanding criminal debt due to, among other factors, the nature of the debt, and a lack of coordination between relevant DOJ components. To address these findings, we made 24 recommendations, including 14 to DOJ, among other agencies. DOJ implemented 11 of our recommendations, including that DOJ develop performance measures for criminal debt collection and better coordinate internally and with federal courts. In 2005, we reported that although DOJ had taken some steps to address our recommendations, prospects for collecting restitution for victims were poor and court-ordered restitution far exceeded amounts likely to be repaid in selected cases we reviewed. We found that, among other reasons, this situation occurred because there were minimal negative consequences when offenders did not pay restitution as ordered by the courts.", "More recently in 2015, the DOJ Inspector General recommended DOJ improve its prioritization of debt collection as well as collaboration among DOJ component offices to better use forfeited assets to pay restitution debt. DOJ took action to address the Inspector General\u2019s recommendations by reviewing the system it uses to prioritize debt collection actions, by incorporating discussion of asset recovery into its training program, and by initiating a comprehensive study to review existing protocols and structures to improve DOJ\u2019s ability to collect debts owed to crime victims.", "The Justice for All Reauthorization Act of 2016 contained a provision for us to review and assess the federal criminal restitution process for fiscal years 2014 through 2016. This report addresses the following four questions: 1. To what extent is information available on restitution requested by DOJ and ordered by courts for eligible federal criminal cases for fiscal years 2014 through 2016? 2. How much restitution debt did DOJ collect for fiscal years 2014 through 2016 and how much restitution remains outstanding? 3. To what extent are DOJ\u2019s recommended practices for restitution considered effective? 4. To what extent has DOJ conducted oversight on the collection of restitution?", "To answer all four questions, we analyzed relevant laws, including the Mandatory Victims Restitution Act of 1996 (MVRA) and the Justice for All Reauthorization Act of 2016. We also reviewed agency documentation and spoke with officials from DOJ components and the judiciary. Within DOJ, these included officials from the Executive Office for U.S. Attorneys (EOUSA), the Criminal Division, the Money Laundering and Asset Recovery Section within the Criminal Division and the Justice Management Division. Within the judiciary, these included officials from the Administrative Office of the U.S. Courts (AOUSC), the Judicial Conference, the U.S. Sentencing Commission (USSC), and Probation and Pretrial Services within AOUSC.", "We further selected six federal judicial districts throughout the country and conducted semi-structured interviews with USAO officials and federal probation officers within those districts to obtain their views on the restitution process. Because the collection of restitution has been a longstanding challenge, we selected districts to study based on the extent of the USAO\u2019s collection of restitution within that district. Specifically, we selected USAOs for three districts that had relatively high levels of restitution collected and USAOs for three districts that had relatively low levels of restitution collected from fiscal years 2014 through 2015\u2014the last 2 years of data available when we began our review. In particular, we spoke with USAO and probation officials within the District of Connecticut, the Southern District of California, the District of New Jersey, the Southern District of Ohio, the District of South Dakota and the District of Wyoming. Additionally, we ensured that our selected districts reflected geographical diversity to capture a range of perspectives and experiences. Since we selected a non-probability sample of districts, the information we obtained cannot be generalized more broadly to all districts. However, the information provides important context and insights into how the restitution process works across the country. We also obtained perspectives from stakeholders from associations representing victims, federal prosecutors and defense counsel, as well as four individuals knowledgeable about the federal restitution process referred to us by EOUSA officials and other restitution experts.", "To address the first question on the extent information is available on restitution requested by DOJ and ordered by courts for eligible federal criminal cases for fiscal years 2014 through 2016, we reviewed DOJ guidance for requesting restitution and AOUSC and Judicial Conference guidance for ordering restitution. To determine the extent of information available on restitution requested by DOJ, we interviewed DOJ and EOUSA officials as well as USAO officials in the six districts mentioned above to determine how prosecutors are to document requests for restitution. To determine the extent of information available for restitution ordered by courts, we analyzed USSC data on restitution orders for fiscal years 2014 through 2016. We assessed the reliability of these data by reviewing system documentation and interviewing knowledgeable officials about system controls. We determined that these data were sufficiently reliable for the purposes of our reporting objectives. We also analyzed the extent to which these data contained required information about the reasons restitution was not ordered and then compared the results of our analysis against Standards for Internal Control in the Federal Government.", "To address the second question on the amount of restitution debt DOJ collected for fiscal years 2014 through 2016 and the amount outstanding, we analyzed data from DOJ\u2019s debt management system (the Consolidated Debt Collection System) from fiscal years 2014 through 2016. We assessed the reliability of these data by reviewing system documentation, interviewing knowledgeable officials about system controls, and conducting electronic testing. We determined that these data were sufficiently reliable for the purposes of our reporting objectives. We used these data to determine the amount of restitution collected by each USAO during fiscal years 2014 through 2016 as well as the amount of debt outstanding during this time. Further, during our interviews with DOJ and judiciary officials as well as USAO and probation officials in the six districts mentioned above, we obtained perspectives on potential factors contributing to outstanding debt.", "To address the third question on the extent to which DOJ\u2019s recommended practices for restitution are considered effective, we reviewed agency documentation, including guidance manuals for USAO prosecutors and financial litigation unit staff. We interviewed EOUSA officials responsible for developing this guidance and USAO officials in the six districts to determine the extent to which they find this guidance helpful for requesting, facilitating orders for, and collecting restitution.", "To address the fourth question on the extent to which DOJ has conducted oversight on the collection of restitution, we reviewed our prior work and reports by the DOJ Office of the Inspector General to identify prior recommendations made to DOJ and interviewed EOUSA officials to assess the extent to which these recommendations have been implemented. We also analyzed DOJ\u2019s 2014-2018 Strategic Plan and EOUSA\u2019s internal evaluation program to assess the extent to which DOJ\u2019s oversight mechanisms provide sufficient information on USAOs\u2019 performance in meeting initiatives outlined in DOJ\u2019s Strategic Plan and the Justice for All Reauthorization Act of 2016. We compared the results of our analysis to the Government Performance and Results Act of 1993 (GPRA), as updated by the GPRA Modernization Act of 2010 (GPRAMA). We further obtained agency documentation and interviewed DOJ officials on the extent to which DOJ\u2019s Asset Forfeiture Program supports the collection of restitution and compared this information to federal regulations, DOJ\u2019s 2014-2018 Strategic Plan, and Standards for Internal Control in the Federal Government.", "We conducted this performance audit from January 2017 through February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Restitution Roles and Responsibilities", "paragraphs": ["DOJ and its components, as well as the judiciary, play important roles in requesting and collecting restitution.", "DOJ and select components: Prosecutors in DOJ\u2019s Criminal Division and the Criminal Divisions of the 94 USAOs are responsible for overseeing criminal matters, including identifying and notifying victims, determining their losses as part of a case investigation, prosecuting cases and negotiating the terms of plea agreements, of which restitution may be a part. Within DOJ\u2019s Criminal Division, the Money Laundering and Asset Recovery Section manages DOJ\u2019s Asset Forfeiture Program. As previously stated, FLUs within each USAO undertake activities to collect restitution from offenders in their district. Additionally, all USAOs have asset forfeiture staff responsible for forfeiting property seized by law enforcement agencies because the property was used in criminal activities or purchased with the proceeds of criminal activities. According to EOUSA guidance, coordination between the FLU and Asset Forfeiture units is highly encouraged to use forfeited assets as a means to collect on unpaid restitution debts.", "DOJ requires each USAO to have its own policies and procedures related to debt collection efforts but allows them discretion in developing these policies and procedures to ensure that they are appropriate for local conditions. DOJ also requires USAOs to have policies and procedures to make early, effective, and coordinated asset investigations and recovery a routine part of every case involving victims but allows USAOs to specify these policies and procedures.", "DOJ\u2019s EOUSA provides USAOs with management assistance, guidance, training, and administrative support. Among other activities, EOUSA provides management assistance to USAOs by administering internal evaluations for each USAO, which are intended to provide on-site management support for that office. Further, EOUSA provides guidance to enhance offices\u2019 efforts to request and collect restitution.", "Judiciary: Within the judiciary, the 94 federal district courts order restitution, receipt restitution payments, and disburse restitution to victims. Within the federal district where the offender was convicted, a probation officer prepares the presentence investigation report (PSR) for the court, which includes information on the victim\u2019s losses and an offender\u2019s financial information. Probation officers may obtain this information from DOJ, which has the statutory responsibility for the enforcement and collection of criminal debt. The court uses the PSR, among other things, to determine whether to order restitution. If an offender is released to the community by the court and placed on supervision, probation officers are responsible for ensuring the offender abides by the terms of release, including paying any restitution owed to victims. The Clerk of each District Court is responsible for the receipt of restitution from offenders and for disbursing payments to victims.", "The Judicial Conference is the national policy-making body for the federal courts. The Conference operates through a network of committees created to address and advise courts on a wide variety of subjects such as information technology, personnel, probation and pretrial services, space and facilities, security, judicial salaries and benefits, budget, defender services, court administration, and rules of practice and procedure. The Judicial Conference has taken policy positions on restitution-related issues and has supported legislative proposals to improve the restitution process.", "AOUSC is the agency within the judiciary that provides a broad range of legislative, legal, financial, technology, management, administrative, and program support services to federal courts. AOUSC is responsible for carrying out Judicial Conference policies and a primary responsibility of AOUSC is to provide staff support and counsel to the Judicial Conference and its committees.", "USSC is an independent agency within the judiciary which, among other activities, establishes and promulgates detailed sentencing guidelines that judges are to consider in sentencing offenders convicted of federal crimes, including guidelines on when and how to order restitution. Additionally, each district court is required to submit to USSC a report of each offender\u2019s sentence that includes, among other information, details on the offenses for which the offender was convicted; the sentence imposed on the offender; and if the judge departed from the sentencing guidelines, information on reasons why. USSC maintains a database containing sentencing data on federal offenders convicted of felonies or serious misdemeanors, analyzes it and publishes these data on an annual basis. USSC is also statutorily required to annually report to Congress its analysis of sentencing-related documents, including an accounting of districts USSC believes have not submitted appropriate information to the commission, among other things."], "subsections": []}, {"section_title": "Restitution Overview", "paragraphs": ["During the course of a federal criminal investigation, federal prosecutors identify and notify victims, as well as determine their losses in conjunction with the federal agents investigating the case. If a defendant pleads guilty or is found guilty at trial, the prosecutor has the burden of proving the victims\u2019 losses in court. To facilitate this, a Victim-Witness coordinator within the USAO responsible for the case provides victims the opportunity to explain their losses in detail, usually through a Victim Impact Statement. This information is then to be provided to a federal probation officer who uses it to begin a PSR.", "To develop the PSR, probation officers use information provided by the USAO and may contact victims and verify the loss amounts. Additionally, probation officers will investigate an offender\u2019s economic circumstances\u2014 such as if the offender has a job, any assets or any dependents. If a judge determines that restitution is to be ordered, the judge must order restitution for the full amount of a victim\u2019s losses for offenses without consideration of the economic circumstances of the defendant. Judges may decline to order restitution in certain instances, for example, where restitution is discretionary, or in certain cases where the number of identifiable victims makes restitution impracticable or the complexity of calculating restitution would unduly prolong the sentencing process. If the court does not order restitution, or orders only partial restitution, the judge must provide the reason, and judges usually do so in a written Statement of Reasons document. Figure 1 provides an overview of the federal restitution process.", "Upon imposition of a restitution debt by the court, FLU staff use two mechanisms to determine the collectability of the debt and what collection actions to take. First, FLU staff classify the debt into one of four categories to determine the extent to which the FLU will pursue enforcement actions to collect upon the debt. FLUs classify debts from a Priority Code 1 debt (indicating that FLUs will make collection of this debt the highest priority) to a Priority Code 4 debt (indicating that FLUs will make collection of this debt the lowest priority). Second, FLUs may suspend collection action on criminal debts, regardless of their categorization, under certain circumstances if they determine the debts are uncollectible. FLU staff may also determine that debts are permanently uncollectible and categorize them as Priority Code 4 debts.", "If a debtor does not provide payment, FLU staff then use various enforcement actions to collect the restitution debt. These can include, among other actions, filing liens against an offender\u2019s property, coordinating with asset forfeiture staff to use forfeited assets to pay the restitution debt, and garnishing wages an offender may earn.", "Victims can be compensated for losses with the proceeds of forfeited assets through DOJ\u2019s Asset Forfeiture Program and in accordance with law and regulation. Federal regulations provide that the proceeds from forfeited assets are first used to cover program costs associated with forfeiture-related activities and next to pay valid owners, lien-holders, and federal financial regulatory agencies. Forfeited assets can then be distributed to other victims of crime as compensation for their losses if their loss is a direct result of the commission of the offense underlying forfeiture or a related offense. Any remaining funds from the forfeited asset may be placed into official use, distributed to foreign governments, state or local law enforcement agencies as part of the equitable sharing program to enhance cooperation with federal investigations.", "When victims are eligible for compensation using forfeited assets, DOJ employs two processes: restoration and remission. The restoration process involves the USAO staff requesting funds on behalf of a victim when there is both an order of forfeiture and an order of restitution. Under the restoration process, USAO staff request DOJ\u2019s Money Laundering and Asset Recovery Section to use the forfeited asset to pay a restitution debt. If DOJ approves the request for restoration, the funds from the forfeited property are then transferred to the Clerk of the Court who disburses this money to the victim. The remission process requires a victim of a crime to directly petition DOJ to receive funds from the forfeited property. According to officials in DOJ\u2019s Criminal Division, the courts may not order restitution on behalf of victims who suffered a specific actual loss as a direct result of a crime for a variety of reasons, and therefore the remission process serves as a complement to the restoration process to ensure victims are made whole. For example, these officials stated that, among other reasons, the courts may not order restitution if a defendant dies prior to sentencing or if the case is one in which a court is not required to, and does not, order restitution, but the victim has suffered eligible losses."], "subsections": []}]}, {"section_title": "Select USAOs Reported Documenting Requests for Restitution, but the Judiciary Did Not Always Document Reasons It Was Not Ordered EOUSA and Officials in Six USAOs Told Us Their Offices Document Requests for Restitution in Case Files", "paragraphs": ["EOUSA and USAO officials in all six of the offices with whom we spoke told us that prosecutors document requests for restitution in their case files and that their offices employ other internal controls, such as the use of templates and forms, throughout the prosecution process to ensure that prosecutors request restitution as appropriate. EOUSA officials told us that although the agency does not track this information, they believed all USAOs generally document requests for restitution in their offices\u2019 case files. Further, USAO officials in all six offices told us that prosecutors document requests for the court to order restitution in their case files by including this information in a written memorandum. To support prosecutors in documenting this information, all six offices we selected provide prosecutors with a prosecution memorandum template. Of the six templates we reviewed, four explicitly include a section for prosecutors to indicate whether victims have been identified and the extent of any victim losses.", "In addition to these templates, four of six USAOs we selected had forms that prosecutors could use to identify whether cases have victims and their need for restitution when drafting criminal charging documents. Moreover, officials from two of the six USAOs told us their offices use this form as an internal control to ensure prosecutors have identified all victims and considered their need for restitution, if applicable. All six offices we selected also provided prosecutors templates for drafting plea agreements, and templates we reviewed from all six USAOs included language requesting the offender pay restitution, if applicable. However, prosecutors are not required to use plea agreement templates, nor are they required to request restitution as part of a plea agreement. USAO officials from one office stated that including this language in the plea agreement template served to remind prosecutors of their requirement to consider requesting restitution as stated in the U.S. Attorney\u2019s Manual.", "Select USAO officials also described various forms of management oversight to ensure prosecutors request restitution as appropriate. Specifically, four USAOs we selected require supervisory review of the form that prosecutors fill out when drafting criminal charging documents, which includes information on victims. Additionally, officials in all six USAOs told us that they require supervisory review of plea agreements for every case. For example, officials from two USAOs told us their office requires the Criminal Chief, the supervisor of all criminal cases, to approve documents in the plea agreement, which may include requests for restitution."], "subsections": [{"section_title": "USSC Has Information on Restitution Orders for 95 Percent of All Offenders Sentenced From Fiscal Years 2014 through 2016", "paragraphs": ["Federal courts sent information on sentencing decisions to USSC and USSC had information on restitution decisions for 95 percent of all offenders from fiscal years 2014 through 2016. According to our analysis of USSC data, 214,578 federal offenders were sentenced from fiscal years 2014 through 2016 and restitution was ordered for 33,158 of those offenders, or 15 percent. Collectively, courts ordered these offenders to pay $33.9 billion in restitution during this period. Courts did not order restitution for the remaining 181,420 offenders, or 85 percent. Table 1 shows the number of federal offenders sentenced and ordered to pay restitution for fiscal years 2014 through 2016, as well as the total amount of restitution ordered by the courts.", "The majority of federal offenders were sentenced for immigration or drug- related offenses, and USAO officials in all six offices we selected told us that these types of offenses do not typically have victims with actual losses. For example, from fiscal years 2014 through 2016, USSC data showed that 131,088 offenders, 61 percent of offenders sentenced, were sentenced for immigration or drug-related offenses and courts ordered 999 (or less than 1 percent) of these offenders to pay restitution.", "USSC data show that courts ordered restitution more often for offenders sentenced for other offenses, such as fraud. For example, courts sentenced 21,551 offenders for fraud offenses from fiscal years 2014 through 2016, and courts ordered restitution for 15,902 of these offenders, or 74 percent. Table 2 shows the number of offenders sentenced and the number ordered to pay restitution by offenses for which restitution was most often and least often ordered by courts from fiscal years 2014 through 2016.", "The percentage of federal offenders ordered to pay restitution varied across federal court districts; from 2 percent of offenders in one district to 42 percent in another district. USAO officials we interviewed stated that some of this variation may be due to the types of offenses prosecuted within different districts. For example, officials from one USAO stated that their office, which had a high volume of immigration\u2013related offenders, had few cases in which restitution was applicable. Our analysis of USSC data showed that from fiscal year 2014 through fiscal year 2016 and across all districts, districts with a higher than average rate of immigration-related offenders had lower than average rates of restitution ordered. Conversely, districts with above-average rates of offenders convicted of financial offenses such as fraud, embezzlement, money laundering, tax offenses, counterfeiting or bribery had higher than average rates of restitution ordered, as shown in table 3.", "Judges indicated on documents sent to USSC that restitution was not applicable and thus did not order it for most offenders sentenced from fiscal years 2014 through 2016\u2014167,230 offenders\u2014or 78 percent of all offenders sentenced during this time period. Our analysis of sentencing information for the remaining offenders found that courts ordered restitution at a higher rate as compared to all offenders. Specifically, after excluding offenders for whom restitution was not applicable and were not ordered to pay it, we found that courts ordered restitution for 70 percent of the remaining 47,348 offenders.", "EOUSA and USAO officials told us that in cases where there are identifiable victims, restitution may not be ordered for other reasons. EOUSA officials told us that restitution may not be ordered for several reasons, such as when victims provide no proof of their losses or when victims recover compensation through other means, such as through civil proceedings. Further, officials from one USAO told us that victims must provide documentation of their losses for restitution and, if victims are not able to provide this documentation, courts may decline to order restitution. Also, in certain cases, courts are not required to order restitution\u2014such as when there is no identifiable victim or, on the other hand, when the number of identifiable victims is so large as to make restitution impractical, among other reasons. Additionally, the court might not order, or order only partial restitution for other reasons, such as when the value of property the defendant returned to the victim was deducted from the restitution award or because the victim received compensation from insurance."], "subsections": []}, {"section_title": "Data on Five Percent of Restitution Orders Were Incomplete", "paragraphs": ["If a court does not order restitution, or orders partial restitution, it is required to provide the reason for its decision and to provide that reason to USSC, but our analysis showed USSC did not always have these data. Specifically, from fiscal years 2014 through 2016, we found that restitution was not ordered\u2014and no reason was documented in USSC data for that decision\u2014for 9,848 offenders (5 percent of the 214,578 offenders sentenced during this time period). Information on offenders\u2019 sentences, including restitution, assists USSC in its continuous reexamination of its guidelines and policy statements and ensures that various sentencing practices are achieving their stated purposes. Further, Standards for Internal Control in the Federal Government state that management should evaluate issues identified through monitoring activities or reported by personnel to determine whether any of the issues rise to the level of an internal control deficiency.", "In response to our questions about the missing information on reasons why restitution was not ordered, AOUSC and USSC officials stated that they were unaware of the missing information or why it was missing. Judiciary officials stated that because various entities within the judiciary participate in the process of collecting and recording information on reasons restitution was not ordered, they did not know which entities could take action to improve USSC data. However, as previously discussed, if the court does not order restitution, or orders only partial restitution, the judge must provide the reason, and judges usually do so in a written Statement of Reasons form. The Judicial Conference, along with USSC, has developed guidance to help judges fill out the Statement of Reasons form and AOUSC supports the Judicial Conference in carrying out its policies. Further, courts must provide USSC the written Statement of Reasons form for sentences imposed. USSC is also responsible for collecting, analyzing, and distributing information on federal sentences provided by each district court, including information related to orders for restitution. However, judicial officials, including from the entities listed above, agreed that further studying the missing data may inform the judiciary of the cause of the missing data, as well as any efforts needed to improve USSC information.", "Courts are required to provide reasons for not ordering restitution and to provide this information to USSC so that the agency can analyze and report on sentencing data. Determining why USSC data are incomplete could help inform the judiciary whether the issue rises to the level of an internal control deficiency and whether additional action can be taken to improve the transparency of sentencing decisions. Doing so could help the judiciary ensure reasons for not ordering restitution are provided consistently in all cases and potentially improve data provided to USSC, in turn supporting its mission to promote transparency in sentencing decisions."], "subsections": []}]}, {"section_title": "DOJ Collected $2.95 Billion in Restitution Debt from Fiscal Years 2014 through 2016, but Most Debt Remains Outstanding Due to Offenders\u2019 Inability to Pay", "paragraphs": [], "subsections": [{"section_title": "DOJ Generally Collected More on Newer Debts, Though Not All Collected Restitution Is Disbursed", "paragraphs": ["Our analysis of DOJ data showed that DOJ collected $2.95 billion in restitution debt from fiscal years 2014 through 2016, half of which was collected on debts imposed during this period. The extent of collections across the 94 USAOs ranged from a high of $848 million in one USAO to a low of $1.2 million in another USAO. The median amount collected for USAOs was $10.7 million.", "DOJ was more successful at collecting restitution on newer debts\u2014debts imposed from fiscal years 2014 through 2016. Of the $2.95 billion in restitution debt collected, about half was collected from new debts imposed by courts during this time period. Specifically, DOJ collected $1.5 billion (4 percent), of the $34 billion ordered from fiscal years 2014 through 2016. The remaining half of the debt collected during this time frame was collected from debts imposed between fiscal year 1988 and fiscal year 2014.", "New debts\u2014imposed in fiscal years 2014 through 2016\u2014were also more likely to be fully paid during this time period compared to all debts. Specifically, from fiscal years 2014 through 2016, DOJ collected the full amount of restitution on 4,003 of the 24,950 debts imposed during this time, 16 percent. However, across all debts, including debts imposed prior to fiscal year 2014, DOJ collected the full amount of restitution ordered on only 5 percent of debts. Across all restitution debts, DOJ collected at least some of the debt for one-third of debts and did not collect any restitution on the remaining two-thirds.", "More than 60 percent of the restitution DOJ collected in fiscal years 2014 through 2016 was owed to non-federal victims ($1.8 billion), including individuals, corporations and state and local governments. An additional 37 percent of restitution was collected on behalf of federal agencies that were victims of crimes. One percent of restitution collected was community restitution, which is restitution collected for drug offenses that otherwise have no victims and which is disbursed to state victim assistance agencies and state agencies dedicated to the reduction of substance abuse, as shown in table 4.", "AOUSC officials noted that some collected restitution is not disbursed to non-federal victims due to a lack of accurate contact information for these victims. Specifically, according to AOUSC, as of June 2017, courts had more than $132 million in restitution due to 113,260 victims that could not be disbursed because of a lack of accurate contact information for these victims. DOJ is required to provide courts with victim contact information, and victims are to notify DOJ if their contact information changes. However, AOUSC and USAO officials told us that this notification by victims may not always occur. For example, officials in one USAO told us that due to the length of court proceedings, victims may move without notifying the court prior to the disbursement of restitution and, as a result, the court is unable to disburse restitution to those victims."], "subsections": []}, {"section_title": "Of $110 Billion in Outstanding Debt, 91 Percent Is Uncollectible Because Offenders Have Little Ability to Pay", "paragraphs": ["According to our analysis of DOJ data, at the end of fiscal year 2016, $110 billion in restitution was outstanding and USAOs had identified $100 billion of that debt as uncollectible, as shown in figure 2. USAOs may identify debts as uncollectible and suspend collection actions on a debt for a variety of reasons, including that the offender has no, or only a nominal, ability to pay the debt.", "Probation officials, EOUSA officials, and officials from five of six USAOs we interviewed stated that most outstanding restitution debt is identified as uncollectible and collection action is suspended because many offenders have little ability to pay the debt\u2014a conclusion supported by USSC data. For example, according to USSC data, 95 percent of offenders ordered to pay restitution from fiscal years 2014 through 2016 received a waiver from paying a court-ordered fine, indicating their inability to pay. While courts are allowed to take an offender\u2019s economic circumstances into consideration when issuing fines, they generally may not do so when ordering restitution. As a result, EOUSA and federal probation officials with whom we spoke stated that offenders ordered to pay restitution often do not have an ability to do so and therefore a large amount of restitution orders is uncollectible."], "subsections": []}]}, {"section_title": "Select USAO Officials View DOJ\u2019s Recommended Practices for Requesting, Ordering and Collecting Restitution as Generally Effective", "paragraphs": ["Through various guidance documents, DOJ has identified and recommended numerous practices for DOJ prosecutors and FLU staff to use throughout the restitution process to help ensure full and timely restitution for victims. USAO officials in all six offices with whom we spoke stated that, based on their experience, these practices were generally effective. Specifically, DOJ and EOUSA officials identified practices for prosecutors and FLU staff to use when requesting restitution, facilitating court orders for restitution, and collecting restitution and documented these practices in several guidance manuals. Officials we interviewed from all six USAOs stated they were generally satisfied with the guidance from EOUSA and that they thought most of DOJ\u2019s recommended practices were effective when requesting restitution, facilitating court orders for restitution, and collecting restitution.", "Requesting restitution. Officials we interviewed from three USAOs identified coordination between prosecutors and case investigators prior to sentencing to identify victims and their losses as an important practice for requesting restitution. USAO officials from three of the six offices stated that gathering detailed information on an offender\u2019s financial resources, which include assets that could be forfeited and used to pay a restitution debt, was a very effective practice related to requesting restitution.", "Facilitating court orders of restitution. Although the courts, and not prosecutors, are responsible for ordering restitution, DOJ guidance identifies several practices that prosecutors can use to facilitate orders of restitution that may increase the likelihood of full and timely restitution for victims. Officials from three of six USAOs stated that the most effective practice related to ordering restitution was ensuring courts ordered restitution as due and payable immediately. Specifically, when offenders cannot pay restitution in an immediate lump-sum payment, the courts must specify a payment schedule through which the offender will pay restitution based on the offender\u2019s ability to pay. In these cases, USAO officials stated that it is effective for prosecutors to ensure the restitution order specifies that restitution is due and payable immediately. According to an EOUSA official, this permits the agency to immediately pursue all collection remedies allowed by law whenever the debtor has or subsequently obtains the ability to pay.", "Collecting restitution. Officials from all six USAOs stated that using the Treasury Offset Program (TOP), a program that allows for the reduction or withholding of a debtor\u2019s federal benefits, such as a tax refund, was one of the most effective practices for collecting restitution. Specifically, officials in one USAO told us that TOP requires minimal effort for FLU staff and can result in a high amount of collections. As an example, officials from two USAOs told us their respective offices each recovered more than $500,000 dollars in restitution debt in fiscal year 2016 through TOP. Officials from three of the six offices also identified using wage garnishment as an effective practice for collecting restitution.", "Across all parts of the restitution process, USAO officials we spoke with also consistently identified DOJ recommended practices related to internal and external communication and collaboration as effective for improving the restitution process. Specifically, the officials identified collaboration between various units in the USAO as an effective practice to ensuring restitution for victims. For example, USAO officials in two of the six offices highlighted coordination between Victim-Witness coordinators and prosecutors to help identify victims and quantify their losses as effective to assisting in the request for restitution. Additionally, USAO officials in all six offices stated that strong coordination between FLU personnel and criminal prosecutors to identify an offender\u2019s financial resources and available assets was an effective practice to help ensure FLU staff could collect restitution using those resources or assets.", "USAO officials from five of six offices identified external communication between FLU and the federal probation office as an effective practice. Specifically, officials from these USAOs stated that FLUs coordinating with probation officers during the offender\u2019s supervision period to enforce restitution terms was an effective practice for collecting restitution. Additionally, according to EOUSA guidance, FLU staff can use outreach and training with other partners such as the probation office to facilitate information sharing on restitution collection issues and officials from five of six USAOs told us that FLUs conducting training and outreach is a very effective practice.", "In addition, probation officials we interviewed in each of the six federal judicial districts we selected stated that ongoing communication between USAO staff and probation officers is effective to ensuring victims are identified and receive full and timely restitution. Probation officials from one court district emphasized the importance of a good working relationship with the USAO, stating that the probation office and USAO are better able to ensure victims and their losses are accurately identified and defendants\u2019 ability to pay is adequately addressed when working collaboratively. A probation official from another office said that probation officers regularly coordinated with the USAO\u2019s FLU, and this coordination was particularly important on cases involving complex financial crimes, where the offender has a complicated financial portfolio. Further, probation officials from five of six probation offices also stated that attending training conducted by the FLU is a very effective practice.", "EOUSA and selected USAO officials told us that while these practices may be useful in some circumstances, they may not be effective or applicable in all cases or in all districts. Specifically, practices DOJ recommends may be effective when offenders have the ability to pay restitution but are simply unwilling to do so; however, USAO officials in five of six offices stated that these practices cannot mitigate the fact that many offenders lack the ability to pay restitution because they lack assets and income. Additionally, while EOUSA guidance recommends that FLU staff contact co-defendants or victims for information on the whereabouts or assets of offenders who owe restitution, officials from three USAOs told us this was not effective. According to one official, although co- defendants are sometimes eager to share information, the information is usually unreliable. USAO officials also identified some recommended practices as not applicable to their district. For example, EOUSA recommends that FLU units request Asset Investigation assistance from EOUSA for complex cases involving large amounts of valuable assets. However, USAO officials in a small, rural district with whom we spoke stated that the types of cases their office prosecutes tend not to be the type of financial cases that warranted use of this resource."], "subsections": []}, {"section_title": "DOJ Could Improve Oversight of the Collection of Federal Restitution, Including the Use of Forfeited Assets to Pay Restitution Debt DOJ Does Not Have Measures or Goals to Assess Performance in the Collection of Restitution", "paragraphs": ["DOJ has identified improving debt collection\u2014including court-ordered restitution\u2014as a major management initiative in its 2014-2018 Strategic Plan. However, it does not have any measures or goals in place to assess its performance in meeting this initiative or meet requirements that it evaluate its performance in seeking and recovering restitution as required by statute. In 2001, we recommended that DOJ adequately measure its criminal debt collection performance against established goals to help improve collections and stem the growth in uncollected criminal debt. DOJ concurred with this recommendation, and as of fiscal year 2003, annually assessed each district based on established collection goals for that district. However, as of September 2017, DOJ no longer evaluates each district based on established goals. EOUSA officials stated that DOJ no longer uses these performance goals and that the agency did not maintain records for when or why it stopped.", "EOUSA officials stated that while the agency does not have any measures or goals to assess USAOs\u2019 performance in improving debt collection, including the collection of federal restitution, they are working with DOJ\u2019s Justice Management Division to develop a suite of analytical tools to monitor the collection of debt across all offices. According to DOJ, some of these analytical tools have been implemented and additional tools will be implemented by March 2018. EOUSA officials stated that these tools will help the agency determine which cases are most likely to result in significant collections and the types and timing of enforcement actions that generate maximum debt recovery results. EOUSA officials further stated the analytical tools will allow the agency to compare districts\u2019 efforts based on a variety of factors (e.g., caseload, staff size, and enforcement actions). These analytical tools may provide EOUSA with valuable insight into the present condition of the collection of restitution across USAOs, but they will not provide DOJ with a baseline performance standard that could be used to indicate if USAOs\u2019 efforts to collect restitution debts are having a measurable impact in meeting DOJ\u2019s objective of improving debt collection.", "Additionally, EOUSA conducts evaluations of each USAO every 4 years, which include a review of FLU operations, but EOUSA officials stated that these reviews do not include oversight of the collection of restitution. Among other aspects of USAO operations, these internal evaluations review the extent to which each FLU is complying with statutory and DOJ requirements related to debt collection, has sufficient program resources, and adequately manages its caseload. However, DOJ and EOUSA officials told us that it did not plan to use these internal evaluations to meet the Justice for All Reauthorization Act of 2016 requirement to evaluate each USAO on its performance in seeking and recovering restitution for victims. Specifically, the officials stated that these internal evaluations are not an appropriate mechanism to meet the law\u2019s requirements because the internal evaluations do not specifically review the seeking and recovery of restitution for victims. According to DOJ officials responsible for the internal evaluation program, these evaluations are largely intended to provide onsite management assistance and analysis of how the USAO allocates its administrative and legal personnel resources rather than the office\u2019s efficacy in collecting restitution.", "Consistent with requirements outlined in the Government Performance and Results Act Modernization Act of 2010 (GPRAMA), performance measurement is the ongoing monitoring and reporting of program accomplishments\u2014particularly towards pre-established, objective and quantifiable goals\u2014and agencies are to establish performance measures to assess progress towards those goals. While GPRAMA is applicable to the department or agency level, performance measures and goals are important management tools at all levels of an agency, including the program, project, or activity level. Agencies can use performance measurement to make various types of management decisions to improve programs and results, such as developing strategies and allocating resources, including identifying problems and taking corrective action when appropriate. Further, the Justice for All Reauthorization Act of 2016 requires DOJ to evaluate each USAO in its performance in recovering restitution for victims.", "DOJ and EOUSA officials told us that DOJ does not require USAOs to establish performance measures or goals to assess their progress in improving the collection of restitution. DOJ and EOUSA officials also told us that each USAO could develop performance goals but that they were unaware of the extent to which USAOs did so, and further, they do not track the extent to which USAOs met performance goals. Additionally, these officials stated that because each USAO faces different constraints in its ability to collect restitution, establishing a uniform and consistent performance measure and goal would be challenging. EOUSA officials noted that some USAOs may have more resources, such as more FLU staff or specialized asset investigators, available to pursue collections as compared to other offices and therefore offices with fewer resources could have difficulty meeting a performance goal. Further, EOUSA and USAO officials stated that the extent to which DOJ can collect on a debt is heavily influenced by factors outside of the agency\u2019s control, such as an offender\u2019s ability to pay.", "USAOs could use information provided by performance measures and goals\u2014such as an office\u2019s ability to meet a performance goal\u2014to make managerial decisions to help address these constraints, such as by increasing the allocation of staff resources. Further, to avoid comparing USAOs to a nationally set performance goal that does not account for specific constraints faced by each office, DOJ could\u2014as it did in fiscal year 2003\u2014require each USAO to establish its own objective, quantitative collection goals based on historical, district-specific collection statistics. Finally, as previously discussed, each USAO already accounts for external factors that affect the collectability of a debt, such as an offender\u2019s ability to pay, by suspending collection action on debts it identifies as uncollectible. Therefore, any performance measures and goals developed could be based solely on debts that the USAO already has determined to be collectible.", "Stakeholders we interviewed\u2014including officials from one USAO, probation officials in two districts, and officials with DOJ\u2019s Office of Crime Victims\u2014noted that receiving restitution is both emotionally and financially important to victims. Specifically, officials from one USAO and one probation office noted that while many victims may never receive the full amount of restitution ordered, receiving even a minimal amount of restitution is a symbolic victory and that it is important for victims to know the government is making efforts to collect restitution on their behalf. The legislative history of the MVRA echoes these sentiments, providing that even nominal restitution payments have benefits for the victim of crime, and that orders of restitution are largely worthless without enforcement. Yet, according to our analysis, $10 billion of restitution debt DOJ identified as collectible remained outstanding at the end of fiscal year 2016. Further, the extent to which USAOs collected restitution varied widely\u2014 from a high of one USAO district collecting nearly 350 percent of all collectible debt in fiscal years 2014 through 2016 to a low of one district collecting less than one percent of collectible debt in the same period.", "Without performance measures, including the establishment of goals, DOJ cannot assess if this variation is due to factors outside the control of USAOs or due to management deficiencies that require corrective action.", "Developing performance measures and goals for each USAO related to the collection of restitution would allow DOJ to assess its progress in achieving its major management initiative in improving debt collection\u2014 including debts owed to victims as court-ordered restitution. Doing so would also better position DOJ to meet the requirements of the Justice for All Reauthorization Act of 2016 to evaluate offices in their performance in recovering restitution on behalf of victims and to use performance information to improve the practices of offices as needed."], "subsections": [{"section_title": "DOJ Could Improve Its Information on Forfeited Assets Available for Victims", "paragraphs": ["Although asset forfeiture and restitution are separate parts of a criminal sentence, DOJ guidance states that using forfeited assets to benefit victims is a way that DOJ can help ensure eligible victims of crime are compensated for their losses. Further, DOJ regulations and policy require that eligible victims receive compensation from forfeited assets before certain other uses, such as official use or equitable sharing. However, while DOJ tracks the amount of compensation provided to victims through forfeited assets, it does not have assurances that forfeited assets are being used to compensate victims to the greatest extent possible.", "According to DOJ information, the agency made payments of about $595 million to eligible victims other than owners of the property from the Assets Forfeiture Fund from fiscal years 2014 through 2016, or 15 percent of $3.9 billion in paid expenditures during this period, as shown in table 5.", "As table 5 shows, DOJ can account for cases in which forfeited assets were used to compensate eligible victims who were not owners or lienholders. However, DOJ does not have information on the overall universe of victims who could have been eligible to receive compensation from forfeited assets. Further, it does not have insight into any reasons why funds from forfeited assets were not used for these victims. Specifically, DOJ officials stated that the department collects information on whether victims have been identified in cases associated with forfeited assets, and if restitution is anticipated in these cases, but it does not track the extent to which these victims were ultimately compensated using forfeited assets. Further, DOJ also does not collect information on reasons why victims were not compensated using funds from forfeited assets. While DOJ is required to use forfeited assets to compensate victims before using those assets for certain other purposes, the agency is unable to provide assurances that it is always doing so because it does not have information on the overall universe of victims or reasons why victims were not compensated using forfeited assets. As a result, DOJ does not have a basis to know whether the $595 million provided to victims from fiscal years 2014 through 2016 is the maximum amount of compensation the agency could have provided to victims using forfeited assets.", "Full use of forfeited assets for victim compensation has long been, and continues to be, a goal of DOJ. In 2005, an interagency task force\u2014led by DOJ and including the Department of Treasury, Office of Management and Budget and AOUSC\u2014developed a strategic plan to improve the collection of criminal debt. Among other goals included in its strategic plan, the task force stated a goal of examining how asset seizure and forfeiture procedures can be used to maximize recoveries for victims. More recently, DOJ reported in its 2014-2018 Strategic Plan that it would make every effort to recover full and fair restitution for victims using the federal forfeiture statutes to preserve and recover criminal proceeds. Specifically, DOJ stated that using federal forfeiture statutes to recover full and fair restitution for victims is one part of its strategy to protect the rights of the American people and enforce the rule of law. Finally, DOJ officials told us they considered providing compensation to victims as one goal of the Asset Forfeiture Program and EOUSA stated in guidance that asset forfeiture is the most widely available and effective tool to seize assets for restitution purposes. Standards for Internal Control in the Federal Government call on federal managers to design control activities to achieve the agency\u2019s objectives. These controls can include using quality information to make informed decisions, evaluate the entity\u2019s performance in achieving key objectives, and address risks.", "DOJ officials told us that they do not track the extent to which victims were not compensated using forfeited assets because USAO staff are not required to request that these assets be used for victim compensation. DOJ officials explained that staff are required to indicate in the agency\u2019s forfeited asset database, the Consolidated Asset Tracking System, if victims exist in cases associated with forfeited assets and if restitution is anticipated in these cases. However, these officials stated that staff are not required to then compensate these victims using the forfeited assets or to indicate why these assets were not used for this purpose. DOJ officials told us that decisions to compensate victims using forfeited assets are best left to the judgment of the USAO staff familiar with the case, such as the prosecuting attorney or asset forfeiture staff.", "DOJ officials pointed to informal communication and coordination among prosecutors, the FLU, and the Asset Forfeiture unit in each USAO as a means to provide compensation to victims as appropriate. However, communication and coordination among these groups has been a challenge for USAOs, as the DOJ Inspector General found in a June 2015 review of DOJ\u2019s debt collection program. Similarly, during our current review, EOUSA and USAO officials we spoke with identified communication and coordination as an area for improvement. EOUSA officials told us that while they thought that FLU staff and Asset Forfeiture unit staff were collaborating more frequently to use forfeited assets to collect restitution debts since the issuance of the DOJ Inspector General\u2019s report, the extent of collaboration between these two units still varied across USAOs. Further, officials we talked to in two USAOs and one probation office noted that USAO staff could improve their use of forfeited assets for restitution payments. For example, officials in one probation office noted that it was their practice to identify forfeited assets that could be used for compensation in the PSR because they had observed that USAO staff were frequently not applying such assets to victim compensation.", "While DOJ may allow USAO staff to use discretion when requesting restoration or alerting victims to assets available for compensation, increasing the agency\u2019s understanding of the extent to which assets could have been\u2014but were not\u2014used for victim compensation, and the reasons for those decisions, does not affect that discretion. There are legitimate reasons why victims might not be compensated using forfeited assets; for example, the assets may have other owners or lienholders that must be compensated prior to victims, or offenders may have other means by which to pay victims restitution. However, there are also instances where victims may have not received compensation through forfeited assets as a result of unintentional circumstances. For example, according to DOJ\u2019s Asset Forfeiture Manual, forfeiture actions can proceed faster than the parallel criminal case. Consequently, assets might be equitably shared, placed into official use, or remitted to victims who file petitions long before restitution is ordered, and therefore would not be available for other victims who wait for restitution to be ordered after an offender is sentenced. To avoid this outcome, DOJ recommends that USAOs coordinate to ensure the retention of property for victim compensation. However, although DOJ officials responsible for leading DOJ\u2019s asset forfeiture efforts highlighted the need for expedient coordination when USAO staff are considering using forfeited assets to compensate victims, they stated this may not always occur. As a result, otherwise eligible victims may not always be compensated through forfeited assets.", "By gathering information about the extent to which assets were used for victim compensation\u2014including when they were not used and reasons why not\u2014DOJ could have a better understanding of potential instances where victims could be, but are not, receiving compensation through forfeited funds and could take steps to address them accordingly. Options for gathering such information could include doing a one-time retrospective study of forfeited assets with victims or anticipated restitution to determine the extent that assets were used for victim compensation, or creating a tracking mechanism through its forfeited assets database, or another system.", "Gathering information on the extent to which forfeited assets were used for victim compensation, including when not used and reasons why not, could position DOJ to take action to increase the use of these assets for victim compensation if warranted. These actions could include providing funds for increased asset forfeiture staff in USAOs, providing additional training or changing policies or procedures for using forfeited assets to compensate victims. Fully and systematically understanding the extent to which issues, such as a lack of coordination within USAOs, result in victims not being compensated using forfeited assets would give DOJ a basis upon which to develop improvements to the Asset Forfeiture Program. Such information would also provide DOJ and staff at all USAOs with information to evaluate its performance in achieving one of the goals of the Asset Forfeiture Program and taking action to meet the agency goal of protecting the rights of the American people\u2014including the right to full and fair restitution for victims."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Restitution serves the criminal justice goal of holding offenders accountable and, to the extent possible, restoring victims of federal crimes to their prior position had the crime not occurred. Many victims are unlikely to receive any meaningful portion of court-ordered restitution owed to them because of offenders\u2019 inability to pay these debts. However, the fact that restitution is difficult to collect does not negate the important responsibilities of the judiciary and DOJ to properly manage and oversee all aspects of the restitution process.", "By law, courts are to state why they did not order restitution and provide that information to USSC. While this information was collected and recorded in USSC data for most offenders, we found that this information was missing for thousands of offenders. It is important for the judiciary to ensure that this information is consistently collected and recorded to assist USSC in its continuous re-examination of its guidelines and policy statements and ensure that various sentencing practices are achieving their stated purposes. The judiciary could support USSC in this endeavor by determining why this information is missing. Results from this study could help inform the judiciary whether this issue rises to the level of an internal control deficiency and whether additional action can be taken to improve the transparency of sentencing decisions.", "While DOJ has delegated collection activities for restitution to USAOs, it could provide better oversight to ensure it is making reasonable efforts to collect restitution and meeting its responsibility to victims. USAOs have identified a significant portion of outstanding restitution debt as uncollectible, but they have also identified $10 billion of outstanding restitution debt that could be collected. Developing and implementing performance measures and goals for each USAO would allow DOJ to gauge USAOs\u2019 success in collecting this restitution and, by extension, the department\u2019s success in achieving its major management initiative to increase the collection of debt. Further, DOJ could use performance information to improve the practices of offices in seeking and recovering restitution, consistent with a requirement in the Justice for All Reauthorization Act of 2016.", "Finally, DOJ could gain greater visibility into the use of forfeited assets to compensate victims by gathering information on cases in which victims have been identified and restitution is anticipated but forfeited assets are not used, and any reasons why. Doing so would better position DOJ to take action to increase the use of forfeited assets to compensate eligible victims if warranted and to provide assurance that it is maximizing the use of asset forfeiture in satisfying restitution debts, one of the agency\u2019s most effective mechanisms for satisfying restitution."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making three recommendations, including one to the judiciary and two to DOJ. Specifically: Judiciary officials, including AOUSC, USSC, and the Judicial Conference, should determine why USSC data on the reasons restitution was not ordered are incomplete. Additionally, if warranted based on this information, judiciary officials should take action to ensure USSC data records include all required information for orders of restitution. (Recommendation 1)", "To improve oversight of the collection of restitution we recommend that the Attorney General:", "Develop and implement performance measures and goals for each USAO related to the collection of restitution, and measure progress towards meeting those goals. (Recommendation 2)", "In cases where forfeited assets were not used to compensate victims, gather information on reasons why forfeited assets were not used for victims. If warranted based on this information, take action to increase the use of forfeited assets to compensate eligible victims. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to DOJ, the Judicial Conference of the United States, AOUSC, USSC, and the Federal Judicial Center. DOJ concurred with our recommendations and provided technical comments, which we incorporated as appropriate. AOUSC provided written comments, which are reproduced in appendix III. In its written comments, AOUSC noted that it would work with the USSC to address our recommendation.", "We are sending copies of this report to the appropriate congressional committees and the Attorney General, the Judicial Conference of the United States, the Directors of AOUSC, the Staff Director of USSC, the Federal Judicial Center and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you and your staff have any questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Number and Percentage of Federal Offenders Ordered to Pay Restitution, Fiscal Years 2014 through 2016", "paragraphs": ["According to our analysis of data from the U.S. Sentencing Commission (USSC), 214,578 federal offenders were sentenced from fiscal years 2014 through 2016. Table 6 shows the number of offenders sentenced and the number and percentage of offenders ordered to pay restitution for each primary offense of conviction in fiscal years 2014 through 2016."], "subsections": []}, {"section_title": "Appendix II: Views on DOJ-Recommended Restitution Practices from Officials in Selected in U.S. Attorneys\u2019 Offices", "paragraphs": ["The Department of Justice (DOJ) has identified and recommended numerous practices for federal prosecutors and Financial Litigation Unit (FLU) staff to use throughout the restitution process through various guidance documents. We conducted semi-structured interviews with officials from six U.S. Attorneys\u2019 Offices (USAO) to obtain their views on the restitution process and the extent to which they believed DOJ- recommended restitution practices related to the restitution process were effective. In particular, we spoke with USAO officials from the District of Connecticut; the Southern District of California; the District of New Jersey; the Southern District of Ohio; the District of South Dakota; and the District of Wyoming.", "Tables 7 through 9 show the results of our semi-structured interviews. In particular, table 7 shows practices related to requesting restitution and the extent to which USAO officials found these practices effective. Table 8 shows practices related to facilitating orders of restitution and the extent to which USAO officials found these practices effective. Table 9 shows practices related to collecting restitution and the extent to which USAO officials found these practices effective. Each table also indicates practices that officials we interviewed considered as most important or effective for helping ensure victims receive full and timely restitution."], "subsections": []}, {"section_title": "Appendix III: Comments from the Administrative Office of the U.S. Courts", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Chris Ferencik (Assistant Director); Kathleen Donovan (Analyst-in-Charge); Enyinnaya David Aja; David Alexander; Lacinda Ayers; Carla Brown; Emily Hutz; Janet Temko- Blinder; and Adam Vogt, made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-99", "url": "https://www.gao.gov/products/GAO-19-99", "title": "Army Corps of Engineers: Budget Requests Included Construction Projects Located in Over 30 States, Selected Using a Multi-level Process", "published_date": "2018-12-19T00:00:00", "released_date": "2018-12-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Through its civil works program, the Corps plans, designs, constructs, operates, and maintains a range of water resources projects for purposes such as aquatic ecosystem restoration, flood risk management, and navigation. To support these projects, the Corps requests funding through the annual budget and appropriation process. For fiscal year 2017, the President's budget requested $4.6 billion for Corps' water resources projects, of which about $1 billion was for construction projects.", "GAO was asked to review budget requests for construction projects under the Corps' civil works program, including the geographic distribution of those projects. This report examines for fiscal years 2008 through 2017 (1) the geographic distribution of the construction projects included in the President's budget requests for the Corps, and (2) how the Corps prioritized such projects for inclusion in the President's budget requests. GAO summarized available budget data for fiscal years 2008 through 2017; reviewed the Corps' budget guidance and documents; mapped locations for construction projects in budget requests for years when sufficient information was available; and interviewed Corps headquarters and division officials."]}, {"section_title": "What GAO Found", "paragraphs": ["For fiscal years 2008 through 2017, construction projects included in the President's budget requests to Congress for the U.S. Army Corps of Engineers (Corps) were geographically distributed in 31 states, the District of Columbia, and Puerto Rico. During this 10-year period, the President requested over $12.9 billion for 164 construction projects included in the Corps' three main missions\u2014aquatic ecosystem restoration, flood risk management, and navigation. The Corps provided GAO with detailed information on the location of construction projects included in the budget requests for the 3 most recent fiscal years at the time of its review\u20142015 through 2017. These projects, shown in the figure below, spanned 26 states and Puerto Rico. They were typically located near sources of water or Corps-constructed water infrastructure.", "To prioritize construction projects to include in the President's budget requests for fiscal years 2008 through 2017, the Corps used a process involving each of its three organizational levels\u2014districts, divisions, and headquarters. Districts divided projects into work packages and assigned 1 of 6 priority levels to indicate the order in which work packages from the same project should be completed. Districts grouped these work packages by business line or appropriations account based on the Corps' budget guidance for the fiscal year and then ranked them. Then Corps divisions and headquarters ranked the work packages. To assign rankings, Corps officials applied criteria specific to the business line of each project. These criteria often varied by fiscal year to address changes to policy guidance. Across the organization, Corps officials ranked more than 25,000 packages for fiscal year 2017. After assigning rankings, headquarters developed final budget recommendations to submit to the Assistant Secretary of the Army for Civil Works, who in turn provided the recommendations to the Office of Management and Budget for review and potential inclusion in the President's budget requests."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report. The Department of Defense stated that they had no comments on the draft report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Army Corps of Engineers (Corps) is one of the world\u2019s largest public engineering, design, and construction management agencies. The Corps provides public engineering services across the nation and the world to strengthen the nation\u2019s security, protect and manage aquatic ecosystems, reduce risks from disasters, and support commerce. More specifically, through its civil works program, the Corps plans, designs, constructs, operates, and maintains water resources projects to address the three primary missions of the program: (1) restoration, protection, and management of aquatic ecosystems; (2) flood risk management; and (3) support of commercial navigation.", "The Corps seeks funding for these water resources projects through the annual budget and appropriations process. Under this process, the Corps prioritizes projects to recommend for inclusion in the President\u2019s annual budget request to Congress. The Assistant Secretary of the Army for Civil Works reviews the Corps\u2019 requested funding amounts and selected projects before submitting the finalized recommendation to the Office of Management and Budget (OMB). OMB reviews the recommendation before submitting the Corps\u2019 budget request to the President for review and approval. The fiscal year 2017 budget presentation for the Corps stated that the President\u2019s budget requested $4.62 billion in discretionary funding for water resources projects under the Corps\u2019 civil works program. Of this total, the President\u2019s budget request included $1.09 billion for the Corps\u2019 construction account; the remainder was largely for operations and maintenance of existing infrastructure. In fiscal year 2017, Congress appropriated $1.88 billion for the Corps\u2019 construction account, of which $985.6 million was to be used for to specific projects.", "You asked that we review the budget requests for construction projects under the Corps\u2019 civil works program, including the geographic distribution of those projects. This report examines, for fiscal years 2008 through 2017, (1) the geographic distribution of the construction projects included in the President\u2019s budget requests for the Corps and (2) how the Corps prioritized construction projects for inclusion in the President\u2019s budget requests.", "To examine the geographic distribution of the construction projects included in the President\u2019s budget requests for the Corps, we obtained and summarized descriptive data on construction projects\u2014such as project name, state, business line, and requested funding amount\u2014 included in the budget requests from the Corps\u2019 annual Press Books and Congressional Budget Justifications for fiscal years 2008 through 2017. Our work focused on the projects that the Corps prioritized within the construction appropriations account\u2019s three main business lines, which correspond to the three primary missions of the civil works program. These three main business lines are aquatic ecosystem restoration, flood risk management, and navigation. We also obtained detailed data from the Corps on the locations of the construction projects included in the budget requests. The detailed data we obtained was limited to fiscal years 2015 through 2017 because the Corps did not maintain the data for earlier years in its current database for budget development\u2014the Civil Works Integrated Funding Database\u2014and did not maintain the historic data in an accessible form. We analyzed the detailed data to map the locations of projects within states and Corps regional divisions. To assess the reliability of the detailed data and the descriptive data, we conducted electronic testing and compared the descriptive data with information from the annual Press Books; we found that they were sufficiently reliable for the purposes of our reporting objectives. We also interviewed Corps headquarters and division officials about the geographic distribution of the projects included in the President\u2019s budget requests.", "To examine how the Corps prioritized construction projects for inclusion in the President\u2019s budget requests for fiscal years 2008 through 2017, we reviewed federal and Corps guidance on methods for evaluating construction projects. We reviewed and summarized the Corps\u2019 policy guidance for budget development (budget guidance) from fiscal year 2008 through fiscal year 2017, along with the guidance\u2019s annexes and business-line-specific appendixes, on the process and criteria for evaluating and prioritizing construction projects in the Corps\u2019 three main business lines for inclusion in the budget requests. We also reviewed additional guidance from the Assistant Secretary of the Army for Civil Works on how to prepare the Corps\u2019 budget requests. We compared the Corps\u2019 budget guidance across fiscal years 2008 through 2017 and tracked differences in the eligibility criteria and business-line-specific criteria. We interviewed Corps headquarters officials to gain perspective on any significant changes in the guidance, process, or criteria used. We interviewed and obtained information from Corps headquarters and division officials responsible for prioritizing projects for the budget requests, as well as from officials in the Assistant Secretary\u2019s office, about the application of the criteria and factors to consider when preparing the budget requests for fiscal years 2008 through 2017.", "We conducted this performance audit from April 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Headquartered in Washington, D.C., the Corps has eight regional divisions and 38 districts that carry out its domestic civil works\u2019 program (see fig. 1). Corps headquarters primarily develops policies based on administration guidance; plans the direction of the organization; and approves projects to recommend for inclusion in the President\u2019s annual budget request to Congress. The divisions approve projects for submission to headquarters and coordinate projects within their districts, while the districts plan and implement the projects. The Corps\u2019 construction appropriations account has three main business lines\u2014 aquatic ecosystem restoration, flood risk management, and navigation\u2014 that correspond to the three primary missions of its civil works program. Some projects may be multipurpose and fit into more than one business line within the program.", "For fiscal years 2008 through 2017, the President\u2019s budgets requested about $4.78 billion per year, on average, in discretionary funding for the Corps\u2019 civil works program to plan, construct, operate, and maintain a wide range of water resources projects (see fig. 2). Of this total, the budget requested an average of about $1.39 billion total per year for construction projects in the aquatic ecosystem restoration, flood risk management, and navigation business lines.", "The total construction amounts in Corps budget documents include funding for the hydropower business line; hydropower funding is represented in the other discretionary funding in this figure. We excluded those funding amounts from our business line totals, in part because these projects are now mainly funded through the operations and maintenance account. They represented less than 4 percent of the construction account requests from fiscal years 2008 through 2017.", "Discretionary funding refers to the level of budget authority, outlays, or other budgetary resources (other than those for mandatory programs) that is provided in, and controlled by, appropriation acts."], "subsections": []}, {"section_title": "Construction Projects Included in the President\u2019s Budget Requests for the Corps Located In Over Half of the States", "paragraphs": ["For fiscal years 2008 through 2017, the President\u2019s budget requests for the Corps included 164 construction projects located in 31 states, the District of Columbia, and Puerto Rico. The five states for which the most funds were requested in this period were:", "Florida, with $2.4 billion requested for 15 construction projects, Illinois, with $2.3 billion requested for 15 construction projects,", "California, with $1.6 billion requested for 24 construction projects,", "Washington, with $924 million requested for 9 construction projects,", "Kentucky, with $646 million requested for 6 construction projects.", "The projects in these five states accounted for 61 percent of the $12.9 billion that the President requested for Corps construction projects in these years. Figure 3 shows the total number of construction projects and funds included in the President\u2019s budget requests for fiscal years 2008 through 2017, by state, within the Corps\u2019 three main business lines\u2014 aquatic ecosystem restoration, flood risk management, and navigation. See appendix I for the number of construction projects and funds requested for each fiscal year during this period, by state. See appendix II for a list of the names of construction projects, locations, business lines, and funds requested per year during this period.", "For fiscal years 2015 through 2017, the Corps provided us with detailed data for the construction projects included in the President\u2019s budget requests. This information included latitudinal and longitudinal coordinates to locate projects within states and divisions, as well as business-line-specific data. A total of 71 projects were included in the budget requests for these business lines during this period. Construction projects included in the President\u2019s budget requests for the Corps\u2019 three main business lines for fiscal years 2015 through 2017 were geographically distributed in 26 states and Puerto Rico. According to our analysis of Corps budget data, most of the projects were near either water sources or Corps-constructed water infrastructure. Figure 4, which is an interactive map, identifies the locations and describes budget data for each construction project (see interactive instructions). See appendix III for a list of these construction projects by Corps division, state, business line, and funds requested for each fiscal year.", "Corps headquarters officials said that the Corps does not specifically use geographic locations to select construction projects to recommend for inclusion in the President\u2019s budget requests. However, Corps officials explained that geographic characteristics, such as population, might have affected how they considered including construction projects within specific business lines. For example, Corps officials within the flood risk management business line may have considered a construction project located in a population center that could be severely impacted by a flooding event to be a higher priority over other projects in less populated areas.", "For fiscal years 2015 through 2017, the Corps requested more than $3 billion for the 71 construction projects that fell within the three main business lines:", "Aquatic ecosystem restoration. The President\u2019s budget requested $618 million for 15 Corps construction projects in the aquatic ecosystem restoration business line, which were located in California, Florida, Georgia, Illinois, Louisiana, Maryland, Minnesota, Oregon, and Washington. According to the Corps budget guidance, these projects were located in areas of federal significance that have some degree of habitat scarcity, connectivity, and special-status species, among other characteristics. Moreover, according to the Corps budget guidance, construction projects in this business line emphasize the restoration of nationally or regionally significant habitats where the solution primarily involves modifying the hydrology and geomorphology. For example, the goals of the South Florida Ecosystem Restoration program\u2014a collection of several projects\u2014 includes improving the health of over 2.4 million acres of the south Florida ecosystem (including Everglades National Park), enhancing water supply, and maintaining flood mitigation, according to a Corps document and Corps officials. According to a Corps document, since 2000, the Corps has invested a total of $2.4 billion in the program including other initiatives, such as the Comprehensive Everglades Restoration Plan and Central and Southern Florida.", "Flood risk management. The President\u2019s budget requested $1.33 billion for 33 Corps construction projects in the flood risk management business line, which were located in California, Florida, Illinois, Kansas, Kentucky, Massachusetts, Missouri, New Jersey, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, and West Virginia. According to the Corps\u2019 budget guidance and strategic plan, these projects are located in areas that may experience riverine and coastal flooding, and they are to provide water supply storage. For example, the Bluestone Lake project, in West Virginia, is to address deficiencies that could lead to a breach of a dam built by the Corps in the 1940s. According to the Corps, the dam\u2019s spillway cannot discharge enough water without substantially increasing the potential for a breach of the dam. According to the Corps, a breach could cause catastrophic flooding along the largest river valleys in West Virginia, including locations of major manufacturing and chemical industries, and put 165,000 lives at risk. The Corps started the project in 1998, and plans to award the next phase of the project in 2022. A draft supplementary study has been completed to identify a plan to address this additional deficiency, according to the Corps. The Corps is planning for a 10-year construction period, with an estimated cost of $575 million, according to a Corps document and a headquarters official.", "Navigation. The President\u2019s budget requested $908 million for 20 Corps construction projects in the navigation business line, which were located in coastal, inland, and intracoastal navigation systems in California, Georgia, Illinois, Louisiana, Missouri, New Jersey, New York, Ohio, Oregon, South Carolina, Texas, Virginia, Washington, and Wisconsin. According to Corps\u2019 budget guidance, these projects are intended to provide safe, reliable, cost-effective and environmentally sustainable waterborne transportation systems for the movement of commercial goods. For example, the Corps\u2019 Olmsted Locks and Dam project is located on the Ohio River, which connects to the Tennessee, Cumberland, and Mississippi rivers and is considered critical for commercial navigation. According to the Corps, the project consists of two 110-foot by 1,200-foot locks, which are located adjacent to the Illinois bank, and a dam comprising of five tainter gates, which control the amount of water that flows downstream. According to a Corps document, over the last several years, approximately 80 million tons of bulk commodities (for example, coal, grain, rock, and sand) per year, on average, have passed through navigation structures that are part of the project. The Corps estimates that this project has been under construction for nearly 30 years.", "According to Corps documents and headquarters officials, the project became operational as of September 2018, with a total estimated cost of $3 billion by the time of project completion."], "subsections": []}, {"section_title": "Corps Used a Multi- level Process to Prioritize Construction Projects", "paragraphs": ["To prioritize construction projects to recommend for inclusion in the President\u2019s budget requests for fiscal years 2008 through 2017, the Corps used a process involving the three levels of its organization\u2014districts, divisions, and headquarters."], "subsections": [{"section_title": "Districts Prepared Work Packages for Ranking", "paragraphs": ["To begin the process, Corps district officials divided projects into work packages\u2014increments of work that can be considered for inclusion in the budget. According to Corps policy guidance for budget development (budget guidance), these work packages should contribute to the overall project and be executed without being dependent on the funding of additional work packages. According to a district official, district officials then assigned one of six priority levels to indicate the order in which work packages for the same project should be completed for that fiscal year. Priority levels are categories used to differentiate work packages within the same project. Corps budget guidance instructed district officials to assign priority levels based on criteria including whether a project is new or continuing and where a work package falls within a project\u2019s overall work plan. Corps budget guidance also instructed officials to group work packages either by business line or appropriations account, depending on the fiscal year, based on the budget guidance for that fiscal year."], "subsections": []}, {"section_title": "Districts, Divisions, and Headquarters Ranked Work Packages", "paragraphs": ["Corps districts, divisions, and headquarters consecutively ranked the work packages, as shown in figure 5. In doing so, they established criteria specific to the business line for each project. Corps budget guidance provided instructions on which criteria to use for each business line to determine rankings in a particular year. The ranking criteria in the guidance\u2014such as the rate of economic return, populations at risk, or the environmental impact\u2014varied nearly every year from fiscal years 2008 to 2017 for two of the three main business lines: flood risk management and navigation (see appendix IV for the criteria used, by business line and fiscal year). Corps officials said they routinely revised the criteria while developing the annual budget guidance, for reasons such as addressing changes in the policy guidance from the Assistant Secretary of the Army for Civil Works or OMB, or improving the ranking process.", "Corps officials we interviewed noted that although each level used the same criteria to rank work packages, the districts, divisions and headquarters had different focuses and increasing numbers of work packages to rank and compare. Specifically, officials at each level considered the overall needs of their respective jurisdictions when making ranking decisions: districts had a local focus; divisions had a regional or watershed focus; and headquarters had a national focus. The number of work packages to be ranked increased at each level according to Corps officials: districts ranked local work packages; divisions re-ranked work packages from four to seven districts; and headquarters re-ranked work packages from all of the divisions nationwide.", "After ranking all work packages within their respective jurisdictions by business line or appropriations account, officials from all three levels entered the rankings into the database for use in the budget review process. According to information from the Civil Works Integrated Funding Database, the Corps ranked more than 25,000 work packages for the fiscal year 2017 budget recommendation."], "subsections": []}, {"section_title": "Headquarters Developed Final Recommendations for Budget Requests", "paragraphs": ["According to one headquarters official, Corps officials in the Program Development Branch at headquarters facilitated discussions among business line and account managers to develop the final rankings of all work packages. As part of this process, headquarters officials noted that business line managers compared work packages with different characteristics across business lines or accounts. According to Corps budget guidance and headquarters officials, business line managers and account managers are instructed to consider two key factors when determining their final rankings each fiscal year. Specifically, those managers are instructed to give top priority to work packages that significantly impact the risk to human life posed by potential disasters. In addition, the managers are to prioritize work packages that address a legal requirement to mitigate potential negative effects caused by construction, such as adverse environmental effects.", "Using the final rankings, Corps headquarters officials said they developed the final budget recommendations for each fiscal year, including a recommended funding amount for each project, with input from various levels of the organization. More specifically, to determine the budget recommendations, Corps headquarters officials obtained feedback from district commanders, generals, directors, and the Chief of Engineers. In fiscal year 2017, the Corps used its final rankings to determine recommended funding amounts for 89 construction projects, each of which included one or more work packages; ultimately, these projects comprised about 298 work packages. Once the Corps headquarters officials developed these recommendations, they briefed the Assistant Secretary of the Army for Civil Works on their recommendations. An official from the Assistant Secretary\u2019s office said they reviewed the Corps recommendations and compared them with the Assistant Secretary\u2019s priorities, after which they developed the final recommendations to send to OMB for review and potential inclusion in the President\u2019s budget requests. According to a Corps official, 34 percent of construction projects included in the fiscal year 2017 President\u2019s budget request received funding."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Department of Defense. The department told us they had no comments on the draft report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Chief of Engineers and Commanding General of the U.S. Army Corps of Engineers, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Corps Construction Projects Included in the President\u2019s Budget Requests, by State, Fiscal Years 2008 through 2017", "paragraphs": ["Table 1 lists the 164 construction projects and funds requested, by state, within the U.S. Army Corps of Engineers\u2019 (Corps) three main business lines\u2014aquatic ecosystem restoration, flood risk management, and navigation\u2014for fiscal years 2008 through 2017."], "subsections": []}, {"section_title": "Appendix II: Corps Construction Projects Included in the President\u2019s Budget Requests, Fiscal Years 2008 through 2017", "paragraphs": ["Table 2 lists the names and locations of the 164 construction projects the U.S. Army Corps of Engineers (Corps) identified as included in the President\u2019s budget requests for its three main business lines for fiscal years 2008 through 2017. The Corps\u2019 three main business lines are aquatic ecosystem restoration, flood risk management, and navigation."], "subsections": []}, {"section_title": "Appendix III: Corps Construction Projects Included in the President\u2019s Budget Requests, by Division, Fiscal Years 2015 through 2017", "paragraphs": ["Table 3 lists the names of the 71 construction projects, their locations, and the agency divisions that manage them, as shown in interactive figure 4 of this report, and includes the figure\u2019s rollover information. The U.S. Army Corps of Engineers (Corps) identified these projects as included in the President\u2019s budget requests for its three main business lines for fiscal years 2015 through 2017. The Corps\u2019 three main business lines are aquatic ecosystem restoration, flood risk management, and navigation."], "subsections": []}, {"section_title": "Appendix IV: U.S. Army Corps of Engineers\u2019 Criteria Used to Rank Construction Projects in Main Business Lines", "paragraphs": ["Table 4 lists the criteria included in the U.S. Army Corps of Engineers\u2019 (Corps) annual budget guidance for its three main business lines for fiscal years 2008 through 2017. The Corps\u2019 three main business lines are aquatic ecosystem restoration, flood risk management, and navigation."], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Anne-Marie Fennell, (202) 512-3841 or fennella@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Vondalee R. Hunt (Assistant Director), Leah E. English, Kerstin Hudon, Susan Malone, and Cynthia Norris made significant contributions to this report. Important contributions were also made by Melinda Cordero, Justin Fisher, Juan Garay, Patricia Moye, and Danny Royer."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Army Corps of Engineers: Factors Contributing to Cost Increases and Schedule Delays in the Olmsted Locks and Dam Project. GAO-17-147. Washington, D.C.: February 16, 2017.", "Standards for Internal Control in the Federal Government. GAO-14-704G. Washington, D.C.: September 2014.", "Army Corps of Engineers: The Corps Needs to Take Steps to Identify All Projects and Studies Eligible for Deauthorization. GAO-14-699. Washington, D.C.: August 21, 2014.", "Army Corps of Engineers: Cost Increases in Flood Control Projects and Improving Communication with Nonfederal Sponsors. GAO-14-35. Washington, D.C.: December 20, 2013.", "Army Corps of Engineers: Budget Formulation Process Emphasizes Agencywide Priorities, but Transparency of Budget Presentation Could be Improved. GAO-10-453. Washington, D.C.: April 2, 2010.", "A Glossary of Terms Used in the Federal Budget Process. GAO-05- 734SP. Washington, D.C.: September 2005."], "subsections": []}], "fastfact": ["The President's annual budget request to Congress usually includes more than a billion dollars for U.S. Army Corps of Engineers water resource construction projects. These projects help protect people from flooding, improve navigation, and restore ecosystems.", "In fiscal years 2008-2017, there were 164 such projects in 31 states. Florida, Illinois, California, Washington, and Kentucky accounted for 61% of requested funds.", "To prioritize the work outlined in its 2017 request, Corps officials ranked more than 25,000 discrete sets of tasks that make up its projects. They did so using criteria such as population at risk and benefits vs. cost."]} {"id": "GAO-18-606", "url": "https://www.gao.gov/products/GAO-18-606", "title": "Adolescent and Young Adult Substance Use: Federal Grants for Prevention, Treatment, and Recovery Services and for Research", "published_date": "2018-09-04T00:00:00", "released_date": "2018-09-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to the Surgeon General, adolescence and young adulthood are critical at-risk periods for illicit substance use, and such use can harm the developing brain. Congress included a provision in law for GAO to review how federal agencies, through grants, are addressing substance use prevention, treatment, and recovery among adolescents and young adults.", "Related to prevention, treatment, and recovery targeting adolescents (aged 12 to 17) and young adults (aged 18 to 25), this report describes (1) grant programs to provide services; (2) NIDA grant-funded research, and (3) gaps stakeholders identified in related services or research.", "GAO selected four agencies to review\u2014HHS, ONDCP, DOJ, and Education\u2014the key agencies that fund grant programs for services for adolescents and young adults. GAO analyzed documents on grant programs and on research funded by NIDA. GAO interviewed officials from the four agencies and 20 stakeholder groups (including advocacy and education, and research organizations, as well as a non-generalizable selection of state substance abuse, education, and judicial agencies in four states) about gaps in services or research and agency efforts to help address them. States were selected for variation in geography and overdose rates.", "HHS, DOJ, and ONDCP provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified 12 federal grant programs within three federal agencies that funded substance use prevention, treatment, and recovery services in fiscal year 2017 and targeted adolescents' and young adults' use of illicit substances such as marijuana and nonmedical use of prescription opioids. The three agencies included the Department of Health and Human Services (HHS), the Office of National Drug Control Policy (ONDCP), and the Department of Justice (DOJ). While the Department of Education (Education) has grant programs that can fund prevention services for adolescents, they do not specifically target such services.", "Eight programs targeted substance use prevention. In total, they had 1,146 active grantees in fiscal year 2017 and provided about $266 million in awards that year.", "Four programs targeted treatment and recovery services. In total, they had 57 active grantees in fiscal year 2017. Two of the 4 grant programs awarded about $23 million in funding in that year (the other two awarded funding in prior years).", "In addition, other grant programs beyond these 12 also fund substance use prevention, treatment, and recovery services across age groups, but are not specifically targeted to adolescents and young adults.", "HHS's National Institute on Drug Abuse (NIDA)\u2014the agency that is the primary funder of research on illicit substance use\u2014also had 186 active grant-funded research projects focused on substance use prevention, treatment, and recovery among adolescents and young adults as of October and November 2017.", "Most of these research projects\u2014126\u2014were examining prevention, 45 were examining treatment, 4 were examining recovery, and 11 were examining a combination of research categories.", "In total, these 186 research projects received about $61 million from NIDA in fiscal year 2017.", "Most of the 20 stakeholders GAO interviewed identified gaps in services for adolescents and young adults, including insufficient access to recovery services and a shortage of treatment providers, and described financial and other reasons that likely contribute to these gaps. Federal agency officials GAO interviewed agreed that these gaps exist, and described grant programs and other efforts to help address them, such as a grant program that HHS established in 2018 to expand recovery services for these age groups. Stakeholders also identified gaps in research, such as too few treatment studies with adolescent participants, and described reasons for these gaps, including too few federal grants focused on adolescent research. NIDA officials agreed that these gaps exist, and stated that NIDA had eight grant opportunities (as of May 2018) that focused on these age groups or included them as a population of interest, three of which were new in 2018."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the Surgeon General, adolescence and young adulthood are critical at-risk periods for the misuse of substances, including the use of illicit substances such as marijuana and opioids. In 2016, about 4 million adolescents aged 12 to 17 in the United States had used illicit substances within the past year, representing about 16 percent of all adolescents in the country. That same year, an estimated 13 million young adults aged 18 to 25 used illicit substances\u2014about 38 percent of all young adults. The repeated use of illicit substances among adolescents and young adults can result in substance use disorders, which are characterized by symptoms such as the inability to fulfill work, school, and family obligations. According to the Surgeon General, most people who develop a substance use disorder begin using substances during adolescence and develop a disorder by young adulthood, and the use of illicit substances can adversely affect the developing brain. In addition, the use of illicit substances can lead to death. In 2016 about 5,400 adolescents and young adults between the ages of 15 and 24 died as a result of a drug overdose\u2014a rate that has increased nearly 300 percent since 1999.", "In fiscal year 2016 the federal government spent $11.3 billion on substance use prevention, treatment, and recovery services and research. Out of this total amount, $1.5 billion supported prevention services and research\u2014for example, to help discourage the first-time use of substances, to educate individuals about the negative effects of substance use and to test the effectiveness of prevention interventions. Federal agencies used the remaining $9.8 billion to support treatment and recovery services and research\u2014for example, to help individuals discontinue the use of substances and improve health and wellness, and to test new strategies to effectively treat individuals with substance use disorders. Various federal agencies provide funding for such services or research through grant programs, including the Department of Health and Human Services (HHS), Department of Justice (DOJ), Department of Education (Education), and the Office of National Drug Control Policy (ONDCP). HHS funds the majority of substance use research through the National Institute on Drug Abuse (NIDA), an Institute within HHS\u2019s National Institutes of Health (NIH).", "The Comprehensive Addiction and Recovery Act of 2016 included a provision for us to review federal grant programs that support substance use prevention, treatment, and recovery services and research specifically for adolescents and young adults; and any gaps in such services and research. This report describes 1. federal grant programs that fund substance use prevention, treatment, or recovery services targeting adolescents and young adults; 2. NIDA grant-funded research projects focused on substance use prevention, treatment, or recovery among adolescents and young adults; and 3. gaps stakeholders identified related to services or research for substance use prevention, treatment, or recovery among adolescents and young adults.", "To describe federal grant programs that fund substance use prevention, treatment, or recovery services targeting adolescents and young adults, we reviewed information about grant programs funded by four federal agencies\u2014HHS, DOJ, Education, and ONDCP. We selected these agencies because our prior work and consultations with ONDCP identified them as key federal agencies that provide prevention, treatment, or recovery grant programs that support services for adolescents or young adults. We included in our review grant programs identified by these federal agencies that met the following criteria: (1) substance use prevention, treatment, or recovery was a primary purpose or goal; (2) adolescents and young adults ranging from anywhere between 12 to 25 years of age were the targeted population; (3) all or part of the grants were used for direct services (rather than only for infrastructure development, for example); and (4) the program addressed the use of illicit substances (including nonmedical use of prescription opioids). We excluded grant programs that focused solely on tobacco, alcohol, or e-cigarettes because the use of these substances is legal for certain young adults. We reviewed documentation and interviewed officials from each of the four agencies to obtain information about each of the grant programs, including the number of grantees, award amounts, and any planned evaluations. We did not identify grant programs administered by Education that met all of our criteria. While several of Education\u2019s grant programs allow grantees to use funds for prevention services, they do not specifically target such services.", "In addition to the grant programs targeting adolescents and young adults, we analyzed data on HHS\u2019s Substance Abuse Prevention and Treatment Block Grant, which is the largest federal grant program that funds prevention, treatment, and recovery services across age groups. Specifically, we analyzed the Substance Abuse Prevention and Treatment Block Grant data included in HHS\u2019s 2017 annual report, which were the most current data available and reflected data pertaining to its 2014 grants. We analyzed these data nationally and by grantee\u2014which included states, territories, and one federally recognized tribe\u2014to determine the percentages of all persons provided prevention, treatment, and recovery services with grants who were adolescents and young adults. To assess the reliability of these data, we reviewed documentation about the data and interviewed knowledgeable agency officials and determined the data were sufficiently reliable for the purposes of our reporting objective.", "To describe NIDA grant-funded research projects focused on substance use prevention, treatment, or recovery among adolescents and young adults, we examined applicable project information, which included research project abstracts and the 2017 funding received. The research projects were identified by NIDA through searches conducted in October and November of 2017 of active projects in the NIH RePORTER database. We included in our review research projects that (1) primarily focused on adolescent and young adult substance use prevention, treatment, or recovery research; (2) were not animal research; and (3) did not focus exclusively on tobacco, alcohol, or e-cigarettes. We reviewed the individual research abstracts for reference to brain imaging to count how many of those prevention, treatment, and recovery studies involved research on the physical brain. We also obtained from NIDA grant information for the Adolescent Brain Cognitive Development study, a large longitudinal study examining the effects of substance use and other factors on development of the adolescent brain. To verify the reliability of the information obtained from NIDA, we interviewed knowledgeable officials and reviewed relevant documentation. We determined that the data were sufficiently reliable for the purposes of our reporting objective.", "To describe gaps stakeholders identified related to services or research for substance use prevention, treatment, or recovery among adolescents and young adults, we interviewed 20 stakeholder organizations and agencies, in total, to obtain their perspectives on these topics. The organizations included 5 national advocacy and education organizations and 3 research organizations. We selected advocacy and education organizations that broadly represented the views of state substance abuse agencies, community coalitions, juvenile drug treatment courts, private foundations that fund substance use related services, and recovery community organizations. We selected stakeholders from the 3 research organizations because they had expertise in research in substance use prevention, treatment, or recovery among adolescents and young adults. We also interviewed 12 state substance abuse, education, and judicial agencies from four states. The four states included New Hampshire, West Virginia, Oregon, and Michigan, and were selected to achieve variation in geography, median family income, opioid overdose rates, and the percentage of all persons provided treatment and recovery services (funded by the Substance Abuse Prevention and Treatment Block Grant) that were adolescents and young adults. Finally, we interviewed federal officials from HHS\u2019s Substance Abuse and Mental Health Services Administration (SAMHSA), Indian Health Service (IHS), and NIDA; DOJ\u2019s Office of Juvenile Justice and Delinquency Prevention (OJJDP), within DOJ\u2019s Office of Justice Programs; ONDCP; and Education about any ongoing efforts they have to help address the gaps that stakeholders identified.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Grant Programs", "paragraphs": ["The federal government uses grants to address national priorities\u2014such as substance use prevention, treatment, and recovery\u2014through nonfederal parties, including state and local governments, federally recognized tribes, educational institutions, and nonprofit organizations. While there is variation among different grant program goals and grant types, most federal grants follow a common life cycle that includes an award, implementation, and closeout stage for administering the grants. During the award stage, the federal awarding agency enters into an agreement with the grantee stipulating the terms and conditions for the use of grant funds including the period that funds are available for the grantee\u2019s use. During the implementation stage, the grantee carries out the requirements of the agreement and requests payments, while the awarding agency monitors the grantee and approves or denies payments. The grantee and the awarding agency close the grant once the grantee has completed all the work associated with a grant agreement, the grant period of performance end date (or grant expiration date) has arrived, or both.", "Federal grant programs may fund various types of grants, including discretionary grants, formula grants, and cooperative agreements. Discretionary grants are generally awarded on a competitive basis for specified projects that meet eligibility and program requirements. Formula grants are noncompetitive awards based on a predetermined formula, typically established in statute, and are provided to eligible applicants that meet specified criteria outlined by statute or regulation, such as a state. A cooperative agreement is a type of federal financial assistance similar to a grant, except the federal government is more substantially involved with the implementation."], "subsections": []}, {"section_title": "Substance Use Prevention, Treatment, and Recovery Services", "paragraphs": ["Substance use prevention programs and services (which we refer to collectively as \u201cprevention services\u201d in this report) are designed to prevent or delay the early use of substances and stop the progression from use to problematic use or to a substance use disorder. Prevention services generally focus on reducing a variety of risk factors and promoting a broad range of protective factors through various activities that include, for example, setting policies that reduce the availability of substances in a community, teaching adolescents how to resist negative social influences, and communicating the harms of substances such as the nonmedical use of prescription opioids and marijuana through media campaigns. In addition, prevention services can be targeted at all members of a given population without regard for risk factors, such as all adolescents, or to particular subgroups of individuals or families, such as those who are at increased risk of substance use due to their exposure to risk factors. Targeted audiences for such services may include families living in poverty or children of substance-using parents.", "When substance use progresses to a point that it is clinically diagnosed as causing significant impairments in health and social functioning, it is characterized as a substance use disorder. Treatment services for substance use disorders are designed to enable an individual to reduce or discontinue substance use and to address health problems, and typically include behavioral therapy. Behavioral therapies use various techniques to modify an individual\u2019s behaviors and improve coping skills, such as incentives and reinforcements to reward individuals who reduce their substance use. For opioid use disorders, treatment may involve combining behavioral therapy with medications\u2014an approach commonly referred to as medication-assisted treatment. Some of these treatment services may be paid for by private insurers, public health coverage programs, nonprofit organizations, or consumers (out-of-pocket), but federal grant programs and various state and local programs also provide funding for these services.", "Substance use recovery services are designed to help engage and support individuals with substance use disorders in treatment and provide ongoing support after treatment. There are a variety of recovery services such as peer recovery coaching, which involves the use of coaches\u2014 peers who identify as being in recovery and use their knowledge and experience to inform their work\u2014to help individuals who are transitioning out of treatment to connect with community services and address barriers that may hinder the recovery process. Other examples include recovery housing, which provides a substance-free environment and support from fellow recovering residents, and recovery high schools, which help students recovering from substance use disorders focus on academic learning. Some recovery services may be paid for through various sources, including Medicaid programs in certain states, some private insurers, and federal grant programs. In addition, some recovery services may be offered by member-led, voluntary associations that charge no fees, such as 12-step groups."], "subsections": []}]}, {"section_title": "Three Federal Agencies Operated 12 Grant Programs That Funded Services Specifically Targeting Adolescents and Young Adults in Fiscal Year 2017", "paragraphs": [], "subsections": [{"section_title": "Eight of the 12 Federal Grant Programs for Adolescents and Young Adults Funded Substance Use Prevention Services", "paragraphs": ["We identified 12 federal grant programs within three of the four agencies in our review that funded substance use prevention, treatment, and recovery services in fiscal year 2017 and targeted adolescents\u2019 and young adults\u2019 use of illicit substances. Eight of these programs focused on prevention, and all 8 remain active in fiscal year 2018. The 8 grant programs have varying purposes and were administered by two entities within HHS\u2014SAMHSA or IHS\u2014or by ONDCP. For example, the Drug- Free Communities Support Program is funded and directed by ONDCP to support community coalitions in preventing and reducing substance abuse among youth aged 18 and younger. As another example, the Strategic Prevention Framework for Prescription Drugs program, administered by SAMHSA, is designed to raise awareness about the dangers of sharing prescription medications such as opioids, and to promote collaboration between states and pharmaceutical and medical communities to understand the risks of overprescribing to youth (aged 12 to 17) and adults (aged 18 and older). In addition, this program is intended to provide prevention activities and education to schools, communities, and parents.", "In total, the 8 grant programs targeting the prevention of substance use among adolescents and young adults had 1,146 active grantees in fiscal year 2017. The Drug-Free Communities Support Program had the largest number of active grantees\u2014713 community coalitions\u2014and the other 7 programs had a combined total of 434 that included states and federally recognized tribes. The total number of active grantees in fiscal year 2017 includes those that received a single- or multi-year award in fiscal year 2017, as well as those that received a multi-year award in fiscal year 2016 for a project that was ongoing in fiscal year 2017. Grantees were awarded a total amount of about $266 million in fiscal year 2017, with SAMHSA\u2019s Strategic Prevention Framework-Partnerships for Success program providing the largest amount of funding (about $95 million). (See table 1.)", "All 8 prevention grant programs had ongoing or planned evaluations to assess the effectiveness of their grantees in accomplishing a variety of program goals, according to agency officials. For example, ONDCP is overseeing the ongoing evaluation of the Drug-Free Communities Support Program through semi-annual progress reports and through the collection of data, such as data on past 30-day substance use, from coalitions that received awards. A recent evaluation of this program found that coalitions included about 19,000 community members who were targeting prevention services to about 20 percent of the population in the United States (including 2.5 million middle school and 3.5 million high school youth) in fiscal year 2015. In addition, this evaluation found that middle and high school youth in communities with a coalition reported a significant decrease in the past 30-day use of marijuana, prescription drugs, alcohol, and tobacco, from 2002 to 2016. However, at the same time, the perceptions of the risk of marijuana use decreased significantly among high school youth in communities with community coalitions, according to the evaluation. As another example, IHS\u2019s planned evaluation of the Methamphetamine and Suicide Prevention Initiative- Generation Indigenous grant program will focus on measures such as the types of services that grantees implemented to prevent methamphetamine use and promote positive development among American Indian and Alaska Native youth, according to agency officials. For the other 6 prevention grant programs, planned evaluations will examine the extent to which reductions in substance use are observed over time among the grantees\u2019 targeted adolescents or young adults."], "subsections": []}, {"section_title": "Four of the 12 Federal Grant Programs for Adolescents and Young Adults Funded Substance Use Treatment and Recovery Services", "paragraphs": ["Of the 12 federal grant programs targeting adolescents\u2019 and young adults\u2019 use of illicit substances, we identified 4 that focused on the provision of substance use treatment and recovery services and had active grantees in fiscal year 2017. Two of the 4 programs ended at the close of fiscal year 2017 and the other 2 remained active in fiscal year 2018. The 4 programs had different purposes and were administered by OJJDP or SAMHSA, within DOJ and HHS, respectively. For example, the Cooperative Agreements for Adolescent and Transitional Aged Youth Treatment Implementation, administered by SAMHSA, is still active, and intends to increase the capacity of states to provide treatment and recovery services to adolescents (aged 12 to 18) and transitional-aged youth (aged 16 to 25) that have substance use disorders or co-occurring substance use disorders and mental disorders. This program aims to increase states\u2019 capacity by increasing the number of qualified treatment providers. The other 3 grant programs were designed to improve different aspects of the existing juvenile drug treatment courts, which DOJ defines as a court calendar or docket that provides specialized treatment and services for youth with substance use or co-occurring mental health disorders. As an example, the Fiscal Year 2017 Juvenile Drug Treatment Court Program, which is still active and administered by OJJDP, aims to deliver services that are consistent with DOJ\u2019s Juvenile Drug Treatment Court Guidelines\u2014a set of best practices for effective juvenile drug treatment courts.", "In total, the 4 grant programs that targeted substance use treatment and recovery services among adolescents and young adults had 57 active grantees in fiscal year 2017. SAMHSA\u2019s Cooperative Agreements for Adolescent and Transitional Aged Youth Treatment Implementation had the largest number of active grantees (36), which included state substance abuse agencies and federally recognized tribes. The three juvenile drug treatment court programs had a total of 21 active grantees that included, for example, county juvenile drug treatment courts and a state judicial department. The total number of active grantees in fiscal year 2017 included those that received a single- or multi-year award in fiscal year 2017 as well as active grantees that received multi-year awards in prior years. In total, active grantees from 2 of the 4 programs were awarded about $23 million in fiscal year 2017. (See table 2.)", "Two of the 4 treatment and recovery grant programs had ongoing or planned evaluations to assess the effectiveness of their grantees in accomplishing a variety of program goals, according to agency officials. SAMHSA officials told us that its ongoing evaluation of the Cooperative Agreements for Adolescent and Transitional Aged Youth Treatment Implementation is assessing the types of treatment services provided to adolescents and young adults as well as the extent to which they abstained from substance use. Officials added that the evaluation is examining grantees\u2019 efforts to expand the qualified workforce of treatment providers for adolescents and young adults. A recent evaluation that was completed for this program found that most grantees provided training to treatment providers on evidence-based treatment services and other topics, and about one-third of grantees identified additional training needs such as training on co-occurring disorders and trauma-informed services. This evaluation also found a decrease in substance use among adolescents and young adults who received treatment services after 6 months and that enhanced provider training was associated with this decrease. OJJDP\u2019s Fiscal Year 2017 Juvenile Drug Treatment Court Program includes a planned evaluation of the impact of the DOJ juvenile drug treatment court guidelines on participant outcomes. That is, OJJDP plans to compare the outcomes of participants in courts aligned with the guidelines to participants in other court programs that will serve as \u201ccomparison courts.\u201d OJJDP officials told us that the evaluation plans to assess youth outcomes such as recidivism in substance use, quality of relationships with parents and peers, and mental wellbeing. OJJDP officials stated that while they are not evaluating their fiscal year 2015 and 2014 juvenile drug treatment court grant programs, grantees must report on various performance measures related to substance use to assist DOJ with fulfilling its responsibilities under the Government Performance and Results Act of 1993 and the GPRA Modernization Act of 2010. For example, grantees must report on a semiannual basis the number of drug and alcohol tests performed on juveniles and the number of positive tests recorded."], "subsections": []}, {"section_title": "Other Federal Grant Programs Fund Prevention, Treatment, and Recovery Services, but Do Not Specifically Target Adolescents and Young Adults", "paragraphs": ["Other federal grant programs beyond the 12 we identified provide funds for substance use prevention, treatment, and recovery services across age groups but do not specifically target adolescents and young adults. The Substance Abuse Prevention and Treatment Block Grant is the largest of such grant programs that fund prevention, treatment, and recovery services across age groups. SAMHSA, which administers this grant, awarded a total of $1.8 billion in fiscal year 2017 to grantees which included states, the District of Columbia, territories, and one federally recognized tribe. The amount of awards that states receive is based on a formula that takes into account a grantee\u2019s: population at risk of substance abuse; relative costs of providing prevention and treatment services; and relative ability to pay for prevention and treatment services.", "States have some flexibility in determining how to use their Substance Abuse Prevention and Treatment Block Grant funds, and our analysis shows variation in the extent to which grantees used these funds to provide prevention, treatment, and recovery services to adolescents and young adults in 2014, the most recent year for which data were available. For prevention services that target individuals, such as those delivered to middle school students in the classroom, the percentage of persons served that grantees could identify as being adolescents and young adults ranged from 0.1 percent (Oklahoma) to 100 percent (American Samoa and United States Virgin Islands). However, most of the grantees reported percentages that fell in the range of 23 to 61 percent. For prevention services that target populations rather than individuals, such as media campaigns, grantees similarly reported that the percentage of adolescents and young adults served ranged from 0.1 percent (Indiana) to 100 percent (United States Virgin Islands). However, most of the grantees reported percentages that fell in the range of 18 to 46 percent.", "For treatment and recovery services, grantees reported that the percentage of all persons served who were adolescents and young adults ranged from 8 percent (District of Columbia) to 100 percent (Red Lake Band of Chippewa Indians). However, most of the grantees reported percentages that fell in the range of 17 to 26 percent. (See app. I for the percentages of persons served that were adolescents and young adults, by grantee.)", "In addition to the Substance Abuse Prevention and Treatment Block Grant, other federal grant programs provide funds for prevention, treatment, and recovery services across age groups, but do not specifically target adolescents and young adults. For example, the State Targeted Response to the Opioid Crisis grant program, administered by SAMHSA, aims to help states and others reduce the number of opioid overdose related deaths by providing funds for prevention, treatment, and recovery services for opioid use disorders. In fiscal year 2017, SAMHSA awarded about $485 million in grants to 50 states, the District of Columbia, and 6 territories through this program. As another example, the Targeted Capacity Expansion: Medication Assisted Treatment \u2013 Prescription Drug and Opioid Addiction grant program, also administered by SAMHSA, provides funding to states to expand access to medication- assisted treatment services as well as recovery services among individuals with opioid use disorders. In fiscal year 2017 SAMHSA awarded $31 million in additional grants to 6 states through this program."], "subsections": []}]}, {"section_title": "NIDA Had 186 Active Grant-Funded Research Projects Focused on Substance Use Prevention, Treatment, and Recovery among Adolescents and Young Adults in 2017", "paragraphs": [], "subsections": [{"section_title": "Most of NIDA\u2019s 186 Active Grant-Funded Research Projects for Adolescents and Young Adults in 2017 Focused on Substance Use Prevention", "paragraphs": ["Our analysis found that HHS\u2019s NIDA had 186 active grant-funded research projects focused on illicit substance use prevention, treatment, or recovery among adolescents and young adults in October and November 2017, and most of these projects addressed substance use prevention. Specifically, 126 research projects, or about 68 percent of NIDA\u2019s ongoing research projects for this population, involved research related to preventing the use of illicit substances, such as the use of marijuana or nonmedical use of opioids and other prescription drugs. The remaining 60 projects, or about 32 percent, involved research related to treatment for or recovery from the use of illicit substances among adolescents and young adults, or a combination of categories (e.g., substance use prevention, treatment, and recovery). Among the categories of research projects, the fewest involved research exclusively about recovery (4 out of 186 projects, or about 2 percent), as shown in table 3. Our analysis also found that about 12 percent of the ongoing projects (22 of 186) involved the use of brain imaging in research on prevention, treatment, or recovery. In total, of the 186 research projects that were active in October and November 2017, 135 received $61.3 million in grants from NIDA in fiscal year 2017. NIDA did not provide awards in fiscal year 2017 for the remaining 51 projects that were active in October and November 2017.", "The following examples illustrate the types of research activities funded by the prevention, treatment, and recovery grants identified in our review:", "Prevention research projects. One research project involved testing whether a parenting intervention is associated with lower substance use and other high-risk behaviors among adolescents in the long term, including how such outcomes relate to genetic risk factors. The project\u2019s participants included 731 adolescents to be assessed over multiple years. The project planned to collect DNA; observations of family interaction; parent, youth, and teacher reports regarding adolescents\u2019 conduct; and assessments of their peer environments.", "Treatment research projects. One research project involved testing the effectiveness of the use of the medication naltrexone (extended release), compared to the use of buprenorphine in treating adolescents and young adults with opioid use disorders. The project\u2019s participants included 340 adolescents and young adults and the project planned to provide counseling to the participants during the course of the study. The project planned to assess a variety of outcomes after 3 and 6 months, including the number of days participants were in treatment, participants\u2019 use of opioids as well as other drug and alcohol use, and the cost- effectiveness of the treatment.", "Recovery research projects. One research project involved testing the effectiveness of a smartphone application to deliver recovery services to adolescents after they received treatment for a substance use disorder, compared to a control group of adolescents that received recovery services via traditional methods. Examples of recovery services delivered with a smartphone application include participating in online recovery group discussions and receiving motivational messages. The project\u2019s participants included 400 adolescents to be assessed over a 9-month period. The project planned to collect a variety of information, such as how frequently participants used the smartphone application, how long they abstained from substance use, and their quality of life."], "subsections": []}, {"section_title": "In Fiscal Year 2017, NIDA and Nine Other HHS Entities Funded a Large Study Examining the Effects of Substance Use on Adolescent Brain Development", "paragraphs": ["In fiscal year 2017, NIDA and nine other entities within HHS provided grant funding for a large study\u2014the Adolescent Brain Cognitive Development study\u2014designed to examine the effects of substance use and other factors on development of the adolescent brain. This study was established as a result of the collaboration of several federal agencies that determined such a study was needed because of gaps in knowledge about how substance use and other factors affect brain development. This study is a longitudinal study that plans to collect data from a sample of about 11,000 children across the country for 10 years, beginning when they are 9 or 10 years old. Twenty-one research sites across the country were selected to collect information from children about their brain development, genetics, substance use, mental health, physical health, environment, and other measures. In addition, this study is funding a data analysis and informatics center to develop the procedures for data collection, create and maintain a common database pooling data from all of the research sites, and conduct data analysis. According to NIDA officials, data from the Adolescent Brain Cognitive Development study will be made available to researchers for future use through a data archive. In fiscal year 2017, 15 federal grants provided funding for this study, of which NIDA contributed $18.1 million."], "subsections": []}]}, {"section_title": "Stakeholders Identified Gaps in Services and Research for Adolescents and Young Adults, and Ongoing Federal Efforts Aim to Address Gaps Stakeholders Identified Gaps in Services for Adolescents and Young Adults, and Federal Agencies Have Ongoing Efforts to Address Them", "paragraphs": ["Stakeholders that we interviewed identified various gaps in services, and among the most frequently cited were a lack of available recovery services and treatment providers for adolescents and young adults with substance use disorders. They also identified gaps in substance use prevention services such as a lack of prevention services tailored for certain subgroups within these ages. In general, officials from the agencies in our review agreed that these gaps exist, and described actions the agencies are taking that may help address them."], "subsections": [{"section_title": "Stakeholders Identified Gaps in Research, Such as for Adolescent-Specific Substance Use Treatment Services, and in Recovery Services for both Adolescents and Young Adults", "paragraphs": ["Stakeholders that we interviewed commonly identified gaps in research concerning adolescent-specific substance use treatment approaches, as well as in recovery services for both adolescents and young adults. They also identified other gaps, such as a lack of knowledge about how to effectively communicate to adolescents and young adults the harms of substance use. Officials from HHS\u2019s NIDA agreed that such gaps in research exist.", "Gaps in substance use research related to adolescents and young adults. Stakeholders commonly identified the following gaps in research:", "Substance use disorder treatment with adolescents. Four of the stakeholders we interviewed identified gaps in adolescent- specific substance use disorder treatment research. Officials from one research organization said that it can be challenging to recruit a sufficient number of adolescents with a substance use disorder to participate in research studies focused on substance use treatment, both because fewer adolescents have such disorders compared to adults, and because adolescents\u2014or potentially their parents\u2014may be in denial about the need for treatment. These officials further stated that having too few funding announcements that focus on adolescent-specific research contributes to the gaps in research in this area, because it is easier for researchers to simply work with adults when announcements do not specify an age group of interest. An official from another research organization said there is also a gap in knowledge about how to deliver treatment services to adolescents in ways that are developmentally appropriate. The official stated that adolescents who receive treatment services generally are less likely to complete substance use disorder treatment, and, as a result, additional research is needed to identify how to engage and retain adolescents in a developmentally appropriate way. The official explained that adolescents often do not believe they need treatment and are not certain they want to stop using substances.", "Recovery services. Three of the stakeholders we interviewed identified gaps in recovery service research for adolescents and young adults. Officials from one advocacy and education organization said there has been little research conducted to determine the types of recovery services that are most effective for adolescents in preventing relapse. Officials from one research organization said that it would be beneficial to develop a variety of recovery services, since services are likely to vary in effectiveness for different groups of adolescents and young adults.", "Translating research into practice. Three of the stakeholders we interviewed identified gaps in knowledge about how to translate evidence-based services from research into sustainable, real world practices. For example, an official from one research organization explained that translating evidence-based treatment services from research into real world settings can be difficult for a variety of reasons\u2014such as, because services that are grant- funded may have components that are impractical to implement or are not reimbursable. The official said one example of such an impractical component would be having an expert observer periodically rate the fidelity of providers\u2019 implementation of the service\u2014a component that makes sense when testing the efficacy of the service under the grant, but which can be disruptive to workflow and may not be reimbursable by insurers once the grant ends. Officials from another research organization similarly commented that more research is needed to identify which components of services make them effective.", "Communicating harms of substance use. Officials from two of the three research organizations identified a gap in knowledge about how to effectively communicate the harms of substance use to adolescents and young adults. They stated that it is particularly difficult to effectively communicate the harms of cannabis to adolescents and young adults. One official explained that societal changes in attitudes towards cannabis have made it more difficult to convince adolescents of both its harm and of the need for treatment when its use develops into a substance use disorder.", "Federal response to gaps in research. Officials from NIDA agreed that these gaps in research exist and explained that while additional research is needed to address them, the process by which NIDA funds research through grants ultimately relies on researchers to submit proposals for consideration. While NIDA officials stated that researchers can submit proposals for research projects addressing adolescent or young adult substance use prevention, treatment, or recovery under general funding announcements for grants, NIDA also had eight funding announcements (as of May 2018) that either focused on these age groups or included them as a population of interest, three of which were new as of fiscal year 2018."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS, DOJ, ONDCP, and Education for comment. HHS, DOJ, and ONDCP provided technical comments, which we incorporated as appropriate. Education did not have comments on our draft.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of the Departments of Health and Human Services, Justice, and Education; the Director of the Office of National Drug Control Policy; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: The Use of Substance Abuse Prevention and Treatment Block Grant Funds for Adolescents and Young Adults", "paragraphs": ["Table 4 shows the percentage of persons who were provided services with Substance Abuse Prevention and Treatment Block Grant funds in 2014, and who were also identified by grantees as being adolescents or young adults. Percentages are listed for two broad types of substance use prevention services (individual and population-based), as well as substance use disorder treatment and recovery services. Substance Abuse Prevention and Treatment Block Grant grantees include states, territories, and one federally recognized tribe."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gerardine Brennan, Assistant Director; Pamela Dooley, Analyst-in-Charge; Spencer Barr; and Brandon Nakawaki made key contributions to this report. Also contributing were Kaitlin Farquharson, Derry Henrick, and Laurie Pachter."], "subsections": []}]}], "fastfact": ["About 16 percent of adolescents and 38 percent of young adults used illicit substances in 2016. Most young adults who develop substance use disorders begin using in adolescence.", "There are federal grants that fund drug addiction treatment for adolescents and young adults. But most of the stakeholders we talked to believed that there are too few studies about drug addiction treatment for adolescents, too few providers to treat these patients, and too few services to sustain their recovery.", "Federal agencies are working to address these shortages, including a new grant to expand access to recovery services for adolescents and young adults."]} {"id": "GAO-19-122", "url": "https://www.gao.gov/products/GAO-19-122", "title": "Federal Protective Service: DHS Should Take Additional Steps to Evaluate Organizational Placement", "published_date": "2019-01-08T00:00:00", "released_date": "2019-01-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FPS, within DHS's NPPD, conducts physical security and law enforcement activities for about 9,000 federal facilities and the millions of employees or visitors who work in or visit these facilities. FPS moved from GSA to DHS's ICE in 2003 and to NPPD in 2009. GAO has reported that FPS faced challenges in each location. Legislation enacted in November 2018 requires DHS to review placement options for FPS and could result in FPS moving again within DHS or to another executive branch agency.", "GAO was asked to review issues related to organizational placement options for FPS. This report examines (1) the potential effects of FPS's placement in selected agencies and (2) steps DHS has taken to assess placement options for FPS. GAO identified five key organizational placement criteria based on prior work and identified eight agencies as potential placement options. The agencies were selected because they have the largest number of law enforcement officers or perform physical security, among other reasons. GAO reviewed documentation and interviewed officials from FPS, selected agencies, and key stakeholders. GAO compared agencies to FPS to determine if they meet the organizational placement criteria. An agency meets the criteria if it has similarities to FPS."]}, {"section_title": "What GAO Found", "paragraphs": ["In considering organizational placement options for the Department of Homeland Security's (DHS) Federal Protective Service (FPS), GAO found that none of the eight agencies GAO selected met all the key organizational placement criteria; thus, any of the organizational placement options could result in both benefits and trade-offs. For example, keeping FPS in DHS's National Protection and Programs Directorate (NPPD) could provide FPS some benefits because FPS and NPPD have missions that include the protection of infrastructure or specific facilities, facility protection responsibilities, and access to and sharing of information related to national homeland security. However, unlike FPS, NPPD does not perform both physical security and law enforcement activities, which is a potential trade-off. In another example, the General Services Administration (GSA) and the United States Marshals Service (Marshals) could provide benefits because they currently coordinate with FPS on facility protection. However, Marshals does not have a mission or goals that explicitly focus on the protection of infrastructure or facilities and GSA does not perform law enforcement, which are potential trade-offs.", "DHS has not taken key steps to fully assess potential placement options. Specifically, DHS has not assessed the organizational structure of FPS, such as its placement in NPPD, even though FPS and NPPD have evolved since FPS was placed in NPPD in 2010. Standards for Internal Control state that agency management should establish an organizational structure to achieve the agency's objectives and that an effective management practice for attaining this outcome includes periodically evaluating the structure to ensure that it has adapted to changes. Additionally, because DHS did not analyze FPS's current placement in NPPD, DHS does not have a benchmark for comparison to other agencies. DHS recently established a working group to assess the placement of FPS. However, the group's planned activities are limited in several ways. For example, the group's draft charter does not indicate that the working group will describe what DHS expects to achieve by changing FPS's placement. Further, the draft charter does not indicate that the working group will evaluate the benefits and trade-offs of placement options. GAO has previously identified these and other steps as key to successful organizational change or analysis of alternatives. These steps would help DHS address the 2018 legislation to review placement options for FPS\u2014including, how DHS considered the results of GAO's review. Regardless of the legislation, DHS may not be positioning itself to make an informed decision as to what organization best supports FPS."]}, {"section_title": "What GAO Recommends", "paragraphs": ["DHS should identify the expectations for changing FPS's placement and take steps to fully evaluate placement options. DHS concurred with the recommendations and outlined steps it plans to take to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["For almost 50 years, the Federal Protective Service (FPS) has been charged with protecting federal facilities and the employees and individuals who work in or visit them. Specifically, FPS provides physical security and law enforcement services at about 9,000 facilities, a majority of which are held or leased by the General Services Administration (GSA). In the 1970s, GSA created FPS as part of its Public Buildings Service (PBS). Since then, FPS has been moved twice\u2014in 2003 to the Department of Homeland Security\u2019s (DHS) Immigration and Customs Enforcement (ICE) and in 2009 to DHS\u2019s National Protection and Programs Directorate (NPPD).", "The organizational placement of an office or agency can affect its performance and ability to meet its mission. During FPS\u2019s current and previous organizational placements, FPS experienced a number of operational, management, and funding challenges, which had a bearing on FPS\u2019s ability to accomplish its mission. FPS has made progress in addressing some issues, but others persist. Legislation enacted in November 2018 could lead to FPS moving again.", "Given your interest in ensuring that FPS fully addresses challenges so that it can effectively carry out its duties, as well as any statutory changes that may result in FPS moving again, you asked us to review issues related to current or future organizational placement options for FPS. This report examines: the potential effect of FPS\u2019s placement in selected agencies based on key criteria for evaluating organizational placement, and steps DHS has taken to assess placement options for FPS.", "To conduct this work, we reviewed our prior work related to organizational transformation, work in which we identified organizational and accountability criteria that Congress should consider when determining which agencies to include or exclude from the newly created DHS (at that time, 2002). The criteria are relevant to our review of FPS\u2019s organizational placement as Congress considers whether (or where) to place FPS in various agencies within or outside it. For each criterion, we also identified elements (i.e., characteristics) that are specific to FPS based upon our review of FPS documents and our prior work on topics related to the criteria, our discussions with federal officials, an association representing federal law enforcement officers, and a former high-ranking official in NPPD with knowledge of FPS.", "We applied these key criteria to eight agencies that could be potential organizational placement options for FPS. We identified these agencies based upon: agencies with the largest number of law enforcement officers, agencies that provide physical security services, agencies where FPS was previously, or is currently placed, or", "FPS\u2019s management preference (see table 1).", "At FPS and each of the selected agencies, we reviewed documentation and interviewed officials to identify similarities, differences, and other considerations with regard to each of the five key criteria. For the first four key criteria\u2014(1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; and (4) information sharing and coordination\u2014we determined that a selected agency met the criteria if the agency or its subcomponents have any similarities to FPS. For the last criterion\u2014 mission support\u2014we determined that a selected agency met the criterion if the agency or its subcomponents have mission support similar to FPS or could provide mission support that FPS needs. Although we used the key criteria to assess the eight agencies we selected, the criteria can be used to assess any potential placement option for FPS. Our analysis is based on the selected agencies\u2019 operations at the time of our review.", "We also obtained views from stakeholders on the alignment between FPS and the selected agencies as well as on the potential placement options. These stakeholders include officials from FPS, the selected agencies, as well as: representatives from unions that represents NPPD employees, including FPS employees, and Protective Security Officers (i.e., contract guards); representatives from associations of federal law enforcement officers and contract guard companies; officials from selected agencies that coordinate with or use FPS for", "Department of Justice for law enforcement coordination; Internal Revenue Service and the Social Security Administration as large users of FPS facility protection; officials from DHS\u2019s Interagency Security Committee, which develops the security standards for non-military federal facilities; and staff from the Office of Management and Budget (OMB).", "We also obtained views from a former high-ranking official in NPPD with knowledge of FPS. The results of these interviews are non-generalizable to all of FPS\u2019s stakeholders but provide useful examples of considerations related to various placement options.", "We also reviewed Standards for Internal Control in the Federal Government for relevant management responsibilities, such as determining if FPS\u2019s current organizational placement in NPPD is optimal and effectively achieves the agency\u2019s objectives. And, we reviewed our prior reports on key practices and questions for organizational change and best practices for an analysis of alternatives process. We used practices identified in these reports as well as internal controls to assess the steps DHS has taken to assess placement options for FPS. See appendix I for more details on our scope and methodology.", "We conducted this performance audit from June 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["While its core mission of protecting federal facilities has remained constant as FPS moved from one agency to another, its responsibilities have changed. While in GSA\u2019s PBS, FPS was responsible for protecting GSA held-or\u2013leased facilities, providing both physical security and law enforcement services. To protect buildings, FPS officers developed physical security risk assessments, installed security equipment, and oversaw contract guard services. As a part of its law enforcement services, among other duties, FPS officers enforced laws and regulations aimed at protecting federal facilities and the persons in such facilities and conducted criminal investigations. Following the September 11, 2001 attacks, the Homeland Security Act of 2002 was enacted; it created DHS and moved FPS from GSA to the new department, effective in March of 2003. Within DHS at ICE, FPS\u2019s responsibilities grew beyond solely protecting GSA buildings to include homeland security activities such as implementing homeland security directives and providing law enforcement, security, and emergency-response services during natural disasters and special events.", "In 2009, DHS proposed transferring FPS from ICE to NPPD. In explaining the proposed transfer in DHS\u2019s fiscal year 2010 budget justification to Congress, DHS noted that this move would allow ICE to focus on its law enforcement mission of protecting the American people by targeting the people, money, and materials that support terrorist and criminal activities relating to our nation\u2019s borders. DHS noted that FPS should reside within NPPD given that both agencies had responsibilities for implementing the National Infrastructure Protection Plan. DHS further noted that FPS would be able to gain synergy by working alongside NPPD\u2019s Office of Infrastructure Protection and that having FPS and the Office of Infrastructure Protection in the same organization would further solidify NPPD as DHS\u2019s lead for critical infrastructure protection. The fiscal year 2010 DHS appropriations act, which was signed into law on October 28, 2009, funded FPS under NPPD via revenue and collections of security fees. While in NPPD, FPS continued to lead physical security and law enforcement services at GSA-held or GSA-leased facilities and continued its efforts in homeland security activities.", "Throughout FPS\u2019s different organizational placements in DHS, we have reported that FPS faces persistent challenges meeting its mission to protect facilities. In 2003, we designated federal real-property management as a high-risk area, in part, because of physical security challenges at federal facilities, such as the need for a risk-based approach to determining the level of security required. In 2011, we reported on FPS\u2019s challenges in transferring mission support functions when transitioning from ICE into NPPD. While FPS has been in NPPD, we also reported on challenges FPS faced, such as in performing risk assessments, managing and overseeing contract guards, collaborating with GSA and the Marshals on facility security, and funding its operations. We made recommendations to help address these challenges, and FPS has made progress in addressing some of these recommendations. For example, FPS (1) developed a Modified Infrastructure Survey Tool to help it more effectively perform risk assessments, (2) coordinated with GSA and other agencies to reduce unnecessary duplication in risk assessments, (3) implemented new procedures to better manage and oversee contract guards, and (4) as of September 2018, established a formal agreement with GSA on roles and responsibilities related to facility protection. However, as we discuss later in this report, challenges related to other aspects of overseeing contract guards, collaborating with GSA and Marshals, and funding persist.", "In November 2018, legislation was enacted that could result in FPS moving for a third time, although the location has not been determined. This legislation\u2014which reorganizes NPPD to an organization that has a greater statutory focus on managing cyber risks\u2014requires the Secretary of Homeland Security to, within 90 days after the completion of our review, determine the appropriate placement for FPS within DHS and begin transfer of FPS to that entity. If the Secretary determines that DHS is not an appropriate placement for FPS, the Secretary would be required to submit to the Director of OMB and Congress an explanation for the reasons of such a determination\u2014including, among other things, how DHS considered the results of our current review\u2014and a recommendation on the appropriate placement of FPS within the executive branch of the federal government.", "When DHS was established, we identified organizational and accountability criteria for the department. From this prior work, we identified key criteria that are relevant to assessing potential placement options for FPS, as shown in table 2.", "In addition, other practices provide valuable insights for agency officials to consider when evaluating or implementing a reorganization or transformation. For example, we have previously reported (1) on key practices and questions for organizational transformations, mergers and consolidations, and agency reform efforts and (2) on best practices for the analyses of alternatives. We reported that organizational transformations, such as a change in organizational placement, can take many years to fully implement, can result in reduced productivity and morale in the short-term, and may require up-front investments. Therefore, we found that these practices and questions offer valuable insights for agency officials to consider when evaluating or implementing a reorganization or transformation. For example, in May 2012, we reported that a key practice in organizational change is for agency officials to identify and agree on the specific goals of the change\u2014that is, what the agency expects to achieve by making the change\u2014or the problems a change will solve. In July 2003, we reported that implementing a large-scale organizational transformation requires the concerted efforts of both leadership and employees to accomplish new organizational goals. In October 2015, we identified best practices for analyzing alternatives, such as defining criteria to assess alternatives, identifying a range of alternatives to assess, and analyzing the benefits and trade-offs of each alternative."], "subsections": []}, {"section_title": "Moving FPS to Any of the Selected Agencies Evaluated Would Result in Both Benefits and Trade- offs", "paragraphs": ["We found that none of the selected agencies met all the organizational placement criteria; thus, any of the organizational placement options could result in both benefits and trade-offs. Officials from FPS and some of the selected agencies as well as representatives from other stakeholders we interviewed (e.g., an association of federal law enforcement officers, a union representing FPS employees, and others) provided us with examples of how those benefits and trade-offs might affect FPS.", "In instances where selected agencies met organizational placement criteria (that is, in instances where selected agencies were similar to FPS), FPS could experience benefits. See table 3 for a summary of how selected agencies met and did not meet key organizational placement criteria, and appendix II and III for additional details. For example, for the mission, goals, and objectives criterion, DHS, NPPD, and Secret Service could provide benefits to FPS because, like FPS, their mission or goal statements as noted in their strategic plans include an explicit focus on the protection of infrastructure or specific facilities. Also, GSA has a statutory facility protection mission. Our prior work found that placing an agency into an organization that has a similar mission may help ensure that the agency\u2019s mission receives adequate funding, attention, visibility, and support. For the responsibilities criterion, DHS, CBP, Secret Service, Justice, and the Marshals could provide benefits to FPS, because all of these agencies, like FPS, perform both physical security and law enforcement activities. In the past, FPS faced challenges ensuring that both these activities were prioritized, according to FPS officials. Officials explained that a parent agency that is able to focus on both activities could help ensure equal and adequate attention in both areas. While there are similarities in responsibilities between FPS and these agencies, there are differences in the extent to which and for what purpose these agencies perform the responsibilities, some of which we discuss following table 3.", "Because none of the agencies met all criteria, placing FPS in any of the selected agencies would require trade-offs. For example:", "While placing FPS in DHS, NPPD, or the Secret Service may provide FPS benefits in areas related to mission, responsibilities, and information sharing, there could be some adverse effect on FPS\u2019s law enforcement operations or other activities. Specifically, as discussed above, placement in DHS, NPPD, or the Secret Service could provide FPS benefits because these agencies have similar missions and facility protection responsibilities, and have access to and share information related to national homeland security that FPS needs to carry out its mission. However, NPPD, for example, does not perform law enforcement activities. Therefore, according to FPS officials, FPS\u2019s law enforcement activities may not continue to receive full attention. Further, keeping FPS in NPPD may not address some of the challenges related to culture, such as morale issues that, according to an official from the association of law enforcement officers, stem in part from FPS not being placed in a law enforcement organization. If placed in the Secret Service, this agency may not have the administrative capacity to handle the additional FPS human capital workload. Secret Service officials told us that they have a staffing shortage, which is exacerbated by the time it takes to vet applicants and process new staff through background checks and security clearances.", "As another example, FPS\u2019s placement in GSA or Marshals could enhance coordination among these agencies, but there could be some adverse effect on FPS\u2019s ability to carry out its mission or responsibilities. Specifically, GSA and Marshals could be appropriate choices as these agencies currently coordinate with FPS on facility protection. For GSA\u2019s held or leased facilities, FPS is primarily responsible for protecting federal employees and visitors in those facilities while GSA, as the federal government\u2019s landlord, performs some physical security activities, such as funding and repairing security fixtures. At federal courthouses, FPS is the primary federal agency responsible for patrolling and protecting the perimeter while Marshals is responsible for the security of the federal judiciary and as such provides for security inside the building. However, we have found challenges FPS has faced in coordinating with these agencies. In December 2015, for example, we found that FPS and GSA had not agreed on a common outcome related to facility protection or the roles and responsibilities to accomplish their missions. Further, in September 2011, we reported that FPS and Marshals faced challenges related to coordination, such as in the implementation of roles and responsibilities and the use or participation in existing collaboration mechanisms. In September 2018, NPPD and GSA signed a memorandum of agreement that, among other things, describes FPS\u2019s and GSA\u2019s roles and responsibilities, and FPS, Marshals, and other agencies involved in protecting courthouses (i.e., GSA and the Administrative Office of the U.S. Courts) are working to finalize a separate agreement for courthouse security. As these agreements are implemented, coordination between these agencies should improve as we have previously reported that establishing clear roles and responsibilities, in agreements or through other mechanisms, contribute to effective coordination. In addition, Marshals may be a good placement option for FPS since both agencies perform physical security and law enforcement activities, and because both agencies use a large number of contract guards. However, because FPS does not share mission and goals with Marshals, it may be less equipped to prioritize FPS\u2019s activities in the law enforcement and physical security areas. Justice and Marshals officials said that, in their view, Marshals is different from FPS because Justice and Marshals perform limited physical security activities and have an extensive law enforcement mission, while the opposite is the case for FPS. Further, Marshals officials said that FPS\u2019s and Marshal\u2019s law enforcement activities support different purposes\u2014with Marshals supporting a violent-crime reduction mission and FPS supporting a facility protection mission. As a result, Marshals officials said that FPS\u2019s facility protection mission may not receive full attention. Regarding contract guards, Marshal\u2019s guard force is smaller, performs different activities, and has different requirements compared to FPS\u2019s guard force. Regarding GSA, while GSA performs some physical security activities, it does not perform law enforcement, which is a critical part of FPS\u2019s responsibilities and, according to some stakeholders we interviewed, a key aspect of FPS\u2019s culture. GSA also does not have the same access to information related to national homeland security as FPS currently has, and therefore, FPS\u2019s access to this information could be affected, according to officials.", "Finally, various placement options could help FPS address some of its long-standing challenges such as in overseeing contract guards, collaborating with GSA and the Marshals, and funding. However, these placements could also affect whether FPS\u2019s needs are prioritized. For example, placing FPS in GSA or the Marshals may further help address coordination challenges. Additionally, placing FPS in GSA could address challenges FPS faces with funding. If placed in GSA, GSA and FPS could consider whether to use the Federal Buildings Fund for security projects related to facility management, such as installing cameras. OMB staff said that there are limitations with the Federal Buildings Fund, such as the amount of funding available for security projects. Further, the adverse effect of placing FPS in either GSA or the Marshals is that Marshals does not share mission and goals with FPS and that GSA does not have law enforcement responsibilities; therefore, these agencies may not prioritize FPS\u2019s needs.", "For additional information on how the various agencies met each criterion, see appendixes II and III."], "subsections": []}, {"section_title": "DHS Has Not Taken Key Steps to Fully Assess Potential Placement Options", "paragraphs": ["When managing an agency or considering an organizational change, such as that of FPS\u2019s placement within or outside of DHS, our prior work has stated that an agency can benefit from periodically evaluating its organizational structure, identifying what a change is expected to achieve, and analyzing alternatives. Specifically, Standards for Internal Control in the Federal Government states that agency management should establish an organizational structure to achieve the agency\u2019s objectives. According to the Standards, an effective management practice for attaining this outcome includes periodically evaluating the organizational structure to ensure that it meets its objectives and has adapted to changes. We have also reported that a key practice in organizational change is to identify and agree on what a change is expected to achieve or the problems the change will solve. The process of defining such expected outcomes can help decision makers reach a shared understanding of what challenges need to be addressed. Furthermore, we have reported on best practices for analyzing alternatives to help ensure that agencies select the option that best meets their needs. These practices can be applied to a wide range of activities or programs in which an alternative must be selected from a set of possible options. The practices include assessing the current environment to provide a basis for comparison with other alternatives and identifying and assessing benefits and trade-offs of each alternative.", "However, DHS has not taken key steps to fully assess potential placement options. Specifically, DHS has not assessed the organizational structure of FPS, such as its placement in NPPD, even though both have evolved since FPS was placed in NPPD in 2010. For example, NPPD has increased its focus on protecting the nation\u2019s cyber infrastructure as threats in this area have grown, and its funding for this purpose has increased. In light of these changes, in 2015 and 2016, DHS proposed that NPPD restructure itself to increase its focus on cybersecurity. However, the proposals did not include an assessment of FPS\u2019s organizational placement. The November 2018 legislation gave NPPD a greater statutory focus on cyber risk and may result in additional changes to the organization\u2019s activities. Additionally, while in NPPD, FPS also has been increasingly engaged in providing law enforcement for homeland security, with the establishment of a rapid protection force of that can respond to heightened threat situations. Given these changes, without an assessment, DHS cannot be certain that FPS is currently placed in an agency that enables FPS to meet its mission.", "Additionally, because DHS did not analyze FPS\u2019s current placement in NPPD, it does not have a benchmark for comparison to other agencies. Without such an analysis, it is unclear whether FPS needed to be moved from NPPD. On one hand, FPS made progress while placed in NPPD in addressing many of our recommendations, and some stakeholders we spoke with (officials from DHS and NPPD) said that FPS was in the right place in NPPD. For example, a DHS official stated that from a resource perspective there was no good reason to move FPS out of NPPD as the official had not seen a business case to do so. Additionally, an NPPD official stated that mission alignment and an opportunity to influence the national facility-security policy were compelling reasons for FPS to stay in NPPD. Further, NPPD officials said that FPS was meeting its mission and objectives. On the other hand, FPS continued to experience challenges in carrying out its mission in NPPD\u2014such as in overseeing contract guards, collaborating with GSA and the Marshals, and having adequate funding\u2014 such that questions have been raised as to whether placing FPS in NPPD was successful.", "DHS has recently initiated an effort to evaluate FPS\u2019s placement, but it lacks several of the elements for a successful evaluation. Specifically, in August 2018, DHS, NPPD, and FPS established a working group with a draft charter with the objective of making a recommendation to the Secretary of Homeland Security on the organizational placement of FPS within DHS. The working group\u2019s evaluation criteria for FPS placement consist of mission, command and control, resources, implementation schedule, and workforce and culture. While establishing this group and identifying criteria are positive steps in assessing FPS\u2019s placement, the group\u2019s planned activities are limited in several ways. For example, while the charter is a draft, it does not indicate that the working group will describe what changing FPS\u2019s placement is expected to achieve. This factor is particularly important given that each placement option has its benefits and trade-offs and that stakeholders\u2019 opinions of the options varied. Changing FPS\u2019s placement could include: addressing one or more of the key criteria previously discussed in this addressing some or all of the challenges that persist, such as in collaboration or contract guard oversight; or a combination of both.", "Further, the draft charter does not indicate that the working group will evaluate agencies outside of DHS or incorporate best practices for analyzing alternatives, such as evaluating FPS\u2019s current placement in NPPD and the benefits and trade-offs of placement options. Without conforming to the best practices, DHS will not have assurance that the working group recommends the alternative that best meets mission needs.", "DHS\u2019s current approach to evaluating FPS\u2019s placement limits DHS\u2019s ability to reliably assess the merits of placement options supported by GSA and FPS. GSA officials said GSA would take FPS and moving FPS back to GSA could benefit tenants in federal facilities, strengthen security support, and reduce redundancies because both agencies have federal facility protection responsibilities. Further, according to GSA, if consolidated under GSA, FPS could become more efficient, better manage costs, and leverage acquisition processes by making use of GSA\u2019s existing services. FPS officials stated that they prefer FPS to be a standalone entity that reports directly to DHS leadership. According to FPS, being a standalone agency in DHS would establish the protection of federal facilities as a critical mission of DHS and provide FPS with the direct support of DHS leadership. Further, according to FPS officials, having this support would better enable them to carry out their mission. However, neither GSA nor FPS has conducted analyses to support their preferences, and DHS is not planning to look at options outside of DHS at this time. As a result, DHS cannot fully assess FPS\u2019s or GSA\u2019s positions.", "Once DHS identifies what it expects to achieve by moving FPS, in line with key practices for organizational change, and establishes an evaluation approach that reflects best practices for an analysis of alternatives, it will be in a position to best assess benefits and trade-offs previously discussed. In absence of these steps, DHS may not be positioning itself to make an informed decision as to what organization best supports FPS."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Over the past 15 years, FPS has been located in three different agencies (GSA, ICE, and NPPD), and there continues to be disagreement about whether it is currently in the best place to achieve its objectives. Further, agency and stakeholder opinions vary about where and whether FPS should move. DHS has established a working group to evaluate placement options for FPS. However, the working group\u2019s planned activities do not include key steps to fully assess potential placement options. Specifically, while the group\u2019s charter is a draft, it does not state whether it plans to assess FPS\u2019s current placement in NPPD, what DHS expects to achieve by changing FPS\u2019s placement, or effective placement options for relocating FPS.", "These steps would help DHS address legislation enacted in November 2018 requiring the review of placement options for FPS\u2014including how DHS considered the results of our review. Regardless of the legislation, DHS cannot have a complete discussion that leads to an informed decision on FPS\u2019s placement without taking these steps. Identifying the expected outcomes of changing FPS\u2019s placement and performing analyses are critical because organizational change can take many years to fully implement, can result in reduced productivity and morale in the short-term, and may require up-front investments. Without determining what it expects to achieve by moving FPS and conducting an evaluation using appropriate criteria, DHS may not be well-positioned to identify an organization that best supports FPS."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Secretary of Homeland Security: The Secretary of Homeland Security\u2014in consultation with NPPD and FPS\u2014should identify the specific goals of a change in FPS\u2019s placement\u2014 that is, what DHS expects to achieve by moving FPS to another agency. (Recommendation 1)", "The Secretary of Homeland Security\u2014in consultation with NPPD, FPS, and other agencies as relevant\u2014should fully evaluate placement options for FPS based on what DHS expects to achieve by changing FPS\u2019s placement, an assessment of FPS\u2019s current placement, and other best practices such as an analysis of alternatives assessing the benefits and trade-offs discussed in this report. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to DHS, GSA, Justice, and OMB for comment. In its comments, reproduced in appendix IV, DHS concurred with our recommendations and outlined steps it plans to take to address them. DHS also provided technical comments, which we incorporated as appropriate. GSA, Justice, and OMB only provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, the Administrator of General Services, the Attorney General, the Director of OMB, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact me at (202) 512-2834 or RectanusL@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["To address our objectives, we reviewed our prior work related to organizational transformation, where we identified organizational and accountability criteria that Congress should consider when determining which agencies to include or exclude from the newly created DHS. The criteria are relevant to our review of FPS\u2019s organizational placement as Congress considers whether to include or exclude FPS in various agencies within and outside DHS. We selected a subset of the criteria that are the most relevant to FPS\u2019s organizational placement to include in our review. For each criterion, we also identified elements (i.e., characteristics) that are specific to FPS based upon our review of FPS documents and our prior work on topics related to the criteria, and our discussions with federal officials with experience in facility security, the Federal Law Enforcement Officers Association, and a former high-ranking official in NPPD with knowledge of FPS.", "To identify challenges facing FPS, we reviewed our past work and the status of our prior recommendations, and interviewed stakeholders and agency officials. We reviewed pertinent proposed and enacted legislation related to DHS\u2019s reauthorization and FPS. We reviewed Standards for Internal Control in the Federal Government for relevant management responsibilities. And, we reviewed our prior reports on key practices and questions for organizational change and best practices for an analysis of alternatives process. We used practices identified in these reports as well as internal controls to assess the steps DHS has taken to assess placement options for FPS.", "We applied the key criteria to eight selected agencies in DHS, GSA, and the Department of Justice (Justice) that we determined could be potential organizational placement options for FPS, as shown in table 4.", "We selected three of our eight placement options (CBP, ICE, and Secret Service) based upon our review of the most recently available data from the Department of Justice on the number of federal law enforcement officers. We selected these three agencies because they employed the largest number of law enforcement officers within DHS. Our selection of agencies with federal law enforcement officers is relevant because FPS employs such officers. We selected three options (GSA, NPPD, and a standalone entity in DHS) because FPS was previously organizationally placed within GSA, is currently placed in NPPD, and because of FPS\u2019s preference to be a standalone entity reporting directly to the Deputy Secretary of DHS. We selected our remaining two options (a standalone entity within Justice and the Marshals) because the duties of the Marshals include law enforcement and protection of federal courthouses and because legislation proposed during our review would have, if enacted, instructed the Secretary of Homeland Security to recommend the appropriate placement of FPS within the executive branch of the federal government. We also identified DHS\u2019s Office of the Chief Security Officer as an office within DHS that has the facility security responsibility for managing contract guards at DHS\u2019s former headquarters at the Nebraska Avenue Complex in Washington, D. C. We determined that this security office is a policy office within DHS\u2019s Management Directorate with its primary mission being the security of DHS employees and a focus on expanding internal security policy. For the purposes of our review, we did not include OCSO as a potential placement option for FPS because the security office does not have a large number of law enforcement officers, plans to divest operational security responsibilities, and was not a previous, current or FPS desired placement. Our exclusion of OCSO does not preclude DHS from assessing OCSO as a placement option for FPS.", "We reviewed documentation and interviewed officials from FPS and the selected agencies to identify similarities, differences, and other considerations with regard to each of the key criteria. For the first four key criteria\u2014(1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; and (4) information sharing and coordination\u2014we determined that a selected agency met the criteria if the agency or its subcomponents have any similarities to FPS. For the last criterion\u2014 mission support\u2014we determined that a selected agency met the criterion if the agency or its subcomponents have mission support similar to FPS or could provide mission support that FPS needs. Although we used the key criteria to assess eight agencies we selected, the criteria can be used to assess any potential placement option for FPS.", "We also reviewed documentation and conducted interviews with stakeholders including: representatives from the Federal Law Enforcement Officers Association; representatives from the American Federation of Government Employees Local 918 (the union that represents NPPD employees\u2014 including FPS); representatives from two unions that represent a large number of Protective Security Officers (i.e., contract guards), the United Government Security Officers of America and Security and", "Security, Police and Fire Professionals Association of America; representatives from the National Association of Security Companies (an association of contract guard companies); officials from agencies that coordinate with or use FPS for facility the Department of Justice for law enforcement coordination and the Internal Revenue Service and the Social Security Administration as large users of FPS facility protection; staff from the Office of Management and Budget; and officials from DHS\u2019s Interagency Security Committee, which develops the security standards for non-military federal facilities.", "We also obtained views from a former high-ranking official in NPPD with knowledge of FPS. Additionally, we obtained views from officials, staff, and representatives from FPS, the selected agencies and stakeholders on the alignment between FPS and the agencies as well as on the potential placement options. The results of these interviews are non- generalizable to all of FPS\u2019s stakeholders but provide useful examples of considerations related to various placement options.", "We conducted this performance audit from June 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comparison of Selected Agencies and the Federal Protective Service (FPS) in Elements Associated with Key Organizational-Placement Criteria", "paragraphs": ["Based on our prior work related to organizational transformation, we identified five key criteria to consider when assessing placement options for FPS: (1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; (4) information sharing and coordination; and (5) mission support. For each criterion, we identified elements that are specific to FPS. We identified these elements from documentation and interviews from federal officials with experience in facility security, the Federal Law Enforcement Officers Association, a former high-ranking official in NPPD with knowledge of FPS, and our review of prior work on topics related to the criteria. We compared selected agencies that could be placement options to FPS in each of the elements\u2014see tables below. The selected agencies are the Department of Homeland Security (DHS), U.S. Customs and Border Protection (CBP), U.S. Immigration and Customs Enforcement (ICE), National Protection and Programs Directorate (NPPD), United States Secret Service (Secret Service), General Services Administration (GSA), Department of Justice (Justice), and the U.S. Marshals Service (Marshals). We assumed that FPS would be a standalone entity in DHS, GSA, and Justice.", "For elements in the first four criteria\u2014(1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; and (4) information sharing and coordination\u2014a \u201cyes\u201d in the table means that any function of the selected agency or its subcomponents have similarities to FPS. For elements in the last criterion\u2014mission support\u2014a \u201cyes\u201d means that any function of the selected agencies or its subcomponents have mission support similar to FPS or could provide mission support that FPS needs. For all criteria, the \u201cyes\u201d designation does not account for the magnitude of the effort or activities performed by each of the selected agencies."], "subsections": []}, {"section_title": "Appendix III: Summary of Selected Agencies\u2019 Similarities and Differences Related to Key Organizational-Placement Criteria", "paragraphs": ["We identified five key organizational placement criteria that are relevant to consider when assessing FPS\u2019s placement: (1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; (4) information sharing and coordination; and (5) mission support. We evaluated whether selected agencies that could be placement options for FPS met the key organizational placement criteria. The selected agencies are the Department of Homeland Security (DHS); U.S. Customs and Border Protection (CBP); U.S. Immigration and Customs Enforcement (ICE); National Protection and Programs Directorate (NPPD); United States Secret Service (Secret Service); General Services Administration (GSA); Department of Justice (Justice); and the U.S. Marshals Service (Marshals). We assumed that FPS would be a standalone entity in DHS, GSA, and Justice.", "For the first four criteria\u2014(1) mission, goals, and objectives; (2) responsibilities; (3) organizational culture; and (4) information sharing and coordination\u2014we determined that a selected agency met the criteria if the agency or its subcomponents have similarities to FPS in relevant elements identified in appendix II. We determined that a selected agency met the mission support criterion if the agency or its subcomponents have similarities to FPS or could provide FPS needed mission support in relevant elements."], "subsections": [{"section_title": "Mission, Goals, and Objectives", "paragraphs": ["FPS\u2019s mission focuses on the protection of federal facilities and the people working in and visiting those facilities.", "In table 10 and subsequent paragraphs, we describe how selected agencies met the mission, goals, and objectives criterion\u2014that is, the selected agencies that were similar to FPS for this criterion\u2014areas of consideration if FPS is placed in those agencies, and how the selected agencies did not meet the criterion.", "DHS, NPPD, and Secret Service are similar to FPS in that their mission statements or goals as stated in their strategic plans include an explicit focus on the protection of infrastructure or specific facilities. GSA has a statutory facility protection mission. Our prior work found that placing an agency into an organization that has a similar mission may help ensure that the agency\u2019s mission receives adequate funding, attention, visibility, and support. One of DHS\u2019s goals\u2014as noted in its strategic plan covering fiscal years 2014 to 2018\u2014is to reduce risk to the nation\u2019s critical infrastructure. In addition, NPPD\u2019s mission is to lead the national effort to protect and enhance the resilience of the nation\u2019s physical and cyber infrastructure. To carry out this mission, NPPD coordinates efforts to protect infrastructure in 16 critical infrastructure sectors, including a government facilities sector. Further, the Secret Service\u2019s mission is to ensure, among other things, the security of the United States President, Vice President, and other individuals. The Secret Service\u2019s Uniformed Division protects locations necessary for accomplishing its mission of protecting these individuals. Per statute, GSA is responsible for the operation, maintenance, and protection of buildings and grounds occupied by the federal government and under the jurisdiction, custody, and control of GSA.", "While DHS, NPPD, Secret Service, and GSA may be good placement options for FPS given their similarities in mission or goals (i.e., focus on infrastructure or facility protection), stakeholders we interviewed identified some key areas of consideration that may have a bearing on how well FPS would fit in NPPD, Secret Service, and GSA.", "NPPD: FPS and NPPD officials expressed concerns about the fit between the two agencies given differences in how they perform their infrastructure protection missions. Specifically, FPS has employees who directly protect federal facilities, while NPPD\u2019s physical infrastructure protection efforts provide guidance and resources to federal, state, and local governments, and private sector companies so that they can protect their facilities. Furthermore, officials from FPS, NPPD, the union representing FPS officials, an association representing federal law enforcement officers, and a former high- ranking official in NPPD said that a difference between the two agencies is that FPS performs law enforcement activities to carry out its protection mission while NPPD does not.", "Secret Service: Officials from FPS and Secret Service said that placing FPS in the Secret Service could present challenges because the two agencies\u2019 missions have some fundamental differences\u2014FPS focuses on protecting federal facilities and Secret Service focuses on protecting individuals such as the United States President and Vice President. Furthermore, another difference is that the scope of facilities that the Secret Service protects is smaller and narrower than FPS, according to FPS and Secret Service officials. FPS protects about 9,000 facilities throughout the United States, while Secret Service\u2019s Uniformed Division\u2014which is responsible for protecting facilities\u2014protects a limited number of facilities in the National Capital Region (e.g., the White House, the Vice President\u2019s residence). FPS officials said that another consideration between the two agencies is that FPS\u2019s mission of protecting federal facilities would get lost in Secret Service\u2019s mission of protecting the President of the United States and other key individuals.", "GSA: Stakeholders provided differing views on how well FPS would fit in GSA. An official from CBP and officials from Justice said that FPS should be placed in GSA because FPS focuses on GSA-held or- leased facilities. Furthermore, GSA officials stated FPS and GSA could merge as both have the authority to protect federal facilities, and there is an intuitive relationship between GSA\u2019s focus on the management and operations of federal facilities and FPS\u2019s mission of the security of federal facilities. Conversely, officials from FPS, staff from OMB, and officials of an association that represents security companies, said that FPS should not move to back to GSA. These officials and staff said that FPS should not move to GSA because, among other reasons, the two agencies have different missions: GSA focuses on federal real estate and some physical security activities not homeland security or law enforcement.", "CBP, ICE, Justice, and Marshals do not have mission statements or goals that focus explicitly on infrastructure or facility protection. Nonetheless, as we discuss in the next section of this report, CBP, Justice, and Marshals have some facility protection responsibilities.", "In addition, FPS and the selected agencies share few or no operational objectives. DHS, ICE and NPPD share one or two operational objectives with FPS\u2014DHS shares objectives that focuses on mitigating risks and responding to incidents, ICE shares one that focuses on intelligence gathering, and NPPD shares one that focuses on facility assessments. FPS, Justice, and Marshals have a few similar operational objectives. The three agencies have objectives that focus on the integration and use of intelligence information. FPS and Marshals also have similar objectives that focus on facility assessments, mitigating risks, and on rapidly responding to emergencies and incidents."], "subsections": []}, {"section_title": "Responsibilities", "paragraphs": ["To carry out its facility protection mission at about 9,000 federal facilities, FPS performs physical security as well as law enforcement activities. As a part of its physical security activities, FPS conducts facility security assessments, identifies countermeasures (e.g., equipment and contract guards) best suited to secure a facility, and oversees contract guards. As a part of its law enforcement activities, FPS proactively patrols facilities, responds to incidents, and conducts criminal investigations, among other things. FPS also provides additional operational law enforcement support, at the direction of the Secretary of Homeland Security, to address emerging threats and homeland security incidents. According to FPS officials, previous placements have focused on physical security or law enforcement, but not both. For example, FPS officials told us that because of ICE\u2019s focus on law enforcement, FPS\u2019s physical security activities took a backseat to ICE\u2019s law enforcement mission. Similarly, according to FPS officials, NPPD has not prioritized FPS\u2019s law enforcement activities because NPPD does not have a focus on law enforcement.", "One of FPS\u2019s most critical activities is overseeing about 13,500 contract guards who are posted at federal facilities and are responsible for controlling access to facilities, responding to emergency situations involving facility safety and security, and performing other duties. FPS is responsible for overseeing these guards to ensure, among other things, that they are performing their assigned duties and have the necessary training and certifications. We have reported on challenges FPS faces in overseeing contract guards. For example, in August 2012, we reported that FPS faced challenges ensuring that contract guards have the necessary training and certifications. We found that although FPS verifies contractor-reported guard certification and training information by conducting monthly audits, FPS does not independently verify the contractor\u2019s information.", "In table 11 and subsequent paragraphs, we describe how selected agencies met the \u201cresponsibilities\u201d criterion\u2014that is, the selected agencies that were similar to FPS for this criterion\u2014areas of consideration if FPS is placed in those agencies, and how the selected agencies did not meet the criterion.", "Like FPS, DHS, the selected agencies in DHS (except ICE), GSA, Justice, and Marshals have responsibilities for federal facility protection. As discussed above, DHS, NPPD, and the Secret Service have mission or goal statements that explicitly address infrastructure or facility protection. CBP\u2019s, GSA\u2019s, Justice\u2019s, and Marshals\u2019 mission or goal statements do not explicitly state a focus on infrastructure or facility protection, but these agencies have some facility protection responsibilities to help achieve their missions. For example, GSA has some protection responsibilities for about 8,700 GSA-held or GSA-leased facilities in support of its mission of managing the federal real estate portfolio. GSA conducts repairs that affect the operation of building security equipment and develops policy and requirements for the building security used in the design and construction of GSA buildings. Marshals have security responsibilities at federal courthouses in support of its mission to protect, defend, and enforce the nation\u2019s justice system.", "Stakeholders we interviewed identified some areas of consideration that may have a bearing on how well FPS would fit in agencies that have facility protection responsibilities:", "Officials from FPS and Marshals questioned how FPS would meld with agencies that protect facilities on a smaller scale. CBP, Justice, and Marshals perform facility protection at a smaller number of facilities as compared to FPS and GSA: CBP has facility protection responsibilities at about 1,200 border patrol stations, ports of entry, and other facilities; Justice (excluding Marshals) at 36 facilities; and Marshals at about 430 facilities with a judicial presence, while FPS and GSA have protection responsibilities at about 9,000 and 8,700 facilities, respectively.", "Justice and Marshals officials said that there are some differences between their agencies and FPS\u2019s facility protection responsibilities. Specifically, these officials said that unlike FPS, Justice and Marshals have limited responsibilities for facility protection, and in the case of Marshals, this responsibility is related to the protection of the federal judiciary."], "subsections": [{"section_title": "Physical Security and Law Enforcement Activities", "paragraphs": ["FPS most closely aligns with DHS, CBP, Secret Service, Justice, and Marshals because these agencies perform both physical security and law enforcement activities. However, as discussed in the paragraph below, there are differences in the extent to which and for what purpose these agencies perform these activities. The remaining agencies perform either physical security (NPPD, GSA) or law enforcement activities (ICE), but not both.", "While DHS, CBP, Secret Service, Justice, and Marshals align with FPS with regard to the two types of activities it performs, there are differences in how these agencies perform these activities because these agencies\u2019 activities and missions differ from FPS. For example, Justice and Marshals officials explained that in their view, Justice and Marshals are different from FPS because Justice and Marshals perform limited physical security activities and have extensive law enforcement missions, whereas FPS has a limited law enforcement mission and an extensive facility protection mission. Further, Marshals officials said that FPS\u2019s and Marshal\u2019s law enforcement activities support different purposes\u2014with Marshals supporting a violent-crime reduction mission and FPS supporting a facility protection mission. As a result, Marshals officials said that FPS\u2019s facility protection mission may not receive full attention. Further while FPS performs law enforcement activities relevant to federal facility protection, the Secret Service performs law enforcement relevant to protecting key individuals, such as the President. Furthermore, although GSA does not perform law enforcement activities, GSA officials said that if FPS moved to GSA, its leadership would provide FPS organizational support that would enable both FPS\u2019s law enforcement and physical security activities. FPS officials stated that if FPS moved outside of DHS, the Secretary of Homeland Security\u2014who is responsible for protecting the nation\u2014may lose protection responsibilities for federal facilities as well as the ability to use FPS for law enforcement support when needed for homeland security."], "subsections": []}, {"section_title": "Contract Guard Responsibilities", "paragraphs": ["Like FPS, Marshals also employs a large number of contract guards for facility protection. The remaining agencies (DHS, CBP, ICE, NPPD, Secret Service, GSA, and Justice) use FPS\u2019s contract guards, procure a limited number of guards or use their own federal officers for facility protection, according to officials from these agencies. Similar to FPS, Marshals also performs compliance reviews of training and certification information maintained by its contractors, and Marshals officials explained that these reviews are performed periodically.", "Staff from OMB and an association of security companies said that Marshals may be a good fit for FPS because Marshals, like FPS, uses a contract guard force. We have previously reported that a consideration of moving one agency into another is whether the move can help improve the efficiency and effectiveness of agency missions by, among other things, addressing gaps. In this regard, one consideration is whether FPS could leverage the Marshals\u2019 oversight of its own contract guards to address its ongoing challenges in this area.", "However, differences between FPS\u2019s and Marshals\u2019 contract guard programs exist. For example, Marshals\u2019 guard force is smaller than FPS\u2019s with about 4,400 guards and the day-to-day duties of FPS\u2019s contract guards are different from Marshals\u2019 contract guards. Both FPS\u2019s and Marshals\u2019 contract guards control access to facilities. However, Marshals contract guards also provide security for the judicial process, such as providing armed escort services to judges, jurors, and other court personnel and providing security in a courtroom during hearings. Furthermore, some requirements between the two guard forces vary. For example, Marshals has more stringent requirements for contract guards in the areas of education and law enforcement experience."], "subsections": []}]}, {"section_title": "Organizational Culture", "paragraphs": ["While there are many areas relevant to organizational culture, law enforcement is a key aspect of FPS\u2019s organizational culture, according to officials from an association of security companies and a former high- ranking official in NPPD. One area that has affected FPS\u2019s culture, particularly morale, according to an official from the association of law enforcement officers, is that FPS\u2019s criminal investigators receive federal law enforcement officer retirement benefits, while its inspectors\u2014who also perform some law enforcement and who form the majority of FPS\u2019s workforce\u2014do not.", "In table 12 and subsequent paragraphs, we describe how selected agencies met the organizational culture criterion\u2014that is, the selected agencies that were similar to FPS for this criterion\u2014areas of consideration if FPS is placed in those agencies, and how the selected agencies did not meet the criterion.", "DHS, nearly all the selected agencies in DHS, and Justice have cultures similar to FPS because they are all law enforcement agencies, but NPPD and GSA do not. An official from an association of federal law enforcement officers said moving FPS to a law enforcement agency may improve FPS\u2019s employee satisfaction. Specifically, this official explained that one advantage of moving FPS to a law enforcement agency is that it could mean that FPS inspectors could be reclassified into positions that would receive federal law enforcement officer retirement benefits, leading to improved employee satisfaction and retention. FPS officials said that Justice\u2019s long-standing culture that is focused on law enforcement is something that FPS sees as one of Justice\u2019s advantages.", "Although FPS and some of the selected agencies are similar in that their cultures focus on law enforcement, there are differences among their cultures. For example, FPS officials questioned how their agency would meld with the Secret Service since it has long history, and Marshals officials said that FPS and the Marshals do not have comparable legacies. The Secret Service and Marshals have been around for about 150 and 230 years, respectively, while FPS has a 47-year history. In addition, FPS and the law enforcement agencies may have different hiring practices, which can influence the culture of the workforce. Secret Service, for example, requires that all its employees hold a top-secret security clearance. This level of clearance is not required for all of FPS\u2019s employees, according to an FPS official. If FPS moved to Secret Service, Secret Service officials stated that there may be a need to create different workforce categories due to differences in the hiring requirements, a situation that may affect FPS\u2019s and the Secret Service\u2019s employee morale."], "subsections": []}, {"section_title": "Information Sharing and Coordination", "paragraphs": ["Regarding information sharing, in 2016, DHS designated a division within FPS as a Component Intelligence Program (CIP). CIPs are organizations in DHS that collect, gather, process, analyze, produce, or disseminate information related to national homeland security. According to FPS officials, FPS\u2019s participation in meetings held by the CIPs is important because it provides FPS more visibility on the threats that other DHS agencies have identified and actions they plan to take. Further, FPS shares information obtained in CIP meetings with federal agencies across the United States to support emergency preparedness, security, and employee safety. Additionally, as a CIP, FPS has an opportunity to provide input on the national homeland-security information that the Secretary of Homeland Security receives. Finally, FPS has greater access to information than it might otherwise receive without the CIP designation. FPS officials said that FPS\u2019s designation as a CIP was a \u201cgame changer\u201d for FPS\u2019s abilities to identify and share information on emerging threats. FPS officials explained that FPS\u2019s placement could influence whether FPS continues to have direct access to information related to national homeland security that it needs to carry out its mission.", "Regarding coordination, FPS currently coordinates with both GSA and Marshals to fulfill its facility protection mission; however, we have reported on challenges FPS has faced in coordinating with these agencies.", "FPS\u2019s coordination with GSA: FPS and GSA share responsibility for protecting federal facilities. FPS is primarily responsible for protecting federal employees and visitors in federal facilities held or leased by GSA. GSA serves as the federal government\u2019s landlord and, in this role, performs some physical security activities such as funding and repairing security fixtures. In December 2015, we found that FPS and GSA had not agreed on a common outcome related to facility protection or the roles and responsibilities to accomplish their missions.", "FPS\u2019s coordination with Marshals: FPS coordinates with Marshals to protect about 430 federal courthouses. At courthouses held or leased by GSA, FPS is the primary federal agency responsible for patrolling and protecting the perimeter of the facilities and for enforcing federal laws and regulations in those facilities. Marshals has primary responsibility for the security of the federal judiciary, including the safe conduct of court proceedings and the security of federal judges, court personnel, jurors, and the visiting public. In September 2011, we reported that FPS, Marshals, and other agencies involved in protecting courthouses (i.e., GSA and the Administrative Office of the U.S. Courts) faced challenges related to coordination, such as in the implementation of roles and responsibilities and the use or participation in existing collaboration mechanisms.", "In table 13 and subsequent paragraphs, we describe how selected agencies that met the information sharing and coordination criterion\u2014that is, the selected agencies that were similar to FPS for this criterion\u2014areas of consideration if FPS is placed in those agencies, and how the selected agencies did not meet the criterion.", "Like FPS, all of the selected agencies except GSA have access to and can share information related to national homeland security, and these agencies could share that same information with FPS. Specifically, like FPS, the selected agencies in DHS are CIPs or participate in other groups that have access to and can share information related to national homeland security. Justice and Marshals have access to homeland security information through the Federal Bureau of Investigation and participate in separate groups where national homeland security information is shared, including the Joint Terrorism Task Force and the National Counterterrorism Center.", "While selected agencies in DHS and Justice are similar to FPS in the area of information sharing, there are some differences and challenges that decision makers would need to consider before placing FPS in these agencies. For example, FPS and the selected agencies in DHS and Justice require different types of information to meet respective mission needs. In previous organizational placements, FPS has faced challenges with information sharing. For example, FPS officials told us that when FPS was part of ICE, they relied on ICE to provide them with information, which slowed down FPS\u2019s ability to react to information specific to facility protection. This may not be an issue if FPS continues to have direct access to information as a CIP.", "While GSA does not have access to national homeland security information, GSA has access to and shares information pertinent to the security of government facilities through, among other sources, participation in the government facilities sector of the Government Coordinating Council and Interagency Security Committee. Officials from FPS, an association of security companies, and a former high-ranking official in NPPD\u2014said if FPS moved to GSA, FPS could lose direct access to critical information that is necessary for it to accomplish its mission. Furthermore, staff from OMB said FPS\u2019s participation in DHS\u2019s homeland security groups has given the agency some level of credibility. Thus, if FPS moved to an agency that does not have access to national homeland security information, such as GSA, there may be resistance from DHS agencies and others in sharing information with FPS, according to the OMB staff. If FPS moved to Justice or Marshals, FPS officials said that they would be able to continue to access and share homeland security information through Justice\u2019s information sharing community. Thus, a move to either of these two agencies would not have as great an impact to their access to homeland security information as a move to GSA would, according to FPS officials."], "subsections": [{"section_title": "Coordination", "paragraphs": ["Based on the coordination challenges we found in our prior work, FPS and GSA or Marshals may continue to disagree on roles and responsibilities if FPS is placed in these agencies. However, in September 2018, NPPD and GSA signed a memorandum of agreement that, among other things, describes FPS\u2019s and GSA\u2019s roles and responsibilities, and FPS, Marshals, GSA, and the Administrative Office of the U.S. Courts are working to finalize a separate agreement for courthouse security. Accordingly, coordination between these agencies should improve with the implementation of these agreements as we have previously reported that establishing clear roles and responsibilities, in agreements or through other mechanisms, contribute to effective coordination.", "Moving one agency into another does not necessarily mean that the two agencies will coordinate better. As discussed earlier in this report, FPS moved from ICE to NPPD so that FPS could gain synergy with NPPD\u2019s Office of Infrastructure Protection, which is responsible for coordinating infrastructure protection across government and the private sector. According to OMB staff we interviewed, this synergy has not happened in part because NPPD and FPS missions are self-contained\u2014with FPS focused on federal facility infrastructure and the Office of Infrastructure Protection focused on other types of infrastructure, including privately owned infrastructure.", "DHS, CBP, ICE, NPPD, and Secret Service do not have joint responsibilities for coordinating facility protection because these agencies rely on FPS to provide security services or provide their own security services."], "subsections": []}]}, {"section_title": "Mission Support", "paragraphs": ["FPS officials told us that over the course of its previous organizational placements, FPS\u2019s mission support capabilities have matured and that it is now able to provide its own mission support in most areas. For example, FPS owns and uses many of the key operational and business- related information technology (IT) systems and applications it needs to carry out its mission. Despite the maturation of FPS\u2019s in-house mission support activities, FPS still receives some mission support services from other agencies in DHS, such as human capital and some aspects of information technology. FPS would need mission support in these areas if it changed its organizational placement. Separately, FPS has faced challenges in the area of financial management, and changing FPS\u2019s placement could help address those challenges. Finally, FPS offers its own training courses and has access to DHS\u2019s Federal Law Enforcement Training Centers (FLETC), and therefore it does not need mission support from a parent agency in this area.", "In table 14 and subsequent paragraphs, we describe how selected agencies met the mission support criterion\u2014that is, the selected agencies that had mission support that FPS needs\u2014areas of consideration if FPS is placed in those agencies, and how the selected agencies did not meet the criterion.", "Among the agencies we reviewed, GSA has the infrastructure to support FPS in its funding approach. FPS officials told us that one of the key challenges they experienced in ICE was that ICE did not have institutional knowledge on FPS\u2019s funding approach, particularly FPS\u2019s fee structure, and FPS experienced changes in fees that were not aligned to what was needed to cover its efforts. FPS funds its operations by collecting security fees from federal agencies that use FPS for facility protection. GSA is well positioned to support FPS\u2019s funding approach because it is the only agency we reviewed that also collects monies from multiple federal agencies to support some of its operations. According to documentation we reviewed and interviews with officials from selected agencies, we found that among the remaining agencies, some do not collect fees (NPPD, Secret Service) and others collect fees to support operations, but not from other federal agencies (DHS, CBP, ICE, Justice, Marshals).", "Further, based on our review of FPS\u2019s fiscal year 2019 budget request to Congress and our past work, we found that FPS faces challenges in generating enough revenue to cover its operational costs. If placed in GSA, GSA and FPS could consider whether to use the Federal Buildings Fund for security projects related to facility management, such as installing cameras. OMB staff said that there are limitations with the Federal Buildings Fund, such as the amount of funding available for security projects. Further, OMB staff said that finding cost-effective ways for FPS to carry out its operations will help the agency address its funding challenges."], "subsections": [{"section_title": "Human Capital", "paragraphs": ["Any of the selected agencies could provide FPS needed human capital support. FPS performs some human capital activities, such as estimating the number of staff it needs to perform its mission but does not have delegated examining authority that allows it to fill competitive civil service jobs. NPPD\u2014FPS\u2019s current parent agency\u2014has this authority and is responsible for recruiting, hiring, and performing other human capital services on behalf of FPS. All the selected agencies we reviewed have delegated examining authority. Thus, any one of these agencies could provide human capital services on behalf of FPS. Officials from three of the selected agencies\u2014ICE, the Secret Service, and Marshals\u2014said that they already face challenges with hiring enough staff to fulfill their own missions or may not have the administrative capacity to handle an additional human capital workload for FPS. For example, officials from the Secret Service and Marshals said they have staffing shortages, which negatively affects their ability to fulfil their missions. The shortage is exacerbated by the time it takes to vet applicants and process new staff through background checks and security clearances, according to the officials. Marshals officials said absorbing FPS would not help the agency address the staffing shortage because FPS employees perform a different mission, including a different law enforcement mission, which require different skill sets, training, etc. Further, Marshals officials said that given the time it takes to vet its own applicants and process its own staff, it lacks the administrative capacity to take on a new agency. Finally, Justice officials said that if FPS moved into Marshals, FPS staff would require ongoing human resources support for such things as performance management, payroll, personnel action processing, and benefits counseling. They said that Marshals is not staffed to assume the full human capital services required of another agency. Separately, an official from ICE said that the agency\u2019s human capital office is currently undergoing a major realignment of service functions and that given FPS\u2019s large workforce, ICE would not have the administrative capacity to take on the additional human capital workload for FPS.", "NPPD may experience some gaps in providing some human capital functions if FPS moved out of NPPD. According to NPPD, FPS provides NPPD 23 staff positions to help NPPD carry out its human capital activities. If FPS moved out of NPPD, NPPD staff said that 15 of the positions could be realigned back to FPS. The remaining 8 positions, which perform major functions including processing pay and managing information technology systems for human capital needs, would need to remain in NPPD if they are not replaced by NPPD. According to NPPD officials, the human capital teams that perform these functions are already understaffed and the skillsets for these functions are not plentiful in the workforce. Thus, if NPPD were unable to retain these positions, NPPD officials said that there may be significant gaps, such as in processing pay."], "subsections": []}, {"section_title": "Information Technology (IT)", "paragraphs": ["FPS\u2019s operational and business-related IT systems and applications would not be greatly affected by a change in FPS\u2019s organizational placement because FPS owns many of the systems and applications it needs to carry out its mission. For example, FPS owns a system to help agency officials conduct and track facility security assessments and another system to track law enforcement activities (e.g., tracking investigative cases and incidents). If FPS\u2019s placement changed, the agency could take its systems with it, though there may be some transition or integration costs, according to FPS officials.", "FPS uses some IT systems or applications that it does not own and that would need some consideration if FPS changed its organizational placement, particularly if FPS moved outside DHS. For example, FPS uses ICE\u2019s system for managing financial transactions and ICE\u2019s IT network. If FPS moved outside of DHS, resources would be needed to remove FPS from this ICE system and network, according to FPS officials. GSA and Justice have financial management systems that FPS could use. Marshals do not have its own financial management but uses Justice\u2019s system. According to Justice and Marshals officials, Justice\u2019s financial management system is currently not configured to support the collection of fees that support operations. Any changes to the configuration of Justice\u2019s financial management system, such as the inclusion of FPS\u2019s fee-based collections, would require the approval of Justice and possibly other Justice components that use the system. If FPS stayed within DHS, including as a standalone entity within DHS, it could potentially continue to use ICE\u2019s system or use CBP or the Secret Service\u2019s systems."], "subsections": []}, {"section_title": "Training", "paragraphs": ["DHS, CBP, ICE, Secret Service, Justice, and Marshals provide law enforcement training, but FPS would not need access to such training if placed in these agencies because FPS provides its own training on topics related to facility protection. For example, FPS provides training to its inspectors on physical security activities, such as identifying countermeasures needed at facilities. FPS officials said that there would be no efficiency gained in merging FPS and these agencies\u2019 training programs because FPS performs activities that most other law enforcement agencies do not perform. NPPD and GSA do not perform law enforcement activities and therefore do not have law enforcement training programs. If moved to either of these two agencies, FPS could continue to use its own training courses.", "Furthermore, CBP, ICE, Secret Service, and Marshals are Federal Law Enforcement Training Centers (FLETC) Partner Organizations, meaning that they have access to training provided at FLETC training facilities. FPS is also currently designated as a FLETC Partner Organization and therefore would not need to rely on these agencies to obtain this designation. All Partner Organizations, regardless of whether they are DHS agencies or not, share the same equal privileges at FLETC, including priority scheduling for basic and advanced law enforcement training. Nonetheless, Justice and Marshals officials explained that their FLETC training curriculum, planning, and structure are vastly different than other Partner Organizations due to the differing mission sets. NPPD and GSA are not FLETC Partner Organizations. According to FLETC officials, however, because FPS is currently a FLETC Partner Organization, it would continue to have access to FLETC while in NPPD or GSA."], "subsections": []}]}]}, {"section_title": "Appendix IV: Comments from the U.S. Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Amelia Bates Shachoy (Assistant Director); Roshni Dav\u00e9 (Analyst-in-Charge); Ben Atwater; Jazzmin Cooper; George Depaoli; Adam Gomez; Geoffrey Hamilton; Malika Rice; Amy Rosewarne; Kelly Rubin; Sarah Veale; and Amelia Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Federal Protective Service protects about 9,000 federal facilities and their occupants.", "FPS is part of the Department of Homeland Security, but it's been moved to two \"parent agencies\" within the department in the last 15 years. Reorganization can affect an agency's performance; after each move, FPS faced new duties and challenges.", "But where's the best fit? We reviewed 8 potential parent agencies and found benefits and trade-offs for each.", "Homeland Security is also assessing the issue, and should follow best practices for doing so. For example, we recommended setting goals and expectations for a move."]} {"id": "GAO-18-352", "url": "https://www.gao.gov/products/GAO-18-352", "title": "VA Disability Benefits: Improved Planning Practices Would Better Ensure Successful Appeals Reform", "published_date": "2018-03-22T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA's disability compensation program pays cash benefits to veterans with disabilities connected to their military service. In recent years, the number of appeals of VA's benefit decisions has been rising. For decisions made on appeal in fiscal year 2017, veterans waited an average of 3 years for resolution by either VBA or the Board, and 7 years for resolution by the Board. The Veterans Appeals Improvement and Modernization Act of 2017 makes changes to VA's current (legacy) appeals process, giving veterans new options to have their claims further reviewed by VBA or appeal directly to the Board. The Act requires VA to submit to Congress and GAO a plan for implementing a new appeals process, and includes a provision for GAO to assess VA's plan.", "This report examines the extent to which VA's plan (1) addresses the required elements in the Act, and (2) reflects sound planning practices identified in prior GAO work. GAO reviewed and assessed VA's appeals plan and related documents against sound planning practices, and solicited VA's views on its assessments."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs' (VA) plan for implementing a new disability appeals process while attending to appeals in the current process addresses most, but not all, elements required by the Veterans Appeals Improvement and Modernization Act of 2017 (Act). VA's appeals plan addresses 17 of 22 required elements, partially addresses 4, and does not address 1. For example, not addressed is the required element to include the resources needed by the Veterans Benefits Administration (VBA) and the Board of Veterans' Appeals (Board) to implement the new appeals process and address legacy appeals under the current process. VA needs this information to certify, as specified under the Act, that it has sufficient resources to implement appeals reform and make timely appeals decisions under the new and legacy processes.", "VA's appeals plan reflects certain sound planning practices, but it could benefit from including important details in several key planning areas:", "Performance measurement : VA's plan reflects steps taken to track performance, but could articulate a more complete and balanced set of goals and measures for monitoring and assessing performance on a range of dimensions of success. Specifically, the plan reports that VA is developing a process to track timeliness of the new and legacy processes. However, contrary to sound planning practices, the plan does not include timeliness goals for all five appeals options available to veterans, does not include goals or measures for additional aspects of performance (such as accuracy or cost), and does not explain how VA will monitor or assess the new process compared to the legacy process. Unless VA clearly articulates a complete and balanced set of goals and measures, it could inadvertently incentivize staff to focus on certain aspects of appeals performance over others or fail to improve overall service to veterans.", "Project management : VA's plan includes a master schedule for implementing the new appeals plan. However, this schedule falls short of other sound practices for guiding implementation and establishing accountability, such as articulating interim goals and needed resources for, and interdependencies among, activities. Unless VA augments its master schedule to include all key activities and reflect sound practices, VA may be unable to provide reasonable assurance that it has the essential program management information needed for this complex and important effort.", "Risk assessment : VA has taken steps to assess and mitigate some risks related to appeals reform by, for example, pilot testing two of the five appeals options through its Rapid Appeals Modernization Program (RAMP). However, as designed, RAMP does not include key features of a well-developed and documented pilot test. For example, VA has not articulated how it will assess RAMP before proceeding with full implementation. In addition, RAMP is not pilot testing three options and, as a result, VA will not have data on the extent to which veterans will appeal directly to the Board when given the option. Unless VA identifies and mitigates key risks associated with implementing a new process, VA is taking a chance that untested aspects will not perform as desired."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VA (1) fully address all legally required elements in its appeals plan, (2) articulate how it will monitor and assess the new appeals process as compared to the legacy process, (3) augment its master schedule for implementation, and (4) address risk more fully. VA agreed with GAO's recommendations and outlined its planned actions to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) provides cash benefits to veterans for disabling conditions incurred in or aggravated by military service, paying an estimated $67 billion to about 4.3 million veterans in fiscal year 2016. If veterans are dissatisfied with VA\u2019s initial decision they can appeal\u2014first to the Veterans Benefits Administration (VBA) and then, if not satisfied there, to the Board of Veterans\u2019 Appeals (Board), a separate agency within VA. In recent years, the number of appeals of VA\u2019s benefit decisions has been rising. For appeals resolved in fiscal year 2017, veterans waited an average of 3 years from the date they initiated their appeal to resolution by either VBA or the Board\u2014and a cumulative average of 7 years for appeals resolved by the Board. Due in part to the challenges VA faces managing large workloads and deciding disability claims and appeals in a timely manner, GAO in 2003 designated VA disability compensation and other federal disability programs as one of the government\u2019s highest management risks.", "In a March 2017 report, we examined VA\u2019s approaches to address challenges it identified as contributing to lengthy appeals processing times\u2014including VA efforts to hire staff, propose reform legislation to Congress in April 2016, and upgrade its information technology (IT) systems\u2014and the extent to which those approaches were consistent with sound planning practices. We made five recommendations to improve VA\u2019s ability to implement its proposed appeals process reform while addressing a growing appeals workload. VA agreed in principle with our five recommendations, which remain open as of March 2018. We recommended, in essence, that VA develop: (1) a detailed workforce plan, (2) a complete schedule of IT updates, (3) better estimates of future workloads and timeliness, (4) a robust plan for monitoring appeals reform, and (5) a strategy for assessing whether the new process improves veterans\u2019 experiences over the current process. We also suggested that Congress require VA to pilot test appeals reform.", "Enacted on August 23, 2017, the Veterans Appeals Improvement and Modernization Act of 2017 (Act) will make changes to VA\u2019s appeals process. Specifically, the Act replaces the current appeals process with one that gives veterans various options to have their claim reviewed further by VBA or to bypass VBA and appeal directly to the Board. The Act also requires VA to submit a comprehensive plan for implementing the new appeals process and processing legacy appeals (appeals that remain pending in the current process prior to fully implementing appeals reform) to the appropriate committees of Congress and GAO. The Act delineates the required elements of this plan, and required VA to submit its plan within 90 days of enactment. VA submitted its plan on November 22, 2017. The Act also includes a provision for GAO to assess VA\u2019s appeals plan, including whether the plan comports with sound planning practices and/or contains gaps.", "This report examines the extent to which VA\u2019s appeals plan (1) addresses the required elements in the Act; and (2) reflects sound planning practices identified in prior GAO work.", "To assess the extent to which VA\u2019s plan addresses the required elements in the Act, we identified the required elements under section 3(a) and (b) of the Act; compared VA\u2019s appeals plan and supplemental materials VA provided at our request to those elements; and made a preliminary determination as to whether VA\u2019s plan addressed, partially addressed, or did not address each element. We then shared the results of this review with VA officials, and considered their comments in arriving at our assessment.", "To address the extent to which VA\u2019s plan reflects sound planning practices, we compared the appeals plan and supplemental materials against relevant sound planning practices and other criteria identified in our prior work.", "For both assessments, our analyses focused on the information and elements VA presented in its appeals plan and in supplemental materials rather than auditing the underlying information. We shared our findings related to both assessments with VA. Specifically, in advance of a January 30, 2018 hearing based on our ongoing work, we provided VA a draft of our testimony statement for review and comment. At a January 17, 2018 meeting, VA officials provided us with comments on our findings, including our findings of how VA\u2019s plan compared to sound practices, which we have incorporated in this report, as appropriate.", "We conducted this performance audit from October 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VA\u2019s Disability Compensation Claims Process", "paragraphs": ["VA\u2019s process for deciding veterans\u2019 eligibility for disability compensation begins when a veteran submits a claim to VA. The veteran submits his or her claim to one of VBA\u2019s 56 regional offices, where staff members assist the veteran by gathering additional evidence, such as military and medical records, that is needed to evaluate the claim. Based on this evidence, VBA decides whether the veteran is entitled to compensation and, if so, how much.", "A veteran dissatisfied with the initial claim decision can generally appeal within 1 year from the date of the notification letter sent by VBA. Under the current appeals process (now referred to by VA as the legacy process), an appeal begins with the veteran filing a Notice of Disagreement. VBA then re-examines the case and generally issues a Statement of the Case that represents its decision.", "A veteran dissatisfied with VBA\u2019s decision can file an appeal with the Board. In filing that appeal, the veteran can indicate whether a Board hearing is desired. Before the Board reviews the appeal, VBA prepares the file and certifies it as ready for Board review. If the veteran requests a hearing to present new evidence or arguments, the Board will hold a hearing by videoconference or at a local VBA regional office. The Board\u2019s members, also known as Veterans Law Judges, review the evidence and either issue a decision to grant or deny the veteran\u2019s appeal or refer (or remand) the appeal back to VBA for further work."], "subsections": []}, {"section_title": "New Appeals Process", "paragraphs": ["The 2017 Act made changes to VA\u2019s legacy appeals process that will generally take effect no earlier than February 2019, which is approximately 18 months from the date of enactment. According to its appeals plan, VA intends to implement the Act by replacing the current appeals process with a process offering veterans who are dissatisfied with VBA\u2019s decision on their claim one of five options: two of those options afford the veteran an opportunity for an additional review of VBA\u2019s decision within VBA, and the other three options afford them the opportunity to bypass additional VBA review and appeal directly to the Board.", "Under the new appeals process, the two VBA options will be: 1. Request higher-level review: The veteran asks VBA to review its initial decision based on the same evidence but with a higher-level official reviewing and issuing a new decision. 2. File supplemental claim: The veteran provides additional evidence and files a supplemental claim with VBA for a new decision on the claim.", "The three Board options will be: 3. Request Board review of existing record: The veteran appeals to the Board and asks it to review only the existing record without a hearing. 4. Request Board review of additional evidence, without a hearing. 5. Request Board review of additional evidence, with a hearing."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan", "paragraphs": ["The Act also requires VA to submit to the appropriate committees of Congress and GAO, within 90 days of the date of enactment, a comprehensive plan for (1) processing appeals under the legacy process until there are no more to process, (2) implementing the new appeals process, (3) processing of claims under the new appeals process in a timely manner, and (4) monitoring implementation of the new appeals process. In addition to these four broad elements, the Act lists 18 elements required to be included in the plan that relate to, among other things: staffing, IT, and other resources required to implement the plan; estimated timelines for hiring and training VA employees; and a description of risks associated with each element of the plan.", "The Act also includes a provision for GAO to assess the plan within 90 days after VA submits it.", "The Act also requires VA to provide progress reports to the appropriate committees of Congress and GAO at least once every 90 days (starting after VA submits its plan), until the date the Act\u2019s legal changes to the appeals process generally go into effect and then at least once every 180 days after this date for 7 years."], "subsections": []}, {"section_title": "Rapid Appeals Modernization Program (RAMP)", "paragraphs": ["The Act also authorized VA to carry out a program to test any assumptions relied upon in developing its comprehensive plan and test the feasibility and advisability of any facet of the new appeals process. In its appeals plan, VA reported its decision to pilot test two of the five new options by allowing veterans with pending appeals in the legacy process (known as legacy appeals) to elect the VBA higher-level review or VBA supplemental claim options beginning in November 2017. This program, which VA refers to as RAMP, is intended to reduce legacy appeals by providing veterans with a chance for early resolution of their claims within VBA while the Board focuses on reducing its inventory of legacy appeals, according to VA. Participation in RAMP is voluntary, but veterans must withdraw their pending legacy appeal to participate, according to VA. Veterans dissatisfied with their RAMP decisions must wait until VA fully implements the new appeals process (in February 2019 at the earliest) before pursuing an appeal with the Board under the new process, according to VA officials."], "subsections": []}]}, {"section_title": "VA\u2019s Plan Addresses Most of the Act\u2019s Required Elements for the New and Legacy Disability Appeals Processes", "paragraphs": ["VA\u2019s appeals plan addresses 17 of the Act\u2019s 22 required elements, partially addresses 4 related to monitoring implementation and workforce planning, and does not address 1 element related to identifying total resources. For example, VA\u2019s appeals plan addresses the required elements related to, among others, identifying legal authorities for hiring and removing employees, estimating timelines for hiring and training employees, and outlining the outreach VA expects to conduct. For the elements in the Act that VA\u2019s appeals plan partially addresses or does not address, see table 1. For a detailed list of the 22 required elements in the Act, see appendix I.", "When we provided VA with our preliminary assessment, VA officials said they disagreed and that their appeals plan addresses all 22 of the required elements. In general, they said that data are not available, and VA cannot yet forecast the information required by the Act until aspects of the new appeals process are tested or implemented. However, in discussing our assessment at a January 2018 House Committee on Veterans\u2019 Affairs hearing, the Deputy Secretary of Veterans Affairs stated that the agency agreed with our assessment and will work with us to address these gaps in VA\u2019s appeals plan.", "Until VA\u2019s appeals plan has complete information on all 22 of the required elements, Congress does not have the information it needs to fully conduct oversight of the plan and the agency\u2019s efforts to implement and administer the new process while addressing legacy appeals. VA also needs information on resources, among other areas, to certify that the agency is prepared to carry out timely processing of appeals under the new and legacy appeals process. Further, as discussed below, addressing required elements through a more comprehensive plan and underlying analysis is consistent with sound planning practices and would better position VA to implement the new appeals process while attending to legacy appeals. For example, such an appeals plan would provide for carefully monitoring the new and legacy appeals processes against balanced goals and metrics, and clearly articulates resources, milestones and other information needed for effective program management."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan Reflects Certain Sound Planning Practices, but Could Improve on Others", "paragraphs": ["VA\u2019s appeals plan reflects certain sound planning practices, such as convening a working group on performance tracking; however, the plan could benefit from including important details related to three key planning areas: 1. articulating a balanced set of goals and related measures to monitor and assess the performance of the new appeals process, in conjunction with the legacy process; 2. developing a high-quality and reliable implementation schedule to manage key steps and activities of the project; and 3. assessing key risks in a comprehensive manner, including respective mitigation strategies, articulating clear criteria and an assessment plan for RAMP, and more fully testing or analyzing all appeals options."], "subsections": [{"section_title": "VA\u2019s Appeals Plan Indicates Steps to Assess Process Changes, but Should Also Include Goals and Measures to Provide Full Picture of Success", "paragraphs": ["VA\u2019s appeals plan reflects steps taken to track performance, but it could improve its planning practices related to monitoring and assessing performance on a range of key dimensions of success. Sound planning practices suggest that agencies develop overall goals tied to meaningful and balanced performance measures. These measures include a mix of outcome, output, and efficiency measures to ensure that an organization\u2019s priorities\u2014as well as government-wide priorities such as quality, timeliness, and cost of service\u2014are addressed.", "VA\u2019s appeals plan reports that the agency convened a working group to design a process for tracking timeliness of both the legacy appeals and appeals within the new process. In supporting documentation that we requested, VA officials stated they are also determining the best way to measure veterans\u2019 satisfaction with the new appeals process. VA\u2019s appeals plan and supporting documentation also identify timeliness goals for the two VBA-only options and one of the three Board options. Nevertheless, its appeals plan does not articulate a set of goals and measures that cover all aspects of its new appeals process, such as accuracy of decisions and cost. The plan also does not provide details on the metrics the agency will develop, how it will assess if the new appeals process is an improvement over the legacy appeals process, and how it will monitor the allocation of resources between legacy and new appeals claims. More specifically:", "VA\u2019s reported timeliness measures are incomplete: VA\u2019s appeals plan outlines timeliness goals for the two VBA options (average processing time of 125 days) and for the Board option that does not include new evidence or a hearing (average processing time of 365 days). However, VA\u2019s plan does not establish timeliness goals for the other two Board options: Board review of additional evidence without a hearing and Board review of additional evidence with a hearing. In commenting on our findings, while VA officials indicated they expect the new process to be more efficient than the legacy process (and, therefore, more timely), they also said data to inform goal setting for all Board options will not be available until VA fully implements these options. Establishing timeliness goals for all options would provide a more complete picture of VA\u2019s vision for the new appeals process, and help VA to develop concrete, objective, and observable performance measures to show progress in achieving that vision, as well as inform resource estimates.", "VA\u2019s reported measures lack adequate balance: Other than including certain timeliness goals, VA\u2019s appeals plan does not articulate additional aspects of performance important for managing appeals, such as accuracy of decisions, veteran satisfaction with the process, or cost. We previously reported that VA officials said they wanted to also use veteran survey results, wait times, and inventories as sources of information to measure progress under the new appeals process. Further, VA\u2019s fiscal year 2018 annual performance plan includes an overall customer satisfaction score for veterans\u2019 benefits. However, these and other potential measures of success are not specified in VA\u2019s appeals plan for monitoring the new appeals process as compared with legacy appeals. By not articulating a set of comprehensive and balanced goals and measures in its appeals plan, VA could be inadvertently creating skewed incentives by focusing on one area of program performance to the detriment of other areas (e.g., processing claims quickly but inaccurately).", "In commenting on our findings, VA officials recognized the need to develop additional goals and measures. They indicated, for example, that they are developing and testing whether the existing quality assurance goal\u201492 percent accuracy\u2014is appropriate for the new process. According to VA officials, once they have developed these other goals and measures, VA will communicate this information as part of the required progress reports to the appropriate committees of Congress and GAO. Moreover, at a January 2018 House Committee on Veterans\u2019 Affairs hearing, the Deputy Secretary of Veterans Affairs acknowledged that their performance goals and measures are not yet complete and indicated that the agency will address these gaps in measuring performance.", "VA\u2019s plan does not reflect how it will establish baseline data: VA\u2019s approach for evaluating the efficiency and effectiveness of the implementation of the new appeals process falls short of sound practices for using baseline data to assess performance. Our prior work has demonstrated that by developing and tracking a performance baseline for all measures, including those that demonstrate the effectiveness of a program, agencies can better evaluate progress made and whether or not goals are being achieved. However, VA\u2019s appeals plan did not provide important details about what aspects of the new appeals process\u2019 performance will be compared to what aspects of the legacy process\u2019 performance.", "In particular, section 5 of the Act lists a number of metrics VA is required to report periodically, including some that could be used as baseline measures. For example, VA is required to periodically publish on its website the average time that elapsed between the filing of an initial claim and the final resolution of the claim, for legacy appeals as well as appeals under the new system, which is consistent with our prior recommendation. However, VA\u2019s appeals plan does not explain how or when the agency would collect and use these or other data about the legacy and new processes\u2019 performance\u2014such as accuracy, veteran satisfaction, and cost\u2014to assess their relative performance.", "As we had previously reported, VA\u2019s business case for reform in some instances relied on unproven assumptions and limited analyses of its legacy process to identify root causes of performance problems. Specifically, VA determined that the open-ended nature of its legacy appeals process, whereby a veteran can submit additional evidence numerous times at any point, can cause additional cycles of re- adjudication, a process VA refers to as \u201cchurning.\u201d According to VA, this re-adjudication can occur multiple times and can add years to the time needed to reach a final decision on an appeal. Without fully articulating a plan for collecting and using baseline and trend data, VA cannot determine the extent to which the new appeals process, which also allows for multiple appeal opportunities, will achieve final resolution of veterans\u2019 appeals sooner, on average, than the legacy process.", "In commenting on our assessment, VA indicated that it is working toward capturing the metrics listed in section 5 of the Act. VA officials also noted that reporting on the new appeals process will require IT system functionality that currently does not exist, but stated that efforts are underway to add this functionality.", "VA\u2019s plan does not explain how the agency will monitor processing of legacy versus new appeals: In addition, VA\u2019s appeals plan does not fully articulate how the agency will monitor whether resources are being appropriately devoted to both the new and legacy appeals process and how it will track both sets of workloads. An appeals plan that does not specifically articulate how VA will manage the two processes in parallel exposes the agency to risk that veterans with appeals in the legacy process may experience significant delays or otherwise poor results relative to those in the new appeals process or vice versa. In commenting on our findings, VA officials noted that VA was not required under section 3 of the Act to provide a description of its plans to capture metrics listed in section 5. Even if not required by the Act, developing an approach for carefully monitoring the management of new and legacy appeals would help VA track progress being made and achievement of goals.", "Until VA establishes complete and balanced goals and measures, identifies baseline data, and develops a plan for monitoring and assessing both the new and legacy processes, VA runs the risk of promoting skewed behaviors, or not fully understanding whether the new process is an improvement or whether veterans with appeals in the legacy process are experiencing poor results."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan Needs a Reliable Implementation Schedule to Manage the Project", "paragraphs": ["VA\u2019s appeals plan reflects certain aspects of sound planning practices related to managing the implementation of process change; however, other key components are not addressed. Sound planning practices for implementing process change suggest establishing a transition team. Consistent with such practices, VA\u2019s appeals plan states that the agency convened an agency-wide governance structure to coordinate implementation of its new appeals process; it is comprised of senior-level employees with authority to make necessary decisions to keep the project on track. VA\u2019s appeals plan also includes a copy of a master schedule. In its plan, VA asserts that the master schedule reflects timelines, interim goals and milestones, reporting requirements, and established deadlines, and that it will be used to guide implementation. VA\u2019s appeals plan also reports that VA is consulting with project management professionals, who are using the master schedule, among other tools, to monitor implementation. In addition, VA made progress addressing some of the issues we previously identified by developing steps and timetables for updating training in anticipation of implementing the new appeals process.", "However, VA\u2019s master schedule for implementing reform is missing elements of a high-quality and reliable implementation schedule for key activities. We have previously reported that having a well-planned schedule is a fundamental management tool. Generally recognized sound practices from the Project Management Institute (PMI) and GAO call for organizations to employ an integrated and reliable master schedule that defines when work activities will occur, who will complete the work, how long they will take, how they are related to one another, and the constraints affecting the start and completion of work elements, as well as whether resources will be available when they are needed. Such a project management schedule not only provides a road map for systematic project execution, but also provides the means by which to gauge progress, identify and address potential problems, and promote accountability.", "The master schedule VA provided in its appeals plan should have included other sound practices for project management related to a reliable schedule. Specifically:", "Key activities and their duration are not included: VA\u2019s master schedule does not capture specific Board-related activities, such as efforts to develop metrics, and the schedule and other project plans we reviewed do not go beyond February 2019. For example, the schedule does not indicate the period of time when VA expects to no longer be processing legacy appeals. Also, VA\u2019s master schedule submitted with its November 2017 appeals plan did not include the Rapid Appeals Modernization Program (RAMP) activities, even though this pilot test is occurring at the same time VA is preparing for full implementation of appeals options at VBA and the Board. However, VA\u2019s updated schedule that accompanied its comments on our draft report was updated to include RAMP.", "When all key and necessary activities are not included, it raises questions about whether all activities are scheduled in the correct order, resources are properly allocated, or the estimated completion dates are reliable. In addition, if the schedule does not fully and accurately reflect VA\u2019s efforts, it will not serve as an appropriate basis for analysis and may result in unreliable completion dates and delays.", "Sequencing and linkages among activities are not identified: For the high-level activities VA\u2019s appeals plan identifies, VA\u2019s master schedule does not indicate whether there were sequencing or linkages among them, which is not consistent with sound scheduling practices. Sequencing and linkages would show, for example, if any of these activities or sub-activities must finish prior to the start of other activities, or the amount of time an activity could be delayed before the delay affects VA\u2019s estimated implementation date. For example, VA cannot train new employees until after it hires them.", "The activities VA identifies also do not appear supported by lower- level project schedules. Specifically, when we requested documentation to support VA\u2019s high-level summary of activities and milestones, VA officials did not provide intermediate or more detailed schedules that reflected these practices. In particular, VA\u2019s appeals plan lacks a complete schedule for IT modifications that clearly defines what is to be achieved and the time frames for achievement.", "We previously recommended that VA develop a schedule for IT updates that explicitly addresses when and how process reform will be integrated into new systems and when these systems will be ready to support the new appeals process at its onset. For example, VA\u2019s appeals plan references several required IT modifications that do not appear in its master schedule. Schedules that are defined at too high a level may disguise risk that is inherent in lower-level activities.", "Interim goals are not reflected: VA officials stated that they have interim goals and milestones, though VA\u2019s appeals plan and supporting documentation generally do not include this information.", "Sound planning and redesign practices suggest closely monitoring implementation and developing project goals that include a mix of intermediate goals to be met at various stages. We previously made a recommendation that VA develop a more robust plan for closely monitoring implementation of process reform, including metrics and interim goals to help track progress, evaluate efficiency and effectiveness, and identify trouble spots\u2014all of which are consistent with sound planning practices. Without interim goals and milestones, VA lacks information to support sequencing of activities and to track and ensure accountability for steady progress.", "Resources are not assigned to all identified activities: The high- level summary schedule that VA provided us also lacks details regarding the assignment of resources for all activities. Specifically, while the plan identifies workgroups responsible for coordinating elements in the plan, such as regulations, training, and outreach, the schedule does not assign resources to the 40 listed activities. As discussed previously, VA\u2019s appeals plan also does not provide information on the total resources required for this reform effort. Assigning resources to the listed activities, as well as providing other information, could provide a better indication of the estimated total resources required to implement the new appeals process and address legacy appeals.", "In commenting on our findings, VA officials stated that the agency is developing lower-level project schedules for key activities\u2014such as RAMP and IT requirements\u2014and will provide these schedules as part of the required progress reports to the appropriate committees of Congress and GAO. VA officials also noted that future updates will include additional dependencies and risks, which VBA and the Board are still developing. Further, in discussing our findings at a January 2018 House Committee on Veterans\u2019 Affairs hearing, the Deputy Secretary of Veterans Affairs reiterated VA\u2019s commitment to developing more robust project plans, particularly for IT. Until VA has a robust integrated master schedule, supported by detailed project plans that adhere to sound practices, VA\u2019s appeals plan does not provide reasonable assurance that decision makers have the essential program management information needed for this complex and important effort."], "subsections": []}, {"section_title": "VA\u2019s Plan Addresses Some but Not All Key Risks Related to the New Appeals Process", "paragraphs": ["VA\u2019s appeals plan includes an assessment of risks involved in implementing the new appeals system, but could more comprehensively reflect key risks posed by such a significant reform effort. VA\u2019s appeals plan and supplemental materials include a \u201crisk register\u201d that describes risks associated with many elements of its plan, and the remaining level of risk after its planned response to these risks. VA\u2019s appeals plan also states that senior leaders will receive regular updates of risks and mitigation strategies. However, because VA has not yet articulated a balanced set of performance goals and measures in its appeals plan, it is hindered in its ability to identify and assess risks.", "Federal internal control standards state, and our previous work at VA and other agencies demonstrates, that establishing clear performance goals and objectives is a necessary pre-condition to effectively assessing risk. Having, for example, more complete timeliness goals, and goals and measures reflecting other areas of performance, would allow VA to better identify and target risks associated with managing two processes in parallel, including the potential that veterans with appeals in the legacy process may experience significant delays relative to those in the new appeals process.", "Importantly, VA is missing an opportunity to fully benefit from RAMP by not testing and assessing other aspects of the new appeals process. The Act authorizes VA to test the feasibility and advisability of any facet of the new appeals process, and VA is taking a positive step to mitigate some risks by testing the two review options available within VBA (review of a claim by a higher-level official based on the same evidence and review of a supplemental claim with additional evidence) through RAMP. In November 2017, VA began RAMP by inviting 500 veterans whose appeals have been pending the longest to participate. According to VA officials, VA plans to continue offering RAMP to additional eligible veterans with pending legacy appeals each month until January 2019\u2014a month before VA anticipates fully implementing the new appeals system. However, as designed, RAMP does not include features\u2014consistent with a well-developed and documented pilot test program\u2014that would provide VA with an opportunity to evaluate fully the soundness of new processes and practices on a smaller scale. Specifically:", "VA\u2019s plan does not clearly define success criteria for RAMP: VA\u2019s appeals plan states that the agency will collect certain data from RAMP, such as the rate at which eligible veterans opt into the process, timeliness of claims processing, and individual employee productivity. VA also established an overall average processing time goal of 125 days for the two VBA options; however, the plan and supporting documentation did not clearly articulate whether RAMP reviews are expected to meet this timeliness goal. The plan also did not identify other success criteria for RAMP or the types of results expected before fully implementing the new appeals process. For example, VA\u2019s plan does not articulate the expected number and type of subsequent appeals to the Board that result from RAMP.", "In commenting on our findings, VA noted that its intent in implementing RAMP was to collect data and test aspects of the new process, and that RAMP was not an initiative in and of itself. However, developing performance measures and data gathering procedures and defining success criteria for a pilot test before proceeding to full implementation are sound practices for process redesign and pilot testing. In addition, because RAMP was not included in VA\u2019s risk assessment, we asked VA if it had identified any risks or mitigation strategies specific to RAMP. In its supplemental materials, VA stated that the greatest risk to RAMP is a low participation rate among eligible veterans with legacy claims. VA also indicated that it would need 10 percent of eligible veterans to opt into RAMP to yield meaningful results. However, this threshold is not articulated in VA\u2019s appeals plan as an explicit success criterion or objective. According to data provided by VA, as of January 22, 2018, 238 veterans opted in.", "Of veterans with pending claims in RAMP, two-thirds chose the higher-level review option. VA also reported that 47 RAMP decisions have been made so far. As of yet, no appeals of RAMP decisions have been filed.", "VA\u2019s plan does not articulate how it will assess RAMP before proceeding with full implementation: Although VA\u2019s appeals plan describes a \u201cclose-out\u201d phase in which VA intends to assess the results of RAMP, it does not detail the conditions that would have to be met (or not met) to trigger changes. For example, VA\u2019s plan does not explain when or how it might respond to low opt-in rates for RAMP\u2014other than stating it will increase outreach to eligible veterans\u2014or to unexpectedly high appeal rates to the Board resulting from RAMP decisions. Sound redesign and change management practices both suggest that pilot tests be rigorously monitored and evaluated, and that further roll-out occur only after an agency\u2019s transition team takes any needed corrective action and determines that the new process is achieving previously identified success criteria. Without fully articulating its plan for deciding how and when to roll out changes more broadly, it is not clear whether VA would be prepared to fully implement a new appeals process that achieves its aim of better serving veterans.", "RAMP does not test all aspects of the new appeals process: RAMP provides an opportunity to learn about experiences at VBA under the new system, such as the rate at which eligible veterans choose those options and the resources that will be required to process their appeals. However, RAMP was not designed to test how many veterans would choose to appeal directly to the Board and, therefore, it will not provide comparable information on the Board appeals options. Sound workforce planning practices suggest that agencies identify the total resources needed to manage the risk of implementing new processes and conduct scenario planning to determine those needs.", "In addition, although we previously recommended VA conduct additional sensitivity analyses to inform projections of future appeals inventories, VA\u2019s appeals plan does not reflect VA\u2019s use or intended use of sensitivity analyses when projecting staffing needs for new appeals options at the Board. In commenting on our findings, VA officials said they do not plan to conduct additional sensitivity analyses to project future workloads until they have more information from RAMP to inform their assumptions. As a result, VA will lack data on scenarios in which veterans may overwhelmingly choose options available at the Board over those at VBA when the appeals plan is fully implemented. This presents a risk that VA\u2019s early production projections and initial resource allocations may not be properly balanced between the Board and VBA. This, in turn, may result in an unexpectedly large number of appeals pending with the Board, and corresponding lengthy average wait and decision times for some, if not all, Board options.", "Having information on the number of veterans who are likely to appeal to the Board is particularly critical, given that similar efforts to create additional review options at VBA did not achieve their goals of reducing the percentage of appeals that continue on to the Board. In 2001, VA established the Decision Review Officer (DRO) process\u2014in which senior staff have the authority to overturn an initial disability claim decision without any new evidence\u2014to resolve more appeals at the regional level and avoid long waits at the Board. However, we reported in 2011 that, although the DRO process helped some veterans get additional benefits at the regional office level, it did not accomplish the program\u2019s primary goal of reducing the percentage of appeals continuing on to the Board.", "In responding to our findings, VA officials reiterated their plans to increase outreach in the event of low opt-in rates for RAMP and indicated they recently began to send follow-up RAMP invitation letters. With respect to assessing all appeals options, VA officials stated that, while no legal bar prevents testing of the Board options, the Board is focused on reducing its inventory of pending appeals while RAMP provides early resolution of appeals within the new VBA-only options. Officials conceded that this approach means they cannot collect data on the rate at which veterans opt to appeal directly to the Board (e.g., bypassing additional VBA review) until the new process is fully implemented. However, they noted that they can collect some data on the rate at which veterans whose appeals go through RAMP file subsequent appeals to the Board, even though the Board will not begin processing those appeals until full implementation. At a January 2018 House Committee on Veterans\u2019 Affairs hearing, the Deputy Secretary of Veterans Affairs stated that given our assessment, VA will adjust its approach to identify and mitigate risks associated with implementing all of the appeals options, including those at the Board.", "Until VA pursues an approach that identifies and mitigates significant risks associated with implementing a new process, VA is taking a chance that untested aspects will not perform as desired. The Act provides VA authority to pilot aspects of the process and flexibility on the timing of implementing the new process, which could allow some additional time for VA to carefully measure performance under RAMP and determine whether any corrective actions are necessary. If VA does not take full advantage of this authority, it risks moving forward without knowing whether the new appeals process improves experiences for veterans, and potentially implementing a process that is more expensive or results in longer wait times than originally anticipated."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In implementing appeals reform after the enactment of the Veterans Appeals Improvement and Modernization Act of 2017, VA is undertaking a complex endeavor that has the potential to affect the lives of hundreds of thousands of veterans with service-connected disabilities. Such an endeavor demands a commensurate level of planning to be successful. While the Act required VA to submit its plan within 90 days of enactment, VA had proposed and began to plan for appeals reform much earlier, and had our March 2017 recommendations to guide its planning efforts from a foundation of sound practices.", "VA\u2019s November 2017 appeals plan is a positive step forward. Certain elements of the plan\u2014such as establishing an agency-wide governance structure to oversee implementation and testing aspects of reform prior to full implementation\u2014are notable gains since our March 2017 report. At the same time, the plan partially addresses or does not address five of the required elements called for by the Act, such as delineating the total resources required by VBA and the Board to implement and administer the new appeals process and address legacy appeals. The plan also is not fully responsive to our past recommendations and does not reflect a number of sound planning practices that are essential for gauging progress, establishing accountability, and linking resources to results.", "One such key practice is articulating a desired \u201cend state\u201d\u2014a vision for what successful implementation would look like for the new appeals process as well as the wind-down of the legacy process, such as accurate and timely processing of appeals while ensuring veteran satisfaction. Without establishing a complete and balanced set of goals and related performance measures to achieve this end state, and monitoring and assessing progress along the way, VA risks falling short of its overarching objective\u2014to improve timeliness of appeals decisions for veterans overall. By not fully articulating how it plans to monitor workloads and devote resources to both the new and legacy processes, VA runs the risk of disadvantaging veterans with legacy appeals relative to those in the new process, or vice versa.", "Just as important is establishing a robust integrated master schedule\u2014 rather than a high-level timeline\u2014that is built upon and clearly reflects extensive detailed planning and includes all activities necessary to execute the program and interdependencies between these activities. Without such a road map, VA\u2019s appeals plan does not provide reasonable assurance that decision makers have the essential information needed to manage this complex and important program.", "We are encouraged that VA has taken some steps toward assessing risks, including establishing a risk register and implementing RAMP to collect information on the two VBA appeals options. However, unless VA assesses risks against a balanced set of goals and measures, VA may not be fully aware of risks that may impede successful implementation of appeals reform. Further, although VA will undoubtedly learn from the RAMP experience, it may not learn all that it should from its efforts without (1) establishing clear criteria for what success looks like (or the circumstances that would cause VA to consider making course corrections), and (2) building in time to take stock of the lessons learned before moving to full implementation.", "VA\u2019s plan places a lot of weight on RAMP to, among other efforts, mitigate risk and generate estimates of the resources needed for successful implementation after fiscal year 2018, even though RAMP does not fully test options for appealing to the Board that will be available to veterans after full implementation. Unless VA addresses key risks associated with fully implementing appeals reform\u2014by either testing or conducting sensitivity analyses for all five appeals options, to better understand potential workloads at the Board\u2014VA runs the risk of fully implementing the process without knowing if it is improving the process for veterans."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to VA: The Secretary of Veterans Affairs should address all of the required elements in the Act in VA\u2019s appeals plan to Congress\u2014including delineating resources required for all VBA and Board appeals options\u2014 using sensitivity analyses and RAMP results, where appropriate and needed. (Recommendation 1)", "The Secretary of Veterans Affairs should clearly articulate in VA\u2019s appeals plan how VA will monitor and assess the new appeals process compared to the legacy process, including specifying a balanced set of goals and measures\u2014such as timeliness goals for all VBA appeals options and Board dockets, and measures of accuracy, veteran satisfaction, and cost\u2014and related baseline data. (Recommendation 2)", "The Secretary of Veterans Affairs should augment the master schedule for VA\u2019s appeals plan to reflect all activities\u2014such as modifications to IT systems\u2014as well as assigned responsibilities, interdependencies, start and end dates for key activities for each workgroup, and resources, to establish accountability and reduce overall risk of implementation failures. (Recommendation 3)", "The Secretary of Veterans Affairs should ensure that the appeals plan more fully addresses risk associated with appeals reform\u2014for example, by assessing risks against a balanced set of goals and measures, articulating success criteria and an assessment plan for RAMP, and testing or conducting sensitivity analyses of all appeals options\u2014prior to fully implementing the new appeals process. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs (VA) for comment. In its comments, reproduced in appendix II, VA outlined its planned actions to address the recommendations. VA clarified in a subsequent communication that the agency agreed with all our recommendations. VA did not provide technical comments.", "With respect to our first recommendation that VA address all the required elements in the Act in VA\u2019s appeals plan (including delineating total resources), VA stated that both VBA and the Board will use existing resources to implement the new appeals process. VA also stated it plans to take additional steps to determine resource requirements for addressing workloads under both the legacy and new appeals process. For VBA, VA stated that it will continue to rely on RAMP to project resource requirements, while acknowledging the need to augment its analysis of RAMP data by adopting additional strategies to project resource requirements. VA did not describe these strategies, but stated that it will share them with Congress and GAO in the near future. Meanwhile, VA noted that its 2019 budget request includes 605 additional FTEs for VBA to process appeals, but did not indicate how it developed this budget request. For the Board, VA stated that it plans to develop better predictions regarding resource allocations among dockets by leveraging project management and other support within the agency. We will continue to monitor VA\u2019s efforts to delineate needed resources, including how it uses the results of pilot tests and prediction analysis.", "With respect to our second recommendation to articulate how it will monitor and assess the new appeals process compared to the legacy process, VA stated that it is working to develop a complete and balanced set of measures for the new appeals process, and timeliness goals for all appeals options. Further, VA indicated it will track performance for Board appeal options using an existing process. We are encouraged by VA\u2019s proposed actions, which will provide a more complete picture of VA\u2019s vision for the new appeals process. However, VA does not detail whether or how the agency will develop a baseline or compare performance of the new appeals process to the legacy process. Until VA develops a baseline and a plan for monitoring and assessing both the new and legacy processes\u2014using a complete and balanced set of goals and measures\u2014 VA risks not fully understanding whether the new process is an improvement.", "With respect to our third recommendation to augment its master implementation schedule to manage the project, VA provided an updated schedule with additional key activities and responsibilities, such as RAMP. Moreover, VA restated its plans to use an agency-wide governance structure to coordinate and track implementation of its new appeals process. We are encouraged by VA\u2019s efforts to develop a more detailed implementation schedule. However, the updated schedule VA provided does not include major activities, such as integrated IT system testing, and completion dates for major activities, for example, adding functionality to VA\u2019s primary claims processing system. In addition, VA provided an updated calendar for six major IT activities through the end of calendar year 2018. However, we continue to believe that VA will need to develop a longer term schedule that projects when processes will be integrated into new systems and when new systems will be ready to support the new appeals process. The schedule also does not indicate whether activities are interrelated, such that a delay in one activity could affect other activities and thereby affect VA\u2019s estimated implementation date. This sound planning practice is especially important because VA stated the agency is concurrently executing many of the activities.", "With respect of our fourth recommendation to more fully assess risks associated with appeals reform prior to its full implementation, VA stated that it will assess risks against a balanced set of goals it plans to select. Moreover, using its existing risk management process, VA stated it has identified additional risks and mitigation strategies after submitting its November 2017 plan. For example, VA states that it is addressing the continued low opt-in rate for RAMP, which is testing the new VBA-only options. VA is also acknowledging that delays in the development of IT required to implement the appeals process may prevent the agency from certifying readiness in January 2019. Importantly, VA states that the Board is exploring the development of a pilot program to identify needs and concerns related to full implementation\u2014including all Board appeals options\u2014and to make predictions about timeliness and productivity under the new appeals process. However, VA did not define success criteria for its current pilot test, RAMP, or clearly articulate how the agency will assess results of either RAMP or a new test of Board appeals options before proceeding to full implementation. Implementing our recommendation in a complete and timely manner is important because it would improve VA\u2019s ability to identify and mitigate significant risks associated with implementing a new process.", "We will continue to monitor the status of VA\u2019s actions to address our recommendations and how they are implemented, to help ensure that VA is undertaking a level of planning appropriate to implementing a complex endeavor, and thereby improving VA\u2019s chance of success.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Elizabeth Curda at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who contributed to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Our Assessment of VA\u2019s Appeals Plan Against Required Elements in the Act", "paragraphs": ["To assess the extent to which VA\u2019s appeals plan addresses the required elements in the Veterans Appeals Improvement and Modernization Act of 2017 (Act), we first identified and developed a checklist reflecting each required element for VA\u2019s appeals plan (including sub-parts) under section 3(a) and (b) of the Act. To compare the required elements and their sub-parts against VA\u2019s appeals plan and supplemental materials provided by VA, we developed decision rules for determining whether VA\u2019s appeals plan addressed, partially addressed, or did not address each required element (see table 2). Specifically, we concluded that VA\u2019s plan addressed (or partially addressed) a required element if the plan included information related to all (or some) subparts of the requirement. We focused on the plan as presented, rather than auditing the information VA relied on in developing the plan. For example, the Act\u2019s section 3(b)(10) required VA\u2019s plan to include a description of the modifications to the information technology (IT) systems required to carry out the new appeals system, including cost estimates and a timeline. We concluded that VA\u2019s plan addressed all sub-parts of this element because it provided a description of required IT modifications, a reference to costs included in the Appeals Modernization IT budget, and a timeline. However, our determination that VA addressed this element should not be construed to necessarily mean that VA fully identified or described all IT requirements, or provided complete estimated costs and timelines associated with those requirements, or that the information in VA\u2019s appeals plan comported with sound planning practices. This type of assessment was outside the scope of this objective."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth H. Curda, (202) 512-7215 or curdae@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, the following staff members made significant contributions to this report: Michele Grgich (Assistant Director), James Whitcomb (Analyst in Charge), and Rachael Chamberlin.", "In addition, key support was provided by Susan Aschoff, Mark Bird, David Chrisinger, Daniel Concepcion, Clifton Douglas, Alex Galuten, Nisha Hazra, Melissa Jaynes, Benjamin Licht, Patricia McClure, Sheila McCoy, Lorin Obler, Gloria Proa, Almeta Spencer, James Sweetman, Walter Vance, and Greg Whitney."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-116", "url": "https://www.gao.gov/products/GAO-18-116", "title": "Government Procurement: Effect of Restriction on DHS's Purchasing of Foreign Textiles Is Limited", "published_date": "2017-11-21T00:00:00", "released_date": "2017-11-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. textile industry sustained significant losses when textile production fell from $71 billion in 2006 to $46 billion in 2009, according to the U.S. Bureau of Economic Analysis. As a part of the American Recovery and Reinvestment Act of 2009, Congress passed the Kissell Amendment, which placed a restriction on DHS's procurement of certain textiles from foreign sources. DHS has applied this restriction to uniforms and body armor. The amendment was intended to increase opportunities for American textile and apparel manufacturers, according to the Senate Committee on Appropriations.", "The Senate report that accompanied Senate Bill 1619, a bill related to the Consolidated Appropriations Act, 2016, includes a provision for GAO to review DHS's implementation of the Kissell Amendment and its effectiveness. This report addresses the extent to which (1) DHS has incorporated the Kissell Amendment into its procurement policies and procedures and (2) the Kissell Amendment affects DHS's procurement of textiles. To perform this work, GAO analyzed DHS policies and procedures, procurement obligations data, textile contract files, and vendor ordering data from DHS's current uniforms contract. GAO also interviewed DHS and U.S. Trade Representative officials and private sector representatives, including the vendor for the current DHS uniforms contract. GAO received technical comments from DHS, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Department of Homeland Security (DHS) has updated its policies and procedures to incorporate a restriction on its procurement of certain textiles as specified in the \u201cKissell Amendment.\u201d In August 2009, DHS amended its procurement policies to reflect the Kissell Amendment restriction and describe the limitations on DHS's procurement of specified textiles from sources outside the United States. All 11 contracts GAO reviewed for uniforms and body armor entered into by a DHS component since August 2009 included language regarding the Kissell Amendment restriction. In addition, according to officials, DHS has several procedures to ensure that contracting officers adhere to the requirements of the Kissell Amendment. These include a required acquisition review process; a requirement for all DHS components to use department-wide contracts; verification procedures; and training for contracting personnel on the Kissell Amendment restriction.", "In practice, the Kissell Amendment restriction affects a limited number of procurements due to multiple factors and has not fully restricted DHS from purchasing textiles from foreign sources. The restriction applies only to certain textile purchases directly related to U.S. national security interests above the simplified acquisition threshold of $150,000, and must be applied consistent with U.S. obligations under international agreements. For most of DHS, this restriction limits only procurements that fall between $150,000 and $191,000, the World Trade Organization Government Procurement Agreement threshold. However, because procurements by the Transportation Security Administration (TSA) of textiles are excluded from most international agreements, the Kissell Amendment prevents TSA's purchasing of certain textiles above $150,000 from all but three foreign countries. In September 2014, DHS signed a uniforms contract, the largest procurement covered by the Kissell Amendment. Under this contract, DHS has ordered 58 percent of the $164.6 million in uniform items from foreign sources through June 2017 (see figure)."]}], "report": [{"section_title": "Letter", "paragraphs": ["Historically, the U.S. textile and apparel industries have faced intense foreign competition in the U.S. marketplace from countries with low labor costs. According to the U.S. Bureau of Labor Statistics, the apparel, textile, and leather manufacturing industries lost 228,000 jobs from 2005 to 2016, representing a 26 percent decrease in employment in those fields. In particular, the U.S. textile industry sustained significant losses during the recession of 2007 to 2009. According to the U.S. Department of Commerce\u2019s Bureau of Economic Analysis, textile production fell from $71 billion in 2006, the year prior to the start of the U.S. recession, to $46 billion in 2009, a 35 percent decrease.", "The American Recovery and Reinvestment Act of 2009 was enacted, in part, to preserve and create jobs and promote economic recovery. As part of this act, Congress passed the \u201cKissell Amendment,\u201d which, according to the Senate Committee on Appropriations, was intended to increase opportunities for American textile and apparel manufacturers. The Kissell Amendment generally restricts the Department of Homeland Security (DHS) from using its funds to procure certain fibers, textiles, and clothing that are not grown, reprocessed, reused, or produced in the United States.", "Various administrations and congressional bills have supported similar efforts to increase opportunities for American manufacturers and producers. The current administration has also placed an emphasis on the procurement of domestically produced goods, products, and materials by the federal government in an effort to stimulate growth and create jobs in the United States. In April 2017, the President of the United States issued the Presidential Executive Order on Buy American and Hire American stating, in part, that it shall be a policy of the executive branch to maximize the use of domestic goods.", "A Senate Report accompanying Senate Bill 1619, a bill related to the Consolidated Appropriations Act, 2016, includes a provision for us to review DHS implementation of and compliance with the Kissell Amendment, as well as the policy\u2019s effectiveness. This report examines the extent to which (1) DHS has incorporated the Kissell Amendment into its procurement policies and procedures and (2) the Kissell Amendment affects DHS\u2019s procurement of textiles.", "To address these objectives, we reviewed U.S. laws, regulations, and international trade agreements, and interviewed officials from DHS and the Office of the U.S. Trade Representative (USTR) to understand the legal context for the Kissell Amendment. To determine the extent to which DHS incorporated the Kissell Amendment into its procurement policies and procedures, we reviewed relevant DHS documents and procurement files and interviewed DHS officials. We also reviewed 11 uniforms and body armor contracts that DHS components entered into after August 2009.", "To determine the extent to which the Kissell Amendment affects DHS\u2019s procurement of textiles from U.S. and foreign sources, we reviewed obligations data from the Federal Procurement Data System \u2013 Next Generation (FPDS-NG), and analyzed uniform cost estimate data from DHS and uniform ordering data from the vendor for the current DHS uniforms contract. We tested the reliability of both FPDS-NG data and DHS ordering data from the vendor and determined the data to be sufficiently reliable for the purposes of this report. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from January 2017 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Kissell Amendment", "paragraphs": ["The Kissell Amendment applies to contracts entered into by DHS as of August 16, 2009, and, according to the Congressional Record, would require DHS to purchase uniforms made in the United States. According to the Congressional Record, the amendment was intended to extend some of the provisions found in the Berry Amendment to DHS. The Berry Amendment generally restricts the Department of Defense\u2019s (DOD) procurement of textiles, among other items, to those produced within the United States. Pursuant to the Kissell Amendment, subject to exceptions, funds appropriated, or otherwise available to DHS, may not be used to procure certain textile items directly related to the national security interests of the United States if the item is not grown, reprocessed, reused, or produced in the United States. The Kissell Amendment specifies categories and types of textiles including items such as clothing, tents, tarpaulins, covers, and protective equipment, as well as the fibers used for fabrics such as cotton and other natural and synthetic fabrics. We refer to these textile items that are directly related to the national security interests of the United States as \u201cKissell-covered items.\u201d", "The Kissell Amendment also has multiple exceptions to the procurement restriction, including:", "Small Purchases Exception \u2013 procurements under the simplified acquisition threshold (currently set at $150,000).", "Availability Exception \u2013 satisfactory quality and sufficient quantity of any Kissell-covered item cannot be procured when needed at U.S. market prices.", "Procurements Outside the United States \u2013 procurements by vessels in foreign waters or emergency procurements outside the United States.", "De Minimis Exception \u2013 DHS may accept delivery of a Kissell-covered item if it contains non-compliant (i.e., foreign) fibers as long as the total value of those fibers does not exceed 10 percent of the total purchase price of the item.", "In addition to the exceptions noted above, the Kissell Amendment also states that the Amendment shall be applied in a manner consistent with U.S. obligations under international agreements. As a result, purchases of Kissell-covered items, including uniforms and body armor, by DHS and its components must be procured consistent with U.S. obligations under relevant U.S. trade agreements. These agreements include the World Trade Organization (WTO) Government Procurement Agreement (GPA) and 14 bilateral or regional free trade agreements (FTAs) with 20 countries. These agreements generally require each party\u2019s goods and services to be given treatment comparable to what is given to domestic goods and services in certain government procurements. The United States implements these obligations through the Trade Agreements Act of 1979 (TAA) and subpart 25.4 of the Federal Acquisition Regulation (FAR). According to DHS and its components, officials apply the Kissell Amendment by following the TAA as implemented in FAR subpart 25.4. As a result, when an international trade agreement applies to a DHS procurement of a Kissell-covered item, the Kissell Amendment does not restrict DHS\u2019s purchasing of textile items from that foreign source, regardless of the item\u2019s relationship to the national security interests of the United States."], "subsections": []}, {"section_title": "The Buy American Act", "paragraphs": ["The Buy American Act (BAA) can also apply to DHS procurements. The BAA restricts the U.S. government from purchasing nondomestic end products, unless an exception applies. Examples of exceptions include:", "Where the cost of the domestic end product would be unreasonable.", "Where sufficient commercial quantities of domestic end products of a satisfactory quality are not reasonably available.", "In acquisitions covered by the WTO GPA or FTAs, USTR has waived the Buy American statute and other discriminatory provisions for eligible products. The BAA could apply to procurements of certain textile items valued below the $150,000 simplified acquisition threshold, to which the Kissell Amendment does not apply. The applicability of the act to a particular procurement depends on a number of factors such as the existence of a waiver or whether an exception applies."], "subsections": []}, {"section_title": "DHS Obligations for Textile Procurements", "paragraphs": ["DHS and its components procure textiles and fabrics for numerous purposes, including clothing and equipping its officers and employees. From October 2009 through June 2017, of DHS\u2019s more than $105 billion in obligations for procurements, $774 million, or less than one percent, was for textile products, according to FPDS-NG. The majority of textiles and fabrics procured by DHS components are for uniforms and body armor. In particular, of the $774 million, DHS obligated $516 million (or 67 percent) to procure uniforms and body armor for DHS personnel (see fig. 1)."], "subsections": []}]}, {"section_title": "DHS Updated Policies and Procedures to Incorporate the Kissell Amendment Restriction", "paragraphs": [], "subsections": [{"section_title": "DHS Procurement Policies Contain the Kissell Amendment Restriction", "paragraphs": ["In August 2009, DHS updated its procurement regulations, the HSAR, to incorporate the Kissell Amendment restriction on the procurement of textiles from foreign sources; since then DHS inserted language incorporating the restriction into the 11 uniform and body armor contracts we reviewed. The HSAR establishes standardized DHS policies for all procurement activities within the department; according to DHS officials, all DHS components are to follow these policies. Pursuant to the Kissell Amendment, the restriction on the procurement of textiles became effective for DHS on August 16, 2009. One day later, DHS published an interim rule with a request for comments from the public that amended relevant HSAR sections to reflect the statutory change limiting the procurement of products containing textiles from sources outside the United States (i.e., the Kissell Amendment). On June 9, 2010, after receiving comments from the public, DHS adopted the amendments issued under the interim rule as final and without change. The amended sections detail the restriction on procurements of foreign textiles. They also provide a list of the types of textile items included in the restriction (i.e., yarn, wool, cotton), the exceptions noted in the Kissell Amendment, and provide detail on the specific application of trade agreements. Under the regulations, unless an exception applies, a specific clause shall be inserted in solicitations and contract actions detailing the requirement to use domestic goods for any procurement of a Kissell-covered item.", "Some components within DHS issued additional, supplemental guidance to the HSAR, while other components determined that additional guidance would be duplicative, according to officials. For example, Transportation Security Administration\u2019s (TSA) Internal Guidance and Procedure Memorandum, updated in June 2016, provides additional guidance to contracting officers at TSA on the procurement of textiles. This guidance specifically states that for certain textile products, TSA\u2019s contracting officers can only evaluate and/or accept offers from specified countries. Other components determined that additional guidance was not needed because the HSAR adequately covers the requirements of the Kissell Amendment for their purposes. For example, U.S. Secret Service officials stated that, for any procurement of textiles, they insert the required language from the HSAR into the request for proposals in case an item could be considered directly related to U.S. national security interests and thereby subject to the Kissell Amendment restriction.", "DHS officials stated that contracts for the procurement of uniforms and body armor are their only contracts for textile-related products that are directly related to national security interests. See figure 2 for examples of DHS uniforms and body armor.", "According to DHS officials, other textile or apparel procurements, such as curtains for DHS offices, would likely not be subject to the foreign procurement restriction under the Kissell Amendment because they are not directly related to national security interests. DHS components can also procure textiles through the Federal Supply Schedules (FSS) program. When ordering from these contracts, DHS contracting officers would make the determination of whether or not the purchase is directly related to national security interests and therefore subject to the Kissell Amendment restriction, according to DHS officials. DHS officials also explained that if the purchase under the FSS program contract is subject to the Kissell Amendment, the contracting officer would be responsible for inserting the required language from the HSAR into the delivery order.", "All 11 of the contracts we reviewed for uniforms and body armor entered into by a DHS component since August 2009 included language regarding the restriction of the Kissell Amendment. Many of DHS\u2019s components that buy uniforms, including TSA and U.S. Customs and Border Protection (CBP), were already under contract with a vendor to supply uniforms when the Kissell Amendment took effect in August 2009. The Kissell Amendment specified that it applied to contracts entered into by DHS 180 days after the enactment of the American Recovery and Reinvestment Act of 2009. Therefore, DHS and its components did not apply the Kissell restriction to contracts signed before August 16, 2009. Several components separately signed contracts with uniform vendors after prior contracts expired and the Kissell restriction was in effect. For example, in February 2010, TSA signed a contract for uniforms with a vendor that included language restricting the foreign procurement of those uniforms per the Kissell Amendment.", "In 2012, DHS decided to enter into a single, department-wide contract for the procurement of uniforms for all of its components. While that contract was being developed, several components signed additional contracts for uniforms with vendors to ensure a continuous supply of uniform items for their officers. This included a \u201cbridge\u201d contract between TSA and a vendor in February 2013, which also included language referencing the Kissell Amendment and language restricting the foreign procurement of those uniforms. In September 2014, DHS entered into its current 5-year, department-wide uniforms contract that provides eight DHS components with uniform clothing items. One vendor holds this uniforms contract."], "subsections": []}, {"section_title": "DHS Has Procedures to Ensure That the Kissell Amendment Restriction Is Properly Applied", "paragraphs": ["DHS employs multiple procedures, according to officials, in an effort to ensure that the restriction on the procurement of foreign textiles from the Kissell Amendment was and is properly applied, including (1) a standardized procurement contract review process; (2) a requirement for all DHS components to use established department-wide contracts; (3) verification procedures to ensure the stated country of origin is correct; and (4) trainings on foreign procurement restrictions.", "First, the DHS official review process for all procurements helps ensure that the Kissell restriction is applied, if appropriate, to contracts for textiles and apparel, according to officials. Specifically, each procurement goes through a standardized review process that includes several levels of acquisition supervisors and DHS legal counsel, depending on the estimated dollar amount of the procurement. The DHS Acquisition Manual requires this review and approval process, which is designed to ensure compliance with all relevant federal acquisition laws, regulations, policies, and procedures. Through this process, officials evaluate the proposed contract for a number of restrictions, such as the appropriate use of a small business set-aside or a sole-source contract, which must also be reviewed by supervisors and legal departments before contract approval.", "According to DHS officials, while the applicability of the Kissell Amendment is part of the standard review process, there is no separate review for whether the foreign procurement restriction should be applied to the procurement. Officials also stated that the small number of contracting officers handling these textile procurements are aware of the requirements.", "Second, DHS now uses department-wide contracts for uniforms and body armor rather than each component entering into its own contracts for those items. Establishing and using these department-wide contracts increases efficiencies and reduces duplication in the department\u2019s procurement processes, according to DHS documentation. According to agency officials, the establishment of a department-wide uniforms contract for use by all DHS components reduces opportunities for mistakes, including the possibility of a contracting officer issuing a contract that does not include the required restriction for a Kissell-covered item.", "Third, the department relies on the vendor to verify that the item is in compliance with all applicable restrictions. It is not the responsibility of the agency or department to verify the country of origin of an item procured through a contract. According to the FAR, the contracting officer may rely on the vendor\u2019s certification of the country of origin for an end product when evaluating a foreign offer. DHS officials told us that, for each contract, the vendor is responsible for certifying the country of origin and notifying DHS if a uniform item from a previously approved country is no longer available and a replacement must be located. According to representatives from the current uniforms vendor, both its manufacturing facilities and its subcontractors have measures and internal controls in place to ensure that all items under the current uniforms contract are sourced from designated countries. Furthermore, if an item is being misrepresented, or not from the reported country of origin, other vendors in the industry could report such suspected violations to DHS and the department would investigate possible false claims. According to DHS officials, no reports have been made against the vendor for the current uniforms contract.", "In addition, CBP\u2019s Textiles and Trade Agreements Division is responsible for the Textile Production Verification Team Program. Under this program, CBP deploys teams of personnel drawn from many DHS components to FTA partner countries to visit manufacturers of textiles imported into the United States. These teams review textile production and verify compliance with the terms of the FTA. CBP provided information that showed it had made numerous verification visits to factories used by DHS\u2019s uniform vendor since October 2011. However, CBP officials said they did not know the degree to which the vendor\u2019s imports from these factories were used to fulfill the DHS uniform contract.", "Fourth, DHS provided training in 2009 and in 2017 to contracting personnel who conduct textile and apparel procurements subject to the Kissell Amendment and other Buy American-like provisions to ensure that the requirements are applied appropriately. The Kissell Amendment required that the Secretary of DHS ensure that each member of DHS\u2019s acquisition workforce \u201cwho participates personally and substantially in the acquisition of textiles on a regular basis receives training during fiscal year 2009 on the requirements\u201d of the Kissell Amendment and the regulations implementing the amendment. The amendment further states that any training program developed after August 2009 include comprehensive information on the Kissell Amendment restriction. According to officials, appropriate DHS contracting personnel were trained on the requirements of the Kissell Amendment through a presentation to DHS\u2019s Acquisition Policy Board in July 2009. DHS officials, however, were unable to identify the number of personnel present during this meeting or the materials associated with this training.", "According to DHS officials, no further training on Kissell requirements was conducted until June and July 2017, when DHS officials conducted two webinars that included approximately 570 DHS acquisition professionals on the requirements of the Kissell Amendment and its implications under the President\u2019s Buy American and Hire American Executive Order from April 2017. Our review on the implementation of the Kissell Amendment, as well as the President\u2019s new actions to increase opportunities for government agencies to buy American and hire American, precipitated the trainings, stated DHS officials. We observed the July 2017 training, at the invitation of DHS, and confirmed that the materials and topics covered included Kissell Amendment requirements."], "subsections": []}]}, {"section_title": "The Kissell Amendment Restriction Has a Limited Effect on DHS Textile Procurements", "paragraphs": ["In practice, the Kissell Amendment affects DHS textile purchases in a limited manner due to multiple factors. For most DHS components, these factors limit the effect of the Kissell Amendment restriction to certain foreign textile procurements directly related to U.S. national security interests that fall between $150,000 and $191,000. Specifically, from October 2009 to June 2017, only 14 DHS-awarded textile contracts, excluding TSA, fell within this range, according to FPDS-NG data. TSA textile procurements, unlike most DHS components, are excluded from the coverage of most U.S. international agreements. Therefore, the Kissell Amendment restricts TSA\u2019s procurement of certain foreign textiles above $150,000 from all but three foreign countries. According to DHS officials, the current contracts to which the Kissell Amendment applies are department-wide contracts for uniforms and body armor. As of June 2017, under the current uniforms contract, 58 percent of the value of ordered uniform items by DHS came from foreign sources. In addition, DHS officials stated that the current body armor contracts source all textile items from the United States."], "subsections": [{"section_title": "The Kissell Amendment Restriction Affects a Limited Number of DHS Textile Procurements Due to Multiple Factors", "paragraphs": ["The number of DHS\u2019s textile procurements that could be affected by the Kissell Amendment restriction is limited by multiple factors. The Kissell Amendment restriction applies only to those textile items that are directly related to national security interests for procurements above the $150,000 simplified acquisition threshold, and must be applied in a manner consistent with U.S. obligations under international agreements. In practice, this limits the number of procurements that could be affected by the amendment\u2019s restriction to those of Kissell-covered items between the current simplified acquisition threshold and the current WTO GPA threshold of $191,000, a $41,000 range, for most DHS components. Furthermore, statutory and regulatory provisions generally require that government agencies acquire U.S.-made or designated country end products and services for procurements covered by the WTO GPA. For most of DHS, the procurement of certain textiles is covered by the WTO GPA. Therefore, due to these regulations, most DHS components are limited in their textile procurements at or above $191,000 to the United States or designated countries, regardless of the Kissell Amendment. However, the number of TSA contracts that could be affected by the Kissell Amendment restriction is potentially greater since procurement of textiles by TSA is not subject to statutory and regulatory provisions that affect the rest of DHS\u2019s procurement of textiles.", "U.S. obligations under international agreements, as implemented by the TAA and FAR, require that offers of eligible products receive equal consideration with domestic offers. The FAR additionally specifies that agencies, \u201cin acquisitions covered by the WTO GPA, acquire only U.S.- made or designated country end products unless offers for such end products are either not received or are insufficient to fulfill the requirements.\u201d To be a U.S. procurement covered by the WTO GPA, the procurement must (1) be performed by a covered government entity; (2) be for a covered item; and (3) be at or above the WTO GPA threshold, which is currently $191,000. Other international trade agreements have their own thresholds currently ranging from $25,000 to $191,000. Figure 3 outlines the various key procurement thresholds that may affect the designated and non-designated countries from which DHS could source textiles with respect to the Kissell Amendment. Most of these dollar thresholds are subject to revision approximately every 2 years.", "Due to the multiple factors that affect DHS\u2019s textile procurements, most of DHS\u2019s components may source eligible textiles from up to 128 designated countries outside the United States in procurements at or above $191,000 (see fig. 4). This is because most DHS components\u2019 textile procurements are considered covered items under the WTO GPA. Therefore, most DHS components\u2019 foreign textile procurements that either meet or exceed the current $191,000 threshold are restricted to designated countries regardless of the Kissell Amendment, due to the FAR. These designated countries include WTO GPA countries, Free Trade Agreement countries, least developed countries, and Caribbean Basin countries.", "As noted above, multiple factors influence DHS\u2019s procurement of textiles and the number of contracts that could be affected by the Kissell Amendment restriction. Based on our analysis of contract data from FPDS-NG, from October 2009 to June 2017, DHS awarded 111 textile contracts above the simplified acquisition threshold. Of the 111 contracts, only 14 DHS textile contracts, excluding TSA, were valued between the simplified acquisition threshold and $191,000, the current threshold for coverage under the WTO GPA. In part, because FPDS-NG does not designate whether or not a contract is directly related to the national security interests of the United States, we could not determine whether these contracts were subject to the provisions of the Kissell Amendment. According to DHS officials, the only current contracts considered directly related to U.S. national security and therefore subject to the Kissell Amendment are for uniforms and body armor.", "The Kissell Amendment includes additional language regarding the use of any availability exception and states that any availability exception issued by DHS shall be publically posted on a government procurement internet site within 7 days of the contract. However, according to agency officials, since the passage of the Kissell Amendment, DHS has not issued any waivers for availability exceptions and has therefore been limited to procuring certain textile items from the United States and designated countries identified in the FAR."], "subsections": []}, {"section_title": "TSA Procurement Is Excluded from Coverage of Most U.S. International Trade Agreements", "paragraphs": ["The Kissell Amendment restriction affects TSA textile procurements differently than other DHS components. As implemented, the Kissell Amendment restricts TSA\u2019s procurement of certain textiles above $150,000 to the United States, Canada, Mexico, and Chile. TSA\u2019s procurement of textiles is different because it is not included in the U.S. coverage schedules of the WTO GPA and all U.S. free trade agreements, with the exception of the North American Free Trade Agreement and the U.S.-Chile Free Trade Agreement. According to USTR officials, some of TSA\u2019s security functions were originally held by the Federal Aviation Administration (FAA), which is not subject to the FAR. Furthermore, TSA was also not subject to the FAR prior to 2008, until Congress passed legislation removing the requirement that TSA procurements be subject to the acquisition management system established by the administrator of the FAA. Those circumstances resulted in TSA\u2019s exclusion from the WTO GPA for textiles and most other international trade agreements, according to USTR officials. Figure 5 illustrates when the Kissell Amendment could affect TSA procurements and the applicability of international trade agreements. Based on our analysis of FPDS-NG data, from October 2009 to June 2017, TSA entered into 13 textile contracts above the simplified acquisition threshold."], "subsections": []}, {"section_title": "DHS Procured Over Half of the Value of Textile Items for the Current Uniforms Contract from Foreign Sources", "paragraphs": ["From October 2014 to June 2017, 58 percent of the value of uniform items ordered by DHS came from outside the United States. In September 2014, DHS entered into its current department-wide uniforms contract, the largest value textile contract since the passage of the Kissell Amendment in 2009. In the request for proposals, DHS included a clause detailing the Kissell restriction on the purchase of foreign items in the uniforms contract documentation. As implemented, when combined with the purchasing restriction in the TAA, the clause in the Kissell Amendment that states the act shall be applied consistent with U.S. obligations under international agreements allows the uniforms contract vendor to source items from up to 128 designated countries. In the request for proposal for the current uniforms contract, DHS components included a list of over 900 uniform items including shirts, pants, shoes, and insignias. The vendor that was awarded the contract then reported the cost and expected country of origin for each item, which DHS approved. Table 1 shows the estimated cost and quantity of items estimated to be procured under the contract for components that primarily have a national security function.", "After the uniform contract was entered into by DHS in September 2014, DHS components began ordering uniform items under the contract. In addition to more than 900 types of uniform items that were agreed upon at the initiation of the contract, DHS components issued contract modifications to add or remove uniform items from the approved list. Common types of items expected to be ordered included uniform shirts, pants, socks, and shoes that met DHS component specifications.", "From October 2014 to June 2017, $164.6 million in uniform items was ordered by DHS components that primarily have a national security function. Of that amount, 58 percent, or $96 million, in uniform items ordered by DHS came from a reported 12 countries outside the United States. The remaining 42 percent, or $69 million, in uniform items was reported as originating in the United States. By value, Mexico, the largest source of uniform items from outside of the United States, accounted for 30 percent of the ordered uniform items. In addition, 8 percent of the value of uniform items was sourced from least developed countries, including Cambodia (5 percent) and Bangladesh (2 percent). Figure 6 illustrates the percentage value of DHS procurement of uniform items by reported country of origin for the current contract by components that primarily have a national security function.", "Based on our analysis of the vendor\u2019s ordering data, the majority of the value of uniform items ordered by all five components were sourced from outside the United States. In addition, a larger value of the uniform items ordered by three of the five components were sourced from Mexico than from any other country, including the United States. Table 2 shows the total value of the uniform ordering data for the five DHS components that primarily have a national security function under the current uniforms contract.", "From October 2014 through June 2017, CBP ordered approximately $101.1 million in uniform items under the contract, and TSA ordered approximately $53.5 million. CBP and TSA accounted for the majority of the dollar value of uniform orders from October 2014 through June 2017, representing 94 percent of the value of uniform items ordered by DHS components that primarily have a national security function under the contract. Specifically, 32 percent of the value of TSA ordered uniform items were from the United States, with the other 68 percent sourced from Mexico. As mentioned above, the Kissell Amendment, as implemented, restricts TSA\u2019s foreign procurement of certain textiles above $150,000 to Canada, Mexico, and Chile."], "subsections": [{"section_title": "Sourcing Only from the United States Could Be More Costly for DHS", "paragraphs": ["According to DHS officials and representatives of the current uniforms vendor, both the price of the uniform items and the time it would take to find appropriate U.S. sources could potentially increase if current statutory and trade agreements requirements changed and DHS was required to source all of its uniform items from the United States. According to the FAR, it is the responsibility of agencies to obtain the best value for the U.S. government. According to DHS officials, the best value may be sourced from foreign countries, especially when the country is a party to an international trade agreement with the United States. DHS officials and representatives of the vendor stated that it would be possible to source most of the items in the current uniforms contract from the United States. However, representatives of the vendor speculated that sourcing only from the United States could result in a 50 to 150 percent price increase for items that are currently sourced from foreign countries. Therefore, DHS costs could increase for over half of the uniform items currently procured from foreign sources. Additionally, DHS officials stated that the domestic availability of some items, such as footwear, is limited and that it could take approximately 2 years to find U.S. suppliers for all items currently procured from foreign sources."], "subsections": []}]}, {"section_title": "DHS Reported Procuring All Body Armor from U.S. Sources", "paragraphs": ["The second largest current textile contract is the department-wide contract for body armor. Effective November 1, 2016, the department- wide contract for body armor is not to exceed $93.8 million. As of June 2017, DHS had obligated $6.8 million under these body armor contracts. DHS did not provide GAO documentary evidence that the body armor is produced in the United States. However, according to DHS officials, textile items under the current body armor contracts are produced in the United States. According to DHS officials, to verify that materials are produced in the United States, DHS visited the site where these materials are produced and assembled in the United States. In addition, the contract contains specific language restricting the vendor from procuring items that are not in compliance with the Kissell Amendment."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to DHS and USTR. DHS did not provide written comments on the draft report but provided a number of technical comments that we incorporated as appropriate. USTR did not provide written or technical comments to the draft report.", "We are sending copies of this report to the appropriate congressional committees, to the Secretary of Homeland Security, the U.S. Trade Representative, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["A Senate Report accompanying Senate Bill 1619, a bill related to the Consolidated Appropriations Act, 2016, includes a provision for us to review the Department of Homeland Security\u2019s (DHS) implementation and compliance with the Kissell Amendment, as well as the effectiveness of the policy. This report examines the extent to which (1) DHS has incorporated the Kissell Amendment into its procurement policies and procedures and (2) the Kissell Amendment affects DHS\u2019s procurement of textiles.", "To address these objectives, we reviewed relevant laws and policies, such as Section 604 of the American Recovery and Reinvestment Act of 2009 (the \u201cKissell Amendment\u201d), the Trade Agreements Act of 1979 (TAA) as amended, the Federal Acquisition Regulations (FAR), Homeland Security Acquisition Regulations (HSAR), and the DHS Acquisition Manual, as well as select U.S. free trade agreements. We interviewed officials from DHS and the office of the U.S. Trade Representative (USTR). We also interviewed officials from the U.S. textile and apparel industry, including the National Council of Textile Organizations and the American Apparel and Footwear Association. Finally, we spoke with officials from the vendor for DHS\u2019s current department-wide uniforms contract, VF Imagewear.", "To determine the extent to which DHS incorporated the Kissell Amendment into its procurement policies and procedures, we reviewed relevant DHS documents and policies, including the HSAR, interim and final rules on the implementation of the Kissell Amendment, and component-level procurement guidance. We also interviewed officials from DHS\u2019s Office of the Chief Procurement Officer and from the components in DHS that have their own contracting authority, including U.S. Customs and Border Protection (CBP), Federal Emergency Management Agency (FEMA), U.S. Immigration and Customs Enforcement (ICE), Transportation Security Administration (TSA), U.S. Coast Guard, and U.S. Secret Service.", "To analyze whether or not language indicating the restriction on the procurement of foreign textiles from the Kissell Amendment was included in DHS and component level contracts, we reviewed contract files for 11 available uniforms and body armor contracts entered into since August 16, 2009, the date the Kissell Amendment became effective. We reviewed contract files from DHS uniform and body armor contracts because these are the only DHS textile contracts that are directly related to U.S. national security and therefore subject to the Kissell Amendment, according to DHS officials. We identified these uniforms and body armor contracts through reviews of Federal Procurement Data System\u2013Next Generation (FPDS-NG) data for DHS and components contracts in groups 83 and 84 since August 16, 2009, and through discussions with CBP, DHS, and TSA officials. We were not, however, able to review every uniforms contract all DHS components have entered into since August 16, 2009, because, for example, some of the contract files were no longer available, consistent with federal document retention policies, according to DHS officials. The results of our reviews of selected contracts are not generalizable to all DHS textile contracts entered into since August 16, 2009.", "To determine the extent to which the Kissell Amendment affects DHS\u2019s procurement of textiles, we reviewed relevant government regulations and laws, U.S. international agreements, DHS contract files, and ordering data for the largest textile contract since the effective date of the Kissell Amendment. We reviewed the FAR to evaluate which international agreements are applicable to DHS textile procurements, the thresholds for each international trade agreement, and the countries from which DHS may procure certain textiles. We reviewed the U.S. central government coverage schedule of the World Trade Organization (WTO) Government Procurement Agreement (GPA) to determine which procurements by DHS component are covered by the WTO GPA and therefore subject to the purchasing restriction in the TAA, as implemented in the FAR.", "To identify the dollar range for textile contracts that could be affected by the Kissell Amendment, we reviewed the Kissell Amendment and the relevant provisions of the FAR. We also interviewed USTR officials and DHS officials from the Office of the Chief Procurement Officer, CBP, and TSA to understand how international trade agreements affect DHS\u2019s textile procurement under the Kissell Amendment. We reviewed award and obligation data from the FPDS-NG to identify the number of textile contracts awarded by DHS components and delivery orders through the General Services Administration\u2019s Federal Supply Schedules program above the simplified acquisition threshold and those that could be affected by the Kissell Amendment. To assess the reliability of procurement data from FPDS-NG, we reviewed relevant documentation and performed verification through electronic testing. We determined the data to be sufficiently reliable for the purposes of this report.", "To evaluate DHS\u2019s procurement of uniform items from the United States versus foreign sources, we reviewed the ordering estimates, which were provided as an attachment to DHS\u2019s request for proposals for the current uniforms contract, and ordering data provided by the vendor for the current uniforms contract. The current uniform and body armor contracts are the only two active contracts to which the Kissell Amendment applies, according to DHS officials. For the purposes of ordering data and estimates, we did not review previous contracts. In addition, since all body armor items are sourced from the United States, we focused our ordering analysis on the current uniforms contract. Because we did not evaluate ordering data for previous DHS uniforms contracts, these values cannot be extrapolated to all DHS uniforms contracts.", "To calculate the ordering estimates for the current uniforms contract, we analyzed data created by DHS and the uniform vendor during the development phase of the contract. To focus on the DHS components that primarily have a national security function under the current uniforms contract, we analyzed ordering estimates to identify the number of uniform items that DHS components reported as being directly related to national security. Under the current uniforms contract estimates, CBP, ICE, National Protection and Programs Directorate (NPPD), TSA, and U.S. Secret Service are the five DHS components that reported the majority of uniform items as being directly related to national security. As a result, we included these five DHS components in our analysis of the ordering estimates under the current uniforms contract. We did not include FEMA or Federal Law Enforcement Training Center (FLETC) in our analysis because FEMA did not list any uniform items as related to national security and FLETC identified only one item out of 88 as related to national security. We also did not include ordering estimates from the Food and Drug Administration, which is a party to the contract but is not a DHS component. In addition, the U.S. Coast Guard did not provide ordering estimates since it was not included in the original proposal for the current uniforms contract.", "For each of the identified DHS components that reported the majority of uniform items as directly related to national security, we analyzed the estimated data based on description, the estimated quantity, the unit price, and the country of origin. While we did not analyze the value of any contract modifications that added or removed uniform items from the contract, we did review select modifications and found that contract modifications were generally consistent with the original contract estimates for that non-generalizable sample. To obtain insights into the countries of origin in the modifications, we reviewed a small, non- generalizable sample of 10 modifications. We concluded that the breakdown between domestic and foreign sourced items for the items added through the modifications was generally consistent with the breakdown between domestic and foreign sourced items in the original contracts\u2019 estimates.", "To determine the reasonableness of the processes by which DHS and its vendors generated these estimates, we interviewed knowledgeable officials, reviewed documents submitted by the vendor, and performed data reliability testing. DHS officials told us that they had provided the contractor with detailed lists of the textile items it required, and the vendor reported that they determined the prices and countries of origin based on prevailing market conditions. DHS officials then reviewed the estimates provided by the vendor and approved the items, price, and country of origin under the contract. DHS officials and the vendor informed us that because these estimates reflected market conditions when the contract was signed, actual purchases of items might be from countries other than those listed in the contract, depending on changes in those conditions and availability of the items. We determined these estimates were sufficiently reliable to represent DHS\u2019s intended purchases of textile products by country of origin under this contract.", "To analyze the orders of uniform items, we relied on ordering data provided by the vendor for the current uniform contract. We reviewed uniform ordering data for the five DHS components that reported the majority of uniform items as being directly related to national security: CBP, ICE, NPPD, TSA, and the U.S. Secret Service. The uniform ordering data included items ordered by individual DHS employees through an allowance system and by DHS components through bulk orders. We did not include the U.S. Coast Guard in our analysis since it primarily orders U.S.-made uniform items through the Department of Defense\u2019s Defense Logistics Agency, according to Coast Guard officials. We analyzed the value of uniform items procured from the United States and foreign sources based on the reported country of origin and component from October 2014 to June 2017.", "To assess the reliability of the ordering data provided by the vendor, we reviewed the data for inconsistencies. We clarified with the vendor the relevant data sets for our analysis and any discrepancies we identified in the data. DHS relies on the vendor to provide the countries of origin, and it was beyond the scope of this engagement for us to verify the vendor provided country of origin. We determined that the ordering data were sufficiently reliable for the purposes of comparing orders to estimates by countries of origin for uniforms under the contract, and presenting details about purchases from the United States versus other countries of origin. The result of our analysis is limited to the current department-wide uniforms contract with DHS and cannot be extrapolated to other DHS textile contracts.", "For the body armor contracts, we relied on FPDS-NG data for the obligations under the current and previous contracts. We also interviewed DHS officials who identified the country of origin of the items purchased under the current body armor contracts; it was beyond the scope of this engagement to verify the agency-provided country of origin. To assess the reliability of the obligations data from FPDS-NG, we reviewed relevant documentation performed verification through electronic testing. We determined the data to be sufficiently reliable for the purposes of this report.", "We conducted this performance audit from January 2017 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual mentioned above, Adam Cowles (Assistant Director), Christopher J. Mulkins (Analyst-in-Charge), Martin Wilson, Lynn Cothern, Martin de Alteriis, Neil Doherty, Grace Lui, and Julia Kennon made key contributions to this report."], "subsections": []}]}], "fastfact": ["Passed in 2009, the Kissell Amendment restricts the Department of Homeland Security to procuring uniforms and other textiles from U.S. manufacturers, with certain exceptions. DHS has incorporated the restriction into its procurement policies and practices.", "But we found, due in part to the exceptions, that the restriction has limited effect. For example, procurements must be made in accordance with U.S. trade agreements, which means most DHS offices must treat certain textiles made in 128 countries the same as domestic products. As a result, 58 percent of funds spent to order uniforms under the current DHS contract are for imported items."]} {"id": "GAO-18-702T", "url": "https://www.gao.gov/products/GAO-18-702T", "title": "Identity Theft: Strengthening Taxpayer Authentication Efforts Could Help Protect IRS Against Fraudsters", "published_date": "2018-09-26T00:00:00", "released_date": "2018-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's June 2018 report, entitled Identity Theft: IRS Needs to Strengthen Taxpayer Authentication Efforts ( GAO-18-418 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) has identified over 100 interactions requiring taxpayer authentication based on potential risks to IRS and individuals. IRS authenticates millions of taxpayers each year via telephone, online, in person, and correspondence to ensure that it is interacting with legitimate taxpayers. IRS's estimated costs to authenticate taxpayers vary by channel.", "IRS has made progress on monitoring and improving authentication, including developing an authentication strategy with high-level strategic efforts. However, it has not prioritized the initiatives supporting its strategy nor identified the resources required to complete them, consistent with program management leading practices. Doing so would help IRS clarify relationships between its authentication efforts and articulate resource needs relative to expected benefits. Further, while IRS regularly assesses risks to and monitors its online authentication applications, it has not established equally rigorous internal controls for its telephone, in-person, and correspondence channels, including mechanisms to collect reliable, useful data to monitor authentication outcomes. As a result, IRS may not identify current or emerging threats to the tax system.", "IRS can further strengthen authentication to stay ahead of fraudsters. While IRS has taken preliminary steps to implement National Institute of Standards and Technology's (NIST) new guidance for secure digital authentication, it does not have clear plans and timelines to fully implement it by June 2018, as required by the Office of Management and Budget. As a result, IRS may not be positioned to address its most vulnerable authentication areas in a timely manner. Further, IRS lacks a comprehensive process to evaluate potential new authentication technologies. Industry representatives, financial institutions, and government officials told GAO that the best authentication approach relies on multiple strategies and sources of information, while giving taxpayers options for actively protecting their identity. Evaluating alternatives for taxpayer authentication will help IRS avoid missing opportunities for improving authentication."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Internal Revenue Service\u2019s (IRS) efforts to monitor and improve taxpayer authentication. In fiscal year 2017, IRS issued approximately $383 billion in individual tax refunds, including overpayment refunds and refundable tax credits, an increase of about $16 billion from the previous fiscal year. In an environment with an increasing risk of fraud, identity theft (IDT), and cyberattacks, IRS must ensure that its preventative security controls provide the agency with reasonable assurance that it is interacting with the legitimate taxpayer. Authentication\u2014the process by which IRS verifies taxpayers are who they claim to be\u2014is a critical step in both protecting sensitive taxpayer information and preventing potentially billions of dollars of refunds from being paid to fraudsters each year. According to IRS\u2019s most recent data, it estimates that in 2016, at least $12.2 billion in IDT tax refund fraud was attempted; of this amount, at least $1.6 billion was paid out to fraudsters.", "IRS\u2019s ability to continuously monitor its current authentication methods while also looking ahead to new identity verification technologies is critical to keeping ahead of fraudsters, who constantly adapt their schemes to thwart IRS\u2019s defenses. The agency must also strike a balance in designing its authentication programs. Authentication must be strong enough to prevent fraudsters from gaining access to IRS services using stolen personally identifiable information, without being overly burdensome on legitimate taxpayers who also must authenticate.", "My remarks today highlight selected findings of our June 2018 report on IRS\u2019s efforts monitor and improve taxpayer authentication. Specifically, this testimony addresses (1) IRS\u2019s efforts to address its authentication challenges, (2) IRS\u2019s progress in implementing its authentication strategy, and (3) additional steps we identified that IRS could take to enhance its authentication programs and stay ahead of fraudsters.", "To conduct the work for our June report, we reviewed IRS documents and information related to taxpayer authentication including authentication policies, risk assessments, and performance metrics. We compared IRS\u2019s authentication efforts to applicable activities in the IRS Identity Assurance Strategy and Roadmap (Roadmap), Standards for Internal Control in the Federal Government, and relevant National Institute of Standards and Technology (NIST) guidance, among others. We also interviewed IRS officials knowledgeable about the agency\u2019s taxpayer authentication programs, as well as IRS, state, and industry co-leads from two Security Summit workgroups to understand IRS\u2019s collaborative efforts to improve taxpayer authentication. To assess how IRS can improve its authentication programs going forward, we met with knowledgeable officials from NIST to discuss its guidelines for online identity-proofing and authentication. We also compared IRS\u2019s authentication programs and plans for future improvements to its Roadmap, federal internal controls, guidance from NIST and the Office of Management and Budget (OMB), principles for project planning, and our prior work on information technology investment management and cost estimating. We also interviewed officials from three other federal agencies and a nongeneralizable selection of representatives from state revenue offices, industry, and financial institutions to understand the range of authentication technologies other organizations are using. Our report includes a detailed explanation of the methods used to conduct our work. The work on which this testimony is based was performed in accordance with generally accepted government auditing standards.", "In brief, Madam Chairman, our work found that IRS has taken some steps to improve taxpayer authentication, including working with external partners to identify solutions for combating IDT refund fraud and developing an authentication strategy to address its most pressing authentication challenges. However, we also found that IRS has not prioritized the initiatives supporting its authentication strategy nor identified the resources required to complete them. Further, we found that IRS does not have clear plans and timelines to fully implement NIST\u2019s new guidance for secure online authentication and also lacks a comprehensive process to evaluate potential new authentication technologies, which could provide taxpayers additional options to actively protect their identity. We made 11 recommendations to address these and other weaknesses identified in our report. IRS agreed with all 11 recommendations and stated that it is taking action to address them."], "subsections": [{"section_title": "IRS Has Broad Efforts Underway to Address Authentication Challenges", "paragraphs": ["Our report noted that IRS has established organizational structures essential to supporting its taxpayer authentication efforts. Specifically, IRS created an Identity Assurance Office (IAO) in 2015 to work with stakeholders across IRS to review and assess the agency\u2019s various authentication programs and efforts. In 2016, IAO led an effort that identified over 100 interactions between IRS and taxpayers that require authentication and categorized these interactions based on potential risks to the agency and taxpayers. Further, in December 2016, IAO released its Roadmap for developing a modern and secure authentication environment for all taxpayers regardless of how they interact with IRS\u2014 online, over the telephone, in person, or via correspondence.", "We also found that IRS is working to address its authentication challenges by collaborating with industry members and state partners via the Security Summit. The Security Summit was established in 2015 as an ongoing effort between industry experts from tax software companies, paid preparers, financial institutions, and states to improve information sharing and fraud detection and to address common IDT challenges. The Security Summit\u2019s authentication workgroup leads several initiatives aimed at verifying the authenticity of the taxpayer and the tax return at the time of filing. One initiative involves analyzing data elements\u2014such as trusted customer requirements and other characteristics of the return\u2014 that are collected during the tax return preparation and electronic filing process. In addition, in 2016 the authentication workgroup recommended improved account password standards to help protect taxpayers\u2019 accounts from being taken over by criminals.", "Overall, we found that officials\u2014representing IRS, industry, and states\u2014 expressed positive views about the level of commitment and cooperation guiding the group\u2019s authentication efforts. Officials with whom we spoke stated that they are dedicated to continuing to address authentication issues collaboratively because they have a mutual interest in improving authentication to reduce tax refund fraud."], "subsections": []}, {"section_title": "IRS Has Begun to Implement Its Authentication Strategy, but Has Not Articulated Priorities and Resource Needs", "paragraphs": ["In its Roadmap, IRS outlined six core authentication objectives, 10 high- level strategic efforts, and 14 foundational initiatives to help it address authentication challenges and identify opportunities for future investment. While we found that IRS has made progress on some efforts identified in its Roadmap, it has not prioritized the initiatives supporting its strategy nor identified the resources required to complete them, consistent with program management leading practices.", "For example, one of IRS\u2019s foundational initiatives is to send event-driven notifications to taxpayers, such as when they file a return or request a tax transcript. Such notifications could help IRS and taxpayers detect potentially fraudulent activity at the earliest stage and help improve authentication of tax returns. The Roadmap identifies seven supporting activities for this foundational initiative. One is to provide taxpayers with greater control over their online accounts. Another supporting activity is to determine methods for sending notifications to taxpayers about activity on their account.", "However, IRS has not identified the resources required to complete these activities, and the Roadmap notes that six of the seven activities will take between 6 months to 3 years to complete. In December 2017, IRS officials stated that they had developed business requirements for the foundational initiative to give taxpayers greater control over their online accounts. However, IRS has not identified funding for the initiative\u2019s other supporting activities\u2014such as developing requirements to send push notifications to taxpayers\u2014and implementation will depend on the availability of future resources.", "In December 2017, IRS officials stated that each of the strategic efforts and foundational initiatives identified in the Roadmap are a high priority, and they are working to address them concurrently while balancing the availability of resources against the greatest threats to the tax environment. As noted in our report, we recognize that a strategy is necessarily high-level and that IRS must remain flexible and use available resources to respond to unexpected threats. Identifying resources and prioritizing activities in its Roadmap will help IRS clarify tradeoffs between costs, benefits, and risks and aid in decision making.", "Further, such efforts may also help IRS establish clearer timelines and better respond to unexpected events. As such, we recommended that IRS estimate the resources (i.e., financial and human) required for the foundational initiatives and supporting activities identified in its Roadmap and prioritize its foundational initiatives. IRS agreed with our recommendations and is currently working to finalize its overall authentication approach."], "subsections": []}, {"section_title": "Additional Actions Could Help IRS Enhance Security and Stay Ahead of Fraudsters", "paragraphs": ["Given the widespread availability of personally identifiable information that fraudsters can use to perpetrate tax fraud, it is essential for IRS to further strengthen taxpayer authentication to stay ahead of fraudsters\u2019 schemes. In our report, we identified two additional areas that IRS must address to better position the agency and protect taxpayers against future threats.", "First, we found that IRS has taken preliminary steps to implement NIST\u2019s June 2017 guidance for secure online authentication, however it had not yet established detailed plans, including timelines, milestone dates, and resource needs to fully implement it. Among other things, NIST\u2019s new guidance directs agencies to assess the risk for each component of identity assurance\u2014identity proofing, authentication, and federation\u2014 rather than conducting a single risk assessment for the entire process. According to NIST officials, this approach gives agencies flexibility in choosing technical solutions; aligns with existing, standards-based market offerings; is modular and cost-effective; and enhances individual privacy. In short, following NIST\u2019s new guidance will help provide IRS with better risk-based assurance that the person trying to access IRS\u2019s online services is who they claim to be.", "As noted in our report, IRS has taken preliminary steps to implement the new NIST guidance. These efforts include forming a task force to guide IRS\u2019s implementation of NIST guidance and working with the Security Summit to develop an implementation framework for state and industry partners. IRS has also begun analyzing gaps between IRS\u2019s current authentication procedures and the new guidance. In addition, in December 2017, IRS implemented a more secure online authentication option consistent with the new guidance through its mobile application, IRS2Go. After taxpayers link their IRS online account with the mobile app, they can use it to generate a security code to log into their account. This option provides taxpayers with an alternative to receiving the security code via a text message, which NIST considers to be less secure.", "We recommended that IRS develop a plan\u2014including a timeline, milestone dates, and resources needed\u2014for implementing changes to its online authentication programs consistent with new NIST guidance, and also implement these improvements. IRS agreed with our recommendations, but noted that its ability to complete these efforts will depend on the availability of resources.", "Second, we found that IRS lacks a comprehensive, repeatable process to identify and evaluate potential new authentication technologies and approaches. Our discussions with representatives from industry and financial institutions and with government officials indicate that there is no single, ideal online authentication solution that will solve IRS\u2019s challenges related to IDT refund fraud. These representatives advocate an approach to authentication that relies on multiple strategies and sources of information, while giving taxpayers options for further protecting their information.", "We identified several authentication options in our report that IRS could consider, including the following:", "Possession-based authentication. This type of authentication offers users a convenient, added layer of security when used as a second factor for accessing websites or systems that would otherwise rely on a username and password for single-factor authentication. For example, as noted in our report, according to an industry official, authentication using a trusted device or \u201csecurity key\u201d based on Universal Second Factor standards complies with NIST\u2019s new guidance for digital authentication. While IRS is not likely to provide the devices to taxpayers, it could enable its systems to accept these trusted devices as authenticators for taxpayers who elect to use them.", "Working with trusted partners. IRS could partner with organizations it trusts that are accessible to taxpayers and enable the partners to identity-proof and authenticate taxpayers. Trusted partners could include tax preparers, financial institutions, or other federal or state agencies. In the course of our work, IRS officials stated that they had been exploring such options with both the Social Security Administration and the U.S. Postal Service; however, at the time of our report, the agencies had not yet made decisions about next steps.", "Expanding existing IRS services to further protect taxpayers. IRS could expand the functionality of its online account to further protect taxpayers from IDT refund fraud. For example, IRS could develop additional functionality that allows the taxpayer to designate a bank account or a preference for a paper check for receiving a tax refund. If a fraudster filed a return with different information, the return would be automatically rejected.", "IRS officials told us the agency continually researches new identity assurance processes and technologies and has talked with other agencies, industry groups, and vendors to better understand how particular technology solutions could apply to IRS\u2019s environment. However, during the course of our work, IRS could not provide us evidence of a repeatable, comprehensive process to identify and evaluate available authentication technologies and services. Such a process could compare options for in-house authentication solutions with off-the-shelf solutions based on estimates of cost, schedule, and benefits, as applicable. To this end, we recommended that IRS develop a process to identify and evaluate alternative options for improving taxpayer authentication, including technologies in use by industry, states, or other trusted partners; and based on this approach, include and prioritize these options, as appropriate, in its Roadmap. IRS agreed with these recommendations, but did not provide additional details on how it plans to address them.", "In conclusion, IRS\u2019s authentication environment is one component of a broad, complex information technology infrastructure, and we have previously reported on the many challenges the agency faces as it modernizes its tax systems. Taxpayer authentication has become more difficult with the wide availability of personally identifiable information and fraudsters\u2019 ability to develop more complex and sophisticated methods to commit fraud undetected. Addressing the issues we describe above could better position IRS to identify and mitigate vulnerabilities in its authentication efforts and better protect taxpayers and the Treasury.", "Chairman Jenkins, Ranking Member Lewis, and members of the Subcommittee, this concludes my prepared remarks. I look forward to answering any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact James R. McTigue, Jr. at (202) 512-9110 or mctiguej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this testimony include Neil Pinney, Assistant Director; Heather A. Collins, Analyst-in-Charge; Dawn Bidne; and Bryan Sakakeeny.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["IRS estimated that criminals used stolen identities to try to claim $12.2 billion in refunds in 2016. IRS protected $10.5 billion but paid at least $1.6 billion. To help address this issue, which we added to our High Risk list in 2015, IRS checks whether millions of taxpayers are who they say they are.", "We testified that IRS has improved its taxpayer authentication efforts, but should take additional actions to stay ahead of fraudsters.", "In our related report, we made 11 recommendations, including that IRS prioritize its authentication initiatives and develop a process to evaluate potential authentication technologies."]} {"id": "GAO-18-455", "url": "https://www.gao.gov/products/GAO-18-455", "title": "Historically Black Colleges and Universities: Action Needed to Improve Participation in Education's HBCU Capital Financing Program", "published_date": "2018-06-26T00:00:00", "released_date": "2018-07-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HBCUs play a prominent role in our nation's higher education system. For example, about one-third of African-Americans receiving a doctorate in science, technology, engineering, or mathematics received undergraduate degrees from HBCUs. To help HBCUs facing challenges accessing funding for capital projects, in 1992, federal law created the HBCU Capital Financing Program, administered by Education, to provide HBCUs with access to low-cost loans. GAO was asked to review the program.", "This report examines HBCUs' capital project needs and their funding sources, and Education's efforts to help HBCUs access and participate in the HBCU Capital Financing Program. GAO surveyed all 101 accredited HBCUs and 79 responded, representing a substantial, but nongeneralizable, portion of HBCUs. GAO analyzed the most recent program participation data (1996-2017) and finance data (2015-16 school year); reviewed available HBCU master plans; visited nine HBCUs of different sizes and sectors (public and private); and interviewed Education officials and other stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["Historically Black Colleges and Universities (HBCUs), stakeholders, and planning documents identified extensive and diverse capital project needs at HBCUs and GAO found HBCUs rely on a few funding sources\u2014such as state appropriations and tuition and fees\u2014to address those needs. HBCUs responding to GAO's survey reported that 46 percent of their building space, on average, needs repair or replacement. Based on a review of master plans\u2014which assess the condition of HBCU facilities\u2014and visits to nine HBCUs, GAO identified significant capital project needs in the areas of deferred maintenance, facilities modernization, and preservation of historic buildings. The Department of Education's (Education) HBCU Capital Financing Program has provided access to needed funding for some HBCUs and has helped modernize their facilities to improve student recruitment. However, fewer than half of HBCUs have used the program, according to Education data, which was specifically designed to help them address capital project needs (see figure).", "Education has undertaken several efforts to help HBCUs access and participate in the HBCU Capital Financing Program. For example, Education conducts outreach through attending conferences. However, some HBCUs in GAO's survey and interviews were unaware of the program. Moreover, public HBCUs in four states reported facing participation challenges due to state laws or policies that conflict with program requirements. For example, participants are required to provide collateral, but public HBCUs in two states reported they cannot use state property for that purpose. In March 2018, a federal law was enacted requiring Education to develop an outreach plan to improve program participation. An outreach plan that includes direct outreach to individual HBCUs and states to help address these issues could help increase participation. Without direct outreach, HBCUs may continue to face participation challenges. In addition, two HBCUs recently defaulted on their program loans and 29 percent of loan payments were delinquent in 2017. Education modified a few loans in 2013 and was recently authorized to offer loan deferment, but has no plans to analyze the potential benefits to HBCUs and the program's cost of offering such modifications in the future. Until Education conducts such analyses, policymakers will lack key information on potential options to assist HBCUs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends Education (1) include direct outreach to individual HBCUs and steps to address participation challenges for some public HBCUs in its outreach plan, and (2) analyze the potential benefits and costs of offering loan modifications in the program. Education outlined plans to address the first recommendation, and partially agreed with the second. GAO continues to believe both recommendations are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["Historically Black Colleges and Universities (HBCUs) in the United States play an important and unique role in our nation\u2019s higher education system. For example, they educated over 220,000 African-American students pursuing a higher education degree in 2016, the most recent year of data available. In addition, more than one-third of African- Americans receiving a doctorate in science, technology, engineering, or mathematics fields obtained their undergraduate degrees from an HBCU, and many received their doctorates from an HBCU. Like many of the nation\u2019s approximately 4,400 colleges and universities (colleges), the 101 HBCUs undertake capital projects to help ensure their students have well-maintained, safe, and functional facilities. Despite their prominent role providing access to higher education for African-Americans and others, HBCUs have faced challenges acquiring the robust revenue streams needed to undertake capital projects. Moreover, a study in 2015 examined HBCU activity in the bond market and found that HBCUs have a harder time finding investors, which results in higher costs compared to similar, non-HBCU colleges.", "Recognizing these challenges, in 1992 the HBCU Capital Financing Program (Capital Financing Program) was created to provide HBCUs with access to low-cost loans for campus repair, renovation, and construction. Our 2006 review of this program found that just 14 HBCUs participated in the Capital Financing Program, despite extensive and diverse capital project needs reported by HBCU officials.", "In light of these issues, you asked us to review funding for capital projects at HBCUs, and the Department of Education\u2019s (Education) administration of the Capital Financing Program. This report examines (1) the capital project needs of HBCUs; (2) the funding sources HBCUs use to meet their capital project needs; and (3) the extent to which Education helps HBCUs access and successfully participate in the Capital Financing Program.", "To address all three objectives, we conducted a web-based survey of all 101 accredited HBCUs in the United States in June through August 2017. We reviewed HBCUs\u2019 master plans, where documentation was available, to supplement survey responses. We interviewed officials at Education and its contracted designated bonding authority which administers aspects of the program; officials at 15 HBCUs in 7 states (Alabama, Georgia, Louisiana, Mississippi, North Carolina, Ohio, and Virginia) and at 4 state university systems (Florida, Georgia, Mississippi, and North Carolina). We also interviewed stakeholders at two HBCU organizations representing most HBCUs, three higher education organizations that focus on facilities, and from foundations and research organizations. In addition, we visited nine selected HBCUs to tour facilities in three states (Alabama, Louisiana, and North Carolina). To further examine challenges HBCUs might face funding capital projects, we analyzed data from Education\u2019s Integrated Postsecondary Education Data System (IPEDS) to learn more about select financial characteristics of all HBCUs. We also used these data to examine differences between HBCUs\u2019 and similar non-HBCUs\u2019 institutional, student, and financial characteristics. We identified the comparison group of similar non-HBCUs using a statistical matching technique. We used data from the 2015-16 school year, the most recent data available at the time of our analysis. We assessed the reliability of these data by reviewing related documentation and interviewing officials responsible for maintaining the data system, and we found the data to be reliable for our purposes. We also reviewed relevant federal laws, regulations, and guidance, including information about Education\u2019s programs that HBCUs identified as other sources for financing capital projects.", "To determine the extent to which Education helps HBCUs access and successfully participate in the Capital Financing Program, we reviewed data on program participation from 1996, when the program first issued a loan, to 2017, and documentation on program performance and administration. We assessed the reliability of these data by reviewing related documentation and interviewing knowledgeable agency officials, and we found these data to be reliable for the purposes of our reporting objectives. We also reviewed Education documentation from selected HBCUs affected by Hurricanes Katrina and Rita that received loan modifications in 2013. We assessed Education\u2019s outreach with states and HBCUs against federal internal control standards, which state that agency management should externally communicate the necessary quality information to achieve its objectives. We reviewed Education\u2019s coordination efforts against best practices for coordinating with relevant stakeholders and reviewed Education\u2019s strategic plan, which prioritizes coordinating with external stakeholders to achieve its goals of supporting educational institutions and increasing college access. We also assessed Education\u2019s actions to help HBCUs experiencing financial challenges successfully participate in the program against federal internal control standards, which state that agency management should communicate key information needed to achieve its objectives and plan for significant changes, including economic changes, and analyze the effects of such plans and appropriately respond. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from October 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "HBCU Capital Financing Program", "paragraphs": ["The Capital Financing Program provides loans to eligible HBCUs for the repair, renovation, construction, or acquisition of capital projects or to refinance existing capital debt. Several offices at Education are involved in administering the program, including the Office of Postsecondary Education and the budget office, with one official responsible for overall program management. Education contracts with a designated bonding authority to manage the program\u2019s operations. The authorizing legislation also establishes the HBCU Capital Financing Advisory Board (Advisory Board) to provide advice to Education and its designated bonding authority on implementing the program. (See table 1.)", "The loan process for an HBCU to participate in the Capital Financing Program consists of multiple steps. HBCUs must first complete a preliminary application with the designated bonding authority that includes information such as enrollment, financial data\u2014including a description of existing debt\u2014and proposed capital projects. The designated bonding authority reviews this information to assess the ability of an HBCU to take on debt and determine whether the college should formally complete an application. The application includes more detailed financial information, such as audited financial statements, as well as capital improvement plans and assessments. To be approved for the loan, an HBCU must satisfy certain credit criteria and have qualified projects. Upon reviewing the college\u2019s application, designated bonding authority representatives may visit the HBCU and will recommend to Education whether the college should receive a Capital Financing Program loan. If Education agrees and approves the loan, it goes through a closing process during which certain terms and conditions of the loan may be negotiated. (See table 2.)", "The Capital Financing Program\u2019s statute caps total outstanding loans at $1.1 billion, but since fiscal year 2012, Congress has annually passed appropriation bills allowing Education to lend above that amount. As of November 2017, Education has lent over $2 billion in total with $1.8 billion outstanding."], "subsections": [{"section_title": "Loan Modifications for Selected HBCUs Following 2005 Gulf Coast Hurricanes", "paragraphs": ["In 2005, Hurricanes Katrina and Rita struck New Orleans and surrounding areas, resulting in significant damage to four HBCUs in the Gulf Coast region: Dillard University, Southern University at New Orleans, Xavier University of Louisiana, and Tougaloo College. The Emergency Supplemental Appropriations Act for Defense, the Global War on Terror, and Hurricane Recovery, 2006 (Emergency Act) was enacted in June 2006, in part to assist these colleges in their recovery efforts. The Emergency Act amended certain provisions of the Capital Financing Program for these colleges. For example, the Emergency Act included provisions such as a lower interest rate and lower fees for cost of issuance (both set at one percent or less), elimination of the escrow requirement, and deferment of both principal and interest payments for a 3-year period. Despite these more generous loan provisions, these four HBCUs experienced challenges repaying these loans due to difficulties they faced rebuilding their enrollment and finances to the levels before the hurricanes. In 2011, federal law authorized Education to further modify the terms and conditions of the Capital Financing Program loans made to these four HBCUs under the Emergency Act. To assist these four colleges, Education used this authority to modify Emergency Act loan terms in the following ways:", "Payment forbearance: The HBCUs were granted a 5-year forbearance on their loan payments starting in 2013. During the forbearance period, the colleges were not responsible for making payments toward the principal, interest, or associated fees, but interest and fees continued to accrue during that time. At the end of the forbearance period, the colleges would be responsible for the outstanding principal, accrued interest, and fees.", "Expense-based repayment: After the forbearance period, colleges would pay the lesser of an amount based on a percentage of each college\u2019s operating expenses or the reamortized payment schedule.", "Debt adjustment: Any unpaid loan amounts at the original loan maturity date\u2014June 1, 2037\u2014would be forgiven. The HBCUs would not be held responsible for any unpaid balances as of that date.", "In February 2018, before the end of the forbearance period, Congress passed the Bipartisan Budget Act of 2018 which authorized the Secretary of Education to forgive any outstanding balance owed by these HBCUs. In March 2018, Education forgave these colleges\u2019 loans, eliminating over $300 million of outstanding debt."], "subsections": []}]}, {"section_title": "Strengthening HBCU Program", "paragraphs": ["Education also administers the Strengthening HBCU Program to eligible HBCUs. These grants can be used for a number of purposes, including physical infrastructure, financial management, academic resources, and endowment-building. The program is non-competitive and Education awards funds on a 5-year cycle through formula-based grants. In 2017, Education awarded 98 new grants totaling about $245 million."], "subsections": []}, {"section_title": "Bond Financing", "paragraphs": ["Municipal bonds are debt securities issued by states, cities, counties and other governmental entities to fund day-to-day obligations and to finance capital projects. Municipal borrowers can also issue bonds on behalf of private entities such as private colleges, or those colleges can issue their own debt that would not be tax exempt. To issue a bond, entities are typically rated by a credit rating agency. This rating indicates the credit quality of the bonds and likelihood of default. The entity may hire municipal advisors and is required to have an underwriter to prepare and sell the bonds to investors. Entities are provided the funding up front to finance the project and then pay the principal, interest, and any fees to investors until the bond matures, often up to 30 years."], "subsections": []}]}, {"section_title": "HBCUs, Stakeholders, and Planning Documents Identified Extensive and Diverse Capital Project Needs", "paragraphs": [], "subsections": [{"section_title": "HBCUs, Stakeholders, and Planning Documents Cited Substantial Need for Repairs and Building Replacement", "paragraphs": ["Almost all the HBCUs responding to our survey (70 of 79) reported that, on average, 46 percent of their building space needed to be repaired or replaced. For example, of the 35 public HBCUs that responded to our survey question on building condition, 8 reported more than three- quarters of their building space is in need of repair or replacement. Like all institutions of higher education, HBCUs are facing increasing capital project needs due to aging campus facilities, according to higher education organization officials and facilities experts. HBCUs\u2019 planning documents we reviewed also support our survey findings around capital project needs. For example, consultants hired by one public HBCU found that a quarter of its buildings were in poor condition with the potential for demolition, according to the college\u2019s master plan. Severe weather was also cited as a challenge by officials at another public HBCU we visited where nearly all their building space had been damaged, requiring them to shut down portions of their functional buildings, construct new buildings, and build flood walls. According to officials from this college, however, damages remain unaddressed in part due to a lack of funding (see fig. 1)"], "subsections": []}, {"section_title": "HBCUs, Planning Documents, and GAO Site Visits Identified Deferred Maintenance, Modernization Efforts, and Historical Buildings as Key Reasons for Needs", "paragraphs": ["Through our survey, site visits, and review of master plans, we identified three main reasons for capital project needs: a backlog of deferred maintenance, HBCUs\u2019 efforts to modernize campuses to be more competitive, and historical building requirements. A majority of HBCUs responding to a survey question on planned capital projects over the next 5 to 10 years reported plans to prioritize repairing or replacing academic buildings or residence halls (see fig.2).", "Half of HBCUs that responded to our survey question on their current deferred maintenance backlog (24 of 48)\u2014repairs that were not performed when they should have been\u2014reported a backlog of $19 million or more. In addition, 30 HBCUs reported in our survey that their deferred maintenance backlog had increased in the last 3 years (2015 through 2017), and 7 HBCUs reported their backlog decreased. Public HBCUs, on average, reported deferred maintenance backlogs of $67 million and private HBCUs of $17 million. To better understand deferred maintenance, colleges hire consultants to conduct facilities condition assessments. For example, consultants conducted a facility condition assessment to understand a public HBCU\u2019s deferred maintenance backlog, among other things, and found the backlog was $9.7 million for various repair or replacement projects ranging from repairing HVAC systems to needing a new roof for an administrative building. A higher education association reported deferred maintenance can erode safe physical conditions, financial health, and the morale of an institution.", "Officials from most HBCUs we interviewed (11 of 15) said they attempt to prioritize their deferred maintenance but that financial emergencies or funding constraints prevent them from doing so. For example, officials at an HBCU we visited said that the main pipes that feed into three residence halls and their student center burst, and this unplanned capital project cost the college nearly $1 million. This HBCU had to borrow funding from its operating budget, which took away from funds that could have been used to address planned deferred maintenance projects."], "subsections": [{"section_title": "Modernization Efforts", "paragraphs": ["Officials from all 15 HBCUs we interviewed said that student interests in updated residence halls or academic programs require modern building spaces in order for a college to remain competitive. Officials from several HBCUs we interviewed (7 of 15) said residence halls on their campuses are outdated or in need of repairs (see fig. 3). For example, officials at one HBCU we visited said some of their residence halls were built in the 1960s and 1970s and the concrete block construction only allowed minimal changes. Officials at some HBCUs (3 of 15) said students\u2019 interest in living on-campus increased their need for housing. Officials at one HBCU said student enrollment impacts their capital project planning and that they have plans to repair residence halls and to build new housing facilities as enrollment increases, but have not yet identified funding. One HBCU\u2019s master plan cited anticipated growth in its student population between 2014 and 2024 will continue to impact capital project needs, including a need for additional buildings for academics and student services.", "Officials from several HBCUs we interviewed (5 of 15) also reported building new facilities to remain competitive in certain academic fields. For example, officials from one HBCU reported investments in building new facilities and repairing existing buildings to better accommodate Science, Technology, Engineering and Mathematics (STEM) majors (see fig. 4).", "Most HBCUs responding to our survey (42 of 79) reported having buildings designated as historic, making up, on average 11 percent of their building space. Many of those HBCUs indicated historical building needs are significant or often take priority. According to officials from two HBCUs we visited and another we interviewed, historical buildings require maintenance that can be expensive, especially for buildings designated as historic by the National Register of Historic Places. Further, the Department of the Interior reported in 2018 that HBCUs have historic building rehabilitation needs and these colleges lack the resources to repair them. For instance, a 2016 master plan for a public HBCU shows that a historic building constructed in 1916, which serves as a residence hall and has only been updated once in 1971, needs over $6 million in repairs to better accommodate students. An official at another HBCU we visited also said that the prohibitive cost of repairing the campus\u2019 historic building has made it non-functional. This historic building had previously been used as a residence hall (see fig. 5)."], "subsections": []}]}]}, {"section_title": "HBCUs Use A Few Funding Sources for Capital Project Needs and Fewer than Half Use Education\u2019s Capital Financing Program", "paragraphs": [], "subsections": [{"section_title": "HBCUs Rely on a Few Funding Sources to Address Capital Project Needs", "paragraphs": ["HBCUs primarily rely on a few sources of funding to address capital project needs, such as state grants and appropriations for public HBCUs and private giving and tuition and fees for private HBCUs, according to HBCUs responding to our survey and our interviews. Officials from almost half of the HBCUs we interviewed (7 of 15) said relying on a few funding sources can affect a college\u2019s ability to fund capital projects. Education officials and several stakeholders also said this reliance can put the HBCUs at a financial disadvantage when seeking additional external funding, such as from the bond market. Diversity of revenues is a key metric when determining a college\u2019s credit rating, which uses a college\u2019s financial profile to assess its ability to pay its financial obligations. Colleges with lower credit ratings, for example, may face challenges accessing the bond market, or pay more to issue a bond, according to several stakeholders. Using IPEDS data from the 2015-16 school year, we found that HBCUs may face challenges with revenue diversity because a large proportion of their revenue is from government funding (federal, state, and local) and tuition and fees. A college\u2019s wealth, such as the size of its endowment, can also affect a college\u2019s credit rating, according to officials from two credit rating agencies. Officials from a higher education association and a foundation noted that many HBCUs have small endowments and as a result may face challenges accessing financing. Our analysis of IPEDs data shows that HBCUs\u2019 median endowments are about half the size of similar non-HBCUs (see table 3).", "Not all HBCUs face these challenges, however. According to a representative of one higher education facilities association, some more affluent private HBCUs have more diversified revenue streams and have successfully raised funds from private giving and public-private partnerships to address their capital project needs. Nevertheless, many HBCUs face continued challenges securing external funding."], "subsections": [{"section_title": "Funding Sources Used by Public HBCUs", "paragraphs": ["Public HBCUs generally rely on state funding\u2014such as annual appropriations for repairs or one-time grants for new construction\u2014to address their capital project needs; however, those funds are often insufficient to meet their needs, according to some stakeholders and HBCU officials. A majority of public HBCUs (28 of 41) reported using state grants and appropriations to address capital project funding, according to survey responses (see fig.6). Officials from most public HBCUs we interviewed (5 of 6), however, said state appropriations are often limited to academic or administrative buildings, and colleges are responsible for financing and maintaining other projects and building spaces, such as residence halls or student centers. Furthermore, officials from all public HBCUs we interviewed (6 of 6) reported that state funds are often not sufficient to adequately address both routine repairs and their deferred maintenance backlog. Declines in state funding for higher education in recent years have also introduced financial uncertainty, particularly for HBCUs, according to officials from half of the public HBCUs and many stakeholders we spoke with. For example, officials at one public HBCU we visited said that as a result of cuts in the state\u2019s capital budget, the college does not have enough funding to address emergency or deferred maintenance needs and they are running a deficit. Officials from one credit rating agency said that because public HBCUs rely more on state funding than their public non-HBCU counterparts, they are potentially more vulnerable than other colleges.", "Over half of public HBCUs in our survey (22 of 38) reported that they used state-issued bonds to address their capital project funding for the last 5 years. Officials from most public HBCUs we interviewed (4 of 6) said the state or university system often issues general obligation bonds on behalf of the state and disperses funding to colleges to finance large scale capital projects. For example, one state issued a $2 billion bond for the 16 colleges in its university system and provided one of its public HBCUs with $30 million for a new college of business. Similar to state appropriations, officials from some public HBCUs noted that state-issued bonds are also typically restricted to academic or administrative buildings rather than residence halls or student centers. Officials from 12 public HBCUs also reported in our survey issuing bonds themselves to finance capital projects. Officials from most public HBCUs we interviewed (4 of 6) said colleges issue bonds, with their state system\u2019s permission, to finance capital projects when state funding is limited or if the projects are for non- academic buildings. For example, one public HBCU issued a $90 million bond to fund a new student center."], "subsections": []}, {"section_title": "Funding Sources Used by Private HBCUs", "paragraphs": ["More than half of private HBCUs reported using alumni and private giving or revenue from tuition and fees to address their capital needs (see fig 7). However, private HBCUs may face challenges using these sources to address their capital needs due to competing priorities for these revenue streams and difficulty raising additional funds from these sources, according to HBCUs and stakeholders we interviewed.", "Officials from most private HBCUs we interviewed (7 of 9) said they use some funding from alumni and private gifts for small capital projects, but that donors do not usually contribute to larger projects or help address deferred maintenance or repairs. While a majority of private HBCUs responding to our survey (21 of 37) reported using alumni and private giving to address their capital project needs, this funding source only accounted for 10 percent of their overall capital project funding. Several stakeholders we interviewed (4 of 10) said that some private HBCUs do not have robust fundraising offices and may face challenges raising additional funding from alumni or other private sources.", "A majority of surveyed private HBCUs (20 of 37) reported using tuition and fees to address their capital project needs over the last 5 years. Education officials and officials from 5 of 9 private HBCUs said relying on tuition and fees to address capital project needs\u2014in addition to other expenses such as operations and academics\u2014can strain a college\u2019s finances. Many officials from private HBCUs we interviewed (6 of 9) told us that because they are so tuition-dependent, drops in enrollment make it difficult to maintain their facilities or repay capital debt. Officials from one higher education association noted that some HBCUs face constraints raising additional tuition revenue needed to cover capital projects and other expenses because they are generally smaller colleges: more than half of private HBCUs have less than 1,000 students. Private HBCUs also have lower tuition compared to similar private non-HBCUs, according to our analysis of IPEDS data. Additionally, two stakeholders told us HBCUs may face challenges raising tuition and fee revenue, in part, because the student population at HBCUs tends to be more low income and relies more heavily on federal student aid. Based on our analysis of IPEDS data, for example, a higher proportion of students at private HBCUs received Pell Grants in the 2015-16 school year compared to similar private non-HBCUs\u201477 percent and 43 percent, respectively."], "subsections": []}, {"section_title": "Strengthening HBCU Program", "paragraphs": ["A majority of HBCUs responding to our survey (49 of 77) reported using federal grants to finance capital projects, and most indicated using Education\u2019s Strengthening HBCU Program. We analyzed the program\u2019s 2016 annual reports, the most recent data available at the time of our review, and found that more than three-quarters of HBCUs that received grants in 2016 (79 of 98) used the funds to address capital project needs. Our analysis found that HBCUs in the Strengthening HBCU Program used an average of 22 percent of their funding from this source for capital projects in 2016. According to our analysis of the annual reports, 15 of the 98 HBCUs in the program reported that the grant helped decrease the number of instructional facilities with deferred maintenance backlogs. Officials we interviewed from one HBCU said they used grants from the Strengthening HBCU Program to address some of their deferred maintenance backlog and to renovate classrooms to better meet students\u2019 academic needs. For example, they said the grant funded capital projects that support its physics and chemistry programs (see fig. 8). In another instance, a private HBCU reported using the program\u2019s funds to support technological updates and modernize classrooms. Such updates could help with student recruitment and, ultimately, help increase student enrollment."], "subsections": []}]}, {"section_title": "Fewer than Half of Eligible HBCUs Used Loans from Education\u2019s Capital Financing Program", "paragraphs": ["Fewer than half of HBCUs, or 46 of the 99 HBCUs that are eligible, have used the HBCU Capital Financing Program to fund capital projects, according to Education data. HBCUs have borrowed over $2 billion, with private HBCUs representing about two-thirds of the loan volume (see fig. 9). After 2007, Education saw an increase in the number of loans made and the amount borrowed by HBCUs due in part to the program\u2019s expansion to help colleges affected by Hurricanes Katrina and Rita in 2005 and Education\u2019s efforts to improve outreach.", "Education tracks how Capital Financing Program funds are used, which can fall into three broad categories: refinancing, deferred maintenance and repair, and building replacement. According to our analysis of Education data, since 1996, rather than use these loans for new capital projects, participants have used the program most frequently to refinance outstanding debt (see fig. 10). For instance, one public HBCU used a portion of a $36.6 million Capital Financing Program loan to refinance outstanding debt, which saved the college about $9 million. In addition to refinancing, program participants used the remaining funds to address deferred maintenance and repair or to replace buildings. For example, the most frequent type of project funded through the program was building or renovating residence halls, according to Education data. A private HBCU responded in our survey that it used the program to refinance outstanding debt for student housing and to help construct a new student center.", "HBCUs responding to our survey and HBCU officials we interviewed reported using the Capital Financing Program because of its low interest rate. Survey respondents most frequently cited the program\u2019s low interest rate as a reason for participating (33 of 37), as did officials from HBCUs we interviewed that use the program (10 of 11). According to Education and designated bonding authority officials, the program provides HBCUs with rates they might not receive in the private market. For example, program loans used for refinancing from 2012 through 2016 had a median true interest cost\u2014the interest rate plus fees charged to the college\u2014of 3.15 percent. While officials from three state university systems noted their HBCUs can issue bonds with other colleges in their system to receive a more competitive interest rate, this option is not available to all HBCUs. According to officials at the designated bonding authority, HBCUs may lack high credit ratings, and the Capital Financing Program allows these colleges to access lending at rates comparable to highly rated colleges.", "Survey respondents also frequently cited the opportunity to refinance existing, more expensive capital debt and lack of access to other funding options as reasons for participating in the Capital Financing Program. Specifically, over two-thirds of survey respondents (24 of 35) cited the opportunity to refinance existing debt. According to officials from Education and the designated bonding authority, HBCUs can see substantial savings using the program. Data provided by the designated bonding authority showed that HBCUs that refinanced debt in the program from 2012 through 2016 saved a median of 14 percent of the overall loan cost. One survey respondent, for example, reported that as a result of the savings generated by refinancing existing bonds the college was able to purchase a residence hall. Almost half of the participating HBCUs that responded to the survey question on why they used the program (15 of 32) reported that they did not have access to other funding. Officials from one organization representing almost three- quarters of the private HBCUs told us this program is particularly important for small private HBCUs that have limited resources and for private HBCUs that do not have access to state funding and may not have the capacity to issue bonds. Officials from most public HBCUs we interviewed (4 of 6) also noted that because states do not typically fund buildings such as residence halls or student centers, the Capital Financing Program can help address that funding gap."], "subsections": []}]}, {"section_title": "Education Has Taken Some Steps to Help HBCUs Participate in the Capital Financing Program, but Further Action Is Needed", "paragraphs": [], "subsections": [{"section_title": "Education Conducts Outreach, but Some HBCUs Reported Being Unaware of the Capital Financing Program", "paragraphs": ["Education and its designated bonding authority have taken some steps to increase awareness of the Capital Financing Program, but some HBCUs and university system officials reported in our survey and interviews that they were unaware of the 26-year-old program. Officials from Education and its designated bonding authority said they attend a range of conferences and events in the HBCU and higher education communities to increase awareness of the program, such as conferences with higher education business officers and an annual national HBCU conference. A senior Education official said, when possible, Education visits individual public and private non-participating HBCUs that may be good candidates for the program based on their credit. In addition, a senior designated bonding authority official said designated bonding authority staff visits every HBCU that applies or expresses interest in the program. However, about a quarter of non-participating HBCUs that responded to our survey said they were unaware of the program. Officials we interviewed at one state university system also reported they had not heard of the program.", "HBCUs and state university systems may be unaware of the Capital Financing Program because Education does not target its outreach in two key ways.", "Lack of outreach and communication with state university systems: Stakeholders we interviewed and a senior Education official said Education does not reach out to nor communicate program information directly with state university systems, which oversee groups of public universities\u2014both HBCUs and non-HBCUs\u2014 supported by an individual state, even though public colleges accounted for half of all HBCUs in 2016. A senior Education official told us Education staff does not reach out to state university systems because program loans are made directly to individual HBCUs. Nonetheless, according to officials at three state university systems, these systems generally play a role in coordinating colleges\u2019 capital budget requests, and their awareness of the Capital Financing Program could help Education in its efforts to increase participation among public HBCUs. For example, officials at one state university system told us they are always interested in learning about low-cost ways to help their colleges with capital projects, and they would be interested to learn more about how the Capital Financing Program could help their public HBCUs. In addition, one surveyed public HBCU that was unaware of the program suggested Education work with state university system offices, as they are the ones responsible for facilitating and approving colleges\u2019 capital funds. Officials at the state university system for this HBCU also said they were unaware of the program.", "Lack of formal outreach plan to address HBCU leadership changes: When possible, Education officials said they reach out to HBCUs as new presidents or chief financial officers come on board. However, Education officials said they do not track this particular type of outreach. In 2016, about three-quarters of HBCUs experienced a change in at least one key leadership position, according to our analysis of Education reports, and several stakeholders we talked to cited the frequency of leadership change as a challenge. Given the frequency of changes in key leadership positions at HBCUs, consistent outreach to this group is particularly important.", "This lack of program awareness among individual HBCUs and state university systems can hinder participation. Since our 2006 report on the Capital Financing Program, participation has increased from 14 to 46 HBCUs, but the total remains at fewer than half of all HBCUs. While the program is only available for capital financing of projects that meet specific criteria, it serves as a potentially important resource for HBCUs that continue to face challenges diversifying their funding sources to meet capital project needs. The Consolidated Appropriations Act, enacted in March 2018, requires Education to create and execute an outreach plan to work with states and the Capital Financing Advisory Board to improve outreach to states and help additional public HBCUs participate in the program. Taking steps, such as reaching out directly to officials in facilities departments at state university systems, could help to address several of the issues we have identified in this report related to communication with state university systems.", "Federal internal control standards state that management should communicate information needed to achieve an agency\u2019s objectives to key external stakeholders. As Education develops its outreach plan it is important that the agency also ensure that officials at individual HBCUs, who engage in capital planning\u2014presidents, chief financial officers, and facilities managers, are aware of the program. Indeed, over half of non-participating HBCUs (23 of 34) responded in our survey that improved communication from Education was \u201cmoderately\u201d or \u201cextremely\u201d important to increase program participation. In addition to working with the Capital Financing Advisory Board\u2014which includes representatives of public and private HBCU organizations\u2014to reach out to state university systems, Education could also further leverage the resources of its designated bonding authority. While the designated bonding authority reaches out to some prospective program participants, it could help Education further ensure that program information reaches all HBCUs. Without these efforts as part of the agency\u2019s outreach plan, HBCUs eligible for the Capital Financing Program\u2014the institutions that the program is designed to serve\u2014may remain unaware of the program and miss opportunities to access low-cost capital financing."], "subsections": []}, {"section_title": "Some Program Features Contribute to Low Participation by Public HBCUs", "paragraphs": ["Some public HBCUs report being prohibited from participating in the Capital Financing Program by state law or policy because of certain program features, and Education has taken limited steps to coordinate with states to address those issues. According to our analysis of survey responses and interviews, about one-third of non-participating public HBCUs across four states (13 of 37) report being unable to use the program due to at least one federal requirement placed on the college, which conflicts with state law, policy, or practice. These features include requirements for pooling escrow funds, collateral, and lending directly to HBCUs (see table 4).", "Education has taken steps to address public HBCUs\u2019 concerns with the escrow requirement, but not the other state-level provisions that create challenges. In 2006, GAO recommended that Education consider alternatives to the escrow pool requirement, and Education submitted a legislative proposal to Congress, most recently in 2017, to require fees instead. However, Education has not systematically coordinated with states to address other laws or policies that create challenges or to identify potential solutions to help more public HBCUs participate in the program. For example, based on one college\u2019s interpretation of state law, officials from Education and the designated bonding authority told us HBCUs in that state could not participate because of the state\u2019s requirement that such loans be issued to a third-party. However, state university system officials in this state told us this requirement may not prohibit participation. They said a clearer explanation of the benefits and obligations of the program from Education would be helpful to determine whether the state\u2019s HBCUs could participate. Officials at an HBCU in another state with restrictions suggested that Education work with the states to help states develop regulations that do not hinder access to the program. Officials from the university system in that state said they would be open to working with Education to find a way to allow their HBCUs to participate.", "Some state university systems and colleges have successfully developed solutions that could also be helpful for states whose laws or policies create similar challenges. For example, officials we spoke with from one state university system said a state statute was recently changed after an HBCU\u2019s application to the program had to be withdrawn because of a state law prohibiting using tuition revenue as collateral. Those changes were enacted in early 2018, and state university system officials said they are moving forward on HBCU participation in the program.", "Our prior work highlights the importance of coordinating among key stakeholders to achieve results. Education\u2019s strategic plan prioritizes supporting educational institutions and increasing college access, and coordinating with external stakeholders such as state university systems to achieve those goals. While Education is aware that many public HBCUs face state-level restrictions on participating in the Capital Financing Program, a senior Education official said the Capital Financing Program does not provide support to states whose laws or policies create such challenges. Education officials said they work with colleges on a case-by-case basis, and only work directly with state university systems when invited to by the interested HBCU. However, officials from one university system noted that it would be helpful for Education to keep both the college and the system informed of the program given the system office\u2019s level of involvement in capital financing decisions. Officials we interviewed from three of the four public HBCUs in states with laws or policies that create these challenges said they are interested in participating in the Capital Financing Program. One HBCU official said given the low interest rate, his HBCU would refinance all its existing capital debt into the program if given the opportunity. As Education develops an outreach plan, it will be important for the plan to include coordination with key stakeholders such as state university systems to address state-level challenges to participation and share potential solutions and leverage the designated bonding authority and Advisory Board in that effort."], "subsections": []}, {"section_title": "Education Has Taken Steps to Help Some HBCUs Experiencing Financial Hardship, but Additional Analysis Could Better Inform Policymakers", "paragraphs": ["The number of loan defaults in the Capital Financing Program and the number of HBCUs having difficulty making timely loan payments have increased recently, but Education has not fully assessed the potential use of loan modifications to assist such HBCUs. For example, two HBCUs defaulted on their Capital Financing Program loans in the last 2 years, and 29 percent of loan payments were delinquent in 2017. HBCU officials we interviewed reported that financial challenges stemming from two events\u2014the 2008 economic recession and a recent change to federal student financial aid\u2014have decreased enrollment at some HBCUs and affected HBCUs\u2019 ability to repay their loans on time. For example, officials from two private HBCUs told us that they experienced declining enrollment as a result of the 2008 recession. In addition, changes made in 2011 to the Parent PLUS loan program\u2014a program used by parents to help pay for their student\u2019s tuition\u2014resulted in increased denials of these loan applications, according to Education and officials from several HBCUs. As a result, some students could no longer afford to attend college, and the loss of tuition revenue created additional financial hardship for the colleges, according to officials from several HBCUs and an HBCU organization official. Education issued new regulations in 2014 that revised the Parent PLUS loan criteria, enabling more families to qualify for these loans. However, HBCUs had already lost significant amounts of tuition revenue as a result of the 2011 changes, according to Education officials.", "HBCUs and stakeholders have called for loan modifications to potentially assist colleges in financial distress and help them avoid defaulting on their Capital Financing Program loans. According to key stakeholders and officials from eight HBCUs, there is a need for the program to have ways to assist HBCUs facing financial difficulties. For example, officials from four HBCUs we interviewed and four additional HBCUs we surveyed suggested additional program flexibility, such as forgiving, reducing, or temporarily suspending loan payments, could be helpful for some colleges. Stakeholders also suggested that loan deferment\u2014allowing colleges to postpone payments without penalty\u2014or other flexible payment options could help some colleges facing financial hardship. The Consolidated Appropriations Act, enacted in March 2018, appropriated $10 million for Education to defer participating HBCUs\u2019 Capital Financing Program loans to assist colleges experiencing financial difficulties. Under this provision, loans can be deferred for up to 6 years for participating HBCUs demonstrating financial need and meeting certain conditions. These funds are available for Education to authorize loan deferments until the end of fiscal year 2018. Little is known, however, about how loan modifications would affect participating HBCUs or the program.", "According to a senior Education official, the agency assessed the potential for loan deferment in 2010 and estimated that it would cost the federal government about $150 million annually. However, neither the program office nor Education\u2019s budget office, which is responsible for estimating the costs of policy changes, were able to provide any information on how Education arrived at this estimate. Furthermore, Education has not assessed whether several other types of loan modifications identified by stakeholders, or those used for HBCUs impacted by Hurricanes Katrina and Rita, could be beneficial to other participating HBCUs that are having trouble making timely loan payments.", "Federal internal control standards state that agency management should plan for significant external events, analyze its effects on achieving program goals, and appropriately respond to those events. While Education and its designated bonding authority review each applicant\u2019s credit and ability to take on a Capital Financing Program loan, this review reflects an HBCU\u2019s current financial health at the time of its application. Given that Capital Financing Program loans can be up to 30 years, major external changes such as an economic recession are possible over the life of the loan. Such events may affect an HBCU\u2019s ability to make timely loan payments and may increase the potential of an HBCU to default on its Capital Financing Program loan. According to Education\u2019s fiscal year 2019 budget request, the HBCU portfolio is experiencing greater financial stress as evidenced by an increase in loan delinquencies, and the federal government is at risk of incurring additional costs to manage the program. Analyzing the effects of deferring loans and other types of loan modifications on program participation and on program costs could help Education determine how best to assist participating HBCUs experiencing financial difficulties while minimizing the federal government\u2019s costs. However, a senior Education official said the agency does not plan to analyze (1) whether loan modifications could be helpful to program participants; or (2) the effect offering these modifications could have on the cost of the program. According to Education officials, modifications to the terms of Capital Financing Program loans cannot occur without statutory change. Nonetheless, Education is responsible for providing advice to Congress about what additional steps might be taken to improve the operation and implementation of the program. Conducting analyses on the effect of loan modifications, including recently authorized deferments, to help colleges avoid default and successfully participate in the program, and on the potential costs absorbed by Education of delayed or reduced payments, would enable Education to fulfill this responsibility."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["HBCUs play a vital role in providing higher education opportunities for African-Americans. However, HBCUs continue to face challenges in securing financing to undertake needed capital projects. As a result, these colleges may be unable to make the campus improvements necessary to attract and retain students, potentially jeopardizing their long-term sustainability. Education\u2019s Capital Financing Program is intended to be a key funding source for HBCUs\u2019 capital needs, yet fewer than half of these colleges participate in the program.", "As Education develops its statutorily mandated outreach plan, it will be important for the plan to address the outreach issues we have identified. Increasing outreach to individual HBCUs will encourage more college participation in the Capital Financing Program. Similarly, coordination with state university systems to address state-level provisions that create challenges and share potential solutions can increase public HBCU participation in the program. Education can leverage the resources not only of the Advisory Board, but also of the designated bonding authority, in these outreach efforts. If Education does not include these activities in its outreach plan, many of the HBCUs the program is intended to serve may continue to be unaware of the program or unable to participate in it.", "Some HBCUs have faced declining enrollment as a result of changing economic conditions and recent changes in federal student aid policy. At the same time, the number of defaults and delinquencies has increased in the Capital Financing Program, potentially increasing the federal government\u2019s responsibility for these losses. In addition, stakeholders have called for additional loan modifications for colleges in financial distress. The Consolidated Appropriations Act, enacted in March 2018, authorized Education to offer loan deferments to financially struggling HBCUs. As Education begins offering these loan deferments, it is important that Education analyze the effects of these deferments and other prior loan modifications, such as those given to certain HBCUs affected by Hurricanes Katrina and Rita, to ensure that they are having the intended effect. Analyzing the potential benefits of loan modifications to all participating HBCUs against the potential risks to the program, such as increased program costs, could further help policymakers enhance the overall effectiveness of the Capital Financing Program. This will be especially important as Education implements its required outreach plan, which may increase program participation."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to Education:", "As Education develops the required HBCU Capital Financing Program outreach plan, the Executive Director of the program should include in the plan (1) ways to increase outreach to individual HBCUs so that HBCU officials are informed of the program; (2) steps to coordinate directly with state university systems to specifically address state-level challenges to participation and share potential solutions to increase public HBCU participation; and (3) ways to further leverage the designated bonding authority in its efforts. (Recommendation 1)", "The Executive Director of the HBCU Capital Financing Program should lead an agency effort to analyze various Capital Financing Program loan modifications, including the effects of the loan deferments authorized in the 2018 Consolidated Appropriations Act as well as other potential modifications, to assess the potential benefits to HBCUs participating in the program, the potential cost of these options to the government, and their effect on the program\u2019s overall financial stability. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for review and comment. Education\u2019s comments are reproduced in appendix V.", "In response to our recommendation on actions that Education should include in its required outreach plan, Education identified steps it plans to take to address each of the three components we recommended. First, to increase outreach to individual HBCUs, Education stated it will send letters to presidents and chancellors of eligible HBCUs that are not yet participating, in addition to existing activities. Second, Education stated that it plans to use methods similar to those currently used to reach out to public HBCUs, depending on resources, to coordinate directly with state university systems. Third, Education noted it plans to explore ways to leverage the designated bonding authority to do so. Education also stated that an HBCU\u2019s ability to use the program depends on its financial strength, and government resources alone will not ensure financial strength among struggling institutions. We agree; however, it is important to make HBCUs aware of the resources available to them, particularly a federal program that was created to help address HBCUs\u2019 capital financing challenges.", "With regard to our second recommendation on analyzing the potential benefits and costs of offering loan modifications, Education partially agreed with the recommendation. Education commented that it disagreed with the recommendation to the extent that it suggests a modification of loan terms. Our recommendation does not endorse providing loan modifications to colleges. Rather, our recommendation is focused on analyzing the costs and benefits of modifications authorized by law, as well as other potential modifications. Education noted it will continue to analyze loan modifications and develop cost estimates. As we note in the report, however, Education was not able to provide evidence of analysis it conducted on potential loan modifications. We continue to believe that analysis of costs and benefits is needed to determine whether additional loan modifications are necessary or beneficial for the program.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Education, appropriate congressional committees, and other interested parties. In addition, the report will be made available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We examined (1) Historically Black Colleges and Universities\u2019 (HBCUs) capital project needs; (2) funding sources HBCUs use to address their capital project needs; and (3) the extent to which the Department of Education (Education) helps HBCUs access and successfully participate in the HBCU Capital Financing Program (Capital Financing Program). In addition to the methodologies discussed below, we reviewed relevant federal laws, regulations, and guidance on the Capital Financing Program and Strengthening HBCU Program. To determine the extent to which Education helps HBCUs access and successfully participate in the Capital Financing Program, we reviewed documentation on program performance and administration and Education documentation from selected HBCUs affected by Hurricanes Katrina and Rita that received loan modifications in 2013. We assessed Education\u2019s communication to states and HBCUs against federal internal control standards on communicating quality information to key stakeholders. We reviewed Education\u2019s coordination efforts against best practices for coordinating with relevant stakeholders and reviewed Education\u2019s strategic plan which prioritizes coordinating with external stakeholders to achieve its goals of supporting educational institutions and increasing college access. We also assessed Education\u2019s actions to help HBCUs experiencing financial challenges successfully participate in the program against federal internal control standards, which state that agency management should communicate key information needed to achieve its objectives and plan for significant changes, including economic changes, analyze the effects of such plans, and respond appropriately."], "subsections": [{"section_title": "Survey of Historically Black Colleges and Universities and Review of Capital Plans", "paragraphs": ["To address all three objectives, we conducted a web-based survey of accredited HBCUs in the United States (including the U.S. Virgin Islands) in June through August 2017. To identify the list of HBCUs, we ran a query using Education\u2019s Integrated Postsecondary Education Data System (IPEDS) for colleges that were designated as an HBCU in IPEDS and participated in Title IV, and were therefore accredited. IPEDS uses Section 322(a) of the Higher Education Act of 1965, as amended to define an HBCU as \u201cany historically Black college or university that was established prior to 1964, whose principal mission was, and is, the education of Black Americans, and that is accredited by a nationally recognized accrediting agency or association determined by the Secretary of Education to be a reliable authority as to the quality of training offered or is, according to such an agency or association, making reasonable progress toward accreditation.\u201d Additionally, any branch campus of a southern institution of higher education that prior to September 30, 1986, received a Strengthening HBCUs Grant and was formally recognized by the National Center for Education Statistics as a Historically Black College or University is also considered an eligible institution. All 101 colleges identified as HBCUs in IPEDS were also identified as participating in Title IV.", "We addressed our survey to senior leadership\u2014presidents and chief financial officers\u2014at HBCUs because capital planning and financing generally fall under their purview. We obtained a list of contact information for presidents and chief financial officers from Education for some participating HBCUs. In cases where contact information was not available, current, or correct, we identified appropriate contact information by reviewing HBCUs\u2019 websites or by following up with the president\u2019s office. Our survey included questions on capital project needs (i.e., repair or replacement) and plans, funding sources HBCUs use to address those needs, and HBCU experiences with Education\u2019s Capital Financing Program and Strengthening HBCU Program. We also asked HBCU officials to provide a copy of their master plans to supplement their survey responses, and we reviewed those plans.", "To enhance data quality and to minimize nonsampling errors, we employed recognized survey design practices in the development of the survey and in the collection, process, and analysis of the survey data. To develop our survey questions, we interviewed Education officials, HBCU administrators, higher education facilities experts, and HBCU organization officers. Additionally, we pretested the survey with five HBCUs, over the phone, to standardize survey language and to reduce variability in responses that should be qualitatively the same. In some cases, we used the results of our pretests to change the wording of questions or added clarifying examples based on feedback. We chose the five pretest HBCUs to include representation across the major subgroups of responding HBCUs: private non-profits (private) and public HBCUs, 2-years and 4- years, and participants and non-participants of the Capital Financing Program. We also reviewed examples of master plans and facility assessment guides from higher education associations to help frame our survey questions. For example, we reviewed public and private HBCU capital plans to understand the type of information they collect, methodologies for assessing their capital project needs, and how they prioritize their needs. Furthermore, we consulted higher education facilities associations\u2019 definitions on key terms and facility indicators. Facilities experts from a higher education association indicated that master plans can change over time depending on an HBCU\u2019s emerging capital project needs and funding availability.", "To increase the survey response rate, we implemented an outreach plan to engage key HBCU officials. When we completed the final survey questions and format, we sent an email announcement of the survey in June 2017 to key HBCU officials\u2014presidents, chief financial officers, Strengthening HBCU Program coordinators, and facilities managers. They were notified that the survey was available online and were given unique usernames and passwords. To reduce nonresponse, we followed up by email and by phone with HBCUs that had not responded to the survey to encourage them to complete it. We received responses from 79 of 101 HBCUs\u201438 of 51 private and 41 of 50 public HBCUs, achieving a 78 percent response rate. As this was not designed as a sample survey, we make no claims about the generalizability of the results. However, 79 HBCUs captures a substantial portion of the HBCU population. We received master plans from 20 HBCUs.", "We reviewed the data for missing or ambiguous responses and followed up with HBCUs when necessary to clarify their responses. In some cases, we updated responses after following up with the survey respondent. For example, as a part of our reliability check, we followed up with HBCUs whose answers were extreme outliers on reporting dollar values for their deferred maintenance. In three cases, separate from deferred maintenance, HBCUs corrected their answers, and we updated the survey results accordingly. To analyze the survey, we calculated descriptive statistics and reviewed open-ended responses to identify themes. We also reviewed select HBCUs\u2019 master plans to supplement survey responses."], "subsections": []}, {"section_title": "Education Data", "paragraphs": [], "subsections": [{"section_title": "HBCU Capital Financing Participation Data", "paragraphs": ["We analyzed Capital Financing Program loan data from Education and the designated bonding authority to better understand participation in the program. Specifically, we reviewed data from 1996 to 2017, which included participating HBCUs with sector information (public and private); loans each HBCU received; original loan amount; and status of each loan (paid off or in progress). We used the data to determine the total number of participating HBCUs by sector and total value of loans provided.", "Additionally, we gathered information from Education\u2019s Capital Financing Program website to understand how HBCUs used their loans from 1996 to 2016. The website includes information on the purpose of each loan. Based on the wording of the purpose, we developed the following categories: refinance, deferred maintenance, repair and renovation, alteration, and new construction. For the purpose of reporting, we combined deferred maintenance, repair, renovation, and alteration into a deferred maintenance and repair category. For instances where HBCUs listed a similar or related purpose, we used professional judgement to categorize it. The categorization was conducted by one analyst then independently confirmed by a second analyst. Based on our review of Education\u2019s data, review of loan contracts, and interviews with relevant Education and designated bonding authority officials, we found the HBCU Capital Financing participation data to be sufficiently reliable for the purpose of describing participation and use of the program."], "subsections": []}, {"section_title": "Integrated Postsecondary Education Data System (IPEDS)", "paragraphs": ["To provide context on challenges HBCUs face financing capital projects identified through interviews with officials from Education, HBCUs, HBCU organizations, other stakeholders, and through our survey, we analyzed data from IPEDS from the 2015-16 school year, the most recent data available at the time of our review. We assessed the reliability of the data by reviewing related documentation and interviewing officials responsible for maintaining data in the system, and found the data to be reliable for our purposes. We examined HBCUs\u2019 institutional, student, and financial characteristics and compared those characteristics with a matched set of similar non-HBCUs. These characteristics include information on the colleges\u2019 charges for tuition and fees; the percentage of students who receive financial aid overall, and Pell Grants specifically; information on key revenue streams such as tuition and fees, private grants and contracts, and government funding; and data on the college\u2019s endowment. Colleges report financial information to IPEDS, such as revenue, using different accounting standards: public colleges generally use standards issued by the Governmental Accounting Standards Board, and private colleges use standards issued by the Financial Accounting Standards Board. Due to variation in how colleges report some revenue data under these two different accounting standards, we excluded one public HBCU from our analysis that used standards issued by the Financial Accounting Standards Board and analyzed 100 HBCUs.", "Under 1,000; 1,000-4,999; 5,000-9,999; 10,000- 19,999; 20,000 and above Public 4-year; public 2-year; private 4-year; private 2- year Any degree prior to a 4-year Bachelor\u2019s degree; a 4- year Bachelor\u2019s degree; any degree following a 4-year Bachelor\u2019s degree HBCU state or Census division States with HBCUs or Census divisions (Pacific, Mountain, West North Central, East North Central, Middle Atlantic, New England, South Atlantic, East South Central, and West South Central)", "Using a multi-stage approach to create matched sets of HBCUs and non- HBCUs, we first identified non-HBCUs that matched the HBCU using the institution\u2019s size, sector, and highest degree offered. We then constrained the set of non-HBCUs to those within the same state as respective HBCUs. Each matched set may contain multiple HBCUs and/or multiple non-HBCUs. If none of the non-HBCUs identified using institution size, sector, and highest degree offered lied within the same state as the HBCUs, we used Census-based divisions to create the matched set of HBCUs and non-HBCUs.", "Table 5 summarizes the number of institutions within each matched set. Seventy-three of the 100 HBCUs were matched using state, while 27 were matched using Census-based divisions.", "We conducted this matched analysis because an unmatched analysis of the 100 HBCUs and all 3,529 non-HBCUs is potentially vulnerable to spurious differences in outcomes between HBCUs and non-HBCUs that arise from an imbalance of key factors underlying these two types of institutions. For example, public 2-year institutions make up a smaller proportion of HBCUs compared to non-HBCUs (10 and 28.6 percent, respectively), while public 4-year institutions make up a larger proportion of HBCUs compared to non-HBCUs (39 and 19.6 percent, respectively). This imbalance could lead to differences in outcomes arising from characteristics inherent in the type of institution, not a comparison of HBCUs to non-HBCUs. Matching HBCUs to non-HBCUs would lead to a similar underlying distribution of key factors, which improves the comparability of HBCUs and non-HBCUs.", "We used the matched sets to compare HBCUs to non-HBCUs on student financial aid and financial outcomes. For each of these variables and across the matched sets, we estimated descriptive statistics (mean, median, range) for HBCUs and non-HBCUs. However, in order to compare HBCUs to non-HBCUs, we accounted for similarities within each matched set. The varying number of HBCUs and non-HBCUs within each matched set required an analysis which is, in principle, an extension of a paired t-test. In this analysis, differences and correlations within each matched set are accounted for when estimating the overall difference between HBCUs and non-HBCUs. More specifically, we performed a linear mixed effects model with the basic form: yij ~ \u03b2ijHBCUij + bijClusterij + \u03c3ij, for the jth institution in the ith cluster bik ~ N(0, \u03b7), for the kth institution in the ith cluster where y is the outcome variable of interest; \u03b2 is the parameter of interest, the fixed-effect coefficient that quantifies the overall difference between HBCUs and non-HBCUs; \u03c3 is the residual error that is not accounted for by HBCU status or clusters; b is the random-effect coefficient that accounts for correlations within clusters and quantifies the different effects of the k institutions within each cluster set (i.e., the k HBCU and non-HBCU institutions are nested within each cluster set); and b estimates the separate and distinct effects for each cluster set and is assumed to have a multivariate normal distribution, with a variance of \u03b7.", "The p-value estimated was used to assess whether there was a statistically significant difference between HBCUs and non-HBCUs for the outcome variables of interest.", "We stratified the matched sample by public and private education sector and used the model above to obtain estimates specific for public and private colleges. This education sector specific analysis was not further stratified by 2- and 4-year college types due to small sample sizes.", "In order to further explore differences with public and private colleges, we expanded the model above as such: yij ~ \u03b2ijHBCUij + \u03b3ijSectorij + \u03b5ijHBCUij*Sectorij + bijClusterij + \u03c3ij, for the jth institution in the ith cluster Where the parameters described above remain the same and \u03b3 is the difference between public and private colleges, after adjusting for being an HBCU and \u03b5 is the difference within difference, assessing whether the HBCU\u2013non-HBCU difference within public colleges is different from the HBCU\u2013non-HBCU difference within private colleges.", "Wilcoxon Test for Clustered Data The linear mixed effects model above assumes that data are normally distributed (i.e., follow a bell-shaped curve). In order to assess whether these assumptions hold, we performed a Wilcoxon test that is extended for clustered data. The Wilcoxon test ranks values and is free of distributional assumptions, and assumes that all data are independent (i.e., not correlated). Overall consistency between tests of significance from the linear mixed effects model and Wilcoxon tests indicates that model assumptions hold."], "subsections": []}, {"section_title": "Strengthening HBCU Annual Reports", "paragraphs": ["To describe the extent to which HBCUs used the Strengthening HBCU Program to finance capital projects, we analyzed annual reports submitted by participating HBCUs for the 2016 grant year. Participating HBCUs submit annual performance reports which include information on how the funds were used and the amount spent on each activity, among other information. The reports also include information on whether the HBCUs experienced leadership turnover in that reporting year. Because colleges submit a report for each type of Strengthening HBCU funding they receive or to carry over funding from the previous year, each college could have submitted up to three reports in 2016. In total, we reviewed 236 reports for 98 grant recipients. We also used these reports to identify leadership turnover at HBCUs."], "subsections": []}]}, {"section_title": "Interviews of HBCU Stakeholders", "paragraphs": ["To address all three objectives, we conducted over 40 interviews with HBCU stakeholders and colleges to learn about HBCU capital project needs (i.e., repair, renovation, and new construction of buildings); challenges HBCUs face accessing and securing funding, particularly through Education\u2019s Capital Financing Program; and steps Education has taken, if any, to help HBCUs better access and successfully participate in their programs. We conducted the following interviews:", "Education: We interviewed senior officials at Education to learn more about HBCUs\u2019 access to and successful participation in the Capital Financing Program and participation in the Strengthening HBCU Program.", "Designated Bonding Authority: We interviewed officials at the designated bonding authority, with whom Education contracts to help administer the Capital Financing Program, to learn more about HBCUs\u2019 access to and successful participation in the Capital Financing Program.", "HBCU officials: We interviewed senior officials such as presidents, chief financial officers, and facilities managers from 15 HBCUs to learn more about the state of their capital project needs and challenges they face accessing and securing funding, particularly though the Capital Financing Program and Strengthening HBCU Program. We selected HBCUs that included different sectors (public and private), varying enrollments and state locations, and a mix of participation in the Capital Financing Program.", "State university system officials: We interviewed officials from four state university systems in states where public HBCUs did not participate and that were identified by Education as having state-level challenges accessing the program (North Carolina, Florida, Georgia, and Mississippi).", "HBCU organizations: We interviewed officials at the United Negro College Fund, which represents private HBCUs; and the Thurgood Marshall College Fund, which represents public and publically supported HBCUs. Both organizations are members of Education\u2019s Capital Financing Program Advisory Board. We consulted with officials from both organizations on different mechanisms that could help borrowers successfully participate in the Capital Financing Program.", "Higher education facilities experts: We interviewed higher education facilities experts at the National Association of College and University Business Officers, APPA: Leadership in Educational Facilities, and Sightlines\u2014a higher education facilities consultant\u2014to learn about industry best practices in identifying and addressing capital project needs and what differences, if any, exist for capital funding between HBCUs and non-HBCUs.", "Financial experts: We interviewed officials at Moody\u2019s, Standard & Poor\u2019s (S&P), the Municipal Securities Rulemaking Board (MSRB), and a financial consulting group to learn more about the municipal bond market, how colleges are rated, and how access and successful participation in the market differs between HBCUs and non-HBCUs.", "Other stakeholders: We interviewed other stakeholders, such as the Association of Public and Land Grant Universities (APLU), which represent HBCU public land-grant universities; the Kresge Foundation, which has provided HBCUs with funding for capital projects; and researchers at the University of Pennsylvania\u2019s Center for Minority Serving Institutions and the authors of a study on HBCU participation in the bond market, \u201cWhat\u2019s in a (school) name? Racial discrimination in higher education bond markets.\u201d"], "subsections": []}, {"section_title": "Site Visits", "paragraphs": ["We visited nine HBCUs across three states\u2014Alabama, Louisiana, and North Carolina\u2014to interview senior HBCU officials to learn about their capital project needs, to tour their facilities, and to learn more about the benefits and challenges the HBCUs faced in accessing funding and participating in Education\u2019s two key programs. We selected our nine site visit HBCUs to obtain a mix of sector (public and private), enrollment size, participation in Education\u2019s programs, and the existence of state-level laws or policies that have created challenges to participating in the Capital Financing Program. We also chose to visit Louisiana to learn more about the loans HBCUs received after Hurricanes Katrina and Rita and the colleges\u2019 recovery efforts. During our site visits, we met with senior leadership\u2014presidents, chief financial officers, facilities managers, Strengthening HBCU grant coordinators\u2014because they generally make decisions on capital project planning. While we did not inspect or evaluate the state of these colleges\u2019 buildings, HBCU officials explained in detail the capital project needs. In particular, we toured campuses to better understand their capital project needs and the extent to which Education\u2019s two key programs have helped address those needs."], "subsections": []}]}, {"section_title": "Appendix II: Additional Survey Results on Capital Project Needs and Funding for Historically Black Colleges and Universities", "paragraphs": ["We received responses from 79 of 101 Historically Black Colleges and Universities (HBCUs): 38 of 51 private non-profit (private) and 41 of 50 public HBCUs. By survey design, not all respondents reported information for each question. As a result, the denominator (number of survey respondents for a particular question) may change. This appendix presents selected survey responses from HBCUs and calculations made by GAO based on selected responses as a snapshot of capital project needs for HBCUs."], "subsections": [{"section_title": "Capital Project Needs: Condition of Building Space for Responding HBCUs", "paragraphs": ["Survey respondents reported information on their institution\u2019s real property portfolio, historical building space, and the condition of their building space."], "subsections": []}, {"section_title": "Capital Project Needs: Deferred Maintenance Backlog for Responding HBCUs", "paragraphs": ["Survey respondents provided information on their deferred maintenance backlogs\u2014repair put off to a later date.", "The Federal Accounting Standards Advisory Board defines deferred maintenance as maintenance that was not performed when it should have been or was scheduled to be and which was put off or delayed for a future period. Activities include preventive maintenance; replacement of parts, systems, or components; and other activities needed to preserve or maintain the asset. Maintenance and repairs exclude activities directed towards expanding the capacity of an asset or otherwise upgrading it to serve needs different from, or significantly greater than, its current use."], "subsections": []}, {"section_title": "Capital Projects: Top 5 Capital Projects for Next 5 to 10 Years for Responding HBCUs", "paragraphs": ["Survey respondents provided information on their documented top 5 capital project needs over the next 10 years. Survey respondents provided information on the type of capital project (e.g., repairs, renovations and alterations, new buildings or facilities) and purpose of the project (e.g., academic, administrative, athletics, etc.)."], "subsections": []}, {"section_title": "Capital Project Funding: Funding Sources to Address Capital Project Needs for Responding HBCUs", "paragraphs": ["Survey respondents provided information on funding sources they use to address their capital project needs and the percentage of funding from that source."], "subsections": []}, {"section_title": "HBCU Capital Financing Program: Perspectives on Participation by Responding HBCUs", "paragraphs": ["Survey respondents provided information on their participation in the HBCU Capital Financing Program. We asked these respondents questions about the type of projects the program funds, reasons for pursuing this funding, and challenges they face in participating in the program."], "subsections": []}, {"section_title": "Strengthening HBCU Program: Capital Projects for Responding HBCUs", "paragraphs": ["Survey respondents provided information on their participation in the Strengthening HBCU Program. We asked about why they participate and how the program supports capital project needs."], "subsections": []}]}, {"section_title": "Appendix III: Select Institutional, Student, and Financial Data on Historically Black Colleges and Universities (HBCUs)", "paragraphs": ["Appendix III: Select Institutional, Student, and Financial Data on Historically Black Colleges and Universities (HBCUs)", "Using a multi-stage matching technique, we created a matched set of non-HBCUs for comparison purposes. Using data from the Department of Education\u2019s Integrated Postsecondary Education Data System (IPEDS) for the 2015-16 school year, the most recent data available, we matched accredited HBCUs and non-HBCUs on four key characteristics: sector (i.e., public or private non-profit (private)), highest degree offered, size (enrollment), and location. For each of the 100 HBCUs, we established respective matched sets that included a total of 382 non-HBCUs. For more information about our methodology, see appendix I."], "subsections": []}, {"section_title": "Appendix IV: Location of Historically Black Colleges and Universities (HBCUs) and Their Sector (Public and Private Non-profit)", "paragraphs": ["Appendix IV: Location of Historically Black Colleges and Universities (HBCUs) and Their Sector (Public and Private Non-profit)"], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals making key contributions to this report were Nyree Ryder Tee, Assistant Director; Rachel Beers, Analyst-in-Charge; Grace Cho; Kris Nguyen; and Manuel Antonio Valverde. In addition, key support was provided by Michael Armes, Susan Aschoff, Allison Bawden, Deborah Bland, Marcia Carlsen, Gina Hoover, DuEwa Kamara, John Karikari, Risto Laboski, Eunice LaLanne, Won Lee, Sheila McCoy, Jean McSween, Jeffrey G. Miller, John Mingus, Mimi Nguyen, Anna Maria Ortiz, Christopher Ross, Benjamin Sinoff, and Karen Tremba."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-44", "url": "https://www.gao.gov/products/GAO-18-44", "title": "Opioid Use Disorders: HHS Needs Measures to Assess the Effectiveness of Efforts to Expand Access to Medication-Assisted Treatment", "published_date": "2017-10-31T00:00:00", "released_date": "2017-10-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The misuse of prescription opioid pain relievers and illicit opioids, such as heroin, has contributed to increases in overdose deaths. According to the most recent Centers for Disease Control and Prevention data, in 2015 over 52,000 people died of drug overdose deaths, and about 63 percent of them involved an opioid. For those who are addicted to or misuse opioids, MAT has been shown to be an effective treatment.", "GAO was asked to review HHS and other efforts related to MAT for opioid use disorders. This report (1) describes HHS's key efforts to expand access to MAT, (2) examines HHS's evaluation, if any, of its efforts to expand access to MAT, and (3) describes efforts by selected stakeholders (states, private health insurers, and national associations) to expand access to MAT. GAO gathered information from HHS officials as well as a non-generalizable selection of 15 stakeholders selected based on their MAT expansion activities, among other factors. GAO also assessed HHS's evaluation plans using internal control standards for defining objectives and evaluating results."]}, {"section_title": "What GAO Found", "paragraphs": ["In an effort to reduce the prevalence of opioid misuse and the fatalities associated with it, the Department of Health and Human Services (HHS) established a goal to expand access to medication-assisted treatment (MAT). MAT is an approach that combines behavioral therapy and the use of certain medications, such as methadone and buprenorphine. HHS has implemented five key efforts since 2015 that focus on expanding access to MAT for opioid use disorders\u2014four grant programs that focus on expanding access to MAT in various settings (including rural primary care practices and health centers) and regulatory changes that expand treatment capacity by increasing patient limits for buprenorphine prescribers and allowing nurse practitioners and physician assistants to prescribe buprenorphine.", "Some of the grant awards were made in 2015, while others were made as recently as May 2017. (See figure.) As of August 2017, efforts under all the grant programs were ongoing. Grant recipients can use funding to undertake a range of activities, such as hiring and training providers and supporting treatments involving MAT. In addition, certain providers and grant recipients are required to develop plans for preventing MAT medications from being diverted for nonmedical purposes.", "HHS officials told GAO that as of August 2017, the department was in the process of finalizing its plans to evaluate its efforts to address the opioid epidemic. In September 2016, HHS awarded a contract to conduct the evaluation. HHS officials told GAO that they are still working with the contractor to finalize the evaluation approach and that it will focus on whether HHS's efforts to address the opioid epidemic have been implemented as intended. HHS officials said that in the future, HHS may also evaluate whether, or to what extent, its efforts have been effective in expanding access to MAT, in addition to evaluating implementation.", "While HHS has some of the information that could be used in a future evaluation of the effectiveness of its efforts to expand access to MAT, it has not adopted specific performance measures with targets specifying the magnitude of the increases HHS hopes to achieve through its efforts to expand access to MAT, and by when. For example, HHS has not established a long-term target specifying the percentage increase in the number of prescriptions for buprenorphine HHS would like to achieve, which would help to show whether efforts by HHS and others are resulting in a sufficient number of prescriptions for MAT medications. HHS has also not chosen a specific method of measuring treatment capacity or established targets associated with it, which would help determine whether a sufficient number of providers are becoming available to evaluate and treat patients who may benefit from MAT.", "Without specifying these performance measures and associated targets, HHS will not have an effective means to determine whether its efforts are helping to expand access to MAT or whether new approaches are needed. Gauging this progress is particularly important given the large gap identified nationwide between the total number of individuals who could benefit from MAT and the limited number who can currently access it based on provider availability.", "In addition, GAO also found that as of August 2017, HHS had not finalized its approach for its planned evaluation activities, including timeframes. Without timeframes for the evaluation's activities, HHS increases the risk that the evaluation will not be completed as expeditiously as possible.", "In addition to HHS efforts to expand access to MAT, officials from selected states, private health insurers, and national associations reported using several efforts to expand patients' access to MAT for opioid use disorders. For example, several stakeholders provided GAO with the following examples of their efforts:", "States. State health officials from all five selected states have implemented or are planning approaches that focus on integrating the use of MAT into primary care, such as by providing services for centralized intake and initial management of patients or through telehealth that connects patients in rural areas with addiction specialists in a different location.", "Private health insurers. Three private health insurers reported removing prior authorization requirements for MAT medications so patients can avoid a waiting period before receiving the medications.", "National associations. Officials told GAO that they are conducting outreach and training for their members and developing tools and resource guides. For example, one association developed a road map with strategies that state policymakers can use to address the opioid epidemic, including strategies for reducing the stigma associated with MAT through educating the public and potential providers."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that HHS take two actions: (1) establish performance measures with targets related to expanding access to MAT, and (2) establish timeframes for its evaluation of its efforts to expand access to MAT. HHS concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The misuse of and addiction to prescription opioid pain relievers and illicit opioids, such as heroin, contributes to significant morbidity and mortality in the United States. Substance Abuse and Mental Health Services Administration (SAMHSA) data show that in 2014 almost 2.3 million people aged 12 years and older misused or were dependent on opioids, up from almost 1.7 million in 2005. According to the most recent Centers for Disease Control and Prevention data, in 2015 there were over 52,000 drug overdose deaths in the United States, and about 63 percent of these deaths involved an opioid.", "For those who misuse or are addicted to opioids\u2014a condition known as opioid use disorder\u2014research shows that medication-assisted treatment (MAT) is an effective treatment. MAT\u2014which combines behavioral therapy and the use of certain medications (methadone, buprenorphine, and naltrexone)\u2014has been shown to reduce opioid use and to increase treatment retention compared with other treatments. Treatment can occur as part of federally regulated opioid treatment programs (OTP) or in other settings, such as office-based settings, within certain restrictions.", "While MAT has been shown to be effective, several reports have also highlighted that accessing MAT services may be challenging for many. For example, in a 2016 report we identified several factors that affect access to MAT, including lack of insurance coverage and an insufficient number of existing treatment programs or practicing physicians offering MAT. Similarly, a 2016 Surgeon General\u2019s report on Alcohol, Drugs, and Health noted barriers to accessing treatment, such as the cost of care and challenges accessing providers who offer treatment services. In part because of these challenges, it is likely that only a portion of the individuals who need MAT are receiving it. The 2016 Surgeon General\u2019s report and a 2015 study on MAT treatment capacity have both highlighted this \u201ctreatment gap.\u201d The 2015 study, for instance, found that the availability of MAT has not kept pace with the incidence of opioid use disorders in the United States, as more are in need of the treatment than can currently access it\u2014a treatment gap estimated to be nearly 1 million people in 2012.", "In March 2015, the Department of Health and Human Services (HHS) established the HHS Opioid Initiative, which aimed to decrease (1) opioid overdoses and overall overdose mortality, and (2) the prevalence of opioid use disorders. Led by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in coordination with the Immediate Office of the Secretary, the HHS Opioid Initiative had three priorities related to opioid use disorders, one of which was to expand access to MAT. Although the HHS Opioid Initiative ended in January 2017, HHS activities related to improving access to treatment for opioid use disorders have continued under the new administration\u2019s five-point Opioid Strategy, which was announced in April 2017. Several agencies within HHS, such as SAMHSA and the Health Resources and Services Administration (HRSA), are overseeing various efforts to expand access to MAT, with ASPE responsible for leading efforts to collectively evaluate the results of these efforts.", "You requested that we provide information on HHS and other efforts to expand access to MAT for opioid use disorders. In this report, we 1. describe HHS\u2019s key efforts to expand access to MAT; 2. examine HHS\u2019s evaluation, if any, of its key efforts to expand access 3. describe efforts by selected stakeholders (states, private health insurers, and national associations) to expand access to MAT.", "To describe HHS\u2019s key efforts to expand access to MAT, we reviewed HHS documents that describe the HHS Opioid Initiative and the activities associated with it, such as HHS press releases, the ASPE Issue Brief on the Opioid Initiative, and HHS funding announcements for grants to expand access to MAT. We also reviewed HHS\u2019s April 2017 announcement of the Opioid Strategy, as well as relevant federal laws and regulations relating to MAT. In addition, we interviewed officials at relevant federal agencies, such as ASPE, SAMHSA, HRSA, the Agency for Healthcare Research and Quality (AHRQ), and the Food and Drug Administration (FDA) with knowledge of MAT expansion efforts within HHS. We specifically asked the officials to identify their key efforts to expand access to MAT and to confirm the key efforts that we identified independently through our document reviews. Our review focused on those efforts implemented from fiscal year 2015 through August 2017. We also inquired about the extent to which diversion control plans\u2014 procedures that reduce the possibility that controlled substances will be transferred or used illicitly\u2014are included in HHS\u2019s efforts to expand access to MAT, and we reviewed relevant documents.", "To examine any HHS evaluation of its key efforts to expand access to MAT, we reviewed relevant documentation that describes HHS\u2019s evaluation plans to assess MAT expansion efforts. These documents included a 2016 report by Mathematica Policy Research that describes a proposed evaluation approach developed under contract with HHS and the solicitation for a contractor to conduct the evaluation. We assessed these plans using criteria for defining objectives and evaluating results in federal internal control standards. We also interviewed ASPE officials about their evaluation approach and the status of the evaluation.", "To describe efforts by selected stakeholders to expand access to MAT, we first identified relevant stakeholder organizations that represent states, private health insurance plans, and national associations. Through our interviews with HHS officials, background interviews with officials from organizations, such as the America\u2019s Health Insurance Plans and Blue Cross Blue Shield Association, and background research, we identified a non-generalizable selection of 15 stakeholders in the following groups\u2014 states, private health insurance plans, and national associations\u2014to obtain information about their efforts to expand access to MAT. Specifically, we gathered information from officials at (1) state health departments and behavioral health services agencies in five states: Rhode Island, Maryland, Washington, West Virginia, and Indiana; (2) seven private health insurance plans; and (3) three national associations that represent providers, government officials, and public health officials: the American Society of Addiction Medicine, the National Governors Association, and the Association of State and Territorial Health Officials. In addition to identifying and selecting stakeholders with efforts to expand access to MAT for opioid use disorder based on background interviews and research, we considered (1) geographic diversity and Centers for Disease Control and Prevention data on states with high opioid death rates when selecting the five states; and (2) health insurers with large market share when selecting the seven private health insurers. We also asked several stakeholders about their views on the diversion of MAT medications as part of their efforts to expand access to MAT, and we reviewed relevant documents.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Health care practitioners prescribe opioid medications to treat pain and sometimes for other health problems, such as severe coughing. Opioid medications are available as immediate or extended release and in different forms, such as a pill, liquid, or a patch worn on the skin. Opioids slow down some processes of the body, such as breathing and heartbeat, by binding with certain receptors in the body."], "subsections": [{"section_title": "Opioid Use Disorders and MAT", "paragraphs": ["Over time, the body becomes tolerant to opioids, which means that larger doses of opioid medications are needed to achieve the same effect. People may use opioids in a manner other than as prescribed\u2014that is, they can be misused. Because opioids are highly addictive substances, they can pose serious risks when they are misused, which can lead to addiction and death. Symptoms of an opioid use disorder include a strong desire for opioids, the inability to control or reduce use, and continued use despite interference with major obligations or social functioning. Another concern associated with prescribed opioids is the potential for diversion for illegal purposes, such as nonmedical use or financial gain.", "Research has shown that MAT\u2014which combines behavioral therapy and the use of certain medications (methadone, buprenorphine, and naltrexone)\u2014can be more effective in reducing opioid use and increasing retention (i.e., reducing dropouts) compared to abstinence based treatment\u2014that is when patients are treated without medication. Three medications are currently approved by FDA for use in MAT for opioid use disorders\u2014methadone, buprenorphine, and naltrexone.", "Methadone: Methadone is a full opioid agonist, meaning it binds to and activates opioid receptors to help prevent withdrawal symptoms and reduce drug cravings. It has a long history of use for the treatment of opioid dependence in adults. Methadone suppresses withdrawal symptoms during detoxification therapy, which involves stabilizing patients who are addicted to opioids by withdrawing them in a controlled manner. Methadone also controls the craving for opioids during maintenance therapy, which is ongoing therapy meant to prevent relapse and increase treatment retention. Methadone can be administered to patients as an oral solution or in tablet form.", "Buprenorphine: Buprenorphine is a partial opioid agonist, meaning it binds to opioid receptors and activates them, but not to the same degree as full opioid agonists. It reduces or eliminates opioid withdrawal symptoms, including drug cravings. It can be used for detoxification treatment and maintenance therapy. It is available for MAT for opioid use disorder in tablet form for sublingual (under the tongue) administration, in film form for sublingual or buccal (inside the cheek) administration, and as a subdermal (under the skin) implant.", "Naltrexone: Naltrexone is an opioid antagonist, meaning it binds to opioid receptors but does not activate them. It is used for relapse prevention following complete detoxification from opioids. Naltrexone prevents opioid drugs from binding to and activating opioid receptors, thus blocking the euphoria the user would normally feel. It also results in withdrawal symptoms if recent opioid use has occurred. It can be taken daily in an oral tablet form or as a once-monthly injection given in a doctor\u2019s office."], "subsections": []}, {"section_title": "Authorized Settings for MAT Medications", "paragraphs": ["Two of the three medications used to treat opioid use disorders\u2014 methadone and buprenorphine\u2014are drugs that carry a potential for misuse. Under the Controlled Substances Act (CSA), treatment involving these medications can take place in certain authorized settings: as part of federally regulated OTPs or in other settings, such as a physician\u2019s office, within certain restrictions.", "OTPs. OTPs provide MAT, including methadone and buprenorphine, for people diagnosed with an opioid use disorder. Methadone may generally only be administered or dispensed within an OTP, as prescriptions for methadone cannot be issued when used for opioid use disorder treatment. Buprenorphine may be administered or dispensed within an OTP, or may also be prescribed by a qualifying practitioner who has received a waiver from SAMHSA. Naltrexone is not a controlled substance and can be used in OTPs and other settings.", "Office-Based and Other Settings. Under a Drug Addiction Treatment Act of 2000 (DATA 2000) waiver, practitioners may prescribe buprenorphine to up to 30 patients in the first year of their waiver, 100 patients in the second year, and up to 275 patients in the third year.", "Practitioners at the 275-patient level must meet additional qualifications and requirements. Naltrexone does not have similar restrictions."], "subsections": []}]}, {"section_title": "HHS Uses Grant Programs and Other Efforts to Expand Access to MAT for Opioid Use Disorders", "paragraphs": ["HHS has implemented five key efforts from 2015 through August 2017 that focus on expanding access to MAT for opioid use disorders. Four of these are grant programs, including programs focused on health centers or primary care practices in rural areas.", "Targeted Capacity Expansion: Medication Assisted Treatment \u2013 Prescription Drug and Opioid Addiction (MAT-PDOA). This grant program is administered by SAMHSA and provides funding to states to increase their capacity to provide MAT and recovery support services to individuals with opioid use disorders. Grant recipients are expected to identify a minimum of two high-risk communities within the state and partner with local government or community- based organizations to address the MAT-related treatment needs in these communities. Among other things, recipients are to use outreach and other engagement activities to increase participation in and access to MAT for diverse populations at risk for opioid use disorders. In August 2015, SAMHSA awarded 3-year grants to 11 states, under which each of the states will receive up to $1 million in each grant year. In September 2016, SAMHSA awarded 11 additional 3-year grants to other states. Total funding is expected to be up to $66 million for all 22 grants. SAMHSA announced the availability of up to 5 additional 3-year grants for fiscal year 2017. Applications for these grants of up to $2 million per year were due in July 2017 and as of August 2017 they had not been awarded.", "Substance Abuse Service Expansion Supplement to Health Centers. This grant program is administered by HRSA and provides funds for existing health centers to improve and expand their delivery of substance abuse services, including services with a specific focus on MAT for opioid use disorders in underserved populations. Health centers that receive these grants are required to increase the number of patients with health center-funded access to MAT for opioid use or for other substance abuse disorders treatment by adding at least one full-time substance abuse provider and supporting new or enhanced existing substance abuse services. HRSA awarded 2-year grants in March 2016 to 271 health centers. According to HRSA documents, total funding could be up to $200 million for all grants over 2 years. HRSA announced the availability of another set of grants to health centers for fiscal year 2017. Applications for these grants were due in July 2017, and as of August 2017 they had not been awarded.", "Increasing Access to Medication-Assisted Treatment in Rural Primary Care Practices. This grant program is administered by AHRQ and funds demonstration research projects that aim to expand access to MAT for opioid use disorders in primary care practices in rural areas of the United States. Grant recipients are expected to recruit and engage primary care providers and their practices, provide training, and support physicians and their practices in initiating treatment. The program also identifies and tests strategies for overcoming the challenges associated with implementing MAT in primary care settings and creates training and other resources for implementing MAT. AHRQ awarded these 3-year grants of up to $1 million per year to four recipients\u2014the recipients are teams of state health departments, academic health centers, local community organizations, physicians, and others\u2014with project start dates of September 30, 2016. According to AHRQ documents, total funding is expected to be up to $12 million for the four grants over 3 years.", "State Targeted Response to the Opioid Crisis Grants (Opioid STR). This grant program is administered by SAMHSA and provides funding to states and others to increase access to treatment services for opioid use disorders, including MAT; reduce unmet treatment needs; and reduce opioid overdose deaths. Grant recipients are expected to implement or expand access to evidence-based practices, particularly the use of MAT, and to report on the number of people who receive opioid use disorder treatment, the number of providers implementing MAT, and the number of providers trained to use MAT. SAMHSA awarded 2-year grants starting in May 2017 to 50 states, the District of Columbia, four U.S. territories and the free associated states of Micronesia and Palau. According to SAMHSA documents, total funding could be up to $970 million for all grants over 2 years.", "Figure 1 displays the implementation timeframes, the number of grants, and funding levels for the four HHS grant programs related to MAT. As the figure shows, some of these awards were made in fiscal year 2015, while others were made as recently as May 2017. As of August 2017, these efforts were ongoing.", "In addition to these four grant programs, HHS\u2019s fifth key effort increases treatment capacity by expanding the waivers that practitioners may receive to prescribe buprenorphine. Specifically, SAMHSA issued a regulation that became effective August 8, 2016 increasing the number of patients that eligible practitioners can treat with buprenorphine outside of an OTP (e.g., in an office-based setting). Previously, qualified practitioners could request approval to treat up to 30 patients at a time, and after 1 year the limit could increase to 100 patients at a time upon SAMHSA approval. The new regulation expanded access to MAT by allowing eligible practitioners who have had waivers to prescribe buprenorphine to 100 patients for at least 1 year to request approval to treat up to 275 patients thereafter. Similarly, SAMHSA has implemented provisions of the Comprehensive Addiction and Recovery Act of 2016 (CARA) that expanded the types of practitioners who can receive a waiver to prescribe buprenorphine in an office-based setting to include qualifying nurse practitioners and physician assistants. CARA generally requires that these nurse practitioners and physician assistants complete 24 hours of training to be eligible for a waiver. According to HHS documents, as of early 2017, nurse practitioners and physician assistants who have completed this training could request a waiver from SAMHSA to treat up to 30 patients at a time.", "In addition to its five key efforts focused specifically on expanding access to MAT for opioid use disorders, HHS has other efforts with broader focuses, such as treating multiple types of substance abuse. While these efforts are not specifically focused on expanding access to MAT for opioid use disorders, they may result in expanded access to MAT. For example, CMS has approved section 1115 Medicaid demonstration projects to allow states to undertake comprehensive reforms of their delivery of substance abuse services, including provisions to enhance the use of MAT for opioid use disorders. In July 2015, CMS issued a state Medicaid Director letter informing states that they may seek approval of section 1115 demonstrations to undertake comprehensive substance use service reforms. According to CMS, all participating states are using the demonstration authority to develop a full continuum of care for individuals with substance abuse disorders, including coverage of short-term residential treatment services not otherwise covered by Medicaid.", "In addition, FDA has programs to help expedite development and to provide for faster review of marketing applications for certain drugs. According to FDA, it has conducted expedited reviews of Suboxone (buprenorphine and naloxone sublingual film), Vivitrol (extended release naltrexone injection) and Probuphine (buprenorphine subdermal implant).", "According to some federal officials and other stakeholders that we interviewed, as part of efforts to expand access to MAT for opioid use disorder, steps are being taken to prevent the possibility that the MAT medications could, in some cases, be diverted for illicit use, misuse, or for purposes not intended by a prescriber. For example, OTPs and practitioners who request and receive a waiver to prescribe buprenorphine to treat up to 275 patients outside of an OTP setting are required under federal regulations to maintain a diversion control plan. In addition, the MAT-PDOA grant program explicitly requires grant recipients to implement a diversion control plan, though the other grant programs do not have similar additional requirements. (See appendix I for an overview of the diversion control plan requirements for OTPs and the practitioners who prescribe buprenorphine outside of an OTP.) The 2016 Surgeon General\u2019s report on Alcohol, Drugs, and Health noted that decades of research have shown that the benefits of MAT greatly outweigh the risks associated with diversion, and that withholding these medications greatly increases the risk of relapse to illicit opioid use and overdose death."], "subsections": []}, {"section_title": "HHS is Finalizing Its Approach for Evaluating MAT Expansion Efforts but Lacks Performance Measures with Targets and Implementation Timeframes", "paragraphs": ["HHS officials told us that as of August 2017, the department is in the process of finalizing its approach for evaluating the implementation of its agencies\u2019 collective efforts to address the opioid epidemic that were undertaken as part of the HHS Opioid Initiative and will continue under the new administration\u2019s Opioid Strategy. HHS officials provided a draft of the evaluation\u2019s schedule. According to the officials, the evaluation will include, but not be limited to, efforts to expand access to MAT. In September 2016, HHS awarded a 2-year contract to Research Triangle Institute International (RTI) to evaluate HHS agencies\u2019 collective efforts. HHS officials told us that they are still working with RTI to finalize the evaluation approach given new leadership priorities. Specifically, in April 2017, the new Secretary of HHS announced a revised strategy for addressing the opioid epidemic that will continue to address access to MAT for opioid use disorders but also include additional priority areas. According to HHS officials, to be responsive to the new priorities, the evaluation will focus initially on whether HHS\u2019s efforts have been implemented as intended, and officials expect the evaluation to also provide information on any challenges HHS has faced in implementing these efforts.", "According to HHS officials, while the evaluation of MAT expansion efforts will use information from several sources, they have not yet determined exactly which information will be used or how it will be used. This information may include, for example, results from a separate, planned evaluation of one of the grant programs, Opioid STR, as well as other information HHS agencies collect as part of their ongoing monitoring efforts for each of their individual MAT grant programs. While the reporting requirements vary across the four MAT grant programs, the grantees provide HHS with information related to expanding access to MAT. Specifically,", "Targeted Capacity Expansion: Medication Assisted Treatment \u2013 Prescription Drug and Opioid Addiction (MAT-PDOA): Every 6 months, grant recipients are expected to submit progress reports to SAMHSA on the planned and actual number of patients treated, as well as information on other performance measures.", "Increasing Access to Medication-Assisted Treatment in Rural Primary Care Practices: Grant recipients are expected to submit quarterly progress reports to AHRQ with various information, such as information on the number of physicians who have been certified to prescribe buprenorphine and the number of primary care practices successfully initiating the delivery of MAT services as a result of the grant project.", "Substance Abuse Service Expansion Supplement to Health Centers: Health centers that received these grants were expected to submit quarterly progress reports to HRSA through the second quarter of 2017 on the number of physicians who have obtained a DATA 2000 waiver and the number of patients who received MAT from these physicians. Health centers must now report these data elements in their annual performance reporting along with information on the number of certified nurse practitioners and physician assistants who have received a DATA 2000 waiver.", "State Targeted Response to the Opioid Crisis Grants (Opioid STR): Every 6 months, grant recipients are expected to submit progress reports to SAMHSA on the number of individuals who receive opioid use disorder treatment, the number who receive opioid use disorder recovery services, and the number of providers implementing MAT, among other measures.", "While HHS\u2019s evaluation will focus on whether HHS\u2019s efforts have been implemented as intended, officials told us that in the future an evaluation may also focus on the effectiveness of these efforts, including the effectiveness of efforts to expand access to MAT. Doing so would be consistent with federal standards for internal control, which call for agencies to evaluate results. HHS has some of the information that could be used in a future evaluation of the effectiveness of its efforts to expand access to MAT. In particular, an HHS document describing the department\u2019s fiscal year 2016 \u2013 2017 goals identifies expanding MAT access as an important strategy for the success of HHS\u2019s longer-term goal of reducing opioid use disorders and opioid overdoses. In addition, HHS has identified three potential ways to measure access to MAT: the number of prescriptions for MAT medications, the treatment capacity of practitioners who are authorized to prescribe buprenorphine for opioid use disorders through a DATA 2000 waiver, and the treatment capacity of OTPs certified to administer methadone and other medications.", "In addition, HHS has data that could be useful for tracking progress in these areas (see table 1).", "However, HHS has not adopted specific performance measures with targets specifying the magnitude of the increases HHS hopes to achieve through its efforts to expand access to MAT, and by when. For example, HHS has not established a long-term target specifying the percentage increase in the number of prescriptions for buprenorphine HHS would like to achieve, which would help to show whether efforts by HHS and others are resulting in sufficient progress in increasing prescriptions for this MAT medication. HHS has also not chosen a specific method of measuring treatment capacity or established targets associated with it, which would help to show whether a sufficient number of providers are becoming available to evaluate and treat patients who may benefit from MAT.", "Without specifying these performance measures and associated targets, HHS will not have an effective means to determine whether its efforts are helping to expand access to MAT. The lack of such performance measures with associated targets is inconsistent with federal internal control standards that specify that management should define objectives and evaluate results. According to these standards, using performance information such as performance measures can help agencies monitor results and determine progress in meeting program goals. In the context of HHS\u2019s efforts to expand access to MAT, establishing appropriate performance measures with associated targets would allow HHS to determine whether its efforts are making sufficient progress or whether they need to be improved. Gauging this progress is particularly important, given the large nationwide MAT treatment gap identified in 2015 between the total number of individuals who could benefit from MAT and the limited number who can access it based on provider availability. This gap was estimated at nearly 1 million people as of 2012, and according to HHS officials and other stakeholders, lack of providers continues to be a challenge. Until HHS establishes performance measures with associated targets for the factors related to access to MAT, the department will be unable to evaluate its progress expanding access to MAT for opioid use disorders.", "In addition, as of August 2017, HHS has not finalized its approach for the planned evaluation activities, including timeframes. ASPE officials said that timeframes for a finalized evaluation approach had not been established because they were still working with RTI to finalize the evaluation approach given the new leadership priorities. When we spoke with the officials, they provided us with a draft evaluation schedule that covered the contract period ending September 2018. As of October 2017, HHS had not provided a finalized evaluation approach or schedule. Federal internal controls call for management to establish and operate monitoring activities and evaluate results. Without an implementation timeframe for the evaluation\u2019s activities, HHS increases the risk that its evaluation of its agencies\u2019 efforts will not be completed as expeditiously as possible, including an evaluation of HHS\u2019s efforts to expand access to MAT."], "subsections": []}, {"section_title": "Selected Stakeholders Reported Using Outreach, Training, and Other Efforts to Help Expand Access to Medication- Assisted Treatment for Opioid Use Disorders", "paragraphs": ["Officials from selected state health departments and behavioral health agencies, private health insurers, and national associations reported using several different efforts to help expand patients\u2019 access to MAT for opioid use disorders. All of the stakeholders we interviewed reported conducting outreach efforts to communicate information about the importance of MAT and how to access it, or providing training to educate providers on prescribing MAT medications.", "Efforts by states. State health officials we spoke to described several planned or ongoing efforts to expand access to MAT, some of which are supported by federal funding, including federal grant programs. Officials from all five selected states told us that they are offering outreach to and training for providers to help expand access to MAT. For example, several state officials told us that they are promoting training to (1) encourage physicians to obtain authorization (DATA 2000 waivers) to prescribe buprenorphine and (2) encourage physicians with waivers to treat patients up to their patient limit or to request a higher patient limit.", "According to the stakeholders, all five selected states have implemented or are planning to implement a health care delivery model or approach that will expand access to MAT. Specifically, these models or approaches focus on integrating the use of MAT into primary care settings. For example, health officials from three states described use of a hub-and-spoke model. This model generally involves centralized intake and initial management of patients at a \u201chub\u201d (e.g., an OTP) and then connecting these patients to community providers at \u201cspokes\u201d (e.g., primary care clinics) for ongoing care, with ongoing support provided by the hub as needed. Additionally, officials from two states described offering remote MAT-related consultations through telehealth that connects patients in rural areas with addiction specialists. According to a 2017 Healthcare Fraud Prevention and Partnership whitepaper, telehealth expands the reach of the addiction professional workforce and the existing pool of MAT providers, and it supports remote forms of behavioral therapy to make trained professionals more accessible to those in underserved or isolated communities.", "Officials from three states described focusing their MAT expansion efforts in various settings, such as in the criminal justice setting and emergency room departments. State health officials from four of the five states told us that programs in their states are using peer specialists (individuals who have successfully recovered from substance abuse disorders) in emergency rooms and other settings to engage with addicted patients and refer them to addiction specialists or behavioral health counselors. Officials from the selected states said that some of these and other efforts are funded through federal sources, such as MAT expansion grants awarded by SAMHSA, or with state funds to the extent they are available.", "Efforts by private health insurers. Officials from private health insurers reported that they are expanding access to MAT through outreach or training for providers and through the following three efforts:", "Eliminating the need for prior authorization to prescribe MAT medications. Officials from three insurers reported removing prior authorization requirements for MAT medications, thereby making it easier for patients to access needed MAT medications more readily, rather than undergoing a waiting period for approval to receive the medications. Other private health insurers told us that they continue to require prior authorization, intended for safety reasons and to reduce drug misuse, and officials from one insurer told us that they will allow a patient to access a limited amount of MAT medications for a period of 24 to 72 hours while making a determination about the appropriate treatment services for the patient.", "Modifying health benefit coverage. Officials from one private health insurance plan told us that the company is redesigning the benefit coverage for methadone and has removed member copays. This effort is intended to make MAT medications more affordable and allow members who are not able to use buprenorphine to have an alternative, such as methadone, that is not cost-prohibitive.", "Incentivizing providers and health insurance plan members to use MAT. Officials from four private health insurance plans described plans to offer incentives to providers or patients to use MAT. For example, officials from three health plans stated that they are offering alternative payment models or paying higher rates to providers that offer MAT, and another private health insurer is offering incentives to its members who are enrolled in behavioral health programs that provide access to MAT.", "Efforts by national associations. Officials we interviewed from the national associations\u2014including the American Society of Addiction Medicine, the National Governors Association, and the Association of State and Territorial Health Officials\u2014told us that they are helping to expand access to MAT through outreach and training for their members and by developing tools and resource guides for their members. An official from one association told us that it shares federal grant announcements, including those that are focused on expanding access to MAT, with its members. Officials from another association said it provides training to providers on how to appropriately prescribe MAT medications. In addition, officials from one association told us that they developed an opioid-related road map that identifies examples of strategies\u2014including MAT\u2014that state policymakers can use in their ongoing efforts to address the opioid epidemic. Examples of strategies include reducing the stigma associated with MAT through educating the public and potential providers. Another strategy in the road map is changing payment policies to expand access to MAT services, such as ensuring that Medicaid and other state health programs adequately cover all MAT medications and behavioral interventions and encouraging or requiring commercial health plans to adopt similar policies."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["HHS funds grant programs and has taken other steps to expand access to MAT, which has been shown to be effective in reducing the prevalence of opioid use disorders and with them, the likelihood of drug overdoses. HHS\u2019s Opioid Initiative began in 2015, and the grants that support it are ongoing, so it is likely too early to determine how effective HHS\u2019s efforts have been in expanding access to MAT and in meeting HHS\u2019s other priorities related to addressing the opioid epidemic. According to HHS, access to MAT can be measured in terms of the number of prescriptions for MAT and by the treatment capacities of OTPs and practitioners who are authorized to prescribe buprenorphine.", "Our review suggests, however, that HHS may not be ready to perform this evaluation. While HHS told us that it may evaluate the effectiveness of its efforts in the future, the department has not established performance measures with targets that would specify the results that HHS hopes to achieve through its efforts, and by when. Furthermore, HHS has not established timeframes for the activities that will make up its planned evaluation of whether HHS\u2019s efforts have been implemented as intended. Without performance measures with targets and evaluation timeframes, HHS increases the risk that the evaluation will not be completed in a timely manner or that HHS will not know whether its MAT- related efforts are successful or whether new approaches are needed. The evaluation is particularly important, given the hundreds of millions of dollars HHS has invested in its MAT-related grant programs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to HHS.", "The Assistant Secretary for Planning and Evaluation should establish performance measures with targets related to expanding access to MAT for opioid use disorders. (Recommendation 1)", "The Assistant Secretary for Planning and Evaluation should establish timeframes in its evaluation approach that specify when its evaluation of efforts to expand access to MAT will be implemented and completed. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review, and HHS provided written comments, which are reprinted in appendix II. HHS also provided technical comments, which we incorporated as appropriate. In its written comments, HHS concurred with both of our recommendations. Specifically, for our first recommendation to establish performance measures with targets related to expanding access to MAT for opioid use disorders, HHS stated that developing such measures is appropriate and that the department will continue to work to develop robust performance measures, including measures related to MAT, as part of its overall Opioid Strategy, which includes the department\u2019s most recent efforts to address the opioid epidemic. For our second recommendation to establish timeframes in its evaluation approach that specify when its evaluation of efforts to expand access to MAT will be implemented and completed, HHS agreed that timeframes are important to any evaluation. HHS noted that its evaluation is being conducted under a 2-year contract that is scheduled to end in September 2018. HHS has also provided us with a draft evaluation schedule. We clarified in our report, however, that HHS has not yet provided a finalized approach for the planned evaluation or a finalized schedule establishing timeframes for the activities that will make up the evaluation. Until it finalizes its evaluation approach and establishes related timeframes, HHS increases the risk that it will not complete its planned evaluation by September 2018.", "We are sending copies of this report to the HHS, and appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-7114 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Diversion Plan Requirements for Opioid Treatment Programs and Practitioners Who Prescribe Buprenorphine", "paragraphs": ["According to the Department of Health and Human Services, a diversion control plan is a set of documented procedures intended to reduce the possibility that controlled substances will be transferred or used illicitly. Opioid treatment programs (OTPs) and practitioners who prescribe buprenorphine at the highest patient level through a Drug Addiction Treatment Act of 2000 (DATA 2000) waiver are required to have these plans. OTPs are programs that may administer or dispense medication- assisted treatment (MAT) for people diagnosed with an opioid use disorder, including the use of methadone and buprenorphine. In addition, under a DATA 2000 waiver, practitioners may prescribe buprenorphine for patients, up to a 30-, 100-, or 275 patient limit."], "subsections": [{"section_title": "Diversion Control Plan Requirement for OTPs", "paragraphs": ["An OTP must maintain a current diversion control plan that contains specific measures to reduce the possibility of diversion of controlled substances from legitimate treatment use. Per federal guidelines, the goal of the diversion control plan is to reduce the scope and significance of diversion and its impact on communities. The guidelines state that each OTP\u2019s diversion control plan should make every effort to balance diversion control against the therapeutic needs of the individual patient. They also state that diversion control plans should address at least four general areas of concern: program environment, dosing and take-home medication, prevention of multiple program enrollment, and prescription medication misuse. The guidelines include details about each of these areas:", "Program environment: Diversion in the program environment can be deterred and detected by regular surveillance and the monitoring of areas in and around the program, where opportunities for diversion may exist. A visible human presence at a program\u2019s location gives community members the opportunity to approach staff with concerns and communicates the program\u2019s commitment to assuring a safe environment and a positive impact on the surrounding community.", "Dosing and take-home medication: In the area of dosing and take- home medication, diversion control encompasses careful control of inventory, attentive patient dosing, and close supervision of take- home medication. Observing a patient take his or her dose and having each of them drink and speak after dosing are fundamental components of diversion control. Take-home dosing should be provided with careful attention to regulatory compliance and the therapeutic benefit and safety these regulations are meant to promote.", "Prevention of multiple program enrollment: Reasonable measures should be taken to prevent patients from enrolling in treatment provided by more than one clinic or individual practitioner. An OTP, after obtaining patient consent, may contact other OTPs within a reasonable geographic distance (100 miles) to verify that a patient is not enrolled in another OTP.", "Misuse of prescription medication: The misuse of prescription medication has become an area of great concern nationally and impacts diversion control planning at OTPs. All OTP physicians and other healthcare providers, as permitted, should register to use their respective state\u2019s prescription drug monitoring program (PDMP) and query it for each newly admitted patient prior to initiating dosing. The PDMP should be checked periodically (for example, quarterly) through the course of each individual\u2019s treatment and, in particular, before ordering take-home doses as well as at other important clinical decision points."], "subsections": []}, {"section_title": "Diversion Control and Plans for Practitioners Prescribing Buprenorphine Outside of an OTP", "paragraphs": ["SAMHSA\u2019s best-practice guidelines for using buprenorphine for treating opioid use disorders include multiple references to diversion, including monitoring for diversion, storage of this medication to minimize diversion, and use of formulations that may be less likely to be diverted. Specifically, the best practices state that, when possible, practitioners should use the combination buprenorphine/naloxone product, which increases safety and decreases the likelihood of diversion and misuse. Further, physicians who request and receive a waiver to prescribe buprenorphine to treat up to 275 patients outside of an OTP are required to have a diversion control plan. According to an HHS official, as of July 13, 2017, roughly 3,330 of the over 39,000 practitioners with a waiver had a 275-patient limit waiver.", "The majority of these practitioners, just over 27,000, have a 30-patient limit.", "According to SAMHSA guidance, the diversion plan should contain specific measures to reduce the possibility of diversion of buprenorphine from legitimate treatment use and should assign specific responsibilities of the medical and administrative staff of the practice setting for carrying out these measures. Further, the guidance states that the plan should address how: the environment at the practice setting can prevent onsite diversion; to prevent diversion with regard to dosing and take-home medication; and to prevent patients from receiving a prescription from more than one practitioner and later diverting some of the prescribed medication."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth H. Curda, Director, (202) 512-7114 or curdae@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Will Simerl, Assistant Director; Natalie Herzog, Analyst-in-Charge; La Sherri Bush; and Emily Wilson made key contributions to this report. Also contributing were Muriel Brown, Krister Friday, Sandra George, and Christina Ritchie."], "subsections": []}]}], "fastfact": ["Over 52,000 people died of drug overdoses in 2015\u2014and 63% of these involved opioids. For those who are addicted to or misuse opioids, medication-assisted treatment (MAT)\u2014behavioral therapy combined with medication (such as buprenorphine)\u2014can help. However, many people who need it don't have access to it.", "The Department of Health and Human Services implemented a number of efforts to improve access to MAT for opioids, such as grant programs for rural primary care settings and allowing additional providers to prescribe buprenorphine. We recommended that HHS 1) set targets to measure improvements in access and 2) establish evaluation timeframes."]} {"id": "GAO-18-40", "url": "https://www.gao.gov/products/GAO-18-40", "title": "Drug Industry: Profits, Research and Development Spending, and Merger and Acquisition Deals", "published_date": "2017-11-17T00:00:00", "released_date": "2017-12-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Retail prescription drug expenditures were estimated to account for about 12 percent of total personal health care service spending in the United States in 2015, up from about 7 percent through the 1990s. Much of this growth was driven by use of expensive brand-name drugs, but price increases have been reported for some generic drugs as well. Prior GAO reports have identified multiple reasons for drug price increases, including limited competition. Experts have questioned whether consolidation among drug companies could reduce competition and R&D investment in new drugs.", "GAO was asked to examine changes in the drug industry. This report describes: (1) how the financial performance and structure of the industry have changed over time, (2) how reported R&D spending and new drug approvals have changed, and (3) what is known about the potential effects of consolidation on drug prices and new drug development. GAO analyzed Bloomberg drug industry financial data for 2006 through 2015, and examined select publicly available estimates of company market shares for 2014 and market shares for certain therapeutic classes for 2016. GAO also analyzed estimates of company self-reported R&D spending and federal funding for biomedical R&D data, aggregate tax credit claims data, and drug approval data for the same approximate time period. All data were the most current available. In addition, GAO also reviewed published research and interviewed federal agency officials, economists, and representatives from industry and advocacy groups."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis of revenue, profit margin, and merger and acquisition deals within the worldwide drug industry from 2006 through 2015 identified key trends:", "Estimated pharmaceutical and biotechnology sales revenue increased from $534 billion to $775 billion in 2015 dollars.", "About 67 percent of all drug companies saw an increase in their annual average profit margins from 2006 to 2015. Among the largest 25 companies, annual average profit margin fluctuated between 15 and 20 percent. For comparison, the annual average profit margin across non-drug companies among the largest 500 globally fluctuated between 4 and 9 percent.", "The number of reported mergers and acquisitions generally held steady during this period, but the median disclosed deal value increased.", "The largest 10 companies had about 38 percent of the drug industry's sales revenue in 2014. However, concentration was higher for narrower markets, such as for certain drugs in the same therapeutic class. In addition, experts noted that market pressures such as rising research and development (R&D) costs, fewer drugs in development, and competition from generic drugs, have driven structural changes in the industry such as increased use of acquisition by large drug companies to obtain access to new research.", "From 2008 through 2014, worldwide company-reported R&D spending, most of which went to drug development (rather than research), increased slightly from $82 billion to $89 billion in 2015 dollars. During the same period, federal spending, which funded a greater amount of basic research relative to industry, remained stable at around $28 billion. In addition to grants, several federal tax provisions provided incentives for industry R&D spending, including the orphan drug credit, available for companies developing drugs intended to treat rare diseases, which increased more than five-fold from 2005 through 2014. Pertaining to drug approvals, the total number of new drugs approved for marketing in the United States fluctuated between 2005 and 2016, ranging from 179 to 263 drug approvals annually. Novel drugs\u2014innovative products that serve previously unmet medical need or help advance patient care\u2014accounted for about 13 percent of all approvals each year. Biologics\u2014drugs derived from living rather than chemical sources\u2014and orphan drugs accounted for growing shares of drug approvals, reflecting market and policy incentives to invest in these areas, according to experts GAO interviewed.", "Research GAO reviewed indicates that fewer competitors in the drug industry are associated with higher prices, particularly for generic drugs. Research also suggests that drug company mergers can have varied impacts on innovation as measured by R&D spending, patent approvals, and drug approvals. Certain merger retrospective studies have found a negative impact on innovation.", "The Department of Health and Human Services, Federal Trade Commission, Internal Revenue Service, and National Science Foundation provided technical comments on a draft of this report, which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2015, expenditures for prescription drugs sold through retail pharmacies were estimated to account for nearly 12 percent of total personal health care services spending in the United States, up from approximately 7 percent of such spending through the 1990s. Use of expensive brand-name drugs accounted for much of the growth in recent years, but price increases have been reported for some generic drugs as well. Recent concerns about drug prices have sparked interest in drug company profitability and competition in the industry. Limited competition for particular drugs due to market exclusivity\u2014granted by law after the Food and Drug Administration (FDA) approves certain drugs\u2014is one factor that often has been noted as influencing drug prices. Prior GAO reports have identified multiple reasons for drug price increases, including limited competition. Further, some drug companies have undergone mergers and acquisitions, leading to concerns about reduced competition and higher drug prices. Economists have expressed apprehension that reduced competition may also decrease the amount of industry research and development (R&D) invested into new drugs, which could result in fewer drug choices for consumers and fewer treatment options for providers.", "Amid these questions, you asked us to provide an overview of the drug industry and the potential effects of consolidation on drug prices and new drug development. This report describes: 1. how the financial performance and structure of the drug industry have 2. how reported research and development spending and new drug approvals have changed over time; and 3. what is known about the potential effects of consolidation on drug prices and new drug development.", "To describe how the financial performance and structure of the drug industry have changed over time, we: analyzed Bloomberg data on revenues, profit margins, and mergers and acquisitions for drug companies and, for comparison, software companies and the largest 500 companies by worldwide revenue from 2006 through 2015; and examined overall industry concentration using data from QuintilesIMS from 2007 through 2014, and reports from EvaluatePharma to discuss concentration across smaller markets. All data were the most current available.", "To describe how reported research and development spending and new drug approvals have changed, we: analyzed data from the National Science Foundation\u2019s (NSF) National Center for Science and Engineering Statistics\u2019 Business Research, Development, and Innovation Survey on company-reported R&D expenditures and sales data for drug companies for years 2008 through 2014 and, for comparison, select other industries for 2013 and 2014; analyzed data from NSF\u2019s National Center for Science and Engineering Statistics\u2019 Federal Funds for Research Survey on federal obligations for research in biomedical related fields made by agencies identified as funding drug-related research from fiscal year 2008 through 2014; analyzed aggregate tax return data from the Internal Revenue Service (IRS) for income tax credits and deductions for research investment for relevant industries for years 2005 through 2014; and analyzed data from FDA on drugs approved by its Center for Drug Evaluation and Research between 2005 and 2016. All data were the most current available.", "To describe what is known about the potential effects of consolidation on drug prices and new drug development, we reviewed studies obtained from a literature search of scholarly peer reviewed studies, government reports, select working papers, and policy research organization publications published from 2005 through August 2017 that examined the impact of consolidation or competition on drug price and drug development.", "In addition, for all objectives, we interviewed industry experts, including representatives from industry groups, advocacy organization, economists, and federal agencies. For all of the data analyzed, we took steps to assure their reliability, including interviewing knowledgeable officials, conducting data checks, and comparing to published information when available. After taking these steps, we determined that the data were sufficiently reliable for the purposes of our reporting objectives. Appendix I provides additional details on our scope and methodology, including limitations of our analyses and steps we took to assure the reliability of the data we analyzed.", "We conducted this performance audit from April 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The drug industry encompasses a variety of companies involved in the research, development, distribution, and payment for chemically synthesized and biologic drugs. For the purpose of our review, the drug industry includes pharmaceutical companies that traditionally concentrate on developing or manufacturing drugs derived from chemicals and biotechnology companies that develop or manufacture biologics\u2014more complex drugs derived from living cells.", "The federal government plays a role in various aspects of the drug supply chain as well. To market drugs in the United States, drug companies must apply and receive approval from the FDA that their drugs are safe and effective. The federal government also supports R&D for new drugs, such as through grants by the National Institutes of Health (NIH), NSF, and other agencies, and through tax incentives administered by the IRS. In addition, mergers and acquisitions affecting the drug industry are subject to review by the federal government to ensure compliance with applicable antitrust laws."], "subsections": [{"section_title": "Drug Research, Discovery, Development, and Approval Process", "paragraphs": ["The process of bringing a new drug to the market is long and costly and involves multiple public and private entities that fund and perform R&D. (See fig. 1.) For a new drug, the entire drug discovery, development, and review process can take up to 15 years, often accompanied by high costs. The process consists of several main stages:", "Basic research: This is research aimed at acquiring new knowledge or understanding without immediate commercial application or use. Basic research is often federally funded and conducted to better understand the workings of disease, which increases the potential of discovering and developing innovative drugs.", "Drug discovery: This is undertaken by numerous researchers from drug companies, academia, and government searching for and identifying promising chemical entities, or chemical and biological compounds, capable of curing or treating diseases.", "Preclinical testing: During preclinical testing, compounds are tested in laboratories and in animals to predict whether a drug is likely to be safe and effective in humans. If the compound is found to be promising, a drug company may decide to test it as a new drug on humans and it proceeds to the clinical trials stage. Before doing so, the company must submit to FDA and have in effect an investigational new drug application that summarizes the data that have been collected on the compound and outlines plans for the clinical trials.", "Clinical trials: Clinical trials test potential drugs in human volunteers to determine if they should be approved for wider use in the general population. An investigational new drug typically goes through three phases of clinical trials before it is submitted to FDA for marketing approval. Clinical trials proceed through Phases I, II, and III, beginning with testing in a small group of healthy volunteers and then moving on to testing in larger groups of patients whom the drug is intended to treat to assess the compound\u2019s effectiveness, rate of adverse events, and uses in combination with other drugs.", "FDA Review and Approval: To market a drug in the United States, drug companies submit their research in a new drug application (NDA) or biologic license application (BLA) to FDA, which then reviews and approves the drug for marketing if it is shown to be safe and effective for its intended use. An NDA is an application to market a new chemically synthesized drug\u2014either an innovative drug or a variation of a previously marketed drug. A BLA is an application for a license to market a new biological product (complex drugs derived from living organisms). Companies may also submit a supplement to an already approved NDA or BLA\u2014known as an efficacy supplement\u2014to propose changes to the way an approved drug is marketed or used, such as adding or modifying an indication or claim, revising the dose or dose regimen, providing a new route of administration, or changing the marketing status from prescription to over-the-counter use.", "For the purposes of its review, FDA classifies certain NDAs as new molecular entities\u2014products that contain active chemical substances that have not been approved by FDA previously\u2014and certain BLAs as new therapeutic biologics. FDA generally considers drugs approved either as new molecular entities or new therapeutic biologics to be \u201cnovel\u201d drugs\u2014products that are often innovative and serve previously unmet medical needs or otherwise significantly help to advance patient care and public health.", "Post-approval: After FDA has approved a drug for marketing, the drug company may begin marketing and large-scale manufacturing of the drug. FDA also continuously monitors the safety of the drug which includes, amongst other activities, oversight of postmarket clinical studies that it can require or request companies to complete (known as phase IV clinical trials). Drug companies may also undertake these studies independently to identify modifications to the drug such as new delivery mechanisms or additional indications for use. The company may then submit a new application or supplement application with new clinical data to FDA to market the modification as a new drug, or market it for the new use."], "subsections": []}, {"section_title": "Patent and Market Exclusivity and Other Incentives for Drug Development", "paragraphs": ["Patents and market exclusivity periods are two ways brand-name drug companies may recoup their R&D investments by limiting competition for specified periods of time. Typically, early in the R&D process, companies developing a new brand-name drug apply for a patent on the active ingredient and may additionally apply for patents on other aspects of the drug, such as the method of use, from the U.S. Patent and Trademark Office. Once a patent is granted, other drug companies are excluded from making, using, or selling the patented aspect of the drug during the term of the patent, which generally expires after 20 years from filing. In addition, federal law authorizes certain periods of exclusive marketing rights, or market exclusivity, for new FDA-approved drugs, during which time FDA generally cannot approve a similar competing version of the drug for marketing. These exclusivities are independent of the rights granted under patent and can relate to chemical entities never approved before by FDA (5 years of exclusivity); new biologics (12 years); approval of a supplement for a new condition or use or other change to a previously approved chemically synthesized drug based on new clinical studies (3 years); and orphan drugs\u2014drugs designated to treat rare diseases or conditions (7 years); among others. Patent protection and market exclusivity are independent of one another and can run concurrently or not.", "When brand-name drug products\u2019 patents expire and exclusivity periods end, similar versions of the drug product that have been approved by FDA may enter the market. These are referred to as generics for chemically synthesized drugs and biosimilars for biologics. The Drug Price Competition and Patent Term Restoration Act of 1984\u2014commonly known as the Hatch-Waxman Amendments\u2014facilitated earlier, and less costly, market entry of generic drugs. A generic drug must generally be demonstrated to be equivalent to the brand-name drug product in active ingredient, dosage form, safety, strength, route of administration, quality, performance characteristics, and intended use. For biologics, the Biologics Price Competition and Innovation Act of 2009 provided an abbreviated pathway for companies to obtain approval of \u201cbiosimilar\u201d and \u201cinterchangeable\u201d biological products. A biosimilar must be demonstrated to be highly similar to an already approved biological product and to have no clinically meaningful differences in terms of safety and effectiveness from the reference product. See table 1 for a description of drug application types.", "In addition to incentivizing drug development through patent and market exclusivity, the federal government supports new drug research both directly, through grants from\u2014and intramural research by\u2014agencies such as NIH and indirectly through tax incentives for companies that develop new drugs. Specifically, the Internal Revenue Code includes incentives for research-related spending in three ways: through two income tax credits\u2014the credit for clinical testing expenses for certain drugs for rare diseases (known as the orphan drug credit) and the credit for increasing research activities (known as the research credit)\u2014and through special methods for treatment and reporting of research and experimental expenditures, including current-year deduction to arrive at net income. In general, the credit incentives are available to companies with qualified research spending in the United States. Companies include businesses organized as corporations or non-corporate businesses such as partnerships. These provisions are described below:", "Orphan drug credit: Companies may claim the orphan drug credit for half the \u201cqualified clinical testing expenses\u201d for drugs intended to treat rare diseases. Expenditures that give rise to the orphan drug credit may include expenses related to testing outside the United States. A company may claim foreign clinical testing expenses if there is an insufficient testing population in the United States to test the safety and efficacy of the drug. The orphan drug credit is nonrefundable; that is, while the credit can be used to reduce a company\u2019s income tax liability generally, the credit cannot be used to generate a refund if the business has no tax liability or fully used if the credit would reduce tax liability below zero. The credit is also a component of and subject to the limitations of the general business credit.", "Research credit: Companies may claim a research credit for qualified research expenditures they undertake in a given year that exceed a threshold or base amount. This incremental design of the credit is intended to create an incentive for companies to do more research than they otherwise would. Qualified research expenses are certain expenses for qualified research incurred by the taxpayer during the taxable year in carrying on a trade or business. Qualified research is research that is undertaken for the purpose of discovering information that is technological in nature and the application of which is intended to be useful in the development of a new or improved business component of the taxpayer. In general, substantially all the activities that constitute a process of experimentation relating to new or improved functions, performance, or reliability or quality are qualified research. The rate of credit can be 14 or 20 percent. Like the orphan drug credit, the research credit is nonrefundable and is a component of, and subject to, the limitations of the general business credit.", "Deductions of qualified research expenses: If elected, the tax code allows businesses to currently deduct \u201cresearch or experimental expenditures\u201d from gross income in the tax year they are incurred rather than depreciate (or amortize) the assets the R&D created over time. Research and experimental expenditures include all costs incident to research, including research conducted outside the United States. Since \u201cqualified research expenses\u201d and \u201cqualified clinical testing expenses\u201d are a particular subset of research and experimental expenditures, expenditures that can give rise to either the research or orphan drug tax credits can be deducted in the year that they occur. However, these deductions must be reduced by the amount of tax credits claimed in order to prevent expenses from both generating a tax credit and being deducted from income."], "subsections": []}, {"section_title": "Drug Distribution, Payment, and Pricing", "paragraphs": ["The distribution of, and payment for, prescription drugs involve interactions and negotiated transactions among multiple commercial entities along the supply chain from the drug manufacturer to the consumer (see fig. 2). Brand-name and generic drug manufacturers typically sell their drugs to drug wholesalers, who in turn sell the drugs to retail pharmacies or to health care providers (such as hospitals, clinics, and physicians). Pharmacies or providers dispense or administer prescription drugs to consumers. Most consumers purchasing drugs pay a portion of the drug\u2019s price in the form of a copayment or coinsurance, with the specifics of this cost sharing dictated by the consumers\u2019 insurance plan. Insurance plans often use pharmacy benefit managers (PBMs) to help them manage their prescription drug benefits, including negotiating prices with manufacturers, processing claims, and negotiating with retail pharmacies to assemble networks where the beneficiaries can fill prescriptions. PBMs negotiate with manufacturers for rebates on behalf of the insurance plan based on market share, volume, and formulary placement. PBMs also contract with pharmacies; contract terms and conditions may include specifics about negotiated reimbursement rates (how much the pharmacy will be paid for dispensed drugs) and payment terms. Health care providers may also negotiate with insurers for the drugs they administer. The price that payers, PBMs, and ultimately consumers pay for prescription drugs depends in part on the amount of competition and the purchasers\u2019 negotiating power. The negotiating power is influenced by the ability to choose from competing drugs and the volume of drug purchased.", "According to economic experts, the usual mechanisms that enforce market discipline may not work in the same way in the health care market as they do in other markets. In most markets\u2014automobiles, for example\u2014consumers are expected to be conscious of the price of goods. If a company raises the price of its goods, consumers would likely purchase fewer goods, causing the company\u2019s revenues to decline. However, in the health care market, the purchase of goods and services is largely influenced by health care providers, who may not be well- informed about, or incentivized to consider, the prices involved. In the case of drugs, some experts argue that marketing and advertising may further distort provider decision making. In addition, if the patients\u2019 medical bills are largely paid by insurance plans (other than copayment or coinsurance costs), then patients\u2019 demand may not be significantly influenced by changes in price to the extent that it might be in other markets where the consumers see and pay the bill themselves.", "Certain payment policies may also limit the negotiating power of insurers. For example, Medicare Part D is required to cover all drugs in six protected classes, which some experts argue reduces the negotiating power of its contractors (known as plan sponsors). In addition, some brand-name drug companies are providing coupons to consumers to mitigate patient drug costs when a company\u2019s drugs are not covered by payer formularies or require higher patient costs than preferred drugs. Some research and experts we interviewed have noted that this practice erodes the negotiating power of insurers and the cost management utility of formularies, which may result in lower prices for the patient using the coupon but higher prices overall. In addition, patients and providers in many cases may not have clear information about the benefit relative to cost of one drug over another drug or treatment."], "subsections": []}, {"section_title": "Consolidation and the Antitrust Review Process", "paragraphs": ["Experts have said that consolidation as a result of mergers and acquisitions is one of multiple factors that could influence competition. Fewer companies producing and marketing drugs can lead to greater market dominance by certain companies and less competition.", "The Federal Trade Commission (FTC) and the U.S. Department of Justice (DOJ) enforce federal antitrust laws that prohibit activities, such as price fixing and mergers and acquisitions where the effect may be substantially to lessen competition or tend to create a monopoly. Drug companies are subject to these antitrust laws. Companies are required to notify FTC and DOJ of certain pending mergers, also known as the premerger notification program. As part of its premerger review process, these agencies can approve mergers contingent on company divestiture of assets, including those related to products in development\u2014a process known as a negotiated merger remedy. These agreements are subject to public notice and comment and result in an enforceable order. The goal of a merger remedy is to preserve or restore competition in the relevant markets. Although FTC and DOJ each have authority and responsibilities under the antitrust laws, FTC typically examines proposed drug industry mergers. In addition, FTC has authority to investigate and take action against unfair methods of competition in or affecting commerce, as well as mergers and acquisitions that may substantially lessen competition or tend to create a monopoly, including in the drug industry."], "subsections": []}]}, {"section_title": "Drug Industry Profit Margins and Merger and Acquisition Deal Values Increased, and the Industry Underwent Structural Changes", "paragraphs": ["Among the worldwide drug companies included in the data we reviewed, reported pharmaceutical and biotechnology revenues and profit margins for most companies grew from 2006 through 2015. The number of mergers and acquisitions among companies in the industry generally held steady from 2006 through 2015, but merger and acquisition deal values increased. Market concentration varied by the specific market level considered. Industry experts we interviewed noted that market pressures have driven structural changes in the industry."], "subsections": [{"section_title": "Company-Reported Revenues and Profit Margins Grew from 2006 through 2015", "paragraphs": ["According to the data we reviewed, between 2006 and 2015 estimated aggregate worldwide pharmaceutical and biotechnology sales revenue for drug companies grew from $534 billion to $775 billion in real 2015 dollars (about 45 percent), with most of the growth occurring between 2006 and 2011. The largest 25 of these companies (by 2015 pharmaceutical and biotechnology revenue) saw their aggregate sales revenue increase from $448 billion in 2006 to $569 billion in 2015, or about 27 percent. Aggregate sales revenue for all other drug companies in our data grew more sharply, from $86 billion in 2006 to $206 billion in 2015\u2014an increase of about 140 percent (see fig. 3).", "Drug companies\u2019 average profit margins also grew from 2006 to 2015, though the trends differed for the largest 25 companies compared to the remaining companies in our data. Overall, about 67 percent of companies saw their profit margins increase between 2006 and 2015. While there was some fluctuation over time, the average profit margin was 17.1 percent in 2015 for all drug companies; profit margins were higher for the largest 25 companies (20.1 percent in 2015) than for all others (8.6 percent in 2015; see fig. 4).", "To better place large drug companies\u2019 profit margins into context, we conducted a similar examination of profit margins for large companies in other industries, specifically software companies and the largest 500 companies (by 2015 total worldwide revenue as reported in Bloomberg) representing a wide range of industries. We included the software industry separately because, like the drug industry, it has been cited as having high R&D investment and low production and distribution costs, though caution should be taken in making this comparison. Among the largest 25 software companies (by 2015 software revenue), the average profit margin began at 21.7 percent in 2006 and remained relatively stable through 2014, before decreasing to 13.4 percent in 2015 (see fig. 5). As a broader comparison, the average profit margin among the largest 500 companies was consistently lower than the average among the largest 25 drug companies and software companies. Among the largest 500 companies, the average profit margin decreased from 8.9 percent in 2006 to 6.7 percent in 2015."], "subsections": []}, {"section_title": "The Number of Mergers and Acquisitions Generally Held Steady from 2006 through 2015, but the Values Fluctuated", "paragraphs": ["The annual number of mergers and acquisitions involving drug companies generally held steady between 2006 and 2015, with some fluctuations in intervening years, based on our review of Bloomberg data. Overall, the number of transactions generally held steady, with 312 in 2006 and 302 transactions in 2015 (see fig. 6). The number of mergers and acquisitions involving one of the largest 25 companies (by 2015 pharmaceutical and biotechnology revenue) increased from 29 transactions in 2006 to 61 transactions in 2015. In contrast, the number of transactions in our data for the smaller drug companies decreased from 283 transactions in 2006 to 241 transactions in 2015. See appendix II for additional information on merger and acquisition activity of 10 large companies in the drug industry as of 2014.", "While the number of transactions generally held steady between 2006 and 2015, the total value of transactions completed over this period fluctuated considerably. These fluctuations were driven by a small number of high value transactions, which tended to occur among the largest 25 companies (see fig. 7). For example, in 2009, there were three transactions each valued above $20 billion in real dollars, all of which were conducted by companies in the largest 25:", "Pfizer Inc. acquired Wyeth LLC for about $71 billion,", "Merck & Co Inc. acquired Schering-Plough Corp. for about $56 billion,", "Roche Holding AG acquired Genentech Inc. for about $48 billion.", "In 2015, about half of the total merger and acquisition transaction value came from five transactions each valued over $10 billion in real dollars, including one very large transaction by Allergan for about $72 billion. The other four transactions also involved companies among the largest 25. Much as the total value of mergers and acquisitions fluctuated considerably from year to year, median disclosed transaction values generally increased between 2006 and 2015, with considerable fluctuation among years."], "subsections": []}, {"section_title": "Concentration in the Drug Industry Varied by the Level of the Industry Considered", "paragraphs": ["For the overall drug industry, the share of total sales accounted for by the 10 largest companies\u2014a measure of concentration\u2014declined between 2007 and 2014, the years for which public data were available from QuintilesIMS. The largest 10 companies (by 2014 pharmaceutical revenue) had 48.9 percent of the drug industry\u2019s sales revenue in 2007; by 2014, their share of the industry sales revenue declined to 38.2 percent. Concentration, which can be measured by share of sales, provides a basic indication of the competitiveness of companies in an industry or specified market level within an industry. Competition in the drug industry generally is examined at the level where products are viewed as substitutes, according to FTC officials. Substitutes can be products that are the same molecular entity or, in some cases, different molecular entities that treat the same condition.", "At levels narrower than the entire industry, such as drugs within the same therapeutic class or of the same molecular entity (levels that are more relevant to competition), concentration in shares of sales can be higher than in the overall industry. For example, EvaluatePharma reported that the three largest companies in the anti-diabetics market accounted for 67.5 percent of the sales in that market in 2014. Similarly, the three largest companies in the anti-rheumatics market accounted for 56.8 percent of the sales in that market in 2014, and the three largest companies in the anti-virals market accounted for 72.4 percent of the sales in that market, with the leading anti-viral manufacturer accounting for over half (52.8 percent) of worldwide anti-viral sales.", "Concentration can also vary for drugs of the same molecular entity, as some generic drugs may have different numbers of manufacturers than others. For example, as of 2017, 14 companies have approved ANDAs for lisinopril, a drug for hypertension\u2014that is, 14 companies have generic versions of the drug approved for manufacture. By comparison, only one company has an approved ANDA for efavirenz, a drug used to treat HIV infection. Greater numbers of generic manufacturers generally reduce concentration, as generic manufacturers compete with one another in addition to brand-name manufacturers. More broadly, one recent study found that of the novel drugs approved in tablet or capsule formulation since the 1984 Hatch-Waxman Act and eligible for generic competition, more than one-third had three or fewer generic approvals."], "subsections": []}, {"section_title": "Industry Experts Noted Market Pressures Have Driven Structural Changes in the Industry, Such as in the Types of Acquisitions and Increased Specialization in Therapeutic Areas", "paragraphs": ["Experts we interviewed noted that market pressures such as rising R&D costs, fewer drugs in the R&D pipeline, and the growth in sales of generic drugs have driven various structural changes in the drug industry, such as in the types of acquisitions being sought. Not all companies respond to those pressures in identical ways. For example, some experts said that some companies that traditionally manufactured brand-name drugs are expanding into the manufacturing of generic drugs. These brand-name companies may acquire a generics manufacturer to adjust the portfolio of drugs they manufacture or gain access to a generics business. Similarly, some traditionally generic manufacturers are expanding into brand-name manufacturing to acquire product lines with more generous profit margins. For both brand-name and generic manufacturers, expanding the size of their drug portfolio may improve their bargaining position with PBMs, according to two economists we interviewed. Experts also said that traditionally large companies are increasingly relying on mergers and acquisitions to obtain access to new research and are conducting less of their own research in-house. In addition, experts told us that investment in the development of traditional chemically synthesized drugs has produced increasingly lower financial returns, resulting in some traditional pharmaceutical companies turning to invest more in the development of more complicated and costly biologics. Many experts highlighted the proliferation of biotechnology companies as large pharmaceutical companies seek to acquire promising new research developments.", "Many experts told us that market pressures have also driven some drug companies to move towards specialization in certain therapeutic areas, including through mergers and acquisitions. As one example, GlaxoSmithKline acquired most of Novartis\u2019s vaccine business in 2015, bolstering its own line of vaccines and helping to raise its share of sales of the worldwide vaccine market. Simultaneously, Novartis acquired GlaxoSmithKline\u2019s oncology business, enabling both companies to shed one line of business and focus on the newly acquired therapeutic areas.", "Experts again noted that one reason companies may be specializing through mergers and acquisitions is because of the increasing cost of R&D\u2014acquiring promising new or developed research or product lines helps companies mitigate R&D investment risk. Acquiring existing lines of business from competitors within a therapeutic area may also help a company increase its presence in a particular therapeutic area.", "Another widely cited factor influencing structural changes in U.S. industries\u2014including the drug industry\u2014involves tax-influenced mergers, called corporate inversions. An inversion is a type of merger where a U.S. corporation merges with or acquires a company located in a foreign jurisdiction\u2014often a lower-tax country\u2014and reorganizes so the resulting parent corporation is located in the foreign country. This can reduce a corporation\u2019s overall tax liability\u2014often by reducing its U.S. tax liability. While taxes are one of many factors that may influence trends in mergers and acquisitions as discussed above, the incentive for drug companies to reduce tax burdens through inversions can be significant. In 2016, the Treasury Department issued new regulations to curb inversions."], "subsections": []}]}, {"section_title": "Pharmaceutical Company-Reported Research and Development Spending Grew Slightly, while Biologics and Orphan Drugs Were a Greater Share of New Drug Approvals", "paragraphs": ["Pharmaceutical company-reported R&D spending grew slightly from 2008 through 2014, while federally funded spending decreased slightly over the period. Industry spending focused on drug development rather than earlier-stage research, whereas direct federal spending, such as through NIH grants, funded a greater amount of basic research. Claims for the orphan drug credit, one of several federal tax incentives encouraging drug development, increased sharply from 2005 through 2014. Biologics and orphan drugs accounted for an increasing share of new drug approvals from 2005 through 2016. Studies we reviewed and experts we interviewed suggested that potential revenues, costs, and policy incentives influenced brand-name drug company R&D investment decisions."], "subsections": [{"section_title": "Pharmaceutical Company- Reported Research and Development Spending Increased Slightly, While Federally Funded Spending Decreased Slightly, from 2008 through 2014", "paragraphs": ["Our analysis of industry survey data from NSF indicate that worldwide R&D spending by U.S.-owned pharmaceutical companies and U.S.-based R&D by foreign companies increased slightly (8 percent) in real dollars from $82 billion in 2008 to $89 billion in 2014, the years for which comparable data were available (see fig. 8). According to NSF survey data, the share of this spending that pharmaceutical companies paid others to perform also increased over the period. Estimates of worldwide R&D expenditures as a percentage share of total worldwide sales averaged 13 percent and ranged from 11.5 to 14.2 percent over the period 2008 to 2014. This amount, according to estimates from QuintilesIMS, is larger than the 7.6 percent of total pharmaceutical sales revenue that the industry spent on marketing and promotion in 2014; however, due to differences in the different sources\u2019 methodology and data, publicly reported figures are not necessarily comparable.", "The NSF Business Research, Development, and Innovation Survey data indicated worldwide R&D spending for respondent biotechnology companies was $9.2 billion in 2009, dropped to $2.7 billion in 2010, rose to $6.7 billion in 2011, then decreased to $1.7 billion in 2013, the years for which worldwide data were available. The percentage of biotechnology company-reported R&D to worldwide biotechnology sales ranged widely from 43 percent in 2011 to 7 percent in 2013.", "Pharmaceutical companies reported spending a greater share of sales on R&D than comparably large, R&D-intensive industries and all aggregated manufacturing and non-manufacturing industries, according to comparable Business Research, Development, and Innovation Survey data (see table 2). For example, in 2014, self-reported R&D expenditures as a percentage of total sales were higher for pharmaceutical companies than for other comparably large, R&D-intensive sectors such as semiconductor and other electronic components, software publishers, and computer system design services.", "Direct federal spending for biomedical research, primarily funded through NIH, decreased 3.8 percent in real dollars from $27 billion in fiscal year 2008 to $26 billion in fiscal year 2014, after a peak of $32 billion in 2010, according to our analysis of federal survey data from NSF. NIH was the primary federal source for biomedical research and accounted for $26 billion of spending in 2008 and $25 billion in 2014. According to federal officials we interviewed, other agencies that fund biomedical research that could be relevant to drug R&D were the Department of Defense and the NSF.", "In addition, state and local governments, foundations, charities, and venture capital also funded biomedical R&D, according to studies and experts we interviewed. Estimates of this spending are much smaller than those for industry and federal agencies. In 2015, National Health Expenditure estimates show that state and local governments spent $6.7 billion on research and non-industry private funders spent $5.3 billion."], "subsections": []}, {"section_title": "Pharmaceutical Company- Reported Spending Focused on Drug Development and Federal Spending Focused on Basic Research", "paragraphs": ["Pharmaceutical company spending from 2008 through 2014 focused on drug development, while federal spending focused on earlier-stage basic research. For example, in 2014 pharmaceutical companies reported allocating 13 percent of total reported domestic R&D spending on basic research, 21 percent on applied research, and 66 percent on development (see fig. 9).", "By comparison, federal spending consistently funded a greater amount of basic research, according to our analysis of data from NSF\u2019s Survey of Federal Funds for Research and Development. Studies show that basic research often supplies the innovation upon which the industry develops drugs. For example, as shown in figure 10 below, NIH obligated 54 percent, or $13.6 billion of its total $25 billion of drug related spending, for basic research in fiscal year 2014. This is more than twice as much as the $6.3 billion that NSF data show pharmaceutical companies reported spending domestically for basic research that year. NIH also funded applied research that includes more targeted research and activities aimed at translating basic research into new treatments for patients. For example, NIH supports clinical research through the National Center for Advancing Translational Sciences and several other NIH Institutes and Centers. This includes supporting pre-clinical and early-stage clinical trials; promoting and initiating collaborations and partnerships among industry, academia, and other stakeholder communities, such as patient advocacy groups, to address research barriers; and facilitating data sharing, according to agency officials. In accordance with the definition of \u201cdevelopment\u201d provided by NSF for the Survey of Federal Funds for Research and Development, NIH classifies R&D activities as \u201cresearch.\u201d Therefore, NIH does not report any of its activities as strictly drug development, according to agency officials.", "Studies and experts we interviewed suggested that the relative roles of R&D funders and performers are evolving. For example, some experts noted that there is less distinction between public and private investment in R&D than in the past because publicly funded research institutions, such as universities, are frequently involved in financial relationships with industry for commercial development. Some industry experts also noted NIH\u2019s role in fostering these collaborations. As previously noted, there has been a proliferation of smaller, biotechnology-focused companies and greater use of acquisition and licensing agreements by larger, traditional pharmaceutical and biotechnology companies to build their earlier-stage product pipelines rather than conducting early research in-house. Experts suggested that this trend is a response to the increasing complexity and cost of R&D concurrent with the advent of biotechnology and waves of patent and exclusivity expirations for large companies.", "In addition, traditional pharmaceutical companies also performed less R&D internally than in the past, according to NSF data. Worldwide R&D spending paid for and performed by pharmaceutical companies decreased in real dollars from $61.7 billion in 2008 to $58.2 billion in 2014 and as a share of total worldwide R&D spending. Conversely, the share of the worldwide pharmaceutical R&D spending that was paid for by the company and performed by others, such as through purchased R&D services, increased from 25 percent in 2008 to 35 percent in 2014."], "subsections": []}, {"section_title": "Federal Tax Provisions Encourage Drug R&D, with Claims for the Orphan Drug Credit Increasing Sharply", "paragraphs": ["Similar to the R&D spending trend identified above from the NSF data, various IRS tax data consistently indicate that drug R&D activities did not change significantly\u2014with the exception of the orphan drug credit, which over time increased sharply. Inflation-adjusted claims by all industries for the orphan drug credit increased five-fold between 2005 and 2014, from about $280 million to about $1.5 billion (see fig 11).", "Claims for the other tax credit that incentivizes drug development\u2014the research credit\u2014were more stable than the orphan drug credit between 2005 and 2014. As shown below in figure 12, IRS estimates of research credit claims for pharmaceutical-related corporations reached a high of $1.5 billion in 2007, but then fell to about $1.2 billion in 2014, a level close to the beginning of the period. This may be due in part to the fact that we were not able to obtain a specific estimate for the research credits claimed by biotechnology companies. By comparison, research credit claims grew for all industries over the period, particularly from 2012 to 2014.", "According to IRS data, between 2005 and 2014 the pharmaceutical manufacturing industry spent, on average, about $22.5 billion per year (in real dollars) in qualified research spending that factored into the calculation of the research credit (see fig. 13). Spending peaked in 2007 at $25.5 billion and then generally declined from 2007 to 2014. This amount of spending\u2014reported on tax returns as meeting the requirements of qualified research spending as noted above\u2014is less than half of the research spending reported by NSF\u2019s Business Research, Development, and Innovation Survey data. These research spending differences can reflect both differences in the definitions of research spending in each data source and in the specific industry definitions used in the different data sources.", "The ability of companies to deduct research expenditures in the year they are incurred simplifies tax accounting for research spending and reduces the after-tax cost of research investments. The amount of research spending deducted by large pharmaceutical corporations that submitted an IRS form M-3 has been largely consistent between 2010 and 2013, the years for which data were available (see table 3). Specifically, research expenditure deductions in real dollars increased to $30.7 billion in 2013 after a low over the period of $24.9 billion in 2012. The table also shows that the amounts shown as research expense on the financial statements of the same corporations were slightly higher than the amount deducted on tax returns in each year."], "subsections": []}, {"section_title": "Novel Drugs Consistently Accounted for About Thirteen Percent of New Drugs Approved in the United States from 2005 through 2016, and Biologics and Orphan Drugs Each Grew as a Share of Approvals", "paragraphs": ["The number of approvals for drugs FDA considered novel drugs increased from 20 in 2005 to 45 in 2015 but declined to 22 approvals in 2016, according to FDA data and reports (see fig. 14). Novel drugs accounted for between 8 and 18 percent of all drug approvals each year and averaged 13 percent over the period. The remaining majority of drug approvals each year included those not considered novel because they had chemical substances that were previously approved by FDA or were modifications to existing drugs.", "Biologics and orphan drugs each represented an increasing share of all drug approvals from 2005 through 2016. As shown in figure 15, biologics grew from 8 percent of all drug approvals in 2005 to 17 percent in 2016.", "Biologics also represented an increasing share of the subset of all approvals that were considered novel drugs\u2014from 10 percent of novel drugs approved in 2005 to 32 percent in 2016.", "Orphan-designated drugs as a share of all drug approvals grew even more dramatically from 5 percent of all drug approvals in 2005 to 21 percent in 2016 (see fig.15). Orphan drugs as a share of novel drug approvals ranged from 22 percent in 2007 to 42 percent in 2015.", "We also examined drug approval trends by product category. The product categories that led the largest number of drug approvals fluctuated over time, but oncology drugs were among the most frequently approved in all but 2 years from 2005 through 2016. Of the 263 drugs approved by FDA in 2016, the most common product categories were oncology (55 approvals) and metabolism and endocrinology (38 approvals). For the 22 novel drug approvals in 2016, the most common product categories were oncology (5 approvals) and neurology (4 approvals)."], "subsections": []}, {"section_title": "Studies and Experts Suggest Potential Revenues, Costs, and Policy Incentives Influenced Drug Industry Research and Development Investment Decisions", "paragraphs": ["Studies and industry experts we interviewed, including economists and industry association officials, suggested several drivers for drug company R&D investment decisions. These investment choices were influenced by revenue, cost, and regulatory and other policy incentives:", "Potential revenues: High revenue potential, typically associated with a large potential number of patients or the potential for high drug prices, is an important incentive for R&D investment, according to experts and some research. Studies show that potential market size, measured by revenue, is a determinant of R&D investment and market entry for both brand-name and generic drug companies. Companies also seek to maximize potential revenues by investing in the development of drugs that can command high prices, and drugs that address unmet medical needs or differentiate them from competitors. This includes investment in drugs for niche markets that may have limited competition, such as orphan drugs. Experts also noted that some companies invest to extend patent protection or exclusivity periods for existing drugs as a means to extend revenue generation by delaying or limiting the effect of generic competition\u2014 sometimes referred to as \u201cevergreening\u201d or \u201cpatent hopping.\u201d", "Cost reduction: Drug development costs, particularly for novel drugs, are increasing and companies have sought various ways to reduce their costs or limit risk. Experts we interviewed suggested that drug companies have attempted to reduce costs by focusing on drugs for which clinical trials are perceived to be less costly, drugs perceived as more likely to receive FDA approval, modifications to existing drugs rather than the development of novel drugs, outsourcing of clinical trials, and acquisition of R&D projects already underway.", "Policy incentives: Often regulatory and other policy incentives influence potential revenues and risks and, in turn, R&D investment, according to experts. For example, exclusivity periods and patent protection, expedited review programs, and tax incentives were cited as influencing R&D investment. The supply of new science from federally funded research may also influence company investment decisions. Expectations about payer reimbursement could also influence potential pricing and investment decisions, according to some experts. For example, one expert noted that payers typically do not resist high prices for oncology drugs.", "These drivers may also explain the observed brand-name drug approval trends for biologics, orphan drugs, and drugs for certain disease areas. For example:", "Biologics: Some experts noted that recent technological advances have spurred opportunity and investment in new biologics. The longer period of FDA market exclusivity for biologics relative to traditional chemically synthesized drugs may also be attractive to drug developers. In addition, there are currently few biosimilar drugs available to compete for market share once BLA exclusivity expires. Though FDA had approved seven biosimilars for marketing between 2010\u2014the year the approval pathway for biosimilar biological products was established\u2014and September 2017, and was reviewing additional applications, some experts suggest that the added cost and difficulty in developing biosimilars may hinder entry of biologics\u2019 competitors relative to the entry seen for traditional generics.", "Orphan drugs: In addition to the exclusivity and orphan drug credit incentives to develop orphan drugs, an industry expert we interviewed also suggested that it is easier to get FDA approval for orphan drugs, and another suggested that it is less costly to develop them. In addition, orphan drugs can often garner high prices compared to non- orphan drugs, according to an industry report.", "Disease areas: Certain drug classes or disease areas, such as drugs for oncology or multiple sclerosis drugs, can garner higher prices and, in turn, more R&D investment because they often have fewer competitors, are often administered by providers who are insensitive to price, or are perceived as particularly life-saving, according to some experts we interviewed. In addition, some experts suggested that NIH investment in oncology research and gains in personalized medicine have resulted in many more research opportunities in which companies can invest. For example, many new oncology drugs are approved for treatment of tumors with specific genetic markers, and research suggests these drugs are more likely to succeed in clinical trials and face a less-elastic demand curve that, in turn, can facilitate higher pricing.", "According to several experts we interviewed, a company\u2019s R&D focus on fewer therapeutic areas of more profitable drugs or niche markets may come at the expense of drug development in less lucrative disease areas\u2014those that affect many patients but in which drugs are more costly to bring to market or have existing generic competition\u2014for example, cardiovascular disease. According to a study of drug development pipeline data, the number of new drugs in all phases of clinical development to treat cardiovascular disease, a leading cause of death in the United States, declined from 1990 to 2012, whereas the number of new cancer drugs increased over the period."], "subsections": []}]}, {"section_title": "Research Suggests Market Concentration Affects Drug Prices, and Mergers May Affect Drug Company Innovation", "paragraphs": ["Research we examined in our literature review suggests that the level of competition in a relevant market influences drug prices. Competition also matters for innovation. Certain empirical economic studies suggest that mergers among brand-name drug companies can negatively impact companies\u2019 innovation post-merger."], "subsections": [{"section_title": "Research Finds High Market Concentration Is Associated with Higher Drug Prices", "paragraphs": ["The relationship between competition and drug price is well documented in the drug industry, and industry experts and available research point out that competition dynamics differ for brand-name and generic drugs. Brand name companies producing drugs under patent or exclusivity protection have monopoly pricing power unless alternative drugs that treat the same condition are available. For brand-name products that face competition from such therapeutic alternatives, companies compete on price, differentiation from competitors, or both. We and others have reported that brand-name drug companies consider the availability and price of therapeutic alternatives along with potential market size, the perceived value of the drug relative to competitors, and other factors when determining the price for a new drug. Conversely, generic drugs compete on price with the brand-name or other generic manufacturers of the same drug. As we have reported, and as experts we have interviewed agreed, generic drug companies compete primarily on price.", "Based on our literature review, we did not identify any empirical studies that examined the impact of drug industry concentration changes from mergers and acquisitions on drug prices post-merger. However, empirical studies we reviewed suggest that less competition\u2014that is, a more highly concentrated market\u2014is associated with higher drug prices, particularly for generic drugs. The following summarizes studies we reviewed on the effect of generic and brand-name competition:", "Generic competition: Most notably, once brand-name drugs lose patent and marketing exclusivity and generic versions of drugs enter the market, drug prices fall and continue to decline as additional generic manufacturers enter. The price moderating effect of generic competition is well documented by FDA, FTC, the IMS Institute for Healthcare Information, and other research. FDA found that for drugs sold from 1999 through 2004, the first generic competitor reduced the drug price only slightly lower than the brand-name on average, but the second generic competitor reduced the drug price by nearly half. For drugs that attracted nine or more generic manufacturers, the average generic price fell 80 percent or more. The IMS Institute for Healthcare Information reported similar findings in 2016 based on its review of generics that entered the market between 2002 and 2014. The introduction of generics reduced the price of those drugs by 51 percent in the first year and 57 percent in the second year with price reductions driven, in part, by the increasing number of competitors. In addition, a 2017 study of 1,120 drugs available as generics between 2008 and 2013 determined that drugs with less market competition, measured by higher concentration, had higher price increases over the period compared to drugs in the cohort with the lowest concentration.", "Brand-name competition: For brand-name drugs, studies show that the presence of therapeutic alternatives in the market reduces the launch price\u2014the price the company sets for a new drug. For example, an often-cited 1998 study of launch prices for 130 new molecular entities showed that a greater number of brand-name therapeutic alternatives was associated with substantially lower launch prices for new brand-name drugs compared to their predecessors. More recently, there are examples of therapeutic alternatives creating market pressure on, and thus reducing prices of, brand-name drugs, such as multiple brand-name hepatitis C therapies that became available between 2013 and 2014.", "Research has also found that some brand-name drug companies are able to maintain or even raise prices for their drugs\u2014despite competition from therapeutic or generic alternatives\u2014for various reasons, such as product differentiation or brand loyalty stemming from marketing or prescribing patterns. For example, brand-name companies may actually increase prices for some of their drugs to capture the price-insensitive segment of the market. Research also suggests that the extent of price reductions resulting from the entry of generic drugs into a market can differ by the characteristics of the drug and may be less dramatic for biosimilar drugs than traditional generic drugs. For example, the 2016 IMS report noted that price reductions under these circumstances occurred faster for oral drugs than for injectable drugs, which often attract fewer generic competitors. Another 2017 study examining the state of generic competition found that injectables and drugs with other formulations, such as topical or inhaled drugs, were more likely than oral drugs to have only one or two manufacturers. Certain literature we reviewed and experts we interviewed suggested that biosimilars will moderate prices for biologic drugs, but not to the same extent as traditional generics do because they are more costly to manufacture and may be less consistently substituted for the brand-name drug; however, more time and research will be needed to understand the effects given the small number of biosimilars on the market."], "subsections": []}, {"section_title": "Studies Find Competition Matters for Innovation, and Some Suggest a Negative Impact of Mergers on Drug Company Innovation", "paragraphs": ["Competition is also relevant to innovation, according to economic studies we examined. As noted, brand-name drug companies compete to develop new products and differentiate their products from therapeutic alternatives. The analysis of how competition affects innovation is a fact- specific process. There is empirical evidence suggesting that, in certain circumstances the incentive to invest in R&D could be enhanced with more competitors. For example, a 2014 study examining multiple manufacturing and non-manufacturing industries demonstrated a positive relationship between competition and innovation (measured by patents), productivity, and R&D expenditures. While drug innovation comes from multiple sources and increasingly from smaller innovative biotechnology companies, the industry relies on large drug companies to invest in the expensive clinical trials needed to develop and bring new innovations to market.", "We also identified several merger retrospective studies. These studies suggest that there are varied impacts of drug company merger and acquisition on innovation, including both inputs (e.g., R&D spending) and outputs (e.g., patents and new drug approvals).", "A 2009 study of 27 large, brand-name drug company mergers found that the mergers had a statistically significant negative impact on company R&D spending and patent issuance in the third year post- merger compared to non-merging companies. The authors concluded that the findings contradict the idea that mergers deliver advances in innovation that could outweigh possible anticompetitive risks.", "A 2007 study of 165 large mergers between 1988 and 2000 suggested that large companies sought to merge in response to patent expiration or product pipeline gaps, and small companies sought to merge as a response to financial trouble. When controlling for companies\u2019 propensity to merge, small merging companies\u2014 defined as companies valued less than $1 billion\u2014grew more slowly in R&D spending, sales, and R&D employees post-merger compared to similar non-merging companies. However, the study did not find these effects to last beyond one year and did not find differences in these growth rates between large merging companies and non- merging companies. Overall, the authors concluded that while merger in the drug industry is a response to being in trouble for both large and small companies, there is no evidence that it is a solution.", "Another 2009 study examined the number of approvals for new molecular entities\u2014innovative drugs\u2014as a means to examine outputs rather than only R&D spending. The study suggests that while mergers and acquisitions may help small companies, they are not an effective way for larger companies to increase output of new molecular entities. For example, for a sample of 30 mergers and acquisitions with 10 years of data before and after the merger, the study found that for large companies the number of new molecular entities did not increase and may actually have declined slightly following merger or acquisition. Smaller companies, however, experienced an increase in new molecular entities after merger or acquisition.", "Other studies suggest mergers and acquisitions may have a positive impact on innovation using certain measures. For example, a 2006 study of 160 acquisitions involving drug companies between 1994 and 2001 estimated that companies with declining R&D pipeline and sales were more likely to engage in acquisition and that outsourcing R&D through acquisitions was a successful strategy to stabilize declines in drug R&D pipelines. This study estimated that 71 percent of acquiring companies either maintained or improved the health of their research pipelines after merger."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services, FTC, IRS, and NSF for review. These agencies provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, relevant agencies, and other interested parties.", "In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact John E. Dicken at (202) 512-7114 or DickenJ@gao.gov or Oliver Richard at (202) 512-8424 or RichardO@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["This appendix provides further details on our scope and methodology in addressing each of our three reporting objectives, which are to describe: (1) how the financial performance and structure of the drug industry have changed over time; and (2) how reported research and development spending and new drug approvals have changed; and (3) what is known about the potential effects of consolidation on drug prices and new drug development. In addition, the appendix describes how we selected officials to interview and the steps we took to assure the reliability of the data we analyzed."], "subsections": [{"section_title": "How the Financial Performance and Structure of the Drug Industry Have Changed Over Time", "paragraphs": [], "subsections": [{"section_title": "Analysis of Sales Revenue and Profit Margins", "paragraphs": ["To describe reported pharmaceutical and biotechnology sales revenue and profit margins, we used the Bloomberg Terminal to identify pharmaceutical and biotechnology companies that were still active as of the time of our review. Bloomberg uses a proprietary hierarchical classification system (the Bloomberg Industry Classification System) to categorize companies into different primary industries. We used the Bloomberg Terminal\u2019s company classification browser to obtain an initial set of companies that currently have reported pharmaceutical or biotechnology revenue. We restricted the drug companies in our review to those that were categorized under the \u201cPharmaceutical & Biotechnology\u201d Bloomberg Industry Classification System (BICS) level 2 category, which indicated that Bloomberg characterizes the company as being primarily a pharmaceutical or biotechnology company. Using this list, we downloaded each company\u2019s reported pharmaceutical and biotechnology sales revenue, total sales revenue, profit margin, return on assets, and return on equity for each company\u2019s fiscal years 2006 through 2015, which were the most current data available. To provide a comparison, we followed the same procedure to obtain data for software companies over the same period. We selected software companies as a comparison because they have high research and development (R&D) and low manufacturing costs similar to drug companies. Sales revenues were adjusted to reflect real 2015 U.S. dollars using the gross domestic product price index.", "When examining sales revenues, profit margins, return on assets, and return on equity, analyses were limited to the subset of companies with complete data over the 10-year period for the variables included in the analysis. We did not have a count of how many companies might have existed throughout the review period, but which had no data available on any of the variables we examined. Profit margin, return on assets, and return on equity were each weighted by the company\u2019s industry-specific sales revenue (pharmaceutical and biotechnology or software) prior to averages being computed. To identify the \u201clargest 25\u201d companies for analyses, we first restricted data to companies that had data for the variables being examined for 2006 through 2015, then identified the 25 drug companies with the largest pharmaceutical and biotechnology revenue in 2015. This provided a consistent cohort of large companies to examine longitudinally for each analysis.", "We also examined profit margins for the largest 500 companies by total worldwide 2015 sales revenue. We obtained a list of the largest 500 companies in 2015 from the Bloomberg Terminal that were still active during our review. Using this list, we downloaded each company\u2019s BICS level 2 category; total sales revenue; pharmaceutical, biotechnology, and software revenues; and profit margins for each company for fiscal years 2006 through 2015. We removed any companies primarily classified by Bloomberg under one of those industries since we had analyzed these separately. For the remaining companies in our largest 500, we subtracted any reported pharmaceutical, biotechnology, and software revenues from their total sales revenues since some companies may have reported such revenues despite not being classified primarily as one of these types of companies. We then weighted each of the remaining companies\u2019 profit margins by their remaining total sales revenue prior to calculating an average. This weighting differed slightly from the industry- specific sales weighting used in the earlier analyses of drug and software companies\u2019 profit margins. For the software industry, the Congressional Budget Office only indicated that it had high R&D and low manufacturing costs similar to drug industry; it did not suggest the same for other lines of business that software companies might additionally be involved in. Because we had no reason to isolate industry-specific revenues for our remaining largest 500 companies, we weighted their profit margins by their total sales revenues. As with the prior profit margin analyses, analysis of the largest 500 sales weighted profit margins were limited to companies with data available for each of company fiscal years 2006 through 2015."], "subsections": []}, {"section_title": "Analysis of Mergers and Acquisitions", "paragraphs": ["For analyses of mergers and acquisitions, we again relied on data from the Bloomberg Terminal. We restricted our search to mergers and acquisitions that were completed from January 1, 2006, to December 31, 2015, and which featured a drug company on both sides of the transaction (e.g., as the acquirer and as the acquired company in the case of acquisition of a full company). The \u201clargest 25\u201d companies were determined by their 2015 pharmaceutical and biotechnology sales revenue only\u2014because not every company could be expected to have a merger or acquisition transaction in every year, we did not make this a requirement to be included in the merger and acquisition analyses. We used what Bloomberg reported to be the completed transaction values in our analyses, and we adjusted the values to consistently reflect real 2015 dollars.", "Many companies were not included in analyses due to incomplete data, therefore the results of our analyses of these data do not reflect the entire industry. Bloomberg obtains much of its information from public filings, which provide companies considerable leeway in deciding what to report and how. For mergers and acquisitions, approximately 40 to 50 percent of the completed transactions in Bloomberg\u2019s data between 2006 and 2015 did not have disclosed transaction values. Bloomberg officials told us that transaction values are often missing for private companies."], "subsections": []}, {"section_title": "Analysis of Concentration", "paragraphs": ["To examine overall industry concentration we used pharmaceutical industry and company-specific sales data from QuintilesIMS from 2007 through 2014, the years for which data were publicly available. We also examined publicly available industry reports and generic drug approvals data for discussion of concentration across different therapeutic areas. Our findings on industry concentration and the variation of concentration across therapeutic classes is limited to these examples."], "subsections": []}]}, {"section_title": "How Reported Research and Development Spending and New Drug Approvals Have Changed", "paragraphs": [], "subsections": [{"section_title": "Analysis of Research and Development Spending", "paragraphs": ["To examine how reported R&D spending changed over time, we analyzed data from the Business Research, Development and Innovation Survey maintained by the National Science Foundation\u2019s (NSF) National Center for Science and Engineering Statistics for years 2008 through 2014, the most recent years for which data were consistently available. The Business Research, Development and Innovation Survey data are collected annually from a probability sample of for-profit companies with a U.S. presence, which are classified in select manufacturing and nonmanufacturing industries based on their North American Industry Classification System (NAICS) code. We analyzed aggregate company- reported worldwide R&D expenditures and worldwide sales for respondent companies designated with NAICS code 3254 for pharmaceuticals and medicines. We also examined pharmaceutical company-reported domestic R&D expenditures by character of work\u2014 basic research, applied research, or development\u2014as defined by NSF as well worldwide and domestic R&D expenditure by performer (whether R&D was paid for and performed by the company, or paid for by the company to be performed by others). We also examined worldwide expenditures and sales for companies designated as biotechnology research and development companies (NAICS 541711); however estimates were not available for 2008 or 2014 and were less reliable in the years between. We therefore reported biotechnology expenditures and sales separately from pharmaceutical companies and limited the majority of our analysis to pharmaceutical companies. For comparison, we also examined worldwide R&D expenditure and sales for comparably large industries with high R&D intensity as well as all manufacturing and all non-manufacturing industries. All spending and sales data were adjusted to real 2015 U.S. dollars using the gross domestic product price index. We also examined the Business Research, Development and Innovation Survey sample selection and sampling error information for each year of the survey. Finally, we compared worldwide and domestic R&D expenditure and sales trends to spending and sales reported by Pharmaceutical Research and Manufacturers of America (PhRMA)\u2014a national trade association.", "To examine federal spending trends, we analyzed publicly available data from NSF\u2019s National Center for Science and Engineering Statistics\u2019 Survey of Federal Funds for Research and Development on obligations for research in biomedical related fields made by federal agencies identified as funding drug-related research between fiscal years 2008 and 2014, years consistent with available industry data from NSF\u2019s Business Research, Development, and Innovation Survey. Data represent federal agency obligations for basic and applied research in the fields of biological sciences, medical sciences, and other life sciences as reported by federal agencies. Obligations were adjusted to real fiscal year 2015 U.S. dollars using the gross domestic product price index. We identified agencies that fund drug-related research based on interviews with officials from the National Institutes of Health (NIH), NSF, and other industry experts. The Survey of Federal Funds for Research and Development is a census of federal agencies that conduct R&D, and provides data on obligations by agency and field of science rather than by specific industry or use. Our estimates of federal spending may be imprecise because the data preclude us from pinpointing spending specific to drug R&D projects, and because the type of research that federal agencies typically fund often has an impact on many different research areas that may not be specific to drugs. We also reviewed budget documents from NIH and reviewed select studies for spending estimates by non-federal or industry sources.", "In addition, we obtained estimates of R&D spending by state and local governments and non-industry private funders for 2015 from National Health Expenditure account estimates. These estimates include spending for all biomedical research by these categories and thus also likely overestimate spending specific to drug development."], "subsections": []}, {"section_title": "Analysis of Tax Incentives", "paragraphs": ["To identify tax provisions that provide incentives for drug research and development, we reviewed reports by the Joint Committee on Taxation and the Congressional Research Service. We obtained and analyzed aggregate tax return data from the Internal Revenue Service (IRS) Statistics of Income division for the orphan drug credit and research credit claimed by relevant industries and all returns (all industries) for years 2005 to 2014, the latest ten years for which data were available. Specifically, we analyzed claims from companies with IRS Principle Business Activity codes for pharmaceutical manufacturing, drug wholesalers, and scientific research. IRS\u2019s industry codes are based on NAICS definitions, and corporations are instructed to report the industry code for which it derives the highest percentage of its total receipts. These data are reviewed by Statistics of Income division staff for accuracy. The scientific research industry category includes corporations conducting biotechnology research and development, but also includes firms conducting research in nanotechnology and physical, engineering, and life sciences. As a result, we chose not to report research credits claimed by corporations in the broader scientific research industry category as being related to drug development, but we do report orphan drug credits claimed by corporations in this industry category. We also obtained and examined reported qualified research expenses for pharmaceutical manufacturing companies for years 2005 to 2014. IRS\u2019 Statistics of Income division produces estimates based on a representative stratified sample of corporate returns. IRS provided additional information on the corporations that reported claiming the orphan drug and research credits; in both cases a high percentage of the claims came from large corporations that are included in the stratified sample with certainty. As a result, we concluded that the estimated credit totals are reliable given that the estimates are largely based on returns that were certain to be included in the sample. The amount of research and orphan drug credits claimed represents claims rather than amounts utilized due to limitations of the general business credit. Reported estimates therefore may reflect the upper bounds of what was utilized from claimed amounts. IRS also provided additional data on total deductions claimed for qualified research expenditures and amounts reported on financial statements from Form M-3, for 2010 to 2013. These data were limited to large corporations that filed form M-3, which is required for corporations with $10 million or more of assets. All claims were adjusted to 2015 U.S. dollars using the gross domestic product price index."], "subsections": []}, {"section_title": "Analysis of Drug Approvals", "paragraphs": ["To examine trends in new drug approvals, we obtained and analyzed data from the Food and Drug Administration (FDA) for new drug applications (NDA) and biologic license applications (BLA) and NDA- and BLA-efficacy supplements approved by the FDA\u2019s Center for Drug Evaluation and Research between 2005 and 2016, the most recent ten years of available data at the time of our review. We determined which drugs FDA considered novel drugs by reviewing publicly available reports and resolving any discrepancies with agency officials. We analyzed these data to determine the type of drugs FDA approved, such as the product category and whether the drug was designated an orphan drug.", "Finally, we interviewed agency and industry experts and reviewed relevant academic, government, and industry literature on R&D investment trends and reasons for such trends."], "subsections": []}]}, {"section_title": "What Is Known about the Potential Effects of Consolidation on Drug Prices and New Drug Development", "paragraphs": [], "subsections": [{"section_title": "Literature Search on Consolidation Impacts", "paragraphs": ["To determine what is known about the impact of drug industry consolidation on drug price and drug development, we reviewed studies obtained from a literature search. To identify relevant publications, we used a number of bibliographic databases, including ProQuest, Scopus, PubMed, National Technical Information Service, Lexis, Social Science Research Network, and the National Bureau of Economic Research. We reviewed the following document types: scholarly peer reviewed material, government reports, working papers, and policy research organization publications published by a U.S. publication from 2005 forward. We concluded our searches in August 2017. To the resulting list of publications, we added articles identified in our own background research and articles suggested by industry experts, including certain heavily cited papers published prior to 2005. From the revised list, we selected publications that empirically evaluated the effect of drug industry consolidation (mergers and acquisitions) on drug price or innovation (new drug development or R&D spending). We also selected publications that included empirical analyses of drug industry or subindustry concentration or competition and drug price or drug development. Finally, we reviewed the data sources and methodology used to support the assertions of each publication and included those that met our methodological criteria. See the bibliography at the end of this report for the 22 publications included in our review."], "subsections": []}]}, {"section_title": "Interviews", "paragraphs": ["To inform our understanding of the drug industry for all three objectives including structural changes that have taken place, reasons for consolidation trends, drivers of drug company R&D investment trends, and any impacts of consolidation on drug price or innovation, we interviewed drug industry experts including three drug trade associations, four advocacy organizations, two financial ratings agencies, and officials from the FDA, IRS, NSF, Federal Trade Commission (FTC), and NIH. We selected these experts to obtain a variety of industry perspectives. We also interviewed seven academic economic experts about economic factors influencing consolidation and other structural changes, R&D investments, and potential consolidation impacts. We selected these economic experts based on citations in our literature review and suggestions from FDA and FTC officials."], "subsections": []}, {"section_title": "Data Reliability", "paragraphs": ["To ensure that the data used to produce this report were sufficiently reliable, we took several steps. We performed data reliability checks on the data we obtained from the Bloomberg Terminal, such as comparing select companies\u2019 financial data to company annual reports, checking for outliers, and discussing reliability issues with Bloomberg representatives. We did not independently verify the accuracy or completeness of the information reported by the companies. We verified the reliability of NSF\u2019s Business Research, Development and Innovation Survey data used in this report by reviewing relevant documentation, including relative standard errors for specific measures, and by interviewing agency officials who were knowledgeable with the data. We also interviewed knowledgeable NSF officials regarding the reliability of reported Federal Funds for Research and Development survey data and compared reported obligations to NIH budget documents. To verify the reliability of aggregate tax return information, we reviewed relative standard errors for reported measures and interviewed knowledgeable agency officials. We verified the reliability of FDA-provided information by cross-referencing it against other published FDA sources and by interviewing knowledgeable agency officials. After taking these steps, we determined the data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from April 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Mergers and Acquisitions of Ten Large Drug Companies from 2006 through 2015", "paragraphs": ["The following table reflects mergers and acquisition transactions from 2006 through 2015 for 10 large drug companies, as measured by their 2014 pharmaceutical and biotechnology revenue. Transactions reflect those reported in Bloomberg that were completed from January 1, 2006, through December 31, 2015, and had values of at least $500 million in real 2015 dollars."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Robert Copeland, Assistant Director; Yesook Merrill, Assistant Director; Rebecca Abela, Analyst-in- Charge; Reed Meyer; Brandon Nakawaki; Edward Nannenhorn; Laurie Pachter; and Matthew Rabe made key contributions to this report. Also contributing were George Bogart, Muriel Brown, Sandra George, Sarah Gilliland, and Giselle Hicks."], "subsections": []}]}, {"section_title": "Bibliography of Research Articles Used in GAO Literature Review", "paragraphs": ["We reviewed literature to identify what is known about the impact of drug industry consolidation on drug price and drug development. We included publications that empirically evaluated the effect of drug industry consolidation (mergers and acquisitions) on drug price, of which we did not identify any publications. We also reviewed publications that included empirical analyses of the impact of concentration or competition on drug price.", "Berndt, Ernst R., and Murray L. Aitken, Brand Loyalty, Generic Entry and Price Competition in Pharmaceuticals in the Quarter Century after the 1984 Waxman-Hatch Legislation, National Bureau of Economic Research Working Paper 16431 (October 2010).", "Berndt, Ernst R., and Rena M. Conti, Specialty Drug Prices and Utilization After Loss of U.S. Patent Exclusivity, 2001-2007, National Bureau of Economic Research Working Paper 20016 (March 2014).", "Berndt, Ernst R., Rena M. Conti, and Stephen J. Murphy, The Landscape of US Generic Prescription Drug Markets, 2004-2016, National Bureau of Economic Research Working Paper 23640 (July 2017).", "Dave, Chintan V., Aaron S. Kesselheim, Erin R. Fox, Peihua Qiu, and Abraham Hartzema. \u201cHigh Generic Drug Prices and Market Competition: A Retrospective Cohort Study.\u201d Annals of Internal Medicine, vol. 167, no. 3 (2017): 145-151.", "Department of Health and Human Services. U.S. Food and Drug Administration. \u201cGeneric Competition and Drug Prices.\u201d 2015. Accessed July 31, 2017. https://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsa ndTobacco/CDER/ucm129385.htm Grabowski, Henry G., David B. Ridley, and Kevin A. Schulman. \u201cEntry and Competition in Generic Biologics.\u201d Managerial and Decision Economics, vol. 28, no. 4/5 (2007): 439-451.", "Iacocca, Kathleen, James Sawhill, and Yao Zhao. \u201cWhy Brand Drugs Priced Higher Than Generic Equivalents.\u201d International Journal of Pharmaceutical and Healthcare Marketing, vol. 9, no. 1 (2015): 3-19.", "IMS Institute for Healthcare Informatics. Price Declines After Branded Medicines Lose Exclusivity in the U.S. (Parsippany, N.J.: IMS Institute for Healthcare Informatics, 2016).", "Lu, Z. John, and William S. Comanor. \u201cStrategic Pricing of New Pharmaceuticals.\u201d The Review of Economics and Statistics, vol. 80, no. 1 (1998): 108-118.", "Olson, Luke M., and Brett W. Wendling, Working Paper No. 317: The Effect of Generic Drug Competition on Generic Drug Prices During the Hatch-Waxman 180-Day Exclusivity Period, Bureau of Economics, Federal Trade Commission (Washington, D.C.: April 2013).", "Regan, Tracy L. \u201cGeneric Entry, Price Competition, and Market Segmentation in the Prescription Drug Market.\u201d International Journal of Industrial Organization, vol. 26, no. 4 (2008): 930-948.", "Richard, Oliver, and Larry Van Horn. \u201cPersistence in Prescriptions of Branded Drugs.\u201d International Journal of Industrial Organization, vol. 22, no. 4 (2004): 523-540.", "Tenn, Steven, and Brett W. Wendling. \u201cEntry Threats and Pricing in the Generic Drug Industry.\u201d The Review of Economics and Statistics, vol. 96, no. 2 (2014): 214-228.", "We also reviewed publications that empirically evaluated the effect of drug industry consolidation on innovation\u2014including new drug development or R&D spending\u2014as well as publications on the impact of concentration or competition on innovation.", "Banerjee, Tannista, and Arnab Nayak. \u201cComparing Domestic and Cross- Border Mergers and Acquisitions in the Pharmaceutical Industry.\u201d Atlantic Economic Journal, vol. 43, no. 4 (2015): 489-499.", "Comanor, William S., and F.M. Scherer. \u201cMergers and Innovation in the Pharmaceutical Industry.\u201d Journal of Health Economics, vol. 32 (2013): 106\u2013 113.", "Danzon, Patricia M., Andrew Epstein, and Sean Nicholson. \u201cMergers and Acquisitions in the Pharmaceutical and Biotech Industries.\u201d Managerial and Decision Economics, vol. 28, no. 4/5 (2007): 307-328.", "Higgins, Matthew J., and Daniel Rodriguez. \u201cThe Outsourcing of R&D Through Acquisitions in the Pharmaceutical Industry.\u201d Journal of Financial Economics, vol. 80 (2006): 351-383.", "Getz, Kenneth A., Rachael Zuckerman, Joseph A. DiMasi, and Kenneth I. Kaitin. \u201cDrug Development Portfolio and Spending Practices After Mergers and Acquisitions.\u201d Drug Information Journal, vol. 43, no. 4 (2009): 493-500.", "Grabowski, Henry, and Margaret Kyle. \u201cMergers and Alliances in Pharmaceuticals: Effects on Innovation and R&D Productivity,\u201d in The Economics of Corporate Governance and Mergers. Northampton, M.A.: Edward Elgar Publishing, Inc., 2008.", "Munos, Bernard. \u201cLessons from 60 Years of Pharmaceutical Innovation.\u201d Nature Reviews Drug Discovery, vol. 8 (2009): 959-968.", "Ornaghi, Carmine. \u201cMergers and Innovation in Big Pharma.\u201d International Journal of Industrial Organization, vol. 27, no. 1 (2009): 70-79.", "Thakor, Richard T., and Andrew W. Lo. Competition and R&D Financing Decisions: Theory and Evidence from the Biopharmaceutical Industry, National Bureau of Economic Research Working Paper 20903 (September 2015)."], "subsections": []}, {"section_title": "Related GAO Products", "paragraphs": ["Investigational New Drugs: FDA Has Taken Steps to Improve the Expanded Access Program but Should Further Clarify How Adverse Events Data Are Used. GAO-17-564. Washington, D.C.: July 11, 2017.", "Generic Drug User Fees: Application Review Times Declined, but FDA Should Develop a Plan for Administering Its Unobligated User Fees. GAO-17-452. Washington, D.C.: May 25, 2017.", "Physician-Administered Drugs: Comparison of Payer Payment Methodologies. GAO-16-780R. Washington, D.C.: August 1, 2016.", "Generic Drugs Under Medicare: Part D Generic Drug Prices Declined Overall, but Some Had Extraordinary Price Increases. GAO-16-706. Washington, D.C.: August 12, 2016.", "Medicare Part B: Data on Coupon Discounts Needed to Evaluate Methodology for Setting Drug Payment Rates. GAO-16-643. Washington, D.C.: July 27, 2016.", "Drug Shortages: Certain Factors Are Strongly Associated with This Persistent Public Health Challenge. GAO-16-595. Washington, D.C.: July 7, 2016.", "Medicare Part B: CMS Should Take Additional Steps to Verify Accuracy of Data Used to Set Payment Rates for Drugs. GAO-16-594. Washington, D.C.: July 1, 2016.", "Corporate Income Tax: Most Large Profitable U.S. Corporations Paid Tax but Effective Tax Rates Differed Significantly from the Statutory Rate. GAO-16-363. Washington, D.C.: March 17, 2016.", "Drug Safety: FDA Expedites Many Applications, But Data for Postapproval Oversight Need Improvement. GAO-16-192. Washington, D.C.: December 15, 2015.", "Medicare Part B: Expenditures for New Drugs Concentrated among a Few Drugs, and Most Were Costly for Beneficiaries. GAO-16-12. Washington, D.C.: October 23, 2015.", "Prescription Drugs: Comparison of DOD, Medicaid, and Medicare Part D Retail Reimbursement Prices. GAO-14-578. Washington, D.C.: June 30, 2014.", "Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. GAO-14-194. Washington, D.C.: February 10, 2014.", "Corporate Tax Expenditures: Evaluations of Tax Deferrals and Graduated Tax Rates. GAO-13-789. Washington, D.C.: September 16, 2013.", "Prescription Drugs: Comparison of DOD and VA Direct Purchase Prices. GAO-13-358. Washington, D.C.: April 19, 2013.", "Medicare Part D Coverage Gap: Discount Program Effects and Brand- Name Drug Price Trends. GAO-12-914. Washington, D.C.: September 28, 2012.", "International Taxation: Information on Foreign-Owned but Essentially U.S.-Based Corporate Groups Is Limited. GAO-12-794. Washington, D.C.: July 16, 2012.", "Prescription Drugs: FDA Has Met Performance Goals for Reviewing Applications. GAO-12-500. Washington, D.C.: March 30, 2012.", "Drug Pricing: Research on Savings from Generic Drug Use. GAO-12-371R. Washington, D.C.: January 31, 2012.", "Prescription Drugs: Trends in Usual and Customary Prices for Commonly Used Drugs. GAO-11-306R. Washington, D.C.: February 10, 2011.", "Brand-Name Prescription Drug Pricing: Lack of Therapeutically Equivalent Drugs and Limited Competition May Contribute to Extraordinary Price Increases. GAO-10-201. Washington, D.C.: December 22, 2009.", "Tax Policy: The Research Tax Credit\u2019s Design and Administration Can Be Improved. GAO-10-136. Washington, D.C.: November 6, 2009.", "Prescription Drugs: Improvements Needed in FDA\u2019s Oversight of Direct- to-Consumer Advertising. GAO-07-54. Washington, D.C.: November 16, 2006.", "New Drug Development: Science, Business, Regulatory, and Intellectual Property Issues Cited as Hampering Drug Development Efforts. GAO-07-49. Washington, D.C.: November 17, 2006."], "subsections": []}], "fastfact": ["The amount of money people spend on prescription drugs has nearly doubled since the 1990s. Much of this increase is due to expensive brand-name drugs, but the prices of some generics have also gone up.", "We looked into changes in the drug industry and found that pharmaceutical and biotechnology sales revenue increased from $534 billion to $775 billion between 2006 and 2015. Additionally, 67% of drug companies increased their annual profit margins during the same period\u2014with margins up to 20 percent for some companies in certain years. Drug industry spending for research and development increased from $82 billion in 2008 to $89 billion in 2014."]} {"id": "GAO-18-402", "url": "https://www.gao.gov/products/GAO-18-402", "title": "Energy Storage: Information on Challenges to Deployment for Electricity Grid Operations and Efforts to Address Them", "published_date": "2018-05-24T00:00:00", "released_date": "2018-05-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Power plants' electricity output must be matched continuously with demand, which varies depending on the time of day and year. To maintain a reliable supply of electricity, operators of the electricity grid\u2014a complex network of power plants and power lines managed by utility companies and other operators\u2014take steps to ensure power plants are available to generate electricity when needed. Increasingly, renewable sources of energy, such as solar and wind, are being integrated into the grid.", "Energy storage allows for electricity to be stored and used later when it is needed and could change the operating capabilities of the electricity grid. Batteries and other energy storage technologies can store energy in one form\u2014such as chemical, mechanical, or thermal energy\u2014and transform that energy to generate electrical power at a later time.", "GAO was asked to provide information on the role of energy storage in grid operations. This report describes (1) how energy storage can be used to enhance grid operations and performance; (2) factors that affect the deployment of energy storage for grid operations; and (3) federal and state policies and other efforts that address the deployment of energy storage. GAO reviewed studies published from 2012 through 2017; and interviewed 41 stakeholders, including officials from government agencies and representatives of industry and other groups based on their knowledge of energy storage and grid operations."]}, {"section_title": "What GAO Found", "paragraphs": ["Energy storage can be used in various ways to enhance the reliability, resilience, and efficiency of grid operations, according to studies GAO reviewed and stakeholders GAO interviewed. Such storage can be deployed throughout the electricity system and act as a generation, transmission, distribution, or customer-sited asset to provide various services, address operational challenges and needs, and potentially reduce costs, as shown in the figure below. For example, storage can help grid operators address supply disruptions and the variability of renewable energy resources, such as solar and wind; relieve transmission congestion; defer the need for transmission or distribution system upgrades; and provide backup power during a power outage.", "Examples of Potential Storage Applications on the Electricity Grid", "Various factors affect energy storage deployment. These include industry and technology readiness, safety concerns and stringency of siting requirements, increasing use of renewable resources, cost-competitiveness of storage and challenges with quantifying the value of storage, and the regulatory environment, according to studies GAO reviewed and stakeholders GAO interviewed. For example, industry and technical challenges include uncertainty about the performance of certain technologies over time and in various operating conditions.", "Federal and state policymakers have used various policies and other efforts to encourage the deployment of storage and address market barriers. For example, the Department of Energy has undertaken various efforts, including research and development focused on improving factors that affect the cost and capacity of certain storage technologies. In addition, the Federal Energy Regulatory Commission has issued proposed and final rules to address market barriers to storage deployment in wholesale markets. Lastly, state policies and other efforts that aim to encourage the deployment of storage or to address market barriers include establishing mandates and targets for storage adoption, revising planning requirements, and offering financial incentives and funding."]}], "report": [{"section_title": "Letter", "paragraphs": ["Electricity is supplied through a complex network of power plants and power lines\u2014the electricity grid\u2014managed by utility companies and other operators. The operation of electric power systems involves a complex process of forecasting the demand for electricity, and scheduling and operating power plants to meet that varying demand. Generally, electricity cannot be easily stored, so power plants\u2019 electricity output must be matched continuously with demand, which varies significantly depending on the time of day and year. To maintain a reliable supply of electricity, operators of the electricity grid take steps to ensure that power plants are available to generate electricity when needed. The ability to store electricity more easily could change the operating capabilities of the electricity grid.", "The traditional model for generating and selling electricity in the United States is changing. According to the Department of Energy (DOE), the electric utility industry, regulators, and other stakeholders are working to understand the role of energy storage in grid operations and how to integrate it into the grid. Simultaneously, utilities in the United States are investing in an aging grid with a growing segment in need of replacement and modernization. One trend across the electric sector is a reduced reliance on large, central power plants and greater use of more diverse resource portfolios. The increasing use of variable energy resources such as wind and solar power, the interaction of distributed energy resources\u2014 including energy storage\u2014with traditional generation sources, and the changing role of electricity customers have increased the complexity of matching electricity supply with demand at all times.", "Batteries and other energy storage technologies can store energy in one form\u2014such as chemical, mechanical, or thermal energy\u2014and transform the energy to generate electrical power. Energy storage technologies are in various stages of development and deployment, and activities are under way in the United States and elsewhere to improve the economic and technical performance of storage options. Historically, electricity storage has consisted of pumped hydroelectric storage projects, which pump water to higher-elevation reservoirs when electricity demand is low and allow it to flow downhill through electricity-generating turbines when demand increases. Other energy storage technologies include electrochemical technologies such as batteries (lead acid, lithium ion, sodium sulfur, and flow); electromechanical technologies such as flywheels (mechanical devices that harness rotational energy to store and deliver energy) and compressed air energy storage (that uses electricity to compress air, then release it through a turbine to generate electricity later); and other forms of storage such as thermal storage.", "The Federal Energy Regulatory Commission (FERC), which regulates interstate electricity transmission and oversees wholesale interstate electricity markets, plays a role in addressing barriers to competition in electricity markets as part of its statutory duty to ensure that market rates are just and reasonable and not unduly discriminatory or preferential. State entities, such as public utility commissions, regulate utility management, operations, electricity rate structures, and capacity acquisition within their state. Additionally, in some regions, regional transmission organizations manage electricity transmission and wholesale electricity markets. DOE conducts research and development and provides analytical support for federal and other efforts that support energy storage\u2019s role in modernizing the electricity grid.", "You asked us to review issues related to the role of energy storage in grid operations. This report examines (1) how energy storage can be used to enhance grid operations and performance; (2) factors that affect the deployment of energy storage for grid operations; and (3) federal and state policies and other efforts that address the deployment of energy storage.", "To address the first two objectives, we reviewed studies and documents from research institutions, such as DOE\u2019s national laboratories, FERC, and stakeholder groups. The studies we reviewed were published from 2012 through 2017, the five most recent years for which studies were available, and we identified them by conducting database and Internet searches and asking stakeholder groups for recommendations. Specifically, we searched sources including ProQuest and WorldCat, among others, and the websites of national laboratories. We selected studies to review based on their relevance to energy storage, its role in grid operations, and factors affecting deployment of storage for grid operations. We selected 29 studies from the Congressional Research Service (CRS); DOE; national laboratories; government-sponsored research; non-governmental organizations such as nonprofits and research institutes; industry associations; and peer-reviewed scientific and trade journals. We reviewed the methodologies of these studies and determined that they were sufficiently sound for describing the ways energy storage can be used to enhance grid operations and factors affecting deployment. We also reviewed other documents including FERC proposed and final rules, guidance, and conference and meeting transcripts; reports from state agencies, DOE, and national laboratories; and industry papers and reports on topics relevant to our work. We identified the ways energy storage can be used to enhance grid operations and the factors affecting deployment often cited by stakeholders, studies, and documents. Given our methodology, we may not have identified every relevant study and every potential use of storage and factor that affects deployment of storage, therefore our findings may not be generalizable to all energy storage technologies but provide examples of such technologies.", "To address the third objective, we reviewed and described documentation of energy storage efforts at DOE and relevant FERC orders and proposed and final rules addressing the deployment of storage. In addition, we reviewed documentation of Internal Revenue Service efforts to solicit comments on regulations that affect how a tax credit can be used for storage projects. We identified state policies and efforts addressing storage deployment by reviewing documents from federal and state agencies, stakeholder groups, relevant databases, and industry news sources and asking stakeholders. To describe these state policies and efforts, we reviewed state government documents, reports, policies, and legislation. Given our methodology, we identified examples that illustrate the range of state policies and other efforts that may encourage the deployment of energy storage or that address market barriers; however, these examples do not represent a comprehensive list of all state policies and efforts.", "For all of the objectives, we conducted interviews with officials and representatives of 41 stakeholder groups including federal and state government agencies, industry, and other stakeholders. Specifically, we interviewed officials and representatives from 4 federal agencies (DOE, FERC, CRS, and the Internal Revenue Service); 3 national laboratories (the National Renewable Energy Laboratory, the Pacific Northwest National Laboratory, Sandia National Laboratories); 8 state government agencies; 11 grid operators and utilities; 7 industry associations; 2 nongovernmental organizations; and 6 other market participants, including storage project developers and consultants. We identified stakeholders that were knowledgeable about energy storage, grid operations, and state and federal policies and other efforts by reviewing prior GAO and CRS reports; the 29 studies from research institutions, such as DOE\u2019s national laboratories, and other groups; and by asking stakeholder groups for recommendations. Because this was a nonprobability sample of stakeholders, views are not generalizable to all potential stakeholders. For interviews with state entities, we selected a nonprobability sample of four states that have policies encouraging storage deployment, which stakeholders identified as leading in the development and establishment of such policies, and that vary based on geographic location because factors affecting deployment tend to vary in different parts of the country. We also considered information on the extent of energy storage deployed in the state. Throughout the report, we use the following categories to quantify statements identified by studies and stakeholders: \u201csome,\u201d which we define as two to five studies and stakeholders collectively; \u201cseveral,\u201d which we define as six to 10 studies and stakeholders collectively; and \u201cmany,\u201d which we define as more than 10 studies and stakeholders collectively.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes (1) electricity grid functions, operations, and planning; (2) energy storage operational characteristics, technologies, and deployment; and (3) the electricity regulatory framework."], "subsections": [{"section_title": "Electricity Grid Functions, Operations, and Planning", "paragraphs": ["The electricity grid involves four distinct functions: generation, electricity transmission, electricity distribution, and grid operations (see fig. 1). Electricity is generated at power plants by burning fossil fuels; through nuclear fission; or by harnessing renewable sources such as wind, solar, geothermal, or hydropower. Once electricity is generated, it is sent through the electricity grid, which consists of high-voltage, high-capacity transmission systems, to areas where it is transformed to a lower voltage and sent through the local distribution system for use by residential and other customers. Throughout this process, a grid operator, such as a local utility, must constantly balance the generation and consumption of electricity. To do so, grid operators monitor electricity consumption from a centralized location using information systems, and send minute-by- minute signals to power plants to adjust their output to match changes in the demand for electricity.", "As we previously reported, continuously balancing the generation and consumption of electricity can be challenging for grid operators because customers may use sharply different amounts of electricity over the course of a day and throughout the year. For example, in many areas, customer demand for electricity rises throughout the day and reaches its highest point\u2014or peak demand\u2014in late afternoon or early evening. Throughout the day, grid operators direct power plants to adjust their output to match changes in demand for electricity. Grid operators typically first use electricity produced by baseload power plants that are the least expensive to operate, then progressively increase the supply of electricity generated by power plants that are more expensive to operate as needed to match increases in electricity demand. As a result, providing electricity to meet peak demand is generally more expensive than during other parts of the day, because to do so, grid operators use power plants that are more expensive to operate. Peak periods are generally short and account for only a few hours per day and, overall, a small percentage of the hours during a year, but can significantly contribute to the overall costs of serving customers.", "Grid operators conduct planning to assess the adequacy of existing grid infrastructure, identify capacity needs, and evaluate the cost and effectiveness of potential solutions to address these needs. As we previously reported, to ensure that grid infrastructure has sufficient capacity to meet future peak demand, grid operators typically develop forecasts of future electricity demand based on historical information about customer electricity use combined with assumptions about how customer demand will change in the future based on population growth, economic conditions, and other factors.", "Utilities deal with uncertainty partly by producing a range of forecasts based on demographic and economic factors, and by maintaining excess generating capacity, known as reserves. Models help utilities choose the least-cost combination of generating resources to meet demand. If demand forecasts are too high or low, a utility could end up with more or less generating capacity than it needs to serve its customers reliably, or it could end up with a mix of generating capacity that is not cost effective. These outcomes can affect electricity rates as well as the utility\u2019s financial situation. To meet demand for electricity, utilities can construct new plants, upgrade existing plants, purchase power from others, build new transmission and distribution lines, and provide incentives to customers to reduce and shift their demand for electricity through energy efficiency or demand-response programs. In addition, utilities may use time-based pricing\u2014prices that vary throughout the day and year to reflect the costs of serving consumers\u2014to encourage consumers to lower their electricity use at times of high prices or shift their use to times of the day when prices are lower, which can lower their electricity bills."], "subsections": []}, {"section_title": "Energy Storage Operational Characteristics, Technologies, and Deployment", "paragraphs": ["Energy storage includes a number of different technologies that have the ability to store energy for use at a later time. Energy storage systems can be designed with a range of technologies, such as pumped hydro, compressed air, batteries, and flywheels, according to DOE. Each technology has its own performance characteristics that make it more suitable for certain grid services than for others. Specifically, compressed air and pumped hydro are capable of discharge times\u2014the length of time that a storage device can discharge electricity\u2014in tens of hours and have large capacities that can reach 1,000 megawatts (MW). According to DOE and CRS, storage projects involving these types of technologies generally have unique siting requirements, including specific geographical features, or long construction times. In contrast, other storage technologies such as batteries and flywheels are smaller in terms of capacity and have shorter discharge times, ranging from a few seconds to several hours, and these technologies can generally be built without specific geographical features at the site. These energy storage systems are comprised of storage technologies and other system components such as inverters, wiring, temperature regulation, and other equipment.", "According to DOE\u2019s Global Energy Storage Database, about 24 gigawatts (GW) of grid-connected energy storage were in operation in the United States and about 2 GW of storage capacity was under development as of March 20, 2018. Pumped hydro comprises about 93 percent of this storage capacity in operation. Many of the operational pumped hydro systems in the United States were commissioned during the 1960s through the 1980s; the most recent became operational in 2012. See figure 2 for information about the proportion of energy storage capacity in operation or under development in the United States that comes from certain types of technology.", "While pumped hydro comprises the majority of energy storage in operation, batteries are driving the recent growth in energy storage. Since 2013, the capacity of utility-scale (1 MW or greater) battery deployments grew by 283 percent (from about 185 MW to about 709 MW), though such utility-scale batteries comprised about 0.07 percent of utility-scale generating capacity on the U.S. electric grid, according to data from the Energy Information Administration. See figure 3 for information on the capacity of utility-scale battery installations each year from 2003 through 2017.", "Figure 4 shows how grid-connected storage of all technology types was distributed nationwide as of March 20, 2018, according to DOE\u2019s Global Energy Storage Database."], "subsections": []}, {"section_title": "The Electricity Regulatory Framework", "paragraphs": ["Responsibility for regulating the electricity industry is divided between the states and the federal government. Most electricity customers are served by electric utilities on the retail level that are regulated by the states, generally through state public utility commissions or equivalent organizations. As the primary regulator of electricity on the retail level, state public utility commissions have a variety of responsibilities, such as approving utility investments in generation and distribution assets, the rates retail customers pay, and how those rates are set. Before electricity is sold to retail customers, it may be bought, sold, and traded in wholesale electricity markets that the federal government oversees through FERC. FERC is responsible for overseeing regional transmission organizations\u2019 (RTO) development and operation of markets to ensure that wholesale electric rates are \u201cjust and reasonable\u201d and not \u201cunduly discriminatory or preferential.\u201d To do so, FERC reviews and approves RTO market rules and monitors the competitiveness of RTO markets. Figure 5 indicates the location of major RTOs that have developed in certain regions of the United States.", "RTOs serve as grid operators by managing regional networks of electric transmission lines and also operate wholesale electricity markets to buy and sell services needed to maintain a reliable grid. These markets include capacity markets\u2014auctions through which owners of power plants can be compensated for agreeing to make their plants available to provide electricity at a specified time in the future\u2014designed to incentivize the building and retention of enough generation and other resources to meet future power demands; energy markets for scheduling which power plants will generate electricity throughout the day to maintain the balance of electricity generation and consumption, and at what prices; and ancillary services markets, which are designed to maintain electric reliability and ensure that supply and demand remain in balance from moment to moment so that grid operators can deliver electricity within technical standards, such as at the right voltage and frequency.", "RTOs are responsible for developing and implementing market rules, approved by FERC, that provide the framework for the design and operation of wholesale electricity markets. RTO market operations encompass multiple services that are needed to provide reliable and economically efficient electric service to customers. Each of these services has its own parameters and pricing. The RTOs use markets to determine the providers and prices for many of these services.", "In regions of the country without RTOs, electric utilities generally serve in the role of grid operator. In these regions, the local utility often integrates the delivery of electricity services\u2014energy to maintain the balance of electricity generation and consumption, capacity to meet demand, and a range of ancillary services. Utilities in these regions may build and operate power plants to provide electricity to serve their retail customers. These utilities may also buy electricity from other power plant owners."], "subsections": []}]}, {"section_title": "Energy Storage Can Be Used in Various Ways to Enhance the Reliability, Resilience, and Efficiency of Grid Operations", "paragraphs": ["Energy storage can be used in various ways to enhance the reliability, resilience, and efficiency of grid operations, according to studies we reviewed and stakeholders we interviewed. Storage can be deployed throughout the electricity system and act as a generation, transmission, distribution, or customer-sited asset to provide various services, address operational challenges and needs, and potentially reduce costs. For example, storage can help grid operators address supply disruptions, relieve transmission congestion during periods of high demand, defer the need for transmission or distribution system upgrades, and provide backup power during a power outage. Figure 6 illustrates examples of potential applications across the electricity grid.", "Energy storage can support the reliability of grid operations by helping grid operators respond to fluctuations in electricity supply resulting from the variability of renewable energy resources, such as solar or wind, or disruptions to the grid, such as the loss of a transmission line or a generating unit. Specifically, according to some studies we reviewed, the fast-ramping nature of some storage technologies that can change generation output quickly\u2014within a few seconds or minutes\u2014makes them suitable for addressing short-term changes in variable energy generation resources (referred to as variable resources) such as when the sun sets and output from solar resources quickly declines. Moreover, storage can provide ancillary services needed to maintain system reliability and support the transmission of electricity. Specifically, according to some studies we reviewed, storage can provide frequency regulation services\u2014which entail moment-to-moment reconciliation of the difference between supply and demand\u2014to maintain the stability of the system. The services that storage provides can be performed by traditional assets but because certain storage technologies are fast- ramping they can be better-suited to provide certain services, according to several studies we reviewed and stakeholders we interviewed.", "Systems with a large portion of generating capacity from variable resources can face reliability challenges because the intermittent nature of these sources can cause fluctuations in voltage and frequency, according to some studies we reviewed. Grid operators are adopting storage to support increasing use of renewable energy and address the associated challenges. For example, in 2017, San Diego Gas & Electric deployed a 30 MW energy storage facility at its Escondido substation to help improve regional reliability and support greater amounts of renewable energy in the region\u2019s energy supply (see fig. 7). According to San Diego Gas & Electric, the Escondido storage facility is helping to enhance grid reliability and increase the use of renewable energy; the facility is capable of the equivalent of serving 20,000 customers over a period of 4 hours.", "Similarly, in 2017, according to Tucson Electric Power documents, the utility installed two 10 MW battery storage projects to support its ability to achieve long-term renewable energy goals without compromising the reliability of service. According to representatives from the utility, the projects provide frequency control and voltage support and the deployment shortened the reaction time to system disruptions and supported the utility\u2019s compliance with reliability standards in its role as balancing authority.", "Storage can also provide services that support resilience by helping the grid adapt to changing conditions and potentially disruptive events and, if a disruptive event occurs, to rapidly recover, according to several studies we reviewed and stakeholders we interviewed. Specifically, in the event of an outage during which power sources or power lines become unavailable, storage can respond quickly to provide backup power or black start services\u2014the provision of the power necessary to restore a generation plant when power from the grid is unavailable during a major outage. In addition, storage can also support microgrids\u2014systems that can connect and disconnect from the grid depending on operating conditions\u2014that could maintain power for a small area independent of the grid. For example, in 2015 a Vermont utility installed a 4 MW energy storage system in conjunction with a 2.5 MW solar project at a school that serves as an emergency shelter. In case of grid failure or an extended emergency, the facility can separate from the rest of the grid and operate independently. In addition, in 2016 in Massachusetts, the Sterling Municipal Light Department installed a storage system that can isolate from the main grid in the event of a power outage and provide emergency backup power to the Sterling police station and dispatch center, a facility providing first responder services. In the event of an outage, the 2 MW storage system could provide the police station with up to 12 days of power, according to the utility.", "Storage also has the potential to improve efficiency of grid operations and help reduce operating costs, according to studies we reviewed and stakeholders we spoke with. For example, storage has the potential to reduce costs by capturing energy generated during low-cost periods to be used to meet demand later during more expensive periods, according to studies we reviewed. Specifically, energy time-shift, also referred to as arbitrage, involves utilities purchasing inexpensive electric energy, available during periods when prices or system marginal costs are low, to charge the storage system so that the stored energy can be used or sold at a later time when the price or costs are high. In addition, storage can help make the capacity of variable resources more consistent by storing electricity during periods of high generation, such as a sunny afternoon, and releasing it later during periods of high demand, such as the early evening. Moreover, storage can provide similar energy time-shift by storing excess energy production from renewable sources, which could otherwise be curtailed.", "Storage also has the potential to reduce costs by avoiding or delaying investments in infrastructure. Specifically, storage may be used to reduce the capacity demands on existing generation, transmission, and distribution infrastructure. As a result, according to many studies and stakeholders we interviewed, utilities may be able to avoid or delay investments in generation, transmission, and distribution infrastructure that would otherwise be necessary to maintain adequate supply. For example, in 2017, a utility that serves customers in Massachusetts announced plans to install a 6 MW energy storage system with an 8-hour duration alongside a new diesel generator on Nantucket Island to provide backup power and postpone the need to construct a costly submarine transmission cable to bring electricity from the mainland to meet anticipated growth in electricity demand. In some cases, an investment in a storage system could be a more cost-effective way to manage peak demand, and in such cases, utilities could reduce the need for operation of peaking resources or investment in new peaking resources, such as a natural gas plant.", "Additionally, according to many studies we reviewed and stakeholders we interviewed, storage can help customers reduce demand charges. Demand charges are fees included on electricity bills in many parts of the country to cover the cost of ensuring that sufficient generation and transmission resources are available to serve customers during periods of peak demand. Energy storage provides an opportunity for potential savings by helping a customer to manage their peak demand. Using storage can also allow some utilities to avoid charges that they might incur when purchasing wholesale electricity to serve their customers during a system\u2019s peak demand; this could allow them to pass savings on to their customers in the form of lower rates. For example, although the Sterling, Massachusetts, Municipal Light Department installed its storage system to provide emergency backup power, the primary benefits of the project since its installation have resulted from using it to reduce peak demand which has reduced the utility\u2019s transmission charges, and, in turn, has allowed it to reduce rates paid by its customers, according to utility representatives."], "subsections": []}, {"section_title": "Various Factors Affect the Deployment of Storage for Grid Operations, Including Industry and Technology Readiness, Cost- Competitiveness, and the Regulatory Environment", "paragraphs": ["Studies we reviewed and stakeholders we interviewed identified a variety of factors that affect energy storage deployment. These factors include industry and technology readiness, safety concerns and stringency of siting requirements, increasing use of renewable resources, the cost- competitiveness of storage and challenges with quantifying the value of storage, and the regulatory environment."], "subsections": [{"section_title": "Industry and Technology Readiness", "paragraphs": ["Grid operators and utilities have limited experience with storage and face technical challenges integrating storage into existing systems, according to studies we reviewed and stakeholders we spoke with. For example, according to some studies and stakeholders, grid operators may not have experience planning for the integration and operation of storage and they may not consider it as an option. The models that grid operators typically use to help make decisions about investments in generation, transmission and distribution infrastructure are based on traditional resources with better-understood capabilities. Moreover, storage can be more challenging to integrate than other resources, such as solar, because it changes its function in the system from charging\u2014consuming electricity\u2014 to discharging\u2014generating electricity, according to some stakeholders.", "Because storage must provide power when called upon but also must be recharged from another resource at a later time, tools that planners rely on must keep an accurate accounting of the amount of energy stored and available to supply power to meet demand. According to one stakeholder, installation of storage requires grid operators to develop operating requirements and identify control and mitigation strategies for proper coordination with larger grid operations. In addition, existing utility systems may not be designed to incorporate storage and may require customization to integrate storage, according to several stakeholders.", "Industry and technical challenges affecting deployment of storage include uncertainty about the performance of certain storage technologies over time and in various operating conditions. Energy storage systems generally are expected to last for a decade or more, but the actual degradation of battery storage under various conditions is still largely unknown, according to some studies we reviewed and stakeholders we spoke with. The electric utility industry has historically been slow to adopt new technologies and, unless new storage technologies prove highly reliable, utilities may be slow to deploy these assets, according to several studies we reviewed and stakeholders we spoke with."], "subsections": []}, {"section_title": "Safety Concerns and Stringency of Siting Requirements", "paragraphs": ["Although the adoption of storage has been increasing, safety codes and standards for storage are still under development, and questions have been raised about safety risks and how to mitigate those risks, according to studies we reviewed and stakeholders we interviewed. Efforts are under way to ensure that safety codes and standards address energy storage systems, but these types of standards tend to lag behind the development of storage technologies, according to some studies and stakeholders. Until existing codes and standards are updated, or new ones are developed and adopted, entities seeking to deploy energy storage or needing to verify a storage system\u2019s safety may face challenges with applying existing codes and standards, according to some studies we reviewed.", "In addition, concerns about the operational safety of large storage systems as a fire hazard can be a barrier to their deployment in urban areas or in proximity to other grid resources such as substations, and local entities such as fire departments may not allow the deployment of storage on certain sites. Moreover, local jurisdictions and emergency responders, along with storage system installers, insurers, and others may not have a complete understanding of the hazards associated with storage and best approaches to addressing these hazards, such as the appropriate fire protection measures, according to some studies and stakeholders. In addition, local entities\u2019 review of energy storage systems, for example, can add additional time to the permitting process, given that these entities may not be familiar with storage systems and potential safety concerns, according to some studies.", "On the other hand, in some locations siting requirements may be less stringent for some types of energy storage projects than for other resources such as a large power plant that must comply with more stringent environmental requirements, according to some studies and stakeholders. In some cases, according to some studies, the permitting process may be simpler for storage projects and construction timelines considerably shortened for a variety of reasons, including that energy storage systems do not need to complete modifications to comply with air quality standards because they do not produce emissions. In addition, certain storage projects require a much smaller footprint than conventional power plants, whereas building new power plants or transmission lines can involve large land requirements."], "subsections": []}, {"section_title": "Increasing Use of Renewable Resources", "paragraphs": ["As mentioned previously, storage can help address reliability issues associated with the variability of renewable energy generation resources making them attractive to grid operators. Consequently, the increased use of solar and other renewable energy resources has in turn encouraged the installation of storage, according to some studies we reviewed and stakeholders we interviewed. According to the Energy Information Administration, utility-scale solar installations grew at an average rate of 72 percent per year between 2010 and 2016, faster than any other generating technologies. Moreover, increasing use of these resources is expected to continue, which could drive the adoption of storage deployment in the future, according to some studies we reviewed and stakeholders we spoke with. The Energy Information Administration estimated in January 2018 that nearly half of the approximately 25 GW of new utility-scale electric generating capacity added to the grid in 2017 used renewable technologies, particularly wind and solar.", "Moreover, according to some studies and stakeholders, states with aggressive renewable portfolio standards\u2014such as Hawaii, which aims to achieve 100 percent renewable sources by 2045\u2014will need to adopt storage resources to meet those goals. In addition, California\u2019s renewables portfolio standard includes targets of 33 percent by 2020 and 50 percent by 2030. According to some stakeholders and documents we reviewed, California is experiencing excess solar and wind generation and curtailment at certain times of the day and year and, as the state moves toward a target of 50 percent renewables, storage could help address these challenges. According to some stakeholders we spoke with, long-duration technologies will support greater integration of renewable energy on the grid. As mentioned previously, pumped hydro and compressed air energy storage can provide long duration storage, and other technologies, including flow and lithium ion batteries, have the potential to provide for long duration storage, according to some studies we reviewed and stakeholders we spoke with."], "subsections": []}, {"section_title": "Cost-Competitiveness and Challenges with Quantifying the Value of Storage", "paragraphs": ["Grid operators\u2019 decisions to invest in energy storage must consider both costs and benefits. While the cost of some technologies has fallen in recent years, the cost of storage systems\u2014including all the system components, installation, and integration costs\u2014is still high when compared to more traditional resources available to electric utilities, according to many studies we reviewed and stakeholders we spoke with. On the other hand, the adoption of storage for certain purposes, such as supporting increased use of renewable resources or providing backup power, includes potential benefits such as reducing greenhouse gas and other harmful emissions, or enhancing the resilience of the grid.", "While the cost of lithium-ion batteries has declined in recent years, the storage device is one component of a storage system, and estimates of the device\u2019s share of the total cost of an energy storage system range from about 25 percent to 50 percent of the total costs, according to studies we reviewed. According to some stakeholders, the cost of the system components and other costs to integrate storage with the grid can be substantial and are not declining as quickly as the cost of storage devices. In addition to the cost of the storage device, other system component costs include power conversion electronics, software, and monitoring and control systems, among others, that are essential to maintain the health and safety of the entire system, according to some studies.", "Moreover, valuing investments in energy storage must consider both the cost and benefits, but assessing the potential benefits and costs of storage can prove challenging, according to several studies we reviewed and stakeholders we spoke with. These challenges identified in these studies and by these stakeholders include the following:", "Quantifying benefits. Benefits can be difficult to quantify, as they depend on the application, location, and ability to capture multiple benefits. Specifically, the compensation for services that storage can provide reflects local market conditions, and these vary across regions. In addition, the value of certain storage applications can be harder to quantify than for others. For example, if a utility is considering deployment of storage in order to defer an investment in a transmission and distribution infrastructure upgrade, then determining the value of the storage asset involves analyzing the avoided cost of that investment, which is quantifiable. However, it is more difficult to quantify the value of less tangible benefits of storage, such as improvements to operational flexibility and grid resilience, which are not monetized and therefore are difficult to quantify.", "Life expectancy. For certain storage technologies, much is still unknown about their useful life, which depends on the number of charge and discharge cycles, among other things. Reliable estimates of the expected life of an asset are necessary for accurately estimating lifecycle costs and benefits. Given the fact that battery technologies are evolving, the lack of data makes it more challenging for utilities to estimate expected costs and benefits to justify their investment expense.", "Limited information on cost. Sufficient information on the cost of storage systems is not readily available, limiting utilities\u2019 ability to include storage in modeling and investment decisions, according to some stakeholders. Energy storage price and cost data vary among sources because of aggregation to protect proprietary interests, which unit is chosen to present price and cost data, and limited information about how projects operate. Specifically, information on the operational conditions, specifications, and performance of energy storage systems is difficult to obtain. In addition, according to some studies we reviewed, uncertainty exists about the future cost outlook and pace of technological maturity."], "subsections": []}, {"section_title": "Regulatory Environment", "paragraphs": ["The regulatory environment can pose barriers to the deployment of energy storage. Specifically, market rules and regulations do not always clearly address whether entities may own and operate storage assets and how, if at all, the cost of investments in storage assets can be recovered, according to several studies we reviewed and stakeholders we interviewed. In addition, each RTO establishes the rules in a different way, and their implementation of reforms to accommodate storage varies, according to studies and documents we reviewed and stakeholders we spoke with. According to a FERC document, under current market rules, resource bidding parameters\u2014the physical and operational constraints that a resource identifies when submitting offers to sell services in electricity markets\u2014vary greatly among the RTOs. Moreover, state regulators and RTOs may be slow to change their policies and rules to address energy storage, and delays in such changes hinder deployment, according to some studies we reviewed.", "In RTO regions, some states do not allow utilities to own generation assets, and when storage is classified as a generation asset, an electric utility can be prevented from owning storage. Moreover, when market rules do not clearly define what type of asset they consider storage to be, this can make it difficult to determine whether storage can participate in the market or to receive compensation, making storage in that market financially unviable, according to some studies and stakeholders. One RTO, the California Independent System Operator (ISO), has established participation models to accommodate resources, such as storage, that are operationally unique. In addition, uncertainty exists about the ability of storage project owners to recover costs of storage used for multiple applications, according to documents and studies we reviewed and stakeholders we spoke with.", "Moreover, the variation in rules and regulations across regions makes it difficult for energy storage project developers to navigate different potential markets because each has its own characteristics, stakeholders, regulations, and market designs, according to some stakeholders. Storage project developers must keep abreast of the activities of multiple regulatory agencies and the variation by region makes potential revenue streams difficult to predict. In addition, according to one study we reviewed, the inconsistency of rules adds a level of complexity for project developers that want to deploy storage resources across multiple markets because they must conduct separate analyses to determine the regulatory outlook, market requirements, and profit potential in each region."], "subsections": []}]}, {"section_title": "Various Federal and State Policies and Other Efforts Aim to Encourage the Deployment of Energy Storage and Address Market Barriers", "paragraphs": ["Federal and state policymakers have used a variety of policies and other efforts to encourage the deployment of storage and address market barriers. For example, DOE has undertaken various efforts in response to several challenges to the deployment of storage, but funding to continue these efforts is uncertain. In addition, FERC has taken steps to address market barriers to storage deployment in wholesale markets but the final impact of these steps depends on implementation by RTOs. Moreover, the Department of the Treasury and the Internal Revenue Service (IRS) are considering changes that could clarify the eligibility of energy storage for a tax credit. Lastly, state policies and other efforts aim to encourage the deployment of energy storage or to address market barriers; these include establishing mandates and targets for storage adoption, revising interconnection rules and planning requirements, and offering financial incentives and funding."], "subsections": [{"section_title": "DOE Has Undertaken Various Efforts to Address Challenges Affecting Storage Deployment, but Funding to Continue these Efforts Is Uncertain", "paragraphs": ["According to documents we reviewed, DOE has undertaken various efforts in response to the challenges to deploying energy storage identified in a 2013 report, including challenges concerning the safety and reliability of such storage, its acceptance by industry, the regulatory environment, and cost-competitiveness.", "Efforts to Address Safety and Reliability Challenges. In 2017, DOE developed, through its Pacific Northwest National Laboratory (PNNL) and Sandia National Laboratories, the DOE safety roadmap, which established a goal to foster confidence in the safety and reliability of energy storage systems. The roadmap built on previous efforts including an Energy Storage Safety Forum that Sandia held in 2017 for stakeholders to share information and identify future needs. The objectives of the roadmap include research and development, codes and standards, and collaborative resources with a focus on electrical safety, fire and smoke hazard detection and mitigation, health and environmental hazards, natural and man-made disasters, ventilation and thermal management, and system controls. The roadmap aims to cover the development of energy storage systems through their decommissioning or refurbishment and includes design, installation, commissioning, operation and maintenance, repair, decommissioning, and reuse.", "DOE has also supported efforts to develop and deploy energy storage safety codes with industry groups, according to documents we reviewed. For example, DOE established working groups focused on safety and standards, including the Energy Storage Systems Safety Working Group, which aims to facilitate the timely development and deployment of safe energy storage systems by implementing the DOE safety roadmap through collaboration with stakeholders. In addition, as part of these efforts, a DOE working group on codes, standards, and regulations monitors the development of standards and model codes and provides input to those activities. Additionally, DOE coordinates with industry-led and international code-setting agencies such as the National Fire Protection Association and the International Code Council, as well as companies that conduct testing. In addition, PNNL published several resources including an inventory of codes and standards, an overview of the development and deployment of codes and standards, and a compliance guide. The compliance guide prepared by PNNL and Sandia, which includes safety codes and standards, aims to facilitate the timely deployment of storage systems and assist with documenting compliance with current safety- related codes and standards and verifying compliance with codes and standards.", "Efforts to Support Industry Acceptance. DOE has provided technical assistance and funded demonstration projects to help utilities and other entities install, procure, and evaluate storage projects, according to documents we reviewed. For example, DOE provided funding and technical support in the deployment of a storage project at an emergency shelter in Vermont that can separate from the rest of the grid and operate independently in case of an emergency. DOE also supported the development of documentation and tools to assist utilities in the design, deployment, and operation of energy storage systems including valuation models, procurement guidelines, commissioning procedures, and data acquisition guidelines. In addition, Sandia published guidance to provide information for municipalities on the elements that should be included in a solicitation for procurement and installation of an energy storage project and a handbook to provide information and tools to guide investors\u2019 evaluations of energy storage opportunities. DOE has a proposal under way for a study to gather pricing information for energy storage technologies that will be used as part of future updates to the handbook. DOE also held a financial summit in June 2017 to provide information to the financial community on solicitations and contracts. In addition, to evaluate storage projects, DOE and the Washington Department of Commerce established a memorandum of understanding to have PNNL characterize and analyze the technical and economic attributes of storage projects. DOE also supports new deployments through funding, including the Grid Modernization Laboratory Consortium awards aimed at integrating conventional and renewable sources with energy storage.", "Provide Technical Assistance to Regulators. According to documents we reviewed, DOE has hosted workshops and provided technical assistance for several state public utility commissions and other entities aimed at providing them with information on storage technology development, project procurement, and valuation. In addition, in 2012 Sandia developed guidance for state regulatory authorities and planning personnel to provide information about opportunities for energy storage to play a greater role in the electricity grid.", "Research and Development to Improve Cost-Competitiveness.", "DOE\u2019s Energy Storage Program\u2019s research and development activities focus on improving materials and system factors that affect the cost, efficiency, and capacity of certain energy storage technologies, including flow batteries. DOE\u2019s fiscal year 2018 budget request includes a performance goal to improve the cost- benefit ratio of storage to compete with current peak generation resources and, by 2020, increase to 5 percent the commercial use of grid-scale storage to buffer renewables.", "A DOE advisory committee in 2016 conducted an assessment of DOE\u2019s energy storage-related research, development, and deployment programs that produced 15 recommendations. The recommendations included, among others, improving the visibility of DOE\u2019s efforts; addressing the need for storage models and studies of market impediments; and providing additional funding and resources for energy storage research, development, and deployment programs.", "While DOE has undertaken a range of efforts over the past several years to address challenges to deployment, future funding of these efforts is uncertain. In 2017, DOE allocated $31 million to work on energy storage within its Office of Electricity Delivery and Energy Reliability. DOE\u2019s fiscal year 2018 budget request proposed reducing this funding by about 74 percent, to $8 million, and proposed eliminating, among other efforts, work related to engagements with states, utilities, and storage providers for conducting tests and trials; engagements with state and federal regulatory officials on efforts to understand regional market barriers to deployment; validation of system performance and analysis of regional use cases; support to states and regional entities for the procurement, commissioning, and analysis of deployed systems; the development of enhanced tools and data for sharing with industry for the development and use of grid-scale batteries; and participation in both industry-led and international codes and standards development.", "Because fiscal year funding through March was provided under continuing resolutions, energy storage funding remained on par with fiscal year 2017 levels for the first half of the fiscal year, and the Consolidated Appropriations Act, 2018, increased funding for energy storage to $41 million. However, DOE\u2019s fiscal year 2019 budget request again proposes reducing the funding for energy storage work to $8 million. According to DOE\u2019s fiscal year 2019 budget request, DOE plans to focus on accelerating the development of new materials and technologies that can lead to improvements in the cost and performance of utility-scale energy storage systems and accelerate the adoption of energy storage systems into the grid infrastructure."], "subsections": []}, {"section_title": "FERC Has Taken Steps to Address Market Barriers to Storage Deployment, but the Final Impact of these Efforts Depends on Implementation by RTOs", "paragraphs": ["FERC has taken several steps to address market barriers to energy storage deployment, but the impact of these efforts will depend on implementation by RTOs. In March 2018, FERC published a final rule that aims to address barriers to integrating storage into organized wholesale markets. The rule requires that RTOs establish participation models consisting of market rules that recognize the physical and operational characteristics of electric storage resources to facilitate their participation in the RTO markets. In prior years, FERC issued several orders that also aimed to address barriers to storage participation in organized wholesale electric markets. For example, FERC Order 792\u2014issued in 2013\u2014revised the definition of a small generating facility in the pro forma Small Generator Interconnection Agreement\u2014which establishes the terms and conditions for interconnection of resources no larger than 20 MW\u2014to specifically include energy storage devices. In addition, FERC Order 755\u2014issued in 2011\u2014required RTOs to compensate frequency regulation resources in a manner that acknowledges the performance of faster-ramping resources, such as batteries and flywheels.", "Additionally, in May 2018, FERC published a final rule that revised the definition of a generating facility in the pro forma Large Generator Interconnection Procedures and pro forma Large Generator Interconnection Agreement\u2014which establishes the terms and conditions for interconnection of resources larger than 20 MW\u2014to explicitly include electric storage resources. FERC also published guidance in February 2017 on the ability of electric storage resources to provide transmission or grid support services at cost-based rates, while providing other electric storage services, such as power sales, at market-based rates.", "According to some studies we reviewed and stakeholders we spoke with, FERC orders have helped alleviate some of the barriers to storage participation in wholesale markets, but the impact of these orders depends on RTO implementation. Moreover, RTO implementation of FERC\u2019s requirement to establish participation models to accommodate storage may not occur until the end of 2019 or later. Figure 8 shows the timeline of key FERC efforts that aim to address market barriers to the deployment of storage and time frames for implementation from November 2016 through 2019.", "According to FERC\u2019s final rule, RTO implementation of the requirement to establish participation models could take 21 months from the publication of the final rule. RTOs will need to develop the participation models, obtain input through their stakeholder review processes, and may need to update modeling and dispatch software."], "subsections": []}, {"section_title": "IRS May Revise Regulations to Clarify the Eligibility of Storage for a Tax Credit", "paragraphs": ["Treasury and the IRS are considering changes that could clarify the eligibility of energy storage for a business tax credit under section 48 of the Internal Revenue Code, according to IRS documents. Currently, customers who install storage systems may be eligible for this tax credit when they use the storage system to store energy from renewable energy systems more than 75 percent of the time; however, at this time there is no federal tax incentive for stand-alone storage. Since 2011, the IRS has issued some written determinations that the storage portion of a renewable energy system would be eligible for the credit. However, only the specific taxpayer addressed by a determination can rely on it as precedent.", "In October 2015, Treasury and IRS solicited comments from the public on how to define certain types of property that qualify for this tax credit, including whether property such as storage devices may also be considered energy property. According to IRS documents, comments filed in response requested revisions to the tax credit that include, among other things, providing a technology-neutral definition of energy storage property, providing a specific list of types of energy storage property that qualify for the credit, and determining that storage is eligible for the credit on a stand-alone basis. According to some stakeholders we interviewed, the requirement for storage to be paired with renewable energy to obtain the tax credit is limiting because there are other potential applications and benefits storage can provide to the grid that are unrelated to renewable energy integration. Additionally, one stakeholder we spoke with said that regions with relatively small renewable energy resource capacities are unable to receive federal support for energy storage, even though it may benefit their grid."], "subsections": []}, {"section_title": "State Policies and Other Efforts Include Mandates and Targets, Revision of Rules and Planning Requirements, and Financial Incentives and Funding", "paragraphs": ["Through interviews with stakeholders and our review of documents, we identified examples of state policies and other efforts that have encouraged the deployment of energy storage or aim to address market barriers. Appendix I includes a detailed list of state policies and other efforts encouraging deployment of energy storage we identified. In summary, these policies and other efforts include: Mandates and Targets. Several states have established or proposed mandates or targets that require or encourage electric utilities to procure a specific amount of energy storage capacity. States have taken a range of approaches to implementing these mandates and targets. For example:", "The California Public Utilities Commission requires investor-owned utilities to collectively procure 1.3 GW of energy storage by 2020.", "Oregon is in the process of implementing a requirement for certain utilities serving more than 25,000 retail customers to procure energy storage systems with at least 5 megawatt hours of energy storage capacity by January 1, 2020.", "The Massachusetts Department of Energy Resources adopted a 200 megawatt-hour energy storage target for electric distribution companies to collectively meet by January 2020.", "In November 2017, New York State enacted legislation requiring the state public service commission to adopt an energy storage target. In January 2018, the Governor of New York announced an energy storage goal of 1.5 GW by 2025.", "A number of other states are also considering the adoption of targets for storage capacity in the state.", "Mandates and targets that require or encourage utilities to procure energy storage can help create certainty in the market for energy storage by assuring that there is a demand for storage, according to some stakeholders we interviewed. Additionally, according to one document we reviewed, mandates and targets may impact deployment by encouraging the development of model regulatory frameworks that serve as examples to other states. States with storage mandates and targets may also serve as case studies to demonstrate the impact of energy storage deployment on a large scale and provide the industry with operational experience, examples of how to best integrate storage, and opportunities to evaluate storage.", "Changes to Interconnection Rules. Some states have changed or are considering changes to interconnection rules to account for energy storage. States are taking a number of approaches to revising interconnection rules. For example: In 2015, Hawaii\u2019s Public Utility Commission made changes to interconnection standards and energy policies to provide for the interconnection of energy storage to the grid.", "The Arizona Corporation Commission is developing statewide interconnection rules for distributed generation. Draft rules include interconnection requirements for energy storage systems and Commission officials told us that stakeholders are debating the scope and nature of those requirements.", "Planning. Some states allow for the inclusion of energy storage in integrated resource and transmission planning processes; grid operators and utilities undertake these planning processes to ensure that the grid infrastructure has sufficient capacity and grid operators are able to meet future power demands. For example:", "The New Mexico Public Utility Commission\u2019s integrated resource planning rules require investor-owned utilities to evaluate all feasible energy resources as part of their resource planning process. When the Commission\u2019s integrated resource planning rules were originally implemented, energy storage was not commercially feasible; however, the state commission recently amended these rules to include energy storage as a resource in planning.", "The Oregon Public Utility Commission directed Portland General Electric to address energy storage in its future integrated resource plans.", "Washington\u2019s Utilities and Transportation Commission directs utilities to demonstrate that, when considering a new resource acquisition, their analysis should include an evaluation of the costs and benefits of a storage alternative. The Commission also directs utilities procuring resources to issue requests for proposals that are technology neutral, allowing energy storage to bid.", "Several states are also incorporating storage into broader energy planning efforts, including conducting research to identify the benefits of and opportunities for storage in the state. For example:", "North Carolina passed legislation directing the North Carolina Policy Collaboratory, at the University of North Carolina, to conduct a study on energy storage to address how and if storage may benefit consumers, the feasibility of storage in the state, and policy recommendations.", "Massachusetts has also undertaken a number of efforts including launching the Energy Storage Initiative, an initiative administered by the Massachusetts Department of Energy Resources and the Massachusetts Clean Energy Center to facilitate the deployment of storage and provide environmental and ratepayer benefits. As part of this initiative the 2016 State of Charge report was released and, among other things, identified barriers to energy storage adoption in the state and made recommendations to increase deployment of storage, setting a target of 600 MW of energy storage capacity by 2025.", "Financial Incentives and Funding. Several states offer financial incentives including tax credits, tax exemptions, and rebate programs that encourage the deployment of residential, commercial and industrial energy storage systems by offsetting costs. For example:", "California\u2019s Self Generation Incentive Program\u2014designed to help reduce emissions, demand, and customer electricity costs\u2014provides rebates to support existing, new, and emerging distributed energy resources installed on the customer\u2019s side of the utility meter. This program is open to many different technologies, but according to the California Public Utilities Commission, the largest share of funding is allotted for energy storage projects.", "In 2017, Maryland established a state tax credit for a percentage of certain installed costs of energy storage systems on residential and commercial property.", "Legislation has also been proposed in New York that would create a state tax credit for residential energy storage systems equal to 25 percent of costs up to $7,000.", "A number of states offer funding for energy storage pilot and demonstration projects. For example:", "Massachusetts launched a $20 million grant program to pilot energy storage use cases to increase deployment of storage.", "The Washington Clean Energy Fund supports demonstration projects, including projects at utilities working with the Pacific Northwest National Laboratory to support understanding approaches to integrate and optimize storage control systems and development of a framework for evaluating the technical and financial benefits of storage.", "In addition to the efforts described above, we found that several states have proposed or undertaken a range of other efforts that may encourage the deployment of energy storage or address market barriers. For example, the Arizona Corporation Commission required two electric utilities to develop residential battery storage programs in order to lower customers\u2019 energy use during peak demand. In addition, Maryland\u2019s Public Service Commission initiated a grid modernization rulemaking that, among other things, will define residential energy storage, determine a classification for storage in the Commission\u2019s rules, and create criteria to evaluate storage investments. Similarly, state legislation directs Oregon\u2019s Public Utility Commission to create a framework for utilities to use when conducting storage evaluations. Moreover, the California Public Utility Commission has approved rules that increase the ways for energy storage systems to obtain revenue for multiple uses, or grid services, for example, from frequency regulation, capacity, or other services."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOE, FERC, and IRS for review and comment. In its comments, reproduced in appendix II, FERC generally agreed with our findings. DOE and FERC provided technical comments which we incorporated as appropriate. IRS did not provide written or technical comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, the Chairman of FERC, the Commissioner of IRS, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: State Policies and Other Efforts Encouraging Deployment of Energy Storage", "paragraphs": ["Through interviews with stakeholders and our review of documents, we identified examples of policies and other efforts that have encouraged the deployment of energy storage or aim to address market barriers, including the establishment of mandates and targets for storage adoption, the revision of interconnection rules and planning requirements, financial incentives, and funding. Table 1 describes examples of a range of state policies and other efforts that may encourage the deployment of energy storage."], "subsections": []}, {"section_title": "Appendix II: Comments from the Federal Energy Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Frank Rusco, (202) 512-3841 or ruscof@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karla Springer (Assistant Director), Antoinette Capaccio, Janice Ceperich (Analyst-in-Charge), Philip Farah, Kristen Farole, Paul Kazemersky, and Daniel Kojetin made key contributions to this report. Also contributing to this report were Tara Congdon, R. Scott Fletcher, Cindy Gilbert, and Dan C. Royer."], "subsections": []}]}], "fastfact": ["Supplying electricity requires power plant operators to instantaneously and precisely match output to varying demand. Technologies like batteries and flywheels can store one form of energy and then transform it to generate power as needed.", "For example, interviews with government and industry officials and our review of studies indicated that energy storage can help:", "Address supply disruptions", "Provide peaking capacity", "Defer the need for transmission or distribution system upgrades", "Provide backup power during an outage", "The federal government and states are taking steps to reduce technological and market barriers to energy storage deployment."]} {"id": "GAO-18-608", "url": "https://www.gao.gov/products/GAO-18-608", "title": "Nonimmigrant Visas: Outcomes of Applications and Changes in Response to 2017 Executive Actions", "published_date": "2018-08-07T00:00:00", "released_date": "2018-08-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Previous attempted and successful terrorist attacks against the United States have raised questions about the security of the U.S. government's process for adjudicating NIVs, which are issued to foreign nationals, such as tourists, business visitors, and students, seeking temporary admission into the United States. For example, the December 2015 shootings in San Bernardino, California, led to concerns about NIV screening and vetting processes because one of the attackers was admitted into the United States under a NIV. In 2017, the President issued executive actions directing agencies to improve visa screening and vetting, and establishing nationality-based visa entry restrictions, which the Supreme Court upheld in June 2018.", "GAO was asked to review NIV screening and vetting. This report examines (1) outcomes and characteristics of adjudicated NIV applications from fiscal years 2012 through 2017, and (2) key changes made to the NIV adjudication process in response to executive actions taken in 2017.", "GAO analyzed State NIV adjudication data for fiscal years 2012 through 2017, the most recent and complete data available. GAO visited seven consular posts selected based on visa workload and other factors. GAO reviewed relevant executive orders and proclamations, and documents related to implementing these actions.", "This is a public version of a sensitive report issued in June 2018. Information that DHS, State, and the Office of the Director of National Intelligence deemed sensitive has been removed."]}, {"section_title": "What GAO Found", "paragraphs": ["The total number of nonimmigrant visa (NIV) applications that Department of State (State) consular officers adjudicated annually peaked at about 13.4 million in fiscal year 2016, and decreased by about 880,000 adjudications in fiscal year 2017. NIV adjudications varied by visa group, country of nationality, and refusal reason:", "Visa group. From fiscal years 2012 through 2017, about 80 percent of NIV adjudications were for tourists and business visitors. During this time, adjudications for temporary workers increased by about 50 percent and decreased for students and exchange visitors by about 2 percent.", "Country of nationality. In fiscal year 2017, more than half of all NIV adjudications were for applicants of six countries of nationality: China (2.02 million, or 16 percent), Mexico (1.75 million, or 14 percent), India (1.28 million, or 10 percent), Brazil (670,000, or 5 percent), Colombia (460,000, or 4 percent), and Argentina (370,000, or 3 percent).", "Refusal reason. State data indicate that over this time period, 18 percent of adjudicated applications were refused; more than 90 percent were because the applicant did not qualify for the visa sought, and a small percentage (0.05 percent) were due to terrorism and security-related concerns.", "In 2017, two executive orders and a proclamation issued by the President required, among other actions, visa entry restrictions for nationals of certain listed countries of concern, the development of uniform baseline screening and vetting standards, and changes to NIV screening and vetting procedures.", "GAO's analysis of State data indicates that, out of the nearly 2.8 million NIV applications refused in fiscal year 2017, 1,338 applications were refused due to visa entry restrictions implemented per the executive actions.", "State, the Department of Homeland Security (DHS), and others developed standards for screening and vetting by the U.S. government for all immigration benefits, such as for the requirement for applicants to undergo certain security checks.", "Further, State sought and received emergency approval from the Office of Management and Budget in May 2017 to develop a new form to collect additional information from some visa applicants, such as email addresses and social media handles."]}], "report": [{"section_title": "Letter", "paragraphs": ["Key Visa Adjudication Process Terms Screening: Reviewing visa application information for matches to derogatory information in relevant databases. Vetting: Researching and investigating screened applicants with possible matches in those databases or based on other criteria. had been fragmented across several U.S. government databases. Federal agencies have reported that they have taken actions to address these weaknesses in the security of the NIV process. Further, recent events have also highlighted the increased threat of one group of high- risk individuals, namely foreign fighters\u2014individuals who leave home, travel abroad to terrorist safe havens, and join or assist violent extremist groups. Beginning in calendar year 2017, the President issued executive actions aimed at improving the screening and vetting protocols and procedures associated with the visa issuance process, including the imposition of visa entry restrictions for certain categories of foreign nationals from designated countries.", "The Department of State (State) is responsible for the adjudication of NIV applications, and manages the application process at U.S. embassies and consulates overseas in coordination with several departments and agencies. In deciding to issue a visa, State\u2019s consular officers are on the front line of defense in protecting the United States against potential terrorists and others whose entry would likely be harmful to U.S. national interests. Consular officers must balance this security responsibility against the need to facilitate legitimate travel. Since its establishment, the Department of Homeland Security (DHS) has had authority to issue regulations with respect to the issuance and refusal of visas. Other federal entities, such as the Office of the Director of National Intelligence\u2019s (ODNI) National Counterterrorism Center (NCTC) and the Department of Justice\u2019s (DOJ) Federal Bureau of Investigation (FBI), also contribute to the NIV screening and vetting process by providing intelligence and information against which applicants are screened, among other activities.", "In light of continued concerns about the security of the visa process, you asked us to review the NIV screening and vetting process. This report is a public version of a sensitive report that we issued in June 2018. Our June 2018 report addressed three objectives, including one describing NIV screening and vetting processes. DHS, ODNI, and State deemed some of the information in that report to be Sensitive But Unclassified, Law Enforcement Sensitive, or For Official Use Only, which must be protected from public disclosure. Although such sensitive information appeared throughout the report, the objective on NIV screening and vetting processes was predominately based on sensitive information. Consequently, this version only includes information on objectives (1) outcomes and characteristics of adjudicated NIV applications from fiscal years 2012 through 2017, and (2) key changes to the NIV screening and vetting process in response to executive actions taken in calendar year 2017 and related guidance.", "To identify outcomes and characteristics of adjudicated NIV applications from fiscal years 2012 through 2017, we analyzed State NIV data for fiscal years 2012 through 2017\u2014the most recently available full year data. The data fields we analyzed included month and year of adjudication; type of NIV; location of application; applicant nationality; outcome of application (e.g., issuance and refusal); and, if applicable, reason for refusal. To assess the reliability of these data, we interviewed State officials who use and maintain the data and checked the data for missing information, outliers, and obvious errors, among other actions. On the basis of these steps, we determined that the data were sufficiently reliable for the purposes of our reporting objectives, including providing summary statistics on NIV adjudications, issuances, and refusal reasons.", "To assist in our analysis of NIV data, we placed the majority of NIVs into one of seven groups (e.g., tourists and business visitors). We developed the seven groups of related NIVs based on the purpose of the NIV and its eligibility criteria as defined in statute and as described by State and DHS documentation, among other factors. Similarly, to assist in our analysis of the grounds upon which NIVs were refused, we grouped the grounds for refusal into one of seven categories (e.g., immigration-related ineligibility). We developed the seven categories based on the reason for refusal as described in statute and in State documentation. We shared our NIV groups and refusal categories with State officials, who stated that our categories were generally appropriate for the analysis we conducted.", "To identify key changes to the NIV screening and vetting process in response to executive actions taken in calendar year 2017 and related guidance, we reviewed executive actions taken in calendar year 2017 relevant to NIV screening and vetting, including Executive Order 13769, Executive Order 13780, and Presidential Proclamation 9645. We also reviewed State and DHS guidance, the Immigration and Nationality Act (INA), standard operating procedures, and documentation related to implementing requirements in the executive actions, and we interviewed State and DHS headquarters officials on their efforts to implement these requirements. We conducted site visits to seven consular posts to observe NIV screening and vetting operations and interview State, DHS, and DOJ officials implementing the new requirements from March through May 2017. We selected these posts on the basis of their relatively high visa workloads; State and DHS data on the percentage of NIV applicants that potentially matched to derogatory information in fiscal year 2016; and geographic distribution to help account for variations in visa applicant populations and potential threats that consular officials encounter in different locations. Further, we visited posts that also had DHS\u2019s Visa Security Program, which provides an additional level of NIV screening and vetting by deploying agents to certain posts overseas to work with consular officers and review NIV applications. Our observations from these site visits are illustrative and provide insights about NIV operations, but are not generalizable to all posts. Further, we analyzed State\u2019s fiscal year 2017 NIV adjudication and refusal data to identify NIV applications that were refused solely due to visa entry restrictions implemented in accordance with the executive actions.", "The performance audit upon which this report is based was conducted from November 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DHS, ODNI, and State from June to August 2018 to prepare this nonsensitive version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Roles and Responsibilities", "paragraphs": ["Several U.S. agencies have roles and responsibilities related to the screening and vetting of NIV applicants, as shown in table 1.", "Key Visa Adjudication Process Terms Validity period: The length of time during which a nonimmigrant visa (NIV) is valid for use by a foreign national seeking to travel to a U.S. port of entry and apply for admission into the United States. Entries: The number of applications for admission into the country permitted under a single NIV. Reciprocity arrangements: An understanding or arrangement between the U.S. government and another country on the length of time visas issued by either or both nations are valid for admission.", "There are many NIVs, and for the purposes of this report, we have placed the majority of NIVs into one of seven groups, as shown in table 2. The validity period and number of entries varies depending on (1) the particular NIV and (2) reciprocity arrangement with an individual\u2019s country of nationality, among other factors. For example, a foreign national of one country may be issued a tourist visa valid for 1 year that allows for a single U.S. entry, while a foreign national of another country may be issued a tourist visa valid for 5 years and that permits multiple entries. However, the authorized period of stay\u2014that is, the amount of time that the nonimmigrant is permitted to remain in the United States after being admitted\u2014has no relation to the validity period. For more information on the various NIVs, see appendix I."], "subsections": []}, {"section_title": "NIV Adjudication Process", "paragraphs": ["State is generally responsible for the adjudication of NIV applications, and manages the NIV application process, including the consular officer corps and its functions at more than 220 visa-issuing posts overseas. Depending on various factors, such as the particular NIV sought, the applicant\u2019s background, and visa demand, State officials noted that the length of the visa adjudication process can vary from a single day to months. This screening and vetting process for determining who will be issued or refused a visa contains several steps, as shown in figure 1:", "Petitions. Prior to State\u2019s adjudication process, some NIVs require applicants to first obtain an approved petition from U.S. Citizenship and Immigration Services (USCIS), as shown in table 3. For example, applicants seeking an employment-based NIV or a U.S. citizen\u2019s foreign national fianc\u00e9(e) seeking U.S. entry to conclude a valid marriage, must obtain an approved petition from USCIS prior to applying for their NIV. The petitioner (i.e., a U.S. citizen, organization or business entity) completes the petition on behalf of the applicant (i.e., the beneficiary), and the petition would be submitted to a U.S.-based USCIS service center for adjudication.", "USCIS Background Checks. As part of the adjudication process for visas requiring a USCIS-approved petition before the NIV application is submitted to State, USCIS conducts background checks on U.S.- based petitioners and foreign beneficiaries. For example, petitioner and beneficiary information is screened against TECS\u2014DHS\u2019s principal law enforcement and antiterrorism database that includes enforcement, inspection, and operational records. Further, for U.S. citizens petitioning for a K-1 visa on behalf of their fianc\u00e9(e), an FBI fingerprint check may also be required of the U.S. citizen petitioner. If the background checks identify a potential match to derogatory information, the background check unit at the USCIS service center that received the petition is to conduct further research to confirm the match, such as running checks against other government systems and collaborating with other government agencies. If all background check hits have been resolved and documented, and there is no reason not to proceed, USCIS will adjudicate the petition. In fiscal year 2017, USCIS reported that it received about 640,000 petitions for NIVs, and approved over 550,000.", "NIV Application. After having obtained USCIS approval of the NIV petition, as applicable, the foreign national begins the consular process by completing an online NIV application, known as a DS-160. Upon submitting an application, the applicant can schedule an interview at a post overseas and pays the processing fee.", "Key Visa Adjudication Process Terms Inadmissible: Individuals are inadmissible to the United States if they fall within the classes of foreign nationals defined as such under the Immigration and Nationality Act (INA), as amended, Pub. L. No. 82-414, tit. II, ch. 2, \u00a7 212(a), 66 Stat. 163, 182-87 (1952) (classified, as amended, at 8 U.S.C. \u00a7 1182(a)), such as foreign nationals who have engaged in terrorist or criminal activities or previously violated U.S. immigration law. If a visa applicant is found inadmissible, and has not obtained a waiver from the Department of Homeland Security, the applicant would be statutorily ineligible for a visa. Ineligible: An individual is ineligible for a visa if it appears to the Department of State consular officer, based on the application or supporting documentation, that the applicant is not qualified to receive a visa under any provision of law. If the consular officer decides that an applicant is ineligible for visa issuance, the refusal may be based on statutory grounds of inadmissibility under INA \u00a7 212(a), or may be due to the individual\u2019s failure to otherwise satisfy the applicable eligibility requirements for the particular visa, as defined in the INA. For example, a consular officer may refuse a J-1 exchange visitor visa to an applicant coming to the United States to perform services as a member of the medical profession if the applicant does not either demonstrate competency in oral and written English or hold a degree from an accredited school of medicine, as required of such visa applicants under INA \u00a7 212(j). eligibility concerns related to visa applicants. Prior to adjudicating the visa application, consular officers must review all such security check results. Some applicants are not subjected to all of the security checks depending on certain characteristics, such as age and visa category. For example, State does not generally require that fingerprints be collected for applicants who are either under 14 years old or over 79 years old, or for foreign government officials seeking certain visas.", "As needed, some applicants undergo an interagency review process called a security advisory opinion (SAO), which is a multi-agency, U.S-based review process for certain NIV applicants. For example, SAOs are mandatory in cases of certain security check hits, a foreign national\u2019s background, or a foreign national\u2019s intention while in the United States. In addition, consular officers have the discretion to request an SAO for any visa applicant. Through the SAO process, consular officers send additional information on applicants to U.S.- based agencies, who review that information against their holdings. Department of State data indicate that consular officers made over 180,000 requests for SAOs for NIV applicants in fiscal year 2017.", "Adjudication. If the consular officer determines that the applicant is eligible for the visa on the basis of the application, supporting documentation, and other relevant information such as statements made in an interview, he or she will take the applicant\u2019s passport for final processing, but the visa cannot be printed until all security checks have been returned and reviewed. If the consular officer determines that the applicant is inadmissible to the United States or otherwise ineligible under the applicable visa eligibility criteria, he or she informs the applicant that the visa has been refused, and identifies the provision(s) of law under which the visa was refused.", "Recurrent vetting. In March 2010, shortly after the December 2009 attempted bombing by a foreign national traveling to the United States on a valid visa, CBP began vetting individuals with NIVs on a recurrent basis. This program has led State to revoke visas after they have been issued when information was later discovered that rendered the individual inadmissible to the United States or otherwise ineligible for the visa. In addition, CBP analysts may take other actions as needed after identifying new derogatory information, such as recommending that the airline deny boarding to the traveler because the traveler is likely to be deemed inadmissible upon arrival in the United States (known as a no-board recommendation) or making a referral to ICE, which may seek to remove the individual if already within the United States. According to NCTC, KFE also conducts recurrent vetting of NIV holders against emerging threat information."], "subsections": []}]}, {"section_title": "Number of NIV Adjudications and Refusal Rates Increased Through Fiscal Year 2016, and Declined in Fiscal Year 2017; NIV Application Characteristics Vary", "paragraphs": [], "subsections": [{"section_title": "Number of NIV Applications Adjudicated Increased Annually from Fiscal Years 2012 through 2016 and Declined in Fiscal Year 2017", "paragraphs": ["The total number of NIV applications that consular officers adjudicated annually (or, NIV adjudications) peaked at about 13.4 million in fiscal year 2016, which was an increase of approximately 30 percent since fiscal year 2012. In fiscal year 2017, NIV adjudications decreased by about 880,000 adjudications, or about 7 percent. Figure 2 shows the number of applications adjudicated each year from fiscal year 2012 through 2017. Appendix II includes additional data on NIV adjudications related to this and the other figures in this report.", "Annual Monthly Trends. State data from fiscal years 2012 through 2016 indicate that NIV adjudications generally followed an annual cycle, ebbing during certain months during the fiscal year; however, adjudications in fiscal year 2017 departed slightly from this trend. Specifically, from fiscal years 2012 through 2016, the number of NIV adjudications typically peaked in the summer months. State officials noted that the summer peak is generally due to international students who are applying for their visas for the coming academic year. However, in fiscal year 2017, the summer months did not experience a similar increase from previous months, departing from the trend over the previous five fiscal years, according to State data. Instead, NIV adjudications peaked in December of fiscal year 2017. State officials attributed some of the decline in fiscal year 2017 to a decrease in Chinese NIV applicants, which we discuss later in this report. Figure 3 shows monthly NIV adjudications for fiscal years 2012 through 2017."], "subsections": []}, {"section_title": "Most NIV Adjudications from Fiscal Years 2012 through 2017 Were for Tourist and Business Visitor Visas, and Approximately Half of All Applicants Came from Six Countries", "paragraphs": ["State data on NIV applications adjudicated from fiscal years 2012 through 2017 indicate that the number of adjudications by visa group, applicant\u2019s country of nationality, and location of adjudication were generally consistent, with some exceptions.", "Visa Group. From fiscal years 2012 through 2017, about 80 percent of NIV adjudications were for tourist and business visitors as shown in figure 4. The next largest groups were visas for students and exchange visitors and temporary workers, which accounted for an average of 9 percent and 6 percent, respectively, of all adjudications during this time period.", "Although adjudications for visas in some categories increased, others decreased over time. For example, as shown in figure 5, NIV adjudications for temporary workers increased by approximately 50 percent from fiscal years 2012 through 2017 (592,000 to 885,000). During the same time period, adjudications for tourist and business visitors also increased by approximately 20 percent overall (from 8.18 million to 9.97 million), but decreased from fiscal years 2016 to 2017. However, NIV adjudications for student and exchange visitor visas decreased by about 2 percent from fiscal years 2012 through 2017 (1.01 million to 993,000) overall, but experienced a peak in fiscal year 2015 of 1.2 million. Appendix I includes additional information on NIV adjudication by visa group from fiscal years 2012 through 2017.", "State officials identified reasons to explain these trends:", "Temporary Workers. Although there was an increase in adjudications across all types of temporary worker visas, the largest percentage increase was for H-2A visas, which are for foreign workers seeking to perform agricultural services of a temporary or seasonal nature. Specifically, adjudications of H-2A visas increased by 140 percent from fiscal years 2012 to 2017 (from about 71,000 to 170,000). State officials noted that H-2A visas are not numerically limited by statute. Further, State officials stated that they believe U.S. employers are increasingly less likely to hire workers without lawful status and are petitioning for lawfully admitted workers, which in part led to an increase in H-2A visa demand.", "Tourist and Business Visitors. State officials partly attributed the overall changes to tourist and business visitor visas to the extension of the validity period of such visas for Chinese nationals, which represented the largest single country of nationality for tourist and business visitor visas in fiscal year 2017 (17.7 percent). In November 2014, the United States and the People\u2019s Republic of China reciprocally increased the validity periods of multiple-entry tourist and business visitor visas issued to each other\u2019s citizens for up to 10 years. The change in policy was intended to support improved trade, investment, and business by facilitating travel between the two countries. According to State officials, extending validity periods can create an initial increase in demand for such visas, followed by a period of stabilization or even decline as NIV holders would be required to apply for renewal less frequently. According to State officials, in early fiscal year 2015, the increase in the validity period to 10 years for such visas created a spike in Chinese demand in fiscal year 2015, and by fiscal year 2016, the initial demand for these visas had been met and Chinese economic growth was simultaneously slowing, resulting in fewer adjudications for such visas in fiscal year 2017. State data for this time period indicate that the number of adjudications for tourist and business visitor visas for Chinese nationals increased from 1.58 million in fiscal year 2014 to 2.54 million in fiscal year 2015, followed by a decline to 2.34 million in fiscal year 2016 and 1.76 million in fiscal year 2017.", "Student and Exchange Visitors. Similar to tourist and business visitors, State officials partly attributed the overall changes in student and exchange visitor visa adjudications to the extension of the validity period of such visas for Chinese nationals, which represented the largest single country of nationality for student and exchange visitor visas in fiscal year 2017 (19 percent). In November 2014, the United States extended the validity period of the F visa for academic students from 1 year to 5 years. State officials noted that similar to tourist and business visitor visas, there was an initial surge in Chinese F-visa applicants due to the new 5-year F-visa validity period that began in fiscal year 2015, but the number dropped subsequently because Chinese students with such 5-year visas no longer needed to apply as frequently for F visas. State data for this time period indicate that the number of visa adjudications for F visas for Chinese nationals increased from about 267,000 in fiscal year 2014 to 301,000 in fiscal year 2015, followed by a decline of 172,000 in fiscal year 2016 and 134,000 in fiscal year 2017.", "Applicant\u2019s Country of Nationality. In fiscal year 2017, more than half of all NIV adjudications were for applicants of six countries of nationality: China (2.02 million, or 16 percent), Mexico (1.75 million, or 14 percent), India (1.28 million, or 10 percent), Brazil (670,000, or 5 percent), Colombia (460,000, or 4 percent), and Argentina (370,000, or 3 percent), as shown in figure 6.", "Location of Adjudication. State data indicate that the geographic distribution of NIV adjudications across visa-issuing posts worldwide remained relatively consistent from fiscal years 2012 through 2017. NIV adjudications from visa-issuing posts in the Western Hemisphere comprised the largest proportion worldwide during this time period; however, this proportion decreased from 48.8 percent in fiscal year 2012 to 41.7 percent in fiscal year 2017. During the same time period, the proportion of NIV adjudications at visa-issuing posts in other regions increased slightly. For example, the percentage of NIV adjudications from posts in Africa increased from 3.8 percent to 5.5 percent, and the percentage of adjudications from posts in South and Central Asia increased from 7.9 percent to 11.2 percent from fiscal years 2012 through 2017. Figure 7 provides the proportion of NIV adjudications at visa- issuing posts from each region from fiscal years 2012 through 2017."], "subsections": []}, {"section_title": "NIV Refusal Rate Has Increased Since Fiscal Year 2012 and Varies By Visa Group", "paragraphs": ["The percentage of NIVs refused\u2014known as the refusal rate\u2014increased from fiscal years 2012 through 2016, and was about the same in fiscal year 2017 as the previous year. As shown in figure 8, the NIV refusal rate rose from about 14 percent in fiscal year 2012 to about 22 percent in fiscal year 2016, and remained about the same in fiscal year 2017; averaging about 18 percent over the time period. As a result, the total number of NIVs issued peaked in fiscal year 2015 at about 10.89 million, before falling in fiscal years 2016 and 2017 to 10.38 million and 9.68 million, respectively.", "The NIV refusal rate can fluctuate from year to year due to many factors. For example, according to State officials, removing a large, highly- qualified set of travelers from the NIV applicant population can drive up the statistical refusal rate. State officials also noted that when a country joins the Visa Waiver Program or a visa for certain nationalities increase from 1-year to 10-year visa validity periods, these individuals no longer apply for visas and affect the overall refusal rate. Further, State officials noted that changes in political and economic conditions in individual countries can affect visa eligibility, which in turn affects the overall refusal rate. State officials noted that the degree to which an applicant might seek to travel to the United States unlawfully is directly related to political, economic, and social conditions in their countries. For example, if global or regional economic conditions deteriorate, more applicants may have an incentive to come to the United States illegally by, for example, obtaining a NIV with the intent to unlawfully stay for a particular time period or purpose other than as permitted by their visa, which then would increase the number of NIV applications that consular officers are refusing.", "From fiscal years 2012 through 2017, the refusal rate varied by visa group. The highest refusal rate was for tourists and business visitors, which rose from about 15 percent in fiscal year 2012 to over 25 percent in fiscal year 2017, as shown in figure 9. Other visa categories, such as foreign officials and employees, transit and crewmembers, and fianc\u00e9(e)s and spouses, had refusal rates below 5 percent during this time period. State officials noted that because different visa categories have different eligibility and documentary requirements, they have different refusal rates. For example, F, J, and H visas require documentation of eligibility for student, exchange, or employment status, respectively."], "subsections": []}, {"section_title": "Most NIV Applications Refused from Fiscal Years 2012 through 2017 Were for Reasons Other than Terrorism-Related Ineligibilities", "paragraphs": ["According to State data, while the majority of NIV refusals from fiscal years 2012 through 2017 were a result of consular officers finding the applicants ineligible, a relatively small number of refusals were due to terrorism and other security-related concerns. NIV applicants can be refused a visa on a number of grounds of inadmissibility or other ineligibility under U.S. immigration law and State policy. For the purposes of this report, we have grouped most of these grounds for refusal into one of seven categories, as shown in table 4.", "State data indicate the more than 90 percent of NIVs refused each year from fiscal years 2012 through 2017 were based on the consular officers\u2019 determination that the applicants were ineligible nonimmigrants\u2014in other words, the consular officers believed that the applicant was an intending immigrant seeking to stay permanently in the United States, which would generally violate NIV conditions, or that the applicant otherwise failed to demonstrate eligibility for the particular visa he or she was seeking. For example, an applicant applying for a student visa could be refused as an ineligible nonimmigrant for failure to demonstrate possession of sufficient funds to cover his or her educational expenses as required. Similarly, an applicant could be refused as an ineligible nonimmigrant for indicating to the consular officer an intention to obtain a student visa to engage in unsanctioned activities while in the United States, such as full-time employment instead of pursuing an approved course of study.", "According to State data, the second most common reason for refusal during this time period was inadequate documentation, which accounted for approximately 5 percent of refusals each year. In such cases, a consular officer determined that the application failed to include necessary documentation for the consular officer to ascertain whether the applicant was eligible to receive a visa at that time. If, for example, the applicant provides sufficient additional information in support of the application, a consular officer may subsequently issue the visa, as appropriate.", "Our analysis of State data indicates that relatively few applicants\u2014 approximately 0.05 percent\u2014were refused for terrorism and other security-related reasons from fiscal years 2012 through 2017. Security- related reasons can include applicants who have engaged in genocide, espionage, or torture, among other grounds. Terrorism-related grounds of inadmissibility include when an applicant has engaged in or incited terrorist activity, is a member of a terrorist organization, or is the child or spouse of a foreign national who has been found inadmissible based on terrorist activity occurring within the last five years, among other reasons. As shown in figure 10, in fiscal year 2017, State data indicate that 1,256 refusals (or 0.05 percent) were based on terrorism and other security-related concerns, of which 357 refusals were specifically for terrorism-related reasons."], "subsections": []}]}, {"section_title": "Executive Actions Taken in Calendar Year 2017 Resulted in Some NIV Refusals and Agencies Are Implementing Additional Changes to NIV Screening and Vetting Processes", "paragraphs": [], "subsections": [{"section_title": "Executive Actions Taken in Calendar Year 2017 Introduced New Visa Entry Restrictions and Requirements to Enhance Screening and Vetting, Including for NIVs", "paragraphs": ["In calendar year 2017, the President issued two executive orders and a presidential proclamation that required, among other actions, visa entry restrictions for nationals of certain countries of concern, a review of information needed for visa adjudication, and changes to visa (including NIV) screening and vetting protocols and procedures (see timeline in figure 11). Initially, the President issued Executive Order 13769, Protecting the Nation from Foreign Terrorist Entry Into the United States (EO-1), in January 2017. In March 2017, the President revoked and replaced EO-1 with the issuance of Executive Order 13780 (EO-2), which had the same title as EO-1. Among other things, EO-2 suspended entry of certain foreign nationals for a 90 day period, subject to exceptions and waivers. It further directed federal agencies\u2014including DHS, State, DOJ and ODNI\u2014to review information needs from foreign governments for visa adjudication and develop uniform screening and vetting standards for U.S. entities to follow when adjudicating immigration benefits, including NIVs. In September 2017, as a result of the reviews undertaken pursuant to EO-2, the President issued Presidential Proclamation 9645, Enhancing Vetting Capabilities and Processes for Detecting Attempted Entry into the United States by Terrorists or Other Public-Safety Threats (Proclamation), which imposes certain conditional restrictions and limitations on the entry of nationals of eight countries\u2014Chad, Iran, Libya, North Korea, Somalia, Syria, Venezuela and Yemen\u2014into the United States for an indefinite period. These restrictions are to remain in effect until the Secretaries of Homeland Security and State determine that a country provides sufficient information for the United States to assess adequately whether its nationals pose a security or safety threat. Challenges to both EOs and the Proclamation have affected their implementation and, while EO-2\u2019s entry restrictions have expired, the visa entry restrictions outlined in the Proclamation continue to be fully implemented as of June 2018, consistent with the U.S. Supreme Court\u2019s June 26, 2018, decision, which held that the President may lawfully establish nationality-based entry restrictions under the INA, and that Proclamation 9645 itself \u201cis squarely within the scope of Presidential authority.\u201d A more detailed listing of the executive actions and related challenges to those actions brought in the federal courts can be found in appendix III."], "subsections": []}, {"section_title": "Some NIV Applications in Fiscal Year 2017 Were Refused Due to the Executive Actions Taken in 2017; Adjudications of Applications for Nationals of Affected Countries Decreased from Prior Fiscal Years", "paragraphs": ["Our analysis of State data indicates, out of the nearly 2.8 million NIV applications refused in fiscal year 2017, 1,338 were refused due to visa entry restrictions implemented in accordance with the executive actions. To implement the entry restrictions, in March 2017, State directed its consular officers to continue to accept all NIV applications and determine whether the applicant was otherwise eligible for a visa without regard to the applicable EO or Proclamation. If the applicant was ineligible for the visa on grounds unrelated to the executive action, such as having prior immigration violations, the applicant was to be refused on those grounds. If the applicant was otherwise eligible for the visa, but fell within the scope of the nationality-specific visa restrictions implemented pursuant to the applicable EO or Proclamation and was not eligible for a waiver or exception, the consular officer was to refuse the visa and enter a refusal code into State\u2019s NIV database indicating that the applicant was refused solely due to the executive actions. More than 90 percent of the NIV applications refused in fiscal year 2017 pursuant to an executive action were for tourist and business visitor visas, and more than 5 percent were for students and exchange visitors.", "State data also indicate that the number of applications adjudicated for nationals of the 7 countries identified in EO-1\u2014Iran, Iraq, Libya, Somalia, Sudan, Syria and Yemen\u2014decreased by 22 percent in fiscal year 2017, as compared to a 7 percent general decrease in NIV adjudications worldwide that year. For example, as shown in table 5, the decrease in adjudications from fiscal years 2016 to 2017 for nationals of the 7 countries identified in EO-1 ranged from around 12 percent to more than 40 percent."], "subsections": []}, {"section_title": "State, DHS, and Other Agencies Are Implementing Changes to NIV Screening and Vetting Processes Consistent with the Executive Actions and Associated Guidance", "paragraphs": ["As directed by the executive actions, DHS, State, DOJ, and ODNI took several steps to enhance NIV screening and vetting processes given their responsibilities for implementing the presidential actions. Among other things, the responsibilities included: (1) a review of information needed for visa adjudication; (2) the development of uniform screening standards for immigration programs; and (3) implementation of enhanced visa screening and vetting protocols and procedures.", "Review of information needed for visa adjudication. In accordance with EO-2, DHS conducted a worldwide review, in consultation with State and ODNI, to identify additional information needed from foreign countries to determine that an individual is not a security or public-safety threat when adjudicating an application for a visa, admission, or other immigration benefit. According to State officials, an interagency working group composed of State, DHS, ODNI, and National Security Council staff was formed to conduct the review. To conduct this review, DHS developed a set of criteria for information sharing in support of immigration screening and vetting, as shown by table 6. According to DHS officials, to develop these criteria, DHS, in coordination with other agencies, identified current standards and best practices for information collection and sharing under various categories of visas to create a core list of information needed from foreign governments in the visa adjudication process. For example, State sent an information request to all U.S. posts overseas requesting information on host nations\u2019 information sharing practices, according to State officials.", "To assess the extent to which countries were meeting the newly established criteria, DHS officials stated that they used various information sources to preliminarily develop a list of countries that were or were not meeting the standards for adequate information sharing. For example, DHS officials stated that they reviewed information from INTERPOL on a country\u2019s frequency of reporting lost and stolen passport information, consulted with ODNI for information on which countries are terrorist safe havens, and worked with State to obtain information that State officials at post may have on host nations\u2019 information sharing practices. According to the Proclamation, based on DHS assessments of each country, DHS reported to the President on July 9, 2017, that 47 countries were \u201cinadequate\u201d or \u201cat risk\u201d of not meeting the standards. DHS officials identified several reasons that a country may have been assessed as \u201cinadequate\u201d with regard to the criteria. For example, some countries may have been willing to provide information, but lacked the capacity to do so. Or, some countries may not have been willing to provide certain information, or simply did not currently have diplomatic relations with the U.S. government.", "As was required by EO-2, State engaged with foreign governments on their respective performance based on these criteria for a 50-day period. In July 2017, State directed its posts to inform their respective host governments of the new information sharing criteria and request that host governments provide the required information or develop a plan to do so. Posts were directed to then engage more intensively with countries DHS\u2019s report preliminarily deemed \u201cinadequate\u201d or \u201cat risk\u201d. Each post was to submit an assessment of mitigating factors or specific interests that should be considered in the deliberations regarding any travel restrictions for nationals of those countries. DHS officials stated that they reviewed the additional information host nations provided to State and then reevaluated the initial classifications to determine if any countries remained \u201cinadequate.\u201d", "On September 15, 2017, in accordance with EO-2, DHS submitted to the President a list of countries recommended for inclusion in a presidential proclamation that would prohibit certain categories of foreign nationals of such countries from entering the United States. The countries listed were Chad, Iran, Libya, North Korea, Syria, Venezuela, and Yemen\u2014 which were assessed as \u201cinadequate,\u201d and Somalia, which was identified as a terrorist safe haven. The Presidential Proclamation indefinitely suspended entry into the United States of certain nonimmigrants from the listed countries (see table 7) and directed DHS, in consultation with State, to devise a process to assess whether the entry restrictions should be continued, modified or terminated.", "In September 2017, State issued additional guidance to posts on implementation of the Presidential Proclamation. As of July 2018, State continues to accept and process the NIV applications of foreign nationals from the eight countries covered by the Proclamation. Such applicants are to be interviewed, according to State guidance, and consular officers are to determine if the applicant is otherwise eligible for the visa, meets any of the proclamation\u2019s exceptions, or qualifies for a waiver.", "Development of uniform screening standards for U.S. immigration benefit programs. Consistent with EO-2, State, DHS, DOJ, and ODNI developed a uniform baseline for screening and vetting standards and procedures by the U.S. government. According to State officials, an interagency working group comprised of State, DHS, DOJ, and ODNI staff is implementing these requirements. Based on its review of existing screening and vetting processes, DHS officials stated that the working group established uniform standards for (1) applications, (2) interviews, and (3) security system checks (i.e., biographic and biometric).", "Regarding applications, DHS officials stated that the group identified data elements against which applicants are to be screened and vetted. In February 2018, DHS Office of Policy officials stated that they had taken steps to create more consistency across U.S. government forms that collect information used for screening and vetting purposes, such as State\u2019s DS-160 NIV application as well as 12 DHS forms. For example, officials stated that they anticipate issuing Federal Register notices announcing the intended changes to such forms.", "Regarding interviews, DHS officials stated that the working group established a requirement for all applicants seeking an immigration benefit, including NIV applicants, to undergo a baseline uniform national security and public safety interview. DHS officials stated that the working group modeled its interview baseline on elements of the refugee screening interview. To help implement this standard, DHS officials stated that the department is offering more training courses in enhanced communications (i.e. detecting deception and eliciting responses) and making such courses accessible to other U.S. government entities and U.S. officials overseas.", "Regarding security checks, the working group identified certain checks that should be conducted for all applicants seeking an immigration benefit, including NIV applicants. For example, DHS officials stated that the working group concluded that all applicants for U.S. immigration benefits should be screened against DHS\u2019s TECS, among other federal databases. In February 2018, DHS Office of Policy officials stated that they were also exploring the extent to which current screening and vetting technologies can be expanded. For example, technology that is being used to screen applicants for counterterrorism concerns can potentially be modified to screen applicants for other concerns such as public safety or participation in transnational organized crime. However, these officials noted such changes to technology can take a long time.", "DHS officials stated that each department and agency is responsible for implementing the uniform standards for their relevant immigration programs. For example, with regard to maintaining information electronically, State officials stated that for nonimmigrant and immigrant visas, as of May 2018, they collected most, but not all, of the application data elements.", "In addition to executive actions taken in calendar year 2017, the President issued National Security Presidential Memorandum 9 on February 6, 2018, which directed DHS, in coordination with State, DOJ, and ODNI, to establish a National Vetting Center to optimize the use of federal government information in support of the national vetting enterprise. This memorandum stated that the U.S. government must develop an integrated approach to the use of intelligence and other data, across national security components, in order to improve how departments and agencies coordinate and use information to identify individuals presenting a threat to national security, border security, homeland security, or public safety. The center is to be overseen and guided by a National Vetting Governance Board, consisting of six senior executives designated by DHS, DOJ, ODNI, State, the Central Intelligence Agency, and the Department of Defense. Further, within 180 days of the issuance of the memorandum, these six departments and agencies, in coordination with the Office of Management and Budget, are to jointly submit to the President for approval an implementation plan for the center, addressing, among other things, the initial scope of the center\u2019s vetting activities; the roles and responsibilities of agencies participating in the center; a resourcing strategy for the center; and a projected schedule to reach both initial and full operational capability. On February 14, 2018, the Secretary of Homeland Security selected an official to serve as the Director of the National Vetting Center and delegated the center\u2019s authorities to CBP.", "DHS Office of Policy officials stated in February 2018 that the center is intended to serve as the focal point of the larger screening and vetting enterprise, and will coordinate policy and set priorities. The center will use the uniform baselines for screening and vetting standards and procedures established per EO-2 to set short- and long-term priorities to improve screening and vetting across the U.S. government. Further, these officials stated screening and vetting activities will continue to be implemented by the entities that are currently implementing such efforts, but roles and responsibilities for screening and vetting for immigration benefits may be modified in the future based on the work of the center. According to DHS Office of Policy officials, efforts to implement National Security Presidential Memorandum 9, such as the development of an implementation plan, are ongoing as of June 2018.", "Implementation of new visa screening and vetting protocols and procedures. In response to the EOs and a March 2017 presidential memorandum issued the same day as EO-2, State has taken several actions to implement new visa screening and vetting protocols and procedures. For example, State sought and received emergency approval from the Office of Management and Budget in May 2017 to develop a new form, the DS-5535. The form collects additional information from a subset of visa applicants to more rigorously evaluate applicants for visa ineligibilities, including those related to national security and terrorism. The new information requested includes the applicant\u2019s travel history over the prior 15 years, all phone numbers used over the prior 15 years, and all email addresses and social media handles used in the last 5 years. State estimated that, across all posts, the groups requiring additional vetting represented about 70,500 individuals per year."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of the sensitive version of this report to DHS, DOJ, State, and ODNI. DHS, DOJ, and State provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until seven days from the report date. At that time, we will send copies of this report to the Secretaries of Homeland Security and State, the Attorney General, and the Director of National Intelligence. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777or GamblerR@gao.gov. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Enclosures on Nonimmigrant Visa Groups", "paragraphs": ["There are many nonimmigrant visas (NIV), which are issued to foreign nationals such as tourists, business visitors, and students seeking temporary admission into the United States. For the purposes of this report, we placed the majority of NIVs into one of seven groups. In the following enclosures, we provide a descriptive overview of each group on the basis of our analysis of the Department of State\u2019s (State) fiscal years 2012 through 2017 NIV data. Each enclosure also contains the following:", "Description of the group. In this section, we provide a narrative description of the group, as well as a table of the specific NIVs that comprise the group.", "Characteristics of the applicants. In this section, we provide the number of annual NIV adjudications for fiscal years 2012 through 2017, the specific NIVs adjudicated in fiscal year 2017 within the group, the regions to which applicants applied for these NIVs in fiscal year 2017, and the top five nationalities that applied for NIVs in the group in fiscal year 2017.", "Issuances. In this section, we provide the number of NIVs issued within this group for fiscal years 2012 through 2017.", "Refusals. In this section, we provide the refusal rate for the entire NIV group for fiscal years 2012 through 2017. For the NIVs that were refused in fiscal year 2017 for this group, we also provide the top ground for refusal. NIV applicants can be refused a visa on a number of grounds of inadmissibility or other ineligibility under U.S. immigration law and State policy. However, across all visa groups, the top categories were either ineligible nonimmigrant or inadequate documentation: Ineligible nonimmigrant. For most NIV categories, the applicant is presumed to be an intending immigrant until the applicant establishes to the satisfaction of the consular officer that he or she is entitled to a nonimmigrant status. An applicant may be refused under this provision if, among other things, the consular officer determines the applicant lacks sufficient ties to his or her home country, or intends to abandon foreign residence; that evidence otherwise indicates an intent to immigrate to the United States permanently; or that the applicant is likely to violate the terms of the visa after being admitted.", "Inadequate documentation. The consular officer determined that the application is not in compliance with the INA because, for example, it lacks necessary documentation to allow the consular officer to determine visa eligibility. In such cases, the applicant would not be found eligible for the visa unless and until satisfactory documentation is provided to the consular officer or after the completion of administrative processing, such as security advisory opinions."], "subsections": [{"section_title": "Tourist and business visitor visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in millions)", "paragraphs": ["Visa types (FY 2017) (9,968,157 adjudications)", "Region in which applicant applied (FY 2017) (9,968,157 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Issued tourist and business visitor visas rose 22", "paragraphs": ["percent from fiscal years 2012 through 2015, and declined by about 13 percent from fiscal years 2015 to 2017. \u25cf The refusal rate for tourist and business visitor visas generally increased each year from fiscal year 2012 through fiscal year 2017. \u25cf The vast majority of refusals in fiscal year 2017 were due to the applicant\u2019s inability to overcome the presumption of his or her intent to immigrate or meet the visa\u2019s eligibility criteria.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Student and exchange visitor visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (992,855 adjudications)", "Region in which applicant applied (FY 2017) (992,855 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Generally, student and exchange visitor visa", "paragraphs": ["\u25cf The refusal rate for student and exchange visitor issuances decreased each year from fiscal years 2015 through 2017. visas peaked in fiscal year 2016, and slightly declined in fiscal year 2017. \u25cf The vast majority of refusals in fiscal year 2017 were due to the applicant\u2019s inability to overcome the presumption of his or her intent to immigrate or meet the visa\u2019s eligibility criteria.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Temporary worker visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (884,667 adjudications)", "19% 10% 16% Region in which applicant applied (FY 2017) (884,667 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Issued H-2A visas more than doubled from fiscal", "paragraphs": ["\u25cf Generally, the refusal rates for temporary worker years 2012 through 2017. visas decreased from fiscal years 2012 through 2017. \u25cf Department of State officials noted, for example, that H-2A visas are not numerically limited by statute. They also stated that they believe U.S. employers are increasingly less likely to hire workers without lawful status and are petitioning for lawfully admitted workers. \u25cf In fiscal year 2017, temporary worker visas were most frequently refused because the applicant did not provide adequate documentation to the consular officer.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Transit and crewmember visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (330,117 adjudications)", "Region in which applicant applied (FY 2017) (330,117 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Issued transit and crewmember visas increased by", "paragraphs": ["\u25cf The refusal rates for transit and crewmember visas about 8 percent from fiscal years 2012 through 2017 (from about 295,000 to 320,000). varied over the period of fiscal years 2012 through 2017. \u25cf Specifically, issued C-1/D visas increased over the \u25cf The majority of refusals in fiscal year 2017 were same time period, but the number of issued visas for the remaining visa types in this category have decreased. due to the applicant\u2019s inability to overcome the presumption of his or her intent to immigrate or meet the visa\u2019s eligibility criteria.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Foreign official and employee visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (166,187 adjudications)", "Region in which applicant applied (FY 2017) (166,187 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Issued foreign official and employee visas remained generally stable over the period of fiscal years 2012 through 2017.", "paragraphs": ["\u25cf The refusal rates for foreign official and employee visas remained under 4 percent. \u25cf In fiscal year 2017, foreign official and employee visas were most frequently refused because the applicant did not provide adequate documentation to the consular officer.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Treaty trader and investor visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (68,580 adjudications)", "Region in which applicant applied (FY 2017) (68,580 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf Overall, issued treaty trader and investor visas", "paragraphs": ["\u25cf Generally, refusal rates for treaty trader and investor increased over the period of fiscal years 2012 through 2017. visas increased slightly over the period of fiscal years 2012 through 2017. \u25cf Issuances for E-3 visas nearly doubled from fiscal \u25cf The majority of refusals in fiscal year 2017 were year 2012 through 2017, but comprise a small percentage of this category overall. due to the applicant\u2019s inability to overcome the presumption of their intent to immigrate or meet the visa\u2019s eligibility criteria.", "Issued visas, fiscal years 2012 through 2017 (in thousands) Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}, {"section_title": "Fianc\u00e9(e) and spouse visas", "paragraphs": [], "subsections": [{"section_title": "Characteristics of the applicant pool", "paragraphs": [], "subsections": [{"section_title": "Number of adjudications (in thousands)", "paragraphs": ["Visa types (FY 2017) (40,533 adjudications)", "Region in which applicant applied (FY 2017) (40,533 adjudications)"], "subsections": []}]}, {"section_title": "Issuances", "paragraphs": [], "subsections": [{"section_title": "\u25cf The number of issued fianc\u00e9(e) and spouse visas", "paragraphs": ["\u25cf Refusal rates for fianc\u00e9(e) and spouse visas were fluctuated over the period of fiscal years 2012 through 2017, but increased overall during this time period. relatively low during the period of fiscal years 2012 through 2017. \u25cf Most refusals in fiscal year 2017 were due to inadequate documentation from the visa applicant, potentially indicating that such applications failed to include necessary documentation for the consular officer to ascertain whether the applicant was eligible to receive a visa at that time.", "Issued visas, fiscal years 2012 through 2017 (in thousands)", "Visa refusal rates, fiscal years 2012 through 2017 (percentage)"], "subsections": []}]}]}]}, {"section_title": "Appendix II: Nonimmigrant Visa Statistics, Fiscal Years 2012 through 2017", "paragraphs": ["Nonimmigrant visas (NIV) are issued to foreign nationals such as tourists, business visitors, and students seeking temporary admission into the United States. The Department of State (State) is generally responsible for the adjudication of NIV applications, and manages the application process, including the consular officer corps and its functions at more than 220 U.S. embassies and consulates (i.e., visa-issuing posts) overseas. Depending on various factors, such as the particular NIV sought, the applicant\u2019s background, and visa demand, State officials noted that the length of the visa adjudication process can vary from a single day to months.", "This appendix provides descriptive statistics of NIV adjudications, issuances, and refusals for fiscal years 2012 through 2017. Specific details are shown in table 8 below.", "State data from fiscal years 2012 through 2016 indicate that NIV adjudications generally followed an annual cycle, ebbing during certain months during the fiscal year; however, adjudications in fiscal year 2017 departed slightly from this trend. Specifically, from fiscal years 2012 through 2016, the number of NIV adjudications typically reached its highest peak in the summer months, as shown in table 9. For example, State officials noted that a summer peak is generally due to international students who are applying for their visas for the coming academic year.", "There are many NIVs, and for the purposes of this report, we have placed the majority of NIVs into one of seven groups. Table 10 includes the annual NIV adjudications, issuances, and refusal rates, for each visa group for fiscal years 2012 through 2017.", "NIV applicants seeking to travel to the United States represent many different nationalities, but the countries of nationality with the most NIV adjudications have remained relatively consistent in recent years. Table 11 provides the top 25 countries of nationality for NIV adjudications for fiscal years 2012 through 2017.", "NIV applicants can apply for their NIVs at more than 220 visa-issuing U.S. posts overseas. Table 12 describes the regions to which NIV applicants applied from fiscal years 2012 through 2017.", "NIV applicants can be refused a visa on a number of grounds of inadmissibility or other ineligibility under U.S. immigration law and State policy. For the purposes of this report, we have grouped most of these grounds for refusal into one of seven categories, and group the remaining into a miscellaneous category, as shown in table 13."], "subsections": []}, {"section_title": "Appendix III: Foreign National Entry Restrictions and Related Litigation, January 2017 Through June 2018", "paragraphs": ["From January through October 2017, the administration took various executive actions establishing nationality-based entry restrictions for certain categories of foreign nationals from designated countries. This appendix supplements information included in this report to provide a more comprehensive presentation of changes to U.S. immigration policy affecting nonimmigrant and immigrant entry into the United States, and outlines the legal standards applied, and precedent developed and relied upon, by federal courts in resolving challenges to the executive actions. In particular, it describes relevant aspects of the executive actions specifically addressed in this report\u2014Executive Orders 13769 and 13780, both titled Protecting the Nation from Foreign Terrorist Entry into the United States, and Presidential Proclamation 9645, Enhancing Vetting Capabilities and Processes for Detecting Attempted Entry into the United States by Terrorists or Other Public-Safety Threats\u2014that imposed visa entry restrictions on certain countries\u2019 nationals and included provisions addressing NIV screening and vetting, as well as other executive actions on immigration issued by the current administration. Furthermore, this appendix provides a detailed account of the interrelated challenges to these executive actions brought in the federal courts through June 2018.", "In summary, on March 6, 2017, the President issued Executive Order (EO) 13780, Protecting the Nation from Foreign Terrorist Entry Into the United States, which instituted visa and refugee entry restrictions, and an accompanying memorandum addressed to the Secretaries of State and Homeland Security and the Attorney General, calling for heightened screening and vetting of visa applications and other immigration benefits.", "EO 13780 stated that it is U.S. policy to improve the screening and vetting protocols and procedures associated with the visa-issuance process and U.S. Refugee Admissions Program (USRAP). Enforcement of sections 2(c) and 6(a) of EO 13780 which established visa entry restrictions for nationals of six countries of particular concern\u2014Iran, Libya, Somalia, Sudan, Syria, and Yemen\u2014for a 90-day period, and suspended all refugee admissions for 120 days, was enjoined by federal district court orders issued in March 2017. On appeal, the U.S. Courts of Appeals for the Fourth and Ninth Circuits generally upheld these decisions. Upon review by the U.S. Supreme Court in June 2017, the injunction was partially lifted except with respect to foreign nationals who have bona fide ties to the United States Implementation of EO 13780 commenced on June 29, 2017.", "On September 24, 2017, pursuant to section 2(e) of EO 13780, the President issued Presidential Proclamation 9645, Enhancing Vetting Capabilities and Processes for Detecting Attempted Entry Into the United States by Terrorists or Other Public-Safety Threats. This proclamation restricts entry into the United States of certain categories of foreign nationals from eight countries\u2014Chad, Iran, Libya, North Korea, Somalia, Syria, Venezuela, and Yemen\u2014for an indefinite period. Preliminary injunctions issued by the U.S. District Courts for the Districts of Maryland (Maryland federal district court) and Hawaii (Hawaii federal district court) in October 2017 prohibited implementation of these visa entry restrictions except with respect to North Korean and Venezuelan nationals. On December 4, 2017, the U.S. Supreme Court issued two orders staying these district court injunctions; and on January 19, 2018, the Supreme Court granted the government\u2019s petition for review of the December 22, 2017, decision of the Ninth Circuit, which partially affirmed the Hawaii federal district court\u2019s preliminary injunction. As of June 2018, these latest visa entry restrictions continue to be fully implemented consistent with the Supreme Court\u2019s June 26, 2018, decision, which held that the President may lawfully establish nationality-based entry restrictions, and that Proclamation 9645 itself \u201cis squarely within the scope of Presidential authority.\u201d The following sections describe these executive actions and related litigation in greater detail."], "subsections": [{"section_title": "Executive Actions and Related Litigation", "paragraphs": [], "subsections": [{"section_title": "Executive Order 13769", "paragraphs": ["On January 27, 2017, the President issued EO 13769, Protecting the Nation from Foreign Terrorist Entry Into the United States, which directed a review of information needs for adjudicating visas and other immigration benefits to confirm individuals seeking such benefits are who they claim to be, and are not security or public-safety threats. To temporarily reduce investigative burdens during the review period, the EO suspended U.S. entry for nationals of seven countries of particular concern\u2014Iran, Iraq, Libya, Somalia, Sudan, Syria, and Yemen. In addition, EO 13769 put USRAP on hold for 120 days and indefinitely barred admission of Syrian refugees. Shortly after its issuance, however, the EO faced numerous legal challenges in federal courts across the country involving various constitutional and statutory issues such as detainee applications for writs of habeas corpus, alleged religious or nationality-based discrimination, and the extent of the EO\u2019s applicability to certain categories of foreign nationals, including U.S. lawful permanent residents (LPR) and dual nationals holding passports issued by a listed country as well as another nation not subject to visa entry restrictions.", "On February 3, 2017, the Washington federal district court entered a nationwide temporary restraining order (TRO) prohibiting enforcement of the EO\u2019s entry restrictions. In rejecting the government\u2019s argument that a TRO only cover the particular states at issue, the court reasoned that partial implementation would \u201cundermine the constitutional imperative of \u2018a uniform Rule of Naturalization\u2019 and Congress\u2019s instruction that the \u2018immigration laws of the United States should be enforced vigorously and uniformly.\u2019\u201d On February 9, 2017, the Ninth Circuit affirmed the nationwide injunction, thereby denying the government\u2019s emergency motion for a stay of the Washington federal district court\u2019s TRO pending appeal, because the government did not show a likelihood of success on the merits of its appeal, or that failure to enter a stay would cause irreparable injury. On March 6, 2017, however, the President issued EO 13780, which revoked and replaced EO 13769, and established revised restrictions on entry for nationals of the same countries of particular concern, except Iraq."], "subsections": []}, {"section_title": "Executive Order 13780", "paragraphs": ["On March 6, 2017, the President signed EO 13780, Protecting the Nation from Foreign Terrorist Entry Into the United States, which revoked and replaced EO 13769 and put in place revised visa and refugee entry restrictions, and issued an accompanying memorandum calling for heightened screening and vetting of visa applications and other immigration benefits. In general, sections 2(c) and 6(a) of EO 13780 barred visa travel for nationals of six designated countries\u2014Iran, Libya, Somalia, Sudan, Syria, and Yemen\u2014for 90 days, and all refugee admission for 120 days. On March 15, 2017, sections 2 and 6 of the EO were enjoined on statutory grounds (i.e., based on potential violation of U.S. immigration law) pursuant to the order of the Hawaii federal district court granting the plaintiffs\u2019 motion for a TRO. On March 16, 2017, the Maryland federal district court issued a preliminary injunction barring implementation of visa entry restrictions on a nationwide basis with respect to nationals of the six listed countries.", "On May 25, 2017, the Fourth Circuit affirmed the Maryland federal district court\u2019s injunction on constitutional grounds (i.e., based on potential violation of the Establishment Clause of the First Amendment to the U.S. Constitution). On June 12, 2017, the Ninth Circuit generally affirmed the Hawaii federal district court\u2019s ruling, but vacated the district court\u2019s order to the extent it enjoined internal review procedures not burdening individuals outside the Executive Branch, therefore permitting the administration to conduct the internal reviews of visa information needs as directed in the EO. On June 14, 2017, the President issued a memorandum to the Secretaries of State and Homeland Security, Attorney General, and Director of National Intelligence, directing that sections 2 and 6 of EO 13780 were to be implemented 72 hours after all applicable injunctions are lifted or stayed.", "On June 26, 2017, the Supreme Court granted, in part, the government\u2019s application to stay the March 15 and 16 injunctions of the Hawaii and Maryland federal district courts, as generally upheld on May 25 and June 12 by the Fourth and Ninth Circuits. The Court explained that the administration may enforce visa and refugee travel restrictions under sections 2 and 6 except with respect to an individual who can \u201ccredibly claim a bona fide relationship with a person or entity in the United States.\u201d In the case of a visa or refugee applicant who is the relative of a person in the United States, such foreign national would be exempt from entry restrictions provided the family connection with their U.S. relative meets the \u201cclose familial relationship\u201d standard. The Court further explained that a qualifying relationship with a U.S. entity would have to be formal, documented, and formed in the ordinary course, and not for the purpose of evading EO 13780.", "On June 29, 2017, the day that implementation of EO 13780 began, the State Department issued guidance providing that a close familial relationship exists for the parents, spouse, children, adult sons or daughters, sons and daughters-in-law, and siblings of a person in the United States, but not for such person\u2019s grandparents, grandchildren, uncles, aunts, nephews, nieces, sisters-in-law, brothers-in-law or other relatives. The State of Hawaii filed a motion with the Hawaii federal district court seeking, among other things, a declaration that the partial injunction in place after the Supreme Court\u2019s ruling prohibited application of travel restrictions to fianc\u00e9s, grandparents, grandchildren, brothers and sisters in-law, aunts, uncles, nieces, nephews, and cousins of persons in the United States. On July 13, 2017, the Hawaii federal district court ruled, among other things, that section 2 of the EO, generally barring travel to the United States for nationals of certain countries, does not apply to the grandparents, grandchildren, brothers and sisters in-law, aunts, uncles, nieces, nephews and cousins of persons in the United States, who were initially excluded from the administration\u2019s interpretation of \u201cclose family.\u201d The government appealed this decision to the Supreme Court.", "On July 19, 2017, the Supreme Court denied the government\u2019s motion seeking further clarification of its June 26 ruling, stayed the Hawaii federal district court\u2019s order to the extent it included refugees covered by a formal assurance from a U.S.-based resettlement agency within the scope of the preliminary injunction, pending appeal to the Ninth Circuit, and left unchanged the district court\u2019s broader formulation of exempt \u201cclose family.\u201d On September 7, 2017, the Ninth Circuit upheld the Hawaii federal district court\u2019s definition of close family members who are not to be subjected to travel restrictions, and rejected the government\u2019s argument that refugees who had undergone a stringent review process and been approved by U.S.-based resettlement agencies lack a bona fide relationship to the United States, thus allowing admission of such refugees. On September 11, 2017, the Supreme Court temporarily enjoined aspects of the Hawaii federal district court\u2019s holding that would permit admission of certain refugees with formal assurances from a U.S. resettlement entity. The next day, on September 12, 2017, the Supreme Court indefinitely stayed the Ninth Circuit\u2019s September 7 ruling with respect to refugees covered by a formal assurance, thereby permitting the administration to suspend entry of such refugees.", "On September 24, 2017, pursuant to section 2(e) of EO 13780, the President issued Presidential Proclamation 9645, Enhancing Vetting Capabilities and Processes for Detecting Attempted Entry Into the United States by Terrorists or Other Public Safety Threats, which expanded the scope and duration of visa entry restrictions from six to eight countries, and from a 90-day to an indefinite period for the listed countries. On September 25, 2017, in light of the September 24 proclamation, the Supreme Court directed the parties to file briefs addressing whether, or to what extent, the cases before it regarding EO 13780 are moot. On October 10, 2017, after receiving the parties\u2019 supplemental briefs, the Supreme Court decided that because section 2(c) of EO 13780 expired on September 24, there was no live case or controversy; and without expressing a view on the merits, the Court vacated and remanded the Maryland case to the Fourth Circuit with instructions to dismiss as moot the challenge to EO 13780. On October 24, 2017, consistent with its October 10 ruling, the Supreme Court also vacated and remanded the Hawaii case related to EO 13780 to the Ninth Circuit with instructions to dismiss it as moot. Consequently, after challenges to EO 13780 visa and refugee entry restrictions, as curtailed by the Supreme Court\u2019s ruling of June 26, 2017, were rendered moot, litigation continued with respect to the President\u2019s proclamation of September 24, 2017."], "subsections": []}, {"section_title": "Presidential Proclamation 9645", "paragraphs": ["On September 24, 2017, pursuant to section 2(e) of EO 13780, the President issued Presidential Proclamation 9645 (the Proclamation), Enhancing Vetting Capabilities and Processes for Detecting Attempted Entry Into the United States by Terrorists or Other Public-Safety Threats, which imposes certain conditional restrictions and limitations on entry into the United States of nationals of eight countries\u2014Chad, Iran, Libya, North Korea, Somalia, Syria, Venezuela, and Yemen\u2014for an indefinite period. According to the Proclamation, travel restrictions are tailored to each nation\u2019s information sharing and identity management deficiencies based on standard immigration screening and vetting criteria established by the Secretary of Homeland Security, and are to remain in effect until such time as the Secretaries of Homeland Security and State determine that a country provides sufficient information for the United States to assess adequately whether its nationals pose a security or safety threat.", "On October 17, 2017, the Hawaii federal district court issued a TRO, on statutory grounds, enjoining on a nationwide basis the implementation and enforcement of travel restrictions provided for under the Proclamation, except with respect to North Korean or Venezuelan nationals. On the same day, the Maryland federal district court granted in part plaintiffs\u2019 motion for preliminary injunction, primarily on constitutional grounds, thereby prohibiting implementation of visa entry restrictions nationwide, except for nationals of North Korea and Venezuela as well as other covered foreign nationals who lack a credible claim of a bona fide relationship with a person or entity in the United States. On October 20, 2017, the Hawaii federal district court converted its October 17 TRO into a preliminary injunction, thereby continuing the nationwide prohibition on enforcement or implementation of the suspension on entry for nationals of Chad, Iran, Libya, Somalia, Syria, and Yemen. The district court did not stay its ruling or hold it in abeyance should an appeal be filed in the Ninth Circuit.", "On November 13, 2017, the Ninth Circuit granted, in part, the government\u2019s request for an emergency stay of the Hawaii federal district court\u2019s preliminary injunction, thereby allowing visa entry restrictions to go into effect with respect to the nationals of Chad, Iran, Libya, Somalia, Syria, and Yemen. However, consistent with the Supreme Court\u2019s June 2017 ruling, the court ordered that those with a bone fide relationship to a person or entity in the United States not be subject to such travel restrictions. On November 20, 2017, the government petitioned the Supreme Court for a stay of the preliminary injunction issued by the Hawaii federal district court, pending consideration and disposition of the government\u2019s appeal from that injunction to the Ninth Circuit and, if that court affirms the injunction, pending filing and disposition of a petition for a writ of certiorari and any further proceedings in the Supreme Court.", "On November 28, 2017, plaintiffs in the challenge to the Proclamation arising out of Hawaii asked that the Supreme Court deny the government\u2019s request to lift the partial injunction left in place by the Ninth Circuit. On the same day, plaintiffs in the case arising out of Maryland requested that the Supreme Court not grant a stay of the federal district court\u2019s preliminary injunction. In both cases, plaintiffs assert that the more expansive visa entry restrictions violate U.S. immigration law; additionally, for the Maryland case, plaintiffs argue that such restrictions are unconstitutional as a form of discrimination based on national origin.", "On December 4, 2017, the Supreme Court issued two orders staying the Maryland and Hawaii federal district courts\u2019 orders of October 17 and 20 that preliminarily enjoined implementation of the Proclamation, pending decisions of the Ninth and Fourth Circuits in the government\u2019s appeals, and of the Supreme Court regarding a petition for a writ of certiorari (if sought). As a result, the Proclamation\u2019s visa entry restrictions were permitted to go into full effect unless and until they are either enjoined by the courts of appeals and a writ of certiorari is not sought thereafter, or the Supreme Court either denies a petition for certiorari (thereby resulting in termination of the Supreme Court\u2019s stay order) or grants such petition followed by a final injunction prohibiting current or future implementation of the Proclamation\u2019s restrictions. The Supreme Court further noted its expectation that the courts of appeals will render decisions \u201cwith appropriate dispatch,\u201d in light of both courts having decided to consider their respective cases on an expedited basis. On December 8, 2017, the Department of State announced that it began fully implementing the Proclamation, as permitted by the Supreme Court, at the opening of business at U.S. embassies and consulates overseas.", "On December 22, 2017, the Ninth Circuit affirmed in part and vacated in part the Hawaii federal district court\u2019s October 20 order enjoining enforcement of visa entry restrictions under the Proclamation, while limiting the preliminary injunction\u2019s scope to foreign nationals who have a bona fide relationship with a person or entity in the United States. Without reaching plaintiffs\u2019 constitutional claims, the court of appeals concluded that the Proclamation exceeded the scope of authority delegated to the President by Congress under the Immigration and Nationality Act (INA), in particular, sections 202(a)(1)(A) (immigrant visa nondiscrimination) and 212(f) (presidential suspension of, or imposition of restrictions on, alien entry), by deviating from statutory text, legislative history and prior executive practice; not including the requisite finding that entry of certain foreign nationals would be detrimental to U.S. interests; and contravening the INA\u2019s prohibition on nationality-based discrimination in the issuance of immigrant visas. However, the court stayed its decision, given that the Supreme Court\u2019s December 4 order lifted the federal district courts\u2019 injunctions pending not only review by the courts of appeals, but also \u201cdisposition of the Government\u2019s petition for a writ of certiorari, if such writ is sought.\u201d", "On January 5, 2018, the government filed a petition for a writ of certiorari seeking review of the December 22, 2017, judgment of the Ninth Circuit which left in place the Hawaii federal district court injunction of the Proclamation\u2019s visa entry restrictions for individuals with bona fide ties to the United States. On January 19, 2018, the Supreme Court granted the government\u2019s certiorari petition and will therefore consider, and issue an opinion on the merits of, the Ninth Circuit\u2019s decision.", "On February 15, 2018, the Fourth Circuit affirmed the preliminary injunction granted by the Maryland federal district court on constitutional grounds, but stayed its decision pending the outcome of the Ninth Circuit case before the Supreme Court. The court of appeals found that \u201claintiffs offer undisputed evidence that the President has openly and often expressed his desire\u201d to bar the entry of Muslims into the United States. Therefore, the court concluded that, in light of the President\u2019s official statements, the Proclamation likely violates the Establishment Clause as it \u201cfails to demonstrate a primarily secular purpose,\u201d and also goes against the basic principle that government is not to act with religious animus.", "On February 23, 2018, Fourth Circuit challengers filed a petition for a writ of certiorari seeking for the Supreme Court to consolidate their case with the Court\u2019s ongoing review of the Ninth Circuit decision. These petitioners requested that the Court additionally consider their argument that the preliminary injunction should not have been limited to individuals with a bona fide relationship to a person or entity in the United States. On February 26, 2018, the Supreme Court granted Fourth Circuit petitioners\u2019 motion to expedite consideration of their certiorari petition.", "On April 10, 2018, the President issued a proclamation announcing that because Chad has improved its identity-management and information sharing practices sufficiently to meet U.S. baseline security standards, nationals of Chad will again be able to receive visas for travel to the United States.", "On June 26, 2018, the Supreme Court held that the President lawfully exercised the broad discretion granted to him under INA \u00a7 212(f) (presidential suspension of, or imposition of restrictions on, alien entry), by issuing Proclamation No. 9645, which established nationality-based visa entry restrictions applicable to categories of foreign nationals from eight (now seven) countries for an indefinite period. In addition, while three individual plaintiffs had standing to bring an Establishment Clause challenge to entry restrictions prohibiting their relatives from coming to the United States, the Court found the Proclamation to be legitimate on its face as a way to prevent entry of certain foreign nationals where the government determines there is insufficient information for visa vetting.", "As a result of the Supreme Court\u2019s June 26, 2018, decision, which held that the establishment of nationality-based entry restrictions is a lawful exercise of the President\u2019s broad discretion in matters of immigration and national security, the visa entry restrictions imposed on categories of foreign nationals from certain countries pursuant to Presidential Proclamation 9645 continue to be fully implemented , as they have been since the Supreme Court\u2019s December 4, 2017, orders staying the lower courts\u2019 injunctions."], "subsections": []}, {"section_title": "Executive Order 13815", "paragraphs": ["On October 24, 2017, the same day the 120-day suspension of refugee admissions under EO 13780 expired, the President signed EO 13815, Resuming the United States Refugee Admissions program With Enhanced Vetting Capabilities, which resumed USRAP and directed that special measures be applied to certain categories of refugees posing potential threats to the security and welfare of the United States. On December 23, 2017, the Washington federal district court issued a nationwide preliminary injunction on aspects of EO 13815 (and its accompanying memorandum), thus prohibiting the administration from: (1) temporarily suspending admission of refugees from 11 previously identified countries of concern, and reallocating resources from the processing of their applications during the 90-day review period (except for those lacking a bona fide relationship with a person or entity in the United States); and (2) indefinitely barring admission of, and application processing for, all following-to-join refugees.", "On January 5, 2018, the Washington federal district court denied the government\u2019s motion for reconsideration of the court\u2019s December 23, 2017, order temporarily halting enforcement of refugee entry restrictions that were to be implemented as part of the resumption of USRAP under the EO. Specifically, the government \u201cask the court to \u2018modify its preliminary injunction to exclude from coverage refugee applicants who seek to establish a on the sole ground that they have received a formal assurance from a resettlement agency.\u2019\u201d In denying the government\u2019s motion for reconsideration, the court relied on the September 7, 2017, decision of the Ninth Circuit which, among other things, rejected the notion that refugees with formal assurances from U.S.-based resettlement agencies do not meet the Supreme Court\u2019s bona fide relationship standard. The court treated this Ninth Circuit ruling as binding precedent given that the Supreme Court\u2019s indefinite stay of September 12 neither vacated the Ninth Circuit\u2019s decision, nor provided any underlying reason(s) that would allow another court to discern its rationale. On January 9, 2018, the Washington federal district court also denied the government\u2019s emergency motion for a stay of the court\u2019s December 23, 2017, preliminary injunction, pending appeal to the Ninth Circuit.", "On January 31, 2018, DHS announced additional security measures to prevent exploitation of USRAP. Specifically, these security measures include additional screening for certain nationals of high-risk countries, a more risk-based approach to administering USRAP, and a periodic review and update of the refugee high-risk countries list and selection criteria.", "Therefore, as of June 2018, while the administration has announced additional security measures to strengthen the integrity of USRAP, the Washington federal district court\u2019s December 23, 2017, preliminary injunction of EO 13815 continues to: (1) prohibit implementation of the temporary suspension of admission, and reallocation of resources from processing applications, of refugees from 11 previously identified countries of concern; and (2) forbid enforcement of the indefinite bar on entry of following-to-join refugees."], "subsections": []}]}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kathryn Bernet (Assistant Director), Colleen Corcoran, Eric Hauswirth, Thomas Lombardi, Amanda Miller, Sasan J. \u201cJon\u201d Najmi, Erin O\u2019Brien, Garrett Riba, and Dina Shorafa made significant contributions to this report."], "subsections": []}]}], "fastfact": ["Nonimmigrant visas (NIV) are issued to foreign tourists, students, and others seeking temporary admission to the United States.", "In 2017, the President restricted issuance of visas for people from certain countries and called for changes to NIV screening and vetting procedures.", "State Department data indicated that about 2.8 million NIV applications were refused in fiscal year 2017. We found that over 90% were because the applicant did not qualify for the visa, and 1,338 were refused due to the President's visa entry restrictions."]} {"id": "GAO-18-513", "url": "https://www.gao.gov/products/GAO-18-513", "title": "Defense Management: DOD Senior Leadership Has Not Fully Implemented Statutory Requirements to Promote Department-Wide Collaboration", "published_date": "2018-06-25T00:00:00", "released_date": "2018-06-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD continues to confront organizational challenges that hinder collaboration. To address these challenges, section 911 of the NDAA for FY 2017 directed the Secretary of Defense to issue an organizational strategy that identifies critical objectives that span multiple functional boundaries and would benefit from the use of cross-functional teams. Additionally, DOD is to establish cross-functional teams to support this strategy, issue guidance on these teams, and provide training to team members and civilian leaders in the Office of the Secretary of Defense.", "The NDAA also included a provision for GAO to periodically assess DOD's actions in response to section 911. This is GAO's third report on the implementation of section 911. It assesses the status of DOD's efforts to (1) establish cross-functional teams, (2) issue an organizational strategy, and (3) issue guidance on cross-functional teams and provide training to team members and Office of the Secretary of Defense leaders.", "GAO reviewed documentation on DOD's implementation of its cross-functional teams and DOD's draft organizational strategy, draft guidance on establishing cross-functional teams, and draft training curricula. GAO also interviewed DOD officials on efforts to implement section 911.", "GAO is not making new recommendations in this report. DOD concurred and is taking actions to address GAO's previous recommendations on DOD's implementation of section 911. DOD also concurred with the findings in a draft of this report."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has implemented some statutory requirements in section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017, enacted in December 2016, to address organizational challenges. However, senior leadership has not implemented several requirements intended to support cross-functional teams and promote department-wide collaboration (see table).", "DOD has established 10 cross-functional teams, which are in various stages of implementation. Specifically, DOD is in the early stages of establishing one cross-functional team to address the backlog of the department's personnel security clearance background investigations and has assigned an interim leader and seven members to this team. In addition, DOD established 9 cross-functional teams to implement reform initiatives intended to improve the efficiency of the department's business operations. DOD generally appointed senior department officials to lead these teams, and the size of the teams, as of May 2018, ranged from 5 to 12 members.", "DOD has drafted, but not issued, an organizational strategy. DOD officials stated that they have not completed the strategy because they want to align it with two department-wide strategy documents\u2014the National Defense Strategy, which was issued in January 2018, and the National Defense Business Operations Plan, which was issued in May 2018.", "DOD also has not fulfilled three statutory requirements related to guidance and training for cross-functional teams and civilian leaders in the Office of the Secretary of Defense. Specifically, DOD has not (1) provided training to cross-functional team members, (2) issued guidance on cross-functional teams, or (3) provided training to presidential appointees in the Office of the Secretary of Defense. DOD officials stated that they plan to send the guidance and training curricula to the Secretary of Defense for review and approval after DOD issues the organizational strategy. Fully implementing these requirements and GAO's prior recommendations related to the organizational strategy, guidance, and training, will better position DOD to effectively implement its cross-functional teams and advance a collaborative culture as required by the NDAA."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) maintains military forces with unparalleled capabilities, but continues to confront organizational and management challenges that hinder collaboration and integration across the department. In particular, DOD\u2019s military departments and functional organizations have not always worked well together to accomplish departmental objectives. For example, in our prior work, we found that DOD\u2019s efforts to implement a hierarchical, portfolio-based approach to strategically acquire contracted services had not been successful. In part, we found that the cultural barriers and military commanders\u2019 reluctance to give up certain responsibilities for determining how and which services were needed to meet their missions hindered DOD\u2019s efforts. We have also highlighted these challenges in our High-Risk List, which calls attention to agencies and program areas that are high risk because of their vulnerabilities to fraud, waste, abuse, and mismanagement, or are most in need of transformation. Our criteria for removal from the High- Risk List underscore the importance of a demonstrated strong commitment and top leadership support to address the risks.", "To help advance a more collaborative culture within the department, section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 directs the Secretary of Defense to, among other things, formulate and issue an organizational strategy for DOD. The organizational strategy, the act states, should identify the critical objectives and other organizational outputs that span multiple functional boundaries and would benefit from the use of cross-functional teams to ensure collaboration and integration across the department. The act also requires DOD to establish cross-functional teams whose leaders report directly to the Secretary of Defense and that, among other things, address the critical objectives and outputs outlined in the department\u2019s organizational strategy. The act further requires DOD to issue guidance on cross-functional teams and to provide training to members of those established teams and their supervisors on elements of successful cross- functional teams. Under the act, DOD is also required to provide training on leadership, modern organizational practice, collaboration, and the operation of cross-functional teams to individuals\u2014within 3 months of their appointment\u2014who have been appointed by the President and confirmed by the Senate to a position within the Office of the Secretary of Defense. DOD can request waivers from the President for this requirement. The Chief Management Officer (CMO) is leading the department\u2019s efforts to implement section 911.", "Section 911 of the NDAA for Fiscal Year 2017 also included a provision for us\u2014every 6 months after the date of enactment on December 23, 2016, through December 31, 2019\u2014to submit to the defense committees a report setting forth a comprehensive assessment of the actions that DOD has taken pursuant to section 911 during each 6-month period and cumulatively since the NDAA\u2019s enactment. In June 2017, we issued our first report and found that DOD had taken steps in several areas to begin implementing the requirements of section 911. In February 2018, we issued our second report and found that DOD had implemented some of the statutory requirements outlined in section 911, but could do more to promote department-wide collaboration, as required under the statute. We recommended, and DOD concurred, that the CMO take four actions to improve the department\u2019s implementation of section 911. Appendix I identifies the four recommendations from our February 2018 report and the status of DOD\u2019s implementation.", "This is our third report on DOD\u2019s implementation of section 911. In this report, we assess the status of DOD\u2019s efforts to (1) establish cross- functional teams, (2) issue an organizational strategy to advance a collaborative culture, and (3) issue guidance on cross-functional teams and provide training to cross-functional team members and senior civilian leaders in the Office of the Secretary of Defense. Appendix II lists the requirements of section 911 of the NDAA for Fiscal Year 2017, the corresponding due date, and the date completed, if applicable, for each requirement as of May 2018.", "For the first objective, we reviewed documentation and interviewed Office of the CMO (OCMO) officials and other DOD officials on the department\u2019s steps to establish cross-functional teams. Based on discussions with OCMO officials, we included 10 cross-functional teams in the scope of our review because the officials consider these teams to be responsive to section 911.", "For the second objective, we reviewed the most recent version of DOD\u2019s draft organizational strategy, dated February 2018. In addition, we interviewed OCMO officials on their efforts to collaborate with key stakeholders, such as the Secretary of Defense, the military departments, the combatant commands, and defense agencies, during development of the organizational strategy. We evaluated DOD\u2019s efforts to issue an organizational strategy against the requirements in section 911, as well as leading practices from our prior work on mergers and organizational transformations.", "For the third objective, we reviewed DOD\u2019s draft guidance on cross- functional teams and draft training curriculum for cross-functional team members and their supervisors. Further, we reviewed documentation on the number of individuals appointed by the President and confirmed by the Senate to a position within the Office of the Secretary of Defense as of May 2018\u2014the latest month available at the time of our review\u2014and DOD\u2019s efforts to provide the required training or to develop criteria for requesting waivers for these individuals. Lastly, we interviewed OCMO officials on DOD\u2019s efforts to finalize the guidance and training required by section 911.", "We conducted this performance audit from December 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "DOD Has Established 10 Cross-Functional Teams That Are in Various Stages of Implementation", "paragraphs": ["DOD has established 10 cross-functional teams that OCMO officials consider responsive to section 911, and these teams are in various stages of implementation. The Secretary of Defense established a cross- functional team to manage the transfer of background investigations for DOD personnel security clearances from the Office of Personnel Management to DOD. This team is required to report directly to the Secretary. In addition, the Deputy Secretary of Defense established 9 additional cross-functional teams to implement reform initiatives for improving DOD\u2019s business operations. These teams report to the CMO."], "subsections": [{"section_title": "DOD Is in the Early Stages of Establishing a Cross-Functional Team to Manage the Transfer of Background Investigations to DOD", "paragraphs": ["In August 2017, the Secretary of Defense issued a memorandum authorizing its first cross-functional team in response to section 911 to address challenges with personnel vetting and background investigation programs. The memorandum notes that a backlog of background investigations affects DOD\u2019s mission readiness, critical programs, and operations. According to the memorandum, this cross-functional team will conduct a full review of current personnel vetting processes to identify a redesigned process for DOD\u2019s security, suitability and fitness, and credential vetting. The cross-functional team\u2019s objectives are to develop options and recommendations to mitigate shortcomings, ensure necessary resourcing, and transform the personnel vetting enterprise. The Office of the Under Secretary of Defense for Intelligence and the Defense Security Service are leading the efforts to establish the team.", "Since we last reported on DOD\u2019s efforts to establish the team, DOD has taken some steps, such as assigning some team members, but has not completed other key steps to staff and establish a direction for the team. In February 2018, we reported that DOD had selected an interim leader for the team. As of May 2018, this person, a non-Senior Executive Service individual from the Defense Security Service, was still serving as the interim leader. Section 911 requires DOD to assign a senior qualified and experienced individual as the leader of the team. According to Office of the Under Secretary of Defense for Intelligence officials, the department plans to seek nominations from DOD components for a permanent leader from the Senior Executive Service, but does not have a specific timeframe for doing so. DOD also assigned seven full-time personnel to the team, who are now co-located, in accordance with requirements under section 911. These personnel are from the Army, Defense Civilian Personnel Advisory Service, DOD Consolidated Adjudications Facility, OCMO, Office of the Under Secretary of Defense for Intelligence, and MITRE Corporation. Office of the Under Secretary of Defense for Intelligence officials estimated that the team may have 20 members when it is fully staffed, but they did not have an estimate of when DOD will assign the remaining team members.", "In addition, the Office of the Under Secretary of Defense for Intelligence has established priorities for the cross-functional team. For example, the team is required to prepare a project plan incorporating all key components for a DOD enterprise vetting mission\u2014including key milestones, specific objectives, performance metrics, a resourcing plan, and an action plan for tracking key initiatives\u2014which are key steps for establishing the team\u2019s direction. According to Office of the Under Secretary of Defense for Intelligence officials, as of May 2018, the interim leader was outlining a project plan. Filling key leadership and staff positions will be important for ensuring that the team has the knowledge and expertise from components across the department to effectively develop and implement the plan."], "subsections": []}, {"section_title": "DOD Has Established 9 Cross-Functional Teams to Improve DOD\u2019s Business Operations", "paragraphs": ["The Deputy Secretary of Defense has established 9 additional cross- functional teams since October 2017 to implement reform initiatives intended to improve the quality and productivity of the department\u2019s business operations, including moving toward more use of enterprise services. According to the memoranda appointing the team leaders, these teams support the Secretary of Defense\u2019s focus on creating a more lethal and effective force by allowing the department to reallocate resources from business operations to readiness and to recapitalization of the combat force. OCMO officials stated that they consider these teams to be responsive to section 911 of the NDAA for Fiscal Year 2017.", "Section 911 requires DOD to assign senior qualified and experienced individuals to lead the teams, and the Deputy Secretary of Defense generally appointed senior DOD officials as leaders. Seven leaders were appointed in October 2017, one in November 2017, and one in January 2018. According to OCMO officials, these leaders report to the CMO. As of May 2018, the size of the teams ranged from 5 to 12 members; OCMO officials stated that the size of the teams can vary based on the knowledge and expertise the team needs to implement its initiatives. The teams include representatives from the military departments, functional organizations relevant to the reform topic, and external experts. According to OCMO officials, the team leaders chose their team members from candidates proposed by the military departments and functional organizations. In addition, the members may be assigned on a full-time or part-time basis, and all of the teams have co-located space. Figure 1 provides additional details on the structure of these 9 teams.", "OCMO officials stated that these 9 teams are in various stages of implementing their initiatives. For example, the Human Resources team was the most recent team to be established, and OCMO officials stated the team is in the process of finalizing the identification and beginning the implementation of its reform initiatives. Other teams, such as the Financial Management and Information Technology and Business Systems teams, have identified and are in the process of implementing initiatives related to their reform areas.", "DOD established the Reform Management Group to identify opportunities for reform and provide support to these 9 cross-functional teams. Chaired by the Deputy Secretary of Defense and facilitated by the CMO and Director of Cost Assessment and Program Evaluation, the Reform Management Group provides oversight and guidance, makes decisions on team recommendations, and monitors the teams\u2019 progress, according to OCMO officials. These officials also told us that the Reform Management Group holds weekly meetings to discuss the status of the reform teams\u2019 efforts and provides monthly comprehensive reports on these efforts to the Secretary of Defense."], "subsections": []}]}, {"section_title": "DOD Has Not Issued Its Organizational Strategy That Outlines Steps for Advancing a Collaborative Culture", "paragraphs": ["OCMO has drafted an organizational strategy, but DOD has not issued the strategy, which section 911 required to be completed by September 1, 2017. OCMO officials told us that they have not completed the strategy because they want to align it with the National Defense Strategy, which was issued in January 2018, and the National Defense Business Operations Plan, which was issued in May 2018. OCMO officials told us that, once the organizational strategy is reviewed internally to align with the National Defense Strategy and the National Defense Business Operations Plan, the CMO plans to coordinate the review and approval of the strategy across components within the department. We previously recommended, and DOD concurred, that the CMO should obtain input on the development of the strategy from key stakeholders, such as the military departments and defense agencies. The officials estimated that DOD components would have about 2 to 3 weeks to provide input on the strategy and that the strategy could be issued as early as July 2018.", "We found that, consistent with our recent recommendations, a revised version of the draft organizational strategy addresses the requirements in section 911, including outlining steps for advancing a collaborative culture within the department. In February 2018, we found that the August 2017 version of the draft organizational strategy that we reviewed addressed the two required elements under section 911, but did not outline how it would achieve several future outcomes that advance a collaborative culture within the department, as required by the NDAA. We recommended, and DOD concurred, that the CMO should revise the organizational strategy to outline how it would achieve these outcomes and, in doing so, should consider our nine leading practices on mergers and organizational transformations.", "Based on our review of a February 2018 version of the draft organizational strategy, we found that OCMO officials have taken steps to address our recommendation, including identifying potential action steps for the department that align with each of the nine leading practices. For example, consistent with the leading practice for establishing a coherent mission and integrated strategic goals to guide the transformation, OCMO officials revised the draft strategy to propose that the CMO, in coordination with stakeholders, could develop an implementation plan with detailed initiatives for increasing collaboration and information sharing across the department. According to the draft strategy, this plan could include goals and milestones for these initiatives, and the CMO could report periodically on the achievement of the goals. Further, consistent with the leading practice to involve employees to obtain their ideas and gain their ownership for the transformation, OCMO officials proposed that a representative from OCMO could chair an action officer- level governance body to plan and share performance information related to this effort. According to the draft strategy, this governance body would solicit feedback about the related changes, propose changes to new policies and procedures based on the feedback, and manage the implementation and tracking of the established goals. Issuing the organizational strategy\u2014in accordance with section 911 and our prior recommendation\u2014will better position DOD to advance a collaborative culture."], "subsections": []}, {"section_title": "DOD Has Not Implemented Training or Issued Guidance for Its Cross- Functional Teams or Provided Training to Presidential Appointees", "paragraphs": ["DOD has not fulfilled three related requirements of section 911 to guide the implementation of its cross-functional teams, namely to (1) provide training to cross-functional team members and their supervisors, (2) issue guidance on cross-functional teams, and (3) provide training to presidential appointees. OCMO officials stated that they plan to send the guidance and training curricula to the Secretary of Defense for review and approval after the organizational strategy is issued. Table 1 shows the three requirements of section 911, the due dates, and the status of DOD actions, if any, as of May 2018."], "subsections": [{"section_title": "DOD Has Not Implemented Training or Issued Guidance for Its Cross-Functional Teams", "paragraphs": ["As of May 2018, OCMO had developed a draft training curriculum for cross-functional team members and their supervisors, but had not provided the required training. In February 2018, we reported that the draft training curriculum addressed all requirements in section 911. OCMO officials stated that after the Secretary of Defense reviews and approves the training curriculum, which will occur after the organizational strategy is issued, they will provide training to the members of the cross- functional team on personnel vetting for background investigations and to the 9 teams implementing reform initiatives.", "OCMO has also drafted guidance on cross-functional teams, but DOD has not issued the guidance and did not meet the statutorily-required date of September 30, 2017. Section 911 requires the guidance to address areas such as the decision-making authority of the teams and key practices that senior leaders should follow with regard to leadership, organizational practice, collaboration, and the functioning of cross- functional teams. In February 2018, we reported that OCMO had developed draft guidance for cross-functional teams that addressed six of seven statutorily-required elements and incorporated five of eight leading practices for effective cross-functional teams that we identified in prior work. We recommended, and DOD concurred, that the CMO should fully address all requirements in section 911 and incorporate these leading practices into the guidance. DOD has taken steps to address our recommendation. For example, consistent with the practice for open and regular communication, OCMO revised the guidance to state that the cross-functional team leaders and OCMO will encourage and facilitate continuous communication and information sharing. According to the revised guidance, the team leaders and OCMO will accomplish this through co-location of team members, management practices by cross- functional team leaders that promote a unified team culture and trust, and use of collaborative information technology tools maintained by OCMO. However, as of May 2018, DOD had not issued the guidance. As we reported in February 2018, without initial guidance that fully addresses the required statutory elements in section 911 and incorporates our leading practices, DOD\u2019s cross-functional teams may not be able to consistently and effectively pursue the Secretary of Defense\u2019s strategic objectives or further promote a collaborative culture within the department."], "subsections": []}, {"section_title": "Over Two-Thirds of Presidential Appointees in the Office of the Secretary of Defense Have Been Appointed, but None Have Received Required Training or Waivers", "paragraphs": ["OCMO has developed a draft training curriculum for individuals filling presidentially-appointed, Senate-confirmed positions in the Office of the Secretary of Defense. However, as of May 2018, DOD had filled 26 of 36 such positions, and none had received the training or been granted a training waiver. Further, section 911 requires these individuals to complete the training within 3 months of their appointment, but 22 have been in their positions longer than 3 months, as shown in figure 2.", "In February 2018, we reported that the draft curriculum addressed only one of the four required elements in section 911. Specifically, we found that the draft curriculum addressed the required statutory element for training on the operation of cross-functional teams, but did not incorporate the required statutory elements for leadership, modern organizational practice, or collaboration. We recommended, and DOD concurred, that the CMO should either (1) provide training that includes all of the required elements in section 911 or (2) develop criteria for obtaining a waiver and have the Secretary of Defense request such a waiver from the President for these required elements if the individual possesses\u2014through training and experience\u2014the skill and knowledge otherwise to be provided through a course of instruction. Once the training curriculum is reviewed and approved by the Secretary of Defense, which will occur after the organizational strategy is issued, OCMO officials plan to provide the training on the operation of cross-functional teams to the presidential appointees. These officials stated that DOD plans to develop criteria for presidential appointees who are eligible for a waiver from the training on leadership, modern organizational practice, and collaboration, and to recommend that the Secretary of Defense approve these waivers. Until DOD finalizes actions on this recommendation, the department may have difficulty advancing a collaborative culture, as top leadership commitment is a key practice for a successful organizational transformation."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We are not making recommendations in this report. We provided a draft of this report to DOD for review and comment. DOD concurred with our report. In addition, DOD provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and DOD\u2019s Chief Management Officer. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or FieldE1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Prior GAO Reports on the Department of Defense\u2019s Implementation of Section 911 of the National Defense Authorization Act for Fiscal Year 2017", "paragraphs": ["Section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 included a provision for us\u2014every 6 months after the date of enactment on December 23, 2016, through December 31, 2019\u2014to submit to the defense committees a report setting forth a comprehensive assessment of the actions that DOD has taken pursuant to section 911 during each 6-month period and cumulatively since the NDAA\u2019s enactment. We issued our first report in June 2017, and did not make recommendations. We issued our second report in February 2018, and made four recommendations to improve DOD\u2019s implementation of section 911. Table 2 identifies the two prior GAO reports on DOD\u2019s implementation of section 911 and the status of the four recommendations from our February 2018 report."], "subsections": []}, {"section_title": "Appendix II: Summary of Requirements in Section 911 of the National Defense Authorization Act for Fiscal Year 2017", "paragraphs": ["Section 911 of the National Defense Authorization Act for Fiscal Year 2017 requires the Secretary of Defense to take several actions. Table 3 summarizes some of these requirements, the due date, and the date completed, if applicable, as of May 2018."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Margaret Best (Assistant Director), Tracy Barnes, Arkelga Braxton, William Carpluk, Adelle Dantzler, Michael Holland, William Lamping, Amie Lesser, Ned Malone, Judy McCloskey, Sheila Miller, Richard Powelson, Terry Richardson, Ron Schwenn, Jared Sippel, Sarah Veale, and Tina Won Sherman made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-487", "url": "https://www.gao.gov/products/GAO-18-487", "title": "U.S. Customs and Border Protection: Progress and Challenges in Recruiting, Hiring, and Retaining Law Enforcement Personnel", "published_date": "2018-06-27T00:00:00", "released_date": "2018-06-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CBP is responsible for securing U.S. borders and employs nearly 45,000 law enforcement officers across its three operational components at and between U.S. ports of entry, in the air and maritime environment, and at certain overseas locations. In recent years, CBP has not attained target staffing levels for its law enforcement positions, citing high attrition rates in some locations, a protracted hiring process, and competition from other law enforcement agencies. GAO was asked to review CBP's efforts to recruit, hire, and retain law enforcement personnel.", "This report examines CBP's efforts to (1) recruit qualified law enforcement officers, (2) more efficiently hire law enforcement applicants, and (3) retain law enforcement officers. GAO analyzed CBP data on recruitment, hiring, and retention from FY 2013 through 2017, as well as selected data for the first two quarters of FY 2018. GAO also reviewed CBP strategies and the recent contract it awarded to augment its recruiting and hiring activities and interviewed officials from CBP and three other selected law enforcement agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. Customs and Border Protection (CBP) increased its emphasis on recruitment by establishing a central recruitment office and increasing its participation in recruitment events, among other things. As a result, the number of applications it received for law enforcement positions across its operational components\u2014the Office of Field Operations, U.S. Border Patrol, and Air and Marine Operations\u2014from fiscal years (FY) 2013 through 2017 more than tripled. Also, in November 2017, CBP hired a contractor to more effectively target potential applicants and better utilize data to enhance CBP's recruitment efforts. However, it is too early to gauge whether the contractor will be effective in helping CBP to achieve its goal to recruit and hire more law enforcement officers.", "CBP improved its hiring process as demonstrated by two key metrics\u2014reducing its time-to-hire and increasing the percentage of applicants that are hired. As shown in the table, CBP's time-to-hire has decreased since FY 2015. CBP officials stated these improvements, paired with increases in applications, have resulted in more hires. For example, the number of Border Patrol agents hired in the first half of FY 2018 increased by about 83 percent when compared to the same period for FY 2017. However, the hiring process remains lengthy\u2014for example, in FY 2017 it took more than 300 days, on average, for CBP officer applicants to complete the process. Certain factors contribute to the lengthy time-to-hire, including process steps that can be challenging and time-consuming for applicants to complete\u2014such as the polygraph exam\u2014as well as CBP's reliance on applicants to promptly complete certain aspects of the process\u2014such as submitting their background investigation form.", "CBP enhanced its efforts to address retention challenges. However, staffing levels for law enforcement positions consistently remained below target levels. For example, CBP ended FY 2017 more than 1,100 CBP officers below its target staffing level. Officials cited employees' inability to relocate to more desirable locations as a key retention challenge. CBP has offered some relocation opportunities to law enforcement personnel and has recently pursued the use of financial incentives and other payments to supplement salaries, especially for those staffed to remote or hard-to-fill locations. However, CBP does not have a formal process for capturing information on all departing employees, such as an exit survey. Ensuring that operational components are systematically collecting and analyzing such information would better position CBP to understand its retention challenges and take appropriate action to address them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CBP systematically collect and analyze data on departing law enforcement officers and use this information to inform retention efforts. DHS concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security\u2019s (DHS) U.S. Customs and Border Protection (CBP) is responsible for, among other things, securing U.S. borders to prevent acts of terrorism and stopping the unlawful movement of people, illegal drugs, and other contraband across U.S. borders. To carry out these objectives, CBP employs nearly 45,000 law enforcement personnel across its three operational components\u2014the Office of Field Operations (OFO), U.S. Border Patrol (Border Patrol), and Air and Marine Operations (AMO)\u2014at and between U.S. ports of entry, at certain overseas locations, and in the U.S. air and maritime environment. However, in recent years, CBP has not been able to attain its statutorily- established minimum staffing levels for its Border Patrol agent positions or its staffing goals for other law enforcement officer positions, citing high attrition rates in some locations, a protracted hiring process, and competition from other federal, state, and local law enforcement agencies. Additionally, Executive Order 13767, issued in January 2017, called for CBP to hire 5,000 additional Border Patrol agents, subject to available appropriations. Consistent with this directive, Border Patrol is aiming to attain a staffing level of 26,370 Border Patrol agents (5,000 agents above the fiscal year 2016 statutorily-established level).", "We have previously reported on human capital and workforce planning issues across the federal government and particularly at DHS. For example, in September 2013, we reported on department-wide recruitment and hiring efforts. Specifically, while we found that DHS components were generally filling mission-critical positions, we also recommended that the department take steps to better track the costs of its coordinated recruiting efforts. In response to this recommendation, DHS began collecting quarterly data on each of its components\u2019 recruitment expenditures, including the cost of recruitment events with multiple DHS attendees, and we closed the recommendation as implemented in August 2015. Further, in 2003, we designated strengthening DHS\u2019s human capital management functions as a high-risk area. In our 2017 high-risk update, we found that DHS had made progress improving human capital management by, for example, linking its workforce planning efforts to strategic and program planning efforts. However, we also found that DHS had more work ahead to improve employee morale, among other things. In November 2017, we reported on Border Patrol\u2019s agent deployment strategy and, among other things, found that Border Patrol faced challenges in optimally deploying agents due to staffing shortages. We also reported on CBP\u2019s trade enforcement activities in June 2017 and found that CBP had not met the authorized staffing levels for its trade positions. We recommended that CBP develop a long-term hiring plan outlining how the agency will meet its staffing targets for these positions. CBP concurred with this recommendation and, as of January 2018, had taken steps toward addressing hiring gaps for its trade positions, such as evaluating approaches for assessing and selecting candidates, but has not yet developed a long-term hiring plan.", "Additionally, the DHS Office of Inspector General (OIG) has reported on CBP recruitment and hiring challenges. Specifically, the DHS OIG found that CBP faced significant challenges in meeting its hiring goals and expressed concern about CBP\u2019s ability to hire law enforcement personnel in a timely manner, citing the agency\u2019s lengthy hiring process and its need for additional human resources personnel. Further, in August 2017, the DHS OIG recommended improving certain aspects of CBP\u2019s polygraph examination for law enforcement officers, including developing procedures to ensure that active polygraph examinations are immediately stopped if an applicant makes a disqualifying statement, such as admitting to certain instances of illegal drug use.", "You asked us to review CBP\u2019s efforts to recruit, hire, and retain law enforcement personnel. This report examines the extent to which CBP has (1) developed and implemented an approach to recruit qualified law enforcement officers, (2) revised its hiring process and made efforts to more efficiently hire law enforcement applicants, and (3) developed and implemented an approach to retain law enforcement officers.", "To determine the extent to which CBP has developed and implemented an approach to recruit qualified law enforcement officers, we reviewed pertinent recruitment strategy documents, such as DHS\u2019s Coordinated Recruiting and Outreach Strategy and CBP\u2019s National Frontline Recruitment Command Strategy, and assessed CBP\u2019s recent and planned recruitment activities. We analyzed data on CBP\u2019s recruitment efforts for the last 5 fiscal years\u20142013 through 2017\u2014including application numbers, recruitment budgets, financial recruitment incentives, and the number and type of agency recruitment events, to identify trends over time and assess how CBP uses these data to inform its recruitment efforts. We also analyzed selected information from fiscal year 2018, such as recruitment events, to help identify possible trends. We interviewed CBP officials from all three operational components as well as CBP\u2019s Office of Human Resources Management (HRM) and the National Frontline Recruitment Command (NFRC) to identify and discuss the challenges CBP faces in recruiting for law enforcement positions. We assessed the key efforts and initiatives CBP has undertaken to address these challenges to determine the extent to which CBP\u2019s efforts have had an effect on its ability to recruit qualified applicants.", "To determine the extent to which CBP has revised its hiring process and made efforts to more efficiently hire law enforcement applicants, we reviewed CBP\u2019s step-by-step hiring process for all law enforcement positions across its three operational components. We also reviewed key hiring documents such as the Office of Personnel Management\u2019s (OPM) End-to-End Hiring Roadmap and CBP\u2019s draft Frontline Hiring and Recruiting FY 18 to FY 24 Strategy & Implementation Plan. We also analyzed key hiring data from fiscal years 2015 through 2017, including CBP\u2019s time-to-hire\u2014the average number of calendar days that elapsed between the closing date of a job announcement and an applicant\u2019s entry- on-duty date\u2014and overall applicant pass rate\u2014the estimated percentage of applicants who successfully completed the hiring process and entered on duty\u2014to identify trends. We also analyzed data on each individual hiring process step, including the pass rate and average duration\u2014the average amount of time it took applicants to complete a given step\u2014to identify specific aspects of CBP\u2019s process that posed challenges. As these data were not systematically tracked in fiscal years 2013 and 2014, we selected fiscal years 2015 through 2017, the 3 most recent fiscal years for which complete data were available at the time of our review. Further, we reviewed CBP documentation and interviewed officials in HRM, the three operational components, and the Office of Professional Responsibility\u2014which manages the background investigation and polygraph examination portions of the hiring process. We used this information to identify and assess revisions to the hiring process as well as key hiring initiatives to determine the extent to which these efforts have had an effect on the agency\u2019s time-to-hire and overall applicant pass rates. We also reviewed the November 2017 contract CBP awarded to Accenture Federal Services, LLC, to help meet the staffing requirements outlined in Executive Order 13767 (issued in January 2017) and interviewed CBP officials responsible for managing the contract.", "To determine the extent to which CBP has developed and implemented an approach to retain law enforcement personnel, we analyzed CBP data on attrition rates and law enforcement officer losses by component, position, and location for the last 5 fiscal years\u20142013 through 2017\u2014as well as selected data from fiscal year 2018, such as the number of law enforcement officers that departed the agency. We assessed documentation and data on CBP\u2019s use of relocation programs and human capital flexibilities, including financial retention incentives and special salary rates, to determine the extent to which CBP has made efforts to retain qualified law enforcement officers. We interviewed officials in HRM and all three CBP operational components as well as officials from the National Border Patrol Council union and National Treasury Employees Union\u2014which represent CBP officers\u2014to gain insights into the challenges the agency faces in retaining law enforcement personnel and assess the key efforts and initiatives CBP has pursued to address these challenges. Additionally, we assessed CBP\u2019s retention efforts against federal internal control standards related to using quality information to inform management decision making.", "We assessed the reliability of CBP data on recruitment, hiring, and retention that we used for our analysis for all three objectives. We obtained and analyzed documentation on CBP\u2019s systems capabilities and data controls, interviewed data users and managers responsible for these systems, and, to the extent possible, cross-checked data across disparate sources to ensure consistency. We found these data to be sufficiently reliable for the purposes of this report. Further, we reviewed our work on federal human capital issues and conducted a literature search to identify leading practices that may be applicable to federal law enforcement agencies in recruiting, hiring, and retaining officers. We assessed the extent to which CBP\u2019s processes and key activities aligned with leading practices in areas such as identifying recruitment responsibilities, processing applicants, and determining pay and compensation. We also reviewed documentation and data and interviewed officials from three other selected federal law enforcement agencies\u2014U.S. Immigration and Customs Enforcement (ICE), the U.S. Secret Service, and the federal Bureau of Prisons (BOP)\u2014to identify their efforts and activities in recruiting, hiring, and retaining qualified law enforcement personnel. We included these other selected law enforcement agencies in our review to help provide context for understanding CBP\u2019s efforts and outcomes in recruiting, hiring, and retaining law enforcement personnel relative to these agencies. We selected ICE because it is a DHS component that also has an immigration-related mission and because CBP data indicate that ICE is the top destination for departing CBP law enforcement personnel. We selected the Secret Service because it is also a DHS component and its application process\u2014like CBP\u2019s\u2014includes a polygraph examination. Last, we selected BOP as a non-DHS comparison agency because it has also faced challenges in recruiting and retaining law enforcement personnel in hard-to-fill locations.", "We conducted this performance audit from August 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CBP\u2019s Law Enforcement Positions", "paragraphs": ["Within CBP\u2019s three operational components\u2014OFO, Border Patrol, and AMO\u2014there are five categories of law enforcement officer positions, each with different job requirements and responsibilities. First, OFO\u2019s CBP officers conduct immigration and customs inspections at ports of entry to prevent the illicit entry of travelers, cargo, merchandise, and other items. Second, Border Patrol agents are responsible for securing the U.S. border between ports of entry and responding to cross-border threats. Third, AMO has three categories of law enforcement officers\u2014Air Interdiction Agents, Aviation Enforcement Agents, and Marine Interdiction Agents\u2014who interdict and disrupt threats to the United States in the air and maritime environments at and beyond the border. For more information on CBP\u2019s law enforcement officer positions, see figure 1."], "subsections": []}, {"section_title": "CBP Staffing Levels for Law Enforcement Officer Positions", "paragraphs": ["In recent years, CBP has not been able to attain statutorily-established minimum staffing levels for its Border Patrol agent positions or meet its staffing targets for other law enforcement officer positions. Figure 2 shows the difference between CBP\u2019s onboard staffing levels and its authorized staffing levels from fiscal years 2013 through 2017."], "subsections": []}, {"section_title": "CBP\u2019s Hiring Process for Law Enforcement Officer Positions", "paragraphs": ["CBP\u2019s law enforcement applicants undergo a lengthy and rigorous hiring process that includes nearly a dozen steps, including a background investigation, medical examination, physical fitness test, and polygraph examination. Several of these steps can be done concurrently\u2014for example, CBP can begin the background investigation while the candidate completes the physical fitness test and medical examination process steps. Figure 3 depicts the hiring process for Border Patrol agent and CBP officer positions."], "subsections": []}, {"section_title": "Financial Incentives and Other Human Capital Flexibilities Available to CBP", "paragraphs": ["CBP is able to use financial incentives and other compensation-based human capital flexibilities to help recruit and retain qualified law enforcement personnel. According to OPM, federal agencies have broad discretionary authority to provide additional compensation in certain circumstances to support workforce needs and address human capital challenges, including through the use of financial incentives such as recruitment, relocation, and retention incentives. Table 1 below provides an overview of these incentives.", "In addition to these incentives, CBP can also offer other compensation- based human capital flexibilities to employees. For example, with OPM approval, CBP may establish a special salary rate, or a higher rate of pay for employees, either nationwide or in a specific geographic area where CBP\u2019s recruitment or retention efforts are, or would likely become, significantly handicapped without those higher rates."], "subsections": []}]}, {"section_title": "CBP Has Enhanced Its Recruitment Efforts and Applications for Law Enforcement Officer Positions Have Increased", "paragraphs": [], "subsections": [{"section_title": "CBP Established a Centralized Recruitment Office to Manage Recruitment Efforts across Components", "paragraphs": ["CBP officials stated they established the National Frontline Recruitment Command (NFRC)\u2014a formal task force housed within CBP\u2019s Office of Human Resources Management (HRM)\u2014in February 2016. The NFRC is charged with, among other things, developing recruitment strategies, providing strategic guidance, and managing recruitment efforts across all three operational components. CBP officials stated that, prior to the creation of the NFRC, the recruitment and hiring of law enforcement officers was done at the component level and there was no integrated CBP-wide approach to coordinate efforts and address challenges. Based on our literature search, we identified leading practices that may be applicable to federal law enforcement agencies in recruiting, hiring, and retaining law enforcement personnel. Having a centralized entity or office in charge of developing recruitment strategies and overseeing recruitment activities is consistent with leading practices we identified for recruiting for law enforcement positions specifically. All three other selected law enforcement agencies we reviewed also had recruitment strategies that outlined their respective agencies\u2019 recruitment roles and responsibilities, while two had a centralized entity in charge of recruitment. In particular, officials from both ICE and the Secret Service stated they have a central office in charge of recruitment efforts while BOP officials told us that recruitment for Correctional Officers is mainly handled at the local prison level.", "The NFRC is responsible for setting CBP\u2019s strategic recruitment goals and overseeing agency-wide recruitment initiatives. For example, CBP officials are finalizing the Frontline Hiring and Recruiting FY 18 to FY 24 Strategy & Implementation Plan, which outlines specific initiatives designed to increase the number and quality of applicants applying for law enforcement officer positions. The strategy describes ways CBP can target its recruitment efforts more effectively and develop brand identities for each component to provide the foundation for a comprehensive marketing strategy.", "In addition to setting strategic initiatives, the NFRC manages the recruitment budget and allocates recruitment funding for CBP and the operational components. For example, NFRC officials stated that the NFRC funds CBP-wide recruitment initiatives such as Special Emphasis Recruitment Teams\u2014teams of specially trained recruiters from each component who attend events specific to different demographic groups such as females or veterans. The NFRC also funds other initiatives such as strategic partnerships with major businesses, which allow CBP to advertise and recruit at their events. For example, CBP previously participated in strategic partnerships with the Big 10 and Big XII athletic conferences, and in 2016 and 2017, the NFRC spent $500,000 for a strategic partnership with the Spartan Race program, which allowed CBP and its components to advertise, set up recruitment booths, and sign up applicants at events. NFRC officials told us they ended their partnership with the Spartan Race in December 2017 and are evaluating options for future strategic partnerships.", "The NFRC also allocates funding for both joint recruitment events\u2014those attended by two or three components\u2014and single-component events attended by one operational component. For example, NFRC officials stated that career and job fairs provide opportunities for CBP to leverage its resources and attract potential applicants to all three components. At these events, applicants can talk to uniformed recruiters to learn more about their respective career paths. NFRC officials stated that in addition to CBP-wide efforts, the NFRC manages and allocates recruitment funding for each operational component to cover the cost of recruitment events or other initiatives that meet the specific needs of that component. For example, AMO officials stated that they use NFRC funding to attend events such as helicopter shows where there is a higher potential to attract qualified pilots.", "As shown in table 2, CBP\u2019s recruitment budget allocated by the NFRC almost doubled from approximately $6.4 million in fiscal year 2015 to more than $12.7 million in fiscal year 2017. The budget allocated by the NFRC specific to the operational components\u2014while a small percentage of CBP\u2019s overall recruitment budget\u2014increased during this time frame as well. For example, Border Patrol\u2019s recruitment budget increased from approximately $433,000 in fiscal year 2015 to more than $1 million in fiscal year 2017, while OFO\u2019s budget increased from approximately $116,000 to nearly $525,000.", "In addition to recruitment funding managed by the NFRC, components may use additional funding from their own budgets that is not allocated or managed by the NFRC to fund recruitment initiatives. For example, two of the three components funded their own strategic partnerships. Border Patrol officials stated they spent $1.5 million on a strategic partnership with the Professional Bull Riders Association which allowed them to target specific applicants who fit Border Patrol\u2019s applicant profile. This partnership provided Border Patrol with the opportunity to advertise and recruit at more than 70 events over the course of 18 months. Likewise, OFO officials told us they spent $15,000 to be the sole sponsor of the 2018 National Police Week race in Washington, D.C., which includes a recruitment booth, a logo on the official T-shirt, and a prominent speaker at the start of the race. AMO officials stated that while they generally do not use their own funding to pay for strategic partnerships, they do partner with the University of North Dakota, which has a large flight school, where they give presentations in classrooms and recruit on campus."], "subsections": []}, {"section_title": "CBP Has Increased Its Participation in Recruitment Events and Standardized Its Recruiter Training", "paragraphs": ["CBP has increased its emphasis on recruitment and increased the number of recruitment events it has participated in since fiscal year 2015. Specifically, CBP more than tripled the total number of recruitment events it participated in, from 905 events in fiscal year 2015 to roughly 3,000 in both fiscal years 2016 and 2017 (see fig. 4).", "CBP components generally attend two different types of recruitment events\u2014outreach events designed to promote CBP\u2019s brand and events such as job and career fairs designed to actively cultivate potential applicants. For example, AMO officials stated their attendance at the 2018 Border Security Expo technology trade fair was an outreach event designed to promote the component at a high-visibility event despite the low likelihood of directly reaching qualified applicants, such as pilots. AMO officials also stated they participate in the HELISUCCESS career fair at the annual Heli-Expo trade show where individuals from across the helicopter industry gather to attend seminars and interact with recruiters. They noted that this event provides a great opportunity to recruit qualified applicants who have a license to fly helicopters.", "While CBP increased its participation in recruitment events from fiscal years 2015 through 2017, officials across all three components told us the NFRC canceled a number of events during the first half of fiscal year 2018 because of a lack of certainty regarding the agency\u2019s budget while functioning under continuing resolutions, which extended fiscal year 2017 funding until the enactment of the Consolidated Appropriations Act, 2018, in March 2018. Additionally, CBP officials stated that the agency was responsible for providing humanitarian support for multiple hurricanes during this time frame which put a strain on CBP\u2019s resources. Overall, these officials explained that the NFRC canceled 36 percent of all recruitment events during the first half of fiscal year 2018 until the enactment of the Consolidated Appropriations Act, 2018. They stated that during this period, they focused on attending free local events and online events such as webinars, but noted that the lack of consistent year-to- year funding for recruitment activities directly affected their ability to attend recruitment events and thus to recruit qualified personnel.", "To attend recruitment events and promote their brand, CBP components utilize their own law enforcement personnel to act as recruiters. As shown in table 3, as of March 2018, CBP had 1,663 recruiters across the three components, which included 57 full-time and 1,606 part-time recruiters. CBP officials stated that most recruiters do not conduct recruitment activities on a full-time basis and recruitment is considered a collateral responsibility in addition to regular duties. In addition, officials stated these recruiters must be approved by their component leadership and funding for their positions comes from the components\u2019 budgets.", "In July 2017, CBP implemented a 5-day standardized training program for all component recruiters focused on effective public speaking and engagement tactics as well as specific, in-depth information on each operational component and the CBP hiring process. CBP officials stated that a goal of this training, among other things, is to ensure that recruiters provide standardized, accurate information to all potential applicants. As of April 2018, 636 recruiters had completed the training, according to CBP officials, and the agency plans to train 1,300 recruiters by the end of fiscal year 2018."], "subsections": []}, {"section_title": "CBP Increased Its Use of Recruitment Incentives, Although Use by Components Varied", "paragraphs": ["In addition to establishing the NFRC and increasing participation in recruitment events, CBP has increased its use of recruitment incentives from fiscal years 2015 through 2017 to help staff hard-to-fill locations. A recruitment incentive may be paid to a newly-appointed employee if an agency determines that a position is likely to be difficult to fill in the absence of such an incentive. From fiscal years 2015 through 2017, OFO increased the number of recruitment incentives it paid to CBP officers from 9 incentives in 2 locations at a total cost of about $77,600 to 446 incentives across 18 locations at a cost of approximately $4.3 million. AMO and Border Patrol did not use recruitment incentives from fiscal years 2015 through 2017 (see fig. 5).", "OFO officials told us that recruitment incentives have been effective in filling staffing shortages at hard-to-fill locations. For example, they noted that since they began offering recruitment incentives in fiscal year 2015, 14 of the 18 locations where these incentives are used have not experienced a decrease in staffing levels as of February 2018. Additionally, OFO officials told us that in larger ports-of-entry\u2014such as San Ysidro, California, where staffing levels have consistently remained below authorized targets\u2014staffing levels have increased by up to 15 percent. AMO officials stated while they did not use recruitment incentives from fiscal years 2015 through 2017, as of April 2018 they are using them to fill remote locations in the Caribbean. Specifically, AMO paid two recruitment incentives for Air Interdiction Agents and two for Marine Interdiction Agents at locations in Puerto Rico and the U.S. Virgin Islands. AMO officials stated that they began using these incentives to staff hard- to-fill locations because of a nationwide shortage of pilots as well as increased competition with commercial airlines. However, as AMO has only recently started using these incentives, it is too early to gauge whether it will be effective in increasing staffing levels at these hard-to-fill locations. Border Patrol officials stated the main reason they do not use recruitment incentives is that in the past these incentives created resentment among current employees that did not receive extra pay to do the same job in the same location. Additionally, these officials told us that job announcements for Border Patrol agent positions do not specify particular duty locations, but represent a general announcement that can be used to fill numerous duty locations, as necessary."], "subsections": []}, {"section_title": "Applications for Law Enforcement Positions Have Tripled since Fiscal Year 2013", "paragraphs": ["As a result of its efforts, CBP has experienced an increase in the number of applications it received for law enforcement officer positions across all three operational components from fiscal years 2013 through 2017. For example, with the exception of fiscal year 2014, applications for Border Patrol agent positions increased every year from roughly 27,000 applications in fiscal year 2013 to more than 91,000 applications in fiscal year 2017. Further, during the same period, applications for CBP officer positions increased from approximately 22,500 to more than 85,000, and applications for AMO\u2019s law enforcement officer positions increased from roughly 2,000 to more than 5,800 (see fig. 6)."], "subsections": []}, {"section_title": "CBP\u2019s Accenture Contract Is Intended to Further Enhance CBP\u2019s Recruitment Efforts", "paragraphs": ["In November 2017, CBP signed a contract with a total potential period of 5 years at a not-to-exceed value of $297 million with Accenture Federal Services, LLC, to help the agency recruit and hire the 5,000 Border Patrol agents called for in Executive Order 13767 as well as an additional 2,000 CBP officers and 500 AMO personnel. Under this performance-based contract, Accenture will be responsible for enhancing CBP\u2019s recruitment efforts and managing the hiring process for those applicants it recruits. The contract includes a base year and four 1-year option periods which CBP may exercise at its discretion for a total potential period of 5 years. The $297 million represents the maximum amount CBP may obligate on the contract during the potential 5-year period. CBP obligated $43 million on the Accenture contract in November 2017 for startup costs, security- related services, and for the hiring of 440 CBP officers, 150 Border Patrol agents, and 23 AMO law enforcement officers. Under the terms of the contract, CBP will pay the contractor a set dollar amount for each law enforcement officer hired. For example, in the first year of the contract, CBP has agreed to pay Accenture approximately $40,000 for each Border Patrol agent hired with 80 percent paid when a candidate receives an official job offer and the remaining 20 percent paid upon the candidate\u2019s entry-on-duty date.", "The Accenture contract is intended to enhance CBP\u2019s recruitment efforts by improving its marketing strategy and utilizing new ways to capture and analyze data to better inform recruitment efforts, according to CBP officials. For example, HRM officials stated that, in February 2018, Accenture began its digital marketing campaign and started posting electronic ads to target potential applicants for CBP\u2019s law enforcement positions. In addition, Accenture is using advertisements, e-mail blasts, and other strategic marketing tools to specifically target various categories of potential applicants, such as women, veterans, minorities, and current law enforcement officers. CBP officials told us that they are not concerned about Accenture\u2019s recruiting efforts encroaching on the agency\u2019s current applicant pool as Accenture\u2019s activities will largely target populations that CBP has not historically pursued. They also stated that for populations that CBP does target (e.g., veterans and women), the agency expects to benefit from Accenture\u2019s recruitment efforts by increasing the number of applicants from these populations to all job announcements for CBP positions. Further, they noted that if Accenture\u2019s tactics are successful, there is nothing prohibiting the agency from replicating such tactics to garner more applicants.", "CBP officials also stated that Accenture plans to provide opportunities to better enhance the agency\u2019s data analytics on its recruitment efforts. For example, Accenture is using recruitment data and software to identify potential candidates and increase traffic to websites where these individuals can submit applications. CBP officials told us they would benefit from these and other insights that Accenture\u2019s data analytics will provide as CBP can evaluate the contractor\u2019s recruitment efforts and initiatives and, based upon Accenture\u2019s success, incorporate them into CBP\u2019s own efforts. While these efforts seem promising, it is too early to determine whether these initiatives will help increase the number and quality of applicants for CBP\u2019s law enforcement officer positions."], "subsections": []}]}, {"section_title": "CBP Has Taken Steps to Improve Its Hiring Process, but the Process Remains Lengthy", "paragraphs": [], "subsections": [{"section_title": "CBP Has Improved Its Performance in Two Key Hiring Metrics", "paragraphs": ["Since fiscal year 2015, CBP\u2019s performance in two key metrics that it uses to assess the efficiency and effectiveness of its hiring process for law enforcement officer positions has generally improved. Specifically, CBP reduced its time-to-hire and increased its overall applicant pass rates for all three components.", "Time-to-Hire. CBP\u2019s average time-to-hire metric calculates the average number of calendar days that elapsed between the closing date of a job announcement and an applicant\u2019s entry-on-duty date. CBP\u2019s time-to-hire for all law enforcement officer positions decreased from fiscal years 2015 through 2017. Specifically, during this period, the time-to-hire for CBP officers decreased by 78 days (20 percent) to an average of 318 days for fiscal year 2017. For AMO Air and Marine Interdiction Agents, CBP\u2019s time-to-hire decreased by 103 days (28 percent) to an average of 262 days for fiscal year 2017. The agency\u2019s time-to-hire for Border Patrol agents was the longest at 628 days in fiscal year 2015. As discussed earlier, Border Patrol officials stated that there were no job announcements for Border Patrol agent positions in fiscal year 2014; therefore, many of the agents hired in fiscal year 2015 had applied in fiscal year 2013, accounting for this protracted time-to-hire. Even so, from fiscal year 2016 to 2017, CBP\u2019s time-to-hire for Border Patrol agents decreased by 32 days (11 percent) to an average of 274 days for fiscal year 2017 (see table 4).", "We also compared CBP\u2019s time-to-hire with that of the Secret Service because its hiring process for law enforcement officers is the most similar to CBP\u2019s. Specifically, the Secret Service\u2019s hiring process comprises roughly the same number of hiring steps and also includes a polygraph examination\u2014one of the more challenging and time-consuming steps in the process\u2014as well as a written assessment, background investigation, medical examination, and interview. We found that CBP\u2019s time-to-hire for its law enforcement positions was shorter than the Secret Service\u2019s in fiscal years 2016 and 2017. For example, in fiscal year 2017, CBP\u2019s time-to-hire for CBP officers and Border Patrol agents was 73 days and 117 days shorter, respectively, than the Secret Service\u2019s. Further, CBP\u2019s time-to-hire for AMO\u2019s law enforcement positions was shorter than the Secret Service\u2019s in every fiscal year from 2015 through 2017.", "Overall Applicant Pass Rates. CBP\u2019s overall applicant pass rate metric calculates the estimated percentage of applicants who successfully complete the hiring process and enter on duty. CBP data indicate that overall applicant pass rates more than doubled for CBP officer and Border Patrol agent positions from fiscal years 2016 to 2017 (see table 5).", "CBP officials told us that higher overall applicant pass rates paired with recent increases in the number of applications received by the agency are starting to result in an increase in the number of law enforcement officers hired as applicants complete CBP\u2019s hiring process and officially enter on duty. As shown in table 6, CBP data indicate that more law enforcement officers entered on duty in the first half of fiscal year 2018 than entered on duty in the first half of fiscal year 2017. Specifically, the total number of CBP officers and Border Patrol agents that entered on duty in the first half of fiscal year 2018 increased by roughly 50 percent and 83 percent, respectively, when compared to the same period of the prior fiscal year. Further, the total number of AMO law enforcement officers that entered on duty in the first half of fiscal year 2018 more than doubled from the same period of fiscal year 2017.", "CBP officials noted that they hope to consistently maintain this trend of increased hires to offset attrition and attain target staffing levels. For example, although 328 Border Patrol agents entered on duty in the first half of fiscal year 2018, 404 agents departed Border Patrol during this same period, resulting in a net loss of 76 agents. Likewise, in the first half of fiscal year 2018, a total of 449 CBP officers entered on duty while 488 officers departed OFO, resulting in a net loss of 39 officers. These data indicate that CBP continues to face challenges in retaining qualified law enforcement personnel and attaining target staffing levels for these positions. We discuss this issue later in this report."], "subsections": []}, {"section_title": "CBP Has Taken Steps to Improve Its Hiring Process for Law Enforcement Officers", "paragraphs": ["CBP has made efforts to improve its hiring process by revising certain aspects of the process and piloting two key hiring initiatives\u2014Hiring Hub events and the Applicant Care program. According to agency officials, these efforts to streamline and improve CBP\u2019s overall hiring process have collectively resulted in the decreased time-to-hire and increased overall applicant pass rates discussed above. In addition to these efforts, CBP\u2019s contract with Accenture is designed to provide surge hiring capacity to help supplement the agency\u2019s efforts to meet its staffing goals, according to agency officials.", "Hiring Process Revisions. CBP has implemented changes aimed at streamlining its hiring process for law enforcement officers and made adjustments to specific hiring steps. For example, among other changes, CBP took the following steps: In fiscal year 2015, CBP replaced its paper-based fingerprinting process with an electronic format, reducing the costs and effort required to physically process and mail paper fingerprinting cards.", "In fiscal year 2016, CBP increased the frequency of its job announcements on USAJOBS.gov to solicit applications on a continuous basis instead of only posting announcements for set periods of time. In addition, DHS was directed by statute to enhance its efforts to recruit members of the Armed Forces to serve as CBP officers through identifying shared activities and opportunities for reciprocity related to steps in hiring so as to minimize the time required to hire qualified applicants.", "In March 2017, CBP was granted the authority to waive the polygraph examination for veterans who meet certain criteria, including those who hold a current, active top-secret/sensitive-compartmented- information clearance.", "In April 2017, CBP received OPM approval to use direct-hire authority for law enforcement positions, which allows CBP to expedite the typical hiring process by eliminating competitive rating and ranking procedures and veterans\u2019 preference. As of March 31, 2018, 77 CBP officers and 107 Border Patrol agents had entered on duty through this authority, but HRM officials told us that more applicants continue to progress through CBP\u2019s hiring pipeline.", "CBP has also made revisions to specific steps in its hiring process, including the application, entrance examination, physical fitness test, and polygraph examination, among others. For example, in May 2014, CBP incorporated questions into its electronic application that are designed to automatically disqualify applicants who, based on their responses, could not pass CBP\u2019s background investigation. Specifically, applicants that provide a disqualifying response to any of these questions would not be able to submit an application, thereby saving CBP the effort and resources associated with processing nonviable applicants. Further, in fiscal year 2016, CBP reordered its hiring process to place the entrance examination as the first step directly after an applicant submitted an application. Prior to this change, CBP conducted qualification reviews on applicants to ensure they met position requirements before inviting them to take the entrance exam. According to CBP officials, this updated process provided applicants with the opportunity to obtain a realistic preview of the job they were applying for earlier in the hiring process. These officials explained that this helps to ensure that only those applicants who are committed to completing the hiring process and entering on duty at CBP continue through the hiring pipeline, which may help to address high applicant discontinue rates (e.g., roughly half of all eligible applicants in fiscal year 2015 did not take the exam). According to CBP documentation, this revision also created efficiencies as the agency no longer has to spend time and resources on completing qualification reviews for applicants who either did not show up to take the exam or failed the exam itself.", "CBP data show recent improvements in both the pass rates for the entrance examination process step as well as its average duration\u2014the average amount of time it took applicants to complete this step. Specifically, from fiscal years 2016 to 2017, pass rates increased by about 40 percent for both CBP officer and Border Patrol agent candidates, and the average duration shortened from 17 days to 13 days for CBP officer candidates and from 19 days to 12 days for Border Patrol agent applicants. CBP officials told us they are also exploring options to allow applicants to complete the entrance examination remotely\u2014 eliminating the need for candidates to travel to physical testing sites and potentially further reducing the amount of time spent completing this step.", "In fiscal year 2016, the physical fitness test process step was amended for all law enforcement officer applicants to provide those who fail another chance to complete this requirement, according to CBP officials. Further, in fiscal year 2017, CBP eliminated the second physical fitness test\u2014 which had been the last process step in CBP\u2019s hiring process\u2014for CBP officer, Border Patrol agent, and AMO applicants. In addition to shortening the overall process, officials told us this change provided the small percentage of applicants that passed every other hiring process step with an opportunity to demonstrate they meet CBP\u2019s physical ability standards during basic training.", "CBP has also made several changes to its polygraph examination process step, which has consistently had the lowest pass rate of any step in its hiring process. For example, among other things, CBP has increased the number of polygraph examiners available to administer the test, according to agency officials, and is piloting a new type of polygraph exam\u2014the Test for Espionage, Sabotage, and Corruption. According to CBP officials, the new examination focuses on identifying serious crimes and is sufficiently rigorous to ensure that only qualified applicants are able to pass. Preliminary data from CBP\u2019s pilot show that this new exam has demonstrated higher pass rates when compared with CBP\u2019s traditional polygraph exam while also taking less time, on average, per test to complete. In addition, in response to recommendations made by the DHS OIG in August 2017, CBP implemented a policy requiring polygraph examiners to take steps to terminate an ongoing examination if disqualifying information is obtained from an applicant during the exam. Further, CBP officials told us they are continuing to work on developing and deploying a presecurity interview to identify unsuitable applicants prior to spending resources on conducting the polygraph examination. While it remains too early to tell if these efforts will result in improvements to the polygraph examination step, available CBP data indicate mixed results. Specifically, while the average duration to complete this step decreased for all law enforcement officer positions from fiscal years 2015 through 2017, pass rates also declined slightly over this same period (see table 7).", "Hiring Hub Events. In August 2015, CBP piloted its first Hiring Hub event where applicants could complete the structured interview and polygraph examination in one location over the course of several days. In fiscal year 2016, CBP expanded its use of these events, holding additional Hiring Hubs in New York, New York; San Diego, California; and Laredo, Texas; among other locations. The use of consolidated hiring events is consistent with a leading practice we identified in hiring for law enforcement officer positions, and officials at both ICE and the Secret Service stated their agencies are using similar events to process applicants. Although CBP could not provide specific data on its Hiring Hub events, CBP officials stated that the use of these events reduced the agency\u2019s time-to-hire by consolidating hiring process steps that traditionally took applicants weeks to complete into just a few days\u2014 effectively enhancing the applicant experience and helping to reduce the number of individuals that drop out of the hiring process.", "Despite attributing a reduction in the agency\u2019s time-to-hire to the Hiring Hubs, CBP discontinued their use in fiscal year 2017 because of their high costs, according to CBP officials. Specifically, CBP officials told us the agency spent $878,000 and $426,000 in fiscal years 2016 and 2017, respectively, which included renting physical space for the Hiring Hub events and funding the travel expenses of CBP employees sent to staff them. However, CBP officials told us that the best practices and process improvements CBP learned from these events have been incorporated into the agency\u2019s new expedited hiring model, which has been used to process all CBP law enforcement applicants since April 2017. According to CBP officials, this model utilizes existing CBP facilities where applicants can complete the structured interview and polygraph examination near where they live while also providing CBP with cost savings by avoiding the need to rent physical office space.", "Applicant Care. In fiscal year 2017, CBP supplemented its traditional applicant outreach efforts by piloting the Applicant Care program across all three components. This program is intended to pair viable applicants with a trained recruiter who can answer questions and provide individuals with guidance and support throughout the lengthy hiring process. Formally pairing trained recruiters with applicants is a leading practice we identified in hiring for law enforcement positions, and of the three other selected agencies we reviewed, the Secret Service also had a similar program, according to Secret Service officials. According to CBP data, 806 applicants across all three operational components have participated in the Applicant Care pilot program and, as of May 2018, 28 of these have entered on duty at CBP. CBP officials in OFO, AMO, and HRM told us that the Applicant Care program had been useful in providing an effective way to communicate with applicants. According to a senior AMO official, AMO has fully incorporated the program into its hiring efforts and has paired every applicant since June 2017 with an AMO recruiter. Specifically, this official told us the program has been beneficial by keeping candidates engaged and steadily progressing through the process. HRM officials concurred, stating that the Applicant Care program has been successful in reducing the number of individuals that fail to complete CBP\u2019s lengthy hiring process. According to CBP officials, the Applicant Care program also helps to reduce CBP\u2019s time-to-hire since recruiters can actively encourage candidates to promptly progress through aspects of the hiring process that applicants are responsible for completing, such as the submission of OPM\u2019s Standard Form 86 (SF- 86).", "CBP officials told us that the agency is collecting data to evaluate the effectiveness of the Applicant Care pilot, including the average time-to- hire and overall pass rates of participating applicants. However, since the pilot is ongoing and some applicants continue to progress through CBP\u2019s hiring pipeline, information on the program\u2019s effectiveness remains preliminary. CBP officials also told us that scaling the Applicant Care initiative to include all applicants may present a challenge, especially given the recent increase in the number of law enforcement applications CBP has received. For example, a senior AMO official noted that, as of January 2018, 10 AMO recruiters were managing a total of about 200 applicants as part of the program, and that more recruiters would be needed to reduce employee workload to a more manageable level. Further, Border Patrol officials said that scaling the initiative to include the tens of thousands of individuals that annually apply for Border Patrol agent positions will be challenging as recruiters do not have the capacity to directly communicate with each one.", "Accenture Contract. According to CBP officials, the Accenture contract is intended to enhance the agency\u2019s ability to achieve its primary goal\u2014 hiring law enforcement officers to meet target staffing levels\u2014by augmenting CBP\u2019s current hiring infrastructure and pursuing new and innovative hiring initiatives.", "HRM officials told us that Accenture will establish its own hiring infrastructure where Accenture personnel will administer most of the hiring process steps to those applicants it recruits. Specifically, the contractor is responsible for implementing the same hiring process steps and maintaining CBP\u2019s standards to ensure that all applicants recruited by Accenture meet those standards. According to HRM officials, Accenture\u2019s efforts are expected to provide CBP with surge hiring capacity without affecting CBP\u2019s current hiring infrastructure, which will continue to function throughout the contract\u2019s duration. According to CBP officials, Accenture began processing an initial trial group of random applicants in May 2018 to ensure that the contractor is able to process candidates through its hiring pipeline as required by the contract.", "CBP officials also told us that Accenture has the flexibility to pursue novel hiring tactics and pilot initiatives that CBP may not have considered or been able to undertake. For example, Accenture plans to pilot innovative ways to reduce the time-to-hire, including by streamlining steps in the hiring process, which could help to improve CBP\u2019s overall process and generate increased hires for law enforcement positions. Further, because the contractor will only be paid for individuals that receive final job offers and enter on duty\u2014and not for implementing these new methods and initiatives\u2014CBP does not bear the financial risk if such initiatives prove not to be cost-effective. On the other hand, if hiring methods piloted by Accenture are successful in reducing CBP\u2019s time-to-hire and generating increased law enforcement officer hires, CBP can incorporate these methods into its own process.", "As of March 2018, some key issues were still being negotiated between CBP and the contractor. For example, while HRM officials told us that the main metric used to assess Accenture\u2019s effectiveness will be the total number of hires the contractor produces, they were still working to finalize other key metrics for evaluating the contractor\u2019s effectiveness as well as an oversight plan to ensure the contractor operates according to agency requirements. In addition, a senior HRM official told us that the costs associated with hiring a law enforcement officer are generally the same regardless of whether an applicant is processed by Accenture or CBP. Specifically, CBP officials explained that the requirements to hire a law enforcement officer are rigorous and include administering entrance examinations, background investigations, physical fitness and medical tests, and polygraph examinations, among other process steps. CBP officials stated that the costs associated with conducting these process steps for all applicants\u2014and not just the small percentage who successfully complete the hiring process and enter on duty at CBP\u2014are incurred whether the process is administered by Accenture or CBP. As a result, these officials explained that CBP is most focused on processing as many qualified candidates as possible to increase law enforcement officer staffing levels. As Accenture\u2019s hiring infrastructure will not become fully operational until June 2018, it is too early to evaluate whether the contractor will be able to efficiently and effectively provide the surge hiring capacity CBP needs to achieve its staffing goals."], "subsections": []}, {"section_title": "Certain Factors Affect CBP\u2019s Hiring Process for Law Enforcement Positions", "paragraphs": ["While CBP has reduced its time-to-hire and made efforts to improve its hiring process for law enforcement officers, CBP officials have noted that the hiring process remains lengthy, which they said directly affected the agency\u2019s ability to recruit and hire for law enforcement positions. CBP officials also stated that their ability to further improve CBP\u2019s time-to-hire and increase law enforcement hires is affected by hiring process steps that can be challenging and time-consuming for applicants to complete as well as CBP\u2019s reliance on applicants to promptly complete certain aspects of the process.", "As noted above, in fiscal year 2017, it took an average of 274 days for Border Patrol agent applicants and more than 300 days for CBP officer applicants to complete all hiring steps and enter on duty. According to a leading practice we identified in hiring for such positions, agencies should ensure that the hiring process is not protracted or onerous for applicants. While OPM\u2019s time-to-hire target for federal agencies is 80 days, officials at CBP, ICE, and the Secret Service told us that such a target is not feasible for law enforcement positions given the rigor and complexity of the hiring process. Further, according to CBP officials, the agency\u2019s multistep hiring process for its law enforcement officer positions is intentionally rigorous and involves extensive applicant screening to ensure that only qualified candidates meet the technical, physical, and suitability requirements for employment at CBP. Even so, CBP officials across several components told us that the agency\u2019s time-to-hire was too long and directly affected the component\u2019s ability to recruit and hire for law enforcement positions. For example, OFO officials told us that the longer the hiring process takes to complete, the more likely it is that an applicant will drop out. Further, qualified applicants may also decide to apply for employment at a competing law enforcement agency such as ICE that may have a less rigorous process than CBP\u2019s, according to CBP officials.", "One factor that affects CBP\u2019s ability to efficiently process and onboard law enforcement officers are specific hiring process steps that are time- consuming and challenging for candidates to complete. For example, CBP officials across all three operational components and HRM cited the polygraph examination as a significant bottleneck within CBP\u2019s hiring process. In addition to having the lowest pass rate of any step in CBP\u2019s process, as noted above, the polygraph examination also took CBP officer and Border Patrol agent applicants, on average, the longest amount of time to complete in fiscal year 2017\u201474 days and 94 days, respectively. Further, Border Patrol and HRM officials both told us that these already lengthy time frames may increase further because of the growing number of applicants for CBP\u2019s law enforcement positions. In addition, CBP\u2019s background investigation and medical examination process steps as well as the SF-86 submission and preemployment complete hiring phases had the five longest average durations for law enforcement applicants in fiscal year 2017. For example, on average, it took CBP law enforcement officer applicants across all three components 55 days or more to complete the medical examination and more than 60 days to complete the background investigation. For more information on the average durations of these selected aspects of CBP\u2019s hiring process, see table 8.", "Another factor that affects CBP\u2019s ability to reduce its time-to-hire is CBP\u2019s reliance on applicants to complete certain aspects of the hiring process in a timely manner. While the agency has taken steps to mitigate this issue\u2014most notably through its Applicant Care program and the Accenture contract\u2014its ability to ensure that applicants quickly complete those aspects of the hiring process they are responsible for remains limited. For example, as discussed above, applicants are responsible for completing their own SF-86, and CBP officials noted that applicants often take weeks to accurately complete and submit this form. Further, one senior HRM official told us that each time a mistake is identified in this paperwork, applicants receive an additional 5 days to fix the error, which adds up over time. CBP data indicate that while the average duration for this process step has decreased since fiscal year 2015, it continues to take more than 45 days for the average applicant to complete, as noted in table 8 above. As this completed paperwork is required to begin the background investigation and, according to CBP officials, schedule a structured interview, this inherently affects CBP\u2019s ability to reduce its time-to-hire. Further, for the medical examination process step, applicants are responsible for, among other things, scheduling the examination itself and providing pertinent documentation, such as any medical waivers required to pass the exam. According to a senior HRM official, as of February 2018, CBP had to conduct follow-up outreach to roughly 65 percent of applicants during this process step to obtain the information required to complete this step."], "subsections": []}]}, {"section_title": "CBP Has Enhanced Its Retention Efforts, but Does Not Systematically Collect and Analyze Data on Departing Law Enforcement Personnel", "paragraphs": [], "subsections": [{"section_title": "CBP\u2019s Retention of Law Enforcement Officers Varies by Position", "paragraphs": ["From fiscal years 2013 through 2017, CBP\u2019s annual rates of attrition varied across its five law enforcement officer positions. Specifically, OFO\u2019s annual attrition rates for the CBP officer position were consistent at roughly 3 percent, while rates for Border Patrol agent and AMO\u2019s Marine Interdiction Agent positions were below 5 percent in 4 out of the 5 fiscal years we reviewed. When we compared CBP\u2019s annual attrition rates for these positions to those of the other selected law enforcement agencies, we found that CBP\u2019s attrition rates were similar to ICE\u2019s annual attrition rates for its law enforcement positions and generally lower than those of the Secret Service and BOP. Annual attrition rates for AMO\u2019s aviation positions were higher, ranging from 5.0 percent to 9.2 percent for the Air Interdiction Agent position and 7.8 percent to 11.1 percent for the Aviation Enforcement Agent position. Even so, in the last 3 fiscal years, attrition rates for these positions have generally remained lower than those of the Secret Service and BOP (see table 9).", "In addition, from fiscal years 2013 through 2017, CBP\u2019s ability to hire more law enforcement officers than it lost varied across positions. Specifically, CBP consistently hired more CBP officers and Aviation Enforcement Agents than it lost. Further, while CBP generally maintained its staffing levels for Marine Interdiction Agents, the agency consistently lost more Border Patrol agents and Air Interdiction Agents than it hired. Even so, onboard staffing levels for all five of CBP\u2019s law enforcement officer positions have consistently remained below authorized staffing levels.", "OFO. With the exception of fiscal year 2016, CBP hired more CBP officers than it lost each fiscal year. Specifically, from fiscal years 2013 through 2017, CBP hired an average of 978 CBP officers and lost an average of 719 officers each year, resulting in an average annual gain of 258 CBP officers and an increase in its overall staffing level of nearly 1,300 officers over this 5-year period. However, as OFO\u2019s staffing targets for CBP officers also increased each year during this period, OFO remained below its authorized levels from fiscal years 2014 through 2017. In fact, OFO ended fiscal year 2017 more than 1,100 CBP officers below its annual staffing target (see fig. 7).", "Border Patrol. From fiscal years 2013 through 2017, CBP hired an average of 522 Border Patrol agents and lost an average of 890 agents each year, resulting in an average annual loss of 368 Border Patrol agents over this 5-year period. Therefore, despite having an annual attrition rate that mostly remained below 5 percent, Border Patrol was not able to replace departing Border Patrol agents with new hires from fiscal years 2014 through 2017. As a result, staffing levels for Border Patrol agents decreased by 1,838 total agents over our review period and the gap between Border Patrol\u2019s onboard staffing levels and its congressionally-mandated minimum staffing floor has expanded each year from fiscal years 2014 through 2017. Border Patrol ended fiscal year 2017 with 19,437 agents\u2014nearly 2,000 agents below its fiscal year 2016 statutorily-established minimum and 7,000 below the staffing target established in response to Executive Order 13767 (see fig. 8).", "AMO. From fiscal years 2013 through 2017, CBP (1) gained Aviation Enforcement Agent staff, (2) generally maintained staffing levels for its Marine Interdiction Agent position, and (3) consistently lost Air Interdiction Agent staff. First, despite the Aviation Enforcement Agent position generally having CBP\u2019s highest annual attrition rates, CBP hired more Aviation Enforcement Agents than it lost each fiscal year and increased its overall staffing level by 79 positions during our review period. Even so, AMO staffing levels for these positions remained below its authorized targets in 4 out of the 5 fiscal years we reviewed. Second, AMO staffing levels for the Marine Interdiction Agent position remained level as AMO lost a net total of 3 Marine Interdiction Agents from fiscal years 2013 through 2017. Nevertheless, onboard staffing levels for these positions remained below the annual authorized levels in 4 of the 5 fiscal years we reviewed. Third, on average, CBP hired 25 Air Interdiction Agents and lost 52 agents each fiscal year, resulting in an average annual loss of 27 agents and a net decrease of 136 positions between fiscal years 2013 and 2017. Further, even though the authorized staffing targets for these positions decreased every year since fiscal year 2013, AMO\u2019s onboard Air Interdiction Agent staffing levels remained below authorized levels in 4 of the 5 fiscal years we reviewed (see fig. 9)."], "subsections": []}, {"section_title": "Retaining Law Enforcement Officers in Hard-to-Fill Locations Has Been Challenging for CBP", "paragraphs": ["CBP has acknowledged that improving its retention of qualified law enforcement personnel is critical in addressing staffing shortfalls, but officials identified difficulties in retaining key law enforcement staff as a result of geographically remote and hard-to-fill duty locations. CBP officials across all three operational components and HRM cited location\u2014and specifically employees\u2019 inability to relocate to posts in more desirable locations\u2014as a primary challenge facing the agency in retaining qualified personnel.", "Border Patrol officials explained that duty stations in certain remote locations present retention challenges due to quality-of-life factors\u2014for example, agents may not want to live with their families in an area without a hospital, with low-performing schools, or with relatively long commutes from their homes to their duty station. Border Patrol\u2019s difficulty in retaining law enforcement staff in such locations is exacerbated by competition with other federal, state, and local law enforcement organizations for qualified personnel. According to Border Patrol officials, other agencies are often able to offer more desirable duty locations\u2014such as major cities\u2014and, in some cases, higher compensation. CBP data indicate that Border Patrol agents consistently leave the component for employment with other law enforcement agencies, including OFO as well as other DHS components such as ICE. For example, while retirements accounted for more than half of annual CBP officer losses from fiscal years 2013 through 2017, they accounted for less than a quarter of annual Border Patrol agent losses, indicating that the majority of these agents are not retiring but are generally leaving to pursue other employment. Further, according to CBP data, the number of Border Patrol agents departing for employment at other federal agencies increased steadily from 75 agents in fiscal year 2013 to 348 agents in fiscal year 2017\u2014or nearly 40 percent of all Border Patrol agent losses in that fiscal year (see fig. 10).", "Further, of the 113 Border Patrol agents who departed CBP for other federal agencies during the first half of fiscal year 2018, 72 agents (64 percent) went to ICE. Border Patrol officials told us that working a standard day shift at ICE in a controlled indoor environment located in a major metropolitan area for similar or even lower salaries presents an attractive career alternative for Border Patrol agents who often work night shifts in extreme weather in geographically remote locations. The President of the National Border Patrol Council also cited this challenge, stating that unless Border Patrol agents have a strong incentive to remain in remote, undesirable locations\u2014such as higher compensation when compared with other law enforcement agencies\u2014they are likely to leave the agency for similar positions located in more desirable locations.", "While OFO officials told us the component did not face an across-the- board challenge in retaining CBP officers, they have had difficulty retaining officers in certain hard-to-fill locations that may be geographically remote or unattractive for families, such as Nogales, Arizona, and San Ysidro, California. As a result, CBP officer staffing levels in these locations have consistently remained below authorized targets. For example, OFO ended fiscal year 2017 approximately 300 positions below its authorized staffing level in both its Tucson, Arizona, field office, which includes the port of Nogales, and its San Diego, California, field office, which includes the port of San Ysidro. See figure 11 for more information on the OFO field offices with the four largest gaps between onboard and authorized staffing levels for CBP officer positions from fiscal years 2015 through 2017.", "OFO officials stated that CBP officers regularly leave posts in remote or hard-to-fill locations to transfer to similar positions in more desirable locations, both internally within OFO as well as at other law enforcement agencies. In addition, officials from the National Treasury Employees Union, which represents CBP officers, told us that excessive overtime and stressful employment conditions\u2014including forced temporary duty travel\u2014also contributed to CBP officers leaving the agency for positions at other law enforcement entities. CBP data indicate that the number of CBP officers who left CBP for employment at other federal agencies increased from 33 in fiscal year 2013 to 108 in fiscal year 2017\u2014or 15 percent of all CBP officer losses in that fiscal year. Likewise, of the 66 CBP officers who departed CBP for other federal agencies during the first half of fiscal year 2018, 34 officers (52 percent) went to ICE.", "AMO has also had difficulty retaining its law enforcement personnel\u2014and particularly its Air Interdiction Agent staff\u2014in hard-to-fill locations, such as Aguadilla, Puerto Rico, and Laredo, Texas. However, given the unique qualifications and competencies required for the Air Interdiction Agent position, AMO does not compete with other law enforcement organizations. Instead, AMO officials told us they compete with the commercial airline industry for qualified pilots. Specifically, they stated that this competition is exacerbated by a nationwide shortage of pilots. In addition, AMO officials explained that there is a perception among applicants that commercial airlines are able to offer pilots more desirable locations and higher compensation. However, they told us that AMO generally provided pilots with higher starting salaries than many regional airlines as well as most career options available to helicopter pilots."], "subsections": []}, {"section_title": "CBP Has Taken Steps to Address Retention Challenges", "paragraphs": ["All three CBP operational components have taken steps to retain qualified law enforcement personnel by offering opportunities for employees to relocate to more desirable locations and pursuing the use of financial incentives, special salary rates, and other payments and allowances.", "Relocation Opportunities. Border Patrol, OFO, and AMO have formal programs providing law enforcement officers with opportunities to relocate. For example, in fiscal year 2017, Border Patrol implemented its Operational Mobility Program and received initial funding to relocate about 500 Border Patrol agents to new locations based on the component\u2019s staffing needs. According to Border Patrol officials, retaining current employees is a top focus for leadership at the component and this program provides Border Patrol agents with opportunities for a paid relocation to a more desirable location at a lower cost to CBP than an official permanent change of station transfer. As of April 2018, Border Patrol officials told us that 322 Border Patrol agents had accepted reassignment opportunities through the program so far and the component hopes to continue receiving funding to provide these opportunities.", "Likewise, OFO\u2019s National Reassignment Opportunity Bulletin provides CBP officers with opportunities to voluntarily relocate to new ports of entry at their own expense. CBP officers are able to submit reassignment requests multiple times throughout the year and selections are made based on OFO\u2019s staffing needs as well as employees\u2019 seniority and other eligibility requirements. According to OFO officials, the program has been in place since February 2012, and OFO data indicate a recent increase in reassignments from 122 participating CBP officers in calendar year 2016 to 202 officers in 2017. Further, these officials noted that CBP officers are also able to relocate to new duty stations through partner swaps\u2014when two employees assigned to different duty locations agree to switch\u2014and hardship reassignments\u2014for example, when a CBP officer must relocate because a spouse has been transferred to a new location for work.", "Also, AMO personnel who are non-bargaining unit employees and have served for at least 3 years in their current location are eligible for noncompetitive paid relocations. AMO officials told us that opportunities for relocations are posted every few months in which eligible personnel can apply for transfers to specific duty locations based on the needs of the operational component.", "Financial Incentives and Other Payments and Allowances. CBP\u2019s three operational components have also recently taken steps to supplement employees\u2019 salaries through the use of human capital flexibilities\u2014such as retention and relocation incentives and special salary rates\u2014as well as other payments and allowances. CBP\u2019s goal in pursuing these human capital flexibilities is to retain current employees\u2014 especially in remote or hard-to-fill locations\u2014who are likely to internally relocate within CBP to more desirable duty locations or depart the agency for similar positions at other law enforcement organizations or commercial airlines. Supplementing the salaries of its employees is consistent with a leading practice we identified in retaining qualified law enforcement personnel\u2014specifically, agencies should ensure they are offering pay and compensation comparable with other law enforcement agencies. Further, two of the three other selected law enforcement agencies we reviewed regularly used retention incentives and other human capital flexibilities to help retain qualified law enforcement personnel in cases where filling the position would be difficult or recruitment costs would be high. However, we found that from fiscal years 2013 through 2017, CBP\u2019s use of such financial incentives and other payments was limited as the agency paid a total of 4 retention incentives and 13 relocation incentives, and implemented 1 special salary rate for all positions during this 5-year period.", "From fiscal year 2013 through 2017, Border Patrol did not offer retention incentives to agents and paid 2 relocation incentives to transfer Border Patrol agents to Artesia, New Mexico, and Washington, D.C., at a cost of roughly $78,000. However, in fiscal year 2018, Border Patrol increased its use of relocation incentives to facilitate the transfer of agents to duty stations along the southwest border that are less desirable due to the remoteness of the location and lack of basic amenities and infrastructure. Specifically, as of April 2018, 67 Border Patrol agents had received such incentives to relocate to duty stations in Ajo, Arizona; Calexico, California; and the Big Bend region in Texas; among others.", "While Border Patrol did not offer retention incentives during our review period, it submitted a formal request to CBP leadership in February 2018 for a 10 percent across-the-board retention incentive for all Border Patrol agents at the GS-13 level and below, which represents the majority of the component\u2019s frontline workforce. According to Border Patrol documentation, these incentives, if implemented, could help reduce Border Patrol\u2019s attrition rate\u2014which has consistently outpaced its hiring rate\u2014by helping retain agents who may have otherwise left Border Patrol for similar positions in OFO, ICE, or other law enforcement agencies. According to HRM officials, as of April 2018, CBP leadership was evaluating Border Patrol\u2019s group retention incentive request, including the costs associated with implementing this 10 percent across-the-board incentive. In addition, as the incentive would benefit Border Patrol agents in all of the component\u2019s duty locations, the extent to which this effort would be effective in targeting agent attrition in the remote locations that represent CBP\u2019s largest staffing challenges remains to be seen.", "In addition, as of May 2018, CBP was planning to submit a request to OPM for a $10 per day remote duty location allowance for Border Patrol agents staffed to 17 geographically remote stations. These stations meet OPM\u2019s definition of \u201cremote worksites\u201d and have quality-of-life conditions that are substantially below the standard at most other CBP duty locations. According to the agency, this allowance could help to address the attrition of Border Patrol agents at these duty stations. However, like its group retention incentive request, it is not yet known whether this proposal will be approved.", "From fiscal years 2013 through 2017, OFO paid a total of 4 retention incentives at a cost of $149,000 to retain CBP officers in Tucson, Arizona; Detroit, Michigan; Carbury, North Dakota; and Laredo, Texas. Further, OFO paid 7 relocation incentives at a cost of approximately $160,000 to relocate personnel to the hard-to-fill ports of Alcan and Nome, Alaska; Coburn Gore, Maine; and Detroit, Michigan. One OFO official told us OFO did not regularly use retention incentives because its relatively low annual attrition rates make it difficult to propose a persuasive business case to CBP leadership that such incentives are necessary. Further, another OFO official explained that OFO\u2019s strategy is focused on using recruitment incentives to staff hard-to-fill locations with new employees. As discussed above, OFO officials told us this strategy has been effective in retaining CBP officers in most of the hard-to-fill locations where recruitment incentives have been used since fiscal year 2015.", "In addition to relocation and retention incentives, OFO received OPM approval in fiscal year 2017 to implement a special salary rate for CBP officers staffed to the hard-to-fill location of Portal, North Dakota\u2014a port that consistently experienced CBP officer losses of more than 10 percent each year. Specifically, this special salary rate supplements CBP officers\u2019 base salaries up to 40 percent and, according to OFO officials as of February 2018, there had not been any CBP officer departures from the port since this rate was implemented in June 2017. OFO officials stated that while recruitment incentives can bring applicants to hard-to-fill locations, special salary rates may be able to retain them for longer periods. However, while OFO officials have cited the effectiveness of this special salary rate in retaining personnel, this rate only applies to one hard-to-fill location and does not address OFO\u2019s ongoing staffing challenges in other chronically understaffed locations. According to OFO officials, the component is considering requesting additional special salary rates for such locations where attaining authorized staffing levels has proved difficult, but these officials noted that such discussions are in the preliminary stage due to the extensive effort and amount of time required to pursue this option. Specifically, these officials told us that requesting OPM approval for a special salary rate in Portal, North Dakota, was an onerous and extensive process that took CBP and OPM more than 2 years to complete from start to finish.", "From fiscal years 2013 through 2017, AMO did not offer retention incentives to law enforcement personnel and paid a total of 4 relocation incentives to transfer three Air Interdiction Agents and one Marine Interdiction Agent to Puerto Rico at a cost of approximately $84,000. However, AMO has taken steps to pursue additional human capital flexibilities to address its difficulty in retaining Air Interdiction Agents, including a group retention incentive and a special salary rate. Specifically, in September 2017, AMO submitted an official request to HRM for a 10 percent group retention incentive for Air Interdiction Agents staffed to duty locations in Yuma and Sierra Vista, Arizona; Grand Forks, North Dakota; Laredo, Alpine, and McAllen, Texas; and Aguadilla, Puerto Rico. According to the request, the incentive is intended to help AMO retain qualified pilots in these hard-to-fill locations by raising their salaries to be more competitive with commercial airlines. HRM officials told us in March 2018 they were working with AMO and CBP\u2019s Office of Finance to assess the proposal\u2019s cost.", "In addition, as of April 2018, AMO was in the process of drafting a special salary rate request for all Air Interdiction Agents from GS-11 through GS- 13 at all AMO locations. HRM officials confirmed they were working with AMO officials on this request, including evaluating whether AMO meets OPM\u2019s criteria. HRM officials told us that OPM\u2019s criteria for approving the use of special salary rates represent a high bar and AMO will have to present a strong business case that demonstrates a regular pattern of component-wide Air Interdiction Agent losses."], "subsections": []}, {"section_title": "CBP Does Not Have a Systematic Process to Capture and Analyze Data on Departing Law Enforcement Officers", "paragraphs": ["CBP does not have a systematic process for capturing and analyzing information on law enforcement officers who are leaving, such as an exit interview or survey. As a result, the agency does not have important information it could use to help inform future retention efforts. CBP officials across all three components confirmed that they do not systematically conduct formal exit interviews to collect data on departing employees. Officials from OFO and AMO told us that departing law enforcement officers receive the DHS exit survey and therefore have the option to provide these data. However, while CBP officials explained that DHS provides the survey response data to CBP on a quarterly basis, AMO officials told us that this information was of limited value due to low response rates. Further, when we requested these data, CBP was unable to provide the survey response data\u2014or the percentage of departing employees who had completed the survey\u2014citing a technical reporting error in DHS\u2019s system. In addition, according to CBP officials, in August 2017, DHS communicated that it no longer required CBP (or DHS\u2019s other components) to use the DHS exit survey.", "In the third quarter of fiscal year 2017, Border Patrol implemented its own exit survey, which includes questions gauging departing employees\u2019 reasons for leaving, length of service, and, if applicable, what organization they are departing for, among other questions. While such questions should provide CBP with useful data on the factors affecting Border Patrol agent departures, Border Patrol officials told us that the response rate was 9 percent as of January 2018. When we asked these officials about the steps they were taking to improve this response rate, they replied that individual Border Patrol sectors were responsible for disseminating these surveys and the headquarters officials were unsure of the extent to which sector-level officials were sending the surveys to departing employees. To ensure the surveys were being sent, a senior Border Patrol headquarters official explained that sector-level officials have been told to copy him on all e-mails disseminating the survey.", "According to CBP officials, in April 2018, the agency launched an initiative to develop a CBP-wide exit survey. The agency plans to develop customized questions for the survey, conduct a pilot of the survey in July 2018, and integrate the survey into CBP\u2019s off-boarding process by the beginning of fiscal year 2019. While CBP provided us with these project milestone dates, the agency did not provide any documentation describing key aspects of the initiative, such as whether CBP will develop a strategy focused on encouraging departing employees to complete the survey to foster higher response rates. Further, CBP did not provide any information on how the agency planned to analyze and use data collected by the exit survey to inform its efforts to retain qualified law enforcement personnel.", "Two of the other selected law enforcement agencies we reviewed\u2014BOP and the Secret Service\u2014use exit surveys to collect a wide range of information on departing employees, while ICE is currently developing its own survey. For example, similar to Border Patrol\u2019s exit survey, BOP\u2019s uses a mix of multiple-choice and open-ended questions to assess reasons for departures as well as employee attitudes toward compensation, work-life balance and other working conditions, and supervisors. Further, both BOP\u2019s and the Secret Service\u2019s surveys inquire about actions the agencies could have taken that would have prevented the employee\u2019s departure.", "CBP officials said that management is generally aware of the factors that influence law enforcement officer departures, including the main reason\u2014 they want to relocate to more desirable locations. Specifically, Border Patrol officials stated that managers have anecdotal knowledge through informal conversations or meetings at the local level with departing Border Patrol agents, and OFO officials stated that when a CBP officer leaves, there is a general understanding among their colleagues as to the reasons for their departure. In contrast to OFO and Border Patrol officials, AMO officials stated that because of the low participation rates on the DHS survey, the component does not have enough data to understand and address the factors that influence employees\u2019 decisions to leave. Standards for Internal Control in the Federal Government state that management should obtain relevant data from reliable sources and process these data into quality information to make informed decisions in achieving key objectives. Taking steps to ensure that the agency\u2019s operational components are systematically collecting and analyzing complete and accurate information on all departing law enforcement officers\u2014including the factors that influenced their decision to separate\u2014 would better position CBP to understand its retention challenges and take appropriate action to address them."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["CBP has made progress in improving its recruitment, hiring, and retention of law enforcement officers, including increasing the total number of applications it receives for these positions and reducing the amount of time it takes to hire applicants. Further, CBP has taken steps to address its primary challenge in retaining qualified law enforcement officers by offering opportunities for these personnel to relocate and pursuing the use of financial incentives and other payments to supplement employee salaries. Even so, retaining law enforcement officers in hard-to-fill locations continues to be challenging for CBP.", "Although CBP management may be aware of the primary reason law enforcement personnel leave the agency, CBP does not have a systematic process in place across its three operational components to capture and analyze information on these departures, such as an exit interview or survey. Taking steps to ensure that the agency\u2019s operational components are systematically capturing and analyzing a wide range of information on all departing law enforcement officers and the factors that influenced their decisions to leave would better position CBP to understand its retention challenges and take appropriate action to address them."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Commissioner of CBP should ensure that its operational components systematically collect and analyze data on departing law enforcement officers and use this information to inform retention efforts. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to DHS for review and comment. DHS provided written comments, which are noted below and reproduced in full in appendix I, and technical comments, which we incorporated as appropriate. We also provided the draft report to the Federal Bureau of Prisons for review and comment, which indicated via e-mail that it did not have any comments on the draft report.", "DHS concurred with our recommendation and described the actions it plans to take in response. Specifically, DHS stated that CBP is taking steps to develop an agency-wide exit survey to collect information on departing law enforcement officers for implementation in fiscal year 2019. DHS also stated that CBP is working to develop a mass communications plan to facilitate the completion of the survey by exiting employees to ensure an effective response rate. Systematically capturing and analyzing quality information on departing law enforcement officers will help CBP to understand its retention challenges. To fully address the intent of our recommendation, CBP will also need to use this information to address its retention challenges and inform its overall retention efforts.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Adam Hoffman (Assistant Director), Bryan Bourgault, Eric Hauswirth, Tyler Kent, Amanda Miller, Sasan J. \u201cJon\u201d Najmi, Leslie Sarapu, Michael Steinberg, and Adam Vogt made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-243", "url": "https://www.gao.gov/products/GAO-18-243", "title": "UN Peacekeeping: Cost Estimate for Hypothetical U.S. Operation Exceeds Actual Costs for Comparable UN Operation", "published_date": "2018-02-06T00:00:00", "released_date": "2018-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To promote international peace and security, the UN had 16 ongoing peacekeeping operations worldwide as of June 30, 2017, with a total budget of almost $8 billion in UN fiscal year 2017 and contributions of over 100,000 military, police, and civilian personnel from more than 120 countries. The United States is the largest financial contributor to UN peacekeeping operations, providing an average of about 28 percent of total funding annually.", "The Department of State Authorities Act, Fiscal Year 2017, includes a provision for GAO to compare the costs, strengths, and limitations of UN and U.S. peacekeeping operations. This report (1) compares the reported costs of a specific UN operation to the estimated costs of a hypothetical, comparable operation implemented by the United States; (2) identifies factors that affect cost differences; and (3) identifies stakeholder views on the relative strengths of UN and U.S. peacekeeping operations.", "GAO worked with the UN, DOD, and State to generate a cost estimate of a hypothetical U.S.-led operation in the Central African Republic comparable to MINUSCA. GAO developed this estimate using DOD's cost estimating tool for contingency operations and State data on civilian costs, assuming a U.S. operation using roughly the same levels of military and civilian personnel as MINUSCA. The cost estimate should not be construed as suggesting that the United States would likely implement such an operation in the Central African Republic or that it would implement such an operation in the same way.", "GAO is making no recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["Based on United Nations (UN) and Departments of Defense (DOD) and State (State) data, GAO estimates that it would cost the United States more than twice as much as it would cost the UN to implement a hypothetical operation comparable to the UN Multidimensional Integrated Stabilization Mission in the Central African Republic (MINUSCA). MINUSCA cost the UN approximately $2.4 billion for the first 39 months of the operation. GAO estimates that a hypothetical U.S. peacekeeping operation in the Central African Republic of roughly the same size and duration would cost nearly $5.7 billion\u2014almost eight times more than the $700 million the United States contributed to MINUSCA over the same time period.", "Various factors affect differences between the actual cost of MINUSCA and the estimated cost of a hypothetical, comparable U.S. operation in the Central African Republic. The United States and the UN would source and transport some supplies and equipment differently, affecting the cost of both operations; for example, the United States would airlift water into the Central African Republic, while the UN does not do so to the same extent. The United States also would incur the cost of civilian police and military reservist salaries, while the UN does not pay any troop or police salaries. Finally, some higher standards for facilities, intelligence, and medical services increase the U.S. cost estimate relative to UN costs for similar operational elements.", "UN and U.S. peacekeeping operations have various relative strengths, according to U.S. and UN officials. These officials said that, because the UN is a multilateral organization, UN peacekeeping operations have international acceptance and are more likely to be viewed as impartial. Officials also said that the UN enjoys global access to expertise and experience, and can leverage assistance from multilateral donors and development banks. Relative strengths of a U.S. peacekeeping operation would include faster deployment and superior command and control, logistics, intelligence, and counterterrorism capability, according to U.S. and UN officials."]}], "report": [{"section_title": "Letter", "paragraphs": ["To promote international peace and security, the United States supports United Nations (UN) peacekeeping operations worldwide. As of June 30, 2017, the United Nations had 16 such operations ongoing with a total budget in UN fiscal year 2017 of almost $8 billion. These operations deployed over 100,000 military, police, and civilian personnel from more than 120 contributing countries in UN fiscal year 2017. The United States is the single largest financial contributor to these operations, contributing on average approximately 28 percent of total funding annually.", "The Department of State Authorities Act, Fiscal Year 2017, includes a provision for GAO to compare the costs, strengths, and limitations of UN and U.S. peacekeeping operations. This report (1) compares the reported costs of a specific UN operation to the estimated costs of a hypothetical, comparable operation implemented by the United States; (2) identifies factors that affect cost differences; and (3) identifies stakeholder views on the relative strengths of UN and U.S. peacekeeping operations.", "To compare the costs of a current UN peacekeeping operation with the costs of a hypothetical, comparable operation implemented by the United States, we selected the UN Multidimensional Integrated Stabilization Mission in the Central African Republic (MINUSCA) as a case study. Using UN data for MINUSCA, we developed a comparable scenario for a hypothetical U.S. operation. The scenario assumes deployment of roughly the same number of U.S. military, civilian, and police personnel in the Central African Republic (CAR) as the UN deployment for MINUSCA over the same approximately 3-year period. We did not attempt to determine how many military or civilian personnel the United States would deploy if it implemented a peacekeeping operation in CAR. We selected MINUSCA because it is in sub-Saharan Africa, where most UN peacekeeping operations established since 2003 have taken place, and has a typical scope and budget compared to other UN peacekeeping operations in sub-Saharan Africa, according to U.S. and UN officials. In addition, established in 2014, MINUSCA is one of the most recent UN peacekeeping operations; thus, initial expenditures for the operation are relatively current.", "To identify the costs of MINUSCA, we analyzed relevant UN budget and expenditure data, as well as relevant UN reports related to MINUSCA for the start-up and first 3 full UN fiscal years of the operation, from April 10, 2014, to June 30, 2017. We assessed these data through discussions with cognizant UN officials and a review of external audits of UN budgetary information and found them reliable for our purposes. For the military portion of the hypothetical U.S. operation, we worked with the Department of Defense (DOD) and the Institute for Defense Analyses (IDA) to develop a cost estimate using IDA\u2019s Contingency Operations Support Tool (cost estimating tool). DOD uses this tool to develop cost estimates for all military contingency operations. We assessed the applicability of DOD\u2019s cost estimating tool to developing a hypothetical cost estimate for the purposes of this report through discussions with DOD and IDA officials and compared the tool to the accurate and comprehensive characteristics of a high-quality cost estimate, as described in the GAO Cost Estimating and Assessment Guide. While we found the DOD cost estimating tool generated a sufficiently reliable cost estimate for a hypothetical U.S. peacekeeping operation, we did not assess the overall reliability of the tool or its capability to generate accurate or comprehensive estimates for future U.S. operations.", "For the civilian portion of the U.S. operation, we determined the number of Foreign Service officers, locally employed staff and civilian police based on deployment levels of UN international and national civilian staff, and individual UN civilian police officers serving in CAR as part of MINUSCA. We based the costs of U.S. civilian personnel on average salaries published by the Department of State (State) and the Office of Personnel Management and various allowances, published by State, for serving in CAR, such as cost-of-living adjustments, danger pay, and post hardship differential. We also met with State officials to estimate other costs, including for housing, administrative support, and travel, but did not assess the reliability of these costs provided by State.", "To identify factors that affect cost differences between MINUSCA and the hypothetical U.S. operation, we identified cost categories where differences between MINUSCA and the U.S. estimate were significant and interviewed U.S. and UN officials regarding UN standards and policies that explain these differences.", "To identify stakeholder views on the relative strengths of UN and U.S. peacekeeping operations, we reviewed UN reports on peacekeeping operations and interviewed U.S. and UN officials. In addition, we reviewed GAO\u2019s 2006 report comparing the costs and relative strengths of a UN peacekeeping operation in Haiti with those of a hypothetical U.S. operation. See appendix I for a complete description of our objectives, scope, and methodology.", "We conducted this performance audit from February 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of UN Peacekeeping Operations since 1948", "paragraphs": ["As of June 30, 2017, the UN had carried out 71 peacekeeping operations since 1948, and had 16 active UN peacekeeping operations worldwide. Eight of these UN peacekeeping operations were in sub-Saharan Africa (see fig. 1).", "In their earliest days, UN peacekeeping operations were primarily military in nature and limited to monitoring cease-fire agreements and stabilizing situations on the ground while political efforts were being made to resolve conflicts. Today, in response to increasingly complex situations in which conflicts may be internal, involve many parties, and include civilians as deliberate targets, UN peacekeeping operations are more commonly \u201cmultidimensional\u201d\u2014deploying civilian and police personnel in addition to military personnel. Multidimensional peacekeeping operations seek to create a secure and stable environment while working with national authorities and actors to make sure the peace agreement or political process is implemented. According to the UN, multidimensional peacekeeping operations are designed to protect civilians and often assist in the disarmament, demobilization and reintegration of former combatants; support the organization of elections; protect and promote human rights; and assist in restoring the rule of law. Figure 2 shows examples of UN peacekeepers serving in different capacities as part of MINUSCA in Bangui, CAR.", "Each UN peacekeeping operation, including its mandated size and tasks, is authorized through a UN Security Council resolution. The operation\u2019s budget and resources are subject to General Assembly approval. The UN\u2019s approved budget for global peacekeeping operations in UN fiscal year 2017 was about $7.9 billion. Individual operation budgets ranged from about $36 million for the peacekeeping operation in Kosovo to more than $1.2 billion for the peacekeeping operation in the Democratic Republic of the Congo (see table 1).", "The UN reported in June 2017 that it maintained 95,544 uniformed peacekeepers, 5,004 international civilians, 10,149 local civilians, and 1,597 UN volunteers in support of its operations around the world. According to UN documents, civilian peacekeeping personnel are generally recruited to peacekeeping operations as individuals, while police and military personnel are volunteered by member states to participate as part of their country\u2019s contribution to UN peacekeeping operations."], "subsections": []}, {"section_title": "U.S. Contributions to UN Peacekeeping Operations", "paragraphs": ["The United States is the largest financial contributor to UN peacekeeping operations. From fiscal years 2014 to 2017, the United States contributed an average of about $2.1 billion per year to these operations. The UN General Assembly sets the assessment levels for UN member contributions to peacekeeping operations every 3 years. The United States\u2019 assessment has averaged about 28.5 percent of the UN peacekeeping budget; however, Congress has authorized payment with appropriated funds at about 27 percent for U.S. fiscal years 2014 through 2016, and 25 percent for U.S. fiscal year 2017."], "subsections": []}, {"section_title": "Overview of MINUSCA", "paragraphs": ["In April 2014, UN Security Council Resolution 2149 established MINUSCA following escalating sectarian violence in CAR that resulted in the destruction of state institutions, thousands of deaths, and 2.5 million people\u2014more than half of CAR\u2019s entire population\u2014in need of humanitarian aid, according to a UN report. The conflict also resulted in 174,000 people being internally displaced and over 400,000 fleeing to neighboring countries, according to the UN report. MINUSCA\u2019s tasks include protecting civilians, given the security, humanitarian, human rights, and political crisis in CAR; supporting the implementation of the transition process, including efforts to extend state authority and preserve territorial integrity; facilitating the delivery of humanitarian assistance and promoting and protecting human rights; supporting justice and the rule of law; and facilitating the disarmament, demobilization, reintegration, and repatriation processes.", "On November 15, 2017, UN Security Council Resolution 2387 (2017) extended MINUSCA\u2019s mandate for a fourth time, through November 15, 2018.", "MINUSCA\u2019s approved personnel levels for UN fiscal year 2017 comprised 10,750 military personnel, 400 individual police officers, and 1,680 formed police unit personnel, as well as 790 international civilian and 696 national civilian personnel, 238 UN volunteers, and 40 government- provided personnel, according to a UN Secretary-General report. Table 2 shows average annual personnel deployment for MINUSCA and the number of authorized positions for the first 3 full fiscal years of the operation."], "subsections": []}]}, {"section_title": "Cost Estimate for a Hypothetical U.S. Operation in CAR Exceeds Actual Costs for a Comparable Ongoing UN Operation in CAR, as Well as U.S. Contributions to That UN Operation", "paragraphs": ["Based on data and other input from the UN, DOD, and State, we estimate that it would cost the United States more than twice as much as it would cost the UN to implement a hypothetical operation comparable to MINUSCA, the ongoing UN operation in the Central African Republic (CAR). In addition, the estimated cost of a U.S. operation in CAR far exceeds U.S. contributions to MINUSCA."], "subsections": [{"section_title": "Estimated Cost of a Hypothetical U.S. Operation in CAR Is More than Twice the Cost of a Comparable Ongoing UN Operation in CAR", "paragraphs": ["Based on an estimate we developed in conjunction with DOD and State officials, a hypothetical, comparable U.S. operation would likely cost nearly $5.7 billion, more than twice as much as MINUSCA, the ongoing UN operation in CAR. Our comparison covers the time from which MINUSCA was established in April 2014 through the end of UN fiscal year 2017, which ended on June 30, 2017\u2014a total of 3 years and 3 months, the first 39 months of MINUSCA. Over this time period, UN costs for MINUSCA totaled approximately $2.4 billion. Using roughly the same basic parameters for MINUSCA, including similar deployment levels of military and civilian personnel over the same time period, in consultation with DOD and State officials, we estimate that a comparable, hypothetical U.S. operation would likely cost nearly $5.7 billion, more than twice the UN cost for MINUSCA (see table 3 for a detailed comparison of estimated U.S. costs and actual UN costs). This estimate does not include, among other things, the cost for State diplomatic security and office space for civilian staff, the inclusion of which could further increase the total estimated U.S. cost for such an operation."], "subsections": []}, {"section_title": "Estimated Cost of a Hypothetical U.S. Operation in CAR Far Exceeds U.S. Contributions to MINUSCA", "paragraphs": ["During the same time period, from April 10, 2014 through June 30, 2017, the United States contributed approximately $700 million to the UN to support MINUSCA. Therefore, the estimated cost of a U.S. operation (nearly $5.7 billion) would be almost eight times greater than the United States\u2019 contribution to MINUSCA. See figure 3 for a comparison of these costs with the U.S. estimate."], "subsections": []}]}, {"section_title": "Various Factors Affect Differences between the Actual Cost of MINUSCA and the Estimated Cost of a Hypothetical, Comparable U.S. Operation", "paragraphs": ["Various factors contribute to the differences in costs between actual UN expenditures for MINUSCA from April 10, 2014 through June 30, 2017\u2014 the first 39 months of MINUSCA\u2014and a hypothetical, comparable U.S. operation over the same time period, including disparities in the cost of sourcing and transporting equipment and supplies, staffing and compensating military and police personnel, and maintaining facilities and communications and intelligence systems. These disparities reflect operational, structural, and doctrinal differences in the way the United States likely would undertake a hypothetical, comparable operation, should such an operation be deemed in the U.S. national interest."], "subsections": [{"section_title": "Different Methods for Sourcing and Transporting Equipment and Other Supplies Contribute to Higher Estimated U.S. Costs", "paragraphs": ["High U.S. costs to source and transport supplies and equipment to the Central African Republic (CAR) contribute to the difference between our cost estimate for the hypothetical U.S. peacekeeping operation and the UN\u2019s actual costs for MINUSCA. In the hypothetical U.S. operation, based on input from DOD and IDA officials and the output of the IDA cost estimating tool, the United States would fly in most of its consumable supplies from outside CAR. Specifically, materials such as water, ice, food, and other subsistence items would be airlifted into CAR from Italy, a supply location validated as reasonable by DOD and IDA officials given its proximity to the operation and because MINUSCA relies on a UN global service center there, one of two such UN centers in Europe. The estimated U.S. cost of airlifting water alone over the 39-month time period for the hypothetical operation would total nearly $700 million. The United States would still deploy its equipment and personnel to CAR from the United States, at a cost of nearly $600 million. Transportation of equipment and supplies within CAR would cost an additional estimated $316 million.", "In contrast, the UN does not fly in water or consumables on the same scale as the United States would in the hypothetical operation. Instead, the UN relies on some in-country or local infrastructure and consumables. Military and formed police unit equipment is provided by the troop- and police-contributing countries. The UN reimburses these countries for equipment at set rates. The UN cost of reimbursing countries for deploying their equipment to CAR likely would be less than the amount the United States would spend on airlifting the equipment to CAR alone. For example, the UN cost of freight, deployment, and country reimbursements for military and formed police equipment was approximately $229 million over a 2-year period (July 2014 through June 2016), while in the hypothetical operation the U.S. cost of deploying equipment alone would be over $382 million, which is about $154 million more than the UN cost over a similar 2-year period (September 2014 through August 2016)."], "subsections": []}, {"section_title": "Differing Staffing and Compensation Practices for Military and Police Personnel Contribute to Higher U.S. Costs", "paragraphs": ["The United States would staff and compensate its military and police personnel differently than the UN, leading to differences between the estimated U.S. costs and actual UN costs. While neither the hypothetical U.S. cost estimate nor UN expenditures include the cost of salaries for active duty personnel or troops contributed by other countries, respectively, the United States would bear the additional cost of salaries for the share of personnel drawn from military reserves. According to DOD officials, 10 percent of infantry unit personnel would have been reservist personnel in a hypothetical, comparable U.S. operation, based on the average ratio of active to reserve personnel deployed by the United States in fiscal years 2015 through 2017, roughly the same time period as the first 39 months of MINUSCA. As a result, the total estimated cost of the hypothetical U.S. operation reflects the additional U.S. expense of paying full salaries and hardship duty pay for U.S. reservist military personnel. The estimate also includes the incremental costs the United States would incur for deploying active duty military personnel, including hardship duty pay that is not incurred when those personnel are in the United States. For military troops deployed to MINUSCA, the UN pays a standard troop cost reimbursement to the troop-contributing countries, which is intended also to cover incremental expenses but not the cost of troops\u2019 salaries.", "U.S. costs for civilian police also are significantly higher than UN costs. The United States would pay over $167 million for U.S. civilian police for the duration of the hypothetical operation, while the UN spent $41 million on its individual police officers over the same time frame. The U.S. estimate includes the cost of police salaries and the additional costs of deployment, whereas UN costs for deploying individual police officers do not include salaries, which are borne by the police-contributing countries."], "subsections": []}, {"section_title": "U.S. Standards for Facilities, Communications and Intelligence Systems, and Medical Capability Contribute to Higher Estimated U.S. Cost", "paragraphs": ["Higher U.S. standards for certain aspects of the hypothetical peacekeeping operation in CAR would contribute to costs that exceed those of MINUSCA.", "Facilities. The higher estimated U.S. costs reflect higher U.S. standards for facilities, according to State officials. The U.S. cost estimate includes more than $1.1 billion for facilities and related costs, which include facility maintenance, food service, laundry, management and administration, and residential leases for civilian personnel. In contrast, the actual UN cost for facilities as part of MINUSCA totaled $292 million over the same time period.", "Communications and intelligence systems. The United States incurs costs associated with meeting U.S. intelligence standards that are not part of UN operations, which lack comparable intelligence capabilities. The U.S. cost estimate includes $140 million for the cost of Command, Control, Communications, Computers, and Intelligence Systems, which represents additional operational costs to meet higher U.S. standards for U.S. communications and intelligence capabilities.", "Medical capability. Higher U.S. standards for medical care and medical evacuation capability as compared to the UN are another factor that would contribute to higher U.S. medical costs for a hypothetical operation, according to DOD and State officials. Some UN hospitals may not meet U.S. minimum standards for medical care, according to DOD officials. Although medical costs do not constitute a significant portion of the U.S. cost estimate, estimated U.S. medical costs ($132 million) greatly exceed actual UN medical costs ($8 million) over the same time period."], "subsections": []}]}, {"section_title": "Officials Cited Relative Strengths of UN and U.S. Peacekeeping Operations", "paragraphs": ["UN and U.S. peacekeeping operations have various relative strengths, according to U.S. and UN officials we met with. Relative strengths of UN peacekeeping operations include international and local acceptance, access to global expertise, and the ability to leverage assistance from multilateral donors and development banks, according to these officials. Relative strengths of U.S. peacekeeping operations would include faster deployment and superior command and control, logistics, intelligence, and counterterrorism capabilities, according to U.S. and UN officials."], "subsections": [{"section_title": "Relative Strengths of UN Peacekeeping Operations Include Acceptance, Global Expertise, and Ability to Leverage Multilateral Assistance", "paragraphs": ["According to U.S. and UN officials, UN peacekeeping operations benefit from greater international and local acceptance, access to global expertise, and the ability to leverage assistance from multilateral donors and development banks. UN peacekeeping operations also provide indirect benefits to the military capacity of participating countries.", "International and local acceptance. As a multilateral organization, the UN benefits from greater international and local acceptance for its peacekeeping operations, according to State, DOD, and UN officials. These officials noted that the UN\u2019s multinational character contributes to a reputation for local impartiality. Conversely, the United States acting alone may not be viewed as impartial and could face challenges gaining or maintaining international or local support for peacekeeping operations, according to State and DOD officials.", "Global expertise. UN officials noted that the UN has unmatched convening power and access to expertise and experience from across the globe to implement the objectives of multidimensional peacekeeping operations. The UN is able to bring in people with subject matter expertise, native language skills, and knowledge of local customs to work for these operations, according to U.S. and UN officials.", "Leveraging multilateral assistance. U.S. officials told us that the UN is better able to leverage assistance from multilateral donors and multilateral development banks to expand the scope of assistance provided in support of the goals of peacekeeping operations. For example, according to a UN report, MINUSCA is partnering with the UN Development Fund to provide capacity building related to elections, police, courts, and prisons. The report also noted that the UN, European Union, and World Bank supported the Central African Republic government in developing a \u201cNational Recovery and Peacebuilding Plan\u201d while harmonizing humanitarian and development funding to ensure complementarity with the UN peacekeeping operation.", "Developing international military capacity. U.S. officials told us that UN peacekeeping operations provide an indirect benefit of helping to professionalize the military units from many developing countries that contribute troops to the UN. We have previously reported that building military capacity of foreign partners to address security-related threats is an important goal of U.S. national security strategy and foreign policy."], "subsections": []}, {"section_title": "Relative Strengths of U.S. Peacekeeping Operations Would Include Faster Deployment and Superior Command and Control, Logistics, Intelligence, and Counterterrorism Capabilities", "paragraphs": ["According to U.S. and UN officials, the relative strengths of U.S. peacekeeping operations would be faster deployment and superior command and control, logistics, intelligence, and counterterrorism capabilities.", "Deployment speed. State, DOD, and UN officials highlighted the United States\u2019 ability to deploy troops and police to peacekeeping operations more quickly than the UN. Unlike the U.S. military, which can draw from a ready pool of military personnel, the UN must seek troops from UN member states, which takes time. UN officials told us that the UN faces a shortage of both troops and UN police, which slows deployment. Further, a 2015 report by the UN High-level Panel on Peacekeeping stated that the UN \u201chas struggled to get sufficient forces on the ground quickly enough and relies on under-resourced uniformed capabilities.\u201d The report also stated that aviation, medical, and engineering specialists, among others, are difficult to mobilize in advance of infantry units.", "Command and control. State, DOD, and UN officials told us that U.S. operations would enable the U.S. military to have direct command and control, whereas UN operations, which are inherently multinational, face challenges with command and control over troops from several different countries. The UN High-level Panel report noted that UN peacekeeping operations\u2019 weak command and control is a well-known constraint that limits the type of operations the UN can undertake.", "Logistics support. U.S. and UN officials told us that U.S. operations have superior logistics systems. U.S. procurement likely would be faster than UN procurement, which lacks a standing supply chain and, therefore, relies on third-party vendors, according to UN officials. In addition, the UN High Level Panel report stated that UN peacekeeping operations\u2019 logistics systems and structures in the field are under severe strain, which can limit the mobility of these operations.", "Intelligence capability. U.S. and UN officials agreed that U.S. operations would involve superior intelligence capability. The UN only recently established an intelligence policy\u2014in May 2017\u2014having recognized that some peacekeeping operations had been deployed in fragile political and security environments with asymmetrical and complex threats. However, UN officials acknowledged that the scope of UN intelligence capability remains limited.", "Counterterrorism capability. DOD officials told us that a U.S. peacekeeping operation would have the capability to include a counterterrorism component and would not be constrained in the use of force, if needed, in response to terrorist threats. UN peacekeeping operations, on the other hand, lack the capabilities and specialized military preparation to engage in counterterrorism operations, according to the UN High-level Panel report. The UN report stated that counterterrorism should be undertaken by the host government, a capable regional force, or an ad hoc coalition authorized by the UN Security Council. According to the UN report, UN peacekeeping operations may engage in proactive and preemptive use of force to protect civilians and UN personnel from threats; however, offensive force to degrade, neutralize or defeat an opponent is a fundamentally different type of posture that should be authorized by the Security Council only under limited and exceptional circumstances."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD, State, and the UN for review and comment. DOD provided a letter, reproduced in appendix II, which stated that it had no comments. State did not provide comments. The UN provided technical comments, which we incorporated into our report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Defense and State, and the Secretary- General of the United Nations. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9601 or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to (1) compare the reported costs of a specific United Nations (UN) peacekeeping operation to the estimated costs of a hypothetical, comparable operation implemented by the United States; (2) identify factors that affect cost differences; and (3) identify stakeholder views on the relative strengths of UN and U.S. peacekeeping operations.", "To compare the reported costs of a specific UN peacekeeping operation to the estimated costs of a hypothetical, comparable operation implemented by the United States, we selected the UN Multidimensional Integrated Stabilization Mission in the Central African Republic (MINUSCA) as a case study. We compared the reported UN expenditures for MINUSCA, which included both military and civilian components, with estimated costs for a hypothetical U.S. operation with a similar level of military and civilian personnel. Our comparison covers a total of 3 years and 3 months\u2014from MINUSCA\u2019s establishment in April 2014 through June 30, 2017, the end of UN fiscal year 2017. We selected MINUSCA because it is in sub-Saharan Africa, where most UN peacekeeping operations established since 2003 have taken place, and has a typical scope and budget compared to other UN peacekeeping operations in sub-Saharan Africa, according to U.S. and UN officials. In addition, MINUSCA is one of the most recent UN peacekeeping operations; thus, initial expenditures for the operation are relatively current. Because the results of our cost comparison are based on a single case study, they cannot be generalized to all UN peacekeeping operations.", "To determine the UN\u2019s costs for MINUSCA, we analyzed UN budget and expenditure data covering the initial start-up period (April 2014 to June 2014) and the first 3 UN fiscal years (July 1, 2014 to June 30, 2017). We spoke with officials of the UN Departments of Peacekeeping Operations, Field Support, and Management at UN Headquarters in New York, New York, to better understand the characteristics of MINUSCA and the different costs affecting MINUSCA\u2019s budget and expenditures. We assessed UN expenditure data through discussions with cognizant UN officials and a review of external audits of UN budgetary information and found them sufficiently reliable for our purposes. We also analyzed data on U.S. contributions to UN peacekeeping operations for fiscal years 2014 through 2017 from the Department of State\u2019s (State) Bureau of International Organization Affairs to determine total U.S. contributions to MINUSCA, and UN peacekeeping operations overall.", "To estimate the costs of a hypothetical, comparable operation implemented by the United States, we developed a hypothetical scenario for a U.S. operation based on the MINUSCA budget and supporting documents, assuming deployment of the same number of military, civilian, and police personnel in the Central African Republic (CAR) over the same time period (April 2014 through June 2017). To estimate the military portion of the operation, we interviewed Department of Defense (DOD) officials and staff at the Institute for Defense Analyses (IDA), a DOD-sponsored non-profit corporation involved in developing cost estimates for U.S. contingency operations. The Office of the Undersecretary of Defense-Comptroller and IDA generated a cost estimate for the military components included in the hypothetical operation using the Contingency Operations Support Tool (cost estimating tool). DOD uses this tool to develop cost estimates for all military contingency operations. The cost estimate included only the incremental costs of the operation\u2014those directly attributable to the operation that would not be incurred if the operation did not take place. For example, the estimate produced by the cost estimating tool did not include the direct salaries of active duty personnel as those costs would be incurred by the United States regardless of a possible decision to undertake the hypothetical operation. We assessed the cost estimating tool\u2019s applicability to developing a hypothetical cost estimate for the purposes of this report through discussions with DOD and IDA officials, and compared the tool to the accurate and comprehensive characteristics of a high-quality cost estimate, as described in the GAO Cost Estimating and Assessment Guide. While we found the DOD cost estimating tool generated a sufficiently reliable cost estimate for a hypothetical U.S. peacekeeping operation, we did not assess the overall reliability of the tool or its capability to generate accurate or comprehensive estimates for future U.S. operations.", "To generate our estimate of U.S. military costs using the DOD\u2019s estimating tool, we used UN military deployment numbers as a baseline for the scale of a hypothetical, comparable U.S. peacekeeping operation, while using unit sizes and rotations in deployment that were considered appropriate for the U.S. military, according to DOD and IDA officials. We based the hypothetical U.S. operation, and hence the cost estimate, on the following assumptions, which correspond approximately with MINUSCA\u2019s actual UN personnel deployments:", "Theater of operation: Central African Republic (CAR)", "Type of operation: military contingency", "Operation time frame: April 10, 2014 through June 30, 2017", "Military contingents: as of June 30, 2017, 11,495 total personnel Infantry: 10 units of 630-785 personnel per unit, approximately 90 percent active duty / 10 percent reserves", "Communication / signals: 1 unit, 124 personnel per unit", "Engineering: 4 units, 200 personnel per unit", "Military police: 1 unit, 120 personnel per unit", "Formed police units (military police): 12 units, 140 personnel per", "Hospital / medical: 1 level III hospital, 248 beds, 495 personnel", "Helicopter units: 2 UH-60 C3 units, 1 MH-60M Assault attack helicopter unit, 100 personnel per unit", "Quick reaction force: 1 unit, 160 personnel per unit", "Special forces: 1 tactical civilian affairs unit, 1 Marine special operations intelligence unit, 160 personnel per unit", "Unmanned aerial vehicle: 1 unit, 84 personnel", "Transportation: 1 heavy transport unit, 120 personnel per unit", "Operational tempo: 1.0 for all phases of operation and units, except aviation units (set at 1.5)", "Deployment schedule and phasing: phased deployment, including 14 days for predeployment (e.g., training), 5 days for deployment, 180 days for active duty unit sustainment and 270 days for reserve unit sustainment, 5 days for redeployment, and 0 days for reconstitution", "Housing: contractor-provided semi-permanent housing", "Transportation: personnel and equipment transported by airlift from the United States (primarily Fort Hood, Texas), material (such as water, food, and other consumables) transported by airlift from Italy We obtained input on the operational design for the military portion of the cost estimate from DOD officials in the Joint Chiefs of Staff, the Office of the Undersecretary of Defense-Policy, and the Office of the Undersecretary of Defense-Comptroller, and IDA officials. However, the military portions of the scenario and their corresponding cost estimate have some limitations. As a result of rounding for some units, U.S. military personnel numbers do not exactly match the MINUSCA deployment levels. In addition, based on input from DOD officials, we attempted to select military units that would provide an essential function per U.S. common practices while keeping the overall personnel deployment level as close as possible to MINUSCA\u2019s deployment level. An actual U.S. military plan may differ significantly from the UN plan as a result of differences between U.S. and UN military operations, structure, doctrine, and circumstances at the time of the operation.", "To estimate U.S. civilian costs, we matched the number of U.S. civilian police and personnel to the number serving in MINUSCA. We then estimated the costs of deploying these U.S. civilian personnel in CAR for the same time period as MINUSCA. We did not attempt to determine how the U.S. government would actually implement civilian components of a peacekeeping operation in CAR.", "To estimate U.S. civilian police costs, we met with State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL) to identify State\u2019s costs for civilian police contractors providing police training and technical assistance in sub-Saharan Africa. Based on INL\u2019s input we assumed that the base salary of civilian police would be grade 13, step 5 on the Office of Personnel Management\u2019s general schedule salary tables for federal employees. In addition to the average base salary, we identified other costs\u2014with input from INL\u2014including, among others, personal equipment, travel from the United States, and State\u2019s published allowances specific to CAR for local cost of living, post hardship differential, danger pay, and living quarters. We applied the average cost per officer to the average number of UN civilian police officers deployed in MINUSCA.", "To estimate U.S. civilian personnel costs, we met with State\u2019s Bureau of Budget and Planning to identify the costs of State Foreign Service officers and locally employed staff, based on the number of UN international and national civilian staff deployed to MINUSCA, respectively. We matched the number of State Foreign Service officers for the U.S. cost estimate to the number of UN international staff in MINUSCA, with input from State to align the grade levels. The estimated costs for Foreign Service officers include average salaries based on State\u2019s Foreign Service salary tables and State\u2019s allowances specific to CAR, including local cost of living, post hardship differential, and danger pay. We also met with State Bureau of Budget and Planning officials to estimate other costs for Foreign Service officers, which we included in our cost estimate, including post assignment travel, administrative support costs, residential furnishings, and residential guards, among others, but we did not assess the reliability of these additional costs provided by State. In addition, State\u2019s Bureau of Overseas Buildings Operations provided the actual costs of residential leases for Foreign Service officers in CAR in fiscal year 2017, which we used to estimate the cost of housing Foreign Service officers in CAR. We also matched the number of State locally employed staff to the number of UN national staff deployed to MINUSCA and added their average salaries and other costs in CAR based on data provided by State\u2019s Bureau of the Comptroller and Global Financial Services.", "While MINUSCA\u2019s expenditures also included costs for sending an annual average of up to about 200 UN volunteers to CAR, State officials told us that the United States generally would not send volunteers through its assistance efforts to a high-risk post, such as CAR. Therefore, we did not include any costs related to volunteers in the cost estimate. We also did not include costs related to host-government-provided personnel serving in MINUSCA. In addition, UN expenditures included about $7 million for \u201cquick-impact projects\u201d to support local government infrastructure and civil society initiatives. We did not include comparable costs for quick-impact projects in our U.S. cost estimate because we did not have a basis for matching these costs.", "To identify factors that affect cost differences between MINUSCA and a hypothetical, comparable operation implemented by the United States, we reviewed the U.S. cost estimate generated in conjunction with DOD, IDA, and State officials, and identified significant areas of cost for the United States and the assumptions incorporated in the estimate or factors specified by U.S. officials that drive those costs. We compared the U.S. cost estimate, including these significant areas of cost, to UN costs to identify differences. We interviewed U.S. and UN officials regarding U.S. and UN standards and policies that explain differences between MINUSCA costs and the estimated costs of a U.S. operation.", "To identify stakeholder views on the relative strengths of UN and U.S. peacekeeping operations, we reviewed UN reports on peacekeeping operations and interviewed UN, DOD, and State officials. In addition, we reviewed GAO\u2019s 2006 report comparing the costs as well as the strengths of a UN peacekeeping operation in Haiti with those of a hypothetical U.S. operation.", "We conducted our review from February 2017 through February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Drew Lindsey (Assistant Director), Howard Cott, Juan Pablo Avila-Tournut, Debbie Chung, Martin de Alteriis, Neil Doherty, Jennifer Leotta, Caitlin Mitchell, Elizabeth Repko, and Alex Welsh made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The UN reported a cost of about $2.4 billion to carry out 39 months of peacekeeping operations in the Central African Republic.", "What if the U.S. had carried out that operation instead? How might costs differ?", "We estimated it would have cost the U.S. more than twice as much, nearly $5.7 billion, to carry out a comparable operation. Higher U.S. costs would result from higher standards for facilities, intelligence, and medical services, and greater airlifting of supplies and equipment.", "We also found that while U.S. peacekeeping operations would have greater military capability, the UN would have greater international acceptance."]} {"id": "GAO-19-139", "url": "https://www.gao.gov/products/GAO-19-139", "title": "State Department: Better Oversight and Controls Could Improve Timely Delivery of Legal Documents for Terrorism Victims", "published_date": "2018-12-12T00:00:00", "released_date": "2018-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["While foreign states generally cannot be sued in a U.S. court, under FSIA, parties can sue governments for certain crimes such as injury or death from an act of terrorism, if certain factors are present. State is required by statute to serve notice of such suits or default judgments when other means for effecting service are not available, and charges plaintiffs a fee of $2,275 to complete this task. Plaintiffs in such cases may also qualify for compensation from a fund that Congress established called the U.S. Victims of State Sponsored Terrorism Fund.", "In this report, GAO examines (1) how State completes this service and the length of time it takes to complete requests, and (2) whether State has implemented key controls for executing service requests promptly. GAO reviewed State regulations, guidance, case files, and data from 2007 through 2017; and interviewed State officials in Washington, D.C., the Czech Republic, Germany, and Switzerland, which handle the vast majority of cases. GAO assessed State's controls against federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State (State) notifies sovereign defendants of court proceedings under the Foreign Sovereign Immunities Act (FSIA) in a four stage process that has taken on average about 5 months to complete. State headquarters has overall responsibility for delivering legal documents but U.S. embassies and foreign governments play key roles as well. From 2007 through 2017, State completed 229 requests for delivery of legal documents in an average of about 5 months, but about 28 percent of the requests took longer than 6 months and 7 requests took more than a year. Slow delivery could adversely affect a plaintiff's ability to obtain compensation from a special victims' fund that Congress set up in 2015.", "State's guidance and federal internal control standards require controls such as accurate and complete record-keeping, continuous monitoring, and analysis of data; however, GAO found that State lacks several key controls to manage its delivery of legal documents. First, State's records are incomplete. For example, for 82 percent of the cases, State had no information about when it received court requests. Second, State did not monitor the progress of cases, resulting in slow service. This slow service led State to waive fees of about $57,000 because checks had expired. Third, State did not analyze case data to identify factors contributing to slow service, or establish timeframes for completing service. As a result, managers lack a sound basis for making decisions on how to improve timeliness. In June 2018, State took some actions based on GAO's review to improve its performance, including preparing step-by-step guidance and developing a new record-keeping system, but further actions could fill the gaps that have impaired program performance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to State, including that it update its record-keeping guidance to ensure its records are accurate and complete, monitor the progress of requests, periodically analyze data to identify causes of slow service and take corrective actions, and establish timeframes for completing service. State concurred with all five of GAO's recommendations and identified actions it plans to take to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Victims and their families can sue a state sponsor of terrorism in a U.S. court, but may need to rely on the Department of State (State) to deliver legal documents. While foreign states generally cannot be sued in a U.S. court, the Foreign Sovereign Immunities Act (FSIA) does allow private parties to sue a foreign government in a U.S. court for specified reasons, including for personal injury or death caused by an act of torture, extrajudicial killing, aircraft sabotage, or hostage taking if the defendant government caused or provided material support for that act and is designated as a state sponsor of terrorism. Service of process (service) is the procedure by which the defendant is given proper notice of the initiation of court proceedings. Under FSIA, when plaintiffs bring legal action against foreign governments and are otherwise unable to achieve service using the three other methods set forth in the Act, they may request that the State provide service through diplomatic channels to the foreign state. In these instances, State is responsible for completing service on the foreign government on behalf of U.S. courts at the request of the plaintiffs by transmitting the necessary documents, and for sending the clerk of court a certified copy of the diplomatic note indicating when the documents were transmitted. Plaintiffs filing lawsuits under the FSIA, including lawsuits on behalf of victims and their families against state sponsors of terrorism, have won judgments against a number of foreign governments, including Iran, Syria, and Sudan. Those who have won judgments can also apply for compensation from a special fund that Congress set up in 2015. Plaintiffs awarded compensation from this fund have included Iran hostages held from 1979 to 1981 and their spouses and children, and victims of the bombings of U.S. Embassies in Kenya and Tanzania.", "You asked us to review how State conducts service of process. In this report, we examine (1) how State completes service and how long it takes to perform this function; and (2) whether State has implemented key controls in record-keeping, monitoring, analysis, and performance management for completing service requests. To describe how State completes service, we reviewed State and embassy documentation such as regulations, official guidance, and case files. In Washington, D.C., we also interviewed officials of State\u2019s Bureau of Consular Affairs (CA); Bureau of Near Eastern Affairs, and Bureau of Administration. Specifically, we interviewed officials in Consular Affairs\u2019 Directorate of Overseas Citizens Services/Office of Legal Affairs (OCS/L) and Administration\u2019s Diplomatic Pouch and Mail Office. We met with consular officials from the U.S. Embassies in Berlin, Germany; Bern, Switzerland; and Prague, Czech Republic. We also met with court officials from three of the principal courts that have requested service from State. Using these sources, we developed a process map that we provided to State officials for their review and comment. State officials did not indicate any concerns about the process map.", "To document the length of time it took for State to complete service from 2007 through 2017, we reviewed State\u2019s spreadsheet, or case tracker, for tracking service requests (cases), which documents various milestones in the completion of service requests made during this time period\u2014for example, when State received the request and when it notified the court that service had been completed. Because the data in its spreadsheet were incomplete, we improved the spreadsheet by supplementing it with data from other sources such as court records. After making the appropriate modifications to the data in the spreadsheet, we determined that the data were sufficiently reliable for our purposes. We analyzed the data in the improved spreadsheet to determine the length of time it took for State to complete service for the period 2007 through 2017\u2014the most recent full-year data available at the time of our review\u2014as well as for key stages of the process.", "To determine whether State implemented key controls in record-keeping, monitoring, analysis and performance management for completing service requests, we reviewed the FSIA and applicable guidelines, including State and federal guidelines and met with State officials in Washington, D.C. to discuss how they manage the completion of service, as well as with consular officials from the U.S. Embassies in Berlin, Bern, and Prague. These embassies were responsible for completing about 70 percent of all service requests. We also reviewed two State case trackers to determine to what extent they were complete and accurate, and were consistent with State record-keeping guidance. Similarly, we reviewed the 59 case files for service requests received in 2015 and 2016 to determine to what extent the documentation contained in these files was consistent with State guidance in the Foreign Affairs Manual (FAM) and the Foreign Affairs Handbook (FAH).", "We used the improved spreadsheet we developed, and worked with State officials and the responsible plaintiffs\u2019 attorneys, to identify 16 cases that took more than, less than, or about the average amount of time to process to identify the factors that affect the length of time it takes to complete service requests. We also identified the principal courts that have requested service through State. We discussed with court officials and private attorneys and a firm familiar with service requirements under the FSIA their experience obtaining service through State. We also met with officials of the U.S. Victims of State Sponsored Terrorism Fund, which was established by Congress to provide compensation to a specific group of victims harmed by state-sponsored terrorism. We assessed State\u2019s implementation of its key controls against relevant State Department guidance and relevant federal standards for internal controls. Appendix I contains a full description of our scope and methodology.", "We conducted this performance audit from September 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In Federal courts, civil actions, such as lawsuits, begin with the filing of a complaint with the court. On or after filing a complaint, a plaintiff obtains a summons to the defendant from the court. The summons, among other things, names the court and the parties, states the time within which the defendant must appear before the court to defend against the complaint, and notifies the defendant that a failure to appear and defend will result in a default judgment against the defendant for the relief demanded in the complaint. Plaintiffs are responsible for providing defendants both the summons and a copy of the complaint. This procedure, known as service of process, gives parties formal notice of the initiation of court proceedings. In the event of a default judgment against a foreign state in which the defendant has not responded to a summons or complaint and the court has ruled in favor of the plaintiff, FSIA requires that service of a copy of the judgment be completed.", "The FSIA prescribes a sequential process for completing service on foreign governments that plaintiffs must follow before requesting that State complete service through the diplomatic channel. Federal regulations require State to complete service \u201cpromptly\u201d although neither the regulations nor State guidance further define the term. Pursuant to these regulations, where there are no diplomatic or consular relations between the United States and the defendant foreign government or where the United States has suspended diplomatic or consular operations, service may be accomplished pursuant to the arrangement the United States has with a friendly government known as a protecting power arrangement. The protecting power arrangement specifies the consular services that the friendly government will provide in assisting the United States. As of November 2018, the United States had protecting power arrangements with the governments of the Czech Republic, France, Sweden, and Switzerland. Each of the arrangements with the Czech Republic and Switzerland contains a provision for service respectively on Syria and Iran.", "Based on our analysis of State and U.S. court data, from 2007 through 2017, State received 289 service requests to 33 countries. Iran alone accounted for over 60 percent of all service requests, followed by Syria with about 7 percent, and Sudan with about 5 percent. Because Switzerland and the Czech Republic serve as protecting powers for the United States in Iran and Syria, respectively, about two-thirds of all service requests were accounted for by the U.S. Embassies in Bern and Prague. Figure 1 shows the breakdown of FSIA service requests by defendant country from 2007 through 2017. Over the last 2 years, 2016 and 2017, State completed 31 and 48 cases respectively. The 48 cases represent the highest number of cases in any year for the 11-year period we reviewed (see App. II for further data on State\u2019s provision of service since 2007.)", "Service requests to State were made through at least 31 federal, state, and county courts. The vast majority of service requests were made through federal district courts. One court\u2014the U.S. District Court for the District of Columbia\u2014was the venue for 73 percent of all completed service requests, followed by 8 percent for the U.S. District Court for the Southern District of New York and 3 percent for the U.S. District Court for the Southern District of Florida. According to some plaintiffs\u2019 attorneys with whom we spoke, the U.S. District Court for the District of Columbia has jurisdiction over most cases involving victims of state-sponsored terrorism. Figure 2 provides information on the service requests completed from 2007 through 2017 based on the court used to make the request.", "According to plaintiffs\u2019 attorneys, victims of state-sponsored terrorism who have obtained judgments against a foreign state generally seek compensation in two ways: (1) by attaching and directly seizing assets of that state pursuant to the FSIA and other applicable provisions of law and (2) from a temporary special fund called the U.S. Victims of State Sponsored Terrorism Fund (Fund). The Fund was established by Congress in 2015 with about $1 billion in appropriations. Congress established the Fund for a period of 10 years ending in 2026 and mandated that certain forfeiture proceeds, penalties, and fines be deposited into the Fund if paid to the United States after the Fund\u2019s establishment. The Fund can provide compensation to those, who (1) have secured final judgments in a U.S. district court against a state sponsor of terrorism for a claim arising from an act of international terrorism for which the state was not found immune from the FSIA, (2) were held hostage at the U.S. Embassy in Tehran, Iran from November 1979 to January 1981, or (3) are the personal representatives of the estate of a deceased individual in one of these two categories. Victims must file appropriate documentation with the Fund, and be found to qualify. Compensation for victims is calculated on a pro-rata basis on the amount of available funds for each distribution, and is subject to certain statutory caps. The first payments from the Fund were authorized in December 2016; the second distribution is scheduled for authorization in January 2019. After 2019, eligible claims will be paid annually out of available funds, until all eligible amounts have been paid in full or the Fund terminates in 2026."], "subsections": []}, {"section_title": "State Completes Service in Several Stages That Take 5 Months to Complete On Average", "paragraphs": [], "subsections": [{"section_title": "State\u2019s Process for Completing Service Has Four Stages", "paragraphs": ["State completes service through four stages involving the courts, the Department of State, U.S. embassies, and foreign ministries through a process that took about 5 months to complete on average for the period 2007 through 2017. State\u2019s OCS/L within the Bureau of Consular Affairs administers the diplomatic service provisions of the FSIA. Figure 3 summarizes how State completes service in countries where a protecting power assists in the completion of service under the FSIA.", "The steps involved are numerous and require action by litigants, courts, and the State Department, but can be summarized in four stages: 1. Preparing and submitting a request for service to State. Plaintiffs\u2019 attorneys compile and submit the required documentation to the relevant clerk of court, who transmits the package to State. This documentation must include two copies of the complaint, summons and a notice of suit, together with a translation of each into the official language of the foreign state, or where a plaintiff has obtained a default judgment against a foreign state, translated copies of that default judgment and a notice of default judgment, as well as a cashier\u2019s check made out to the appropriate U.S. embassy for the applicable fee. 2. Receiving and processing the request at State. OCS/L receives the package from the clerk of the court where the suit was filed, verifies that the package is complete and the check is written for the proper fee amount, works with plaintiff\u2019s attorney or the clerk of court to resolve any errors or issues with the package, prepares language for the diplomatic note and instructions for the embassy staff, and circulates the diplomatic note and instructions for clearances from relevant Department of State offices. OCS/L sends, via diplomatic pouch, this package to the appropriate embassy depending on the defendant. In cases involving the assistance of a protecting power for the United States to serve documents under the FSIA, OCS/L sends the package via diplomatic pouch to the U.S. embassy in the country that serves as the protecting power for U.S. interests in the defendant country. In the case of suits against the government of Syria, for example, the protecting power is the Czech Republic. In cases involving countries where the United States has diplomatic relations and an embassy the package goes to the U.S. embassy in the defendant country. 3. Receiving and processing a request at U.S. embassies and working with protecting powers. At the U.S. embassy, an American consular officer prepares a diplomatic note in accordance with OCS/L guidance that is added to the package and sends the package to the Ministry of Foreign Affairs. In cases involving the assistance of a protecting power for the United States to serve documents under the FSIA, the Ministry of Foreign Affairs prepares instructions for the consular officer at the foreign interest section of the embassy in the defendant country and sends him the package. A consular officer in the U.S. interest section of the protecting power\u2019s embassy in the defendant country prepares a diplomatic note to add to the package and delivers the package, or arranges for its delivery, to the Ministry of Foreign Affairs of the defendant country. 4. Notifying the court that service has been completed. Once service has been completed, the package is sent back to OCS/L for delivery to the clerk of court. In the instance of protecting power assistance, the package will include certifications from the foreign interest section of the protecting power that process was served on a specific date as well as other certifications by the protecting power\u2019s Ministry of Foreign Affairs and the U.S. embassy."], "subsections": []}, {"section_title": "From 2007 through 2017, State Completed Requests In About 5 Months On Average", "paragraphs": ["Our analysis of State and court data shows that for the 229 service requests that we analyzed, the average (mean) time for State to complete the requests over the past 11 years was about 158 days\u2014or about 5 months. About 50 percent of the service requests took State between 90 and 179 days to complete, and about 28 percent took 180 days or more. Seven requests took longer than 1 year. The longest request took 695 days to complete. Figure 4 shows the completion times of service requests measured in the number of days taken for 2007 to 2017, by 30- day intervals.", "Our analysis shows the most time-consuming stage to complete service was the period in Washington, D.C. in which State Headquarters completes document review and clearance, as shown in table 1."], "subsections": []}, {"section_title": "Slow Service Could Adversely Affect Victims\u2019 Ability to Obtain Compensation", "paragraphs": ["Although neither the FSIA, State\u2019s implementing regulations, nor federal rules of civil procedure establish a time limit for State to complete service, the length of time State takes to complete service can affect plaintiffs\u2019 compensation. According to plaintiffs\u2019 attorneys we interviewed, State\u2019s taking a long time to complete service could adversely affect victims\u2019 ability to gain compensation for two reasons. First, slow service can lengthen the time it takes to obtain a final judgment against a foreign government, thereby delaying plaintiffs\u2019 ability to meet the requirements necessary to satisfy judgments through asset seizures or to apply for compensation from the U.S. Victims of State Sponsored Terrorism Fund. For efforts to collect judgments through asset seizures, plaintiffs\u2019 attorneys explained that the first plaintiff to successfully make such a claim is awarded the entire asset. Thus they are competing to be first in making such claims. Second, slow service can also reduce the total award that claimants receive from the Victims Fund. For example, slow service could result in plaintiffs being unable to provide the required documentation before the deadline of a particular round of distributions for the Fund. The deadline for the 2019 distribution was September 14, 2018.", "The Fund\u2019s procedures allow victims to apply for compensation after a court has issued a default judgment that includes compensation against the defendant government in their case and following their transmittal of a request for service of the default judgment through State. Of the 10 firms that submitted requests for service to State that we interviewed, 6 expressed concern that slow service could adversely affect their clients\u2019 compensation from the Fund for one of the reasons described. Three of the firms also cited ongoing cases where compensation could be adversely affected if they are unable to obtain a default judgment and apply for service through State by the deadline established by the Fund for the next round of distribution. According to Fund officials the Fund has allocated approximately $1.095 billion for second-round payments. The Special Master will authorize second-round payments on a pro rata basis to claimants with eligible claims by January 1, 2019."], "subsections": []}]}, {"section_title": "State Has Not Implemented Key Controls to Manage the Completion of Service", "paragraphs": [], "subsections": [{"section_title": "OCS/L Did Not Maintain Complete and Accurate Records", "paragraphs": ["OCS/L did not maintain complete and accurate records of the status of service requests completed during calendar years 2007 through 2017. State\u2019s record-keeping guidance stresses the importance of creating and preserving records so that documentation of an office\u2019s activities is complete and accurate.", "To document and manage State\u2019s completion of service, OCS/L officials rely primarily on two forms of documentation. The first type of documentation or record is a \u201ccase tracker\u201d spreadsheet that OCS/L uses to document the status of service requests (cases). The second type of record OCS/L relies on is case files which include various documents related to the completion of service.", "We analyzed the case tracker that OCS/L provided to us in November 2017. We determined that it did not contain complete and accurate data about the service requests from 2006 through 2016 because it did not contain any fields documenting the start of the process at State\u2014for example, the date when the court sent the request to OCS/L or the date when OCS/L received the request. Without this, OCS/L lacked any data about when it first received and began working on a request. In addition, OCS/L lacked data about the status of any service request during the initial document review and clearance stage of the process, which as previously discussed, is the most time consuming stage. In response to our request for additional data to use in analyzing the timeliness of State\u2019s service completions, in December 2017, OCS/L provided us with an updated tracker containing three fields not in the previous tracker. The three fields were designed to capture the start of the process, but were often blank. For example, 82 percent of the cases did not contain the date when OCS/L received the request from the court. By contrast, our analysis of both the November 2017 and December 2017 case trackers showed that OCS/L almost always recorded the \u201cend dates\u201d in the process when service was completed and when OCS/L notified the court that service had been completed.", "We also reviewed the 59 case files OCS/L provided for the 2015 and 2016 service completions and determined that OCS/L did not consistently keep copies of several critical documents. We chose these years because OCS/L officials said that providing case files for the entire period under review would present a significant logistical challenge and the case files for the prior years were less complete. As table 2 summarizes, all but three files contained a copy of the memorandum providing instructions to the embassy and language for the diplomatic notes. Nine case files were missing a copy of the diplomatic note. There were also 16 case files missing the certification that service was completed on a specific date. These two documents are critical to demonstrating that service has been completed. There were also 47 case files lacking a signed copy of the notification to the court. None of the 59 case files we reviewed included a copy of an email required by State guidance providing key information on the completion of service. The Foreign Affairs Manual requires embassies to send OCS/L an email documenting when documents required for service were received by the embassy, when those documents were transmitted to a foreign ministry, and the date an executed request was sent to OCS/L for relay to a court (including invoice, registry, and pouch numbers by which the documents were returned to State headquarters), but none of the files we reviewed contained this documentation. Table 2 summarizes the results of our review of the case files.", "In discussing why their case tracker and case files are incomplete and sometimes inaccurate, OCS/L officials noted that State\u2019s agency-wide record-keeping guidance does not prescribe what kind of records they must keep for service requests. Federal internal control standards state that management should implement control activities through policies such as through day-to-day procedures or guidance. Additionally, these standards state that management should design controls to achieve objectives and respond to risks. These controls could, for example, document significant events in a manner that allows the documentation to be readily available for examination or require edit checks during information processing. Further these control activities should ensure that documentation and records are properly managed and maintained. In September 2018, after reviewing our analysis, State officials said that as a matter of practice they had begun digitally scanning service documents, but still did not have a standard list of documents to be maintained in case files. They also acknowledged that the level of completeness of the \u201ccase tracker\u201d and case files varied depending on the individual maintaining the files.", "Additionally, in June 2018 State launched a new case tracker using a database management application. According to OCS/L officials, the new tracker will facilitate the recording and updating of key milestone information. The new tracker allows for including some information not documented in the previous case tracker spreadsheet. However, it does not capture the date the court sent the request to OCS/L. According to OCS/L officials and our analysis, the time between when the court sent the request to OCS/L and OCS/L receives the request can vary significantly. In nine instances, it took from about 3 weeks to over a year for the service request to travel from the court to OCS/L. OCS/L officials explained the new tracker does not capture the date when the court sent the package because they believe the key information they need to use in analyzing and managing the program begins at the point where OCS/L receives the package and not before. However, without capturing this data, OCS/L will not be able to determine the extent to which service requests are delayed in CA\u2019s mailroom before being delivered to OCS/L\u2014one of the four key stages of the process for completing service. Further, without guidance that specifies the information OCS/L must maintain in the case tracker and case files, State officials will continue to lack complete and accurate information."], "subsections": []}, {"section_title": "OCS/L Does Not Monitor Progress in Completing Service Requests", "paragraphs": ["OCS/L does not continuously monitor service requests to determine their progress in moving through the four stages. State\u2019s guidance stresses the importance of continuous monitoring to achieve office, bureau, and agency-wide goals and objectives. Among other things, the Foreign Affairs Manual states that monitoring data can help determine if implementation is on time or if any timely corrections or adjustments may be needed to improve efficiency or effectiveness. Additionally, federal standards for internal control state that management should establish monitoring activities, evaluate the results, and remediate any deficiencies. OCS/L officials indicated that they have not continuously monitored service requests because they are not required to do so. OCS/L has no specific guidance requiring monitoring of the status of service requests during any stage of the service completion process and, as of October 2018, State had not established performance standards or timeframes for completing service of process and associated tasks, as discussed later in the report.", "Based on our analysis of data and a sample of requests, we found that OCS/L\u2019s lack of monitoring meant that State missed opportunities to ensure the timely processing of some requests, particularly during the document review and clearance stage. To identify the factors that affect the amount of time that State takes to process service requests, we analyzed a non-generalizable sample of 16 requests that we selected to ensure we obtained detailed information on cases that took above the average amount of time, below the average amount of time, and about the average amount of time to complete. We discussed the circumstances of each of the 16 requests with OCS/L and embassy officials, as well as with plaintiff\u2019s attorneys. We identified several reasons that cases took longer than average to complete:", "Two cases took longer than average to complete because of staff turnover in the relevant Department of State offices in Washington, D.C.", "One case took longer than average to complete when an OCS/L contractor in Washington, D.C. failed to promptly distribute the packages received by mail. In that instance, it took OCS/L 323 days to clear and send the service request to the embassy after having received the request from the court.", "One case took longer than average to complete when a State official at an embassy in Africa forgot to complete the service request. The request was completed only after the official\u2019s successor arrived and noticed that the service request had not been completed. In this instance, service took 563 days to complete, of which 475 days were spent at the embassy.", "One case took longer than average to complete because a State official overseas misplaced two boxes of supporting documents that accompanied the service request. According to plaintiff\u2019s attorneys, only after they called to ask about its status did OCS/L contact the embassy to determine why the necessary documents had not been delivered to the defendant state.", "Two cases took longer than average to complete because State officials failed to notice that the protecting power had not recorded the date of service completion on the diplomatic note for two service requests. In one case, the missing date was noticed by the plaintiffs\u2019 attorneys only after OCS/L had notified the court that service had been completed. Once alerted to the error by plaintiffs\u2019 attorneys, OCS/L took prompt action by requesting an amended diplomatic note from the protecting power\u2019s Ministry of Foreign Affairs, but it took 2 additional months to obtain the document.", "OCS/L\u2019s lack of monitoring also contributed to a loss of revenue. Based on our analysis of available data and records kept by the U.S. Embassy Bern we determined that the time it took OCS/L to review and clear service requests led to OCS/L\u2019s waiving the fees because checks for payment of services had expired by the time they reached the U.S. Embassy in Bern. In one such instance, OCS/L took 131 days to send the request to Bern. OCS/L directed consular officials to proceed with the provision of service without receiving payment. Our analysis showed that this occurred in approximately 27 percent of all available service requests handled by Bern in 2016 and 2017. The amount of revenue lost was approximately $57,000.", "In June 2018, OCS/L officials developed a new manual that provides a written description of the roles and responsibilities of various officials in OCS/L in completing service requests. However, the manual does not require periodic monitoring of the time spent completing service by embassies. Without monitoring by OCS/L, State cannot ensure timely processing of service requests or prevent losses in revenue."], "subsections": []}, {"section_title": "OCS/L Has Not Analyzed Data on Its Completion of Service", "paragraphs": ["OCS/L officials said that they had not conducted any analysis that might identify the opportunities to improve their performance. State\u2019s guidance in the Foreign Affairs Manual stresses the importance of assessing what is and is not working well in a program. However, OCS/L officials told us that they had not conducted an assessment because they did not have good data and documentation to use in assessing what was and was not working well in their completion of service.", "OCS/L officials provided several reasons for some cases taking longer than average in the process, in addition to those previously discussed, but these reasons were not informed by data. These included: (1) incomplete packages provided by plaintiffs\u2019 attorneys; (2) the time it takes to deliver diplomatic pouches to embassies, which can vary by post; (3) delays due to some foreign governments\u2019 avoidance or delay in accepting meetings with consular staff; and (4) consular officials\u2019 level of familiarity with service requirements as well as heavy consular workloads. Our analysis of available data showed that the document review and clearance stage in Washington, D.C. took longer than the other stages. However, we were unable to determine the extent to which the longer time taken in Washington, D.C. was due to documentation that was missing from the package that was sent by plaintiffs\u2019 attorneys because OCS/L only recorded a handful of cases where this occurred and did not record the date when OCS/L first received the service request or the date it determined the request was complete and free of errors. Moreover, while OCS/L officials attributed most of the time it took to complete the process to the time it takes to deliver documents overseas, our analysis showed that most of the time spent processing requests was consumed by OCS/L in the document review and clearance stage in Washington, D.C. Without periodically analyzing data on service requests, as called for in the Foreign Affairs Manual, OCS/L will not have a sound basis for determining the causes for delays in completing service and how to make improvements to eliminate those delays and reduce service completion times. In September 2018, OCS/L officials told us that they planned to begin using data to, among other things, measure current and past FSIA workload and performance and identify areas for improvement. However, they could not provide details or documentation of this effort."], "subsections": []}, {"section_title": "State\u2019s Bureau of Consular Affairs Has Not Established Performance Standards to Manage and Improve Its Provision of Service Under the FSIA", "paragraphs": ["Consular Affairs has not established performance standards for the full process used to complete service requests. Consular Affairs officials said they have not established performance measures for the full process because they do not have good data to do so. When we began our review, Consular Affairs did not have any time frames for completing service requests. However, in June 2018, OCS/L issued a new manual that includes timeframes for certain steps of completing service within OCS/L. For example, the manual states that once OCS/L has received a service request package, the package must be reviewed within 2 business days to determine whether it contains any errors, omissions, or other issues that must be resolved. The manual also states that if OCS/L does not get clearance to send the package to the embassy within 2 weeks, then a senior OCS/L official must be notified for further action. However, the manual does not specify a deadline for staff to contact the plaintiff\u2019s attorney to correct any problems with the package, such as missing documents, nor does the manual establish an overall timeframe for State to complete the document reviews and clearances in Washington, D.C. and U.S. embassies.", "GAO\u2019s prior work has demonstrated the importance of setting performance standards that can be used across a range of management functions to improve results. In addition, federal internal control standards state that management should design control activities\u2014such as setting of performance standards\u2014to achieve objectives. Setting performance standards, among other things, can provide managers with crucial information on which to base their organizational and management decisions.", "Consular Affairs has established performance standards for some of its other activities. For example, in fiscal year 2017 Consular Affairs established performance standards for processing passport applications within published timeframes and ensuring that visa applicants were interviewed within a 3-week period. For fiscal years 2018 and 2019, among other goals, the Bureau established a performance standard of 100 percent to activate appropriate consular crises response tools, such as travel warnings and security and emergency messages, within 6 hours after notification of a crisis event. Without performance standards for completing service requests, Consular Affairs and OCS/L managers are limited in their ability to monitor performance and perform effective program management and oversight."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Plaintiffs suing foreign states in courts of the United States including some victims of state-sponsored terrorism, sometimes rely on State to promptly serve legal documents to foreign countries to receive compensation for their losses. We found that the process of serving legal documents to foreign countries takes an average of 5 months, but that some cases take considerably longer. In analyzing cases from 2007 through 2017, we identified multiple opportunities to improve the management and oversight of the process. Despite State\u2019s recent steps to improve how it completes service, additional actions could help to ensure that service is completed in a timely manner. For example, guidance that specifies information that OCS/L must maintain in its case tracker and case files would help ensure that State has complete and accurate information on service requests. By having better record- keeping and more accurate and complete data, State will be able to monitor its progress in completing service requests and develop performance standards to measure timeliness. Additionally, periodically analyzing the data could help identify ways to improve timeliness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to the Department of State: The Secretary of State should ensure that the Assistant Secretary of State for Consular Affairs requires OCS/L to update guidance to specify the data to be recorded in the service request case tracker. The required data should include key dates for all four stages of the process for completing service, such as the date the court sent the request to OCS/L. (Recommendation 1)", "The Secretary of State should ensure that the Assistant Secretary of State for Consular Affairs requires OCS/L to update its record-keeping guidance for service requests to include a standard list of documents to maintain in service request case files. (Recommendation 2)", "The Secretary of State should ensure that the Assistant Secretary of State for Consular Affairs requires OCS/L to monitor the status of service requests. (Recommendation 3)", "The Secretary of State should ensure that the Assistant Secretary of State for Consular Affairs requires OCS/L to periodically analyze its data on service requests to identify the causes of any delays in State\u2019s completion of service and take corrective actions as appropriate. (Recommendation 4)", "The Secretary of State should ensure that the Assistant Secretary of State for Consular Affairs establishes performance standards for completing service, including timeframes for completing the various processes at State and at U.S. embassies. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to State, the Department of Justice (Justice), and the Administrative Office of the U.S. Courts for review and comment. We received written comments from State that are reprinted in appendix III. In its comments, State concurred with all five of our recommendations and identified actions it planned to take to address them. Justice and the Administrative Office of the U.S. Courts told us that they had no formal comments on the draft report. State, Justice, and the Administrative Office of the U.S. Courts also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, the Deputy Attorney General, and the Director of the Administrative Office of the U.S. Courts. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any further questions about this report, please contact me at (202) 512-6881 or BairJ@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope and Methodology", "paragraphs": ["In this report, we examine (1) how the Department of State (State) completes service under the Foreign Sovereign Immunities Act (FSIA) and how long it takes to perform this function and (2) whether State has implemented key controls in record-keeping, monitoring, analysis and performance management for completing service requests.", "To describe how State completes service, we obtained and reviewed State and embassy documentation such as regulations, official guidance, and case files. We also met with officials of State\u2019s Bureau of Consular Affairs. Consular Affair\u2019s Directorate of Overseas Citizens Services/Office of the Legal Affairs (OCS/L) is responsible for managing State\u2019s completion of service. Based on discussions with OCS/L and documentation, we mapped how OCS/L manages the process in Washington, D.C and confirmed the process that we mapped with State officials. We met with officials from State\u2019s Diplomatic Pouch and Mail Office, who described how they put together and track diplomatic pouches from State to embassies overseas. Because the role of consular and other officials at embassies overseas in completing service to defendant foreign governments is crucial, we also met with consular and other officials at the U.S. Embassies in Berlin, Germany; Bern, Switzerland; and Prague, Czech Republic.", "We selected these embassies based on (1) the number of service requests each handled, and (2) the method each uses to complete service. The U.S. Embassies in Bern and Prague ranked first and second on the list of embassies managing service requests, while the U.S. Embassy in Berlin ranked fourth. In the Czech Republic, we met with officials of the Czech Ministry of Foreign Affairs, who described how they receive and complete service requests from the U.S. Embassy in Prague. Similarly, the Swiss Ministry of Foreign Affairs provided us with a detailed description of how it receives and completes service on the Iranian government. We cannot generalize our findings from these two countries to any other countries, and note that the majority of the other countries received five or fewer requests for the 11 years we reviewed.", "To describe the process used by courts and attorneys that represent plaintiffs filing lawsuits against foreign governments under FSIA to request service from State, we met with court officials and plaintiffs\u2019 attorneys. Using a spreadsheet that State provided us in December 2017, we identified the top four federal courts that requested service from State from 2007 to 2017 (the most recent full year available) and met with officials from three of these courts. We based our description of the procedure followed by court officials and attorneys say they follow at the United States District Court for the District of Columbia because about three-fourths of all service requests were made through that court. Using a spreadsheet that State had provided, we also identified and met with 10 firms that had requested service from State. The firms that we met with had a mix of experience requesting service from State. Some firms had extensive experience and others had little experience requesting service from State. We cannot generalize the responses to these firms to all firms that requested service from State.", "To determine the length of time it took for State to complete service from 2007 through 2017, in December 2017 we obtained a spreadsheet that OCS/L developed. This spreadsheet documents various milestones in the completion of service requests made during this period\u2014for example, when the court sent the request to OCS/L, when OCS/L received the request, when OCS/L sent the request to the appropriate embassy, and when OCS/L notified the court that service had been completed. Because OCS/L officials provided data that was not complete, we developed an improved spreadsheet, using the spreadsheet we received in December 2017 as our starting point and improving the spreadsheet through the use of supplemental data. To develop the improved spreadsheet, we first identified requests for service, based on our examination of the original spreadsheet, which appeared to have not been completed or were not related to FSIA service. We requested clarification from State about whether we should keep those requests in our improved spreadsheet, and where appropriate, removed some service requests. We then checked the remaining requests in the original spreadsheet against court data obtained from the Lexis-Nexis database Courtlink. After completing this process, we once again asked OCS/L officials for clarification about certain service requests and incorporated their feedback. In June 2018, State provided us with a copy of a new case tracker that OCS/L officials had created. We incorporated data from 2017 into our improved spreadsheet and once again checked the service requests in our improved spreadsheet against court records. After making the appropriate modifications, we had 289 requests for service between 2007 and 2017. We processed the data in our improved spreadsheet using data analysis software.", "We estimated, among other things, the mean and median lengths of time it took for State to complete service from 2007 through 2017, as well as for the three of the four key stages of the process for which State is fully responsible. We estimated the time elapsed as the difference in calendar days between the key dates that were available, for example, between the date State notified the court that service was completed and the date the court had sent to OCS/L the request for service. The three stages for which we were able to estimate timeliness were (1) the days between the date State received the request from the court and the date OCS/L sent the request to the appropriate U.S. embassy overseas and, (2) the days between the date OCS/L had sent the request to the embassy and the date when service was completed overseas and, and (3) the days between the date that service had been completed by the embassy or protecting power and the date when OCS/L notified the court that service was completed. The time taken for these stages includes the times for a number of activities that we could not precisely estimate, such as the time it took for the court\u2019s request to reach OCS/L and the time taken for service documentation to be sent via diplomatic pouch to and from the appropriate embassy. We used the date the court sent its request to OCS/L as our start date because that was the most complete start date data among the three options available. We restricted our analysis to those cases for which State had completed service.", "One limitation that we had to address in our analysis was the lack of certain key dates in OCS/L\u2019s spreadsheet for some of the requests. In particular, while the date we used as the start date (which was the date on which the court sent its request for service to OCS/L) had the most complete data of the three possible start dates, the data were missing for 59 of the 289 requests for service that we were able to document. We calculated overall time elapsed for the document review and clearance stage using that date, but then had to do some sensitivity analysis to check that the missing dates were not skewing our results. To perform the sensitivity analysis, we identified those instances when the date the court sent its request to OCS/L was missing, but an alternative start date, either the date of the request letter, or the date when OCS recorded receiving the request, was present. We were able to identify 40 instances where this happened for the 59 missing cases. Our calculations using estimations of the missing \u201ccourt sent to OCS/L\u201d dates indicated that the results we present would likely have changed minimally if we could have included them. In addition, we conducted further analysis of the characteristics of the 17 service requests that had no start date of any kind and found that these were generally similar to ones for which we had start dates. However because these simulations indicated that there would be minor changes, we present qualified rounded numbers in the main body of the report.", "We also used the improved spreadsheet to extract other information, and calculate timeliness by the years for which the requests were made, the courts making requests for service, the countries for service, and the date of service requested. In addition, we estimated the time elapsed for service for each case for which we had data and generated a list of service requests sorted from the ones that took the longest to those that took the least amount of time to complete.", "To determine whether State has implemented key controls in record- keeping, monitoring, analysis, and performance management for completing service requests, we met with OCS/L officials in Washington, D.C. to discuss how they manage the process, as well as with consular officials from the U.S. Embassies in Berlin, Bern, and Prague. We also examined the 59 service request case files for requests received in 2015 and 2016. This sample is not generalizable to all requests for service between 2007 and 2017. We determined to what extent these files were missing key documents, such as a signed copy of the notification letter or the diplomatic note. We also reviewed the December 2017 spreadsheet that we had obtained from State to determine to what extent the spreadsheet contained missing data as well as a November 2017 spreadsheet. As discussed earlier, because OCS/L officials did not provide complete data, we created a separate improved spreadsheet using court data. We analyzed the data in the improved spreadsheet we created to determine where bottlenecks were occurring. We also used the improved spreadsheet to help identify and review 16 service requests in more depth with OCS/L officials. We selected these 16 service requests to include: 6 requests that took well above the average number of days to complete, 5 that took about the average amount of time to complete, and 5 that took below the average amount of time to complete. We met with OCS/L and consular officials, as well as plaintiffs\u2019 attorneys to discuss events related to the 16 requests we had identified for review. We obtained documentation from the U.S. Embassies in Bern and Prague for the actions taken in providing service, the controls implemented, and the records of transactions that they maintained. We met with officials from three principal courts that request service, as well as officials of the U.S. Victims of State Sponsored Terrorism Fund (Fund) to discuss how service could affect the progress of court cases and the compensation awarded. Finally, we assessed State\u2019s implementation of key controls against applicable laws, including the FSIA and Government Performance and Results Act of 1993, as well as State guidance and federal internal control standards.", "To determine the reliability of the data used in the report, we manually checked State\u2019s December 2017 spreadsheet as well as the improved spreadsheet that we developed for logical and other errors\u2014for example, for dates that seemed out of order. We also performed electronic checks on the improved spreadsheet to identify logical and other errors. Where appropriate, we made adjustments to the improved spreadsheet. Based on the results obtained, we determined that the improved spreadsheet that we developed is sufficiently reliable for our use, though we note the limitations in terms of the start dates, which required us to conduct sensitivity analyses, as described earlier in this OSM, to increase our confidence in the overall estimates for timeliness and for the document review and clearance stage of the process (stage 2). As noted above, we are rounding our estimates to reflect this limitation and qualifying them as approximations.", "We conducted this performance audit from September 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Additional Data on How Long It Takes to Complete Service", "paragraphs": ["We identified a total of 289 verified requests for service from 2007 to 2017. Verified requests are those that remained after we compiled the lists the State Department provided, scrubbed them for duplicates and instances when the requests were subsequently withdrawn, and checked the data against court records in the Court Link database. Figure 5 shows how those cases were distributed by year over this period.", "The average number of days State took to complete service varied notably by year from 2007 to 2017, as Figure 6 demonstrates. The average (mean) ranged from 77 days in 2011 to 206 days in 2008. We can also see variation in the most recent years. The mean in 2015 was 130 days while in 2016 it was 205 days.", "We also found that cases for European and Eurasian countries, such as Switzerland and Germany, had much lower means and medians than those sent through protecting powers to Iran and Syria. While the averages for Iran and Syria were 158 and 215 days respectively, the cases for Germany, Switzerland, the Holy See, Russia, and Poland all had averages of 106 days or less. In table 3 we provide information on the length of time it took to complete service requests by country.", "We looked more broadly at country type, and created three groups, one for the two countries where the State Department has to rely on the protecting powers for service, namely Iran and Syria, another group for the European and Eurasian nations, and another group for all remaining countries. Service completion was fastest for the European nations. This information by country groupings is presented in table 4."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements:", "paragraphs": ["In addition to the contact named above, Kim Frankena (Assistant Director), Claude Adrien, Jos\u00e9 M Pe\u00f1a III, Martin De Alteriis, Candace Caruthers, Mark Dowling, Chris Keblitis, Aldo Salerno and Hannah Heidrich made key contributions to this report. Travis Cady and Jeff Isaacs provided technical assistance."], "subsections": []}]}], "fastfact": ["Some victims of state-sponsored terrorism can sue the responsible government and may also be eligible for compensation from a special victims' fund. However, they often rely upon the State Department to deliver the necessary legal documents for a fee. State did this more than 200 times from 2007 through 2017. Those cases took:", "5 months to complete on average", "longer than 6 months about 29% of the time", "longer than a year 7 times", "Delays caused the State Department to waive $57,000 in fees it would have collected, and may have affected victims' compensation eligibility. We recommended ways to improve performance."]} {"id": "GAO-18-200", "url": "https://www.gao.gov/products/GAO-18-200", "title": "Federal Buildings: GSA Should Establish Goals and Performance Measures to Manage the Smart Buildings Program", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To help comply with federal policies aimed at improving federal building energy and environmental management, GSA has implemented a smart buildings program nationwide in federally owned buildings under its custody and control. Two key technologies included in the program are Internet-connected advanced utility meters and an analytical software application, GSAlink, which alerts staff to potential building system problems, such as equipment operating outside of normal hours.", "GAO was asked to review GSA's smart buildings program. This report examines: (1) what is known about the costs and benefits of the program, (2) the extent to which GSA has developed performance goals and measures to help it manage the performance of the program, and (3) any challenges GSA faces in implementing the technologies used in the program and GSA's actions to mitigate those challenges. GAO reviewed relevant GSA documentation, interviewed officials at GSA's central and regional offices, and visited a sample of GSA smart buildings in San Francisco, California, and Washington, D.C. that were selected based on the high concentration of GSA smart buildings located in each city."]}, {"section_title": "What GAO Found", "paragraphs": ["Limited quantified information exists on the costs and benefits of the General Services Administration's (GSA) smart buildings program's key technologies. GSA officials stated that the approximate cost of equipping a building with these technologies ranged between about $48,000 to $155,000. However, they stated that accurately calculating installation costs is challenging because GSA typically installs these technologies in selected buildings incrementally and sometimes as part of other capital improvement projects. Additionally, GSA officials identified perceived operational benefits of the smart buildings program's key technologies, including that these technologies enable officials to more precisely identify building system problems and more closely monitor contractors. However, existing data on the smart buildings program are of limited usefulness in quantifying the program's benefits. For example, according to GSA officials, while data from an application within GSAlink that estimates avoided costs from addressing each fault that GSAlink identifies are useful for prioritizing maintenance actions, the imprecise estimates preclude their use as a measure of actual avoided costs in quantifying program benefits.", "GSA does not have documented, clearly defined goals for the smart buildings program, nor has GSA developed performance measures that would allow it to assess the program's progress. These omissions are contrary to leading practices of results-oriented organizations identified in previous GAO work. GSA officials verbally described broad goals for the smart buildings program to GAO, but the agency has not documented these goals. Further, because GSA has not clearly defined its verbally expressed goals, it cannot demonstrate progress in achieving them. For example, GSA officials said that the agency cannot measure progress for the stated goal of improving tenant productivity and comfort because of the subjective nature of individual tenant preferences, such as for office temperatures. Additionally, GSA has not developed performance measures to assess the program, and GSA's lack of data that can be used to quantify benefits of the program impedes its ability to measure the success of the program. Without clearly defined goals, related performance measures, and data that can be used to measure its progress, GSA is limited in its ability to make informed decisions about the smart buildings program.", "GSA faces challenges in implementing the smart buildings program and has taken steps to mitigate these challenges. Since smart building technologies are Internet-connected, they are potentially vulnerable to cyberattacks that could compromise security or cause harm to facilities or their occupants. GSA has taken actions intended to mitigate cybersecurity challenges, such as instituting policies to address threats and known vulnerabilities and moving Internet-connected building systems to GSA's secured network. Separately, according to GSA officials, GSA faces implementation challenges related to the limited technological proficiency of some GSA building managers and contractors or lack of buy-in from them. GSA is taking actions intended to address these challenges. For example, it has provided training to staff and contractors, and its central office monitors the extent to which staff address problems detected by the smart buildings program's key technologies."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that GSA establish clearly defined performance goals and related performance measures for the smart buildings program, and identify and develop data to measure progress. GSA concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. General Services Administration (GSA) maintains custody and control of a diverse buildings portfolio that includes approximately 1,600 federally owned buildings across the United States which cost over $1 billion annually to operate and maintain. Numerous federal policies aim to improve federal building energy and environmental management through the implementation of sustainable practices intended to reduce energy use, lower operating costs, and limit the environmental impact of federal buildings. To help comply with these policies, GSA implemented key \u201csmart buildings technologies\u201d nationwide in federally owned buildings under its custody and control starting around 2005. According to GSA officials, the smart buildings program uses technologies that allow for more precise monitoring of energy use, costs, and system operations than in buildings without these technologies. These officials told us that analyzing data from buildings equipped with smart building technologies allows GSA building managers to more directly oversee the operations of these buildings.", "You asked us to review GSA\u2019s smart buildings program. This report addresses: (1) what is known about the costs and benefits of the smart buildings program\u2019s key technologies, (2) the extent to which GSA has developed performance goals and measures to help it manage the performance of the smart buildings program, and (3) any challenges GSA faces in implementing the technologies used in the smart buildings program and GSA\u2019s actions to mitigate those challenges.", "To describe the costs and benefits of the smart buildings program\u2019s key technologies, we reviewed information from GSA regarding these costs and benefits. We also interviewed officials at GSA\u2019s central office, as well as conducted semi-structured interviews with officials at each of GSA\u2019s 11 regional offices. In addition, we conducted site visits and interviewed GSA building managers and operations and maintenance services contractors who work at selected GSA smart buildings in San Francisco, California, and Washington, D.C. We selected these locations because of the high number of GSA smart buildings located in each city. To obtain a wider perspective on smart buildings in general, we interviewed officials at three other federal agencies that have implemented smart building efforts, including the Department of Energy, the Department of Defense, and the National Aeronautics and Space Administration. We also interviewed seven industry stakeholders\u2014including five service contractors and two university researchers\u2014who were near the GSA smart buildings we visited and had experience in operating smart buildings or researching related technologies. The results of our site visits and interviews with GSA smart building officials, federal agencies, and industry stakeholders are not generalizable to all GSA smart buildings, but provide illustrative examples of smart building technologies in general, and the implementation of the GSA smart buildings program specifically. Appendix I provides a complete list of the organizations we contacted.", "To evaluate the extent to which GSA has developed performance goals and measures to help it manage the performance of the smart buildings program, we reviewed GSA reports and documents concerning the smart buildings program and interviewed knowledgeable agency officials. We compared GSA\u2019s actions to leading practices of results-oriented organizations that we have identified in our prior work, as well as federal standards for internal control.", "To describe the challenges GSA faces in implementing the technologies used in the smart buildings program and its actions to mitigate those challenges, we reviewed GSA, prior GAO, and other reports concerning building management issues. We also gathered information during our site visits and interviews noted above with officials at GSA\u2019s central office, GSA regional offices, federal agencies, and industry stakeholders. We did not evaluate the effectiveness of the actions GSA has taken to mitigate challenges facing implementation of the technologies used in the smart buildings program. Related to cybersecurity risks, however, our past work has reported on GSA\u2019s efforts to address cyber risks in federal buildings in compliance with relevant statute and guidance.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["GSA maintains custody and control of real property for many civilian federal agencies and has a large portfolio of federally owned and leased properties that GSA rents to its federal agency customers. It is responsible for approximately 1,600 federally owned buildings, and the agency generally provides operations and maintenance services for building systems\u2014such as heating, cooling, and lighting systems\u2014used in building operations. According to GSA officials, their federally owned smart buildings are managed by a GSA building manager who oversees a private operations and maintenance services contractor.", "According to GSA officials, the agency began implementing what would become its smart buildings program around 2005 in response to numerous federal policies aimed at improving federal building energy and environmental management. These officials told us that the smart buildings program includes two key technologies: advanced utility meters and a computer software program known as \u201cGSAlink.\u201d According to GSA officials, outfitting buildings with these technologies allows for more precise monitoring of energy use and equipment operations in these buildings, and was initially based on the use of advanced utility meters to meet federal mandates. Later, this concept was expanded to include use of analytics, through GSAlink, aimed at reducing energy consumption and increasing the efficiency of operations and maintenance activities. According to GSA officials, GSA\u2019s smart buildings use these technologies to connect and monitor multiple pieces of building equipment, such as heating and air conditioning system components. Further, according to these officials, the program is intended to achieve efficiencies in energy use and in operations and maintenance activities while also providing a comfortable workplace potentially conducive to improved tenant productivity. As GSAlink and advanced meters are Internet-connected, GSA officials told us that they implemented protections that are intended to help mitigate potential cyberattacks, including using firewalls.", "Advanced Utility Meters: In response to energy reduction and advanced metering requirements established in the Energy Policy Act of 2005\u2014as well as subsequent amendments and an Executive Order\u2014GSA began installing advanced meters in its federally owned buildings starting around 2005. Internet-connected advanced utility meters measure utility use in real-time, which GSA officials told us allows GSA\u2019s building managers to identify opportunities to reduce energy use or anomalies that contribute to energy waste. For example, GSA officials said that advanced utility meters can be used to monitor energy consumption patterns and detect lights or other building systems being used after normal business hours. According to a senior GSA official, GSA currently has 675 advanced meters installed in the agency\u2019s approximately 1,600 federally owned buildings.", "GSAlink: GSA officials told us that GSAlink is a computer software program that collects and analyzes data from advanced meters\u2014 including gas, electric, and water meters\u2014and from a facility\u2019s \u201cbuilding automation system\u201d and uses this information to alert building staff to potential problems. Further, GSA officials said that GSAlink allows them to identify building problems that occur over time that may not be readily observable through the building automation system, which generally presents information to building personnel on how a building system is operating in real-time, not over a longer time frame. For example, GSA officials told us that GSAlink can collect data on the temperature and pressure of chilled water that is being circulated through a building\u2019s cooling system and identify equipment that is operating outside of normal parameters or normal business hours when a building automation system may not be actively monitored. If GSAlink detects a potential issue, GSA officials told us the software creates a record so that building maintenance staff can investigate and remedy that issue. GSA building managers as well as GSA staff at the regional and national levels told us they can log in to GSAlink to check on the status of building system issues. According to GSA officials, the contract for GSAlink was awarded in 2012 and GSAlink is currently in use in 81 buildings, with at least one GSAlink- equipped building in each of GSA\u2019s 11 regions. A senior GSA official told us that eighty of these buildings are also equipped with advanced meters. Further, in September 2017, this official told us that GSA contracted to equip 4 additional buildings with GSAlink. According to GSA officials, GSA generally plans to limit installation of GSAlink in additional buildings until more is learned about using the technology in the buildings in which it is currently installed.", "Figure 1 illustrates an example of a GSA smart building that includes advanced meters, GSAlink, and the building systems monitored by these technologies."], "subsections": []}, {"section_title": "Limited Quantified Information Exists on the Costs and Benefits of Key Smart Buildings Program Technologies", "paragraphs": [], "subsections": [{"section_title": "The Smart Buildings Program\u2019s Installation Costs Are Affected by Building Characteristics and Can Be Difficult to Quantify", "paragraphs": ["According to GSA officials, the approximate cost of equipping a building with smart building technologies ranged from between about $48,000 to $155,000. This includes costs for installing: advanced utility meters (approximately $25,000 to $55,000), and", "GSAlink (approximately $23,000 to $100,000).", "The cost of installing GSAlink depends on the condition of the building automation system to which GSAlink is connected as well as the number of individual building components (e.g., chilled water pumps, cooling tower fans, thermostats) to be monitored by GSAlink. GSA officials anticipate that advances in system architecture and reduced software licensing costs will lower the cost of future installations. For example, a senior GSA official told us in October 2017 that the cost to install GSAlink in four additional buildings\u2014the most recent buildings in which GSAlink was installed\u2014ranged between $23,000 and $25,000.", "In addition, GSA is undertaking a broader effort to upgrade building automation systems in its buildings to enable these systems and connected applications, such as GSAlink, to operate on GSA\u2019s protected information technology network. According to GSA officials, GSA can only install GSAlink in buildings whose building automation system operates on GSA\u2019s protected network. To date, GSA has upgraded building automation systems to operate on the agency\u2019s protected network in approximately 400 buildings. GSA officials told us that the cost of these upgrades has varied by building and depends on several factors, including the size of the building, the complexity or condition of its building automation system, and its age. According to GSA officials, upgrading building automation system components to enable them to operate on the protected network has cost approximately $90,000 per building, on average. However, in some cases, these costs can be much higher; integrating older systems in larger buildings has cost up to $3 million, according to GSA officials.", "Further, according to GSA officials, accurately calculating smart building implementation costs can be difficult because GSA typically installs key technologies\u2014that is, advanced meters and GSAlink\u2014and makes upgrades necessary to install GSAlink in selected buildings incrementally, sometimes as part of other capital improvement projects. For example, the American Recovery and Reinvestment Act of 2009 and annual appropriations have provided funding to GSA for energy and conservation measures, including the purchase and installation of advanced meters."], "subsections": []}, {"section_title": "GSA Has Taken Steps toward Assessing Benefits of the Smart Buildings Program, but Efforts to Quantify Benefits Have Been Limited", "paragraphs": ["GSA officials we interviewed at the central office, regional, and individual building levels identified perceived operational benefits from implementing the smart buildings program, including that it (1) enables them to identify problems with building equipment or system operations more quickly and more thoroughly and (2) allows for their greater oversight of operations and maintenance services contractors relative to other GSA buildings. For example, according to GSA regional staff we spoke to, both advanced meters and GSAlink could detect if the cooling system was operating when tenants were not occupying the building, thereby allowing the building managers to adjust operations to avoid unneeded energy use and wear on the cooling system equipment. Regarding contractor oversight, GSA building managers stated that GSAlink allows the agency to better monitor operations and maintenance contractors\u2019 performance, potentially yielding a better-run building with lower operations and maintenance costs. For example, GSA officials described how the analytic capability of GSAlink might allow building managers to precisely identify and address a problem with a building before that problem is noticed by tenants. This may result in, for example, a reduction in the number of maintenance service requests from tenants and contribute to lower building operating costs. In addition, GSA officials told us that GSAlink allows GSA building managers to confirm the information operations and maintenance services contractors present to them on the status of issues identified by GSAlink. Further, according to these officials, GSAlink allows building managers to monitor contractor compliance with GSA\u2019s requirement that contractors address building issues identified by GSAlink within 30 days, thereby giving GSA officials closer oversight of contractor performance.", "GSA has taken some steps in the past to quantify the benefits associated with the smart buildings program. While those efforts have identified benefits, they have had some limitations. For example, in 2009\u2014after having begun installing advanced meters but before installing GSAlink\u2014 GSA attempted to forecast benefits of the smart buildings program by commissioning a business case analysis. The business case concluded that GSA\u2019s energy and operating costs could be reduced by a smart buildings program and that such a program would pay for itself in 1.7 years based on combined energy and operational savings. However, this business case\u2019s estimates of the program\u2019s benefits have limited usefulness for evaluating the current program because this study took place before the program was fully implemented and did not account for constraints affecting building operations. For example, a senior GSA official told us that GSA\u2019s operations and maintenance service contracts are generally for multiple years at a fixed price, calling into question whether operational cost savings can be realized to achieve payback within the time frame estimated by the study.", "In addition, GSA\u2019s service contractor developed an application within GSAlink that automatically estimates the costs that would be avoided by addressing each type of fault that GSAlink identifies. According to GSA officials, these estimates are imprecise and do not reflect actual avoided costs, which thereby precludes their use in quantifying program benefits. However, according to these officials, these estimates can be used to compare the relative benefits expected to be achieved by addressing identified faults and to prioritize maintenance and repair actions. GSA officials told us that they took steps in June 2017 to improve the accuracy of avoided cost estimates produced by this application, for example, by enabling adjustments to account for differences in weather conditions and building size, and plan to continue their efforts to adjust and refine this tool.", "In a separate study in October 2016, GSA\u2014in collaboration with researchers at Carnegie Mellon University\u2014analyzed the energy use changes associated with both capital upgrades and operational initiatives, including the use of smart building technologies. Capital upgrades include actions such as installing new energy-efficient building systems and equipment, whereas operational initiatives include, among other things, changes to building operations based on the analysis of advanced meter and GSAlink data. While the researchers concluded that the use of advanced meter and GSAlink data led to reductions in energy use, the researchers found that GSA\u2019s utility consumption records were incomplete and that GSA records of capital upgrades often do not include key details, such as project start or completion dates, to indicate when GSA would have received the benefit derived from the capital project. This lack of complete data adds to the difficulty of estimating the reduced energy consumption attributable to specific factors, including use of advanced meters and GSAlink."], "subsections": []}]}, {"section_title": "GSA Does Not Have Documented, Clearly Defined Performance Goals or Measures to Help It Manage the Smart Buildings Program", "paragraphs": ["We have previously found that results-oriented organizations set performance goals to clearly define desired program outcomes and develop performance measures that are clearly linked to the performance goals. Program goals communicate what results the agency seeks and allow agencies to assess or demonstrate the degree to which those desired results are achieved. Performance measures also show the progress the agency is making toward achieving program goals. We have previously reported that performance measurement gives managers crucial information to identify gaps in program performance and plan any needed improvements.", "GSA has not documented the smart buildings program\u2019s goals, contrary to leading practices we identified in our prior work, which call for program goals to clearly define desired program outcomes. GSA officials verbally described to us broad goals for the smart buildings program: (1) reducing energy consumption, (2) generating operations and maintenance cost savings, and (3) creating a comfortable work environment conducive to improved tenant productivity. However, GSA has not documented these goals\u2014for example, in the agency\u2019s performance plan or in other program documents. GSA officials could not provide a reason for why the agency has not documented the smart buildings program\u2019s goals.", "Further, because GSA has not clearly defined its verbally expressed goals, it cannot demonstrate progress in achieving them. This lack of clearly defined goals is contrary to federal internal control standards, which state that agency management should define objectives in measurable terms so that performance toward those objectives can be assessed. GSA could potentially measure progress toward its stated smart buildings program goals of reducing energy consumption and generating operations and maintenance cost savings, if data were available to do so, as these goals seek to identify changes in quantifiable outcomes, specifically energy use and cost savings. However, GSA officials said that the agency cannot measure progress toward the stated goal of improving tenant productivity and comfort because of the subjective nature of individual tenant preferences, such as for office temperatures. This subjectivity is consistent with statements from the industry stakeholders we spoke with, who also said that identifying the existence of a causal relationship between a building\u2019s environment and the productivity of its inhabitants is challenging. For example, an industry stakeholder we spoke to told us that different building occupants have different temperature or ventilation preferences and may accordingly be the most productive at different ambient temperatures, making it challenging to determine a building\u2019s optimal temperature. Without documented, clearly defined goals, it will be challenging for GSA to determine what type of evaluative information it will need to monitor the progress of the smart buildings program.", "In addition, contrary to the leading practices we have identified in our previous work, GSA has not developed performance measures for the smart buildings program. According to these leading practices, performance measures allow for an assessment of progress toward achieving goals by including concrete, objective, and observable ways to measure the program\u2019s performance and compare this with the program\u2019s expected results. Further, federal internal control standards call for federal program managers to use quality information to achieve that program\u2019s objectives and make informed decisions. However, GSA lacks quality information that can be used to measure program performance. As discussed in the previous section, GSA\u2019s efforts to quantify the smart buildings program\u2019s benefits, including energy reductions and cost savings, have been limited because GSA has had difficulty in compiling data that would allow it to do so. For example, GSAlink\u2019s calculation of avoided costs estimated to be achieved by addressing identified faults is useful for prioritizing maintenance actions but not for measuring program performance because, according to GSA officials, the estimates lack precision and relation to actual costs. In addition, GSA\u2019s October 2016 study on energy use reductions attributable to the program faced problems owing to incomplete records on utility consumption and capital upgrades. While we recognize that determining what data can be collected in a cost-effective manner and can be used to measure the performance of the smart buildings program may be difficult, without such data and measures, GSA lacks the ability to determine the program\u2019s progress and make informed decisions about its current and future operations."], "subsections": []}, {"section_title": "GSA Faces Some Challenges in Implementing Smart Building Technologies and Is Taking Steps to Mitigate Them", "paragraphs": [], "subsections": [{"section_title": "GSA Is Taking Actions That May Mitigate Challenges Related to Cybersecurity", "paragraphs": ["GSA faces cybersecurity challenges to its buildings, but is taking steps intended to mitigate these challenges. According to GSA officials, advanced meters and GSAlink operate in conjunction with Internet- connected building automation systems on the protected GSA information technology network. GSA regional staff and industry stakeholders we interviewed stated that cybersecurity presents challenges to those operating smart building technologies, including GSA. Specifically, because these building automation systems are connected to the Internet, they provide a potential pathway for cyberattacks on GSA\u2019s network. According to our prior work, this connectivity could compromise security, hamper GSA\u2019s ability to carry out its mission, or cause physical harm to GSA\u2019s facilities or their occupants.", "GSA has taken several actions that are intended to help mitigate cybersecurity challenges to its buildings, including those that affect the smart buildings program:", "GSA has instituted policies and procedures addressing cybersecurity threats and known vulnerabilities in its building systems. In December 2015, GSA published an information technology security policy, defining the roles and responsibilities of GSA staff and establishing controls to ensure compliance with federal regulations, laws, and GSA directives. For example, this policy defines the role of the Federal Government Authorizing Official whose responsibilities include ensuring that monthly operating system scans, database scans, and web application scans are performed and that all vulnerabilities identified are resolved.", "According to a GSA senior official, under GSA\u2019s Building Monitoring and Controls Program, which provides the infrastructure support needed to connect a building to GSA\u2019s network, GSA is taking steps to mitigate the effects of potential external cyberattacks by moving building automation systems of GSA-controlled buildings away from public networks to GSA\u2019s secured network. GSA officials told us that there are currently approximately 400 federally owned buildings on GSA\u2019s secured network, which includes the 81 buildings equipped with GSAlink. According to GSA officials, a building automation system must be on GSA\u2019s secured network before GSAlink can be installed.", "According to GSA officials, GSA also performs regular assessments to validate that GSAlink system controls comply with relevant statutes, such as the Federal Information Security Management Act of 2002, National Institute of Standards and Technology security standards, and GSA policies and procedures. In December 2014, we reported on GSA\u2019s efforts to address cyber risks in federal buildings in compliance with relevant statute and guidance, finding that GSA had not conducted security control assessments for all of its systems in about 1,500 federally owned facilities. We recommended that GSA assess its building control systems in a manner fully consistent with federal law and related implementation guidelines. GSA has since implemented this recommendation.", "According to GSA documentation and officials, GSA conducts regular vulnerability scanning of the equipment and systems involved in the smart buildings program. For example, according to GSA regional staff, a recent vulnerability in the GSA system that manages maintenance requests was identified by GSA central office and was remedied through a software upgrade."], "subsections": []}, {"section_title": "GSA Is Taking Actions That May Mitigate Challenges with Stakeholder Support", "paragraphs": ["GSA faces smart building technology implementation challenges related to the limited technological proficiency of or lack of buy-in from some GSA building managers and operations and maintenance services contractors, but the agency is taking steps that are intended to engage these stakeholders and ensure they are learning to use the smart buildings program\u2019s technologies. GSA regional staff acknowledge that there can be inconsistencies among building managers and operations and maintenance services contractors in terms of their familiarity and comfort with using computers and computer-based analytical tools. According to GSA officials, GSAlink proficiency and adoption varies by building and as such, some buildings may obtain greater benefits from the system than others. A lack of proficiency among building managers in smart building technologies not only affects GSA, but is also an industry-wide concern, according to industry stakeholders we interviewed. Industry stakeholders we interviewed stated that operations and maintenance services contractors are generally not well trained on smart building operations or the differences between managing a smart building and managing a traditional building.", "GSA regional staff and GSAlink\u2019s support contractor we interviewed also identified operations and maintenance services contractors\u2019 limited buy-in to the smart buildings technologies as a challenge affecting implementation of the program. According to GSA officials, this limited buy-in to the smart buildings technologies could potentially lead to loss of support for the program among operations and maintenance services contractors, posing a risk to the program\u2019s successful implementation. GSA officials, regional staff, and GSAlink\u2019s support contractor acknowledge it is important to demonstrate how GSAlink, for example, can make the operations and maintenance services contractors\u2019 jobs easier. According to GSA officials, if GSAlink can help a building\u2019s systems operate more efficiently, that improvement should result in less unscheduled maintenance and fewer work orders for the contractor. Additionally, industry stakeholders we interviewed suggested that operations and maintenance services contractors do not currently have a stake in whether a smart buildings program is successful.", "According to those we interviewed, GSA has taken several actions that are intended to help address these challenges:", "GSA officials and regional staff told us that GSA provided initial training to building managers and operations and maintenance services contractors when GSAlink was first installed. According to GSA officials, refresher training is available online through recorded training sessions. Additionally, GSA regional staff told us that knowledgeable GSA staff provide training to newly hired staff as needed.", "GSAlink\u2019s support contractor staff told us that they lead regularly scheduled teleconferences with each smart building\u2019s staff either monthly or quarterly depending on each building\u2019s needs. At these meetings, the support contractor remotely accesses GSAlink data for a particular building to discuss the status of GSAlink notifications of building system issues and recommend adjustments to building equipment or systems to ensure optimal operations. GSA regional staff we spoke with stated that this meeting serves as a form of training and helps educate participants on how to use GSAlink.", "To ensure that building personnel are using smart buildings technologies, GSA officials told us that GSA\u2019s central office monitors a key performance indicator requiring GSA building managers and operations and maintenance services contractors to address all GSAlink notifications of building system issues within 30 days. According to GSA officials, GSA central office and regional staff also have the ability to remotely monitor advanced meter and GSAlink data for individual buildings.", "According to a senior GSA official, new operations and maintenance services contracts will expressly require contractors to use smart building technologies as part of their efforts to optimally operate GSA buildings."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["According to GSA officials, the agency\u2019s smart buildings program is intended to allow its staff and contractors to more efficiently manage energy consumption and operations and maintenance actions aimed at promoting cost-efficient operation of building systems and creating a comfortable work environment for tenants in GSA\u2019s buildings. Given GSA\u2019s recent decision to expand the use of GSAlink technology, it is important that the agency be able to determine whether use of the technology achieves these intended results. However, without documented, clearly defined goals, performance measures linked to those goals, and quality information to measure progress, GSA is limited in its ability to make informed decisions about the smart buildings program\u2019s current or future operations as it develops plans to enlarge the program to serve a greater proportion of its buildings portfolio. As a result, GSA risks continuing to expend resources on a program that the agency cannot demonstrate is meeting its intended objectives."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to GSA: The Administrator of the General Services Administration should establish clearly defined goals and related performance measures for the smart buildings program. (Recommendation 1)", "The Administrator of the General Services Administration should identify and develop data that can be used to measure progress in achieving the smart buildings program\u2019s goals. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA for comment. In its written comments, reproduced in appendix II, GSA stated that it concurred with our recommendations and is developing a plan to address them. In addition, GSA clarified that the agency has been upgrading building automation systems across its buildings inventory for a variety of reasons, to include providing needed safeguards to comply with GSA\u2019s information technology security protocols. GSA also provided information on the methodology used and results reported in its October 2016 study on energy savings realized from combined investments in advanced metering and GSAlink.", "We are sending copies of this report to the appropriate congressional committees and the Administrator of the General Services Administration. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Organizations Contacted", "paragraphs": [], "subsections": [{"section_title": "Federal Government", "paragraphs": [], "subsections": []}, {"section_title": "GSA Smart Buildings \u2013 Washington, DC", "paragraphs": [], "subsections": []}, {"section_title": "GSA Smart Buildings \u2013 San Francisco, California", "paragraphs": [], "subsections": []}, {"section_title": "Industry Stakeholders", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Lori Rectanus, (202) 512-2834 or rectanusl@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michael Armes (Assistant Director); Daniel Paepke (Analyst in Charge); Edward Alexander, Jr.; Jenny Chanley; John de Ferrari; Peter Haderlein; Geoffrey Hamilton; Thomas Johnson; Nick Marinos; Malika Rice; Stephen Schluth; Elaine Vaurio; Jack Wang; Michelle Weathers; and Dave Wise made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-9", "url": "https://www.gao.gov/products/GAO-18-9", "title": "Coast Guard: Actions Needed to Close Stations Identified as Overlapping and Unnecessarily Duplicative", "published_date": "2017-10-26T00:00:00", "released_date": "2017-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Coast Guard, within the Department of Homeland Security (DHS), is charged with preventing loss of life, injury, and property damage in the maritime environment through its SAR mission. It maintains over 200 stations with various assets, such as boats and helicopters (depending on the station), along U.S. coasts and inland waterways to carry out this mission, as well as its other missions such as maritime security. Resource limitations and changes to operations require the Coast Guard to periodically reexamine the need for these stations. GAO was asked to review these efforts.", "This report addresses, among other objectives, the extent to which the Coast Guard has (1) a sound process for analyzing the need for its boat stations and (2) taken actions to implement its boat station process results. GAO reviewed Coast Guard laws, standards, and guidance; analyzed Coast Guard data on station locations and SAR coverage; and analyzed the process and criteria used to evaluate its station needs and compared it with established evaluation design practices and internal control standards. GAO also interviewed Coast Guard officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the U.S. Coast Guard has a sound process for analyzing its boat stations that includes clear and specific steps for analyzing the need for stations using terms that can be readily defined and measured. In 2013, following this process, the Coast Guard and its contractor identified 18 unnecessarily duplicative boat stations with overlapping coverage that could be permanently closed without negatively affecting the Coast Guard's ability to meet its 2-hour search and rescue (SAR) response standard and other mission requirements. The process was designed to ensure the Coast Guard met or exceeded requirements to maintain SAR coverage and to account for such factors as boat downtime and surge capacity to respond to certain incidents. Further, the boat station analysis did not consider potential SAR responses by the Coast Guard's air stations and facilities, which can provide additional overlapping coverage. Coast Guard officials said that the closures would, among other things, help improve operations by consolidating boat station caseloads to help ensure personnel were active enough to maintain training requirements.", "In 2017, the Coast Guard affirmed that its leadership believes the 2013 study remains valid, but so far the agency has not taken actions to implement the closures identified by its sound process. Instead, the Coast Guard is recommending conversion of some year-round stations to seasonal stations that would operate during the summer. Coast Guard officials stated that seasonal closures are preferable to no action, given its limited resources, the significant overlapping SAR coverage, and potential to improve operations. However, permanently closing unnecessarily duplicative stations may better position the Coast Guard to improve its operations. It could also achieve up to $290 million in cost savings over 20 years, if stations were permanently closed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including one recommendation that the Coast Guard close unnecessarily duplicative stations that its analysis identified. DHS concurred with the recommendations and stated it plans to act to eliminate unnecessary duplication."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States Coast Guard (Coast Guard), within the Department of Homeland Security (DHS), is the principal federal agency charged with preventing loss of life, injury, and property damage in the maritime environment through its search and rescue (SAR) mission, which it conducts along with 10 other missions including marine environmental protection and drug interdiction. To fulfill its SAR responsibilities, along with its other missions, the Coast Guard maintains multimission boat stations, air stations, and air facilities, with associated assets such as boats, helicopters, and fixed wing aircraft, along our coasts and inland waterways. While some missions conducted out of these stations, such as ports, waterways, and coastal security, have increased in recent years, annual Coast Guard search and rescue caseloads have decreased from about 32,000 cases per year in 2004 to about 17,000 in 2016, a reduction of 47 percent. The need to balance a broad array of missions, while operating under constrained budgets in recent years, underscores the importance for the Coast Guard to ensure its stations are needed and optimally located.", "Many factors help determine the placement of stations and the allocation of Coast Guard resources for their operations. These include population, historical factors, environmental conditions such as water temperature, and the availability of other rescue resources and partners. For example, some geographic regions have boat stations in closer proximity because when many of them were established, the crews used rowboats (which moved at slow speeds for shorter distances) to conduct search and rescue cases. In 1990, we reported that the Coast Guard and its predecessor agencies had established over 400 stations since 1844, and that about 200 of these stations had since been closed, destroyed by storms, or transferred to other government entities. Since that 1990 report, the Coast Guard has attempted to close additional stations it considered unnecessary, but met resistance from impacted communities and others. Following the terrorist attacks of September 11, 2001, the Coast Guard was tasked with expanded security-related mission responsibilities and subsequently established eight additional stations. However, the need for stations at particular locations has generally decreased with changes in boating activity, boating equipment, and the capabilities of other search and rescue providers such as local police and fire departments.", "Changes to Coast Guard operations, such as additional mission requirements to address emerging security issues, and resource limitations, require the Coast Guard to periodically review the allocation of these resources, including those directed toward stations to ensure they are positioned to meet the Coast Guard\u2019s missions while not unnecessarily duplicating efforts. Given the importance of the Coast Guard\u2019s SAR and other missions, you asked us to review whether its efforts to optimize station locations and allocate resources were sound (i.e., defendable). This report addresses the extent to which the Coast Guard (1) has a sound process for analyzing the need for its boat stations, and the outcomes of the process; (2) has a sound process for analyzing the need for its air stations and air facilities, and the outcomes of the process; and (3) has taken actions to implement the results of its process for analyzing the need for stations.", "To identify the extent to which the Coast Guard has a sound process for analyzing the need for its boat stations, we reviewed laws, policies, and procedures related to its SAR mission. We reviewed Coast Guard documentation of processes it used to analyze the need for boat stations, including a 2013 study documenting a contractor analysis that followed the Coast Guard process, reviewed resource and budget factors, and analyzed station activity levels. We also reviewed prior GAO reports on the Coast Guard\u2019s previous attempts to close stations. To verify and validate the Coast Guard\u2019s specific analytical process used to determine overlapping SAR coverage among these stations, we obtained and analyzed the Coast Guard\u2019s analytical assumptions, the operational parameters of the assets assigned to the stations (e.g., boat speeds), and station locations. This analysis also allowed us to verify the soundness of the Coast Guard\u2019s model used to identify overlap. We then independently recreated and visually depicted overlapping SAR coverage provided by the boat stations, based on Coast Guard data, assumptions, and documentation, and compared it with SAR case data by geographic area. We then analyzed Coast Guard data on single-boat SAR responses (sorties) by station for fiscal years 2010 through 2016, the most recent data available at the time of our review. We visited a nongeneralizable sample of 12 boat stations we selected from within Coast Guard districts where the Coast Guard had identified overlap, and interviewed Coast Guard officials to identify local policies, station characteristics, local coordination with emergency responders and federal agencies, and local input to the Coast Guard\u2019s process for assessing station needs and implementing changes to the locations of boat stations, if any. We compared Coast Guard actions to evaluate boat stations against criteria for sound evaluation design practices established in GAO\u2019s Designing Evaluations guidance, the Coast Guard\u2019s SAR response standard, and statutory requirements to conduct public outreach.", "To assess the reliability of Coast Guard SAR data, we interviewed knowledgeable officials, reviewed documentation, and electronically tested the data for obvious errors and anomalies. We interviewed Coast Guard officials to discuss the reliability issues we identified, and officials informed us of ongoing actions to resolve the issues. We determined that the data are sufficiently reliable for the purposes of this report to demonstrate selected station caseloads. Details of our scope and methodology are described in appendix I.", "To identify the extent to which the Coast Guard has a sound process to analyze the need for its air stations and air facilities, we reviewed laws, policies, and procedures related to its SAR mission. We reviewed Coast Guard documentation of processes it used to analyze the need for selected air facilities in 2014. We obtained and analyzed Coast Guard air station and air facility locations and assumptions made for determining overlapping SAR coverage in 2014 and used a mapping program to visually depict overlapping coverage provided by aviation assets, based on Coast Guard data, assumptions, and documentation. Additionally, we interviewed Coast Guard officials to obtain information on the extent to which the Coast Guard used findings and recommendations from selected studies, strategies, and plans in its analyses of the need for and locations of its air stations and air facilities. We also compared Coast Guard actions to evaluate air stations and air facilities against criteria established in GAO\u2019s Designing Evaluations guidance.", "To determine the extent to which the Coast Guard has taken actions to implement the results of its analyses of its need for stations, we analyzed Coast Guard documents and reports to identify proposals put forth by the Coast Guard for permanently or seasonally closing stations it has identified as overlapping and unnecessary. We analyzed these proposed actions to determine whether proposed plans or decisions regarding permanent and seasonal station closures aligned with the results of the Coast Guard analyses. Specifically, we reviewed the 2013 contractor study, memoranda detailing field input on the results of the study and their verification of the stations the study identified as unnecessarily duplicative, and compared the recommended closures from the various analyses to determine if the outcomes were consistent. We also compared Coast Guard actions against its response standard and statutory requirements for conducting public outreach. Finally, we reviewed documents and information on these proposals and compared them against criteria in Standards for Internal Control in the Federal Government and leading practices identified in the Project Management Institute\u2019s Standard for Program Management.", "We conducted this performance audit from July 2016 through October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Coast Guard is required to develop, establish, maintain, and operate rescue facilities for the promotion of safety and may aid distressed persons, and protect and save property in waters subject to the jurisdiction of the United States. To carry out its responsibilities, the Coast Guard maintains a search and rescue system on the Atlantic, Pacific, and Gulf coasts; the Great Lakes; and other inland lakes and waterways. This system consists of about 190 boat stations, 183 of which are located in the contiguous United States. The Coast Guard also operates aircraft from 24 air stations and four air facilities. As of August 2017, these stations and facilities operated about 700 boats and about 200 aircraft. In fiscal year 2016, the Coast Guard reported that its SAR operations saved 5,174 lives and protected more than $63 million in property from loss."], "subsections": [{"section_title": "Laws Governing the Optimization of the Coast Guard\u2019s Boat Station, Air Station, and Air Facility Locations", "paragraphs": ["The Coast Guard\u2019s boat stations, air stations, and air facilities are subject to laws which require the Coast Guard to maintain specific minimum capabilities\u2014such as a requirement to maintain at least one vessel at each station that is fully capable of operating within the prevailing weather and marine conditions in that station\u2019s area of responsibility. In addition to maintaining capabilities requirements, if the Coast Guard reevaluates its station location needs and intends to close a boat station, air station, or air facility, it also must follow a statutorily defined process, which includes making a determination that adequate SAR coverage will remain in place. To close an air facility, the Coast Guard must also submit a proposal to close the facility to Congress in the President\u2019s annual budget and notify members of Congress who represent the impacted communities, as well as certain committees."], "subsections": []}, {"section_title": "The Coast Guard\u2019s Structure and Stations That Conduct Search and Rescue", "paragraphs": ["The Coast Guard\u2019s field structure is divided into two Area Commands, Atlantic and Pacific, within which are nine Districts consisting of 37 Sectors and the stations within them (see figure 1).", "Stations are traditionally associated with search and rescue but they may perform the full range of Coast Guard missions. Coast Guard personnel live and work at or near their stations so they can rapidly respond to emergencies as they arise. This model facilitates the Coast Guard\u2019s search and rescue response resource planning standard. Under this SAR standard, Coast Guard plans for its units with SAR responsibilities to arrive on the scene of a case within 2 hours of receiving a distress call. Stations vary in their mission mix and pace of operations (i.e., operational tempo) by geographic region or District, and by season. For example, Coast Guard boat stations in D7 (Florida, Puerto Rico, South Carolina, and the Caribbean) commonly conduct migrant interdiction operations, whereas boat stations located along the Great Lakes (D9) rarely conduct this mission. In some locations, SAR cases may be more common during the summer boating season than in the winter. Stations in D9 have a shorter boating season than stations in D7. According to Coast Guard officials, while D7 has more total SAR cases than D9, cases in D9 are concentrated in a shorter time period than in D7 (i.e., shorter boating season). Boat stations also vary widely in size and function. For example, Station New York in New York City has an authorized strength of 88 personnel, whereas Station Frankfort in Frankfort, Michigan, has an authorized strength of 15 personnel. Both stations perform SAR and other missions, but Station New York also conducts a high level of homeland security missions, while Station Frankfort provides ice rescue capability during the winter. Additionally, the Coast Guard operates 18 seasonal boat stations called \u201cStations (Small),\u201d which are detached subunits of larger parent stations; the Coast Guard generally operates these during the summer boating season."], "subsections": []}, {"section_title": "How the Coast Guard Conducts a Search and Rescue Mission", "paragraphs": ["When the Coast Guard receives notification of a distressed mariner, a search and rescue mission coordinator evaluates the case and assigns assets, such as boats or aircraft, to respond. Cases may involve multiple assets depending on the complexity of the case, such as the need to locate a mariner whose position is only generally known or to operate in severe weather conditions. Figure 2 depicts the general steps for conducting a SAR case.", "The Coast Guard uses several different types of assets to carry out its search and rescue and other missions. These assets include boats, rotary wing aircraft (helicopters), fixed wing aircraft (planes), and cutters (including patrol boats and ships). Additional details regarding some of these assets, including boat speeds, are described in appendix II."], "subsections": []}, {"section_title": "Prior GAO Work on Station Optimization", "paragraphs": ["Over time, the need for Coast Guard stations at particular locations has changed due to changes in Coast Guard asset capabilities, boating activity, boating equipment, safety technology, and the capabilities of other search and rescue service providers, such as private towing firms. However, the Coast Guard\u2019s decisions to close or reduce operations at boat stations based on changing conditions or budget reductions have been sensitive. We previously reported that these sensitivities were based on the perception that reducing operations or closing stations would reduce the agency\u2019s ability to save lives and property. In 1990, we reported that the Coast Guard\u2019s attempts to close stations in 1988 were not successful because the Coast Guard did not have policies or procedures for what criteria should be used or how the criteria should be applied, and because the Coast Guard applied its evaluation criteria to a limited universe\u2014only 34 stations instead of all stations. We also found that the Coast Guard did not adequately address how closing stations would impact the Coast Guard\u2019s effectiveness in saving lives or performing other missions.", "In 1994, we reported that the Coast Guard had created a new process for determining the need for boat station changes. We also found that the new process included detailed criteria to evaluate the appropriate need for stations, such as boating and economic trends and the availability of alternative SAR resources. The Coast Guard then unsuccessfully attempted to close stations in 1995 using this process, and again in 2008, efforts which we describe later in this report."], "subsections": []}, {"section_title": "Prior Work on Fragmentation, Overlap, and Duplication", "paragraphs": ["In 2010, federal law required that we identify programs, agencies, offices, and initiatives with duplicative goals and activities within departments and government-wide, and report annually. The annual reports describe areas in which we have found evidence of fragmentation, overlap, or duplication among federal programs and have resulted in $136 billion in financial benefits for the federal government. Figure 3 outlines the definitions we have used since 2011 in our work to address fragmentation, overlap and duplication."], "subsections": []}]}, {"section_title": "Coast Guard Has a Sound Process for Analyzing the Need for Boat Stations and the Results Identified Overlap and Unnecessary Duplication", "paragraphs": ["The Coast Guard has a sound process for analyzing the need for boat stations that is consistent with GAO\u2019s Program Evaluation guidance, which calls for choosing well-regarded criteria against which to make comparisons in order to achieve strong, defensible conclusions. The primary criteria Coast Guard subject matter experts established, consistent with statutory requirements that the Coast Guard make a determination that adequate SAR coverage would remain in place, were (1) a minimum threshold of overlapping SAR coverage had to be maintained and (2) the Coast Guard\u2019s ability to meet its nationwide 2-hour SAR response standard had to be maintained. By applying these criteria, the Coast Guard\u2019s process identified overlapping search and rescue coverage where three or more stations can respond to a single SAR case within 2 hours, and unnecessary duplication where stations could be closed without negatively impacting the Coast Guard\u2019s ability to meet mission requirements, such as its 2-hour SAR response standard.", "In June 2012, the Coast Guard established a Station Optimization Process Charter that called for the Coast Guard to develop a defendable process with criteria for analyzing stations for potential closure. The charter stated and Coast Guard officials confirmed that the process was developed to ensure that closure recommendations would be based on solid justifications for stations selected, and would stand up to rigorous scrutiny. The charter called for (1) the process to be data driven; (2) criteria to be applied consistently; (3) consideration of previous GAO recommendations on assessing stations for closure; and (4) adherence to statutory requirements to conduct outreach to affected communities.", "The Coast Guard then established a working group of subject matter experts who developed a Station Optimization Process with nine analytical steps. The Station Optimization Process included criteria for analyzing the need for boat stations based on data analysis, consistent application of criteria, and legal requirements. Figure 4 shows the Station Optimization Process and its nine steps."], "subsections": [{"section_title": "Coast Guard Used Its Station Optimization Process to Analyze Boat Stations and Identified Overlap and Unnecessary Duplication", "paragraphs": ["In April 2013, the Coast Guard initiated its 9-step Station Optimization Process to analyze its boat stations, and the results identified 18 stations that could be closed because they provide overlapping and unnecessarily duplicative SAR coverage. The Coast Guard hired a contractor to carry out the analysis and identify potential cost savings from permanent closures of such stations. Although focused on SAR coverage, the process also included consideration of all Coast Guard missions carried out at these stations. The contractor followed the 9-step process, with certain steps conducted by the Coast Guard\u2013\u2013such as step 1, which analyzed the system and identified overlapping SAR coverage\u2013\u2013and developed and ranked different closure options to maximize cost savings. Coast Guard officials provided additional district input on unique characteristics of certain stations to further refine the closure options. The final study identified 18 stations for closure that it estimated would achieve cost savings without impeding the Coast Guard\u2019s ability to meet its SAR response standard and carry out its other missions. We discuss this further later in this report.", "The Coast Guard considers some overlap or redundancy to be necessary, to account for such things as operational challenges, boat maintenance downtime, personnel training requirements, and the need for surge capacity to respond to certain incidents. Therefore, the Coast Guard directed the contractor to analyze areas with triple or greater station coverage as its baseline for analyzing whether stations were unnecessarily duplicative. Based on the Coast Guard\u2019s review of this coverage, it determined that the greatest extent of overlapping coverage existed in Districts 1, 5, and 9, and directed the contractor to focus on stations in those areas. Figure 5 shows the extent of overlapping Coast Guard boat station SAR coverage as of September 2013 that was used for the contractor study and is still accurate as of May 2017. It shows for Districts 1, 5, and 9, up to quadruple or greater SAR coverage provided by boat stations with overlapping response capabilities. According to the Coast Guard, in an attempt to be conservative in maintaining SAR coverage, the optimization process did not consider the use of Coast Guard air assets such as helicopters\u2014an additional layer of coverage\u2014 nor did it consider the availability of some local agencies that respond to SAR cases, such as police departments and emergency responders. Therefore, overlapping coverage depicted in figure 5 excludes air asset responses and any responses or assistance provided by state and local agencies. The extent of coverage in 2017 was the same as the Coast Guard\u2019s 2013 contractor study reported.", "We determined that the actions taken to complete the station optimization process are sound, consistent with our Program Evaluation guidance which calls for, among other things, evaluating programs based on well- regarded criteria to achieve strong, defensible conclusions. In addition to using the 2-hour response standard as a criterion, the optimization steps identified actions to systematically analyze quantitative measures using a documented ranking system to remove critical stations from consideration for closure. For example, step 4 of the process evaluated the number of security boardings conducted by selected stations, among other metrics, and removed certain stations for consideration from closure based on a systematic application of criteria related to other mission responsibilities. Further, as described in table 1, the process began with consideration of all boat stations in the contiguous United States, included steps to ensure that data were reliable and appropriate, clearly identified limitations of the analysis, and conducted simulations to assess how well the Coast Guard would be prepared to carry out its responsibilities under different closure alternatives, such as whether a station closure reduces or changes the Coast Guard\u2019s ability to meet its response standard\u2014all actions included in our Program Evaluation guidance. Table 1 provides details of actions taken by the contractor and the Coast Guard to complete the 9-step station optimization process."], "subsections": []}, {"section_title": "Additional District Input Helped Refine List of Closure Recommendations", "paragraphs": ["Consistent with the 9-step optimization process and to validate the closure scenario results, the contractor and Coast Guard Headquarters obtained regional input from district officials to gain context about the stations under consideration for closure such as unique rescue characteristics that were not quantifiable. Coast Guard officials within Districts 1, 5, and 9 generally supported the contractor recommendations to close some stations, with a few exceptions. For example, District 1\u2019s input stated that one station recommended for closure by the contractor analysis had a unique surf rescue capability that was not available at adjacent or other nearby stations and thus this station did not provide unnecessarily duplicative SAR coverage since no nearby station could provide this capability. Thus, District 1 recommended that the station remain open. Given this input, the contractor removed this station from consideration for closure. In another example, District 5 officials reported that closure of one of its stations would increase response times from adjacent stations due to the presence of shoaling and barrier island conditions that could not be accounted for in the quantitative modeling. Therefore, the contractor eliminated that station from consideration for closure and recommended an alternative station for closure. This process of obtaining regional input and validation from district officials was carried out such that if a station identified for closure would negatively impact critical missions, it was removed from closure consideration. This additional district input resulted in a final contractor study that recommended station closures that would achieve the greatest cost saving without negatively impacting the Coast Guard\u2019s ability to meet mission requirements.", "In addition to identifying stations with unique characteristics that warranted keeping them open, additional district input also confirmed contractor recommendations that some stations should be permanently closed. For example, District 5\u2019s input concurred with the closure of six stations, including one where officials we interviewed on site confirmed its steadily diminishing SAR caseload. Our analysis of Coast Guard data validated this station\u2019s low workload showing an average of seven single- boat response SAR cases annually from fiscal years 2010 through 2016. We also found that this station had been recommended for closure in the past. In another example, District 9 input sought an additional, seasonal closure of one station that the contractor analysis did not evaluate for permanent closure due to one criterion applied by the process. District 9\u2019s input provided additional context for this station, saying that seasonal closure was preferable to taking no action because there was significant response redundancy in this region. Moreover, the district input noted that the acquisition of modern boats has increased the range and reduced the response time of many stations. District input also noted that improvements in public education and awareness of safe boating practices, technology and availability of communications equipment, and the increase in non-Coast Guard response resources has resulted in a steady and dramatic decline in the stations\u2019 SAR workloads. Our analysis of all Coast Guard single-boat response data for cases within the contiguous United States for fiscal years 2010 through 2016 confirmed this decline, showing an annual average of 46 cases per station in 2010 to an annual average of 39 cases per station in 2016, a decline of about 15 percent. Appendix IV provides details from our analysis of the number of single-boat response SAR cases conducted by selected stations."], "subsections": []}]}, {"section_title": "A 2014 Analysis of Selected Coast Guard Air Stations and Air Facilities Identified Unnecessary Duplication but Coast Guard Would Benefit from a Comprehensive Process", "paragraphs": ["In 2014, the Coast Guard contracted for an analysis of selected air stations and air facilities that identified overlap and unnecessary duplication but it did not comprehensively review all air stations and air facilities. Specifically, the criteria-based analysis reviewed search and rescue capabilities, operational case data, and other mission requirements, and determined that certain air facilities provided overlapping search and rescue coverage, some of which was unnecessarily duplicative. Coast Guard officials said they used the results of this analysis to support proposed closures of air facilities in Newport, Oregon, and Charleston, South Carolina, in the President\u2019s Fiscal Year 2014 Budget. Subsequent appropriations for fiscal year 2014 also did not include funding for the operation of the two air facilities. However, shortly before their planned closure date, the Coast Guard encountered strong opposition to the closures at the local, state, and Congressional levels, and did not close them.", "As with boat stations, the Coast Guard considers some overlapping coverage among air stations and air facilities desirable to mitigate potential risks such as those posed by asset maintenance downtime, limitations in the number of qualified personnel, restrictive weather conditions, or case complexity. Coast Guard officials stated that the 2014 analysis considered many factors to address potential impacts of the closure of the Newport and Charleston air facilities. For example, the Coast Guard used modeling tools to determine the operational impact of altering facility locations and the availability of aviation assets. Coast Guard officials told us they also conducted outreach to the affected communities and their political representatives in advance of the proposed closure date, as required by law.", "Further, Coast Guard officials explained that the fiscal outlook at the time (e.g., sequestration) required changes to optimize assets, and their proposal accomplished this without sacrificing operational capability because the response time of neighboring SAR units would remain within the Coast Guard\u2019s SAR standards. The 2014 analysis also determined that the majority of SAR cases involving these two facilities occurred close to shore, with boat responses generally arriving on scene and conducting the search and rescue instead of air assets. Circles in figure 6 represent air asset response capabilities nationwide, as of August 2017, with darker shades reflecting greater overlapping coverage.", "In 2014 and 2016, two laws were enacted that required the Coast Guard to keep the air facilities open for a specific period of time, and established a number of requirements the Coast Guard is required to follow if it proposes closing or terminating operations at its air facilities. Thus, the two air facilities remained open. As of May 2017, Coast Guard officials told us they have no plan to close air facilities or air stations, nor do they plan to develop a process to comprehensively review air stations or facilities to optimize their locations because previous attempts to close stations or facilities have been prohibited by law or subject to certain requirements. However, the Coast Guard has responsibility for evaluating the need for its air stations and air facilities to ensure that it is using resources as effectively and efficiently as possible. The Coast Guard\u2019s station optimization charter calls for a defendable (i.e., sound) and data- driven analysis of boat stations that meets statutory requirements. This charter could be a template for establishing a parallel process for comprehensively analyzing the need for its air stations and air facilities.", "GAO\u2019s Program Evaluation guidance calls for evaluating programs based on well-regarded criteria to achieve strong, defensible conclusions. Program evaluations can also provide accountability for the use of public resources (e.g., to determine the \u201cvalue added\u201d by the expenditure of those resources), such as whether scarce resources are being spent on unnecessarily duplicative air facilities. Having a sound and reproducible process for comprehensively analyzing the need for air stations and air facilities will better position the Coast Guard to make decisions to enhance the efficiency of its operations and more effectively allocate its resources. These actions will also better inform Congress as to the status of the Coast Guard\u2019s resource needs and the efficiency of its operations."], "subsections": []}, {"section_title": "Coast Guard Has Not Taken Actions nor Developed a Plan to Close Unnecessarily Duplicative Stations Its Analyses Identified", "paragraphs": ["The 2013 analysis of Coast Guard stations identified unnecessary duplication and recommended certain stations for potential closure; however, as of August 2017 the Coast Guard had not closed any stations, nor developed a plan with time frames for closing stations. In their input to the station optimization process, Coast Guard officials in affected districts supported recommended station closures to achieve operational improvements, and Coast Guard leadership continues to believe the study results are valid. Implementing station closures could also result in costs savings."], "subsections": [{"section_title": "Coast Guard Has Attempted to Close Stations At Least Eight Times since 1973", "paragraphs": ["The need to close some Coast Guard stations that provide unnecessarily duplicative SAR coverage to efficiently respond to changed circumstances such as improved technology is not a new issue. Coast Guard officials reported, and our prior work has shown, that the Coast Guard has attempted to permanently or seasonally close stations at least eight times since 1973. However, closing unneeded stations has historically been difficult due to public concern about the effect of closures on local communities and other factors. In some cases over the years, Congress has intervened and enacted federal laws that have affected Coast Guard\u2019s proposed closures. For example, in 1988 the Department of Transportation and Related Agencies Appropriations Act, 1989, required the Coast Guard to reopen boat stations 1 year after they had been closed, and at the same time provided that GAO was to evaluate the methods behind the Coast Guard decision. Responding to this provision in 1990, we reported that the Coast Guard\u2019s 1988 closure decisions were based on flawed methods, incomplete analysis, and incomplete data. The Coast Guard subsequently updated its process and by 1994 we reported that that it was using a reasonable approach to recommend stations for closure.", "Despite the improved Coast Guard process, no stations have been closed since 1988. Coast Guard officials reported that Congress continues to oversee and manage the closure of stations, such as by establishing new requirements in the Coast Guard Authorization Act of 1996, which must be met to change any boat stations, after the Coast Guard attempted to close 23 stations in 1995. Similarly, after the Coast Guard attempted to close two air facilities in 2014, legislation was passed in 2014 and 2016 that prohibited Coast Guard air facility closures until January 2016 and 2018, respectively.", "Figure 7 provides a timeline of Coast Guard station change proposals or actions, including at least eight Coast Guard attempts to close stations between 1973 and 2014. The figure also includes statutory requirements established in 1989, 1996, 2014, and 2016, and two data-driven analyses and studies with recommendations to address unnecessary duplication, among other information.", "Past Coast Guard efforts to analyze and close stations have frequently identified the same stations as candidates for closure. For example, prior to the 2013 contractor study, at least two Coast Guard districts conducted their own station analyses to identify opportunities to improve their stations\u2019 operations. These analyses also recommended permanent and seasonal closures of some stations. Specifically, in 2010, Coast Guard District 9 began conducting a data-driven analysis of its stations to optimize its boat forces. District 9 officials told us they initiated the analysis due to budget constraints, the challenges they had in fully staffing their stations, and their awareness of overlapping SAR coverage within the district. District 9\u2019s analysis reviewed more than 16,000 SAR cases over a 5-year period (2008\u20132012) to understand and quantify potential response inefficiencies. According to Coast Guard officials, their analysis determined that overall SAR caseload in District 9 was extremely high in the summer months, but there was little or no SAR caseload for some stations during the winter, a factor which also affected training proficiency as personnel were not able to respond to enough cases to maintain required qualifications. Based on the results of this analysis, in December 2012, District 9 requested approval to permanently close five stations and seasonally close three stations to achieve more effective operations and improve maritime safety in the Great Lakes region.", "According to Coast Guard district officials, these recommended closures provided no calculated savings to taxpayers because they involved movement of personnel positions and assets to other stations, not their elimination. Instead, the recommendations showed an effort to improve operational efficiency and conserve Coast Guard resources. Furthermore, among those stations in Districts 1, 5, and 9 recommended for permanent closure in 2013, at least five\u2014Ashtabula, Ohio; Frankfort, Michigan; Harbor Beach, Michigan; Shark River, New Jersey; and Block Island, Rhode Island\u2014were also recommended for closure between 1985 and 1988.", "When we compared the 2012 recommendations from the District 9 analysis, the 2013 contractor analysis recommendations that used the 9- step Station Optimization Process, and additional 2013 district input, we found similar results among the various analyses with respect to which stations should be permanently or seasonally closed. Based on our review of documentation and interviews with District 9 officials, as well as our comparison of the results of the District 9 analysis with the results of the contractor analysis, the 2013 recommendations are affirmed by the District 9 analysis. We provide a comparison of selected recommendations and Coast Guard Headquarters\u2019 tentatively planned actions in table 2."], "subsections": []}, {"section_title": "District 9 and Station Input Supported Recommended Permanent and Seasonal Station Closures", "paragraphs": ["Input from District 9, which had the greatest number of affected stations in the 2013 analysis, supported recommended changes and stated that \u201cthe existing unnecessary redundancies, unsustainable complexities, and unacceptable resource gaps negatively affected mission execution in the Great Lakes, where staffing shortfalls exist.\u201d District 9\u2019s input further stated that in some regions, four stations could respond to SAR cases within the Coast Guard\u2019s SAR standard, and that while some redundancy is merited, these areas demonstrate redundancy that is operationally unnecessary, inefficient, and detrimental to the training needs of station personnel.", "Our interview with officials at one affected station confirmed some of the complexities facing the region. For example, officials told us that because one station recommended for seasonal closure does not operate a boat capable of offshore SAR responses, adjacent stations are already directed to respond to certain offshore SAR cases in that station\u2019s area of responsibility to meet the Coast Guard\u2019s 2-hour SAR standard. Officials we interviewed from each of the seven stations we visited in District 9 noted their station\u2019s high SAR caseload concentration during the summer months and the low or nonexistent SAR caseload during the winter. For example, officials from two stations that the Coast Guard would like to seasonally close during the winter told us that their stations had not responded to an ice rescue in more than 7 years. Officials we interviewed at one station recommended for permanent closure noted that commercial boating traffic and the local population have been declining for many years, that the station was not busy during the winter season, and that the station had not conducted an ice rescue since 2002.", "In 2017, the Coast Guard affirmed that its leadership believed that the results of the 2013 study remained valid as station workloads have remained relatively consistent. Headquarters officials also told us that the 2013 study criteria and subsequent recommendations for permanent closures were conservative because of previous unsuccessful attempts to close stations, and to meet statutory requirements to maintain a certain level of SAR coverage. They also told us that the analysis did not consider additional layers of response even though these layers could provide some additional SAR response backup for Coast Guard stations. For example, the contractor\u2019s analyses of boat stations did not consider SAR support provided by Coast Guard aviation assets, which generally provide an additional layer of SAR coverage for boat stations. Moreover, district officials told us that aviation assets in District 9 were recently realigned to provide even greater response capability, including longer range helicopters with de-icing capability to improve winter response capability.", "The contractor analysis also did not take into account the potential SAR capabilities of commercial towing operators and local first responders which can also provide another layer of coverage to assist Coast Guard stations with SAR coverage. For example, officials from each of the seven stations we visited in District 9 told us that they coordinate with other entities, such as commercial towing operators, who can conduct responses for non-life-threatening incidents, such as providing fuel to or towing disabled boats in their station\u2019s area of responsibility. Officials from one station also told us that the local fire department has performed ice rescues in the past, because people who require ice rescues tend to dial 911 first rather than call the Coast Guard, and thus local emergency responders are able to respond faster than the Coast Guard. Officials from another station told us that the local sheriff has two response boats, and that the Coast Guard coordinates with local government and responders."], "subsections": []}, {"section_title": "Station Closures Could Achieve Cost Savings", "paragraphs": ["Station closures could also achieve cost savings in addition to the aforementioned efficiency improvements. For example, based on our analysis of the contractor study, if its recommendations to permanently close the 18 stations from D1, D5, and D9 were implemented, and personnel and boat assets were moved or reduced in accordance with the study recommendations, the study reported that these closures could achieve potential cost savings of about $290 million over 20 years. In addition, land disposition estimates were excluded from the study, which could result in one-time proceeds from the sale of the land on which the stations are sited, if the land value exceeded remediation costs.", "In addition to lost opportunities to improve operational efficiency and effectiveness because stations were not closed previously, some of these stations have also fallen into physical disrepair and will require funding for repairs if the stations remain open, even if they are only operated seasonally. For example, officials at one station we visited showed us a boat dock that was improperly installed and thus was subsequently damaged by waves and will need to be repaired or replaced. At this same station, officials informed us that the furnace system requires daily, manual adjustments to address temperature fluctuations that could cause damage to the station. One official also told us that this station\u2019s building structure is too big and costly, and its condition too poor, to be worth keeping. Therefore, even if this station were seasonally closed, as currently recommended\u2014despite the analysis results suggesting permanent closure\u2014the station will continue to require personnel to be at the station on a daily basis year round. Another station, which multiple studies recommended for permanent closure because of unnecessary duplication and a caseload insufficient to sustain the training requirements of personnel stationed there, was rebuilt as a result of extensive damage from Hurricane Sandy. According to Coast Guard budget data, more than $2.3 million was expended to restore this station as of March 2017 using funds appropriated by the supplemental appropriations act enacted in response to Hurricane Sandy."], "subsections": []}, {"section_title": "Actions Needed to Address Unnecessary Duplication", "paragraphs": ["Given the extent of overlapping SAR coverage identified by the Coast Guard\u2019s analyses and its attempts to address unnecessary duplication, we considered the stations\u2019 levels of overlapping coverage in the context of the definitions we use for identifying overlap and duplication. Figure 8 depicts the extent of the Coast Guard\u2019s overlapping boat and air station SAR coverage, with darker shading representing greater overlapping coverage, some of which the Coast Guard determined to be unnecessarily duplicative. Boat station coverage is represented by shading while aviation coverage is shown by the largest circle sizes.", "In April 2016, the Coast Guard completed statutory requirements associated with closing eight stations in District 9 by conducting outreach to regional and local communities that would be affected by seasonal closures. The Coast Guard held these meetings to explain why it was necessary to optimize station locations and reallocate personnel from closed stations to their adjacent stations; address overlapping SAR coverage; and seasonally close unnecessarily duplicative stations. Coast Guard officials from one station told us they held a public meeting with the local fire department, police, and commercial towing operators to describe planned changes for seasonal operations at the station, despite this station having been recommended for permanent closure by studies and district input. According to Coast Guard officials, while some local responders in the District 9 area expressed some concerns, they understood the need for change. In addition, according to headquarters officials, the Coast Guard has also completed outreach efforts with members of Congress who represent these communities. They further stated that they plan to follow the same outreach process when they finalize decisions about whether to permanently or seasonally close stations in Districts 1 and 5.", "The Coast Guard has not taken action to implement the results of its analyses which recommended closures even though it has completed requirements to pursue station closures in District 9. Officials stated that the Coast Guard has not implemented the results of its sound process because past station closure efforts have been met with resistance from affected communities. As a result, Coast Guard leadership decided to pursue a more cautious approach by maintaining seasonal daily operations rather than closing stations outright as recommended in multiple analyses.", "Standards for Internal Control in the Federal Government state that agencies should have policies and procedures for ensuring that findings of audits or other reviews, such as the Coast Guard\u2019s 2013 station optimization study, are promptly resolved. The guidance further states that managers are to (1) correct identified deficiencies, (2) produce improvements, or (3) demonstrate that the findings and recommendations do not warrant management action.", "Coast Guard officials stated they recognize that their planned actions do not fully match the identified recommendations, but given historical challenges with closing stations, seasonal closures are preferable to taking no action. In March 2017, Coast Guard officials told us they intended to begin the process for seasonal closures of stations in District 9 at the end of the 2017 boating season while actions in Districts 1 and 5 are pending as the Coast Guard has not finalized its decisions about these stations.", "The Project Management Institute\u2019s Standard for Program Management describes, among other things, how resource planning, goals, and milestones are good practices that can enhance management for most programs. By executing decisions to close stations based on the results of its analyses and developing a plan with milestones to execute actions it has identified to address unnecessary duplication, the Coast Guard will be better positioned to follow through with both permanent and seasonal closures of unnecessary stations, can improve its operational and training proficiency by consolidating the remaining stations\u2019 workloads to allow for sufficient training, and may realize cost savings."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Coast Guard\u2019s 2013 analysis, based on a sound, data-driven process that applied established criteria\u2014its 2-hour SAR response standard\u2014 supports permanently closing some boat stations. Nevertheless, Coast Guard officials do not intend to follow the recommendations to permanently close the stations the study recommended, due, in part, to views expressed by community representatives. The Coast Guard\u2019s 2014 air station and air facilities study also supported closing two air facilities and was criteria-based, but was not comprehensive. An optimization process similar to that applied to boat stations could make a better case for closing selected air stations and air facilities, if it is methodologically sound.", "The need to close Coast Guard stations that provide unnecessary duplication of SAR coverage, in response to changing circumstances, is not a new issue. Closing unneeded stations has historically been difficult, but with improvements in technology, severely decreased workloads, and continuing budget constraints, the importance of reevaluating the operations of these stations is even greater. In addition to lost opportunities to improve operational efficiency and effectiveness that would be gained by closing unnecessary stations, some of these stations have fallen into physical disrepair and will require funding for repairs if they remain open. Given these factors, Coast Guard action is clearly warranted."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are recommending the following three actions to the Coast Guard:", "The Commandant of the Coast Guard should establish and follow a sound air station optimization process similar to its process for analyzing boat stations to allow it to comprehensively analyze its need for air stations and air facilities and determine what changes may be needed. (Recommendation 1)", "The Commandant of the Coast Guard should establish a plan with target dates and milestones for closing boat stations that it has determined, through its 9-step process and subsequent analysis, provide overlapping search and rescue coverage and are unnecessarily duplicative. (Recommendation 2)", "The Commandant of the Coast Guard should take action to close the stations identified according to its plan and target dates. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. In its comments, reproduced in appendix V, DHS concurred with our recommendations. DHS, through the Coast Guard, also provided technical comments, which we incorporated as appropriate.", "DHS concurred with our first recommendation that the Coast Guard establish and follow a sound air station optimization process similar to its process for analyzing boat stations so it may comprehensively analyze its air station and air facility needs. DHS further stated that the Coast Guard would utilize its fiscal year 2020 Planning, Programming, Budget, and Execution cycle to identify efficiencies in air station optimization using best practices employed in its boat station optimization efforts. DHS expects this effort to be completed in September 2019.", "DHS concurred with our second recommendation that the Coast Guard establish a plan with target dates and milestones for closing boat stations that it has determined provide overlapping search and rescue coverage and are unnecessarily duplicative. DHS stated that Coast Guard headquarters and appropriate district commands will continue to analyze operational coverage across the nation through the 9-step optimization process and recommend closures or seasonalization (e.g., seasonal closures) of boat stations to eliminate unnecessary duplication and overlap in search and rescue coverage. The Coast Guard\u2019s internal analysis is expected to be completed in September 2020.", "DHS concurred with our third recommendation that the Coast Guard take action to close the identified stations according to its plan and target dates, stating that Coast Guard headquarters personnel and appropriate district commands will continue to analyze closing or seasonalizing operations at boat stations identified according to its plan and target dates. DHS further stated that it must complete implementation of the second recommendation before beginning to implement the third and that the estimated completion date for the third recommendation was to be determined. Given the robustness of the Coast Guard\u2019s review process and the clear results showing unnecessary duplication among some boat stations, in addition to other valid analyses completed in previous years supporting the closure of unneeded boat stations, the Coast Guard should move forward with minimal delay to implement this third recommendation, once the plan as outlined in the second recommendation is completed. We will continue to monitor the Coast Guard\u2019s actions to close unnecessarily duplicative stations in a timely manner through our annual report on duplication, overlap, and fragmentation in the federal government.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To identify the extent to which the U.S. Coast Guard (Coast Guard) has a sound process for analyzing the need for its boat stations, we reviewed laws, policies, and procedures related to its search and rescue (SAR) mission. We reviewed Coast Guard documentation of processes it used to analyze the need for boat stations, reviewed resource and budget factors, and analyzed station activity levels. We also reviewed prior GAO reports on the Coast Guard\u2019s resource allocation process and its previous attempts to close stations. To verify and validate the Coast Guard\u2019s specific analytical process used to determine overlapping coverage, we obtained and analyzed the Coast Guard\u2019s analytical assumptions, including the operational parameters of the assets assigned to the stations (e.g., boat speeds), and station locations. This analysis also allowed us to verify the soundness of the Coast Guard\u2019s model used to identify overlap. We then independently recreated and visually depicted overlapping SAR coverage provided by the stations, based on Coast Guard data, assumptions, and documentation, and compared it with SAR case data by geographic area. We then analyzed Coast Guard data on single boat SAR responses (sorties) by station for fiscal years 2010 through 2016, the most recent data available at the time of our review. We visited a nongeneralizable sample of 12 stations we selected from within districts where the Coast Guard had identified overlap, and interviewed officials to identify local policies, station characteristics, local coordination with emergency responders and federal agencies, and local input to the Coast Guard\u2019s process for assessing station needs and implementing changes to the locations of stations, if any.", "Additionally, we interviewed Coast Guard officials, including field and headquarters personnel, to determine the extent to which the Coast Guard had assessed maritime activity trends and leveraged resources from outside entities, such as local first responders, federal agencies, and private industry. We also interviewed Coast Guard officials to obtain information on the extent to which the Coast Guard used findings and recommendations from selected studies, strategies, and plans in its analyses of the need for its boat stations.", "To assess the reliability of Coast Guard SAR data, we interviewed knowledgeable officials, reviewed documentation, and electronically tested the data for obvious errors and anomalies. We interviewed Coast Guard officials to discuss the reliability issues we identified, such as the inability to attribute multi-boat SAR case responses to individual stations, as well as inconsistent data related to the types of boats used to conduct SAR cases. Regarding attributing multi-boat responses to individual stations, Coast Guard officials told us that some cases involve multiple boats and that the outcome of a SAR case may not be attributable to an individual station. Regarding boat assets used to conduct SAR cases, in February 2017, officials informed us that in 2015 the Coast Guard implemented changes to its Marine Information for Safety and Law Enforcement (MISLE) system and added around 500 controls, such as built-in data entry checks, to prevent potential data entry errors. Officials told us that this change could have caused some inconsistences in how the data is captured, but that the implementation of the changes includes testing and ongoing actions to resolve the issues. We determined that the data were sufficiently reliable for the purposes of this report to demonstrate selected station caseloads in our report. We compared Coast Guard actions to evaluate stations against criteria established in GAO\u2019s Designing Evaluations guidance, which call for adhering to established evaluation design practices in order to achieve reliable results, the Coast Guard\u2019s SAR response standard, and statutory requirements to conduct public outreach.", "To identify the extent to which the Coast Guard has a sound process to analyze the need for its air stations and air facilities, we reviewed laws, policies, and procedures related to its SAR mission. We reviewed Coast Guard documentation of processes it used to analyze the need for selected air facilities in 2014. We obtained and analyzed Coast Guard assumptions and station locations for determining overlapping SAR coverage in 2014 and used a mapping program to visually depict overlapping coverage provided by aviation assets, based on Coast Guard data, assumptions, and documentation. Additionally, we interviewed Coast Guard officials to obtain information on the extent to which the Coast Guard used findings and recommendations from selected studies, strategies, and plans in its analyses of the need for and locations of its air stations. We compared Coast Guard actions to evaluate air stations and air facilities against criteria established in GAO\u2019s Designing Evaluations guidance which calls for adhering to established evaluation design practices in order to achieve reliable results, to determine if the Coast Guard\u2019s methodological steps were sound.", "To determine the extent to which the Coast Guard has taken actions to implement the results of its analyses of its need for boat and air stations, we analyzed Coast Guard documents and reports to identify proposals put forth by the Coast Guard for permanently or seasonally closing stations it has identified as overlapping and unnecessary. We analyzed these proposed actions to determine whether proposed plans or decisions regarding stations aligned with the results of the Coast Guard analyses. Specifically, we reviewed the study reports, memoranda detailing district input on the results of the 2013 contractor study and their verification of the stations the study identified as unnecessarily duplicative, and compared the recommended closures from the various studies to determine if the outcomes were consistent. We also compared Coast Guard actions against its response standards and statutory requirements to conduct public outreach. Finally, we reviewed documents and information on these proposals and compared them against criteria in Standards for Internal Control in the Federal Government, and leading practices identified in the Project Management Institute\u2019s Standard for Program Management.", "We conducted this performance audit from July 2016 through October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Selected Coast Guard Assets", "paragraphs": ["The U.S. Coast Guard (Coast Guard) uses several different types of assets to carry out its missions, including search and rescue. Coast Guard assets include boats, rotary wing aircraft (helicopters), fixed wing aircraft (planes), and cutters (including patrol boats and ships)."], "subsections": [{"section_title": "Boats", "paragraphs": ["The Coast Guard\u2019s primary boat station search and rescue (SAR) assets are its boats, which it uses to conduct searches near shore and on inland waterways, such as harbors and bays that are too shallow for its larger cutters to access. Different boats have different capabilities (see table 3). For example, 47-foot motor life boats are slower than other boats, but can operate in heavy weather and up to 50 nautical miles offshore."], "subsections": []}, {"section_title": "Aircraft", "paragraphs": ["The Coast Guard operates two types of aircraft: rotary wing (helicopters) and fixed wing (airplanes). Rotary wing aircraft operate from air stations, air facilities, cutters equipped with flight decks, and other locations that can support flight operations. The Coast Guard uses its rotary wing aircraft for search and rescue in coastal waters, among other mission uses. Rotary wing aircraft can hover and are equipped with hoists, which can allow rescue of distressed individuals from the water. Fixed wing aircraft operate from Coast Guard air stations, air facilities, and airports, and are used to conduct over-water searches and other missions."], "subsections": []}, {"section_title": "Cutters", "paragraphs": ["Coast Guard cutters are ships 65 foot or longer. They operate under the control of District or Area commands. According to the Coast Guard, cutters are suitable for conducting extended search and rescue operations because of their high endurance, communications systems, and ability to operate in heavier weather than other assets. Cutters carry boats that can directly rescue mariners in distress. Cutters with flight decks can serve as launch platforms for helicopters, which can help with SAR operations.", "The Coast Guard generally allocates boats to stations based on the needs and conditions of those stations. The Coast Guard also has other types of boats in its inventory that are used for a variety of missions that may include SAR missions. Table 3 provides details of selected boats used for search and rescue."], "subsections": []}]}, {"section_title": "Appendix III: Extent of Search and Rescue Coverage by Coast Guard Boat Stations in the Contiguous United States", "paragraphs": ["Figures 9 through 12 show the extent of search and rescue coverage by U.S. Coast Guard (Coast Guard) boat stations in the contiguous United States and selected Coast Guard districts reported in September 2013. The extent of coverage in 2017 was the same as the Coast Guard\u2019s 2013 contractor study reported."], "subsections": []}, {"section_title": "Appendix IV: Reported Single-Boat Search and Rescue Responses by Selected Stations, Fiscal Years 2010 through 2016", "paragraphs": ["Table 4 provides details of selected U.S. Coast Guard (Coast Guard) stations recommended for permanent or seasonal closure and the search and rescue (SAR) caseloads they reported for fiscal years 2010 through 2016, as well as estimated fiscal year 2015 annual operating costs. Our analysis of Coast Guard SAR single-boat response case data from fiscal years 2010 through 2016 found that the 18 stations recommended for closure reported an average of about 15 single-boat SAR responses annually, compared to an annual average of about 41 single-boat responses for all boat stations. These numbers are based on station reported data in the Coast Guard\u2019s Marine Information for Safety and Law Enforcement (MISLE) case management system, and only include cases in which a single boat was launched to conduct a SAR mission. Some SAR missions result in multiple stations launching due to factors such as close proximity of stations, case complexity such as weather conditions, or other factors such as boat availability or training. Including multilaunch cases could result in double counting of SAR cases and therefore these cases were excluded from our analysis. Due to flexibility in how Coast Guard stations report SAR responses, some seasonal stations, which are detached subunits of larger parent stations, report the number of cases to which they respond in combination with the parent station. Because we could not disaggregate this information, we do not report on individual cases from these stations.", "Table 5 provides details of selected stations recommended for permanent or seasonal closure and the SAR caseloads they reported during the winter months, for fiscal years 2010 through 2016."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Dawn Hoff (Assistant Director), Andrew Curry (Analyst-in-Charge), Chuck Bausell, Dorian Dunbar, Michele Fejfar, Peter Haderlein, Eric Hauswirth, Tracey King, John Mingus, Claire Peachey, and Christine San all made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-198", "url": "https://www.gao.gov/products/GAO-19-198", "title": "Whistleblower Protection: Analysis of DOD's Actions to Improve Case Timeliness and Safeguard Confidentiality", "published_date": "2019-03-07T00:00:00", "released_date": "2019-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Safeguarding confidentiality to the maximum extent possible is essential for encouraging whistleblowers to report wrongdoing without fear of reprisal. In fiscal year 2018, DODIG received over 12,000 contacts from potential whistleblowers related to fraud, waste, abuse, employee misconduct, or other violations. The National Defense Authorization Act for Fiscal Year 2017 included a provision for GAO to review the integrity of DOD's whistleblower program. This report assesses the extent to which DODIG and the military service IGs (1) met and took steps to achieve key fiscal year 2018 timeliness and quality goals, (2) established processes to protect whistleblower confidentiality, and (3) are able to safeguard sensitive information necessary to handle whistleblower complaints. It also evaluates (4) the extent to which select cases involving certain senior DOD civilian officials met key requirements.", "GAO assessed fiscal year 2018 IG performance data, surveyed all 108 DODIG employees who directly handle whistleblower complaints, reviewed IT security controls, and analyzed all 125 cases involving civilian DOD Presidential appointees with Senate confirmation dismissed by DODIG in fiscal years 2013-2017."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense Office of Inspector General (DODIG) and military service offices of inspector general (IG) met some but not all fiscal year 2018 timeliness and quality goals for handling whistleblower complaints. For example, DODIG met its goals related to referring complaints to the appropriate agency within a certain number of days. All IGs also generally met goals related to the quality of investigations. However, about 85 percent of DODIG reprisal and senior official misconduct investigations exceeded statutory and internal timeliness goals. Further, military service IGs did not meet most goals for handling cases within prescribed timeframes. For example, the service IGs averaged between 17 and 84 days to notify DODIG of their receipt of whistleblower reprisal allegations, exceeding the 10-day goal. The IGs have various initiatives underway to improve timeliness, such as a Naval IG program to reduce timeframes for initial credibility determinations. However, additional actions could provide a more targeted approach to improving performance against unmet timeliness goals\u2014such as for senior official misconduct investigations\u2014and better assure whistleblowers that their cases will be handled expeditiously.", "DODIG and the military service IGs have policies to protect whistleblower confidentiality, but some gaps exist. For example, DODIG guidance for protecting whistleblowers who report internal DODIG misconduct does not specify key steps investigators should take to protect confidentiality, such as not identifying complainants during interviews with case subjects. Also, Air Force, Naval, and Marine Corps IG guidance does not specify when whistleblower identities can be disclosed without consent. Without updated guidance, the IGs cannot ensure the consistent implementation of confidentiality protections.", "The IGs have taken steps to safeguard whistleblower information in their information technology (IT) systems and applications, such as by restricting access to case information through unique user permissions and by taking actions to follow DOD's IT risk management process. However, between 2016 and 2018, employees in all of the IGs have been able to access sensitive whistleblower information without a need to know. For example, DODIG determined that numerous restricted whistleblower records in its document repository were accessible to DODIG personnel without a need to know. Similarly, the Air Force IG's application did not restrict users from other DOD components from viewing Air Force IG case descriptions and complainant identities, while the Army IG's application and the Naval IG's system did not restrict personnel within those IGs from viewing allegations or investigations involving other personnel within those IGs. Additionally, employees in Marine Corps IG offices were able to see whistleblower cases assigned to other IG offices without a need to know. While some actions have been taken to address these issues, additional steps are needed to restrict access to case information in order to mitigate ongoing risks to whistleblower confidentiality.", "DODIG generally met key documentation requirements for the 125 cases it dismissed without investigation involving civilian DOD Presidential appointees with Senate confirmation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 12 recommendations, including that the IGs take additional actions to improve timeliness, develop additional procedures to protect whistleblower confidentiality, and take steps to further limit IG employee access to sensitive whistleblower information. DOD concurred with all of the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The integrity of the Department of Defense (DOD) whistleblower program is paramount to establishing a culture that encourages the reporting of potential fraud, waste, abuse, misconduct, and other complaints. DOD offices of inspector general (IG)\u2014including the DOD Office of Inspector General (DODIG) and the IGs of the Air Force, the Army, the Navy, and the Marine Corps\u2014rely in part on whistleblowers to help improve government operations. Because whistleblowers also risk reprisal\u2014such as demotion, reassignment, and firing\u2014IGs have a special responsibility to protect whistleblower identity to the greatest extent possible, and to investigate allegations in a timely, confidential, independent, and objective manner.", "Congress and the former administration established a statutory and policy framework which defines responsibilities for investigating whistleblower allegations of DOD employee misconduct and for protecting DOD whistleblowers from reprisal. Under this framework, DODIG is responsible for investigating and overseeing the investigation of misconduct and reprisal allegations from certain DOD civilian employees, contractors, and military servicemembers, while the IGs of the military services are responsible for investigating and reporting allegations involving military servicemembers to DODIG. In recent years, members of Congress and the public have expressed concerns regarding the integrity of misconduct and reprisal investigations, including those involving senior DOD officials and DODIG employees. Further, DODIG has designated ensuring ethical conduct as a top management challenge for the department. In fiscal year 2018, DOD\u2019s Hotline received 12,470 complaints from potential whistleblowers.", "We have previously reported on DOD\u2019s whistleblower reprisal program. In February 2012, May 2015, and September 2017, we found that DOD faced challenges in overseeing its program and made 25 recommendations to help improve the timeliness, quality, independence, and performance measurement of military, civilian, and contractor investigations, among other things. DOD concurred with all of our recommendations, and as of November 2018, has implemented 18 of them.", "Section 536 of the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to review the integrity of DOD\u2019s whistleblower program. This report assesses the extent to which DODIG and the military service IGs (1) met and took steps to achieve key fiscal year 2018 timeliness and quality goals related to the handling of whistleblower complaints, (2) established processes to protect the confidentiality of whistleblowers, and (3) are able to access and safeguard classified and sensitive information necessary to handle whistleblower complaints. It also evaluates (4) the extent to which select misconduct and reprisal cases involving certain senior DOD civilian officials met key documentation and reporting requirements.", "For the first objective, we reviewed documentation and interviewed officials on DODIG and military service IG timeliness and quality goals, performance measures, and associated performance data for fiscal year 2018, along with ongoing and planned efforts to improve performance. We selected data from this period because they constituted the most complete and recent performance data available. Using the data, we assessed the extent to which DODIG and the military service IGs met timeliness and quality goals defined by statute and internal IG policy. To identify factors affecting timeliness and quality, we interviewed IG officials and reviewed performance documentation. We also compared DODIG and military service IG efforts to improve timeliness and quality, both planned and completed, against Council of the Inspectors General on Integrity and Efficiency (CIGIE) standards for federal IGs related to establishing performance plans with goals and performance measures, as well as Standards for Internal Control in the Federal Government related to assessing and improving performance. We assessed the reliability of DODIG and military service IG data by administering questionnaires on data collection, storage, and compilation; interviewing cognizant officials; and reviewing case management system documentation and quality assurance procedures. We determined that these data were sufficiently reliable for the purpose of assessing the extent to which DODIG and military service IGs met fiscal year 2018 timeliness and quality performance goals related to the handling of whistleblower complaints.", "For the second objective, we assessed DODIG and military service IG policies and procedures for handling whistleblower allegations against DOD policy, CIGIE standards for federal IGs, and statutory protections related to safeguarding whistleblower confidentiality. We also reviewed the results of DODIG\u2019s quality assurance reviews of the Air Force (2017), Army (2018), and Naval (2016) IGs, and surveyed all 108 DODIG employees directly involved with the handling of whistleblower cases to ascertain whether, in their view, confidentiality processes are being implemented in accordance with guidance and standards, identify potential confidentiality issues, and to gather perceptions on the integrity of the internal process for reporting misconduct, among other things. The survey achieved an 80 percent response rate.", "For the third objective, we reviewed documentation and interviewed officials on the extent to which DODIG and the military service IGs have developed, implemented, and assessed key information technology (IT) security controls, and authorized the IT systems and applications used to process, store, and transmit sensitive whistleblower information. These reviews were based on requirements and standards prescribed by DOD, the Office of Management and Budget, and the National Institute of Standards and Technology (NIST). We also reviewed documentation and interviewed cognizant officials on the development and implementation of the Defense Case Activity Tracking System enterprise (D-CATSe)\u2014DOD\u2019s future system for managing whistleblower information across DODIG and the military service IGs. Separately, we reviewed data and information on the number and percentage of DODIG and military service IG classified cases closed in fiscal year 2017, and the number and allocation of DODIG and military service IG staff possessing security clearances. We also reviewed the processes and procedures for storing and accessing classified information within DODIG and the military service IGs against DOD policy related to establishing controls to ensure access to classified information is limited to authorized persons.", "To determine the extent of substantiated and potential confidentiality violations and retaliatory investigations involving DODIG employees, we also obtained and analyzed fiscal years 2013\u20132018 data on known or perceived violations of confidentiality standards and retaliatory investigations from DODIG, the service IGs, the Office of Special Counsel, and the CIGIE Integrity Committee. We selected the data covering this period of time because they were the most recent and reliable data available. We assessed the reliability of these data by administering questionnaires, interviewing cognizant officials, and reviewing the methods used to query IG case management systems for the data. We determined the data to be sufficiently reliable for the limited purpose of identifying potential confidentiality violations and retaliatory investigations.", "For the fourth objective, we reviewed all 125 administrative misconduct and reprisal cases involving civilian DOD PAS subjects that were dismissed by DODIG in fiscal years 2013 through 2017. We chose to review cases from this period because they constituted the most recent and complete data in DODIG\u2019s case management system and because they would most accurately reflect the extent to which the majority of DODIG\u2019s cases included required documentation. To conduct this review, we developed and used a data collection instrument to capture information regarding general case characteristics and the presence of information and documentation required by DOD policies and CIGIE best practices. Core elements of this instrument were shared with DODIG officials to ensure alignment with the policies and practices in place when the cases were dismissed.", "To help ensure the accuracy of the information we collected, two analysts reviewed each casefile and coded for the presence of required information using the data collection instrument. In the event that disagreement between the two analysts occurred, the analysts discussed and resolved the disagreement by identifying and reviewing supporting database information or documentation, and obtained the input of a third analyst, if necessary. We reviewed all cases dismissed during this period; as a result, the dismissed case data in this report do not have a sampling error. Separately, we also reviewed documentation from DODIG on civilian DOD PAS official allegations and investigation results reported to the Secretary of Defense and Congress since fiscal year 2013. Appendix I provides additional details about our scope and methodology.", "We conducted this performance audit from October 2016 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives.", "While this audit was initiated in October 2016, work was suspended from December 2016 until September 2017 due to other engagement work."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD Personnel Misconduct", "paragraphs": ["The Inspector General Act of 1978, as amended, provides that the IG may receive and investigate complaints or information from an employee concerning the possible existence of an activity constituting a violation of law, rules or regulations; gross mismanagement; gross waste of funds; abuse of authority; or a substantial and specific danger to public health or safety. Violation of the law may also include a violation of a provision of criminal law, including the Uniform Code of Military Justice, which is codified in Title 10 of the United States Code."], "subsections": []}, {"section_title": "Whistleblower Protections for DOD Personnel", "paragraphs": ["Whistleblowers are protected from reprisal as a result of making a protected disclosure through various statutes, regulations, and presidential policy covering different DOD personnel groups. Table 1 summarizes the statutory and policy authorities covering DOD personnel, along with selected protected disclosures and prohibited personnel actions\u2014which are two required elements of the test for determining whether there was reprisal against a complainant for whistleblowing. A protected disclosure is a disclosure of wrongdoing by a whistleblower to a party that is an eligible recipient of that disclosure, while prohibited personnel actions include those actions that are taken or threatened in response to a protected disclosure, such as termination, reassignment, or a significant change in duties, responsibilities, or working conditions."], "subsections": []}, {"section_title": "DODIG and Military Service IG Roles and Responsibilities for Investigating Whistleblower Reprisal Complaints", "paragraphs": ["DODIG and the military service IGs share responsibility for investigating misconduct and whistleblower reprisal complaints. Allegations of misconduct and other whistleblower complaints, including those involving senior officials, may be investigated by DODIG or a military service IG depending on the nature of the allegation or the DOD employees involved. Responsibilities for investigating whistleblower reprisal complaints differ according to DOD personnel type. Specifically, DODIG is responsible for investigating and overseeing DOD component investigations of complaints alleging reprisal against certain DOD civilian employees, and for investigating complaints alleging reprisal against DOD contractor, subcontractor, grantee, and subgrantee employees. For complaints alleging reprisal against a military servicemember, DODIG has the authority to either investigate the complaint or refer it to a military service IG for action. Most reprisal cases involving military servicemembers are investigated by the military services IGs, with DODIG oversight.", "In order to carry out its responsibilities, DODIG has established several directorates to facilitate the handling and investigation of misconduct and reprisal complaints. Figure 1 provides a high-level depiction of the DODIG and military service IG processes for handling reprisal, senior official misconduct, and internal DODIG employee complaints, along with the basic roles of the DODIG directorates."], "subsections": []}, {"section_title": "Protecting Whistleblower Confidentiality", "paragraphs": ["Whistleblowers confidentiality protections are codified in federal law. The Inspector General Act of 1978, as amended, restricts DODIG and military service IGs from disclosing a whistleblower\u2019s identity without the consent of the whistleblower unless the IG determines that such disclosure is unavoidable during the course of the investigation. For example, if a complaint includes information that poses a personal or public safety concern, disclosing the identity of the complainant may be unavoidable. Additionally, the Privacy Act of 1974 prohibits the disclosure of records on any person to another agency without the consent of the person the record relates to, but allows for the disclosure of an employee\u2019s identity if the purpose is for routine use\u2014that is, a use that is disclosed for a purpose compatible with the purpose for which it was collected. For example, referring an allegation from an IG hotline to an appropriate investigative unit would be considered routine use."], "subsections": []}, {"section_title": "Federal Law and Standards Establish Information Security Requirements to Protect Federal Systems", "paragraphs": ["The Federal Information Security Modernization Act of 2014 is intended to provide a comprehensive framework for ensuring the effectiveness of information security controls over information resources that support federal operations. The law requires each agency to develop, document, and implement an agency-wide information security program to provide risk-based protections for the information and information systems that support the operations and assets of the agency. The law also requires agencies to comply with NIST standards and the Office of Management and Budget requires agencies to comply with NIST guidelines for protecting federal IT systems.", "Among other things, NIST defines how agencies should determine the security category of their information and information systems based on the potential impact or magnitude of harm that could occur should there be a loss in the confidentiality, integrity, or availability of the information or information system. NIST also prescribes an array of activities associated with the selection, implementation, and assessment of IT security controls\u2014and the authorization to operate federal IT systems and other products.", "DOD Instruction 8510.01, Risk Management Framework for DOD Information Technology, established a risk management framework for DOD information technology that is consistent with the principles established in NIST Special Publication 800-37. This framework includes requirements and procedures for identifying, implementing, assessing, and managing security controls."], "subsections": []}, {"section_title": "Council of the Inspectors General on Integrity and Efficiency (CIGIE) Standards", "paragraphs": ["CIGIE\u2019s Quality Standards for Investigations and Quality Standards for Federal Offices of Inspectors General collectively provide a set of overarching principles that IGs should adhere to in conducting their operations. They also provide a framework for conducting high-quality investigations through the definition of general and qualitative standards. General standards, among other things, address the qualifications of investigators, independence, and the concept of due professional care and confidentiality protections throughout the course of an investigation. Qualitative standards focus on the establishment of policies, procedures, and instructions for confidentially handling and processing complaints, along with investigative planning, execution, reporting, and information management.", "The CIGIE Integrity Committee receives, reviews, and refers for investigation allegations of wrongdoing made against Inspectors General, designated staff members of an IG, and the Special Counsel and Deputy Special Counsel of the Office of Special Counsel. Each Inspector General, including the DODIG, is required to submit a list of designated staff members to the CIGIE Integrity Committee Chairperson annually."], "subsections": []}]}, {"section_title": "IGs Met Some Timeliness and Many Quality Goals, but More Actions Could Improve Performance against Unmet Goals", "paragraphs": [], "subsections": [{"section_title": "DODIG Met Some, but Not All, Fiscal Year 2018 Timeliness Goals", "paragraphs": ["DODIG met some but not all internal timeliness goals for fiscal year 2018 related to the intake and referral of whistleblower allegations, as well as the oversight of DOD component investigations. DODIG also did not meet internal goals related to the timeliness of senior official misconduct investigations or internal and statutory goals related to the timeliness of reprisal investigations. Intake is the initial process to determine whether a complaint contains a prima facie allegation of whistleblower reprisal or a credible allegation of misconduct by senior officials. Oversight reviews are conducted by the DODIG whistleblower reprisal and senior official investigations directorates to ensure the quality of DOD component investigations.", "DODIG officials cited several reasons for not meeting timeliness goals, including a backlog of cases and a lengthy report review process. Further, DODIG officials noted that the number of whistleblower reprisal cases increased from 1,013 to 2,002 (98 percent) over the past 5 years, while an internal DODIG fiscal year 2018 performance report cited other reasons for not meeting timeliness goals, including the assumption of responsibility for all sexual assault victim reprisal cases by the whistleblower reprisal investigations unit, the number of high-priority senior official cases concurrently open, and the increasing scope and complexity of investigations."], "subsections": [{"section_title": "Timeliness of DODIG Intake and Oversight Reviews", "paragraphs": ["DODIG met its fiscal year 2018 timeliness goals for civilian and contractor case intakes and senior official misconduct oversight reviews goals, but did not meet goals related to the average days of senior official misconduct and military reprisal intakes, and the average days for reprisal oversight reviews (see figure 2). In fiscal year 2018, DODIG resolved and closed 631 senior official misconduct cases during the intake review process and it performed intake reviews for 1,032 whistleblower reprisal cases. It also conducted oversight reviews for 157 senior official misconduct cases and 995 reprisal cases.", "By comparison, DODIG met its fiscal year 2017 targets related to the percentage of intakes and oversight reviews meeting timeliness goals, but it did not meet its goals for the average days of reprisal and senior official misconduct intakes."], "subsections": []}, {"section_title": "Timeliness of DODIG Senior Official Misconduct and Reprisal Investigations", "paragraphs": ["DODIG did not meet internal or statutory timeliness goals related to the percentage or average days for senior official or reprisal investigations (see figure 3). DODIG closed 73 investigations in fiscal year 2018, including 13 senior official misconduct cases and 60 military, contractor, and civilian reprisal cases. Overall, about 85 percent of all investigations did not meet the timeliness goal.", "DODIG similarly did not meet its investigation timeliness goals for senior official misconduct and reprisal investigations in fiscal year 2017. However, DODIG officials noted that the record closure of 60 reprisal investigations in fiscal year 2018 was a significant improvement over the 37 closed in fiscal year 2017, and DODIG data showed that the average age of closed and open investigations peaked in April 2018 and June 2018, respectively, and that both were lower as of January 1, 2019. Additionally, DODIG officials stated that they expected to eliminate the case backlog and reach a sustainable state of timeliness during fiscal year 2019."], "subsections": []}, {"section_title": "Timeliness of DOD Hotline Referrals and Completion Report Reviews", "paragraphs": ["In fiscal year 2018, the DOD Hotline referred 3,872 cases to other entities for inquiry, and it performed oversight of 945 completion reports from DOD components. As shown in figure 4, the DOD Hotline met its timeliness goals, except for the percentage of referrals meeting the goal for priority 1 complaints.", "Comparatively, in fiscal year 2017, the DOD Hotline did not meet timeliness goals for the average days or percentage of referrals, but did meet its goal for completion reports."], "subsections": []}]}, {"section_title": "DODIG Generally Met Fiscal Year 2018 Internal Quality Goals", "paragraphs": ["Quality goals can enhance the ability of organizations to provide reasonable assurance that they are exercising appropriate safeguards for federal programs, as demonstrated by our prior work. DODIG generally met its fiscal year 2018 internal quality goals related to the thoroughness and completeness of senior official misconduct and whistleblower reprisal investigations, as well as the completeness and accuracy of information in DOD Hotline referrals. DODIG\u2019s internal quality goals for senior official misconduct and reprisal investigations pertain to the thoroughness of required case-file documentation and the integrity and completeness of data in its case management system. Criteria for assessing these goals include whether or not key documentation of the investigation\u2014such as the incoming complaints and required notifications\u2014are present in the proper folders in the case file, and whether start, end, or milestone dates have been recorded in the case management system. Criteria for assessing the completeness and accuracy of information in DOD Hotline referrals include checks on whether whistleblower consent is accurately documented and whether correspondence is addressed to the correct recipient. According to DOD Hotline officials, a weighted checklist was created in June 2018 that has greater focus on those criteria associated with protecting confidentiality.", "In fiscal year 2018, DODIG reported that it conducted quality reviews for 59 whistleblower reprisal cases and 13 senior official misconduct cases. DODIG further reported conducting reviews related to the quality of DOD component investigations for 80 whistleblower reprisal cases and 80 senior official misconduct cases, while the Hotline reviewed the thoroughness of 1,954 referrals. As shown in table 2, DODIG either met or partially met its quality goals except for the data integrity and completeness goal for senior official investigations and the documentation goal for senior official oversight reviews.", "While we have reported DODIG\u2019s performance against its quality measures, we recommended in September 2017 that DODIG develop quality performance measures and enhance then-existing timeliness measures to reflect key attributes of successful performance measures, and DODIG concurred. In November 2018, DODIG officials stated that DODIG is currently using the quality measures it had in place prior to fiscal year 2017, and noted that DODIG had developed DOD-wide quality performance measures for 2018 that measure the thoroughness of military service investigations. As a result, we continue to believe that our 2017 recommendation is valid in that DODIG\u2019s performance measures should reflect key attributes of successful performance measures."], "subsections": []}, {"section_title": "Military Service IGs Generally Did Not Meet Fiscal Year 2018 Timeliness Goals", "paragraphs": ["Military service IGs generally did not meet internal and statutory timeliness goals related to the notification of receipt of allegations of reprisal and misconduct, intake reviews, or senior official misconduct and reprisal investigations.", "Military service IG officials provided several reasons for not meeting the internal and statutory timeliness goals for notifications, intake reviews, and investigations. Specifically, officials cited an increasing number of complaints; the increasing complexity of complaints, such as those that include multiple allegations and subjects; staffing challenges, such as training related to the rotation of military staff; and the use of reservists, who only work part-time. In addition, a senior official from one military service IG noted that service IGs should be provided greater latitude in dismissing complaints without DODIG review and approval, such as for reprisal complaints where there is no protected communication or personnel action."], "subsections": [{"section_title": "Timeliness of Military Service IG Notifications and Intake Reviews", "paragraphs": ["The military service IGs did not meet fiscal year 2018 timeliness goals for notifying DODIG of allegation receipts, or conducting intake reviews for reprisal cases (see figure 5). In fiscal year 2018, the military service IGs sent 141 senior official misconduct notifications and 876 reprisal notifications to DODIG, and performed 618 reprisal intake reviews.", "The military service IGs did not meet statutory or internal timeliness goals for senior official misconduct and whistleblower reprisal investigations, with exception of the Marine Corps IG\u2014which met its goal for senior official misconduct investigations (see figure 6). In fiscal year 2018, the military service IGs closed 424 investigations, including 347 reprisal investigations, and 77 senior official misconduct investigations."], "subsections": []}]}, {"section_title": "Military Service IGs Met DODIG and Internal Quality Goals for Investigations", "paragraphs": ["Military service IGs met fiscal year 2018 quality goals established by DODIG related to the thoroughness of investigations conducted by the service IGs. Specifically, 89 percent of DODIG\u2019s thoroughness criteria were met in the 93 senior official misconduct investigations conducted by the military service IGs and other DOD components, exceeding the 81 percent goal established by DODIG. Similarly, 85 percent of DODIG\u2019s thoroughness criteria were met in the 310 whistleblower reprisal investigations conducted by the military service IGs and other DOD components, exceeding the 81 percent goal established by DODIG. DODIG has established six criteria for assessing the thoroughness of senior official investigations, including whether all allegations were addressed, whether the complainant and subject were interviewed, and whether relevant documents were obtained. DODIG has seven criteria for assessing the thoroughness of reprisal investigations, including whether protected communications and personnel actions were identified, and whether the report of investigation was approved.", "The Army, the Air Force, and the Marine Corps IGs also met internal quality goals for fiscal year 2018 related to the percentage of cases returned by DODIG for rework due to quality issues. Specifically, Army IG officials stated that they met their goal of having no more than 5 percent of the investigations they submitted to DODIG for review returned by DODIG due to quality issues, and Air Force IG officials stated that they met their goals of obtaining DODIG concurrence on all of the senior official investigations they submitted for review, and having no more than 5 percent of reprisal investigations returned for rework. Similarly, the Marine Corps IG achieved its goal of having no investigations returned for rework, according to a senior Marine Corps IG official. The Naval IG did not provide us with any internal quality goals.", "Aside from the quality goals, DODIG also conducted quality assurance reviews for the Air Force (2017), Army (2018), and Naval (2016) IGs, in which the quality of a sample of case files was examined. The reviews concluded that the military service IGs reviewed were generally complying with internal regulations and CIGIE standards for quality. In addition, in accordance with recommendations made in the quality assurance reviews, each of the service IGs reviewed by DODIG has developed or plans to develop checklists to help ensure that all required documentation is present in their case files, according to service IG officials and documentation."], "subsections": []}, {"section_title": "IGs Have Implemented and Planned Initiatives to Improve Timeliness, but Initiatives Do Not Target All Aspects of Timeliness", "paragraphs": ["DODIG and the military service IGs have implemented and planned various initiatives to improve the timeliness of their processing of senior official misconduct and reprisal complaints. Table 3 shows examples of recent DODIG and military service IG initiatives.", "While these initiatives are positive steps, given that the performance of some measures is far below the goals, additional efforts could be made to improve performance against unmet timeliness goals\u2014including those pertaining to senior official misconduct investigations conducted by the military service IGs, military service IG notifications made to DODIG, and military service IG intake reviews for reprisal cases. Additionally, DODIG and some of the military service IGs do not agree on the timeframes prescribed by DOD policy for military service IGs to notify DODIG of the receipt of a complaint, thereby complicating achievement of these goals. For example, officials from the Air Force IG stated that they notify DODIG of the receipt of misconduct allegations only after making a credibility determination, instead of within the five working days of receipt prescribed by DOD policy for senior official allegations. Similarly, Marine Corps IG officials stated that senior official allegations should be reported to DODIG within five days of a credibility determination.", "Standards for Internal Control in the Federal Government state that management should complete and document corrective actions to remediate internal control deficiencies in a timely manner. Expanding initiatives to target unmet goals related to military service senior official investigations, notifications, and intakes could provide DODIG and the military service IGs a more comprehensive approach to improving timeliness and better position the IGs to improve upon the timeliness goals prescribed by DOD policy. In addition, resolving disagreements related to notification timeliness could improve the military service IGs\u2019 ability to achieve those goals. Further, additional initiatives could provide greater assurance to potential whistleblowers that their cases will be handled expeditiously."], "subsections": []}]}, {"section_title": "IGs Have Processes to Protect Whistleblower Confidentiality, but Some Gaps Exist", "paragraphs": [], "subsections": [{"section_title": "DODIG Has Policies and Procedures to Protect DOD Whistleblower Confidentiality", "paragraphs": ["DODIG has established policies and procedures to implement key statutory requirements and CIGIE standards for protecting the confidentiality of whistleblowers from the receipt of a whistleblower complaint through its investigation. The Inspector General Act of 1978, as amended, states that the Inspectors General shall not, without consent from the employee, disclose the identity of an employee who reports misconduct or provides information, unless the Inspector General determines that such disclosure is unavoidable during the course of the investigation. Further, CIGIE\u2019s Quality Standards for Investigations states that policies, procedures and instructions for handling and processing complaints should be in place to ensure that basic information is recorded, held confidential, and tracked to final resolution. Table 4 shows examples of key confidentiality protections included in DOD Hotline and senior official misconduct and whistleblower reprisal investigation policies.", "DODIG officials stated that they routinely emphasize the importance of protecting whistleblower confidentiality and that confidentiality policies and procedures are addressed through internal training, staff meetings, and on-the-job instruction. Further, 69 of 86 (80 percent) DODIG respondents to our survey reported believing that the guidance they received on protecting confidentiality is sufficient to maintain the confidentiality of individuals involved in IG investigations, citing many of the processes identified in table 4 above as examples of guidance they have received."], "subsections": []}, {"section_title": "DODIG Guidance for Protecting the Confidentiality of Whistleblowers Who Report Internal DODIG Misconduct Lacks Sufficient Detail", "paragraphs": ["The DODIG Office of Professional Responsibility\u2019s investigations manual on handling misconduct complaints against internal DODIG employees requires that complainant information be strictly controlled in order to protect the integrity of the investigative process and to avoid potential harm to the privacy and reputation of the employee. This guidance also includes some steps to protect whistleblower information such as redacting substantiated reports of investigation to be provided to investigation subjects. As previously noted, DOD Hotline guidance also includes steps to protect the confidentiality of internal DODIG whistleblowers. However, the Office of Professional Responsibility guidance does not include several key steps and procedures that some DODIG officials reported taking to protect whistleblower confidentiality, such as excluding complainant information from notifications sent to subjects and not identifying complainants during interviews with case subjects. In addition, DODIG\u2019s Office of General Counsel does not have documented procedures for controlling access to cases involving designated DODIG staff members subject to review by the CIGIE Integrity Committee. DODIG designated staff members include the Principal Deputy Inspector General, Deputy Inspectors General, General Counsel, and Senior Advisor to the Inspector General, among other staff members.", "Guidance on handling complaints alleging internal DODIG misconduct is also outdated and does not reflect recent organizational changes. In particular, the Office of Professional Responsibility\u2019s investigations manual does not reflect its updated roles and responsibilities since splitting from the Quality Assurance and Standards directorate in October 2016, and certain chapters do not recognize that it now reports directly to the Inspector General. Further, sections of the manual have been revised at different points in time and do not align with the office\u2019s current functions. For example, the section covering the office\u2019s organization, mission, and authorities has not been updated since July 2009. Similarly, the section detailing investigation policies and procedures has not been updated since November 2012.", "Some of the DODIG employees we surveyed reported concern that DODIG\u2019s process for reporting employee misconduct and resolving internal complaints may not protect whistleblower confidentiality. For example, 14 (16 percent) survey respondents reported believing that DODIG\u2019s internal process for reporting misconduct did not protect DODIG employee confidentiality or only protected it slightly. Also, 36 (42 percent) survey respondents reported not knowing whether or not DODIG\u2019s internal process for reporting misconduct protects confidentiality, and 36 (42 percent) reported believing that it protects confidentiality somewhat or very well. Additionally, 14 of 86 (16 percent) and 9 of 86 (10 percent) employees surveyed reported having considered but ultimately choosing not to resolve an issue through the Office of the Ombuds\u2014which may receive some internal misconduct complaints\u2014or report misconduct through DODIG\u2019s internal process on or after October 1, 2016, respectively, because they feared that their confidentiality could be compromised. Table 5 shows the distribution of these responses.", "Survey respondents identified some concerns related to the confidentiality, objectivity, and independence of DODIG\u2019s internal process for reporting misconduct and suggested some related improvements. For example, although it has separated from the Quality Assurance and Standards directorate, the Office of Professional Responsibility continues to share office space with the directorate and hold complainant and witness interviews in the shared space. Also, it was suggested that an online form could be used so that internal complaints are routed directly to the Office of Professional Responsibility instead of through the DOD Hotline. DODIG officials told us that there are record-keeping and performance measure-related bases for continuing to use the DOD Hotline to receive complaints of internal misconduct, but that they would carefully evaluate the suggestion.", "CIGIE Quality Standards for Federal Offices of Inspector General state that IGs should establish and follow policies and procedures for receiving and reviewing allegations and ensure that whistleblower identities are not disclosed without consent, unless the IG determines that such disclosure is unavoidable during the course of the investigation. CIGIE Quality Standards for Investigations also state that policies and procedures should be revised regularly to align with current laws and regulations. DODIG officials told us in November 2018 that the Office of Professional Responsibility investigations manual is in the process of being updated but were unable to provide a timetable for the completion of these updates, and stated that all of the provisions\u2014including the confidentiality protections\u2014are subject to changes and updates. In addition, in January 2019 DODIG officials noted, after discussion with GAO, that they intended to implement guidance for making referrals to the CIGIE Integrity Committee. Until DODIG develops guidance that incorporates procedures to protect confidentiality and documents how to maintain whistleblower confidentiality throughout the CIGIE referral process, it will lack reasonable assurance that its process for investigating internal misconduct allegations can fully protect the confidentiality of whistleblowers."], "subsections": []}, {"section_title": "Military Service IGs Have Guidance for Protecting Whistleblower Confidentiality, but It is Not Comprehensive", "paragraphs": ["Military service IG guidance identifies confidentiality as a core tenet of handling and investigating whistleblower complaints. For example, military service IG guidance states that consent should generally be obtained from complainants before each military service IG can share a complainant\u2019s identity with officials who will investigate the allegations, and provides that complaints may be redacted or summarized to omit personally identifiable information\u2014such as when consent is not given or for other purposes. In addition, military service IG guidance state that a complainant\u2019s identity may only be disclosed without consent when an authorized official has determined that such disclosure is unavoidable in order to investigate an allegation.", "Aside from these shared provisions, each of the military service IGs\u2019 guidance includes additional precautions aimed at protecting whistleblower confidentiality. For example, Air Force Instruction 90-301 instructs Hotline personnel to coordinate communication between the complainant and investigator if a complainant does not give consent to disclose his or her identity. In addition, Army and Marine Corps IG guidance stipulate that whistleblowers will be notified if it becomes necessary to disclose their identity without their consent, and Naval IG guidance requires investigators to inform complainants that although the use of their testimony may be necessary under administrative action procedures, their identity will be released as a witness, not a complainant, to safeguard their identity.", "While all military service IGs acknowledge the need to preserve confidentiality, we found gaps in confidentiality protections in Air Force, Naval, and Marine Corps IG guidance, but not Army IG guidance. For example, we found that Air Force, Naval, and Marine Corps IG guidance did not include requirements outlined in DOD Instruction 7050.01 related to the specific conditions under which information disclosures may be made without complainant consent. According to DOD Instruction 7050.01, these include circumstances when a complainant has made it known outside IG channels that he or she submitted the complaint, there is an emergency situation or health or safety issue, or the allegation is being transferred outside of DOD to another IG. Air Force, Naval, and Marine Corps IG guidance predate DOD Instruction 7050.01, updated in October 2017, and reference an older instruction that omits this disclosure guidance.", "Additionally, DODIG\u2019s 2016 and 2017 quality assurance reviews of the Naval IG and Air Force IG concluded that confidentiality protections could be improved. Specifically, DODIG found that the Air Force IG did not have written procedures for handling and restricting IG employee access to complaints against individuals with access to the Air Force IG\u2019s whistleblower database, including both IG employees and contractors that support the database. In addition, DODIG found that the Naval IG Hotline program instruction needed to be updated and that it did not have a hotline standard operating procedure with guidance to redact complainant identities before releasing investigation reports to installation commanders or other military officials.", "Air Force, Naval, and Marine Corps IG officials stated that they are currently in the process of updating their guidance to better incorporate confidentiality protections. For example, Naval IG officials told us that the Naval IG is updating its Hotline instruction, which will provide guidance to obtain consent from complainants prior to releasing investigation reports to installation commanders or other military officials, or redact the complainant\u2019s name. According to Naval IG officials, the updated instruction should be finalized in the first quarter of fiscal year 2019.", "CIGIE Quality Standards for Federal Offices of Inspector General state that IGs should establish and follow policies and procedures for receiving and reviewing allegations and ensure that whistleblower identities are not disclosed without consent, unless the IG determines that such disclosure is unavoidable during the course of the investigation. Further, CIGIE Quality Standards for Investigations state that policies and procedures should be revised regularly to align with current laws and regulations, and that confidentiality should be considered throughout an investigation, to include drafting reports, validating contents, and submitting the final report. Without updated policies and procedures that fully implement confidentiality standards for complaint handling and investigation, the Air Force IG, the Naval IG, and the Marine Corps IG may not be able to ensure the consistent implementation of confidentiality protections within their offices."], "subsections": []}]}, {"section_title": "IGs Are Able to Access Whistleblower Information to Perform Their Duties and Have Taken Some, but Not All, Required Steps to Safeguard It", "paragraphs": [], "subsections": [{"section_title": "IGs Are Able to Access Information Needed to Handle Whistleblower Complaints, and Have Taken Steps to Safeguard Classified Information", "paragraphs": ["DODIG and military service IGs do not experience significant challenges in accessing sensitive or classified information necessary to handle whistleblower complaints, according to cognizant IG officials. Such information includes documentary evidence or witness statements. Similarly, 79 of 86 (92 percent) DODIG respondents to our survey reported that they are generally able to access all types of unclassified information necessary to perform the duties of their position, while 82 of 86 (95 percent) respondents stated that they are either able to access classified information as necessary or do not require access to classified information.", "DODIG and the military service IGs have also taken steps to safeguard physical and electronic classified whistleblower information in accordance with DOD policy, which requires that DOD components establish a system of technical, physical, and personnel controls to ensure access to classified information is limited to authorized persons. Cases including classified information constituted a small percentage of cases closed by DODIG and the military service IGs in fiscal year 2017, with the percentage of those closed by DODIG directorates\u2014including the DOD Hotline and the whistleblower reprisal and senior official investigations\u2014 ranging from 0.2 percent to 0.5 percent, according to DODIG officials. Officials from each of the military service IGs reported closing no classified cases in fiscal year 2017. In addition, DODIG and military service IG officials reported having an adequate number of staff with clearances at the requisite levels (e.g., SECRET) to handle classified case information, along with processes for physically and electronically storing and accessing information at different classification levels."], "subsections": []}, {"section_title": "Most IGs are Following DOD\u2019s IT Risk Management Process", "paragraphs": ["DODIG and most military service IGs are following DOD\u2019s IT risk management process, which involves the assessment of and authorization to operate IT used to manage DOD information\u2014including sensitive but unclassified whistleblower information. The Naval IG has not authorized its case management system in accordance with DOD policy, which implements NIST and Office of Management and Budget federal IT security guidelines related to IT systems and applications, including those used by the IGs. However, it is taking steps to do so. DODIG and the Naval IG use IT systems to manage sensitive whistleblower information, while the Air Force, Army, and Marine Corps IGs use IT applications\u2014which are not subject to the full IT risk management authorization process, as discussed below."], "subsections": [{"section_title": "DODIG and Naval IG IT Systems", "paragraphs": ["DODIG has followed the DOD IT risk management process by authorizing the Defense Case Activity Tracking System (D-CATS)\u2014its whistleblower case management system\u2014to operate in accordance with DOD policy and federal IT security guidelines. DOD\u2019s risk management process requires that IT systems be authorized to operate using a multistep process that entails the identification, implementation, and assessment of system security controls, along with the corresponding development and approval of a system security plan, security assessment report, and plan of action and milestones. The process requires systems to be reassessed and reauthorized every 3 years in order to ensure the continued effectiveness of security controls, and allows for ongoing authorizations through a system-level strategy for the continuous monitoring of security controls employed within or inherited by the system. The strategy should include a plan for annually assessing a subset of system security controls. DOD policy states that component heads may only operate systems with a current authorization to operate, and that authorization termination dates must be enforced.", "DODIG last authorized D-CATS to operate in May 2017, determining that overall system security risk was acceptable based on a review of the system security plan, security assessment report, and plan of action and milestones. Our review of DODIG\u2019s system authorization documents also found that they addressed key, required content elements. For example, the system security plan specified the security controls intended to be in place based on the system\u2019s risk classification, and the security assessment report documented findings of compliance and the methods used by the assessor to evaluate security controls when implementing DODIG\u2019s continuous monitoring strategy. Additionally, the plan of action and milestones identified tasks needed to mitigate identified vulnerabilities along with resources and milestones to accomplish the tasks.", "However, as of December 2018, the Naval IG had not authorized its case management system in accordance with the DOD risk management process, and the system remained in operation. The Naval IG was issued an interim authorization to operate its case management system in March 2017 by the Commander, U.S. Fleet Cyber Command. The interim authorization\u2014which expired in January 2018\u2014required the Naval IG to transition from the department\u2019s prior IT risk management process to the current process by the time of its expiration, noting that the overall risk of the system was high due to incomplete testing. Subsequently, in June 2018, the Naval IG requested and was eventually granted, in September 2018, a conditional authorization to continue operating the case management system through October 2018.", "In early December 2018, the Naval IG requested another conditional authorization to operate the case management system until September 2019. According to Naval IG officials, the conditional authorization is needed because the whistleblower case management system\u2019s host environment is not expected to attain its authorization until September 2019. As a result, the Naval IG was taking steps beyond the conditional authorization request to manage IT security risks as it works towards compliance with the new DOD risk management process. For example, Naval IG officials stated that new leadership was put in place to oversee the case management system; that a senior system administrator would be hired to help maintain IT security; and that the case management system was undergoing regular scans to assess security risks, with any resultant issues being remediated.", "NIST guidelines state that organizations should design and prioritize activities to mitigate security risks, and that alternative strategies may be needed when an organization cannot apply controls to adequately reduce or mitigate risk. As noted, the Naval IG\u2019s case management system was not authorized as of December 2018 and it was not yet able to transition to the current DOD risk management process. However, if completed, the actions planned and underway\u2014including the conditional authorization and security scans\u2014should help to mitigate system security risks and provide greater assurance that existing system security controls safeguard sensitive whistleblower information."], "subsections": []}, {"section_title": "Air Force, Army, and Marine Corps IG IT Applications", "paragraphs": ["The IGs of the Air Force, the Army, and the Marine Corps are following DOD\u2019s IT risk management procedures for their primary case management applications, which are not subject to the full IT risk management authorization process. According to DOD Instruction 8510.01, Risk Management Framework (RMF) for DOD Information Technology (IT), DOD IT such as applications must be securely configured in accordance with applicable DOD policies, and application security controls must undergo special assessment of their functional and security-related capabilities and deficiencies. The results of such assessments are to be documented within an application-level security assessment report and reviewed by a security manager to ensure that the product does not introduce vulnerabilities into its host system.", "We found that while the Army, Air Force, and Marine Corps IGs have not produced the required application-level security assessment reports for their primary applications, they have met the intent of these requirements through other actions. Specifically, we noted that the Air Force and Army IGs\u2019 primary case management applications reside in host systems that were authorized to operate under the risk management process within the last 3 years, and that the assessments associated with the host system authorizations included a review of application-level security controls, according to IG officials. Similarly, the Marine Corps IG\u2019s case management application was exempted from assessment by its authorizing official because it was determined that the application did not introduce additional risk into its authorized host system."], "subsections": []}]}, {"section_title": "DODIG Does Not Fully Restrict Employee Access to Sensitive Whistleblower Information", "paragraphs": [], "subsections": [{"section_title": "DODIG\u2019s Case Management System Does Not Include Some Controls to Restrict Internal Employee Access", "paragraphs": ["As previously discussed, DODIG has taken steps to restrict employee access to whistleblower information, such as by restricting access to cases in which a complainant has not consented to releasing his or her identity. DOD Hotline also applies additional restrictions to all cases involving internal misconduct referrals to the Office of Professional Responsibility and CIGIE Integrity Committee, and it has the capability to further restrict records, according to DODIG officials. Beyond restricting records, the case management system also includes user roles, which govern users\u2019 view of information. However, employees at the three DODIG directorates that are principally responsible for handling whistleblower information are generally able to access sensitive whistleblower information belonging to other directorates in both the Defense Case Activity Tracking System (D-CATS)\u2013DODIG\u2019s whistleblower case management system\u2014and an associated document repository, that is not necessary to accomplish assigned tasks. NIST Special Publication 800-53, Security and Privacy Controls for Federal Information Systems and Organizations, states that organizations should employ the core security principle of least privilege, which allows only authorized access for users that is necessary to accomplish assigned tasks in accordance with organizational missions and business functions.", "DODIG employees in the DOD Hotline, senior official investigations directorate, and whistleblower reprisal investigations directorate are able to access whistleblower information belonging to other DODIG directorates in both D-CATS and its associated document management repository because DODIG has not developed sufficient system controls needed to restrict access across the three directorates. For example, a DODIG employee in either the senior officials or reprisal investigations directorates can access Hotline records in D-CATS that the employee does not have a need to access, with the exception of cases specifically restricted by the DOD Hotline to prevent unauthorized access. According to an August 2018 internal DODIG memo, the lack of controls to restrict access to information across the three directorates has been known since the system was established in 2012.", "DODIG plans to establish controls to restrict access among the DODIG directorates in a new enterprise system (D-CATSe), which will eventually replace D-CATS and the case management systems used by the military service IGs. D-CATSe is intended to provide a common case activity tracking system capable of supporting mandatory reporting requirements and collecting, storing, and exchanging IG records related to complaints and administrative investigations throughout a complaint\u2019s lifecycle. According to DODIG officials, D-CATSe will restrict access both within and among user IGs, including the DODIG directorates and military service IGs, each of which may have unique access requirements based on their different types of user groups. According to DODIG officials, this will be accomplished through the establishment of unique business units at different organizational levels, teams, and user roles, which will collectively determine what information a user can access. However, as shown in figure 7 below, the incremental release schedule for D-CATSe has been delayed, and the IGs are not expected to fully transition to the new system until fiscal year 2021.", "NIST guidelines state that organizations should design and prioritize activities to mitigate security risks, and that alternative strategies (such as plans) may be needed when an organization cannot apply controls to adequately reduce or mitigate risk. Further, NIST guidelines state that addressing assurance-related controls during system development can help organizations obtain sufficiently trustworthy information systems and components that are more reliable and less likely to fail. However, DODIG does not plan to take other actions to address the lack of cross- directorate controls before the advent of the enterprise system. Additionally, while DODIG is designing such controls and plans for each system release to provide a requirements basis for subsequent releases, it has not developed an assurance plan for testing controls, according to DODIG officials, or fully defined the system requirements needed to implement these controls and ensure it has achieved least privilege both within and across the user IGs. Without considering interim actions to address the lack of D-CATS cross-directorate access controls, DODIG may be unable to sufficiently mitigate security risks while D-CATSe is developed. Also, without developing a plan with assurance controls for achieving least privilege in D-CATSe, DODIG may be unable to ensure the confidentiality and integrity of sensitive whistleblower information during its implementation."], "subsections": []}, {"section_title": "DODIG Has Identified Instances Involving Improper Employee IT Access Rights to Whistleblower Information", "paragraphs": ["Separate from the lack of cross-directorate controls, DODIG has identified multiple instances in which sensitive but unclassified whistleblower information in the DODIG Administrative Investigations directorate whistleblower case management system and document repository was accessible to DODIG personnel who did not have a need to know this information. These instances involve DOD Hotline records that are specifically restricted to protect complainants requesting confidentiality, along with records belonging to DODIG\u2019s Office of Professional Responsibility\u2014which handles internal DODIG misconduct complaints.", "Table 6 shows examples of recent instances in which DODIG determined that sensitive whistleblower records were accessible to DODIG personnel without a need to know. According to DODIG officials, as of January 2019, there were no known instances of anyone without a need to know actually accessing these records. These officials also stated that corrective action had been taken for each instance in table 6, including by blocking access to information while the underlying issues were resolved; that at no time was information available to the public; and that the instances did not result in any disclosure outside of DODIG.", "NIST guidelines state that the need for certain user privileges may change over time, necessitating the periodic review of assigned user privileges in order to determine if the rationale for assigning such privileges remains valid. DODIG has determined that its user access issues are broadly attributable to system administration and application problems, including permission changes resulting from system updates. To address such issues, DODIG has taken several remedial actions and identified additional recommended steps, including: reconciling user accounts and validating permissions related to restricted records; reviewing policies related to protecting complainant confidentiality and conducting awareness training with personnel, as appropriate; and developing enhanced user management procedures and internal controls related to establishing user accounts, reconciling current user permissions, and controlling access to restricted records.", "In addition, in October 2018, DODIG instituted a process whereby user privileges associated with its case management system and document repository will be reviewed, validated, and corrected, if necessary, on a quarterly basis. If fully implemented, this process, along with the proposed actions, should help ensure that assigned user privileges are periodically validated and aligned with business needs. However, DODIG\u2019s process does not include steps to test document repository permissions after case management system updates, which were determined by DODIG to be the cause of some permission issues. Without including such steps in its process, DODIG lacks assurance that system permissions will align with business needs on an ongoing basis, and therefore may not be able to appropriately control user accounts to prevent unauthorized access by system users."], "subsections": []}]}, {"section_title": "Sensitive Whistleblower Information Has Been Accessible to Military Service IG Employees without a Need to Know", "paragraphs": ["The military service IGs\u2019 case management systems and applications incorporate IT controls, such as authenticated user accounts and unique permissions, to protect certain whistleblower information. However, service IG systems and applications do not fully restrict employee access to sensitive whistleblower information only to information that is necessary to accomplish assigned tasks. As previously discussed, NIST guidelines state that organizations should only provide authorized access to users which is necessary to accomplish assigned tasks in accordance with organizational missions and business functions. As shown in Table 7, DODIG\u2019s quality assurance reviews and our work identified issues related to IG employee access restrictions.", "At the time of our review, the military service IGs had not taken steps to fully address the identified access issues. Specifically, Air Force officials stated that they did not plan to address the application access issues because they did not have funding to continue developing their existing application prior to transitioning to D-CATSe, although they would explore whether solutions were possible within current fiscal constraints during the next system maintenance evaluation. Similarly, Army IG officials stated that while the Army IG had resources to further develop its existing case management application, they had elected to not use those resources to remedy the identified access issue in light of the future arrival of D-CATSe. In addition, Naval IG officials reported taking action to restrict senor official investigations, but did not provide information to us on actions taken to address DODIG\u2019s recommendation to restrict cases involving internal Naval IG personnel. Finally, Marine Corps IG officials stated that access restrictions would be implemented as part of an application redesign scheduled to be complete by the end of 2018. However, these officials also noted that they have not identified the root of the access problem or developed a plan to ensure that needed access restrictions are implemented and functioning properly, raising questions as to whether the redesign will fully restrict access on a continuing basis. As mentioned previously, the Marine Corps\u2019 case management application is also exempt from testing under the DOD IT risk management process, and therefore is not subject to routine security assurance testing.", "Federal Standards for Internal Control state that management should analyze and respond to risks, and evaluate and remediate internal control deficiencies on a timely basis, including those related to audit findings. Further, NIST guidelines state that organizations should design and prioritize activities to mitigate security risks, and that alternative strategies, such as plans, may be needed when an organization cannot apply controls to adequately reduce or mitigate risk. These guidelines also encourage organizations to obtain assurance-related evidence on an ongoing basis in order to maintain the trustworthiness of information systems. As previously discussed, D-CATSe is being implemented incrementally, with releases for the Naval IG and the Air Force and Army IGs not scheduled to occur until fiscal years 2020 and 2021, respectively. By considering actions prior to the advent of D-CATSe, the Air Force, Army, and Naval IGs could mitigate existing risks to whistleblower confidentiality by reducing the potential for unauthorized employee access of whistleblower records. Also, by developing a plan to ensure that access restrictions function properly, the Marine Corps IG could better ensure the confidentiality and integrity of sensitive whistleblower information in its redesigned case management application on a continuing basis."], "subsections": []}, {"section_title": "IGs Report Few Instances of Confidentiality Violations but IT Access Issues Create This Potential", "paragraphs": ["Potential violations of whistleblower confidentiality may be reported to DODIG, the service IGs, the Office of Special Counsel, or CIGIE. IGs identified some substantiated violations of whistleblower confidentiality between fiscal years 2013 and 2018. Specifically, DODIG identified 8 substantiated violations of whistleblower confidentiality between fiscal years 2013 and 2018, representing approximately .01 percent of the 95,613 contacts handled by DODIG during that timeframe, according to DODIG officials. Army IG identified 6 substantiated violations of whistleblower confidentiality between these years. These violations include the improper release of IG information, disclosures made to individuals who do not have a need to know, and unauthorized access to whistleblower records by IG personnel. DODIG officials noted that in some instances, violations were determined not to result from employee misconduct because the complainant\u2019s identify was disclosed unwittingly. According to DODIG and Army IG officials, disciplinary or corrective action was taken in all but one of the 14 substantiated violations because the DODIG employee involved resigned prior to action being taken. Officials from the Air Force, Naval, and Marine Corps IGs stated that they were unaware of any substantiated incidences of confidentiality violations between fiscal years 2013 and 2018 and that they were unable to specifically track such incidents in their case management systems. Similarly, CIGIE Integrity Committee and Office of Special Counsel officials stated that they were unaware of and do not specifically track confidentiality violations, and we did not identify any confidentiality violations in the fiscal year 2013-2018 data they provided to us that involved DODIG employees.", "Respondents to our survey of DODIG employees separately reported potential violations of whistleblower confidentiality. Specifically, 15 of the 86 respondents (about 17 percent) reported being aware of at least one instance since June 1, 2017, where the identity of a complainant or source was avoidably disclosed by a DODIG employee to an organization or individual without a need to know, and nine of these 15 were aware of more than one instance. These responses are not intended to be a count of separate instances because respondents may have recalled the same instance(s), including one or more of the 8 substantiated violations reported to us by DODIG. The most common avoidable disclosure described by survey respondents involved distributing whistleblower materials to the wrong official or agency. Survey respondents reported that in such instances corrective action included recalling the complaint and deleting the erroneously sent record, or, in some cases, sending a complaint to DODIG\u2019s Office of Professional Responsibility for the investigation of possible misconduct.", "While the number of known violations is small, IT access issues related to the case management systems and applications used by DODIG and the military service IGs create the potential for additional violations of whistleblower confidentiality. As previously discussed, issues such as the absence of cross-directorate access controls within DODIG\u2019s case management system and the ability for non-Air Force IG users of the Air Force IG case management system to view IG case information allow for the improper access of sensitive whistleblower information. Recognizing this potential, a senior DODIG official noted concern regarding the possible extent of confidentiality violations stemming from these and the other access issues previously discussed in this report. Additionally, DODIG requested that the Defense Criminal Investigative Service investigate the April 2018 incident involving 946 case folders to determine who accessed the identified records. Without steps to address these ongoing IT access issues, the potential for additional violations of whistleblower confidentiality will persist."], "subsections": []}]}, {"section_title": "DODIG Generally Met Documentation Requirements in Senior Official Cases that GAO Reviewed and Reported Most Credible Allegations", "paragraphs": [], "subsections": [{"section_title": "DODIG Dismissed Most Cases Involving Civilian DOD Presidential Appointees with Senate Confirmation and Generally Included Required Data and Documentation", "paragraphs": ["DODIG closed 129 misconduct and reprisal cases in fiscal years 2013 through 2017 with complaints involving a civilian DOD Presidential appointee with Senate confirmation (PAS) subject. Of the 129 cases closed, DODIG dismissed without investigation 125 cases and investigated the remaining four. Figure 8 shows the number of cases closed in each fiscal year, by case disposition.", "Our review of the 125 case files for dismissed misconduct and reprisal cases found that key documentation and data needed to demonstrate compliance with significant aspects of the case-handling process were generally present. Key documentation and data for dismissed cases include the case open and close dates, the incoming complaint, disposition of the case, and the dismissal approval and rationale. CIGIE standards state that the degree to which an organization efficiently achieves its goals is affected by the quality and relevance of information that is collected, stored, retrieved, and analyzed, and that the results of investigative activities should be accurately and completely documented in the case file.", "Examples of data and documentation consistently present. Our review of 125 case files for dismissed cases closed in fiscal years 2013 through 2017 found that key documentation and data were generally present. For example:", "100 percent of the cases we reviewed included the incoming complaint.", "Approximately 99 percent of the dismissed misconduct cases included a dismissal rationale that aligned with dismissal criteria in DODIG policy.", "100 percent of the dismissed reprisal cases that involved a closure letter informing the complainant of case dismissal listed a rationale for dismissal in the closure letter.", "100 percent of the dismissed reprisal cases that did not involve a closure letter to the complainant had a rationale for dismissal elsewhere in the case file.", "Approximately 99 percent of dismissed misconduct cases included a required entry recording the intake disposition.", "Documents or data that were not material. Our review of case files for dismissed cases closed in fiscal years 2013 through 2017 found that some other documentation or data that are needed to demonstrate compliance with DODIG policy were missing. The deficiencies we found were not material to case outcomes. For example, approximately 77 percent of dismissed misconduct cases did not include a recording of case dismissal approval by IG supervisory staff. However, DODIG officials told us that the presence of the required entry recording the intake disposition indicated that the case dismissal had been approved by the appropriate authority. Similarly, approximately 55 percent of dismissed misconduct cases did not include a notification letter to the appropriate military service IG in the case file. DODIG officials stated that while there is guidance to send these letters, it is not a required practice."], "subsections": []}, {"section_title": "DODIG Has Reported Most Credible Misconduct Allegations to the Secretary of Defense and Some Investigation Results to Congress", "paragraphs": ["DODIG reported most credible allegations concerning civilian DOD PAS officials to the Secretary of Defense as required. DODIG also reported some investigation results involving these officials to Congress prior to the enactment of the Inspector General Empowerment Act of 2016, which required the reporting of results of substantiated investigations involving DOD senior officials. DODIG investigated four of the 129 cases closed in fiscal years 2013 through 2017, with two of those investigations leading to substantiated allegations of misconduct.", "DODIG generally met DOD requirements to report credible allegations of misconduct against civilian DOD PAS officials to the Secretary of Defense. DOD Directive 5505.06 requires that DODIG notify the Secretary of Defense of all credible allegations or investigations involving presidential appointees and others of significance, including Senate- confirmed civilian officials. We found documentary evidence that DODIG notified the Secretary of credible allegations in three of the four misconduct and reprisal investigations closed from fiscal years 2013 through 2017, and the secretary of a military service was notified in the fourth case. In addition, DODIG officials stated that the Principal Deputy IG provides the Secretary of Defense periodic updates on current investigations and other periodic updates of incoming allegations, as necessary and appropriate.", "Separately, the Inspector General Empowerment Act of 2016 requires that DODIG report in its semiannual reports to Congress on all substantiated allegations of misconduct involving senior officials. Prior to 2016, there was no requirement to notify Congress of substantiated allegations of misconduct involving senior officials. We found evidence that DODIG communicated investigation results to Congress in two of the four civilian DOD PAS official investigations closed between fiscal years 2013 and 2017, but not in the other two because it was not required. For one investigated case, a report of investigation was provided to Congress upon request, and for another investigation, which had a substantiated allegation, the results of the investigation were published in narrative detail in a semi-annual report to Congress. DODIG now reports in its semi-annual reports to Congress summary results of substantiated and unsubstantiated cases closed during the corresponding period, but it has not closed any civilian DOD PAS official allegations since the statutory requirement to report to Congress on all substantiated cases was established."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Maintaining a program that instills trust and confidence for potential whistleblowers to come forward is critical to minimizing fraud, waste, abuse, and personnel misconduct in the federal government. Important components of a credible whistleblower program are timeliness of case processing and safeguarding confidentiality to the maximum extent possible. It is encouraging that DODIG and the service IGs have met some key goals and have policies that address whistleblower confidentiality. In addition, DODIG generally met key documentation and data requirements for the 125 cases dismissed by DODIG involving civilian DOD PAS officials, and reported most credible allegations, as required.", "However, the IGs face challenges in addressing unmet timeliness goals and updating guidance to ensure full alignment with current confidentiality requirements. By pursuing more targeted, collective efforts with additional initiatives aimed at improving performance against unmet timeliness goals, the IGs can better assure current and potential whistleblowers that their complaints will be processed expeditiously. Additionally, without formal guidance documenting procedures for protecting the confidentiality of whistleblowers reporting potential internal DODIG employee misconduct, those employees lack assurance that DODIG can fully protect their identities. Similarly, without updated policies and procedures, the Air Force, Naval, and Marine Corps IGs may not be able to fully ensure whistleblower confidentiality in their organizations.", "The integrity of a whistleblower program also extends to ensuring that sensitive information in IT systems remains secure and inaccessible by employees without a need to know. The IGs have existing controls for safeguarding whistleblower information, but additional efforts are warranted. Specifically, without further steps\u2014such as considering interim actions to mitigate the lack of cross-directorate access controls, developing a plan, along with the military service IGs for achieving least privilege in the future enterprise case management system, and enhancing the process for periodically validating user privileges\u2014DODIG may not be able to ensure that access controls in its existing and future case management systems align with business needs on an ongoing basis. Similarly, without considering actions to further restrict IG employee access in existing IT, the Air Force, Army, and Naval IGs may be unable to mitigate ongoing risks to whistleblower confidentiality. Finally, without a plan for ensuring that access restrictions in its redesigned case management system function properly, the Marine Corps IG may be unable to fully ensure whistleblower confidentiality."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 12 recommendations to DOD. Specifically: The DOD Inspector General should coordinate with the IGs of the military services to take additional actions to improve performance against unmet timeliness goals. This includes steps to improve performance of senior official misconduct investigations and military service reprisal intakes, and to resolve disagreement on notifications. (Recommendation 1)", "The DOD Inspector General should issue formal guidance documenting procedures for protecting the confidentiality of whistleblowers throughout its internal misconduct investigation process. (Recommendation 2)", "The Air Force Inspector General should establish procedures to fully reflect and implement DOD policy on the protection of whistleblower confidentiality. (Recommendation 3)", "The Marine Corps Inspector General should establish procedures to fully reflect and implement DOD policy on the protection of whistleblower confidentiality. (Recommendation 4)", "The Naval Inspector General should establish procedures to fully reflect and implement DOD policy on the protection of whistleblower confidentiality. (Recommendation 5)", "The DOD Inspector General should consider interim actions as the whistleblower enterprise case management system is being developed to help ensure that access to sensitive whistleblower information in the current case management system and associated document repository is limited to information that is necessary to accomplish assigned tasks. (Recommendation 6)", "The DOD Inspector General should coordinate with the IGs of the military services to develop a plan to fully restrict case access in the future whistleblower enterprise case management system so that user access is limited to information necessary to accomplish assigned tasks in accordance with organizational missions and business functions. (Recommendation 7)", "The DOD Inspector General should enhance its process for periodically reviewing whistleblower case management system and document repository user privileges by including steps to ensure that such privileges remain valid after system updates, as appropriate. (Recommendation 8)", "The Air Force Inspector General should consider interim actions as the whistleblower enterprise case management system is being developed to help ensure that access for users of existing applications is limited to information that is necessary to accomplish assigned tasks in accordance with organizational missions and business functions. (Recommendation 9)", "The Army Inspector General should consider interim actions as the whistleblower enterprise case management system is being developed to help ensure that access for users of existing applications is limited to information that is necessary to accomplish assigned tasks in accordance with organizational missions and business functions. (Recommendation 10)", "The Marine Corps Inspector General should develop a plan to ensure that its redesigned whistleblower case management application restricts user access to information based on what is needed to accomplish assigned tasks in accordance with organizational missions and business functions. (Recommendation 11)", "The Naval Inspector General should consider interim actions as the whistleblower enterprise case management system is being developed to help ensure that access for users of existing applications is limited to information that is necessary to accomplish assigned tasks in accordance with organizational missions and business functions. (Recommendation 12)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DODIG and the military service IGs for review and comment. In written comments, DODIG and the military service IGs concurred with each of our 12 recommendations. Comments from DODIG and the Air Force, Army, and Marine Corps IGs are reproduced in appendix V; the Naval IG concurred in an email. These IGs also provided technical comments, which we have incorporated as appropriate.", "In its comments, DODIG stated that it will seek to implement the recommendations. In addition to highlighting recent and planned improvements, DODIG provided additional comments on some of the report\u2019s findings and statements. In particular, DODIG noted that the report understated its improvements in timeliness, such as by stating that DODIG did not meet timeliness goals related to average days of senior official and military reprisal intakes, and average days for reprisal oversight reviews. Citing figure 2, DODIG further stated that it met its timeliness goals in more than 60 percent of all senior official and reprisal intake cases, including 87 percent of senior official oversight review cases, and that it met its 15-day goal in more than 70 percent of senior official intakes. We agree that DODIG achieved these percentages and present the associated data in figure 2. However, as described in the report, and shown in figure 2, DODIG did not meet its goals for the average days of senior official misconduct and military reprisal intakes, and the average days for reprisal oversight reviews. Nonetheless, it is encouraging that DODIG has taken and planned actions to improve timeliness as its caseload has increased, including by increasing its staff by about 29 percent since fiscal year 2016, during which time it reported that its caseload similarly increased by about 26 percent.", "DODIG also noted that the report presented some information in a manner that could create an incomplete impression of the agency\u2019s commitment to protecting whistleblower confidentiality. Specifically, DOD stated that the report\u2019s presentation of survey data related to DODIG employee concerns about internal DODIG processes may give a misleading impression because of the focus on the small number of respondents who had a negative impression. In particular, DODIG noted that more than 80 percent of respondents either believed that DODIG\u2019s internal process for reporting misconduct protected confidentiality somewhat or very well, or did not know if it did so. However, a positive perspective cannot be inferred from the respondents that reported not knowing whether or not DODIG\u2019s internal process protects confidentiality (42 percent). Also, it should be recognized that the respondents that held negative views on DODIG\u2019s process for reporting internal misconduct (16 percent) accounted for a substantial proportion of respondents (28 percent) that held either positive or negative views on this issue. Importantly, these and other survey information presented in the report also provide valuable information on the degree to which DODIG employees have confidence in the integrity of these important internal processes, and, as mentioned, align with other information obtained during our review. As such, this information may help to inform DODIG\u2019s efforts in addressing our recommendation to issue formal guidance documenting procedures for protecting the confidentiality of whistleblowers throughout its internal misconduct process, along with any future efforts to instill employee confidence in internal misconduct reporting mechanisms.", "DODIG also noted that portions of the report addressing restrictions on DODIG employee access to sensitive whistleblower records need further context, stating specifically that no DODIG employees outside of the Administrative Investigations directorate, Office of Professional Responsibility, and Office of General Counsel had access to any of the records, and that there was no evidence that any person without a need to know accessed any such records. However, information provided to us by DODIG does not show that accessibility was limited in all instances to employees within one of those DODIG offices. Also, the ability of any employee to access records that were specifically restricted to protect complainant identities or internal records belonging to the Office of Professional Responsibility is problematic given the increased sensitivity of such records. Further, while DODIG did not identify instances in which anyone without a need to know accessed the records, DODIG did not provide evidence that all cases of improper access were thoroughly investigated, as we state in our report, and the instances included in the report are examples and not inclusive of all instances of improper access identified by the DODIG. Nevertheless, it is positive that DODIG has reported taking corrective action to address instances of improper accessibility. It is also encouraging that DODIG plans to implement our recommendations, as the potential for unauthorized access will persist until it establishes cross-directorate controls in the case management system and enhances its processes for periodically reviewing user privileges for its whistleblower case management system and document repository.", "All of the military service IGs concurred with the recommendations directed to them. The Air Force and the Army IGs also provided comments on some of the report findings. In particular, the Air Force IG noted in relation to our third recommendation that language in Air Force Instruction 90-301, updated in December 2018, is essentially the same as 5 U.S.C. Appendix \u00a7 7, and that this language precludes Air Force officials at any level from waiving the requirement to inform complainants and employees of the requirement to not disclose their identities without their consent, unless the Inspector General determines such disclosure to be unavoidable. However, as stated in our report, Air Force guidance did not include requirements outlined in DOD Instruction 7050.01 related to the specific conditions under which information disclosures may be made without complainant consent. These include circumstances wherein a complainant has made it known outside IG channels that he or she submitted the complaint, there is an emergency situation or health or safety issue, or the allegation is being transferred outside of DOD to another IG. As a result, we continue to believe that without updated policies and procedures that fully implement confidentiality standards, the Air Force IG may not be able to ensure the consistent implementation of confidentiality protections.", "Separately, in relation to IG employee access of information, the Army IG stated that the processes it has in place provide judicious access and control of whistleblower information to achieve an appropriate balance between efficient operations and minimized risk. As stated in our report, DODIG\u2019s 2018 quality assurance review of the Army IG found that the Army IG\u2019s application did not restrict personnel without a need to know from accessing allegations involving Army IG personnel, contrasting with NIST guidelines, which predicate user access on the need to accomplish assigned tasks. Army IG officials acknowledged this issue, but stated that the Army IG had elected to not use existing resources to further develop its case management application in light of the enterprise system being developed by DODIG. As a result, we continue to believe that by considering actions prior to the advent of the enterprise system\u2014which is not expected to be released to the Army IG until fiscal year 2021\u2014the Army IG could mitigate risks to whistleblower confidentiality by reducing the potential for unauthorized IG employee access of whistleblower records.", "We are sending copies of this report to congressional committees; the Acting Secretary of Defense; the Department of Defense Principal Deputy Inspector General performing the duties of the Inspector General; the Inspectors General of the Air Force, the Army, the Navy, and the Marine Corps; the Office of Special Counsel; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To determine the extent to which the Department of Defense Office of Inspector General (DODIG) and the military service offices of inspector general (IG) met and took steps to achieve key fiscal year 2018 timeliness and quality goals related to the handling of whistleblower complaints, we reviewed performance documentation and interviewed officials on DODIG and military service IG timeliness and quality goals, performance measures, and associated performance data for fiscal year 2018, along with ongoing and planned efforts to improve performance. We also reviewed fiscal year 2017 performance data for comparison purposes. We selected data from this period because they constituted the most complete and recent performance data available. Using the data, we assessed the extent to which DODIG and the military service IGs met timeliness and quality goals defined by statute and internal IG policy. Specifically, we assessed the timeliness of DOD Hotline referrals and completion reports against its internal goals, along with DODIG senior official misconduct and whistleblower reprisal intakes, investigations, and oversight reviews against internal and statutory goals. We also assessed the timeliness of military service IG senior official and reprisal notifications, intakes, and investigations against DOD and statutory goals, and reviewed the results of DODIG quality assessments for DOD Hotline referrals, military service investigations, and DODIG senior official and whistleblower reprisal investigations.", "We assessed the reliability of DODIG and military service IG data by administering questionnaires, interviewing cognizant officials, and reviewing case management system documentation and quality assurance procedures. We also compared select electronic data to fiscal years 2013 through 2017 case file documentation associated with our review of case files to determine whether dates had been properly recorded in the system. We determined that these data were sufficiently reliable for our purposes.", "To identify factors affecting timeliness and quality, we interviewed IG officials and reviewed relevant documentation including strategic plans, briefing materials, and semiannual reports to Congress. We also compared DODIG and military service IG completed and planned efforts to improve timeliness and quality against Council of the Inspectors General on Integrity and Efficiency (CIGIE) standards for federal IGs related to establishing performance plans with goals and performance measures, and Standards for Internal Control in the Federal Government related to assessing performance and improving performance.", "To determine the extent to which DODIG and the military service IGs have established processes to protect the confidentiality of whistleblowers, we assessed DOD and military service IG policies and procedures for handling whistleblower allegations against DOD policy, CIGIE standards for federal IGs, and statutory protections related to safeguarding whistleblower confidentiality. We also reviewed the results of DODIG\u2019s quality assurance reviews of the Air Force (2017), Army (2018), and Naval (2016) IGs. We performed a web-based survey of the entire population of 108 DODIG Administrative Investigations directorate employees directly involved with the handling of whistleblower cases to ascertain whether, in their view, confidentiality processes are being implemented in accordance with guidance and standards, identify potential confidentiality violations, and to gather perceptions on the integrity of the internal process for reporting misconduct, among other things. We removed four employees from our initial population of 112 employees because two employees left DODIG prior to the initiation of our survey and two employees were new to the organization and therefore likely not familiar with the issues covered by the survey.", "To conduct the survey, we developed 27 questions covering (1) access to and protection of sensitive and classified whistleblower information; (2) confidentiality guidance, safeguards and identity disclosures; (3) resolving internal conflict through DODIG\u2019s Office of the Ombuds; and (4) reporting misconduct through the internal DODIG process for DODIG employees to report misconduct. A survey specialist helped to develop these questions, and another survey specialist provided independent feedback on the questions to ensure that content necessary to understand the questions was included and that the questions could be answered accurately and completely. To minimize errors that might occur from respondents interpreting our questions differently than we intended, we pretested our survey with seven DODIG employees to ensure the clarity and reasonableness of the questions. During the pretests, conducted in person and by phone, DODIG employees read the instructions and each question out loud and told us whether (1) the instructions and questions were clear and unambiguous, (2) the terms we used were accurate, and (3) they could offer a potential solution to any problems identified. We also asked them for a mock answer to ensure that the questions were understood as intended. We noted any potential problems identified by the reviewers and through the pretests and modified the questionnaire based on the feedback received. A full listing of survey questions is provided in appendix IV.", "We conducted the survey between June 14, 2018, and July 6, 2018. To maximize our response rate, we sent reminder emails and contacted non- respondents by telephone to encourage them to complete the survey. In total, we received responses from 86 DODIG employees, achieving a response rate of 80 percent. Although not required, we assessed the potential for non-response bias by analyzing differences in the percent of DODIG employees per directorate and job position (e.g., investigator) that responded to our survey and the percent of potential DODIG respondents in each directorate and position. We found no meaningful differences between respondents and our population of potential respondents, indicating no evidence for non-response bias. Also, we took steps in the development of the survey, data collection, and data analysis to minimize nonsampling errors and help ensure the accuracy of the answers that were obtained. For example, a social-science survey specialist helped to design the questionnaire, in collaboration with analysts having subject- matter expertise. Then, as noted earlier, the draft questionnaire was pretested to ensure that questions were relevant, clearly stated, and easy to comprehend, and it was also reviewed by another specialist with expertise in survey development.", "We calculated the frequency of responses to our closed-ended survey questions and performed content analysis on the open-ended questions to identify common themes from across the responses and to determine their frequencies. The quantitative analysis was performed by one analyst and independently reviewed by another analyst. For the qualitative analysis, a standard coding scheme was developed to identify common themes and determine their frequencies. We also used professional judgment to identify other themes that were determined to be important based on our review of case files, discussions with DODIG management, and review of guidance and relevant standards.", "To determine the extent to which DODIG and the military service IGs are able to access and safeguard classified and sensitive information necessary to handle whistleblower complaints, we reviewed documentation and interviewed officials on the extent to which DODIG and the military service IGs have developed, implemented, and assessed key information technology (IT) security controls, and authorized the systems and applications used to process, store, and transmit sensitive whistleblower information per requirements and standards prescribed by DOD, the Office of Management and Budget, and the National Institute of Standards and Technology. Collectively, these documents delineate an array of documentary and procedural requirements related to the assessment of IT security controls and the authorization to operate IT systems and applications. We also reviewed plans and interviewed cognizant officials on the development and implementation of the Defense Case Activity Tracking System enterprise (D-CATSe)\u2014DOD\u2019s future system for managing whistleblower information across DODIG and the military service IGs, and reviewed DODIG\u2019s quality assurance reviews of the Air Force (2017), Army (2018), and Naval IGs (2016). Separately, we reviewed data and information on the number and percentage of DODIG and military service IG classified cases closed in fiscal year 2017, the number and allocation of DODIG and military service IG staff possessing security clearances, and the processes and procedures for storing and accessing classified information within DODIG and the military service IGs against DOD policy related to establishing controls to ensure access to classified information is limited to authorized persons. We assessed the reliability of classified case data by administering questionnaires to cognizant officials, and determined the data were sufficiently reliable for the purpose of reporting the number of classified cases closed in fiscal year 2017.", "To determine the extent of substantiated and potential confidentiality violations and retaliatory investigations involving DODIG employees, we obtained and analyzed available fiscal year 2013 through 2018 data on known or perceived violations of confidentiality standards and retaliatory investigations from DODIG and the military service IGs. We selected data covering this period of time because they constituted the most recent and reliable data available, and because DODIG officials told us that data prior to fiscal year 2013 were unreliable. We also reviewed fiscal year 2013\u20132018 complaint data from the Office of Special Counsel and the CIGIE Integrity Committee in order to identify possible violations of confidentiality standards or retaliatory investigations. We assessed the reliability of DODIG and service IG data by administering questionnaires, interviewing cognizant officials, and reviewing the methods used to query IG case management systems for this information. We determined the data to be sufficiently reliable for the limited purpose of identifying potential confidentiality violations and retaliatory investigations.", "To evaluate the extent to which select misconduct and reprisal cases involving civilian DOD Presidential appointee with Senate confirmation (PAS) officials met key documentation and reporting requirements, we reviewed all 125 administrative misconduct and reprisal cases involving Senate-confirmed civilian official subjects that were dismissed by DODIG in fiscal years 2013 through 2017. We chose to review cases from this period because they constituted the most recent and complete data in DODIG\u2019s case management system and would therefore most accurately reflect the extent to which the majority of DODIG\u2019s cases included required documentation. Also, DODIG officials informed us that information on cases prior to the implementation of the current case management system in fiscal year 2013 were both incomplete and unreliable. During the course of our review, we removed five out-of-scope cases from the original population of 130 cases, reducing the number of cases in our population from 130 to 125. Four cases were removed because the related allegations were investigated, and one case was removed because it was a record used to track an investigation occurring at a military service IG. Table 8 shows the distribution per fiscal year of closed misconduct and reprisal cases involving civilian DOD PAS subjects by the result of the case.", "To conduct the case-file review, we developed and used a data collection instrument to guide our review regarding general case characteristics and the presence of information and documentation required by DOD policies and CIGIE best practices. Core elements of this instrument were shared with DODIG officials to ensure the instrument aligned with the policies and practices in place when the cases were dismissed. These core elements represented individual documents and data elements. We incorporated DODIG\u2019s feedback into our instrument before commencing the file review. Examples of elements in our review that represent key data in DODIG\u2019s database or constitute documentation of key steps of the case-handling process include the following: case open date, case close date, disposition of the matter at intake, dismissal rationale.", "To validate the data collection instrument and ensure consistency in its application, we developed and followed standard procedures to review a test sample of 11 case files that were selected from each stratum of cases (e.g., misconduct) to ensure that each case type was tested at least once. In reviewing the sample, we adjusted the relevant case file elements for each case based on its type and circumstances and captured responses in our data collection instrument accordingly. To help ensure the accuracy of the information we collected, one analyst reviewed each casefile and coded for the presence of required information using the data collection instrument, and another analyst reviewed the first analyst\u2019s work. In the event that disagreement between the two analysts occurred, the analysts discussed and resolved the disagreement by identifying and reviewing supporting database information or documentation, and obtaining the input of a third analyst, if necessary, until a final resolution was made. We reviewed all cases dismissed during this period; for this reason, the results of this analysis do not have a sampling error.", "To identify other characteristics of DODIG cases involving civilian DOD PAS officials, we also analyzed fiscal years 2013-2017 case data to determine the number of cases closed by fiscal year, case types, case dispositions, source organizations, and the frequency and type of alleged misconduct. Separately, we also reviewed documentation from DODIG on civilian DOD PAS official allegations and investigation results reported to the Secretary of Defense and Congress since fiscal year 2013.", "In addressing our objectives, we met with officials from the organizations identified in table 9.", "We conducted this performance audit from October 2016 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives.", "While this audit was initiated in October 2016, work was suspended from December 2016 until September 2017 due to other engagement work."], "subsections": []}, {"section_title": "Appendix II: Additional Examples of DODIG Initiatives to Improve Timeliness", "paragraphs": ["This appendix provides additional examples of Department of Defense Office of Inspector General (DODIG) timeliness improvement initiatives. According to DODIG officials, recent steps to improve the timeliness of whistleblower reprisal and senior official misconduct intakes, investigations, and oversight reviews include:", "Transferring the intake of most military reprisal complaints to the DODIG oversight branch for increased consistency.", "Changing the intake metric from 30 to 45 days for non-military reprisal cases to allow for more robust intakes.", "Not requiring a clarification interview when a written reprisal complaint is clear.", "Requesting documents from the employer at the intake stage in contractor reprisal cases.", "Interviewing subjects early in the investigation, when appropriate.", "Conducting investigative travel only when doing so would save time or for other compelling reasons. Otherwise, most interviews are conducted by phone or video teleconference and information is requested in opening letters for investigations to facilitate early receipt of documentary evidence.", "Using summary reports of investigation to facilitate timelier report- writing and review. DODIG issued 24 summary reports in fiscal year 2018, starting in May, for simple, non-substantiated investigations.", "Eliminating the requirement to conduct peer reviews of the reprisal reports of investigation, except at supervisors\u2019 discretion.", "Using standardized complaint notification and determination forms across DOD to formalize the processing of complaints received by component and service IGs.", "Implementing a more robust intake process for senior official misconduct investigations, which includes complaint clarifications and more investigative work. According to DODIG officials, most of the complaints reviewed during this new process would have otherwise been investigated by DODIG or the military service IGs, with a negative impact on the overall timeliness of investigations.", "Authorizing the military service IGs to close and simultaneously notify the DODIG reprisal investigations directorate of actions taken for complaints relating to uncooperative complainants, untimely complaints, and withdrawn complaints. This has increased notification rates and decreased processing time, according to DODIG officials."], "subsections": []}, {"section_title": "Appendix III: Characteristics of Closed Misconduct and Reprisal Cases Involving Civilian DOD Presidential Appointees with Senate Confirmation", "paragraphs": ["This appendix provides information on the characteristics of closed and dismissed misconduct and reprisal cases involving civilian DOD Presidential appointee with Senate confirmation (PAS) officials based on our analysis of fiscal year 2013 through fiscal year 2017 case data from the Department of Defense Office of Inspector General (DODIG) case- management system and our review of dismissed cases. DODIG closed 129 cases from October 1, 2012, through September 30, 2017, of which 125 were dismissed. Of the 125 dismissed cases, 117 were misconduct cases and eight were reprisal cases."], "subsections": [{"section_title": "Organizational Source of Complaints Dismissed in Fiscal Years 2013-2017", "paragraphs": ["DODIG dismissed 125 civilian DOD PAS official misconduct and reprisal cases. The largest number of cases\u201440 (32 percent)\u2014were submitted by defense agency employees. Employees from the Navy submitted the next highest number of complaints, with 31 (25 percent), followed by the Army, which accounted for 26 (21 percent) of the complaints. Figure 9 shows the percentage of dismissed cases closed from fiscal years 2013 through 2017, by organizational source."], "subsections": []}, {"section_title": "DODIG Number of Days to Close Dismissed Cases, Fiscal Years 2013-2017", "paragraphs": ["Our review of the 125 dismissed civilian DOD PAS official cases closed by DODIG from fiscal years 2013 through 2017 showed that the majority of cases were closed in 30 days or less. Specifically, approximately 81 percent of the cases were closed in 30 days or less, and 58 percent of the cases were closed in 10 days or less. Table 10 groups the cases dismissed in each fiscal year from fiscal years 2013 through 2017 by the number of days to close."], "subsections": []}, {"section_title": "DODIG Closed Misconduct Case Allegations, Fiscal Years 2013-2017", "paragraphs": ["We reviewed data on the number and type of allegations made against civilian DOD PAS officials in the 117 closed misconduct cases from fiscal years 2013 through 2017. In total, there were 152 allegations across the 117 closed cases. Allegations are grouped into 13 broad categories and 38 sub-allegation categories. From fiscal years 2013 through 2017, we found that the greatest proportion of allegations, at 47 percent, were personal misconduct and ethical violations. Personnel matters\u2014at 14 percent\u2014and \u201cother\u201d\u2014an indeterminate category at 12 percent\u2014were the next two largest in proportion of allegations. Figure 10 provides the percentages of allegations in closed misconduct cases from fiscal years 2013 through 2017."], "subsections": []}]}, {"section_title": "Appendix IV: Survey of Select DODIG Employees", "paragraphs": ["GAO administered the survey questions shown in this appendix to learn more about DODIG processes related to the access and protection of whistleblower records, and the avenues available to DODIG employees to resolve conflict and report alleged misconduct themselves. The survey was divided into four sections: information access and protection, confidentiality, resolving internal conflict, and reporting misconduct. Survey questions without response options were open-ended. This appendix accurately shows the content of the web-based survey but the format of the questions and responses options have been changed for readability in this report. For more information about our methodology for designing and administering the survey, see appendix I. 1. How long have you worked in Administrative Investigations (AI)?", "Please consider your full tenure across all AI directorates (DOD Hotline, Investigations of Senior Officials, and Whistleblower Reprisal Investigations) if you have worked in more than one directorate. (Response options provided: radio buttons labeled \u201cLess than 1 year,\u201d \u201c1 year or more but less than 5 years,\u201d \u201c5 years or more but less than 10 years,\u201d and \u201c10 years or more.\u201d)", "SECTION I: Information Access and Protection 2.", "Formal training (in-person/w eb-based)", "Informal training (staff meetings/briefings)", "Please describe any other guidance you have received . ii. Do you believe the guidance identified above is sufficient or insufficient in specifying requirements for properly securing whistleblower records in your directorate? Select only one \u0000 Sufficient \uf0e8 SKIP to Question 4 Insufficient \uf0e8 Continue to 1 below \u0000 Not sure \uf0e8 SKIP to Question 4 1. Why do you believe the guidance is insufficient? SKIP to iii. Would guidance that specifies access restrictions and security controls for handling whistleblower records be helpful? (Response options provided: radio button labeled \u201cyes\u201d and \u201cno.\u201d) 1. Please explain why guidance would or would not be helpful. 4. Are you aware of any controls in place to restrict access to D-CATS records to only DODIG employees (either within or outside your directorate) with a need to know? Select only one \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to Question 5 I\u2019m not sure \uf0e8 SKIP to Question 5 i.", "Please describe the control(s) in place to restrict access to D- CATS records. 5. During your tenure at DODIG, have you or other DODIG employees (either within or outside your directorate) been able to access records in D-CATS without a need to know? This applies to potential access to records, regardless of whether anyone actually accessed records or not. \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to Question 6 I don\u2019t know \uf0e8 SKIP to Question 6 i. Which DODIG directorate\u2019s records have you or other DODIG employees been able to access without a need to know? (Response options provided: checkboxes labeled \u201cDOD Hotline,\u201d \u201cInvestigations of Senior Officials,\u201d \u201cWhistleblower Reprisal Investigations,\u201d and \u201cOffice of Professional Responsibility.\u201d) ii.", "Are you aware of any actions taken to address the ability of DODIG employees to access records without a need to know? Examples of actions taken include a policy or procedure change, additional guidance, or other actions taken. \u0000 Yes \uf0e8 Continue to 1 below \u0000 No \uf0e8 SKIP to 2 below 1. Please describe the action(s) taken. 2. What improvements, if any, could be made to address the ability of DODIG employees to access records without a need to know? 6. Do you believe protections are sufficient or insufficient to ensure only DODIG employees with a need to know can access records in D- CATS? Select only one \u0000 Sufficient \uf0e8 Continue to i \u0000 Not sure \uf0e8 SKIP to Question 7 i. Why do you believe the protections are sufficient or insufficient? 7. Are you able to access classified information when needed to perform the duties required of your position? Select only one \u0000 Yes \uf0e8 SKIP to Question 8 \u0000 No \uf0e8 Continue to i I do not require access to classified information to perform the duties of my position \uf0e8 SKIP to Question 8 i.", "Formal training (in-person/w eb- based)", "Informal training (staff meetings/briefings)", "Please describe any other guidance you have received.", "Formal training (in-person/w eb- based)", "Informal training (staff meetings/briefings)", "Please describe any other guidance you have received. ii. Do you believe the guidance identified above is sufficient or insufficient in specifying how to determine whether disclosing the identity of a complainant or source (e.g., witness) is unavoidable? \u0000 Sufficient \uf0e8 SKIP to 2 below Insufficient \uf0e8 Continue to 1 below \u0000 Not sure \uf0e8 SKIP to 2 below 1. Why do you believe the guidance is insufficient? 2. What improvements, if any, do you think could be made to guidance specifying how to determine whether disclosing the identity of a complainant or source (e.g., witness) is unavoidable? (After answering, SKIP to Question 12) iii. Would guidance that specifies how to determine whether disclosing the identity of a complainant or source (e.g., witness) is unavoidable be helpful? (Response options provided: radio buttons labeled \u201cyes\u201d and \u201cno.\u201d) 1. Please explain why guidance would or would not be helpful. 12. To your knowledge, is there one or more official(s) who is responsible for determining whether disclosing the identity of a complainant or source (e.g., witness) is unavoidable? \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to Question 13 I don\u2019t know \uf0e8 SKIP to Question 13 i. Who is responsible for determining whether disclosing the identity of a complainant or source (e.g., witness) is unavoidable? 13. While working in AI, have you ever encountered a situation where disclosing the identity of a complainant or source (e.g., witness) was unavoidable? \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to Question 14 i. Please describe the general circumstance(s) and the steps you took to verify that the circumstance(s) required disclosing the identity of a complainant or source (e.g., witness). Please do not provide individual names related to the actors involved. 14. Between June 1, 2017, and today, are you aware \u2014 either by experiencing firsthand or directly observing actions of another person \u2013 of an instance where the identity of a complainant or source (e.g., witness) was disclosed by a DODIG employee to an organization or individual without a need to know (i.e., an avoidable disclosure)? Please check only one below. \u0000 No, I am not aware of any avoidable disclosures \uf0e8 SKIP to \u0000 Yes, I am aware of one or more avoidable disclosure(s) \uf0e8 Continue to i i. How many avoidable disclosures are you aware of between June 1, 2017, and today? For example, if the identity of a complainant was revealed to one person who did not have a need to know, please consider that event as one instance. Similarly, if the identity of a source was revealed separately to two different people who did not have a need to know, please consider those events as two instances. ii. Please describe any actions taken in response to the avoidable disclosure(s) you are aware of between June 1, 2017, and today. Examples of actions taken include but may not be limited to retracting/recalling a referred complaint, a change to policy, procedure or guidance, and notifying the complainant or source, among other actions. 15. What improvements, if any, could be made to prevent avoidable disclosures from happening in the future? 16. Please describe any best practices that you follow to help prevent avoidable disclosures.", "SECTION III: Resolving Internal Conflict 17. Have you ever contacted the DODIG Office of the Ombuds or participated in a DODIG Office of the Ombuds activity in order to address conflict among DODIG employees? Examples of DODIG Office of the Ombuds activities include but are not limited to providing confidential advice for resolving conflict among peers and supervisors and participating in an Ombuds-led mediation among DODIG employees. \u0000 Yes \uf0e8 Continue to i \u0000 No, but I know about the DODIG Office of the Ombuds \uf0e8 I do not know about the DODIG Office of the Ombuds \uf0e8 SKIP to the next section i. Do you believe the DODIG Office of the Ombuds provided or is providing sufficient or insufficient assistance to address the conflict(s) for which you contacted the Ombuds or participated in an Ombuds activity? \u0000 Sufficient \uf0e8 Continue to 1 Insufficient \uf0e8 Continue to 1 \u0000 Too soon to tell \uf0e8 Continue to 1 1. Please describe, in general terms, your latest experience working with the DODIG Office of the Ombuds. Please do not provide the names of individuals involved with your experience. 18. Have you ever considered reaching out to the DODIG Office of the Ombuds, but ultimately chose not to? \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to the next section i. How much, if at all, did each of the following contribute to your decision not to utilize DODIG Office of the Ombuds services? Select one in each row.", "Resolved the issue through another avenue Not sure how to initiate contact w ith the Ombuds Concern about length of process Concern about objectivity or conflict of interest w ithin the Office of the Ombuds Fear that confidentiality w ould be compromised Fear of retaliation or reprisal from w ithin DODIG Please describe any other factor(s) that contributed to your decision not to utilize DODIG Office of the Ombuds services.", "SECTION IV: Reporting Misconduct 19. As a DODIG employee, have you ever personally reported misconduct against another DODIG employee through DODIG\u2019s internal process for investigating alleged misconduct? For the purposes of this survey, \u201cmisconduct\u201d refers to (1) a violation of a provision of criminal law, (2) a violation of a recognized standard, such as a federal or DOD regulation, or (3) a matter of concern involving DOD leadership that could reasonably be expected to be of significance to DODIG. \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to iii i. Did you report misconduct on or before September 30, 2016? \u0000 Yes \uf0e8 Continue to 1 below \u0000 No \uf0e8 SKIP to ii 1. Do you believe your report(s) of misconduct on or before September 30, 2016 were investigated in a fair and objective manner? (Response options provided: radio buttons labeled \u201cyes\u201d and \u201cno.\u201d) a. Please describe your general experience(s) in reporting misconduct against a DODIG employee on or before September 30, 2016, including why you do or do not believe your report(s) of misconduct were investigated in a fair and objective manner. Please do not provide the names of individuals related to the misconduct you reported. ii. Did you report misconduct on or after October 1, 2016? \u0000 Yes \uf0e8 Continue to 1 below \u0000 No \uf0e8 SKIP to Question 20 1. Do you believe your report(s) of misconduct on or after October 1, 2016 were investigated in a fair and objective manner? (Response options provided: radio buttons labeled \u201cyes,\u201d \u201cno,\u201d and \u201ctoo early to have an opinion\u201d) a. Please describe your general experience(s) in reporting misconduct against a DODIG employee on or after October 1, 2016, including why you do or do not believe your report(s) of misconduct were investigated in a fair and objective manner. Please do not provide the names of individuals related to the misconduct you reported. iii. Do you know how to report misconduct against another DODIG employee through DODIG\u2019s internal process? (Response options provided: radio buttons labeled \u201cyes\u201d and \u201cno.\u201d) 20. Thinking about the time period on or before September 30, 2016, did you ever consider reporting misconduct against a DODIG employee through DODIG\u2019s internal process, but ultimately choose not to? \u0000 Yes \uf0e8 Continue to i \u0000 No \uf0e8 SKIP to Question 21 i. How much, if at all, did each of the following contribute to your decision not to report incident(s) of misconduct on or before September 30, 2016? Select one in each row.", "Resolved the issue through another avenue Not sure how to report misconduct Concern about length of process Concern about objectivity or conflict of interest w ithin DODIG\u2019s internal process to report misconduct Fear that confidentiality w ould be compromised Fear of retaliation or reprisal from w ithin DODIG Please describe any other factor(s) that contributed to your decision not to report incidents of misconduct on or before September 30, 2016.", "21. Thinking about the time period on or after October 1, 2016, did you ever consider reporting misconduct against a DODIG employee through DODIG\u2019s internal process, but ultimately choose not to? \u0000 Yes \uf0e8 Continue to i below \u0000 No \uf0e8 SKIP to Question 22 i. How much, if at all, did each of the following contribute to your decision not to report incident(s) of misconduct on or after October 1, 2016? Select one in each row.", "Resolved the issue through another avenue Not sure how to report misconduct Concern about length of process Concern about objectivity or conflict of interest w ithin DODIG\u2019s internal process to report misconduct Fear that confidentiality w ould be compromised Fear of retaliation or reprisal from w ithin DODIG Please describe any other factor(s) that contributed to your decision not to report incidents of misconduct on or after October 1, 2016.", "22. How well, if at all, do you believe DODIG\u2019s internal process for reporting misconduct protects the confidentiality of DODIG employees? (Response options provided: radio buttons labeled \u201cNot at all,\u201d \u201cSlightly,\u201d \u201cSomewhat,\u201d \u201cVery well,\u201d and \u201cI don\u2019t know.\u201d) 23. What improvements, if any, do you think could be made to DODIG\u2019s internal process for reporting misconduct to protect the confidentiality of DODIG employees? 24. How well, if at all, do you believe DODIG\u2019s internal process handles misconduct allegations against DODIG employees? This includes activities associated with both assessing incoming complaints and subsequently investigating them, as appropriate. (Response options provided: radio buttons labeled \u201cNot at all,\u201d \u201cSlightly,\u201d \u201cSomewhat,\u201d \u201cVery well,\u201d and \u201cI don\u2019t know.\u201d) 25. What factors contribute to your opinion about DODIG\u2019s internal process for handling misconduct allegations against DODIG employees? 26. What improvements, if any, do you think could be made to DODIG\u2019s internal process to improve the handling of misconduct allegations? 27. If you would like to comment on any of the topics covered by this survey, or anything else that you feel might be relevant to our review on the DOD whistleblower program, please do so below."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Alissa Czyz (Assistant Director),Tracy Barnes, Amy Bush, Nicole Collier, Ryan D\u2019Amore, Chad Hinsch, Linda Keefer, Kevin Keith, Amie Lesser, Serena Lo, Michael Silver, and Lillian Yob made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Office of Special Counsel: Actions Needed to Improve Processing of Prohibited Personnel Practice and Whistleblower Disclosure Cases. GAO-18-400. Washington, D.C.: June 14, 2018.", "NASA Contractor Whistleblowers: Steps Taken to Implement Program but Improvements to Timeliness and Guidance Needed. GAO-18-262. Washington, D.C.: March 8, 2018.", "Whistleblower Protection: Opportunities Exist for DOD to Improve the Timeliness and Quality of Civilian and Contractor Reprisal Investigations. GAO-17-506. Washington, D.C.: September 29, 2017.", "Contractor Whistleblower Protections Pilot Program: Improvements Needed to Ensure Effective Implementation. GAO-17-227. Washington, D.C.: March 2, 2017.", "Whistleblower Protection: Additional Actions Would Improve Recording and Reporting of Appeals Data. GAO-17-110. Washington, D.C.: November 28, 2016.", "Whistleblower Protection: DOD Has Improved Oversight for Reprisal Investigations but Can Take Additional Actions to Standardize Process and Reporting. GAO-16-860T. Washington, D.C.: September 7, 2016.", "Department of Energy: Whistleblower Protections Need Strengthening. GAO-16-618. Washington, D.C.: July 11, 2016.", "Whistleblower Protection: DOD Needs to Enhance Oversight of Military Whistleblower Reprisal Investigations. GAO-15-477. Washington, D.C.: May 7, 2015.", "Whistleblower Protection: Additional Actions Needed to Improve DOJ\u2019s Handling of FBI Retaliation Complaints. GAO-15-112. Washington, D.C.: January 23, 2015.", "Whistleblower Protection Program: Opportunities Exist for OSHA and DOT to Strengthen Collaborative Mechanisms. GAO-14-286. Washington, D.C.: March 19, 2014.", "Whistleblower Protection: Actions Needed to Improve DOD\u2019s Military Whistleblower Reprisal Program. GAO-12-362. Washington, D.C.: February 22, 2012."], "subsections": []}], "fastfact": ["People can report potential misconduct, fraud, and other wrongdoing involving DOD personnel to one of several DOD Inspector General offices. Those offices safeguard whistleblowers' personal information in order to protect them from retaliation\u2014such as a demotion. Confidentiality can also encourage reporting.", "Yet, we found that some of the guidance for the investigators doesn\u2019t specify some key steps to protect confidentiality, and Inspector General offices have not fully restricted access to information to only those who need to know.", "We made 12 recommendations to help protect whistleblowers and improve investigations."]} {"id": "GAO-19-128", "url": "https://www.gao.gov/products/GAO-19-128", "title": "Weapon Systems Cybersecurity: DOD Just Beginning to Grapple with Scale of Vulnerabilities", "published_date": "2018-10-09T00:00:00", "released_date": "2018-10-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD plans to spend about $1.66 trillion to develop its current portfolio of major weapon systems. Potential adversaries have developed advanced cyber-espionage and cyber-attack capabilities that target DOD systems. Cybersecurity\u2014the process of protecting information and information systems\u2014can reduce the likelihood that attackers are able to access our systems and limit the damage if they do.", "GAO was asked to review the state of DOD weapon systems cybersecurity. This report addresses (1) factors that contribute to the current state of DOD weapon systems' cybersecurity, (2) vulnerabilities in weapons that are under development, and (3) steps DOD is taking to develop more cyber resilient weapon systems.", "To do this work, GAO analyzed weapon systems cybersecurity test reports, policies, and guidance. GAO interviewed officials from key defense organizations with weapon systems cybersecurity responsibilities as well as program officials from a non-generalizable sample of nine major defense acquisition program offices."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) faces mounting challenges in protecting its weapon systems from increasingly sophisticated cyber threats. This state is due to the computerized nature of weapon systems; DOD's late start in prioritizing weapon systems cybersecurity; and DOD's nascent understanding of how to develop more secure weapon systems. DOD weapon systems are more software dependent and more networked than ever before (see figure).", "Automation and connectivity are fundamental enablers of DOD's modern military capabilities. However, they make weapon systems more vulnerable to cyber attacks. Although GAO and others have warned of cyber risks for decades, until recently, DOD did not prioritize weapon systems cybersecurity. Finally, DOD is still determining how best to address weapon systems cybersecurity.", "In operational testing, DOD routinely found mission-critical cyber vulnerabilities in systems that were under development, yet program officials GAO met with believed their systems were secure and discounted some test results as unrealistic. Using relatively simple tools and techniques, testers were able to take control of systems and largely operate undetected, due in part to basic issues such as poor password management and unencrypted communications. In addition, vulnerabilities that DOD is aware of likely represent a fraction of total vulnerabilities due to testing limitations. For example, not all programs have been tested and tests do not reflect the full range of threats.", "DOD has recently taken several steps to improve weapon systems cybersecurity, including issuing and revising policies and guidance to better incorporate cybersecurity considerations. DOD, as directed by Congress, has also begun initiatives to better understand and address cyber vulnerabilities. However, DOD faces barriers that could limit the effectiveness of these steps, such as cybersecurity workforce challenges and difficulties sharing information and lessons about vulnerabilities. To address these challenges and improve the state of weapon systems cybersecurity, it is essential that DOD sustain its momentum in developing and implementing key initiatives. GAO plans to continue evaluating key aspects of DOD's weapon systems cybersecurity efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations at this time. GAO will continue to evaluate this issue."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) plans to spend about $1.66 trillion to develop its current portfolio of weapon systems. These weapons are essential to maintaining our nation\u2019s military superiority and for deterrence. It is important that they work when needed, yet cyber attacks have the potential to prevent them from doing so. Cyber attacks can target any weapon subsystem that is dependent on software, potentially leading to an inability to complete military missions or even loss of life. Examples of functions enabled by software\u2014and potentially susceptible to compromise\u2014include powering a system on and off, targeting a missile, maintaining a pilot\u2019s oxygen levels, and flying aircraft. An attacker could potentially manipulate data in these systems, prevent components or systems from operating, or cause them to function in undesirable ways.", "Some advanced threat actors are aware of this and have well-funded units that focus on positioning themselves to potentially undermine U.S. capabilities. For example, according to the National Security Agency (NSA), advanced threats are targeting national security systems. According to the Department of Homeland Security\u2019s U.S. Computer Emergency Readiness Team and industry reports, advanced threats may conduct complex, long-term cyber attack operations. These reports show that threats may employ cyber reconnaissance, such as probing systems, and cyber espionage, such as cyber theft, to develop detailed knowledge of the target system to design and deploy more damaging attacks.", "Furthermore, in 2017, the Director of National Intelligence testified that some adversaries remain undeterred from conducting reconnaissance, espionage, influence, and even attacks in cyberspace.", "Cybersecurity is the process of protecting information and information systems by preventing, detecting, and responding to attacks. It aims to reduce the likelihood that attackers can access DOD systems and limit the damage if they do. Since 1997, we have designated federal information security\u2014another term for cybersecurity\u2014as a government- wide high-risk area. We have also reported and made hundreds of recommendations on a wide range of topics related to cybersecurity, such as information security programs across the federal government, privacy of personally identifiable information, critical infrastructure, and federal facility cybersecurity. We have found that the federal government needs to, among other things, improve its abilities to detect, respond to, and mitigate cyber incidents and expand its cyber workforce planning and training efforts.", "You asked us to conduct a series of reviews on DOD\u2019s efforts to improve the cybersecurity of the weapon systems it develops. This report addresses (1) factors that contribute to the current state of DOD weapon systems cybersecurity, (2) vulnerabilities in weapons that are under development, and (3) steps DOD is taking to develop more cyber resilient weapon systems. We focused primarily on weapon systems that are under development.", "To identify factors that contribute to the current state of DOD weapon systems cybersecurity, we reviewed reports issued from 1991 to the present on software, information technology (IT), networking, and weapon systems from the National Research Council, the Defense Science Board (DSB), GAO, and other organizations as well as key DOD policies and guidance. To identify vulnerabilities in weapon systems under development, we reviewed cybersecurity assessment reports from selected weapon systems that were tested between 2012 and 2017. To determine the steps DOD is taking to develop more cyber resilient weapon systems, we analyzed DOD information assurance/cybersecurity, acquisition, requirements, and testing policies and guidance that have been updated since 2014, when DOD began more concerted efforts to address weapon systems cybersecurity.", "To inform each objective, we interviewed Office of the Secretary of Defense officials, including Office of the Director, Operational Test and Evaluation; Office of the Deputy Assistant Secretary of Defense for Developmental Test and Evaluation; Office of the Chief Information Officer including the Defense Information Systems Agency; Office of the Chairman of the Joint Chiefs of Staff; Office of the Under Secretary of Defense (Acquisition and Sustainment) and Office of the Under Secretary of Defense (Research and Engineering). We interviewed officials from all military test organizations, NSA, and DOD program offices. To select the program offices, we used a purposeful sample of 9 major defense acquisition programs representing each service, multiple domains, and programs that are extensively connected to other weapons systems. We also interviewed other organizations with cybersecurity expertise. See appendix I for additional information on our scope and methodology.", "To present information in an unclassified format, we do not disclose details regarding weapon system vulnerabilities, which program offices we interviewed, or which cybersecurity assessments we reviewed. The examples we cite from cybersecurity assessments are unique to each weapon system and are not applicable to all weapon systems. Furthermore, cybersecurity assessment findings are as of a specific date, so vulnerabilities identified during system development may no longer exist when the system is fielded. In addition, we illustrated some concepts using fictitious depictions. In some cases, we were deliberately vague and excluded some details from examples to avoid identifying specific weapon systems. We also presented examples of publicly known attacks in sidebars to illustrate how poor cybersecurity can enable cyber attacks. DOD conducted a security review of the report and cleared it for public release. We will provide a classified briefing of our findings to Congress.", "This is our first report specific to cybersecurity in the context of weapon systems acquisitions. For that reason, we did not look in depth at related issues in the context of weapon systems, such as the security of contractor facilities, so-called \u201cInternet of Things\u201d devices, microelectronics, contracting, and industrial control systems. In addition, we are not making recommendations in this report, but plan to continue evaluating key aspects of DOD\u2019s weapon systems cybersecurity efforts in the future.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Weapon Systems Are Unique In Many Ways, but Face Common Cyber Vulnerabilities", "paragraphs": ["Cybersecurity issues can vary widely across different types of systems, so weapon systems cybersecurity challenges may be very different than those of some IT systems. Despite variation across systems, cybersecurity can be described using common terminology, such as the key terms below used by the National Research Council.", "Key Concept Security Controls are safeguards or countermeasures to protect the confidentiality, integrity, and availability of a system and its information. For example, a firewall is a common control to allow or block traffic based on a set of rules. Because it is impossible to define a rule for every scenario, attackers look for ways to access a system that are not covered by the rules. For example, a firewall may block traffic from a specific country, but attackers may make it appear that they are in a country that is not blocked. They may use tools to avoid the firewall, such as embedding malicious software in an e-mail and waiting for a user to open it and inadvertently install the code.", "A cyber vulnerability is a weakness in a system that could be exploited to gain access or otherwise affect the system\u2019s confidentiality, integrity, and availability.", "A cybersecurity threat is anything that can exploit a vulnerability to harm a system, either intentionally or by accident.", "Cybersecurity risk is a function of the threat (intent and capabilities), vulnerabilities (inherent or introduced), and consequences (fixable or fatal).", "Although some weapon systems are purely IT systems, most\u2014such as aircraft, missiles, and ships\u2014are what the National Institute of Standards and Technology (NIST) and sometimes DOD refer to as \u201ccyber-physical systems.\u201d NIST defines these systems as \u201cco-engineered interacting networks of physical and computational components.\u201d These cyber systems can affect the physical world so the consequences of a cyber attack may be greater than those of attacks on other types of systems. For example, an attack on a weapon system could have physical consequences that may even result in loss of life.", "Nevertheless, weapon systems share many of the same cyber vulnerabilities as other types of automated information systems. Weapon systems are large, complex, systems of systems that have a wide variety of shapes and sizes, with varying functionality. Despite obvious differences in form, function, and complexity, weapon systems and other types of systems are similar in some important, if not obvious, ways. For example, DOD reports state that many weapon systems rely on commercial and open source software and are subject to any cyber vulnerabilities that come with them. Weapon systems also rely on firewalls and other common security controls to prevent cyberattacks. Weapon system security controls can also be exploited or bypassed if the system is not properly configured. Finally, weapon systems are operated by people\u2014a significant source of cybersecurity vulnerability for any system."], "subsections": []}, {"section_title": "Anatomy of a Cyber Attack", "paragraphs": ["One common way to discuss cybersecurity is through the activities necessary to defend (or attack) a system. System developers and operators take steps to protect the system from cyber attacks, while attackers attempt to defeat those protections as depicted in figure 1. The cyber attack sequence is also referred to as a cyber kill chain or cyber attack lifecycle. There are multiple models for understanding cyber attacks, each with their own terminology and sequence of steps. The attack sequence below is simpler, but generally consistent with existing cybersecurity models. We identified the defend sequence below based on the steps included in cybersecurity test reports that we reviewed."], "subsections": []}, {"section_title": "Attack Sequence: Discover \uf0e0 Implement \uf0e0 Exploit", "paragraphs": ["Example: Importance of Patching in a Timely Manner In the 2017 Equifax cyber attack, personal data for over 145 million people were exposed. Attackers took advantage of a vulnerability in a commonly used web application to access Equifax\u2019s credit reporting system. A patch for the vulnerability was available in March, but Equifax had not applied it by the time of the attack\u2014in mid- May.", "A cyber attacker looks for ways to get around security controls in order to obtain full or partial control of the system. An attacker typically starts by learning as much as possible about the system\u2014potentially through cyber reconnaissance\u2014to identify vulnerabilities in the system. The more attackers know about the system, the more options they have when designing an attack. An attacker may identify a previously unknown vulnerability that the system owner is unaware of. Or the attacker could look for system components that had not applied known security updates\u2014also called \u201cpatches.\u201d Developers of commercial components usually publicly announce any security patches and, ironically, provide a roadmap for an attacker to attack a system or component.", "An attack may not happen all at once\u2014an attacker may find the easiest way to gain initial access and then look for ways to expand their access until they reach their ultimate goal. Even once they achieve full access to a system, an attacker may wait for an opportune time to attack the confidentiality, integrity, or availability of a system. Types of attacks are described in appendix II."], "subsections": []}, {"section_title": "Security Goals: Protect \uf0e0 Detect \uf0e0 Respond/Recover", "paragraphs": ["The system owner wants to prevent, or at least limit, attempts to adversely affect the confidentiality, integrity, or availability of the system. The owner implements security controls such as firewalls, role-based access controls, and encryption to reduce the number of potential attack points. Many controls need to be designed into the system early in the development cycle. Ideally, the controls are designed to work together and there may be layers of controls that an attacker would have to defeat in order to gain control of the system\u2014referred to as \u201cdefense in depth.\u201d", "Key Concepts Role-based access entails allowing users to only access information and features necessary to carry out their job. Encryption is a way of transforming information so that only authorized users are able to read it.", "Protecting a system also includes administrative processes, such as requiring users to regularly change their passwords and applying patches on a regular schedule\u2014referred to as cyber hygiene. However, no system can be completely secure, so system owners must also constantly monitor their systems for suspicious activity. Logging is a common system feature that automatically records system activity. Unusual patterns such as numerous failed log-in attempts from a remote location could indicate that an unauthorized person is trying to gain access to the system. Once such a cyber activity is detected, the system owner needs to take steps to end the attack and restore any system capabilities that were degraded as a result of the attacker\u2019s actions."], "subsections": []}, {"section_title": "Attack Sophistication Levels", "paragraphs": ["We reported in 2015 that federal and contractor systems face an evolving array of cyber-based threats, including criminals, hackers, adversarial nations, and terrorists. Threats can range from relatively unskilled \u201cscript kiddies\u201d who only use existing computer scripts or code to hack into computers, to well-resourced and highly skilled advanced threats who not only have sophisticated hacking skills, but also normally gather detailed knowledge of the systems they attack. Table 1 provides brief descriptions of the terminology DOD uses to categorize threats."], "subsections": []}, {"section_title": "DOD Weapon Systems Requirements and Acquisition Processes", "paragraphs": ["Weapons systems are developed, acquired, and deployed within the defense acquisition system, a system of statutes and regulations. Subject to control of the DOD, the Army, Air Force, Navy, and Marine Corps by law have authority to \u201corganize, train, and equip\u201d their services. Their decisions regarding what to develop and how best to do so are informed by documents and deliberations under DOD\u2019s requirements and acquisition processes respectively. Early in the acquisition lifecycle, the requirements process identifies what capabilities are needed and evaluates options to best meet those needs. The acquisition process is a gated review process that assesses programs against established review criteria, such as the program\u2019s cost, schedule, performance, and whether the weapon system is ready to move forward in the acquisition process. Numerous military-service entities are involved in these processes. Key enterprise-level organizations include the Joint Staff and Office of the Secretary of Defense organizations, such as the Office of the Under Secretary of Defense (Acquisition and Sustainment), Office of the Under Secretary of Defense (Research and Engineering), and the Director of Operational Test and Evaluation (DOT&E)."], "subsections": []}, {"section_title": "Organizations Responsible for Weapon Systems Cybersecurity", "paragraphs": ["Example: Increased Reliance on Software In the 2015 JEEP Cherokee cyber attack, researchers remotely took physical control of a JEEP, including shutting off the engine and controlling the brakes. In 2016, we reported that electronic systems control multiple passenger vehicle functions and that vehicles include multiple interfaces that leave them vulnerable to cyber attacks. Researchers studied a JEEP to understand its systems, including the characteristics of its software code and its \"CAN Bus,\" which connects to units that control core vehicle functions. They remotely accessed an Internet-connected component and used it as an initial entry point to access the vehicle's CAN Bus, which then allowed them to control many of the JEEP\u2019s functions.", "Just as many DOD organizations are responsible for weapon systems acquisitions, many have responsibilities related to cybersecurity during the acquisition process. For example, program offices are responsible for planning and implementing cybersecurity measures for the system under development. Authorizing officials are responsible for overseeing programs\u2019 adherence to security controls and for authorizing a system\u2019s entry into operations based on the system having an acceptable level of cyber risk. At key decision points, the Office of the Under Secretary of Defense (Research and Engineering) is responsible for advising the Secretary of Defense and providing independent technical risk assessments that address a variety of topics, including the system\u2019s cybersecurity posture. Military test organizations conduct cybersecurity assessments of weapon systems. DOT&E oversees those tests and is funding research on the cybersecurity of some weapon system components that pose particular cybersecurity challenges.", "Organizations that are traditionally associated with cybersecurity, such as NSA and Cyber Command, support some aspects of weapon systems cybersecurity. However, they are not responsible for reviewing the designs of most weapon systems to identify potential vulnerabilities, although NSA officials said that they will provide advice to acquisition programs if asked to do so. More information about these roles and responsibilities is included in appendix III."], "subsections": []}]}, {"section_title": "Multiple Factors Make Weapon Systems Cybersecurity Increasingly Difficult, but DOD Is Just Beginning to Grapple with the Challenge", "paragraphs": ["Multiple factors contribute to the current state of DOD weapon systems cybersecurity, including: the increasingly computerized and networked nature of DOD weapons, DOD\u2019s past failure to prioritize weapon systems cybersecurity, and DOD\u2019s nascent understanding of how best to develop more cyber secure weapon systems. Specifically, DOD weapon systems are more software and IT dependent and more networked than ever before. This has transformed weapon capabilities and is a fundamental enabler of the United States\u2019 modern military capabilities. Yet this change has come at a cost. More weapon components can now be attacked using cyber capabilities. Furthermore, networks can be used as a pathway to attack other systems. We and others have warned of these risks for decades. Nevertheless, until recently, DOD did not prioritize cybersecurity in weapon systems acquisitions. In part because DOD historically focused on the cybersecurity of its networks but not weapon systems themselves, DOD is in the early stage of trying to understand how to apply cybersecurity to weapon systems. Several DOD officials explained that it will take some time, and possibly some missteps, for the department to learn what works and does not work with respect to weapon systems cybersecurity."], "subsections": [{"section_title": "DOD Weapon Systems Are Increasingly Complex and Networked, Increasing Cyber Vulnerabilities", "paragraphs": ["DOD\u2019s weapon systems are increasingly dependent on software and IT to achieve their intended performance. The amount of software in today\u2019s weapon systems is growing exponentially and is embedded in numerous technologically complex subsystems, which include hardware and a variety of IT components, as depicted in figure 2.", "Nearly all weapon system functions are enabled by computers\u2014ranging from basic life support functions, such as maintaining stable oxygen levels in aircraft, to intercepting incoming missiles. DOD has actively sought ways to introduce this automation into weapon systems. For example, we have reported that for decades, the Navy has sought to reduce ship crew size based, in part, on the assumption that some manual tasks could be automated and fewer people would be needed to operate a ship.", "Yet this growing dependence on software and IT comes at a price. It significantly expands weapons\u2019 attack surfaces. According to DOT&E, any exchange of information is a potential access point for an adversary. Even \u201cair gapped\u201d systems that do not directly connect to the Internet for security reasons could potentially be accessed by other means, such as USB devices and compact discs. Weapon systems have a wide variety of interfaces, some of which are not obvious, that could be used as pathways for adversaries to access the systems, as is shown in figure 3.", "DOD systems are also more connected than ever before, which can introduce vulnerabilities and make systems more difficult to defend. According to the DSB, nearly every conceivable component in DOD is networked. Weapon systems connect to DOD\u2019s extensive set of networks\u2014called the DOD Information Network\u2014and sometimes to external networks, such as those of defense contractors. Technology systems, logistics, personnel, and other business-related systems sometimes connect to the same networks as weapon systems. Furthermore, some weapon systems may not connect directly to a network, but connect to other systems, such as electrical systems, that may connect directly to the public Internet, as is depicted in figure 4.", "These connections help facilitate information exchanges that benefit weapon systems and their operators in many ways\u2014such as command and control of the weapons, communications, and battlespace awareness. If attackers can access one of those systems, they may be able to reach any of the others through the connecting networks. Many officials we met with stated that including weapon systems on the same networks with less protected systems puts those weapon systems at risk. Furthermore, the networks themselves are vulnerable. DOT&E found that some networks were not survivable in a cyber-contested environment and the DSB reported in 2013 that \u201cthe adversary is in our networks.\u201d", "Further complicating matters, weapon systems are dependent on external systems, such as positioning and navigation systems and command and control systems in order to carry out their missions\u2014and their missions can be compromised by attacks on those other systems. A successful attack on one of the systems the weapon depends on can potentially limit the weapon\u2019s effectiveness, prevent it from achieving its mission, or even cause physical damage and loss of life."], "subsections": []}, {"section_title": "Despite Warnings, Cybersecurity Has Not Been a Focus of Weapon Systems Acquisitions", "paragraphs": ["We and other organizations have identified risks associated with increased reliance on software and networking since at least the early 1990s, as is shown in table 2.", "Nevertheless, DOD has only recently begun prioritizing weapon systems cybersecurity. Instead, for many years, DOD focused cybersecurity efforts on protecting networks and traditional IT systems, such as accounting systems, rather than weapons. Experts we interviewed as well as officials from program offices, the Office of the Secretary of Defense, and some military test organizations explained that, until around 2014, there was a general lack of emphasis on cybersecurity throughout the weapon systems acquisition process. Others have reported similar findings. For example, the DSB reported in 2013 that although DOD had taken great care to secure the use and operation of the hardware of its weapon systems, it had not devoted the same level of resources and attention to IT systems that support and operate those weapons and critical IT capabilities embedded within the weapon systems. The National Research Council reported in 2014 that much broader and more systematic attention to cybersecurity was needed in the acquisition process and that the Navy was in the \u201ccrawl\u201d stage of a \u201ccrawl-walk-run\u201d journey. Similarly, the Navy reported in 2015 that there was a lack of attention to cybersecurity in the acquisition process and platform IT systems were not engineered with cybersecurity as a key component.", "In the past, consideration of cybersecurity was not a focus of the key processes governing the development of weapon systems. It was not a focus of key acquisition and requirements policies nor was it a focus of key documents that inform decision-making. For example, until a few years ago, DOD\u2019s main requirements policy did not call for programs to factor cyber survivability into their key performance parameters. Key performance parameters are the most important system capabilities, called \u201crequirements,\u201d that must be met when developing weapon systems. They are established early on in an acquisition program and drive system design decisions. They are also used as a benchmark to measure program performance and are reviewed during acquisition decisions and other oversight processes. Because cybersecurity key performance parameters were not required, Joint Staff officials and some program officials said that many current weapon systems had no high- level cybersecurity requirements when they began, which in turn limited emphasis on cybersecurity during weapon system design, development, and oversight. In addition, Joint Staff officials said that, historically, cybersecurity was not a factor in analyses of alternatives. This analysis is an important early step in acquiring a new weapon system and informs decisions about the relative effectiveness, costs, and risks of potential systems that could be developed. By not considering cybersecurity in these analyses, decisions about which system to develop were made without consideration of whether one proposed system might be more inherently vulnerable from a cyber perspective than others.", "Programs\u2019 lack of cybersecurity requirements may have also contributed to challenges with incorporating cybersecurity into weapon systems testing. Specifically, DOT&E and service test agencies said that prior to around 2014, program offices tried to avoid undergoing cybersecurity assessments because they did not have cybersecurity requirements and therefore thought they should not be evaluated. Furthermore, test officials said that many within DOD did not believe cybersecurity applied to weapon systems. As a result, fewer cybersecurity assessments were conducted at that time in comparison to recent years.", "By not incorporating cybersecurity into key aspects of the requirements and acquisition processes, DOD missed an opportunity to give cybersecurity a more prominent role in key acquisition decisions. Numerous officials we met with said that this failure to address weapon systems cybersecurity sooner will have long-lasting effects on the department. Due to this lack of focus on weapon systems cybersecurity, DOD likely has an entire generation of systems that were designed and built without adequately considering cybersecurity. Bolting on cybersecurity late in the development cycle or after a system has been deployed is more difficult and costly than designing it in from the beginning. Not only is the security of those systems and their missions at risk, the older systems may put newer systems in jeopardy. Specifically, if DOD is able to make its newer systems more secure, but connects them to older systems, this puts the newer systems at risk. Furthermore, even if they are not connected, if the newer systems depend on the older systems to help fulfill their missions, those missions may be at risk."], "subsections": []}, {"section_title": "DOD Is Still Learning How to Address Weapon Systems Cybersecurity", "paragraphs": ["DOD is still determining how best to address weapon systems cybersecurity given weapon systems\u2019 different and particularly challenging cybersecurity needs. Although there are similarities between weapon systems and traditional IT systems, DOD has acknowledged that it may not be appropriate to apply the same cybersecurity approach to weapon systems as traditional IT systems. RAND reported and several program officials we met with stated that DOD\u2019s security controls were developed with IT systems, and not weapon systems, in mind. DOD policies and guidance acknowledge that tailoring may be warranted, but they do not yet specify how the approaches to the security controls should differ.", "Key Concept Industrial control system is a general term that encompasses several types of control systems including supervisory control and data acquisition systems, distributed control systems, and programmable logic controllers. Industrial control systems monitor or control other systems and processes and may be used to automate tasks such as opening and closing valves.", "DOD is still in the process of determining how to make weapon system components with particular cyber vulnerabilities as secure as possible. For example, many weapon systems use industrial control systems to monitor and control equipment, and like computers, they include software. Many weapon systems use such systems to carry out essential functions. For example, a ship may use industrial control systems to control engines and fire suppression systems. According to NIST, industrial control systems were originally designed for use in trusted environments, so many did not incorporate security controls. Government and industry reports state that attacks on these systems are increasing. However, DOD officials said that program offices may not know which industrial control systems are embedded in their weapons or what the security implications of using them are. Over the past few years, DOD has begun funding work to improve its understanding of how to best secure these systems. In addition, Office of the Secretary of Defense officials informed us that, in response to section 1650 of the National Defense Authorization Act for Fiscal Year 2017, they are working to better understand the dependency of industrial control systems on mission impact, including other key infrastructure nodes that could be vulnerable to a cyber attack and have significant impact to mission accomplishment.", "Key Concept Vulnerability chaining is when attackers take advantage of multiple vulnerabilities\u2014 which could be low or moderate risk in isolation\u2014to perform a more significant attack on a system.", "Several weapon system-specific factors make it important to tailor cybersecurity approaches, but also make cybersecurity difficult. Because weapon systems can be very large, complex, systems of systems with many interdependencies, updating one component of a system can impact other components. A patch or software enhancement that causes problems in an email system is inconvenient, whereas one that affects an aircraft or missile system could be catastrophic. Officials from one program we met with said they are supposed to apply patches within 21 days of when they are released, but fully testing a patch can take months due to the complexity of the system. Even when patches have been tested, applying the patches may take additional time. Further, weapon systems are often dispersed or deployed throughout the world. Some deployed systems may only be patched or receive software enhancements when they return to specific locations. Although there are valid reasons for delaying or forgoing weapon systems patches, this means some weapon systems are operating, possibly for extended periods, with known vulnerabilities.", "Exacerbating matters, some program offices may also not yet have a solid understanding of the cybersecurity implications of their systems\u2019 designs, including their systems\u2019 connectivity. This situation makes it difficult to secure the system. Experts and officials from some test organizations we met with stated that programs have generally not understood the multitude of ways that information flows in and out of their systems, although this may be improving. Several program officials we met with felt that weapon systems were more secure than other types of systems and noted that they typically did not have direct connections to the Internet. In fact, weapon systems have more potential avenues of attack than may be apparent, such as radio communications receivers and radar receivers. Furthermore, the National Research Council reported in 2014 that individual warfare domains do not fully grasp risks within their own domain, let alone those that can be introduced through other domains. For example, if a space system is connected to a land system\u2014even indirectly\u2014an attacker may be able to move from one to the other or limit the operations of one by attacking the other."], "subsections": []}]}, {"section_title": "Tests Revealed that Most Weapon Systems Under Development Have Major Vulnerabilities, and DOD Likely Does Not Know the Full Extent of the Problems", "paragraphs": ["We found that from 2012 to 2017, DOD testers routinely found mission- critical cyber vulnerabilities in nearly all weapon systems that were under development. Using relatively simple tools and techniques, testers were able to take control of these systems and largely operate undetected. In some cases, system operators were unable to effectively respond to the hacks. Furthermore, DOD does not know the full scale of its weapon system vulnerabilities because, for a number of reasons, tests were limited in scope and sophistication."], "subsections": [{"section_title": "Weapon Systems Cybersecurity Assessments Identified Mission-Critical Vulnerabilities", "paragraphs": ["Nearly all major acquisition programs that were operationally tested between 2012 and 2017 had mission-critical cyber vulnerabilities that adversaries could compromise. DOT&E\u2019s 2017 annual report stated that tests consistently discovered mission-critical vulnerabilities in acquisition programs, echoing a similar finding by the DSB in 2013 about DOD IT systems and networks. Cybersecurity test reports that we reviewed showed that test teams were able to gain unauthorized access and take full or partial control of these weapon systems in a short amount of time using relatively simple tools and techniques. We saw widespread examples of weaknesses in each of the four security objectives that cybersecurity tests normally examine: protect, detect, respond, and recover."], "subsections": [{"section_title": "Protect", "paragraphs": ["Key Concepts An insider is a user who is authorized to use a system (e.g., has a username and password) and has physical access to all or parts of a system. A near-sider is an unauthorized user who has physical access to all or part of a system. For example, someone taking a tour of a Navy ship would be a near-sider. A remote user is not authorized to use the system and does not have physical access to the system.", "Test teams were able to defeat weapon systems cybersecurity controls meant to keep adversaries from gaining unauthorized access to the systems. In one case, it took a two-person test team just one hour to gain initial access to a weapon system and one day to gain full control of the system they were testing. Some programs fared better than others. For example, one assessment found that the weapon system satisfactorily prevented unauthorized access by remote users, but not insiders and near-siders. Once they gained initial access, test teams were often able to move throughout a system, escalating their privileges until they had taken full or partial control of a system. In one case, the test team took control of the operators\u2019 terminals. They could see, in real-time, what the operators were seeing on their screens and could manipulate the system. They were able to disrupt the system and observe how the operators responded. Another test team reported that they caused a pop-up message to appear on users\u2019 terminals instructing them to insert two quarters to continue operating. Multiple test teams reported that they were able to copy, change, or delete system data including one team that downloaded 100 gigabytes, approximately 142 compact discs, of data.", "Example: Poor Password Management The 2016 cyber attack on Dyn, a company that serves as a key intermediary in directing Internet traffic, disabled websites, such as Twitter, Netflix, and CNN and brought down the Internet in some regions. The attack used malware to search the Internet for unsecured devices, such as those that used factory- default usernames and passwords, and then used those devices to send junk traffic to online targets until they could not function.", "The test reports indicated that test teams used nascent to moderate tools and techniques to disrupt or access and take control of weapon systems. For example, in some cases, simply scanning a system caused parts of the system to shut down. One test had to be stopped due to safety concerns after the test team scanned the system. This is a basic technique that most attackers would use and requires little knowledge or expertise. Poor password management was a common problem in the test reports we reviewed. One test report indicated that the test team was able to guess an administrator password in nine seconds. Multiple weapon systems used commercial or open source software, but did not change the default password when the software was installed, which allowed test teams to look up the password on the Internet and gain administrator privileges for that software. Multiple test teams reported using free, publicly available information or software downloaded from the Internet to avoid or defeat weapon system security controls.", "Test reports we reviewed make it clear that simply having cybersecurity controls does not mean a system is secure. How the controls are implemented can significantly affect cybersecurity. For example, one test report we reviewed indicated that the system had implemented role- based access control, but internal system communications were unencrypted. Because the system\u2019s internal communications were unencrypted, a regular user could read an administrator\u2019s username and password and use those credentials to gain greater access to the system and the ability to affect the confidentiality, integrity, or availability of the system.", "Programs Had Not Addressed Some Previously Identified Vulnerabilities Program offices were aware of some of the weapon system vulnerabilities that test teams exploited because they had been identified in previous cybersecurity assessments. For example, one test report indicated that only 1 of 20 cyber vulnerabilities identified in a previous assessment had been corrected. The test team exploited the same vulnerabilities to gain control of the system. When asked why vulnerabilities had not been addressed, program officials said they had identified a solution, but for some reason it had not been implemented. They attributed it to contractor error. Another test report indicated that the test team exploited 10 vulnerabilities that had been identified in previous assessments."], "subsections": []}, {"section_title": "Detect", "paragraphs": ["Example: Poor Detection In the 2014 Office of Personnel Management (OPM) cyber attack, attackers exfiltrated personnel files of 4.2 million government employees, security clearance background information on 21 million individuals, and fingerprint data of 5.6 million of these individuals. Attackers used a contractor\u2019s OPM credentials to log into the OPM system, installed malware, and created a backdoor to the network. These attackers were in OPM\u2019s networks for at least 14 months. Over 2,000 pieces of malware were later identified on OPM devices. detection. One test team emulated a denial of service attack by rebooting the system, ensuring the system could not carry out its mission for a short period of time. Operators reported that they did not suspect a cyber attack because unexplained crashes were normal for the system. Another test report indicated that the intrusion detection system correctly identified test team activity, but did not improve users\u2019 awareness of test team activities because it was always \u201cred.\u201d Warnings were so common that operators were desensitized to them.", "A common way to detect cyber activity is to review logs of system activity looking for unusual occurrences. Multiple test reports indicated that test team activity was documented in system logs, but operators did not review them. One test report noted that the system had no documented procedures for reviewing logs."], "subsections": []}, {"section_title": "Respond/Recover", "paragraphs": ["Multiple test reports indicated that operators did not effectively respond to test team activities. In multiple tests, operators did not respond because, as noted above, they were simply unaware of the test team activities. In some cases, however, operators were unable to effectively respond even when they identified or were notified that the test team had carried out an attack. One test report indicated that operators identified test team intrusion attempts and took steps to block the test team from accessing the system. However, the test team was able to easily circumvent the steps the operators took. In another case, the test team was able to compromise a weapon system and the operators needed outside assistance to restore the system."], "subsections": []}]}, {"section_title": "DOD Has Limited Insight into Weapon Systems Cybersecurity", "paragraphs": ["DOD does not know the full extent of its weapon systems cyber vulnerabilities due to limitations on tests that have been conducted. Cybersecurity assessments do not identify all vulnerabilities of the systems that are tested. This is, in part, because cybersecurity assessments do not reflect the full range of threats that weapon systems may face in operation. Test teams reported that they portray realistic threats and environments. However, the nature of tests imposes limitations on testers that do not apply to potential adversaries. For example, DOD officials said that most cybersecurity assessments are conducted over a few days to a few weeks. One test report indicated that the cybersecurity assessment was cut short due to external factors so the test team only had 41 hours to work with the system. In contrast, DOD officials we spoke to said that a determined adversary could spend months or years targeting our systems.", "Further, because test teams have a limited amount of time with a system, they look for the easiest or most effective way to gain access, according to DOD officials we met with and test reports we reviewed. They do not identify all of the vulnerabilities that an adversary could exploit. DOT&E noted that longer-term tests generally identify more cyber vulnerabilities than shorter tests. DOD officials we spoke to said that the department has increased the amount of long-term assessments it conducts in recent years. Weapon systems cybersecurity assessments may also be limited in the types of attacks that are portrayed so entire categories of vulnerabilities are not currently addressed in some cyber assessments. The test reports we reviewed tended to portray nascent to moderate threats and generally did not target special components like industrial control systems and non-Internet enabled devices which our adversaries could target. Similarly, counterfeit parts pose cybersecurity risks to weapon systems, but were not within the scope of the cybersecurity tests that we reviewed.", "System-specific limitations can also affect test results. Officials from one service test agency noted that in at least one case, they could not fully assess a system\u2019s cybersecurity because portions of the system\u2019s networks and data were proprietary. The system utilized the contractor\u2019s corporate networks, which the test team was not allowed to attack. In several tests, a weapon system\u2019s connections to external systems were either limited or had to be simulated. One test report we reviewed noted that the test team was not allowed to use classified networks to attack a weapon system due to security concerns. Another test was conducted in a lab environment so the test team had to simulate external communications. Although there are practical reasons for limiting the duration and scope of cybersecurity assessments, these limitations mean that DOD may not fully understand the extent of weapon system cyber vulnerabilities, as is reflected in figure 5.", "Many program officials we met with indicated that their systems were secure, including some with programs that had not had a cybersecurity assessment. Some systems have not yet undergone testing either because they are not far enough along in the acquisition process, because they were fielded prior to DOD\u2019s emphasis on penetration testing, or out of concern that cybersecurity tests would interfere with operations. Systems that have not been tested are not necessarily more or less secure than systems that have been assessed. DOD does not know the extent to which these systems have cyber vulnerabilities.", "Program officials cited the security controls they applied as the basis for their belief that their systems were secure. For example, officials from a DOD agency we met with expressed confidence in the cybersecurity of their systems, but could not point to test results to support their beliefs. Instead, they identified a list of security controls they had implemented. However, security controls must be properly designed and implemented in order to be effective. As we noted earlier, test teams routinely found and defeated poorly implemented security controls. Officials we spoke to stated that controls are necessary, but not sufficient, and penetration test results\u2014rather than compliance documentation\u2014are better indicators of a system\u2019s security.", "For programs that have had cybersecurity assessments, some program officials we met with questioned the validity of the results because of concerns about the realism of the assessments. For example, officials from one program noted that the testers were given more system information and access than an adversary would have. Officials from another program noted that testers asked for detailed information about the system\u2019s design. These officials stated that cyber assessments were unrealistic if they relied on the program office to identify problem areas for the test team. However, test organizations and NSA officials we met with dismissed these observations, noting that adversaries are not subject to the types of limitations imposed on test teams, such as time constraints and limited funding\u2014and this information and access are granted to testers to more closely simulate moderate to advanced threats."], "subsections": []}]}, {"section_title": "DOD Has Begun Taking Steps to Improve Weapon Systems Cybersecurity", "paragraphs": ["Over the past few years, DOD has taken several major steps to improve weapon systems cybersecurity. DOD issued and updated numerous policies and guidance to improve the department\u2019s development of cyber resilient systems. These include improvements such as specifying that cybersecurity policies apply to weapon systems and requiring more focus on cybersecurity throughout a weapon system\u2019s acquisition life cycle. DOD and Congress have also begun promising initiatives to help DOD improve its understanding of its weapon systems cyber vulnerabilities and take steps to mitigate their risks. However, DOD faces barriers that may limit its ability to achieve desired improvements. For example, DOD is struggling to hire and retain cybersecurity personnel, who are essential to implementing these changes. In addition, DOD faces barriers to information sharing, which hinder its ability to share vulnerability and threat information within and across programs. To improve the state of weapon systems cybersecurity, it is essential that DOD sustain its momentum in developing and implementing key initiatives."], "subsections": [{"section_title": "DOD Has Issued and Updated Policies and Guidance", "paragraphs": ["Since 2014, DOD has issued or updated at least 15 department-wide policies, guidance documents, and memorandums intended to promote more cyber secure weapon systems, some of which are highlighted in table 3.", "One of the more significant changes is that DOD\u2019s existing cybersecurity policies now explicitly apply to weapon systems. DOD officials said the department has had cybersecurity policies in place for decades, but applied them to weapon systems only in the past few years. For example, DOD\u2019s Risk Management Framework (RMF) is similar to its predecessor\u2014DOD\u2019s Information Assurance Certification and Accreditation Process\u2014which called for application of an extensive series of controls to protect DOD networks and information systems. However, RMF applies these controls more widely to weapon systems cybersecurity. Another important change is that, in recognition that systems cannot be 100 percent secure, DOD has begun to emphasize cyber resiliency in some of its policies. The idea behind cyber resiliency is to identify and protect key elements of a system to ensure that they can continue to operate, possibly with limited capabilities, during a cyber attack. This entails designing in features such as durability, redundancy, and added protections for certain components.", "Lastly, key policies that govern the requirements and acquisition processes now address cybersecurity. These changes have the potential to bring greater attention to cybersecurity in weapon systems acquisitions. Rather than being treated as distinct from the acquisition process, cybersecurity is to be integrated into key acquisition activities, such as requirements development, technology maturation, and testing. Examples of this, as called for in various policies, include the following:", "Requirements. Identify cybersecurity requirements and how the information flows into, out of, and through the systems. This helps identify the system\u2019s attack surface and informs the system\u2019s design and cybersecurity controls. Cybersecurity should become part of the requirements trade space.", "Technology maturation. Focus early prototyping in part on buying down cybersecurity risks prior to system development. Cybersecurity controls should be applied and assessed during prototyping to evaluate cyber risks and inform down-selection and adjustment of requirements.", "Department of Defense, DOD Program Manager\u2019s Guidebook for Cybersecurity (Sept. 2015).", "Developmental testing. Test the cybersecurity of weapon systems as they are developed, including integration of larger subsystems and, ultimately, the entire system. Perform cybersecurity assessments in representative operating environments during developmental testing.", "Operational testing. Conduct operational cybersecurity testing of weapon systems to include other systems that exchange information with the system under test (system-of-systems to include the network environment), end users, administrators, and cyber defenders. Reflect representative cyber threats.", "These extensive changes to policies and guidance, which adopt a similar risk-based framework to that already generally in place government-wide, appear to be a step in the right direction to increase the department\u2019s emphasis on weapon systems cybersecurity. However, they are also relatively new for DOD, so it is too early to assess whether they are resulting in improved weapon systems cybersecurity. For example, changes to the requirements process apply primarily to new programs so it could be many years before systems that have gone through the new process undergo operational testing and are fielded."], "subsections": []}, {"section_title": "DOD Has Undertaken Initiatives, in Part Directed by Congress, to Help Understand and Address Weapon Systems\u2019 Cyber Vulnerabilities", "paragraphs": ["Section 1647 of the National Defense Authorization Act for Fiscal Year 2016 requires the Secretary of Defense to evaluate the cyber vulnerabilities of each DOD weapon system by the end of 2019 and develop strategies to mitigate risks stemming from those vulnerabilities. In response to this direction and The DOD Cyber Strategy, which also calls for DOD to assess and initiate improvements to the cybersecurity of current and future weapons systems, DOD is taking steps to improve its understanding of its weapon systems\u2019 vulnerabilities, determine how to mitigate risks from those vulnerabilities, and inform future development of more secure systems. The Office of the Under Secretary of Defense (Acquisition and Sustainment) is leading this initiative in collaboration with military test organizations. DOD is compiling existing vulnerability information and conducting some new tests to provide information about the cybersecurity posture of individual systems, concentrating mostly on fielded systems. These assessments are important, in part because some of those systems did not undergo cybersecurity testing prior to fielding and DOD does not have a permanent process in place to periodically assess the cybersecurity of fielded systems. Furthermore, vulnerabilities and risks can change after fielding as system software becomes obsolete.", "As part of this initiative, for two mission areas, the Office of the Under Secretary of Defense (Acquisition and Sustainment) has been trying to incorporate cybersecurity into large scale military exercises to take a more integrated look at impacts of vulnerabilities across systems. The goal is to understand how vulnerabilities in some systems may affect DOD\u2019s ability to achieve its mission and to identify what other options are available to complete a mission if certain capabilities were disabled or degraded. This work is also important, but for different reasons. DOD\u2019s developmental and operational tests focus primarily on vulnerabilities in individual systems rather than across broader mission areas. However, as previously discussed, attackers do not necessarily limit themselves to one system and may move from one system to others. Furthermore, DOD has not previously had a process in place to examine how cyber attacks on one system could affect entire missions.", "Taken together, the system-specific and mission-focused activities could help DOD develop a more comprehensive understanding of its cybersecurity posture\u2014the overall strength of its cybersecurity. Officials working on these assessments plan to use what they learn to help inform the acquisition of future weapon systems. Specifically, they plan to share lessons with DOD test organizations, the Office of the Chief Information Officer, Office of the Under Secretary of Defense (Research and Engineering), and others in the Office of the Under Secretary of Defense (Acquisition and Sustainment).", "Similarly, the military services have established weapon system cybersecurity-focused offices to improve their cybersecurity posture, which are described briefly in table 4.", "Although all of these activities promise to help DOD improve its cybersecurity posture over time, they are also relatively new for DOD. They will need sustained momentum to achieve changes over the lifecycle of acquisition programs, so it is too early to tell if they will be successful over the long term. According to multiple agency officials and our analysis of policy and guidance changes since 2014, DOD leadership has become more aware of cybersecurity issues over the past several years and has driven many of these cybersecurity activities. However, our prior work has found sustained leadership support of DOD initiatives to be key to maintaining their momentum. We also reported that there is risk that DOD will not fully implement some tasks it has begun to improve weapon systems cybersecurity if leadership does not continue to monitor their progress. For example, we reported in 2017 that DOD\u2019s Principal Cyber Advisor closed out the task on assessing weapon systems called for under The DOD Cyber Strategy. We recommended that the Cyber Advisor modify criteria for closing tasks to reflect whether tasks have been implemented and re-evaluate tasks that have been previously determined to be completed."], "subsections": []}, {"section_title": "DOD Faces Systemic Barriers to Improving Weapon Systems Cybersecurity", "paragraphs": ["DOD faces barriers that will challenge its ability to develop more cyber resilient weapon systems and make it more difficult for DOD\u2019s recent policy changes and new initiatives to be as effective as possible."], "subsections": [{"section_title": "Cybersecurity Workforce Challenges", "paragraphs": ["DOD struggles to hire and retain cybersecurity personnel, particularly those with weapon systems cybersecurity expertise. Our prior work has shown that maintaining a cybersecurity workforce is a challenge government-wide and that this issue has been a high-priority across the government for years. Program officials from a majority of the programs and test organizations we met with said they have difficulty hiring and retaining people with the right expertise, due to issues such as a shortage of qualified personnel and private sector competition. Test officials said that once their staff members have gained experience in DOD, they tend to leave for the private sector, where they can command much higher salaries. According to a 2014 RAND study, personnel at the high end of the capability scale, who are able to detect the presence of advanced threats, or finding the hidden vulnerabilities in software and systems, can be compensated above $200,000 to $250,000 a year, which greatly exceeds DOD\u2019s pay scale.", "Even when cybersecurity positions are filled, it may not necessarily be with the right expertise. Officials from some program offices said that general cybersecurity expertise is not the same as weapon systems cybersecurity expertise. For example, officials said that professional IT certifications are not the same as systems security engineering expertise, which is essential to designing cyber-resilient systems. According to various program officials, weapon systems cybersecurity is a specialized area. Cybersecurity subject matter experts require knowledge of (1) DOD\u2019s acquisition process; (2) technical knowledge of the specific weapon system\u2014such as radar or aircraft, and (3) cybersecurity knowledge. However, it is difficult to hire and maintain a workforce with the needed knowledge due to its highly specialized nature. Without this expertise, it will be difficult for programs to effectively implement cybersecurity policies and guidance. For example, the RMF allows programs to determine which controls are most appropriate to apply, but a knowledgeable workforce is necessary for making such decisions.", "DOD has various efforts underway to recruit and develop the skills of DOD\u2019s cybersecurity workforce, according to several DOD officials. For example, the services are aiming to recruit cybersecurity analysts by using internships and engaging in partnerships with secondary schools and universities. In addition, the services are developing and offering courses to grow expertise within their existing acquisition workforce. DOD is determining how to share specialized expertise related to weapon systems cybersecurity. Specific efforts related to this include the Cyber Developmental Test Cross Service Working Group that meets quarterly and invites industry expertise to present cutting edge techniques as well as a \u201ccapture the flag\u201d competition, which will now be offered to other services as well. In addition, Navy Systems Commands employees participate in periodic regional cyber competitions to hone knowledge learned in classroom environments and use training funds to pursue additional or higher degrees and cyber certificate programs.", "Officials from many of the offices we interviewed, as well as the National Research Council, DSB, and RAND have expressed concerns about barriers to information sharing. It is difficult to find the correct balance between protecting information, so that it is not accessible to potential adversaries, and sharing it, so that DOD has an informed workforce. For example, classification is important because it protects information about vulnerabilities, and in some cases, intelligence methods. Access to information about vulnerabilities makes it easier for potential adversaries to attack DOD systems. Similarly, limiting the distribution of classified information to those who have the need to know is likewise important because it reduces the likelihood that internal and external threats will access it. Although DOD officials explained that there is no DOD-wide cybersecurity classification guidance, Air Force guidance and DOD officials indicated that vulnerabilities in fielded systems are typically classified as at least Top Secret or Top Secret/Sensitive Compartmented Information, and details of threats are more restricted. This high level of classification for weapon systems cyber vulnerabilities and threats helps protect sensitive information, but it makes it difficult for DOD to share information about aspects of weapon systems cybersecurity with cybersecurity personnel across DOD. For example, some experts told us that flawed designs can still be found in new systems if their designers were not aware that they resulted in vulnerabilities in other systems. More generally, because they are not sharing vulnerability and threat information across programs, programs are unaware of their full risk exposure and DOD may have less insight into vulnerabilities across its weapon systems portfolio. Officials from most organizations we spoke to, including NSA, acknowledged challenges with sharing information across all levels within DOD. Examples of these challenges are listed in table 5.", "Although limitations to information sharing can lead to inefficiencies and other challenges, DOD has so far opted to favor protection of information\u2014perhaps because the stakes are so high if it does not. As we mentioned previously, one of the reasons potential adversaries collect information on weapon systems is because the better they understand a weapon system, and especially what vulnerabilities it may have, the more options they have to attack it. Reports over the years about cyber espionage attacks on defense contractors show that concerns about protecting sensitive information are warranted."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. DOD provided technical comments, which we incorporated where appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; and the Secretaries of the Army, Navy, and Air Force. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To identify factors that contribute to the current state of Department of Defense (DOD) weapon systems cybersecurity, we reviewed reports published from 1991 to the present on software, information technology, networking, and weapon systems from the National Research Council, the Defense Science Board, GAO, DOD\u2019s Director of Operational Test and Evaluation, DOD\u2019s Joint Chiefs of Staff, and the RAND Corporation. To inform our discussion of networking, we also reviewed concepts of operations for selected systems of systems. To determine the extent to which DOD focused on cybersecurity in weapon system acquisitions, we analyzed selected information assurance, acquisition, requirements, and testing policies and guidance. For this and all other objectives, we conducted interviews with or obtained written responses from the following organizations:", "Office of the Secretary of Defense organizations: Office of the Director, Operational Test and Evaluation; Office of the Deputy Assistant Secretary of Defense for Developmental Test and Evaluation; Office of the Chief Information Officer including the Defense Information Systems Agency; Office of the Chairman of the Joint Chiefs of Staff; Office of the Under Secretary of Defense (Acquisition and Sustainment); and Office of the Under Secretary of Defense (Research and Engineering).", "Military service test organizations: Air Force Operational Test and Evaluation Center, Army Operational Test and Evaluation Command, Navy\u2019s Commander Operational Test and Evaluation Force, and Marine Corps Operational Test and Evaluation Activity.", "Selected program offices reflecting a purposeful sample of nine major defense acquisition program offices. We identified a variety of program offices to represent each service, multiple domains, and programs that are extensively connected to other weapons systems. We are not listing the names of these offices for sensitivity reasons.", "Other key DOD organizations with cybersecurity responsibilities: the National Security Agency, Defense Information Systems Agency, and U.S. Cyber Command.", "Selected organizations with cybersecurity expertise, referred to as \u201cexperts\u201d in the report: Carnegie Melon\u2019s Software Engineering Institute, the MITRE Corporation, the RAND Corporation, Pacific Northwest National Laboratory, Sandia National Laboratory, and Renaissance Strategic Advisors. We selected these based on their research or roles advising DOD on weapon systems cybersecurity- related topics.", "To identify vulnerabilities in weapon systems under development, we reviewed cyber assessment reports of selected weapon systems conducted between 2012 and 2017. We selected at least one program from each service as well as different types of weapon systems (e.g., aircraft vs ships vs communication systems). To gain further insights into assessment findings and understand their limitations, we interviewed officials from the Office of the Secretary of Defense and military test service organizations. We discussed the cybersecurity of individual programs, implementation of controls, and assessment findings with program offices. We also interviewed officials from several organizations with cybersecurity expertise to discuss weapon system vulnerabilities and test limitations. Vulnerabilities for specific weapon systems are classified, so we have not identified the programs covered in these test reports. The examples we cite are unique to each weapon system and are not applicable to all weapon systems. Furthermore, cybersecurity assessment findings are as of a specific date so vulnerabilities identified during system development may no longer exist when the system is fielded.", "To determine the steps DOD is taking to develop more cyber resilient weapon systems, we analyzed key DOD information assurance/cybersecurity, acquisition, requirements, and testing policies and guidance that have been updated since 2014 to better address weapon systems cybersecurity. We selected 2014 because DOD began revising several policies at that time. These include DOD\u2019s Risk Management Framework, Department of Defense Instruction 8500.01, Cybersecurity; the Department of Defense Instruction 5000.2, Operation of the Defense Acquisition System; DOD Program Manager\u2019s Guidebook for Integrating the Cybersecurity Risk Management Framework into the System Acquisition Lifecycle; the Joint Capabilities Integration and Development System Manual; the Cyber Survivability Endorsement Implementation Guide; and the DOD Cybersecurity Test and Evaluation Guidebook. To identify barriers DOD faces in developing cyber resilient systems and implementing updated cybersecurity policies and guidance, we interviewed Office of the Secretary of Defense, military service test organizations, selected program offices, other DOD organizations, experts, and operators.", "We took additional precautions to avoid revealing sensitive information. We illustrated some concepts using notional depictions. In some cases, we were deliberately vague and excluded details from examples to avoid identifying specific weapon systems. We also presented examples of publicly known attacks in sidebars to illustrate how poor cybersecurity can enable cyber attacks. DOD conducted a security review of the report and approved it for public release."], "subsections": []}, {"section_title": "Appendix II: Examples of Types of Cyber Attacks", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Roles and Responsibilities for Cybersecurity in the Department of Defense", "paragraphs": [], "subsections": [{"section_title": "Cybersecurity Roles and Responsibilities", "paragraphs": ["The Department of Defense (DOD) is responsible for defending the U.S. homeland and interests from attack, including those that occur in cyberspace and has developed capabilities for cyber operations. In order to achieve this objective, the department must be able to defend its own networks, systems, and information from cyber attack. To establish a cybersecurity program to protect and defend DOD information and information technology, DOD has assigned some of its components and senior officials with a variety of cybersecurity responsibilities, some of which are described below."], "subsections": []}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Cristina T. Chaplain (202) 512-4841 or chaplainc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Raj Chitikila (Assistant Director), Brandon Booth, Laura Greifner, L.T. Holliday, Katherine Pfeiffer, James Tallon, Jacqueline Wade, and Robin Wilson made key contributions to this report. Assistance was also provided by Tommy Baril, Nabajyoti Barkakati, Mark Canter, Virginia Chanley, Kurt Gurka, Joseph Kirschbaum, Jeff Knott, Duc Ngo, and Gregory Wilshusen."], "subsections": []}]}], "fastfact": ["In recent cybersecurity tests of major weapon systems DOD is developing, testers playing the role of adversary were able to take control of systems relatively easily and operate largely undetected.", "DOD's weapons are more computerized and networked than ever before, so it's no surprise that there are more opportunities for attacks. Yet until relatively recently, DOD did not make weapon cybersecurity a priority. Over the past few years, DOD has taken steps towards improvement, like updating policies and increasing testing.", "Federal information security\u2014another term for cybersecurity\u2014has been on our list of High Risk issues since 1997."]} {"id": "GAO-18-117", "url": "https://www.gao.gov/products/GAO-18-117", "title": "Personnel Security Clearances: Plans Needed to Fully Implement and Oversee Continuous Evaluation of Clearance Holders", "published_date": "2017-11-21T00:00:00", "released_date": "2017-11-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Continuous evaluation is a key executive branch initiative to more frequently identify and assess security-relevant information, such as criminal activity. Implementing a continuous evaluation program has been a long-standing goal, with implementation milestones as early as 2010 and DOD pilots dating back to the early 2000's.", "GAO was asked to review efforts to implement continuous evaluation. This report assesses the extent to which (1) ODNI has implemented an executive branch-wide program and developed plans to monitor and measure its performance; (2) DOD and other agencies have designed, piloted, and evaluated continuous evaluation and (3) agencies completed timely periodic reinvestigations from fiscal years 2012-2016, and the potential effects of continuous evaluation on reinvestigations. GAO reviewed documentation, analyzed timeliness data, and interviewed officials from ODNI and other agencies. This is a public version of a sensitive report that is being issued concurrently. Information that ODNI and State deemed sensitive has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["In October 2016, the Office of the Director of National Intelligence (ODNI) took an initial step to implement continuous evaluation\u2014a process to review the background of clearance holders and individuals in sensitive positions at any time during the eligibility period\u2014across the executive branch, but it has not yet determined key aspects of the program, and it lacks plans for implementing, monitoring, and measuring program performance. For the first phase, agencies are to conduct certain continuous evaluation record checks against a portion of their national security population by the end of fiscal year 2017. However, ODNI has not formalized its policy on what continuous evaluation encompasses, determined what the future phases will entail or when they will occur, or developed an implementation plan. According to all seven agencies GAO interviewed, this uncertainty has affected their ability to plan for the program and estimate its costs. Without a continuous evaluation policy and a fully developed plan, full implementation\u2014which has been delayed since 2010\u2014may be further delayed. Moreover, ODNI lacks a plan to monitor and measure program performance, including for the first phase, which is underway. Without developing such a plan, ODNI cannot ensure that the program is being implemented consistently across the executive branch or that it is effectively identifying risks to national security.", "The Department of Defense (DOD) and the Department of State (State) have designed, piloted, and evaluated continuous evaluation. Their approaches have varied in scope, size, and duration, as they pre-date ODNI's efforts to implement continuous evaluation executive branch-wide. DOD's pilot involves the most record checks and the largest population. DOD had 500,000 employees enrolled in December 2016, and it plans to enroll 1 million by the end of calendar year 2017 and all clearance holders by the end of fiscal year 2021.", "Executive branch agencies meeting established timeliness goals for completing periodic reinvestigations decreased from fiscal years 2012 through 2016, and the potential effects of continuous evaluation, including on reinvestigations and resources, are unknown. While 84 percent of the executive branch agencies reviewed by GAO reported meeting the executive branch's 195-day timeliness goal for at least three of four quarters in fiscal year 2012, only 22 percent did so in fiscal year 2016. Also, a 2008 report outlined a plan to replace reinvestigations with continuous evaluation, but ODNI documentation indicates that this is no longer the intent. While agencies expressed varying views about changes to reinvestigations\u2014such as modifying their scope\u2014officials from five agencies stated that the continuous evaluation program will increase their workloads and costs if no other changes are made to the requirements. DOD officials said they cannot afford to conduct both continuous evaluation and reinvestigations, as DOD estimates that more frequent reinvestigations for certain clearance holders will cost $1.8 billion for fiscal years 2018 through 2022. Although agencies have identified increased resources as a risk of the program, ODNI has not assessed the program's potential effects on agency resources. Without assessing the potential effects once ODNI has further defined the program, implementing continuous evaluation could lead to further delays and backlogs in reinvestigations, and could increase agency costs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that ODNI formalize its policy on continuous evaluation, develop an implementation plan as well as a plan to monitor and measure program performance, and assess the potential effects of continuous evaluation on agency resources. ODNI concurred with the recommendations, but disagreed with aspects of GAO's conclusions. GAO continues to believe the conclusions are valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Continuous evaluation\u2014a process to review the background of an individual who has been determined to be eligible for access to classified information or to hold a sensitive position at any time during the period of eligibility\u2014is a key executive branch initiative to more frequently identify and assess security-relevant information between periodic reinvestigations. Implementing a continuous evaluation program has been a long-standing goal of security clearance reform efforts, with implementation milestones set by the government-wide reform effort dating back to the 4th quarter of fiscal year 2010 and Department of Defense (DOD) pilot studies dating back to the early 2000\u2019s. Specifically, since 2001, DOD\u2019s Defense Personnel and Security Research Center (PERSEREC) has conducted a number of studies related to continuous evaluation, such as the usefulness of various data sources, the technical capability to conduct automated record checks, and the value and utility of such checks.", "Following the September 2013 shooting at the Washington Navy Yard, the Office of Management and Budget (OMB) conducted a 120-day review of the government\u2019s security clearance procedures. OMB\u2019s February 2014 Suitability and Security Processes Review Report to the President, resulting from that review, highlighted 37 recommendations to improve, among other things, the federal government\u2019s processes for granting security clearances, including the acceleration of the implementation of continuous evaluation across all agencies and security levels. The report also included a milestone for the Office of the Director of National Intelligence (ODNI) to develop an initial continuous evaluation capability for certain clearance holders by September 2014. However, in April 2015, we found, among other things, that the milestone for implementing continuous evaluation had been adjusted to December 2016, and that executive branch agencies faced challenges in establishing a continuous evaluation policy and implementing the process.", "You asked us to review executive branch efforts to implement a continuous evaluation program for personnel security clearances. Our objectives were to assess the extent to which: (1) ODNI has implemented an executive branch-wide continuous evaluation program and developed plans for monitoring and measuring the performance of the program; (2) DOD and other executive branch agencies, if any, have designed, piloted, and evaluated continuous evaluation; and (3) executive branch agencies completed periodic reinvestigations in accordance with established timeliness goals from fiscal year 2012 through fiscal year 2016, and the potential effects of continuous evaluation on periodic reinvestigations. This report is a public version of a sensitive report that we issued in November 2017. ODNI and State deemed some of the information in our November report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about ODNI\u2019s continuous evaluation program and State\u2019s pilot. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "For our first objective, we reviewed relevant Executive Orders identifying ODNI\u2019s responsibilities for developing a continuous evaluation program.", "We also analyzed ODNI memorandums and other documents describing continuous evaluation and conducted interviews with ODNI officials managing the program about the status of the program and any plans to monitor and measure its performance. We compared the status of the continuous evaluation program against recommendations resulting from the February 2014 120-day review. We also conducted interviews with officials from DOD, the Department of State (State), the Department of Homeland Security, U.S. Customs and Border Protection, the Department of Justice, the U.S. Bureau of Alcohol, Tobacco, Firearms, and Explosives, and the Federal Bureau of Investigation to determine the extent to which those agencies have developed plans to implement continuous evaluation and determined potential costs. We selected these seven agencies based on their management of the data sources to be checked as part of continuous evaluation and because they are among those subject to ODNI\u2019s continuous evaluation requirements. We compared ODNI program documentation against relevant program management criteria for developing project management plans, key attributes of successful performance measures identified in our prior work, and Standards for Internal Control in the Federal Government related to communication with external partners and monitoring activities.", "For our second objective, we reviewed pilots underway at DOD and State\u2014the two agencies that have piloted continuous evaluation in advance of its implementation across the executive branch. Specifically, we analyzed DOD documentation related to its continuous evaluation process and reviewed PERSEREC reports on DOD\u2019s continuous evaluation pilots, including lessons learned. We also interviewed officials who developed those reports and analyzed available metrics to determine how DOD has evaluated and tracked the results of its pilots. In addition, we conducted interviews with DOD officials from the Defense Security Service, the Defense Manpower and Data Center, the Consolidated Adjudications Facility, and the Office of the Under Secretary of Defense for Intelligence, which all have roles in the department\u2019s continuous evaluation program. We also reviewed metrics and lessons learned from State\u2019s pilot and conducted interviews with officials conducting the pilots at State\u2019s Bureau of Diplomatic Security. Finally, we observed a demonstration of the information technology (IT) system that DOD is developing for use in conducting continuous evaluation.", "For our third objective, we obtained data from ODNI on the timeliness of periodic reinvestigations at specific executive branch agencies from fiscal year 2012 through fiscal year 2016, by quarter. The number of agencies included in our review was omitted because the information was sensitive. We excluded the data reported by State to ODNI from our analysis due to a July 2017 report by the State Office of Inspector General, which identified a number of errors in the department\u2019s security clearance timeliness data. As such, we report on the timeliness of the remaining executive branch agencies for which ODNI provided data. To assess the reliability of the data for the remaining executive branch agencies, we reviewed relevant documentation and interviewed officials about data quality control procedures. Based on these steps, we determined that the data were sufficiently reliable for the purposes of this report. For that reason, we did not independently test the accuracy of the agencies\u2019 databases. We selected the fiscal year 2012 to 2016 timeframe for our analysis because the executive branch has not publicly reported on the timeliness of individual executive branch agencies since fiscal year 2011. We analyzed the timeliness data to determine the extent to which agencies are meeting OMB-established timeliness goals for completing the fastest 90 percent of periodic reinvestigations within 195 days.", "We also conducted interviews with officials from DOD; State; ODNI; the Security, Suitability, and Credentialing Performance Accountability Council (PAC) Program Management Office; and the National Background Investigations Bureau (NBIB) regarding the potential risks and effects of continuous evaluation on periodic reinvestigation timeliness and plans to offset anticipated workload increases. We compared this information against relevant program management criteria for performing a quantitative risk analysis and Standards for Internal Control in the Federal Government related to defining objectives and risk tolerances.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Personnel Security Clearance Process", "paragraphs": ["ODNI estimates that, as of October 1, 2015, approximately 4.2 million government and contractor employees were eligible to hold a security clearance. Personnel security clearances are required for access to certain national security information. National security information may be classified at one of three levels: confidential, secret, or top secret. The level of classification denotes the degree of protection required for information and the amount of damage that unauthorized disclosure could reasonably be expected to cause to national security. Specifically, unauthorized disclosure could reasonably be expected to cause (1) \u201cdamage,\u201d in the case of confidential information; (2) \u201cserious damage,\u201d in the case of secret information; and (3) \u201cexceptionally grave damage,\u201d in the case of top secret information. According to the Office of Personnel Management (OPM) Federal Investigations Notice 16-02, tier 3 investigations are required for eligibility for access to secret and confidential information, or for noncritical sensitive positions, or \u201cL\u201d access. OPM Federal Investigations Notice 16-07 indicates that tier 5 investigations are required for eligibility for access to top secret or sensitive compartmented information, or for critical sensitive or special sensitive positions, or \u201cQ\u201d access.", "Once an executive branch agency determines that a position requires a certain level of access to classified information, the employee in that position completes a questionnaire for national security positions, which the requesting agency sends to an investigative service provider. NBIB\u2014 the bureau within OPM with responsibility for conducting personnel background investigations\u2014conducts background investigations for most of the federal government; however, some agencies have authority delegated to them to conduct their own investigations. The investigative service provider then conducts a background investigation and submits an investigative report to the requesting agency. Adjudicators from the requesting agency use the information from the investigative report to determine whether to grant or deny the employee eligibility for a security clearance by considering guidelines in 13 specific areas that address (1) conduct that could raise security concerns and (2) factors that could allay those security concerns and permit granting a clearance. Individuals granted security clearances are investigated periodically\u2014for as long as they remain in a position requiring access to classified information\u2014to ensure their continued eligibility. The 2012 Federal Investigative Standards changed the frequency of periodic reinvestigations for certain clearance holders."], "subsections": []}, {"section_title": "Continuous Evaluation Is Intended to Supplement the Personnel Security Clearance Process", "paragraphs": ["According to Executive Order 13467, as amended, continuous evaluation is a vetting process to review the background of an individual who has been determined to be eligible for access to classified information or to hold a sensitive position at any time during the period of eligibility. Continuous evaluation is intended to fill the gap that exists between periodic reinvestigations in which issues relevant to an individual\u2019s continued eligibility for a security clearance may go unreported or unknown. For example, while the Federal Investigative Standards have allowed for periodic reinvestigations to be conducted at any time following the completion of the previous investigation or reinvestigation, agencies have not been required to conduct them more frequently than every 5 years, at most, depending on the clearance level and investigative standards in effect. Like periodic reinvestigations, the purpose of continuous evaluation is to assist agencies in evaluating an individual\u2019s continued eligibility for access to classified information.", "Continuous evaluation involves automated record checks conducted on a more frequent basis, whereas periodic reinvestigations are conducted less frequently and may include, among other things, subject and reference interviews. The types of records checked as part of continuous evaluation are the same as those checked for other personnel security purposes. Security-relevant information discovered in the course of continuous evaluation is to be investigated and adjudicated under the existing standards. According to ODNI, implementation of continuous evaluation will not alter clearance holders\u2019 existing rights or responsibilities and it will incorporate protections for privacy and civil liberties."], "subsections": []}, {"section_title": "Continuous Evaluation Is a Key Initiative of the Personnel Security Clearance Reform Effort", "paragraphs": ["The enactment of the Intelligence Reform and Terrorism Prevention Act of 2004 initiated a reform effort including goals and requirements for improving the personnel security clearance process government-wide. In June 2008, Executive Order 13467 established the PAC as the government-wide governance structure responsible for driving the implementation of and overseeing security and suitability reform efforts. The PAC presently has four principal members: the Deputy Director for Management of OMB; the Director of National Intelligence, who is the Security Executive Agent; the Director of OPM, who is the Suitability Executive Agent; and the Under Secretary of Defense for Intelligence. The Executive Order also designated the Deputy Director for Management of OMB as the chair of the PAC. Among other things, the PAC is to work with agencies to implement continuous performance improvement programs, policies, and procedures; establish annual goals and progress metrics; and prepare annual reports on results. It is also to develop and continuously reevaluate and revise outcome-based metrics that measure the quality, efficiency, and effectiveness of the vetting enterprise. In April 2014, the PAC established the Program Management Office to implement security clearance reforms. This office includes subject-matter experts with knowledge of personnel security clearances and suitability determinations from OMB, ODNI, OPM, DOD, the Department of Homeland Security, the Department of Justice, the Department of the Treasury, and the Federal Bureau of Investigation.", "In March 2014, OMB established Insider Threat and Security Clearance Reform as a government-wide, cross-agency priority goal to improve interagency coordination and implementation within the area of personnel security clearances. Through this goal, the PAC and executive-branch agencies are to work to improve oversight to ensure that investigations and adjudications meet government-wide quality standards. Included among the goal\u2019s key milestones are implementing a continuous evaluation policy for the executive branch that regularly assesses trusted insiders who have been granted, or are eligible for, access to classified national security information, and overseeing the establishment of continuous evaluation capabilities. ODNI is identified as the lead agency for achieving both of these milestones. In addition, continuous evaluation is identified as a key initiative in the PAC\u2019s strategic framework for fiscal years 2017 through 2021 as part of an effort to modernize the vetting process.", "While the PAC is responsible for driving the implementation of and overseeing the overall government-wide reform effort, individual agencies are responsible for various aspects of the effort. For example, as the Security Executive Agent, ODNI is responsible for developing and issuing uniform and consistent policies and procedures to ensure the effective, efficient, timely, and secure completion of investigations, polygraphs, and adjudications relating to determinations of eligibility for access to classified information or eligibility to hold a sensitive position. In addition, Executive Order 12968, as amended, indicates that ODNI is responsible for setting the standards for continuous evaluation of those individuals who have access to classified information. According to ODNI, under these Executive Orders, it has responsibility for and oversight of continuous evaluation, as it is an investigative activity that supports eligibility determinations. As such, ODNI established a program office within the National Counterintelligence and Security Center to, among other things, establish policy, guidance, and standards for the implementation of continuous evaluation across the executive branch."], "subsections": []}, {"section_title": "DOD Has Conducted Research on Continuous Evaluation for More Than a Decade", "paragraphs": ["DOD has been piloting aspects of continuous evaluation for more than a decade\u2014with pilot tests of automated record checks conducted as early as 2002. Specifically, PERSEREC has conducted several studies dating back to 2001 that have informed and evaluated DOD\u2019s continuous evaluation pilots, including the utility of and costs associated with various data sources. These studies have focused on the technical capability to conduct automated record checks from over 40 government and commercial databases, the value and utility of automated record checks in tier 5 investigations, and investigative alternatives to the traditional periodic reinvestigation, among other things. The studies have also included recommendations to further improve DOD\u2019s continuous evaluation program, as well as areas for future research. PERSEREC noted that it undertook these studies to identify ways to make the personnel security system more efficient, fair, and effective. According to PERSEREC, starting in 2004 with the formation of the government-wide security clearance reform effort, it began to plan for a broader application of its research beyond the department.", "Using this body of knowledge, DOD has incrementally improved its automated record check capabilities and therefore its ability to implement a continuous evaluation program, which it did in 2014 at the recommendation of the Secretary of Defense. Specifically, following the September 2013 shooting at the Washington Navy Yard, the Secretary of Defense directed concurrent internal and independent reviews to identify and recommend actions to address any gaps or deficiencies in DOD programs, policies, and procedures regarding, among other things, the granting and renewing of security clearances for department and contractor personnel. In March 2014, the Secretary of Defense identified four key recommendations based on the findings and recommendations from those reviews. One of those recommendations was to implement continuous evaluation to provide automated record checks of personnel with access to DOD facilities or classified information. In addition, DOD Instruction 5200.02, which was also issued in March 2014, states that all personnel in national security positions shall be subject to continuous evaluation. Consistent with the recommendation and the DOD Instruction, the department implemented a continuous evaluation pilot in October 2014, the details of which are discussed later in the report."], "subsections": []}]}, {"section_title": "ODNI Has Taken an Initial Step to Implement Continuous Evaluation across the Executive Branch but Has Not Determined Key Program Aspects or How it Will Monitor and Measure Performance", "paragraphs": ["In October 2016, ODNI took an initial step to implement continuous evaluation across the executive branch in a phased approach, but as of May 2017, it had not yet formalized the program in policy. The seven agencies we spoke with have been limited in their abilities to plan for the implementation of continuous evaluation, including developing estimated costs, in accordance with ODNI\u2019s phased approach. This is due, in part, to the fact that ODNI has not yet determined key aspects of the program, such as when the future phases of implementation will occur or what they will entail, and none of the agencies has completed implementation plans. Further, ODNI lacks plans for monitoring and measuring the performance of continuous evaluation across the executive branch."], "subsections": [{"section_title": "ODNI Has Taken an Initial Step to Implement Continuous Evaluation across Executive Branch Agencies, but Has Not Yet Formalized the Program in Policy", "paragraphs": ["ODNI has taken an initial step to implement continuous evaluation across all executive branch agencies in a phased approach, but it has not yet formalized the program in policy. Specifically, in October 2016, ODNI initiated the first phase of continuous evaluation and outlined requirements for this phase in interim guidance distributed to implementing agencies in December 2016. For the first phase of implementation, executive branch agencies are to conduct certain continuous evaluation record checks against a portion of their national security population. Specific details of the requirements were omitted from this report because the information is sensitive. According to OPM Federal Investigations Notice 17-03, the first phase of continuous evaluation is to be implemented by the end of fiscal year 2017. These checks are conducted in addition to any initial investigations or periodic reinvestigations occurring in fiscal year 2017. ODNI provided agencies with prioritization guidance to help them select individuals for continuous evaluation. Nearly 80 executive branch agencies are subject to the requirements for this first phase of implementation.", "ODNI has taken steps to establish the executive branch-wide continuous evaluation program in coordination with key stakeholders. For example, in June 2013, ODNI established a Continuous Evaluation Working Group\u2014 consisting of 12 core voting member agencies\u2014as a mechanism to effectively coordinate continuous evaluation implementation among executive branch departments and agencies. According to the group\u2019s charter, it meets on at least a quarterly basis and is responsible for coordinating the development of continuous evaluation standards, policies, and procedures, among other things. Since January 2015, ODNI has also issued interim guidance to executive branch agencies that are subject to its continuous evaluation requirements informing them about the purpose of continuous evaluation and providing them with some details of the program. Further, to inform the establishment of the executive branch-wide program, ODNI itself began a 1-year continuous evaluation pilot in September 2016, according to ODNI officials. Specific details of ODNI\u2019s pilot were omitted from this report because the information is sensitive.", "In addition to developing standards for continuous evaluation and its oversight role, ODNI is also developing a system that agencies can use to conduct continuous evaluation. According to ODNI, its system is under development and will be available to all executive branch agencies with a full suite of continuous evaluation data sources. Agencies may opt to: (1) use ODNI\u2019s system, (2) develop their own technical solution, (3) partner with another agency to fulfill their continuous evaluation requirements, or (4) some combination of the above options. ODNI asked agencies in December 2016 to provide a preliminary determination as to how they will satisfy future automated records checks requirements to allow ODNI\u2019s continuous evaluation program to adequately plan for system enrollee volume and data usage. Specific details regarding the response of executive branch agencies to this request were omitted from this report because the information is sensitive. Some executive branch agencies stated the following:", "Department of Justice and State officials stated that they plan to use ODNI\u2019s system once its development is complete;", "DOD officials stated that they plan to use their own internal system that they are developing to conduct continuous evaluation, but that they may use ODNI\u2019s system to conduct certain checks; and", "Department of Homeland Security officials noted that they plan to use a combination of existing internal agency systems and ODNI\u2019s system.", "Standards for Internal Control in the Federal Government states that management should externally communicate the necessary information to achieve an entity\u2019s objectives. Effective information and communication are vital for enabling an entity to achieve its objectives, which can be accomplished through written guidance.", "While ODNI has provided some details of the program to implementing executive branch agencies through interim guidance, it has not yet formalized the continuous evaluation program through a Security Executive Agent Directive. Specifically, in May 2017, ODNI officials stated that ODNI had not yet issued a Security Executive Agent Directive for continuous evaluation, but that a draft directive was undergoing interagency coordination. ODNI officials stated that the directive will contain a definition of continuous evaluation that is consistent with, but expands upon, the definition contained in the relevant Executive Order. These officials stated that the expanded definition will help to clarify continuous evaluation and ensure that agencies have a common understanding of the program. In addition, ODNI officials stated that they have developed draft implementation guidelines, which they plan to issue after the directive is finalized. ODNI officials stated that the interim guidance will remain in effect until the Security Executive Agent Directive or follow-on interim guidance is issued.", "DOD\u2019s continuous evaluation program\u2014which it began in October 2014, in advance of implementation of continuous evaluation executive branch- wide by ODNI\u2014identified, in a requirements document for its continuous evaluation IT system, that the most important gap in the development of the department\u2019s program was the lack of a national or DOD-level policy. Specifically, the requirements document notes the lack of a policy that fully describes the continuous evaluation process or purpose, or the end uses of data. The requirements document further notes that there are multiple definitions of continuous evaluation and, due to the lack of policy, there is not a common lexicon of terms used in the continuous evaluation program, thereby creating an additional gap.", "While ODNI reports that the policy is under review, it has not prioritized the implementation of continuous evaluation and, as a result, has missed numerous milestones in issuing the policy since 2014. Specifically, the original Insider Threat and Security Clearance Reform cross-agency priority goal milestone for ODNI to issue a continuous evaluation policy was July 2014. This milestone was not attained, and it was adjusted to September 2016, a milestone that was also missed. The current milestone for issuing the policy is October 2017. Additionally, ODNI has missed other milestones for implementing a continuous evaluation program, as discussed later in the report.", "Furthermore, ODNI has initiated the first phase of continuous evaluation without a government-wide issued policy or an expanded definition of continuous evaluation. As a result, agencies may develop inconsistent approaches to implementing continuous evaluation. For example, DOD officials stated that DOD has developed its own path for continuous evaluation from ODNI\u2019s limited guidance and that in the absence of a government-wide policy, DOD is developing its own internal guidance. As a result, the approach to continuous evaluation taken by DOD\u2014the executive branch agency with the majority of security clearance holders\u2014 may differ from that of other executive branch agencies once fully implemented. Ultimately, such inconsistent approaches to continuous evaluation could affect reciprocity among agencies\u2014another key objective of government-wide security clearance reform efforts. Without issuing a Security Executive Agent Directive in advance of the next phase of implementation\u2014the timeframe for which ODNI has not yet determined\u2014that includes, among other things, an expanded definition of continuous evaluation, agencies may develop inconsistent approaches to continuous evaluation, resulting in an uneven and perhaps ineffective implementation across the federal government."], "subsections": []}, {"section_title": "ODNI Has Not Yet Determined Key Aspects of the Continuous Evaluation Program, and Executive Branch Agencies Have Been Limited in Their Ability to Plan for Implementation", "paragraphs": ["ODNI has not yet determined key aspects of its continuous evaluation program, which has limited the ability of executive branch agencies to plan for implementation in accordance with ODNI\u2019s phased approach. For example, while ODNI has initiated the first phase of continuous evaluation in coordination with implementing executive branch agencies, it has not yet determined what the future phases of implementation will entail, or when they will occur. Specifically, ODNI officials stated that they have not set any further timeframes for implementing continuous evaluation or determined agency requirements for future phases.", "Moreover, the timeframes for the implementation of continuous evaluation across the executive branch have been extended over time. For example, the original milestone set by the government-wide reform effort for implementing continuous evaluation was the 4th quarter of fiscal year 2010, and it was not attained. The PAC subsequently set an Insider Threat and Security Clearance Reform cross-agency priority goal milestone for developing an initial continuous evaluation capability for the most sensitive top secret clearance holders by September 2014\u2014which was extended to December 2014\u2014and a milestone for implementing the capability for additional clearance holders by December 2016. These milestones were also missed. As of May 2017, continuous evaluation had not yet been fully implemented, and ODNI had not set a milestone for when it would occur.", "Although ODNI is one of the goal leaders for the Insider Threat and Security Clearance Reform cross-agency priority goal, a senior ODNI official stated that the milestones were arbitrarily set, and that implementing continuous evaluation has proven to be challenging as a result of several technical and legal issues that need to be resolved. Further, ODNI officials highlighted the complexities associated with developing a whole-of-government continuous evaluation program and noted that a number of challenges have come to light as they have been developing the program, which have contributed to missed milestones. However, ODNI has not prioritized the setting of internal milestones for the future phases of implementation that it considers to be reasonable. ODNI officials stated that because continuous evaluation is a new initiative, no realistic timeline for full implementation will be set until the initial results of implementation are analyzed and technical capabilities have matured. Further, they stated that although they are unable to develop a timeline for full implementation at this time, they are actively working to implement the program. In addition, as previously discussed, ODNI\u2019s milestone for issuing a continuous evaluation policy has also been adjusted over time. Figure 1 shows the adjusted executive branch milestones for issuing a continuous evaluation policy and implementing a continuous evaluation program, including developing a technical capability.", "The uncertainty regarding the requirements and timeframes for the future phases of the program has affected the ability of executive branch agencies to plan to implement continuous evaluation and estimate the associated costs. First, although OPM Federal Investigations Notice 17- 03 notes that the first phase of continuous evaluation is to be implemented by the end of fiscal year 2017, none of the seven executive branch agencies we spoke with has completed an agency-specific implementation plan. While some agencies, such as DOD and State\u2014 both of which have established continuous evaluation programs in advance of implementation across the executive branch\u2014have developed concepts of operations or standard operating procedures for continuous evaluation, all seven agencies we spoke with stated that they are waiting for additional information from ODNI before completing their implementation plans. Department of Homeland Security officials stated that they are waiting for ODNI to define and schedule the future phases of implementation and to finish developing its continuous evaluation IT system, because there could be unknown policy implications that would affect the Department\u2019s planning efforts. In August 2017, ODNI officials described plans to distribute information to executive branch agencies regarding continuous evaluation requirements for fiscal year 2018. Specific details of these plans were omitted from this report because the information is sensitive.", "Second, six of the seven agencies we spoke with noted challenges associated with estimating the costs of implementation. For example, while the Federal Bureau of Investigation has developed some cost estimates for implementing continuous evaluation, officials noted that it is challenging to estimate the full costs of the program until they receive additional information from ODNI, such as the requirements for future phases of implementation, as well as information about record check, technology, and personnel requirements. DOD officials stated that the number of individuals enrolled in continuous evaluation directly relates to the amount of agency resources required, for example, to validate, respond to, and adjudicate alerts. Two agencies we spoke with stated that they had not yet taken any steps to estimate costs because they are waiting for additional information from ODNI. In August 2017, ODNI officials stated that they plan to leverage an upcoming OMB budget data request, administered through the PAC, to obtain agency funding estimates for expenses related to conducting continuous evaluation from fiscal years 2017 through 2019.", "We have previously identified weaknesses associated with estimating the costs of personnel security clearance reform. Specifically, in April 2015 we found, among other things, that long-term costs of implementing the 2012 Federal Investigative Standards\u2014including the implementation of continuous evaluation\u2014were not addressed in personnel security clearance background investigation reform planning documentation. Further, we found that OMB did not have current and detailed cost- estimate information from executive-branch agencies, because it did not begin to solicit the information from the agencies until almost 2 years after the updated standards were approved. As such, we recommended in April 2015, among other things, that the Deputy Director for Management of OMB, in the capacity as Chair of the PAC, develop long-term funding estimates for changes to the federal government\u2019s investigation practices resulting from the implementation of the standards, including but not limited to costs related to: (1) information technology adjustments to enable government-wide data sharing; (2) implementation of continuous evaluation of clearance holders; and (3) additional personnel resources for twice-as-frequent reinvestigations. OMB concurred with the recommendation. However, as of October 2017, this recommendation remained open. We continue to believe that this recommendation is valid and should be implemented.", "In addition, the seven executive branch agencies we spoke with identified other areas related to agency expectations for which they need information from ODNI. For example, officials from the Department of Justice; the Bureau of Alcohol, Tobacco, Firearms, and Explosives; and the Federal Bureau of Investigation stated that while they would like to use ODNI\u2019s IT system to conduct all or at least some of the record checks that will be required, they will need to develop an interface with ODNI\u2019s system to do so. However, these officials stated that they were unaware of ODNI\u2019s technical requirements for that interface. These officials further stated that without information related to the technical requirements, they are unable to sufficiently plan or budget for continuous evaluation. ODNI officials stated that although ODNI\u2019s IT system remains under development, information on technical interface requirements is available to all stakeholders and that they meet with agencies to discuss agency- specific IT requirements. According to ODNI, several executive branch agencies have expressed an interest in using ODNI\u2019s IT system to conduct at least some, if not all, of the checks that will be required once continuous evaluation is fully implemented. ODNI officials acknowledged that agencies will need to develop an interface to use the system, and that agencies will be responsible for the associated costs.", "The Project Management Institute\u2019s Guide to the Project Management Body of Knowledge (PMBOK\u00ae Guide) provides guidelines for managing individual projects, including developing a project management plan\u2014in advance of executing the project\u2014that describes how the project will be executed, monitored, and controlled. The plan should include, among other things, project schedules and stakeholder roles and responsibilities. The guide notes that updates may be made to the project management plan as changes may occur as the project progresses.", "ODNI officials managing the continuous evaluation program stated that they have not developed a project management plan for the implementation of continuous evaluation, to include an implementation schedule, because they are still in the planning stage. However, ODNI has already started to implement the program. Without a plan that, among other things, identifies reasonable milestones for the future phases of implementation, ODNI does not have a schedule against which it can track its progress or to which it is accountable. Further, without a plan for implementing continuous evaluation executive branch-wide that includes a schedule and agency requirements for future implementation phases, full implementation\u2014which has been delayed for almost 7 years\u2014may be further delayed.", "While a phased approach to implementation provides agencies time to adapt their personnel security clearance programs to changing requirements, without an implementation plan outlining ODNI\u2019s expectations of agencies\u2019 roles and responsibilities, agencies are unable to sufficiently plan for the implementation of continuous evaluation, including identifying required resources and estimating potential costs. Further, without clearly defining expectations for agencies\u2014including information such as the planned requirements for future phases of implementation\u2014continuous evaluation may not be fully implemented across the executive branch. Incomplete implementation could potentially prevent the federal government from identifying security-relevant information in a timely manner, thereby exposing it to further national security risks, such as unauthorized disclosures of classified information. Limited planning, both by ODNI and at the agency level, ultimately puts the success of the continuous evaluation program\u2014a key aspect of the security clearance reform effort\u2014at risk."], "subsections": []}, {"section_title": "ODNI Lacks Plans for Monitoring and Measuring Continuous Evaluation Program Performance", "paragraphs": ["ODNI lacks a plan to monitor and measure the performance of continuous evaluation across executive branch agencies. Specifically, ODNI officials stated that ODNI has not developed a plan to monitor or assess the performance of continuous evaluation across the executive branch, including for the first phase of implementation, which is underway. ODNI officials stated that, ideally, agencies will report that they have met the fiscal year 2017 requirements for the first phase of implementation, and that ODNI will follow up with agencies that do not report. The officials added that, in the long term, ODNI would like to incorporate continuous evaluation into its Security Executive Agent National Assessment Program, through which it conducts oversight of the security clearance process at executive branch agencies, but that continuous evaluation is not currently included in the oversight program. As previously discussed, according to Executive Order 13467, ODNI, as the Security Executive Agent, is to direct the oversight of investigations, reinvestigations, adjudications, and, as applicable, polygraphs for individuals\u2019 eligibility for access to classified information, or eligibility to hold a sensitive position made by any agency. Similarly, Executive Order 12968, as amended, indicates that ODNI is responsible for determining standards for continuous evaluation. According to ODNI, its authorities under the Executive Orders include responsibility for and oversight of continuous evaluation as it is an investigative activity that supports eligibility determinations.", "Standards for Internal Control in the Federal Government emphasizes the importance of assessing performance over time, noting that ongoing monitoring should be built into operations, performed continually, and responsive to change. The PMBOK\u00ae Guide also states that project management includes monitoring and controlling work to meet performance objectives.", "Without developing a plan to monitor continuous evaluation\u2014including assessing continuous evaluation at various phases of implementation\u2014 ODNI cannot ensure that continuous evaluation is being conducted consistently across the executive branch, and it may experience challenges in identifying any needed modifications to the program. Further, ODNI cannot ensure that continuous evaluation is effectively meeting its critical purpose of filling the information gap between investigative cycles to identify risks to national security.", "Additionally, we reported in 2012 that federal agencies engaging in large projects can use performance measures to determine how well they are achieving their goals and to identify any areas for improvement. Reporting on these measures can help key decision makers within agencies, as well as stakeholders, to obtain feedback for improving both policy and operational effectiveness. Moreover, performance measures need to provide managers and other stakeholders with timely, action- oriented information in a format that helps them make decisions that improve program performance. Throughout our body of work on leading performance management practices we have identified several attributes of successful performance measures, which include, among other things, measures that are clear, quantifiable, and objective, and that are linked to measurable goals.", "However, ODNI has not developed and distributed to executive branch agencies performance measures to assess the effectiveness of continuous evaluation once it is implemented executive branch-wide. ODNI officials stated that they would like to collect metrics in order to determine the potential effects of continuous evaluation, in particular on agency resources. Although these officials stated that they have had some discussions with DOD about the types of metrics it might want to collect, such as the number of false positives and the resources required to address the workload, ODNI has not prioritized the development of performance measures. In February 2017, ODNI officials stated that they had not developed\u2014or distributed to DOD or other agencies conducting continuous evaluation\u2014any performance measures for continuous evaluation. These officials stated that once continuous evaluation has matured, ODNI plans to identify appropriate measures and determine a mechanism to collect and analyze them. In August 2017, ODNI officials stated that they had developed a draft list of metrics for fiscal year 2017.", "Once the metrics are finalized, these officials stated that they would issue guidance to agencies requesting them to report these metrics to ODNI.", "However, since ODNI initiated the first phase of continuous evaluation in October 2016, without developing and distributing performance measures to executive branch agencies, it is unclear whether agencies are positioned to collect and report the information to ODNI for fiscal year 2017. Developing performance measures before the program fully matures could help it to identify potential program modifications needed prior to the next phase of implementation, as well as prior to full implementation. Further, without developing clear, quantifiable, and objective performance measures that are linked to measurable goals for agencies to track, and without determining a process and schedule for agencies to regularly report those measures, ODNI cannot ensure that the first phase of the program it has already initiated is effective or achieving similar results at all agencies, which could ultimately affect reciprocity."], "subsections": []}]}, {"section_title": "DOD and State Have Designed, Piloted, and Evaluated Continuous Evaluation to Varying Extents", "paragraphs": ["DOD and State have designed, piloted, and evaluated continuous evaluation, although their respective approaches have varied in scope, size, and duration\u2014with DOD\u2019s pilot involving the most record checks, the largest population, and the longest duration. As previously discussed, DOD\u2019s efforts to design, pilot, and evaluate continuous evaluation have been ongoing for more than a decade, and they pre-date efforts at ODNI to develop and implement an executive branch-wide continuous evaluation program. According to ODNI officials, as of February 2017, DOD and State were the only agencies, other than ODNI, that had piloted continuous evaluation. ODNI officials stated that DOD and State\u2019s pilots were conducted at the discretion of those agencies, and that while ODNI did not oversee them, the results of the pilots have helped inform ODNI\u2019s development of an executive branch-wide program. These pilots were ongoing prior to ODNI\u2019s December 2016 interim guidance outlining the fiscal year 2017 continuous evaluation requirements for executive branch agencies, and as a result, both DOD and State have taken different approaches to developing their programs."], "subsections": [{"section_title": "DOD\u2019s Continuous Evaluation Pilot", "paragraphs": ["In October 2014, consistent with the Secretary of Defense\u2019s March 2014 recommendation to implement continuous evaluation and DOD Instruction 5200.02, DOD initiated a continuous evaluation pilot that included approximately 100,000 military, civilian, and contractor clearance holders, using a limited set of trusted commercial and government data sources. DOD has conducted this pilot in a phased approach, increasing the number of cleared individuals enrolled over time, in accordance with enrollment milestones set as part of the Insider Threat and Security Clearance Reform cross-agency priority goal. Specifically, the department expanded enrollment to 225,000 DOD clearance holders in December 2015 and 500,000 in December 2016, and it plans to increase the enrolled population to 1 million by the end of calendar year 2017. The department has also set an internal goal to enroll all clearance holders department-wide by the end of fiscal year 2021.", "DOD has developed its own continuous evaluation IT system\u2014which is called Mirador, and is separate from the IT system that ODNI is developing\u2014to conduct automated record checks of commercial and government data sources on the enrolled population, with the goal of near real-time identification of adverse information to be considered in the evaluation of an individual\u2019s continued eligibility for access to classified information. DOD officials developing the system stated that while they are currently using Mirador to conduct automated record checks for continuous evaluation, the system remains under development, and they are integrating additional data sources and user requirements as those are identified. As of February 2017, the department had implemented seven data sources in Mirador, which provide information about suspicious financial and criminal activity, among other things. Another nine sources were undergoing testing or were otherwise in progress. The department expects Mirador to reach initial operating capacity in fiscal year 2018. DOD officials stated that aspects of Mirador are still manual, such as enrolling individuals, but that they plan to take steps to automate them.", "DOD officials stated that, depending on the data source, they run record checks on enrolled individuals daily, monthly, quarterly, or annually. According to DOD officials, if a record check results in an alert, such as for criminal activity, Mirador forwards the alert to DOD\u2019s continuous evaluation validation cell\u2014within the Defense Security Service, which manages the department\u2019s continuous evaluation program\u2014to ensure that: (1) the alert applies to the correct individual; (2) the issue was not previously known; and (3) the issue is adjudicatively relevant. DOD officials stated that if an analyst determines that an alert is valid\u2014 meaning that all three of the above statements are believed to be true\u2014 then the analyst generates a report and forwards it to the individual\u2019s designated security manager. Alerts are prioritized for analyst review according to business rules designed around the severity of the alert, and according to DOD officials, all alerts are reviewed by a supervisor following an analyst\u2019s initial determination. The officials stated that currently, if additional investigative work is required based on the alert, the results of that investigation are forwarded to an adjudicator to make a determination as to whether the alert affects the individual\u2019s continued eligibility for a security clearance. The officials added that the due process safeguards in place for periodic reinvestigations are also in place for continuous evaluation. Figure 2 provides an overview of DOD\u2019s continuous evaluation process.", "DOD has collected and analyzed metrics on the results of its current pilot. For example, according to DOD data, as of February 2017, continuous evaluation had identified 12,400 alerts. Of those alerts, 2,064\u2014pertaining to 1,816 individuals\u2014were determined to be valid, meaning that they were adjudicatively relevant and not previously known. According to DOD, action has been completed on 1,307 of those cases. Specifically, 859 cases were closed with a favorable decision, but context was added to the individuals\u2019 records; in 375 cases the subject separated and/or no longer needed access; and 62 cases involved a clearance revocation, condition, or warning. For DOD\u2019s secret-eligible population, continuous evaluation helped to identify risk, on average, 6 years 7 months sooner than the traditional 10-year periodic reinvestigation model, and 1 year 5 months earlier for the top secret-eligible population, which is to be reinvestigated every 5 years. DOD officials stated that these metrics are presently tracked manually by the Consolidated Adjudications Facility, and they identified a need to automate the process, going forward.", "In addition, DOD officials stated that they have shared the results of the pilot and lessons learned with ODNI through the Continuous Evaluation Working Group. For example, DOD identified lessons learned related to identifying the right data sources, eliminating duplicate alerts, the frequency of record checks, methods for achieving identity resolution, and the need for operational access to reporting data. Most recently, DOD issued Department of Defense Manual 5200.02 in April 2017, which includes continuous evaluation among the responsibilities and procedures of the DOD Personnel Security Program."], "subsections": []}, {"section_title": "State\u2019s Continuous Evaluation Pilot", "paragraphs": ["State began its continuous evaluation pilot in January 2015 to evaluate the coverage and reliability of public records information, using a public records service provider. Specifically, it compared information received from public record checks, such as criminal and financial activity, against information contained in personnel security files for approximately 8,600 personnel. State found, among other things, that while public records can provide coverage beyond the traditional scope of investigations, the quality of the information varies, and not all jurisdictions participate. State continued its pilot in 2016 and expanded the enrolled population to include its entire tier 5 population. Additionally, the focus of the pilot shifted from evaluating the usefulness of public records information to evaluating the alerts received. State officials stated that the results of the public record checks are reviewed by the department\u2019s continuous evaluation team, which determines whether the information is new, accurate, and relevant, and if so, whether it needs further review and investigation. These officials stated that because State has authority to conduct its own investigations, it is easy to conduct investigative follow- up. According to officials, minor issues, such as traffic violations, are added to personnel files for consideration during the individual\u2019s next periodic reinvestigation.", "According to State officials, as of March 2017, they had not revoked any clearances as a result of the identification of derogatory information through continuous evaluation. As of April 2017, State had invested approximately $2.4 million in its continuous evaluation pilot for contract costs and personnel to administer the program, and, according to State officials, ODNI provided approximately one-third of that funding. State officials stated that because ODNI provided funding, State has voluntarily shared some lessons learned with ODNI, although it was not tasked to do so. Some details of State\u2019s pilot were omitted because the information is sensitive."], "subsections": []}]}, {"section_title": "Number of Agencies Meeting Periodic Reinvestigation Timeliness Goals Decreased from Fiscal Years 2012- 2016, and Potential Continuous Evaluation Effects Are Unknown", "paragraphs": ["The number of executive branch agencies meeting established timeliness goals for completing periodic reinvestigations decreased from fiscal years 2012 through 2016. Additionally, while executive branch agencies have already initiated the first phase of continuous evaluation, the potential effects of continuous evaluation on periodic reinvestigations and agency resources are unknown, as they have not been assessed."], "subsections": [{"section_title": "Executive Branch Agencies Meeting Established Timeliness Goals for Completing Periodic Reinvestigations Decreased from Fiscal Years 2012 through 2016", "paragraphs": ["Our analysis of timeliness data for specific executive branch agencies showed that the percent of agencies meeting timeliness goals decreased from fiscal year 2012 through 2016. As part of the Insider Threat and Security Clearance Reform cross-agency priority goal, since the second quarter of fiscal year 2014, the PAC has reported quarterly on agency timeliness. Among other things, the PAC reports on the average number of days taken, for the executive branch as a whole, to complete the end- to-end process for periodic reinvestigations, as compared with the following goals for the fastest 90 percent of periodic reinvestigations: 15 days to initiate a case, 150 days to conduct the investigation, and 30 days to adjudicate\u2014totaling 195 days to complete the end-to-end processing of the periodic reinvestigation.", "For fiscal year 2016, the PAC reported that the executive branch as a whole: did not meet the goal of conducting the investigative portion of periodic reinvestigations within 150 days for the fastest 90 percent of cases for any quarter. The average number of days ranged from 175 days to 192 days. did not meet the goal of completing periodic reinvestigations\u2014the end-to-end goal\u2014within 195 days for any quarter of fiscal year 2016. The average ranged from 209 days to 227 days.", "Our analysis of timeliness data for specific executive branch agencies showed that the percent of agencies that reported meeting timeliness goals decreased from fiscal year 2012 through 2016. Specifically, while 84 percent of the executive branch agencies met the 150-day investigative goal for at least three of four quarters for the fastest 90 percent of periodic reinvestigations in fiscal year 2012, only 18 percent of the agencies met the investigative goal in fiscal year 2016. while 84 percent of the executive branch agencies met the end-to-end processing goal of 195 days for at least three of four quarters for the fastest 90 percent of periodic reinvestigations in fiscal year 2012, only 22 percent of the agencies completed their fastest 90 percent of periodic reinvestigations within 195 days for at least three of four quarters in fiscal year 2016.", "Of the agencies we reviewed, we found that agencies which use NBIB as their investigative service provider and agencies with delegated authority to conduct their own investigations both experienced challenges in meeting established timeliness goals for periodic reinvestigations in fiscal years 2015 and 2016. For example, 50 percent of the agencies with delegated authority completed investigations for at least three of four quarters for the fastest 90 percent of periodic reinvestigations within 150 days in fiscal year 2015, and 44 percent of agencies with delegated authority met the timeliness goal in fiscal year 2016. Of the executive branch agencies for which we obtained timeliness data from ODNI and which use NBIB as their investigative service provider, NBIB completed the investigative portion within 150 days for 0 percent of the agencies in fiscal year 2015, and completed it within that timeframe for 6 percent of the agencies in fiscal year 2016 for at least three of four quarters for the fastest 90 percent of reinvestigations. Of the executive branch agencies we reviewed, 67 percent met the adjudication timeliness goal of 30 days in fiscal year 2016 for at least three of four quarters for the fastest 90 percent of reinvestigations. Specific details on the timeliness of individual executive branch agencies\u2019 periodic reinvestigations were omitted from this report because the information is sensitive.", "According to NBIB officials, as of June 2017, NBIB\u2019s investigation backlog totaled approximately 673,000 cases\u2014about 183,000 of which were periodic reinvestigations for both tier 3 and tier 5 clearances. NBIB cited the September 2014 decision to not exercise the option of one of its investigative fieldwork contracts\u2014which led to a loss in capacity and an increase in the program\u2019s contract costs\u2014and difficulties attracting and retaining investigative resources as two main challenges to timeliness. NBIB officials stated that they are taking steps to address the backlog for background investigations, including periodic reinvestigations. These steps include hiring additional federal and contract investigators, implementing a number of workload management initiatives, and conducting a business process reengineering review to identify potential process efficiencies. Additionally, executive branch agencies noted the increased requirements stemming from the 2012 Federal Investigative Standards, such as continuous evaluation and more frequent periodic reinvestigations for certain clearance holders, as additional challenges to meeting timeliness goals.", "In 2008, the Joint Security and Suitability Reform Team issued Security and Suitability Process Reform, a report to the President that, among other things, includes OMB-issued interim government-wide processing goals for security clearances for calendar year 2008. The calendar year 2008 government-wide goal for the fastest 90 percent of periodic reinvestigations is the same as the goal currently in place: 195 days to complete the end-to-end processing of the periodic reinvestigation. The report states that OMB issued the interim goal to assist agencies in projecting workload and resource requirements.", "However, the timeliness goals on which the PAC currently reports for periodic reinvestigations are the same as those identified by OMB as interim goals for calendar year 2008. Unlike initial investigations, for which timeliness objectives are established by statute, the 195-day goal for the end-to-end timeliness of periodic reinvestigations was an interim goal set by OMB for calendar year 2008. The 2008 report to the President does not detail how the goals were developed or what data, if any, were used to establish them. ODNI officials initially stated that they did not know how the 195-day goal was developed or where it was documented, and did not know whether subsequent, finalized goals were ever established, but they later provided a copy of the 2008 report. A senior NBIB official stated that OMB\u2019s interim calendar year 2008 timeliness goals were developed based on the average timeliness of the fastest 90 percent of periodic reinvestigations at that time. Since the establishment of OMB\u2019s interim goals, the executive branch has measured periodic reinvestigation timeliness against those goals, and it has not conducted an evidence-based review to ensure that 195 days\u2014 and the associated goals of the different phases of periodic reinvestigations\u2014are realistic goals for periodic reinvestigations.", "Standards for Internal Control in the Federal Government states that management evaluates and, if necessary, revises defined objectives so that they are consistent with requirements and expectations. Without conducting an evidence-based review of the goals, the executive branch will continue to compare the timeliness of its periodic reinvestigations against goals that it established almost a decade ago and that may no longer be appropriate. Further, without ensuring that 195 days, along with the associated goals of the different phases of periodic reinvestigations, are appropriate goals, agencies may not be adequately planning for the amount of time and resources actually required to conduct periodic reinvestigations, and, as a result, they may experience further timeliness delays. Moreover, if an agency does not plan for sufficient time to conduct periodic reinvestigations, it may allow individuals to retain access to sensitive documents when it has not yet confirmed those individuals\u2019 continued eligibility, which could have potential repercussions for national security."], "subsections": []}, {"section_title": "Potential Effects of Continuous Evaluation on Periodic Reinvestigations Are Unknown", "paragraphs": ["The potential effects of continuous evaluation on periodic reinvestigations, such as possible changes to their frequency or scope, remain unknown. In addition, the executive branch\u2019s plans for replacing periodic reinvestigations with continuous evaluation have evolved over time. For example, the 2008 Security and Suitability Process Reform report to the President outlined plans to replace the periodic reinvestigation model with continuous evaluation, conducting continuous evaluation annually or at least once every 5 years, depending on an individual\u2019s security clearance level. The report identified a June 2009 milestone to develop an implementation plan to transition from periodic reinvestigations to continuous evaluation, and as previously discussed, an estimated operational date of the fourth quarter of fiscal year 2010 (see figure 1). The purpose of the change was to reveal security-relevant information earlier and to provide increased scrutiny on populations that could potentially represent risk to the government because they already have access to classified information. However, ODNI documentation states that continuous evaluation supplements and enhances, but does not replace, established personnel security processes.", "Executive branch agencies have expressed varying views about potential changes to the periodic reinvestigation model. For example, DOD officials stated that with workload and funding issues, they see no alternative but to replace periodic reinvestigations for certain clearance holders with continuous evaluation, as the record checks conducted are the same for both processes. In addition, DOD officials stated that they believe continuous evaluation will not only result in the more timely identification of security-relevant information, but will also help to change individuals\u2019 behaviors\u2014for example, that individuals will be more likely to self-report such information once they are enrolled in the program. DOD officials also noted that if changes are not made to the periodic reinvestigation process, the investigation backlog will persist, because continuous evaluation alerts will continue to add to the investigative workload.", "In addition, in September 2016, PERSEREC issued a report on a study it conducted on the effectiveness, timeliness, and cost of various automated record checks-based investigative strategies as compared with traditional periodic reinvestigations. The analysis found that some of the automated record checks strategies were effective, improved the timeliness of issue detection, and lowered costs. However, DOD officials noted that because ODNI is the Security Executive Agent, it must approve the change to the investigative process. These officials stated that they hope to influence this change by demonstrating the effectiveness of continuous evaluation at DOD. Additionally, NBIB officials stated that continuous evaluation will increase their workload and costs, since it is an additional layer to the personnel security clearance process. Accordingly, they hope that ODNI will identify efficiencies that can be made to the process. Further, PAC Program Management Office officials stated that there may be changes to the periodic reinvestigation model in the future, but that any changes to the model will be determined by data and will be made under the authority of ODNI and OPM as the Security Executive Agent and the Suitability Executive Agent, respectively.", "Other agencies, such as State, do not share DOD\u2019s view. For example, State officials stated that although a reduction in costs would result from replacing periodic reinvestigations with continuous evaluation, they have concerns that relevant information, such as state and local law enforcement records that are not yet automated, would be missed if they did not conduct periodic reinvestigations. Similarly, officials from the Department of Justice and the Department of Homeland Security stated that they do not intend to replace periodic reinvestigations, and that continuous evaluation is to be a supplement to the personnel security clearance process. However, officials from all three of these agencies stated that it may be possible to change the frequency or scope of periodic reinvestigations at some point in the future. ODNI officials stated that, at this time, they have no intention of replacing periodic reinvestigations with continuous evaluation, and that the Security Executive Agent Directive for continuous evaluation, once issued, will clarify that continuous evaluation is intended to supplement and not replace periodic reinvestigations.", "In May 2017, ODNI officials stated that ODNI is not opposed to further improving the security clearance process, and that once continuous evaluation is operational, it plans to determine the efficiencies and mitigation of risks associated with the approach. Specifically, these officials stated that once continuous evaluation is further implemented and ODNI has gathered sufficient data\u2014which they estimated would take about a year from May 2017\u2014they can perform analysis and research to determine whether any changes are needed to the periodic reinvestigation model.", "While executive branch agencies have different views about potential changes to the periodic reinvestigation process, officials from five of the seven executive branch agencies we spoke with identified the potential expenditure of increased resources, such as workload and costs, as a risk associated with the implementation of continuous evaluation. Specifically, all five agencies stated that continuous evaluation will increase their workloads\u2014and therefore costs\u2014if no other changes are made to the personnel security process. For example, DOD officials noted that adjudicator workloads will increase as new investigative leads\u2014identified through continuous evaluation\u2014require adjudication. Senior DOD officials stated that DOD cannot afford to conduct both continuous evaluation and periodic reinvestigations. Specifically, DOD estimates that implementing the 2012 Federal Investigative Standards requirement to conduct more frequent periodic reinvestigations for certain clearance holders will cost approximately $1.8 billion for fiscal years 2018 through 2022. In addition, State officials stated that they anticipate that continuous evaluation will increase their personnel security workload because alerts will have to be validated, and potentially investigated, and then adjudicated.", "Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to risks related to achieving defined objectives. Risk assessment is the identification and analysis of risks related to achieving defined objectives to form a basis for designing risk responses. In addition, the PMBOK\u00ae Guide states that entities should perform a quantitative risk analysis to numerically analyze the effect of identified risks on overall project objectives. The key benefit of this process is that it produces quantitative risk information to support decision-making in order to reduce project uncertainty.", "Although executive branch agencies have identified increased resources as a risk associated with implementing continuous evaluation, and ODNI has acknowledged that risk, ODNI, in coordination with the PAC, has not assessed the potential effects of continuous evaluation on an agency\u2019s resources. Further, ODNI has not developed a plan, in consultation with implementing agencies, to address such effects, to include modifying the scope or frequency of periodic reinvestigations or replacing periodic reinvestigations for certain clearance holders. While ODNI is implementing continuous evaluation in a phased approach, having a plan in place to address the increased workload once continuous evaluation is fully implemented is critical to ensuring the sustainability and effectiveness of executive branch agencies\u2019 personnel security programs. Further, without assessing the potential impacts on agency resources and developing a plan to address them\u2014once ODNI has further defined the program\u2014implementing continuous evaluation could further increase the periodic reinvestigation backlog and agency costs. With delays in determining continued eligibility, executive branch agencies are assuming greater risk, which runs counter to the purpose of continuous evaluation."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Continuous evaluation has been a key and long-standing initiative of security clearance reform efforts, intended to assist agencies in the timely identification of security-relevant information that may affect an individual\u2019s continued eligibility for access to classified information. However, ODNI has not demonstrated the leadership necessary to make continuous evaluation a priority. Accordingly, the program\u2019s implementation has been delayed for almost 7 years. Although ODNI has taken an initial step to implement it in a phased approach, it has not yet formalized the program in policy or provided an expanded definition of continuous evaluation to implementing agencies. In addition, ODNI has not yet determined key aspects of the program, including future phases of implementation and agency requirements. Key executive branch agencies have deemed information about the future phases necessary to plan for the implementation of continuous evaluation and to estimate potential costs. The absence of this information has limited their ability to prepare for the next phases of implementation. This could further delay the full implementation of continuous evaluation executive branch-wide and result in inconsistencies among agencies\u2019 approaches. Specifically, in the absence of ODNI policy and comprehensive guidance, DOD and State continue to develop their current continuous evaluation programs. The ultimate effects of such inconsistencies could negatively affect reciprocity\u2014another key government-wide security clearance reform effort.", "Although ODNI is to have oversight of continuous evaluation, it has not incorporated it into its oversight program or developed a plan to ensure that agencies implement it. Without a Security Executive Agent Directive for continuous evaluation that provides an expanded definition of continuous evaluation and relevant terms to help ensure consistent use; a plan for implementing continuous evaluation across the executive branch, that includes future phases of implementation and expectations for agencies; and a plan for monitoring program performance throughout the implementation process, as well as performance measures by which to track and report progress, ODNI is not well-positioned to ensure the success and effectiveness of the continuous evaluation initiative. Further, ODNI does not know whether it is meeting the critical purpose of filling the information gap between investigative cycles to identify risks to national security.", "Executive branch timeliness in completing periodic reinvestigations has declined over the past five years. Further, the executive branch does not know whether the timeliness goals\u2014set nearly a decade ago\u2014are still relevant and appropriate, given changes to the personnel security clearance process. Without conducting an evidence-based review to ensure that goals for the timely completion of periodic reinvestigations are appropriate, executive branch agencies may not be planning sufficient time and resources to complete periodic reinvestigations and therefore may be challenged to ensure the continued eligibility of the entire national security workforce. Finally, executive branch agencies have identified increased resources, such as workload and costs, as a challenge to implementing continuous evaluation. However, the executive branch has not determined the potential expected effects of continuous evaluation on periodic reinvestigations, and agencies have varying views about what, if any, additional changes should be made to the personnel security clearance process. Without an assessment of the potential effects of continuous evaluation and a plan to address those effects\u2014once ODNI has further defined the program\u2014agencies may not be able to effectively integrate continuous evaluation into their personnel security clearance programs, which in turn could lead to further delays in the clearance process."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to ODNI:", "The Director of National Intelligence should issue a Security Executive Agent Directive for continuous evaluation to formalize the program, which includes, among other things, an expanded definition of continuous evaluation in advance of the next phase of implementation. (Recommendation 1)", "The Director of National Intelligence should, in coordination with the Continuous Evaluation Working Group, develop an implementation plan for continuous evaluation across the executive branch that includes a schedule with timeframes and expectations for agencies, such as the requirements (e.g., the size of the enrolled population in continuous evaluation) for future phases of implementation. (Recommendation 2)", "The Director of National Intelligence should develop a plan for monitoring continuous evaluation performance, to include assessing continuous evaluation at various phases of implementation. (Recommendation 3)", "The Director of National Intelligence should develop performance measures for continuous evaluation that agencies must track and determine a process and schedule for agencies to regularly report those measures to ODNI. At minimum, these performance measures should be clear, quantifiable, objective, and linked to measurable goals. (Recommendation 4)", "The Director of National Intelligence should, in coordination with the Deputy Director for Management of the Office of Management and Budget in the capacity as Chair of the Security, Suitability, and Credentialing Performance Accountability Council, conduct an evidence-based review of the timeliness goal of 195 days for completing the fastest 90 percent of periodic reinvestigations and the associated goals for the different phases of periodic reinvestigations, and adjust the goal if appropriate, taking into consideration available resources, the additional workload of continuous evaluation, and the risks associated with individuals retaining access to classified information without determining their continued eligibility. (Recommendation 5)", "The Director of National Intelligence should, once ODNI has further defined the continuous evaluation program, to include issuing a Security Executive Agent Directive and developing an implementation plan, in coordination with the Deputy Director for Management of the Office of Management and Budget in the capacity as Chair of the Security, Suitability, and Credentialing Performance Accountability Council, assess the potential effects of continuous evaluation on agency resources and develop a plan, in consultation with implementing agencies, to address those effects, such as modifying the scope of periodic reinvestigations, changing the frequency of periodic reinvestigations, or replacing periodic reinvestigations for certain clearance holders. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to ODNI, DOD, OMB, State, NBIB, the Department of Justice, and the Department of Homeland Security for review and comment. Written comments from ODNI are reprinted in their entirety in appendix I. DOD, OMB, NBIB, and the Department of Homeland Security did not provide comments. ODNI, State, and the Department of Justice provided technical comments, which we incorporated in the report as appropriate.", "In its written comments, ODNI stated that it generally concurred, with comments, with our six recommendations. However, ODNI stated that it did not concur with aspects of our overall conclusions and provided observations in four specific areas. We continue to believe that our conclusions are valid, as discussed below.", "First, ODNI disagreed with our conclusion that it has not demonstrated the leadership necessary to make continuous evaluation a priority. ODNI noted that it has taken recent actions to better prioritize the implementation of continuous evaluation. While these recent steps are positive and may help position ODNI for success, historically ODNI has not demonstrated the leadership necessary to make the implementation of a continuous evaluation program a priority. Specifically, while ODNI refers to continuous evaluation as a new initiative, the original milestone for implementing the program was the fourth quarter of fiscal year 2010, which was not attained. Since then, as discussed in the report, a number of revised milestones for implementing the program have been missed. For example, the PAC, of which ODNI is a principal member, subsequently set a milestone for developing an initial continuous evaluation capability for other clearance holders by September 2014\u2014 which was extended to December 2014\u2014and a milestone for implementing the capability for other clearance holders by December 2016. These milestones were also missed. As of August 2017, continuous evaluation has not yet been fully implemented, and ODNI has not set a milestone for when full implementation would occur. As such, we recommended specific actions that are needed to better position ODNI for success, including issuing a Security Executive Agent Directive for continuous evaluation, developing plans for implementing the program and monitoring its performance, and developing performance measures.", "Second, ODNI disagreed with our conclusion that it has not yet determined key aspects of the continuous evaluation program, including future phases of implementation and agency requirements. ODNI stated that the Security Executive Agent Directive for continuous evaluation is undergoing interagency coordination and that it has provided executive branch agencies with interim guidance until that process is completed, which we acknowledge in the report. While ODNI has provided interim guidance for continuous evaluation, it only details the requirements for fiscal year 2017 and not for the future phases of implementation. In August 2017, after receiving a draft of our report, ODNI officials stated that they planned to provide additional guidance to agencies clarifying that the requirements for fiscal year 2018 will be the same as those for fiscal year 2017. While this correspondence, once issued, will help agencies with their immediate program planning, ODNI officials stated that they have not yet determined the requirements for fiscal year 2019 or beyond, which limits agencies\u2019 abilities to plan beyond the next fiscal year for the future phases of implementation.", "Additionally, ODNI stated that the technical development milestones of the Continuous Evaluation System it is developing are well-established, tracked, and shared with stakeholders. As discussed in the report, according to ODNI officials, they have established technical milestones for the development of ODNI\u2019s Continuous Evaluation System. While this is an important step in implementing the program, ODNI has not developed similar programmatic milestones for the overall implementation of the program, such as when future phases of implementation will occur, to include full implementation. As discussed in the report, this has limited the ability of executive branch agencies to plan for implementation in accordance with ODNI\u2019s phased approach. As a result, full implementation\u2014which has been delayed for almost 7 years\u2014may be further delayed.", "Third, ODNI did not agree with our conclusion that although it is to have oversight of continuous evaluation, it has not incorporated it into its oversight program or developed a plan to ensure agencies implement it. In its response, ODNI identified its intention to take certain actions and future mechanisms that could position it to monitor continuous evaluation. Specifically, ODNI stated that continuous evaluation metrics will be collected and analyzed when the initial phase of continuous evaluation implementation ends on September 30, 2017. Additionally, ODNI stated that it will leverage a pending OMB budget data request and that its Security Executive Agent National Assessments Program will be responsible for analysis and oversight of agency implementation and operation of continuous evaluation.", "However, as we note in the report, ODNI has not developed and distributed plans to monitor or assess the performance of continuous evaluation across the executive branch, including for the first phase of implementation. As we note in our report, ODNI officials stated that ODNI did not oversee the pilots that were conducted by DOD and State, as they were performed at the discretion of those agencies. State officials noted that while they have shared lessons learned on their continuous evaluation pilot, they were not tasked to do so. While ODNI stated in its written comments that it has specific expertise in researching, measuring, analyzing, and monitoring personnel security performance across the executive branch, it has not yet demonstrated these actions with regard to continuous evaluation. For example, DOD\u2014the executive branch agency with the majority of security clearance holders\u2014has conducted research on continuous evaluation since 2001, piloted its program since October 2014, and plans to increase the number of personnel enrolled in the program to 1 million by the end of calendar year 2017. However, ODNI, in the capacity as the Security Executive Agent, has not overseen DOD\u2019s pilot.", "Moreover, as discussed in the report, as of August 2017\u201410 months into fiscal year 2017\u2014ODNI has not yet developed and distributed to executive branch agencies continuous evaluation performance measures. At the end of our review, in August 2017, ODNI officials stated that they have developed a draft list of metrics for continuous evaluation for fiscal year 2017 and that once the metrics are finalized, they will issue guidance to executive branch agencies requesting them to report these metrics to ODNI. While metrics can help to establish a baseline and inform aspects of a program\u2019s status\u2014and ODNI\u2019s development of draft metrics is a positive step\u2014performance measures are linked to a goal and inform how well an agency is doing against that goal. As ODNI has not developed and distributed performance measures that are clear, quantifiable, and objective, and that are linked to measurable goals prior to initiating, or earlier in the first phase of implementation, executive branch agencies may not be positioned to collect and report these metrics at the end of the fiscal year. Additionally, as discussed in the report, according to ODNI officials, while they would like to incorporate continuous evaluation into their Security Executive Agent National Assessments Program, it is not currently part of the program. While ODNI has identified steps that could position it to monitor continuous evaluation in the future, it has not yet implemented mechanisms to monitor and measure program performance.", "Fourth, ODNI did not agree with our conclusions that it is not well- positioned to ensure the success and effectiveness of the continuous evaluation initiative, and that it does not know if it is meeting the critical purpose of filling the information gap between investigative cycles to identify risks to national security. However, in its written comments, ODNI stated that successful implementation of continuous evaluation across the executive branch requires formal Security Executive Agent policy guidance, implementation and technical guidance and milestones, performance measures, and a monitoring program, which we recommended in the report. ODNI states that it is well-postured to achieve these goals, and refers to its intention to apply Security Executive Agent National Assessments Program best practices as a mechanism to use to monitor and ensure compliance. Although this action could be a step in better positioning ODNI as continuous evaluation implementation further proceeds, as noted above and in our report, ODNI has not yet finalized, distributed, and implemented these and other actions to ensure that it is currently positioned to ensure success, even while it has initiated the first phase of continuous evaluation implementation.", "As noted in our report, although ODNI has taken steps to implement continuous evaluation in a phased approach, executive branch efforts to implement continuous evaluation have been a long-standing component of overall security clearance reform. The actions ODNI intends to take as it further implements continuous evaluation, as well as the mechanisms it identified, may better position it and the implementing agencies for success. However, given the challenges that the executive branch has faced in implementing continuous evaluation thus far and the continued delays it has faced, without a fully defined program in place, we believe that our conclusions remain valid.", "Finally, in its written comments, ODNI suggested a revision to our sixth recommendation. Specifically, ODNI suggested adding an explicit timeframe for completing the action. We believe that ODNI is best positioned to set an appropriate timeframe for completion based on its familiarity with the progress of the program and, as such, did not incorporate this change in our report. We agree with ODNI that establishing such a timeframe is a positive step.", "We are sending copies of this report to the appropriate congressional committees, the Director of National Intelligence, the Secretary of Defense, the Director of OMB, the Secretary of State, the Secretary of Homeland Security, the Director of OPM, the Director of NBIB, the Attorney General, the Director of the Federal Bureau of Intelligence, and the Director of the Bureau of Alcohol, Tobacco, Firearms, and Explosives. In addition, this report will also be available at no charge on the GAO website at http://www.gao.gov.", "If you or your members of your staff have any questions regarding this report, please contact me at (202) 512-3604 or farrellb@gao.gov. GAO staff who made significant contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Office of the Director of National Intelligence", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly C. Seay (Assistant Director), Chris Businsky, Molly Callaghan, Jenny Chanley, Dawn Godfrey, Saida Hussain, James Krustapentus, Michael Shaughnessy, Rachel R. Stoiko, John Van Schaik, Cheryl Weissman, and Jina Yu made significant contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Personnel Security Clearances: Funding Estimates and Government- Wide Metrics Are Needed to Implement Long-Standing Reform Efforts. GAO-15-179SU. Washington, D.C.: April 23, 2015.", "Personnel Security Clearances: Additional Guidance and Oversight Needed at DHS and DOD to Ensure Consistent Application of Revocation Process. GAO-14-640. Washington, D.C.: September 8, 2014.", "Personnel Security Clearances: Actions Needed to Ensure Quality of Background Investigations and Resulting Decisions. GAO-14-138T. Washington, D.C.: February 11, 2014.", "Personnel Security Clearances: Opportunities Exist to Improve Quality Throughout the Process. GAO-14-186T. Washington, D.C.: November 13, 2013.", "Personnel Security Clearances: Full Development and Implementation of Metrics Needed to Measure Quality of Process. GAO-14-157T. Washington, D.C.: October 31, 2013.", "Personnel Security Clearances: Further Actions Needed to Improve the Process and Realize Efficiencies. GAO-13-728T. Washington, D.C.: June 20, 2013.", "Managing for Results: Agencies Should More Fully Develop Priority Goals under the GPRA Modernization Act. GAO-13-174. Washington, D.C.: April 19, 2013.", "Security Clearances: Agencies Need Clearly Defined Policy for Determining Civilian Position Requirements. GAO-12-800. Washington, D.C.: July 12, 2012.", "Personnel Security Clearances: Continuing Leadership and Attention Can Enhance Momentum Gained from Reform Effort. GAO-12-815T. Washington, D.C.: June 21, 2012. 2012 Annual Report: Opportunities to Reduce Duplication, Overlap and Fragmentation, Achieve Savings, and Enhance Revenue. GAO-12-342SP. Washington, D.C.: February 28, 2012.", "Background Investigations: Office of Personnel Management Needs to Improve Transparency of Its Pricing and Seek Cost Savings. GAO-12-197. Washington, D.C.: February 28, 2012.", "GAO\u2019s 2011 High-Risk Series: An Update. GAO-11-394T. Washington, D.C.: February 17, 2011.", "High-Risk Series: An Update. GAO-11-278. Washington, D.C.: February 16, 2011.", "Personnel Security Clearances: Overall Progress Has Been Made to Reform the Governmentwide Security Clearance Process. GAO-11-232T. Washington, D.C.: December 1, 2010.", "Personnel Security Clearances: Progress Has Been Made to Improve Timeliness but Continued Oversight Is Needed to Sustain Momentum. GAO-11-65. Washington, D.C.: November 19, 2010.", "DOD Personnel Clearances: Preliminary Observations on DOD\u2019s Progress on Addressing Timeliness and Quality Issues. GAO-11-185T. Washington, D.C.: November 16, 2010.", "Personnel Security Clearances: An Outcome-Focused Strategy and Comprehensive Reporting of Timeliness and Quality Would Provide Greater Visibility over the Clearance Process. GAO-10-117T. Washington, D.C.: October 1, 2009.", "Personnel Security Clearances: Progress Has Been Made to Reduce Delays but Further Actions Are Needed to Enhance Quality and Sustain Reform Efforts. GAO-09-684T. Washington, D.C.: September 15, 2009.", "Personnel Security Clearances: An Outcome-Focused Strategy Is Needed to Guide Implementation of the Reformed Clearance Process. GAO-09-488. Washington, D.C.: May 19, 2009.", "DOD Personnel Clearances: Comprehensive Timeliness Reporting, Complete Clearance Documentation, and Quality Measures Are Needed to Further Improve the Clearance Process. GAO-09-400. Washington, D.C.: May 19, 2009.", "High-Risk Series: An Update. GAO-09-271. Washington, D.C.: January 2009.", "Personnel Security Clearances: Preliminary Observations on Joint Reform Efforts to Improve the Governmentwide Clearance Eligibility Process. GAO-08-1050T. Washington, D.C.: July 30, 2008.", "Personnel Clearances: Key Factors for Reforming the Security Clearance Process. GAO-08-776T. Washington, D.C.: May 22, 2008.", "Employee Security: Implementation of Identification Cards and DOD\u2019s Personnel Security Clearance Program Need Improvement. GAO-08-551T. Washington, D.C.: April 9, 2008.", "Personnel Clearances: Key Factors to Consider in Efforts to Reform Security Clearance Processes. GAO-08-352T. Washington, D.C.: February 27, 2008.", "DOD Personnel Clearances: DOD Faces Multiple Challenges in Its Efforts to Improve Clearance Processes for Industry Personnel. GAO-08-470T. Washington, D.C.: February 13, 2008.", "DOD Personnel Clearances: Improved Annual Reporting Would Enable More Informed Congressional Oversight. GAO-08-350. Washington, D.C.: February 13, 2008.", "DOD Personnel Clearances: Delays and Inadequate Documentation Found for Industry Personnel. GAO-07-842T. Washington, D.C.: May 17, 2007.", "High-Risk Series: An Update. GAO-07-310. Washington, D.C.: January 2007.", "DOD Personnel Clearances: Additional OMB Actions Are Needed to Improve the Security Clearance Process. GAO-06-1070. Washington, D.C.: September 28, 2006.", "DOD Personnel Clearances: Some Progress Has Been Made but Hurdles Remain to Overcome the Challenges That Led to GAO\u2019s High-Risk Designation. GAO-05-842T. Washington, D.C.: June 28, 2005.", "High-Risk Series: An Update. GAO-05-207. Washington, D.C.: January 2005."], "subsections": []}], "fastfact": []} {"id": "GAO-19-38", "url": "https://www.gao.gov/products/GAO-19-38", "title": "Department of Housing and Urban Development: Better Guidance and Performance Measures Would Help Strengthen Enforcement Efforts", "published_date": "2018-10-30T00:00:00", "released_date": "2018-10-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HUD established DEC in 1998 to consolidate enforcement functions. In fiscal year 2017, DEC received about 2,800 referrals from program offices for oversight of and enforcement actions against property owners, public housing agencies, and state and local grantees that do not comply with requirements.", "The Joint Explanatory Statement accompanying the Consolidated Appropriations Act, 2017, included a provision for GAO to assess DEC's effectiveness addressing noncompliance. GAO examined (1) the processes selected program offices have in place to make referrals, (2) how DEC assesses its performance, and (3) challenges that may affect the ability of DEC to achieve its mission. GAO reviewed agreements and referral data between DEC and three of the nine HUD program offices that made referrals to DEC from fiscal years 2014 to 2017 (accounting for 73 percent of the total referrals during that period), and interviewed HUD staff in headquarters and field offices."]}, {"section_title": "What GAO Found", "paragraphs": ["The three program offices of the Department of Housing and Urban Development (HUD) that GAO examined have a process in place for referring cases of potential noncompliance to the Departmental Enforcement Center (DEC), but two of the offices do not provide their staff with specific guidance on when to make referrals. The Office of Multifamily Housing makes referrals to DEC based on defined thresholds for noncompliance, such as for properties that do not pass physical inspections. In contrast, the Offices of Public and Indian Housing (PIH) and Community Planning and Development (CPD) have broad guidelines but not specific thresholds for when to refer an entity to DEC. These two offices do not provide field staff with specific guidance to help determine which housing agencies or grantees to refer to DEC for possible enforcement action. As a result, the offices cannot ensure that decisions on whether to make referrals are made on a well-supported and consistent basis, potentially limiting DEC's effectiveness in fulfilling its mission of providing independent oversight of HUD's programs. In addition, PIH and CPD have targets for how many annual referrals the program office will make to DEC, but the targets are not based on program risk. According to federal internal control standards, management should identify, analyze, and respond to risks related to achieving the defined objectives. Without a target number of referrals based on program risk, PIH and CPD cannot be confident that the number of cases referred to DEC is appropriate and that DEC resources are being used efficiently.", "DEC tracks some performance measures, but it largely measures outputs, such as number of work assignments completed, rather than outcomes, such as financial performance improvements resulting from its work, that would help assess the impact of its activities. DEC also does not track the status of recommendations it makes to program offices or measure indicators of its timeliness in completing its reviews for the referrals it receives. In addition, GAO found that DEC staff did not consistently record two key data elements (including the corrective action taken) in the spreadsheet used to track referrals. Improving DEC's performance measurement system and data recording would be consistent with federal internal control standards and allow DEC to better assess its effectiveness, ensure accountability, and identify potential improvements.", "DEC has experienced various information technology challenges that have affected its ability to carry out its mission. For example, DEC's current system is not designed to allow staff to easily determine the basis for certain referrals or identify and analyze trends in referrals over multiple years. In addition, DEC has experienced continuing outages and breaks in service. HUD has developed plans for a replacement system, but funding constraints have delayed the implementation of the new system. DEC staff also noted that the organizational location of DEC within the Office of General Counsel was a challenge to carrying out its mission because it limited DEC's ability to hold program offices accountable for corrections. HUD disagreed and also stated that the department has no plans to relocate DEC. Based on GAO's review, other factors, such as the lack of guidance for making referrals (discussed above), may better explain why DEC may not be utilized more effectively."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations to HUD related to DEC, including for staff guidance on when to make referrals; targets for the number of DEC referrals based on program risk; outcome measures to track performance; and controls to ensure consistent data recording. HUD agreed with five of the eight recommendations, noting that setting referral targets was inconsistent with basing them on program risk. GAO maintains that setting referral targets can help ensure that program offices make referrals to DEC."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Housing and Urban Development (HUD) administers a wide variety of programs that help households obtain quality, affordable housing and that seek to build and strengthen communities. Each year, these programs provide rental assistance to millions of lower-income households, mortgage insurance to hundreds of thousands of home buyers, and community development grants to hundreds of state and local governments. In 1997, HUD announced a management reform initiative, HUD 2020, designed to improve the agency\u2019s performance and eliminate waste, fraud, and abuse. One of the main reforms was to implement a new system of assessment, monitoring, and enforcement to ensure the quality of HUD-assisted housing. HUD established the Departmental Enforcement Center (DEC) in 1998 to help ensure program participants\u2019 compliance with HUD program requirements and consolidate non-civil rights enforcement actions across HUD into a single center. HUD program offices make referrals of potential noncompliance to DEC under formal agreements between the parties. In fiscal year 2017, HUD data shows that DEC received about 2,800 referrals from 9 program offices.", "The Joint Explanatory Statement accompanying the Consolidated Appropriations Act, 2017, included a provision for GAO to assess the effectiveness of DEC in resolving owners\u2019 noncompliance with physical, financial, and other requirements for public housing and multifamily housing properties. This report examines (1) the processes that selected HUD program offices have in place to make referrals to DEC, (2) how DEC assesses its performance, and (3) challenges that may affect the ability of DEC to achieve its mission.", "We focused our review on DEC and three HUD program offices: Community Planning and Development (CPD), Multifamily Housing (MFH), and Public and Indian Housing (PIH). Collectively, these three program offices accounted for 73 percent of the total referrals DEC received from fiscal years 2014 through 2017. To address the first objective, we reviewed the formal agreements between DEC and CPD, MFH, and PIH, as well as the guidance these program offices developed for monitoring multifamily properties, public housing agencies, and grantees. We compared this guidance against internal control standards for designing control activities and communicating internally. We analyzed data from DEC\u2019s system for managing referrals from program offices (extracted as of March 2018) and a spreadsheet DEC maintains to track referrals from CPD and PIH (as of March 2018). To assess the reliability of the data, we performed various tests\u2014including searching for missing data and dates, and checking for completeness of the data. We concluded that the data from DEC were sufficiently reliable for purposes of describing general trends.", "To address the second objective, we reviewed DEC\u2019s performance measures and other information DEC collects and reports on its performance. We compared DEC\u2019s practices against federal internal control standards and leading practices of results-oriented organizations that we have identified in prior work. To address the third objective, we reviewed our prior reports and reports from the HUD Office of Inspector General (OIG) that identified challenges DEC faces in achieving its mission. We also reviewed internal HUD documents related to these challenges, including plans for a new information technology system and a proposal to relocate DEC. For all of the objectives, we interviewed HUD headquarters staff from DEC, HUD Office of General Counsel (OGC) and OIG, and program office officials at HUD headquarters and 10 field locations. Appendix I contains more details about our scope and methodology.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["HUD established DEC in 1998 to consolidate enforcement activities of PIH, CPD, the Office of Fair Housing and Equal Opportunity (for non-civil rights violations), and MFH into one new organization. The HUD 2020 management reform plan envisioned that DEC would take enforcement action against: (1) public housing agencies that do not pass annual assessments; (2) owners of private, HUD-assisted housing that do not pass physical or financial audit inspections; and (3) local and state governments and non-profit organizations that do not comply with the requirements of grants they received from CPD and the Office of Fair Housing and Equal Opportunity (for non-civil rights violations). In addition, as part of the plan, HUD created the Real Estate Assessment Center (REAC) to help monitor public housing and HUD-insured multifamily housing projects by providing independent assessments of the physical quality and financial condition of public housing and multifamily developments.", "DEC\u2019s current mission is to provide independent oversight of the administration of HUD programs and its external partners. According to HUD, DEC\u2019s primary goal is to bring owners to full compliance so that there is no compromise in the quality of HUD-assisted housing. In instances where owners do not bring properties up to standard, and where physical and financial deficiencies persist, DEC can take appropriate enforcement action. This includes administrative sanctions, such as civil money penalties, suspension or debarment, as well as possible referral to HUD OIG when criminal activity is suspected, or to the Department of Justice for civil action. DEC also conducts more targeted oversight reviews for some program offices. These reviews are intended to provide program offices with an independent means to analyze and evaluate the efficiency or vulnerability of their programs and operations.", "DEC has staff in HUD headquarters and five field offices. In general, headquarters staff develops policy and coordinates the reviews of the referrals DEC receives from the HUD program offices while field office staff conducts the reviews. DEC works primarily with MFH and conducts more targeted oversight reviews for PIH and CPD. (See Appendix II for a breakdown of DEC referrals by program office and the state where the property is located.) These program offices have staff in headquarters and field offices, which are organized into 10 regions. There is at least one field office or regional office in each state, and the number of field offices varies by region. PIH further combines these regions into six networks.", "These program offices oversee different areas within HUD:", "MFH oversees the Federal Housing Administration\u2019s multifamily mortgage insurance on loan originations, manages HUD\u2019s portfolio of multifamily housing, provides rental assistance, and helps preserve affordable housing. Additionally, MFH administers project-based rental assistance, supportive housing for the elderly, and programs for persons with disabilities. Collectively, the properties MFH oversees provided affordable rental housing to more than 1.2 million low- income households in 2017.", "PIH helps low-income families through a number of programs. PIH provides assistance to state and local public housing agencies that generally own and administer units for eligible tenants. The Housing Choice Voucher program provides tenant-based rental assistance that eligible individuals and families can use to rent houses or apartments in the private housing market. Native American programs provide block grants and loan guarantees to tribal entities for housing development and assistance. PIH is supporting 2.2 million vouchers and 1.1 million public housing units in 2018.", "CPD provides financial and technical assistance to states and localities through the Community Development Block Grant and HOME Investment Partnerships programs\u2014the federal government\u2019s largest block grant programs for community development and affordable housing production, respectively. CPD also leads a number of HUD\u2019s efforts to combat homelessness. Additionally, Congress appropriated about $36 billion in new Community Development Block Grant-Disaster Recovery funds in fiscal years 2017 and 2018 to states and local governments that experienced major disasters in 2015, 2016 and 2017. CPD oversaw more than 37,000 grants in 2017.", "DEC uses an internal database to manage the referrals it receives from HUD program offices. DEC\u2019s system is designed to capture various data, including the date DEC received the referral, name of the property owner or grantee being referred, cause of the referral, status of the referral, final action to close the referral, and corrections made related to the referral, among other things."], "subsections": []}, {"section_title": "Two of Three HUD Program Offices We Examined Lack Guidance for Making Referrals and Targets Based on Program Risk", "paragraphs": ["DEC and the three HUD program offices we examined have agreements in place that generally describe the process the offices follow to make referrals to DEC and the responsibilities of the parties. However, two of the three program offices (PIH and CPD) do not provide their staff with specific guidance for making referrals, and the target number of referrals these two offices have established to send to DEC does not address the risk of noncompliance."], "subsections": [{"section_title": "Multifamily Housing Office Makes Referrals to DEC Based on Defined Thresholds", "paragraphs": ["MFH makes automatic and elective referrals to DEC based on specific thresholds for program noncompliance defined in its agreement with DEC. MFH properties are automatically referred to DEC if: (1) the property scores below a certain threshold on a REAC physical inspection; (2) the owner fails to submit audited financial statements to HUD within 60 days following the end of the owner\u2019s fiscal year; or (3) REAC\u2019s automated compliance review of the property\u2019s financial statements identifies unauthorized uses of project funds greater than an agreed-to threshold (see figure 1).", "MFH also may make an elective referral to DEC based in part on specific situations of program noncompliance defined in their agreement, such as the failure to comply with program regulations or use agreements. MFH officials told us that they make these referrals on a case-by-case basis if they believe that DEC\u2019s expertise could help resolve the concerns. In addition, MFH officials distributed a 2017 DEC notice that clarified the procedures for making an elective referral to DEC. Whereas automatic referrals are system-generated, MFH can use its discretion whether to make an elective referral to DEC.", "From fiscal years 2014 through 2017, the total number of referrals DEC received on MFH properties increased by 23 percent. However, as seen in figure 2, the composition of those referrals varied. Referrals related to failure to submit timely financial statements increased by about 59 percent, while referrals related to other instances of financial noncompliance decreased by about 6 percent. Referrals for physical noncompliance, while relatively few overall, increased by 113 percent.", "MFH officials told us that the increase in referrals for failure to file timely financial statements was due, in part, to new program participants from 2011 to 2013 who did not understand the requirements. In addition, according to MFH officials, MFH changed certain thresholds of financial noncompliance from automatic to elective referrals in 2013, which officials believe resulted in fewer referrals for those types of financial noncompliance.", "MFH officials also noted that the increase in physical noncompliance referrals in fiscal year 2016 likely resulted from the informal encouragement given to field offices to make more elective referrals. In addition, during this period HUD\u2019s inspection process came under additional scrutiny due to concerns about a multifamily property in Florida. The property had received a passing REAC inspection score in August 2015 but city code inspectors subsequently found multiple and serious deficiencies. The case attracted attention from the media and Congress and culminated in a Senate hearing in September 2016. Subsequently HUD reviewed the integrity of the REAC inspection and DEC referral processes.", "DEC officials told us that one reason there are fewer referrals for physical noncompliance compared to financial noncompliance is that a relatively small number of properties reach the threshold for an automatic referral based on physical noncompliance (inspection score less than or equal to 30 out of 100). According to HUD data, REAC conducted approximately 8,700 physical inspections in 2017. Of these inspections, our analysis of DEC data showed that DEC received 64 referrals (0.7 percent of the inspections conducted) for physical noncompliance."], "subsections": []}, {"section_title": "PIH and CPD Program Offices Lack Specific Guidance for Making Referrals", "paragraphs": ["PIH and CPD do not provide specific guidance to staff on when a referral should be made to DEC. This stands in contrast to MFH, whose agreement with DEC includes a more detailed discussion of what problems should result in a risk-based referral.", "PIH. A PIH official told us that they periodically send an email to field offices requesting potential candidates for referrals to DEC, and that the email cites factors that might warrant such referrals\u2014such as potential violations of statute, regulation, or agreement. However, beyond that, there is no guidance to help field staff decide when to make a referral. In addition, PIH does not provide direction to field offices on how to use the results of their quarterly risk assessment to identify high-risk PHAs for potential DEC referrals. According to PIH officials, PIH has not issued more detailed guidance because it did not want to be too prescriptive in telling field office staff when to refer a public housing agency to DEC, as a DEC referral may not always be appropriate.", "CPD. An official from a CPD field office told us that they may refer a grantee to DEC for an oversight review\u2014for example, if they identify a complex financial issue requiring an in-depth financial investigation beyond the capacity of the field office. However, beyond that, neither DEC nor CPD have developed guidance to help field offices determine when to refer a grantee to DEC. In addition, CPD does not provide direction to field offices on how to use the results of their risk-based assessment of grantees to identify potential DEC referrals. CPD officials told us that they do not provide guidance because they believe that their current approach where field offices make referrals to DEC on a case-by- case basis is better and more effective.", "As shown in figure 3, in recent years, the number of referrals has declined slightly for PIH and varied for CPD. DEC has agreed with PIH and CPD on a target number of elective referrals they should aim to make to DEC each fiscal year. However, neither program office met their targets for referrals to DEC in fiscal years 2016 and 2017: PIH made 25 and 12 referrals, respectively, but had an annual target of 40, while CPD referred 6 each year but had a target of 10. A number of factors may help explain the decline in referrals and failure to meet targets. For example, PIH officials told us that a new requirement that PIH field offices make every attempt to satisfy oversight review recommendations may have resulted in hesitation to make referrals among some field staff.", "However, the lack of formal guidance for field staff may also play a role in the number of referrals made. According to officials from two CPD field offices, many field offices do not understand the role of DEC or the assistance it can provide, and officials from one field office told us that providing formal guidance would be helpful in this regard. Our analysis found that half of the CPD field offices had not made a referral to DEC during the previous two fiscal years and, according to PIH officials, the number of PIH referrals varied for reasons not related to noncompliance risks. The 2016 HUD OIG report noted that when program field offices requested DEC services, they did so largely because of personal relationships and trust between DEC and some field office managers, an observation reiterated by officials from one field office we interviewed.", "According to the Office of Management and Budget, a \u2018\u2018guidance document\u2019\u2019 is an agency statement of general applicability and future effect, other than a regulatory action, that sets forth a policy on a statutory, regulatory or technical issue or an interpretation of a statutory or regulatory issue. The office notes that guidance documents, used properly, can channel the discretion of agency employees, increase efficiency, and enhance fairness by ensuring equal treatment of similarly situated parties. In addition, federal internal control standards state that agencies should design control activities to achieve objectives and respond to risks, such as by documenting the responsibilities for these activities through policies and procedures. Because two of the program offices (PIH and CPD) we examined have not developed specific guidance for making referrals for oversight reviews, these offices cannot ensure that field staff are identifying and making referrals on a well- supported, risk-based, and consistent basis, and this may limit DEC\u2019s effectiveness in fulfilling its mission of providing independent oversight of HUD\u2019s programs. Such additional guidance could include information on how the field offices should incorporate the results from their risk assessments, more detailed criteria on when the field office should make a referral, and examples of potential noncompliance that could be referred."], "subsections": []}, {"section_title": "Target Number of Referrals for Two HUD Program Offices Are Not Based on Program Risk", "paragraphs": ["The target number of referrals for two program offices, PIH and CPD, appears to have been selected somewhat arbitrarily, rather than based on the risks to the programs. As noted earlier, DEC, PIH and CPD have agreed to set targets annually for the number of elective referrals they will make. PIH\u2019s quarterly target of 10 public housing agency referrals represents less than 2 percent of the total number of agencies PIH designates as very high-risk and high risk each quarter. In addition, CPD\u2019s target of 10 referrals per year represents about .03 percent of the grantees overseen by CPD and about 1 percent of the grantees monitored by CPD each year.", "However, PIH and CPD officials could not explain the basis for selecting these targets, nor is it clear how these targets are related to the overall risk these program offices face. Both program offices\u2019 agreements with DEC state that they will review the agreements each year. PIH officials said this review typically has included a general discussion of the appropriate number of referrals to set as the target. DEC officials told us that future reviews will take a more risk-based approach to selecting that number, but they could not tell us when this would occur. In addition, according to a HUD official, program offices such as CPD are reviewing their processes for managing risk, which could impact the target number of referrals to DEC needed for them to adequately manage their risk.", "According to federal internal control standards, management should identify, analyze, and respond to risks related to achieving the defined objectives, and management should design control activities in response to the entity\u2019s objectives and risks to achieve an effective internal control system. Without a target number of referrals based on the risks to the programs, PIH and CPD offices cannot be confident that DEC resources are being used most efficiently to address the risks of noncompliance by housing agencies and grantees."], "subsections": []}]}, {"section_title": "DEC Lacks Measures Needed to Fully Assess Its Performance", "paragraphs": ["While DEC currently tracks some measures related to its performance, its performance measurement system is lacking in key respects that limit DEC\u2019s ability to fully assess its performance. DEC\u2019s performance measures include the number of work assignments completed, reduction in number of aged referrals (2 or more years old), and the number of families impacted by its enforcement activities. DEC officials told us that they also track other measures, such as the dollar amounts of recoveries, and the numbers of suspensions and debarments. These measures are contextual indicators\u2014measures intended to provide a broader perspective on the conditions that may influence an agency\u2019s ability to achieve its performance goals. As shown in table 1, HUD data shows that for these contextual indicators DEC has recovered millions of dollars in inappropriately used HUD program funds and suspended or debarred some individuals. HUD data shows that DEC generally exceeded its targets for the performance measures.", "Federal internal control standards state that agency management should define objectives in measurable terms so that performance toward those objectives can be assessed. Consistent with those standards, we identified several challenges with DEC\u2019s system of performance measurement."], "subsections": [{"section_title": "Lack of Outcome Measures", "paragraphs": ["DEC\u2019s performance measures do not include outcome measures, which track the results of products and services. Instead, the performance measures track outputs, which are the direct products and services delivered by a program. Prior work and guidance that we have issued stress that performance measurement should evaluate outcomes related to program activities to judge program effectiveness. Previously, DEC tracked some outcome measures, such as the increase in the percentage of residents living in acceptable insured or assisted multifamily housing as a result of civil or administrative enforcement actions. However, DEC no longer tracks those measures, and officials were unable to explain why they stopped tracking them. Similarly, the 2014 agreement between DEC and PIH included examples of outcome measures for program offices\u2013 such as financial performance improvements and early detection or prevention of fraud\u2014but these measures are not in the current agreement.", "Measuring outcomes can help assess a program\u2019s activities and operations, identify areas that need improvement, and ensure accountability for results. DEC officials told us that outcome measurement is challenging because it can be difficult to establish a direct correlation with DEC\u2019s work. We attempted to independently examine the outcome of DEC\u2019s work. Specifically, we tried to measure the extent to which referrals to DEC resulted in suspensions or debarments of multifamily owners, but, in general, DEC\u2019s data did not readily allow for this type of assessment. Outcome measures such as timeliness and monetary outcomes can still be used to capture essential program information and help assess program effectiveness. By not measuring and reporting on outcomes, DEC cannot fully assess the effectiveness or impact of its activities, or determine where improvement is needed."], "subsections": []}, {"section_title": "Lack of Recommendation Tracking", "paragraphs": ["DEC does not track the status of its recommendations. DEC\u2019s oversight reviews sometimes result in recommendations to program offices to ensure program compliance with regulatory and policy requirements; streamline operations; improve customer service; and reduce program vulnerabilities to fraud, waste, abuse, or mismanagement. According to PIH and CPD\u2019s agreements, the program offices will make every attempt to satisfy the recommendations, but the program offices are not required to implement them. However, according to DEC officials, DEC does not gather information on the status of its recommendations or assess program offices\u2019 progress in implementing them. OGC officials told us that they were concerned about the burden that would be placed on program staff for providing such information, but PIH and CPD officials told us it would not require much additional work. We have previously reported that successful performance measures demonstrate results and provide useful information for decision makers. Without tracking the status of its recommendations and the extent to which program offices are implementing its recommendations, DEC is limited in its ability to assess its effectiveness in improving program operations, such as better program compliance."], "subsections": []}, {"section_title": "Lack of Measure of Timeliness", "paragraphs": ["DEC does not have a performance measure to assess the timeliness of its reviews for the referrals it receives. DEC does not measure how much time it takes to complete a referral from MFH, PIH, or CPD. DEC\u2019s guidance and its agreements with CPD and PIH state that DEC will complete oversight reviews and issue a final report to program offices within 90 business days of the referral. These reviews are intended to be completed within this timeframe so that CPD and PIH program offices will have prompt feedback to address any areas of concern. According to HUD officials, DEC tracks the timeliness of its oversight work. However, DEC has not created a performance measure to track the extent that it is meeting its goals. In addition, DEC has no target timeframe for MFH referrals because, according to DEC officials, these referrals require varying strategies for fact gathering, analysis, and determining a course of action. Our analysis of HUD data showed that from fiscal years 2014-2017, DEC took an average of 168 days to complete its review after receiving a referral from MFH for failure to file financial statements, and an average of 254 days to complete its review for referrals related to financial noncompliance. We have previously reported that one attribute of a successful performance measure was whether the measure covered a government-wide priority, such as timeliness. Because it does not have a measure related to its timeliness in completing its reviews nor report on that information, DEC cannot ensure accountability or evaluate its efficiency for completing the reviews."], "subsections": []}, {"section_title": "Lack of Consistent Recording of Dates and Corrective Actions Taken", "paragraphs": ["DEC did not consistently record two pieces of information that could be relevant in assessing its performance\u2014date of referral and corrective action taken. We analyzed an internal spreadsheet DEC uses to track the referrals it received from CPD and PIH to conduct oversight reviews of grantees and housing agencies. DEC did not record the date that the referral was assigned a DEC lead analyst (the point DEC begins tracking the referrals) or the date DEC signed the final report for 36 percent of the CPD referrals and 20 percent of the PIH referrals DEC completed from fiscal years 2015-2017. Consequently, we could not reliably evaluate DEC\u2019s average timeframes for completing an oversight review referral.", "In addition, DEC did not consistently record information on the corrective actions taken by DEC or MFH following a DEC review. DEC\u2019s MFH referral-tracking database includes an \u201cOutcomes\u201d module with a \u201cCorrections Made\u201d field where DEC analysts can choose a description of the corrections made as a result of the review by either MFH or by the owner of the property, such as filing an annual financial statement. However, based on our review of this database, DEC analysts are not regularly using the \u201cCorrections Made\u201d field.", "According to DEC officials, the inconsistent recording of dates and corrective actions was likely due to human error. This may suggest the lack of a process or controls to ensure accurate and complete recording of this information. Federal internal control standards state that an agency\u2019s managers should use quality information, such as the accurate and timely recording of transactions, to achieve the agency\u2019s objectives and manage risk. Without such controls, DEC will continue to have unreliable data to measure its timeliness in completing reviews and will not be able to reliably track the status of its recommendations to MFH and hold that office accountable for their implementation."], "subsections": []}]}, {"section_title": "Information Technology Challenges Have Affected DEC\u2019s Ability to Achieve Its Mission", "paragraphs": ["Information technology challenges have affected the ability of DEC to achieve its mission. Although DEC has experienced staffing declines over time, there is disagreement about the extent to which these declines have impacted DEC\u2019s ability to achieve its mission. Further, disagreement exists over DEC\u2019s placement within HUD and the impact on DEC\u2019s ability to achieve its mission."], "subsections": [{"section_title": "Information Technology", "paragraphs": ["DEC has experienced various information technology challenges that have affected its ability to achieve its mission. For example, the system does not allow DEC to easily determine the basis for a financial referral it receives from REAC on MFH properties. Instead, according to HUD, to determine the issues that triggered the referral, DEC staff must review each property\u2019s financial statements\u2014a labor-intensive process. In addition, DEC\u2019s information technology system is designed to share information among staff but not to analyze or track information. Its referral data are stored in databases that generally cover one fiscal year each, according to OGC officials, which makes it challenging to identify trends. Further, DEC officials told us that the system has experienced continuing outages and breaks in service.", "HUD has acknowledged that DEC needs more robust information technology to carry out its enforcement and tracking functions. The HUD Enforcement Management System is part of the department\u2019s efforts to streamline, consolidate, and automate its enforcement business processes. According to HUD, the system will consolidate six enforcement-related systems into one and automate the monitoring and compliance review processes for several offices within HUD. Officials said this will help DEC manage its workflow and reviews and enable it to more easily track the focus of a review and any monetary findings. OGC officials noted that the department implemented the first phase of the HUD Enforcement Management System in December 2015, initially focusing on HUD\u2019s Office of Fair Housing. However, HUD\u2019s development contract expired in March 2017. Due to funding constraints, as of June 2018, HUD had not awarded a new contract that would incorporate DEC, and such funding is not expected to be allocated until at least fiscal year 2020, according to OGC officials."], "subsections": []}, {"section_title": "Staff Resources", "paragraphs": ["Although DEC has experienced staffing declines over time, disagreement exists within HUD about the impact of these staffing declines on DEC\u2019s ability to achieve its mission. DEC\u2019s staff level in fiscal year 2017 (an estimated 95 full-time equivalents) represented its lowest staff level since fiscal year 1999. HUD OIG reported in 2016 that limits on DEC resources resulted in lost opportunities to improve program effectiveness and strengthen conditions that discouraged waste, fraud, and abuse. The report also noted that these limits had prevented DEC from extending comprehensive enforcement activities to all program offices, which had reduced its effectiveness. OIG\u2019s report further noted that DEC said it would need additional staff to perform financial analysis and enforcement if DEC were to expand its efforts with PIH and CPD. OIG recommended that OGC provide DEC with the resources and support to strengthen enforcement across HUD programs.", "HUD disagreed with the OIG\u2019s conclusion that staffing declines limited DEC\u2019s ability to achieve its mission. HUD noted that DEC\u2019s decrease in workload over time mitigated the effect of reduced staffing. In addition, HUD said that despite its reduced resources, DEC had succeeded in preventing some individuals from participating in MFH programs through suspension or debarment, and in encouraging compliance. HUD stated that DEC had sufficient staffing to handle MFH referrals under current protocols and serve as HUD\u2019s troubleshooter by conducting oversight reviews for CPD and PIH. As of August 2018, HUD had not provided the department\u2019s status of actions taken or planned related to OIG\u2019s recommendation to the OIG."], "subsections": []}, {"section_title": "Organizational Structure", "paragraphs": ["Disagreement also exists regarding the placement of DEC within HUD. At its creation in 1998, DEC was located within HUD\u2019s Office of the Deputy Secretary, but in 2002 it was moved to OGC. HUD OIG and DEC officials have stated that DEC\u2019s placement within OGC limits DEC\u2019s ability to achieve its mission. OIG reported in its 2016 report that DEC\u2019s initial placement within the Deputy Secretary\u2019s office provided DEC with independent enforcement authority. In addition, DEC officials told us that DEC\u2019s initial placement highlighted HUD\u2019s commitment to enforcement and that its current placement limits its authority to oversee program areas and hold them accountable for corrections.", "In a December 2017 internal paper, DEC proposed returning to the Deputy Secretary\u2019s office. It noted that DEC\u2019s oversight of programmatic operations began to decline in 2016, and that PIH referrals to DEC through December 2017 represented less than one-half of the goal of one percent of PIH\u2019s inventory. DEC\u2019s paper also noted that a return to the Deputy Secretary\u2019s office would highlight HUD\u2019s responsibility to develop and maintain effective internal controls, independent of the program areas. Finally, DEC stated that its placement within the Deputy Secretary\u2019s office would provide an opportunity to consolidate the department\u2019s enterprise risk management functions. According to HUD officials, as of August 2018, the department had no plans to move DEC and did not request funding for such a move in HUD\u2019s fiscal year 2019 budget.", "In response to the 2016 OIG report, HUD stated that DEC\u2019s current location within OGC had not affected DEC\u2019s ability to make referrals for enforcement or initiate suspension or debarment actions. HUD added that placing DEC within OGC achieved significant efficiencies by consolidating DEC\u2019s administrative, information technology, and legal functions without affecting the ability of either office to carry out its mission. OGC officials told us that DEC\u2019s current placement within OGC is similar to the Federal Bureau of Investigation\u2019s placement within the Department of Justice. They also noted that DEC\u2019s enforcement and compliance analysts and attorneys coordinate enforcement activities and that DEC field office directors routinely seek legal advice from OGC attorneys. According to OGC, returning DEC to the Deputy Secretary\u2019s office would have adverse effects on the administrative efficiencies achieved.", "It is unclear whether DEC\u2019s placement within OGC has adversely affected DEC\u2019s ability to fulfill its mission. We asked DEC staff for documentation that would support a move to the Deputy Secretary\u2019s office, but the information we received did not provide specific examples of how DEC\u2019s current placement limited its ability to achieve its mission. Furthermore, as part of their 2017 paper discussing a proposed relocation, DEC officials did not identify how DEC\u2019s placement in OGC adversely impacted it. Other factors besides DEC\u2019s current location may explain why DEC may not be utilized more effectively. For example, we previously identified findings related to the lack of guidance that might contribute to program offices\u2019 underutilization of DEC. In addition, as we note above, the absence of guidance on when program offices should make referrals may limit DEC\u2019s ability to assess its enforcement efforts. These findings generally are independent of DEC\u2019s organizational location."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DEC has recovered millions of dollars in inappropriately used HUD program funds, suspended or debarred some individuals, and helped strengthen program offices\u2019 monitoring efforts. However, our review identified opportunities for DEC to better achieve its mission and assess its impact:", "Guidance. PIH and CPD field office staff use their discretion in deciding which cases to refer to DEC, but these decisions do not appear to always be based on well-supported assessments of risk.", "Without specific guidance to help staff direct their decision making, DEC and the program offices cannot ensure that referrals are made using a consistent and risk-based approach, limiting DEC\u2019s effectiveness in fulfilling its mission of providing independent oversight of HUD\u2019s programs.", "Target number of referrals. The target number of referrals that PIH and CPD aim to make to DEC has not been chosen based on a risk- based process and it is not clear how these targets related to the programs\u2019 overall risks. Without a determination of appropriate risk- based target numbers, PIH and CPD cannot ensure that they are using DEC resources efficiently to address the risks of noncompliance by housing agencies and grantees.", "Performance measurement. Although DEC reports on some aspects of its performance, it lacks measures that assess outcomes rather than outputs and does not report on the timeliness of its reviews or track program offices\u2019 implementation of its recommendations. Without improvements in its performance measurement, it will be difficult for DEC to fully assess and demonstrate its effectiveness, ensure accountability, and identify and prioritize potential improvements.", "Data recording. Controls to ensure that analysts consistently record referral dates and corrective actions taken would give DEC more reliable data with which to assess its timeliness and the impact of its enforcement activities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following eight recommendations to HUD: The Director of the Departmental Enforcement Center and the Assistant Secretary for Community Planning and Development should develop written guidance for CPD\u2019s field offices to use when determining whether to make a referral to the Departmental Enforcement Center. (Recommendation 1)", "The Director of the Departmental Enforcement Center and the Assistant Secretary for Public and Indian Housing should develop written guidance for PIH\u2019s field offices to use when determining whether to make a referral to the Departmental Enforcement Center. (Recommendation 2)", "The Director of the Departmental Enforcement Center and the Assistant Secretary for Community Planning and Development should develop targets for the number of referrals that CPD should make to DEC that are based on program risk. (Recommendation 3)", "The Director of the Departmental Enforcement Center and the Assistant Secretary for Public and Indian Housing should develop targets for the number of referrals that PIH should make to DEC that are based on program risk. (Recommendation 4)", "The Director of the Departmental Enforcement Center should develop and implement performance measures that assess the outcomes, or desired results, of its enforcement activities. (Recommendation 5)", "The Director of the Departmental Enforcement Center should develop and implement performance measures of its timeliness in completing oversight reviews. (Recommendation 6)", "The Director of the Departmental Enforcement Center should track the implementation of the recommendations that it makes to program offices as a result of its oversight reviews. (Recommendation 7)", "The Director of the Departmental Enforcement Center should develop controls to ensure that analysts consistently and reliably record dates related to referral activity, corrective action taken, and other key information used to determine DEC\u2019s impact. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HUD for review and comment. HUD provided written comments that are reprinted in appendix III. HUD disagreed with three of the eight recommendations and agreed with the other five. In its general comments, HUD indicated that it planned to use DEC to address the most egregious violators of HUD\u2019s programs. HUD also anticipated assessing the current agreements between DEC and HUD program offices and, where appropriate, revising those agreements to incorporate current agency goals and priorities, among other things. HUD further noted that DEC\u2019s work would continue to be a part of HUD\u2019s agency-wide risk and fraud management mitigation activities.", "HUD disagreed with the third and fourth recommendations that DEC should work with CPD and PIH to develop targets for the number of referrals that the program offices should make to DEC that are based on program risk. In its written comments, HUD said that developing \u201ctargets\u201d for the number of referrals made to DEC could potentially be inconsistent with the methodology of basing referrals on program risk and that a single measure of risk-based referrals would be a more effective strategy. As discussed in the report, the current target numbers of referrals for the program offices to make to DEC appear to have been selected somewhat arbitrarily and the officials could not explain the basis for selecting these targets. By identifying a target number of referrals based on the anticipated need for DEC reviews, the program offices can more efficiently plan the use of their resources. Setting the targets will also allow DEC and the program offices to better assess whether they are achieving their goals and objectives, and may encourage program offices to refer entities to DEC.", "HUD also disagreed with our sixth recommendation that DEC should develop and implement performance measures that measure its timeliness in completing reviews, noting that DEC has tracked the timeliness of its oversight work since 2014. However, as we discuss in the report, DEC has not included performance measures related to the timeliness of its reviews, which is separate from tracking the information. We revised the language in the final report to note that DEC tracks this information, but has not created a related performance measure.", "HUD agreed with our remaining five recommendations and provided information about planned steps to implement them. HUD noted in its response to our first and second recommendations that CPD and PIH would establish parameters for when a referral will be made to DEC. With respect to our fifth recommendation, HUD stated that DEC would work with relevant offices in fiscal year 2019 to develop performance measures that assess outcomes of enforcement activities and would consult with federal enforcement agencies to understand how they measure outcomes. In response to our seventh recommendation, HUD stated that DEC would make improvements to its information system to track the implementation of the oversight review recommendations. Finally, HUD noted that it anticipates incorporating quality control components into DEC\u2019s data collection efforts to ensure that dates, corrective actions taken, and other key information are captured consistently and reliably to address our eighth recommendation.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Housing and Urban Development. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or GarciaDiazD@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in Appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) the processes that selected Department of Housing and Urban Development (HUD) program offices have in place to make referrals to the Departmental Enforcement Center (DEC), (2) how DEC assesses its performance, and (3) challenges that may affect the ability of DEC to achieve its mission.", "We focused our review on DEC and three HUD program offices: Community Planning and Development (CPD), Multifamily Housing (MFH), and Public and Indian Housing (PIH). Collectively, these three program offices accounted for 73 percent of the total referrals DEC received from fiscal years 2014 through 2017 (6,724 of the 9,258 total referrals). To address the first objective, we reviewed DEC\u2019s formal agreements with CPD, MFH, and PIH to determine the roles and responsibilities of the parties, any criteria for making referrals, and any goals on number of reviews. In addition, we reviewed guidance developed by program offices for monitoring multifamily properties, public housing agencies, and grantees to determine what, if any, criteria existed for making referrals to DEC. We also observed demonstrations of the system DEC uses to manage referrals and the risk assessment tool PIH uses in its reviews of public housing agencies. We compared the guidance and the processes for determining the role DEC should play against federal internal control standards.", "We analyzed data from DEC\u2019s system for managing referrals from program offices (extracted as of March 2018) and a spreadsheet DEC maintains to track referrals from CPD and PIH (as of March 2018). We used the data extract to compute the number and type of referrals DEC received from the program offices from fiscal years 2014 through 2017. We interviewed DEC and program office staff about the number of referrals that program offices made during this time period. To assess the reliability of the data, we performed various tests\u2014including searching for missing data and dates, and checking for completeness of the data. We concluded that the data from DEC were sufficiently reliable for purposes of describing general trends.", "We interviewed DEC and program office officials at HUD headquarters to discuss how program offices make referrals to DEC and any guidance or training DEC or program offices provide regarding the referral process. We also conducted interviews with staff in each of HUD\u2019s six PIH networks and in CPD field offices in Atlanta, Georgia; Denver, Colorado; Fort Worth, Texas; and Los Angeles, California. We selected the Fort Worth and Los Angeles CPD field offices because they had made referrals to DEC between fiscal years 2016 and 2017, and selected Atlanta and Denver because they had not.", "To address the second objective, we reviewed the current and previous performance measures used by DEC. We compared DEC\u2019s practices against federal internal control standards and against practices GAO has previously identified as being associated with agencies that were successful in measuring their performance. We used the data extract discussed above to compute the average number of days DEC took to complete referrals on multifamily properties and the extent that information was not recorded. We also interviewed DEC and OGC officials regarding the performance information DEC collects and reports.", "To address the third objective, we reviewed prior reports from GAO and from the HUD Office of Inspector General that identified and discussed challenges DEC faces in achieving its mission. We also reviewed internal HUD documents related to these challenges, including plans for a new information technology system, historical staff levels, and a proposal DEC officials created to relocate DEC back to the Deputy Secretary\u2019s Office. We also interviewed officials from various HUD headquarters and field offices, HUD\u2019s Office of Inspector General, and DEC about challenges DEC may face in achieving its mission.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Location of Entities That Were Referred to the Departmental Enforcement Center, Fiscal Years 2014-2017", "paragraphs": ["From fiscal year 2014 through 2017, the Department of Housing and Urban Development\u2019s Departmental Enforcement Center received about 8,000 referrals from the agency\u2019s program offices. Table 3 provides details on the number of referrals by program and state from fiscal years 2014 through 2017."], "subsections": []}, {"section_title": "Appendix III: Comments from Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, GAO staff who made key contributions to this report include Marshall Hamlett (Assistant Director), Daniel Newman (Analyst-in-Charge), William R. Chatlos, Laura Gibbons, John McGrail, Marc Molino, and Tovah Rom."], "subsections": []}]}], "fastfact": ["HUD seeks to help millions of Americans find quality, affordable housing through its rental assistance and other programs.", "Recipients of HUD funding, such as private owners of HUD-assisted housing, must meet regulations and may face inspections. If housing does not pass inspection, HUD employees may refer the case to its Departmental Enforcement Center for enforcement.", "Our review found ways the Center, which has recovered millions of dollars in inappropriately used funds, can better achieve its mission. Our recommendations include", "developing guidance for HUD staff on when to make referrals", "better tracking of Center performance."]} {"id": "GAO-18-232", "url": "https://www.gao.gov/products/GAO-18-232", "title": "Older Adult Housing: Future Collaborations on Housing and Health Services Should Include Relevant Agencies and Define Outcomes", "published_date": "2018-04-26T00:00:00", "released_date": "2018-04-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to the Census Bureau, by 2030, about 1 in 5 Americans will be 65 and older. This aging of the population presents challenges and opportunities for policymakers and service providers in helping ensure that the older population's needs\u2014including housing and health services\u2014are met. Federal agencies with programs that provide housing assistance to low-income older households include HUD and USDA. Several HHS programs provide those households with health services.", "This report assesses the extent to which the three agencies collaborated to address the housing and health service needs of older adults living in federally assisted housing.", "GAO compared agency efforts to leading collaboration practices it has identified (including written agreements; roles and responsibilities; leveraged resources; relevant participants; and defined outcomes) and interviewed HUD, HHS, and USDA officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Departments of Housing and Urban Development (HUD) and Health and Human Services (HHS) have collaborated on older adult housing and health issues, but these efforts did not fully demonstrate leading practices GAO identified for effective collaboration.", "The HUD-HHS efforts demonstrated some leading practices. For example, the agencies have written agreements for data-sharing projects and have leveraged resources to conduct research on older adults.", "The Department of Agriculture (USDA) was not included in the efforts although it provides housing assistance to older rural households. GAO identified the inclusion of all relevant participants as a leading practice. According to HUD, the efforts were intended to explore the health of HUD-assisted households. However, by not including USDA in future collaborations, HUD and HHS may miss opportunities to leverage expertise and USDA may not be able to benefit from any resulting insights and improvements.", "The HUD-HHS collaborative efforts also did not define common outcomes, another leading practice GAO identified, likely because their collaboration is relatively new. Without common outcomes (for instance, focused on recipient impact or cost savings), the agencies lack measures against which to monitor, evaluate, and report the results of any collaborations.", "Future collaborations would benefit from consistent USDA involvement. And by defining common outcomes, the agencies would help inform Congress and stakeholders of results achieved and strategies or areas on which to focus."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations (one each to HUD, HHS, and USDA). They focus on including USDA in collaborations on older adult housing and health services and defining outcomes for the efforts. The three agencies concurred with GAO's recommendations. HUD stated that it had begun examining challenges relating to services for low-income rural older adults."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Census Bureau projects that by 2030, about 74 million people (nearly 21 percent of the U.S. population) will be 65 and older\u2014up from 49 million (15 percent) in 2016 and 35 million (12 percent) in 2000. This growth presents challenges as well as opportunities for policymakers and service providers in planning for and helping to address the needs of the older population, including housing and health services. Researchers predict a shortage over the next two decades of housing suitable for the needs of older people.", "A number of federal programs assist older households with housing. The Department of Housing and Urban Development (HUD) and the Department of Agriculture (USDA) administer housing programs to assist older households through rental subsidies, home loans, loan guarantees, and mortgage insurance. Many of these programs serve the most economically insecure older adults by allowing them access to adequate and affordable housing. While it does not administer housing programs, the Department of Health and Human Services (HHS) funds health services for older adults through the Medicare and Medicaid programs, and a range of home and community-based services through the Older Americans Act of 1965 and Medicaid.", "At the same time that the older population is growing, programs that target or serve a significant number of older adults are challenged in a number of ways. For example, housing assistance programs have lost housing stock. In addition, a significant number of federally assisted units are occupied by older households that often receive health care and other services from different agencies than those providing the housing assistance. In this context, programs may face challenges with planning, researching, and collaborating across multiple agencies.", "Under the authority of the Comptroller General, this report assesses the extent to which selected federal agencies collaborate to address the housing needs of an aging population living in federally assisted housing. This is the first of two reports that examine issues related to housing for older adults, including those who are low-income. The second report will address future demand for housing by older households and older adults\u2019 housing-related needs.", "For this report, we examined housing programs that target or serve a significant number of older adults and are administered by HUD and USDA\u2019s Rural Housing Service, two agencies that provide housing assistance to renters and homeowners. We reviewed program regulations; our prior reports; Congressional Research Service reports; other agency documents; and reports and studies related to housing a growing older population. According to research studies, housing can serve as a platform for overall well-being and for health services for older adults, and access to health services can be integral to aging in place. Thus, we reviewed documentation on relevant collaborations involving HUD, USDA, and HHS. We compared the efforts to leading collaboration practices identified in our prior work. To describe any goals related to older adults, we reviewed HUD\u2019s and USDA\u2019s strategic plans for fiscal years 2014\u20132018, and an HHS (Administration for Community Living) strategic plan for fiscal years 2013\u20132018. We also interviewed and obtained documentation from HUD, USDA, and HHS officials on their programs, goals, and ongoing collaborations.", "We conducted our work from April 2015 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Housing Programs That Assist Older Adults", "paragraphs": ["Older adults may receive federal housing assistance through a number of programs, but only a few programs specifically target older households. To be eligible for those programs, the head of household or spouse must be 62 or older."], "subsections": [{"section_title": "Programs Targeting Older Households", "paragraphs": ["HUD has two programs specifically targeted to older households\u2014the Supportive Housing for the Elderly (Section 202) program for renters and the Home Equity Conversion Mortgage program for homeowners.", "HUD\u2019s Section 202 program is the only program that provides supportive housing targeted to very low-income older adults. Supportive housing is defined as non-institutionalized housing that connects residents with the services they need to live independently, such as in-home care, meal delivery, and transportation. Until fiscal year 2012, the Section 202 program funded the development of new units.", "The Home Equity Conversion Mortgage program, administered by the Federal Housing Administration (FHA), a component of HUD, allows older homeowners to access FHA-insured mortgages to convert some of the equity in their homes into monthly streams of income or lines of credit (reverse mortgage). In addition to being at least 62 years old, borrowers must occupy the property as a principal residence, and any existing lien on the property must be small enough to be paid off at settlement. In a reverse mortgage, the loan balance increases and home equity decreases over time. As the borrower receives payments from the lender, the lender adds the principal and interest to the loan balance, reducing the homeowner\u2019s equity. The homeowner remains responsible for paying insurance and property taxes.", "The Rural Housing Service has one homeownership program that specifically serves households aged 62 and older. The Section 504 Rural Home Repair and Rehabilitation Grant program finances the removal of health and safety hazards or remodels dwellings to make them accessible for disabled household members. According to USDA officials, grants often are made in conjunction with Section 504 loans that have a 1 percent interest rate."], "subsections": []}, {"section_title": "Other Programs That Can Serve Older Households", "paragraphs": ["HUD has rental assistance programs that do not target, but serve a significant number of older households. According to HUD officials, HUD\u2019s primary rental assistance programs, including the Housing Choice Voucher, Public Housing, and Project-Based Section 8 programs, serve nearly 1.5 million such households. In addition, FHA\u2019s Section 221(d)(3) and Section 221(d)(4) Multifamily Rental Housing for Moderate-Income Families provide mortgage insurance to finance multifamily properties, some of which may be designated for the elderly. The HOME Investment Partnerships Program provides formula grants to states and localities that communities use to fund a range of activities including building, purchasing, and rehabilitating affordable housing for rent or homeownership or providing direct rental assistance to low-income households.", "HUD Public Housing Designated for Older Households Local public housing agencies can apply to HUD for approval to designate public housing developments (or portions of developments, such as buildings or floors) for occupancy only by elderly families, by disabled families, or both. HUD refers to this as \u201cdesignated public housing\u201d. 42 U.S.C. \u00a7 1437e. However, HUD officials stated that HUD had fewer than 40,000 units of designated public housing and the majority of elderly persons were not assisted through such housing.", "Similarly, the Rural Housing Service administers a number of homeownership and rental programs not targeted to older rural households, but that can serve them. They include the Section 502 Rural Direct Home Loan; Section 502 Home Loan Guarantee; Section 504 Rural Housing Repair and Rehabilitation Loan; and the Section 521 Rural Rental Assistance programs. The Section 521 program provides rental subsidies to low-income, elderly, or disabled households living in properties funded by the Section 515 Rural Rental Housing program and others.", "Finally, the Low-Income Housing Tax Credit, established under the Tax Reform Act of 1986 and administered by the Internal Revenue Service, is the largest source of federal assistance for developing affordable rental housing for low-income households, including elderly households, and as of 2017, had financed about 2.9 million rental units. It provides tax credits to encourage private-equity investment in affordable housing development."], "subsections": []}]}, {"section_title": "Supply of Federally Assisted Housing", "paragraphs": ["Worst-Case Needs for Rental Housing HUD tracks older adults in its biennial Worst Case Housing Needs report. HUD defines households with worst-case needs as very low-income renters who do not receive government housing assistance and paid more than half of their income for rent, lived in severely inadequate conditions, or both. The latest report (2017) indicated that severe housing problems were on the rise among unassisted renter households in 2015. This included older renters, for whom the number and proportion of households with worst-case needs increased from 2013, by 382,000 and 2.6 percentage points, respectively. In 2015, 1.85 million such households experienced worst-case housing needs, including unaffordable rents. The report noted that low- income older households that rely on fixed incomes rather than wages may be less likely to benefit from economic recovery trends that raised incomes for others in recent years.", "In recent years, HUD and USDA have lost subsidized housing stock. Losses can happen under several scenarios, including when federal rental assistance contracts expire, federally subsidized mortgages reach maturity or are paid off and owners convert the units to market-rate rentals, or units fall into disrepair. In its fiscal year 2014\u20132018 strategic plan, HUD reported that its public housing stock faced a capital needs backlog, estimated at $26 billion, which would be difficult to meet given federal fiscal constraints. The decreasing supply of adequate affordable housing may affect older low-income renters (see sidebar), who were well represented in HUD- and USDA-assisted housing.", "In addition to losing housing stock, HUD and USDA have programs that previously added to the supply of affordable housing but no longer do so. One example is HUD\u2019s Section 202 program, which specifically serves very low-income older adults. Except for $10 million in its fiscal year 2017 appropriation that could contribute to capital advances, since fiscal year 2012, the program has primarily funded contract renewals for existing rental assistance and for service coordinators. According to USDA officials, the Section 515 program (direct loans for multifamily housing) had no funds for new construction. They told us that Section 515 funds almost exclusively were being used for unit rehabilitation, and that only the Section 538 loan guarantee program was funding new construction. According to USDA officials, many of the rehabilitated Section 515 properties are described in loan applications as properties serving the elderly, as are some newly constructed properties funded by the Section 538 program."], "subsections": []}, {"section_title": "Reports on Integration of Housing and Health Services", "paragraphs": ["Federal and other entities have reported on a lack of integration among housing and health programs and services and the benefits of closing gaps.", "In 2002, the congressionally mandated Commission on Affordable Housing and Health Facility Needs for Seniors in the 21st Century reported that a lack of integration between housing and health care for older adults resulted in inefficiencies, noting that the basis was partly historical differences in policies, funding systems, and regulatory structures. The Commission found that, with few exceptions, older adults obtained their housing from one source and health care and supportive services from a different source.", "In July 2015, the White House Conference on Aging highlighted the importance of collaboration across sectors and the need to better integrate housing, transportation, health care, and long-term services and supports to encourage healthy aging. It noted that opportunities existed to leverage approaches taken by states and localities to consider how best to serve older adults.", "In 2016, the Bipartisan Policy Center\u2019s Health and Housing Task Force reported that bridging the current policy gap between housing and health had the potential to provide a number of benefits, including improving health outcomes for older adults, reducing costs incurred by the health care system, and enabling many older adults to age in their own homes and communities.", "Senior leadership in HUD\u2019s Office of Policy Development and Research recently amplified the discussion about housing and health, noting that the Housing Act of 1937 recognized the linkage between the two. That office also has observed that efforts to better link housing and health services hold promise to improve the ability of older adults to safely, comfortably, and more affordably age in place."], "subsections": []}]}, {"section_title": "Collaboration on Housing Assistance and Health Services for Older Adults Did Not Include USDA or Define Common Outcomes", "paragraphs": ["Collaborations that were focused on coordinating housing and health services for older adults involved HUD and HHS. While these collaborations demonstrated some leading practices we identified, they did not include USDA (a relevant participant) and did not define common outcomes for these efforts."], "subsections": [{"section_title": "USDA, HUD, and HHS Collaborated on Some Housing and Health Service Efforts That Did Not Focus on Older Adults", "paragraphs": ["USDA has collaborated with HUD on two efforts related to housing, and with HUD and HHS on one effort that addressed both housing and health services, although these efforts were not focused specifically on older adults. Officials at HUD and USDA told us that they primarily collaborated on administrative initiatives through the Rental Policy Working Group. For example, in 2016, HUD, USDA, and the Department of the Treasury entered into a memorandum of understanding to formalize the activities of the Rental Policy Working Group, such as reducing duplicative physical unit inspections at properties assisted by one or more of the agencies. While older renter households may benefit from administrative improvements made through the Rental Policy Working Group, its efforts were not intended to focus on any particular household type served by HUD and USDA. Under a 1991 memorandum of understanding, HUD and USDA also are required to coordinate where both agencies\u2019 rental programs could overlap in serving rural families.", "In 2016, USDA started participating in interagency training intended to help coordinate the provision of home and community-based services and supports to vulnerable populations, including older adults. The training was initiated by HHS, and since 2011, HHS and HUD have conducted it for program staff as part of their efforts to strengthen cross-agency collaboration. In 2017, the 1-day training session focused on housing as a platform for improving the quality of life of persons with disabilities, older adults, and other at-risk populations. USDA participated in a discussion on housing and health collaboration between federal, state, local, and community partners. Representatives of both HUD and HHS said that USDA\u2019s increased participation had been positive. HUD officials also told us that in 2018, the agenda for the 1-day training would focus on housing and health supports for older and disabled persons living in rural areas.", "Additionally, in 2016, HUD and USDA began coordinating on developing topics for HUD\u2019s research agenda. Specifically, HUD\u2019s Office of Policy Development and Research develops a research agenda with input from external stakeholders, and both HUD and USDA officials told us of efforts to develop rural housing topics for inclusion in HUD\u2019s research. HUD Policy Development and Research officials stated that HUD conducted extensive research in rural areas and was interested in coordinating more with USDA, though this research has not been specific to older adult issues. In response to HUD\u2019s outreach, USDA submitted topics to HUD, some of which were incorporated into HUD\u2019s 2017 research agenda update. They include the relationship between housing, food, and health and the impact of home equity loss on rural homeowners, particularly those who are aging."], "subsections": []}, {"section_title": "HUD and HHS Have Had Several Collaborations on Services and Data Sharing for Older Adults", "paragraphs": ["HUD and HHS have undertaken multiple collaborative efforts that link data on housing and health services and often have focused on older adults.", "The Support and Services at Home demonstration was launched in 2011 to connect older residents of affordable housing properties with home and community-based supportive services and promote health care coordination. The latest evaluation report was published in January 2016 and described the program\u2019s ongoing implementation and impact from 2011 through 2014. It found lower rates of growth in Medicare expenditures among program participants than among a comparison group. As of August 2017, HUD representatives told us that the departments were still collaborating on evaluating the demonstration.", "Data sharing between HUD and HHS on another demonstration program\u2014the Supportive Services Demonstration for Elderly Households in HUD-Assisted Multifamily Housing\u2014began in 2014. Like the Support and Services at Home demonstration, the Supportive Services Demonstration is intended to test aging-in-place models that show potential for delaying or avoiding the need for nursing home care. HUD has been conducting a 4-year, two-part evaluation, which includes an evaluation of the implementation process and an impact evaluation that will match Medicare claims data from HHS\u2019s Centers for Medicare and Medicaid Services and HUD administrative data. HUD and HHS completed a pilot of the data match in 2014, and HUD has submitted two semi-annual reports to Congress on program implementation, the latest in May 2017. HUD officials stated that in October 2017, HUD secured a contract to conduct a full evaluation of the Supportive Services Demonstration, as described above. According to the officials, the demonstration implementation team conducted an in-person, 2-day training event for care coordination teams in November 2017.", "The National Center for Health Statistics at the Centers for Disease Control and Prevention, also a component of HHS, in 2014 began to link national health survey participant data to HUD administrative data covering HUD\u2019s largest housing assistance programs through 2014. The data linkage is intended to help those agencies and other federal entities and researchers complete independent projects for statistical and research purposes. The first linkage included two household surveys (National Health Interview Survey and National Health and Nutrition Examination Survey) that covered 1999\u20132012 and it was completed in July 2016. HUD officials told us that HUD and HHS were working on the second data linkage project. HHS confirmed that the second linkage was underway as of February 2018, with an expected completion date of summer 2018. It will add survey years 2013\u20132016 and administrative data years through 2016. While the project was not focused specifically on older adults, it could include a significant proportion of older adults living in non-institutionalized settings who receive housing assistance from HUD.", "HHS\u2019s Office of the Assistant Secretary for Planning and Evaluation and HUD completed a study on health care utilization among HUD- assisted older adults in 12 jurisdictions, and published a final report in August 2016. The study, which began in 2009, explored the feasibility of matching administrative data from HUD and HHS\u2019s Centers for Medicare and Medicaid Services to determine if doing so could help track housing and health outcomes, and reliably support future research and policy analysis. More specifically, it linked HUD individual tenant-level data to Medicare and Medicaid beneficiary enrollment, payment, and claims data. In the 2016 report, HHS and HUD found that, controlling for previously identified factors, HUD- assisted dual Medicare-Medicaid beneficiaries were less likely to use some Medicare-covered services such as acute hospital stays, but more likely to use Medicaid-covered home and community-based supportive services. According to the report, the study demonstrated that linking the agencies\u2019 data could inform decisions about future program investment."], "subsections": []}, {"section_title": "Select Collaborations Did Not Include USDA or Define Common Outcomes", "paragraphs": ["We found that the collaborative efforts between HUD and HHS (pilot programs and data sharing related to older adults) demonstrated some but not all relevant leading practices we previously identified for effective interagency collaboration. As we reported in 2012, interagency collaborative mechanisms can be enhanced by leading practices, including written guidance and documenting agreements on how the participating agencies will be collaborating, clarifying roles and responsibilities, leveraging resources (such as funding and staffing), including all relevant participants, and clearly defining outcomes."], "subsections": [{"section_title": "Written Guidance and Agreements", "paragraphs": ["HUD and HHS established interagency agreements or memorandums of understanding for collaborative efforts that focused on or included older adults. For example, HUD and HHS entered into a memorandum of understanding for the National Center for Health Statistics data linkage effort and had contracts for the Support and Services at Home demonstration and other collaborations. Our leading collaboration practices state that agencies articulating their agreements in formal documents can strengthen their commitment to working collaboratively, as long as they are continually updated and monitored."], "subsections": []}, {"section_title": "Roles and Responsibilities", "paragraphs": ["The roles and responsibilities of agencies participating in a collaborative effort may be defined in a number of ways, including through laws, policies, memorandums of understanding, or other requirements. Clarity of roles and responsibilities allows participating agencies to understand and agree on accountability for the joint effort, and a process for making and enforcing decisions. In accordance with their memorandum of understanding, HUD and HHS had clear roles and responsibilities for the National Center for Health Statistics data linkage effort. For example, the agreement documented specific data that HUD was to provide to the National Center for Health Statistics and how the latter would attempt to link HUD\u2019s data to its survey participant data. It also specified both agencies\u2019 roles in data access, storage, and disposition."], "subsections": []}, {"section_title": "Leveraging Resources", "paragraphs": ["Collaborating agencies should identify human, information technology, physical, and financial resources needed to initiate or sustain their collaborative effort. And it is important that the agencies leverage sufficient resources to accomplish their objectives. HUD\u2019s and HHS\u2019s written agreements generally included a description of how they would leverage each agency\u2019s resources, including staffing, funding, and data. For the Support and Services at Home demonstration, HUD provided resources to help evaluate the program model, while HHS funded a wellness nurse who worked with a service coordinator to perform such tasks as assessing residents\u2019 needs; identifying and coordinating service delivery; monitoring receipt and follow-through of services; and building and sustaining partnerships with providers."], "subsections": []}, {"section_title": "Relevant Participants", "paragraphs": ["HUD and HHS, including their component agencies and offices, were the main participants in these collaborative efforts. HUD officials stated that USDA was not included because these collaborative efforts were pilots originally intended to better understand the health of households assisted by HUD. But no current plan exists to include USDA in such collaborative efforts in the future.", "As these collaborative efforts mature, USDA, which provides assistance to low-income older adults in rural areas, may benefit from inclusion. Effective collaborative efforts benefit from having participants with the necessary knowledge, skills, and abilities to contribute to the outcomes of the collaboration. Officials at HUD and HHS said they were open to greater collaboration with USDA in the future. And while HUD has a presence in rural communities, USDA\u2019s participation would allow the Rural Housing Service to provide input on and help address challenges that may be unique to rural older adults. By not including USDA in future collaborative efforts on older adult housing and health services, HUD and HHS may miss opportunities to identify and respond to the changing needs of some older adults living in federally assisted housing\u2014such as by drawing on the experience and resources of the Rural Housing Service in serving rural populations. In addition, USDA may miss opportunities to benefit from lessons learned or programmatic improvements that HUD and HHS might undertake as a result of their collaborations."], "subsections": []}, {"section_title": "Outcomes", "paragraphs": ["Although HUD and HHS have established specific objectives for their various evaluations and data-sharing initiatives, they have not defined common outcomes for these collaborative efforts. For example, while some of these efforts were expected to explore the housing and health relationship and inform more evidence-based program decisions, the agencies have not defined common outcomes for their interagency efforts as a whole. We reported that collaborating entities should determine whether they have clearly defined short-term and long-term outcomes, can track their progress, and whether they each have collaboration- related performance standards against which to evaluate individual performance.", "Such common outcomes could include both quantitative and qualitative information. For example, a set of measures against which to track and monitor their collaborations (including demonstrations, data matching, and studies) might include the extent to which hospital stays were reduced, as noted for the Support and Services at Home and Supportive Services demonstrations, or program costs saved. Monitoring and reporting such measures would provide greater transparency to agency and congressional decision makers about how these collaborative efforts have resulted in potential cost savings and other benefits across agency lines. A more long-term common outcome could include developing proposals for programmatic improvements that would leverage the lessons learned from the collaborative efforts.", "Senior leadership at HUD has said that HUD considers the nexus of housing and health to be a priority for future work, and that federal agencies needed to continue finding ways to move beyond their programmatic scope to engage in more comprehensive, cross-cutting efforts. The official pointed to data-matching efforts with HHS as low-cost initiatives that could enhance HUD\u2019s knowledge about the health status of assisted households and potentially inform cost-saving policies.", "Because many of their collaborative efforts began in the last 5 years and some remain ongoing, HUD and HHS may not have prioritized developing common outcomes that relate both to older adult housing and health services. In contrast, HUD and HHS have developed broader goals that relate to how they serve older adults.However, without defined common outcomes to help guide ongoing and future efforts, HUD and HHS (and potentially USDA) lack measures against which to monitor, evaluate, and report the results of their collaborative efforts."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Federal agencies, particularly HUD and HHS, have found opportunities to collaborate in meaningful ways on services provided to older adults. But collaborative federal efforts to address the housing needs of older adults and tie into health services would benefit from consistent USDA involvement and from defining common outcomes. Greater USDA participation would result in a better nationwide assessment of the housing and health needs of older Americans who live in all federally assisted housing and leverage USDA\u2019s expertise and resources in serving rural populations. Outcome information would help the agencies articulate to stakeholders and Congress the results the collaborations achieved; activities, strategies, or areas on which to focus in the future; and how scarce federal resources were leveraged and managed."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations (one recommendation each to HUD, HHS, and USDA): The Secretary of Housing and Urban Development should work with HHS and USDA\u2019s Rural Development to define common outcomes and identify opportunities to include USDA in future collaborative efforts on older adult housing and health services. (Recommendation 1)", "The Secretary of Health and Human Services should work with HUD and USDA\u2019s Rural Development to define common outcomes and identify opportunities to include USDA in future collaborative efforts on older adult housing and health services. (Recommendation 2)", "The Assistant to the Secretary for Rural Development should work with HUD and HHS to define common outcomes and identify opportunities to include USDA in future collaborative efforts on older adult housing and health services. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to HHS, HUD, and USDA. HHS and HUD provided written comments that are reproduced in appendixes I and II, respectively. USDA provided technical comments, which we incorporated as appropriate. All three agencies concurred with our recommendations. The Deputy Administrator of Multifamily Housing Programs provided USDA\u2019s concurrence in an e-mail dated April 11, 2018.", "In its comment letter, HUD stated that our recommendation to include an additional agency in housing and health demonstrations is consistent with direction provided by the Senate Committee on Appropriations in fiscal year 2016. The committee directed HUD to partner with other federal agencies to pursue a service coordination demonstration in non- metropolitan areas. HUD noted that the committee advised it not to delay existing demonstration efforts while a non-metropolitan component was being designed. HUD also stated that it convened an expert panel to better understand challenges to service coordination for low-income older adults in rural areas, and summarized the findings in a report. HUD said further action on the panel report was contingent on funding availability and direction from appropriations committees. HUD stated that, in regard to our recommendation that additional federal agencies might benefit from data-linkage projects similar to its project with the National Center for Health Statistics, it would be pleased to offer assistance, guidance, and insights to other agencies. Our recommendation is that HUD work with HHS and USDA\u2019s Rural Development to define common outcomes and identify opportunities to include USDA in future collaborative efforts on older adult housing and health services. This would include data sharing, service demonstrations, research, and other collaborations. Ongoing housing and health collaborations among HUD, HHS, and USDA would benefit from greater USDA involvement, which also would serve to enhance assessments of the housing and health needs of older Americans in federally assisted housing.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Secretary of Health and Human Services, the Secretary of Housing and Urban Development, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Paul Schmidt (Assistant Director), Bernice Benta-Jackson (Analyst in Charge), Abigail Brown, Stephen Brown, William Chatlos, Charles Culverwell, Kirsten Lauber, John McGrail, Marc Molino, Dae Park, Nadine Garrick Raidbard, Barbara Roesmann, Joseph Silvestri, and Jeff Tessin made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-106", "url": "https://www.gao.gov/products/GAO-19-106", "title": "Colombia: U.S. Counternarcotics Assistance Achieved Some Positive Results but State Needs to Review the Overall U.S. Approach", "published_date": "2018-12-12T00:00:00", "released_date": "2018-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Colombia is the world's leading producer of cocaine, with production levels more than tripling from 2013 through 2017 (see figure). The U.S. and Colombian governments have been longstanding partners in the fight against drug trafficking. Since the launch of Plan Colombia in 1999, the U.S. government has invested over $10 billion in counternarcotics efforts in Colombia. This assistance has supported a range of eradication, interdiction, and alternative development programs.", "GAO was asked to review U.S. counternarcotics assistance to Colombia. This report examines (1) to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia and (2) what is known about the effectiveness of U.S.-supported eradication, interdiction, and alternative development programs in Colombia. GAO reviewed data and documentation from U.S. agencies, performed a literature review of relevant research on counternarcotics efforts in Colombia, conducted fieldwork in Colombia, and interviewed U.S. and Colombian officials."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. agencies that provide counternarcotics assistance to Colombia conduct performance monitoring of their activities, such as by tracking the hectares of coca fields eradicated and the amount of cocaine seized, but have not consistently evaluated the effectiveness of their activities in reducing the cocaine supply. The U.S. Agency for International Development (USAID) has evaluated some of its alternative development programs, but the Department of State (State), which has lead responsibility for U.S. counternarcotics efforts, has not evaluated the effectiveness of its eradication and interdiction activities, as called for by its evaluation policies. Additionally, State has not conducted a comprehensive review of the U.S. counternarcotics approach, which relies on a combination of eradication, interdiction, and alternative development. Without information about the relative benefits and limitations of these activities, the U.S. government lacks key information to determine the most effective combination of counternarcotics activities.", "GAO's review of U.S. agency performance monitoring data and third-party research offers some information about the relative effectiveness of eradication, interdiction, and alternative development activities. For example, available evidence indicates that U.S.-supported eradication efforts in Colombia may not be an effective long-term approach to reduce the cocaine supply, due in part to coca growers responding to eradication by moving coca crops to national parks and other areas off limits to eradication. Agency data show that U.S.-supported interdiction efforts in Colombia seized hundreds of tons of cocaine and arrested thousands of drug traffickers, yet the net cocaine supply has increased and third-party studies have mixed findings on the long-term effectiveness of interdiction efforts. USAID evaluations indicate that alternative development programs in Colombia have provided legal economic opportunities to some rural populations previously involved in illicit crop production. However, USAID as well as third-party research suggests that alternative development requires significant and sustained investment and some programs have had design and sustainability challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State, in consultation with relevant agencies, (1) evaluate the effectiveness of eradication and interdiction in reducing the cocaine supply in Colombia and (2) undertake a comprehensive review of the U.S. counternarcotics approach in Colombia that considers the relative benefits and limitations between eradication, interdiction, and alternative development efforts. State generally concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Coca cultivation and cocaine production in Colombia have increased substantially in recent years, hitting record levels in 2017, according to U.S. government and United Nations (UN) estimates. These increases have occurred despite the longstanding partnership between the United States and Colombia to combat illicit drug production and trafficking. In 1999, the Colombian government announced the launch of a major initiative, known as Plan Colombia, which was designed to reduce the production of illegal drugs and improve security in the country. At that time, Colombia had become the world\u2019s leading producer of cocaine and was in the midst of a violent internal conflict that had lasted for decades. This multi-sided conflict was fueled by proceeds from illegal drug trafficking and involved the Marxist insurgent organization the Revolutionary Armed Forces of Colombia (known by its Spanish acronym, FARC) and other armed left-wing groups, as well as right-wing paramilitary groups. Since Plan Colombia\u2019s inception, the U.S. government has provided over $10 billion in support of the counternarcotics and security effort, according to the Department of State (State). This support has included assistance for eradication, interdiction, and alternative development programs. In providing counternarcotics assistance to Colombia, the U.S. government has sought to use a whole of government approach involving a range of agencies. The Colombian government has also made significant investments in the fight against illegal drugs, with its own funding representing about 95 percent of the total spent since the start of Plan Colombia.", "When Plan Colombia was launched in 1999, some feared that Colombia was on the brink of becoming a failed state, but it has since seen significant improvements in security, including dramatic drops in violence and the reassertion of state control over much of the country\u2019s territory. For example, between 2000 and 2016, homicides in Colombia declined by 53 percent and kidnappings declined by 94 percent. As the security situation improved, Colombian authorities were also able to achieve considerable reductions in coca cultivation and cocaine production, reaching a low point in 2012. Meanwhile, the Colombian government undertook peace negotiations with the FARC, which were formally concluded in a peace agreement in November 2016 that the parties have begun to implement. Starting in 2013, however, coca cultivation and cocaine production in Colombia have been on the rise once again, according to U.S. government and UN estimates. In addition, Colombia continues to struggle with the presence of drug trafficking organizations and other armed criminal actors in many parts of the country. Colombia is currently at an important juncture as it seeks to implement the peace agreement and address increasing illicit drug production.", "You asked us to review U.S.-supported eradication, interdiction, and alternative development programs in Colombia and what is known about the effectiveness of these programs in achieving U.S. counternarcotics goals. Specifically, this report examines (1) to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia, (2) what is known about the effectiveness of U.S. government-supported eradication programs in Colombia over the last 10 years, (3) what is known about the effectiveness of U.S. government- supported interdiction programs in Colombia over the last 10 years, and (4) what is known about the effectiveness of U.S. government-supported alternative development programs in Colombia over the last 10 years.", "To address these objectives, we analyzed Department of Defense (DOD), Department of Homeland Security (DHS), Department of Justice (DOJ), State, and U.S. Agency for International Development (USAID) data and documentation, including available evaluations and performance monitoring data the agencies use to assess the effectiveness of their counternarcotics activities in Colombia. We also interviewed officials from each of these agencies to gather further information regarding what is known about the effectiveness of U.S.-supported counternarcotics efforts in Colombia. In assessing to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia, we compared U.S. agencies\u2019 actions to requirements established in agency evaluation policies and to federal internal control standards. As part of our work, we also collected data from the UN and the Colombian government related to drug production trends and counternarcotics efforts. To assess the reliability of these data, we reviewed available documentation and interviewed knowledgeable U.S. officials. We determined that the U.S. government, UN, and Colombian government data were sufficiently reliable for our purposes in this report. To validate and supplement U.S. government information regarding the effectiveness of its counternarcotics programs, we also conducted a literature review to determine what relevant research has concluded about these programs in Colombia and the extent to which relevant non-U.S. government studies reached similar or different conclusions than the U.S. government\u2019s findings regarding the effectiveness of U.S.-supported counternarcotics programs in Colombia. To conduct our literature review, we developed a list of search terms related to eradication, interdiction, and alternative development in Colombia and conducted a search using selected bibliographic databases. In order to narrow down the initial search results to a priority list of studies, we considered a variety of factors including the relevance of the study to our research questions, the extent to which the study focused on Colombia or was more global in nature, whether the study had been published in 2008 or later, and whether the study included original research. In total, we selected 23 studies to include in our review and to analyze in greater depth for this report. As part of our work, we also conducted interviews with a nongeneralizable sample of three non-U.S. government experts. Finally, we conducted fieldwork in Colombia where we interviewed U.S. and Colombian officials that have responsibility for and insights into U.S.-funded counternarcotics programs. For more information about our scope and methodology, see appendix I.", "We conducted this performance audit from September 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Colombia is the world\u2019s largest producer of cocaine and also continues to be a source of heroin and marijuana. After declining most years since 2000, coca cultivation and cocaine production increased again in Colombia beginning in 2013, hitting record highs in 2017 (see fig. 1). Much of the cocaine produced in Colombia is consumed in the United States. According to the Drug Enforcement Administration\u2019s (DEA) Cocaine Signature Program, over 90 percent of cocaine found in the continental United States is of Colombian origin. In 2017, the DEA reported that cocaine use in the United States was increasing concurrent with production increases in Colombia. Although the United States continues to be the primary market for Colombian cocaine, Colombian drug traffickers are also expanding into other markets around the world, according to DEA and Office of National Drug Control Policy (ONDCP) reporting.", "U.S., Colombian, and UN officials; as well as third-party researchers, have cited a variety of reasons for the increases in coca cultivation and cocaine production in Colombia, including: the Colombian government\u2019s decision to end aerial eradication of coca crops in October 2015; prior to the end of aerial spraying, coca growers\u2019 movement to areas off limits to aerial spraying and other countermeasures employed by growers; the Colombian government\u2019s desire to avoid social protests in coca- growing regions controlled by the FARC during peace negotiations; the FARC\u2019s drive to induce farmers to plant additional coca in areas under their control in anticipation that the Colombian government would provide subsidies for farmers to switch from coca to licit crops after the conclusion of the peace agreement; declining Colombian and U.S. funding for counternarcotics efforts; decreases in the price of gold, which diminished criminal organizations\u2019 revenues from illegal gold mining and led to a redirection of resources back to cocaine production to make up losses; and increased demand for cocaine in the United States and other parts of the world."], "subsections": [{"section_title": "Armed Conflicts and Drug Trafficking in Colombia over Time", "paragraphs": ["Colombia has historically been one of Latin America\u2019s more enduring democracies and successful economies. However, Colombia has also faced more than 50 years of internal conflict and has long been a leading drug producing and trafficking nation. See figure 2 for a map showing Colombia\u2019s geographic location relative to the United States.", "For several decades, Colombia has struggled with a multi-sided conflict, involving both left-wing guerilla groups and right-wing paramilitary groups (see sidebar for background information on Colombia). Since its start, the conflict has resulted in at least 220,000 deaths and the displacement of more than 5 million Colombians, according to the Congressional Research Service. The FARC, a Marxist insurgent organization formed in 1964, was the largest of the left-wing groups. At its peak, the FARC had an estimated 16,000 to 20,000 fighters, according to the Congressional Research Service. In an effort to unseat the Colombian government, the FARC, along with the second largest left-wing guerilla group in Colombia, the National Liberation Army (known by its Spanish acronym ELN), undertook a widespread campaign of murder, kidnapping, extortion, and other human rights violations, according to various sources. Over time, the two groups also became increasingly involved in drug trafficking to fund their operations. (slightly less than twice the size of Texas)", "In response to the violence caused by the FARC and the ELN, a number of wealthy Colombians, including drug traffickers, began to hire armed paramilitary groups for protection during the 1980s. According to DOD officials, initially these groups were formed legally as self-defense groups; however, they turned to crime and drug trafficking over time. Many of these groups subsequently united under an umbrella organization called the United-Self Defense Forces of Colombia (known by the Spanish acronym AUC). According to reporting from various U.S. government and third-party sources, the AUC murdered individuals suspected of supporting the FARC and ELN and engaged in direct combat with these groups. From 2003 through 2006, the AUC formally dissolved after negotiating a peace agreement with the administration of former Colombian President \u00c1lvaro Uribe. However, some former AUC members did not demobilize and instead joined criminal groups (known as criminal bands, or Bacrim) that continue to be involved in drug trafficking today, according to reporting from various U.S. government and third-party sources.", "Throughout the 1980s and early 1990s, Peru and Bolivia were the leading global producers of cocaine but enforcement efforts in those two countries increasingly pushed cocaine production into Colombia. By the late 1990s Colombia had emerged as the leading source of cocaine in the world.", "Over time the landscape of drug trafficking in Colombia has changed. In the 1980s and early 1990s, major drug trafficking organizations such as the Medell\u00edn and Cali cartels controlled cocaine trafficking in Colombia. These cartels were vertically integrated organizations with a clearly defined leadership that controlled all aspects of cocaine production and distribution in their respective geographic areas. By the late 1990s, however, Colombian authorities, with the support of the United States, had largely succeeded in dismantling these two cartels. Over time, drug trafficking in Colombia fragmented and is now generally characterized by more loosely organized networks that are less integrated and have less well-defined leadership structures. Major organizations currently involved in drug trafficking include the Clan del Golfo, the largest of the Bacrim; FARC dissident groups that have not accepted the peace agreement; and the ELN."], "subsections": []}, {"section_title": "Peace Agreement with the FARC", "paragraphs": ["In August 2016, the Colombian government and the FARC reached a peace agreement ending more than five decades of conflict. The peace agreement was the culmination of four years of formal negotiations. In October 2016, however, Colombian voters narrowly defeated a referendum on whether to accept the peace agreement. After the voters rejected the agreement, the Colombian government and the FARC worked to make certain revisions and signed a second accord. The Colombian Congress then approved the revised agreement in November 2016. The Colombian government has estimated that it will cost $43 billion to implement the peace agreement over 15 years but State has estimated that the cost will be between $80 billion and $100 billion.", "The peace agreement included agreements on six major topics: land and rural development, the FARC\u2019s political participation after disarmament, illicit crops and drug trafficking, victims\u2019 reparations and transitional justice, the demobilization and disarmament of the FARC and a bilateral cease-fire, and verification to enact the programs outlined in the final accord.", "The agreement on illicit crops and drug trafficking addresses a range of issues related to coca eradication and crop substitution, public health and drug consumption, and drug production and trafficking. As part of the agreement, the FARC committed to work to help resolve the problem of illegal drugs in the country and to end any involvement in the illegal drug business. Among other things, the Colombian government pledged to prioritize voluntary drug-crop substitution programs over forced eradication, and where forced eradication was necessary, to prioritize manual removal over aerial spraying. Other portions of the peace agreement also relate to counternarcotics efforts. For example, the section on land and rural development discusses benefits for farmers who undertake substitution of illicit crops.", "Colombian authorities and the FARC have completed several actions called for under the peace agreement but progress on implementation has been uneven. Since the finalization of the peace agreement in November 2016, over 7,000 FARC members have disarmed and surrendered almost 9,000 weapons, about 1.7 million rounds of ammunition, and about 42 tons of explosive material, according to State reporting. The Colombian Congress has also passed implementing legislation, including a bill establishing the Special Jurisdiction for Peace to support transitional justice efforts. However, a significant number of FARC members have refused to demobilize and key FARC leaders have been accused of violating the peace agreement through continued involvement in the drug trade and other illegal activities. According to State reporting, the FARC has also failed to offer information on drug trafficking routes, contacts, and financing, as it had committed to do under the accord. The peace agreement continues to be controversial in Colombia with many Colombians believing that it does not do enough to hold the FARC accountable for the violence and crimes that it committed. Colombian President Iv\u00e1n Duque, who assumed control of the government in August 2018, has stated his intention to revise some elements of the agreement.", "Currently, the Colombian government is also engaged in peace negotiations with the ELN that were formally launched in February 2017. Although the talks continue, the negotiations have experienced several setbacks. For example, the two parties had agreed to a temporary ceasefire that lasted from September 4, 2017, to January 9, 2018, but they did not reach an agreement to extend the ceasefire and the ELN launched a number of attacks shortly thereafter, including a police station bombing in the city of Barranquilla that killed 7 police officers and injured more than 40."], "subsections": []}, {"section_title": "Plan Colombia and U.S. Counternarcotics Efforts in Colombia", "paragraphs": ["Colombia and the United States have a longstanding partnership on counternarcotics efforts. Since the early 1970s, the U.S. government has provided assistance to the Colombian government to support its efforts to combat illicit drug production and trafficking activities. However, by the late 1990s, Colombia had become the world\u2019s leading producer of cocaine and a major source of heroin used in the United States. In response, the Colombian government, with U.S. support, launched Plan Colombia in 1999 with the goals of (1) reducing the production of illicit drugs and (2) improving security in the country by reclaiming areas of the country held by illegal groups.", "U.S. assistance to Colombia over the years has focused on three key approaches for reducing the supply of illegal drugs produced in the country and trafficked to the United States: eradication, interdiction, and alternative development.", "Eradication. Eradication seeks to reduce coca cultivation by destroying coca plants through either the aerial spraying of herbicides on the crops, or the manual spraying of herbicides or uprooting of the plants by personnel on the ground.", "Interdiction. Interdiction seeks to disrupt or dismantle drug trafficking organizations by investigating the operations of drug traffickers; seizing drugs and their precursors, cash, and other assets; destroying processing facilities; blocking air, sea, and land drug trafficking routes; and arresting and prosecuting drug traffickers.", "Alternative development. Alternative development seeks to discourage involvement in the drug trade by providing people with viable, legal livelihoods through training, technical assistance, and other support; as well as by working with the private sector, civil society, and the Colombian authorities to create the necessary conditions in communities for legal economies to develop.", "Under the general guidance of the White House\u2019s ONDCP and the leadership of State at the country-level, a number of U.S. agencies have a role in supporting counternarcotics efforts in these three key areas. ONDCP is, among other things, responsible for developing the National Drug Control Strategy and coordinating the implementation of this strategy. It does not implement any counternarcotics programs in Colombia. State is the lead agency responsible for setting U.S. counternarcotics policy in Colombia, consistent with the overall direction provided by the National Drug Control Strategy. The ambassador at Embassy Bogot\u00e1 has ultimate authority over all U.S. agencies operating in the country. State is the agency primarily responsible for supporting eradication efforts in Colombia. A number of agencies are responsible for supporting various aspects of interdiction efforts in Colombia, including: State; DOD; DOJ\u2019s Criminal Division, DEA, and Federal Bureau of Investigation (FBI); and DHS\u2019s Immigration and Customs Enforcement (ICE), Customs and Border Protection (CBP), and U.S. Coast Guard. USAID is the agency primarily responsible for supporting alternative development efforts in Colombia.", "The U.S. government provided about $5 billion in foreign assistance for Colombia in fiscal years 2008 through 2017. State and USAID provide foreign assistance to Colombia for a range of programs and activities that extend beyond counternarcotics efforts. State and USAID provide this assistance to Colombia through several accounts. State funds the largest share of its programs in Colombia through the International Narcotics Control and Law Enforcement account. It also provides funding to Colombia through the Foreign Military Financing; International Military Education and Training; and Nonproliferation, Anti-terrorism, Demining, and Related Programs accounts. USAID implements its programs in Colombia using funding from the Economic Support Fund account. DOD provides counternarcotics funding to Colombia through its Central Transfer Account. Figures 3 and 4 show U.S. assistance to Colombia in fiscal years 2008 through 2017.", "The U.S. government\u2019s efforts in Colombia are part of its broader efforts to combat drug trafficking throughout the Western Hemisphere, including in other partner countries and in the \u201ctransit zone,\u201d which is the area from South America through the Caribbean Sea and the eastern Pacific Ocean used to transport illicit drugs to the United States. In addition, the U.S. government combats the illegal drug problem through a range of domestic law enforcement efforts and programs designed to reduce illicit drug use. These various efforts are not addressed in this report."], "subsections": []}, {"section_title": "Recent Developments in U.S.-Colombia Efforts on Counternarcotics", "paragraphs": ["The Obama administration supported the peace process in Colombia and announced a new initiative in February 2016, known as Peace Colombia. Peace Colombia was designed to establish a new framework for cooperation between the two countries and refocus U.S. assistance to support peace agreement implementation. The administration called for an initial $450 million in funding for Peace Colombia in fiscal year 2017. Under Peace Colombia, U.S. assistance was to be focused in three areas: consolidating and expanding progress on security and counternarcotics while reintegrating the FARC into society; expanding the Colombian state\u2019s presence and institutions to strengthen the rule of law and rural economies, especially in former conflict areas; and promoting justice and other essential services for conflict victims.", "More recently, the Trump administration has raised questions about Colombia\u2019s commitment to meeting its counternarcotics obligations. As required by law, the Trump administration in September 2017 issued a memorandum documenting the annual presidential determination on countries that are major drug transit or illicit drug producing countries. As in years past, the memorandum identified Colombia as one of these countries. The memorandum also stated that the administration had seriously considered designating Colombia as a country that had demonstrably failed to adhere to its obligations under international counternarcotics agreements due to the extraordinary growth of coca cultivation and cocaine production over the past three years. According to the memorandum, the administration ultimately decided not to take this step because of the close partnership between the U.S. government and the Colombian National Police and Armed Forces. However, the memorandum underscored that the administration would keep the designation as an option and expected Colombia to make significant progress in reducing coca cultivation and cocaine production.", "As part of the U.S.-Colombia High Level Dialogue in March 2018, the U.S. and Colombian governments pledged to expand counternarcotics cooperation over the next 5 years with the goal of reducing Colombia\u2019s estimated coca cultivation and cocaine production by 50 percent by the end of 2023."], "subsections": []}]}, {"section_title": "U.S. Agencies Conducted Performance Monitoring of Counternarcotics Activities in Colombia, but Have Not Evaluated Key Efforts and State Has Not Undertaken a Comprehensive Review of the Overall Approach", "paragraphs": [], "subsections": [{"section_title": "U.S. Agencies Conducted Performance Monitoring of Counternarcotics Activities in Colombia, but Have Not Evaluated the Effectiveness of Eradication and Interdiction Efforts", "paragraphs": ["U.S. agencies have conducted ongoing performance monitoring of various counternarcotics activities in Colombia, but State, DOD, DHS, and DOJ have not conducted evaluations of U.S. eradication and interdiction programs. Performance monitoring is the ongoing review and reporting of program accomplishments, particularly progress toward pre-established goals. It is typically conducted by program or agency management. Performance monitoring focuses on whether a program has achieved its objectives, expressed as measurable performance standards. In contrast, program evaluations are individual systematic studies conducted periodically or on an ad hoc basis to assess how well a program is working. They are often conducted by experts, either from inside or outside the agency, who are not working on the program. Program evaluations typically examine a broader range of information on program performance and its context than is feasible to monitor on an ongoing basis."], "subsections": [{"section_title": "Performance Monitoring and Reporting", "paragraphs": ["U.S. agencies have conducted a range of performance monitoring efforts to assess their counternarcotics activities in Colombia. While some monitoring is performed through interagency mechanisms, most monitoring is done at the individual agency level.", "Interagency monitoring mechanisms include ONDCP reports, such as its annual Budget and Performance Summary and its annual National Drug Control Strategy Performance Reporting System Report, and Embassy Bogot\u00e1\u2019s annual Performance Plan and Reports. ONDCP\u2019s Budget and Performance Summaries and Performance Reporting System Reports are not Colombia-specific and discuss a range of domestic and international counternarcotics efforts. These reports, however, generally provide some limited performance information related to Colombia. For example, ONDCP\u2019s Budget and Performance Summaries include information, by agency, on their counternarcotics budget requests as well as some selected performance reporting. As part of these documents, State and USAID have reported data on certain performance metrics specific to Colombia, such as the number of hectares of drug crops eradicated in U.S. government-assisted areas of Colombia and the number of rural households benefitting from U.S. government interventions in Colombia. In addition, the reports contain narrative related to the results of counternarcotics activities in Colombia. At the country level, Embassy Bogot\u00e1\u2019s annual Performance Plan and Report provides information on the embassy\u2019s progress in meeting its goals and objectives, including those related to counternarcotics. As part of these reports, the embassy provides data on results for the fiscal year, relative to established targets, for a range of counternarcotics performance metrics. These Performance Plan and Reports primarily focus on State and USAID activities, rather than describing the results of all U.S. agencies\u2019 activities in Colombia.", "At the agency level, State, USAID, DOD, DOJ, and DHS and their components have, to varying degrees, conducted performance monitoring of their counternarcotics activities in Colombia. Examples of key performance monitoring activities, by agency, are described below:", "State: State, with input from other U.S. agencies involved in counternarcotics efforts, produces its annual International Narcotics Control Strategy Report, which is global in scope, but includes specific country reports, including on Colombia. These reports describe key steps that Colombia has taken over the year to combat drug trafficking and how U.S. assistance has supported these efforts. In addition, State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL) has developed a Colombia country plan for 2017 through 2021 that presents results data for a number of counternarcotics-related indicators, such as the percent of coca hectares eradicated against Colombia\u2019s national goals and the number of hours flown by the Colombian National Police in support of counternarcotics and other related missions. The INL country plan also establishes performance targets for future years. State/INL implementing partners are also responsible for producing periodic reports that describe their progress in meeting pre-established performance targets for their projects.", "USAID: USAID has developed a Colombia-specific information system, the Monitoring and Evaluation Clearinghouse (Monitor), that provides the agency with information about the status and progress of all USAID alternative development projects in Colombia. For example, Monitor tracks metrics such as the number of hectares of licit crops supported by USAID, the number of beneficiaries from improved infrastructure services, and the number of households who have obtained documented property rights as a result of USAID assistance. USAID implementing partners are also responsible for producing periodic reports that describe their progress in meeting pre- established performance targets for their projects.", "DOD: U.S. Southern Command (SOUTHCOM) completes annual Program Objective Memorandums (POM) related to each of its program areas as part of the DOD budget process. Each POM is tied to a particular project code. For example, SOUTHCOM has a project code for counternarcotics support in South America and a project code for the Regional Helicopter Training Center in Colombia. As part of each POM, SOUTHCOM reports on the activities supported under the project code and reports on results relative to pre-established performance targets. Examples of metrics tracked in the POMs include the rate of operational readiness of Colombian maritime patrol aircraft and the hours a day the Colombian Air Force was able to provide video surveillance to support operations.", "DOJ: DEA has developed its annual Threat Enforcement Planning Process, which guides the agency\u2019s operational strategy and serves as a means of monitoring performance. Under this three-stage process, DEA offices, including the one in Colombia, first identify threats within their area of responsibility that link to agency-wide threats that DEA has established. The offices then develop mitigation/enforcement plans for each identified threat, and, subsequently, produce impact statements that summarize the outcomes and results related to each mitigation/enforcement plan. For example, the impact statements describe key arrests that have been made and major seizure operations. In addition, the FBI office in Colombia produces an annual summary of statistics to monitor the accomplishments of the Colombian vetted unit that it supports, including the number of arrests, the amount of drugs seized, and the commercial value of assets seized.", "DHS: ICE and CBP stated that they do not conduct performance monitoring activities specific to Colombia. Coast Guard officials stated that the Coast Guard compiles information that it provides to its Colombian counterparts on a recurring basis, including data on the number of Colombian-flagged ship interdictions it has completed and the number of Colombian nationals apprehended. All three agencies contribute to DHS annual performance reports. These annual reports include some performance information related to DHS counternarcotics efforts more broadly, such as ICE\u2019s work combatting transnational criminal organizations that may operate in Colombia.", "State, USAID, DOD, DOJ, and DHS use a range of metrics to assist them in both formally and informally monitoring the performance of eradication, interdiction, and alternative development efforts in Colombia. These agencies produce some of these data, while in other cases they use data from other sources including implementing partners, the Colombian government, and the UN. Examples of key metrics include:", "Eradication: hectares of coca cultivated, hectares of coca eradicated, and coca replanting rates.", "Interdiction: amounts of cocaine seized, the number of cocaine processing laboratories destroyed, the number of drug trafficking organizations disrupted or dismantled, and the number of drug trafficking suspects extradited to the United States.", "Alternative Development: the number of households involved in coca cultivation, increases in the value of sales of legal products in areas involved in narcotics production, the number of households receiving land titles as a result of U.S. assistance, and the value of agricultural and rural loans generated through U.S. assistance.", "State, USAID, DEA, and DOD have undertaken efforts to further strengthen their performance monitoring efforts in recent years. For example, in September 2017, State/INL signed a new monitoring and evaluation contract for the Western Hemisphere which is designed to strengthen its existing performance measures and identify new metrics to better assess performance. According to a State official, the contractor is currently working with both State officials in Washington D.C. and at embassies in the Western Hemisphere to, among other things, develop a list of performance measures that link to INL\u2019s goals for the region and that involve data that can be feasibly and consistently collected across the countries in the region. USAID officials noted that recently USAID has been collecting data on contextual indicators and developing baseline studies to help inform new alternative development programs it is implementing in Colombia. According to USAID officials, these baseline studies have collected information related to productivity, exports, income, multidimensional poverty, citizen security, social capital, and trust in institutions. In addition, as noted above, DEA established its new Threat Enforcement Planning Process in fiscal year 2017. According to DEA, this process is designed to, among other things, allow the agency to move beyond basic output measures and better assess how its offices, including the office in Colombia, are doing in combatting priority threats within their area of responsibility. Finally, according to a DOD official, DOD\u2019s Office of Counternarcotics and Global Threats is developing guidance for assessing the counternarcotics programs it supports around the world to help the office\u2019s leadership make better informed decisions about how to best use DOD\u2019s limited counternarcotics resources.", "Although performance metrics are useful for monitoring progress and can help inform evaluations of effectiveness, they are generally not intended to assess effectiveness directly. For example, U.S. agencies track data on the amount of cocaine seized in Colombia, but a number of U.S. officials noted that it is unclear to what extent increases in cocaine seizures in recent years are due to the increased effectiveness of interdiction efforts or more cocaine being present in Colombia to seize. As another example, some agencies track data on the number of Colombian officials receiving counternarcotics training through their programs, but these data are not designed to capture what, if any, improvements in counternarcotics outcomes are achieved as a result of that training."], "subsections": []}, {"section_title": "Evaluations", "paragraphs": ["USAID has completed independent evaluations of several of its alternative development programs. However, other agencies have not formally evaluated the long-term effectiveness of their eradication or interdiction activities.", "Alternative Development: Since 2008, USAID has conducted a number of formal, independent evaluations of its alternative development programs in Colombia. Some of these evaluations have examined USAID\u2019s alternative development efforts more broadly, while others have focused on the effectiveness of specific programs such as USAID\u2019s Consolidation and Enhanced Livelihood Initiative, More Investment in Sustainable Alternative Development, and Areas for Municipal-Level Alternative Development programs. Many of these evaluations were done through a 5-year monitoring and evaluation contract that USAID awarded to Management Systems International in May 2013.", "Eradication and Interdiction: State, DOD, DEA, FBI, ICE, CBP, and the U.S. Coast Guard all reported that they had not conducted any formal, systematic evaluations to assess the effectiveness of U.S.-supported eradication and interdiction efforts in Colombia since 2008. State documents indicate that State was considering an evaluation of its counternarcotics activities in Colombia as early as 2015; however, State officials noted that these plans were delayed due to competing priorities. State reported that it now plans to award a contract in 2019 for an evaluation of its counternarcotics activities. According to State officials, a scope of work for the evaluation has not been completed, so the details of the planned evaluation have not yet been decided, including whether the evaluation would assess activities in the long term and which activities it would include. State\u2019s November 2017 evaluation policy highlights the importance of evaluations in achieving U.S. foreign policy outcomes and ensuring accountability. The policy establishes a requirement that all large programs, such as State\u2019s counternarcotics program in Colombia, be evaluated at least once in the program\u2019s lifetime, or once every 5 years for ongoing programs. According to State officials, evaluations can be challenging to design and potentially entail significant investments of resources and time; however, State\u2019s evaluation policy reaffirms the importance and feasibility of conducting evaluations, including impact evaluations. Without evaluations of U.S.-supported eradication and interdiction efforts in Colombia, U.S. agencies do not have complete information regarding the long-term effectiveness of these efforts in reducing coca cultivation and the cocaine supply. As the lead agency responsible for setting U.S. counternarcotics policy in Colombia, State is best positioned to lead an evaluation of U.S.-supported eradication and interdiction efforts in the country. However, such an evaluation would benefit from the involvement and expertise of other U.S. agencies engaged in counternarcotics activities in Colombia. State\u2019s evaluation policy encourages such evaluations that are undertaken collaboratively with other U.S. agencies."], "subsections": []}]}, {"section_title": "State Has Not Conducted a Comprehensive Review of the Overall U.S. Counternarcotics Approach in Colombia to Determine the Most Effective Combination of Activities", "paragraphs": ["The U.S. counternarcotics approach in Colombia has historically entailed a combination of eradication, interdiction, and alternative development programs. Although the U.S. government implements a wide range of counternarcotics efforts in Colombia and can point to various results for these activities, State and other U.S. agencies have no systematic way to determine whether the current combination of activities is the most effective approach to achieve U.S. goals. According to DEA officials, measuring the effectiveness of overall U.S.-counternarcotics efforts in Colombia has been particularly challenging in recent years due to historical, transformational events which have taken place in that country. Various U.S. officials acknowledged that the substantial increases in coca cultivation and cocaine production as well as the other significant changes that have occurred in Colombia in recent years, including the end of aerial eradication, the conclusion of the peace agreement with the FARC, and decreases in Colombian and U.S. counternarcotics budgets, necessitate that the U.S. government review its approach to counternarcotics efforts and consider adjustments to reflect these developments.", "In addition, the U.S. government\u2019s approach is affected by Colombia\u2019s counternarcotics priorities and key initiatives, which continue to evolve. For example, in September 2015, Colombia announced a new counternarcotics strategy which specified three priority areas: rural development programs to reduce drug cultivation; law enforcement efforts to dismantle drug trafficking organizations; and public health approaches to reduce domestic drug consumption. Colombia has also launched an initiative to establish Strategic Operational Centers (known by the Spanish acronym CEO) in key regions of the country. These CEOs are designed to bring together the Colombian military, police, and civilian agencies to focus on a whole-of-government approach to improving security, establishing a state presence, and fighting drug trafficking in these areas. The Colombian government has now launched CEOs in three areas\u2014Tumaco, San Jos\u00e9 del Guaviare, and Caucasia\u2014and plans to open a fourth, in C\u00facuta, later in 2018 (see fig. 5). It is also considering adding a fifth CEO in the Caquet\u00e1/Putumayo region. In addition, the Colombian government, with support from the U.S. embassy, launched the Antioquia Free from Coca initiative in December 2017. The initiative seeks to bring together the Colombian national government, local governments in Antioquia, the armed forces, the private sector, and the U.S. government to create a new model for development and counternarcotics in the Antioquia region. State has reported that the U.S. government plans to shift substantial resources to the initiative.", "Various U.S. officials stated that finding an appropriate combination of eradication, interdiction, and alternative development assistance is critical to achieve the U.S. objective of reducing cocaine production and trafficking in Colombia in this new context. To find this combination, U.S. officials stated that there are a range of considerations to weigh. For example, U.S. officials stated that they must consider to what extent to prioritize pursuing short-term reductions in coca cultivation and cocaine supplies versus longer-term efforts to address the underlying causes of the drug problem in Colombia, such as the widespread lack of legal economic opportunities in rural areas of the country. In addition, U.S. officials and documents from various agencies noted that counternarcotics efforts must be properly sequenced and coordinated to be effective. DEA analysis, for example, found that farmers are unlikely to permanently abandon coca farming without sustained and concurrent eradication and alternative development.", "Although U.S. officials noted the importance of finding an appropriate combination of eradication, interdiction, and alternative development assistance, they acknowledged that they have not undertaken a comprehensive review of their counternarcotics approach in Colombia that considers the benefits and limitations of these efforts to determine whether the U.S government\u2019s current combination of activities is the most effective approach to achieve U.S. counternarcotics goals. Officials from State and other agencies noted that such reviews are challenging to do systematically and noted that they must generally rely on imperfect metrics, such as the amount of coca being cultivated, to determine if their counternarcotics approach is working. In addition, most U.S. efforts at measuring performance and evaluating results are focused at the individual agency level, rather than designed to determine what combination of U.S. counternarcotics activities will best achieve U.S. objectives of reducing the cocaine supply.", "Federal internal control standards state that agency management should use quality information to achieve the entity\u2019s objectives. Among other things, the standards note agency management should use quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risks. Without a comprehensive review of the U.S. counternarcotics approach in Colombia that considers the combination of eradication, interdiction, and alternative development efforts, the U.S. government lacks important information on how to most effectively combat drug trafficking in a changing environment in Colombia. To undertake such a review, the U.S. government might determine the need to collect additional information and conduct further evaluations of its counternarcotics programs, but it could also potentially use a range of existing information on what is known about the effectiveness of eradication, interdiction, and alternative development programs. State, as the lead agency at the embassy in Colombia, would be best positioned to guide an interagency effort to undertake such a review."], "subsections": []}]}, {"section_title": "Available Evidence Indicates that U.S.- Supported Eradication Efforts in Colombia May Not Be an Effective Long- Term Supply- Reduction Approach", "paragraphs": ["State\u2019s INL has supported Colombian aerial and manual eradication efforts over time, but these efforts have declined after the Government of Colombia\u2019s decision to end aerial eradication and several years of limited or no funding for manual eradication driven by decreased Colombian government demand for this assistance, according to State officials. Despite these declines, officials from several U.S. agencies reported eradication should be a vital component of U.S. counternarcotics efforts in Colombia. Nevertheless, U.S. officials and the studies and experts in our review identified a number of factors which may reduce the effectiveness of eradication as a supply reduction approach, including the strategies coca growers use to mitigate the effects of eradication and potential adverse effects it may have on Colombian citizens. Additionally, third- party research suggests that eradication efforts do not substantially affect the long-term supply of cocaine and are potentially costly."], "subsections": [{"section_title": "Since 2008 U.S.- Supported Eradication Efforts Have Declined after Changes in Colombian Counternarcotics Policy; However, U.S. Officials Believe Eradication Is an Important Component of an Overall Counternarcotics Approach", "paragraphs": ["INL has provided financial assistance and operational support for Colombian eradication efforts in three key areas: aerial eradication, manual eradication, and aviation support. Overall eradication efforts, however, have declined over time and the Colombian government stopped aerial eradication altogether in 2015.", "Aerial Eradication: Until 2015, INL directed the largest portion of its eradication assistance toward the Colombian National Police aerial eradication program. The program\u2019s goal was to reduce coca cultivation and harvests by spraying coca fields with glyphosate. INL helped fund, plan, and operate the aerial eradication program. It provided the pilots, planning, aircraft, logistics, maintenance, and fuel to operate the program\u2019s two spray bases. Funding for the aerial eradication program declined over time from $66.2 million in fiscal year 2008 to $12.7 million in fiscal year 2014. From October 2013 to October 2014, aerial eradication was temporarily suspended by the U.S. Embassy in Bogot\u00e1 after two pilots were shot down during eradication operations. In May 2015, the Colombian government stopped the aerial eradication program amid concerns that glyphosate had a negative impact on public health. Cessation of aerial spraying took effect in October 2015.", "Manual Eradication: According to State officials, U.S. assistance shifted from aerial to manual eradication after the 2015 ban on aerial spraying. Manual eradication involves using mobile eradication teams, which are transported into coca fields to manually remove and destroy coca plants (see fig. 6). These teams are made up of Colombian police and military personnel, as well as civilian contractors, according to INL officials. Initially manual eradication was used in concert with aerial spraying in an effort to combat replanting in areas already subjected to aerial spraying, but with the ban on aerial spraying, manual eradication became a stand-alone approach. INL provides a variety of support for manual eradication teams including operational support and equipment, such as demining and brush cutters. Additionally, INL helps identify and fund the development of new technologies that might improve the effectiveness of manual eradication, such as armored ground spraying vehicles which protect manual eradicators from the danger of improvised explosive devices and landmines. INL funding for manual eradication varied during fiscal years 2008 through 2016, ranging from four fiscal years where INL provided no funding to a high of $9.5 million in fiscal year 2014. INL funding for manual eradication increased substantially in fiscal year 2017 to $26 million. According to State, decreases in the budget for manual eradication were driven by reduced Colombian government demand for this assistance.", "INL Aviation Support: INL has also provided aviation support to the Colombian National Police and the Colombian Army to assist counternarcotics efforts. According to INL, these aviation programs provide critical assistance for a number of counternarcotics efforts such as eradication, but also for interdiction, and security operations. Because Colombia is a vast country with rugged terrain, many rivers, and poor roads, State officials indicated air mobility is critical for effective counternarcotics operations.", "Colombian National Police (CNP): INL provides logistical, operational, maintenance, safety, and training assistance to the CNP\u2019s aviation brigade in support of its counternarcotics operations. The CNP aviation program costs roughly one-third of INL\u2019s Colombia budget, averaging about $55 million annually in fiscal years 2008 through 2017. Under this program INL helped the CNP procure its air fleet. Currently, the INL aviation program supports a total of 56 CNP aircraft, of which 52 are owned by the U.S. government (see fig. 7). Additionally, INL\u2019s aviation program provides assistance for the CNP to build maintenance facilities, develop training plans, implement safety programs, and procure equipment, such as flight recorders and communications gear. As of 2018, INL also plans to provide $21 million over 4 years for the CNP\u2019s aerial imagery collection and data analysis system, which Colombian authorities use to map coca fields and plan eradication missions.", "Colombian Army: INL provided aviation support for the Colombian Army prior to Colombia\u2019s takeover of the army aviation program in 2012\u2014a process known as nationalization. INL provided the Colombian Army\u2019s aviation program nearly $150 million from fiscal years 2008 through 2011. According to INL, this support contributed significantly to the Colombian Army\u2019s aerial eradication efforts as well as efforts to dismantle armed drug trafficking organizations, such as the FARC and ELN. In 2008, the Colombian government began to nationalize 62 aircraft from INL and, in 2012, assumed full responsibility for their maintenance and operations."], "subsections": []}, {"section_title": "Multiple Factors May Limit the Effectiveness of Eradication Efforts or Undermine Their Viability as a Long-Term Supply- Reduction Strategy", "paragraphs": ["U.S. and UN officials as well as third-party studies we reviewed identified a number of factors that reduced the effectiveness of eradication efforts at an operational level. We previously reported that U.S. funded counternarcotics efforts, which focused on aerial spraying, did not achieve Plan Colombia\u2019s overarching goal to reduce the cultivation, production, and distribution of cocaine by 50 percent, in part because coca farmers responded with a series of effective countermeasures. Separately, State also indicated that aerial eradication was becoming less effective prior to the end of the spraying program in 2015. Similarly, U.S. and UN officials noted factors that had a negative impact on the effectiveness of manual eradication efforts.", "Crop displacement: U.S. officials, UN reports, and third-party researchers have noted that eradication has caused coca cultivation to move, or be displaced, to smaller plots and areas \u201coff-limits\u201d to aerial spraying, such as national parks, territories near international borders, and protected indigenous and Afro-Colombian areas, thus diminishing its impact on supply reduction. According to INL, at the beginning of the 2000s plots of 10 or more hectares were commonplace, easy to identify, and spray, but by 2016, the average plot size was less than a hectare, making aerial spraying more difficult. In addition, coca cultivation in areas off-limits to aerial spraying, such as national parks, border areas, and indigenous and Afro-Colombian areas, has increased substantially. According to one State cable, in 2014 over 70 percent of the nationwide cultivation increases in cultivation occurred in these areas. The Congressional Research Service reported that cultivation increased in these areas by 50 percent between 2014 and 2015. Likewise, a UN report noted that between 2015 and 2016, coca cultivation had increased by 32 percent in indigenous areas, by 45 percent in Afro-Colombian areas, and by 27 percent in national parks. According to the UN report, these areas account for only .04 percent of Colombia\u2019s national territory but are the source of 32 percent of the nation\u2019s coca cultivation. Four of the studies in our literature review also concluded that eradication led to crop displacement. One study indicated that the displacement of coca cultivation tends to disproportionately affect vulnerable populations by concentrating crime in the areas where these populations tend to live. The study concluded that coca cultivation has increased in some of the most socially and environmentally vulnerable areas of Colombia, including disadvantaged rural communities and has tended to further marginalize those Afro-Colombian communities that experienced dramatic increases in coca cultivation.", "Countermeasures: Coca growers and drug traffickers can employ countermeasures, such as using mines and improvised explosive devices, which create serious risks for manual eradication teams. For example, 4 manual eradicators were killed and 39 wounded during manual eradication operations in 2017, according to one State cable. Likewise, aerial spraying operations were also targeted by attacks. For example, in 2013 two pilots were shot down while conducting aerial eradication operations. This attack led to a temporary halt in aerial spraying operations. One State cable reported that from 1996 to October 2015 at least five spray aircraft were downed by hostile fire, resulting in the deaths of four pilots.", "Replanting, pruning, and other mitigation efforts: Coca growers have developed techniques, including replanting and pruning, which can mitigate damage to coca plants and reduce the effectiveness of eradication efforts. According to a 2017 UN report, 80 percent of the coca fields detected in 2016 had previously been subjected to aerial or manual eradication efforts. One DEA report confirmed that 25 percent of coca growers in the region they studied in 2008 had replanted their crops after spraying. Colombian government data showed that from 2014 through 2016 areas subjected to manual eradication were replanted between 25 and 37 percent of the time. In addition, coca growers can prune bushes immediately after spraying to help counter the effects of glyphosate and allow the plants to yield fresh leaves that may be harvested. According to data provided by State, from 2006 through 2012 areas subjected to aerial spraying were reconstituted\u2014replanted or pruned\u2014on average about 56 percent of the time. Growers may also intersperse coca plants alongside licit agricultural crops because aerial eradication efforts tend to be focused on large coca fields and attempt to avoid licit crops.", "Coca growers\u2019 economic incentives: According to a DEA study, in 2007, nearly 60 percent of coca growers were ready to abandon coca farming. Likewise, a 2009 DEA study stated that sustained aerial eradication efforts, lasting 5 to 8 years, would force coca growers to give up coca farming. DEA noted that the Putumayo region, which it used as a model in the study, was \u201cnearing a tipping point\u201d in which coca cultivation would be abandoned after aerial eradication caused 60-80 percent losses in coca fields. However, aerial eradication efforts were sustained at or above 100,000 hectares from 2002 to 2012 before decreasing and eventually ending altogether in 2015. By 2016, coca cultivation had increased substantially and DEA data showed that only 5 percent of growers were ready to abandon coca. Similarly, a UN coca cultivation survey found that the number of households involved in the coca trade increased steadily from roughly 60,000 in 2008 to over 100,000 in 2016. DEA officials we interviewed agreed that it now appears that coca growers do not \u201cabandon\u201d coca farming during periods of sustained eradication, but rather they temporarily stop farming coca until it is economically advantageous to resume. State officials noted that they anticipate increases in eradication levels under President Duque and expect that increased eradication may alter coca farmers\u2019 analysis of the benefits and risks of growing coca. One expert we interviewed was skeptical that eradication could ever raise the economic costs of growing coca high enough to dissuade farmers from growing coca because they find it easy to grow and are very responsive to price changes. The expert stated that the revenues from growing coca are often significantly higher than the costs of growing the plant. Given such high potential profits, there is typically an economic incentive to grow the crop.", "A number of other factors may also undermine the viability of eradication as a supply reduction strategy more broadly:", "Protests against eradication: According to a 2017 State cable, rural protestors use blockading tactics at eradication sites to disrupt manual eradication efforts. This cable reported that protesters blocked 428 manual eradication operations in 2016, and 152 operations in 2017. In addition, these protests against manual eradication efforts have led to violent confrontations between local populations and Colombian security forces. One such confrontation in Nari\u00f1o\u2014Colombia\u2019s top coca-producing region\u2014led to the deaths of a number of civilian protesters.", "Destruction of licit agriculture: Local civil society organizations in Colombia maintain that glyphosate spraying drifts with the wind and kills legal crops near eradicated areas, negatively affecting local populations. State maintains that its eradication programs had a minimal impact on licit crops; however, those whose licit crops had been harmed as a result of aerial spraying were eligible for compensation. According to State, from 2001 through the end of the aerial spraying program in October 2015, Colombians registered nearly 18,000 complaints of accidental spraying of licit crops. Of these complaints, State noted that only 3 percent were found to have merit and were therefore eligible for compensation.", "Debate over adverse health effects: The debate over the purported negative health effects of glyphosate has made aerial spraying efforts in Colombia controversial. In March 2015, the World Health Organization\u2019s International Agency for Research on Cancer identified glyphosate as \u201cprobably\u201d able to cause cancer in humans. However, two U.S. agencies dispute these findings. From 2002 through 2011, State formally certified to Congress that the glyphosate spraying program posed no unreasonable health risks to humans. The Environmental Protection Agency has also generally concluded that glyphosate exposure from aerial eradication in Colombia has not been linked to adverse health effects. Several other studies we reviewed discussed the potential health effects of glyphosate.", "International disputes: In 2013, Ecuador and Colombia agreed to a settlement to a case Ecuador filed in 2008 before the International Court of Justice in The Hague seeking a prohibition of the use of herbicides in aerial eradication near the Colombia-Ecuador border as well as indemnification for claimed damages associated with Colombia\u2019s eradication program. Ecuador received $15 million in compensation from Colombia for alleged health and environmental harms and Colombia agreed to a 10 kilometer exclusion zone on the border with Ecuador in which it would not conduct aerial spraying."], "subsections": []}, {"section_title": "Third-Party Research Suggests that Eradication Efforts Do Not Have a Substantial Long-Term Effect on Reducing Coca Cultivation and Cocaine Supply and Are Potentially Costly", "paragraphs": ["Third-party research we reviewed suggests that eradication efforts do not have a substantial long-term effect on coca cultivation and cocaine supply and are potentially costly. Eight studies in our literature review had key findings on the effectiveness of eradication efforts in Colombia. All eight studies raised questions regarding the effectiveness of eradication as a strategy to substantially reduce coca cultivation and the cocaine supply. Five studies also generally concluded it is a potentially costly supply reduction approach.", "Five studies found that eradication has only a small effect on reducing coca cultivation, but the estimates for reductions varied by study. For example, one study found that a 1 percent increase in the risk of eradication decreases coca cultivation by roughly .44 hectares. Another study estimated that a 1 percent increase in the risk of eradication would decrease the total area in Colombia under cultivation by .66 percent. Likewise, a third study found that as a result of displacement, the supply reduction effects of spraying were so small that an additional 33 hectares must be sprayed every year in order to reduce coca cultivation by 1 hectare.", "Three other studies concluded eradication efforts had no net effect on reducing the coca or cocaine supplies, or have led to increased coca cultivation. For example, one of these studies reported that a 1 percent increase in eradication actually increases the amount of land under coca cultivation by 1 percent as growers try to compensate for losses. The author noted that municipal level data on eradication and coca cultivation trends was broadly compatible with their findings. In addition, the author presented data from 2006 through 2012 which indicated a 38 percent decrease in eradication levels as well as a 38 percent decrease in coca cultivation. Another study concluded that the effects of eradication were nullified by coca growers\u2019 ability to rapidly relocate their operations to other areas.", "Several of the studies we reviewed examined aspects of the costliness of eradication efforts, but relied on cost data that were either limited or we were unable to substantiate. Three studies generally concluded that eradication is costly in absolute terms, while two others suggested that eradication appears to be more costly than other alternative counternarcotics efforts. For example, one study suggested removing 1 kilogram of cocaine from retails markets through eradication would cost the United States roughly $940,000. Another study estimated that an additional $100,000 spent on eradication would reduce coca cultivation in Colombia by 1.5 percent."], "subsections": []}]}, {"section_title": "U.S.-Supported Interdiction Efforts Seized a Substantial Amount of Cocaine and Disrupted Drug Trafficking Organizations in Colombia, but the Long-Term Effect of These Efforts is Unclear", "paragraphs": ["U.S. agencies have provided a variety of support for Colombian interdiction efforts, including capacity building and operational support. These efforts resulted in the seizures of a substantial amount of cocaine and precursor chemicals and disrupted drug trafficking organizations by arresting these organizations\u2019 leadership and seizing valuable assets. However, the long-term effects of these efforts are unclear due to continued increases in cocaine production and the emergence of new drug traffickers. U.S. and Colombian officials identified a number of ways to improve the effectiveness of interdiction. A limited number of third-party studies on interdiction suggest mixed findings but indicate interdiction may be more effective than eradication because it targets drug trafficking at a more costly point in the production and distribution process."], "subsections": [{"section_title": "U.S. Agencies Have Provided Capacity Building and Operational Assistance to Support Colombian Interdiction Efforts", "paragraphs": ["Building Partner Capacity: U.S. agencies provided a range of assistance that has improved Colombian authorities\u2019 capacity to conduct interdiction efforts. U.S. and Colombian officials noted that because of these efforts, Colombian security services were able to provide counternarcotics training and support to other countries in the region. Key examples of U.S. efforts to build partner capacity included:", "Counternarcotics forces: U.S. agencies provided a broad range of assistance to improve the effectiveness of Colombian counternarcotics forces. For example, INL funded the creation and training of the Colombian Army\u2019s counternarcotics brigades\u2014military units responsible for seizing cocaine, destroying cocaine processing labs, and securing eradication sites. In addition, DOD and INL provided training and expertise to the Colombian National Police\u2019s Junglas unit, which is a highly-trained special operations unit used to detect and destroy cocaine labs and capture high value drug traffickers. INL funded the construction of the Colombian National Police training facility where security services from Colombia and neighboring countries receive counternarcotics-related training. Likewise, DOD provided a broad array of programs designed to improve the operational capabilities of Colombian security forces. For instance, the agency\u2019s Regional Pilot Training School helps provide helicopters, training, and certification for up to 50 Colombian and 24 international pilots annually. According to DOD, the goal of this program is to increase the Colombian capacity to rapidly deploy to remote areas of the country to conduct counternarcotics operations.", "Equipment procurement and maintenance: U.S. agencies provided assistance to procure and maintain equipment for their Colombian counterparts. The largest such effort is INL\u2019s Aviation Program, which procured and maintained a fleet of aircraft for the Colombian National Police. The aviation program allows the police to conduct interdiction operations in areas of the country which are difficult to access, according to INL officials. INL also procured and maintained other equipment, including communications equipment and night vision goggles. In addition, DOD provided equipment to vetted Colombian security forces with counter-narcotics missions, including patrol boats; protective gear; and specialized navigation, communications, and surveillance equipment.", "Judicial support: For over 20 years DOJ\u2019s Office of Overseas Prosecutorial Development Assistance and Training (OPDAT) has provided a range of assistance to help reform the Colombian judicial system and improve its ability to prosecute crimes. According to OPDAT officials, this assistance is critical for the successful prosecution of drug cases. The office assisted with prosecutor training, case-based mentoring, case efficiency, litigation skills, and plea bargaining. Likewise, DOJ\u2019s International Criminal Investigative Training Assistance Program (ICITAP) provided training, including curriculum development, seminars, and on-the-job training, to improve the Colombian government\u2019s ability to conduct criminal investigations and develop forensics capabilities according to agency officials. ICITAP\u2019s training efforts in Colombia focused, in part, on reforming Colombia\u2019s legal framework as well as fostering cooperation and organizational development between the country\u2019s judicial and law enforcement agencies.", "Investigative support: A number of U.S. agencies worked closely with Colombian vetted units, to support these agencies\u2019 missions abroad. For example, DEA provided funding, training, and vetting for Colombian Sensitive Investigative Units (SIUs). According to DEA officials, DEA conducted bilateral counternarcotics and money laundering investigations with these Colombian vetted units. Similarly, the FBI and ICE both work with Colombian vetted units and provide investigative support for counternarcotics investigations. For example, the FBI worked closely with its vetted unit in Colombia to investigate transnational criminal organizations. FBI officials told us that these cases were almost exclusively related to drug trafficking organizations in Colombia.", "Operational Support: U.S. agencies also provided operational support for Colombian interdiction operations. Key examples of U.S. operational support include:", "Targeting, extraditions, and prosecutions: A number of U.S. offices supported the targeting, extradition, and prosecution of Colombian drug traffickers. For example, DOJ\u2019s Organized Crime Drug Enforcement Task Forces (OCDETF) developed the Consolidated Priority Organization Target (CPOT) list in order to identify and target the leaders of major drug trafficking organizations. Likewise, the FBI targets drug trafficking leadership as well as facilitators\u2014those who support drug traffickers financially or politically\u2014by investigating money laundering and corruption cases according to agency officials. In addition, DOJ officials partnered with the Colombian government to extradite drug traffickers to the U.S. for trial. According to the DEA officials, extradition is one of the most effective investigative tools against drug trafficking in Colombia. The DEA officials noted that the vast majority of persons charged and extradited to the United States from Colombia have been convicted. Additionally, an FBI official stated that the extradition of high level drug traffickers has the potential to degrade the operational ability of their organizations because these extradited leaders may cooperate with U.S. courts to get reduced sentences. This cooperation can then create leads for new cases and provide new information and witnesses for active cases, further undermining the operations of criminal organizations.", "Detection and monitoring: Several U.S. agencies supported Colombian interdiction efforts by assisting with detecting and monitoring of drug trafficking operations. For example:", "According to DEA, during bilateral investigations the agency and its Colombian counterparts utilized a number of investigative tools to detect and monitor drug trafficking networks and money laundering organizations with the ultimate goal of prosecution in Colombia and the United States. DEA stated that information gleaned from these efforts is shared and used to coordinate maritime interdiction operations that can lead to additional evidence for prosecution. One DEA official stated that these detection and monitoring efforts yield more leads than U.S. and Colombian security forces have the resources to interdict.", "Beginning in 2003, INL supported the CNP\u2019s Air Bridge Denial program. This program was developed to help improve the Colombian government\u2019s ability to detect and intercept airplanes smuggling drugs into and out of Colombia. In 2003, Colombia documented 60 to 70 flights per month transporting drugs into and out of the country. Today, Colombia reports detecting no more than two or three flights per year, according to State. The program, including all aircraft, hangars, equipment, and facilities was nationalized in January 2010. Following nationalization, INL\u2019s Air Bridge Denial budget decreased from roughly $20 million in 2004 to $1 million in 2012 and, at present, INL no longer funds the program.", "DOD also provided intelligence, surveillance, and reconnaissance (ISR) in support of interdiction operations. According to officials the agency uses its ScanEagle unmanned aerial vehicles to help Colombian security forces track maritime vessels moving drugs on Colombia\u2019s Pacific coast. For example, DOD provided various task forces, which include Colombian police, army, navy, marines, and coast guard units, with ISR support via ScanEagle systems, including imaging and video to support interdiction efforts along the Pacific coast of Colombia, according to DOD officials."], "subsections": []}, {"section_title": "Monitoring Data Show Interdiction Efforts Seized a Substantial Amount of Cocaine and Disrupted Drug Trafficking Organizations; However, the Long-Term Effects of These Efforts Are Unclear", "paragraphs": ["U.S., UN, and Colombian monitoring data indicate that interdiction disrupts drug trafficking operations by seizing large amounts of cocaine, precursor chemicals, and other assets used by drug trafficking organizations. According to UN data, the amount of cocaine seized in Colombia increased from about 198 metric tons in 2008 to an estimated 435 metric tons in 2017 (see fig. 9). These totals accounted for an estimated 42 percent and 32 percent of the cocaine produced in those years, respectively. From 2008 through 2017 the total financial impact of cocaine seizures on drug trafficking organizations exceeded $4 billion. Several factors may explain these increases in the amount of cocaine seized. Several U.S. officials noted that increases in cocaine production means there is more cocaine to be seized in transit, while another official stated that seizure increases without corresponding increases in resources indicate that interdiction efforts may be becoming increasingly effective over time. In addition, interdiction efforts have led to the destruction of numerous drug processing facilities. From 2008 through 2017, nearly 30,000 coca paste and cocaine processing laboratories were destroyed, according to Colombian data.", "Since 2008, Colombian security forces have also seized over 30 million gallons of the liquid precursor chemicals necessary for the production of cocaine, as well as 8,087 vehicles, 1,083 boats, 18 airplane, 65,778 firearms, over 13 million rounds of ammunition, and 34,800 pieces of communications equipment associated with drug trafficking operations, according to Colombian government data. In addition, since 2008, ICE estimates that Colombian authorities have seized over $35 million in bulk cash and hundreds of millions of dollars in drug related contraband at Colombian ports.", "U.S. supported interdiction efforts have contributed to the disruption and dismantling of a number of drug trafficking organizations and the arrest and extradition of high value drug trafficking suspects on the CPOT and priority target organization (PTO) lists (see table 1). For example, as part of an \u201cOperation Agamemnon II\u201d that sought to disrupt and dismantle the Clan del Golfo, Colombian forces killed the group\u2019s second-in- command, Roberto Vargas Gutierrez in August 2017; captured its third-in- command, Luis Orlando Padierna Pena in November 2017; and killed or captured many other senior and mid-level leaders. Likewise, in April 2017, Colombian forces arrested Edison Washington Prado \u00c1lava in Tumaco and seized $25 million in cash. Prado \u00c1lava, known as the \u201cPablo Escobar of Ecuador,\u201d had issued death threats against police, prosecutors, and judges in both Ecuador and Colombia. In February 2018, with the cooperation of Colombian authorities, Prado \u00c1lava was extradited to the United States, where he is facing prosecution.", "From fiscal years 2008 through 2017, OCDETF reported that Colombian forces arrested 31 Colombians, disrupted 273 Colombian organizations and dismantled 94 others linked to the CPOT list. From calendar years 2008 through 2017, DEA reported that U.S. and Colombian authorities had also disrupted 83 PTOs and dismantled 201 others, including an estimated 5,444 PTO-related arrests. DEA officials stated that nearly all of these extraditions were for drug related crimes and these individuals were all \u201chigh value\u201d targets.", "However, the long-term effect of these efforts is unclear. While seizures remove roughly 40 percent of the total cocaine supply each year on average, increases in cocaine production mean that the net supply of cocaine destined for the United States has increased despite the substantial amount of cocaine seized. U.S. officials also stated that while arrests and extraditions remove drug trafficking leaders, which may temporarily degrade the operational capabilities of drug trafficking organizations, the lucrative nature of the cocaine market ensures that others will replace these individuals.", "U.S. and Colombian sources identified several other challenges that may impact the effectiveness of interdiction efforts. One FBI official stated that as investigative efforts fragment drug trafficking organizations, it becomes more challenging to target organizations and dismantle their command and control structures. One of the studies we reviewed suggested that as these organizations are dismantled, local populations may be affected by pronounced cycles of violence as competing armed groups vie for control of drug trafficking operations in areas formerly under the control of an established criminal organization which has been dismantled. Sources also stated that extraditions may become less of a deterrent to drug traffickers over time as they and their legal counsels become more familiar with the U.S. judicial system and are able to effectively plead to lesser charges and get lighter sentences."], "subsections": []}, {"section_title": "U.S. and Colombian Officials Identified Opportunities to Improve the Effectiveness of Interdiction Efforts", "paragraphs": ["U.S. and Colombian officials identified a number of ways to improve interdiction efforts and increase the effectiveness of these operations:", "Maritime/riverine boat program: State and DOD have already provided assistance to strengthen Colombia\u2019s maritime and riverine interdiction capabilities, but INL officials noted that they were exploring options to provide further support for riverine interdiction efforts given the significance of Colombia\u2019s waterways in drug trafficking. A number of U.S. and Colombian officials, including officials from INL, the Colombian Navy, and the U.S. and Colombian Coast Guards, stated that an enhanced \u201cboat program,\u201d similar to INL\u2019s aviation program, would improve the country\u2019s ability to interdict cocaine shipments traveling along Colombian maritime routes. Officials noted that features of such a program should include the procurement, supply, and maintenance of boats capable of tracking down the \u201cgo fast\u201d boats used by traffickers. These vessels cost $1 million each, and provide a significant return on investment, according to Colombian authorities. One such boat, for example, was able to interdict 12 tons of cocaine (valued at $60 million) in 1 year in Tumaco, Colombian officials stated.", "Port of entry/container interdiction operations: DHS officials from ICE and CBP have supported Colombian efforts to seize drugs and other contraband at air and sea ports of entry. However, one ICE official stated that container smuggling is the \u201cAchilles\u2019 heel\u201d of cocaine interdiction efforts in Colombia. According to this official, Colombian ports vary in their willingness to cooperate with U.S. agencies in order to combat drug smuggling. For example, the official stated that one port provides a lot of information to ICE and CBP officials because it participates in CBP\u2019s Container Security Initiative, while another port is known for corruption and smuggling. This official believes that hundreds of tons of cocaine leave via containers carrying licit merchandise and reported that, for example, one interdiction operation targeting the port in Cartagena had resulted in the seizure of 35 tons of cocaine since 2015. According to ICE officials, assigning more personnel to Colombian air and seaports would greatly increase seizures of cocaine and contraband.", "Drug trafficking organization funding/finance: A number of U.S. and Colombian sources suggested that interdiction efforts can be improved by targeting drug trafficking organizations\u2019 assets and revenues. Because money is at the top of the value chain, disrupting cash flow before it can return to drug traffickers would have a significant impact on their ability to profit from criminal activities and continue to fund their operations, according to several U.S. and Colombian sources. One expert we spoke to indicated that interdiction efforts could be improved by targeting money laundering, bulk cash shipments, and contraband smuggling. According to one FBI official, drug trafficking organizations cannot operate without financing, and as a result it is important to focus on money laundering cases. Similarly, one ICE official described bulk cash shipments and money laundering as the \u201cfuel\u201d that drives drug trafficking and believes it is critical to devote more resources in this area. DEA stated that in addition to its bilateral investigations with Colombia, the agency also conducts simultaneous money laundering investigations often resulting in seizures of assets and bulk cash. However, INL officials stated that Colombian asset forfeiture laws have made it difficult for authorities to seize and liquidate the assets of drug traffickers. In 2017, revisions to these laws were passed making it easier for Colombian officials to liquidate these assets and use these resources to fund further counternarcotics efforts; however, State noted that the revised asset forfeiture process still faces several challenges including the limited number of judges and long periods of time needed to adjudicate these cases.", "Regional maritime interdiction operations: U.S. and Colombian officials suggested that sustaining regional maritime interdiction operations between the U.S., Colombia, and other nations in the transit zone can significantly disrupt drug trafficking operations if maintained long term. For example, beginning in March 2017, the U.S. and Colombian navies\u2014along with maritime authorities from Panama, Costa Rica, Mexico, Honduras, Ecuador, Guatemala, and Nicaragua\u2014conducted Operation Orion, a series of coordinated maritime interdiction operations targeting different areas of the transit zone. One of these operations, conducted jointly by Colombia and Panama, seized 2.5 tons of cocaine in 1 month and led to 20 arrests. U.S. Coast Guard officials stated that Operation Orion was a successful, short-term example of how regionally coordinated operations can improve the effectiveness of maritime interdiction and believe that continuous operations of this type would dramatically improve the effectiveness of interdiction efforts overall. U.S. Coast Guard officials also noted that these types of coordination efforts among Colombia and other countries in the region are an important step toward self-sufficiency and away from a reliance on U.S. funding and law enforcement support for maritime operations. However, these officials noted that there are currently not enough resources devoted to interdiction to sustain these types of partnerships in the long term. Colombian Navy officials agreed that countries in the region need to devote more resources to sustain these types of regional efforts. However, these officials also noted that Colombia has taken some steps, such as developing permanent information sharing agreements with regional partners, to develop these types of relationships."], "subsections": []}, {"section_title": "A Limited Number of Third- Party Studies on Interdiction Have Mixed Findings, but Suggest Potential Effectiveness Relative to Eradication", "paragraphs": ["Third-party research we reviewed had limited findings related to interdiction. While seven of the studies in our literature review discussed aspects of interdiction efforts, four studies had findings related to the effect of these efforts on the cocaine supply. These four studies had mixed findings about the overall effectiveness of interdiction efforts. One study we reviewed found that an increased emphasis on interdiction efforts in Colombia, beginning in 2006, had achieved a substantial reduction in the net supply of cocaine. Another study indicated that increases in the costs to produce cocaine were mainly due to the interdiction of precursor chemicals such as gasoline. However, two other studies concluded that increased cocaine seizures did not have a substantial impact on either the price or the overall supply of cocaine, which has steadily increased since 2013.", "Several of the seven studies we reviewed suggested that interdiction is more effective or more cost-effective than eradication efforts. Two studies indicated that interdiction policies had a greater impact on the cocaine supply than eradication policies. For example, one study showed that the destruction of cocaine processing labs has a greater impact on cocaine prices than aerial or manual eradication efforts. Two other studies concluded that interdiction was more cost effective than eradication efforts. For example, one study indicated that the cost of removing 1 kilogram of cocaine from retail markets in the United States was $175,000 if resources were devoted to interdiction and $940,000 if resources were devoted to eradication. However, this study relied on cost estimates that were either limited or we were unable to substantiate.", "A number of the studies in our literature review and experts we interviewed stated that counternarcotics resources should primarily be devoted to interdiction efforts instead of eradication efforts because they target drug traffickers at the top of the \u201cvalue chain\u201d. According to these studies and experts, counternarcotics actions are more costly to drug traffickers at this stage of the drug trafficking process. For example, two studies indicated that the destruction of cocaine processing labs is the most effective counternarcotics effort. One study stated that the destruction of these labs is an effective interdiction strategy because these labs add significant value to the final product, cocaine lost at this stage is not easily replaced, and the destruction of labs reduces demand for coca leaves and coca cultivation. This study indicated that for every lab destroyed, coca cultivation decreases by 3 hectares as demand for the leaves falls. Another study indicated that the number of processing laboratories destroyed accounts for 75 percent of the price fluctuation of cocaine."], "subsections": []}]}, {"section_title": "U.S.-Supported Alternative Development Programs in Colombia Have Achieved Some Positive Results, but Officials and Research Have Noted Some Implementation Challenges", "paragraphs": ["U.S.-supported alternative development programs in Colombia have attained some positive outcomes. USAID evaluations and monitoring data show that alternative development programs have achieved a number of positive results in increasing opportunities to participate in the legal economy in Colombia, but have also faced issues that reduced their effectiveness. U.S. and Colombian officials stated that alternative development programs are important to a long-term counternarcotics strategy, but noted a number of implementation challenges. Third-party research suggests that alternative development has the potential to reduce coca cultivation if properly implemented."], "subsections": [{"section_title": "USAID Has Supported a Range of Alternative Development Programs Designed to Increase Licit Economic Opportunities in Colombia", "paragraphs": ["USAID\u2019s alternative development programs in Colombia provide support in a number of key areas, including programs that are intended to: assist in the development of value chains for agricultural products, such as cacao and coffee, or the development of licit businesses; support land formalization efforts, including the issuance of land titles and the development of Colombia\u2019s national registry of land ownership (known as a cadaster); increase access to rural finance; strengthen producer associations (see fig. 10); leverage private sector investment to support rural development; provide needed infrastructure to strengthen communities and support legal economies including roads, schools, electricity, and sanitation; and support civil society organizations and strengthen governance, including efforts to build social capital and increase the presence of the Colombian government in areas affected by conflict.", "According to USAID, over time, it has broadened the focus of its alternative development efforts to move beyond crop substitution programs and to instead work to transform underdeveloped regions within Colombia and address the underlying issues that drive the economics and culture of drug trafficking. USAID noted that it has also sought to prioritize particular geographic regions, rather than seeking to implement programs throughout the whole country. Table 2 lists examples of alternative development programs that USAID has funded in Colombia over the past 10 years. USAID, State, and Colombian officials noted that this broader, more comprehensive focus for alternative development is necessary in order to create the conditions that would be conducive for legal alternatives to coca cultivation to be viable in many parts of Colombia. For example, Colombia faces substantial deficiencies in its road network. Without improvements in the road network, many Colombians in rural areas do not have a feasible way of transporting legal crops to markets or accessing basic services. Significant numbers of Colombian farmers also do not possess title to their land, which, among other things, limits their ability to access credit and reduces their incentives to make longer-term investments in legal crops such as cacao, which take years to mature."], "subsections": []}, {"section_title": "USAID Evaluations and Monitoring Data Show that Alternative Development Programs Have Achieved Some Positive Results, but Have Also Faced Issues that Reduced Their Effectiveness", "paragraphs": ["We reviewed seven independent evaluations that USAID has commissioned since 2008. These evaluations reported that USAID alternative development programs have achieved a range of positive results. For example, a 2016 midterm impact evaluation of USAID\u2019s Consolidation and Enhanced Livelihood Initiative found that, among other things, an increased number of program beneficiaries reported that their economic situation was good or very good compared to the baseline at the beginning of the project. In addition, the evaluation found that program beneficiaries\u2019 sales of supported products had increased significantly and had far exceeded USAID targets. A 2014 post- implementation evaluation of two USAID programs (1) More Investment in Sustainable Alternative Development and (2) Areas for Municipal-Level Alternative Development found positive outcomes for some beneficiaries, including success in helping producer associations get their products to market.", "However, the evaluations also reported that USAID alternative development programs did not achieve all intended goals and faced certain implementation issues including problems with project design, program funding not being sustained for adequate periods, and a lack of consistent support from the Colombian government, which was a partner in these programs. For example, an April 2009 evaluation of USAID alternative development efforts under Plan Colombia reported, among other things, that many marketable crops in Colombia, such as cacao or coffee, take several years to grow before they are ready to harvest and produce income for farmers. Thus, farmers need income support during this period as they transition from dependence on coca to legal crops, but, according to the evaluation, USAID and the Colombian government frequently did not provide sufficient income to cover food costs or other expenses, making farmers highly vulnerable to resume coca cultivation. An April 2011 evaluation of USAID\u2019s Integrated Governance Response program reported that some funded projects were at a standstill due to the delays by the Colombian local and regional governments in fulfilling their commitments. USAID, for example, had funded the construction of a cold-storage facility to assist milk producers in one region, but the facility had not been provided with electricity because the municipal government had not sent a building inspector to approve its construction. A February 2017 review of alternative development in Colombia reported that a number of alternative development efforts may require longer time horizons than allowed by most USAID contracts or cooperative agreements.", "In addition to these evaluations, other USAID assessments have reported that alternative development programs have achieved some positive results. For example, data from USAID\u2019s Monitor system report that USAID projects related to \u201cInclusive Rural Economic Growth\u201d exceeded their targets for 23 of 44 performance indicators for which results were reported for fiscal year 2017. Similarly, for fiscal year 2017, USAID reported that it exceeded its targets for six of nine performance indicators related to inclusive rural growth that were tracked in Embassy Bogot\u00e1\u2019s Performance Plan and Report (see table 3). An internal USAID analysis also noted that the agency had been able to increase the ratio of legal crops grown relative to coca in areas where it had funded programs to increase opportunities for such crops. Specifically, USAID reported that in 14 departments where it had funded such programs, the ratio of illegal to USAID-supported legal crops under cultivation had decreased from 302:1 hectares to 13:1 hectares from 2011 to 2016.", "USAID noted different factors that resulted in three of the nine targets not being met. For example, USAID stated that the target for households with formalized land was not met because the Colombian government eliminated the agency previously responsible for land formalization in December 2015 and created two new agencies in its place. According to USAID, these new agencies did not begin operations until March 2017, which delayed USAID\u2019s work with the Colombian government on the project and created uncertainty about the Colombian government\u2019s land policy and administration.", "Data reported by UNODC also provides certain information related to the effectiveness of alternative development efforts in Colombia. UNODC, for example, collects and reports data on the number of households involved in coca production as part of its annual illicit crop cultivation surveys. These data show that the number of households in Colombia involved in coca cultivation increased from 59,328 to 106,900 between 2008 and 2016 (an increase of 80 percent). Such data indicate that any gains achieved in encouraging Colombians to switch from illegal to legal livelihoods through alternative development programs have been outweighed by other factors driving increased involvement in coca cultivation."], "subsections": []}, {"section_title": "U.S. and Colombian Officials View Alternative Development Programs as Important to a Long-Term Counternarcotics Strategy, but Noted a Number of Implementation Challenges", "paragraphs": ["U.S. and Colombian officials stated that alternative development, and the creation of viable opportunities for Colombians to get access to public services and participate in the legal economy, is important to solving the drug problem in Colombia. However, these officials acknowledged that comprehensive alternative development is a long-term approach that requires significant investment. They also pointed out that large portions of rural Colombia have been marginalized for decades and that the Colombian government will need to make substantial, sustained investments in rural areas to establish the necessary conditions for legal economies to develop. According to USAID officials, USAID data indicate that the regions where USAID has intervened have fared better than the areas where it has not, but the scope and scale of its interventions have not been significant enough to counteract overall coca cultivation and cocaine production trends in the country.", "U.S. government analysis and officials noted that there are also powerful economic disincentives for farmers to shift from the cultivation of coca to legal crops such as coffee or cacao. According to State analysis, while prices per kilo of cacao and coffee are higher than coca, lower investment costs, more frequent harvests, higher yields per hectare, minimal field maintenance costs, and negligible transportation costs, make growing coca the more profitable economic choice in most parts of Colombia. For example, in the Nari\u00f1o region, State found that growing coca can be up to 14 times more profitable per hectare than cacao, factoring in all costs. DEA analysis has found that average annual profit accrued by Colombian farmers from a hectare of coca increased by more than 120 percent from 2012 to 2016. In addition, DEA analysis has found that as profitability has increased, the number of coca farmers wanting to stop growing coca has declined substantially.", "According to USAID documents and officials, a number of other factors have also affected USAID\u2019s ability to effectively support alternative development efforts in Colombia, including Colombian policy and legal restrictions, insecure and inaccessible locations, coordination challenges with the Colombian government, the diversity of needs within Colombian communities, and Colombia\u2019s current alternative development focus and U.S. legal restrictions.", "Colombian policy and legal restrictions. USAID has been limited in its ability to implement alternative development programs in a number of coca cultivating areas due to policy and legal restrictions. For example, according to USAID evaluations and officials, under the Colombian government\u2019s previous \u201czero coca\u201d policy, it was prohibited from providing any assistance in an area until it was proved that all coca in the area had been eradicated. As a result, USAID was unable to provide assistance for coca growers to switch to and remain in legal livelihoods. In addition, approximately 8 to 10 percent of coca is grown in national parks, where, according to USAID, under Colombian law, it may not implement any development projects.", "Insecure and inaccessible locations. USAID has been limited in its ability to provide assistance in some key coca growing areas of the country due to security concerns and the remote nature of the locations. According to USAID, the Colombian government has at times prohibited it from operating in \u201cred zones\u201d where there was active, armed conflict. USAID stated that it has also chosen not to fund programs in some regions because it is too dangerous for the agency\u2019s implementing partners to safely operate. In addition, USAID noted that some of the areas with the highest concentration of coca are largely inaccessible, making it challenging to implement assistance programs, since many of them have no roads and can only be reached by boat or by foot.", "Coordination challenges with the Colombian government. According to USAID officials, USAID has also faced challenges because of the lack of consistent, coordinated support from the Colombian government and difficulties getting Colombian agencies to work together. For example, after the Colombian government announced the National Consolidation Plan in 2009, USAID focused its assistance in 40 of the 58 municipalities that the Colombian government had selected for consolidation. Despite evidence of progress being made in these areas, by 2013 the Colombian government had begun to reduce its support for the policy, according to USAID. USAID stated that impediments to the successful continuation of the plan included, among other things, a lack of political support, disorganization at the top levels of the Colombian government, changes to and the politicization of the Colombian government\u2019s administrative entity leading the effort, and challenges executing national budgets flexibly and efficiently at the local level. As a result, USAID stated that it was forced to adapt its efforts in the later years of the plan to focus on working with local partners rather than the national government.", "Diversity of needs within Colombian communities. USAID has faced challenges designing appropriate alternative development programs given the diversity of communities within Colombia that have differing needs in terms of alternative development support. For example, there are a wide range of microclimates throughout Colombia which can make it challenging to replicate the same types of technical assistance for farming of legal crops in different parts of the country. USAID noted that it works to tailor its alternative development programming to specific regions. For example, USAID reported that it worked to tailor its assistance to meet the needs of an indigenous community in Northern Cauca. USAID was seeking to improve access to finance in the community; however, due to communal ownership of land, the community could not use land as collateral for loans, according to USAID. Thus, USAID stated that it tailored its assistance by setting up a revolving fund managed and administered by the community itself to expand financing for local businesses. U.S. and Colombian officials noted the need for additional information on various communities to know how to best design programs that would work in the different areas.", "Colombia\u2019s current alternative development focus and U.S. legal restrictions. According to USAID, its efforts to support alternative development in Colombia have also been challenged by the Colombian government\u2019s current program focus. According to USAID, State, and Colombian officials, a central part of the Colombian government\u2019s counternarcotics strategy under the peace accord is to implement a voluntary eradication and crop substitution program. Under the program, in exchange for voluntarily eradicating their coca crops, farmers receive cash assistance and technical support to help them transition to the cultivation of legal crops. However, according to USAID, the Colombian government is implementing the program in conjunction with the FARC. As a result, USAID officials stated that the U.S. government\u2019s ability to support the program is restricted because the FARC is still designated as a Foreign Terrorist Organization. USAID and State officials also pointed out a range of implementation problems with the program and stated that the plan has had little to no impact on the current coca cultivation trends in Colombia. For example, USAID officials noted that the payment of stipends to farmers has begun before the eradication of their coca has been required or verified. As of April 2018, the Colombian government had signed up approximately 50,000 families for the program, according to State reporting. However, State reported that the Colombian government has publicly acknowledged that the program is lagging in achieving its intended results and was forced to reduce its targets under the program from 50,000 to 22,000 hectares in 2017."], "subsections": []}, {"section_title": "Third-Party Research Suggested that Alternative Development Has the Potential to Reduce Coca Cultivation if Properly Implemented, but Noted Limitations", "paragraphs": ["Independent research and non-governmental experts we spoke to generally suggested that alternative development programs have the potential to strengthen legal economic activity and encourage communities to shift away from coca cultivation, if properly implemented. Ten studies in our literature review discussed alternative development. Of these 10 studies, 3 included original research that found evidence regarding the potential effectiveness of alternative development programs in Colombia.", "One study we reviewed found that social investment in infrastructure and human capital could be an effective and complimentary strategy for controlling illegal crops. The study found that $5.55 spent in social investment per inhabitant in a given municipality prevented the cultivation of a new hectare of coca.", "A different study, looking at land titling efforts in Colombia, found that the formalization of one additional hectare of land for small landholders within a given municipality resulted in a decrease of approximately 1.4 hectares of land allocated to coca cultivation within that municipality.", "An additional study found that implementing community planning models that involved citizen participation could be effective in encouraging the adoption of alternative development projects and the substitution of legal crops in place of coca.", "Several other studies did not include original research on the effectiveness of alternative development programs, but made recommendations to increase the emphasis placed on such efforts based on the authors\u2019 review of existing evidence. For example, one review of existing research recommended that policies aimed at reducing illicit crop cultivation should be centered upon alternative livelihood programs. The study noted that the Colombian government should consider expanding and improving a successful alternative development program it had previously implemented in the Macarena region of Colombia.", "Some studies and experts, however, raised issues about the implementation of alternative development programs and noted potential limitations in their effectiveness. For example, one study that assessed the effectiveness of alternative development found that because coca cultivation is unlikely to change as a result of increases in perceived risk and relative profit, alternative development was likely to have only small effects on coca cultivation levels. Another study noted that alternative development programs have tended to be located far from areas where coca crops have been grown. Thus, the study recommends pursuing more comprehensive counternarcotics efforts in areas affected by coca cultivation. An additional study cited the success of one regional alternative development program, but noted that many alternative development programs in Colombia have faced implementation problems. One expert we interviewed stated that alternative development can work in particular parts of Colombia, yet such efforts were likely not viable in some key coca growing regions, where there is little infrastructure to market legal crops. Thus, the expert stated it is crucial to target where alternative development programs are implemented."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since the launch of Plan Colombia almost 20 years ago, the U.S. and Colombian governments have partnered closely to combat drug trafficking through a mix of eradication, interdiction, and alternative development efforts. Since then, violence in Colombia has decreased and the successful negotiation of a peace agreement with the FARC brought an end to that 50-year conflict. However, increasing cocaine production levels in the past 4 years and the continued existence of a range of violent criminal groups underscore the ongoing threat of narcotics trafficking for Colombia.", "As the U.S. government seeks to support Colombia in this new phase of its fight against drug trafficking, U.S. agencies should consider what combination of eradication, interdiction, and alternative development activities will help to best achieve their counternarcotics goals. There is a range of available information that can help provide U.S. agencies with insight into the effectiveness of their eradication, interdiction, and alternative development activities. However, to date, State and other U.S. agencies involved in eradication and interdiction activities in Colombia have not evaluated these efforts to determine their long-term effectiveness in reducing the cocaine supply. In addition, State has not undertaken a comprehensive review of the U.S. government\u2019s counternarcotics approach in Colombia. Such a review would help State to systematically consider the relative benefits and limitations of the U.S. government\u2019s eradication, interdiction, and alternative development activities. With this information, State would be well positioned to ensure that it and other U.S. agencies are prioritizing limited resources and pursuing the combination of counternarcotics activities with the greatest likelihood of achieving long-term success in the fight against drug trafficking in Colombia."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to State: The Secretary of State should, in consultation with other U.S. agencies involved in counternarcotics efforts in Colombia, conduct an evaluation of the long-term effectiveness of eradication and interdiction in reducing the cocaine supply. (Recommendation 1)", "The Secretary of State should, in consultation with other U.S. agencies involved in counternarcotics efforts in Colombia, undertake a comprehensive review of the U.S. counternarcotics approach in Colombia and identify what changes, if any, should be made to the types and combination of U.S. activities, taking into consideration how the relative benefits and limitations between eradication, interdiction, and alternative development may impact the effectiveness of these efforts. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to DHS, DOD, DOJ, State, and USAID for review and comment. DHS, DOJ, and State provided technical comments, which we incorporated as appropriate. State and USAID also provided written comments, which are reproduced in appendix III and IV, respectively. In its written comments, State noted that it agreed in general with our recommendations, but suggested that our first recommendation be broadened to encompass an evaluation of the effectiveness of whole- of-government counternarcotics efforts, rather than focusing on eradication and interdiction specifically. We respect State\u2019s argument in favor of broadening the scope of our first recommendation, but we chose not to revise our recommendation based on this rationale. We believe that an evaluation focusing specifically on the long-term effectiveness of eradication and interdiction in reducing the cocaine supply would provide State with important information on two key components of the approach that has characterized U.S. counternarcotics efforts in Colombia for decades but have not been evaluated to date. Such an evaluation would be consistent with analyses already undertaken for alternative development, and would contribute to a better understanding of the strengths and weaknesses of each of these three key efforts. In addition, our second recommendation to State addresses the need for a broader, comprehensive review of the overall U.S. counternarcotics approach, which would expectedly take into account eradication, interdiction, and alternative development, as well as other U.S. efforts to combat drug- related criminal activities. If State opts to pursue a broader evaluation of all U.S. counternarcotics efforts in Colombia, we would consider this responsive to our first recommendation as long as the evaluation includes a meaningful assessment of the effectiveness of eradication and interdiction efforts.", "Additionally, as part of its comments, State highlighted the importance of a whole-of-government approach to counternarcotics in Colombia that employs a range of efforts that are implemented in a coordinated manner. Consequently, State noted that any review of the individual components of the U.S. counternarcotics strategy will present an incomplete picture and State expressed concern that we had considered eradication, interdiction, and alternative development in isolation. In the report, we note that the U.S. government\u2019s counternarcotics approach in Colombia has long called for a mix of eradication, interdiction, and alternative development efforts and we highlight the fact that U.S. officials believe that finding the appropriate combination of these efforts is critical to achieving the U.S. government\u2019s counternarcotics objectives in Colombia. Thus, while we present more in-depth analyses of eradication, interdiction, and alternative development, we begin our discussion with an overall description of U.S. efforts in Colombia more generally, covering the role of various U.S. agencies in these efforts, the nature of overall collaboration with Colombia, and the events that shaped the current situation.", "Finally, in its comments, State said that we had failed to consider relevant information on eradication that had been published by various sources. In developing our findings in this report, we reviewed available U.S. government, Colombian government, and United Nations data and analysis on eradication, as well as third-party research, and we sought to accurately present this range of information in a balanced manner. Accordingly, we have made relevant modifications to our narrative to further describe information in UN studies related to the results of eradication efforts in Colombia.", "In its comments, USAID stated that it concurred with our recommendation that State lead a comprehensive review of the U.S. counternarcotics approach in Colombia. USAID noted that it believes such a review could help identify what changes, if any, are necessary to make to the types and combination of U.S. activities, while taking into consideration how the relative benefits and limitations of eradication, interdiction, and alternative development could affect the effectiveness of these efforts.", "We are sending copies of this report to the appropriate congressional committees and the Secretaries of Defense, Homeland Security, and State, as well as the Attorney General and the USAID Administrator. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia, (2) what is known about the effectiveness of U.S. government-supported eradication programs in Colombia over the last 10 years, (3) what is known about the effectiveness of U.S. government-supported interdiction programs in Colombia over the last 10 years, and (4) what is known about the effectiveness of U.S. government-supported alternative development programs in Colombia over the last 10 years.", "To assess to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia, we analyzed Department of Homeland Security (DHS), Department of Defense (DOD), Department of Justice (DOJ), Department of State (State), and U.S. Agency for International Development (USAID) data and documentation that describe U.S-supported counternarcotics efforts since 2008, including available performance monitoring data and evaluations that the agencies use to assess the effectiveness of their counternarcotics activities in Colombia. In doing so, we reviewed performance reporting that the agencies conduct through interagency mechanisms including the Office of National Drug Control Policy\u2019s (ONDCP) annual National Drug Control Strategy Performance Reporting System report and Budget and Performance Summary report, as well Embassy Bogot\u00e1\u2019s annual Performance Plan and Report. In addition, we reviewed agency-level performance monitoring data and related reports produced by DHS, DOD, DOJ, State, and USAID, as well as their relevant component agencies and offices. For example, we reviewed State\u2019s annual International Narcotics Control Strategy Report, performance data from USAID\u2019s Monitoring and Evaluation Clearinghouse information system, U.S. Southern Command annual program management reviews, DEA/Colombia impact statements produced through its Threat Enforcement Planning Process, and annual DHS performance reports. We also reviewed evaluations that USAID had conducted of its alternative development programs in Colombia. To identify relevant USAID evaluations, we consulted USAID officials and conducted a search of USAID\u2019s Development Experience Clearinghouse, which is USAID\u2019s online, publicly available repository of program documentation. In evaluating to what extent the U.S. government has assessed the effectiveness of its counternarcotics efforts in Colombia, we compared State\u2019s actions to its evaluation policy. In addition, we compared U.S. agencies\u2019 actions to applicable federal internal control standards.", "To determine what is known about the effectiveness of U.S. government supported eradication, interdiction, and alternative development programs, we analyzed DHS, DOD, DOJ, State and USAID data and documentation related to counternarcotics efforts in Colombia. As part of our work, we also analyzed data from the United Nations Office on Drugs and Crime\u2019s (UNODC) annual surveys of territories in Colombia affected by illicit crops, which documented coca cultivation and cocaine drug productions trends, as well as counternarcotics efforts. In addition, we analyzed Colombian government data and other reporting describing counternarcotics efforts. These U.S. government, United Nations, and Colombian government data included a range of metrics. For eradication programs, we reviewed metrics including estimated coca cultivation levels, eradication levels, coca plant productivity levels, coca replanting rates, and the territorial distribution of coca cultivation. For interdiction, we reviewed metrics including estimated cocaine production levels; the levels of seizures of cocaine, precursor chemicals, and drug trafficking organization assets; the number of drug trafficking organizations disrupted or dismantled; and the number of drug trafficking organization members arrested and extradited. For alternative development programs, we reviewed metrics including the number of households involved in coca cultivation, the amounts of coca cultivated relative to legal crops in areas receiving U.S. government support, increases in the value of sales of legal products in areas involved in narcotics production, the number of households receiving land titles as a result of U.S. assistance, and the value of agricultural and rural loans generated through U.S. assistance. To assess these data, we reviewed available documentation, and interviewed cognizant U.S. officials. In addition, we were able to compare different sources in some instances, specifically the U.S. government and the UN estimates of coca cultivation and cocaine production in Colombia. We noted several limitations to these data. For example, the coca cultivation and production figures are estimates, and while both the U.S. government and UN have procedures to verify their estimates, there were differences between the two sources in terms of the levels of production and cultivation reported due to differences in their estimating methodologies. For example, one challenge to estimating the hectares of coca eradicated is that crop fields can be eradicated multiple times in 1 year, which means that the total number of hectares eradicated can exceed the total number of hectares cultivated in some years. Likewise we noted that kilograms of cocaine seized in Colombia may be the result of a variety of actions, and can be influenced by the volume of cocaine production, as well as the actions of law enforcement officials. We determined that the U.S. government, United Nations, and Colombian government data were sufficiently reliable to present general trends from 2008 through 2017.", "Further, we reviewed agency documentation from State, USAID, DOD, and DEA in order to identify plans, reviews, strategies, and assessments related to counternarcotics efforts in Colombia. For example, we reviewed State\u2019s annual International Narcotics Control Strategy Reports, Embassy Bogot\u00e1\u2019s annual Performance Plan and Reports, DOD U.S. Southern Command performance management reviews, and DEA\u2019s Threat Enforcement Planning Process assessment. In addition, we reviewed seven evaluations that USAID had commissioned of its alternative development programs in Colombia and identified relevant findings from these evaluations regarding the effectiveness of alternative development efforts in Colombia. Some of these evaluations related to specific alternative development programs, while others evaluated USAID\u2019s alternative development efforts in Colombia more broadly. It was beyond the scope of this engagement to assess the quality of these evaluations. We also reviewed USAID performance data in its Monitor system and in Embassy Bogot\u00e1\u2019s annual Performance Plan and Report and compared USAID\u2019s results to the targets it had established. We did not perform an assessment of the underlying metrics that USAID used, as our purpose was to compare actuals to targets.", "To gather further information regarding what is known about the effectiveness of U.S. government supported eradication, interdiction, and alternative development programs, we interviewed U.S. officials that have responsibility for and insights into U.S.-supported counternarcotics efforts in Colombia from:", "DHS, including Immigration and Customs Enforcement and the U.S.", "Coast Guard;", "DOD, including the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats and U.S. Southern Command;", "DOJ, including the Criminal Division, the Drug Enforcement Administration, and the Federal Bureau of Investigation;", "State, including the Bureau of International Narcotics and Law Enforcement Affairs and the Bureau of Western Hemisphere Affairs; and USAID\u2019s Bureau for Latin America and the Caribbean.", "In addition, we conducted fieldwork in Colombia in March 2018. During our fieldwork, we interviewed U.S. officials from DHS, DOD, DOJ, State, and USAID involved in counternarcotics activities at Embassy Bogot\u00e1. In addition, we interviewed various officials from Colombian security and civilian agencies and from the UNODC. We also visited the headquarters of the Colombian National Police Air Service\u2019s headquarters in Guaymaral (near Bogot\u00e1) and the Colombian National Police\u2019s International School for the Use of Police Force for Peace (near Ibagu\u00e9). Finally, as part of our fieldwork, we visited Tumaco in southwest Colombia. Tumaco is the municipality with the highest levels of coca cultivation in Colombia and is also the most significant hub for the trafficking of cocaine out of the country. In Tumaco, we visited the Colombian government\u2019s Strategic Operation Center, observed a manual eradication operation, and met with a number of USAID alternative development program beneficiaries. The information on foreign law in this report is not the product of GAO\u2019s original analysis, but is derived from interviews and secondary sources.", "Finally, to help validate and supplement U.S. government findings regarding the effectiveness of its counternarcotics programs, we conducted a literature review to determine the extent to which relevant non-U.S. government studies either validated or reached different conclusions than the U.S. government\u2019s findings regarding the effectiveness of U.S.-supported counternarcotics programs in Colombia. To conduct this review, we developed a list of search terms related to eradication, interdiction, and alternative development in Colombia. Then, working with a GAO research librarian, we conducted a search using selected bibliographic databases, including Scopus and SciELO. We conducted searches for materials in both English and Spanish. The searches resulted in the identification of an initial list of 261 English- language articles and 45 Spanish-language articles. The team then conducted a process to narrow down the initial search results to a priority list of studies. In order to narrow down the results, we considered a variety of factors including the relevance of the study to our research questions, the extent to which the study focused on Colombia or was more global in nature, whether the study had been published in 2008 or later, and whether the study included original research. To validate our priority list of studies, we shared our results with a non-U.S. government expert who had studied counternarcotics efforts in Colombia to see if there were further studies that we should include. We added one additional study based upon his review. In total, we selected 23 studies to include in our literature review and to analyze in greater depth for this report. Within our literature review, we identified a relatively small number of authors that had conducted research relevant to our work, in particular, studies related to interdiction efforts in Colombia. As a result, there are several authors who have more than 1 study included within the list of 23 studies we selected. For each of the 23 studies we selected, we completed a data collection instrument to, among other things, identify the study\u2019s key findings and recommendations and to make a high-level assessment that the study was of sufficient quality to include in our review. We ensured that our selection included studies issued or published in 2008 or later. During our review, we noted that several studies analyzed data from slightly earlier time periods. In addition, we noted that some studies analyzed data for particular regions or settings within Colombia. While this does not affect the quality of the studies, it does raise the possibility that their findings might not fully apply to the current situation in Colombia.", "As part of our work, we also conducted interviews with a nongeneralizable sample of three non-U.S. government experts to gather further information regarding what is known about the effectiveness of U.S. counternarcotics programs. In selecting these experts, we sought to choose people with different types of experiences studying and working on counternarcotics efforts in Colombia, in order to get a range of perspectives about these efforts.", "We conducted this performance audit from September 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: List of Studies Reviewed", "paragraphs": ["This bibliography contains citations for the 23 studies we reviewed regarding the effectiveness of Colombian counternarcotics efforts.", "Beltr\u00e1n, S. \u201cLa Institucionalidad Rural en Colombia: Reflexiones para Su An\u00e1lisis y Fortalecimiento.\u201d Mundo Agrario, vol. 17, no. 53 (2016).", "Camacho, A., and D. Mej\u00eda. \u201cThe Health Consequences of Aerial Spraying Illicit Crops: The Case of Colombia.\u201d Journal of Health Economics, vol. 54 (2017): 147-160.", "Ceron, C., I. De los Rios-Carmenado, and S. Fern\u00e1ndez. \u201cIllicit Crops Substitution and Rural Prosperity in Armed Conflict Areas: A Conceptual Proposal Based on the Working With People Model in Colombia.\u201d Land Use Policy, vol. 72 (2018): 201-2014.", "Davalos, E. \u201cNew Answers to an Old Problem: Social Investment and Coca Crops in Colombia.\u201d International Journal of Drug Policy, vol. 31 (2016): 121-130.", "Fisher, D., and A. Meitus. \u201cUprooting or Sowing Violence?: Coca Eradication and Guerrilla Violence in Colombia.\u201d Studies in Conflict & Terrorism, vol. 40, no. 9 (2017): 790-807.", "Ibanez, M., and F. Carlsson. \u201cA Survey-Based Choice Experiment on Coca Cultivation.\u201d Journal of Development Economics, vol. 93 (2010): 249-263.", "Ibanez, M., and S. Klasen. \u201cIs the War on Drugs Working? Examining the Colombian Case Using Micro Data.\u201d The Journal of Development Studies, vol. 53, no. 10 (2017): 1650-1662.", "Ince, M., \u201cFilling the FARC-Shaped Void.\u201d The RUSI Journal, vol. 158, no. 5 (2013): 26-34.", "Jonsson, M., E. Brennan, and C. O\u2019Hara. \u201cFinancing War or Facilitating Peace? The Impact of Rebel Drug Trafficking on Peace Negotiations in Colombia and Myanmar.\u201d Studies in Conflict & Terrorism, vol. 39, no. 6 (2016): 542-559.", "L\u00f3pez, L., J. Castro, and A. Espa\u00f1a. \u201cLos Efectos Globo en los Cultivos de Coca en la Regi\u00f3n Andina (1990-2009).\u201d Apuntes del CENES, vol. 35, no. 61 (2016): 207-236.", "McDermott, J., \u201cLa Nueva Generaci\u00f3n de Narcotraficantes Colombianos post-FARC: \u2018Los Invisibles\u2019.\u201d InSight Crime (2018).", "Mej\u00eda, D., \u201cPlan Colombia: An Analysis of Effectiveness and Costs.\u201d The Brookings Institution (2015).", "Mej\u00eda, D., and P. Restrepo. \u201cThe Economics of the War on Illegal Drug Production and Trafficking.\u201d Journal of Economic Behavior and Organization, vol. 126 (2016): 255-275.", "Mej\u00eda, D., P. Restrepo, and S. Rozo. \u201cOn the Effects of Enforcement on Illegal Markets: Evidence from a Quasi-experiment in Colombia.\u201d World Bank Group (2015).", "Mu\u00f1oz-Mora, J.C., S. Tob\u00f3n, and J. d\u2019Anjou. \u201cThe Role of Land Property Rights in the War on Illicit Crops: Evidence from Colombia.\u201d World Development, vol. 103 (2018): 268-283.", "Quintero, S., and I. Posada. \u201cEstrategias Pol\u00edticas para el Tratamiento de las Drogas Ilegales en Colombia.\u201d Revista Facultad Nacional de Salud P\u00fablica, vol. 31, no. 3 (2013): 373-380.", "Reyes, L., \u201cEstimating the Causal Effect of Forced Eradication on Coca Cultivation in Colombian Municipalities.\u201d World Development, vol. 61 (2014): 70-84.", "Rinc\u00f3n-Ruiz, A., H. Correa, D. L\u00e9on, and S. Williams. \u201cCoca Cultivation and Crop Eradication in Colombia: The Challenges of Integrating Rural Reality into Effective Anti-Drug Policy.\u201d International Journal of Drug Policy, vol. 33 (2016): 56-65.", "Rinc\u00f3n-Ruiz, A., U. Pascual, and S. Flantua. \u201cExamining Spatially Varying Relationships between Coca Crops and Associated Factors in Colombia, Using Geographically Weight Regression.\u201d Applied Geography, vol. 37 (2013): 23-33.", "S\u00e1nchez, M., \u201cCultivos Il\u00edcitos y Confianza Institucional en Colombia.\u201d Politica y Gobierno, vol. 21, no. 1 (2014): 95-126.", "Sandoval, L., A. Lopez, and C. C\u00e1rdenas. \u201cDeterminantes y Caracteristicas de la Oferta de Cocaina en Colombia (1989\u20132006).\u201d Revista Facultad de Ciencias Econ\u00f3micas: Investigaci\u00f3n y Reflexi\u00f3n, vol. 17, no. 2 (2009): 199-208.", "Seatzu, F., \u201c\u2018If Ya Wanna End War and Stuff, You Gotta Sing Loud\u2019\u2014A Survey of the Provisional Agreement between FARC and Colombia on Illicit Drugs.\u201d Araucaria. Revista Iberoamericana de Filosofia, Pol\u00edtica y Humanidades y Humanidades, vol. 18, no. 36 (2016): 373-389.", "Thoumi, F., \u201cPol\u00edticas Antidrogas y La Necesidad de Enfrentar las Vulnerabilidades de Colombia.\u201d An\u00e1lisis Politico, no. 67 (2009): 60-82."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Juan Gobel (Assistant Director), Ryan Vaughan (Analyst-in-Charge), Owen Starlin, Pedro Almoguera, Martin De Alteriis, Leia Dickerson, Neil Doherty, Mark Dowling, Dawn Locke, and Aldo Salerno made key contributions to this report."], "subsections": []}]}], "fastfact": ["The U.S. government has invested over $10 billion in counternarcotics and security efforts in Colombia since 1999. Security has improved but cocaine production has more than tripled from 2013 through 2017.", "The U.S. counternarcotics approach in Colombia includes disrupting drug trafficking, destroying coca crops, and supporting alternative livelihoods for coca farmers. We found the State Department has not comprehensively reviewed this approach. Such a review could help State ensure U.S. agencies are pursuing the mix of activities with the greatest likelihood of long-term success.", "We recommended State comprehensively review the U.S. approach."]} {"id": "GAO-19-102", "url": "https://www.gao.gov/products/GAO-19-102", "title": "Defense Health Care: Additional Assessments Needed to Better Ensure an Efficient Total Workforce", "published_date": "2018-11-27T00:00:00", "released_date": "2018-11-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The MHS includes more than 241,000 active duty, reserve, federal civilian, and contractor personnel who provide (1) operational medical care in support of war and other contingencies and (2) beneficiary medical care within DOD's hospitals and clinics.", "The Senate Report 115-125 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 contained a provision for GAO to review how DOD determines its mix of military, federal civilian, and contractor personnel. This report examines the military departments' planning processes for determining (1) operational medical personnel requirements, including an assessment of the mix of federal civilian, contractor, and active and reserve medical personnel; and (2) the most appropriate workforce mix at MTFs and any challenges in executing their desired workforce mix. GAO compared MHS staffing practices with DOD policy, and analyzed fiscal year 2017 budgetary data to determine the proportion of military, federal civilian, and contractor personnel. GAO also interviewed senior leaders at six MTFs."]}, {"section_title": "What GAO Found", "paragraphs": ["The military departments each have their own processes to determine their operational medical personnel requirements; however, their planning processes to meet those requirements do not consider the use of all medical personnel or the full cost of military personnel. Specifically:", "The Department of Defense (DOD) has not assessed the suitability of federal civilians and contractors to meet operational medical personnel requirements. Federal civilians and contractors play key roles in supporting essential missions, i.e. providing operational assistance via combat support. Military department officials expressed a preference for using military personnel and cited possible difficulties in securing federal civilian and contractor interest in such positions. An assessment of the suitability of federal civilians and contractors could provide options for meeting operational medical personnel requirements.", "When determining the balance of active and reserve component medical personnel, the military departments' processes generally do not consider full personnel costs, including education and benefits. Specifically, officials stated that the Army and the Navy do not consider personnel costs in their assessment of the appropriate balance between active and reserve personnel, and the Air Force's analysis had some limitations. DOD policy states that workforce decisions must be made with an awareness of the full costs. Further, in a 2013 report, DOD identified the cost of unit manning, training, and equipping as one of five factors that play a key role in decisions concerning the mix of active and reserve component forces. By developing full cost information for active and reserve component medical personnel, DOD can better ensure an appropriate and cost-effective mix of personnel.", "The military departments have taken actions, such as establishing policies and procedures, to assess the appropriate workforce mix for beneficiary care within Military Treatment Facilities (MTFs), but challenges remain. The military departments distribute military personnel across the MTFs and then use policies and procedures to consider risks, costs, and benefits to determine how to fill the remaining positions with federal civilians and contractors. However, a number of challenges, including lengthy hiring and contracting processes and federal civilian hiring freezes affect DOD's ability to use federal civilians and contractors. For example, senior officials at each of the six MTFs that GAO spoke with cited challenges with the federal civilian hiring process, and five of six MTFs cited challenges with the contracting process. As a result, senior officials from five of six MTFs reported discontinuing some services and referring patients to DOD's TRICARE network of private sector providers or Veterans Affairs facilities. The Military Health System (MHS) is also preparing for the phased transfer of administrative responsibility for MTFs to the Defense Health Agency (DHA), including management of the MTF workforce. According to GAO's report on agency reform efforts, strategic workforce planning should precede any staff realignments or downsizing. However, according to a senior official, the DHA has not developed a strategic workforce plan. Without developing such a plan, the DHA may continue to face the same challenges experienced by the military departments in executing an appropriate and efficient workforce mix at its MTFs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD, among other things, (1) assess the suitability of federal civilians and contractors to provide operational medical care; (2) develop full cost information for active and reserve component medical personnel; and (3) develop a strategic total workforce plan for the DHA to help ensure execution of an appropriate workforce mix at its MTFs. In commenting on a draft of this report, DOD concurred with each of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense\u2019s (DOD\u2019s) Military Health System (MHS) operates one of the largest and most complex health systems in the nation. DOD\u2019s total medical workforce of physicians, dentists, nurses, medics, and other health care providers includes active and reserve military personnel, federal civilian personnel, and private sector contractor personnel. The MHS provides health care in two distinct settings: (1) operational medical care, provided via deployable health care platforms such as forward surgical teams and combat support hospitals, in support of war, named or unnamed contingencies, and other operational missions; and (2) beneficiary medical care, provided in DOD\u2019s military treatment facilities (MTFs), which include 51 military hospitals, 381 ambulatory care and occupational health clinics, and 247 dental clinics that serve to maintain the medical readiness of military personnel and the general health of their dependents and other eligible beneficiaries, such as retirees.", "DOD spends billions of dollars annually on its worldwide health care system. Currently, health care costs constitute more than 8 percent of DOD\u2019s baseline budget request. For its fiscal year 2019 budget, according to DOD documentation, DOD requested $33.7 billion to fund the Defense Health Program, including the cost of health care activities, federal civilians, and contractor personnel, and an additional $8.9 billion in military personnel costs. The federal government\u2019s fiscal challenges, which we reported on in January 2017 and in other products, underscore the importance of DOD employing a strategic approach to determining the most appropriate and cost-effective mix of personnel to perform its mission.", "Senate Report 115-125, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018, included a provision for us to conduct a review of DOD\u2019s approach to assess and determine its workforce mix of active and reserve military personnel, federal civilians, and contractors within the MHS. This report examines (1) to what extent the military departments\u2019 planning processes for operational medical personnel requirements include an assessment of the mix of federal civilian, contractor, active and reserve medical personnel; and (2) the military departments\u2019 processes for determining the most appropriate workforce mix at MTFs and any challenges in executing an appropriate workforce mix as responsibility for MTFs\u2019 administration transfers to the Defense Health Agency (DHA).", "For objective one, we compared military department efforts in planning for operational medical personnel requirements to DOD and department- level policies and guidance on workforce mix determination and identifying the full cost of personnel. Specifically, DOD Directive 1100.4 states that authorities should consider all available sources when determining workforce mix. Moreover, DOD\u2019s 2017 Workforce Rationalization Plan recognizes DOD\u2019s federal civilians as an essential enabler of its mission capabilities and operational readiness, and DOD\u2019s National Defense Business Operations Plan for Fiscal Years 2018 to 2022 states that workforce rationalization strategies include, among other things, reassessing military manpower allocations for military essentiality and identifying functions and positions that are commercial in nature that may be appropriately or efficiently delivered via private sector support. In addition, DOD Instruction 7041.04 has guidance for departments to identify the full cost of their active component, federal civilian, and contractor workforces, and in a 2013 report, DOD established five factors that play a key role in active and reserve component balance decisions, including the cost of unit manning, training, and equipping. We interviewed officials from the military departments to discuss: (1) how they determine their operational medical requirements and if they identified the full cost of its active and reserve component medical personnel, and (2) the use of the active and reserve components for operational requirements and any efforts to assess the balance of active and reserve component medical personnel.", "To determine the extent to which federal civilians and contractors were deployed to provide medical care, we reviewed federal civilian and contractor deployment data from fiscal years 2013 through 2017. To determine the mix of active and reserve component medical personnel, we analyzed authorization data from the Health Manpower and Personnel Data System for fiscal year 2017, which was the most recent year of data at the time of our review. To assess the reliability of both the federal civilian and contractor deployment data and the authorization data, we electronically tested the data to identify obvious problems with completeness or accuracy and interviewed knowledgeable agency officials about the data. We found the authorization data to be sufficiently reliable for the purposes described above. We found the deployment data to be limited in that it may not be sufficiently reliable for identifying the universe of deployments. However, we found the data to be sufficiently reliable for the purposes of reporting that federal civilians and contractors have been deployed to provide medical care. Finally, we interviewed officials from the Office of the Under Secretary of Defense for Personnel and Readiness (USD(P&R)), Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)), Defense Civilian Personnel Advisory Service, the military departments, selected combatant commands to identify considerations and any challenges of using different personnel categories as workforce alternatives for meeting operational medical requirements.", "For objective two, we reviewed DOD and department-level policies and guidance on workforce mix determination and the departments\u2019 efforts in planning, staffing, and filling MTF requirements. To better understand policy and procedure implementation at MTFs we selected six MTFs\u2014 two each from the Army, Navy, and Air Force\u2014to allow a cross-section of views concerning the management of the departments\u2019 workforce mix at the MTFs and hiring conditions in different types of labor markets. The two MTFs from each department were selected based on consideration of average daily patient load and MTF bed size, which we obtained from the Defense Health Agency. For each MTF, we interviewed officials responsible for the leadership and management of MTF personnel and operations and requested and reviewed relevant documentation. We reviewed their responses, which highlighted some challenges related to achieving an appropriate workforce mix, and DOD\u2019s plans for addressing these challenges. We compared these to GAO\u2019s key questions to assess agency reform efforts, which note that strategic workforce planning should precede any staff realignments or downsizing. We also reviewed how the planned transfer of administrative responsibility for MTFs from the military departments to the DHA might affect DOD management of military personnel within the MHS. To identify (1) responsibilities of the military departments that may be transferred to the DHA, and (2) challenges that may continue under the new organizational structure, we reviewed relevant documentation and interviewed knowledgeable officials. We compared DOD\u2019s efforts to plan for these challenges to leading practices for results-oriented government, which state that cooperating federal agencies need to sustain and enhance their collaboration in several ways, including the development of policies and procedures to operate across agency boundaries and agreement on their respective roles and responsibilities.", "To determine the proportion of reported military, federal civilian, and contractor personnel providing or supporting care in MTFs, we obtained budgetary data for fiscal year 2017, which was the most recent full fiscal year of available data at the time of our review. To assess the reliability of these data, we compared it to the information reported in the fiscal year 2017 Defense Health Program justification estimates published in February 2018 and interviewed knowledgeable agency officials about the data. We found the data to be sufficiently reliable for the purposes described above.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Composition of the MHS Total Workforce", "paragraphs": ["The MHS has a dual mission of maintaining the skills of the medical force and providing health care and beneficiary medical care in its MTFs in the United States and overseas. It accomplishes this in part by providing (1) operational medical care via deployable health care platforms in an operational environment, such as forward surgical teams and combat support hospitals, and (2) beneficiary medical care in its MTFs in the United States and around the world. DOD\u2019s total workforce supporting this dual mission comprises three main components: military personnel (including active and reserve personnel), federal civilian personnel, and private sector contractor personnel. Active duty medical personnel simultaneously support operational medical care and the delivery of beneficiary health care to patients across the globe. Reserve component medical personnel generally provide health care to deployed military personnel, but may also provide personnel to support MTFs when active duty personnel are deployed or otherwise unavailable. Federal civilians and contractors generally provide beneficiary care within MTFs. Figure 1 shows the number of the active and reserve components of the military, federal civilians, and estimated contractor full-time equivalents (FTEs) that comprised DOD\u2019s total medical workforce in fiscal year 2017."], "subsections": []}, {"section_title": "DOD\u2019s Total Workforce Provides Operational Medical Care at Four Levels", "paragraphs": ["DOD has established four levels of operational medical care provided to servicemembers and other eligible persons. The levels of care extend from the forward edge of the battle area to the United States, with each level providing progressively more intensive treatment. Level 4 care facilities are MTFs that also provide beneficiary medical care. In addition to the four levels of medical care, en-route care to transport patients is also provided via casualty evacuation, medical evacuation, and/or aeromedical evacuation from the point of patient injury, illness, or wounding. Figure 2 illustrates the different levels of care.", "The four levels of care are:", "Level 1\u2014First responder care. This level provides immediate medical care and stabilization in preparation for evacuation to the next level, and treatment of common acute minor illnesses. Care can be provided by the wounded soldiers, medics or corpsmen, or battalion aid stations.", "Level 2\u2014Forward resuscitative care. This level provides advanced emergency medical treatment as close to the point of injury as possible to attain stabilization of the patient. In addition, it can provide postsurgical inpatient services, such as critical care nursing and temporary holding. Examples of level 2 units include forward surgical teams, shock trauma platoons, area support medical companies, and combat stress control units.", "Level 3\u2014Theater hospital care. This level provides the most advanced medical care available in Iraq and Afghanistan. Level 3 facilities provide significant preventative and curative health care. Examples include Army combat support hospitals, Air Force theater hospitals, and Navy expeditionary medical facilities.", "Level 4\u2014U.S. and overseas definitive care. This level provides the full range of preventative, curative, acute, convalescent, restorative and rehabilitative care. Examples of level 4 facilities include MTFs such as Brooke Army Medical Center at Joint Base San Antonio, Texas and Naval Medical Center Portsmouth at Portsmouth, Virginia."], "subsections": []}, {"section_title": "DOD Provides Beneficiary Medical Care in the United States and around the World", "paragraphs": ["DOD\u2019s MHS workforce provides beneficiary medical care to 9.4 million eligible individuals, including active duty personnel and their dependents (i.e., spouse, children), medically eligible Reserve and National Guard personnel and their dependents, and retirees and their dependents and survivors. Located in the United States and around the world and ranging from small clinics to major hospitals, these facilities serve as training platforms for active duty medical personnel to maintain their skills and play a key role in the military departments\u2019 Graduate Medical Education programs for training medical professionals.", "In addition to the direct provision of health care in its own hospitals and clinics, DOD maintains its TRICARE purchased care system that is used to augment the direct care system when needed. Through regional contracts, TRICARE administers the purchased care system, which comprises a civilian network of hospitals and providers. Retirees who qualify for care under Department of Veterans Affairs\u2019 rules may also be eligible to receive health care within the Veterans Health Administration system of hospitals and clinics."], "subsections": []}, {"section_title": "Legislation, Policies, and Processes Governing the MHS Workforce Mix", "paragraphs": ["DOD\u2019s management of its workforce is governed by several workforce management statutes of title 10 of the United States Code, including:", "Section 129a directs the Secretary of Defense to establish policies and procedures for determining the most appropriate and cost- efficient mix of military, civilian, and contracted services to perform the mission of the department.", "Section 2463 directs the Under Secretary of Defense for Personnel and Readiness to devise and implement guidelines and procedures to ensure that consideration is given to using, on a regular basis, DOD civilian employees to perform new functions and functions performed by contractors that could be performed by DOD civilian employees.", "Section 2461 directs that no DOD function performed by civilian employees may be converted, in whole or in part, to performance by a contractor unless the conversion is based on the results of a public\u2013 private competition that formally compares the cost of performance by civilian employees with the cost of contractors, among other considerations. There is currently a government-wide moratorium on performing such public-private competitions.", "DOD\u2019s total workforce management policy generally emphasizes the need for agencies to utilize the least costly mix of personnel while ensuring the workforce is sufficiently sized, and comprised of the appropriate mix of personnel to carry out the mission of DOD. The departments use DOD guidance to assess the use of military, federal civilian, and contractor personnel, which includes the consideration of two key factors: (1) the risk to the military mission, and (2) the cost of the workforce. To help assess risk, the departments determine what work should be performed by military, federal civilian, or contractor personnel. For example, work that is inherently governmental must be performed only by military or civilian personnel, while work that is commercial in nature could be performed by any personnel type. To make this determination, DOD Instruction 1100.22 directs components to: use the manpower mix criteria outlined in the instruction to identify inherently governmental and commercial activities; and review the annual inventory of commercial and inherently governmental activities. In addition, DOD and the departments have established policies and procedures to assess the costs and benefits of different workforce mix options. DOD Instruction 1100.22 directs components to conduct a cost comparison of personnel when considering outsourcing new requirements that are not required to be performed by government personnel, or when considering in-sourcing functions that are currently performed by private sector contractors."], "subsections": []}, {"section_title": "Roles and Responsibilities for Managing the MHS Workforce", "paragraphs": ["Several officials have responsibility for governing DOD\u2019s management of its total workforce, including", "The Under Secretary of Defense for Personnel and Readiness (USD(P&R)). This official has overall responsibility for issuing guidance on total workforce management to be used by the DOD components, providing guidance on manpower levels of the components, and developing manpower mix criteria and other information to be used by the components to determine their workforce mix.", "The Under Secretary of Defense (Comptroller). This official is responsible for ensuring that the budget for DOD is consistent with the total workforce management policies and procedures.", "The Secretaries of the military departments and heads of the defense agencies. These officials have overall responsibility for the requirements determination, planning, programming, and budgeting execution for total workforce management policies and procedures, as well as having numerous responsibilities related to total workforce management as detailed in DOD guidance.", "The Assistant Secretary of Defense for Health Affairs (ASD(HA)).", "This official serves as the principal advisor for all DOD health related policies, programs, and activities. The ASD(HA) has the authority to: develop policies, conduct analyses, provide advice, and make recommendations to the USD(P&R), the Secretary of Defense, and others; issue guidance; and provide oversight to the DOD Components on matters pertaining to the MHS. Further, the ASD(HA) prepares and submits a DOD unified medical program budget which includes, among other things, the defense health program budget to provide resources for the DOD MHS.", "The Director of the Defense Health Agency (DHA). This official, among other things, manages the execution of policies issued by the ASD(HA) and manages and executes the Defense Health Program appropriation, which partially funds the MHS."], "subsections": []}, {"section_title": "Recent MHS Personnel Reform Efforts", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2017 directed the transfer of administrative responsibility for MTFs from the military departments to the DHA. Specifically, the Director of the DHA shall be responsible for the administration of each MTF, including budgetary matters, information technology, health care administration and management, administrative policy and procedure, military medical construction, and any other matters the Secretary of Defense determines appropriate. Since 2016, DHA\u2019s responsibilities in the administration of MTFs have been further articulated in DOD memoranda and in statute. In 2018, DOD directed that the DHA shall be responsible for: (1) the planning, programming, budgeting, and execution processes for the MTFs; (2) clinical and health delivery services in each MTF; and (3) for these services, the hiring and management of federal civilians and contract staffing. Further, in 2018, Congress amended the law to specify that at each MTF, the Director of the DHA has the authority to determine total workforce requirements, direct joint manning, and address personnel staffing shortages, among other things.", "Also in December 2016, Congress enacted legislation that allows the prohibition of converting military medical and dental positions to federal civilian positions, which had been in place since 2008, to be lifted. This change is contingent upon DOD satisfying a reporting requirement on the size and composition of its operational medical force. Specifically, Congress directed DOD to report on the process established to define the military medical and dental requirements necessary to meet operational medical force readiness requirements, and provide a list of those military medical and dental requirements."], "subsections": []}]}, {"section_title": "Department Planning Processes for Operational Medical Personnel Requirements Do Not Include an Assessment of All Medical Personnel or the Full Cost of Military Personnel", "paragraphs": ["The military departments each have their own process to determine their operational medical personnel requirements. After determining the number of medical personnel needed to support operational needs, the military departments generally consider only military personnel when conducting their planning processes to meet these requirements, and have not formally assessed the extent to which federal civilians and contractor personnel could be utilized. Further, the departments do not generally consider the full cost of active and reserve component medical personnel when determining their balance of active and reserve component medical personnel, and they have not developed such information to use in their assessment of active and reserve balance."], "subsections": [{"section_title": "Each Military Department Has Its Own Process to Plan for Operational Medical Personnel Requirements, Including the Balance of Active and Reserve Component Personnel", "paragraphs": ["Each military department has its own process to plan for operational medical personnel requirements. The departments\u2019 operational medical personnel requirements are based on their analysis of DOD\u2019s Defense Planning Guidance and Defense Planning Scenarios. Specifically, possible casualty streams are estimated based on the scenarios, and the required medical support is determined in conjunction with department- specific medical planning factors, such as rotation policy, the population at risk, and evacuation policy, among others. Each military department incorporates these factors to estimate the number of medical personnel needed. The Army integrates medical planning into its general process for estimating all operational requirements, whereas the Navy and Air Force have separate, medical-specific processes. The following represents an overview of each military department\u2019s approach:", "Army. The Army uses its Total Army Analysis model to determine the number and type of support units across the Army, including medical forces, which will be needed to support the Army\u2019s combat forces in operational settings.", "Navy. The Navy uses a medical-specific model, called the Medical Manpower All Corps Requirements Estimator, to estimate its total medical personnel readiness requirements. The Navy readiness mission is to support all Navy and Marine Corps operational missions, including operational operations (such as hospital ships and expeditionary medical facilities) and day-to-day operations (such as ships, submarines, and Special Forces).", "Air Force. The Air Force uses a medical-specific sizing model named the Critical Operational Readiness Requirements tool to project its minimum military personnel requirements. This tool identifies the number of military medical personnel needed to meet requirements, including requirements for en-route casualty support, theater hospitals, and critical care air transport teams.", "According to military department officials, the decision to apportion medical personnel requirements among the active and reserve components is based on an assessment of risk across a range of factors. In a 2013 DOD report issued in response to section 1080A of the National Defense Authorization Act for Fiscal Year 2012. DOD noted that there are several important factors in active component and reserve component mix decisions, including, among others, the timing, duration, and skills required for anticipated missions. Moreover, the report notes that active components are best suited for unpredictable and frequent deployments, dealing with complex operational environments, and unexpected contingencies and the reserve components are best suited for predictable and infrequent deployments. As noted in the report, active component personnel typically mobilize and deploy to theater the fastest. The sum of these considerations results in a different mix of active and reserve component medical personnel within each military department. Specifically, reserve personnel (as a percentage of the total workforce) varied by military department in fiscal year 2017, with reservists representing 41 percent of medical personnel of the Army, 17 percent of the Navy, and 34 percent of the Air Force, as shown in figure 3."], "subsections": []}, {"section_title": "DOD Has Not Assessed Using Federal Civilians or Contractors to Meet Operational Medical Personnel Requirements", "paragraphs": ["The military departments have not assessed the extent to which federal civilians and contractor personnel can be used to meet identified operational medical personnel requirements. Specifically, after the military departments have determined their operational medical personnel requirements, they generally have designated all such positions as \u201cmilitary-essential\u201d (i.e., the activity must be performed by a military servicemember) and have not formally assessed the extent to which civilians or contractors could be utilized to fill these positions, according to officials. Army, Navy, and Air Force officials stated that they have historically relied on active and reserve component military personnel when planning for operational medical requirements, with a few exceptions. For example, according to Navy officials, the few federal civilians that are planned to fill operational medical requirements are technical representatives who do not travel on ships for extended periods of time.", "In interviews, military department officials cited key reasons for not incorporating federal civilians and contractors into their planning for operational medical care. Specifically, officials said they did not believe that federal civilians or contractors were viable workforce alternatives to military servicemembers for operational medical care roles and functions due to the unique nature of such assignments (e.g. providing medical care in a deployed setting). Moreover, officials noted that federal civilians and contractors supporting operational medical requirements are generally considered to be a temporary solution. Officials also expressed concern regarding their military department\u2019s ability to identify and recruit federal civilians and contractors for such positions. Officials stated that while there is currently no guidance outlining the potential role of federal civilians and contractors providing medical care in operational settings, they noted that DOD workforce mix guidance includes a provision that highlights the military-essential nature of medical personnel embedded in non-medical units engaged in hostile action. However, this instruction does not otherwise address the role of federal civilians and contractors in providing medical care, including whether they can serve in medical- specific operational platforms, such as combat support hospitals providing level 3 care.", "To ensure that its federal civilian employees will deploy to combat zones and perform operational roles such as critical combat support functions in theater, DOD established the emergency-essential civilian program in 1985. Under this program, DOD designates as \u201cemergency-essential\u201d those federal civilian employees whose positions are required to ensure the success of combat operations or the availability of combat-essential systems. DOD\u2019s emergency-essential workforce is now governed under the Expeditionary Civilian Workforce program. DOD can deploy emergency-essential federal civilian employees either on a voluntary or involuntary basis to accomplish the DOD mission. In certain DOD functional communities, federal civilians and contractors play a critical role in combat support roles. For example, as we previously reported, DOD relies on the federal civilian personnel it deploys to support a range of essential missions, including logistics support and maintenance, intelligence collection, criminal investigations, and weapons system acquisition and maintenance. Further, as we have previously reported, DOD has long used contractors to provide supplies and services to deployed forces. Since the early 1990s, much of this support has come from logistics support contracts\u2014contracts that are awarded prior to the beginning of contingencies and are available to support the troops as needed.", "Although they are generally not a part of the military departments\u2019 planning processes, and there is no guidance dedicated to delineating the role of federal civilians and contractors in providing care in deployed operational settings according to officials, these personnel have deployed within the past 5 years. Based on our analysis of DOD federal civilian deployment data\u2014for fiscal years 2013 through 2017\u2014about 120 DOD federal civilians, including nurses, physicians, and technicians, were deployed to provide medical services. U.S. Central Command officials stated that they have used federal civilians minimally, and U.S. Africa Command officials stated they have not used federal civilians. In addition, based on our analysis of DOD contractor deployment data for deployments from fiscal years 2013 through 2017, there were more than 1,900 deployed contractors providing medical services. U.S. Central Command officials told us that they have not used contractors to provide care to military personnel. Officials noted that the deployed contractors were not contracted by DOD for purposes of providing medical care and instead provided medical care to other contractors as they were part of a larger contract for other services, such as security services or logistics support. U.S. Africa Command officials told us that they have used contractors to provide medical care to support casualty evacuation and personnel recovery requirements, which includes providing medical care to military personnel and other eligible persons.", "Officials with the Joint Staff Surgeon\u2019s Office and the Surgeon\u2019s offices at U.S. Central Command and U.S. Africa Command agreed with the possibility of using federal civilians and contractors for certain operational medical personnel requirements. Specifically, officials stated that federal civilians and contractors likely represent an acceptable workforce alternative if they are medically ready to deploy and appropriately trained for the unique environment at a fixed facility in theater, such as a level 3 fixed expeditionary medical facility or theater hospital.", "While agreeing that the use of federal civilians and contractors for certain operational medical personnel requirements may be acceptable, officials also expressed concerns with this approach. A senior official with the U.S. Central Command Surgeon\u2019s office noted concerns regarding the pre- deployment training provided to contractors. Specifically, the official stressed the importance of such training to operating effectively in the unique operational environment of a deployed medical team and that such training is only required to be completed by military personnel and DOD expeditionary civilians. U.S. Africa Command officials expressed concerns regarding challenges in obtaining clinical privileging rights (i.e., the right for a physician to perform specific health care services) for contractors supporting small teams in an operational setting. Further, OASD(HA) officials noted that a key factor to determining if federal civilians or contractors should be used to provide operational medical care is whether or not using those workforces would achieve any cost savings.", "Moreover, officials with the Defense Civilian Personnel Advisory Service noted that they have had limited success with using DOD\u2019s Expeditionary Civilian Workforce program for the provision of medical administrative support and medical advising functions. A senior official from the U.S. Central Command Surgeon\u2019s office noted this was due to relatively few qualified federal civilians within the program with medical skills. Defense Civilian Personnel Advisory Service officials noted that the fiscal year 2019 force pool that defines the number and types of federal civilian requirements needed for the program included 7 medical related positions and none of these were for medical care; 1 was administrative and 6 were medical advisors. Defense Civilian Personnel Advisory Service officials stated that the DHA has a responsibility to build 1 or 2 of the medical advisor positions in the force pool into their planning as a continuing requirement, and noted that DHA has made some recent progress with 1 medical advisor scheduled to deploy in fiscal year 2019. While there may be challenges with utilizing federal civilian personnel to fulfill operational medical requirements, DOD also faces challenges with regard to military personnel. In 2018, we reported that DOD has experienced gaps between its military physician authorizations (i.e., funded positions) and end strengths (i.e., number of physicians), and that it did not have targeted and coordinated strategies to address key physician shortages.", "DOD has issued several documents to guide total workforce and personnel planning. DOD Directive 1100.4 states that authorities should consider all available sources when determining workforce mix, including federal civilians and contractors. Moreover, DOD\u2019s 2017 Workforce Rationalization Plan recognizes DOD\u2019s federal civilians as an essential enabler of its mission capabilities and operational readiness and noted that there are numerous opportunities for the military departments, combatant commands, and others to make well-reasoned adjustments to workforce mix. Further, DOD\u2019s National Defense Business Operations Plan for Fiscal Years 2018 to 2022 states that workforce rationalization strategies include, among other things, reassessing military manpower allocations for military essentiality, determining whether workload requires deployments and whether traditional military performance is necessary, and identifying functions and positions that are commercial in nature that may be appropriately or efficiently delivered via private sector support.", "Federal civilians and contractors are not incorporated into the military departments\u2019 planning to meet operational medical requirements because DOD has not performed an assessment of the suitability of federal civilian or contractor personnel to provide operational medical care. Such an assessment could assist in developing policy for use by medical planners in determining when, where, and how federal civilians or contractors may serve in operational roles. For example, an assessment may include what level(s) of care would be appropriate for federal civilians and contractors to support, if any, and factors to take into consideration in making such decisions, such as exposure to danger and cost. By conducting such an assessment and incorporating the results into relevant policies, DOD can have greater certainty that it is planning for the most appropriate and cost-effective mix of personnel to meet the mission, and, depending on the outcome of the assessment, more options to meet its operational medical personnel requirements."], "subsections": []}, {"section_title": "The Military Departments Do Not Consider the Full Cost of Active and Reserve Component Medical Personnel When Planning for Operational Requirements and Do Not Have Full Cost Information", "paragraphs": ["The military departments\u2019 planning to meet DOD\u2019s operational personnel requirements generally do not consider the full cost of active and reserve component personnel when determining the balance of active and reserve component medical forces. Officials from Army and Navy medical headquarters stated that cost generally does not inform their decisions about the balance of active and reserve personnel. Army officials noted they consider cost of a unit when making tradeoffs within the reserve component; however, cost was not cited by Army officials as a factor when determining between the active and reserve components. Navy officials noted that while it uses certain cost information when preparing the President\u2019s budget submission, cost is not explicitly considered when determining the balance of the active and reserve components. The Air Force is the only military department that has performed an assessment of the cost effectiveness of using active or reserve component medical personnel, although it had some limitations and did not impact the Air Force\u2019s active and reserve component mix decisions. Army, Navy, and Air Force officials cited other key factors which they consider in determining the balance of active and reserve component personnel, such as the availability of forces to deploy quickly, length of time needed in theater, capability needed, and frequency of deployments.", "Moreover, the military departments have not developed full cost information of medical personnel to use in their assessment of active and reserve balance. Army and Navy officials stated that they do not maintain full cost information on its active component and reserve component medical personnel. Navy provided programming cost for the reserve component but these rates were averages across the reserve component and not specific to medical. The Air Force\u2019s 2016 High Velocity Analysis attempted to assess the cost of active and reserve medical personnel and identify potential efficiencies within its medical workforce. However, this study was limited because it did not include the full cost of active and reserve component medical personnel. Specifically, the Air Force analysis considered only compensation and did not consider other benefits, such as medical education costs, and used average pay for officers and enlisted personnel regardless of the specialty or skill level. However, the full costs for certain medical personnel, such as officers, are generally higher than average military pay, as they are eligible for a significant number of special pays and benefits, such as graduate medical education and training. In fiscal year 2017, DOD obligated $788 million for special pays for active duty medical personnel, representing approximately 24 percent of the $3.3 billion obligated for all special pays across DOD, and $707 million for medical education. While the Air Force had full cost data for active component personnel, according to officials, they did not include it in their analysis because they did not have comparable cost data for the reserve component. Reserve medical personnel, when not mobilized, receive a fraction of what active duty personnel receive, and typically do not encumber significant education and training costs as reserve medical personnel generally are recruited as fully trained medical professionals.", "We have previously reported that when the reserve forces can successfully meet deployment and operational requirements, individual reserve-component units are generally less costly than similar active- component units. However, the full cost of medical personnel can vary based on a number of factors. Specifically, more than one reserve- component unit may be needed to achieve the same output as a single active-component unit. For example, the Army has a policy that states reserve-component physicians, dentists, and nurse anesthetists shall not be deployed for longer than 90 days. Thus, the Army would need to deploy four different reserve component physicians for successive 90-day rotations to fill a single 1-year active component requirement. Therefore, in some cases, using reserve units to achieve the same operational capacity over time may be more costly than using active units. However, the lack of full cost information on active and reserve component medical personnel is a barrier to an analytical-based determination on the balance between active and reserve component medical personnel.", "In 2013, we reported limitations with the DOD-wide software tool developed by Cost Assessment and Program Evaluation\u2014the Full Cost of Manpower\u2014which, among other things, is used to identify the full cost of active duty military personnel. Specifically, we reported that this tool has certain limitations for determining cost for certain cost elements. For example, instead of determining training cost by specialty, it estimates such costs by dividing total funding for such cost estimates by the number of military personnel. We recommended, among other things, that DOD, in order to improve its estimates and comparisons of the full cost of its workforces, develop guidance for cost elements that users have identified as challenging to calculate, such as general and administrative, overhead, advertising and recruiting, and training. DOD partially concurred with this recommendation but has not implemented this recommendation. We continue to believe that developing such costs is needed, especially for the medical community since training and education costs can be higher than in other communities. Moreover, in that report we also found that DOD did not include Reserve and National Guard personnel in their methodology for estimating and comparing the full cost to the taxpayer of work performed. We recommended DOD, among other things, develop business rules for estimating the full cost of National Guard and Reserve personnel. DOD partially concurred with this recommendation but has not implemented the recommendation and noted that a cost estimating function for reserve component personnel would be more complex than for active component and DOD federal civilian cost estimates. While we agree that developing cost estimates for the reserve component could be more complex, we continue to believe it is advisable for DOD to implement our recommendation.", "In a 2013 DOD report, DOD identified the cost of unit manning, training, and equipping as one of five factors that play a key role in decisions concerning the mix of active and reserve component forces. According to the report, cost is often outweighed by other factors when making active component and reserve component mix decisions, but should always be considered in active component and reserve component mix decisions. Further, DOD policy states that workforce decisions must be made with an awareness of the full costs of personnel to DOD and more broadly to the federal government, and highlights that the full cost of active duty personnel extends beyond cash compensation, and also includes other costs such as education and training.", "The military departments do not assess the full cost of personnel when determining the balance of active and reserve component medical forces because there is no DOD requirement to do so. Although DOD guidance states that cost is one of several factors that should be considered in active and reserve component balance decisions, the military departments have not conducted assessments of the full cost of active and reserve component personnel to inform their decisionmaking. Further, DOD and the military departments are unable to conduct any such assessments because they have not developed full cost information for active and reserve component medical personnel. Without developing full cost information for active and reserve component medical personnel and using that information in its determinations regarding the correct balance of such personnel, decision makers will not have complete information to make cost-effective choices about the balance of active and reserve component medical personnel."], "subsections": []}]}, {"section_title": "The Military Departments Have Established a Process to Assess the Appropriate Workforce Mix for Beneficiary Care within MTFs, but Face Challenges in Executing Their Plans", "paragraphs": ["The military departments have taken actions, such as establishing policies and procedures, to aid the execution of the appropriate workforce mix for providing beneficiary health care within MTFs. However, the military departments face challenges in executing their plans in several areas, including lengthy hiring and contracting processes and uncompetitive salaries and compensation. Further, the transfer of administrative responsibility for MTFs from the military departments to the DHA may present challenges to the management of the military medical personnel."], "subsections": [{"section_title": "The Military Departments Have Established Policies and Procedures to Evaluate the Risks, Costs, and Benefits of the Use of Personnel within Its Military Treatment Facilities", "paragraphs": ["The military departments manage the workforce within their MTFs by using various policies and procedures to determine their workforce needs and help assess the risks, costs, and benefits of using military, federal civilian, and contractor personnel to carry out their missions. Currently, each military department is responsible for determining its MTF personnel requirements: that is, the number of personnel needed to operate its MTFs based on predicted demand for health care from their military and beneficiary populations. To determine MTF personnel requirements, the military departments use their respective suite of manpower models or standards based on a number of factors, including historical medical workload information and the size of population eligible for care. According to Army and Navy medical command officials, the Army and Navy suites of models respectively include at least 36 and 46 medical specialties, and generally express historical medical workload in relative value units, a metric of the level of professional time, skill, training and intensity to provide a given clinical service. In contrast, according to Air Force medical agency officials, the Air Force suite of standards includes 11 medical specialties and expresses workload in patient encounters.", "According to military department officials, when considering how to meet their MTF personnel requirements given available resources, the number of military personnel is fixed and must be preserved since the operational medical personnel requirements support the readiness mission. The military departments therefore prioritize the distribution of military personnel across MTFs, and then consider how to fill the remaining authorizations with federal civilian personnel or by contracting medical services as appropriate. To make these decisions, the military departments utilize DOD workforce guidance, which requires a balance of risk and cost, but states that risk mitigation shall take precedence over cost-related concerns when necessary. DOD total workforce policies and procedures are outlined in: (1) DOD Directive 1100.4, which establishes guidance for total workforce management; and (2) DOD Instruction 1100.22, which outlines policies and procedures for determining the appropriate mix of personnel. In 2018, we reported that a DOD study found that the cost of federal civilian and contractor full-time equivalents varied by organization, location, and function being performed. According to Army, Navy, and Air Force officials, any changes to funded positions are made through formal processes and require an evaluation of the cost of the personnel options and the approval of the military departments\u2019 respective medical commands or agencies.", "The military departments\u2019 collective decisions determine their workforce mix. Figure 4 shows the number and percentage of each personnel type that provided or supported care in DOD-owned and operated MTFs for fiscal year 2017, in the United States and overseas."], "subsections": []}, {"section_title": "Military Departments Face Challenges in Executing Workforce Mixes at Military Treatment Facilities, and DHA Does Not Plan to Develop a Strategy to Address These Challenges", "paragraphs": ["The military departments face challenges to implementing their workforce mix of military, federal civilian, and contractor personnel. Our review, including interviews with military department officials responsible for medical personnel management and with the senior leadership of six MTFs, highlighted, as discussed below, the following distinct challenges: (1) the length of federal civilian hiring and contracting process, (2) uncompetitive federal civilian salaries and contractor compensation, and (3) FTE targets and hiring freezes."], "subsections": [{"section_title": "Length of Federal Civilian Hiring and Contracting Process", "paragraphs": ["Federal civilian hiring process. Senior officials at each of the six MTFs we spoke with stated the federal civilian hiring process, including its length and restrictions imposed by statute or policy, impedes their ability to hire desirable federal civilian candidates. Officials primarily attributed delays to the extended time for human resources offices to post a position and to process and refer applicants for interviews. For federal civilian personnel in DOD medical locations in fiscal year 2018, DOD officials reported an average hiring time of: 121 days for the Army, 157 days for the Navy, and 134 days for the Air Force.", "Legal restrictions can also extend the hiring process and hinder hiring desirable federal civilian candidates. For example, senior officials at five of six MTFs cited a statute requiring a 180-day waiting period before retired military personnel can be hired as DOD federal civilians and noted valuable candidates with military-specific subject matter expertise will instead seek employment in the private sector. Senior officials from one Air Force MTF stated they successfully submitted waivers to bypass the 180-day waiting period, but senior officials from one Army and one Navy MTF stated that the waiver process often takes as long as the waiting period.", "Senior officials from each of the six MTFs stated that hiring authorities, such as direct or expedited hiring authority, can help address challenges, but officials at four of six MTFs also expressed concerns about the adequacy of such flexibilities. Direct-hire authority allows agencies to fill occupations that have a severe candidate shortage or a critical hiring need, and is meant to expedite hiring. DOD designated a number of health care occupations as shortage category positions or critical need occupations in accordance with this expedited hiring authority. In 2017, DOD reported that it used expedited hiring authority in approximately 30 percent of hiring actions for its medical employees. Officials from one Navy MTF stated they have direct hiring authority, but their human resources office extends the process by requiring that the position be announced within the last 90 days, or else be re-announced, before they can utilize it. Army officials from one MTF stated interest in expanding the list of medical specialties granted direct hiring authority. Air Force officials from one MTF stated direct hire authority can help obtain qualified candidates, but does not necessarily shorten the hiring process.", "Challenges in the federal hiring process are a longstanding issue. In 2003, we reported on the need to improve executive agencies\u2019 hiring process, with the majority of federal agencies included in our review reporting that it takes too long to hire quality employees. Our 2016 review of the extent to which federal hiring authorities were meeting agency needs found that the Office of Personnel Management (OPM) and other agencies do not know if the authorities are meeting their intended purposes. In 2018, we reported that DOD\u2019s review of selected sites, including two MTFs, found: varying use of hiring authorities, management unfamiliarity with all available authorities, and a belief among managers that expanded use of some authorities is needed to produce more quality hires. Finally, our 2018 review of DOD laboratories\u2019 use of hiring authorities found that officials used hiring authorities, but identified challenges such as delays in processing the personnel action and the overall length of the hiring process.", "Contracting process. Senior officials at five of six MTFs stated there are challenges in obtaining contractor services, including the process time before personnel are available to perform work and restrictions imposed by statute. Senior officials from two Air Force MTFs stated that after the contract is awarded, contractors may have up to 60 days to present a candidate; officials from one MTF stated if the MTF rejects the candidate, then the vendor has another 30 to 60 days to find a candidate. According to officials at one Air Force MTF, at times they have to consider whether to accept a subpar candidate or leave a position vacant. Further, senior Air Force officials stated that controls on contract spending limit their flexibility in hiring. To help fill temporary contract positions, which are less attractive to candidates, officials stated the Air Force pays higher rates to the vendor that include the salaries of the personnel and vendor\u2019s overhead costs. In 2018, we reported that DOD\u2019s negotiated price of a contract includes direct costs, such as labor and non-labor costs, and indirect costs, such as overhead, and service contractor profit. Senior officials from the two Army MTFs stated that the moratorium on public- private competitions is a challenge because they cannot outsource federal civilian functions to contracted services when there are shortages of military or federal civilian personnel, even when it is the optimal choice. For example, according to officials, contractors cannot perform the functions of a civilian position when a civilian position is vacated."], "subsections": []}, {"section_title": "Uncompetitive Federal Civilian Salaries and Contractor Compensation", "paragraphs": ["Federal civilian employee salaries. Senior officials at each of the six MTFs stated it is a challenge to fill federal civilian medical positions because of lower salaries compared to the private sector. In 2017, DOD reported difficulty hiring and retaining health care workers due to competition from the private sector, among other things. We have previously reported challenges related to the ability to provide competitive salaries for some DOD health care providers. Specifically, in 2015 we reported that officials from all three military departments stated their inability to create compensation packages for federal civilian mental health providers to compete with the private sector affected their recruiting and retention of providers. In 2018, we noted similar concerns in recruiting military physicians.", "Senior officials from each of the six MTFs we spoke with stated that the ability to utilize hiring flexibilities, such as special salary rates, helps mitigate this challenge, but at four of six MTFs also expressed concerns about their adequacy. To provide higher pay for some occupations, OPM may establish a higher salary rate for an occupation or group of occupations in one or more geographic areas to address existing or likely significant handicaps in recruiting or retaining well-qualified employees. Senior officials from four of six MTFs stated special salary rates are helpful but not sufficient. Officials at one Navy MTF noted that two primary care providers left within the last year for better pay in the private sector, negatively affecting access to care. Officials at one Army MTF noted that the application for special salary rates can take 2 years or more, and therefore may not address short-term hiring needs. Further, officials from one Navy MTF stated they continue to face difficulty hiring for positions allowed special salary rates, such as pharmacist and registered nurse positions. Our 2017 review of federal agency use of special payment authorities approved by OPM\u2014such as special salary rates\u2014found that agencies reported that access to authorities had positive effects\u2014such as on staff retention and applicant quality\u2014but had few documented effectiveness assessments.", "DOD is also authorized to offer DOD health care personnel a number of salary rates established for Veterans Health Administration (VHA) personnel. For example, DOD established a civilian physicians and dentists pay plan using this authority. However, officials stated concerns about the rates\u2019 usefulness. Senior officials from one Air Force hospital noted that although the VHA salary levels are higher than the General Schedule levels that DOD typically offers, they may not be competitive with the private sector. Moreover, senior officials from one Army MTF expressed an interest in accessing VHA salary rates for additional occupations because Army personnel often leave to work at a nearby Veterans Affairs hospital for higher pay. In 2017, we reported on VHA physician recruitment and retention strategies and officials from the six VA medical centers in our review stated that physician salaries were often below those offered by local private sector, academic, and some state government employers.", "Contractor compensation. Senior officials from five of six MTFs stated private sector contractor vendors face the same challenges as the government regarding uncompetitive salaries. As a result, some contracts have low fill rates or go unfilled. For example, senior officials at one Navy MTF said one of its vendors has not been able to fill a clinical pharmacy position for more than a year. Additionally, senior officials at the other Navy MTF we spoke with stated that a vendor was not meeting its local needs because the fill rate at their MTF is lower than the average fill rate across all Navy MTFs, which is what the vendor is required to meet. Further, senior officials at two of six MTFs\u2014one Navy and one Air Force\u2014stated some of their vendors have attempted to fill positions by sending multiple providers on a part-time basis to fill the equivalent of one full-time position; they noted the part-time assignments are undesirable and can affect the quality of care."], "subsections": []}, {"section_title": "FTE Targets and Hiring Freezes", "paragraphs": ["Federal civilian FTE targets. Headquarters officials from each of the military departments stated that federal civilian FTE targets are a barrier to effective workforce mix management because they reduce flexibility in utilizing the most efficient personnel type to accomplish the beneficiary mission of the MHS. From fiscal years 2012 to 2017, OSD guidance directed the military departments to manage to a federal civilian FTE target. These targets were intended to prevent an increase in the size of the federal civilian workforce, even when federal civilians\u2019 performance of work is most cost-effective. For example, Air Force headquarters officials stated that due to the federal civilian FTE target, they generally default to hiring contractor personnel when new personnel needs arise. Further, Air Force headquarters officials stated they have not pursued in-sourcing of some contracted functions even though such actions might result in cost savings.", "The federal civilian FTE targets had varying effects on the operations of the six MTF\u2019s we spoke with. Senior officials at two of six MTFs\u2014one Navy and one Air Force\u2014stated that they have not been adversely affected by the federal civilian FTE targets because the relatively high number of vacancies in their funded federal civilian positions means that they never exceed their target. Conversely, officials at one Air Force MTF stated they have considered hiring additional private sector contractor services when they reach their allowed federal civilian FTEs.", "During the course of our review, DOD issued its National Defense Business Operations Plan for Fiscal Years 2018 to 2022, which states that it would discontinue the use of federal civilian FTE targets because they acted as artificial and arbitrary constraints on the workforce, and encouraged the military departments to utilize hiring flexibilities to identify the most appropriate and economical personnel type to achieve their mission. In 2002 we reported that federal hiring policies should, among other things, avoid arbitrary full-time equivalent or other arbitrary numerical goals.", "Federal civilian hiring freezes. Senior officials at five of six MTFs stated that federal civilian hiring freezes adversely affect MTF operations. As part of planning for sequestration in fiscal year 2013, DOD imposed hiring freezes on federal civilian personnel. Further, there was a federal civilian hiring freeze from January 2017 to April 2017. Senior officials from three of six MTFs reported that hiring freezes lower morale and elongate the already lengthy hiring process, even when they are granted waivers to continue to hire. Further, senior officials from one Army MTF stated hiring freezes limit their ability to shape their workforce, and often result in higher costs when they increase the size of their contracted workforce in accordance with their needs. We reported in 2018 that defense laboratory officials we surveyed identified government-wide hiring freezes as a challenge to hiring candidates, stating that candidates accepted other offers due to delays created by the freeze and that hiring efforts continue to be adversely affected even after a freeze is lifted.", "These three key hiring challenges limit the military departments\u2019 ability to strategically consider the advantages of converting one source of support to another, and limit their ability to hire the appropriate personnel type or for contract vendors to fill positions. According to senior MTF officials, these key hiring challenges and low fill rates in some areas can result in personnel gaps that can adversely affect the operations of MTFs. When personnel gaps arise, officials stated, military personnel often must work additional hours or must be borrowed from other facilities. Senior officials from one Navy MTF cited the example of a cost of about $16,000 in travel expenses for the temporary transfer of an active duty nurse stationed in Japan to work for a MTF in the United States for 3 months because the MTF was not able to fill the position by other means. Additionally, senior officials from one Air Force MTF noted that morale of its military staff is negatively affected by extra hours and additional responsibilities placed on them to ensure continued operations.", "Further, officials stated that personnel gaps can negatively affect care. Due to concerns about patient safety, MTFs may decide to discontinue some services at MTFs. Senior officials from five of six MTFs reported discontinuing some services as a result of these challenges and referred patients to the TRICARE network or to Veterans Affairs facilities. Referring patients to the private sector can have secondary effects on MTF operations, such as on hospital accreditations. Senior officials from one Navy MTF noted that in the past fiscal year they had to refer patients to private sector care after two hematology-oncology physicians resigned, which may affect their hematology-oncology program\u2019s accreditation. Senior officials at the other Navy MTF stated that in the last fiscal year they could not meet the minimum staffing standards for labor and delivery staff and therefore sent patients to the TRICARE network. They noted they are also having difficulty filling key administrative positions related to quality control of laboratory services and are concerned about maintaining their pathology program accreditation.", "Senior officials from MTFs reported varying fill rates for military and civilian personnel, and for the contractor personnel provided by private sector vendors. However, officials from the MTFs we spoke with stated that fill rates may not illustrate the availability of personnel. For example, officials stated that authorizations for military personnel are counted as filled even when a servicemember is deployed and therefore not working at the MTF. In addition, MTF officials stated that any on-board civilians without corresponding authorizations inflate the civilian fill rate, resulting in a fill rate of greater than 100 percent. In addition, DOD officials noted that DOD pays for contracted services and does not directly employ contractor personnel. Therefore, the fill rate for contractors represents either the number of authorized FTEs in the individual contract or positions filled by contactors noted on the MTF\u2019s force planning document, which could also result in fill rates of greater than 100 percent, even as other positions remain unfilled. The MTFs that we spoke with reported the following fill rates:", "Two Navy MTFs. The fill rates for military personnel, federal civilian personnel, and funded positions designated for contracted services were 79 percent, 81 percent, and 94 percent, respectively, at one Navy MTF and 93 percent, 53 percent, and 62 percent, respectively, at the other MTF.", "Two Air Force MTFs. The fill rates for military personnel, federal civilian personnel, and funded positions designated for contracted services were 98 percent, 86 percent, and 91 percent, respectively at one Air Force MTF and 94 percent, 74 percent, and 90 percent, respectively at the other MTF.", "Two Army MTFs. The fill rates for military personnel, federal civilian personnel, and funded positions designated for contracted services were 91 percent, 118 percent, and 87 percent, respectively at one Army MTF. At the other MTF, the fill rate for military personnel fill rate was 94 percent and for federal civilian personnel was 107 percent, but the MTF officials did not provide fill rate information for positions designated for contracted services because there are no corresponding authorizations on their force planning document.", "DOD has been taking some steps to attempt to address these key hiring challenges. Specifically, DOD\u2019s 2016 Strategic Workforce Plan included steps DOD was taking to address personnel gaps, such as a targeted recruitment program for critical skills, including 27 harder-to-fill medical occupations. In 2018, DOD published a Human Capital Operating Plan which states that it replaces the previously required Strategic Workforce Plan, but DOD does not yet have a plan of action specific to the medical professions. Further, DOD officials stated that components are encouraged to consider developing their own human capital operating plans. With regard to contracting, in response to a requirement in the National Defense Authorization Act for Fiscal Year 2017, DOD issued a status report in January 2018 on the development of its acquisition strategy for health care services at MTFs. The report notes that contracting for health care services is fragmented, and the report outlines DOD\u2019s plan to move toward a single contract vehicle for health care services and to establish metrics for the strategy, such as measurement of contract fill rates.", "While these steps represent efforts to address these challenges, responsibility for management of the federal civilian and contractor workforces within the MHS will soon see significant changes. Specifically, in December 2016, Congress directed the transfer of administrative responsibility for MTFs from the military departments to the DHA. Further, Congress amended the law in 2018 to specify that the transfer should be completed by September 30, 2021. The law also states that at each MTF, the Director of the DHA has the authority to determine total workforce requirements, direct joint manning, and address personnel staffing shortages, among other things.", "Although the DHA will soon begin to assume these responsibilities and the challenges associated with them, a senior OASD(HA) official responsible for human capital issues stated that the DHA currently has no strategic total workforce plan, or similar document, to help ensure execution of an appropriate workforce mix at its MTFs. According to GAO\u2019s key questions to assess agency reform efforts, strategic workforce planning should precede any staff realignments or downsizing, so that changed staff levels do not inadvertently produce skills gaps or other adverse effects that could result in increased use of overtime and contracting. GAO\u2019s key principles for effective strategic workforce planning and applicable federal regulations have shown that addressing a critical human capital challenge\u2014such as closing or reducing personnel gaps\u2014requires tailored human capital strategies and tools and metrics by which to monitor and evaluate progress toward reducing gaps. Although many hiring challenges are longstanding government-wide issues, GAO\u2019s model of strategic human capital management states that agencies need not wait for comprehensive civil service reform to modernize their human capital approaches. In addition, according to OPM\u2019s standards for strategic workforce planning, human capital strategies should be integrated with acquisition plans, among other things, such as DOD\u2019s acquisition strategy for health care services at MTFs.", "As the DHA finalizes its plans for assuming administrative control of MTFs, senior leaders may find that they face the same challenges reported by the military departments in executing an appropriate workforce mix. DHA could mitigate these challenges to executing the appropriate workforce mix in the MTFs by engaging in strategic workforce planning, including tailored human capital strategies, tools, and metrics by which to monitor and evaluate progress toward reducing gaps, and integrating this planning with DOD\u2019s acquisition strategy for health care services at MTFs."], "subsections": []}]}, {"section_title": "The Military Departments and DHA Have Not Decided How Military Personnel Will Meet Operational and Beneficiary Missions after the Transfer of Administrative Responsibility for MTFs to DHA", "paragraphs": ["The planned transfer of administrative responsibility for MTFs from the military departments to the DHA may present challenges to DOD\u2019s management of military personnel. Specifically, the military departments and DHA have not determined how military personnel will meet both the operational and beneficiary missions of the MHS after the transfer of administrative responsibility for MTFs to the DHA. Historically, each military department has been responsible for managing its military personnel to ensure it meets its operational mission and appropriately staffs its MTFs, and the challenge of balancing these missions was the responsibility of each respective military department. However, the transfer of administrative responsibility for MTFs to the DHA will separate these missions\u2014the operational mission will be the responsibility of the military departments, and the beneficiary mission will be the responsibility of the DHA, with military personnel used to support both missions. The plan for transfer of administrative responsibility for MTFs to the DHA states that the military departments will retain ultimate control over military personnel, who will work within the MTFs on a day-to-day basis to maintain their readiness to provide operational medical care, while the DHA will eventually assume responsibility for federal civilian and contractor personnel and all other aspects of MTF management. DOD officials stated that the planned transfer will allow the military departments to focus their attention on readiness to provide operational medical care, while the DHA will focus its attention on efficient management of beneficiary health care operations. As a result of this separation of missions, challenges in the management of military personnel could be exacerbated by transfer of responsibility for achieving these missions to separate organizations in the following three ways.", "First, DHA and the military departments have not clearly identified how they will manage the assignment of military personnel to MTFs. The implementation plan for transfer of administrative responsibility for MTFs to the DHA states that the departments will continue to be responsible for assignment of military personnel to MTFs. However, DOD\u2019s stated desire to place greater emphasis on the readiness mission may affect current MTF staffing practices. For example, military department officials told us that it is common practice to assign military personnel to locations that face challenges in hiring federal civilian and contractor medical personnel to maintain access to medical care in these locations. However, the transfer implementation plan states that the departments will provide military personnel to the MTFs only to the extent that the MTFs can provide sufficient workload to maintain providers\u2019 military medical Knowledge, Skills, and Abilities (KSAs). KSAs are a metric for military operational readiness that DOD has not yet finalized. Officials responsible for planning the transfer of administrative responsibility for MTFs to the DHA stated that the emphasis on fulfilling KSAs in the future may result in concentrating military providers in larger MTFs, which can provide opportunities for providers to fulfill KSAs. However, this change could create a disadvantage for smaller facilities, which may not be able to provide military providers with as much practice and already face challenges in hiring federal civilian and contractor personnel.", "Second, DHA and the military departments have not clearly identified how they will mitigate the effect of deployments of military medical personnel on MTF operations. When medical personnel are deployed out of MTFs to provide operational care, their absence can create a gap or reduction in capability at the affected MTF, according to military department officials. The military departments, prior to the transfer, manage deployments and are responsible for ensuring appropriate staffing at the MTFs in the absence of deployed personnel. Officials at all six of the MTFs we visited cited challenges with mitigating the effect of deployments on MTF operations. DOD has stated that after the transition, there will be no barriers to the military departments\u2019 access to personnel for deployment, and has highlighted options for addressing staffing gaps, such as using borrowed military personnel, contractors, or referral to the TRICARE network. However, officials at all six of the MTFs we spoke with stated that contracting for medical services was not sufficiently timely or effective, and officials at one MTF noted that referral to the TRICARE network was difficult in their area.", "According to officials within the MTFs of the National Capital Region, which is directly managed by the DHA and not the military departments, management of deployments and their adverse effect on hospital staffing has been a challenge. For example, officials cited a period in the summer of 2017 when, due to overlapping deployments across military departments, 8 of 9 general surgeons at Fort Belvoir Community Hospital in Virginia were simultaneously deployed, and patients had to be referred to private providers within the TRICARE network or sent to Walter Reed National Military Medical Center in Maryland.", "Although the military departments and the DHA have executed a Memorandum of Agreement concerning coordination for service personnel to fill scheduled deployments, this does not always prevent gaps in medical specialties. For example, officials noted that requests for volunteer deployments are not always vetted through NCR management. Further, addressing these gaps can be challenging. Specifically, officials cited difficulties in successfully contracting for medical services and reported that requests for backfill support from the reserve components has associated costs and is difficult to execute.", "Third, DHA and the military departments have not clearly identified how they will manage changes to the size or composition of the active duty medical workforce that affect workforce balance within MTFs. Since 2008, the military departments have been prohibited from converting medical positions designated for military personnel to positions that can be filled by federal civilians\u2014even when such conversions would result in cost savings. Air Force headquarters officials noted that they have identified more than 4,000 medical positions to review for possible conversion to achieve cost savings, particularly in medical specialties with excess military personnel, such as family practice and pharmacy. Air Force officials previously identified 4,724 positions for conversion beginning in fiscal year 2005, of which 1,449 were completed before the prohibition was enacted. The Army planned to convert 4,340 military positions from fiscal year 2006 through fiscal year 2011, of which 1,459 were completed before the prohibition was enacted. The Army restored 165 of planned conversions for fiscal year 2007, and reversed, or offset the remaining through growth in the active duty medical force after the prohibition was enacted.", "The National Defense Authorization Act for Fiscal Year 2017 allows for the prohibition on such conversions to be lifted after DOD submits a report that defines the military medical and dental requirements necessary to meet operational medical force readiness requirements, and lists the positions necessary to meet such requirements. However, decisions on conversions taken by the departments could affect MTF operations. Specifically, existing challenges with hiring federal civilian personnel could create challenges with military-to-civilian conversions. For example, DOD has stated that during the previous round of military to federal civilian conversions, changes in local market conditions affected the ability of the military departments to fill converted positions with civilians in a timely fashion. Medical headquarters officials the Army stated that they currently have no intention to use conversions if the prohibition is lifted; Navy officials stated they currently do not plan to use conversions since their military personnel requirements exceed their authorizations. Senior officials from one Navy MTF we spoke with stated that if conversions occurred, recruitment and retention challenges related to hiring federal civilian employees would need to be addressed to ensure such positions are filled.", "In addition, military department policies can affect workforce balance within MTFs. Specifically, in its modeling for operational medical personnel requirements, the Air Force includes a preference for uniformed personnel to receive primary care from uniformed medical personnel. Officials told us that this approach, known as the Critical Home Station, is because Air Force leadership believes that performance of this function by military personnel provides for increased accountability for medical readiness. For example, senior officials from one Air Force MTF stated they believe the policy is important for the Air Force to maintain access to information about health factors that could render a servicemember not medically qualified to deploy. Air Force medical headquarters officials estimate that the policy results in 2,000 positons reserved for military personnel that could be designated for federal civilian or contractor performance.", "Leading practices for results-oriented government state that cooperating federal agencies need to sustain and enhance their collaboration in several ways, including the development of policies and procedures to operate across agency boundaries and agreement on their respective roles and responsibilities. However, planning for the transition by the DHA and the military departments has not yet included development of policies and procedures for management of military personnel and agreement on specific roles and responsibilities for the military departments and the DHA in this process. The MHS process for collaborating across agency boundaries, known as MHS Governance, emphasizes collaborative work in the management of the MHS. This forum could provide an opportunity for the military departments and the DHA to develop policies and procedures for management of military personnel and agree on specific roles and responsibilities for the military departments and the DHA in this process. Until DHA and the military departments develop such policies and procedures and agrees on roles and responsibilities, the MHS may continue to face a number of challenges related to the transfer of administrative responsibility for MTFs to the DHA."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given the size of the MHS, its central importance to the success of DOD\u2019s mission, and its cost, having the right mix of military, federal civilian, and contractor personnel providing medical care within MTFs and in deployed operational settings should be a key priority for DOD leadership. While the military departments have policies and procedures in place to assess medical workforce mix in both settings, the shortcomings we have highlighted present barriers to achieving an appropriate workforce mix. Recently, such as in the 2018 National Defense Business Operations Plan, DOD has emphasized the need to reassess who can most efficiently perform all aspects of DOD\u2019s mission. However, the military departments\u2019 planning processes for operational medical personnel requirements continue to rely solely on military personnel, despite the use of federal civilians and contractors in operational settings, and the military departments have not developed full information on the cost of their medical forces and incorporated such information into decision-making processes about the mix of active and reserve component personnel. Similarly, the transfer of administrative responsibility for MTFs to the DHA represents an opportunity to reassess workforce mix at the MTFs. However, long-standing challenges in the management of federal civilian and contractor personnel, coupled with challenges related to the management of medical personnel after the transfer, could overshadow and cast doubt on the success of that reform. Without addressing the concerns we have highlighted, DOD may miss the opportunity presented by current transformation efforts in the MHS to ensure it has in place the most cost-effective mix of personnel in its workforce to accomplish its medical mission."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making five recommendations to the Department of Defense.", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Health Affairs, in coordination with the military departments, perform an assessment of the suitability of federal civilian and contractor personnel to provide operational medical care and incorporate the results of the assessment into relevant policies, if warranted. (Recommendation 1)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness require consideration of cost when making determinations regarding the mix of active and reserve component medical personnel. (Recommendation 2)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Health Affairs, in collaboration with the Director of Cost Assessment and Program Evaluation and the military departments, develop full cost information for active and reserve component medical personnel, and the military departments use that information in its determinations regarding the mix of active and reserve component medical personnel. (Recommendation 3)", "The Secretary of Defense should ensure that the Director of the Defense Health Agency develop a strategic total workforce plan which includes, among other things: (1) tailored human capital strategies, tools, and metrics by which to monitor and evaluate progress toward reducing personnel gaps, and; (2) integration of human capital strategies with acquisition plans, such as DOD\u2019s acquisition strategy for health care services at DOD\u2019s military treatment facilities. (Recommendation 4)", "The Secretary of Defense and the Secretaries of the Army, the Navy, and the Air Force, respectively, should ensure that accompanying the transfer of administrative responsibility for military treatment facilities to the Defense Health Agency, that the Defense Health Agency and the military departments develop policies and procedures for management of military personnel, including agreement on specific roles and responsibilities for the military departments and the Defense Health Agency in this process. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["In written comments on a draft of this report, DOD concurred with our five recommendations concerning additional assessments needed to better ensure an efficient MHS total workforce. DOD\u2019s comments are reprinted in appendix II.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Under Secretary of Defense for Personnel and Readiness, the Assistant Secretary of Defense for Health Affairs, the Director of Cost Assessment and Program Evaluation, the Director of the Defense Health Agency, and the Secretaries of the Army, the Navy, and the Air Force. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions regarding this report, please contact me at (202) 512-3604 or farrellB@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To address the extent to which the military departments\u2019 planning process for operational medical personnel requirements have assessed the mix of federal civilian, contractor, active and reserve medical personnel (i.e. workforce mix), we compared the military departments\u2019 efforts in planning for operational medical personnel requirements to the Department of Defense (DOD) and department-level policies and guidance on workforce mix determination and identifying the full cost of its military medical personnel. DOD Directive 1100.4 states that authorities should consider all available sources when determining workforce mix. DOD Instruction 1100.22 directs the steps that workforce planning authorities must take in planning for personnel requirements and emphasizes consideration of all potential workforce sources and an accurate understanding of personnel costs. We also reviewed related DOD documentation on identifying military essential positons and the use of alternative workforces. Specifically, DOD\u2019s National Defense Business Operations Plan for fiscal years 2018 through 2022 states that workforce rationalization strategies include, among other things, reassessing military manpower allocations for military essentiality and identifying functions and positions that are commercial in nature that may be appropriately or efficiently delivered via private sector support. Moreover, DOD\u2019s 2017 Workforce Rationalization Plan recognizes DOD\u2019s civilians as an essential enabler of its mission capabilities and operational readiness and noted that there are numerous opportunities for the military departments, combatant commands, and others to make well-reasoned adjustments to workforce mix.", "To determine the extent to which federal civilians and contractors were deployed to provide medical care we reviewed federal civilian and contractor deployment data from fiscal years 2013 through 2017. We analyzed data for this timeframe to enable us to identify deployments over the last 5 years, and fiscal year 2017 was the most recent full fiscal year of available data at the time of our review. To assess the reliability of these data, we electronically tested the data to identify obvious problems with completeness or accuracy and interviewed knowledgeable agency officials about the data. We found the data to be limited in that the deployment data may not be sufficiently reliable for identifying the universe of deployments. However, we found the data to be sufficiently reliable for the purposes of reporting that federal civilians and contractors have been deployed to provide medical care. Further, we interviewed officials from the Office of the Under Secretary of Defense for Personnel and Readiness (USD(P&R)), Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)), Defense Civilian Personnel Advisory Service, the military departments, and selected combatant commands to identify considerations and any challenges of using different personnel categories as workforce alternatives for meeting operational medical requirements.", "To determine the appropriate use of the active and reserve components for DOD\u2019s operational medical personnel military requirements, we compared the military departments\u2019 efforts in assessing their active and reserve balance to DOD and department-level policies and guidance. Specifically, in a 2013 DOD report issued in response to section 1080A of the National Defense Authorization Act for Fiscal Year 2012, DOD established five factors that play a key role in active and reserve component balance decisions, including the cost of unit manning, training, and equipping. According to the report, cost is often outweighed by other factors when making active component and reserve component mix decisions, but should always be considered in active component and reserve component mix decisions. DOD Instruction 7041.04 has guidance for military departments to use to identify the full cost of their active component, federal civilian, and contractor workforces. Moreover, we interviewed officials from the military departments to discuss: (1) how they determine their operational medical requirements and if they identified the full cost of active and reserve component medical personnel, and (2) the use of the active and reserve components for operational requirements and any efforts to assess the balance of active and reserve component medical personnel.", "To determine the mix of active and reserve component medical personnel, we analyzed authorization data from the Health Manpower and Personnel Data System for fiscal year 2017. We analyzed data for fiscal year 2017 because this was the most recent year of available data at the time of our review. To assess the reliability of these data, we electronically tested the data to identify obvious problems with completeness or accuracy and interviewed knowledgeable agency officials about the data. We found the data to be sufficiently reliable for reporting on the allocation of authorizations for active and reserve component medical personnel.", "To address how the military departments determine the most appropriate workforce mix at military treatment facilities (MTFs) and any challenges in executing an appropriate workforce mix, we reviewed DOD and department-level policies and guidance on workforce mix determination. We also reviewed the military departments\u2019 efforts in planning, staffing, and filling MTF requirements. We spoke with knowledgeable officials from the Office of the USD(P&R), OASD(HA), DHA, and the military departments and requested documentation related to how they oversee or implement legal or policy requirements, such as DOD Instruction 1100.22\u2019s manpower mix criteria, and the annual inventory of inherently governmental and commercial activity. To determine the proportion of reported military, federal civilian, and contractor personnel providing or supporting care in MTFs, we obtained budgetary data for fiscal year 2017, which was the most recent full fiscal year of available data at the time of our review. To assess the reliability of these data, we compared them to the information reported in the fiscal year 2017 Defense Health Program justification estimates published in February 2018 to identify key differences and interviewed knowledgeable agency officials about the data. We found the data to be sufficiently reliable for the purposes of describing workforce mix of military, federal civilian, and contractor personnel within MTFs.", "To understand how policies and procedures to determine and execute an appropriate workforce mix are implemented at MTFs, we interviewed military department medical command or agency officials responsible for implementing DOD total force policy. To better understand policy and procedure implementation at MTFs we selected six MTFs - two each from the Army, Navy, and Air Force - to allow a cross-section of views concerning the management of the military departments\u2019 workforce mix at the MTFs and hiring conditions in different types of labor markets. The two MTFs from each military department were selected based on consideration of average daily patient load and MTF bed size, which we obtained from the Defense Health Agency.", "For each MTF, we interviewed officials responsible for the leadership and management of MTF personnel and operations and requested and reviewed relevant documentation. We reviewed their responses, which highlighted some challenges related to achieving an appropriate workforce mix, and DOD\u2019s plans for addressing these challenges. We compared these to GAO\u2019s key questions to assess agency reform efforts, which note that strategic workforce planning should precede any staff realignments or downsizing, and GAO\u2019s key principles for effective strategic workforce planning, which state that addressing a critical human capital challenge\u2014such as closing or reducing personnel gaps\u2014requires tailored human capital strategies and tools and metrics by which to monitor and evaluate progress toward reducing gaps. We also reviewed these plans in light of OPM\u2019s standards for strategic workforce planning, which note that human capital strategies should be integrated with acquisition plans, among other things, such as DOD\u2019s acquisition strategy for health care services at MTFs. Finally, we requested from officials at each MTF information on personnel inventory and authorizations to understand their ability to fill military and civilian positions, and the contract vendors\u2019 ability to fill positions designated for contracted services.", "We also reviewed how the planned transfer of administrative responsibility for MTFs from the military departments to the DHA might affect DOD management of military personnel within the MHS. To identify (1) responsibilities of the military departments that may be transferred to the DHA, and (2) challenges that may continue under the new organizational structure, we reviewed relevant documentation and interviewed knowledgeable officials. To understand potential challenges related to the assignment of military personnel to MTFs, we interviewed military department officials responsible for the assignment of military personnel. To identify how deployments affect MTF operations, if at all, we interviewed officials responsible for the leadership and management of MTF personnel and operations. Lastly, to understand how the military departments manage the size and composition of the active duty medical workforce, we requested documentation related to the development of operational personnel requirements and interviewed knowledgeable officials. We also reviewed previous efforts to alter the size or composition of the active duty medical workforce, such as military to civilian conversions. We compared DOD\u2019s efforts to plan for these challenges to leading practices for results-oriented government, which state that cooperating federal agencies need to sustain and enhance their collaboration in several ways, including the development of policies and procedures to operate across agency boundaries and agreement on their respective roles and responsibilities.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Lori Atkinson, Assistant Director; Tracy Barnes; Alexandra Gonzalez; Adam Howell-Smith; Kirsten Leikem; Amie Lesser; Richard Powelson; Clarice Ransom; Stephanie Santoso; Amber Sinclair, and John Van Schaik; made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Military Personnel: Additional Actions Needed to Address Gaps in Military Physician Specialties. GAO-18-77. Washington, D.C.: February 28, 2018.", "Defense Health Reform: Steps Taken to Plan the Transfer of the Administration of the Military Treatment Facilities to the Defense Health Agency, but Work Remains to Finalize the Plan. GAO-17-791R. Washington, D.C.: September 29, 2017.", "Defense Health Care Reform: DOD Needs Further Analysis of the Size, Readiness, and Efficiency of the Medical Force. GAO-16-820. Washington, D.C.: September 21, 2016.", "Human Capital: Additional Steps Needed to Help Determine the Right Size and Composition of DOD\u2019s Total Workforce. GAO-13-470. Washington, D.C.: May 29, 2013.", "Military Personnel: DOD Addressing Challenges in Iraq and Afghanistan but Opportunities Exist to Enhance the Planning Process for Army Medical Personnel Requirements. GAO-11-163. Washington, D.C.: February 10, 2011.", "Military Personnel: Enhanced Collaboration and Process Improvements Needed for Determining Military Treatment Facility Medical Personnel Requirements. GAO-10-696. Washington, D.C.: July 29, 2010.", "Military Personnel: Status of Accession, Retention, and End Strength for Military Medical Officers and Preliminary Observations Regarding Accession and Retention Challenges. GAO-09-469R. Washington, D.C.: April 16, 2009."], "subsections": []}], "fastfact": ["Over 241,000 people work in DOD's health system, which reaches from the battlefield to large hospitals in the United States. The workforce includes active and reserve military, federal civilian staff, and private sector contractors.", "Officials we spoke with at 5 of 6 selected military hospitals reported having to send patients outside the system for medical care due to challenges including:", "civilian hiring freezes", "lengthy hiring and contracting processes.", "We recommended that the Defense Health Agency, which is in the process of assuming control of DOD hospitals and clinics, develop a strategic workforce plan to address these challenges."]} {"id": "GAO-18-585T", "url": "https://www.gao.gov/products/GAO-18-585T", "title": "Prescription Opioids: Medicare Needs Better Information to Reduce the Risk of Harm to Beneficiaries", "published_date": "2018-05-29T00:00:00", "released_date": "2018-05-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Misuse of prescription opioids can lead to overdose and death. Medicare and Medicaid, two of the nation's largest health care programs, provide prescription drug coverage that can include opioids. GAO and others have reported on inappropriate activities and risks associated with these prescriptions.", "This statement is based on GAO's October 2017 report (GAO-18-15) and discusses (1) CMS oversight of Medicare beneficiaries who receive opioid prescriptions under Part D, and (2) CMS oversight of providers who prescribe opioids to Medicare Part D beneficiaries. For the October 2017 report, GAO reviewed CMS opioid utilization and prescriber data, CMS guidance for plan sponsors, and CMS's strategy to prevent opioid misuse. GAO also interviewed CMS officials, the six largest Part D plan sponsors, and 12 national associations selected to represent insurance plans, pharmacy benefit managers, physicians, patients, and regulatory and law enforcement authorities."]}, {"section_title": "What GAO Found", "paragraphs": ["In October 2017, GAO found that the Centers for Medicare & Medicaid Services (CMS) provided guidance on the monitoring of Medicare beneficiaries who received opioid prescriptions to plan sponsors\u2014private organizations that implement the Medicare drug benefit, Part D\u2014but it lacked information on most beneficiaries at risk of harm from opioid use. Specifically, GAO found that", "CMS provided guidance to plan sponsors on how they should monitor opioid overutilization among Medicare Part D beneficiaries, and required them to implement drug utilization review systems that use criteria similar to CMS's. Prior to 2018, the agency's criteria focused on beneficiaries who did all the following: (1) received prescriptions of high doses of opioids, (2) received prescriptions from four or more providers, and (3) filled prescriptions at four or more pharmacies. According to CMS, this approach focused actions on beneficiaries the agency determined to have the highest risk of harm. For 2018, CMS revised the criteria to include more at-risk beneficiaries.", "CMS's criteria, including recent revisions, did not provide sufficient information about the larger population of potentially at-risk beneficiaries. CMS estimated that, in 2015, 727,016 beneficiaries would have received high doses of opioids regardless of the number of providers or pharmacies, but only 33,223 would have met its revised criteria. In 2016, CMS began to collect information on some of these beneficiaries using a higher dosage threshold for opioid use. However, based on Centers for Disease Control and Prevention guidelines, CMS's approach also missed some who could be at risk of harm. As a result, CMS had limited information to assess progress against the goals of the Medicare and Medicaid programs' Opioid Misuse Strategy, which includes activities to reduce risk of harm to beneficiaries.", "CMS provided oversight on prescribing of drugs at high risk of abuse through a variety of projects, but did not analyze data specifically on opioids. According to CMS officials, CMS and plan sponsors identified providers who prescribed large amounts of drugs with a high risk of abuse, and those suspected of fraud or abuse may be referred to law enforcement. However, GAO found that CMS did not identify providers who may be inappropriately prescribing large amounts of opioids separately from other drugs, and did not require plan sponsors to report actions they take when they identified such providers. As a result, CMS lacked information that it could use to assess how opioid prescribing patterns are changing over time, and whether its efforts to reduce harm are effective."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In the October 2017 report, GAO made three recommendations that CMS (1) gather information on the full number of at-risk beneficiaries receiving high doses of opioids, (2) identify providers who prescribe high amounts of opioids, and (3) require plan sponsors to report to CMS on actions related to providers who inappropriately prescribe opioids. HHS concurred with the first two recommendations, but not with the third. GAO continues to believe the recommendation is valid, as discussed in the report and in this statement."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to discuss our October 2017 report on oversight of opioid prescribing in the Medicare program. Misuse of prescription opioids, which are used to treat both acute and chronic pain, has become a serious public health problem for the U.S. population, including Medicare and Medicaid beneficiaries. The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), reported that from 1999 to 2013 the rate of drug poisoning deaths from prescription opioids nearly quadrupled, and that in 2016, alone, there were more than 17,000 overdose deaths from prescription opioids.", "The Centers for Medicare and Medicaid Services (CMS), also within HHS, administers Medicare and Medicaid, two of the nation\u2019s largest health care programs. Medicare is a federal health insurance program for people age 65 and older, individuals under age 65 with certain disabilities, and individuals diagnosed with end-stage renal disease. Within Medicare is Part D, the program\u2019s outpatient prescription drug benefit. Medicaid is a joint federal-state program that finances health care coverage for certain low-income and medically needy individuals. Due to concerns about adequacy of oversight, both Medicare and Medicaid are on our list of high-risk programs.", "HHS\u2019s Office of Inspector General (HHS-OIG) reported that 14.4 million people (about one-third) who participated in Medicare Part D in 2016 received at least one prescription for opioids, and that Part D spending for opioids in 2016 was almost $4.1 billion. We and the HHS-OIG have previously reported on inappropriate activities that can be associated with such prescriptions, including \u201cdoctor shopping\u201d to receive multiple opioid prescriptions from different providers; the diversion of prescription drugs for uses other than what was intended; and questionable prescribing practices by providers.", "The Medicaid program also covers opioid prescriptions for its beneficiaries. In our prior work, we have reported on potentially inappropriate activities involving Medicaid\u2019s prescription drug coverage. In 2017, for example, we reported on prescriptions for opioid pain medication among Medicaid beneficiaries. In that report, we noted that while opioid pain medication can constitute proper medical care for beneficiaries suffering from painful conditions, the use of these medications among Medicaid beneficiaries with diagnosed opioid abuse or dependence raises concerns about potential inappropriate prescribing. In addition, in a July 2015 report, we found indicators of potential Medicaid prescription-drug fraud and abuse, such as doctor shopping.", "In March 2015, HHS announced plans to make addressing opioid abuse a high priority through two broad goals: (1) decreasing opioid overdoses and overall overdose deaths, and (2) decreasing the prevalence of opioid use disorder. In 2016, CDC issued guidelines with recommendations for prescribing opioids in outpatient settings for chronic pain. The guidelines recommended that providers use caution when prescribing opioids at any dose, carefully reassess evidence of individual benefits and risks when increasing opioid dosage to 50 mg morphine-equivalent dose (MED) per day or more, and avoid or carefully justify dosage at 90 mg MED or more.", "CDC guidelines also noted that providers should use additional caution in prescribing opioids to patients aged 65 and older, because the drugs can accumulate in the body to toxic levels. Further, in January 2017, CMS issued its Opioid Misuse Strategy for the Medicare and Medicaid programs, including Medicare Part D. The strategy includes the agency\u2019s plans to address concerns about beneficiary use of opioids and the prescribing of opioids by providers.", "My remarks today discuss the findings and recommendations from our 2017 report on CMS efforts to oversee prescription opioids in Medicare. Accordingly, this testimony focuses on how: (1) CMS oversees beneficiaries who receive opioid prescriptions under Medicare Part D, and (2) CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries.", "For our report, we reviewed CMS opioid utilization and prescriber data, CMS guidance for plan sponsors\u2014private organizations, such as health insurance companies, contracted by CMS to provide outpatient drug benefit plans to Medicare beneficiaries\u2014and CMS\u2019s strategy to prevent opioid misuse. We also interviewed officials from CMS, the six largest Part D plan sponsors, and 12 national associations selected to represent insurance plans, pharmacy benefit managers, physicians, patients, and regulatory and law enforcement agencies. More detailed information on our objectives, scope, and methodology for that work can be found in the issued report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "CMS Delegated Monitoring of Beneficiaries who Receive Opioid Prescriptions to Plan Sponsors, but Did Not Have Sufficient Information on Those Most at Risk for Harm", "paragraphs": [], "subsections": [{"section_title": "CMS Delegated Monitoring of Individual Beneficiaries\u2019 Opioid Prescriptions to Plan Sponsors", "paragraphs": ["Our October 2017 report found that CMS provided guidance to Medicare Part D plan sponsors on how they should monitor opioid overutilization problems among Part D beneficiaries. The agency included this guidance in its annual letters to plan sponsors, known as call letters; it also provided a supplemental memo to plan sponsors in 2012. Among other things, these guidance documents instructed plan sponsors to implement a retrospective drug utilization review (DUR) system to monitor beneficiary utilization starting in 2013. As part of the DUR systems, CMS required plan sponsors to have methods to identify beneficiaries who were potentially overusing specific drugs or groups of drugs, including opioids.", "Also in 2013, CMS created the Overutilization Monitoring System (OMS), which outlined criteria to identify beneficiaries with high-risk use of opioids, and to oversee sponsors\u2019 compliance with CMS\u2019s opioid overutilization policy. Plan sponsors may use the OMS criteria for their DUR systems, but they had some flexibility to develop their own targeting criteria within CMS guidance. At the time of our review, the OMS considered beneficiaries to be at a high risk of opioid overuse when they met all three of the following criteria: 1. received a total daily MED greater than 120 mg for 90 consecutive 2. received opioid prescriptions from four or more health care providers in the previous 12 months, and 3. received opioids from four or more pharmacies in the previous 12 months.", "The criteria excluded beneficiaries with a cancer diagnosis and those in hospice care, for whom higher doses of opioids may be appropriate.", "We found that through the OMS, CMS generated quarterly reports that list beneficiaries who met all of the criteria and who were identified as high- risk, and then distributed the reports to the plan sponsors. Plan sponsors were expected to review the list of identified beneficiaries, determine appropriate action, and then respond to CMS with information on their actions within 30 days. According to CMS officials, the agency also expected plan sponsors to share any information with CMS on beneficiaries that they identified through their own DUR systems. We found that some actions plan sponsors may take included the following:", "Case management. Case management may include an attempt to improve coordination issues, and often involves provider outreach, whereby the plan sponsor will contact the providers associated with the beneficiary to let them know that the beneficiary is receiving high levels of opioids and may be at risk of harm.", "Beneficiary-specific point-of-sale (POS) edits. Beneficiary-specific POS edits are restrictions that limit these beneficiaries to certain opioids and amounts. Pharmacists receive a message when a beneficiary attempts to fill a prescription that exceeds the limit in place for that beneficiary.", "Formulary-level POS edits. These edits alert providers who may not have been aware that their patients are receiving high levels of opioids from other doctors.", "Referrals for investigation. According to the six plan sponsors we interviewed, the referrals can be made to CMS\u2019s National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC), which was responsible for identifying and investigating potential Part D fraud, waste, and abuse, or to the plan sponsor\u2019s own internal investigative unit, if they have one. After investigating a particular case, they may refer the case to the HHS-OIG or a law enforcement agency, according to CMS, NBI MEDIC, and one plan sponsor.", "Based on CMS\u2019s use of the OMS and the actions taken by plan sponsors, CMS reported a 61 percent decrease from calendar years 2011 through 2016 in the number of beneficiaries meeting the OMS criteria of high risk\u2014from 29,404 to 11,594 beneficiaries\u2014which agency officials considered an indication of success toward its goal of decreasing opioid use disorder.", "In addition, we found that CMS relied on separate patient safety measures developed and maintained by the Pharmacy Quality Alliance to assess how well Part D plan sponsors were monitoring beneficiaries and taking appropriate actions. In 2016, CMS started tracking plan sponsors\u2019 performance on three patient safety measures that were directly related to opioids. The three measures were similar to the OMS criteria in that they identified beneficiaries with high dosages of opioids (120 mg MED), beneficiaries that use opioids from multiple providers and pharmacies, and beneficiaries that do both. However, one difference between these approaches was that the patient safety measures separately identified beneficiaries who fulfill each criterion individually."], "subsections": []}, {"section_title": "CMS Did Not Have Sufficient Information on Most Beneficiaries Potentially at Risk for Harm", "paragraphs": ["Our October 2017 report also found that CMS tracked the total number of beneficiaries who met all three OMS criteria as part of its opioid overutilization oversight across the Part D program. However, the agency did not have comparable information on most beneficiaries who receive high doses of opioids\u2014regardless of the number of providers and pharmacies used\u2014and who therefore may be at risk for harm, according to CDC\u2019s 2016 guidelines. These guidelines noted that long-term use of high doses of opioids\u2014those above a MED of 90 mg per day\u2014are associated with significant risk of harm and should be avoided if possible.", "Based on the CDC guidelines, outreach to Part D plan sponsors, and CMS analyses of Part D data, CMS has revised its current OMS criteria to include more at-risk beneficiaries beginning in 2018. The new OMS criteria define a high user as an individual having an average daily MED greater than 90 mg for any duration; receiving opioids from four or more providers and four or more pharmacies, or from six or more providers regardless of the number of pharmacies, for the prior 6 months.", "Based on 2015 data, CMS found that 33,223 beneficiaries would have met these revised criteria. While the revised criteria would help identify beneficiaries who CMS determined are at the highest risk of opioid misuse and therefore may need case management by plan sponsors, they did not provide information on the total number of Part D beneficiaries who may be at risk of harm. In developing the revised criteria, CMS conducted a one-time analysis that estimated there were 727,016 beneficiaries with an average MED of 90 mg or more, for any length of time during a 6 month measurement period in 2015, regardless of the number of providers or pharmacies used. According to the CDC guidelines, these beneficiaries may be at risk of harm from opioids, and therefore tracking the total number of these beneficiaries over time could help CMS to determine whether it is making progress toward meeting the goals specified in its Opioid Misuse Strategy to reduce the risk of opioid use disorders, overdoses, inappropriate prescribing, and drug diversion. However, CMS officials told us that the agency did not keep track of the total number of these beneficiaries, and did not have plans to do so as part of OMS. (See fig. 1.)", "We also found that in 2016, CMS began to gather information from its patient safety measures on the number of beneficiaries who use more than 120 mg MED of opioids for 90 days or longer, regardless of the number of providers and pharmacies. The patient safety measures identified 285,119 such beneficiaries\u2014counted as member-years\u2014in 2016. However, this information did not include all at-risk beneficiaries, because the threshold was more lenient than indicated in CDC guidelines and CMS\u2019s new OMS criteria. Because neither the OMS criteria nor the patient safety measures included all beneficiaries potentially at risk of harm from high opioid doses, we recommended that CMS should gather information over time on the total number of beneficiaries who receive high opioid morphine equivalent doses regardless of the number of pharmacies or providers, as part of assessing progress over time in reaching the agency\u2019s goals related to reducing opioid use. HHS concurred with our recommendation."], "subsections": []}]}, {"section_title": "CMS Oversees Providers through its Contractor and Plan Sponsors, but Efforts Did Not Specifically Monitor Opioid Prescriptions", "paragraphs": ["Our October 2017 report found that CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries through its contractor, NBI MEDIC, and the Part D plan sponsors.", "NBI MEDIC\u2019s data analyses to identify outlier providers. CMS required NBI MEDIC to identify providers who prescribe high amounts of Schedule II drugs, which include but are not limited to opioids. Using prescription drug data, NBI MEDIC conducted a peer comparison of providers\u2019 prescribing practices to identify outlier providers\u2014the highest prescribers of Schedule II drugs\u2014and reported the results to CMS.", "NBI MEDIC\u2019s other projects. NBI MEDIC gathered and analyzed data on Medicare Part C and Part D, including projects using the Predictive Learning Analytics Tracking Outcome (PLATO) system. According to NBI MEDIC officials, these PLATO projects sought to identify potential fraud by examining data on provider behaviors.", "NBI MEDIC\u2019s investigations to identify fraud, waste, and abuse.", "NBI MEDIC officials conducted investigations to assist CMS in identifying cases of potential fraud, waste, and abuse among providers for Medicare Part C and Part D. The investigations were prompted by complaints from plan sponsors; suspected fraud, waste, or abuse reported to NBI MEDIC\u2019s call center; NBI MEDIC\u2019s analysis of outlier providers; or from one of its other data analysis projects.", "NBI MEDIC\u2019s referrals. After identifying providers engaged in potential fraudulent overprescribing, NBI MEDIC officials said they may refer cases to law enforcement agencies or the HHS-OIG for further investigation and potential prosecution.", "Plan sponsors\u2019 monitoring of providers. CMS required all plan sponsors to adopt and implement an effective compliance program, which must include measures to prevent, detect, and correct Part C or Part D program noncompliance, as well as fraud, waste, and abuse. CMS\u2019s guidance focused broadly on prescription drugs, and did not specifically address opioids.", "Our report concluded that although these efforts provided valuable information, CMS lacked information necessary to adequately oversee opioid prescribing. CMS\u2019s oversight actions focused broadly on Schedule II drugs rather than specifically on opioids. For example, NBI MEDIC\u2019s analyses to identify outlier providers did not indicate the extent to which they may be overprescribing opioids specifically. According to CMS officials, they directed NBI MEDIC to focus on Schedule II drugs, because these drugs have a high potential for abuse, whether they are opioids or other drugs. However, without specifically identifying opioids in these analyses\u2014or an alternate source of data\u2014CMS lacked data on providers who prescribe high amounts of opioids, and therefore cannot assess progress toward meeting its goals related to reducing opioid use, which would be consistent with federal internal control standards. Federal internal control standards require agencies to conduct monitoring activities and to use quality information to achieve objectives and address risks. As a result, we recommended that CMS require NBI MEDIC to gather separate data on providers who prescribe high amounts of opioids. This would allow CMS to better identify those providers who are inappropriately and potentially fraudulently overprescribing opioids. HHS agreed, and in April 2018 reported that it is working with NBI MEDIC to separately identify outlier prescribers of opioids.", "In addition, our 2017 report found that CMS also lacked key information necessary for oversight of opioid prescribing, because it did not require plan sponsors to report to NBI MEDIC or CMS cases of fraud, waste, and abuse; cases of overprescribing; or any actions taken against providers. Plan sponsors collected information on cases of fraud, waste, and abuse, and could choose to report this information to NBI MEDIC or CMS. While CMS receives information from plan sponsors who voluntarily reported their actions, it did not know the full extent to which plan sponsors had identified providers who prescribed high amounts of opioids, or the full extent to which sponsors had taken action to reduce overprescribing. We concluded that without this information, it was difficult for CMS to assess progress in this area, which would be consistent with federal internal control standards. In our report, we recommended that CMS require plan sponsors to report on investigations and other actions taken related to providers who prescribe high amounts of opioids. HHS did not concur with this recommendation. HHS noted that plan sponsors have the responsibility to detect and prevent fraud, waste, and abuse, and that CMS reviews cases when it conducts audits. HHS also stated that it seeks to balance requirements on plan sponsors when considering new regulatory requirements. However, without complete reporting\u2014such as reporting from all plan sponsors on the actions they take to reduce overprescribing\u2014we believe that CMS is missing key information that could help assess progress in this area. Due to the importance of this information for achieving the agency\u2019s goals, we continue to believe that CMS should require plan sponsors to report on the actions they take to reduce overprescribing."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["In conclusion, a large number of Medicare Part D beneficiaries use potentially harmful levels of prescription opioids, and reducing the inappropriate prescribing of these drugs has been a key part of CMS\u2019s strategy to decrease the risk of opioid use disorder, overdoses, and deaths. Despite working to identify and decrease egregious opioid use behavior\u2014such as doctor shopping\u2014among Medicare Part D beneficiaries, CMS lacked the necessary information to effectively determine the full number of beneficiaries at risk of harm, as well as other information that could help CMS assess whether its efforts to reduce opioid overprescribing are effective. It is important that health care providers help patients to receive appropriate pain treatment, including opioids, based on the consideration of benefits and risks. Access to information on the risks that Medicare patients face from inappropriate or poorly monitored prescriptions, as well as information on providers who may be inappropriately prescribing opioids, could help CMS as it works to improve care.", "Chairman Toomey, Ranking Member Stabenow, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgements", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact me at (202) 512-7114 or DeniganMacauleyM@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Will Simerl (Assistant Director) and Carolyn Feis Korman (Analyst-in-Charge). Also contributing were Amy Andresen, George Bogart, Andrew Furillo, Drew Long, and Vikki Porter.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["What can Medicare do to help address the nation's opioid crisis?", "We've previously found problems such as \"doctor shopping\" and questionable prescribing practices in Medicare's prescription drug benefits. 14.4 million people were prescribed at least one opioid through Medicare in 2016. While many opioids prescribed addressed legitimate need, others may have been overprescribed.", "This testimony revisits our analysis of Medicare's efforts to reduce inappropriate opioid prescribing. We suggested ways to help Medicare collect information on doctor investigations and at-risk beneficiaries that could help it determine whether its efforts are working."]} {"id": "GAO-18-324", "url": "https://www.gao.gov/products/GAO-18-324", "title": "Missile Defense: The Warfighter and Decision Makers Would Benefit from Better Communication about the System's Capabilities and Limitations", "published_date": "2018-05-30T00:00:00", "released_date": "2018-05-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2002, MDA has been developing a Ballistic Missile Defense System that can identify and intercept enemy threats. MDA has received approximately $132 billion and is planning to spend an additional $47.8 billion through fiscal year 2022 to continue its efforts.", "The National Defense Authorization Act for Fiscal Year 2012 included a provision that GAO annually assess and report on the extent to which MDA has achieved its acquisition goals and objectives. This report addresses (1) the progress MDA made in achieving fiscal year 2017 goals; (2) the extent to which MDA uses contracting vehicles known as undefinitized contract actions; and (3) the extent to which models provide credible information about the system's operational performance. To do this work, GAO reviewed planned fiscal year 2017 baselines and other documentation and assessed them against baseline reviews and GAO's acquisition best practices guides. In addition, GAO interviewed relevant officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal year 2017, the Missile Defense Agency (MDA) made mixed progress in achieving its delivery and testing goals.", "MDA continued to deliver assets to the military services. However, system-level integrated capabilities, such as some discrimination and integrated cyber defense improvements, were delayed and delivered with performance limitations.", "Several programs achieved notable firsts, including the first intercept of an Intercontinental Ballistic Missile. However, one program experienced a failure, and other tests were delayed or deleted.", "Moreover, GAO found challenges in MDA's processes for communicating the extent and limitations of integrated capabilities when they are delivered. As a result, warfighters do not have full insight into the capabilities MDA delivers.", "GAO found that the average length of the undefinitized period and the not-to-exceed price of MDA's undefinitized contract actions, which authorize contractors to begin work before an agreement on terms, specifications, or price have been agreed upon, have increased over the past 5 years. While MDA policy permits use of undefinitized contracts on a limited basis, GAO and others have found that they can place unnecessary cost risks on the government.", "MDA does not completely assess BMDS performance using traditional flight tests. Instead, MDA relies on models, some of which produce data with limited credibility. According to Department of Defense and MDA policy, models used to operationally assess weapons systems must be accredited to ensure they reflect the real-world system. In addition, using unaccredited models increases the risk that test results could be distorted, and leaves decision makers without key information on how the system will perform. While MDA has taken steps to improve its models, it has used many models in system operational ground tests that were not certified for that use (see figure). Additionally, MDA does not communicate model limitations to some decision makers.", "Percentage of Accredited Models Used in Operational Assessments of Ballistic Missile Defense System Capability Deliveries, 2015 through 2017"]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations to, among other things, improve the way MDA communicates capability deliveries; better report information about MDA's use of undefinitized contract actions; and address the challenges MDA has encountered with certifying its test models and communicating limitations of those models. DOD partially concurred with the first recommendation and concurred with the other five. GAO continues to believe the recommendations are valid as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 2002, the Missile Defense Agency (MDA) has received approximately $131.8 billion to develop, integrate, and deliver the Ballistic Missile Defense System (BMDS). For fiscal year 2017, MDA requested $8.2 billion to continue its missile defense efforts and is planning to spend an additional $47.8 billion through fiscal year 2022 to continue to develop the system to detect, track, and defeat enemy ballistic missiles. To date, we have issued 14 reports covering MDA\u2019s annual progress and made recommendations to address challenges in developing and fielding BMDS capabilities, as well as other transparency, accountability, and oversight issues. While MDA has taken steps to implement some of our recommendations, going forward, it will continue to face important challenges as it works to develop, integrate, and deliver capability, increase transparency, and strengthen its investment decisions.", "Various National Defense Authorization Acts since 2002 have included provisions for us to prepare annual assessments of MDA\u2019s progress toward meeting its acquisition goals. Specifically, the National Defense Authorization Act for Fiscal Year 2012, as amended, included a provision for us to report annually on the extent to which MDA has achieved its acquisition goals and objectives, as reported in its acquisition baselines in the BMDS Accountability Report, and include any other findings and recommendations on MDA\u2019s acquisition programs and accountability, as appropriate.", "This year, our 15th annual report addresses: (1) the progress MDA and its missile defense elements made in achieving fiscal year 2017 delivery and testing goals; (2) the extent to which MDA uses undefinitized contract actions and any cost or schedule risks these contracts may have; and (3) the extent to which missile defense models and simulations used in testing provide decision makers with credible information about operational performance of the BMDS. In addition, later this summer, we plan to issue a separate classified report on the extent to which MDA has processes in place to integrate intelligence community threat assessments into its acquisitions.", "We focused our assessment on MDA\u2019s progress towards achieving its delivery and testing goals, including its process for reporting on and delivering integrated capabilities. To evaluate asset delivery and testing goals, we reviewed MDA\u2019s planned baselines as expressed in the BMDS Accountability Report for fiscal year 2017, approved February 29, 2016, as well as the Integrated Master Test Plan and its mid-year update. We assessed these plans against previous years\u2019 plans as well as those for 2018, as they became available. We compared these plans to the agency\u2019s actual delivery and testing achievements recorded in agency documents and through interviews with agency officials, contractors, and relevant officials in the Department of Defense\u2019s (DOD) Office of the Director of Operational Test and Evaluation (DOT&E) and Office of the Deputy Assistant Secretary of Defense for Developmental Test and Evaluation as well as officials from U.S. Northern Command and the Joint Functional Component Command for Integrated Missile Defense. We also provided detailed questionnaires to the 10 MDA programs included in the BMDS Accountability Report on these programs\u2019 accomplishments as well as challenges encountered during the course of fiscal year 2017. To assess MDA\u2019s process for delivering integrated capabilities, we reviewed MDA\u2019s directives and instructions, interviewed relevant program officials, and compared this information to management documents and processes that declare new BMDS capabilities ready for operational acceptance by one of the combatant commands.", "To assess the contracting practices used to achieve the planned fiscal year 2017 goals, we focused on MDA\u2019s use of contract vehicles where contract terms, specifications, or price are not agreed upon before work is begun, known as \u201cundefinitized contract actions.\u201d To evaluate MDA\u2019s use of undefinitized contract actions, we included questions about their use in our questionnaires and reviewed regulations regarding these actions as found in the Defense Federal Acquisition Regulation Supplement (DFARS) and an MDA instruction on acquisition management. We reviewed management documentation authorizing the use of specific undefinitized contract actions since 2013, as well as MDA contracting data regarding the value, timing, and terms of these actions for the same period. We also interviewed MDA contracting officials to discuss the factors that influence the decision to use undefinitized contract actions and the practices they employ to protect the government\u2019s interests in the use of these actions.", "To evaluate the extent to which missile defense models and simulations used in ground testing provide decision makers with credible information about operational performance of the BMDS, we reviewed modeling and simulation planning and assessment documentation. In addition, we reviewed operational ground test results including the BMDS Operational Test Agency\u2019s (BMDS OTA) and MDA\u2019s Modeling and Simulation accreditation reports to determine the accreditation status and the limitations. We reviewed MDA and DOD\u2019s instructions and guidance documents regarding how models are properly verified, validated, and accredited and used in operational assessments. Specifically, we evaluated DOD Instruction 5000.61 regarding modeling and simulation verification, validation, and accreditation; MDA Instruction 8315.04 on BMDS Modeling and Simulation Management; the BMDS OTA Modeling and Simulation Accreditation Plan; and DOT&E\u2019s recent memos on modeling and simulation verification, validation, and accreditation. We also conducted interviews with relevant officials in MDA, Office of the Secretary of Defense Testing Evaluators, the BMDS OTA, and experts in the modeling and simulation field.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["MDA is responsible for developing a number of systems, known as elements, with the purpose of defending against ballistic missile attacks. MDA\u2019s mission is to combine these elements into an integrated system- of-systems, known as the Ballistic Missile Defense System. Specifically, the goal of the BMDS is to combine the abilities of two or more elements to achieve objectives that would not have been possible for any individual element. These emergent abilities are known as \u201cintegrated capabilities\u201d or \u201cBMDS-level capabilities.\u201d Table 1 provides a list and description of elements included in our review."], "subsections": [{"section_title": "MDA\u2019s Acquisition Flexibilities and Steps to Improve Traceability and Oversight", "paragraphs": ["When MDA was established in 2002, it was granted exceptional flexibilities to set requirements and manage the acquisition of the BMDS\u2014developed as a single program\u2014that allow MDA to expedite the fielding of assets and integrated ballistic missile defense capabilities. These flexibilities allow MDA to diverge from DOD\u2019s traditional acquisition life cycle and defer the application of acquisition policies and laws designed to facilitate oversight and accountability until a mature capability is ready to be handed over to a military service for production and operation. Some of the laws and policies include such things as: obtaining the approval of a higher-level acquisition executive before making changes to an approved baseline, reporting certain increases in unit cost measured from the original or current baseline, obtaining an independent life-cycle cost estimate prior to beginning system development and/or production and deployment, and regularly providing detailed program status information to Congress, including specific costs, in Selected Acquisition Reports.", "In response to concerns related to MDA\u2019s flexibilities, Congress and DOD have taken a number of actions. For example, Congress enacted legislation in 2008 requiring MDA to establish cost, schedule, and performance baselines\u2014starting points against which to measure progress\u2014for each element that has entered the equivalent of system development or is being produced or acquired for operational fielding. MDA reported its newly established baselines to Congress for the first time in its June 2010 BMDS Accountability Report. Since that time, Congress has provided more detailed requirements for the content of these baselines. Additionally, to enhance oversight of the information provided in the BMDS Accountability Report, MDA continues to incorporate suggestions and recommendations from us. However, not all of our recommendations have been fully implemented."], "subsections": []}, {"section_title": "MDA\u2019s Process for Delivering Capabilities", "paragraphs": ["Because MDA is not a military service, it does not abide by the same policies that the services use for delivering capabilities. Instead, a process exists whereby MDA declares an asset or capability ready for delivery for potential operational use. During this process, MDA communicates the capabilities and limitations of its delivery, and provides evidence supporting these assertions. Representatives from the receiving military service or combatant command then have the ability to assess this evidence and decide whether to accept the new capability. Because the military services conduct minimal missile defense testing of their own, this process is one of the only ways to convey vital performance information. The accuracy of this information is especially important as it informs training materials, doctrine, and deployment decisions.", "Typically, MDA makes capability deliveries through approved changes to its Operational Capacity Baseline (OCB). Proposed changes to the baseline are coordinated with the warfighter, including the affected combatant commands. Subsequently, the combatant commands assess these element capabilities to determine whether to accept them. This process is used for the vast majority of deliveries, including relatively minor ones such as software patches and updates.", "In recent years, MDA has declared major capabilities ready for delivery through a process that culminates in the issuance of a Technical Capability Declaration (TCD). According to MDA officials, the primary purpose of a TCD is to allow MDA\u2019s senior management to manage the delivery of integrated, BMDS-level capabilities that require more than one element to function; however, TCDs have also been issued in response to mandates from the President."], "subsections": []}, {"section_title": "MDA\u2019s Contracting Practices", "paragraphs": ["Though MDA has flexibilities in managing the acquisition process, it must follow the same contracting regulations that apply to DOD, including the Federal Acquisition Regulation and the Department of Defense Federal Acquisition Regulation Supplement (DFARS). We reviewed MDA\u2019s use of a particular type of contract action that authorizes a contractor to begin work before contract terms, specifications, or price have been agreed upon. These \u201cundefinitized contract actions\u201d are permitted by the DFARS, with certain limitations. Undefinitized contract actions are generally used when negotiation of a definitive contract action is not possible in sufficient time to meet the government\u2019s requirements and the government\u2019s interest demands that the contractor be given a binding commitment so that contract performance can begin immediately. Under the DFARS, undefinitized contract actions must include a specific \u201cnot-to-exceed\u201d price. Once the action\u2019s terms, specifications, and price have been agreed upon or determined, a process known as definitization, the contract action converts to a \u201cdefinitive\u201d contract.", "Under the DFARS, undefinitized contract actions must contain definitization schedules that provide for definitization by the earlier of (1) 180 days after issuance or (2) the date on which the amount of funds obligated under the action is more than 50 percent of the not-to-exceed price. Once the government has received a qualifying proposal from the contractor, however, the government can extend the undefinitized period another 180 days. Similarly, the government may obligate up to 75 percent of the not-to-exceed price, if the contractor submits the qualifying proposal before 50 percent of the not-to-exceed price has been obligated. The amount of funds obligated should be consistent with the contractor\u2019s requirements for the undefinitized period. Figure 1 shows the expected time frame and amount the government should spend within a specified period."], "subsections": []}, {"section_title": "Models and Simulations Used in Operational Testing of the BMDS", "paragraphs": ["The BMDS is a system of systems that cannot be completely assessed using intercept flight tests that are operationally representative because of the system\u2019s scope and complexity and safety constraints. Consequently, MDA, independent DOD testing organizations, and the warfighter must rely heavily on representations of the integrated BMDS called models and simulations in ground testing, rather than live tests, to test the operational performance of the whole BMDS against attacks with more threats represented. In ground testing, each BMDS element is represented by a model and connected to a computer framework. During ground test execution, a model of threat ballistic missiles is applied to the framework and stimulates the modeled representations of BMDS elements to react. The resulting simulation models a BMDS engagement. Figure 1 illustrates the BMDS ground test sequence.", "To ensure that BMDS models and simulations accurately represent the real-world operational BMDS capabilities and that the limitations of the model are understood, they are verified, validated, and accredited. The verification, validation, and accreditation process is designed to identify and gather evidence needed to certify that the model and its associated data used in ground testing are acceptable for operational testing. No model is completely representative of the real world so the verification, validation, and accreditation process is used to assess the extent to which it reflects the operational performance of the BMDS in the real world, and how any modeling deficiencies impacted ground test results. Any modeling limitations identified in the verification, validation, and accreditation process restrict the extent to which ground test data can be used for BMDS assessment. For example, limitations in modeled sensor tracking of the threat restrict the extent to which tracking data can be relied on for interpreting operational real-world performance. Figure 2 illustrates the verification, validation, and accreditation process.", "The BMDS Operational Test Agency (OTA) is responsible for analyzing the verification and validation data for the models used in operational BMDS tests and provides accreditation recommendations to the Commanding General, Army Test and Evaluation Command, an independent accreditation authority for operational testing. In this role, the BMDS OTA develops accreditation criteria and assesses if the model can be used for operational assessments against these criteria. The BMDS OTA is also responsible for analyzing the extent to which the threat model, once it is applied to the ground testing framework, can be traced back to the threat model that MDA developed and the intelligence community\u2019s description of the threat."], "subsections": []}]}, {"section_title": "MDA Made Some Progress, but Did Not Meet Many of Its Acquisition Goals, and Has Inconsistently Applied Its Capability Delivery Processes", "paragraphs": ["In fiscal year 2017, MDA made some progress delivering assets, including BMDS-level capabilities and conducting tests. However, MDA did not meet many of its goals as expressed in the Ballistic Missile Defense System Accountability Report for fiscal year 2017, its integrated master test plan, and master integration plan. Specifically, MDA continued to deliver interceptors for three elements and successfully conducted its first test against an intercontinental ballistic missile target. In addition, MDA announced the delivery of one package of integrated BMDS-level capabilities through a technical capability declaration (TCD), which had been delayed from the previous year, and planned to complete the delivery of another set of capabilities by March 2018. MDA, however, did not complete its goals for delivering assets, specifically for the THAAD interceptors or conducting planned testing for Aegis BMD. We also identified several deficiencies in MDA\u2019s processes for communicating progress in delivering integrated capabilities."], "subsections": [{"section_title": "MDA Achieved Mixed Results in Delivering Assets and BMDS-Level Capabilities, Adhering to the Planned Test Schedule", "paragraphs": ["MDA made progress delivering assets against its backlogs from fiscal year 2016, while its test program achieved several notable milestones. MDA also delivered several new integrated capabilities, though not always on time and often with reduced content compared to what was planned to be delivered. In addition, not all deliveries and testing objectives were met, and MDA made a number of changes, additions, and deletions to its test and capability delivery schedule during the year.", "Elements: While BMDS elements made progress delivering assets, including some that were delayed from fiscal year 2016, MDA did not meet all of its asset delivery goals as planned. For a summary of MDA\u2019s major asset deliveries for fiscal year 2017, see table 2 below.", "Both the Aegis Standard Missile-3 (SM-3) Block IB and Ground-based Midcourse Defense (GMD) programs succeeded in achieving their asset delivery goals for the fiscal year, although both included acceptance of assets delayed from prior fiscal years. Specifically, due to quality issues and design problems discovered during testing, production on the Aegis SM-3 Block IB interceptor was temporarily halted in fiscal year 2016, and as a result MDA fell short of its deliveries for that year by 15 interceptors. To make up for this, MDA rolled over an additional 15 interceptor deliveries into fiscal year 2017, for a total delivery of 55 interceptors. In addition, MDA achieved its goal of delivering 44 ground-based interceptors by the end of calendar year 2017. However, some programs that achieved their milestones continued to employ high-risk approaches to acquisition, which we have recommended MDA reduce in previous reports. In addition, MDA maintains an ambitious schedule for key programs, such as for GMD\u2019s Redesigned Kill Vehicle program. For more information regarding specific programs, see appendixes II through X.", "Other MDA elements missed asset delivery milestones. The Command, Control, Battle Management, and Communications (C2BMC) software spiral (or version) 8.2-1 was previously due to be delivered in October 2017, but was delayed again from its new date of December 2017 to second quarter of 2018. This spiral will play an important role in several tests of integrated capabilities, such as FTM-29, which was executed in January 2018. The Terminal High Altitude Area Defense (THAAD) program\u2019s delivery of interceptor Lot 6 was scheduled to be delivered by the end of June 2017, but has since been delayed to the second quarter of 2018. THAAD officials stated this delay was due to a component production issue as well as the addition of 12 additional interceptors to the fiscal year 2017 procurement.", "Additionally, the Army and MDA have reached an impasse regarding the transfer of the THAAD program from MDA to the Army. MDA and the Army have been directed by the Deputy Secretary of Defense to develop a memorandum of agreement that would guide the transfer of the THAAD and AN/TPY-2 programs to the Army, and the National Defense Authorization Act for fiscal year 2018 requires the Secretary of Defense to transfer the acquisition authority of all missile defense programs that have received full-rate production authority, which includes THAAD, to the military departments not later than the date the President\u2019s fiscal year 2021 budget is submitted. The Army, however, has identified a $10.1 billion requirements gap, and the Secretary of the Army issued a memo that he would non-concur with the transfer of the THAAD program in its current state. There is currently no plan or timeline to resolve the issue. We will continue to follow this issue in our future work.", "Finally, additional delays to the construction of the Aegis Ashore facility in Poland resulted in significant schedule compression, reducing the time allotted for installation and checkout activities from 16.5 months to 9.5 months. MDA initially maintained that the site would be delivered on schedule, but early in fiscal year 2018 the agency announced that the site would not be delivered until at least December 2019.", "Integrated BMDS Capability Increments: MDA also encountered challenges delivering packages of integrated capabilities, which it refers to as \u201cincrements.\u201d Increment deliveries signify delivery of integrated BMDS-level capabilities, which are designed to significantly improve effectiveness and efficiency of the BMDS over its constituent elements working independently. MDA planned to deliver two increments in 2017, but both were delayed, and some constituent capabilities were removed and are planned to be delivered in future increments. For instance, MDA was late in delivering Increment 3, known as \u201cDiscrimination Improvements for Homeland Defense \u2013 Near Term.\u201d We previously reported on schedule slips to this increment from its initial September 2016 delivery date to December 2016. However, program documentation indicates that MDA encountered further challenges in fiscal year 2017 that required an additional delay to March 2017. According to MDA officials, this most recent delay was driven by additional time needed to analyze testing results. However, we found that GMD had experienced development delays for some software upgrades leading up to assessment and integration activities.", "Moreover, MDA\u2019s Increment 4, known as \u201cEnhanced Homeland Defense,\u201d was not completed in December 2017 as planned, because a C2BMC and a key GMD upgrade initially planned to support four BMDS-level capabilities intended for this increment would not be available until the second quarter of fiscal year 2018. MDA officials told us that they will rely on the current GMD software version, which lacks some key improvements, until this upgrade is delivered. Additionally, MDA significantly reduced the content of its BMDS cyberdefense capability planned for Increment 4. MDA documentation originally planned to deliver this capability with 10 elements and, prior to testing, the BMDS OTA declared four elements to be priorities. Of these four, MDA has conducted the assessment for only three. The remaining BMDS elements will deliver cyberdefense capabilities in future increment deliveries.", "MDA\u2019s plans for delivery of future capabilities continue to be volatile. For example, plans for Increment 6 in fiscal year 2021, which will include delivering a new radar and kill vehicle for GMD, now require its capabilities to be broken up into three sub-increments delivered across several years, some as late as 2023, with multiple new capabilities added and several others deferred to Increment 7. Many of these delays continue to postpone achievement of BMDS integration, needed to improve performance against realistic attacks with multiple ballistic missiles.", "Most recently, MDA again delayed a capability designed to improve automated coordination between regional BMD shooters\u2014that is, Aegis BMD, THAAD, and Patriot. While initially planned for delivery in 2015 with Increment 2, in fiscal year 2017, the capability was further delayed, from 2020 to 2023. In addition, a further integration capability that would centralize and automate command decisions across the BMDS will not be available until December 2025. See figure 3 for more information on how capabilities have been delayed within and across increments.", "Testing: MDA successfully completed most of its planned tests in fiscal year 2017 and achieved several notable milestones, though MDA continued to add, alter, delete, or delay parts of its test schedule throughout the year. Within the elements included in this report, MDA had nine tests in its fiscal year 2017 test plan, of which it conducted six as planned. MDA also added three additional tests to its plan over the course of the year. A summary of these tests can be found in table 3.", "Many of these tests are notable firsts for MDA, though others indicate continuing challenges.", "FTG-15 was a success, in which a Ground-Based Interceptor with a Configuration-2 booster and a CE-II Block I Exo-atmospheric Kill Vehicle intercepted for the first time an intercontinental ballistic missile with threat representative characteristics. In addition, this was the first use of the new booster avionics and upgrades to the software. The success of this test was necessary to deliver Increment 4\u2019s requirements for Enhanced Homeland Defense. However, Department of Defense operational testing officials stated that the complexity and objectives of the test had been scaled back from what MDA originally planned.", "SFTM-01 was a success, in which an Aegis BMD SM-3 Block IIA missile intercepted a medium-range ballistic missile target. This was the first intercept test for the Aegis BMD SM-3 Block IIA.", "SFTM-02 was a failure, as the Aegis BMD SM-3 Block IIA interceptor failed to intercept its medium-range ballistic missile target. MDA officials stated that the interceptor acted \u201cas designed\u201d during the test, and the Navy is considering whether changes to its tactics, techniques, and procedures may be warranted. MDA officials maintained that this developmental test existed in part for risk- reduction ahead of fiscal year 2018\u2019s FTM-29, in which the Aegis BMD SM-3 Block IIA would have to intercept an intermediate-range ballistic missile for the first time. Despite the failure, MDA has chosen not to reschedule and has instead re-assigned SFTM-02\u2019s objectives to FTM-29.", "FTT-18 was a success, in which a THAAD battery intercepted an intermediate-range ballistic missile target. This test was originally planned for several years ago, as part of the 2015 delivery of Increment 2, and has been delayed in part due to issues with range availability. This is the first demonstration of THAAD against an intermediate-range ballistic missile target despite a THAAD battery having been delivered to Guam for this mission in 2013.", "FET-01, previously known as FTT-15, was a success, demonstrating THAAD\u2019s ability to intercept a target in the endo-atmospheric stage of flight. MDA re-classified the test a \u201cFlight Experiment\u201d midway through fiscal year 2017 to reflect its more observational and experimental nature. The test objectives for FET-01 have changed several times, and while the final iteration of test objectives did not include intercept as an objective, an intercept against a medium-range ballistic missile target was achieved nonetheless."], "subsections": []}, {"section_title": "MDA\u2019s Process for Managing the Delivery of BMDS-Level Capabilities Is Not Applied Consistently and Has Unclear Requirements", "paragraphs": ["When MDA declares a capability ready for delivery to warfighters, it communicates the capabilities and limitations of the delivered asset. This information is critical for allowing warfighters to make informed decisions about whether to accept the capability, how to prepare for its deployment, and how to plan for its use. Typically this process occurs through the Operational Capacity Baseline (OCB) change process, which is structured around the delivery of new capabilities to individual elements. Alternately, as noted above, when MDA declares a key integrated, BMDS-level capability ready for delivery, it does so through a process which culminates in the issuance of a Technical Capability Declaration (TCD). The TCD is a memorandum signed by the Director, MDA and is usually reserved for significant new capabilities such as: those mandated by the President; or delivery of integrated BMDS-level capabilities that require more than one element to function.", "This last category of capabilities is especially important as, according MDA\u2019s charter, the BMDS is intended to be an integrated and interoperable system. Integration is important in order to counter the larger-scale and more complex attacks that are likely to occur during a conflict. We have reported since 2014 that MDA has taken steps to improve the management and reporting of integrated capabilities, and to increase the level of BMDS integration. While MDA has recently made some progress in the area of integrated capabilities, the majority of MDA\u2019s capability deliveries continue to be made at the element level. Until recently, MDA has done little to document the requirements and process for issuing a TCD, resulting in an inconsistent and, at times, ad- hoc process.", "We found inconsistencies in MDA\u2019s decisions regarding which integrated, BMDS-level capabilities MDA would deliver through a TCD, and which it would not. For example, since 2015, the agency planned to deliver 14 integrated, BMDS-level capabilities, but delivered only 7 through the TCD process. According to MDA\u2019s prior capability delivery documents, several of these excluded capabilities were intended to be part of the formal TCD delivery during the planning stage, but were dropped at some later point. According to MDA officials, those deliveries were made when all their constituent elements were delivered via the OCB process.", "MDA officials acknowledged that distinctions between requirements for element-level deliveries and BMDS-level capabilities were not readily apparent in their policy and took steps in fiscal year 2017 to do so. MDA issued a memorandum on Technical Capability Declaration Planning and Definitions in June 2017 to help distinguish element-level OCB deliveries and deliveries of integrated BMDS capabilities that would occur via TCD. This document established several definitions and requirements such as assigning responsibilities, establishing lines of authority, and defining some requirements that are not found in the other guidance document that MDA uses to govern TCD. The June 2017 memorandum also identified which capabilities through 2023 that MDA will deliver via a TCD, and identified some ways to add a new capability to the list of those receiving a TCD.", "While MDA\u2019s new policy represents a substantial improvement in the management of the TCD process, it does not address several important problems with the TCD process. Specifically, although MDA has identified capabilities that it plans to deliver using a TCD, it does not identify any criteria or reasoning that guided this determination. It also does not explain the criteria MDA will apply to future capabilities under consideration for a TCD, leaving open the possibility of the same inconsistent application MDA has used in the past. Moreover, the capabilities it identified for a TCD are only a subset of all planned integrated, BMDS-level capabilities. Consequently, only some integrated capabilities are currently planned to be delivered to the warfighter with comprehensive information about their performance and limitations at the BMDS level. Unless MDA requires that all integrated capabilities are delivered via the TCD process, as the BMDS becomes more integrated, military services and other decision makers will have reduced insight into the capabilities and limitations of the BMDS as a whole.", "MDA\u2019s June 2017 policy also establishes some processes governing the requirements for, and development of, test plans in support of a TCD, but it does not address some of the most problematic aspects of this process to date. Specifically, the new policy requires convening an Assessment Requirements Review board to develop a baseline for a planned TCD, determine what capabilities will be included, and identify what test plans will be necessary to generate the \u201cbody of evidence\u201d that MDA will provide in support of the TCD\u2019s assertions regarding capabilities and limitations.", "However, we found that Assessment Requirements Reviews can be held shortly before the planned delivery date\u2014which affords no opportunity to build the test plan around the requirements identified in the review. MDA held Assessment Requirement Reviews in preparation for two of the previous three TCDs. The timing of these reviews in relation to the date of the TCD\u2019s issuance suggests that they had little influence on MDA\u2019s actual test plans. MDA officials stated that an Assessment Requirement Review is ideally held 18 months to 2 years prior to the issuance of the related TCD. However, we found that, for recently issued TCDs, the reviews were held much closer to the beginning of testing and the planned TCD delivery. For example, for the TCD issued in December 2017 that delivered 44 ground-based interceptors, MDA held this review less than 8 weeks in advance. Figure 4 depicts the timeline of the Assessment Requirements Review as compared to the start of testing for the TCD and the TCD delivery date.", "Because these reviews identify requirements that must be tested, the Assessment Requirements Review would ideally inform MDA\u2019s test plans so that each component of the integrated capability could be adequately tested by the planned delivery date. But because the policy does not give exact requirements, process, and key milestones necessary to issue a TCD, MDA is able to hold an Assessment Requirements Review that merely acknowledges the results of tests already completed.", "These practices are consistent with our prior findings on MDA, which identified a lack of a management framework for delivering integrated capabilities, and showed that the lack of this framework resulted in concurrency, fragmentation of development activities, and delays for some originally planned capabilities. According to DOD\u2019s guidance on acquisition and testing, a program\u2019s test and evaluation strategy should begin with a review of requirements so that management can devise a test and evaluation strategy that generates the knowledge necessary to inform the acquisition and operational decisions of a program. Holding the Assessment Requirement Review so close to the planned delivery date affords no opportunity to build the test plan around the requirements identified in the review, and instead only ratifies the results of a test plan that was not necessarily developed with these requirements in mind."], "subsections": []}]}, {"section_title": "MDA\u2019s Use of Undefinitized Contract Actions Poses Cost and Schedule Risks to the Government", "paragraphs": ["Undefinitized contract actions are authorized when the negotiation of a definitive contract is not possible in sufficient time to meet the government\u2019s requirements and government interests demand that the contractor be given a binding commitment so that contract performance can begin immediately, and are subject to certain limitations. Our analysis of MDA contracting from fiscal year 2013 to fiscal year 2017 shows that the combined not-to-exceed price of all undefinitized contract actions entered in a given year, and the average time it takes to definitize undefinitized contract actions, have increased. GAO has reported that while this type of contract action may be necessary under certain circumstances, it is considered risky in part because the government may incur unnecessary costs if requirements change before the contract is definitized. Though MDA reports on its contracting activities in its annual BMDS Accountability Report, its reporting on details unique to undefinitized contract actions is often inconsistent or even absent.", "MDA\u2019s Acquisition Management Instruction 5013.02-INS states that undefinitized contract actions will be used only on \u201can extremely limited basis\u201d and only when negotiating contract terms before the contractor begins work is not feasible, such as when delay \u201cwould adversely impact mission accomplishment.\u201d Our prior work, as well as that of the DOD inspector general, has found that this type of contract action is considered risky in part because the government may incur unnecessary costs if requirements change before the contract is definitized. Under undefinitized contract actions, substantial funds may be obligated before essential questions of contract scope and system design have been settled.", "Over the past 5 years, the average length of the undefinitized period and not-to-exceed price for MDA\u2019s undefinitized contract actions have increased. Since 2013, MDA has entered into 11 undefinitized contract actions as shown in table 4.", "MDA\u2019s use of undefinitized contract actions has fluctuated between one and five instances per year. The combined not-to-exceed price of all such contract actions entered into each year has increased, however, from $2.5 million in fiscal year 2013 to $1.4 billion in fiscal year 2017 as shown in figure 5. The average time to definitize these contract actions has steadily increased as well, from 78 days in fiscal year 2013, to over 600 days in fiscal year 2016 (see figure 6). Two undefinitized contracts were awarded in fiscal year 2017 and both exceeded 180 days without definitization.", "The value of MDA\u2019s undefinitized contract actions entered into in a given year, as measured by their combined not-to-exceed prices, has risen significantly. The length of the undefinitized period has also risen on average. Together, these figures show that MDA may be initiating contractor work with incomplete knowledge of the requirements or costs involved.", "With regard to the increasing duration of the undefinitized period, MDA contracting officials told us that when they do not achieve definitization within 180 days, it is often because the contractor\u2019s proposal is not adequately supported by a sound estimate, and negotiation past 180 days is necessary to achieve a fair and reasonable price. They added that the task of making this determination is made more complicated by the highly developmental nature of the work that MDA often conducts. For example, the 2015 undefinitized contract action for Aegis BMD SM-3 Block IIA test interceptors remained undefinitized for 629 days. According to MDA officials, this delay was due in part to the difficulty of accurately estimating costs on a highly developmental project.", "MDA officials reported having to develop a substantial knowledge base and consult closely with other DOD entities that would have insight into the costs of similar projects, after the undefinitized contract action was entered into. Using an undefinitized contract action in this case, however, was not without risk to the government. MDA made major financial commitments to a program before it fully understood the requirements or the costs.", "To mitigate the risks related to these contract actions, MDA\u2019s Instruction requires all undefinitized contract actions to be supported by a determination and findings that articulates the requirement to begin performance prior to a negotiated agreement, the not-to-exceed price and the definitization schedule. The DFARS and MDA instruction require all undefinitized contract actions to be approved by the Director, MDA. MDA officials told us that they interpret the MDA Instruction to require that the Director, MDA, sign determination and findings documents in support of undefinitized contract actions. In addition, MDA contracting officials stated that to further mitigate the risks related to undefinitized contract actions, they, as a matter of practice, strive to obligate only the minimum amount of funding necessary to achieve definitization. Officials indicated that doing so limits the cost risk for the government, and forces programs to think carefully about what work needs to be done prior to definitization and its likely costs.", "While the Director, MDA is required to sign the determination and findings document, in one instance, this document specifically authorized the program to amend the requirements and not-to-exceed price without further formal approval from the Director, MDA. This specific undefinitized contract action was the largest MDA has entered into since fiscal year 2013. MDA entered into the undefinitized contract action in May 2017, authorizing the design, development, and initial production of the GMD program\u2019s Redesigned Kill Vehicle (RKV), with a not-to-exceed price of $1.088 billion.", "This undefinitized contract action will allow MDA to continue with the RKV program despite significant cost, schedule, and performance risks, some of which the determination and findings document for the RKV undefinitized contract action acknowledged. When MDA released its acquisition strategy for the RKV in 2015, it predicted the phase covered by this contract action would cost approximately $800 million, covering initial testing and production of up to eight RKVs for initial fielding. Officials stated that the current contract action, with a not-to-exceed price of $1.088 billion, is for only four interceptors, although since it is undefinitized, that is subject to change. If the RKV program definitizes this contract action according to its schedule in May 2018, after 12 months, this will result in the definitization of the contract action with less than a year remaining before the program\u2019s critical design review. In other words, the government will have agreed on contract terms, including costs, after much of the design work and related costs have been incurred. As of February 2018, MDA reports obligating $324 million, or 30 percent of the not-to-exceed price, to this undefinitized contract action. This is in excess of the $244 million planned for the undefinitized period at the time of award.", "As part of MDA\u2019s annual BMDS Accountability Report, MDA reports on its planned performance and schedule for the coming fiscal year across several baselines, one of which is dedicated to contracting performance. MDA provides these baselines in response to statutory requirements. By establishing these baselines and then reporting any deviations in cost, schedule, or performance as a program proceeds, the BMDS Accountability Report provides information for oversight by identifying areas of program risk and their causes to decision makers. Baselines also help ensure that the full financial commitment is considered before embarking on major development efforts.", "These reports contain some information on undefinitized contracts. However, the information is often inconsistently presented and distributed throughout the report. Information specific to undefinitized contract actions is often absent, such as the following: the definitization schedule (that is, the expected time frame for finalizing contract terms); the amount of funds obligated to the action for the undefinitized period; or any changes to the above that have occurred since award of the action.", "As a result, decision makers in Congress have limited insight into how MDA is handling the risks that come with undefinitized contract actions, or how the programs enacting these contracts are performing. For example, these reports do not typically disclose how much has been obligated under an undefinitized contract action, or if this amount has increased since the contract was awarded. They do not report if the not-to-exceed value has been revised, or if the current definitization schedule adheres to the schedule determined at the time of award."], "subsections": []}, {"section_title": "Despite Steps Taken to Improve BMDS Modeling Capabilities, Modeling Challenges Limit the Credibility and Accuracy of BMDS Performance Data", "paragraphs": ["Despite taking steps to improve the realism of the models it uses for ground testing, MDA continues to face challenges with its models. As a result, decision makers lack key information about BMDS performance, which could lead to miscalculations about how best to employ the BMDS and where to focus future capability development and investment. Specifically, MDA continues to encounter challenges with ensuring that its models and simulations are accredited for operational testing when they are used to test BMDS capabilities, resulting in uncertain performance outcomes in assessments supporting BMDS deliveries. Additionally, accreditation status and modeling limitations for these assessments are not communicated to most decision makers in Congress and some in the DOD and executive branch, limiting their insight into the data limitations underlying their decisions to make investments in and employ the BMDS. Finally, MDA\u2019s assessment of the resources needed to validate and accredit its current models does not match requested funding for this effort."], "subsections": [{"section_title": "MDA Has Taken Steps to Improve Its Modeling Capabilities, but Most Delivered BMDS Capabilities Were Tested Using Unaccredited Models", "paragraphs": ["Since MDA cannot conduct enough system-level flight testing of the entire BMDS to completely assess BMDS performance, BMDS decision makers within MDA, DOD, Congress, and the executive branch use information from model-based ground tests to evaluate the operational effectiveness of the BMDS. The results from these model-based operational tests inform many acquisition and operational decisions, including: capability delivery, asset fielding, and interceptor inventory. Model-based testing also informs the warfighter\u2019s tactics, techniques, and procedures to maximize BMDS effectiveness such as how many interceptors they will fire at a threat; and the capability gap analysis, the basis for warfighter requests for new capabilities. Recognizing the importance of models and simulations, MDA has taken steps to improve its ability to provide realistic modeled representations of the integrated BMDS necessary to assess operational performance. For instance: In 2009, MDA adjusted its test baseline, known as the Integrated Master Test Plan, and refocused its testing on collecting data needed for model development and accreditation.", "In 2016, MDA developed an update to a framework that is used to integrate the modeled representations of BMDS elements for assessments, and in 2017 continued an effort to develop digital end- to-end models and simulations to increase modeling capabilities and to expand the scope of BMDS assessments in the future.", "In 2017, MDA increased its collaboration with BMDS OTA to prioritize modeling needs and to address them.", "Despite these steps, MDA continues to deliver assets and capabilities using models that have not been accredited. In April 2016 and May 2017, we found that MDA had delivered EPAA Phase 2 capabilities in December 2015 using models that have not been accredited to support the delivery. MDA continued this practice by delivering two sets of BMDS-level capabilities since 2015, relying on operational tests conducted with models that were not accredited for use in such an assessment. The next delivery, expected at the end of the second quarter of fiscal year 2018, has also been tested using mostly unaccredited models.", "Relying on models that are not accredited for operational assessment increases the risk that modeling errors are not discovered, and a single undetected modeling error can distort the assessment results for the entire BMDS. DOD\u2019s acquisition instruction requires that models and simulations used in operational assessments be verified, validated, and accredited. Although, as noted above, MDA is generally exempt from DOD acquisition policies, its own modeling and simulation policy requires that models and simulations used in operational assessments be verified, validated, and accredited for that use. Moreover, experts at DOD, MDA, and other institutions we interviewed agree that models should be verified, validated, and accredited to ensure that decisions based on models are informed by the correct data, and that the limitations of that data are understood. Additionally, according to DOD officials, defense acquisition programs that follow DOD acquisition regulations verify, validate, and accredit their models before operational assessments.", "However, our analysis indicates that the accreditation of many MDA models for operational assessment is, in most cases, not completed in time to support testing. In fact, many of them are not complete even after a capability has been delivered. Additionally, BMDS OTA officials said that models that are not accredited before delivery are not generally accredited later on. Figure 7 shows the percentage of accredited models that were used in the operational assessment of each BMDS capability delivery in 2015 through 2017.", "BMDS models are not accredited for operational assessment in large part for three reasons: (1) MDA does not provide sufficient evidence to the BMDS OTA for accreditation, (2) some models do not accurately represent BMDS performance in the real world, and (3) the threat model used to stimulate the test cannot be traced to the original intelligence community assessment. These challenges affect assessments across the entire BMDS engagement, from detection and processing of the threat to the intercept. While modeling uncertainty in any one of these areas affects uncertainty for the BMDS as a whole, factored together this uncertainty is magnified.", "Lack of Data: In some cases, MDA did not provide the BMDS OTA data needed to accredit the models used in operational ground testing, even though it is a signatory to the BMDS OTA\u2019s accreditation plan. This plan identifies the data needed to achieve accreditation and directs that these data should be provided at least 60 days prior to official operational ground testing. MDA officials noted that the BMDS OTA recently changed its data requirements for accreditation and that they were unable to meet the new requirements in time to inform the capability deliveries shown above. However, we have found that MDA has encountered similar challenges since 2009. In fact, according to BMDS OTA officials, MDA has never completely provided the needed data on time and often missed numerous subsequent deadlines. In many cases, MDA failed to deliver the required data even after it tested and delivered its capabilities, and in some instances the data MDA provided did not meet the BMDS OTA\u2019s requirements. As we have previously reported, disruptions to MDA\u2019s testing program\u2014such as flight test failures and delays\u2014reduce the amount of real-world data that is available to accredit models. We also found that MDA proceeded with model-based ground tests and capability deliveries without leveraging the knowledge it planned to obtain from these tests. For example, in 2016 and 2017, we found that MDA delivered the European Phased Adaptive Approach Phase 2, even though key models, such as the model for Aegis Ashore, were unaccredited. Additionally, in other instances, MDA lacks technical data and other model information that is needed for accreditation, especially for models representing older systems.", "In 2017, as noted above, MDA and the BMDS OTA increased their collaboration to improve model accreditation status and, in 2017, co- developed a list of prioritized modeling deficiencies. Additionally, MDA is making progress in gathering and providing model data for operational assessment accreditation. MDA officials reported that based on this increasing collaboration, they expect that more models will be accredited in 2018. It is unlikely, however, that all models will achieve accreditation prior to the upcoming December 2018 delivery of the European Phased Adaptive Approach Phase 3.", "Modeling Deficiencies: Another reason that some models are not accredited for operational use is that certain models contain deficiencies, such as optimistic representations of BMDS performance and simplistic representations of BMDS environments. In these cases, while MDA initially supplied BMDS OTA with the relevant data, the model\u2019s performance failed to meet the criteria for accreditation. Subsequently, MDA did not provide supporting rationale to explain these failures, or to explain how the modeling issues skewed the overall performance results. For example, in 2016, the BMDS OTA compared modeled sensor tracking data used in recent ground tests to real-world sensor tracking data and found that the models representing some radars performed better than the real-world radar. These modeling deficiencies can affect other BMDS elements that rely on sensor data and can artificially inflate BMDS performance. In one case, Aegis BMD\u2019s launch-on-remote capabilities were over-estimated. As a result, the BMDS OTA could not accredit the models, and thus verify that ground test results that support Aegis\u2019s launch-on-remote capability and other tested capabilities are credible and reliable. MDA is working to address this issue and it is too early to assess progress.", "Additionally, some models used in operational assessments are overly simplistic. For example, modeled representations of the battle scene in moments after intercept do not display the resulting complex scene that is caused by the large quantity of missile and interceptor debris. This deficiency limits insight into how the BMDS will perform during realistic ballistic missile attacks that could require follow-on interceptors to be launched, and how the BMDS will determine that the incoming threats have been destroyed. According to BMDS OTA and MDA officials, MDA\u2019s efforts to develop digital models can help in this area, by providing more processing power and great scalability for engagement complexity; however, the capability is not expected to be mature until 2021 or later.", "Threat Models Cannot Be Traced Back to Underlying Threat Assessments: The value of ground test-generated data is dependent on the quality of the threat model that stimulates the test. However, the BMDS OTA has never been able to accredit threat models before operational testing, and in some cases, after testing. As is the case with other models, in some cases, the BMDS OTA does not receive data needed to accredit the models from MDA in a timely manner. Additionally, the BMDS OTA cannot trace the threat model used in ground testing to the threat model that MDA developed based on the intelligence community\u2019s threat assessment. For example, according to BMDS OTA officials, during a past ground test event, a model representing a BMDS element rejected the intended threat model and instead ran its own internal threat model. As a result, the test did not reflect real world conditions where the entire BMDS would be exposed to the same threat stimulus.", "BMDS OTA officials said that MDA\u2019s ground test architecture is not designed to generate the data needed to confirm that all elements are reacting to the same model during ground testing, meaning that unbeknownst to testers, other BMDS elements could also reject the approved threat model during testing. These deficiencies introduce ambiguity into the test results including the extent to which the BMDS operated as an integrated system of systems against a common threat set. BMDS OTA officials said that MDA is currently working on a pathfinder activity to help understand and rectify the traceability issue."], "subsections": []}, {"section_title": "Information about the Accreditation Status and Limitations of Models Used in Operational Assessments Is Not Communicated to Decision Makers", "paragraphs": ["Although the warfighter and other decision makers inside DOD, Congress, and the executive branch rely on models to provide information about BMDS effectiveness, MDA\u2019s capability delivery documentation does not include information about the quality of modeling data. Specifically, MDA\u2019s TCD memos and OCB change packages, which describe technical capabilities delivered to the warfighter and their limitations, do not discuss the extent to which the models used to assess the new capability are verified, validated, and accredited for assessment, or how ground test results were affected by model limitations. As a result, decision makers do not have complete information about the validity of the capability assertions in these documents and how much confidence should be placed in reported BMDS performance.", "According to Standards for Internal Control in the Federal Government, decision makers need access to reliable and timely information to make operational decisions. Additionally, according to DOT&E guidance, in cases where models and simulations cannot be validated and accredited, any modeling results should be caveated with a clear explanation of which areas of performance assessment could be affected by the lack of accreditation. Lack of such information could lead to miscalculations about how best to employ the BMDS or uninformed decisions about where to focus future capability development and investment. While the BMDS OTA has recently begun to brief some combatant commands on how modeling limitations impact the warfighters\u2019 understanding of delivered capabilities, these briefings are not readily available to other stakeholders and decision makers, such as cognizant congressional committees or others in DOD and the executive branch. In its report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, the House Armed Services Committee requested that MDA brief the House and Senate Armed Services Committees on the accreditation status of models used in testing indicating that congressional decision makers benefit from such information. Including information about model accreditation and limitations in TCD and OCB packages would ensure decision makers in DOD, Congress, and the executive branch have the same necessary information to inform their decisions."], "subsections": []}, {"section_title": "Funding Decisions May Delay Some Modeling Capability Development", "paragraphs": ["Moving forward, the Director, MDA will have to make difficult decisions on balancing funding priorities, including the need to adequately fund the validation and accreditation of models. MDA has started to make progress validating and accrediting existing models using DOT&E and OTA recommended criteria. However, MDA\u2019s assessment of the resources needed to validate and accredit its current models and simulations does not match funding levels it requested for this effort. MDA determined that it needs an additional $99 million for fiscal years 2017- 2022 to accredit BMDS models and simulations. MDA requested $395.7 million from 2017-2022 to meet modeling and simulation needs. Figure 8 shows MDA\u2019s fiscal year 2018 funding request for model development and the additional funding, over the 5 year period, that would be required to verify, validate, and accredit its models.", "Additionally, funding is not requested for the verification, validation, and accreditation of some models used in BMDS assessments because MDA officials said that they do not have written agreements with the military services that operate these elements defining funding and technical requirements for this purpose. Specifically, while the Army and the Air Force develop and accredit models to support their missions for the Patriot, the Space-based Infrared System, and the BMDS communication systems, these models have to be modified to accurately represent their BMDS roles for BMDS operational assessments. While MDA does fund the development of the Space-based Infrared System and BMDS communication models for use in BMDS assessment, it does not fund the verification, validation, and accreditation of these models or the Patriot model. Additionally, MDA officials report that it currently has no written agreements with the Army or the Air Force to define funding and technical requirements for these models for BMDS assessment.", "Because these requirements are not formally agreed upon and communicated between MDA and the Services, the verification, validation, and accreditation of these models is often unfunded, further complicating MDA\u2019s and the BMDS OTA\u2019s verification, validation, and accreditation analyses. Standards for Internal Control in the Federal Government states that organizations should assign responsibility and delegate authority to achieve their objectives. Additionally, in our prior work we found that all acquisitions efforts should have well defined roles and responsibilities for all stakeholders. Although MDA and the BMDS OTA were able to accredit the Space-based Infrared System and BMDS communications models in 2017, future upgrades to these BMDS elements will require verification, validation, and accreditation to ensure that they continue to accurately reflect the real-world system.", "Moreover, DOD and Congress have instructed the transfer of missile defense programs that have received full-rate production authority, which would include THAAD and Aegis BMD, to the military services for operations, which may increase the scope of this issue. Even though these systems will no longer be under MDA management, they will still be part of the BMDS and, like the Space-based Infrared System and Patriot, will require model updates to reflect changes to the tactical systems. However, as noted above, there are currently no agreements between MDA and the services to fund these modeling requirements, increasing the risk that model upgrades will not be implemented, thus preventing their verification, validation and accreditation for operational testing. If MDA and the services do not agree to the technical and funding requirements for models of elements used in BMDS testing but operated by the services before the elements are transferred, disagreements will likely continue to impede the verification, validation, and accreditation of those models, decreasing confidence in test results and understanding of how the real-world BMDS will operate."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["MDA continues to make mixed progress in delivering assets and integrated capabilities. Moreover, its processes for communicating the extent and limitations of these capabilities can be improved. While MDA met several significant milestones in fiscal year 2017, MDA failed to deliver either of its two most recent packages of integrated capabilities on time, and its plans for future capabilities, even in the near term, continue to be characterized by a high degree of fluidity. MDA has recently taken steps to document in policy its processes for communicating the extent and limitations of deliveries of integrated capabilities. However, these policies still do not clearly specify the exact requirements, process, and key milestones needed to complete some capability deliveries. Moreover, they do not require that all integrated BMDS capabilities are delivered using a process that describes their performance and limitations at the level of the BMDS, rather than at the element level, increasing the risk of delivered capabilities not being communicated properly to their end users: the warfighter.", "In addition, while no contracting strategy can be completely risk-free, trends in the not-to-exceed prices and duration of MDA\u2019s undefinitized contract actions indicate a troubling pattern. Making major commitments to large developmental programs before important questions of scope and price have been determined exposes the government to increasing amounts of risk. MDA\u2019s inconsistent and incomplete reporting on its use of undefinitized contract actions makes it even more difficult for Congress and decision makers to exercise oversight and track these risks.", "Finally, deficiencies and limitations in the models used to support operational testing of the BMDS, including the lack of accreditation, provides decision makers with some flawed information about BMDS performance. Because flight tests cannot provide complete information on BMDS performance, it is important that ground tests can be relied upon to provide accurate and representative data. This flawed information could lead to miscalculations about how best to employ the BMDS and uninformed decisions about where to focus future capability development and investment. If steps are not taken to improve BMDS models and to communicate their status and limitations clearly to decision makers, there is a risk that the BMDS will not perform as expected when needed to defend the United States at home, its regional allies, and deployed forces."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to the Under Secretary of Defense for Research and Engineering: The Under Secretary of Defense for Research and Engineering should ensure that the Director, MDA, takes the following actions: The Director, MDA should revise MDA policies to require that all integrated capabilities\u2014capabilities that require integration of two or more elements\u2014be included in a Technical Capability Declaration. (Recommendation 1)", "The Director, MDA should clarify, in written policy, the exact requirements, process, and key milestones necessary to issue a Technical Capability Declaration, including a requirement that the Assessment Requirements Review be held in such a time frame that it can provide meaningful input to MDA\u2019s test plans. (Recommendation 2)", "The Director, MDA should include information on current undefinitized contract actions in the BMDS Accountability Report, including the not-to- exceed price, the definitization schedule, the amount of funds obligated for the undefinitized period, and any changes since the contract action was entered into. (Recommendation 3)", "The Director, MDA should ensure that models used for operational tests are validated and accredited for such assessments. To help achieve this, MDA should provide the BMDS Operational Test Agency all evidence previously agreed to and needed to accredit models before ground testing events, as specified in the BMDS OTA accreditation plan. (Recommendation 4)", "The Director, MDA should include in capability delivery packages, such as the Technical Capability Declaration memos and Operational Capability Baseline change packages, the following: a. The verification, validation, and accreditation status of the models used in operational ground tests; and b. Modeling and simulation limitations that affect operational ground test results. (Recommendation 5)", "The Director, MDA and the Secretaries of the Armed Services responsible for operating BMDS elements should develop written agreements as soon as feasible for modeling and simulations technical and funding requirements for any BMDS elements that are service- operated but represented in BMDS performance assessments. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DOD provided written comments on a draft of this report. DOD\u2019s comments are reprinted in Appendix I and summarized below. DOD and MDA also provided technical comments which were incorporated as appropriate.", "In its response, DOD concurred with five out of six of our recommendations, and partially concurred with one. In addition, DOD recommends the closure of five recommendations. However, we believe that it is premature to close out four of the five recommendations until all of its planned actions are fully implemented. For the remaining recommendation, we agree with DOD and will undertake the steps to close out the recommendation.", "DOD partially concurred with our first recommendation to revise MDA policy to require all integrated capabilities\u2014capabilities requiring the integration of two or more elements\u2014 be declared and delivered via the Technical Capability Declaration (TCD) process. While DOD agreed with the intent of this recommendation, DOD stated that the Director, MDA will determine which major integrated capabilities should be delivered via the TCD process. The Department also noted that the agency developed a list of such capabilities that it will update annually. These actions are an improvement over the current process, but they do not meet the full intent of our recommendation. Specifically, the list of future TCDs that MDA produced is not inclusive of all future integrated capabilities. In addition, MDA\u2019s policy does not articulate definitive standards for identifying capabilities requiring a TCD and leaves this decision to the discretion of the Director, MDA. As we\u2019ve identified in this report, some capabilities have been deleted from or added to planned TCDs without explanation. The new policy leaves open the possibility of continued inconsistent application of the TCD process. This poses the risk that not all integrated capabilities will be delivered to warfighters with comprehensive information about their performance and limitations at the BMDS level. We continue to believe that in order for the agency to meet the full intent of our recommendation, it should establish in policy a clear, definitive standard for which capabilities require a TCD for delivery.", "In addition, DOD recommends the closure of the first two recommendations to (1) revise MDA\u2019s policies to require that all integrated capabilities be included in a TCD; and (2) clarify the exact requirements, process, and key milestones necessary to issue a TCD as it contends that its new Policy Memorandum 90 meets the intent of our recommendation. This memorandum is dated March 28, 2018 and was provided to us on May 8, 2018. As such, we have not had an opportunity to fully assess the memorandum and the process laid out in it. However, as noted above, this new Policy Memorandum 90 leaves open the possibility of continued inconsistent application of the TCD process. This poses the risk that not all integrated capabilities will be delivered to warfighters with comprehensive information about their performance and limitations at the BMDS level. In order for the agency to meet the full intent of our recommendation, MDA should establish in policy a clear, definitive standard for which capabilities require a TCD for delivery. In addition, DOD writes that the same Policy Memorandum 90 satisfies the second recommendation to clarify the exact requirements, process, and key milestones necessary to issue a TCD. We believe it necessary to wait until MDA delivers a TCD in accordance with the new parameters set out in the memorandum before this recommendation can be closed.", "For the third recommendation to include information on current undefinitized contract actions in the BMDS Accountability Report, DOD states that the BMDS Accountability Report for 2018, approved by the Director, MDA on March 9, 2018 provides the information necessary for closure. We concur with this assessment will take the necessary steps to close this recommendation.", "In responding to our fourth recommendation requiring the Director, MDA to ensure that models used for operational tests are validated and accredited for such assessments, DOD states that MDA is actively working with the BMDS Operational Test Agency (BMDS OTA) to resolve any issues associated with, and the reporting of, modeling limitations. However, as we found in this report, according to BMDS OTA officials, MDA has never completely provided the needed data on time and often missed numerous subsequent deadlines to support the validation and verification of its models from BMDS OTA. Consequently, we believe it is premature to close out the fourth recommendation, but we will continue to track MDA\u2019s progress and timeliness in providing the evidence previously agreed to and needed to accredit models before ground testing events.", "In responding to our fifth recommendation to include the verification, validation and accreditation status used in operational ground tests in capability delivery packages, such as TCDs and Operational Capability Baseline change packets, DOD states that MDA has made significant progress over the last year in achieving the BMDS OTA accreditation of MDA\u2019s models and simulations. In addition, it states that the addition of MDA policy will ensure the verification, validation and accreditation status of each model will be discussed and assessed by the Operational Capability Baseline Working Group for each capability delivery package. We agree that MDA has made significant progress over the last year, however, we believe it premature to close out the recommendation until BMDS OTA can ensure that the status of the models used, as stated in our recommendation, are included in subsequent capability delivery packages such as the Technical Capability Declaration memos and Operational Capability Baseline change packages.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Undersecretary of Defense for Research and Engineering, and to the Director, MDA. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix XI."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Aegis Ballistic Missile Defense (BMD) Weapons System", "paragraphs": [], "subsections": [{"section_title": "Program Overview", "paragraphs": ["Aegis Ballistic Missile Defense is the naval component of the Missile Defense Agency\u2019s (MDA) Ballistic Missile Defense System. It consists of the Aegis Ballistic Missile Defense Weapon System (AWS), including a radar and Standard Missile-3 (SM-3) interceptors.", "MDA is developing the Aegis BMD weapons system in versions called spirals that expand on preceding capabilities. Deliveries of the spirals are planned to support MDA\u2019s capabilities for Regional and Homeland defense. Specifically, MDA delivered Aegis BMD 5.0 Capability Upgrade (5.0CU) in fiscal year 2016 for the European Phase Adaptive Approach (EPAA) Phase 2, but had not verified its full capability before delivery. In fiscal year 2017, the program delivered Aegis BMD 4.1 on ships with legacy hardware in order to provide similar ballistic missile defense capabilities to those of Aegis BMD 5.0 CU. MDA plans to deliver additional upgrades for such ships in 2019 and 2023. Additionally, the program is developing Aegis BMD 5.1 with upgrades for EPAA Phase 3, planned for December 2018. The Aegis BMD program also plans to deliver additional upgrades in 2023, called Aegis BMD 6.0, capitalizing on Navy\u2019s upgrades to the Aegis radar. For specifics on Aegis Ashore and the Aegis BMD SM-3 interceptors, see appendixes III, IV and V, respectively. Table 5 provides key fiscal year 2017 AWS program facts."], "subsections": []}, {"section_title": "Aegis BMD resolved some prior challenges and delivered capabilities initially planned for delivery with European Phased Adaptive Approach Phase 2", "paragraphs": ["MDA resolved software challenges and testing delays for Aegis BMD 5.0 CU and delivered Aegis BMD 4.1, expanding the number of ships with EPAA Phase 2 missile defense capabilities. While MDA delivered initial Aegis BMD capabilities for EPAA Phase 2 with AWS 4.0.2 prior to the December 2015 Technical Capability Delivery (TCD), planned capabilities would not be available until the subsequent versions\u2014Aegis BMD 5.0CU and 4.1\u2014completed development and fielding. However, both encountered technical challenges and schedule slips, as well as testing delays. In fiscal year 2017, MDA continued work on Aegis BMD 5.0 CU and 4.1 and overcame some of these challenges. Specifically:", "Aegis BMD 5.0 CU: MDA completed Aegis BMD 5.0 CU certification late in fiscal year 2017, resolving prior technical challenges and testing delays. Specifically, MDA implemented fixes to significant defects that were in the software at the time of initial delivery. Additionally, in December 2016 and August 2017, MDA flight tested fleet and ship self-defense capability against medium-range ballistic missiles in terminal phase of flight \u2013a capability initially planned for December 2015.", "Aegis BMD 4.1: MDA also delivered Aegis BMD 4.1 in August 2017, after multiple schedule slips. While initially scheduled for delivery in support of the EPAA Phase 2 TCD, the spiral was first delayed to the middle of fiscal year 2016 due to technical and cost challenges. Subsequently, activities for Aegis BMD 4.1 were suspended in 2016 to reassess the program and delivery was delayed to September 2019, to align it with a related Navy effort. In fiscal year 2017, MDA resumed activities for Aegis BMD 4.1, and certified the delivery of ballistic missile defense capabilities in August 2017. These ballistic missile defense capabilities are currently being integrated with the Navy\u2019s larger Aegis combat system, into a single computer program called Aegis Baseline 5.4, which is still scheduled for delivery in September 2019."], "subsections": []}, {"section_title": "MDA mitigated key Aegis BMD Weapons System challenges for EPAA Phase 3, but they will not be verified until 2018", "paragraphs": ["According to MDA\u2019s program management documentation, Aegis BMD 5.1 is on track for delivery in support of EPAA Phase 3 in December 2018, as the program overcame or reduced key risks. For example, despite a lack of schedule margin, the program met a key software development milestone in June 2017, and delivered it for system-level ground tests, which will assess integrated BMDS capabilities for EPAA Phase 3. It also met all objectives in a fiscal year 2017 flight test.", "Additionally, the program reduced the ongoing programmatic risk to Aegis BMD 5.1 that could affect its interoperability with other elements. However, testing to demonstrate the risk has been resolved is not yet complete. According to the Aegis BMD program management documentation, upgrades to the Aegis communication management system, which are managed by the Navy, lag behind MDA\u2019s Aegis BMD 5.1 development schedule. The lag in development could result in integration challenges between these upgrades, and could impact Aegis integration with other BMD elements, including the capability to intercept threats entirely on tracks from forward based radars \u2013 called Engage on Remote. In fiscal year 2017, MDA and the Navy took steps to mitigate this risk. However, MDA has yet to demonstrate the fixes in a flight test. Moreover, MDA documentation indicates that if issues are discovered, they could impact the Aegis BMD 5.1 mission and could result in interoperability restrictions against Aegis BMD 5.1. Lastly, Engage on Remote could also be affected if development challenges with C2BMC, which forwards threat track data from forward based sensors to Aegis BMD, are not mitigated. For more information on the C2BMC element, see Appendix VI."], "subsections": []}, {"section_title": "Aegis BMD is developing additional capabilities for deployment in 2023 and beyond, leveraging Navy\u2019s Aegis upgrades", "paragraphs": ["In fiscal year 2017, MDA continued to develop Aegis BMD capabilities that are expected to be deployed in 2023. Specifically, MDA continued developing and maturing capabilities for an effort it started at the end of fiscal year 2016 called Aegis BMD 6.0. Aegis BMD 6.0 is planned to provide capabilities against more threat types, larger raids, better discrimination, and improved communication with its interceptors. Additionally, it takes advantage of the Navy\u2019s effort to replace the Aegis SPY-1 radar with a more capable SPY-6, and to overhaul the entire Aegis combat system. While it is early in development, MDA has begun identifying knowledge gaps that could diminish planned capabilities and took initial steps to address disconnects between Navy\u2019s effort and its own. According to program management documentation, MDA plans to develop an Aegis BMD 6.0 acquisition baseline late in fiscal year 2018. The acquisition baseline is expected to detail Aegis BMD 6.0 planned capabilities, its schedule, and cost.", "MDA is also planning additional upgrades to Aegis BMD 4.1, called Aegis BMD 4.2. Specifically, MDA plans to collaborate with the Navy to integrate and field refurbished and upgraded SPY-1 Antennas onto legacy ships. This modification improves radar sensitivity resulting in improved tracking capabilities and is planned for delivery in fiscal year 2023. MDA plans to begin developing and maturing technologies for this upgrade in fiscal year 2019, and baseline the effort at the end of fiscal year 2020."], "subsections": []}]}, {"section_title": "Appendix III: Aegis Ashore", "paragraphs": [], "subsections": [{"section_title": "Program Overview", "paragraphs": ["Aegis Ashore is a land-based, or ashore, version of the ship-based Aegis Ballistic Missile Defense (BMD). Aegis Ashore is designed to track and intercept ballistic missiles in the middle of their flight using Aegis BMD Standard Missile-3 (SM-3) interceptors. Key components include a vertical launching system, interceptors, and an enclosure, called a deckhouse, that contains the SPY-1 radar and command and control system.", "DOD deployed an Aegis Ashore test facility in Hawaii in April 2014. The test facility has been used to flight test Aegis Ashore, and in some cases, Aegis BMD SM-3 interceptors. MDA deployed its first operational site in Romania in fiscal year 2016 as part of the European Phased Adaptive Approach (EPAA) Phase 2, and is currently constructing a second site in Poland for delivery in 2018 as part of EPAA Phase 3. Both operational sites are intended to provide additional coverage for the defense of Europe.", "Aegis Ashore will share many components with the sea-based Aegis BMD and will use future versions of the Aegis weapon system currently in development, including the Aegis BMD SM-3 Block IIA interceptor. The Missile Defense Agency (MDA) plans to equip Aegis Ashore with a modified version of the Aegis weapon system software that will share many components with the sea-based Aegis BMD. For further details on the Aegis Weapon System and Aegis BMD interceptors, see appendixes II, IV, and V. Table 6 provides key fiscal year 2017 Aegis Ashore program facts."], "subsections": []}, {"section_title": "The Aegis Ashore facility in Poland became increasingly reliant on concurrency to meet its schedule, but construction issues eventually forced a delay of at least one year", "paragraphs": ["Construction of the Aegis Ashore site in Poland has not overcome an initial delay that was largely due to contractor performance issues. MDA and the Army Corps of Engineers, which manages military construction at the site, took a number of measures to mitigate or reverse these delays, including working to modify the Army Corps of Engineers\u2019 contract to permit joint occupancy of the site for a longer duration, and for the contractor to provide more granular project data to the Army Corps of Engineers. Also, the contractor has moved key personnel on site, and added a second shift. Program officials stated that they have withheld some award fees from the contractor over these issues. Program documentation states the contractor continues to be late in submitting documentation needed to move forward. If this and other issues are not corrected, it will increase the risk of further schedule slips.", "To make up for these delays, MDA introduced increasing levels of concurrency into its schedule, and shortened key phases of the delivery process. MDA has reduced the time allotted for Installation and Checkout activities from 16.5 months to 6.5 months. These activities would occur concurrently with the final phases of construction at the site. For example, installation of the deckhouse at the Poland site was scheduled for the end of the fourth quarter, fiscal year 2017, but was delayed to the end of the first quarter, fiscal year 2018. Despite this, installation and checkout activities still began in the fourth quarter of fiscal year 2017. The Navy\u2019s systems testing procedures, which are needed prior to operational acceptance of the site, will have occurred mostly concurrently with the final stages of MDA\u2019s construction and installation work on the site. MDA maintained through all of fiscal year 2017 that the site would be ready for delivery in December 2018 as scheduled. Program documentation noted that further program concurrency presented risks not only to the Aegis Ashore program, but to multiple elements relying on timely delivery of the site, up to and including the scheduled EPAA Phase 3 declaration. Early in fiscal year 2018, MDA announced that construction of the Poland site would not be completed until at least December 2019."], "subsections": []}, {"section_title": "The Poland and Romania sites both experienced unforeseen program challenges", "paragraphs": ["Both Aegis Ashore sites in Europe have faced continuing challenges in several areas. For example, attrition problems have complicated efforts to keep the Poland site\u2019s construction on schedule. These problems led to several persistent vacancies in important positions during the fiscal year. At one point in fiscal year 2017, the program lacked a full-time onsite program manager or dedicated government safety engineer, as well as other important positions. These roles had been, up to that point, filled by deputies in an acting capacity or were divided among others. MDA officials have also pointed to morale problems at the Poland site, where conditions for sailors are relatively austere.", "The Romania site has required more post-delivery support from MDA than was originally planned, largely due to quality and design issues in several areas. This post-construction wrap-up work was accounted for in MDA\u2019s plans, but was originally planned to be complete by late fiscal year 2016. However, MDA has continued to provide warranty-like support in areas such as water supply, seismic-activity certification, and compatible electrical systems. Program officials stated that many of these issues arose from having to adapt Aegis systems to Romanian infrastructure, which in some cases proved to be a more complicated task than expected. Despite the issues encountered, the Romania site has remained operational throughout all of this work."], "subsections": []}]}, {"section_title": "Appendix IV: Aegis Ballistic Missile Defense (BMD) Standard Missile-3 (SM-3) Block IB", "paragraphs": [], "subsections": [{"section_title": "Program Overview", "paragraphs": ["The Aegis BMD Standard Missile-3 (SM-3) Block IB is a ship- and shore- based missile defense system interceptor designed to intercept short- to intermediate-range ballistic missiles during the middle stage of their flight. The Aegis BMD SM-3 interceptor has multiple versions in development or production: the SM-3 Blocks IA, IB, and IIA. Compared to the Aegis BMD SM-3 Block IA, the Block IB features an enhanced target seeker for increased discrimination, an advanced signal processor for engagement coordination, an improved throttleable divert and attitude control system for adjusting its course, and increased range. The Aegis BMD SM-3 Block IB interceptor is linked with the Aegis Ballistic Missile Defense (BMD) Weapons System and Aegis Ashore. For additional information about the Aegis Weapon Systems, see Appendix II and for Aegis Ashore, see appendix III.", "Recent technical and production problems have continually delayed a decision to authorize full production of the Aegis BMD SM-3 Block IB due to reliability concerns. Since fiscal year 2015, Aegis BMD SM-3 Block IB production has been delayed by several technical issues. In response to a GAO recommendation, program officials in 2015 delayed the decision to enter full-rate production until they could implement further testing and design changes. In fiscal year 2016, two failures during testing forced a suspension of interceptor deliveries, causing the program to miss its delivery target for the year. Table 7 provides key fiscal year 2017 Aegis BMD SM-3 Block IB program facts."], "subsections": []}, {"section_title": "The Aegis BMD SM-3 Block IB program made progress against its delivery backlog from the previous year, and mitigated some technical risks, though others remain", "paragraphs": ["The Aegis BMD SM-3 Block IB experienced two failures in fiscal year 2016, the investigation of which forced a temporary suspension of interceptor deliveries. As a result, MDA delivered only 33 interceptors out of a planned 47 for the year. MDA added the remaining interceptors to its planned delivery for fiscal year 2017, resulting in a target of 54 interceptors. The program successfully delivered 55 interceptors over the course of the year, and thus made up for the existing backlog.", "The program tracked two technical risks during fiscal year 2017, one of which it succeeded in removing, and another which will not be implemented into the production process until the third quarter of fiscal year 2018. According to MDA officials, the program successfully managed the transition of the production of the system\u2019s Throttleable Divert and Attitude Control System to a new facility without experiencing significant delays or quality issues. In the other case, a component that was implicated in a previous test failure is currently undergoing a redesign. Program officials stated that they plan to have the new design certified by the second quarter of fiscal year 2018, and incorporated into the production line by the end of the third quarter.", "As we reported last year, problems testing a redesigned third-stage rocket motor on the Aegis BMD SM-3 Block IB forced the program to postpone its planned full production decision until the second quarter of fiscal year 2017, and successive delays have ensued. Though the tests validating the redesign were successful, the Undersecretary of Defense for Acquisition, Technology, and Logistics issued an Acquisition Decision Memorandum in February 2017 requesting an additional flight test in fiscal year 2017 as well as supporting analyses from the Director, Operational Test and Evaluation and the office of Cost Assessment and Program Evaluation. The memorandum issued these requirements in support of a planned full production decision in the first quarter of fiscal year 2018. Full-rate production for the Aegis BMD SM-3 Block IB was initially scheduled for fourth quarter, fiscal year 2012.", "MDA had one Aegis BMD SM-3 IB flight test scheduled for fiscal year 2017 at that time (FTM-24), and added another (FTM-26) in response to the Acquisition Decision Memorandum\u2019s requirement, but neither were held as scheduled. MDA delayed FTM-24 to fiscal year 2020, in order to first analyze the new target missile\u2019s performance to ensure it would work within the parameters of the test. While FTM-24\u2019s delay was due to its very specific test design, its timing in fiscal year 2017 would have afforded additional information about the reliability of the interceptor that will not now be available before the full production decision. MDA deleted FTM-26 several months after adding it, and moved its objectives to coincide with NATO\u2019s Formidable Shield \u2013 17 naval exercises which took place in early fiscal year 2018 (wherein the system did achieve a successful intercept). As a result of the delay in conducting a test for production-readiness, the program is currently planning on a production decision in second quarter, fiscal year 2018."], "subsections": []}]}, {"section_title": "Appendix V: Aegis Ballistic Missile Defense (BMD) Standard Missile-3 (SM-3) Block IIA", "paragraphs": [], "subsections": [{"section_title": "Program Overview", "paragraphs": ["The Aegis Ballistic Missile Defense (BMD) Standard Missile-3 (SM-3) interceptor has multiple versions in development or production: the Aegis BMD SM-3 Blocks IA, IB, and IIA. The latest version, the Aegis BMD SM- 3 Block IIA interceptor, provides increased speed and range, more sensitive seeker technology, and an advanced kinetic warhead than previous versions. It is expected to defend against short-, medium-, and intermediate-range ballistic missiles. Additionally, most of the Aegis BMD SM-3 Block IIA components will differ from other the prior versions, and therefore requires new technology to be developed specifically for it. For additional information on the Aegis BMD SM-3 Block IB interceptor, see appendix IV.", "Initiated in 2006 as a cooperative development program with Japan, the Aegis BMD SM-3 Block IIA program was added as a capability to support the European Phased Adaptive Approach (EPAA) Phase 3 architecture to defend against longer-range threats. The Aegis BMD SM-3 Block IIA interceptor is planned to be fielded with Aegis Weapons System 5.1. For additional information on Aegis Weapons System, see appendix II. Table 8 provides key fiscal year 2017 Aegis BMD SM-3 Block IIA program facts."], "subsections": []}, {"section_title": "The Aegis BMD SM-3 Block IIA program has experienced mixed results in testing performance and problems with program execution, with consequences for cost and schedule", "paragraphs": ["The first intercept flight test using the Aegis BMD SM-3 Block IIA interceptor, SFTM-01, was conducted in February 2017. It was originally scheduled for fiscal year 2016, but was delayed to evaluate technical issues discovered during previous tests. During this test, the Aegis BMD SM-3 Block IIA interceptor successfully engaged a medium-range ballistic missile (MRBM) target. The next intercept flight test, SFTM-02, occurred 4 months later, in June 2017. However, the interceptor failed to reach its MRBM target during this test. MDA convened a failure review board to identify the cause of the failure, and concluded that the failure was not attributable to a fault in the design or performance of the interceptor itself. The Navy is currently considering changes to its tactics, techniques, and procedures to address the findings from the failure review board. Two prior non-intercept tests using the Aegis BMD SM-3 Block IIA interceptor, although considered successful, showed potential design issues with the missile\u2019s guidance system, which steers the interceptor to the target. Consequently, the program decided to develop a replacement component. The redesigned component passed initial acceptance testing and the program plans to employ it during FTM-29, which is scheduled for the second quarter of fiscal year 2018.", "The program continues to experience unit cost growth due to several factors, including decreases in the total amount being procured and increases in shipping costs. According to MDA officials, shipping costs grew because MDA underestimated the cost to ship missile components manufactured in Japan to the US on US-flagged ships. MDA officials stated that they did not adequately account for these costs when establishing the original baseline cost. Since 2014 the program\u2019s unit cost has increased by almost 60 percent, from $24 million in fiscal year 2014 to $39 million in fiscal year 2017. Program officials stated that they do not expect either of these issues to lead to further cost growth in the future."], "subsections": []}, {"section_title": "Further delays or technical challenges within the Aegis BMD SM-3 Block IIA program could impact the EPAA Phase 3 declaration", "paragraphs": ["The Aegis BMD SM-3 Block IIA program has limited schedule margin to address any issues prior to operational testing to meet the EPAA Phase 3 declaration by the first quarter of fiscal year 2019. For the EPAA Phase 3 declaration, the Aegis BMD SM-3 Block IIA interceptor must demonstrate the ability to intercept an intermediate-range ballistic missile (IRBM) target using remote sensor data. The program has one flight test, FTM-29, prior to its operational flight test. This test was originally scheduled for the first quarter of fiscal year 2018, but was delayed to the second quarter, and the launch site for the test was moved to the land-based Aegis Ashore facility in Hawaii. Adapting the Aegis BMD SM-3 Block IIA interceptor for a land-based test delayed this test further, from the first quarter to the second quarter of fiscal year 2018. Despite these delays, the dates for the operational test of the Aegis BMD SM-3 Block IIA\u2014FTO-03 E1\u2014and the EPAA Phase 3 declaration remain unchanged: the third quarter of fiscal year 2018 and first quarter of fiscal year 2019, respectively. That leaves the program approximately 3 to 5 months to resolve any issues discovered during FTM-29, prior to the operational test, which is needed to support the EPAA Phase 3 declaration. In addition, FTM-29 will be the Aegis BMD SM-3 Block IIA interceptor\u2019s first test against an IRBM, first test of its ability to engage a target using remote sensor data, and the first test with to incorporate the new missile guidance system component incorporated. As a result of the complex test environment and limited time between tests, any significant failure during FTM-29 could lead to a delay in the EPAA Phase 3 declaration."], "subsections": []}]}, {"section_title": "Appendix VI: Command, Control, Battle Management, and Communications (C2BMC)", "paragraphs": ["Appendix VI: Command, Control, Battle Management, and Communications (C2BMC)"], "subsections": [{"section_title": "Program Overview", "paragraphs": ["C2BMC is a global system of hardware\u2014workstations, servers, and network equipment\u2014and software that integrates all missile defense elements of the Ballistic Missile Defense System (BMDS). Specifically, it allows users to plan operations, see the battle develop, and manage BMDS sensors. As the integrator, C2BMC enables the defense of a larger area than the individual BMDS elements operating independently and against more missiles simultaneously, thereby potentially conserving interceptor inventory. MDA is developing C2BMC in spirals, or software and hardware upgrades designed to improve various aspects of the integrated BMDS performance. MDA fielded Spiral 6.4 in 2011 and plans to complete the fielding of Spiral 8.2-1 by March 2018. The program is working on efforts for additional capabilities in the future. Table 9 provides an overview of C2BMC spiral development and table 10 provides key fiscal year 2017 C2BMC program facts."], "subsections": []}, {"section_title": "C2BMC Spiral 6.4 supported delivery of discrimination upgrades but cyber vulnerabilities continue to place the BMDS at risk", "paragraphs": ["At the beginning of 2017, MDA completed the Spiral 6.4 assessment, which was designed to enable capabilities for Increment 3, Near Term Discrimination Improvements for Homeland Defense. The spiral performed nominally during testing, providing discrimination tasking from a forward-positioned radar for long-range threats, multiple-radar discrimination tasking of a threat, and several fixes related to sequencing and timing of messages. These tests provided performance data, which informed MDA\u2019s Technical Capability Delivery for Increment 3 in March 2017.", "Despite this success, however, the spiral continues to have cyber vulnerabilities that place the BMDS operations in certain geographic areas at risk. For example, Spiral 6.4 has been in use since 2011, and its operating system (Windows XP) as well as other supporting software products will remain in the field well past their end of life cycle and support by vendors. According to program documentation, upgrading these systems before they are replaced by subsequent spirals is cost prohibitive, but program documentation does not indicate the cost. While MDA is in the process of fielding Spiral 8.2-1 to replace Spiral 6.4 in the Strategic, Northern and Pacific Commands by March 2018, Spiral 6.4 will remain operational at the European and Central Commands until the delivery of Spiral 8.2-3 in early fiscal year 2019. According to fiscal year 2017 MDA program reviews, the likelihood that critical cyber vulnerabilities are discovered is low for the remaining two years, and, according to MDA, no fielded system has been exploited to date. However, known vulnerabilities have been exploited in lab experiments. Moreover, MDA program documentation from fiscal year 2017 acknowledges that new security deficiencies could still be discovered, and if those or known deficiencies are exploited, mission capabilities like BMD planning, radar control, track reporting, and situational awareness may be significantly degraded. MDA collaborated with Combatant Commands to monitor and minimize the risks."], "subsections": []}, {"section_title": "MDA Continued its Development of C2BMC Spiral 8.2-1 and expects its fielding in Fiscal Year 2018", "paragraphs": ["In fiscal year 2017, MDA mitigated developmental risks necessary to complete the development and testing of C2BMC Spiral 8.2-1 in fiscal year 2018. Spiral 8.2-1\u2014planned to support Enhanced Homeland Defense capabilities\u2014was initially planned for delivery by December 2017, but, according to MDA officials, the delivery was delayed to allow additional time for assessment of results from BMD system-level ground test campaign called Ground Test (GT)-07a. Prior to GT-07a, the program identified risks that could affect interoperability with other elements and threat tracking, but, according to recent program documentation, MDA implemented fixes to many of them before the testing began. At the time of our assessment, MDA\u2019s analysis was ongoing. However, MDA plans to complete its fielding by March 2018."], "subsections": []}, {"section_title": "Spiral 8.2-3 continues to face technical challenges and cost increases", "paragraphs": ["MDA has begun testing Spiral 8.2-3, which is planned for fielding throughout fiscal year 2019, but it continues to face technical challenges and cost risk. This spiral is to replace Spiral 8.2-1 at the Strategic, Northern and Pacific Command, and Spiral 6.4 at European and Central Commands. According to MDA, the spiral is designed to enable a five-fold increase in the size of area that can be defended by the BMDS, and is an integral part of EPAA Phase 3. However, the program continues to track a prior risk and identified a new risk to an element level C2BMC capability needed for EPAA Phase 3 called Engage on Remote. Specifically, program documentation indicates that processing of data about threat missile flight paths, known as threat tracks, has issues that could reduce the likelihood of the successful engagements utilizing Aegis Ballistic Missile Defense in Engage on Remote scenarios. C2BMC has faced similar challenges with threat tracking capabilities for prior spirals, which required delays certain aspects of integration with Aegis BMD until fixes were implemented. MDA is implementing fixes to these issues in Spiral 8.2-3, which once fielded should resolve these integration issues, but it still needs to assess them in the ongoing test campaign for EPAA Phase 3.", "Since 2016, MDA Spiral 8.2-3 costs have increased by about 20 percent, from $68 million to $82 million. According to MDA documentation, the increase is due to several factors, including higher than expected costs for architecture and system engineering, as well as testing and integration requirements, and additional requirements for cybersecurity, which increased algorithm complexity required for Engage on Remote. MDA officials stated that some of the cost increases for cybersecurity were driven by DOD-wide cyber requirements, implemented in March 2014. Further cost increases, according to MDA, were driven by a warfighter request for geographic redundancy. While the original concept for 8.2-3 had the suites for Central and European Command at each location, MDA met the warfighter request by installing the suites at different locations so that losing a single node would not result in the loss of all capability for the warfighter. According to the C2BMC program, implementation of this requirement cost about $6.4 million."], "subsections": []}, {"section_title": "MDA identified requirements for Spiral 8.2-5, but it is already facing potential technical, as well as schedule and cost challenges", "paragraphs": ["MDA identified element requirements for Spiral 8.2-5, which is planned for delivery in fiscal year 2021. This Spiral will integrate the Long Range Discriminating Radar and provide additional BMDS-level planning, track processing, and battle management capabilities. While MDA currently plans to hold the Preliminary Design Review by March 2018 and may report its acquisition baseline for the first time in the subsequent BMDS Accountability Report, program management documentation has already identified two specific challenges:", "Program documentation indicates that the Northern Command has concerns about performance issues associated with threat track processing, called System Track, for GMD engagements. While this is a key C2BMC function, track processing has been a challenge for other spirals supporting prior and upcoming regional and homeland defense capabilities. MDA is currently working with stakeholders to address this issue.", "The program also identified disconnects between LRDR, GMD and C2BMC, which are driving up element development and test costs, and delayed some capabilities initially planned to be delivered along with the LRDR. MDA developed a mitigation plan and established a working group to coordinate with stakeholders to address these issues."], "subsections": []}]}, {"section_title": "Appendix VII: Ground-based Midcourse Defense (GMD)", "paragraphs": ["Appendix VII: Ground-based Midcourse Defense (GMD)"], "subsections": [{"section_title": "Program Overview", "paragraphs": ["The GMD system is a missile defense interceptor system designed to defend the United States against a limited intermediate and intercontinental ballistic missile attack from countries such as North Korea and Iran. To counter such threats to the homeland, GMD, in conjunction with a network of ground-, sea-, and space-based sensors, launches interceptors from missile fields based in Fort Greely, Alaska and Vandenberg Air Force Base, California. After launching from in-ground silos, the interceptor boosts towards the incoming enemy missile and releases an Exoatmospheric Kill Vehicle (EKV) to find and destroy the threat. GMD also has ground support and fire control systems that the warfighter relies upon to operate the system. Since the program\u2019s initiation in 1996, DOD has spent over $45 billion developing, operating, and maintaining the GMD system, including: fielding ground station assets and a fleet of 44 interceptors; upgrading, redesigning, refurbishing, and retrofitting the system; successfully performing 5 out of 9 intercept tests and 3 out of 3 non-intercept tests; and developing Multi Object Kill Vehicle technology. Three of the intercept tests failed because of problems with the EKV while one of the tests failed because of a target failure, which is not associated with the GMD system.", "MDA has efforts ongoing to address concerns with the existing fleet of interceptors and increase protection to the U.S. homeland. In March 2013, the Secretary of Defense directed MDA to increase the number of fielded GMD interceptors from 30 to 44 by the end of 2017. To achieve this fielding goal, MDA performed a limited redesign of the CE-II, called the CE-II Block I, to fix known issues, address obsolescence, and improve producibility and cost. MDA also performed an extensive upgrade to the boost vehicle to improve reliability and address obsolescence issues. Although the CE-II Block I will address some concerns with the CE-II design, MDA determined a more complete redesign of the CE-II was needed. MDA subsequently developed an acquisition strategy and began developing the new kill vehicle, called the Redesigned Kill Vehicle (RKV). The RKV is intended to be more reliable, producible, testable, and cost effective. Table 11 provides key fiscal year 2017 GMD program facts."], "subsections": []}, {"section_title": "Fiscal Year 2017 was one of GMD\u2019s most successful years for results achieved", "paragraphs": ["Fiscal year 2017 was a seminal year for the GMD program, as it achieved a number of major accomplishments. Over the past several years, the GMD program developed the newest interceptor version equipped with the CE-II Block I EKV and C2 boost vehicle. The program conducted its first successful flight test of this interceptor in May 2017 when it successfully intercepted a target representative of an intercontinental ballistic missile\u2014another first for the GMD system. MDA proceeded to produce and field eight of these new interceptors and complete the refurbishment of Missile Field 1 in Fort Greely, Alaska, enabling the program to meet its directive from the Secretary of Defense to field 44 interceptors by the end of 2017. The program also fielded a software upgrade to the fire control segment of the GMD ground station, which included some improvements for battle management and discrimination. In addition, the program completed a preliminary design review for the RKV in March 2017. The program was able to execute all of these activities while also maintaining 24/7 availability of the system to the warfighter during a heightened period of North Korean missile testing."], "subsections": []}, {"section_title": "GMD\u2019s cost now exceeds $67 Billion, the fourth highest among DOD\u2019s weapon systems", "paragraphs": ["In total, the GMD program\u2019s total cost has increased to over $67 billion and that total is likely to continue to increase as MDA defines future capability increments. In March 2013, we reported the total cost of the GMD program was estimated to be approximately $41 billion. Since that time, MDA defined new capability increments that included major GMD initiatives, such as the RKV and Multi Object Kill Vehicle efforts, which increased the program\u2019s total cost. GMD is now the fourth most expensive DOD weapon system among a portfolio of 78 major defense acquisition programs, totaling approximately $1.5 trillion. As seen in table 12 below, only the F-35 and two naval programs are projected to cost more than the GMD system, demonstrating the department\u2019s level of resources committed to defending the U.S. homeland against a long range ballistic missile attack.", "In November 2017, the President submitted to Congress an amendment to the fiscal year 2018 budget request for DOD to, among other things, increase current missile defense capacity, expand the sensor network, and accelerate technology development efforts. According to MDA, the request for additional funds was in direct response to recent demonstrations of advanced and accelerated capabilities by North Korea. MDA\u2019s justification materials for the budget amendment includes an addition $774 million for GMD to build a new, 20-silo missile field at Fort Greely, begin procuring four additional interceptors, continue booster development, accelerate RKV development, and to add a non-intercept target to an initial RKV flight test. In total, MDA now plans to spend over $14 billion on GMD over the next six years with 64 total interceptors fielded by 2023."], "subsections": []}, {"section_title": "New Director, MDA revised the GMD acquisition strategy to keep the current prime contractor in place, reversing plans for MDA to lead system integration", "paragraphs": ["The new direction of the GMD program reflects a decision by the Director, MDA to set aside a strategy approved in 2016 by the prior Director for the government to take on the role of system integrator. Since the late 1990s, Boeing has been the GMD prime contractor, performing the role of system integrator. In 2011, Boeing competitively won a follow-on GMD development and sustainment contract that runs through December 2018. According to MDA, the government serving as the system integrator provides several benefits, such as eliminating organizational conflicts of interest issues\u2014where industry tests and delivers assets based on requirements it wrote\u2014and providing an unbiased assessment of system performance. However, a subsequent review team identified gaps and risks with implementing the strategy and the agency determined that transitioning to the new strategy at a time of heightened threat activity created unacceptable levels of risk for defending the U.S. homeland. On January 31, 2018, MDA awarded a sole-source contract modification to Boeing to extend the current development and sustainment contract. The contract modification has a total value of $6.56 billion and includes the accelerated delivery of a new 20-silo missile field, development of a new boost vehicle and the RKV, procurement of 20 new interceptors, and ground system upgrades.", "MDA faced a difficult choice, as both options included advantages and disadvantages. Under the prior approved strategy, MDA expected to achieve cost savings through competition. According to MDA, the sole- sourced labor rates for new development efforts under the recently modified development and sustainment contract have proven to be significantly higher than originally planned. In addition, MDA stated that the contract modification process is also often very lengthy, making it difficult for the agency to respond to the rapidly changing threat environment. MDA also stated that the lack of competition makes it challenging for the government to achieve favorable contract outcomes. Conversely, the government taking on the role of system integrator would make it responsible for managing multiple contracts. MDA plans to implement measures to mitigate some of the current challenges with extending the development and sustainment contract and ultimately provide the GMD program with a level of continuity during the current period of heightened threat activity."], "subsections": []}, {"section_title": "MDA\u2019s plan to accelerate the Redesigned Kill Vehicle effort may instead prolong it", "paragraphs": ["In October 2017, MDA informed the Under Secretary of Defense for Acquisition, Technology and Logistics (USD(AT&L)) that it had revised the RKV acquisition plan that was previously established in 2015 and approved by the USD(AT&L). This revision, in response to the advancement of the North Korean missile threat, accelerates the RKV\u2019s development by concurrently performing development and production and reducing the number of necessary flight tests. MDA removed the previously-established alignment between flight tests and production decisions, which enables the program to begin production well before the system\u2019s design is stabilized. In addition, MDA now plans to contract for production, on a sole source basis with the current GMD prime contractor, rather than through a full and open competition. According to MDA, the acceleration plan does not change the content of the RKV\u2019s development plan and the program will continue to execute the same engineering processes including hardware qualifications essential to delivering the RKV.", "However, MDA\u2019s revision of the RKV acquisition plan is more likely to prolong the effort rather than accelerate it. Our prior best practice work has shown that finding a balance between resources available (i.e., time and funding) and needed operational attributes (i.e., reliability and effectiveness) and obtaining buy-in from across the department is essential for program success. Although some risk may be necessary, programs that rely on heightened levels of concurrent development and production, starting production before stabilizing the design, and other risky practices greatly increase the likelihood a program will fail to deliver reliable, effective capabilities in an accelerated manner. The revised RKV plan no longer includes some of the key best practices, such as alignment between testing and production decisions included in the 2015 RKV plan. In addition, MDA has already experienced development delays and was operating on the threshold schedule of the prior acquisition plan, with no additional margin for delays. Moreover, MDA did not vet the revised plan in a similar manner to that of the 2015 RKV acquisition plan, which Congress required to be subject to approval by the USD(AT&L) and include rigorous elements for systems engineering, design, integration, development, testing and evaluation. The revised plan is also inconsistent with the acquisition best practice to \u201cfly before you buy\u201d, as MDA will begin production based on the results of design reviews rather than flight testing.", "In May 2017, we recommended that the Secretary of Defense require the Director of DOD\u2019s Office of Cost Assessment and Program Evaluation (CAPE) perform a comprehensive review of the RKV acquisition strategy and provide any recommendations to the Secretary of Defense that the Director deems necessary and appropriate to obtain CAPE\u2019s concurrence for the RKV program\u2019s acquisition strategy. DOD did not concur with our recommendation, stating that CAPE and other organizations had previously reviewed the strategy prior to USD(AT&L)\u2019s approval. As we noted in our report, CAPE raised serious concerns about the plan and expected MDA would encounter development delays. MDA justified the prior RKV plan, in part, so that it could begin urgently replacing the less reliable CE-Is as expeditiously as possible, which were fielded between 2004 and 2007. Under the newly accelerated plan, MDA does not plan to begin replacing the CE-I interceptors until after it has fielded the additional 20 RKV-equipped GBIs in 2024. However, GBIs only have an initial service life of 20 years and MDA previously decided not to make any upgrades to the CE-I because of initial plans to begin replacing them with RKVs in 2020. We continue to believe that DOD should implement our recommendation in order to ensure that MDA\u2019s plans for the RKV are viable and meet the needs of the warfighter."], "subsections": []}]}, {"section_title": "Appendix VIII: Sensors", "paragraphs": ["A family of satellite-, sea-, and land-based radars provides worldwide sensor coverage to enable the Ballistic Missile Defense System (BMDS) to effectively detect and track threat missiles through all phases of their trajectory. Land-based BMDS sensors include the Army/Navy Transportable Radar Surveillance and Control Mode-2 (AN/TPY-2), Upgraded Early Warning Radars (UEWR), and the future Long Range Discrimination Radar (LRDR). Figure 16 below illustrates the locations of select BMDS sensors world-wide.", "AN/TPY-2 is a transportable X-band high resolution radar that is capable of tracking all classes of ballistic missiles. AN/TPY-2 in the forward-based mode is capable of detecting and tracking missiles in all stages of flight to support Aegis BMD and GMD engagements and provides threat missile data to C2BMC. AN/TPY-2 in the terminal mode can track missiles in the later stages of flight to support THAAD engagements. Five AN/TPY-2 radars for use in forward-based mode are deployed to support regional defense: two in U.S. European Command, two in U.S. Pacific Command, and one in U.S. Central Command. Two AN/TPY-2 radars for use in terminal mode is also deployed to U.S. Pacific Command.", "UEWR are U.S. Air Force early warning radars that are upgraded and integrated into the BMDS to provide sensor coverage for critical early warning, tracking, object classification, and cueing data. Upgraded Early Warning Radars are located in Beale, California; Fylingdales, United Kingdom; and Thule, Greenland. MDA awarded a contract to upgrade the early warning radars in Clear, Alaska and at Cape Cod, Massachusetts, and both of these assets are approaching their operational acceptance for use in the BMDS. The upgrades to the Clear and Cape Cod Early Warning Radar sites are joint MDA / Air Force projects. Both organizations are contributing funding to these sites.", "LRDR is being designed as an S-band radar intended to address the need for persistent, precision tracking and discrimination capability in the Pacific sensor architecture. MDA anticipates the addition of LRDR will optimize the employment of the Ground-based Midcourse Defense (GMD) interceptors and address evolving threats. The radar will be located at Clear Air Force Station, Alaska with initial operational capability planned for 2020. Table 13 provides key fiscal year 2017 Sensors program facts."], "subsections": [{"section_title": "AN/TPY-2 Program transitions to a new development phase", "paragraphs": ["To address future requirements and as part of its spiral development process, AN/TPY-2 transitioned from its Increment 2 software development phase to its Configuration 3 software development phase. The transition results in Configuration 3 subsuming all unfinished Increment 2 content including 44 percent of development costs ($60 million), 31 percent of productions costs ($61 million), 88 percent of operations and support costs ($2,281 million), and 100 percent of disposal costs ($30 million). Four Knowledge Points and Technical Performance Metrics for the program were also carried over from Increment 2. New capabilities were also added in Configuration 3 including electronic protection and discrimination improvements.", "Additionally, the Conditional Materiel Release of software upgrade CX 2.1.0 was delayed from the first quarter of fiscal year 2017 to the first quarter of fiscal year 2018. To mitigate this delay, MDA executed an Urgent Software Release for CX 2.1.1 to support the fielding of Command, Control and Battle Management (C2BMC) S6.4-3 in December 2016."], "subsections": []}, {"section_title": "UEWR operational acceptances delayed for Beale, Clear, Cape Cod, and Fylingdales Sites", "paragraphs": ["The UEWR is executing a concurrent development approach to improve UEWR Object Classification (OC), Data Processor/Signal Processor (DP/SP), and Bias Correction capabilities, and to certify the UEWR Clear and Cape Cod sites for use in the BMDS. Because of this concurrent development, a delay in the Beale UEWR\u2019s operational acceptance for the OC and DP/SP program has had cascading effects on the same upgrades for the Clear, Cape Cod, and Fylingdales UEWRs in addition to the BMDS Certification for the Clear UEWR, delaying the use of these key radar capabilities. These delays are shown in figure 17 below: The delay in Beale\u2019s Operational Acceptance was due in part to the following:", "The contractor, Raytheon, delivered unacceptable UEWR technical orders that required rework.", "Development and operational testing supporting the operational acceptance were delayed because the operators required remediation of all emergency operational maintenance issues found on the operational UEWRs.", "Some UEWR software required fixes to address deficiencies.", "Other programs were competing for test time on needed equipment.", "The delay in operational acceptance will affect the delivery of Bias Correction for the Clear and Cape Cod UEWRs in addition to the delivery of and Data Processor/ Signal Processor improvements to support the missile defense mission of Beale, Clear, Cape Cod, and Fylingdales UEWRs. It has also delayed the BMDS Certification of the Clear UEWR. Because the program currently has sufficient schedule margin before the Cape Cod BMDS Certification, the delays have not yet affected the missile defense mission for that radar. The program office is working with Raytheon on a recovery plan to address the Technical Order issues and other issues that arose from the developmental and operational testing conducted in July 2017. We have previously reported that concurrent development increases program risk for cost and schedule delays caused by redesigns and retrofits needed after testing has occurred.", "In fiscal year 2017, MDA made progress towards stabilizing LRDR\u2019s design, by completing a preliminary design review in March 2017 and a critical design review in September 2017. The program also began production of long lead radar electronic components and awarded a military construction contract for the Mission Control Facility. However, the program has experienced challenges integrating multiple facilities- related projects, which require synchronization between MDA, the U.S. Air Force, the U.S. Army Corps of Engineers, and contractors. For example, in fiscal year 2017, the LRDR program began demolishing a decommissioned, Cold War-era radar, which sits on the planned LRDR site at Clear Air Force Station. The program discovered that the radar\u2019s foundation and surrounding soil contained steel and concrete coated with polychlorinated biphenyl (PCB), which was a common industrial material used at the time of the radar\u2019s construction in the late 1950s. PCBs do not readily break down once in the environment and have been demonstrated to cause a variety of adverse health effects. In April 2017, the U.S. Army Corps of Engineers modified its contract for the removal of the PCB- contaminated foundation and soil and plans to complete excavation and removal by early fiscal year 2018. Demolition is now expected to be completed in 2019 and the additional costs for these complications are not covered under the program\u2019s resource baseline.", "In June 2017, the LRDR program initiated a power study with the commercial power supplier for the LRDR radar. The program expects to complete the study on LRDR\u2019s power demands on the commercial electrical grid, as well as assess updated U.S. Northern Command concept of operations to determine the extent, if any, of system capabilities, limitations, and mitigations. During the LRDR critical design review, MDA officials stated that U.S. Air Force informed the agency that it required 24/7 availability of the radar if it is to become operational. According to MDA officials, the current LRDR design, with its reliance on commercial power and limited back-up generators, would not provide that capability. MDA officials stated the program plans to increase the number of back-up generators, which may increase the military construction costs and annual operational expense of the radar. A November 2016 study of LRDR\u2019s power system performed for MDA by a contractor indicated that agreements with the commercial power provider place limitations on the warfighter\u2019s ability to operate the radar without consulting the commercial power provider in advance and that emergency activation of the radar could result in other commercial power provider customers having their power supply temporarily switched off if the generators were not brought online in time.", "The LRDR program has also encountered design challenges with the radar\u2019s circuit card assemblies, as the planned design included the use of pure tin parts, which are susceptible to corrosion. Lockheed Martin, the prime contractor for the LRDR program, plans to replace some of the pure tin parts with parts that have a lead-based finish, as available. The program does not anticipate there to be enough of these parts available and estimated that redesigning the pure tin parts would result in an approximate 9-month delay. For those parts that cannot be readily replaced, Lockheed Martin plans to use corrosion mitigation techniques, such as applying conformal coating to the circuit card assemblies and applying lead solder. Although MDA maintains that these mitigation techniques will ensure corrosion-free operations, government and industry studies show that such mitigations reduce, but do not eliminate the risk, Lockheed Martin is conducting on-site inspections and providing additional information on the historical use of pure tin parts in similar systems and anticipates being able to clear the unmitigated, pure tin parts through the MDA\u2019s Parts, Materials, and Processes control board."], "subsections": []}]}, {"section_title": "Appendix IX: Targets and Countermeasures", "paragraphs": [], "subsections": [{"section_title": "Program Overview", "paragraphs": ["The Missile Defense Agency\u2019s (MDA) Targets and Countermeasures procures missiles to serve as targets during the developmental and operational testing of independent or integrated ballistic missile defense system (BMDS) elements. Specifically, this program supplies MDA with short-, medium-, intermediate-, and intercontinental-range targets to test, verify, and validate the BMDS elements\u2019 performance in threat relevant environments. As targets are solely test assets, they are not operationally fielded.", "The number of targets that the program supplies vary based on each element\u2019s requirements and testing schedule. While some targets have been used for years, others have been recently added or are now being developed to more closely represent current and future threats. The quality and availability of these targets is instrumental to the execution of MDA\u2019s flight test schedule. Table 14 provides key fiscal year 2017 Targets and Countermeasure program facts."], "subsections": []}, {"section_title": "First successful intercept test using an ICBM was achieved during GMD flight test, FTG-15", "paragraphs": ["Despite challenges MDA has previously experienced using new targets during intercept flight tests, in fiscal year 2017, the program successfully flew the first intercontinental ballistic missile (ICBM) range target to support a critical intercept test for the GMD element. The GMD element provides the warfighter capability to engage and destroy intermediate- and intercontinental-range ballistic missile threats for the protection of the United States. In March 2013, the Secretary of Defense announced plans to increase the number of deployed GMD interceptors called Ground- based interceptors (GBI) from 30 to 44 by the end of 2017. To do this, a test\u2014FTG-15\u2014was needed to collect data on the GBI\u2019s new booster design and demonstrate its performance against a target at the ICBM threat range before completing this mandated fielding goal. The successful flight of the ICBM target, the GBI\u2019s performance against the target, and other information gathered during this test will provide the warfighter with a better understanding of the GBI\u2019s capabilities and limitations. For further details on the GMD element, see appendix VII."], "subsections": []}, {"section_title": "Program planning to award contract for additional targets despite cost growth, schedule delays, and unproven performance", "paragraphs": ["The Targets and Countermeasures program is planning to contract for up to 12 additional medium range ballistic missile (MRBM) T1/T2 targets despite cost growth, schedule delays, and the lack of demonstrated performance. In fiscal year 2014, the program competitively awarded the initial contract for 6 MRBM T1/T2 targets with an option for an additional 12, for a total of 18. According to program officials, the contract was structured with a fixed price for the target and incentives to ensure successful execution during testing. However, the contractor has been underperforming since the award.", "First, this target\u2019s costs have continued to significantly increase as some MDA officials originally warned. One of MDA\u2019s reasons for selecting the current MRBM T1/T2 contractor was because it offered a lower price. However, some officials within MDA objected to this award due to the near certainty that the contractor would overrun costs. Since then, both MDA and Defense Contract Management Agency (DCMA) officials have acknowledged that the contractor did not adequately account for the costs associated with this target. Consequently, this target\u2019s costs have been volatile, and despite changes and rebaselines, the contractor has been unable to meet projections. In fiscal year 2017, the program conducted another review to address significant cost growth and set new projections, and despite a relatively steady period of performance against these new projections, DCMA officials believe that this contractor will continue to have increasing costs. In addition, the first delivery of this target has been delayed almost five years beyond the original plan primarily due to contractor performance issues. There was an initial delay because the contract was awarded later than planned due to an investigation of an unsubstantiated procurement integrity allegation. However, since then, contractor performance issues have further delayed the first target delivery, necessitating several substitute targets for tests in the interim. Finally, since the program will not fly the first target in a test until the second quarter of fiscal year 2019, the target\u2019s performance has yet to be demonstrated. Hence, buying an additional 12 targets without confirmation of the target\u2019s performance is a significant risk for the program, as even one failure would delay all future tests with this target, and ultimately, the entire test program."], "subsections": []}]}, {"section_title": "Appendix X: Terminal High Altitude Area Defense (THAAD)", "paragraphs": ["Appendix X: Terminal High Altitude Area Defense (THAAD)"], "subsections": [{"section_title": "Program Overview", "paragraphs": ["THAAD is a rapidly-deployable ground-based system able to defend against short-, medium-, and intermediate- range ballistic missile attacks during the middle and end stages of a missile\u2019s flight. THAAD is organized as a battery that consists of interceptors, launchers, an Army Navy / Transportable Surveillance (AN/TPY-2) radar, a fire control and communications system, and other support equipment. The first two batteries were originally conditionally accepted by the Army for operational use. Since then, THAAD received urgent materiel release approval from the Commanding General of the United States Army Aviation and Missile Command to enable an earlier delivery of equipment for THAAD batteries one through six for operational use to meet the Army\u2019s request to support urgent warfighter needs. The MDA plans to continue THAAD production through fiscal year 2024, for a total of 7 batteries, 503 interceptors, and 7 radars.", "MDA has two THAAD acquisition efforts\u2014THAAD 1.0 and THAAD 2.0.", "THAAD 1.0 is for the production of the batteries, interceptors, and supporting hardware and provides the warfighter with initial integrated defense against short- and medium-range threats in one region.", "Appendix X: Terminal High Altitude Area Defense (THAAD)", "THAAD 2.0 is primarily software enhancements that expand THAAD\u2019s ability to defend against threats in multiple regions and at different ranges, and adds debris mitigation and other upgrades.", "Table 15 provides key fiscal year 2017 THAAD program facts."], "subsections": []}, {"section_title": "THAAD Successfully Completed Two Flight Tests, but Delayed Several Hardware and Software Deliveries, Impacting Warfighter Capabilities", "paragraphs": ["THAAD successfully completed two tests. In FTT-18 (previously scheduled for fiscal year 2015), THAAD successfully intercepted an Intermediate Range Ballistic Missile (IRBM)-representative target, demonstrating THAAD\u2019s capability against IRBM threats. THAAD has been deployed to Guam since 2013 to defend against IRBM threats, but this is the first time it has demonstrated that capability in a flight test. According to program officials, for the second planned flight test originally named FTT-15, MDA changed the name to Flight Experiment THAAD (FET)-01 to more accurately reflect the experimental purpose of the test. However, an intercept was formerly a primary test objective in FTT-15, but this objective was removed before the test name was changed to FET-01. In FET-01, although not a primary objective, THAAD did complete an intercept of a medium-range ballistic missile target with countermeasures. Despite the intercept, the test revealed significant operational limitations.", "THAAD delayed the delivery of several key hardware and software deliveries that will impact warfighter capabilities. Figure 20 shows the delayed hardware and software deliveries.", "Appendix X: Terminal High Altitude Area Defense (THAAD)", "Appendix X: Terminal High Altitude Area Defense (THAAD) interceptors due to a production issue that had cascading schedule effects on interceptor production and delivery."], "subsections": []}, {"section_title": "Parts Quality Issues Were Resolved but Delayed Interceptor Deliveries", "paragraphs": ["In May 2017, we found that THAAD interceptor production was halted due to a parts quality issue discovered when a connector in the interceptor failed multiple testing iterations. Upon investigation, the contractor learned that one of its sub-contractors changed the manufacturing process on the connector without informing Lockheed Martin. According to program officials, Lockheed Martin halted interceptor delivery but continued interceptor production. The connector was redesigned and incorporated into 20 interceptors, which again failed testing before being deployed. After a second redesign the connector passed testing and interceptor delivery resumed in April 2017. As of December 2017, there were 16 interceptors that had been produced but not yet fitted with the redesigned connector. Program officials report that the delay should result in about 2 months of delivery delays of the last interceptor lot currently under contract.", "According to program officials, to prevent similar problems from occurring again, the government revised the Parts Materials and Processes Control plan to provide improved guidance and clarity related to parts selection and change control; added additional criteria to annual audits to enhance review of supplier parts management, materials, and processes; and tightened controls on suppliers to report any significant changes."], "subsections": []}, {"section_title": "MDA and Army are at an Impasse Regarding Transfer of THAAD Program to the Army", "paragraphs": ["Appendix X: Terminal High Altitude Area Defense (THAAD)", "THAAD, that would be the Army) not later than the date the President\u2019s fiscal year 2021 budget is submitted. However, in a memo from the Secretary of the Army, the Army said that it would non-concur with a transfer of the THAAD program in its current state because it cannot meet the Army\u2019s global mission requirements.", "To meet global mission requirements for the THAAD mission, the Army requires about $10.1 billion of additional hardware, life-cycle sustainment funding, and AN/TPY-2 upgrades. MDA is willing to transfer to the Army the THAAD program of record as is. An official from the Army said that this impasse has existed before, but that the recent reprioritization of the THAAD mission contributed to it. For further details on the AN/TPY-2 program, see appendix VIII.", "Table 16 below shows the difference between the THAAD program of record and the Army\u2019s requirements.", "Appendix X: Terminal High Altitude Area Defense (THAAD)", "MDA\u2019s requirements and warfighter requirements exist and can lead to situations such as this impasse. Consequently, we recommended that the Secretary of Defense require MDA to develop a plan to transition operational requirements analysis currently performed within MDA\u2019s Achievable Capabilities List to the U.S. Combatant Commanders, with U.S. Strategic Command as the lead entity and, in the interim, require MDA to obtain their concurrence of the Achievable Capabilities List prior to its release. The Department of Defense (DOD) did not agree with our recommendation. However, as evidenced by the discrepancy between the Army\u2019s and MDA\u2019s requirements for the THAAD and AN/TPY-2 program, the difference between MDA\u2019s requirements and those of the warfighter will continue to present substantial problems to DOD in executing the missile defense mission, and we continue to believe that our recommendation should be implemented."], "subsections": []}]}, {"section_title": "Appendix XI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, LaTonya Miller, Assistant Director; Matthew Ambrose; Kristine Hassinger; Helena Johnson; Joe Kirschbaum; Wiktor Niewiadomski; Steven Stern; Brian Tittle; Hai V. Tran; Alyssa Weir; Tonya Woodbury; and Robin Wilson made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Missile Defense: Some Progress Delivering Capabilities, but Challenges with Testing Transparency and Requirements Development Need to Be Addressed. GAO-17-381. Washington, D.C.: May 2017.", "Missile Defense: Opportunities Exist to Reduce Acquisition Risk and Improve Reporting on System Capabilities. Washington, D.C.: Mar. 2015.", "Missile Defense: Mixed Progress in Achieving Acquisition Goals and Improving Accountability. GAO-14-351. Washington, D.C.: Apr. 2014.", "Missile Defense: Opportunity to Refocus on Strengthening Acquisition Management. GAO-13-432. Washington, D.C.: Apr. 2013.", "Missile Defense: Opportunity Exists to Strengthen Acquisitions by Reducing Concurrency. GAO-12-486. Washington, D.C.: Apr. 2012.", "Missile Defense: Actions Needed to Improve Transparency and Accountability. GAO-11-372. Washington, D.C.: Mar. 2011.", "Defense Acquisitions: Missile Defense Transition Provides Opportunity to Strengthen Acquisition Approach. GAO-10-311. Washington, D.C.: Feb. 2010 Defense Acquisitions: Production and Fielding of Missile Defense Components Continue with Less Testing and Validation Than Planned. GAO-09-338. Washington, D.C.: Mar. 2009 Defense Acquisitions: Progress Made in Fielding Missile Defense, but Program is Short of Meeting Goals. GAO-08-448. Washington, D.C.: Mar. 2008 Defense Acquisitions: Missile Defense Acquisitions Strategy Generates Results but Delivers Less at a Higher Cost. GAO-07-387. Washington, D.C.: Mar. 2007 Defense Acquisitions: Missile Defense Agency Fields Initial Capability but Falls Short of Original Goals. GAO-06-327. Washington, D.C.: Mar. 2006.", "Defense Acquisitions: Status of Ballistic Missile Defense Program in 2004. GAO-05-243. Washington, D.C.: Mar. 2005 Missile Defense: Actions Are Needed to Enhance Testing and Accountability. GAO-04-409. Washington, D.C.: Apr. 2004."], "subsections": []}], "fastfact": ["The Missile Defense Agency is developing a system to track and destroy enemy missiles. In our annual review of this system, we found that, as in prior years, MDA has made progress developing, testing, and delivering some parts of this system but did not always complete its goals. For example, while MDA delivered some kinds of missiles to the military as planned, other missiles were delayed.", "We also found some of these assets are not delivered with information users need, like limitations about how they operate or how they were tested. Our six recommendations include actions MDA can take to better communicate this and other information."]} {"id": "GAO-18-432T", "url": "https://www.gao.gov/products/GAO-18-432T", "title": "Social Security Administration: Continuing Leadership Focus Needed to Modernize How SSA Does Business", "published_date": "2018-03-07T00:00:00", "released_date": "2018-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SSA provides vital benefits and services that affect the lives of many Americans. In fiscal year 2017, it paid out nearly $1 trillion in retirement and disability benefits to 67 million beneficiaries, and an average of 420,000 people call or visit one of its 1,200 field offices each day.", "However, SSA has struggled to manage its disability workloads, maintain program integrity, and modernize its service delivery and information technology systems. GAO has issued a number of reports on these challenges, and placed SSA's disability programs on GAO's High Risk List, in part due to challenges with workloads and claims processing.", "GAO was asked to testify on challenges facing SSA. This statement summarizes ongoing SSA challenges described in SSA's strategic plan and past GAO work in three areas: 1) managing disability workloads and ensuring program integrity; 2) modernizing physical infrastructure and service delivery methods; and 3) modernizing information technology.", "Although GAO is not making recommendations in this statement, our prior work included recommendations to help SSA address these challenges, many of which SSA has agreed with and initiated actions on. SSA provided technical comments on a draft of this statement, which we incorporated, as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work and Social Security Administration's (SSA) strategic plan for fiscal years 2018-2022 highlight significant demographic and technological challenges facing the agency. For example, SSA's workloads are increasing due to 80 million baby boomers entering their disability-prone and retirement years, and institutional knowledge and leadership at SSA will be depleted due to an expected 21,000 employees retiring by the end of fiscal year 2022. GAO's prior work has identified related management challenges and opportunities for SSA to further modernize and improve its disability programs, service delivery, and information technology (IT) systems.", "Managing disability workloads and program integrity. SSA has long struggled to process disability claims and, more recently, appeals of denied claims, in a timely manner. Consistent with our 2013 recommendation, SSA produced a broad vision for improving service delivery, including ensuring prompt and accurate disability decisions. However, SSA is still developing concrete plans to implement its vision. Although SSA has initiatives underway to improve appeals backlogs, GAO reported that some of SSA's appeals initiatives are either contingent on additional funding or have met with limited success when tried in the past. GAO's prior work also identified other challenges related to SSA's disability programs, and actions SSA could take, for example, to modernize disability criteria, prevent and recover overpayments, and manage fraud risks.", "Modernizing physical infrastructure and service delivery. Advances in technology have the potential to change how and where SSA delivers its services. For example, individuals can now apply for some disability benefits online rather than in person. However, GAO found that SSA did not have readily available data on problems customers had with online applications or why staff support was needed. Additionally, the agency had not established performance goals to determine whether new service delivery options, such as off-site kiosks, are succeeding. In addition, we found that SSA has not developed a long-term plan for its building space that, among other things, includes a strategy for downsizing offices to better reflect changes in service delivery. We recommended SSA improve building plans and do more to assess and monitor service delivery, with which SSA agreed.", "Modernizing information technology. SSA's legacy IT systems are increasingly difficult and expensive to maintain and GAO identified SSA's needed investment in infrastructure operations and maintenance as among the 10 largest expenditures at federal agencies in fiscal year 2015. GAO recommended SSA identify and plan to modernize or replace legacy systems, in accordance with forthcoming Office of Management and Budget guidance. SSA agreed, and reported that it is finalizing its Information Technology Modernization Plan.", "Continuing focus by SSA leadership is critical to addressing these broad and long-term challenges and effectively delivering benefits and services to the many Americans who depend on SSA programs."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to discuss the significant management challenges and structural issues currently facing the executive leadership of the Social Security Administration (SSA).", "SSA is a vast enterprise responsible for providing benefits and services that affect nearly every American at some point in their lives. In fiscal year 2017, SSA paid out nearly $1 trillion in Social Security retirement, disability, and Supplemental Security Income benefits to 67 million beneficiaries. While the services it provides are vitally important, SSA faces significant demographic and technological challenges. For example, as SSA noted in its 2018-2022 strategic plan and as we have previously reported, SSA is experiencing increasing workloads due to 80 million members of the baby boom generation entering their most disability- prone and retirement years. At the same time, SSA projects 21,000 of its employees will retire by the end of fiscal year 2022, resulting in a loss of institutional knowledge and impediments to succession management and knowledge transfer. In addition, SSA noted that Americans are increasingly relying on technology to access services while information technology (IT) advances create opportunities for SSA to use substantially different tools and approaches than it has in the past.", "We have issued a number of reports with recommendations addressing shortcomings in how SSA has addressed these challenges. While SSA has agreed with and taken action on many of our recommendations, many others remain open, some of which we have suggested to SSA should be given high priority. In addition, Social Security disability programs are on our High Risk List due to persistent workload and other challenges with processing disability claims. A common theme that cuts across these issues is the need to modernize how SSA does business. SSA has acknowledged the importance of modernization in its new strategic plan. The actions SSA leadership will need to take to modernize the management of disability programs, facility planning and service delivery, and information technology will require vision and sustained, long-term attention.", "My testimony today summarizes the results from a number of our past reports on SSA\u2019s operations and will focus on management challenges and structural issues facing SSA in three key areas: 1) managing its disability workloads and ensuring program integrity; 2) modernizing its physical infrastructure and service delivery methods; and 3) modernizing its information technology.", "In developing this testimony, we relied on reports that we have previously issued. These reports, cited throughout this statement, include detailed information on the scope and methodology for our reviews. The work on which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "SSA Programs and Functions", "paragraphs": ["The scope of SSA\u2019s operations and responsibilities is vast. One of SSA\u2019s key responsibilities is to provide financial benefits to eligible individuals through three benefit programs:", "Old-Age and Survivors Insurance (OASI)\u2014provides retirement benefits to older individuals and their families and to survivors of deceased workers.", "Disability Insurance (DI)\u2014provides benefits to eligible individuals who have qualifying disabilities, and their eligible family members.", "Supplemental Security Income (SSI)\u2014provides income for aged, blind, or disabled individuals with limited income and resources.", "In support of its mission, SSA maintains workers\u2019 earnings information and in fiscal year 2017 posted over 279 million earnings items to workers\u2019 records. SSA also determines if claimants are eligible for benefits, completing 10 million claims and more than 680,000 hearings decisions in fiscal year 2017. SSA also maintains birth and death records and issues Social Security Numbers. In fiscal year 2017, SSA issued almost 17 million new and replacement Social Security cards.", "Beyond administering its programs and core missions, SSA provides key administrative support to the Medicare program, partners with the Department of Homeland Security in verifying employment eligibility for new hires, and assists with the administration of other programs, such as the Supplemental Nutrition Assistance Program and programs administered by the Railroad Retirement Board.", "SSA\u2019s workforce is large, as is its physical footprint. About 62,000 federal employees and 15,000 state employees administer SSA programs in about 1,500 facilities nationwide. These facilities include regional offices, more than 1,200 field offices, teleservice centers, processing centers, hearings offices, the Appeals Council offices, and SSA\u2019s headquarters in Baltimore, Maryland.", "Customers can access SSA services in-person at an SSA field office; by phone with field office staff or through a National 800 number; or online. In 2018, SSA reported that, each day, about 170,000 people visit and 250,000 call one of its field offices for various reasons, such as to file claims, ask questions, or update their information. SSA also reported that its national 800 number handles over 30 million calls each year."], "subsections": []}]}, {"section_title": "Challenges to Managing SSA\u2019s Disability Workloads and Ensuring Program Integrity", "paragraphs": ["Complex eligibility rules and multiple handoffs and potential layers of review make SSA\u2019s disability programs complicated and costly to administer. Program complexity arguably has made it challenging for SSA to make significant advances in efficiently managing high disability workloads, ensuring timely and consistent disability decisions, preventing benefit overpayments, and mitigating fraud risks.", "Our recent work highlighted some of the challenges SSA faces in making disability decisions that are timely, consistent and based on current concepts of disability, while also preventing and deterring fraud and ensuring that only beneficiaries who are entitled to benefits receive them. These findings underscore the need for SSA leadership to approach these challenges strategically and follow through with rigorous plans in order to achieve significant improvements in its disability programs."], "subsections": [{"section_title": "Making Timely Disability Decisions", "paragraphs": ["In recent years, SSA made noteworthy strides in reducing its backlog of initial disability claims, but delays in deciding disability appeals continue to worsen. SSA has reduced the number of pending claims each fiscal year since 2010\u2014from about 842,000 in fiscal year 2010 to about 523,000 in fiscal year 2017. However, the number of appealed claims pending at the end of 2017 was approximately 1.1 million compared to about 700,000 in fiscal year 2010, and the average time needed to complete appeals increased from 426 days to 605 days during that same time.", "In our 2017 High Risk Update, we reported that SSA had taken some steps to address its growing appeals backlog, such as hiring additional administrative law judges (ALJ). SSA also published a plan in 2016 to improve appeals timeliness that called for further hiring, improving business processes, sharing workloads across offices, and making better use of IT resources, such as increasing the number of video hearings. However, SSA\u2019s Office of Inspector General (OIG) found that many of the initiatives in SSA\u2019s plan duplicated past efforts that had met with limited success. SSA also noted that some efforts, such as additional hiring, will depend on resource availability. We also reported that SSA is still developing plans to implement its broad vision for service delivery, Vision 2025, which addresses SSA\u2019s capacity to provide timely initial claims and appeals decisions. To address its appeals backlog and position itself to effectively provide timely disability decisions at all levels, SSA leadership will need to continue to operationalize Vision 2025, plan and implement systems support for initial claims, and implement and monitor the success of its appeals initiatives."], "subsections": []}, {"section_title": "Modernizing Disability Criteria", "paragraphs": ["While SSA has made significant progress in updating the outdated occupational and medical criteria it uses to make disability eligibility decisions, some of these efforts are multi-year and will require the continued focus of top leadership. Most significantly, SSA has made strides updating a decades old Dictionary of Occupational Titles with a new Occupational Information System (OIS), which contains occupational data to make disability determinations. SSA expects to have OIS in place by 2020, and currently plans to update OIS information every 5 years thereafter. Regarding the medical criteria used to make disability decisions, we reported in our 2017 high risk update that SSA had published final rules for nearly all of the 14 body systems for adults and was on track to update criteria for all body systems every 3 to 5 years. While SSA has addressed all our recommendations in this area, other opportunities exist for updating aspects of SSA\u2019s disability decision process. For example, SSA officials have acknowledged that the vocational rules it uses to determine eligibility may no longer accurately reflect the nature and scope of work available in the national economy and stated that the agency is conducting a review to determine if changes to vocational factors are necessary. Agency leadership will play a key role in ensuring SSA pursues these opportunities to further modernize its criteria and devotes appropriate resources to continuously updating its occupational and medical criteria on a timely basis."], "subsections": []}, {"section_title": "Enhancing the Accuracy and Consistency of Disability Decisions", "paragraphs": ["Our recent work analyzed variation in the rate that different ALJs grant disability benefits when claimants appeal an earlier denial, and found that SSA\u2019s efforts to monitor the consistency of appeal hearing decisions are incomplete. In 2017 after analyzing data on hearings decisions, we estimated that the allowance (approval) rate could vary by as much as 46 percentage points between different judges with respect to a typical claim. SSA conducts various reviews to monitor the accuracy and consistency of ALJ decisions, but SSA has not systematically evaluated whether its reviews are effective. SSA has also struggled to sustain all of its quality review efforts, in part, because SSA reassigned staff to help expedite claims decisions. We also reported on shortcomings in SSA\u2019s Compassionate Allowance initiative (CAL)\u2014which fast tracks disability claims for severe medical conditions that are most likely to be approved\u2014 that could prevent claims from being consistently and accurately identified for expedited processing. These shortcomings include lacking a systematic approach and clear criteria for designating medical conditions for inclusion in CAL.", "With about one in three beneficiaries being granted benefits at SSA\u2019s appeals hearing level, it remains crucial that SSA leadership commit to ensuring appeal applications receive fair and consistent treatment, including assessing persistent and unexplained variations in ALJ allowance rates. Ensuring oversight and scrutiny of SSA\u2019s CAL initiative is also essential to avoid potential equity issues with regards to SSA\u2019s most vulnerable claimants."], "subsections": []}, {"section_title": "Preventing and Collecting Overpayments", "paragraphs": ["Benefit overpayments represent avoidable losses to the DI trust fund and, for the individual who may have incurred an overpayment despite conscientiously reporting wages, a financial hardship when required to repay and a disincentive to pursue work. In fiscal year 2015, the most recent year for which we have data, SSA identified $1.2 billion in new overpayments in its DI program, and had $6.3 billion in total overpayment debt outstanding. In 2015, we reported that the SSA process for beneficiaries to report earnings (and consequently inform whether they remain eligible for DI benefits) had a number of weaknesses, including staff not following established procedures, limited oversight, and a lack of automated reporting options for beneficiaries, such as an automated telephone system or smart phone app. SSA has made progress expanding electronic work reporting, but these efforts will not eliminate vulnerabilities caused by SSA\u2019s multi-faceted processes for receiving and handling work reports, and will require additional management focus to shore up internal controls and avoid unnecessary overpayments.", "Once overpayments do occur, SSA will endeavor to recover those overpayments. However, we recently found that the collection of overpayment debts warrants more attention than SSA has demonstrated to date. In 2016, we reported that SSA\u2019s largest source of debt recovery is withholding a portion of beneficiaries\u2019 monthly benefits payments. However, we found that amounts withheld may not consistently reflect individuals\u2019 ability to pay, and that many repayment plans could take decades to complete. We recommended SSA improve oversight and pursue additional debt recovery options\u2014recommendations that SSA has yet to implement. Absent clear policies and oversight procedures for establishing and reviewing withholding plans\u2014SSA\u2019s main tool for recovering overpayments\u2014SSA cannot be sure that beneficiaries are repaying debts in appropriate amounts within appropriate time frames.", "Further, by not implementing additional debt collection tools that would speed up repayment, which can extend past the beneficiaries\u2019 lifetimes and is diminished in value by inflation, SSA is missing opportunities to restore debts owed to the DI trust fund."], "subsections": []}, {"section_title": "Strategic Approach to Managing Fraud Risks", "paragraphs": ["Although the extent of fraud in SSA\u2019s benefit programs is unknown, high- profile cases\u2014such as one case reported by SSA\u2019s OIG involving 70 individuals and $14 million in fraudulent benefits\u2014underscore the importance of continued vigilance on the part of SSA leadership in managing fraud risks to prevent fraud. We reported in 2017 that SSA established a new office responsible for coordinating antifraud programs across the agency, and had taken steps to gather information on some fraud risks. However, we also found that SSA had not fully assessed its fraud risks, had not developed an overall antifraud strategy to align its efforts with those risks, and did not have a complete set of metrics to determine whether its antifraud efforts are effective. SSA has already taken action on one of our recommendations by producing a fraud risk assessment, which we will evaluate, and has stated its intent to take action on our other recommendations. Nevertheless, leadership will be essential for developing and implementing an antifraud strategy aligned with the risk assessment and ensuring that SSA\u2019s efforts to prevent and detect fraud are effective, thereby helping to safeguard the integrity of its programs and its delivery of benefits to only eligible individuals."], "subsections": []}]}, {"section_title": "Challenges to Modernizing SSA\u2019s Physical Footprint and Service Delivery", "paragraphs": ["With one of the largest physical footprints of any federal agency, and in light of rising facility costs, SSA may be able to achieve efficiencies by reducing the size of its footprint and pursuing additional, cost effective service delivery options. However, as we reported in 2013, rightsizing SSA\u2019s physical infrastructure can be complex, politically charged, and costly; expanding service delivery options is also challenging due to the complexity of SSA\u2019s disability programs and the varying needs of SSA\u2019s customers. Our recent review of SSA\u2019s plans to reconfigure its physical footprint and expand how it delivers services confirmed a number of challenges SSA must navigate. It also highlighted the importance of approaching these challenges strategically and systematically, through strong leadership that guides robust planning, data collection, and assessment efforts."], "subsections": [{"section_title": "Reconfiguring SSA\u2019s Physical Footprint", "paragraphs": ["In our 2017 work, we identified several challenges that could hinder SSA\u2019s ability to readily reconfigure its footprint, align it with evolving needs and potentially achieve desirable cost savings. For example, we found that despite progress reducing its square footage and the number of occupied buildings, SSA\u2019s inflation-adjusted rental costs have remained steady. SSA\u2019s ability to further reduce or enlarge its physical space is constrained by rental markets, and by union and community concerns. According to SSA officials, high rents, limited building stock and complicated federal leasing processes present difficulties and community needs and union concerns may further complicate relocating offices. We also found that, even though SSA is expanding its remote delivery of services\u2014online and through new technologies\u2014overall demand for field office services has not decreased, although demand varied greatly across SSA\u2019s offices.", "Expansion of online service\u2014such as the SSI application, which became available online in 2017\u2014present opportunities for SSA to further reduce or reconfigure its physical footprint. However SSA may miss those opportunities because we found that SSA had not fully integrated its strategic planning and facility planning, despite leading practices that indicate facility plans should align with an agency\u2019s strategic goals and objectives. We recommended that SSA develop a long-term facility plan that explicitly links to its strategic goals for service delivery, and includes a strategy for consolidating or downsizing field offices in light of increasing use of and geographic variation in remote service delivery.", "SSA agreed with our recommendation, and has since formed a Space Acquisition Review Board to consider space reductions in light of operational changes. SSA executive leadership will remain an important factor in ensuring a concerted effort to align the agency\u2019s physical footprint with its vision for future service delivery."], "subsections": []}, {"section_title": "Expanding Remote Service Delivery", "paragraphs": ["Our recent work also found that while the complexity of SSA\u2019s programs can make it challenging for customers to use online services, the agency lacked data to identify and address challenges with online applications. The online disability applications in particular can be confusing and challenging for customers to complete, according to many SSA managers and staff we interviewed. Applications that are submitted online often require follow-up contacts with applicants to obtain missing information, according to SSA front-line staff. However, while SSA has taken steps to make its online services more user-friendly, such as adding a click-to-chat function for customers who run into problems, the agency does not routinely collect data on the reasons for staff follow-ups with online applicants. Such data are critical to SSA\u2019s efforts to further improve its online applications and ultimately allow SSA to shift more of its business online and further reconfigure its physical footprint.", "SSA would also benefit from establishing performance goals to help it determine whether new service delivery options are succeeding. To help address access challenges such as limited broadband internet in some rural areas, SSA has rolled out self-service personal computers in field offices, icons to link to SSA services on computers in public libraries and video services accessed from senior centers. SSA also recently completed a trial of customer service kiosks in seven SSA offices and third-party locations. SSA staff in field offices reported some positive impacts from these initiatives in terms of extending remote access to certain populations, but also cited challenges, such as with customers\u2019 varying ability to use self-service computers. While SSA collects some data on usage, it has not developed performance targets or goals that could help it assess these initiatives\u2019 success or identify problems.", "We recommended that SSA develop a cost-effective approach to identifying the most common issues with online benefit claims, and develop performance goals and collect performance data for alternate service delivery approaches. SSA agreed with our recommendations, and has since reported taking steps to implement them. As SSA continues to expand its service delivery options, the agency\u2019s leadership will need to encourage data driven approaches to ensure high quality and effective alternative service delivery."], "subsections": []}]}, {"section_title": "Challenges to Modernizing Information Technology", "paragraphs": ["In 2016, we reported that SSA faces challenges with IT planning and management, based on over a decade of prior work that identified weaknesses in system development practices, IT governance, requirements management, strategic planning, and other aspects of IT. For example, in 2012, a GAO review reported that SSA did not have an updated IT strategic plan to guide its efforts and its enterprise architecture lacked important content that would have allowed the agency to more effectively plan its IT investments. In addition, SSA and others have reported substantial difficulty in the agency\u2019s ability to implement its Disability Case Processing System\u2014intended to replace 54 disparate systems used by state Disability Determination Services\u2014citing software quality and poor system performance as issues. Consequently, in June 2016, the initiative was placed on the Office of Management and Budget\u2019s (OMB) government-wide list of 10 high-priority programs requiring attention. In February 2018, the SSA OIG completed an assessment of an independent contractor\u2019s analysis of options for the system. The SSA OIG concluded that several factors that limited the analysis supporting the contractor\u2019s recommendation for SSA to continue investing in a new, custom-build version of the Disability Case Processing System.", "Because OMB is no longer identifying high-priority programs, in November 2017, we recommended OMB resume identifying these programs. We also recommended OMB ensure that the Federal Chief Information Officer is directly involved in overseeing these high-priority programs as past experience has shown that this oversight could improve accountability and achieve positive results. OMB neither agreed nor disagreed with our recommendations, and has not indicated whether it will take action on these recommendations.", "Beyond the challenges identified in these previous reports, GAO\u2019s May 2016 report on federal agencies\u2019 IT legacy systems highlighted the increasing costs that agencies, including SSA, may face as they continue to operate and maintain at-risk legacy systems. We identified SSA\u2019s investment in IT infrastructure operations and maintenance as being among the 10 largest expenditures of federal agencies in fiscal year 2015. Further, we pointed out that legacy systems may become increasingly expensive as agencies have to deal with issues such as obsolete parts and unsupported hardware and software, and potentially have to pay a premium to hire staff or engage contractors with the knowledge to maintain outdated systems. For example, SSA reported re- hiring retired employees to maintain its systems that include many programs written in Common Business Oriented Language (COBOL). We highlighted a group of systems for determining retirement benefits eligibility and amounts which were over 30 years old, with some written in COBOL. We also noted that the agency had ongoing efforts to modernize the systems but was experiencing cost and schedule challenges due to the complexity of the legacy systems. We recommended that the agency identify and plan to modernize or replace legacy systems, in accordance with forthcoming OMB guidance. SSA agreed, and reported that it is finalizing its Information Technology Modernization Plan.", "To its credit, SSA has made progress in consolidating and optimizing its data centers. Specifically, in August 2017, we reported that, as of February 2017, SSA was one of only two agencies that had met three of the five data optimization targets established by OMB pursuant to provisions referred to as the Federal Information Technology Acquisition Reform Act. Meeting these targets increases SSA\u2019s ability to improve its operational efficiency and achieve cost savings.", "In conclusion, many of the challenges facing SSA today are neither new nor fleeting because they are inherent in the complexity and massive size of SSA\u2019s programs and the scope of broad demographic and societal changes over time. Our past work has pointed to the need for rigorous solutions to these complex problems, such as strategic planning, evaluation efforts, measuring for impact, and leveraging data\u2014solutions that invariably require leadership attention and sustained focus.", "Chairman Johnson, Ranking Member Larson, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you or other members of the Subcommittee may have."], "subsections": []}, {"section_title": "GAO Contact and Acknowledgements", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Elizabeth Curda, Director, Education Workforce and Income Security Issues, at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this statement are Michele Grgich (Assistant Director), Daniel Concepcion (Analyst-in-Charge), Susan Aschoff, Alex Galuten, Jean McSween, Sheila McCoy, Lorin Obler, Sabine Paul, Almeta Spencer, and Erin McLaughlin Villas."], "subsections": []}]}, {"section_title": "Appendix I: GAO Letter to SSA on Priority Recommendations to Implement", "paragraphs": ["Appendix I: GAO Letter to SSA on Priority Recommendations to Implement This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-19-144", "url": "https://www.gao.gov/products/GAO-19-144", "title": "Cybersecurity Workforce: Agencies Need to Accurately Categorize Positions to Effectively Identify Critical Staffing Needs", "published_date": "2019-03-12T00:00:00", "released_date": "2019-03-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A key component of mitigating and responding to cyber threats is having a qualified, well-trained cybersecurity workforce. The act requires OPM and federal agencies to take several actions related to cybersecurity workforce planning. These actions include categorizing all IT, cybersecurity, and cyber-related positions using OPM personnel codes for specific work roles, and identifying critical staffing needs.", "The act contains a provision for GAO to analyze and monitor agencies' workforce planning. GAO's objectives were to (1) determine the extent to which federal agencies have assigned work roles for positions performing IT, cybersecurity, or cyber-related functions and (2) describe the steps federal agencies took to identify work roles of critical need. GAO administered a questionnaire to 24 agencies, analyzed coding data from personnel systems, and examined preliminary reports on critical needs. GAO selected six of the 24 agencies based on cybersecurity spending levels to determine the accuracy of codes assigned to a random sample of IT positions. GAO also interviewed relevant OPM and agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The 24 reviewed federal agencies generally assigned work roles to filled and vacant positions that performed information technology (IT), cybersecurity, or cyber-related functions as required by the Federal Cybersecurity Workforce Assessment Act of 2015 (the act). However, six of the 24 agencies reported that they had not completed assigning the associated work role codes to their vacant positions, although they were required to do so by April 2018. In addition, most agencies had likely miscategorized the work roles of many positions. Specifically, 22 of the 24 agencies assigned a \u201cnon-IT\u201d work role code to 15,779 (about 19 percent) of their IT positions within the 2210 occupational series. Further, the six agencies that GAO selected for additional review had assigned work role codes that were not consistent with the work roles and duties described in corresponding position descriptions for 63 of 120 positions within the 2210 occupational series that GAO examined (see figure).", "Human resource and IT officials from the 24 agencies generally reported that they had not completely or accurately categorized work roles for IT positions within the 2210 occupational series, in part, because they may have assigned the associated codes in error or had not completed validating the accuracy of the assigned codes. By assigning work roles that are inconsistent with the IT, cybersecurity, and cyber-related positions, the agencies are diminishing the reliability of the information they need to improve workforce planning.", "The act also required agencies to identify work roles of critical need by April 2019. To aid agencies with identifying their critical needs, the Office of Personnel Management (OPM) developed guidance and required agencies to provide a preliminary report by August 2018. The 24 agencies have begun to identify critical needs and submitted a preliminary report to OPM that identified information systems security manager, IT project manager, and systems security analyst as the top three work roles of critical need. Nevertheless, until agencies accurately categorize their positions, their ability to effectively identify critical staffing needs will be impaired."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 28 recommendations to 22 agencies to review and assign the appropriate codes to their IT, cybersecurity, and cyber-related positions. Of the 22 agencies to which GAO made recommendations, 20 agreed with the recommendations, one partially agreed, and one did not agree with one of two recommendations. GAO continues to believe that all of the recommendations are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The security of federal information systems and data is critical to the nation\u2019s safety, prosperity, and well-being. However, federal systems and networks are inherently at risk because of their complexity, technological diversity, and geographic dispersion. Further, threats to federal information technology (IT) infrastructure continue to grow in number and sophistication, posing a risk to the reliable functioning of our government.", "A key component of the government\u2019s ability to mitigate and respond to cybersecurity threats is having a qualified, well-trained cybersecurity workforce. Cybersecurity professionals can help to prevent or mitigate the vulnerabilities that could allow malicious individuals and groups access to federal IT systems. However, skills gaps in personnel who perform IT, cybersecurity, or other cyber-related functions may impede the federal government from protecting information systems and data that are vital to the nation.", "We and other organizations have previously reported that federal agencies face challenges in ensuring that they have an effective cybersecurity workforce. In 1997, we designated the security of federal information systems as a government-wide high-risk area and cited the shortage of information security personnel with technical expertise required to manage controls in these systems.", "In 2001, we added strategic human capital management to our high-risk list, and reported that human capital shortfalls are eroding the ability of some agencies to perform their core missions. In addition, in our 2017 update to the high-risk list, we reported that the federal government continued to face challenges in addressing mission critical skills gaps, including cybersecurity skills gaps. Further, in September 2018, we reported that effective cybersecurity workforce management was a critical action for addressing cybersecurity challenges facing the nation.", "To address the cybersecurity skills gaps within the executive branch of the federal government, the Federal Cybersecurity Workforce Assessment Act of 2015 (the act) requires the Office of Personnel Management (OPM), the National Institute of Standards and Technology (NIST), and other federal agencies to take several actions related to cybersecurity workforce planning. Among other things, the act requires:", "OPM, in coordination with NIST, to develop a cybersecurity coding structure that aligns with the work roles identified in the National Initiative for Cybersecurity Education (NICE) Cybersecurity Workforce Framework, for agencies to identify and categorize all federal IT, cybersecurity, and cyber-related positions.", "Federal agencies to complete the assignment of work role codes to their filled and vacant IT, cybersecurity, or cyber-related positions that perform these functions.", "Federal agencies to identify their IT, cybersecurity, or cyber-related work roles of critical need in the workforce and submit a report describing these needs to OPM.", "The act also includes a provision for us to review the agencies\u2019 implementation of these requirements and report on our assessment to Congress. Toward this end, in June 2018, we issued an initial report on agencies\u2019 efforts to implement selected activities that the act required them to complete by November 2017. In that report, we made 30 recommendations to 13 agencies to develop and submit their baseline assessment reports and to fully address the required activities in OPM\u2019s guidance in their procedures for assigning work role codes to their civilian IT, cybersecurity, or cyber-related positions.", "This second report addresses agencies\u2019 efforts in implementing selected additional activities required by the act. Specifically, our objectives for this report were to (1) determine the extent to which federal agencies have assigned work role codes to positions performing IT, cybersecurity, or cyber-related functions and (2) describe the steps federal agencies took to identify work roles of critical need. The scope of our review included the 24 major departments and agencies covered by the Chief Financial Officers (CFO) Act of 1990.", "To address our objectives, we administered a questionnaire to the 24 CFO Act agencies to obtain information on their efforts in assigning work role codes to positions performing IT, cybersecurity, or cyber-related functions, and in identifying work roles of critical need. We reviewed and analyzed the agencies\u2019 responses to the questionnaire in comparison to the act\u2019s requirements, OPM guidance, and the NICE Cybersecurity Workforce Framework (framework). We also obtained, reviewed, and analyzed reports and other documents supporting questionnaire responses to assess whether agencies assigned codes in accordance with OPM\u2019s coding guidance.", "Further, to analyze the extent to which federal agencies have assigned work role codes to positions performing IT, cybersecurity, or cyber-related functions, we obtained workforce data for the 24 agencies from OPM\u2019s Enterprise Human Resources Integration system. We reviewed this collection of data to determine its completeness and to determine the number of positions in the 2210 IT management occupational series to which the 24 agencies had assigned the code of \u201c000\u201d as of May 2018. We reviewed positions from the 2210 IT management series because, based on the definition of the series, these positions are most likely to perform IT, cybersecurity, or cyber-related functions.", "We then identified a subset of the 24 agencies and performed an additional review of these agencies\u2019 work role coding efforts. We selected these agencies based on their total cybersecurity spending for fiscal year 2016, as reported by the Office of Management and Budget (OMB) in its Federal Information Security Modernization Act annual report. We sorted the 24 agencies\u2019 IT cybersecurity spending from highest to lowest and then divided the agencies into three equal groups of high, medium, and low cybersecurity spending. We then selected the top two agencies from each group. Based on these factors, we selected six agencies: the (1) Department of Defense (DOD), (2) Department of Homeland Security (DHS), (3) Department of State (State), (4) National Aeronautics and Space Administration (NASA), (5) Environmental Protection Agency (EPA), and (6) General Services Administration (GSA).", "We randomly selected a sample of 20 positions from each of the six selected agencies (120 total positions) within the 2210 IT management occupational series. We also selected a second nonstatistical sample of 12 positions for each of the six agencies (72 total positions) from the 2210 IT management occupational series based on pairs of positions that had identical position titles, occupational series, and sub-agencies, but for which the agencies had assigned different work role codes for the positions. For the selected positions, we reviewed the work role coding data from the agencies\u2019 human resources systems and compared them to the duties described in the corresponding position descriptions to determine whether agencies had assigned work role codes that were consistent with the duties described in the position descriptions.", "To address our second objective, we evaluated OPM\u2019s and agencies\u2019 actions to identify IT, cybersecurity, or cyber-related work roles of critical need. To do this, we obtained and analyzed OPM\u2019s progress report to Congress and its guidance for identifying critical needs by comparing the contents of these documents to the act\u2019s requirements. We also reviewed any available documentation from the 24 agencies on their progress in identifying critical needs, such as project plans or preliminary critical needs reports. We supplemented our analysis with interviews of the agencies\u2019 human capital and IT officials regarding their progress in assigning work role codes and identifying critical needs. Appendix I provides a full description of our objectives, scope, and methodology.", "We conducted this performance audit from February 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014 are dependent on computerized (cyber) information systems and electronic data to carry out operations and to process, maintain, and report essential information. The information systems and networks that support federal operations are highly complex and dynamic, technologically diverse, and often geographically dispersed. This complexity increases the difficulty in identifying, managing, and protecting the myriad of operating systems, applications, and devices comprising the systems and networks.", "A resilient, well-trained, and dedicated cybersecurity workforce is essential to protecting federal IT systems. Nevertheless, OMB and our prior reports have pointed out that the federal government and private industry face a persistent shortage of cybersecurity and IT professionals to implement and oversee information security protections to combat cyber threats.", "As we noted in our prior report, the RAND Corporation and the Partnership for Public Service have reported on a nationwide shortage of cybersecurity experts in the federal government. According to these reports, the existing shortage of cybersecurity professionals makes securing the nation\u2019s networks more challenging and may leave federal IT systems vulnerable to malicious attacks. The persistent shortage of cyber-related workers has given rise to the identification and assessment of the federal cybersecurity workforce across agencies so that efforts to increase the number of those workers can be applied in the most efficient and accurate manner."], "subsections": [{"section_title": "The NICE Framework and OPM Coding Structure Describe Federal Cybersecurity Work Roles", "paragraphs": ["NIST coordinates the National Initiative for Cybersecurity Education (NICE) partnership among government, academia, and the private sector. The initiative\u2019s goal is to improve cybersecurity education, awareness, training, and workforce development in an effort to increase the number of skilled cybersecurity professionals.", "In August 2017, NIST revised and published the NICE Cybersecurity Workforce Framework (framework). The framework\u2019s purpose is to help the federal government better understand the breadth of cybersecurity work by describing IT, cybersecurity, and cyber-related work roles associated with the categories and specialty areas that make up cybersecurity work. The framework organizes IT, cybersecurity, and cyber-related job functions into categories, representing high-level groupings of cybersecurity functions; and into specialty areas, representing areas of concentrated work or functions.", "Figure 1 identifies the seven categories and the 33 specialty areas in the NICE framework.", "In addition to categories and specialty areas, the NICE framework introduced the concept of work roles. Work roles provide a more detailed description of the roles and responsibilities of IT, cybersecurity, and cyber-related job functions than do the category and specialty area components of the framework. The framework defines one or more work roles within each specialty area. For example, as depicted in figure 2, the framework defines 11 work roles within the seven specialty areas of the \u201cSecurely Provision\u201d category. In total, the framework defines 52 work roles across the 33 specialty areas.", "The NICE framework work roles include, among others, the Technical Support Specialist, IT Project Manager, and Software Developer. The framework identifies these IT, cybersecurity, and cyber-related work roles as essential functions. For example, a Technical Support Specialist may have a role in identifying the occurrence of a cybersecurity event, an IT Project Manager may need to manage cybersecurity risk to systems, and a Software Developer may need to implement appropriate cybersecurity safeguards.", "In October 2017, OPM updated the federal cybersecurity coding structure to incorporate the work roles identified in the NICE framework. The coding structure assigned a unique 3-digit cybersecurity code to each work role, which supplanted the prior coding structure\u2019s 2-digit codes. According to OPM, the coding of federal positions with these specific 3- digit work role codes is intended to enhance agencies\u2019 ability to identify critical IT, cybersecurity, and cyber-related workforce needs, recruit and hire employees with needed skills, and provide appropriate training and development opportunities to cybersecurity employees. Appendix II provides a summary of the IT, cybersecurity, and cyber-related work roles and corresponding OPM codes."], "subsections": []}, {"section_title": "Federal Cybersecurity Workforce Assessment Act of 2015 Establishes Workforce Planning Requirements", "paragraphs": ["In 2015, Congress and the President enacted the Federal Cybersecurity Workforce Assessment Act, which required OPM, NIST, and other federal agencies to undertake a number of cybersecurity workforce-planning activities. The act required these agencies to complete the activities within specified time frames. We addressed the first six activities in our prior report we issued in June 2018, and addressed the subsequent activities 7 through 10 in this report.", "Among the required cybersecurity workforce-planning activities are the following 10 that we selected for our review. 1. OPM, in coordination with NIST, was to develop a cybersecurity coding structure that aligns with the work roles identified in the NICE Cybersecurity Workforce Framework. (Due June 2016) 2. OPM was to establish procedures to implement a cybersecurity coding structure to identify all federal civilian positions that require the performance of IT, cybersecurity, or other cyber-related functions. (Due September 2016) 3. OPM was to submit a report to Congress on the progress that agencies made in identifying and assigning codes to their positions that perform IT, cybersecurity, or cyber-related functions. (Due June 2016) 4. Each federal agency was to submit a report to Congress on its baseline assessment and on the extent to which its employees who perform IT, cybersecurity, or cyber-related functions held certifications. (Due December 2016) 5. Each federal agency was to establish procedures to identify all filled and vacant IT, cybersecurity, or cyber-related positions and assign the appropriate code to each position. (Due April 2017 for civilian positions) 6. The Department of Defense (DOD) was to establish procedures to implement the cybersecurity coding structure to identify all federal noncivilian (i.e., military) positions. (Due June 2017) 7. Each agency was to complete the assignment of work role codes to its filled and vacant positions that perform IT, cybersecurity, or cyber- related functions. (Due April 2018 for civilian positions) 8. OPM was to identify critical needs across federal agencies and submit a progress report to Congress on the identification of critical needs. (Due December 2017) 9. OPM was to provide federal agencies with timely guidance for identifying IT, cybersecurity, or cyber-related work roles of critical need, including work roles with acute and emerging skill shortages. (The act did not specify a due date for this requirement). 10. Federal agencies were to identify their IT, cybersecurity, or cyber- related work roles of critical need in the workforce and submit a report describing these needs to OPM. (Due April 2019)"], "subsections": []}, {"section_title": "Prior GAO Report Examined Agencies\u2019 Implementation of the Initial Activities Required by the Federal Cybersecurity Workforce Assessment Act of 2015", "paragraphs": ["In June 2018, we reported on federal agencies\u2019 implementation of the first six of the 10 selected activities required by the Federal Cybersecurity Workforce Assessment Act. Specifically, we reported that, in November 2016, OPM, in coordination with NIST, had issued a cybersecurity coding structure that aligned with the NICE framework work roles (activity 1). Also, these two agencies developed procedures for assigning codes to federal civilian IT, cybersecurity, or cyber-related positions in January 2017 (activity 2). We noted that OPM had issued the cybersecurity coding structure and procedures later than the act\u2019s deadlines because it was working with NIST to align the structure and procedures with the draft version of the NICE Cybersecurity Workforce Framework, which NIST issued later than planned. Regarding activity 3, we noted that OPM had submitted a report to Congress in July 2016 on the agencies\u2019 progress in implementing the act\u2019s required activities, as well as OPM\u2019s efforts to develop a coding structure and government-wide coding procedures.", "We also reported that 21 of the 24 agencies had submitted baseline assessment reports identifying the extent to which their IT, cybersecurity, or cyber-related employees held professional certifications (activity 4). However, the three other agencies had not submitted such reports. In addition, four agencies did not include all reportable information in their reports, such as the extent to which personnel without certifications were ready to obtain them, or strategies for mitigating any gaps, as required by the act. We made 10 recommendations to these seven agencies to develop and submit baseline assessment reports, including all reportable information, to the congressional committees. As of February 2019, none of the seven agencies had implemented any of the 10 recommendations relating to the baseline assessment reports.", "Further, we reported that 23 of the 24 agencies had established procedures for assigning the appropriate work role codes to civilian positions that perform IT, cybersecurity, or cyber-related functions (activities 5 and 6 above), as required by the act. One agency had not established such procedures.", "Further, of the 23 agencies that had established procedures, 6 agencies did not address one or more of seven activities required by OPM in their procedures. For example, the agencies\u2019 procedures did not include activities to review all filled and vacant positions and annotate reviewed position descriptions with the appropriate work role code. In addition, DOD had not established procedures for identifying and assigning work role codes to noncivilian (i.e., military) positions.", "Our June 2018 report included 20 recommendations to eight agencies to establish or update their procedures to fully address the required activities in OPM\u2019s guidance. Subsequent to the report, the eight agencies implemented the 20 recommendations related to establishing or improving agencies\u2019 coding procedures to address the required OPM activities. Specifically:", "The Department of Energy (Energy) established coding procedures that addressed the seven OPM required activities.", "The Department of Education (Education), Department of Labor (Labor), NASA, National Science Foundation (NSF), Nuclear Regulatory Commission (NRC), and United States Agency for International Development (USAID) revised their procedures to ensure that the procedures addressed OPM\u2019s required activities.", "DOD established a consolidated government-wide and internal procedure for identifying and assigning work role codes to noncivilian (i.e., military) positions.", "Table 1 summarizes the status of agencies\u2019 implementation of the first six selected activities required by the act as of October 2018. We initially reported on the status of these activities in our June 2018 report."], "subsections": []}]}, {"section_title": "Agencies Generally Categorized Positions, but Did Not Ensure the Reliability of Their Efforts", "paragraphs": ["Regarding the selected activity for agencies to complete the assignment of work role codes to filled and vacant positions that perform IT, cybersecurity, or cyber-related functions (activity 7) as set forth in the Federal Cybersecurity Workforce Assessment Act of 2015, the 24 agencies had generally assigned work roles code to their positions. However, several agencies had not completed assigning codes to their vacant positions. In addition, most agencies had likely miscategorized the work roles of many positions. For example, in these instances, the agencies had assigned a code designated for positions that do not perform IT, cybersecurity, or cyber-related functions to positions that most likely perform these functions.", "As indicated in table 2, federal agencies\u2019 efforts to assign work role codes to filled and vacant positions that performed IT, cybersecurity, or cyber- related functions were ongoing as of October 2018."], "subsections": [{"section_title": "Agencies Had Generally Assigned Work Role Codes to Positions, but Six Had Not Completely Coded Vacant Positions", "paragraphs": ["To assist agencies with meeting their requirements under the Federal Cybersecurity Workforce Assessment Act of 2015, OPM issued guidance that directed agencies to identify filled and vacant positions with IT, cybersecurity, or cyber-related functions and assign work role codes to those positions using the Federal Cybersecurity Coding Structure by April 2018. As previously mentioned, this coding structure designates a unique 3-digit code for each work role defined in the NICE framework. According to OPM\u2019s guidance, agencies could assign up to three work role codes to each position, and should assign the code of \u201c000\u201d only to positions that did not perform IT, cybersecurity, or cyber-related functions.", "The 24 agencies generally had assigned work role codes to their filled workforce positions that performed IT, cybersecurity, or cyber-related functions. Specifically, 22 of the agencies responded to our questionnaire that, as of April 2018, they had completed assigning work role codes to those filled positions. In addition, data from the OPM Enterprise Human Resources Integration system showed that, as of May 2018, the 24 agencies had collectively assigned work role codes or a \u201c000\u201d code to over 99 percent of the filled positions in their entire workforce.", "In addition, 18 of the 24 agencies reported they had identified and assigned codes to their vacant IT, cybersecurity, or cyber-related positions by April 2018. However, the remaining six agencies reported that they were not able to identify or assign codes to all of their vacant positions. For example, four agencies\u2014DOD, EPA, GSA, and NASA\u2014 responded to our questionnaire that they did not identify and assign codes to vacant IT, cybersecurity, or cyber-related positions.", "DOD reported that, while some components assigned codes to vacant positions, the department did not have an enterprise-wide capability to assign codes to vacant positions and had not modified the systems to enable the use of the 3-digit work role codes for vacant positions due to time and funding constraints.", "EPA reported that it had assigned codes to vacant positions in April 2018, but it did not have a process for assigning codes to newly created vacant positions.", "GSA human resources officials said that they assigned codes to vacant positions that had been authorized and funded. However, they did not code unfunded vacant positions because they did not anticipate filling them. Agency officials noted that they, instead, tracked unfunded vacant positions through staffing plans.", "NASA human resources and Office of the Chief Information Officer officials said the agency did not identify and code vacant positions because they did not track vacant positions.", "Further, the remaining two agencies\u2014Energy and Justice\u2014 stated that they could not provide data regarding the number of vacant IT, cybersecurity, or cyber-related positions that had been identified and coded. For example, Justice said that information on vacant positions was not available through its human resources system, and that it would need to send a data call to components to obtain information on the number of vacancies with an assigned work role code. However, according to management division officials, the department would need additional time to collect this information.", "OPM stated that it plans to issue additional guidance for tracking IT, cybersecurity, and cyber-related vacancies by January 2019. OPM officials said that agencies have focused on the assignment of codes to filled positions and that tracking vacancies is challenging because agencies vary in the way they track vacancies.", "By not completing their efforts to identify and code their vacant IT, cybersecurity, and cyber-related positions, the six agencies lack important information about the state of their workforces. As a result, these agencies may be limited in their ability to identify work roles of critical need and improve workforce planning."], "subsections": []}, {"section_title": "Most Agencies Had Likely Miscategorized the Work Roles of Many Positions", "paragraphs": ["The Federal Cybersecurity Workforce Assessment Act of 2015 required agencies to assign the appropriate work role codes to each position with cybersecurity, cyber-related, and IT functions, as defined in the NICE framework. In addition, OPM guidance required agencies to assign work role codes using the Federal Cybersecurity Coding Structure. As previously mentioned, according to OPM\u2019s guidance, agencies could assign up to three work role codes to each position. Agencies were to assign a code of \u201c000\u201d only to positions that did not perform IT, cybersecurity, or cyber-related functions. Further, the Standards for Internal Control in the Federal Government states that agencies should obtain relevant data from reliable sources that are complete and consistent.", "However, the 24 agencies had likely miscategorized the work roles of many positions. For example, the 24 agencies routinely assigned work role codes to positions that were likely inconsistent with the positions\u2019 functions. Specifically, at least 22 of the 24 agencies assigned the code \u201c000\u201d, which is designated for positions not performing IT, cybersecurity, or cyber-related functions, to many positions that most likely performed these functions.", "For example, OPM\u2019s Enterprise Human Resources Integration data from May 2018 showed that 22 of the 24 agencies had assigned the \u201c000\u201d code to between 5 and 86 percent of their positions in the 2210 IT management occupational series. These positions are most likely to perform IT, cybersecurity, or cyber-related functions, as defined by the NICE framework. OPM and agency officials told us that they would expect agencies to assign a NICE work role code to these positions, with a few exceptions, such as in cases where a position\u2019s duties did not align with a NICE work role code.", "Table 3 identifies the number and percentage of the 2210 IT management positions that were assigned a \u201c000\u201d code by each of the 24 agencies, according to OPM\u2019s Enterprise Human Resources Integration data, as of May 2018. Collectively, the agencies assigned a \u201c000\u201d code to about 15,779 positions, or about 19 percent of the agencies\u2019 2210 IT management positions.", "Agencies identified varying reasons for why they assigned the \u201c000\u201d code to positions that most likely performed IT, cybersecurity, or cyber-related functions. For example,", "Agency human resources and IT officials from 10 agencies said that they may have assigned the \u201c000\u201d code in error (DOD, Education, Energy, Justice, State, Department of Veterans Affairs (VA), NRC, OPM, Small Business Administration (SBA), Social Security Administration (SSA)).", "Agency human resources and IT officials from 13 agencies said they had not completed the process to validate the accuracy of their codes (Department of Agriculture (Agriculture), Education, Department of Health and Human Services (HHS), DHS, Department of Housing and Urban Development (HUD), Justice, Treasury, VA, EPA, GSA, NRC, SBA, SSA).", "Agency human resources and IT officials from seven agencies said that they assigned the \u201c000\u201d code to positions that did not perform cybersecurity duties for a certain percentage of their time (Commerce, Justice, Labor, Transportation, Treasury, GSA, and NASA).", "Agency human resources and IT officials from 12 agencies said that OPM\u2019s guidance was not clear on whether the 2210 IT management positions should be assigned a work role code and not be assigned the \u201c000\u201d code (Agriculture, Energy, DHS, HUD, Interior, Labor, State, VA, EPA, GSA, NASA, and SSA).", "Agency human resources and IT officials from three agencies stated that they assigned the \u201c000\u201d code to IT positions when their positions did not align with any of the work roles described in the NICE framework (Interior, Treasury, and NRC).", "However, the work roles and duties described in the agencies\u2019 position descriptions for the 2210 IT management positions that we reviewed aligned with the work roles defined in the NICE framework. For example, in examining the position descriptions that NRC officials said did not align to work roles in the NICE framework, we were able to match duties described in the position descriptions to work role tasks in the framework and identify potential work role codes for those positions. Additionally, Treasury officials said that positions in the area of cryptographic key management did not align with the NICE framework; however, these positions would likely align with the Communications Security Manager (i.e., NICE code 723) work role, which covers cryptographic key management.", "By assigning work role codes that are inconsistent with the IT, cybersecurity, and cyber-related functions performed by positions, the agencies in our review are diminishing the reliability of the information they will need to identify their workforce roles of critical need."], "subsections": [{"section_title": "Agencies Assigned Work Role Codes to Sample Positions That Were Inconsistent with Duties Described In Corresponding Position Descriptions", "paragraphs": ["Similar to the work role data reported in OPM\u2019s Enterprise Human Resources Integration system, the six agencies that we selected for additional review had assigned work role codes to positions in their human resources systems that were not consistent with the duties described in their corresponding position descriptions. Of 120 randomly selected 2210 IT management positions that we reviewed at the six agencies, 63 were assigned work role codes that were inconsistent with the duties described in their position descriptions.", "DHS assigned a Network Operational Specialist code (NICE code 441) to a position with duties associated with a Cyber Instructional Curriculum Developer (NICE code 751).", "State assigned a Cyber Legal Advisor (NICE code 731) code to a position with duties associated with a Program Manager (NICE code 801).", "Table 4 summarizes the consistency of work role coding in comparison to corresponding position description text for the random sample of positions for the six selected agencies.", "The six agencies had also assigned different work role codes for positions that had identical position titles and similar functions described in corresponding position descriptions for 46 of 72 positions that we reviewed. For example,", "State had two positions associated with a position description that described duties associated with the IT Program Auditor (NICE code 805). Although State assigned the \u201c805\u201d work role code to one position, it assigned the \u201c000\u201d code to the other position.", "DOD had two positions associated with a position description that described duties associated with the Information Systems Security Manager work role (NICE code 722). However, DOD assigned the \u201c000\u201d code to one position and assigned an invalid 2-digit code to the other position.", "The six agencies provided multiple reasons for why they had assigned codes that were not consistent with the work roles and duties described in their corresponding position descriptions:", "DOD officials from the Office of the Chief Information Officer cited the large number of positions that perform IT, cybersecurity, or cyber- related functions and the lack of one-to-one mapping of the NICE framework work roles to positions as impediments.", "DHS human resources officials said that position descriptions may not have been consistent with coding because the assignment of the work role codes could be based on specific tasks that are described in separate documents (e.g., job analyses or employee performance plans) outside of the position descriptions.", "Information Resource Management officials at State said that their system did not require all IT positions to have a work role code. However, according to the officials, they had plans to create and release a business rule in September 2018 to reduce data errors and require the 2210 IT management positions series to have a work role code.", "EPA officials in the Office of Environmental Information and the Office of Human Resources stated that the first-line supervisor made the final determination of each position\u2019s work role code. Officials stated that first-line supervisors may have assigned different codes for similar positions because they interpreted OPM guidance and work roles differently.", "GSA human resources officials said they assigned \u201c000\u201d to IT positions because they needed clarification and further interpretive guidance from OPM. According to the officials, once GSA received the guidance, the agency planned to conduct a review of IT positions coded \u201c000.\u201d In addition, GSA had assigned the code \u201c000\u201d if the position description did not include 25 percent or more of cybersecurity functions.", "According to NASA officials from the Offices of the Chief Human Capital Officer and Chief Information Officer, the agency miscoded a few positions due to an administrative error that has since been corrected. In addition, NASA officials said that they assigned the \u201c000\u201d code to positions that did not perform cybersecurity duties for a certain percentage of time (e.g., 25 percent or more of the time).", "Agencies did not provide further evidence that the positions we evaluated as inconsistently coded were accurate. Moreover, in reviewing 87 position descriptions provided by the six agencies\u2014DOD, DHS, State, EPA, GSA, and NASA\u2014in no case did we find the assignment of the \u201c000\u201d work role code to be consistent with the duties described.", "By assigning work role codes that are inconsistent with the IT, cybersecurity, and cyber-related functions performed by positions, the agencies in our review are diminishing the reliability of the information they will need to identify their workforce roles of critical need."], "subsections": []}]}]}, {"section_title": "OPM and Agencies Had Taken Steps to Identify IT, Cybersecurity, and Cyber-related Work Roles of Critical Need", "paragraphs": ["As of November 2018, OPM and the 24 agencies had taken steps to address the three selected activities that the Federal Cybersecurity Workforce Assessment Act of 2015 required to identify IT, cybersecurity, and cyber-related work roles of critical need. Specifically, OPM had reported on agencies\u2019 progress in identifying critical needs (activity 8) and had provided agencies with guidance for identifying IT, cybersecurity, and cyber-related work roles of critical need (activity 9). In addition, the 24 agencies had submitted preliminary reports of their identified critical needs to OPM, but their efforts to identify critical needs were ongoing (activity 10).", "Table 5 presents the status of the agencies\u2019 efforts to identify work roles of critical need, as of November 2018. Further, appendix III summarizes the status of implementation of each of the 10 selected activities required by the act."], "subsections": [{"section_title": "OPM Reported on Progress of Efforts and Provided Guidance for Agencies to Identify Cybersecurity Work Roles of Critical Need", "paragraphs": ["The Federal Cybersecurity Workforce Assessment Act of 2015 required OPM, in consultation with DHS, to identify critical needs for the IT, cybersecurity, or cyber-related workforce across federal agencies and submit a progress report to Congress on the identification of IT, cybersecurity, or cyber-related work roles of critical need by December 2017. The act also required OPM to provide timely guidance for identifying IT, cybersecurity, or cyber-related work roles of critical need, and including current acute and emerging skill shortages.", "In December 2017, OPM, in consultation with DHS, reported on the progress of federal agencies\u2019 identification of IT, cybersecurity, and cyber- related work roles of critical need to Congress. In the report, OPM could not identify critical needs across all federal agencies because agencies were still in the process of assigning work role codes and identifying their critical needs. As such, OPM reported that agencies were working toward accurately completing their coding efforts by April 2018, as a foundation for assessing the workforce and identifying needed cybersecurity skills. OPM stated in the report that it would begin to identify and report IT, cybersecurity, and cyber-related work roles of critical need following the agencies\u2019 completion of their assessments and coding of the workforce.", "Further, in April 2018, OPM issued a memorandum to federal agencies\u2019 chief human capital officers that provided guidance on identifying IT, cybersecurity, and cyber-related work roles. Specifically, this guidance required agencies to report their greatest skill shortages, analyze the root cause of the shortages, and provide action plans with targets and measures for mitigating the critical skill shortages.", "In addition, in June 2018, to ensure that agencies were on track to meet the requirements outlined in the act to submit their critical needs by April 2019, OPM required agencies to provide a preliminary report on work roles of critical need and root causes by August 31, 2018. OPM provided agencies with a template to collect critical information such as critical needs and root causes. OPM guidance stated that these data would provide the Congress with a government-wide perspective of critical needs and insight into how to allocate future resources."], "subsections": []}, {"section_title": "Agencies Have Begun to Identify Cybersecurity Work Roles of Critical Need", "paragraphs": ["The act required agencies to identify IT, cybersecurity, or cyber-related work roles of critical need and submit a report to OPM substantiating these critical need designations by April 2019. OPM also required agencies to submit a preliminary report, which included agencies\u2019 identified work roles of critical need and the associated root causes, by August 31, 2018.", "The 24 agencies have begun to identify critical needs and submitted a preliminary report of critical needs to OPM. Seventeen agencies submitted their report by the August 31, 2018 deadline, and seven submitted their report after the deadline in September 2018. Most agencies\u2019 reports included the required critical needs and root causes. Specifically,", "Twenty-four agencies\u2019 reports documented work roles of critical need.", "Twenty-two agencies\u2019 reports included the root cause of the critical needs identified.", "Table 6 shows the status of the 24 agencies\u2019 submissions of preliminary reports on cybersecurity work roles of critical need as of November 2018.", "The preliminary reports of critical needs for the 24 agencies showed that, as of November 2018, IT project managers, information systems security managers, and systems security analysts are among the top identified work roles of critical need at these agencies. Twelve agencies reported each of these work roles as a critical need. Agencies\u2019 preliminary reports should provide a basis for agencies to develop strategies to address shortages and skill gaps in their IT, cybersecurity, and cyber-related workforces. For additional information on the top 12 reported work roles of critical need, see appendix IV."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As required by the Federal Cybersecurity Workforce Assessment Act of 2015, the 24 agencies had generally categorized their workforce positions that have IT, cybersecurity, or cyber-related functions; however, agencies did not ensure the work role coding was reliable. For example, six of the 24 agencies had not completed assigning codes to their vacant positions. In addition, 22 of the agencies had assigned a code designated for positions not performing IT, cybersecurity, or cyber-related functions to about 19 percent of filled IT management positions.", "Further, six selected agencies\u2014DOD, DHS, State, EPA, GSA, and NASA\u2014had assigned work role codes to positions in their human resources systems that were not consistent with the duties described in the corresponding position descriptions. Until agencies accurately categorize their positions, the agencies may not have reliable information to form a basis for effectively examining their cybersecurity workforce, improving workforce planning, and identifying their workforce roles of critical need.", "Although OPM met its deadlines for reporting to congressional committees on agencies\u2019 progress in identifying critical needs, the progress report did not identify critical needs across all federal agencies because agencies were still in the process of assigning work role codes and identifying their critical needs. In addition, OPM has since provided agencies with guidance that should assist them in their efforts to identify critical needs by April 2019. Further, all of the 24 agencies have submitted preliminary reports identifying work roles of critical need to OPM. These efforts should assist these agencies in moving forward to develop strategies to address shortages and skill gaps in their IT, cybersecurity, and cyber-related workforces."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 28 recommendations to 22 agencies to take steps to complete the appropriate assignment of codes to their positions performing IT, cybersecurity, or cyber-related functions, in accordance with the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015. Specifically: The Secretary of Agriculture should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 1)", "The Secretary of Commerce should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 2)", "The Secretary of Defense should complete the identification and coding of vacant positions in the department performing IT, cybersecurity, or cyber-related functions. (Recommendation 3)", "The Secretary of Defense should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series, assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 4)", "The Secretary of Education should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 5)", "The Secretary of Energy should complete the identification and coding of vacant positions in the department performing IT, cybersecurity, or cyber- related functions. (Recommendation 6)", "The Secretary of Energy should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 7)", "The Secretary of Health and Human Services should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 8)", "The Secretary of Homeland Security should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series, assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 9)", "The Secretary of Housing and Urban Development should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 10)", "The Secretary of Interior should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 11)", "The Attorney General should complete the identification and coding of vacant positions in the Department of Justice performing IT, cybersecurity, or cyber-related functions in the Department of Justice. (Recommendation 12)", "The Attorney General should take steps to review the assignment of the \u201c000\u201d code to any positions in the Department of Justice in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 13)", "The Secretary of Labor should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 14)", "The Secretary of State should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series, assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 15)", "The Secretary of Transportation should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 16)", "The Secretary of Treasury should take steps to review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 17)", "The Secretary of Veterans Affairs should take steps review the assignment of the \u201c000\u201d code to any positions in the department in the 2210 IT management occupational series and assign the appropriate NICE work role codes. (Recommendation 18)", "The Administrator of the Environmental Protection Agency should complete the identification and coding of vacant positions in the agency performing IT, cybersecurity, or cyber-related functions. (Recommendation 19)", "The Administrator of the Environmental Protection Agency should take steps to review the assignment of the \u201c000\u201d code to any positions in the agency in the 2210 IT management occupational series, assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 20)", "The Administrator of the General Services Administration should complete the identification and coding of vacant positions at GSA performing IT, cybersecurity, or cyber-related functions. (Recommendation 21)", "The Administrator of the General Services Administration should take steps to review the assignment of the \u201c000\u201d code to any positions at GSA in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 22)", "The Administrator of the National Aeronautics and Space Administration should complete the identification and coding of vacant positions at NASA performing IT, cybersecurity, or cyber-related functions. (Recommendation 23)", "The Administrator of the National Aeronautics and Space Administration should take steps to review the assignment of the \u201c000\u201d code to any positions at NASA in the 2210 IT management occupational series, assign the appropriate NICE framework work role codes, and assess the accuracy of position descriptions. (Recommendation 24)", "The Chairman of the Nuclear Regulatory Commission should take steps to review the assignment of the \u201c000\u201d code to any positions at NRC in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 25)", "The Director of the Office of Personnel Management should take steps to review the assignment of the \u201c000\u201d code to any positions at OPM in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 26)", "The Administrator of the Small Business Administration should take steps to review the assignment of the \u201c000\u201d code to any positions at SBA in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 27)", "The Commissioner of the Social Security Administration should take steps to review the assignment of the \u201c000\u201d code to any positions at SSA in the 2210 IT management occupational series and assign the appropriate NICE framework work role codes. (Recommendation 28)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the 24 CFO Act agencies and OMB for their review and comment. Of the 22 agencies to which we made recommendations, 20 agencies stated that they agreed with the recommendations directed to them; one agency partially agreed with the recommendation; and one agency agreed with one recommendation but did not agree with one recommendation.", "In addition, of the two agencies to which we did not make recommendations, one agency acknowledged its review of the report but did not otherwise provide comments; the other agency provided technical comments, which we incorporated into the report as appropriate. We also received technical comments from three of the agencies to which we made recommendations, and incorporated them into the report as appropriate. Further, OMB responded that it had no comments on the report.", "The following 20 agencies agreed with the recommendations in our report: In comments provided via email on February 19, 2019, the Director of Strategic Planning, Policy, E-government and Audits in Agriculture\u2019s Office of the Chief Information Officer stated that the department concurred with the recommendation in our report.", "In written comments (reprinted in appendix V), Commerce agreed with our recommendation and stated that it would ensure the proper coding of 2210 IT management occupational series positions with the appropriate NICE framework work role codes.", "In written comments (reprinted in appendix VI), DOD concurred with our two recommendations. With regard to our recommendation that it complete the identification and coding of vacant positions performing IT, cybersecurity, or cyber-related functions, the department stated that its longer-term initiative is to code positions, including vacant positions, in DOD\u2019s manpower requirements systems to provide true gap analysis capabilities. Regarding our recommendation that it review the assignment of \u201c000\u201d codes, the department stated that it would continue efforts to remediate erroneously coded positions.", "In written comments (reprinted in appendix VII), Education concurred with our recommendation. The department stated that its Office of Human Resources would continue to review the 2210 IT positions and ensure the assignment of appropriate work role codes.", "In written comments (reprinted in appendix VIII), Energy concurred with our two recommendations. Regarding our recommendation that it complete the identification and coding of vacant IT, cybersecurity, and cyber-related positions, the department stated that it had instituted procedures to review and code vacant positions.", "Regarding our recommendation that it review the assignment of \u201c000\u201d codes, the department said that it had ensured that all 2210 IT management positions were assigned the appropriate work role codes by April 2018. However, our review of the May 2018 data from OPM\u2019s Enterprise Human Resources Integration System found that Energy had assigned the \u201c000\u201d code to about 16 percent of its 2210 IT management positions. Further, along with its comments on the draft report, in January 2019, the department provided a report indicating that Energy had not assigned the \u201c000\u201d work role code to its positions in the 2210 IT management occupation series. We plan to take follow- up steps to verify the completeness of the department\u2019s actions.", "In addition to the aforementioned comments, Energy provided technical comments, which we have incorporated into this report, as appropriate.", "In written comments (reprint in appendix IX), HHS concurred with our recommendation and outlined steps to identify, review, and make necessary corrections to its 2210 IT management positions that were coded as \u201c000.\u201d", "In written comments (reprinted in appendix X), DHS concurred with our recommendation. The department stated that personnel in its Office of the Chief Human Capital Officer had established processes for periodically reviewing cybersecurity workforce coding data and for collaborating with components to ensure positions with significant responsibilities associated with the NICE framework\u2014including 2210 positions\u2014were properly coded.", "Nevertheless, DHS expressed concern with our finding that it had miscategorized the work roles for some positions. The department stated that its position descriptions are often written in a generalized format, and are static, baseline, point-in-time documents. The department added that, several positions may align with the same position description, yet have specific duties and content captured in other human capital documents such as employee performance plans. Thus, some positions may have the same position description yet require different cybersecurity codes.", "While we agree that position descriptions do not detail every possible activity, according to OPM, the position descriptions should document the major duties and responsibilities of a position. However, we found that DHS did not always assign codes consistent with major duties and responsibilities described in the position descriptions. For example, the department assigned a Network Operational Specialist code to a position with major duties associated with a Cyber Instructional Curriculum Developer. The department did not provide evidence that the positions we evaluated as inconsistently coded were accurately coded. If work role codes are not consistent with position descriptions, DHS may not have reliable information to form a basis for effectively examining its cybersecurity workforce, improving workforce planning, and identifying its workforce roles of critical need.", "The department also provided technical comments, which we have incorporated into this report as appropriate.", "In comments provided via email on February 14, 2019, an audit liaison officer in HUD\u2019s Office of the Chief Human Capital Officer stated that the department agreed with our recommendation.", "In written comments (reprinted in appendix XI), Interior concurred with our recommendation and stated that it had taken steps to change the designation of the \u201c000\u201d code for the remaining personnel in the 2210 IT management occupational series.", "In comments provided via email on February 4, 2019, an audit liaison specialist in Justice\u2019s Management Division stated that the department concurred with the two recommendations.", "In written comments (reprinted in appendix XII), Labor concurred with our recommendation and stated that it had taken steps to review and code the department\u2019s 2210 IT positions using the NICE framework.", "In written comments (reprinted in appendix XIII), State concurred with our recommendation. The department said that it will conduct a comprehensive review of its 2210 positions and include instructions to change the coding of any such positions that have been assigned a \u201c000\u201d code. In addition, the department stated that it had created a new business rule in its human resources system to ensure that 2210 positions are assigned a primary work role code.", "In comments provided via email on December 20, 2018, an audit relations analyst in Transportation\u2019s Office of the Secretary stated via email that the department concurred with our findings and recommendation.", "In written comments (reprinted in appendix XIV), VA concurred with our recommendation and stated that the department had begun conducting a review of its cyber coding.", "In written comments (reprinted in appendix XV), EPA concurred with our two recommendations to the agency. With regard to our recommendation that it complete the identification and coding of vacant positions performing IT cybersecurity or cyber-related functions, EPA stated that it would update its standard operating procedures to include the requirement to code vacant positions during the position classification process. Nevertheless, while including this requirement in the procedures is an important step, it is imperative that the agency implement the procedures to ensure that its vacant positions are assigned appropriate work role codes.", "With regard to our recommendation that the agency review the assignment of the \u201c000\u201d code to its 2210 IT management occupation series, EPA stated that it would review all such positions and assign the appropriate NICE framework codes to any positions that were erroneously coded with the non-IT work role code.", "In comments provided via email on January 31, 2019, the Director of the Human Capital Policy and Programs Division stated that GSA agreed with our two recommendations. Also, in written comments (reprinted in appendix XVI), GSA stated that, once it completes the ongoing transition to a position-based human resources system, it will explore options to include vacant positions in its new system. In addition, GSA stated that it had completed an initial review of cyber codes and indicated that it would update all coding by March 2019.", "In written comments (reprinted in appendix XVII), NRC agreed with the findings in our draft report and said it had taken actions to address our recommendation by assigning appropriate work role codes to IT management positions previously assigned a \u201c000\u201d code.", "In written comments (reprinted in appendix XVIII), OPM concurred with our recommendation to the agency. OPM stated that its human resources and subject matter experts plan to assess the assignment of \u201c000\u201d codes to personnel in the 2210 IT management occupation series to help ensure accurate coding and appropriate application of the NICE framework work role codes.", "In written comments (reprinted in appendix XIX), SBA concurred with our recommendation. The agency stated that its Office of the Chief Information Officer, Office of Human Resources Solutions, and appropriate program offices would review the assignment of the \u201c000\u201d code to any 2210 IT management occupation series positions and assign the appropriate NICE framework role codes. The agency also provided technical comments, which we have incorporated into this report as appropriate.", "In written comments (reprinted in appendix XX), SSA agreed with our recommendation and stated that it had taken steps to complete the assignment of codes to the remaining 2210 IT management positions.", "In addition, one agency partially agreed with the recommendations in our report. In comments provided via email on February 15, 2019, the Acting Director for Treasury\u2019s Office of Human Capital Strategic Management stated that the department partially concurred with our recommendation that it review the assignment of \u201c000\u201d codes. According to the Acting Director, the Deputy Assistant Secretary for Human Resources and Chief Human Capital Officer had issued guidance to all Treasury Bureaus to validate the coding of 2210 IT management positions.", "However, Treasury did not agree with our finding that positions in the area of cryptographic key management could be aligned to the NICE framework work role code for the Communications Security Manager. The official stated that the cryptographic key management functions did not completely align with any of the NICE framework work roles.", "We acknowledge that there may be positions that do not completely align with work roles described in the NICE framework. However, according to OPM, the framework currently covers a broad array of functions that describe the majority of IT, cybersecurity, and cyber-related work. As noted in our report, OPM officials told us that they would expect agencies to assign a NICE work role code to 2210 IT management positions, with a few exceptions, such as in cases where a position\u2019s duties did not align with a NICE work role code. As such, we maintain that Treasury likely miscategorized over 1,300 IT management positions by assigning a \u201c000\u201d code to them, designating those positions as not performing IT, cybersecurity, or cyber-related work and, thus, should review these positions and assign the appropriate work role codes.", "Further, one agency did not agree with one of the two recommendations directed to it. Specifically, in written comments (reproduced in appendix XXI) NASA stated that it concurred with our recommendation to review the assignment of \u201c000\u201d codes to 2210 IT management positions. In this regard, the agency stated that it would complete a review of the assignment of \u201c000\u201d codes to 2210 IT management positions and assign the appropriate NICE framework work role codes.", "NASA did not concur with our other recommendation to complete the identification and coding of vacant positions performing IT, cybersecurity, or cyber-related functions. The agency stated that it had met the intention of the recommendation with existing NASA processes that assign a code at the time a vacancy is identified. However, the agency\u2019s workforce planning process is decentralized and the agency previously noted that it did not track vacancies.", "We maintain that the Federal Cybersecurity Workforce Assessment Act requires agencies to identify and code vacant positions and that NASA could compile necessary information from components to identify and code vacant IT, cybersecurity, and cyber-related positions. These efforts would provide important information about vacant IT, cybersecurity, and cyber-related positions across the agency to enhance NASA\u2019s workforce planning. Thus, we continue to believe that our recommendation is warranted.", "In addition, of the two agencies to which we did not make recommendations, one agency\u2014USAID\u2014provided a letter (reprinted in appendix XXII) acknowledging its review of the report and the other agency\u2014NSF\u2014provided technical comments, which we have incorporated into the report as appropriate.", "We are sending copies of this report to interested congressional committees, the Director of the Office of Management and Budget, the secretaries and agency heads of the departments and agencies addressed in this report, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you have any questions regarding this report, please contact me at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix XXIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) determine the extent to which federal agencies have assigned work role codes to positions performing information technology (IT), cybersecurity, or cyber-related functions, and (2) describe the steps federal agencies took to identify work roles of critical need. The scope of our review included the 24 major departments and agencies covered by the Chief Financial Officers (CFO) Act of 1990.", "To address our objectives, we reviewed the provisions of the Federal Cybersecurity Workforce Assessment Act of 2015 and assessed the workforce planning actions taken by the Office of Personnel Management (OPM) and the other 23 CFO Act agencies against the selected four activities required by the act.", "To evaluate the four selected activities of the act and objectives 1 and 2, we reviewed the National Initiative for Cybersecurity Education (NICE) Cybersecurity Workforce Framework and OPM\u2019s cybersecurity coding structure and guidance. The guidance provided information on how agencies should identify and assign work role codes to IT, cybersecurity, and cyber-related positions. We also designed and administered a questionnaire to each of the 24 agencies regarding their efforts to identify and assign work role codes to IT, cybersecurity, or cyber-related positions, and identify work roles of critical need. In developing the questionnaire, we took steps to ensure the accuracy and reliability of responses. We pre-tested the questionnaire with OPM and the Department of Homeland Security (DHS) officials to ensure that the questions were clear, comprehensive, and unbiased, and to minimize the burden the questionnaire placed on respondents. We also asked the chief information officer and the chief human capital officer of each agency to certify that they reviewed and validated the responses to the questionnaires.", "We administered the questionnaire between June and October 2018. We received completed questionnaires from each of the 24 agencies, for a response rate of 100 percent. We examined the questionnaire results and performed computer analyses to identify missing data, inconsistencies, and other indications of error, and addressed such issues as necessary, including through follow-up communications with the 24 agencies. We reviewed and analyzed the agencies\u2019 responses to the questionnaire in comparison to the act\u2019s requirements and OPM\u2019s and NICE\u2019s guidance. We also obtained, reviewed, and analyzed supporting documentation of questionnaire responses, such as reports of cybersecurity employment code data, to assess whether agencies assigned work role codes in accordance with the activities in OPM\u2019s coding guidance, by April 2018.", "Further, to analyze how federal agencies assigned work role codes to positions performing IT, cybersecurity, or cyber-related functions, we obtained IT, cybersecurity, or cyber-related workforce coding data for the 24 agencies from OPM\u2019s Enterprise Human Resources Integration system. To assess the reliability of coding data from OPM\u2019s system, we reviewed these data to determine its completeness, and asked officials responsible for entering and reviewing the work role coding data a series of questions about the accuracy and reliability of the data. In addition, we examined the Enterprise Human Resources Integration IT, cybersecurity, or cyber-related coding data to determine the number of positions the 24 agencies had assigned the \u201c000\u201d code to positions in the 2210 IT management occupational series as of May 2018. We reviewed positions from the 2210 IT management occupational series because those positions are likely to perform IT, cybersecurity, or cyber-related functions. In the report, we note some challenges with the reliability of these data and are careful to present our data in line with these limitations.", "We then identified a subset of the 24 agencies and performed an additional review of these agencies\u2019 work role coding efforts. We selected these agencies based on their total cybersecurity spending for fiscal year 2016, as reported by the Office of Management and Budget (OMB) in its Federal Information Security Modernization Act annual report. We sorted the 24 agencies\u2019 IT cybersecurity spending from highest to lowest and then divided them into three equal groups of high, medium, and low. We then selected the top two agencies from each group. Based on these factors, we selected six agencies: the (1) Department of Defense (DOD), (2) DHS, (3) Department of State (State), (4) National Aeronautics and Space Administration (NASA), (5) Environmental Protection Agency (EPA), and (6) General Services Administration (GSA).We performed an additional review of the agencies\u2019 work role coding efforts. We did this by evaluating the six selected agencies\u2019 coding processes against their established procedures and OPM requirements. We also obtained and reviewed coding data that included the assigned work role codes for civilian employees from each agency\u2019s human resources system.", "To assess the reliability of coding data from the selected six agencies\u2019 systems, we reviewed related documentation such as the agencies\u2019 coding procedures, processing guides, personnel bulletins, and system screen shots. We also conducted electronic testing for missing data, duplicate data, or obvious errors. In addition, we asked officials responsible for entering and reviewing the work role coding data a series of questions about the accuracy and reliability of the data. For any anomalies in the data, we followed up with the six selected agencies\u2019 offices of the chief information officer and chief human capital officer to either understand or correct those anomalies. Further, we assessed the reliability of data in terms of the extent to which codes were completely assigned and reasonably accurate. In the report, we note some challenges with the reliability of these data and are careful to present our data in line with these limitations.", "We randomly selected a sample of 20 positions from each of the six selected agencies (120 total positions) within the 2210 IT management occupational series. We reviewed positions from the IT management 2210 series because those positions are likely to perform IT, cybersecurity, or cyber-related functions. For the selected positions, we requested position descriptions and reviewed whether the position work role codes in the coding data were consistent with the corresponding position description text. We also selected a second nonstatistical sample of 12 positions for each of the six agencies (72 total positions) from the 2210 IT management occupational series based on pairs of positions that had identical position titles, occupational series, and sub-agencies, but for which the agencies had assigned different work role codes for the positions. An analyst reviewed the work role coding data and compared them to the duties described by the position descriptions to determine whether they were consistent with the position duties. A second analyst verified whether or not the position\u2019s work role code was consistent with the position description. A third analyst adjudicated cases in which the first and second analysts\u2019 evaluations did not match.", "Lastly, to evaluate agencies\u2019 actions to address the last three activities of the act related to the identification of cybersecurity work roles of critical need, we obtained, reviewed, and analyzed OPM\u2019s guidance for identifying critical needs and its progress report to Congress by comparing it to the act\u2019s requirements. We reviewed agencies\u2019 responses to our questionnaire regarding whether they had developed methodologies or project plans for identifying critical needs. We also reviewed any available documentation on the 24 agencies\u2019 progress in identifying critical needs, such as project plans, timelines, and preliminary reports. In addition, OPM required agencies to submit a preliminary report on work roles of critical need by August 31, 2018. We obtained copies of the preliminary reports from the 24 agencies. We evaluated agencies\u2019 efforts to meet the deadline, as well as for meeting OPM\u2019s requirements for documenting work roles of critical need and determining root causes of those needs.", "To supplement our analysis, we interviewed agency officials from human resources and chief information officer offices at the 24 agencies regarding their progress in coding and identifying cybersecurity work roles of critical need.", "We conducted this performance audit from February 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Office of Personnel Management Information Technology, Cybersecurity, and Cyber-related Work Role Codes", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Summary of 24 Chief Financial Officers Act Agencies\u2019 Implementation of the Federal Cybersecurity Workforce Assessment Act of 2015, as of Nov. 2018", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Top 12 Work Roles of Critical Need as Identified by the 24 Chief Financial Officers (CFO) Act Agencies in Their Preliminary Reports of Critical Need", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XV: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVI: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: Comments from the Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVIII: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIX: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XX: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XXI: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XXII: Comments from the United States Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XXIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Tammi Kalugdan (Assistant Director), Merry Woo (Analyst-in-Charge), Carlos (Steven) Aguilar, Alexander Anderegg, Christina Bixby, Carl Barden, Chris Businsky, Virginia Chanley, Cynthia Grant, Paris Hawkins, Lee Hinga, James (Andrew) Howard, Assia Khadri, David Plocher, Steven Putansu, and Priscilla Smith made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The federal government needs a qualified, well-trained cybersecurity workforce to protect vital IT systems. Not having enough of these workers is one reason why securing federal systems is on our High Risk list.", "To help agencies identify their critical workforce needs, they were required to identify and categorize all of their IT and cyber-related positions.", "However, most of the agencies we reviewed likely miscategorized the work involved in many positions. For example, 22 of 24 agencies assigned a \"non-IT\" code to 15,779 (about 19%) of their IT positions.", "We recommended agencies improve how they track and code their IT and cyber workforce."]} {"id": "GAO-18-49", "url": "https://www.gao.gov/products/GAO-18-49", "title": "Contingent Workforce: Size, Characteristics, Compensation, and Work Experiences of Adjunct and Other Non-Tenure-Track Faculty", "published_date": "2017-10-19T00:00:00", "released_date": "2017-11-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Contingent faculty play a large role in postsecondary education but may not have the same job protections as tenured or tenure-track faculty. In 2015, GAO reported that contingent workers\u2014those in temporary, contract, or other non-standard employment arrangements\u2014earn less, are less likely to have work-provided benefits, and are more likely to experience job instability than standard workers. GAO was asked to examine issues related to contingent faculty.", "This report examines (1) what is known about the makeup and utilization of the postsecondary instructional workforce; (2) the roles different types of faculty fill at selected institutions and the factors administrators consider when determining faculty makeup; (3) what is known about how economic circumstances compare across different faculty types; and (4) what contingent faculty members report as advantages and disadvantages of their work.", "GAO analyzed data from nationally representative sources and from public institutions in three states\u2014Georgia, North Dakota, and Ohio. GAO selected these states based primarily on data availability. GAO interviewed administrators from 9 postsecondary institutions in these states and one large for-profit institution. GAO selected institutions based on factors such as institution size and percent of contingent faculty. GAO also conducted 21 discussion groups with contingent faculty.", "The Department of Education did not have comments on this report. The National Science Foundation provided technical comments, which we incorporated, as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["According to 2015 Department of Education data, contingent faculty\u2014those employed outside of the tenure track\u2014made up about 70 percent of postsecondary instructional positions nationwide, though this varied by type of institution. In addition, data from three selected states show that contingent faculty teach about 45 to 54 percent of all courses at 4-year public institutions, and higher proportions at 2-year public institutions. In terms of job stability, some full-time contingent positions with annual or longer contracts may be relatively stable while part-time positions with short-term contracts may be among the least stable, though it is unknown whether faculty in these positions have other employment. In contrast, tenure-track positions are often viewed as having a high degree of job security that is somewhat unique to postsecondary education.", "Administrators GAO interviewed at selected postsecondary institutions said full-time contingent faculty generally carry heavy teaching loads, and some also take on additional responsibilities, such as conducting research or advising students. However, administrators stated that part-time contingent faculty generally focus solely on teaching. As shown in the figure below, administrators also described factors they consider in determining their institution's faculty makeup.", "GAO examined recent data from North Dakota and Ohio public institutions and found that, among faculty who primarily teach\u2014which excludes individuals such as administrators or researchers\u2014part-time and full-time contingent faculty were paid about 75 percent and 40 percent less per course, respectively, compared to full-time tenure-track faculty. This comparison includes earnings for all of their responsibilities, including teaching and any other duties. However, when estimating faculty earnings for teaching duties only, pay disparities decreased to about 60 percent and 10 percent less per course for these contingent faculty, respectively. In addition, state and national data also showed that relatively few part-time contingent faculty received work-provided health or retirement benefits.", "In discussion groups with GAO, contingent faculty cited advantages such as the flexibility to balance professional and personal responsibilities, skill development, or working with students, and described disadvantages that included uncertainty due to short-term contracts, untimely contract renewals, and pay\u2014including a lack of compensation for some of their work. Other concerns they cited included limited career advancement opportunities, not having a voice in institutional decision-making, and not having certain types of institutional support."]}], "report": [{"section_title": "Letter", "paragraphs": ["Contingent faculty\u2014those employed outside of the tenure track, such as full-time non-tenure-track professors and lecturers, part-time instructors and adjuncts, and graduate student instructors\u2014are part of the broader contingent workforce. In 2015, we reported that contingent workers\u2014 those in temporary, contract, or other non-standard employment arrangements\u2014earn less, are less likely to have work-provided benefits such as retirement plans or health insurance, and are more likely to experience job instability than standard workers.", "In terms of the postsecondary instructional workforce, as a subset of the overall workforce, tenured or tenure-track faculty may be considered standard workers. Tenure affords faculty academic freedom\u2014the ability to express thoughts or ideas without repercussion\u2014and economic security by providing certain job protections, including employment that cannot be terminated except under limited circumstances, such as for adequate cause, financial exigencies of an institution, or closure of an academic program. Unlike other standard employment arrangements that may vary in terms of job security, tenured faculty are often viewed as having essentially permanent job security because of the job protections tenure provides. The tenure guarantee is an employment model that is somewhat unique to academia, though other professions, such as K-12 teachers, may have similar arrangements.", "For the purposes of this work, we refer to contingent faculty as any full- or part-time, non-tenure-track faculty. In contrast to tenure-track faculty, and much like contingent workers in the overall workforce, contingent faculty generally have contract employment arrangements that expire at the end of a set term\u2014whether it be a semester, a school year, or a multi-year term. In addition, contingent faculty may not have the same job protections as tenured or tenure-track faculty. The employment situations of faculty who fall under the umbrella of \u201ccontingent\u201d also may vary considerably. For example, while some contingent faculty may have contracts that are renewable on a continuous basis, others may resemble contingent workers more broadly and be in precarious employment situations with no guarantee for future work.", "We were asked to examine issues related to contingent faculty. This report examines (1) what is known about the makeup and utilization of the postsecondary instructional workforce; (2) what roles different types of faculty fill at selected institutions and what factors administrators consider when determining their faculty makeup; (3) what is known about how economic circumstances compare across different faculty types; and (4) what contingent faculty members report as advantages and disadvantages of their work.", "To address the first question, we analyzed national and state data to determine faculty makeup and utilization. Our primary source of national data was the Department of Education\u2019s (Education) Integrated Postsecondary Education Data System (IPEDS), which we analyzed in 4- year intervals from 1995 to 2011 and separately for 2015. Additional sources of national data were the Department of Labor\u2019s (DOL) March 2016 Current Population Survey (CPS) Annual Social and Economic Supplement (ASEC) and survey data for 2012-13 collected by the American Academy of Arts & Sciences (AAAS). See table 12 in appendix I for a comprehensive list of the data sources we analyzed. We also obtained and analyzed comprehensive faculty and course data for public postsecondary institutions from three states\u2014Georgia, North Dakota, and Ohio. We chose these states primarily based on the availability of these data and also considered the state\u2019s location and the number of institutions in the state to reflect some variation by region and size. For the purposes of this study, we limited our analyses to instructional faculty in order to focus on the population that is most responsible for educating students.", "To address the second question, we interviewed administrators at selected institutions in Georgia, North Dakota, and Ohio to obtain information on the roles different types of faculty fill and factors institutions consider in determining their faculty makeup. In each state, we interviewed administrators at one 4-year public institution, one 4-year private institution, and one 2-year public institution. We selected the specific institutions for our interviews based on factors such as the size of the institution, percent of contingent faculty, and whether the institution is located in an urban, suburban, or rural area. In addition, we met with administrators of one large online-based for-profit institution. In total, we interviewed administrators from 10 institutions. The findings from our discussions with administrators are not generalizable.", "To compare the economic circumstances of different types of faculty\u2014 including various earnings analyses, access to retirement and health benefits, and satisfaction with job security and opportunities for advancement\u2014we analyzed nationally representative data from the 2016 CPS ASEC and from the Survey of Doctorate Recipients (SDR) in science, technology, engineering, and math (STEM), health, and social sciences fields for 2013, which is conducted by the National Science Foundation\u2019s (NSF) National Center for Science and Engineering Statistics (NCSES). We also analyzed state data.", "To obtain contingent faculty members\u2019 views on the advantages and disadvantages of their work, we conducted discussion groups with different types of contingent faculty, the majority of which (19 out of 21) took place at the same selected institutions where we interviewed administrators. At each institution, we met with full- and part-time contingent faculty and graduate student instructors, where applicable. Administrators at the institutions solicited participants for these interviews on our behalf. We also conducted two additional discussion groups with part-time contingent faculty who work at multiple institutions. We did not systematically review the specific policies these institutions have with respect to contingent faculty. In addition, the views of faculty at institutions in states with greater levels of unionization or with larger metropolitan areas may differ from those in our study. Factors such as larger pools of faculty labor, greater ability to commute between schools, and collective bargaining dynamics could affect work experiences. The findings from our discussions with faculty are not generalizable. We also conducted interviews with the National Center for the Study of Collective Bargaining in Higher Education and the Professions, the American Association of University Professors, and the Service Employees International Union to obtain their views.", "For all of the datasets used in our study, we reviewed documentation, interviewed or obtained information from officials responsible for the data, and tested the data for inaccuracies. We determined that these data are sufficiently reliable for the purposes of this report. In addition, we reviewed relevant federal laws and regulations related to all of the objectives of this review. See appendix I for more detailed information about our scope and methodology.", "We conducted this performance audit from May 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Characteristics of Postsecondary Institutions", "paragraphs": ["In fall 2015, almost 20 million students were enrolled in over 4,500 2- and 4-year postsecondary institutions, according to IPEDS data. Postsecondary institutions vary in terms of their funding, the length and type of programs offered, and instructional mission, among other characteristics. Public institutions, which include state universities and community colleges, are traditionally supported by federal, state, and local funds, in addition to revenue from tuition and fees. Private, not-for- profit schools are owned and operated by independent or religious organizations, and their net earnings do not benefit any shareholder or individual. Tuition and fees as well as other revenue sources primarily support these schools. For-profit institutions are privately owned and earnings can benefit shareholders or individuals. Two-year institutions often provide career-oriented programs at the certificate and associate\u2019s degree levels. Four-year institutions tend to have a broad range of instructional programs at the undergraduate level leading to bachelor\u2019s degrees. Many 4-year institutions also offer master\u2019s or doctorate level programs, and some 4-year institutions have a research focus.", "The landscape of postsecondary institutions has changed over the past 20 years, particularly with respect to for-profit institutions. The number of public institutions remained relatively constant and the number of private institutions declined slightly; however, the number of for-profit institutions more than tripled between 1995 and 2011 before declining slightly to 2015 levels (see fig. 1)."], "subsections": []}, {"section_title": "How National Data Count Faculty", "paragraphs": ["IPEDS and CPS both provide data on postsecondary faculty.", "IPEDS data can provide information on positions filled by different types of faculty across postsecondary education or by types of institutions (see sidebar for how we categorize institutions using IPEDS data). In terms of faculty types, IPEDS distinguishes between tenure-track and contingent positions and also has data on graduate assistants, though we cannot determine whether these graduate teaching assistants are the instructors of record for courses or are instead providing classroom support (e.g., grading, leading discussions, and lab setup). Because IPEDS counts positions, any faculty who teach at more than one institution are counted multiple times\u2014for each position they fill.", "CPS counts the number of actual workers in a given occupation and, in terms of faculty, provides data on how many individuals are employed as postsecondary teachers in colleges and universities nationwide. CPS does not differentiate faculty by type of institution or by tenure status. For example, CPS cannot identify full-time contingent faculty separately from full-time tenure-track faculty."], "subsections": []}]}, {"section_title": "Contingent Faculty Fill Most Instructional Positions Nationwide and Teach Close to Half or More of All Courses at Public Institutions in Three Selected States", "paragraphs": [], "subsections": [{"section_title": "From 1995 to 2011, the Number of Instructional Positions Filled by Contingent Faculty More than Doubled While Those Filled by Full-Time Tenure- track Faculty Increased By 10 Percent", "paragraphs": ["According to IPEDS data, from 1995 to 2011, the percentage of postsecondary instructional positions filled by contingent faculty increased from 57.6 to 71.6 percent. During this period the number of instructional faculty positions at all institutions nationwide grew by over 60 percent\u2014 though most of this growth was among positions held by contingent faculty. More specifically, the number of positions held by full-time and part-time non-tenure-track faculty\u2014which we define as contingent\u2014both doubled during this period, while the number of positions held by full-time tenure-track faculty grew by about 10 percent (see table 1). In addition to full- and part-time contingent faculty, some graduate assistants may also teach courses. During the same period, the number of graduate teaching assistant positions grew by 63.8 percent.", "Some of the increase in the percentage of contingent faculty positions is due to the growth of the for-profit sector and growth among 2-year institutions, which as a whole rely primarily on contingent faculty. For example, the number of positions nationwide across for-profit institutions in 2011 was almost 9 times as many as in 1995. However, the shift towards contingent faculty positions was clear even among only 4-year public and private institutions (see fig. 2)."], "subsections": []}, {"section_title": "Contingent Faculty Fill about 70 Percent of Instructional Positions Nationwide, Though This Varies Greatly by Institution and Many of These Positions Have Some Job Stability", "paragraphs": ["Contingent faculty currently fill most instructional positions nationwide, though these numbers cannot be compared to historical data. According to 2015 IPEDS data, contingent faculty fill 69.5 percent of the 1,444,774 postsecondary instructional positions across all institutions nationwide, including about 61.4 percent of instructional positions at 4-year institutions, 83.5 percent at 2-year institutions, and 99.7 percent at for- profit institutions (see fig. 3). As noted previously, aggregated IPEDS data count faculty who teach at multiple institutions multiple times; therefore, there are likely more contingent faculty positions than there are contingent faculty workers. Although it is unknown how many faculty hold jobs at multiple institutions, this is likely to be more prevalent among faculty filling part-time positions. To illustrate, according to CPS data\u2014 which counts individuals\u2014an estimated 31.7 percent (+/- 4.1) of individuals employed as postsecondary teachers in colleges and universities worked part-time in 2015. In contrast, according to IPEDS data, part-time faculty held about 50.0 percent of instructional positions.", "Though the majority of instructional faculty positions across institutions are contingent, employment stability among these positions may vary widely. Many of these contingent positions may have some job stability, depending on contract specifics. For example, about a quarter of contingent positions across all institutions have full-time, annual, multi- year, or potentially pseudo-tenure contracts (see fig. 3). Some of these positions may expire at the end of a set term or have no option for renewal\u2014potentially requiring a new application process\u2014while others may be relatively long-term with continuously repeating contracts. For example, officials at one North Dakota institution we visited described their non-tenure-track positions as \u201ctenure light\u201d because full-time faculty receive 1-year contracts for their first 4 years and then, after a successful promotion review, receive continuous 3-year contracts that can be terminated only for adequate cause, such as gross professional misconduct. In contrast to these more stable contingent positions, more than half of the contingent positions across all institutions nationwide are part-time and have less-than-annual contracts or lack faculty status\u2014 which we define as being among the least stable (see fig. 3). For some of the faculty filling these positions, this employment may be their sole source of income. Similar to contingent workers in the broader labor force, as we reported previously, these faculty may face volatility and uncertainty in their economic circumstances. Other faculty in these positions may have employment or sources of income outside of teaching. For example, some part-time instructors are employed full-time in their fields and teach on the side as subject-matter experts or to stay connected with their local university community.", "Examples of Part-Time Faculty Situations from Faculty Discussion Groups at Selected Institutions Two part-time faculty members at an institution in Ohio said they had jobs outside of teaching and said they teach on the side because they love it, rather than relying on it for subsistence.", "One part-time faculty member at an institution in Georgia said that she was retired, but teaches courses to keep a foot in the education world while also enjoying free time in retirement.", "One younger part-time faculty member at an institution in North Dakota stated that she teaches on a semester-to-semester contract and that this was her primary employment.", "While it is unknown how many faculty rely on their instructional positions as their primary employment, nationally representative data from the Current Population Survey (CPS) and Survey of Doctorate Recipients (SDR) provide some limited information that suggests many part-time faculty prefer working part-time. The CPS data show that an estimated 46.2 percent (+/- 6.3) of part-time faculty reported wanting to work part- time, while only 10.0 percent (+/- 5.1) reported working part-time because they could only find a part-time job or because of seasonal or temporary fluctuations in the availability of employment. Similarly, SDR data on doctorate-holding instructional faculty in STEM (science, technology, engineering, and math), health, and social sciences fields show that most part-time contingent faculty report wanting to work part-time, though among those who reported wanting a full-time job, most reported not being able to find one (see table 2).", "According to IPEDS data, different types of postsecondary institutions rely more heavily on different segments of the instructional workforce. As shown in figure 4, many 4-year institutions employ tenure-track, full-time contingent, and part-time contingent positions\u2014though the balance varies. Far fewer 2-year institutions and very few for-profit institutions have tenure-track positions. Part-time and short-term positions are substantially more prevalent at these institutions. For example, part-time contingent positions make up 67.9 percent and 80.5 percent of instructional positions at 2-year and for-profit institutions, respectively, as compared to 39.8 percent at 4-year institutions.", "Beyond institution type, reliance on different types of faculty positions also varies by institutional characteristics, such as size and highest degree offered. For example, across 4-year institutions with more than 10,000 students, 43.1 percent of positions are tenure-track, as compared to 30.6 percent across institutions with fewer than 5,000 students. Similarly, a higher percentage of instructional positions are tenure-track across 4-year institutions that offer doctorate degrees, compared to those institutions that do not offer doctorate degrees (see fig. 5)."], "subsections": []}, {"section_title": "At 4-Year Public Institutions in Three Selected States, Contingent Faculty Teach Close to Half or More of All Courses and Credit Hours", "paragraphs": ["Contingent faculty fill more than half of instructional positions at 2- or 4- year public institutions in the three selected states (see fig. 6). Two-year public institutions in North Dakota and Ohio were especially reliant on contingent faculty, where they fill about 72 and 84 percent of instructional positions, respectively (see sidebar for our definition of instructional faculty in the state data, as compared to our other data analyses).", "We examined several different demographic characteristics of contingent faculty including gender, race, educational attainment, and age."], "subsections": [{"section_title": "Gender", "paragraphs": ["According to 2015 IPEDS data, instructional positions nationwide are divided roughly evenly between the sexes, but women fill fewer tenure- track positions and more contingent positions than men do. As shown in figure 7, across all institutions, women hold a substantially lower proportion of full-time tenured positions (38.4 percent) than men do, though women fill 48.9 percent of full-time positions that are on a tenure track but not yet tenured, and that are generally more recent hires. Across all institutions, women also hold a slightly greater proportion of contingent positions (about 53 percent). This imbalance in representation, in part, reflects the higher concentration of women at 2-year and for-profit institutions, where they fill 54.3 and 55.9 percent of positions, respectively. These institutions generally rely more heavily on contingent faculty positions than do 4-year institutions.", "White (non-Hispanic) faculty fill almost three-quarters of instructional positions across all institutions nationwide. This racial/ethnic representation is relatively consistent across full-time tenure-track, full- time contingent, and part-time positions. Though filling 27.6 percent of positions across all institutions, racial and ethnic minorities have slightly greater representation at institutions in large cities (33.2 percent) and at for-profit institutions (38.4 percent)."], "subsections": []}, {"section_title": "Educational Attainment", "paragraphs": ["Our analysis of state data suggests that across 4-year public institutions in North Dakota and Ohio, lower proportions of individuals in contingent positions have a graduate or doctoral degree (see fig. 8). While the differences between tenure-track and contingent faculty are substantial, possible explanations include variation in degree requirements by discipline or individual circumstances, such as having professional experience in the field.", "Across public institutions in all three selected states, and excluding positions held by instructional graduate students, most positions held by the youngest faculty are contingent, and the most common positions held by the oldest faculty are part-time contingent. More specifically, most positions held by individuals under age 40 are contingent\u201460.2 percent in Georgia, 66.9 percent in North Dakota, and 74.5 percent in Ohio (excluding instructional graduate assistants). This suggests that newer graduates may be more likely to be hired into contingent rather than tenure-track positions. In addition, the most common positions held by faculty ages 70 and older are part-time contingent positions\u201451.0 percent in Georgia, 45.5 percent in North Dakota, and 59.4 percent in Ohio (excluding instructional graduate assistants). This suggests that a segment of the part-time contingent workforce may consist of retirees or workers who are approaching retirement."], "subsections": []}]}]}, {"section_title": "Administrators Said Contingent Faculty Have a Range of Responsibilities, and They Consider Multiple Needs When Determining Faculty Makeup", "paragraphs": [], "subsections": [{"section_title": "Full-Time Contingent Faculty at Institutions We Visited May Have a Variety of Responsibilities, but Part-Time Contingent Faculty Generally Focus on Teaching", "paragraphs": ["According to administrators we interviewed, institutions utilize full-time contingent faculty for different purposes, which may involve responsibilities beyond teaching. Administrators said full-time contingent faculty are hired primarily to teach and generally have larger course loads than tenure-track faculty who may teach fewer courses per semester due to significant research responsibilities. However, they also noted that\u2014 similar to tenure-track faculty\u2014many full-time contingent faculty carry out additional responsibilities. For example, some full-time contingent faculty may perform service, conduct research, advise students, serve as department chairs, or manage student recruitment efforts for their programs. Many other full-time contingent faculty serve as instructors or lecturers whose sole responsibility is to teach. For example, administrators from one institution explained that they employ professional instructors who teach four courses per semester and have no service or research responsibilities. In addition, some full-time contingent faculty are hired because they have certain professional qualifications or experience. For example, one institution we visited employed academic professionals who may teach one or two courses per year while carrying out administrative, marketing, mentoring, or other duties.", "While full-time contingent faculty may have a variety of responsibilities, administrators stated that part-time contingent faculty generally focus on teaching, though they also may fulfill different purposes. In some cases, part-time contingent faculty serve as expert practitioners who teach specific subject matter. For example, administrators from one institution said that they hire part-time contingent faculty to teach instrumental music courses because teaching each instrument requires specialized expertise, and there may not be enough students learning any single instrument to warrant a full-time position. In other cases, part-time contingent faculty teach general education courses, such as Introduction to English Composition, which most students are required to take. In addition, while some part-time contingent faculty may have full-time jobs outside of academia, others may be working toward long-term careers as tenure-track professors, according to administrators. Administrators from some institutions also told us that they hire part-time contingent faculty help to manage lab courses (e.g., setting up laboratory equipment, assisting students) or to serve as mentors to students in specific programs (e.g., theological studies)."], "subsections": []}, {"section_title": "Administrators Consider Financial, Institutional, Faculty, and Student Needs When Determining Faculty Makeup", "paragraphs": ["University and college administrators we interviewed identified a number of financial and institutional considerations as well as faculty and student needs that affect their decisions regarding faculty makeup (see fig. 9).", "Administrators stated that utilizing contingent faculty allows for flexibility in managing various financial considerations, including the following:", "Budget uncertainty: Administrators from several public institutions explained that utilizing contingent faculty helps them manage uncertainty regarding the level of public funding they may receive. Administrators have the option not to renew contracts of contingent faculty if they experience a decrease in their funding, whereas institutions commit to retain tenure-track faculty until they retire. In addition, administrators from several public institutions noted that, as a result of decreased state funding, they have become more reliant on tuition to meet their budget needs. They told us that hiring contingent faculty to focus on teaching rather than research allows the institution to offer more classes and serve additional students, which in turn, generates more tuition revenue.", "Compensation costs: Administrators stated that, in general, they cannot employ tenure-track faculty for all courses because they can be more expensive to employ than contingent faculty. In addition to the long-term commitment associated with tenure, other costs may include spending to support research conducted by tenure-track faculty (e.g., investment in specialized labs or equipment).", "Legal or grant program requirements: Some administrators said that legal or grant program requirements affect their decisions regarding the utilization of contingent faculty. For example, administrators from several institutions told us that they had reduced teaching loads for part-time faculty because the Patient Protection and Affordable Care Act (PPACA) requires certain employers to provide health insurance for employees working 30 hours or more per week. Administrators from another institution stated that they utilized in-house faculty and hired additional contingent faculty to staff a federal grant program aimed at providing training for inmates at correctional facilities because\u2014after receiving notification that they had been awarded the grant\u2014they had approximately 2 months to staff 160 course sections. In addition, since they did not know whether the grant would be renewed, they did not know whether they would be able to retain those faculty at the end of the program."], "subsections": [{"section_title": "Institutional Considerations", "paragraphs": ["Administrators said that utilizing contingent faculty also allows flexibility to meet different institutional needs. Examples of institutional considerations cited by administrators include the following:", "Enrollment: By utilizing contingent faculty, institutions have more flexibility to meet course demand if there is a surge in enrollment or to downsize if there is a drop in enrollment, according to administrators. For example, administrators from one 2-year institution noted that enrollment generally increases when the economy is weak and decreases when the economy is strong. These administrators also said that their enrollment fluctuates greatly with changes in the economy and that, in their experience, prospective students are more likely to choose 4-year institutions rather than 2-year institutions when the economy is strong. In addition, when offering a course, administrators said part-time faculty may teach that course during a trial period while administrators decide whether to offer the course long term.", "Location and market demand: Some administrators stated that they offer contingent faculty positions in response to market conditions. For example, administrators from institutions located in small towns or rural areas said they rely on local professionals to teach certain courses on a part-time basis, in part, because of challenges finding qualified faculty and having fewer students enrolled at remote sites. Some administrators also said contingent faculty positions offer certain advantages that help them recruit high quality instructors. For example, administrators from one university noted that their institution offers stable, full-time employment to recent graduates looking to gain experience before applying for tenure-track positions at other institutions.", "Specialized experience: Contingent faculty may bring professional expertise to certain courses. For example, administrators from several institutions stated that their programs for health professionals rely on contingent faculty working in their field to teach clinical courses so that students may gain experience at an established medical practice. Administrators said that hiring practitioners from local industry as part- time instructors is an effective way to support specialized courses that have a limited number of sections. Administrators from one institution also noted that practitioners may have the qualifications needed to meet accreditation requirements for certain programs and departments (e.g., professional and technical programs).", "Balancing priorities: Administrators said that utilizing a combination of tenure-track and contingent faculty helps their institutions fulfill both teaching and research missions and accommodate the hiring needs of different programs and departments. For example, administrators from one institution noted that the additional revenue from increased course offerings\u2014staffed by part-time contingent faculty\u2014allows them to invest more money in research programs for tenure-track faculty. Administrators from two institutions explained that hiring part-time contingent faculty in a given department allows them to reallocate resources as needed, for example, to hire full-time contingent or tenure-track positions in another department. In addition, while contingent faculty may help fulfill accreditation requirements for certain programs, administrators from several institutions also stated that their accrediting bodies require a balance of contingent and tenure-track faculty, or alternatively, full-time and part-time contingent faculty. For example, administrators from one 4-year institution told us that part-time faculty may teach no more than 25 percent of student credit hours within their business school."], "subsections": []}, {"section_title": "Faculty Needs", "paragraphs": ["As part of faculty utilization decisions, administrators said that they consider the personal and professional needs of faculty. Examples of faculty needs cited by administrators include the following:", "Flexibility: Administrators told us that they offer part-time positions, in part, because many qualified candidates want to work part-time for professional, family, or other reasons. For example, administrators at one institution said that part-time contingent faculty positions allow expert-practitioners to continue working full-time in their field while pursuing an interest in teaching. Alternatively, for those teaching as full-time contingent faculty, in some cases, their position may offer a more predictable schedule or other benefits compared to their professional field.", "Course loads: Administrators at some institutions said they prioritize the professional needs of existing full-time faculty before hiring part- time faculty by ensuring that full-time faculty have enough courses to meet their required teaching loads.", "Career paths: Some institutions have established mechanisms to support long-term career paths for full-time contingent faculty. For example, administrators from one institution stated that full-time contingent faculty may qualify for multi-year contracts that can be terminated only for adequate cause, such as gross professional misconduct. Administrators from several institutions said that they offer the full set of professorial ranks (i.e., Assistant Professor, Associate Professor, and Professor) to some full-time contingent faculty positions in order to provide opportunities for advancement."], "subsections": []}, {"section_title": "Student Needs", "paragraphs": ["Administrators stated that having a combination of tenure-track and contingent faculty\u2014or full-time and part-time contingent faculty at institutions without tenure\u2014is necessary to meet different student needs. Examples of student needs cited by administrators include the following:", "Learning opportunities: Administrators stated that different types of faculty may offer different opportunities to students. For example, administrators told us that tenure-track faculty may provide research and academic networking opportunities whereas contingent faculty may not have the same opportunities to develop professional networks or conduct research in their field. Some administrators also said that the academic freedom associated with tenure or having faculty who conduct research in their field may be beneficial to students. Nonetheless, administrators from several institutions emphasized that contingent faculty were equally qualified to teach and that their positions allowed them to focus on teaching. Administrators also noted that contingent faculty may bring professional expertise and real-world experiences to the classroom. In addition to courses that require specialized experience, administrators from one institution said they also value the outside experience that contingent faculty bring to general education courses. As an example, they stated that part-time contingent faculty with experience from other jobs or professions may be able to relate to the real-world needs of their students because the majority of students will seek employment outside of academia.", "Community: Administrators said that, regardless of tenure status, they depend on having full-time faculty to help create a sense of community. They discussed informal ways that faculty support their campus community. For example, some administrators noted that full- time faculty contribute by mentoring students and participating in activities on campus. In contrast, part-time faculty are not able to spend as much time on campus because they often have other jobs or commitments, according to administrators."], "subsections": []}]}]}, {"section_title": "Absent National Information on Pay Rates, Contingent Faculty in Two Selected States Are Paid Less per Course, and Relatively Few Part- Time Faculty Receive Health or Retirement Benefits Data from Two States Show Contingent Faculty Are Paid Less per Course, Though Disparities Shrink If Pay for Research and Service Is Excluded", "paragraphs": ["National data on contingent faculty pay rates are not available, but data from two states show that contingent faculty are paid less per course. IPEDS data cannot be used to determine faculty pay rates because salary data are not collected for part-time faculty nor are they collected at the individual faculty level, and CPS data do not differentiate between full- time tenure-track and full-time contingent faculty. Given the limitations of national data, we used data from two states to compare annual earnings across different types of faculty. The differences in median annual earnings shown in table 5 provide some insight into the generally lower overall compensation of contingent faculty, though these data are not generalizable. Further, particularly for part-time faculty who may be paid on a piecemeal or per-course basis, this measure does not provide information about whether compensation differences are due to lower pay rates or less work performed (e.g., courses taught or hours worked).", "Thus, we use the state data to calculate and examine comparable pay rates per course for all faculty types. Private organizations have attempted to collect data specifically on pay-per-course rates for part-time faculty, though efforts have been limited.", "On a per-course basis, we found that contingent faculty at public institutions in two states are paid less per course taught, on average, than full-time tenure-track faculty, though the extent of differences varies depending on contingent faculty group and pay measure. We conducted regression analyses of total pay per course and instructional pay per course, which provide two different perspectives on faculty compensation (see sidebar for explanations of these approaches and see appendix I for details on our methods). These analyses controlled for other factors that may affect earnings, such as employing institution, discipline, highest degree earned, and demographics. As shown in table 6, in terms of total pay per course, we found the following:", "Part-time contingent faculty in both states are paid about 75 percent less per course regardless of whether the population includes all faculty or is limited to \u201cprimarily teaching\u201d faculty. The primarily teaching group excludes faculty who primarily hold other roles unrelated to instruction (e.g., administrators and research faculty).", "Full-time contingent faculty are paid about 35 percent less per course in North Dakota and about 40 percent less per course in Ohio, among primarily teaching faculty\u2014differences are larger in Ohio if all faculty are included.", "Instructional graduate assistants earn more per course than part-time faculty (though still less than full-time tenure-track faculty). However, compensation for these groups is fundamentally different because instructional graduate assistants generally receive a stipend, similar to an annual salary, rather than being paid by the course like many part- time faculty. In addition, graduate assistantships may be awarded for academic merit or recruitment, and could also be considered as compensation for a graduate assistant\u2019s work as a student.", "Disparities in instructional pay per course\u2014which measures pay for equivalent work (see sidebar above)\u2014are smaller for all contingent faculty groups than those for total pay per course. As shown in table 7, we found the following:", "Part-time contingent faculty in both states are paid about 60 percent less per course regardless of whether the population includes all faculty or is limited to primarily teaching faculty.", "Among primarily teaching faculty in both states, full-time contingent faculty are paid about 10 percent less per course than full-time tenure- track faculty.", "As with total pay, the instructional pay disparity for full-time contingent faculty in Ohio is larger if all faculty are included. However, when all faculty are included in North Dakota, the pay difference between full- time contingent and full-time tenure-track faculty is not significant at the 95 percent confidence level.", "Consistent with our other findings, when we analyzed national data from the 2013 Survey of Doctorate Recipients (SDR), we also found that contingent faculty in sciences fields earned less annually than full-time tenure-track faculty. Full-time contingent faculty earned 22 percent less than full-time tenure-track faculty, on average, and part-time contingent faculty earned 70 percent less, among instructional, doctorate-holding faculty in STEM, health, and social sciences fields. Unlike our analyses of state data, the SDR analysis cannot account for differences in the number of courses taught, and thus the results represent the combined effects of lower pay rates and smaller workloads, to the extent either exists."], "subsections": [{"section_title": "Relatively Few Part-Time Contingent Faculty Receive Health or Retirement Benefits from Their Employment", "paragraphs": ["Data from North Dakota and Georgia, as well as national data covering different populations, suggest that relatively few part-time contingent faculty receive health or retirement benefits from their employment though full-time contingent faculty may. Although not generalizable, data from North Dakota and Georgia include data on actual benefits provided to faculty by institutions, as opposed to self-reported rates of coverage found in national survey data. Relatively few part-time contingent faculty and instructional graduate assistants in the North Dakota and Georgia data receive retirement, health, and life insurance benefits from their employment. For example, in Georgia and North Dakota, about 98 percent or more of individuals in full-time tenure-track and full-time contingent positions receive work-provided retirement benefits, compared to 19.4 and 9.3 percent, respectively, of those in part-time contingent positions (see table 8). An even smaller percentage of instructional graduate assistants in both states receive any of these benefits from their employment; however, instructional graduate assistants are students, so the terms of their employment may be different than traditional full-time and part-time employees.", "Similarly, our analysis of SDR and CPS data show that relatively few part- time contingent faculty nationwide receive retirement benefits from their employment. According to the 2013 SDR data, among instructional, doctorate-holding faculty in STEM, health, and social sciences fields, an estimated 48.4 percent (+/- 4.2) of part-time contingent faculty report having access to \u201ca retirement plan to which employer contributed,\u201d compared to the vast majority of full-time tenure-track and full-time contingent faculty. According to CPS data covering employment in 2015, an estimated 16.6 percent (+/- 6.1) of part-time faculty report participating in a work-provided retirement plan, as compared to 60.8 percent (+/- 4.7) of full-time faculty."], "subsections": [{"section_title": "National Data on Health Insurance Benefits", "paragraphs": ["While comparing health insurance coverage is complicated because workers may be covered by other family members\u2019 plans, in both the SDR and CPS data, smaller proportions of part-time faculty had health insurance through their own employment. According to the 2013 SDR data, only 39.4 percent (+/- 4.6) of part-time contingent faculty had access to \u201chealth insurance that was at least partially paid by employer\u201d compared to almost all full-time tenure-track and full-time contingent faculty. Similarly, in the CPS data, much smaller percentages of part- time faculty than full-time faculty report having health insurance through their own employment (see table 9)."], "subsections": []}]}, {"section_title": "Data from a 2013 Sample of Faculty with Doctorates Show That Contingent Faculty Were Less Satisfied with Certain Aspects of their Economic Circumstances", "paragraphs": ["In addition to the lower pay and access to benefits experienced by some contingent faculty, among a national sample of instructional, doctorate- holding faculty in STEM, health, and social sciences fields, contingent faculty were less satisfied with their job security and career prospects. Based on our analysis of 2013 SDR data, the vast majority of all instructional faculty, including contingent faculty, stated that they are very or somewhat satisfied with their employment overall. However, compared to full-time tenure-track faculty, more contingent faculty reported some level of dissatisfaction (see fig. 10). While most faculty reported satisfaction with their employment, at least a third of both full- and part- time contingent faculty stated that they are dissatisfied with their job security and opportunities for career advancement. For example, an estimated 55.1 percent (+/- 4.5) of part-time contingent faculty reported some level of dissatisfaction with opportunities for advancement (see fig. 10), and the proportion who said they were very dissatisfied\u201426.1 percent (+/- 3.8)\u2014is around 5 times greater than for full-time tenure-track faculty."], "subsections": []}]}, {"section_title": "While Contingent Faculty at Selected Institutions Said Their Work Offers Certain Advantages, They Expressed Concerns about Contracts, Wages, and Institutional Support", "paragraphs": [], "subsections": [{"section_title": "Contingent Faculty Identified Certain Advantages of Their Work", "paragraphs": ["Contingent faculty at selected institutions said their work offers certain advantages, including those allowing them to balance professional and personal responsibilities, develop skills, or work with students. Part-time contingent faculty in some discussion groups said they choose to work part-time because it gives them needed flexibility to balance teaching with working full-time or to meet family needs, such as childcare or caring for sick parents. As stated previously, our analysis of nationally representative 2013 SDR data showed that, among a sample of instructional faculty with doctorate degrees in STEM, health, and social sciences fields, many faculty preferred to work part-time for reasons including family responsibilities or holding another job. In terms of developing skills, one instructional graduate assistant told us that having teaching experience gives her an advantage in the job market. In addition, in both full- and part-time discussion groups, some contingent faculty told us they primarily want to teach, and their roles allow them to do that rather than having to conduct research or take on other responsibilities. In some discussion groups, contingent faculty said they are committed to teaching because they find it rewarding to interact with students.", "Insight from a Full-Time Contingent Faculty Member about Connecting with Students \u201cI have yet to meet a contingent faculty member that does not say that student contact is extremely important to them\u2026We\u2019re excellent teachers. We\u2019re interested in teaching. We are interested in being with students.\u201d"], "subsections": []}, {"section_title": "Contingent Faculty Expressed Concerns about Short-term Contracts, Untimely Contract Renewals, and Compensation", "paragraphs": [], "subsections": [{"section_title": "Contract-Related Concerns", "paragraphs": ["Contingent faculty in some of our discussion groups expressed concerns about contractual issues. In particular, they cited concerns regarding contract length, untimely contract renewals, or insufficient notice about their class schedules. Full- and part-time contingent faculty said short- term contracts\u2014annual or semester-to-semester contracts\u2014produce anxiety about job stability because of uncertainty about whether contracts will be renewed. Part-time faculty who teach at multiple institutions additionally said that short-term contracts hinder their ability to form lasting relationships with institutions or students. In some discussion groups, full- and part-time contingent faculty said untimely contract renewals can make it difficult to find another position if a contract is not renewed. For example, a full-time contingent faculty member said she received notification in August that her contract was not being renewed for the fall semester, at which point she could not find another position elsewhere for that semester. Part-time contingent faculty told us that notices about the status of their class schedules are also sometimes untimely. One full-time contingent faculty member said that, when he worked part-time, he sometimes did not know, until the first night of class, that a course he was scheduled to teach had been given to a full-time faculty member instead. While some contingent faculty expressed concerns about contract lengths and renewals, some contingent faculty said they do not have concerns in this area. Faculty members in some part-time discussion groups told us teaching is not their primary source of income or they are retired, so they are not concerned about job security and contract renewals.", "Insight from a Full-Time Contingent Faculty Member \u201cThe lack of long term job security/stability that results from short term contracts is my biggest concern. I find it insulting when comments like \u201cgreat work, we\u2019re committed to you\u201d are coupled with actions like one year contracts when I have been in this position for 15 years. It does not make me feel valued.\u201d"], "subsections": []}, {"section_title": "Compensation-Related Concerns", "paragraphs": ["Contingent faculty we spoke with identified insufficient compensation as a disadvantage of their employment (see table 10). Full-time and part-time contingent faculty in some discussion groups said they must supplement their teaching income to cover their living expenses. For example, one full-time contingent faculty member said he does consulting work, bookkeeping, and product reviews to increase his income because his teaching salary is not adequate. In addition, some part-time faculty said they teach at several institutions to make ends meet financially and some instructional graduate assistants also said they take on extra work to cover living expenses. Union officials at the national level said their members have expressed similar concerns. Specifically, Service Employees International Union (SEIU) officials told us some contingent faculty members qualify for public assistance due to the low level of compensation they receive.", "Insight from Part-Time Contingent Faculty Member Teaching at Multiple Institutions \u201cSociety at large, I think, associates the college professor with a rather well paid and stable career. And I think most of us who worked in this field know that is anything but the case.\u201d", "Some contingent faculty in both full- and part-time discussion groups said they are not paid for all of their job requirements or are undercompensated given their qualifications. Full- and part-time contingent faculty and graduate student instructors said they are required to assume extra responsibilities at no additional pay. For example, a faculty member in a full-time discussion group told us she was given additional duties of advising 15 students and attending meetings, neither of which was included in her contract. Both full- and part-time faculty in some discussion groups said their pay is not commensurate with their academic credentials. One full-time faculty member told us an administrator with a doctorate who works in the local school district near her institution is paid double her salary. Similarly, a part-time faculty member told us her salary is less than $20 an hour, a rate she considers as too low for a professional with a doctorate."], "subsections": []}]}, {"section_title": "Some Contingent Faculty at Selected Institutions Said They Have Limited Career Advancement or Institutional Involvement Opportunities and Lack Certain Types of Professional Support Limited Career Advancement Opportunities", "paragraphs": ["Contingent faculty in some discussion groups said they would like to move into a tenure-track or full-time position, but face barriers doing so, and union officials expressed similar views. For example, one full-time contingent faculty member told us teaching 6 to 10 classes per year does not allow her time to conduct the research needed to be competitive for a tenure-track position. In some discussion groups, both full- and part-time faculty said that they perceive that their colleagues sometimes view them as less capable because they are not tenure-track faculty. As a result, these faculty may not be considered for tenure-track positions when they become available. A part-time contingent faculty member who teaches at multiple institutions noted that availability of full-time positions may be limited because many institutions hire only part-time faculty. Union officials from the American Association of University Professors (AAUP) and SEIU also cited the decline in the availability of tenure-track positions as a barrier regarding career advancement for contingent faculty.", "Insight from a Part-Time Contingent Faculty Member Who Teaches at Multiple Institutions \u201cIt wasn\u2019t that long ago that once you went to work for a college as an adjunct and you were there a certain number of years, there was a real expectation that you would be offered a full-time position or at least you would move to an annual contract so you only had to worry once a year. That\u2019s disappearing. More and more colleges are moving away from that. Also, a lot of colleges are moving away from full-time positions.\u201d"], "subsections": [{"section_title": "Limited Institutional Involvement", "paragraphs": ["Contingent faculty in some discussion groups expressed concerns that they do not have a voice in institutional decision-making because they cannot serve on some department or university-level committees or vote on particular issues. They explained that sometimes a school\u2019s policy prohibits their service or relevant policy is not clearly articulated. For example, a full-time contingent faculty member told us that contingent faculty members at her institution cannot participate on governance committees, which she said leaves administrators free to ignore the concerns of contingent faculty.", "Insight from a Full-Time Contingent Faculty Member \u201cWe have no voice. We have no say. We have no governance. We don\u2019t have any of that. And yet, we all\u2014every one of us around here earned the same degree, worked the same amount. So there is huge inequality between choosing to focus on research primarily, and therefore, getting this basic job guarantee until die and choosing to focus on teaching, not having that , even though in many other ways we are equivalent.\u201d", "Contingent faculty in some discussion groups also told us they are reluctant to voice their views because they do not have job protections. For example, a full-time contingent faculty member in one discussion group told us she would feel more comfortable speaking up if she had a continuing contract rather than her current annual contract. An official from the National Center for the Study of Collective Bargaining in Higher Education and the Professions said that an issue for contingent faculty broadly is whether they are protected by due process. He said it can be unclear for contingent faculty whether they can be terminated without due process consideration when, for example, a student complains about the content of a faculty member\u2019s lecture.", "Despite concerns about opportunities for institutional involvement, contingent faculty told us they preferred to use informal mechanisms to raise issues with the administration and had mixed views about the value of unions. Several full- and part-time faculty members said they are comfortable approaching their department chairperson or even university administrators to ask questions or express concerns. In terms of unions, some faculty in both full-time and part-time discussion groups said they were opposed to unions based on prior experiences or not wanting to pay dues. In contrast, some faculty said they thought a union could be beneficial by helping with certain issues, such as compensation and working conditions. Union officials told us there has been greater interest in recent years from contingent faculty\u2014including graduate assistants\u2014in learning about faculty unionization or in organizing into unions. However, one union official noted that it can be challenging for part-time faculty to form a union because they may move from one institution to another."], "subsections": []}, {"section_title": "Institutional Support", "paragraphs": ["Examples of Academic Associations\u2019 Efforts to Focus on Contingent Worker Issues The American Political Science Association (APSA): Convened a committee in 2016 on the status of contingent faculty in the profession to expand ways to support contingent faculty members. The committee sponsored a roundtable at the APSA Annual Meeting in August 2017 to examine a range of topics related to contingent faculty, including promotion paths, fairness within the profession, and the role of unionization. The American Sociological Association (ASA): Formed a task force on contingent faculty in November 2015 to examine the implications of the recent growth of contingent employment among sociologists. The task force\u2019s interim report, issued in August 2017, includes recommendations to ASA and universities, for improving contingent faculty working conditions. The Modern Language Association: (MLA) Convened a committee that will work through June 2019 to examine issues that affect contingent faculty, including salary and benefits, workplace issues and conditions of employment, demographics, participation in departmental and institutional governance, academic freedom, and professional development. The committee plans to identify effective policies and practices related to contingent faculty. The American Institute of Physics (AIP): Conducted a survey of individual faculty in 2016 that included questions on school climate and culture. As of February 2017, AIP was in the early stages of analyzing the survey response rates and results.", "Contingent faculty in some discussion groups also described a lack of institutional support in areas that can affect faculty teaching duties, such as access to information systems or office space. For example, a part- time faculty member told us her access to institutional email and the online grading system was terminated too soon because her contract ended a few days before she gave final examinations. Part-time faculty and faculty teaching at multiple institutions also raised concerns that they sometimes lack appropriate office space to ensure student privacy. Union officials we spoke with also said contingent faculty nationwide commonly cite these areas of limited institutional support as concerns. Some discipline-specific academic associations have also begun to focus on issues related to contingent faculty (see sidebar).", "Insight from a Part-Time Contingent Faculty Member Who Teaches at Multiple Institutions \u201cThe office space problem is a big problem. Either one doesn\u2019t have any office space or it\u2019s a jointly shared office space, a very large space with lots of people in it. It is very difficult to have kind of close conversations with students. I think it brings up some Family Educational Rights and Privacy Act (FERPA) problems, anonymity problems as well.\u201d"], "subsections": []}]}]}, {"section_title": "Agency Comments, Third Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education, NSF, and experts on contingent faculty issues or the data used in this report for their review and comment. Education did not have any comments. NSF and expert reviewers provided technical comments, which we incorporated, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, to the Secretary of Education and the Director of the National Science Foundation, and to other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this review were to determine (1) what is known about the makeup and utilization of the postsecondary instructional workforce; (2) the roles different types of faculty fill at selected institutions and the factors administrators consider when determining their faculty makeup; (3) what is known about how economic circumstances compare across different faculty types; and (4) what contingent faculty members report as advantages and disadvantages of their work.", "To address objectives 2 and 4, we interviewed administrators and contingent faculty members during site visits at selected institutions in three states\u2014Georgia, North Dakota, and Ohio. In each state, we visited one 4-year public institution, one 4-year private (non-profit) institution, and one 2-year public institution (see table 11). We selected institutions in these states, in part, to provide context for our analysis of faculty and course data that we obtained from their postsecondary data systems (see Section 1 of this appendix for more information). In addition to data availability, we considered size and geographic location as part of our state selection process. When selecting institutions within each state, we considered factors such as the size of the instructional faculty workforce, the percentage of contingent faculty, and whether the institution is located in an urban, suburban, or rural area.", "In our interviews with administrators\u2014chief academic officers, vice presidents, or deans, among others\u2014we asked about the roles different types of instructional faculty fill and the factors administrators consider when determining their institution\u2019s faculty makeup. In addition to administrators at the institutions above, we also interviewed administrators from one large online-based for-profit institution, which we selected primarily based on size of the institution. In total, we interviewed administrators from 10 institutions. The findings from these interviews are not generalizable.", "At each institution, we held discussion groups with full-time and part-time contingent faculty and graduate student instructors, where applicable. University administrators solicited participants for the discussion groups on our behalf. During these discussion groups, we asked contingent faculty broad, open-ended questions about the advantages and disadvantages of their work and about their working conditions. Participants were invited to complete a written questionnaire to provide demographic information about themselves. Among the 109 contingent faculty members who completed our questionnaire, the average age of full- and part-time contingent faculty we met with was 53. Graduate student instructors were younger, with an average age of 30. Contingent faculty we interviewed came from a range of disciplines, including English, music, engineering, and the health professions. The vast majority of full- and part-time contingent faculty indicated that they held a master\u2019s or doctorate degree. At the institutions we visited in Georgia, North Dakota, and Ohio, the majority of part-time faculty worked at one institution. To ensure we collected a broad range of perspectives, we conducted two additional discussion groups with contingent faculty who taught at multiple institutions. In total, we conducted 21 discussion groups with contingent faculty.", "Finally, we conducted additional interviews to obtain background and context for our work. We met with individuals knowledgeable about issues related to postsecondary faculty and unions representing postsecondary faculty, including the American Association of University Professors and the Service Employees International Union. For all questions, we also reviewed relevant federal laws and regulations.", "The remainder of this appendix provides detailed information about the data and quantitative analysis methods we used in our review, as follows:", "Section 1: Key data sources", "Section 2: Quantitative analysis methods used to address the makeup, utilization, and economic circumstances of postsecondary instructional faculty (objectives 1 and 3)", "Section 3: Pay-per-course regression analysis methods (objective 3)", "Section 4: Annual earnings regression analysis methods (objective 3)"], "subsections": [{"section_title": "Section 1: Data Sources", "paragraphs": ["To address our objectives, we used data from multiple sources (see table 12).", "To gain an understanding of and provide context for the relevant faculty data that we analyzed, we interviewed officials from federal, state, and non-governmental agencies who collect and maintain the respective datasets, including the Department of Education (Education), Labor, National Science Foundation, North Dakota University System (NDUS), Ohio Department of Higher Education (ODHE), University System of Georgia (USG), and American Academy of Arts & Sciences (AAAS).", "The Integrated Postsecondary Education Data System (IPEDS) and the state administrative data represent the entire populations they cover, and while the Current Population Survey (CPS), the Survey of Doctorate Recipients (SDR), and the Humanities Departmental Survey (HDS) are sample survey data, when weighted, they also represent the populations they cover. Because the sample surveys followed a probability procedure based on random selections, each respective sample is only one of a large number of samples that might have been drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as the margin of error (i.e. the half width of the 95 percent confidence interval\u2014for example, +/- 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples that could have been drawn. Throughout our analyses, for estimates from survey data we reported the applicable margins of error. In some cases, the confidence intervals around our estimates were asymmetrical; however, we presented the maximum half-width for simplicity and for a consistent and conservative representation of the sampling error associated with our estimates. Our analyses of CPS and SDR survey data are weighted analyses using sample design information, replicate weights, and survey analysis software to get the proper sample survey estimates and margins of error. Additional details about the datasets follow."], "subsections": [{"section_title": "Integrated Postsecondary Education Data System (IPEDS)", "paragraphs": ["IPEDS is a system of interrelated surveys conducted annually by Education\u2019s National Center for Education Statistics (NCES). IPEDS gathers information from every college, university, and technical and vocational institution that participates in federal student financial aid programs, as well as other institutions that report data voluntarily. In 2015, more than 7,500 institutions reported data to IPEDS. IPEDS collects data in the following 12 areas: institutional characteristics; completions; 12-month enrollment; fall enrollment; graduation rates; 200% graduation rates; student financial aid; outcome measures; admissions; human resources; finance; and academic libraries. As of the 2005 IPEDS data collection, information on faculty and staff are collected as part of the human resources survey component, and include information on faculty demographics and types of positions, among other things. We used IPEDS data from 1995, 1999, 2003, 2007, 2011, and 2015. We utilized IPEDS as our primary data source because we are able to identify a universe of postsecondary institutions and also because the data allow us to distinguish between tenure-track and contingent positions."], "subsections": []}, {"section_title": "Current Population Survey (CPS) Annual Social and Economic Supplement (ASEC)", "paragraphs": ["The CPS is sponsored jointly by the Census Bureau and the Department of Labor\u2019s Bureau of Labor Statistics. It is the source of official government statistics on employment and unemployment in the United States. The basic monthly survey is used to collect information on employment, such as employment status, occupation, and industry, as well as demographic information, among other things. The survey is based on a sample of the civilian, non-institutionalized population of the United States. Using a multistage stratified sample design, about 54,000 households are interviewed monthly based on area of residence to represent the country as a whole and individual states; the total sample also includes additional households that are not interviewed for various reasons, such as not being reachable. In addition to these interviewed and non-interviewed households from the basic CPS monthly sample, the ASEC includes additional households; the total sample size for the 2016 ASEC was almost 100,000 households. The ASEC provides supplemental data on work experience, income components, such as earnings from employment, and noncash benefits, such as health insurance coverage, among other things. Data on employment and income refer to the preceding calendar year, although demographic data refer to the time of the survey. This report used data from the March 2016 ASEC, which refers to employment and income during calendar year 2015."], "subsections": []}, {"section_title": "Survey of Doctorate Recipients (SDR)", "paragraphs": ["SDR is a biennial survey conducted by the National Science Foundation\u2019s (NSF) National Center for Science and Engineering Statistics (NCSES) that provides demographic and career history information about individuals with a research doctoral degree in a science, technology, engineering, and math (STEM), health, or social sciences field from a U.S. academic institution. The survey follows a large sample of individuals throughout their careers from the year they received their doctoral degree until age 75, plus a sample of new doctoral recipients added in each cycle. The survey includes questions regarding occupation (including discipline area for postsecondary faculty), earnings, job satisfaction, faculty tenure status, and faculty rank, among other topics. While some data from the survey are released publicly, other data are restricted from public use\u2014including data on tenure and rank\u2014 in order to protect the anonymity of survey respondents. This report used data from the 2013 SDR, which refers to employment in February 2013. We obtained the publicly available data and a few additional restricted-use variables that NCSES recoded for our use."], "subsections": []}, {"section_title": "Faculty and Course Data Received from Selected States", "paragraphs": ["The data from Georgia, North Dakota, and Ohio contained variables on faculty characteristics, earnings and benefits, and courses taught. We developed data requests through discussions with officials in each state."], "subsections": [{"section_title": "Georgia Postsecondary Institution Administrative Data (USG data)", "paragraphs": ["The data from USG covered all 4-year public institutions in Georgia identified in our IPEDS universe and included course and enrollment data from an academic database merged with faculty and earnings data from USG\u2019s Human Resources Data Mart. The Georgia data also included information on the percentage of individual faculty members\u2019 roles comprised of instruction, research, and other responsibilities. The course and enrollment data covered academic year 2015-16\u2014courses taught during fall term 2015, spring term 2016, and summer term 2016. Most faculty data are from fall 2015. For some faculty who were not in the fall 2015 data file because they started teaching in spring 2016, for instance, USG matched fall 2016 faculty data to the course data. Earnings data covered calendar year 2015 and included earnings year-to-date through November."], "subsections": []}, {"section_title": "North Dakota Postsecondary Institution Administrative Data (NDUS data)", "paragraphs": ["The data from NDUS officials covered all non-tribal 4-year and 2-year public institutions in North Dakota identified in our IPEDS universe and included course and enrollment data, as well as faculty and earnings data. All of the data covered academic year 2015-16\u2014courses taught and earnings during fall term 2015, spring term 2016, and summer term 2016. The data included common unique identifiers that allowed us to merge extracts we received according to faculty ID and institution. The data were downloaded by NDUS officials from a centralized data system into which the North Dakota institutions report their data directly."], "subsections": []}, {"section_title": "Ohio Postsecondary Institution Administrative Data (ODHE data)", "paragraphs": ["The data from ODHE covered all 4-year public institutions and most 2- year institutions in Ohio identified in our IPEDS universe and included: (1) course and enrollment data, (2) faculty data, and (3) faculty earnings data. All of the data were from ODHE\u2019s Higher Education Information (HEI) system, a comprehensive relational database that includes student enrollment, course, financial aid, personnel, finance, and other data submitted by Ohio\u2019s colleges and universities. The course and enrollment data covered academic year 2014-15\u2014courses taught during summer term 2014, fall term 2014, and spring term 2015. Faculty and earnings data covered fiscal year 2015 (i.e., July 2014 through June 2015)."], "subsections": []}]}, {"section_title": "Humanities Departmental Survey (HDS)", "paragraphs": ["The HDS is a collaborative effort to collect and analyze information from humanities departments across a number of academic fields. The HDS is sponsored by AAAS, and national humanities organizations and disciplinary associations, such as the Modern Language Association and the American Historical Association, helped develop the HDS. The survey collects a variety of information for each humanities field, including data on the number and types of faculty and students taught by faculty type. The survey has been administered twice, covering academic years 2007- 08 and 2012-13. In both instances, the Statistical Research Center of the American Institute of Physics administered the surveys to a nationally representative stratified sample of humanities departments in four-year colleges and universities that existed in 2007-08 and was updated for new disciplines in 2012-13. The 2012-13 survey included 2,127 departments in its sample across 13 humanities fields, and its overall response rate was 71 percent. Information about faculty referred to employment levels as of fall 2012.", "We identified several other discipline-specific academic associations that have collected or are currently collecting data on faculty makeup in their departments, including contingent faculty. However, we did not compare the results of other department surveys to the HDS because the response rates in other surveys were too low to be considered generalizable or because any observable differences in faculty composition could be attributed to differences in survey methodology or timeframe covered."], "subsections": []}, {"section_title": "Data Reliability", "paragraphs": ["For each of the datasets described above, we conducted a data reliability assessment of variables included in our analyses. We reviewed technical documentation and related publications and websites with information about the data. We spoke with the appropriate officials at each agency or organization to review our plans for analyses, as well as to resolve any questions about the data and any known limitations. We also conducted electronic testing, as applicable, to check for logical consistency, missing data, and consistency with data reported in technical documentation. We determined that the variables we used from the data we reviewed were sufficiently reliable for the purposes of this report."], "subsections": []}]}, {"section_title": "Section 2: Quantitative Analyses of the Makeup, Utilization, and Economic Circumstances of the Postsecondary Instructional Workforce", "paragraphs": ["This section discusses the quantitative analysis methods (not including regression analyses) we used to address the makeup, utilization, and economic circumstances of the postsecondary instructional workforce. We used federal data from CPS, IPEDS, and SDR, state data from Georgia, North Dakota, and Ohio, and non-governmental data from HDS for these analyses.", "In each of the analyses that follow, our population of analysis was postsecondary instructional faculty. However, our definition of instructional faculty varied depending on the data source, as different sources provide different information regarding instructional responsibilities. For example, IPEDS indicates whether an individual\u2019s responsibilities are primarily instructional whereas the state data indicates whether an individual teaches a course. For each set of analyses, we explain what definition of instructional faculty we used. Within our population of instructional faculty, we defined as contingent faculty any full-time or part-time faculty who do not have tenure or are not on the tenure track."], "subsections": [{"section_title": "IPEDS Analyses of Historical and Current Makeup", "paragraphs": ["To analyze whether and how the size of the contingent faculty workforce has changed over time, we used IPEDS data to identify instructional staff nationwide by type of institution in 1995, 1999, 2003, 2007, 2011, and 2015, which is the most recently available year of data. The five historical snapshots used data from the fall staff surveys to examine counts of faculty and any trends in postsecondary education during the period 1995-2011. The 2015 snapshot used data from the \u201cemployees by assigned position\u201d survey to examine current counts of faculty by position type and used data from the fall staff survey to examine counts of faculty by gender and race. We could not compare the historical and current snapshots of faculty counts due to a significant change in 2012-13 to how IPEDS defines instructional staff. Prior to this change, instructional staff included those \u201cwhose primary responsibility is instruction, research, and/or public service\u201d combined in a single category. After the change, instructional staff included only those whose responsibilities are primarily instructional or those \u201cfor whom it is not possible to differentiate between instruction or teaching, research, and public service because each of these functions is an integral component of his/her regular assignment.\u201d", "As a result, data on instructional faculty collected since 2012 is not comparable to data collected prior to 2012.", "For each of these years of faculty data, we merged information from the IPEDS institutional characteristics file and focused our analyses on a universe of institutions that fit as close as possible to the following definition:", "Active, Title IV, degree-granting 2-year and 4-year primarily postsecondary institutions that are generally open to the public, have at least 15 full-time equivalent staff, and reported at least 1 instructional staff member or graduate teaching assistant.", "The number of postsecondary institutions can change from year to year due to new schools opening or existing schools closing or consolidating with other schools, as well as due to changes in how schools elect to report data to IPEDS.", "Not all of the same variables were available in the 1999 and 1995 IPEDS institutional characteristics files. As a result, for the 1999 data, we used different variables that also identified institutions that fit this definition. For the 1995 data, we approximated this definition by identifying institutions that offered at least an associate\u2019s degree or higher and that were active institutions eligible for student financial aid (to approximate Title IV institutions).", "For the historical snapshots, we identified counts of faculty by institution type (i.e., control: public, private, for-profit; and level: 2-year, 4-year). We categorized faculty according to the following position types: full-time tenure-track (both tenured and non-tenured but on a tenure track); part-time; and graduate teaching assistant.", "The historical IPEDS data (from the fall staff surveys) do not break out part-time tenure-track from part-time contingent.", "For the 2015 snapshot, we identified counts of faculty by institution type, as well as by other institutional characteristics, such as size and the highest degree offered by the institution. We categorized faculty according the following position types: full-time tenure-track (both tenured and non-tenured but on a tenure track); part-time tenure-track (both tenured and non-tenured but on a tenure part-time contingent; and graduate teaching assistant.", "We also identified contingent faculty positions by their contract types: non-faculty status.", "We used the 2015 IPEDS fall staff survey data to identify faculty by gender and race/ethnicity group. For full-time faculty, we were able to examine the full spectrum of tenure-track versus contingent with various contracts. However, because these data were from the 2015 IPEDS fall staff survey, the data do not break out part-time tenure-track from part- time contingent. The IPEDS race/ethnicity categories we analyzed were:", "Black or African American", "Other or unknown (includes the IPEDS race/ethnicity categories: American Indian or Alaska Native; Native Hawaiian or other Pacific Islander; two or more races; and race/ethnicity unknown)", "White (non-Hispanic)", "Aggregated IPEDS data represent the universe of postsecondary instructional faculty positions, rather than a mutually exclusive count of unique instructional faculty members. IPEDS data are reported at the institution level, and so for any given institution the counts they report represent both the number of faculty at the institution and the number of positions they fill. However, because faculty who teach at more than one institution are counted and reported by each institution, when faculty counts are aggregated across multiple institutions, these faculty are counted multiple times\u2014for each position they fill. As a result, aggregated counts based on IPEDS data represent the universe of unique instructional faculty positions, rather than the universe of unique faculty workers."], "subsections": []}, {"section_title": "CPS Analyses of Current Faculty Makeup and Economic Circumstances", "paragraphs": ["We used CPS data from the March 2016 ASEC to estimate the numbers of workers employed as postsecondary teachers in colleges and universities nationwide during calendar year 2015. We categorized as postsecondary instructional faculty any worker whose employment was in both the \u201cpostsecondary teachers\u201d occupation (census code 2200) and the \u201ccolleges and universities, including junior colleges\u201d industry (Census code 7870). We also determined whether a worker was employed full- time (35 hours or more) or part-time (less than 35 hours) using another variable in the ASEC.", "Among other differences with IPEDS data (see discussion of IPEDS above), CPS data capture the number of workers rather than the number of positions in postsecondary education and counts each worker once even if they work at multiple institutions. In addition, because CPS represents the entire labor force, the data include workers at postsecondary institutions that we may have excluded from our IPEDS analyses (e.g., non-degree-granting institutions). We utilized CPS data to provide context for the total number of postsecondary teachers and to estimate the proportions of the instructional workforce represented by full- time and part-time faculty. However, analysis of CPS data was not a primary component of our report because the data cannot differentiate workers by institution or by tenure status. As a result, the estimated population of full-time faculty includes both tenure-track and contingent faculty. Because CPS identifies workers as opposed to positions (which might yield a lower count than the IPEDS data) and includes workers at postsecondary institutions that we excluded from our IPEDS analyses (which might yield a higher count than the IPEDS data), the count of workers in the CPS data and the count of positions in the IPEDS data are not directly comparable.", "We also examined the reasons part-time faculty reported they worked part-time. We focused our analysis on 3 groups of part-time faculty: (1) those who reported wanting to work part-time; (2) those who reported they could only find a part-time job; and (3) those who reported seasonal or temporary fluctuations in the availability of employment (i.e., \u201cslack work\u201d)\u2014we combined the latter two groups because they are both related to economic circumstances.", "To analyze the economic circumstances of contingent faculty, we used CPS data to estimate the median earnings of full-time and part-time faculty, as well as their receipt of work-provided retirement and health benefits. Our analysis of median earnings used ASEC data on the self- reported amount earned from a worker\u2019s employer before deductions. In examining benefits, we used the term \u201cwork-provided\u201d rather than \u201cemployer-sponsored\u201d because the ASEC survey questions ask about benefits offered by a worker\u2019s employer or union. For our analysis of access to work-provided retirement plans, we counted a worker as having a work-provided retirement plan if they responded \u201cyes\u201d to both of the following questions from the ASEC: (1) \u201cOther than Social Security, did the employer or union that worked for have a pension or other type of retirement plan for any of the employees?\u201d and (2) \u201cWas included in that plan?\u201d We also estimated the percentages of full- time and part-time faculty who were covered by any private health insurance plan; were covered by private health insurance in their own name; or had a work-provided health insurance plan. Those individuals without insurance could have received insurance coverage through a family member or other means."], "subsections": []}, {"section_title": "SDR Analyses of Compensation and Employment Experiences", "paragraphs": ["To compare\u2014at the national level\u2014the compensation and employment experiences of contingent faculty and tenure-track faculty, we used 2013 SDR data to identify different faculty types and examined the extent to which there were differences in earnings, benefits, and job satisfaction. SDR data only include doctorate holders in STEM, health, and social sciences fields, and thus our estimates cannot be generalized to non- doctorate holders or to fields outside of STEM, health, and social sciences fields. For that reason, we did not present faculty population size estimates using SDR data.", "We created our analysis population of instructional faculty based on responses to questions regarding work activities and institution type. Using these variables, we classified as instructional faculty any respondents who said that their \u201cprimary or secondary work activity is teaching,\u201d and whose institution type was a 2-year college; 4-year college or university; medical school; or university-affiliated research institute. This resulted in an analysis population of 7,232 instructional faculty respondents; however, our analyses are weighted analyses that generalize to the population.", "Within our analysis population, we identified faculty types based on tenure status (i.e., tenured/on the tenure track or not on the tenure track) and whether respondents said they worked 36 hours or more per week or less than that (i.e., full-time versus part-time). We categorized graduate assistants separately, though we chose not to present estimated percentages for graduate assistants. Given that SDR is a survey of doctorate holders, it may be that graduate assistants in the SDR data are\u2014for example\u2014working toward another doctoral degree or have remained at their degree-granting institution in a postdoctoral position. In either case, we believe the working arrangements and economic circumstances of these individuals may be unique from those of most other graduate assistants. Without more detailed information, the data do not allow us to determine the exact nature of graduate assistant positions in the SDR data or explain how they compare to other types of positions. We also chose not to present estimated percentages for part- time tenure-track faculty given that they represented a small proportion of our analysis population.", "To analyze the economic circumstances of contingent faculty, we used SDR data to calculate median annual earnings by faculty type, as well as data on the availability of work-provided benefits. We calculated median earnings using data on basic annual salary from the respondent\u2019s principal job. We analyzed data on the following types of benefits: health insurance, pension or retirement plans, profit-sharing plans, and paid vacation/sick/personal days. Respondents were asked whether each type of benefit was available to them regardless of whether they chose to take the benefits.", "To analyze the employment experiences of contingent faculty, we used SDR data on job satisfaction, reasons for working part-time, and attendance of professional meetings. To examine job satisfaction, we used data on satisfaction with overall employment, job security, opportunities for advancement, salary, and benefits, from which we estimated the percentage of faculty who were satisfied, somewhat dissatisfied, or very dissatisfied by faculty type.", "Our analysis of part-time work first included whether a respondent who reported working part-time said they wanted to work full-time. Secondly, among those who wanted\u2014and who did not want\u2014to work full-time, we calculated the percentage who said they worked part-time (1) for family reasons, (2) because a full-time job was not available, (3) because they did not need/want full-time work, and (4) because they were a student, had an illness, or held another job. Respondents could indicate more than one reason for working part-time. We also analyzed a variable on attendance of professional meetings to calculate the percentage of faculty, by faculty type, who reported attending professional association meetings or conferences during the past 12 months.", "The SDR data included other variables that identify a respondent\u2019s academic position, such as research faculty, administrators, adjuncts, and others. We analyzed these variables to determine whether to use them to categorize faculty, but found that they were not the most appropriate for our purposes. However, we observed that these variables may have implications on the economic circumstances of different types of faculty and so used them as control variables in two of our regression models on annual earnings. For example, we analyzed earnings of instructional faculty who said they were \u201cadjunct\u201d faculty or administrators. Among full-time and part-time contingent faculty, estimated median annual earnings decreased when we included only faculty who said that they were adjunct faculty (see table 13). However, the data do not allow us to explain how or whether the positions for faculty who identified as adjuncts are different compared to the positions of those who did not identify as adjuncts, and, based on our team\u2019s interviews with administrators, different institutions and individuals apply different meanings to the term \u201cadjunct.\u201d As may be expected, among full-time tenure-track and full-time contingent faculty, estimated median annual earnings increased when we limited the population to only those faculty who said they were administrators (see table 13)."], "subsections": []}, {"section_title": "State Data Analyses of Makeup and Utilization", "paragraphs": ["We used consistent methods to analyze data from Georgia, North Dakota, and Ohio on faculty workforce makeup and utilization, though we analyzed the data from each state separately. In addition, while each state dataset was structured slightly differently, used different variable names, and contained some unique elements or ways of capturing information about faculty or courses, we restructured and compiled the information to provide consistency across the states.", "In the state data, we identified instructional faculty as any individual who taught a course during the given academic year. This definition includes a variety of staff (e.g., deans, administrators, coaches, research faculty, and postdocs) who fill about 2-10 percent of positions, depending on institution type and state. In addition, instructional graduate assistants\u2014 who are listed in the state data as instructors of record\u2014fill about 8 to 15 percent of positions at 4-year institutions in the three states.", "Each state\u2019s data were ultimately structured as a set of unique faculty- institution pair observations\u2014where faculty were listed once, by their employing institution. Each faculty-institution pair observation had variables describing the faculty member\u2019s and institution\u2019s characteristics, as well as counts of courses, students, and student credit hours taught by the faculty member at that institution (including by academic term and by course characteristics)."], "subsections": [{"section_title": "Faculty Data Compilation and Restructuring", "paragraphs": ["For all three state datasets, we coded and grouped certain faculty characteristics variables, including academic rank, age group, race/ethnicity, sex, and tenure status, to ensure consistency across states. For example, in coding tenure status, we consistently categorized faculty as \u201cnon-tenure-track\u201d if they were identified in the source data as not in a tenure-track position, as having been denied tenure, as being in some other status, or as being in a position for which tenure was not applicable. Some faculty characteristics variables were structured differently in each of the three states and thus required unique methods of recoding, though we applied consistent approaches and logic in each case (see table 14).", "We also identified each individual\u2019s academic discipline based on information provided in each state\u2019s data about their department. Faculty members\u2019 departments in the Georgia and Ohio data are identified by their standardized Classification of Instructional Programs (CIP) code. The North Dakota data did not include the CIP code for faculty members\u2019 departments and department names in the North Dakota data were not consistent across institutions. Thus, we coded North Dakota departments by matching them manually to corresponding CIP codes.", "After manually assigning CIP codes to faculty in the North Dakota data, we identified the highest level 2-digit CIP code for each faculty member in all three state datasets. However, because the 2-digit CIP code identifies over 40 fields of study, we grouped these by academic discipline for our analyses. To group departments, we used a crosswalk provided by Ohio that listed CIP codes according to 12 possible disciplines they were most closely associated with. Although the Department of Education\u2019s CIP coding system does not include a commonly accepted list of disciplines, we determined that Ohio\u2019s convention was reasonable and we applied the coding consistently across all three states to identify the academic discipline of each individual.", "The North Dakota data included multiple observations for some faculty members within a single institution and term. This occurred for a variety of reasons, such as a faculty member holding two positions at the same institution (e.g., both a coach and an instructor, or half time as an instructional graduate assistant and half time as a research graduate assistant). To compile a consistently structured dataset of unique faculty- institution pair observations, we implemented the following sequential process to select and eliminate duplicate faculty observations. We confirmed with North Dakota officials that our approach and methods were appropriate.", "For faculty with multiple observations, we dropped any observations where (1) no earnings were listed in any term or earnings were only listed for the summer term but the faculty member taught no courses at the given institution in the summer; or (2) the work responsibilities associated with the faculty observation were not directly related to teaching (e.g., graduate assistant research or grading, management, administration, research, or coaching) and a different observation for that faculty member at the same institution had teaching duties listed. We dropped these duplicate observations because there was a more appropriate observation to be used for the given faculty member at the given institution with earnings information and an associated instructional position.", "For the remaining faculty with multiple observations, we sequentially kept one observation as the primary faculty position based on hierarchical logic we developed. For example, we dropped any additional observations with an employee status other than \u201cactive\u201d or a position identified as \u201ctemporary.\u201d As appropriate, we either aggregated hours worked and earnings across the multiple observations before dropping the duplicate observations or we took the hours worked and earnings values from the observation identified as primary."], "subsections": []}, {"section_title": "Course Data Compilation and Restructuring", "paragraphs": ["Course data from all three states included each unique course section taught over the academic year by institution, term, and faculty instructor. We analyzed course sections for which there was an instructor identified and enough information about that faculty member to categorize them by faculty type (e.g., full-time tenure-track versus part-time contingent, etc.). For all three states, we aggregated these data by course type and other information to the level of the unique faculty-institution pair. For example, a single faculty member at a single institution may have taught 10 course sections, all at the undergraduate level and spread across the year\u20144 in fall term, 4 in spring term, and 2 in summer term. Courses are listed in the state data at both the course number level (e.g., Biology 101) and the course section level (e.g., Biology 101, Sections A, B, and C). Our analyses generally examined unique course sections by faculty member (e.g., two separate sections of Biology 101 are considered as two courses), as that is a more accurate depiction of faculty workload. Thus, for consistency and clarity throughout our report, we use the term \u201ccourses\u201d to refer to our analyses of course sections. In a few special circumstances, we counted courses at the course number level instead of the course section level to minimize potential bias in our work (see additional information below).", "The course data included information about courses that we systematically coded and grouped to ensure consistency across the three states. For example, each state identified the academic level of each course. The Georgia and North Dakota data identified courses along a spectrum\u2014generally developmental, freshman, sophomore, junior, senior, or graduate. The Ohio data had a different classification series:", "Developmental: All courses which are below college level", "General Studies: All courses which are general, introductory, or core", "Technical: Only those courses which are part of an associate degree program of technical education and are within the technical portion of a curriculum", "Baccalaureate: All courses which are specialized within a discipline", "Master\u2019s / Doctoral / Professional \u2013 All graduate courses of various To categorize undergraduate course levels consistently across the states, we identified courses as (1) undergraduate lower if they were at the freshman, sophomore, general, or technical levels; or (2) undergraduate upper if they were at the junior, senior, or baccalaureate levels. Developmental and graduate courses were identified consistently in each state\u2019s data.", "We made a number of decisions about how to categorize and count courses consistently across institutions and states. For example, we dropped cancelled courses or courses with no student enrollment. We also excluded from our primary analyses courses that would likely be student-led or student-initiated and thus could be considered atypical courses. We excluded these courses to minimize the potential bias of inflating the percentage of courses taught and deflating the earnings per course of one faculty type relative to another. After reviewing course types and titles, as well as associated student enrollment numbers and credit hours, we identified courses that met this definition and categorized them as atypical. Among the courses we identified as student-led or student-initiated were:", "Art or musical exhibitions, performances, or recitals Independent, supervised, dissertation, or thesis research Internships, fieldwork, practicums, cooperative experiences", "Varsity athletics These atypical courses made up close to a quarter of all courses across 4-year institutions in the three states and less than 10 percent of courses at 2-year institutions. As expected, and due to many being independent or single-student enrollment courses, they generally represented much smaller proportions of student credit hours across all institutions. Across 4-year public institutions in all 3 states, tenure-track faculty taught close to 75 percent or more of these courses.", "We also accounted for cross-listed courses and multiple lab sections to more accurately capture faculty workloads. Some courses in the Georgia and North Dakota data were cross-listed in multiple departments with different course acronyms for each department. For example, the course \u201cIntro Robotics Research\u201d taught by a single faculty member at one institution was listed three times under different department acronyms, with several students enrolled under each listing. Course sections listed multiple times due to being cross-listed would artificially inflate counts of courses taught, as these cross-listings actually represent only one course section. To avoid inappropriately counting them as separate courses, we counted cross-listed courses by using their course numbers (and also their course name in North Dakota) without the course acronyms attached. Thus, when we aggregated counts of courses by faculty- institution pair, term, and course type, these cross-listed courses were counted as one course and numbers of students and student credit hours were aggregated in association with the course. Due to inconsistencies in how lab sections were organized in the data, we aggregated labs by their course number (within a faculty-institution pair and term). For example, some lab sections were listed as 4-credit courses that appeared to have the lecture and lab components combined in a single listing, while others had a 3-credit lecture course listed and multiple sections of a 1-credit lab. To be as consistent across states as possible and to minimize the potential bias of inflating the percentage of courses taught and deflating the earnings per course of one faculty type relative to another, we combined lab sections into a single course count. To do so, we identified the lab sections within a particular course number, instructor, institution, and term and then flagged the first lab section for counting. Thus, similar to the cross-listed courses, when we aggregated counts of courses by faculty-institution pair, term, and course type, these lab sections were counted as one course and enrollment numbers aggregated in association with the course.", "For outlier faculty who taught especially large numbers of course sections, we counted their courses taught at the course number level (e.g., Biology 101) instead of the course section level (e.g., section 1 of Biology 101). After compiling the data and producing preliminary counts of course sections taught, some faculty in all three states emerged as outliers\u2014teaching large numbers of course sections in a given term, in some cases, more than 50, for example. Though the data do not provide exact reasons for the large numbers of course sections taught, these outliers may have a number of possible explanations that could vary by state and institution. Among other effects, these outlier observations could artificially inflate the percentage of courses taught and deflate the earnings per course of one faculty type relative to another. To mitigate these effects, we counted courses taught for these outlier faculty at the course number level\u2014where they are clearly distinct\u2014instead of the course section level\u2014where it is less clear why there are multiple sections. For example, Biology 101 is clearly a different course than Biology 201 or Chemistry 101 (regardless of section number), whereas section A of Biology 101 could actually be combined with section B and they are just listed separately for other reasons. We did not set a maximum number of courses that an individual could teach (i.e., individual faculty could still be listed as teaching large numbers of courses if they were associated with large counts at the course number level). We counted course numbers for outlier faculty because their large numbers of course sections listed suggested the possibility of a data anomaly; for all others (non-outlier faculty), we counted course sections. We set our outlier threshold as 15 course sections taught over the academic year based on an examination of the range of course sections taught by faculty in the three states\u2019 data and conversations with administrators during our site visits. According to preliminary counts of course sections taught after excluding atypical courses, more than 95 percent of faculty in each state taught 15 course sections or fewer over the entire academic year. In addition, during our site visits, the largest number of course sections taught per term that administrators identified was 6, which could reasonably result in 15 course sections over the year (6 in fall term, 6 in spring term, and 3 in summer term\u2014half the amount due to the condensed format)."], "subsections": []}, {"section_title": "Analysis of Faculty Makeup and Utilization", "paragraphs": ["To analyze faculty makeup and utilization by institution, we merged information about institutional characteristics from IPEDS onto our state datasets. We analyzed faculty makeup, including counts and percentages of faculty positions by type of position and faculty characteristics (e.g., age, education, and academic discipline), by the following faculty categories (based, in part, on faculty tenure and work statuses): We sometimes analyzed full-time and part-time contingent faculty and instructional graduate assistants combined as \u201ccontingent faculty\u201d and full-time and part-time tenure-track combined as \u201ctenure-track faculty.\u201d Unlike our analyses of IPEDS data, we included instructional graduate assistants in our combined contingent faculty group because they were listed as teachers of record for courses in the state data. We analyzed administrators/management as a separate group because these individuals represent a non-traditional class of faculty. For example, administrators may not have tenure-track status due to their management roles, but are in positions that may not be appropriate to be considered \u201ccontingent\u201d (e.g., a dean might not be a tenure-track faculty member, but neither are they a contingent faculty member). We analyzed educational attainment of faculty by calculating the percentage of faculty with graduate or doctoral degrees by faculty type and institution type in in North Dakota and Ohio. Table 15 shows the total number of instructional faculty positions by institution type in each state, as well as selected faculty demographics.", "We analyzed faculty utilization by aggregating counts of courses, students, and student credit hours taught by each faculty category above, and by term and type of course, and by calculating percentages taught out of the entire population and certain subgroups. As a first step in this process, we aggregated counts of courses, students, and student credit hours for each faculty-institution pair by term and type of course. As a result, each faculty-institution pair had count variables that listed, for example, how many courses and students they taught in fall term at the undergraduate upper level. The Georgia and Ohio data listed courses multiple times if multiple faculty share the instructional responsibility. To ensure course sections were not double-counted, we counted them in fractional terms based on how many instructors were listed; for example, if a course section was listed twice\u2014with two faculty members having equal responsibility for the course\u2014we counted each faculty member as teaching half of that course. We also used this fractional count to pro-rate or assign responsibility for students and student credit hours. We calculated this fractional count slightly differently for the Georgia and the Ohio data:", "Georgia: The Georgia data provided a teaching responsibility percentage for each faculty member associated with a course section. For example, a course section that was listed 3 times (for 3 different faculty with responsibility) might be split evenly 1/3-1/3-1/3 or might be split as 50-30-20 percent responsibility to each of the three faculty members. Thus, we used this individually provided fractional value.", "Ohio: The Ohio data did not provide a teaching responsibility percentage for each faculty member associated with a course section. Thus, we assigned equal responsibility (as the simplest assumption) to all staff listed for a course.", "After aggregating counts to the faculty-institution pair level, we further aggregated counts to the faculty category and institution type level. Our analyses focused on counts and percentages of courses and student credit hours by these faculty categories. Table 16 shows the total number of courses taught by institution and faculty types in each state.", "We also analyzed economic circumstances by examining median annual earnings and receipt of work-provided retirement, health insurance, and life insurance benefits by faculty type. We calculated an annual earnings amount for each faculty member and then analyzed median earnings by faculty type. For benefits, we identified whether individual faculty received a given benefit during the year, and then calculated the percentage of each faculty type receiving those benefits. We were unable to analyze benefits in this way for faculty in Ohio. See table 14 above for additional details about our earnings and benefits calculations by state."], "subsections": []}]}, {"section_title": "HDS Analyses of Faculty Makeup", "paragraphs": ["To estimate population percentages by faculty type and discipline in humanities departments at 4-year institutions, we used HDS data that were published in a technical report sponsored by AAAS. Our population of instructional faculty included faculty in humanities departments at 4-year institutions. The sample was stratified by discipline and degree level of courses taught (i.e., bachelor\u2019s, master\u2019s, and doctoral degree courses). We were unable to access the data with the sample design information (i.e. sampling weights and stratification identifiers) necessary to calculate margins of errors that took into account the sample design features. To allow us to estimate margins of error for the estimates presented in the report, AAAS provided information on the number of respondents associated with each response category since the survey had unit and item nonresponse. We incorporated this information into a simple random sampling formula, which we adjusted for the design effect due to unequal weighting that resulted from stratification within departments (e.g., differences in the extent to which departments may offer bachelor\u2019s, master\u2019s, and doctoral degree courses)."], "subsections": []}]}, {"section_title": "Section 3: Pay per Course Regression Analysis (State Data)", "paragraphs": ["This section discusses the regression analysis methods we used to analyze and compare pay-per-course rates across different types of faculty at public institutions in North Dakota and Ohio. We used data from the three states to conduct multivariate regression analyses that examined rates of compensation across faculty types. Data from North Dakota and Ohio allowed us to link faculty members\u2019 pay over the course of an academic year with the number of courses they taught to calculate pay-per-course rates that are comparable across faculty types. Data from Georgia did not allow us to do this because the earnings data from Georgia is for a calendar year that did not align with the course data for the academic year. However, we used Georgia\u2019s data to develop assumptions about faculty work activities (see below for more details). The state data we used to analyze pay-per-course rates covered courses taught and earnings from fall 2015 through summer 2016 for North Dakota, and summer 2014 through spring 2015 for Ohio."], "subsections": [{"section_title": "Analysis Population", "paragraphs": ["The faculty populations included in our regression analyses of the North Dakota and Ohio data begin with the same population of instructional faculty analyzed elsewhere in our work\u2014any individual who teaches a course at a 4-year or 2-year public institution in the state. However, due to some faculty observations missing information for independent variables, as well as the specifications of some of our models that focused on subgroups within the data, the number of faculty observations in our regression analyses differed slightly from those in our other analyses. In assessing the association between faculty type (e.g., contingent faculty) and pay per course, we focused on three primary populations: (1) all faculty; (2) primarily teaching faculty; and (3) primarily teaching faculty at 4-year institutions. The primarily teaching faculty group excludes faculty who primarily hold other roles unrelated to instruction (e.g., administrators and research faculty). We also examined a population limited to 4-year institutions because their pay and faculty utilization structures may differ substantively from 2-year institutions.", "North Dakota: Compared to the 3,608 faculty observations with complete faculty and course identification data across North Dakota public institutions that we analyze for workforce makeup and utilization, the number of observations included in our regression analysis population is reduced to 3,486 due to our dropping of cases where total earnings was less than one dollar or missing, or where the number of in-scope courses taught was zero (more information below under discussion of dependent variables). After introducing the full range of independent variables in our complete model with all faculty at all institutions, our population is reduced to 3,485 due to one faculty member being omitted due to missing data. When we limit the population to primarily teaching faculty at all institutions, there are 3,404 observations, and when we only include 4-year institutions, there are 2,876 observations.", "Ohio: Compared to the 34,461 faculty observations with complete faculty and course identification data across Ohio public institutions that we analyze for workforce makeup and utilization, the number of observations included in our regression analysis population is reduced to 30,672 due to our dropping of cases where total earnings was less than one dollar or missing, or where the number of in-scope courses taught was zero (more information below under discussion of dependent variables). After introducing the full range of independent variables in our complete model with all faculty at all institutions, our population is reduced to 30,656 due to 16 faculty members missing data for covariates. When we limit the population to primarily teaching faculty at all institutions, there are 28,811 observations, and when we only include 4-year institutions, there are 21,482 observations."], "subsections": []}, {"section_title": "Approximating Instructional Pay from Georgia Data on Faculty Work Activities", "paragraphs": ["As explained earlier in the report, we examined instructional pay per course as a way to isolate the earnings for comparable work across faculty types\u2014for example, those who only teach (salaried or paid by the course) versus those who have other responsibilities beyond teaching. Institutions do not generally structure compensation by types of work activities, though some faculty have work responsibility expectations associated with their positions; for example, a full time tenure-track assistant professor may have work responsibly expectations of 60 percent instructional, 30 percent research, and 10 percent other service to the institution. If this faculty member earns $80,000 per year and teaches 8 courses over the course of the year, her total pay per course, which ignores time spent on research and other activities, would be $80,000/8 = $10,000 per course. However, prorating the earnings to those for instructional work activities only, the instructional pay per course would be ($80,000*0.6)/8 = $6,000. We assessed each regression model based on the outcomes of total pay per course and instructional pay per course, where earnings were prorated for instructional time.", "Because information about faculty work activity was unavailable in the North Dakota and Ohio data, but was available in the Georgia data, we used empirical data that we received on four of the Georgia 4-year public institutions to identify work activity percentages by faculty type. We then assigned those percentages to similar faculty in North Dakota and Ohio. We identified the median instructional work activity percentages for the faculty in Georgia\u2019s 4-year public institutions within profiles based on a combination of faculty characteristics including faculty category (e.g., full- time tenure-track, full-time non-tenure-track, part-time non-tenure-track, etc.), job category (e.g. administration/management, teaching faculty, research/other faculty, etc.), and when applicable, rank (e.g. full professor, assistant professor, instructor/lecturer, etc.). We then applied the median instructional work activity percentage from the Georgia data by these profile groups to faculty at 4-year institutions in the North Dakota and Ohio data with the same profile. For faculty in the job categories of administrators/management staff, instructional graduate assistants, coaches, and postdocs, the median instructional work activity percentage in those groups overall was sufficiently explanatory. For the remaining two job category groups of instructional faculty and research/other faculty, we used median work activity percentages by faculty category (e.g., full- time tenure-track) and rank (e.g., full professor). If a faculty member did not have a rank identified in the data, we used the median work activity percentage for the faculty category overall (see table 17). Because the data on work responsibilities pertained to public 4-year institutions in the Georgia data, we did not prorate faculty at 2-year institutions accordingly. Because 2-year institutions generally do not have a research mission, we coded all faculty at 2-year institutions as 100 percent instructional, except for administrators/management staff. We prorated administrators/management staff according to the same method as at 4- year institutions due to their likely having substantial non-teaching responsibilities.", "Faculty earnings in the North Dakota and Ohio data were multiplied by the relevant median instructional work activity percentage in order to adjust pay to reflect instructional work activity, resulting in an \u201cinstructional pay\u201d amount. The majority of adjustments\u2014prorating of earnings to account for non-instructional activities\u2014were applied to faculty in the full-time tenure-track group, who were most likely to have other work responsibilities. Some adjustment to earnings also occurred in the full- and part-time contingent groups, as well as for faculty who had a job type that indicated substantial administrative and management roles. No prorating occurred for instructional graduate assistants."], "subsections": []}, {"section_title": "Dependent Variables", "paragraphs": ["We conducted regressions using the following dependent variables: a) Log (total pay per course) \u2013 In our analysis of the North Dakota and Ohio data, we used the natural logarithm of the total pay per course, which is defined as the total annual earnings (i.e., total pay) divided by the total courses taught within that year. b) Log (instructional pay per course) \u2013 In our analysis of the North Dakota and Ohio data, we also used the natural logarithm of the instructional pay per course, which is defined as total annual earnings adjusted to reflect instructional work activity (i.e., instructional pay) divided by the total courses taught within that year.", "We excluded cases from our analysis if they were missing values for either total annual earnings or total courses taught within that same year because these variables were the primary components of pay per course. We dropped cases where total earnings were less than one dollar or missing (19 observations in North Dakota and 2,869 observations in Ohio) or the number of courses taught was zero (103 observations in North Dakota and 920 observations in Ohio) since division by zero is undefined, and our population is intended to reflect any individual who actually teaches a course at 4-year and 2-year public institutions in the state. We then divided pay (total or instructional) by the number of courses taught to obtain the pay-per-course value. We use the log of total and instructional pay per course for the dependent variables in a linear model reflecting both the assumption that the underlying distribution is closer to the log normal than normal, and also to present results in terms of percentage changes in pay per course.", "In the Ohio data, because we use fractional counts for courses when multiple faculty are listed as having responsibility for the course, 3,453 faculty in the analysis population teach less than 1 course. For those faculty, we round all course counts that are less than 1 up to 1 to avoid dividing faculty earnings by a fractional course count (between 0 and 1), which would result in an inaccurate and substantially large pay-per- course value."], "subsections": []}, {"section_title": "Independent Variables", "paragraphs": ["The primary independent variable of interest in our analysis was faculty type. We categorized faculty into five types: full-time tenure-track, full-time contingent, part-time tenure-track, part-time contingent, and graduate assistant. Our main interest was comparing contingent faculty and graduate assistants to full-time tenure-track faculty. We controlled for the part-time tenure-track group, but due to the small size of this population (at most, 35 faculty in North Dakota and 274 faculty in Ohio), we did not substantively examine these estimates. All regression models set the base group for faculty type as full-time tenure-track.", "We included in our regression models additional independent variables as controls for faculty and institution characteristics. Faculty characteristics include sex, race, age, age squared (to account for the potential non- linear relationship between earnings and age), highest degree earned, and academic discipline. Other faculty characteristics we controlled for in our models included whether a faculty member had grant funds (North Dakota only), whether a faculty member taught summer courses, and indicators identifying non-traditional faculty roles, such as administrators/management or coaches. We also included fixed effects for institutions to control for differences between institutions, especially in terms of pay due to factors such as size, sector, and research/graduate component, among other things.", "We also examined rank of faculty (e.g. associate professor, assistant professor, instructor/lecturer, etc.), but excluded it from our complete models due to collinearity with the faculty type variable."], "subsections": []}, {"section_title": "Regression Model Detailed Results", "paragraphs": ["Tables 18 and 19 (below) shows the coefficients and standard errors from each of our final pay-per-course regression models, as well as for the unadjusted model that included only the primary independent variable of interest (total pay-per-course results at the top and instructional pay-per- course results below). For our categorical variables, estimated coefficients are relative to the excluded (reference) category. For example, since the reference category for our main independent variable, faculty type, was full-time tenure-track, the estimated coefficients for other categories of this variable are always relative to this excluded reference category, holding all other variables in the model constant. Thus, in model 2 for North Dakota, the coefficient for full-time contingent faculty is 0.682. This can be interpreted as full-time contingent faculty pay per course is 0.682 that of full-time tenure-track faculty (i.e., full-time contingent faculty are paid 68.2 percent what full-time tenure-track are, per course), holding all other variables in the model constant. Because the dependent variables in the earnings models are the natural logarithms of earnings, subtracting one from the presented coefficients on categorical variables can be interpreted as the percentage change in the dependent variable associated with a change in the categorical variable, relative to the reference category, holding all other variables constant. In this same example, full-time contingent faculty are paid an estimated 31.8 percent less than full-time tenure-track faculty, because 0.682 \u2013 1 = -0.318, or 31.8 percent less."], "subsections": []}, {"section_title": "Additional Analyses and Sensitivity Tests", "paragraphs": ["The North Dakota and Ohio data used in the regression analyses include a small number of faculty (1.1 and 0.5 percent of observations, respectively) who are listed as teacher of record for more than 15 courses over the year, which may represent unusually high workloads or data anomalies. In addition, some faculty have small or large pay-per-course values when compared to the overall distribution. To preserve the integrity of the data, we did not exclude these observations from the analyses. However, we tested our models with and without these observations to assess the effect on our substantive regression results. In order to assess the effect of faculty with a large workload, we conducted regression models 3 and 4 (in tables 18 and 19 above) limited to faculty who taught 15 or fewer courses over the year. In order to assess the effect of faculty with the outermost values of the dependent variable pay per course, we conducted the same regression models limited to faculty whose pay per course was within the middle 98 percent of pay-per-course values (i.e., we trimmed the bottom and top 1 percent of observations). In both of these sensitivity analyses, we found substantively similar results.", "We also ran our regression models on a more refined population that only included primarily teaching faculty at 4-year institutions (faculty at 4-year institutions represent most of our analysis population). As shown in table 18 above, in terms of total pay per course, full-time contingent faculty in North Dakota and Ohio are paid about 40 and 43 percent less per course, respectively, than full-time tenure-track faculty\u2014compared to 35 and 40 percent less per course, respectively, when both 4-year and 2-year institutions are included. This slightly larger pay-per-course disparity as compared to the population overall may be, in part, because pay and utilization of full-time faculty vary somewhat by institution type (e.g., at 4- year institutions, pay is generally higher but less flat, and some full-time tenure-track faculty teach fewer courses due to their more extensive research responsibilities)."], "subsections": []}]}, {"section_title": "Section 4: Annual Earnings Regression Analysis (SDR Data)", "paragraphs": ["This section discusses the regression analysis methods we used to analyze and compare annual earnings among different types of faculty using national 2013 SDR data on doctorate-holding faculty in the STEM, health, and social sciences fields."], "subsections": [{"section_title": "Dependent Variable", "paragraphs": ["We conducted regressions using the following dependent variable: Log (annual salary)\u2014the natural logarithm of annual salary, defined as the basic annual salary from the respondent\u2019s principal job."], "subsections": []}, {"section_title": "Independent Variables", "paragraphs": ["The primary independent variable of interest in our analysis was faculty type. We categorized faculty into five types: full-time tenure-track, full-time contingent, part-time tenure-track, part-time contingent, and graduate assistant. Our main interest was comparing contingent faculty to full-time tenure-track faculty. Though we controlled for the part-time tenure-track and graduate assistant groups, we did not substantively examine these estimates. All regression models set the reference group for faculty type as full-time tenure-track.", "We included in our regression models additional independent variables as controls for faculty and institution characteristics. Faculty characteristics included sex, race, age, age squared, number of weeks worked per year, and academic discipline. Other faculty characteristics we controlled for included the year of highest degree earned\u2014which we used as proxy for general experience\u2014and whether a respondent indicated that they were an administrator. We also included institution type (e.g., 4-year college or university, 2-year college or university). After introducing the full range of independent variables in our complete model, our analysis sample was reduced from 7,232 faculty respondents to 7,226 due to 6 faculty respondents being omitted due to missing data.", "We examined faculty rank (e.g. professoriate, instructor/lecturer) and academic position variables for \u201cadjunct\u201d faculty and postdocs, but we excluded these variables from our complete model, as we determined they did not have meaningful information for the purpose of our analyses."], "subsections": []}, {"section_title": "Regression Model Detailed Results", "paragraphs": ["In our complete model, full-time and part-time contingent faculty earned 22 percent less and 70 percent less, respectively, than full-time tenure- track faculty annually (see table 20). Across our preliminary models (not shown below) and complete model, the coefficients related to our main independent variable remained relatively constant, ranging from 0.76 to 0.86 for full-time contingent faculty and 0.26 to 0.43 for part-time contingent faculty, expressed as proportion of full-time tenure-track faculty earnings."], "subsections": []}]}]}, {"section_title": "Appendix II: IPEDS Data on the Racial and Ethnic Distribution of Faculty Positions Nationwide, 2015", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nagla\u2019a El-Hodiri (Assistant Director), Nisha R. Hazra (Analyst-in-charge), Sandra Baxter, Justin Gordinas, Michael Kniss, and Alexandra Squitieri made key contributions to this report. Also contributing significantly to this report were Melinda Cordero, Grant Mallie, Jean McSween, Moon Parks, and Sonya Vartivarian. Key support was provided by James Ashley, James Bennett, Grace Cho, Jessica Orr, James Rebbe, Almeta Spencer, and Elaine Vaurio."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-131", "url": "https://www.gao.gov/products/GAO-19-131", "title": "Information Technology: Effective Practices Have Improved Agencies' FITARA Implementation", "published_date": "2019-04-29T00:00:00", "released_date": "2019-04-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress has long recognized that IT has the potential to enable federal agencies to accomplish their missions more quickly, effectively, and economically. However, fully exploiting this potential has presented challenges to covered agencies, and the federal government's management of IT has produced mixed results.", "As part of its effort to reform the government-wide management of IT, in December 2014 Congress enacted FITARA. The law included specific requirements related to enhancing Chief Information Officers' (CIO) authorities, improving the risk management of IT investments, reviewing agencies' portfolio of IT investments, consolidating federal data centers, and purchasing software licenses. GAO has reported numerous times on agencies' effectiveness in implementing the provisions of the law and highlighted agencies that have had success in implementing selected provisions.", "In this report, GAO identifies practices that agencies have used to effectively implement FITARA. GAO selected five provisions of FITARA to review: (1) CIO authority enhancements; (2) enhanced transparency and improved risk management; (3) portfolio review; (4) data center consolidation; and (5) software purchasing. GAO then selected nine agencies that had success in implementing at least one of the five provisions. GAO compiled practices where at least one agency was better positioned to implement a provision or realized an IT management improvement or cost savings."]}, {"section_title": "What GAO Found", "paragraphs": ["Nine selected agencies (the Departments of Agriculture, Commerce, Health and Human Services, Homeland Security, Justice, and Veterans Affairs; the Agency for International Development; the National Aeronautics and Space Administration; and the General Services Administration) identified 12 practices that helped them to effectively implement one or more Federal Information Technology Acquisition Reform Act provisions (commonly referred to as FITARA). The following figure identifies the 12 practices, including the four overarching ones, considered vital to implementing all provisions.", "By applying the overarching practices, covered agencies were better positioned to implement FITARA. In addition, by implementing the practices relative to the five FITARA provisions GAO selected, covered agencies realized information technology (IT) management improvements, such as decommissioning old systems and cost savings."]}], "report": [{"section_title": "Letter", "paragraphs": ["Congress has long recognized that information technology (IT) has the potential to enable federal agencies to accomplish their missions more quickly, effectively, and economically. However, fully achieving this potential has presented longstanding challenges to agencies. In this regard, the federal government\u2019s management of IT has produced mixed results despite a continued increase in federal IT spending, which is planned to be more than $92 billion in fiscal year 2019.", "As part of its effort to reform the government-wide management of IT, in December 2014, Congress enacted the Federal Information Technology Acquisition Reform provisions (commonly referred to as FITARA) of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. FITARA holds promise for improving covered agencies\u2019 management and acquisitions of IT, facilitating Congress\u2019 monitoring of agencies\u2019 progress, and holding those agencies accountable for reducing duplication and achieving cost savings.", "Since its enactment, we have reported numerous times on agencies\u2019 efforts toward implementing FITARA. Our work has highlighted various agencies\u2019 successes, as well as challenges, in implementing selected provisions of the act.", "This report responds to your request that we conduct a review of FITARA implementation practices. Our specific objective was to identify practices that federal agencies have used to effectively implement the provisions of the act.", "To address this objective, we first identified the specific provisions of the act to include in our review. To do so, we (1) reviewed our previously issued reports that have examined various aspects of the act; (2) met with relevant officials from the Office of Management and Budget\u2019s (OMB) Office of Electronic Government and Information Technology; and (3) reviewed data contained on the IT Dashboard, as well as other relevant information supporting the House of Representatives Committee on Oversight and Government Reform\u2019s biannual scorecards on the 24 covered agencies\u2019 progress in addressing the act\u2019s requirements.", "As a result of these activities, combined with our professional judgment, we identified five FITARA provisions that were most relevant to enabling agencies\u2019 IT management improvements. These provisions were: Chief Information Officer (CIO) authority enhancements, enhanced transparency and improved risk management in IT investments, portfolio review, the federal data center consolidation initiative, and the government-wide software purchasing program.", "We then identified nine agencies that had implemented at least one of the five FITARA provisions we included in our review. Our identification of the nine agencies was based on information in our previous reports that indicated each agency had realized an IT management improvement or cost savings with respect to one or more of the five selected FITARA provisions. Additionally, we considered other relevant information supporting the House of Representatives Committee on Oversight and Government Reform\u2019s scorecards that indicated an agency had effectively implemented FITARA. These nine agencies were the Departments of Agriculture (USDA), Commerce (Commerce), Health and Human Services (HHS), Homeland Security (DHS), Justice (Justice), and Veterans Affairs (VA); and the Agency for International Development (USAID); the National Aeronautics and Space Administration (NASA); and the General Services Administration (GSA). These nine agencies account for about $27 billion (or about 59 percent) of the $45.8 billion in estimated non-defense IT spending for fiscal year 2019.", "To gain additional information on the nine agencies\u2019 FITARA implementation, we obtained and reviewed relevant documentation, such as FITARA implementation plans, capital planning and investment control processes, data center optimization plans, and software licensing policies. Additionally, we conducted interviews with relevant officials at these agencies to discuss actions taken to implement the provisions of the act. These officials included a FITARA Program Manager, a Director of FITARA Operations, and staff within department-level CIO offices responsible for implementing the provisions of the act.", "We compiled practices where at least one agency had taken action to implement one of the five selected provisions that led to an IT management improvement or cost savings. We then compiled descriptions of the actions that the nine agencies had taken. Additionally, we reviewed actions the agencies have taken in response to our previous recommendations to corroborate the IT management improvements and cost savings. Agencies also identified overarching practices that were not unique to a specific provision but, instead, better positioned agencies to implement one or more of the five provisions. Further, we shared the practices with the nine agencies\u2019 Inspectors General to provide additional assurance that the practices were consistent with the agencies\u2019 activities to address FITARA. In addition, we solicited comments on a draft of this report from the nine agencies included in our review and OMB.", "We conducted this performance audit from January 2018 to April 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": [{"section_title": "Background", "paragraphs": ["Although the federal government has undertaken numerous initiatives to better manage the billions of dollars that federal agencies annually invest in IT, these investments too frequently fail or incur cost overruns and schedule slippages, while contributing little to mission-related outcomes. We have previously reported that the federal government has spent billions of dollars on failed IT investments. These investments often suffered from a lack of disciplined and effective management, such as project planning, requirements definition, and program oversight and governance. As a result of these failures, we added Improving the Management of IT Acquisitions and Operations to our biennial high-risk list in 2015.", "With its enactment in 2014, FITARA was also intended to improve agencies\u2019 acquisitions of IT and facilitate Congress\u2019 efforts to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. The act included specific provisions related to seven areas, including the five areas selected for our review:", "CIO authority enhancements\u2014Covered agencies\u2019 CIOs are required to (1) approve the IT budget requests of their respective agencies, (2) certify that agencies\u2019 IT investments are adequately implementing OMB\u2019s incremental development guidance, (3) review and approve contracts for IT, and (4) approve the appointment of other agency employees with the title of CIO (e.g., component agency CIOs).", "Enhanced transparency and improved risk management in IT investments\u2014OMB and covered agencies are to make detailed information on federal IT investments publicly available, and department-level CIOs are to categorize their major IT investments by risk. Additionally, in the case of major investments rated as high risk for 4 consecutive quarters, the act required that the department- level CIO and the investment\u2019s program manager conduct a review aimed at identifying and addressing the causes of the risk.", "Portfolio review\u2014OMB and the CIOs of covered agencies are to implement a process to assist agencies in reviewing their portfolios of IT investments. This review process is intended to, among other things, identify or develop opportunities to consolidate the acquisition and management of IT services; identify potential duplication, waste, and cost savings; develop a multi-year strategy to identify and reduce duplication and waste within the agencies\u2019 portfolios, including component agency investments, and to identify projected cost savings resulting from such a strategy.", "Federal data center consolidation initiative\u2014Agencies are required to provide OMB with a data center inventory, a strategy for consolidating and optimizing the data centers (to include planned cost savings), and quarterly updates on progress made. The act also requires OMB to develop a goal for how much is to be saved through this initiative, and provide annual reports on cost savings achieved.", "Government-wide software purchasing program\u2014GSA is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law states that, to the maximum extent practicable, GSA should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user."], "subsections": [{"section_title": "GAO Has Previously Reported on Agencies\u2019 FITARA Implementation and Identified Areas for Improvement", "paragraphs": ["We have issued a number of reports that have identified actions that OMB and federal agencies needed to take to improve their implementation of the FITARA provisions.", "In reporting on incremental software development in November 2017, we noted that department-level CIOs certified only 62 percent of major IT software development investments as implementing adequate incremental development in fiscal year 2017. Officials from 21 of the 24 agencies in our review reported that challenges had hindered their CIOs\u2019 ability to implement incremental development. These challenges included: (1) inefficient governance processes; (2) procurement delays; and (3) organizational changes associated with transitioning from a traditional software methodology that takes years to deliver a product, to incremental development, which delivers products in shorter time frames. We made recommendations to department-level CIOs to improve reporting accuracy and update or establish certification policies. As of February 2019, agencies had taken steps to address eight of the 19 recommendations.", "Additionally, our August 2018 report on department-level CIOs noted that none of the 24 agencies had policies that fully addressed the role of their CIOs consistent with federal laws and guidance, including FITARA. In addition, the majority of the agencies had not fully addressed the roles of their CIOs for any of six key areas that we identified. Although officials from most agencies stated that their CIOs were implementing the responsibilities even when not addressed in policy, the 24 CIOs acknowledged in a survey that they were not always very effective in implementing all of their responsibilities.", "Further, the shortcomings in agencies\u2019 policies were attributable, at least in part, to incomplete guidance from OMB. We noted that, until OMB improved its guidance to clearly address all CIO responsibilities, and agencies fully addressed the role of CIOs in their policies, CIOs would be limited in effectively managing IT and addressing long-standing management challenges. We made 27 recommendations for agencies to improve the effectiveness of CIOs\u2019 implementation of their responsibilities. Most agencies agreed with the recommendations and described actions they planned to take to address them.", "Enhanced transparency and improved risk management In June 2016, we reported on rating the risk of IT investments and noted that agencies underreported the risk of almost two-thirds of the investments their CIOs reviewed. All 17 selected agencies incorporated at least two of OMB\u2019s factors into their risk rating processes and nine used all of the factors, interpreted differently, less often than on a monthly basis. Our assessments generally showed more risk than the associated CIO ratings.", "We also issued a series of reports about the IT Dashboard that noted concerns about the accuracy and reliability of the data on the Dashboard. In total, we have made 25 recommendations to OMB and federal agencies to help improve the accuracy and reliability of the information on the Dashboard and to increase its availability. Most agencies agreed with the recommendations or had no comments. As of February 2019, 11 of these recommendations remained open.", "In April 2015, we reported on actions needed by 26 federal agencies to ensure portfolio savings were realized and tracked. We noted that these agencies had decreased their planned PortfolioStat savings by at least 68 percent from what they reported to us in 2013. Specifically, while the agencies initially had planned to save at least $5.8 billion between fiscal years 2013 and 2015, these estimates were decreased to approximately $2 billion. We made recommendations to OMB and the Department of Defense aimed at improving the reporting of achieved savings, documenting how savings are reinvested, and establishing time frames for PortfolioStat action items. As of February 2019, OMB had addressed one of the five recommendations.", "Our September 2016 report on application inventories noted that most of the 24 agencies in the review fully met at least three of the four practices we identified to determine if agencies had complete software application inventories. Additionally, six of the agencies relied on their investment management processes and, in some cases, supplemental processes to rationalize their applications to varying degrees. However, five of the six agencies acknowledged that their processes did not always allow for collecting or reviewing the information needed to effectively rationalize all their applications. We made recommendations that 20 agencies improve their inventories and five of the agencies take actions to improve their processes to rationalize their applications more completely. Agencies had addressed four of the 25 recommendations as of February 2019.", "Federal data center consolidation initiative We have reported annually on agencies\u2019 efforts to meet FITARA requirements related to the federal data center consolidation initiative. For example, in March 2016 we reported that, as of November 2015, the 24 agencies participating in the initiative had identified a total of 10,584 data centers, of which they reported closing 3,125 through fiscal year 2015. In total, 19 of the 24 agencies reported achieving an estimated $2.8 billion in cost savings and avoidances from fiscal years 2011 to 2015. We recommended that 10 agencies take action to address challenges in establishing, and to complete, planned data center cost savings and avoidance targets. We also recommended that 22 agencies take action to improve optimization progress, including addressing any identified challenges. As of February 2019, agencies had addressed 14 of our 32 recommendations.", "Our May 2018 report on data center consolidation noted mixed progress toward achieving OMB\u2019s goals for closing data centers by September 2018. Over half of the agencies reported that they had either already met, or planned to meet, all of their OMB-assigned goals by the deadline. This was expected to result in the closure of 7,221 of the 12,062 centers that agencies reported in August 2017. However, four agencies reported that they did not have plans to meet all of their assigned goals and two agencies were working with OMB to establish revised targets. No new recommendations were made to agencies in this report because agencies had yet to fully address our previous recommendations.", "In May 2014, we reported on 24 federal agencies\u2019 management of software licenses and the potential for achieving significant savings government-wide. Specifically, we found that OMB and the vast majority of the 24 agencies reviewed did not have adequate policies for managing software licenses. We also reported that federal agencies were not adequately managing their software licenses because they generally did not follow leading practices in this area. Consequently, we could not accurately describe the most widely used software applications across the government, including the extent to which they were over and under purchased. We recommended that the 24 agencies improve their policies and practices for managing licenses. Most agencies generally agreed with the recommendations or had no comments.", "We then reported in September 2014 that the 24 agencies had either provided a plan to address most of the recommendations we made to them, partially disagreed with the report\u2019s prior findings, or did not provide information on their efforts to address the recommendations. As of February 2019, the agencies had addressed 109 of the 136 recommendations."], "subsections": []}]}, {"section_title": "Selected Agencies Identified Practices That Facilitated Effective Implementation of FITARA Provisions", "paragraphs": ["The nine selected agencies identified a total of 12 practices that helped them to successfully implement the FITARA provisions considered in our review. Among the practices, a number of the agencies identified four that were overarching\u2014that is, the practices were not unique to a specific provision, but, instead, better positioned agencies to implement the five provisions selected for our review. In addition, agencies identified one practice that helped ensure effective implementation of CIO one practice that helped ensure enhanced transparency and improved one practice that ensured effective portfolio review, four practices that facilitated data center consolidation, and one practice that facilitated software purchasing.", "Figure 1 identifies the 12 practices that the nine agencies used to effectively implement the selected FITARA provisions. In addition, the narrative following the figure provides details on how these agencies implemented the provisions and realized associated IT management improvements or cost savings."], "subsections": [{"section_title": "Overarching Practices Vital to Implementing FITARA", "paragraphs": ["Four of the nine agencies that we reviewed\u2014Commerce, HHS, NASA, and USDA\u2014identified one or more overarching practices that have been vital to their efforts in implementing FITARA: obtain support from senior leadership, treat the implementation of FITARA as a program, establish FITARA performance measures for component agencies, appoint an executive accountable for FITARA implementation in each component agency.", "As a result of implementing these practices, each of the agencies was better positioned to implement FITARA.", "Obtain support from senior leadership Three of the agencies\u2014USDA, NASA, and Commerce\u2014emphasized that the support of senior leadership was essential to implementing requirements in FITARA. This support was demonstrated, for example, by senior officials highlighting the act\u2019s importance during key executive-level meetings and in their key memorandums and other communications to the agencies\u2019 workforce. We have previously reported that having senior leadership support is critical to the success of major programs.", "According to USDA\u2019s Director of FITARA Operations, the agency made a decision to raise the topic of FITARA implementation at each monthly executive leadership meeting that is attended by the Deputy Secretary, Chief Operating Officer, and Assistant Secretary for Administration, in order to keep attention focused on the act\u2019s implementation. In addition, the agency\u2019s October 2016, Concept of Operations for The Oversight, Management, and Operations of FITARA document, which is the primary document used by the agency to assist with the implementation and execution of the act, was signed by the Deputy Secretary, CIO, and Deputy CIO. The officials reported that obtaining support from senior leadership had helped ensure buy-in to changes resulting from implementing provisions of the act.", "NASA officials also highlighted senior leadership support as being essential to their actions to implement FITARA. For example, the NASA Deputy Administrator and Associate Administrator for Mission Support signed and distributed a memorandum in August 2010 that emphasized the agency\u2019s commitment to the data center consolidation effort. The memorandum stated that Mission Directorate Associate Administrators and Center Directors shall direct their staff to cooperate fully and openly with NASA\u2019s data center consolidation plan. An official in the Office of the CIO stated that the memorandum was evidence of the support the agency had from senior leadership to close data centers.", "Further, a Commerce official stated that FITARA implementation activities at the agency have had support from agency leadership, including the Deputy Secretary and the CIO. For example, according to the official, the Deputy Secretary provided each of the component agency FITARA sponsors with a signed memorandum asking for assistance from the components. This action resulted in increased cooperation throughout the agency when components were asked to respond to FITARA-related requests for information.", "Treat implementation of FITARA as a program Commerce and USDA reported that treating FITARA implementation as if it were an IT program was important to implementing the requirements of the act. The two agencies demonstrated this practice by assigning staff to manage implementation of FITARA and regularly discussing implementation of the act at meetings with senior-level officials.", "According to a Commerce lessons learned document, the agency has managed FITARA like a program by reporting regularly on its implementation status to internal agency stakeholders. In addition, the agency has assigned a program manager to assist with implementation of the act and to track progress on implementing the act\u2019s provisions. As a result, Commerce officials reported that the importance of FITARA has been regularly discussed throughout the agency in bi-weekly meetings within the Office of the Secretary. These meetings led to an increased sense of cooperation between different disciplines (e.g., IT, budget, acquisition, legal, and human resources) and reduced the impression that FITARA was solely focused on the department-level CIO office.", "Further, USDA created the position of Executive Director for FITARA Operations within the department-level CIO office. This position has responsibility for, among other things, establishing the processes and procedures to bring the agency into compliance with the act and IT management controls that meet the FITARA requirements. The Director stated that treating the implementation of FITARA as if it were an IT program has led the agency to develop key documentation that has assisted in the implementation of the act, including its Concept of Operations for the Oversight, Management, and Operations of FITARA and Data Center Closure Process.", "Establish FITARA performance measures for component agencies HHS established internal FITARA performance measures for its component agencies that officials believe have led to increased effectiveness in implementing the act. Specifically, the agency undertook an effort to increase its FITARA scorecard grades\u2014called \u201cA by May\u201d\u2014 with a goal to attain an \u2018A\u2019 on the May 2018 FITARA 6.0 scorecard. As part of this effort, HHS created its own internal scorecard for each of its component agencies that mirrored the agency\u2019s FITARA scorecard.", "According to an HHS lessons learned document, aligning the FITARA metrics to component agency performance resulted in greater transparency between the department-level CIO and component agency CIOs. The effort to establish internal performance measures received support from senior agency leadership. Specifically, it was endorsed by the Assistant Secretary for Administration and the Principal Deputy for Administration, which agency officials believed was a key factor in the effort\u2019s success.", "HHS officials also reported that their internal scorecard was helpful because it let component agencies know how well they were doing relative to each other. The officials also believed that establishing FITARA performance measures led to increased cooperation and communication between component agencies and the department-level CIO office. For example, the increased cooperation allowed HHS to more easily collect data required to update the House Committee on Oversight and Government Reform\u2019s FITARA scorecard.", "At the December 2018 House Committee on Oversight and Government Reform hearing on FITARA, the HHS Acting CIO attributed the agency\u2019s increased scorecard grade\u2014from a \u2018D\u2019 on the initial November 2015 scorecard to a \u2018B+\u2019 on the December 2018 scorecard\u2014to the \u201cA by May\u201d initiative. According to this official, the measurement of component agencies\u2019 performance had elevated the importance of meeting FITARA objectives and paved the way for agency-wide participation in improvement efforts.", "Appoint an executive accountable for FITARA implementation in each component agency According to a Commerce memorandum, the Assistant Secretary for Administration asked each component agency to identify a FITARA executive sponsor. The sponsors were assigned responsibility for gathering the necessary information on component agencies\u2019 efforts to implement FITARA and for alerting the agency\u2019s CIO of any issues that needed to be addressed. Once the sponsors were identified, the Commerce Deputy Secretary sent a letter to each sponsor, asking them to help ensure cooperation between their component agencies and the department\u2019s CIO office. A Commerce official reported that having a sponsor in component agencies with responsibility for providing the information needed to report on FITARA results to the department\u2019s CIO office had increased component agencies\u2019 responsiveness to information requests and improved cooperation throughout the agency."], "subsections": []}, {"section_title": "CIO Authority Enhancements", "paragraphs": ["Commerce and DHS developed policies to explain how the specific authorities that FITARA provided to the agency CIO are to be carried out. The agencies identified the policies as essential to their ability to implement the CIO authority enhancements provision in FITARA. Commerce officials stated, for example, that their agency established a policy to ensure that the CIO certified major IT investments as adequately implementing incremental development. Specifically, Commerce\u2019s capital planning guidance required component agency CIOs or other accountable officials within the component agencies to certify the adequate implementation of incremental development for these investments. Commerce\u2019s guidance described the role of the CIO in the certification process and how the CIOs\u2019 certification should be documented. The guidance also included definitions of incremental development and time frames for delivering functionality. Officials in Commerce\u2019s Office of the CIO reported that the certification policies assisted them in overseeing the management of IT investments and ensuring the use of incremental development throughout the agency, as called for by FITARA.", "Also, Commerce changed its personnel policy to require the department- level CIO to approve all senior level IT positions, which addressed the FITARA requirement for the CIO to approve the appointment of other staff with the title of CIO (e.g., component agency CIOs). Specifically, in February 2016, Commerce developed a new human capital policy to give its department-level CIO input into the hiring of all senior level IT positions, including component CIOs. As a result, a Commerce official reported that the policy ensures that the CIOs\u2019 authority has been enhanced to include significant involvement in the hiring of IT leaders throughout the agency.", "For its part, DHS established a policy to ensure that the department-level CIO certified major IT investments as adequately implementing incremental development. Specifically, DHS\u2019s technical investment review guidance states that the CIO is to conduct a review of each investment using an investment review checklist that includes information provided by project managers as to whether the investments have used incremental development adequately. The CIO is to certify whether the project is implementing incremental delivery at least every 6 months and is to document this certification in the checklist. As a result, officials in DHS\u2019s Office of the CIO said that they can now use information from the incremental certification checklist to improve incremental development processes and to make corrections to projects that were not adequately implementing incremental development."], "subsections": []}, {"section_title": "Enhanced Transparency and Improved Risk Management", "paragraphs": ["Three agencies\u2014Commerce, DHS, and USDA\u2014identified one practice that was key to their effective implementation of the enhanced transparency and improved risk management provision of FITARA. The practice is to implement a risk rating process for IT investments that incorporates risks (e.g., funding cuts or staffing changes).", "Commerce\u2019s Office of the CIO implemented a process where this office reviewed at least the top three risks for each investment, verified that these risks were specific to the investment and were appropriately managed and mitigated, and verified that the risk register was updated regularly. In addition, DHS implemented a process that included a review of investment risks, ensured that the risks were current, and that risk mitigation plans were in place. Also, in November 2017, USDA updated its risk rating process to incorporate risks. Specifically, it updated its risk management scoring criteria to include an evaluation of the management and risk exposure scores of risks.", "The actions that Commerce, DHS, and USDA took to incorporate reviews of risks into their risk rating processes better positioned the agencies to provide more detailed and accurate information on their IT investments to the public."], "subsections": []}, {"section_title": "Portfolio Review", "paragraphs": ["Four of the agencies\u2014GSA, Justice, DHS, and USAID\u2014identified performing application rationalization activities as vital to their effective implementation of the portfolio review provision of FITARA. Application rationalization activities can include establishing a software application inventory, collecting information on each application, or evaluating an agency\u2019s portfolio of IT investments to make decisions on applications (e.g., retire, replace, or eliminate). We have previously reported that the principles of application rationalization are consistent with those used to manage investment portfolios.", "GSA and Justice performed application rationalization by engaging in efforts to establish complete and regularly updated application inventories. To do so, component agencies specified basic application attributes in their inventories (e.g., application name, description, owner, and function supported), and regularly updated the inventories. As we have previously reported, by having an application inventory that is complete and regularly updated, agencies such as GSA and Justice are better positioned to realize cost savings and efficiencies through activities such as consolidating redundant applications.", "For its part, DHS utilized application rationalization to identify duplicate investments and consolidate systems. Part of the effort included the regular assessment of programs against criteria such as the program\u2019s cost, schedule, and performance relative to established targets. According to the agency, this resulted in the consolidation of site services, including help desk operations. DHS reported that this consolidation resulted in savings that cumulatively accrued to $202 million by fiscal year 2015.", "In addition, as an application rationalization activity, USAID reviewed its portfolio of IT investments in order to identify systems to potentially retire or decommission\u2014a requirement of the portfolio review provision of FITARA. Specifically, the agency developed an information system decommissioning plan to retire old systems. The plan described USAID\u2019s three-step approach to decommissioning systems: (1) identifying decommissioning candidates, (2) conducting system reviews and decommissioning decisions and (3) decommissioning planning and execution.", "As a result of this approach to implementing the portfolio review provision of FITARA, the agency reported in its Information Systems Decommissioning Plan that it has decommissioned 78 old systems and identified additional systems to decommission in future years. Agency officials reported that USAID achieved cost savings of almost $10 million since 2016 as a result of decommissioning systems."], "subsections": []}, {"section_title": "Data Center Consolidation", "paragraphs": ["GSA, Justice, NASA, USAID, and USDA identified four practices that were essential to their effective implementation of the data center consolidation provision of FITARA and resulted in agencies realizing cost savings or other IT management improvements: conduct site visits to all data centers, transition to a virtual or cloud-based environment, incentivize component agencies to accelerate the pace of data center consolidation, and utilize data centers with excess capacity.", "Agencies\u2019 actions to implement these practices have led to the retirement of older systems, increased cost savings and future cost avoidance, and a reduction in the number of data centers. In addition, as a result of applying these practices, the agencies were better able to make progress in consolidating and optimizing data centers.", "Conduct site visits to all data centers USDA and Justice conducted site visits to all of their data centers to more effectively address the data center provision of FITARA. Both agencies stated that the site visits had allowed them to more thoroughly document the inventory of applications and IT hardware in each of the data centers and to validate progress made toward closing data centers.", "USDA officials stated that conducting site visits to their data centers played a pivotal role in the successful implementation of data center consolidation by providing more direct communication with data center staff to address concerns and issues that staff had about consolidation of the centers. Additionally, agency officials reported that they were able to obtain more detailed information necessary to meet the FITARA requirements for reporting to OMB on USDA\u2019s data center inventory and progress made on data center closures as a result of conducting site visits.", "Further, Justice officials stated that site visits conducted by staff in the CIO\u2019s office that were responsible for data center consolidation played a key role in the closure of many of the agency\u2019s data centers. Specifically, the officials said that conducting site visits in person showed data center staff that data center consolidation was a priority for the agency. The officials added that the site visits also showed data center staff that they were valued as partners in the consolidation effort.", "Transition to a virtual or cloud-based environment USDA, GSA, NASA, and USAID have taken actions to transition to a virtual or cloud-based environment as a way to effectively implement the data center consolidation provision of the act. The agencies\u2019 actions consisted of moving data from agency-owned data centers to cloud- based environments, which helped the agencies make progress toward meeting the cost savings and data center optimization requirements of FITARA.", "USDA officials reported that the agency has been successful in having its components use cloud technology to reduce the number of data centers. For example, the USDA Forest Service developed a migration strategy to move all of the Forest Service production systems and applications from its data centers to USDA\u2019s Enterprise Data Center and Cloud Infrastructure as a Service located at the National Information Technology Center in Kansas City, Missouri. As a result of moving its production systems and applications, the Forest Service increased virtualization, resolved many long-term security vulnerabilities, and reduced the number of duplicative and stand-alone applications by 70 percent. The Forest Service reported that it had identified cost savings of up to $6.1 million annually as a result of these efforts.", "In addition, GSA developed a data center consolidation strategy which included migrating services from agency-owned data centers to more flexible and optimized cloud computing environments, shared service and co-location centers, and more optimized data centers within their own inventory. For example, the agency migrated numerous systems to provisioned services via cloud computing services. GSA officials reported that their agency has encouraged virtualization and cloud computing as preferred options above new physical implementations. The agency also continues to migrate away from hardware-dependent operating systems and to utilize, build upon, and mature its enterprise service virtualization platform offerings and capabilities. As a result of these actions, the agency has been able to more effectively retire older systems in order to shift them to newer, virtualized technologies.", "NASA officials stated that their agency is transitioning to a cloud-based environment to close its data centers. For example, NASA moved all of the data from the Earth Observing System to a new commercial cloud- based model that hosts all the data in one location. The Earth Observing System was designed over a decade ago and its data were held at different partner locations based on science discipline (e.g., land, oceans, and atmosphere) and provided data that were used by the public in various capacities. The agency funded data center hardware at each of the locations and transported data between the locations, as necessary, to create integrated data products. According to NASA officials, transitioning to a cloud-based environment has resulted in easier access to NASA data by the public, elimination of recurring capital investments in data center hardware, and improved IT security.", "USAID reported that it saved money and increased efficiency by consolidating all of its data centers into a single data center in 2012 and then transitioning its single data center to a cloud-based environment. USAID completed the migration of its data center to the cloud in June 2018. According to the agency, moving to the cloud is expected to result in $36 million in future cost avoidance for the agency.", "Incentivize component agencies to accelerate the pace of data center consolidation Data center consolidation activities can be costly, requiring agencies to use resources to, for example, analyze the need for IT equipment (e.g., servers, processors, networking, and other hardware) and to move such equipment between locations. Our May 2018 report on the results of agencies\u2019 efforts to consolidate data centers noted mixed progress toward achieving OMB\u2019s goals for closing data centers.", "Justice incentivized a component agency to accelerate its participation in data center consolidation by providing supplemental funding for costs associated with consolidation. For example, the agency\u2019s CIO office provided funding for a component agency to offset the cost to move servers and data center equipment to another location. Justice officials noted that the agency has seen increased cooperation from component agencies as a result of offering supplemental funding to participate in its data center consolidation effort.", "Utilize data centers with excess capacity A part of GSA\u2019s strategy for consolidating data centers was to move existing data to other government data centers that had the capacity to store its data. To do so, GSA established shared service agreements with the Environmental Protection Agency\u2019s National Computer Center and NASA\u2019s Stennis Space Center data centers. As a result of moving its data to other government data centers with excess capacity, GSA was able to consolidate numerous data centers, resulting in increased efficiency and cost savings."], "subsections": []}, {"section_title": "Software Purchasing", "paragraphs": ["USDA, VA, GSA, NASA, and USAID identified the practice of centralizing the management of software licenses as essential to their effective implementation of the software purchasing provision of FITARA. These five agencies did this by, for example, establishing a software management team, creating contracts with vendors to centrally manage licenses, and establishing governance processes for software license management.", "USDA employed a centralized software license management approach by establishing a Category Management Team. This team was responsible for the oversight of all software license enterprise agreements, which included collecting, reviewing, consolidating, and reporting on all software procurements. The agency also created Enterprise IT Category Management guidance that supported the central oversight authority for managing enterprise software license agreements. Further, according to USDA officials, management has been supportive in ensuring that all organizations and components join existing enterprise contracts that are already in place.", "USDA\u2019s actions to centralize the management of its software licenses have led to effective agency-wide decisions regarding software purchases that the agency reported have yielded cost savings. For example, the agency identified instances where multiple software contracts at different price points among component agencies could be consolidated into one contract at the lowest price. This resulted in reducing the cost per license for a software product from $250 to $15.75, saving the agency approximately $85,000 between 2016 and 2017, according to USDA documentation.", "VA established an Enterprise Software License Management Team to centralize the management of its efforts to purchase software. According to officials in VA\u2019s Office of Information and Technology, this team consisted of knowledgeable staff that had experience with software management and development, and was familiar with software that was deployed across the entire agency. These officials also stated that the Enterprise Software License Management Team conducted weekly meetings with GSA to discuss software licensing and category management to ensure they were aware of other opportunities for cost savings. VA also established an Enterprise Software Asset Management Technical Working Group that was formed to define and document a framework that employed a centralized software license management approach.", "By centralizing the management of its software licenses, VA has been able to make effective agency-wide decisions regarding the purchase of software products and reported that it has realized cost savings. Specifically, VA provided documentation showing that it had implemented a solution to analyze agency-wide software license data, including usage and costs. The agency identified approximately $65 million in cost savings between 2017 and 2020 due to analyzing one of their software licenses.", "We previously reported that GSA and USAID had centralized the management of their software licenses. We reported that GSA\u2019s server- based and enterprise-wide licenses were managed centrally, whereas non-enterprise-wide workstation software licenses were generally managed regionally. GSA also issued a policy that established procedures for the management of all software licenses, including analyzing software licenses to identify opportunities for consolidation.", "Centralizing the management of its purchase of software licenses has led GSA to make effective agency-wide decisions regarding its software licenses and avoid future costs, according to agency documentation. For example, in fiscal year 2015, the agency consolidated licenses for one of its software products, saving the agency over $400,000 and avoiding over $3 million in future costs.", "For its part, USAID had a contract in place with a vendor for centrally managing licenses for all of its operating units. Further, according to officials within USAID\u2019s Office of the CIO, the agency established a governance process to manage the introduction of new software. As part of this governance process, USAID\u2019s Software and Hardware Approval Request Panel was responsible for reviewing requests to procure new software.", "USAID\u2019s actions on centralizing the management of its software licenses have led to effective agency-wide decisions regarding software purchases that the agency reported have yielded cost savings. For example, USAID identified opportunities to reduce costs on its software licenses through consolidation or elimination of software. This resulted in the agency reporting a cumulative savings from fiscal year 2016 to fiscal year 2018 of over $2.5 million on software licenses.", "NASA issued a software license management policy that included the roles and responsibilities for central management of the agency\u2019s software licenses. In addition, in May 2017, NASA\u2019s Administrator issued a memorandum requiring component agencies to use the agency\u2019s Enterprise License Management Team to manage software licenses.", "By employing a centralized software license management approach, NASA made effective agency-wide decisions on software licenses which the agency reported led to cost avoidance. For example, the agency increased the number of software agreements managed by its enterprise license management team from 24 to 42 in fiscal year 2014, and analyzed its software license data to identify opportunities to reduce costs and make better informed investments moving forward. As a result, NASA reported that it realized cost avoidance of approximately $224 million from fiscal years 2014 through 2018.", "In summary, as a result of applying the practices identified in this review, the selected agencies were better positioned to implement FITARA provisions and realized IT management improvements and cost savings."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We requested comments on a draft of this report from each of the nine agencies included in our review, as well as from OMB. In response, one agency\u2014USAID\u2014provided written comments, which are reprinted in appendix I. Another agency\u2014DHS\u2014provided technical comments, which we incorporated in the report, as appropriate. The other 7 agencies and OMB did not provide comments on the draft report.", "In its comments, USAID described actions that it had taken to enhance the authority of its CIO. Specifically, the agency stated that it had proposed that the CIO report directly to the Administrator and had notified the congressional committees of jurisdiction about this intended action. Further, USAID stated that, as of April 2019, the Administrator would be expected to approve revisions to internal policy to clarify and strengthen the authority of the CIO in line with FITARA and our report.", "We are sending copies of this report to the appropriate congressional committees, the heads of the Departments of Agriculture, Commerce, Health and Human Services, Homeland Security, Justice, and Veterans Affairs; the General Services Administration; the National Aeronautics and Space Administration; the U.S. Agency for International Development; the Director of the Office of Management and Budget; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the US Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Carol C. Harris, (202) 512-4456 or harriscc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Dave Powner (Director), Mark Bird (Assistant Director), Eric Trout (Analyst-in-Charge), Justin Booth, Chris Businsky, Quintin Dorsey, Rebecca Eyler, Dave Hinchman, Valerie Hopkins, Kaelin Kuhn, Sabine Paul, Monica Perez-Nelson, Meredith Raymond, Bradley Roach, Andrew Stavisky, Niti Tandon, Christy Tyson, Adam Vodraska, Kevin Walsh, Jessica Waselkow, and Eric Winter made key contributions to this report."], "subsections": []}]}], "fastfact": ["To reform government-wide information technology management, Congress enacted the Federal Information Technology Acquisition Reform Act (commonly referred to as FITARA) in 2014.", "What practices have federal agencies put in place to implement the law?", "We reviewed nine agencies and found 12 practices officials said helped them to effectively implement one or more of the FITARA provisions.", "For example, five of the agencies said that centralizing the management of software licenses was essential to meeting the software purchasing provision of the law. By doing so, agencies were able to make agency-wide purchasing decisions that saved them money."]} {"id": "GAO-18-554", "url": "https://www.gao.gov/products/GAO-18-554", "title": "Federal Advertising: Contracting with Small Disadvantaged Businesses and Those Owned by Minorities and Women Has Increased in Recent Years", "published_date": "2018-07-17T00:00:00", "released_date": "2018-07-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government spends close to $1 billion annually for advertising activities that, among other things, inform the public about programs and services. The government seeks to provide procurement opportunities for these services to businesses such as SDBs and those owned by minorities and women. SDBs are those primarily owned by one or more socially and economically disadvantaged individuals.", "GAO was asked to analyze federal advertising obligations to these types of businesses. This report discusses (1) the amount federal agencies have obligated towards advertising contracts over the most recent 5 fiscal years (2013 through 2017) and the amount going to SDBs and businesses owned by minorities and women; and (2) the agencies that have directed the most advertising contract obligations to these businesses and how this has changed over time.", "GAO analyzed data on advertising contracts from the Federal Procurement Data System \u2013 Next Generation database for fiscal years 2013 through 2017. GAO also interviewed Small Business Administration officials.", "The Small Business Administration provided technical comments on this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal advertising contract obligations to small disadvantaged businesses (SDB) and businesses of all sizes owned by minorities and women (specified businesses) generally increased from fiscal years 2013 through 2017, and constituted 13 percent of all advertising obligations over this period. This figure is consistent with the percentage of all federal contract obligations to these businesses over this period. Overall, advertising contract obligations to all three categories of businesses increased between fiscal years 2013 and 2017, as shown in the figure below. Within the minority-owned business category, which includes businesses owned by Asian-Pacific-, Subcontinent-Asian-, Black-, Hispanic-, and Native-Americans, over half of the obligations went to those owned by Hispanic-Americans.", "Three agencies\u2014the departments of Defense (DOD), Health and Human Services, and Homeland Security\u2014were responsible for nearly three-quarters of advertising contract obligations to the three categories of businesses from fiscal years 2013 through 2017. These agencies were associated with much of the increase in these obligations to specified businesses over the 5-year period. Although some agencies obligated higher shares of their advertising contract obligations to these businesses, they generally obligated fewer dollars than DOD and the two other agencies. For example, the National Aeronautics and Space Administration directed 98 percent of its obligations to these businesses, but the agency's total advertising contract obligations were $21 million over the 5-year period. DOD obligated $2.6 billion for these contracts over the same period."]}], "report": [{"section_title": "Letter", "paragraphs": ["In recent years, federal spending on advertising contracts has approached $1 billion annually, making the federal government one of the top advertisers in the country. Federal agencies contract with advertising agencies, public relations firms, and other organizations to provide, among other things, information to the public about programs and services. As it does for virtually all of the products and services it procures, the government seeks to provide procurement opportunities to socially and economically disadvantaged small businesses as well as minority- and women-owned businesses. For example, the Small Business Act, as amended, requires federal agencies to, among other things, establish annual goals for contracting with small businesses owned and controlled by socially and economically disadvantaged individuals.", "Given the federal government\u2019s advertising spending and its emphasis on contracting with certain business types, you requested that we report on federal advertising contracts with minority-owned businesses and women- owned businesses, regardless of size, and small disadvantaged businesses (SDB)\u2014which are those that self-identify as an SDB, those that have been certified by the Small Business Administration (SBA) as participants in the agency\u2019s 8(a) businesses development program, or both. We determined (1) the amount federal agencies have obligated on advertising contracts over the most recent five fiscal years (2013 through 2017) and the amount going to these business categories; and (2) the agencies that have directed the most advertising contract obligations to these business categories and how this has changed over time.", "To address both objectives, we analyzed data from the Federal Procurement Data System \u2013 Next Generation (FPDS-NG) database for fiscal years 2013 through 2017. The FPDS-NG database includes data for most federal contract actions that have an estimated value of over $3,500. We reviewed obligations data for contracts coded under the \u201csupport \u2013 management: advertising\u201d or \u201csupport \u2013 management: public relations\u201d product service codes, focusing on those contracts categorized as being awarded to (1) SDBs, 8(a) businesses, or both, (2) businesses owned by minorities and/ or (3) businesses owned by women. Businesses may self-identify in the government\u2019s System for Award Management as an SDB, minority-owned, or women-owned, among other categories. For purposes of this report, we refer to the three categories of businesses we examined as \u201cspecified businesses.\u201d In addition to analyzing FPDS-NG data, we interviewed SBA officials, who are responsible for assessing government-wide and agency contracting with small and other business categories, about their perspectives on trends in federal contracting.", "We assessed the reliability of FPDS-NG data through steps such as considering known strengths and weaknesses based on our past work and looking for obvious errors and inconsistencies in the data we used for our analysis. We also interviewed SBA officials, who use FPDS-NG data in assessing federal contracting, about the database\u2019s reliability. Based on these steps, we concluded that the data were sufficiently reliable for our purposes. Additional details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from October 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal statutes and a number of executive orders reflect the federal government\u2019s policy to encourage the participation of small businesses, including those owned and controlled by socially and economically disadvantaged individuals, in federal contracting. One key statute is the Small Business Act, which established SBA and directed it to aid, counsel, assist, and protect the interests of small business concerns, among other things. The Small Business Act, as amended over the years, as well as executive orders, emphasize the government\u2019s policies on contracting with SDBs and businesses owned by women and minorities.", "The Small Business Act sets a minimum government-wide goal for small business participation of not less than 23 percent of the total value of all prime contracts for each fiscal year and makes SBA responsible for reporting annually to the President and Congress on agencies\u2019 progress in meeting this goal, and making this information available on a public website. SBA reported that the federal government reached this goal for the fifth consecutive year in fiscal year 2017, awarding about 24 percent of total federal contract dollars to small businesses. SBA also negotiates specific goals with agencies to ensure the government-wide goal is met.", "Each agency\u2019s progress toward meeting its goals is generally based on the percentage of obligations on contracts with small businesses."], "subsections": [{"section_title": "Categories of Specified Businesses", "paragraphs": ["The three categories of businesses we examined for this report are small disadvantaged, minority-owned, and women-owned.", "Small disadvantaged business. Because SBA\u2019s 8(a) business development program and SDB criteria are similar, in this report we use the term \u201csmall disadvantaged business\u201d or \u201cSDB\u201d to refer to both categories of businesses. Section 8(a) of the Small Business Act established the 8(a) business development program, which authorizes the SBA to enter into contracts with other agencies and award subcontracts for performing those contracts to firms eligible for program participation. To be certified under the 8(a) program, a business must, in general, satisfy requirements for size, be at least 51 percent unconditionally owned and controlled by one or more socially and economically disadvantaged individuals who are U.S. citizens, and demonstrate potential for success. Similar to the 8(a) program, SDBs are defined as those that are primarily owned and controlled by one or more socially and economically disadvantaged individuals, though there are some differences in criteria for the 8(a) program and SDB classification. For example, businesses in the 8(a) program must demonstrate the potential for success and business principals must demonstrate good character, but the requirements to demonstrate these do not apply to SDB classification. A business\u2019s self-identification as SDB in the federal government\u2019s System for Award Management does not automatically lead to acceptance into SBA\u2019s 8(a) business development program.", "Minority-owned business. Businesses of all sizes that are at least 51 percent owned by one or more members of a minority group may self- identify as minority-owned businesses in the federal government\u2019s System for Award Management. Minority-owned businesses are further broken down into businesses owned by Asian-Pacific-, Subcontinent- Asian-, Black-, Hispanic-, Native-Americans, and other.", "Women-owned business. Businesses of all sizes that are at least 51 percent owned by one or more women and whose management and daily business operations are controlled by one or more women may self- identify as a women-owned business in the System for Award Management.", "These three categories of specified businesses overlap. For example, an SDB may be women-owned and therefore be counted in FPDS-NG as both an SDB and a women-owned business. To avoid double-counting when presenting consolidated data, we counted obligations and businesses classified under more than one category only once."], "subsections": []}, {"section_title": "Federal Advertising Activities", "paragraphs": ["As we have previously reported, there are several types of activities that are supported by federal advertising contracts. Table 1 provides descriptions and examples of some of these activities."], "subsections": []}]}, {"section_title": "Federal Agencies Have on Average Directed 13 Percent of Advertising Contract Obligations to Specified Businesses over the Past 5 Years", "paragraphs": [], "subsections": [{"section_title": "Specified Businesses Generally Received an Increasing Share of Advertising Dollars", "paragraphs": ["Over the past 5 fiscal years (2013 through 2017), federal agencies have obligated on average about $870 million annually for advertising contracts, with about 13 percent (approximately $114 million annually) of these obligations going to specified businesses. This share of advertising contract obligations going to these businesses over fiscal years 2013 through 2017 was consistent with the share of total federal contracting obligations going to these businesses (also on average 13 percent over this period).", "Advertising contract obligations to specified businesses and the number of these businesses receiving advertising contract obligations have both generally increased over fiscal years 2013 through 2017. The amount of advertising contract obligations going to these businesses nearly doubled from fiscal year 2013 to 2017 (from $75 million to $147 million) and also increased as a percent of total advertising contract obligations (from 9 percent of these obligations to 16 percent). Specified businesses also represented an increasing share of businesses receiving advertising contract obligations, from 30 percent (194 businesses) in fiscal year 2013 to 39 percent (250 businesses) in fiscal year 2017. Figure 1 shows advertising contract obligations to specified businesses and the number of these businesses receiving these obligations over fiscal years 2013 through 2017.", "In the 5 years from fiscal year 2013 through 2017, a relatively small number of specified businesses received a relatively large amount of federal advertising contract obligations. For example, the top five businesses received about 40 percent of annual advertising contract obligations to specified businesses over the 5-year period. Consistent with findings from our previous work, obligations were also concentrated among a relatively small number of contracts. Figure 2 shows the distribution of advertising contract obligations among specified businesses, with amounts going to the five largest businesses (in terms of advertising contract obligations received) and all others.", "Federal advertising contract obligations to all three categories of specified businesses generally increased between fiscal years 2013 and 2017, although some years showed decreases. (The amount going to women- owned businesses declined between fiscal years 2014 and 2015 and the amounts going to minority-owned businesses and SDBs declined between fiscal years 2016 and 2017.) The most notable increase over the 5-year timeframe, both in dollars and percentage terms, was in the women-owned category, which increased by $56 million, or 93 percent. Figure 3 shows the amounts obligated to each specified business category, and to the three categories combined. Table 2 in appendix II shows the amounts obligated to each specified business category, in dollars and as a percentage of federal advertising contract obligations, in each of the 5 years.", "SBA officials we interviewed told us that a program they started in 2011, the Women-Owned Small Business Federal Contracting Program, may have accounted for some of the increase in contracting rates with women- owned businesses over the past 5 years. This is because the program aims to help women-owned small businesses have an equal opportunity to participate in federal contracting and to assist agencies in achieving their goals for contracting with women-owned small businesses. The program generally allows women-owned small businesses to compete for set-aside contracts or receive sole source awards in industries where these businesses are underrepresented or substantially underrepresented.", "Changes in advertising contract obligations to specified businesses were in some cases associated with a small number of contracts. For example, the $29 million increase in advertising contract obligations to women- owned businesses between fiscal years 2016 and 2017 was due in large part to two contracts with an advertising agency with combined obligations of about $22 million in fiscal year 2017. In addition, two contracts that had each been classified under both the SDB and minority- owned categories contributed to the decrease in these two categories between fiscal years 2016 and 2017. Obligations to these two contracts declined by about $16 million over this period, a substantial portion of the overall declines in these two categories. (Obligations to SDBs declined by about $23 million; those to minority-owned businesses declined by about $21 million.) Although obligations to the SDB and minority-owned categories decreased from fiscal year 2016 to 2017, the numbers of these businesses receiving advertising contract obligations both increased. The number of SDBs receiving these obligations went from 123 to 134; the number of minority-owned businesses went from 95 to 98.", "Federal agencies are also required to set-aside procurements exclusively for small businesses or businesses in the 8(a) program under certain circumstances, and specific authorities exist to allow award of a contract on a sole source basis to a business in the 8(a) program. However, these authorities were in place prior to fiscal year 2013 and therefore, according to SBA officials, it is unlikely they would have caused a change in contracting activity over the past 5 years.", "As mentioned above, businesses may be classified as more than one category, and thus there is overlap in obligations and contracts among specified business categories. For example, about one-quarter ($147 million) of the $570 million in advertising contract obligations directed to specified businesses over the 5-year period went to businesses classified under all three categories. Figure 4 shows the amount of advertising contract obligations going to each business category and combination of categories."], "subsections": []}, {"section_title": "Over Half of Federal Advertising Contract Obligations to Minority- Owned Businesses Went to Those Owned by Hispanic-Americans", "paragraphs": ["Among the different types of minority-owned businesses, those classified as being owned by Hispanic-Americans received the most obligations (just over half) from federal advertising contracts over fiscal years 2013 through 2017. Figure 5 shows the breakdown of amounts obligated over these fiscal years to minority-owned businesses.", "As with the other specified business categories, advertising obligations to specific minority groups were concentrated among a relatively small number of businesses. For example, advertising contract obligations to one particular Native-American-owned business\u2014for graphic design, print, and other communications services\u2014represented 34 percent of all obligations to Native-American-owned businesses. See table 3 in appendix II for additional details on each business category\u2019s contracts."], "subsections": []}]}, {"section_title": "DOD, DHS, and HHS Directed the Most Advertising Contract Obligations to Specified Businesses, though Other Agencies Directed Greater Percentages of These Obligations to the Businesses", "paragraphs": [], "subsections": [{"section_title": "DOD, DHS, and HHS Were Responsible for Nearly Three-Fourths of Federal Advertising Obligations to Specified Businesses", "paragraphs": ["The departments of Defense (DOD), Homeland Security (DHS), and Health and Human Service (HHS) were responsible for 73 percent of the $570 million of federal advertising contract obligations that went to specified businesses over fiscal years 2013 through 2017. Thirty four other agencies were responsible for the remaining 27 percent of these obligations. Figure 6 shows the breakdown of total federal advertising contract obligations, with the amount of obligations going to specified businesses, and amounts obligated by DOD, HHS, DHS, and all other agencies.", "For each of the 5 years we reviewed, DOD, HHS, and DHS were consistently the top three agencies in terms of the amount of advertising contract obligations they directed to specified businesses. Additionally, all three generally increased the amounts they obligated to these businesses. For example, in fiscal year 2013, these three agencies obligated over 60 percent of all federal advertising contract obligations to specified businesses; in 2017 they accounted for more than 80 percent of these obligations. Figure 7 shows breakdowns of these and all other agencies\u2019 advertising contract obligations to specified businesses.", "Much of the increase in these obligations from year to year is associated with increases in obligations by DOD, DHS, and HHS. For example, advertising contract obligations to these businesses increased by about $37 million between fiscal years 2015 and 2016, with these three agencies responsible for about $22 million, or 60 percent, of the increase.", "DOD, DHS, and HHS are also among the agencies that obligated the most to advertising contracts overall. Together they obligated about $3.4 billion for these types of contracts over the 5-year period, which represents 79 percent of the federal government\u2019s obligations. DOD obligated the most\u2014over $2.6 billion\u2014to advertising contracts over the 5- year period, which accounted for over 60 percent of these obligations over fiscal years 2013 through 2017. Table 4 in appendix II provides more details on the agencies that obligated the most overall for advertising contracts and those that directed the most to specified businesses.", "In our prior report on advertising contract obligations going to small disadvantaged and minority-owned businesses, we highlighted annual obligations data for five agencies. As an update to that analysis, we examined annual advertising contract obligations to the five agencies that obligated the most on advertising contracts over the past 5 years \u2013 DOD, DHS, HHS, and the departments of Transportation (DOT) and Veterans Affairs (VA). Figure 8 illustrates these agencies\u2019 advertising contract obligations and the percent going to specified businesses in each year.", "As shown in the figure above, top-spending agencies\u2019 obligations to specified businesses fluctuated over fiscal years 2013 through 2017.", "DOD. DOD\u2019s obligations to specified businesses increased for most of the fiscal years over the 5-year period, regardless of whether its total advertising obligations increased or decreased. For example, in fiscal year 2016, DOD\u2019s total advertising obligations declined by over $100 million; however, its obligations to specified business categories increased. In fiscal year 2017, DOD obligated the most of any agency to specified businesses.", "HHS. Similarly, HHS, which obligated approximately $151 million to specified businesses, the most of any agency over the 5-year period, also increased its obligations to those businesses regardless of its overall advertising obligations from year to year. For example, from fiscal years 2016 to 2017 HHS\u2019 advertising contract obligations to specified businesses increased from $35 to $37 million, even though they declined as a percentage of its overall advertising contract obligations, going from 65 percent to 57 percent.", "DOT. DOT generally increased its total advertising obligations during the 5-year period from approximately $46 million in 2013 to $57 million in 2017. However, during this time DOT\u2019s obligations to specified businesses generally decreased, from approximately $1.8 million in 2013 to approximately $560,000 in fiscal year 2017.", "DHS. DHS generally increased its total advertising obligations each year of the 5-year period and generally increased its obligations to specified businesses. DHS obligated the third largest amount of money (behind HHS and DOD) to these businesses from fiscal years 2013 through 2017.", "VA. VA has generally decreased its total advertising obligations from approximately $63 million in fiscal year 2013 to approximately $15 million in fiscal year 2017, and its obligations to specified businesses, from approximately $8 million in fiscal year 2013 to approximately $1.3 million in fiscal year 2017.", "Table 5 in appendix II shows the 20 agencies that have obligated the most for advertising contracts over fiscal years 2013 through 2017 and the amounts they directed to specified businesses."], "subsections": []}, {"section_title": "Agencies with Greater Percentages of Advertising Contract Obligations Going to Specified Businesses Generally Obligated Lower Amounts Overall", "paragraphs": ["In several cases agencies directed more than half of their advertising contract obligations to specified businesses, though these agencies in general obligated less to advertising contracts than top-spending agencies. Ten agencies with advertising contract obligations of at least $1 million over fiscal years 2013 through 2017, such as the departments of Justice and Energy, directed at least half of their obligations to specified businesses. With the exception of DHS, which obligated about $200 million for advertising contracts over the 5-year period, these agencies all obligated less than $25 million for advertising contracts over this timeframe. In contrast, DOD directed a relatively small share (5 percent) of its advertising contract obligations to specified businesses, making it 29th out of 37 agencies when ranked according to the percentage of advertising contract obligations going to these businesses. However, because the department obligated a large amount for advertising contracts ($2.6 billion over the 5-year period), it ranked second in terms of the amount obligated to specified businesses.", "Some agencies directed all or nearly all of their advertising contract obligations to specified businesses, but because these agencies\u2019 advertising contract obligations were relatively low, the amounts they directed to these businesses were also relatively low. For example, the Nuclear Regulatory Commission directed all of its federal advertising contract obligations\u2014totaling approximately $1 million\u2014to specified businesses from fiscal years 2013 through 2017. Additionally, the National Aeronautics and Space Administration directed 98 percent of its approximately $21 million in advertising contract obligations to these businesses from 2013 through 2017. Table 6 in appendix II shows the top 20 agencies in terms of share of advertising contract obligations going to these businesses."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the SBA Administrator for comment. SBA provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, SBA, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or nguyentt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to identify and analyze (1) the amount federal agencies have obligated on advertising contracts over the 5 most recent fiscal years (2013 through 2017) and the amount going to small disadvantaged businesses (SDB) and those owned by minorities and women; and (2) the agencies that have directed the most advertising contract obligations to these businesses and how this has changed over time.", "To address both objectives, we analyzed data from the Federal Procurement Data System-Next Generation (FPDS-NG) database for fiscal years 2013 through 2017. This database captures information on the federal government\u2019s contract awards and obligations and includes data for most federal contract actions that have an estimated value of more than $3,500. We reviewed obligations data for contracts coded under the \u201csupport \u2013 management: advertising\u201d or \u201csupport \u2013 management: public relations\u201d product service codes. For reporting purposes, we refer to these two contract types collectively as \u201cadvertising contracts.\u201d Every contract action reported in FPDS-NG is categorized by a product service code to indicate what was purchased. Additionally, contracts reported in FPDS-NG are categorized by a North American Industry Classification System (NAICS) code, which indicates the industry within which the product or service falls. For purposes of this report, we used the product service codes mentioned above to identify advertising contracts because product service codes are assigned at the individual contract or order level. The Small Business Administration (SBA) uses NAICS codes to identify the predominant service or supply on a contract. NAICS codes are an integral element of size standards and the determination whether the business receiving the contract award is a small business.", "In addition to analyzing FPDS-NG data, we interviewed SBA officials responsible for assessing government-wide and agency contracting with small and other business categories about their perspectives on trends in federal contracting.", "We assessed the reliability of these data by considering known strengths and weaknesses of FPDS-NG data, based on our past work and looking for obvious errors and inconsistencies in the data we used for our analysis. We also interviewed SBA officials, who use FPDS-NG data in assessing federal contracting, about the database\u2019s reliability. Based on these steps, we concluded that the data were sufficiently reliable for our purposes.", "We focused our analysis of FPDS-NG data on those advertising contracts categorized as being awarded to (1) SDBs, 8(a) businesses, or both; (2) business owned by minorities and/ or (3) businesses owned by women. SDBs, minority-owned, and women-owned businesses may self-identify in the government\u2019s System for Award Management as these types of businesses. For purposes of this report, we refer to the three categories of businesses we examined as \u201cspecified businesses.\u201d Criteria for certification as an 8(a) business are similar to those for SDB classification, including that businesses be primarily owned by a person or people who are socially and economically disadvantaged. In addition, 8(a) businesses must also demonstrate the potential for success and business principals must demonstrate good character. Because of these similarities, for analysis and reporting purposes we combined 8(a) businesses and SDBs into one group, which we refer to in this report as \u201csmall disadvantaged businesses\u201d or \u201cSDBs.\u201d We interviewed SBA officials to obtain their perspectives on the changes, but did not attempt to identify root causes for changes over the past 5 years, as it was beyond our scope.", "We analyzed FPDS-NG data at the government-wide level to identify overall trends in obligations for advertising contracts and the amounts going to specified business categories. We focused on the amount of advertising contract obligations going to these business categories individually and combined, and examined how these amounts had changed over the past 5 fiscal years. Within the minority-owned business category, we also analyzed the amounts of obligations going to businesses owned by Asian-Pacific-, Subcontinent-Asian-, Black-, Hispanic-, and Native-Americans, and \u201cother minority\u201d owned businesses. Businesses self-identify as these categories in the federal government\u2019s System for Award Management. We also examined data on the number of contracts and businesses receiving obligations through advertising contracts.", "There is overlap among the three specified business categories\u2014SDBs and those owned by minorities and women. For example, a business may be classified as both an SDB and a women-owned business. We accounted for this overlap when calculating and presenting data on the amount of advertising contract obligations going to the three business categories combined so that we did not double or triple count obligations.", "We also analyzed FPDS-NG data on specific agencies\u2019 obligations for advertising contract obligations and the amounts they obligated to specified businesses. We used these data to identify the agencies that ranked highest (in dollars and as a percentage of total advertising contract obligations) in advertising contract obligations to specified businesses. We also examined how agency obligations to these businesses have changed over the past 5 years.", "We conducted this performance audit from October 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Agencies\u2019 Advertising Obligations to Specified Businesses", "paragraphs": ["Table 2 shows the amounts of advertising contract obligations that went to specified businesses over fiscal years 2013 through 2017. As shown, the amounts directed to these business categories generally increased both in dollars and as a percentage of total advertising obligations.", "Specified business categories each received at least $300 million in obligations over fiscal years 2013 through 2017. There were variations in the number of businesses receiving obligations and the concentration of obligations among contractors. Table 3 provides additional details on these characteristics.", "Table 4 below shows the agencies that obligated the most for advertising contracts overall, and those that obligated the most through these contracts to specified businesses.", "Specified businesses are those classified as small disadvantaged businesses (including those that self-identify as small disadvantaged businesses and those that are certified by SBA for the 8(a) business development program); minority-owned businesses; and women-owned businesses. Minority-owned businesses include those categorized as being owned by Asian-Pacific-, Sub-continent-Asian-, Black-, Hispanic-, and Native-Americans, as well as \u201cother minorities.\u201d", "Table 5 shows the 20 agencies that obligated the most for federal advertising contracts over fiscal years 2013 through 2017, with the percentages of these obligations going to specified businesses.", "Specified businesses are those classified as small disadvantaged businesses (including those that self-identify as small disadvantaged businesses, and those that are certified by SBA for the 8(a) business development program); minority-owned businesses; and women-owned businesses. Minority-owned businesses include those categorized as being owned by Asian-Pacific-, Sub-continent-Asian-, Black-, Hispanic-, and Native-Americans, as well as \u201cother minorities.\u201d", "Table 6 shows the 20 agencies that directed the greatest share of these obligations to specified businesses."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["Other GAO staff who made contributions to this report include Carol Henn (Assistant Director); Ann Marie Cortez; Jenny Chanley; Kristine Hassinger; Julia Kennon; Kathleen Padulchick; and Erik Shive."], "subsections": []}]}], "fastfact": ["The federal government is one of the country's largest advertisers, spending nearly $1 billion annually on advertising contracts.", "As it does for virtually all of the products and services it buys, the government seeks to provide procurement opportunities for these contracts to certain socially and economically disadvantaged small businesses and to businesses of any size owned by minorities and women.", "We found the government has generally directed an increasing share of its advertising contract dollars to these businesses, averaging about 13 percent over the past five years."]} {"id": "GAO-18-249", "url": "https://www.gao.gov/products/GAO-18-249", "title": "Committee on Foreign Investment in the United States: Treasury Should Coordinate Assessments of Resources Needed to Address Increased Workload", "published_date": "2018-02-14T00:00:00", "released_date": "2018-03-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States economy has historically been the largest recipient of foreign direct investment in the world\u2014receiving $373 billion in 2016, according to U.S. government statistics. Ensuring that these foreign investments do not harm national security can be a challenge. CFIUS is an interagency group that reviews transactions under its authority\u2014certain foreign acquisitions or mergers of U.S. businesses\u2014to determine their effects on U.S. national security, while maintaining an open investment climate. If CFIUS identifies concerns, it may work with parties to the transaction to mitigate them. In rare cases, CFIUS may recommend that the President block or suspend a transaction.", "GAO was asked to review the CFIUS process and possible changes to that process. This report (1) examines changes in CFIUS's workload and staffing from 2011 through 2016, and (2) provides information on stakeholder views on potential changes to CFIUS. GAO analyzed CFIUS information on staffing levels and transactions reviewed, and interviewed officials from member agencies, selected nonmember agencies that have CFIUS-related expertise, and knowledgeable external experts, such as think tanks."]}, {"section_title": "What GAO Found", "paragraphs": ["states that management should establish the organizational structure necessary to achieve its objectives and periodically evaluate this structure. Treasury\u2014the agency that leads CFIUS\u2014 has not coordinated member agencies' efforts to better understand the staffing levels needed to address the current and future workload associated with core functions of the committee. Without this information, CFIUS may be limited in its ability to fulfill its objectives and address national security concerns.", "Officials from CFIUS member agencies and selected nonmember agencies, as well as external experts, expressed a range of views on the potential benefits and drawbacks to possible changes to CFIUS. GAO organized the possible changes into three categories: (1) altering the structure of CFIUS, (2) redefining which transactions should be considered for CFIUS review, and (3) expanding the factors CFIUS considers when evaluating the impacts of a foreign transaction on national security. Agency officials were generally satisfied with CFIUS' structure, such as the committee's chair and membership. Views among officials and experts varied on redefining which transactions should be considered for review, such as requiring CFIUS to review all transactions covered by its authority regardless of notification. Officials and experts generally did not support expanding the list of national security factors CFIUS considers, such as by adding a net economic benefit test. Agency officials and experts agreed that one trade-off related to some possible changes is a likely increase to the CFIUS workload, which they noted is already straining agencies' staff resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Treasury, as CFIUS lead, should coordinate member agencies' efforts to better understand the staffing levels needed to address the current and projected CFIUS workload associated with core committee functions. Treasury concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States economy has historically been the world\u2019s largest recipient of foreign direct investment, receiving $373.4 billion in 2016, according to the Bureau of Economic Analysis. The Bureau also reported that businesses acquired, established, or expanded by foreign direct investors employed 480,800 workers in the United States that year. Ensuring that these foreign investments do not harm U.S. national security can be a challenge. Concerns have included foreign acquisitions of U.S. companies in traditional sectors, such as semiconductors, and cutting-edge fields, such as artificial intelligence, as well as an increase in the number of acquisitions from certain countries. The Committee on Foreign Investment in the United States (CFIUS) is an interagency committee that reviews certain foreign acquisitions, mergers, or takeovers of U.S. businesses to determine the effect of a transaction on the national security of the United States. Informed by the committee\u2019s review, the President of the United States has the authority to block or suspend a transaction that threatens to impair the national security of the United States. In the wake of concerns about the acquisition of commercial port operations for six U.S. ports by Dubai Ports World\u2014a company based in the United Arab Emirates\u2014Congress passed the Foreign Investment and National Security Act of 2007 (FINSA). The FINSA amendments currently guide the CFIUS review process. Congressional bills have been introduced proposing ways to reform the CFIUS process.", "You asked us to review issues related to the CFIUS process and possible changes to that process. This report (1) examines changes in CFIUS\u2019s workload and staffing from 2011 through 2016, and (2) provides information on stakeholder views on potential changes to CFIUS.", "To address these objectives, we reviewed relevant laws, executive orders, and regulations. We analyzed information on workload and staffing levels to determine the extent to which CFIUS workload and staffing levels have changed from 2011 through 2016, the most recent information available at the time of our review. We also conducted individual semistructured interviews with selected stakeholders, which consisted of officials from the 9 CFIUS voting member agencies, the 2 ex officio nonvoting member agencies, and 3 selected nonmember agencies that have CFIUS case-related expertise, as well as with 16 external experts to collect views and information on the challenges, such as workload, that CFIUS faces, potential changes to address the challenges, and their possible benefits and drawbacks. The information obtained from these stakeholders cannot be generalized across all stakeholders. Appendix I provides more information on our scope and methodology.", "We conducted this performance audit from December 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CFIUS Overview", "paragraphs": ["In 1975, an executive order established CFIUS to monitor the impact of and coordinate U.S. policy on foreign investment in the United States. In 1988, Congress enacted the Exon-Florio amendment adding section 721 to the Defense Production Act of 1950. The amendment authorized the President to investigate the impact of certain foreign acquisitions of U.S. companies on national security and to suspend or prohibit acquisitions that might threaten to impair national security. FINSA further amended the Defense Production Act, established CFIUS as it currently exists, and guides the committee. One of the purposes of FINSA\u2019s enactment was to ensure national security while promoting foreign investment and the creation of U.S. jobs.", "CFIUS reviews transactions involving a large variety of countries and industry sectors to determine if such transactions pose a threat to national security and whether the transactions should be allowed to proceed (for more information on the characteristics of transactions reviewed by CFIUS, see app. II). FINSA does not formally define national security, but provides a number of factors for CFIUS and the President to consider in determining whether a transaction poses a risk. These factors include the potential national security-related effects on U.S. critical technologies and whether the transaction could result in the control of a U.S. business by a foreign government. CFIUS also may consider other factors that it finds appropriate in determining whether a transaction poses a national security risk (for a full list of factors, see app. III).", "Under FINSA, CFIUS is chaired by the Secretary of the Treasury and includes voting members from the Departments of Commerce, Defense, Energy, Homeland Security, Justice, and State; and the Offices of the U.S. Trade Representative, and Science and Technology Policy. In addition, the Office of the Director of National Intelligence (ODNI) and the Department of Labor (DOL) are nonvoting ex officio members. Various other White House offices also observe and, as appropriate, participate in CFIUS activities (see fig. 1). CFIUS may also solicit perspectives and expertise from nonmember agencies, such as the Department of Agriculture, designating them as members for purposes of the review of particular transactions, as appropriate, which can include negotiating or imposing mitigation measures or referring the transaction to the President for decision. The committee, which meets weekly at a staff level, generally has three core functions: (1) review transactions that have been submitted to the committee and take action as necessary to address any national security concerns; (2) monitor and enforce compliance with mitigation measures; and (3) identify transactions of concern that have not been notified to CFIUS for review.", "The Secretary of the Treasury, as the chair of CFIUS, is responsible for a number of tasks. According to Department of the Treasury (Treasury) officials, these tasks, including coordinating operations of the committee, facilitating information collection from parties to a transaction, reviewing and sharing data on mergers and acquisitions with member agencies, and managing CFIUS timeframes, are carried out by Treasury employees specifically staffed to support CFIUS. Treasury also communicates on the committee\u2019s behalf with the parties, members of Congress, and the general public. When necessary, Treasury is responsible for delivering the committee\u2019s recommendation that the President should suspend or prohibit a transaction."], "subsections": []}, {"section_title": "Selecting Transactions for CFIUS Review", "paragraphs": ["In examining covered transactions, CFIUS members seek to identify and address, as appropriate, any national security concerns that arise as a result of the transaction. According to the FINSA amendment, a \u201ccovered\u201d transaction is defined as any merger, acquisition, or takeover by or with any foreign person that could result in foreign control of any person engaged in interstate commerce in the United States. CFIUS reviews \u201cnotices\u201d that have been submitted\u2014or notified\u2014to the committee by parties to transactions. Notices to CFIUS contain information about the nature of the transaction and the parties involved. According to guidance on the Treasury website, with limited exceptions, a transaction receives \u201csafe harbor\u201d when CFIUS has completed its review and determines that the transaction may proceed. According to Treasury officials, safe harbor provides the parties to the transaction some certainty that CFIUS and the President will not subject the transaction to review again.", "FINSA does not require that parties notify CFIUS of a transaction; however, CFIUS may choose to initiate a review of any covered transaction. Transactions that have not been notified to CFIUS for review are known as \u201cnon-notified transactions.\u201d According to member agency officials, Treasury and several other member agencies have processes for identifying non-notified transactions for CFIUS to potentially review. For instance, Treasury staff compile data on mergers and acquisitions and distribute information about potential non-notified transactions to member agencies for review. In addition, according to member agency officials, in 2010, the Federal Bureau of Investigation (FBI) began a working group, now called Project Iceberg, which is responsible for identifying and understanding counterintelligence threats posed by foreign investments that have not been notified to CFIUS. The working group holds monthly meetings that intelligence agencies as well as CFIUS member agencies are invited to attend. In the absence of voluntary reporting by the parties involved or independent discovery of the transaction, it is possible that CFIUS may not review a covered transaction that could pose a risk to national security."], "subsections": []}, {"section_title": "CFIUS Process for Reviewing Notified Transactions", "paragraphs": ["Based on information including FINSA and regulations, the CFIUS process for reviewing transactions that have been notified to the committee comprises up to four stages: pre-notice consultation, national security review, national security investigation, and presidential action. CFIUS reviews each transaction individually, with a focus on the aspects of the transaction that could pose a risk. For each transaction reviewed, the committee identifies agencies with relevant expertise to act as co-lead with Treasury to guide the transaction through the CFIUS process. CFIUS reviews are confidential and protected from public disclosure. A CFIUS review could be concluded when CFIUS members reach consensus about whether the transaction should be allowed to proceed, including on the basis of mitigation, if necessary, or when the parties withdraw their notice, whether for commercial reasons or in light of CFIUS\u2019s national security concerns. Absent one of these conclusions to a CFIUS review, the committee may send the transaction to the President, with a recommendation that the President suspend or prohibit it. See figure 2 for an overview of the steps that comprise the CFIUS process for reviewing selected transactions.", "Before a transaction is reviewed by CFIUS, Treasury may conduct a pre- notice consultation with parties to a notified transaction. Upon request, Treasury and other agencies meet with the parties, provide informal guidance on the CFIUS review process, and may review early drafts of the notice.", "Once the parties have developed the final draft, they submit it to the committee for review. When Treasury, with input from member agencies, determines that the notice of the transaction is complete, the official CFIUS review of the transaction commences.", "CFIUS conducts a national security review of each notified transaction, which includes determining whether it is a covered transaction and developing a national security threat assessment. The national security review lasts up to 30 days and begins the day after Treasury determines the filing is complete and circulates the filing to CFIUS member agencies. At the beginning of the national security review, CFIUS identifies co-lead agencies. According to Treasury officials, typically within the first 10 to 12 days of the national security review, CFIUS develops a \u201ccovered transaction analysis,\u201d which determines whether the transaction is a covered transaction according to FINSA. According to Treasury officials, there typically is consensus among voting members on whether the transaction is a covered transaction. During the national security review, CFIUS also assesses whether there is credible evidence that the foreign party in control of that U.S. business might take action to impair the national security of the United States as well as whether the covered transaction is a foreign government-controlled transaction. Concurrently, ODNI develops a national security threat assessment, with input and support from the intelligence community, to be completed during the first 20 days of the national security review.", "If CFIUS finds that the covered transaction does not present national security risks or that other provisions of law provide adequate and appropriate authority to address the risks, CFIUS may end its review. If CFIUS chooses to conclude its review at this point, CFIUS is to advise the parties in writing that the transaction has been cleared and allowed to proceed. According to information provided by Treasury, CFIUS has historically concluded action on the majority of transactions during or at the end of the 30-day national security review. The committee\u2019s determination must be certified to specified members of Congress after the review is completed. However, if at the end of the national security review, CFIUS has not yet determined that there are no unresolved national security concerns and the committee requires additional time, CFIUS may proceed to a national security investigation, which must be completed within 45 days.", "If, during the 45-day national security investigation, CFIUS identifies an unresolved national security concern, it works with the parties to mitigate, if appropriate, any national security risks that may exist. If an agency identifies an unresolved national security concern, the agency develops an analysis of the potential risks posed by the covered transaction and includes recommendation for action, such as mitigation measures or referral to the President, and shares this analysis with other members of the committee. Mitigation measures may include ensuring that only authorized persons have access to certain technologies, information, or facilities, or providing the U.S. government the right to review certain business decisions and to object if the decisions raise national security concerns. According to Treasury officials, CFIUS member agencies aim for mitigation that would be effective, can be monitored, and would be enforceable. If there is a difference of opinion among CFIUS member agencies about the level or type of mitigation that should be utilized, CFIUS agencies discuss the matters to reach consensus.", "In some cases, parties may choose to withdraw and resubmit the notice. If CFIUS has determined that national security concerns cannot be mitigated, according to Treasury officials, CFIUS typically advises the parties that the committee will refer the matter to the President for decision. According to Treasury officials, parties have the opportunity to withdraw and resubmit the notice if they need additional time to discuss CFIUS\u2019s concerns or to present additional information or mitigation proposals for CFIUS\u2019s consideration. Sometimes parties choose to withdraw and abandon the transaction if, for instance, CFIUS proposes mitigation measures that the parties choose not to accept. Parties may also abandon the transaction for commercial reasons unrelated to the CFIUS review. If parties choose to withdraw and resubmit a transaction, the national security review begins again, and the committee has another 75 days to complete the review of the transaction.", "If CFIUS obtains consensus from committee members that there are no unresolved national security concerns or the national security concerns have been mitigated, the national security investigation ends, and the covered transaction receives safe harbor. Treasury and the co-lead agency send written certification to specified members of Congress that there are no unresolved national security concerns. However, if the committee concludes that a proposed foreign investment threatens to impair the U.S. national security and the threat cannot be mitigated, CFIUS will elevate the notice to the President for determination and CFIUS may recommend that the President suspend or prohibit the transaction. According to Treasury officials, parties may also withdraw their notice at this point rather than have the President decide whether to block the transaction.", "If, at the end of the national security investigation, CFIUS elevates a transaction to the President for determination, the President has 15 days from the completed investigation to decide to prohibit or suspend the acquisition, or to take no action. Only four transactions reviewed by CFIUS have been the subject of a presidential prohibition since the committee was established in 1975."], "subsections": []}]}, {"section_title": "Stakeholders Have Concerns about the Increased CFIUS Workload but Treasury Has Not Coordinated Staffing Level Assessments", "paragraphs": ["CFIUS has experienced an increase in workload in recent years, but Treasury, as CFIUS lead, has not coordinated member agency efforts to better understand staffing levels needed to complete core committee functions. According to CFIUS member agency officials, the volume of transactions notified to the committee and the complexity of CFIUS reviews in terms of technology, transaction structure, and national security concerns have increased substantially from 2011 through 2016, while CFIUS staffing levels have experienced a modest increase during the same time period. Member agency officials stated that CFIUS is able to review all transactions that have been voluntarily notified to the committee. However, many stakeholders, including most member agency officials and several external experts, expressed concerns that CFIUS member agencies were limited in their ability to complete other CFIUS functions, such as identifying non-notified transactions. In addition, agency officials were unsure if they would have sufficient staff if the CFIUS workload were to continue to increase. Standards for Internal Control in the Federal Government states that management should establish the organizational structure necessary to achieve its objectives and periodically evaluate this structure. Treasury has not coordinated member agency efforts to better understand the staffing levels needed to complete the current and future workload associated with core functions of the committee."], "subsections": [{"section_title": "The Volume of Covered Transactions CFIUS Reviewed Increased between 2011 and 2016", "paragraphs": ["Despite figures decreasing in one year, overall, the number of covered transactions that CFIUS reported it reviewed increased from 111 transactions in 2011 to 172 transactions in 2016, or almost 55 percent (see table 1). In 2017, CFIUS reviewed 238 transactions, according to Treasury officials. According to member agency officials, the increased volume of covered transactions resulted in increased work for all CFIUS members, no matter which agency is the co-lead, because each member agency must review each transaction notified to the committee.", "The number of reported covered transactions requiring national security investigations almost doubled during this same period, increasing from 40 transactions in 2011 to 79 transactions in 2016. Treasury officials told us that they estimated that the total number of transactions that proceeded to national security investigations was greater in 2017 than it was in 2016. They said that the increase in the number of covered transactions that require a national security investigation is another indication that the committee\u2019s workload has increased. One Treasury official noted that the number of times that parties withdraw and resubmit transactions can increase the workload of the committee as it must review the transaction each time it is submitted.", "Additionally, the number of reported covered transactions that include mitigation measures has increased. Each year, CFIUS places mitigation measures on a relatively small number of covered transactions. For example, according to Treasury officials, 18 (roughly 10 percent) of 172 transactions the committee reviewed in 2016 resulted in mitigation measures. According to member agency officials, mitigation measures rarely expire; thus, the number of these measures increases over time, as does the accompanying workload for co-lead agencies tasked with overseeing the measures."], "subsections": []}, {"section_title": "The Increased Complexity of CFIUS Reviews Has Increased CFIUS Workload", "paragraphs": ["Officials from CFIUS member agencies stated that the complexity of CFIUS reviews in terms of technology, transaction structure, and national security concerns has increased in recent years. They said that additional time and staff have been required to address this rise in complexity and to complete these reviews. For instance, one member agency official told us that reviews of transactions from parties whose companies use new and emerging technologies, such as artificial intelligence and robotics, typically require input from agency subject matter experts to help the committee understand how, if at all, the acquisition of these technologies by foreign parties could create national security concerns.", "According to member agency officials, the amount of time and number of staff needed to review a transaction can fluctuate greatly based on, among other things, the technology involved. One agency official said that 6 of their employees, on average, are involved in reviewing a less complex transaction, but up to 15 employees may be necessary to complete the review if the technology involved is more complicated. The number of agency staff involved can increase further if senior level management is required to participate in the review. This official also stated that most of the transactions reviewed in the past were from sectors that agency officials were familiar with and involved more predictable issues, but recently, transactions more frequently involved complex technology, which required additional expertise. Officials from another member agency stated that a majority of their staff involved in reviewing transactions do not have CFIUS as a primary duty and that their agency has reallocated resources to address the increased case load. One Treasury official stated that one case was so complex that it required one staff member to dedicate all of their time to its review, and the other responsibilities of this employee had to be shifted to other members of the staff.", "Additionally, according to member agency officials, reviews of transactions involving technologies the government frequently uses have increased, requiring additional time and staff to understand how this technology affects various agencies. For instance, member agency officials said that reviewing transactions involving semiconductors, which are commonly used in an array of products used by the government, typically requires additional time and staff because CFIUS member agencies must understand, among other things, how the approval of a transaction could affect systems across government agencies.", "According to CFIUS member agency officials, the structures of the transactions the committee reviews have also become more complex, requiring more time and staff to assess. For example, business arrangements\u2014such as complex corporate arrangements, joint ventures, loan arrangements, nondisclosure agreements, and memoranda of understanding\u2014may require the work of additional staff. Treasury officials also stated that these arrangements can make it more difficult to determine whether the transaction is covered by CFIUS authorities, as there may be commercial relationships that affect the parties\u2019 decision- making. According to Treasury officials, such arrangements can also increase the complexity of the national security review, as they may create additional \u201cindirect threats\u201d that must also be analyzed.", "Member agency officials explained that it has become more challenging to identify the ultimate beneficial owners\u2014the persons who ultimately own and control a company\u2014due to the structure of the transaction. According to Treasury officials, in certain countries, it can be difficult to distinguish between control by a private entity and control by a state entity due to the various relationships created by the transaction structure. In these cases, CFIUS often requires additional information from the parties in such transactions before the national security review can begin. Member agency officials stated that they had been encountering these arrangements more frequently, and additional time and staff had been required to examine the national security implications of these transactions.", "Finally, the nature of the national security concerns the committee considers has expanded beyond the traditional threats, requiring more time and staff to assess them, according to member agency officials. National security concerns include traditional ones, such as threats to U.S. critical infrastructure. Emerging concerns include the possibility of a foreign entity obtaining access to personally identifiable information that, if disclosed, could be exploited for purposes that have national security consequences or the proximity of property to areas considered sensitive by the U.S. government."], "subsections": []}, {"section_title": "Treasury Has Not Coordinated Assessments of Staffing Levels Needed to Complete CFIUS Core Functions", "paragraphs": ["According to agency officials, the number of staff assigned to CFIUS activities has not kept pace with the increase in covered transactions reviewed by CFIUS. According to one Treasury official, the more an agency is required to act as co-lead, the more time and staff are needed of the agency. After Treasury, which acts as co-lead on every review, the Departments of Defense (DOD), Energy (DOE), and Homeland Security (DHS) acted as co-lead on the largest number of CFIUS reviews in 2016 (see table 2).", "According to information provided by member agency officials, CFIUS saw a modest increase in staff assigned to CFIUS activities since 2011, with Treasury, DOD, DOE, DHS, and State adding a few staff, while staffing levels did not rise at the other member agencies. The total number of staff assigned to CFIUS activities increased from 82 in 2011 to 91 in 2016, an increase of 11 percent. During that same period, covered transactions reviewed by CFIUS increased from 111 transactions in 2011 to 172 transactions in 2016, an increase of almost 55 percent (see fig. 3).", "Member agency officials stated that the number of staff assigned to work on CFIUS activities may fluctuate throughout the year based on the committee\u2019s work. For example, as previously discussed, CFIUS member agencies may rely on experts with other responsibilities throughout each agency to provide assistance with the review as the need arises. For instance, in fiscal year 2016, DOE had four staff dedicated to CFIUS, but one DOE official said he reaches out to relevant subject matter experts, who have other responsibilities, to provide input on transactions within their area of expertise.", "Treasury officials stated that staff have been able to review the number of transactions that have been voluntarily notified to CFIUS to date. One Treasury official said that, despite the increase in the number of transactions reviewed by CFIUS, the committee has almost always provided a determination to the parties within the timeframes required as to whether the covered transaction should be allowed to proceed or blocked by the President. Further, Treasury officials stated that despite staff constraints, CFIUS has, as needed, appropriately mitigated the national security concerns for the transactions the committee has approved.", "However, several member agency officials and external experts expressed concerns that, due to staff constraints, CFIUS member agencies were limited in their ability to complete other CFIUS functions, such as monitoring mitigation measures and identifying non-notified transactions. First, the time and staff necessary to monitor mitigation measures varies. For instance, according to one member agency official, some mitigation measures require daily monitoring from officials, while other mitigation measures require only the review of an annual report submitted by parties to the transaction. Several member agency officials acknowledged that they have fewer staff than they would like to devote to monitoring mitigation measures.", "Second, these member agency officials also said that they are not able to devote the amount of time they would like to the task of identifying non- notified transactions. CFIUS member agencies review data on mergers and acquisitions to identify non-notified transactions of concern, those that have not been notified to CFIUS for review. In recent years, according to agency officials, CFIUS has seen an increase in the number of non-notified transactions CFIUS could potentially review. One official indicated that in 2016, their agency examined 2,683 potential non-notified transactions, an increase of roughly 38 percent from 2014. Member agency officials stated that because non-notified transactions are frequently reviewed after the acquisition has been completed, the process of mitigating potential national security concerns of non-notified transactions can be difficult. Several member agency officials suggested that they would like to devote more time to examining non-notified transactions, but staff constraints limit the amount of time agencies can spend conducting this task.", "Several member agency officials said that they do not know if current staffing levels would be able to address a further increase in CFIUS workload. Treasury officials noted that the volume of transactions reviewed by CFIUS will likely continue to increase. Moreover, congressional bills have been introduced that, if enacted, would alter the CFIUS process. As discussed later in this report, agency officials stated that some of these potential changes would likely further increase CFIUS workload. According to several CFIUS member agency officials, if the CFIUS workload were to increase, additional staff would likely be necessary to complete committee functions, such as identifying non- notified transactions and monitoring mitigation measures. Officials from two member agencies also expressed concerns about their ability to review transactions that have been notified to the committee if the volume of CFIUS notices increased.", "According to Treasury officials, CFIUS does not have a centralized budget, and Treasury does not have authority to determine CFIUS staffing levels at committee member agencies. Treasury officials stated that they have taken steps, in coordination with the Office of Management and Budget (OMB), to collect data from the member agencies on current staffing levels expended on CFIUS core functions but have not established timeframes for this data collection. Standards for Internal Control in the Federal Government states that management should establish the organizational structure necessary to achieve its objectives and periodically evaluate this structure. Treasury officials stated that they have conducted an assessment of Treasury\u2019s staffing needs and have encouraged other agencies to do the same. However, Treasury, as CFIUS lead, has not coordinated member agencies\u2019 efforts to better understand the staffing levels needed to address the current and future CFIUS workload associated with core committee functions, such as identifying and reviewing non-notified transactions. Without this information, CFIUS may be limited in its ability to fulfill its objectives and address threats to the national security of the United States."], "subsections": []}]}, {"section_title": "CFIUS Member Agencies and External Experts Provided Views on Benefits and Drawbacks of Possible Changes to CFIUS", "paragraphs": ["Officials from CFIUS member agencies (voting and nonvoting) and selected nonmember participant agencies, as well as external experts, expressed a range of views on the potential benefits and drawbacks to possible changes to CFIUS. In our interviews with them, these stakeholders discussed a variety of possible changes to CFIUS that we organized into three categories: (1) altering the structure of CFIUS, (2) redefining which merger and acquisition transactions should be considered for CFIUS review, and (3) expanding the list of factors CFIUS considers as it evaluates the impacts of a foreign transaction on national security. For the most part, CFIUS member agencies and nonmember participant agencies stated that the existing structure is working effectively and described drawbacks to potential changes, such as changing membership or voting rights. Perspectives among agency officials and external experts varied on the potential effects of redefining which transactions should be considered for review, such as requiring CFIUS to review all covered transactions. Agency officials and external experts described a range of potential effects of expanding the list of factors CFIUS considers. They generally stated that including a net economic benefit test in the review, for example, would not be beneficial. Many officials and external experts agreed that one potential drawback of many of the possible changes is a likely increase to the CFIUS workload, generating concerns about the committee\u2019s capacity to complete its core functions."], "subsections": [{"section_title": "Agencies Participating in CFIUS Were Generally Satisfied with the Structure of the Committee", "paragraphs": ["In general, officials from member and nonmember agencies participating in CFIUS were satisfied with the structure of the committee. Possible changes, which would affect the way CFIUS is organized and does its work, include changes to the chairmanship of CFIUS, changes to the voting membership of CFIUS (adding new voting members and giving voting rights to current nonvoting members), and changes to the timeframes under which CFIUS works. However, for the most part, CFIUS member agencies and nonmember participant agencies reported that the existing structure works effectively. See tables 3, 4, 5, and 6 for details on the perspectives expressed on these changes."], "subsections": []}, {"section_title": "Perspectives Varied on the Effects of Changes to the Types of Transactions to Be Considered for CFIUS Review", "paragraphs": ["Member agency officials and external experts offered a range of views about the effects of changes to the types of transactions reviewed by CFIUS. Possible changes, which would affect which merger and acquisition transactions would be considered for CFIUS review, include changes to the definition of a covered transaction and changing the voluntary notification process to make review of all or some covered transactions mandatory. Stakeholders we spoke with identified benefits and drawbacks to each of these changes. Many stakeholders agreed that one potential drawback of these possible changes is a likely increase to the CFIUS workload. See tables 7, 8, and 9 for details on the perspectives expressed."], "subsections": []}, {"section_title": "Most Stakeholders Were Satisfied with the Factors CFIUS Currently Considers in Reviewing Foreign Transactions", "paragraphs": ["Member agency officials and external experts were generally satisfied with the list of factors CFIUS currently considers when it reviews foreign transactions and offered a variety of opinions on the effects of changes to them. Possible changes include expanding the statutory national security factors to be considered and introducing an economic impact assessment. Stakeholders we spoke with identified benefits and drawbacks to each of these changes. See tables 10 and 11 for details on the perspectives expressed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The United States maintains an open investment climate that recognizes the benefits of foreign investment to its economy. CFIUS reviews certain foreign acquisitions, mergers, or takeovers of U.S. businesses to determine the effect of the transaction on the national security of the United States. The increased number of covered transactions notified to CFIUS and the complexity of these cases compared with the modest increase in the number of people assigned to reviewing them have, according to member agency officials, taxed the staff of CFIUS member agencies. Member agency officials and external experts have expressed particular concern that CFIUS member agencies were limited in their ability to complete core functions, such as identifying non-notified transactions and monitoring mitigation measures. At the same time, congressional bills have been introduced proposing changes to FINSA that could increase the committee\u2019s workload. Officials from Treasury and other member agencies are aware of pressures on their CFIUS staff given the current workload and have expressed concerns about possible workload increases. Treasury and OMB have begun to collect information from agencies on their current CFIUS staffing levels. This is a crucial first step that could facilitate a better understanding for both the committee and Congress of the current staffing levels across the committee\u2019s organizational structure. However, Treasury, as CFIUS lead, has not coordinated member agency efforts to assess the current and future staffing levels needed to complete the committee\u2019s core functions. Without attaining an understanding of the staffing levels needed to address the current and future CFIUS workload, particularly if legislative changes to CFIUS\u2019s authorities further expand its workload, CFIUS may be limited in its ability to fulfill its objectives and address threats to the national security of the United States."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of the Treasury, as the chair of CFIUS, and working with member agencies, should coordinate member agencies\u2019 efforts to better understand the staffing levels needed to address the current and projected CFIUS workload associated with core committee functions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Agriculture, Commerce, Defense, Energy, Health and Human Services, Homeland Security, Justice, Labor, State, and the Treasury as well as the Offices of the U.S. Trade Representative, Science and Technology Policy, and the Director of National Intelligence, and the Federal Communications Commission. We also provided a draft to the Office of Management and Budget.", "Treasury provided written comments, which are reproduced in appendix V. In its comments, Treasury stated that it is working with OMB to determine current resource levels across the CFIUS member agencies and has encouraged agencies to assess their staffing needs. Treasury also stated that it generally concurred with the draft report\u2019s recommendation to \u201cconduct an assessment to better understand staffing levels needed to address the current and projected CFIUS workload.\u201d However, Treasury noted that CFIUS does not have a centralized budget, and Treasury does not have the authority over CFIUS staffing levels at member agencies. We acknowledge Treasury\u2019s points and, therefore, we modified the report and clarified the recommendation to focus on Treasury\u2019s coordination role, since, as we note in the report, Treasury is responsible for coordinating the operations of the committee and communicating on the committee\u2019s behalf with the parties, members of Congress, and the general public. Treasury stated in an email that the clarifications to the recommendation address the point raised in its comment letter.", "USDA also provided written comments, reproduced in appendix VI. In its comments, USDA stated that it generally agreed with the findings in GAO\u2019s draft report. The letter further noted that USDA is satisfied with Treasury\u2019s willingness to include USDA in cases related to food and agriculture and is comfortable continuing to work as a non-voting member of CFIUS.", "The Departments of Commerce, Homeland Security, State, Treasury, and the Offices of the U.S. Trade Representative and Science and Technology Policy provided written technical comments, which we incorporated as appropriate.", "The Departments of Defense, Energy, Health and Human Services, Justice, Labor, the Office of the Director of National Intelligence, and the Federal Communications Commission indicated via email that they did not have comments.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Departments of Agriculture, Commerce, Defense, Energy, Health and Human Services, Homeland Security, Justice, Labor, State, and the Treasury as well as the Offices of the U.S. Trade Representative, Science and Technology Policy, and the Director of National Intelligence, and the Federal Communications Commission. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact Kimberly Gianopoulos at (202) 512-8612 or gianopoulosk@gao.gov or Marie A. Mak at (202) 512-2527 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) examines changes in the Committee on Foreign Investment in the United States\u2019 (CFIUS) workload and staffing from 2011 through 2016, and (2) provides information on stakeholder views on potential changes to CFIUS.", "To address these objectives, we reviewed relevant laws, executive orders, and regulations. We interviewed officials from each CFIUS voting member agency, including the Departments of Commerce, Defense, Energy, Homeland Security, Justice, State, and the Treasury as well as the Offices of the U.S. Trade Representative and Science and Technology Policy. We also interviewed officials from the two nonvoting ex officio members, the Office of the Director of National Intelligence and the Department of Labor. In addition, we interviewed officials from nonmember agencies that have CFIUS case-related expertise, including the Departments of Agriculture and Health and Human Services, and the Federal Communications Commission.", "To examine the changes in CFIUS workload and staffing levels over the past 5 years, we analyzed information on workload and staffing levels at the voting member agencies from 2011 through 2016, the most recent information available at the time of our review. We also reviewed the 2014 and 2015 CFIUS annual reports. In addition, we interviewed officials from the nine CFIUS voting member agencies about their workload and staffing levels; any changes in the volume, types, and complexity of transactions reviewed by CFIUS; and their ability to complete the core functions of the committee. We requested information from the 9 CFIUS voting member agencies on the number of staff assigned to CFIUS more than 50 percent of their time.", "To collect information on stakeholder views on potential changes to CFIUS, we conducted individual semi-structured interviews with selected stakeholders, which consisted of officials from the nine CFIUS voting member agencies, the two ex officio nonvoting member agencies, and three selected nonmember agencies that have CFIUS case-related expertise, as well as with external experts. To identify external experts, we asked stakeholders to recommend other stakeholders we should speak with (i.e., snowball sampling). From our list of potential stakeholders, we selected 16 external experts, including former government officials, lawyers who represent parties with transactions notified to CFIUS, and representatives from industry associations and think tanks. In our interviews, we collected views and information on the challenges that CFIUS faces, options for addressing the challenges, and the possible benefits and drawbacks of these options. The information obtained from these stakeholders cannot be generalized across all stakeholders; however, these stakeholders provided insights into the possible effects of implementing certain changes to CFIUS.", "We conducted this performance audit from December 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Characteristics of Transactions Reviewed by the Committee on Foreign Investment in the United States (CFIUS)", "paragraphs": ["Appendix II: Characteristics of Transactions Reviewed by the Committee on Foreign Investment in the United States (CFIUS)", "CFIUS reviews covered transactions from a large variety of industries, but the largest number of transactions reviewed come from the manufacturing sector. In 2016, the manufacturing sector represented approximately 42 percent of the 172 covered transactions reviewed by CFIUS and, in recent years, the number of transactions reviewed from that sector has increased from 49 transactions in 2011 to approximately 72 transactions in 2016. Computer and electronic transactions, such as those by companies that produce semiconductor technology, accounted for approximately 32 of the 72 covered transactions from the manufacturing sector that CFIUS reviewed in 2016. For instance, in 2016, CFIUS reviewed the potential acquisition of Aixtron, a Germany-based semiconductor firm with assets in the United States, by the Chinese firm Fujian Grand Chip Investment Fund. That year, the President chose to prohibit the acquisition of the U.S. business of Aixtron upon determining that the foreign purchasers might take action that threatens to impair the national security of the United States in exercising control of the U.S. business of Aixtron. Treasury, as the chair of CFIUS, stated in a press release that the national security risks posed by the transaction related to, among other things, a Chinese firm obtaining the company\u2019s body of knowledge and experience.", "Transactions from the manufacturing sector involve a variety of other industries, including textiles, chemicals, and food manufacturing. For example, in 2013, according to a report from the U.S.-China Economic and Security Review Commission, CFIUS reviewed the acquisition of Smithfield Foods Inc., for $7.1 billion, by China\u2019s Shuanghui International Holdings Ltd. A letter submitted by members of the Senate Agriculture Committee raised concerns that the transaction posed a threat to the nation\u2019s food security; however, according to Security and Exchange Commission filings, CFIUS ultimately completed its investigation and cleared the transaction to proceed.", "Acquisitions by Chinese-owned companies accounted for the largest number of covered transactions reviewed by CFIUS from 2014 through 2016. According to CFIUS, the number of covered transactions the committee reviewed from China has increased substantially in recent years, from 10 transactions in 2011 to 67 in 2016. In previous years, companies from the United Kingdom were party to the largest share of covered transactions submitted for CFIUS review; however, from 2013 through 2015, parties from the United Kingdom and Canada submitted the second and third largest number of notices. Forty-four percent of all covered transactions reviewed by the committee during this time period involved companies from China, the United Kingdom, or Canada."], "subsections": []}, {"section_title": "Appendix III: Factors to Determine Whether Submitted Transactions Pose a National Security Risk", "paragraphs": ["Appendix III: Factors to Determine Whether Submitted Transactions Pose a National Security Risk The potential effects of the transaction on the domestic production needed for projected national defense requirements. The potential effects of the transaction on the capability and capacity of domestic industries to meet national defense requirements, including the availability of human resources, products, technology, materials, and other supplies. The potential effects of a foreign person\u2019s control of domestic industries and commercial activity on the capability and capacity of the United States to meet the requirements of national security. The potential effects of the transaction on U.S. international technological leadership in areas affecting U.S. national security. The potential national security-related effects on U.S. critical technologies. The potential effects on the long-term projection of U.S. requirements for sources of energy and other critical resources and material. The potential national security-related effects of the transaction on U.S. critical infrastructure, including critical physical infrastructure such as major energy assets. The potential effects of the transaction on the sales of military goods, equipment, or technology to countries that present concerns related to terrorism; missile proliferation; chemical, biological, or nuclear weapons proliferation; or regional military threats. The potential that the transaction presents for transshipment or diversion of technologies with military applications, including the relevant country\u2019s export control system.", "Whether the transaction could result in the control of a U.S. business by a foreign government or by an entity controlled by or acting on behalf of a foreign government. The relevant foreign country\u2019s record of adherence to nonproliferation control regimes and record of cooperating with U.S. counterterrorism efforts.", "Other factors that the President or the committee may determine to be appropriate, generally or in connection with a specific review or investigation."], "subsections": []}, {"section_title": "Appendix IV: Reported Number of Agency Staff Assigned to Committee Activities", "paragraphs": ["Department of the Treasury (Chair)"], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": ["Kimberly M. Gianopoulos, (202) 512-8612 or gianopoulosk@gao.gov. Marie A. Mak, (202) 512-4841 or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Christine Broderick (Assistant Director), Christina Werth (Analyst-in-Charge), Anthony Costulas, Scott Purdy, Kendal Robinson, Lynn Cothern, Grace Lui, Justin Fisher, and Neil Doherty contributed to this report."], "subsections": []}]}], "fastfact": ["Foreign investments in U.S. companies can benefit the economy, but could pose risks to national security.", "The Committee on Foreign Investment in the United States (CFIUS) reviews certain foreign acquisitions and mergers and can work with the parties involved to mitigate national security risks or block transactions.", "The committee reviewed over 50% more transactions in 2016 than in 2011. We recommended assessing staffing needs to address the concern that increased workload could limit the committee's effectiveness.", "We also asked stakeholders about potential changes to the committee's structure and priorities. Their views varied widely."]} {"id": "GAO-18-703T", "url": "https://www.gao.gov/products/GAO-18-703T", "title": "Information Technology: SSA Has Improved Acquisitions and Operations, but Needs to Fully Address the Role of Its Chief Information Officer", "published_date": "2018-09-27T00:00:00", "released_date": "2018-09-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SSA delivers services that touch the lives of almost every American, and relies heavily on IT resources to do so. Its systems support a range of activities, such as processing Disability Insurance payments, to calculating and withholding Medicare premiums, and issuing Social Security numbers and cards. For fiscal year 2018, the agency planned to spend approximately $1.6 billion on IT.", "GAO has previously reported that federal IT projects have often failed, in part, due to a lack of oversight and governance. Given the challenges that federal agencies, including SSA, have encountered in managing IT acquisitions, Congress and the administration have taken steps to improve federal IT, including enacting federal IT acquisition reform legislation and issuing related guidance.", "This statement summarizes GAO's previously reported findings regarding SSA's management of IT acquisitions and operations. In developing this testimony, GAO summarized findings from its reports issued in 2011 through 2018, and information on SSA's actions in response to GAO's recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Social Security Administration (SSA) has improved its management of information technology (IT) acquisitions and operations by addressing 14 of the 15 recommendations that GAO has made to the agency. For example,", "Incremental development . The Office of Management and Budget (OMB) has emphasized the need for agencies to deliver IT investments in smaller increments to reduce risk and deliver capabilities more quickly. In November 2017, GAO reported that agencies, including SSA, needed to improve their certification of incremental development. As a result, GAO recommended that SSA's CIO (1) report incremental development information accurately, and (2) update its incremental development policy and processes. SSA implemented both recommendations.", "Software licenses . Effective management of software licenses can help avoid purchasing too many licenses that result in unused software. In May 2014, GAO reported that most agencies, including SSA, lacked comprehensive software license policies. As a result, GAO made six recommendations to SSA, to include developing a comprehensive software licenses policy and inventory. SSA implemented all six recommendations.", "However, SSA's IT management policies have not fully addressed the role of its CIO. Various laws and related guidance assign IT management responsibilities to CIOs in six key areas. In August 2018, GAO reported that SSA had fully addressed the role of the CIO in one of the six areas (see table). Specifically, SSA's policies fully addressed the CIO's role in the IT leadership and accountability area by requiring the CIO to report directly to the agency head, among other things.", "In contrast, SSA's policies did not address or minimally addressed the IT workforce and IT strategic planning areas. For example, SSA's policies did not include requirements for the CIO to annually assess the extent to which personnel meet IT management skill requirements or to measure how well IT supports agency programs. GAO recommended that SSA address the weaknesses in the remaining five key areas. SSA agreed with GAO's recommendation and stated that the agency plans to implement the recommendation by the end of this month."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made 15 recommendations to SSA to improve its management of IT acquisitions and operations from 2011 through 2018, and 1 recommendation to improve its CIO policies. While SSA has implemented nearly all of them, it would be better positioned to overcome longstanding IT management challenges when it addresses the CIO's role in its policies."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to participate in your hearing on the Social Security Administration\u2019s (SSA) management of information technology (IT) and the authorities of its chief information officer (CIO). SSA is responsible for delivering services that touch the lives of almost every American, and the agency extensively relies on IT resources to do so. Its computerized information systems support a wide range of activities\u2014 from processing Disability Insurance and Supplemental Security Income payments to calculating and withholding Medicare premiums and issuing Social Security numbers and cards. For fiscal year 2018, the agency plans to spend approximately $1.6 billion on hardware and software, computer maintenance, and contractor support, among other things.", "We have previously reported that federal IT projects have often failed, in part, due to a lack of oversight and governance. Executive-level governance and oversight across the government has often been ineffective, in particular from CIOs. For example, our work has found that some CIOs do not have the authority to review and approve the entire agency IT portfolio.", "Given the challenges that federal agencies, including SSA, have long encountered in managing IT, in December 2014, Congress enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA). This law was intended to improve agencies\u2019 acquisitions and enable Congress to hold agencies accountable for reducing duplication and achieving cost savings. Among other things, the law requires agency action to consolidate federal data centers, ensure adequate implementation of incremental development, review and approve IT acquisitions, purchase software government-wide, and enhance agency CIO authority.", "In February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas for the federal government. In February 2017, we issued an update to our high-risk report and noted that, while progress has been made in addressing the high-risk area of IT acquisitions and operations, significant work remained to be completed. To address these shortcomings, we have made numerous recommendations aimed at improving federal IT acquisitions and operations.", "At your request, my testimony today summarizes our previously reported findings regarding SSA\u2019s management of IT acquisitions and operations and the authorities of its CIO. In developing this testimony, we relied on reports that we previously issued between July 2011 and August 2018, which discussed various aspects of the agency\u2019s IT management. These reports, cited throughout this statement, include detailed information on the scope and methodology of our prior reviews. We also incorporated information on SSA\u2019s actions in response to recommendations we made in our previous reports.", "We conducted the work upon which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["SSA\u2019s mission is to deliver Social Security services that meet the changing needs of the public. The Social Security Act and amendments established three programs that the agency administers:", "Old-Age and Survivors Insurance provides monthly retirement and survivors benefits to retired and disabled workers, their spouses and their children, and the survivors of insured workers who have died. SSA has estimated that, in fiscal year 2019, $892 billion in old-age and survivors insurance benefits are expected to be paid to a monthly average of approximately 54 million beneficiaries.", "Disability Insurance provides monthly benefits to disabled workers and their spouses and children. The agency estimates that, in fiscal year 2019, a total of approximately $149 billion in disability insurance benefits will be paid to a monthly average of about 10 million eligible workers.", "Supplemental Security Income is a needs-based program financed from general tax revenues that provides benefits to aged adults, blind or disabled adults, and children with limited income and resources. For fiscal year 2019, SSA estimates that nearly $59 billion in federal benefits and state supplementary payments will be made to a monthly average of approximately 8 million recipients."], "subsections": [{"section_title": "SSA Relies Extensively on IT", "paragraphs": ["SSA relies heavily on its IT resources to support the administration of its programs and related activities. For example, its systems are used to handle millions of transactions on the agency\u2019s website, maintain records for the millions of beneficiaries and recipients of its programs, and evaluate evidence and make determinations of eligibility for benefits. According to the agency\u2019s most recent Information Resources Strategic Plan, its systems supported the processing of an average daily volume of about 185 million individual transactions in fiscal year 2015.", "SSA\u2019s Office of the Deputy Commissioner for Systems is responsible for developing, overseeing, and maintaining the agency\u2019s IT systems.", "Comprised of approximately 3,800 staff, the office is headed by the Deputy Commissioner, who also serves as the agency\u2019s CIO."], "subsections": []}, {"section_title": "SSA Has a History of Unsuccessful IT Management", "paragraphs": ["SSA has long been challenged in its management of IT. As a result, we have previously issued a number of reports highlighting various weaknesses in the agency\u2019s system development practices, governance, requirements management, and strategic planning, among other areas. Collectively, our reports stressed the need for the agency to strengthen its IT management controls.", "In 2016, we reported that SSA\u2019s acting commissioner had stated that the agency\u2019s aging IT infrastructure was not sustainable because it was increasingly difficult and expensive to maintain. Accordingly, the agency requested $132 million in its fiscal year 2019 budget to modernize its IT environment. As reflected in the budget, these modernization efforts are expected to include projects such as updating database designs by converting them to relational databases, eliminating the use of outdated code, and upgrading infrastructure.", "Among the agency\u2019s priority IT spending initiatives in the budget is its Disability Case Processing System, which has been under development since December 2010. This system is intended to replace the 52 disparate Disability Determination Services\u2019 component systems and associated processes with a modern, common case processing system. According to SSA, the new system is to modernize the entire claims process, including case processing, correspondence, and workload management.", "However, SSA has reported substantial difficulty in the agency\u2019s ability to carry out this initiative, citing software quality and poor system performance as issues. Consequently, in June 2016, the Office of Management and Budget (OMB) placed the initiative on its government- wide list of 10 high-priority programs requiring attention."], "subsections": []}, {"section_title": "Congress and the Administration Have Undertaken Efforts to Improve Federal IT", "paragraphs": ["As previously mentioned, Congress enacted federal IT acquisition reform legislation (commonly referred to as FITARA) in December 2014. This legislation was intended to improve agencies\u2019 acquisitions of IT and enable Congress to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. It includes specific requirements related to seven areas: (1) agency CIO authority enhancements, (2) federal data center consolidation initiative, (3) enhanced transparency and improved risk management, (4) portfolio review, (5) IT acquisition cadres, (6) government-wide software purchasing program, and (7) the Federal Strategic Sourcing Initiative.", "In June 2015, OMB released guidance describing how agencies are to implement FITARA. The guidance identifies a number of actions that agencies are to take to establish a basic set of roles and responsibilities (referred to as the common baseline) for CIOs and other senior agency officials and, thus, to implement the authorities described in the law.", "More recently, on May 15, 2018, the President signed Executive Order 13833, Enhancing the Effectiveness of Agency Chief Information Officers. Among other things, this executive order is intended to better position agencies to modernize their technology, execute IT programs more efficiently, and reduce cybersecurity risks. The order pertains to 22 of the 24 Chief Financial Officers Act agencies; the Department of Defense and the Nuclear Regulatory Commission are exempt.", "For the covered agencies, including SSA, the executive order strengthens the role of the CIO by, among other things, requiring the CIO to report directly to the agency head; to serve as the agency head\u2019s primary IT strategic advisor; and to have a significant role in all management, governance, and oversight processes related to IT. In addition, one of the cybersecurity requirements directs agencies to ensure that the CIO works closely with an integrated team of senior executives, including those with expertise in IT, security, and privacy, to implement appropriate risk management measures.", "In June 2018, we issued a report that examined the cybersecurity workforce of the government. We noted that most of the 24 agencies we examined had developed baseline assessments to identify cybersecurity personnel within their agencies that held certifications, but the results were potentially unreliable. However, SSA\u2019s baseline was found to be reliable because it addressed all of the reportable information, such as the extent to which personnel without professional certifications were ready to obtain them or strategies for mitigating any gaps. Further, we found that most of the 24 agencies had established procedures to assign cybersecurity codes to positions, including SSA. We also have ongoing work at SSA, including reviewing its cybersecurity workforce; standardized approach to security assessment, authorization, and continuous monitoring; cybersecurity strategy; and intrusion detection and prevention capabilities.", "From July 2011 through January 2018, we issued a number of reports that addressed specific weaknesses in SSA\u2019s management of IT acquisitions and operations and in the role of its CIO. These reports included 15 recommendations aimed at improving the agency\u2019s efforts with regard to data center consolidation, incremental development, IT acquisitions, and software licenses. We also made a recommendation to SSA to address weaknesses related to the role of the CIO in key management areas."], "subsections": []}]}, {"section_title": "SSA Has Improved the Management of Selected Areas of IT Acquisitions and Operations, but Has Not Fully Addressed the Role of Its CIO", "paragraphs": ["SSA has taken steps to improve its management of IT acquisitions and operations by addressing 14 of the 15 recommendations that we previously directed to the agency regarding data center consolidation, incremental development, IT acquisitions, and software licenses.", "Data center consolidation. OMB established the Federal Data Center Consolidation Initiative in February 2010 to improve the efficiency, performance, and environmental footprint of federal data center activities. The enactment of FITARA in 2014 codified and expanded the initiative. In addition, pursuant to FITARA, in August 2016, the Federal CIO issued a memorandum that announced the Data Center Optimization Initiative as a successor effort to the Federal Data Center Consolidation Initiative. Further, in August 2016, OMB released guidance which established the Data Center Optimization Initiative and included instructions on how to implement the date center consolidation and optimization provisions of FITARA. Among other things, the guidance required agencies to consolidate inefficient infrastructure, optimize existing facilities, improve their security posture, and achieve cost savings.", "In addition, the guidance directed agencies to develop a data center consolidation and optimization strategic plan that defines the agency\u2019s data center strategy for fiscal years 2016, 2017, and 2018. This strategy is to include, among other things, a statement from the agency CIO indicating whether the agency has complied with all data center reporting requirements in FITARA. Further, the guidance indicates that OMB is to maintain a public dashboard to display consolidation-related cost savings and optimization performance information for the agencies.", "In a series of reports that we issued from July 2011 through August 2017, we noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in agencies\u2019 data center consolidation plans and data center optimization efforts. Specifically with regard to SSA, in 2011, we reported that the agency had an incomplete consolidation plan and inventory of IT assets. In 2016, we reported that SSA did not meet any of the seven applicable data center optimization targets, as required by OMB. In addition, in 2017, we reported that the agency had an incomplete data center optimization plan. We stressed that until SSA completed these required activities, it might not be able to consolidate data centers, as required, and realize expected savings.", "We made a total of four recommendations to SSA in our 2011, 2016, and 2017 reports to help improve the agency\u2019s reporting of data center-related cost savings and to achieve data center optimization targets. As of September 2018, SSA had implemented all four recommendations. Consequently, the agency is better positioned to improve the efficiency of its data centers and achieve cost savings.", "In addition, we reported in May 2018 that the agencies participating in the Data Center Optimization Initiative had communicated mixed progress toward achieving OMB\u2019s goals for closing data centers by September 2018. With regard to SSA, we noted that the agency had not yet achieved its planned savings but that its data centers were among the most optimized that we reviewed. In particular, while SSA reported that it planned to save $1.08 million on its data center initiative from 2016 through 2018, it had not achieved any of those savings. However, the agency reported having met the goal of closing 25 percent of its tiered data centers.", "Further, SSA reported the most progress among the 22 applicable agencies in meeting OMB\u2019s data center optimization targets. Specifically, SSA reported that it had met four of the five targets. (One other agency reported that it had met three targets, 6 agencies reported having met either one or two targets, and 14 agencies reported meeting none of the targets). Consequently, we did not make any additional recommendations to SSA in our May 2018 report. We also have ongoing work involving SSA related to agencies\u2019 progress on closing data center and achieving optimization targets.", "Incremental development. OMB has emphasized the need to deliver investments in smaller parts, or increments, in order to reduce risk, deliver capabilities more quickly, and facilitate the adoption of emerging technologies. In 2010, it called for agencies\u2019 major investments to deliver functionality every 12 months and, since 2012, every 6 months. Subsequently, FITARA codified a requirement that covered agency CIOs certify that IT investments are adequately implementing incremental development, as defined in the capital planning guidance issued by OMB. Further, subsequent OMB guidance on the law\u2019s implementation, issued in June 2015, directed agency CIOs to define processes and policies for their agencies to ensure that they certify that IT resources are adequately implementing incremental development.", "In November 2017, we reported that 21 agencies, including SSA, needed to improve their certification of incremental development. We pointed out that, as of August 2016, agencies had reported that 103 of 166 major IT software development investments (62 percent) were certified by the agency CIO for implementing adequate incremental development in fiscal year 2017, as required by FITARA.", "With regard to SSA, we noted that only 3 of the agency\u2019s 10 investments primarily in development had been certified by the agency CIO as using adequate incremental development, as required by FITARA. In addition, we noted that SSA\u2019s incremental development certification policy did not describe the CIO\u2019s role in the certification process or how CIO certification would be documented. However, accurate agency CIO certification of the use of adequate incremental development for major IT investments is critical to ensuring that agencies are making the best effort possible to create IT systems that add value while reducing the risks associated with low-value and wasteful investments.", "As a result of these findings, we recommended that SSA ensure that its CIO (1) reports major IT investment information related to incremental development accurately, in accordance with OMB guidance; and (2) updates the agency\u2019s policy and processes for the certification of incremental development and confirm that the policy includes a description of how the CIO certification will be documented. SSA agreed with our recommendations and implemented both of them. Thus, the agency should be better positioned to realize the benefits of incremental development practices, such as reducing investment risk, delivering capabilities more rapidly, and permitting easier adoption of emerging technologies.", "IT acquisitions. FITARA includes a provision to enhance covered agency CIOs\u2019 authority through, among other things, requiring agency heads to ensure that CIOs review and approve IT contracts. OMB\u2019s FITARA implementation guidance expanded upon this aspect of the legislation in a number of ways. Specifically, according to the guidance, CIOs may review and approve IT acquisition strategies and plans, rather than individual IT contracts, and CIOs can designate other agency officials to act as their representatives.", "In January 2018, we reported that most of the CIOs at 22 selected agencies, including SSA, were not adequately involved in reviewing and approving billions of dollars of IT acquisitions. In particular, we found that SSA\u2019s process to identify IT acquisitions for CIO review did not involve the acquisition office, as required by OMB. In addition, we noted that SSA had a CIO review and approval process in place that fully satisfied the requirements set forth in OMB\u2019s guidance. However, while SSA provided evidence of the CIO\u2019s review of most of the IT contracts we examined, the agency had not ensured that the CIO or a designee reviewed and approved each IT acquisition plan or strategy. Specifically, of 10 randomly selected IT contracts that we examined at SSA, 7 acquisitions associated with those contracts had been reviewed and approved, as required by OMB.", "We pointed out that, until SSA ensured that its CIO or designee reviewed and approved all IT acquisitions, the agency would have limited visibility and input into its planned IT expenditures and would not be effectively positioned to benefit from the increased authority that FITARA\u2019s contract approval provision is intended to provide.", "Further, the agency could miss an opportunity to strengthen the CIO\u2019s authority and the oversight of IT acquisitions\u2014thus, increasing the potential to award IT contracts that are duplicative, wasteful, or poorly conceived.", "Accordingly, we made three recommendations to SSA to address these weaknesses. As of September 2018, the agency had made progress by implementing two of the recommendations: to ensure that (1) the acquisition office is involved in identifying IT acquisitions and (2) the CIO or designee reviews and approves IT acquisitions according to OMB guidance. By taking these actions, SSA should be better positioned to properly identify and provide oversight of IT acquisitions.", "However, SSA has not yet implemented our third recommendation that it issue guidance to assist in the identification of IT acquisitions. SSA stated that, in September 2017, it updated its policy for acquisition plan approval to address this recommendation; however, upon review of this policy, we did not find guidance for identifying IT acquisitions. Without the proper identification of IT acquisitions, SSA\u2019s CIO cannot effectively provide oversight of these acquisitions.", "Software licenses. Federal agencies engage in thousands of software licensing agreements annually. The objective of software license management is to manage, control, and protect an organization\u2019s software assets. Effective management of these licenses can help avoid purchasing too many licenses, which can result in unused software, as well as too few licenses, which can result in noncompliance with license terms and cause the imposition of additional fees.", "As part of its PortfolioStat initiative, OMB has developed policy that addresses software licenses. This policy requires agencies to conduct an annual, agency-wide IT portfolio review to, among other things, reduce commodity IT spending. Such areas of spending could include software licenses.", "In May 2014, we reported on federal agencies\u2019 management of software licenses and determined that better management was needed to achieve significant savings government-wide. Of the 24 agencies we reviewed, SSA was 1 of 22 that lacked comprehensive policies that incorporated leading practices.", "In particular, SSA\u2019s policy partially met four of the leading practices and did not meet one. Further, we noted that SSA was among 22 of the 24 selected agencies that had not established comprehensive software license inventories\u2014a leading practice that would help the agencies to adequately manage their software licenses.", "As such, we made six recommendations to SSA to improve its policies and practices for managing software licenses. These included recommendations that the agency develop a comprehensive policy for the management of software licenses and establish a comprehensive inventory of software licenses. SSA agreed with the recommendations and, as of September 2018, had implemented all six of them. As a result, the agency should be better positioned to manage its software licenses and identify opportunities for reducing software license costs."], "subsections": [{"section_title": "SSA Needs to Further Address the CIO\u2019s Role in Its Policies", "paragraphs": ["While SSA has taken steps that improved its IT management in the areas of data center consolidation, incremental development, IT acquisitions, and software licenses, we reported in August 2018 that the agency had not fully addressed the role of the CIO in its policies.", "As previously mentioned, FITARA and the President Executive Order 13833, among other laws and guidance, outline the roles and responsibilities for agency CIOs in an attempt to improve the government\u2019s performance in IT and related information management functions. Within these laws and guidance, we identified IT management responsibilities assigned to CIOs in six key IT areas:", "Leadership and accountability. CIOs are responsible and accountable for the effective implementation of IT management responsibilities. For example, CIOs are to report directly to the agency head or that official\u2019s deputy and designate a senior agency information security officer.", "Strategic planning. CIOs are required to lead the strategic planning for all IT management functions. An example of a CIO requirement related to the strategic planning area is measuring how well IT supports agency programs and reporting annually on the progress in achieving the goals.", "IT workforce. CIOs are to assess agency IT workforce needs and develop strategies and plans for meeting those needs. For example, CIOs are responsible for annually assessing the extent to which agency personnel meet IT management knowledge and skill requirements, developing strategies to address deficiencies, and reporting to the head of the agency on the progress made in improving these capabilities.", "IT budgeting. CIOs are responsible for the processes for all annual and multi-year IT planning, programming, and budgeting decisions. For example, CIOs are to have a significant role in IT planning, programming, and budgeting decisions.", "IT investment management. CIOs are to manage, evaluate, and assess how well the agency is managing its IT resources. In particular, CIOs are required to improve the management of the agency\u2019s IT through portfolio review.", "Information security. CIOs are to establish, implement, and ensure compliance with an agency-wide information security program. For example, CIOs are required to develop and maintain an agency-wide security program, policies, procedures, and control techniques.", "In our August 2018 report, we noted that SSA, along with 23 other agencies, did not have policies that fully addressed the role of the CIO in these six key areas, consistent with the laws and guidance.", "To its credit, SSA had fully addressed the role of the CIO in the IT leadership and accountability area. In particular, the agency\u2019s policies addressed the requirements that the CIO report directly to the agency head, assume responsibility and accountability for IT investments, and designate a senior agency information security officer.", "However, the policies did not fully address the role of the CIO in the other five areas (i.e., strategic planning, workforce, budgeting, investment management, and information security). For example, the agency\u2019s policies did not address the IT workforce area at all, including the requirements that the CIO annually assess the extent to which agency personnel meet IT management knowledge and skill requirements, develop strategies to address deficiencies, and report to the head of the agency on the progress made in improving these capabilities.", "Further, SSA\u2019s policies minimally addressed the requirements for IT strategic planning. Specifically, while the agency\u2019s policies required the CIO to establish goals for improving agency operations through IT, the policies did not require the CIO to measure how well IT supports agency programs and report annually on the progress in achieving the goals.", "Table 1 summarizes the extent to which SSA\u2019s policies addressed the role of its CIO, as reflected in our August 2018 report.", "As a result of these findings, we made a recommendation to SSA to address the weaknesses in its policies with regard to the remaining five key management areas. In response, the agency agreed with our recommendation and, subsequently, stated that it planned to do so by the end of September 2018. Following through to ensure that the identified weaknesses are addressed in its policies will be essential to helping SSA overcome its longstanding IT management challenges.", "In conclusion, effective IT management is critical to the performance of SSA\u2019s mission. Toward this end, the agency has taken steps to improve its management of IT acquisitions and operations by implementing 14 of the 15 recommendations we made from 2011 through 2018 to improve its IT management. Nevertheless, SSA would be better positioned to effectively address longstanding IT management challenges by ensuring that it has policies in place that fully address the role and responsibilities of its CIO in the five key management areas, as we previously recommended.", "Chairman Johnson, Ranking Member Larson, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact Carol C. Harris at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this statement are Kevin Walsh (Assistant Director), Jessica Waselkow (Analyst in Charge), and Rebecca Eyler.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-72", "url": "https://www.gao.gov/products/GAO-19-72", "title": "Open Data: Treasury Could Better Align USAspending.gov with Key Practices and Search Requirements", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Open data can foster accountability and public trust by providing citizens with information on government activities and their outcomes. It can also promote private sector innovation. The DATA Act requires that the federal government collect and present open data on roughly $4 trillion in annual federal spending. The DATA Act also includes a provision requiring GAO to review its implementation.", "This report (1) identifies key practices for transparently reporting government data; and (2) evaluates the extent to which USAspending.gov is consistent with those key practices and other requirements. GAO developed the key practices by systematically evaluating and synthesizing information from literature on open data, as well as interviews with open data experts and good governance groups. GAO used these key practices as well as existing federal website standards and applicable laws to evaluate USAspending.gov."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified five key practices for transparently reporting government data, as well as actions to implement each practice. These key practices and actions can assist managers of open government data programs in the transparent presentation of their data. Open data are information that can be freely used, modified, or shared by anyone for any purpose.", "USAspending.gov aligns with several key practices. However, the Department of the Treasury (Treasury) has not fully aligned the website with all of the key practices, the requirements of the Federal Funding Accountability and Transparency Act of 2006 (FFATA), and Office of Management and Budget (OMB) guidance (see table.) FFATA, as amended by the Digital Accountability and Transparency Act of 2014 (DATA Act), directed Treasury to develop and manage USAspending.gov to provide detailed information on federal spending."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations including that Treasury (1) establish a process to ensure that additions to USAspending.gov meet security requirements, (2) provide structured metadata and licensing information on the website, and (3) ensure that users can search for awards by city and program source as required by law. Treasury agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The increasing availability of open government data\u2014that is, government- produced information that can be freely used, modified, and shared by anyone for any purpose\u2014holds great potential to promote government transparency and private sector innovation. In recent years, governments around the world have increased the availability of open data by providing information on a wide range of topics such as health, education, transportation networks, budgets, and performance. Such data can foster accountability and public trust by providing citizens with information on government activities and their outcomes. In addition, according to a 2014 study by the Department of Commerce, U.S. government data have helped private firms in data-intensive industries generate revenues of at least $24 billion and upwards of $221 billion annually. However, for open data to achieve their full potential, government websites must ensure that their data are effectively presented to a wide range of users.", "To provide more transparency for roughly $4 trillion in federal spending, on March 2, 2018, the Department of the Treasury (Treasury) released a new version of its USAspending.gov website. The new USAspending.gov displays data submitted by federal agencies to comply with the Federal Funding Accountability and Transparency Act of 2006 (FFATA), as amended by the Digital Accountability and Transparency Act of 2014 (DATA Act), and upon release became the official source of spending data required to be published under the DATA Act. Because of federal spending data\u2019s broad appeal to users such as Congress, grant recipients, journalists, and the general public, it is important that USAspending.gov follow key practices for reporting this information as transparently as possible.", "The DATA Act includes a provision for us to review implementation of the act. Over the past 4 years, we have issued 13 reports assessing various aspects of DATA Act implementation. This report builds on our body of work on the DATA Act and (1) identifies key practices for transparently reporting government data on a centralized website, and (2) evaluates the extent to which the new USAspending.gov is consistent with these key practices, as well as existing standards for federal websites.", "To identify key practices for transparently reporting open government data on a centralized website, we conducted a literature search and systematically reviewed articles on open government data programs and practices. We evaluated and synthesized information from the literature review to identify commonly-reported key practices for transparently reporting open government data. We also interviewed experts on open data and good governance. We first had open-ended conversations with experts to obtain their views on what key practices exist for transparently reporting open government data. After developing an initial list of key practices, we then obtained experts\u2019 feedback to finalize the list. We shared a draft of the key practices with Treasury, the Office of Management and Budget (OMB), and the General Services Administration (GSA).", "To obtain illustrative examples showing how those key practices can be implemented, we selected open data practitioners from six state and local governments:", "Kansas City, Missouri;", "Los Angeles, California;", "Montgomery County, Maryland;", "New York City, New York; and", "Ohio.", "We selected these practitioners because they have well-regarded open data websites that include a general open data portal as well as budget or spending data visualizations, and because they represent different locations and levels of government, including cities, counties, and states. We reviewed these practitioners\u2019 open data websites and related documentation, and interviewed cognizant state and local government officials.", "To assess the extent to which the new USAspending.gov is consistent with key practices and existing standards for federal websites, we compared the website to applicable laws and policies\u2014such as FFATA and OMB guidance\u2014as well as the key practices in this report. We also reviewed documentation related to the website, observed Treasury\u2019s participation in a hackathon, and interviewed Treasury officials. To clarify policies and practices for federal websites, we interviewed GSA officials and OMB staff.", "To evaluate the extent to which specified federal award data elements on USAspending.gov are searchable, as required by FFATA, as amended by the DATA Act, we obtained and tested a nongeneralizable, random sample of award data from USAspending.gov. Specifically, we downloaded contract and financial assistance data from USAspending.gov, generated a random sample of awards, and used the website\u2019s search tools to search for the required data elements from 15 contracts and 15 financial assistance awards.", "For the purposes of this report, we focused on the presentation of data and related contextual information on USAspending.gov. Our review did not include data quality or data governance. We reported on the quality of the data submitted under the DATA Act in November 2017. In 2019, we will report an updated assessment of the quality of these data and, separately, report on OMB and Treasury\u2019s efforts to develop a governance process for maintaining the integrity of the data standards established under the DATA Act. Detailed information on our scope and methodology is included in appendix I.", "We conducted this performance audit from February 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Open Data Policy", "paragraphs": ["Recognizing the federal government\u2019s role as a major supplier of data, the 2018 President\u2019s Management Agenda announced the creation of a Federal Data Strategy. According to the agenda, this strategy promises to leverage data as a strategic asset to grow the economy, increase the effectiveness of the federal government, facilitate oversight, and promote transparency. It proposes improving data dissemination by making data available more quickly and in more useful formats, maximizing nonsensitive data shared with the public, and enabling external users to access and use government data for commercial and other public purposes.", "The Federal Data Strategy builds on existing policy governing the federal government\u2019s websites and data. In 2016, OMB memorandum M-17-06, Policies for Federal Agency Public Websites and Digital Services, established policy for the federal government\u2019s online information resources, such as the need to ensure that information is searchable and to inform users about information quality issues. In addition, in 2013, OMB memorandum M-13-13, Open Data Policy\u2014Managing Information as an Asset, established an information management framework to promote interoperability and openness at each stage of the information life cycle.", "These efforts are consistent with the international Open Government Partnership, which aims to make governments more inclusive, responsive, and accountable. Seventy-five countries have committed to the Open Government Partnership by endorsing the Open Government Declaration. In doing so, these countries have committed to increasing the availability of information about government activities, supporting public participation in government, and using new technologies for openness and accountability, among other things."], "subsections": []}, {"section_title": "DATA Act and USAspending.gov", "paragraphs": ["Enacted in 2006, FFATA requires agencies to report information on federal awards\u2014such as contracts, grants, and loans. In 2014, the DATA Act expanded on FFATA by establishing new requirements intended to allow policymakers and the public to more effectively track federal spending, including:", "Reporting additional data. Agencies are required to report additional financial data from different points in the spending life cycle.", "Setting government-wide standards. OMB and Treasury are responsible for establishing government-wide financial data standards for any federal funds made available to or expended by federal agencies. These standards define and describe the data elements that agencies must report.", "Reporting consistently. Agencies reporting financial information are required to comply with the standards established by OMB and Treasury so that information can be compared across the government.", "Improving data access. The data must be made available in machine-readable and open formats, to be downloaded in bulk, and\u2014 to the extent practicable\u2014for automated processing.", "The DATA Act required agencies to begin reporting data in accordance with the data standards issued by Treasury and OMB within three years of its enactment, and required that those data be displayed on USAspending.gov or a successor system. USAspending.gov has been the platform to provide federal spending information to the public since 2007 (see figure 1). In May 2017, Treasury released a new website, Beta.USAspending.gov, where it began to publish information submitted under the DATA Act. In March 2018, this new website assumed the USAspending.gov web address and Treasury retired the old version of USAspending.gov.", "Data on USAspending.gov come from a variety of sources, including files that agencies began submitting quarterly for DATA Act reporting in May 2017. When agencies submit quarterly data, Treasury\u2019s DATA Act Broker ingests the data and validates certain information before the data are published on the website. Agency Senior Accountable Officials certify that the agency\u2019s submission is valid and reliable. In addition to agencies\u2019 quarterly DATA Act reporting files, USAspending.gov includes data from government-wide systems. Government-wide procurement data on the website are updated daily, while government-wide financial assistance data are updated biweekly. The new USAspending.gov also includes older award data that had been available on the prior version of the website."], "subsections": []}, {"section_title": "Our Prior Report Identified Data Quality and Website Issues", "paragraphs": ["In November 2017, we issued our first report on data quality as required by the DATA Act. We found issues with the completeness and accuracy of the data that agencies submitted for the second quarter of fiscal year 2017 as well as the use of data elements. For example:", "Of the 78 agencies that submitted data on time, 13 submitted the data file intended to link budgetary and award information without providing any data in the file.", "Between 56 and 75 percent of the newly-required budgetary records were fully consistent with agency sources, but only between 0 and 1 percent of award records (such as grants, contracts, and loans) were fully consistent.", "Agencies differed in how they interpreted and applied OMB\u2019s definitions for two data elements\u2014Primary Place of Performance and Award Description\u2014raising concerns regarding data consistency and comparability. These two award data elements are particularly important to achieving the transparency goals envisioned by FFATA because they provide the public with information on where the federal government spends money and what it spends it on, respectively.", "We also found issues with the presentation of the data on Beta.USAspending.gov, including fragmented or incomplete search results and insufficient disclosure of data limitations. Among other things, we recommended that Treasury disclose known data quality issues and limitations on the new USAspending.gov website. We provide an update on actions Treasury has taken to address this recommendation later in this report."], "subsections": []}]}, {"section_title": "Key Practices for Transparently Reporting Government Data", "paragraphs": ["We identified five key practices that managers of open government data programs can consider to help ensure the transparent presentation of their data. We also identified key actions for implementing each key practice. We identified these key practices and key actions by systematically evaluating and synthesizing information from literature on open data as well as interviews with open data experts and good governance groups. These key practices and key actions are listed in table 1.", "These key practices and actions are intended to be used in tandem with requirements for federal government websites and open data programs, such as relevant laws and OMB guidance. They are not intended to replace or supersede any applicable requirements. When considering an individual open government data program, some key practices and actions may be more relevant than others because the purpose and characteristics of open government data programs may vary. In addition, while this report focuses on the presentation of open government data, open data practitioners should also consider other elements\u2014including data quality and data governance\u2014to ensure that the public has access to high-quality information."], "subsections": [{"section_title": "Provide Free and Unrestricted Data", "paragraphs": ["To promote transparency, we found that open data should be freely and equally available to users without restrictions. As such, we identified two key actions for providing free and unrestricted data (see figure 2).", "Make government data open by default, while protecting sensitive or restricted information. Making government data open by default ensures that the data are equally open to all types of users; in contrast, when government information is available by request, it may favor citizens with greater information about and access to government institutions. In addition, some open data practitioners we spoke with said that providing open data can minimize the burden of responding to information requests. For example, according to Connecticut officials, before the state\u2019s open spending data website was launched, payroll data were the most frequently requested information under the state\u2019s Freedom of Information Act (FOIA). Officials said that providing open payroll data on the website significantly reduced FOIA requests, which allowed state officials to spend time and resources on other activities.", "However, not all government information is appropriate to publish. Some datasets may contain sensitive information such as personally identifiable information, information that is classified or similarly not subject to disclosure, or intellectual property. Other legal restrictions may also prohibit the disclosure of certain information. In some cases the information in an individual dataset may not pose a risk of identifying sensitive information, but may pose such a risk when combined with other available information. For that reason, when considering whether or not information may be disclosed, OMB M-13-13 requires agencies to determine whether it may be combined with existing publically available data to identify an individual or otherwise pose a security concern. In such situations, agencies must conduct a risk-based privacy analysis to determine whether the information can be made publicly available that accounts for the nature of the information, the availability of other information, and the technology in place that could facilitate the process of identification.", "As an example of how open data practitioners can balance these types of considerations, Montgomery County, Maryland, applies safeguards such as a review by internal departments. Additionally, if Department officials request a secondary fact-specific review, the Office of the County Attorney will review the information to further ensure that protected information is not published. In some cases, sensitive information is removed from a dataset prior to publication. For example, according to county officials, the names of housing assistance recipients are removed from spending data to protect resident privacy. Users can see nonsensitive aspects of these data, such as the amount spent, with identifying details removed.", "Do not charge users for access to the data. Providing data for free can help ensure equitable access to users independent of their ability to pay. Lowering barriers, such as cost, increases the value of open data, as more users are able to access it."], "subsections": []}, {"section_title": "Engage with Users", "paragraphs": ["Open government data only create value to the extent that they are used. With that in mind, we identified three key actions for engaging with users (see figure 3).", "Identify data users and their needs. By identifying who is using the data and what content or features are important to them, data providers can better prioritize their efforts to present information to data consumers. Open data experts we spoke with emphasized that data providers should engage with users both inside and outside of government, including groups that may typically have less access to government institutions. For example, to further New York City\u2019s Open Data for All vision to provide open data for people from all walks of life and all five of the city\u2019s boroughs, Columbia University students conducted user research on behalf of the city to better understand the extent to which community organizations use open data and what barriers they face, according to the capstone report for this project. By surveying and interviewing these organizations, the students learned that users found the city\u2019s data portal interface difficult to use. In response, the city worked with users to design and test a new, more streamlined portal.", "Solicit and be responsive to user feedback. Soliciting and being responsive to user feedback\u2014both when the website is being developed and on an ongoing basis\u2014can help ensure that the website meets users\u2019 needs. Feedback can also surface issues with the functionality of the website and the quality of the data, thus enabling the data provider to make corrections when needed. User feedback mechanisms vary and can include online comment forms, forums, and discussion boards, as well as in-person public forums. Open data experts we spoke with said it is particularly helpful to list the contact information for a responsible official on the website in case users have questions about the data. In addition, timely response to feedback encourages engagement by assuring users that their voices have been heard.", "Monitoring how the public is using the data can also help practitioners determine which content and features are most useful. Web analytics can show how the data are being used, such as by identifying commonly-used search terms and datasets, and showing trends over time.", "Web Analytics Web analytics is the collection, reporting, and analysis of website data, such as the number of users who visit the website.", "According to a city official, Los Angeles uses web analytics to measure how frequently its datasets are accessed. Web analytics data showed that some datasets were often accessed on certain dates or in conjunction with current events, while other datasets were rarely used. City officials use this information to adjust how data are presented on the website, which has increased overall use of the city\u2019s data. For example, the city created data visualizations and links to data\u2014including its City Revenue and City Budget Expenditures datasets\u2014to accompany the release of its Comprehensive Annual Financial Report.", "Reach out to potential users to encourage data use. Actively engaging potential users can provide an opportunity to educate them on how the data can be appropriately used and encourage innovation. Data trainings can provide potential users with important context and information, which can include teaching users how the data can be used. Resources such as how-to guides can also encourage data use. For example, as shown on the website, New York City\u2019s open data portal includes a \u201cHow To\u201d page with a step-by-step guide to help users get started with open data, and directs them toward additional resources such as data dictionaries.", "We previously found that open data collaboration and prize competitions or challenges are two strategies that agencies can use to harness the ideas, expertise, and resources of those outside of their organization.", "Agencies engage in open data collaboration by mobilizing participants to use their open data in innovative ways, such as sharing, exploring, and analyzing publicly-available datasets; using the data to conduct research; designing data visualizations; or creating web and mobile applications and websites that help people access and use the data. In addition, agencies use prize competitions or challenges for help solving a problem or reaching a specific goal by asking members of the public to submit potential solutions. The agency then evaluates these proposals and provides a monetary or nonmonetary award to selected winners.", "New York City encourages the use of its open data using these strategies by hosting data literacy trainings, hackathons, and contests. For example, in the spring of 2018 the city hosted a contest to recognize projects that effectively use its open data and showcase the diversity of potential uses, according to city officials and contest documentation. Winning projects were posted to a gallery on the city\u2019s open data website. As shown on the city\u2019s open data website, one winner\u2014a project called \u201cPlan(t)wise\u201d\u2014 predicts various tree species\u2019 likelihood of survival in locations throughout the city based on tree census data, and recommends which type of tree to plant at a given address."], "subsections": []}, {"section_title": "Provide Data in Useful Formats", "paragraphs": ["Data are most useful when they are provided in formats that allow them to be analyzed in a variety of ways. We identified four key actions for providing data in useful formats (see figure 4).", "Provide users with detailed and disaggregated data. Data are most useful when they are provided in as much granularity as possible. For example, Ohio\u2019s online checkbook allows users to view detailed, disaggregated data in a user-friendly checkbook format, as shown on the website (see figure 5). The representation of the expenditure is displayed as a check, and includes the vendor\u2019s name and address, the amount paid, payment date, check number, and contact information for the appropriate state office.", "Provide machine-readable data that can be downloaded in bulk and in selected subsets. Providing data in machine-readable formats makes them easier to process and analyze, which is particularly important for large datasets. For example, Kansas City officials said the city has been working to convert information from the PDF format to machine-readable formats such as CSV because PDF documents are challenging for the city to update and for users to navigate. In one instance, officials said that converting the city\u2019s list of vehicles for sale in its tow lot from PDF to CSV format allowed the city to update the data more frequently so that users can see what vehicles are for sale at any given time.", "Making data available to download in bulk allows users who need the full dataset to easily access it rather than retrieving information record-by- record. If the full dataset is large, allowing users to download selected subsets can make it easier for them to work with only the data they need. Data can also be provided to users through an Application Programming Interface (API), which allows users to connect directly with the dataset by enabling machine-to-machine communication. APIs can be particularly useful for large, frequently updated, or highly complex datasets because they offer users flexibility to obtain the data they need. In addition, developers can use APIs to build applications based on the data.", "Non-Proprietary File Formats File formats describe what type of information a file contains, as well as how that information is stored and structured. Some file formats are proprietary, meaning that they can only be opened by specific commercial software applications. In contrast, non-proprietary formats are publicly available and can be used by all software developers. Examples of non-proprietary file formats include:", "CSV, which stores tabular data; RDF, which stores metadata; TXT, which stores unformatted text; and XML, which stores both the format and content of data.", "Provide data downloads in a non-proprietary format. To ensure broad and equitable access, data downloads should be available in formats that do not require specific commercial software to access, and therefore do not exclude users who do not have access to such software. Non- proprietary data formats include, but are not limited to, CSV, RDF, TXT, and XML. For example, Kansas City, Missouri\u2019s, open data portal allows users to export spatial data in an open format that does not require proprietary mapping software, according to city officials and the city\u2019s open data portal website. Open data experts we spoke with said that practitioners should consult stakeholders when determining which format is appropriate for a given program, and that the appropriate format may change over time as technology advances.", "Make the data interoperable with other datasets. Making data interoperable with other datasets can make them more useful because users may want to create new opportunities for analysis by linking datasets together. This can be done by standardizing the way that the data are reported. For example, using standard definitions for the specific items included in a set of data\u2014known as data elements\u2014can promote consistency with other datasets. Additionally, documentation such as data dictionaries can help ensure that definitions are clear and avoid misunderstandings.", "To promote interoperability between datasets that use geographic information, Kansas City uses standard land parcel identification numbers across departments. This allows different datasets that contain location information to be used in combination. For example, officials said that the city is linking different datasets that use those identification numbers\u2014 including building code violation data, 311 calls, and dangerous buildings data, among others\u2014to build a model to prioritize code enforcement inspections."], "subsections": []}, {"section_title": "Fully Describe the Data", "paragraphs": ["Providing information about a dataset allows users to determine whether it is suitable for their intended purpose, and make informed decisions about whether and how to use it. With that in mind, we identified four key actions for fully describing the data (see figure 6).", "Disclose known data quality issues and limitations. Disclosing data quality issues and limitations helps users make informed decisions about whether and how to use the data. Disclosure of data quality issues and limitations can include descriptions of the completeness, timeliness, and accuracy of the data, such as an explanation of why certain data may not be disseminated. For example, we observed that Connecticut\u2019s \u201cOpenCheckbook\u201d website includes an \u201cAbout\u201d page explaining that some information is excluded to protect privacy, or because it is not processed through the state\u2019s financial system, such as the state\u2019s Airport Authority, jury duty payments, and unclaimed property.", "Disclose data sources and timeliness. Disclosing where the data come from and how frequently they are updated provides context that helps users judge their quality and determine whether they can be appropriately used for the intended purpose. Without this information, users may view, download, or use data without full knowledge of the extent to which they are timely, complete, or accurate, and therefore could inadvertently draw inaccurate conclusions from the data.", "Metadata Metadata provide descriptive information about a dataset in a structured, machine- readable format. They describe aspects of the dataset\u2014such as the source of the data and when it was last updated\u2014in clearly delineated fields.", "Clearly label data and provide accompanying metadata. In addition, data should be clearly labeled and accompanied by structured metadata so that users can easily find information about the dataset. Metadata describe the characteristics of data in clearly defined, machine-readable fields, which can include attributes such as the date the data were created or modified, or the license used, among other things. Structuring metadata in clearly defined fields makes it possible for search tools to filter and match content pertaining to those fields. As shown in figure 7, Kansas City\u2019s budget data are accompanied by metadata showing when they were last updated, the source of the data, and the name and contact link for the dataset owner, among other things.", "Publish data under an open license and communicate licensing information to users. Documentation for a dataset should also specify what license applies to the data because a data license provides users with information about how they may use the data, including whether there are any restrictions, such as copyrights. An open license indicates that there are few to no restrictions on how the data may be used. An open license can encourage innovation, for example, by assuring users that they are permitted to use the data to develop commercial applications. To realize these benefits, licensing information should be clearly communicated to users, ideally in machine-readable and human- readable formats. As shown in figure 7, metadata can be used to communicate licensing information in a clear and structured way. Including licensing information in metadata can help ensure that it is machine readable\u2014which makes it easier to process and analyze\u2014as well as help users discover the licensing information and compare it across datasets."], "subsections": []}, {"section_title": "Facilitate Data Discovery for All Users", "paragraphs": ["Data discovery is facilitated by presenting the data in a way that enables users to easily explore them. We identified five key actions for facilitating data discovery for all users (see figure 8).", "Provide an interface that enables intuitive navigation and ensures that the most important information is made visible. To facilitate data discovery for all users, practitioners of open government data should ensure that the data are provided on a website that is simple and intuitive so that users can easily navigate it to find the information they need. Obtaining user feedback and conducting usability testing can help practitioners assess whether the website is easy to use, and identify any aspects that do not work well for users. In addition, websites designed to work on mobile devices, as well as mobile applications such as Ohio\u2019s \u201cOhioCheckbook\u201d app (see figure 9), can allow users to access data on a variety of devices, according to the state\u2019s website and our observations.", "Provide users with appropriate interpretations of the data, such as visualizations or summaries. Summaries and visualizations can help users explore data. For example, our review of Montgomery County, Maryland\u2019s, \u201cspendingMontgomery\u201d website found that the website provides summary data of the top five services, vendors, and expense categories with the greatest amount of spending, as well as a chart of annual spending along with historical averages, as shown in figure 10. This summary information provides a starting point for users, who can then navigate through the website to access more granular data.", "Ensure that the website\u2019s content is written in plain language. The content of an open data website should also be written in a way that is clear and direct, using plain language. Using commonly understood terms rather than technical jargon can help users understand the information provided. For example, to use well-understood terms when communicating budget information, Kansas City officials told us they participated in plain language training and applied that knowledge to the city\u2019s open budget data website. In addition, we found that in cases where it is necessary to use technical language, providing a glossary that defines key terms can help make the information understandable to users.", "Provide a search function that is optimized for easy and efficient use. Open data websites should also include a search function that is optimized for easy and efficient use so that users can find information that is relevant to them. For example, Connecticut officials said that the search function on the state\u2019s open spending data website is designed so that users do not need to be familiar with the state government\u2019s structure or terminology to find meaningful results. When a user enters a search term, the search bar will return a list of items that include this term and a description of what they are. For example, when we typed \u201cEducation\u201d into the search bar, the website suggested Department of Education spending, bilingual education programs, and a vendor called Family Life Education.", "In addition, Connecticut officials told us that they track the most commonly-used search terms\u2014such as \u201chousing\u201d and \u201cvoter turnout\u201d\u2014on the state\u2019s open data portal, and test them to verify that the information is discoverable. Similarly, Ohio\u2019s online checkbook includes a \u201cPopular Searches\u201d tool that provides presaved searches that allow users to see expenditures for a variety of categories\u2014such as travel, roads and highways, or parks\u2014by clicking a single button. In addition, officials told us that if a user\u2019s search returns a large volume of results, a pop-up appears prompting the user to narrow their search, which could help them focus on more relevant information.", "Use central data repositories and catalogues to help users easily find the data they are looking for. Central data repositories and catalogues\u2014also known as data portals\u2014are websites that provide a \u201cone-stop shop\u201d for users to access a variety of datasets. These websites host the data directly, link to other websites where users can access the data, or a combination of the two. They typically provide descriptions of the datasets, as well as structured metadata, to help users find data suitable for their purpose. New York City\u2019s open data portal also includes a number of tools to help users find datasets, including a search function as well as lists of new datasets, popular datasets, and datasets by category, as shown in figure 11."], "subsections": []}]}, {"section_title": "USAspending.gov Aligns with Several Key Practices, but Does Not Fully Meet Licensing, Search Functionality, and Other Requirements USAspending.gov Provides Free and Unrestricted Spending Data", "paragraphs": ["We found that USAspending.gov aligns with the key practices of providing free and unrestricted data and engaging with users. However, Treasury does not fully describe the data and two data elements required by law are not searchable. In addition, Treasury lacks a process to ensure all pages on the website are secure, consistent with federal requirements.", "Spending data are open by default and sensitive information is protected. The Federal Funding Accountability and Transparency Act of 2006 (FFATA) requires the website displaying the data that agencies must provide to be accessible to the public at no cost. In response to requirements in FFATA, as amended by the Digital Accountability and Transparency Act of 2014 (DATA Act), in May 2014, OMB and Treasury developed standard definitions for data elements for agencies to report, and Treasury displays these open data on USAspending.gov. Agencies should not report classified or protected information, such as personally identifiable information (PII). However, they are required to aggregate some awards containing PII at the county or state level if they are unable to report spending at the individual level.", "All data are available for free. Treasury has made all of the data on USAspending.gov available to users at no cost, as required by the DATA Act and FFATA. During the course of our work, we found that users could only download the complete database after registering for an account with the database host\u2014Amazon Web Services. Further, we also found that users would incur a charge when attempting to download the entire database. Treasury officials said they intended for the data to be available for free and were unaware that users were being charged to access the data. In response to our inquiries on this issue, in July 2018, Treasury resolved this issue and provided an option for users to download the entire database for free without creating an account."], "subsections": [{"section_title": "Treasury Engages Users by Encouraging Feedback and Data Use", "paragraphs": ["Treasury identifies data users and their needs through user research. Treasury researches users to understand their needs when working with USAspending data. Treasury has developed profiles for eight types of users ranging from data consumers like \u201cCitizen\u201d or \u201cJournalist\u201d (see figure 12) to budget analysts or chief financial officers. These profiles are part of Treasury\u2019s user-centered design process in which officials told us they learn from users, make changes to the website, and test whether those changes make the website more useful and intuitive to users.", "Treasury obtains and responds to user feedback. Treasury officials told us that they track user feedback, which informs improvements they make to the website. We previously found that Treasury has a variety of user feedback mechanisms, including a community forum, one-on-one interviews, and a \u201ccontact us\u201d link that allows users to provide feedback by email. As of July 2017, Treasury officials said they had interviewed more than 130 users, such as citizens, funding recipients, and federal agency officials, regarding USAspending.gov website features. They have since conducted 20 additional interviews about the user experience and received feedback from another 130 users about the Data Lab, a related website that offers visual interpretations of the spending data. Treasury has also conducted \u201cintercept\u201d interviews where interviewers go to a location with large groups of people and request feedback about the website from random individuals. For example, figure 13 shows a Treasury contractor interviewing a visitor about an early version of USAspending.gov at the U.S. Capitol Visitor Center.", "Treasury officials said they respond to user feedback about USAspending.gov on two websites. They respond directly to user comments on the USAspending.gov Community website, where users can share feedback and find answers to frequently asked questions. Treasury officials told us they also track users\u2019 issues as \u201cstories\u201d on an open development platform called JIRA, which is their primary way of documenting website development decisions and tracking potential improvements to the website. For example, Treasury added new functionality to the Application Programming Interface (API) based on user feedback from agencies. Officials said this feature allowed some agencies to more efficiently manage their quarterly DATA Act submissions. Treasury announces updates to the API and other changes to the website via an email newsletter.", "Treasury reaches out to potential users to encourage data use. Treasury educates the public about the use of the spending data on USAspending.gov and the Data Lab through how-to guides and outreach activities. For example, the website offers an \u201cAPI Guide\u201d for users seeking to utilize computer programs to request and receive the data, and the Data Lab features an \u201cAnalyst Guide\u201d that answers questions about using the data.", "Treasury officials told us that they have directly engaged with various audiences about USAspending.gov. For example, they have engaged with the Syracuse University Maxwell School of Government to map the use of federal funds in New York State. In April 2017, we observed Treasury\u2019s participation in a hackathon where participants developed ways to use federal spending data, including using the spending data to evaluate block grant formulas and track the economic impact of stimulus money. Treasury officials said they have held information sessions with Congress, federal agencies, and nongovernment organizations."], "subsections": []}, {"section_title": "USAspending.gov Data Are Detailed and in Standardized Formats, but Treasury Lacks Certain Security Processes", "paragraphs": ["USAspending.gov provides users with detailed and disaggregated data. As shown in figure 14, an award summary page on the website displays information on specific awards, including the awarding agency, recipient, award amount, description, and location. These pages also include transaction histories so that spending can be tracked over time. As of October 2018, we found that USAspending.gov listed more than 53 million pages of prime awards representing more than $33 trillion in obligated funds between fiscal year 2008 and 2018.", "Data are machine readable and can be downloaded in bulk and in selected subsets, but Treasury lacks a process to fully ensure security. As shown in figure 15, USAspending.gov provides six ways for users to download the data, including subsets of the data or the complete database. An API is also available, which enables machine-to-machine communication that allows real-time updates.", "During the course of our review, we found that some of the data download web addresses did not point to a government domain and were unsecured. OMB guidance requires that federal web pages be hosted on a .gov domain and be encrypted by the secure HTTPS protocol. In response to our inquiries on this issue, Treasury updated USAspending.gov in October 2018 so that the web pages for the database download and agency submission files use the secure HTTPS protocol and are on a government domain. As a result, the users requesting this information from USAspending.gov now have better assurance of the integrity of the data requested, the privacy of their connection to USAspending.gov, and that the website they are using is a trusted government domain.", "Treasury officials said they take steps to ensure they meet federal information security requirements, but had not noticed that the web pages were unsecured or on a nongovernment domain. According to Treasury officials, the agency has a process for the team developing a website to vet whether proposed pages are secured and hosted properly, but they acknowledged unintended gaps in how the process was applied in this case, which caused some pages to be omitted. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Control activities are the policies, procedures, techniques, and mechanisms that enforce management\u2019s directives to achieve the entity\u2019s objectives and address related risks.", "Until the gaps in Treasury\u2019s information security process are addressed, the agency does not have assurance that any new pages that may be added to USAspending.gov will conform to federal information security requirements. In response to our inquiries, Treasury provided documentation showing that the agency is in the process of addressing the issue to prevent future unintended gaps. The agency has taken initial steps to revise its process to ensure that all pages on USAspending.gov are secured and hosted properly. We will continue to monitor Treasury\u2019s efforts to develop and implement this new process.", "Downloads are available in standard, non-proprietary formats. Downloads of search results, agency files, and subsets of the USAspending.gov database are available in file formats that can be opened using common office software, including CSV and XML files.", "Spending data are potentially interoperable with other datasets. The data in the USAspending.gov database are organized according to a government-wide standard which can potentially support interoperability with related government datasets. The DATA Act Information Model Schema (DAIMS) provides standardized definitions for federal spending information, including 57 data standards that federal agencies are required to report for DATA Act implementation. These standards come with technical specifications describing the format and structure of each data element, which are intended to facilitate consistent data reporting across the federal government, and allow for interoperability between agencies\u2019 data submissions.", "According to Treasury\u2019s DAIMS Architecture document, DAIMS could eventually support interoperability between USAspending.gov and related nonfederal datasets such as state, local, and international spending data. For example, state governments could make their data interoperable with the federal spending data on USAspending.gov by developing their own data standards and definitions aligned with DAIMS as appropriate. In addition, the DAIMS Architecture document specifies that future DAIMS content could include federal receipt and financing balances with accounts and sources, as well as performance measures and outcomes linked to federal grants, awards, or other financial assistance."], "subsections": []}, {"section_title": "Treasury Improved Descriptions of Data, but USAspending.gov Lacks Metadata and Complete Licensing Information", "paragraphs": ["Website still does not completely disclose data quality issues. Treasury has improved the disclosure of data quality issues and limitations, but other issues have not yet been described to users. In November 2017, we found that the website did not sufficiently disclose known limitations affecting data quality. We recommended that Treasury disclose known data quality issues and limitations. Treasury agreed with the recommendation and took the following steps to disclose limitations:", "By May 2018, Treasury had added a \u201cLearn More\u201d box to the website with information about the data, including an explanation that the Department of Defense reports its data later than other agencies.", "In June 2018, Treasury added information on unreported spending to the Spending Explorer tool that visualizes federal spending, clarifying that information reported on the website does not capture the totality of federal spending. Treasury explains to users that data might not be reported when an agency reports incomplete data, has a submission deadline extension, is not required to submit certain data elements, and for accounts that are not reported to Treasury.", "While the steps Treasury has taken are positive, they do not fully address our recommendation. This is because one purpose of the DATA Act is to allow users to track federal spending more effectively by linking specific awards to financial budgetary information. However, we found that award data do not appear in the Spending Explorer for combinations of certain agencies and program activities. For example, as figure 16 shows, there are \u201cno associated awards\u201d for the program activity \u201cVaccines for Children\u201d within the Department of Health and Human Services account for Medicaid grants to states. However, the account page for this program elsewhere on USAspending.gov shows approximately $3.6 billion in obligations and various associated awards for the first three quarters of fiscal year 2018.There is no context for a user to understand whether this information is required for this federal account, missing, or searchable elsewhere on the website.", "Treasury officials informed us of a number of data limitations that could cause spending data and award data to be disconnected in the Spending Explorer, but these issues are not disclosed on the website. According to Treasury officials, agencies might not currently report certain data fields as some fields are optional, there are inconsistencies between several agency data systems, and some agencies have not been able to link financial and award data. As a result, the Spending Explorer does not consistently provide a clear and complete presentation of federal spending, and because Treasury does not disclose these limitations, it could limit the ability of taxpayers and policy makers to fully track federal spending with this tool.", "More broadly, we have raised concerns that USAspending.gov does not sufficiently disclose other, broader government-wide data quality issues. For example, we found in November 2017 that only between 0 to 1 percent of awards were fully consistent with agency records. While the consistency of individual data elements varied, our prior report found inconsistencies with agency records in at least 41 percent of the data for Award Description, Current Total Value of Award, and Primary Place of Performance Address from the second quarter of Fiscal Year 2017.", "Website discloses data sources and timeliness. The \u201cAbout\u201d page and \u201cFrequently Asked Questions\u201d describe data sources, data quality, and legal requirements. There is also a diagram on the \u201cAbout\u201d page showing how the data go from agencies to the database for USAspending.gov, and the frequency with which the data are updated, which is a useful way to visualize how the types of award data are updated either daily, bi- monthly, or every quarter.", "Website labels some data, but lacks structured metadata. Treasury labels some of the data on USAspending.gov in tables and data visualizations, and describes it in narrative form. The website also includes data dictionaries that provide definitions for the data elements. However, the website lacks structured, machine-readable metadata. OMB guidance requires agencies to use metadata to describe their datasets so that all users can understand and process open data. Agencies must consult with the best practices from Project Open Data, OMB\u2019s online repository of tools and schema, to help agencies meet the requirements of its open data policy. According to Project Open Data, metadata are structured information that describe, explain, locate, or otherwise make it easier to retrieve, use, or manage datasets like that displayed on USAspending.gov. This guidance also indicates that making metadata machine readable greatly increases their utility.", "Treasury officials said the types of information found in metadata are already available in a number of separate documents on Treasury\u2019s Fiscal Service web page. Treasury officials told us that they decided not to provide structured metadata on USAspending.gov because it is more efficient to provide external links to other websites. Further, Treasury officials asserted that providing metadata on those websites is sufficient to comply with OMB guidance.", "However, the information found on these various websites does not align with best practices outlined in Project Open Data, or the key action to clearly label data and provide accompanying metadata, because it is not provided in a single place on USAspending.gov as structured metadata in a machine-readable format. Without easy access to information that fully describes the data, it may be difficult or time consuming for users of USAspending.gov to find the information available on other websites, and determine whether or how to use the data for their purposes.", "Website lacks complete licensing information. While the website describes restrictions on the use of proprietary contract data from Dun & Bradstreet Inc.\u2019s Data Universal Numbering System (DUNS), it does not include general licensing information for the rest of the data. The website includes a link to a notice specifying the \u201cLimitation on Permissible Use of Dun & Bradstreet, Inc. Data.\u201d According to Treasury officials, most data on USAspending.gov are in the public domain, but we found that the website does not clearly indicate which data are openly available to use without restrictions.", "OMB M-13-13 specifies that federal agencies \u201cmust apply open licenses, in consultation with the best practices found in Project Open Data, to information as it is collected or created so that if data are made public there are no restrictions on copying, publishing, distributing, transmitting, adapting, or otherwise using the information for non-commercial or for commercial purposes.\u201d According to OMB staff, agencies should include licenses in metadata so that this information is machine readable. If data access is limited, this should also be prominently featured in the metadata. In addition, Project Open Data specifies that licensing information should be provided in metadata.", "Treasury officials said that the agency is evaluating options and approaches for including open data licensing information on the website, consistent with OMB M-13-13. In addition, Treasury officials said they had only received one question from users about licensing.", "However, not displaying licensing information for the majority of data elements on the website is not consistent with the key action to publish data under an open license and communicate licensing information to users. Without licensing information for all of the data, users will likely be unable to determine what license, if any, applies to USAspending.gov, and it will be unclear to the public whether there are any restrictions to reusing data that they can download from the website."], "subsections": []}, {"section_title": "USAspending.gov Makes Data Easy to Discover, but Does Not Fully Meet Search Requirements", "paragraphs": ["Website includes a user interface to assist navigation. USAspending.gov\u2019s top menu gives users various ways to explore, search, download, and understand the most important information. The menu links to the Spending Explorer, Award Search, Profiles, Download Center, and Glossary. There is also \u201cfeatured content\u201d on the home page guiding users to the Data Lab, and other new features such as a download option for Federal Account data and recipient profile pages for any entity that has received federal money in the form of contracts, grants, loans, or other financial assistance.", "Interactive visualizations enable exploration. Search results can be visualized by prime award or subaward aggregated in a table, in a chart showing awards over time, in a map showing the geographic distribution of awards (see figure 17 for an example of social security insurance results mapped by congressional district), or in a bar chart showing the top 10 awards by category. The visualizations show how spending has increased over time, the regional concentration of spending, and a list of the top recipients.", "We found that the Spending Explorer provides a simple, graphical interface that allows users to navigate spending data by budget function, agency, and object class. It gives users the option to drill down from these three high-level categories to specific program activities, federal accounts, recipients, or awards. It displays the total amount obligated for the selected category, and a breakdown of the amounts in dollars and as a percentage of the total.", "The Data Lab is a separate website linked to USAspending.gov that offers users visual interpretations of the spending data. Treasury officials said the \u201cContract Explorer Sunburst\u201d is a popular Data Lab visualization. As shown in figure 18, it provides users an interactive overview of about $500 billion in federal contract data organized as a set of concentric circles starting from the funding agency (inner ring) to the recipients (outer ring). Treasury officials noted that analyses and visualizations in the Data Lab are updated with varying frequency because it can be a challenge to continually update some of the visualizations.", "The website includes a glossary that provides plain language definitions of terms that describe the spending data. To help users understand the data on USASpending.gov, the website provides a \u201cGlossary\u201d sidebar that is available on every page of the website, and provides users both \u201cplain language\u201d and official definitions of financial terms that are used on the website, as shown in figure 19. According to the key practices we identified, using commonly understood terms rather than technical jargon can help users understand the information provided.", "A variety of search tools are available, but program source and city are not searchable. We found that the website features a variety of search tools to help users find and interpret the data. Users can search the data using generic keyword search and advanced search filters. These features allow users to explore and quickly obtain large volumes of award results. For example, we found that searching by funding agency returns all spending by that particular federal agency and by award.", "However, we tested the search functionality of the website and found that two data elements required to be searchable by FFATA, as amended by the DATA Act, were not: (1) program source (Treasury Account Symbol (TAS)) and (2) city. Our search testing of a nongeneralizable, random sample of awards for data elements required by FFATA successfully found most of the data elements, but we were unable to search for program source (TAS) or city. TAS and city data can be downloaded and are displayed on award web pages, but we were not able to search for them using either the advanced or keyword search pages. Treasury officials said they did not include functionality to search for these two required data elements on the new website because users searching by these data elements on the Beta version of the website had received confusing results. This is due in part to the fact that agency submissions with these data elements used different standards before and after the DATA Act. Instead, according to our review of the website, users can access TAS and city information using the website\u2019s navigation features, which officials said meets the spirit of the FFATA requirement.", "However, simply displaying TAS or city information only on award or federal account pages does not meet the FFATA requirement that users be able to search for this information. Users currently have to click on a specific award or federal account page, and scroll through the web page to find the relevant section that shows city or TAS information. If federal agencies and Congress are not able to search for TAS, they cannot easily connect detailed information on financial transactions to federal accounts for management or oversight purposes. In addition, users looking for geographic information related to recipients or federal programs cannot easily search USAspending.gov by city.", "Government data catalogues and repositories link to USAspending.gov. Treasury facilitates discovery of the DATA Act data by linking to USAspending.gov from centralized data repositories and catalogues. Information and links to USAspending.gov can be found on DATA.gov, which is a data catalogue for a variety of U.S. government datasets.", "Treasury maintains a web page on GitHub, a public online collaboration website, designed to share information about its process in meeting the requirements of the DATA Act, including information and links to USAspending.gov. Associated pages on this GitHub site serve as a data repository for the computer code behind the central data submission platform for the DATA Act, called the Data Act Broker, the API for USAspending.gov, and the USAspending.gov website itself."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["USAspending.gov is a major open government data program with the potential to be a model for transparently reporting government data\u2014if Treasury takes additional steps to further align it with the five key practices and associated key actions for open data in addition to DATA Act requirements. USAspending.gov has already followed several key actions such as providing the data on the website for free, engaging the public online and in person, providing detailed and disaggregated data for download, and making interactive tools so users can interpret and visualize the data. Treasury has also made progress in disclosing limitations of the data, although it has not fully addressed our prior recommendation to do more to make users fully aware of issues that affect its quality.", "However, Treasury has not fully aligned USAspending.gov with some key practices or federal website standards, and has not fully implemented the search functionality required by FFATA, as amended by the DATA Act. As a result, users may not be able to find the information they need, and may not have confidence in the integrity of the data. Treasury updated USAspending.gov in October 2018 so that the web pages for the database download and agency submission files available at that time used the secure HTTPS protocol and a government domain. However, without an effective control process in place, Treasury does not have assurance that any new pages that may be added to USAspending.gov will conform to certain federal information security requirements. Furthermore, without easy access to structured metadata, it may be difficult or time consuming for users of USAspending.gov to find the information they need to determine whether or how to use the data. Similarly, the lack of an explicit open license might discourage some users from using the data to develop innovative commercial products. Users are also not able to easily search award information by program source or city, as required by FFATA, which could limit their ability to find and use these data to inform future decision making."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations to Treasury. Specifically: The Secretary of the Treasury should establish a process to ensure all pages on the USAspending.gov website use the secure HTTPS protocol, consistent with OMB requirements. (Recommendation 1)", "The Secretary of the Treasury should establish a process to ensure all content on USAspending.gov is available from a government domain, consistent with OMB requirements. (Recommendation 2)", "The Secretary of the Treasury should fully comply with OMB\u2019s requirements by providing metadata in a single location that are easy to find on the USAspending.gov website. (Recommendation 3)", "The Secretary of the Treasury should fully comply with OMB\u2019s requirements by communicating licensing information on USAspending.gov. (Recommendation 4)", "The Secretary of the Treasury should ensure that users can easily search for awards by city and program source (TAS), consistent with FFATA requirements. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments, Third-Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretary of the Treasury, the Director of OMB, and the Administrator of GSA for review and comment. Treasury provided written responses, which are summarized below and reproduced in appendix II. Treasury and OMB also provided technical comments, which we incorporated as appropriate. GSA responded that the agency had no comments on the report.", "In its written response, Treasury highlighted areas where USAspending.gov aligned with the key practices that we identified for transparently reporting government data, such as engaging users and providing the data in useful formats. Treasury agreed with our recommendations. Treasury stated that the agency has already taken steps to address our first two recommendations, to establish processes to ensure that all pages on USAspending.gov use the secure HTTPS protocol and to ensure that all content on the website is available from a government domain. Treasury provided us with documentation of a revised process that is intended to address these issues. We revised the report to acknowledge that Treasury has taken these steps. We will continue to monitor Treasury\u2019s efforts to develop and implement this new process and update the status of our recommendations accordingly.", "We also provided excerpts of the draft report to Connecticut; Kansas City, Missouri; Los Angeles, California; Montgomery County, Maryland; New York City, New York; and Ohio. Los Angeles, Montgomery County, New York City, and Ohio provided technical comments, which we incorporated as appropriate. Connecticut and Kansas City officials responded that they had no comments.", "We are sending copies of this report to the Secretary of the Treasury, the Director of OMB, and the Administrator of the General Services Administration, as well as interested congressional committees and other interested parties. This report will be available at no charge on our website at https://www.gao.gov.", "If you or your staff has any questions about this report, please contact Triana McNeil 202-512-6806 or McNeilT@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Digital Accountability and Transparency Act of 2014 (DATA Act) includes a provision for us to review implementation of the act. Over the last 4 years, we have issued 13 reports assessing various aspects of DATA Act implementation. This report builds on our body of work on the DATA Act and (1) identifies key practices for transparently reporting government data on a centralized website, and (2) evaluates the extent to which the new USAspending.gov is consistent with these key practices, as well as existing standards for federal websites."], "subsections": [{"section_title": "Identifying Key Practices", "paragraphs": ["To identify key practices for transparently reporting open government data on a centralized website, we conducted a literature review and interviewed experts on open data and representatives of good governance groups. We also identified illustrative examples by interviewing open data practitioners from state and local governments.", "Literature review. To conduct the literature review, we first identified relevant publications using a number of bibliographic databases, including ProQuest, the Organisation for Economic Co-Operation and Development\u2019s (OECD) iLibrary, the National Technical Information Service, and the Public Affairs Information Service. We reviewed articles that focused on open data programs and practices in OECD countries, including scholarly peer-reviewed articles, working papers, conference papers, and reports by policy research organizations, nonprofit organizations, and associations. We conducted our search in March 2017 and subsequently added relevant articles identified during our background research. To systematically review these articles, one analyst reviewed each article to identify relevant themes. A second analyst then reviewed the documentation to verify categorization decisions. Then, both analysts met to resolve any discrepancies. We evaluated and synthesized the categorized information to identify commonly-reported key practices for transparently reporting open government data.", "Interviews with experts. We selected open data and good governance experts based on recommendations made by other experts, frequent citations in others\u2019 work, and recent contributions to the field. We also selected experts that represent a variety of sectors and backgrounds (such as government, academia, and nonprofit organizations). We obtained the views of the following individuals and organizations:", "Andrew Stott, former United Kingdom Director for Transparency and", "Center for Open Data Enterprise,", "Code for America,", "Dr. Anneke Zuiderwijk-van Eijk, Delft University of Technology,", "General Services Administration (GSA),", "Global Initiative for Fiscal Transparency,", "Governance Laboratory of New York University, IBM Center for the Business of Government, Johns Hopkins University Center for Government Excellence,", "Project on Government Oversight,", "Results for America,", "U.S. Public Interest Research Group,", "What Works Cities, and", "World Bank.", "We first had open-ended conversations with experts to obtain their views on what key practices exist for transparently reporting open government data. After developing an initial list of key practices, we then conducted a second round of interviews with experts to finalize the list. We shared a draft of the key practices with the Department of the Treasury (Treasury), the Office of Management and Budget (OMB), and GSA.", "Illustrative examples. To obtain illustrative examples showing how those key practices can be implemented, we selected open data practitioners from six selected state and local governments:", "Kansas City, Missouri;", "Los Angeles, California;", "Montgomery County, Maryland;", "New York City, New York; and", "Ohio.", "We selected these practitioners because they were identified in our literature search and by the experts we spoke with as having well- regarded open data websites. We also selected practitioners that have websites with both a general open data portal and visualizations showing budget or spending data. We also selected practitioners that represent different locations and levels of government, including cities, counties, and states. We reviewed these practitioners\u2019 open data websites and related documentation, and interviewed cognizant state and local government officials."], "subsections": []}, {"section_title": "Evaluating USAspending.gov", "paragraphs": ["To assess the extent to which USAspending.gov is consistent with the key practices and selected standards for federal websites, we reviewed the website, reviewed agency documents, observed Treasury\u2019s participation in a hackathon, and interviewed OMB staff and Treasury officials. Specifically, we analyzed the USAspending.gov website to determine how it aligned with the key practices and the extent to which data elements were searchable as required by the Federal Funding Accountability and Transparency Act of 2006 (FFATA). We also assessed USAspending.gov against criteria for federal websites and open data programs, including OMB M-17-06, Policies for Federal Agency Public Websites and Digital Services, and OMB M-13-13, Open Data Policy\u2014 Managing Information as an Asset.", "To evaluate the extent to which the USAspending.gov search functionality complies with FFATA requirements, as amended by the DATA Act, we randomly selected a nongeneralizable sample of 30 awards (consisting of 15 contracts and 15 financial assistance awards) downloaded from USAspending.gov for fiscal year 2017. We identified the required FFATA data elements from these awards, searched for these elements on USAspending.gov in July 2018, recorded whether each search successfully resulted in a matching award, and observed any other issues that occurred during testing. Finally, we interviewed Treasury officials to corroborate our observations on search functionality and other aspects of the website, and discussed any planned improvements to the website. We also interviewed GSA officials and OMB staff to clarify policies and procedures for federal websites.", "We conducted this performance audit from February 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Thomas J. McCabe, Assistant Director, and Laurel Plume, Analyst-in-Charge, supervised the development of this report. Colenn Berracasa, Samuel Gaffigan, and Parke Nicholson made major contributions to this report. Also contributing to this report in their areas of expertise were Michael Bechetti, Steven Campbell, Mark Canter, Jenny Chanley, Jacqueline Chapin, Peter Del Toro, Nancy Donovan, Kathleen Drennan, Sarah Gilliland, Sarah Kaczmarek, Michael LaForge, Paula M. Rascona, Andrew J. Stephens, and James Sweetman, Jr."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["DATA Act: Reported Quality of Agencies\u2019 Spending Data Reviewed by OIGs Varied Because of Government-wide and Agency Issues. GAO-18-546. Washington, D.C.: July 23, 2018.", "DATA Act: OMB, Treasury, and Agencies Need to Improve Completeness and Accuracy of Spending Data and Disclose Limitations. GAO-18-138. Washington, D.C.: November 8, 2017.", "Open Innovation: Executive Branch Developed Resources to Support Implementation, but Guidance Could Better Reflect Leading Practices. GAO-17-507. Washington, D.C.: June 8, 2017.", "DATA Act: As Reporting Deadline Nears, Challenges Remain That Will Affect Data Quality. GAO-17-496. Washington, D.C.: April 28, 2017.", "DATA Act: Office of Inspector General Reports Help Identify Agencies\u2019 Implementation Challenges. GAO-17-460. Washington, D.C.: April 26, 2017.", "DATA Act: Implementation Progresses but Challenges Remain. GAO-17-282T. Washington, D.C.: December 8, 2016.", "DATA Act: OMB and Treasury Have Issued Additional Guidance and Have Improved Pilot Design but Implementation Challenges Remain. GAO-17-156. Washington, D.C.: December 8, 2016.", "Open Innovation: Practices to Engage Citizens and Effectively Implement Federal Initiatives. GAO-17-14. Washington, D.C.: October 13, 2016.", "DATA Act: Initial Observations on Technical Implementation. GAO-16-824R. Washington, D.C.: August 3, 2016.", "DATA Act: Improvements Needed in Reviewing Agency Implementation Plans and Monitoring Progress. GAO-16-698. Washington, D.C.: July 29, 2016.", "DATA Act: Section 5 Pilot Design Issues Need to Be Addressed to Meet Goal of Reducing Recipient Reporting Burden. GAO-16-438. Washington, D.C.: April 19, 2016.", "DATA Act: Progress Made but Significant Challenges Must Be Addressed to Ensure Full and Effective Implementation. GAO-16-556T. Washington, D.C.: April 19, 2016.", "DATA Act: Data Standards Established, but More Complete and Timely Guidance Is Needed to Ensure Effective Implementation. GAO-16-261. Washington, D.C.: January 29, 2016.", "DATA Act: Progress Made in Initial Implementation but Challenges Must be Addressed as Efforts Proceed. GAO-15-752T. Washington, D.C.: July 29, 2015.", "Federal Data Transparency: Effective Implementation of the DATA Act Would Help Address Government-wide Management Challenges and Improve Oversight. GAO-15-241T. Washington, D.C.: December 3, 2014.", "Government Efficiency and Effectiveness: Inconsistent Definitions and Information Limit the Usefulness of Federal Program Inventories. GAO-15-83. Washington, D.C.: October 31, 2014.", "Data Transparency: Oversight Needed to Address Underreporting and Inconsistencies on Federal Award Website. GAO-14-476. Washington, D.C.: June 30, 2014.", "Federal Data Transparency: Opportunities Remain to Incorporate Lessons Learned as Availability of Spending Data Increases. GAO-13-758. Washington, D.C.: September 12, 2013.", "Government Transparency: Efforts to Improve Information on Federal Spending. GAO-12-913T. Washington, D.C.: July 18, 2012.", "Electronic Government: Implementation of the Federal Funding Accountability and Transparency Act of 2006. GAO-10-365. Washington, D.C.: March 12, 2010."], "subsections": []}], "fastfact": ["Open data\u2014like the spending data the Treasury Department shares on USAspending.gov\u2014can increase transparency to promote public trust in government. Because the data have broad appeal among users such as grant recipients, Congress, and the public, it's important to make the data as usable as possible.", "We identified 5 key practices for transparently reporting government data. For example, websites should facilitate data discovery by presenting the data in a way that allows easy exploration, such as through a search function.", "We recommended steps to better align USAspending.gov with key practices and other requirements."]} {"id": "GAO-19-223", "url": "https://www.gao.gov/products/GAO-19-223", "title": "Nuclear Waste Cleanup: DOE Could Improve Program and Project Management by Better Classifying Work and Following Leading Practices", "published_date": "2019-02-19T00:00:00", "released_date": "2019-03-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["EM's mission is to complete the cleanup of nuclear waste at 16 DOE sites and to work to reduce risks and costs within its established regulatory framework. In December 2018, DOE reported that it faced an estimated $494 billion in future environmental cleanup costs\u2014a liability that roughly tripled during the previous 20 years.", "GAO was asked to examine EM's operations activities. This report examines, among other objectives, (1) how EM manages its cleanup work and (2) the extent to which EM's cleanup policy follows selected leading practices for program and project management.", "To do this work, GAO reviewed agency documents and interviewed DOE project management experts and EM officials. GAO compared EM's policy with selected leading practices endorsed by the Project Management Institute for program and project management related to scope, cost, schedule, and independent review."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy's (DOE) Office of Environmental Management (EM) manages most of its cleanup of nuclear waste (77 percent of its fiscal year 2019 budget) under a category that EM refers to as operations activities, using less stringent requirements than a category of work, known as capital asset projects. (See figure) Capital asset projects\u2014which involve the acquisition of land and other assets, including through environmental remediation\u2014must undergo a series of reviews by independent experts and DOE's senior leadership. In contrast, operations activities are not reviewed outside of EM. EM's policy defines operations activities as reoccurring facility or environmental operations, as well as activities that are project-like, with defined start and end dates. EM cleanup site managers have discretion on how to classify cleanup work because DOE and EM have not established classification requirements. Since 2015, experts in DOE's Office of Project Management have raised concerns that some operations activities should be classified as capital asset projects, and that managing them under less stringent requirements poses cost and schedule risks. For example, the experts stated the cleanup of tanks of radioactive liquid waste should be designated as capital asset projects. However, these experts also stated that EM did not respond to their concerns, even though the office has department-wide responsibilities for overseeing project management. Until EM works with DOE's Office of Project Management to establish requirements for classifying cleanup work, the department may incur more cost and schedule risks than it should.", "EM's cleanup policy does not follow any of 9 selected program management leading practices or 9 of 12 selected project management leading practices. For example, EM's 2017 cleanup policy does not follow the program management leading practice of conducting risk management throughout the life of a program or the project management leading practice of requiring independent reviews of operations activities. These leading practices help ensure that a program optimizes scope, cost, and schedule performance and that it achieves its goals and intended benefits. Until EM revises its cleanup policy to follow leading practices, EM's operations activities are at risk of uncontrolled changes to scope, exceeding initial budget and schedule, and failing to meet their original goals."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that EM (1) establish cleanup work classification requirements and (2) revise its cleanup policy to follow program and project management leading practices. DOE generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Fifty years of federal nuclear weapons production and energy research during the Cold War generated millions of gallons of liquid radioactive waste, millions of cubic meters of solid radioactive waste, thousands of tons of spent nuclear fuel and special nuclear material, and large quantities of contaminated soil and water. In 1989, the Department of Energy (DOE) established its nuclear waste cleanup program by creating the Office of Environmental Management (EM). The EM program\u2019s mission is to complete the safe cleanup of this Cold War legacy and to work to reduce associated risks and costs within the established regulatory framework.", "The EM program faces substantial future cleanup costs and has decades of additional work remaining at contaminated DOE sites. EM has spent more than $164 billion since it began its cleanup work in 1989. Additionally, DOE faces an estimated $494 billion in future costs over a period of more than 70 years, a liability that has roughly tripled over the past 20 years, according to DOE\u2019s fiscal year 2018 financial statement. This liability may grow, even though DOE has spent roughly $6 billion annually on its cleanup work in recent years. Because of the substantial and increasing estimated cleanup costs to the federal government, in 2017 we added the federal government\u2019s environmental liability to our high-risk list of agencies and program areas that are vulnerable to fraud, waste, and mismanagement or that are most in need of transformation. According to DOE\u2019s fiscal year 2018 financial statement, the EM program\u2019s portion of DOE\u2019s total environmental liability is $377 billion, the largest share of the federal government\u2019s environmental liability. From fiscal years 2011 to 2018, EM\u2019s environmental liability increased by about $214 billion. The new Assistant Secretary for the Office of Environmental Management, who assumed office in March 2018, has acknowledged the importance of improving EM\u2019s performance in addressing EM\u2019s large and growing environmental liabilities.", "Effective program and project management are important to the success of efforts such as the EM program, according to the Project Management Institute (PMI). The Program Management Improvement Accountability Act of December 2016 requires the Office of Management and Budget (OMB) to adopt and oversee implementation of government-wide standards, policies, and guidelines for program and project management in executive branch agencies. In June 2018, OMB issued a memorandum on the implementation of this law that included initial implementation guidance and called for agencies to set their own program management standards. The memorandum stated that the act aims to improve program and project management practices within the federal government. The OMB memorandum also stated that agencies may use program management leading practices developed by us, other agencies, and external voluntary consensus standards bodies, such as PMI.", "EM divides its cleanup work into capital asset projects and operations activities. According to DOE\u2019s order governing the management of capital asset projects\u2014DOE Order 413.3B\u2014a capital asset project is a project with defined start and end points required in the acquisition of capital assets; capital asset projects can also include the environmental remediation of land to make it useful. According to OMB, capital assets are land (including park lands); structures; equipment (including motor and aircraft fleets); and intellectual property (including software), which are used by the federal government and which have an estimated useful life of 2 years or more. Operations activities are reoccurring facility or environmental operations as well as activities that are project-like, with defined start and end dates, according to EM policy. According to EM officials, EM manages its operations activities based on requirements listed in a cleanup policy that it issued in July 2017.", "Over the years, we have found many problems with DOE\u2019s management of its major capital asset projects\u2014those with a total project cost over $750 million\u2014including uncontrolled changes to scope, exceeding budgets and schedules, and failing to meet the original mission. Examples of EM\u2019s capital asset projects that encountered problems include the Waste Treatment and Immobilization Plant at the Hanford site and the Salt Waste Processing Facility at the Savannah River site, facilities that EM is building to process liquid radioactive waste stored in tanks at these sites. In recent years, DOE has improved its requirements for the management of capital asset projects by significantly changing Order 413.3B. We recognized these DOE efforts to improve its project management in our 2017 high-risk update. However, our 2017 high-risk update also expressed concern that EM\u2019s operations activities are not subject to the same oversight as capital asset projects.", "You asked us to review the EM program, particularly its management of operations activities. This report examines how the EM program manages its cleanup work, the extent to which EM\u2019s cleanup policy follows selected program and project management leading practices, and how EM measures the overall performance of its operations activities.", "To examine how the EM program manages its cleanup work, we reviewed various DOE documents, including DOE\u2019s Order 413.3B, EM\u2019s 2012 operations activities protocol, EM\u2019s 2017 cleanup policy, and documents received from cleanup sites. We also interviewed DOE and EM officials from headquarters and 5 of EM\u2019s 16 cleanup sites. (We contacted all sites and interviewed five sites that responded to our request for an interview over the phone.) We then decided to conduct site visits. We visited two of these sites\u2014Savannah River and Idaho\u2014 because they are among the sites with the highest number of operations activities and the most diverse types of and highest cost cleanup work remaining. Our findings from these 5 sites are not generalizable to all EM sites, but they help explain the delineation of roles between the site managers and EM headquarters in managing and classifying cleanup work. We also reviewed the role of DOE\u2019s Office of Project Management in EM\u2019s cleanup work. More specifically, we examined whether this office played a role in the development of EM\u2019s 2017 cleanup policy and classification of EM\u2019s cleanup work, consistent with the Office of Project Management\u2019s designation as DOE\u2019s enterprise project management organization.", "To examine the extent to which EM\u2019s cleanup policy follows selected program and project management leading practices, we selected two sets of criteria for program and project management leading practices. To select program management leading practices, we first reviewed PMI\u2019s The Standard for Program Management \u2014Third Edition. We identified 9 program management leading practices based on PMI\u2019s standards related to a program\u2019s management of scope, cost, schedule performance, and to independent review of performance. To select project management leading practices, we first identified 12 project management leading practices listed in DOE\u2019s Order 413.3B related to management of scope, cost, schedule performance, and to independent review of performance for projects. We then compared these 12 project management leading practices to PMI\u2019s A Guide to the Project Management Body of Knowledge\u2013Fifth Edition, which includes PMI\u2019s standards for project management, to make sure these leading practices align with PMI\u2019s standards for project management. To validate our selection of program and project management leading practices, we shared these selected leading practices with PMI representatives and incorporated their feedback, as appropriate. PMI representatives agreed with the program and project management leading practices that we selected.", "We then compared EM\u2019s 2017 cleanup policy and the 11 associated standard operating policies and procedures developed by EM by the time of our analysis (by May 2018) with the 9 program management and 12 project management leading practices we selected, and we analyzed the extent to which the policy and associated guidance follows these leading practices. We also interviewed EM officials to learn more about the 2017 cleanup policy. We used a 5-point scoring system to determine the extent to which EM\u2019s cleanup policy follows program and project management leading practices. If the score for a leading practice was \u201cfully met\u201d or \u201csubstantially met,\u201d we concluded that EM\u2019s policy followed that leading practice.", "To examine how EM measures the performance of its operations activities, we analyzed EM\u2019s use of the three measures of performance that EM policy identified as being used for this purpose: earned value management (EVM), performance metrics, and cleanup milestones. To evaluate EM\u2019s EVM systems, we compared EM\u2019s use of EVM with 8 of the 10 best practices for earned value management found in our Cost Estimating and Assessment Guide, which draws best practices from federal cost-estimating organizations and industry. Specifically, we reviewed the use of EVM systems in the 21 contracts EM uses to execute its operations activities, and we compared this with EVM best practices. To gather this information, we submitted a data collection instrument to all 16 sites to ascertain whether or not they follow these best practices for each contract containing operations activities. We also requested documentation, such as EVM system certification information or surveillance reports, supporting the sites\u2019 answers. We relied mainly on their responses but, when available, also reviewed the documentation we received to check the sites\u2019 answers for accuracy and completeness.", "In addition, as part of our analysis, we analyzed EM headquarters\u2019 EVM data on operations activities from October 2016 through September 2017 (the most recent data available at the time of our review) to determine whether or not the EVM data were reliable. We checked for anomalies such as missing or negative values for each of those months. We also reviewed DOE and EM documents\u2014such as monthly progress reports submitted by the 16 sites to EM headquarters for review and the monthly reviews prepared by an EM headquarters office for senior management\u2014 to see what EVM data senior management used for decision-making.", "To provide a score for our analysis, we used a 5-point scoring system to score the answers for each contract against each best practice. After scoring each best practice individually, we then used these scores to develop an average score for the three EVM characteristics: whether EM has ensured that these EVM systems are (1) comprehensive; (2) provide reliable data; and (3) are used by EM leadership for decision-making.", "To examine EM\u2019s use of performance metrics data, we reviewed annual performance metrics collected by EM headquarters for every operations activity from 2010 to 2017 (representing the period during which EM managed cleanup work as operations activities); reviewed relevant documentation; and interviewed agency officials knowledgeable about those data, among other things. Specifically, we interviewed DOE and EM officials at headquarters and from the five cleanup sites (including in- person interviews at the Savannah River and Idaho sites). We also reviewed our prior work in GAO-19-207 related to EM\u2019s cleanup agreements and milestones. Appendix I presents a more detailed description of our scope and methodology.", "We conducted this performance audit from April 2017 to February 2019, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["EM\u2019s cleanup sites and areas of cleanup work,", "EM\u2019s status as a program, the history of EM\u2019s requirements for operations activities, and key EM offices and DOE oversight bodies for EM\u2019s cleanup work."], "subsections": [{"section_title": "EM Cleanup Sites and Areas of Cleanup Work", "paragraphs": ["EM has a headquarters office and 16 sites at which the agency oversees cleanup work. Figure 1 shows the EM sites where cleanup work remains.", "EM divides its cleanup work into six work areas. These areas, described below, sometimes include both operations activities and capital asset projects: 1. spent nuclear fuel stabilization and disposition, including safe shipping, receipt, storage, and disposition of spent nuclear fuel and heavy water; 2. nuclear materials stabilization and disposition, including the management, disposition, safe surveillance, and maintenance of nuclear materials; 3. radioactive liquid waste stabilization and disposition, including treatment, management, and permanent disposal of radioactive liquid waste stored in storage tanks; 4. nuclear facility decontamination and decommissioning, including the deactivation, decontamination, and decommissioning of EM-owned nuclear, radioactive, and industrial buildings and structures; 5. solid waste stabilization and disposition, including receipt, treatment, storage, and disposal of legacy and newly generated low-level waste, mixed low-level waste, transuranic waste, hazardous waste, and sanitary waste; and 6. soil and water remediation, including cleanup of waste regulated under the Resource Conservation and Recovery Act and the Comprehensive Environmental Response, Compensation, and Liability Act."], "subsections": []}, {"section_title": "EM\u2019s Status as a Program", "paragraphs": ["EM refers to itself as a program, and EM\u2019s organization and mission fit PMI\u2019s definition of a program. According to PMI, programs include multiple program components, such as sub-programs (in EM\u2019s case, each cleanup site is a sub-program) and projects (in EM\u2019s case, the cleanup work at each site), which are interrelated and managed in a coordinated way to obtain benefits not available from managing them individually. According to PMI officials, organizations often use the terms \u201cprogram\u201d and \u201cproject\u201d interchangeably, but the two terms have different meanings and apply to different levels of management. Programs are a means of executing a strategy and achieving organizational goals and objectives. A program may continue indefinitely. In contrast, a project is a temporary endeavor undertaken to create a unique product, service, or result. Projects are executed to improve the efficient implementation of a program. The relationship between a program and a project is illustrated in figure 2 below."], "subsections": []}, {"section_title": "History of EM\u2019s Requirements for Operations Activities", "paragraphs": ["In June 2009, EM developed the category of work that EM calls operations activities to differentiate this work from capital asset projects. Until then, EM managed all of its cleanup work as projects under Order 413.3B. EM documentation from that time explained that EM decided to differentiate its cleanup work so that it could quickly make use of an infusion of $6 billion for EM under the American Recovery and Reinvestment Act of 2009 (Recovery Act). EM officials stated that EM could not use the funds quickly at that time if the work had to follow the project management requirements in Order 413.3B.", "In 2010, shortly after the initiation of the Recovery Act work, EM decided to make the approach of managing part of its work as operations activities permanent. EM officials could not provide any documentation from the time supporting this decision, which was not consistent with EM findings from 2009. In particular, according to EM documentation from 2009, executing all cleanup work under Order 413.3B had served EM well in defining and controlling the technical scope, project and life-cycle costs, completion dates, and risks of its cleanup work, and had helped EM improve its overall performance and become more efficient. EM began managing operations activities based on a memorandum developed by EM leadership.", "In 2012, EM developed the operations activities protocol, which superseded the 2010 memorandum for managing operations activities. This protocol stated that although operations activities are not subject to DOE\u2019s Order 413.3B requirements, EM will apply the appropriate project management principles from this order using a \u201cgraded approach.\u201d We reviewed the 2012 operations activities protocol in October 2012 and found that it contained less stringent requirements for operation activities than Order 413.3B for capital asset projects. We also found that EM did not have a clear classification policy that set out under what conditions EM should consider particular cleanup work to be an operations activity or a capital asset project. In the absence of such a policy, EM classified as operations activities certain cleanup work that DOE\u2019s Office of Project Management considered to be capital asset projects. We recommended that EM provide DOE\u2019s Office of Project Management with information on EM\u2019s classification decisions. In 2012, DOE agreed with our recommendation, and EM officials stated in August 2018 that they are developing guidance.", "In July 2017, EM developed a cleanup policy that applies to both operations activities and capital asset projects. For managing capital asset projects, this policy supplements Order 413.3B. For managing operations activities, this policy supersedes the 2012 operations activities protocol. The 2017 cleanup policy states that EM will apply DOE\u2019s project management principles described in Order 413.3B to its operations activities in a tailored way.", "At the time of our review, EM had developed 11 standard operating policies and procedures that are associated with the 2017 cleanup policy and that provide guidance on areas such as program performance reporting, assessing contractors\u2019 performance against contract requirements, and what officials have approval authority at major steps in the contract process. However, according to EM officials, the standard operating policies and procedures are not requirements."], "subsections": []}, {"section_title": "Key EM Offices and DOE Oversight Bodies for EM\u2019s Cleanup Work", "paragraphs": ["The EM program is executed by two main components: EM headquarters, which serves as the program manager for the EM program, and 16 cleanup sites, which serve as sub-programs. The following EM headquarters and site officials are key to managing and overseeing EM\u2019s operations activities, according to the 2017 cleanup policy:", "The Assistant Secretary for Environmental Management serves as the head of EM and is responsible for the execution of EM\u2019s mission. In December 2017, the Assistant Secretary for EM began reporting to the DOE Undersecretary of Science, who in turn reports to the DOE Deputy Secretary of Energy. The Assistant Secretary for Environmental Management, among other things, provides leadership and develops mission strategies, policy, and guidance for the EM cleanup program.", "The Principal Deputy Assistant Secretary for Environmental Management serves as the EM management official responsible for operations, including coordination, oversight, and leadership on scope, cost, and schedule elements. Under the 2017 cleanup policy, this official has approval authority for contracts equal to or greater than $200 million. This official is also responsible for conducting periodic contract reviews for contracts with a total estimated cost equal to or greater than $200 million.", "The Associate Principal Deputy Assistant Secretary for Field Operations provides leadership and develops mission strategies, policy, and guidance for site operations. This official is responsible for, among other things, meeting monthly with each site individually to discuss the status of cleanup work there.", "The EM Deputy Assistant Secretary for Acquisition and Project Management is responsible for providing independent oversight and reports to the Associate Principal Deputy Assistant Secretary for Corporate Services. Under the 2017 cleanup policy, this official is responsible for programmatic peer reviews that review cleanup activities at each site. This official is also responsible for the implementation of Order 413.3B and review of capital asset projects.", "At each of the 16 cleanup sites, the EM site manager is responsible and accountable for management and integration of all EM site-level activities. Under the 2017 cleanup policy, site managers have approval authority over contracts under $200 million. The site manager is also required to conduct periodic contract reviews for contracts with a total estimated cost of less than $200 million.", "Outside of EM, two DOE bodies play a role in the oversight of EM\u2019s capital asset projects, but not of operations activities:", "DOE\u2019s Office of Project Management has served as DOE\u2019s enterprise project management organization since July 2015, when the Secretary of Energy gave it this responsibility as part of an initiative to improve DOE\u2019s program and project management. As such, DOE states that this office\u2014as an enterprise project management organization\u2014is responsible for providing leadership and assistance in developing and implementing DOE-wide policies, procedures, programs, and management systems pertaining to project management, as well as for independently monitoring, assessing, and reporting on project execution performance. Officials from this office are experts in project management, especially as it relates to capital asset projects, and oversee the implementation of DOE\u2019s Order 413.3B. This office also validates project performance baselines\u2014 scope, cost, and schedule\u2014for the department\u2019s capital asset projects, including EM\u2019s.", "The Project Management Risk Committee reviews and provides advice on capital asset projects with a total project cost of $100 million or more. The Risk Committee\u2019s purpose is to assess the risks associated with projects across DOE and advise DOE senior leaders on project management, including on cost, schedule, and technical issues. The committee includes nine senior DOE officials from across the department, including top project management officials from the National Nuclear Security Administration, the Office of Science, and EM."], "subsections": []}]}, {"section_title": "DOE\u2019s EM Program Manages Most of Its Multibillion-Dollar Cleanup Work as Operations Activities, Posing Cost and Schedule Risks", "paragraphs": ["DOE\u2019s EM program manages most of its cleanup work as operations activities, posing cost and schedule risks. These risks stem from EM\u2019s management of such work using less stringent requirements than for capital asset projects even though EM spends billions of dollars annually on operations activities. Site managers have the discretion to classify cleanup work as operations activities, even if the work has characteristics of capital asset projects, because DOE and EM have not established requirements for classifying EM\u2019s cleanup work. In addition, EM has not addressed concerns raised by DOE project management experts that some operations activities should be classified as capital asset projects."], "subsections": [{"section_title": "DOE\u2019s EM Program Manages Most of Its Cleanup Work as Operations Activities, under Less Stringent Requirements Than Capital Asset Projects", "paragraphs": ["EM manages its cleanup work under different requirements, depending on whether it classifies the work as a capital asset project or an operations activity, with operations activities having less stringent requirements. EM currently manages most of its work as operations activities. EM\u2019s work is divided into 77 operations activities and 20 capital asset projects. In the fiscal year 2019 budget, operations activities accounted for 77 percent of EM\u2019s approximately $7.2 billion budget\u2014 about $5.5 billion\u2014while capital asset projects accounted for 18 percent of EM\u2019s budget\u2014about $1.3 billion. Figure 3 illustrates how EM classified and funded its work during fiscal year 2019.", "For capital asset projects, EM manages the work in accordance with the requirements in DOE\u2019s Order 413.3B, which is DOE\u2019s project management order. This order contains numerous, detailed requirements that describe the steps and project management best practices to follow throughout the life of a project. The DOE Secretary strengthened this order in May 2016 by adding more stringent requirements, based in part on our prior recommendations. Examples of the requirements included in this order include: \uf0b7 A capital asset project with a total project cost over $50 million must undergo rigorous reviews outside the project\u2019s management line. Different types of reviews are to be conducted by an independent body within the program for capital asset projects over $50 million, DOE\u2019s Office of Project Management and the Project Management Risk Committee for capital asset projects over $100 million, and the Energy Systems Acquisition Advisory Board for capital asset projects over $750 million. Review and approval are to be received from the Under Secretary for capital asset projects over $100 million, and the Deputy Secretary for capital asset projects over $750 million.", "A capital asset project must complete its original scope of work within 110 percent of the original cost baseline to be considered successful.", "The program must conduct a root cause analysis to determine the underlying contributing causes of cost overruns, schedule delays, and performance shortcomings, if the program, the project manager or independent oversight offices realize a capital asset project can no longer meet its established scope, cost or schedule baseline.", "Contingency to cover potential risks that might appear during the life of a project must be included as part of the total project cost estimate included in the performance baseline.", "All cost and schedule estimates developed during the life of the project must follow GAO best practices.", "For operations activities, EM follows the requirements in its 2017 cleanup policy, which has fewer, less detailed, and less stringent requirements than Order 413.3B. For example, in contrast to the more stringent requirements in Order 413.3B, under EM\u2019s 2017 cleanup policy:", "The highest level of review an operations activity must receive is by EM\u2019s top management for contracts equal to or greater than $200 million.", "For an operations activity to be considered successful, it must be completed within 110 percent of the current cost and scope baseline\u2014not the original baseline established at the beginning of cleanup work.", "There is no requirement to conduct a root cause analysis for operations activities.", "EM does not fund contingency for operations activities.", "Cost and schedule estimates made before EM authorizes execution of a contract are to follow GAO best practices, but the policy does not include a requirement to follow best practices for cost estimates developed during contract execution. Figure 4 below illustrates how operations activities are managed under less stringent requirements than capital asset projects.", "EM project management officials in charge of developing the 2017 cleanup policy stated that EM intentionally wrote this policy at a high level because EM planned to develop standard operating policies and procedures that would establish more detailed steps to implement the policy. As noted earlier, these standard operating policies and procedures provide guidance but are not requirements."], "subsections": []}, {"section_title": "DOE and EM Have Not Established Requirements for Classifying EM\u2019s Cleanup Work or Addressed Concerns That Some Operations Activities Should Be Capital Asset Projects", "paragraphs": ["Neither DOE nor EM has a policy on how to classify cleanup work as either operations activities or capital asset projects. According to DOE Office of Project Management officials, DOE does not have a department- wide policy on how to classify cleanup work. Instead, these officials stated that DOE\u2019s general management approach is to let its individual programs, such as EM, decide how to classify their work. EM officials explained that EM allows each site manager to determine independently how to classify cleanup work because according to EM\u2019s 2017 cleanup policy, the site manager is responsible and accountable for the planning and execution of all site-level activities.", "DOE project management experts on the Project Management Risk Committee and in DOE\u2019s Office of Project Management have raised concerns related to EM\u2019s 2017 cleanup policy and the classification of cleanup work since 2015. These officials have stated that some current operations activities should be classified as capital asset projects. Specifically: In November 2015, EM approached DOE\u2019s Project Management Risk Committee with a proposal for a new cleanup policy, which later became EM\u2019s 2017 cleanup policy. In comments on the proposal, the committee\u2019s members expressed concerns that the proposed policy did not address how EM would classify cleanup work, noting that if programs or sites get to decide on what is a capital asset project and what is not\u2014which in turn drives the level of DOE oversight\u2014then this approach was not an appropriate governance model. The committee\u2019s members also questioned why EM chose not to use the already available requirements in Order 413.3B. EM did not respond to the committee\u2019s concerns. Instead, according to the committee\u2019s meeting minutes, the DOE Undersecretary for Management and Performance, who at the time oversaw EM, informed the committee in November 2015 that EM was proceeding with drafting its new cleanup policy.", "In late 2016, DOE\u2019s Office of Project Management officials drafted an appendix to Order 413.3B that sought to define operations activities and capital asset projects. Under the classification proposal in the draft appendix, some of the work now classified as operations activities would have become capital asset projects and subject to more stringent requirements. For example, under the appendix, the cleanup of radioactive liquid waste tanks and solid waste exhumation and disposition would have been designated as capital asset projects. However, EM officials informed officials from the DOE Office of Project Management that EM would continue to develop its own policy, which it issued in July 2017. This 2017 cleanup policy did not reclassify any of the operations activities that, in the opinion of DOE\u2019s Office of Project Management, should be capital asset projects.", "Officials from DOE\u2019s Office of Project Management we interviewed said that continuing to classify and manage most of EM\u2019s cleanup work as operations activities poses significant risks to DOE. According to these officials, managing the work this way poses cost and schedule risks for the following reasons, among others:", "Because the review of operations activities is conducted entirely within EM, DOE does not have information on how EM manages operations activities and cannot hold EM accountable for cost- effective and timely completion of this cleanup work, which represents a $5.5 billion investment by taxpayers in operations activities in fiscal year 2019 (see fig. 3).", "Operations activities are not required to go through a thorough upfront planning process to determine the scope of work to be completed. Therefore, these activities are more subject to scope creep, cost overruns, and schedule delays, which can detract from EM\u2019s credibility with Congress and other stakeholders.", "Because EM does not set aside contingency funds to cover risks for its operations activities\u2014a project management best practice and requirement under Order 413.3B\u2014if risks are realized, EM must either reduce or delay scope to later years, which increases costs, causes schedule delays, and undermines EM\u2019s ability to budget for activities across the EM program.", "Officials from DOE\u2019s Office of Project Management stated that EM did not respond to their concerns that EM\u2019s approach to classification of cleanup work poses unwarranted cost and schedule risks. Officials in EM told us they view the role of DOE\u2019s Office of Project Management and the Project Management Risk Committee as limited to reviewing Order 413.3B requirements and overseeing capital asset projects. However, since July 2015, DOE\u2019s Office of Project Management has served as DOE\u2019s enterprise project management organization, with department-wide responsibilities for overseeing project management. As previously noted, DOE states that this office is responsible for, among other things, independently monitoring, assessing, and reporting on project execution performance. Therefore, review of classification of cleanup work that constitutes projects is within the scope of the office\u2019s responsibilities. Until EM works together with DOE\u2019s Office of Project management to (1) establish requirements for classifying cleanup work as capital asset projects or operations activities and (2) assess EM\u2019s ongoing operations activities to determine if they should be reclassified as capital asset projects based on the newly established requirements, the department may incur more project management risk of cost increases and schedule delays than it should for hundreds of billions of dollars of remaining work."], "subsections": []}]}, {"section_title": "EM\u2019s Cleanup Policy Does Not Follow Most Selected Program and Project Management Leading Practices", "paragraphs": ["EM\u2019s 2017 cleanup policy, which governs the EM program and its operations activities, does not follow most selected leading practices for program and project management. More specifically, EM\u2019s 2017 cleanup policy does not follow any of 9 selected program management leading practices related to scope, cost, schedule performance, and independent reviews. Further, EM\u2019s 2017 cleanup policy follows 3 of 12 selected project management leading practices related to these areas; it does not follow the remaining 9. Figure 5 shows the percentage of selected program and project management leading practices that DOE\u2019s Office of Environmental Management\u2019s 2017 cleanup policy follows."], "subsections": [{"section_title": "EM\u2019s Cleanup Policy Does Not Follow Any of Nine Selected Leading Program Management Practices", "paragraphs": ["EM\u2019s 2017 cleanup policy does not follow (i.e., does not meet, minimally meets, or partially meets) the nine leading practices for program management related to scope, cost, schedule performance, and independent reviews that we selected based on PMI\u2019s standards. More specifically, the policy partially met two of the leading practices, minimally met four others, and did not meet three, as discussed below:", "Having a program management plan and a roadmap that are updated regularly. (Minimally meets.) EM\u2019s policy does not require an overarching program management plan or strategic plan that encompasses the work at all sites. The policy does require that each site maintain a life-cycle baseline based on the scope, cost, and schedule of work, which are components of a program management plan. However, the requirement is specific to each site and not the entire EM program.", "Having a reliable, integrated, comprehensive life-cycle cost estimate that is updated on a regular basis. (Partially meets.) EM\u2019s policy requires an integrated life-cycle cost estimate for the entire EM program but does not state that the cost estimate must be reliable or updated on a regular basis.", "Having a reliable, integrated master schedule that is updated on a regular basis. (Does not meet.) EM\u2019s policy does not require an integrated master schedule at the program level.", "Measuring performance against both a program\u2019s life-cycle cost and integrated master schedule baselines. (Does not meet.) EM\u2019s policy does not require that EM track and monitor all high-level program components against a program\u2019s life-cycle cost and integrated master schedule baselines for the entire EM program.", "Completing performance reporting and analysis in a way that provides a clear picture of program performance. (Minimally meets.) EM\u2019s policy requires performance reporting to the EM headquarters management level, but it does not require that performance information be analyzed to give a clear picture of program performance.", "Having a lessons learned database. (Partially meets.) EM\u2019s policy requires that EM collect and disseminate lessons learned, but the policy does not specify a framework, such as a database, for how the lessons learned should be collected and shared.", "Conducting program risk management throughout the life of the program. (Does not meet.) EM\u2019s policy does not require EM to conduct risk management throughout the life of the program.", "Monitoring and controlling the program, including conducting root cause analyses and developing corrective action plans. (Minimally meets.) EM\u2019s policy does not have any requirements related to monitoring and controlling activities at a program level when there is evidence that the program\u2019s cost or schedule baseline will not be met. It does require some monitoring and controlling activities at the site level.", "Having an independent oversight body that conducts periodic reviews of the progress of the program in delivering its expected benefits. (Minimally meets.) EM\u2019s policy does not require any independent entity outside EM to review the performance of the EM program as a whole in delivering its expected benefits. The policy requires EM\u2019s Office of Project Management to conduct a periodic Programmatic Peer Review of cleanup work at each site, but this review is not independent of EM.", "EM officials stated that even though EM\u2019s policy does not follow these program management leading practices, EM officials may take some actions that address these leading practices. For example, to address the leading practice of having a lessons learned database, EM officials explained that EM\u2019s Office of Project Management generates and distributes across EM a monthly lessons-learned bulletin on a topic of its choosing, and these lessons learned are uploaded on a site accessible to everyone within EM. They also explained that officials across EM could enter lessons learned in a DOE-wide lessons-learned database managed by DOE\u2019s Office of Environment, Health, Safety, and Security. In addition, to address the leading practice of monitoring and controlling the program, including conducting root cause analyses and developing corrective action plans, the new Assistant Secretary for Environmental Management requested the development of a root cause analysis and a corrective action plan for the EM program in August 2018. To address the Assistant Secretary\u2019s request, EM officials stated that in November 2018 they identified nine improvement areas for the EM program, for which they are developing corrective measures.", "However, when we reviewed the actions EM officials cited they took to address the selected leading practices, we found that they fell short of following leading practices. For example, the lessons learned listed in the bulletins we reviewed were related only to capital asset projects, and the database cited by EM officials is not used often by EM; it contains a total of six entries on EM-related issues from 2005 to 2017. In addition, EM officials stated they do not apply key practices that can be used to identify and apply lessons learned. Further, EM officials in charge of developing a root cause analysis and a corrective action plan stated that EM does not have a process for doing so and that EM has not prepared such an analysis or plan since 2011. They also stated that EM does not intend to publish this document and that EM will not develop a root cause analysis to show the problems these corrective measures are supposed to address.", "The selected leading practices help ensure that a program achieves its goals and intended benefits and that it optimizes scope, cost, and schedule performance, and independent review of performance. Without documenting such leading practices in policy, EM officials may not be aware of expectations to carry them out and may not do so consistently. Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. Furthermore, these standards state that management periodically reviews policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks. Until EM reviews and revises its cleanup policy to include program management leading practices related to scope, cost, schedule performance, and independent review, the EM program is at risk of continued uncontrolled changes to the program\u2019s scope, exceeding its cost estimate and schedule, failing to meet its programmatic goals, and increasing DOE\u2019s environmental liabilities."], "subsections": []}, {"section_title": "EM\u2019s Cleanup Policy Does Not Follow Most Selected Project Management Leading Practices", "paragraphs": ["EM\u2019s 2017 cleanup policy, which applies to operations activities, follows (i.e., substantially or fully meets) 3 and does not follow (i.e., does not meet, minimally meets, or partially meets) 9 of the 12 leading practices for project management related to scope, cost, schedule performance, and independent reviews that we selected based on PMI\u2019s standards. Specifically, the policy follows these three selected leading practices:", "Establishing a performance baseline and tracking it from the beginning to the end of the project. (Substantially meets.) EM\u2019s policy requires that a contractor must establish a cost baseline and complete key performance measures within 110 percent of the approved, current cost baseline. The policy also requires that managers in charge of the work be responsible for successfully executing work within the approved performance baseline.", "Conducting monitoring and controlling activities to measure performance at regular intervals. (Fully meets.) EM\u2019s policy requires periodic project reviews from various levels, from the federal cleanup director in charge of the operations activity and site manager, all the way to EM senior leadership.", "Using an EVM system that is independently certified and continuously monitored to assess project performance. (Substantially meets.) EM\u2019s policy requires the implementation at the contract level of a work control system, either an EVM system or an approved alternative. EM guidance suggests that the EVM system be surveilled regularly, although EM does not require the EVM system to be independently certified.", "The policy did not follow the other 9 selected project management leading practices; specifically, it partially met 5, while the remaining 4 were minimally or not met, as explained below:", "Establishing a project execution plan with policies and procedures to manage and control project planning. (Does not meet.) EM\u2019s policy does not require a plan to establish policies and procedures to manage and control project planning.", "Clearly and completely defining the scope of a project so that its performance can be measured. (Partially meets.) EM\u2019s policy requires that the scope be defined for a segment\u2014typically a 5- to 10- year contract\u2014at the beginning of the work. However, EM\u2019s policy also states that the segment\u2019s scope may be reduced to free up funding to cover risks. When risks occur and the scope is reduced, the segment\u2019s performance may not be accurately and fully measured.", "Developing a cost estimate using GAO best practices. (Partially meets.) EM\u2019s policy requires that EM follow our best practices for cost estimating prior to starting the execution of a segment. However, once the contractor begins executing the segment, the policy does not require EM to follow our best practices, even when independent cost estimates are developed during a baseline change process.", "Developing and maintaining an integrated master schedule using GAO best practices. (Minimally meets.) EM\u2019s policy requires that the contract specify the schedule for the segment, which could be an input to an overall integrated master schedule for that segment. The policy does not require that an integrated master schedule be developed and maintained in accordance with GAO best practices.", "Conducting risk assessments throughout the life cycle of the project; prioritizing risks in a risk register; developing risk mitigation strategies; and determining the appropriate amount of contingency. (Minimally meets.) EM\u2019s policy does not require a risk management plan for projects. In addition, the policy states that EM will not fund contingency to cover risks that may occur for operations activities.", "Capturing lessons learned throughout the continuum of a project in a database and disseminating them among projects. (Partially meets.) EM\u2019s policy requires the EM Deputy Assistant Secretary for Acquisition and Project Management to collect and disseminate lessons learned, but the policy does not specify that this process should be done throughout the continuum of a project or that lessons learned should be disseminated among operations activities.", "Developing a root cause analysis and corrective action plan to identify and address the underlying causes of cost overruns, schedule delays, and performance shortcomings when a cost or schedule overrun occurs. (Does not meet.) The policy does not contain any information on the steps that EM will take, such as developing a root cause analysis and corrective action plan, once management becomes aware that a cost or schedule overrun is probable for an operations activity.", "Conducting a variety of independent reviews throughout the life of a project, including at key decision points, and on multiple aspects of the project, such as the mission need, cost, earned- value management system, and baseline review. (Partially meets.) EM\u2019s policy requires reviews of segments conducted or organized by EM\u2019s Office of Project Management. However, there are no requirements for any independent reviews conducted by DOE offices or other entities outside EM.", "Establishing project-reporting systems/databases to provide a clear picture of project performance to management and to keep the contractor accountable. (Partially meets.) EM\u2019s policy established a requirement that performance information be reported in the Integrated Planning, Accountability, and Budgeting System database for each operations activity. However, EM\u2019s policy does not address how this performance information will provide a clear picture of performance and how it will be used to keep the contractor accountable.", "Our findings on the inclusion of project management leading practices in EM\u2019s 2017 cleanup policy are consistent with concerns raised by DOE\u2019s Project Management Risk Committee. According to meeting minutes from December 2015, the committee expressed concerns that EM\u2019s proposed cleanup policy (adopted in July 2017) appeared to run counter to the Secretary\u2019s initiative to apply best practices to oversight of project management. In committee meeting minutes from November 2015, the committee expressed concern with the level of rigor that would be applied to independent cost analysis, project reviews, general oversight, and risk mitigation under the new cleanup policy. According to PMI, effective project management is key to implementing an organization\u2019s strategy, and has a dramatic impact on the bottom line; organizations that invest in proven project management practices\u2014such as these selected leading practices\u2014continue to experience greater success than their underperforming counterparts.", "In addition, under federal standards for internal control, management periodically reviews policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks. Until EM reviews and revises its policy to include project management leading practices related to scope, cost, and schedule performance, and independent reviews, EM\u2019s operations activities are at risk of scope creep or uncontrolled changes to scope, exceeding their initial budget and schedule, and failing to meet their goals."], "subsections": []}]}, {"section_title": "EM\u2019s Performance Measures for Operations Activities Do Not Provide a Clear Picture of Overall Performance", "paragraphs": ["EM uses three tools to measure the overall performance of operations activities, but these tools do not provide a clear picture of overall performance. These tools are earned value management, performance metrics, and milestones, according to EM documentation and officials. However, EM has not followed best practices for its contractors\u2019 EVM systems; EM\u2019s performance metrics do not link performance to cost; and EM postpones milestones when they are at risk of missing them and does not consistently track or report those milestone changes over time. Figure 6 summarizes our findings on these three performance measures and how they affect EM\u2019s ability to effectively manage the cleanup effort."], "subsections": [{"section_title": "EM Relies on Three Tools to Measure Performance of Its Operations Activities", "paragraphs": ["To measure the overall performance of its operations activities, EM relies primarily on EVM data, supplemented by program-wide performance metrics and cleanup milestones, according to EM documentation and officials. EVM is a management tool used to measure the value of work accomplished in a given period and compare it with the planned value of work scheduled for the same period and with the actual cost of the work accomplished. EVM data can alert project managers to potential problems sooner than expenditures alone can. The use of EVM as a management tool is considered a best practice for conducting cost and schedule performance analysis for projects.", "EM\u2019s 2017 cleanup policy requires that contractors use an EVM system or an approved alternative for monitoring and controlling work at the contract level. We reviewed all 20 EM contracts covering operations activities and found that EM requires its contractors to maintain EVM systems for 17 of all 20 contracts. EM paid contractors for maintaining these systems and providing EVM reports to EM. For example, EM has paid one contractor $1 million annually to maintain its EVM system, and EM has paid contractors anywhere from $10,000 to $235,000 annually to receive their EVM reports, according to EM responses to our information request.", "EVM by itself may not be sufficient to measure the progress of operations activities, according to EM\u2019s 2012 operations activities protocol. The second tool EM uses to measure performance is performance metrics. EM developed 17 program-wide performance metrics for its cleanup work. The goal of these metrics is to measure progress toward completing the scope of work for the contract and the entire life of an operations activity. EM headquarters collects information from the sites monthly to measure how each activity has performed against a goal set at the beginning of each year. Examples of EM\u2019s performance metrics include the number of cleanup sites being eliminated, the cubic meters of transuranic waste being disposed of, the number of containers of high-level waste packaged for final disposition, and the number of closed radioactive liquid waste tanks.", "The EM cleanup sites set targets for these metrics annually. According to EM officials, many operations activities have one or more of these performance metrics associated with them, but some do not. Appendix II contains the full list of EM\u2019s performance metrics.", "The third tool EM uses to measure performance are cleanup milestones. Cleanup milestones represent deadlines for various cleanup-related activities derived from agreements DOE enters into with its regulators, including the Environmental Protection Agency and states. There are many different types of milestones, including enforceable and planning milestones. Generally, an enforceable milestone has a fixed, mandatory due date that is subject to the availability of appropriated funds while a planning milestone is not enforceable and usually represents a placeholder for shorter term work.", "EM collects program-wide performance information from the three performance measures tools in a centralized database known as the Integrated Planning, Accountability, and Budgeting System. These performance data are used by EM to manage its program and to provide information to DOE management, Congress, and other stakeholders. According to DOE\u2019s Office of Inspector General and EM officials, this database was developed as a program management tool to provide information to", "EM headquarters officials, to ensure effective overall program performance;", "DOE\u2019s Chief Financial Officer, for inclusion in DOE-wide reports;", "Congress and taxpayers, to identify the remaining environmental cleanup liability and to provide transparency regarding contractor performance; and stakeholders, to make sure the work reported is accurate, timely, complete, and in accordance with agreements."], "subsections": []}, {"section_title": "EM Has Not Ensured That EVM Systems Are Comprehensive, Provide Reliable Data, or Are Used by Leadership for Decision-Making", "paragraphs": ["EM relies on contractors\u2019 EVM systems to measure the performance of its contractors\u2019 operations activities, but EM has not followed (i.e., has not met, has minimally met, or has partially met) best practices to ensure that these systems are (1) comprehensive, (2) provide reliable data, and (3) are used by EM leadership for decision-making\u2014which are the three characteristics of a reliable EVM system. Moreover, EM has allowed the contractors to categorize a large portion of their work in a way that limits the usefulness of the EVM data."], "subsections": [{"section_title": "EM Has Not Followed Best Practices for Its Contractors\u2019 EVM Systems", "paragraphs": ["Our analysis of EM contractors\u2019 EVM systems for operations activities found that EM has not followed (i.e., has not met, has minimally met, or has partially met) best practices, as discussed below. As a result, EM has not ensured that these systems are: (1) comprehensive, (2) provide reliable data, and (3) used by EM leadership for decision-making\u2014which are the three characteristics of a reliable EVM system. (See app. III for more specific information on EM\u2019s performance on each best practice considered and app. IV for information on how each contract followed each best practice.)", "Comprehensive: Best practices to ensure EVM systems are comprehensive are: (1) requiring the contractor\u2019s EVM systems be certified to meet guidelines established by the Earned Value Management Systems EIA-748-D Intent Guide; (2) conducting an integrated baseline review to ensure that all work is accurately captured in the performance measurement baseline; and (3) performing regular surveillance to ensure the contractors continue to maintain their EVM systems in a way to meet the EIA-748-D guidelines. We found that 17 out of 20 contractors\u2019 EVM systems were certified to be compliant with the EIA-748-D guidelines, but of these 17, 4 contractors had self-certified their EVM systems. However, only about half of the EVM systems met the best practices for conducting integrated baseline reviews and performing ongoing surveillance. Among those, many of the reviews were not rigorous enough to ensure that the performance measurement baseline captured all of the work. In November 2017, EM issued a standard operating policy and procedure, which suggests that EVM systems be surveilled regularly. However, we discovered that EM officials were not performing thorough surveillance reviews to ensure that EVM systems were in alignment with the EIA-748-D guidelines and that the data being reported by the EVM systems were reliable.", "Provide reliable data: Best practices to ensure that the contractors\u2019 EVM systems provide reliable data are (1) the EVM data do not contain any anomalies and (2) estimates at completion\u2014 the expected total cost of completing all work based on the contractor\u2019s performance to date\u2014are realistic. The EVM data for contracts covering operations activities contained numerous, unexplained anomalies in all the months we reviewed, including missing or negative values for some of the completed work to date. Negative values should occur rarely, if ever, in EVM reporting because they imply the undoing of previously scheduled or performed work. In addition, we found problems with the estimate at completion listed in all 20 contractors\u2019 EVM systems. More specifically, we found (1) many instances where the actual costs exceeded the estimates at completion even though there was still a lot of work remaining; (2) several occasions where the estimates at completion were less than half of the original budget at the beginning of the project; and (3) several contractors reported estimates at completion of zero dollars when their original budgets were for hundreds of millions of dollars. These problems indicated that the EVM systems were not being updated in a timely manner or were not well monitored since the estimate at completion values were too optimistic and highly unlikely.", "Used by EM leadership for decision-making. Best practices to ensure that the data from the contractors\u2019 EVM systems are used by EM leadership for decision-making are: (1) reviewing EVM data, including cost and schedule variances, on a regular basis; (2) ensuring that EM management use EVM data to develop corrective action plans; and (3) ensuring that the performance measurement baseline is updated to reflect changes. We reviewed monthly reports EM sites present to EM headquarters management for review. We found that none of the sites adequately reported EVM variances to EM headquarters management; they were all missing some EVM information such as trend data or the estimate at completion. In addition, many of the sites\u2019 monthly reports did not include corrective action plans for addressing variances, if any, between planned and actual performance. We also reviewed monthly reports that the EM Office of Project Management started to present to EM headquarters senior leadership in October 2017, and found that these reports included most of the EVM indicators for all 15 contracts on which EM Office of Project Management reported. However, EM Office of Project Management officials stated that they have only started suggesting corrective action to EM headquarters senior leadership since early 2018; it is too soon to tell how EM headquarters senior leadership is using this information to determine which contracts need the most attention and which corrective actions management will develop and take. Moreover, this monthly report uses unreliable EVM data, as we found in the prior characteristic. Finally, regarding the third best practice, EM provided evidence that 17 out of 20 contractors had a formal process in place for updating the budget baseline. However, the extent to which contractors followed their processes was questionable given the problems we found with the estimates at completion, as discussed in the prior characteristic.", "Even though EM requires most of its contractors for operations activities to maintain EVM systems and pays them for doing so, EM\u2019s 2017 policy generally does not require that EVM systems be maintained and used in a way that follow EVM best practices. Until EM updates its cleanup policy to require that EVM systems be maintained and used in a way that follow EVM best practices, EM leadership may not have access to reliable performance data to make informed decisions in managing its cleanup work and to provide to Congress and other stakeholders on billions of dollars\u2019 worth of cleanup work every year."], "subsections": []}, {"section_title": "Much of the Cleanup Work Is Categorized in a Way That Limits the Usefulness of the EVM Data", "paragraphs": ["Compounding the limitations with the EVM systems currently in place, EM has categorized a large portion of its work in a way that limits the usefulness of the EVM data. Specifically, a sizable amount of the work is categorized as level of effort for all 14 contracts for which we could identify the percentage of the level-of-effort work (in dollars). Work that is categorized as level of effort does not have defined deliverables or physical products. Progress for level-of-effort work is measured by the passage of time, but is not measured against a scheduled amount, so no schedule variance occurs. The effectiveness of EVM systems, which are designed to measure performance against cost and schedule targets, will be limited if there is a high amount of level-of-effort work, according to our best practices. Thus, according to best practices, categorizing work as level of effort should be minimized to the extent possible if EVM is being used to measure performance, and contracts with level-of-effort work over 15 percent should be subject to additional scrutiny. As shown in figure 7 below, the range for EM\u2019s contracts on operations activities is between 36 and 83 percent. (We used letters for each contract, rather than identifying the site or contractor).", "According to EM officials, at least half of the level-of-effort work conducted under the cleanup contracts consists of recurring activities necessary to maintain the sites, which EM refers to as \u201cminimum safety\u201d work. According to EM officials, examples of such work include physical security, health and radiation protection and services, or critical facility and infrastructure maintenance for safe conditions. These officials said that minimum safety work makes up 30 to 60 percent of individual sites\u2019 budgets, for a total of at least $2.7 billion, or 42 percent, of EM\u2019s $6.4 billion fiscal year 2018 budget. The Assistant Secretary for EM noted in September 2018 that much of DOE\u2019s environmental cost liability has to do with the management of the minimum safety work. The Assistant Secretary also noted that significant potential cost savings could result from reducing minimum safety work and planned to start an initiative in fiscal year 2019 to examine how EM can reduce this work.", "EM officials agreed that some of the contractor\u2019s work currently categorized as level of effort could in fact be measured discretely. According to an ANSI guideline, only work not measurable or for which measurement is impractical may be categorized as level of effort. EM officials we interviewed stated that EM relies on its contractors to categorize work as discrete or as level of effort, and EM approves these decisions during the integrated baseline review. According to EM officials, there is no EM policy or guidance on what circumstances justify categorizing work as level of effort. Federal standards for internal controls state that management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. Until EM develops a policy that ensures that work is categorized as level of effort only in appropriate, specified circumstances, such as when work is not measurable or when measurement is impractical, it may not have reliable performance data to help it achieve its objective of reducing risks and costs associated with billions of dollars\u2019 worth of cleanup work every year."], "subsections": []}]}, {"section_title": "Performance Metrics and Milestones for EM Cleanup Work Do Not Provide a Clear Picture of Performance", "paragraphs": ["We found that EM\u2019s 17 performance metrics for its cleanup work measure the scope of work accomplished in a specific year but do not link that work to the cost of completing it. For example, EM reported in the Integrated Planning, Accountability, and Budgeting System database eliminating 72,000 gallons of radioactive liquid waste out of a target of 342,000 gallons for fiscal year 2017 at the Savannah River Site, and disposing of 1,734 cubic meters of low-level waste out of a target of 360 cubic meters at the Idaho site. However, in neither case did EM indicate how much that work cost to accomplish. According to officials from DOE\u2019s Office of Project Management, the scope of work accomplished is not a good indicator of performance by itself because it does not allow the project manager to know whether EM received good value from the contractor. In contrast, EVM systems allow managers to measure the value of work accomplished in a given period. As discussed above, EM collects EVM data, but EM\u2019s performance metrics do not link to the EVM data. According to federal standards for internal control, management should use quality information to achieve an entity\u2019s objectives and the quality information must be complete, among other things. In EM\u2019s case, its objective, as stated in its mission, includes completing its cleanup work in a way that reduces associated risks and costs. By integrating reliable EVM data into EM\u2019s performance metrics for operations activities, EM could provide a clearer picture of performance and better indicate whether EM is achieving its objective of reducing risks and costs.", "With regard to cleanup milestones, we found in February 2019 that EM has hundreds of milestones, but the exact number cannot be determined because of inconsistencies in tracking and defining milestones between sites and EM headquarters, and sites have the discretion to send updated milestone data to EM headquarters when they choose. As a result, some sites track milestones differently than EM headquarters does. We also found that EM does not consistently define or track met, missed, or postponed cleanup-related milestones at selected sites, and EM\u2019s milestone reporting to Congress is inconsistent. EM sites renegotiate milestone dates with their regulators before they are missed, and EM does not track the history of these changes. This is because once milestones are changed, sites are not required to maintain or track the original milestone dates. As a result, the new milestones become the new agreed-upon time frame, essentially resetting the deadline. Further, in its report to Congress on enforceable milestones\u2019 status, EM reports the most recently renegotiated milestone dates with no indication of whether or how often those milestones have been missed or postponed. Thus, the EM program is unable to use milestone data to provide a clear, reliable picture of its performance. Furthermore, EM officials at headquarters and selected sites said they had not conducted root cause analyses on missed or postponed milestones. Thus, EM cannot address systemic problems and consider them when renegotiating milestones with regulators. In addition, without such analysis, EM and its cleanup regulators lack information to set more realistic and achievable milestones. As a result, future milestones are likely to continue to be pushed back, further delaying the cleanup work and likely increasing cleanup costs. In this same report, we recommended, among other things, that EM should establish a standard definition of milestones across the cleanup sites, track changes to the milestones, report annually to Congress on the status of its milestones, and conduct root cause analyses of performance shortcomings that lead to missed or postponed milestones."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOE\u2019s EM program has the challenging mission of safely cleaning up radioactive waste, spent nuclear fuel, and environmental contamination from 50 years of federal nuclear weapons production and energy research, while working to reduce associated risks and costs within the established regulatory framework. Since its mission began in 1989, EM has spent more than $164 billion on its cleanup work, and it faces future cleanup costs of more than $377 billion\u2014the federal government\u2019s single largest environmental liability.", "To improve management of projects undertaken within the department, including EM, DOE established its Office of Project Management and strengthened project management requirements in Order 413.3B for managing capital asset projects. However, since 2009, when EM created a new category of cleanup work called operations activities, EM has opted not to apply DOE\u2019s project management requirements to almost 80 percent of its cleanup work. From fiscal years 2011 to 2018, EM\u2019s environmental liability increased by about $214 billion. DOE\u2019s Office of Project Management officials have raised concerns about how EM classifies this work. Until EM works together with DOE\u2019s Office of Project management (1) to establish requirements for classifying cleanup work as capital asset projects or operations activities and (2) to assess EM\u2019s ongoing operations activities to determine if they should be reclassified as capital asset projects based on the newly established requirements, the department may incur more project management risk of cost increases and schedule delays than it should for hundreds of billions of dollars of remaining work.", "In July 2017, EM released a new cleanup policy containing requirements for managing its program and its operations activities, but this policy does not follow most of the selected program and project management leading practices we identified related to management of scope, cost, and schedule performance, and independent review of performance. Until EM reviews and revises its cleanup policy to include program and project management leading practices related to scope, cost, schedule performance, and independent reviews, the EM program is at risk of uncontrolled changes to scope, exceeding its cost estimates and schedule, failing to meet its goals, and increasing DOE\u2019s environmental liabilities.", "The new Assistant Secretary for the Office of Environmental Management has acknowledged the importance of improving EM\u2019s performance in addressing the department\u2019s large and growing environmental liabilities. However, the three tools that EM uses to measure its overall program performance and contractors\u2019 performance on operations activities\u2014 earned value management, performance metrics, and cleanup milestones\u2014do not provide a clear, reliable picture of performance for EM leadership, Congress, and other stakeholders. In particular, EM\u2019s EVM systems for operations activities are not comprehensive, do not provide reliable data, and are not used by EM leadership to measure overall performance of the EM program. Furthermore, a large portion of the work performed by contractors is categorized as level of effort, limiting the usefulness of the EVM data. In addition, EM\u2019s performance metrics are not linked to the costs of the work performed. Until EM updates its cleanup policy to require that EVM systems be maintained and used in a way that follows EVM best practices, EM leadership may not have access to reliable performance data to make informed decisions in managing its cleanup work and to provide to Congress and other stakeholders on billions of dollars\u2019 worth of cleanup work every year. Moreover, until EM develops a policy that ensures that work is categorized as level of effort only in appropriate, specified circumstances, such as when work is not measurable or when measurement is impractical, it may not have reliable performance data to help it achieve its objective of reducing risks and costs associated with billions of dollars\u2019 worth of cleanup work every year. Finally, by integrating reliable EVM data into EM\u2019s performance metrics for operations activities, EM could provide a clearer picture of performance and better indicate whether EM is achieving its objective of reducing risks and costs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following seven recommendations to DOE:", "The Secretary of Energy should direct the Director of the Office of Project Management and the Assistant Secretary of the Office of Environmental Management to work together to establish requirements for classifying cleanup work as capital asset projects or operations activities. (Recommendation 1)", "The Secretary of Energy should direct the Director of the Office of Project Management and the Assistant Secretary of the Office of Environmental Management to work together to asses EM\u2019s ongoing operations activities to determine if they should be reclassified as capital asset projects based on the newly established requirements. (Recommendation 2)", "The Secretary of Energy should direct the Assistant Secretary of the Office of Environmental Management to review and revise EM\u2019s 2017 cleanup policy to include program management leading practices related to scope, cost, schedule performance, and independent reviews. (Recommendation 3)", "The Secretary of Energy should direct the Assistant Secretary of the Office of Environmental Management to review and revise EM\u2019s 2017 cleanup policy to include project management leading practices related to scope, cost, schedule performance, and independent reviews. (Recommendation 4)", "The Secretary of Energy should direct the Assistant Secretary of the Office of Environmental Management to update its cleanup policy to require that EVM systems be maintained and used in a way that follows EVM best practices. (Recommendation 5)", "The Secretary of Energy should direct the Assistant Secretary of the Office of Environmental Management to develop a policy to ensure that work is categorized as level of effort only in appropriate, specified circumstances, such as when work is not measurable or when measurement is impractical. (Recommendation 6)", "The Secretary of Energy should direct the Assistant Secretary of the Office of Environmental Management to integrate EVM data into EM\u2019s performance metrics for operations activities. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided DOE with a draft of this report for its review and comment. In its written comments, reproduced in appendix V, DOE generally agreed with the findings in the report and its recommendations and described actions that it intends to take in response to our recommendations. More specifically, of the seven recommendations, DOE concurred with four and partially concurred with three.", "DOE partially concurred with our recommendations that the Director of the Office of Project Management and the Assistant Secretary for the Office of Environmental Management (EM) work together to (1) establish requirements for classifying cleanup work as capital asset projects or operations activities, and (2) assess EM\u2019s ongoing operations activities to determine if they should be reclassified as capital asset projects based on the newly established requirements. DOE stated that the department commits (1) to reviewing its methodology for categorizing work and revising it, as appropriate, as well as (2) to determining the appropriate application of any revisions to the work classification methodology to new and existing work. DOE also stated that the Assistant Secretary for EM is ultimately responsible for the proper classification of work and will consult with the Office of Project Management. We appreciate DOE\u2019s commitment to addressing these two recommendations. As we stated in our report, in July 2015, the Secretary of Energy gave DOE\u2019s Office of Project Management responsibility to serve as DOE\u2019s enterprise project management organization. As such, DOE states that this office is responsible for providing leadership and assistance in developing and implementing DOE-wide policies, procedures, programs, and management systems pertaining to project management, as well as for independently monitoring, assessing, and reporting on project execution performance. Officials from this office are experts in project management, especially as it relates to capital asset projects. Given (1) the high-risk posed by EM\u2019s cleanup work and the high environmental liability, which may continue to grow; (2) the difference in the stringency of requirements between managing and overseeing operations activities and capital asset projects; and (3) the concerns raised by DOE top project management experts that some current operations activities should be classified as capital asset projects, we encourage the Secretary to direct EM not only to consult with DOE\u2019s Office of Project Management but to take advantage of the office\u2019s role and expertise and direct EM to work with this office to come to an agreement about proper classification requirements and classification of current and future cleanup work. It is in DOE\u2019s interest to ensure its cleanup work is classified and managed appropriately, regardless of which office is ultimately responsible for the proper classification of work.", "DOE concurred with our recommendations to review and revise EM\u2019s 2017 cleanup policy to include program and project management leading practices related to scope, cost, schedule performance, and independent reviews and to require that EVM systems be maintained and used in a way that follows EVM best practices. DOE also concurred with our recommendation to develop a policy to ensure that work is categorized as level of effort only in appropriate, specified circumstances, such as when work is not measurable or when measurement is impractical. DOE also partially concurred with our recommendation to integrate EVM data into EM\u2019s performance metrics for operations activities. For all these recommendations, DOE stated that EM is already in the process of reviewing the EM cleanup policy for necessary updates, revisions, and modifications. DOE further stated that EM will consider and incorporate changes relative to these recommendations, as appropriate, during this process, and EM will also consider any necessary changes to related guidance or policies and procedures.", "DOE also provided technical comments, which we incorporated in our report as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 14 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our report examined: (1) how the EM program manages its cleanup work, (2) the extent to which EM\u2019s cleanup policy follows selected program and project management leading practices, and (3) how EM measures the overall performance of its operations activities.", "To examine how the EM program manages its cleanup work, we reviewed various DOE documents, including DOE\u2019s Order 413.3B, EM\u2019s 2012 operations activities protocol, EM\u2019s 2017 cleanup policy, standard operating policies and procedures associated with this cleanup policy, EM\u2019s mission and functions document, EM\u2019s draft 45-day review documentation, meeting minutes from the Project Management Risk Committee, draft appendix to Order 413.3B developed by DOE\u2019s Office of Project Management, and documents received from cleanup sites. We also interviewed DOE officials from the Office of Project Management and members of the Project Management Risk Committee, and EM officials from headquarters, such as the Associate Principal Deputy Assistant Secretary for Field Operations, the Deputy Assistant Secretary for Acquisition and Project Management, officials from EM\u2019s Office of Project Management, Office of Budget and Planning, Office of Program Planning, officials in charge of managing the Integrated Planning, Accountability, and Budgeting System database that collects monthly performance information from the sites, and officials from 5 of EM\u2019s 16 cleanup sites. (We contacted all sites and interviewed 5 sites over the phone that responded to our request for an interview.) We then decided to conduct site visits. We visited two of these sites\u2014Savannah River and Idaho\u2014 because they are among the sites with the highest number of operations activities and the most diverse types of and highest-cost cleanup work remaining. Our findings from these 5 sites are not generalizable to all EM sites, but they help explain the delineation of roles between the site managers and EM headquarters in managing and classifying cleanup work. We also attended an EM internal training session in which EM headquarters officials introduced the 2017 cleanup policy to officials at the Hanford site and attended EM cleanup public conferences. Moreover, we reviewed the role of DOE\u2019s Office of Project Management in EM\u2019s cleanup work. More specifically, we examined whether this office played a role in the development of EM\u2019s 2017 cleanup policy and classification of EM\u2019s cleanup work, consistent with its designation as DOE\u2019s enterprise project management organization. To assess the reliability of EM\u2019s fiscal year 2019 budget data, we requested information about EM\u2019s Financial Integration System module of the Integrated Planning, Accountability, and Budgeting System database, from which these data were provided. Based on the responses from officials in charge of this database, we determined the data to be sufficiently reliable for our purposes.", "To examine the extent to which EM\u2019s cleanup policy follows selected program and project management leading practices, we selected two sets of criteria for program and project management leading practices using leading practices from the Project Management Institute, which are generally recognized as the top leading practices for program and project management. To select program management leading practices, we first reviewed the Project Management Institute\u2019s The Standard for Program Management\u2014Third Edition (2013). We identified 9 program management leading practices based on PMI\u2019s standards related to a program\u2019s management of scope, cost, schedule performance, and independent review of performance. To select project management leading practices, we first identified 12 project management leading practices listed in DOE\u2019s Order 413.3B related to a project\u2019s management of scope, cost, schedule performance, and independent review of performance. We then compared these 12 project management leading practices to PMI\u2019s A Guide to the Project Management Body of Knowledge\u2013Fifth Edition, which includes PMI\u2019s standards for project management, to make sure these leading practices align with PMI\u2019s standards for project management. To select these leading practices, (1) two GAO analysts separately examined the PMI and DOE documentation, then, (2) a GAO specialist independent of the team producing this report reviewed the leading practices we selected. All three GAO staff agreed on these selected leading practices. To validate our selection of program and project management leading practices, we shared these selected leading practices with PMI representatives and incorporated their feedback, as appropriate. PMI representatives agreed with the program and project management leading practices that we selected.", "We then compared EM\u2019s 2017 cleanup policy and the 11 associated standard operating policies and procedures developed by EM by the time of our analysis (by May 2018) with the 9 program management and 12 project management leading practices we selected. We included these standard operating policies and procedures in our analysis because EM officials stated that EM intentionally wrote this policy at a high level because EM planned to develop standard operating policies and procedures that would establish more detailed steps to implement the policy. We analyzed the extent to which the policy and the 11 standard operating policies and procedures follow these leading practices. We also interviewed EM headquarters and site officials to learn more about the 2017 cleanup policy. We used a 5-point scoring system to determine the extent to which EM\u2019s cleanup policy follows selected program and project management leading practices. We used the following 5-point scoring system: \u201cfully met\u201d means that complete evidence was provided that satisfied the leading practice; \u201csubstantially met\u201d means that evidence was provided that satisfied a large portion of the leading practice; \u201cpartially met\u201d means that evidence was provided that satisfied about half of the leading practice; \u201cminimally met\u201d means that evidence was provided that satisfied a small portion of the leading practice; and \u201cdid not meet\u201d means that no evidence was provided that satisfied the leading practice. If the score for each leading practice was \u201cfully met\u201d or \u201csubstantially met,\u201d we concluded that EM\u2019s cleanup policy and its associated standard operating policies and procedures followed the leading practice. In contrast, if the score was \u201cpartially met,\u201d \u201cminimally met,\u201d or \u201cnot met,\u201d we concluded that EM\u2019s policy did not follow the leading practice. To determine this score, two GAO analysts separately examined EM\u2019s policy document and then agreed on a final score for each of the leading practices.", "To examine how EM measures the performance of its operations activities, we analyzed EM\u2019s use of the three measures of performance that EM policy identified: earned value management (EVM); performance metrics; and cleanup milestones. To evaluate EM\u2019s EVM systems, we compared EM\u2019s use of EVM with 8 of the 10 best practices for earned value management found in our Cost Estimating and Assessment Guide, which draws best practices from federal cost-estimating organizations and industry. Specifically, we reviewed the use of EVM systems in the 21 contracts EM uses to execute its operations activities and compared this review\u2019s results with EVM best practices. To gather this information, we submitted a data collection instrument to all 16 sites to ascertain whether or not they follow these best practices for each contract containing operations activities. We also requested documentation, such as EVM system certification information or surveillance reports, supporting their answers. We relied mainly on the sites\u2019 responses but, when available, also reviewed the documentation we received to check the sites\u2019 answers for accuracy and completeness.", "To determine whether information on EVM is reported to EM senior leadership, we also reviewed (1) monthly progress reports EM sites presented to EM headquarters management that ranged from April 2017 to April 2018 depending on the site and (2) monthly reports that EM Office of Project Management presents to EM headquarters senior leadership; specifically the April 2018 Cleanup Program Monthly Performance and the EM Segment Activity Portfolio Summary, or \u201cQuad Chart,\u201d reports, which were the most recent reports available at the time of this analysis.", "In addition, as part of our analysis, we analyzed EM headquarters\u2019 EVM data on operations activities from October 2016 through September 2017 (the most recent data available at the time of our review) to determine whether or not the EVM data were reliable. We checked for data anomalies, such as missing or negative values for each of those months. We also reviewed DOE and EM documents\u2014such as monthly progress reports submitted by the 16 sites to EM headquarters for review or the monthly reviews prepared by an EM headquarters office for senior management\u2014to see what EVM data senior management used for decision-making.", "To provide a score for our analysis, we used the following 5-point scoring system to score the answer for each contract for each best practice: \u201cfully met\u201d means that complete evidence was provided that satisfied the best practice; \u201csubstantially met\u201d means that evidence was provided that satisfied a large portion of the best practice; \u201cpartially met\u201d means that evidence was provided that satisfied about half of the best practice; \u201cminimally met\u201d means that evidence was provided that satisfied a small portion of the best practice; and, \u201cdid not meet\u201d means that no evidence was provided that satisfied the best practice. For each best practice, we color-coded the assessment at the contract level. Contracts that fully met or substantially met the criteria were coded green, those that partially met the criteria were coded yellow, and those that did not or minimally meet the criteria were coded red. We then assigned a score for each color: 1 for red, 3 for yellow, and 5 for green. We determined the overall score for each best practice by taking the average across the 20 contracts we reviewed. After scoring each best practice individually, we then used these scores to develop an average score for the three EVM characteristics: whether EM has ensured that these EVM systems are (1) comprehensive, (2) provide reliable data, and (3) are used by EM leadership for decision-making.", "To examine EM\u2019s use of performance metrics data, we reviewed annual performance metrics collected by EM headquarters for every operations activity from 2010 to 2017. We chose this period because 2010 is the time when EM started classifying work as operations activities while 2017 was the most recent available data at the time of our analysis. We reviewed relevant documentation, and interviewed agency officials knowledgeable about those data, among other things. Specifically, we interviewed DOE and EM officials at headquarters and from the five cleanup sites (including in-person interviews at the Savannah River and Idaho sites). We also reviewed our prior work in GAO-19-207 related to EM\u2019s cleanup agreements and milestones.", "We conducted this performance audit from April 2017 to February 2019, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: EM\u2019s Program-wide Performance Metrics Presented to Congress, as of the end of Fiscal Year 2017", "paragraphs": ["Appendix II: EM\u2019s Program-wide Performance Metrics Presented to Congress, as of the end of Fiscal Year 2017 The information in this table is from DOE\u2019s fiscal year 2019 budget request, which was the most recent request presented to Congress. DOE, Department of Energy: FY 2019 Congressional Budget Request for Environmental Management, DOE/CF-0142, Vol. 5 (Washington, D.C.: March 2018)."], "subsections": []}, {"section_title": "Appendix III: GAO Assessment of How Earned Value Management Systems Used for EM\u2019s Operations Activities Met Best Practices", "paragraphs": ["GAO assessment of individual best practice Substantially met. Seventeen out of 20 contracts we reviewed had a certified EVM system, of which 4 self- certified. EM officials reported that the remaining three contracts were not certified or were not required to be certified.", "Partially met. Thirteen out of the 20 contracts we reviewed had conducted or planned to conduct an integrated baseline review to ensure that the performance measurement baseline provides reliable cost and schedule data for managing the program and projecting accurate estimates at completion. However, many of these reviews were not rigorous enough to ensure that the performance measurement baseline captured all of the work. Not assessed.", "Partially met. Eleven out of the 20 contracts fully met this best practice, and contractors performed self- assessments or conducted annual reviews for 5 additional contracts. However, EM field and headquarters officials were not performing thorough reviews to check whether the EVM systems were in alignment with the EIA-748-D guidelines to ensure that the data being reported by the systems were reliable.", "Partially met. The EVM data for operations activities contracts contained numerous, unexplained anomalies in all the months we reviewed\u2014including missing or negative values for some of the completed work to date. Having anomalies in the EVM data occurring each month can cause potential distortions resulting in inaccurate projections of estimates at completion. Not assessed."], "subsections": [{"section_title": "Characteristic / Score", "paragraphs": ["Does EM\u2019s use of EVM systems follow characteristic?", "GAO assessment of individual best practice Minimally met. We found problems with the estimate at completion in all of the 20 contracts we analyzed. For example, we found instances where the estimates at completion were either (1) less than half the original budget, (2) higher than expected, or 3) zero when the original budget was for hundreds of millions of dollars. These problems indicated that the EVM systems were not being updated in a timely manner or were not well monitored since the estimate at completion values were too optimistic and highly unlikely.", "Partially met. We reviewed two sources of information on earned value management reporting to EM senior leadership for this best practice. 1) When reviewing the monthly reports EM sites present to EM headquarters management, we found that none of the sites adequately reported EVM data. 2) When reviewing the new monthly report format that EM\u2019s Office of Project Management presents to EM headquarters senior leadership since October 2017, we found that EM reported on the performance of 15 out of the 20 contracts. We found that these reports included most of EVM indicators for all 15 contracts on which EM Office of Project Management reported. However, this monthly report uses unreliable EVM data, as we found in the prior characteristic.", "Partially met. We reviewed two sources of information on earned value management reporting to EM senior leadership for this best practice. 1) When reviewing the monthly reports EM sites present to EM headquarters management, we found that they contained corrective action plans for only 3 contracts. 2) When reviewing the new monthly reports that EM\u2019s Office of Project Management present to EM headquarters senior leadership since October 2017, EM Office of Project Management officials stated that they have only started suggesting corrective action to EM headquarters senior leadership since early 2018; it is too soon to tell how EM headquarters senior leadership is using this information to determine which contracts need the most attention and which corrective actions management will develop and take.", "Substantially met. EM provided evidence that 17 out of 20 contractors had a formal process in place for updating the budget baseline. However, the extent to which contractors followed their processes was questionable given the problems we found with the estimates at completion, as discussed in the prior characteristic above."], "subsections": []}]}, {"section_title": "Appendix IV: EM\u2019s Earned Value Management Systems Used by Contracts Containing Operations Activities", "paragraphs": [], "subsections": [{"section_title": "B", "paragraphs": ["Not reviewed Assessment for each best practice: Not met\u2014provided no evidence that satisfies any of the best practice; Minimally met\u2014provided evidence that satisfies a small portion of the best practice; Partially met\u2014provided evidence that satisfies about half of the best practice; Substantially met\u2014provided evidence that satisfies a large portion of the best practice; and Met \u2013 provided complete evidence that satisfies the entire best practice. We determined the overall score for each best practice by taking the average across the 20 contracts we reviewed.", "We did not evaluate the following two best practices: (1) the schedule reflects the work breakdown structure, the logical sequencing of activities, and the necessary resources and (2) EVM data are consistent among various reporting formats. We excluded these two best practices because we examined the use of EVM by contractors at a higher program level and did not conduct in-depth analysis of each contractor\u2019s EVM system.", "EM uses 21 contracts for its operations activities. We reviewed the use of EVM systems in 20 of these contracts because one contract (contract K) is a fixed price contract, which does not require the use of EVM."], "subsections": []}]}, {"section_title": "Appendix V: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nico Sloss (Assistant Director), Cristian Ion (Analyst in Charge), Nathan Anderson, Margot Bolon, Jenny Chow, Jennifer Echard, Juan Garay, Cindy Gilbert, Katherine Nicole Laubacher, Cynthia Norris, Karen Richey, Dan C. Royer, Kiki Theodoropoulos, and David Wishard made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Cold War arms race created a buildup of nuclear waste in the United States that needs to be cleaned up. This almost-30-year-old effort will take another 70 years and cost about $500 billion more.", "Yet the Department of Energy program responsible for this effort categorizes most of its work in a way that does not adequately involve independent experts and DOE senior leadership. It also has not followed leading practices for program and project management that could help keep the cleanup on schedule and control costs.", "We made 7 recommendations to address the management challenges we found."]} {"id": "GAO-19-116", "url": "https://www.gao.gov/products/GAO-19-116", "title": "Afghanistan Security: Some Improvements Reported in Afghan Forces' Capabilities, but Actions Needed to Enhance DOD Oversight of U.S.-Purchased Equipment", "published_date": "2018-10-15T00:00:00", "released_date": "2018-10-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Developing independently capable ANDSF is a key component of U.S. and coalition efforts to create sustainable security and stability in Afghanistan under the North Atlantic Treaty Organization (NATO)-led Resolute Support mission. The United States is the largest contributor of funding and personnel to Resolute Support, providing and maintaining ANDSF equipment, along with training, advising, and assistance to help the ANDSF effectively use and sustain the equipment in the future.", "House Report 114-537 included a provision for GAO to review the ANDSF's capability and capacity to operate and sustain U.S.-purchased weapon systems and equipment. This report addresses (1) what has been reported about ANDSF capabilities and capability gaps and (2) the extent to which DOD has information about the ANDSF's ability to operate and maintain U.S.-purchased equipment. To conduct this work, GAO analyzed DOD and NATO reports and documents, examined three critical equipment types, and interviewed DOD officials in the United States and Afghanistan.", "This is a public version of a sensitive report issued in September 2018. Information that DOD deemed sensitive has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["Since the Resolute Support mission began in 2015, the Afghan National Defense and Security Forces (ANDSF) have improved some fundamental capabilities, such as high-level operational planning, but continue to rely on U.S. and coalition support to fill several key capability gaps, according to Department of Defense (DOD) reporting. DOD has initiatives to address some ANDSF capability gaps, such as a country-wide vehicle maintenance and training effort, but DOD reports it does not expect the ANDSF to develop and sustain independent capabilities in some areas, such as logistics, for several years.", "While DOD has firsthand information on the abilities of the Afghan Air Force and Special Security Forces to operate and maintain U.S.-purchased equipment, it has little reliable information on the equipment proficiency of conventional ANDSF units. U.S. and coalition advisors are embedded at the tactical level for the Air Force and Special Security Forces, enabling DOD to directly assess those forces' abilities. However, the advisors have little direct contact with conventional ANDSF units on the front lines. As a result, DOD relies on those units' self-assessments of tactical abilities, which, according to DOD officials, can be unreliable.", "GAO's analysis of three critical equipment types illustrated the varying degrees of DOD's information (see figure above). For example, DOD provided detailed information about the Air Force's ability to operate and maintain MD-530 helicopters and the Special Security Forces' ability to operate and maintain Mobile Strike Force Vehicles; however, DOD had limited information about how conventional forces operate and maintain radios and Mobile Strike Force Vehicles. DOD's lack of reliable information on conventional forces' equipment operations and maintenance abilities adds to the uncertainty and risk in assessing the progress of DOD efforts in Afghanistan."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD develop options for collecting reliable information on conventional ANDSF units' ability to operate and maintain U.S.-purchased equipment. DOD concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Developing self-sustaining Afghan National Defense and Security Forces (ANDSF) is a key component of U.S. and coalition efforts to counter terrorist threats and create long-term security and stability in Afghanistan. In January 2015, the ANDSF\u2014comprising mainly the Afghan National Army (ANA) and the Afghan National Police (ANP)\u2014formally assumed security responsibilities for all of Afghanistan. Since this shift, the United States has continued to aid the ANDSF through the North Atlantic Treaty Organization (NATO)-led mission, Resolute Support. The United States is the largest contributor of funding and personnel to the coalition effort through which it provides and maintains equipment for these forces, and offers training, advising, and assistance intended to enable the ANDSF to sustain the equipment in the future. In total, the United States has allocated approximately $84 billion for Afghan security in the 17-year period spanning fiscal years 2002 through 2018, according to the Special Inspector General for Afghanistan Reconstruction (SIGAR). In August 2017, the United States announced its South Asia Strategy, renewing its commitment to helping the ANDSF become more effective and self- sustaining. The strategy removed any timelines for the United States to withdraw support for the ANDSF and committed approximately 3,500 additional U.S. military personnel\u2014an increase of 33 percent\u2014to bolster the Department of Defense\u2019s (DOD) efforts in Afghanistan, according to DOD reporting.", "House Report 114-537, accompanying the National Defense Authorization Act for Fiscal Year 2017, included a provision for us to review the ANDSF\u2019s capability and capacity to operate and sustain U.S.- purchased weapon systems and equipment. This report is a public version of a sensitive report that we issued on September 20, 2018. Our September report included three objectives, including one on the extent to which DOD considers ANDSF input and meets their needs when identifying equipment requirements. DOD deemed the information related to that objective to be sensitive, requiring that it be protected from public disclosure. Consequently, we removed that objective and a related recommendation from this public report. This version includes information on the other two objectives: (1) what has been reported about ANDSF capabilities and capability gaps and (2) the extent to which DOD has information about the ANDSF\u2019s ability to operate and maintain U.S.- purchased equipment. Although the information provided in this report is more limited, the report uses the same methodology for the two objectives as the sensitive report.", "To identify what has been reported about ANDSF capabilities and capability gaps as well as the steps DOD has taken to try to address those gaps, we reviewed NATO and DOD documents and reports\u2014such as DOD\u2019s semiannual Section 1225 reports to Congress (which we hereafter refer to as \u201cDOD reporting\u201d)\u2014created after the start of Resolute Support on January 1, 2015. We also reviewed DOD-commissioned assessments of ANDSF capabilities conducted by the Center for Naval Analyses and reporting from SIGAR and the DOD Office of Inspector General, and interviewed Center for Naval Analyses representatives and DOD officials, including DOD officials at the Combined Security Transition Command\u2013Afghanistan (CSTC-A) and in the Office of the Undersecretary of Defense for Policy (OSD-P) who helped create the DOD reporting we reviewed.", "To determine the extent to which DOD has information about the ANDSF\u2019s ability to operate and maintain equipment, we reviewed DOD documents and reports and interviewed DOD officials in the United States and Afghanistan, including DOD officials who advise the ANDSF. We also reviewed federal internal control standards to determine what responsibilities agencies have specifically related to information collection. To provide illustrative examples of what information DOD has about the ANDSF\u2019s ability to operate and maintain U.S.-purchased equipment and what that information indicates about the ANDSF\u2019s abilities and challenges we interviewed and analyzed written responses from DOD officials, including DOD officials who provide procurement and lifecycle management for some ANDSF aircraft and vehicles, about three equipment types\u2014MD-530 helicopters, Mobile Strike Force Vehicles (MSFV), and radios. We selected these three equipment types from a list that we developed, for an August 2017 report, of key ANDSF equipment the United States purchased from fiscal years 2003 through 2016. (See app. I for more information about our objectives, scope, and methodology.)", "The performance audit upon which this report is based was conducted from August 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from September 2018 to October 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with those standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "U.S. Missions in Afghanistan", "paragraphs": ["Since 2001, the United States has made a commitment to building Afghanistan\u2019s security and governance in order to prevent the country from once again becoming a sanctuary for terrorists. To achieve its security objectives, the United States currently has two missions in Afghanistan: a counterterrorism mission that it leads and the NATO-led Resolute Support train, advise, and assist mission, which it participates in with other coalition nations. The objective of Resolute Support, according to DOD reporting, is to establish self-sustaining Afghan security ministries and forces that work together to maintain security in Afghanistan. The United States is conducting these missions within a challenging security environment that has deteriorated since the January 2015 transition to Afghan-led security. The United Nations reported nearly 24,000 security incidents in Afghanistan in 2017\u2014the most ever recorded\u2014and, despite a slight decrease in the overall number of security incidents in early 2018, the United Nations noted significant security challenges, including a spike in high-casualty attacks in urban areas and coordinated attacks by the insurgency on ANDSF checkpoints.", "DOD provides both personnel and funding to support its efforts in Afghanistan. DOD documents indicate that the United States contributes more troops to Resolute Support than any other coalition nation. As of May 2018, the United States was contributing 54 percent of Resolute Support military personnel, according to DOD reporting. Of the approximately 14,000 U.S. military personnel in Afghanistan as of June 2018, about 8,500 were assigned to Resolute Support to train, advise, and assist the ANDSF, according to DOD reporting. For fiscal year 2018, Congress appropriated about $4.67 billion for the Afghanistan Security Forces Fund\u2014the primary mechanism of U.S. financial support for manning, training, and equipping the ANDSF. Other international donors provided about $800 million, and the Afghan government committed to providing about $500 million, according to DOD reporting.", "Under Resolute Support and the International Security Assistance Force mission that preceded it, CSTC-A is the DOD organization responsible for (1) overseeing efforts to equip and train the ANA and ANP; (2) validating requirements, including equipment requirements; (3) validating existing supply levels; (4) submitting requests to DOD components to contract for procurement of materiel for the ANDSF; and (5) ensuring that the Afghan government appropriately uses and accounts for U.S. funds provided as direct contributions from the Afghanistan Security Forces Fund. OSD-P is responsible for developing policy on and conducting oversight of the bilateral security relationship with Afghanistan focused on efforts to develop the Afghan security ministries and their forces."], "subsections": []}, {"section_title": "U.S.-Purchased Equipment for the ANDSF", "paragraphs": ["In August 2017, we reported that the United States had spent almost $18 billion on equipment and transportation for the ANDSF from fiscal years 2005 through April 2017, representing the second-largest expenditure category from the Afghanistan Security Forces Fund. In that report, we identified six types of key equipment the United States funded for the ANDSF in fiscal years 2003 through 2016, including approximately:", "600,000 weapons, such as rifles, machine guns, grenade launchers, shotguns, and pistols;", "163,000 tactical and nontactical radios, such as handheld radios and", "76,000 vehicles, such as Humvees, trucks, recovery vehicles, and mine resistant ambush protected vehicles;", "30,000 equipment items for detecting and disposing of explosives, such as bomb disposal robots and mine detectors;", "16,000 equipment items for intelligence, surveillance, and reconnaissance, such as unmanned surveillance drones and night vision devices; and", "208 aircraft, such as helicopters, light attack aircraft, and cargo airplanes."], "subsections": []}, {"section_title": "ANDSF Organization and Force Levels", "paragraphs": ["The Ministry of Defense oversees the ANA, and the Ministry of the Interior oversees the ANP. According to DOD reporting, the authorized force level for the ANDSF, excluding civilians, as of June 2018 was 352,000: 227,374 for the Ministry of Defense and 124,626 for the Ministry of Interior. The ANA includes the ANA corps, Afghan Air Force, Special Mission Wing, ANA Special Operations Command, and Ktah Khas (counterterrorism forces). The ANP includes the Afghan Uniformed Police, Afghan Anti-Crime Police, Afghan Border Police, Public Security Police, Counter Narcotics Police of Afghanistan, and General Command of Police Special Units.", "The ANA Special Mission Wing, Ktah Khas, ANA Special Operations Command, and ANP General Command of Police Special Units are collectively referred to as the Afghan Special Security Forces. In this report, we refer to the Afghan Air Force and the Afghan Special Security Forces as specialized forces, and the other components of the ANDSF as conventional forces. According to DOD reporting, the combined authorized force level for the specialized forces as of June 2018 was approximately 34,500, or about 10 percent of the ANDSF\u2019s total authorized force level of 352,000, compared with the conventional forces, which make up about 74 percent of the total authorized force level for the ANDSF. Figure 1 shows the ANDSF\u2019s organization."], "subsections": []}, {"section_title": "Resolute Support Advising Strategy and Goals", "paragraphs": ["U.S. and coalition advisors from Resolute Support focus on capacity building at the Ministry of Defense, Ministry of Interior, and ANDSF regional headquarters, according to DOD reporting. Ministerial advisors are located at Resolute Support headquarters in Kabul. At the ministerial level, advisors provide assistance to improve institutional capabilities, focusing on several functional areas. Table 1 summarizes the indicators of effectiveness that ministerial advisors are to use to measure ministerial progress in developing functioning systems that can effectively execute each of the functional areas.", "Regional Resolute Support advisors from seven advising centers located throughout Afghanistan provide support to nearby ANA corps and ANP zone headquarters personnel, according to DOD reporting. Some advisors are embedded with their ANDSF counterparts, providing a continuous coalition presence, while others provide less frequent support, based on proximity to and capability of their ANDSF counterparts. Regional advisors are to track ANDSF capability development by assessing the progress of the ANA corps and ANP zone headquarters based on five capability pillars (see table 2). DOD and other Resolute Support advisors are to document the results of these assessments each quarter in an ANDSF Assessment Report.", "According to DOD reporting, in addition to ministerial and regional advising, two tactical-level advisory commands provide continuous support for the ANDSF\u2019s specialized forces: Train, Advise, and Assist Command\u2013Air (TAAC-Air) advises the Afghan Air Force down to the unit level, and NATO Special Operations Component Command\u2013Afghanistan (NSOCC-A) primarily provides tactical-level special operations advising for the Afghan Special Security Forces. TAAC-Air and NSOCC-A assess capabilities at the headquarters level based on the five capability pillars described above in table 2, and these assessments are included in the quarterly ANDSF Assessment Report. Figure 2 shows the levels of advising each Resolute Support advisory command type provides for the ANDSF conventional forces and specialized forces."], "subsections": []}, {"section_title": "ANDSF Capabilities Reportedly Continue to Improve; DOD Has Identified Several Capability Gaps and Initiated Efforts to Address Them DOD Has Reported the ANDSF Generally Continue to Improve Their Capabilities but Rely on Coalition Forces to Fill Several Critical Capability Gaps", "paragraphs": ["Since Resolute Support began, the ANDSF have improved some capabilities related to the functional areas and capability pillars described above, but face several capability gaps that leave them reliant on coalition assistance, according to publicly available DOD reporting. DOD defines capability as the ability to execute a given task. A capability gap is the inability to execute a specified course of action, such as an ANDSF functional area or a capability pillar (see tables 1 and 2 above). According to DOD guidance, a gap may occur because forces lack a materiel or non-materiel capability, lack proficiency or sufficiency in a capability, or need to replace an existing capability solution to prevent a future gap from occurring.", "According to DOD reporting on the Afghan security ministries, ANA corps, and ANP zones, the ANDSF generally have improved in some capability areas since Resolute Support began, with some components performing better than others. For example, DOD has reported that the Afghan ministries have improved in operational planning, strategic communications, and coordination between the Ministry of Interior and Ministry of Defense at the national level. In general, the ANA is more capable than the ANP, according to DOD reporting. According to DOD officials and SIGAR reporting, this is due, in part, to the ANA having more coalition advisors and monitoring than the ANP. DOD officials also noted that the Ministry of Interior, which oversees the ANP, and Afghanistan\u2019s justice system are both underdeveloped, hindering the effectiveness of the ANP. Corruption, understaffing, and training shortfalls have also contributed to the ANP\u2019s underdevelopment, according to DOD and SIGAR reporting. The Afghan Special Security Forces are the most capable within the ANDSF and can conduct the majority of their operations independently without coalition enablers, according to DOD reporting. DOD and SIGAR reports have attributed the Afghan Special Security Forces\u2019 relative proficiency to factors such as low attrition rates, longer training, and close partnership with coalition forces. The Afghan Air Force is becoming increasingly capable, and can independently plan for and perform some operational tasks, such as armed overwatch and aerial escort missions, according to DOD reporting.", "However, DOD has reported that the ANDSF generally continue to need support in several key areas. For example, as of December 2017, DOD reported several ministerial capability gaps, including force management; logistics; and analyzing and integrating intelligence, surveillance, and reconnaissance information. DOD also reported that, as of December 2017, the ANA and ANP continued to have capability gaps in several key areas, such as weapons and equipment sustainment and integrating fire from aerial and ground forces. The ANDSF rely on support from contractors and coalition forces to mitigate capability gaps in these key areas. For some capability areas, such as aircraft and vehicle maintenance and logistics, the ANDSF is not expected to be self- sufficient until at least 2023, according to DOD reporting.", "According to DOD officials and SIGAR reporting, coalition and contractor support helps mitigate ANDSF capability gaps in the immediate term but may make it challenging to assess the ANDSF\u2019s capabilities and gaps independent of such support. For example, vehicle and aircraft maintenance contractors are responsible for sustaining specific operational readiness rates for the equipment they service. While this helps ensure that ANDSF personnel have working equipment to accomplish their mission, thereby closing an immediate capability gap, it may mask the ANDSF\u2019s underlying capabilities and potentially prolong reliance on such support, according to DOD officials and SIGAR reporting."], "subsections": []}, {"section_title": "DOD and the ANDSF Have Plans and Initiatives in Place to Address Some ANDSF Capability Gaps", "paragraphs": ["DOD and the ANDSF have begun implementing plans and initiatives that aim to strengthen ANDSF capabilities. These include the following, among others:", "ANDSF Roadmap. In 2017, the Afghan government began implementing the ANDSF Roadmap\u2014a series of developmental initiatives that seek to strengthen the ANDSF and increase security and governance in Afghanistan, according to DOD reporting. The Roadmap is structured to span 4 years, but DOD has reported that its full implementation will likely take longer than that. According to DOD reporting, the Roadmap aims to improve four key elements: (1) fighting capabilities; (2) leadership development; (3) unity of command and effort; and (4) counter-corruption efforts.", "Under the Roadmap\u2019s initiative to increase the ANDSF\u2019s fighting capabilities, DOD and the ANDSF have begun implementing plans to increase the size of the specialized forces. Specifically, DOD reports that the ANDSF plans to nearly double the size of the Afghan Special Security Forces by 2020 as an effort to bolster the ANDSF\u2019s offensive reach and effectiveness. The Afghan Special Security Forces are to become the ANDSF\u2019s primary offensive force, the conventional ANA forces are to focus on consolidating gains and holding key terrain and infrastructure, and the conventional ANP forces are to focus on community policing efforts. In addition, to provide additional aerial fire and airlift capabilities, the ANDSF began implementing an aviation modernization plan in 2017. The aim is to increase personnel strength and the size of the Afghan Air Force and Special Mission Wing fleets by 2023.", "Enhanced vehicle maintenance efforts. To help improve the ANDSF\u2019s vehicle maintenance abilities, DOD awarded a National Maintenance Strategy Ground Vehicle Support contract, which, according to DOD officials, became fully operational in December 2017. The National Maintenance Strategy Ground Vehicle Support contract consolidated five separate vehicle maintenance and training contracts into a single contract and contains provisions for building the capacity of ANDSF and Afghan contractors to incrementally take control of vehicle maintenance over a 5-year period.", "Additional U.S. military personnel. As part of the South Asia strategy, the United States committed 3,500 additional military personnel to increase support to its missions in Afghanistan. According to DOD reporting, most of the additional personnel will support the Resolute Support mission, providing more advising and combat enabler support to the ANDSF. Additionally, in March 2018, the United States began deploying a Security Force Assistance Brigade\u2014a new type of unit made up of U.S. Army personnel with expertise in training foreign militaries\u2014to Afghanistan. The Security Force Assistance Brigade will advise conventional and specialized forces at and below the corps and zone levels and will accompany and support ANA conventional forces at the battalion level in ground operations as needed, according to DOD and SIGAR reporting."], "subsections": []}]}, {"section_title": "DOD Has Some Information on ANDSF Specialized Forces\u2019 Ability to Operate and Maintain U.S.-Purchased Equipment but Has Limited Reliable Information on Its Conventional Forces", "paragraphs": [], "subsections": [{"section_title": "DOD Advisors Embedded with Specialized Forces Provide Some Information on Those Forces\u2019 Capabilities", "paragraphs": ["DOD collects some reliable information about the operation and maintenance abilities of ANDSF specialized forces, in part because advisors are embedded at the tactical level with the specialized forces, according to DOD officials. Specifically, U.S. and coalition forces advise specialized forces at the tactical level under Resolute Support because building ANDSF aviation and special operations abilities are considered particularly important, according to DOD reporting. DOD officials told us that since U.S. and coalition forces are embedded at the tactical level for specialized forces, they can monitor, assess, and report on tactical abilities, including the ability to operate and maintain equipment.", "Our analysis of information provided by DOD about the Afghan Air Force\u2019s ability to operate and maintain MD-530 helicopters illustrates that DOD has some detailed information about specialized forces. TAAC-Air advisors help train Afghan pilots and maintainers and collect information on their tactical abilities. For example, TAAC-Air advisors track the percentage of maintenance performed by Afghan Air Force maintainers and aircraft operational readiness rates, according to DOD officials. According to DOD reporting and officials, as of December 2017, the Afghan Air Force could independently conduct MD-530 helicopter operations for short intervals without contractor support but relied on contractors to perform the majority of maintenance and sustainment activities. See appendix II for more information on the Afghan Air Force\u2019s ability to operate and maintain MD-530 helicopters."], "subsections": []}, {"section_title": "DOD Advisors Have Limited Contact with Conventional Forces in the Field, Yielding Little Information on Their Ability to Operate and Maintain Equipment", "paragraphs": ["U.S. and coalition forces perform high-level assessments of the ANDSF conventional forces\u2019 capabilities at the corps and zone levels but do not assess their tactical abilities, such as the ability to operate and maintain equipment, according to DOD officials. For example, U.S. and coalition forces assess the ANA and ANP conventional forces in quarterly ANDSF Assessment Reports, but these reports are at the corps and zone headquarters levels, and are not meant to provide an evaluation of the entire ANDSF, according to DOD reporting. DOD officials stated that other U.S.- and coalition-produced reports and assessments, such as DOD\u2019s semiannual Section 1225 reports to Congress, semiannual periodic mission reviews, and annual Afghanistan Plans of Record, provide some information on the ANDSF\u2019s high-level capabilities. However, according to DOD officials, these reports do not routinely assess the conventional forces\u2019 ability to operate and maintain equipment.", "According to DOD officials, DOD does not assess conventional forces\u2019 tactical abilities because advisors have had little or no direct contact with conventional units below the corps and zone levels, and thus do not collect such information on conventional forces. Specifically, under Resolute Support, U.S. and coalition forces have not embedded with the conventional forces below the corps and zone levels except in limited circumstances.", "Since U.S. and coalition forces do not collect firsthand information on the conventional units\u2019 tactical abilities, they rely on those units\u2019 self-reporting for information on ANDSF abilities below the corps and zone levels, which, according to DOD officials, may be unreliable. ANDSF reporting is not verified by U.S. officials and can be unreliable in its consistency, comprehensiveness, and credibility, according to DOD officials and SIGAR. For example, the ANDSF produce a monthly tracker on vehicle availability, maintenance backlog, repair times, and personnel productivity, but DOD officials told us that the trackers are of questionable accuracy.", "Our analysis of information provided by DOD about the ANDSF\u2019s ability to operate and maintain tactical and nontactical radios illustrates the limited amount of information DOD has on ANDSF conventional forces\u2019 tactical abilities. Specifically, DOD officials could not say how well ANDSF personnel on the front lines operate radios in the field and had only limited information on the ANDSF\u2019s ability to maintain radios. For example, the officials noted that the ANA conventional forces can perform some unit-level radio repairs but that complex ANA radio maintenance and all ANP radio maintenance is conducted by contractors. DOD officials at Resolute Support headquarters told us that they provide ministerial- level advising on how to manage ANDSF radio systems and do not provide tactical advising or inventory control for radios. See appendix III for more information on the ANDSF\u2019s ability to operate and maintain radios.", "Our analysis of information provided by DOD about the ANDSF\u2019s ability to operate and maintain Mobile Strike Force Vehicles (MSFV) highlights the limited amount of information DOD has on ANDSF conventional forces\u2019 tactical abilities compared with specialized forces. DOD officials were able to provide operation and maintenance information for MSFVs that had transferred to the specialized forces as of January 2018 but were unable to provide operation and maintenance information for any other MSFVs. The ANDSF began transferring one of the ANDSF\u2019s two MSFV brigades from the conventional to specialized forces in August 2017, according to DOD officials. As part of this transfer, NSOCC-A advisors\u2014who provide tactical-level advising for the Afghan Special Security Forces\u2014assumed oversight for the first brigade from Resolute Support headquarters advisors. DOD officials stated that the ANDSF\u2019s ability to operate and maintain MSFVs in this brigade prior to the transfer was unknown, as neither Resolute Support headquarters nor the ANA had assessed this. The operation and maintenance abilities of the second brigade, which is still in the conventional forces, remains unknown. DOD officials at NSOCC-A were able to provide information such as inventory and mission capability rates for the MSFVs that had transferred, but only for the short period of time the vehicles had been under the control of the specialized forces. DOD officials told us that NSOCC-A plans to collect more information on the specialized forces\u2019 ability to operate and maintain MSFVs as they are transferred. See appendix IV for more information on the ANDSF\u2019s ability to operate and maintain MSFVs.", "In the absence of embedded advisors at the tactical level, DOD has not implemented alternative approaches to collect reliable information about the conventional forces\u2019 ability to operate and maintain equipment. Federal internal control standards state that U.S. agencies should obtain and process reliable information to evaluate performance in achieving key objectives and assessing risks. DOD officials acknowledged that some of the plans described above that DOD and the ANDSF have begun implementing to address capability gaps may provide opportunities for DOD to collect more reliable information on the conventional forces\u2019 ability to operate and maintain U.S.-purchased equipment. For example, the National Maintenance Strategy Ground Vehicle Support contract requires that contractors regularly report the total work orders received, work in progress, and completed maintenance work performed by ANDSF personnel as well as vehicle availability rates, which may be more reliable than the ANDSF\u2019s monthly report on vehicle availability. In addition, the Security Force Assistance Brigade may be able to collect and report on the tactical abilities of units they advise and accompany on missions since they are being deployed at or below the corps and zone levels. However, as of June 2018, DOD officials had not decided which, if any, of these options to pursue. Without reliable information on the equipment operation and maintenance abilities of ANDSF conventional forces, which represent nearly 75 percent of the ANDSF, DOD may be unable to fully evaluate the success of its train, advise, assist, and equip efforts in Afghanistan."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The United States invested nearly $84 billion in Afghan security in the 17- year period spanning fiscal years 2002 through 2018, but DOD continues to face challenges to developing a self-sustaining ANDSF. While DOD has reported the ANDSF have improved in several capability areas, they continue to face critical capability gaps, impeding their ability to maintain security and stability in Afghanistan independent of U.S. and coalition forces. Moreover, DOD lacks reliable information about the degree to which conventional forces\u2014which make up about three-quarters of the ANDSF\u2014are able to operate and maintain U.S.-purchased equipment. This limits DOD\u2019s ability to fully evaluate the success of its train, advise, assist, and equip efforts in Afghanistan."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Defense should develop and, as appropriate, implement options for collecting reliable information on the ANDSF conventional forces\u2019 ability to operate and maintain U.S.-purchased equipment. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD and State for comment. DOD declined to provide written comments specifically on this public version of the report, but DOD\u2019s comments on the sensitive version of this report are reprinted in appendix V. The sensitive version of this report included two recommendations, which DOD cited in its comments on the draft of the sensitive report. One of those recommendations related to information that DOD deemed to be sensitive and that must be protected from public disclosure. Therefore, we have omitted that recommendation from DOD\u2019s comment letter in appendix V. This omission did not have a material effect on the substance of DOD\u2019s comments. In its comments, DOD concurred with the recommendation we made in this version of the report and stated it will take steps to implement it. DOD also provided technical comments, which we incorporated as appropriate. The Department of State had no comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Secretary of State. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff has any questions about this report please contact me at (202) 512-7114 or farbj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["House Report 114-537 associated with the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to review the Afghan National Defense and Security Forces\u2019 (ANDSF) capability and capacity to operate and sustain U.S.-purchased weapon systems and equipment. This report is a public version of a sensitive report that we issued on September 20, 2018. Our September report included three objectives, including one on the extent to which DOD considers ANDSF input and meets their needs when identifying equipment requirements. DOD deemed the information related to that objective to be sensitive, which must be protected from public disclosure. Consequently, we removed that objective and a related recommendation from this public report. This version includes information on the other two objectives: (1) what has been reported about ANDSF capabilities and capability gaps and (2) the extent to which DOD has information about the ANDSF\u2019s ability to operate and maintain U.S.-purchased equipment. Although the information provided in this report is more limited, the report uses the same methodology for the two objectives as the sensitive report.", "To identify what has been reported about ANDSF capabilities and capability gaps, we reviewed North Atlantic Treaty Organization (NATO) and DOD documents and reports, such as DOD\u2019s semiannual Section 1225 reports to Congress, produced after the start of the NATO-led Resolute Support mission on January 1, 2015. To determine what steps DOD and NATO have taken to try to address gaps, we reviewed reports the Center for Naval Analyses produced for DOD, as well as DOD and NATO documents and reports produced after January 1, 2015, and reports from GAO, the Special Inspector General for Afghanistan Reconstruction (SIGAR), and the DOD Inspector General. We also interviewed Center for Naval Analyses representatives and DOD officials in the United States and Afghanistan, including DOD officials at the Combined Security Transition Command\u2013Afghanistan (CSTC-A) and in the Office of the Undersecretary of Defense for Policy (OSD-P) who helped create the DOD reporting we reviewed.", "To determine the extent to which DOD has information about the ANDSF\u2019s ability to operate and maintain U.S.-purchased equipment, we reviewed DOD documents and reports and interviewed DOD officials in the United States and Afghanistan, including DOD officials who advise the ANDSF. We also reviewed federal internal control standards to determine what responsibilities agencies have specifically related to information collection. To provide illustrative examples of information DOD has about the ANDSF\u2019s ability to operate and maintain U.S.- purchased equipment and what that information indicates about the ANDSF\u2019s abilities and challenges, we interviewed and analyzed written responses from DOD officials, including DOD officials who provide procurement and lifecycle management for some ANDSF aircraft and vehicles, about three equipment types\u2014MD-530 helicopters, Mobile Strike Force Vehicles (MSFV), and radios. We selected these three equipment types from a list that we developed, for an August 2017 report, of key ANDSF equipment the United States purchased from fiscal years 2003 through 2016. We made our selections after reviewing DOD documentation and interviewing DOD officials regarding a number of considerations, such as (1) how critical the equipment is to the ANDSF\u2019s ability to achieve its mission; (2) which ANDSF component uses the equipment (i.e., Afghan National Police, Afghan National Army, or both); (3) whether DOD intends to continue procuring the equipment for the ANDSF; and (4) whether the equipment had been in use at least 5 years.", "We collected detailed information about the ANDSF\u2019s ability to operate and maintain MD-530 helicopters, MSFVs, and radios, as well as other key statistics DOD provided about the equipment, such as inventory, average lifespan, average cost, role, and training. This information was based mainly on DOD responses collected from January 2018 to February 2018 as well as DOD documents and reports produced after January 1, 2015. The total amount of MD-530s and radios authorized for procurement was based on DOD data that we collected for our August 2017 report on key ANDSF equipment the United States purchased in fiscal years 2003 through 2016, which we supplemented with additional data DOD provided on U.S.-purchased equipment from October 1, 2016, through December, 31, 2017.", "The performance audit upon which this report is based was conducted from August 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from September 2018 to October 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with those standards.", "Manufacturer: MD Helicopters, Inc.", "U.S. Program Management Office: U.S. Army, Non-Standard Rotary Wing Aircraft Project Management Office Program Advising: Train Advise Assist Command\u2013Air (TAAC-Air)", "The United States originally procured 6 unarmed MD-530s for the AAF for rotary wing training in 2011. In 2014, the United States purchased 12 armed MD-530s and began retrofitting the 5 remaining trainer helicopters with armament for operational missions to address a close air attack gap. MD- 530s were chosen to fill the gap over other aircraft, in part because they could be delivered relatively quickly as the AAF awaited A-29 light attack aircraft that were experiencing procurement delays, according to Department of Defense (DOD) officials. The United States procured additional MD-530s in 2015, 2016, and 2017 because of the aircraft\u2019s positive impact on the battlefield, according to DOD officials (see fig. 3).", "Key Statistics Variants: All can be armed with .50-cal machine gun pods and/or 2.75 inch rocket pods.", "Total Authorized for Procurement: 60 as of December 31, 2017 Inventory: 25 as of January 2018 (30 are scheduled for delivery; attrition of 5 due to crashes and enemy fire)", "Average Lifespan: Absent mishaps, and with good maintenance, there is no defined lifespan limit for MD-530s, according to DOD officials.", "National Army and Afghan National Police, depending on the mission, in all but one region of Afghanistan, which is supported by other aircraft.", "MD-530s are typically tasked two at a time for missions, according to DOD officials.", "An MD-530 crew consists of a pilot and co-pilot, according to DOD.", "Average cost: $6.3 million per aircraft, including all electronic devices, weapons management systems, and weapons (excluding ordnance), according to DOD officials. o Division of labor is based on the individual crew members' capabilities, with one pilot handling navigation and communication while the other identifies targets and operates the weapon systems.", "Army pilot advisors at Kandahar Air Field, according to DOD officials. o MD-530 pilot training takes about 3 years (see fig. 4)."], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["1. The GAO report number cited in DOD\u2019s letter refers to a draft of the sensitive version of this report, which we issued on September 20, 2018. Prior to issuing that version, we changed its report number to GAO-18- 662SU to reflect its sensitive nature. That version of this report included two recommendations. The second recommendation has been omitted from DOD\u2019s letter in this public version because it was related to information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Joyee Dasgupta (Assistant Director), Kara Marshall, Katherine Forsyth, and Bridgette Savino made key contributions to this report. The team also benefitted from the expert advice and assistance of David Dayton, Neil Doherty, Justin Fisher, Ashley Alley, Cary Russell, Marie Mak, James Reynolds, Sally Williamson, Ji Byun, and J. Kristopher Keener."], "subsections": []}]}], "fastfact": ["The United States has invested about $84 billion since 2002 to help create long-term security in Afghanistan\u2014including providing and maintaining equipment for the Afghan defense and security forces.", "We reviewed the capacity of these forces to operate and sustain U.S.-purchased weapon systems and equipment. We found that DOD lacks reliable information on how well most Afghan forces operate and maintain this equipment because it has little direct contact with the front-line units that make up about three-quarters of the Afghan forces.", "We recommended DOD develop options to collect more reliable information about this equipment."]} {"id": "GAO-19-173", "url": "https://www.gao.gov/products/GAO-19-173", "title": "Weapon System Sustainment: DOD Needs to Better Capture and Report Software Sustainment Costs", "published_date": "2019-02-25T00:00:00", "released_date": "2019-02-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Software is integral to the operation and functionality of DOD equipment, platforms, and weapon systems, including tactical and combat vehicles, aircraft, ships, submarines, and strategic missiles. DOD estimates that software sustainment funding will total at least $15 billion over the next 5 fiscal years. DOD carries out software sustainment at various locations, where DOD uses its maintenance capabilities to maintain, overhaul, and repair its military weapon systems.", "GAO was asked to review several issues relating to the sustainment of operational system software for DOD weapon systems. This report examines, among other things, the extent to which (1) DOD has policies and organizations in place to manage the sustainment of operational system software for weapon systems; and (2) DOD and the military departments track costs to sustain weapon system software. GAO reviewed DOD policies and procedures and interviewed cognizant officials from select DOD software centers, among others, who perform weapon system software sustainment activities."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has policies and organizations to manage the sustainment of operational system software. DOD policy defines software sustainment and software maintenance activities synonymously, to comprise any activities or actions that change the software baseline, as well as modifications or upgrades that add capability or functionality. One example of such an action is the Air Force's modifying the security software on the B-52 bomber to better protect against attempted system penetration. The figure below defines the four categories of software sustainment actions.", "DOD policies on life-cycle management of weapon systems address software sustainment, and several DOD organizations\u2014including DOD software centers\u2014play key roles in overseeing and managing software sustainment. DOD policy includes software maintenance as part of core logistics, and it requires the military departments to report biennially to Congress on their estimated workloads to sustain core logistics capabilities, including estimated costs of these workloads. However, while the Army and Air Force categorize and report software sustainment as part of core logistics, the Navy does not. Without the Navy's categorizing and reporting its software sustainment costs, DOD and Congress are not fully informed of the magnitude and cost of core software sustainment capability requirements. This impedes DOD's efforts to plan for a ready and controlled source of technical competence, and to budget resources in peacetime while preserving necessary surge capabilities.", "DOD's ability to track weapon system software sustainment costs is impeded by limitations in its collection of software cost data. First, GAO found that the Office of Cost Assessment and Program Evaluation's (CAPE) Cost and Software Data Reporting system did not collect weapon system cost data from DOD software centers. Recognizing this, CAPE directed in January 2017 that cost and software data efforts on major acquisition programs should begin to be collected from government organizations, including DOD software centers. However, CAPE acknowledges that it lacks an implementation plan to execute and monitor the requirement for these centers to submit cost and software data. Second, GAO also found that the military departments' operating and support cost systems have incomplete software sustainment cost data. DOD policy requires the military departments to collect and maintain actual operating and support costs, including software sustainment costs. Without CAPE's taking steps to prioritize obtaining complete information on operating and support costs for software sustainment, CAPE is challenged in its ability to accurately compile total program costs or provide reliable life-cycle cost estimates to DOD and Congress."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that (1) the Navy categorize and report its software sustainment costs in accordance with DOD policy; and (2) CAPE improve the collection of weapon system software cost data. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Software is integral to the operation and functionality of Department of Defense (DOD) equipment, platforms, and weapon systems. It has become essential to the capabilities and operations of a vast range of military systems, including tactical and combat vehicles, aircraft, ships, submarines, and strategic missiles. Many weapon systems cannot operate if the software fails to function as required. For instance, errors among thousands to millions of lines of code can result in a mission- critical failure. To keep software on weapon systems functioning properly, DOD maintains and upgrades it throughout the systems\u2019 life-cycles. DOD defines software maintenance and software sustainment synonymously, to comprise any activities or actions that change the software baseline of a weapon system, as well as modifications or upgrades that add capability or functionality. This includes requirements development, architecture and design, and integration and testing. Typically, the modification and upgrade activities are performed by teams of government workers, contractor workers, or both. DOD\u2019s Future Years Defense Program estimates that software sustainment funding will reach at least $15 billion in total over the next 5 fiscal years.", "The DOD Office of Inspector General identified, for fiscal year 2018, several major management challenges. One such challenge is that the Defense Acquisition System often focuses on near-term costs, schedule, and performance trade-offs to the detriment of long-term costs, even though more than 70 percent of the life-cycle costs of a weapon system are incurred in the system\u2019s operating and support phase. However, long-term forecasting of sustainment costs can be difficult.", "Our prior work on software sustainment, which dates back nearly four decades, has shown persistent challenges related to the management, cost reporting, and technical data rights of software, among other issues. More recently, our work on the F-35 Joint Strike Fighter program has identified challenges with software development, long-term sustainment funding, and technical data rights. For example, in 2014 we found that delays in developmental flight testing of the F-35\u2019s critical software could hinder delivery of the warfighting capabilities the military services expect, and that these delays were due largely to delays in software delivery, limited capability in the software when delivered, and the need to fix problems and retest multiple software versions. As we recommended, DOD conducted an assessment of the specific capabilities that can be delivered and of those that will likely not be delivered to each of the services by their established initial operational capability dates.", "You asked us to review several issues relating to the sustainment of operational system software for DOD weapon systems. This report examines the extent to which (1) DOD has policies and organizations in place to manage the sustainment of operational system software for weapon systems; (2) DOD and the military departments track costs to sustain weapon system software; and (3) DOD has addressed challenges securing necessary data rights to sustain weapon system software. Our scope included software sustainment of operational weapon systems.", "For objective one, we reviewed DOD policy and organizations in place to manage the sustainment of operational system software. This included DOD Instruction 5000.02, Operation of the Defense Acquisition System, which establishes acquisition and life-cycle sustainment policies; and DOD depot maintenance policy, which outlines requirements for DOD materiel maintenance, core requirements, and core sustaining workloads. We also interviewed officials from the Office of the Secretary of Defense (OSD) and the military departments regarding the department\u2019s guidance and the processes used to collect the data for DOD\u2019s Biennial Core Report. As in our previous reviews of DOD\u2019s biennial core reports, we did not assess the reliability of the underlying data provided by the military services for the 2018 DOD Biennial Core Report. However, we determined that the data were sufficiently reliable for the purpose of determining whether the military services had reported costs of workloads in 2012\u20142018.", "We conducted interviews using a semi-structured questionnaire with officials at 11 of 20 DOD depot-level software sustainment activities, also known as DOD software centers, to gain an understanding of how they sustain weapon system software. Although this sample is not generalizable to the population of DOD depot-level software centers, the use of a random sample of software centers helped mitigate any potential selection bias, and the interviews provided valuable information on those sites selected. The officials we interviewed at DOD software centers included a variety of engineers and others who perform software sustainment activities for weapon system software, including software on air and sea platforms, targeting system software, and communications systems, among others. We interviewed these officials to gain an understanding of policies and procedures they follow to guide their software sustainment activities, how they are organized, and the activities they undertake to sustain the software.", "For objective two, we reviewed DOD policy and military department guidance regarding software sustainment cost-reporting requirements, including DOD Manual 5000.04, Cost and Software Data Reporting (CSDR) Manual, and applicable financial management regulations. We reviewed the Office of Cost Assessment and Program Evaluation (CAPE) reports to Congress for fiscal years 2016 and 2017 to learn about initiatives that CAPE is taking to improve software cost data reporting. We interviewed officials at select DOD software centers, including officials responsible for weapon system software on several DOD weapon systems, to gain an understanding of how they track cost data. We also interviewed officials from the Office of the Secretary of Defense (OSD), including officials from CAPE, and officials from the three cost analysis agencies responsible for collecting operating and support costs for the military departments\u2019 Visibility and Management of Operating and Support Costs (VAMOSC) data collection systems.", "For objective three, we reviewed statutory requirements relating to DOD intellectual property and technical data rights to sustain software. We also reviewed the Defense Federal Acquisition Regulation Supplement (DFARS) pertaining to technical data rights. We reviewed DOD policy and guidance, including the Defense Acquisition Guidebook. We interviewed officials from OSD, including officials from the Office of General Counsel, military department headquarters, and DOD software centers to gain an understanding of the necessary technical rights to sustain weapon system software, the reasons that technical data rights are needed, and challenges faced by the department. We analyzed select weapon systems for which DOD had complete data rights, as well as weapon systems for which DOD had partial or incomplete data rights, and the actions DOD took for sustainment, such as public-private partnerships. Finally, we reviewed statutory provisions in the fiscal years 2016 and 2018 National Defense Authorization Acts, which directed the Secretary of Defense to commission studies related to DOD intellectual property and establish a cadre of intellectual property experts, and we interviewed OSD officials to understand DOD\u2019s status on the provisions. Further details on our objectives, scope, and methodology are presented in appendix I.", "We conducted this performance audit from June 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Software Sustainment Activities", "paragraphs": ["DOD defines software maintenance and software sustainment synonymously, to comprise any activities or actions that change the software baseline, as well as modifications or upgrades that add capability or functionality. For example, software sustainment activities involve the correction of software errors after the software is released and adaptations to enable interfacing with changing environments. The four categories of software sustainment actions are defined in figure 1 below.", "A software sustainment activity can be categorized in multiple areas. For example, an Army command is modifying software to incorporate Windows 10. This action may be described as corrective in that it addresses errors in previous versions of Windows; perfective in that it upgrades the software to support new capabilities and functionality provided by Windows 10; adaptive in that it can accommodate changes to firmware and hardware environments; and preventive in that it improves reliability.", "Sustaining software is normally different from sustaining hardware. For example, when hardware breaks, technicians can remove the broken part\u2014such as tread on a tracked vehicle\u2014 and install a working part. In contrast, sustaining software typically requires writing, testing, and deploying lines of code. Software provides critical functionality to nearly every hardware system that DOD uses: surface (for example, mobile network systems); air (for example, secure communications arrays in aircraft); sea (for example, submarine guidance systems); missile (for example, targeting systems); ordnance (for example, Common Remotely Operated Weapon Station); and space (for example, positioning software), as shown in figure 2.", "Further, a weapon system may comprise numerous software systems, each supporting different components of the system. Hundreds, or even thousands, of software systems can be embedded in a single weapon system. Interoperability and integration within the weapon system as a whole constitute key software considerations for the overall weapon system\u2019s sustainability. For example, the military departments include system-of-systems and family-of-systems considerations. These considerations are defined as a set or arrangement of systems that results when independent systems are integrated within a larger system that delivers unique capabilities. Missions are performed by a system-of- systems arrangement of the platforms and systems that deliver the mission capability."], "subsections": []}, {"section_title": "Weapon System Software and the Acquisition Life- Cycle", "paragraphs": ["Decisions affecting the software on a weapon system are made throughout the acquisition life-cycle. The life-cycle is outlined in DOD Instruction 5000.02, Operation of the Defense Acquisition System. This instruction includes four basic and two hybrid models that serve as examples of defense program structures. The hybrid models combine models, such as a weapon system development that includes significant software development. The instruction also includes phases and milestones to oversee and manage acquisition programs, including major weapon systems. It outlines considerations affecting software sustainment for each milestone, including, for example, the following:", "Milestone A: The understanding of the technical, cost, and schedule risks of acquiring the materiel solution; the determination of core requirements; and the development of an intellectual property strategy, to include technical data and computer software deliverables. For example, for incrementally deployed software- intensive programs, the preliminary scope of limited deployment is determined for evaluation prior to a full deployment decision for each capability increment.", "Milestone B: A standard series of design reviews performed prior to converging on a final design for production. For example, for a hybrid acquisition program such as the combination of a major weapon system\u2019s basic structural hardware development with a simultaneous software-intensive development, criteria establishing maturity for the development of software functional capability are to be identified.", "Milestone C: The point at which a program or increment of capability is reviewed for entrance into the production and deployment phase or for limited deployment. For example, a general criterion applied during review would be to have a mature software capability consistent with the software development schedule.", "Figure 3 depicts the milestones and decision points that inform a typical acquisition program.", "Decisions affecting the software of a weapon system are made throughout the acquisition life- cycle and involve stakeholders across a number of domains. For example, DOD officials are involved in software development, architecture and design, engineering, coding, integration and testing, cost estimation and collection, and intellectual property. Many decisions affecting software sustainment, such as software data rights decisions, typically occur in one of the phases prior to operations and support. Decisions made in the early phases may have long-term effects on a weapon system\u2019s sustainability, especially for systems that endure beyond their originally intended design life. Software sustainment decisions are often revisited during the operations and support phase, as hardware breaks or needs to be replaced, a new capability or requirement is added, or a modification is made due to feedback received after a weapon system is fielded."], "subsections": []}, {"section_title": "Software Sustainment as Part of Depot Maintenance, Core Requirements, and Core Sustaining Workloads", "paragraphs": ["DOD conducts software sustainment at a variety of depot-level maintenance locations. DOD and military policy refer to these locations variously as DOD depot-level software sustainment activities, Software Engineering Centers, Software Support Activities, and Life-Cycle Software Engineering Centers. For purposes of this report, we will refer to these facilities as DOD software centers.", "Section 2460 of title 10 of the United States Code defines depot-level maintenance and repair. This term includes all aspects of software maintenance classified by DOD as of July 1, 1995, as depot-level maintenance and repair\u2014regardless of the source of funds for the maintenance or repair, or of the location at which the maintenance or repair is performed. DOD maintains many weapon systems (such as aircraft and ships) and equipment (such as radar) at the depot level because the systems are too complex to maintain exclusively at the unit, or organizational, level.", "Section 2464 of title10 of the United States Code requires DOD to maintain a core depot-level maintenance and repair capability that is government-owned and -operated. Maintaining this capability provides a ready and controlled source of technical competence and resources to enable effective and timely response to mobilizations, contingencies, or other emergencies. Additionally, DOD must assign these government- owned and -operated facilities (the depots) sufficient workload to ensure cost efficiency and technical competence during peacetime, while preserving the surge capacity and reconstitution capabilities necessary to fully support the strategic and contingency plans prepared by the Chairman of the Joint Chiefs of Staff."], "subsections": []}, {"section_title": "Data Rights in DOD", "paragraphs": ["The term \u201cdata rights\u201d in the DOD context typically refers to the license rights that the department acquires in two types of deliverables: technical data and computer software. These rights are addressed in law, in the Defense Federal Acquisition Regulation Supplement (DFARS), and in DOD guidance. These data rights are defined as follows:", "Technical data: recorded information, regardless of the form or method of recording, of a scientific or technical nature (including computer software documentation).", "Computer software: computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, and related material that would enable the software to be reproduced, recreated, or recompiled.", "Computer software documentation: owner\u2019s manuals, user\u2019s manuals, installation instructions, operating instructions, and other similar items, regardless of how this documentation is stored, that will explain the capabilities of the computer software or provide instructions for using the software."], "subsections": []}]}, {"section_title": "DOD Has Policies and Organizations within Weapon System Management and Depot Maintenance to Manage Operational System Software Sustainment", "paragraphs": ["DOD has policies and organizations in place within weapon system management and depot maintenance to manage the sustainment of operational system software. We found that DOD has policies for managing the life-cycle of weapon systems, including sustainment; and that DOD policy on depot maintenance and cost also considers weapon system software issues. Several organizations, including the Under Secretary of Defense for Acquisition and Sustainment and DOD software centers, play key roles in overseeing and managing software sustainment. Software sustainment activities are conducted at numerous facilities, including military department software centers, weapon system program management offices, government laboratories or software integration laboratories, and contractor facilities. Additionally, while DOD has defined software sustainment and software maintenance activities synonymously, and it defines these functions as part of depot maintenance, we determined that the Navy categorizes and reports software sustainment differently."], "subsections": [{"section_title": "DOD Has Policies for Life- Cycle Management of Major Weapon Systems That Include Considerations for Software Sustainment", "paragraphs": ["DOD has published a directive and an instruction to guide the military departments in life-cycle management of major weapon systems, including considerations relating to software and weapon system sustainability. First, DOD\u2019s acquisition publications provide DOD-wide policy and assign responsibilities to OSD and the military departments for executing weapon system development, production, and sustainment. For example, weapon system software considerations, including cost and access to technical data (for example, product specifications) and computer software (for example, source code), are to be included in required documentation, such as the Life-Cycle Sustainment Plan and the Systems Engineering Plan. Regulatory and reporting requirements differ depending on a system\u2019s cost and acquisition category. These policies are in accordance with statute directing the Secretary of Defense to issue and maintain comprehensive guidance on life-cycle management.", "Second, DOD includes weapon system software considerations in its instruction regarding depot maintenance core capabilities. DOD-wide policy assigns responsibilities to OSD and the military departments for the performance of DOD core depot-level maintenance, including software. DOD policy states that maintenance tasks are performed to restore safety and reliability when deterioration has occurred. These tasks help to ensure military readiness, including mobilization and surge capabilities, to support national defense strategic and contingency requirements. Additionally, DOD policy states that, for inherently governmental and core capability requirements, maintenance programs are to use organic\u2014or DOD personnel, rather than contractors\u2014in accordance with the law. These DOD policies accord with the statute directing the Secretary of Defense to maintain a core depot-level maintenance and repair capability to ensure technical competence in peacetime while preserving the surge capacity necessary to fully support strategic and contingency needs.", "Third, DOD includes weapon system software considerations in its cost policy and manuals. These policies assign responsibilities for estimation of costs and collection of costs (including operations and support costs). They also prescribe cost data reporting and software resource data reporting requirements."], "subsections": []}, {"section_title": "Several DOD Organizations Play Roles in Weapon System Software Sustainment Policy", "paragraphs": ["Several DOD organizations establish policies and procedures for weapon system software sustainment. First, the Under Secretary of Defense for Research and Engineering and the Under Secretary of Defense for Acquisition and Sustainment play key roles in the establishment and maintenance of policy and procedures for software sustainment. For example:", "Research and Engineering: This office establishes policy and oversees research, system engineering, and developmental test processes, especially during formative stages of programs. It also supports the Joint Federated Assurance Center, a cross-DOD working group with a mission to develop, maintain, and offer software and hardware vulnerability detection, analysis, and remediation capabilities.", "Acquisition and Sustainment: This office establishes policy and manages acquisition and sustainment of major weapon systems. In April 2018 the Under Secretary appointed the first special assistant for software acquisition to advise and assist in addressing software challenges. According to officials, the special assistant will, among other responsibilities, oversee the development of software development policies and standards across DOD practices, and will advise leadership on best practices in software sustainment and data rights issues.", "Second, the Deputy Assistant Secretary of Defense for Materiel Readiness, under the Assistant Secretary of Defense (Sustainment), establishes policy for and manages DOD depot-level maintenance, including software sustainment. Third, the Office of Cost Assessment and Program Evaluation analyzes resource allocation and cost estimation, and provides independent analytic advice on, among other things, the cost-effectiveness of defense systems. Figure 4 highlights select organizations that establish and maintain software sustainment policy and procedures."], "subsections": []}, {"section_title": "Software Sustainment Activities Are Conducted at DOD Software Centers or Contractor Facilities", "paragraphs": ["Software sustainment is conducted either at DOD software centers\u2014 which include military department software centers, weapon system program management offices, government laboratories, and software integration laboratories\u2014or at contractor facilities. The specifics of how the software sustainment is conducted vary by weapon system, in accordance with what the program manager negotiates with the DOD software center or contractor. At DOD software centers, software is developed, tested, and distributed by government staff, contractor staff, or both to maintain operational capability, correct faults, improve performance, and adapt the software to environmental changes. Activities range from small fixes for software errors to large releases that provide weapon systems with new capabilities or address cybersecurity vulnerabilities.", "The DOD software centers sustain a range of different systems. For example,", "U.S. Army Communications and Electronic Command\u2019s Software Engineering Center sustains software for Army communications systems; and the U. S. Army Aviation and Missile Research Development and Engineering Center sustains software for missiles, space, and aviation;", "The Oklahoma City Air Logistics Complex\u2019s 76th Software Maintenance Group at Tinker Air Force Base provides DOD with capabilities in operational flight programs, mission planning systems, space systems, ground-based radar, weapons support, mission support, jet engine test, training and simulation systems, and diagnostics and repair; and", "Space and Naval Warfare Systems Center Pacific supports and maintains Naval systems in the areas of command and control, communications, computers, and intelligence, surveillance, and reconnaissance, as well as cyber and space.", "This work is necessary to maintain and upgrade weapon system software and to meet immediate military operational needs. During our review, officials at DOD software centers provided additional examples of software sustainment activities they conduct on a wide variety of weapon systems. Appendix II provides these additional examples."], "subsections": []}, {"section_title": "DOD Includes Software Sustainment as Part of Depot Maintenance and the Core Logistics Capabilities Determination Process, but Navy\u2019s Approach Differs", "paragraphs": ["DOD has defined software sustainment and software maintenance activities synonymously, and it defines these functions as part of depot maintenance and the core logistics process. The Departments of the Army and the Air Force categorize and report software sustainment as part of depot maintenance and the core logistics process. Specifically, the Army and the Air Force have policies that categorize and report software sustainment as part of their core logistics requirements, in accordance with DOD instruction.", "Contrary to DOD policy, the Department of the Navy does not categorize and report software sustainment as part of depot maintenance Specifically, Navy officials said that the Navy views software sustainment as an engineering function, not a depot maintenance function. They said that Navy policy reflects the Navy\u2019s view of software sustainment as a continuous engineering process that occurs throughout a weapon system\u2019s life-cycle, rather than a discrete set of activities categorized as depot maintenance.", "These officials stated that while the Navy believes software sustainment to be critical to maintaining its weapon systems, it also believes that managing software sustainment as part of depot maintenance is not the most effective approach for the Navy. In particular, Navy officials expressed several concerns about how reporting and categorizing software sustainment as part of depot maintenance could affect their activities. For example, Navy officials noted that this shift would require software engineering to be reported as depot maintenance, which in turn would require the Navy to carry out a greater portion of the work at Navy depots using DOD\u2019s workforce. Navy officials stated that, in their opinion, the Navy does not have the capacity to conduct this level of effort with the current DOD workforce within the Navy depot structure, and that the Navy\u2019s ability to develop adequate capacity in its DOD software engineering workforce in the future is uncertain. They also stated that shifting this capacity away from private industry to the DOD software engineering workforce could create instability in the management of current and future Navy programs, and would be inconsistent with the Navy\u2019s efforts to broaden private-sector software engineering capability and capacity.", "We also found that the Department of the Navy does not categorize and report software sustainment as part of its core logistics requirements, in accordance with DOD policy. DOD Instruction 4151.20, Depot Maintenance Core Capabilities Determination Process, assigns responsibilities and prescribes procedures to identify required core capabilities for depot maintenance and the associated workloads needed to sustain those capabilities. It is DOD policy that the core capability requirements determination process underpins the establishment and retention of a broad set of public-sector depot maintenance capabilities necessary for DOD, and that the required core capabilities and depot maintenance workloads necessary to sustain those capabilities will be calculated by military services and then aggregated to determine the overall DOD core requirements. As such, DOD requires the military services to use a computational methodology to identify their essential core capability requirements and their planned workload to support this core maintenance capability.", "The Navy\u2019s differing approach to categorizing and reporting software sustainment has created challenges for DOD-wide reporting on core logistics capabilities. DOD is required by law to submit a Biennial Core Report to Congress that identifies core logistics capabilities\u2014and DOD has included software sustainment\u2014at depots, and the workload required to maintain those capabilities. The Army and the Air Force included direct labor hours and estimated sustainment costs for DOD depot-level software sustainment in the 2018 DOD Biennial Core Report. However, while the Navy conducted software sustainment activities, it did not consider these activities to be part of depot maintenance or a core logistics capability, as previously discussed. As a result, the Navy reported no direct labor hours or estimated cost of sustaining its software workload for inclusion in the 2018 DOD Biennial Core Report, as shown in table 1. OSD accepted the Navy\u2019s core report submission for the 2018 DOD Biennial Core Report.", "The Department of the Navy\u2019s position that software sustainment is not part of depot maintenance is contrary to DOD Instruction 4151.20, which specifically includes software sustainment as part of depot maintenance. Without the Department of the Navy\u2019s categorizing and reporting of its software sustainment costs, in accordance with DOD policy on the Depot Maintenance Core Capabilities Determination Process, DOD and Congress are not fully informed of the magnitude and cost of core software sustainment capability requirements for the Navy. Accordingly, DOD is impeded in its efforts to plan for a ready and controlled source of technical competence, and to budget resources in peacetime while preserving the surge capabilities necessary to fully support strategic and contingency needs."], "subsections": []}]}, {"section_title": "Limitations in DOD\u2019s and the Military Departments\u2019 Data Reporting Impede DOD\u2019s Tracking of Weapon System Software Sustainment Costs", "paragraphs": ["DOD\u2019s ability to track weapon system software sustainment costs is impeded by limitations in the collection of software data by both the Office of Cost Assessment and Program Evaluation and the military departments. CAPE oversees the primary cost data collection systems: the Cost and Software Data Reporting system and the military departments\u2019 Visibility and Management of Operating and Support Costs system. Further, CAPE has limitations in its cost and software data reporting system for data collected from DOD software centers. We also found that the military departments collect incomplete data on software sustainment costs in their VAMOSC systems."], "subsections": [{"section_title": "CAPE Has Limitations in Its Cost and Software Data Reporting System", "paragraphs": ["CAPE collects software sustainment cost data from contractors on certain major weapon systems through its CSDR system. According to CAPE\u2019s CSDR manual, this system serves as the primary repository of contractor costs for use in most DOD resource analysis efforts, including cost database development, applied cost-estimating, cost research, program reviews, analysis of alternatives, and life-cycle cost estimates. Data from the two principal components of the CSDR system\u2013contractor cost data reporting and software resources data reporting systems\u2014can be used in managing software sustainment costs. Data in the CSDR system may also be used to prepare acquisition and life-cycle cost estimates for weapon system milestone reviews, as well as to estimate and project software sustainment costs.", "We identified limitations, however, in CAPE\u2019s CSDR system. First, the system has historically not collected information from contractors for weapon system acquisition programs whose spending levels did not reach the major defense acquisition program threshold. Although collecting this information was not a requirement in the past, in 2016 Congress directed DOD to begin to collect additional information necessary to facilitate cost estimation and comparison across acquisition programs, including costs from programs with eventual total expenditures greater than $100 million. In February 2018, as part of its overall efforts to make data collection more robust, CAPE issued a memo stating that the Army, Navy, and Air Force proposed pilot programs to collect contractor cost data from 26 weapon system programs whose spending levels were below the major defense acquisition program threshold. CAPE plans to use the results of these pilot programs to inform future efforts to improve information-gathering on, and visibility into, the actual expenditures for lower-dollar programs. Additionally, CAPE plans to update its cost- collection policies and manual, if necessary, upon completion of the pilot programs. Because the department is in the midst of these pilot programs and has outlined next steps to be taken upon their completion, we are not making a recommendation about this matter at this time.", "Second, CAPE\u2019s CSDR system does not collect any weapon system cost or software data from DOD software centers. Prior to 2017, CAPE required only contractors\u2014and not DOD software centers\u2014supporting major defense acquisition programs to report software sustainment costs into the CSDR system. However, in January 2017 CAPE recognized that the lack of cost and software data from government-executed elements of acquisition and sustainment programs was impeding accurate compilation of total program costs. Accordingly, it issued a memorandum to the military departments directing that cost and software data efforts on major defense acquisition programs should also be collected and submitted into the CSDR system by government-performed efforts, which include DOD software centers. Also, the Standards for Internal Control in the Federal Government states that management should use quality information to achieve an entity\u2019s objectives, and that management should obtain data from reliable internal and external sources in a timely manner based on the identified information requirements for effective monitoring.", "According to a CAPE official, as of September 2018, CAPE had not received any inputs into the CSDR system for DOD-performed software sustainment efforts. CAPE officials told us that compliance with this requirement in the memorandum has been very low, and they attributed this to the absence of an implementation plan. The official said that CAPE is currently in the early stages of evaluating cost data systems\u2014that is, CSDR and the military departments\u2019 VAMOSC systems\u2014to determine which is the more effective for use in collecting and submitting cost and software data from DOD software centers. The official acknowledged that after completing this evaluation of the systems, CAPE will develop an implementation plan. However, CAPE is still in the early stages of completing its evaluation. Having a robust implementation plan with time frames for key milestones will be important to executing and monitoring CAPE\u2019s actions to improve the reporting of software sustainment costs. Without cost and software data from the DOD software centers, CAPE is challenged in its ability to accurately compile total program costs for program managers, cost estimators, and Congress, among other information recipients."], "subsections": []}, {"section_title": "Military Departments Collect Incomplete Software Sustainment Costs in Operating and Support Cost Systems", "paragraphs": ["According to the CAPE cost estimating guide, the software sustainment element excludes the costs of new development or major redesigns that provide new capabilities. However, if the costs of new development or major redesigns that provide new capabilities cannot be isolated, these costs will be considered as part of software sustainment and should be so noted in the estimate documentation. defines cost elements that cover the range of weapon system operating and support costs, including software sustainment. CAPE\u2019s cost guide defines the software sustainment cost element as the labor, material, and overhead costs incurred after deployment to maintain, modify, and integrate software.", "According to the CAPE cost estimating guide, the software sustainment element excludes the costs of new development or major redesigns that provide new capabilities. However, if the costs of new development or major redesigns that provide new capabilities cannot be isolated, these costs will be considered as part of software sustainment and should be so noted in the estimate documentation. major commands. Therefore, in order to include software sustainment costs for all shipboard systems in the VAMOSC system, Navy officials must manually collect these cost data. This official explained that since the Navy collects these costs manually, officials focus their efforts on the most expensive and most populous shipboard systems. According to the official, they intend to address the Navy VAMOSC system\u2019s incomplete software sustainment data issue by expanding their manual data collection efforts to include additional Navy systems.", "According to DOD policy, CAPE\u2019s executive oversight responsibilities include annually reviewing the services\u2019 VAMOSC systems to address data accessibility, completeness, timeliness, accuracy, and compliance with CAPE guidance. CAPE formed a VAMOSC task force in partnership with the service cost-analysis agencies and the Product Support Division in the office of the Assistant Secretary of Defense for Sustainment. The task force is aware of gaps in the military departments\u2019 reporting of software sustainment costs within their VAMOSC systems, particularly within the Army and the Navy, and it has included data completeness in the scope of its efforts. However, closing data gaps is not one of the specific purposes of the task force; these purposes include (1) discussing integration of operating and support cost collection across the department and (2) clearly defining the technical differences across the military services\u2019 VAMOSC systems.", "The task force is concerned with multiple cost-reporting issues. We recognize that the task force can enable DOD to improve the completeness of its software sustainment cost reporting. Further, systematic and institutionalized cost data collection by each military department is important to support credible cost estimates of current and future programs. However, without CAPE taking steps to prioritize obtaining complete information on operating and support costs for software sustainment, it cannot provide reliable life-cycle cost estimates to DOD acquisition or maintenance officials\u2014or Congress\u2014 to assist with current and future years funding decisions."], "subsections": []}]}, {"section_title": "DOD Has Begun Addressing Challenges with Data Rights for Weapon Systems\u2019 Software Sustainment but Has Not Yet Reported to Congress on Required Studies", "paragraphs": [], "subsections": [{"section_title": "DOD Makes Decisions about Securing Data Rights throughout Weapon Systems\u2019 Life-Cycles", "paragraphs": ["DOD continuously makes decisions about securing data rights, both early and throughout the life-cycle of a weapon system (see sidebar).", "DOD may obtain data rights, including access to technical data and computer software related to weapon systems, for a variety of reasons. For example, as we have previously reported, data rights may be obtained to help control costs and maintain flexibility in future acquisition and sustainment of systems and subsystems, including maintenance and upgrade of weapon system software. DOD officials we spoke with emphasized that there is no one-size-fits-all approach. Further, obtaining data rights for software sustainment constitutes only one of many competing priorities that must be considered along with cost, schedule, and performance in the acquisition of weapon systems. technical data or computer software, to be delivered under a contract. DOD officials told us that this was due to cost and proprietary reasons\u2014 that is, the contractor retains ownership of the intellectual property, such as the source code. DOD strives to balance the cost of purchasing the rights against the extent of data rights it expects it will need to maintain and support the system for years into the future. For example, DOD obtains data rights for the following reasons:", "To support its ability to evaluate weapon system design in order to sustain weapon system software.", "Computer software: computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, and related material that would enable the software to be reproduced, recreated, or recompiled. owner's manuals, user's manuals, installation instructions, operating instructions, and other similar items, regardless of how this documentation is stored, that will explain the capabilities of the computer software or provide instructions for using the software. upgrades and sustainment activities to achieve cost savings. Re- competing requires complete technical data packages that enable the manufacture of data equipment from specification.", "During the operating and support phase of a weapon system, DOD may need to reconsider its previous decisions about the extent of data rights it previously acquired. DOD officials we spoke with emphasized that there are situations in which the data rights needed may not be known until years into sustainment. A senior-level DOD official told us that it would be useful if data rights could have a pre-negotiated price and be an option as part of the initial contract. Such an option would give the government the right, but not the obligation, to purchase the data rights at the pre- negotiated price if needed, in the future."], "subsections": []}, {"section_title": "DOD Faces Challenges with Data Rights and Has Initiated Steps to Mitigate Them", "paragraphs": ["DOD has faced challenges in securing the necessary data rights to sustain weapon system software. Specifically, having either partial or incomplete data, or unclear data rights, or both can impede the government\u2019s ability to support the weapon system as intended. For example, our recent work on the F-35 Joint Strike Fighter Program found that DOD has not defined all of the technical data it needs from the prime contractor, and at what cost, to enable competition of future sustainment contracts.", "Officials at DOD software centers told us that they take steps to mitigate challenges posed by having either partial or incomplete data, or unclear data rights, or both for decades-old weapon systems and new acquisitions. For decades-old weapon systems, officials at some DOD software centers stated that they use public-private partnerships to bridge gaps for systems that lack access to the necessary data rights. For example, an Air Force official at Robins Air Force Base told us that the C- 5 software sustainment workload has been successful due to a public- private partnership involving the C-5 System Program Office, the 402nd Software Maintenance Group, and the contractor. As part of this partnership, a C-5 software integrated laboratory was established at Robins Air Force Base for DOD personnel to perform software sustainment activities, including deficiency report investigations and testing. In doing so, the 402nd Software Maintenance Group supports $8.4 million in annual C-5 software sustainment requirements.", "Officials at DOD software centers further explained that they have the expertise to optimize software that is transferred from a contractor to a DOD software center or to reverse-engineer software for weapon systems, if needed. In some cases, for example, a contractor may decide that it is no longer profitable or advantageous to continue performing the software sustainment; the activities can then be transferred to a DOD software center. Air Force officials at the 402nd Software Maintenance Group stated that on many occasions they have worked to take over software from a contractor without any transition period. In 2013 this DOD software center assumed sustainment responsibility from a contractor without any transition period for a radar system on the F-15 aircraft in order to maintain and upgrade its software. After assuming sustainment responsibility, according to an Air Force official, this DOD software center corrected latent defects and added new capabilities to adapt the radar to a changing threat environment. According to the official, this occurred because the contractor shifted focus to newer radar systems. Further, the contractor priced the support for the older radar system above what the Air Combat Command had budgeted for the updates.", "Officials at some DOD software centers told us that if they have the source code but do not have the computer software documentation\u2014 such as manuals or instructions\u2014they may need to reverse-engineer the software. For example, engineers at U.S. Army Research, Development and Engineering Command, Armament Research, Development, and Engineering Center (ARDEC) reverse-engineered a key software function, as shown in figure 5 below.", "For newer acquisitions, DOD has increased the consideration it affords to the potential needs for access to and delivery of data. For example, Air Force officials said that because of past issues with data rights on legacy systems, they had launched an initiative to ensure that program offices use standardized contract clauses (for example, DFARS software data rights) and contract delivery requirements (for example, models, drawings, associated lists, and specifications) for data rights. To illustrate this, an Air Force official told us that the HH60W Combat Rescue Helicopter program committed early in the life-cycle to securing the necessary data rights for a DOD software center in the 402nd Software Maintenance Group to perform the software sustainment activities. The official told us that the Statement of Work requests that the contractor provide the DOD software center with the source code and full technical data package, to include a complete software-supporting documentation package."], "subsections": []}, {"section_title": "DOD Has Begun Establishing Intellectual Property Policy and Experts but Has Not Yet Reported to Congress on Required Studies on Data Rights", "paragraphs": ["Provisions in the fiscal years 2016 and 2018 National Defense Authorization acts (NDAA) directed the Secretary of Defense to commission studies related to DOD intellectual property, establish an intellectual property policy, and establish a cadre of intellectual property experts. In response, DOD is in the early stages of developing intellectual property policy and establishing a cadre of intellectual property experts. Also, DOD has commissioned studies to review its access to intellectual property for DOD weapon systems, including necessary data rights. However, the department has missed some required reporting time frames, and it has not yet reported to congressional defense committees on the studies\u2019 findings and recommendations."], "subsections": [{"section_title": "Congress Directed DOD to Establish Intellectual Property Policy and Identify a Cadre of Intellectual Property Experts", "paragraphs": ["In the fiscal year 2018 NDAA, Congress directed the Secretary of Defense, through the Under Secretary of Defense for Acquisition and Sustainment, to (1) develop policy on the acquisition or licensing of intellectual property; and (2) establish a cadre of intellectual property experts to help support the acquisition workforce on intellectual property matters, including acquiring or licensing intellectual property. The law did not include a time frame for completion. The department is in the early stages of addressing these statutory provisions.", "According to the law, the policy is intended to enable DOD-wide coordination and consistency in strategies for acquiring or licensing intellectual property; to help ensure that program managers are aware of DOD\u2019s rights and consider and use best practices early in the acquisition process; and to encourage customized intellectual property strategies based on the unique characteristics for each system. The cadre of experts is intended to ensure a consistent, strategic, and knowledgeable approach to acquiring or licensing intellectual property by providing expert advice, assistance, and resources to the acquisition workforce on intellectual property matters.", "While the department is in the early stages of addressing these statutory provisions, senior-level DOD officials have acknowledged a delay in these efforts, primarily due to the department\u2019s recent reorganization. DOD officials stated that the details concerning organizational structure, roles, responsibilities, and realignment of resources had to be finalized in order for the newly formed organizations to implement these provisions. Regarding the intellectual property policy, a senior-level DOD official told us that the Office of Strategy and Design, within the Office of the Secretary of Defense, will facilitate the collaboration of stakeholders to assist in developing the intellectual policy, which the Assistant Secretary of Defense (Acquisition) will then issue and oversee. Senior-level DOD officials spoke with us regarding the complexity of developing this intellectual property policy, as it spans the weapon system life-cycle, including research, development, acquisition, and operating and support considerations.", "Regarding the intellectual property cadre, a senior-level DOD official told us that the Assistant Secretary of Defense (Acquisition) may house the cadre. As of August 2018 the department had not yet specified details on the potential size or scope of the intellectual property cadre, nor a time frame to guide implementation. Although not required by law, development of a robust implementation plan with time frames for key milestones could help DOD to execute and monitor its actions."], "subsections": []}, {"section_title": "DOD Established a Government-Industry Panel to Review Technical Data Rights, but the Panel Has Missed Deadlines for Reporting to Congress", "paragraphs": ["In the fiscal year 2016 NDAA Congress directed DOD to establish a Government-Industry Advisory Panel to review technical data rights, and to submit its final report and recommendations to the Secretary of Defense not later than September 30, 2016. The panel, comprising members from both the public and private sectors, was to review defense regulations on technical data and proprietary restrictions to ensure, among other things, that DOD does not pay more than once for the same work, and that contractors are appropriately recompensed for innovation and invention, among several other considerations. The law also directs that the Secretary of Defense submit comments or recommendations to congressional defense committees not later than 60 days after receiving the report. DOD established the panel, as legislatively required.", "As of November 2018 the panel had submitted its report to DOD but not to Congress. Panel members acknowledged that the panel is late in reporting to the congressional defense committees, and they attributed the lateness to the complexity of the task. Panel members told us that obtaining consensus between DOD and industry has been difficult, in part because of competing interests. For example, panel members discussed balancing DOD\u2019s needed ability to upgrade and support weapon systems\u2014which is difficult to forecast 30 to 40 years into the future\u2014with industry\u2019s need for a fair return on its intellectual property investments. In November 2018 the panel submitted the report to the Under Secretary of Defense for Acquisition and Sustainment. The report includes 19 recommendations for legislative, regulatory, and policy changes that, according to the panel chairman, recognize and seek to balance the equities of both government and industry. As of November 21, 2018, the panel had not yet transmitted the report to Congress, but the panel Chairman stated that it planned to do so before the end of the month."], "subsections": []}, {"section_title": "DOD Is Late in Reporting to Congress on a 2017 Study on Access to Intellectual Property for Weapon System Sustainment", "paragraphs": ["In the fiscal year 2016 NDAA, Congress directed DOD to contract with an independent entity to review DOD regulations, practices, and sustainment requirements related to government access to and use of intellectual property rights of private-sector firms. The law also directs the Secretary of Defense to submit a report to the congressional defense committees on the findings of the independent entity, along with a description of any actions the Secretary proposed in order to revise and clarify laws, or actions the Secretary may take to revise or clarify regulations, related to intellectual property rights.", "In response, DOD contracted with the Institute for Defense Analyses to review the intellectual property for weapon system sustainment. In May 2017 the Institute released its report on access to intellectual property for weapon system sustainment. The report made six recommendations, including that DOD establish or expand existing organizational capabilities within the DOD components (with OSD support) to provide expertise in the acquisition of intellectual property data and rights to program managers throughout their programs\u2019 life-cycles, as well as to other staff involved in weapon system acquisition.", "However, DOD has not yet submitted its report to the congressional defense committees on the study\u2019s findings and recommendations, though it was required to do so by March 1, 2016. OSD officials acknowledged that they are late in reporting to congressional defense committees on the study\u2019s findings and recommendations. They attributed the delay to their intent of awaiting the findings and recommendations on technical data rights, if any, of the Government-Industry Advisory Panel, as discussed above. DOD informed the congressional defense committees twice\u2014most recently in January 2018\u2014that the department would consider the recommendations of the Institute for Defense Analyses and those of the Panel collectively, and would provide its recommendations in a single report after receiving the Panel\u2019s report. In this January 2018 update, DOD noted that the Panel expected to complete its report by March 2018. However, the Panel did not complete its report\u2014for which DOD was waiting before responding to the Institute\u2019s study\u2014until November 2018. DOD\u2019s report to Congress on any actions it might take in response to the study\u2019s findings and recommendations could provide insight into whether laws or regulations related to intellectual property rights need to be revised or clarified."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Software is essential to the capabilities and operations of a vast range of military systems, including tactical and combat vehicles, aircraft, ships, submarines, and strategic missiles. DOD has policies and organizations within weapon system management and depot maintenance to manage operational system software sustainment. DOD has defined software sustainment and software maintenance activities synonymously, and the department includes software maintenance as part of depot maintenance core capabilities. However, the Department of the Navy does not categorize or report software sustainment as part of depot maintenance. Without the Department of the Navy\u2019s categorizing and reporting of its software sustainment costs, in accordance with DOD policy on the Depot Maintenance Core Capabilities Determination Process, DOD and Congress are not fully informed of the magnitude and cost of core software sustainment capability requirements. As such, DOD is impeded in its efforts to plan for a ready and controlled source of technical competence and to budget resources in peacetime while preserving the surge capabilities necessary to fully support strategic and contingency needs.", "Limitations exist in DOD\u2019s cost and software data reporting system with regard to its obtaining cost data from DOD software centers, as well as in the military departments\u2019 operating and support cost systems. These limitations impede DOD\u2019s tracking of weapon system software sustainment costs. Without cost and software data from the DOD software centers as well as complete information on the military departments\u2019 operating and support costs for software sustainment, CAPE is challenged in its ability to accurately compile total program costs for program managers, cost estimators, and Congress, among other information recipients.", "Lastly, while DOD makes decisions about securing data rights both early and throughout the life-cycle of a weapon system, the department faces challenges in balancing the cost of purchasing the rights against the extent of data rights it expects it will need over the life of the system. DOD has begun taking actions to address these challenges. For example, DOD has commissioned several studies, at congressional direction, to examine DOD\u2019s access to and use of intellectual property, including technical data rights and proprietary restrictions. However, Congress has yet to receive two of those studies. Reporting on the findings and recommendations, as well as on any actions DOD may take in response to both studies, would provide insight and would highlight timely issues with technical data rights to keep Congress and DOD informed of government and industry concerns and enable them to use that knowledge in their decision making on weapon systems that may be in operation for decades to come."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making five recommendations to the Department of Defense\u2014 one to the Secretary of the Navy and four to the Secretary of Defense.", "We recommend that the Secretary of the Navy categorize and report the Navy\u2019s software sustainment costs, in accordance with DOD policy on the Depot Maintenance Core Capabilities Determination Process.", "We recommend that the Secretary of Defense ensure that the Director for Cost Assessment and Program Evaluation complete its evaluation and select the most effective system to obtain cost and software data from DOD software centers, and develop an implementation plan that includes time frames for key milestones to execute and monitor the centers\u2019 submission of required data.", "We recommend that the Secretary of Defense ensure that the Director for Cost Assessment and Program Evaluation takes steps to prioritize the respective military departments\u2019 obtaining and reporting of complete operating and support costs for software sustainment through its VAMOSC systems.", "We recommend that the Secretary of Defense develop an implementation plan with time frames for key milestones for establishing a cadre of intellectual property experts.", "We recommend that the Secretary of Defense submit a report, as required by law, to Congress about the study on access to intellectual property for weapon system sustainment conducted by the Institute for Defense Analyses, along with a description of any actions that the Secretary proposes, or may take, to revise or clarify regulations related to intellectual property rights."], "subsections": []}, {"section_title": "Agency Comments and Our Response", "paragraphs": ["We provided a draft of this report to the Department of Defense for review and comment. DOD provided written comments, which are reprinted in appendix III. In its comments, DOD concurred with our recommendations and stated it has actions underway or plans to take actions in response to all five of our recommendations.", "We are sending copies of this report to the appropriate congressional committees and the Acting Secretary of Defense. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9627 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the extent to which (1) DOD has policies and organizations in place to manage the sustainment of operational system software for weapon systems; (2) DOD and the military departments track costs to sustain weapon system software; and (3) DOD has addressed challenges securing necessary data rights to sustain weapon system software. Our scope included software sustainment of operational weapon systems.", "For objective one, we reviewed DOD policies and organizations in place to manage the sustainment of operational system software for weapon systems. This included DOD Directive 5000.01 and DOD Instruction 5000.02, which establish acquisition program policies; and DOD Directive 4151.18 and DOD Instruction 4151.20, which outline requirements for DOD materiel maintenance and DOD programs\u2019 core capabilities. We reviewed statutory requirements, including 10 United States Code \u00a7 2337, which requires the Secretary of Defense to issue and maintain comprehensive guidance on life-cycle management and the development and implementation of product support strategies for major weapon systems. We compared the processes used by DOD and the military departments against those outlined in DOD policy and statute, and against software sustainment activities performed at several DOD software centers. We identified the roles and responsibilities for conducting software sustainment activities among personnel at each level of DOD bureaucracy. We also interviewed officials from the Office of the Secretary of Defense (OSD) and the military departments regarding the department\u2019s guidance and the processes used to collect the data for DOD\u2019s Biennial Core Report. As in our previous reviews of DOD\u2019s biennial core reports, we did not assess the reliability of the underlying data provided by the military services for the 2018 DOD Biennial Core Report. However, we determined that the data were sufficiently reliable for the purpose of determining whether the military services had reported costs of workloads in 2012\u20142018.", "We interviewed officials from the Office of the Secretary of Defense (OSD), including within the Office of the Under Secretary of Defense for Research and Engineering and the Office of the Under Secretary of Defense for Acquisition and Sustainment. Using a semi-structured questionnaire, we also interviewed officials from each of the military department headquarters\u2014U.S. Army G4, Air Force Acquisition office, and the Assistant Secretary of the Navy for Research, Development, and Acquisition\u2014to understand policies and organizations in place to manage the sustainment of operational system software for major weapon systems. We also interviewed industry officials, such as from the Center for Strategic and Budgetary Assessments and the Software Engineering Institute at Carnegie Mellon University. We conducted interviews using a semi-structured questionnaire with officials at select DOD depot-level software sustainment activities, also referred to as DOD software centers for the purposes of this report. We used DOD\u2019s Fiscal Year 2016 Maintenance Fact Book to select 11 of 20 DOD depot-level software sustainment activities based on several criteria, including (1) military department, (2) weapon system type, (3) geographical location, and (4) random selection. Although this sample is not generalizable to the population of DOD depot-level software centers, the use of a random sample of software centers helped mitigate any potential selection bias, and the interviews provided valuable information on those sites selected. The officials we interviewed at DOD software centers included a variety of engineers and others who perform software sustainment activities for weapon system software on several DOD weapon systems, including air and sea platforms, targeting systems, and communications systems, among others. We interviewed these officials to gain an understanding of policies and procedures they follow to guide their software sustainment activities, how they are organized, and the activities they undertake to sustain the software.", "For objective two, we reviewed DOD policy and military department guidance regarding software sustainment cost reporting requirements, including Department of Defense Manual 5000.04, Cost and Software Data Reporting Manual, and applicable financial management regulations. We reviewed the Office of Cost Assessment and Program Evaluation (CAPE) Reports to Congress for Fiscal Years 2016 and 2017 to learn about steps that CAPE is taking to address challenges. We interviewed officials at the DOD software centers responsible for weapon system software on several DOD weapon systems to gain an understanding of how they track cost data. We also interviewed officials from OSD, including officials from CAPE, and officials from the three cost analysis agencies responsible for collecting operating and support costs for the military departments\u2019 Visibility and Management of Operating and Support Costs (VAMOSC) data collection systems. These agencies include Office of the Assistant Secretary of the Army for Cost and Economics, the Air Force Cost Analysis Agency, and the Naval Center for Cost Analysis.", "For objective three, we reviewed statutes governing DOD intellectual property, including technical data rights, computer software, and computer software documentation. These statutes included, for example, 10 U.S.C. \u00a72320, \u201cRights in Technical Data,\u201d and 10 U.S.C. \u00a72321, \u201cValidation of Proprietary Data Restrictions.\u201d Both of these statutes are implemented, in part, by the Federal Acquisition Regulation and the Defense Federal Acquisition Regulation Supplement (DFARS), which we also reviewed. Specifically, we reviewed DFARS Subpart 227.71, \u201cRights in Technical Data,\u201d and DFARS Subpart 227.72, \u201cRights in Computer Software and Computer Software Documentation.\u201d Both include sections that address DOD definitions of technical data; computer software; and computer software documentation, policy, acquisition, licensure, and delivery rights, among other items.", "We also reviewed DOD policy and guidance, including DOD 5010.12-M, Procedures for the Acquisition and Management of Technical Data. We reviewed the Defense Acquisition Guidebook, which addresses the acquisition and maintenance of technical data rights to sustain and upgrade software on major weapon systems. We also reviewed guidance put forth on intellectual property strategies, including a checklist arranged by contract phase for key intellectual property management activities and considerations.", "We interviewed officials from OSD, including from the Office of General Counsel and the Office of Strategic Design, as well as officials from the military department headquarters, to gain an understanding of the necessary technical rights to sustain weapon system software, the reasons that technical data rights are needed, and challenges faced by the department. We interviewed officials at the DOD software centers covering a variety of DOD weapon systems to gain an understanding of what technical data rights they need for their respective weapon systems, and the ways in which they manage issues they may encounter in which contractors own the technical data. We analyzed select weapon systems for which DOD had complete data and rights, as well as weapon systems for which DOD had partial or incomplete data rights, and the actions DOD took for sustainment, such as public-private partnerships. We also interviewed members of the Government-Industry Panel examining technical data rights and proprietary data restrictions to gain an understanding of necessary data rights for sustaining weapon systems coupled with proprietary concerns from industry. Finally, we reviewed statutory provisions in the fiscal years 2016 and 2018 National Defense Authorization acts, which directed the Secretary of Defense to commission studies related to DOD intellectual property, and we interviewed officials to understand DOD\u2019s status on the provisions.", "Table 2 lists the offices that we visited or contacted during our review."], "subsections": []}, {"section_title": "Appendix II: Select Software Sustainment Activities", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact listed above, Sally Newman (Assistant Director), Laura Czohara (Analyst-in-Charge), Steven Bagley, Steven Boyles, Vincent Buquicchio, Amie Lesser, Janine Prybyla, Andrew Stavisky, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}, {"section_title": "Appendix V: Related GAO Products", "paragraphs": ["GAO- F-35 Joint Strike Fighter: Development is Nearly Complete, but Deficiencies Found in Testing Need to Be Resolved, GAO-18-321 (Washington, D.C.: June 5, 2018).", "GAO- F-35 Aircraft Sustainment: DOD Needs to Address Challenges Affecting Readiness and Cost Transparency, GAO-18-75 (Washington, D.C.: Oct. 26, 2017).", "GAO, Military Acquisitions: DOD Is Taking Steps to Address Challenges Faced by Certain Companies, GAO-17-644 (Washington, D.C.: July 2017).", "GAO- F-35 Sustainment: DOD Needs a Plan to Address Risks Related to Its Central Logistics System, GAO-16-439, (Washington, D.C., Apr. 14, 2016).", "GAO- F-35 Joint Strike Fighter: Preliminary Observations on Program Progress, GAO-16-489T (Washington, D.C.: Mar. 23, 2016).", "GAO, Defense Contracting: Early Attention in the Acquisition Process Needed to Enhance Competition, GAO-14-395 (Washington, D.C.: May 5, 2014).", "GAO- F-35 Joint Strike Fighter: Problems Completing Software Testing May Hinder Delivery of Expected Warfighting Capabilities, GAO-14-322 (Washington, D.C.: Mar. 24, 2014).", "GAO- F-35 Joint Strike Fighter: Program Has Improved in Some Areas, but Affordability Challenges and Other Risks Remain, GAO-13-500T (Washington, D.C.: Apr. 17, 2013).", "GAO, Defense Acquisition: DOD Should Clarify Requirements for Assessing and Documenting Technical-Data Needs, GAO-11-469 (Washington, D.C.: May 11, 2011).", "GAO, Federal Contracting: Opportunities Exist to Increase Competition and Assess Reasons When Only One Offer Is Received, GAO-10-833 (Washington, D.C.: July 26, 2010).", "GAO, Weapons Acquisition: DOD Should Strengthen Policies for Assessing Technical Data Needs to Support Weapon Systems, GAO-06-839 (Washington, D.C.: July 14, 2006).", "GAO, Defense Management: Opportunities to Enhance the Implementation of Performance-Based Logistics, GAO-04-715 (Washington, D.C.: Aug. 16, 2004).", "GAO, Defense Logistics: Opportunities to Improve the Army\u2019s and the Navy\u2019s Decision-making Process for Weapons Systems Support, GAO-02-306 (Washington, D.C.: Feb. 28, 2002).", "GAO, Defense Logistics: Air Force Lacks Data to Assess Contractor Logistics Support Approaches, GAO-01-618 (Washington, D.C.: Sept. 7, 2001).", "GAO, Test and Evaluation: DOD Has Been Slow in Improving Testing of Software Intensive Systems, GAO/ NSIAD-93-198 (Washington, D.C.: September 1993).", "GAO, Mission Critical Systems, Defense Attempting to Address Major Software Challenges, GAO/IMTEC-93-13 (Washington, D.C.: December 1992).", "GAO, Risk and Control of the Software Maintenance Process (Washington, D.C.: January 1987).", "GAO, Federal Agencies\u2019 Maintenance of Computer Programs: Expensive and Undermanaged, AFMD-81-25 (Washington, D.C., Feb. 26, 1981)."], "subsections": []}], "fastfact": ["Like anyone who owns a computer or smartphone, the Department of Defense has to continually update the software that keeps its weapon systems running smoothly. Sustaining that software for systems including aircraft, ships, submarines, and missiles, is essential for national defense.", "The cost of sustaining DOD's weapon system software is estimated to be at least $15 billion over the next 5 years, but DOD may not know the full costs. Some of DOD's systems have incomplete cost data, which could make it harder to ensure that DOD has the necessary resources available.", "We made 5 recommendations to help DOD address cost and data challenges."]} {"id": "GAO-19-19", "url": "https://www.gao.gov/products/GAO-19-19", "title": "Dam Safety: FERC Should Analyze Portfolio-Wide Risks", "published_date": "2018-10-05T00:00:00", "released_date": "2018-11-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In February 2017, components of California's Oroville Dam failed, leading to the evacuation of nearly 200,000 nearby residents. FERC is the federal regulator of the Oroville Dam and over 2,500 other dams associated with nonfederal hydropower projects nationwide. FERC issues and renews licenses\u2014which can last up to 50 years\u2014to dam operators and promotes safe dam operation by conducting safety inspections and reviewing technical engineering studies, among other actions.", "GAO was asked to review FERC's approach to overseeing dam safety. This report examines: (1) how FERC collects information from its dam safety inspections and the extent of its analysis, and (2) how FERC evaluates engineering studies of dam performance to analyze safety, among other objectives. GAO analyzed documentation on a non-generalizable sample of 42 dams associated with projects relicensed from fiscal years 2014 through 2017, selected based on geography and hazard classifications, among other factors. GAO also reviewed FERC regulations and documents; and interviewed FERC staff associated with the selected projects and technical consultants, selected based on the frequency and timing of their reviews."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Energy Regulatory Commission's (FERC) staff generally followed established guidance in collecting safety information from dam inspections for the dams GAO reviewed, but FERC has not used this information to analyze dam safety portfolio-wide. For these 42 dams, GAO found that FERC staff generally followed guidance in collecting safety information during inspections of individual dams and key structures associated with those dams. (See figure.) However, FERC lacks standard procedures that specify how and where staff should record safety deficiencies identified. As a result, FERC staff use multiple systems to record inspection findings, thereby creating information that cannot be easily analyzed. Further, while FERC officials said inspections help oversee individual dam's safety, FERC has not analyzed this information to identify any safety risks across its portfolio. GAO's prior work has highlighted the importance of evaluating risks across a portfolio. FERC officials stated that they have not conducted portfolio-wide analyses because officials prioritize the individual dam inspections and response to urgent dam safety incidents. However, following the Oroville incident, a FERC-led initiative to examine dam structures comparable to those at Oroville identified 27 dam spillways with varying degrees of safety concerns, on which FERC officials stated they are working with dam licensees to address. A similar and proactive portfolio-wide approach, based on analysis of common inspection deficiencies across the portfolio of dams under FERC's authority, could help FERC identify safety risks prior to a safety incident.", "Guidelines recognize that each dam is unique and allow for flexibility and exemptions in its use. FERC staff use the studies to inform other components of their safety approach, including the analysis of dam failure scenarios and their review of safety to determine whether to renew a license."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FERC: (1) develop standard procedures for recording information collected as part of its inspections, and (2) use inspection information to assess safety risks across FERC's portfolio of dams. FERC agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Hydroelectric power projects, also known as hydropower projects, exist in nearly every state and on most major river systems in the United States. While the configuration of a hydropower project may vary, many of these projects use one or more dams to impound vast quantities of water to convert the potential energy of water into electricity. Under the Federal Power Act, the Federal Energy Regulatory Commission (FERC) regulates nonfederal hydropower projects, and their associated dams, which may be owned by public utilities or private entities. As part of its responsibilities, FERC issues licenses to construct and operate nonfederal hydropower projects. Once FERC issues a license, it seeks to ensure licensee compliance with dam safety regulations by performing various oversight actions. These include periodic inspections and reviews of licensee-submitted engineering studies, which inform FERC\u2019s evaluation of the dam\u2019s ability to perform while minimizing safety risks to the public. In addition, shortly before a license expires, FERC is to evaluate an applicant\u2019s relicensing proposal to determine if the licensee can safely manage and operate the project under a new license, which has a term of up to 50 years.", "The February 2017 failure of key components of the Oroville Dam, part of a FERC-licensed hydropower project in California, highlighted the risks associated with hydropower projects, and raised questions about FERC\u2019s oversight of dam safety. Though rare, when dams and other structures comprising hydropower projects fail, water can be released quickly, and its release may result in fatalities, as well as economic and environmental damage. In light of these concerns, when the components of the Oroville Dam failed, local emergency management officials issued an evacuation order for nearly 200,000 residents downstream of the dam. At the time of the incident, FERC was reviewing the Oroville Dam project\u2019s relicensing application. In January 2018, an independent review team investigating the cause of the Oroville Dam incident raised questions about the thoroughness of FERC\u2019s oversight of the project, among other factors that may have contributed to the incident.", "You asked us to examine topics related to FERC\u2019s oversight of dam safety. This report assesses: (1) how FERC collects information from its dam safety inspections and the extent to which FERC analyzes it; (2) how FERC evaluates engineering studies of dam performance to analyze safety, and (3) the extent to which FERC reviews dam safety information during relicensing and the information FERC considers. This report also includes information on FERC actions to ensure licensees\u2019 compliance with license requirements related to dam safety (app. I) and selected models and data sets used to develop and evaluate engineering studies of dam performance (app. II).", "For each of the objectives, we reviewed laws, regulations, FERC guidance, templates, and other documentation pertaining to FERC\u2019s evaluation of dam safety. In addition, we reviewed an independent forensic team\u2019s assessment of the causes of the Oroville Dam incident, including the report\u2019s analysis of FERC\u2019s approach to ensuring safety at the project, to understand any limitations of FERC\u2019s approach identified by the report. We also reviewed dam safety documentation, including dam performance studies, FERC memorandums, the most recent inspection report, and other information, from a non-probability sample of 14 projects encompassing 42 dams relicensed from fiscal years 2014 through 2017. We selected these projects and dams to include ones that were geographically dispersed, had varying potential risk associated with their potential failure, and had differences in the length of their relicensing process. We developed a data collection instrument to collect information from the dam safety documentation and analyzed data from the sample to evaluate the extent to which FERC followed its dam safety oversight guidance across the selected projects. Following our review of the information from the dam safety documentation, we conducted semi- structured interviews with FERC engineer staff associated with each of the 14 projects and 42 dams to obtain information about FERC\u2019s inspections, review of engineering studies, and analysis of safety during the relicensing of these projects. Our interviews with these FERC staff provided insight into FERC\u2019s dam safety oversight approach and are not generalizable to all projects. We also interviewed FERC officials responsible for dam safety about dam safety practices.", "In addition, to review how FERC collects information from its dam safety inspections and the extent to which FERC analyzes it, we also reviewed inspection data from FERC\u2019s information management systems for fiscal years 2014 through 2017. To assess the reliability of these data, we reviewed guidance and interviewed FERC officials. We determined that the data were sufficiently reliable for our purposes. We compared FERC\u2019s approach to collecting, recording, and using safety information to federal internal control standards for the design of information systems and related control activities. To determine how FERC evaluates engineering studies of dam performance to analyze dam safety, we reviewed FERC policies and guidance. Further, we interviewed six independent consultants having experience inspecting and analyzing FERC-regulated dams to understand how engineering studies are developed. We selected consultants who had recently submitted an inspection report to FERC (between December 2017 and February 2018) based on the geographic location of the project they reviewed and experience conducting these inspections and the number of inspection reports submitted to FERC over this time period. Our interviews with these consultants provided insight into FERC\u2019s approach to conducting and reviewing studies and are not generalizable to all projects or consultants. To evaluate the extent to which FERC reviews dam safety information during relicensing and the information it considers, we reviewed templates developed by FERC to assess safety during relicensing and analyzed the extent to which staff followed guidance in these templates for the 14 projects and 42 dams in our sample.", "To review actions to ensure licensees\u2019 compliance with license requirements related to dam safety, we reviewed FERC\u2019s guidance related to compliance and enforcement and interviewed FERC officials responsible for implementation of the guidance. To review information on models and datasets used to develop and evaluate engineering studies of dam performance, we reviewed dam safety documentation associated with the projects in our sample (described previously), reviewed FERC documentation, and interviewed FERC officials. Additional information on our scope and methodology can be found in appendix III.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to the National Inventory of Dams, as of January 2016 there are approximately 90,500 dams in the United States and about 2.5 percent of these (approximately 2,100 dams) are associated with hydropower projects. Hydropower projects are owned and operated by both non-federal entities\u2014such as private utility companies, municipalities, and state government agencies\u2014or federal government agencies\u2014primarily the U.S. Army Corps of Engineers (the Corps) and the Bureau of Reclamation. Collectively, these dams associated with hydropower projects account for about 8 percent of the total electric generating capacity in the United States. Hydropower projects generally consist of one or more dams and other key components associated with hydroelectric power generation and water storage, and are uniquely designed to accommodate watersheds, geology, and other natural conditions present at the time of construction. These components include both those that allow operators to adjust reservoir water levels, such as spillways and gates, as well as those that produce and distribute electricity, such as transmission lines and powerhouses, among others. (See fig. 1.)", "The Federal Power Act provides for FERC\u2019s regulatory jurisdiction over a portfolio of about 1,000 non-federal hydropower projects comprising over 2,500 dams. While FERC does not construct, own, or operate dams, it licenses and provides oversight of non-federal hydropower projects to promote their safe operation. Licensees are responsible for the safety and liability of dams, pursuant to the Federal Power Act, and for their continuous upkeep and repair using sound and prudent engineering practices. FERC officials in each of the agency\u2019s five regional offices work directly with licensees to help ensure these projects comply with licenses and meet federal guidelines for dam safety. In addition, stakeholder groups such as the Association of State Dam Safety Officials can assist licensees in staying current on federal and state dam laws and regulations, dam operations and maintenance practices, and emergency action planning, among other things.", "FERC\u2019s regulations, supplemented by its Operating Manual and Engineering Guidelines, establish a framework for its dam safety oversight approach. FERC\u2019s Operating Manual provides guidelines for the FERC staff performing inspections that are aimed at ensuring that structures are safe, are being properly maintained, and are being operated safely. FERC\u2019s Engineering Guidelines provides FERC staff and licensees with procedures and criteria for the review and analysis of license applications, project modification proposals, technical studies, and dam designs. For example, one chapter presents guidelines for FERC staff to use to determine the appropriateness and level of geotechnical investigations and studies for dams. The Engineering Guidelines states that every dam is unique and that safety analysis of each dam require that engineers apply technical judgement based on their professional experience.", "As part of FERC\u2019s safety oversight approach, it assigns a hazard classification to each dam in accordance with federal guidelines that consider the potential human or economic consequences of the dam\u2019s failure. The hazard classification does not indicate the structural integrity of the dam itself, but rather the probable effects if a failure should occur. Depending on the hazard classification, the extent of and the frequency of safety oversight activities can vary.", "Low hazard dams are those where failure \u2014an uncontrolled release of water from a water-retaining structure\u2014would result in no probable loss of human life but could cause low economic and/or environmental losses.", "Significant hazard dams are those dams where failure would result in no probable loss of human life, but could cause economic loss, environmental damage, or other losses.", "High hazard dams are those dams where failure would probably cause loss of human life.", "FERC has designed a multi-layered oversight approach that involves both independent and coordinated actions with dam owners and independent consultants. Key elements of this approach include ensuring licensees have a safety program in place, conducting regular safety inspections, reviewing technical analyses, and analyzing safety as a part of project relicensing. (See fig. 2.)", "Licensee\u2019s dam safety program. According to FERC guidance, licensees have the most important role in ensuring dam safety through continuous visual surveillance and ongoing monitoring to evaluate the health of the structure. Beyond this expectation for continuous oversight, FERC requires licensees of high and significant hazard dams to have an Owner\u2019s Dam Safety Program.", "FERC dam safety inspection. The dam safety inspection, also called operation inspection, is a regularly-scheduled inspection conducted by a FERC regional office project engineer primarily addressing dam and public safety. FERC\u2019s Operating Manual establishes the frequency that a FERC engineer conducts dam safety inspections.", "Independent consultant inspection and potential failure mode analysis. FERC requires licensees to hire a FERC-approved independent consulting engineer to inspect and evaluate high hazard dams and certain types of dams above a certain height or size and submit a report detailing the findings. Additionally, FERC requires the licensee of a high or significant hazard dam to conduct a potential failure mode analysis. A potential failure mode analysis is an exercise to identify and assess all potential failure modes under normal operating water levels and under extreme conditions caused by floods, earthquakes, and other events.", "FERC relicensing of projects. FERC issues hydropower licenses for the construction of new hydropower projects, and reissues licenses for existing projects when licenses expire. Licensees may submit applications for a new license for the continued operation of existing projects as part of a process known as relicensing. During relicensing, in addition to the power and development purposes for which FERC issues licenses, FERC must evaluate safety, environmental, recreational, cultural, and resource development among other factors when evaluating projects, according to its guidance.", "In addition, FERC requires licensees to conduct various engineering studies related to dam performance in accordance with FERC safety requirements. Required engineering studies focus on dam performance as affected by hydrology, seismicity, and dam stability. Licensees may also produce engineering studies, such as a focused spillway assessment, for their own operations or at the request of FERC."], "subsections": []}, {"section_title": "FERC Staff Collect Safety Information during Inspections of Individual Dams, but FERC Has Not Analyzed Dam Safety across Its Entire Portfolio", "paragraphs": [], "subsections": [{"section_title": "FERC Staff Generally Followed Guidance to Collect Information during Safety Inspections of Individual Dams That We Reviewed but Have Inconsistently Recorded Such Information Information Collection", "paragraphs": ["We found, based on our analysis of the 42 dam safety inspections we reviewed, that FERC staff generally conducted and collected information from these inspections consistent with guidance in its Operating Manual. According to FERC\u2019s Operating Manual, staff\u2019s approach to conducting these inspections and collecting information is to include preparing for the inspection by reviewing documents, conducting a field inspection of the dam and associated project components, and discussing inspection findings with licensees and with FERC supervisors.", "Preparation for inspection: We found that FERC staff generally met document review requirements in preparation for safety inspections of the 42 dams we reviewed. (See table 1.) According to the Operating Manual, FERC staff are to review safety-related information contained in documents such as potential failure mode analyses and hazard potential classifications. For example, we found that staff documented their review of the most recent independent consultant inspection report and potential failure mode analysis for each of the 16 high hazard dams we reviewed. FERC staff told us that they generally used checklists when preparing for these inspections. For example, some of the staff told us they tailor the checklist included in the Operating Manual, based on the dam\u2019s type, characteristics, and hazard classification. Additionally, for each of the dams in our sample, staff stated that they prepared for the inspection by reviewing prior inspection reports and recommendations.", "Field inspection: We found that FERC staff generally met requirements for reviewing project components and documenting their findings from field inspections of the 42 dams we reviewed. (See table 2.) According to the Operating Manual, FERC staff are to conduct visual inspections of the dam, typically alongside the licensee, to assess the dam and project components by observing their condition and identifying any safety deficiency or maintenance requirement. Also during the inspection, FERC staff are to compare current conditions of the dam and project components to those described in prior inspection reports, and as applicable, collect information on the licensee\u2019s progress towards resolving deficiencies and maintenance issues that can affect safety. To assess safety, FERC staff we interviewed stated that they primarily rely on their engineering judgment.", "Inspection findings: According to our interviews with FERC staff from selected projects, we found that staff generally followed FERC guidance in discussing inspection findings with licensees and supervisors prior to preparing inspection reports to document their findings. According to the Operating Manual, following the dam safety inspection, FERC staff are to discuss the inspection with the licensee, giving direction on how to address any findings. Additionally, upon returning to the office, staff are to discuss inspection findings with their supervisors who may suggest additional actions. FERC staff are then to develop a dam safety inspection report that documents observations and conclusions from their pre-inspection preparation and their field inspection and identifies follow-up actions for the licensee. We found that FERC staff prepared inspection reports to document findings from the 42 dam safety inspections we reviewed. In response to inspection findings, FERC requires licensees to submit a plan and schedule to remediate any deficiency, actions that FERC staff then reviews, approves, and monitors until the licensees have addressed the deficiency."], "subsections": [{"section_title": "Information Recording", "paragraphs": ["While we found that FERC staff conducted inspections and collected inspection findings consistently in the files we reviewed, FERC\u2019s approach to recording information varies across its regions, thus limiting the usefulness of the information. FERC\u2019s approach to recording inspection information relies on multiple systems to record inspection information and affords broad discretion to its staff on how to characterize findings, such as whether to track inspection findings as maintenance issues or as safety deficiencies.", "As related to systems for recording inspection information, FERC staff use the Data and Management System (DAMS), the Office of Energy Projects-IT (OEP-IT) system, as well as spreadsheets. In particular, according to FERC staff:", "Four out of FERC\u2019s five regional offices use DAMS\u2014which is primarily a workload tracking tool\u2014to track plans and schedules associated with safety investigations and modifications as well as inspection follow-up items. FERC staff stated that since the inspection information in DAMS is recorded as narrative text in a data field instead of as discrete categories, sorting or analysis of the information is difficult.", "One regional office uses OEP-IT to track safety deficiencies while the system is more widely used across FERC to track licensees\u2019 compliance with the terms and conditions of their licenses.", "Three out of FERC\u2019s five regional offices also use spreadsheets and other tools that are not integrated with DAMS or OEP-IT to track inspection information and licensee progress toward resolving safety deficiencies.", "FERC staff said that use of these different systems to record deficiencies identified during inspections limits their ability to analyze safety information. For example, according to FERC officials, OEP-IT was not designed to track safety deficiency information and is not compatible with DAMS for use in tracking information on a national level. Furthermore, because spreadsheets and other tools are specific to the regional office in which they are used, FERC staff does not use the information they contain for agency-wide analysis.", "Concerning decisions on how to characterize inspection findings, FERC staff relies on professional judgment, informed by their experience and the Engineering Guidelines, to determine whether to track inspection findings as a safety deficiency or as a maintenance item, according to FERC officials. With input from their supervisors, FERC staff also determines what information to record and how to track the status of the inspection finding. For example, staff assigned to a dam at a FERC- licensed project in New Hampshire observed concrete deterioration on several parts of the dam and its spillway and asked the licensee to monitor all concrete surfaces, making repairs as necessary. According to staff we interviewed, regional staff and supervisors decided not to identify this as a deficiency to be tracked in DAMS because concrete deterioration is normal and to be expected in consideration of the area\u2019s harsh winter weather. In contrast, staff assigned to a dam at a FERC- licensed project in Minnesota observed concrete deterioration on several parts of the project, including the piers and the powerhouse walls, and entered the safety item in DAMS as requiring repair by the licensee. FERC officials stated they are comfortable with the use of professional judgement to classify and address inspection findings because it is important to allow for consideration of the characteristics unique to each situation and how they affect safety.", "FERC\u2019s approach to recording inspection information is inconsistent because FERC has not provided standard language and procedures about how staff should record and track deficiencies including which system to use. Federal standards for internal control state that agencies should design an entity\u2019s information system and related control activities to achieve objectives and control risks. In practice, this means that an agency would design control activities\u2014such as policies and procedures\u2014over the information technology infrastructure to support the completeness, accuracy, and validity of information processing by information technology. FERC officials acknowledged that there are inconsistent approaches in where and how staff record safety deficiency information, approaches that limit the information\u2019s usefulness as an input to its oversight. While the agency has not developed guidance, officials stated that FERC plans to take steps to improve the consistency of recorded information by replacing the OEP-IT system with a new system, tentatively scheduled for September 2018, that will have a specific function to track dam safety requirements. However, this new system will not replace the functions of DAMS, which FERC will continue to use to store inspection information. The two will exist as parallel systems with the eventual goal of the two systems\u2019 sharing information. By developing standard language and procedures to standardize the recording of information collected during inspections, FERC officials could help ensure that the information shared across these systems is comparable, steps that would allow FERC to identify the extent of and characteristics associated with common safety deficiencies across its entire portfolio of regulated dams. Moreover, with a consistent approach to recording information from individual dam safety inspections, FERC will be positioned to proactively identify comparable safety deficiencies across its portfolio and to tailor its inspections towards evaluating them."], "subsections": []}]}, {"section_title": "FERC Has Not Used Inspection Information to Fully Assess Safety Risks across Its Regulated Portfolio of Dams", "paragraphs": ["While FERC uses inspection information to monitor a licensee\u2019s efforts to address a safety deficiency for an individual dam, FERC has not analyzed information collected from its dam safety inspections to evaluate safety risks across the entire regulated portfolio of dams. For example, FERC has not reviewed inspection information to identify common deficiencies among certain types of dams. Federal standards for internal control state that agencies should identify, analyze, and respond to risks related to their objectives. These standards note that one method for management to identify risks is the consideration of deficiencies identified through audits and other assessments. Dam safety inspections are an example of such an assessment. As part of such an approach, the agency analyzes risks to estimate their significance, which provides a basis for responding to the risk through specific actions. Furthermore, in our previous work on federal facilities, we have identified that an advanced use of risk management involving the ability to gauge risk across a portfolio of facilities could allow stakeholders to comprehensively identify and prioritize risks at a national level and direct resources toward alleviating them.", "FERC officials stated that they have not conducted a portfolio-wide analysis in part due to the inconsistency of recorded inspection data and because such an evaluation has not been a priority compared to inspecting individual dams. According to officials, the FERC headquarters office collects and reviews information semi-annually from each of its five regional offices on the progress of outstanding dam investigations and modifications in those regions. FERC\u2019s review is designed to monitor the status of investigations on each individual dam but does not analyze risks across the portfolio of dams at the regional or national level. For example, officials from the New York Regional Office stated they do not perform trend analysis across the regional portfolio of dams under their authority, but they compile year-to-year data for each separate dam to show any progression or changes from previous data collected from individual dams.", "A portfolio-wide analysis could help FERC proactively identify safety risks and prioritize them at a national level. FERC officials stated that a proactive analysis of its portfolio could be useful to determining how to focus its inspections to alleviate safety risks, but it was not an action that FERC had taken to date. The benefits of a proactive analysis, for example, could be similar to those FERC derived from the analysis it conducted in reaction to the Oroville Dam incident. To conduct this analysis, FERC required 184 project licensees, identified by FERC regional offices as having spillways similar to the failed spillway at the Oroville Dam, to assess the spillways\u2019 safety and capacity. According to FERC officials, these assessments identified 27 dam spillways with varying degrees of safety concerns. They stated that FERC\u2019s spillway assessment initiative was a success because they were able to target a specific subgroup of dams within the portfolio and identify these safety concerns at 27 dam spillways. FERC officials stated that they are working with the dam licensees to address these safety concerns. A similar and proactive approach based on analysis of common deficiencies across the portfolio of dams under FERC\u2019s authority could also help to identify any safety risks that may not have been targeted during the inspections of individual dams and prior to a safety incident."], "subsections": []}]}, {"section_title": "FERC Applies Agency Guidance and Uses Professional Judgment to Analyze Engineering Studies of Dam Performance and Evaluate Safety", "paragraphs": [], "subsections": [{"section_title": "Licensees and Their Consultants Develop the Engineering Studies Used to Assess Dam Performance", "paragraphs": ["As directed by FERC, licensees and their consultants develop and review, or update, various engineering studies related to dam performance to help ensure their dams meet FERC requirements and remain safe. FERC regulations and guidelines describe the types and frequency of studies and analyses required based on dams\u2019 hazard classifications. For all high hazard and some significant hazard dams, existing studies are to be reviewed by each licensee\u2019s consultants every 5 years, as part of the independent consultant inspection and accompanying potential failure mode analysis. According to FERC officials, for those significant hazard dams that do not require an independent consultant inspection and for low hazard dams, FERC\u2019s regulations and guidelines do not require any studies, but in practice FERC directs many licensees to conduct them. FERC also may request engineering studies in response to dam safety incidents at other projects, or engage a board of consultants to oversee the completion of a study. For example, as previously noted, following the Oroville Dam incident in 2017, FERC requested a special assessment of all dams with spillways similar to the failed spillway at the Oroville Dam.", "To develop these studies, all six of the consultants we interviewed stated that they follow guidelines provided by FERC and other dam safety agencies. Specifically, they stated that they use FERC\u2019s Engineering Guidelines, which provide engineering principles to guide the development and review of engineering studies. In recognition of the unique characteristics of each dam, including its construction, geography, and applicable loading conditions, the Guidelines provides consultants with flexibility to apply engineering judgment, and as a result, the approach that licensees and their consultants use and the focus of their reviews of engineering studies may vary across regions or projects. For example, one independent consultant we interviewed noted that seismicity studies are not highlighted during the independent consultant inspections for projects in the Upper Midwest in comparison to projects in other areas of the country because the region is not seismically active, but that inspections do look closely at ice loads during the winter months.", "To create these studies, we found that licensees and their consultants generally use data from other federal agencies and rely on available modeling tools developed by federal agencies and the private sector to evaluate dam performance. For example, many of the engineering studies we reviewed rely on data from the National Weather Service and the National Oceanic and Atmospheric Administration to estimate precipitation patterns and the U.S. Geological Survey to estimate seismic activity. In addition, licensees and their consultants use modeling tools and simulations, such as those developed by the Corps to estimate hydrology, to develop engineering studies.", "FERC staff noted that the engineering studies developed by licensees and their consultants generally focus on the analysis of extreme events, such as earthquakes and floods. In reference to extreme events, FERC staff said that both actual past events and likely future events are considered in determining their magnitude. FERC staff noted the probable maximum flood\u2014the flood that would be expected to result from the most extreme combination of reasonably possible meteorological and hydrological conditions\u2014as an example of a dam design criterion that is based on application of analysis of extreme events. In describing the efficacy of probable maximum flood calculations, FERC officials stated that they had not observed a flood that exceeded the probable maximum flood calculated for any dam and noted that their Engineering Guidelines provides a conservative approach to estimating the probable maximum flood and other extreme events. FERC officials stated that requiring a conservative approach to estimating extreme events helps to mitigate the substantial uncertainty associated with these events, including in consideration of emerging data estimating the effects of climate change on extreme weather events.", "Once developed, engineering studies we reviewed often remained in effect for a number of years, until FERC or the licensee and its consultant determined an update was required. For example, we found that the hydrology studies were 20 years or older for 17 of the 42 dams in our review, including for 9 of the 16 high hazard dams in our sample. FERC\u2019s Engineering Guidelines states that studies should be updated as appropriate. For example, FERC\u2019s Engineering Guidelines on hydrology studies state that previously accepted flood studies are not required to be reevaluated unless it is determined that a re-analysis is warranted. The Guidelines notes that FERC or the consultant may consider reanalyzing the study for several reasons, including if they identify (1) significant errors in the original study; (2) new data that may significantly alter previous study results; or (3) significant changes in the conditions of the drainage basin. FERC staff and consultants we interviewed stated that age alone is not a primary criterion to update or replace studies and that studies should be updated as needed depending on several factors including age, new or additional data, and professional judgment.", "Consultants we interviewed identified some limitations that can affect their ability to develop engineering studies for a dam. For example, they noted that some dams may lack original design information, used prior to construction of the dam, which includes the assumptions and calculations used to determine the type and size of dam, the amount of water storage capacity, and information on the pre-construction site geology and earthquake potential. FERC officials estimated that for a large percentage of the dams they relicense, the original information is no longer available. For example, according to the report from the independent forensic team investigating the Oroville Dam incident and as previously noted, some design drawings and construction records for the dam\u2019s spillway could not be located and some other documents that were available were not included in the most recent independent consultant inspection report submitted to FERC. To overcome the lack of original design information, FERC told us that licensees and their consultants may use teams of experts, advanced data collection techniques, and other modern methods, where feasible, to assess the dam\u2019s ability to perform given current environmental conditions. In cases where design or other engineering information is incomplete, consultants stated that they generally recommend the licensee conduct additional studies based on the risk presented by the missing information but also noted that the financial resources of a licensee may affect its willingness and ability to conduct additional studies. However, FERC officials stated that FERC staff are ultimately responsible for making decisions on whether additional engineering studies are needed to evaluate a dam\u2019s performance."], "subsections": []}, {"section_title": "FERC\u2019s Staff Reviews of Engineering Studies of Dam Performance Are Based on Its Engineering Guidance, and Professional Judgment Informs Aspects of Its Safety Oversight Approach", "paragraphs": ["FERC has established policies and procedures that use formal guidance, and permit the use of professional judgment, to evaluate and review engineering studies of dam performance submitted by licensees and their consultants. FERC officials in both the headquarters and regional offices emphasized that their role as the regulator is to review and validate engineering studies developed by the licensee and their consultants. FERC generally does not develop engineering studies as officials noted that dam safety, including the development of engineering studies, is primarily the licensee\u2019s responsibility.", "To carry out their responsibility to ensure public safety, FERC staff stated they use procedures and criteria in the FERC Engineering Guidelines to review engineering studies and apply professional judgment to leverage their specialized knowledge, skills, and abilities to support their determinations of dam safety. FERC\u2019s Engineering Guidelines provides a framework for the review of engineering studies, though the Guidelines recognizes that each dam is unique and allows for flexibility and exemptions in their use. Moreover, the Guidelines notes that analysis of data is useful when evaluating a dam\u2019s performance, but should not be used as a substitute for judgment based on experience and common sense.", "Because FERC\u2019s Engineering Guidelines allows for the application of professional judgment, the methods used to review these studies vary depending on the staff, the region, and individual dam characteristics. For example, FERC staff said that when they review consultants\u2019 assumptions, methods, calculations and conclusions, in some cases they may decide to conduct a sensitivity analysis if\u2014based on the staff\u2019s judgment\u2014they need to take additional steps to validate or confirm factors of safety for the project. FERC officials also stated that staff may conduct their own independent analyses, as appropriate, such as evaluating a major structural change to the dam or validating submitted studies. For example, as part of its 2016 review of the Union Valley Dam in California, FERC staff validated the submitted hydrology study by independently calculating key inputs, such as precipitation rates and peak floods, to evaluate the dam\u2019s performance and verify the spillway\u2019s reported capacity.", "In addition, FERC has established various controls to help ensure the quality of its review, including using a risk-based review process, assigning multiple staff to review the studies, and rotating staff responsibilities over time. We have previously found in our reporting on other regulatory agencies that practices such as rotating staff in key decision-making roles, and including at least two supervisory staff when conducting oversight reviews help reduce threats to independence and regulatory capture.", "Risk-based review process. FERC\u2019s review approach is risk-based, as the frequency of staff\u2019s review of these studies is based on the hazard classification of the dam as well as professional judgment. FERC relies on three primary engineering studies (hydrology, seismicity, and stability), and others as appropriate, which form the basis for determining if a dam is safe. In addition, FERC requires licensees to hire a FERC-approved independent consulting engineer at least every 5 years to inspect and evaluate high hazard and other applicable dams and submit a report detailing the findings as part of the independent consultant inspection process. In general, for the dams we reviewed, we found that FERC staff reviewed engineering studies for dams subject to independent consultant inspections (which are typically high or significant hazard dams) more frequently than those engineering studies associated with dams for which FERC does not require an independent consultant inspection (typically low hazard dams). For example, we found FERC staff had reviewed the most recent hydrology studies for all 22 high and significant hazard dams in our sample subject to independent consultant inspections within the last 6 years and documented their analysis. According to FERC officials, for dams not subject to an independent consultant inspection, FERC staff review engineering studies on an as needed basis, depending on whether the underlying assumptions and information from the previous studies are still relevant. For example, for the 20 dams in our study not subject to an independent consultant inspection, we found that most (15) of these studies were reviewed by FERC within the past 10 years, usually during the project\u2019s relicensing.", "Multiple levels of supervisory review. As part of FERC\u2019s quality control and internal oversight process, multiple FERC staff are to review the studies produced by the licensee and its consultant, with the number of successive reviews proportional to the complexity or importance of the study, according to FERC officials. FERC\u2019s Operating Manual establishes the general procedure for the review of engineering studies. To begin the review process, the staff assigned to a dam is to review the engineering study and prepares an internal memo on its findings; that memo is then to be reviewed for accuracy and completeness by both a regional office Branch Chief, and the Regional Engineer. If necessary, Washington, D.C., headquarters office staff are to review and approve the final memo. Upon completion of review, FERC staff are to provide a letter to the licensee indicating any particular areas where additional information is needed or where more studies are needed to evaluate the dam\u2019s performance. According to FERC officials, each level of review adds successive quality control steps performed by experienced staff. We have previously found in reporting on other regulatory agencies that additional levels of review increases transparency and accountability and diminishes the risk of regulatory capture.", "Rotation of FERC staff responsibilities. As part of an internal quality control program to help minimize the risk of missing important safety- related items, FERC officials told us they rotate staff assignments and responsibilities approximately every 3 to 4 years. According to FERC officials, this practice decreases the chance that a deficiency would be missed over time due to differences in areas of engineering expertise between or among staff. We have previously found in our reporting on other regulatory agencies that strategies such as more frequently rotating staff in key roles can help reduce the risk to supervisory independence and regulatory capture.", "Some FERC regional offices have developed practices to further enhance their review of these studies. For example, the New York Regional Office established a subject matter expert team that helps review dams with unusually complex hydrology issues. This team was created, in part, because FERC staff noted that some of the hydrology studies conducted in the 1990s and 2000s were not as thorough as they would have wanted, and warranted a re-examination. Currently, the New York Regional Office is reviewing the hydrology analysis associated with 12 dam break studies to determine if the hydrology data used in developing these studies were as rigorously developed and validated. According to the FERC staff in this office, utilizing a team of subject matter experts has reduced Regional Office review time and improved the hydrology studies\u2019 accuracy. FERC staff in the New York Regional Office also told us that they are working with other regional offices on setting up similar technical teams. For example, FERC staff in the New York Regional Office have been working with the Portland Regional Office to set up a similar team.", "FERC procedures require the use of engineering studies at key points over the dam\u2019s licensing period to inform components of its safety oversight approach, including during the potential failure mode analyses of individual dams as well as during relicensing.", "Potential failure mode analysis. The potential failure mode analysis is to occur during the recurring independent consultant inspection and is conducted by the licensee\u2019s independent consultant along with other key dam safety stakeholders. As previously explained, the analysis incorporates the engineering studies and identifies events that could cause a dam to potentially fail. During the potential failure mode analysis, FERC, the licensee, the consultant, and other key dam safety stakeholders are to refer to the engineering studies to establish environmental conditions that inform dam failure scenarios, the risks associated with these failures, and their consequences for an individual dam. Further, according to a FERC white paper on risk analysis, FERC is beginning to use information related to potential failure modes as inputs to an analysis tool that quantifies risks at each dam. With this information, FERC expects to make relative risk estimates of dams within its inventory and establish priorities for further study or remediation of risks at individual dams, according to the white paper.", "Relicensing. During relicensing, FERC staff are to review the engineering studies as well as information such as historical hydrological data and extreme weather events, which also inform their safety evaluation of the licensee\u2019s application. FERC officials also stated that as a result of their relicensing review, they might alter the articles of the new license before it is issued should their reviews indicate that environmental conditions affecting the dam\u2019s safety have changed."], "subsections": []}]}, {"section_title": "FERC Summarizes Information from Required Sources to Evaluate Dam Safety during Relicensing", "paragraphs": ["We found that FERC generally met its requirement to evaluate dam safety during the relicensing process for the 42 dams we reviewed. During the relicensing process, we found that for the dams we reviewed, FERC staff review safety information such as the past reports, inspections, and studies conducted by FERC, the licensee, and independent consultants and determine whether or not a dam owner operated and maintained its dam safely. According to FERC staff, the safety review for relicensing is generally a summary of prior safety and inspection information, rather than an analysis of new safety information, unless the licensee proposes a change to the operation or structure.", "FERC\u2019s review during relicensing for the high hazard and significant hazard dams we reviewed was generally consistent with its guidance and safety memo template, though the extent of its review of low hazard dams varied. (See fig. 3.) For example, for the 22 high and significant hazard dams we reviewed, the safety relicensing memos followed the template and nearly all included summaries of hydrology studies, stability analyses, prior FERC inspections, and applicable independent consultant reports. For the 20 low hazard dams, FERC staff noted that some requirements in the template are not applicable or have been exempted and therefore were not reviewed during relicensing. While low hazard dams were more inconsistently reviewed during relicensing, FERC staff also noted that there has been a recent emphasis to more closely review, replace, or conduct engineering studies, such as the stability study, for low hazard dams during relicensing. Moreover, FERC staff told us that the safety risks associated with these dams are minimal, as the failure of a low hazard dam, by definition, does not pose a threat to human life or economic activity.", "According to FERC staff, if a licensee proposed altering the dam or its operations in any way as part of its application for a new license, FERC staff would review the proposed change and may recommend adding articles to the new license prior to its issuance to ensure dam safety. FERC officials noted that, as part of their review, any structural or operational changes proposed by the licensee during relicensing are reviewed by FERC. These officials also noted that FERC generally recommends modifications to the licensees\u2019 proposed changes prior to their approval and inclusion in the new license. However, FERC officials noted that, in some cases, additional information is needed prior to approving the structural or operational change to ensure there are no risks posed by the changes. In those instances, FERC may recommend that articles be added to the new license, that require the licensee to conduct additional engineering studies of the issue and submit them to FERC for review and approval. For example, during the relicensing of the Otter Creek project in Vermont in 2014, the licensee proposed changes to the project\u2019s operation resulting from construction. As a result, FERC\u2019s staff recommended adding a number of articles to the license, including that the licensee conduct studies to evaluate the effect of the change on safety and to ensure safety during construction.", "During relicensing, third parties\u2014such as environmental organizations, nearby residents and communities, and other federal agencies, such as the U.S. Fish and Wildlife Service\u2014may provide input on various topics related to the project, including safety. However, FERC officials said that very few third parties file studies or comments related to dam safety during relicensing. FERC\u2019s template and guidance do not specifically require the consideration of such analyses as part of its safety review, and we did not identify any safety studies submitted by third parties for dams or reviewed by FERC in our sample. According to FERC officials, when stakeholders submit comments during relicensing, the comments tend to focus on environmental aspects of the project, such as adding passages for fish migration. Further, FERC is not required under the Federal Power Act to respond to any comments, including those related to dam safety, from third parties, according to FERC officials. However, according to FERC officials, courts have held that the Administrative Procedure Act precludes an agency from arbitrarily and capriciously ignoring issues raised in comments. Furthermore, these officials stated that if a court determines that FERC did not sufficiently address issues raised during the relicensing process, its orders are subject to being reversed and remanded by applicable United States courts of appeals. Moreover, FERC officials noted that the information needed to develop third party safety studies, such as the dam design drawings and engineering studies, are property of the licensee, rather than FERC. In addition, this information may not be readily available to third parties or the public if FERC designates it as critical energy infrastructure information, which would preclude its release to the general public.", "FERC staff we interviewed stated that there have been no instances where the Commission denied a new license to a licensee as a result of its safety review during relicensing. FERC staff stated that given the frequency of other inspections, including the FERC staff inspections, and independent consultant inspections, it is unlikely staff would find a previously unknown major safety issue during relicensing. FERC staff told us that rather than deny a license for safety deficiencies, FERC will keep a dam owner under the terms of a FERC license to better ensure the licensee remedies existing safety deficiencies. Specifically, FERC staff noted that under a license, FERC can ensure dam safety by (1) closely monitoring the deficiency\u2019s remediation progress through its inspection program, (2) adding license terms in the new license tailored to the specific safety deficiency, and (3), as necessary, pursuing compliance and enforcement actions, such as civil penalties or stop work orders, to enforce the terms and conditions of the license. For example, prior to and during the relicensing of a FERC-licensed project in Wisconsin in 2014, FERC\u2019s review identified that the spillway capacity was inadequate. While the project was relicensed in 2017 without changes to the spillway, FERC officials stated that they have been overseeing the plans and studies of the remediation of the spillway through their ongoing inspection program. However, if an imminent safety threat is identified during the relicensing review, FERC officials stated that they will order that the licensee take actions to remedy the issue immediately. Moreover, FERC officials noted that, if necessary, a license can be revoked for failure to comply with the terms of its license."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["FERC designed a multi-layered safety approach\u2014which uses inspections, studies, and other assessments of individual dams\u2014to reduce exposure to safety risks. However, as the spillway failure at the Oroville Dam project in 2017 demonstrated, it is not possible to eliminate all uncertainties and risks. As part of a continuing effort to ensure dam safety at licensed projects, FERC could complement its approach to evaluating the safety of individual dams by enhancing its capability to assess and identify the risks across its portfolio of licensed dams. Specifically, while FERC has collected and stored a substantial amount of information from its individual dam safety inspections, FERC\u2019s approach to recording this information is inconsistent due to a lack of standard language and procedures. By clarifying its approach to the recording of information collected during inspections, FERC officials could help ensure that the information recorded is comparable when shared across its regions. Moreover, the absence of standard language and procedures to consistently record inspection information impedes a broader, portfolio- wide analysis of the extent of and characteristics associated with common safety deficiencies identified during FERC inspections. While FERC has not yet conducted such an analysis, a proactive assessment of common safety inspection deficiencies across FERC\u2019s portfolio of licensed dams\u2014 similar to its identification of dam spillways with safety concerns following the Oroville Dam incident\u2014could help FERC and its licensees identify safety risks prior to a safety incident and to develop approaches to mitigate those risks."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to FERC:", "FERC should provide standard language and procedures to its staff on how to record information collected during inspections, including how and where to record information about safety deficiencies, in order to facilitate analysis of safety deficiencies across FERC\u2019s portfolio of regulated dams. (Recommendation 1)", "FERC should use information from its inspections to assess safety risks across its portfolio of regulated dams to identify and prioritize safety risks at a national level. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FERC for review and comment. In its comments on the draft report, FERC said it generally agreed with the draft report\u2019s findings and found the recommendations to be constructive. FERC said that it would direct staff to develop appropriate next steps to implement GAO\u2019s recommendations. These comments are reproduced in appendix IV. In addition, FERC provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Chairman of FERC and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-2834 or vonaha@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Summary of the Federal Energy Regulatory Commission\u2019s Actions to Help Ensure Licensee Compliance with Requirements Related to Dam Safety", "paragraphs": ["FERC seeks to ensure licensees\u2019 compliance with FERC regulations and license requirements, including remediating safety deficiencies, by using a mix of preventative strategies to help identify situations before they become problems and reactive strategies such as issuing penalties. As part of its efforts, FERC published a compliance handbook in 2015 that provides an overall guide to compliance and enforcement of a variety of license requirements, including dam safety. The handbook includes instructions for implementing FERC rules, regulations, policies, and programs designed to ensure effective compliance with license conditions, which include dam safety, to protect and enhance beneficial public uses of waterways. FERC developed a range of enforcement actions, that include holding workshops to encourage compliance and issuing guidance, that increase in severity depending on the non- compliance issue. (See fig. 4.) More broadly, FERC\u2019s guidance directs officials to determine enforcement actions and time frames for those actions on a case-by-case basis, depending on the characteristics of the specific compliance issue.", "According to FERC officials, many of these safety compliance discussions are handled informally. In addition, their compliance approach emphasizes activities that assist, rather than force, licensees to achieve compliance, according to its guidance. These activities include facilitating open lines of communication with licensees, participating in technical workshops, and publishing brochures and guidance documents, among other efforts. Also, according to these officials, FERC works with licensees to provide guidance and warnings of possible non-compliance matters, in order to avoid usage of any enforcement tools, if possible. According to FERC officials, any safety issues that endanger the public will result in immediate penalty or removal of the dam from power generation, but this action is not lightly taken. Additionally, the length of time between when a safety deficiency is identified and is resolved varies substantially depending on the specific project. As stated earlier in this report, FERC works with licensees to determine a plan and schedule for investigating safety issues and making any needed modifications. However, FERC officials stated that the majority of safety compliance issues are resolved within a month.", "However, FERC officials stated that if a licensee repeatedly does not take steps to address a compliance issue, FERC will explore enforcement actions through a formal process. According to officials, FERC\u2019s enforcement options are based on authorities provided under the Federal Power Act and such options are flexible because of the variation in hazards, consequences, and dams. According to FERC officials, to ensure compliance with safety regulations, if a settlement cannot be reached, FERC may, among other things, issue an order to show cause, issue civil penalties in the form of fines to licensees, impose stop work or cease power generation orders, revoke licenses, and seek injunctions in federal court. Nevertheless, FERC officials stated that there is no specific requirement for how quickly the compliance issues or deficiencies should be resolved and that some issues can take years to resolve. For example, in 2004, the current licensee of a hydroelectric project operating in Edenville, Michigan, acquired the project, which was found by FERC to be in a state of non-compliance at that time. FERC staff made numerous attempts to work with the licensee to resolve the compliance issues. However, they were unable to resolve these issues and as a result issued a cease generation order in 2017, followed in 2018 by a license revocation order. In practice, FERC\u2019s use of these enforcement tools to resolve safety issues has been fairly limited, particularly in comparison to other license compliance issues, according to FERC officials. Since 2013, FERC has issued one civil penalty for a safety-related hydropower violation and has issued compliance orders on eight other projects for safety-related reasons, including orders to cease generation on three projects."], "subsections": []}, {"section_title": "Appendix II: Information on Selected Models and Data Sets Used to Develop and Evaluate Dam Performance Studies", "paragraphs": ["For the 14 projects and 42 dams we reviewed, FERC licensees and their consultants used a variety of tools to develop engineering studies of dam performance (see table 3). These tools included programs and modeling tools developed by government agencies, such as the U.S. Army Corps of Engineers (the Corps), as well as commercially available modeling tools. FERC officials stated that they also used a number of the same tools used by its licensees and consultants.", "Similarly, for the 14 projects and 42 dams we reviewed, FERC licensees and their consultants used a variety of datasets to develop engineering studies of dam performance (see table 4). These datasets included data maintained and updated by various government agencies, including the United States Geological Survey and National Oceanic and Atmospheric Administration. FERC officials stated that they also used a number of the same datasets used by its licensees and consultants."], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope, and Methodology", "paragraphs": ["This report assesses: (1) how FERC collects information from its dam safety inspections and the extent to which FERC analyzes it; (2) how FERC evaluates engineering studies of dam performance to analyze safety, and (3) the extent to which FERC reviews dam safety information during relicensing and the information FERC considers. This report also includes information on FERC actions to ensure licensee compliance with license requirements related to dam safety (app. I) and selected models and data sets used to develop and evaluate engineering studies of dam performance (app. II).", "For each of the objectives, we reviewed laws, regulations, FERC guidance, templates, and other documentation pertaining to FERC\u2019s evaluation of dam safety. In addition, we reviewed an independent forensic team\u2019s assessment of the causes of the Oroville Dam incident, including the report\u2019s analysis of FERC\u2019s approach to ensuring safety at the project, to understand any limitations of FERC\u2019s approach identified by the report. We also reviewed dam safety documentation, including dam performance studies, FERC memorandums, the most recent completed inspection report, and other information, from a non-probability sample of 14 projects encompassing 42 dams relicensed from fiscal years 2014 through 2017. (See table 5.) We selected these projects and dams to include ones that were geographically dispersed, had varying potential risks associated with their potential failure, and had differences in the length of their relicensing process. We developed a data collection instrument to collect information from the dam safety documentation and analyzed data from the sample to evaluate the extent to which FERC followed its dam safety guidance across the selected projects. To develop the data collection instrument, we reviewed and incorporated FERC oversight requirements from its regulations, guidance, and templates. We conducted three pre-tests of the instrument, and revised the instrument after each pre-test. To ensure consistency and accuracy in the collection of this information, for each dam in the sample, one analyst conducted an initial review of the dam safety documentation; a second analyst reviewed the information independently; and the two analysts reconciled any differences. Following our review of the information from the dam safety documentation, we conducted semi-structured interviews with FERC engineering staff associated with each of the 14 projects and 42 dams to obtain information about FERC\u2019s inspections, review of dam performance studies, and analysis of safety during the relicensing of these projects. Our interviews with these FERC staff provided insight into FERC\u2019s dam safety oversight approach and are not generalizable to all projects. We also interviewed FERC officials responsible for dam safety about dam safety practices.", "In addition, to review how FERC collects information from its dam safety inspections and the extent to which FERC analyzes it, we also reviewed inspection data from FERC\u2019s information management systems from fiscal years 2014 through 2017. To assess the reliability of these data, we reviewed guidance and interviewed FERC officials. We determined that the data were sufficiently reliable for our purposes. We compared FERC\u2019s approach to collecting, recording and using safety information to federal internal control standards for the design of information systems and related control activities. We also reviewed our prior work on portfolio- level risk management.", "To evaluate how FERC evaluates engineering studies of dam performance to analyze dam safety, we reviewed FERC policies and guidance. We interviewed six independent consultants having experience inspecting and analyzing FERC-regulated dams to understand how engineering studies of dam performance are developed. We selected consultants who had submitted an inspection report to FERC recently (between December 2017 and February 2018) based on the geographic location of the project they reviewed and experience conducting these inspections, and the number of reports submitted to FERC over this time period. (See table 6.) Our interviews with these consultants provided insight into FERC\u2019s approach to conducting and reviewing studies and are not generalizable to all projects or consultants.", "To evaluate the extent to which FERC reviews dam safety information during relicensing and the information it considers, we reviewed templates developed by FERC to assess safety during the relicensing and analyzed the extent to which staff followed guidance in these templates for the 14 projects and 42 dams in our sample. We also interviewed stakeholders, including the National Hydropower Association and Friends of the River to obtain general perspectives on FERC\u2019s relicensing approach. Our interviews with these stakeholders provided insight into FERC\u2019s approach to relicensing, and these views are not generalizable across all stakeholders.", "To review actions to ensure licensee compliance with license requirements related to dam safety, we reviewed FERC\u2019s guidance related to compliance and enforcement and interviewed FERC officials responsible for implementation of the guidance. To review information on models and datasets used to develop and evaluate engineering studies of dam performance, we reviewed dam safety documentation associated with the projects in our sample (described previously), reviewed FERC documentation, and interviewed FERC officials.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Federal Energy Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Andrew Von Ah, (202) 512-2834 or vonaha@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mike Armes (Assistant Director); Matt Voit (Analyst-in-Charge); David Blanding; Brian Chung; Geoff Hamilton; Vondalee Hunt; Rich Johnson; Jon Melhus; Monique Nasrallah; Madhav Panwar; Malika Rice; Sandra Sokol; and Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Federal Energy Regulatory Commission oversees over 2,500 dams used for hydropower. The near failure of a FERC-licensed dam in California in 2017 highlights the safety risks of dams. What does FERC do to ensure safety?", "FERC engineers inspect dams and review engineering studies as key safety steps. This helps FERC understand the risks at individual dams. However, a lack of standard language and procedures for recording inspection results limits FERC's ability to identify comparable safety risks at other dams.", "We recommended that FERC develop standard language and procedures for inspection information and assess safety risks portfolio-wide."]} {"id": "GAO-18-457", "url": "https://www.gao.gov/products/GAO-18-457", "title": "Conflict Minerals: Company Reports on Mineral Sources in 2017 Are Similar to Prior Years and New Data on Sexual Violence Are Available", "published_date": "2018-06-28T00:00:00", "released_date": "2018-06-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Over the past decade, the United States and the international community have sought to improve security in the DRC. In the eastern DRC, armed groups have committed severe human rights abuses, including sexual violence, and reportedly profit from the exploitation of \u201cconflict minerals\u201d\u2014 in particular, tin, tungsten, tantalum, and gold, according to the United Nations. Congress included a provision in the 2010 Dodd-Frank Wall Street Reform and Consumer Protection Act that, among other things, required the SEC to promulgate regulations regarding the use of conflict minerals from the DRC and adjoining countries. The SEC adopted these regulations in 2012. The act also included a provision for GAO to annually assess the SEC regulations' effectiveness in promoting peace and security and report on the rate of sexual violence in the DRC and adjoining countries.", "In this report, GAO provides information about (1) companies' conflict minerals disclosures filed with the SEC in 2017 compared with disclosures filed in the prior 2 years and (2) the rate of sexual violence in the eastern DRC and adjoining countries published in 2017 and early 2018. GAO analyzed a generalizable random sample of SEC filings and interviewed relevant officials. GAO reviewed U.S., United Nations, and international organizations' reports; interviewed DRC officials, and other stakeholders; and conducted fieldwork in New York at the United Nations headquarters.", "GAO is not making any recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's review of companies' conflict minerals disclosures filed with the U.S. Securities and Exchange Commission (SEC) in 2017 found that, in general, they were similar to disclosures filed in the prior 2 years. In 2017, 1,165 companies filed conflict minerals disclosures\u2014about the same as in 2016 and 2015. Percentages of companies reporting country-of-origin inquiries in 2017 were also similar to the percentages from those 2 prior years. As a result of the inquiries they conducted, an estimated 53 percent of companies reported in 2017 whether the conflict minerals in their products came from the Democratic Republic of the Congo (DRC) and adjoining countries\u2014similar to the estimated 49 percent in 2016 and 2015 but significantly higher than the estimate of 30 percent in 2014 (see figure). In their 2017 disclosure reports, many companies described actions they took to improve data collection processes, and most companies indicated some challenges in determining the country of origin.", "Similar to the prior 2 years, almost all companies required to conduct due diligence, as a result of their country-of-origin inquiries, reported doing so. After conducting due diligence to determine the source and chain of custody of any conflict minerals used, an estimated 37 percent of these companies reported in 2017 that they were able to determine that their conflict minerals came from covered countries or from scrap or recycled sources, compared with 39 and 23 percent in 2016 and 2015, respectively. Four companies in GAO's sample declared their products \u201cDRC conflict-free,\u201d and of those, three included the required Independent Private Sector Audit report (IPSA), and one did not. In 2017, 16 companies filed an IPSA; 19 did so in 2016.", "GAO found information on the rate of sexual violence in the 2017 Uganda and Burundi Demographic and Health Surveys. For Uganda, 22 percent of women and 9 percent of men reported they had experienced sexual violence at least once in their lifetime. For Burundi, 23 percent of women and 6 percent of men reported they had experienced sexual violence at least once in their lifetime. The most recent information on the rate of sexual violence for eastern DRC and Rwanda is from 2016 and is discussed in our previous GAO reports."]}], "report": [{"section_title": "Letter", "paragraphs": ["The exploitation of the mining and trade of \u201cconflict minerals\u201d\u2014in particular, tin, tungsten, tantalum, and gold from the eastern region of the Democratic Republic of the Congo (DRC)\u2014has contributed to the displacement of people and severe human rights abuses. The 2010 Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd- Frank Act) addresses, among other things, trade in conflict minerals. Section 1502 of the act required several U.S. agencies, including the U.S. Securities and Exchange Commission (SEC), to take certain actions to implement the act\u2019s conflict minerals provisions. The act required the SEC to promulgate disclosure and reporting regulations regarding the use of conflict minerals from the DRC and adjoining countries (in this report also collectively referred to as \u201ccovered countries\u201d) by April 2011. The SEC adopted a conflict minerals disclosure rule (hereafter, SEC disclosure rule) in August 2012 and published it in the Federal Register in September 2012.", "The SEC disclosure rule requires companies to file a specialized disclosure report known as the Form SD if they manufacture, or contract to have manufactured, products that contain conflict minerals necessary to the functionality or the production of those products and, as applicable, to file a conflict minerals report. The Form SD provides general instructions to companies for filing the conflict minerals disclosure and specifies the information that each Form SD and conflict minerals report must include. In addition, the Dodd-Frank Act included a provision for GAO to report, beginning in 2012 and annually thereafter, on the effectiveness of the SEC disclosure rule in promoting peace and security in the DRC and adjoining countries and to report annually, beginning in 2011, on the rate of sexual violence in war-torn areas of the DRC and adjoining countries, among other things.", "In this report, we (1) examine conflict minerals disclosures filed with the SEC in 2017 compared with such disclosures filed in each of the prior 2 years and (2) provide information on the rate of sexual violence in the eastern DRC and adjoining countries published in 2017 and early 2018.", "To examine disclosures that companies filed with the SEC in 2017 in response to the SEC disclosure rule, we downloaded disclosure reports (Form SDs) and conflict minerals reports from the SEC\u2019s publicly available Electronic Data Gathering, Analysis, and Retrieval (EDGAR) database. We randomly sampled 100 Form SDs from a population of 1,165 to create estimates generalizable to the population of all companies that filed in response to the SEC disclosure rule. All estimates based on our sample have a margin of error of plus or minus 10 percentage points at the 95-percent confidence level, unless otherwise noted. We determined that the EDGAR database was sufficiently reliable for identifying the universe of Form SD filings. As described in that report, to review the completeness and accuracy of the EDGAR database, we reviewed relevant documentation, interviewed knowledgeable SEC and GAO officials, and reviewed prior GAO reports on internal controls related to the SEC\u2019s financial systems. We reviewed the Dodd-Frank Act and the requirements of the SEC disclosure rule to develop a questionnaire that guided our data collection and analysis of the Form SD filings. We also interviewed company representatives attending an industry conference in Santa Clara, California, to obtain additional perspectives on meeting disclosure requirements. In addition, we met with representatives of a range of stakeholders, including nongovernmental organizations, service providers, international organizations, and the private sector, in Washington, D.C., and Santa Clara, California. To identify information published since our last report about sexual violence in the eastern DRC and adjoining countries, we conducted Internet literature searches to identify academic articles published in 2017 and early 2018, and we interviewed and obtained key documents from researchers and representatives of U.S. agencies and several United Nations agencies.", "We conducted this performance audit from September 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of Conflict in the DRC and the Region", "paragraphs": ["The DRC is a vast, mineral-rich nation with an estimated population of about 83 million people and an area that is roughly one-quarter the size of the United States, according to the United Nations. Figure 1 shows the DRC\u2019s provinces and adjoining countries.", "Since gaining its independence from Belgium in 1960, the DRC has undergone political upheaval and armed conflict. From 1998 to 2003, the DRC and eight other African countries were involved in what has become known as \u201cAfrica\u2019s World War,\u201d which resulted in a death toll of an estimated 5 million people in the DRC, according to the U.S. Department of State (State). The eastern DRC has continued to be plagued by violence, often perpetrated against civilians by illegal armed groups and some members of the Congolese national military. Notably, in 2012, an illegal armed group occupied the city of Goma and other cities in the eastern DRC and clashed with the Congolese national army. During this time, the United Nations reported numerous cases of sexual violence against civilians, including women and children, which were perpetrated by armed groups and some members of the Congolese national military. In 2017, the United Nations reported that serious violations of human rights remain widespread in the DRC, including continued acts of sexual violence by government security forces as well as nonstate armed groups."], "subsections": []}, {"section_title": "Uses of Conflict Minerals", "paragraphs": ["Various industries, particularly manufacturing industries, use the four conflict minerals specifically named in the Dodd-Frank Act\u2014tin, tungsten, tantalum, and gold\u2014in a wide variety of products. For example, tin is used to solder metal pieces and is also found in food packaging, steel coatings on automobile parts, and some plastics. Tungsten is used in automobile manufacturing, drill bits and cutting tools, and other industrial manufacturing tools and is the primary component of filaments in incandescent light bulbs. Most tantalum is used to manufacture capacitors that enable energy storage in electronic products such as cell phones and computers or to produce alloy additives used in turbines in jet engines. Gold is held as bullion by central bank reserves and used in making jewelry and also in the electronics industry, for example, to manufacture cell phones and laptops."], "subsections": []}, {"section_title": "SEC Conflict Minerals Disclosure Rule", "paragraphs": ["In August 2012, SEC adopted its conflict minerals disclosure rule in response to Section 1502(b) of the Dodd-Frank Act. The act required that SEC promulgate disclosure and reporting regulations regarding the use of conflict minerals originating from the DRC and covered countries. In the summary section of the adopting release for the rule, SEC noted that to accomplish the goal of helping to end the human rights abuses in the DRC caused by the conflict, Congress chose to use the Dodd-Frank Act\u2019s disclosure requirements to bring greater public awareness of the sources of companies\u2019 conflict minerals and to promote the exercise of due diligence on conflict mineral supply chains.", "The SEC disclosure rule addresses the four conflict minerals named in the Dodd-Frank Act from the DRC and covered countries. The rule outlines a process for companies to follow, as applicable, to comply with the rule (see app. II). The process broadly requires a company to 1. determine whether it manufactures, or contracts to be manufactured, products with \u201cnecessary\u201d conflict minerals; 2. conduct a reasonable country-of-origin inquiry (RCOI) concerning the origin of those conflict minerals; and 3. exercise due diligence, if appropriate, to determine the source and chain of custody of those conflict minerals, adhering to a nationally or internationally recognized due diligence framework, if such a framework is available for these necessary conflict minerals.", "If companies choose to disclose that their products are \u201cDRC conflict free,\u201d the SEC disclosure rule requires companies to obtain an independent private-sector audit (IPSA)."], "subsections": []}]}, {"section_title": "Conflict Minerals Disclosures Filed in 2017 Were Similar to Those Filed in Prior Years, and SEC Updated Guidance on Enforcement of Due Diligence Requirements", "paragraphs": ["Our review of companies\u2019 conflict minerals disclosures filed with the SEC in 2017 found that, in general, they were similar to disclosures filed in the prior 2 years. In 2017, a similar number of companies filed conflict minerals disclosures as in 2015 and 2016. Based on our review of a generalizable sample, we found that almost all companies that filed conflict minerals disclosures in 2017 reported performing inquiries about their conflict minerals\u2019 country of origin, similar to the results we previously reported for 2016 and 2015. In their 2017 disclosure reports, many companies described actions they took to improve data collection processes, and most companies indicated challenges in determining the country of origin. Our review of company filings found that almost all companies required to conduct due diligence, as a result of their country- of-origin inquires, reported performing it. SEC issued revised guidance in April 2017, indicating that the SEC\u2019s Division of Corporation Finance would not recommend enforcement action if companies did not report on specified due diligence disclosure requirements."], "subsections": [{"section_title": "About as Many Companies Filed Conflict Minerals Disclosures in 2017 as in Each of the Prior 2 Years", "paragraphs": ["In 2017, 1,165 companies filed conflict minerals disclosures\u2014almost as many companies as filed in 2016 and 2015 (1,230 and 1,281 respectively). Our analysis of a generalizable sample of filings found that an estimated 90 percent of the companies that filed in 2017 were domestic and an estimated 10 percent were foreign companies, similar to the domestic-to-foreign ratio we found in 2016 and 2015. While not all companies reported the minerals used, of those that disclosed this information, an estimated 69 percent reported using tin, 54 percent reported using tantalum, 59 percent reported using tungsten, and 63 percent reported using gold, figures that are similar to the percentages reported in 2016."], "subsections": []}, {"section_title": "Percentages of Companies Reporting Minerals\u2019 Country-of-Origin in 2017 Were Similar to Prior 2 Years", "paragraphs": ["Our analysis of a generalizable sample of 2017 filings found that, as in 2016 and 2015, almost all companies that filed conflict minerals disclosures indicated that they performed country-of-origin inquiries. Specifically, an estimated 100 percent of the companies reported that they performed such an inquiry, similar to the percentages that we estimated reported doing so in 2016 and 2015. As a result of the inquiries they conducted, an estimated 53 percent of companies reported in 2017 whether the conflict minerals in their products came from covered countries\u2014similar to the estimate of 49 percent in 2016 and in 2015 but significantly higher than the estimate of 30 percent in 2014 (see fig. 2)."], "subsections": []}, {"section_title": "Some Companies Reported Improvements in Supply Chain Data Collection Efforts, but Challenges Remain", "paragraphs": ["In the filings we reviewed, many companies indicated they had taken actions to improve their data collection processes, such as gathering missing information about their supply chains and working with suppliers to encourage conflict-free sourcing. In interviews, representatives of selected companies that filed conflict minerals disclosures in 2017 and other industry participants noted that (1) awareness among suppliers about the use of conflict minerals had continued to increase and (2) the process for collecting data on supply chains had become more routine and standardized. However, as in prior years, our review of filings found that most companies reported challenges in determining the country of origin of conflict minerals, in part due to lack of access to suppliers and complex supply chains involving many suppliers and processing facilities."], "subsections": []}, {"section_title": "Almost All Companies Required to Conduct Due Diligence Reported Performing It", "paragraphs": ["Our review of company filings found that almost all companies that were required, as a result of their country-of-origin inquires, to conduct due diligence on the source and chain of custody of the conflict minerals in their products reported doing so. In 2017, an estimated 96 percent reported conducting due diligence, compared with 96 and 97 percent in 2016 and 2015 respectively. An estimated 87 percent of companies in 2017 reported using a due diligence framework prescribed by the Organization for Economic Co-operation and Development (OECD) guidance for conducting due diligence on the source and chain of custody of the conflict minerals in their products. That result is comparable to an estimated 92 percent that we reported in 2016 and an estimated 95 percent that we reported in 2015. The remaining 13 percent of the companies that reported conducting due diligence in 2017 did not specify a framework for their due diligence activities.", "After conducting due diligence, an estimated 37 percent of the companies reported in 2017 that they were able to determine that their conflict minerals came from covered countries or from scrap or recycled sources, compared with an estimated 39 and 23 percent in 2016 and 2015, respectively. An estimated 47 percent of the companies in 2017 reported that they could not definitively confirm the source of the conflict minerals in their products, compared with an estimated 55 and 67 percent in 2016 and 2015, respectively. However, as in previous years, almost all of the companies that reported conducting due diligence in 2017 reported that they could not determine whether the conflict minerals financed or benefited armed groups. Four companies in our sample reported determining that the minerals in their products did not finance or benefit armed groups in covered countries, and declared some products \u201cDRC- conflict free.\u201d Three of these companies included the required independent private-sector audit (IPSA) report, and one company did not include an IPSA report. Overall, a total of 16 companies filed an IPSA report in 2017, compared with 19 in 2016."], "subsections": []}, {"section_title": "SEC\u2019s Division of Corporation Finance Issued Updated Guidance Indicating It Would Not Recommend Enforcement Action on Due Diligence Disclosure Requirements", "paragraphs": ["In April 2017, the SEC\u2019s Division of Corporation Finance issued revised guidance indicating that it would not recommend enforcement action to the Commission if companies did not report on specified due diligence disclosure requirements. The SEC disclosure rule requires companies, if applicable, to report on their due diligence in a conflict minerals report (see app. II for additional detail on the disclosure requirements). SEC\u2019s Division of Corporation Finance staff told us that they received inquiries from a small number of companies about the filing process for 2017. In response to these inquiries, these staff noted that they advised companies that the companies had the flexibility to determine whether or not to report on their due diligence and to report their country-of-origin inquiry findings in either the Form SD or in a conflict minerals report. However, the Division of Corporation Finance staff also told us that, regardless of the division\u2019s revised guidance, the SEC could still initiate enforcement action if companies do not report on their due diligence, as required by the SEC disclosure rule. In our sample, three companies cited the updated guidance and other statements issued by the SEC in their filings as a rationale for not reporting on due diligence activities. In interviews, representatives of some companies and other industry participants told us that even though the revised guidance and other statements made by the SEC raised some uncertainty about the filing process, generally, companies plan to continue to report similar conflict minerals disclosure information."], "subsections": []}]}, {"section_title": "New Survey Data Are Available on the Rate of Sexual Violence in Burundi and Uganda", "paragraphs": ["We identified two new population-based surveys since our last report related to sexual violence in Burundi and Uganda published in 2018; the most recent information for eastern DRC and Rwanda is from 2016. We also identified some new case-file data on sexual violence in the DRC; however, as we reported previously, case-file data on sexual violence are not suitable for estimating an overall rate of sexual violence."], "subsections": [{"section_title": "Results of Two New Demographic and Health Surveys Conducted in Uganda and Burundi Were Published in 2018", "paragraphs": ["We identified two new population-based surveys related to sexual violence that were conducted in Uganda and Burundi in 2016 and 2017, respectively, and whose results were published in 2018. The Uganda Demographic and Health Survey was conducted from June to December 2016 by the Uganda Bureau of Statistics with technical assistance from ICF International. The survey estimated that 12.7 percent of women nationwide, ages 15-49, reported they had experienced sexual violence in the 12-month period preceding the survey, while 21.9 percent reported they had experienced sexual violence at some point in their lifetime. In addition, 4 percent of men nationwide, ages 15-49, reported they had experienced sexual violence in the 12-month period preceding the survey, while 8.3 percent reported they had experienced sexual violence at some point in their lifetime.", "The Burundi Demographic and Health Survey was conducted from October of 2016 to March of 2017 by the Burundi Institute of Statistics and Economic Studies with technical assistance from ICF International. The survey estimated that 12.7 percent of women nationwide, ages 15- 49, reported they had experienced sexual violence in the 12-month period preceding the survey, while 23.1 percent reported they had experienced sexual violence at some point in their lifetime. In addition, 1.9 percent of men nationwide, ages 15-49, reported they had experienced sexual violence in the 12-month period preceding the survey, while 6.1 percent reported they had experienced sexual violence at some point in their lifetime. The most recent information on the rate of sexual violence for eastern DRC and Rwanda is from 2016 and is discussed in our previous reports.", "Figure 3 shows the publication dates for the population-based surveys with data on rates of sexual violence in the eastern DRC, Rwanda, Uganda, and Burundi that have been published since 2007."], "subsections": []}, {"section_title": "Some Additional Case-File Information about Sexual Violence Has Become Available", "paragraphs": ["State and United Nations entities have provided additional case-file information about instances of sexual violence in the DRC and adjoining countries. State\u2019s annual country reports on human rights practices provided the following case-file data pertaining to sexual violence in the DRC and Burundi:", "DRC. In 2017, the UN documented 267 adult victims and 171 child victims, including two boys, of sexual violence in conflict. This violence was perpetrated by illegal armed groups as well as state security forces and civilians and was concentrated in North Kivu Province and in the Kasai region, according to State.", "Burundi. One government organization\u2014Humara Center\u2014 responsible for investigating cases of sexual violence and rape received 197 cases of sexual and gender-based violence through early December 2017, according to State. Observers stated many women were reluctant to report rape, in part due to fear of reprisal, according to State.", "In addition, UN entities reported the following case-file data about sexual violence in the DRC:", "DRC. In 2017, the United Nations Organization Stabilization Mission in the DRC verified 195 cases of conflict-related sexual violence, with illegal armed groups responsible for 80 percent of the cases and DRC security forces responsible for the remaining 20 percent. United Nations officials we interviewed raised concerns about a resurgence of sexual violence in certain regions in the DRC due to a variety of factors, including political instability arising from the government\u2019s postponement of the presidential election originally scheduled to take place in November 2016."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the SEC, State, and the U.S. Agency for International Development for comment. SEC provided technical comments, which we incorporated as appropriate. State and USAID did not provide comments.", "We are sending copies of this report to appropriate congressional committees and to the Chairman of the Securities and Exchange Commission, the Secretary of State, and the Administrator of the U.S. Agency for International Development. The report is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we provide information about (1) companies\u2019 disclosures filed with the U.S. Securities and Exchange Commission (SEC) in 2017 compared with disclosures filed in the prior 2 years and (2) the rate of sexual violence in the eastern Democratic Republic of the Congo and neighboring countries published in 2017 and early 2018.", "To examine the fourth annual company disclosures filed with the SEC in 2017 in response to the SEC disclosure rule, we downloaded the specialized disclosure reports (Form SD) and conflict minerals reports (CMR) from SEC\u2019s publically available Electronic Data Gathering, Analysis, and Retrieval (EDGAR) database in September 2017. We downloaded 1,165 filings identified as Form SDs and the CMRs included in EDGAR. To review the completeness and accuracy of the EDGAR database, we reviewed relevant documentation, interviewed knowledgeable SEC officials, and reviewed prior GAO reports on internal controls related to SEC\u2019s financial systems. We determined that the EDGAR database was sufficiently reliable for identifying the universe of SD filings.", "We reviewed the conflict minerals section of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) and the requirements of the SEC disclosure rule to develop a data collection instrument (DCI) that guided our analysis of Form SDs and CMRs that contain the information disclosed by the filing companies. Our DCI was not a compliance review of the Form SDs and CMRs. The questions were written in both yes-no and multiple-choice formats. An analyst reviewed the Form SDs and CMRs and recorded responses to the DCI for all of the companies in the sample. A second analyst also reviewed the Form SDs and CMRs and verified the responses recorded by the first analyst. Analysts met to discuss and resolve any discrepancies.", "We randomly sampled 100 Form SDs from a population of 1,165 to create estimates generalizable to the population of all companies that filed. All estimates based on our sample have a margin of error of plus or minus 10 percentage points or less at the 95-percent confidence level. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95-percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. We also attended an industry conference on conflict minerals and spoke with company representatives to provide additional perspective.", "To address our second objective, we identified and assessed any information on sexual violence in the eastern DRC and the three adjoining countries\u2014Rwanda, Uganda, and Burundi\u2014that had been published or otherwise had become available in 2017 and early 2018. We discussed the collection of sexual violence\u2013related data in the DRC and adjoining countries, including population-based survey data and case-file data, during interviews with U.S. Department of State and U.S. Agency for International Development officials and with representatives of nongovernmental organizations and researchers whom we interviewed for our prior review of sexual violence rates in the eastern DRC and adjoining countries. We also interviewed officials from the United Nations Population Fund and the United Nations Special Representative of the Secretary-General in New York on Sexual Violence in Conflict. In addition, we conducted Internet searches to identify new academic articles containing any additional information on sexual violence published in 2017 and early 2018.", "We conducted this performance audit from September 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: U.S. Securities and Exchange Commission (SEC) Summary of the Conflict Minerals Disclosure Rule", "paragraphs": ["The U.S. Securities and Exchange Commission (SEC) conflict minerals disclosure rule requires certain companies to file a specialized disclosure report, known as the Form SD, if the company manufactures, or contracts to have manufactured, a product or products containing conflict minerals that are necessary to the functionality or the production of those products. The rule also requires each company, as applicable, to provide a description of the measures the company took to exercise due diligence in determining the source and chain of custody of the conflict minerals, the facilities used to process them, their country of origin, and the efforts made to determine the mine or location of origin with the greatest possible specificity. Form SD provides general instructions for filing conflict minerals disclosures and specifies the information that companies must provide. Companies were required to file under the rule for the first time by June 2, 2014, and annually thereafter on May 31. Figure 4 shows the SEC\u2019s flowchart summarizing the conflict minerals disclosure rule."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Godwin Agbara (Assistant Director), Farahnaaz Khakoo-Mausel (Analyst-in-Charge), Diana Blumenfeld, Andrew Kurtzman, Justin Fisher, Grace Lui, David Dayton, Christopher Keblitis, and Michael McAtee made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Conflict Minerals: Information on Artisanal Mined Gold and Efforts to Encourage Responsible Sourcing in the Democratic Republic of the Congo. GAO-17-733. Washington, D.C.: August 23, 2017.", "SEC Conflict Minerals Rule: 2017 Review of Company Disclosures in Response to the U.S. Securities and Exchange Commission Rule. GAO-17-517R. Washington, D.C.: April 26, 2017.", "Conflict Minerals: Insights from Company Disclosures and Agency Actions. GAO-17-544T. Washington, D.C.: April 5, 2017.", "SEC Conflict Minerals Rule: Companies Face Continuing Challenges in Determining Whether Their Conflict Minerals Benefit Armed Groups. GAO-16-805. Washington, D.C.: August 25, 2016.", "SEC Conflict Minerals Rule: Insights from Companies\u2019 Initial Disclosures and State and USAID Actions in the Democratic Republic of the Congo Region. GAO-16-200T. Washington, D.C.: November 17, 2015.", "SEC Conflict Minerals Rule: Initial Disclosures Indicate Most Companies Were Unable to Determine the Source of Their Conflict Minerals. GAO-15-561. Washington, D.C.: August 18, 2015.", "Conflict Minerals: Stakeholder Options for Responsible Sourcing Are Expanding, but More Information on Smelters Is Needed. GAO-14-575. Washington, D.C.: June 26, 2014.", "SEC Conflict Minerals Rule: Information on Responsible Sourcing and Companies Affected. GAO-13-689. Washington D.C.: July 18, 2013.", "Conflict Minerals Disclosure Rule: SEC\u2019s Actions and Stakeholder- Developed Initiatives. GAO-12-763. Washington, D.C.: July 16, 2012.", "The Democratic Republic of Congo: Information on the Rate of Sexual Violence in War-Torn Eastern DRC and Adjoining Countries. GAO-11-702. Washington, D.C.: July 13, 2011.", "The Democratic Republic of the Congo: U.S. Agencies Should Take Further Actions to Contribute to the Effective Regulation and Control of the Minerals Trade in Eastern Democratic Republic of the Congo. GAO-10-1030. Washington, D.C.: September 30, 2010."], "subsections": []}], "fastfact": ["Armed groups in the Democratic Republic of the Congo have committed severe human rights abuses, including sexual violence, and reportedly profit from mining and trade in tungsten, gold and other \"conflict minerals\" found in the region.", "In 2012, the Securities and Exchange Commission began requiring companies whose products may contain these minerals (from the DRC and neighboring countries) to report on their sources.", "We found in 2017 that nearly all the companies required to report this information did so and that most reported difficulty determining the country of origin. We also identified 2 new surveys on sexual violence in the area."]} {"id": "GAO-18-147", "url": "https://www.gao.gov/products/GAO-18-147", "title": "Bureau of Prisons: Better Planning and Evaluation Could Help Ensure Effective Use of Retention Incentives", "published_date": "2017-12-07T00:00:00", "released_date": "2018-01-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["BOP is the largest employer within DOJ and is responsible for the care and custody of an inmate population of about 186,000. BOP has faced challenges retaining staff at correctional facilities, although it has used retention incentives, along with other human capital flexibilities. GAO was asked to review BOP's use of retention incentives.", "This report addresses: (1) how BOP used its authority to pay retention incentives; (2) internal controls BOP has in place for the use of retention incentives; and (3) the extent to which BOP plans for and evaluates the use of retention incentives. GAO obtained employee-level retention incentive expenditure data from DOJ's Justice Management Division for fiscal years 2012 through 2016. GAO also reviewed agency documentation, such as policy statements and 40 randomly selected retention incentive application packet case files from fiscal years 2014 through 2016. GAO also interviewed officials from BOP's Central Office and four correctional facilities that use retention incentives, selected to reflect variation in the number and types of employees receiving retention incentives, BOP regions, and BOP institution security levels."]}, {"section_title": "What GAO Found", "paragraphs": ["From fiscal years 2012 to 2016, the Department of Justice's (DOJ) Federal Bureau of Prisons' (BOP) total retention incentive expenditures generally increased from $10.7 to $14.0 million and the number of employees receiving retention incentives increased from 2,024 to 2,460. During those five years, BOP spent more than 97 percent of its total retention incentive expenditures on employees at four BOP institutions in California and for medical professionals nationwide. Further, total retention incentive expenditures for medical professionals increased by an average of 21 percent per year (see figure). According to BOP officials, BOP uses retention incentives, for example, to supplement BOP's medical professionals' salaries which are generally lower than private sector salaries.", "BOP has a variety of internal controls in place throughout the retention incentive process that help ensure retention incentive applications and approvals meet requirements. For example, each application goes through multiple levels of review to verify its accuracy and completeness.", "BOP takes steps to determine workforce needs and how to fill those needs, but has not strategically planned for and evaluated its use of retention incentives. According to BOP, planning for human capital needs is conducted at institutions during quarterly meetings, but discussions about these incentives respond to short-term staffing situations rather than proactively addressing future staffing needs. Including human capital goals and strategies in BOP's human capital plan would create a roadmap so the agency could move from being reactive to its current workforce needs to being strategic in trying to achieve its long-term workforce goals. Additionally BOP has not evaluated the effectiveness of its use of retention incentives in retaining staff. As a result, BOP does not know whether retention incentives have contributed to employees' retention in relation to other incentives used by BOP. Consistent with key principles for strategic human capital planning, planning for and evaluating the use of retention incentives could help BOP better determine if these incentives are an efficient and effective means by which to retain staff."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that BOP (1) include human capital goals and how retention incentives will be used to achieve these goals in its human capital plan; and (2) evaluate the use of retention incentives. BOP concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Federal Bureau of Prisons (BOP) is the largest employer within the Department of Justice (DOJ). Its staff are responsible for managing the care and custody of an inmate population of about 186,000, but BOP has faced challenges retaining staff at some of its correctional facilities. With a fiscal year 2017 budget of more than $7 billion\u2014a quarter of DOJ\u2019s budget\u2014and about 40,000 employees, BOP uses retention incentives, along with other human capital flexibilities, to help retain its staff.", "Over the last decade, we, along with the Office of Personnel Management (OPM), DOJ, and DOJ\u2019s Office of the Inspector General (OIG), have reported on the challenges BOP encounters when trying to retain or hire staff critical to the care of prisoners, such as medical professionals. These reviews showed, in part, that BOP faced challenges in retaining employees at federal institutions primarily because the private sector offered higher pay and more desirable work conditions, which was especially attractive to BOP personnel who were assigned to remote locations. These reviews found that, as a result of these challenges, BOP had agency-wide staffing shortages, including mission-critical skills gaps that could have a significant impact on BOP\u2019s mission. For example, as of June 2017, only 82 percent of BOP\u2019s authorized medical positions were filled.", "According to BOP officials and OPM, BOP uses retention incentives to better attract, hire, and retain top talent to work at remote locations and in undesirable working conditions and to help address staffing challenges at some institutions. You asked us to review BOP\u2019s use of retention incentives. For this report, we provide information regarding (1) how BOP has used its authority to pay retention incentives; (2) what internal controls BOP has in place for the use of retention incentives; and (3) the extent to which BOP plans for and evaluates the use of retention incentives.", "To determine how BOP used its authority to pay retention incentives, we obtained employee-level retention incentive expenditure data from DOJ\u2019s Justice Management Division (JMD) for fiscal years 2012 through 2016. We analyzed data from this period in order to capture the most recent trends in BOP\u2019s retention incentive expenditures and report on the most current data available. We aggregated and analyzed the employee-level data by institution, occupation, and employee grade level. We reviewed BOP, DOJ, and OPM manuals to identify the system codes used to track retention incentives expenditures related to specific institutions and BOP regions and to identify the names for each occupational series code in the datasets. We also obtained aggregated retention incentive expenditure data from U.S. Department of Health and Human Services\u2019 (HHS) Public Health Service (PHS) on the total amount of funds BOP reimbursed PHS. These funds were used to reimburse for retention incentives awarded to PHS staff who were assigned to BOP for fiscal years 2012 through 2016. Additionally, we interviewed BOP Human Resource Management headquarters officials to obtain information on the primary purposes for BOP\u2019s use of retention incentives and their views on identified retention incentive expenditures trends. We also interviewed PHS officials to better understand how BOP and PHS manage costs, including retention incentive expenditures, for PHS staff assigned to BOP. To assess the reliability of both BOP employee-level data and PHS aggregated data, we examined the data and related controls, and we interviewed relevant BOP and PHS officials. We determined these data are sufficiently reliable for the purposes of this report.", "To describe the internal controls that BOP has in place related to retention incentives, we reviewed documentation regarding BOP requirements and guidance for the use of retention incentives. We also interviewed officials from BOP\u2019s Central Office who are responsible for the administration, management, and oversight of BOP\u2019s human capital management systems, including retention incentives. Additionally, we interviewed the warden and human capital officers at 4 of the 122 BOP institutions to obtain illustrative examples regarding the internal controls in place at these institutions for ensuring the proper disbursement of retention incentives. Specifically, we interviewed BOP officials at Federal Correctional Complex Pollock in Pollock, LA; Federal Correctional Complex Butner in Butner, NC; United States Penitentiary Atwater in Atwater, CA and Federal Correctional Institution Phoenix, in Phoenix, AZ. These institutions were selected to ensure variation in the number and types of employees receiving retention incentives, BOP region, and security-level. Although the information we obtained from the interviews with officials at these four institutions cannot be generalized to other BOP institutions, these interviews provided important insights and perspectives about the use of retention incentives at BOP institutions. We also reviewed a non-generalizable random sample of 40 retention incentive application packet case files for fiscal years 2014 through 2016 to provide examples of the internal control activities that BOP institutions have in place to monitor the application, approval, and funds disbursement processes of BOP\u2019s retention incentive program.", "To determine the extent to which BOP plans for and evaluates the use of retention incentives, we interviewed BOP officials regarding their experiences with retention incentives, how they use retention incentives to strategically manage their workforce needs, how the agency evaluates the effectiveness of retention incentives, and how retention incentives contribute to BOP\u2019s broader human capital goals. We then compared BOP efforts to our prior work on strategic human capital planning, specifically in terms of planning for and evaluating the use of human capital flexibilities. Additionally, we interviewed the warden and human capital officers at the four BOP institutions mentioned above to obtain illustrative examples of how workforce planning occurs at these institutions. We also reviewed the DOJ OIG\u2019s relevant work and our prior reports to better understand the challenges that BOP faces in retaining medical professionals and other staff.", "We conducted this performance audit from August 2016 through December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "BOP\u2019s Organization and Workforce", "paragraphs": ["Justice Management Division (JMD) JMD provides the Federal Bureau of Prisons senior management with guidance as it relates to Department of Justice (DOJ) policy for all matters pertaining to organization, management, and administration, including the use of human capital flexibilities such as retention incentives.", "BOP is responsible for incarcerating all federal offenders sentenced to prison. To carry out its mission, BOP, under the oversight of DOJ\u2019s JMD, manages the human resource operations of its institutions, including the use of retention incentives. BOP administers, monitors, and oversees retention incentives through its Central Office, regional offices, and institutions.", "Central Office. The Central Office serves as BOP\u2019s headquarters and provides oversight of BOP operations and program areas. Within the Central Office is BOP\u2019s Human Resource Management Division (HRMD) which is responsible for developing, implementing and administering human resource policies and programs, including the use of retention incentives that meet OPM and DOJ requirements. In addition, the Central Office\u2019s Program Review Division (PRD) is responsible for assessing BOP programs, including human resources, to ensure that they are managed and operated effectively.", "Regional offices. BOP has six regional offices that cover the Mid- Atlantic, North Central, Northeast, South Central, Southeast, and Western regions of the United States. These offices, each led by a regional director, oversee the operations of the 122 federal institutions within their respective geographic regions of the country. According to BOP officials, regional office staff also provide local level oversight of institutions\u2019 human capital programs, such as retention incentives, among other things.", "Institutions. BOP institutions are managed by a warden and other officials, including an executive assistant and associate warden who generally provide overall direction and, in part, administer the institution\u2019s human capital policies, including policies on retention incentives. Correctional services staff represent the largest segment of each institution\u2019s workforce and are responsible for the correctional treatment, custody, and supervision of inmates. Non-correctional services staff include, among others, those employees assigned to non-correctional services management, facility operations, and the health services unit. Workers in health services and psychology services are responsible for providing inmates with medical, dental, and mental health services and include, for example, dentists, pharmacists, physicians, nurses, psychologists, and drug treatment specialists."], "subsections": []}, {"section_title": "Federal Laws and Regulations Related to Retention Incentives", "paragraphs": ["The Federal Employees Pay Comparability Act of 1990 first authorized OPM to allow federal agencies to give incentives, including retention incentives, to employees. The Federal Workforce Flexibility Act of 2004 provided federal agencies increased flexibilities regarding these incentives. For example, individual retention incentives that were capped at 25 percent of an employee\u2019s basic pay rate could be increased up to 50 percent in cases of critical agency need with OPM\u2019s approval. Generally, under OPM regulations, an agency is authorized to pay a retention incentive to employees. This happens when the agency determines that the unusually high or unique qualifications of the employee or a special need of the agency for the employee\u2019s services makes it essential to retain the employee and that the employee would be likely to leave federal service in the absence of an incentive. In addition, OPM requires agencies to develop plans for using retention incentives outlining, in part, the required documentation for justifying the retention incentive and any criteria for determining the amount of incentive and the length of the service period. Generally, agencies must require that employees sign a written service agreement that outlines the terms of the service such as the employee\u2019s agreement to remain a certain length of time with the agency. Additionally, according to OPM regulations, to qualify for a retention incentive, each employee must have a performance rating of at least \u201cfully successful\u201d or an agency\u2019s equivalent performance rating."], "subsections": []}, {"section_title": "BOP\u2019s Retention Incentive Program", "paragraphs": ["BOP funds the majority of its retention incentives through its Salaries and Expenses appropriation account which represented almost 93 percent of BOP\u2019s budget in FY 2016. According to BOP officials, BOP\u2019s Central Office allocates funding from the Salaries and Expenses account to the regional offices. These regional offices then determine how to allocate their budget among various salary and expense activities, including retention incentives. HRMD delegates retention incentive determinations to each institution. In accordance with OPM requirements and BOP\u2019s October 2016 Program Statement on Compensation, the wardens make retention incentive requests based on documented evidence that the employee possesses unusually high or unique qualifications or meets a special need of the agency and has a performance rating of at least \u201csuccessful or its equivalent.\u201d These incentives are calculated as a percentage of the employee\u2019s basic pay and are disbursed in installments to the employee each pay period."], "subsections": []}, {"section_title": "Other Compensation- Based Human Capital Flexibilities", "paragraphs": ["In addition to retention incentives, BOP has authority to provide other compensation-based human capital flexibilities to employees, in certain circumstances. The following summarizes some of the compensation- based human capital flexibilities that BOP uses in addition to retention incentives, to retain and recruit staff:", "Recruitment and relocation incentives. BOP pays recruitment incentives to new hires and relocation incentives to current employees who elect to move to a different geographic area, when a position is likely to be difficult to fill in the absence of an incentive.", "Student loan repayments. Using this authority, BOP may repay federally-insured student loans to attract job candidates or retain current employees.", "Special salary rates. With OPM approval, BOP may establish higher rates of pay for an occupation or group of occupations nationwide or in a local area when it finds the government\u2019s recruitment or retention efforts are, or would likely become, significantly handicapped without those higher rates.", "Physicians and dental comparability allowances. Comparability allowances may be paid to certain eligible physicians or dental professionals who enter into service agreements. These allowances are paid only to categories of physicians and dentists for which the agency is experiencing recruitment and retention problems and are fixed at the minimum amounts necessary to deal with such problems."], "subsections": []}]}, {"section_title": "BOP Increased Its Use of Retention Incentives and Used Them Primarily to Retain Staff in California and for Medical Professionals Nationwide", "paragraphs": [], "subsections": [{"section_title": "BOP\u2019s Total Retention Incentive Expenditures and the Number of Employees Receiving Retention Incentives Generally Increased from Fiscal Year 2012 through Fiscal Year 2016", "paragraphs": ["BOP retention incentive expenditures generally increased from $10.7 million in fiscal year 2012 to $14.0 million in fiscal year 2016. Additionally, as illustrated in table 1, the number of employees who received retention incentives increased each year from 2,024 employees in fiscal year 2012 to 2,460 employees in fiscal year 2016.", "In general, BOP employees who received retention incentives received the incentive for more than one year. For example, from fiscal year 2012 through fiscal year 2016, a total of 3,382 BOP employees received retention incentive payments. Of those, 82 percent (2,766 of 3,382) received retention incentive payments for at least 2 years and 39 percent received retention incentives all 5 years, as shown in figure 1."], "subsections": []}, {"section_title": "BOP Used Retention Incentives Primarily at Four California Institutions and for Medical Professionals Nationwide", "paragraphs": ["From fiscal years 2012 through 2016, BOP spent more than 97 percent of its total retention incentive expenditures on employees at four California institutions and for medical professionals nationwide. BOP\u2019s total retention incentive expenditures for the four California institutions and medical professionals nationwide in fiscal year 2016 are provided in figure 2.", "Four California Institutions. The California institutions\u2014United States Penitentiary (USP) Atwater, Federal Correctional Institution (FCI) Herlong, FCI Mendota, and Federal Correctional Complex (FCC) Victorville\u2014constituted the largest portion of BOP\u2019s total retention incentive expenditures, and the level of their expenditures remained relatively steady from fiscal year 2012 through 2016. BOP provides group retention incentives for staff at the General Schedule (GS) grades level 12 and below and those in the Federal Wage System at three institutions\u2014USP Atwater, FCI Herlong, and FCC Victorville. BOP also provides individual retention incentives to its employees at GS grades level 12 and below and in the Federal Wage System at FCI Mendota. As shown in figure 3, our analysis of BOP data found that from fiscal years 2012 through 2016, these four California institutions had the largest percentage of retention incentive expenditures across institutions as well as the largest percentage of employees who received retention incentives.", "Additionally, the four California institutions\u2019 retention incentive expenditures remained relatively steady\u2014around $8.1 to $8.2 million during the 5-year period\u2014even though the overall number of employees who received the incentives generally increased. BOP officials told us that these California institutions\u2019 retention incentive expenditures remained relatively steady in spite of an overall increase in the number of employees receiving incentives, in part, because in fiscal year 2013 BOP reduced the retention incentive rate\u2014the percentage of an employee\u2019s basic pay that determines the employee\u2019s retention incentive\u2014 by 3 percent at the four California institutions.", "BOP officials reported using retention incentives primarily at these four institutions to supplement correctional officers\u2019 salaries and compensate for the gap between BOP\u2019s and other institutions\u2019 salaries. Specifically, officials told us that these four California institutions were consistently understaffed as a result of their lower salaries in comparison to salaries offered at California state and local prisons and at other BOP institutions in California metropolitan areas. The Department of Labor\u2019s Bureau of Labor Statistics reports that the average salary for correctional officers in California in 2016 was $70,020. For the same year, the annual average salary for BOP correctional officers at these four institutions was $50,859. To bring these four California institutions\u2019 salaries in line with those offered by state, local, and other BOP institutions in California metropolitan areas, BOP officials told us that they first use recruitment incentives to attract and hire staff and then provide retention incentives to employees with a performance rating of at least \u201csuccessful.\u201d", "Medical Professionals. From fiscal years 2012 through 2016, BOP retention incentive expenditures for medical professionals increased by an average of approximately 21 percent per year. Our analysis showed that most recently\u2014for fiscal years 2015 and 2016\u2014BOP retention incentive expenditures for medical professionals accounted for the largest portion of BOP\u2019s total retention incentive expenditures across the various occupation groups and was primarily responsible for the overall increase in BOP\u2019s total retention incentive expenditures from fiscal year 2012 through fiscal year 2016. For example, in fiscal year 2016, BOP spent approximately 42 percent of total retention incentives expenditures for medical professionals ($5.8 million), 27 percent on correctional officers ($3.8 million), and the remaining 31 percent on employees in other occupations. In total, BOP retention incentive expenditures for medical professionals increased from approximately $2.7 million in fiscal year 2012 to $5.8 million in fiscal year 2016, as shown in figure 4. The increase accounted for 92 percent of BOP\u2019s total increase in retention incentive expenditures during the five-year period. In comparison, BOP\u2019s retention incentive expenditures for correctional officers and all other occupations remained relatively steady from fiscal year 2012 through fiscal year 2016, increasing by an average of approximately 1 percent per year.", "According to our analysis, the increase in retention incentive expenditures for medical professionals during the five years is partially explained by the increase in the number of institutions providing retention incentives to medical professionals. Specifically, from fiscal years 2012 through 2016, the number of institutions providing retention incentives to medical professionals increased from 53 institutions with 341 employees in medical occupations receiving retention incentives to 84 institutions providing retention incentives to a total of 646 employees in medical occupations.", "According to BOP officials, BOP primarily uses retention incentives for medical professionals in an effort to retain these employees by supplementing BOP salaries which are generally lower than salaries offered to medical professionals in the private sector. Officials told us that BOP has designated medical professional positions as hard-to-fill and, therefore, BOP retaining these professionals in a correctional setting requires the use of a variety of incentives, including retention incentives, in order to increase pay."], "subsections": []}]}, {"section_title": "BOP Has a Variety of Internal Controls in Place throughout the Retention Incentive Process", "paragraphs": [], "subsections": [{"section_title": "BOP\u2019s Internal Controls Are Intended to Ensure That Retention Incentive Applications and Approvals Meet Requirements", "paragraphs": ["BOP has a number of internal controls in place to ensure that retention incentive applications meet BOP and other requirements. BOP officials told us that these controls are part of a multilayered application and review process that begins at the institution and culminates at BOP\u2019s Central Office. Our review of a random sample of 40 application packet case files for retention incentives awarded from fiscal year 2014 through fiscal year 2016 found that they all generally incorporated the internal controls described by officials. The key controls in this process include: Application review at the institution and regional levels. According to BOP officials, the retention incentive application process begins with an institution\u2019s human resources office, whose staff complete a retention incentive application on behalf of an employee. The institution\u2019s human resources office verifies that the information in the application justifies a retention incentive and that funds are available to pay the incentive. Although it is not required, BOP officials said that they use a retention incentive application checklist to help institutions ensure that retention incentive applications are complete. The institution\u2019s human resources office then submits the completed application packet, which includes supporting documentation, to the warden for review. Next, the application packet is forwarded to the respective BOP regional director who also reviews it for accuracy and completeness. The regional director then adds an approval statement and forwards the packet to the Central Office for final review and approval. Of the 40 randomly selected application packet case files that we reviewed, 36 included a retention incentive checklist used by the institutions and all contained information to justify the retention incentive as well as a statement of the regional director\u2019s approval.", "Central Office\u2019s final application approval. BOP policy requires that all retention incentive applications undergo two levels of review in BOP\u2019s Central Office: first by the Human Resource Management Division\u2019s (HRMD) Staffing and Employee Relations Section (SERS) and next by HRMD\u2019s Personnel Director, for final review and approval. According to BOP officials, during the review process there is ongoing communication between the various entities to ensure that applications are complete and accurate; for example, if SERS finds an error in the application or requests additional information, SERS returns the application to the regional or institutional level for correction and re-review. All of the 40 BOP application packet case files that we reviewed included approvals by HRMD\u2019s Personnel Director or an authorized official, as required by BOP policy.", "Annual review and re-certification to continue retention incentives. According to BOP policy, on an annual basis, institutions\u2019 human resources offices are required to review employees\u2019 retention incentives to determine whether the incentive is still warranted. Payment of a retention incentive may be recertified and continued as long as the conditions giving rise to the original determination to pay the incentive still exist and funds are available. For each retention incentive, an institution\u2019s human resources office must determine whether to continue, adjust, or terminate the incentive within one year of the initial or most recent approval. If the human resources office decides to continue the retention incentive, the institution\u2019s warden must again submit a retention incentive application. Applications to continue the retention incentive proceed through the same review and approval process as initial applications. Of the 40 application files that we reviewed, 29 were continuations and 8 were initial requests for a retention incentive."], "subsections": []}, {"section_title": "BOP Institutions Use Internal Controls to Help Monitor the Expiration, Continuation, or Termination of Retention Incentives", "paragraphs": ["According to BOP officials, after the initial approval of a retention incentive, an institution\u2019s human resources office has primary responsibility for the monitoring of retention incentive payments. According to officials, institutions use a variety of internal controls to monitor the expiration, continuation, or termination of retention incentives, for example: Monitoring expiration dates. BOP officials stated that institutions\u2019 human resources offices monitor retention incentives in order to identify incentives that are approaching their expiration date and need to be terminated or renewed. For example, according to BOP officials from USP Atwater, FCC Butner and FCI Phoenix, staff from their institutions\u2019 human resources offices may generate a retention incentive activity report and cross reference this report with their locally generated tracking sheets. This process helps identify retention incentives approaching their expiration dates so that the human resources offices can submit a request for continuation before the incentive expires.", "Using automated reminders to prompt file review. BOP officials stated that institutions use automated reminders to alert human resources staff to check the records of retention incentive recipients for human resources-related events such as promotions or relocations that could affect the continuation of a retention incentive.", "Following a checklist of steps for relocation processes. BOP officials told us that in April 2016 they instituted a checklist that outlines steps that an institution\u2019s human resources staff must take when employees relocate to a different institution. Based on our review of this checklist, one step on the sheet prompts human resources staff to review the employee\u2019s retention incentive. According to BOP policy, when an employee receiving a retention incentive transfers to another location, the human resources office where the employee was receiving the retention incentive is responsible for submitting a request to terminate the incentive. The termination must be effective the last day of the pay period that the employee occupies the position.", "Submitting forgiveness waivers. BOP officials told us that institutions submit forgiveness waivers if a request to continue a retention incentive is not submitted and approved prior to the retention incentive expiring. BOP officials said that a forgiveness waiver is considered an acknowledgement of an administrative error and is a late submission of a retention incentive renewal that was still warranted. The waiver is not a request to forgive an overpayment since the employee was still considered to be eligible for the retention incentive. Of the 40 retention incentive applications that we reviewed, 5 applications included forgiveness waivers to excuse the tardiness of the filing and request continuations of the retention incentive."], "subsections": []}, {"section_title": "BOP and DOJ Conduct Periodic Reviews of Retention Incentive Controls", "paragraphs": ["According to BOP officials, BOP conducts periodic audits and reviews of its human capital activities and related internal controls, to ensure that retention incentives are being used appropriately. The following offices conduct various audits and reviews involving BOP\u2019s retention incentives: BOP\u2019s Program Review Division (PRD) audits regional and institutional human resources functions. PRD audits BOP\u2019s regional and institutional human resources offices to ensure that they are in compliance with BOP policies and procedures. According to BOP officials, as part of the audit process, PRD audits retention incentives to ensure that they have the proper approvals and are justified. PRD audits each institution\u2019s human resources office at least every three years. During these audits, PRD generates retention incentive activity reports (the same reports that institutions run when monitoring for expiration dates), to check the accuracy of retention incentive programs under review. Following each audit, PRD issues a final report with findings to the institution and to the staff operating the program area under audit. Institutions respond to the report with corrective actions that the institution will take to address the findings. When the institution has resolved all corrective actions from the audit, the audit is closed. Additionally, each quarter, PRD provides HRMD with a report that summarizes its quarterly audit findings. According to BOP officials, HRMD uses these reports to identify any agency-wide trends that need to be addressed.", "Our review of BOP data showed that between fiscal years 2012 and 2016, PRD conducted nearly 200 audits. For example, in the fourth quarter of fiscal year 2016, PRD audited five institutions\u2019 and regional offices\u2019 human resource management functions. During these audits, PRD identified nine deficiencies, one of which pertained to retention incentives. Specifically, it found that one audited institution did not terminate an employee\u2019s retention incentive after the employee had relocated to another institution. To correct the deficiency, the institution cancelled the retention incentive which discontinued future disbursements. According to BOP officials, a bill was generated to recoup the overpayment from the employee.", "BOP institutions conduct annual operation reviews of internal functions, such as human resources. BOP officials told us that each institution conducts annual operational reviews of various internal functions, such as human resources. According to BOP\u2019s Program Review Guidelines for Human Resource Servicing Offices, during these reviews, institutions are required to review supporting documentation for staff currently receiving an incentive to determine if the incentives are still warranted. If the initial request for the retention incentive was made over the preceding 12 months, institutions are also required to ensure that it was approved. According to BOP officials, the results of these reviews are reported to PRD through the Central Office.", "DOJ\u2019s Justice Management Division (JMD) audits BOP\u2019s human resources programs. According to BOP officials, JMD conducts audits of component-level human resources programs to determine whether BOP\u2019s systems are compliant with DOJ policy and aligned with DOJ\u2019s Human Capital Strategic Plan. JMD\u2019s most recent audit of BOP\u2019s human resources programs that included a review of BOP\u2019s retention incentives occurred in September 2010 at BOP\u2019s Human Resource Service Center in Grand Prairie, Texas. JMD found that in some cases BOP granted retention incentives prior to the signing of service agreements. JMD also found that BOP lacked documentation to authorize a group retention incentive for employees at its Victorville, California institution. BOP\u2019s written response to the findings stated that JMD incorrectly applied the service agreement requirement, as service agreements were not warranted in the specific case that it identified. Additionally, BOP stated that the documents JMD identified as missing from the case files in question were kept in separate files and not required to be part of the retention incentive application. JMD agreed with BOP\u2019s responses and in January 2013, JMD closed out the audit\u2019s findings noting that these responses satisfied all required corrective actions."], "subsections": []}]}, {"section_title": "BOP Conducts Limited Planning and Evaluation of the Effectiveness of Retention Incentives", "paragraphs": [], "subsections": [{"section_title": "BOP\u2019s Planning for the Use of Retention Incentives is Limited", "paragraphs": ["While BOP takes a number of steps to determine current workforce needs and how to fill those needs, BOP does not strategically plan for how retention incentives can be used to meet long-term human capital goals. BOP officials stated that planning for human capital needs is conducted at institutions during quarterly workforce utilization meetings or manpower salary meetings. During these meetings, executive staff at the institution discuss the current state of the institution\u2019s workforce. According to the BOP officials, while considering attrition, hiring, and turnover rates, the executive staff decide strategies they will employ to attract and retain employees for their current needs.", "While officials we spoke with at four institutions have discussed retention incentives at their workforce utilization meetings, details about the content of these discussions ranged. According to these officials and our review of meeting minutes from the four institutions, discussions about retention incentives respond to each institution\u2019s short-term staffing situation rather than address future staffing needs based on an overall strategic human capital plan. For example:", "USP Atwater officials told us that they review the current turnover rate, budget, projected vacancies, and use of retention incentives at annual budget development meetings. Meeting minutes reflected the following on retention incentives: \u201cretention \u2026 still necessary to retain staff and hard-to-fill positions.\u201d", "FCC Butner is a medical facility that offers retention incentives to all medical officers (all types of doctors) and nurses (practitioners, registered, etc.) at the institution. According to Butner officials, during workforce utilization meetings, Butner officials discuss recruitment and staffing trends for the institution and plans for how to address any staffing challenges. Meeting minutes we reviewed did not indicate specific discussions about the use of retention incentives.", "FCC Pollock executive staff discuss current institutional salary expenditures and projections and the status of vacant positions at workforce utilization meetings. While meeting minutes we reviewed indicated discussions about projected expenditures for incentive awards, the minutes did not differentiate between retention incentive awards, and other incentive awards such as recruitment or relocation incentive awards.", "FCI Phoenix officials stated that in their workforce utilization meetings, executive staff discuss salary projections and vacancy statuses. Meeting minutes we reviewed did not indicate specific discussions about the use of retention incentives.", "BOP decisions about retention incentives are currently not tied to any strategic human capital plan for how to use human capital flexibilities\u2014 such as retention incentives\u2014to address their ongoing challenge of retaining staff in hard-to-fill positions. According to officials, retention incentives are awarded on an as-needed basis, determined by an institution\u2019s warden, if funds are available.", "According to key principles for effective strategic human capital planning, such planning is an important component of an agency\u2019s effort to develop long-term strategies for acquiring, developing, and retaining staff needed for an agency to achieve its goals. Specifically, senior leaders should be involved in developing, communicating, and implementing strategic human capital plans. Within an agency\u2019s strategic human capital plan, the human capital policies, practices, and programs\u2014for example, an agency\u2019s retention incentive program\u2014should clearly link to the human capital and program goals of the organization. By not having a strategic human capital plan that clearly establishes strategies that will be used to achieve specific human capital goals, BOP cannot ensure that its institutions are strategically managing their workforces in a manner that meets the agency\u2019s human capital needs.", "In August 2017, BOP officials told us that they began drafting a strategic human capital operating plan that will include strategic objectives, action plans, performance objectives and measures, and evaluation/reporting requirements. Officials stated that the plan will also include planning regarding the use of human capital flexibilities, such as retention incentives. BOP officials told us that they anticipate that the strategic human capital operating plan will be a supplement to their workforce utilization meetings and that an agency-wide plan will provide a set of strategies for all institutions to consider. However, BOP could not provide documentation of the project beginning or whether it would include a strategic approach specific to retention incentives. Including retention incentives in BOP\u2019s strategic human capital operating plan would create a roadmap for the agency and the institutions to use to move from being reactive in their current workforce needs\u2014for example, awarding retention incentives on an ad hoc basis when funds are available\u2014to being strategic in how retention incentives are used and to ensure that these and other flexibilities help the agency achieve its long-term workforce goals."], "subsections": []}, {"section_title": "BOP Does Not Evaluate the Effectiveness of Retention Incentives", "paragraphs": ["From fiscal year 2012 through fiscal year 2016, BOP spent more than $59 million on retention incentives but has not established any measures to evaluate their effectiveness. According to officials, BOP has not evaluated the effectiveness of its use of retention incentives because BOP officials consider a retention incentive successful if an employee does not leave the agency. However, BOP also uses other human capital flexibilities along with retention incentives to help retain staff. For example, BOP uses physician and dental comparability allowances\u2014additional pay to a physician or dentist who enters into an agreement for a specified period of service\u2014to help retain these medical personnel. According to officials, it would otherwise be difficult to compete with private sector salaries without the use of all available incentives. However, BOP has not studied whether or how retention incentives have contributed to employees\u2019 retention in relation to other incentives such as physician and dental comparability allowances.", "According to our work on strategic human capital management and OPM\u2019s guidance, it is crucial for organizations to evaluate the success of their human capital strategies, such as the use of retention incentives. In measuring the performance of these strategies and their contribution to key programmatic results, agencies can make adjustments, if necessary. For example, agencies can use evaluation results to make targeted investments in certain human capital strategies\u2014such as the use of retention incentives\u2014creating a cycle of strategic workforce management, where evaluation informs planning, planning dictates strategies, and strategies are evaluated for effectiveness. While BOP uses retention incentives to address critical skills gaps\u2014such as with medical professionals\u2014evaluating the effectiveness of retention incentives would help BOP determine whether and how retention incentives, as well as other human capital flexibilities, contribute to an employee\u2019s continued employment at BOP or if adjustments to BOP retention strategies must be made for improved results.", "BOP officials agreed that evaluating the effectiveness of retention incentives would help them be more strategic about their human capital needs and spending on incentives. By including and implementing such an evaluation in its upcoming strategic human capital operating plan, BOP could better determine if it is making maximum use of its funds to retain the necessary qualified personnel or if changes must be made to most effectively retain its staff."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As the largest employer within DOJ with some staff working in remote locations and undesirable conditions, BOP relies on a number of available flexibilities, including retention incentives, to help retain its employees. However, BOP currently lacks a strategic approach for using and evaluating retention incentives to address human capital goals. Given BOP\u2019s ongoing staffing challenges, for example, retaining staff in hard-to- fill medical positions, developing a plan that includes a thoughtful blueprint for using retention incentives could help BOP better anticipate and address staffing needs. Moreover, evaluating its use of retention incentives could help BOP determine whether these incentives are effective or whether adjustments are needed to better retain its employees. By using evaluation results to inform planning, and planning to inform how retention incentives are used, BOP would be better positioned to achieve its long-term human capital goals and address its critical staffing needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to BOP: 1. The Director of BOP should include in the forthcoming strategic human capital operating plan, 1) human capital goals and 2) strategies on how human capital flexibilities\u2014including retention incentives\u2014will be used to meet these goals. (Recommendation 1) 2. The Director of BOP should evaluate the effectiveness of BOP\u2019s use of retention incentives to help determine whether the incentives have helped BOP achieve its human capital goals or if adjustments in retention incentives are needed. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We requested comments on a draft of this report from DOJ. In an email received November 15, 2017, the DOJ liaison stated that DOJ concurred with our recommendations. The Department did not provide official written comments to include in our report, but did provide written technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Attorney General and the Director of BOP. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9627 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how BOP has used its authority to pay retention incentives; (2) what internal controls are in place for the use of retention incentives; and (3) the extent to which BOP plans for and evaluates the use of retention incentives.", "To determine how BOP has used its authority to pay retention incentives, we reviewed BOP\u2019s July 2012 report on its use of recruitment, relocation, and retention (3R) incentives. We then obtained underlying retention incentive expenditure data from DOJ\u2019s Justice Management Division because it serves as the focal point for performance and financial information for all Department of Justice components and employees, including BOP. In particular, we obtained employee-level retention incentive payroll data for fiscal years 2012 through 2016. We selected this time period because it includes the most recent five complete fiscal years for which data were available and because we believe five years is sufficient time to identify trends in BOP\u2019s retention incentive expenditures. We analyzed and aggregated the employee-level data by institution, occupation, and employee grade level. To identify trends, we compared per fiscal year expenditures across the various categories of occupations and locations across the five years. Additionally, we categorized institutions by BOP region, institutions that use group retention incentives, and institutions that use individual retention incentives. We also categorized occupations as medical professionals, correctional officers, and all other occupations and compared aggregate retention incentive expenditures for the different groups. Using information from BOP\u2019s website and testimonial evidence from BOP officials on its health care system, for the purposes of this report, we defined medical professionals as BOP employees in occupations that provide medical, dental, and mental health care services and who do not solely provide these services in an administrative function. For the purposes of our analyses, medical professionals are dentists, dental assistants and hygienists, diagnostic radiological technologists, health aid and technicians, medical doctors (including psychiatrists), medical technologists, nurses, pharmacists, pharmacy technicians, physician assistants, and practical nurses and psychologists. To assess the employee-level retention incentive payroll data\u2019s reliability, we obtained and analyzed documentation on systems\u2019 capabilities and data control, interviewed data users and managers responsible for maintaining data, conducted checks for completeness and logical consistency, and compared the employee-level data to aggregated institution-level retention incentive expenditure data from BOP\u2019s Financial Management Information System. We found the employee-level data to be sufficiently reliable for the purpose of this report.", "Additionally for this objective, we reviewed documents such as the DOJ\u2019s Financial Management Information System Sub-Object Classification Code Guide and the Office of Personnel Management (OPM) Handbook of Occupational Groups and Families to respectively identify the system codes used to track retention incentives expenditures and to identify the names for each occupational series code in the datasets. We also interviewed BOP Human Resource Management headquarters officials to obtain information on the primary purposes for BOP\u2019s use of retention incentives and their views on identified retention incentive expenditures trends. We also interviewed U.S. Department of Health and Human Services\u2019 (HHS) Public Health Service (PHS) officials to better understand how BOP and PHS manage costs, including retention incentive expenditures, for PHS staff assigned to BOP. BOP partners with PHS to acquire medical staff to provide medical care for BOP\u2019s inmate population. BOP reimburses PHS for the costs of compensation and benefits\u2014including retention incentive payments, if applicable\u2014for PHS staff assigned to BOP. PHS has final approval authority for retention incentives paid to PHS staff assigned to BOP facilities. Furthermore, we obtained aggregated retention incentive expenditure data from PHS on the total amount of funds BOP reimbursed PHS for fiscal years 2012 through 2016. For the reliability of PHS\u2019s data, we reviewed the system\u2019s data fields to check that the appropriate fields were used to provide data and interviewed data users and managers to discuss how expenditures are recorded and maintained. We found the PHS data to be sufficiently reliable for the purpose of this report.", "To identify and describe the internal controls that BOP has in place related to retention incentives, we obtained and analyzed documentation regarding BOP requirements and guidance for the use of retention incentives. We also interviewed officials from BOP\u2019s Central Office who are responsible for the administration, management, and oversight of BOP\u2019s human capital management systems, including retention incentives. We focused on the management and administrative controls used by BOP to review, approve, re-certify, and monitor retention incentives. Additionally, we interviewed the warden and human capital officers at 4 of the 122 institutions to obtain illustrative examples regarding the internal controls in place at these institutions to ensure the proper disbursement of retention incentives. We interviewed BOP officials at Federal Correctional Complex Pollock in Pollock, LA; Federal Correctional Complex Butner in Butner, NC; United States Penitentiary, Atwater in Atwater, CA and Federal Correctional Institution Phoenix, in Phoenix, AZ. These institutions were selected to ensure variation in the number and types of employees receiving retention incentives, BOP region, and security-level. Although the information we obtained from the interviews with officials at these four institutions cannot be generalized to other BOP institutions, these interviews provided important insights and perspectives about the use of retention incentives at BOP institutions. We also reviewed a non-generalizable random sample of 40 retention incentive application packet case files to determine the extent to which these files contained documentation on the internal control activities in place to monitor the application, approval, and funds disbursement processes of BOP\u2019s retention incentive program. To identify our sample, we used employee-level expenditure data to randomly select 40 application files from the universe of BOP employees who received retention incentives from fiscal years 2014 through 2016. Each application file was reviewed by two GAO analysts who each assessed the extent to which each application contained the appropriate justification, approval signatures, and other documentation such as an application checklist and whether the application was an initial or continuation application.", "To determine the extent to which BOP plans for and evaluates the use of retention incentives, we interviewed BOP officials regarding their experiences with retention incentives, how they use retention incentives to strategically manage their workforce needs, how the agency evaluates the effectiveness of retention incentives, and how retention incentives contribute to BOP\u2019s broader human capital goals. We then compared these efforts to our work on strategic human capital planning, specifically in terms of planning for and evaluating the use of human capital flexibilities. Additionally, we interviewed the warden and human capital officers at four BOP institutions mentioned above to obtain illustrative examples of how workforce planning occurs at these institutions. We also reviewed the DOJ\u2019s Office of Inspector General Report 16-02 \u201cReview of the Federal Bureau of Prisons\u2019 Medical Staffing Challenges\u201d (March 2016) and our past work to better understand the challenges that BOP faces in retaining medical professionals and other staff."], "subsections": []}, {"section_title": "Appendix II: Bureau of Prisons\u2019 Use of Retention Incentives by Occupations in Fiscal Year 2016", "paragraphs": ["Table 2 provides the Bureau of Prisons\u2019 (BOP) fiscal year 2016 retention incentive expenditures by various occupations and groups of occupations, such as medical professionals, correctional officers, and other occupations. A range of occupations are reflected in the table primarily as a result of four California institutions\u2014United States Penitentiary (USP) Atwater, Federal Correctional Institution (FCI) Herlong, FCI Mendota, and Federal Correctional Complex Victorville\u2014providing retention incentives to all employees at General Schedule grades level 12 and below and those in the Federal Wage System."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Dawn Locke (Assistant Director) and Meghan Squires (Analyst-in-Charge) managed the work. Also, David Alexander, Renee Caputo, Willie Commons III, Jamarla Edwards, Robert Goldenkoff, Chelsa Gurkin, Eric Hauswirth, Janice Latimer, Lerone Reid, Rachel Stoiko, and Adam Vogt made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-25", "url": "https://www.gao.gov/products/GAO-18-25", "title": "Preventing Drug Abuse: Low Participation by Pharmacies and Other Entities as Voluntary Collectors of Unused Prescription Drugs", "published_date": "2017-10-12T00:00:00", "released_date": "2017-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2015, 3.8 million Americans reported misusing prescription drugs within the last month, and deaths from prescription opioids have more than quadrupled since 1999. About half of the people who reported misusing prescription drugs in 2015 received them from a friend or relative.", "One way to help prevent this kind of diversion and potential misuse is by providing secure and convenient ways to dispose of unused, unneeded, or expired prescription medications. The Secure and Responsible Drug Disposal Act of 2010 authorizes pharmacies and other entities already authorized by DEA to handle controlled substances to also collect unused prescription drugs for disposal. In 2014, DEA finalized regulations for the implementation of the Act, establishing a voluntary process for eligible entities to become authorized collectors of unused prescription drugs using disposal bins.", "GAO was asked to review participation among authorized collectors that maintain disposal bins. In this report GAO describes (1) participation rates among entities eligible to collect unused prescription drugs and (2) factors that affect participation. GAO analyzed the most currently available DEA data from April 2017 on entities eligible to participate and those participating as authorized collectors. GAO also conducted interviews with DEA officials and a nongeneralizable sample of 11 stakeholder organizations selected to illustrate different types of authorized collectors and long-term care facilities. GAO is not making any recommendations. DEA provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that about 3 percent of pharmacies and other entities eligible to collect unused prescription drugs for disposal have volunteered to do so. The Drug Enforcement Administration (DEA) authorizes these entities to dispose of unused drugs to help reduce their potential misuse. Analysis of DEA data shows that as of April 2017, 2,233 of the 89,550 (2.49 percent) eligible entities\u2014that is, certain entities already authorized by DEA to handle controlled substances\u2014had registered with DEA to use disposal bins to collect unused prescription drugs. Most\u2014about 81 percent\u2014of the authorized collectors were pharmacies, followed by hospitals or clinics. GAO also found that participation rates varied by state, though in 44 states less than 5 percent of the state's pharmacies and other eligible entities had registered to become authorized collectors.", "Stakeholders cited several factors that may explain why relatively few pharmacies and other eligible entities have registered with DEA as authorized collectors of unused drugs. Most notably, stakeholders representing authorized collectors told GAO that because participation is voluntary, the cost associated with maintaining a disposal bin\u2014which includes purchasing and installing the bin according to DEA requirements and paying for the destruction of its contents\u2014is an important factor to weigh against potential benefits. DEA noted that availability of disposal by law enforcement agencies also contributes to low participation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The misuse of prescription drugs is widespread and contributes to overdoses and deaths. Federal data show that in 2015, 3.8 million Americans reported misusing prescription drugs within a 1-month period and that prescription drug misuse was the second most common type of illicit drug use, after marijuana use. The misuse of prescription drugs has also contributed to the nation\u2019s opioid epidemic and the overdoses associated with it, as 91 people in the United States die each day, on average, from an opioid overdose, including overdoses involving prescription opioids and heroin. Furthermore, the number of deaths resulting from prescription opioids has more than quadrupled since 1999.", "About half of the people who reported misusing prescription drugs in 2015 received them from a friend or relative. One way to help prevent this type of diversion of prescription drugs from their intended users and the resulting potential for abuse is by providing secure and convenient disposal mechanisms for unused, unneeded, or expired prescription medications. Under the Secure and Responsible Drug Disposal Act of 2010 (\u201cDisposal Act\u201d), the Drug Enforcement Administration (DEA) may authorize eligible retail pharmacies and other entities\u2014which are certain entities already authorized by the DEA to handle controlled substances\u2014 to also collect unused prescription drugs from the public. In September 2014, DEA finalized regulations for the implementation of the Disposal Act, providing pharmacies and other eligible entities the option to register with DEA to become authorized collectors of unused controlled prescription drugs using collection receptacles, which are bins used to collect drugs meant for disposal. The regulation establishes requirements participating entities must meet, such as installing the disposal bin securely to a permanent structure and making the bin inaccessible to the public when an employee is not present.", "You requested that we review DEA\u2019s requirements for authorized collectors of prescription drugs and participation rates. In this report, we describe 1. participation rates of eligible pharmacies and other entities as DEA- authorized collectors of unused prescription drugs, and 2. factors that affect voluntary participation as authorized collectors of unused prescription drugs.", "To describe the rates of eligible pharmacies and other entities that participate as DEA-authorized collectors of unused prescription drugs using disposal bins, we analyzed DEA data as of April 20, 2017, the most current data available at the time of our analysis. We determined the number and percentage of eligible entities participating as authorized collectors nationwide, by state, and by type of entity. We also determined the number of eligible and participating authorized collectors in rural and urban areas, using DEA\u2019s data and Rural-Urban Commuting Area codes. Finally, we analyzed DEA\u2019s data and data from the U.S. Census Bureau\u2019s American Community Survey 5-year population estimates for 2011 through 2015 to estimate the number of individuals and the percentage of the U.S. population living within varying distances of a DEA authorized collector\u2019s disposal bin. For all data used in these analyses, we interviewed knowledgeable officials and reviewed related documentation and, based on these steps, determined that the data were sufficiently reliable for our purposes. Our review is limited to DEA-authorized collectors that use disposal bins to collect unused prescription drugs from the public. Other methods of drug disposal by eligible entities and all methods of disposal by law enforcement agencies, which do not require DEA authorization to dispose of controlled substances, are outside the scope of our work.", "To describe the factors that affect voluntary participation as authorized collectors of prescription drugs, we interviewed DEA officials. In addition, we conducted interviews with 11 stakeholder organizations\u20148 selected because they represent different types of authorized collectors, such as pharmacies and reverse distributors, and 3 selected because they represent long-term care facilities. Our findings cannot be generalized beyond the stakeholder organizations we interviewed.", "We conducted this performance audit from November 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The DEA, within the Department of Justice, is responsible for ensuring the availability of controlled substances for legitimate uses while preventing their diversion through its administration and enforcement of the Controlled Substances Act and its implementing regulations. Under the Controlled Substances Act, all persons or entities that manufacture, distribute, or dispense controlled substances are required to register with DEA, unless specifically exempted. DEA regulates these entities to limit diversion and prevent abuse. For example, DEA regulates pharmaceutical companies that manufacture controlled substances, health care providers who prescribe them to patients, and pharmacies that dispense them.", "In October 2010, the Disposal Act amended the Controlled Substances Act to allow the public to deliver unused controlled substances to an entity authorized by DEA to dispose of the substances. DEA was given responsibility for promulgating the implementing regulations, and the Disposal Act stipulated that the regulations should prevent diversion of controlled substances while also taking into consideration public health and safety, ease and cost of implementation, and participation by various communities. In addition to disposal bins, DEA\u2019s regulations describe two other options for the public to transfer controlled substances for the purpose of disposal: mail-back programs and take-back events. Law enforcement agencies may use all three methods of drug disposal without the need for authorization by DEA. The Disposal Act stipulates that the regulations cannot require an entity to participate in or establish any of the disposal options."], "subsections": [{"section_title": "Requirements for Authorized Collectors of Unused Prescription Drugs", "paragraphs": ["To participate as authorized collectors of unused prescription drugs, eligible entities\u2014retail pharmacies, hospitals/clinics with an on-site pharmacy, narcotic treatment programs, reverse distributors, distributors, and drug manufacturers that are already authorized by DEA to handle controlled substances\u2014must modify their DEA registration. According to DEA officials, such modification is free and simple to do. Eligible retail pharmacies or hospitals/clinics that become authorized collectors are able to install and maintain disposal bins in long-term care facilities in addition to their own location. DEA\u2019s website contains a public search feature to identify authorized collectors located near a specific zip code or address.", "Authorized collectors must install, manage, and maintain the disposal bins following DEA regulations. For example, under DEA\u2019s regulations for maintaining the disposal bins, the disposal bin must be securely fastened to a permanent structure, securely locked, substantially constructed with a permanent outer container and removable inner liner, and have a small opening that allows contents to be added but not removed; the bin must also prominently display a sign indicating which types of substances are acceptable; users must dispose the unused prescriptions into the collection receptacle themselves without handing them to staff at the pharmacy; the disposal bin must typically be located in an area where an employee is present and near where controlled substances are stored, and the bin must be made inaccessible to the public when an employee is not present; the inner liner of the disposal bin must meet certain requirements, including being waterproof, tamper-evident, tear-resistant, opaque, and having the size and identification number clearly labeled; and the installation and removal of inner liners must be performed under the supervision of at least two employees of the authorized collector.", "DEA regulations also require that all controlled substances collected in the disposal bin\u2019s inner liners must be destroyed in compliance with applicable federal, state, and local laws and rendered non-retrievable. According to DEA regulations, non-retrievable means that the physical and chemical conditions of the controlled substance must be permanently altered, thereby rendering the controlled substance unavailable and unusable for all practical purposes. Authorized collectors are permitted to destroy the inner liner on their premises if they have the capacity to do so. If not, the inner liners can be transported to a separate location to be destroyed. Typically, in this case, an authorized collector contracts with a reverse distributor to periodically remove, transport, and destroy the inner liners. DEA regulations require that two reverse distributor employees transport the inner liners directly to the disposal location without any unnecessary stops or stops of an extended duration. Authorized collectors must document certain information, including inner liner identification numbers and the dates that each liner is installed, removed, and transferred for destruction. The authorized collectors must maintain these records for 2 years. Figure 1 summarizes the steps involved in the collection of unused prescription drugs."], "subsections": []}]}, {"section_title": "About 3 Percent of Eligible Pharmacies and Other Entities Voluntarily Participate as DEA-Authorized Collectors of Unused Prescription Drugs", "paragraphs": ["About 3 percent of pharmacies and other eligible entities have voluntarily chosen to become DEA-authorized collectors of unused prescription drugs, according to DEA data. As of April 2017, 2,233 of the 89,550 (2.49 percent) of eligible entities\u2014which are already authorized by DEA to handle controlled substances\u2014had registered to use disposal bins to collect unused prescription drugs. Most of the authorized collectors\u2014 about 81 percent\u2014were pharmacies, followed by hospitals or clinics. (See table 1). Narcotic treatment programs, reverse distributors, and distributors made up approximately 1 percent of the authorized collectors.", "We also found that participation rates varied by state, though in most states relatively few of the eligible entities had registered with DEA to become authorized collectors of unused prescription drugs. In 44 states, less than 5 percent of the eligible entities had registered. (See figure 2 and appendix I for more information on the participation rates of authorized collectors in each state). As of April 2017, Connecticut, Missouri, and Maine had the lowest participation rates, with 0.11, 0.22, and 0.70 percent, respectively. In contrast, North Dakota had the highest participation rate, with 32.0 percent of its pharmacies and other eligible entities registered to be authorized collectors. The state with next highest participation rate was Alaska, with 8.96 percent. In North Dakota, the state\u2019s Board of Pharmacy provides funding for authorized collectors to purchase and maintain the disposal bins. According to a board official, the board decided to fund these activities to increase participation rates and plans to continue its funding indefinitely using revenue generated from prescription drug licensing fees it collects.", "In addition, our analysis shows that about 82 percent of all authorized collectors were located in urban areas as of April 2017. However, when comparing the entities registered to be authorized collectors with the total number of eligible entities, we found that a larger percentage of the eligible entities in rural areas became authorized collectors compared with those in urban areas (see table 2).", "The data we obtained on the number of eligible and participating authorized collectors and their locations are the only available DEA data on the use of disposal bins to collect unused prescription drugs. According to DEA officials, the agency does not collect any other information on the use of disposal bins, such as the extent to which the bins are used, or the amount and types of prescription drugs deposited into the bins. For example, to minimize the risk of diversion, DEA regulations do not allow authorized collectors to open and inspect the inner liners of the disposal bins, so information on their contents cannot be collected. According to DEA officials, the agency is not responsible for collecting information on the amount and types of prescription drugs destroyed through the disposal bins. DEA officials told us that the agency views its responsibility solely as giving pharmacies and other eligible entities the opportunity to become authorized collectors.", "Though we do not have information on the extent to which individuals use DEA\u2019s prescription drug disposal bins, we were able to estimate that as of April 2017, about half of the country\u2019s population lived less than 5 miles away from a pharmacy or other DEA-authorized entity offering a prescription disposal bin. In 21 states, at least 50 percent of the state\u2019s population lived within 5 miles of a prescription disposal bin. (See figure 3).", "While close to half of the nation\u2019s population lived less than 5 miles from a disposal bin as of April 2017, the availability of nearby disposal bins varied significantly for people depending on whether they lived in an urban or a rural area. Specifically, about 52 percent of the population in urban areas lived less than 5 miles away from a disposal bin, compared to about 13 percent of the population in rural areas. Furthermore, about 44 percent of the population in rural areas lived even further away\u2014more than 30 miles away from a disposal bin. An exception to this is North Dakota, where about 86 percent of its urban population and about 64 percent of its rural population lived within 5 miles of a disposal bin."], "subsections": []}, {"section_title": "Stakeholders Cited Cost and Other Factors as Affecting Decision to Become DEA-Authorized Collectors of Unused Prescription Drugs", "paragraphs": ["According to officials from the 11 stakeholder organizations we interviewed\u2014which represent authorized collectors and long-term care facilities\u2014several factors may explain why relatively few pharmacies and other eligible entities have chosen to become authorized collectors of unused prescription drugs. These factors include the associated costs of participating, uncertainty over proper implementation, and participation in other, similar efforts for disposing of unused prescription drugs.", "Costs: Stakeholders said that the costs associated with purchasing, installing, and managing the disposal bins is a factor that explains the relatively low rate of participation. One stakeholder told us that many eligible entities may decide that the benefit of participating does not outweigh the costs associated with doing so. Specifically, stakeholders told us that the major costs associated with participating include the one-time cost of purchasing and installing a disposal bin; the ongoing costs to train personnel to manage the bins; and the cost of contracting with a reverse distributor to periodically dispose of the bin\u2019s inner liner and contents.", "Stakeholders gave varying examples of the specific costs associated with these investments. For example, one stakeholder estimated the yearly costs of maintaining a disposal bin ranged from $500 to $600 per location; another stakeholder said that the cost is thousands of dollars per location per year, but did not provide a specific estimate. These stakeholders added that costs can increase if the disposal bins fill more quickly and need to be emptied more often than expected.", "For their part, officials from the reverse distributor stakeholders we interviewed cited incinerating hazardous waste, the availability of incinerators, and the cost of personnel as factors that increase the cost of their services for authorized collectors. One reverse distributor stakeholder told us that there are not many incinerators available, requiring them to travel long distances to incinerate collected waste. The other reverse distributor stakeholder added that DEA\u2019s requirement that a second employee be present during the transportation and disposal increases the cost of their services.", "While some stakeholders speculated that costs are a reason for low participation, a few stakeholders told us that the benefits are worth the costs. In fact, two stakeholders we spoke with told us that the benefit to the communities was so important that they decided to provide funding to retail pharmacies, alleviating an individual pharmacy\u2019s concern about the cost of installing and maintaining the disposal bins. We found that as of April 2017, over a quarter of the 2,233 authorized collectors using disposal bins received external funding to pay for the costs associated with installing and maintaining the disposal bins. In addition, stakeholders told us that some localities have enacted laws known as extended producer responsibility ordinances, which require that pharmaceutical manufacturers pay for certain costs associated with drug disposal. When asked about the costs associated with operating disposal bins, DEA officials told us that addressing cost issues with eligible participants falls outside of their responsibilities.", "Uncertainty: Stakeholders also told us that uncertainty regarding how to comply with aspects of DEA\u2019s regulations for prescription drug disposal bins affected their decisions to participate. One stakeholder added that many eligible entities decide not to participate because uncertainties over participation requirements could result in inadvertent non-compliance with DEA\u2019s regulations.", "As an example of their uncertainty over some of the requirements governing the disposal bins, officials from both of the reverse distributor stakeholders we interviewed cited DEA\u2019s non-retrievable standard for destruction of the inner liners of the bins. DEA requires that the method of destruction be sufficient to render all controlled substances non- retrievable, meaning that the physical and chemical conditions of the controlled substances must be permanently altered and unusable in order to prevent diversion for illicit purposes. Both reverse distributor stakeholders told us that they are uncertain about whether certain disposal methods meet this standard, and they said that the agency has not provided further guidance on how reverse distributors can meet this requirement. DEA officials told us that the agency responds to questions about whether a specific method of destruction meets the non-retrievable standard by telling the registrant to test the remnants after destruction, to see if any components of the controlled substance are still present. In its summary of the regulations implementing the Disposal Act, DEA stated that in order to allow for the development of various methods of destruction, the agency did not require a specific method of destruction as long as the desired result is achieved. However, DEA officials stated that to their knowledge, incineration is the only method known to meet the non-retrievable standard to date, but the officials hoped other methods will be developed in the future.", "When asked about the guidance they provide to authorized collectors of unused prescription drugs or those eligible to become authorized collectors, DEA officials told us that they post frequently-asked questions on their website, routinely answer questions from participants and others, and give training presentations at conferences that include information on the disposal bins. In our prior work, we found problems with DEA\u2019s communication and guidance to stakeholders. In 2015, we recommended that DEA identify and implement cost-effective means for communicating regularly with pharmacies and other entities authorized to handle controlled substances. DEA agreed with the recommendation, and officials told us that, starting in August 2017, these entities can subscribe to DEA\u2019s website to receive notifications when it is updated with new guidance.", "Stakeholders also noted that some DEA requirements related to disposal bins may conflict with other state and federal requirements governing the transportation and disposal of hazardous waste, which includes some controlled substances. For example, the two reverse distributor stakeholders told us that some incinerator permits issued by states require that hazardous waste be examined before incineration; however, DEA requirements do not allow the contents of the liners to be examined, even at the time of incineration. To address the incinerator permit requirements, one reverse distributor told us that they use the Environmental Protection Agency\u2019s hazardous waste household exemption, which treats the liners as household waste and thereby allows incinerator facilities to destroy the liners without examining the contents or violating their state permit. In addition, some stakeholders raised concerns that DEA\u2019s regulations may conflict with other federal regulations. For instance, one stakeholder noted that they recently learned that transporting the disposal bin\u2019s inner liners could violate Department of Transportation regulations. DEA officials told us that they were aware of this, explaining that the conflict was between DEA\u2019s requirement that controlled substances be transported in liners and the Department of Transportation\u2019s requirement that this type of waste be transported in sturdy containers. According to DEA officials, this conflict has been resolved by the Department of Transportation allowing reverse distributors to place the liners inside sturdy containers kept on trucks.", "Participation in or Availability of Similar Efforts: Stakeholders said that some pharmacies and other eligible entities were already participating in other, similar efforts that allow for the safe disposal of controlled substances, and therefore they did not want to invest additional resources into participating as authorized collectors using disposal bins. For example, the Centers for Medicare & Medicaid Services has an established process that long-term care facilities use to dispose of their unused controlled substances. As a result, all of the long-term care stakeholders told us that long-term care facilities may choose not to partner with pharmacies interested in placing disposal bins within their facilities because it adds significant cost and effort without any additional benefit. Furthermore, pharmacy stakeholders noted that because of the availability of other prescription drug collection efforts in their communities, they did not think that maintaining a disposal bin at their locations was needed. For example, two of the stakeholders explained that local law enforcement precincts already had a similar type of disposal bin in place to collect unused prescription drugs. DEA officials told us that they were aware of other options for the public and entities such as long-term care facilities that are not registered as authorized collectors to dispose of controlled substances. The officials also indicated that the availability of disposal options at law enforcement agencies contributes to the low participation rates among pharmacies as authorized collectors of unused prescription drugs."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Justice for comment. DEA, part of the Department of Justice, provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Attorney General of the United States and the Administrator of DEA. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Entities Eligible to Register with DEA to Become Authorized Collectors and Participating Collectors, by State, April 2017", "paragraphs": [], "subsections": [{"section_title": "Number of authorized collectors 19", "paragraphs": [], "subsections": []}, {"section_title": "Number of authorized collectors 75", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Elizabeth H. Curda (Director), Will Simerl (Assistant Director), Kathryn Richter (Analyst-In-Charge), Nick Bartine, Giselle Hicks, Jessica Lin, and Emily Wilson made key contributions to this report. Also contributing were Muriel Brown and Krister Friday."], "subsections": []}]}], "fastfact": ["In 2015, 3.8 million Americans reported misusing prescriptions in the prior month, and deaths from prescription opioids have quadrupled since 1999. Most people get these drugs from friends or relatives, so providing secure and convenient ways for people to dispose of their unused drugs could help.", "A 2010 federal law authorized pharmacies and other entities to voluntarily maintain a prescription drug disposal bin for the public. We found that 3% of entities eligible to collect drugs in this way volunteered to do so. Stakeholders reported that this is partly due to the cost of purchasing a bin and paying for the destruction of collected drugs."]} {"id": "GAO-18-651T", "url": "https://www.gao.gov/products/GAO-18-651T", "title": "DNA Evidence: Preliminary Observations on DOJ's DNA Capacity Enhancement and Backlog Reduction Grant Program", "published_date": "2018-07-18T00:00:00", "released_date": "2018-07-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Many state and local crime labs have backlogs of requests for DNA analysis of crime scene evidence, as reported by grantees participating in DOJ's CEBR grant program. These backlogs can include sexual assault kits. Since 2011, DOJ's Office of Justice Programs\u2014the primary grant-making arm of DOJ\u2014has awarded nearly $500 million to states and local jurisdictions through the CEBR grant program to help reduce DNA evidence awaiting analysis at crime labs. There have been concerns that these backlogs of unanalyzed evidence have enabled serial offenders to reoffend or have delayed justice.", "This statement is based on preliminary observations and analyses from GAO's ongoing review of (1) the level of crime scene DNA evidence backlogs among CEBR grantees and the factors that contribute to such backlogs; (2) the extent to which DOJ has clearly defined goals for CEBR; and (3) the extent to which OJP has controls for CEBR related to federal conflicts of interest and lobbying requirements. To develop these preliminary findings, GAO reviewed CEBR grantee data from 2011-2016 (the latest data available) and studies relevant to the DNA backlog, visited selected labs, and interviewed DOJ officials, among others."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's preliminary analysis found that, among the Department of Justice's (DOJ) DNA Capacity Enhancement and Backlog Reduction Program (CEBR) grantees (state and local entities with forensic crime labs), the reported aggregated backlog of crime scene DNA analysis requests has increased by 77 percent from 2011-2016. The growth in this reported aggregate backlog is the result of labs receiving more requests than they were able to complete, although they were receiving and completing more requests, as shown in the figure below.", "GAO's preliminary analysis also found that the National Institute of Justice (NIJ)\u2014the component within DOJ's Office of Justice Programs (OJP) that is responsible for administering CEBR grants\u2014has not defined CEBR program-wide goals in clear, specific, and measurable terms. Additionally, GAO's ongoing work identified statements in NIJ and CEBR program documentation that communicated program-wide goals, but the documentation did not consistently identify the same goals or cite the same number of goals. GAO continues to evaluate CEBR program goals and is in the process of evaluating related CEBR performance measures as part of its ongoing work.", "GAO's preliminary analysis found that OJP has some controls to implement federal requirements associated with conflicts of interest and lobbying that apply to both OJP CEBR grant administrators as well as recipients of CEBR grant funding, but OJP has not fully established all appropriate controls related to lobbying."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this testimony but will consider them, as appropriate, as it finalizes its work."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss preliminary observations from our ongoing work on backlogs of DNA evidence. In the criminal justice context, DNA analysis may be used to develop investigative leads, link an offender or victim to a crime scene, or confirm or disprove an account of a crime. Many state and local crime labs have backlogs of requests for DNA analysis of crime scene evidence, as reported by grantees participating in the Department of Justice\u2019s (DOJ) DNA Capacity Enhancement and Backlog Reduction grant program (CEBR). These backlogs can include sexual assault kits (SAKs). There have been concerns that these backlogs of unanalyzed evidence have enabled serial offenders to reoffend or have delayed justice. In addition, questions have been raised about potential improper connections among those who profit from DNA testing and those who advocate for CEBR funding, such as private companies providing financial assistance to CEBR funding advocates.", "Since 2011, DOJ has awarded nearly $500 million to states and local jurisdictions through CEBR to help reduce DNA evidence awaiting analysis at crime labs. CEBR funds can be used to process DNA evidence collected from crime scenes or offenders.", "My statement today is based on preliminary observations and analyses from our ongoing review for Senator Grassley of DNA evidence backlogs and the CEBR grant program. Specifically, I will address the following topics: (1) the level of crime scene DNA evidence backlogs among CEBR grantees and the factors that contribute to such backlogs; (2) the extent to which DOJ has clearly defined goals for CEBR; and (3) the extent to which DOJ\u2019s Office of Justice Programs (OJP)\u2014the primary grant-making arm of DOJ\u2014has controls for CEBR related to federal conflicts of interest and lobbying requirements.", "As part of our ongoing work, we reviewed CEBR grantee data and studies relevant to the DNA backlog, we visited selected labs, and we interviewed DOJ officials, among others. To assess the backlog of DNA evidence among CEBR grantees, we collected yearly baseline performance data from CEBR grantees from 2011 through 2016. We selected 2011 to coincide with the year in which two grant programs were combined into what is now known as the CEBR grant program, and 2016 was the latest year for which grantee data were available. To assess the extent to which DOJ-compiled CEBR baseline data are reliable, we completed a number of data reliability steps, including discussing data entry issues with grantees and running logic tests on the data. Despite some limitations found with regards to validating and reporting requirements, after completing these steps, we determined that CEBR data were sufficiently reliable for the purposes of illustrating year-over-year aggregate trends among CEBR grantees.", "Additionally, to identify factors that contribute to backlogs of unanalyzed DNA evidence at laboratories, we reviewed relevant studies and discussed factors with DNA evidence stakeholders, including DOJ officials, CEBR grantees, forensic crime laboratory directors, and relevant academics and practitioners. We summarized information from these sources to identify common factors, and we included illustrative examples of the types of factors we have identified to date in our statement. To assess the extent to which DOJ has clearly defined goals for CEBR, we are reviewing OJP CEBR documentation, including the most recent CEBR grant solicitation and CEBR program performance reports. We also discussed program goals with OJP officials. Finally, to assess the extent to which OJP has controls associated with federal conflicts of interest and lobbying requirements, we identified federal statutes and regulations governing conflicts of interest and lobbying. We are reviewing OJP documentation and statements from OJP officials to determine the extent to which OJP has controls in place consistent with those requirements.", "This work is being conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DNA Analysis of Crime Scene Evidence", "paragraphs": ["Analysis of DNA evidence from crime scenes can help law enforcement link offenders or victims to crime scenes. After crimes occur, law enforcement submits physical evidence from crime scenes, victims, and suspects (hereafter referred to as \u201ccrime scene evidence\u201d) to labs for analysis. Labs then perform \u201cDNA analysis,\u201d which, as used in this statement, refers to (1) biology screening (locating, screening, identifying, and characterizing blood and other biological stains and substances); and/or (2) DNA testing (identifying and comparing DNA profiles in biological samples). In order to compare the victim\u2019s or offender\u2019s DNA profile to the recovered crime scene DNA, the lab will need to have known biological samples available. Thus, samples are generally collected from victims and may also be collected from others\u2014such as suspects, crime scene personnel, first responders, and consensual sexual partners (in cases of sexual assault)."], "subsections": []}, {"section_title": "Matching DNA Profiles in the FBI\u2019s Combined DNA Index System", "paragraphs": ["Matching DNA profiles from unknown potential offenders to existing DNA profiles can help law enforcement develop investigative leads. If a case has no suspects to compare the DNA evidence to, the DNA profile of the unknown potential offender can be entered in the Federal Bureau of Investigation\u2019s (FBI) Combined DNA Index System (CODIS), where it can be compared to existing DNA profiles at the local, state, or national level. Labs can then compare unknown potential offender profiles to other profiles already in CODIS, including: 1. Profiles generated from evidence taken from other crime scenes and connected to other unknown potential offenders. 2. Profiles generated from samples taken from known convicted offenders, arrestees, and others as required by law (hereafter \u201coffender samples\u201d). According to DOJ, the federal government, all 50 states, the District of Columbia, and Puerto Rico have laws requiring the collection of DNA samples from individuals convicted of certain crimes; in addition, the federal government, over half of the states, and the District of Columbia have laws authorizing the collection of DNA from individuals arrested for certain crimes.", "When an unknown potential offender\u2019s profile matches another profile within CODIS, a \u201chit\u201d or investigative lead may be developed and shared with law enforcement, as shown in figure 1 below.", "Only federal, state, or local government labs that meet the FBI\u2019s Quality Assurance Standards can participate in CODIS. As of January 1, 2018 there were 201 labs that participated in CODIS in the U.S. Of these, 143 performed just forensic casework DNA analysis, 4 performed just offender sample DNA analysis, and 54 performed both. According to the FBI, as of May 2018, the national level of CODIS contained over 16 million profiles generated from offender samples and over 850,000 profiles generated from crime scene evidence. Also, the FBI reported that as of May 2018, CODIS had produced over 422,000 hits that aided more than 406,000 investigations."], "subsections": []}, {"section_title": "DOJ\u2019s Capacity Enhancement and Backlog Reduction Grant Program", "paragraphs": ["The CEBR grant program is administered by the National Institute of Justice (NIJ), a component within OJP. NIJ, the research arm of DOJ, is responsible for evaluating programs and policies that respond to crime, and providing and administering awards for DNA analysis and forensic activities, among other criminal justice activities. The CEBR grant program is funded by an appropriation \u201cfor a DNA analysis and capacity enhancement program and for other local, State, and Federal forensic activities.\u201d The broad appropriations language enables NIJ to allocate funding for a variety of forensic programs at funding levels established by the agency; however, congressional reports accompanying the appropriation have directed that OJP make funding for DNA analysis and capacity enhancement a priority. CEBR awards can be used to enhance capacity and reduce backlogs at government labs that analyze crime scene DNA evidence and/or process offender DNA samples. NIJ defines a \u201cbacklogged\u201d request for analysis of crime scene evidence as a request that has not been completed within 30 days of receipt in the laboratory.", "CEBR is a formula grant program that dates back to 2004. Grant awards are made non-competitively to states and units of local government based on a formula set by DOJ that allocates certain amounts to each state. This formula takes into account each state\u2019s population and associated crime, and guarantees a minimum amount for eligible applicants from each state. CEBR has broad participation from states and local jurisdictions. For instance, in 2017 OJP awarded $61 million in CEBR grants to 131 grantees in 49 states, the District of Columbia, and Puerto Rico."], "subsections": []}]}, {"section_title": "Preliminary Analysis of CEBR Data Show that the Backlog of Requests for Crime Scene DNA Analysis Is Increasing and Stakeholders Attribute This to Various Factors", "paragraphs": ["Our preliminary analysis of CEBR grant program data show that the backlog of requests for crime scene DNA analysis has increased by 77 percent from 2011 through 2016, and that demand for such DNA analysis has outpaced laboratory capacity. In our review, we identified numerous factors that have contributed to an increased demand for DNA analysis beyond laboratories\u2019 capacities, including scientific advancements in DNA analysis technology and state laws requiring testing of certain DNA evidence."], "subsections": [{"section_title": "Preliminary Analysis of CEBR Data Show an Increasing Backlog for Crime Scene DNA Analysis at Laboratories among CEBR Grantees, though Backlogs Vary Among Individual Labs", "paragraphs": ["We found that, among CEBR grantees, the reported aggregated backlog of requests for crime scene DNA analysis has increased by 77 percent from 2011 through 2016. As part of the grant application process, NIJ requires applicants for CEBR grants to provide data from all labs in their jurisdiction, even if certain labs will not be using CEBR funds. NIJ does this to assist in understanding nationwide trends in DNA analysis backlogs. The reported growth in the aggregate backlog among CEBR grantees is the result of labs receiving more requests than they were able to complete over time, as shown in the figure below.", "Although reported aggregate trends show an increase in the backlog among CEBR grantees, the data also reveal that this increase is not uniform across all labs. For example, among the 118 grantees for which we had data from 2011 through 2016, 30 grantees (25 percent) reported an overall decrease in the backlog. In addition, data from CEBR grantees show differences in the average time it takes to process requests (turnaround time) among grantees. Stakeholders also stated, and NIJ has reported, that labs generally have shorter average turnaround times for requests associated with violent crimes than for requests associated with non-violent crimes\u2014because labs generally prioritize requests associated with violent crimes. For our ongoing review, we continue to analyze CEBR data and data from other sources pertaining to this issue."], "subsections": []}, {"section_title": "Various Factors, Such as Scientific Advancements, Have Increased Demand for DNA Analysis Beyond Laboratories\u2019 Capacities", "paragraphs": ["Based on a review of a selection of studies and discussions with DNA evidence stakeholders, we identified the following factors that are reported to have contributed to an increased demand for crime scene DNA analysis beyond laboratories\u2019 capacities. As a result, these factors are believed to have helped contribute to increased backlogs: Recent scientific advancements have increased the quality of DNA analysis by allowing lab analysts to obtain DNA profiles from smaller amounts of biological evidence. This has increased the amount of evidence that is eligible to be analyzed and, as a result, has increased the demand for DNA testing.", "One DNA evidence stakeholder was able to produce preliminary data demonstrating that, as a general trend, labs that decreased their turnaround time saw corresponding increases in requests from law enforcement. Other DNA stakeholders, including NIJ, made similar observations.", "Increased awareness among law enforcement and the public Increased awareness among law enforcement officers of the value of DNA analysis in solving current and older cases has led to law enforcement agencies submitting more DNA evidence to labs for analysis. Further, NIJ and other stakeholder officials we interviewed stated that the volume of DNA profiles in CODIS has increased significantly over recent years. This, in turn, increased the usefulness of DNA evidence in testing suspect DNA profiles against a well-populated database of existing offenders. This usefulness has increased awareness among law enforcement personnel of CODIS, which contributes to increased demand for DNA analysis, thereby contributing to the backlog. Additionally, when deciding whether to submit DNA evidence for analysis, law enforcement and prosecutors may consider jurors\u2019 expectations that DNA analysis is presented.", "Recent legislation requiring Sexual Assault Kit (SAK) analysis State legislation requiring SAK analysis has caused an increase in demand for DNA analysis. As of July 2018, we identified at least 25 states that have enacted laws requiring law enforcement to submit for testing SAKs that come into law enforcement possession. Eleven of these states also required the submission for testing of previously untested SAKs. Twenty-one of these laws were passed in 2014 or later.", "In addition to the factors that have contributed to increased demand, resource challenges and constraints on lab capacity are reported to have helped contribute to crime scene evidence backlogs. State and local labs generally receive appropriations from state or local governments and are subject to local funding priorities. Federal grants can help, but even combined federal and jurisdictional funding may not increase lab capacity enough to keep up with increases in demand. Additionally, these labs report facing lengthy hiring and training processes for forensic analysts, and often lose staff to private or federal labs which may offer higher pay, further limiting lab capacity for completing analysis."], "subsections": []}]}, {"section_title": "Preliminary Results Show that DOJ Has Not Clearly Defined and Documented CEBR Grant Program Goals", "paragraphs": ["DOJ\u2019s NIJ has not defined CEBR program-wide goals in clear, specific, and measurable terms. We identified statements in NIJ and CEBR program documentation that communicated program-wide goals, but the documentation did not consistently identify the same goals or cite the same number of goals. For example, a stated goal of improving the quality of DNA testing was included in only 2 of 4 NIJ documents we reviewed. In addition, NIJ officials verbally clarified that the CEBR program has two goals, (1) to increase laboratory capacity for DNA analysis, and (2) to reduce backlogs of DNA evidence awaiting analysis. These differences can be seen across goal statements outlined in various NIJ sources as shown in table 1 below.", "NIJ officials acknowledged that they do not have documentation that further defines the goals of the program in clear, specific, and measurable terms. These goals are specified as increasing laboratory capacity for DNA analysis and reducing backlogs of DNA evidence awaiting analysis. Officials provided an explanation as to what the goals mean. Specifically, officials stated that: Increasing lab capacity refers to increasing samples analyzed, reducing processing times, and increasing the number of DNA profiles uploaded into CODIS\u2014all while either maintaining or increasing the quality of DNA analysis at labs.", "Reducing backlogs refers to reducing the number of backlogged requests awaiting analysis by more than the number of requests that become backlogged during the same timeframe. Officials stated that although they believe the goal of reducing the crime scene evidence backlog is unachievable in the foreseeable future, they have kept it as a program goal because each year it is included in the appropriation language that supports the program.", "However, these clarifications and definitions are not available in CEBR documentation, which is an indication that NIJ may not be using clear, specific, and measurable goals to guide program development or assess progress.", "We continue to evaluate CEBR program goals and we are in the process of evaluating related CEBR performance measures as part of our ongoing work."], "subsections": []}, {"section_title": "Preliminary Analysis Shows that OJP Has Established Controls for Conflicts of Interest Related to CEBR Grants, but Has Not Fully Established Controls Related to Lobbying", "paragraphs": ["Our preliminary results show that OJP has controls to implement federal requirements associated with conflicts of interest and some controls related to lobbying that apply to both OJP CEBR grant administrators as well as recipients of grant funding; however, OJP has not fully established all appropriate controls related to lobbying."], "subsections": [{"section_title": "OJP Has Established Controls for Conflicts of Interest Related to CEBR Grants", "paragraphs": ["We found that OJP has established controls to implement federal conflicts of interest requirements that apply to OJP employees administering CEBR grants and CEBR grantees. For example, federal law prohibits government employees from participating personally and substantially in particular government matters, such as the administration of federal grants, which could affect their financial interests. We found that OJP has established an agency-wide ethics program and uses tools such as the DOJ Ethics Handbook and annual financial disclosure reports, among others, to help employees and their supervisors to determine whether they have potential conflicts of interest. See table 2 below for a list of the federal conflicts of interest requirements we identified, as well as our preliminary assessment of related OJP controls to ensure that the requirements are met."], "subsections": []}, {"section_title": "OJP Has Some Controls for Lobbying as They Apply to Recipients of CEBR Grant Funds, but Has Not Fully Established All Appropriate Controls", "paragraphs": ["We found that OJP has established some controls related to lobbying but has not fully established controls needed to meet applicable requirements. Specifically, federal law sets forth several requirements related to lobbying \u201ccertification\u201d and \u201cdisclosure.\u201d Lobbying certification refers to agreeing not to use appropriated funds to lobby, and lobbying disclosure refers to disclosing lobbying activities with respect to the covered federal action paid for with nonappropriated funds. Federal regulation requires recipients of all federal awards over $100,000 to file certification documents and disclosure forms (if applicable) with the next tier above, and to forward those same forms from the tier below if they issue subawards for $100,000 or more. In the case of CEBR grants, tiers include OJP, grantees, subgrantees, contractors under grantees and subgrantees, and subcontractors. Subawards include subgrants, contracts under grants or subgrants, and subcontracts.", "We found that OJP had established controls to obtain lobbying certification documents and disclosure forms from grantees, but had not fully established controls to ensure grantees obtain these documents from tiers below them, see table 3 below.", "OJP has established mechanisms to ensure it obtains lobbying certification documents and disclosure forms from grantees. Specifically, according to OJP, it requires that grant applicants electronically agree to the certification document during the application process; if applicants do not agree to it, they cannot move on in the process. OJP also requires that applicants submit the lobbying disclosure form as part of the grant application process. Upon submission, a grant manager reviews the form for completeness and content and checks a box in an application review checklist.", "However, OJP has only partially established a mechanism to ensure that, for subawards over $100,000 (1) CEBR grantees obtain certification documents and disclosure forms, as applicable, from tiers below them, and (2) disclosure forms are forwarded from tier to tier until received by OJP. Specifically, OJP requires grant applicants to agree to the certification document set forth in regulation. This certification document, in turn, lists certification and disclosure requirements, and states that, \u201cThe undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose accordingly.\u201d However, the certification document does not state in clear terms what the specific requirements of the regulation are or how they are to be carried out.", "OJP attorneys responsible for overseeing their implementation were not aware of specific requirements in the regulation. For example, they were not aware that disclosure forms were required to be forwarded from tier to tier until received by OJP. Additionally, 3 of 4 CEBR grantees we spoke with were not aware of one or more of these requirements.", "Lastly, we found that OJP does not provide guidance to grantees to ensure they understand the requirements nor does OJP follow-up with grantees to ensure they are implementing them. The statute requires that federal agencies \u201ctake such actions as are necessary to ensure that the are vigorously implemented and enforced in agency.\u201d As part of our ongoing work, we will continue to monitor and assess OJP\u2019s compliance with statute and regulations related to grantee, subgrantee, and contractor lobbying disclosure requirements and make recommendations, as appropriate.", "Chairman Grassley, Ranking Member Feinstein, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgements", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact Gretta L. Goodwin, Director, Homeland Security and Justice at (202) 512-8777 or GoodwinG@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this testimony included Dawn Locke (Assistant Director), Adrian Pavia (Analyst-in-Charge), Stephanie Heiken, Jeff Jensen, Chuck Bausell, Daniel Bibeault, Pamela Davidson, Eric Hauswirth, Benjamin Licht, Samuel Portnow, Christine San, Rebecca Shea, Janet Temko-Blinder, and Khristi Wilkins.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Many state and local crime labs across the country have backlogs of requests for DNA analysis of crime scene evidence.", "Since 2011, the Department of Justice has awarded nearly $500 million to states and localities through a grant program to help reduce DNA evidence backlogs.", "This testimony covers preliminary observations and analyses from our ongoing review of the program. For example, we found that backlogs are growing as several factors increase demand for DNA analysis. Also, labs may not have the resources to keep up with demand."]} {"id": "GAO-18-576T", "url": "https://www.gao.gov/products/GAO-18-576T", "title": "NASA Major Projects: Portfolio Is at Risk for Continued Cost Growth and Schedule Delays", "published_date": "2018-06-14T00:00:00", "released_date": "2018-06-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO designated NASA's acquisition management as a high-risk area in 1990 after a history of persistent cost growth and schedule slippage in many of NASA's major projects. In more recent years, GAO found that NASA had taken some steps to improve its management, and, in May 2017, GAO found that projects were continuing a generally positive trend of limiting cost and schedule growth. But at the same time, GAO noted that many of these projects, including some of the most expensive ones, were approaching the phase in their life cycles when cost and schedule growth is most likely.", "This statement summarizes GAO's 2018 findings from its 10th annual snapshot of how well NASA is planning and executing its major acquisition projects, and describes (1) the cost and schedule performance of NASA's portfolio of major projects and (2) the extent to which NASA faces risks for further cost increases and schedule delays. To conduct its review for the 2018 report, GAO-18-280SP , GAO analyzed cost, schedule, and other data for NASA's 26 major projects, each with a life-cycle cost of over $250 million; reviewed monthly project status reports; and interviewed NASA officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The cost and schedule performance of the National Aeronautics and Space Administration's (NASA) portfolio of major projects has deteriorated, but the extent of cost performance deterioration is unknown. NASA expects cost growth for the Orion crew capsule\u2014one of the largest projects in the portfolio\u2014but does not have a current cost estimate. In addition, the average launch delay for the portfolio was 12 months, the highest delay GAO has reported in its 10 years of assessing major NASA projects (see figure below).", "The deterioration in portfolio performance was the result of 9 of the 17 projects in development experiencing cost or schedule growth.", "Four projects encountered technical issues that were compounded by risky program management decisions. For example, the Space Launch System and Exploration Ground Systems programs are large-scale, technically complex human spaceflight programs, and NASA managed them to aggressive schedules and with insufficient levels of cost and schedule reserves. This made it more difficult for the programs to operate within their committed baseline cost and schedule estimates.", "Two projects ran into technical challenges that resulted in delays in the integration and test phase. For example, in December 2017, GAO found that the James Webb Space Telescope project encountered delays primarily due to the integration of the various spacecraft elements taking longer than expected, as well as the need to resolve technical issues during testing. GAO has previously found that integration and testing is when projects are most at risk of incurring cost and schedule growth.", "Three projects experienced cost growth or schedule delays due to factors outside of the projects' control, such as delays related to their launch vehicles.", "NASA continues to face increased risk of cost and schedule growth in future years due to new, large and complex projects that will enter the portfolio and expensive projects remaining in the portfolio longer than expected."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations in this statement. GAO has made recommendations in prior reports to strengthen NASA's acquisition management of its major projects. NASA generally agreed with these recommendations, but has not fully addressed some of them. GAO continues to believe they should be fully addressed."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for inviting me to discuss the cost and schedule performance of the National Aeronautics and Space Administration\u2019s (NASA) portfolio of major acquisition projects. NASA\u2019s major projects are the key enablers for the agency to achieve its vision and its mission. They include NASA\u2019s Space Launch System (SLS) and Orion Multi-Purpose Crew Vehicle (Orion), which are the centerpieces of NASA\u2019s human exploration plans; Mars 2020 and Europa Clipper, which will further our understanding of the habitability of other planets; and the Ice, Cloud, and Land Elevation Satellite-2 (ICESat-2), which will provide better data on changes in the Earth. In its fiscal year 2019 budget request, NASA requested $19.9 billion, which included about $4.5 billion for its deep space exploration programs and research and about $6 billion for science programs and research. As these projects are complex and specialized, and often push the state of the art in space technology, NASA manages a portfolio that will always have inherent technical, design, and integration risks.", "We have been assessing the cost and schedule performance of NASA\u2019s major projects\u2014those that have a life-cycle cost over $250 million\u2014 annually for 10 years. Over this time, we have seen NASA make progress in reducing acquisition risks, such as by improving cost and schedule estimating tools, and establishing design metrics and tracking projects against the metrics. But our most recent assessment in May 2018 found that the cost and schedule performance of the portfolio deteriorated after several years of following a generally positive trend of limiting cost and schedule growth.", "My statement today is based primarily upon our May 2018 report. Specifically, I will discuss (1) the cost and schedule performance of NASA\u2019s portfolio of major projects and (2) the extent to which NASA faces risks for continued cost increases and schedule delays. To conduct this work, we collected cost and schedule information from NASA\u2019s major projects using a data collection instrument, analyzed projects\u2019 monthly status reports, interviewed NASA project and headquarters officials, and reviewed project documentation. At the time of our review, there were 26 major projects in total, but the information available depended on where a project was in its life cycle. For the 17 projects that were in the implementation phase, we compared current cost and schedule estimates to their original cost and schedule baselines. We reviewed historical data on cost and schedule performance for major projects from our prior reports and compared them to the performance of NASA\u2019s current portfolio of major projects. More detailed information on our objectives, scope, and methodology for that work can be found in our May 2018 report. In addition, we requested and received an update from NASA in early June 2018 on whether the agency had completed a new life-cycle cost estimate for the Orion program. We also updated the actual launch date for the Gravity Recovery and Climate Experiment Follow-On (GRACE-FO) project and updated information on the launch date for the Ionospheric Connection Explorer (ICON) project.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "NASA Acquisition Life Cycle for Space Flight Projects", "paragraphs": ["The life cycle for NASA space flight projects consists of two phases\u2014 formulation, which takes a project from concept to preliminary design, and implementation, which includes building, launching, and operating the system, among other activities. NASA further divides formulation and implementation into phases, phase A through phase F. Major projects must get approval from senior NASA officials at key decision points before they can enter each new phase. Formulation culminates in a review at key decision point C, known as project confirmation, where cost and schedule baselines are established and documented in a decision memorandum. Figure 1 depicts NASA\u2019s life cycle for space flight projects.", "At the time of our review in May 2018, NASA had a portfolio of 26 major projects (see table 1). See appendix I for a brief description of each project."], "subsections": []}, {"section_title": "NASA Acquisition Management as a High- Risk Area", "paragraphs": ["NASA acquisition management is an area that we monitor on our high- risk list. Our high-risk series is a biennial report that keeps focused attention on government operations with greater vulnerabilities to fraud, waste, abuse, and mismanagement or that are in need of transformation to address economy, efficiency, or effectiveness challenges. In 1990, we first designated the area as high risk because there was little emphasis on end results, product performance, and cost control; the acquisition process itself was cumbersome and time-consuming; and NASA found itself procuring expensive hardware that did not work properly. For example, in April 1990, NASA deployed the $1.5 billion Hubble Space Telescope and soon after, the agency discovered that the primary mirror had been manufactured in the wrong shape, severely degrading some of the telescope\u2019s scientific capabilities.", "Subsequently, we and other organizations, including the National Academy of Sciences and NASA\u2019s Office of the Inspector General, found that NASA\u2019s cost estimates were overly optimistic. Our reviews also found that NASA continued to experience significant cost and schedule growth due, in part, to not having a disciplined cost estimating process.", "In 1992, we reviewed the cost and schedule performance of 29 NASA programs and found that 25 of those programs experienced cost growth that ranged from 14 to 426 percent above their initial estimates. Further, the median estimate change for all programs was an increase of 77 percent. General reasons that NASA provided for the cost growth included insufficient definition studies, program and funding instability, overly optimistic assumptions by program officials, and unrealistic contractor estimates. The more specific reasons for the cost growth we found included program redesigns, technical complexities, budget constraints, and incomplete cost estimates.", "In 2004, we reviewed the cost and schedule performance of 27 NASA programs and found that 17 of the programs experienced cost growth. Cost growth for 10 of the 17 programs was over 25 percent.", "We found that considerable change in NASA\u2019s program cost estimates\u2014both increases and decreases\u2014indicated that NASA lacked a clear understanding of how much its programs cost and how long they will take to achieve their objectives. Further, we found that NASA\u2019s basic cost-estimating processes\u2014an important tool for managing programs\u2014lacked the discipline needed to ensure that program estimates are reasonable.", "In more recent years we have found that NASA\u2019s leadership was focused on improving acquisition outcomes and had taken some steps to improve its management.", "In 2006, NASA established a management review process to enable NASA\u2019s senior management to more effectively monitor a project\u2019s performance, including cost, schedule, and cross-cutting technical and nontechnical issues.", "In 2009, NASA began requiring that NASA major programs and projects develop a joint cost and schedule confidence level (JCL) prior to project confirmation in order to ensure that cost and schedule estimates were realistic and projects thoroughly planned for anticipated risks. The JCL is a point-in-time estimate that, among other things, includes all cost and schedule elements, incorporates and quantifies known risks, assesses the impacts of cost and schedule to date, and addresses available annual resources. NASA policy generally requires that projects be baselined and budgeted at the 70 percent confidence level.", "In 2012, the agency established metrics to more consistently measure a project\u2019s design progress and, in 2014, we found that most major projects in the portfolio were tracking and reporting those metrics. In addition, experts with whom we met confirmed that NASA\u2019s metrics are valid measures to assess design maturity in space systems.", "Since 2015, we have observed a positive trend of higher numbers of projects maturing technologies prior to preliminary design review. Demonstrating that technologies will work as intended in a relevant environment serves as a fundamental element of a sound business case, and projects falling short of this standard often experience subsequent technical problems. Our best practices work has shown that maturing technologies prior to preliminary design review can minimize risks for projects entering development, which lowers the risk of subsequent cost growth and schedule delays.", "We believe that many of these steps NASA has taken contributed to the largely positive trend of cost and schedule performance for NASA\u2019s portfolio of major projects between 2013 and 2017. In our May 2017 assessment of major projects, we found that out of 16 projects in development, 5 experienced cost growth and 4 experienced schedule delays over their development cost and schedule baselines. Both of these measures were at or near the lowest levels we have reported since we began our annual assessments in 2009.", "However, we also found in our February 2017 high risk update that NASA needed to do more with respect to anticipating and mitigating risks\u2014 especially with regard to large programs, estimating and forecasting costs for its largest projects, and implementing management tools. We highlighted several actions that would be critical to improving NASA\u2019s acquisition outcomes, including the following:", "Ensuring that NASA conducted adequate and ongoing assessments of risks for larger programs because the impacts of any potential miscalculations will be felt across NASA\u2019s portfolio.", "Ensuring that NASA understood long-term human exploration program costs. While the three major human exploration programs\u2014 Orion, SLS, and the Exploration Ground Systems (EGS)\u2014have been baselined, none of the three programs has a baseline that covers activities beyond the second planned flight. Long-term estimates, which could be revised as potential mission paths are narrowed and selected, would provide decision makers with a more informed understanding of costs and schedules associated with potential agency development paths.", "Ensuring that program offices regularly and consistently updated their JCL across the portfolio. As a project reaches the later stages of development, especially integration and testing, its risk posture may change. An updated project JCL would provide both project and agency management with data on relevant risks that can guide project decisions.", "Ensuring that NASA continued its efforts to build capacity in areas such as cost and schedule estimating and measuring contractor performance.", "Further, in our 2016 and 2017 assessments of major projects, we found that while the cost and schedule performance of NASA\u2019s portfolio was improving, a number of large, complex projects were in or would soon be entering the integration and test phase\u2014the phase in development that often reveals unforeseen challenges that can lead to cost and schedule growth. In May 2017, projects in this phase included all three human spaceflight programs and the James Webb Space Telescope (JWST). Subsequently, we found that these programs experienced delays during this phase of development. For example, in December 2017, NASA announced a 13- to 19-month delay for the first integrated mission of Orion, SLS, and EGS. This mission is referred to as Exploration Mission 1 (EM-1) and will not have crew. In addition, in December 2017, we found that the JWST project continued to make progress towards launch, but the program was encountering technical challenges that required both time and money to fix and may lead to additional delays. Subsequently, the JWST project delayed its launch readiness date by at least 19 months from October 2018 to May 2020."], "subsections": []}]}, {"section_title": "Portfolio Cost and Schedule Deteriorated but Extent of Cost Growth Is Unknown", "paragraphs": ["The cost and schedule performance of NASA\u2019s portfolio of major projects deteriorated between May 2017 and May 2018, but the extent of cost growth is unknown. NASA lacks a current cost estimate for its Orion crew capsule\u2014one of the largest programs in the portfolio\u2014but expects the program will exceed its cost baseline when NASA updates the program\u2019s life-cycle cost estimate. Because the Orion program accounts for about 22 percent of all development costs, even a small percentage of cost growth for the Orion program could significantly affect portfolio cost performance. The known negative cost and schedule performance is largely driven by the cost and schedule growth of four projects\u2014SLS, EGS, Space Network Ground Segment Sustainment (SGSS) and Mars 2020\u2014that experienced technical problems compounded by programmatic challenges. Together, these projects experienced $638 million in cost growth and 59 months in aggregate schedule delays. Two projects\u2014JWST and ICESat-2\u2014experienced schedule delays due to technical challenges identified during integration and test. Another 3 projects\u2014NASA Indian Space Research Organisation Synthetic Aperture Radar (NISAR), ICON, and GRACE-FO\u2014experienced cost growth or delays largely due to factors outside of the projects\u2019 control, such as launch vehicle delays."], "subsections": [{"section_title": "Portfolio Average Launch Delays Increased, but NASA Lacks a Current Orion Program Cost Estimate to Determine Extent of Cost Growth", "paragraphs": ["The average launch delay increased from 7 months in our May 2017 report to 12 months in our May 2018 report\u2014the highest schedule delay we have reported to date. We were not able to determine the extent of portfolio cost growth this year because NASA does not have a current cost estimate for the Orion program\u2014one of the largest programs in its portfolio\u2014and officials expect the cost to increase. As of June 2017, the Orion program\u2019s development cost was about $6.6 billion; based on that estimate, it accounts for 22 percent of the portfolio\u2019s estimated $30.1 billion of development costs. As a result, a small percentage of cost growth for the Orion program could significantly affect cost performance. Even without including Orion cost growth, the overall development cost growth for the portfolio of 17 development projects increased to 18.8 percent, up from 15.6 percent in 2017 (see figure 2).", "Senior-level NASA officials told us they expect that the Human Exploration and Operations Mission Directorate and the Orion program will complete an updated life-cycle cost estimate in June 2018. This would be approximately 10 months after the program raised to senior-level officials\u2019 attention that the program expects cost growth over its cost baseline during an August 2017 briefing concerning potential cost increases related to the launch delay for EM-1. In early June 2018, NASA officials said that they had not yet completed the updated life-cycle cost estimate.", "In our May 2018 report, we found that 7 of 17 NASA major projects had stayed within cost and schedule estimates since our 2017 annual assessment of major projects, but 9 projects experienced cost growth or schedule delays and cost growth is expected for the Orion program. Table 2 provides data on the cost and schedule performance between our May 2017 and 2018 reports for the 17 major projects in development that have cost and schedule baselines.", "The deteriorating cost and schedule performance of the portfolio in 2018 is the result of four projects\u2014SLS, EGS, SGSS, and Mars 2020\u2014addressing technical challenges that were compounded by risky programmatic decisions; two projects\u2014JWST and ICESat-2\u2014experiencing delays due to technical challenges identified during integration and test; and three projects\u2014NISAR, ICON, and GRACE-FO\u2014experiencing cost growth or delays largely due to factors outside of the projects\u2019 control.", "We elaborate on these three scenarios below.", "Technical challenges compounded by risky programmatic decisions. Together, SLS, EGS, SGSS, and Mars 2020 experienced $638 million in cost growth and 59 months in aggregate schedule delays due to technical problems that were compounded by programmatic challenges since our May 2017 report. The SLS and EGS programs experienced cost growth and schedule delays associated with EM-1, their first combined mission along with the Orion program. We have found for several years that the human spaceflight programs\u2014Orion, SLS, and EGS\u2014are making progress maturing designs and building hardware, but also are experiencing some significant engineering and manufacturing challenges. For example, the SLS program ran into numerous challenges completing the welding of its core stage element in 2017. The program stopped welding on the core stage for months to identify and resolve low weld strength in the liquid oxygen and liquid hydrogen tanks due to low weld strength measurements found in the liquid oxygen tanks caused by a program and contractor decision to change the weld tool configuration during fabrication. The EGS program also experienced technical challenges, including with the design and installation of the ground support equipment and the 10 umbilicals that connect SLS and Orion to the Mobile Launcher\u2014which supports the assembly, testing, and servicing of SLS and provides the platform on which SLS and Orion will launch.", "Finally, although the Orion program has not yet reported cost growth, it also experienced technical challenges. These challenges included software and hardware delays, and at least 14 months of delays with the European Service Module\u2014which provides air, water, power, and propulsion to Orion during in-space flight\u2014since the element\u2019s critical design review in June 2016. In April 2017, we found that, according to program officials, the delays with the service module were largely due to NASA, the European Space Agency, and the European Space Agency contractor underestimating the time and effort necessary to address design issues for the first production service module and the availability of parts from suppliers and subcontractors. NASA expects the Orion program to experience cost growth over its cost baseline to the second combined mission, Exploration Mission 2 (EM-2). However, the extent of the growth is unknown because, as noted above, NASA is currently revising the program\u2019s life-cycle cost estimate.", "Technical challenges such as these are not unusual for large-scale programs, especially human exploration programs that are inherently complex and difficult. However, we have found that NASA has made programmatic decisions\u2014including establishing low cost and schedule reserves, managing to aggressive schedules, and not following best practices for earned value management or creating reliable cost and schedule baselines\u2014that have compounded the technical challenges (see table 3). As a result, the three human spaceflight programs have been at risk of cost and schedule growth since NASA approved their baselines.", "In December 2017, NASA announced the new internal launch readiness date for EM-1 is now December 2019, and has allocated 6 months of schedule reserve available to extend the date to June 2020 for possible manufacturing and production schedule risks. This represents a delay of 13-19 months for EM-1. It is too soon to know if NASA has addressed the programmatic challenges identified above. We will continue to follow up through future reviews.", "Similarly, the SGSS project experienced new cost growth of $59.5 million and delayed its completion by 21 months. Project officials attributed the cost growth and delays to the contractor\u2019s incomplete understanding of its requirements, which led to poor contractor plans and late design changes. But project management has been a challenge as well. The project has historically struggled to manage contractor performance and has faced both contractor and project staffing shortfalls, as we found in our prior reports starting in 2013. For example, NASA managers noted concerns with contractor plans and staffing estimates in 2013 during project confirmation. In March 2015, we found that the project was being rebaselined due to the contractor\u2019s poor cost and schedule performance and in order to conform with limitations that NASA placed on the funding available to the contractor in fiscal years 2014 and 2015. The contractor was also operating with a limited number of staff at that time. In May 2017, we found that the project continued to experience contractor performance problems and had experienced cost growth and schedule delays over the 2015 rebaseline even as the project decreased its scope. In addition, the project experienced staff shortfalls in key areas, such as systems engineering and business management.", "The Mars 2020 project experienced $12.9 million in development cost growth, but no schedule delays. The cost growth was primarily due to technical challenges on a technology demonstration instrument and higher than anticipated integration costs for an entry, descent, and landing instrument. Both instruments are funded by the Human Exploration and Operations and Space Technology Mission Directorates. NASA officials attributed the cost growth of the technology demonstration instrument\u2014which is designed to convert carbon dioxide to oxygen\u2014to the complexity of the technology development for the effort. At the project\u2019s preliminary design review in February 2016, a critical technology for the technology demonstration instrument did not meet the recommended level of maturity, which we have found can increase risk for systems entering product development. The project had matured the technology to this recommended level by its critical design review in February 2017. However, as a result of the focus on maturing this particular technology, other components of the instrument fell behind the planned schedule. Project costs for Mars 2020 also increased for an entry, descent, and landing instrument, due, in part, to cost increases for integration and to add additional staff to the instrument team to maintain schedule.", "Finally, the Radiation Budget Instrument project would have likely exceeded its cost baseline if NASA had not decided to cancel the project in January 2018. According to NASA\u2019s cancellation memorandum, the project was canceled because of continued cost growth, technical issues, and poor contractor performance. In 2017, we found that the project was working to an aggressive schedule, and the prime contractor continued to experience cost overruns even after NASA added a deputy project manager and increased site visits and meetings with the contractor. Subsequently, the project\u2014which was developing an instrument to be hosted on a National Oceanic and Atmospheric Administration satellite\u2014 determined that it would not be able to meet its delivery date for integration with the satellite without requiring additional funding in excess of the project\u2019s cost baseline if other technical issues arose. In its cancellation memorandum, NASA stated continuing to fund the project from within the Earth Science Division budget would slow other important activities.", "Technical challenges identified during integration and test. The JWST and ICESat-2 projects experienced technical challenges during integration and test that delayed their schedules. Both projects were previously rebaselined before entering system-level integration and testing, and the current schedule delays are beyond the new schedules that NASA set for the projects in 2011 for JWST and in 2014 for ICESat- 2.", "The JWST project delayed its launch readiness date by at least 19 months from October 2018 to May 2020. NASA announced two delays for the project since our portfolio-wide review in May 2017. First, as we found in February 2018, the project delayed its launch readiness date by up to 8 months primarily due to the integration of the various spacecraft elements taking longer than expected. Specifically, execution of spacecraft integration and test tasks, due to complexity of work and cautious handling given the sensitivity of flight hardware, was slower than planned. In addition, before the delay, the project used all of its schedule reserves to its prior launch readiness date. This was the result of various contractor workmanship errors, particularly with respect to the spacecraft propulsion systems, as well as the resolution of various technical issues, including a test anomaly on the telescope and sunshield hardware challenges. Second, in March 2018, NASA announced that it had delayed the project\u2019s launch readiness date by an additional 11 months to approximately May 2020 and planned to establish an external independent review board to analyze the project\u2019s organizational and technical issues to inform a more specific launch time frame.", "The announcement also stated that after a new launch date is established, NASA would provide a new cost estimate that may exceed the $8 billion congressional cost cap that was established in 2011. NASA plans to finalize the project\u2019s cost and schedule estimate by the end of June 2018. Because the additional delays were announced while a draft of our May 2018 report was with NASA for comment, we plan to follow up on the reasons for the additional delays and the results of the analysis in a future review.", "In our prior assessments of JWST, we have made recommendations with regard to improving cost and schedule estimating, updating risk assessments, and strengthening management oversight. NASA has generally agreed and taken steps to implement a number of our recommendations. For example, in December 2015, we recommended that the JWST project require contractors to identify, explain, and document anomalies in contractor-delivered monthly earned value management reports. NASA concurred with this recommendation and, in February 2016, directed the contractors to implement the actions stated in the recommendation. However, NASA did not implement some recommendations, which if implemented, may have provided insight into the challenges it now faces. For example, in December 2012, we recommended the JWST project update its JCL. Although NASA concurred with this recommendation, it did not take steps to implement it. An updated JCL may have portended the current schedule delays, which could have been proactively addressed by the project.", "The ICESat-2 project delayed its launch readiness date by 4 months from June to October 2018 due to technical issues with its only instrument, the Advanced Topographic Laser Altimeter System. A key part in the instrument\u2019s lasers failed during instrument environmental testing, which delayed the project\u2019s system integration review\u2014the start of system-level integration and test. The manufacturer determined the primary cause of the anomaly was a flaw in the design of the mount that ensures a component of the optical module remains in a specific, precise position. The spare flight laser encountered the same problem during earlier testing, which indicated a systemic problem. The project redesigned and repaired the lasers and is proceeding through integration and test.", "External factors. External factors\u2014including responding to requests for additional data collection and delays due to launch-vehicle related issues\u2014contributed to cost increases or schedule delays for the NISAR, ICON, and GRACE-FO projects.", "The NISAR project experienced cost growth as the result of an increase in the scope of data collection in response to additional data needs being identified by an interagency working group. The additional data include soil moisture and natural hazard data that would be of value for other federal agencies and the science community. NASA officials said the additional funding for development would be used to upgrade the ground stations so that they can receive the additional data at a higher downlink data rate and volume.", "The ICON project missed its committed launch readiness date because of an accident involving its launch vehicle. In January 2017, two of the Pegasus launch vehicle\u2019s three stages were involved in a transport accident. The stages were subsequently returned to the launch vehicle contractor facility for inspection and testing, and no damage was found. The project had been on track to launch early. Subsequently, in September 2017, an anomaly found in testing of the launch vehicle bolt cutter assemblies resulted in additional delays. NASA had planned to launch ICON in mid-June 2018, but recently announced a delay after off-nominal data was observed from the rocket during transit to the launch site. NASA announced a new launch date would be determined at a later date.", "The GRACE-FO project delayed its launch readiness date from February to May 2018 due to issues with its planned launch vehicle and launch site. The launch vehicle is the responsibility of NASA\u2019s partner on the project\u2014German Research Centre for Geosciences (GFZ). GRACE-FO had planned to launch at a Russian launch site. In February 2016, GFZ reported that it was notified by the Russian Federal Space Agency that the Dnepr launch vehicle was no longer available for GRACE-FO. GFZ, in June 2016, arranged to launch the two GRACE-FO spacecraft, along with commercial satellites, on a SpaceX Falcon 9. On May 22, 2018, GRACE-FO launched from Vandenberg Air Force Base in California.", "In addition, the Commercial Crew Program also experienced delays, which are not included above because the program does not have a schedule baseline. Since the award of the current Commercial Crew contracts in September 2014, the program, Boeing, SpaceX, and multiple independent review bodies have all identified the contractors\u2019 delivery schedules as aggressive. In February 2017, we found that Boeing and SpaceX had determined that neither could meet their original 2017 dates for NASA to certify their systems for human spaceflight. In January 2018, we found that both contractors had notified NASA that final certification dates have slipped again and are now in the first quarter of calendar year 2019. The Commercial Crew Program\u2019s schedule analysis indicates that certification may be further delayed to December 2019 for SpaceX and February 2020 for Boeing."], "subsections": []}]}, {"section_title": "NASA Is Likely to Encounter Additional Cost Growth and Schedule Delays", "paragraphs": ["The composition of the portfolio in the coming years is expected to include large and complex projects, putting NASA at risk of continued cost increases and schedule delays. Specifically, NASA plans to have complex projects enter the development portfolio in the next few years as it holds confirmation reviews and set cost and schedule baselines. This includes the Europa Clipper project and potentially the Wide-Field Infrared Survey Telescope (WFIRST) project. In February 2018, the President\u2019s 2019 Budget Request proposed canceling the WFIRST project due to the project\u2019s significant costs and higher priorities in the agency. However, the project may continue if funding is received. Together, preliminary estimates indicate that these two projects could cost as much as $7.8 billion. In addition, NASA expects to begin other large, complex projects like the Lunar Orbital Platform-Gateway\u2014 currently being discussed as a space station or outpost in lunar orbit\u2014 and a Europa Lander project in the coming years. A December 2017 space policy directive also instructed NASA to return astronauts to the moon for long-term exploration and to pursue human exploration of Mars and the broader solar system.", "To its credit, NASA recently took steps to put a process in place to control the costs of two projects while in formulation, which may prove useful if properly executed.", "The Europa Clipper project implemented a process whereby cost growth threats would be offset by descoping instruments in whole or in part. For example, if an instrument exceeds its development cost by 20 percent, the project would propose a descope option to NASA that brings instrument cost below that threshold. NASA had not descoped any instruments as of our May 2018 report.", "The WFIRST project is responding to findings from an independent review that was conducted to ensure the mission\u2019s scope and required resources are well understood and executable. The review found that the mission scope is understood, but not aligned with the resources provided and concluded that the mission is not executable without adjustments and/or additional resources. For example, the study team found that NASA\u2019s current forecasted funding profile for the WFIRST project would require the project to slow down activities starting in fiscal year 2020, which would result in an increase in development cost and schedule. NASA agreed with the study team\u2019s results and directed the project to reduce the cost and complexity of the design in order to maintain costs within the $3.2 billion preliminary cost target.", "But even with these efforts, NASA\u2019s cost and schedule performance may be further tested in upcoming years as some expensive, complex projects linger in the portfolio longer than expected.", "As previously discussed, the Orion program expects cost growth and faces other schedule and technical risks as it moves through the integration and test phase for EM-1 into at least 2019 and then through 2023 for EM-2. As of August 2017, NASA officials expected that new hardware and addressing development challenges would be the factors contributing to increased cost for the program. For example, there was a cost impact when the program moved from a single-piece, or monolithic, heatshield design to one that employs blocks in order to improve its structural strength. Program officials said they are also assessing schedule delays for EM-2, and noted that the EM-2 launch date depends on the outcome of the EM-1 launch date.", "The SLS and EGS programs continue to face cost, schedule, and technical risks as they move through the integration and test phase into at least 2019. For example, SLS will have to complete a \u201cgreen run\u201d test which requires multiple first-time efforts. Specifically, the test is the culmination of the development effort and includes the core stage integration with its four main engines, fully fueling with cryogenic hydrogen and oxygen, and then firing all four engines for about 500 seconds. NASA currently has no schedule reserve to its target December 2019 launch readiness date for two key areas in the core stage schedule. First, there is no reserve between the end of core stage production and the delivery of the core stage to the test facility. Second, there is no reserve between the end of the testing and delivery to Kennedy Space Center for final integration and testing prior to launch.", "As previously discussed, the JWST project is at risk of exceeding its congressional cost cap, and faces schedule risks as it completes its remaining integration and test work. These activities have taken considerably longer than planned due to a variety of challenges, including reach and access limitations on the flight hardware. Additionally, the project faces significant work ahead. For example, the project must complete integration of spacecraft element hardware and conduct deployment and environmental tests of the integrated sunshield and spacecraft. Further, it must integrate the telescope element with the spacecraft element to form the JWST observatory, and complete another set of challenging environmental tests on the full integrated observatory. At the same time, the project will need to mitigate dozens of remaining hardware and software risks to acceptable levels and address the project\u2019s many potential single point failures to the extent possible.", "The SGSS project expects to experience additional cost growth through the final acceptance review because the full scope of the effort has not been included in the cost. NASA only approved its new cost estimate through the initial operational readiness review, currently planned for September 2019. A project official said NASA headquarters asked the project to determine if there are ways to reduce the cost between the operational readiness review and the final acceptance review. NASA plans to conduct an independent review of the project in mid-2018 to inform a decision on whether to continue the project past the operational readiness review. If NASA decides to continue the project past this review, additional cost growth is expected for SGSS when NASA revisits project costs through future budget cycles.", "In closing, NASA continues to make improvements to the acquisition management of its portfolio of major projects. However, the deterioration of the cost and schedule performance of NASA\u2019s portfolio this year and the likelihood of additional cost growth and schedule delays demonstrate the need for NASA to continue to take actions to further reduce acquisition risk as we and others have recommended. Continuing to improve cost and schedule estimating tools and practices\u2014such as by providing projects with sufficient cost and schedule reserves to address risks and unforeseen technical challenges and ensuring that program offices regularly and consistently update their JCLs across the portfolio\u2014 could help to better position NASA for improved outcomes. We look forward to continuing to work with NASA and this subcommittee in addressing these issues.", "Chairman Babin, Ranking Member Bera, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Cristina T. Chaplain, Director, Contracting and National Security Acquisitions at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this statement include Molly Traci, Assistant Director; Laura Greifner; Erin Kennedy; Miranda Riemer; Roxanna T. Sun; and Alyssa Weir."], "subsections": []}]}, {"section_title": "Appendix I: Descriptions of National Aeronautics and Space Administration Major Projects Reviewed in GAO\u2019s 2018 Assessment", "paragraphs": ["Appendix I: Descriptions of National Aeronautics and Space Administration Major Projects Reviewed in GAO\u2019s 2018 Assessment Project description The Commercial Crew Program facilitates and oversees the development of safe, reliable, and cost-effective crew transportation systems by commercial companies to carry NASA astronauts to and from the International Space Station. The program is a multi-phase effort that started in 2010. During the current phase, the program is working with two contractors\u2014 Boeing and SpaceX\u2014that will design, develop, test, and operate the crew transportation systems. Once NASA determines the systems meet its standards for human spaceflight\u2014a process called certification\u2014the companies will fly up to six crewed missions to the space station.", "The DART project plans to travel to the near-Earth asteroid Didymos, a binary system, and impact the smaller of the two bodies. NASA will assess the deflection result of the impact for potential future use on other potentially hazardous near-Earth objects. The project responds to near-Earth object guidance by the Office of Science and Technology Policy to better understand our impact mitigation posture, and to recommendations by the National Research Council Committee to conduct a test of a kinetic impactor. The DART mission is part of the Asteroid Impact and Deflection Assessment, which is an international collaboration with the European Space Agency.", "The Europa Clipper mission aims to investigate whether the Jupiter moon could harbor conditions suitable for life. The project plans to launch a spacecraft in the 2020s, place it in orbit around Jupiter, and conduct a series of investigatory flybys of Europa. The mission\u2019s planned objectives include characterizing Europa\u2019s ice shell and any subsurface water, analyzing the composition and chemistry of its surface and ionosphere, understanding the formation of its surface features, and surveying sites for a potential landed mission.", "The EGS program is modernizing and upgrading infrastructure at the Kennedy Space Center and developing software needed to integrate, process, and launch the Space Launch System (SLS) and Orion Multi-Purpose Crew Vehicle (Orion). The EGS program consists of several major construction and facilities projects including the Mobile Launcher, Crawler Transporter, Vehicle Assembly Building, and launch pad, all of which need to be complete before the first uncrewed exploration mission using the SLS and Orion vehicles.", "The GRACE-FO mission will continue and expand upon the 2002 GRACE mission, which ended science operations in October 2017. The system, which consists of two spacecraft working together to obtain scientific measurements, will provide high-resolution models of Earth\u2019s gravity field and insight into water movement on and beneath the Earth\u2019s surface for up to 5 years. These models will provide rates of ground water depletion and polar ice melt and enable improved planning for droughts and floods. GRACE-FO is a collaborative effort with the German Research Centre for Geosciences.", "The ICESat-2 mission is a follow-on mission to ICESat that will measure changes in polar ice-sheet mass and elevation. The measurements will provide researchers a better understanding of the mechanisms that drive polar ice changes and their effect on global sea level. ICESat-2\u2019s upgraded laser instrument will allow the satellite to make more frequent measurements and provide better elevation estimates over certain types of terrain than ICESat.", "InSight is a Mars lander with two primary objectives. It is intended to further understanding of the formation and evolution of terrestrial planets by determining Mars\u2019s size, its composition, and the physical state of the core; the thickness of the crust; and the composition and structure of the mantle, as well as the thermal state of the interior. It will also determine the present level of tectonic activity and the meteorite impact rate on Mars. InSight is based on the Phoenix lander design. Phoenix successfully landed on Mars in 2008.", "Project description The ICON observatory will orbit Earth to explore its ionosphere\u2014the boundary region between Earth and space where ionized plasma and neutral gas collide and react. Its four instruments will make direct measurements and use remote sensing to further researchers\u2019 understanding of Earth\u2019s upper atmosphere, the Earth-Sun connection, and the ways in which Earth weather drives space weather.", "JWST is a large, infrared-optimized space telescope designed to help understand the origin and destiny of the universe, the creation and evolution of the first stars and galaxies, and the formation of stars and planetary systems. It will also help further the search for Earth-like planets. JWST will have a large primary mirror composed of 18 smaller mirrors and a sunshield the size of a tennis court. Both the mirror and sunshield are folded for launch and open once JWST is in space. JWST will reside in an orbit about 1 million miles from the Earth.", "Landsat 9 is the next satellite in the Landsat series Program, which provides a continuous space-based record of land surface observations to study, predict, and understand the consequences of land surface dynamics, such as deforestation. The program is a collaborative, joint mission between NASA and the U.S. Geological Survey. The Landsat data archive constitutes the longest continuous moderate-resolution record of the global land surface as viewed from space and is used by many fields, such as agriculture, mapping, forestry, and geology.", "LCRD is a technology demonstration mission with the goal of advancing optical communication technology for use in deep space and near-Earth systems. LCRD will demonstrate bidirectional laser communications between a satellite and ground stations, develop operational procedures, and transfer the technology to industry for future use on commercial and government satellites. NASA anticipates using the technology as a next generation Earth relay as well as to support near-Earth and deep space science, such as the International Space Station and human spaceflight missions. The project is a mission partner and will be a payload on a U.S. Air Force Space Test Program satellite.", "Low Boom Flight Demonstrator (LBFD) LBFD is a flight demonstration project planned to demonstrate that noise from supersonic flight\u2014sonic boom\u2014can be reduced to acceptable levels, allowing for eventual commercial use of overland supersonic flight paths. Plans include multiple flights beyond fiscal year 2022 to gather community responses to the flights and to create a database to support development of international noise rules for supersonic flight.", "Lucy will be the first mission to investigate the Trojans, which are a population of never- explored asteroids orbiting in tandem with Jupiter. The project aims to understand the formation and evolution of planetary systems by conducting flybys of these remnants of giant planet formation. The Lucy spacecraft will first encounter a main belt asteroid\u2014located between the orbits of Mars and Jupiter\u2014and then will travel to the outer solar system where the spacecraft will encounter six Trojans over an 11-year mission. The mission\u2019s planned measurements include asteroid surface color and composition, interior composition, and surface geology.", "Mars 2020 is part of the Mars Exploration Program, which seeks to further understand whether Mars was, is, or can be a habitable planet. Its rover and science instruments will explore Mars and conduct geological assessments, search for signs of ancient life, determine potential environmental habitability, and prepare soil and rock samples for potential future return to Earth. The rover will include a technology demonstration instrument designed to convert carbon dioxide into oxygen. Mars 2020 is based heavily on the Mars Science Laboratory, or Curiosity, which landed on Mars in 2012 and remains in operation.", "Project description NISAR is a joint project between NASA and Indian Space Research Organisation (ISRO) that will study the solid Earth, ice masses, and ecosystems. It aims to address questions related to global environmental change, Earth\u2019s carbon cycle, and natural hazards, such as earthquakes and volcanoes. The project will include the first dual frequency synthetic aperture radar instrument, which will use advanced radar imaging to construct large-scale data sets of the Earth\u2019s movements. NISAR represents the first major aerospace science partnership between NASA and ISRO.", "Orion is being developed to transport and support astronauts beyond low-Earth orbit, including traveling to Mars or an asteroid. The Orion program is continuing to advance development of the human safety features, designs, and systems started under the Constellation program, which was canceled in 2010. Orion is planned to launch atop NASA\u2019s Space Launch System. The current design of Orion consists of a crew module, service module, and launch abort system.", "PSP will be the first NASA mission to visit a star. Using the gravity of Venus, the spacecraft will orbit the Sun 24 times and gather information to increase knowledge about the solar wind, including its origin, acceleration, and how it is heated. PSP instruments will observe the generation and flow of solar winds from very close range and sample and take measurements of the Sun\u2019s outer atmosphere, where solar particles are energized. To achieve its mission, parts of the spacecraft must be able to withstand temperatures exceeding 2,500 degrees Fahrenheit and endure blasts of extreme radiation. The project was formerly named Solar Probe Plus, or SPP, and was renamed in May 2017.", "PACE is a polar-orbiting mission that will use advanced global remote sensing instruments to improve scientists\u2019 understanding of ocean biology, biogeochemistry, ecology, aerosols, and cloud properties. PACE will extend climate-related observations begun under earlier NASA missions, which will enable researchers to study long-term trends on Earth\u2019s oceans and atmosphere, and ocean-atmosphere interactions. PACE will also enable assessments of air and coastal water quality, such as the locations of harmful algae blooms.", "Psyche will be the first mission to visit a metal asteroid and aims to understand a previously unexplored component of the early building blocks of planets: iron cores. The project plans to orbit the Psyche asteroid to determine if it is a planetary core, characterize its topography, assess the elemental composition, and determine the relative ages of its surface regions.", "RBI is a scanning radiometer that NASA planned to launch on the National Oceanic and Atmospheric Administration\u2019s (NOAA) Joint Polar Satellite System 2. RBI\u2019s planned mission was to support global climate monitoring by continuing measurements of the Earth\u2019s reflected sunlight and emitted thermal radiation made by NASA and NOAA satellites over the past 30 years. This data was intended to represent one of two key sets of measurements needed to determine whether the Earth is warming or cooling.", "The Restore-L project will demonstrate the capability to refuel on-orbit satellites for eventual use by commercial entities. Specifically, Restore-L plans to autonomously rendezvous with, inspect, capture, refuel, adjust the orbit of, safely release, and depart from the U.S. Geological Survey\u2019s Landsat 7 satellite. Landsat 7 can extend operations if successfully refueled, but it is planned for retirement if the technology demonstration is unsuccessful.", "SLS is intended to be NASA\u2019s first human-rated heavy-lift launch vehicle since the Saturn V was developed for the Apollo program. SLS is planned to launch NASA\u2019s Orion spacecraft and other systems on missions between the Earth and Moon and to enable deep space missions, including Mars. NASA is designing SLS to provide an initial lift capacity of 70 metric tons to low-Earth orbit, and be evolvable to 130 metric tons, enabling deep space missions. The 70-metric-ton capability will include a core stage, powered by four RS-25 engines, and two five-segment boosters. The 130-metric-ton capability will use a new upper stage and evolved boosters.", "Project description The SGSS project plans to develop and deliver a new ground system for one Space Network site. The Space Network provides essential communications and tracking services to NASA and non-NASA missions. Existing systems, based on 1980s technology, are increasingly obsolete and unsustainable. The new ground system will include updated systems, software, and equipment that will allow the Space Network to continue to provide critical communications services for the next several decades. The Space Network is managed by the Space Communication and Navigation program.", "The SWOT mission will use its wide-swath radar altimetry technology to take repeated high- resolution measurements of the world\u2019s oceans and freshwater bodies to develop a global survey. This survey will make it possible to estimate water discharge into rivers more accurately, and help improve flood prediction. It will also provide global measurements of ocean surface topography and variations in ocean currents, which will help improve weather and climate predictions. SWOT is a joint project between NASA and the French Space Agency\u2014the Centre National d\u2019Etudes Spatiales.", "TESS will use four identical, wide field-of-view cameras to conduct the first extensive survey of the sky from space for transiting exoplanets\u2014or planets in other solar systems. The mission\u2019s goal is to discover these exoplanets during transit, the time when the planet\u2019s orbit carries it in front of its star as viewed from Earth. The project plans to discover rocky and potentially habitable Earth-sized and super-Earth planets orbiting nearby bright stars for further evaluation through ground- and space-based observations by other missions, such as JWST.", "WFIRST is an observatory designed to perform wide-field imaging and survey of the near- infrared sky to answer questions about the structure and evolution of the universe, and expand our knowledge of planets beyond our solar system. The project will use a telescope that was originally built and qualified by another federal agency. The project plans to launch WFIRST in the mid-2020s to an orbit about 1 million miles from the Earth. The project is also planning a guest observer program, in which the project may provide observation time to academic and other institutions.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["This testimony highlights our 10th annual Quick Look report on the status of NASA's major projects. Many of them experienced significant cost and schedule growth in the past year.", "NASA is likely to keep seeing cost and schedule growth because complex new projects are starting up, and other expensive projects are taking longer to launch than expected.", "The full extent of cost growth was unknown because NASA didn't have a cost estimate for the Orion crew vehicle, one of its most expensive projects.", "The average launch delay was 12 months in this review\u2014the most we've ever reported."]} {"id": "GAO-18-361", "url": "https://www.gao.gov/products/GAO-18-361", "title": "Defense Health Care: TRICARE Surveys Indicate Nonenrolled Beneficiaries' Access to Care Has Generally Improved", "published_date": "2018-03-29T00:00:00", "released_date": "2018-03-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD provides health care, including mental health care, to eligible beneficiaries through TRICARE. Beneficiaries who use TRICARE Prime, a managed care option, must enroll to receive care. Prior to Jan. 1, 2018, beneficiaries did not need to enroll for TRICARE Standard, a fee-for-service option, or TRICARE Extra, a preferred provider organization option (referred to as nonenrolled beneficiaries). Although the TRICARE Standard and Extra options were terminated effective Jan. 1, 2018, the new TRICARE Select option has similar benefits for obtaining care from network and nonnetwork providers.", "The National Defense Authorization Act (NDAA) for Fiscal Year 2008 directed DOD to conduct surveys of nonenrolled beneficiaries and civilian providers about access to care under the TRICARE Standard and Extra options. It also directed GAO to review the surveys' results. Additionally, the NDAA for Fiscal Year 2017 included a provision for GAO to review access to care under TRICARE Extra. This report addresses both provisions.", "GAO analyzed DOD's surveys to determine (1) nonenrolled beneficiaries' access to care, (2) nonenrolled beneficiaries' ratings of TRICARE, (3) civilian providers' awareness and acceptance of TRICARE, and (4) nonenrolled beneficiaries' access by individual geographic area. GAO interviewed agency officials, analyzed the 2012-2015 surveys, and compared them to DOD's 2008-2011 surveys and to surveys of Medicare and Medicaid beneficiaries. In commenting on a draft of this report, DOD concurred with GAO's findings."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) most recent surveys of TRICARE beneficiaries and civilian health care providers show that access to care has generally improved for nonenrolled beneficiaries who used the TRICARE Standard and Extra options. Specifically, GAO found the following:", "Nonenrolled beneficiaries reported improved access to care in the most recent 4-year survey (2012-2015), compared to the prior survey (2008-2011). For example, a lower percentage of nonenrolled beneficiaries reported that they experienced problems finding a civilian provider in the most recent survey (29 percent) than those in the prior survey (31 percent). In addition, a higher percentage of nonenrolled beneficiaries (90 percent) reported that they were usually or always able to obtain a non-urgent appointment as soon as they thought they needed compared to the prior survey (87 percent).", "The percentage of nonenrolled beneficiaries who reported positive experience ratings of TRICARE ranged from 71 to 83 percent over five categories, including ratings of primary, specialty, and mental health care providers. These ratings were generally higher than the prior survey. When compared to other federal health plans, nonenrolled TRICARE beneficiaries' positive experience ratings of primary and specialty care providers were lower than those of Medicare fee-for service beneficiaries, but higher than those of Medicaid beneficiaries.", "The percentage of civilian providers who were aware of TRICARE increased from 82 percent in the prior survey to 84 percent. However, the percentage who accepted new TRICARE patients decreased from 58 percent to 55 percent. According to GAO's analysis of survey data, this overall decrease was mainly attributable to a decrease in mental health care providers' acceptance rates, as the acceptance rates for primary and specialty care providers remained unchanged. Network providers reported both higher awareness and acceptance of TRICARE than providers not in the network (referred to as nonnetwork providers). The biggest gap in both awareness and acceptance between network and nonnetwork providers was for mental health care providers:", "About 96 percent of network mental health care providers reported awareness of TRICARE compared to 72 percent of nonnetwork mental health care providers.", "About 79 percent of network mental health care providers reported accepting new TRICARE patients compared to 30 percent of nonnetwork mental health care providers.", "GAO's analysis of both the beneficiary and provider surveys identified locations in New York, Washington, Texas, and Washington, D.C. where access to providers may be particularly problematic. Specifically, in these locations, beneficiaries reported more problems finding providers who accepted TRICARE and providers reported lower acceptance of TRICARE, compared to national averages."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2016, the Department of Defense (DOD) offered health care services, including mental health care, to more than 9 million eligible beneficiaries in the United States and abroad through TRICARE, DOD\u2019s regionally structured health care program. Under TRICARE, beneficiaries may obtain care either from military hospitals and clinics, referred to collectively as military treatment facilities, or from civilian providers. However, since TRICARE\u2019s inception in 1995, beneficiaries in some locations\u2014particularly those who did not enroll in TRICARE\u2019s managed care option\u2014have raised concerns about difficulties finding civilian providers who will accept them as patients.", "The number and type of civilian providers available to serve TRICARE beneficiaries can vary depending on a beneficiary\u2019s location and choice of coverage\u2014which prior to January 1, 2018, consisted of TRICARE\u2019s three basic plans: Prime, Extra, and Standard. Beneficiaries who used TRICARE Prime, a managed care option, had to enroll and could obtain care through military treatment facilities or TRICARE\u2019s network of civilian providers. DOD uses contractors, called managed care support contractors, to develop networks of civilian providers (network providers) to ensure adequate access to care for all TRICARE beneficiaries in geographic areas called Prime Service Areas (PSA). Although some network providers may be located outside of PSAs, contractors are not required to develop networks in these areas (which we refer to as non- PSAs).", "Beneficiaries did not need to enroll to receive care under TRICARE Standard, a fee-for-service option, or TRICARE Extra, a preferred provider organization option. These beneficiaries\u2014referred to as nonenrolled beneficiaries\u2014could choose to receive care either through TRICARE Standard when they saw nonnetwork civilian providers or through TRICARE Extra when they saw network civilian providers. The National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017) terminated both the TRICARE Standard and Extra options and established a self-managed preferred provider option called TRICARE Select beginning January 1, 2018.", "In response to nonenrolled beneficiaries\u2019 concerns about access to care, the National Defense Authorization Act for Fiscal Year 2008 (NDAA 2008) directed DOD to conduct a multi-year survey (2008-2011) of nonenrolled beneficiaries and a multi-year survey (2008-2011) of civilian providers to determine the adequacy of access to health care providers, including mental health care providers, for nonenrolled beneficiaries. The National Defense Authorization Act for Fiscal Year 2012 (NDAA 2012) directed DOD to continue both of these surveys for an additional 4-year period (2012-2015).", "The NDAA 2008 also included a recurring provision for us to review a series of issues related to the adequacy of access to care for nonenrolled TRICARE beneficiaries, including information gleaned from the beneficiary and civilian provider surveys, and to report on these issues on a biannual basis. We have issued a series of reports in response to this provision, including two reports that focused on DOD\u2019s beneficiary and civilian provider surveys. In addition, the NDAA 2017 directed us to conduct a review of the network of civilian providers that provide care to nonenrolled beneficiaries under the TRICARE Extra option.", "This report addresses provisions in both the NDAA 2008, as amended, and the NDAA 2017 for us to report on the adequacy of access to care for nonenrolled TRICARE beneficiaries. Specifically, it describes 1. what the results of the most recent 4-year beneficiary survey indicate about access to care for nonenrolled beneficiaries; 2. what the results of the most recent 4-year beneficiary survey indicate about nonenrolled beneficiaries\u2019 ratings of their experience with TRICARE; 3. what the results of the most recent 4-year civilian provider survey indicate about civilian providers\u2019 awareness and acceptance of TRICARE; and 4. what the collective results of the most recent 4-year beneficiary and civilian provider surveys indicate about access to care for nonenrolled beneficiaries by geographic area.", "To determine what the results of the most recent 4-year beneficiary survey indicate about access to care for nonenrolled beneficiaries, we obtained and analyzed survey data from DOD\u2019s TRICARE Standard Surveys of Beneficiaries for 2012-2015. Specifically, we analyzed these data to determine whether nonenrolled beneficiaries were able to obtain an appointment as soon as they wanted, how quickly they were able to get an appointment to see a provider, and if they had a problem finding a provider that would accept TRICARE. We compared these data across location types, provider types, and providers\u2019 network status, where applicable. We also compared these results to DOD\u2019s 2008-2011 survey results to identify any changes in beneficiaries\u2019 access over time.", "To determine what the results of the most recent 4-year beneficiary survey indicate about nonenrolled beneficiaries\u2019 ratings of their experience with TRICARE, we obtained and analyzed the 2012-2015 nonenrolled beneficiary survey data that indicated beneficiaries\u2019 ratings of certain aspects of their TRICARE experiences, such as their ratings of health care, health plan, and primary, specialty, and mental health care providers. We compared these data by providers\u2019 network status, where applicable. We also obtained and analyzed data from the Department of Health and Human Services\u2019 (HHS) Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys for the 2013-2015 time period to compare nonenrolled TRICARE beneficiaries\u2019 ratings to those of Medicare fee-for-service and Medicaid beneficiaries. Additionally, we compared the results of DOD\u2019s 2012-2015 beneficiary surveys to DOD\u2019s 2008-2011 survey results to identify any changes in beneficiaries\u2019 ratings of experiences over time.", "To determine what the results of the most recent 4-year civilian provider surveys indicate about civilian providers\u2019 awareness and acceptance of TRICARE, we obtained and analyzed survey data from DOD\u2019s TRICARE Standard Surveys of Providers for 2012-2015. We compared these data by location type, provider type, and providers\u2019 network status, where applicable. We compared these results to the results from DOD\u2019s 2008- 2011 surveys to identify any changes in provider awareness and acceptance over time.", "To determine what the collective results of the most recent 4-year beneficiary and civilian provider surveys indicate about access to care for nonenrolled beneficiaries, we compared the results of our analyses of the 2012-2015 beneficiary and provider survey data by specific geographic regions, where possible, in order to identify locations with high percentages of nonenrolled beneficiaries who experienced problems finding civilian providers and low percentages of civilian providers who were accepting new TRICARE patients. We conducted this analysis by individual location type and provider type.", "For each objective, we assessed the reliability of the data from the surveys\uf8e7including DOD\u2019s 2012-2015 nonenrolled beneficiary and civilian provider surveys and HHS\u2019s CAHPS survey\uf8e7by speaking with knowledgeable officials and reviewing relevant documentation. DOD calculated the response rates for its 2012-2015 nonenrolled beneficiary surveys and civilian provider surveys to be about 25 percent and 39 percent, respectively. We verified that the surveys\u2019 results were representative of the areas surveyed by reviewing DOD\u2019s nonresponse analyses for these surveys and by interviewing DOD officials. We determined that all data used in this report were sufficiently reliable for our purposes. However, our analyses have some limitations. In our collective analyses of DOD\u2019s beneficiary and provider surveys, we were not able to compare survey results among all of the individual geographic locations due to low numbers of respondents in some areas. Specifically, we excluded individual locations that had less than 30 respondents to the beneficiary survey or less than 50 respondents to the provider survey, depending on the survey questions we analyzed. Due to the low numbers of respondents who indicated that they needed mental health care, we were unable to identify specific geographic locations in which nonenrolled beneficiaries experienced problems finding mental health providers.", "We conducted this performance audit from March 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Composition of TRICARE\u2019s Nonenrolled Beneficiary Population", "paragraphs": ["In fiscal year 2016, DOD identified about 2.2 million nonenrolled TRICARE beneficiaries who fell into four categories: (1) retired servicemembers and their dependents, (2) inactive guard/reserve servicemembers and their dependents, (3) dependents of active duty, or of guard/reserve on active duty status, and (4) other beneficiaries, such as dependent survivors of deceased servicemembers. Retired servicemembers and their dependents made up the majority of nonenrolled beneficiaries at the end of fiscal year 2016 (approximately 60 percent). (See fig. 1.)"], "subsections": []}, {"section_title": "TRICARE\u2019s Benefit Options", "paragraphs": ["Prior to January 1, 2018, TRICARE provided benefits through three basic options for its non-Medicare-eligible beneficiary population\u2014TRICARE Prime, Standard, and Extra. These options varied by enrollment requirements, choices in civilian and military treatment facility providers, and the amount beneficiaries must contribute toward the cost of their care. (See table 1.)", "The NDAA 2017 made specific changes to the TRICARE program that became effective on January 1, 2018. These changes included terminating the TRICARE Standard and Extra options, establishing a new option called TRICARE Select, and ensuring that 85 percent of TRICARE Select beneficiaries are covered by the network of civilian providers.", "TRICARE Select has similar benefits to TRICARE Standard and Extra for obtaining care from nonnetwork and network providers, but unlike these options, TRICARE Select requires enrollment."], "subsections": []}, {"section_title": "TRICARE Networks and Locations", "paragraphs": ["Under TRICARE, DOD uses managed care support contractors to develop networks of civilian providers to serve all TRICARE beneficiaries in PSAs, which are typically within an approximate 40-mile radius of a military outpatient or inpatient treatment facility or Base Realignment and Closure sites. Although some network providers may be located in non- PSAs, contractors are not required to develop networks in these areas. Previously, contractors had the option of developing additional PSAs (and civilian provider networks) in areas that were not located near military treatment facilities or Base Realignment and Closure sites. However, on October 1, 2013, DOD eliminated these additional PSAs, referred to in the survey analyses as \u201cformer PSAs,\u201d and as a result, the managed care support contractors were no longer required to develop and maintain networks of civilian providers in these areas.", "In fiscal year 2016, approximately 65 percent of the 2.2 million nonenrolled beneficiaries that were eligible for TRICARE Standard and Extra (1.47 million) lived in PSAs. Of the remaining nonenrolled beneficiaries (775,000), about 19 percent lived in former PSAs and about 16 percent lived in non-PSAs. (See fig. 2.) Nonenrolled beneficiaries who live in former PSAs and non-PSAs may still have access to network providers, even though contractors are not required to develop networks in these areas. About 57 percent of these beneficiaries (445,000) filed at least one TRICARE claim with a network civilian provider during fiscal year 2016."], "subsections": []}, {"section_title": "DOD\u2019s Implementation of Mandated Beneficiary and Civilian Provider Survey Requirements", "paragraphs": ["The NDAA 2008 directed DOD to survey nonenrolled beneficiaries and civilian providers in at least 20 PSAs in each of four fiscal years, 2008 through 2011, as well as 20 non-PSAs. To do this, DOD divided the country into 80 distinct PSAs and 80 distinct non-PSAs and surveyed 20 PSAs and 20 non-PSAs each year. At the end of the 4-year period, each year\u2019s survey results were combined and weighted to develop estimates of access to health care, including mental health care, at the service area, state, and national levels. Additionally, the NDAA 2008 required DOD to consult with representatives of TRICARE beneficiaries and providers of health care, including mental health care, to identify locations where nonenrolled beneficiaries have experienced significant access-to-care problems and to survey both beneficiaries and health care providers, including mental health care providers, in these areas. Based on these consultations, DOD designated certain Hospital Service Areas (HSA) to include in its beneficiary and provider surveys.", "DOD used a similar methodology for determining its locations in the 2012- 2015 surveys. However, as a result of DOD\u2019s changes to PSAs on October 1, 2013, 28 of the 80 non-PSAs surveyed were former PSAs. DOD also surveyed both nonenrolled beneficiaries and civilian providers in a total of 30 HSAs. As a result, DOD collectively surveyed 190 geographic locations over the 4-year period. Furthermore, we previously reported that DOD\u2019s implementation of its 2008-2011 nonenrolled beneficiary and civilian provider surveys generally addressed the requirements outlined in the NDAA 2008. DOD made several minor revisions to the methodologies of the 2012-2015 surveys, but we determined that none of those changes altered DOD\u2019s compliance with the NDAA 2008, as amended."], "subsections": []}]}, {"section_title": "Nonenrolled TRICARE Beneficiaries Reported Generally Experiencing Fewer Problems Accessing Care, and More Reported Obtaining Care when Desired", "paragraphs": [], "subsections": [{"section_title": "Nonenrolled TRICARE Beneficiaries Reported Generally Experiencing Fewer Problems Accessing Care than in the Prior Survey", "paragraphs": ["Nonenrolled beneficiary survey results over time. Nationwide, a lower percentage of nonenrolled beneficiaries reported that they experienced problems finding any type of provider in the 2012-2015 survey (29 percent) when compared to the prior 2008-2011 survey (31 percent). Specifically, fewer nonenrolled beneficiaries reported that they experienced problems finding a primary care provider than in the prior survey (22 percent in 2012-2015 compared to 25 percent in 2008-2011). However, there was no significant statistical difference over time in the percentage of beneficiaries who reported experiencing problems finding a specialty care or mental health care provider. (See fig. 3.)", "Nonenrolled beneficiary survey results by type of location. Nonenrolled beneficiaries in non-PSAs reported experiencing fewer problems finding primary and specialty providers than those in PSAs, which is similar to what we reported for the prior survey. For example, about 20 percent of beneficiaries in non-PSAs reported that they had problems finding specialty care providers compared to 24 percent in PSAs. Regarding beneficiaries in former PSAs, the only statistically significant difference among the three provider types was for problems finding a primary care provider. Specifically, fewer (about 19 percent) nonenrolled beneficiaries in non-PSAs reported experiencing problems finding a primary care provider to accept TRICARE, compared to 24 percent in former PSAs. (See fig. 4.) DOD officials told us that they were unsure of the exact reasons for the difference between PSAs and non- PSAs. However, they explained that PSAs are often located in more populated areas, where TRICARE beneficiaries may not make up a large market share for local civilian providers, who may have a wide array of patients with other health plans.", "Nonenrolled beneficiary survey results by network status. Nonenrolled beneficiaries with network providers reported experiencing fewer problems finding civilian providers, compared to nonenrolled beneficiaries with nonnetwork providers. For example, 20 percent of the nonenrolled beneficiaries who used a network civilian primary care provider reported that they had a problem finding a primary care provider that would accept TRICARE compared with the 44 percent of nonenrolled beneficiaries who used a nonnetwork civilian primary care provider. (See fig. 5.)", "In addition, when compared with the results of the last survey (2008- 2011), the percentages of nonenrolled beneficiaries who reported that they experienced problems finding a specialty care or mental health care provider increased in the most recent survey (2012-2015) for beneficiaries who used nonnetwork providers, but there were no changes over time if their specialty care or mental health care providers were in the network. (See fig. 6.)"], "subsections": []}, {"section_title": "More Nonenrolled TRICARE Beneficiaries Reported Obtaining Appointments as Soon as Desired", "paragraphs": ["Compared to the prior survey, a higher percentage of nonenrolled beneficiaries reported that they were able to obtain appointments as soon as they desired. Specifically, the percentage of nonenrolled beneficiaries who made non-urgent appointments for health care and reported that they were able to usually or always obtain an appointment as soon as they thought they needed increased from 87 percent in the 2008-2011 survey to 90 percent in the 2012-2015 survey. However, the most commonly reported length of time they waited between making an appointment and actually seeing a provider did not change from the 2008- 2011 surveys\u2014most respondents in both surveys reported they were able to get appointments within 3 days (about 54 percent for both years\u2019 surveys).", "The 2012-2015 survey also asked specific questions about how easy it was to get an appointment with specialty care providers and mental health care providers:", "Of those nonenrolled beneficiaries who tried to make an appointment with a civilian specialty care provider, 84 percent reported it was \u201cusually easy,\u201d or \u201calways easy,\u201d to get appointments. These results also varied by network status, as a higher percentage of those who used a network specialty care provider reported that they found it \u201cusually easy\u201d or \u201calways easy\u201d to get appointments (85 percent) compared to those that used a nonnetwork specialty care provider (74 percent).", "Of those nonenrolled beneficiaries that received treatment or counseling from a civilian mental health care provider, 73 percent reported that when they needed treatment or counseling right away, they usually or always saw someone as soon as they wanted. We found that this result did not change since the prior survey, nor did we find any statistically significant differences between beneficiaries\u2019 responses for seeing a network versus a nonnetwork mental health provider."], "subsections": []}]}, {"section_title": "Nonenrolled Beneficiaries\u2019 Positive Ratings of TRICARE Have Generally Increased over Time and Vary Compared to Other Federal Health Plans", "paragraphs": ["Ratings of TRICARE over time. Nonenrolled beneficiaries\u2019 positive ratings of TRICARE have generally increased since the previous survey. Specifically, over time, nonenrolled beneficiaries\u2019 positive ratings of five different categories related to TRICARE have either increased (primary care rating, specialty care rating, and health plan rating) or remained the same (mental health care rating and health care rating). (See fig. 7.) Furthermore, nonenrolled beneficiaries\u2019 positive ratings of their mental health care providers were lower than their ratings for their primary and specialty care providers. We also found that there were no significant differences at the 95 percent confidence level for nonenrolled beneficiaries\u2019 ratings of primary care, specialty care, or mental health care providers based on their network status.", "Ratings of TRICARE compared to other federal health plans. When we compared these results to those of the 2013-2015 CAHPS surveys, we found that nonenrolled TRICARE beneficiaries\u2019 positive experience ratings for primary care providers and specialty care providers were lower than those of Medicare fee-for-service beneficiaries and higher than those of Medicaid beneficiaries, which is similar to what we found for the previous survey. We also found that TRICARE beneficiaries\u2019 positive experience ratings for their health care were higher than that of both Medicare fee-for-service beneficiaries and Medicaid beneficiaries, but TRICARE beneficiaries\u2019 positive experience ratings for their health plan were lower than both of these groups. (See fig.8.)"], "subsections": []}, {"section_title": "Civilian Providers\u2019 Reported Awareness of TRICARE Has Generally Increased over Time, While Mental Health Providers\u2019 Acceptance of New TRICARE Patients Has Decreased", "paragraphs": [], "subsections": [{"section_title": "Civilian Providers\u2019 Awareness of TRICARE Has Generally Increased over Time, with Network Providers Reporting Higher Awareness than Nonnetwork Providers", "paragraphs": ["Provider awareness over time, by provider type and by location type. Nationwide, a higher percentage of civilian providers reported that they were aware of TRICARE in the 2012-2015 civilian provider survey (84 percent) than those from the 2008-2011 civilian provider survey (82 percent). Specifically, since the previous survey, we found that awareness increased for specialty care providers (from 92 to 94 percent) and mental health care providers (from 68 to 74 percent).", "In addition, when we analyzed these results by location type, we found that civilian providers in both PSAs and non-PSAs reported higher awareness of TRICARE since the previous survey (from 79 to 82 percent in PSAs and from 87 to 89 percent in non-PSAs). Awareness among civilian providers in locations now designated as former PSAs remained statistically unchanged at the 95 percent confidence level (89 percent in 2012-2015). However, despite some increases in awareness, civilian providers in PSAs reported lower awareness than those in non-PSAs and former PSAs in the 2012-2015 surveys.", "Provider awareness by network status. Providers within the TRICARE network reported higher awareness of TRICARE than nonnetwork providers, regardless of individual provider type. (See fig. 9.) Among individual provider types, the biggest difference in awareness between network and nonnetwork providers was for mental health care providers, with 96 percent of network mental health care providers reporting awareness of TRICARE compared with 72 percent of nonnetwork mental health care providers."], "subsections": []}, {"section_title": "Civilian Mental Health Care Providers\u2019 Acceptance of New TRICARE Patients Has Decreased; Network Providers Reported Higher Acceptance than Nonnetwork Providers", "paragraphs": ["Provider acceptance over time, by provider type and location type. Nationwide, we found an overall decrease reported in civilian providers\u2019 acceptance of new TRICARE patients in the 2012-2015 civilian provider survey (55 percent) compared to the 2008-2011 civilian provider survey (58 percent). However, when we analyzed acceptance by provider type, we found that the overall decrease was mainly attributable to a decrease in mental health care providers\u2019 acceptance rates, as primary and specialty care providers\u2019 acceptance rates remained unchanged. Specifically, mental health care providers\u2019 TRICARE acceptance rate decreased from 39 to 36 percent. However, this low acceptance rate may not be an issue unique to TRICARE, as we have previously reported that there is a nationwide shortage of mental health professionals.", "In addition, when we analyzed results for all civilian providers by location type, we found that civilian providers in PSAs and non-PSAs reported lower acceptance rates of new TRICARE patients since the previous survey (from 55 to 53 percent in PSAs, and from 66 to 62 percent in non- PSAs). Acceptance among civilian providers in locations now designated as former PSAs remained statistically unchanged at the 95 percent confidence level (60 percent in 2012-2015). Similar to our findings on providers\u2019 awareness, we found that civilian providers in PSAs reported lower acceptance rates than those in non-PSAs and former PSAs. miscellaneous, and", "A Department of Defense official told us that some examples of \u201cmiscellaneous\u201d are \u201cin a private practice\u201d, and \u201cnot a preferred provider.\u201d", "Provider acceptance by network status. When we analyzed civilian providers\u2019 acceptance of new TRICARE patients by providers\u2019 network status, we found that network providers reported higher acceptance of new TRICARE patients than nonnetwork providers, regardless of provider type. (See fig. 10.) Among individual provider types, the biggest difference in acceptance between network and nonnetwork providers was for mental health care providers with 79 percent of network mental health care providers reporting acceptance of new TRICARE patients compared with 30 percent of nonnetwork mental health care providers. Of those mental health care providers that were not accepting new TRICARE patients, one of the top reasons reported by those not in the network was a lack of awareness of TRICARE. Due to the relatively small number of network mental health providers who provided reasons for not accepting new TRICARE patients, it was not possible to identify one primary reason; however, some of the reasons they cited include reimbursement, not accepting new patients, and specialty was not covered."], "subsections": []}]}, {"section_title": "DOD\u2019s Surveys of Nonenrolled Beneficiaries and Civilian Providers Collectively Indicate That Specific Geographic Locations May Have Access Problems", "paragraphs": ["Our analysis of the 2012-2015 nonenrolled beneficiary and civilian provider surveys indicated that beneficiaries may have difficulty accessing a primary care provider, a specialty care provider, or both in 6 out of the 190 specific geographic locations that were surveyed. For the 6 locations we identified, beneficiaries reported higher levels of problems finding providers, and providers reported lower rates of accepting TRICARE patients.", "Primary care. We identified two locations where access to primary care providers may be particularly problematic. (See table 2.) In these two locations, the percent of beneficiaries who reported that they had problems finding a primary care provider was at or above the 2012- 2015 beneficiary survey\u2019s national average of 22 percent, and also where the percent of primary care providers who reported that they were accepting new TRICARE patients was at or below the 2012- 2015 civilian provider survey\u2019s national average of 68 percent.", "Specialty care. We identified five locations where access to specialty care providers may be particularly problematic. (See table 2.) In these five locations, the percent of beneficiaries who reported that they had problems finding a specialty care provider was at or above the 2012- 2015 beneficiary surveys\u2019 national average of 23 percent, and also where the percent of specialty care providers who reported that they were accepting new TRICARE patients was at or below the 2012- 2015 civilian provider surveys\u2019 national average of 78 percent.", "When we compared this analysis to our analysis of the 2008-2011 beneficiary and provider surveys, the \u201cDallas/Fort Worth, Texas\u201d HSA was identified in both results. Using data from the prior survey, our analysis identified it as being potentially problematic for primary care, but using data from the more recent survey, we identified specialty care access as being potentially problematic. DOD officials told us that their past analysis of beneficiaries\u2019 complaints in this location centered on appointment wait times exceeding beneficiaries\u2019 preferences and on drive times to providers\u2019 offices. Officials explained that although there was a wide range of network specialty care providers in this location, TRICARE beneficiaries were a very small percentage of the overall population. Furthermore, this location is home to a number of large corporations that have health care plans that reimburse providers more than TRICARE. DOD officials added that due to these factors, providers in this location do not give preference to TRICARE beneficiaries, and drive times in this location are often long due to the traffic patterns and overall congestion of a large urban area."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["In reviewing a draft of this report, DOD concurred with our overall findings. DOD\u2019s written response is reprinted in appendix I.", "We are sending copies of this report to the Secretary of Defense and appropriate congressional committees. The report is also available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff has any questions regarding this report, please contact Debra A. Draper at (202) 512-7114 or draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": ["Debra A. Draper at (202) 512-7114 or draperd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contacts named above, Bonnie Anderson, Assistant Director; Jeff Mayhew, Analyst-in-Charge; Amy Andresen; and Jennie Apter made key contributions to this report. Also contributing were Zhi Boon, Jacquelyn Hamilton, Vikki Porter, and Eric Wedum."], "subsections": []}]}], "fastfact": ["The Department of Defense offers health coverage to military servicemembers and retirees through TRICARE. Some beneficiaries\u2014particularly those not enrolled in TRICARE\u2019s managed care option\u2014have raised concerns about finding doctors who accept their health coverage.", "We reviewed DOD's most recent survey of TRICARE beneficiaries who were not enrolled in the managed care option and found that their access to care improved since the last survey. Specifically, these beneficiaries reported that it was easier to find doctors who accept TRICARE and get timely appointments with them."]} {"id": "GAO-18-24", "url": "https://www.gao.gov/products/GAO-18-24", "title": "Internet Firearm Sales: ATF Enforcement Efforts and Outcomes of GAO Covert Testing", "published_date": "2017-11-21T00:00:00", "released_date": "2017-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The current federal legal framework governing buying and selling of firearms does not specifically address the use of the Internet to facilitate these transactions. Additionally, private transactions involving the most-common types of firearms between individuals who are not licensed to commercially sell weapons and who are residents of the same state, including transactions facilitated by the Internet, are generally not subject to federal background-check requirements.", "Congressional requesters asked that GAO assess the extent to which ATF is enforcing existing laws and investigate whether online private sellers sell firearms to people who are not allowed or eligible to possess a firearm. This report describes (1) techniques ATF uses to investigate and enforce generally applicable firearm laws in instances where the firearm or firearm-component transaction is facilitated by the Internet and (2) results of GAO's undercover attempts to buy firearms on the Dark Web and Surface Web.", "GAO analyzed documents and interviewed officials to identify actions ATF has taken to prohibit illegal firearm transactions. GAO also attempted to purchase firearms from Dark Web and Surface Web marketplaces. The results of the testing are illustrative and nongeneralizable."]}, {"section_title": "What GAO Found", "paragraphs": ["The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) is responsible for investigating criminal and regulatory violations of firearms statutes and regulations that govern firearms transactions, including sales that are facilitated by the Internet. Two components of the Internet may be used to facilitate Internet firearm sales: the Surface Web and the Dark Web. The Surface Web is searchable with standard web search engines. The Dark Web contains content that has been intentionally concealed and requires specific computer software to gain access. ATF created the Internet Investigations Center (Center) to investigate buyers and sellers who use the Internet to facilitate illegal firearms transactions. The Center uses several tools to provide investigative support to ATF, which has resulted in the arrests of individuals using the Internet to facilitate illegal firearm purchases. ATF officials with the Center also noted that investigations might involve both the Surface Web and the Dark Web. For example, to identify an anonymous user on the Dark Web, the Center works to establish a user's \u201cdigital footprint\u201d on the Surface Web.", "In 2016, the Center also issued a report about Internet firearm transactions. This and other ATF reports highlighted the following about Internet-facilitated firearm transactions:", "The relative anonymity of the Internet makes it an ideal means for prohibited individuals to obtain illegal firearms.", "The more anonymity employed by a firearms purchaser, the greater the likelihood that the transaction violates federal law.", "Firearm transactions that occur on the Dark Web are more likely to be completed in person or via the mail or common carrier, versus through a Federal Firearm Licensee.", "GAO agents attempted to purchase firearms from Dark Web and Surface Web marketplaces. Agents made seven attempts to purchase firearms on the Dark Web. In these attempts, agents did not disclose any information about whether they were prohibited from possessing a firearm. Of these seven attempts, two on a Dark Web marketplace were successful. Specifically, GAO agents purchased and received an AR-15 rifle and an Uzi that the seller said was modified so that it would fire automatically. GAO provided referral letters to applicable law-enforcement agencies for these purchases to inform any ongoing investigations.", "Tests performed on the Surface Web demonstrated that private sellers GAO contacted on gun forums and other classified ads were unwilling to sell a firearm to an individual who appeared to be prohibited from possessing a firearm. Of the 72 attempts agents made to purchase firearms on the Surface Web, 56 sellers refused to complete a transaction: 29 sellers stated they would not ship a firearm and 27 refused after the disclosure of the undercover identities' stated prohibited status. Furthermore, in 5 of these 72 attempts, the accounts GAO set up were frozen by the websites, which prevented the agents from using the forums and attempting to make a purchase."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report. ATF provided technical comments, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Mass public shootings in the United States, such as those in Las Vegas, Nevada; Newtown, Connecticut; and Orlando, Florida, have sparked debate about existing firearms laws designed to reduce firearm violence. Such debate has included questions about how prohibited individuals, such as convicted felons, may have access to firearms. In 2016, the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF)\u2014part of the Department of Justice (DOJ)\u2014reported a steady increase in Internet- based criminal enforcement cases within ATF since 2011. According to the ATF FY 2010 \u2013 FY 2016 strategic plan, the privacy of the Internet makes it an ideal means for gang members, violent criminals, terrorists, and juveniles to traffic and obtain illegal firearms. Further, the 2016 report noted that the more anonymity employed by a firearms purchaser, the greater the likelihood that the transaction violates federal law.", "The current federal legal framework of statutes and regulations governing the buying and selling of firearms does not specifically address the use of the Internet to facilitate these transactions. Federally regulated transactions include those in which the seller is engaged in the business of dealing in firearms and is required to conduct a background check on a prospective nonlicensed buyer. Conversely, private transactions for the most common types of firearms between nonlicensed individuals who are residents of the same state, including transactions facilitated by the Internet, are generally not subject to federal background-check requirements.", "You asked us to assess the extent to which ATF is enforcing existing gun laws as they apply to firearms transactions facilitated by the Internet and investigate whether online private sellers sell firearms to prohibited individuals. This report describes (1) techniques ATF uses to investigate and enforce generally applicable firearm laws in instances where the firearm or firearm-component transaction is facilitated by the Internet and (2) results from our covert attempts to buy firearms on the Surface Web and Dark Web.", "To describe the investigative and enforcement techniques ATF has implemented to detect prohibited firearm or firearm-component transactions facilitated by the Internet, we reviewed relevant ATF documentation, such as planning and policy documents. We also reviewed and analyzed relevant statutes and regulations to understand the legal framework in which ATF performs its enforcement duties. Further, we examined applicable DOJ and ATF documentation to identify examples of closed adjudicated cases. We performed additional research using public court records to augment these reports in order to describe enforcement actions ATF has taken on prohibited firearms transactions facilitated by the Internet. Additionally, we interviewed ATF officials, including those with its Internet Investigations Center (Center), to understand enforcement actions ATF takes to respond to firearm crimes facilitated by the Internet. We also observed ATF regulatory officials perform a compliance inspection of a Federal Firearm Licensee (FFL) that engages in online commerce of dealing firearms to understand how the FFL inspection process works and learn how legitimate FFL transactions are facilitated by the Internet.", "To attempt to use the Internet to facilitate test firearm purchases, our agents performed covert tests on the Dark Web and Surface Web. Agents covertly accessed a Dark Web marketplace and attempted to purchase firearms or firearm components from nonlicensed private sellers. For our Dark Web testing, we examined the feasibility of obtaining different types of firearms. We made seven attempts to complete firearm transactions on the Dark Web, and we concluded testing when the transactions were successfully completed. For these covert tests, we did not disclose any information about our presumed prohibited status. On the Surface Web, using a variety of scenarios designed to make the seller believe that the transaction would be illegal, agents accessed gun forums and other classified advertisements and made 72 attempts to purchase firearms or firearm components from private nonlicensed sellers. The results of our testing are for illustrative purposes only and are not generalizable. We also reviewed DOJ and ATF published reports, as well as adjudicated criminal cases, to understand how prohibited individuals may use the Internet to purchase firearms or firearm components. Additionally, we met with third-party groups with knowledge of the firearms industry, including state law-enforcement agencies, a purveyor of a commercial website that hosts online firearm classified advertisements, a gun-control advocacy group, a firearm-industry organization, and an academic research center to learn about online firearm marketplaces, criminal pathways to illegally purchase or sell firearms, and enforcement responses. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from July 2015 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with the standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Background", "paragraphs": ["ATF is one of several DOJ law-enforcement components, including the Federal Bureau of Investigation (FBI) and the Drug Enforcement Administration (DEA), responsible for fighting violent crime. ATF is the lead agency charged with enforcing federal firearms laws and regulating the firearms industry. ATF is also responsible for investigating criminals and criminal organizations that use firearms, arson, or explosives in violent criminal activity.", "ATF investigates and combats violent crime related to firearm trafficking, criminal possession and use of firearms, and the diversion of firearms from legal commerce. This work includes law-enforcement operations and intelligence gathering and analysis. For example, special agents investigate reports of prohibited individuals acquiring or attempting to acquire firearms from private sellers in order to avoid background checks that would otherwise be required if purchasing through an FFL. According to ATF officials, intelligence analysts may help agents by gathering information from the public social-media profiles of individuals under investigation. In addition, ATF investigates reports of individuals engaging in the business of dealing firearms without a license, thereby circumventing background-check, record-keeping, and other requirements."], "subsections": [{"section_title": "Statutes and Regulations", "paragraphs": ["The National Firearms Act of 1934 (NFA) and the Gun Control Act of 1968 (GCA) are the primary federal laws that regulate the manufacture, sale, distribution, and possession of firearms. There are no laws that specifically regulate firearms transactions facilitated by the Internet. Rather, firearms transactions facilitated by the Internet are subject to the same legal requirements and regulations as traditional firearms sales."], "subsections": [{"section_title": "National Firearms Act of 1934, as Amended", "paragraphs": ["The NFA defines the specific types of firearms and components subject to the provisions of the act based on the firearm\u2019s function, design, configuration, or dimensions. For example, the NFA applies to machine guns, short-barreled rifles, short-barreled shotguns, and silencers. The NFA requires these firearms and components to be registered with ATF. The lawful transfer of firearms and components subject to the NFA generally requires ATF approval, a process that involves the submission of application forms, fingerprints, and photographs to ATF, as well as payment of a transfer tax. Transfers outside of this ATF-approval process are generally illegal."], "subsections": []}, {"section_title": "Gun Control Act of 1968, as Amended", "paragraphs": ["The GCA, the main federal statute applicable to firearms such as handguns, shotguns, and rifles, requires all persons engaged in the business of manufacturing, importing, or dealing in firearms to become an FFL through ATF. The GCA defines a person \u201cengaged in the business\u201d as a dealer of firearms as someone who \u201cdevotes time, attention, and labor to dealing in firearms as a regular course of trade or business with the principal objective of livelihood and profit through the repetitive purchase and resale of firearms.\u201d The definition excludes individuals who make \u201coccasional\u201d sales or purchases to enhance a personal collection or for a hobby or who sell all or part of a personal collection of firearms. The GCA requires that FFLs maintain records of all their gun sales. These records are used, among other purposes, to trace a firearm recovered by law-enforcement officials from its first sale by the manufacturer or importer through the distribution chain to the first retail purchaser, in order to provide law-enforcement agencies with investigative leads.", "As amended by the Brady Handgun Violence Prevention Act, the GCA generally requires FFLs to contact the FBI\u2019s National Instant Criminal Background Check System (NICS) prior to transferring a firearm to a nonlicensed individual. During a NICS background check, the buyer provides the FFL with appropriate identification, such as a valid driver\u2019s license. The FFL submits descriptive data, including the buyer\u2019s name and date of birth, to NICS, which searches three national databases containing criminal history and other relevant records to determine whether federal or state law prohibits the person from receiving or possessing a firearm. The transfer may proceed if NICS informs the FFL that it has no information indicating that the transfer would be in violation of law, or if 3 business days have elapsed without notification that the transfer would violate the law. The GCA prohibits individuals from knowingly making a false statement intended to deceive FFLs with respect to any fact material to the lawfulness of the sale, such as a person claiming that he or she is the actual buyer of a firearm and not acquiring the firearm on behalf of another person, when in fact he or she is purchasing the firearm with the intent to transfer it to a prohibited person. This type of transaction is often referred to as a \u201cstraw purchase.\u201d", "In addition, the GCA establishes the categories of persons generally prohibited from shipping, transporting, receiving, or possessing firearms and ammunition. Specifically, persons are prohibited from shipping, transporting, receiving, or possessing a firearm if they (1) have been convicted of a felony; (2) are a fugitive from justice; (3) are an unlawful user of or addicted to any controlled substance; (4) have been committed to a mental institution or judged to be mentally defective; (5) are aliens illegally or unlawfully in the United States, or certain other aliens admitted under a nonimmigrant visa; (6) have been dishonorably discharged from the military; (7) have renounced their U.S. citizenship; (8) are under a qualifying domestic violence restraining order; or (9) have been convicted of a misdemeanor crime of domestic violence. In addition, federal law prohibits persons under felony indictment from shipping, transporting, or receiving a firearm.", "Individuals who are not engaged in the business of dealing in firearms may not legally sell firearms to other unlicensed individuals under certain circumstances. For example, a transaction between unlicensed individuals would be illegal if the seller knows or has reasonable cause to believe that the buyer is legally prohibited from possessing firearms or is a resident of a different state than the seller. If the seller is not aware of these circumstances, the seller may transfer the firearm to the buyer without any record-keeping or background-check requirements.", "Nonprohibited, nonlicensed individuals may legally purchase firearms through an FFL or through individual private sales with residents of the same state. Regardless of whether an FFL is involved in an Internet- facilitated firearm purchase, if a seller knows or has a reasonable cause to believe that the prospective recipient is prohibited from possessing firearms, the seller must not transfer the firearm. See figure 1.", "As outlined in figure 1, the Internet can facilitate legal purchases either through FFLs or through nonlicensed private sellers. For purchases through an FFL, an individual orders a firearm online, and generally completes the transaction process in person. The FFL submits the required paperwork to ATF. A background check is processed directly by NICS or through a state government that checks NICS. Unless denied by the background check, the transaction is completed. If the individual is purchasing the firearm from an FFL in another state, the original FFL will transfer the firearm to an FFL in the state the buyer resides in to complete the transaction. If both the buyer and seller are residents of the same state, transfers between private nonlicensed parties facilitated by the Internet without the involvement of an FFL may be lawful. The firearm may be transferred in person between the buyer and the seller, or, if the firearm is a shotgun or rifle, it may be mailed intrastate between the individuals. The seller has no record-keeping obligations, and no NICS background check is performed on the buyer. However, a nonlicensed individual is usually prohibited from directly transferring a firearm to a person who the transferor knows or had reasonable cause to believe is residing in another state. In addition, it is usually illegal for any nonlicensed individual to transport into or receive in the state where he resides any firearm purchased or otherwise obtained outside that state. Therefore, interstate transactions between two nonlicensed individuals are likely to be illegal unless an FFL becomes a party to the transaction. For a legal transaction between residents of different states, the seller must send the firearm to an FFL in the buyer\u2019s state. The FFL submits the paperwork, a background check is processed, and, unless denied by the background check, the FFL transfers the firearm to the buyer."], "subsections": []}]}, {"section_title": "Internet Firearm Marketplaces", "paragraphs": ["Potential gun buyers can view firearm advertisements and make purchases from the following categories of websites: major retailers, online retailers, online auctions and marketplaces, online classified listings, online forums and social media networks, and Dark Web websites. According to ATF reports, major retailers and online retailers meet the definition of firearm dealers and therefore must be FFLs in order to operate. To see how purchases may be facilitated by various Internet marketplaces, see figure 2."], "subsections": []}, {"section_title": "Prior Reporting on Internet Firearms Sales", "paragraphs": ["GAO, DOJ, and the Congressional Research Service (CRS), as well as a gun-control advocacy group, have reported on the issue of Internet firearm sales since the early 2000s. In 2001 we reported the results of our undercover inquiries to private individuals who advertised firearms online. We attempted to purchase firearms from two of these individuals. Both individuals were willing to complete the transactions in person, though we did not complete the sales.", "Also in 2001, as part of a larger report on reducing gun violence, DOJ identified issues related to firearms sales facilitated by the Internet. Among the issues outlined in the report was the possibility prohibited individuals may use the Internet to acquire firearms. The report also stated that the Internet may facilitate illegal sales by individuals selling firearms commercially without a license. The report stated that enforcement mechanisms must be established to prevent prohibited individuals from obtaining firearms through the Internet and to make sure that both FFLs and nonlicensed sellers follow existing law when conducting sales through the Internet. The report noted that ATF was working to establish a unit to identify and respond to criminal violations involving the Internet and other new computer technology and worked with other federal law-enforcement agencies to establish enforcement mechanisms to prevent prohibited individuals from obtaining firearms through the Internet and to make sure both FFLs and nonlicensed sellers follow existing law when conducting sales through the Internet.", "In 2012, CRS reported on Internet firearm and ammunition sales. The report outlined the extent to which federal law regulates the sale of firearms via the Internet, which is not treated as legally distinct from sales not facilitated by the Internet. CRS noted that this situation has raised concerns about the possibility of increased violation of federal firearm laws and about challenges that law-enforcement agencies may face when attempting to investigate violations of these laws.", "Additionally, a prior report by an advocacy group explored how the Internet may facilitate firearm sales to prohibited individuals. However, the report described how prohibited individuals may use the Internet to find firearms for sale and then to conduct face-to-face transactions. The report did not demonstrate how prohibited individuals may have firearms mailed directly to them, thus circumventing the FFL purchase process, or otherwise break the law. Representatives from the investigative organization that performed this work stated that they did not break the law when performing their testing."], "subsections": []}]}, {"section_title": "ATF Takes Various Actions to Enforce Firearm Regulations Related to Prohibited Firearm Transactions Facilitated by the Internet", "paragraphs": [], "subsections": [{"section_title": "ATF Does Not Distinguish between In-Person Sales and Sales Facilitated by the Internet when Enforcing Firearms Statutes and Regulations", "paragraphs": ["As we noted above, there are no specific statutes or regulations pertaining to Internet firearms transactions. Hence, ATF does not distinguish between private firearms transactions taking place in person versus those that use the Internet to facilitate the sale. Licensed and nonlicensed sellers use the Internet to facilitate firearm sales in a variety of ways. Major retailers with a federal firearms license enable customers to browse available firearms on their websites but require transactions to be made in person at the store. Online retailers with a federal firearms license advertise firearms online and transfer the firearm to the purchaser through either a storefront that qualifies as an FFL or another FFL in the buyer\u2019s state. Online auction and marketplace websites, online classifieds, and online forums also facilitate sales between buyers and both licensed and nonlicensed sellers. Depending on the website, potential buyers can search for firearms nationwide or narrowed down to city or zip code. According to ATF, searching capabilities can affect whether transactions among nonlicensed individuals are more likely to occur in person or through an FFL as well as the potential for illegal activity to occur.", "A private sale between two nonlicensed individuals would have an unlawful component if, for example, (1) the seller knows or has reasonable cause to believe that the buyer is legally prohibited from possessing firearms or is a resident of a different state; (2) the seller is engaged in the business of dealing in firearms without a license; or (3) the item is an NFA-restricted weapon. ATF officials who oversee Internet- related investigations said that it is not possible to monitor private firearms transactions coordinated over the Internet as they take place. Federal law does not require the seller in a private firearm transaction to conduct a background check or otherwise process paperwork through ATF."], "subsections": []}, {"section_title": "ATF Developed an Internet Investigations Center to Help Identify Individuals Unlawfully Transferring Firearms Using the Internet", "paragraphs": ["According to ATF officials, in 2012 the agency created a national center for Internet-related investigations, now known as the Internet Investigations Center (Center). ATF officials noted that, as an example of its activities, field agents who perform work involving the Internet will coordinate with the Center to ensure they have the necessary training to operate online in an undercover capacity. The Center has access to a variety of tools to facilitate Internet investigations. Much of the Center\u2019s software that is used to analyze online content for investigations is free and open source. For example, according to ATF officials, using free open-source software allows analysts to glean information from public websites without violating users\u2019 privacy rights.", "ATF officials stated that the Center investigates buyers and sellers who use the Internet to facilitate illegal firearms transactions. The officials with the Center noted that these investigations are generally reactive, meaning that the Center initiates them after receiving a tip or a request from a field agent. For example, in November 2014 the Center received a tip from a person who was selling firearms on an online firearms marketplace and was suspicious of a prospective buyer attempting to obtain a pistol without involving an FFL. The Center identified the prospective buyer and engaged in an undercover operation in which the individual agreed to provide the undercover agent with components designed to turn pistols and rifles into fully automatic firearms in exchange for a pistol and cash. The undercover agent and the buyer met in person and completed the transaction. ATF agents arrested the buyer at the scene, and he was later sentenced to 33 months in prison.", "ATF officials said the agency frequently receives tips about nonlicensed sellers engaging in the business of firearms. For example, ATF investigated a nonlicensed seller who posted more than 280 firearms for sale on multiple online firearms marketplaces; purchased at least 54 firearms; and sold at least 51 firearms at a profit. The seller, who was also found to have made straw purchases for other buyers, was sentenced in August 2010 to 2 years in prison. For additional examples of ATF enforcement actions involving sales facilitated by the Internet, please see appendix II.", "According to ATF officials, the Center also performs investigative work on the Dark Web, which requires knowledge of the Internet and investigative techniques. For example, ATF analysts must understand virtual currency, such as Bitcoin values. They must also know what sellers are charging for their products, because prices on the Dark Web \u201cskyrocket\u201d due to the criminal nature of the merchandise. In addition, the analysts learn common terms associated with firearm culture, in order to communicate with users engaged in criminal activity.", "ATF officials with the Center also noted that investigations might involve both the Surface Web and the Dark Web. For example, to identify an anonymous user on the Dark Web, the Center works to establish the user\u2019s \u201cdigital footprint\u201d on the Surface Web. In some cases, users might conduct illegal activity on the Dark Web but might then go to the Surface Web, such as a social-networking website with chat forums on a wide variety of topics, and discuss their illegal activity. From there, analysts can link the user to other social-media accounts, where the user may post a photo showing a street sign or other characteristics to help investigators narrow the user\u2019s location. The ATF officials with the Center noted that posts on some websites contain meta-data, which includes geo-coding that helps the analysts identify where posts originated.", "ATF issued the Firearms and Internet Transactions Intelligence Assessment Report in April 2016 to provide information and analysis in the area of online firearm sales, including both legal and illegal transactions. The report highlighted several key findings about how firearm transactions are facilitated by the Internet. Specifically, the ATF analysis of the online marketplaces for firearms demonstrated the ease with which individuals can choose to circumvent the generally applicable law in this arena. Within the report, ATF detailed a market analysis of firearms transactions, including Surface Web and Dark Web marketplaces. Firearms transactions that occur on the Dark Web are more likely to be conducted in person or via the mail or common carrier, versus through an FFL. Additionally, the report noted that it appears that the price of a firearm increases as the transaction becomes more covert or when parties attempt to subvert laws and regulations. According to ATF staff, they plan to update the report when there is a significant shift in Internet gun trafficking. The ATF officials with the Center said they have not determined the frequency with which updated reports will be issued but they do not plan to update it annually."], "subsections": []}, {"section_title": "ATF Enforces Firearms Laws through Regulatory Inspections of Licensed Firearms Dealers to Detect Prohibited Firearms", "paragraphs": ["To enforce the NFA, GCA, and related firearms regulations, ATF carries out a variety of regulatory activities. For example, ATF monitors the firearms industry from manufacture and importation through retail sale. Specifically, ATF Industry Operations Investigators determine whether FFL applicants are qualified to engage in firearms commerce through routine inspections and regulatory oversight. Industry Operations Investigators also routinely inspect FFLs to ensure continued compliance with statutes and regulations. ATF officials stated that investigators conduct compliance inspections of FFLs\u2014who must renew their licenses every 3 years. ATF conducts these inspections at least once during the 3- year licensing period. Additionally, ATF officials stated that as part of each inspection, officers will review all sales transactions an FFL has made in the last 12 months and analyze the data for aberrant patterns. Based on a review of DOJ Office of Inspector General documentation and our own observations during an FFL inspection, we determined that, during these inspections, ATF performs an inventory of the FFL\u2019s firearms and checks it against the FFL\u2019s inventory to ensure that firearm transactions reconcile with the firearm inventory; reviews the FFL\u2019s records of background checks for purchases processed through NICS; checks the prior year\u2019s Firearms Transaction Record forms, which document acquisition and disposition information that ATF uses to trace firearms involved in crimes; and reviews sales records to ensure that the FFL has recorded appropriate tax information.", "While ATF investigators routinely monitor firearms transactions of FFLs, the agency does not monitor private firearms transactions among nonlicensed individuals. As noted above, private sales among nonlicensed individuals who are residents of the same state are not subject to record-keeping or background-check requirements, so ATF does not have a means by which to monitor these sales as they take place."], "subsections": []}, {"section_title": "ATF Law-Enforcement Operations Investigate Firearm-Related Crimes, Including Those Facilitated by the Internet", "paragraphs": ["One aspect of the enforcement work undertaken by ATF agents is to investigate reports of individuals engaging in the business of dealing in firearms without a license. According to agency officials with the ATF Violent Crime Intelligence Unit, as part of these investigations, agents gather information about a suspect\u2019s firearm transactions. On the basis of the activity detected, agents will determine whether the extent of the sales history is significant enough to warrant further action.", "In fiscal years 2014\u20132016, ATF made 322 arrests for engaging in the business of dealing in firearms without a license. These figures represent all arrests, as ATF does not identify or track whether transactions were facilitated by the Internet. During the same time, ATF also made 53 arrests for charges related to the unlawful interstate transfer of firearms, 204 arrests for charges related to the sale of firearms to a prohibited person, and 12,586 arrests for charges related to the possession of a firearm by a prohibited person. These arrests may include but are not limited to Internet-related investigations. According to documentation provided by ATF, 89 percent of the defendants in these arrests received a conviction. See table 1."], "subsections": []}]}, {"section_title": "Agents Purchased Two Firearms on the Dark Web, but Covert Attempts to Illegally Purchase Firearms on the Surface Web Were Unsuccessful Agents Successfully Purchased Two Firearms on the Dark Web", "paragraphs": ["Our agents successfully purchased two firearms from sellers we located on a Dark Web marketplace as a result of seven total attempts. ATF officials stated that the Dark Web is completely anonymous and is designed to facilitate criminal activity online. Further, an ATF report states that most used firearms are sold via the online auctions, online marketplaces, and on the Dark Web as compared to the Surface Web. In the seven attempts, our agents did not disclose any information indicating they were prohibited from possessing a firearm. In the five attempts where we did not ultimately purchase a firearm, the prospective seller stopped responding to our inquiries, stated the firearm was no longer for sale, refused to use an escrow account for payment, or experienced technical problems using the Dark Web marketplace. The first weapon that we purchased was an AR-15 rifle, which is a semiautomatic firearm. The serial number on the firearm was obliterated. The Dark Web seller shipped the dismantled weapon directly to the undercover address provided by our agent. It is unlawful for any person to possess or ship in interstate commerce a firearm which has had the importer\u2019s or manufacturer\u2019s serial number removed, obliterated, or altered, if the individual had such knowledge about the serial number. Additionally, because the firearm was shipped across state lines, the seller may not have been a resident of the same state as our agent. We did not confirm whether the seller notified the shipping company that the package contained a firearm. Any of these circumstances\u2014removing a serial number, selling to a resident of a different state, or failing to properly notify the shipping company that the shipment contained a firearm\u2014if proven, would likely violate federal law. A photo of the weapon can be seen in figure 3.", "The second weapon we purchased was an Uzi, which is an Israeli-made semiautomatic firearm, and was advertised as a fully automatic firearm. See photo in figure 4.", "If the firearm meets the NFA\u2019s definition of a machine gun, the seller\u2019s prior possession of the Uzi, and the shipment to our agent, likely violated federal law. Generally, only machine guns that were lawfully possessed prior to May 19, 1986, may continue to be possessed and transferred, with ATF approval, if they are registered in accordance with the NFA.", "We are referring information regarding our two Dark Web purchases to applicable law-enforcement agencies to inform any ongoing investigations for any further action they deem appropriate."], "subsections": [{"section_title": "All of Our Attempts to Illegally Purchase Firearms from Private Sellers on the Surface Web Were Unsuccessful", "paragraphs": ["Our covert testing involving GAO agents attempting to purchase firearms illegally on the Surface Web were unsuccessful. Specifically, private sellers on Surface Web gun forums and in classified ads were unwilling to sell a firearm to our agents that self-identified as being prohibited from possessing a firearm. In our 72 attempts to purchase firearms from private sellers on the Surface Web, 56 sellers refused to complete a transaction once we revealed that either the shipping address was across state lines or that we were prohibited by law from owning firearms. The scenarios we applied to the purchases were derived from provisions in the GCA. The five scenarios disclosed status information that would disqualify our agents from purchasing a firearm. For example, in one scenario we stated that we were a convicted felon; in another scenario, we informed the seller that we had a dishonorable discharge from the military. In these 56 attempts, 29 sellers refused because they would not ship a firearm and 27 refused after we presented the scenario. Furthermore, in five of these attempts, the accounts we set up on several forums were frozen by the websites, which prevented us from using them after we disclosed our prohibited status or requested interstate shipment and attempted to make a purchase.", "In the 11 remaining attempts, we encountered private sellers that appeared to have scammed us, or attempted to scam us, after we disclosed our prohibited status or asked to avoid using an FFL. In two of these instances, we made a payment and never received the firearm or a refund. In the remaining nine attempted scams, our agents determined that the seller may not be legitimate and therefore did not complete the purchase. For example, in one attempt, the agent conducted investigative research on the seller and found evidence suggesting that the seller may be involved in online fraud. As a result, the agent did not follow through with the purchase attempt. ATF does not have jurisdiction over fraud cases so, when it encounters such circumstances, the agency may refer the case to the Joint Support and Operations Center or to local or state law-enforcement agencies or may encourage the victim to file a police report. The results of our attempts on the Surface Web are summarized in figure 5."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to ATF and DOJ on October 31, 2017, for review and comment. ATF provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Deputy Director of ATF and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Seto Bagdoyan at (202) 512-6722 or bagdoyans@gao.gov, or Wayne McElrath at (202) 512-2905 or mcelrathw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Methods for Performing GAO Covert Testing", "paragraphs": [], "subsections": [{"section_title": "Scope", "paragraphs": ["For our covert attempts to buy firearms on the Internet, we performed tests on both the Dark Web and the Surface Web to compare and contrast how transactions are completed. For the tests, our agents employed undercover identities and accessed online marketplaces where firearms were advertised for sale. In both Dark Web and Surface Web testing, the agents contacted sellers that posted ads online, and attempted to complete firearm purchases. For our testing, we did not proactively attempt to purchase firearms from Federal Firearm Licensees (FFL), focusing our efforts on private sellers. We counted an attempt as successful if we received a firearm. We counted an attempt as a failure if we contacted the seller and expressed interest in purchasing the advertised firearm and the seller refused to complete the purchase, or if the seller failed to respond after initial contact was made. In some instances on the Surface Web, after we contacted a seller and described our prohibited status, we were \u201cbanned,\u201d or prohibited from accessing the gun forum or classified ad website. Additionally, in two instances, our agents were apparently \u201cscammed\u201d in that we remitted payment for a firearm we did not receive, or our agents otherwise identified indicators that the firearm would not be shipped. The results of our testing are for illustrative purposes only and are not generalizable.", "Prior to beginning our testing, to understand how prohibited individuals may use the Internet to purchase firearms or firearm components, we reviewed Department of Justice (DOJ) and Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) published reports, including adjudicated criminal cases. We also met with third-party groups with knowledge of the firearms industry, including state law-enforcement agencies, a purveyor of commercial website that host online firearm classified advertisements, a gun-control advocacy group, a firearm-industry organization, and an academic research center, to learn about online firearm marketplaces, criminal pathways to illegally purchase or sell firearms, and enforcement responses.", "Additionally, we reviewed reports by a gun-control advocacy group to understand how prior similar work in this area was performed. We learned through our review and our subsequent interviews with individuals who performed this work that no federal laws were broken when this testing was conducted. Accordingly, to demonstrate how the Internet may facilitate illegal firearm transactions, we decided our agents would complete the firearm purchases."], "subsections": []}, {"section_title": "Methodology for Dark Web Covert Testing", "paragraphs": ["Agents also accessed firearm advertisements on a Dark Web marketplace and attempted to purchase firearms or firearm components from nonlicensed private sellers. Agents focused on one Dark Web marketplace for this stage of testing. Our agents performed a preliminary test to assess the feasibility of purchasing a firearm on the Dark Web. This attempt was successful, so our agents proceeded with additional planned attempts to purchase additional firearms on the Dark Web. Testing ended once a firearm was successfully purchased and received by our agents, with a total of seven attempts completed. For these covert tests, we did not disclose any information about our presumed prohibited status. We also focused our efforts on purchasing a firearm that appeared to be restricted by the National Firearms Act of 1934 (NFA)."], "subsections": []}, {"section_title": "Methodology for Surface Web Covert Testing", "paragraphs": ["To perform Surface Web testing, our agents accessed public gun forums and other classified ads where private nonlicensed sellers listed firearms for sale. These forums and classified ads were identified from our meetings with ATF and third-party entities, and a review of available documentation. We considered the following factors when selecting online classified websites: hosted nationwide or regional ads, quantity of ads, variety of firearms available, and accessibility of website.", "Recently posted ads on these sites were selected if they fell within a designated price range, and were for transactions between private nonlicensed individuals.", "The purpose of our Surface Web purchase attempts was to determine whether private sellers would knowingly sell a firearm to an individual prohibited from possessing one, as outlined by the Gun Control Act of 1968 (GCA). Our agents used one of five scenarios based on a provision of the GCA when attempting to purchase a firearm. The scenarios involved overtly explaining why our agent was prohibited from possessing a firearm. The scenarios based on the GCA covered the following: a felon avoiding a background check, an individual with a domestic-violence background or a restraining order against him or her, an individual who unlawfully uses controlled substances (or is an an individual who was dishonorably discharged from the military, and an individual who has renounced his or her citizenship or is otherwise an unlawful alien.", "Before we began testing, we determined that we would run each scenario iteratively until we successfully completed a purchase, we exhausted the number of applicable ads, or we capped out our predetermined cap of 15 purchase attempts, with a total of 75 attempts to be made in total. However, due to investigative decisions, we only employed 72 attempts.", "We conducted this performance audit from July 2015 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with the standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": []}]}, {"section_title": "Appendix II: Examples of Illegal Firearms Sales Facilitated by the Internet", "paragraphs": ["As noted above, the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) does not track statistics on firearm enforcement actions that involve illegal transactions facilitated by the Internet. However, ATF officials provided several examples of closed, adjudicated cases where the agency took enforcement action against individuals who were using the Internet to facilitate illegal transactions. The following summaries provide examples of the type of investigative and enforcement work ATF agents perform:", "One individual was indicted in February 2015 for being a felon in possession of firearms and for possessing a machine gun. In November 2014, ATF\u2019s Internet Investigation Center (the Center) received a tip from the ATF Tip Line; a legitimate seller was suspicious of a buyer who was attempting to obtain a firearm without involving a Federal Firearm Licensee (FFL) and suggested the seller could obliterate the serial numbers. The Center identified the prospective buyer as a convicted felon. The individual agreed to provide the undercover agent with a Glock auto sear\u2014which, when attached to a firearm makes it a fully automatic weapon\u2014and firearm components that could be used to transform an M-16 style rifle into a machine gun. In exchange, the undercover agent would provide the individual with a Glock pistol and $300 cash. The individual and an undercover agent completed the transaction and the individual was immediately arrested. The individual\u2019s criminal history included a recent prior felony gun-possession conviction. The individual pleaded guilty to being a felon in possession of a firearm and to the illegal transfer or possession of a machine gun, and was sentenced to 33 months imprisonment and 36 months of supervised release.", "In 2009, one individual was indicted on six counts of federal criminal violations, including one count for engaging in the business of firearms without a license. According to the indictment, from approximately January 1, 2005, to May 8, 2008, while serving as an FBI agent, the individual purchased multiple firearms from various sources including private sellers, local stores, and sellers he dealt with over the Internet. He posted at least 280 firearms for sale on a legitimate firearm website, some of which were multiple listings of the same item in the event that interested bidders did not meet his target price. During this period, he purchased at least 54 firearms and sold at least 51 firearms. He profited from all the sales, collecting more than $118,000 in gross receipts. The individual was also indicted on four counts of causing a firearms dealer to maintain false records, which related to his purchasing firearms for third parties (straw purchases). In addition, the individual was indicted on one count of providing ATF with a false document listing the firearms he bought and sold; agents recovered a more-extensive and more-descriptive list. The individual was found guilty on all counts in April 2010, and was sentenced in August 2010 to 2 years in federal prison.", "According to an affidavit from an ATF Special Agent, an individual offered silencers, pistols, and rifles for sale on the Dark Web, as well as nationwide shipping. The ATF Center \u201cproactively targeted\u201d the individual\u2019s vendor name \u201cthrough various methods of analysis,\u201d identified numerous Internet forum and social-media profiles associated with the individual, and ultimately discovered his true identity. The Center referred \u201can investigative lead\u201d and the corresponding evidence and analysis to the respective ATF Field Division. According to the affidavit, the Special Agent conducted a controlled purchase through one of the Dark Web marketplaces, reviewed U.S. Postal Service security video and observed the individual mail the firearm, and executed arrest and search warrants. The individual pled guilty to one count of causing a firearm silencer to be delivered by the U.S. Postal Service without proper notification, and was sentenced to 6 months in federal prison and 3 years of supervised release.", "In October 2013, an individual was indicted for illegal exportation, shipment, and delivery of firearms and firearm components that were sold on a Dark Web site. The man shipped a handgun concealed in a video game system to a buyer in Sydney, Australia. Australian Federal Police intercepted the package and alerted ATF, which began an investigation. During the investigation, the individual shipped a 9 mm pistol with an obliterated serial number to the United Kingdom, various assault-rifle parts to Australia, and a .22-caliber pistol with an obliterated serial number and a weapon magazine to Sweden. Each firearm was disassembled and concealed in a broken electronic device. The individual pleaded guilty and was sentenced to 2 years imprisonment and 2 years of supervised release.", "In February 2015, an individual was indicted for dealing in firearms without a license and selling firearms to residents of other states. The individual sold firearms via two Dark Web sites and shipped them to buyers in the United States and internationally. In an attempt to hide his identity, the man placed false return-address labels on the packages, used aliases to send the packages, and packed the firearms so that they appeared to be computer hard drives. The individuals agreed to sell handguns to undercover ATF agents posing as gun buyers and then shipped the guns from Alabama to Nebraska and New Jersey. The individual was found guilty and sentenced in November 2015 to 51 months in prison and 36 months supervised release."], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Dave Bruno (Assistant Director), Dean Campbell, Julia DiPonio, Robert Graves, and Kristen Timko made key contributions to this report. Other contributors include Marcus Corbin, Colin Fallon, Maria McMullen, James Murphy, Anna Maria Ortiz, Julie Spetz, and Helina Wong."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-482", "url": "https://www.gao.gov/products/GAO-18-482", "title": "Job Corps: DOL Could Enhance Safety and Security at Centers with Consistent Monitoring and Comprehensive Planning", "published_date": "2018-06-15T00:00:00", "released_date": "2018-07-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Deficiencies identified in multiple DOL Inspector General audits since 2009 and two student deaths in 2015 have raised concerns regarding the safety and security of Job Corps students. GAO was asked to review safety and security of students in the Job Corps program. GAO's June 2017 testimony summarized preliminary observations. This report further examines (1) the number and types of reported safety and security incidents involving Job Corps students; (2) student perceptions of their safety at Job Corps centers; and (3) the extent to which ETA has taken steps to address safety and security at Job Corps centers.", "GAO analyzed ETA's reported incident data for Job Corps centers from July 1, 2016, through June 30, 2017. GAO also analyzed ETA's student survey data from the same period, reviewed relevant documentation, and interviewed ETA officials at its national office and all six regions. GAO also visited two Job Corps centers that had different operators and at least 100 recent incidents. These two centers are not generalizable to all centers."]}, {"section_title": "What GAO Found", "paragraphs": ["Job Corps centers reported 13,673 safety and security incidents involving students from July 2016 to June 2017, according to GAO's analysis of the Department of Labor's (DOL) Employment and Training Administration's (ETA) data. Most reported incidents occurred onsite and involved recently enrolled male students under age 20. During that time, the program served about 79,000 students at 125 Job Corps centers, according to ETA officials. ETA's Office of Job Corps administers the program, which is the nation's largest residential, educational, and career and technical training program for low-income youth generally between the ages of 16 and 24. Drug-related incidents and assaults accounted for 48 percent of all reported incidents (see fig.).", "Students generally felt safe at Job Corps centers, yet fewer felt safe in some situations, based on GAO's analysis of ETA's September 2016 and March 2017 Job Corps student satisfaction surveys. At least 70 percent of students reported that they felt safe on half of the 12 safety-related questions in the 49 question survey about their experiences in the Job Corps program; but fewer students reported feeling safe when asked if they were made to feel unimportant or if they heard students threaten each other. ETA plans to administer a new survey nationally by January 2019 that focuses solely on safety and security issues.", "ETA has initiated several actions to improve safety and security at Job Corps centers, but insufficient guidance for its monitoring staff and absence of a comprehensive plan for safety and security may put the success of these actions at risk. Among its actions, ETA adopted a new risk-based monitoring strategy to identify emerging problems at the centers. Officials GAO spoke with in five of ETA's regional offices said that the new strategy has improved monitoring, but that more guidance on how to interpret and apply safety and security policies is needed to promote consistency across centers. Also, ETA lacks a comprehensive plan linking its new efforts to an overall safety and security framework. ETA officials told GAO that limited staff capacity and lack of expertise have hindered their efforts in developing such a plan. Without a comprehensive plan, ETA runs the risk that its new efforts will not be successful."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to DOL, including that ETA develop additional monitoring guidance and a comprehensive plan for safety and security. DOL agreed with GAO's three recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Job Corps is the nation\u2019s largest residential, educational, and career and technical training program for low-income youth generally between the ages of 16 and 24. The Job Corps program is administered by the Office of Job Corps in the Department of Labor\u2019s (DOL) Employment and Training Administration (ETA).The program enrolls approximately 50,000 new students each year at 123 Job Corps centers nationwide and for fiscal year 2017 was appropriated about $1.7 billion.", "For almost a decade, concerns have been raised regarding the safety and security of Job Corps students. For example, DOL Office of Inspector General (OIG) audits in 2009, 2010, 2015, and 2017 found that the Office of Job Corps did not properly address serious incidents related to student safety and security because of deficiencies in its oversight of program disciplinary policies. As a result, the DOL OIG included providing a safe learning environment at Job Corps centers among the department\u2019s top management challenges in November 2017. Additional concerns were raised regarding the safety and security of students following the deaths of two students at two separate Job Corps centers in 2015.", "For a June 2017 hearing, you asked us to provide preliminary observations on the safety and security of students in the Job Corps program. Our preliminary results found that Job Corps centers reported 49,836 safety and security incidents of various types that occurred both onsite and offsite between January 1, 2007, and June 30, 2016. During this time period, approximately 539,000 students were enrolled in the program, according to ETA officials. Beginning July 1, 2016, ETA implemented policy changes that impacted the categorization and number of reportable incidents. As such, incident data after July 1, 2016\u2014the focus of this report\u2014are not comparable with the earlier incident data presented in our June 2017 testimony. In addition, we reported in our testimony that from March 2007 through March 2017, students generally reported feeling safe at their Job Corps center, but reported feeling less safe in certain situations such as when they witnessed physical fights and heard threats between students.", "This report examines (1) what is known about the number and types of reported incidents involving the safety and security of Job Corps students in program year 2016; (2) what is known about student perceptions of safety and security at Job Corps centers, and what steps, if any, is ETA taking to improve the survey used to collect this information; and (3) the extent to which ETA has taken steps to address safety and security at Job Corps centers.", "To address our first objective, we analyzed ETA\u2019s incident data for program year 2016, the most recent year for which Job Corps data were available. ETA captures these data in its Significant Incident Reporting System (SIRS). We assessed the reliability of SIRS data by reviewing relevant agency documentation about the data and the system that produced them and interviewing knowledgeable ETA and DOL OIG officials. We determined that the data were sufficiently reliable to report the minimum number of incidents that occurred in program year 2016. It is likely that the actual number of incidents was greater than the number reported in SIRS because the information is reported by Job Corps centers, and the DOL OIG previously found instances of underreporting by a non-generalizable sample of center operators. While ETA has recently taken steps to improve center reporting of significant incidents, according to DOL OIG officials, it is too early to determine if these steps have resolved the OIG\u2019s concerns regarding center underreporting. The incident categories and definitions in this report are taken directly from ETA documents and represent how ETA categorizes these incidents. We did not assess these categories and definitions.", "To address our second objective, we analyzed ETA\u2019s national student satisfaction survey data for program year 2016, the most recent year for which data were available. The surveys were administered to students in September 2016 and March 2017, and each had a response rate of about 90 percent. The semi-annual survey on various aspects of the Job Corps program included 12 questions about students\u2019 perceptions of safety at their center. We assessed the reliability of the data by reviewing relevant agency documentation about the data and the system that produced them and interviewing knowledgeable ETA officials, among other steps. We determined that the student survey data were sufficiently reliable for our purposes.", "To address our third objective, we reviewed documentation on ETA\u2019s recent actions to improve center safety and Job Corps policies for monitoring center operators. We also used criteria to assess whether ETA\u2019s documentation of its recent and planned actions constituted a comprehensive plan. These criteria included leading practices for comprehensive planning and Standards for Internal Control in the Federal Government. We selected these criteria because they included a process for developing a comprehensive plan and specify the content of such plans, which we determined to be most relevant, given our initial understanding that ETA was early in its planning process.", "To address all three objectives, we reviewed agency policies and procedures and interviewed ETA national and regional officials. We also conducted site visits to two Job Corps centers to interview center staff and students about various safety and security issues. The two selected centers were within geographical proximity to Washington, D.C., operated by different contractors, and had over 100 reported incidents of various types in program year 2016. While these two site visits are not generalizable to all Job Corps centers, they provide examples of student and staff experiences with safety and security. Additional details on our methodology can be found in appendix I.", "We conducted this performance audit from April 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Job Corps Eligibility Criteria and Program Services", "paragraphs": ["To be eligible for the Job Corps program, an individual must generally be 16 to 24 years old at the time of enrollment; be low income; and have an additional barrier to education and employment, such as being homeless, a high school dropout, or in foster care. See table 1 for characteristics of students served by Job Corps during program year 2016.", "Once enrolled in the program, youth are assigned to a specific Job Corps center, usually one located nearest their home and which offers a job training program of interest. The vast majority of students live at Job Corps centers in a residential setting, while the remaining students commute daily from their homes to their respective centers. This residential structure is unique among federal youth programs and enables Job Corps to provide a comprehensive array of services, including housing, meals, clothing, academic instruction, and job training. In program year 2016, about 16,000 students received a high school equivalency and about 28,000 students completed a career technical training program, according to ETA officials."], "subsections": []}, {"section_title": "Job Corps Structure and Operations", "paragraphs": ["ETA administers Job Corps\u2019 123 centers through its national Office of Job Corps under the leadership of a national director and a field network of six regional offices located in Atlanta, Boston, Chicago, Dallas, Philadelphia, and San Francisco (see fig. 1). Job Corps is operated primarily through contracts, which according to ETA officials, is unique among ETA\u2019s employment and training programs (other such programs are generally operated through grants to states). Among the 123 centers, 98 are operated under contracts with large and small businesses, nonprofit organizations, and Native American tribes. The remaining 25 centers (called Civilian Conservation Centers) are operated by the U.S. Department of Agriculture\u2019s (USDA) Forest Service through an interagency agreement with DOL. Job Corps center contractors and the USDA Forest Service employ center staff who provide program services to students. The President\u2019s fiscal year 2019 budget seeks to end USDA\u2019s role in the program, thereby unifying responsibility under DOL. The Administration reported that it was proposing this action because workforce development is not a core mission of USDA, and the 25 centers it operates are overrepresented in the lowest performing cohort of centers. According to ETA officials, the Office of Job Corps has oversight and monitoring responsibility to ensure that center operators follow Job Corps\u2019 Policy and Requirements Handbook, including the safety and security provisions. Job Corps regional office staff are largely responsible for these duties."], "subsections": []}, {"section_title": "Requirements for Job Corps Centers Related to Incident Reporting", "paragraphs": ["Job Corps\u2019 Policy and Requirements Handbook requires centers to report certain significant incidents to the national Office of Job Corps and to regional offices using SIRS. Centers are required to report numerous categories of incidents, including assaults, alcohol and drug-related incidents, and serious illnesses and injuries (see appendix II for definitions of these categories of incidents). Within the Policy and Requirements Handbook, ETA establishes student standards of conduct that specify actions centers must take in response to certain incidents. In some cases, the incident categories in SIRS are related to the specific infractions defined in the Policy and Requirements Handbook, which are classified according to their level of severity. Level I infractions are the most serious, and includes infractions such as arrest for a felony or violent misdemeanor or possession of a weapon, and are required to be reported in SIRS. Level II includes infractions such as possession of a potentially dangerous item like a box cutter, or arrest for a non-violent misdemeanor. The majority of these infractions are required to be reported in SIRS. Minor infractions\u2014the lowest level\u2014include failure to follow center rules, and are not required to be reported in SIRS.", "Centers must report incidents involving both Job Corps students and staff, and incidents that occur onsite at centers as well as those that occur at offsite locations. According to ETA officials, the agency and its center operators must take steps to protect the safety and security of Job Corps students when students are under Job Corps supervision. Students are under Job Corps supervision when they are onsite at Job Corps centers and when they are offsite and engaged in center-sponsored activities, such as work-based learning or community service. According to ETA officials, the agency and its contractors are not responsible for protecting the safety and security of Job Corps students when students are offsite and not under Job Corps supervision, such as when students are at home on leave. However, when offsite safety and security incidents of any type occur, Job Corps center operators are responsible for enforcing the student conduct policy. For example, if a student is arrested for a felony offsite while not under Job Corps supervision, the arrest may result in a Level I infraction and dismissal from the program."], "subsections": []}, {"section_title": "Job Corps Student Satisfaction Survey", "paragraphs": ["Since 2002, ETA used its student satisfaction survey to periodically obtain views from enrolled Job Corps students on various aspects of the program, including career development services, interactions between students and staff, access to alcohol and drugs, and overall satisfaction with the program. The survey of 49 questions has remained the same over time and included 12 questions on students\u2019 perceptions of safety and security at centers.", "ETA used the responses to the 12 safety-related survey questions to calculate a center safety rating, which represented the percentage of Job Corps students who reported feeling safe at each center, as well as a national safety rating, which represented the percentage of Job Corps students who reported feeling safe nationwide. ETA officials said they used these ratings to assess students\u2019 perceptions of safety at individual centers and nationwide, to monitor and evaluate center operators, and to determine whether ETA needed to take action to better address students\u2019 safety and security concerns. In 2018, ETA will pilot a stand-alone survey for safety related topics and remove the safety questions from the student satisfaction survey."], "subsections": []}]}, {"section_title": "Job Corps Centers Reported Nearly 14,000 Incidents of Various Types during Program Year 2016, Which Mainly Occurred Onsite and Involved Recently Enrolled Males under Age 20", "paragraphs": [], "subsections": [{"section_title": "Almost Half of the Reported Onsite and Offsite Incidents Involved Drugs or Assaults", "paragraphs": ["Our analysis of ETA\u2019s data from the Significant Incident Reporting System (SIRS) showed that Job Corps centers reported 13,673 safety and security incidents involving students, including those that occurred both onsite and offsite, in program year 2016. During this time period (July 1, 2016, through June 30, 2017), approximately 79,000 students were served by the program, according to ETA officials. Drug-related incidents (29 percent) and assaults (19 percent) accounted for 48 percent of all reported incidents involving students. The remaining 52 percent of reported incidents involving students included breaches of security and safety (12 percent), alcohol-related incidents (6 percent), serious illness and injury (6 percent), theft or damage to property (5 percent), danger to self or others (5 percent), and all other types of incidents (18 percent) (see fig. 2). According to ETA officials, about half of the 3,926 drug- related incidents are due to positive drug test results among students that are administered drug tests about 40 days after entering the program.", "We found that about 20 percent of reported onsite and offsite incidents in program year 2016 were of a violent nature, which we define as homicides, sexual assaults, and assaults. There were two reported homicide incidents in program year 2016 and both occurred while students were offsite and not under Job Corps supervision. Also, centers reported 177 sexual assaults and 2,593 assaults involving students during program year 2016. For each reported sexual assault and assault, SIRS provides an additional description of the incident (see table 2).", "In our June 2017 testimony, we stated that 49,836 onsite and offsite safety and security incidents of various types were reported by Job Corps centers between January 1, 2007, and June 30, 2016, based on our preliminary analysis of ETA\u2019s SIRS data. We cannot compare our analysis of safety and security incidents in our June 2017 testimony to the analysis contained in this report for program year 2016 due to a policy change by ETA beginning July 1, 2016, which affected the categorization and number of reportable incidents. Specifically, ETA changed the way some incidents are defined, and required that some incidents be reported in SIRS that previously had no such requirement. Anecdotally, officials from one ETA regional office and two Job Corps centers that we visited said that the number of reported incidents has increased since July 1, 2016, due to these changes. In its December 2017 report, the DOL OIG compared the number of safety and security incidents reported to the OIG for the same 8-month periods in 2016 and 2017 and found an increase of 134 percent. According to the DOL OIG, this increase is likely due to more accurate incident reporting as a result of the recent policy change. In addition, the DOL OIG said an actual increase in incidents is also possible."], "subsections": []}, {"section_title": "Most Reported Incidents Occurred Onsite, but Arrests and Deaths Most Frequently Occurred Offsite While Students Were Not Under Job Corps Supervision", "paragraphs": ["Our analysis of SIRS data found that in program year 2016, 90 percent of the 13,673 reported safety and security incidents involving students occurred onsite at Job Corps centers, and 10 percent occurred at offsite locations (see fig. 3). For example, 99 percent of drug-related incidents, 96 percent of assault incidents, and 84 percent of alcohol-related incidents occurred onsite. While most reported incidents occurred onsite, our analysis showed that the majority of reported arrests, deaths, and motor vehicle accidents occurred offsite. For example, of the 21 student deaths,18 occurred at offsite locations and 3 occurred onsite. In our June 2017 testimony, we reported that from January 1, 2007, through June 30, 2016, 76 percent of the reported safety and security incidents occurred onsite at Job Corps centers, and 24 percent occurred at offsite locations based on our preliminary analysis of ETA\u2019s SIRS data. However, as previously noted, that analysis is not comparable to the analysis in this report for program year 2016 due to ETA\u2019s July 1, 2016, policy change that impacted the categorization and number of reportable incidents.", "We analyzed the 1,406 incidents of 13,673 total reported incidents that were reported to have taken place offsite in program year 2016 to determine if the students involved were on duty (i.e., under Job Corps supervision) or off duty (i.e., not under Job Corps supervision). We found that for offsite incidents, similar percentages of student victims and perpetrators were on duty and off duty. Specifically, we found that 50 percent of student victims were on duty, 44 percent were off duty, and we were unable to determine the duty status of 6 percent. For student perpetrators, we found that 45 percent of students were on duty, 45 percent were off duty, and we were unable to determine the duty status of 10 percent. Some types of reported incidents occurred more frequently when students were offsite and off duty. For example, of the reported arrest incidents that occurred offsite, 76 percent of student perpetrators were off duty. Of the reported death-related incidents that occurred offsite, student duty status was reported as off duty for 16 of 18 incidents.", "We were unable to determine the duty status for all students involved in offsite incidents due to inconsistencies in ETA\u2019s data. Of the 1,406 offsite incidents reported in SIRS, there were 178 instances in which a student\u2019s duty status location conflicted with the incident location. For example, the student\u2019s duty status was listed as onsite and on duty, but the incident location was listed as offsite. We asked ETA officials why these inconsistencies existed and they were unable to explain all instances in which these inconsistencies occurred. ETA officials did state, however, that these inconsistences can sometimes occur when centers enter information in SIRS based on the student\u2019s duty status at the time the incident report is completed instead of the student\u2019s duty status at the time the incident occurred. Due to this data limitation, we were unable to determine if the 178 students involved in those incidents were on duty or off duty."], "subsections": []}, {"section_title": "Student Victims and Perpetrators Most Often Were Recently Enrolled Males under Age 20, Reflective of the Job Corps Population", "paragraphs": ["We analyzed SIRS data to determine the characteristics of students involved in reported safety and security incidents and found that about 17,000 students were reported as victims or perpetrators of all onsite and offsite incidents in program year 2016. The total number of students reported as victims or perpetrators is 22 percent of the students served in program year 2016. The number of student victims and perpetrators varied across incident types (see fig. 4).", "In program year 2016, we found that about 5,000 students (6 percent of students served) were reported as victims of various types of onsite and offsite incidents. We separately examined the gender, age, and enrollment time of reported student victims and found that for all reported incidents the majority of student victims were male, under age 20, and enrolled in Job Corps for less than 4 months (see fig. 5). These characteristics are somewhat similar to the overall Job Corps student population, which is primarily male and under age 20, as previously noted. For example, 65 percent of reported assault victims and 73 percent of reported theft victims were male. However, the number of female victims exceeded the number of male victims within some reported incident categories, such as sexual assault, inappropriate sexual behavior, and missing persons. Students under age 20 were victims of 67 percent of reported assault incidents and 63 percent of danger to self or others incidents. According to ETA officials, 18 percent of students served in program year 2016 were enrolled for less than 4 months; however, across all reported incidents 56 percent of student victims were enrolled for less than 4 months. For example, about 60 percent of student victims of reported assault and danger to self or other incidents were enrolled in Job Corps for less than 4 months.", "Our analysis of SIRS data shows that about 13,000 students (17 percent of students served) were reported as perpetrators of various types of onsite and offsite incidents in program year 2016. The most commonly reported incidents\u2014drug-related and assaults\u2014also had the highest numbers of student perpetrators. We found that 6 percent and 5 percent of students served in program year 2016 were perpetrators of reported drug-related and assault incidents, respectively. Similar to our analysis of student victims, we separately examined student characteristics and found that the majority of reported student perpetrators of all reported incidents were male, under age 20, and enrolled in Job Corps for less than 4 months (see fig. 6)."], "subsections": []}]}, {"section_title": "Students Generally Reported Feeling Safe; ETA Plans to Create a New, Expanded Survey", "paragraphs": [], "subsections": [{"section_title": "Most Students Reported Feeling Safe, but Fewer Reported Feeling Safe on Selected Questions", "paragraphs": ["Our analysis of ETA\u2019s student satisfaction survey data from program year 2016 showed that while students generally reported feeling safe at Job Corps centers, a smaller proportion reported feeling safe in certain situations. ETA considers students to feel safe if they provide certain responses to each of the 12 safety-related survey questions, some of which are phrased as statements. For example, if a student provided a response of \u201cmostly false\u201d or \u201cvery false\u201d to the statement \u201cI thought about leaving Job Corps because of a personal safety concern,\u201d that student would be counted as feeling safe on that survey question. On 6 of the 12 safety-related survey questions in program year 2016, at least 70 percent of responding students indicated that they felt safe (see table 3). For example, 74 percent of students responded that they did not ever or in the last month carry a weapon, and 83 percent of students responded that it was very or mostly true that a student would be terminated from Job Corps for having a weapon at the center. These are responses that ETA considered to indicate feeling safe. At the two centers we visited, students that we interviewed said that they felt safe onsite at their center. For example, students at one center said that they felt safe because absolutely no weapons, fighting, or drugs were allowed at the center.", "A smaller number of students reported feeling safe on questions that dealt with hearing threats or hearing things from other students that made them feel unimportant. For example, 36 percent of students reported they had not ever or in the last month heard a student threaten another student at the center, which is considered safe according to ETA policy. Meanwhile, 49 percent reported that they had heard a student threaten another student at least once in the last month, and ETA considered these responses to indicate that students felt unsafe. Another 15 percent chose \u201cdon\u2019t know / does not apply.\u201d On another question, 53 percent of students reported that other students had not ever or in the last month said things that made them feel like they were not important, which ETA considered as feeling safe. Yet 30 percent reported that others made them feel unimportant at least once in the last month\u2014which ETA considered as feeling unsafe\u2014and 17 percent chose \u201cdon\u2019t know / does not apply.\u201d", "In response to a question about the student conduct policy, 35 percent of students indicated that the policy was not applied equally to all students. At the two centers we visited, students that we interviewed had varying views on applying the student conduct policy. Students from one center said that staff have applied the policy in a fair way. Yet at another center, students told us that they have occasionally perceived that staff have not applied the student conduct policy fairly. They mentioned that they were aware of favoritism in a few recent incidents when staff applied the policy\u2019s disciplinary consequences for certain students but not others. For example, they said that a student they perceived as the perpetrator remained in Job Corps while a student they perceived as innocent was dismissed.", "Our June 2017 testimony contained similar observations about students\u2019 perceptions of their safety, with students generally reporting that they felt safe at their Job Corps centers. For example, most students reported feeling safe because a student found with a weapon at the center would be terminated. In that testimony, we also noted that students reported feeling less safe on such questions as hearing threats or applying the student conduct policy.", "In addition to the 12 safety-related questions, we examined data on the 2 questions about access to alcohol or drugs, and found that almost two- thirds of survey respondents said that it was mostly or very false that they could access alcohol or drugs at their Job Corps center. Although a large number of reported incidents in program year 2016 involved drugs or alcohol, less than 15 percent of survey respondents said that it was mostly or very true that they could access alcohol or drugs at their Job Corps center."], "subsections": []}, {"section_title": "National Measures of Safety and Security Have Been Developed", "paragraphs": ["Based on students\u2019 responses to the 12 safety-related questions, ETA determined that 88 percent of students indicated that they felt safe in program year 2016. ETA calculated its national measure of safety\u2014 referred to as a safety rating\u2014to summarize and track students\u2019 perceptions of their safety and to determine the need for additional action, as noted previously. Similarly, it calculated a safety measure for each center.", "However, we calculated a national measure differently and found that an average of 73 percent of students reported feeling safe in program year 2016. Our national measure reflected the average of how safe each student felt on the 12 safety-related survey questions. We estimated that one key difference accounted for about 11 of the 15 percentage points between our and ETA\u2019s measure. (See table 7 in appendix I.) Specifically, we calculated our measure based on a numeric average for each student without rounding. For example, if a student answered all 12 safety questions with 6 responses that he felt safe and another 6 that he felt unsafe, we counted this student as half safe (0.5). Meanwhile, ETA rounded the average to either safe or unsafe, so that ETA counted a student with 6 safe responses and 6 unsafe responses as feeling safe.", "In addition to differences in calculations, we developed our own national measure of safety because it is important to assess and track students\u2019 perceptions for the program as a whole, as ETA has noted. Also, a national measure facilitates analysis of groups of students, such as male or female students or younger or older students, as described below.", "We examined whether our national measure differed by age, gender, time in program, center size, or operator type and found statistically significant and meaningful differences in our national measure by students\u2019 length of time in the program. In particular, an average of 78 percent of students in the program for less than 4 months responded that they felt safe, compared to an average of 71 percent for students in the program for at least 4 months. According to ETA officials, differences in responses based on length of time in the program may relate to new students being less aware about life at the center because they begin the program with other newly arrived students for up to 2 months. For example, ETA officials said that new students may live in a dormitory specifically for new students. Thus, they are not yet fully integrated into the larger student body. Although differences were also statistically significant between age groups, center size, and operator type, such differences were not meaningful in a practical manner (i.e., around 3 percentage points or less). Differences in our national measure by gender were not statistically significant.", "When we analyzed the survey\u2019s separate question about overall satisfaction with Job Corps, we found that students who reported they were satisfied with the Job Corps program responded that they felt safer than students who were not satisfied. In program year 2016, about two- thirds of students said it was very or mostly true that they would recommend Job Corps to a friend, which ETA uses to gauge overall satisfaction with the program. Of the 65 percent of students who would recommend Job Corps to a friend, 79 percent said they felt safe. Of the 11 percent of students who would not recommend Job Corps to a friend, 52 percent felt safe."], "subsections": []}, {"section_title": "ETA\u2019s New Web-based Survey Is Designed to Be More Timely and Detailed", "paragraphs": ["ETA officials said that the agency is creating a new expanded safety survey to improve upon the prior survey. With Job Corps\u2019 heightened attention to safety and security, the new survey\u2014the Student Safety Assessment\u2014is focused solely on safety and security issues and is designed to provide more timely and more detailed information.", "More timely information. ETA plans to administer the new safety survey monthly to a random sample of students rather than twice per year to all enrolled students. Also, it will be web-based, rather than the current paper-based survey. As a result, ETA officials said that they will receive more timely information from students because it will take less time to administer the survey and analyze the responses.", "More detailed information. The number of questions about center safety will increase from 12 to about 50\u2014pending finalization of the survey\u2014which is about the same number of questions on the current student satisfaction survey. For example, the new questions will ask about sexual assaults and harassment or the types of drugs bought or used at the center, which were not topics covered by the prior survey.", "ETA continues to work with its contractor with survey expertise to develop, test, and administer the new survey in 2018, according to ETA officials. To develop the new survey, ETA and its contractor have considered, incorporated, and revised questions from other existing surveys. For example, they have drawn from safety surveys of teenage students and postsecondary students. ETA plans to continue developing and refining the survey and its administration in 2018, including conducting monthly pilots from January to June 2018, assessing response rates, and developing a new way to calculate national and center-level safety measures. Additionally, ETA officials said that, in 2018, they will seek to obtain comments and approval on the survey from the Office of Management and Budget. ETA officials told us that they plan to administer the new survey nationally by January 2019. As ETA refines and administers this new survey, officials told us they plan to develop a new way to measure student safety based on the more detailed survey."], "subsections": []}]}, {"section_title": "ETA Initiated Multiple Actions to Improve Center Safety and Security, but the New Monitoring Strategy Was Implemented Inconsistently and ETA Lacks a Comprehensive Plan", "paragraphs": [], "subsections": [{"section_title": "ETA Initiated Multiple Actions to Improve Center Safety and Security", "paragraphs": ["In 2014, ETA launched multiple actions to improve safety and security at Job Corps centers in response to DOL OIG recommendations (see table 4). For example, in 2015 the DOL OIG found ETA\u2019s oversight of Job Corps centers ineffective, in part, because ETA\u2019s student conduct policy excluded some violent offenses. As a result, ETA revised its student conduct policy by elevating several infractions previously classified as Level II to Level I (the most severe) and by adding several new categories of reportable incidents. Under the revised student conduct policy, assault, a Level I infraction, now includes fighting, which was previously a Level II infraction. In addition, the DOL OIG found that ETA did not monitor centers regularly enough to ensure center consistency in administering Job Corps disciplinary policies. In response, ETA implemented a risk- based monitoring strategy that identifies potential safety and security issues before they occur.", "Staff from five ETA regional offices and at one Job Corps center we visited said that ETA\u2019s actions overall helped to improve center safety and security. For example, staff from five regional offices said that the changes to the student conduct policy that were implemented in July 2016 clearly describe the penalties for infractions and eliminate grey areas that previously allowed center staff to use their professional judgement. Staff from four regional offices also said these changes resulted in tradeoffs that reduced center staff discretion in imposing penalties. In addition, at one center we visited, the Director of Safety and Security told us he updated the center\u2019s security-related standard operating procedures in response to ETA\u2019s guidance. ETA\u2019s guidance was part of the 2017 updates to the Policy and Requirements Handbook in response to DOL OIG concerns about reporting potentially serious criminal misconduct to law enforcement."], "subsections": []}, {"section_title": "ETA Officials Reported That Some New Actions Improved Center Monitoring, but That Actions Were Inconsistently Implemented and May Create Reporting Overlaps", "paragraphs": ["ETA national officials said that the new risk-based monitoring strategy has improved center monitoring because it has allowed them to more effectively direct resources to areas of greatest need. Officials in five ETA regional offices agreed that the new strategy improved their ability to monitor centers. The new monitoring strategy shifted the focus from addressing problems after they have occurred to a data-driven strategy that tracks center performance and identifies emerging problems. This strategy provides ETA and center operators an opportunity to address problems before they occur, according to ETA national officials. For example, the new monitoring strategy features new tools, including the Risk Management Dashboard. The dashboard is a summary analysis tool that conducts trend analysis using center data and allows regional staff to engage in targeted interventions at centers with potential safety and security concerns. In addition, under the new monitoring strategy, instead of only conducting scheduled monitoring visits to a center at set times, regional staff conduct unannounced visits based on data indicating a decline in center performance or other triggers. See appendix VI for additional information on the new monitoring strategy.", "Although the new risk-based monitoring strategy has improved center monitoring, it is not consistently implemented across regional offices, according to ETA national officials. They told us that similar problems identified at centers may be treated with different levels of focus or intensity from one region to another. In addition, national and regional officials told us that regional office staff have relied on professional judgment to determine the appropriate response to centers that may be at risk of noncompliance with safety and security policies, which could lead to inconsistencies. For example, when problems are identified at centers, the type of assessment to conduct is left to regional office staff discretion. As a result, staff in one region may decide that the most comprehensive assessment, the Regional Office Center Assessment, is needed, while another region\u2019s staff would select a targeted assessment, which is more limited in scope. ETA national officials said that although each determination could be justified based on resource constraints and competing priorities, they would like to increase implementation consistency in this area.", "To address regional inconsistencies, ETA national and regional office staff said that guidance in the form of standard operating procedures (SOP) would be helpful. These procedures would promote consistency in how policies are interpreted and applied and would help ensure that centers are held to the same standards, according to ETA national officials. For example, SOPs could specify which type of assessment to conduct in response to specific problems identified at centers. Internal control standards state that managers should document in policies each unit\u2019s responsibility for an operational process.", "Regional office staff said that they previously had a helpful tool, the Program Assessment Guide, that linked policies in the Policy and Requirements Handbook to the monitoring assessment process. Regional office staff said they used the Program Assessment Guide to prepare for center monitoring visits and it was a helpful training tool for new staff. Our review of ETA documentation found that the Program Assessment Guide included specific questions to ask center staff about how they meet safety and security requirements and suggested where to look for information to determine center compliance with policies. However, the Program Assessment Guide, which has not been updated since 2013, does not include recent changes to the Policy and Requirements Handbook, such as the updated student conduct policy. ETA national officials told us that limited staffing has made it difficult to update the Program Assessment Guide as frequently as changes are made to the Policy and Requirements Handbook.", "In February 2018, ETA national officials told us they plan to issue a variety of SOPs related to monitoring center safety and security issues (see table 5). ETA officials initially said these SOPs would be completed in August or November 2018 and later revised its plans with a goal of completing all SOPs by August 2018. However, in August 2017, ETA officials had told the DOL OIG that these SOPs would be completed in the March to July 2018 timeframe. ETA officials said that a staffing shortage in the Office of Job Corps\u2019 Division of Regional Operations and Program Integrity delayed development of the SOPs. This Division\u2014 established in 2015 to coordinate regional operations and strengthen communications and quality assurance\u2014includes eight staff positions; however, as of January 2018, the Division has two staff members on board. ETA officials said that they have not yet received departmental approval to fill the six vacant positions in the Division.", "Given this uncertainty, it is questionable whether ETA\u2019s revised timeframes will be met. Without SOPs or other relevant guidance, ETA cannot ensure that monitoring for center safety and security will be carried out uniformly across the program. As a result, centers may be held to different standards, and the program may not achieve its center safety and security goals.", "In addition to inconsistencies in monitoring and a lack of sufficient guidance, staff in all six regional offices told us that components of ETA\u2019s risk-based monitoring strategy created reporting overlaps. As part of the new monitoring strategy, regional staff have additional reports that they complete\u2014such as the Risk Management Dashboard Action report and Corrective Action Tracker\u2014about potential safety and security problems or actual violations found at centers. Some regional staff said the desk monitoring report includes similar information to the Risk Management Dashboard and Corrective Action Tracker reports, which regional offices submit to the ETA national office. Staff in one regional office said that they enter the same information about the status of center safety and security violations multiple times on the Corrective Action Tracker because the time between reporting periods is too short to allow for meaningful action to be taken. Staff from four regional offices said completing duplicative reports reduces time that could be used to conduct additional center monitoring, such as onsite visits, or to perform other key duties.", "ETA national officials disagreed that overlap exists among monitoring reports. They said that although reports may appear to overlap, the reports are complementary and not duplicative, and are used at different points in the monitoring process (see fig. 7 for an overview of ETA\u2019s monitoring process). For example, ETA national staff told us that desk monitoring reports are primarily used by regional staff at the beginning of the monitoring process to identify potential problems and are not substantially reviewed by the national office. ETA national officials also said that the Risk Management Dashboard report is used at the beginning of the monitoring process to identify problems, whereas the Corrective Action Tracker is used later in the process after violations have been identified and corrective actions have been planned to bring the center back into compliance. In addition, ETA national officials also noted that regional staff are not asked to complete all reports every month. For example, regional staff complete a Risk Management Dashboard Action report only for those centers with potential safety and security concerns.", "We compared the information included in five monitoring reports\u2014the Center Culture and Safety Assessment, Corrective Action Tracker, Desk Audit, Regional Office Center Assessment, and Risk Management Dashboard Action report\u2014and found opportunities for streamlining. For example, we found that the Center Culture and Safety Assessment, Corrective Action Tracker, and Regional Office Center Assessment, all include a narrative description of the violations identified by regional staff categorized according to the corresponding requirement in the Policy and Requirements Handbook. In addition, ETA regional office staff said the Corrective Action Tracker, a Microsoft Excel spreadsheet, is cumbersome to use and within the spreadsheet they attach and submit additional documentation. ETA national officials agreed that streamlining or automating monitoring tools would be helpful for its regional staff, along with additional training to help staff understand the different reports and how to write the required narratives. ETA national officials also told us that they did not systematically review existing reports before creating additional ones for the new risk-based monitoring process. Officials said they have lacked the resources to make some improvements that could reduce the time regional office staff spend on reporting.", "Standards for internal control state that managers should identify the organizational level at which the information is needed, the degree of specificity needed, and state that managers should review information needs as an on-going process. Streamlining or automating reporting requirements can help centralize documentation relevant to monitoring center safety and security, possibly eliminate seemingly duplicative reporting requirements, and help regional staff manage their workloads."], "subsections": []}, {"section_title": "ETA Lacks a Comprehensive Plan to Link Its Various Efforts to Improve Center Safety and Security", "paragraphs": ["While ETA initiated multiple actions to address various safety and security issues, the agency does not have a comprehensive plan to improve center safety and security. A comprehensive plan describes the organization\u2019s long-term goals, its strategy and timelines for achieving those goals, and the measures that will be used to assess its performance in relationship to its goals. It can also guide decision-making to achieve desired outcomes, including the priority with which to implement these efforts. ETA officials told us that although they do not have a single document that reflects a formal comprehensive plan, they have employed a comprehensive approach to improve center safety and security. However, in prior work, GAO established the importance of comprehensive planning to ensure agencies effectively execute their missions and are accountable for results.", "GAO has also identified leading practices that help ensure organizations achieve their objectives. These leading practices include developing goals, strategies to achieve goals, plans to assess progress toward goals, and leadership and stakeholder involvement in plan development (see table 6).", "ETA officials agreed that a comprehensive plan is needed, but told us that limited staff capacity and lack of expertise have hindered their ability to produce a comprehensive plan. In particular, the Division of Regional Operations and Program Integrity would have a role in developing the agency\u2019s comprehensive plan. As previously mentioned, ETA officials told us that they did not have approval to fill the six vacant positions in the Division. With only two of the eight positions filled, ETA officials said that they prioritized correcting the deficiencies identified by the DOL OIG and responding to immediate safety and security concerns. ETA officials told us they plan to produce a comprehensive plan when they have secured the staff to do so. However, at this time, ETA does not have a specific timeframe for producing such a plan.", "When the agency begins developing a comprehensive plan, it could consider using the leading practices outlined above and drawing on the expertise of the government-wide Performance Improvement Council. In the absence of a comprehensive plan for safety and security, ETA risks the success of its new initiatives because they are not linked in an overall framework that demonstrates how they are aligned or contribute to goals for improving center safety and security."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["It is important that Job Corps students be provided with a safe and secure learning environment. For the last several years, however, numerous incidents have threatened the safety and security of students. ETA has taken steps to improve center safety and security, but its efforts could be strengthened by ensuring regional office staff responsible for monitoring Job Corps centers are better supported with additional guidance and streamlined reporting requirements. Without providing regional staff with this additional support, the full potential of the new monitoring strategy may not be realized. While ETA has implemented several actions to address safety and security concerns, it does not have a comprehensive plan to guide all of its efforts. Without a comprehensive plan, ETA will not be able to assess its overall effectiveness in addressing center safety and security."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to ETA: The Assistant Secretary of ETA should ensure the Office of Job Corps expeditiously develops additional guidance, such as SOPs or updates to the Program Assessment Guide, to ensure regional offices consistently implement the risk-based monitoring strategy. (Recommendation 1)", "The Assistant Secretary of ETA should ensure the Office of Job Corps streamlines the monitoring reports completed by regional office staff. This streamlining could include automating monitoring tools, consolidating monitoring reports, or taking other appropriate action. (Recommendation 2)", "The Assistant Secretary of ETA should ensure the Office of Job Corps commits to a deadline for developing a comprehensive plan for Job Corps center safety and security that aligns with leading planning practices, such as including a mission statement with goals, timelines, and performance measures. This could also include developing the planning expertise within the Office of Job Corps, leveraging planning experts within other agencies in DOL, or seeking out external experts, such as the government-wide Performance Improvement Council. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOL for review and comment. We received written comments from DOL, which are reprinted in appendix VII. DOL concurred with our three recommendations. The department stated that it will move forward to develop standard operating procedures for its risk-based monitoring strategy, review and streamline existing monitoring reports, and provide additional training for its regional office staff. The department also plans to develop a formal written comprehensive plan for Job Corps safety and security. DOL also provided technical comments that we have incorporated in the report as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of Labor. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Additional Information about Our Methodology", "paragraphs": ["The objectives of this review were to examine (1) what is known about the number and types of reported incidents involving the safety and security of Job Corps students in program year 2016; (2) what is known about student perceptions of safety and security at Job Corps centers, and what steps, if any, is the Employment and Training Administration (ETA) taking to improve the survey used to collect this information; and (3) the extent to which ETA has taken steps to address safety and security at Job Corps centers.", "To address all three objectives, we reviewed agency policies and procedures, such as the Job Corps Policy and Requirements Handbook and guidance issued to center operators and ETA staff. In addition, we interviewed ETA officials, including Office of Job Corps national staff, Office of Job Corps regional directors, and staff in all six regional offices. We also conducted site visits at the Woodstock Job Corps Center in Woodstock, Maryland, and the Potomac Job Corps Center in Washington, D.C. We selected these two centers because they were within geographical proximity to Washington, D.C., operated by different contractors, and had over 100 reported safety and security incidents each in program year 2016. At each center, we interviewed the Center Director, Head of Safety and Security, a group of staff members, and a group of students. The staff and students we spoke with were selected by the centers. While these two site visits are not generalizable to all Job Corps centers, they provide examples of student and staff experiences with safety and security."], "subsections": [{"section_title": "Analysis of Safety and Security Incidents at Job Corps Centers", "paragraphs": ["To determine the number and types of safety and security incidents reported by Job Corps centers, we analyzed ETA\u2019s incident data for program year 2016 (July 1, 2016 to June 30, 2017). This was the most recent year of Job Corps data available at the time of our review. ETA captures these data in its Significant Incident Reporting System (SIRS). Centers must report incidents involving both Job Corps students and staff, and incidents that occur at onsite and offsite locations. ETA has 20 categories of incidents in SIRS. See appendix II for incident category definitions. The incident categories and definitions in this report are taken directly from ETA documents and represent how ETA categorizes these incidents. We did not assess these categories and definitions.", "In this report, we present information on reported safety and security incidents in program year 2016 involving at least one student victim or perpetrator. There were 13,673 reported incidents involving students; additional incidents are reported in SIRS that did not involve students.", "When these additional incidents are included, a total of 14,704 safety and security incidents were reported in program year 2016. See appendix III for further information on the total number of incidents reported.", "To calculate the number and types of reported incidents, we analyzed the primary incident type that was assigned to each incident reported in SIRS. To provide additional information on reported assaults and sexual assaults, we also analyzed the secondary incident type that was assigned to each reported assault and sexual assault in SIRS. To calculate the total number and types of reported deaths, we analyzed both primary incident types and secondary incident types. In SIRS, deaths can be reported under three different primary incident types (\u201cdeath\u201d, \u201cassault\u201d, and \u201cdanger to self or others\u201d). When an incident is assigned to any of these primary incident types, it may also be assigned a secondary incident type of \u201chomicide,\u201d among other secondary incident types.", "In addition, we analyzed the duty status for student victims and perpetrators of offsite incidents. In SIRS, students are described as being either (1) on duty, which means that they are onsite at a center or in a Job Corps supervised offsite activity; or (2) off duty, which means they are offsite and not under Job Corps supervision. For the 1,406 offsite incidents, we were unable to determine student duty status in 178 instances due to inconsistencies in ETA\u2019s data.", "This report focuses on reported safety and security incidents in program year 2016, which was from July 1, 2016, to June 30, 2017. On July 1, 2016, ETA implemented policy changes that impacted the categorization and number of reportable safety and security incidents. Accordingly, incident data after July 1, 2016, are not comparable with earlier incident data, including incident data we reported in a June 2017 testimony.", "We assessed the reliability of SIRS data by reviewing relevant agency documentation about the data and the system that produced them and interviewing ETA and Department of Labor Office of Inspector General (DOL OIG) officials knowledgeable about the data. We determined the data were sufficiently reliable to report the minimum number of incidents that occurred in program year 2016. It is likely that the actual number of incidents was greater than the number reported in SIRS because the information is reported by Job Corps centers and the DOL OIG previously found instances of underreporting by a non-generalizable sample of center operators. In its March 2017 report, DOL OIG found that 12 of 125 Job Corps centers did not report 34 percent of significant incidents in SIRS from January 1, 2014, through June 30, 2015. ETA has recently taken steps to improve center reporting of significant incidents, such as revising the student conduct policy to more clearly define behavior infractions and conducting system-wide training to ensure uniform understanding and enforcement of student conduct policies. However, DOL OIG officials told us in January 2018 that it is too early to determine if these steps have resolved the DOL OIG\u2019s concerns regarding center underreporting."], "subsections": []}, {"section_title": "Analysis of Student Perceptions of Safety", "paragraphs": [], "subsections": [{"section_title": "Survey Response Rate and Reliability", "paragraphs": ["To examine what is known about student perceptions of their safety and security at Job Corps centers, we analyzed students\u2019 responses to the student satisfaction survey administered during program year 2016: September 2016 and March 2017. We analyzed responses from both of these surveys in program year 2016, which was the most recent year for which data were available. ETA provided centers with the standardized paper-based survey to administer to students in-person on designated weeks. The survey of 49 close-ended questions contained 12 questions that ETA used to assess students\u2019 safety. In addition to questions on student safety, the survey includes questions on other topics, including student demographics, overall satisfaction with Job Corps, and access to drugs and alcohol on center.", "According to data from ETA, the response rate for each survey was approximately 90 percent of all enrolled students. ETA calculated the response rate by dividing the number of students who responded to the survey by the number of enrolled students during the week of survey administration. Students responded anonymously to the survey.", "Because about 90 percent of students provided responses and about 10 percent did not, we analyzed the potential for non-response biases based on several student characteristics. If the responses of those who did not respond would have differed from the responses of those who did on relevant safety questions, the results calculated solely from those who responded may be biased from excluding parts of the population with different characteristics or views. We compared age, time in program, race, and gender\u2014key characteristics available for the population of enrollees and respondents\u2014to determine areas for potential bias.", "We determined that the potential for non-response biases existed for particular groups of students: younger students and those enrolled in the program for at least 6 months. For race, the potential for non-response bias was unclear. We found no potential bias for gender. Specifically, we found the following:", "Age. Younger students were under-represented, and older students were over-represented among survey respondents. Thus, to the extent that non-responding younger students would have answered safety questions differently than responding younger students, the potential for bias existed in the survey results we analyzed. When we asked ETA officials about such a potential bias, they responded that they did not have evidence or documentation suggesting that age is a predictor of students\u2019 level of perceived safety in the program.", "Length of time in the program. Students in the program less than 6 months were over-represented among survey respondents, and students enrolled in the program over 6 months were under- represented in the survey. To the extent that non-responding students would have answered safety questions differently based on length of time enrolled, the potential for bias existed in the survey results we analyzed. When we asked ETA officials about such a potential bias, they noted that new students may be less aware about life at the center because they begin the program with other newly arrived students for up to 2 months. Thus, they are not yet fully integrated into the larger student body. Otherwise, they did not have evidence or documentation suggesting that length of time in the program correlates with students\u2019 level of perceived safety.", "Race. It is unclear whether the distribution of race for respondents differs from that in the population. Specifically, ignoring item non- response, about 7 percent of respondents selected \u201cOther,\u201d and if those respondents were Black/African American, the distributions between the respondents and sample would be similar since this would result in the respondent race percentage being close to 50 percent, like the population of enrollees. If respondents who selected \u201cOther\u201d were actually distributed across the race categories, this would result in a difference between the respondent and population race/ethnicity characteristics, and to the extent that students\u2019 responses to safety questions differ by race, this could result in a potential bias of respondent survey results we analyzed. We analyzed race for purposes of potential non-response bias, and not as part of statistical tests of survey results described below.", "Gender. We found no potential non-response bias for gender because the distribution of gender for respondents was similar to that in the population of students enrolled in the program.", "In addition to our non-response bias analysis, we assessed the reliability of the survey data by reviewing relevant agency documentation about the data and the system that produced them, testing data electronically, and interviewing ETA officials knowledgeable about the data. We determined that the student survey data were sufficiently reliable for our purposes."], "subsections": []}, {"section_title": "Calculations of Safety for Individual Survey Questions and for National Measures", "paragraphs": ["For the 12 safety-related survey questions, Job Corps policy specified responses that the agency counted as safe or unsafe, which we followed. As noted previously, ETA considers students to feel safe if they provided certain responses to each of the 12 safety-related survey questions, some of which are phrased as statements. For example, if a student provided a response of \u201cmostly false\u201d or \u201cvery false\u201d to the statement \u201cI thought about leaving Job Corps because of a personal safety concern,\u201d that student would be counted as feeling safe on that survey question (see table 3). The percentages that we calculated are not comparable to prior publications, including ETA reports, because, for example, ETA revised (i.e., recoded) students\u2019 responses in certain circumstances, as explained below in table 7. Meanwhile, we used the original responses that students provided and did not revise them. Also, ETA excluded responses of \u201cdon\u2019t know / does not apply\u201d from its percentages. As a result, our percentages are not comparable with those reported by ETA.", "We also calculated national measures of safety for the program and for particular demographic groups of students (e.g., male, female). Our calculation was similar to ETA\u2019s national safety rating in certain respects. For example, as ETA did, we determined how safe each individual student felt as the unit of analysis. Therefore, the national measures of GAO and ETA may not equal the average of the 12 questions because, for example, not all students answered every safety question.", "However, in other respects, we produced our national measure differently than ETA. Table 7 explains the three ways that our calculation differed from ETA\u2019s.", "Although the student safety surveys were an attempt to survey a census of the population of participants, we treated the survey as a sample in certain respects due to the non-response of about 10 percent of students as well as the ongoing nature of the regularly repeated survey. Therefore, we considered these data as a random sample from a theoretical population of students in this program and used statistical tests to assess any differences.", "Treating the data as a statistical sample, we carried out statistical tests of differences in safety measures for student characteristics (e.g., age, gender, length of time in the program). Because of the large sample size, smaller differences may be detected as statistically significant. This is because statistical significance is a function of the magnitude of the true difference (statistical tests are more likely to detect differences when the true values are very different) as well as the sample size (larger samples can detect statistical significance of smaller magnitudes, when compared to smaller sample sizes, when all else is equal). However, we used statistical significance in conjunction with whether the detected differences are meaningful or important, in a practical sense. In particular, we used a series of f-tests to statistically test, at the alpha = 0.05 level, for difference in average safety measure, across categories of age, gender, time in program, center size, and operator type."], "subsections": []}]}]}, {"section_title": "Appendix II: Categories of Incidents in the Significant Incident Reporting System (SIRS)", "paragraphs": ["Appendix II: Categories of Incidents in the Significant Incident Reporting System (SIRS)"], "subsections": []}, {"section_title": "Appendix III: All Significant Incidents Reported by Job Corps Centers in Program Year 2016", "paragraphs": ["Our analysis of the Employment and Training Administration\u2019s (ETA) Significant Incident Reporting System (SIRS) data showed that there were 14,704 reported safety and security incidents at Job Corps centers in program year 2016, which include incidents involving students, staff, and non-Job Corps individuals. See table 9."], "subsections": []}, {"section_title": "Appendix IV: Reported Safety and Security Incidents Involving Students by Job Corps Center, Program Year 2016", "paragraphs": ["Job Corps centers reported 13,673 safety and security incidents involving students, including those that occurred both onsite and offsite, in program year 2016. See table 10 for information on each Job Corps center, including the number of incidents involving students reported in program year 2016."], "subsections": []}, {"section_title": "Appendix V: GAO Safety Measure for Job Corps Centers, March 2017", "paragraphs": ["We calculated safety measures for each Job Corps center, based on student responses to the safety-related questions on the student satisfaction survey (see table 11). We used the methodology described in appendix I to calculate safety measures for the centers. Results in table 11 are from the March 2017 survey, the most recent for program year 2016. The percentages in this table are not comparable and should not be analyzed with the numbers of reported incidents at each center because they are distinct measures that cover different periods of time."], "subsections": []}, {"section_title": "Appendix VI: ETA\u2019s Monitoring of Job Corps Centers", "paragraphs": ["The Employment and Training Administration\u2019s (ETA) risk-based monitoring strategy is designed to identify emerging problems that place a Job Corps center at-risk for safety and security problems. The strategy is largely implemented by regional office staff, which work with the Office of Job Corps\u2019 newly formed Division of Regional Operations and Program Integrity and use a variety of tools to assess, track, and report on center performance (see table 12)."], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mary Crenshaw (Assistant Director), Andrea Dawson (Analyst-in-Charge), Sandra Baxter, and Matthew Saradjian made key contributions to this report. Additional assistance was provided by Alex Galuten, Gretta Goodwin, Benjamin Licht, Grant Mallie, Mimi Nguyen, Nhi Nguyen, Monica Savoy, Almeta Spencer, Manuel Valverde, Kathleen van Gelder, and Sonya Vartivarian."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-403", "url": "https://www.gao.gov/products/GAO-18-403", "title": "Collegiate Aviation Schools: Stakeholders' Views on Challenges for Initial Pilot Training Programs", "published_date": "2018-05-15T00:00:00", "released_date": "2018-05-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Collegiate aviation schools are one pathway for initial civilian pilot training in the United States and are a key source of airline pilots. Over the past 5 years, aviation stakeholders have voiced concerns that there is an insufficient supply of qualified airline pilots, citing increased airline pilot retirements, among other factors.", "The explanatory statement accompanying the Consolidated Appropriations Act of 2017 included a provision for GAO to review aspects of collegiate aviation schools' operations. This report examines: (1) what is known about schools with professional pilot degree programs and (2) challenges that affect schools' ability to produce professional pilots and schools' responses to these challenges.", "GAO reviewed relevant statutes, regulations, and documents from the FAA, Veterans Affairs, and Education; analyzed FAA's data on flight schools, airports, and pilots; and analyzed Education's degree completion data for the 2015\u20132016 academic year, the most recent data available. GAO also interviewed representatives from: 18 schools, selected based on factors including program type and location; 6 airports selected based on type and location; and 11 additional aviation stakeholders representing schools, airlines, pilots, airports, and flight instructors, selected to reflect a range of perspectives about initial pilot training. The results of the interviews are not generalizable to all aviation schools and stakeholders. GAO is not making recommendations in this report. On a draft of the report, DOT provided technical clarifications, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified 147 collegiate aviation schools that offered professional pilot degree programs in academic year 2015\u20132016. All pilot students must pass the same knowledge and flight tests to obtain pilot certificates from the Federal Aviation Administration (FAA), but schools' programs vary. For example, 101 of these schools operated relatively more formalized, FAA-certificated degree programs. The other 46 schools operated under a model that provides flexibility and meets FAA requirements but that does not require FAA certification to conduct such training. Total annual pilot-student enrollment and graduation numbers are not known. According to FAA officials, FAA does not require schools to submit enrollment data and does not verify enrollment data that many certificated schools voluntarily submit. Regarding graduation data, schools must classify and report completed degrees by program type to the Department of Education (Education) using that agency's classification system. Education's data indicated a total of 1,356 professional pilot degrees in academic year 2015\u20132016. Because pilot-student graduates can be classified under a number of aviation-related programs in Education's system, the number of pilot-student graduates could be higher.", "Flight instructor retention, which has been influenced by the current high demand for airline pilots, and the high cost of pilot training are key challenges that affect schools' ability to produce pilots, according to aviation stakeholders GAO interviewed.", "Flight instructor retention : Nearly all (16 of 18) selected school representatives cited difficulty recruiting and retaining flight instructors as a great or moderate challenge for schools' ability to train pilots. According to most school representatives (15) and other selected stakeholders, instructors who aspire to be airline pilots are rapidly accruing the flight hours necessary to qualify and are obtaining employment as soon as they are eligible. In addition, regional airlines have recently increased hiring, generating high turnover among flight instructors, who are traditionally their main source of new pilots.", "High cost of training : Nearly all (16) selected schools' representatives identified the cost of a professional pilot degree program as a great or moderate challenge to recruiting and retaining pilot students. High education costs are not unique to these programs. Nonetheless, in addition to tuition, flight training fees alone often exceed $50,000, well above the cap for federal financial aid available to eligible students.", "Schools and regional airlines have taken a range of actions to address these challenges. For example, eight selected school representatives reported increasing flight instructors' compensation and benefits. In addition, some regional airlines' cadet programs provide mentorship and incentives such as bonus pay or tuition reimbursement to select students while they are still in school. The Department of Transportation (DOT) has also launched an initiative to assess the level of interest among veterans in becoming pilots and to examine strategies for employing military veterans as pilots."]}], "report": [{"section_title": "Letter", "paragraphs": ["The aviation system is an important part of the United States\u2019 economy and the airline industry is a key provider of domestic and international mobility for passengers and cargo. Over the past 5 years, aviation stakeholders have voiced concerns that there is an insufficient supply of available and qualified pilots to support current and future demand from U.S. regional and mainline airlines. Many have cited the increased rate of airline pilot retirements and first officer airline pilot qualification requirements, among other factors contributing to the current tight labor market for professional pilots.", "We have previously reported on issues related to pilot supply and demand. In 2014, we found that, among other things, the number of pilot certificate holders\u2014those individuals who have completed pilot training and passed Federal Aviation Administration\u2019s (FAA) pilot certification requirements \u2014decreased about 1 percent from 2000 through 2012, while the growth rate for pilots\u2019 employment decreased by 12 percent in that period. In addition, available evidence suggested that by 2012 fewer students were entering and completing pilot training programs since 2001 and that regional airlines reported difficulties finding sufficient numbers of qualified airline pilots. Recently, some regional airlines, which are particularly reliant on newly trained pilots, have been reducing flights and eliminating routes to some markets, reportedly due to lack of qualified pilots.", "Collegiate aviation schools with professional pilot degree programs are a key source of new commercial pilots. These programs have been generally perceived by aviation industry stakeholders as providing a high level of civil aviation pilot training because they are designed to produce professional pilots for airlines. In addition, airlines generally prefer to hire pilots with college degrees, reportedly because they perform better in an airline\u2019s training program when hired.", "The explanatory statement accompanying the Consolidated Appropriations Act of 2017 included a provision for us to review certain aspects of collegiate aviation schools\u2019 operations. This report addresses: what is known about collegiate aviation schools with professional pilot degree programs in terms of location, types of training programs available, and enrollment, and challenges that affect collegiate aviation schools\u2019 ability to produce professional pilots and schools\u2019 response to these challenges.", "To determine what is known about collegiate aviation schools we analyzed several sets of data. Specifically, to identify schools that operated pilot programs for fixed wing aircraft in academic year 2015\u2013 2016 and the airports at which they operated, we obtained and reviewed FAA\u2019s data on pilot schools that had received certification from FAA to operate, as of August 19, 2016. We also obtained and reviewed school information from two industry associations and school websites. These data were the most applicable given the academic year we reviewed. To determine what is known about the types of programs available at these schools, we analyzed the Department of Education\u2019s (Education) data on institution type, college-wide tuition and fees, and graduations in academic year 2014\u20132015 (the most recent year available). To determine what is known about enrollment at collegiate aviation schools, we analyzed enrollment and certificated flight instructor data voluntarily reported to FAA by some schools between October 2015 and October 2017. We also analyzed FAA\u2019s pilot data to identify, for a number of categories, the number of new pilot certificates FAA issued from 2012 through 2016 and the total number of pilot certificate holders for those years. We reviewed documents and interviewed Education and FAA agency officials, as well as representatives of industry associations and an accreditation entity to determine that these data were the most complete sources available. While these data were limited, we determined that they were sufficiently reliable for the purposes of our reporting objectives.", "To determine challenges that affect collegiate aviation schools\u2019 ability to produce professional pilots, we reviewed federal laws and regulations pertaining to pilot requirements and FAA\u2019s oversight of collegiate aviation schools\u2019 pilot programs and interviewed FAA officials. We reviewed documents and interviewed a non-generalizable sample of 18 collegiate aviation schools about their pilot programs and key challenges that affect their ability to produce professional pilots. We selected these schools to represent a mix in terms of geographic location, institution type, program type, and estimated enrollment where that information was available. While the sample allowed us to learn about challenges that affect these schools\u2019 ability to produce professional pilots, it was designed to provide anecdotal information, not findings that would be representative of all collegiate aviation schools. We also reviewed documents from additional stakeholders and interviewed them, including representatives of 6 selected airports where collegiate aviation schools operate and 11 industry organizations representing collegiate and non-collegiate pilot schools, airports, flight instructors, pilots, regional airlines, and mainline airlines. In addition, we reviewed documents and interviewed Education and Department of Veterans Affairs (VA) officials about regulations and policies related to pilot programs\u2019 eligibility for federal student financial aid and the use of veterans\u2019 education benefits. Further details about our scope and methodology can be found in appendix I.", "We conducted this performance audit from September 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Civil aviation in the United States can be generally divided into two broad categories\u2014general aviation and commercial aviation. All civilian pilot students undergo their initial pilot training in the general aviation sector, which comprises all aviation activities other than military and commercial airlines. Once hired in the commercial aviation sector for businesses that carry passengers or cargo for hire or compensation, pilots may receive additional, employer-specific training.", "FAA is responsible for regulating the safety of civil aviation in the United States, including the administration of pilot certification (licensing) and conducting safety oversight of pilot training. Regulations for initial pilot training and certification are found in two parts of the Federal Aviation Regulations\u2014pilot training requirements and requirements for obtaining a pilot school certificate.", "Pilot training requirements: These regulations prescribe the minimum training, knowledge, and experience requirements for acquiring a private, commercial, or airline transport pilot certificate, and for becoming a certificated flight instructor (CFI). Individual flight instructors can provide pilot training to individuals under these regulations and the training is not subject to direct FAA oversight beyond the initial flight instructor certification and subsequent renewal.", "Requirements for obtaining a pilot school certificate: These regulations prescribe requirements pilot schools must meet to obtain an FAA certificate and the general operating rules applicable to a school\u2019s holding a certificate. FAA-certificated schools are required to meet prescribed standards with respect to training equipment, facilities, student records, personnel, and curriculum. Schools\u2019 pilot program curriculum can vary in content, but FAA provides core training guidelines that schools must follow to receive a certificate. To ensure safety, FAA requires its inspectors to conduct on-site inspections of each FAA-certificated school at least once a year, focusing on pilot school operations and training aircrafts\u2019 airworthiness.", "Schools that provide initial pilot training generally fall into three categories: (1) collegiate aviation schools, (2) non-collegiate vocational pilot schools, and (3) non-collegiate, instructor-based pilot schools. Collegiate aviation schools that provide initial pilot training typically offer a 2- or 4- year undergraduate degree in an aviation-based major along with the pilot certificates and ratings necessary to become a commercial pilot. All pilot schools must comply with FAA\u2019s pilot training requirements, but some may elect to become FAA-certificated as well. Instructor-based schools offer flexible training environments where the training sequence can be altered to meet specific students\u2019 needs and time commitments. Upon completion of the training, the students can obtain pilot certificates for which they were trained, as long as they pass FAA\u2019s tests. FAA-certificated vocational schools do not allow flexible training environments as the training sequence outlined in the curriculum cannot be altered. FAA requires annual inspections of these schools, unlike flight instructor- based schools.", "As we have previously reported, it takes years of training to meet FAA\u2019s certification and aeronautical experience qualifications to become an airline pilot. Once cleared by a medical examination, an individual may obtain a medical certificate and a student pilot certificate from FAA. Pilot students may then begin training, acquiring the knowledge and flight training to obtain a private pilot certificate, instrument rating, commercial pilot certificate, and multi-engine rating (see fig. 1).", "To be eligible for hire as either a captain or first officer for an airline, individuals must also obtain an airline transport pilot (ATP) certificate in addition to the other certificates and ratings. In July 2013, FAA began requiring all first officers to have an ATP certificate, which requires 1,500 hours of flight experience. Pilots with fewer than 1,500 hours can obtain a \u201crestricted-privileges\u201d ATP certificate (R-ATP), under which specific academic training courses can count toward the required hours of total flight time. FAA made this change for airline first officers following the 2009 Colgan Air Inc. crash in New York, and subsequent legislation that required FAA to modify, among other things, first officer qualifications. In our 2014 report, FAA and industry stakeholders estimated that it could take an additional 1 to 2 years for pilots coming out of school to meet the 1,500 hour requirement.", "Consistent with airline representatives\u2019 views from our prior report, regional airline association representatives have recently cited the revised first officer training requirements and several other factors as contributing to a tight pilot labor market. By increasing the minimum number of required flight hours for a first officer, entry into the airline pilot profession may take longer, which may decrease the pool of eligible pilots that mainline and regional airlines can hire as a first officer. In addition, as we previously reported, the civil aviation industry has been a historically volatile industry because demand for air travel is sensitive to economic conditions, as well as political, international, and even health-related events. After several years of industry contraction during the 2007-2009 economic recession, demand for air travel has increased since 2012, and FAA projects continued future growth. In addition, since 2014, pilot retirements have been increasing, further tightening the labor market, according to one study. That study forecasts between 2,000 and 3,000 annual mandatory age retirements from the mainline airlines between 2018 and 2021. According to the Bureau of Labor Statistics, most of the newly hired pilots in the next 10 years will be replacing retiring pilots."], "subsections": []}, {"section_title": "While Some Information on Collegiate Aviation Schools\u2019 Pilot Degree Programs Is Available, Enrollment and Graduation Data are Limited", "paragraphs": [], "subsections": [{"section_title": "Collegiate Aviation Schools Are Located across the Country and Offer Different Types of Pilot Degree Programs", "paragraphs": ["We identified 147 U.S. colleges and universities that offered at least one professional pilot degree program in academic year 2015-2016. These collegiate aviation schools are located throughout the country, as shown in figure 2. They may offer pilot programs within different academic departments, such as aviation or business. Within a department, pilot programs may be offered as a stand-alone program, as an integral part of a larger major, such as flight education or aviation management, or as a specialty or track within a major.", "Professional pilot degree programs at collegiate aviation schools may vary in several ways:", "School type: About three-quarters of collegiate aviation schools are public (110 out of 145), while the remainder are either private non- profits or private for-profits, according to Education\u2019s data (see fig. 3).", "Program degree length: A majority of collegiate aviation schools offer 4-year degree programs, as shown in figure 3. Program degree length may affect how long it takes pilot students to meet FAA\u2019s requirements and their career options once they complete training. For example, pilot students in 2-year degree programs may complete the program and acquire a commercial pilot certificate and ratings in less time than the 4-year degree program, which may save the students time and money. However, according to associations representing pilot training providers and pilots, mainline airlines prefer pilots with a 4-year degree. In addition, representatives from one mainline airline told us that the airline requires a 4-year degree for employment as a pilot. Regardless of which school and degree program a pilot student graduates from, all pilot students must pass the same knowledge and flight tests to obtain pilot certificates and are, by FAA\u2019s standards, eligible for the same career opportunities.", "FAA Regulations and academic curriculum: Forty-six collegiate aviation schools we identified operate their pilot programs solely under FAA\u2019s pilot training requirements. The remaining 101 collegiate aviation schools\u2019 pilot programs are certificated by FAA under FAA\u2019s pilot school requirements. As previously discussed, FAA-certificated schools must meet prescribed standards, have structured programs, and FAA must approve their pilot program\u2019s curriculum. In addition, each pilot program\u2019s academic curriculum may differ, though all must meet FAA\u2019s pilot training requirements and, if the school is certificated, FAA\u2019s pilot school requirements.", "R-ATP authorization: Only FAA-certificated collegiate aviation schools may apply to FAA for authority to certify eligible graduates for an R- ATP certificate with a reduced number of flight hours. Since FAA promulgated the new first officer qualification rule and established the R-ATP certificate in 2013, FAA has issued R-ATP authorizations to more schools each year. As of August 22, 2017, 86 collegiate aviation schools hold R-ATP authorizations. In addition, the number of R-ATP certificates FAA has issued to eligible graduates each year has steadily increased, from 37 in 2013 to 2,190 in 2016. The number of R-ATP certificates issued in 2016 represented about 18 percent of all ATP certificates. The reduced flight-hour eligibility may save students time and money on their path to becoming a professional pilot, depending on how they gain flight experience, which may motivate more students to consider attending collegiate aviation schools that are authorized for R-ATP certificates, compared to other training alternatives.", "Aviation Accreditation Board International accreditation: Schools\u2019 professional pilot programs may choose to pursue program accreditation in addition to the school\u2019s institutional accreditation. Thirty-two collegiate aviation schools we identified have pilot programs accredited by the Aviation Accreditation Board International and an additional 4 schools have pilot programs that are candidates for accreditation, as of December 27, 2017.", "The collegiate aviation schools we identified require that students complete training that includes both classroom (ground) and flight training. Ground school aims to provide students with the required aeronautical knowledge and cognitive skills necessary to perform the tasks required to become a pilot. Flight training focuses on teaching how to manipulate the controls of and safely operate an airplane. Most schools (89 of 147) conduct their own flight training using university-owned or \u2013 leased aircraft and university employed CFIs (in-house flight training). The number of CFIs employed by collegiate aviation schools varies and is one of the primary determinants of a school\u2019s enrollment capacity. The remaining 58 schools contract out their flight training to one or more pilot schools or allow students to complete their flight training at a pilot school of the student\u2019s choosing.", "Schools that provide in-house flight training operate at a relatively small number of all domestic airports, which vary greatly in size as measured by annual passenger enplanements (see fig. 4). Approximately 69 percent of these schools operate at non-primary airports\u2014those with fewer than 10,000 passenger enplanements a year. Flight training may comprise a large proportion of an airport\u2019s activity, particularly at smaller airports, according to representatives from seven schools and two airport authorities. The remaining 28 percent of the schools that provide in-house flight training operate at primary airports with over 10,000 passenger enplanements a year. There are advantages to operating at small and large airports. Representatives from three schools and five stakeholders representing flight training providers, airports, and pilots told us that operating out of smaller airports may be advantageous because they are less crowded, a condition that can save waiting time for take-offs and allows students to practice certain maneuvers that may be more difficult to perform at larger airports. Conversely, according to representatives from two schools, two pilot training provider associations, and one airport, operating at larger airports can be advantageous because students can learn to fly in the controlled environment that airline pilots will eventually fly in."], "subsections": []}, {"section_title": "Pilot Student Enrollment and Graduation Data Are Limited", "paragraphs": ["For several reasons, there are no comprehensive data on pilot student enrollment at collegiate aviation schools. First, because non-certificated schools are not subject to periodic FAA inspections, FAA does not collect any enrollment data for these schools. Second, enrollment data are available for only some FAA-certificated schools because reporting that data is optional for those schools during FAA\u2019s certification and inspection process. In addition, FAA does not verify the data to determine their accuracy. As previously noted, FAA is responsible for regulating the safety of civil aviation in the United States. As such, according to FAA officials, FAA requires data collection when such a requirement serves a safety purpose, such as data required for pilot school certification and FAA oversight. FAA officials told us that other data on collegiate aviation schools, such as enrollment numbers, do not serve FAA\u2019s primary safety purpose.", "The size of collegiate aviation schools appears to vary greatly. Although voluntary, almost all FAA-certificated collegiate aviation schools submitted enrollment data to FAA. According to FAA\u2019s data provided to us on October 5, 2017, 92 FAA-certificated schools had reported average yearly enrollment data for their pilot programs. Reported enrollment at these FAA-certificated collegiate aviation schools varied greatly\u2014from 5 professional pilot students to 850. Despite this wide range, most (66) of these schools reported that they enrolled 100 students or less in their pilot programs. A majority (15 of 18) of representatives from selected collegiate aviation schools noted an increase in enrollment over the past 5 years.", "Additionally, the data on graduations from professional pilot programs are not comprehensive. Education requires schools, including collegiate aviation schools, to report how many students they graduate annually. School officials classify and report completed degrees by program type to Education using the agency\u2019s classification system. One of Education\u2019s program codes\u2014for \u201cAirline/Commercial/Professional Pilot and Flight Crew\u201d\u2014appears to best capture graduates from professional pilot programs. Education\u2019s data for professional pilot degrees awarded by collegiate aviation schools under this code totaled 1,356 in academic year 2015\u20132016. However, of the 147 collegiate aviation schools we identified for academic year 2015\u20132016, 72 reported pilot student graduates using the code. This might be because collegiate aviation schools may report their pilot student graduates under other program codes, such as \u201cAeronautics/Aviation/Aerospace Science and Technology, General\u201d and \u201cAviation/Airway Management and Operations.\u201d According to an Education official, while the agency expects schools to provide precise reporting of graduations from each degree program, he said it is possible that some school officials may not perceive their programs consistently with Education\u2019s program classifications, despite specific definitions for each program category. Because pilot student graduates could be reported under a number of aviation-related program codes in Education\u2019s system, the number of professional pilot graduates could be higher.", "According to Education\u2019s data, the number of professional pilot degrees awarded by collegiate aviation schools under the Airline/Commercial/Professional Pilot and Flight Crew code fluctuated from year to year between academic year 2010\u20132011 and 2015\u20132016. Almost half of the representatives from our selected collegiate aviation schools (8 of 18) noted increased pilot student graduations over the past 5 years. The number of these graduations could continue to increase in the next few years since, according to representatives from seven schools, student enrollment generally responds to industry need and the perception of a more stable career pathway. According to one of these representatives, graduations increase with a lag relative to the increased industry demand and student enrollment, given the time it takes to complete the degree program. Given the observations from school representatives of increasing enrollment, graduations may continue to increase as well."], "subsections": []}]}, {"section_title": "Flight Instructor Turnover, Cost of Training, and Other Factors Affect Collegiate Aviation Schools\u2019 Ability to Produce Pilots", "paragraphs": [], "subsections": [{"section_title": "Retaining Flight Instructors Is a Key Challenge for Collegiate Aviation Schools\u2019 Ability to Produce Pilots", "paragraphs": ["Selected school and other aviation industry representatives we spoke with generally agreed that retaining and recruiting flight instructors is one of the key challenges facing collegiate aviation schools. Representatives from nearly all (16 of 18) of the schools identified recruiting and retaining flight instructors as a great or moderate challenge and a majority stated that it was their greatest challenge affecting their ability to produce pilots (see app. I for a summary of the responses.). According to representatives from 3 aviation industry stakeholders, in the current environment some schools are unable to recruit and retain enough flight instructors to train all the pilots that they otherwise have the resources to accommodate in their pilot programs. To illustrate, representatives from 2 schools reported an inability to accept some qualified students because they did not have sufficient flight instructors.", "Meanwhile, representatives from 4 other schools said they have been able to hire enough new instructors to keep up with flight instructor attrition. In addition to presenting a management challenge, instructor turnover may hinder training effectiveness. For example, one pilot association representative told us that the quality of instruction tends to be lower when students are routinely subject to new instructors since there is little instructional continuity.", "Representatives of 6 of the collegiate aviation schools we interviewed said they recognize that instructor turnover is unavoidable because most pilots do not pursue flight instruction as a long-term career. Regardless, the rate of turnover in recent years has increased, according to selected school and other aviation industry representatives. As previously discussed, school representatives told us that most pilots use flight instruction as a stepping stone to accrue the required flight time to become an airline pilot, which commands a higher salary and greater prestige than flight instructor positions. Flight instructors generally seek employment with an airline as soon as they are eligible, according to most school representatives (15 of 18) and other stakeholders we spoke with. According to two aviation industry stakeholder representatives, the career progression of civilian-trained pilots from flight instructor to commercial airline pilot has typically worked in this way. However, stakeholders have stated that in recent years, airline industry growth, increasing pilot retirements, and other factors previously discussed have caused commercial airlines to accelerate pilot recruitment, ultimately causing pilots to move through the instructor ranks more quickly.", "Regional airlines now hire qualified pilots as soon as they accrue the minimum hours required by FAA, according to representatives from one airline pilots association. According to one study, in the mid-2000s most of the larger regional airlines set minimum flight-hour requirements for first officer applicants of 800 to 1,000 hours, which were well above the FAA requirements at the time. Furthermore, applicants needed an even higher number of hours to be competitive for those positions prior to that time\u2014between 1,500 and 2,000 hours, according to representatives of a pilots\u2019 association.", "Recruiting and retaining flight instructors with more advanced qualifications, such as instructors qualified to train other pilots to be flight instructors and chief instructors, can be a particular challenge for collegiate aviation schools:", "Flight instructors qualified to train flight instructors: FAA requires flight instructors to have a minimum 2 years of instructor experience before they may train other pilots to obtain their CFI certificate. Representatives from almost half (8 of 18) of collegiate aviation schools reported challenges with retaining flight instructors long enough for them to meet that requirement. According to some school representatives, flight instructors typically accrue the minimum hours required to qualify for their ATP or R-ATP within 2 years or soon afterward. The resulting attrition of experienced flight instructors can therefore hamper schools\u2019 ability to train enough pilots to become flight instructors, an ability that is crucial for turning out the next generation of instructors and pilot students.", "Chief Instructors: FAA requires certificated schools to have a chief instructor who meets minimum regulatory qualifications, such as at least 2,000 hours of flight time as \u201cpilot-in\u2013command.\u201d Representatives from two schools told us that because of high instructor turnover, few instructors meet these qualifications and the schools find it challenging to recruit qualified chief instructors.", "Four school representatives and two other aviation stakeholders we interviewed noted that the revised first officer requirements have helped collegiate aviation schools retain flight instructors. As previously discussed, these revised requirements increased the minimum number of flight hours a pilot must have to become a first officer, so instructors continue to instruct longer than they might have otherwise. The school representatives noted that while they are still experiencing high flight instructor turnover the situation would be more challenging without the new requirements. In addition, representatives from two large collegiate aviation schools stated that when there is a high demand for pilots, they would not be able to recruit and retain any flight instructors in the absence of FAA\u2019s first officer requirements.", "As shown in table 1, several of the collegiate aviation schools we interviewed have taken some actions to address the challenge of recruiting and retaining flight instructors.", "At least 6 regional airlines offer cadet programs, which may provide additional incentives for graduates to remain at their alma mater as flight instructors until they meet FAA\u2019s first officer qualification requirements, according to school representatives we spoke to. These programs may include incentives such as bonus pay for a number of flight hours, health benefits, or tuition reimbursement. Students who sign onto the cadet programs typically accept a provisional employment offer and are expected to work for the airline upon obtaining the number of hours necessary for the ATP certificate and completing an airline\u2019s new hire training. Representatives from two schools said that few students participated in these programs, attributing lower participation to students who may not want to commit to one airline.", "In addition to actions that schools can take to retain flight instructors, school representatives suggested additional actions that would require cooperation from airlines. Representatives from one state university told us that the school negotiated an agreement with one airline to initially hire its graduates as part-time pilots, allowing the pilots to continue to work part-time as flight instructors. The school is attempting to go one step further by negotiating agreements whereby airlines will not hire its instructors until the school is ready to relinquish them. According to the school\u2019s representatives, two regional airlines have recognized that keeping instructors at the school longer could be to their benefit, increasing the school\u2019s capacity to produce more pilots that the airlines will then hire. Another school representative suggested that airlines might consider loaning out their pilots to instruct for schools, but a representative from an airline association said that airlines do not have extra personnel to spare. Representatives of a pilot school said they are working with airlines to change the seniority system so that pilots can get their seniority number while they are instructors, which could reduce the strong incentive to become an airline pilot as quickly as possible.", "School representatives and a stakeholder described additional actions that could be taken to address this issue, including encouraging students to obtain their CFI, encouraging retired airline pilots to instruct, and raising the profile of the flight instructor profession as a possible career path. Collegiate aviation schools may require their students to obtain a CFI to graduate. Those schools that do not require a CFI may produce fewer graduates who are qualified to instruct. A representative from one school told us that it is now encouraging students to obtain their CFI as a way to increase the number of potential flight instructors. Representatives from three industry associations said the FAA should consider changing its requirement for instructors to have 2 years instructing experience before they may train other pilots to obtain their CFIs. In addition, in 2017 the FAA Aviation Rulemaking Advisory Committee issued a report recommending that FAA permit completion of an FAA-approved standardized course at FAA-certificated schools as an alternative to the 2-year experience requirement. According to FAA officials, the agency is drafting a proposed regulatory change to allow appropriately qualified flight instructors who have met proficiency requirements to train other pilots to obtain a CFI."], "subsections": []}, {"section_title": "The Cost of Flight Training Is a Challenge for Some Colleges in Recruiting and Retaining Students", "paragraphs": ["There was general agreement among the majority of school representatives we interviewed that in the last 5 years more students have shown interest in the pilot profession by applying for and enrolling in pilot programs at collegiate aviation schools. Representatives from eight schools and one aviation industry stakeholder noted that students may be interested in becoming pilots because there appears to be more pilot career opportunities and a greater likelihood of a secure and lucrative career path. Some airlines have created career path programs that document the requirements to move along the career path from pilot school to a particular regional airline and on to a particular mainline airline. According to an association representing pilots, they have done so to encourage more students to enter the pilot profession. Nonetheless, representatives from nearly all schools we interviewed identified the cost of a professional pilot degree program as a great (10 schools) or a moderate (6 schools) challenge to recruiting and retaining students.", "While high education costs are not unique to pilot programs, these programs can be particularly expensive, and therefore unaffordable to many students. As previously reported, professional pilot students incur flight training \u201clab fees\u201d in addition to general college tuition and fees, that together often exceeds $100,000. Schools\u2019 tuition and fees can vary significantly. Factors affecting cost include whether the school is public, private non-profit, or private for-profit, whether the school offers a 2-year or 4-year program, and the student\u2019s resident status. According to Education\u2019s data, annual in-state tuition at public collegiate aviation schools we identified ranges from approximately $1,100 to $13,000. However, annual out-of-state tuition at a public 4-year program can cost as much as approximately $28,800. Private school tuition can cost more. For example, one 4-year private for-profit collegiate aviation school lists estimated annual undergraduate tuition of nearly $36,000, not including room and board or flight training costs.", "Flight training costs also vary considerably. According to the University Aviation Association\u2019s 2016 directory of collegiate aviation schools, a majority of pilot programs (27 of 45) have total approximate flight training costs of more than $50,000, with an upper cost of about $81,000. Flight training costs may vary, depending on the school requirements, student interest, and aptitude. Pilot program curriculum may differ and some students may choose to take additional classes. Each additional certificate and rating adds to the total cost of the training. Also, the time required for students to complete their certificates and ratings varies. Compounding the issue of cost is that the maximum federal financial aid available to eligible students is well below the full cost of a collegiate flight education, a factor that is also not unique to collegiate aviation students. For academic years 2017\u20132018 and 2018\u20132019, the maximum federal Pell Grant award is currently $5,920, and annual federal loan limits range from $5,500 up to $12,500 depending on the student\u2019s year in school, dependency status, and other factors. Most students need to either use family resources or take out private loans to pay for the total cost of a pilot program, according to representatives from four schools. Not all students have the means to do so, as private lenders may require a co-signer with good credit and a minimum income level. Also, representatives from two schools said that some students who initially secure private loans for flight training are unable or unwilling to secure loans needed later on to complete this training, causing them to leave the pilot program. This financing challenge may pose a significant barrier for lower income students to enter the pilot profession.", "There are lower cost alternatives to collegiate aviation schools, though they are not entirely equivalent. Students may obtain a flight education and achieve the same FAA certificates and ratings from a non-collegiate pilot school and incur flight training expenses without the added cost of college tuition. As previously discussed, a pilot with non-collegiate flight training could be eligible for the same employment opportunities with regional airlines, but according to five stakeholders, airlines prefer or have typically hired pilots with a 4-year degree. Military service is another lower cost alternative for flight training, as service members are compensated for their time while they are training. However, one school representative noted that service members may enlist in the military with the intention of pursuing flight training, but they are not guaranteed to receive a flight assignment.", "Representatives from two stakeholders told us it is not possible to significantly reduce the cost of flight training because it is inherently expensive, and four school representatives said that costs are increasing. One approach to controlling costs for students is to make it easier for them to transfer from public 2-year pilot programs to 4-year programs, since public 2-year programs are typically less expensive. A representative from a state university told us that he is developing a degree completion program for professional pilot students from U.S. 2- year colleges. This program would enable students to complete their bachelor\u2019s degree online with the university after they have obtained an associate\u2019s degree in flight. Similarly, a community college has transfer agreements with several 4-year universities, and most of its students aim to obtain a 4-year college degree. We previously found that when colleges provide their students with information on transfer agreements they help students save on tuition costs by enabling students to predict which credits will transfer and reducing the likelihood that they will need to repeat coursework. Two schools have opened satellite campuses for their flight programs, and two other schools are considering that option, both to expand their capacity and to provide options for students to receive flight training while living closer to home, according to school representatives.", "Other actions schools have taken focus on ensuring that students are able to pay for the program and offering assistance with costs where possible. Representatives of three schools told us that they are raising money for departmental scholarships, and a representative of one school said the school raises awareness about outside scholarships that may be available to its students. A representative from a community college said that there are scholarships available for women and minorities. According to one industry representative, there are not enough women and minorities in aviation, which will negatively affect the supply of future pilots. One state university offers in-state tuition for flight students who are residents of nearby states, with the aim of both reducing some students\u2019 costs and increasing enrollment at the school. Representatives of four schools told us that they emphasize communication with potential students about costs before they enroll to improve pilot student retention. In addition, one school we spoke with requires students to pay their flight training fees for each certification upfront in one lump sum to ensure that students will be able to complete the training.", "Initiatives to assist students with funding and reduce costs of flight training have been in place for a long time with limited impact, according to one flight training provider association. Other aviation stakeholders noted that regional and mainline airlines could have a greater effect than previous efforts by working together. For example, airlines could provide scholarships and subsidize students\u2019 flight training while students are still in school. The airlines could also work together as an industry to provide scholarships to students. However, as one aviation association noted, airlines are reluctant to provide scholarships to students who are likely to fly for a competitor. Representatives from two stakeholders suggested that increases to limits on federal student loans could provide additional resources to help students pay for flight training costs. To some extent and even if additional actions are taken to help defray some of the educational costs, some students may not be able to afford the cost of collegiate aviation schools."], "subsections": []}, {"section_title": "A Variety of Other Factors May Present Challenges for Some Collegiate Aviation Schools", "paragraphs": ["Some selected school representatives also cited other challenges, though these challenges were cited by fewer representatives, and most of the representatives characterized these challenges as moderate or slight.", "Purchasing and maintaining aircraft. Representatives from 13 schools said that purchasing or maintaining aircraft, or obtaining the requisite purchase approvals can be challenging. New single-engine training aircraft could cost more than $300,000, while a new multi-engine aircraft can cost around $750,000. Purchasing older, used equipment is one possible way to defray aircraft costs, but older equipment requires more time offline for maintenance. Representatives from two schools stated that aircraft used for training requires extensive scheduled and unscheduled maintenance, which can interfere with their ability to train students.", "Airport infrastructure and airspace constraints. When asked about challenges related to airport infrastructure, representatives of six schools identified challenges related to space constraints. Issues included insufficient space to store and maintain aircraft, insufficient classroom and office space, and crowded airspace that cannot accommodate the desired flight operations to train the number of pilot students they could with their existing resources. Few representatives identified infrastructure availability at the airport as a great (1 school) or moderate (3 schools) challenge, while 6 representatives reported that infrastructure posed only a slight challenge and 7 said it was not a challenge at all.", "VA education benefit program administration\u2014publication of specific training hours and costs. Representatives from eight schools and two stakeholders expressed some concern about new enforcement of VA education benefit rules from the Post 9/11 GI Bill, as amended by the Post-9/11 Veterans Educational Assistance Improvements Act of 2010. VA issued two policy advisories in 2015 to notify collegiate aviation schools about statutory education benefit policies and bring them into compliance. One policy advisory notified schools that they must publish the specific number of training hours, as well as the specific cost of training, for each flight course, effectively setting a maximum number of training hours and fixed fees for each course taken as part of a standard degree program. According to VA, before the agency issued the policy advisories there was great public and congressional outcry about individual pilot students receiving hundreds of thousands of dollars from VA for their education. VA issued the policy advisories to specify what pilot training activities are appropriate uses of VA money, and under what circumstances. VA funds cannot be used to pay for pilot training to proficiency because that would entail an unlimited amount of funds to be available for an individual\u2019s flight training.", "Representatives from five selected schools reported that this rule made it difficult to provide efficient and effective flight training for all pilot students. Depending on the program structure, students who cannot finish the course in the set number of hours must either pay out of pocket for additional training or accept a failing grade and take the course again. VA education benefits pay for eligible beneficiaries to repeat the course if needed. In contrast, FAA imposes a minimum but not a maximum number of hours per certificate, because the training goal is to achieve a certain level of proficiency for each certificate. One school representative stated that the school allowed its VA education benefit eligibility to lapse because it allowed them the freedom to train students to proficiency without maximum training hours; however, veterans can no longer use their benefits to enroll in that program.", "VA education benefit eligibility for contracted flight instruction.", "Representatives of two out of the five schools we interviewed that contract out flight training and one stakeholder reported a challenge concerning a rule described in the second VA policy advisory; the rule places restrictions on collegiate aviation schools that contract out flight training to a non-collegiate school. Previously, veterans received benefits for flight training conducted at non-collegiate pilot schools through the institution of higher learning that contracted out the flight training. However, in its policy advisory VA stated that this practice was not consistent with the rules of the education benefit program because there are different rules for non-collegiate pilot schools; VA benefits cannot be used to pay for training toward private pilot certification at non-collegiate pilot schools. In addition, federal law states that the VA cannot approve the enrollment of an eligible veteran in a course if it involves contracted training that is either otherwise barred from being approved or has not obtained approval on its own.", "As a result, to remain eligible for VA education benefits, a collegiate aviation school cannot include private pilot certification training provided by a non-collegiate pilot school in its degree program since such training is statutorily barred from approval at the contracted non- collegiate pilot school. Therefore, all students enrolled in such programs must have already earned their private pilot certificate before matriculating in the program, whether they use veterans\u2019 education benefits or not. According to VA, it issued its policy advisory to clarify the statutory limitations of education benefits under the GI Bill relating to private pilot certificate courses. Representatives from two schools said that they are currently not eligible for VA education benefits as a result of this rule, which representatives of one school said has affected the school\u2019s enrollment of veterans. Furthermore, industry stakeholders have expressed concern about greater limits on VA education benefits for flight training based on possible future legislative action. Meanwhile, the U.S. Department of Transportation has announced a new \u201cForces to Flyers Initiative\u201d with two objectives: (1) to assess the level of interest among veterans in becoming pilots and (2) to help veterans who are not former military pilots to receive the training they need to become commercial pilots. Though representatives from five schools identified this issue as a great challenge, overall its impact is limited because not all schools have students using veterans\u2019 benefits for their pilot programs, and a small percentage of students overall use veterans\u2019 benefits to pay for their education."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the DOT, Education, and VA for comment. DOT provided technical comments, which we incorporated as appropriate. Education and VA declined to provide formal or technical comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Transportation, the Secretary of the Department of Veterans Affairs, the Secretary of the Department of Education, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-2834 or vonaha@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["For our review we addressed (1) what is known about collegiate aviation schools with professional pilot degree programs in terms of location, types of training programs available, and enrollment; and (2) challenges that affect collegiate aviation schools\u2019 ability to produce professional pilots and schools\u2019 response to these challenges.", "To address both objectives, we reviewed a range of reports from GAO, Federal Aviation Administration (FAA), Congressional Research Service, and Bureau of Labor Statistics: these reports included general background information on a variety of related issues on pilot training, issues such as pilot certification and training issues in the United States; FAA regulatory training requirements for different levels of pilot certification; types and requirements of pilot training schools; current supply and demand, and forecasts for commercial airline pilots; and airport infrastructure financing. Furthermore, we reviewed the Federal Aviation Regulations related to training and certification for pilots under Part 61 and Part 141. We also reviewed provisions of the Airline Safety and Federal Aviation Administration Extension Act of 2010 (Pub. L. No. 111-216) related to \u201cFlight Crewmember Screening and Qualifications\u201d and \u201cAirline Transport Pilot Certification.\u201d", "To determine what is known about collegiate aviation schools we analyzed several sets of data and interviewed representatives from collegiate aviation schools and other aviation stakeholders. To identify colleges and universities with professional pilot degree programs for fixed wing aircraft in academic year 2015\u20132016, we compared FAA\u2019s data on FAA-certificated pilot schools as of August 19, 2016; the Aircraft Owner and Pilot Association\u2019s list of colleges and universities with aviation programs as of September 19, 2016; and the University Aviation Association\u2019s 2016 directory of collegiate aviation schools. These data were the most applicable given the academic year reviewed. We verified schools on all three lists by checking school websites, typically the program\u2019s webpage or course catalog detailing degree program requirements. For schools that were included on only one or two of the lists, two staff members independently reviewed school information and categorized the school as inside or outside of our scope. Disagreements between coders were reviewed by a third staff member and resolved through discussion. In a few cases where website information was unclear, the staff member contacted school officials to verify that they offered a professional pilot degree program. To determine the airport and airport types at which schools with professional pilot degree programs operated their flight training, we reviewed information from FAA\u2019s National Plan of Integrated Airport Systems, the Aircraft Owner and Pilot Association, and school websites. We also selected and interviewed representatives of six airports of varying types (e.g., medium-hub, small- hub, and non-hub) and in different geographic areas of the country, all of whom had collegiate aviation school tenants. Because we selected the airports as part of a nonprobability sample, our findings cannot be generalized to all airports with collegiate aviation school tenants.", "To determine what is known about the institution type, college-wide tuition and fees, and graduations at these schools, we analyzed data from Education\u2019s Integrated Postsecondary Education Data System (IPEDS). Of the 147 collegiate aviation schools with professional pilot degree programs that we identified, 146 of them have an IPEDS identification number. According to Education officials, schools with an IPEDS identification number are likely to participate in Title IV financial aid, be accredited, and consequently be monitored by Education through several mechanisms including IPEDS, federal student aid compliance, and accreditation. With respect the institution type, the categories of schools included in our analysis included degree-granting institutions of the following types: public, private non-profit, and private for profit with either 4-year baccalaureate or 2-year associates degrees. With respect to tuition and fees, we reviewed both in-state and out-of-state costs schools reported to Education. Data were not available for academic year 2014\u20132015 for two collegiate aviation schools we identified. In a few instances schools offered lower-cost tuition and fees to local students (in-district). For purposes of comparison, we did not include these costs in our report, since not all schools offer in-district discounts. With respect to the graduations data, we analyzed graduations data in academic year 2015\u2013 2016 in 10 aviation-related categories within Education\u2019s Classification of Instructional Programs (CIP) for schools we identified as having professional pilot degree programs. We determined that IPEDS data were sufficiently reliable for the purposes of our reporting objectives based on prior testing of the data from these systems and interviews with knowledgeable officials at Education\u2019s National Center for Education Statistics.", "To determine what is known about enrollment at collegiate aviation schools, we analyzed enrollment and flight instructor data voluntarily reported to FAA by some schools between October 2015 and October 2017. Through interviews with FAA officials, we have determined these data were the most complete sources available and, while limited, were sufficiently reliable for the purpose of illustrating the variety in the size of professional pilot degree program enrollment. We also obtained and analyzed FAA\u2019s pilot certificate and instrument rating data to identify, for a number of categories, the number of new pilot certificates FAA issued from 2012 through 2016 and the total number of pilot certificate holders for those years. One limitation associated with the database in which FAA stores certificate-holder information is that the agency does not have an active process in place to discover and deactivate deceased pilots. This lack may lead to an over count in the number of active pilot certificates. However, airline transport pilot certificate holders must regularly renew their medical certificates to remain active. We found that the data were sufficiently reliable for the purposes of reporting the number of \u201crestricted privileges\u201d airline transport pilot certificates FAA has issued since 2013.", "To determine challenges that affect collegiate aviation schools\u2019 ability to produce professional pilots, we reviewed documents, interviewed, and administered a standardized question set to a non-generalizable sample of 18 collegiate aviation schools about their pilot programs and key challenges that affect their ability to produce professional pilots. To select our non-generalizable sample of schools, we used information from FAA, the Aircraft Owner and Pilot Association, school websites, and initial interviews with aviation stakeholders. Based on the schools\u2019 geographic location, we selected schools in each of FAA\u2019s nine airport regions. In order to provide a variety of perspectives in our selection, we included schools of each institution type (public, private non-profit, and private for- profit), of each program type (2-year and 4-year), some that were FAA- certificated and some that contracted out flight training. While the sample allowed us to learn about challenges that affect these schools\u2019 ability to produce professional pilots, it was designed to provide anecdotal information, not findings that would be representative of all collegiate aviation schools with professional pilot degree programs in the United States. Our initial selection included 20 schools, of which 19 responded to our request for interview. Of these 19, 18 schools responded to our question set, and representatives of one additional school provided us with general information about their program.", "In our question set, we asked schools to rate 10 factors that we identified in preliminary interviews as potentially affecting schools\u2019 ability to recruit, retain, and train professional pilot students\u2014thereby affecting their ability to produce pilots. Schools rated each factor as a great challenge, a moderate challenge, a slight challenge, or not a challenge to the ability to recruit, retain, and train professional pilot students. After our interviews with officials from the selected schools, we analyzed and aggregated responses to these questions, and identified two factors that schools most frequently cited as the most challenging to their ability to produce pilots. In addition, 3 other factors were cited by multiple schools as a great or moderate challenge. Schools generally cited the remaining 5 factors as a slight or moderate challenge.", "To describe stakeholders\u2019 views of factors that affect collegiate aviation schools\u2019 ability to produce pilots and actions that have been or could be taken to address these factors, we reviewed and summarized schools\u2019 comments. We also reviewed documents and interviewed FAA officials, representatives of airports and industry organizations representing collegiate and non-collegiate pilot schools, airports, flight instructors, pilots, regional airlines, and mainline airlines, selected to reflect a range of perspectives about initial pilot training. (See table 4.) In addition, we reviewed documents and interviewed Education and Department of Veterans Affairs officials about regulations and policies related to pilot programs\u2019 eligibility for federal student financial aid and the use of veterans\u2019 education benefits.", "We conducted this performance audit from September 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gerald Dillingham, Ph.D. (Director); Vashun Cole (Assistant Director); Jaclyn Mullen (Analyst-in- Charge); Amy Abramowitz; Danielle Ellingston; Dave Hooper; Delwen Jones; Serena Lo; John Mingus; Natasha Oliver; Malika Rice; Michelle St. Pierre; and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": ["To address concerns about the airline pilot supply, we looked at one pathway for aspiring pilots: colleges and universities offering professional pilot degree programs. We identified 147 such schools.", "Nearly all of the school representatives we interviewed said that recruiting and retaining flight instructors and students was a challenge. They said that they often lost instructors to airline employment and cited student program costs as a disincentive, with training fees often exceeding $50,000 on top of tuition.", "Schools have raised instructor pay and airlines have offered tuition reimbursement, among other steps to address these challenges."]} {"id": "GAO-18-63", "url": "https://www.gao.gov/products/GAO-18-63", "title": "VA Health Care: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns", "published_date": "2017-11-15T00:00:00", "released_date": "2017-11-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Nearly 40,000 providers hold privileges in VHA's 170 VAMCs. VAMCs must identify and review any concerns that arise about the clinical care their providers deliver. Depending on the findings from the review, VAMC officials may take an adverse privileging action against a provider that either limits the care a provider is allowed to deliver at the VAMC or prevents the provider from delivering care altogether.", "GAO was asked to review VHA processes for reviewing concerns about providers' clinical care. This report examines, among other things, selected VAMCs' (1) reviews of providers' clinical care after concerns are raised and VHA's oversight of these reviews, and (2) VAMCs' reporting of providers to the NPDB and SLBs and VHA's oversight of reporting. GAO visited a non-generalizable selection of five VAMCs selected for the complexity of services offered and variation in location. GAO reviewed VHA policies and files from the five selected VAMCs, and interviewed VHA, VISN, and VAMC officials. GAO also evaluated VHA's practices using federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["Department of Veterans Affairs (VA) medical center (VAMC) officials are responsible for reviewing the clinical care delivered by their privileged providers\u2014physicians and dentists who are approved to independently perform specific services\u2014after concerns are raised. The five VAMCs GAO selected for review collectively required review of 148 providers from October 2013 through March 2017 after concerns were raised about their clinical care. GAO found that these reviews were not always documented or conducted in a timely manner. GAO identified these providers by reviewing meeting minutes from the committee responsible for requiring these types of reviews at the respective VAMCs, and through interviews with VAMC officials. The selected VAMCs were unable to provide documentation of these reviews for almost half of the 148 providers. Additionally, the VAMCs did not start the reviews of 16 providers for 3 months to multiple years after the concerns were identified. GAO found that VHA policies do not require documentation of all types of clinical care reviews and do not establish timeliness requirements. GAO also found that the Veterans Health Administration (VHA) does not adequately oversee these reviews at VAMCs through its Veterans Integrated Service Networks (VISN), which are responsible for overseeing the VAMCs. Without documentation and timely reviews of providers' clinical care, VAMC officials may lack information needed to reasonably ensure that VA providers are competent to provide safe, high quality care to veterans and to make appropriate decisions about these providers' privileges.", "GAO also found that from October 2013 through March 2017, the five selected VAMCs did not report most of the providers who should have been reported to the National Practitioner Data Bank (NPDB) or state licensing boards (SLB) in accordance with VHA policy. The NPDB is an electronic repository for critical information about the professional conduct and competence of providers. GAO found that", "selected VAMCs did not report to the NPDB eight of nine providers who had adverse privileging actions taken against them or who resigned during an investigation related to professional competence or conduct, as required by VHA policy, and", "none of these nine providers had been reported to SLBs.", "GAO found that officials at the selected VAMCs misinterpreted or were not aware of VHA policies and guidance related to NPDB and SLB reporting processes resulting in providers not being reported. GAO also found that VHA and the VISNs do not conduct adequate oversight of NPDB and SLB reporting practices and cannot reasonably ensure appropriate reporting of providers. As a result, VHA's ability to provide safe, high quality care to veterans is hindered because other VAMCs, as well as non-VA health care entities, will be unaware of serious concerns raised about a provider's care. For example, GAO found that after one VAMC failed to report to the NPDB or SLBs a provider who resigned to avoid an adverse privileging action, a non-VA hospital in the same city took an adverse privileging action against that same provider for the same reason 2 years later."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including for VA to direct VHA to require VAMCs to document reviews of providers' clinical care after concerns are raised, develop timeliness requirements for these reviews, and ensure proper VISN oversight of such reviews as well as timely VAMC reporting of providers to the NPDB and SLBs. VA concurred with GAO's recommendations and described steps it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs\u2019 (VA) Veterans Health Administration (VHA) operates one of the largest health care systems in the nation, and nearly 40,000 providers hold privileges at its 170 VA medical centers (VAMC). As in all health care delivery settings, VAMCs are responsible for ensuring that their providers deliver safe care to patients. If a concern about a provider\u2019s clinical care arises at any point, it is the VAMC\u2019s responsibility to review the provider\u2019s clinical care. Depending on the nature of the concern and the findings from their review, VAMC leadership officials may take adverse privileging actions against providers that either limit the care they are allowed to deliver at the facility or prevent the providers from delivering care altogether. VAMC officials are also required to report the providers they take adverse privileging actions against to the National Practitioner Data Bank (NPDB), which is used by other VAMCs, non-VA hospitals, and other health care entities to obtain information on providers with a history of substandard care and misconduct. VAMC officials are also required to report providers to state licensing boards (SLB) when there are serious concerns about a provider\u2019s clinical practice. The SLB can then investigate and determine if the provider\u2019s license to practice medicine should be suspended, restricted, or revoked.", "Congress and VA have taken recent steps to make the adverse privileging action process more efficient and more transparent. For example, the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 shortens the appeals process timeframe when a VAMC proposes taking an adverse privileging action. While these actions may shorten the time period for reviewing and rendering a decision on taking an adverse privileging action, questions remain about the extent to which VAMC leadership officials review providers\u2019 clinical care after concerns are raised and, when appropriate, take adverse privileging actions against these providers and report them to the NPDB or SLBs. For example, there have been recent whistleblower complaints from VAMC providers to the U.S. Office of Special Counsel alleging that VAMC leadership officials have not adequately reviewed and addressed issues regarding providers\u2019 clinical care after concerns have been raised. According to the whistleblowers, specific providers have delivered care in a manner that is unsafe and inconsistent with industry standards of care, such as performing unnecessary procedures on veterans, without adequate reviews and actions taken by VAMC leadership.", "Questions have also been raised about the extent to which VHA gives performance pay\u2014a component of VA provider compensation\u2014to providers who have had an adverse privileging action taken against them. Performance pay is an annual lump sum payment given to providers based on the extent to which the provider achieves specific goals in a given fiscal year. In July 2013, we reported that providers who were the subject of adverse actions, including adverse privileging actions, received performance pay for the same year the actions were taken.", "You asked us to review the processes VHA has in place to review providers\u2019 clinical care after concerns arise and the extent to which providers receive performance pay when concerns are confirmed. In this report, we examine 1. VAMCs\u2019 reviews of providers\u2019 clinical care after concerns are raised and VHA\u2019s oversight of these reviews; 2. VAMCs\u2019 reporting of providers to the NPDB and SLBs and VHA\u2019s oversight of these processes; and 3. the extent to which VAMCs give performance pay to providers who have had an adverse privileging action taken against them.", "To examine VAMCs\u2019 reviews of providers\u2019 clinical care after concerns are raised, we reviewed VHA policies and guidance and interviewed relevant VHA officials to obtain an understanding of VHA processes for these reviews. In addition, we identified providers whose clinical care required a review after concerns were raised at a non-generalizable selection of five VAMCs from October 2013 through the time we completed our site visits in March 2017. For these selected providers, we reviewed VAMC documentation of their reviews. We selected the five VAMCs based on the complexity of services offered and their geographic distribution. We identified providers at each VAMC by reviewing documentation of each VAMC\u2019s credentialing committee meetings from fiscal year 2014 through fiscal year 2016. During our visits, we interviewed VAMC officials, including chiefs of staff, clinical supervisors known as service chiefs, and other officials involved in these reviews. We asked the officials to clarify information about the documentation we received and confirm the completeness of the list of providers we identified. Based on the documentation and interviews, we determined the type of reviews the selected VAMCs conducted and the extent to which the VAMCs took adverse privileging actions against any of the identified providers. We assessed the extent to which the selected VAMCs adhered to VHA policy requirements for clinical care reviews and we compared these VHA policies and the selected VAMCs\u2019 reviews to federal internal control standards related to monitoring and documentation. To review VHA\u2019s oversight of VAMCs\u2019 clinical care reviews and adverse privileging actions, we reviewed VHA policy for oversight responsibilities and requirements. We also interviewed relevant VHA officials, as well as officials in VA\u2019s Veterans Integrated Service Networks (VISN) responsible for each of the five selected VAMCs, about their oversight activities. We also compared VHA\u2019s policy and the selected VISNs\u2019 oversight activities with federal internal control standards related to monitoring.", "To examine VAMCs\u2019 reporting of providers to the NPDB and SLBs, we reviewed VHA\u2019s related policies and evaluated the extent to which the selected VAMCs adhered to these policies. Specifically, we evaluated the extent to which providers whose clinical care required a review or resulted in the VAMC taking adverse privileging actions against them from October 2013 through the time we completed our site visits in March 2017 were reported to the NPDB and the SLBs when appropriate. Our review of NPDB reporting is limited to NPDB adverse action reports, which are reports of the adverse privileging actions VAMCs took against providers and any providers who resigned or retired while under investigation for a clinical care concern. Our review does not include VHA reporting of providers for paid medical malpractice settlements or judgements (tort claims). We reviewed VAMC documentation related to its reporting of specific providers and interviewed VAMC officials, including both clinical and administrative officials involved in these reporting processes. To examine VHA\u2019s oversight of VAMC reporting, we reviewed VHA policies for overseeing NPDB and SLB reporting and interviewed relevant VHA officials as well as officials in the VISNs responsible for each of the five selected VAMCs about VISN oversight activities. We also compared VHA\u2019s policy for oversight responsibilities and the selected VISNs\u2019 oversight activities with federal internal control standards related to monitoring.", "To determine the extent to which VAMCs give performance pay to providers who have had an adverse privileging action taken against them, we reviewed documentation of performance pay given to providers we identified with adverse privileging actions at the five selected VAMCs. Specifically, for each of the providers with an adverse privileging action who were eligible for performance pay, we reviewed documentation of performance pay for the fiscal year in which the action was taken and for the fiscal year prior to the action. Our performance pay analysis does not include contract providers, because only employed providers are eligible to receive performance pay. We also reviewed VA policy on performance pay and interviewed relevant VHA officials, as well as VAMC officials, about performance pay.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Identifying Concerns about Providers\u2019 Clinical Care", "paragraphs": ["As part of the credentialing and privileging process, VAMC officials are responsible for monitoring each provider\u2019s performance on an ongoing basis and identifying any concerns about clinical care that may warrant further review. VAMCs can identify concerns about providers\u2019 clinical care in a variety of ways, including the following:", "Ongoing monitoring. VHA requires VAMCs to conduct and document ongoing monitoring of each provider\u2019s performance at least twice a year through an ongoing professional practice evaluation. During this evaluation, a provider\u2019s performance is evaluated against benchmarks established by VAMC leadership that define acceptable performance, such as documenting patient visits appropriately and achieving specific patient outcomes.", "Peer review triggers. VHA has a separate process, called peer review, that VAMCs may use to review adverse events. While information collected as part of peer review is protected for quality improvement purposes and may not be used to take action against a provider, VAMCs can identify concerns about a provider\u2019s clinical care based on a trend of certain peer review outcomes over a specified period of time, referred to as triggers. VHA requires VAMCs to establish peer review triggers. An example of a peer review trigger is when a provider has two or more episodes of patient care within a 12- month period for which a peer determined that most experienced, competent providers would have managed the episodes differently.", "Complaints or incident reports. Concerns about a provider\u2019s clinical care can also be identified through complaints and incident reports. These can come from any individual with a concern, including patients, providers, or VAMC leadership.", "Tort claims. Filed or settled tort claims or malpractice claims can raise a concern about a provider not identified through ongoing monitoring or peer review."], "subsections": []}, {"section_title": "Reviewing Concerns about Providers\u2019 Clinical Care and Taking Adverse Privileging Actions", "paragraphs": ["Once a concern about a provider\u2019s clinical care is identified, VHA policy and guidance establish processes for VAMC officials to use to review the concern and determine whether an action should be taken against the provider\u2019s clinical privileges. VHA policy states that if allowing a provider under review to continue delivering patient care could result in imminent danger to veterans, VAMC officials should remove the provider from delivering patient care through a summary suspension of privileges. VAMC officials have flexibility to determine the most appropriate process to use to review a provider\u2019s clinical care depending on the specific concerns and the situation. These processes include the following:", "Focused professional practice evaluation (FPPE) for cause. This is a prospective review of the provider\u2019s care over a specified period of time, during which the provider has the opportunity to demonstrate improvement in the specific area of concern. Failure to improve could result in further review or action.", "Retrospective review. This is a review of the provider\u2019s delivery of patient care focused on a specific period of time in the past, a specific area of practice, or both, based on an identified concern.", "Comprehensive review. This is a more extensive retrospective review, generally performed by a panel of experts to ensure fairness and objectivity. In addition to reviewing the provider\u2019s past patient care, these reviews may also include interviews with the provider, patients, and staff. These reviews generally result in conclusions about whether care delivered by the provider met the standard of care and may include recommendations about the provider\u2019s privileges.", "Once a review is completed, VAMC leadership officials and the VAMC credentialing committee make decisions about next steps, which could include the following: do nothing, if the review did not substantiate the concerns; conduct further review (such as an FPPE for cause to allow the provider an opportunity for improvement or a comprehensive review if more information is needed); or take an adverse privileging action, including limiting one or more privileges (such as prescribing medication or performing a certain procedure) or revoking all of the provider\u2019s privileges.", "If the VAMC\u2019s credentialing committee recommends an adverse privileging action, it is the VAMC director\u2019s responsibility to weigh all available information, including recommendations, and take an action. After a permanent provider is notified of the director\u2019s decision, the provider can appeal the decision to the Disciplinary Appeals Board as part of their due process rights. The adverse privileging action is considered final once the Disciplinary Appeals Board reaches a decision and the Deputy Under Secretary for Health executes the Board\u2019s decision. If a permanent provider does not make use of the offered due process procedures within 7 days, the provider waives his or her right to due process and the adverse privileging action is considered final."], "subsections": []}, {"section_title": "Reporting Providers to the NPDB and SLBs", "paragraphs": ["VHA policy requires VAMCs to alert certain entities if there are serious concerns with regard to a provider\u2019s clinical performance. VHA policy assigns reporting responsibility and authority to the VAMC director, who generally delegates the task of reporting to other VAMC officials. VHA makes this information available to other health care entities through two distinct reporting processes: NPDB. Under VHA policy, VAMC directors must report to the NPDB any adverse privileging action the facility takes that 1) affects the clinical privileges of a provider for a period longer than 30 days and 2) is related to professional incompetence or professional misconduct. VHA policy requires VAMCs to submit these NPDB adverse action reports within 15 calendar days of the date the adverse privileging action is made final\u2014 that is, when all applicable internal due process procedures have been completed and the VAMC director has signed off on the action. VAMC directors are also required to report to the NPDB providers who resign or retire while under investigation or in return for the VAMC not conducting such an investigation or proceeding. To avoid any errors in the facts of the report, the VAMC director must notify any provider who is about to be reported to the NPDB and give the provider an opportunity to discuss the content of the report before it is submitted.", "SLBs. VHA policy requires VAMC directors to report providers\u2014both current and former employees\u2014when there are serious concerns about the providers\u2019 clinical care to any SLB where the providers hold an active medical license. Specifically, VHA policy requires VAMCs to report providers who so substantially failed to meet generally accepted standards of clinical practice as to raise reasonable concern for the safety of patients. According to VHA policy and guidance, the SLB reporting process should be initiated as soon as it appears that a provider\u2019s behavior or clinical practice fails to meet accepted standards. VAMC officials are directed not to wait to report to SLBs until adverse privileging actions are taken because an SLB conducts its own investigation of the provider to determine whether licensure action is warranted. This reporting process comprises five stages as established in VHA policy, and VHA policy states that the process should be completed in around 100 days (see figure 1)."], "subsections": []}, {"section_title": "Performance Pay", "paragraphs": ["Performance pay\u2014a component of VA provider compensation\u2014is an annual lump sum payment based on the extent to which an individual provider achieves specific goals. The goals may vary for providers across VA, at the same VAMC, or within a particular specialty. VA policy establishes minimum performance pay eligibility criteria, including being employed by VA from July 1 through September 30 of the fiscal year being reviewed."], "subsections": []}]}, {"section_title": "Selected VAMCs\u2019 Reviews of Providers\u2019 Clinical Care Are Not Always Documented or Timely, and VHA Does Not Adequately Oversee These Reviews", "paragraphs": ["Documentation frequently lacking. We found that the five selected VAMCs collectively required reviews of 148 providers\u2019 clinical care after concerns were raised from October 2013 through March 2017, but VAMC officials were unable to provide documentation that almost half of these reviews were conducted. We found that all five VAMCs lacked at least some documentation of the reviews they told us they conducted, and in some cases the required reviews were not conducted at all. We also found VHA does not adequately oversee these reviews, as discussed later in this report.", "FPPEs for cause. FPPEs for cause accounted for most of the missing documentation of clinical care reviews, despite VHA policy requiring VAMCs to document FPPEs for cause in the providers\u2019 files. Specifically, of the 112 providers for whom the selected VAMCs required FPPEs for cause from October 2013 through March 2017, the VAMCs were unable to provide documentation of the FPPEs for nearly a quarter (26) of the providers. Additionally, VAMC officials confirmed that FPPEs for cause that were required for another 21 providers were never conducted.", "Other reviews. The selected VAMCs were also unable to provide documentation of some retrospective reviews. Specifically, of the 27 providers for whom the selected VAMCs conducted a retrospective review, 8 were missing documentation. While VHA guidance recommends that VAMCs document these reviews, VHA policy does not require that VAMCs document retrospective or comprehensive reviews. VHA officials told us that they expected VAMCs to document these types of reviews so that the information could be used to support adverse privileging actions, if necessary. Without clearly stated documentation requirements in VHA policy, VAMC officials inconsistently document their results, preventing VAMC directors and VISNs from properly evaluating the effectiveness of its retrospective and comprehensive reviews, which are used to, among other things, ensure patient safety. Additionally, we found that key officials from two VAMCs were not aware of the VHA guidance and that 5 of the 8 missing retrospective reviews were from these two VAMCs.", "We also found that one VAMC was missing documentation of clinical care reviews for 12 providers who met the VAMC\u2019s peer review trigger. In the absence of this documentation, we were unable to identify the type of reviews that were missing for these 12 providers.", "The selected VAMCs\u2019 failure to document reviews of providers\u2019 clinical care after concerns were raised is inconsistent with federal internal control standards for monitoring and documentation, which state that management should conduct and document separate evaluations, when necessary. In the absence of VAMC documentation of such separate evaluations of providers, VAMC leadership officials lack key information needed to make decisions about whether providers\u2019 privileges are appropriate, and they also lack reasonable assurance that appropriate reviews are conducted.", "Reviews not always timely. We found that the five selected VAMCs\u2019 reviews of providers\u2019 clinical care were not always conducted in a timely manner after concerns were raised. Specifically, of the 148 providers, the VAMCs\u2019 initiation of reviews of 16 providers\u2019 clinical care was delayed by more than 3 months, and in some cases for multiple years, after the concern was raised. At one VAMC, service chiefs were not instructed to conduct reviews of 14 providers until 4 to 13 months after these providers met the VAMC\u2019s peer review trigger. Before the service chiefs were notified of the concerns, 3 of these providers had at least one additional concerning episode of care\u2014that peer reviewers judged would have been handled differently by most experienced providers\u2014identified through the peer review process. As pointed out in VHA guidance, earlier intervention could prevent additional patients from receiving substandard care. Officials from another VAMC did not conduct retrospective reviews on 2 providers until we requested documentation of the reviews, approximately 3 and a half years after the credentialing committee had initially requested a review.", "While VHA officials told us that clinical care reviews should be conducted as expeditiously as reasonably possible, VHA policy does not specify a timeliness requirement. Allowing more time to elapse before a clinical care review is initiated weakens the intended purpose behind clinical care reviews and further increases risk to patient safety. Federal internal control standards for monitoring state that management should evaluate issues and remediate identified deficiencies in a timely manner. A clinical care concern could represent a potential deficiency in providing medical care, and as a result, VHA increases its risk further without establishing a policy that sets timeframes for conducting clinical care reviews.", "VHA oversight is inadequate. We also found that VHA does not adequately oversee VAMC reviews of providers\u2019 clinical care after concerns have been raised, including ensuring that these reviews are completed and documented in a timely manner. Under VHA policy, VISNs are responsible for overseeing the credentialing and privileging processes at their respective VAMCs. While reviews of providers\u2019 clinical care after concerns are raised are a component of credentialing and privileging, we found that the VISNs with responsibility for overseeing the selected VAMCs through routine audits do not include these reviews in their audits. While the standardized tool VHA requires the VISNs to use for these audits instructs the VISNs to identify and review providers who were on an FPPE for cause, none of the VISN officials we spoke with described any routine oversight of FPPEs or any other reviews of identified clinical care concerns. This may be in part because some VISN officials are not using VHA\u2019s standardized audit tool as required. Officials from one VISN said they had developed their own audit tool and officials from another VISN said that they were not conducting the audits due to multiple instances of turnover in a key position at the VISN. Further, VHA\u2019s standardized audit tool does not direct the VISN to oversee any other types of reviews of clinical care concerns, such as retrospective or comprehensive reviews. The tool also does not require VISN officials to look at documentation of the FPPEs for cause; instead, it calls for reviewing credentialing committee meeting minutes. Without reviewing documentation, VISN officials would be unable to identify the incomplete documentation that we identified in our review. Both VHA and VISN officials described instances of assisting VAMC officials with reviews of providers\u2019 clinical care after concerns had been raised, but VHA and VISN officials told us that their involvement in these reviews is typically consultative and not routine. (For example, the VISN may assist by identifying providers outside of the VAMC to conduct the review.) As a result, VHA and the VISNs are not conducting routine oversight to ensure that VAMC reviews of providers\u2019 clinical care after concerns are raised are conducted appropriately, including adequately ensuring that the reviews are completed and documented in a timely manner, in accordance with VHA policy.", "The lack of routine VHA oversight, through the VISNs, of VAMC reviews of providers\u2019 clinical care after concerns are raised is inconsistent with federal internal control standards for monitoring, which state that management should establish and operate monitoring activities. In the absence of routine monitoring of VAMCs\u2019 evaluations of providers after concerns have been raised, VHA lacks reasonable assurance that VAMCs adequately review all identified concerns about providers\u2019 clinical care and take appropriate privileging actions to ensure that VA is providing safe, high quality care for veterans."], "subsections": []}, {"section_title": "Selected VAMCs Did Not Always Report Providers to the NPDB and SLBs in Accordance with VHA Policy, and VHA Does Not Adequately Oversee This Reporting", "paragraphs": ["NPDB and SLB reporting not completed. We found that the five selected VAMCs did not report the majority of providers who should have been reported to the NPDB or SLBs in accordance with VHA policy. Our analysis shows that from October 2013 through March 2017, of the 148 providers whose clinical care required a review, the VAMCs took adverse privileging actions against 5 providers, and another 4 providers resigned or retired while under review but before an adverse privileging action could be taken. However, at the time of our review, we found that the five selected VAMCs had only reported 1 of these 9 providers to the NPDB and none of these providers to the SLBs. Furthermore, the 1 provider who was reported to the NPDB for an adverse privileging action was reported 136 days after all internal VA appeals were complete, far beyond the 15 day reporting requirement.", "In addition to these nine providers, one of the selected VAMCs terminated the services of four contract providers based on deficiencies in the providers\u2019 clinical performance, effectively revoking their clinical privileges. For example, the VAMC documented that one contractor\u2019s services were terminated for cause related to patient abuse after only 2 weeks of work at the VAMC. A VAMC leadership official told us there was no further documentation of whether reporting was considered or whether any comprehensive review was conducted, despite the fact that the VAMC credentialing committee recommended both. While VHA policy identifies the requirements, steps, and limited fair hearing process for reporting contract providers, these required steps were not followed, and none of these providers were reported to the NPDB or SLB.", "As a result of our audit work, in August 2017, one of the VAMCs reported to the NPDB three of the providers who resigned or retired while under investigation but before an adverse privileging action could be taken.", "These reports were completed between 11 months and over 3 and a half years after the providers resigned or retired. VAMC officials could not confirm that they sent the required copies of the NPDB reports to the appropriate SLBs.", "The five selected VAMCs did report two providers to their respective SLBs for reasons other than adverse privileging actions. In accordance with VHA policy, these SLB reports were made after VAMC officials determined that the providers\u2019 behavior or clinical practice so substantially failed to meet generally accepted standards of clinical practice as to raise reasonable concern for the safety of patients\u2014the standard for SLB reporting. One of these providers could not have an adverse privileging action taken against them because VAMC officials unintentionally allowed the provider\u2019s privileges to expire during a comprehensive review of the provider\u2019s care. The other provider reported to the SLBs was considered for an adverse privileging action, but VAMC officials suspended the provider instead. The provider demonstrated improvement after the suspension.", "SLB reporting not always timely. While two of the selected VAMCs had each reported a provider, we found that in these cases the SLB reporting process took significantly longer than the 100 day timeframe suggested in VHA policy. Specifically, it took over 500 days for each of the two completed reports to pass initial and comprehensive review at the VAMC, receive concurrence from the VISN, and be submitted to the SLB. For example, one of the two providers self-reported to the SLB the concerning episode of care at the VAMC. However, before the VAMC submitted its SLB report 328 days later, the SLB had completed its investigation of the provider\u2019s self-report and put in place an agreement that placed restrictions and requirements on the provider\u2019s medical license. Subsequently, the provider successfully met the requirements of the agreement and had all restrictions on the license removed. Officials at two VAMCs told us the SLB reporting is more tedious or cumbersome than the NPDB reporting process, making it difficult to complete in a timely manner. One VAMC official commented that while completing the process in less than a year seems reasonable, the typical timeframe for submitting a SLB report is at least 2 years.", "At the five selected VAMCs, we found that providers were not reported to the NPDB and relevant SLBs as required because officials were generally not familiar with or misinterpreted related VHA policies. VHA officials commented that adverse privileging actions and clinical care concerns rising to the level of reporting are infrequent, with officials at two VISNs estimating that only a few occur across the facilities within their network each year. Staff at three VAMCs commented that there has been turnover in positions that have been delegated tasks related to reporting and one VAMC official told us that turnover in these positions is a barrier to timely reporting. For example, at one facility, we found that officials failed to report six providers to the NPDB because the officials were unaware that they had been delegated responsibility for NPDB reporting.", "Officials at two of the selected VAMCs told us that VHA cannot report contract providers to the NPDB. This assertion is inconsistent with VHA policy.", "Officials at two of the selected VAMCs were waiting to start the SLB reporting process for providers until after all appeals had been exhausted. This approach is inconsistent with VHA policy, which states that the process should start within 7 days of when the reporting standard is met. For example, for one provider who was reported, VAMC officials unnecessarily waited 7 months for the completion of the appeals process before they resumed the reporting process, which ultimately took 547 days.", "Officials at one VAMC did not report a provider to the NPDB or SLB following an adverse privileging action because the SLB had found out about the issue independently. This is inconsistent with VHA policy for NPDB and SLB reporting, and the SLBs in other states where the provider held a license were not alerted of concerns about the provider\u2019s clinical practice.", "VHA oversight is inadequate. We also found that VHA and the VISNs do not adequately oversee NPDB and SLB reporting and they cannot ensure that VAMCs are reporting providers when required to do so by VHA policy. While the VISNs are responsible for overseeing the credentialing and privileging at their respective VAMCs under VHA policy, VHA policy does not require the VISNs to oversee whether VAMCs are reporting providers to the NPDB or SLB when warranted. As a result, VISN officials were unaware of situations in which VAMC directors failed to report providers to the NPDB, as evidenced by our review. In the case of reporting processes for SLBs, VISN officials told us that they review the evidence files to ensure, among other things, that the files are in compliance with privacy laws. However, officials told us that the VISNs do not oversee the reporting process to ensure that VAMC directors are reporting all providers to the SLB who should be reported. Additionally, VHA officials told us that they are not aware of the number of cases that have been initiated for SLB reporting.", "Further, by failing to report providers as required, VHA facilitates providers who provide substandard care obtaining privileges at another VAMC or a hospital outside of VA\u2019s health care system without an indication on their record that an adverse privileging action was taken against them or that they resigned or retired while under investigation. For example, we found that two of the four contract providers whose privileges were revoked and were not reported to the NPDB or SLBs by one VAMC continue to be able to provide care to veterans outside of that VAMC. Specifically, one provider whose services were terminated related to patient abuse subsequently held privileges at another VAMC, while the other provider belongs to a network of providers that provides care for veterans in the community.", "Seven of the 12 providers who were not reported to the NPDB or SLBs after their privileges were revoked\u2014through adverse privileging actions or the termination of services on a contract\u2014or who resigned or retired while under investigation have current Medicare enrollment records, indicating that they are likely practicing outside of VA and may still be receiving federal dollars by billing for services provided to Medicare beneficiaries.", "We also identified one case where a VAMC director did not report a provider to the NPDB or SLB after an agreement was reached that the provider would resign, though the VAMC credentialing committee recommended the provider\u2019s privileges be revoked. We found that the provider\u2019s privileges were also revoked from a non-VA hospital in the same city for the same reason 2 years later. The director\u2019s decision not to report the provider as required left patients in that community vulnerable to adverse outcomes because problems with the provider\u2019s performance were not disclosed. There was no documentation of the reasons why the VAMC director did not report the provider to the NPDB or SLBs.", "This lack of routine oversight from VHA through the VISNs of VAMCs\u2019 reporting of providers to the NPDB and SLBs is inconsistent with federal internal control standards for monitoring. The standards state that management should establish and operate monitoring activities to monitor the internal control system and appropriately remediate deficiencies on a timely basis. Without routine monitoring of the reporting process, VHA lacks reasonable assurance that all providers who should be reported to the NPDB and SLBs are reported."], "subsections": []}, {"section_title": "At Selected VAMCs, Providers with Adverse Privileging Actions Were Ineligible for Performance Pay the Year the Actions Were Taken", "paragraphs": ["None of the five providers who had an adverse privileging action taken against them in the period we reviewed received performance pay for the fiscal year the action was taken because they were ineligible, per VA policy. This is because VA policy requires providers to be employed through the end of the fiscal year to be eligible for performance pay, and none of the five providers we reviewed were still employed by the VAMCs at the end of the fiscal year in which the actions were taken.", "All five of the adverse privileging actions resulted from concerns about the providers\u2019 clinical care in previous fiscal years. Among the five providers, two providers received performance pay in the fiscal year before their privileges were revoked, and three providers did not. For example, one provider\u2019s privileges were revoked in 2015 due to concerns raised in 2014 regarding the provider\u2019s failure to complete necessary documentation of patient care in a timely manner. This provider did not receive credit for the performance pay goal directly related to timely completion of documentation, and ultimately the provider received half of the maximum amount of performance pay for fiscal year 2014. In the case of another provider who did not receive any performance pay for the fiscal year before the adverse privileging action was taken, VAMC officials noted that the provider had been removed from practice for a portion of the fiscal year while they were reviewing the clinical care concern and thus was unable to meet performance pay goals."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["VHA is responsible for ensuring that providers at its VAMCs deliver safe care to veterans and that concerns that may arise about providers\u2019 clinical care are reviewed and addressed at VHA\u2019s 170 VAMCs. However, our work shows that at our five selected VAMCs, reviews of concerns about providers\u2019 clinical care were not always documented or conducted in a timely manner and VAMCs had not reported the majority of providers they should have reported to the NPDB or SLBs. This is concerning for several reasons. First, without documentation of the reviews of these concerns about providers\u2019 clinical care, VAMC leadership officials may not have the information they need to make decisions about whether a provider\u2019s privileges at the VAMC are appropriate. Second, if VAMCs do not document that they have reviewed provider\u2019s clinical care after concerns have been raised, VHA lacks reasonable assurance that the VAMCs are adequately addressing such concerns or that VAMCs are limiting or revoking providers\u2019 privileges when necessary. Third, if these reviews are not conducted in a timely manner and providers continue to deliver potentially substandard care, VHA may be increasing the risk that veterans will receive unsafe care at VAMCs. Finally, VAMCs\u2019 failure to report providers to the NPDB and SLBs, as required under VHA policy, makes it possible for providers to obtain privileges at other VAMCs or non-VA health care entities without disclosing the problems with their past performance. In effect, this can help shield the providers from professional accountability outside of VA\u2019s health care system.", "Further, VHA\u2019s inadequate oversight of these processes calls into question the extent to which VAMCs are held accountable for ensuring that veterans receive safe, high quality care. As our review shows, the VISNs responsible for overseeing the five selected VAMCs do not routinely oversee VAMC reviews of providers\u2019 clinical care after concerns are raised to ensure that these reviews are completed in accordance with VHA policies; nor do the VISNs oversee the VAMCs to ensure that all providers that should be reported are reported to the NPDB and SLBs. Until VHA strengthens its oversight of these processes, veterans may be at increased risk of receiving unsafe care through the VA health care system."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to VA: The Under Secretary for Health should specify in VHA policy that reviews of providers\u2019 clinical care after concerns have been raised should be documented, including retrospective and comprehensive reviews. (Recommendation 1)", "The Under Secretary for Health should specify in VHA policy a timeliness requirement for initiating reviews of providers\u2019 clinical care after a concern has been raised. (Recommendation 2)", "The Under Secretary for Health should require VISN officials to oversee VAMC reviews of providers\u2019 clinical care after concerns have been raised, including retrospective and comprehensive reviews, and ensure that VISN officials are conducting such oversight with the required standardized audit tool. This oversight should include reviewing documentation in order to ensure that these reviews are documented appropriately and conducted in a timely manner. (Recommendation 3)", "The Under Secretary for Health should require VISN officials to establish a process for overseeing VAMCs to ensure that they are reporting providers to the NPDB and SLBs, and are reporting in a timely manner. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for comment. In its written comments, which are reproduced in Appendix I, VA agreed with our conclusions and concurred with our recommendations. In its comments, VA stated that VHA plans to revise existing policy to require documentation of reviews of providers\u2019 clinical care after concerns have been raised and to establish expected timeframes for completing such reviews. VA estimates that it will complete these actions by September 2018. VA also stated that VHA will update the standardized audit tool used by the VISNs so that it directs them to oversee reviews of providers\u2019 clinical care after concerns have been raised and to ensure timely reporting to the NPDB and SLBs. According to VA, the revised tool will also facilitate aggregate reporting by VISNs to identify trends and issues. VA estimates that it will complete these actions by October 2018.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Veterans Affairs, and the Under Secretary for Health. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Sharon M. Silas at (202) 512-7114 or silass@gao.gov or Randall B. Williamson at (202) 512-7114 or williamsonr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs can be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia A. Mann (Assistant Director), Kaitlin M. McConnell (Analyst-in-Charge), and Summar C. Corley made major contributions to this report. Also contributing were Krister Friday, Jacquelyn Hamilton, Vikki Porter, and Brienne Tierney."], "subsections": []}]}], "fastfact": ["The Department of Veterans Affairs requires its medical centers to review a doctor\u2019s care if quality or safety concerns arise. If VA medical center officials decide a doctor should no longer provide care to veterans, they are required to inform hospitals and other health care entities by reporting to a national database and to the states where the doctor is licensed.", "However, at the 5 VA medical centers we reviewed, we found that these reviews were not always timely. We also found that VA officials did not report 8 of the 9 doctors who should have been reported.", "We recommended VA improve oversight of clinical care reviews and reporting."]} {"id": "GAO-19-81", "url": "https://www.gao.gov/products/GAO-19-81", "title": "Tax Administration: Opportunities Exist to Improve IRS's Management of International Tax Dispute Resolution", "published_date": "2019-03-13T00:00:00", "released_date": "2019-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["With increasing globalization, multinational corporations can take advantage of differences in countries' corporate tax systems to reduce their overall tax liabilities. However, globalization can also lead to disputes about the correct tax liability for U.S. MNCs in different countries. GAO was asked to review how the United States administers the process for resolving international tax disputes when a U.S. MNC disagrees with a tax determination of another country.", "This report (1) describes IRS's dispute resolution process, (2) assesses the information IRS provides to taxpayers about the process, and (3) assesses the extent to which IRS evaluates its management of dispute resolutions cases. GAO reviewed IRS guidance on the MAP process, interviewed IRS officials and compared IRS actions to federal standards for internal control and GAO's criteria for a good tax system. GAO analyzed MAP data for cases closed from 2013 to 2017 as well as a stratified random sample of MAP case files."]}, {"section_title": "What GAO Found", "paragraphs": ["A U.S. multinational corporation (MNC) operating in a foreign country is subject to taxes in that country as well as in the United States. The U.S. MNC's tax return may be audited by the United States or the other country. Such audits can result in an adjustment to the U.S. MNC's taxable income that may result in income being subject to tax in both countries. If the U.S. MNC disagrees with the adjustment, it can ask the United States Competent Authority (USCA) within the Internal Revenue Service (IRS) to help resolve the dispute through the mutual agreement procedure (MAP). Generally, disputes are resolved by one country withdrawing some or all of the adjustment and the other country providing other relief to the MNC to address double taxation of income. The following figure provides an overview of the dispute resolution process.", "Dispute resolution assistance is available to U.S.MNCs that need it and USCA provides comprehensive technical information on its website on how to request assistance. However, because USCA's website does not provide an overview or plain language guidance on the MAP process U.S. MNCs may not have clear information on how to navigate the process.", "USCA has taken a number of steps to ensure efficient management of MAP cases including assigning staff with requisite background and skills to cases according to their complexity and organizing staff into teams that specialize by countries. However, GAO identified a number of weaknesses that impact USCA's management of MAP cases. These include the following", "key data are not tracked and existing data are not used to assess the effective allocation of resources for the program,", "few controls have been established to monitor and ensure the reliability of the data in the case management database, and", "lack of trend analyses on dispute case characteristics that could help inform management decision making and the more efficient operation of the program."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making a total of eight recommendations, including that IRS improve the clarity of information on the dispute resolution process, track and use dispute resolution case data, ensure the quality of case data, and analyze trends in dispute case characteristics. IRS agreed with GAO's recommendations and said it will provide detailed corrective action plans."]}], "report": [{"section_title": "Letter", "paragraphs": ["As countries have become more globally interconnected, multinational corporations (MNC) are relying more on tax planning strategies that take advantage of differences among countries\u2019 corporate tax systems to reduce their overall tax liabilities. These strategies have led to concerns about the erosion of countries\u2019 corporate tax bases through the shifting of profits from one jurisdiction to another. In addition, globalization can complicate tax administration by resulting in disputes about the correct tax liability in different countries. U.S. MNC activity can result in audits conducted by the countries in which they are operating where U.S. MNCs disagree with the adjustment made to their taxable income.", "In 2015, the Organisation for Economic Co-operation and Development (OECD) released a report with 15 action items addressing a variety of issues related to tax base erosion and profit shifting. In 2017, we reported on two of these actions: (1) revisions of the transfer pricing guidelines and new transfer pricing documentation; and (2) country-by-country reporting. The OECD report also included an action item addressing ways to improve mechanisms for resolving international tax disputes.", "These disputed adjustments can potentially lead to double taxation of a U.S. MNC\u2019s income. These disputes can be resolved through the mutual agreement procedure (MAP). MAP is administered through the Advance Pricing and Mutual Agreement Program (APMA) in the office of the U.S. Competent Authority (USCA) within the Internal Revenue Service (IRS). The designated USCA is the Deputy Commissioner of the Large Business and International Division of IRS.", "You asked us to review how the United States is administering the process for resolving international tax disputes. In this report, we (1) describe the MAP dispute resolution process for U.S. MNCs, (2) assess the information IRS provides to taxpayers about the MAP process, and (3) assess to what extent IRS evaluates management of dispute resolution cases.", "To describe the dispute resolution process, we reviewed documents and interviewed officials in IRS\u2019s USCA, the office responsible for administering the MAP process. To assess the information IRS provides taxpayers, we reviewed USCA guidance on how the process works and interviewed USCA officials on how they communicate with taxpayers. To assess how IRS evaluates its administration of dispute resolution cases, we compared USCA\u2019s processes with standards for internal controls and characteristics of a good tax system: efficiency, equity, and administrability. Specifically, we interviewed USCA officials on their process for ensuring efficient management. We also reviewed MAP case data, including analyzing both the full inventory management database of tracked dispute cases as well as a generalizable random sample of dispute resolution case files. For more information on our methodology, see appendix I.", "We conducted this performance audit from April 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["U.S. taxpayers who earn income abroad may be subject to U.S. taxes on that income. Firms incorporated in the United States can earn income from their own foreign activities or through their ownership of foreign subsidiaries. In such cases, income is subject to tax in both the country where it was earned and in the United States. In this report, we focus on U.S. corporations with operations in foreign countries.", "Countries have generally adopted one of two alternative approaches to taxing corporations\u2019 foreign income. Prior to the enactment of Public Law 115-97\u2014commonly referred to by the President and many administrative documents as the Tax Cuts and Jobs Act of 2017 (TCJA)\u2014the U.S. government taxed U.S. corporations largely on a worldwide basis, meaning that the United States taxed both the domestic and foreign earned income of corporations. Most other countries, including most OECD member countries, use a largely territorial approach that taxes income earned within their borders, and exempts certain foreign-earned income of their resident corporations from taxation.", "However, under both a worldwide and a territorial system, income earned by foreign entities from operations within a country is taxed by that country. As such, the corporation or its subsidiary must file a tax return in that country, and the country\u2019s tax authority can audit the tax return and adjust taxable income and taxes due.", "Countries have adopted measures to limit the potential for double taxation, which occurs when two or more countries levy taxes on the same income due to differences in the tax jurisdictions and tax systems. To avoid double taxation, countries\u2014including the United States\u2014that tax on a worldwide basis provide a credit for foreign taxes paid that reduces the MNC\u2019s domestic tax liability. In addition, countries maintain tax treaties with each other that cover a wide range of tax issues but have two primary purposes: (1) avoiding double taxation, and (2) preventing tax evasion.", "Despite these efforts to limit disputes, a U.S. MNC may disagree with an adjustment made to its taxable income. In such cases, an MNC can go directly to the country\u2019s tax authority to try to resolve the dispute. According to tax experts we spoke with, if, however, a U.S. MNC views this process as unlikely to be successful or if it was unsuccessful and believes the adjustment would result in double taxation, the corporation can ask USCA for assistance in resolving the dispute.", "In the United States, the designated USCA is the commissioner of the Large Business and International Division of the IRS. The USCA office is made up of two groups: the Advance Pricing and Mutual Agreement Program (APMA) and the Treaty Assistance and Interpretation Team. According to USCA officials, most disputes involving U.S. MNCs\u2014the focus of this report\u2014are resolved through APMA.", "TJCA significantly changed the way in which the United States taxes MNC\u2019s income but some experts have pointed out that the law is unlikely to end profit shifting. The Congressional Budget Office estimated in April 2018 that TCJA would reduce profit shifting by about $65 billion per year out of an estimated $300 billion of profit shifting per year prior to the act. For U.S. corporations earning income directly through foreign subsidiaries, the act moved the United States from a system that generally taxed worldwide income and provided a credit for taxes paid abroad to a system that generally does not tax foreign-sourced income. However, the new \u2018territorial\u2019 system created by the act included a number of provisions designed to protect the United States\u2019 corporate tax base by taxing some foreign income. It included (1) a lower worldwide tax on global intangible low-taxed income, and (2) a corresponding tax on intangible income earned abroad based on assets in the United States (foreign-derived intangible income). The act also added a corporate tax base erosion and antiabuse tax. It is not clear how these provisions will affect corporations\u2019 allocation of profits and business activity."], "subsections": []}, {"section_title": "MAP Has Multiple Stages and Potential Resolution Paths", "paragraphs": ["The process of resolving a dispute through MAP usually begins when a U.S. MNC requests assistance from USCA to resolve disputes over an adjustment in either its foreign-filed or its U.S. tax return. According to IRS, the number of active MAP cases, as of October 2017, was 686 and covered $26 billion of income subject to potential double taxation. It should be noted that a single U.S. taxpayer can be involved in multiple MAP cases because disputes are resolved bi-laterally. For example, if a U.S. MNC had a dispute involving the allocation of overhead costs across multiple subsidiaries in different countries, then there would be separate dispute cases for each country involved. According to IRS data, the number of MAP cases filed each year has been growing, more than doubling in 5 years from 100 in 2010 to 286 in 2014.", "As noted earlier, when a U.S. MNC disputes a foreign tax authority\u2019s adjustment to a tax return, the U.S. MNC can try to resolve the issue through the appeals process within the taxing jurisdiction. However, according to tax experts we spoke with, if the U.S. MNC is unsuccessful or if the U.S. MNC believes the local appeal will be less successful than the MAP process, it can request assistance from USCA.", "Once a taxpayer has requested assistance through MAP, USCA conducts an initial review to determine if it will accept the request. For example, USCA analysts would ensure that the request involves potential double taxation and that the foreign country was a treaty partner.", "If USCA accepts the MAP request for assistance, it reviews the technical facts of the dispute and prepares its position prior to negotiating on a resolution with the foreign competent authority. When IRS, rather than the foreign tax authority, initiates the adjustment, USCA will discuss the facts of the case with the IRS examiner who proposed the adjustment, but determines on its own how much of the adjustment is justified. In the case of foreign-initiated adjustments, USCA will contact the foreign competent authority while developing its position to provide updates and obtain any needed information. According to USCA officials, based on its review, the USCA determines whether it considers the adjustment valid and the amount of the adjustment that should be withdrawn by the initiating tax authority, and what amount of relief USCA may provide. USCA can also unilaterally decide to fully withdraw the IRS adjustment or provide full correlative relief for a foreign-initiated adjustment that USCA considers valid.", "USCA resolves disputes brought to it by MNCs according to MAP specified in the tax treaties. Under the treaties, international tax disputes that may result in double taxation can be resolved in the following five ways:", "The country that initiated the adjustment to taxable income can fully withdraw the adjustment, leaving the taxpayer\u2019s reportable taxable income unchanged.", "USCA can provide correlative relief to the MNC. This relief usually takes the form of a corresponding adjustment, which relieves double taxation caused by the other country\u2019s adjustment.", "USCA and the foreign country can agree to a combination of withdrawing some of the adjustment to taxable income and providing relief for the remaining adjustment to provide full relief of double taxation to the taxpayer.", "USCA and the foreign country can agree on some combination of withdrawal and relief that results in partial relief to the taxpayer.", "No relief from adjustment.", "Figure 1 provides an overview of the basic process of a MAP request for assistance. Appendix III provides illustrative examples of dispute resolution cases and resolutions.", "Once USCA has determined its position, it begins negotiating with the foreign competent authority to resolve the dispute. These cases can take several years to resolve with some taking much longer than the average, particularly if there is a fundamental disagreement. For example, USCA\u2019s APMA inventory data from 2013 to 2017 indicate the average processing time was around 2 years, but cases ranged from as little as a few months to 5 years to resolve, with a few cases taking even longer. In addition, the inventory data show that disputes are generally over taxable income from prior years. For example, a MAP case resolved in 2017 could have been filed in 2008 for a dispute over 2005 taxable income. However, cases may be shorter when the tax treaties include provisions for binding arbitration. The United States has treaties with four counties that include provisions for binding arbitration. If the two countries are unable to resolve the dispute within 2 years, the taxpayer can request that the case go to arbitration for a decision.", "Throughout the entire process, the taxpayer has a right to withdraw the request and accept the tax authority\u2019s adjustment which may entail double taxation. According to tax experts that we interviewed, if the adjustment is small, a taxpayer may prefer to accept the double taxation rather than incur the cost of going through the MAP process. These costs can include direct costs of retaining tax advisors as well as the indirect costs of listing the amount of funds that are in dispute on their financial statement as an unresolved tax issue. The taxpayer can also refuse the negotiated or arbitrated resolution and appeal the case to the IRS office of appeals or foreign tax authority."], "subsections": [{"section_title": "Available Information about MAP is Limited and Highly Technical USCA Provides Information Needed for Requesting MAP Assistance, but the Information has Limited Accessibility", "paragraphs": ["USCA provides information about the MAP process through an IRS web page on competent authority assistance. The webpage includes contact information for USCA offices and a link to a document that describes the process for requesting assistance. The document is in the form of a Revenue Procedure\u2014an official statement of a procedure based on the Internal Revenue Code, related statutes, tax treaties, and regulations. Our analysis of the information on the website found a number of issues that limit its accessibility:", "The website does not include an overview or high-level description of the MAP process.", "The website lacked elements such as frequently asked questions or fact sheets that IRS has developed for similar processes that help promote understanding of complex tax issues.", "The website does not explain in clear language what constitutes a tax dispute eligible for the MAP resolution process. Other IRS websites provide more detailed information for other issues relevant to U.S. MNCs. For example, the IRS website for country-by-country reporting provides a detailed page explaining the new reporting guidance with multiple links for additional guidance.", "In addition, USCA\u2019s guidance for requesting MAP assistance is an 87- page revenue procedure. While this document is complete, it is highly technical and may not be easily understood by taxpayers seeking relief from double taxation.", "IRS requires information for taxpayers to be clear and accessible. IRS\u2019s Taxpayer Bill of Rights states that taxpayers have the right to clear explanations of tax laws and IRS procedures. In addition, the federal internal control standards, the Plain Writing Act of 2010, and Office of Management and Budget plain writing guidance state that agencies should, for example, communicate the necessary quality information externally. Moreover, accessibility is consistent with the criteria we have previously identified for a good tax system. IRS\u2019s Strategic Plan for Fiscal Years 2018-2022 notes that the agency faces a business environment that is becoming more global, dynamic, and digital, further underscoring the importance of taxpayers having accessible, plain language guidance on MAP.", "The Organisation for Economic Co-operation and Development (OECD) also assessed the accessibility of USCA\u2019s guidance and found that it met OECD\u2019s minimum standards. As part of its base erosion and profit-shifting project, the OECD has been reviewing countries\u2019 administrations of the mutual agreement processes. In its review of the United States\u2019 process, the OECD concluded that while U.S. MAP guidance is comprehensive and available, and fully met the OECD\u2019s minimum standards, some further clarity could be provided.", "The OECD review offered examples of how other countries provide taxpayers with overview information they can use before accessing more detailed technical guidance. For example, Canada publishes an annual MAP Program Report on its website that includes background information on its process, as well as general information on the steps in the process and high-level information on timeframes. Singapore\u2019s MAP web page includes basic information on the MAP process, an example of a case that would be suitable for MAP, and a link for users to provide feedback on the usefulness of the information.", "USCA officials said that they have not improved the information provided on their website because they believe the current guidance to be sufficient. However, USCA officials told us that they are engaged in some efforts that may improve the information they provide to taxpayers. USCA officials stated that USCA is close to finalizing a \u201cpractice unit\u201d explaining the competent authority process. According to USCA officials, this unit uses plain language to walk taxpayers step by step through MAP and the competent authority process. The unit also highlights the roles and responsibilities of all the stakeholders in the process, including the taxpayers. USCA officials said they intend to make the practice unit available on USCA\u2019s public website and the United States\u2019 OECD MAP Profile.", "APMA officials also said they expect that the additional information on the requirements of MAP and Revenue Procedure 2015-40 will be useful to those unfamiliar with the processes. USCA officials did not provide a date for when this practice unit would be completed.", "Providing taxpayers with a clear overview and accessible guidance on the MAP process would help ensure that taxpayers who might benefit from entering the MAP process are aware of the process, know how to navigate it, and understand the general time frames for relief. Providing information that helps facilitate this process could help reduce taxpayer burden."], "subsections": []}, {"section_title": "USCA Does Not Document Contacts with Taxpayers", "paragraphs": ["USCA may contact taxpayers about their cases for various reasons. Officials in the APMA office stated that they send acknowledgement letters when the MAP request is accepted, and routinely gather additional information from taxpayers to fully develop a MAP case. They said that an analyst generally will communicate with a taxpayer before and after APMA has substantive discussions with its foreign counterparts regarding the taxpayer\u2019s case. While officials stated they provide regular contact, they do not have a process to systematically record or track these contacts, other than in the case file.", "Regular contact with taxpayers may help make the process more transparent and help ensure that they are informed about their cases.", "One of the criteria we have previously identified for a good tax system is transparency. A transparent tax system reduces uncertainty for taxpayers, allowing them to better plan their decisions about employment and investment.", "According to IRS officials, APMA provides general guidance on when a taxpayer should be notified of developments in the case or its status. APMA officials stated that contact will vary depending on the facts and circumstances of the case such as its complexity and frequency of communications with the foreign competent authority. However, the guidance is focused on taxpayer expectations and does not address any requirements of officials to track or record contacts.", "Contacts with taxpayers could affect perceptions of the transparency and fairness of the MAP process. Tracking and recording contact with taxpayers would help provide APMA with assurance that taxpayers are being kept aware of the status of their MAP case in a timely manner. Monitoring such information would help APMA to evaluate the transparency and fairness of its MAP administration. It would also help assure APMA there is consistency in contacting taxpayers."], "subsections": []}]}, {"section_title": "USCA Does Not Track Key Data nor Use Existing Data to Assess Management of MAP Cases USCA Does Not Track Hours Worked or Key Milestones for MAP Cases", "paragraphs": ["APMA maintains an inventory database that tracks some information on MAP cases. These data include how many months it took to resolve the case, the analyst assigned to the case, and whether an economist was assigned. According to APMA officials, each MAP case is assigned an analyst and, for complex cases, an economist. APMA groups analysts into teams that work on MAP cases from different geographic regions. Three teams consist of economists that are assigned to cases managed by other teams. APMA data on how staff are deployed are shown in table 1.", "While these data provide some information on workload, they do not provide information on how many hours or staff days are associated with a particular case. This information would be useful to know because it could provide insight about the resources needed for different cases based on differences in complexity and other factors. Standards for internal control state that management should establish and operate monitoring activities that can be used to evaluate results and ensure that objectives are met with minimum wasted resources. However, according to APMA officials, their tracking system is not set up to track hours or staff days spent on each case.", "Instead, according to APMA officials, their staffing process accounts for differences in complexity in other ways. Officials explained that when APMA receives a MAP request, it ranks the request according to complexity using a scale that runs from 1 to 5. The more complex cases, those ranked 3 or higher, are assigned an economist which can increase the cost of working the more complex cases."], "subsections": [{"section_title": "APMA Does Not Have Controls to Ensure the Quality of its Case Data", "paragraphs": ["In our review of a generalizable sample of MAP case files we found a number of inconsistencies between the amount of adjustment recorded in APMA\u2019s inventory database, the amount recorded in the original MAP request, and the amount recorded in the resolution letter provided to taxpayers and the foreign competent authority. We also found inconsistencies between the request letter and the resolution letter amounts. On the basis of our sample, we estimate that about 30 percent of the entries in the inventory database had these types of discrepancies.", "The cause of some of these discrepancies was relatively easy to identify and correct, such as transcription errors, which could have been detected if APMA had a more robust inventory management system in place. Other inconsistencies in the data were more difficult to resolve. According to IRS officials, some discrepancies could be explained by changes in exchange rates over time. However other inconsistencies could be not be as easily explained.", "These inconsistencies exist because APMA does not have controls in place to systematically and routinely evaluate the quality of the data in its inventory of cases. As a result, the accuracy of program measures that USCA might develop based on these data may be uncertain.", "Having controls in place to ensure the accuracy of data in the inventory database would also help APMA meet OECD\u2019s minimum standards. The OECD has called for countries to provide MAP case statistics by country and published these statistics for the first time in 2018. According to APMA officials, APMA is currently working on implementing an upgraded inventory management system that should help APMA meet this goal. Development and full implementation of this project has been underway for 4 years."], "subsections": []}, {"section_title": "APMA Does Not Analyze Currently Available Data to Inform Its Operations and Management Decisions", "paragraphs": ["APMA\u2019s inventory data-base includes data on both pending and resolved MAP cases that can help management monitor program operations and potentially identify areas to improve the management of MAP cases. However, APMA does not systematically analyze data to identify areas for improvement. For example, analysis of trends and comparisons of certain case characteristics\u2014such as the country initiating the adjustment, the elapsed time on the case, whether an economist was assigned to the case, and the negotiated outcome\u2014can help to identify how these characteristics may be related. According to APMA officials they do not undertake this kind of data analysis because they use the data as needed to manage current resources and to achieve their primary goal of satisfying the OECD\u2019s minimum standards. These minimum standards include such goals as countries ensuring that adequate resources are provided to the MAP function and ensuring that both competent authorities should be made aware of MAP requests and given an opportunity to share their views on whether the request should be accepted.", "According to federal internal control standards, management should design information systems to provide information to meet the entity\u2019s objectives and respond to risks. Information and analysis that helps APMA understand changes in international environment and complexity of U.S. MNCs would better enable it to identify future resource needs by evaluating trends in case characteristics.", "In the absence of quantifiable analysis conducted by APMA, we used information from its existing inventory data to illustrate the types of analysis that may be possible. For example, figure 2 shows that the volume of cases can vary greatly by country over time. The figure shows that the number of cases resulting from an adjustment by IRS ranged from a low of 22 in 2015 to high of 85 in 2017. Conducting similar analysis of trends in volume may help APMA better plan for allocating its limited resources to different teams in anticipation of increased case volume. In addition, because APMA allocates staff across teams that focus on particular countries, tracking trends in case load by country could help USCA prepare to anticipate spikes in cases and allocate resources more effectively across country teams. By conducting regular trend analyses, APMA could also identify areas for further analysis to determine what may be driving variations in case load by country.", "Similarly, figure 3 shows our analysis of the average time to resolve a case. Average case time ranged between 15 and 40 months, with the average case time exceeding the OECD-recommended 24-month period for a number of countries and years. By conducting similar analysis of the trends and differences in processing time across MAP cases, APMA would be better able to identify areas meriting additional review for ways to improve timeliness.", "We also used inventory data to analyze outcomes in terms of the determinations reached through MAP negotiations. One analysis included an examination of the share of cases in which the United States provided some relief to the taxpayer. As can be seen in figure 4, most foreign cases in most years resulted in relief being shared between the two countries involved in a dispute. As shown in figure 4, in 2017, approximately two-thirds of all foreign cases were resolved with both countries providing some relief compared to less than 10 percent of U.S. cases.", "However, as shown in figure 5, USCA in most years fully withdrew a large percentage of adjustments made by IRS. In 2017, 74 percent of IRS adjustments were withdrawn. The data show that U.S.-initiated cases were more often resolved entirely by the United States than with the foreign country providing some of the relief.", "However, these data on case resolutions need to be interpreted with caution. For example, as pointed out by IRS officials, a measure like the percent withdrawn may be misinterpreted if it concerns a small number of large MNCs with operations in many countries, and the adjustments are small unless this information is provided as context. Nonetheless, the case resolution data can be useful for guiding further analysis by helping to identify areas that would merit further analysis of the reasons for withdrawing cases or the reasons IRS examiners are making adjustments that are not upheld by USCA. Analyzing trends in outcomes would help to ensure that APMA is not missing opportunities to protect the U.S. corporate tax base and that IRS examiners are cognizant of tax treaty treatment of foreign source income of U.S. MNCs. Additional examples of MAP case data analysis are provided in appendix IV.", "While APMA must work all MAP cases, developing quality data on MAP cases would help to ensure effective management of the program. Analyzing trends in case data could help identify and manage evolving demands and priorities\u2014such as the challenges present in a changing global tax environment. According to federal internal control standards, as a part of management controls, management should design information systems to obtain and process information to meet operational needs.", "Because APMA cannot alter its workload, it is all the more important to effectively manage staff and time. Reliable information systems are essential for effective management. Without assessing APMAs\u2019 current and past performance, APMA may be less able to identify areas for improvement. Conducting analysis and improving the quality of data could help inform APMA\u2019s allocation of resources and inform other parts of the agency concerning international tax issues. For example, IRS exams may be better able to judge the appropriateness of its tax adjustments when it is informed about how USCA has viewed similar adjustments governed by tax treaties."], "subsections": []}, {"section_title": "APMA Does Not Record the Disputed Tax Issues in Its Inventory Database, Which Limits the Usefulness of Data", "paragraphs": ["The APMA inventory database contains select characteristics of resolved cases, such as the time it took to resolve the case and the country that initiated the adjustment in dispute. However, it does not contain information on the tax issue that was in dispute. Without tracking the tax issue in dispute, APMA is unable to analyze trends in tax issues which could be used to determine if there are systemic issues that could be solved through means such as changes in IRS regulations, treaty, or statute.", "USCA officials told us that there are additional costs to tracking tax issues and that defining the type of tax issue involved in complex international tax cases could be difficult. However, IRS tracks issues in other similar areas. For example, IRS\u2019s Office of Appeals, which handles a wide range of tax controversies covering both international and domestic issues, tracks the tax issue in dispute.", "Furthermore, APMA includes categories of tax transactions in its annual statutory reports. The categories are used in Advanced Pricing Agreements (APA) to distinguish between a U.S. entity and non-U.S. entity, and to determine whether a transaction covered by an agreement involved the sale of tangible property, use of intangible property or the provision of services. APAs are agreements between IRS and MNCs on how transactions among related entities of the MNC should be priced. APAs can prevent potential disputes by having agreement on the transaction prior to filing a tax return with IRS. These categories or alternative categories that APMA has already developed could be added to the inventory database to provide additional information on the tax issue in dispute.", "To illustrate how the additional information on tax issues can help inform management decisions, we categorized the tax issues in our sample of MAP cases using APA categories. As shown in figures 6 and 7, we compared the estimated percentage of certain tax issues in all MAP cases between 2015 and 2017 with those in APA cases in 2014. We also compared tax issues with other characteristics of the MAP cases. As figure 6 shows, an estimated 37 percent of MAP cases involved disputes over a tax adjustment related to services provided by a non-US entity such as a foreign corporation. Figure 6 also shows that disputes concerning the provision of services (both U.S. and non-U.S.) are estimated to account for 61 percent of cases, which far exceeded disputes over the use of intangible property, at 17 percent or the sale of tangible property at 15 percent. Conducting similar reviews of this type of information could help APMA better match its resources in terms of experience with different types of tax issues.", "We also compared tax issues identified in MAP cases with the transactions covered in APAs. The results illustrate how tracking tax issues could be useful for improving the administration of both programs. For example, as shown in figure 7, 23 percent of APA transactions covered sales of tangible property into the United States in 2014. Our categorization of MAP cases reported in figure 6 shows sales of tangible property into the United States as a disputed issue in only an estimated 8 percent of those cases. This difference in relative frequencies may suggest a connection between the programs, as tax practitioners have suggested increasing the use of APAs as a way of reducing international tax disputes. However, some of the differences in percentages between figure 6 and 7 could arise from differences in years covered and in categorization of tax issues.", "We also categorized the information to illustrate how tracking tax issues and other characteristics, such as location and the outcomes of the dispute resolution process could help with administration. For example, as shown in table 2, the tax issue with the largest estimated share of foreign MAP cases (67 percent) involved the provision of services. U.S. MAP cases, in contrast, were spread more evenly across tax issues, with no single tax category having an estimated share greater than 50 percent. Conducting a similar review of this type of information could help APMA match its resource allocations in terms of staff experience with different types of tax issues within its country-focused teams.", "Additionally, table 3 shows when we tracked outcomes of the dispute resolution process, we found that an estimated 69 percent of cases resolved by a combination of withdrawal and correlative relief involved the provision of services. For other outcomes, this tax issue of provision of services is estimated to occur 49 percent of the time. Further research on how outcomes and tax issues may be related could also inform how APMA trains and assigns staff.", "Other analyses could examine the tax issue and whether an economist was assigned or the average processing time. These statistics may help identify insights into complex cases. Undertaking similar reviews across tax issues may help identify areas for increased scrutiny to ensure effective administration.", "Federal internal controls standards state that as part of an effective internal control system, management should establish activities to monitor program performance. Reliable information on program operations requires the collection of quality data. Collecting key characteristics and conducting relevant analyses would help ensure effective internal control and could help improve USCA\u2019s management of MAP cases."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In a world with a growing number of international transactions, the United States needs an efficient and effective dispute resolution process to ensure that it is protecting the U.S. taxpayer and the U.S. corporate tax base. The MAP processes adopted by countries\u2014including the United States\u2014in their tax treaties are in place to prevent double taxation and ensure the accurate application of treaty provisions.", "USCA plays a key role in resolving disputes over double taxation but the agency has weaknesses in its processes that hamper its efforts. First, USCA has not provided clear guidance to taxpayers on how the MAP process works. As a result, taxpayers may be unaware of the process and not fully understand what to expect when they undergo it. Furthermore, USCA does not record when and for what reason there is contact between the taxpayer and USCA, therefore making it difficult for USCA to ensure that taxpayers are informed about the progress of their case.", "Second, USCA does not track the hours that analysts spend on cases and the milestones of cases. As a result, USCA does not have a full understanding of the efficiency of the MAP process, including ways to improve it. It also does not have processes to ensure the quality of the data it collects, therefore cannot ensure accurate performance measurement. While APMA aims to meet the minimum standards of the OECD, it does not analyze the data to identify areas for improvement.", "Analyses of USCA\u2019s data could more fully inform its management decisions. A number of potential analyses are available of how cases are resolved. By forgoing these types of analyses, USCA may be unaware of certain trends, possible explanations for them, or any need to adjust guidance or resources to address these issues.", "Finally, many of APMA\u2019s tasks depend on factors beyond its control (for example, the volume of taxpayer requests), but management of the processes could benefit from the collection and analysis of well-defined measures and quality data."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following eight recommendations to the IRS.", "The Commissioner of Internal Revenue should direct USCA to provide an overview of the MAP process that is more accessible and transparent than the Revenue Procedure. (Recommendation 1)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA staff record and track contact with taxpayers. (Recommendation 2)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA staff record and track the hours they spend on MAP cases. (Recommendation 3)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA identify and record the dates of key milestones throughout MAP case resolutions. (Recommendation 4)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA puts procedures in place to review the quality of inventory data. (Recommendation 5)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA records the dollar amounts of MAP case outcomes in its database. (Recommendation 6)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA analyzes trends in case characteristics as part of routine program management activities. (Recommendation 7)", "The Commissioner of Internal Revenue should direct USCA to ensure that APMA identify and record categories of the tax issue relevant in the dispute. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue for review and comment. In its written comments, reprinted in appendix II, IRS agreed with our eight recommendations and will provide detailed corrective action plans in its 60-day letter response to Congress. IRS also provided technical comments, which we incorporated where appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the Treasury, the Commissioner of Internal Revenue, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or mctiguej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives Scope and Methodology", "paragraphs": ["As noted earlier, to assess the extent to which the Internal Revenue Service (IRS) evaluates management of dispute resolution cases, we interview IRS officials. Having determined that the Advanced Pricing Mutual Agreement Program (APMA) does not conduct analysis of mutual agreement procedure (MAP) case data, we used information from its existing inventory data to illustrate the types of analysis that may be possible. The inventory database APMA provided us contained all MAP cases that were closed from 2013 to 2017, as well as the current stock of open MAP cases. Because of a change in the method of recording the outcome variable between 2013 and 2014, we restricted our analysis of outcomes to 2014 to 2017.", "The inventory database did not include a variable for the tax issue in dispute. To illustrate the type of analysis that could be conducted if the tax issue were recorded we collected a sample of MAP case files. To estimate features such as tax issue and outcome for the inventory database, we selected a generalizable random sample of 84 cases that was proportionally allocated across four strata described in table 4. The strata included wither the initiating country was U.S. or Non-U.S. and whether an Economist was involved. This sample was selected from the population frame that consists of all files from APMA 2013-2017 Resolved and 2017 Pending inventory for cases resolved in years 2015 to 2017. Overall, this sample was designed to produce 95 percent confidence intervals for percentage estimates that are within approximately +/- 10 percentage points. The sample is not designed to provide estimates for other reporting groups at the same level of precision, and all margins of error are reported along with estimates.", "To create a tax issue variable, we reviewed the summary of competent authority issues required by Rev.Proc. 2015-40 to be included in the MAP request letter. We then allocated the tax issue described in the narrative to APMA\u2019s advanced pricing agreement transaction categories. Some case files included multiple tax issues, but these cases accounted for less than 18 percent of the sample. The illustrations provided rely on the first tax issue noted in the narrative. Table 5 provides the estimates and margins of error for the categories."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Illustrative Examples of Dispute Resolutions", "paragraphs": ["The following tables illustrate how a resolution can be reached in different types of disputes. Table 6 provides a hypothetical example of U.S.- initiated adjustment to a transfer price and a resolution that provides full relief from double taxation through a combination of partial withdrawal and correlative relief. In this example, the U.S. multinational corporation (MNC) parent sells a product to its subsidiary incorporated in a foreign country for $1,000. The U.S. parent is taxed on the income of $1,000 from the sale and the subsidiary is able to deduct that payment.", "The U.S. tax authority audits the parent\u2019s return and determines that the price the parent sold the product for was too low and adjusts to price up from $1,000 to $2,000, resulting in an increase in taxable income. The U.S. MNC parent disputes the adjustment and requests assistance from the U.S. Competent Authority (USCA). The new adjusted transfer price results in $1,000 that is subject to double taxation because the foreign subsidiary has not deducted the additional $1,000 as the price paid to the U.S. parent, while the U.S. tax authority is now considering that income taxable.", "USCA negotiates with the foreign competent authority and the two parties agree on a revised transfer price of $1,600. The negotiated resolution results in USCA agreeing to withdraw $400 of the original adjusted amount of the transfer price. In turn, the foreign competent authority agrees to correlative relief in the form of an increased deduction of $600 of the additional price that the foreign subsidiary will pay the U.S. parent. The taxpayer receives full relief from double taxation since the total of the withdrawal and the correlative relief erases the $1,000 of double-taxed income that resulted from the increased adjustment.", "Alternatively, foreign tax authorities can make adjustments that affect a U.S. taxpayer. Table 7 provides a hypothetical example of a foreign initiated adjustment to a cost-sharing arrangement, and a resolution that provides full relief from double taxation, again, through a combination of partial withdrawal and correlative relief.", "In this scenario, the U.S. parent and its foreign subsidiary agree to share the costs of developing a product that will yield income of $10,000. As part of the agreement, the subsidiary will receive 10 percent of the income yield while the parent will receive 90 percent.", "The foreign tax authority audits the subsidiary\u2019s tax return and determines that the amount of income assigned to the subsidiary is too low. It then adjusts the percentage to 50 percent, increasing the income allocated to the subsidiary from $1,000 to $5,000. This adjustment results in a potential $4,000 of income that is now subject to double taxation. The subsidiary decides that resolving this dispute locally is unlikely and through the U.S. parent requests assistance from USCA.", "USCA and the foreign competent authority negotiate a new allocation of 35 percent resulting in new income allocated to the subsidiary of $3,500. This resolution results in a combination of withdrawal and correlative relief. The competent authority agrees to withdraw $1,500 of the adjustment as income to the subsidiary, and the U.S. competent authority agrees to reduce the amount taxable to the parent by $2,500. The taxpayer receives full relief from double taxation since the total of the withdrawal and the correlative relief erases the $4,000 of double-taxed income that resulted from the increased adjustment."], "subsections": []}, {"section_title": "Appendix IV: Examples of Analysis that Advanced Pricing and Mutual Agreement Program Could Do with Current Available Data", "paragraphs": ["All mutual agreement procedure (MAP) cases are not the same in terms of complexity. One possible indicator of complexity is whether an economist was assigned to a case. United States Competent Authority (USCA) ranks the cases in order of complexity and assigns economists to the more complex cases. Our analysis of Advanced Pricing and Mutual Agreement Program (APMA) data in figure 8 shows how the use of economists varies by source of MAP cases. For most years, APMA assigned economists to a higher percentage of cases that involved U.S. than Canadian initiated adjustments. For most years, the share of economists assigned to foreign initiated cases was similar to U.S. initiated cases. However, in 2015 and 2016 the share of U.S. cases receiving an economist was more than double that of all foreign initiated cases. For most years, an economist was assigned to less than a quarter of foreign and U.S. MAP cases.", "We also analyzed USCA inventory data to compare the percentage of cases that were assigned an economist and the average time it took to resolve cases. As figure 9 shows, the average time a case was in processing tends to decrease when the percentage of cases that are assigned an economist increases. This relationship suggests that assigning economists to a case may reduce the time it takes to resolve it despite the greater complexity of the case. However, there may be many other factors that could influence processing time. APMA officials noted that many these factors include the readiness of the foreign competent authority to discuss the case in a timely fashion. Further analysis would be necessary to isolate the effects of specific resource allocation changes on process efficiency."], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kevin Daly (Assistant Director), Jennifer G. Stratton (Analyst-in-Charge), Bertha Dong, Dawn Bidne, Michael Bechetti, Sonya Vartivarian, Ed Nannenhorn, David Dornisch, and A.J. Stephens made significant contributions to this report."], "subsections": []}]}], "fastfact": ["U.S. firms that earn income from foreign activities or foreign subsidiaries are subject to taxes at home and abroad. Double taxation may occur when two or more countries with different tax approaches levy taxes on the same income.", "The IRS' U.S. Competent Authority (USCA) helps U.S. multinationals resolve disputes over double taxation with foreign authorities and the IRS. However, taxpayers may have a hard time understanding the process. USCA's website, for example, provides highly technical guidance and lacks clear explanations.", "We made 8 recommendations, including that USCA provide better procedure guidance."]} {"id": "GAO-18-128", "url": "https://www.gao.gov/products/GAO-18-128", "title": "European Reassurance Initiative: DOD Needs to Prioritize Posture Initiatives and Plan for and Report their Future Cost", "published_date": "2017-12-08T00:00:00", "released_date": "2017-12-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In response to Russia's annexation of Crimea in March 2014, the President announced the ERI, to reassure allies in Europe of U.S. commitment to their security. This initiative has been funded using OCO appropriations, which Congress provides in addition to DOD's base budget appropriations.", "The Joint Explanatory Statement accompanying the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, included a provision for GAO to review matters related to ERI. In this report, we (1) describe changes in ERI's objectives, funding under ERI, and DOD's posture in Europe since 2014 and (2) evaluate the extent to which DOD's planning processes for posture initiatives funded under ERI prioritize those initiatives, estimate their long-term costs, and communicate their estimated costs to Congress. GAO analyzed DOD strategy documentation, budget and cost analysis guidance, budget justification materials, and cost and obligations data. GAO also interviewed knowledgeable officials within the Office of the Secretary of Defense, U.S. European Command, the military services, and the State Department."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2014, the Department of Defense (DOD) has expanded the European Reassurance Initiative's (ERI) objectives, increased its funding, and planned enhancements to European posture. DOD expanded ERI's objectives from the short-term reassurance of allies and partners to include deterring Russian aggression in the long term and developing the capacity to field a credible combined force should deterrence fail. With respect to funding, DOD will have requested approximately $4.5 billion for ERI's posture enhancements through the end of fiscal year 2017 (about $3.2 billion for fiscal year 2017 alone), and in July 2016 EUCOM identified funding needs for future posture initiatives. The expansion of ERI's objectives has contributed to DOD's enhancing its posture in Europe. Specifically, DOD has increased the size and duration of Army combat unit deployments, planned to preposition Army equipment in Eastern Europe, added new enduring locations (e.g., locations that DOD expects to access and use to support U.S. security interests for the foreseeable future), improved infrastructure, and negotiated new agreements with European nations. As of April 2017, DOD was considering further force enhancements under ERI as part of the department's ERI budget request. DOD also was reviewing whether new enduring locations to support ERI were needed and was considering other improvements to existing infrastructure.", "DOD's process for planning ERI has not established priorities among posture initiatives funded under ERI relative to those in its base budget, nor estimated long-term sustainment costs for some posture initiatives funded under ERI, nor communicated future costs to Congress. ERI is being planned using a separate process from DOD's established processes and is funded from DOD's overseas contingency operations (OCO) appropriations. GAO found several weaknesses:", "Lack of prioritization : DOD establishes priorities among ERI posture initiatives but has not evaluated them against base budget initiatives using its posture management process. As a result, DOD lacks an understanding of the relative importance of ERI initiatives and may be investing in projects that it will not continue should OCO funding become unavailable.", "Lack of sustainment costs : EUCOM and the military services have not fully estimated the long-term costs to sustain equipment and construction funded under ERI. Based on DOD's approach for calculating rough order sustainment costs, GAO determined that these costs could be substantial. DOD officials said that GAO correctly applied DOD's approach for estimating sustainment costs, but noted that actual costs may be lower, because the military services may not fully fund sustainment. In the absence of comprehensive estimates, DOD has been limited in its ability to assess affordability and plan for future costs.", "Not communicating future costs : DOD limits Congress's visibility into the resources needed to implement ERI and achieve its objectives because it does not include future costs in its ERI budget request.", "This is a public version of a classified report issued in August 2017. Information on specific posture planning, guidance, and budget estimates that DOD deemed to be classified have been omitted from this report."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD prioritize ERI posture initiatives against initiatives in its base budget, develop cost estimates for sustaining initiatives, and communicate future costs to Congress. DOD partially concurred with GAO's recommendations. GAO continues to believe that these recommendations are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["In response to Russia\u2019s annexation of Crimea in March 2014, President Obama announced the European Reassurance Initiative (ERI), an effort intended to reassure allies and partners of U.S. commitment to their security. From fiscal year 2015 through fiscal year 2017, the Department of Defense (DOD) identified $5.2 billion in funding for ERI as part of its overseas contingency operation (OCO) budget requests. Most of this funding would be used to enhance posture\u2014forces, footprint (locations and infrastructure), and host nation agreements\u2014in Europe by funding increases in military presence, improving infrastructure, and prepositioning equipment. In July 2016, U.S. European Command (EUCOM) submitted to DOD a prioritized list of requirements and funding estimates for additional posture initiatives, which DOD was considering for its budget submission at the time of our review.", "DOD has requested and used OCO-designated appropriations for ERI initiatives. Congress provides OCO-designated appropriations to DOD in addition to appropriations for DOD\u2019s base budget, generally to fund ongoing military operations. DOD officials said that DOD has requested OCO funds for ERI out of concerns about funding efforts to respond to Russian aggression without reallocating resources from other priorities in its base budget.", "Since 2007, we have reported on issues associated with funding from the OCO budget, including the level of transparency, accuracy, and reliability of DOD\u2019s OCO budget requests and efforts to transition enduring costs from the OCO budget to the base budget. In January 2017, we reported that DOD had developed an initial estimate of costs being funded by the OCO budget that are likely to endure beyond current operations, such as ERI, but it had not finalized or reported its estimate outside of the department. We recommended that DOD develop a complete and reliable estimate of DOD\u2019s enduring OCO costs\u2014which would include those for ERI\u2014and report those costs in concert with the department\u2019s future budget requests. DOD generally concurred with our recommendations but said that until there is relief from statutory budgetary caps established in legislation, it will continue to need OCO funding. As of May 2017, the department has not implemented our recommendations.", "Given the evolving security environment in Europe and the growth of the funding request for ERI, the Joint Explanatory Statement accompanying the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, included a provision for us to examine matters related to ERI. In this report, we (1) describe changes in ERI\u2019s objectives, funding under ERI, and DOD\u2019s posture in Europe since 2014 and (2) evaluate the extent to which DOD\u2019s planning processes for posture initiatives funded under ERI prioritize those initiatives, estimate their long-term costs, and communicate their projected costs to Congress. This is a public version of a classified report that we issued in August 2017. DOD deemed some of the information in our August 2017 report to be classified; classified information must be protected from loss, compromise, or inadvertent disclosure. Therefore this report omits classified information about specific posture planning, guidance, and budget estimates. Although the information provided in this report is more limited, the report addresses the same objectives as the classified report and uses the same methodology.", "For objective one, we analyzed White House, DOD, and EUCOM documentation. To determine how ERI\u2019s objectives changed from calendar year 2014 through 2017 we reviewed White House and EUCOM fact sheets, DOD budget submissions, and EUCOM documentation. Additionally, we identified changes in DOD\u2019s priorities in Europe by reviewing the National Defense Strategy and guidance issued by the Office of the Secretary of Defense as well as other documentation to determine how ERI\u2019s expanded objectives supported the U.S. strategy toward Russia. We also reviewed DOD and EUCOM posture planning documentation to determine how DOD plans to change European posture in support of ERI\u2019s objectives.", "For objective two, we compared DOD\u2019s planning process to criteria from its posture planning guidance and budget development guidance as well as relevant best practices pertaining to cost estimation, accounting standards, and internal controls. We reviewed DOD\u2019s ERI budget justification materials for fiscal years 2015 through 2017, slides presented to the Deputy\u2019s Management Action Group in December 2015 and October 2016, and other documentation to assess the extent to which DOD prioritized its posture initiatives. We assessed whether DOD estimated and planned for the sustainment of these initiatives by reviewing EUCOM and military service documentation and cost data related to ERI major military construction and prepositioned equipment. We did not assess the military services\u2019 cost estimation methodologies, because our objective was to determine whether future costs had been considered as part of DOD\u2019s planning processes. We calculated the potential sustainment costs for major military construction by using DOD\u2019s rough order-of-magnitude estimation approach for such costs. We assessed whether DOD has communicated its resource requirements to Congress for posture initiatives funded under ERI by reviewing DOD\u2019s budget justification submissions for fiscal years 2015 through 2017. We also summarized the funding under ERI that has been programmed or obligated for minor construction and repair projects by collecting cost data for these projects in fiscal years 2015 through 2017 from U.S. Army Europe and U.S. Air Force Europe.", "In conducting our work, we spoke to officials from the Office of the Secretary of Defense, the Joint Staff, Department of the Army, Department of the Air Force, Department of the Navy, United States Marine Corps, EUCOM and its service component commands, and the State Department.", "We conducted this performance audit from June 2016 through December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Global defense posture is an enabler of U.S. defense activities and military operations overseas and is a central means of defining and communicating U.S. strategic interests to allies, partners, and adversaries. It is driven by a hierarchy of national-level and DOD-specific guidance, which includes the National Defense Strategy and the National Military Strategy. Under DOD Instruction 3000.12, global defense posture includes three elements:", "Forces: forward stationed or rotationally deployed forces, U.S. military capabilities, equipment, and units (assigned or allocated).", "Footprint: networks of U.S. foreign and overseas locations, infrastructure, facilities, land, and prepositioned equipment.", "Agreements: treaties and access, transit, support, and status- protection agreements and arrangements with allies and partners that set the terms regarding the U.S. military\u2019s presence within the territory of the host country.", "EUCOM is one of six geographic combatant commands and is responsible for missions in all of Europe, large portions of Asia, parts of the Middle East, and the Arctic and Atlantic Oceans (see figure 1). EUCOM evaluates the adequacy of posture in Europe to support relevant plans and achieve military objectives. EUCOM shares responsibility with the Chairman of the Joint Chiefs of Staff and the Office of the Secretary of Defense for U.S. military relations with allies and partners in Europe and the North Atlantic Treaty Organization (NATO).", "The number of U.S. military sites located in EUCOM\u2019s area of responsibility and the number of military personnel assigned to Europe have decreased substantially since the end of the Cold War, and two heavy combat brigades had been deactivated by the end of fiscal year 2014. As of May 2016, EUCOM supported one airborne infantry brigade and one Stryker brigade, as well as approximately 62,000 military personnel across approximately 250 sites.", "Since 2009, we have reported on issues related to DOD\u2019s efforts to estimate and report on the total cost of its global defense posture. In 2009, we identified weaknesses in DOD\u2019s approach for adjusting its global defense posture and recommended, among other things, that DOD issue guidance for estimating total costs for global defense posture and modify its annual report to Congress to include the total cost to complete each planned posture initiative. In February 2011, we reported that EUCOM lacked comprehensive cost data in a key posture planning document and that therefore decision makers lacked critical information that they needed to make fully informed posture decisions. We recommended that the Chairman of the Joint Chiefs of Staff revise the Joint Staff\u2019s posture planning guidance to include direction on how the combatant commands should analyze costs and benefits when considering changes to posture and to require that posture plans include comprehensive cost estimates. DOD agreed with the recommendations in both reports and subsequently took steps to implement them.", "In June 2012, we reported that DOD did not fully understand the cost implications of two posture initiatives in Europe\u2014including its decision to return two heavy brigades from Europe to the United States\u2014and that key posture planning documents did not completely and consistently include cost data. We recommended that DOD fully estimate the cost implications of these two initiatives, clarify components\u2019 roles and responsibilities for estimating costs, and develop a standard reporting format for cost data. DOD generally agreed with our recommendations and has taken steps to implement two of them.", "Following the President\u2019s June 2014 announcement of ERI, EUCOM identified five lines of effort that it would pursue under ERI, as described in table 1.", "Three of ERI\u2019s lines of effort are expected to enhance DOD\u2019s posture in Europe. For example, DOD is using ERI to increase the forces present in Europe by rotating an armored brigade combat team and elements of a combat aviation brigade to Europe every nine months. DOD also plans to enhance its footprint in Europe by using ERI funding to make infrastructure improvements and establish locations for prepositioned equipment. Finally, in order to implement ERI\u2019s lines of effort and support U.S. activities, DOD is partnering with the State Department to negotiate host nation agreements that, among other things, establish protections for U.S. military personnel and provide DOD the authority to improve host nation installations and infrastructure. DOD is also supporting additional exercises and training to improve interoperability with partner countries while providing them with the capability and capacity to defend themselves, but these efforts are not expected to affect DOD\u2019s long-term posture in Europe."], "subsections": []}, {"section_title": "DOD Has Expanded ERI\u2019s Objectives and Funding, Contributing to Enhancements in Its Posture in Europe", "paragraphs": ["Since 2014, DOD has expanded ERI\u2019s objectives, increased its funding, and planned enhancements to posture in Europe. In fiscal years 2015 and 2016, ERI\u2019s objective was to provide short-term reassurance to allies, and the initiative had little funding for long-term enhancements to posture. DOD focused its efforts on bolstering the security and capacity of NATO allies and partners by funding training, conducting exercises, and temporarily rotating Army and Air Force units to Eastern Europe. In fiscal year 2017, DOD expanded ERI\u2019s objectives to include deterring Russian aggression in the long term and developing the capacity to field a credible combined force should deterrence fail.", "Recognizing that ERI\u2019s expanded objectives would require DOD to alter its posture in Europe, DOD has requested increased ERI funding. DOD will have requested approximately $4.5 billion in ERI funding for posture enhancements through the end of fiscal year 2017; about $3.2 billion of this was requested for use in fiscal years 2017. During the time of our review, EUCOM had identified a need for additional funding over the next several years for additional posture enhancements in Europe. Specific details about EUCOM\u2019s future posture plans and funding requirements were omitted because they are classified.", "DOD has requested increased funding to support planned enhancements to all three posture elements\u2014forces, footprint, and agreements\u2014in Europe:", "Force deployments to Eastern Europe: In fiscal years 2015 and 2016, the Army deployed armored brigade combat teams to Eastern Europe to provide short-term reassurance to allies and partners, which DOD officials said included Estonia, Latvia, Lithuania, and Poland, among other countries. These short-duration deployments were intermittent and focused on demonstrating U.S. commitment to allies and partners. Additionally, the Air Force deployed air units on 4- month rotations to help protect allies\u2019 and partners\u2019 air space. In the fiscal year 2017 budget justification materials provided to Congress, as ERI\u2019s objectives expanded, DOD requested funding to retain Air Force fighter units in Europe. It also began deploying a rotational armored brigade combat team so that one such brigade would be present in Europe at all times (see figure 2). The first deployment, in January 2017, included approximately 4,000 personnel, 90 Abrams tanks, 90 Bradley Infantry fighting vehicles, and 112 supporting vehicles. Additionally, DOD began procuring and prepositioning equipment for two planned armored brigades in Europe, one of which will include modernized tanks, as an additional deterrent. According to Army officials, these force enhancements in Europe give the Army the ability to quickly deploy a substantial ground force in the event of a conflict. As of April 2017, DOD was still evaluating force enhancements in Europe as part of its fiscal year 2018 budget submission. Specific details were omitted because they are classified.", "New locations and improvements to infrastructure: Since ERI was announced in 2014, DOD has established new enduring locations in Europe. An enduring location is designated by DOD and is a geographic site that DOD expects to access and use to support U.S. security interests for the foreseeable future. During our review, DOD had not yet determined whether additional enduring locations would be needed to support ERI.", "In addition to establishing new enduring locations, DOD plans to improve installations and infrastructure. From fiscal years 2015 through 2017, DOD requested funding in its budget justification submissions to Congress for major military construction projects in nine European countries and to improve support infrastructure\u2014such as roads, railheads, and airbasing\u2014at these locations. Major military construction projects are those projects specified in National Defense Authorization Acts. During the time of our review, DOD was considering addition improvements to existing infrastructure, specific details of which are classified. According to DOD and State Department officials, DOD is also working with U.S. allies and partners to determine what infrastructure improvements to roads, railroads, and bridges need to occur outside enduring locations to allow rapid response to a conflict.", "New host nation agreements: Since ERI was announced, DOD and the State Department have completed host nation agreements with six European nations in support of ERI efforts:", "Romania, Bulgaria, and Poland, implementing previous agreements, in order to facilitate U.S. construction on installations and areas in the host country (June and July 2015 and June 2016).", "Estonia, Latvia, and Lithuania, providing an overarching framework for protections for U.S. personnel and U.S. access to installations in host nations (January 2017)."], "subsections": []}, {"section_title": "DOD Does Not Prioritize Posture Initiatives Funded Under ERI against Those in Its Base Budget, Estimate Their Sustainment Costs, or Communicate Future Costs to Congress", "paragraphs": ["DOD is using a separate process instead of its established posture planning process to plan for ERI\u2019s posture initiatives because of the emergent nature of ERI requirements and their having been funded through the OCO budget. DOD has established global defense posture management and base budget development processes that plan for posture initiatives and collectively support the department\u2019s efforts to establish priorities, evaluate resource requirements, and develop strategy and policy. As a result of its not using its established processes, DOD is not prioritizing posture initiatives funded under ERI against posture initiatives funded through its base budget, estimating these initiatives\u2019 long-term sustainment costs, or communicating their future costs to Congress."], "subsections": [{"section_title": "DOD is Not Using Its Established Processes to Plan for and Fund ERI Posture Initiatives", "paragraphs": ["DOD is planning ERI posture initiatives outside of its established processes and is funding these enduring initiatives\u2014including rotational deployments and infrastructure projects\u2014out of its OCO budget. We have previously identified risks associated with DOD\u2019s practice of completing construction projects outside of its established processes. For example, in September 2016 we reported that DOD had not issued implementing guidance to establish a formal process for reevaluating ongoing contingency construction projects when missions change and that as a result DOD risked completing unnecessary construction projects. We also found that DOD lacked visibility into the amount of funding it was spending on operations and maintenance-funded construction projects in U.S. Central Command and that this increased financial risk and duplication risk for the department.", "Like U.S. Central Command, EUCOM is using DOD\u2019s OCO budget to fund construction projects and is planning those projects outside of its established processes. Based on our analysis, DOD plans to spend approximately $503 million from fiscal year 2015 through the end of fiscal year 2017 on ERI-related construction projects\u2014about $279 million for major military construction projects and $224 million for minor military construction and facilities maintenance and repair projects (hereafter, minor construction and repair), as shown in table 2.", "DOD has established global defense posture management and base budget development processes that plan for posture initiatives and collectively support the department\u2019s efforts to establish priorities, evaluate resource requirements, and develop strategy and policy. According to DOD Instruction 3000.12, DOD\u2019s global defense posture processes apply to DOD forces, footprint, and agreements that support joint and combined global operations and plans in foreign countries. According to the instruction, DOD\u2019s components use these processes to address planning for global defense posture, resource requirements, and policy development, among other things. Further, it states that these processes are overseen by an executive council that provides recommendations, inputs, and expertise on global defense posture to key national strategy products. DOD\u2019s Planning, Programming, Budgeting, and Execution Process serves as the annual resource allocation process for DOD and is intended to enable DOD to align resources to prioritized capabilities; balance necessary warfighting capabilities with risk, affordability, and effectiveness; and provide mechanisms for making and implementing fiscally sound decisions in support of the national security strategy and the national defense strategy.", "DOD is using a separate and evolving process to plan ERI\u2019s posture initiatives\u2014rather than following its established processes\u2014because ERI is being funded through DOD\u2019s OCO budget. According to officials from the Office of the Secretary of Defense, Cost Assessment and Program Evaluation, the department has recognized that the short-term planning process used to develop DOD\u2019s OCO budget can create problems when it is used to plan for enduring initiatives. As a result, DOD has developed a separate process to plan for ERI.", "As part of the fiscal year 2018 planning process, EUCOM provided a prioritized list of potential requirements and an estimate of its annual costs by appropriation account to the Director for Cost Assessment and Program Evaluation. According to officials from the Office of the Secretary of Defense, Cost Assessment and Program Evaluation, DOD completed its review and provided recommendations to DOD\u2019s senior leaders for approval in October 2016 and final decisions were made within DOD in April 2017. The specific criteria by which DOD assessed EUCOM\u2019s potential requirements are classified.", "DOD is requesting funds for ERI\u2019s posture initiatives as part of its OCO budget, which is generally intended to be short-term funding for ongoing contingency operations. In February 2009, the Office of Management and Budget, in collaboration with DOD, issued criteria to assist in determining whether funding properly belonged in DOD\u2019s base budget or in its OCO budget. These criteria were updated in September 2010 and currently indicate that funding requests should be for specific geographic areas where combat or direct combat support operations occur (such as Iraq and Afghanistan). Further, budget items must meet other criteria. For example, OCO funding requests may be for constructing facilities and infrastructure in the theater of operations in direct support of combat operations. In these cases, the level of construction should be the minimum needed to meet operational requirements, and construction completed at enduring locations must be tied to surge operations or major changes in operational requirements.", "In January 2017, we reported that DOD did not apply the OCO criteria to ERI prior to deciding to budget for its requirements using its OCO budget. We recommended that DOD, in consultation with the Office of Management and Budget, reevaluate and revise the criteria for determining what can be included in OCO budget requests. DOD concurred with our recommendation and noted that it plans to propose revised OCO criteria. As of May 2017, the department has not implemented our recommendation."], "subsections": []}, {"section_title": "DOD Does Not Prioritize ERI Initiatives against Those in Its Base Budget, Estimate Long-Term Sustainment Costs, or Communicate Future Costs to Congress", "paragraphs": ["DOD\u2019s planning for ERI\u2019s posture initiatives does not establish priorities for ERI initiatives relative to those in the base budget, estimate long-term sustainment costs for some posture initiatives funded under ERI, or communicate future ERI costs to Congress."], "subsections": [{"section_title": "DOD Does Not Review and Prioritize Posture Initiatives Funded Under ERI Relative to Those in Its Base Budget", "paragraphs": ["When planning ERI\u2019s posture initiatives, DOD establishes priorities among ERI\u2019s initiatives but does not review posture initiatives funded under ERI relative to those funded in the military services\u2019 base budgets. DOD\u2019s posture management process is intended to establish priorities among global posture elements and is overseen by a Global Posture Executive Council. According to DOD Instruction 3000.12, the Executive Council is responsible for reviewing, prioritizing, and endorsing across the combatant commands key posture elements such as military construction projects and international agreements. The Executive Council\u2019s endorsements inform the military services\u2019 budget deliberations.", "For the fiscal year 2017 ERI budget, EUCOM requested funding for several posture initiatives, including the continuous, rotational deployment of an armored brigade combat team and the establishment of prepositioned equipment in Europe. Officials representing the Under Secretary of Defense for Policy and the Director, Cost Assessment and Program Evaluation said that as part of its planning process for ERI the Deputy\u2019s Management Action Group evaluated and prioritized posture initiatives funded under ERI. However, DOD could not provide documentation that it had established priorities relative to posture initiatives funded through the base budget. Further, the Global Posture Executive Council did not review or prioritize posture initiatives funded under ERI relative to posture initiatives funded through DOD\u2019s base budget. Similarly, as DOD prepared the fiscal year 2018 ERI budget request, the Global Posture Executive Council did not prioritize EUCOM\u2019s proposed ERI posture initiatives relative to initiatives funded through DOD\u2019s base budget. More detailed information about these proposals, and their potential funding requirements, are classified.", "According to officials from the Office of the Under Secretary of Defense for Policy and the Joint Staff, DOD did not prioritize posture initiatives funded under ERI against base-budget funded posture initiatives, because ERI is funded through DOD\u2019s OCO budget\u2014which does not directly affect the services\u2019 base budgets. However, because it does not prioritize ERI initiatives against other initiatives funded through the base budget, DOD lacks an understanding of the relative importance of initiatives funded under ERI and may begin investing in projects that it would not support in the absence of funding from DOD\u2019s OCO budget. For example, Army officials noted that if funding were to become unavailable in DOD\u2019s OCO budget, the Army is unsure how initiatives funded under ERI would rank in importance relative to other posture initiatives funded in its base budget. Consequently, the Army would be forced to make critical\u2014and potentially costly\u2014decisions quickly and without a clear idea of which posture initiatives were most important to the department."], "subsections": []}, {"section_title": "DOD Does Not Estimate Long- Term Sustainment Costs for Some Posture Initiatives Funded Under ERI", "paragraphs": ["In planning for posture initiatives funded under ERI, EUCOM and the military services have not fully estimated the long-term sustainment costs of ERI\u2019s posture initiatives to establish prepositioned equipment and construct new facilities. DOD\u2019s global defense posture guidance indicates that, when evaluating potential changes to posture, the combatant commands should work with the military services to estimate the full cost of planned posture initiatives, including sustainment costs. DOD\u2019s guidance on economic analysis also notes the importance of understanding both the size and timing of costs. Finally, our prior work has demonstrated that comprehensive cost estimates of current and future resource requirements are critical to making funding decisions and assessing program affordability.", "DOD leadership emphasized throughout the fiscal year 2018 budget review process that the services would need to fund ERI posture sustainment costs through their respective base budgets, but DOD did not direct the services and EUCOM to estimate these costs as they would have under their established processes. Officials from the Office of the Secretary of Defense, Cost Assessment and Program Evaluation said that DOD leadership emphasized that the military services would need to fund all future sustainment costs for ERI projects from their base budgets.", "Based on DOD\u2019s approach for calculating rough order sustainment costs, we determined that ERI sustainment costs for prepositioned equipment and construction could be substantial. Army and Air Force officials said that they were working to identify and incorporate these costs into future base budget submissions. DOD officials said that we correctly applied DOD\u2019s approach for estimating sustainment costs, but noted that actual costs may be lower than the estimated costs, because the military services may not fully fund sustainment. Additionally, officials said that EUCOM is trying to negotiate burden sharing agreements with host nations; however, it is unclear whether these negotiations will be successful or how any resulting agreements would affect DOD\u2019s future costs.", "Without comprehensive estimates of the sustainment costs for the prepositioned equipment and major military construction projects in Europe, DOD decision makers have been limited in their ability to evaluate the affordability of these initiatives. Further, in the absence of these estimates, the services have been limited in their ability to plan for costs in future budgets, because they have an incomplete understanding of the magnitude of those costs and of when they are likely to be incurred."], "subsections": []}, {"section_title": "DOD Does Not Communicate to Congress the Future Costs of Enduring ERI Activities Funded through OCO", "paragraphs": ["The funding plan that DOD submits to Congress for ERI does not contain information about ERI\u2019s future costs. This is in contrast to the way DOD submits its funding plan for its base budget, where DOD provides Congress with cost projections over a 5-year period, by appropriation, leaving Congress with a better understanding of how and when to allocate resources. In reviewing the fiscal year 2018 ERI request, the Director for Cost Assessment and Program Evaluation assessed future costs associated with posture initiatives funded under ERI. We previously reported that DOD was not developing enduring requirements funded through its OCO budget as part of its budget and programming process. Officials from the Office of the Under Secretary of Defense (Comptroller) and the Office of the Secretary of Defense, Cost Assessment and Program Evaluation told us that DOD has not been required to provide estimates for future OCO costs for ERI to Congress previously. An official from the Office of the Under Secretary of Defense (Comptroller) told us that DOD does not plan to provide these future costs to Congress along with its fiscal year 2018 ERI budget submission.", "Additionally, in preparing its posture requirements, EUCOM did not identify assumptions regarding host nation and NATO burden sharing. For example, officials from the Office of the Under Secretary of Defense for Policy said that DOD has submitted a request to the NATO Security Investment Programm\u00e9 for $200 million in funding to build a facility in Poland to store Army equipment. Officials told us that, as a result, this construction project was identified as a lesser priority in EUCOM\u2019s fiscal year 2018 request for funding. A senior Army officer told us that completion of a facility in Poland was critical to its plans in Europe. Officials from the U.S. Mission to NATO told us that as of July 2016 NATO had approved funding to complete preliminary architectural and engineering design for this project. Officials expect additional funding will be made available in July 2017 to complete final design and site preparation and the full cost of the project will be approved in early 2019. However, these officials noted that additional funding beyond what has been approved by NATO may be required to meet U.S.-specific requirements. Similarly, EUCOM officials said that they are working to identify opportunities to defray future costs through host nation contributions, but it is unclear how much funding\u2014if any\u2014host nations will provide moving forward.", "Congress has expressed interest in knowing the future costs of enduring activities being funded through DOD\u2019s OCO budget. The Senate Appropriations Committee\u2019s report accompanying a bill for DOD\u2019s fiscal year 2015 appropriations stated that the committee does not have an understanding of enduring activities funded by the OCO budget. The committee further noted that there is a potential for risk in continuing to fund non-contingency-related activities through the OCO budget. Both GAO\u2019s and other federal standards emphasize that agencies should provide complete and reliable information on the costs of programs externally, so that decision makers can make informed decisions when allocating resources.", "DOD has not provided Congress projections of future costs for posture initiatives funded under ERI because it is reviewing those requirements outside of its budget and programming processes, and DOD officials said that the department is not required to provide this information. As a result, DOD is limiting congressional visibility into the resources needed to achieve ERI\u2019s objectives. If DOD does not provide Congress with projections of the future costs of posture initiatives funded under ERI and information on its assumptions pertaining to host nation support and burden sharing, it will continue to impede congressional visibility into the resources that are needed to fully implement these initiatives."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Russia\u2019s annexation of Crimea and the subsequent threat of further aggression led DOD to establish and later expand ERI\u2019s objectives and enhance posture in Europe to support a new U.S. strategy toward Russia. DOD has requested funding for these enhancements using its OCO budget; however, the processes DOD uses to develop its OCO budget were not designed to plan for and fund long-term, enduring initiatives such as ERI. By following a separate planning process when funding ERI with OCO, DOD is taking on risk by not reviewing and prioritizing ERI posture plans against other posture initiatives, estimating the costs for sustaining ERI initiatives, and providing Congress with estimates of ERI\u2019s future costs. DOD risks making decisions that lack a strategic vision in comparison to other DOD priorities and may fund initiatives that cannot be sustained over the long term. Furthermore, Congress is likely to face challenges in assessing DOD\u2019s estimated costs for ERI and the affordability of initiatives funded under ERI over the long term."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To better ensure that DOD can target resources to its most critical initiatives and establish priorities across its base budget and overseas contingency operations budget, we recommend that the Secretary of Defense prioritize posture initiatives under ERI relative to those funded in its base budget as part of its established posture-planning processes. (Recommendation 1)", "To better enable decision makers to evaluate the full long-term costs of posture initiatives under ERI, we recommend that the Secretary of Defense direct EUCOM and the military services to develop estimates for the sustainment costs of prepositioned equipment and other infrastructure projects under ERI and ensure that the services plan for these long-term costs in future budgets. (Recommendation 2)", "To support congressional decision making, we recommend that the Secretary of Defense provide to Congress, along with the department\u2019s annual budget submission, estimates of the future costs for posture initiatives funded under ERI and other enduring costs that include assumptions such as those pertaining to the level of host nation support and burden sharing. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the classified report to DOD for review and comment. DOD partially concurred with all three of our recommendations, and we have reproduced DOD\u2019s comments on the classified report in appendix II. DOD also provided technical comments, which we incorporated as appropriate.", "DOD partially concurred with our first recommendation to use its established posture-planning processes to prioritize ERI\u2019s posture initiatives relative to those funded in DOD\u2019s base budget. In its comments, DOD stated that it will continue to prioritize the negotiation of international agreements supporting ERI through the Global Posture Executive Council, and that an on-going Strategic Review will inform ERI and guide both EUCOM and the services in their program planning efforts. These are positive steps. DOD also stated it will adjudicate its ERI-funded force requirements through its global force management process, adding that it will continue to resource OCO funds for ERI requirements until there is a sufficient increase in DOD\u2019s base budget to do so. However, we continue to believe, as noted in our report, that DOD could improve its planning for posture initiatives funded under ERI, whether or not they are funded through OCO, by using DOD\u2019s established posture planning processes. Although DOD\u2019s global force management process directly affects overseas military posture in the near term, this process is not designed to evaluate long-term posture priorities. If DOD does not prioritize the forces and infrastructure projects funded under ERI against those funded using the military services\u2019 base budgets, it will continue to lack an understanding of the relative importance of the posture initiatives funded under ERI. Without such an understanding, DOD increases the risk that the services will need to make critical and potentially costly decisions without a clear idea of which posture initiatives are most critical to the department.", "DOD partially concurred with our second recommendation that EUCOM and the military services develop estimates for future sustainment costs and plan for these costs in future budgets. In its comments, DOD stated that its components will continue to estimate the sustainment costs for prepositioned stocks and other infrastructure projects during DOD\u2019s annual program and budget review process. DOD also commented that without additional topline base budget funding, some portion of the associated sustainment costs will need to be financed with OCO funds. However, as we noted in our report, neither the Army nor the Air Force has fully estimated these potentially significant future costs, nor had either service incorporated them into their future budgets. Using OCO funds would mark a departure from DOD leadership\u2019s emphasis that the services would need to fund ERI posture sustainment costs through their respective base budgets. Additionally, not developing robust estimates for sustaining these initiatives could increase long-term fiscal risk for the department if DOD shifts more ERI-associated enduring costs into its OCO budget. In the absence of robust cost estimates and deliberate planning to address those costs in future budgets, DOD will continue to be limited in its ability to evaluate the affordability of posture initiatives funded under ERI, and the military services may not plan adequate funding to sustain posture investments in Europe.", "DOD partially concurred with our third recommendation, to provide Congress with estimates of the future costs for posture initiatives funded under ERI and information on any underlying assumptions, such as those pertaining to the level of host nation support and burden sharing. In its comments, DOD stated that it does not currently prepare a formal 5-year Future Years Defense Program for OCO-related costs. Moreover, DOD commented that it factors in host nation support and burden sharing when preparing budget estimates for Congress. However, DOD does not state whether it will begin to provide Congress future estimates and any underlying assumptions with its budget submission. It is critical that DOD increase congressional visibility into ERI\u2019s future costs and its underlying assumptions to facilitate congressional oversight and reasonably ensure that initiatives can be sustained over the long-term.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Commander, U.S. European Command. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1816 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Unspecified Minor Military Construction and Facilities Maintenance and Repair Projects Funded under the European Reassurance Initiative in Fiscal Years 2015 through 2017", "paragraphs": ["The Army and Air Force identified approximately $224 million in unspecified minor military construction and facilities maintenance and repair projects (hereafter, minor construction and repair) that were programmed or obligated for the European Reassurance Initiative (ERI) in fiscal years 2015 through 2017. This includes $157 million for minor construction and repair projects identified by the Army and nearly $67 million for minor construction and repair projects identified by the Air Force. According to U.S. European Command officials, Navy and Marine Corps construction projects funded under ERI were either major military construction or exercise-related construction projects. The tables below do not include Navy and Marine Corps exercise-related construction projects. Using the data provided by the military services, we compiled the programmed and obligated funding for these minor construction and repair projects by fiscal year, country, location, and project name in tables 3 and 4. The information in these tables was provided by U.S. Army Europe and U.S. Air Force Europe in response to our request for a list of minor military construction and repair projects. The data provided did not identify the appropriations used for each project. Accordingly, we have not conducted a review to examine whether funds were appropriately used for a given project."], "subsections": []}, {"section_title": "Appendix II: DOD Comments", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kevin O\u2019Neill, Assistant Director; Alex Winograd, Analyst-in-Charge; Scott Bruckner, Adrianne Cline, Martin De Alteriis, Joanne Landesman, Jennifer Leotta, Carol Petersen, Michael Shaughnessy, and Jena Sinkfield all made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-446", "url": "https://www.gao.gov/products/GAO-18-446", "title": "Reverse Auctions: Additional Guidance Could Help Increase Benefits and Reduce Fees", "published_date": "2018-07-18T00:00:00", "released_date": "2018-07-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Reverse auctions are intended to result in enhanced competition, lower prices, and reduced acquisition costs. GAO has previously found that agencies did not maximize these benefits.", "GAO was asked to review federal agencies' use of reverse auctions. This report examines (1) the use of reverse auctions and the extent to which selected agencies achieved benefits, such as competition; and (2) the extent to which selected agencies had insight into reverse auction fees.", "GAO collected and analyzed data on federal agencies' use of reverse auctions from fiscal years 2013 to 2017. For five of the largest users of reverse auctions\u2014the Departments of the Army, Homeland Security, Interior, Navy, and State\u2014GAO reviewed documentation for 40 auctions that resulted in contract awards in fiscal year 2016 (the most recent data available when the review began), and that were selected to obtain a mix of dollar values and levels of competition, among other factors. GAO also interviewed contracting officials and analyzed agency guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal agencies' use of reverse auctions\u2014a process where vendors bid against each other with lower prices to win government contracts\u2014declined between fiscal years 2013 and 2017, from about 34,000 to 19,000 auctions valued at about $1.9 billion and $1.5 billion, respectively. In fiscal year 2016, the year GAO studied in detail, nearly three-quarters of auctions at the agencies GAO reviewed resulted in iterative bidding\u2014when there are multiple bidders and at least one bidder submits more than one bid during the auction (see figure).", "Contracting officers said reverse auctions reduce administrative burden, especially during peak contracting times. Reverse auctions data indicate that selected agencies may have saved more than $100 million in 2016.", "The five agencies GAO reviewed indirectly paid about $13 million in fees to reverse auction providers through awardees in 2016. However, 28 of the 30 contracting officials GAO interviewed did not fully understand how fees were set. Further, in 2016, agencies GAO reviewed indirectly paid approximately $3 million in fees for reverse auctions for which a fee-free alternative was likely available. None of the guidance GAO reviewed provided sufficient information for contracting officers to assess the appropriateness of these fees (see table). Without better information, contracting officials may be offsetting potential savings by paying more in fees than necessary for the level of services required."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making a total of 21 recommendations to the five agencies in GAO's review, including that agencies inform contracting officials about fees to better compare available provider options. Defense, State, and Interior concurred with this recommendation. DHS did not, stating that contracting officials should obtain this knowledge during market research. GAO believes managing this information centrally could eliminate confusion and minimize duplicate efforts."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies bought at least $1.5 billion of goods and services in fiscal year 2017 using reverse auctions\u2014a process where vendors are encouraged to revise their prices downward during the bidding process until the auction closes. Reverse auctions are intended to leverage enhanced competition, enable agencies to obtain lower prices, and reduce acquisition costs. We have previously found that agencies had not maximized these intended benefits. Specifically, in December 2013, we found that over one-third of fiscal year 2012 reverse auctions we reviewed had no iterative bidding\u2014a hallmark of reverse auctions when there are multiple bidders and at least one bidder submits more than one bid during the auction. In addition, almost half of the reverse auctions were used to obtain items from existing contract vehicles that in some cases resulted in agencies paying two fees\u2014one to the agency that manages the contract vehicle and one to the reverse auction provider for use of its services.", "You asked us to review federal agencies\u2019 use of reverse auctions. This report examines (1) federal agencies\u2019 use of reverse auctions between 2013 and 2017, (2) the extent to which selected agencies achieved benefits through reverse auctions, and (3) the extent to which selected agencies had insight into reverse auction fees.", "To answer our objectives, we collected data on federal agencies\u2019 use of reverse auctions from eight providers that operate reverse auction platforms. We identified these providers by reviewing our past work in this area, reviewing federal procurement solicitation and award information, conducting interviews with agency officials, and conducting internet searches about federal use of reverse auctions. We also used these data to identify and select six of the largest users of reverse auctions, by number of auctions and dollar value, to include in our review\u2014the Departments of the Army, Homeland Security (DHS), the Interior, the Navy, State, and Veterans Affairs (VA).", "To examine federal agencies\u2019 use of reverse auctions between 2013 and 2017, we collected data on reverse auction use from the eight reverse auction providers, which include both government agencies and private companies, to identify the number and dollar value of awarded reverse auctions. We present the dollar value from fiscal years 2013 through 2017 in constant fiscal year 2017 dollars using the Congressional Budget Office\u2019s June 2017 Gross Domestic Product price index projection\u2014the most recent projection available at the time of our analysis. For this analysis, we excluded data from two of the eight providers we identified, Procurex and the Army Computer Hardware Enterprise Software and Solutions (CHESS) Information Technology (IT) e-mart reverse auction platform. In 2017, according to data we obtained from Procurex, the Defense Logistics Agency\u2019s (DLA) total auction activity was worth roughly $1 billion, and according to data from Army CHESS, the total auction activity through its platform was worth about $91 million. However, we cannot determine what portion of these auctions resulted in contract awards. These providers do not track which reverse auctions actually result in contract awards, and the agencies using these providers\u2019 platforms (primarily DLA and Army) do not require this information for their own reporting and oversight purposes. Since we did not include auctions that did not result in contract awards in our analysis, for purposes of this report, all references to reverse auction use exclude auctions conducted with these providers. For those providers that do track which reverse auctions result in contract awards, about half of auctions conducted in 2016 did not result in contract awards. We have included information on auctions conducted by DLA and using Army CHESS IT e-mart in appendix I. Of the six providers with awarded auction data, FedBid accounted for almost all auctions and the vast majority of dollars agencies awarded using reverse auctions from 2013 through 2017.", "In addition to data from 2013 through 2017, for five of the six selected agencies, we collected and analyzed more detailed data, such as information on the types of goods and services purchased and the type of contracting vehicle used, on auctions conducted and awarded in fiscal year 2016\u2014the most recent year of detailed data available at the time we began our review. Our analysis of fiscal year 2016 auctions included almost 15,000 auctions with a total awarded value of approximately $910 million. We did not include VA in our detailed analysis of 2016 auctions because the agency conducted few auctions in that year. We assessed the reliability of the reverse auction provider data by comparing it with information contained in selected contract files and by reviewing it for issues such as missing data elements, duplicates, and outliers, among other steps, and determined they were sufficiently reliable for the purposes of reporting on federal agencies\u2019 use of reverse auctions.", "To identify the extent to which selected agencies achieved the benefits of reverse auctions, we analyzed the 2016 data we collected to identify factors related to competition and savings. To obtain a more in-depth understanding of the benefits achieved by selected agencies, we selected and reviewed a nongeneralizable selection of 40 auctions awarded from 2016 reverse auctions across the five agencies. The 40 auctions included 12 Army auctions, 7 DHS auctions, 5 Interior auctions, 10 Navy auctions, and 6 State auctions, and roughly reflect each agency\u2019s relative use of reverse auctions. These contracts were chosen to obtain variety across a number of characteristics, such as dollar value, goods and services being purchased, and reverse auction platforms used. The 40 auctions selected generally reflect the extent to which auctions were conducted using various reverse auction platforms, with FedBid, as the largest provider, accounting for the majority of auctions. Therefore, of the 40 auctions, 33 were FedBid auctions, 4 were General Service Administration (GSA) Reverse Auctions, 2 were Army CHESS IT e-mart auctions, and 1 was conducted using Compusearch. For each of the selected case studies, we reviewed contract documentation related to the reverse auction, such as documentation of market research, pre-auction cost estimates (e.g. independent government cost estimates), price negotiation memoranda, and contract award documents. In addition, to obtain contracting officials\u2019 perspectives on the benefits of reverse auctions, we interviewed the contracting officials involved with 35 of these 40 auctions. The remaining five knowledgeable officials were no longer with the agencies or were not available for interviews. We did not compare reverse auctions to alternative acquisition methods to compare the relative costs and benefits.", "To identify the extent to which selected agencies had insight into reverse auction fees, we analyzed data on indirect fees paid to reverse auction providers in 2016 for the five agencies selected for our review. We also analyzed contract documentation from the 40 selected auctions to identify the extent to which fee information was available to the contracting officials, and interviewed contracting officials to develop an understanding of their knowledge of the fees related to the auctions. The 40 selected auctions included 33 that incurred an indirect fee, 2 for which the provider waived the fee, and 5 for which no fee applied. We interviewed the contracting officials involved with 30 of the auctions that incurred a fee and 5 of the auctions for which the fee was waived or no fee applied. To develop an understanding of the fee arrangements and the selected agencies\u2019 oversight of reverse auctions and their fees, we reviewed contracts between the selected agencies and reverse auction providers as well as other arrangements, including provider terms of service.", "We also used a variety of investigative tools and techniques to determine if government officials or commercial and government providers have engaged in potential fraud, waste, abuse, and mismanagement associated with reverse auction use. While the steps we took did not uncover any fraud, waste, abuse, or systemic mismanagement, we cannot definitively state that there is no fraud, waste, abuse, or mismanagement in federal use of reverse auctions.", "To assist in answering all of the objectives, we reviewed policies and guidance related to reverse auctions from the Office of Federal Procurement Policy (OFPP) and at the selected agencies and relevant components of those agencies, and we reviewed GAO\u2019s Standards for Internal Control in the Federal Government. We compared agencies\u2019 practices to these standards. We also interviewed procurement policy officials from the selected agencies and representatives from reverse auction providers. For more information on our scope and methodology, see appendix III.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work from April 2017 to March 2018 in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "How Reverse Auctions Work", "paragraphs": ["In a traditional auction, the intent is for multiple buyers to bid against one another by submitting bids to purchase a good or service that is for sale. Generally speaking, the bidder offering the highest price receives the item for sale and the seller benefits from receiving more money due to competition. In contrast, reverse auctions are intended to encourage multiple vendors to compete against one another to win a contract from the government by lowering the price for which the vendor is willing to sell a particular good or service. The buyer\u2014typically a contracting official\u2014then evaluates the technical proposals and bids, and selects a winning vendor\u2014generally the bidder who submitted the lowest price bid with an acceptable proposal\u2014to meet the government\u2019s need. Figure 1 compares these two types of auctions.", "Reverse auctions can be opened to any vendor on the open market or can be limited to vendors that hold contracts on existing contract vehicles, such as indefinite-delivery vehicles under which the government has already determined that a specific group of vendors is qualified to sell specific goods or services. Existing vehicles provide a simplified way to procure commercial products and services. Agencies can use reverse auctions as a tool to further promote competition and lower prices, among other potential benefits. Agencies can use reverse auctions to order from various existing contract vehicles, including:", "The Army\u2019s CHESS program. CHESS is the Army\u2019s primary source for commercial information technology hardware, software, and services.", "DHS\u2019s First Source II. First Source II is a 100 percent small business contract vehicle, specifically designed as a preferred source to acquire commercially available information technology commodities, solutions, and value-added vendor services to support DHS programs.", "GSA\u2019s Federal Supply Schedules program. The Federal Supply Schedules provide federal agencies a simplified method of purchasing commercial products and services off of multiple schedules, from numerous vendors, at prices associated with volume discount buying.", "National Aeronautics and Space Administration\u2019s Solutions for Enterprise-Wide Procurement (SEWP). SEWP allows federal agencies government-wide to purchase from over 140 vendors and offers a wide range of commercial advanced technology products and product-based services.", "Reverse auction providers can be private companies or offices within federal agencies, and the providers may provide reverse auction services across the government or to specific agencies. Since we last reported on this issue in December 2013, two federal agencies developed platforms to facilitate reverse auctions through existing contract vehicles, by adapting existing electronic platforms. In July 2013, GSA\u2019s Federal Acquisition Service launched its platform, GSA Reverse Auctions, which was built off its e-Buy tool and initially offered reverse auctions for a limited number of GSA and VA Federal Supply Schedule contracts, expanding to additional schedule contracts and agency-specific multiple award contracts over the following 2 years. In November 2015, GSA Reverse Auctions expanded further to offer open market auctions. In January 2016, Army\u2019s CHESS program launched a capability using its IT e-mart to run reverse auctions on certain CHESS contracts. Similarly to when the private sector builds a platform, new government capabilities have costs associated with development and ongoing maintenance. According to GSA officials, development of the reverse auction capability cost approximately $2 million, and operations and maintenance costs are expected to total about $650,000 over the next 3 fiscal years. According to CHESS officials, its capability was developed at no additional financial cost under the fixed-price contract for the IT e-mart, although there were opportunity costs because other lower priority actions were delayed. Table 1 includes information about the reverse auction providers we identified in our review.", "Reverse auction providers offer differing levels of service, ranging from simply providing a web-based reverse auction platform to a full-service model. Full-service providers may offer services such as creating draft auctions, soliciting vendors to participate, helping create a marketplace of vendors, and encouraging vendor participation for low-bid-count auctions. Agency buyers can select which additional services, if any, to use. FedBid is an example of a full-service provider, whereas Army CHESS provides a self-service web-based reverse auction platform, the IT e-mart.", "While the government pays some reverse auction providers directly, other reverse auction providers, including FedBid and GSA, collect reverse auction fees through an indirect payment process. Generally, in the indirect payment process, the reverse auction provider adds a fee onto the winning vendor\u2019s bid. Then, the agency pays the winning vendor this total amount. In turn, the reverse auction provider collects the fee from the winning vendor (see figure 2)."], "subsections": []}, {"section_title": "Prior GAO Work", "paragraphs": ["In December 2013, we reviewed the use of reverse auctions at four agencies\u2014Army, DHS, Interior, and VA\u2014and found that these agencies steadily increased their use of reverse auctions (in number and dollar value) from fiscal years 2008 to 2012. For auctions in 2012 across the four agencies, we found:", "Agencies awarded about 95 percent of reverse auctions for $150,000 or less.", "Information technology goods and services were among the top categories purchased.", "Products made up about 90 percent of total dollar value of awarded reverse auctions.", "47 percent of reverse auctions were for orders from existing contracts.", "80 percent of reverse auction dollars and about 86 percent of reverse auctions were awarded to small businesses.", "In addition, we found that the four agencies in our review did not maximize the potential benefits of reverse auctions\u2014competition and savings. We found that over one-third of reverse auctions in 2012 had no iterative bidding and that it was unclear whether savings calculated for reverse auctions were accurate because cost estimates developed before the auction may have been set too low or too high. In addition, we found that almost half of the reverse auctions were used to obtain items from existing contracts.", "We further noted that there was a lack of comprehensive government-wide guidance and that the Federal Acquisition Regulation (FAR) did not specifically address reverse auctions, resulting in confusion about their use. We recommended the Director of the Office of Management and Budget (OMB) take steps to amend the FAR to address agencies\u2019 use of reverse auctions and issue government-wide guidance to maximize competition and savings when using reverse auctions. OMB\u2019s OFPP subsequently issued guidance in June 2015 on reverse auctions, and the proposed FAR changes are currently being reviewed prior to being published for public comment."], "subsections": []}, {"section_title": "Government-wide Regulations and Guidance", "paragraphs": ["Prior to 1997, the FAR prohibited agencies from using auctioning techniques. In 1997, the FAR was revised to eliminate these prohibitions as part of an overall effort to make the source selection process more innovative, simplify the acquisition process, and facilitate a best value acquisition approach.", "In June 2015, OFPP issued guidance to federal agencies on the effective use of reverse auctions. This memorandum reviewed the benefits of reverse auctions, offered a set of reminders to help contracting offices maximize the value of this tool, and asked agencies to work with OFPP in identifying and collecting data that can be used to evaluate and improve results. Specifically, the memorandum noted that some of the benefits of reverse auctions are price reductions, enhanced competition, and significant small business participation. In addition, the memorandum noted that reverse auctions are not a \u201cone size fits all\u201d solution and are likely to be most effective in the following circumstances: are steady and relatively simple and might otherwise be acquired using either a sealed bid or achieving best value through \u201clow price technically acceptable\u201d source selection criteria; and result in fixed price agreements.", "Typically, these circumstances exist in acquisitions for commercial items and simple services that often fall under the simplified acquisition threshold.", "The memorandum reminds agencies that, as with any procurement, market research must be conducted to understand the marketplace and to determine if it is reasonable to assume that the potential benefits of a reverse auction can be achieved. It also notes that agencies should regularly evaluate their experiences with reverse auctions and the effectiveness of existing practices and policies as part of procurement management reviews so that refinements can be made as necessary. The issues addressed in the OFPP memorandum have not yet been incorporated into the FAR. While the FAR does not specifically address reverse auctions, several provisions facilitate agencies\u2019 use of them, such as allowing the use of innovative strategies and electronic commerce."], "subsections": []}]}, {"section_title": "Federal Agencies\u2019 Use of Reverse Auctions Decreased between Fiscal Years 2013 and 2017", "paragraphs": ["We found the value of awarded reverse auctions decreased approximately 22 percent across the government between 2013 and 2017, from about $1.9 billion to about $1.5 billion. Although the number of auctions consistently decreased each year from 2013 to 2017, the dollar value of auctions increased after 2015, indicating that some individual reverse auctions have been for larger dollar values in the past couple of years (see figure 3).", "During this same period, the overall trend in federal contract obligations initially decreased from 2013 through 2015 and then increased overall through 2017\u2014from about $490 billion in 2013 to $508 billion in 2017. Hence, since 2013, contracts awarded through reverse auctions have consistently represented less than 0.5 percent of federal contract spending. In addition, almost all auctions and the vast majority of the dollars agencies awarded between 2013 and 2017 resulted from the use of the FedBid reverse auction platform.", "We also found that the dollar value of awarded reverse auctions varied from 2013 to 2017 across the six agencies we reviewed, with total reverse auction value greater in 2017 than in 2013 for half of the agencies (DHS, Navy, and State) (see figure 4).", "Our analysis indicates that agencies\u2019 and components\u2019 policies may influence the use of reverse auctions. Specifically, two agencies that experienced substantial reductions in their use of reverse auctions changed their policies so that contracting officers would no longer be required to use reverse auctions. For example, Interior\u2019s August 2015 policy rescinded a previous requirement to first consider using reverse auctions for commercial items using simplified procedures above the micro-purchase threshold and below the simplified acquisition threshold. The revised policy encouraged contracting officials to use procurement tools as appropriate, allowing for the use of reverse auctions at contracting officials\u2019 discretion. VA\u2019s Veterans Healthcare Administration\u2014formerly one of the largest users of reverse auctions\u2014 revised its procurement manual in February 2014 to suspend the use of any reverse auction platform to conduct new reverse auctions. The Veterans Healthcare Administration amended its procurement manual again in October 2015 to lift the suspension of GSA Reverse Auctions, but kept in effect the suspension of all other reverse auctions platforms. VA and Veterans Healthcare Administration officials stated that they revised their policies following investigations about the use of reverse auctions at the Veterans Healthcare Administration by the VA Office of Inspector General.", "Other agencies and components we reviewed have policies that encourage the use of reverse auctions. For example:", "State\u2019s May 2015 policy memorandum established a requirement that contracting officials first consider using reverse auctions conducted through FedBid for all noncomplex commodities.", "DHS\u2019s Customs and Border Protection\u2019s August 2014 standard operating procedure required that reverse auctions conducted through FedBid be given priority consideration when acquiring non-complex commodities.", "A Naval Supply Systems Command\u2019s November 2014 policy letter required use of reverse auctions for commercial off-the-shelf supply items valued from $25,000 to the simplified acquisition threshold.", "The Army\u2019s Mission Installation Contracting Command Desk Book has generally required use of reverse auctions for all acquisitions above the micro-purchase threshold for commercial supplies in certain categories.", "Overall, of the almost 15,000 reverse auctions conducted and awarded in 2016 by the five agencies for which we reviewed detailed data, we found that about 94 percent were for contracts valued below $150,000. However, we found that nearly two-thirds of the dollar value of awarded reverse auctions was for purchases above $150,000 (see figure 5).", "Further, we found that reverse auctions valued at more than $1 million in 2016 accounted for less than 1 percent of the number of auctions and 32 percent of the dollar value. Most (about 80 percent) of these higher- dollar-value auctions were for information technology-related products and services, while the remainder included hand tools, cabling equipment, radios, uniforms, air rifles, and vehicle trailers.", "Our analysis also found that the selected agencies generally used reverse auctions with fixed-price contracts, commercial items, products, and to promote small business participation\u2014a few of the effective uses outlined in the June 2015 OFPP memorandum. For example, in terms of award value, 87 percent was for products and 13 percent for services. In addition, 60 percent of auction award value was for information technology-related purchases. Further, 83 percent of auction value was for awards made to small businesses."], "subsections": []}, {"section_title": "Agencies Obtained Benefits of Enhanced Competition and Reduced Administrative Burden, but Savings Estimates Should be Viewed with Caution", "paragraphs": ["The agencies we reviewed obtained iterative bidding, indicating enhanced competition between multiple vendors, in nearly three-quarters of reverse auctions, and contracting officials cited reduced administrative burden as another key benefit, but determining the actual amount of savings is challenging due to data issues. Overall, in fiscal year 2016, the agencies we reviewed achieved iterative bidding for 75 percent of reverse auctions. However, in 20 percent of auctions only one bidder participated. Auctions representing nearly half of the value of State\u2019s reverse auction awards had only one bidder, driven by large dollar value procurements, in part due to State\u2019s requirement to use reverse auctions for all non-complex commodities without regard to expectations for competition. Contracting officials we spoke to cited reduced administrative burden, particularly at the end of the fiscal year, as a key factor in the decision to use reverse auctions. Based on data from reverse auction providers, reverse auctions that took place in 2016 resulted in contract awards that were an estimated $100 million below the government\u2019s pre-auction estimate, though the extent to which this figure represents actual savings is difficult to determine."], "subsections": [{"section_title": "Three-Quarters of 2016 Auctions Resulted in Enhanced Competition through Iterative Bidding, But Competition Results Varied by Agency and Other Factors", "paragraphs": [], "subsections": [{"section_title": "Reverse Auctions Generally Resulted in Iterative Bidding", "paragraphs": ["We found the agencies we reviewed achieved iterative bidding on 75 percent of auctions in fiscal year 2016, accounting for 68 percent of dollars spent. However, in 20 percent of the auctions, only one bidder participated (see figure 6). OFPP\u2019s June 2015 guidance states that reverse auctions are likely to be most effective in highly competitive marketplaces.", "We found that auctions with iterative bidding resulted in award prices that were, on average, about 12 percent lower than pre-auction cost estimates, which generally reflect the government\u2019s independent cost estimate. In contrast, this difference was about 6 percent among those auctions without iterative bidding. Of the 40 auctions we selected for in-depth review, we reviewed 29 auctions with iterative bidding. Review of the bid history for some of these auctions demonstrated the potential benefits of iterative bidding. For example:", "State awarded an approximately $4.3 million contract for night vision goggles following an open market reverse auction that got 110 bids from 16 vendors. The winning vendor bid 17 times and lowered its price by roughly 30 percent over the course of the auction, not including the reverse auction provider\u2019s indirect fee.", "DHS\u2019s Customs and Border Protection awarded an approximately $268,000 contract, including an option period, for tires following an open market reverse auction that got 35 bids from 13 vendors. The winning vendor bid three times and lowered its bid by roughly 25 percent over the course of the auction, not including the reverse auction provider\u2019s indirect fee.", "Army National Guard Bureau awarded an approximately $14,000 contract for ice climbing equipment following an open market reverse auction that got 20 bids from 7 vendors. The winning vendor bid six times and lowered its price by roughly 10 percent over the course of the auction, not including the reverse auction provider\u2019s indirect fee."], "subsections": []}, {"section_title": "About One-Fifth of Reverse Auctions Had Only One Bidder", "paragraphs": ["Although three-quarters of 2016 auctions achieved iterative bidding for the agencies we reviewed, we found that in 20 percent of the awarded reverse auctions only one bidder participated, representing 27 percent of the dollars awarded. This percentage is higher than the percent of obligations on all 2016 competitive procurements for which there was only one offer received across the government (14 percent). However, this varied by agency. Four of the five agencies we reviewed had higher proportions of only one bidder participating on reverse auctions, by dollar value, than for their competitive procurements in general, particularly at State. The other agency, Interior, had a lower proportion of only one bidder participating in reverse auctions. Table 2 describes differences in competition for selected agencies in 2016.", "Our analysis indicates that requiring the use of reverse auctions through agency or component-level guidance may contribute to agencies obligating more money through reverse auctions that attract only one bidder. Specifically, State\u2019s percentage of dollar value for auctions with one-bidder\u2014almost 40 percent\u2014was substantially higher than other agencies in our review and more than twice State\u2019s percentage of dollars obligated on competitive procurements in general when only one offer was received. This was driven by the results of reverse auctions for larger dollar value contracts. In 2016, State awarded more auctions valued over $1 million than any of the other agencies we reviewed. Of 36 State auctions valued at more than $1 million, 13 had only one bidder\u2014 accounting for 27 percent of the total dollar value of State\u2019s reverse auctions in 2016. State\u2019s May 2015 guidance requires contracting officials to first consider using FedBid\u2019s reverse auction platform for the acquisition of non-complex commodities, but does not mention competition or its benefits. While the policy allows contracting officers to seek waivers in certain circumstances, none of the potential exceptions listed in the policy include the expectation of a lack of robust competition. Some State contracting officials we spoke to said that the requirement encourages the use of reverse auctions even if there is not a reasonable expectation of competition.", "We reviewed four State auctions valued at more than $1 million where there was only one bidder. Contracting officials responsible for three of the four auctions cited the guidance as a reason they used a reverse auction. For example, State awarded a $12 million contract for brand name computer and storage infrastructure equipment following a 2-day reverse auction at the end of the fiscal year open to National Aeronautics and Space Administration SEWP vendors. The contracting official responsible for this auction told us that market research indicated that two SEWP vendors could meet their needs, but only one vendor had responded to inquiries during market research. However, she said that she used a reverse auction because State policy required it for contracts of this type.", "In the fourth instance, State officials acknowledged that other factors, including poor acquisition planning that resulted in tight timeframes, led them to use a reverse auction as a \u201ccrisis management tool\u201d. State awarded a $19 million contract, including option periods, for construction support services in Afghanistan following a 17-hour reverse auction among Federal Supply Schedule vendors, although only one vendor had responded to market research inquiries. Officials said that they had sought to combine this contract with another set of services for which the same vendor was the only identified source likely to respond, but coordinating with the customers took too long, and they ultimately ran out of time before the predecessor contract was set to expire and services would stop. Under tight timeframes that risked the program losing critical services, contracting officials said they used a reverse auction because it allowed them to make a contract award quickly while still opening the requirement to multiple vendors, even though there was little chance of multiple vendors bidding.", "OFPP\u2019s June 2015 reverse auctions guidance states that market research\u2014the process used to collect and analyze data about the capabilities in the market to satisfy agency needs\u2014must be conducted to understand the marketplace and to determine if it is reasonable to assume that the potential benefits of reverse actions can be achieved. State\u2019s requirement to first consider using FedBid\u2019s reverse auction platform for all non-complex supplies, even with exceptions, may contribute to State using and paying for reverse auctions when a different approach could garner more competition and potentially a better price."], "subsections": []}, {"section_title": "Competition Rates Were Lower When Agencies Used Existing Contract Vehicles", "paragraphs": ["For the almost 15,000 auctions the five selected agencies conducted in 2016, nearly $590 million\u2014about 65 percent\u2014of total awarded reverse auction value was for orders on existing contract vehicles. We found that, in comparison to open market auctions, reverse auctions using existing contract vehicles had 1) higher rates of only one bidder participating, and 2) were less likely to have iterative bidding (see table 3).", "The 40 auctions we reviewed in-depth included 24 auctions that used existing contract vehicles, including 5 in which only one bidder participated\u20144 awarded by State and 1 by DHS\u2019s Customs and Border Protection. However, our review of these examples did not identify clear reasons why auctions on existing contract vehicles have lower competition rates overall than open market auctions. Agency procurement officials told us that they are aware of variations in the competition obtained for particular existing vehicles more generally than when reverse auctions are used, and suggested that it would be useful to examine the competition dynamics for reverse auctions vehicle by vehicle.", "None of the agency guidance we reviewed comprehensively addressed how to use reverse auctions effectively when ordering from existing contract vehicles. Further, none of the five agencies we reviewed have collected data on or assessed why the number of reverse auctions with only one bidder on existing contract vehicles was significantly higher than reverse auctions using open markets. OFPP\u2019s June 2015 reverse auctions guidance states that agencies should be evaluating their experiences with reverse auctions and the effectiveness of existing practices and policies so that refinements can be made as necessary. Standards for internal control require management to periodically review policies and procedures for continued relevance and effectiveness in achieving the entity\u2019s objectives. Without understanding what factors indicate that conducting reverse auctions using existing contract vehicles is appropriate and providing this information to contracting officials so that they can consider it when developing their acquisition strategies, agencies may be using and paying for reverse auctions when another approach might yield better competition and pricing."], "subsections": []}]}, {"section_title": "Decreased Workload and Ease of Use Are Key Reasons Officials Use Reverse Auctions", "paragraphs": ["Similar to what we found in December 2013, of the 35 contracting officials we interviewed, 29 cited ease of use and reduced administrative burden as key reasons why they chose to use reverse auctions, particularly at the end of the fiscal year. Officials noted that certain reverse auction providers, such as FedBid, offer acquisition support services in addition to the reverse auction platform itself that can decrease the workload for contracting officials. In particular, contracting officials noted the following as ways that reverse auctions assisted them in performing their responsibilities:", "The reverse auction provider performed functions such as building complex auctions and following up with vendors to encourage participation. In some instances, such as at State or Customs and Border Protection, FedBid provides support personnel on-site at agencies. Contracting officials told us that this is helpful because they are able to obtain in-person support for troubleshooting and time-sensitive purchases. Officials said that they used these additional services for 7 of the 29 FedBid auctions about which we interviewed contracting officials.", "Reverse auction platforms produced auction documentation that decreased the administrative burden of producing a contract file. For example, Army officials responsible for a $14,000 award for ice climbing equipment explained that the summary document produced by the FedBid platform includes much of the competition information, such as auction participants and bids, needed for the contract file.", "The reverse auction platforms enabled contracting officials to replicate past auctions for similar items, then update auction-specific information. For example, a DHS Immigration and Customs Enforcement contracting official responsible for a $38,000 award for detention uniforms said that he makes frequent purchases of the same items, so the ability to clone past auctions and update the quantities, pre-auction cost estimates, clauses, and sources (open market or existing contracts) saves a lot of time. He said that with other procurement methods he must re-enter procurement information each time.", "Reverse auctions enabled them to work on multiple procurements simultaneously, rather than sending emails or making phone calls to individual vendors to obtain quotes. For example, a DHS Customs and Border Protection contracting official responsible for two auctions we reviewed said that reverse auctions allow him to work on multiple contract awards at a time at the end of the fiscal year.", "Data we collected from reverse auction providers found that contracting officials make greater use of reverse auctions at the end of the fiscal year. While the agencies we reviewed made a disproportionate number of new awards in the last fiscal quarter of 2016\u201442 percent\u2014reverse auctions were used even more heavily, with agencies conducting 53 percent of reverse auctions in the last quarter (see figure 7)."], "subsections": []}, {"section_title": "Reverse Auctions Data Indicate $100 million in Savings in 2016, but Savings Estimates Should be Viewed with Caution", "paragraphs": ["Based on fiscal year 2016 data from reverse auction providers, Army, Navy, DHS, Interior, and State awarded contracts with values that totaled more than $100 million less than the agencies\u2019 pre-auction cost estimates, after including any reverse auction provider fees (see table 4).", "The agencies we reviewed generally rely on reverse auction providers to report savings estimates to them. FedBid\u2014the largest provider used by our selected agencies\u2014and GSA Reverse Auctions generally calculate savings as the difference between the pre-auction cost estimate\u2014 represented by the auction\u2019s \u201ctarget price\u201d set by buyer\u2014and the award price, which is the winning vendor\u2019s bid plus the reverse auction provider\u2019s fee. In some cases, however, FedBid will modify this approach to account for potential shortcomings in the quality of pre-auction cost estimates. FedBid does this in two different scenarios.", "First, to correct for situations when using the agency target price results in abnormally high savings\u2014generally defined by FedBid as savings more than 50 percent above the target price\u2014instead FedBid uses a target price based on an average of bids received during the auction. FedBid representatives explained that these adjustments help avoid overstating savings caused by outlier target prices.", "Second, to correct for situations when the agency target price was lower than the winning bid, and would result in a calculated savings of less than $0, instead FedBid uses a target price equal to the winning bid, so that calculated savings equal $0. FedBid representatives explained that, in their opinion, a contracting official would not proceed with an award if the winning bid was higher than the target price unless the contracting official believed that the pre-auction estimate was invalid.", "Overall, we found that in 4 of the 33 FedBid auctions we reviewed, the awarded reverse auction prices were collectively $900,000 higher than the pre-auction cost estimates (which were used as the target prices). Prior to reporting savings to the agencies, FedBid adjusted the target prices to match the award values and reported that these auctions resulted in no savings. FedBid representatives said that they have provided details about this data normalization process to the contracting officers responsible for their agency contracts.", "We identified other approaches to calculating savings resulting from reverse auctions. For example, in December 2016, the Army negotiated a new contract with FedBid that established a different method for calculating savings in an attempt to isolate the savings due to the specific effects of reverse auctions. The Army calculates savings as the difference between the \u201cinitial leading bid\u201d\u2014the second bid usually\u2014and the winning bid. GSA Reverse Auctions and Army CHESS have also calculated savings through different methods, including as the difference between the highest bid and the lowest bid, as well as between the winning vendor\u2019s initial and lowest bids.", "Contracting officials acknowledged several challenges in using the pre-auction cost estimate as a baseline from which to calculate savings. For example:", "Contracting officials at Interior\u2019s US Geological Services stated that it is critical to ensure that the pre-auction cost estimates they set in the reverse auction system are based on good market research, and that the target price is set at the lowest price they can obtain outside of a reverse auction. They noted that before conducting a reverse auction for water filters, these officials lowered the pre-auction cost estimate by about $450,000 from the program office\u2019s initial cost estimate, to reflect a lower price identified in subsequent market research. During the reverse auction, Interior obtained five bids from four vendors, resulting in an award valued at $1.4 million, including option periods. The auction\u2019s savings were then calculated to be $670,000.", "In another auction resulting in a $430,000 contract awarded by the Army for laptops, the contracting official noted that the pre-auction cost estimate was developed by the customer based on historic pricing. In turn, the price obtained through the reverse auction reflected a calculated savings of $67,000 or about 13 percent from the pre-auction estimate. However, the contracting official said that this method is not a reliable way to calculate savings as his customers typically use a high estimate to make sure they do not have to request additional funds. The contracting officer also noted that, in his experience, using historical pricing for technology products can be problematic since pricing changes very quickly as new technology is developed and old products become obsolete.", "We reported in December 2013 that it was unclear whether comparing auction award prices to the pre-auction cost estimate produced an accurate estimate of savings, as it depended on the quality of the pre-auction cost estimate, which is generally informed by market research. In our current review, contracting officials reiterated this perspective. Federal regulations provide flexibility in terms of the extent to which market research should be conducted, and how that research should be conducted, including for low dollar procurements. Because the FAR has not yet been amended to address any specific requirements for reverse auctions as we recommended in our previous report, we are not making additional recommendations on this issue."], "subsections": []}]}, {"section_title": "Agency Guidance and Contracting Approaches Lack Sufficient Information to Ensure Good Business Decisions and Appropriate Contract Oversight", "paragraphs": ["For reverse auctions conducted in 2016, the five agencies we reviewed indirectly paid more than $13 million in fees. Similar to our findings from our December 2013 review, we found that agency contracting officials we interviewed generally did not have a complete and accurate understanding of reverse auction fee structures. This hinders their ability to make informed decisions about when to use reverse auctions or which reverse auction platform to use for a specific procurement, potentially leading to paying more fees than necessary for reverse auctions for the level of service required. Our analysis of agency- and component-level guidance found that none of the agency-level guidance we reviewed fully informed contracting officials about the availability of reverse auction providers and platforms and any applicable reverse auction fee structures, nor did the guidance ensure that contracting officials would compare the options available to them when considering whether to use reverse auctions. In addition, agencies that used the services of FedBid, the largest reverse auction provider, did not always draft sufficiently detailed fee arrangements to ensure that the agencies were knowledgeable about and could conduct oversight of FedBid\u2019s indirect fees."], "subsections": [{"section_title": "Selected Agencies Paid over $13 Million for Reverse Auctions Conducted in 2016", "paragraphs": ["The five agencies we reviewed indirectly paid about $13.4 million in fees to reverse auction providers in 2016. As discussed previously, generally, in the indirect payment process, the reverse auction provider adds a fee onto the winning vendor\u2019s bid. Then, the agency pays the winning vendor this total amount. In turn, the reverse auction provider collects the fee from the winning vendor.", "Agencies we reviewed primarily conducted reverse auctions using three reverse auction providers\u2019 platforms in 2016. The agencies paid indirect fees to two of these reverse auction providers in 2016\u2014FedBid and GSA\u2014while the third provider, Army CHESS, did not charge a fee for its services. Indirect fees paid to FedBid and GSA generally varied from 0 to 3 percent of the value of the transaction, though both FedBid and GSA cap certain fees and will waive fees in certain circumstances. For example, GSA does not charge an indirect reverse auction fee for Federal Supply Schedule orders or agency contracts based on Federal Supply Schedule contracts. See table 5 for additional details on typical fee structures of reverse auction providers used by the agencies we reviewed."], "subsections": []}, {"section_title": "Agency Guidance Does Not Provide Sufficient Information to Contracting Officials on Reverse Auction Fees to Help Ensure Good Business Decisions", "paragraphs": ["We found that none of the guidance we reviewed from the five agencies included the information needed to help ensure that contracting officials understand reverse auction indirect fees and their roles in assessing those fees. OFPP\u2019s June 2015 guidance states that contracting officers should consider the amount of fees paid when evaluating whether the price of a product or service in a reverse auction is fair and reasonable, including any additional fees for use of another agency\u2019s existing contract. This expectation is further established in agency guidance at the Army, DHS, and Interior. Our review found, however, that contracting officers generally did not understand how fees would be applied or the amount they would actually pay to use a reverse auction. This finding is consistent with our observation from our December 2013 report that agency officials were uncertain about how reverse auction fees were paid. Understanding reverse auctions\u2019 costs is essential to making informed business decisions about when to use reverse auctions or which reverse auction platform to use for a particular procurement. Without such understanding, the risk increases that agencies may be paying more in fees than necessary for the level of service required.", "Agency officials we interviewed generally did not have an accurate understanding of reverse auction indirect fee structures. For example, acquisition policy officials at State told us that their contract with FedBid has no cost to the agency because the fees are paid from the companies that win the auctions and it is up to the companies whether or not to include the fee in their final price to the government. As discussed above, however, FedBid automatically adds fees on to all vendor bids. An official who was involved in developing policy related to reverse auction use at Interior told us that agency officials were not fully aware of the fee structure used by FedBid when they initially contracted for the company\u2019s reverse auction services in October 2010. The official added that in hindsight, the fee structure is something that should have been more closely considered.", "Additionally, while the contracting officials we interviewed for the 30 auctions we reviewed that incurred an indirect reverse auction fee were generally aware that they were paying a fee, officials responsible for 28 of these 30 auctions were uncertain about one or more elements of the reverse auction fee structure. For example:", "Lack of understanding of fee amount charged: Contracting officials who conducted 18 of the 29 FedBid auctions in our review were not aware of the fee charged for the reverse auction. All but three of these officials told us that they generally do not see the fee amount because it is included in the vendors\u2019 bids and is not broken out separately, so they evaluate the price inclusive of the fee. In response, FedBid representatives told us that since March 2014 they have offered functionality in the FedBid system that displays the fee separately. However, FedBid only turns this functionality on at the request of agency officials, which had not occurred at the time of our review. We found that procurement officials at all five of the agencies we reviewed were unaware that this feature was available. According to FedBid representatives, they have since notified the contracting officers responsible for their agency contracts about this feature.", "Confusion about circumstances for fee waivers or reductions: Although FedBid will waive or reduce its fee when the fee causes the auction to be above the pre-auction cost estimate or an established contract price, contracting officials responsible for 22 of the 29 FedBid reverse auctions did not accurately understand how this would work when we asked about it. For instance, some contracting officials at State and Customs and Border Protection told us in error that FedBid would waive its fee if there was only one bidder in an auction. Additionally, contracting officials for two auctions told us that they thought the fees associated with their auctions had been waived and expressed surprise when they learned the fee amount. For one auction, a State contracting officer told us that if she had been aware of the amount of the potential fee for an auction for construction services for which only one bid was received, she may have considered other alternatives for awarding the contract.", "Uncertainty about how fee caps are applied: While FedBid generally caps its reverse auction fees at $10,000 per transaction, officials we interviewed that were responsible for 20 of 29 FedBid auctions told us they were not aware of this or did not know the dollar threshold for the fee cap.", "Additionally, while increased competition is typically cited as a benefit of reverse auctions, we found that about 18 percent of fees paid to reverse auction providers in 2016\u2014approximately $2.5 million\u2014were for auctions in which there was only one bidder participating (see table 6 for detail by agency).", "Further, we found that agencies in our review indirectly paid approximately $3.3 million in fees for reverse auctions conducted in 2016 even when an alternative no-fee reverse auction platform was likely available. The availability of an alternative platform does not necessarily mean that the no-fee platform is the most appropriate option, because different platforms provide different levels of service. We did not determine whether particular platforms were more appropriate or resulted in lower overall prices to the government. However, we found that agencies paid these fees to FedBid to conduct reverse auctions for orders on Federal Supply Schedule contracts or Army CHESS contracts when they might have used GSA Reverse Auctions or the Army CHESS IT e-mart without paying a fee. Our 40 case studies included 10 auctions for orders off GSA\u2019s Federal Supply Schedules or Army CHESS contracts that used FedBid rather than using GSA Reverse Auctions or the Army CHESS IT e-mart. For five auctions at Army and State, contracting officials told us they were required or strongly encouraged by agency or component policy to use FedBid. For the other five auctions, contracting officials told us that they preferred FedBid because it was easier to use or they were more familiar with it than GSA Reverse Auctions. Without considering which provider best meets its needs in these cases, the agencies may have paid more in fees than necessary for the required level of service.", "We found that none of the agency guidance we reviewed was sufficient to ensure that contracting officials understood reverse auction fees and their roles in assessing those fees. A clear understanding is necessary to make informed decisions about when to use reverse auctions or which reverse auction platform to use for a particular procurement (see table 7).", "We found that agency guidance we reviewed at two of the five agencies\u2014Navy and State\u2014did not address the role of contracting officials in understanding and assessing reverse auction fees. Specifically:", "Navy does not have agency-wide guidance that addresses the circumstances and processes for using reverse auctions. At the component level, the Naval Supply Systems Command\u2019s November 2014 guidance states that contracting officials may use any available government or commercial reverse auction platform for reverse auctions, unless ordering off GSA\u2019s Federal Supply Schedule or other contract vehicle posted at GSA\u2019s eBuy site, but the guidance does not provide information about how contracting officers should consider reverse auction fees in deciding which platform to use.", "State\u2019s guidance on reverse auctions does not address the role of contracting officers in considering reverse auction fees. As noted previously, State\u2019s May 2015 policy memorandum requires that contracting officers first consider using FedBid for acquisition of all non-complex commodities unless a waiver is obtained.", "Guidance we reviewed at the other three agencies\u2014Army, Interior, and DHS\u2014did address the role of contracting officials in understanding and assessing reverse auction fees, although the level of detail varied among the three agencies. Specifically:", "A June 2015 policy alert from the Army stated that contracting officials are required to be aware of reverse auction fees and consider them in evaluating whether the price of the product or service being acquired is fair and reasonable.", "Similarly, Interior\u2019s August 2015 guidance states that contracting officers need to evaluate the estimated amount of reverse auction fees that will be paid when assessing whether prices are fair or reasonable.", "DHS\u2019s May 2017 guidance states that contracting officers need to understand the fees charged by a provider, and determine and document that the fee structure represents a fair and reasonable cost and offers the best value to the government.", "None of the agency-wide guidance we reviewed at the five agencies detailed the fee structure of each reverse auction platform used by the respective agency. As a result, contracting officials\u2019 ability to understand and assess the fees\u2014an existing requirement in OFPP guidance and at the Army, Interior, and DHS\u2014is hindered. Neither State nor Interior had guidance that detailed the specific fee structures of reverse auction providers used by contracting officials at those agencies. While one Army command developed guidance on FedBid\u2019s fee structure, the Army has not provided any agency-wide guidance on FedBid or GSA Reverse Auctions fee structures, even though the Army awarded reverse auctions valued at approximately $326 million using these two providers in 2016. Similarly, while the Navy\u2019s May 2017 memorandum of understanding for using GSA Reverse Auctions informs contracting officials of GSA Reverse Auctions\u2019 fee structure, the Navy does not have guidance that details FedBid\u2019s fee structure. In 2016, the Navy conducted more than 10 times as many auctions using FedBid\u2019s platform as it did using GSA\u2019s platform.", "Additionally, we found that none of the agencies had agency-wide guidance that required contracting officials to consider whether no-fee reverse auction alternatives, such as GSA Reverse Auctions for Federal Supply Schedule orders and the Army\u2019s CHESS IT e-mart for Army CHESS orders, would meet their needs. State, DHS, and Interior guidance does not address this issue at all. Similarly, while neither the Army nor Navy have agency-wide guidance that does so, each agency has component or command-level guidance that addresses this issue to a limited extent. For example, Naval Supply Systems Command guidance issued in November 2014 requires that contracting officials use GSA Reverse Auctions for products or services off the Federal Supply Schedule. More recently, according to Army officials, as of July 2017, the Army\u2019s CHESS program began recommending that reverse auctions for orders off Army CHESS contracts be conducted using the Army CHESS IT e-mart.", "Standards for internal control in the federal government require agencies to develop policies that address operational processes and the responsibilities of individuals for carrying out those processes. Our review found that, while certain agencies or agency components had guidance that provided some information about reverse auction fees, none of the agency-level guidance we reviewed fully addresses contracting officials\u2019 role in understanding and assessing reverse auction fees, details fee structures for reverse auction platforms used by the agency, or requires that contracting officers compare the options for reverse auction providers that are available to them, particularly regarding no-fee alternatives. Without such guidance, contracting officers are at risk of paying more in fees than necessary for the level of service they require."], "subsections": []}, {"section_title": "Agencies\u2019 Contracting Approaches Do Not Provide Sufficient Information on Reverse Auction Fees to Facilitate Oversight and Adherence to Internal Control Standards", "paragraphs": ["We found that while nearly all reverse auction fees were paid to FedBid since FedBid was by far the largest reverse auction provider used by the selected agencies, agencies\u2019 approaches to contracting with FedBid did not result in sufficiently detailed fee arrangements to ensure that the agencies were knowledgeable about the fees they were paying and could conduct oversight of whether FedBid was applying indirect fees as expected. For the five agencies we reviewed that conducted reverse auctions using FedBid in 2016, two did not have documented agency- level fee arrangements with FedBid, while the other three had contracts that did not fully address at least one element of FedBid\u2019s fees, as shown in table 8.", "Three of the five agencies we reviewed that used FedBid\u2014Army, Navy, and State\u2014had agency-wide contracts in place with FedBid, but we found that these contracts did not always document key aspects of the fee terms with FedBid. Specifically:", "Lack of clarification on how the fee cap applies to contracts with option years: FedBid representatives stated that their standard practice is that the fee cap will apply separately to each option year awarded. The Navy\u2019s January 2018 contract with FedBid is consistent with this practice and explains how the fee cap will apply to contracts\u2019 option years. In contrast, Army\u2019s and State\u2019s December 2016 contracts with FedBid do not specify how the fee cap would apply to option years. Contracting officials who were responsible for managing the FedBid contract at the Army told us they believed that the fee cap was a total of $10,000 per contract awarded, including for the base and all option years.", "Lack of detail on calculation of fee cap: Navy and State\u2019s contracts with FedBid did not include full details on how the fee cap would be applied. As discussed above, FedBid generally caps its fee at $10,000. However, due to the way FedBid calculates fees, if the lowest bid is not selected, the fee on the selected bid may be over $10,000. We found that 19 reverse auctions in 2016 resulted in FedBid fees over $10,000. Neither the Navy\u2019s January 2018 contract nor State\u2019s December 2016 contract explains that the fee may be above $10,000.", "According to agency officials, DHS and Interior did not have agency-wide contracts with FedBid for reverse auctions conducted in 2016. While three DHS components had their own contracts with FedBid that were active in 2016, four additional components plus DHS headquarters used FedBid in 2016 without either an agency- or component-level contract in place. At Interior, the contract with FedBid expired in September 2015 and was not renewed, although contracting officials at Interior components continued to conduct reverse auctions on FedBid. Contracting officials at these agencies used FedBid\u2019s services by agreeing to its standard terms and conditions each time they accessed the FedBid platform. FedBid representatives told us they consider the terms of use to be the contract between FedBid and the government when there is no agency- or component-level contract in place, and that this is similar to how commercial e-commerce marketplaces operate with federal agencies for micro-purchases. FedBid\u2019s standard terms and conditions, however, do not provide detailed information on fees, such as the precise fee percentage charged or the amount of the fee cap. FedBid representatives told us that they typically charge federal agencies a 3 percent fee, but that fee details are not included in the standard terms and conditions because commercial and government customers may pay different fees. At DHS and Interior, when there are not agency- or component-level contracts in place and contracting officials use FedBid by agreeing to the standard terms and conditions, there is a risk that they may agree to fees or other terms that have not been reviewed and approved by agency acquisition and legal offices.", "Lastly, we found that only two of the agencies we reviewed\u2014the Army (since December 2016) and the Navy (since May 2012)\u2014required and received regular monthly reporting from FedBid on reverse auction fees paid indirectly by the agency. Both agencies also have contractual requirements for FedBid to provide this information annually, in addition to the monthly reporting. Army officials told us that requiring additional data in their December 2016 contract with FedBid was a result of lessons learned from their September 2012 contract, and was intended, in part, to improve oversight of fees paid. Army and Navy officials provided examples of FedBid reverse auction fee reports, and described how they used this information to oversee their contracts with FedBid. The Army and Navy also both requested and received monthly reports from GSA Reverse Auctions that included detailed information on fees.", "In contrast, DHS, Interior, and State did not require or receive regular reporting on fees from FedBid or GSA Reverse Auctions. As previously discussed, according to officials, DHS and Interior do not have agency- wide contracts with FedBid and, therefore, do not have a mechanism in place to require agency-wide reporting. Interior officials told us they do not receive any reports on fees paid from FedBid. For the two DHS components we reviewed, Immigration and Customs Enforcement officials told us that they received ad hoc reporting on fees paid to FedBid and provided us with a sample report that included fee data. While Customs and Border Protection\u2019s contract with FedBid requires reporting on costs incurred by the government, officials told us that they do not receive any reporting on fees. State neither requires nor receives reporting on fees from FedBid. State and Customs and Border Protection officials told us that they do not receive such reporting since fees are paid by winning vendors and therefore there is no direct cost to the government to use FedBid. We found, however, that these agencies indirectly paid almost $4.2 million in fees to FedBid in 2016.", "Standards for internal control require agencies to appropriately document transactions and significant events to assist with oversight and help ensure that agency objectives are being achieved effectively and efficiently. Without a documented contract or arrangement in place between agencies or components and FedBid that provides a clear and common understanding of payment terms and fee structure, agencies lack sufficient information to conduct contract oversight to determine whether FedBid is applying its indirect fees as the agencies expect.", "Further, internal control standards emphasize timely and reliable information and data so that agencies can effectively monitor their operations. Without requiring reporting on reverse auction fees, agencies may not have sufficient information to understand and oversee their use of reverse auction platforms and conduct contract oversight to ensure that the fees they are being charged are appropriate."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The landscape of reverse auctions has changed slightly since our last review in December 2013. There are more reverse auction providers, including government providers, in the marketplace, with the vast majority of auctions conducted through FedBid. The use of reverse auctions, however, continues to constitute a relatively small percentage of federal contract spending. For the most part, agencies are using reverse auctions to acquire low-cost, commercial products and benefitting from the ease of use and reduced administrative burden that reverse auctions can provide. Agencies are also achieving more robust competition in the form of iterative bidding on nearly three-quarters of reverse auctions. Despite this level of competition, however, precisely quantifying the amount of savings is inherently difficult. Given that the vast majority of auctions are small dollar procurements which are, by design, intended to be simpler and to pose less administrative burden on the acquisition workforce, it may be counterproductive to expend more time and resources to produce a better estimate of savings. Nevertheless, there is room for improvement in the guidance agencies provide to their contracting personnel to ensure the appropriate use of reverse auctions, increase benefits, and reduce costs. Agencies could benefit from paying more attention to rates of one-vendor participation, provider fee structures, and contracts with reverse auction providers.", "Across the agencies in our review, often only one bidder participates, in particular when agencies conduct a reverse auction using existing contract vehicles rather than opening the auction to all potential vendors. At State, its requirement for contacting officers to use reverse auctions for all non-complex acquisitions may result in reverse auction use in situations where it is not warranted; that is, without the type of highly competitive marketplace that can result in savings.", "Our work also identified a need for agencies to provide contracting officers better information on the fee structures so that they can make informed decisions as to whether to use a reverse auction and which reverse auction platform to use. Further, agencies are not requiring data on or analyzing the fees they are paying. The indirect nature of provider fees\u2014combined with fee arrangements that are missing important details or are nonexistent and a lack of visibility into those fees\u2014puts agencies at risk of paying more than necessary for the level of service needed. These issues are not new: we raised similar concerns in our report more than 4 years ago. Taken together, these issues put the government at risk of failing to maximize the benefits that the effective use of reverse auction can provide, and worse, put agencies at risk of paying millions of dollars more in fees than necessary for the level of service needed."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making a total of 21 recommendations, including 3 to Army, 4 to Navy, 4 to DHS, 4 to Interior, and 6 to State.", "We are making the following seven recommendations to heads of agencies within the Department of Defense:", "The Secretary of the Army should: assess why reverse auctions that are conducted using existing contract vehicles have only one bidder at higher rates than reverse auctions conducted on the open market; determine what factors indicate that conducting reverse auctions is appropriate when using existing contract vehicles; and provide this information to contracting officials so that they can consider it when developing their acquisition strategies. (Recommendation 1)", "The Secretary of the Army should: document and provide information to contracting officials that describes available reverse auction providers and platforms, and any associated fee structures; and provide guidance, as appropriate, to contracting officials to ensure that they compare the options that are available to them when considering whether to use reverse auctions. (Recommendation 2)", "The Secretary of the Army should clarify with FedBid how fees apply when contract option years are exercised. (Recommendation 3)", "The Secretary of the Navy should: assess why reverse auctions that are conducted using existing contract vehicles have only one bidder at higher rates than reverse auctions conducted on the open market; determine what factors indicate that conducting reverse auctions is appropriate when using existing contract vehicles; and provide this information to contracting officials so that they can consider it when developing their acquisition strategies.(Recommendation 4)", "The Secretary of the Navy should review the agency\u2019s current guidance to assess whether it adequately addresses contracting officer responsibilities to consider the cost of any fees associated with reverse auction options they may be considering when developing their acquisition strategies, and revise its guidance as appropriate. (Recommendation 5)", "The Secretary of the Navy should: document and provide information to contracting officials that describes available reverse auction providers and platforms, and any associated fee structures; and provide guidance, as appropriate, to contracting officials to ensure that they compare the options that are available to them when considering whether to use reverse auctions. (Recommendation 6)", "The Secretary of the Navy should clarify with FedBid how FedBid\u2019s fee cap will be calculated. (Recommendation 7)", "We are making the following four recommendations to DHS:", "The Secretary of the Homeland Security should: assess why reverse auctions that are conducted using existing contract vehicles have only one bidder at higher rates than reverse auctions conducted on the open market; determine what factors indicate that conducting reverse auctions is appropriate when using existing contract vehicles; and provide this information to contracting officials so that they can consider it when developing their acquisition strategies.(Recommendation 8)", "The Secretary of Homeland Security should: document and provide information to contracting officials that describes available reverse auction providers and platforms, and any associated fee structures; and provide guidance, as appropriate, to contracting officials to ensure that they compare the options that are available to them when considering whether to use reverse auctions. (Recommendation 9)", "The Secretary of Homeland Security should determine if it would be advantageous for the agency to enter into contracts with third-party reverse auction providers. (Recommendation 10)", "The Secretary of Homeland Security should obtain timely information on how much the agency is paying for reverse auction services. (Recommendation 11)", "We are making the following four recommendations to Interior:", "The Secretary of the Interior should: assess why reverse auctions that are conducted using existing contract vehicles have only one bidder at higher rates than reverse auctions conducted on the open market; determine what factors indicate that conducting reverse auctions is appropriate when using existing contract vehicles; and provide this information to contracting officials so that they can consider it when developing their acquisition strategies.(Recommendation 12)", "The Secretary of the Interior should: document and provide information to contracting officials that describes available reverse auction providers and platforms, and any associated fee structures; and provide guidance, as appropriate, to contracting officials to ensure that they compare the options that are available to them when considering whether to use reverse auctions. (Recommendation 13)", "The Secretary of the Interior should determine if it would be advantageous for the agency to enter into contracts with third-party reverse auction providers. (Recommendation 14)", "The Secretary of the Interior should obtain timely information on how much the agency is paying for reverse auction services. (Recommendation 15)", "We are making the following six recommendations to State:", "The Secretary of State should review the agency\u2019s current guidance to assess whether it leads contracting officials to use reverse auctions in situations where there is not a highly competitive marketplace, and revise its guidance as appropriate. (Recommendation 16)", "The Secretary of State should: assess why reverse auctions that are conducted using existing contract vehicles have only one bidder at higher rates than reverse auctions conducted on the open market; determine what factors indicate that conducting reverse auctions is appropriate when using existing contract vehicles; and provide this information to contracting officials so that they can consider it when developing their acquisition strategies. (Recommendation 17)", "The Secretary of State should review the agency\u2019s current guidance to assess whether it adequately addresses contracting officer responsibilities to consider the cost of any fees associated with reverse auction options they may be considering when developing their acquisition strategies, and revise its guidance as appropriate. (Recommendation 18)", "The Secretary of State should: document and provide information to contracting officials that describes available reverse auction providers and platforms, and any associated fee structures; and provide guidance, as appropriate, to contracting officials to ensure that they compare the options that are available to them when considering whether to use reverse auctions. (Recommendation 19)", "The Secretary of State should clarify with FedBid how FedBid\u2019s fee cap will be calculated and how fees apply when contract option years are exercised. (Recommendation 20)", "The Secretary of State should obtain timely information on how much the agency is paying for reverse auction services. (Recommendation 21)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD, DHS, Interior, State, the Department of Housing and Urban Development, GSA, VA, and OMB. Collectively, the agencies concurred with 18 of the 21 recommendations we made, and did not concur with three.", "In its written response, reproduced in appendix IV, DOD concurred with our seven recommendations\u2014three to the Army and four to the Navy\u2014 and stated that the department expected to complete actions to address the recommendations by the end of calendar year 2018.", "In its written response, reproduced in appendix V, DHS concurred with two recommendations and did not concur with two recommendations. DHS concurred with our recommendation that it assess why reverse auctions conducted using existing vehicles have higher one bidder rates and provide information to contracting officials about factors that indicate conducting reverse auctions using existing vehicles is appropriate. However, DHS did not believe that it needed to conduct an assessment specific to reverse auctions. The department stated that the factors that contribute to one bidder participating in other procurements\u2014such as inadequate market research and poorly defined requirements\u2014would similarly affect reverse auctions. Nevertheless, DHS stated that the Office of the Chief Procurement Officer will communicate to its contracting officials that when market research for a planned reverse auction buy on an existing contract vehicle demonstrates that only one bid is expected, a reverse auction must not be used to conduct the procurement. DHS expects to complete actions in response to this recommendation by the end of November 2018.", "DHS also concurred with our recommendation that it determine if it would be advantageous for the agency to enter into contracts with third party reverse auction providers. DHS stated that an assessment should be done periodically to determine if there is a need to have a department- wide reverse auction provider. In that regard, DHS stated that an assessment was conducted in 2016 to evaluate providers and platforms and, based on this evaluation, DHS made the decision to continue to provide contracting offices the flexibility to choose their own reverse auction provider. DHS stated that it believes its past actions address our recommendation. However, the intent of our recommendation is not to suggest that DHS consider whether to mandate a certain provider be used agency-wide. Rather, we are recommending that DHS assess whether agency-level contracts with reverse auction providers\u2014be it one or several different providers\u2014are desirable to protect against the risk that individual contracting officials may be agreeing to fees or other terms that have not been reviewed and approved by agency acquisition and legal offices. It is unclear whether DHS\u2019s 2016 assessment considered these issues.", "DHS did not concur with our recommendation that it provide information to contracting officials regarding available reverse auction providers and fee structures and, as appropriate, provide guidance to contracting officials to ensure they compare available options for reverse auctions. In its response, DHS stated that there is limited value in centrally collecting and updating this information, and that it is the contracting officer\u2019s responsibility, as a part of market research, to be knowledgeable about reverse auction providers and fee structures. DHS stated that its May 2017 reverse auctions policy requires contracting officers to understand the fees that will be charged and determine and document that the fee structure represents a fair and reasonable cost and offers best value to the government. DHS stated that the Office of the Chief Procurement Officer will issue an alert reminding contracting professionals of these responsibilities by the end of November 2018. Given the pervasive confusion we found among contracting officials about the fee structures of reverse auction providers, we continue to believe that DHS should document and provide information to contracting officials, which could help eliminate confusion and minimize the duplication of individual reverse auction users repeatedly collecting the same information.", "DHS also did not concur with our recommendation that it obtain timely information on how much the agency is paying for reverse auction services, stating that aggregating fee data at the department level would require systems changes or manual collection that would not inform DHS as to whether reverse auctions were used correctly or if the fee was too high. In this case, however, our work found that reverse auction providers have this data available upon request. As such, in lieu of making changes to systems or attempting to have contracting officers manually collect this information, we believe DHS could obtain this information from its reverse auction provider and use this information to help DHS understand what it pays for reverse auction services. This approach would also better inform the department in its periodic assessments of contractual relationships with reverse auction providers.", "In its written response, reproduced in appendix VI, State concurred with all six recommendations, and described actions the Office of Acquisitions Management intends to take to address them, including reviewing current guidance and revising it as appropriate; increasing contracting officer awareness through training and policy guidance; and engaging with its primary reverse auction provider to obtain a better understanding of the fee structure and timely reporting of fees. State did not provide information as to when it expected these actions to be completed.", "In its written response, reproduced in appendix VII, Interior concurred with three recommendations and did not concur with one recommendation. Interior concurred with our recommendation that it assess why reverse auctions conducted using existing vehicles have higher one bidder rates and provide information to contracting officials about factors that indicate conducting reverse auctions using existing vehicles is appropriate. The department stated that it will implement policy regarding the use of reverse auctions with existing contract vehicles. Interior also concurred with our recommendation that it provide information to contracting officials regarding available reverse auction providers and fee structures and, as appropriate, provide guidance to contracting officials to ensure they compare available options for reverse auctions. The department stated it would review and update guidance to provide contracting officials with current and relevant information on available reverse auction providers, platforms, and associated fee structures. Interior also concurred with our recommendation that it obtain timely information on how much the agency is paying for reverse auction services. Interior did not provide information as to when it expected the above actions to be completed.", "Interior did not concur with our recommendation to determine if it would be advantageous for the agency to enter into contracts with third-party reverse auction providers, stating that it would be more efficient to provide guidance to contracting officials so that they can make the best business decision. Interior officials told us verbally that they have already considered whether or not to enter into contracts with reverse auction providers and determined that it is not to the department\u2019s advantage to do so. Interior officials told us they would provide us information about the factors considered in making this decision, but we did not receive this information prior to issuing this report.", "In its written response, reproduced in appendix VIII, VA provided information about its use of reverse auctions for energy purchases through GSA and its energy reverse auction provider, EnerNOC. The Department of Housing and Urban Development, GSA, and OMB informed us that they had no comments on this report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of Homeland Security, the Secretary of Housing and Urban Development, the Administrator of General Services, the Secretary of the Interior, the Secretary of State, the Secretary of Veterans Affairs, and the Administrator of Federal Procurement Policy. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Defense Logistics Agency and Army Computer Hardware Enterprise Software and Solutions Reverse Auctions", "paragraphs": [], "subsections": [{"section_title": "Defense Logistics Agency\u2019s Use of Reverse Auctions", "paragraphs": ["The Defense Logistics Agency\u2019s (DLA) use of reverse auctions declined over 80 percent from fiscal years 2013 to 2017 from about $7 billion to about $1 billion in constant fiscal year 2017 dollars, according to data we obtained from DLA\u2019s provider Procurex for all auctions conducted (that may or may not have resulted in an award). According to DLA officials, the agency\u2019s declining use is largely due to a policy revision that no longer requires, but rather allows contracting officers to consider using reverse auctions for all procurements over $150,000. DLA pays a flat fee to its reverse auction provider for use of the reverse auction platform. This payment mechanism is different from the fee arrangements in contracts between agencies and many other reverse auction providers, for which providers calculate fees on a per-transaction basis. In addition, DLA generally uses a reverse auction as a price negotiation tool among a group of selected vendors that the agency determined to be technically acceptable based on vendors\u2019 initial responses to a solicitation. Because of these differences, DLA does not have a need to track the reverse auctions awarded for its reporting and oversight purposes."], "subsections": []}, {"section_title": "Army Computer Hardware Enterprise Software and Solutions (CHESS) Information Technology (IT) e-mart Reverse Auction", "paragraphs": ["The Army Computer Hardware Enterprise Software and Solutions (CHESS) Information Technology (IT) e-mart program introduced its reverse auction capability in January 2016. It offers fee-free reverse auctions for a number of the CHESS contracts. According to Army officials, in July 2017, the CHESS program began recommending use of its reverse auction capability rather than other reverse auction platforms. According to data provided by the CHESS program office for all auctions conducted (that may or may not have resulted in an award), use of reverse auctions increased over 225 percent between fiscal years 2016 and 2017 from about $28 million to about $91 million in constant fiscal year 2017 dollars. The CHESS IT e-mart does not track which auctions result in awards. According to officials, users capture award information in the agency\u2019s contract writing system. While CHESS officials told us they are interested in that kind of information, CHESS does not charge a fee and does not have a need to track the reverse auctions awarded for its oversight purposes."], "subsections": []}]}, {"section_title": "Appendix II: Agency Policies and Guidance Reviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) federal agencies\u2019 use of reverse auctions between 2013 and 2017, (2) the extent to which selected agencies achieved benefits through reverse auctions, and (3) the extent to which selected agencies have insight into reverse auction fees.", "For all objectives, we reviewed policies and guidance related to reverse auctions from Office of Federal Procurement Policy (OFPP) and at selected agencies and relevant components of those agencies we reviewed, as well as the Standards for Internal Control in the Federal Government and relevant work by agency Inspectors General. We also interviewed procurement policy officials from the selected agencies and representatives from reverse auction providers.", "To examine federal agencies\u2019 use of reverse auctions between 2013 and 2017, we collected data from reverse auction providers we identified by reviewing our past work in this area, reviewing federal procurement solicitation and award information, conducting interviews with agency officials, and conducting internet searches about federal use of reverse auctions. Through these efforts, we identified eight reverse auction providers that offered reverse auction services either government-wide or to specific agencies (see table 10 below).", "While it is possible that our efforts did not identify all reverse auction providers that federal agencies use, we are reasonably confident we have included the largest reverse auction providers used by the selected agencies in our review. In addition to the identification efforts described above, for the selected agencies in our review, we asked component officials to identify reverse auction providers with which the agency has a contractual relationship and which reverse auction platforms the agency\u2019s contracting officials use. We also asked numerous individual contracting officers about the various platforms the individual has used. No additional providers or platforms were identified as part of those efforts.", "We collected fiscal year 2013 through 2017 data on reverse auctions use from these reverse auction providers and analyzed it to identify the number of reverse auctions conducted annually across the government and the dollar value of those reverse auctions. For our analysis of the number and dollar value of the auctions, we analyzed auctions that resulted in a contract award between the agency and a vendor in a particular year, according to provider data. We describe these as awarded reverse auctions. The dollar value of an awarded auction is based on the dollar amount of the bid selected for award; however, the dollar amount of the bid selected for award is not necessarily equivalent to the amount ultimately obligated on the resulting contract. We present the dollar value of agencies\u2019 awarded auctions from 2013 through 2017 in constant fiscal year 2017 dollars using the Congressional Budget Office\u2019s June 2017 Gross Domestic Product price index projection\u2014the most recent projection available at the time of our analysis. We generally collected data from reverse auction providers because information about reverse auction use is not available in the Federal Procurement Data System-Next Generation, a government-wide source of contract data. In addition, the selected agencies we reviewed do not separately track use of reverse auctions. We collected data from the Department of Housing and Urban Development directly because the agency tracks its reverse auction use, including which auctions it awards. Two of the providers we identified, Procurex and the Army CHESS IT e-mart reverse auction platform, do not track the reverse auctions that agencies award to vendors. The agencies using these providers, Defense Logistics Agency and the Department of the Army, do not require this information for their own reporting and oversight purposes or for paying for the reverse auction services.", "For purposes of this report, all references to reverse auction use exclude auctions conducted with these providers. Therefore, our analysis includes only the value and number of known, awarded auctions between 2013 through 2017. As a result, we underestimate total federal reverse auction use. Using available data for the Department of the Army, we estimate our analysis includes over 95 percent of the value and 99 percent of Army auctions. For the Defense Logistics Agency, Procurex reported that over the five-year period the agency conducted approximately 7,100 auctions valued at about $19 billion. While we cannot say with certainty the number and value of awarded auctions, we can assume the agency awarded fewer auctions than it conducted. Based on information from other providers for which we have data on the number of auctions conducted and awarded, agencies using these providers awarded about 45 percent of the auctions conducted between 2013 and 2017. Of the six providers with awarded auction data, FedBid accounted for almost all auctions and the vast majority of dollars agencies awarded using reverse auctions from 2013 through 2017.", "We also used this data to identify six of the largest users of reverse auctions for that period\u2014Departments of the Army, Homeland Security (DHS), the Interior, the Navy, State, and Veterans Affairs (VA)\u2014by number of auctions and dollar value. In determining the largest users of reverse auctions, we excluded energy-related auctions from our analysis. Energy-related auctions represented a sizable portion\u201410 percent\u2014of reverse auction value, but less than 1 percent of auctions. We determined that conducting a detailed review of energy-related auctions was not likely to provide insight for other procurements because the unique characteristics of energy markets make it difficult to compare to reverse auctions for other goods and services that were included in our review.", "For five of the six selected agencies (Army, Navy, DHS, Interior, and State), we collected additional data on auctions awarded in fiscal year 2016\u2014the most recent year of detailed data available at the time that we began our review. We limited our analysis to auctions for which we identified a start, end, and contract award date in 2016, according to provider data. Our analysis of fiscal year 2016 auctions included almost 15,000 auctions with a total awarded value of approximately $910 million. We excluded reverse auctions for which the data indicated that they were awarded in 2016 but for which the auction dates indicated that the auctions were conducted in a prior year. At least some of these auctions represent options exercised on earlier auctions, rather than new auctions, and we wanted to ensure we could compare auction activity to policies and procedures in place for a specific period. Our analysis of awarded auctions excluded auctions identified as cancelled or with an auction start, end, or award date outside of 2016. The sixth agency (VA) conducted less than a dozen new auctions in 2016, and so we excluded them from our analysis of 2016 data, as well as our analysis of the benefits and fees associated with reverse auctions.", "We analyzed agencies\u2019 use of reverse auctions, including but not limited to the number and dollar value of the awarded auctions, types of products and services purchased, level of competition achieved (number of participating vendors and bids received), savings from government pre-auction estimates, and fees associated with the auctions.", "For our analysis of the number and dollar value of the awarded auctions, we included auctions that resulted in a contract award between the agency and a vendor, according to provider data. Actual award obligations may differ. For example, an agency may adjust the procurement (such as increasing or decreasing the number of items purchased) between the auction and the final award, which may not be reflected in the data we used. In addition, the number of awarded auctions may differ. While we took steps to exclude awarded auctions for which agencies had cancelled the resulting contracts, if the provider data did not identify an auction as cancelled we may have included it in our analysis. For the analysis of products and services, we examined auctions conducted and awarded in 2016 by two of the three reverse auction providers, both of which had product and service code data available for awarded reverse auctions. These two providers accounted for almost all contracts awarded via reverse auctions that year. Provider data included an overall product and service code for the auction. The auction may include goods and services outside that particular code. For our purposes, we used the code provided to categorize the auction as a product or service and the type of purchase. The third provider, GSA Reverse Auction, does not capture similar product and service code data.", "Using other data GSA Reverse Auction provided, we were able to estimate that about 20 percent of dollars awarded using GSA\u2019s Reverse Auctions platform included information technology products and services.", "For our analysis of contract vehicles, we used provider data on whether the buyer selected to conduct the auction on the open marketplace or limit the auction to vendors qualified to bid on existing contract vehicles. For example, buyers may have conducted auctions on the open market, which is available to any vendor selling the good or service that is registered to bid via the reverse auction provider or conducted auctions that were limited to vendors with specific agency or government-wide contracts. For our analysis of competition, we included all vendors and associated bids submitted in provider data. During our interviews with contracting officials, we learned that in some auctions officials determined particular vendors were not technically acceptable following an auction. This information is not available in provider data and, as a result, our analysis includes vendors that contracting officials determined were not technically acceptable.", "We also obtained contract-related information from the Federal Procurement Data System-Next Generation for awarded auctions with available contract or order numbers to identify if agencies used commercial acquisition procedures and firm-fixed-price contracts in accordance with the effective practices outlined in the June 2015 OFPP memorandum. Government auditing standards require that we assess the reliability of data we use in our products. As part of our assessment, we reviewed the reverse auction data collected for obvious issues, such as missing data elements, duplicates, and outliers. We also tested the relationships between variables. In addition, we interviewed agency and reverse auction provider officials to understand the data and collected information on the systems used to collect and store the data, as well as how those data are used. Further, we compared the data for a non-generalizable sample of 40 auctions to contract files. We assessed the reliability of the data used in this report and determined they were sufficiently reliable for describing the known number and value of awarded reverse auctions by federal agencies from 2013 through 2017 and identifying salient characteristics of selected agencies\u2019 awarded auctions in 2016, including the number of participating vendors and bids, type of good or service purchased, and indirect fees associated with the auction.", "To identify the extent to which selected agencies achieved the benefits of reverse auctions, we analyzed the 2016 data we collected on reverse auction use at our five selected agencies to identify factors related to competition (e.g., the number of participating vendors in auctions and the number of bids received, and the frequency of iterative bidding, defined as when there are multiple bidders and at least one bidder submits more than one bid during the auction) and savings (e.g., savings as calculated by the reverse auction providers). This analysis excludes auctions conducted using the Army CHESS IT e-mart because it does not track which auctions result in awards. However, the analysis still includes at least 93 percent of reverse auction award value and 98 percent of the awarded auctions in 2016. To obtain a more in-depth understanding of the benefits achieved by selected agencies, we selected and reviewed a nongeneralizable selection of 40 contracts awarded from 2016 reverse auctions across the five agencies. These contracts were chosen to obtain variety across the following characteristics: buying agency and component; contract vehicle (open market or orders on existing contracts such as Federal Supply Schedules or agency indefinite-delivery / indefinite-quantity contracts); dollar value; fees charged by the reverse auction providers; and goods and services being purchased (see table 11).", "At DHS, we selected case studies from two components, Customs and Border Protection and Immigration and Customs Enforcement. Customs and Border Protection had an active contract with FedBid in 2016 and Immigration and Customs Enforcement did not, so we selected these two components in order to understand the difference in how components with and without an active contract used FedBid.", "For each of the selected case studies, we reviewed contract documentation related to the reverse auction, such documentation of market research, pre-auction cost estimates (e.g. independent cost estimates), price negotiation memoranda, and contract award documents. In addition, to obtain contracting officials\u2019 perspectives on the benefits of reverse auctions, we interviewed the contracting officials involved with 35 of these 40 auctions: for the remaining 5, knowledgeable officials were not available to interview. We conducted our interviews using a semi- structured interview process in which we asked contracting officials a standard set of questions about their experiences conducting reverse auctions. We did not compare reverse auctions to alternative acquisition methods to compare the relative costs and benefits.", "To identify the extent to which selected agencies had insight into reverse auction fees, we analyzed provider data on fees paid indirectly to FedBid and GSA Reverse Auctions in 2016 for the five agencies selected for our review. Fees paid to these two reverse auction providers were paid indirectly by the agencies through the winning vendor. Our analysis included the total amount of fees paid by each agency in 2016 to each reverse auction provider and the amount of fees paid by each agency in 2016 for auctions with only one bidder.", "We also analyzed agency guidance to determine the extent of information provided to contracting officials on reverse auction fees. Specifically, we assessed whether agency guidance identified roles and responsibilities of contracting officials in understanding and assessing reverse auction fees and provided sufficient information to help ensure contracting officers understood how reverse auction fees are applied. Further, we interviewed contracting officials for 35 of our 40 selected auctions to develop an understanding of the officials\u2019 knowledge of the fees related to the auctions they conducted. As noted above, officials for the other 5 auctions were not available to interview. The 40 selected auctions included 33 that incurred an indirect fee, 2 for which the provider waived the fee, and 5 for which no fee applied. We interviewed the contracting officials involved with 30 of the auctions that incurred a fee and 5 of the auctions for which the fee was waived or no fee applied. To determine whether contracting officials we interviewed had a complete and accurate understanding of reverse auction fee structures, we analyzed their responses to questions about reverse auction fee structures and the fee paid for the reverse auction we reviewed in detail, and compared their responses to fee structures documented in agency contracts and reverse auction provider terms and conditions.", "Lastly, to determine whether agencies had sufficient insight into reverse auction fees to conduct appropriate oversight, we analyzed contracts between the selected agencies and FedBid as well as other fee arrangements, including provider terms of service and GSA\u2019s Federal Supply Schedule contract with FedBid. Our analysis included both contracts that were in place in fiscal year 2016 in order to understand the terms and conditions that covered the reverse auctions we reviewed in detail, as well as contracts agencies awarded subsequent to fiscal year 2016 so that we could understand whether and how agencies fee arrangements with reverse auction providers had changed. We analyzed the contracts and other fee arrangements to determine the extent to which they explained details of how the fees were applied, such as what fee percentage would be charged, how the fees would apply to contract option years, and how fee caps were applied.", "We also used a variety of investigative tools and techniques to determine if reverse auction procurement officials and commercial and government providers have engaged in potential fraud, waste, abuse, and mismanagement associated with reverse auction use. We reviewed fraud alerts to learn about potential complaints, coordinated with agency inspector general offices regarding work related to reverse auctions, inquired about contracting officials\u2019 awareness of fraud incidents among the 35 case studies for which we interviewed contracting officials, and conducted a limited review for obvious financial relationships among agency officials responsible for drafting reverse auction policy and commercial reverse auction providers. While steps we took did not uncover any obvious fraud, waste, abuse, or systemic mismanagement, we cannot definitively state that there is no fraud, waste, abuse, or mismanagement in federal use of reverse auctions.", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work from April 2017 to March 2018 in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Janet McKelvey (Assistant Director), Luqman Abdullah, Cory Ahonen, Peter Anderson, Leslie Ashton, Matthew Crosby, Alexandra Dew Silva, Lorraine Ettaro, April H. Gamble, Anne McDonough, Miranda Riemer, Robin Wilson, and Helina Wong made key contributions to this report."], "subsections": []}]}], "fastfact": ["To buy goods or services, the government sometimes uses \"reverse auctions\" where vendors bid against each other with lower prices to win a contract.", "We found reverse auctions often led to a vendor bidding more than once with a lower price, and may have saved the government up to $100 million in 2016. They also were easy to use.", "However, most contracting officers we interviewed did not fully understand the fees they paid to use reverse auctions. Agencies we reviewed indirectly paid $3 million in fees when a free alternative was likely available.", "We made 21 recommendations, including that agencies inform contracting officials about fees."]} {"id": "GAO-18-214", "url": "https://www.gao.gov/products/GAO-18-214", "title": "Nuclear Security: CBP Needs to Take Action to Ensure Imported Radiological Material Is Properly Licensed", "published_date": "2018-01-10T00:00:00", "released_date": "2018-01-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Thousands of shipments containing radiological material enter the United States each year through airports across the country. Radiological material is used in various medical and industrial applications, and possession requires a license from the Nuclear Regulatory Commission (NRC) or one of the 37 states to which NRC has relinquished licensing authority. Failure to verify the licenses could allow terrorists to acquire radiological material for a dirty bomb, which uses explosives to disperse the material.", "GAO was asked to review CBP policies and procedures related to license verification. This report examines, among other things, (1) the extent to which CBP follows its policies and procedures, and (2) the effectiveness of these policies and procedures. GAO reviewed relevant policies and procedures, analyzed CBP data related to radiological material shipments and license verification, interviewed CBP and NRC officials, and selected four airports to visit based on expected traffic of radiological shipments."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. Customs and Border Protection (CBP) agency officials at U.S. airports have not verified the legitimacy of all licenses for imported radiological materials as required by CBP's policy. The policy requires CBP officials, when alerted, to verify licenses by calling experts in a centralized CBP office. CBP officials at two of four airports GAO visited said they were calling as required. However, CBP officials at the other two airports did not verify many licenses from January 1, 2015, through September 30, 2016, and headquarters officials were unaware of non-compliance with CBP policy. Also, GAO found that during this time frame nationwide, CBP officials were alerted to verify licenses for a significant number of shipments of licensable radiological material for all U.S. airports, but they did not make all the required calls\u2014leaving numerous shipments potentially unverified over this 21-month period. This situation occurred because CBP does not have a monitoring system to ensure that officials make license verification calls as required. Until CBP develops a monitoring system for license verification, it will not have reasonable assurance that it can identify activities inconsistent with its policy and take corrective action.", "CBP procedures cannot effectively implement the agency's policy that its officials verify all radiological material shipments imported into the United States. The procedures are not effective for this policy in part because they rely on automated alerts that are based on some but not all relevant information that could indicate potentially dangerous radiological material. Consequently, CBP's current system and procedures cannot ensure that all such materials will be identified. Under federal internal control standards, agencies are to design control activities to achieve objectives and respond to risks. However, CBP does not have the information it needs to develop a robust system or revise its procedures because it has not conducted a comprehensive assessment of the information not included in its automated alert system. In particular, CBP has not assessed relevant information not currently included in the automated alert or how to create a more risk-based approach that distinguishes between higher- and lower-risk quantities of radiological materials. Without such an assessment, CBP may be unable to develop a system or procedures that best support its policy for verifying imported radiological materials.", "This is a public version of a sensitive report GAO issued in September 2017. Information CBP deemed sensitive has been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CBP develop a monitoring system to help ensure that CBP officials comply with the agency's license verification policy, conduct an assessment to determine relevant information that is not included in the automated alerts, and develop a system that allows it to identify shipments of greatest risk. CBP concurred with GAO's three recommendations and outlined actions to implement those recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Tens of thousands of shipments containing potentially dangerous radiological material enter the United States each year through airports spread across the country. Radiological material is commonly used in thousands of locations throughout the United States and many other countries for medical, industrial, and research purposes, such as treating cancer, sterilizing food and medical instruments, and detecting flaws in metal welds. In the hands of terrorists, radiological material could be used to construct a \u201cdirty bomb\u201d\u2014a type of radiological dispersal device that uses conventional explosives to disperse radiological material. Depending on the type, form, amount, and concentration of radiological material used, a dirty bomb could expose nearby individuals to the material and potentially increase their long-term risk of cancer. In addition, the evacuation and cleanup after a dirty bomb explosion could result in serious economic costs, as individuals with homes and businesses in the vicinity may not be able to, or may choose not to, return for an extended period until the investigation and remediation activities are complete. Recent terrorist activity in the United States, Europe, and the Middle East continues to remind us about the potential use of radiological material in a malicious act, such as a dirty bomb, and the need to control radiological material.", "The Department of Homeland Security\u2019s U.S. Customs and Border Protection (CBP) and the Nuclear Regulatory Commission (NRC) work to ensure that only licensed radiological material enters the United States. NRC authorizes the possession of radiological materials through licenses, which can be issued by NRC or one of 37 Agreement States with licensing authority. CBP monitors ports of entry to help ensure that only properly licensed shipments of radiological material are permitted to enter the United States. CBP is also part of the global nuclear detection architecture\u2014a framework that includes numerous other federal agencies that work domestically and internationally to detect, analyze, and report on radiological materials that are out of regulatory control. Within this framework, CBP deploys technology at and between ports of entry\u2014 which include border crossings, seaports, and airports\u2014that can detect the presence of radiological material hidden in cargo or vehicles. In addition, CBP personnel take steps to ensure that radiological material imported into the United States is properly licensed.", "We have previously reported on vulnerabilities in CBP and NRC policies and procedures to prevent unauthorized individuals from obtaining radiological material. In March 2006, we were able to transport unlicensed radiological material across the U.S. border using a fake license. In response to that report, CBP developed a policy to verify the legitimacy of licenses. In June 2008, we reported that many CBP field staff were not aware of, or properly using CBP systems to verify licenses. We recommended, among other things, that CBP communicate verification guidance to ports of entry. CBP concurred with the recommendation. In response, CBP sent a memorandum to all ports of entry requiring that they incorporate new guidance into their operating procedures and ensure that the guidance be a part of their on-the-job training. In 2016, we again reviewed the rigor of NRC\u2019s radiological materials licensing program. For that review, we obtained a genuine license to possess radiological material by establishing fictitious companies, and we later altered that license in order to procure additional quantities of radiological material. Using both the genuine and altered licenses, we secured commitments from radiological material distributors to sell us a dangerous quantity of radiological material considered attractive for use in a dirty bomb. In response to that report, NRC is considering making enhancements to its pre-licensing process. In 2016, we also found that CBP faces limitations in the air cargo radiological screening environment. In 2017, we found weaknesses in NRC\u2019s and the Department of Transportation\u2019s processes for ensuring compliance with ground transportation security requirements for dangerous radiological shipments. That report recommended, among other things, that NRC should collect information on the number of shipments and mode of transport for shipments of radiological material. NRC disagreed with the recommendation.", "You asked us to review how CBP ensures that only properly licensed radiological material is imported into the United States. Specifically, this report (1) describes CBP\u2019s policies and procedures for ensuring that imported radiological material is properly licensed, (2) examines the extent to which CBP follows its policies and procedures, and (3) evaluates the effectiveness of these policies and procedures. This report is a public version of a sensitive report that we issued in September 2017. CBP deemed some of the information in our September report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about the extent of CBP\u2019s verification of licenses and its procedures for doing so. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology, which we have described in less detail to omit references to sensitive information.", "To describe CBP\u2019s policies and procedures for ensuring that imported radiological material is properly licensed, we reviewed regulations, policies, and procedures related to the verification of licenses for imports of radiological material into the United States. We also interviewed agency officials at CBP and NRC to obtain their views on the policies and procedures related to license verifications.", "To examine the extent to which CBP is following these policies and procedures, we conducted telephone and in-person interviews with CBP officials in headquarters, experts at CBP\u2019s Laboratories and Scientific Services Directorate\u2014Teleforensic Center, and officials and private- sector company personnel at airports where radiological material is frequently imported into the United States. We selected four airports to visit based on a high or low frequency of contacts made with the Teleforensic Center to verify licenses and on expected traffic of radiological materials shipments for a 21-month time frame from January 1, 2015, through September 30, 2016. We received data in October 2016 that included calls made from January 2015 through the last full month prior to the data request (September 2016). We believe this 21-month time frame provided a sufficient amount of time to examine trends within the program. The information we obtained at airports is not generalizable to all airports but provides examples of how airports are following CBP policies and procedures. Finally, we gathered data from CBP on the number of shipments of radiological material at ports of entry and compared it with data on the number of calls to the Teleforensic Center to verify licenses. We discussed the reliability of these data with knowledgeable CBP officials and questioned them about the system\u2019s controls to verify the accuracy and completeness of the data. We also analyzed these data for missing information and obvious outliers. We found the data sufficiently reliable for our reporting purposes.", "To evaluate the effectiveness of CBP\u2019s policies and procedures for ensuring that imported radiological material is properly licensed, we identified relevant internal control standards and compared them to CBP\u2019s system of internal controls procedures for verifying licenses for radiological material imported into the United States. We also spoke to CBP officials about the data systems and automated rule they have in place to notify CBP officials that a shipment requires license verification. In discussions with the officials, we discussed the history of the data systems and which information indicating a shipment contains licensable radiological material is included in the automated rule. We also obtained data from January 1, 2015, through September 30, 2016, on licensable radiological material imports. The 21-month time frame for these data matched the data we received showing calls to the Teleforensic Center to verify licenses, and it provided a consistent time frame for comparison. These data included the port of entry, company receiving the shipment, and mode of transport (i.e. air, ground, or sea), among other things. We analyzed these data to determine how many shipments with radiological material were not checked to verify that their license was legitimate. We discussed the reliability of these data with knowledgeable CBP and NRC officials, and we found the data sufficiently reliable for counting the number of shipments of radiological material.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Radiological material is used throughout the world for medical and industrial purposes. Possession of this material within the United States requires a license from NRC or from one of the 37 Agreement States to which NRC has relinquished regulatory responsibility. NRC and Agreement States issue two types of licenses authorizing the possession and use of radiological materials: specific licenses and general licenses. Specific licenses are issued for devices that typically contain larger quantities of radiological material, such as medical equipment used to treat cancer, cameras used for industrial radiography, and moisture and density gauges used in construction. Devices approved for use under a general license, by contrast, such as luminous exit signs, normally contain relatively small quantities of radiological material. Such devices are designed with inherent safety features, are widely available commercially, and do not require NRC or Agreement State approval to possess. Not all radiological material requires an NRC license for possession. For example, there is naturally occurring radioactive material in ceramics, fertilizers, and granite tile that does not require a license. This report focuses on radiological material that requires specific licenses for possession and use.", "Beyond requiring specific licenses for possession of radiological material, NRC may also require a general or specific license to import such material. Generally, NRC will issue an import license when the recipient of the material is authorized to receive and possess the material being imported.", "When issuing licenses for the possession of radiological material, NRC and Agreement States take steps to ensure companies are legitimate. Specifically, NRC and Agreement State officials are to conduct pre- licensing visits with all unknown applicants, using detailed screening criteria. According to NRC, the purpose of the site visit is to have a face- to-face meeting with the applicant to determine whether there is a basis for confidence that the applicant will use the radiological materials sought as represented in the application when the applicant receives the license. NRC has established a 14-point checklist to guide pre-licensing site visits and has developed a list of questions and activities related to each applicant\u2019s business operations, facility, radiation safety operations, and personnel qualifications, to scrutinize the applicant and provide a basis for confidence that the applicant will use the radiological material as specified in the license.", "In 2003, the International Atomic Energy Agency published a system\u2014 which NRC adopted in 2004\u2014that ranks quantities of individual radionuclides into one of five categories on the basis of their potential to harm human health. Under this system, a given radionuclide is considered dangerous when gathered in sufficient quantity and in close enough proximity to people to cause direct human health effects. A category 1 quantity, if not safely managed or securely protected, is likely to cause permanent injury to a person who handles or is otherwise in contact with it for more than a few minutes. Being close to this amount of unshielded material for a period of a few minutes to an hour will probably be fatal. A category 2 quantity, if not safely managed or securely protected, can cause permanent injury to a person who handles or is otherwise in contact with it for a short time (minutes to hours). Being close to this amount of unshielded radioactive material for a period of hours to days can be fatal. A category 3 quantity, if not safely managed or securely protected, can cause permanent injury to a person who handles or is otherwise in contact with it for some hours. Being close to this amount of unshielded radioactive material for a period of days to weeks can be fatal. Category 4 and 5 quantities are unlikely to cause permanent injury.", "In addition to categorizing radionuclides on the basis of their potential to harm human health, NRC has identified 16 radionuclides that are sufficiently attractive for use in a dirty bomb or for other malicious purposes. These 16 radionuclides of concern, shown in table 1, warrant enhanced security and protection measures\u2014such as cameras, alarms, and other physical security measures\u2014under NRC regulations.", "Radiological material is imported into the United States by both express consignment couriers arriving by air and air cargo carriers. Express consignment couriers, such as FedEx, move cargo for the public under express commercial services and provide door-to-door delivery. Air cargo carriers transport radiological material in cargo containers on commercial airlines. We have previously reported on the disparity in portal monitor deployment between the express consignment and air cargo environments. There are dozens of portal monitors in U.S. airports servicing express couriers, but few servicing air cargo carriers. According to CBP officials, handheld monitors are used to scan radioactive material at airports where portal monitors are not available.", "The CBP mission includes the border enforcement of the customs, immigration, and agriculture laws and regulations of the United States and enforcement on behalf of numerous federal agencies. The mission includes enforcement of the laws relating to the importation and exportation of merchandise into and out of the United States. In addition, the agency\u2019s mission includes denying entry to terrorists and their weapons and criminals and their contraband. CBP\u2019s Office of Field Operations is responsible for passenger and cargo processing activities related to border security, trade, immigration, and agricultural inspection at the nation\u2019s air, sea, and land ports of entry. Prior to importing goods into the United States, information is submitted to CBP declaring the contents of shipments. This information includes, among other things, a description of goods, the name of the recipient, the port of entry, and a tariff code that classifies goods.", "CBP uses various data systems to track shipments into the United States and identify shipments for license verification. According to CBP, the Automated Commercial Environment is the primary system for processing shipments entering the United States, and it enables the government to make determinations about whether to admit goods into the country. The data stored in the Automated Commercial Environment are also used to ensure proper duty is collected for imported goods. CBP officials also view Automated Commercial Environment data in CBP\u2019s Automated Targeting System, which is a decision support tool that analyzes shipment data to assess risk and identify potential violations. The Automated Targeting System includes automated alerts, which notify CBP officials when they need to take additional actions before shipments can be released. Information about NRC and Agreement State licenses for radiological material is included in NRC\u2019s Web-Based Licensing System, which includes information about NRC and Agreement State licenses for category 1 and 2 quantities of radiological material. In addition, the Web-Based Licensing System includes up-to-date information on all NRC and six Agreement States\u2019 specific licenses, including licenses that authorize possession of radiological material below the category 2 threshold. However, licenses for quantities of material below the category 2 threshold issued by 31 Agreement States are not kept in the system. The CBP data systems used to identify shipments for license verification are listed in table 2."], "subsections": []}, {"section_title": "CBP\u2019s Policies and Procedures Require License Verification for Imported Radiological Material", "paragraphs": ["CBP has implemented a policy and procedures requiring CBP officials at airports to contact experts within a centralized CBP office to verify licenses for radiological material being shipped into the United States. Specifically, CBP issued its \u201cRadiation Detection Standard Operating Procedures Directive\u201d policy in March 2014, outlining when CBP officials at ports of entry are required to contact internal experts at CBP\u2019s Teleforensic Center who possess the technical expertise to verify that NRC and Agreement State licenses for radiological materials are legitimate. The function of the Teleforensic Center is to provide field CBP officials with assistance in resolving scientific and technological questions, including detection, isolation, and control of potential threats that may result from the presence of chemical, biological, radiological, or nuclear materials. The Teleforensic Center is staffed with scientists with expertise in a range of scientific disciplines, including chemistry, biology, explosives, radiological science, and nuclear science. The Teleforensic Center has established a hotline to receive requests for license verification, among other things, and the experts are available 24 hours a day, 7 days a week.", "CBP\u2019s 2014 policy requires CBP personnel to verify the legitimacy of NRC and Agreement State licenses for all commercial imports of industrial and medical radionuclides that require a license from NRC or one of the 37 Agreement States. To implement this policy, CBP has established procedures for private-sector entities and CBP. These procedures, which apply equally to all quantities and types of licensable radiological material, can be broken down into three parts: submission of paperwork, identification of material, and verification of the license by experts in the Teleforensic Center, as outlined in figure 1.", "Once the shipment information is entered into the Automated Commercial Environment, CBP data systems identify which shipments of radiological material require license verification. Specifically, CBP\u2019s Automated Targeting System uses certain information to identify shipments requiring license verification. Details about this information are omitted from this report because they were deemed to be sensitive by CBP. Once shipments are flagged as containing licensable radiological material, an alert is sent to CBP officials at the airport informing them that the material requires a license from NRC or an Agreement State. The alert outlines the steps the officials need to take to verify that the license is legitimate. Among other things, the alert explicitly states the phone number for contacting the Teleforensic Center and includes instructions for handling the material. According to CBP procedures, CBP officials are not allowed to release the shipment until they receive approval from the Teleforensic Center.", "Officials at the Teleforensic Center primarily use NRC\u2019s Web-Based Licensing database to verify the legitimacy of licenses granted by NRC. However, as we\u2019ve previously reported, licenses for some radiological material that are granted by Agreement States are not kept in that database, requiring the center\u2019s experts to also call specific points of contacts at Agreement States to verify these licenses. CBP officials told us that Agreement State offices typically are not open 24 hours a day, 7 days a week, occasionally requiring CBP to hold shipments until an official can be reached. In addition to consulting the Web-Based Licensing database and contacting Agreement State officials to verify licenses, experts at the Teleforensic Center can also request additional information from CBP officials at the airports. After the experts verify that a license is legitimate, they give approval to the CBP officials at the airport to release the shipment. CBP officials at the airport then document the release. CBP officials at the four airports we visited and experts at the Teleforensic Center told us that it typically takes 30 to 90 minutes to verify a license, but it can take longer if the experts have to consult with an Agreement State. If a license cannot be verified, the shipment is returned to the sender or, in the case of an illegal shipment, seized and referred to proper law enforcement officials, as outlined in the policy."], "subsections": []}, {"section_title": "CBP Has Not Verified All Licenses as Required by Its Policy and Procedures", "paragraphs": ["CBP has not verified all licenses for radiological materials as required in its policy and procedures. During the 21-month period we reviewed, CBP personnel at airports across the country did not verify the legitimacy of a significant number of shipments CBP considered as containing potentially dangerous radiological material. CBP officials at two of the four airports we visited may not have verified the legitimacy of licenses for many of the shipments of radiological material imported during the 21-month period, which was not consistent with CBP policy. After we brought this issue to CBP\u2019s attention, it issued additional guidance. However, this guidance was not clear and caused confusion at the two airports we visited where actions continued to be taken that were not consistent with CBP policy."], "subsections": [{"section_title": "CBP Is Not Consistently Implementing Its Procedures, Potentially Leaving Many Shipments of Radiological Material Unverified", "paragraphs": ["CBP officials did not verify the legitimacy of licenses for many of the shipments of radiological material imported from January 1, 2015, to September 30, 2016. We found that during this time frame, CBP officials stationed at airports nationwide did not make the required calls to verify licenses for a significant number of shipments of radiological material identified by CBP as requiring license verification\u2014leaving many licenses unverified over this 21-month period. These shipments came through airports across the United States and, according to CBP officials we interviewed, arrived by both express courier and air cargo companies.", "At two of the four airports we visited, we observed that CBP officials were taking actions that were consistent with CBP policy. Specifically, we noted the following:", "At one airport, officials responsible for reviewing shipments of imported radiological material told us that they call the Teleforensic Center whenever they receive an alert from CBP\u2019s data system, consistent with CBP policy. In addition, the officials said that they send any requested information to the Teleforensic Center and wait for approval from the center before releasing shipments.", "At another airport, officials responsible for reviewing shipments of imported radiological material told us that they also call the Teleforensic Center whenever they receive an alert and only release shipments upon receiving approval.", "However, at the remaining two airports we visited, officials responsible for reviewing shipments of imported radiological material took actions that were not consistent with CBP policy to verify the legitimacy of radiological shipments entering the country. As a result, officials at these airports had not verified hundreds of licenses as required under CBP\u2019s policy because the officials misunderstood what they were required to do. In discussions with these officials, some described taking actions that were not consistent with the license verification requirements. Details about the extent of verification are omitted from this report because the information was deemed to be sensitive by CBP.", "At one airport, CBP officials told us they typically verify licenses on- site without calling the Teleforensic Center. This airport had more than 100 shipments of licensable radiological material during the 21-month period for which CBP provided data, but officials only made a few calls to the Teleforensic Center to verify licenses during this time, leaving many shipments of material unverified. Instead of calling the Teleforensic Center as required, the CBP officials said that they reviewed the shipment paperwork and looked for anomalies. CBP officials said that they undertake this paperwork review regardless of the risk of the radiological material in the shipment. For example, they said they would use this approach to verify licenses for category 1 materials, which NRC and the International Atomic Energy Agency classify as likely to cause permanent injury to a person who comes into contact with them. The officials told us that they call the Teleforensic Center only when there is something wrong with the shipment. Officials at CBP headquarters told us that this procedure does not comply with their verification policy and would not be effective.", "At the second airport, CBP officials we interviewed told us that license verification was conducted by private-sector express couriers overseas, negating the need for officials at the port of entry to call the Teleforensic Center. The CBP officials at the airport believed that a Memorandum of Understanding (MOU) between CBP and private companies delegates responsibility to express couriers to scan material with radiation detection equipment. These CBP airport officials said that express couriers also verify licenses as part of this process. However, the MOU between CBP and express couriers does not address the verification of licenses for radiological shipments. CBP headquarters officials we interviewed told us that the airport\u2019s practice does not comply with the agency\u2019s verification policy and confirmed that the Teleforensic Center is the only entity that can verify licenses. The headquarters officials also reiterated to us that license verification is not conducted by overseas private-sector companies. Officials we interviewed from an express courier that ships radiological material also told us that they do not verify licenses. This airport made few calls to the Teleforensic Center to verify licenses during the 21-month period, according to the data provided to us by CBP."], "subsections": []}, {"section_title": "CBP Issued Additional Guidance, but This Guidance Did Not Initially Improve Compliance", "paragraphs": ["In February 2017, we briefed CBP headquarters officials on our findings from the site visits to the four airports. We included in our briefing a summary of findings from our site visits and information on the number of calls made by CBP officials to verify licenses. At this meeting, CBP headquarters officials indicated that they would look into why calls were not made. Subsequently, in March 2017, in response to this briefing, CBP headquarters issued additional guidance to remind all field officials of CBP\u2019s license verification policy. The guidance states that CBP officials must contact the Teleforensic Center to verify the license for all shipments of licensable radiological material. In addition, the guidance states that shipments may not be released from the airport until experts at the Teleforensic Center have completed verification of the license. The guidance was issued in the form of a \u201cmuster\u201d\u2014a type of memorandum addressed to all CBP field offices to emphasize CBP policy. Once such a memorandum is issued, CBP relies on local officials to interpret and pass along this information to those working directly with the shipments. According to CBP officials, the guidance was communicated to managers and then the managers communicated this information to front-line staff through weekly meetings and informal discussions.", "However, the muster was not successful in correcting previous misconceptions at the two airports we visited where officials\u2019 actions were not consistent with CBP policy and the muster did not fully resolve their noncompliance with CBP policy. In part this was because, according to officials, they found the muster confusing. In April and May 2017, several weeks after CBP issued the muster, we contacted officials at the four airports we previously visited. Based on interviews with CBP officials at the two airports where actions were not consistent with CBP policy before the muster, we determined that they were continuing to take actions that were not consistent with CBP policy after they received the muster. For example, CBP officials at one of the two airports said they were continuing to conduct license verification without the assistance of the Teleforensic Center. Officials at this airport told us that they believed their actions were consistent with the policy, even though they had not altered their actions in response to the muster. Similarly, at the other airport where actions were not consistent with the CBP policy before the muster, officials told us again that license verification can be conducted overseas by express couriers, citing the MOU allowing express couriers to scan material with radiation detection equipment. When we discussed the content of the muster with CBP officials in headquarters in June 2017, they acknowledged the muster was confusing and stated it needed to be further clarified. Subsequent to our June 2017 meeting with CBP officials, they provided additional data that suggested an increase in calls to the Teleforensic Center. In July 2017, CBP officials told us they planned to issue additional clarifications. Subsequently, in November 2017, CBP issued an additional muster emphasizing its policy to call the Teleforensic Center for all shipments of licensable radiological material.", "CBP headquarters officials told us that they were unaware, until we informed them, that selected airports were not calling the Teleforensic Center to verify licenses and that licenses were not being verified for some imported radiological material. This is because CBP does not have a mechanism, such as a monitoring system, to ensure that all required license verifications are occurring. Such a system could also conduct checks to ensure CBP officials are following agency policy. The challenge to creating such a system is that CBP houses the data necessary to create it in separate systems that do not communicate with each other, and these systems are currently run by different offices with differing missions within CBP. Federal standards for internal control state that management should establish and operate monitoring activities to monitor the internal control system and evaluate the results. Until CBP develops a monitoring system to help ensure that CBP officials comply with the license verification policy, the agency will not have reasonable assurance that it can identify activities that are inconsistent with its policy and take corrective action as necessary."], "subsections": []}]}, {"section_title": "CBP Policies and Procedures Are Not Effective at Ensuring Only Properly Licensed Radiological Material Is Imported", "paragraphs": ["CBP policies and procedures are not effective at ensuring that only properly licensed radiological material is imported into the United States. Specifically, CBP\u2019s procedures for identifying licensable radiological material do not ensure that all shipments of radiological material are identified and verified, resulting in the exclusion of a significant number of shipments that possibly contained radioactive material during the 21- month period we reviewed. Moreover, CBP\u2019s current policy and procedures treat all radiological shipments with the same level of scrutiny and do not target resources based on the risk of the material. Details about these issues are omitted from this report because the information was deemed to be sensitive by CBP."], "subsections": [{"section_title": "CBP\u2019s Procedures Do Not Ensure That All Shipments of Radiological Material Are Identified and Verified", "paragraphs": ["CBP procedures for identifying licensable radiological material do not effectively implement its policy to verify the license for all shipments of licensable radiological material. We identified the following issues that result in limitations in CBP\u2019s procedures.", "Specifically, the data system that CBP uses to implement its procedures does not sufficiently identify all shipments of potentially dangerous radiological materials. To implement its procedures, the agency chose to use an existing data system designed to process all types of imports into the United States. This system uses general customs information to identify the contents of shipments. Consequently, of the 44,152 shipments that could contain licensable radiological material, the system alerted CBP officials that they were required to verify relatively few licenses from January 1, 2015, to September 30, 2016.", "In addition, CBP\u2019s license verification procedures do not currently target the higher-risk radiological materials. CBP\u2019s method for identifying the contents of shipments does not include information that describes the quantity of radiological material. Specifically, categories 1, 2, and 3 quantities of radiological material can cause permanent injury or death to a person in contact with them for some period of time. As a result, according to a senior CBP official, it is safer to assume all shipments of radiological material are dangerous until proven otherwise.", "Federal standards for internal control recommend that agencies design control activities to achieve objectives and respond to risks. Until CBP develops a robust system that can identify all shipments of radiological material that pose risk, it will not have reasonable assurance that it has the appropriate policies and procedures necessary to verify licenses for these shipments. Furthermore, as we reported in December 2016, an essential element of enterprise risk management is to examine risks considering both the likelihood of the risk and the impact of the risk on the mission, in order to help prioritize risk response. Although CBP officials recognize that their current system and procedures have limitations and do not allow them to fully implement the agency policy to verify all shipments of radiological material that enter the United States, we found that they have not developed a system nor revised their procedures to address the issues we identified. Of particular concern is that CBP has not conducted a comprehensive assessment of (1) the information not currently included in the automated alert to determine what additional information would indicate shipments that may contain dangerous material or (2) how to create a more risk-based approach that distinguishes between higher- and lower-risk categories of radiological materials. Until it conducts such an assessment, CBP will not know how to adjust its current procedures to ensure that it is identifying all shipments of potentially dangerous radiological material and targeting its limited resources to those that pose the greatest risk."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["CBP has implemented a policy and procedures intended to ensure that the tens of thousands of shipments of potentially dangerous radiological material imported through U.S. airports each year are properly licensed. However, CBP\u2019s procedures do not effectively implement CBP\u2019s policy of ensuring that only properly licensed radiological material gains entry to the United States. This is because CBP does not have a monitoring system to help ensure that CBP officials at airports nationwide are complying with the license verification policy. Until CBP develops such a system, the agency will not have reasonable assurance that it can identify activities that are inconsistent with its policy and take corrective action as necessary.", "In addition, CBP\u2019s procedures for identifying licensable radiological material do not ensure that all shipments of radiological material are identified and verified. This is the result of CBP\u2019s automated alert, which currently does not include all relevant information needed to identify such shipments. Additionally, CBP procedures do not distinguish between high-risk categories of radiological materials and lower-risk categories; therefore CBP cannot target its limited resources to the shipments that pose the greatest risk. CBP has not conducted a comprehensive assessment of the information not currently included in the automated alert and does not know which shipments pose the greatest risk. A comprehensive assessment could help CBP gain a better understanding of information not currently included in the automated alert, and it could better position the agency to make appropriate changes to its existing system and procedures, as well as target its limited resources toward the quantities of material that pose the greatest risk."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CBP:", "The Commissioner of CBP should develop a monitoring system to help ensure that CBP officials comply with license verification policies and procedures. (Recommendation 1)", "The Commissioner of CBP should conduct a comprehensive assessment of information not included in the automated alert to determine what information is needed to identify licensable radiological material. (Recommendation 2)", "The Commissioner of CBP should develop a system that better identifies shipments of radiological material that pose the greatest risk and revise CBP\u2019s policies and procedures as necessary to verify licenses for these shipments. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Department of Homeland Security (DHS) and NRC for review and comment. DHS provided written comments, reproduced in appendix I, in which it concurred with our three recommendations. DHS stated that it will take the following actions, among others, to address our recommendations: (1) include a monitoring process in an updated version of its policy addressing license verification, (2) conduct a comprehensive assessment of information not included in the automated alert to determine what information is associated with dangerous material, and (3) develop an intelligence-driven process that identifies shipments of radiological materials that pose the greatest threat. In addition, DHS and NRC provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, the Chairman of the U.S. Nuclear Regulatory Commission, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Ned Woodward, Assistant Director; Jeffrey Barron; Richard Burkard; Kendall Childers; Cindy Gilbert; Cynthia Norris; Danny Royer; Jerry Sandau; Travis Schwartz; and Kiki Theodoropoulos made key contributions to this report."], "subsections": []}]}], "fastfact": ["Tens of thousands of shipments containing radiological material\u2014which terrorists could use to make a dirty bomb\u2014enter the U.S. each year through airports across the country. The Nuclear Regulatory Commission and some states issue licenses for import and possession of the material, and U.S. Customs and Border Protection is responsible for verifying shipments entering the country are authorized or licensed.", "However, we found that CBP failed to verify licenses for some shipments and that its processes do not ensure that all shipments are identified. We recommended that CBP develop systems to improve shipment verification and identification."]} {"id": "GAO-19-41", "url": "https://www.gao.gov/products/GAO-19-41", "title": "Mental Health: Leading Practices for State Programs to Certify Peer Support Specialists", "published_date": "2018-11-13T00:00:00", "released_date": "2018-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["As the peer support workforce has grown, there has been increased attention to standardizing the competencies of peer support specialists through certification.", "The 21st Century Cures Act included a provision for GAO to conduct a study to identify best practices related to training and certification in peer support programs in selected states that receive funding from SAMHSA. This report, among other things, describes leading practices for certifying peer support specialists identified by program officials in selected states.", "GAO interviewed state program officials in six selected states and reviewed online, publicly available information about their peer support programs. GAO selected the states in part based on the state's certification program being well-established (at least 2 years old), use of SAMHSA funding for peer support, and stakeholder recommendations. The six selected states\u2014Florida, Georgia, Michigan, Oregon, Pennsylvania, and Texas--are among the 41 states and the District of Columbia that, as of July 2016, had programs to certify peer support specialists. In addition to the state program officials, GAO interviewed SAMHSA officials and 10 stakeholders familiar with peer support specialist certification, including mental health researchers and officials from training organizations, among others.", "GAO provided a draft of this report to HHS for review and comment. The Department did not have any comments."]}, {"section_title": "What GAO Found", "paragraphs": ["According to officials from the Substance Abuse and Mental Health Services Administration (SAMHSA) within the Department of Health and Human Services (HHS), shortages in the behavioral health workforce are a key reason that individuals with mental illnesses do not receive needed treatment. In recent years, there has been an increased focus on using peer support specialists\u2014individuals who use their own experience recovering from mental illness to support others\u2014to help address these shortages. Program officials GAO interviewed in selected states generally cited six leading practices for certifying that peer support specialists have a basic set of competencies and have demonstrated the ability to support others."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal data and academic research show an unmet need for behavioral health services\u2014that is, for services that address mental health or substance use issues. Specifically, based on its annual survey of behavioral health issues, the Substance Abuse and Mental Health Services Administration (SAMHSA) within the Department of Health and Human Services (HHS) estimated that 10.4 million adults in 2016 had a serious mental illness; however, only 6.7 million adults received treatment for these issues in the past year. Serious mental illnesses\u2014including schizophrenia and bipolar disorders\u2014substantially interfere with a person\u2019s major life activities such as maintaining interpersonal relationships and employment. Further, a recent study covering the period 2008-2014 found that more than 50 percent of adults with co-occurring mental health and substance use disorders (such as alcohol and opioid use disorders) received neither mental health care nor substance use treatment in the prior year.", "According to SAMHSA, workforce shortages are a key driver of the unmet need for behavioral health services; 55 percent of counties in the United States do not have any practicing behavioral health workers. In light of these issues, SAMHSA officials and other experts have called for using peer support specialists to help address shortages in the behavioral health workforce. Peer support specialists are individuals who use their own personal, lived experience recovering from mental illnesses to support others in their recovery.", "In recent years, states have increased their focus on recovery as part of mental health services, and this has included utilizing peer support specialists. A nationwide study found that 41 states and the District of Columbia had established programs to train and certify these workers, and two other states were in the process of developing such a program as of July 2016. As the peer support specialist workforce continues to grow, there has been increased attention to standardizing the profession through certification.", "The 21st Century Cures Act included a provision for us to conduct a study of peer support specialist programs in states that receive funding from SAMHSA and identify best practices in these states related to training and credential requirements for peer support specialist programs. This report describes (1) programs for certifying peer support specialists in selected states and (2) leading practices for certifying peer support specialists identified by program officials in selected states.", "To describe programs for certifying peer support specialists in selected states, we selected six states to illustrate aspects of, and variations in, the certification programs that states have developed for peer support specialists. The results from our sample cannot be generalized to other state peer support specialist programs. We selected our sample states using five criteria, specifically (1) recommendations from SAMHSA officials, researchers in the field of peer support, and national-level mental health organizations on states with well-established programs; (2) SAMHSA data that indicated that a state had reported using SAMHSA\u2019s Community Mental Health Services Block Grant for peer support generally; (3) the age of the state\u2019s certification program was at least 2 years old; (4) geographic diversity across the United States; and (5) the prevalence of serious mental illness among adults in the state. Using these criteria, we selected the following six states for our sample: Florida, Georgia, Michigan, Oregon, Pennsylvania, and Texas.", "We then reviewed information from the selected states describing certification requirements for their peer support specialist programs, including policy manuals and guidelines for becoming a peer support specialist, training materials, and information on certification renewal. Additionally, to understand general training practices to inform our discussions with state program officials, we reviewed our previous reports on assessing training and development efforts and key principles for effective workforce planning. We similarly reviewed the National Commission for Certifying Agencies\u2019 Standards for the Accreditation of Certification Programs to provide similar guidance. Finally, we interviewed individuals with responsibilities related to the peer support specialist programs in the selected states, including state program officials and staff from independent certification boards and consumer advocacy groups. (See app. I for a complete list of those we interviewed.) During these discussions we obtained information on, among other things, the respective state\u2019s program\u2019s screening, training, and certification requirements.", "To describe leading practices for certifying peer support specialists identified by program officials in the six selected states, we interviewed SAMHSA officials about information related to the training and certification of these specialists, including information on core competencies that apply to them that SAMHSA identified beginning in 2015. We collected information from the six selected states on their certification practices through a questionnaire we developed and follow- up interviews with state officials. This included asking their opinions on what they considered to be leading practices in the areas of screening, training, and certification requirements for a state peer support specialist program. We then analyzed information obtained from our interviews with officials from the selected states to determine which leading practices they consistently identified for certifying peer support specialists. For the purposes of this report, we included a practice as a leading practice if it was identified by state officials from the majority (at least four) of the selected states. We then examined information from the six selected states to determine whether they were currently applying the identified leading practices, even if a particular state had not identified the practice as a leading practice during the interview.", "We also interviewed 10 stakeholders about leading practices. (See app. I for a complete list of those we interviewed.) To select the stakeholders, we utilized information from our preliminary research on the topic of peer support certification and requested recommendations from researchers and SAMHSA officials. We ensured that the provided recommendations represented researchers or academic institutions, training or consulting organizations, associations, and advocacy organizations, interviewing at least one stakeholder from each area to obtain a mix of perspectives. We also included some stakeholders that were currently or formerly under contract with the Department of Veterans Affairs\u2014the largest employer of peer support specialists in the United States\u2014to provide training for its peer support specialists. To confirm the applicability of the leading practices identified by the six states, we shared them with the stakeholders we interviewed. We also examined the extent to which the identified leading practices aligned with those identified by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (now the Psychological Health Center of Excellence), within the Defense Health Agency of the Department of Defense.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["SAMHSA defines a peer provider as \u201ca person who uses his or her lived experience of recovery from mental illness and/or addiction, plus skills learned in formal training, to deliver services in behavioral health settings to promote mind-body recovery and resilience.\u201d Generally, peer providers are known as \u201cpeer support specialists\u201d in mental health settings. Peer support specialists are distinguished from traditional mental health service providers by their lived experience recovering from mental illness. People with serious mental illness generally receive longer term and more intensive treatment\u2014either in a primary care or specialty setting\u2014and peer support specialists may play a key role in the recovery process for these individuals.", "Peer support specialists work in a variety of settings, including clinical settings such as hospital emergency rooms, independent peer-run organizations, and on support teams in housing agencies that help eligible low-income families and persons with disabilities find rental housing. They can also deliver a varied set of services, including sharing of experience, goal-setting, developing coping and problem solving strategies to help individuals self-manage their mental illnesses, and linking individuals to desired resources like transportation or volunteer opportunities. Importantly, the services provided by peer support specialists complement, but do not replace, clinical services."], "subsections": [{"section_title": "Peer Support Specialist Certification", "paragraphs": ["Like other behavioral health specialties, the requirements for certifying peer support specialists vary by state, and certification bodies range from state government entities to independent non-profit organizations. The development of state-level peer support specialist certification programs was largely driven by another HHS agency, the Centers for Medicare & Medicaid Services, which in 2007 recognized peer support services as an evidence-based mental health model of care and established minimum requirements for states seeking federal Medicaid reimbursement for peer support services. One of these requirements is that peer support specialists complete a training and certification program as defined by the state. Another requirement is that peer support specialists receive supervision from a \u201ccompetent mental health professional,\u201d which may be provided through direct oversight or periodic care consultation. The state defines the amount, scope, and duration of the supervision as well as who is considered a competent mental health professional.", "States have used the flexibility allowed by the Centers for Medicare & Medicaid Services to create their own programs to certify peer support specialists. Some of these state peer support specialist programs are assessment-based certificate programs\u2014programs that provide training and then evaluate whether applicants achieved the learning objectives of that training through an examination in order to receive certification. Other programs are professional certification programs\u2014programs that evaluate applicants against predetermined standards of knowledge, skills, or competencies. In professional certification programs, the certifying body is independent from, and is not responsible for, the training process."], "subsections": []}, {"section_title": "SAMHSA and Peer Support Specialists", "paragraphs": ["SAMHSA supports the peer support specialist field through training, technical assistance, and grant funding. For example:", "From 2009 to 2014, SAMHSA partnered with stakeholders, such as the National Association for State Mental Health Program Directors, to gather nationally-recognized experts and stakeholders from across the United States for an annual meeting. These meetings, known as the \u201cPillars of Peer Support,\u201d aimed to identify and create consensus around factors that facilitate the use of peer support services in state mental health systems of care.", "In 2015, SAMHSA developed core competencies defining the critical knowledge, skills, and abilities needed by anyone who provides peer support services through a technical assistance project. According to officials, the core competencies were developed in response to inconsistencies in the training and certification of peer support specialists that emerged as states began to develop their programs. SAMHSA\u2019s core competencies reflected the five foundational principles of peer support identified by consumers and other stakeholders: services should be (1) recovery oriented; (2) person- centered; (3) voluntary; (4) relationship-focused; and (5) trauma informed. In addition to developing the core competencies, the project provides trainings and offers technical assistance to states, counties, providers, and other stakeholders."], "subsections": []}, {"section_title": "Funding for Peer Support Specialist Programs", "paragraphs": ["Although Medicaid provides the largest share of funding for state mental health agencies, followed by state funds, SAMHSA also provides grant funding that states can use for both the service and administrative components of their peer support specialist programs. For example, SAMHSA\u2019s Center for Mental Health Services funds peer support programs through its administration of the Community Mental Health Services Block Grant, which provides flexible funding to the states to support services and related support activities for individuals with serious mental illness. While the Community Mental Health Services Block Grant accounted for less than 1 percent of total revenues received by state mental health agencies in fiscal year 2015, the flexibility of the funds allows them to be expended to pay for services that Medicaid and other health insurance will not pay for, such as training and developing standards. In fiscal year 2018, 40 states and the District of Columbia reported using the funds from the Community Mental Health Services Block Grant for peer support.", "SAMHSA also provides discretionary grants directly to domestic nonprofit organizations that aim to expand the capacity of peer support providers. These discretionary grants, including the Statewide Consumer Network Program grants, have helped establish recovery-oriented, consumer- driven services at the state level. SAMHSA also provides block and discretionary grants focused on substance use through its Center for Substance Abuse Treatment and Center for Substance Abuse Prevention, both of which have been used for peer recovery coaches.", "While most states use SAMHSA grants and state general funds to develop and sustain their peer support programs, as of 2016, 41 states and the District of Columbia were receiving federal Medicaid reimbursement for the services provided by peer support specialists. Georgia was the first state to receive federal Medicaid payment for peer support services in 1999, and additional state Medicaid programs began to provide coverage of peer support after the Center for Medicare & Medicaid Services issued guidance in 2007 on the requirements for federal payment for such services. In addition to meeting the minimum requirements for peer support services\u2014including training and certification, supervision, and care coordination\u2014states that bill for peer support services under the Medicaid program must comply with all Medicaid regulations and policies."], "subsections": []}]}, {"section_title": "Selected State Programs Generally Use Similar Processes for Certifying Peer Support Specialists, with Some Variation in Program Requirements", "paragraphs": ["Programs in all six states that we reviewed generally use the same process for screening, training, and ultimately certifying peer support specialists. See figure 1 for an illustrated example of this process.", "Although the six states\u2019 programs generally use the same process for certifying peer support specialists, as of May 2018 the programs varied in the specific requirements applicants must meet for each of the three stages of certification: screening, training, and certifying. See appendix II for detailed information on state program requirements."], "subsections": [{"section_title": "Screening Requirements", "paragraphs": ["To determine applicants\u2019 eligibility for peer support specialist certification, all six state programs we reviewed have screening requirements applicants must meet when applying for certification. These screening requirements include requirements related to education, lived experience with mental illness, prior work or volunteer experience, and letters of recommendation. The extent to which each screening requirement was used by each state varied, and the specifics of each requirement also varied across the six programs we reviewed (see fig. 2).", "Education. Five of the six states that we reviewed required a high school diploma or equivalent. Officials from four of these states indicated that this level of education was necessary given the skills needed by peer support specialists, such as reading comprehension and communication skills. In contrast, Oregon officials told us that they did not require a high school diploma or equivalent; however, the officials noted that most of their peer support specialists have at least a high school education.", "Mental health experience. While all six state programs we reviewed required applicants to have lived experience in recovery from mental illness, the programs implemented this requirement in different ways. Some required a mental health diagnosis, while others required a minimum length of recovery time or required applicants to have received services for a mental illness. Texas officials said they did not have a specified length of recovery requirement due to the difficulty of pinpointing the specific time a person began his or her recovery; rather, Texas required applicants to self-identify as having experience living in recovery.", "Prior work or volunteer experience. Three of the six state programs required applicants to have prior relevant work or volunteer experience, although the amount of experience required varies. For example, to start the certification process, applicants in Michigan must be currently working in a peer support specialist role and have been in that position for at least 10 hours a week for the past 3 months. In contrast, Georgia officials told us that they found this requirement to be a barrier for some individuals who have not been able to work; therefore, Georgia did not have this requirement.", "Letters of recommendation. Three of the six states required letters of recommendation as another way to assess applicants\u2019 readiness to become peer support specialists. State officials stressed that the letter should be a personal, work, or volunteer reference, rather than a clinical reference."], "subsections": []}, {"section_title": "Training Requirements", "paragraphs": ["To ensure the competence of the peer support specialist workforce, all six state programs we reviewed required applicants to complete an initial training, which we refer to as \u201ccore training.\u201d The core training is the initial training provided to applicants seeking to become certified peer support specialists and, while the curricula may vary by state or training vendor, its purpose is to convey the skills and competencies that peer support specialists need to enter the workforce. Topics covered during the training typically include ethics, recovery, sharing the recovery story, and communication skills. (See app. III for an example of a peer support specialist core training schedule.) While all six states require applicants to attend core training, the length, cost, and curricula of these trainings varied across the states, as figure 3 shows.", "Length of training. All six programs required at least 40 hours of in- person core training, with Georgia and Pennsylvania requiring more than 70 hours. The six states required at least a week of core training to allow sufficient time to cover a core curriculum of general peer-related information, such as the meaning and role of peer support services, and at times including role play, in an effort to develop the interpersonal skills needed for an effective peer leadership.", "Cost of training. All states but Florida charged applicants fees to attend training. Training fees varied by state, ranging from $85 in Georgia to $1,400 in Pennsylvania. These fees varied because what they covered also varied. For example, state program officials from Michigan told us that, among other things, the $600 fee covers the price of lodging for the core training, consultant fees, materials, and college credit hours that can be earned by attending the training and the graduation ceremony. In contrast, state program officials from Georgia told us that the $85 they charge covered the cost of producing the course manual and that all other costs are covered by the state.", "Training curriculum. Four of the six state programs had their own approved core training curriculum to be used for applicants, while the remaining two programs in Oregon and Pennsylvania allowed applicants to select from approved training vendors\u2014each of which had its own training curricula."], "subsections": []}, {"section_title": "Certification Requirements", "paragraphs": ["To complete the certification process, all state programs we reviewed assessed applicants\u2019 knowledge of the concepts taught in the core training through an examination. The applicants also had to sign and abide by a code of ethics. However, as of May 2018, the state programs varied as to who administered the certification examination, the type of code of ethics applicants were required to sign, the frequency with which certifications had to be renewed, and the continuing education requirements certified peer support specialists had to meet. (See fig. 4.)", "Examination. Four of the states we reviewed administered a single, statewide exam that applicants must pass before becoming certified, while in the remaining two states applicants had to pass an exam administered by the approved training vendor. The exams included multiple choice or essay questions. One training vendor responsible for conducting training in at least two states told us that the vendor included an oral evaluation component as part of the exam, in light of the communication and interpersonal skills needed for the peer role. Similarly, a state program official from Pennsylvania told us that observational assessments are also used to determine an applicant\u2019s skills and knowledge.", "Code of ethics. Like other health professions, peer support specialists typically must agree to abide by a code of ethics. All six states we reviewed required peer support specialists to sign a code of ethics before becoming certified. Of the six states, the codes of ethics in Pennsylvania, Georgia, Michigan, and Texas were unique to peer support specialists, while Florida and Oregon used codes of ethics that also applied to other workforces, such as substance use disorder professionals and community health workers. Relatedly, five of the six states also had formal processes in place to investigate and take action in the event that a peer violated the code of ethics by, for example, disclosing confidential information. These actions range from reprimand to revocation of certification.", "Certification renewal. Three of the six states we reviewed required peer support specialists, once certified, to renew their certifications every 1 to 3 years, while the remaining three states awarded lifetime certifications.", "Continuing education. Five of the six states required certified peer support specialists to meet annual continuing education requirements, which ranged from approximately 10 hours per year to 36 hours every 2 years. According to some state program officials, requiring continuing education ensures continued competence in the field of peer support or provides specialized training, such as training for working with specific populations (such as veterans) or incorporating additional approaches or skill sets (such as training about the Wellness Recovery Action Plan)."], "subsections": []}]}, {"section_title": "State Officials Generally Cited Six Leading Practices for Certifying Peer Support Specialists", "paragraphs": ["Officials from peer support specialist programs in selected states generally cited six leading practices for certifying peer support specialists. The 10 stakeholders\u2014representing the perspectives of researchers, training or consulting organizations, associations, and advocacy organizations\u2014we spoke with generally agreed that the six identified leading practices should be incorporated into programs that certify peer support specialists because the practices can lead to stronger quality of services for individuals with serious mental illnesses.", "Leading practice one: Systematic screening of applicants. Program officials in five of the six selected states cited the importance of systematic or detailed screening of applicants to become peer support specialists as a leading practice. All six state programs assessed applicants through a variety of approaches, including (1) using screening questions about the applicants\u2019 understanding of the peer role, (2) conducting telephone interviews with applicants, (3) reviewing applications with a standardized tool or scoring rubric, and (4) having multiple people review applications for objectivity. Eight of the 10 stakeholders we interviewed confirmed that this was a leading practice, though some cautioned that these requirements should not unnecessarily exclude individuals with unique backgrounds or little work history. The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, which in 2011 explored how to most effectively apply peer support in the military environment as part of its ongoing mission, has similarly identified systematic screening with defined selection criteria as a best practice for peer support programs.", "While work or volunteer experience can be used as a screening requirement for applicants and was required by three of the states we reviewed, four of the stakeholders we interviewed commented that meeting these requirements can be challenging for individuals with a history of mental illness who may have been previously unable to enter the workforce. Research has shown that the stigma associated with mental illness is a significant barrier to work for individuals with mental illness and has shaped employer decisions about hiring or keeping a person with mental illness in the workplace. These workplace barriers, along with others, such as access to mental health treatment, contribute to the relatively low workforce participation of adults with serious mental illnesses. One stakeholder commented that peer support programs have a responsibility not to contribute to barriers in the workplace for individuals with mental illnesses.", "Our review shows that some of the peer support specialist programs in the six selected states are taking steps to address these barriers. For example, Florida recently changed its requirements and now provisionally certifies peer support specialists who meet all the certification requirements except for the requirement to have 500 hours of work or volunteer experience. After receiving the provisional certification, peer support specialists have 1 year to complete the work or volunteer hours necessary to upgrade to the full certification.", "Leading practice two: Conducting core training in-person. Program officials from five of the six selected states cited core training that is conducted in-person, as opposed to online, as a leading practice. Three program officials told us that core training should be done in-person to foster relationship building and experiential learning to develop the interpersonal skills a certified peer support specialist needs. All six state programs had in-person core training, regardless of whether the training was run by the state program itself or through approved vendors. For example, Michigan hosts its core trainings at a retreat center where participants are encouraged to stay for the week. Michigan program officials told us that this creates a place for training participants from across the state to network, discuss how their agencies work and the types of issues they face as peer support specialists, and share best practices. SAMHSA\u2019s core competencies identify the importance of using active listening skills, understanding when to share experiences and when to listen, and using their own recovery story to inspire hope.", "All 10 stakeholders we interviewed confirmed that providing in-person training was a leading practice, though 3 commented that some of the knowledge segments could be done online. Five stakeholders we interviewed told us that observing the skills of peer support specialists during training or incorporating observation as part of the certification exam is important. One stakeholder explained that while written tests are a good measure of basic knowledge, the tests cannot fully assess the skills and competencies needed for certification. While 2 stakeholders cited the increased costs of delivering and grading exams with an observational component as the reasons many states use written exams only, 1 stakeholder noted that including an observational component is a more accurate assessment of whether or not people have developed needed skills. Another stakeholder commented that using a written test alone may allow individuals who are good test takers to become certified, even if they lack the interpersonal skills needed to be a peer support specialist.", "Leading practice three: Incorporating physical health and wellness into training or continuing education. Program officials from five of the six selected states cited the importance of emphasizing to peer support specialists that they should help others manage their physical health\u2014in addition to their mental health\u2014during core training or continuing education as a leading practice. All six of the selected states incorporated managing physical health conditions into their core training or continuing education. (See text box.) In these trainings, peer support specialists learn how to help others with access to needed care and prevention services, set personal health goals to promote recovery and a wellness lifestyle, and adopt healthy habits to prevent disease or lessen the impact of existing chronic health conditions. The need for physical health- related training was identified after a 2006 report found that individuals with serious mental illnesses were dying 25 years earlier than the general population, largely due to treatable medical conditions caused by modifiable risk factors, such as smoking and poor nutrition or obesity. SAMHSA identified educating peers about health, wellness, recovery, and recovery supports as a core competency.", "All 10 stakeholders we interviewed confirmed that emphasizing the importance of physical health was a leading practice, though 2 stakeholders commented that incorporating physical health and wellness into trainings should only be done as continuing education.", "Example of Leading Practice Three: Georgia Peer Support Whole Health and Wellness Georgia determined it was important to incorporate physical health and wellness into training for peer support specialists and was the first state to have related services\u2014 which it calls Peer Support Whole Health and Wellness\u2014provided by certified peer support specialists covered by Medicaid. These peer support specialists\u2014who complete additional training and are certified in Whole Health Action Management\u2014receive medical technical support from registered nurses and are trained to work in both primary care and behavioral health settings. Georgia created the service using a SAMHSA- funded Transformation Transfer Initiative grant, which was designed to give states the opportunity to increase their efforts to make their state behavioral health delivery systems more consumer driven, among other things.", "The SAMHSA-Health Resources and Services Administration Center for Integrated Health Solutions adapted Georgia\u2019s training, along with a training developed by New Jersey, to publish a Whole Health Action Management Peer Support Training Participant Guide in 2015. This adapted 2-day training aims to teach peers to use a person-centered planning process to create a whole health goal and how to engage in peer support, including Whole Health Action Management peer support groups, to meet that goal.", "Leading practice four: Preparing organizations to effectively use peers. Program officials from four of the six selected states cited efforts to ready provider organizations\u2014such as hospitals or drop-in centers\u2014to employ certified peer support specialists as a leading practice. State program officials told us that organizational readiness includes making sure staff understand the role of peer support specialists and can provide appropriate supervision. (See text box.) Five of the selected states have developed guidance or training for supervisors of peer support specialists. Nine of the 10 stakeholders we interviewed confirmed that this was a leading practice. SAMHSA identified using supervision effectively and engaging in problem-solving strategies with a supervisor as a core competency for this workforce.", "Example of Leading Practice Four: Michigan Peer Liaisons In order to help provider organizations understand the role of peer support specialists, Michigan created an informal peer liaison role at all 46 of the local Community Mental Health Services Programs tasked with coordinating mental health services. State officials told us that these peer liaisons have telephone calls and in-person meetings to provide informal feedback on technical assistance needs and share information on how certified peer support specialists are doing in their roles and responsibilities. According to state officials, peer liaisons have helped prepare mental health agencies to work with peer support specialists and have helped the state identify what new trainings should be developed to better help peer support specialists succeed in the workplace.", "Many of the stakeholders we interviewed highlighted the importance of having individuals in an organization who understand the peer support role. Eight of the stakeholders we interviewed told us that supervisors need to understand or be trained in the peer support role and skillset, with three stakeholders commenting that supervisors need to be specifically aware of the difference between peer support specialists and clinical providers. For example, to achieve this the training and certifying organization in Texas runs a twelve month program that helps provider organizations effectively implement peer support services. The program, which is designed as a learning community, focuses on changing organizational culture, defining and clarifying the peer support specialist role, and supervising these staff, among other things. Relatedly, three stakeholders told us that there should be more than one peer support specialist at each organization. One stakeholder noted that having multiple peer support specialists at an agency provides built in support and understanding of the peer role, which is important given that peer support specialists typically have the lowest level of power in an organization. Another stakeholder noted that putting a single peer support specialist in an organization can be isolating.", "Leading practice five: Continuing education requirements specific to peer support. Program officials from five of the six selected states considered it a leading practice to require, after certification, peer support specialists to take continuing education that is specific to the peer support role. This is to ensure that peers maintain their competency and are aware of new developments in the field. Five of the six selected states required certified peer support specialists to maintain their competence through continuing education, and all five of these states had a requirement that the continuing education be specific to the peer support role. (See text box.) All 10 stakeholders we interviewed confirmed that this was a leading practice. The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury similarly identified as a best practice enabling continued learning through structured training. SAMHSA identified seeking opportunities to increase knowledge and skills of peer support as a core competency for peer support specialists.", "Example of Leading Practice Five: Pennsylvania Continuing Education Requirement As an added step to ensure that the peer support specialist workforce is competent, Pennsylvania places some of the burden on provider agencies for ensuring that certified peer support specialists meet continuing education requirements. The state requires its licensed provider agencies to develop a staff training plan to ensure that each certified peer specialist receives the continuing education they need. Pennsylvania also requires these agencies to provide opportunities for certified peer specialists to network with other certified peer specialists both within and outside the agency. The state monitors compliance with these requirements through annual inspections. State officials told us that this requirement serves as a safety net and assures them that certified peer support specialists are up to date in their training.", "Leading practice six: Engaging peers in the leadership and development of certification programs. Program officials from four of the six selected states cited having certified peer support specialists lead or participate in the certification process of applicants as a leading practice. State program officials told us that peers should lead in a variety of ways, including helping screen applicants, developing curricula, providing training, and serving as mentors or supervisors to other certified peer support specialists. For example, Michigan concurrently runs its continuing education courses and core training in the same location so that experienced peer support specialists can mentor new peers. Officials from all six selected states told us that certified peer support specialists in their states participate in some part of the certification process. (See text box.) The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury similarly identified as a best practice leveraging the unique experiences and benefits peer support specialists offer as peers throughout a peer support specialist program, including in positions of leadership. All 10 stakeholders we interviewed confirmed that this was a leading practice.", "Example of Leading Practice Six: Oregon Traditional Health Worker Commission Through service on a statewide commission, peer support specialists in Oregon have a leadership role in developing the education and training requirements for certified peer support specialists and others. The Oregon Health Authority\u2019s Traditional Health Worker Commission promotes the role, engagement, and utilization of traditional health workers\u2014health workers who are certified by the state\u2014in Oregon\u2019s health care delivery system. The commission includes member representatives of each type of traditional health worker, including peer support specialists. In addition to developing the education and training requirements for peer support specialists and other types of traditional health workers, the commission developed the scope of practice to be used by provider organizations that employ peer support specialists. On an ongoing basis, the commission advises the Oregon Health Authority about the traditional health worker program and ensures that the program is responsive to consumer and community health needs. Oregon state officials consider having this advisory body with representation from the peer community to be a best practice, commenting that the commission provides the hands-on knowledge that the state can then implement through policy and rules."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review and comment. The Department did not have any comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Health and Human Services, the Secretary of the Department of Defense, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff should have any questions about this report, please contact me at (202) 512-7114 or DeniganMacauleyM@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: List of Organizations and Individuals Interviewed", "paragraphs": [], "subsections": [{"section_title": "State peer support specialist programs", "paragraphs": [], "subsections": []}, {"section_title": "Stakeholders", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Summary of Peer Support Specialist Program Screening, Training, and Certification Requirements in Selected States", "paragraphs": ["Recovery experience Must have lived experience with a mental illness or substance use disorder and have been in recovery for a minimum of 2 years. Must have been in recovery for at least 1 year between diagnosis of mental illness or substance use disorder and application for training program.", "Must have been diagnosed with a mental illness and been in recovery for a minimum of 1 year.", "Must currently be or formerly have been receiving services for mental illness or substance use disorder.", "Must currently be or formerly have been receiving services for a mental illness.", "Minimum of 12 months of work or volunteer experience within the last 3 years Not required 2 (type unspecified)", "Must self-identify as being in recovery from a mental health challenge.", "For the purposes of this report, we use the term \u201cpeer support specialist\u201d to describe individuals who use their own lived experience recovering from mental illnesses to support others in their recovery; however, each state may have different titles in place for the certified role achieved through their peer support specialist programs."], "subsections": []}, {"section_title": "Appendix III: Example of a Peer Support Specialist Core Training", "paragraphs": ["The training schedule below, developed by the Appalachian Consulting Group, illustrates the content areas that may be included in core training curriculum for peer support specialists seeking certification. The Appalachian Consulting Group\u2019s curriculum was used in the first Medicaid-billable peer support specialist program in Georgia in 1999, and since then the curriculum has been used to train peer support specialists in 25 states. This training schedule is an example of the types of content that could be included in such training, and is not an endorsement of a particular training curriculum."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom Conahan (Assistant Director), Summar Corley (Analyst-in-Charge), JoAnn Martinez (Analyst- in-Charge), Kaitlin Asaly, Muriel Brown, Krister Friday, and Emily Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Federal and academic studies have reported that millions of American adults with serious mental illnesses, such as schizophrenia and bipolar disorders, go untreated each year. This is driven, in part, by a national shortage of behavioral health care professionals.", "In recent years, states have increased use of peer support specialists\u2014people who use their own experience recovering from mental illnesses to support others.", "We looked at how 6 states certify that the specialists have basic competencies and the ability to support others. We found 6 leading practices, including training specialists in person and requiring continuing education."]} {"id": "GAO-19-210", "url": "https://www.gao.gov/products/GAO-19-210", "title": "Homeland Security: Research & Development Coordination Has Improved, but Additional Actions Needed to Track and Evaluate Projects", "published_date": "2019-03-21T00:00:00", "released_date": "2019-03-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Conducting R&D on technologies is vital to enhancing the security of the nation. The Homeland Security Act of 2002, as amended, designates S&T as responsible for coordinating all R&D activities of DHS. Questions have been raised about S&T's ability to demonstrate the impact of its R&D investments. Since DHS began operations in 2003, GAO has made recommendations to help improve DHS's efforts to coordinate and oversee R&D.", "GAO was asked to review DHS's R&D efforts. This report examines (1) how much DHS has obligated for R&D and what types of R&D DHS conducts, (2) to what extent S&T coordinates R&D across DHS, and (3) how, if at all, DHS identifies and tracks R&D efforts.", "GAO reviewed documentation from DHS related to the conduct, coordination, tracking, and evaluation of R&D projects. GAO interviewed DHS officials with responsibilities related to, among other things, R&D financial reporting, performance evaluation, and the IPT process, including officials from the 10 DHS components that participate in the IPTs. GAO also reviewed DHS R&D budget and obligation data from fiscal years 2010 through 2017."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) obligated more than $10 billion for research and development (R&D) from fiscal years 2010 through 2017. Seven DHS components have budget authority to conduct R&D, and the Science and Technology Directorate (S&T) obligated nearly 80 percent of all DHS R&D funds during this time period. These components conduct a wide range of R&D, from cybersecurity to border security projects. S&T generally leads or funds R&D projects by providing technology and knowledge products to support four homeland security mission areas:", "Disaster resilience . Improving community resilience to natural disasters through technology and tools;", "Critical incidents . Improving response technological capabilities;", "Border security . Improving the nation's ability to detect, interdict and prosecute illegal activity across air, land and sea.", "Cybersecurity . Developing technologies and tools to secure systems and critical infrastructures against cyberattacks.", "S&T strengthened its R&D coordination efforts across DHS, but some challenges remain. In 2015, DHS established an R&D coordination mechanism, to be led by S&T, and in 2017 issued R&D coordination-related guidance. Specifically, to improve coordination, DHS established an Integrated Product Team (IPT) process to serve as the key R&D coordination mechanism within DHS. All ten DHS components that GAO interviewed stated that the IPT process improved visibility into DHS R&D efforts. However, the component that obligated approximately 17 percent of DHS R&D funds in 2017, or $176 million, did not participate in the IPT process in 2018, as required. Nonparticipation poses a risk to R&D coordination efforts across DHS, including R&D project information not being shared among components. Furthermore, ensuring that all required components participate in the IPT process would help S&T maintain visibility of R&D projects in order to fulfill its statutory role of coordinating R&D, and mitigate the risk of potential duplication of effort.", "S&T, in its coordination role for DHS, uses disparate information sources to identify and track R&D project information and faces challenges to track progress and other information for ongoing R&D projects. For example, R&D project information is stored in multiple information sources leading to difficulty in integrating complete R&D project information and resulting in reporting that is not comprehensive. By developing a mechanism to address these challenges, S&T can further improve its efforts to report and analyze R&D project information, and have improved visibility on R&D efforts across DHS. GAO also identified challenges in collecting information related to R&D performance. Among other things, DHS is not well positioned to integrate the results and share lessons learned because limited R&D customer feedback information is collected and analyzed. Of the seven DHS components with R&D budget authority, two reported having formal customer feedback mechanisms. As a result, DHS is unable to more fully understand its customers' perceptions and experience which would allow DHS to better assess the performance of its R&D efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, with which DHS concurred, including that DHS: 1) ensure all components participate in the IPT process, 2) develop a mechanism that aligns R&D project tracking sources, and 3) collect feedback from R&D customers."]}], "report": [{"section_title": "Letter", "paragraphs": ["Conducting research and development (R&D) on technologies for detecting, preventing, and mitigating terrorist and natural threats is vital to enhancing the security of the nation. Since it began operations in 2003, the Department of Homeland Security (DHS) has obligated billions of dollars researching and developing technologies used to support a wide range of missions, including securing the border, detecting nuclear devices, and screening airline passengers and baggage for explosives, among others. Within DHS, the Science and Technology directorate (S&T) is responsible for coordinating and integrating R&D activities across the department while DHS components may also conduct R&D to support their respective missions.", "Since 2003, questions have been raised regarding S&T\u2019s ability to oversee and coordinate R&D activities across the department as well as to demonstrate the value of these investments over time. In 2012, we found that DHS efforts to coordinate R&D across the department were fragmented and overlapping, which increased the risk of unnecessary duplication. We also reported that DHS did not know how much all of its components invested in R&D, making it difficult to oversee these efforts across the department. We recommended, among other things, that the Secretary of Homeland Security develop and implement policies to include elements such as a definition of R&D that provides reasonable assurance that reliable accounting and reporting of R&D resources and activities are achieved. In response to our recommendation, DHS issued a memorandum in April 2014 that included a definition for R&D. Furthermore, DHS implemented a common appropriations structure to accurately identify the resources it is expending on R&D projects.", "You asked us to evaluate DHS\u2019s efforts to coordinate and monitor R&D activities across the department. This report addresses the following questions: (1) how much has DHS obligated for R&D from fiscal years 2010 through 2017 and what types of R&D does DHS conduct; (2) to what extent does S&T coordinate R&D across DHS; and (3) how, if at all, does DHS track and identify R&D efforts and assess R&D performance department-wide.", "To determine how much DHS has obligated for R&D, we analyzed federal budget data to identify R&D-related obligations for fiscal years 2010 through 2017. We selected this time frame to analyze multiple years of obligation trend data, and 2017 was the most recent year of available data at the time of our review. To identify the R&D obligations data, we searched the Office of Management and Budget\u2019s (OMB) MAX database for DHS accounts with the term \u201cresearch\u201d in the account title and extracted total obligations for those accounts from the database for fiscal years 2010 through 2017. We assessed the reliability of the data by reviewing OMB guidance and procedures that govern OMB MAX data inputs. We determined that the data were sufficiently reliable for reporting general trends. However, because we previously found that some DHS R&D-related obligation data were not properly identified, and because R&D-related obligations could potentially be reported in other accounts that may not contain the term \u201cresearch,\u201d we report the data as a minimum of the amount that DHS could have obligated for fiscal years 2010 through 2017. We also interviewed DHS officials, including those from the DHS Office of the Chief Financial Officer (OCFO) and the S&T Finance and Budget Division to obtain and corroborate information about R&D-related obligations, budget and expenditure tracking tools and reports. To identify what types of R&D DHS conducts, we reviewed DHS documents including congressional budget justifications and fact sheets. To learn more about the types of R&D activities that DHS components conduct, we also interviewed officials from each of the 10 components that are involved in the Integrated Product Teams (IPT), which is DHS\u2019s primary R&D coordination mechanism. Based on IPT charter documents and S&T IPT guidance, we identified the components that are to participate in the IPT process. These components were: the Countering Weapons of Mass Destruction (CWMD) Office, the Federal Emergency Management Agency, the Cybersecurity and Infrastructure Security Agency, the U.S. Secret Service, the Office of Intelligence and Analysis, the Transportation Security Administration (TSA), the U.S. Citizenship and Immigration Services, the U.S. Coast Guard, the U.S. Customs and Border Protection (CBP) and the U.S. Immigration and Customs Enforcement.", "To determine the extent to which S&T coordinates R&D across DHS, we analyzed DHS guidance documents, such as management directives, instructions, and memoranda, which assign R&D-related roles and responsibilities and govern certain R&D coordination practices. The guidance documents included a memorandum establishing the IPT process and how the IPT process should coordinate R&D efforts across DHS. We also interviewed DHS officials with roles and responsibilities related to R&D to obtain their perspectives on R&D coordination and the relevant guidance documents, including officials who manage IPT operations. To further understand the IPT process, we conducted interviews with officials from the 10 DHS components that participate in the IPT process to obtain their perspectives on the benefits and challenges of the process. Furthermore, we analyzed IPT-related documentation including charter documents, IPT meeting agendas and minutes, and IPT guidance documents to determine how the process facilitates R&D coordination efforts. We also interviewed DHS officials responsible for department-wide requirements identification.", "To examine the extent to which DHS tracks and identifies R&D efforts, we interviewed S&T officials to determine what tracking mechanisms are used. We also reviewed existing lists of DHS R&D projects, such as DHS\u2019s Report of Coordinated R&D, DHS\u2019s responses to congressional inquiries regarding R&D project lists, outputs from electronic tracking systems, such as S&T\u2019s Project Tracker Database, and R&D projects listed in congressional budget justification documents, among other things. We also interviewed S&T officials involved in developing the R&D project information sources to determine how the lists are compiled, how information is entered into the sources, and what the benefits and challenges are for each source of R&D project information that we identified. In addition, we interviewed officials from DHS\u2019s OCFO and reviewed departmental financial management policies to learn about how the recently-implemented common appropriations structure has affected the transparency of R&D efforts across DHS.", "To determine the extent to which DHS components with R&D budget authority collected and reported performance information to assess their R&D efforts, we reviewed applicable laws governing performance reporting in the federal government, including the Government Performance and Results Act of 1993 (GPRA), as updated and expanded by the GPRA Modernization Act of 2010 (GPRAMA), and guidance for implementing these laws. We also reviewed leading practices, identified in our prior work, used by organizations related to R&D performance indicators. In addition, we reviewed leading practices for project, program and portfolio management and reviewed DHS documents related to its processes for collecting and reporting its performance information. The documents reviewed included policies and guidance regarding how these processes are to operate, the information to be collected, as well as documents used to communicate performance information, including DHS\u2019s Annual Performance Report, as well as DHS\u2019s congressional budget justification documents. To illustrate how DHS uses one method to track R&D progress, we analyzed selected milestones in the congressional budget justification documents for 7 of DHS\u2019s approximately 132 reported R&D projects. To conduct our analysis, we identified two milestones each from the selection of seven R&D projects that S&T officials consider to be high priority. We selected the two milestones from the most recent year for each project; if there were more than two milestones, we randomly selected two. The milestones, selected from the fiscal year 2018 budget documents, were assessed against DHS guidance that its components are to utilize to develop the milestones. Two analysts independently reviewed the milestones and resolved any disagreements in their assessments. To further understand the information used to assess R&D performance, we interviewed officials from the seven IPT-participating DHS components with R&D budget authority to learn how they collect and report performance information. We also examined guidance to components for collecting and reporting performance information, such as performance goals and milestones, and customer feedback mechanisms.", "We also interviewed officials from various DHS offices that are involved in managing, collecting or using R&D performance information from across the department. Specifically, we interviewed officials from DHS\u2019s Office of Program Analysis and Evaluation, Office of Policy, and OCFO. DHS\u2019s Office of Program Analysis and Evaluation coordinates performance management across DHS components. DHS\u2019s Office of Policy develops strategies, operational plans, and leads the development of operational and resource allocation guidance for the department, among other things. Further, we reviewed performance information and documents related to DHS\u2019s process for assessing and reporting its annual performance goals. This included performance information reported in DHS\u2019s Annual Performance Report for fiscal years 2016 through 2018 and in congressional budget justification documents for fiscal year 2018 for the DHS components that conduct R&D. To conduct our analysis, we compared performance information in the DHS annual performance report and congressional budget justification documents to GPRA requirements and OMB guidelines for agency performance information.", "We conducted this performance audit from October 2017 through January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DHS R&D Roles and Responsibilities", "paragraphs": ["The Homeland Security Act of 2002, as amended, designates the Under Secretary for Science and Technology as responsible for coordinating all R&D activities of DHS. The Act also provides that nothing in it precludes other department components from carrying out R&D activities as long as the activities are coordinated through S&T. As of September 2018, seven DHS components have budget authority to conduct R&D activities\u2014S&T, the Coast Guard, the CWMD, the Secret Service, the Cybersecurity and Infrastructure Security Agency, TSA, and the Office of the Chief Information Officer within the Office of the Undersecretary for Management. Figure 1 provides an organizational overview of DHS components and offices that are involved in the R&D process as of December 2018.", "S&T reorganized its structure in September 2018 and currently has three technical divisions responsible for managing R&D programs related to improving border, immigration, and maritime security; supporting first responders; and countering physical and cybersecurity threats among others, as shown in figure 2.", "Most of S&T\u2019s R&D portfolio consists of applied and developmental R&D, which can be transitioned to use within 3 years, as opposed to longer- term basic research. In addition to conducting projects for its DHS customers, S&T conducts research for other federal agencies and first responders. S&T is also responsible for conducting basic and applied research, and collaborates with other government agencies, academia, the private sector, and others."], "subsections": []}, {"section_title": "Overview of Past R&D Management Challenges", "paragraphs": ["Questions have been raised about S&T\u2019s ability to demonstrate the impact of its investments\u2014in terms of value, tangible products, and advances toward the homeland security mission. Accordingly, for example, House appropriations committee report language has directed S&T to demonstrate how its R&D efforts are timely, with results relatively well defined and to make investment decisions based on clear and sensible priorities. In 2016, Congress passed the National Defense Authorization Act of 2017 (NDAA) which requires DHS to report annually to Congress on the department\u2019s R&D projects including details such as the project name, the component carrying out the project, associated funding levels, and expected objectives and milestones for each project, among other items.", "Since DHS began operations in 2003, we have made multiple recommendations designed to improve DHS efforts to manage and oversee R&D efforts, as described later in this report. In September 2012, we reported that DHS did not have a department-wide policy defining R&D or guidance directing its components how to report R&D activities. As a result, DHS did not know its total annual investment in R&D, which limited the department\u2019s ability to oversee components\u2019 R&D efforts and align them with agency-wide R&D goals and priorities. We also reported that DHS\u2019s R&D efforts were fragmented and overlapping, which increased the risk of unnecessary duplication. We recommended that DHS develop policies and guidance for defining, reporting and coordinating R&D activities across the department, and that DHS establish a mechanism to track R&D projects. As of August 2017, DHS had implemented these recommendations by, among other things, issuing guidance defining research and development activities and establishing Integrated Product Teams (IPT) as a primary mechanism for coordinating R&D. These actions and others are described in more detail later in this report.", "Figure 3 provides a summary of key events related to S&T since its inception."], "subsections": []}, {"section_title": "Past DHS Accounting Challenges", "paragraphs": ["After the consolidation in 2002 of 22 agencies into a single department, DHS had, until recently, different appropriation structures and budget management practices based on agencies\u2019 funding structures prior to DHS consolidation. In 2018, we found that, with over 70 different appropriations and over 100 formal program, project, or activity accounts, DHS operated for over a decade with significant budget disparities and inconsistencies across its components. The lack of uniformity hindered visibility, inhibited comparisons between programs, and complicated spending decisions, including for R&D-related programs. For example, in 2012 we reported that S&T, the Domestic Nuclear Detection Office, and Coast Guard were the only three DHS components with budget authority to conduct R&D. However, in 2012, we identified an additional $255 million in R&D obligations by other DHS components at that time. Further, we found in 2012 that the Domestic Nuclear Detection Office did not report certain R&D budget data to OMB, and R&D budget accounts included a mix of R&D and non-R&D spending, which further complicated DHS\u2019s ability to identify its total investment in R&D activities."], "subsections": []}, {"section_title": "Role of the Integrated Product Teams in R&D", "paragraphs": ["Within DHS, IPTs \u2013 established in 2015 \u2013 are to identify and prioritize technological capability gaps, and identify current or future R&D efforts or other solutions to close the gap, among other things. Specifically, the IPT process consists of three activities: 1) Identifying R&D activities in progress, funded, planned, or recently completed; 2) Prioritizing technological capability gaps and corresponding R&D efforts to address those gaps; and 3) Validating and reporting the gaps.", "The DHS IPT effort is led by S&T, but the individual IPTs are composed of senior-level officials from across DHS. IPT members prioritize R&D gaps based on departmentwide needs and requirements, and align current and planned R&D efforts to the identified gaps. In prioritizing and evaluating the capability gaps, four pre-defined criteria and rating scales are used and are discussed below:", "Strategic alignment: assesses the R&D gaps alignment with DHS- level and component-level strategic priorities.", "Impact: assesses if addressing the R&D gap would result in enhanced risk or threat reduction capability, among other things.", "Feasibility: assesses the feasibility of addressing the R&D gap, given its technical complexity. Considerations include feasibility related to technology, time, and transition.", "R&D needs: assesses whether the R&D gap would provide a critical R&D solution in an otherwise unaddressed area.", "The IPT\u2019s role in coordinating R&D is discussed later in this report."], "subsections": []}, {"section_title": "Overview of DHS\u2019s Processes for Assessing R&D Performance", "paragraphs": ["GPRA, as updated and expanded by GPRAMA, requires agencies to establish annual performance goals with target levels of performance against which to measure progress towards those goals. In addition, GPRA requires executive agencies to prepare an Annual Performance Report on program performance for the previous fiscal year. DHS has developed goals and targets to assess and communicate R&D performance. As shown in figure 4, DHS\u2019s performance assessment process also includes identifying performance gaps and implementing corrective actions to address unmet performance goals.", "DHS uses strategic and management performance goals and measures to assess and communicate on the performance of its R&D efforts. In addition, DHS uses milestones to track and communicate progress of its R&D project activities.", "Milestones: A milestone is a scheduled event signifying the completion of a major deliverable or a phase of work. Milestones can help agencies demonstrate that they have clear and fully developed strategies and are tracking progress to accomplish their goals. Milestones are often used as the basis of an alternative form of performance goal. Milestones related to DHS R&D efforts are reported to Congress and publicly available through the DHS congressional budget justification.", "Strategic Goals: A type of performance goal used to reflect achievement of missions that are publicly reported in the DHS Annual Performance Report. As part of DHS\u2019s Annual Performance Report, these goals are subject to GPRA and GPRAMA requirements.", "Management Goals: A type of performance goal used to gauge program results and tie to resource requests that are reported to Congress and publicly available through the DHS congressional budget justification along with the strategic goals.", "As we previously reported in 1997, experts in research measurement have tried for years to develop indicators that would provide a measure of the results of R&D. However, the very nature of the innovative process makes measuring the performance of science-related projects difficult. For example, a wide range of factors determine if and when a particular R&D project will result in commercial or other benefits. It can also take many years for a research project to achieve results."], "subsections": []}]}, {"section_title": "DHS Has Obligated More Than $1 Billion per Fiscal Year from 2010 through 2017 for Conducting R&D That Aligns with Department Mission Areas across Seven DHS Components", "paragraphs": [], "subsections": [{"section_title": "R&D Funding Amounts", "paragraphs": ["DHS is required to report department-wide R&D-related funding to OMB on an annual basis. DHS uses several mechanisms to report the R&D- related funding, including budget authority (the legal authorization to obligate funds), obligations (binding agreements to make a payment for services), and outlays (payments to liquidate obligations representing amount expended). Further, OMB requires agencies to submit data on R&D programs as part of their annual budget submissions on investments for basic research, applied research, development, R&D facilities construction, and major equipment for R&D using OMB\u2019s definition of R&D.", "Based on our analysis of OMB\u2019s federal obligations data, we identified R&D-related obligations data for DHS components for fiscal years 2010 through 2017. Figure 5 depicts the R&D related obligations that were reported for fiscal years 2010 through 2017, which, on average, were about $1.3 billion annually or more than $10 billion overall for that time frame. Additionally, S&T obligated nearly 80 percent of all DHS R&D funds for that time period."], "subsections": []}, {"section_title": "Types of R&D Activities that S&T Conducts", "paragraphs": ["S&T may conduct or fund R&D activities on its own or jointly with other entities. In addition to S&T, six other DHS components currently have budget authority to conduct R&D\u2014the Coast Guard, CWMD, TSA, Secret Service, Cybersecurity and Infrastructure Security Agency, and the Undersecretary for Management. In August 2018, S&T reported that there were at least 132 ongoing R&D projects across the Department. Some R&D projects aim to produce a specific prototype or piece of technology for an end user, while others might be for developing IT systems, conducting specific training, or providing written reports, or knowledge products.", "According to S&T officials, S&T generally leads or funds R&D projects by providing technology and knowledge products for four homeland security areas:", "Disaster resilience. Improving community resilience to natural disasters through technology and tools that support planning, decision-making and mitigation efforts;", "Critical incidents. Improving technological capabilities during all stages of critical incident response;", "Border security. Improving the nation\u2019s ability to detect, interdict and prosecute illegal activity across air, land and sea.", "Cybersecurity. Developing technologies, tools and techniques to defend, mitigate, and secure current and future systems, networks and critical infrastructures against cyberattacks.", "Figure 6 illustrates the types of R&D projects that are either led or funded by S&T for each category. For more in-depth examples and descriptions of S&T projects, please see appendix I.", "In its efforts to determine how to best support the DHS components and first responders, S&T seeks first to identify the end user\u2019s needs by discussing operational challenges with components and first responders; then develop prototypes or leverage existing technologies to find solutions; and finally to test and evaluate potential solutions to ensure that they meet the end user\u2019s needs and ultimately deploy solutions to the field.", "The other six DHS components with R&D budget authority typically lead and fund R&D projects tailored to support their specific operational requirements and respective missions. Examples of R&D projects conducted by DHS components other than S&T are listed below in table 1."], "subsections": []}]}, {"section_title": "S&T Implemented R&D Coordination Mechanism and Directives to Strengthen Collaboration Across DHS, but Challenges Remain in Ensuring Participation", "paragraphs": [], "subsections": [{"section_title": "DHS Established a Process to Coordinate R&D Efforts", "paragraphs": ["DHS established its IPT process in August 2015 as the central mechanism to coordinate R&D efforts across the department, in accordance with recommendations we made in 2012. The IPT process works to identify DHS technological capability gaps and coordinate R&D to close the gaps across DHS mission areas.", "The IPTs consist of senior representatives from operational components. As of October 2018, IPTs are organized according to the department\u2019s identified missions and include the following sub-IPTs, as shown in table 2.", "Each IPT has an establishing charter document, which formally identifies the IPT component members and responsibilities and lists the corresponding sub-IPTs. IPTs and sub-IPTs are to meet multiple times throughout the year to support the process of identifying and prioritizing R&D capability gaps and R&D efforts. For example, the charter for the \u201cSecure Borders\u201d IPT states that they anticipate meeting at least 2 or 3 times per year, or more frequently to support the annual program planning and budgeting process.", "Overall, components reported that the IPT process enhanced collaboration and improved visibility into R&D efforts across DHS. Officials from all 10 of the DHS components we interviewed reported the IPT process has been helpful in various ways, including identifying capability gaps, prioritizing and closing the gaps, and providing transparency and insight into other components\u2019 R&D efforts. For example, CBP officials reported that, through the IPT process, they were able to identify R&D projects that the Coast Guard had been pursuing related to maritime security. The R&D projects that Coast Guard was pursuing were also of interest to CBP, and therefore CBP worked through the IPT process to prevent duplicative work and combine some of those efforts. In another example, TSA officials reported that they collaborated with the Secret Service to test explosive screening technologies, and that the IPT process facilitated their ability to collaborate and share information about the screening technologies.", "In addition to enhancing collaboration, component officials provided their perspectives on how the IPT process prioritizes technology capability gaps that components have identified. For example, TSA officials reported that the gap identification and prioritization process works well, but that funding R&D activities to close the gaps is more challenging because it is influenced heavily by competing budget priorities, emerging threats, and other DHS senior leadership priorities. TSA officials further reported that departmental resource constraints limit the number of identified capability gaps that can be addressed. However, officials from CBP reported that several R&D projects were successfully implemented after CBP had worked with S&T to identify a capability gap and transition a solution to close the gap, such as certain upgrades needed on CBP trucks. S&T officials stated that they have also taken steps to integrate with the department\u2019s Joint Requirements Council and utilize component requirement executives who work with component agencies to provide a basis for requirements and aid the components with the means to track the progress and disposition of each capability gap on a regular basis."], "subsections": []}, {"section_title": "DHS Issued R&D Coordination Directives but Faces Challenges in Ensuring IPT Participation", "paragraphs": ["In 2012, we found that, among other things, DHS had not developed a policy defining who was responsible for coordinating R&D within the department and what processes should be used to coordinate it. As a result, components did not consistently coordinate with S&T on what R&D was planned or underway, leading to increased risk of unnecessary duplication of R&D efforts. We recommended that DHS develop and implement policies and guidance for overseeing R&D that included, among other things, a description of the department\u2019s process and roles and responsibilities for overseeing and coordinating R&D investments. DHS concurred with our recommendation, and, in response, the Secretary for Homeland Security delegated the authority to coordinate and integrate the department\u2019s R&D, testing, evaluation efforts to the Under Secretary for Science and Technology in 2014. In 2015 and 2016, DHS issued two guidance documents regarding the establishment and progress of the IPT process. These documents specified how DHS, through the IPT process, is to implement processes and mechanisms to coordinate department-wide R&D efforts. Additionally, in January 2017, DHS issued an R&D directive and associated instruction to formalize R&D reporting and coordination among components, as shown in figure 7.", "The 2017 directive and associated instruction identify the roles and responsibilities, including IPT participation requirements, for key entities involved in R&D across DHS. However, the directive and instruction do not specifically address steps to be taken if components do not adhere to the requirements. For example, the January 2017 DHS instruction states that \u201cto effectively coordinate DHS R&D activities, DHS components are required to follow the DHS IPT process.\u201d However, officials from CWMD stated that they do not participate in the S&T-led IPT sessions because they have their own internal process for identifying and prioritizing capability gaps. S&T officials stated that CWMD\u2019s predecessor organization, the Domestic Nuclear Detection Office, participated in the IPT process until DHS initiated a reorganization of its weapons of mass destruction programs (resulting in the current CWMD).", "Current non-participation by CWMD, which has the second-largest R&D budget within DHS and obligated approximately 17 percent of DHS R&D funds, or $176 million in fiscal year 2017, poses risk of R&D project information not being shared among components. In August 2018, we reported that DHS\u2019s chemical defense programs and activities were fragmented and not well coordinated across the department, including R&D activities. We recommended that CWMD develop a strategy and implementation plan to help DHS integrate and coordinate its chemical defense programs and activities, among other things. Additionally, in its 2014-2018 Strategic Plan, DHS states that, to anticipate key threats, DHS should, among other things, prioritize R&D activities related to chemical, biological, radiological, and nuclear terrorism. Given these factors, CWMD\u2019s participation in the IPT process is important to ensure that all R&D efforts are fully coordinated thereby mitigating the risk of potential duplication of other DHS R&D efforts.", "S&T officials recognize that some components might not be complying fully with the departmental directives and associated guidance documents which require participating in the IPT process \u2013 the key R&D coordination mechanism within DHS. S&T officials stated that, despite these challenges, they have strong collaborative relationships with the components, and the existing collaboration mechanisms, such as the IPT process, continue to mature and facilitate R&D-related information sharing. However, DHS guidance documents require that components participate in the IPT process. By ensuring that all required components participate in the IPT process, DHS can help S&T maintain visibility of R&D projects in order to fulfill its statutory role of coordinating R&D."], "subsections": []}]}, {"section_title": "S&T Has Taken Steps to Identify and Track DHS\u2019s R&D Project Information, But Efforts Are Disjointed or Do Not Align with DHS Guidance", "paragraphs": ["Since 2012, S&T has taken steps to identify and track information related to ongoing R&D projects across DHS, and in 2017, DHS developed a common appropriations structure that standardized R&D budgeting processes across the department. However, S&T\u2019s efforts to identify and track R&D project information have limitations and can result in information that is not comprehensive. We also identified challenges in collecting information related to the achievement of R&D milestones."], "subsections": [{"section_title": "DHS Developed the Common Appropriations Structure to Better Streamline and Standardize the Budgeting Process across Components", "paragraphs": ["In 2017, DHS developed a common appropriations structure that allowed it to calculate and monitor its expenses, including R&D expenses, across the department. Officials from DHS\u2019s OCFO reported that, prior to the new structure, some components categorized their R&D expenses as other types of expenses, such as \u201csalaries and expenses.\u201d These categorizations made it difficult to account for R&D expenses outside of an individual component\u2019s budget management division. Furthermore, OCFO officials reported that components previously utilized inconsistent R&D definitions, which often led to discrepancies in how components would report R&D activities.", "In our April 2018 report, we found that DHS had operated for over a decade with significant budget disparities and inconsistencies across its components. We found that the lack of uniformity hindered visibility, inhibited comparisons between programs, and complicated spending decisions. According to DHS OCFO officials, the introduction of the common appropriations structure, among other things, has helped improve transparency within DHS and among the components so that R&D can be more readily identified and tracked. DHS is also able to compare R&D funding amounts throughout DHS more easily than in previous years. In addition, of the seven components that have their own R&D funding to report, five indicated that the new structure has improved the department\u2019s ability to identify and report R&D activities."], "subsections": []}, {"section_title": "S&T\u2019s Efforts to Maintain an Inventory of R&D Projects across DHS Have Resulted in Reporting That Is Not Comprehensive", "paragraphs": ["We identified multiple sources of component R&D project information, each posing its own challenges or limitations. As described below, these challenges and limitations include difficulty in collecting and integrating R&D project information, and reporting that is not comprehensive.", "DHS\u2019s response to the National Defense Authorization Act of 2017: The NDAA, passed in December 2016, required DHS to provide a list of ongoing R&D projects and accompanying milestone information by January 2017, and annually thereafter, to specified congressional committees. In December 2017, DHS officials reported that they had not yet submitted the report, and anticipated that the response to the NDAA requirement would be completed by January 2018. In August 2018, DHS submitted its response to the committee, then 19 months late. S&T officials stated that the reporting delays were due to challenges in collecting and integrating the data. S&T officials also reported that it used the components\u2019 congressional budget justification documents as a starting point to identify R&D projects to include in its report in response to the NDAA requirement. However, additional details about the R&D projects had to be collected via a \u201cdata call\u201d process from the components. S&T officials told us that it was a challenge to have components report information about their R&D projects consistently and systematically. Furthermore, S&T officials identified terminology-related challenges in their R&D data call efforts, including making distinctions between R&D projects, efforts, and activities. S&T officials also reported that, in its current format, they would not be able to easily identify how many projects were added to the NDAA list across years, or if a given R&D project experienced a large increase or decrease in funding.", "Annual Reports of Coordinated R&D: In response to a 2015 request from the Secretary of Homeland Security that the IPTs identify R&D work being performed across DHS, S&T issued a \u201cReport of Coordinated R&D\u201d in 2016 and 2017. The content for the reports was developed through a \u201cdata call\u201d process, and the reports identified R&D activities and projects across DHS. The reports \u2013 for 2016 and 2017 \u2013 contain tables of R&D project names and the component leading the project, among other things. However, during the course of our review, S&T officials reported that these annual reports should not be considered authoritative lists of R&D projects due to inconsistencies in the project information that components reported which led to the reports not being comprehensive. For example, when we asked about some significant variations in the number of projects between 2016 and 2017, S&T officials told us that one DHS component responded to the data call with a list of R&D activities that included a \u201cwish list\u201d of R&D for their component, and not actual ongoing R&D activities. DHS officials acknowledged that they do not have a mechanism to ensure the comprehensiveness of information reported by the components through the data call process. In addition, two components did not respond to S&T\u2019s request for R&D project information for the 2017 Annual Report of Coordinated R&D.", "Congressional Budget Justifications: In May 2018, in the absence of a single, comprehensive list of R&D projects across DHS prior to the issuance of its report in response to the NDAA, S&T officials referred us to the R&D projects listed within the seven individual congressional budget justifications for the components that currently have budget authority to conduct R&D. Furthermore, as discussed earlier, S&T officials used the congressional budget justifications as their starting point in developing their response to the NDAA. However, S&T officials stated that there may be differences between the projects listed in the NDAA response and the projects listed in the congressional budget justifications. For example, S&T stated that the report in response to the NDAA includes all \u201congoing\u201d projects, regardless of the fiscal year in which they received funds; while the congressional budget justifications include R&D projects for which funding was requested for the given fiscal year. In other words, S&T officials clarified, they included all R&D projects in their response to the NDAA that had project activity, regardless of whether funding was requested in a particular congressional budget justification.", "S&T\u2019s Project Tracker Database and the S&T Analytical Tracking System: A 2014 House Appropriations Committee report noted that the committee had repeatedly raised questions about S&T\u2019s prioritization of R&D projects and that, without the ability to easily review and compare detailed information on all S&T projects and activities, the Under Secretary for S&T could not effectively carry out S&T\u2019s responsibilities. Accordingly, the Committee directed S&T to develop a method or system for tracking all S&T-funded R&D projects. A November 2016 DHS Directive reiterates this requirement, specifying that the list of projects should be updated on at least a quarterly basis throughout the duration of an R&D project. S&T officials told us that, in response to the committee report, they developed the Project Tracker Database, which was in use at the time of our review, but was transitioned to a new system, the S&T Analytical Tracking System, in September 2018. Neither the S&T Analytical Tracking System nor its predecessor system, the Project Tracker Database, is intended to comprehensively collect information on R&D projects across the department, only for R&D projects managed within S&T. Given the recent implementation of the S&T Analytical Tracking System, it is too soon to tell whether it will improve and streamline S&T\u2019s efforts to collect and analyze R&D-related information within the directorate.", "In addition, S&T officials stated that none of the above R&D information sources are suited to long-term trend analysis or data aggregation of department-wide R&D project information, and that these sources are disparate across DHS. S&T officials also acknowledged that better aligning R&D project information sources is an important aspect of improving how the department collects information DHS-wide.", "Standards for Internal Control in the Federal Government call for agencies to maintain quality information that is, among other things, current, accurate, accessible, and provided on a timely basis. Furthermore, the standards call for an agency\u2019s management team to process relevant data from reliable sources and utilize it to make informed decisions. The disparate R&D project information sources that S&T maintains, such as DHS\u2019s response to the National Defense Authorization Act of 2017 and the Annual Reports of Coordinated R&D discussed above, and the manual data-call process it takes to update the sources limits departmental access to current and reliable R&D project information. For example, an internal DHS web-based portal with pre- defined fields could provide component officials with a means for reporting information more consistently and comprehensively. Without complete and readily accessible R&D information, DHS may not have the information it needs to make informed decisions about R&D investments, such as which projects are to be prioritized. By developing a mechanism to address challenges and limitations related to the collection, integration, and comprehensiveness of R&D data across the department, S&T can improve its visibility on R&D efforts across DHS in accordance with its role as DHS\u2019s coordinator of R&D efforts."], "subsections": []}, {"section_title": "DHS Has Not Effectively Developed Some R&D Performance Management Information, Posing Challenges to Assess and Report on the Progress of R&D Projects", "paragraphs": ["DHS components have processes in place to collect certain indicators of R&D performance, but we found that these processes have limitations. The methods used to assess and report performance and progress of DHS R&D efforts we identified include:", "Milestone information \u2013 used to assess and communicate progress to Congress and agency decision makers on individual R&D projects", "Strategic and Management Performance Goals \u2013 milestone and other information is aggregated to provide summary information on R&D performance by mission area", "Customer feedback \u2013 information gathered by component officials on R&D customer perspectives on the utility of ongoing or completed projects Below is our analysis of the three methods."], "subsections": [{"section_title": "Milestones", "paragraphs": ["Milestones are often used as the basis of an alternative form of performance goal. Performance goals specified in alternative form must be described in a way that makes it possible to discern if progress is being made toward the goal. Milestones related to DHS R&D efforts are reported to Congress and publicly available through the DHS congressional budget justification. A milestone is a scheduled event signifying the completion of a major deliverable or a phase of work, and can be described in a way that makes it possible to discern if progress is being made toward a goal. Milestones can also help agencies demonstrate that they have clear and fully developed strategies and are tracking progress to accomplish their goals. In our analysis of 14 milestones for seven S&T high-priority R&D projects identified in fiscal year 2018 DHS budget justification documents, we found that 3 of the 14 milestones fully adhered to DHS guidance for milestone descriptions. DHS budget development guidance suggests DHS components, which develop milestones for inclusion in congressional budget justification documents, utilize leading practices provided in the guidance. The leading practices state that successful milestones contain the following characteristics: 1. Specific - provide a clear understanding of expected results; 2. Measurable - the result can be reported in quantitative or qualitative 3. Results-Oriented/Relevant - milestone clearly links to results-oriented activities such as strategy, budget, and/or program/project plans; 4. Time-Bound - milestone specifies a beginning and end date for As shown in table 3, we identified that more than half of the milestones (8 of 14) were not specific and 10 of 14 were not results-oriented. Eleven of 14 milestones we analyzed were measurable and time-bound. While our analysis is not generalizable to all fiscal year 2018 R&D milestones, it illustrates areas where the selected milestones do not fully incorporate the DHS guidance.", "Below is more detail on our assessment of the Specific and Results- Oriented guidance.", "Specific. Of the 14 milestones we reviewed, eight did not contain specific information that would allow reviewers to have a clear understanding of the result expected in connection with the milestone. For example, one milestone for a cyber-related R&D project states that \u201ctestbeds and pilots would be conducted with at least one department or agency.\u201d However, the milestone is not specific enough to ascertain what types of testbeds or pilots are being assessed and how the testbed effort would link to a possible end result.", "Results-Oriented and Relevant. Ten of the 14 milestones that we reviewed did not clearly link the milestone back to results-oriented activities, such as strategy, budget, or project/program plans. For example, one milestone for a first responder program stated the following: \u201cTransition, commercialize, or make available through open source platforms at least three technologies (e.g., Analyses, models, technology prototypes and/or knowledge prototypes).\u201d It is unclear which technologies would be transitioned or how these technologies would be transitioned and made available.", "According to DHS OCFO officials, DHS congressional budget justifications, which include milestones, serve to provide explanation and detail for why DHS believes Congress should support the department\u2019s R&D projects. DHS components are instructed by DHS\u2019s budget office to routinely submit their congressional budget justifications for internal DHS review, which is a process and mechanism that results in the supporting justifications for R&D funding requests. DHS OCFO officials also stated that they are not aware of a singular reason for why milestones do not consistently incorporate DHS\u2019s guidance and stated that they have also identified instances in which milestones do not align with the guidance. As our analysis indicates, S&T\u2019s milestones could better incorporate milestone criteria included in DHS\u2019s budget preparation guidance. Without milestone information that more closely aligns with DHS guidance, Congress and DHS decision-makers may not be able to fully assess whether R&D projects are meeting specific goals within assigned time frames or identify what adjustments, if any, may be needed to facilitate the achievement of project goals and the R&D mission overall."], "subsections": []}, {"section_title": "Strategic and Management Performance Goals", "paragraphs": ["DHS has developed 12 performance goals to assess and report on its R&D efforts, DHS is required to identify department-wide goals in its strategic plan and annual performance report. For fiscal years 2016 through 2018, DHS\u2019s Annual Performance Report included two strategic performance goals related to S&T\u2019s R&D efforts. DHS\u2019s congressional budget justification includes the two strategic performance goals as well as 10 related management performance goals. For a detailed listing of the 12 performance goals, see table 4.", "Seven of the 10 management performance goals were for S&T R&D efforts and the remaining three were for Domestic Nuclear Detection Office\u2019s R&D efforts, which cover the components that account for 96 percent of DHS\u2019 fiscal year 2017 R&D obligations. DHS has performance goals for mission programs that produce operational results that link directly to the DHS Strategic Plan, according to officials from the OCFO\u2019s Program Analysis and Evaluation division. DHS also uses milestones to track the progress of the other components\u2019 R&D efforts."], "subsections": []}, {"section_title": "R&D Customer Feedback", "paragraphs": ["DHS components that conduct R&D use various methods to collect and analyze customer feedback to assess their R&D efforts, as shown in table 5. However, DHS is not well positioned to integrate the results because limited customer feedback information is collected and analyzed.", "Six DHS components that have R&D-related responsibilities evaluate customers\u2019 needs and improve customer satisfaction by listening to customers\u2019 feedback about the quality of deliverables they receive\u2014both good and bad\u2014 and making changes necessary to enhance that deliverable. Specifically, officials from S&T, the Coast Guard, CWMD, TSA, the Cybersecurity and Infrastructure Security Agency, and the Secret Service stated they have varying methods in place for gathering customer feedback regarding the progress and the results of R&D activities and deliverables. Below is a summary of these components\u2019 efforts to consider customer feedback.", "S&T. S&T\u2019s project management guide outlines a process for ensuring customer requirements are being adequately met using a customer survey that can be modified and provided to the customer to complete at each major milestone. In addition, proceedings (e.g., minutes) from regularly scheduled meetings with customer and end user groups may be used to gather information regarding value and operational impact in lieu of a survey. The S&T survey asks customers to rate their overall satisfaction with S&T products and services, along with specific aspects of support, such as providing products in time to meet needs and effectively keeping customers informed. However, out of the 97 R&D activities that S&T reported in fiscal year 2017 and the 110 activities in fiscal year 2016, S&T collected one customer survey form.", "Coast Guard. The Coast Guard also has a process in place for surveying and interviewing its customers following the completion of an R&D project and officials reported using this information for future R&D planning. The Coast Guard\u2019s survey instrument seeks feedback on: customer satisfaction, timeliness, utility, and communications, among other things. The customer service survey is distributed for feedback on deliverables. At least 6 months after an R&D project is completed, Coast Guard also conducts an in-person interview with project sponsors to collect project transition performance success and feedback information. The surveys that Coast Guard uses to obtain feedback elicit a relatively low number of responses from customers, significantly limiting their usefulness in soliciting feedback data. Specifically, the response rates for fiscal years 2013-2017 were 16%, 17%, 27%, 13%, and 17%, respectively. Experts on customer satisfaction measurement have stated that although survey response rates are never 100 percent, an organization should strive to get its rate as close as possible to that number. They suggest that ideally, organizations can obtain response rates of over 70 percent.", "CWMD. CWMD does not have a formal mechanism, such as standard processes and procedures, for collecting and analyzing customer feedback. However, CWMD officials stated that certain informal mechanisms are used to collect customer feedback. For example, CWMD officials reported that the CWMD Office of Policy, Plans, Analysis, and Requirements Directorate communicate with customers and gather customer needs and requirements. In addition, as part of these informal mechanisms, internal and external reviews feedback may be obtained from eventual end users of the R&D technology such as operators from CBP, the U.S. Coast Guard, and the TSA, according to CWMD officials.", "Cybersecurity and Infrastructure Security Agency. The directorate does not have a formal mechanism for collecting and analyzing customer feedback. However, periodic control gates are used to gather customer feedback, according to directorate officials. The input received during these reviews is used to make corrective actions and manage R&D efforts as necessary. For example, according to directorate officials, they conduct a comprehensive review of R&D coordination efforts annually to determine what was effective and what can be improved.", "TSA. TSA does not have a formal mechanism for collecting and analyzing customer feedback. However, according to TSA officials, informal feedback may be obtained through review of the weekly reports and meetings regarding recent developments and project milestones. In addition, feedback may be obtained during quarterly program management reviews, third party project development, and certification testing.", "Secret Service. The Secret Service does not have a formal mechanism for collecting and analyzing customer feedback. However, according to Secret Service officials, informal feedback may be obtained in conjunction with other related internal review activities, including program management reviews.", "To formalize and improve customer feedback processes for R&D efforts, the National Academy of Sciences has stated that feedback from both R&D failures and successes may be communicated to stakeholders and used to modify future investments. Research on leading practices in the area of customer satisfaction suggests that multiple approaches are needed to effectively listen to customers about their perceptions of quality service and needs. The research also points to a need for centrally integrating all customer feedback so that managers can achieve a better understanding of customers\u2019 perceptions and needs. Also, we have previously reported that leading organizations combine quantitative and qualitative listening tools to obtain customer feedback and then centrally integrate the data in one location. Such approaches include the following:", "Customer satisfaction surveys. We previously reported that most major organizations use tools such as surveys to periodically capture customers\u2019 overall perceptions about their organization and to measure satisfaction with specific transactions soon after they occur. These surveys can be administered through the mail, by telephone, in person, or electronically.", "Benchmark surveys. Benchmark surveys gather perceptions of performance from the entire market. These surveys usually gather customer perceptions of performance about top competitors in an industry. This allows the company to examine its customer-perceived strengths and weaknesses in the overall marketplace. While continuous improvement may be a result of this listening tool, the real value, according to the research in this area, comes from breakthrough thinking to gain a sustainable advantage.", "Focus groups. Organizations use focus groups to get better information from customers than survey results provide. In these groups, customers are probed about why they answered survey questions the way they did.", "Customer interviews. Conducting interviews with customers can provide a way to get very detailed information about their specific needs and problems. Like focus groups, this tool is used by leading customer service organizations to probe survey respondents as to why they answered survey questions a certain way.", "The National Academy of Sciences have stated that evaluating the relevance and impact of R&D is a key stage of the R&D process and that measuring the impact of R&D activities requires looking to the end users and stakeholders for an evaluation of the impact of a research program, such as through polling or systematic outreach. In addition, Standards for Internal Control in the Federal Government calls for entities to determine an oversight structure to fulfill responsibilities that are set forth by feedback from key stakeholders, among other things. As a result of the limited customer feedback information that is collected and analyzed, DHS is unable to more fully understand its customers\u2019 perceptions and experience to allow it to assess the benefits and performance of its R&D efforts. Moving forward, standard processes and procedures for collecting and analyzing R&D customer feedback would help in assessing R&D efforts."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2010, DHS has obligated more than $10 billion dollars on R&D to develop technologies to support DHS\u2019s efforts to prevent, mitigate, and recover from terrorist and natural threats. S&T officials indicated that they have strong collaborative relationships with components; however, it is important that required components fully participate in the IPT process in order for S&T to maintain visibility of R&D projects and successfully fulfill its statutory role of coordinating R&D and to help reduce the risk of potential duplication of R&D efforts across the department. Furthermore, S&T faces challenges and limitations related to the collection, integration, and comprehensiveness of information on R&D projects. Without a mechanism that aligns information sources and results in comprehensive and accurate data, among other things, DHS may not have the information it needs to make informed decisions about R&D investments. S&T also does not fully leverage existing guidance when developing milestones for R&D efforts. Without milestone information that more fully aligns with DHS criteria, Congress and DHS decision-makers may not have a full understanding of R&D progress and challenges. Finally, standard processes and procedures for collecting and analyzing R&D customer feedback would help to assess its R&D efforts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Deputy Secretary of the Department of Homeland Security: The Deputy Secretary of the Department of Homeland Security should ensure that all components adhere to IPT participation requirements, in accordance with the DHS directives. (Recommendation 1)", "The Deputy Secretary of the Department of Homeland Security should develop a mechanism that aligns processes and information sources for collecting R&D project data from DHS components to ensure that the information can be collected, integrated and result in a comprehensive accounting of R&D projects DHS-wide. (Recommendation 2)", "The Deputy Secretary of the Department of Homeland Security should direct OCFO program officials to ensure that S&T take steps to more fully incorporate leading practices, such as those included in DHS\u2019s budget preparation guidance, into R&D milestones. (Recommendation 3)", "The Deputy Secretary of the Department of Homeland Security should develop standard processes and procedures for collecting and analyzing customer feedback, applicable to components conducting R&D, for improving the usefulness of existing customer feedback mechanisms to assess R&D efforts and for implementing such mechanisms where absent. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided written comments which are reproduced in appendix II. In its comments, DHS concurred with our recommendations and described actions planned to address them. S&T, OCFO, CBP, the Cybersecurity and Infrastructure Security Agency, and CWMD also provided technical comments, which we incorporated as appropriate.", "With regard to our first recommendation, that the Deputy Secretary of the Department of Homeland Security should ensure that all components adhere to IPT participation requirements, in accordance with DHS directives, DHS stated that S&T\u2019s Office of Science & Engineering will revise the relevant DHS directive to require participation in the IPT process by all components. DHS estimated that this effort would be completed by December 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our second recommendation, that the Deputy Secretary of the Department of Homeland Security should develop a mechanism for collecting R&D project data in order to complete a comprehensive accounting of R&D projects DHS-wide, DHS stated that S&T\u2019s Office of Science & Engineering will revise the relevant DHS directive to include requirements for data collection on all R&D projects across DHS to ensure alignment of the appropriate data elements and existing guidance. DHS estimated that this effort would be completed by December 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our third recommendation, that the Deputy Secretary of the Department of Homeland Security should direct OCFO program officials to ensure that S&T take steps to more fully incorporate leading practices, such as those included in DHS\u2019s budget preparation guidance, into R&D milestones, DHS stated that the OCFO will continue to work with S&T to incorporate the leading practices and that the OCFO will validate all S&T annual budget submissions and provide S&T feedback, as appropriate. DHS estimated that this effort would be completed by April 30, 2020. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our fourth recommendation, that the Deputy Secretary of the Department of Homeland Security should standardize processes for collecting and analyzing customer feedback to aid in assessing R&D efforts, DHS stated that S&T\u2019s Office of Science & Engineering will revise the relevant DHS directive to incorporate customer feedback procedures into the IPT process for the recipients of R&D programs. DHS estimated that this effort would be completed by December 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact William Russell at (202) 512-8777 or russellw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Overview of the Science and Technology Directorate\u2019s Research and Development Projects", "paragraphs": ["The following appendix provides a general overview of the Department of Homeland Security\u2019s (DHS) Science and Technology Directorate (S&T) research and development (R&D) projects and programs that support the following homeland security mission areas: (1) border security; (2) disaster resilience; (3) critical incidents, and (4) cybersecurity. The examples provided below are illustrative and therefore not intended to provide a comprehensive list of DHS R&D programs or projects.", "S&T and the U.S. Coast Guard conducted drone demonstrations and tests at two sites in Mississippi to test unmanned aerial systems before they are deployed to the field.", "The Technical Assessment of Counter Unmanned Aerial Systems Technologies in Cities is designed to help public safety and industry officials identify potential methods for countering nefarious uses of small unmanned aerial systems.", "The Wall System Design Support Tool Independent Verification and Validation seeks to strengthen the U.S. Border Patrol\u2019s decision analysis model used to identify the areas of the border where a wall would be most beneficial.", "The Border Research in Instrumented Construction Project is designed to identify cameras, sensors and other technology that can be applied on or near a smart wall via ground, surface/air, subsurface and water to enhance border security and agent safety.", "The Apex Border Situational Awareness program aims to help U.S.", "Customs and Border Protection access more data sources, develop decision support tools and share information with partner law enforcement agencies to improve situational awareness.", "The Integrated Maritime Domain Enterprise is a platform that seeks to bridge disparate data systems to make it easier for DHS components to share information and collaborate.", "The Adaptive Sensor Analytics Project aims to provide automated data analytics to process satellite imagery, identify patterns of nefarious activity and alert DHS officials.", "Ground-Based Technologies Program seeks to improve the ability to detect illegal activity at the border through stronger situational awareness, automated detection and alerts, target classification and tools to promote agent safety", "Air-Based Technologies Program is designed to identify, test and evaluate unmanned and manned aircraft platforms and sensors for law enforcement, search and rescue, and disaster response in both land and maritime environments.", "The Expert Tracker training program aims to help U.S. Border Patrol agents improve their ability to track movement in rough terrain along the nation\u2019s borders.", "Port of Entry Based Technology Program seeks to improve illicit cargo detection and legitimate cargo throughput by upgrading legacy scanning systems and linking them to new analysis and information sharing tools that may make the most of personnel resources.", "The Port of Entry People Screening Program aims to identify, evaluate and implement combinations of process and technology improvements that facilitate the movement of people through the nation\u2019s air, land and sea ports of entry.", "Autopsy is an open-source digital forensics platform that seeks to help law enforcement determine how electronic devices were used in a crime and recover evidence.", "Voice Forensics aims to help identify individuals who make hoax rescue calls to the U.S. Coast Guard, which may make it easier to find and prosecute suspects.", "Child Exploitation Image Analytics seeks to reduce the amount of time it takes to identify and rescue children from exploitation, as well as identify perpetrators, through automated face recognition algorithms and forensic tools.", "The Tunnel Detection and Surveillance Program is designed to help border officials detect and locate clandestine tunnels, as well as gather forensic data to support investigation and prosecution of drug smuggling activities.", "The Port of Entry Forensics and Investigations Program aims to help combat transnational crime and investigate child exploitation and human trafficking through open source data and forensic analysis of material collected from suspicious packages and cargo.", "DHS S&T seeks to help improve community resilience to natural disasters through technology and tools that support planning, decision making and mitigation efforts.", "The Canada-U.S. Enhanced Resiliency Experiment series aims to use real-world exercises to demonstrate that seamless communication is possible between responders on either side of the northern border during a large-scale emergency.", "DHS S&T and the Central United States Earthquake Consortium are developing a suite of decision support tools designed to help emergency managers analyze data used when planning, managing, coordinating and communicating during natural disasters", "The Mutual Aid Resource Planner is a prototype application designed to help jurisdictions develop more accurate resource plans by incorporating custom data on geospatial hazards, risk assessments and potential mutual aid partners.", "The National Mutual Aid Technology Exercise seeks to test existing mutual aid systems to improve users\u2019 ability to exchange information between systems in real time and develop technical guidance for future use.", "The Coastal Resilience Center of Excellence aims to conduct targeted research and education to address key challenges facing coastal communities in the United States, including storm surge modeling, pre-disaster planning, communicating risk and more.", "The Flood Apex Program is designed to help identify and develop technology that can reduce flood-related fatalities and property loss, increase community resilience and improve flood preparation, response and recovery.", "The Internet of Things Low Cost Flood Inundation Sensors project seeks to develop and test sensor technology that can provide real- time updates on rising water levels.", "The Kentucky Dam Safety project aims to create technology and processes to better monitor dams and alert communities of potential danger, reducing loss of life and property.", "The Advanced CIRCulation modeling tool seeks to accurately predict coastal flooding threats to help emergency managers better coordinate evacuation and response.", "The Hurricane Evacuation -eXtended platform is a decision support tool for emergency managers designed to organize and stage resources for hurricane response.", "The Simulation-Based Decision Support System for Water Infrastructural Safety Lite\u2122 tool is designed to quickly model the effects of potential dam breaks, helping officials develop accurate emergency response plans and anticipate evacuation needs.", "The Tunnel Plug is an inflatable device that aims to seal off subway tunnels to prevent water from flowing into the system, minimizing damage to critical transportation systems.", "The Linking the Oil and Gas Industry to Improve Cybersecurity project seeks to facilitate cooperative research, development, testing and evaluation procedures to improve cybersecurity in petroleum industry digital control systems", "The Homeowner Flood Insurance Roundtable aims to help reduce future uninsured flood losses by identifying decision support and research and development needs.", "The Automated National Structures Inventory project is seeking to build a comprehensive list of private and commercial property at risk for flood damage, which may help promote proper insurance and more effective flood protection efforts.", "The Smart Cities IoT innovation project is designed to help first responders improve their situational awareness through advances in autonomous drone navigation, intelligent building sensors and body- worn interoperability platforms.", "The Wireless Emergency Alerts Research, Development, Testing and Evaluation program aims to inform changes to the Federal Communications Commission\u2019s alerting system, including increased character length and adding URLs, pictures, videos and geo-targeting capabilities.", "The System Assessment and Validation for Emergency Responders program seeks to evaluate available responder technology on affordability, usability, and other criteria to help agencies understand which equipment will best fit their needs.", "The Urban Operational Experimentation program is designed to let responders test new technologies in real-world settings, and may help provide developers with direct feedback on how their products can better meet operational needs.", "The Enhanced Dynamic Geo-Social Environment training platform is a free virtual tool that aims to allow responders to practice responding to an active shooter incident, whether within a single agency or with multiple jurisdictions and disciplines.", "The Surface Transportation Explosives Threat Detection program is aiming to develop screening technology that can identify potential threats on people and in their bags without physically interacting with them.", "The Explosives Detection Canine program is designed to help detection canine teams identify new explosive compounds through non-hazardous training aids and increase their proficiency through realistic self-assessment and training events across the country.", "The Datacasting project aims to help responders send encrypted video, data files, and other critical information through existing public broadcast television signals, which helps prevent other communication channels from being overwhelmed.", "The Next-Generation Incident Command System, a web-based platform, seeks to allow responders to share data and request assistance in real-time, and also allows officials to observe and make critical decisions during evolving situations to better support preparation, response, and recovery.", "The Android Team Awareness Kit, a free app, is designed to help responders visually track team members and assets in real time during an incident, as well as share encrypted data across jurisdictions, disciplines, and components.", "The Assistant for Understanding Data through Reasoning, Extraction and Synthesis platform aims to help responders overcome information overload by providing actionable insight based on up-to-the-minute sensor data.", "The First Responder Electronic Jamming Exercise seeks to identify mitigation tactics against intentional or accidental communications jamming, which responders were able to practice implementing in realistic scenarios.", "The Telephony Denial of Service program is designed to help improve 911 emergency call centers\u2019 ability to defend against attacks through cyber security technologies that can analyze incoming calls and may help determine potential threats in real time.", "The Finding Individuals for Disaster and Emergency Response is designed to detect human heartbeats under up to 30 feet of rubble, which may help responders more effectively target rescue efforts.", "The Rapid DNA technology can complete a DNA test within 90 minutes or less from the field, which seeks to help officials identify victims and inform family members in a timely manner.", "The Forensic Video Exploitation and Analysis tool aims to help responders quickly analyze video to identify potential suspects by allowing users to tag a person to a left-behind item and reconstruct that individual\u2019s path across multiple camera views.", "The Cyber Risk Economics program seeks to fund applied R&D, knowledge products by gathering stakeholders across government, industry and academia to discuss cyber risk economics capability gaps and needs. Through these stakeholder discussions, along with scholarly cybersecurity economics research literature reviews and authoritative U.S. federal government documents, DHS S&T developed the newly released Cyber Risk Economics Capability Gaps Research Strategy which aims to consider business, legal, technical and behavior factors impacting cyber risk."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["William Russell, (202) 512-8777 or russellw@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Ben Atwater (Assistant Director), Melissa Hargy (Analyst-in-Charge), Nanette Barton and Gary M. Malavenda made key contributions to this report. In addition, key support was provided by Chris P. Currie, Dominick Dale, Michele Fejfar, Richard Hung, Benjamin Licht, John Mingus, Janet Temko-Blinder, and Sarah Veale."], "subsections": []}]}], "fastfact": ["The Department of Homeland Security\u2019s Science and Technology Directorate is required to coordinate research and development (R&D) across the department, which helps to prevent duplicative efforts.", "We found that the department's R&D project information is stored in various disparate sources (e.g., reports, data systems, etc.)\u2014which makes it difficult to identify and track. By developing a method to align these sources, the directorate can better compile and analyze R&D project information.", "We recommended that it do so."]} {"id": "GAO-18-97", "url": "https://www.gao.gov/products/GAO-18-97", "title": "Railroad Safety: Quiet Zone Analyses and Inspections Could Be Improved", "published_date": "2017-10-31T00:00:00", "released_date": "2017-10-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Accidents at grade crossings are a major source of fatalities in the railroad industry. FRA\u2014the federal agency responsible for providing regulatory oversight of grade-crossing safety\u2014\u2013issued regulations on the use of train horns in 2005. Railroads generally support sounding the horn, whereas, communities often support quiet zones to reduce noise.", "Congress included a provision in statute for GAO to examine FRA's train horn regulations, including those on quiet zones. Among other things, this report: (1) describes benefits and costs of quiet zones, and (2) examines how FRA evaluates the effectiveness of its train horn regulations. GAO analyzed FRA's documentation on quiet zones, including FRA's train horn regulations and 2011 and 2013 studies on quiet zone safety; reviewed literature; and interviewed FRA program officials in headquarters, Grade Crossing Managers in FRA's 8 regions, and a nongeneralizable sample of another 32 stakeholders from 6 states, railroads, public authorities, and private industry consulting firms. State and public authorities were selected based on the number of quiet zones, geographic diversity, and FRA's recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the benefits of quiet zones\u2014\u2013i.e., highway-rail at-grade crossings (grade crossings) where train horns are not sounded\u2014have not been quantified and that the costs to establish quiet zones vary. The Federal Railroad Administration's (FRA) train horn regulations allow public authorities (e.g., cities or towns) the opportunity to establish quiet zones if they install safety measures that reduce risks associated with the absence of the train horn (see fig.). While GAO did not identify any research that has quantified the benefits of quiet zones, most stakeholders GAO interviewed said that these quiet zones provide benefits to communities, such as reducing noise or increasing economic development. According to FRA guidance, the factors that affect the costs to establish quiet zones can vary based on the number of grade crossings and types of safety measures used. Public authorities, which typically incur the costs and receive the benefits of quiet zones, must therefore decide whether the benefits of quiet zones exceed the costs.", "To evaluate the effectiveness of its train horn regulations, FRA has analyzed data on grade crossings in quiet zones and is transitioning to a formal process for inspecting quiet zones.", "Analyses: FRA's analyses showed grade crossings in quiet zones were generally as safe as they were when train horns were sounded. However, these analyses did not control for changes to grade crossings' characteristics over time\u2014\u2013e.g., train speeds or frequency. Such changes may decrease the analyses' reliability. A revised methodology that accounts for these changes could provide FRA with better information on the long-term effects of the train horn regulations, including the safety of quiet zones.", "Inspections: Recognizing the need for additional oversight, FRA has taken steps to formalize its process for inspecting quiet zones. FRA has primarily relied on public authorities to oversee quiet zones and ensure compliance with the train horn regulations, in addition to informal inspections by FRA's Grade Crossing Managers. In September 2017, FRA began conducting formal inspections of quiet zones using Grade Crossing Inspectors. However, FRA has not developed guidance for how inspections are to be conducted, including how frequently inspections are to be performed or what should be examined. Without guidance, FRA cannot ensure that inspections are being conducted consistently across FRA's eight regions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FRA: (1) revise its methodology for analyzing the safety of quiet zones, and (2) develop guidance on conducting quiet zone inspections. The Department of Transportation partially concurred with the first recommendation, saying it would consider it, and fully concurred with the second. GAO continues to believe changes to the methodology are needed, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Accidents where railroad tracks cross roads (termed \u201cgrade crossings\u201d) are a major source of fatalities in the U.S. railroad industry. According to data from the Federal Railroad Administration (FRA)\u2014the federal agency that oversees rail safety, including the safety of grade crossings\u2014in 2016 there were more than 2,000 accidents at grade crossings, resulting in 264 fatalities, or about 36 percent of all railroad fatalities.", "To prevent accidents at grade crossings, railroads have historically sounded their horns to warn motorists of oncoming trains. However, according to FRA, since the 1970s, many cities, counties, and towns around the nation enacted whistle bans (i.e., local ordinances which prohibit or restrict the use of train horns or whistles at grade crossings). The whistle bans were allowed due in part to community complaints about the negative effects of the train horn noise on resident\u2019s quality of life. While whistle bans may have reduced noise, in 1990 FRA conducted an analysis on Florida\u2019s whistle bans that showed that they led to a 195 percent increase in accidents at grade crossings during nighttime hours.", "Partially as a result of FRA\u2019s analysis and the spike in accidents associated with selected whistle bans, in 1994 FRA was required in statute to issue train horn regulations governing the sounding of train horns at all public grade crossings. The statute also provided FRA authority to make exceptions. In August 2006, FRA issued its final rule on the use of locomotive horns at highway-rail-grade crossings. The rule provided states and public authorities with an opportunity to establish \u201cquiet zones,\u201d where train horns are not routinely sounded as trains approach grade crossings. However, certain conditions must be met to mitigate the increased risks resulting from the absence of the train horn. While grade-crossing accidents have remained relatively constant in recent years, federal and private-sector railroad officials remain concerned about grade crossings\u2019 safety, including whether grade crossings in quiet zones are as safe as grade crossings where the train horn is sounded. These concerns are often in conflict with public authorities who want to establish quiet zones to reduce noise.", "The Fixing America\u2019s Surface Transportation Act included a provision for GAO to review FRA\u2019s final rule. This report discusses: (1) what is known about the benefits and costs of quiet zones; (2) what challenges, if any, public authorities and others encounter in establishing quiet zones; and (3) how, if at all, FRA is evaluating the effectiveness of federal train horn regulations.", "The scope of this work focused primarily on new quiet zones\u2014that is, quiet zones that were established after FRA issued the train horn regulations in August 2006. For each of our objectives, we reviewed pertinent FRA regulations and documents; conducted a literature review of academic material on quiet zones; interviewed FRA program officials in headquarters and conducted in-depth interviews with a nongeneralizable sample of 40 stakeholders\u2014including officials from 8 freight railroads, 5 private industry consulting firms with experience helping public authorities establish quiet zones, 6 state agencies, 13 public authorities that established quiet zones within these 6 states, and Grade Crossing Managers (GCM) in each of FRA\u2019s 8 regions. We selected the states based on a number of factors including the number of quiet zones established since federal regulations were issued, the number of grade crossings within quiet zones, and geographic diversity. We selected the public authorities for interviews based on factors similar to the state selections, such as the number of new quiet zones, the number of grade crossings in new quiet zones, geographic diversity, and recommendations from FRA\u2019s GCMs and FRA\u2019s program officials. We asked each of these stakeholder groups a similar set of questions to gather the individual\u2019s views on each of our objectives; these views cannot be generalized to others. With respect to the freight railroads, we selected the seven largest freight railroads, in addition to the railroad involved with the Florida whistle ban. The private industry consultants were selected based on recommendations from FRA and other stakeholders we interviewed.", "We also conducted additional work related to each of the objectives:", "To describe what is known about the benefits and costs of quiet zones, we reviewed FRA\u2019s Regulatory Evaluation and Regulatory Flexibility Assessment (RFIA), which evaluated the economic impacts of federal train horn regulations, and a user guide prepared by FRA on how to establish quiet zones.", "To identify what challenges public authorities and other stakeholders encounter in establishing quiet zones, we conducted a content analysis of interviews with stakeholders identified above. We also reviewed FRA\u2019s Notice of Safety Inquiry\u2014the agency\u2019s retrospective review of the final rule\u2014issued in March 2016.", "To determine how FRA is evaluating the effectiveness of FRA\u2019s train horn regulations in quiet zones, we reviewed FRA\u2019s safety studies, published in 2011 and 2013, that compared the safety of grade crossings before and after the establishment of the quiet zone to determine whether safety was impacted. To assess the reliability of FRA\u2019s studies, we drew on established guidelines for assessing research, our reports on evaluating research programs, and our internal expertise in research design. We also compared FRA\u2019s approach to federal internal controls related to information and communication. In addition, we reviewed FRA policies and procedures to determine its\u2019 oversight approach and then compared this approach to federal internal control standards that would be applicable to the control environment.", "Finally, in order to obtain information about quiet zones, we reviewed FRA\u2019s data on quiet zones established from 2005 through 2017. To assess the reliability of these data, we examined FRA reports, analyzed the data to identify any outliers, and interviewed FRA program officials about how the data were collected and used. We determined that the data were sufficiently reliable for our purposes. See appendix I for more information on our scope and methodology and appendix III for a list of organizations we contacted.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The United States railroad system consists of a vast network of operations that includes more than 780 railroads operating across 220,000 miles of track\u2014including about 212,000 grade crossings. Both freight and passenger railroads operate across the system. The freight railroad industry is dominated by the seven largest railroads, referred to as class I railroads, whereas passenger rail service includes Amtrak and 29 commuter railroads.", "FRA is responsible for providing regulatory oversight of the safety of both freight and passenger railroads. To accomplish this oversight, FRA issues and enforces numerous safety regulations, including requirements governing track, signal and train control systems, grade crossing warning systems, and railroad-operating practices. FRA monitors railroads\u2019 compliance with federal safety regulations through routine and special emphasis inspections on railroads\u2019 systems. FRA\u2019s inspectors generally specialize in one of five areas. These inspection areas are called disciplines and include: (1) operating practices, (2) track, (3) hazardous materials, (4) signal and train control, and (5) motive power and equipment.", "FRA also has specific responsibilities related to the safety of grade crossings, including issuing regulations regarding the use of train horns at grade crossings. FRA issued regulations in August 2006, after FRA\u2019s analysis illustrated the dangers of whistle bans. Federal regulations require that train horns be sounded in advance of all public grade crossings. However, the regulations also provide an opportunity for public authorities to reduce the effects of noise associated with the train horn by establishing quiet zones. While railroads are directed to cease the routine sounding of the train horn at-grade crossings within quiet zones, the final rule states that train horns may still be sounded in emergency situations and to comply with other federal regulations and railroad operating rules.", "As of June 2017, there were 570 new quiet zones located across 42 states (see fig. 1).", "Train engineers are generally required to sound the horns at least 15 seconds, and no more than 20 seconds, in advance of all grade crossings. Train horns must be sounded in a standardized pattern of 2 long, 1 short and 1 long blast, with the volume ranging from 96 decibels to 110 decibels.", "Each pedestrian crossing or private crossing to an active commercial or industrial site must be reviewed by a diagnostic team and equipped or treated in accordance with its recommendations. The public authority must invite the state agency responsible for grade crossings\u2019 safety and all affected railroads to participate in the diagnostic review. FRA is not required to participate in diagnostic reviews. The Notice of Intent provides railroads and state agencies with an opportunity to provide comments and recommendations on the quiet zone. A complete and accurate U.S.", "Department of Transportation Grade Crossing Inventory Form must be on file with FRA for all crossings within the quiet zone to reflect the current conditions at each crossing. A Notice of Quiet Zone Establishment must be issued to FRA, applicable railroads, and relevant state agencies indicating a quiet zone is being established at least 21 days prior to the establishment date.", "Throughout the process public authorities may work with a number of stakeholders who have roles and responsibilities related to grade crossings. These include:", "FRA: In addition to issuing rules and regulations governing train horns and quiet zones, FRA has staff\u2014in headquarters and in FRA\u2019s eight regional offices\u2014that review public authority applications for use of ASMs, issue guidance on implementing federal regulations, answer questions from the public, and provide technical assistance related to the establishment of quiet zones. For example, FRA\u2019s 19 regional GCMs serve as subject matter experts on the train horn regulations and respond to questions from public authorities, while FRA program officials approve ASMs and conduct required annual reviews of quiet zones established relative to the Nationwide Significant Risk Threshold to ensure they equal or fall below this risk index.", "Railroads: Railroads work with public authorities to: (1) identify appropriate safety measures at grade crossings; (2) participate in diagnostic review meetings when the quiet zone includes public, private, or pedestrian grade crossings; (3) receive and comment on public authority\u2019s quiet zone notifications (e.g., the Notice of Intent and Notice of Quiet Zone Establishment); (4) install safety measures on railroad property; and (5) direct train crews not to sound horns in established quiet zones.", "State departments of transportation and rail regulatory agencies: These agencies receive and comment on Notices of Intent, public authority applications, and Notices of Quiet Zone Establishment; review, and in some cases approve grade crossing modifications; and participate in diagnostic reviews.", "Private industry consultants: In some cases, public authorities hire consultants to provide subject matter expertise on establishing quiet zones. Consultants may perform such tasks as determining the feasibility of a quiet zone; arranging diagnostic reviews; assessing quiet zone risks; and identifying appropriate safety measures.", "According to FRA officials, federal funding is available to reduce the risks of accidents at grade crossings, but funding specific to quiet zones is limited and no dedicated source exists. The primary source of federal funding to improve grade crossings\u2019 safety is the Federal Highway Administration\u2019s (FHWA) Railway-Highway Crossings (Section 130) Program, which received a set-aside of $230 million for fiscal year 2017 from amounts authorized for the Highway Safety Improvement Program. While the funds are not specific to quiet zones, Section 130 funds may be used to upgrade crossing infrastructure, an upgrade that may result in a public authority\u2019s being more easily able to establish a quiet zone. However, according to FRA program officials, the program is competitive and funding must be used for safety projects. They said projects are selected on a safety priority basis, and quiet zones are generally considered a quality of life issue, not a safety improvement. Hence, it is unlikely that many public authorities will obtain these funds to establish quiet zones. Further, the officials said that while other federal funding is available for which grade crossing improvements may be an eligible expense, none is dedicated to quiet zones.", "According to FRA officials, limited federal funding is available because quiet zones are not a national issue. They produce highly localized quality-of-life benefits and little or no improvement in the level of safety at grade crossings, but rather the safety measures are installed to compensate for silencing the sound of a train horn at grade crossings. As a result, public authorities seeking to establish quiet zones generally fund the installation of SSMs and ASMs. Given limited funding, public authorities determine whether the benefits of establishing a quiet zone outweigh the costs to establish them."], "subsections": []}, {"section_title": "Benefits of Quiet Zones Have Not Been Quantified, and Costs Depend on Many Factors", "paragraphs": [], "subsections": [{"section_title": "While Benefits of Quiet Zones Have Not Been Quantified, Selected Stakeholders Highlighted Benefits for Communities", "paragraphs": ["Benefits derived from establishing quiet zones and reducing noise from the train horn have not been quantified in research we reviewed or by the public authorities (i.e., communities) that we interviewed. Specifically, our review of literature did not identify any studies that had quantified the benefits resulting from public authorities establishing quiet zones at grade crossings where the horn was previously sounded. Further, FRA has not quantified benefits associated with quiet zones, but did note in its RFIA that quiet zones would likely result in localized quality-of-life benefits from silencing of the horn at locations where it had previously been sounded. Finally, none of the public authorities we interviewed have conducted any analysis that has quantified benefits associated with quiet zones or were aware of any studies that quantified these benefits.", "While the benefits of quiet zones have not been quantified, the majority of stakeholders whom we interviewed stated that quiet zones do provide benefits for communities. The most commonly cited benefit (35 of 40 stakeholders) was the reduction in noise due to the absence of routine sounding of the train horn. Stakeholders told us this noise reduction led to improvements in quality of life from, for example, the ability to sleep better at night, as well as a reduction in residents\u2019 noise complaints. To a lesser extent, stakeholders also cited economic development and safety as benefits for communities. Almost half of the stakeholders (19 of 40) we interviewed told us that areas with new quiet zones saw an increase in economic development from such things as new businesses or residential developments. Similarly, almost half of the stakeholders (17 of 40) said that quiet zones increased safety along rail lines, given the addition of new safety measures at the grade crossings.", "While the benefits associated with quiet zones have not been measured, more generally, researchers have analyzed the effect of transportation noise on property values and health to understand the effects.", "Property values: Our review identified two studies that analyzed the effect of freight train noise on property values in selected communities and found mixed results. In one study, the authors looked at the effect of a freight rail line on home prices and concluded that, while for smaller homes results suggest a negative and statistically significant effect on sale prices, results for medium and larger units were mixed. In the second study, the author examined the effect of a railroad\u2019s decision to ignore whistle bans and found that proximity to rail lines and crossings had a negative and statistically significant effect on residential property values in some communities, with the effect varying depending on distance to the rail line. The author concluded that the crossing effects were largely temporary, because over time, buyers less sensitive to noise would likely move into the area, reducing or eliminating any long-term effect of the railroad\u2019s decision. However, both of these studies have limitations, are based on data almost two decades old, and the results might not be representative of the economic effects associated with quiet zones.", "Health effects: In 2002, FRA summarized available academic literature on the undesirable effects of noise\u2014primarily focusing on transportation noise associated with aircraft, highways, and railroads. According to the research, transportation noise can cause undesirable psychological health effects, such as annoyance, and physiological health effects, such as hearing impairments and sleep disturbance on individuals."], "subsections": []}, {"section_title": "Costs to Establish Quiet Zones Depend on Many Factors", "paragraphs": ["Total costs to establish quiet zones depend on many factors and vary widely. Prior to issuing regulations, in the RFIA, FRA identified the types of costs associated with establishing quiet zones that can be incurred by public authorities, states, railroads, and FRA. These factors included such things as upgrading signals at grade crossings; purchasing, installing, and maintaining safety measures like flashing lights and gates; developing, reviewing, and evaluating quiet zones; and designing public education and awareness efforts. The actual cost that public authorities incur to establish quite zones will vary and depend on these and other factors. Both FRA program officials and FRA guidance has stated that, in general, the factors that affect the costs include such things as the number of grade crossings in a quiet zone, the geography of the area in which the quiet zone is established, and the types of safety measures a public authority decides to install. For example, some grade crossings may require upgrades to constant-warning-time devices or installation of complex and costly SSMs (e.g., four-quadrant gates), whereas other grade crossings may require fewer upgrades or less complex safety measures (e.g., traffic channelization devices). In 2013, FRA published guidance for public authorities in which it estimated that the capital costs public authorities may incur to establish quiet zones may range from about $30,000 to more than $1 million per grade crossing, depending on the types of safety improvements and existing infrastructure at grade crossings. The RFIA stated that, because grade crossings may differ significantly, public authorities must analyze the characteristics of each and the safety measures needed to accurately estimate costs to establish quiet zones.", "Public authorities we interviewed confirmed that the costs to establish quiet zones do vary and depend on many factors. All 13 public authorities we interviewed often said that in establishing quiet zones they incurred costs for identifying safety measures for grade crossings, purchasing and installing these safety measures, and maintaining quiet zones, among other things. According to the public authorities we spoke with in our review, the cost to establish quiet zones ranged from about $14,000 to several million dollars. However, this range also reflects different levels of quiet zone activity; for example, one public authority established a quiet zone at a single grade crossing, while another established a quiet zone that encompassed 60 grade crossings.", "In addition, railroads, states, and FRA may incur costs as part of establishing quiet zones. For example, officials from seven of the eight railroads we interviewed stated that they incur costs for such things as (1) participating in diagnostic reviews, (2) commenting on Notice of Intents and Notice of Quiet Zone Establishments; and (3) notifying and training crews not to sound horns in quiet zones. States may also incur costs. Two states included in our review\u2014California and Colorado\u2014have public utility commissions that told us they are required to review and approve any modifications to grade crossings in their states, including those associated with quiet zones. Finally, FRA incurs costs related to quiet zones. This cost includes reviewing quiet zone applications, participating in diagnostic reviews when invited, and the time GCMs or other FRA staff spends providing technical assistance to public authorities and others on establishing quiet zones.", "While public authorities are generally responsible for paying the costs to establish quiet zones, about half of the public authorities we interviewed (10 of 13) said they obtained funding from outside sources to help pay for the zones, for example:", "Federal funds: Six of the public authorities we interviewed reported receiving federal funds to help establish their quiet zones. In particular, one public authority that we interviewed reported receiving a $3.3 million Transportation Investment Generating Economic Recovery grant to establish a quiet zone. Alternatively, public authorities in the remaining five communities were eligible for grade crossing safety improvement efforts that were designated by the state through FHWA or other programs.", "State or railroad funds: For three of the public authorities we interviewed, quiet zones were established in conjunction with larger state department of transportation highway or railroad projects and these entities paid a portion of the costs.", "Grade crossing incentive funds: Four of the public authorities we interviewed received grade-crossing incentive funds from railroads or state departments of transportation to close grade crossings that were part of a quiet zone.", "Private funds: In two communities, private investors provided financial assistance to public authorities for a quiet zone. For example, a private developer paid for a quiet zone in order to facilitate the building of residential developments."], "subsections": []}]}, {"section_title": "Selected Public Authorities and Other Stakeholders Reported Several Challenges in Establishing Quiet Zones and Suggested Potential Improvements", "paragraphs": ["Public authorities and other stakeholders that we spoke with reported several types of challenges with establishing quiet zones. These stakeholders noted three primary challenges, which included the cost to establish quiet zones, obtaining stakeholder cooperation, and the process to establish quiet zones. As aforementioned, public authorities generally incur costs to establish quiet zones, so cost plays a major role in a public authority\u2019s decision of whether to pursue a quiet zone or not. The most commonly cited challenge was cost (29 of 40 stakeholders). In some cases, officials whom we interviewed reported that costs were the main reason that public authorities delayed or discontinued the process to establish a quiet zone.", "In addition to cost, stakeholders cited two other primary challenges to establishing quiet zones\u2014obtaining cooperation among quiet zone participants and the process for establishing quiet zones\u2014and suggested a variety of improvements related to bolstering the process.", "Cooperation among quiet zone participants (18 of 40): Although stakeholders we spoke with cited a number of cooperation issues, including difficulties in getting private grade crossing owners to participate and lack of state cooperation, over half (10 of 18) cited cooperation between public authorities and railroads as a challenge. Such cooperation is important since both must typically work together to establish quiet zones. However, there are natural tensions between public authorities and railroads with respect to establishing quiet zones. As discussed earlier, stakeholders we spoke with supported quiet zones believing they not only maintain safety, but improve quality of life. On the other hand, all eight railroads told us that the train horn is the most effective safety measure.", "The process for establishing quiet zones (16 of 40): In general, the stakeholders we spoke with cited a variety of process related challenges, including that the train horn regulations are difficult to understand, FRA waivers are difficult to obtain, and that the quiet zone process could be better explained by FRA. In particular, over half of the stakeholders whom said that process was a challenge (10 of 16) explained that the quiet zone process was either difficult to understand or navigate or that the requirements to establish a quiet zone were confusing. For example, one public authority told us that rules for establishing a quiet zone can be difficult to interpret and that this difficulty could impact public authorities\u2019 establishment of quiet zones. Four of the 16 stakeholders also told us the process was time consuming and, in some instances, can take years to complete. FRA program officials said the turnaround time for FRA reviews depends on the quality of materials provided. They said it generally takes 90 to 120 days for FRA to complete its review, but it can take longer if there is missing information or other problems with a public authority\u2019s application, as is often the case.", "Stakeholders we spoke to suggested three types of process-related improvements: administrative changes to improve the efficiency of the process, improvements to FRA\u2019s role in the quiet zone process, and improvements to FRA guidance that public authorities use to establish quiet zones.", "Administrative improvements: Twenty-five of the 40 stakeholders that we interviewed identified one or more types of administrative process improvements to improve the efficiency of the process for establishing quiet zones or better facilitate their establishment. These suggested improvements included:", "Making the quiet zone process more user-friendly (11 of 40 stakeholders that offered suggestions related to the quiet zone process): Stakeholders we interviewed identified various improvements that could streamline some administrative requirements of the quiet zone process. These steps include standardizing or automating the quiet zone process, developing sample Notices of Intent or Notices of Quiet Zone Establishment that public authorities could use to input information, and making quiet zone materials available electronically. For example, GCMs in one FRA region told us that by standardizing the paperwork all regions would receive the same documents, a step that would make review easier. In addition, these officials said public authorities often forget to include key information in the Notice of Intent and with a standard form this may not occur.", "Requiring diagnostic reviews for all quiet zones (7 of 40): As discussed earlier, when there are private grade crossings that allow public access to active commercial or industrial sites or pedestrian grade crossings in a quiet zone, a diagnostic review is required. The regulations require public authorities to provide state agencies and affected railroads, among others, the opportunity to participate in diagnostic reviews. According to FRA program officials, FRA is not required to participate in diagnostic reviews. Diagnostic reviews evaluate conditions at proposed quiet-zone crossings and a diagnostic review team makes recommendations about measures that are needed to protect safety at these crossings. Seven stakeholders we interviewed suggested that diagnostic reviews should be required for all quiet zones, not just instances when there are private or pedestrian crossings. For example, one GCM told us conducting a review for all grade crossings provides a better idea of what safety measures are needed and is a prudent action to protect public safety.", "FRA\u2019s Role in the Process: About half of the stakeholders we spoke with (21 of 40) suggested improvements related to FRA and its role in the quiet zone process: Increase FRA oversight and inspection of quiet zones (11 of 40): In general, these stakeholders believe FRA should be more involved with inspections and oversight of quiet zones, particularly between when a Notice of Quiet Zone Establishment is issued and when a quiet zone is established. Most of the railroad stakeholders we spoke with (6 of 8) believe there is a need for increased FRA involvement with quiet zones\u2019 oversight. Among the railroad concerns were that without additional FRA oversight, quiet zones may not achieve compliance with the train horn regulations, and that public authorities may not actually install the safety measures identified in the Notice of Quiet Zone Establishment. A GCM in one FRA region told us that officials discovered noncompliant safety measures and missing signs after quiet zones had been established in this region, and that safety measures that were supposed to be installed were not. We discuss quiet zone oversight issues later in this report.", "Expedite FRA\u2019s review of quiet zone applications (10 of 40): As discussed earlier, FRA plays a role in the quiet zone process, in part, by reviewing quiet zone applications when ASMs are used. The 10 stakeholders felt that FRA should expedite its review process. For example, a GCM in one FRA region suggested FRA shorten the review time by developing a list of frequently used ASMs and their safety effectiveness ratings and posting them online, a process that would save FRA time when reviewing ASMs.", "Guidance about the process: Finally, stakeholders we spoke with suggested guidance on the quiet zone process could be improved (17 of 40).", "In particular, 13 of the 17 stakeholders whom offered suggestions about guidance said that FRA\u2019s quiet zone guidance should be clearer or that training about the quiet zone process is needed. As previously discussed, some stakeholders told us the quiet zone process is difficult to understand or navigate, or that FRA could better explain the process. In particular, two public authorities suggested some form of step-by-step guide is needed to better describe the process, and GCMs in three FRA regions also suggested classes or other types of education were needed to better help public authorities understand the quiet zone process. According to FRA program officials, FRA\u2019s quiet zone guidance consists of its user guide and a document on how to create a quiet zone. The train horn regulations also specifies how public authorities are to establish quiet zones and includes steps to follow under the public authority designation or public authority application processes.", "Moving forward, FRA is in the process of conducting a retrospective regulatory review and deciding what, if any, changes may be needed. In March 2016, FRA issued a Notice of Safety Inquiry, which, according to FRA, is a retrospective review of the train horn regulations. The Notice of Safety Inquiry solicited comments about many aspects of the train horn regulations, including whether FRA can decrease the barriers public authorities encounter when establishing a quiet zone. Among other things, the inquiry seeks comments about whether there should be an online process for submitting notices and other required quiet zone paperwork, whether diagnostic reviews should be required for all quiet zones, and if the regulations should be amended to include common ASMs in the list of approved SSMs. The Inquiry is also looking at other aspects of the quiet zone process and guidance. As of July 2017, FRA was still in the process of reviewing comments received in response to the notice. FRA program officials did not indicate what, if any, changes may result from this inquiry, but said any changes that are made would be handled through a rulemaking. However, FRA program officials noted that a rulemaking would not be necessary for the agency to provide public authorities with additional tools to aid in the development of a quiet zone, such as guidance."], "subsections": []}, {"section_title": "FRA Has Conducted Analyses of Safety in Quiet Zones and Is Formalizing Quiet Zone Inspections, but Limitations Exist", "paragraphs": [], "subsections": [{"section_title": "FRA\u2019s Analyses Generally Indicate That Grade Crossings in Quiet Zones Are As Safe As The Same Grade Crossings When the Train Horn Was Sounded, but Methodology Has Limitations", "paragraphs": ["One way FRA evaluates the effectiveness of its train horn regulations is through conducting analyses of data on the safety of grade crossings in quiet zones. Those analyses show that grade crossings in quiet zones are generally as safe as the same grade crossings when the train horn was sounded. Specifically, FRA conducted analyses in 2011 and 2013 to assess whether there was a statistically significant difference in the number of accidents before and after implementation of quiet zones. The results showed that there was generally no statistically significant difference in the number of accidents that occurred before and after quiet zones were established. To conduct the analyses, FRA grouped quiet zones by the number of years of available data since establishment of the quiet zone, using an equal number of months before and after establishment. FRA\u2019s analyses in 2011 and 2013 included 359 and 203 quiet zones, respectively.", "While FRA\u2019s analyses of quiet zones generally showed that grade crossings in quiet zones were as safe as the same grade crossings when the train horn was sounded, in 2013 FRA identified one exception that FRA program officials reported resolving in a subsequent analysis. Specifically, while FRA\u2019s 2011 analysis did not show any differences in safety after establishment of the quiet zones, in 2013 FRA concluded that for quiet zones established from May 2010 through April 2011, there was a statistically significant increase in the number of accidents that occurred after the establishment of the quiet zones. Specifically, FRA found that accidents doubled from 11 accidents before establishment of the quiet zones to 22 accidents following the establishment of the quiet zone. After that finding, FRA program officials conducted a preliminary analysis for 2017 and reported that the results did not show a statistically significant increase in accidents for any period of quiet zones, including those established from 2010 through 2011. In addition to looking at quiet zones by establishment year, FRA\u2019s 2013 analysis also grouped quiet zones by how they were established, such as with safety measures at all crossings or against FRA\u2019s risk indexes. Results from this analysis did not show an increase in accidents by any establishment method analyzed. As a result, FRA program officials told us that they believe the result in 2013 for quiet zones established from 2010 through 2011 was likely an anomaly and that those quiet zones are as safe as other crossings.", "Before-and-after analysis is a methodologically acceptable practice, but the reliability of the results decrease over time because unlike other types of analyses, they do not control for factors that may change over time. In particular, FRA\u2019s analyses assume that the number of accidents experienced before the quiet zone is established is a good estimate of the number of accidents that would be expected in the future had the quiet zone not been established. However, FRA\u2019s before-and-after analyses have limitations because, unlike other methodologies, they do not take into account changes to characteristics of grade crossings over time. For example, a multivariate method can control for changes to characteristics at grade crossings that may impact safety. These characteristics can include changes to train or vehicle traffic, train or vehicle speeds, time of day when train activity occurs, number of highway lanes, the number of tracks in use, or other changes to surrounding roads or infrastructure at a crossing. For example, if train or vehicle traffic increased over time, it is possible that the number of incidents would increase, while the risk of an accident would stay the same. Specifically, closing a grade crossing near a quiet zone or increases in traffic from new businesses around a quiet zone could increase traffic after the establishment of a quiet zone; however, these changes would not be factored into FRA\u2019s current methodology for conducting safety analyses. This inherent limitation is exacerbated over time, because the assumption that there would be no changes to relevant characteristics of the grade crossings is less likely to be the case as more time passes.", "FRA also conducts annual reviews of selected quiet zones to ensure their safety, and FRA program officials told us that this review further validates its before-and-after analyses. As mentioned previously, FRA conducts annual reviews of quiet zones established against the Nationwide Significant Risk Threshold because the measure is variable and subject to change over time. According to FRA program officials, about 11 percent of all quiet zones are established against the Nationwide Significant Risk Threshold and are thus included in this annual review. To ensure that established quiet zones fall at or below the Nationwide Significant Risk Threshold, FRA is required to recalculate this measure on an annual basis and notify a public authority if the Quiet Zone Risk Index no longer falls at or below the threshold. By doing so, FRA program officials told us that they are further validating that the grade crossings in quiet zones are as safe as other grade crossings. While this annual review may provide FRA with additional support that grade crossings in quiet zones are as safe as others, it does not address the underlying limitations of a before-and-after analysis.", "While the reliability of a before-and-after analysis may decrease over time, FRA has no plans to revise its methodology. In fact, as mentioned previously, FRA program officials told us that preliminary results for their 2017 safety study mirror results from 2011, showing that there was no statistically significant difference in accidents before and after the establishment of quiet zones. According to FRA program officials, the agency is not required to conduct this analysis, but moving forward, program officials plan to conduct the same analysis on a biennial basis to internally validate that grade crossings in quiet zones are as safe as others.", "By continuing to rely on the current methodology, FRA\u2019s future analyses may continue to provide the agency with information that does not account for changes in characteristics of grade crossings over time. The Standards for Internal Control in the Federal Government states that management should use quality information to make informed decisions. This requirement can be satisfied by, for example, obtaining relevant data from reliable sources, obtaining that information on a timely basis, and processing that data into quality information that accurately represents what it purports to represent. Furthermore, a previous FRA study that the agency relied on in developing the final rule has reported that changes in grade crossings\u2019 characteristics can affect the results of analyses used to predict accidents at grade crossings. As a result, FRA\u2019s Rail-Highway Crossing Resource Allocation Procedures recommended that analyses used to predict accidents at grade crossings only include accident data for the most recent 5 years because older accident history information may be misleading due to changes that occur in grade crossings\u2019 characteristics over time. While FRA\u2019s recommendation was not developed to analyze the safety of grade crossings in quiet zones, the agency\u2019s recommendation that accident data older than 5 years may be misleading because of changes that occur to grade crossings\u2019 characteristics over time is relevant to those analyses. Nevertheless, FRA program officials told us that they have no plans to revise the methodology because it effectively compares the safety of grade crossings in quiet zones to other grade crossings. By continuing to use the same methodology, the agency may be missing an opportunity to fully understand the safety of grade crossings in quiet zones."], "subsections": []}, {"section_title": "FRA Has Taken Steps to Formalize Quiet Zone Inspections, but Lacks Formal Guidance", "paragraphs": ["In addition to conducting studies, FRA also oversees quiet zones by inspecting them to ensure their safety and compliance with train horn regulations. According to FRA program officials, FRA is not required to inspect quiet zones; rather, public authorities, in conjunction with the railroads, are responsible for maintaining quiet zones and ensuring compliance with train horn regulations. Until recently, FRA has utilized its GCMs to, among other things, informally inspect quiet zones and work with public authorities to resolve issues affecting the safety of quiet zones\u2014issues such as foliage covering signage, maintenance issues with safety devices, or outdated pavement markings. In fact, GCMs in all eight regions told us that they informally inspect quiet zones. According to FRA program officials, the agency has recently identified the need for \u201cmore eyes on the ground\u201d to more systematically address maintenance issues within quiet zones and to ensure compliance with train horn regulations. As a result, FRA is transitioning its informal inspection program for quiet zones to a more formal inspection process.", "As of August 2017, FRA had not terminated any quiet zones because of violations or fined any entities for quiet zone violations.", "August 2017 that they planned to hire 24 new Inspectors. As of August 2017, FRA had also developed the Inspector training curriculum, and began training three Inspectors. FRA program officials expressed uncertainty over when the remaining 21 Inspectors will be hired because of uncertainty regarding FRA\u2019s hiring and training priorities, among other things. In September 2017, FRA program officials told us that one of the newly hired Inspectors had completed the training and had begun inspecting quiet zones.", "While FRA has started conducting formal quiet-zone inspections, we found that FRA has not developed guidance on how the inspections should be conducted, including guidance on how frequently these inspections should be conducted and what should be examined. As a result, such guidance is not included as part of the training curriculum developed for Inspectors. According to FRA program officials, this guidance has not been developed because program officials are still finalizing the inspection program. Although no guidance has been developed, FRA program officials told us that they are considering inspecting all new quiet zones between when the public authority submits a Notice of Quiet Zone Establishment and when the quiet zone is established. Additionally, FRA program officials told us that existing quiet zones would be inspected based on mission requirements, risk, and the availability of resources, but ideally every 3 years. With respect to how the quiet zones are to be inspected, FRA program officials said they plan to develop guidance for Inspectors that is akin to the other FRA safety disciplines. FRA program officials told us that they are working toward establishing an Audit Division, which would be responsible for developing this guidance. However, as of August 2017, FRA program officials had not provided a timeline for when this division or guidance would be completed.", "The absence of guidance on inspections is inconsistent with internal control standards. Specifically, the Standards for Internal Control in the Federal Government states that management should implement control activities through its policies that document each unit\u2019s responsibility, or further delineates day-to-day procedures. These procedures may also include the timing of when a control activity occurs and state that management should communicate these policies to its staff. Without this type of guidance, FRA cannot have reasonable assurance that inspections are being conducted consistently across FRA\u2019s eight regions and as FRA intends."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Grade crossing collisions are one of the leading causes of fatalities in the railroad industry, and ensuring safety in these areas, including those within quiet zones, is a vital part of FRA\u2019s mission. While public authorities are primarily responsible for safety in quiet zones, FRA can help ensure that grade crossings in quiet zones are as safe as others. However, the methodology FRA uses to assess the safety of quiet zones has limitations because it does not account for changes to grade crossings\u2019 characteristics over time. By continuing to rely on this methodology, FRA may be missing an opportunity to ensure that established quiet zones are providing the same level of safety as when train horns were sounded.", "In addition to its safety studies, FRA is also taking steps to formalize its process for conducting physical inspections of quiet zones. While FRA has started hiring and training a few Inspectors, it lacks guidance on how and when quiet zone inspections are to be performed. Without this guidance, FRA cannot ensure that quiet zones will be inspected consistently across FRA\u2019s eight regions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to FRA: The Administrator of FRA should revise the methodology for the analysis of safety in quiet zones to take into account relevant changes over time\u2014 including changes in train and automotive traffic, or in the physical characteristics of the grade crossing. (Recommendation 1)", "The Administrator of FRA should develop guidance for Inspectors on the nature and frequency of quiet zone inspections. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Transportation for review and comment. The department provided a written response (see app. II), as well as technical comments that we incorporated as appropriate. The department concurred with the second recommendation regarding developing guidance for quiet zone inspectors and partially concurred with the first recommendation regarding revising the methodology for analyzing the safety of quiet zones. The department said it would consider our recommendation to revise its methodology as it explores options for updating its methodology.", "We are encouraged that FRA is willing to consider revising its methodology for analyzing the safety of grade crossings in quiet zones. However, we continue to believe that our recommendation is valid and that to fully understand quiet zone safety FRA needs to revise its methodology to account for relevant characteristics of quiet\u2014zone grade crossings. As we state in the report, the reliability of FRA\u2019s current methodology will likely decrease over time because it does not control for relevant changes to grade crossings in quiet zones including changes to vehicle or train traffic or speeds. These and other factors are critical determinants of grade-crossing safety. Further, developing a methodology that incorporates characteristics that affect safety at grade crossings in quiet zones may also provide FRA insight into the safety of grade crossings more generally. Since grade-crossing accidents are a major source of fatalities and, according to the department, are expected to increase as train- and highway-traffic increases, it will become increasingly important to have reliable information about grade-crossing safety, both in quiet zones and across grade crossings more generally.", "We will send copies of this report to appropriate congressional committees, the Secretary of Transportation, and the Administrator of the Federal Railroad Administration. In addition, we will make copies available to others upon request, and the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Fixing America\u2019s Surface Transportation Act included provisions for GAO to review the effectiveness of the Federal Railroad Administration\u2019s (FRA) final rule governing the use of train horns at highway-rail grade crossings. The objectives of this report were to determine: (1) what is known about the benefits and costs of quiet zones, (2) what challenges, if any, public authorities and others encounter in establishing quiet zones, and (3) how, if at all, FRA is evaluating the effectiveness of federal train horn regulations. The scope of this report was limited to new quiet zones\u2014that is, quiet zones that were established since FRA published the final rule in August 2006. Federal regulations govern the use of train horns at public-highway-rail-grade crossings (grade crossings) and provide public authorities\u2014typically a city, town, or county\u2014with the opportunity to create quiet zones where train horns are not sounded. We focused on new quiet zones to better understand the benefits, costs, challenges, and safety impacts associated with the regulations.", "To obtain information about quiet zones, we reviewed FRA\u2019s data on quiet zones established from 2005 through 2017. To assess the reliability of these data, we examined FRA\u2019s reports, analyzed the data to identify any outliers, and interviewed FRA officials about how the data were collected and used. We determined that the data were sufficiently reliable for our purposes.", "For each of our objectives, we reviewed pertinent law and FRA regulations and documents; interviewed FRA program officials in headquarters; and conducted in-depth interviews with a nongeneralizable sample of 40 stakeholders. This sample included stakeholders from 8 freight railroads, 5 private industry consulting firms with experience helping public authorities establish quiet zones, 6 state agencies, 13 public authorities within these six states, and FRA Grade Crossing Managers (GCMs) in each of FRA\u2019s 8 regions. The railroads selected included all seven class I railroads, plus the Florida East Coast Railway. The latter was selected due to its previous experience with whistle bans, and it was located in a state where we conducted interviews. The private industry consultants were selected based on several factors, including (1) experience with assisting public authorities in establishing quiet zones, (2) recommendations from FRA and other stakeholders we interviewed, and (3) geographic dispersion.", "We selected six states as part of a nongeneralizable sample for interviews. These states included California, Colorado, Florida, Illinois, Maryland, and Texas. The states were selected based on a variety of factors, including the number of new quiet zones and the number of grade crossings in new quiet zones. Five of the six states accounted for about 48 percent of new quiet zones (California, Colorado, Florida, Illinois, and Texas). We also conducted interviews in Maryland before we conducted other interviews to test our interview protocol. Maryland was selected for this purpose to, among other things, minimize resources. Within these states, we conducted interviews with 13 judgmentally selected public authorities (see table 1). The public authorities were also selected based on factors such as the number of new quiet zones and recommendations from FRA and other stakeholders we interviewed.", "For all our objectives we also conducted a literature review of pertinent studies in scholarly/peer-reviewed journals, conference papers, non-profit or think tank publications, and trade publications or industry articles to identify research on quiet zones. We restricted our review to results published between January 1, 1996, and October 17, 2016, and our search yielded 99 results. Of these 99 results, we reviewed each abstract or full article if available, to determine whether it was relevant to any of our objectives. Our analysis identified 10 results pertaining to safety, 11 results related to benefits and costs, and 1 result related to challenges. With respect to the articles related to costs and benefits, we also looked at citations within the studies we reviewed to identity whether any of these were relevant to our objective on costs and benefits of quiet zones. Using this approach we identified one additional study. Each abstract was reviewed by two analysts to determine whether it seemed relevant. Where disagreement existed with respect to whether the abstract was relevant, we included the abstract in our request for the complete study. We then developed criteria/requirements for each objective and reviewed each study against our criteria/requirements. Namely, we were only interested in studies that quantified the benefits or costs of quiet zones or that used data or analytics to measure safety at grade crossings in quiet zones or compared safety at-grade crossings in quiet zones to grade crossings where train horns sound. Further, each study was reviewed by an analyst and a statistician or economist to determine its relevance.", "With respect to our objective on the effectiveness of the train horn regulations, we determined that none of the studies met our underlying criteria. Specifically, none of the studies measured the safety at grade crossings in quiet zones or compared the results to grade crossings where the train horn sounded. Conversely, with respect to our objective on the costs and benefits of quiet zones, we determined that six studies were relevant. To assess the reliability and methodological soundness of the studies we determined were relevant, we compared the studies with general guidelines based on standards for assessing research and analysis from the literature, past GAO reports on evaluating research programs, and our internal expertise in research design. These guidelines include, for example, examining a study based on: (1) the extent to which it was well designed and the methodology supports the objectives; (2) whether the assumptions were reasonable and explicitly stated; (3) whether the study used the best available data; and (4) whether the conclusions and recommendations were balanced and supported by data analysis.", "To determine what is known about the benefits and costs of quiet zones, we reviewed the literature search discussed above and analyzed any studies obtained using the methodology described above. We also reviewed FRA\u2019s Regulatory Evaluation and Regulatory Flexibility Assessment for Use of Locomotive Horns at Highway-Rail Grade Crossings Final Rule (RFIA). The RFIA was issued before the final rule and analyzed the potential economic effects of requiring the train horn to be sounded at all public grade crossings, of eliminating whistle bans, and of providing conditions under which the train horn can be silenced at- grade crossings. To review the RFIA, we compared it to selected principles from Office of Management and Budget\u2019s (OMB) guidance for developing regulatory analyses. These principles included whether the analysis considered alternatives; whether the analysis estimated the incremental effect of the rule compared to a business-as-usual baseline; and whether the analysis analyzed uncertainty. In evaluating the RFIA, an analyst and economist independently reviewed the analyses and subsequently came to consensus about each element\u2019s adherence to OBM guidance. We also reviewed FRA\u2019s September 2013 user guide for quiet zones. This guide provides a high-level overview of the quiet zone process, including an estimated cost range to establish quiet zones. We discussed the cost range with FRA, including the source of the information and its reliability. Since FRA program officials told us it was an \u201corder of magnitude\u201d estimate and not meant to represent actual costs to establish quiet zones, we did not determine the reliability of the information. As a result, the cost range information is used for illustrative purposes only, and we included a disclaimer about its reliability. Finally, we interviewed FRA GCMs in all eight of FRA\u2019s regional offices, states, public authorities, railroads, and private industry consultants about the benefits and costs of establishing quiet zones. Some of these stakeholders provided information about costs to establish quiet zones, but this was anecdotal, and we did not attempt to verify its completeness or accuracy.", "To determine the challenges encountered by public authorities and other stakeholders in establishing quiet zones and improvements stakeholders suggested to the quiet zone process, we interviewed FRA GCMs, states, public authorities, railroads, and private industry consultants. We asked these stakeholders to identify the primary challenges in establishing quiet zones and for suggested improvements to the quiet zone process. We then analyzed the information obtained to identify common themes of challenges or suggested improvements. Based on this analysis, an initial list of categories for each challenge and improvement was then developed along with their definitions. The definitions identified specific types of comments to be included in each challenge or improvement category. After reviewing the initial list for overlaps and duplication, as well as to keep the list manageable, a final consolidated list was developed that consisted of eight types of challenges and seven types of improvements (see table 2). Using this list, an analyst then reviewed each interview and judgmentally assigned the information into one of the categories. A second analyst then independently reviewed these assignments using the consolidated list of categories and definitions. Any differences were then reconciled by the two analysts.", "To further enhance our understanding of quiet zone challenges and improvements, we reviewed guidance issued by FRA about quiet zones and the train horn rule. This included FRA\u2019s How to Create a Quiet Zone document (posted to the FRA website in September 2012) and FRA\u2019s user guide about quiet zones published in September 2013. Additionally, we reviewed FRA\u2019s regulations governing train horns and quiet zones. We also interviewed FRA program officials about the quiet zone process, application processing, various aspects of the train horn rule, and obtained information from FRA about quiet zone guidance.", "To determine how FRA is evaluating the effectiveness of the federal train horn regulations, we reviewed FRA\u2019s analysis of the safety of quiet zones at highway-rail-grade crossings completed in 2011 and 2013, which compared the safety of grade crossings in quiet zones to the safety of grade crossings where the train horn is sounded. We also discussed with FRA program officials the methodologies used to prepare these studies, and concerns with the data, conclusions, and plans to conduct future analyses. To assess the reliability and methodological soundness of the studies, we used the same approach as above. Both analyses were reviewed by a statistician and economist to corroborate the review. In addition to developing criteria for reviewing the analyses, we also reviewed guidance by FRA and others regarding analyzing incident data at grade crossings and about the limitations of a paired t-test\u2014FRA\u2019s methodology for comparing the grade crossings.", "To assess the extent to which FRA\u2019s methodology generally reflects internal control principles, we reviewed it against practices for presenting accurate information and communicating with internal and external stakeholders outlined in the Standards for Internal Control in the Federal Government. We also conducted data reliability assessments with respect to the underlying data FRA used in its analyses. FRA\u2019s analyses used data that originated from two distinct FRA databases: ccmMercury (CCM) and the Safety Data Analysis website. CCM is a correspondence management system which includes all data on quiet zones\u2014such as the establishment date and grade crossings included, among others. This information is contained in the Notice of Quiet Zone Establishment that the public authority establishing the quiet zone is required to provide to FRA. Alternatively, the Safety Data Analysis website contains two datasets: the Grade Crossing Inventory System (GCIS) and the Railroad Accident/Incident Reporting System (RAIRS). The GCIS contains information on every crossing in the nation and was used to identify the characteristics of the individual crossings within the quiet zone, whereas the RAIRS contains details about each crossing collision incident that has occurred. To assess the reliability of the data used in our review, we examined FRA reports, reviewed prior GAO data reliability material, and interviewed FRA stakeholders about how the data were collected, stored, and used. We determined that the data were sufficiently reliable for the purposes of our objectives.", "Finally, to understand how FRA conducts oversight of quiet zones, we interviewed FRA program officials about oversight of quiet zones, guidance to staff and public authorities, and any planned changes for how the agency conducts oversight of quiet zones. We also interviewed GCMs in each of FRA\u2019s eight regions to understand how they carry out oversight of quiet zones and to learn about the extent to which differences exist across regions. We also reviewed prior GAO reports that summarized FRA\u2019s oversight approach to the rail industry, including its more traditional inspection disciplines. We also asked stakeholders included in our sample of FRA GCMs, states, public authorities, railroads, and private industry consultants about the challenges of establishing quiet zones and potential improvements to the quiet zone process. We then assessed FRA\u2019s oversight approach using the Standards for Internal Control in the Federal Government.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: List of Organizations Contacted by GAO", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan Zimmerman (Assistant Director), Krister Friday, Sarah Gilliland, Timothy Guinane, Richard Jorgenson, SaraAnn Moessbauer, Malika Rice, Amy Rosewarne, Melissa Swearingen, Larry Thomas, and Crystal Wesco made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-175", "url": "https://www.gao.gov/products/GAO-19-175", "title": "Federal Law Enforcement: Purchases and Inventory Controls of Firearms, Ammunition, and Tactical Equipment", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal law enforcement agencies purchase firearms, ammunition, and tactical equipment, such as riot shields, to support their missions. GAO was asked to review these purchases for federal law enforcement agencies, and inventory controls at HHS, EPA, and IRS specifically.", "This report examines, among other objectives (1) firearms, ammunition, and selected tactical equipment spending by federal agencies with 250 or more FLEOs from fiscal years 2010 through 2017; (2) the extent to which select agencies accurately reported purchases of firearms and ammunition in publicly-available data; and (3) inventory controls in place at HHS, EPA, and IRS.", "GAO obtained available data on purchases from 20 agencies and from USASpending.gov, and reviewed inventory information and controls within HHS, EPA, and IRS. GAO also conducted site visits to HHS, EPA, and IRS offices to observe inventory controls, selected based on data discrepancies or reports of loss or theft, among other factors.", "This is a public version of a sensitive report that GAO issued in October 2018. Information that HHS, IRS, and the Transportation Security Administration deemed sensitive has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["The 20 federal law enforcement agencies in GAO's review reported spending at least $38.8 million on firearms, $325.9 million on ammunition, and $1.14 billion on tactical equipment\u2014at least $1.5 billion in total\u2014from fiscal years 2010 through 2017, based on data agencies provided to GAO.", "The internal agency data on firearms and ammunition purchases for the Bureau of Indian Affairs, U.S. Forest Service, and U.S. Immigration and Customs Enforcement (ICE) did not always match data that were publicly available on USASpending.gov\u2014a government source for federal contract data. In particular, the dollar value of firearms purchases by ICE in USASpending.gov was approximately 8 times greater than the value of the purchases reported by ICE to GAO. Some differences result from other agencies using ICE contracts to make firearms and ammunition purchases, and ICE not properly identifying the funding agency for those purchases in the system that supplies data to USASpending.gov. Because ICE does not accurately report the agency that funded these purchases, the public does not have accurate information on how much ICE\u2014and the agencies that make purchases using ICE contracts\u2014have spent on firearms and ammunition. This decreases accountability and transparency of federal purchases, which is in conflict with the intended purpose of this system.", "Department of Health and Human Services (HHS), the Environmental Protection Agency (EPA), and the Internal Revenue Service (IRS) have inventory controls for tracking, verifying, and securing federal law enforcement officers' (FLEOs) firearms. GAO observed these agencies' law enforcement components and found them to be generally following their inventory and security policies at selected locations. In instances where agencies were not in compliance with their policies, the agencies made corrections during the course of GAO's review. Each component has a process whereby at least once yearly officials review the firearms inventory to ensure that firearms match with records in the office's inventory system. The figure below illustrates a general process that all components GAO reviewed follow to verify their firearms inventory. Ammunition and tactical equipment inventory controls varied because agencies generally did not consider these items to be as sensitive as firearms. Examples of these controls include security for, and limited access to, equipment that might be vulnerable to risk of loss or unauthorized use, such as silencers or pyrotechnics."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Director of ICE update ICE's contracting process to provide the name of the agency funding the purchase of firearms and ammunition to improve the accuracy of publicly available data. ICE concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal law enforcement officers (FLEO) play a key role in maintaining the safety and security of federal property, employees, and the general public. In 2012, the Bureau of Justice Statistics reported that the federal government employed approximately 120,000 FLEOs in non-military agencies with authority to make arrests and carry firearms in the United States\u2014the vast majority of which were law enforcement agents within the Department of Homeland Security (DHS) and Department of Justice (DOJ). In addition, federal agencies such as the U.S. Department of Health and Human Services (HHS), the Environmental Protection Agency (EPA), and the Internal Revenue Service (IRS) also have law enforcement responsibilities that support their core missions. These responsibilities include investigating potential violations of federal public health, environmental, and tax laws.", "Within the federal government, FLEOs have a number of different functions to fulfill their law enforcement missions and roles, including providing police response, conducting criminal investigations, and providing building or personnel security. To help FLEOs carry out these responsibilities, agencies purchase firearms, ammunition, and tactical equipment. At these federal agencies, FLEOs are authorized to carry firearms, and are required to train in their use and pass certain firearms qualification standards. To help ensure officers\u2019 maintain the firearms proficiency of their firearms-carrying workforce, these agencies purchase ammunition for training, qualifications, and operations.", "Agencies may also purchase tactical equipment to support and augment FLEO operations, such as counterdrug, counterterrorism, and border- security activities. The types of tactical equipment used for these operations can include tactical vehicles to conduct drug raids; night vision gear and thermal imaging devices to surveil marijuana cultivation on public lands; helicopters to patrol coastlines; tactical and armored vehicles to patrol the border for illegal activities; and aerial capabilities to enhance border surveillance.", "Agencies that purchase firearms, ammunition, and tactical equipment must report those purchases publicly on a searchable website\u2014 USASpending.gov. Because the law enforcement missions of these agencies require them to purchase and manage firearms, ammunition, and tactical equipment, effective purchasing and oversight\u2014including inventory and safeguarding controls\u2014of these sensitive assets is important. We have previously reported on federal agency firearms inventory controls and on DHS ammunition purchasing and inventories. In those reports, we also noted that it is incumbent upon agencies to ensure the effective and efficient management of these items as stewards of taxpayer resources.", "You asked us to review issues related to firearms, ammunition, and tactical equipment purchases by federal agencies, as well as inventory controls at HHS, EPA, and IRS specifically. This report examines the following questions: 1. What do available data show about spending on firearms, ammunition, and selected tactical equipment made by federal agencies with 250 or more federal law enforcement officers from fiscal years 2010 through 2017? 2. To what extent have selected agencies accurately reported purchases of firearms and ammunition in publicly-available data on USASpending.gov? 3. What types and quantities of firearms, ammunition, and selected tactical equipment do HHS, EPA, and IRS have documented to be in their inventory systems, as of November 2017? 4. What inventory controls and procedures are in place at HHS, EPA, and IRS, and to what extent do these agencies follow these procedures at selected locations?", "This report is the public version of a sensitive report that we issued in October 2018. HHS, IRS and the Transportation Security Administration (TSA) deemed some of the information in our October report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about the number of FLEOs at the TSA, an illustration of how HHS\u2019s National Institutes of Health Police secures its firearms, and the number and types of some firearms, ammunition, and tactical equipment in NIH\u2019s and IRS\u2019s inventory. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address our first question, we selected the 20 agencies from the departments named in the Chief Financial Officers Act that employed 250 or more FLEOs at any point from fiscal years 2010 through 2017. We also excluded military and intelligence agencies from our review, such as all Department of Defense (DOD) branches and the U.S. Coast Guard, which is part of DHS. Table 1 shows the agencies in our scope for our first question.", "For the first question, we analyzed the amount 20 federal agencies reported spending on firearms, ammunition, and tactical equipment and refer to these internal agency records as spending data. Specifically, we provided the 20 agencies a data collection instrument and requested that they report, among other things, the agency\u2019s purchase method; award date; number of firearms, ammunition, or tactical equipment purchased; type of firearm, ammunition, or tactical equipment purchased; the amount spent for these items; and whether the amount spent is an estimate for the firearms, ammunition, and tactical equipment purchased for FLEOs from their internal record-keeping systems from fiscal years 2010 through 2017. We analyzed the data agencies reported as \u201camount spent,\u201d and we use the terms \u201cspending\u201d and \u201cspent\u201d to refer to these data. To identify tactical equipment for inclusion in our review, we selected 18 categories of items that appeared on two or more lists of destructive, militaristic, and specialized equipment. We use the term \u201ctactical equipment\u201d to refer to these 18 selected categories of tactical equipment.", "To assess the reliability of the spending data, we conducted tests for missing data and obvious errors, reviewed relevant documentation, and followed up with agency officials as needed. We interviewed knowledgeable agency officials about their spending records and data reporting practices. We found the data sufficiently reliable for the purpose of reporting the minimum thresholds of total amounts agencies spent and the number of firearms and rounds of ammunition they bought. However, we found the data were not reliable for reporting the number of tactical equipment items purchased or for conducting further comparative analysis.", "To address our second question, we selected three agencies\u2014the Bureau of Indian Affairs (BIA), the U.S. Forest Service, and U.S. Immigration and Customs Enforcement (ICE)\u2014to assess the extent to which their purchases of firearms and ammunition were accurately reflected in publicly-available data. We selected these three agencies based on the total dollar value of obligations reported in USASpending.gov: one small agency (BIA), one medium agency (Forest Service), and one large agency (ICE). We requested that these agencies provide to us internal purchase data for firearms and ammunition that included, among other things, the amount obligated for these items, a unique transaction identifier (called the Procurement Instrument Identifier), and the product or service code for firearms and ammunition purchases from fiscal years 2010 through 2017. We compared the amounts these three agencies obligated for firearms and ammunition purchases, as they reported to us, with the obligation data that are publicly available on USASpending.gov for those three agencies, using the Procurement Instrument Identifier to match records across the two sets of data. We obtained publicly-available data from USASpending.gov, which included obligations data from the Federal Procurement Data System-Next Generation (FPDS-NG), using product or service codes that identify contracts for firearms or ammunition purchases. We did not include equipment purchases because the publicly-available data lack product or service codes that would allow us to reliably identify those records. We reviewed a portion of these data and interviewed agency officials about differences we found between the publicly-available and agency-provided data. Results of our analyses of these three agencies\u2019 data are not generalizable.", "To address our third and fourth questions, we reviewed inventory information and controls for the case study federal law enforcement components within HHS, EPA, and IRS. Specifically, we obtained and analyzed inventory data, annual inventory reports, and other available documentation provided by these case study agencies and their components that employ FLEOs regarding their inventory of firearms, ammunition, and tactical equipment as of November 2017. Accordingly, we can draw conclusions only about the selected components in these agencies. To assess the reliability of the inventory data, we reviewed components\u2019 documentation related to purchases and data management, especially policies to ensure that items are properly entered and removed from the system.", "To examine these components\u2019 firearms, ammunition, and tactical equipment inventory controls, we reviewed their policies describing storage protocols and inventory control procedures, and we interviewed components\u2019 officials to better understand these policies and procedures in practice. We reviewed internal and external audit and inspection reports related to the controls over firearms, ammunition, and tactical equipment at these components to identify any reported deficiencies and actions taken or planned to address those deficiencies. We also compared these policies with applicable Standards for Internal Control in the Federal Government and key areas that we have identified as important for effective inventory management. We also conducted site visits to 12 components\u2019 offices selected based on a variety of factors, including the number of agencies with component offices in each city we visited, data discrepancies at field offices, and reports of loss or theft at these offices. During these site visits, we observed officials demonstrating inventory inspection, inventory data entry, and access and other security controls. In addition, we interviewed officials responsible for maintaining and inventorying firearms, ammunition, and tactical equipment. The observations and information we obtained from the offices visited cannot be generalized to other locations for these components, but provide insights about the components\u2019 firearms, ammunition, and tactical equipment controls. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from June 2017 through October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with the agencies addressed in this report from October 2018 to December 2018 to prepare this public version of the original sensitive report for release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Missions, Roles, and Responsibilities of Federal Agencies in Our Review", "paragraphs": ["Federal agencies carry out a variety of missions, including protecting and defending government buildings, public lands, and natural resources, as well as federal employees, elected officials, and visitors to federal sites. Agencies with FLEOs are also charged with investigating civil and criminal violations of federal laws. Inspectors General, which may also have FLEOs, are independent and objective units within agencies that are charged with combatting waste, fraud, and abuse within the programs and operations of their agencies. Table 2 lists the agencies within our review (20 agencies included in our review of spending data and 5 agency components included in our review of inventory controls) and describes their law enforcement missions. For more information about the data each agency provided, see appendix II."], "subsections": []}, {"section_title": "Types of Firearms, Ammunition, and Selected Tactical Equipment", "paragraphs": ["For the purposes of our review, a firearm is any weapon that is designed to expel a projectile by the action of an explosive or that may be readily converted to do so. Some firearms are single-shot, while others may be semi-automatic (requires a separate pull of the trigger to fire each cartridge) or fully automatic (can shoot automatically more than one shot, without manual reloading, by a single function of the trigger). Ammunition includes its component parts, such as cartridge cases, primers, bullets, or propellant powder designed to be used in a firearm. Ammunition can be used in multiple types of firearms, based on the size. For example, 9mm caliber ammunition used in pistols can also be used in certain types of fully automatic firearms. See figure 1 below for more information about the types of firearms FLEOs may use.", "In addition to firearms and ammunition, federal agencies may also have a variety of tactical equipment available to their officers to support their law enforcement roles. For example, officers engaged in counterdrug activities may use armored vehicles for drug raids in rural areas or night- vision equipment to maintain surveillance of drug activities. Officers that work in counterterrorism and border security may use helicopters or other aircraft, as well as armored or tactical vehicles, to patrol or surveil locations. See figure 2 for examples of selected tactical equipment in our review."], "subsections": []}, {"section_title": "Purchase Data Reported in FPDS-NG and USASpending.gov", "paragraphs": ["Federal Procurement Data System-Next Generation (FPDS-NG) is a comprehensive web-based tool for agencies to publicly report contract transactions, including firearms, ammunition, and tactical equipment purchases. The public can download FPDS-NG data on contract actions from the USASpending.gov website, and this data set enables users to examine spending in multiple categories across government agencies. The contracting officer, who awards a contract or order against an existing contract, has responsibility for accurately recording the individual contract action information in FPDS-NG. Agencies are responsible for developing a process for recording contract actions and monitoring results to ensure their timely and accurate reporting in FPDS-NG, and must submit certifications about the accuracy of contract reporting to the General Services Administration.", "The Federal Acquisition Regulation (FAR) and the FPDS-NG Government User\u2019s Manual require that each transaction record include the name of the funding agency\u2014the agency that provided the obligated funds for the transaction. The FPDS-NG Government User\u2019s Manual also requires a product or service code (PSC) that reflects the product or service procured. If more than one PSC applies, the PSC that represents the predominance of the dollars obligated should be selected. Generally, the FAR requires that agencies report contract actions with a total estimated value greater than $3,500 to FPDS-NG. Generally, contract actions that do not meet the $3,500 threshold may also be reported, but the FAR does not require agencies to do so."], "subsections": []}]}, {"section_title": "Available Data Show that Selected Agencies Reported Spending at Least $1.5 Billion on Firearms, Ammunition, and Tactical Equipment from Fiscal Years 2010 through 2017", "paragraphs": ["The 20 federal agencies in our review reported data from their internal record-keeping systems on the amount they spent on firearms, ammunition, and selected tactical equipment. These agencies reported spending at least $38.8 million on firearms, $325.9 million on ammunition, and $1.14 billion on tactical equipment\u2014at least $1.5 billion in total\u2014from fiscal years 2010 through 2017. For detailed information about the data each agency provided, see appendix II."], "subsections": [{"section_title": "Firearms Spending", "paragraphs": ["The 20 agencies in our review reported spending a total of at least $38.8 million on firearms for their FLEOs from fiscal years 2010 through 2017, based on available spending data they provided from their internal record- keeping systems. The amount each agency reported spending on firearms over the 8-year period ranged from $106,000, in the case of the Social Security Administration\u2019s Office of the Inspector General (SSA OIG) to $4 million at U.S. Customs and Border Protection (CBP). Of the 20 agencies in our review, 18 agencies also reported the number of firearms they bought. These agencies reported buying a total of at least 44,551 firearms during this time. The quantity of firearms each of these 18 agencies reported buying over the 8-year period ranged from at least 311 at SSA OIG to at least 8,500 at the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF).", "Agencies buy a variety of firearms in support of their law enforcement missions. From fiscal years 2010 through 2017, agencies reported buying pistols, rifles and shotguns, and three of the agencies\u2014NPPD, ICE, and U.S. Secret Service\u2014also reported buying revolvers. Seventeen agencies reported buying semi-automatic firearms, while eight agencies reported buying fully automatic firearms and ten agencies reported buying single-shot firearms. See figure 3 for more information about the types of firearms that agencies reported buying over the 8-year period.", "Agency officials told us there were several reasons why they buy firearms, such as to update their entire firearms inventory, to replace malfunctioning firearms, or to test new models of firearms. Agencies typically do not update their firearms inventory often because firearms can last many years when properly serviced and maintained. This is reflected in agencies\u2019 spending data, which generally show periodic larger orders of firearms and more frequent smaller orders. For example, ATF reported buying several thousand pistols in both fiscal years 2012 and 2017, and fewer than 1,000 pistols and rifles in total in the intervening years. Similarly, BIA reported buying several hundred firearms in 2010, 2012, and 2014, and fewer than 200 in total in the remaining 5 years of our review. When firearms near the end of their useful life, agencies can choose to retire or replace them. Additionally, agencies frequently reported buying three or fewer firearms at a time, and officials from one agency we spoke with said that they may buy a single firearm at a time in order to test out new models for future consideration."], "subsections": []}, {"section_title": "Ammunition Spending", "paragraphs": ["The 20 agencies in our review reported spending a total of at least $325.9 million on ammunition for their FLEOs from fiscal years 2010 through 2017, based on available spending data from agencies\u2019 internal record- keeping systems. The amount each agency reported spending on ammunition over the 8-year period ranged from $309,000 (SSA OIG) to $128 million (CBP). Of the 20 agencies in our review, 16 agencies also reported the number of rounds of ammunition they bought. The 16 agencies reported buying a total of at least 767 million rounds of ammunition during this time. The number of rounds of ammunition each of these agencies reported buying over the 8-year period ranged from at least 846,000 rounds (SSA OIG) to at least 429 million rounds (CBP). These agencies most frequently reported buying handgun ammunition, and .40 caliber was the most frequently reported caliber. See figure 4 for more information about the types of ammunition that agencies reported buying over the 8-year period.", "Agency officials we spoke with said the quantity of ammunition they buy annually varies within each agency based on factors such as ammunition usage in previous years, the number of officers qualifying to use a firearm each year, the skill level of officers, the type of training conducted, and their budget each fiscal year. Specifically, agencies require officers to pass certain firearms qualifications standards in order to maintain their proficiency\u2014typically quarterly for pistols, and biannually for rifles and shotguns. Officers must qualify on each firearm they are authorized to carry, and some agencies may have additional training requirements throughout the year. For example, HHS Office of Inspector General (OIG) officials said that, in addition to quarterly qualifications, officers also complete eight additional training modules each year that cover topics that include responding to multiple assailants, use of cover, and reactive shooting techniques. HHS OIG officials noted that they may add additional training if needed, and officials take this into account when determining the type and amount of ammunition they order each year."], "subsections": []}, {"section_title": "Tactical Equipment Spending", "paragraphs": ["Of the 20 agencies in our review, 17 provided spending data for their tactical equipment. The 17 agencies reported spending a total of at least $1.14 billion on tactical equipment for their FLEOs from fiscal years 2010 through 2017, based on available spending data from agencies\u2019 internal record-keeping systems. The amount each agency reported spending on tactical equipment over the 8-year period ranged from $10,000 (SSA OIG) to $609 million (CBP). We cannot report the total quantities of tactical equipment agencies bought because agencies reported quantity data using different units of measurement. For example, when we requested data on the number of camouflage uniforms agencies bought, agencies used \u201c1\u201d to refer to a variety of clothing, such as a single pair of pants or a full set of uniforms.", "A few agencies accounted for a significant portion of the total reported spending on tactical equipment. Specifically, four agencies\u2014CBP, U.S. Marshals Service, Federal Bureau of Investigation (FBI), and Drug Enforcement Administration\u2014reported spending at least $755 million in the manned aircraft category, or 66 percent of all reported tactical equipment spending for all agencies. See figure 5 for the types of tactical equipment agencies reported in spending data.", "The 17 agencies that reported buying tactical equipment most frequently reported buying aiming devices, such as sights and scopes, and specialized image enhancement devices, such as thermal cameras or night-vision goggles. Few agencies reported buying tactical and weaponized vehicles, aircrafts, and vessels. See figure 6 for more information about the types of equipment reported in each agency\u2019s spending data."], "subsections": []}]}, {"section_title": "BIA and Forest Service Publicly- Available Data Differed Somewhat from their Internal Data, While ICE\u2019s Data Differed Substantially", "paragraphs": ["For the three agencies we reviewed\u2014BIA, Forest Service, and ICE\u2014 publicly-available purchase data from USASpending.gov on firearms and ammunition did not consistently match the internal agency data we reviewed. Table 3 shows the total dollar value of the firearms and ammunition obligations that each agency reported to us, alongside the dollar value of the obligations in the publicly-available data.", "Differences between the agency-reported values and the values shown in the publicly-available data ranged from less than 1 percent to approximately 700 percent of the values reported by the agencies. Of the three agencies that we reviewed, ICE had the largest discrepancies between the agency-reported and publicly-available values. ICE reported to us $2,539,585 in firearms obligations and $47,965,399 in ammunition obligations for fiscal years 2010 through 2017; however, the publicly- available data for ICE for the same time period shows $19,728,786 in firearms obligations\u2014about eight times greater than what ICE reported to us\u2014and $146,198,549 in ammunition obligations\u2014about three times the amount that ICE reported to us.", "According to our analysis, some of the difference between the ICE- provided and publicly-available obligations in USASpending.gov results from other DHS agencies using ICE contracts to make firearms and ammunition purchases, and ICE not properly identifying the funding agency for those purchases in the Federal Procurement Data System- Next Generation (FPDS-NG), the database from which USASpending.gov draws contracting data. In these cases, agency officials told us that under a process known as \u201cstrategic sourcing,\u201d ICE performs the procurement functions and is reimbursed by the purchasing agency. The Federal Acquisition Regulation (FAR) requires that the agency that \u201cprovided the predominant amount of funding for the contract action\u201d be recorded in FPDS-NG. The FPDS-NG Government User\u2019s Manual also specifies that users record the agency that \u201cprovided the obligated funds\u201d\u2014that is, the agency that purchased the item or service.", "However, when ICE records the transaction data in FPDS-NG, ICE lists itself as the funding agency for firearms and ammunition transactions. For example, in the publicly-available records, a fiscal year 2013 purchase of pistols from the manufacturer totaling $847,960 in obligations shows ICE as the funding agency, but the transaction description states: \u201cto purchase pistols for FPS .\u201d As a result, ICE appears to be the funding agency for more firearm and ammunition transactions in the publicly-available data than in the data ICE reported to us.", "ICE officials explained that their contracting officers manually enter ICE as the funding agency in FPDS-NG. They interpret the FPDS-NG Government User\u2019s Manual guidance to allow designation of ICE as the funding agency, since payment for the purchase is made from an ICE account even when those funds are reimbursed by the agency that actually receives the purchased product. However, the FPDS-NG Government User\u2019s Manual specifically requires the identification of the funding agency and distinguishes between the agency that makes the payment and the agency that ultimately provides the funds for the purchase. FPDS-NG guidance also clarifies that when one agency buys on behalf of another, the agency that is requiring the purchase should be recorded as the funding agency, not the payment office.", "Because ICE recorded other agencies\u2019 purchases as its own in the publicly-available data, it significantly inflated the apparent dollar value of its firearms and ammunition purchases. As a result of ICE not accurately recording the correct funding agency information in FPDS-NG, the public does not have accurate information on the value of firearms and ammunition purchases made by ICE, and the agencies that make purchases using ICE contracting services. As we have previously reported, data need to be presented in a way that meets the needs of the end users\u2014both policy makers and the public\u2014if USASpending.gov is to fulfill its purpose of increasing accountability and transparency in federal spending. Improving the accuracy of the reported funding agency can better help the public understand and use federal data, and increase accountability and transparency of these sensitive purchases.", "Data on obligations for the publicly-available purchase records had smaller discrepancies when compared with purchases of firearms and ammunition reported to us by the BIA and Forest Service. The BIA\u2019s ammunition obligations in the agency- and publicly-reported data sets closely matched, with a discrepancy of less than 1 percent overall from fiscal years 2010 through 2017. The Forest Service\u2019s firearms obligation amounts in the agency- and publicly-reported data sets also closely matched, with a discrepancy of less than 1 percent overall from fiscal years 2010 through 2017. However, the dollar value of the Forest Service\u2019s ammunition obligations recorded in the publicly-available data was approximately 25 percent greater than the value of the ammunition purchases in the data that they provided to us. Forest Service officials explained that the publicly-reported data includes ammunition purchased for non-law enforcement purposes\u2014such as protecting Forest Service employees from wildlife attacks, controlling invasive species, or euthanizing injured animals\u2014and those purchases were excluded from the data that they provided to us because the scope of this review focuses on purchases for FLEOs.", "The type and amount of information recorded in the publicly-available data also contribute to discrepancies between agency-provided and publicly-available purchase records. As a result, the publicly-available data may comply with the data reporting requirements enumerated in the FAR and in the FPDS-NG Government User\u2019s Manual and still differ from the agency-provided data. Differences between publicly-available data and agency purchase records include:", "The product or service code (PSC) selected in the publicly-available data may not reflect all of the items in a purchase. According to the FPDS-NG Government User\u2019s Manual, the PSC selected for a purchase should reflect the items that constitute \u201cthe predominance of the dollars obligated,\u201d and only one PSC may be associated with a purchase. Therefore, when a purchase is assigned a firearms or ammunition PSC, but the purchase includes non-firearms or non- ammunition items as well, the total obligated amount of the purchase will be associated only with the selected PSC in the publicly-available data. This may result in over- or under-reporting the value of the obligations for firearms or ammunition purchases. For example, in fiscal year 2014, BIA purchased 103 shotguns, 220 tactical lights, and other equipment in a single transaction. The total value of the obligation was $145,970, of which the shotguns constituted 50.4 percent of the purchase ($73,549). Consistent with FPDS-NG guidance, the entire purchase was categorized as \u201cGuns, through 30mm\u201d in the publicly-available data, even though almost half of the purchase was for non-firearms items, thereby over-reporting the obligated value of the firearms purchased\u2014in this case, effectively doubling the apparent obligated value of the firearms purchased while omitting the obligated value of the non-firearms items that were part of the purchase. Conversely, a purchase categorized as \u201cOptical Sighting and Ranging Equipment\u201d obligated for $2,971 included a line item for $500 of ammunition. BIA included the $500 ammunition purchase in the data provided to us, but that amount was included under the equipment PSC in the publicly-available data in keeping with FPDS-NG guidance. This excluded the purchase from the publicly-available data that we reviewed and under-reported the obligated value of ammunition purchases by BIA.", "The available PSCs in the publicly-available data do not distinguish between firearm parts and fully functional firearms. Several purchases associated with firearms PSCs included descriptive information indicating that the purchase was for firearms parts. ICE officials also confirmed that an order described as firearm \u201cparts\u201d could include fully functional firearms. The officials noted that whether a particular purchase included fully functional firearms, firearms parts, or both cannot be determined without the statement of work, and the statement of work is not part of the publicly-available data. By including purchases of both fully functional firearms and firearm parts in the same category, publicly-available data may inflate the obligated value of functional firearms purchases.", "Firearms and ammunition purchases may not be assigned a related PSC in the publicly-available data. In cases where agencies assigned a non-firearms or ammunition PSC to a firearms or ammunition purchase, those purchases were excluded from the publicly-reported data that we analyzed. For example, a Forest Service purchase of rifles and sights which obligated $50,799 was assigned a PSC for \u201cAssemblies Interchangeable Between Weapons In Two or More Classes\u201d in the public data, rather than a firearms- or ammunition- specific PSC. Another Forest Service purchase for rifles which obligated $23,457 was assigned a PSC for \u201cR&D-Defense System: Weapons (Basic Research).\u201d", "Agencies are not required to report purchases of $3,500 or less to FPDS-NG. Because purchases of $3,500 or less generally are not required to be reported to FPDS-NG, these purchases may be reported inconsistently or not at all in the publicly-available data. Ammunition is often purchased by the selected agencies in small quantities and may cost $3,500 or less. For example, Forest Service officials noted that such small ammunition purchases may be made using a purchase card, and their internal data included at least 130 such purchases.", "In addition, the publicly-available data do not include a field for agencies to report quantity information associated with purchases. Therefore, the number of firearms or rounds of ammunition that an agency purchased are not available in the publicly-available purchase data."], "subsections": []}, {"section_title": "HHS, EPA, and IRS Reported Varying Levels of Inventories of Firearms, Corresponding Ammunition and Limited Tactical Equipment", "paragraphs": ["HHS, EPA, and IRS law enforcement components, our case studies, in total reported inventories of five types of firearms\u2014all with corresponding types of ammunition\u2014and nine types of tactical equipment. According to officials in all components, their inventories of these items can be attributed to a variety of factors, including the missions and responsibilities of their FLEOs, the number of FLEOs, and the office\u2019s schedule for disposing of and acquiring inventory. Table 4 summarizes the types and quantities of firearms, ammunition, and tactical equipment reported at case study components as of November 2017. For additional information on case study components, see appendix II.", "Firearms. The numbers and types of firearms the components in our review reported having in their inventories varied. As of November 2017, all components reported inventories of pistols and shotguns, five components reported rifles, and three reported fully automatic firearms. Officials noted that they make decisions about what to have in their inventories based on factors such as their number of FLEOs and mission needs. All components issued pistols to FLEOs to carry, in accordance with their statutory authority. Officials stated that these firearms are to be carried on duty so FLEOs are prepared for potentially dangerous circumstances, such as serving warrants on armed individuals. Similarly, qualified FLEOs in all components can temporarily carry rifles or shotguns in anticipation of, or in response to, high-risk situations, such as active shooter threats or arrests of suspects who are believed to be dangerous.", "We found that components had more pistols per FLEO than shotguns or rifles per FLEO, which reflects components\u2019 preferences to issue pistols to officers as their duty weapons. For example, six components reported having roughly a 2 to1 or 3 to 1 pistol-to-officer ratio, while EPA OIG agents had a 5 to1 ratio. Case study components generally reported having more pistols than FLEOs because every FLEO is assigned at least one pistol. On the other hand, six components reported having about 1 shotgun or fewer per every two FLEOs. However, EPA Office of Enforcement and Compliance Assurance (OECA) had a 1.4 to 1 shotgun- to-FLEO ratio. According to EPA OECA officials, their shotgun-to-agent ratio is higher than other agencies because of two factors: 1) EPA OECA historically had more agents, which made their shotgun-to-agent ratios lower than when they acquired the shotguns in use today, and 2) EPA OECA sends additional unassigned shotguns to natural disaster response locations to pre-position them for EPA OECA agent use. Components in the Food and Drug Administration (FDA) and IRS reported keeping a relatively smaller number of shotguns, which they said they only deploy for high-risk investigations. Among the five components with rifles, rifle-to- FLEO ratios ranged widely\u2014from less than 1 to 10 to 6 to 10 \u2014due to differences in the number of FLEOs and mission needs. For example, officials with IRS Police, which had four rifles for nine officers, stated that they only use the rifles for continuity of operations drills and annual qualifications.", "Ammunition. As of November 2017, case study components reported inventories of ammunition ranging from 14,706, in the case of the IRS Police, to approximately 5 million rounds held by IRS CI. (See table 4 for all components\u2019 inventories of ammunition.) Each law enforcement agency independently decides how much ammunition to allocate to its firearm-carrying personnel for training and qualification. Component officials noted that ammunition inventories constantly fluctuate throughout the year, based on factors such as the amount used for qualification and training purposes, and the timing of ammunition shipments. Officials from all components stated that their ammunition inventories can quickly change by thousands of rounds depending on training and qualification timing. For example, according to NIH officials, between November 2017 and February 2018, officers used 5,110 rounds of rifle ammunition during training, and subsequently NIH acquired 14,400 rounds of rifle ammunition. To help ensure they have sufficient ammunition on hand to support the training and operational needs of their FLEOs, components may maintain inventories of ammunition to last for several months. The length of time between ordering and receiving ammunition orders can be lengthy, sometimes up to 1 year, according to officials. Therefore, components order ammunition in large quantities to ensure there is enough available for training and qualification purposes.", "Tactical Equipment. Six case study components reported inventories of 9 of the 18 types of tactical equipment reviewed. Breaching equipment and aiming devices were the most frequently reported kinds of tactical equipment at these six components: four components reported breaching equipment and four reported aiming devices in inventories. Three components reported other equipment. EPA OIG reported inventories of silencers and tactical lighting; however, in February 2018 EPA OIG officials told us they began to transfer their silencers to another federal agency because officials decided that they were no longer necessary to meet their mission. Among the agencies in our review, NIH reported having pyrotechnics and large-caliber launchers. NIH officials said these items were necessary for assisting other law enforcement agencies in the event that extreme circumstances, such as a terrorist attack or riot, occurred in the area."], "subsections": []}, {"section_title": "Case Study Components\u2019 Inventory Controls Vary and Selected Offices Generally Followed Their Own Procedures", "paragraphs": ["HHS, IRS, and EPA case study components have inventory controls in place for firearms, ammunition, and tactical equipment. Components generally followed their procedures at selected locations to track and secure FLEOs\u2019 firearms. In addition, all 12 case study components\u2019 offices that we visited were in compliance with their ammunition and tactical equipment inventory controls. All components had some controls governing ammunition and equipment, though the specific controls varied by component."], "subsections": [{"section_title": "Case Study Components Have Controls to Track and Secure Firearms", "paragraphs": ["HHS, IRS, and EPA case study components have controls in place for tracking, verifying, and securing FLEOs\u2019 firearms. Through our observations, we found these components are generally following their inventory and security procedures at selected locations. According to Standards for Internal Control in the Federal Government, agencies should design control activities to respond to risks related to vulnerable assets. To ensure these controls operate effectively, management can take steps such as periodically counting and comparing such assets to control records, and establishing physical control to secure and safeguard vulnerable assets. Other examples of these controls include security for and limited access to assets, such as equipment that might be vulnerable to risk of loss or unauthorized use. In addition, we have identified areas that have been consistently recognized as important for effective inventory management that align with these controls. These areas include recording and tracking firearms inventory data and maintaining, controlling, and accounting for firearms inventories, among other things.", "Firearms Tracking. At each of these components, firearms are considered sensitive items and are tracked in electronic data systems or using paper records. At HHS OIG, there is a separate firearms tracking system, and other components track firearms in their overall property management system. A barcode or serial number is used to track the firearm through the life-cycle of the weapon\u2014which includes initial assignment, changes in assignment (to a different agent or to storage), and weapon disposal. According to each component\u2019s policy, every firearm has a bar code or serial number associated with it, and each firearm is assigned to an agent or placed in storage. When an agency receives a firearm, the serial number or bar code is entered into the agency\u2019s firearms inventory system and upon assignment to an agent updated with the agent\u2019s name. Typically, firearms in storage are assigned to the primary firearms instructor or the firearms coordinator in the inventory system to ensure accountability. At all case study components the primary firearms instructors and firearms coordinators are the persons responsible for managing the firearms inventory of an office and ensuring firearms are properly tracked\u2014these are considered ancillary duties for these individuals, in addition to their regular responsibilities as FLEOs. We observed demonstrations or documentation of these tracking records at each office we visited and found them to be generally in accordance with office policies.", "Firearms Verification. Each component has a process whereby at least once a year officials conduct a firearms inventory to ensure that issued and stored firearms match with records in the office\u2019s inventory tracking system. Figure 7 describes a general process that all components we reviewed follow to verify their firearms inventory. Five components we examined require this annual firearms inventory process to be conducted in person and entail the visual inspection of the serial number and condition of the firearm. However, FDA and EPA OECA FLEOs are permitted to send an email containing their firearm serial number, a photo of the firearm, or both to the official conducting the inventory to virtually verify they are in possession of their firearm. Officials stated that this saved them the expense of FLEOs in remote locations traveling for annual inventory checks.", "In addition to regularly verifying inventories of their firearms, five case study components conduct periodic checks to verify the accuracy of firearm inventory data. During these checks, headquarters or other inspection officials review data recorded about inventories, storage controls, and proper maintenance of weapons. For example, IRS CI and HHS OIG conduct regular internal reviews of firearms inventories and records that they use to identify data errors and make recommendations to improve data quality. We found that recent checks at the case study components have rarely identified issues related to recorded firearms data, and the majority of the identified issues were related to minor data errors, such as incorrectly recorded assignments of guns to FLEOs, locations of guns, and serial numbers. For example, in May 2017 EPA OECA\u2019s check of one area office found two firearms listed as being in storage were actually in service. All components with these administrative errors corrected them as they became aware of them, according to the audit reports and agency officials.", "However, during our review of EPA OIG inventory control practices for firearms, we found that EPA OIG headquarters did not have a management review process in place for firearms inventory, which contributed to examples of inaccurate firearms inventory data. Specifically, we found 6 out of the 12 EPA OIG offices reported inventories with at least one firearm that did not match the location and individual to which it was assigned. For example, we found that the Special Agent in Charge at one EPA OIG\u2019s field office verified that 10 firearms were physically in the office when actually they had been shipped to headquarters 11 months prior to the inventory date. According to EPA OIG officials, the errors we found were largely due to EPA OIG headquarters not updating records when agents transferred firearms from one office to another. As a result of our review, headquarters is implementing practices to improve future data quality. Specifically, EPA OIG officials said they reconciled their inventory data and had field offices with inaccurate inventories prepare memos to reflect their actual inventories. EPA OIG also updated firearms procedures to include headquarters increased oversight of firearms audits and inspections. In practice, EPA OIG officials stated that this will entail an annual reconciling of inventory memos sent by field offices with inventory data records maintained at EPA OIG headquarters. Thus, EPA OIG can more reliably track the location and agents responsible for firearms, ensuring proper weapons control procedures and accountability.", "Firearms Storage. All case study components had policies in place that required secure storage of firearms. All seven components\u2019 policies specify that this must include a locked container, such as a file cabinet or desk safe for issued firearms or a firearm vault or safe for unissued firearms. In all 12 of the components\u2019 offices we visited, we observed unissued firearms stored in a designated room that was kept locked with limited access. Specifically, we observed firearms storage rooms secured by keycard access, alarms, cameras, and other security devices. At all of the components\u2019 offices we visited, only FLEOs with a need to enter the rooms had authorization to do so. For example, only FLEOs in management roles and firearms instructors had access to the firearms storage room at the IRS CI and HHS OIG offices we visited, according to officials at each.", "In the secure firearms storage rooms at all of the locations we visited, we observed firearms that were further protected by cabinets, cages, safes, vaults, or combinations of these devices. We also observed some instances of firearms being stored securely in safes outside of the designated firearms storage room. For example, two EPA OIG and OECA offices we visited had spare shotguns and related equipment in biometric safes in offices to be used in response to active shooter threats. Qualified FLEOs in these two offices can use their fingerprints to open the safes and respond to such threats.", "Based on our observations, the offices we visited for the six components were in compliance with their firearms storage policies. However, we found the IRS Police office in Martinsburg to be out of compliance with policy that limits access to stored firearms to the armorer and chief of security and its policy that restricts storage in locked cabinets to five firearms. Based on our finding, IRS Police officials said they will update their policy to reflect its current practice of allowing all IRS Police officers access to stored firearms to respond to active shooter threats and acquired an additional safe to store firearms in June 2018. For each of the components we examined in our review, there were no instances of firearms being lost or stolen from any office, according to component data and officials."], "subsections": []}, {"section_title": "Case Study Components Vary in Their Controls Over Ammunition and Tactical Equipment", "paragraphs": ["All 12 offices for case study components that we visited were in compliance with their ammunition and tactical equipment inventory controls and procedures. All components had policies to treat ammunition and equipment as items with some level of control, though the specific controls varied by component.", "Ammunition. At the components\u2019 offices we visited, we observed various methods for tracking ammunition inventories, such as electronic logs, physical logs, or visual inspection. In general, case study components\u2019 policies require ammunition tracking through an ammunition log updated as ammunition is used, a regular inventory, or both. Components track ammunition to ensure they have enough on hand for training and qualifications, according to component officials. Some components, such as EPA OIG, maintain tight controls over their ammunition use by tracking ammunition use by lot number and the number of bullets used by each gun in physical logs. EPA OIG officials stated that they used this level of precision for three reasons: to track how many bullets are fired through each firearm for maintenance purposes, to quickly identify ammunition in inventory that may be affected by recalls, and to have a high degree of accountability. HHS OIG tracks ammunition using an electronic log, which they said they update whenever ammunition is removed for training and qualifications. IRS CI currently limits access to ammunition and entrusts use of force coordinators with independently managing their ammunition inventory to meet the training needs of their area of responsibility. One IRS CI use of force coordinator said that she relies on her experience and judgment to keep track of ammunition use at her field office without formally recording it. IRS CI is the only component in our review that does not have a documented policy to track ammunition or conduct a regular inventory; however, IRS CI officials indicated they are in the process of establishing a nationwide policy to track ammunition and conduct a regular ammunition inventory. Officials at two case study component offices said they provide their FLEOs extra boxes of ammunition to use for practice at a firing range outside of work hours. In general, four of the seven case study components did not track the real- time amount of ammunition they had on hand; rather, component officials said they had a general sense of the amount of ammunition in order to know if they had enough for training and qualifications, and when they would need to reorder ammunition.", "All case study components\u2019 policies require secure storage of ammunition. In all 12 of the components\u2019 offices we visited, we observed that ammunition was stored in their firearms storage rooms, and all offices took the additional step of securing the ammunition further in locked safes. For example, IRS CI requires ammunition storage in a security cabinet or a security room, preferably separately from firearms. Both of the IRS CI offices that we observed stored ammunition separately from firearms and with limited access. In the offices for two components, NIH and HHS OIG, we observed ammunition secured in a separate room from the firearms.", "Tactical equipment. Case study components do not control the tactical equipment in their inventory in the same ways that they control firearms and ammunition. Case study components that possessed aiming, breaching, and tactical lighting equipment did not have policies guiding their storage because they do not generally consider them to be as dangerous as a firearm or valuable enough to be tracked. However, components that possessed silencers, large-caliber launchers, pyrotechnics, or other items did have policies to control these items. Specifically, IRS CI policy requires the electronic tracking and inventory of night-vision equipment, optical equipment, and vehicles. NIH policy directs that large-caliber gas launchers be stored in the armory and pyrotechnics be stored in their bunker with ammunition. IRS CI, NIH, and EPA OIG all tracked this equipment during their annual inventory verification. Case study components did not report any instances of loss or theft of the tactical equipment in their inventories.", "Storage of tactical equipment varied and corresponded with case study components\u2019 use of items. For example, we observed silencers and aiming devices stored on or near firearms at EPA OIG and NIH because they are accessories that attach to firearms. We observed breaching equipment to be stored either in the firearms storage room, vehicles, or elsewhere in the offices we visited. For example, at EPA OIG\u2019s headquarters office, breaching equipment was stored in the firearms room because officials stated that they were only likely to use breaching equipment as part of a planned operation. However, officials at the FDA and NIH offices we visited said that their breaching equipment was stored in vehicles so it could be more readily accessible if they needed to use it."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Accurate reporting of firearms and ammunition is critical for accountability and transparency of these sensitive purchases. While reporting such purchases with precision is difficult, the execution of this responsibility impacts the public\u2019s access to information about which agencies purchase what types of firearms and ammunition, and the amount that they spent on those purchases. However, ICE did not properly identify the funding agency in FPDS-NG for purchases where other DHS agencies used ICE contracts to procure firearms and ammunition. This inflated its publicly-available data to show a significantly higher obligated dollar value of purchases than it actually purchased. Because ICE does not accurately report the agency that funded the purchase to FPDS-NG, the public does not have accurate information on how much ICE and the agencies that make purchases using ICE procurement services have obligated for firearms and ammunition. Data need to be presented in a way that meets the needs of the end users\u2014both policymakers and the public\u2014if USASpending.gov is to fulfill its purpose of increasing accountability and transparency in federal spending. Improving the accuracy of the reported funding agency can better help the public understand and use federal purchase data, and increase accountability and transparency for these sensitive purchases."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["To improve the accuracy of publicly-available purchase information, the Director of ICE should update ICE\u2019s contracting process to include the name of the appropriate funding agency in data entered into FPDS-NG for firearms and ammunition purchases. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of the sensitive product to DHS, DOI, DOJ, EPA, HHS, SSA OIG, Treasury, USDA, and VA for review and comment. Agencies provided technical comments, which we incorporated as appropriate. DHS also provided written comments on the sensitive report, which are reproduced in full in appendix III. In its written comments, DHS concurred with our recommendation and described the actions ICE plans to take in response.", "We are sending copies of this report to interested congressional committees, the Secretaries of the Department of the Interior, the Department of Homeland Security, the Department of Agriculture, the Department of Justice, the U.S. Department of Veterans Affairs, the Social Security Administration, the Department of the Treasury, the Environmental Protection Agency, and the U.S. Department of Health and Human Services. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report provides additional information on our objectives, scope, and methodology. Specifically, our objectives were to examine the following questions: 1. What do available data show about spending on firearms, ammunition, and selected tactical equipment made by federal agencies with 250 or more federal law enforcement officers from fiscal years 2010 through 2017? 2. To what extent have selected agencies accurately reported purchases of firearms and ammunition in publicly-available data on USASpending.gov? 3. What types and quantities of firearms, ammunition, and selected tactical equipment do the Department of Health and Human Services (HHS), Environmental Protection Agency (EPA), and Internal Revenue Service (IRS) have documented to be in their inventory systems, as of November 2017? 4. What inventory controls and procedures are in place at HHS, EPA, and IRS, and to what extent do these agencies follow these procedures at selected locations?", "This report is the public version of a sensitive report that we issued in October 2018. HHS, IRS and the Transportation Security Administration (TSA) deemed some of the information in our October report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about the number of FLEOs at the TSA, an illustration of how HHS\u2019s National Institutes of Health Police secures its firearms, and the number and types of some firearms, ammunition, and tactical equipment in NIH\u2019s and IRS\u2019s inventory. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address our first question, we obtained available spending data on firearms, ammunition, and certain tactical equipment from 20 agencies from the departments named in the Chief Financial Officers Act that employed 250 or more federal law enforcement officers (FLEOs) at any point from fiscal years 2010 through 2017. Specifically, we identified applicable agencies by reviewing Office of Personnel Management employment data and contacting agency officials to verify the employment of 250 or more FLEOs during the timeframe we reviewed. We excluded military branches from our review, such as all Department of Defense (DOD) branches and the U.S. Coast Guard, which is part of the Department of Homeland Security (DHS). Table 5 shows the 20 agencies, within eight departments, included in our scope for this question.", "Because there was no definitive list of what is considered tactical equipment, we developed a list of equipment to include in our review. To do so, we reviewed the National Firearms Act List, the Law Enforcement Equipment Working Group Recommendations, the DOD\u2019s list of Controlled Property, and the Special Weapons and Tactics Gear used by the New York, Los Angeles and Houston police departments. We then selected and categorized the tactical equipment that appeared in two or more of these lists to include in our review. The 18 categories of tactical equipment we created were: (1) silencers, (2) explosive devices, (3) large-caliber weapons (>.50 caliber, excluding shotguns), (4) armored vehicles, (5) weaponized aircraft, vessels, or vehicles, (6) camouflage uniforms, (7) manned aircraft, (8) unmanned aerial vehicles, (9) tactical vehicles, (10) command and control vehicles, (11) pyrotechnics and specialized munitions, (12) breaching apparatus, (13) riot batons, (14) riot helmets, (15) riot shields, (16) tactical lighting (excludes basic flashlights), (17) specialized image enhancement devices (such as thermal imaging devices and night vision gear), and (18) aiming devices (such as scopes and tripods). To more closely describe the types of equipment frequently reported in the large-caliber weapons and breaching apparatus categories, we refer to them in the report as large-caliber launchers and breaching equipment, respectively.", "To collect data from the 20 agencies within the scope of our review for this objective, we developed a data collection instrument that requested spending data of firearms, ammunition, and selected tactical equipment from agencies\u2019 internal record-keeping systems from fiscal years 2010 through 2017. For this objective, we requested the types of information that agencies reported using the data collection instrument: the date of each purchase; descriptive information on what was bought, including the caliber or gauge of firearms and ammunition; the quantity of items bought; the amount spent and whether those amounts were estimates; the type of record-keeping system used by the agency and any limitations associated with it or challenges compiling the information we requested; descriptions of changes or updates to the system that may have affected the data; and the contracting office(s) that were responsible for buying these items for the agency. We asked agencies not to include data on any items they received without spending funds, so agencies may have received more firearms, ammunition, or equipment in their inventories than what they reported in their spending data. For example, agencies may have received these items through interagency transfers, which may have no cost to receiving agencies.", "For the first objective, we analyzed the data agencies reported in the \u201camount spent\u201d column, and we use the terms \u201cspending\u201d and \u201cspent\u201d to refer to these data. In cases where agencies only reported the amount they obligated for a purchase on the data collection instrument, we confirmed with agencies that those amounts reflected the amount they spent on the purchase and that we could use those amounts in our analysis. We pre-tested the instrument with Veterans Health Administration and U.S. Immigration and Customs Enforcement (ICE), whose officials provided feedback on the feasibility of providing the requested data. Based on the feedback we received from the pre-test, we revised and finalized the instrument and requested that the 20 agencies provide spending data on firearms, ammunition, and tactical equipment from fiscal years 2010 through 2017 from their internal record-keeping systems.", "To assess the reliability of the spending data, we conducted tests for missing data and obvious errors, reviewed relevant documentation, interviewed agency officials about their spending records and data reporting practices, and followed up with agency officials as needed. We re-categorized agency data that appeared to be miscoded. For example, we received data on specialized munitions and large-caliber launchers that agencies categorized as ammunition and firearms, respectively. Based on the descriptive data that agencies had provided, we re- categorized those items. We also adjusted the data to ensure consistency in their format, such as consistent entry of dates and use of categories of tactical equipment. Agencies in our review submitted a range of detail about their firearms when reporting their data, and we could not determine to what extent firearms were fully automatic. Some firearms have selector switches that allow the user to switch between semiautomatic and fully-automatic capabilities, while others are limited to shooting three-round bursts with each pull of the trigger. As such, we reported all firearms that are capable of firing multiple rounds with the single pull of the trigger as fully-automatic firearms. We also combined ammunition intended for use in machine guns with rifle ammunition because machine guns shoot rifle-caliber ammunition, and we did not have confidence that every agency accurately distinguished which rifle- caliber ammunition was intended for use in machine guns and what was reserved for rifles.", "We found the data sufficiently reliable for the purpose of reporting the minimum thresholds of total amounts agencies spent and the numbers of firearms and rounds of ammunition they purchased during fiscal years 2010 through 2017. However, we found the data were not reliable for reporting the number of tactical equipment items purchased or reporting further comparative analysis. Agency officials reported various challenges in compiling the data we requested and we identified some data limitations, as described in table 6.", "To address our second question, we selected three agencies\u2014the Bureau of Indian Affairs (BIA), the U.S. Forest Service, and the U.S. Immigration and Customs Enforcement (ICE)\u2014to assess the extent to which their purchases of firearms and ammunition were accurately reflected in publicly-available data. We requested that agencies report internal purchase data for firearms and ammunition that included, among other things, the amount obligated for these items, a unique transaction identifier (called the Procurement Instrument Identifier), and the product or service code for firearms and ammunition purchases from fiscal years 2010 through 2017. We compared the amounts these three agencies obligated for firearms and ammunition purchases, as reported to us in their data collection instruments, with the obligation data that are publicly- available data on USASpending.gov for those three agencies. We obtained publicly-available data from USASpending.gov, which includes purchase data from the Federal Procurement Data System-Next Generation (FPDS-NG), using product or service codes (PSC) that identify contracts for firearms or ammunition purchases. We also reviewed our related work and Inspector General reports on the quality of USASpending.gov data. We obtained records for purchases made in fiscal years 2010 through 2017. We did not include equipment purchases because the publicly-available data lack product or service codes that would allow us to reliably identify those records.", "To select the three agencies for inclusion in this analysis, we started with the 20 agencies with at least 250 FLEOs in our scope. From those, we selected agencies that provided us with records of their firearms and ammunition purchases and that USASpending.gov listed as the funding agency for one or more firearms or ammunition purchase (12 agencies). From those, we selected three agencies based on the total dollar value of purchases reported in USASpending: one small (BIA), one medium (Forest Service), and one large (ICE), based on natural breaks in dollar values and not selecting multiple agencies from the same department.", "We then compared obligations data provided to us by each of the three agencies against obligations in the publicly-available purchase records using the Procurement Instrument Identifier to match records across agency-provided and publicly-available purchase data. We additionally corroborated these obligations by comparing fields related to the date of purchase, purchase value, and vendor. We reviewed a portion of purchase records to compare and interviewed agency officials about differences in the publicly-available and agency-provided data.", "For firearms, we included the following PSCs:", "1005 - Guns, through 30mm", "1010 - Guns, over 30mm up to 75mm", "1015 - Guns, 75mm through 125mm", "1020 - Guns, over 125mm through 150mm", "1025 - Guns, over 150mm through 200mm", "1030 - Guns, over 200mm through 300mm", "1035 - Guns, over 300mm We excluded several weapons PSCs from our analysis that described weapons other than firearms, such as 1040 \u2013 Chemical Weapons and Equipment. Any excluded PSC, particularly 1095 \u2013 Miscellaneous Weapons, may have been used as the PSC to categorize a purchase that included firearms and those purchases would be excluded from the publicly-available records that we examined.", "Similarly, for ammunition, we included records associated with the following PSCs:", "1305 \u2013 Ammunition, through 30mm", "1310 \u2013 Ammunition, over 30mm up to 75mm", "1315 \u2013 Ammunition, 75mm through 125mm", "1320 \u2013 Ammunition, over 125mm Like firearms, we excluded records that were associated with non- firearms ammunition, such as 1336 \u2013 Guided Missile Warheads and Explosive Components. Any excluded PSC, particularly 1395 - Miscellaneous Ammunition, may have been used as the PSC to categorize a purchase that included firearms ammunition and those purchases would be excluded from the publicly-available records that we examined.", "To address our third and fourth questions, we reviewed inventory information and controls for case study federal law enforcement components within U.S. Department of Health and Human Services (HHS), Environmental Protection Agency (EPA), and Internal Revenue Service (IRS). These components are as follows: EPA Office of Inspector General (OIG), Office of Enforcement and Compliance Assurance (OECA); Food and Drug Administration (FDA), National Institutes of Health (NIH), HHS OIG, and IRS. Within IRS, two offices employ FLEOs: Criminal Investigation (CI) and Police Officer Section (Police). Accordingly, we can draw conclusions only about these components.", "We obtained and analyzed inventory data and other available documentation provided by these components regarding their current inventory as of November 2017 of firearms, ammunition, and tactical equipment. This included firearms in storage as well as those in FLEO possession. To assess the reliability of the inventory data, we reviewed components\u2019 documentation related to data management, especially policies to ensure that items are properly entered and removed from the system. In addition, we reviewed components\u2019 recent purchases to verify that purchases were inventoried and reviewed their purchase data for any limitations that may affect their quality. We reviewed components\u2019 acquisitions through DOD\u2019s excess property program, known as the Law Enforcement Support Office (LESO) or 1033 program, to ensure these items were inventoried. We did not conduct physical inventories during site visits, and therefore did not actually count components\u2019 physical inventories.", "To examine these components\u2019 firearms, ammunition, and tactical equipment inventory controls, we reviewed their policies describing storage protocols and inventory control procedures, and we interviewed components\u2019 officials to better understand these policies and procedures in practice. We also compared these policies with applicable Standards for Internal Control in the Federal Government and key areas that we have identified as important for effective inventory management. We reviewed internal and external inspection and Inspector General reports related to the controls over firearms, ammunition, and tactical equipment at these components to identify any reported deficiencies and actions taken or planned to address those deficiencies.", "We also conducted site visits to components\u2019 offices selected based on a variety of factors, including the number of agencies with component offices in each city we visited, data discrepancies at field offices, and reports of loss or theft at these offices. The IRS Police facility we visited in Martinsburg, West Virginia is the only location for this component. In all, we visited 12 offices. During site visits, we observed officials demonstrating inventory inspection, inventory data entry, and access and other security controls. In addition, we interviewed officials responsible for maintaining and inventorying firearms, ammunition, and certain tactical equipment. The observations and information we obtained from the offices visited cannot be generalized to other locations for these components, but provide insights about the components\u2019 controls for firearms, ammunition, and tactical equipment.", "We conducted this performance audit from June 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with the agencies addressed in this report from October 2018 to December 2018 to prepare this public version of the original sensitive report for release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Spending on Firearms, Ammunition, and Tactical Equipment by Agency", "paragraphs": ["This appendix summarizes agency-provided spending data for the 20 agencies with 250 or more federal law enforcement officers and the 5 additional agency components that were included in our review. This appendix also identifies the challenges that agency officials identified in collecting the requested data and the limitations we identified while analyzing their data. To compile this information, we asked the agencies to provide data on their spending on firearms, ammunition, and selected tactical equipment from fiscal years 2010 through 2017. We reviewed the spending data provided by agencies to assess their accuracy and completeness, and followed up with agency officials as needed. Some agencies reported limited access to spending records because of their storage format or physical location, and we asked agencies to report the data that were accessible to them within the timeframe of this review. We found the data sufficiently reliable for the purpose of reporting the minimum thresholds of total amounts agencies spent and the numbers of firearms and rounds of ammunition they bought during the 8-year period in our scope. However, we found that data were not reliable for reporting the number of tactical equipment items purchased or for comparing the data across and within agencies. For more information on the methodology we used to collect these data and the challenges agencies faced compiling these data, see appendix I.", "Officials also provided information about the missions of their agencies or components, and the roles and responsibilities of their law enforcement officers. We included inventory data as of November 2017 for the agency components that were included in our review of inventory controls."], "subsections": [{"section_title": "U.S. Forest Service", "paragraphs": ["Protects the public, employees, natural resources, and property under the jurisdiction of the Forest Service by enforcing the applicable laws and regulations that affect the National Forest System.", "Officers are responsible for conducting enforcement and investigations of criminal and civil offenses that affect the management of the National Forest System. Officers engage in public safety patrol operations, investigations of significant criminal offenses, community policing programs, natural disaster response, and law enforcement services at large group events, among other things.", "Agency stores purchase records for six years, which limited access to older data. Ammunition purchases and record-keeping are mostly decentralized among field offices, and officials could not provide the level of detail requested for all purchases. Upgrades to the record-keeping system may have compromised data from previous systems."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Health and Human Services", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Food and Drug Administration (FDA)", "paragraphs": ["FDA\u2019s Office of Criminal Investigations protects public health and furthers the FDA\u2019s mission by investigating suspected criminal violations of the Federal Food, Drug, and Cosmetic Act and other related laws.", "No known challenges.", "Officers conduct investigations related to criminal violations of the Food Drug and Cosmetic Act, which include conducting search and seizure warrants, transporting prisoners following arrest, conducting undercover operations, and other hazardous duties as necessary."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": []}, {"section_title": "Inventory as of November 2017", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Health and Human Services", "paragraphs": [], "subsections": []}]}]}, {"section_title": "National Institutes of Health (NIH)", "paragraphs": ["Protects our country\u2019s scientific research and the NIH research community, ensures that the mission of NIH is not impeded by personal attacks, loss of assets, criminal activity or acts of terrorism.", "Officers with the Division of Police are responsible for protecting property, employees and visitors; screening visitors entering NIH facilities; monitoring onsite equipment, cameras and alarms; operating the visitor badging system on and off campus; safeguarding selected buildings; patrolling areas of the NIH; providing traffic enforcement; conducting intelligence gathering and reporting; providing dignitary protection; and preparing warrants and arresting suspects.", "No known challenges."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "Type by year", "paragraphs": ["No known limitations."], "subsections": []}]}, {"section_title": "Inventory as of November 2017", "paragraphs": ["NIH determined inventory information to be sensitive.", "U.S. Department of Health and Human Services (HHS)"], "subsections": []}]}, {"section_title": "Office of Inspector General (OIG)", "paragraphs": ["No known challenges.", "Special agents conduct criminal investigations related to fraud, waste, and abuse within HHS\u2019 hundreds of programs, which can involve surveillance, undercover operations, search warrants, and arrest warrants."], "subsections": [{"section_title": "U.S. Customs and Border Protection (CBP)", "paragraphs": ["Safeguards America\u2019s borders, protects the public from dangerous people and materials, and enables legitimate trade and travel.", "Officers are responsible for preventing terrorists and weapons from entering the country, enforcing laws at ports of entry, and preventing the illegal trafficking of people, narcotics and contraband.", "Record-keeping system was implemented in 2016. Prior records required manual review. Records of purchases made at local field offices may be unavailable."], "subsections": [{"section_title": "U.S. Immigration and Customs Enforcement (ICE)", "paragraphs": ["Enforces federal laws governing border control, customs, trade and immigration to promote homeland security and public safety. responsible for conducting investigations to protect critical infrastructure industries that are vulnerable to sabotage, attack or exploitation.", "Some purchases are decentralized among field offices. Hard copy records required manual review and were difficult to access. Older records stored at field offices may not have been available."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in millions)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Homeland Security", "paragraphs": [], "subsections": []}]}, {"section_title": "National Protection and Programs Directorate (NPPD)", "paragraphs": ["NPPD\u2019s Federal Protective Service prevents, protects, responds to and recovers from terrorism, criminal acts, and other hazards threatening the U.S. Government\u2019s workforce, critical infrastructure, services, and the people who receive these services.", "No known challenges.", "Officers with the Federal Protective Service are responsible for enforcing all federal laws and regulations on and off federal property; investigating, mitigating, and defeating threats to federal facilities and the people who work within or visit those facilities; and providing integrated security, law enforcement, and protective intelligence capabilities to ensure the Federal Government functions securely."], "subsections": []}, {"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": ["No known limitations."], "subsections": [{"section_title": "U.S. Department of Homeland Security", "paragraphs": [], "subsections": []}]}]}]}, {"section_title": "Transportation Security Administration (TSA)", "paragraphs": ["TSA\u2019s Federal Air Marshal Service (FAMS) detects, deters and defeats criminal and terrorist activities that target our nation\u2019s transportation systems. TSA\u2019s Office of Inspection (OOI) ensures the integrity, efficiency, and effectiveness of TSA\u2019s workforce, operations, and programs through objective audits, covert testing, inspections, and criminal investigations.", "No known challenges.", "Officers with FAMS are deployed on U.S. aircraft worldwide to protect airline passengers and crew against the risk of criminal and terrorist violence, and perform investigative work to proactively fight terrorism. Officers with OOI investigate allegations of misconduct by TSA employees and contractors, conduct inspections of TSA operations, and evaluate effectiveness of security systems through covert testing and audits."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in millions)"], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Homeland Security", "paragraphs": [], "subsections": []}]}]}]}, {"section_title": "U.S. Secret Service (USSS)", "paragraphs": ["Ensures the safety and security of the President, the Vice President, their families, the White House, the Vice President\u2019s Residence, national and visiting world leaders, former U.S. Presidents and events of national significance; and protects the integrity of our currency and investigates crimes against our national financial system committed by criminals around the world and in cyberspace.", "Officers are responsible for executing security operations that prevent, deter, and mitigate identified threats and vulnerabilities; and conducting investigations to identify, locate and apprehend individuals and criminal organizations targeting the nation\u2019s critical financial infrastructure and payment systems.", "Record-keeping system changed in 2015 and older records may be incomplete. Officials were unable to provide records of equipment purchases because purchasing is decentralized among field offices and records required manual review; they provided current inventory records of the equipment instead."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)", "Officials reported that some cost data were estimated based on available information The percentages do not total 100 because of rounding."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in millions)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of the Interior", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Bureau of Indian Affairs (BIA)", "paragraphs": ["BIA\u2019s Office of Justice Services upholds tribal sovereignty and customs while supporting tribal justice systems, and corroboratively ensures the safety of Indian communities by protecting life and property, enforcing laws, and maintaining justice and order.", "Officers are responsible for patrolling designated Indian reservations, providing local law enforcement, responding to calls for emergency response, investigating crimes, transporting prisoners to and from tribal court appearances, gathering and analyzing criminal intelligence, and collaborating with state and federal task forces.", "The current financial management system was implemented in 2013, and records from the previous system may be incomplete."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)", "Because of incomplete data from the agency, we determined the data are not reliable for reporting in this category."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of the Interior", "paragraphs": [], "subsections": []}]}]}, {"section_title": "U.S. Fish and Wildlife Service (FWS)", "paragraphs": [], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)", "Because of incomplete data from the agency, we determined the data are not reliable for reporting in this category."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of the Interior", "paragraphs": [], "subsections": []}]}]}, {"section_title": "National Park Service (NPS)", "paragraphs": ["events within the NPS; and providing protection for dignitaries and visiting foreign heads of state.", "NPS\u2019 Visitor and Resource Protection Directorate\u2014under which fall the Law Enforcement, Security, and Emergency Services and U.S. Park Police\u2014protects the safety and health of NPS visitors, partners, and staff, as well as our natural and cultural resources.", "Financial management system implemented in 2013, and older records did not retain the cost data fields. Some records kept as paper copies and were decentralized among field offices."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)"], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": []}, {"section_title": "U.S. Department of Justice Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF)", "paragraphs": [], "subsections": [{"section_title": "Mission", "paragraphs": ["Protects the public from crimes involving firearms, explosives, arson, and the diversion of alcohol and tobacco products; regulates lawful commerce in firearms and explosives; and provides worldwide support to law enforcement, public safety, and industry partners.", "Officers are responsible for reducing violent crime by targeting firearms traffickers, violent criminal organizations, armed violent offenders, and career criminals; investigating and arresting individuals and organizations that illegally supply firearms to prohibited individuals; and deterring the diversion of firearms from lawful commerce into the illegal market with enforcement strategies and technology.", "Retention policy is 6 fiscal years, so older records may have been unavailable. There may be errors associated with manual data entry."], "subsections": []}]}, {"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands) firearms in 2017. At the time of our review, the funds were obligated but not yet spent."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": ["No known limitations."], "subsections": [{"section_title": "U.S. Department of Justice", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Federal Bureau of Investigation (FBI)", "paragraphs": [], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["No quantity or type data reported."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Firearm of intended use for all years No quantity or firearm of intended use data reported."], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Justice", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Federal Bureau of Prisons (BOP)", "paragraphs": ["Protects society by confining offenders in prisons and community-based facilities and provides work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.", "Officers are responsible for ensuring the security of federal prisons, providing inmates with needed programs and services, and modeling mainstream values. Officers help protect public safety and provide security and safety to the staff and inmates in prison facilities. All non- custody staff are trained to assume the duties of Correctional Officers.", "Officials reported limited data\u2014most records prior to 2016 were stored in file cabinets at prison facilities or in warehouses and would have required significant time and resources to review. Purchasing is decentralized across prison facilities, which limited the availability of data, and inconsistent data entry procedures among officials may limit the reliability of data."], "subsections": [{"section_title": "Drug Enforcement Administration (DEA)", "paragraphs": ["illicit drug trafficking; coordination with law enforcement officials on drug enforcement efforts and to reduce availability of illicit drugs.", "Firearms purchases were embedded in contracts and required manual review."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in millions)"], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Justice", "paragraphs": [], "subsections": []}]}]}]}, {"section_title": "U.S. Marshals Service (USMS)", "paragraphs": ["Officers provide for the security of federal courts and execute and enforce federal court orders, apprehend fugitives and non-compliant sex offenders. Officers also transport federal prisoners from arrest to incarceration, manage and disposes of assets subject to forfeiture, and provide protection for government witnesses and their families.", "The record-keeping system changed in 2012, and there may be gaps in the data from 2013 and 2014 while the agency transitioned to the new system."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Firearm of intended use for all years No quantity data provided."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of the Treasury", "paragraphs": [], "subsections": []}]}]}, {"section_title": "The Internal Revenue Service (IRS)", "paragraphs": ["IRS\u2019 Criminal Investigation serves the American public by investigating potential criminal violations of the Internal Revenue Code and related financial crimes in compliance with the law.", "Officers enforce tax laws and support tax administration to ensure compliance with the law and combat fraud. Investigations focus on tax fraud, abusive tax schemes, identity theft, public corruption, virtual currency, cyber-crimes, and narcotics-related financial crimes.", "Some requested data were not retained in the system. Agency could not provide equipment purchase data. Ammunition, equipment, and purchases $3,500 or less are decentralized among field offices."], "subsections": [{"section_title": "The Internal Revenue Service (IRS) Police", "paragraphs": ["IRS\u2019 Police Force at the Enterprise Computing Center in Martinsburg, West Virginia provides protection for the people, property and processes of this location, which houses 10 of IRS\u2019 19 critical tax processing functions.", "No known challenges.", "Officers patrol the facility and have authority to serve warrants and make arrests."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": ["No reported firearms purchases between fiscal years 2010 through 2017.", "Dollars (in thousands)", "No known limitations."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": []}, {"section_title": "Inventory as of November 2017", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of the Treasury", "paragraphs": [], "subsections": []}]}, {"section_title": "The Treasury Inspector General for Tax Administration (TIGTA)", "paragraphs": ["Provides independent oversight of Internal Revenue Service (IRS) activities and addresses threats arising from lapses in IRS employee integrity, violence directed against the IRS, and external attempts to corruptly interfere with federal tax administration.", "Officers are responsible for conducting investigations that protect the integrity of the IRS; detecting and preventing fraud and other misconduct within IRS programs; investigating allegations of criminal violations and administrative misconduct by IRS employees; and protecting IRS against external attempts to corrupt or threaten its employees.", "After fiscal year 2016, record-keeping system no longer tracked purchases under $3,000."], "subsections": []}, {"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)"], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": ["No known limitations."], "subsections": [{"section_title": "U.S. Department of the Treasury", "paragraphs": [], "subsections": []}]}]}]}, {"section_title": "The U.S. Mint", "paragraphs": ["No known challenges.", "Officers with the Mint Police protect life and property, prevent, detect, and investigate criminal acts, collect and preserve evidence, make arrests, and enforce federal and local laws."], "subsections": [{"section_title": "Office of Enforcement and Compliance Assurance (OECA)", "paragraphs": ["EPA\u2019s criminal enforcement program focuses on criminal conduct that threatens people\u2019s health and the environment; enforces the nations\u2019 laws by investigating cases, collecting evidence, conducting forensic analyses; and provides legal guidance to assist with prosecutions.", "No known challenges.", "Agents enforce the nation\u2019s laws by investigating cases, collecting evidence, conducting forensic analyses and providing legal guidance to assist with prosecutions."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": ["No reported firearms purchases from fiscal years 2010 through 2017.", "Dollars (in thousands)"], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": []}, {"section_title": "Inventory as of November 2017", "paragraphs": [], "subsections": [{"section_title": "U.S. Environmental Protection Agency (EPA)", "paragraphs": [], "subsections": []}]}]}]}, {"section_title": "Office of Inspector General (OIG)", "paragraphs": ["Helps the agency protect the environment in a more efficient and cost effective manner by performing audits, evaluations, and investigations of EPA and its contractors; promoting economy and efficiency; and preventing and detecting fraud, waste, and abuse.", "Law enforcement agents conduct criminal investigations of financial fraud involving EPA programs or funds; employee misconduct; intrusion into EPA computers; threats against EPA employees, contractors, facilities and assets; assaults on EPA employees or contractors and other acts of violence in EPA facilities; impersonating EPA officials; counterfeiting or misuse of insignia, logos or credentials; and theft of property or funds within EPA facilities.", "No known challenges."], "subsections": [{"section_title": "Office of the Inspector General (OIG)", "paragraphs": ["OIG\u2019s Office of Investigations conducts and coordinates investigative activity related to fraud, waste, abuse, and mismanagement in SSA programs and operations.", "No known challenges.", "Officers with the Office of Investigations investigate wrongdoing by applicants, beneficiaries, contractors and third parties, and employees; conduct joint investigations with other law enforcement agencies; share responsibility for investigating threats or violence against SSA employees and facilities; and assist in the investigation of terrorism cases and other cases involving national security."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Values by year", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": ["Dollars (in thousands)", "No known limitations."], "subsections": []}, {"section_title": "Tactical equipment spending data", "paragraphs": ["No known limitations."], "subsections": [{"section_title": "Department of Veterans Affairs (VA)", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Veterans Health Administration (VHA)", "paragraphs": ["Protects veterans by enforcing federal law at VA medical facilities (and some National Cemetery and Benefits locations) and by serving as initial response forces to active threat incidents.", "Officers protect veterans, visitors, and staff on department facilities and grounds; investigate serious incidents on VA controlled property; and provide personal protection to the Secretary and Deputy Secretary of the VA.", "Purchasing and record-keeping are decentralized among facilities, and there is no agency-wide system for recording purchases. Purchase card records were not easily accessible or identifiable."], "subsections": [{"section_title": "Firearms spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)", "We identified missing data for some cost and date fields", "Officials reported some cost data were estimated based on available information The percentages do not total 100 because of rounding."], "subsections": []}]}, {"section_title": "Ammunition spending data", "paragraphs": [], "subsections": [{"section_title": "Minimum values by year", "paragraphs": ["Dollars (in thousands)"], "subsections": []}]}, {"section_title": "Tactical equipment spending data", "paragraphs": [], "subsections": [{"section_title": "Type by year", "paragraphs": [], "subsections": []}]}]}]}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the above contact, Adam Hoffman (Assistant Director) and Michelle Serfass (Analyst-in-Charge) managed this assignment. Christoph Hoashi-Erhardt, Allison Gunn, and Kelsey Burdick made significant contributions to this report. David Alexander, David Blanding Jr., Willie Commons III, Eric D. Hauswirth, Julia Kennon, Susan Hsu, Diana Maurer, Wayne McElrath, and Kevin Reeves also contributed."], "subsections": []}]}], "fastfact": ["Are federal law enforcement agencies accurately reporting how much they spend on firearms, ammunition, and tactical equipment?", "We found that federal agencies\u2019 internal data on these purchases did not always match data that were publicly available on USASpending.gov. For example, ICE told us that it spent 8 times more on firearms than the amount we calculated using data from the website. This was partly because other agencies used ICE contracts to buy firearms, but weren\u2019t properly identified in ICE's website data.", "We recommended that ICE update its contracting process to include the names of these agencies."]} {"id": "GAO-18-36", "url": "https://www.gao.gov/products/GAO-18-36", "title": "Improper Payments: Most Selected Agencies Improved Procedures to Help Ensure Risk Assessments of All Programs and Activities", "published_date": "2017-11-16T00:00:00", "released_date": "2017-11-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Reported improper payment estimates totaled over $1.2 trillion government-wide from fiscal years 2003 through 2016. Agencies are statutorily required to perform improper payment risk assessments to identify programs and activities that may be susceptible to significant improper payments and are required to report an improper payment estimate for ones that are susceptible to significant improper payments.", "GAO was asked to review federal agencies' improper payment risk assessments. This report examines the extent to which (1) the 24 CFO Act agencies followed OMB guidance for reporting on improper payment risk assessments and (2) selected CFO Act agencies properly designed control activities to include all of their programs and activities in an improper payment risk assessment at least once every 3 years, as statutorily required. GAO analyzed the 24 CFO Act agencies' AFRs and PARs and reviewed the procedures at 9 selected agencies. GAO selected 9 agencies that did not report improper payment estimates in fiscal year 2015, except for those estimates that were mandated to be reported pursuant to the Disaster Relief Appropriations Act, 2013. For this review, GAO did not evaluate the quality of improper payment risk assessments completed."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's review of the 24 Chief Financial Officers Act of 1990 (CFO Act) agencies' fiscal years 2014 through 2016 agency financial reports (AFR) and performance and accountability reports (PAR) found that these agencies generally adhered to the Office of Management and Budget's (OMB) improper payment risk assessment reporting directives. However, GAO found instances of nonadherence, including the following:", "There were two instances of nonadherence to OMB's directive for agencies to report the basis for how they grouped programs and activities, both of which occurred in fiscal year 2014. All agencies that completed risk assessments adhered to this directive for fiscal years 2015 and 2016.", "The Improper Payments Information Act of 2002, as amended, identifies seven risk factors and OMB guidance includes two additional risk factors that agencies are to consider when conducting risk assessments. For fiscal years 2015 and 2016 reporting, OMB directed agencies to report the risk factors considered in their risk assessments. However, GAO found six agencies that did not report one or more of the nine risk factors in their AFRs or PARs.", "OMB's revised guidance for fiscal year 2017 no longer directs agencies to report on their risk assessments. OMB staff stated that their primary motivation for removing such reporting was to reduce the administrative burden. After GAO notified OMB of the importance of certain data, OMB staff plan to direct agencies to provide additional data, including a listing of risk assessed programs and activities, on www.paymentaccuracy.gov for reporting beginning in fiscal year 2017. OMB staff also plan to revise the guidance for fiscal year 2018 for agencies to report the other risk assessment information in their AFRs or PARs.", "GAO also found that three of the nine selected agencies (the Departments of Energy and Justice and the U.S. Agency for International Development) that it reviewed had designed and documented control activities to help ensure that all programs and activities were assessed every 3 years. For the remaining six agencies, GAO found that the agencies did not properly design control activities for this purpose. Specifically, GAO found the following:", "Three agencies\u2014the Department of Commerce, the National Science Foundation, and the Nuclear Regulatory Commission\u2014did not have documented procedures for conducting risk assessments during fiscal years 2014 through 2016 but subsequently documented them.", "Three agencies\u2014the Departments of the Interior (Interior) and State (State) and the National Aeronautics and Space Administration (NASA)\u2014documented procedures for conducting risk assessments but did not include all programs and activities in their risk assessments. Interior later drafted revisions to its procedures and State updated its procedures to include them.", "Without properly designed and documented control activities, there is a risk that an agency may not identify all programs and activities that require a risk assessment, which could result in the agency failing to develop and report improper payment estimates for programs and activities that should have been identified as susceptible to significant improper payments."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NASA revise its procedures to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years. NASA concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["As the steward of taxpayer dollars, the federal government is accountable for how it spends hundreds of billions of taxpayer dollars annually. However, improper payments\u2014payments that should not have been made or were made in incorrect amounts\u2014remain a significant and pervasive government-wide issue. Specifically, from fiscal years 2003 through 2016, improper payments have been estimated to total over $1.2 trillion government-wide. The most recent government-wide improper payment estimate reported for fiscal year 2016 was $144.3 billion, an increase of approximately $7.6 billion from the $136.7 billion estimate reported for fiscal year 2015. It is important to note that these estimates themselves may not be accurate, reliable, or complete, as we have reported that the federal government is unable to determine the full extent of improper payments and to reasonably assure that actions are taken to reduce them. In addition, certain inspectors general (IG) have reported issues with agencies\u2019 reported improper payment estimates because agencies used inappropriate sampling methods and inadequate estimation methodologies to calculate and report these estimates.", "The Improper Payments Information Act of 2002 (IPIA), as amended by the Improper Payments Elimination and Recovery Act of 2010 (IPERA) and the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA), requires, among other things, that each federal agency review all programs and activities that the agency head administers and identify those that may be susceptible to significant improper payments\u2014 a process commonly referred to as an improper payment risk assessment. Specifically, IPIA, as amended, (hereafter referred to as IPIA) requires agencies to conduct improper payment risk assessments for all federal programs and activities in fiscal year 2011 and at least once every 3 years thereafter. Office of Management and Budget (OMB) guidance provides that programs that have been determined to be susceptible to significant improper payments and that are already reporting an estimate\u2014or in the process of establishing an estimate\u2014do not have to perform additional risk assessments. IPIA defines significant improper payments as gross annual improper payments\u2014the total amount of payments that should not have been made or that were made in an incorrect amount\u2014that may have exceeded (1) both 1.5 percent of program outlays and $10 million of all program or activity payments made during the fiscal year reported or (2) $100 million (regardless of the improper payment percentage of total program outlays).", "You requested that we review federal agencies\u2019 improper payment risk assessments. This report examines the extent to which (1) the 24 agencies subject to the Chief Financial Officers Act of 1990 (CFO Act) followed OMB guidance for reporting on improper payment risk assessments and (2) selected CFO Act agencies designed control activities to include all of their programs and activities in an improper payment risk assessment at least once during a 3-year period, as required by IPIA. At the time of our review, the most recent 3-year period was fiscal years 2014 through 2016.", "To address our first objective, we reviewed the improper payment risk assessment requirements in IPIA, as well as reviewed the related guidance in OMB Circular A-136, Financial Reporting Requirements, including the OMB directives for agencies\u2019 risk assessment reporting, and OMB M-15-02. To determine if the agencies adhered to OMB reporting directives, we analyzed the agency financial reports (AFR) or the performance and accountability reports (PAR) of the 24 CFO Act agencies for fiscal years 2014 through 2016. Our review focused on whether the agencies reported the risk assessment information in their AFRs or PARs but did not include an evaluation of the quality of these agencies\u2019 improper payment risk assessments. For agencies that did not adhere to the reporting directives, we interviewed appropriate agency officials to determine the reason(s) they did not.", "To address our second objective, we reviewed IPIA, the related OMB guidance, and relevant internal control standards to determine the relevant control activities needed to help ensure that agencies conduct improper payment risk assessments for all programs and activities at least once every 3 years. Although the control activities are relevant for all of the 24 CFO Act agencies, we selected those agencies that have not identified any programs or activities that were susceptible to significant improper payments. Specifically, we focused on those 9 agencies that did not report improper payment estimates in fiscal year 2015, except for those estimates that were mandated to be reported pursuant to the Disaster Relief Appropriations Act, 2013. These 9 agencies were the Departments of Commerce, Energy, the Interior, Justice, and State; the National Aeronautics and Space Administration; the National Science Foundation; the Nuclear Regulatory Commission; and the U.S. Agency for International Development. Specifically, for these 9 agencies (hereafter referred to as selected agencies), we reviewed the agencies\u2019 procedures for conducting improper payment risk assessments and interviewed agency officials to determine whether the agencies properly designed and documented control activities to review all programs and activities at least once every 3 years. Appendix I provides further details on our scope and methodology.", "While our second objective focused on certain key control activities related to the selected agencies\u2019 inclusion of programs and activities in their improper payment risk assessments at least once during fiscal years 2014 through 2016, we did not evaluate all control activities and other components of internal control. If we had done so, additional deficiencies may or may not have been identified that could impair the effectiveness of the control activities evaluated as part of this audit. Appendix II provides additional details on standards for internal control in the federal government.", "We conducted this performance audit from June 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["IPIA requires agencies to conduct a risk assessment for all programs and activities at least once every 3 years, and OMB guidance implementing IPIA also directs agencies to report on the assessment in either the agencies\u2019 AFRs or PARs. Each agency must institute a systematic method of performing the improper payment risk assessment, which may take the form of either a quantitative analysis based on a statistical sample or qualitative evaluation (e.g., a risk assessment questionnaire).", "IPIA identifies seven risk factors and OMB guidance includes two additional risk factors that agencies are to consider when conducting improper payment risk assessments. According to OMB M-15-02, agencies\u2019 risk assessments (either quantitative or qualitative) should consider all of the following nine risk factors that are likely to contribute to significant improper payments: 1. whether the program or activity reviewed is new to the agency; 2. the complexity of the program or activity reviewed, particularly with respect to determining correct payment amounts; 3. the volume of payments made annually; 4. whether payments or payment eligibility decisions are made outside of the agency, for example, by a state or local government or a regional federal office; 5. recent major changes in program funding, authorities, practices, or 6. the level, experience, and quality of training for personnel responsible for making program eligibility determinations or certifying that payments are accurate; 7. inherent risks of improper payments because of the nature of agency 8. significant deficiencies in the agency\u2019s audit reports, including but not limited to the agency IG or GAO audit findings or other relevant management findings that might hinder accurate payment certification; and 9. results from prior improper payment work.", "OMB guidance describes these nine risk factors as the minimum factors that agencies should consider and notes that additional risk factors, such as those specific to the program or activity being assessed, should also be considered, as appropriate.", "If an agency\u2019s improper payment risk assessment finds that a program is susceptible to significant improper payments, the agency is required by IPIA to estimate the annual amount of improper payments for the program, publish corrective action plans, set reduction targets, and annually report on the results of addressing these requirements for that program. IPIA states that each agency is required to publish the improper payment information in an annual report in the form and content required by OMB\u2014typically an AFR or a PAR\u2014for the most recent fiscal year, and post that report on the agency\u2019s website.", "OMB Circular A-136 and OMB M-15-02 provide guidance for agencies on preparing their AFRs or PARs, including the reporting of improper payment information. Specifically, this OMB guidance directs agencies to disclose the following in their AFRs or PARs: (1) the basis for grouping programs and activities for improper payment risk assessments; (2) the risk factors considered during their risk assessment; and (3) a listing of all programs that were assessed for a given year, regardless of whether a program or activity was deemed susceptible to significant improper payments. Given that OMB guidance is updated periodically, some reporting directives may differ for each fiscal year. As shown in table 1, the directive to disclose the basis for grouping programs and activities was applicable for all 3 years included in the scope of our review (i.e., fiscal years 2014 through 2016). However, the directives to disclose all the risk factors considered and include a listing of all programs and activities assessed were only applicable for fiscal years 2015 and 2016."], "subsections": []}, {"section_title": "CFO Act Agencies Generally Adhered to Improper Payment Reporting Directives for Risk Assessments", "paragraphs": ["During fiscal years 2014 through 2016, the 24 CFO Act agencies, excluding the Department of Defense (DOD), reported in their AFRs or PARs that that they completed at least one risk assessment on at least one program or activity in one or more of those years. For the agencies that reported that they completed an improper payment risk assessment, we found that most generally adhered to the reporting directives that were applicable for fiscal years 2014 through 2016. For example, for fiscal year 2014, 21 of the 24 CFO Act agencies reported completing a risk assessment, and for those 21 agencies, we found that 19 agencies adhered to OMB guidance for reporting the basis of groupings of programs and activities and 2 did not. (See fig. 1.) For fiscal years 2015 and 2016, all 18 CFO Act agencies that reported completing a risk assessment adhered to OMB guidance for this directive. Appendix III provides additional details regarding the agencies\u2019 reporting of completing an improper payment risk assessment each year and adherence to the OMB improper payment risk assessment reporting directives. Further details on each of these reporting directives are provided below.", "Reporting the basis for grouping programs and activities. During the 3-year period from fiscal years 2014 through 2016, we found two instances where the agencies\u2014the Departments of Commerce (Commerce) and Energy (Energy)\u2014did not adhere to the reporting directive for agencies to report the basis of grouping programs and activities. Although these two agencies did not adhere to this reporting directive in fiscal year 2014, Commerce adhered to this directive in fiscal year 2015 and fiscal year 2016. Energy adhered to this directive in fiscal year 2015, and this reporting directive was not applicable for fiscal year 2016 because Energy did not report completing any risk assessments that year. All other applicable agencies were in full adherence to this OMB directive in fiscal years 2015 and 2016.", "Reporting a listing of all programs and activities assessed during the agencies\u2019 improper payment risk assessments. During fiscal years 2015 through 2016, the applicable CFO Act agencies, except for the U.S. Agency for International Development (USAID), adhered to the reporting directive for listing all programs and activities assessed during the agencies\u2019 improper payment risk assessments. USAID did not adhere to this reporting directive in fiscal year 2015; however, in fiscal year 2016, USAID did list all programs and activities. USAID officials provided us an OMB e-mail indicating, among other things, that USAID could be on a 3- year cycle of performing risk assessments starting in fiscal year 2015. Notwithstanding that e-mail, USAID continued to perform improper payment risk assessments annually, according to USAID officials, to maintain audit readiness and expertise. These officials further stated that this OMB e-mail served as support for not adhering to the OMB directive for reporting risk assessments. However, we did not find upon our review that the e-mail explicitly provided such support.", "Reporting the risk factors considered during the agencies\u2019 risk assessments. As directed by OMB guidance, agencies are to report the risk factors considered during improper payment risk assessments in their AFRs or PARs. Given that IPIA identifies seven risk factors that agencies are to consider and OMB guidance includes two additional risk factors, agencies are directed by OMB to consider a minimum of nine risk factors. Therefore, the AFRs and PARs adhering to OMB guidance are to include a discussion regarding the agencies\u2019 consideration of these nine factors as well as any other factors considered. In our analysis, we found that six agencies failed to adhere to OMB reporting directives either in fiscal year 2015, fiscal year 2016, or both. Specifically, we found the following:", "The Office of Personnel Management (OPM) did not adhere to the improper payment risk assessment reporting directives in fiscal year 2015. However, OPM subsequently corrected the reporting issue in fiscal year 2016.", "Three agencies\u2014USAID, the U.S. Department of Agriculture (USDA), and the Social Security Administration (SSA)\u2014did not adhere to the improper payment risk assessment reporting directives in fiscal years 2015 and 2016. In their fiscal years 2015 and 2016 AFRs, USAID did not report its consideration of any of the nine risk factors, USDA reported that it considered four of the nine risk factors, and SSA reported that it considered six of the nine risk factors.", "Two agencies, the Department of Education (Education) and the Department of Labor (Labor), did not adhere to the improper payment risk assessment reporting directive in fiscal year 2016. In their fiscal year 2016 AFRs, neither Education nor Labor provided a detailed description of all the risk factors that were considered in their risk assessments. Education stated that its risk assessment analysis \u201cincluded a quantitative review of questioned costs from Single Audit findings versus total program expenditures, as well as a qualitative review of other risk factors including changes in legislation or regulations and history of audit findings.\u201d Labor did not list the risk factors considered in its improper payment risk assessments but instead provided a hyperlink to IPIA.", "As noted above, officials from USAID stated that an OMB e-mail served as support for not adhering to the OMB directive for reporting risk assessments, including the risk factors. However, we found upon our review that the e-mail did not explicitly provide such support.", "Officials from USDA, Labor, and SSA, three of the five agencies that did not adhere to the reporting directive in fiscal year 2016, informed us that they considered the nine risk factors but were not aware that they had to specifically list the nine risk factors in their AFRs or PARs. In addition, Labor officials stated that they included a link to IPIA instead of mentioning the nine risk factors to help simplify the reporting. However, OMB Circular A-136 specifically directs the agencies to include a description of the risk factors considered in their improper payment risk assessments in their AFRs or PARs. Although Labor officials stated that they considered all nine risk factors, Labor\u2019s link to IPIA only includes seven required risk factors and not the two additional risk factors that are referenced in OMB guidance. After we brought these concerns to their attention, officials from these three agencies indicated that they plan to report the risk factors considered, as directed by OMB, which should include consideration of all nine risk factors. By adhering to the OMB directive for reporting risk factors, the agencies will improve the transparency of the risk assessments reported in their AFRs or PARs.", "An Education official stated that the department did not consider all nine risk factors for its non-Federal Student Aid programs during fiscal year 2016 because Education\u2019s analysis was quantitative in nature. However, OMB guidance states that all nine risk factors must be considered in both qualitative and quantitative improper payment risk assessments. In May 2017, the Inspector General for Education recommended that Education ensure that improper payment risk assessments conform with IPIA and OMB guidance when determining whether programs may be susceptible to significant improper payments and identify all programs that may be susceptible to significant improper payments. In response to the recommendation in the Office of Inspector General (OIG) audit report, Education stated that it will align its improper payment risk assessments with the nine risk factors beginning in fiscal year 2017.", "A revised version of OMB Circular A-136 that was issued in August 2017 no longer directs agencies to report improper payment risk assessment information in the agencies\u2019 fiscal year 2017 AFRs and PARs. Specifically, agencies will no longer have to report in their AFRs or PARs for a given year (1) the basis for grouping programs and activities for improper payment risk assessments, (2) a listing of all programs and activities assessed during their risk assessments, and (3) the risk factors considered during their risk assessments. OMB staff stated that their primary motivation for eliminating the risk assessment reporting directives from OMB guidance was to reduce the administrative burden on agencies. Although OMB guidance will not direct agencies to report the three items noted above, agencies are still required to complete the risk assessments, as required by IPIA and directed in OMB guidance. Further, OMB staff stated that they rely on each agency\u2019s OIG to review the quality of each agency\u2019s risk assessment, which should include assessing the three items noted above; therefore, these reporting directives are not necessary.", "While we recognize the importance of reducing administrative burden, we also have previously reported on the importance of risk assessments for managing improper payments. We believe that the requirement for agencies to publicly report the improper payment risk assessment information has helped hold agencies accountable and provided additional transparency to the agencies\u2019 improper payment processes, as well as assisted Congress and others in their oversight of government- wide improper payments. However, if OMB is going to rely on each agency\u2019s OIG to ensure quality risk assessments, it is important that these reviews are performed consistently throughout the federal government. In our May 2017 report, we found that OIGs inconsistently reported agencies\u2019 compliance with the IPERA criterion for conducting program-specific risk assessments. For example, certain OIGs reported agencies as noncompliant when agencies did not consider all nine risk factors, as outlined in IPIA, OMB guidance, or both, during program- specific risk assessments, whereas other OIGs reported agencies as compliant with this IPERA criterion, despite also finding issues with the agencies\u2019 consideration of the nine risk factors. To help ensure that government-wide compliance under IPERA is consistently determined and reported, we recommended in May 2017 that the Director of OMB coordinate with the Council of the Inspectors General on Integrity and Efficiency (CIGIE) to develop and issue guidance, either jointly or independently, to specify what procedures should be conducted as part of the OIGs\u2019 IPERA compliance determinations. OMB did not provide any comments on our recommendation, and as of August 2017, OMB had not yet issued such guidance. CIGIE stated that it would coordinate with OMB as needed and provide feedback on any draft OMB guidance.", "Subsequent to the issuance in August 2017 of a revised version of OMB Circular A-136 and after we notified OMB of our views on the importance of certain data, OMB staff stated that they plan to direct agencies to report additional risk assessment data. Specifically, in September 2017, OMB staff told us that they plan to direct agencies to provide a listing of all programs and activities assessed during their risk assessments on www.paymentaccuracy.gov for fiscal year 2017 reporting, and that they plan to continue to direct agencies to report this listing for subsequent fiscal years. In addition, although the basis for grouping programs and activities for improper payment risk assessments and the risk factors considered during the risk assessments will not be required to be reported in fiscal year 2017 AFRs and PARs, OMB staff stated that they plan to revise the guidance for fiscal year 2018 so that agencies report such information in their AFRs and PARs."], "subsections": []}, {"section_title": "Six Selected CFO Act Agencies Did Not Have Properly Designed Control Activities That Included All Programs and Activities in Their Improper Payment Risk Assessments", "paragraphs": ["We found that three of the nine selected CFO Act agencies that we reviewed, Energy, the Department of Justice, and USAID, had documented procedures for performing the required improper payment risk assessments and these procedures included the design of control activities necessary to help ensure that all programs and activities were assessed at least once every 3 years. However, the remaining six agencies did not properly design control activities for this purpose. Specifically, three of these six selected agencies did not have documented procedures for performing the required improper payment risk assessments. The remaining three agencies improperly excluded specific programs and activities from the improper payment risk assessment process. Appendix IV provides more detail on our analysis of these selected agencies\u2019 procedures for performing improper payment risk assessments.", "We did not evaluate whether all control activities related to conducting improper payment risk assessments were properly designed or evaluate other internal control components, such as the control environment. If we had done so, additional deficiencies may or may not have been identified that could impair the overall effectiveness of the control activities evaluated as part of this audit."], "subsections": [{"section_title": "Three Selected CFO Act Agencies Did Not Have Documented Procedures for Conducting Their Improper Payment Risk Assessments but Have Now Documented Them", "paragraphs": ["Three of the nine selected CFO Act agencies\u2014Commerce, the National Science Foundation (NSF), and the Nuclear Regulatory Commission (NRC)\u2014did not have documented procedures for conducting improper payment risk assessments for fiscal years 2014 through 2016. Although two of these three agencies (Commerce and NSF) had developed processes to help ensure that all programs and activities were assessed for susceptibility to significant improper payments at least once every 3 years, these processes were not documented in written procedures. By the end of our review, the three agencies subsequently established documented procedures during fiscal year 2017. We reviewed the procedures for Commerce, NRC, and NSF and found that they included control activities designed to help ensure that all programs and activities are included in the agencies\u2019 improper payment risk assessments at least once every 3 years, as required by IPIA."], "subsections": []}, {"section_title": "Three Selected CFO Act Agencies Did Not Properly Design Control Activities to Help Ensure That All Programs and Activities Were Assessed", "paragraphs": ["Although the Departments of the Interior and State and the National Aeronautics and Space Administration (NASA) had documented procedures for conducting improper payment risk assessments, we found that these agencies did not have properly designed control activities to help ensure that all programs and activities were assessed for susceptibility to improper payments. These three agencies specifically excluded certain programs and activities from the improper payment risk assessment process, as follows.", "Department of the Interior (Interior). In our review of Interior\u2019s design of control activities, we found that Interior did not include payments made by the department for certain programs. When asked why the programs associated with these payments were not assessed, Interior officials told us that the list that the department used to ensure that all programs and activities for which the department made payments were properly assessed excluded those payments from Interior\u2019s program population. Subsequent to our inquiry, Interior officials told us that Interior will update its procedures to ensure that they capture all programs in Interior\u2019s assessments. In addition, Interior officials provided us a draft of Interior\u2019s updated procedures, and we found that these draft procedures included control activities designed to help ensure that all programs and activities are included in the department\u2019s improper payment risk assessments at least once every 3 years, as required by IPIA.", "Department of State (State). In our review of State\u2019s design of control activities, we found that State excluded certain programs and activities from the improper payment risk assessment based on threshold limitations on outlay data. Specifically, State only included programs and activities in the improper payment risk assessments if the outlays were greater than (1) $100 million or (2) $85 million and a 50 percent increase from the prior year. Programs and activities that fell below these thresholds were not assessed for susceptibility to significant improper payments. State officials told us that they believed the $100 million threshold limitation was reasonable because State predicted that it was improbable one of its programs would have an improper payment estimate of at least 10 percent in order to meet the IPIA threshold of $10 million. According to State officials, State\u2019s justification for its assessment threshold was based on many factors, including sampling of expenditures, past external audits, and internal OMB Circular A-123 reviews. However, IPIA requires that improper payment risk assessments be performed for each program and activity that the agency head administers. In commenting on our draft report, State officials informed us that State had updated its documented procedures to lower the assessment threshold to the $10 million threshold identified in IPIA. State officials provided us a copy of the updated procedures, and we found that the procedures included control activities designed to help ensure that all programs and activities are included in the department\u2019s improper payment risk assessments at least once every 3 years, as required by IPIA.", "NASA. In our review of NASA\u2019s design of control activities, we found that NASA has documented procedures for conducting improper payment risk assessments; however, the procedures used for improper payment risk assessments conducted for fiscal years 2014 through 2016 were outdated. Specifically, the documented procedures, dated 2012, did not account for changes to IPIA in 2013 or updates to OMB\u2019s guidance issued in fiscal year 2014. In June 2017, NASA subsequently updated its procedures for improper payment risk assessments to properly address OMB\u2019s current improper payments guidance. The updated procedures also included a description of key control activities designed to help ensure that all NASA programs and activities, other than OIG activities, have undergone an improper payment risk assessment.", "According to NASA officials, NASA\u2019s improper payment risk assessment process specifically excluded OIG activities because its OIG receives its own appropriation, and therefore, OIG activities are not considered part of NASA\u2019s programs or activities for improper payment risk assessments. In addition, NASA officials stated that NASA OIG activities are excluded from the improper payment risk assessments because of concerns regarding NASA OIG\u2019s independence as NASA OIG conducts the agency\u2019s annual IPERA compliance audit. NASA could not provide us with any guidance or documentation that specifically addresses the exclusion of OIG activities.", "The NASA OIG is part of NASA, and IPIA requires that improper payment risk assessments be performed for each program and activity that the agency head administers. To the extent that the potential threat to OIG independence prevents NASA from conducting a risk assessment of payments made by the OIG\u2019s programs and activities, the NASA Administrator may transfer this responsibility to the OIG. By not making an assessment, NASA has not determined whether OIG programs and activities are susceptible to significant improper payments.", "Standards for Internal Control in the Federal Government states that management should develop control activities to achieve objectives and respond to risks and implement control activities through policies. When an agency does not have properly designed policies and procedures to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years, there is an increased risk that the agency may not always identify all risk-susceptible programs and activities, resulting in incomplete improper payment estimates."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Performing improper payment risk assessments and reporting on such assessments are key to identifying programs and activities that may be susceptible to significant improper payments. Agencies\u2019 nonadherence to the OMB guidance to report on the results of their risk assessments may result in Congress not having the information necessary to monitor and take prompt action to address problematic programs. Most of the nine selected agencies did not properly design control activities to include all programs and activities in their improper payment risk assessments at least once every 3 years during fiscal year 2014 through fiscal year 2016, the time period of our review. Subsequent to fiscal year 2016, with the exception of NASA, which did not include its OIG\u2019s activities, the federal agencies that were identified as lacking properly designed control activities drafted or updated their procedures to help ensure that all programs and activities were assessed for susceptibility to significant improper payments. Without proper control activities, NASA may not be identifying all programs and activities that should be included in its improper payment risk assessments. If a program or activity is not assessed for risk, then an agency could be at risk of noncompliance with IPIA or nonadherence to OMB guidance as the risk assessment process is a crucial step in determining programs and activities that are susceptible to significant improper payments and thus subject to additional reporting and monitoring requirements."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to NASA: The Administrator of NASA should take steps to revise the agency\u2019s procedures for conducting improper payment risk assessments to include the activities of its OIG in its risk assessment process to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years as required by IPIA. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the 24 CFO Act agencies and OMB for comment. We received written comments from 4 agencies\u2014NASA, State, SSA, and USAID, which are reproduced in appendixes V through VIII. We also received technical comments from Energy, OMB, State, and USAID, which we incorporated in the report as appropriate. All of the other agencies notified us that they had no comments.", "The following discusses the written comments we received from the four agencies noted above.", "In its comments, NASA concurred with our recommendation and stated that the agency will revise its procedures for conducting improper payment risk assessments to include OIG programs and activities by September 2018.", "In the draft report provided to State for comment, we had recommended that State reevaluate the agency\u2019s use of dollar thresholds for excluding programs and activities from its risk assessment process and revise its procedures for conducting improper payment risk assessments to help ensure that all programs and activities are assessed for susceptibility to significant improper payments at least once every 3 years as required by IPIA. In its comments, State questioned the practicality of our proposed recommendation; however, State stated that it updated its procedures to lower the assessment threshold to the minimum dollar threshold of $10 million. We noted that this threshold aligns with the IPIA threshold of $10 million. We reviewed State\u2019s updated procedures and confirmed that State had revised its dollar threshold for conducting risk assessments, which effectively addressed our preliminary findings. Therefore, we have removed the recommendation from our report.", "In its comments, SSA stated that it believed that its risk assessment reporting fully complied with OMB guidance. SSA stated that it considered the nine required risk factors but only reported on the risk factors that were applicable to the agency. However, given that SSA reported that it considered six risk factors and did not indicate in its AFRs that the other factors were not applicable to SSA, we continue to believe that SSA did not report, as directed by OMB guidance, on all the risk factors considered in its improper payment risk assessments for fiscal years 2015 and 2016.", "In its comments, USAID stated that our draft report was inaccurate in stating that USAID did not adhere to OMB reporting directives. USAID stated that an e-mail from OMB provided USAID relief from improper payment reporting. However, OMB\u2019s e-mail did not explicitly provide USAID a waiver from the OMB risk assessment reporting directives. Moreover, USAID reported in its AFRs for fiscal years 2014 through 2016 that it conducted annual risk assessments for the time period covered in this audit. As stated in appendix III, USAID did properly report the basis for grouping programs and activities for fiscal years 2014 through 2016, and the agency also properly reported a listing of all programs and activities that were assessed for fiscal year 2016. Accordingly, we believe that USAID also should have followed all OMB risk assessment reporting directives for the time period covered for our audit, and we believe that our report accurately characterizes this issue.", "We are sending copies of this report to the appropriate congressional committees, the heads of the 24 CFO Act agencies, the Director of the Office of Management and Budget, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2623 or davisbh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the extent to which (1) the 24 agencies subject to the Chief Financial Officers Act of 1990 (CFO Act) followed Office of Management and Budget (OMB) guidance for reporting on improper payment risk assessments in their agency financial reports (AFR) or performance and accountability reports (PAR) for fiscal years 2014 through 2016 and (2) selected CFO Act agencies have designed control activities to include all of their programs and activities in an improper payment risk assessment at least once during a 3-year period, as required by the Improper Payments Information Act of 2002 (IPIA), as amended by the Improper Payments Elimination and Recovery Act of 2010 and the Improper Payments Elimination and Recovery Improvement Act of 2012. At the time of our review, the latest 3-year period was fiscal years 2014 through 2016.", "To address our first objective, we reviewed improper payment risk assessment requirements in IPIA, as amended, and the related guidance in OMB Circular A-136, Financial Reporting Requirements, including the OMB directives for agencies\u2019 risk assessment reporting, and OMB Circular A-123, Appendix C, Requirements for Effective Estimation and Remediation of Improper Payments (OMB M-15-02). We analyzed these statutes and guidance to identify key criteria that agencies must meet for reporting on improper payment risk assessments. IPIA, as amended, identifies seven risk factors and OMB guidance includes two additional risk factors that agencies are to consider in their improper payment risk assessment to determine susceptibility to significant improper payments. Additionally, for fiscal years 2014 through 2016, OMB M-15-02 directed agencies that conducted improper payment risk assessments to disclose in their AFRs or PARs the basis for grouping programs and activities for improper payment risk assessments. For fiscal years 2015 and 2016, OMB Circular A-136 directed agencies to report (1) a listing of programs and activities that were assessed for susceptibility to significant improper payments in a given year, regardless of whether a program or activity was deemed risk-susceptible, and (2) the risk factors considered during their improper payment risk assessments. We analyzed the AFRs or PARs of the 24 CFO Act agencies for fiscal years 2014 through 2016 to determine whether each agency met the key OMB reporting criteria described above. For our review, we focused on whether the agencies reported the risk assessment information in their AFRs or PARs and did not evaluate the quality of improper payment risk assessments completed.", "For any agencies that did not meet the reporting directives outlined in OMB guidance for their improper payment risk assessments, we interviewed appropriate agency officials to determine why those agencies did not meet these key criteria. For fiscal year 2017, a revised version of OMB Circular A-136 that was issued in August 2017 no longer directs agencies to report improper payment risk assessment information in the agencies\u2019 fiscal year 2017 AFRs and PARs. Subsequent to the issuance in August 2017 of a revised version of OMB Circular A-136 and after we notified OMB of our views on the importance of certain data, OMB staff stated that they plan to direct agencies to report additional risk assessment data. Specifically, in September 2017, OMB staff told us that they plan to direct agencies to provide a listing of all programs and activities assessed during their risk assessments on www.paymentaccuracy.gov for fiscal year 2017 reporting, and that they plan to continue to direct agencies to report this listing for subsequent fiscal years. In addition, although the basis for grouping programs and activities for improper payment risk assessments and the risk factors considered during the risk assessments will not be required to be reported in fiscal year 2017 AFRs and PARs, OMB staff stated that they plan to revise the guidance for fiscal year 2018 so that agencies report such information in their AFRs and PARs.", "To address our second objective, we reviewed IPIA, as amended; the related OMB guidance; and relevant internal control standards to determine the relevant control activities needed to help ensure that agencies conduct improper payment risk assessments for all programs and activities at least once every 3 years. For this objective, we selected nine CFO Act agencies that did not report improper payment estimates for any programs or activities in fiscal year 2015 or 2016 except those estimates that were required to be reported pursuant to the Disaster Relief Appropriations Act, 2013. These nine agencies were the Departments of Commerce, Energy, the Interior, Justice, and State; the National Aeronautics and Space Administration; the National Science Foundation; the Nuclear Regulatory Commission; and the U.S. Agency for International Development. We reviewed these agencies\u2019 procedures for conducting improper payment risk assessments and interviewed agency officials to determine whether the agencies designed and documented control activities to include all programs and activities in an improper payment risk assessment at least once every 3 years. To verify each agency\u2019s assertions that all programs and activities are reviewed at least once every 3 years, we compared the line item for gross outlays contained in each agency\u2019s Statement of Budgetary Resources for the relevant period to outlay data provided by each agency for each program and activity covered by improper payment risk assessments for fiscal years 2014 through 2016. When we identified differences between the two data sources, we interviewed agency officials to understand the cause for the differences and obtained any supporting documentation to ensure that all significant programs and activities were properly assessed.", "While our second objective focused on certain significant control activities related to the selected agencies\u2019 inclusion of programs and activities in their improper payment risk assessments at least once during fiscal years 2014 through 2016, we did not evaluate all control activities and other components of internal control. If we had done so, additional deficiencies may or may not have been identified that could impair the effectiveness of the control activities evaluated as part of this audit.", "We conducted this performance audit from June 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Standards for Internal Control in the Federal Government", "paragraphs": ["Standards for Internal Control in the Federal Government provides the overall framework for establishing and maintaining internal control. Internal control should be designed, implemented, and operating effectively to provide reasonable assurance that the operations, reporting, and compliance objectives of an entity will be achieved. The five components of internal control are as follows:", "Control environment - The foundation for an internal control system. It provides the discipline and structure to help an entity achieve its objectives.", "Risk assessment - Assesses the risks facing the entity as it seeks to achieve its objectives. This assessment provides the basis for developing appropriate risk responses.", "Control activities - The actions management establishes through policies and procedures to achieve objectives and respond to risks in the internal control system, which includes the entity\u2019s information system.", "Information and communication - The quality information management and personnel communicate and use to support the internal control system.", "Monitoring - Activities management establishes and operates to assess the quality of performance over time and promptly resolve the findings of audits and other reviews.", "An effective internal control system has each of the five components of internal control effectively designed, implemented, and operating and the five components operating together in an integrated manner. In this audit, we focused on certain significant control activities related to the selected agencies\u2019 inclusion of programs and activities in their improper payment risk assessments at least once during fiscal years 2014 through 2016."], "subsections": []}, {"section_title": "Appendix III: Agency Adherence to Office of Management and Budget Reporting Directives for Risk Assessments", "paragraphs": ["As noted in our report, the Improper Payments Information Act of 2002, as amended by the Improper Payments Elimination and Recovery Act of 2010 and the Improper Payments Elimination and Recovery Improvement Act of 2012, requires agencies to conduct improper payment risk assessments for all federal programs and activities in fiscal year 2011 and at least once every 3 years thereafter. During fiscal years 2014 through 2016, the 24 agencies subject to the Chief Financial Officers Act of 1990 (CFO Act), excluding the Department of Defense, reported in their agency financial reports (AFR) or performance and accountability reports (PAR) that they completed at least one risk assessment on at least one program or activity in one or more of those years. For each agency that reported completing an improper payment risk assessment in a given year, we evaluated whether the agency adhered to certain Office of Management and Budget (OMB) reporting directives. It is important to note that our audit scope did not include evaluating whether the agencies completed the required risk assessment for all programs and activities.", "We evaluated the 24 CFO Act agencies\u2019 fiscal years 2014 through 2016 AFRs and PARs to determine if agencies adhered to OMB guidance for reporting on improper payment risk assessments. Table 2 summarizes agencies\u2019 adherence to the OMB guidance to report a basis for grouping programs and activities in the AFRs or PARs for fiscal years 2014 through 2016.", "Table 3 summarizes agencies\u2019 adherence to the OMB directive to list all of the programs and activities that were assessed for susceptibility to significant improper payments and describe the risk factors considered during their assessments for fiscal years 2015 and 2016. There was no directive to report this information for fiscal year 2014."], "subsections": []}, {"section_title": "Appendix IV: Summary of Agencies\u2019 Procedures for Performing Improper Payment Risk Assessments", "paragraphs": ["Table 4 summarizes our analysis of the selected agencies\u2019 procedures for performing improper payment risk assessments to help ensure that all programs and activities were properly reviewed once every 3 years."], "subsections": []}, {"section_title": "Appendix V: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Matt Valenta (Assistant Director), Michelle Philpott (Assistant Director), Laura Bednar (Auditor-in-Charge), Stephanie Adams, Youssef Amrani, Francine DelVecchio, and Kailey Schoenholtz made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-595", "url": "https://www.gao.gov/products/GAO-18-595", "title": "Real Property: GSA Is Taking Steps to Improve Collection and Reporting of Repair and Alteration Projects' Information", "published_date": "2018-07-23T00:00:00", "released_date": "2018-07-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, GSA spends hundreds of millions of dollars on R&A projects to address the repair, renovation, or modernization needs of the more than 1,600 federally owned buildings under the agency's custody and control\u2014the average building's age is 47 years old. In fiscal year 2018, Congress appropriated $666 million in obligational authority from the Federal Buildings Fund for GSA's R&A program. Collecting information is fundamental to monitoring progress and assessing projects' performance.", "GAO was asked to review issues about GSA's collection of information needed to manage its R&A projects. This report examines how GSA (1) collects information on individual R&A projects and (2) assesses the performance of R&A projects.", "GAO reviewed documentation on the systems that GSA uses to support its management of the R&A program, as well as internal GSA reports on regional offices' use of the system that tracks projects' status. GAO also interviewed officials from GSA's central office and four regional offices to understand the types of information collected on R&A projects and how the information is input in GSA's systems. To identify the regional officials to be interviewed, GAO selected a non-generalizable sample of four capital R&A projects and eight small R&A projects, active between October 2013 and August 2017, based on a preliminary analysis of GSA data.", "GSA had no comments on the report."]}, {"section_title": "What GAO Found", "paragraphs": ["The General Services Administration (GSA) requires its regional offices to collect information on their repair and alteration (R&A) projects electronically and is working to improve the completeness and timeliness of this collection. Since 2011, GSA has required its regional offices to input and update information on both capital projects (those costing more than $3.095 million as of fiscal year 2018) and small projects (those costing less than $3.095 million). Officials from the four regions GAO interviewed said they find this system to be useful for forecasting how a capital project will progress. Regarding small projects' information, GSA has taken steps to improve regional offices' collection by, for example, conducting monthly checks to ensure that all small projects have been created in the system, assessing the number of projects that have missing information, and introducing a simplified way that GSA's regions can enter information in the system. GSA officials reported that, moving forward, they are continuing to emphasize the importance of collecting complete and timely information, which is needed to assess the performance of all R&A projects.", "GSA uses schedule- and budget-focused measures to assess the individual, the regional, and the national performance of capital and small R&A projects and is working to create a consistent understanding of performance. GSA's measures rely on information input by regional officials. For example, during the construction phase, GSA uses two \u201cproject delivery\u201d measures, which compare a project's estimated schedule and budget with actual outcomes. GSA produces regional and national reports detailing projects' performance relative to these measures. However, not all regional officials GAO spoke with view these reports as useful because they are not specific to the officials' information needs. As a result, some regions have created their own reports, contributing to an inconsistent understanding of R&A projects' performance across the agency. GSA has conducted outreach to its regions and has begun to introduce new \u201cdashboard\u201d reports that present a consolidated view of R&A projects' information. Moving forward, GSA's ability to assess R&A projects' performance will continue to rely on regional officials' complete and timely input of information for both capital and small projects."]}], "report": [{"section_title": "Letter", "paragraphs": ["The General Services Administration (GSA) spends hundreds of millions of dollars each year on repairs and alterations to the approximately 1,600 federally owned buildings under its custody and control. Repairs and alterations not only are important to keep buildings operating efficiently but also are increasingly important as buildings age and require renovation or modernization. In fiscal year 2017, GSA reported that the average age of its buildings was 47 years old and that the backlog of deferred maintenance for these buildings exceeded $1.4 billion. We have previously reported that deferring maintenance and repair can reduce the overall life of federal facilities, lead to higher costs in the long term, and pose risks to safety and agencies\u2019 missions.", "As the needs of the aging federal inventory exceed available resources, it is important that the repair and alteration (R&A) projects that GSA funds to address these needs are completed efficiently and cost-effectively. Collecting information on these R&A projects is fundamental to monitoring their progress and assessing their performance; our prior work has shown the extent of information collected on these projects can be limited. You asked us to review issues related to GSA\u2019s collection of information needed to manage its R&A projects. This report discusses how GSA (1) collects information on R&A projects and (2) assesses the performance of R&A projects.", "To determine how GSA collects information on individual R&A projects, we reviewed documentation on the project information systems that GSA uses to manage its capital projects\u2014those with total construction costs that exceeded $3.095 million\u2014and small projects\u2014those with total construction costs exceeding $25,000 and less than or equal to $3.095 million. We also interviewed officials from GSA\u2019s central office about the project information systems and regional officials\u2019 use of these systems. In addition, we reviewed GSA project reports from 2015 to 2017 from the system used to track small projects\u2019 status to assess the extent to which GSA\u2019s 11 regional offices may have varied in inputting complete and timely R&A project information. We reviewed the information in these reports to identify potential trends in regions\u2019 complete and timely entry of R&A project information and interviewed GSA officials about the sources of information used to generate the reports and steps they take to ensure its accuracy.", "We also obtained data from GSA for all active R&A projects from October 2013 to August 2017. These years represent the period after GSA officials said they began tracking small projects in the system used to track status information and the most recent year for which data were available. We analyzed the data for completeness and interviewed GSA officials about how the data were generated and found them to be sufficiently reliable for the purposes of selecting projects to further our understanding of how GSA collects information on its R&A projects. Specifically, we used this data to select 12 R&A projects, including four capital projects and eight small projects, to understand the types of information collected on these projects. We also discussed the selected projects with officials from the four regions\u2014including project team members who worked on these projects\u2014to understand the specific project detail, budget, and schedule information being tracked and how the information was input in the project information systems. Furthermore, we visited two of the four selected regions based on their proximity to our field office locations.", "To select these 12 projects, we first identified those regions that had capital projects categorized as \u201csubstantially completed\u201d during this time period as few capital projects are completed in a given year; seven regions were identified using this criterion. We then narrowed our selection to four regions that had varying degrees of performance based on our initial review of GSA reports containing regional schedule and budget targets. Specifically, to ensure that we were not selecting four comparable regions, we selected two regions that GSA reported had surpassed schedule and budget performance targets and two regions that had not. Each of these four regions had one substantially completed capital R&A project in the time frame, and we selected two small R&A projects from each region\u2014those with the highest and lowest estimated costs when their respective construction contracts were awarded. The information obtained from the review of 12 selected projects and interviews of regional officials is not generalizable to all R&A projects and regions, but provides insight into how information is input by regional officials, how it is used by GSA\u2019s central office and selected regional officials, and any issues affecting its completeness or timeliness.", "To determine how GSA assesses the performance of R&A projects, we reviewed internal guidance and guidelines on the agency\u2019s project-level performance measures, performance goals, and performance reporting related to R&A projects. In addition, we reviewed performance reports produced by GSA from its project information systems to understand regional R&A projects\u2019 performance relative to GSA\u2019s performance measures. We also reviewed documentation on GSA plans to develop new performance reporting on capital and small projects, including R&A projects, and outreach plans to understand regional officials\u2019 reporting needs. Finally, we interviewed officials from GSA\u2019s central office\u2014as well as officials from four selected regions, described above\u2014to discuss the use and usefulness of these project performance reports.", "We conducted this performance audit from May 2017 through July 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["GSA spends hundreds of millions of dollars each year on needed repairs to the more than 1,600 federally owned buildings under its custody and control, which are occupied by a wide variety of federal tenant agencies. The agency\u2019s R&A program provides repairs and alterations for buildings to ensure that they will protect both the government\u2019s investment and the health and safety of buildings\u2019 occupants, support the transfer of federal agencies from leased space, and be cost-effective.", "GSA prioritizes capital and small R&A projects for selection differently. GSA gives priority to repairs to prevent deterioration and damage to buildings, their support systems, and operating equipment. GSA\u2019s central office uses criteria based on agency-wide strategic goals to rank and prioritize projects for funding. According to GSA\u2019s Fiscal Year 2019 Congressional Justification, the agency prioritizes R&A capital projects relative to a set of six criteria, each of which consider factors such as space consolidation, customer priorities, project urgency, facility conditions, historic status, and code compliance. For small R&A projects, GSA\u2019s central office reviews those with estimated costs exceeding $250,000 and develops an \u201capproved\u201d list of projects for its regions using criteria similar to those used to prioritize capital projects. GSA\u2019s small R&A projects primarily focus on building repairs and equipment and other replacement issues.", "The Federal Buildings Fund (FBF), established by the Public Buildings Act Amendments of 1972 and administered by GSA, is the primary source of funds for all operating and capital costs associated with federal space\u2014including repairs and alterations. GSA collects rent from tenant agencies, deposits it into FBF, and is appropriated obligational authority by Congress to fund real property acquisition, repairs and alterations, operation, maintenance, and disposal. As shown in figure 1, the amount of funding appropriated in obligational authority for R&A projects has steadily decreased since fiscal year 2014\u2014and has been below the amount GSA requested each fiscal year. According to GSA officials, this decline in funding has contributed to the agency\u2019s backlog of deferred maintenance. In fiscal year 2018, GSA requested more than $1.4 billion for R&A activities; $666 million in obligational authority was appropriated from the FBF to perform major and minor repairs and alterations. GSA has requested $909.7 million for R&A activities for fiscal year 2019.", "GSA\u2019s Public Buildings Service manages R&A projects through its central office in Washington, D.C., and 11 regional offices. GSA\u2019s central office establishes programming, design, and construction standards and guidance, and provides technical backup, as needed. GSA officials in both the central and regional offices are involved in assessing the needs of federal facilities and guiding R&A project development and execution. Once a project is authorized and funded, GSA\u2019s regional offices oversee the design and construction phases of the project, from the procurement of design through the management of construction until project closeout.", "Further details of GSA\u2019s R&A project design and construction delivery process are shown in figure 2."], "subsections": []}, {"section_title": "GSA Collects Information on R&A Projects Electronically and Is Taking Steps to Improve the Collection of Small Project Information", "paragraphs": [], "subsections": [{"section_title": "Regional GSA Offices Collect Information on Capital and Small R&A Projects Electronically", "paragraphs": ["In order to track projects, GSA has developed numerous systems that regional officials are required to use to collect information electronically on R&A projects. Each of these systems is used to collect different types of information, such as information on potential projects or funding details. These systems are used throughout the phases of GSA\u2019s project design and construction delivery process, starting at the point that a potential project is first identified, and each system serves various management purposes, as noted in table 1.", "While GSA uses all of these systems to collect information on R&A projects, ePM/ePMXpress is the system used to track a project\u2019s progress because it supports and facilitates the tracking of project status and related performance reporting. GSA regional officials initially create records of capital projects in ePM early in the planning process\u2014about 2 years before funding is requested from Congress\u2014and for small projects in ePMXpress soon after they are authorized for initial funding. Once a project is entered into ePM/ePMXpress, GSA project team members (which include the project manager, other regional GSA staff, and may include external contractors) populate and update key types of project information at specific points in the project\u2019s design and construction delivery process.", "GSA\u2019s central office first introduced ePM as a pilot project in 2009 and, to establish consistency in the information collected, issued minimum requirement guidelines for the project information to be input in the system in 2011. These guidelines require project team members to enter specific information on both capital and small projects into ePM. GSA introduced ePMXpress in late 2012, and it provides regional officials with a simplified interface to input and track small project information. This simplification is reflected in the types and amounts of information GSA requires project teams to collect in ePM compared to ePMXpress:", "For capital projects in ePM, there are 42 modules such as project details, funding, contracts, and schedule data.", "For small projects in ePMXpress, there are 7 modules\u2014program information, project details, project team details, schedule, funding, project manager financials, and file manager information.", "Within these modules, project team members are required to input specific baseline and actual milestone dates in ePM/ePMXpress for both small and capital projects, including when a project\u2019s design is complete, when construction is authorized to begin, and when construction is substantially complete. Capital projects require 57 milestones, compared with up to 16 milestones for small projects.", "See appendix II for additional information on the specific types of information that regional GSA officials are required to collect on their capital and small R&A projects.", "GSA guidelines also encourage project team members to collect and record additional R&A project information in ePM/ePMXpress\u2014beyond what is required for capital and small projects\u2014as a best practice. Officials from GSA\u2019s central office said storing additional information in this system encourages collaboration across both project teams and regions, promotes a project management culture that results in more efficiency, and allows GSA to more efficiently prepare reports for its customers. Officials from three of the four regional offices we contacted provided examples of project team members in their region inputting more information on their R&A projects than required by GSA\u2019s central office.", "For example, officials in one region said they have required their project team members to collect additional information on their projects that allow the region to monitor staff workload, forecast the number of future small projects that may be needed, and ensure that officials have sufficient resources available to oversee their region\u2019s projects."], "subsections": []}, {"section_title": "GSA Is Continuing Efforts to Improve Its Collection of Small R&A Project Information", "paragraphs": ["According to GSA officials, they have seen improvements in the collection of capital R&A project information since first requiring regional offices to use ePM. Officials from GSA\u2019s central office said that since ePM was first introduced in 2009, they have worked with regional officials to adjust the types of information that project team members must input to improve the completeness, timeliness, and usefulness of project information collected. As a result, GSA officials reported that project team members are now (1) consistently creating capital R&A projects in ePM and (2) regularly updating information on these projects in a complete and timely manner, throughout the agency\u2019s project design and construction delivery process. Officials from GSA\u2019s central office said they verify that the projects have been entered into ePM when regional officials request them for inclusion in GSA\u2019s budget, a process that occurs during a project\u2019s early planning stages. These officials added that once a capital project is funded, project team members are required to actively manage its details in ePM, providing regular updates through various reporting tools. Furthermore, they stated that, as few new capital projects are funded each year, each capital project is highly visible and subject to a degree of scrutiny that leads to the identification and correction of any errors in ePM. In addition, according to GSA officials, missing project information would be captured in regional performance reports. For these reasons, GSA officials said they do not develop reports on the creation of capital projects in ePM or the timeliness of updates made to these projects.", "Project team members we interviewed said that having information on capital R&A projects in ePM is useful in a number of ways. For example, project team members from all four regions we interviewed said they find the \u201cearned value\u201d tool in ePM to be useful for project management. This tool uses schedule and budget information to forecast how a capital project is expected to progress and analyzes progress as new information is added. In addition, officials from two regions stated that ePM is a good tool for storing project documents for internal agency use, and officials from one of the regions said ePM offers a useful means to securely transmit capital project documents to both internal and external stakeholders.", "GSA also reported improvements in the completeness and timeliness of updates to small projects\u2019 information in ePMXpress in recent years. GSA conducts monthly checks to assess the number of small projects in ePMXpress with information that is either missing or out of date and issues reports to its regions summarizing the results of these checks. In May 2015, GSA issued an internal memorandum that reiterated its existing requirement that all small R&A projects be created in ePMXpress and updated in a complete and timely manner. In October 2016, GSA\u2019s reports showed that, of all small R&A projects in ePMXpress, on average, 5 percent had schedule data errors and 7 percent had budget data errors. These rates varied across GSA\u2019s regional offices, from 0 to 11 percent for schedule errors and 1 to 16 percent for budget errors. To reduce the rate of budget data errors, in 2017 GSA began using some contract award information available in EASi or FMIS to assess small projects\u2019 performance, instead of relying on information input in ePMXpress. GSA\u2019s central office officials said that they found the information in these systems to be more up to date. After GSA implemented this action, its September 2017 report showed that less than one percent of small R&A projects had errors in their schedule or budget data. Specifically, nine of GSA\u2019s 11 regions had no small R&A projects with schedule errors, and 10 regions had no budget errors.", "GSA has reported that the rate at which project team members initially create all of their small R&A projects in ePMXpress has also improved in recent years. Each month, officials from GSA\u2019s central office take steps to verify that funded projects have been created in ePMXpress by manually reconciling information between ePMXpress and IRIS. GSA\u2019s stated goal is to have 100 percent of small projects created in ePMXpress, and its guidelines require project team members to create all small projects in ePMXpress within 30 days of being approved for funding. We found that recent GSA reports on this reconciliation showed that the overall percentage of small projects having been created in the system has improved. At the beginning of fiscal years 2016, 2017, and 2018, nationwide compliance trended from 81 percent to 95 percent to 92 percent, respectively. In addition, the lowest percentage of small projects created in ePMXpress in any one individual region at the start of fiscal year 2016\u201461 percent\u2014had improved to 88 percent by the outset of fiscal year 2017 and was 85 percent at the beginning of fiscal year 2018. At that time, the percentage of small projects created in ePMXpress ranged, by region, between 85 and 100 percent. GSA officials said they expect to find some small projects to be missing in ePMXpress because, in some cases, not enough time will have elapsed between the date of funding and the date of the reconciliation. GSA officials explained that they are continuing to take steps to emphasize the importance of having complete and timely information on all small R&A projects in ePMXpress to its regional offices. For example, to support the expectation that all small projects are created in ePMXpress, one official from GSA\u2019s central office said monthly meetings are held with regional officials to discuss expectations for the completeness and quality of the project information.", "Regional officials, including project team members, told us that ePMXpress is not useful to their work on small R&A projects, a situation that has limited the extent to which the officials use this tool, an outcome that can affect the completeness and timeliness of small project information. Specifically, officials from one region said that they view ePMXpress solely as a tracking tool for GSA\u2019s central office, not as a project management tool. In addition, some regional officials said they do not find ePMXpress to be effective as a project management tool because ePMXpress does not allow them to collect information on useful project details, such as why schedules or cost estimates change during a project or why certain events happened. Project team members from three regions said that they continue to maintain offline \u201ccuff records\u201d\u2014 which allow them to customize their notes on why things happened during a project\u2014because they are easier to access and update. Similarly, officials from all four regions we interviewed noted that the process of manually creating and updating all of their small projects in ePMXpress\u2014 of which there are hundreds each year\u2014is time consuming. Furthermore, small R&A projects can often be started and completed in a short period of time, and can be completed before a project team is required to create a record in ePMXpress (within 30 days of a project\u2019s approval). For this reason, officials from one region said that it is not useful to use ePMXpress for these projects. Officials in another region also reported that one of the functions that makes ePM useful for managing capital projects\u2014that it can securely transmit documents outside of GSA\u2014is not useful for small projects because they do not require as much interaction with external parties.", "GSA has begun considering replacement systems for ePM/ePMXpress that GSA officials suggested could include the automated creation of projects upon project approval. As of March 2018, GSA had developed a statement of work to begin pursuing a replacement for ePM/ePMXpress. According to officials from the Office of GSA\u2019s Chief Information Officer, the overall goals of a replacement include ensuring that it is easier for project team members to use than the current system. However, the capabilities of any such system are not currently known, nor are the ways in which a different system would affect the challenges reported by regional officials.", "In the meantime, GSA is continuing to emphasize the importance of using ePMXpress to create and capture information for all small R&A projects to its regional offices, as the agency is using the information to support both ongoing and new efforts. For example, creating and updating project information in a timely manner improves GSA\u2019s ability to assess R&A projects\u2019 performance at the individual, regional, and national levels, as discussed later in this report. In fiscal year 2018, GSA plans to use project information input in ePM/ePMXpress to support its efforts to improve communication with tenant agencies, and GSA guidelines state it will be important that project team members use ePMXpress throughout all project phases for their small projects and ensure that the required information is up to date. In addition, the overall amount of information that project team members are required to input will increase moving forward because GSA is now requiring staff to create additional small projects in ePMXpress in a shorter period of time. In March 2018, GSA both reduced the time that project teams have to create small projects in ePM/ePMXpress from 30 to 15 days and also began requiring that additional, non-R&A small projects be created in the system. GSA has estimated this will result in approximately 1,100 additional projects being created in ePMXpress each year."], "subsections": []}]}, {"section_title": "GSA Uses Schedule and Budget Measures to Assess the Performance of R&A Projects and Is Taking Steps to Improve Reporting", "paragraphs": [], "subsections": [{"section_title": "GSA Uses Schedule- and Budget-Related Performance Measures to Assess R&A Projects", "paragraphs": ["GSA\u2019s central office assesses the performance of capital and small R&A projects across its regional offices by focusing primarily on schedule and budget-related measures. According to internal GSA guidelines on performance measures, measuring projects\u2019 schedule and budget performance allows GSA to continuously improve the project delivery and accountability of its work in order to demonstrate good stewardship of its stakeholders\u2019 limited funding.", "GSA assesses the performance of R&A projects using a few key measures. First, GSA uses a \u201ctimely award\u201d measure. According to internal GSA guidelines on performance measures, the \u201ctimely award\u201d measure reflects the effectiveness of early planning by assessing the timeliness of the obligation of funds for construction contracts following a project\u2019s initial authorization. This measure is based on schedule information that project team members input in ePM/ePMXpress and, as mentioned earlier, budget information from the FMIS and EASi systems to compare planned obligations, projected contract award amounts, and planned contract award dates to actual results. Specifically, GSA officials stated that a project\u2019s performance relative to the timely award measure is determined based on the percentage of awards that are made within set timeframes. This measure varies slightly between capital and small projects; for example, a capital project is viewed as successful if 90 percent of its planned obligation dollars are awarded within 30 days of its planned \u201cbaseline\u201d award dates set at a project\u2019s outset, and partially successful if this awarding occurs within 45 days. Conversely, a small project is deemed successful if 85 percent of its planned obligation dollars are awarded within 30 days of its baseline award dates or within 10 percent of its estimated construction costs. If 80 percent of these funds are awarded within 45 days or 20 percent of estimated construction costs, a small project is considered partially successful with respect to this measure.", "GSA also has two \u201cproject delivery\u201d measures. Once construction begins, GSA uses information from ePM/ePMXpress, EASi, and FMIS to assess whether projects are delivered \u201con-schedule\u201d and \u201con-budget\u201d by comparing the alignment of a project\u2019s (1) estimated baseline schedule and budget to its (2) actual schedule and budget. As shown in figure 3, GSA\u2019s project-delivery measures focus on the time between the start of construction and substantial completion, which is the date on which a project is suitable for occupancy. GSA\u2019s project delivery targets are to have 85 percent of R&A projects be completed within 10 percent of their baseline schedules, and 85 percent of them to have total costs within 10 percent of their baseline budgets. GSA reported that it uses these measures to understand how capital R&A projects contribute to its agency-wide strategic objective to establish GSA as a more effective provider of real estate services for all agencies. According to GSA officials, tracking the rate at which capital projects\u2014including capital R&A projects\u2014are completed on time and within budget helps regional officials manage project expectations with their customers.", "GSA reported that most of its R&A projects met the agency\u2019s overall timely-award and project-delivery performance targets in fiscal year 2017. For the timely award measure, GSA reported that in fiscal year 2017, 93 percent of capital projects had their planned obligation dollars awarded within 30 days of their baseline award dates and that 87 percent of small projects had awards made within 45 days of their baseline dates. For the project delivery measure, GSA reported that 99 percent of all capital projects completed on-schedule and 99 percent were on-budget in fiscal year 2017. In that same year, GSA reported that 88 percent of small R&A projects were on-schedule and 86 percent were on-budget. GSA arrived at these results by rolling up information on individual projects\u2019 performance. Officials from GSA\u2019s central office said that capital projects are typically completed on-schedule and on-budget at a higher rate than small projects because capital projects have a more comprehensive planning process and are often reviewed by third parties, and they said that this process tends to result in more accurate baseline estimates. These officials also said that, while GSA has assessed the performance of its capital projects for 14 years and its regional officials have grown familiar with measurement of these projects, the agency only began assessing small projects\u2019 performance in the past 3 years and regional officials are still growing accustomed to the idea of measurement on projects with lesser costs.", "GSA officials are able to adjust the baseline schedule milestones and cost estimates against which the agency assesses performance when circumstances requiring additional time or funding arise during a project\u2019s construction phase. According to an internal GSA document detailing requirements related to performance measures and reporting for capital projects, it is more difficult to change baseline milestones for a capital project than to adjust the dates for a small project because once a capital project\u2019s baselines are input in ePM, they can only be altered through an adjudication process involving GSA\u2019s central office. As described by officials in one GSA region, this process focuses on determining whether the reasons provided to support a request are strong enough to justify a baseline change. If such a change is approved by the central office, actual performance will then be compared against adjusted baseline milestone dates or cost estimates. GSA officials stated that, although there is no such adjudication process for small projects, any changes to schedule or budget baselines must be approved by regional management or, in some cases, officials from the central office depending on the context of the change.", "The brief nature of some small R&A projects may affect the entry of their information and the interpretation of the reported performance. For example, we found that all eight of the small projects we reviewed had either missing baseline dates or baseline and actual milestone dates that matched exactly in the system. When asked why this may occur, officials from one region explained that small R&A projects with short durations can sometimes be completed before a project team is required to create the project\u2019s record in ePMXpress. This can result in either missing data or baseline and completion dates simply being entered in a single session. Officials from GSA\u2019s central office said that they rely on regional officials to input accurate information throughout the course of a project, as baselines are set and actual milestones are either met or exceeded."], "subsections": []}, {"section_title": "GSA Reports on R&A Projects\u2019 Performance at Regional and National Levels and Is Introducing New Reporting Intended to Create a Consistent Understanding of Performance", "paragraphs": ["GSA\u2019s central office produces regional and national reports and provides them to their regional offices to facilitate internal discussion on R&A projects\u2019 performance. Specifically, GSA shares the reports containing regional and overall results of its timely award measure, project delivery measures, and the previously discussed reconciliation measure to encourage conversations among senior GSA leadership and regional management. For example, one report compares projects\u2019 actual progress with baseline milestones using the project delivery measures to assess the accuracy of teams\u2019 planning. GSA also shares R&A project delivery measure results with the Office of Management and Budget when compiling its annual performance reports.", "Regional officials varied in the extent to which they viewed R&A performance reports as useful, and some regions have developed their own approaches to understanding projects\u2019 performance. For example, officials in all four GSA regions we interviewed said that some reports distributed by the central office are not specific to their information needs. Officials from one of these regions described one report as having little value because it is difficult to understand what message the report is intended to convey. Officials from another region said they do not find a particular report to be useful because\u2014in addition to the timely award measure that GSA emphasizes in working to understand R&A project performance\u2014it also includes less prominent milestones in identifying whether a project is on schedule. These officials said that while their region focuses on significant milestones like a project\u2019s contract award date (\u201ctimely award\u201d measure) to assess progress, the report often flags projects as being behind schedule based on less critical interim milestones that can be done concurrently with other tasks, such as submitting a document for legal review. When regional officials have not found the reports shared by GSA\u2019s central office to be useful, some said they rely on varying sources of information to understand performance. For example, officials from one region we interviewed said they use raw data, made available by the central office, to create reports that they feel offer a more complete picture of performance in their region and highlight projects that may be at risk. Similarly, officials from another region said they create custom consolidated reports to discuss projects and obtain an overall impression of the information available, track and assign workloads, and assess any relevant trends emerging across projects.", "Officials from GSA\u2019s central office said they are aware that some regions have not found R&A performance reports to be useful. These officials 1) acknowledged that the extent of information and features that ePM/ePMXpress offers is less than some regions have told them they need to manage their projects and 2) said updating these reports only once or twice per month is not often enough for some regions. The officials added that some regions\u2019 opting to rely on other sources of information has contributed to an inconsistent understanding of R&A projects\u2019 performance across the agency. GSA has been conducting outreach to its regional offices to better understand what information regions find useful to understanding their projects\u2019 performance. GSA\u2019s plan for this outreach states that one of its aims is to ensure that regions clearly understand the purpose, outcome, and value of new reports being developed. According to this plan, GSA intends to assess the effectiveness of its outreach by gathering feedback from regional officials and reviewing analytics on usage of the reports developed.", "As outreach to regions continues, GSA has begun to introduce what officials describe as \u201cself-service dashboard\u201d reports to present a consolidated view of R&A project information, with the intent of promoting a consistent understanding of performance across the agency. According to GSA\u2019s outreach plan for one of the forthcoming dashboards, GSA intends for these new reports to improve the transparency and timeliness of information on R&A projects, increase accountability, help identify information gaps and redundancies, and expand knowledge sharing across the agency. Even with these dashboards, GSA officials acknowledge that some regional offices may also continue to rely on other sources of information but added that the near real-time nature and ability to filter information offered by the dashboards will allow regional officials to do more with the information that their project teams input on their projects than in the past.", "Specifically, GSA recently introduced a Capital Program Information Dashboard, which is an interactive, online presentation of information on all capital projects\u2014including R&A projects\u2014that is updated as often as daily, in some cases, using information from ePM, IRIS, FMIS, and other sources. The overall Capital Program Information Dashboard consists of a series of dashboards that present project information in a number of ways. For example, the National Summary Dashboard is comprised of three sections:", "Program Measures Performance: This section provides a national and regional view of schedule and budget performance for capital projects, using the 85 percent fiscal year 2018 target as a reference line to show how each region is performing.", "Program Award Performance: This section provides a national and regional view of capital projects\u2019 performance with regard to GSA\u2019s timely award measure, displaying comparisons of actual contract award dates and original baseline dates.", "Program Summary: This section provides a national and regional view of capital projects, both by dollars appropriated and by the number of projects, for categories including: active projects, projects declared substantially complete within the current fiscal year, and overall combined totals. This section displays these values at a regional level in chart form and by state in an interactive map.", "At the same time that GSA introduced regional and national-focused dashboard reports on capital projects, it also introduced (1) a Project Details Dashboard for capital projects that provides project-level information by region and state and (2) a Project Award Performance Dashboard that provides capital project-level information for planned awards; this dashboard can be filtered by fiscal year, program, vendor, project name, and contract type or number. Both of these dashboards have multiple sections; for example, the Project Award Performance Dashboard includes sections that focus on performance relative to the project delivery and timely award measures, highlight capital projects that may require adjustments to their schedule or budget baselines, and detail reasons for requested changes to baselines.", "In April 2018, GSA also launched a draft version of a dashboard for small projects that it expects to give regional officials direct access to up-to-date information on their small R&A projects. Similar to the Capital Project Information Dashboard, the Small Project Dashboard will integrate information from systems including ePMXpress, IRIS, EASi, and FMIS. GSA\u2019s plan for implementation states that this dashboard will present regional officials with a consolidated view of program and project information that includes status updates on timely-award and project- delivery measures. GSA expects that this dashboard, which is to be finalized before the end of fiscal year 2018, will offer \u201cnear real-time access\u201d to small project information and reports to facilitate program management and data-driven decision-making. Finally, GSA officials said the agency is also planning to introduce a dashboard that will provide its customer agencies with up-to-date information in 2018. GSA expects this report to remove the delay between the inputting of project information and its accessibility to all parties involved, making the information more transparent both internally and externally.", "GSA\u2019s ability to assess and understand the performance of R&A projects will continue to rely on project team members\u2019 entry of information as it finalizes its set of dashboard reports. GSA documentation on the introduction of the Small Projects Dashboard states that because ePM/ePMXpress will continue to serve as a key source of schedule information, regional officials\u2019 regular input of R&A project information will be needed to make the dashboards meaningful. This documentation also suggests that regional officials consider entering additional project information, beyond what is required, so it will be available to them in the dashboards. Officials from GSA\u2019s central office acknowledge that their ongoing outreach to the regional offices emphasizes the importance of complete and timely information\u2014as discussed earlier\u2014to the agency\u2019s ability to comprehensively understand R&A projects\u2019 performance."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA for comment. An official in GSA\u2019s Audit Management Division told us in an email that the agency had no comments on the draft report.", "We will send copies of this report to appropriate congressional committees and the Administrator of the General Services Administration. In addition, we will make copies available to others upon request, and the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to discuss how GSA (1) collects information on repair and alteration (R&A) projects and (2) assesses the performance of R&A projects. The scope of the work focused on R&A projects from two R&A program funding streams: \u201ccapital\u201d R&A projects (those with costs greater than $3.095 million) and \u201csmall\u201d R&A projects (those with costs less than or equal to $3.095 million and greater than $25,000); we did not include projects related to new building construction projects or reimbursable work authorization projects, which are those performed by GSA but funded by other federal agencies to improve or renovate federal facilities. We collected information on systems supporting GSA\u2019s management of its R&A projects, including its Electronic Project Management (ePM/ePMXpress) system, Pegasys, Financial Management Information System (FMIS), Inventory Reporting Information System (IRIS), and Enterprise Acquisition Solution integrated (EASi) system. Despite some discussions of the accounting systems involved with R&A projects, this review did not involve a financial audit of the R&A program. We also reviewed our prior work and reports from the GSA\u2019s Office of Inspector General to obtain background information and identify any existing audit findings on the R&A program that might be relevant for our objectives.", "To determine how GSA collects information on individual R&A projects, we reviewed documentation related to the R&A program, both provided to us by GSA and found on the agency\u2019s web site. In addition, we reviewed GSA reports of the rates at which regional officials have created and updated information on their small projects in a timely and complete manner in ePMXpress. By reviewing reports generated by GSA\u2019s central office\u2014which are (1) based on their manual reconciliation of information between ePMXpress and IRIS and (2) based on the GSA identified errors in on-budget and on-schedule data in ePMXpress, EASi, and FMIS\u2014we were able to assess the variance between regions in the extent to which project team members created their small R&A projects in ePMXpress\u2014 and subsequently updated this information as projects move forward\u2014 between 2015 and 2017. We reviewed the information in these reports to identify potential trends in regions\u2019 complete and timely entry of R&A project information and interviewed GSA officials about the sources of information used to generate the reports and steps officials take to ensure its accuracy. However, we did not independently verify the accuracy of the data contained in these reports.", "We also selected 12 R&A projects using GSA\u2019s central office data from October 2013 through August 2017 to understand how information is input into the systems by regional officials, how it is used by officials from GSA\u2019s central office and selected regional offices, and whether there are any issues affecting the information\u2019s completeness or timeliness. We selected the 2013 to 2017 time frame because this time period represents the period after GSA officials said that they began tracking small projects in the system used to collect information on project status, and the period represents the most recent data available at the time of our selection. For our project selection, we obtained data from GSA central office for all R&A projects that existed but not were closed out as of the beginning of fiscal year 2014 or had been added since the beginning of fiscal year 2014. We reviewed documentation on the collection of the data and analyzed the data for missing information and found the data to be sufficiently reliable for the purpose of selecting projects to understand how R&A project information is input by regional officials and how it is used across GSA.", "To arrive at these 12 projects, we selected projects from regions that had one or more capital R&A projects categorized as having been substantially completed between October 2013 and August 2017, as most regions undertake few capital projects in a given year. We initially identified seven GSA regions that had substantially completed at least one capital project during this timeframe and narrowed this number to four regions\u2014GSA regions 5, 6, 7 and 9\u2014which had varying degrees of performance based on our initial review of GSA reports containing schedule and budget metrics. Specifically, to ensure that we were not selecting four comparable regions, we selected two regions that surpassed GSA performance targets and two regions that did not surpass their performance targets. In addition, we gave preference to regions in proximity to our field offices\u2019 locations to minimize costs associated with site visits. Within each of the four selected regions, we identified the sole capital R&A project that was substantially completed between October 2013 and August 2017, for a total of four capital projects. We then selected two small projects\u2014those with the highest and lowest \u201cEstimated Cost of Construction at Award\u201d and had been active between October 2013 and August 2017\u2014for a total of eight small projects (see table 2 for list of selected projects).", "We conducted interviews with regional officials from these four regions\u2014 visiting two of the four regions that were located near our field offices. During those interviews, we discussed data entry processes and posed questions both specific to the region\u2019s selected projects and the R&A program more broadly. During interviews with both GSA\u2019s central and regional offices, we asked officials to explain how the IRIS, ePM/ePMXpress, EASi, and any other systems are used throughout the planning and execution of R&A projects. Specifically, we reviewed and discussed processes related to project information collection in general with regional officials and specific project detail, budget, and schedule information with the project team members who input information on the selected capital and small projects into these systems; for example, we raised questions about instances in which baseline and actual dates matched for some projects. Information on the projects we selected is not generalizable to all R&A projects, and the views of the regional officials interviewed are not generalizable to all of GSA\u2019s regional offices.", "To determine how GSA assesses the performance of its R&A projects, we requested and reviewed documentation from GSA on the extent to which the agency evaluates the performance of its R&A projects and inquired about the project information systems used to produce related performance reports. In addition to the documents provided by GSA, we used publicly available annual reports and budget justifications detailing GSA\u2019s overall goals and mission and the ways in which GSA has stated that the R&A program supports these aims. After an initial review of documents provided by GSA, we identified and requested specific internal guidance and guidelines, information on the criteria used to select individual R&A projects for funding, and reports related to both capital and small projects\u2019 performance. We used information contained in some of these reports to identify the performance metrics GSA has established for assessing R&A projects\u2019 performance and to assess overall regional performance relative to these metrics, as reported by GSA. We did not independently verify the accuracy of the on-schedule and on-budget figures reported by GSA, a methodological consideration that was beyond the scope of this review; our focus was on how GSA assesses the performance of R&A projects\u2014not on the results of their assessments. We also interviewed officials from GSA\u2019s central office and the four regional offices to discuss the agency\u2019s assessment of R&A projects\u2019 performance and the performance reports provided to regional officials. Furthermore, we reviewed information about GSA\u2019s plans to introduce new \u201cdashboard\u201d reports and outreach that officials from GSA\u2019s central office had conducted to understand regional officials\u2019 reporting needs. Finally, we interviewed these central-office officials and officials from the selected regional offices described above to discuss the use and usefulness of the performance reports.", "We conducted this performance audit from May 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: General Services Administration\u2019s Capital and Small Project Data-Entry Requirements for ePM and ePMXpress", "paragraphs": ["The tables below show the details and differences in the General Services Administration\u2019s (GSA) data entry requirements for capital projects in ePM and small projects in ePMXpress. Although some of the ePM modules may not be applicable for every project, there are mandatory fields and functions in each that drive GSA\u2019s metrics, measures, and standardized reports. Table 3 identifies the elements required, by GSA\u2019s fiscal year 2018 measures, for capital projects and indicates whether each is used in a key performance indicator.", "Table 4 identifies the small-project data entry requirements for ePMXpress, as required for fiscal year 2018 measures, and whether they are used in a key performance indicator.", "Table 5 contains a list of standard project milestones that must be maintained by GSA project managers in the ePM and ePMXpress schedule modules, as identified in table 3 for capital projects and table 4 for small projects."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgements", "paragraphs": ["In addition to the contact named above, Nancy Lueke, Assistant Director; Chad Williams, Analyst-in-Charge; Terence Lam; Les Locke; Cynthia Nelson; Josh Ormond; Amy Rosewarne; Kelly Rubin; James Sweetman, Jr.; and Crystal Wesco made key contributions to this report."], "subsections": []}]}], "fastfact": ["The General Services Administration (GSA) spends millions yearly to maintain approximately 1,600 federally owned buildings. Without repair and alteration projects, building safety may decline and operating costs may increase.", "GSA collects information from its regional offices to monitor progress and assess the performance of building projects. Timely and complete information used to create reports is essential for GSA to have an understanding of regional and national performance. Some regional offices said that GSA\u2019s reports don't meet their needs to manage the projects.", "GSA is introducing new dashboard reports to help address this issue."]} {"id": "GAO-18-42", "url": "https://www.gao.gov/products/GAO-18-42", "title": "Information Technology: Agencies Need to Involve Chief Information Officers in Reviewing Billions of Dollars in Acquisitions", "published_date": "2018-01-10T00:00:00", "released_date": "2018-01-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government invested more than $90 billion on IT in fiscal year 2016. However, prior IT expenditures have produced failed projects. Recognizing the severity of issues, in December 2014 Congress enacted IT acquisition reform legislation (referred to as the Federal Information Technology Acquisition Reform Act, or FITARA). Among other things, OMB's FITARA implementation guidance requires covered agencies' chief acquisition officers to identify IT contracts for the CIOs to review and approve.", "GAO's objectives were to determine the extent to which (1) federal agencies identify IT contracts and how much is invested in them, and (2) federal agency CIOs are reviewing and approving IT acquisitions. To do so, GAO reviewed data on IT contracts from fiscal year 2016 at 22 agencies and compared agency actions to law and OMB guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["Most of the 22 selected agencies did not identify all of their information technology (IT) contracts. The selected agencies identified 78,249 IT-related contracts, to which they obligated $14.7 billion in fiscal year 2016. However, GAO identified 31,493 additional contracts with $4.5 billion obligated, raising the total amount obligated to IT contracts in fiscal year 2016 to at least $19.2 billion (see figure).The percentage of additional IT contract obligations GAO identified varied among the selected agencies. For example, the Department of State did not identify 1 percent of its IT contract obligations. Conversely, 8 agencies did not identify over 40 percent of their IT-related contract obligations.", "Many of the selected agencies that did not identify these IT acquisitions did not follow Office of Management and Budget's (OMB) guidance. Specifically, 14 of the 22 agencies did not involve the acquisition office in their process to identify IT acquisitions for Chief Information Officer (CIO) review, as required by OMB. In addition, 7 agencies did not establish guidance to aid officials in recognizing IT. Until agencies involve the acquisitions office in their IT identification processes and establish supporting guidance, they cannot ensure that they will identify all IT acquisitions. Without proper identification of IT acquisitions, agencies and CIOs cannot effectively provide oversight of these acquisitions.", "In addition to not identifying all IT contracts, 14 of the 22 selected agencies did not fully satisfy OMB's requirement that the CIO review and approve IT acquisition plans or strategies. Further, only 11 of 96 randomly selected IT contracts at 10 agencies that GAO evaluated were CIO-reviewed and approved as required by OMB's guidance. The 85 IT contracts not reviewed had a total possible value of approximately $23.8 billion. Until agencies ensure that CIOs review and approve IT acquisitions, CIOs will continue to have limited visibility and input into their agencies' planned IT expenditures and will not be able to use the increased authority that FITARA's contract approval provision is intended to provide. Further, agencies will likely miss an opportunity to strengthen CIOs' authority and the oversight of IT acquisitions. As a result, agencies may award IT contracts that are duplicative, wasteful, or poorly conceived."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 39 recommendations, including that agencies ensure that acquisition offices are involved in identifying IT and issue related guidance; and to ensure IT acquisitions are reviewed according to OMB guidance. OMB and 20 agencies generally agreed with or did not comment on the recommendations. One agency agreed with one recommendation, but disagreed with another. GAO believes this recommendation is warranted. One agency disagreed with two recommendations. GAO subsequently removed one of these, but believes the other recommendation is warranted, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Information systems are critical to the health, economy, and security of the nation. To support these systems, the federal government invested more than $90 billion in information technology (IT) in fiscal year 2016. However, prior IT expenditures have too often produced failed projects\u2014 that is, projects with multimillion dollar cost overruns and schedule delays measured in years, and with questionable mission-related achievements.", "Recognizing the severity of issues related to the government-wide management of IT, in December 2014, Congress enacted IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA) as part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. FITARA holds promise for improving agencies\u2019 acquisitions of IT and enabling Congress to monitor agencies\u2019 progress, as well as for holding agencies accountable for reducing duplication and achieving cost savings. In addition, with the enactment of FITARA, the federal government has an opportunity to strengthen the authority of chief information officers (CIO) to provide needed direction and oversight of agencies\u2019 IT acquisitions, among other areas.", "We recently testified that, while agencies have made progress in implementing the law, its further implementation is critical to improving IT management. We have also noted that continued congressional oversight of agencies\u2019 implementation of FITARA is essential to help ensure that these efforts succeed.", "Among other things, FITARA requires CIOs of major civilian agencies to review and approve IT contracts. With this in mind, you asked us to review whether CIOs are approving IT contracts as required by this law. Our objectives were to determine the extent to which (1) federal agencies identify IT contracts and how much is invested in them, and (2) federal agency CIOs are reviewing and approving IT acquisitions.", "Our review included the Office of Management and Budget (OMB) and 22 of the 24 agencies covered by the Chief Financial Officers Act. We did not include the Department of Defense because it is excluded from the provision in FITARA requiring CIO approval of IT contracts. We also did not include the Department of Homeland Security because we recently issued a report on the department\u2019s implementation of FITARA.", "To determine the extent to which federal agencies identify IT contracts and how much is invested in them, we requested that each of the 22 agencies provide us a list of their IT contract obligations for fiscal year 2016. Separately, we identified IT-related contracts from each of these agencies using fiscal year 2016 data reported on USAspending.gov. We then compared these resulting lists of IT-related contracts to the agency- provided lists of contracts to determine which contracts the agencies had not identified. We also reviewed other agency documentation, such as IT acquisition policies and processes, as well as acquisition plans and strategies. In addition, we interviewed the agencies\u2019 acquisition officials and officials from the Office of the CIO to determine their processes for identifying IT contracts.", "To determine the extent to which federal agency CIOs are reviewing and approving IT acquisitions, we randomly selected 10 contracts at 10 agencies (100 total contracts) to review in depth. For each of the 100 selected contracts, we asked the associated agency to confirm that the contract was IT-related and requested evidence of the CIO\u2019s or CIO designee\u2019s review and approval. We compared the resulting documentation to FITARA and OMB guidance to determine whether the IT acquisitions had been appropriately reviewed and approved.", "We also reviewed agency documentation on IT acquisition processes and procedures and compared it to the requirements in FITARA and OMB guidance. Further, we interviewed the agencies\u2019 officials, including officials in the Office of the CIO, to clarify their respective processes and policies.", "We found the data from USAspending.gov and contract data provided by the agencies to be sufficiently reliable for the purposes of our reporting objectives and used the data as evidence to support our findings, conclusions, and recommendations. For the USAspending.gov data, we reviewed publicly available documentation related to the database, such as the USAspending.gov data dictionary. For both the USAspending.gov and agency-provided contract data, we tested the datasets to look for duplicate records and missing data in key fields. We also interviewed agency officials to corroborate the data. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from July 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["While IT investments have the potential to improve lives and organizations, federally funded IT projects can\u2014and, too often, have\u2014 become risky, costly, and unproductive mistakes. We have previously reported that the federal government has spent billions of dollars on failed or troubled IT investments, such as the Office of Personnel Management\u2019s (OPM) Retirement Systems Modernization program, which was canceled in February 2011, after spending approximately $231 million on the agency\u2019s third attempt to automate the processing of federal employee retirement claims; the United States Coast Guard\u2019s effort, initiated in 2010, to replace its aging electronic health records system, but which was discontinued in October 2015 after spending nearly $67 million. As a result, the Coast Guard currently has a manual, paper-based health records management process; the tri-agency National Polar-orbiting Operational Environmental Satellite System, which was halted in February 2010 by the White House\u2019s Office of Science and Technology Policy after the program spent 16 years and almost $5 billion; the Department of Veterans Affairs\u2019 (VA) Scheduling Replacement Project, which was terminated in September 2009 after spending an estimated $127 million over 9 years; the Farm Service Agency\u2019s Modernize and Innovate the Delivery of Agricultural Systems program, which was halted in July 2014 after spending $423 million to modernize IT systems over 10 years; and the Department of Health and Human Services\u2019 (HHS) Healthcare.gov website and its supporting systems, which were to facilitate the establishment of a health insurance marketplace by January 2014, but which encountered significant cost increases, schedule slips, and delayed functionality.", "These failed or troubled projects often suffered from a lack of disciplined and effective management, such as project planning, requirements definition, and program oversight and governance. In many instances, agencies had not consistently applied best practices that are critical to successfully acquiring IT investments.", "To help address these ongoing challenges, in February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas for the federal government. This area highlighted several critical IT initiatives in need of additional congressional oversight, including (1) reviews of troubled projects; (2) efforts to increase the use of incremental development; (3) efforts to provide transparency relative to the cost, schedule, and risk levels for major IT investments; (4) reviews of agencies\u2019 operational investments; (5) data center consolidation; and (6) efforts to streamline agencies\u2019 portfolios of IT investments. We noted that implementation of these initiatives had been inconsistent and more work remained to demonstrate progress in achieving IT acquisitions and operations outcomes.", "In our February 2015 high-risk report, we also identified actions that OMB and federal agencies needed to take to make progress in this area. These included implementing FITARA and at least 80 percent of our recommendations related to the management of IT acquisitions and operations within 4 years. Specifically, between fiscal years 2010 and 2015, we made 803 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations, including many to improve the implementation of the previously mentioned six critical IT initiatives and other government-wide, cross-cutting efforts.", "In February 2017, we issued an update to our high-risk series and reported that, while progress had been made in improving the management of IT acquisitions and operations, significant work still remained to be completed. For example, as of May 2017, OMB and federal agencies had fully implemented 380 (or about 47 percent) of the 803 recommendations. Nevertheless, in fiscal year 2016, we made 202 new recommendations, thus further reinforcing the need for OMB and agencies to address the shortcomings in IT acquisitions and operations. Also, beyond addressing our prior recommendations, our 2017 high-risk update noted the importance of OMB and federal agencies continuing to expeditiously implement the requirements of FITARA."], "subsections": [{"section_title": "Agencies Are to Follow Federal Requirements for Acquisitions", "paragraphs": ["The Federal Acquisition Regulation (FAR) is the primary regulation for use by federal executive agencies in their acquisition of supplies and services with appropriated funds. The FAR requires agencies to perform planning for all acquisitions. Acquisition planning begins when an agency need is identified and includes developing requirements and creating written acquisition plans. A detailed acquisition plan must address all of the technical, business, management, and other significant considerations that will control the acquisition. It should include, among other things, a statement of need, cost, a plan of action, and milestones. The FAR is less specific on the requirements for an acquisition strategy, but it states that acquisition planning should include developing the overall strategy for managing the acquisition.", "Once a contract is awarded, the awarding agency must enter certain information into the Federal Procurement Data System-Next Generation, the federal government\u2019s database that captures information on contract awards and obligations and is the primary database that serves as the source of other contracting data systems, such as USAspending.gov. The system captures information on contract awards and obligations, including, the vendor, and amount obligated. Further, agencies must select a product and service code that represents the predominant product or service being purchased. Product and service codes are used to describe and identify products, services, and research and development spending within the system.", "In an effort to eliminate redundancies and increase efficiencies in federal acquisition, in September 2015, the Category Management Leadership Council and OMB developed a government-wide category structure to support category management implementation across the federal government. The Council and OMB reviewed the product and service codes and grouped them into 19 individual spend categories, including IT. See appendix II for a list of the 79 IT-related product and service codes."], "subsections": []}, {"section_title": "Federal Law Establishes Agency IT Management Responsibilities", "paragraphs": ["Over the last three decades, Congress has enacted several laws to help federal agencies improve the management of IT investments. For example, the Clinger-Cohen Act of 1996 requires agency heads to appoint CIOs and specifies many of their responsibilities with regard to IT management. Among other things, CIOs are responsible for implementing and enforcing applicable government-wide and agency IT management principles, standards, and guidelines; assuming responsibility and accountability for IT investments; and monitoring the performance of IT programs and advising the agency head whether to continue, modify, or terminate such programs. The Clinger-Cohen Act, as amended, also defines IT as: any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the agency or a contractor under a contract with the agency.", "As previously mentioned, recognizing the severity of issues related to the government-wide management of IT, Congress enacted FITARA in December 2014. The law includes provisions related to seven areas at covered agencies:", "Agency CIO authority enhancements. CIOs at agencies are required to (1) approve the IT budget requests of their respective agencies, (2) certify that OMB\u2019s incremental development guidance is being adequately implemented for IT investments, (3) approve the appointment of other agency employees with the title of CIO, and (4) review and approve contracts for IT. With regard to the review of IT contracts, FITARA requires that agency CIOs review and approve IT contracts prior to award, unless that contract is associated with a non- major investment. When the contract is associated with a non-major investment, the CIO are allowed to delegate the review and approval duties to an official that reports directly to the CIO. Alternatively, the law states that an agency may use its governance processes to approve any IT contract, as long as the agency CIO is a full participant in the governance processes.", "Federal data center consolidation initiative. Agencies are required to provide OMB with a data center inventory, a strategy for consolidating and optimizing the data centers (to include planned cost savings), and quarterly updates on progress made. The law also requires OMB to develop a goal for how much is to be saved through this initiative, and provide annual reports on cost savings achieved.", "Enhanced transparency and improved risk management. OMB and agencies are to make detailed information on federal IT investments publicly available, and agency CIOs are to categorize their investments by level of risk. In addition, in the case of major IT investments rated as high risk for 4 consecutive quarters, the law requires that the agency CIO and the investment\u2019s program manager conduct a review aimed at identifying and addressing the causes of the risk.", "Portfolio review. Agencies are to annually review IT investment portfolios in order to, among other things, increase efficiency and effectiveness and identify potential waste and duplication. In establishing the process associated with such portfolio reviews, the law requires OMB to develop standardized performance metrics, to include cost savings, and to submit quarterly reports to Congress on cost savings.", "Expansion of training and use of IT acquisition cadres. Agencies are to update their acquisition human capital plans to address supporting the timely and effective acquisition of IT. In doing so, the law calls for agencies to consider, among other things, establishing IT acquisition cadres or developing agreements with other agencies that have such cadres.", "Government-wide software purchasing program. The General Services Administration (GSA) is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law requires that, to the maximum extent practicable, GSA should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user.", "Maximizing the benefit of the federal strategic sourcing initiative. FITARA requires that OMB issue regulations for federal agencies that do not use the federal strategic sourcing initiative to purchase services and supplies that are offered by this initiative. The regulations are to include a requirement for agencies to analyze the comparative value between what is to be purchased and what the strategic sourcing initiative offers."], "subsections": []}, {"section_title": "OMB Established Guidance for Agencies to Implement FITARA", "paragraphs": ["In June 2015, OMB released guidance describing how agencies are to implement FITARA. The guidance emphasizes the need for CIOs to have full accountability for IT acquisition and management decisions, and gives agencies considerable flexibility in making those decisions. Among other things, the guidance is intended to: assist agencies in aligning their IT resources with agency missions, goals, and requirements; establish government-wide IT management controls that will meet the law\u2019s requirements, while providing agencies with flexibility to adapt to agency processes and mission requirements; clarify the CIO\u2019s role and strengthen the relationship between department CIOs and bureau or component CIOs; and strengthen CIO accountability for IT cost, schedule, performance, and security.", "With regard to CIOs\u2019 review and approval of IT contracts, OMB\u2019s guidance expands upon FITARA in a number of ways. Specifically, according to the guidance:", "CIOs may review and approve IT acquisition strategies and plans, rather than individual IT contracts;", "CIOs can designate other agency officials to act as their representatives, but the CIOs must retain accountability;", "Chief Acquisition Officers (CAO) are responsible for ensuring that all IT contract actions are consistent with CIO-approved acquisition strategies and plans; and", "CAOs are to indicate to the CIOs when planned acquisition strategies and acquisition plans include IT."], "subsections": []}]}, {"section_title": "Agencies Identified $14.7 Billion in IT Obligations, but Did Not Identify an Additional $4.5 Billion", "paragraphs": ["OMB\u2019s FITARA implementation guidance requires agencies\u2019 CAOs to indicate to CIOs when planned acquisition strategies and acquisition plans include IT. Given the Category Management Leadership Council and OMB\u2019s categorization of IT product and service codes, CAOs should be identifying the obligations that have IT-related codes.", "The 22 selected agencies identified 78,249 IT-related contracts, to which they obligated approximately $14.7 billion in fiscal year 2016. Of that amount, approximately $14 billion was categorized as IT-related, consistent with the Category Management Leadership Council and OMB\u2019s product and service codes, and approximately $626 million was categorized under other, non-IT codes.", "The $626 million in obligations with non-IT codes could contain embedded IT or be associated with IT programs. For example, the agencies reported IT-related acquisitions categorized under such non-IT codes as IT/telecommunications training, data analysis, and research and development. Three agencies accounted for most of these non-IT obligations: the Department of Veterans Affairs (VA) accounted for $220 million, the Environmental Protection Agency (EPA) accounted for $156 million, and the Department of Labor (Labor) accounted for $105 million.", "However, in addition to the obligations that agencies reported to us, we identified 31,493 additional contracts at 21 agencies with IT-related product and service codes. The associated agencies obligated approximately $4.5 billion to these contracts, raising the total amount obligated to IT contracts in fiscal year 2016 to at least approximately $19.2 billion. Figure 1 reflects the obligations agencies reported to us relative to the obligations we identified.", "The percentage of additional IT contract obligations that we identified varied among the selected agencies. For instance, the Department of State (State) did not identify 1 percent of its IT contract obligations. Conversely, eight agencies\u2014the Departments of the Interior (Interior), Transportation (Transportation), and the Treasury (Treasury), as well as the National Science Foundation (NSF), the U.S. Agency for International Development (USAID), HHS, GSA, and OPM did not identify over 40 percent of their IT contract obligations. Figure 2 reflects the contract obligations that the selected agencies reported to us (both with IT-related codes and those with non-IT codes) relative to the obligations we identified. For additional information about the IT obligations identified by these agencies, see appendix III.", "Agencies offered various reasons for why they had not identified the approximately $4.5 billion in IT obligations. For example, officials from OPM and NSF stated that their agencies only identified new IT contracts and did not include contract modifications in their identified IT obligations, making their submissions much smaller. NSF also noted that it only identified IT contracts over $150,000. In addition, GSA and Transportation officials stated that at least one of the Category Management Leadership Council\u2019s IT product and service codes should not be considered IT. For instance, an official in GSA\u2019s Vendor Management Office stated that contracts using a product and service code for miscellaneous maintenance, repair, and rebuilding should not be categorized as IT. Likewise, Transportation officials provided examples of contracts that the agency did not consider being IT-related, even though they were categorized under IT product and service codes for program review or development services. In addition, Transportation and USAID officials stated that they did not use the complete list of IT product and service codes in their identification efforts. A Treasury official in the Office of the CIO stated that the department focused on codes that were the most important.", "We agree that the Council\u2019s IT product and service codes could include contracts that are not IT. Further, as previously discussed, IT is included in product and service codes that the Council did not identify as IT. Nonetheless, the Council has provided a valuable service in developing specific categories from which agencies can select in identifying IT. To the extent that agencies have concerns about specific categories, they could raise them to the Council.", "In addition, the majority of the selected agencies that did not identify the $4.5 billion in IT obligations also did not follow OMB\u2019s guidance to have the CAO identify all IT acquisitions for CIO review and approval. As those tasked with monitoring their respective agencies\u2019 acquisition activities, the offices of the CAOs are in a unique position to identify prospective IT acquisitions to the CIOs. Of the 21 selected agencies that did not identify the approximately $4.5 billion in IT obligations, 8 involved the acquisition offices in the identification of their IT acquisitions. For example, OPM\u2019s process followed OMB\u2019s guidance by directly involving its senior procurement executive in the identification of the acquisitions.", "Conversely, the other 14 agencies did not follow OMB\u2019s guidance to have a process in which the acquisition offices identified, or helped to identify, IT acquisitions for CIO review. Among these agencies, for example, EPA officials indicated that program office officials are responsible for identifying IT requirements and obtaining the appropriate approvals. EPA\u2019s process does not require acquisition office participation. Instead, the program office officials work with IT officials to determine if the contract is IT-related and subject to the IT acquisition approval policy.", "In addition, 7 agencies reported that they rely on the requesting program offices to self-identify whether their acquisitions are IT-related. Table 1 summarizes the officials responsible for the identification of IT acquisitions at the selected agencies.", "We have previously reported on the importance of developing and issuing policies or supporting guidance in order to successfully implement processes and achieve related objectives. In recognition of the importance of establishing guidance to assist agency officials in identifying IT, 14 of the 22 selected agencies issued such guidance.", "However, 7 agencies did not. Specifically, the Departments of Agriculture (USDA), Energy (Energy), Justice (Justice), Labor, and Transportation; the National Aeronautics and Space Administration (NASA); and the Social Security Administration (SSA) did not establish guidance regarding the identification of IT-related acquisitions. For instance, officials in Justice\u2019s Office of the CIO stated that the agency does not follow a prescribed process to determine which acquisitions are IT-related and does not use guidance or checklists to aid with the identification. One other agency, Interior, had established draft guidance to assist officials when identifying IT; however, the agency did not identify a schedule for finalizing the draft guidance.", "Until agencies involve the acquisition office in their IT identification processes, and establish and effectively implement supporting guidance, they will likely not be able to ensure that all IT acquisitions are identified.", "As a result, agencies risk not having appropriate oversight of IT worth billions of dollars."], "subsections": []}, {"section_title": "Most Agency CIOs Are Not Reviewing and Approving IT Acquisitions in Accordance with OMB\u2019s Requirements", "paragraphs": ["FITARA and OMB\u2019s associated implementation guidance require major civilian agency CIOs to review and approve acquisitions of IT either directly, or through the agency\u2019s governance processes. In particular, OMB\u2019s guidance states that agencies shall not approve any acquisition plan or strategy that includes IT without the agency CIO\u2019s review and approval.", "OMB\u2019s guidance also allows the CIO to delegate these responsibilities to other agency officials to act as the CIO\u2019s representative; however, staff in OMB\u2019s Office of the Federal CIO noted that these assignments need to be approved by OMB. Alternatively, FITARA and OMB\u2019s guidance allow agencies to use IT governance processes to conduct these reviews and approvals as long as the CIO is a full participant in the process.", "Most of the processes at the 22 selected agencies do not fully satisfy OMB\u2019s requirements that the CIO review and approve IT acquisition plans or strategies (or that the CIO participate in a governance process that reviews and approves IT acquisition plans and strategies). Specifically, 8 agencies\u2019 processes fully satisfy OMB\u2019s requirements, while 14 of the agencies\u2019 processes do not fully satisfy the requirements. Of these, 8 agencies partially satisfy the requirements and 6 do not satisfy the requirements. For example,", "NSF fully satisfies OMB\u2019s requirement by requiring that the CIO review and approve each IT acquisition plan. Similarly, SBA requires the CIO to review and approve each IT acquisition plan over the FAR\u2019s simplified acquisition threshold.", "HUD partially satisfies OMB\u2019s requirements in that its process only requires the office of the CIO to review a subset of IT acquisitions (those over $500,000). In addition, the HUD CIO has delegated the approval authority to the Deputy CIO and others within the Office of the CIO, but this delegation has not been approved by OMB.", "VA does not yet have a process in place that satisfies OMB\u2019s requirements, but officials in VA\u2019s Office of Information and Technology stated that they are currently developing processes and procedures necessary to implement FITARA accountability and responsibilities for IT acquisitions. While the agency did not submit a documented time frame for its plans, VA officials stated that they would like to implement the new process by the second quarter of fiscal year 2018.", "Table 2 summarizes the extent to which the selected agencies\u2019 processes satisfy OMB\u2019s requirements for the CIO to review and approve IT acquisition plans. Appendix IV provides additional details about the agencies\u2019 processes that are used to review and approve IT acquisitions.", "Of 96 randomly selected IT contracts at 10 agencies, only 11 acquisitions associated with these contracts had been reviewed and approved as required by OMB. The acquisitions associated with 85 contracts, with a total possible value of approximately $23.8 billion, did not receive the appropriate level of review. Further, despite having CIO review and approval processes in place that fully or partially satisfied OMB\u2019s requirements, four agencies (the Department of Commerce (Commerce), HHS, Justice, and SSA) did not consistently ensure that the CIO or a designee reviewed and approved the acquisition plan or strategy.", "Table 3 summarizes the number and total possible value of IT contracts that we reviewed for consistency with OMB\u2019s requirements. Appendix V provides more details on the selected IT acquisitions and the CIO approval of them.", "Four key factors contributed to the acquisitions associated with the 85 contracts not being reviewed and approved by the CIOs in accordance with OMB\u2019s requirements:", "Non-compliant processes. As previously mentioned, agencies\u2019 processes at 7 of the 10 agencies did not fully satisfy OMB\u2019s requirements that the CIO review and approve IT acquisition plans and strategies. Four agencies reported that they were following their own agency processes which we determined do not fully align with requirements. For example, NASA officials responsible for information regarding one of the selected contracts stated that the CIO only provides technical guidance and concurrence on the acquisition plan and does not approve the acquisition plan. This is not consistent with OMB\u2019s requirement that the CIO or designee review and approve IT acquisition plans.", "In addition, for 16 contracts, the respective agencies stated that there were no acquisition plans associated with the particular acquisitions. For example, a director in USDA\u2019s Forest Service\u2019s acquisition office issued waivers for 2 acquisitions, making them exempt from needing acquisition plans. Thus, the CIO did not review and approve acquisition plans for those contracts. As noted earlier, OMB\u2019s guidance states that if there is not an acquisition plan or strategy, the contract action itself should be reviewed and approved. However, in all 16 cases, the associated agencies\u2019 CIOs did not undertake such reviews.", "Improper delegation. We identified 16 instances where agencies allowed CIOs to delegate their review to levels lower than agency policy or OMB allows. For example, Treasury\u2019s CIO delegated contract approval to the component CIOs\u2014one of whom further delegated this approval based on monetary thresholds to a variety of other officials. According to the component\u2019s policy, one of the selected acquisitions, worth over $22 million, should have been approved by the component\u2019s Deputy CIOs, Associate CIOs, or Deputy Associate CIOs. However, this particular acquisition was approved by an IT Project Manager. Further, two agencies allowed their CIOs to delegate IT acquisition approvals to other officials, without having these assignments approved by OMB. For example, three of NASA\u2019s selected acquisitions were reviewed and approved by the component CIOs; however, NASA had not had these assignments approved by OMB.", "Approval of other documentation. In 26 instances, CIOs or designees reviewed and approved acquisition documentation other than the required acquisition plan or strategy. For example, CIOs or designees reviewed and approved documents such as a requisition, a procurement request, or a business case analysis. While the CIOs or designees reviewed and approved some form of acquisition documentation prior to the award of these acquisitions, these forms of documentation did not have all the elements typically associated with an acquisition plan. As a result, the CIO (or designee) may not have been adequately equipped to make an informed decision about the acquisition.", "Undocumented approvals. We identified 2 instances where the agency reported that the CIO or designee approved the IT acquisition, but did not document the approval. For example, regarding one contract, Commerce officials stated that one of the agency\u2019s selected acquisitions was reviewed and approved by its component CIO for the Bureau of Economic Analysis. However, the agency could not provide evidence to show the CIO\u2019s approval beyond an e-mail after the contract was signed stating that the CIO was aware of and had approved that particular acquisition.", "Until agencies fully satisfy FITARA and OMB\u2019s requirements by ensuring that CIOs, or their appropriate designees, review and approve IT acquisitions, CIOs risk continuing to have limited visibility and input into their agencies\u2019 planned IT expenditures and not being able to use the increased authority that FITARA\u2019s contract approval provision is intended to provide. In addition, agencies are missing an opportunity to strengthen CIOs\u2019 authority and to provide needed direction and oversight of their IT acquisitions. As a result, agencies may award IT contracts that are duplicative, wasteful, or poorly conceived."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Given the history of failures and amount of money at stake, it is imperative that agencies properly oversee IT acquisitions. While the 22 selected agencies reported $14.7 billion in IT obligations, 21 agencies did not identify $4.5 billion as IT. Further, because the selected agencies did not always identify their IT acquisitions, it is likely that agencies have additional unidentified IT spending. Among other reasons, this shortfall existed because many agencies did not ensure that their acquisition offices were involved in the identification process, or provide clear guidance for ensuring that IT was properly identified. Without proper identification of IT acquisitions, agencies and CIOs cannot effectively provide oversight of them.", "In addition, many of the selected agencies covered by FITARA did not ensure the appropriate CIO review and approval of IT acquisitions that were identified. The CIOs\u2019 review and approval presents an opportunity for CIOs to increase visibility into agency IT and recognize opportunities for improvement. However, the review and approval processes at 14 of the selected agencies were not in full compliance with OMB requirements, and only 11 of 96 randomly selected IT acquisitions were appropriately reviewed and approved by the CIO. As a result, agencies awarded IT contracts with a total possible value of $23.8 billion without the required CIO review and approval. Consequently, CIOs had limited visibility and insight into their agencies\u2019 IT, thereby increasing the risk of entering into contracts that were duplicative, wasteful, or poorly conceived."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 39 recommendations to federal agencies.", "We are making the following 3 recommendations to USDA:", "The Secretary of Agriculture should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 1)", "The Secretary of Agriculture should direct the CAO and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 2)", "The Secretary of Agriculture should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 3)", "We are making the following 2 recommendations to Commerce:", "The Secretary of Commerce should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 4)", "The Secretary of Commerce should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 5)", "We are making the following 2 recommendations to Education:", "The Secretary of Education should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 6)", "The Secretary of Education should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 7)", "We are making the following 2 recommendations to Energy:", "The Secretary of Energy should direct the CAO and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 8)", "The Secretary of Energy should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 9)", "We are making the following recommendation to HHS:", "The Secretary of HHS should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 10)", "We are making the following 2 recommendations to the Department of Housing and Urban Development:", "The Secretary of Housing and Urban Development should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 11)", "The Secretary of Housing and Urban Development should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 12)", "We are making the following 3 recommendations to Interior:", "The Secretary of the Interior should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 13)", "The Secretary of Interior should direct the CAO and CIO to finalize and issue guidance on identifying IT acquisitions in order to ensure the CIO review and approval of those acquisitions. (Recommendation 14)", "The Secretary of the Interior should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 15)", "We are making the following 2 recommendations to Justice:", "The Attorney General should direct the senior procurement executive and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 16)", "The Attorney General should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 17)", "We are making the following 3 recommendations to Labor:", "The Secretary of Labor should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 18)", "The Secretary of Labor should direct the CAO and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 19)", "The Secretary of Labor should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 20)", "We are making the following 2 recommendations to State:", "The Secretary of State should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 21)", "The Secretary of State should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 22)", "We are making the following recommendation to Treasury:", "The Secretary of the Treasury should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 23)", "We are making the following 3 recommendations to Transportation:", "The Secretary of Transportation should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 24)", "The Secretary of Transportation should direct the CAO and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 25)", "The Secretary of Transportation should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 26)", "We are making the following 2 recommendations to VA:", "The Secretary of VA should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 27)", "The Secretary of VA should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 28)", "We are making the following recommendation to EPA:", "The Administrator of EPA should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 29)", "We are making the following 3 recommendations to NASA:", "The Administrator of NASA should ensure that the office of the CAO is involved in the process to identify IT acquisitions. (Recommendation 30)", "The Administrator of NASA should direct the CAO and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 31)", "The Administrator of NASA should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 32)", "We are making the following recommendation to NRC:", "The Chairman of NRC should ensure that the office of the senior procurement executive is involved in the process to identify IT acquisitions. (Recommendation 33)", "We are making the following recommendation to OPM:", "The Director of OPM should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 34)", "We are making the following recommendation to SBA:", "The Administrator of SBA should ensure that the office of the senior procurement executive is involved in the process to identify IT acquisitions. (Recommendation 35)", "We are making the following 3 recommendations to SSA:", "The Commissioner of SSA should ensure that the office of the senior procurement executive is involved in the process to identify IT acquisitions. (Recommendation 36)", "The Commissioner of SSA should direct the senior procurement executive and CIO to issue specific guidance to ensure IT-related acquisitions are properly identified. (Recommendation 37)", "The Commissioner of SSA should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 38)", "We are making the following recommendation to USAID:", "The Administrator of USAID should ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. (Recommendation 39)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OMB and the other 22 agencies included in our review. Among the comments received, 16 agencies (Energy, GSA, HHS, HUD, Interior, Justice, Labor, NASA, OPM, SBA, SSA, State, Transportation, USAID, USDA, and VA) agreed with our recommendations; 2 agencies (EPA and OMB) did not agree or disagree with our recommendations; 1 agency (Education) partially agreed with our recommendations; 1 agency (NRC) disagreed with our recommendations; and 2 agencies (Treasury and NSF) had no comments on the recommendations. One other agency (Commerce) did not provide comments on the report.", "The agencies\u2019 comments that we received, and our evaluations of them, are summarized as follows: In comments provided via e-mail on December 8, 2017, an OMB GAO liaison did not agree or disagree with our findings. The official stated that improved coordination and collaboration between CIOs, CAOs, and senior procurement executives is critical, but represents a significant cultural shift for most agencies. The official added that OMB\u2019s Office of Federal Procurement Policy and Office of the Federal CIO are working closely with agency CAOs and CIOs through the CIO Council and CAO Council to discuss practices that agencies have found helpful in achieving this cultural change.", "In comments provided via e-mail on November 18, 2017, a Senior Advisor from USDA\u2019s Office of the CIO stated that the department concurred with the findings in our report and had no additional comments.", "In written comments, Education concurred with one of our recommendations, which called for the department to ensure that the office of the CAO is involved in the process to identify IT acquisitions. However, Education did not concur with a second recommendation to ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. The department stated that the CIO reviews and approves IT acquisition strategies and plans as part of his review and approval of IT investments. Specifically, the department stated that its Departmental Directive OCIO: 3-108, \u201cInformation Technology Investment Management\u201d establishes a process for Office of the CIO review of IT acquisitions. Further, the department stated that its Statement of Work Review Process adds increased rigor to the CIO\u2019s review and approval by requiring all acquisitions with IT elements to be submitted for Office of the CIO review. Finally, the department stated that the Federal Student Aid Investment Review Board charter documents the agency CIO as a voting member. The department added the CIO is required to vote on Federal Student Aid IT investments greater than $10 million. For Federal Student Aid investments less than $10 million, the CIO is provided the same level of insight as any other Investment Review Board member, but has delegated the required vote to the Federal Student Aid CIO.", "The IT Investment Management Directive, together with the department\u2019s associated Lifecycle Management Framework (referenced in the directive), indicates that the office of the CIO is to review IT acquisition plans. However, the department\u2019s Statement of Work Review Process does not require the review and approval of acquisition plans. Instead, the process states that the office of the CIO may review IT acquisition plans or strategies as one of several possible documents, including statements of work or cost estimates.", "We also reviewed the Federal Student Aid Investment Review Board charter and updated our report to reflect the department CIO\u2019s involvement on the Federal Student Aid\u2019s Investment Review Board. Based on this collective information, we updated our assessment of Education\u2019s IT acquisition policy to reflect that the department had partially met OMB\u2019s requirements. Nevertheless, the CIO\u2019s review of the department\u2019s acquisition plans and strategies should be required, rather than optional. Thus, we believe that our recommendation to ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance is still warranted. Education\u2019s comments are reprinted in appendix VI.", "In written comments, Energy concurred with our two recommendations directed to the department and stated that it has activities underway to revise the department\u2019s acquisition policy.", "Energy added that it planned to address the recommendations by December 31, 2017. Energy\u2019s comments are reprinted in appendix VII.", "In comments provided via e-mail on December 7, 2017, a Management Analyst in HHS\u2019s Office of the CIO stated that the department agreed with the recommendation and had no comments on the report.", "In written comments, HUD stated that it concurred with our two recommendations to the department. HUD\u2019s comments are reprinted in appendix VIII.", "In written comments, Interior stated that it concurred with our three recommendations to the department. Interior\u2019s comments are reprinted in appendix IX.", "In comments provided via e-mail on November 27, 2017, a Program Analyst from Justice\u2019s Internal Review and Evaluation Office stated that the department concurred with our two recommendations. The department also provided technical comments, which we have incorporated in the report, as appropriate.", "In written comments, Labor concurred with our three recommendations that we directed to the department. These recommendations called for the department to (1) ensure that the office of the CAO is involved in the process to identify IT acquisitions, (2) issue specific guidance to ensure IT-related acquisitions are properly identified, and (3) ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. Labor detailed actions recently taken to implement each of the recommendations and submitted documentation to support its assertions. For example, the department submitted its Acquisition Plan Preparation Guide and related acquisition plan templates to show that it had issued guidance on identifying IT and required the CIO review and approval of IT acquisition plans. Implementation of these steps should help ensure appropriate oversight of IT acquisitions. Labor\u2019s comments are reprinted in appendix X.", "In written comments, State agreed with both of our recommendations. In particular, regarding our recommendation to ensure that the office of the CAO is involved in the process to identify IT acquisitions, the department stated that senior State officials, including the CAO and CIO, will develop a plan to ensure that the CAO monitors acquisition activities and ensures acquisition decisions are consistent with all applicable laws, such as FITARA.", "Further, regarding the recommendation to ensure that the department\u2019s IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance, State referenced its capital planning and investment control guide that describes how a group under the direction of the CIO reviews acquisition strategies during the IT portfolio selection process. However, while the guide states that the CIO is to approve the finalized IT portfolio, the guide does not state that the CIO is to review the individual acquisition strategy documents. As a result, our recommendation is still warranted. State\u2019s comments are reprinted in appendix XI.", "In comments provided via e-mail on December 7, 2017, an Audit Liaison from Treasury\u2019s Office of the CIO stated that the department had no comments on the report. The department did not say whether it agreed or disagreed with the recommendation, but noted that it had planned corrective actions to work with Treasury stakeholders, to include the Chief Procurement Executive, Bureau CIOs, and Acquisition officials; and OMB officials to develop acquisition plans and strategies according to OMB\u2019s FITARA guidance for IT acquisition.", "In comments provided via e-mail on November 27, 2017, the Director of Audit Relations and Program Improvement within the Department of Transportation stated that the department concurred with the findings and recommendations.", "In written comments, VA concurred with our two recommendations to the department and stated that it is taking steps to address the recommendations. Specifically, regarding the recommendation to ensure that the office of the CAO is involved in the process to identify IT acquisitions, the department stated that it had addressed this concern by implementing an updated version of the Acquisition and Management of VA IT Resources directive in November 2017. In its discussion of this directive, the department stated that the CIO, in conjunction with the CAO, collaborates on all IT actions to ensure FITARA compliance.", "While the directive clarifies the scope of VA\u2019s IT resources subject to the oversight authority of the CIO, the directive does not indicate that the office of the CAO is also involved in this process. It will be important for VA to consider this recommendation as it continues to implement FITARA requirements.", "Further, regarding the recommendation to ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance, the department stated that its Office of Strategic Sourcing is currently developing processes and procedures necessary to implement FITARA accountability and responsibilities for IT acquisitions. The department also stated that the new acquisition review process is scheduled to be implemented in the second quarter of fiscal year 2018. VA\u2019s comments are reprinted in appendix XII.", "In written comments, EPA stated it did not take exception to the report\u2019s findings, conclusions, and recommendations. Regarding the recommendation to ensure that the office of the CAO is involved in the process to identify IT acquisitions, the agency stated that the policy which implements interim guidance from the CIO to comply with FITARA requirements is being updated. The agency added that future policy revisions are to include the requirement that the CAO or a designee will address this recommendation. EPA\u2019s comments are reprinted in appendix XIII.", "In comments provided via e-mail on November 17, 2017, a program analyst in GSA\u2019s GAO/Office of Inspector General Audit Management Division stated that the agency concurred with the report and had no additional comments.", "In written comments, NASA concurred with the three recommendations to the agency and stated that it believes it has already addressed them. Specifically, regarding the recommendation to ensure that the Office of the CAO is involved in the process to identify IT acquisitions, NASA asserted that its CAO is already adequately involved. However, NASA did not provide evidence that it fulfills this requirement. For instance, none of the processes mentioned in NASA\u2019s comments support the assertion that the acquisition office is involved in the identification of individual acquisitions as IT. Further, the discussion of a form used to identify IT acquisitions (NASA Form 1707) confirmed our original conclusion that the officials identifying IT acquisitions are not in the acquisition office.", "In addition, NASA concurred with our recommendation to issue specific guidance to ensure IT-related acquisitions are properly identified, and stated that the agency currently has several policies that provide such guidance. However, the policies named by the agency (NASA Policy Directive 1000.5B, NASA Interim Directive 1000.110, NASA FAR Supplement 1804.7301, and NASA FAR Supplement 1807.71) do not contain guidance on how the identifying officials should determine whether an acquisition is IT-related. For example, our review of NASA Form 1707 (required by NASA FAR Supplement 1804.7301) showed that, while this form has instructions on how to fill out its IT section, it does not contain guidance on how to properly identify an acquisition as IT-related. In addition, NASA did not provide an official policy on the role of the Center Functional Review Team in the identification process.", "Further, NASA concurred with our recommendation to ensure that its IT acquisition plans or strategies are reviewed and approved according to OMB guidance and stated that, on September 27, 2017, the CIO had issued a memo delegating the authority to review and approve all IT acquisitions to the Center CIOs. However, as previously mentioned, these delegations of authority need to be approved by OMB, and NASA\u2019s delegation of IT acquisition authority had not been approved by OMB, as required. In addition, NASA has not demonstrated that the CIO\u2019s review and approval is occurring, as none of the 9 acquisitions we randomly selected were reviewed and approved by the CIO. NASA also stated that the CIO and Assistant Administrator for Procurement review acquisition plans as part of their participation in Acquisition Strategy Meetings. However, as we mention in the report, not all IT contracts have acquisition strategy meetings. NASA\u2019s comments are reprinted in appendix XIV.", "In written comments, NRC did not concur with our recommendations and stated that our draft report did not accurately reflect the agency\u2019s process for reviewing and approving IT acquisitions. With regard to our recommendation to ensure that the office of the senior procurement officer is involved in the process to identify IT acquisitions, the agency provided technical comments which stated that acquisition office officials review acquisitions to ensure that IT is properly identified. However, the agency did not provide supporting documentary evidence to support this assertion. Lacking evidence from the agency that would enable us to verify the implementation of the process described in its comments, we maintain that our recommendation is warranted.", "In addition, our draft of this report included a recommendation for NRC to ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance. NRC disagreed with this recommendation and stated in its technical comments that the agency does not require the development of acquisition plans for acquisitions under $1 million. Thus, the NRC CIO does not review acquisition plans under that threshold. The agency also stated that it has a process for approving contract actions under the $1 million threshold.", "According to OMB guidance, in the absence of acquisition plans or strategies, CIOs may approve the corresponding contract actions.", "Since NRC has a process for approving contract actions under the $1 million threshold, we revised the report to reflect that NRC has processes in place for the review and approval of acquisition plans in a manner consistent with OMB guidance and removed the associated recommendation. NRC\u2019s comments are reprinted in appendix XV and its technical comments have been incorporated in the report, as appropriate.", "In comments provided via e-mail on November 21, 2017, an NSF liaison stated that the agency had no comments.", "In written comments, OPM concurred with our recommendation and stated that the agency will review and update its policies and processes as needed, so that they are aligned with OMB\u2019s guidance. OPM\u2019s comments are reprinted in appendix XVI.", "In written comments, SBA agreed with our recommendation to ensure that the office of the CAO is involved in the process to identify IT acquisitions. SBA noted that it is not required to have a CAO, but agreed with having its acquisition workforce involved in IT acquisitions. Based on the agency\u2019s comments, we modified the associated recommendation to refer to the agency\u2019s senior procurement executive rather than the CAO. SBA stated that it has already begun to implement the recommendation for fiscal year 2018. SBA\u2019s comments are reprinted in appendix XVII.", "In written comments, SSA agreed with the three recommendations that we had directed to the agency, stated that it had taken steps to address the recommendations, and submitted supporting documentation. In particular, SSA agreed with the recommendation to ensure that the office of the CAO is involved in the process to identify IT acquisitions and, in response, provided documentation that is to detail the involvement of its Chief Financial Officer (who is the agency\u2019s senior procurement executive) in identifying and approving IT acquisitions. Implementation of these steps should help ensure appropriate oversight of IT acquisitions.", "Regarding our recommendation to issue specific guidance to ensure IT-related acquisitions are properly identified, SSA agreed with the recommendation and stated that, according to its IT Acquisition Approval Policy, the Chief Financial Officer notifies the CIO of IT acquisitions by submitting acquisition plans to the CIO for approval. However, while SSA\u2019s policy does support this method of CIO notification, it does not provide guidance to assist in identifying IT.", "Further, SSA agreed with our recommendation to ensure that IT acquisition plans or strategies are reviewed and approved according to OMB\u2019s guidance and provided its September 2017 policy for acquisition plan approval. After reviewing this policy and SSA\u2019s 2017 capital planning and investment control process, we updated our report to show that SSA\u2019s processes satisfy OMB\u2019s requirements. While SSA has made progress in implementing OMB\u2019s FITARA requirements, the agency needs to demonstrate that the CIO\u2019s review and approval are occurring, as 3 of the 10 acquisitions we randomly selected were not reviewed and approved as required by OMB\u2019s guidance. It will be important for SSA to consider this recommendation as it continues to implement FITARA requirements. SSA\u2019s comments are reprinted in appendix XVIII. The agency also provided technical comments, which we have incorporated in the report as appropriate.", "In written comments, USAID agreed with our recommendation and stated that the CIO and CAO are working together to (1) ensure all IT- related acquisition plans and strategies are reviewed and approved by the CIO and (2) further communicate this requirement to the acquisition planning stakeholders. USAID\u2019s comments are reprinted in appendix XIX. The agency also provided technical comments, which we have incorporated in the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of the Departments of Agriculture, Commerce, Education, Energy, Health and Human Services, Housing and Urban Development, Labor, State, the Interior, the Treasury, Transportation, and Veterans Affairs; the U.S. Attorney General of the Department of Justice; the Administrators of the Environmental Protection Agency, General Services Administration, National Aeronautics and Space Administration, Small Business Administration, and the U.S. Agency for International Development; the Commissioner of the Social Security Administration; the Directors of the National Science Foundation and the Office of Personnel Management; and the Chairman of the Nuclear Regulatory Commission. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9286 or at pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix XX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the extent to which (1) federal agencies identify information technology (IT) contracts and how much is invested in them, and (2) federal agency Chief Information Officers (CIO) are reviewing and approving IT acquisitions.", "For both objectives, our review included the Office of Management and Budget (OMB) and 22 agencies of the 24 agencies covered by the Chief Financial Officer Act. We did not include the Department of Defense because it is excluded from the relevant provision in the Federal Information Technology Acquisition Reform Act (FITARA) requiring CIO approval of IT contracts. Further, we did not include the Department of Homeland Security because we recently issued a report that reviewed the department\u2019s implementation of FITARA, including the CIO\u2019s approval of IT contracts. For specific information on the CIOs\u2019 review of individual IT contracts, we focused on 10 agencies covered by FITARA that obligated the most money to IT contracts in fiscal year 2016 (except the Departments of Defense and Homeland Security).", "To determine the extent to which federal agencies identify IT contracts and how much is invested in them, we requested that each of the 22 selected agencies submit a list of their IT contract obligations for fiscal year 2016. We also requested the associated contract identification number, obligation amount, and product and service code.", "In order to determine if the agencies gave us a full accounting of their IT obligations, we used the Category Management Leadership Council\u2019s categorizations of federal government spending by product and service codes. In particular, we used the Council\u2019s list of 79 IT-related codes, which is listed in appendix II, to identify fiscal year 2016 IT-related contract obligations on USAspending.gov. For each funding agency, we downloaded all contracts associated with the IT-related codes, such as purchase orders, blanket purchase agreements, and government-wide acquisition contracts. By comparing the resulting list of IT-related contracts on USAspending.gov data to those provided by the agencies, we were able to determine which IT-related contract obligations the agencies had not identified. In doing so, we gave the agency credit for identifying the entire IT contract if an agency identified any portion of the contract (e.g., a contract modification). Consequently, the total of obligations that agencies did not identify is likely higher than the totals we were able to report.", "To assess the reliability of the USAspending.gov data, we reviewed publicly available documentation related to the database, such as the USAspending.gov data dictionary. We also reviewed the results of our previous reports on USAspending.gov that had identified deficiencies in the accuracy and reliability of the reported data. For both the USAspending.gov and agency-supplied contract data, we tested the datasets to look for duplicate records and missing data in key fields. We also interviewed agency officials to corroborate the data. We found the contract data from USAspending.gov, while sometimes incomplete, were sufficient for our purpose of identifying IT contracts and demonstrating the amount of obligations toward IT contracts. In addition, we found the contract data provided by the agencies to be sufficiently reliable for the purposes of our reporting objectives. We used these data as evidence to support our findings, conclusions, and recommendations.", "We also compared the product and service codes in the lists of IT contracts provided by the agencies to the list of IT product and service codes developed by the Category Management Leadership Council. From this comparison, we determined which agency-submitted obligations were associated with IT-related product and service codes and which obligations were associated with non-IT codes.", "To determine the cause for any discrepancies between the agency- provided list of obligations and those found on USAspending.gov, we asked each agency to describe and provide evidence of the Chief Acquisition Officer\u2019s (CAO) involvement in the process for identifying IT acquisitions for CIO review. We also collected both testimonial evidence and documentation that described the identification process for potential IT acquisitions. We analyzed these data from each agency to determine the involvement of the CAO and officials within the CAO\u2019s acquisition office. We also determined the involvement of officials positioned outside of the acquisition office, such as officials from the office requesting the IT acquisition or from the Office of the CIO. As a result, we were able to establish which officials were responsible for identifying acquisitions for IT review at each agency. We also reviewed the submitted evidence to determine whether the agencies provided guidance that clearly described or defined IT to the identifying officials.", "To determine the extent to which federal agency CIOs are reviewing and approving IT acquisitions, we first compiled a composite list of IT-related contracts from fiscal year 2016 for each of the 10 selected agencies by combining: contracts associated with IT-related product and service codes from USAspending.gov, contracts associated with IT vendors from USAspending.gov, contracts linked with major IT investments as listed on OMB\u2019s IT Dashboard, and contracts provided by agencies in response to our earlier request for a list of IT contracts.", "We then randomly selected 10 IT contracts from each of the 10 agencies on which to perform additional analysis (100 total contracts). For each of the 100 selected contracts, we asked the associated agency to confirm that the contract was, in fact, IT-related and requested evidence of CIO or CIO designee review and approval of the contract\u2019s associated acquisition. We compared the resulting documentation to FITARA and OMB guidance to determine the extent to which the IT acquisitions had been reviewed and approved. In order to receive full credit, agencies had to provide evidence that the CIO had reviewed and approved the acquisition plans or strategies for those IT acquisitions associated with major IT investments. For IT acquisitions associated with non-major IT investments, agencies had to provide evidence that the CIO, or a designee that reports directly to the CIO, reviewed and approved the acquisition plan or strategy. If agencies could not associate the IT acquisition with a particular IT investment, we looked for evidence that the CIO reviewed and approved the acquisition plan or strategy, since FITARA does not state that the review and approval of these IT acquisitions can be delegated.", "To determine whether agencies had processes in place to ensure the review and approval of IT acquisitions, we reviewed agency documentation on IT acquisition processes and procedures and compared it to the requirements in FITARA and OMB guidance. We also interviewed agency officials to clarify their respective processes and policies. In order to receive full credit, agencies had to provide evidence that they had a process in place that required the agency CIO to review and approve IT acquisition plans or strategies with the exception of those associated with non-major IT investments. Agencies received partial or no credit if their processes had one or more of the following shortfalls: approval was not documented, delegated IT acquisition review and approval without OMB approval of did not provide the CIOs or their delegates oversight of all IT involved the review of other documentation instead of the required acquisition plans or strategies, or did not provide department CIO oversight over IT acquisitions at the component level.", "We conducted this performance audit from July 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: IT-Related Product and Service Codes", "paragraphs": ["In September 2015, the Category Management Leadership Council and the Office of Management and Budget (OMB) identified a total of 79 information technology (IT)-related product and service codes, of which 43 are for IT services and 36 are for IT products. Table 4 provides details on the IT-related services and product codes."], "subsections": []}, {"section_title": "Appendix III: Estimated Total Fiscal Year 2016 IT Obligations by Agency", "paragraphs": ["The 22 selected agencies identified approximately $14.7 billion in obligations for information technology (IT)-related contracts in fiscal year 2016. Of that amount, approximately $14 billion was categorized as IT- related per the Category Management Leadership Council\u2019s product and service codes, and approximately $626 million was categorized under other, non-IT codes. In addition to the obligations that agencies reported to us, we identified an additional $4.5 billion in obligations for contracts with IT-related product and service codes, raising the total amount obligated to IT contracts in fiscal year 2016 to at least approximately $19.2 billion. Table 5 provides details on each selected agency\u2019s obligations for IT-related contracts in fiscal year 2016."], "subsections": []}, {"section_title": "Appendix IV: Agency Acquisition Processes Used to Review and Approve IT Acquisitions", "paragraphs": ["The Federal Information Technology Acquisition Reform Act (FITARA) and the Office of Management and Budget\u2019s (OMB) associated implementation guidance require major civilian agency chief information officers (CIO) to review and approve acquisitions of information technology (IT) either directly, or as full participants in the agency\u2019s governance processes. In particular, OMB\u2019s guidance states that agencies shall not approve an acquisition plan or strategy that includes IT without the agency CIO\u2019s review and approval. OMB\u2019s guidance also allows the CIO to delegate these responsibilities to other agency officials to act as the CIO\u2019s representative; however, staff in OMB\u2019s Office of the Federal CIO noted that these assignments need to be approved by OMB. Alternatively, FITARA and OMB\u2019s guidance allows agencies to use IT governance processes to conduct these reviews and approvals, as long as the CIO is a full participant in the process. Table 6 provides details on the selected agencies\u2019 acquisition processes and the degree to which the processes comply with OMB\u2019s requirements."], "subsections": []}, {"section_title": "Appendix V: Details on Selected IT Acquisitions", "paragraphs": ["Of 96 randomly selected information technology (IT) contracts at 10 agencies, 9 acquisitions associated with these contracts had been reviewed and approved as required by the Office of Management and Budget (OMB). The acquisitions associated with the remaining 87 contracts did not receive the appropriate levels of Chief Information Officer (CIO) review and approval in accordance with OMB requirements. Table 7 provides details on the selected IT acquisitions and the CIO review and approval of them."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comment from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XV: Comments from the Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVI: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVIII: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIX: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["David A. Powner, (202) 512-9286 or pownerd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kevin Walsh (Assistant Director), Jessica Waselkow (Analyst in Charge), Chris Businsky, Rebecca Eyler, Angel Ip, Tarunkant Mithani, David Plocher, Meredith Raymond, and Adam Vodraska made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-33", "url": "https://www.gao.gov/products/GAO-19-33", "title": "Federal Personal Property: GSA and VA Have Opportunities to Improve the Exchange Sale Process", "published_date": "2018-11-16T00:00:00", "released_date": "2018-11-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to the U.S. Treasury, the government owns about $1.3 trillion in \u201cpersonal property\u201d such as computers, furniture, and vehicles. Federal law authorizes agencies to exchange or sell personal property and retain the allowances or proceeds for replacing similar needed property. These are called \u201cexchange/sale\u201d transactions. GSA is responsible for issuing exchange/sale regulations and guiding agencies on the use of the authority.", "GAO was asked to review agencies' use of the exchange/sale authority. This report (1) describes what is known about personal property exchange/sale transactions from fiscal year 2013 through fiscal year 2017 and (2) examines selected agencies' experiences using the exchange/sale authority and monitoring such activities. GAO analyzed multi-year data compiled by GSA OGP and found the data to be sufficiently reliable. GAO selected three agencies\u2014GSA, the Army, and VA\u2014based on the type, quantity, and value of personal property exchanged and sold; reviewed agencies' personal property policies; examined agencies' monitoring of exchange/sale activities; and interviewed their officials about personal property management."]}, {"section_title": "What GAO Found", "paragraphs": ["According to data compiled by the General Services Administration's Office of Government-wide Policy (GSA OGP), 27 agencies executed exchange/sale transactions, governed by statute and GSA regulations, to exchange (trade-in) or sell personal property from fiscal year 2013 through fiscal year 2017. The 27 agencies reported transactions totaling about $3.1 billion. Vehicle sales accounted for $2.6 billion (about 84 percent) of that total.", "GAO found that GSA officials who procure vehicles for federal agencies and Army officials who purchase helicopters appeared to understand the exchange/sale process and used it frequently. However, Department of Veterans Affairs (VA) officials expressed confusion about key aspects of the authority. For example, officials were unclear about how to sell property; this lack of clarity led to missed opportunities to use sale proceeds for replacing property. GSA OGP officials who guide agencies on the use of the authority acknowledged that the exchange/sale regulations can be confusing but GSA's plan to amend them is at least 2 years away. Because GSA does not plan to address this confusion in the near term through other means such as bulletins or outreach, agencies' misunderstanding of the authority could lead to additional missed opportunities to be effective stewards of government funds.", "Regarding monitoring of exchange and sale activities, GAO found that the Army monitored activities consistent with its policy. However, GSA and VA performed limited monitoring because:", "GSA had not clarified its responsibilities or defined the scope of its authority for monitoring internal GSA exchanges and sales, and", "VA did not have a detailed policy for monitoring and had not communicated information about monitoring to pertinent employees.", "Until GSA clarifies its responsibilities and the scope of its authority and VA revises its policy with pertinent details and communicates this information to staff members, neither agency will be positioned to sufficiently monitor exchange/sale activities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that GSA OGP address agency confusion about the exchange/sale authority and that GSA clarify its responsibilities and the scope of its authority. GAO is also recommending VA revise its policy to address monitoring and communicate the revision to staff. Both agencies agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government owns and manages more than a trillion dollars of \u201cpersonal property\u201d\u2014government property other than real property\u2014 ranging from vehicles and aircraft to specialized medical equipment and scientific devices. In fiscal year 2017, federal agencies reported approximately $1.3 trillion in personal property assets. Over time, agencies\u2019 personal property may no longer adequately perform the task for which it was used. Federal law authorizes agencies to exchange (trade-in) or sell such property still needed to meet their missions and apply the exchange allowance or sale proceeds in whole or in partial payment to acquire similar replacement property. Such transactions are known as personal property \u201cexchange/sale\u201d transactions. These transactions facilitate the replacement of property by allowing agencies to offset the cost of new property, resulting in savings to taxpayers. Without this authority, agencies may have to charge the full purchase price of new property to their appropriations, while depositing the proceeds from the disposition of their worn property in the U.S. Treasury.", "Because exchange/sale transactions provide agencies with an opportunity to save costs, it is important that agencies using the authority establish policies, processes, and procedures with effective controls to help ensure they meet applicable requirements and are good stewards of government resources. The General Services Administration (GSA) has issued regulations that describe the terms, conditions, and reporting requirements for using such exchanges or sales, but agencies are to carry out the authority and adhere to legal requirements after assessing their own needs and making decisions about whether to use the authority.", "You asked us to review agencies\u2019 use of the personal property exchange/sale authority. This report: describes what is known about personal property exchange/sale transactions, as reported by federal agencies from fiscal years 2013 through 2017 and examines selected agencies\u2019 experiences using the personal property exchange/sale authority and monitoring such activities.", "To address both objectives, we reviewed applicable federal statutes and regulations pertaining to personal property management and the exchange/sale authority; our prior work; and reports by federal agencies\u2019 offices of inspectors general on personal property management issues. To describe what is known about personal property exchange/sale transactions, we analyzed annual exchange/sale summary data, as reported to GSA\u2019s Office of Government-wide Policy (GSA OGP) by federal agencies from fiscal year 2013 through fiscal year 2017. These data\u2014which are the only federal government-wide data available on exchange/sale transactions\u2014identify the agency involved in the transactions, the transaction method, and the type and value of the property. To assess the reliability of these data, we reviewed GSA\u2019s electronic template provided to federal agencies for reporting data and the user guide and other materials related to GSA\u2019s personal property reporting tool. We interviewed GSA officials about the process for collecting, submitting, reconciling, verifying, and compiling annual government-wide, exchange/sale summary reports. To assess the reliability of selected agencies\u2019 data, we interviewed officials from these agencies (see below) about the exchange/sale data they reported to GSA and reconciled documentation on transactions with data reported to GSA to identify any discrepancies. We determined that the data were sufficiently reliable to describe the agencies that use the authority and the general types of property they acquire, but determined that data from the Department of Veterans Affairs (VA) were unreliable.", "To examine selected agencies\u2019 experiences using the personal property exchange/sale authority and monitoring such activities, we selected three agencies\u2014GSA, Army, and VA\u2014based on various characteristics, such as type, quantity, and value of personal property reported as exchanged and sold in GSA\u2019s summary data.", "GSA: We selected GSA because it reported a high-value of exchange/sale transactions. Within GSA, two offices have key roles in the internal use of the exchange/sale authority. First, the Office of Fleet Management (GSA Fleet) uses the authority to manage the government-wide motor-pool program that acquires vehicles and then leases them to other federal agencies. Second, the Office of Administrative Services (GSA OAS) is the office responsible for performing personal-property management functions, such as developing policy and procedures, internal to the agency.", "Army: We selected the Army within the Department of Defense (DOD) because it reported a relatively low-number of high-value items, such as aircraft. In particular, the Army Program Executive Office for Aviation (Army Aviation) accounted for the majority of high-value aviation-related exchange/sale transactions within DOD. Beyond the three selected agencies, we heard from other agencies when we attended a joint GSA-DOD presentation focused on aviation that brought together GSA, Army, Navy, and Air Force officials to discuss their experiences using the exchange/sale authority.", "VA: We selected VA because it reported a high-number of low-value items sold or exchanged. For in-depth interviews, we selected three medical centers (Long Beach, California; Cincinnati, Ohio; and Portland, Oregon) that reported using the authority for the acquisition of medical equipment and the three Veterans Integrated Service Networks (Regional Offices) responsible for monitoring these medical centers.", "We also reviewed applicable federal internal control standards, agencies\u2019 personal property policies and programs to understand agencies\u2019 use of the authority and monitoring of exchange/sale activities, and conducted interviews with selected offices within these agencies to understand their experiences in using the authority. Information we obtained from these three agencies is not generalizable to all federal agencies but provides illustrative examples in how agencies have used this authority. See appendix I for more details on our scope and methodology.", "We conducted this performance audit from August 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Personal property refers to a wide variety of property that may include commonly used items such as computers, office equipment and furniture, and vehicles, as well as more specialized property specific to agencies such as medical equipment for VA and medical helicopters for the Army. See figure 1.", "The personal property exchange/sale authority allows agencies to replenish property that is not excess or surplus and that is still needed to meet the agency\u2019s continuing mission. Agencies must meet several requirements, including:", "The property exchanged or sold is similar to the property acquired.", "Agencies can meet the similarity requirement in one of several ways. First, the property acquired is identical to the property replaced. Second, the acquired property and the replaced property fall within a single federal supply group of property. Third, both the acquired and the replaced property constitute parts or containers for similar parts. Fourth, the acquired and the replaced property are designed or constructed for the same purpose. For instance, ambulances and station wagons adapted for use as ambulances would be considered similar.", "The property exchanged or sold was not acquired for the principal purpose of later exchanging or selling it using the authority. For example, an agency cannot purchase a costly piece of equipment for the sole reason that it will deliver a higher value when sold using the authority.", "Proceeds from the sale can only be put toward the purchase of replacement property and cannot be spent on services. In other words, an agency can use proceeds from the sale of a vehicle to purchase a new vehicle, but it cannot use proceeds to hire a mechanic to repair an existing vehicle.", "In addition, GSA regulations, except as otherwise authorized by law, require that proceeds from sales be available during the same fiscal year the property was sold or the following fiscal year for replacement property. For an item sold in fiscal year 2018, an agency has the rest of fiscal year 2018 as well as fiscal year 2019 to purchase a replacement item. If agencies do not spend these funds by the end of fiscal year 2019, monies are to be deposited in the U.S. Treasury. Finally, agencies are prohibited from using the authority to replace certain types of property (i.e., hand tools and clothing). However, agencies may request a waiver from GSA to sell these prohibited items or to extend the time frame to purchase replacement property.", "Agencies may choose between two transaction methods to replace property\u2014the exchange (trade-in) or sale method, but must determine which method provides the greater return to the government, including administrative and overhead expenses. A typical exchange occurs when the original manufacturer delivers a replacement item to the agency and removes the item being replaced. The manufacturer applies a trade-in credit (an allowance) for the purchase of a replacement item. If the sale method is used, the agency receives the sale proceeds for the sale of the non-excess items (needed to meet mission requirements) and applies those proceeds to the purchase of the replacement personal property. See figure 2.", "In conducting a sale, agencies are to follow a process similar to the disposal process for excess property. When an agency disposes of excess property, it makes the item available to other federal agencies and state agencies by posting it in GSAXcess\u2014GSA\u2019s website for reporting, searching, and selecting excess property. The disposal process generally consists of four sequential stages in which personal property may be transferred to another agency or eligible recipient, donated, sold, or abandoned or destroyed.", "Similarly, agencies may use GSAXcess to facilitate the replacement of property under the exchange/sale authority. However, unlike the disposal process for excess property that may be offered at no cost, if another federal agency or state agency needs the property, the agency is to pay no more than the fair market value for the item or a negotiated fixed price, respectively. Otherwise, the property may be listed for sale to the general public at approved sales centers, such as GSA AuctionsSM, or through other approved methods, such as live auctions or Internet sales. After the sale closes, the agency receives the proceeds to apply toward the purchase of a similar item.", "Agencies are required to submit a summary report to GSA at the end of each fiscal year on the type, the quantity, the exchange allowances or sale proceeds, and the original acquisition cost of items for both exchange and sale transactions. Agencies that made no transactions during a fiscal year must submit a report stating that they made no transactions. Ultimately, agencies decide whether to use the exchange/sale authority to replace property in their inventory. In managing property, federal law requires agencies to maintain adequate inventory controls and accountability systems as well as assess the extent to which the agency\u2019s mission depends on the property."], "subsections": []}, {"section_title": "A Few Agencies Carried Out Most Transactions, Which Involved Selling Billions of Dollars in Property", "paragraphs": [], "subsections": [{"section_title": "GSA Reported About 60 Percent of Proceeds across the Federal Government", "paragraphs": ["According to GSA\u2019s annual summary data, 27 agencies reported using the exchange/sale authority and received a total of about $3.1 billion in exchange allowances or sale proceeds from fiscal year 2013 through fiscal year 2017. While many agencies used the authority, a few agencies, particularly GSA, together accounted for about 90 percent of all allowances and proceeds. Specifically, 5 of 27 agencies reported nearly all exchange allowances and sale proceeds. GSA accounted for about $1.9 billion of about $3.1 billion (or about 60 percent) of reported allowances and proceeds across the federal government. Four other agencies\u2014the Departments of Homeland Security, Agriculture, Defense, and the Interior\u2014accounted for about $934 million (or about 30 percent) of the total. The other 22 agencies using the authority reported about $332 million (or about 11 percent) in exchange allowances or sales proceeds over the 5-year period. See figure 3. Finally, agencies reported using the sale method more than the exchange method. Sales by agencies accounted for about $2.9 billion (or about 91 percent), while use of the exchange method accounted for about $275 million (or about 9 percent) of total transactions reported, primarily due to GSA\u2019s and DOD\u2019s reporting more use of the sale method over the exchange method.", "While some agencies reported hundreds of millions of dollars in exchange allowances and sale proceeds, the data show that 10 federal agencies\u2014 including the Department of Labor, Office of Personnel Management, and the Social Security Administration\u2014reported relatively few transactions, which totaled less than $100,000 in exchange allowances and sales proceeds.", "GSA OGP officials consider the agency-reported data to provide a representative picture of the overall exchange/sale transactions occurring across the federal government. GSA OGP officials rely on the agencies to ensure the accuracy and completeness of the exchange/sale information. According to GSA OGP officials, because GSA does not have authority to compel the agencies to report or address quality issues, it does not look at record level data from the agency to determine the data\u2019s accuracy and does not have a way of verifying if exchange data are accurate and complete. Nonetheless, GSA officials said they take steps to ensure the data are reliable and complete. For example, GSA OGP officials said they review the data for any obvious inaccuracies and follow up with the reporting agency to correct the inaccuracy. In addition, according to GSA OGP officials, they report the sales portion of most agencies\u2019 exchange/sale transactions for any sales that were conducted by GSA and ask agencies to verify the data before finalizing it in the summary report."], "subsections": []}, {"section_title": "Agencies Reported Selling High-Value Items, Primarily Vehicles", "paragraphs": ["While agencies exchanged and sold a wide variety of items, GSA\u2019s annual summary data show that high-value items, primarily vehicles, accounted for the vast majority of allowances and proceeds from fiscal year 2013 through fiscal year 2017. Specifically, vehicle sales across the federal government accounted for about $2.6 billion of $3.1 billion (or about 84 percent) in total proceeds, of which GSA\u2019s Fleet program accounted for about 71 percent of that total. According to GSA Fleet program officials, the authority allows GSA to continuously update its fleet of over 214,000 vehicles while keeping lease payments low for its 75 customer agencies. The program sells an average of about 36,000 vehicles each year, bringing in about $370 million in sales proceeds annually. In fiscal year 2017, the program received almost $300 million in proceeds from vehicle sales and spent about $776 million acquiring new vehicles. Three agencies\u2014the Departments of Agriculture, Homeland Security, and the Interior\u2014each reported over $100 million in proceeds from vehicle sales.", "In addition to vehicles, agencies reported exchanging and selling other types of high-value items. For example, DOD reported using the authority to sell or exchange helicopters. According to the Army Aviation Program Executive Office, the Army continues to divest and plans to replace up to 800 Black Hawk helicopters from 2014 to 2025, each having an average value of about $1.5 million. See figure 4. DOD reported about $150 million in exchange allowances and sale proceeds by using the authority to replenish aircraft, and as of January 2018 Army Aviation had purchased five Black Hawk helicopters. Other DOD agencies\u2014the Naval Air Systems Command and the Air Force Life Cycle Management Center\u2014are using the authority for exchanging aircraft engines and parts containing rare earth metals under a reclamation and propulsion material exchange program.", "In addition to high-value items, agencies reported selling a wide variety of other items, including missiles, office equipment, lumber, and packing supplies. One of our selected agencies, VA, predominately used the authority to exchange medical equipment. See figure 4. However, we did not find data for VA to be sufficiently reliable to report separately. Based on our interviews with VA medical centers we found that reported data did not reflect actual exchange/sale transactions, which we discuss later in this report. However, we have included VA data in the reported $332 million for \u201cOther federal agencies\u201d in figure 3."], "subsections": []}]}, {"section_title": "Selected Agencies Expressed Confusion About How to Use the Authority or Monitor Exchange/Sale Activities", "paragraphs": [], "subsections": [{"section_title": "VA Did Not Understand How to Use the Exchange/Sale Authority", "paragraphs": ["GSA regulations for the personal property exchange/sale authority set forth several conditions for using the authority, including that the property exchanged or sold is not excess or surplus and that agencies report information on their exchange/sale transactions to GSA on an annual basis. Federal internal control standards state that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives.", "However, the agencies in our review had different levels of understanding about the authority, which affected their experiences for how they used the authority and outcomes. For example, VA officials said they misunderstood key aspects of the exchange/sale authority, resulting in inefficiencies and data inaccuracies, as described below:", "Process for selling property: Officials from all three selected VA medical centers said they did not understand the sequence of events in selling property using the sale method, a situation that led to VA\u2019s using a potentially less economical method to acquire new equipment. For example, officials at two selected VA medical centers told us that they believed that they had to sell their medical equipment prior to acquiring replacement equipment. Officials at one medical center said this sequence of events makes it difficult to use the sales method of the exchange/sale authority because VA medical centers must have medical equipment, such as x-ray machines, readily available and fully operational for veterans at all times. However, GSA OGP officials stated that replacement property can be purchased prior to the sale of property. In addition, officials at a VA medical center reported they had limited storage, making it difficult to buy replacement equipment and store it until VA can sell the equipment. As a result, a VA medical center official stated that they instead used the exchange method because it provided a seamless replacement of equipment to prevent any break in availability of medical equipment. While the exchange method is a viable approach, in this case, the sales method could have delivered a higher monetary return. In addition, by using the sale method, VA could potentially have replaced equipment more efficiently than replacing the full cost of the item with the agency\u2019s appropriation. A VA headquarters official was also unclear about how to use the proceeds from sales. This official was unclear whether the sales proceeds could be used from any type of medical equipment in a particular supply category, such as a scalpel, toward the replacement of another item in that same classification, such as a wheelchair, or whether the items had to be identical or serve a similar purpose.", "Data Reporting: Officials at two selected VA medical centers did not clearly understand the annual summary data reporting process. These officials stated that they found GSA\u2019s reporting template confusing because it provides minimal direction to the user and does not clearly define some data-reporting elements. The template includes a space for reporting \u201cexchanged/sold;\u201d however, officials at one medical center were unaware that \u201csold\u201d referred specifically to exchange/sale transactions only and not to other transactions referred to as sales, such as surplus property sales; according to medical center officials, this medical center reported about 1,000 misclassified sales in GSA\u2019s annual summary data.", "Exchange/sale versus disposal: According to VA officials, they or others involved in personal property management did not fully understand the distinction between the process for acquiring replacement property under the exchange/sale authority and the process for declaring property as excess. Officials within all three selected VA medical centers misunderstood the difference between the two processes, possibly because both processes use GSAXcess to sell property under the exchange/sale authority or to report property as excess for disposal. As a result, one VA medical center mistakenly reported excess disposals as exchange/sale in the GSA OGP annual summary data. In addition, two facilities disposed of some still needed property instead of conducting sales under the exchange/sale authority. A VA headquarters official acknowledged that property managers in charge of implementing the exchange/sale authority at medical centers may be confusing these two processes or may be unaware that the exchange/sale authority exists.", "Similarly, officials from the Air Force and Navy said they or others involved in personal property management did not always understand the difference between these two processes. An Air Force official stated that DOD\u2019s policies do not clearly distinguish the exchange/sale process from the disposal process and do not consistently define terms, such as \u201cexcess\u201d and \u201cnon-excess\u201d property, that align with GSA\u2019s regulations. In retrospect, Air Force officials stated that they disposed of property that could have been replaced through the exchange/sale authority. Generally, disposal results in (a) sales proceeds being returned to the U.S. Treasury rather than retained by the agency and (b) services possibly having to use their appropriation for replacement property, rather than working directly with the vendor to obtain a replacement at a reduced cost. We have previously reported on DOD\u2019s disposing of $855 million in excess items for which they will likely have a continuing need.", "Conversely, based on our interviews and review of their policies, records, and transaction data, two program offices within the Army and GSA\u2014 Army Aviation and GSA Fleet\u2014appeared to understand how to use the exchange/sale process. We found that these offices may have a greater level of understanding for a few key reasons:", "Narrow scope: Both programs are designed around replacing one type of item\u2014helicopters for helicopters or vehicles for vehicles. When items are not so directly interchangeable, determining whether or not an item sold and replaced or exchanged are \u201csimilar\u201d can be challenging. Because the Army Aviation and the GSA Fleet programs focus on one type of item, the determination of what constitutes similar property under the GSA regulation is not a challenge.", "Established programs with frequent sales: The Army Aviation and the GSA Fleet programs have sold hundreds of aircraft and tens of thousands of vehicles over the past several years. They have invested resources into developing an exchange/sale process. Conversely, programs that may sell or exchange an item or two a year\u2014even very expensive items, such as medical equipment\u2014may not have the same opportunities to develop processes and guidance through repeated sales or exchanges.", "High-value items: Similarly, both the Army Aviation and the GSA Fleet programs sell high-value items. Thus, investing resources in an exchange/sale process makes sense, as programs benefit from the sales and have a process to guide and track these high-value items. For an agency like VA, which disposes of some low-value items, there may not be the same motivation to develop a standard process. GSA OGP officials emphasized that high-value items, such as helicopters and vehicles, are best suited for using the exchange/sale authority."], "subsections": []}, {"section_title": "GSA Has Not Clarified Aspects of Using Exchange/Sale Authority for Agencies", "paragraphs": ["GSA OGP officials stated that they recognize some agencies, such as VA, may experience confusion using the authority, that the regulations are misunderstood by agencies, and that aspects of the authority need to be clarified. According to these officials, GSA attempted to amend the regulations in 2015 to address key areas of confusion, including: restricting the definition of similar to ensure that items replaced are clearly similar. GSA wanted to change the federal supply category criteria to make agencies replace items at the more specific four digit level rather than the broader two digit level. As an illustration, this change would help clarify the confusion VA reported about whether a scalpel and a wheel chair qualify as similar items. clarifying the process for selling property; specifically, clarifying that agencies can purchase replacement property prior to the sale of property that no longer adequately performs its task.", "However, GSA OGP officials stated that they did not complete the rulemaking process in order to give the incoming administration an opportunity to review and approve any revisions.", "Since the change in administration, GSA officials said they have been focused on evaluating the continued need and relevance of all of their regulations as part of the administration\u2019s plan to conduct regulatory reviews. Nonetheless, GSA OGP officials said they plan to address these areas of confusion by amending the regulations. Specifically, they plan to clarify the definition of similar property and the difference between excess and non-excess property, among other changes. However, officials estimate the rulemaking will likely not be finalized for at least 2 years. As a result, the extent to which the rulemaking process will result in clarifying language is unknown.", "Although GSA anticipates initiating a rulemaking to amend regulations, which could make the definition of \u201csimilar\u201d more restrictive, GSA OGP officials told us that clarifying the issues agencies found confusing would not necessarily require a rulemaking. They highlighted other actions they are taking to promote the use of the authority, inform agencies of the requirements, and train agencies on using the authority. For example, they conduct outreach by making presentations at national conferences (i.e., FedFleet), meet with representatives from the National Property Management Association, and hold small group discussions with program managers specializing in certain high-value items, such as aircraft. GSA\u2019s presentations aim to educate agencies on what the authority is, the conditions and requirements of the authority, and when to use the authority. According to GSA OGP officials, as a result of their outreach, they have seen immense growth in exchange/sale transactions among the aviation community.", "GSA has also issued bulletins to help dispel misunderstandings related to using the exchange/sale authority. For example, GSA issued a bulletin in 2010 to federal agencies to remind them to submit annual reports on exchange/sale transactions. This bulletin contained information on the reporting requirements, frequently asked questions, and points of contact for agencies to reach out to with additional questions. In summer 2018, GSA OGP officials drafted a new bulletin to further address financial aspects of the exchange/sale authority and expect to issue it in December 2018. This bulletin details why agencies should use the authority and directs agencies to develop policies for using the authority and to consult with the Chief Financial Officer of the agency to obtain more information. According to these officials, an additional bulletin would take 3 to 4 months to develop and issue.", "However, neither GSA\u2019s outreach nor its draft bulletin addresses existing confusion regarding the sales process or data reporting, or distinguishes the exchange/sale process from the disposal process. For example, GSA\u2019s outreach, such as the FedFleet presentation, generally describes the authority and discusses provisions of using the authority but does not address issues agency officials told us they found confusing. The presentation tells agencies that they can sell property under the authority but does not go into the mechanics of how to sell property. By making presentations like these to address areas agencies found confusing, GSA would have an opportunity to help clarify these issues and encourage agencies to use the authority more.", "Moreover, GSA OGP officials told us that they believe that a lack of knowledge of the authority is a reason why some agencies do not use it more. As we reported earlier, 10 of the 27 federal agencies that reported transactions had few exchange/sale transactions over the past 5 years. According to a VA official, if VA medical centers better understood how to use the authority, they could see a significant increase in use throughout the agency. Furthermore, if GSA provided clearer information on using the authority, the 10 agencies that we found that used the authority infrequently may increase their use.", "Additionally, GSA\u2019s draft bulletin on financial issues does not address the logistical issues agencies found confusing, such as how to sell property using the exchange/sale authority. The bulletin addresses accounting procedures agencies should follow when conducting transactions but does not describe how agencies are to conduct these transactions. Until GSA takes action to address confusion, agencies may continue to misunderstand and not use the exchange/sale authority. If agencies continue to misunderstand aspects of the exchange/sale authority, they may not take full advantage of the authority, thereby missing opportunities to be more effective stewards of government property and replenish property more efficiently."], "subsections": []}, {"section_title": "GSA and VA Did Not Monitor Exchange/Sale Activities", "paragraphs": ["Agencies are responsible for managing their own personal property, including monitoring their exchange/sale activities. Federal internal control standards call on managers to establish and operate monitoring activities to monitor the internal control system and evaluate the results. Monitoring involves regular management and supervisory activities, comparisons, reconciliations, and other routine actions.", "We found that the Army monitored its exchange/sale activities, as outlined in its policies. The Army\u2019s policy delegated responsibility to the Army\u2019s Deputy Chief of Staff (Logistics) to monitor and approve Army programs seeking to use the authority. Our review of Army\u2019s policy found that multiple Army offices monitor financial, logistical, legal, and procurement functional areas as they reviewed and communicated on the eligibility of exchange/sale transactions. The policy also allows program and inventory managers to use the authority for high-value items, requires contracting officers and attorneys to review the transactions, and uses a management checklist for transactions. Consistent with policy, the Army\u2019s Deputy Chief of Staff, in conjunction with offices within DOD, reviewed and approved requests from Army Aviation to use the exchange/sale authority to sell Black Hawk helicopters and apply proceeds to replacement helicopters. The Army official said that the office continues to monitor exchange/sale transactions in collaboration with the Army Aviation program to manage the exchange and sale of their personal property that includes Black Hawk helicopters.", "Unlike the Army, GSA OAS did not monitor its internal exchange/sale activities. In 2009, GSA\u2019s internal policy established a position responsible for ensuring compliance with government-wide, personal property requirements. However, GSA officials stated that the position was never staffed and later subsumed into GSA OAS when the office was established in 2011 to manage personal property, including exchange/sale activities, within the agency. Since that time, GSA OAS officials said that they have not monitored these activities because senior management did not prioritize personal property, including exchange/sale transactions. For example, management did not clarify GSA OAS\u2019s responsibilities nor did it define the scope of its authority for monitoring exchange/sale activities. As a result, GSA OAS officials said they have not been involved with any exchange/sale activities within the agency, and besides GSA Fleet, they do not know the extent to which other internal offices are using (or should be using) the authority.", "According to GSA OAS officials, they have recently focused on an effort to rebuild an internal personal-property management program that will take several years to develop given the current staff of two. As part of this effort, GSA OAS revised the policy for internal personal property management in 2018 and is drafting a standard operating procedure that is expected to provide additional clarification for monitoring and conducting exchange/sale activities within GSA. According to GSA officials: the 2018 policy provides relevant updates and more details that distinguish between (a) the exchange/sale authority for the exchange and sale of non-excess, non-surplus personal property and (b) the disposal authority with a focus on the disposal of excess personal property. the draft standard operating procedure is to provide procedures for all internal GSA offices to follow when using the authority. This standard operating procedure establishes a position to, among other things, help internal offices conduct and report exchange/sale transactions. GSA OAS officials referred to this procedure as a work-in-progress and were uncertain when it would be finalized.", "However, GSA OAS officials said that they do not know whether this policy revision will allow them to monitor exchange/sale activities for two reasons. First, GSA OAS is unclear about the scope of its authority, such as whether the GSA Fleet program falls under its exchange/sale purview. GSA Fleet program officials said that they are not opposed to having GSA OAS monitor their program in the future. Second, this procedure will not be formally approved or coordinated throughout GSA, a situation that means there may not be consensus among all GSA offices as to GSA OAS\u2019s responsibilities and scope of authority. As a result, the revision of the policy and completion of the procedure may not be enough to ensure compliance with exchange/sale requirements. In the absence of clear responsibilities and scope of its authority, GSA OAS may not be able to monitor exchange/sale activities or provide clear information and direction to other offices within GSA.", "Similar to GSA, VA conducted limited monitoring of its exchange/sale activities. VA policy states that the Deputy Assistant Secretary for Acquisition and Logistics has the departmental-wide responsibility for personal property inventory management, utilization, and disposition as well as to monitor VA logistics programs and policies. Within VA\u2019s Veterans Health Administration (VHA), the Office of Procurement and Logistics assigns logistics officers at VHA Regional Offices with monitoring responsibilities of medical centers to ensure compliance with VA and VHA policies. However, we found that the three VHA Regional Offices conducted limited monitoring of 23 medical centers under their purview. According to the officials we contacted, they conducted a cursory review of end-of-year data from medical centers before the data were submitted through VHA to GSA for the annual summary report.", "According to officials at one Regional Office, they did not focus on monitoring exchange/sale transactions beyond a cursory review to see that property fell within the medical or laboratory equipment supply categories. As previously mentioned, we found that reported data did not reflect actual exchange/sale transactions. Specifically, we found that none of the sale transactions reported in 2016 as exchange/sale transactions by a selected medical center in this region was correct. Instead, these transactions were sales of surplus property.", "According to officials at another Regional Office, they have no reason to review exchange/sale transactions in a more robust manner because end-of-year reporting presented no problems in the past that would warrant a more standardized approach. However, for the one selected medical center in this region, we found several errors in reporting end-of-year data from 2013 through 2017. Specifically, we found that nearly all reported exchanges were actually sales of surplus property, a reported exchange in 2017 was actually a transfer to another medical center, and despite reporting no transactions in 2016, we identified an exchange valued at $500,000.", "According to officials from a third Regional Office, they monitored various aspects of VA\u2019s personal property program\u2014inventories and disposals, but not exchange/sale transactions. During our review, we found that one selected medical center under their purview reported about 1,000 sale transactions to GSA, but none was correct. Instead of sales of needed (non-excess, non-surplus) property, they were actually sales of surplus property. Regional officials are aware of this error and have added four new questions about exchange/sale transactions to the checklist used for their annual quality-control reviews. They said they do not know whether other Regional Offices perform similar reviews.", "An official in VA\u2019s Office of Acquisition and Logistics acknowledged that these findings are likely not uncommon because the office has not developed or communicated the management activities necessary for Regional Offices to consistently monitor medical centers\u2019 exchange/sale transactions. The lack of communication on monitoring procedures was corroborated by two Regional Offices. An official with the Office of Acquisition and Logistics explained that the office promulgates policy and that VHA\u2019s Office of Procurement and Logistics helps ensure policy is followed, but the absence of monitoring stems, in part, from these two offices\u2019 not collaborating or communicating the activities Regional Offices are to conduct. VHA Regional Offices monitor medical centers through annual quality-control reviews, but the reviews did not have an exchange/sale component. Furthermore, VA internally reviews a small sample of the VHA\u2019s annual quality-control reviews each year. From a Regional Office perspective, officials told us they prioritized other activities, such as monitoring inventories or disposal of equipment, over exchange/sale activities. The VA office has also not communicated with VA medical centers on how to effectively use the authority to support their medical equipment replacement needs or the benefits associated with the authority. For example, the VA office has not provided specific guidance beyond issuing personal property policies for how to conduct and monitor exchange/sale transactions.", "VA officials are taking steps to improve communication to those involved in exchange/sale transactions throughout the agency\u2014those monitoring transactions and those initiating transactions. For example, officials within the Office of Acquisition and Logistics stated that they plan to clarify the use of the exchange/sale authority within the agency\u2019s policies for personal property disposal. This clarification will be in the form of a notice (an incremental policy change) or as part of a planned rewrite of personal property policies. However, it is uncertain whether the information will have a level of detail to be useful for medical centers to understand the requirements for using the exchange/sale authority or will delineate how the exchange/sale process differs from the disposal process. Adding to this is the uncertainty about the time frame for finalizing and communicating such information to medical centers. Furthermore, VA officials said the policy changes alone will not be sufficient and assistance from VHA will be necessary to ensure Regional Offices understand their monitoring roles and responsibilities. A VHA official acknowledged the need to work with Regional Offices to augment the annual quality-control review checklists with an exchange/sale component, but it is unclear if and when such an update will take place. Until VA and VHA work together to develop a detailed policy for monitoring and establish time frames with milestones for communicating information, they cannot be assured that 172 medical centers and 18 Regional Offices understand the exchange/sale authority, how to use it, and how to monitor end-of-year reporting data."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["By using the exchange/sale authority, agencies have an opportunity to be good stewards of government property by efficiently replacing needed property, including high-value items, that serves critical and continuing requirements to meet agency missions. However, unfamiliarity with the exchange/sale authority and confusion surrounding the authority may lead to decisions that may not be in the government\u2019s best interest. Although GSA OGP officials acknowledge the need to amend the regulations to address areas that require rulemaking, delay in taking action to address areas of confusion that currently exist but do not require rulemaking will continue to lead to misinterpretation or misunderstanding about the authority. Moreover, until GSA specifies GSA OAS\u2019s responsibilities and defines the scope of its authority, it will continue a long-term pattern of not monitoring GSA\u2019s exchange/sale activities. Finally, until VA develops and communicates the necessary information to help Regional Offices and medical centers with their exchange/sale responsibilities, it will not have an assurance that all VA medical centers are reporting transactions accurately or effectively using the exchange/sale authority."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to GSA and one recommendation to VA.", "The GSA\u2019s Associate Administrator for the Office of Government-wide Policy should take action to address specific areas of federal agency confusion with the exchange/sale authority, areas such as the process for selling property, reporting data, and distinguishing the exchange/sale process from the disposal process. Such actions could include issuing bulletins or conducting expanded outreach and, as necessary, issuing regulations. (Recommendation 1)", "The Administrator of General Services should take steps to improve agency-wide monitoring of exchange/sale activities within GSA by specifying the Office of Administrative Services\u2019 responsibilities and by defining the scope of its authority. (Recommendation 2)", "The VA\u2019s Deputy Assistant Secretary of Acquisition and Logistics, in collaboration with VHA\u2019s Office of Procurement and Logistics, should revise VA\u2019s policy to include details on the exchange/sale authority, particularly those related to monitoring by Regional Offices and use of the authority for medical centers, and establish time frames with milestones for communicating such information. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA, DOD, and VA for comment. All three agencies agreed with the findings. GSA and VA also agreed with the recommendations for their agencies. DOD provided a technical comment to the report in an email; we incorporated the technical suggestion.", "GSA agreed with our recommendations and stated that it has already begun to increase understanding and appropriate use of the exchange/sale authority within GSA and across the federal government. GSA is finalizing a plan to address the recommendations. GSA\u2019s written response is reprinted in appendix II.", "VA agreed with our recommendation to revise its policy to include details on the exchange/sale authority. VA stated that the Office of Acquisition and Logistics, in conjunction with the VHA Procurement and Logistics Office, has produced two draft memorandums to amend policy related to the exchange/sale authority as well as the utilization and disposal of personal property. The agency plans to promulgate the new policy by December 2018. VA\u2019s written response is reprinted in appendix III.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of General Services, the Secretary of Defense, and the Secretary of Veterans Affairs. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) describe what is known about personal property exchange/sale transactions, as reported by federal agencies from fiscal years 2013 through 2017, and (2) examine selected agencies\u2019 experiences using the personal property exchange/sale authority and monitoring such activities. To address both objectives, we reviewed applicable federal statutes and regulations pertaining to personal property management and the exchange/sale authority, our prior work, and reports by federal agencies\u2019 offices of inspectors general on personal property management issues. To understand General Services Administration\u2019s (GSA) role and responsibilities for personal property management in support of exchange/sale activities across the federal government, we reviewed GSA\u2019s personal property management structure, policies, bulletins, briefings, and training materials.", "To describe what is known about the personal property exchange/sale transactions, we analyzed annual exchange/sale summary data, as reported to GSA\u2019s Office of Government-wide Policy (GSA OGP) from federal agencies from fiscal year 2013 through fiscal year 2017. These data identify the agency involved in the transactions, the transaction method, and the type and value of the property. These data are the only federal government-wide data available on exchange/sale transactions. Accordingly, we analyzed these summary data to characterize transactions over a 5-year time frame, by agency, by type of transaction (exchange or sale), by type of personal property using personal property categories, and by amount of exchange allowances and sale proceeds.", "We assessed the reliability of these data from a government-wide perspective and for selected agencies.", "From a government-wide perspective, we reviewed GSA\u2019s electronic template provided to federal agencies for reporting data, viewed a training video used to help agencies report data to GSA, and reviewed the users\u2019 guide and other materials related to GSA\u2019s personal property reporting tool. In addition, we interviewed GSA OGP officials regarding their data processes\u2014such as data collection, submission, reconciliation, verification, and compilation of annual exchange/sale summary reports\u2014to understand the steps GSA OGP takes to determine the accuracy, consistency, and completeness of data. We did not independently verify all the exchange and sales data that was provided to us because of the large quantity of detailed data associated with each agency and because some of the data were not within the scope of our selected agencies and personal property categories. However, we determined that GSA\u2019s government-wide summary data was sufficiently reliable for our purposes of describing the agencies that use the authority, the general types of property they acquire, and the relative order of magnitude of exchange allowances and sales proceeds. For sales conducted through GSA sales centers, GSA reports summary information on behalf of most agencies. GSA officials told us all exchange transactions are self-reported by agencies. GSA does not ensure the accuracy of this information beyond a review for obvious errors. However, because sales account for about 91 percent of the dollar value of all transactions, we believe that the total value of transactions across the federal government is sufficiently reliable for our purposes of describing exchange/sale activity.", "To assess the reliability of GSA and other selected agencies\u2019 summary data, we compared annual exchange/sale summary data collected by GSA OGP with detailed GSAAuctionsSM sales data associated with the exchange/sale authority collected by GSA\u2019s Office of Personal Property Management. We looked to see if aggregated sales totals matched, identified similarities and gaps, and observed individual agency and government-wide trends for using the exchange/sale authority. We found data reported by GSA\u2019s Office of Fleet Management (GSA Fleet) and the Army\u2019s Program Executive Office for Aviation (Army Aviation) to be reliable. However, we found reliability issues with data reported by the Department of Veterans Affairs (VA). As a result of our interviews with selected facilities, we found that some reported sale and exchange data from VA did not represent actual exchange/sale transactions. Accordingly, we determined that VA data were not reliable to analyze independently. We did include these data in the total for the federal government given that they accounted for about 1 percent of that total.", "To examine selected agencies\u2019 experiences using the exchange/sale authority and monitoring such activities, we selected three agencies\u2014 GSA, the Department of the Army within the Department of Defense (DOD), and the VA\u2014based on various characteristics, such as the values of the agencies\u2019 exchange allowances and sale proceeds; the quantity of items exchanged and sold; and selected three different types of personal property categories\u2014vehicles, aircraft, and medical equipment\u2014for which the exchange/sale authority was used over the 5-year time period.", "GSA: We selected GSA because it reported a high-value of exchange/sale transactions. Within GSA, two offices have key roles in the internal use of the exchange/sale authority. First, through GSA Fleet, GSA manages the government-wide motor-pool program (the largest user of the exchange/sale authority) that acquires vehicles and then leases them to other federal agencies. Second, GSA\u2019s Office of Administrative Services (GSA OAS) is the office responsible for performing personal-property management functions, such as developing policy and procedures, internal to the agency.", "Army: We selected the Army because it reported a relatively low- number of high-value items. In particular, Army Aviation accounted for the majority of high-value aviation-related exchange/sale transactions within DOD. During the course of our review, we also attended a joint GSA-DOD presentation focused on major end items that brought together GSA, Army, Navy, and Air Force officials to discuss their experiences using the exchange/sale authority.", "VA: We selected VA because it reported a high-number of low-value items sold or exchanged. For in-depth interviews, we selected three medical centers (Long Beach, California; Cincinnati, Ohio; and Portland, Oregon) that reported using the authority for the acquisition of medical equipment and the three Veterans Integrated Service Networks (Regional Offices) responsible for monitoring these medical centers. See table 1 below.", "At all of these agencies, we reviewed exchange/sale transactions to understand agencies\u2019 experiences in using the authority, personal property policies and program, financial documents applicable to exchange/sales, and applicable Standards for Internal Control in the Federal Government and GSA\u2019s regulations. We also reviewed relevant sections of Principles of Federal Appropriations Law to understand decisions on using the exchange/sale authority for acquiring personal property. In addition, we examined agencies\u2019 monitoring of exchange/sale transactions in the context of internal control standards.", "We interviewed officials from each of our selected agencies responsible for using exchange/sale authority and implementing processes to manage and monitor personal property. We interviewed GSA Fleet officials and visited Army Aviation officials in Huntsville, Alabama. During these interviews, GSA and Army Aviation officials walked through materials and explained their exchange/sale processes by using actual sample transactional information. We examined personal property documentation associated with personal property that had been either been exchanged or sold.", "For VA, we selected 3 of 172 VA medical centers to understand how these medical centers implemented their personal property exchange/sale processes and procedures. We selected one site based on its high number of exchange/sale transactions of medical equipment and its close geographic proximity to one of our field offices. The other two sites were chosen based on a high and low number of exchange/sale transactions of medical equipment. At the VA locations, we interviewed medical center officials responsible for supply chain management as well as Regional Office officials responsible for oversight of those selected medical centers and the exchange/sale management activities. During these interviews, we discussed selected agency officials\u2019 understanding and use of the exchange/sale authority, reviewed data and documentation, addressed what officials did to implement processes for their exchange/sale programs, identified challenges, and took photographs at one location of selected personal property that was exchanged or sold. Information we obtained from the three selected agencies is not generalizable to all federal agencies but provides illustrative examples in how agencies have used the authority.", "We conducted this performance audit from August 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on the audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following individuals made important contributions to this report: Nancy Lueke (Assistant Director); Steve Martinez (Analyst-in-Charge); Aisha Cabrer; SaraAnn Moessbauer; Malika Rice; Amy Rosewarne; Jerry Sandau; Travis Schwartz; and Crystal Wesco."], "subsections": []}]}], "fastfact": ["The federal government owns $1 trillion in personal property, such as furniture and vehicles. Agencies can sell these items and use the proceeds to buy similar items. The General Services Administration makes the rules for these federal agency transactions, buys and sells vehicles for other agencies to use, and carries out its own transactions.", "We found that GSA officials who buy vehicles and Army officials who buy helicopters did this often and understood the rules. VA officials, however, did not. We recommended that GSA clarify the rules for selling property so that agencies have opportunities to be better stewards of personal property."]} {"id": "GAO-18-175", "url": "https://www.gao.gov/products/GAO-18-175", "title": "Cybersecurity Workforce: Urgent Need for DHS to Take Actions to Identify Its Position and Critical Skill Requirements", "published_date": "2018-02-06T00:00:00", "released_date": "2018-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DHS is the lead agency tasked with protecting the nation's critical infrastructure from cyber threats. The Homeland Security Cybersecurity Workforce Assessment Act of 2014 required DHS to identify, categorize, and assign employment codes to all of the department's cybersecurity workforce positions. These codes define work roles and tasks for cybersecurity specialty areas such as program management and system administration. Further, the act required DHS to identify and report its cybersecurity workforce critical needs.", "The act included a provision for GAO to analyze and monitor DHS's implementation of the requirements. GAO's objectives were to assess the extent to which DHS has (1) identified, categorized, and assigned employment codes to its cybersecurity positions and (2) identified its cybersecurity workforce areas of critical need. GAO analyzed DHS and OPM workforce documentation and administered a data collection instrument to six major DHS components. GAO also interviewed relevant DHS and OPM officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) has taken actions to identify, categorize, and assign employment codes to its cybersecurity positions, as required by the Homeland Security Cybersecurity Workforce Assessment Act of 2014 ; however, its actions have not been timely and complete. For example, DHS did not establish timely and complete procedures to identify, categorize, and code its cybersecurity position vacancies and responsibilities. Further, DHS has not yet completed its efforts to identify all of the department's cybersecurity positions and accurately assign codes to all filled and vacant cybersecurity positions. In August 2017, DHS reported to the Congress that it had coded 95 percent of the department's identified cybersecurity positions. However, GAO's analysis determined that the department had, at that time, coded approximately 79 percent of the positions. DHS's 95 percent estimate was overstated primarily because it excluded vacant positions, even though the act required DHS to report these positions.", "In addition, although DHS has taken steps to identify its workforce capability gaps, it has not identified or reported to the Congress on its department-wide cybersecurity critical needs that align with specialty areas. The department also has not reported annually its cybersecurity critical needs to the Office of Personnel Management (OPM), as required, and has not developed plans with clearly defined time frames for doing so. (See table).", "Without ensuring that its procedures are complete and that its progress in identifying and assigning codes to its positions is accurately reported, DHS will not be positioned to effectively examine its cybersecurity workforce, identify its critical skill gaps, or improve its workforce planning. Further, until DHS establishes plans and time frames for reporting on its critical needs, the department may not be able to ensure that it has the necessary cybersecurity personnel to help protect the department's and the nation's federal networks and critical infrastructure from cyber threats. The commitment of DHS's leadership to addressing these matters is essential to helping the department fulfill the act's requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DHS take six actions, including ensuring that its cybersecurity workforce procedures identify position vacancies and responsibilities; reported workforce data are complete and accurate; and plans for reporting on critical needs are developed. DHS concurred with our six recommendations and described actions the department plans to take to address them. OPM did not have any comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security\u2019s (DHS\u2019s) mission is to safeguard the American people and the homeland. It also serves a critical role in securing the nation\u2019s cyberspace. As such, in addition to being responsible for protecting the confidentiality, integrity, and availability of its own computer systems and information, it is also the lead federal department for coordinating with partners in the public and private sectors to protect the computer networks of federal civilian agencies and the nation\u2019s critical infrastructure from threats.", "Having an effective cybersecurity workforce is essential to helping ensure the security of the department\u2019s information and systems. However, achieving a resilient, well-trained, and dedicated cybersecurity workforce to help protect our information and infrastructure has been a long- standing challenge for the federal government. Since 1997, we have designated federal information security as a governmentwide high-risk area and, in 2003, expanded this area to include computerized systems supporting the nation\u2019s critical infrastructure. In 2003, we designated Implementing and Transforming DHS as a high-risk area, and in 2013, we renamed that area to Strengthening DHS Management Functions, which included information technology and human capital.", "In December 2014, Congress passed the Homeland Security Cybersecurity Workforce Assessment Act of 2014 (HSCWAA). This law requires DHS to identify all cybersecurity workforce positions within the department, determine the cybersecurity work category and specialty area of such positions, and assign the corresponding data element employment code to each cybersecurity position. After completing these activities, DHS was to identify its cybersecurity work categories and specialty areas of critical need within a year of identifying and assigning employment codes, and report these needs annually to the Office of Personnel Management (OPM).", "HSCWAA also contained a provision for GAO to analyze and monitor the status of DHS\u2019s efforts to address the act\u2019s requirements. For this report, our specific objectives were to determine the extent to which DHS has (1) identified, categorized, and assigned employment codes to its cybersecurity positions and (2) identified its cybersecurity workforce areas of critical need.", "To address the first objective, we reviewed the provisions of HSCWAA to identify the specific implementation activities DHS was to perform for its cybersecurity workforce and the time frames by which it was to complete the activities. In addition, we reviewed Standards for Internal Control in the Federal Government and then compared the cybersecurity workforce internal controls and project management processes that DHS implemented to address the act to the selected standard.", "We examined department-level procedures and guidance disseminated to DHS\u2019s components for their use in identifying cybersecurity positions and assigning employment codes, and compared the procedures and guidance to HSCWAA requirements and leading practices. We also analyzed department-level cybersecurity workforce data from the DHS Office of Chief Human Capital Officer (OCHCO), the Department of Agriculture\u2019s National Finance Center, dashboard reports, and DHS progress reports to OPM and Congress, to identify the status of the department\u2019s efforts in fulfilling mandated requirements to identify, categorize, and code cybersecurity positions. We found the data sufficiently reliable for the purposes of reporting DHS\u2019s cybersecurity workforce identification and coding progress. However, the National Finance Center data are limited in that only filled federal civilian positions were reported in the National Finance Center system. Vacancies, contractors, and military were not included in those data. Additionally, DHS reported data may be estimated by components, data may not cover the breadth of components, and data may be measured at different intervals.", "Further, we chose a nonprobability sample of DHS components and examined their procedures for identifying cybersecurity positions and applying employment codes to the positions. The results of our assessments of these six components are not generalizable to all DHS components.", "To identify the components, we considered their reported number of cybersecurity personnel and their cybersecurity functions. To select the components, we segmented the 15 DHS components into 3 groups, based on their reported total number of cybersecurity personnel in DHS. We classified these groups as \u201chigh,\u201d \u201cmedium,\u201d and \u201clow.\u201d From each group, we selected the two DHS components with the highest number of cybersecurity functions, as reported by DHS. This resulted in the selection of six components:", "U.S. Customs and Border Protection (CBP),", "Departmental Management and Operations (DMO),", "National Protection and Programs Directorate (NPPD),", "U.S. Secret Service (USSS),", "Science and Technology Directorate (S&T), and", "U.S. Citizenship and Immigration Services (USCIS).", "We then collected and reviewed the cybersecurity coding progress reports from the six selected DHS components. We also administered a questionnaire and data collection instrument (DCI) to officials representing each of the six selected components to collect information and obtain their views on the status of the components\u2019 efforts to identify and code cybersecurity positions. We administered the questionnaire and DCI from July through September 2017.", "All six components responded to the questionnaire and DCI, although not all six components answered every question. We reviewed the responses and clarified and validated them, as necessary, through interviews with, or additional written responses received from the six component officials that oversaw cybersecurity workforce activities. Again, the results of our assessments of these six components are not generalizable.", "To address the second objective, we analyzed documentation discussing DHS\u2019s planned actions for identifying its cybersecurity workforce areas of critical need, including its data calls to components and progress reports to OPM and Congress. We also examined cybersecurity workforce data and documentation from OCHCO and the six selected components and compared the documentation to the act\u2019s requirements, DHS-wide and component-specific workforce planning processes, the National Initiative for Cybersecurity Education (NICE) National Cybersecurity Workforce Framework categories and specialty areas, and Standards for Internal Control in the Federal Government. We found the data sufficiently reliable for the purposes of reporting DHS\u2019s identification of cybersecurity workforce areas of critical need. However, the data are limited in that DHS reported data may be estimated by components, and component responses may be from a particular program or office and not cover the breadth of the program.", "For both objectives, we supplemented the information and knowledge obtained from our analyses by conducting interviews with relevant officials from DHS OCHCO and the six selected components regarding the status of the department\u2019s efforts to implement the provisions of HSCWAA. Additional details on our objectives, scope, and methodology are provided in appendix I.", "We conducted this performance audit from March 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014 are dependent on computerized (cyber) information systems and electronic data to carry out operations and to process, maintain, and report essential information. The information systems and networks that support federal operations are highly complex and dynamic, technologically diverse, and often geographically dispersed. This complexity increases the difficulty in identifying, managing, and protecting the myriad of operating systems, applications, and devices comprising the systems and networks.", "Cybersecurity professionals can help to prevent or mitigate the vulnerabilities that could allow malicious individuals and groups access to federal information technology (IT) systems. The ability to secure federal systems depends on the knowledge, skills, and abilities of the federal and contractor workforce that designs, develops, implements, secures, maintains, and uses these systems. This includes federal and contractor employees who use the systems in the course of their work, as well as the designers, developers, programmers, and administrators of the programs and systems.", "However, the Office of Management and Budget has noted that the federal government and private industry face a persistent shortage of cybersecurity and IT talent to implement and oversee information security protections to combat cyber threats. This shortage of cybersecurity professionals makes securing the nation\u2019s networks more challenging and may leave federal IT systems vulnerable to malicious attacks. Having experienced and qualified cybersecurity professionals is important for DHS to help mitigate vulnerabilities in its own and other agencies\u2019 computer systems as a result of cyber threats."], "subsections": [{"section_title": "Federal Initiative and Guidance Are Intended to Improve Cybersecurity Workforces", "paragraphs": ["In recent years, the federal government has taken various steps aimed at improving the cybersecurity workforce. These include establishing a national initiative to promote cybersecurity training and skills and developing guidance to address cybersecurity workforce challenges.", "The National Initiative for Cybersecurity Education (NICE): This initiative, which began in March 2010, is a partnership among government, academia, and the private sector. It is coordinated by the National Institute of Standards and Technology (NIST) to help improve cybersecurity education. According to NICE, its mission includes promoting cybersecurity education, training, and workforce development, and coordinating with government, academic, and industry partners to build on existing successful programs and facilitate change and innovation. The initiative\u2019s goal is to increase the number of skilled cybersecurity professionals in order to boost national IT security.", "National Cybersecurity Workforce Framework: In April 2013, NICE published the National Cybersecurity Workforce Framework, which is intended to provide a consistent way to define and describe cybersecurity work at any public or private organization, including federal agencies. The initial framework defined 31 cybersecurity- related specialty areas that were organized into 7 categories. In August 2017, the framework was revised to include 33 cybersecurity- related specialty areas. The 7 categories are: securely provision, operate and maintain, protect and defend, investigate, collect and operate, analyze, and oversee and govern. For example, in the oversee and govern category, a specialty area is cybersecurity management, which covers the management of personnel, infrastructure, policy, and security awareness. Further, in the protect and defend category, the vulnerability assessment and management specialty area covers conducting assessments of threats and vulnerabilities and recommending appropriate mitigation countermeasures in order to protect information systems from threats.", "In August 2017, NIST also revised the framework to define work roles within each specialty area and describe cybersecurity tasks for each work role. The revision also described the knowledge, skills, and abilities that a person should have in order to perform each work role. The revised framework is intended to enable agencies to examine specific IT and cybersecurity-related work roles and identify personnel skills gaps.", "OPM Guidance for Assigning Employment Codes to Cybersecurity Positions: OPM sets data standards for federal job classifications, including cybersecurity positions. The data standards, issued by OPM in November 2014 created a 2-digit employment code for each work category and specialty area defined in the initial 2013 NICE cybersecurity workforce framework. Federal agencies use the codes to identify cybersecurity positions in personnel systems, such as the National Finance Center\u2019s personnel and payroll system. According to OPM, assigning codes to federal cybersecurity positions is intended to lay the groundwork for a consistent governmentwide count of the federal cybersecurity workforce. Use of these codes is intended to enable OPM and federal agencies to more effectively identify the cybersecurity workforce; determine baseline capabilities; examine hiring trends; identify skill gaps; and recruit, hire, train, develop, and retain an effective cybersecurity workforce. (See appendix II for a description of the specialty areas defined in the NICE Cybersecurity Workforce Framework and their corresponding OPM codes).", "In January 2017, OPM issued new guidance to agencies for assigning employment codes to cyber-related positions. This guidance created a unique 3-digit employment code for each cybersecurity work role identified in a draft version of the 2017 NICE cybersecurity workforce framework. To enhance the recruiting and hiring of workers with needed skills, agencies are to use the new 3-digit employment codes to identify critical needs, and provide training and development opportunities for cybersecurity personnel. In October 2017, NIST issued guidance, which reflected the finalized 2017 NICE framework and included a crosswalk of the 2-digit employment codes to the 3- digit employment codes."], "subsections": []}, {"section_title": "DHS\u2019s Cybersecurity Workforce Performs a Wide Range of Critical Missions", "paragraphs": ["DHS is the third largest department in the federal government, employing approximately 240,000 people and with an annual budget of about $60 billion\u2014$6.4 billion of which was spent on IT in fiscal year 2017. The department leads the federal government\u2019s efforts to secure our nation\u2019s public and private critical infrastructure information systems. For example, DHS collects and shares information related to cyber threats and cybersecurity risks and incidents with other federal partners to enable real-time actions to address these risks and incidents.", "DHS is made up of 15 components: 7 front-line, or operational, components, and 8 support components. The operational components lead the department\u2019s front-line activities to protect the nation, while the support components are to provide the resources, analysis, equipment, services, and other support to ensure that the operational components have the tools and resources to accomplish the department\u2019s mission. The 15 operational and support components, including the 6 that we reviewed, are identified in figure 1.", "The components perform a diverse range of cybersecurity functions. These functions include combating cybercrime; responding to cyber incidents; sharing cyber-related information, including threats and best practices; providing cybersecurity training and education; and securing both privately owned critical infrastructure and non-military federal networks. The missions and cybersecurity functions for the six components selected for our review are described in table 1."], "subsections": []}, {"section_title": "Federal Laws Require DHS to Assess Its Cybersecurity Workforce", "paragraphs": ["HSCWAA required DHS to perform several workforce assessment-related activities. Specifically, the department was to: 1. Establish procedures for identifying and categorizing cybersecurity positions and assigning codes to those positions. This was to be done within 90 days of the law\u2019s enactment. 2. Identify all positions with cybersecurity functions and determine the work category and specialty areas of each position. DHS was required to identify all cybersecurity positions\u2014both filled and vacant\u2014within the department. In addition, it was to determine the cybersecurity work category and specialty areas for each such position. Work categories and specialty areas are defined in the NICE Cybersecurity Workforce Framework. 3. Assign codes to all filled and vacant cybersecurity positions. The department was to assign the appropriate 2-digit employment code, as set forth in OPM\u2019s Guide to Data Standards, to each position based on the position\u2019s primary cybersecurity work category and specialty areas.", "In addition, after completing the aforementioned activities, the department was to: 4. Identify the cybersecurity work categories and specialty areas of critical need in the department\u2019s cybersecurity workforce and report to Congress. 5. Submit to OPM an annual report through 2021 that describes the work categories and specialty areas of critical need and substantiates the critical need designations.", "The act required DHS to complete the majority of the activities by specific due dates between March 2015 and September 2016 (see table 2).", "Beyond HSCWAA, the Federal Cybersecurity Workforce Assessment Act of 2015 was enacted in December 2015. It assigned specific workforce planning-related activities to all federal agencies, including DHS. Specifically, the law requires all federal agencies to identify all positions that perform information technology, cybersecurity, or other cyber-related functions and assign the appropriate employment code to each position. Similar to HSCWAA, the federal act also requires all federal agencies, including DHS, to identify and report to OPM on its cybersecurity work roles of critical need; each agency also is to submit a progress report on identifying cyber-related work roles of critical need to Congress. According to OPM officials within Employee Services, which oversees the federal cybersecurity workforce activities and implementation, agencies are not expected to continue coding to the 2-digit data standard and, instead, are to adopt the 3-digit data standard and complete coding the 3- digit standard by April 2018."], "subsections": []}]}, {"section_title": "DHS Has Not Fully Identified Cybersecurity Positions or Assigned Employment Codes in a Complete and Reliable Manner", "paragraphs": ["As defined in OPM\u2019s guidance and required by HSCWAA, DHS has begun activities related to identifying, categorizing, and assigning the appropriate employment codes to its cybersecurity positions. However, DHS has not completed all of these activities, as required. Specifically, the department did not develop timely and complete procedures or review its components\u2019 procedures. In addition, it did not completely and reliably identify and assign employment codes because its processes were manual, undocumented, and resource-intensive.", "As indicated in table 3, the department did not complete any of the activities associated with establishing procedures and identifying and assigning employment codes to positions by the statutorily defined due dates, and two of these efforts are still ongoing."], "subsections": [{"section_title": "DHS Did Not Ensure Cybersecurity Workforce Procedures Were Timely, Complete, or Reviewed", "paragraphs": ["HSCWAA required DHS to establish procedures to identify and assign the appropriate employment code to all of the department\u2019s filled and vacant positions with cybersecurity functions, in accordance with OPM\u2019s Guide to Data Standards by March 2015. In addition, DHS\u2019s April 2016 Cybersecurity Workforce Coding guidance stated that components should ensure procedures are in place to monitor and to update the employment codes as positions change over time. Further, Standards for Internal Control in the Federal Government recommends that management assign responsibility and delegate authority to key roles and that each component develop individual procedures to implement objectives. The standard also recommends that management periodically review such procedures to see that they are developed, relevant, and effective.", "Toward this end, OCHCO has developed procedures and recommended implementation steps for coding positions with cybersecurity functions for the department\u2019s components. The procedures include criteria to be used in identifying cybersecurity positions. For example, the procedures state that any position that performs cybersecurity work at least 25 percent of the time should be identified as a cybersecurity position. The procedures also include information on how components are to select the appropriate data element codes.", "Nevertheless, although OCHCO developed procedures for identifying positions and assigning codes, the procedures were not timely. Specifically, DHS did not include in its procedures information on identifying positions and assigning codes to address the act\u2019s requirements until April 2016\u201413 months after the due date.", "In addition, the procedures were not complete in that they did not include information related to identifying and coding vacant positions, as the act required. For example, while the National Finance Center system, which is DHS\u2019s system of record for employment codes assigned to cybersecurity employees, was modified to capture the codes for filled positions, the system was not modified to capture data on vacant positions. (For an explanation of National Finance Center\u2019s system and how DHS relates to it, see footnote 12.) In addition, the department\u2019s procedures did not address how to identify or code vacant positions, or where such information should be reported in a standardized manner across the department.", "Moreover, the departmental procedures did not identify the individual within each DHS component who was responsible for leading and overseeing the identification and coding of the component\u2019s cybersecurity positions. For example, the procedures did not identify a responsible individual for leading the effort to identify and code CBP\u2019s cybersecurity positions. Because there was no identified individual responsible for the entirety of the CBP cybersecurity workforce identification efforts, CBP officials told us they were unable to comment on, or provide a status update on, where they were on the cybersecurity coding process.", "Further, although components were able to supplement the departmental procedures by developing their own component-specific procedures for identifying and coding their cybersecurity positions, DHS did not review selected components\u2019 procedures for consistency with departmental guidance. The department could not provide documentation that OCHCO had verified or reviewed component-developed procedures. OCHCO officials acknowledged that they had not reviewed the components\u2019 procedures and had not developed a process for conducting such reviews.", "OCHCO officials identified several factors that they said limited their ability to develop timely and complete procedures for identifying and coding cybersecurity positions, and to review the supplemental procedures developed by the components. For example, they stated that:", "DHS did not complete its update of the procedures for identifying cybersecurity positions and assigning codes until April 2016 because the department could not decide whether or not certain positions within the department should be considered cybersecurity positions; each component had the best understanding of their human capital systems and processes, so the development of tailored procedures was best left up to each component; each of the six selected DHS components recorded and tracked vacant positions differently; therefore, the department\u2019s human capital office could not issue department-wide guidance on vacant positions; the cybersecurity specialty areas for vacant positions were not known until a position description was developed or verified and a hiring action was imminent; and", "DHS did not assign responsibilities for, or review, components\u2019 procedures because, as noted previously, the department believed that its components had the best understanding of their specific human capital systems; thus, what the components included in their own procedures was best left up to them.", "OCHCO officials said that they plan to work with their internal accountability team to review component-developed procedures, but they had not established a time frame for doing so. Without assurance that procedures are timely, complete, and reviewed, DHS cannot be certain that components are effectively prepared to identify and code all positions with cybersecurity functions, as required by the act."], "subsections": []}, {"section_title": "DHS Has Not Yet Completed Required Identification Activities", "paragraphs": ["HSCWAA required DHS to identify all cybersecurity positions, including vacant positions, by September 2015 in order to meet the act\u2019s other deadlines. Further, the act called for the department to use OPM\u2019s Guide to Data Standards to categorize the identified positions and determine the work category or specialty area of each position.", "As of December 2016, the department reported that it had identified 10,725 cybersecurity positions, including 6,734 federal civilian positions, 584 military positions, and 3,407 contractor positions. However, as of November 2017, the department had not completed identifying all of its cybersecurity positions or determining the work categories or specialty areas of the positions. For example, three of the six DHS components we reviewed had not identified their vacant cybersecurity positions. OCHCO officials stated that components varied in reporting their identified vacant positions because the department did not have a system to track vacancies.", "DHS also reported that it most commonly determined that the work category or specialty area of its cybersecurity positions were in the \u201cprotect and defend,\u201d \u201csecurely provision,\u201d and \u201coversight and development\u201d work categories, and in the \u201csecurity program management\u201d and \u201cvulnerability assessment and management\u201d specialty areas of the NICE framework. DHS reported at least 12 of 15 DHS components as having cybersecurity positions in these categories and specialty areas. However, DHS could not provide data to show the actual numbers of positions in each of these categories and specialty areas. According to OCHCO officials, the department was still in the process of identifying positions for the 2-digit codes and would continue this effort until the 3-digit codes were available in the National Finance Center personnel and payroll system in December 2017. At that time, OCHCO officials stated that the department intends to start developing procedures for identifying and coding positions using the 3-digit codes."], "subsections": []}, {"section_title": "DHS Has Not Completely and Accurately Assigned Employment Codes", "paragraphs": ["In addition to identifying all of its positions with cybersecurity functions and determining the work categories and specialty areas of each position consistent with the NICE framework, HSCWAA required DHS to assign positions codes to all such identified positions by September 2015. According to the Office of Management and Budget, having complete data consistent with the framework will help agencies to effectively examine the cybersecurity workforce; identify skill gaps; and improve workforce planning. Further, Standards for Internal Control in the Federal Government states that agencies should obtain relevant data from reliable sources that are accurate.", "DHS has not completely and accurately assigned employment codes to its cybersecurity workforce. As of August 2017\u201423 months after the due date\u2014the department had not completed the process of assigning the 2- digit employment codes to all of its identified cybersecurity positions. For example, five of the six components we selected for review had not completed the coding of their cyber positions.", "In addition, DHS did not completely or accurately assign codes to all filled and vacant cybersecurity positions as required by the act. In August 2017, OPM provided a progress report to Congress containing DHS data that stated that 95 percent of DHS-identified cybersecurity positions had been coded. However, our analysis determined that the department had assigned cybersecurity position codes to approximately 79 percent, rather than the reported 95 percent, of identified federal civilian cybersecurity positions. See figure 2 below. DHS could not demonstrate that it had assigned codes to 95 percent of its positions, as reported, since its coding progress data never indicated such a percentage.", "The percentage of coded positions reported for DHS was overstated because it was not based on complete information. Specifically, the percentage reflected information on the progress of filled federal civilian cybersecurity positions, but excluded vacant positions, even though the act required DHS to report these positions. Among the six components that we selected for our review, five of them had not yet completed the coding of their positions.", "Figure 2 shows the results of our analysis of DHS\u2019s progress in coding its cybersecurity positions, which considered both filled and vacant federal civilian cybersecurity positions, in comparison to what the department identified, which considered incomplete data\u2014using only filled positions.", "In addition to being incomplete, DHS\u2019s results were not accurate. Specifically, OCHCO developed a bi-monthly dashboard to monitor and report coding progress; however, the office did not have assurance that its data were accurate. OCHCO officials stated they did not verify the components\u2019 data for accuracy. For example, while no more than 100 percent of identified positions should be coded, OCHCO reported 122.7 percent of positions as being coded for the Office of the Chief Information Officer. Such anomalies were due to DHS components reporting the total number of identified cybersecurity positions on a semi-annual basis, while OCHCO determined positions coded on a bi-monthly basis using data from the National Finance Center personnel and payroll system. Yet, OCHCO analyzed and reported these numbers together, even though they were representative of different time periods. This produced unreliable results that were not representative of actual progress.", "Table 4 provides examples of components\u2019 coding progress, as reflected in DHS\u2019s August 29, 2017 dashboard report, which showed one component that had more cybersecurity positions coded than were identified.", "OCHCO officials reported several factors related to their processes and systems that had limited their ability to collect and use data that were complete and accurate. Specifically, the officials stated that OCHCO did not have documented processes to collect and verify data from the components. The officials also stated that the components did not report vacancies consistently, and that the department does not have a system to track the vacancies. The officials further stated that the cybersecurity workforce amounts frequently changed, and that they could not review workforce data for reliability, as such a review was a resource-intensive activity.", "However, if DHS does not assure that processes are in place to obtain and use data that are complete, including vacant positions, and accurate, then the department cannot be assured that it will have an accurate understanding of its internal coding progress. Without the ability to code its cybersecurity positions in a complete and accurate manner, DHS will not be able to effectively examine the cybersecurity workforce; identify skill gaps; and improve workforce planning."], "subsections": []}]}, {"section_title": "DHS Has Not Identified or Reported Its Department-wide Cybersecurity Workforce Areas of Critical Need", "paragraphs": ["While DHS has identified workforce capacity and capability gaps, it has not identified or reported to Congress its department-wide cybersecurity critical needs that align with the NICE framework. Additionally, the department has not reported its critical needs to OPM or developed plans and time frames for completing priority actions for reporting critical needs annually to OPM. Further, as indicated in table 5, the department did address any required activities by the statutorily defined due dates."], "subsections": [{"section_title": "DHS Has Not Identified Critical Needs in Alignment with the NICE Framework or Provided Guidance to Components", "paragraphs": ["HSCWAA required DHS to identify its cybersecurity work categories and specialty areas of critical need in alignment with the NICE framework and to report this information to the appropriate congressional committees by June 2016. In addition, according to a DHS directive, the DHS Chief Human Capital Officer is responsible for providing guidance to the department\u2019s components on human resources standards, such as identifying workforce needs. According to GAO\u2019s leading practices on strategic workforce planning, developing and providing guidance could help agencies identify their critical needs in order to effectively recruit, hire, train, and retain cybersecurity personnel.", "Although required to do so by June 2016, DHS has not yet identified its cybersecurity work categories and specialty areas of critical need in alignment with the NICE framework. The department identified workforce skills gaps and included this information in a report that it submitted to congressional committees in March 2017. However, the department did not align the workforce skills gaps report to the NICE framework\u2019s work categories and specialty areas as required by HSCWAA. (The categories and specialty areas are described in appendix II.)", "Specifically, although the framework required that critical needs be align with a specific specialty area, DHS did not align the skills gaps to a particular specialty area in the NICE framework. For example, DHS identified a skill gap called development operations, which is related to 12 different specialty areas in the NICE framework. This skill gap also overlaps with other DHS skill gaps and creates the potential for double- counting critical needs. Furthermore, although three selected components reported in our questionnaires that they were able to identify their critical needs that aligned to the framework, they did not report this information to OCHCO.", "According to OCHCO officials, DHS has not identified department-wide cybersecurity critical needs that align with the framework partly because OPM had not provided DHS with guidance for identifying cybersecurity critical needs. According to OPM officials, however, they provided oral guidance to DHS on using the 2-digit codes for identifying its critical needs during four meetings in 2016 and 2017. The OPM officials also stated that they had plans to develop governmentwide guidance for using the 3-digit codes to identify cybersecurity critical needs by March 2018 to fulfil the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015. According to OPM, agencies such as DHS are required to identify critical needs for the 3-digit codes by April 2019. DHS OCHCO officials said that DHS plans to transition to identifying cyber- related work roles of critical need once they have completed the 3-digit coding efforts under the 2015 federal act mentioned previously.", "Further, DHS has not developed and provided guidance to help its component-level agencies to identify their critical needs that align to the NICE framework. Specifically, DHS did not include guidance in its procedures that instructed components on how to report on their critical needs or to align to the NICE framework work categories and specialty areas. Two selected components\u2019 officials told us they required guidance from OCHCO on how best to identify critical needs.", "According to OCHCO officials, they did not provide components guidance on critical needs that align with the NICE framework because the components were in the best position to determine their critical needs. Further, OCHCO officials stated that the components do not generally view critical skills gaps in terms of the categories or specialty areas as defined in the NICE framework, but instead, describe their skills gaps using position titles that are familiar to them. For example, one selected component identified security engineering as a skills gap familiar to them. However, according to OCHCO officials, this gap may align to five different specialty areas in the NICE framework\u2019s securely provision work category. As mentioned previously, the framework required that critical needs be align with a specific specialty area.", "In September 2017, OCHCO developed a draft document that crosswalks identified department-wide cybersecurity skills gaps to one or more specialty areas in the NICE framework. However, the document does not adequately help components identify their critical needs by aligning their gaps with the NICE framework. Half of the DHS skills gaps overlap with two or more work categories, but the National Finance Center payroll system allows components to enter only one code per position. Further, the document does not provide additional decision rules to help components determine a critical need in cases in which a skills gap is mapped to multiple work categories.", "Without providing relevant guidance to help components identify their critical needs, DHS and the components are hindered from effectively identifying and prioritizing workforce efforts to recruit, hire, train, develop, and retain cybersecurity personnel across the department."], "subsections": []}, {"section_title": "DHS Did Not Report Critical Needs Annually to OPM or Develop Plans and Time Frames for Completing Priority Actions", "paragraphs": ["HSCWAA required that, annually from September 2016 through September 2021, DHS, in consultation with OPM, submit a report to OPM that describes and substantiates critical need designations. In addition, Standards for Internal Control in the Federal Government states that management should develop plans to achieve objectives. Developing plans to report critical needs is a control activity that could help capture and sequence all of the activities that DHS must complete in order to report critical needs. This involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement.", "DHS did not report cybersecurity critical needs to OPM in September 2016 or September 2017 as required. Instead, the department first reported its cybersecurity coding progress and skills gaps in the March 2017 report that it sent to OPM and Congress addressing several of the HSCWAA requirements. The report did not describe or substantiate critical need designations because DHS has not yet identified them. OCHCO officials stated that the department plans to submit another report to OPM; however, they did not indicate whether critical needs will be included in the report, and did not have a time frame for when they plan to submit the report to OPM.", "Additionally, DHS has not developed plans or time frames to complete priority actions that OCHCO officials said must be completed before it can report its cybersecurity critical needs to OPM. DHS\u2019s Comprehensive Cybersecurity Workforce Update reported two priority actions to identify, describe, and substantiate cybersecurity critical needs\u2014developing a DHS cybersecurity workforce strategy and completing its initial cybersecurity workforce research\u2014by the end of fiscal year 2017. However, DHS did not complete the priority actions by the end of fiscal year 2017, as planned.", "As of September 2017, the department was still in the process of finalizing the DHS cybersecurity workforce strategy and had not yet completed the initial cybersecurity workforce research. OCHCO officials said that the strategy is to be influenced by ongoing efforts to finalize the DHS comprehensive cybersecurity mission strategy, provide DHS reports required by the May 2017 cybersecurity-related presidential executive order, and finalize and implement the new cybersecurity-focused personnel system. According to OCHCO officials, the department plans to conduct additional interviews and focus groups in fiscal year 2018.", "According to DHS OCHCO officials, the department did not develop plans or schedules with time frames to report cybersecurity critical needs. These officials stated that the report that the department submitted to Congress in March 2017 had contained plans and schedules. However, it did not capture and sequence all of the activities that DHS officials said must be completed in order to report critical needs. For example, the report did not include a schedule for completing the cybersecurity workforce strategy or conducting additional interviews and focus groups to complete the initial cybersecurity workforce research.", "Until DHS develops plans and schedules with time frames for reporting its cybersecurity critical needs, the department may not have important insight into its needs for ensuring that it has the workforce necessary to carry out its critical role of helping to secure the nation\u2019s cyberspace. Further, OPM may be hindered from using DHS\u2019s reports to understand critical needs consistently on a governmentwide basis."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DHS has begun the required workforce assessment activities to identify, categorize, and assign codes to its cybersecurity positions. However, the department did not complete the activities by their statutorily defined due dates and efforts are still ongoing. Specifically, the department did not develop timely and complete procedures or review its components\u2019 procedures. In addition, DHS\u2019s efforts to identify, categorize, and code cybersecurity positions were incomplete and unreliable. Without the ability to identify, categorize, and code its cybersecurity positions in a complete and accurate manner, DHS will not be able to effectively examine the cybersecurity workforce, identify skill gaps, and improve workforce planning.", "DHS has identified critical gaps in its cybersecurity workforce, but these gaps did not align with the NICE framework work categories and specialty areas of critical need, as required by the act. Specifically, DHS has not developed guidance to help its component agencies and offices identify their cybersecurity critical needs. Moreover, DHS lacks plans with defined time frames for completing its required annual reporting to OPM. Until the department addresses these issues, it may continue to miss reporting deadlines and be hindered from effectively identifying and prioritizing critical workforce efforts to recruit, hire, train, develop, and retain cybersecurity personnel across its multiple components. In addition, DHS may not have cybersecurity personnel with the required skills to better protect federal networks and national critical infrastructure from threats.", "The commitment of DHS\u2019s leadership is essential to successfully addressing these issues and the associated management weaknesses. By taking urgent and diligent action now, DHS will be better positioned to fulfill the requirements of HSCWAA and to identify and code its filled and vacant cybersecurity positions accurately when it transitions to using the revised NICE framework."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to DHS: The Secretary of Homeland Security should develop procedures on how to identify and code vacant cybersecurity positions. (Recommendation 1)", "The Secretary of Homeland Security should identify the individual in each component who is responsible for leading that component\u2019s efforts in identifying and coding cybersecurity positions. (Recommendation 2)", "The Secretary of Homeland Security should establish and implement a process to periodically review each component\u2019s procedures for identifying component cybersecurity positions and maintaining accurate coding. (Recommendation 3)", "The Secretary of Homeland Security should ensure OCHCO collects complete and accurate data from its components on all filled and vacant cybersecurity positions when it conducts its cybersecurity identification and coding efforts. (Recommendation 4)", "The Secretary of Homeland Security should develop guidance to assist DHS components in identifying their cybersecurity work categories and specialty areas of critical need that align to the NICE framework. (Recommendation 5)", "The Secretary of Homeland Security should develop plans with time frames to identify priority actions to report on specialty areas of critical need. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We received written comments on a draft of this report from DHS. In the comments (reprinted in appendix III), the department concurred with our six recommendations and provided estimated completion dates for implementing each of them.", "With regard to recommendations 1 and 2, DHS stated that, by February 28, 2018, it plans to finalize and disseminate an updated version of its cybersecurity position identification and coding guidance to address vacant positions, as well as issue a memorandum requiring its components to designate a lead for reporting progress to OCHCO. Further, by April 30, 2018, the department said it plans to address recommendation 3 by disseminating a memorandum that includes a process for periodically reviewing component procedures and instructions for components to report related data and documents.", "DHS also stated that, by June 29, 2018, it plans to issue memorandums to its components that provide instructions, guidance, and plans to address recommendations 4 through 6. The department added that it intends to (1) periodically review compliance and cybersecurity workforce data concerns with component leads to ensure data accuracy; (2) disseminate a reporting schedule for identifying cybersecurity critical needs; and (3) develop and disseminate a project plan with milestones, due dates, and responsibilities for reviewing progress and reporting on workforce planning actions in fiscal years 2018 and 2019.", "The aforementioned actions, if implemented effectively, should help DHS address the intent of our recommendations. In addition, we received technical comments from the department, which we have incorporated, as appropriate.", "We also provided a draft of this report for OPM\u2019s review and comments. In response, an OPM program analyst stated, via email, that the agency had no edits, comments, or revisions to the draft report.", "We are sending copies of this report to appropriate congressional committees, the Secretary of Homeland Security, and the Director of the Office of Personnel Management. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov, or Chris Currie at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to identify the extent to which DHS has: 1. identified, categorized and assigned employment codes to 2. identified its cybersecurity workforce areas of critical need.", "To address both objectives, we examined Department of Homeland Security (DHS) Office of Chief Human Capital Officer (OCHCO) and component cybersecurity workforce data and documentation and interviewed OCHCO and component officials. In addition, we reviewed Standards for Internal Control in the Federal Government and Key Principles for Effective Strategic Workforce Planning, and then compared the cybersecurity workforce internal controls and project management processes that DHS implemented to address the act to the selected standard.", "We also administered a questionnaire and data collection instrument (DCI) to a nonprobability sample of 6 of 15 DHS components. To select the 6 components we used OPM\u2019s Enterprise Human Resources Integration-Statistical Data Mart data on DHS civilian positions. We segmented the 15 components into 3 groups, based on their reported total number of cybersecurity personnel in DHS\u2014high, medium, and low. From each group, we selected 2 DHS components with the highest number of cybersecurity functions, as reported by DHS. Where components or offices in the same tier have equivalent cybersecurity functions, we selected the DHS component or office with the highest share of cybersecurity employees. This approach resulted in the selection of the following DHS components:", "U.S. Customs and Border Protection,", "Departmental Management and Operations,", "National Protection and Programs Directorate,", "U.S. Secret Service,", "Science & Technology Directorate, and", "U.S. Citizenship and Immigration Services.", "The results of this analysis are not generalizable to all DHS components.", "In both the questionnaire and DCI, we asked questions related to the status of DHS\u2019s identification, categorization and assignment of employment codes to cybersecurity positions, and identification of its cybersecurity workforce areas of critical need. To minimize errors that might occur from respondents interpreting our questions differently from our intended purpose, we performed a preliminary review of the questionnaire and DCI with OCHCO officials.", "The selection of OCHCO officials for preliminary review was based on OCHCO\u2019s oversight role in the implementation of the Homeland Security Cybersecurity Workforce Assessment Act of 2014 (HSCWAA). During this review, we interviewed the officials to ensure that the questions were applicable, clear, unambiguous, and easy to understand. We then revised our questionnaire and DCI based on the feedback provided during the preliminary review. All respondents completed the final questionnaire and DCI, although not all survey respondents answered every question. We then reviewed the responses and interviewed relevant component officials in order to get clarification and validation of their responses.", "We determined that the data obtained from the questionnaire and DCI are sufficiently reliable for the purpose of reporting DHS\u2019 progress in assigning cybersecurity codes. However, these data have the following limitations: component responses may be from a particular program or office and not cover the breadth of the program, and component reported data may be estimated or unavailable.", "To address our first objective, we reviewed and analyzed DHS\u2019s department-level cybersecurity workforce procedures and communications and organizational documents for identifying cybersecurity positions and assigning work-position codes in accordance with the act. Further, we examined department-level data from the Department of Agriculture\u2019s National Finance Center, DHS dashboard reports, and DHS progress reports to the Office of Personnel Management (OPM) and Congress. To assess the reliability of OCHCO and component cybersecurity workforce data, we compared them with data from OPM\u2019s Enterprise Human Resources Integration-Statistical Data Mart data on DHS civilian positions and against the National Finance Center personnel and payroll system data on the cybersecurity coding of DHS civilian positions as appropriate. In addition, we reviewed and analyzed component-level cybersecurity workforce procedures, as well as cybersecurity workforce data and documentation, including data calls to selected component-level offices in DHS. We evaluated these documents against the act\u2019s requirements and Standards for Internal Control in the Federal Government to ensure that DHS\u2019s processes addressed leading practices.", "To address our second objective, we reviewed and analyzed DHS\u2019s planned actions for identifying its cybersecurity workforce areas of critical need, including data calls to components, and DHS progress reports to OPM and Congress. We also examined OCHCO and component cybersecurity workforce data and department-level workforce planning documentation to evaluate the status of the department\u2019s efforts to identify its cybersecurity workforce areas of critical need. We compared these documents against the act\u2019s requirements, DHS-wide and component-specific workforce planning processes, the National Initiative for Cybersecurity Education (NICE) framework categories and specialty areas, and Standards for Internal Control in the Federal Government to ensure DHS met its requirements.", "To assess the reliability of OPM\u2019s Enterprise Human Resources Integration-Statistical Data Mart data on DHS civilian positions, we reviewed the data for obvious errors as well as compared OPM\u2019s written responses to our data reliability questionnaire regarding the generation and use of the data. We determined that the data were sufficiently reliable for the purpose of helping inform our selection of a nonprobability sample of 6 DHS components as described above.", "To assess the reliability of National Finance Center personnel and payroll system data on the cybersecurity coding of DHS civilian positions, we examined the data for outliers and obvious errors and compared those data to data and documentation from DHS components. In addition, we interviewed and observed DHS officials generate and use the National Finance Center data. We determined that the data were sufficiently reliable for the purposes of reporting DHS cybersecurity workforce coding progress. The data are limited in that only filled federal civilian positions were reported in the National Finance Center system. Vacancies, contractors, and military were not included in those data.", "To assess the reliability of DHS\u2019s OCHCO and component human capital systems data on the DHS civilian cybersecurity workforce, we reviewed the data for outliers and obvious errors, and compared them against data from the National Finance Center personnel and payroll system. We also interviewed officials from OCHCO and selected DHS components regarding the generation and use of the data. We determined that the data were sufficiently reliable for the purpose of reporting DHS\u2019 progress in assigning cybersecurity codes. However, the data have the following limitations: component responses may be from a particular program or office and not cover the breadth of the program, data may be estimated by components, and data may be measured at different intervals\u2014for example, total cybersecurity workforce may be measured at a different point in time than cybersecurity workforce positions coded.", "For both objectives, we supplemented the information and knowledge obtained from our assessments by holding discussions with relevant DHS OCHCO and the six components\u2019 officials to evaluate the status of the department\u2019s efforts to implement the act.", "We conducted this performance audit from March 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: National Initiative for Cybersecurity Education (NICE) Cybersecurity Workforce Framework Categories and Specialty Areas", "paragraphs": ["Appendix II: National Initiative for Cybersecurity Education (NICE) Cybersecurity Workforce Framework Categories and Specialty Areas Oversees, evaluates, and supports the documentation, validation, assessment, and authorization processes necessary to assure that existing and new information technology (IT) systems meet the organization\u2019s cybersecurity and risk requirements. Ensures appropriate treatment of risk, compliance, and assurance from internal and external perspectives.", "Develops and writes/codes new (or modifies existing) computer applications, software, or specialized utility programs following software assurance best practices.", "Works on the development phases of the systems development life cycle.", "Consults with customers to gather and evaluate functional requirements and translates these requirements into technical solutions. Provides guidance to customers about applicability of information systems to meet business needs.", "Develops system concepts and works on the capabilities phases of the systems development life cycle; translates technology and environmental conditions (e.g., law and regulation) into system and security designs and processes.", "Conducts technology assessment and integration processes; provides and supports a prototype capability and/or evaluates its utility.", "Develops and conducts tests of systems to evaluate compliance with specifications and requirements by applying principles and methods for cost- effective planning, evaluating, verifying, and validating of technical, functional, and performance characteristics (including interoperability) of systems or elements of systems incorporating IT.", "Addresses problems; installs, configures, troubleshoots, and provides maintenance and training in response to customer requirements or inquiries (e.g., tiered-level customer support).", "Develops and administers databases and/or data management systems that allow for the storage, query, and utilization of data.", "Manages and administers processes and tools that enable the organization to identify, document, and access intellectual capital and information content.", "Installs, configures, tests, operates, maintains, and manages networks and their firewalls, including hardware (e.g., hubs, bridges, switches, multiplexers, routers, cables, proxy servers, and protective distributor systems) and software that permit the sharing and transmission of all spectrum transmissions of information to support the security of information and information systems.", "Installs, configures, troubleshoots, and maintains server configurations (hardware and software) to ensure their confidentiality, integrity, and availability. Also, manages accounts, firewalls, and patches. Responsible for access control, passwords, and account creation and administration."], "subsections": [{"section_title": "NICE Specialty Area Systems Analysis", "paragraphs": ["NICE Specialty Area definition Conducts the integration/testing, operations, and maintenance of systems security.", "Conducts training of personnel within pertinent subject domain. Develops, plans, coordinates, delivers and/or evaluates training courses, methods, and techniques as appropriate.", "Applies knowledge of data, information, processes, organizational interactions, skills, and analytical expertise, as well as systems, networks, and information exchange capabilities to manage acquisition programs. Executes duties governing hardware, software, and information system acquisition programs and other program management policies. Provides direct support for acquisitions that use information technology (IT) (including National Security Systems), applying IT-related laws and policies, and provides IT-related guidance throughout the total acquisition life cycle.", "Provides legally sound advice and recommendations to leadership and staff on a variety of relevant topics within the pertinent subject domain. Advocates legal and policy changes, and makes a case on behalf of client via a wide range of written and oral work products, including legal briefs and proceedings.", "Oversees the cybersecurity program of an information system or network; including managing information security implications within the organization, specific program, or other area of responsibility, to include strategic, personnel, infrastructure, requirements, policy enforcement, emergency planning, security awareness, and other resources.", "Develops policies and plans and/or advocates for changes in policy that supports organizational cyberspace initiatives or required changes/enhancements.", "Supervises, manages, and/or leads work and workers performing cybersecurity work.", "Uses defensive measures and information collected from a variety of sources to identify, analyze, and report events that occur or might occur within the network in order to protect information, information systems, and networks from threats.", "Tests, implements, deploys, maintains, reviews, and administers the infrastructure hardware and software that are required to effectively manage the computer network defense service provider network and resources. Monitors network to actively remediate unauthorized activities.", "Responds to crises or urgent situations within the pertinent domain to mitigate immediate and potential threats. Uses mitigation, preparedness, and response and recovery approaches, as needed, to maximize survival of life, preservation of property, and information security. Investigates and analyzes all relevant response activities.", "Conducts assessments of threats and vulnerabilities; determines deviations from acceptable configurations, enterprise or local policy; assesses the level of risk; and develops and/or recommends appropriate mitigation countermeasures in operational and nonoperational situations."], "subsections": []}, {"section_title": "NICE Specialty Area Analyze category All-Source Analysis", "paragraphs": ["Analyzes threat information from multiple sources, disciplines, and agencies across the intelligence community. Synthesizes and places intelligence information in context; draws insights about the possible implications.", "Analyzes collected information to identify vulnerabilities and potential for exploitation.", "Applies current knowledge of one or more regions, countries, non-state entities, and/or technologies.", "Identifies and assesses the capabilities and activities of cybersecurity criminals or foreign intelligence entities; produces findings to help initialize or support law enforcement and counterintelligence investigations or activities.", "Applies language, cultural, and technical expertise to support information collection, analysis, and other cybersecurity activities."], "subsections": []}, {"section_title": "Collect and Operate category Collection Operations", "paragraphs": ["Executes collection using appropriate strategies and within the priorities established through the collection management process.", "Performs activities to gather evidence on criminal or foreign intelligence entities in order to mitigate possible or real-time threats, protect against espionage or insider threats, foreign sabotage, international terrorist activities, or to support other intelligence activities.", "Performs in-depth joint targeting and cybersecurity planning process. Gathers information and develops detailed Operational Plans and Orders supporting requirements. Conducts strategic and operational-level planning across the full range of operations for integrated information and cyberspace operations."], "subsections": []}, {"section_title": "Investigate category Digital Forensics", "paragraphs": ["Collects, processes, preserves, analyzes, and presents computer-related evidence in support of network vulnerability mitigation, and/or criminal, fraud, counterintelligence or law enforcement investigations.", "Applies tactics, techniques, and procedures for a full range of investigative tools and processes to include, but not limited to, interview and interrogation techniques, surveillance, counter surveillance, and surveillance detection, and appropriately balances the benefits of prosecution versus intelligence gathering.", "OPM guidance states that individuals primarily engaged in project or program management for cybersecurity projects or tasks should be coded with the Cybersecurity Program/Project Management value (80)."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts above, Ben Atwater (assistant director), Tammi Kalugdan (assistant director), David Hong (analyst-in-charge), Christy Abuyan, Alexander Anderegg, David Blanding, Jr., Chris Businsky, Wayne Emilien, Jr., David Plocher, Luis E. Rodriguez, and Priscilla Smith made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-105", "url": "https://www.gao.gov/products/GAO-18-105", "title": "Central States Pension Fund: Department of Labor Activities under the Consent Decree and Federal Law", "published_date": "2018-06-04T00:00:00", "released_date": "2018-06-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Multiemployer plans are collectively bargained pension agreements often between labor unions and two or more employers. CSPF is one of the nation's largest multiemployer defined benefit pension plans, covering about 385,000 participants. Since 1982, the plan has operated under a court-enforceable consent decree which, among other things, requires that the plan's assets be managed by independent parties. Within 7 years, CSPF estimates that the plan's financial condition will require severe benefit cuts. GAO was asked to review the events and factors that led to the plan's critical financial status and the oversight DOL provides under the consent decree and under other federal laws.", "GAO reviewed (1) what is known about the factors that contributed to CSPF's critical financial condition, (2) DOL's role in the administration of the 1982 CSPF consent decree and what actions the agency has taken under that role, and (3) what actions, if any, DOL has taken to oversee CSPF, beyond those required under the consent decree. GAO reviewed the consent decree and its amendments, relevant federal laws and regulations, agency guidance on plan management, and DOL protocols for investigating plans; interviewed CSPF representatives, International Brotherhood of Teamsters officials and members, federal officials, and industry stakeholders; and reviewed correspondence between DOL and CSPF and documents related to DOL investigations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Central States, Southeast and Southwest Areas Pension Fund (CSPF) was established in 1955 to provide pension benefits to trucking industry workers and is one of the largest multiemployer plans. According to its regulatory filings, CSPF had less than half the estimated funds needed to cover plan liabilities in 1982 at the time it entered into a court-enforceable consent decree that provides for oversight of certain plan activities. Since then, CSPF has made some progress toward achieving its targeted level of funding; however, CSPF has never been more than 75 percent funded and its funding level has weakened since 2002, as shown in the figure below.", "Stakeholders GAO interviewed identified numerous factors that contributed to CSPF's financial condition. For example, stakeholders stated that changes within the trucking industry, as well as a decline in union membership, contributed to CSPF's inability to maintain a healthy contribution base. CSPF's active participants made up about 69 percent of all participants in 1982, but accounted for only 16 percent in 2016. The most dramatic change in active participants occurred in 2007 when the United Parcel Service, Inc. (UPS) withdrew from the plan. At that time, UPS accounted for about 30 percent of the plan's active participants (i.e. workers). In addition, the market declines of 2001 to 2002 and 2008 had a significant negative impact on the plan's long-term investment performance. Stakeholders noted that, while each individual factor contributed to CSPF's critical financial condition, the interrelated nature of the factors also had a cumulative effect on the plan's financial condition.", "The 1982 consent decree between the U.S. Department of Labor (DOL) and CSPF came about as a result of an investigation of alleged breaches of fiduciary duty and mismanagement of plan assets, and is intended to prevent their reoccurrence. In addition to reiterating the requirement that the plan comply with the Employee Retirement Income Security Act of 1974 (ERISA)\u2014the primary law governing the treatment of private-sector pensions in the United States\u2014the consent decree further outlines requirements for the plan to help ensure fiduciary controls and plan management, including seeking court approvals for the appointment of new trustees and changes to the plan's investment policy. The consent decree also delineates roles for DOL and other stakeholders. For example, it allows DOL to object to or comment on certain proposed plan actions, but does not require the agency to do so. GAO's review of plan documents found that the agency provided oversight and technical assistance in the areas specifically identified for its involvement under the consent decree, such as vetting proposed trustees prior to the court's approval.", "DOL is primarily responsible for enforcing the reporting, disclosure, and fiduciary provisions of ERISA for all tax-qualified pension plans, including CSPF. ERISA sets forth a \u201cprudent man standard of care\u201d in the execution of fiduciary duties that, according to DOL, focuses on the process for making proper fiduciary decisions. Plan fiduciaries are responsible for selecting and monitoring investment managers, but are generally not liable for the individual investment decisions of those managers. To enforce ERISA, DOL conducts examinations and investigations. Since the consent decree was established, DOL officials reported that the agency has completed two investigations of CSPF. The two investigations\u2014completed in 1998 and 2004\u2014were closed without adverse findings against the plan. Beyond the agencies' oversight role, DOL collaborated with CSPF and others on steps intended to improve the plan's financial position, including contributing to discussions on proposed legislation and working with CSPF on its application to reduce benefits under the Multiemployer Pension Reform Act of 2014. The application was not approved by the U.S. Department of the Treasury."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Established in 1955 to provide pension benefits to trucking industry workers, the Central States, Southeast and Southwest Areas Pension Fund (CSPF) is one of the nation\u2019s largest multiemployer pension plans, with $15.3 billion in assets at the end of 2016. About 1,400 employers are obligated to contribute to CSPF, and the plan covers almost 385,000 participants. Since 1982, the plan has operated under a court- enforceable consent decree which, among other things, requires it to obtain approval from the U.S. District Court for the Northern District of Illinois, Eastern Division, for certain plan activities and allows for U.S. Department of Labor (DOL) input prior to the court\u2019s approval. Currently, CSPF is projected to become insolvent within 7 years and is classified as a \u201ccritical and declining\u201d plan under the Employee Retirement Income Security Act of 1974 (ERISA), as amended by subsequent laws, including the Multiemployer Pension Reform Act of 2014 (MPRA). In addition to causing financial hardship for hundreds of thousands of CSPF retirees who are at risk of severe benefit cuts, CSPF\u2019s projected insolvency is also likely to coincide with the projected insolvency of the multiemployer insurance program managed by the Pension Benefit Guaranty Corporation (PBGC). The insolvency of PBGC\u2019s multiemployer program would significantly impact the level of PBGC-guaranteed benefits to current and future beneficiaries in all multiemployer plans receiving PBGC assistance. In light of these issues, you asked us to review the events and factors that led to CSPF\u2019s critical financial condition, how it compares to similar plans, and the oversight DOL provides under the consent decree and under ERISA.", "In this report, we reviewed (1) what is known about the factors that contributed to CSPF\u2019s critical financial condition; (2) DOL\u2019s role in the administration of the 1982 CSPF consent decree and what actions DOL has taken under that role; and (3) what actions, if any, DOL has taken to oversee CSPF, beyond those required under the consent decree.", "To answer these questions, we used several methodologies. For all objectives, we reviewed CSPF and DOL documentation and available literature; reviewed relevant federal laws and regulations; and interviewed CSPF officials, federal officials, and other knowledgeable industry stakeholders. To describe the major factors that led to CSPF\u2019s critical financial condition, we conducted 23 semi-structured interviews with federal agency officials and other stakeholders knowledgeable about unions, participants and retirees, the trucking industry, collective bargaining agreements, and multiemployer pension plans. We also interviewed three stakeholders with actuarial expertise to specifically understand actuarial standards and procedures. In our semi-structured interviews we asked about key factors affecting the plan and the broader regulatory and financial environment in which multiemployer plans operate. We selected knowledgeable stakeholders based on a review of literature and prior GAO work, and recommendations from other stakeholders. Additionally, we selected stakeholders whose expertise coincided with the scope of our objectives and who would be able to provide a broad range of perspectives. We also collected actuarial, financial, and other data on current and historical measures of plan assets, liabilities, investment performance, and other factors, and performed our own analyses of this data. The data and documentation collected was generally from the plan or agencies that oversee pensions. We determined the information to be generally reliable for the purposes of our objectives.", "To describe DOL\u2019s oversight role under the consent decree and under federal laws and regulations, we reviewed the consent decree and its amendments, relevant federal laws and regulations, multiemployer plan management guidance available to plans on DOL\u2019s website, and DOL\u2019s protocols for investigating and overseeing pension plans. We also reviewed correspondence between CSPF and DOL since 1982, when the consent decree was put into place. Correspondence was provided by CSPF in response to our request for documentation of DOL oversight, and to our follow-up requests for additional documentation related to specific time periods and topics, such as investigations and steps taken to vet trustee candidates. DOL also provided documentation throughout the course of our engagement, including documentation it provided between September and October 2017 that it had not previously identified as being relevant to our review. We completed an on-site file review at DOL in September 2017, and DOL sent us additional electronic documentation in September and October 2017. Overall, we reviewed extensive documentation from DOL\u2014spanning over 10,000 pages of paper-based and electronic files\u2014and spent substantial time cataloging and categorizing it. However, DOL officials reported that certain documentation related to CSPF was no longer available because it had only been retained for the time specified in the records retention policy of the relevant office, and that many individuals at DOL and the plan who were involved in establishing the consent decree in 1982 and ensuring compliance in the intervening years were no longer available. However, we believe the information provided by CSPF and DOL was sufficient to determine the nature of DOL\u2019s oversight.", "We conducted this performance audit from March 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CSPF is a defined benefit multiemployer pension plan. Multiemployer plans are often created and maintained through collective bargaining agreements between labor unions and two or more employers, so that workers who move from job to job and employer to employer within an industry can continue to accrue pension benefits within the same plan over the course of their careers. Multiemployer plans are typically found in industries with many small employers such as trucking, building and construction, and retail food sales. In 2017, there were about 1,400 defined benefit multiemployer plans nationwide covering more than 10 million participants."], "subsections": [{"section_title": "Multiemployer Plan Administration, Funding, and Benefits", "paragraphs": [], "subsections": [{"section_title": "Administration", "paragraphs": ["Most multiemployer plans are jointly administered and governed by a board of trustees selected by labor and management. The labor union typically determines how the trustees representing labor are chosen and the contributing employers or an employer association typically determines how the trustees representing management are chosen. The trustees set the overall plan policy, direct plan activities, and set benefit levels (see fig. 1).", "Multiemployer plans are \u201cprefunded,\u201d or funded in advance, primarily by employer contributions. The employer contribution is generally negotiated through a collective bargaining agreement, and is often based on a dollar amount per hour worked by each employee covered by the agreement. Employer contributions are pooled in a trust fund for investment purposes, to pay benefits to retirees and their beneficiaries, and for administrative expenses. Multiemployer plan trustees typically decide how the trust fund should be invested to meet the plan\u2019s objectives, but the trustees can use investment managers to determine how the trust fund should be invested.", "A plan\u2019s funded percentage is its ratio of plan assets to plan liabilities. Because the amount needed to pay pension benefits for many years into the future cannot be known with certainty due to a variety of economic and demographic factors, including the potential volatility of asset values, estimates of a plan\u2019s funded percentage may vary from year to year. Defined benefit pension plans use a \u201cdiscount rate\u201d to convert projected future benefits into their \u201cpresent value.\u201d The discount rate is the interest rate used to determine the current value of estimated future benefit payments and is an integral part of estimating a plan\u2019s liabilities. The higher the discount rate, the lower the plan\u2019s estimate of its liability. Multiemployer plans use an \u201cassumed-return approach\u201d that bases the discount rate on a long-term assumed average rate of return on the pension plan\u2019s assets. Under this approach, the discount rate depends on the allocation of plan assets. For example, a reallocation of plan assets into more stocks and fewer bonds typically increases the discount rate, which reduces the estimated value of plan liabilities, and therefore, reduces the minimum amount of funding required.", "Looking at the entire \u201cmultiemployer system\u201d\u2014the aggregation of multiemployer plans governed by ERISA and insured by PBGC\u2014shows that while the system was significantly underfunded around 2001 and 2009, its funded position has improved since 2009. Specifically, analyses published by the Center for Retirement Research at Boston College and the Society of Actuaries used plan regulatory filings to calculate the funded status for the system and determined that it was approaching 80 percent funded by 2014 after falling during the 2008 market downturn. However, some observers have noted that while many plans are making progress toward their minimum targets, a subset of plans face serious financial difficulties."], "subsections": []}, {"section_title": "Benefits", "paragraphs": ["Multiemployer retirement benefits are generally determined by the board of trustees. The bargaining parties negotiate a contribution rate and the trustees adopt or amend the plan\u2019s benefit formulas and provisions. Decisions to increase benefits or change the plan are also typically made by the board of trustees. Benefit amounts are generally based on a worker\u2019s years of service and either a flat dollar amount or the worker\u2019s wage or salary history, subject to further adjustment based on the age of retirement."], "subsections": []}]}, {"section_title": "The Central States, Southeast and Southwest Areas Pension Fund (CSPF)", "paragraphs": ["CSPF was established in 1955 to provide pension benefits to International Brotherhood of Teamsters union members (Teamsters) in the trucking industry and it is one of the largest multiemployer plans. In the late 1970s, CSPF was the subject of investigations by the IRS within the U.S. Department of the Treasury (Treasury), and by DOL and the U.S. Department of Justice (DOJ). The DOL investigation ultimately resulted in the establishment of a federal court-enforceable consent decree in 1982 that remains in force today. CSPF held more than $4.3 billion in Net Assets at the end of 1982 after the consent decree was established. The plan\u2019s Net Assets peaked at nearly $26.8 billion at the end of 2007 and declined to about $15.3 billion at the end of 2016 (see fig. 2). As of 2016, CSPF reported that it had about 1,400 contributing employers and almost 385,000 participants.", "The number of active CSPF participants has declined over time. In 2016, 16 percent of about 385,000 participants were active, i.e., still working in covered employment that resulted in employer contributions to the plan. In comparison, CSPF reported in 1982 that 69 percent of more than 466,000 participants were active participants. Since the 1980s, CSPF\u2019s ratio of active to nonworking participants has declined more dramatically than the average for multiemployer plans. By 2015, only three of the plan\u2019s 50 largest employers from 1980 still paid into the plan, and for each full-time active employee there were over five nonworking participants, mainly retirees. As a result, benefit payments to CSPF retirees have exceeded employer contributions in every year since 1984. Thus, CSPF has generally drawn down its investment assets. In 2016, CSPF withdrew over $2 billion from investment assets (see fig. 3.).", "CSPF has historically had fewer plan assets than were needed to fully fund the accrued liability\u2014the difference referred to as unfunded liability. In 1982, we reported that CSPF was \u201cthinly funded\u201d\u2014as the January 1, 1980, actuarial valuation report showed the plan\u2019s unfunded liability was about $6 billion\u2014and suggested that IRS should closely monitor CSPF\u2019s financial status. In 2015, the plan\u2019s actuary certified that the plan was in \u201ccritical and declining\u201d status. The plan has been operating under an ERISA-required rehabilitation plan since March 25, 2008, which is expected to last indefinitely. As of January 1, 2017, the plan was funded to about 38 percent of its accrued liability. In September 2015, CSPF filed an application with Treasury seeking approval to reduce benefits pursuant to provisions in the Multiemployer Pension Reform Act of 2014 (MPRA), which is fully discussed later in this section. The application was denied in May 2016 based, in part, on Treasury\u2019s determination that the plan\u2019s proposed benefit suspensions were not reasonably estimated to allow the plan to remain solvent. In 2017, CSPF announced it would no longer be able to avoid the projected insolvency. (See app. I for a timeline of key events affecting CSPF.)"], "subsections": []}, {"section_title": "The Consent Decree", "paragraphs": ["As previously mentioned, CSPF was the subject of investigations in the 1970s by IRS, DOL, and DOJ. DOL\u2019s investigation focused on numerous loan and investment practices alleged to constitute fiduciary breaches under ERISA, such as loans made to companies on the verge of bankruptcy, additional loans made to borrowers who had histories of delinquency, loans to borrowers to pay interest on outstanding loans that the fund recorded as interest income, and lack of controls over rental income. As a result of its investigation, DOL filed suit against the former trustees of CSPF and, in September 1982, the parties entered into a consent decree, which remains in force today. The consent decree provides measures intended to ensure that the plan complies with the requirements of ERISA, including providing for oversight by the court and DOL, and prescribes roles for multiple parties in its administration. For example, certain plan activities must be submitted to DOL for comment and to the court for approval, including new trustee approvals and some investment manager appointments. According to DOL, to prevent criminal influence from regaining a foothold of control over plan assets, the consent decree generally requires court-approved independent asset managers\u2014called \u201cnamed fiduciaries\u201d\u2014to manage CSPF\u2019s investments. CSPF\u2019s trustees are generally prohibited from managing assets; however, they remain responsible for selecting, subject to court approval, and overseeing named fiduciaries and monitoring plan performance. To focus attention on compliance with ERISA fiduciary responsibility provisions, the consent decree provides for a court-appointed independent special counsel with authority to observe plan activities and oversee and report on the plan. (See app. II for additional detail on the key provisions of the consent decree.)"], "subsections": []}, {"section_title": "Legal Framework", "paragraphs": [], "subsections": [{"section_title": "Employee Retirement Income Security Act of 1974", "paragraphs": ["In 1974, Congress passed ERISA to protect the interests of participants and beneficiaries of private sector employee benefit plans. Among other things, ERISA requires plans to meet certain requirements and minimum standards. DOL, IRS, and PBGC are generally responsible for administering ERISA and related regulations.", "DOL has primary responsibility for administering and enforcing the fiduciary responsibility provisions under Part 4 of Title I of ERISA, which include the requirement that plan fiduciaries act prudently and in the sole interest of participants and beneficiaries.", "Treasury, specifically the IRS, is charged with determining whether a private sector pension plan qualifies for preferential tax treatment under the Internal Revenue Code. Additionally, the IRS is generally responsible for enforcing ERISA\u2019s minimum funding requirements, among other things. ERISA generally requires that multiemployer plans meet minimum funding standards, which specify a funding target that must be met over a specified period of time. The funding target for such plans is measured based on assumptions as to future investment returns, rates of mortality, retirement ages, and other economic and demographic assumptions. Under the standards, a plan must collect a minimum level of contributions each year to show progress toward meeting its target, or the plan employers may be assessed excise taxes and owe the plan for missed contributions plus interest. Minimum contribution levels may vary from year to year due to a variety of economic and demographic factors, such as addressing differences between assumed investment returns and the plan\u2019s actual investment returns.", "To protect retirees\u2019 pension benefits in the event that plan sponsors are unable to pay plan benefits, PBGC was created by ERISA. PBGC is financed through mandatory insurance premiums paid by plans and plan sponsors, with premium rates set by law. PBGC operates two distinct insurance programs: one for multiemployer plans and another for single- employer plans. Each program has separate insurance funds and different benefit guarantee rules.", "The events that trigger PBGC intervention differ between multiemployer and single-employer plans. For multiemployer plans, the triggering event is plan insolvency, the point at which a plan begins to run out of money while not having sufficient assets to pay the full benefits that were originally promised when due. PBGC does not take over operations of an insolvent multiemployer plan; rather, it provides loan assistance to pay administrative expenses and benefits up to the PBGC-guaranteed level. According to PBGC, only once in its history has a financial assistance loan from the multiemployer pension insurance program been repaid. In 2017, PBGC provided financial assistance to 72 insolvent multiemployer plans for an aggregate amount of $141 million. For single-employer plans the triggering event is termination of an underfunded plan\u2014generally, when the employer goes out of business or enters bankruptcy. When this happens, PBGC takes over the plan\u2019s assets, administration, and payment of plan benefits (up to the statutory limit).", "The PBGC-guaranteed benefit amounts for multiemployer plans and the premiums assessed by PBGC to cover those benefit guarantees are significantly lower than those for single-employer plans. Each insured multiemployer plan pays flat-rate insurance premiums to PBGC based on the number of participants covered. The annual premium rate for plan years beginning in January 2017 was $28 per participant and it is adjusted annually based on the national average wage index. (See app. I for the PBGC premium rates that have been in effect since the consent decree was established in 1982.) When plans receive financial assistance, participants face a reduction in benefits. For example, using 2013 data, PBGC estimated 21 percent of more than 59,000 selected participants in insolvent multiemployer plans then receiving financial assistance from PBGC faced a benefit reduction. The proportion of participants facing reductions due to the statutory guarantee limits is expected to increase. About 51 percent of almost 20,000 selected participants in plans that PBGC believed would require future assistance were projected to face a benefit reduction.", "Since 2013, the deficit in PBGC\u2019s multiemployer program has increased by nearly 700 percent, from a deficit of $8.3 billion at the end of fiscal year 2013 to $65.1 billion at the end of fiscal year 2017. PBGC estimated that at of the end of 2016, the present value of net new claims by multiemployer plans over the next 10 years would be about $24 billion, or approximately 20 percent higher than its 2015 projections. The program is projected to become insolvent within approximately 8 years. If that happens, participants who rely on PBGC guarantees will receive only a very small fraction of current statutory guarantees. According to PBGC, most participants would receive less than $2,000 a year and in many cases, much less.", "We have identified PBGC\u2019s insurance programs as high-risk. This designation was made in part because multiemployer plans that are currently insolvent, or likely to become insolvent in the near future, represent a significant financial threat to the agency\u2019s insurance program. We designated the single employer program as high-risk in July 2003, and added the multiemployer program in January 2009. Both insurance programs remain on our high-risk list."], "subsections": []}, {"section_title": "Key Amendments to ERISA Affecting Multiemployer Plans", "paragraphs": ["Multiemployer Pension Plan Amendments Act of 1980 Among other things, the Multiemployer Pension Plan Amendments Act of 1980 (MPPAA) made employers liable for a share of unfunded plan benefits when they withdraw from a plan, unless otherwise relieved of their liability, and strengthened certain funding requirements. An employer that chooses to withdraw from a multiemployer plan may be required to continue to contribute if the plan does not have sufficient assets to cover the plan\u2019s current and known future liabilities at the time the employer withdraws; however, these payments may not fully cover the withdrawing employer\u2019s portion of the plan\u2019s liabilities. In such cases, the employers remaining in the plan may effectively assume the remaining liability.", "The Pension Protection Act of 2006 The Pension Protection Act of 2006 (PPA) was intended to improve the funding of seriously underfunded multiemployer plans, among other things. It included provisions that require plans in poor financial health to take action to improve their financial condition over the long term and established two categories of troubled plans: (1) \u201cendangered status\u201d or \u201cyellow zone\u201d plans (this category also includes a sub-category of \u201cseriously endangered\u201d), and (2) more seriously troubled \u201ccritical status\u201d or \u201cred zone\u201d plans. PPA further required plans in the endangered and critical zones to develop written plans to improve their financial condition, such as by revising benefit structures, increasing contributions, or both, within a prescribed time frame. Multiemployer plans in yellow or red zone status must document their remediation strategies in a written plan, notify plan participants, and report annually on whether scheduled progress has been made. Since the 2008 market decline, the number of participants in endangered and critical plans has generally been decreasing (see fig. 4).", "The Multiemployer Pension Reform Act of 2014 In response to the funding crisis facing PBGC and multiemployer pension plans, the Multiemployer Pension Reform Act of 2014 (MPRA) made changes to the multiemployer system that were intended to improve its financial condition. Key changes included:", "Creation of critical and declining status. MPRA created a new category, \u201ccritical and declining,\u201d for plans in critical status projected to become insolvent during the current plan year or within any of the 14 succeeding plan years, or in certain circumstances, within any of the 19 succeeding plan years. In 2017, PBGC reported that more than 100 multiemployer plans (more than 7 percent of plans) representing approximately 1 million participants (about 10 percent of participants) have been determined to be \u201ccritical and declining.\u201d", "Permitted reduction of accrued benefits. MPRA permits plans to reduce participants\u2019 and beneficiaries\u2019 accrued retirement benefits if the plan can demonstrate such action is necessary to remain solvent. Plans apply to Treasury for the authority to reduce benefits. Treasury, in consultation with PBGC and DOL, reviews the applications and determines whether the proposed changes would enable the plan to remain solvent.", "Increased PBGC premiums. MPRA also increased the PBGC premiums for multiemployer plans from $12 to $26 (per participant per plan year) in 2015 and from $26 to $28 in plan year 2017. The annual premium in subsequent years is indexed to changes in the national average wage index.", "Creation of new framework of rules for partition. Partition allows a multiemployer plan to split into two plans\u2014the original and a successor. Partitions are intended to relieve stress on the original plan by transferring the benefits of some participants to a successor plan funded by PBGC and to help retain participant benefits in the plans at levels higher than the PBGC-guaranteed levels."], "subsections": []}]}]}, {"section_title": "CSPF\u2019s Critical Financial Condition Is a Result of Factors That Reflect Challenges Experienced by the Multiemployer System", "paragraphs": [], "subsections": [{"section_title": "CSPF Has Been Underfunded Since the Consent Decree Was Established", "paragraphs": ["At the time the consent decree was established in 1982, CSPF had less than half the estimated funds needed to cover plan liabilities (and to pay associated benefits over the lifetime of participants) and it has not attained 100 percent of its estimated funding need since then, according to regulatory filings. CSPF\u2019s 1982 Form 5500 we reviewed shows that the plan was less than 40 percent funded prior to the consent decree becoming effective. Over the next two decades, the plan generally made progress toward achieving its targeted level of funding but was never more than 75 percent funded, and funding has generally deteriorated since its 2002 filing (see fig. 5). Overall, the plan\u2019s unfunded liability increased by approximately $11.2 billion (in inflation-adjusted dollars) between January 1983 and January 2016. As a consequence, participant benefits were never fully secured by plan assets over this period, as measured by ERISA\u2019s minimum funding standards, and the plan consistently needed to collect contributions in excess of those needed to fund new benefit accruals to try to make up for its underfunded status."], "subsections": []}, {"section_title": "Stakeholders Described Multiple Factors That Contributed to CSPF\u2019s Critical Financial Condition, Many of Which Have Been Experienced by Other Multiemployer Plans", "paragraphs": ["CSPF officials and other stakeholders identified several factors that contributed to CSPF\u2019s critical financial condition and reflect the challenges faced by many multiemployer plans. For example, like CSPF, many multiemployer plans have experienced financial difficulties due to a combination of investment losses and insufficient employer contributions. In addition to being underfunded prior to the consent decree going into effect, stakeholders identified other specific factors that contributed to CSPF\u2019s critical financial condition, such as trends within the national trucking industry and its workforce, funding challenges and common investment practices of multiemployer plans, and the impact of market downturns on long-term investment performance. Stakeholders also described the effects of the 2007 withdrawal of a key employer, United Parcel Service (UPS), on CSPF\u2019s critical financial condition."], "subsections": [{"section_title": "Key Industry Specific Workforce Trends", "paragraphs": ["Stakeholders we interviewed said changes to the workforce, such as declining union membership rates and changes resulting from industry deregulation, affected CSPF and some other multiemployer plans by reducing the number of workers able to participate in their plans. While the multiemployer structure distributes bankruptcy risk across many employers, for any particular multiemployer plan employers are often concentrated in the same industry, making the plans vulnerable to industry-specific trends and risks. For example, stakeholders noted the impact that the Motor Carrier Act of 1980 had on the trucking industry. Specifically, deregulation of the trucking industry reduced government oversight and regulation over interstate trucking shipping rates. The trucking industry became increasingly dominated by nonunion trucking companies resulting in the bankruptcy of many unionized trucking companies, according to stakeholders. New trucking companies typically did not join multiemployer plans because their labor force was not unionized and this, coupled with the bankruptcy of many contributing employers, contributed to a decrease in active participant populations for many plans serving the industry. As the total number of active participants in a plan declines, the resources from which to collect employer contributions declines proportionally. Stakeholders also said these changes were unforeseeable. Limitations on a plan\u2019s ability to increase contributions mean that a plan has less capacity to recover from an underfunded position or to make up for investment returns that fall short of expectations.", "A decline in the number of active workers can also accelerate plan \u201cmaturity,\u201d as measured by the ratio of nonworking to working participants. Plan maturity has implications for a plan\u2019s investment practices and the time frame over which the plan must be funded. According to PBGC\u2019s data for the multiemployer plans it insures, there were approximately three active participants for every nonworking participant in 1980 (3:1); by 2014, the ratio was approximately one active worker for every two nonworking participants (1:2). Figure 6 shows the change in the percentages of active and nonworking participants for the multiemployer plans that PBGC insures.", "CSPF saw an even more dramatic change in its active to nonworking participant ratio from 1982 through 2015. In 1982, there were more than two active workers for every nonworking participant (2:1) and by 2016 that ratio had fallen to approximately one active worker for every five nonworking participants (1:5) (see fig. 7). Because CSPF\u2019s contributing employers were largely trucking companies, stakeholders said this made the fund especially vulnerable to industry-wide shocks. Like the industry as a whole, CSPF was unable to attract new employers to replace exiting employers, in part because of the lack of new unionized employers.", "CSPF officials said that changes to the trucking industry and its workforce also led to other challenges for the plan. For example, contributions to the plan declined with the shrinking number of active workers. CSPF officials told us they could not significantly increase the contribution rate paid by remaining employers because of the financial hardship it would cause, and as a result, the plan\u2019s ability to recover from its underfunded position was limited. CSPF officials said that this increased the plan\u2019s reliance on investment returns to try to close the gap between its assets and liabilities."], "subsections": []}, {"section_title": "Funding Challenges and Investment Practices", "paragraphs": ["Stakeholders we interviewed cited challenges inherent in multiemployer plans\u2019 funding and investment practices, and described how the challenges may have contributed to the critical financial condition of some plans, including CSPF.", "Stakeholders said that CSPF and many other multiemployer plans have been challenged by employer withdrawals. An employer withdrawal reduces the plan\u2019s number of active worker participants, thereby reducing its contribution base and accelerating plan maturity. A withdrawing employer generally must pay a share of any unfunded benefits. Stakeholders identified several ways in which the withdrawal liability framework could result in a withdrawing employer underpaying its share of an unfunded liability. We have previously reported on the challenges associated with withdrawal liability, including: withdrawal liability assessments are often paid over time, and payment amounts are based on prior contribution rates rather than the employer\u2019s actual withdrawal liability assessment; withdrawal liability payments are subject to a 20-year cap, regardless of whether an employer\u2019s share of unfunded benefits has been fully paid within this 20-year timeframe; plans often did not collect some or all of the scheduled withdrawal liability payments because employers went bankrupt before completing their scheduled payments; and fears of withdrawal liability exposure increasing over time could be an incentive for participating employers to leave a plan and a disincentive for new employers to join a plan.", "Stakeholders we interviewed also added that the calculation used to determine withdrawal liability may use an investment return assumption that inherently transfers risk to the plan.", "When exiting employers do not pay their share of unfunded benefits, any remaining and future employers participating in the plan may effectively assume the unpaid share as a part of their own potential withdrawal liability as well as responsibility for the exiting employer\u2019s \u201corphaned\u201d participants. Participating employers may negotiate a withdrawal if they perceive a risk that the value of their potential withdrawal liability might grow significantly over time.", "In its MPRA application, CSPF cited employer withdrawals and bankruptcies as a significant challenge for the plan. CSPF reported that after deregulation, the number of contributing employers dropped by over 70 percent. While some of the drop could be due to the consolidation of trucking companies after deregulation, CSPF officials cited several cases in which employers went bankrupt or withdrew from the plan, which reduced the plan\u2019s contribution base and accelerated its maturity. Additionally, when employers went bankrupt, they often did not pay their full withdrawal liability. For example, CSPF said two of its major contributing employers left the plan between 2001 and 2003, and left $290 million of more than $403 million in withdrawal liability unpaid after they went bankrupt.", "Stakeholders identified funding timeframes as a factor that contributed to the challenges facing many multiemployer plans, including CSPF. ERISA\u2019s minimum funding standards have historically allowed multiemployer plans to amortize, or spread out the period of time for funding certain events, such as investment shortfalls and benefit improvements. For example, CSPF began a 40-year amortization of approximately $6.1 billion in underfunding on January 1, 1981, giving the plan until the end of 2021 to fully fund that amount. Longer amortization periods increase the risk of plan underfunding due to the number and magnitude of changes in the plan\u2019s environment that may occur, such as a general decline in participants or deregulation of an industry. The Pension Protection Act of 2006 shortened amortization periods for single- employer plans to 7 years and the amortization periods for multiemployer plans to 15 years. Shorter amortization periods provide greater benefit security to plan participants by reducing an unfunded liability more rapidly. In addition, shorter amortization periods can be better aligned with the projected timing of benefit payments for a mature plan. However, shorter periods can be a source of hardship for plans with financially troubled contributing employers because they may require higher contributions. According to CSPF officials, CSPF requested and received an additional 10-year amortization extension from the IRS in 2005 after relating that contribution requirements could force participating employers into bankruptcy. One CSPF representative said an amortization extension can also help avoid subjecting the plan\u2019s employers to IRS excise taxes for failing to make required minimum contributions.", "Stakeholders we interviewed said that certain common investment practices may have played a role in the critical financial condition of CSPF and other mature and declining plans. In general, multiemployer plans invest in portfolios that are expected, on average, to produce higher returns than a low-risk portfolio, such as one composed entirely of U.S. Treasury securities. Stakeholders also stated that these investment practices may have been too risky because returns can be more volatile, and the higher expected returns might not be achieved. In addition, the Congressional Budget Office has reported that if \u201cplans had been required to fund their benefit liabilities\u2014at the time those liabilities were accrued\u2014with safer investments, such as bonds, the underfunding of multiemployer plans would have been far less significant and would pose less risk to PBGC and beneficiaries.\u201d", "Stakeholders also told us that for mature plans like CSPF, these investment practices can pose further challenges. Mature plans, with fewer active employees, have less ability to recoup losses through increased contributions and have less time to recoup losses through investment returns before benefits must be paid. Market corrections, such as those that occurred in 2001 through 2002 and in 2008, can be particularly challenging to mature plans and their participants, especially if a mature plan is also significantly underfunded. Mature plans could mitigate these risks by investing more conservatively, however, the resulting lower expected returns from more conservative investing necessitates higher funding targets and contribution rates, which could be a hardship for employers in an industry with struggling employers. Alternatively, a plan that invests more conservatively may provide lower promised benefits to accommodate the level of contributions it can collect. Lower investment returns from a more conservative investment policy would cost employers more in contributions and could potentially result in employers leaving the plan. Further, investing in a conservative portfolio would be relatively unique among multiemployer plans, and stakeholders said plan managers may feel they are acting in a prudent fashion by investing similarly to their peers. Underfunded plans like CSPF may not see conservative investment as an option if they cannot raise the contributions necessary to fully fund their vested benefits. Officials from CSPF told us that, because they lacked the ability to significantly increase revenue or decrease accrued benefits, the named fiduciaries sought incrementally higher investment returns to meet funding thresholds required by the amortization extension they received in 2005.", "On the other hand, there are challenges associated with risk-bearing investments. In our prior work, we reported that multiemployer plans generally develop an assumed average rate of investment return and use that assumption to determine funding targets, required contributions, and the potential cost of benefit improvements. Experts we interviewed for that report told us that using a portfolio\u2019s expected return to value the cost of benefits increases the risk that insufficient assets could be on hand when needed. They also told us that using the portfolio\u2019s expected return to calculate liabilities could incentivize plans to invest in riskier assets and to negotiate higher benefit levels because the higher returns expected from riskier portfolios can result in lower reported liabilities.", "Plan Terms Set through Collective Bargaining Stakeholders we interviewed said that plan terms, such as contribution rates, which are set through the collective bargaining process, can create an additional challenge for multiemployer plans. Employers in multiemployer plans generally are not required to contribute beyond what they have agreed to in collective bargaining, and these required employer contributions generally do not change during the term of a collective bargaining agreement. CSPF officials said that up until the early 2000s, plan officials did not request modifications to collective bargaining agreements, such as reallocating contribution dollars, to respond to adverse investment returns."], "subsections": []}, {"section_title": "Investment Performance and Market Downturns", "paragraphs": ["Stakeholders highlighted the effects of market downturns on multiemployer plan assets as another contributing factor to CSPF\u2019s critical financial condition and that of other multiemployer plans. Failure to achieve assumed returns has the effect of increasing unfunded liabilities. For the multiemployer system in aggregate, the average annual return on plan assets over the 2002 to 2014 period was about 6.1 percent, well short of typical assumed returns of 7.0 or 7.5 percent in 2002.", "Many multiemployer plans were especially impacted by the 2008 market downturn. PBGC estimated that from 2007 to 2009, the value of all multiemployer plan assets fell by approximately 24 percent, or $103 billion, after accounting for contributions to and payments from the plans. Although asset values recovered to some extent after 2009, some plans continued to be significantly underfunded, and stakeholders said this could be due to the contribution base not being sufficient to help recover from investment shortfalls.", "CSPF\u2019s investment performance since 2000 has reflected performance similar to other multiemployer plans and the plan went from 73 percent funded in 2000 to about 38 percent funded in 2017. While the plan used an assumed rate of return of 7.5 to 8.0 percent per year between 2000 and 2014, our analysis of the plan\u2019s regulatory filings shows that the plan\u2019s weighted-average investment return over this period was about 4.9 percent per year. CSPF officials said the 2008 downturn significantly reduced CSPF\u2019s assets and it was unable to sufficiently recoup those losses when the market rebounded in 2009. Plan assets declined from $26.8 billion at the beginning of 2008 to $17.4 billion at the beginning of 2009, with $7.5 billion of the decline attributable to investment losses. Despite reporting a 26 percent return on assets during 2009, CSPF had only $19.5 billion in assets at the end of 2009 because benefits and expenses exceeded the contributions it collected and because it had fewer assets generating returns for the plan. By the end of 2009, CSPF\u2019s funding target was $35.9 billion but the fund had less than $20 billion that could be used to generate investment returns. If CSPF\u2019s portfolio had returned 7.5 percent per year over the 2000-2014 period, instead of the approximately 4.9 percent we calculated, we estimate that the portfolio value would have exceeded $32.0 billion at the end of 2014, or 91 percent of its Actuarial Accrued Liability."], "subsections": []}, {"section_title": "Effect of UPS Withdrawal", "paragraphs": ["In addition to the factors mentioned that affected many multiemployer plans, stakeholders we interviewed also noted the unique effect of the UPS withdrawal on CSPF. In 2007, UPS negotiated with the International Brotherhood of Teamsters for a withdrawal from CSPF and paid a withdrawal liability payment of $6.1 billion. This payment was invested just prior to the 2008 market downturn. Moreover, the loss of UPS, CSPF\u2019s largest contributing employer, reduced the plan\u2019s ability to collect needed contributions if the plan became more underfunded. A UPS official said that, following the market decline of 2001-2002, the company considered whether it should withdraw from all multiemployer plans because it did not want to be the sole contributing employer in any plan. According to this official, UPS considered the large number of UPS employees in CSPF and the plan\u2019s demographics\u2014such as an older population and fewer employers\u2014in its decision to withdraw. CSPF officials said they did not want UPS to withdraw because its annual contributions accounted for about one-third of all contributions to the plan. CSPF officials also told us that, prior to the UPS withdrawal, they had expected the population of active UPS workers in the plan to grow over time.", "UPS\u2019 withdrawal of 30 percent of CSPF\u2019s active workers, in combination with the significant market downturn just after UPS withdrew, reflected the loss of working members and investment challenges on a large scale. Additionally, stakeholders noted that although each of the factors that contributed to CSPF\u2019s critical financial condition individually is important, their interrelated nature also had a cumulative effect on the plan. Industry deregulation, declines in collective bargaining, and the plan\u2019s significantly underfunded financial condition all impaired CSPF\u2019s ability to maintain a population of active workers sufficient to supply its need for contributions when investment shortfalls developed. Given historical rules for plan funding and industry stresses, CSPF was unable to capture adequate funding from participating employers either before or after they withdrew from the plan. The plan\u2019s financial condition was further impaired when long-term investment performance fell short of expectations. For an underfunded, mature plan such as CSPF, the cumulative effect of these factors was described by some stakeholders as too much for CSPF to overcome."], "subsections": []}]}]}, {"section_title": "DOL Has Provided Oversight in Its Role As Described in the Consent Decree", "paragraphs": [], "subsections": [{"section_title": "Roles and Responsibilities Identified in the Consent Decree", "paragraphs": ["The consent decree describes roles and responsibilities for several parties, including CSPF, its trustees, and DOL. Generally, it reiterates the requirement that CSPF must comply with ERISA, and gives DOL the authority to provide input on certain actions proposed by the plan. Additionally, the consent decree requires CSPF to employ a named fiduciary to administer and manage the plan\u2019s investment assets, set investment policy, and select and supervise investment managers to create separation of plan trustees and staff from the management of plan investments. The plan must seek court approval for certain actions, such as the appointment of new trustees and named fiduciaries, and DOL can raise objections to these proposed actions. The named fiduciary must also seek court approval for proposed changes to the investment policy. (Appendix II provides a more comprehensive description of roles and other key provisions of the consent decree and its amendments.) The consent decree also provides for a court-appointed independent special counsel to assist the court in overseeing the plan, attend meetings of the board of trustees, and submit quarterly reports on plan activities to the court (see table 1).", "Although certain stakeholders have stated that the consent decree has achieved its purpose, DOL and CSPF agree that it still provides valuable protections, and the consent decree remains in place. The intent of the consent decree was to address alleged breaches of fiduciary duties under ERISA, including plan officials\u2019 roles in the mismanagement of assets that were identified during DOL\u2019s investigation of the plan in the 1970s. The former Assistant Secretary for the Employee Benefits Security Administration (EBSA) stated that the consent decree was primarily focused on preventing corrupt conduct and the influence of organized crime found during investigations prior to the consent decree\u2019s establishment. Stakeholders agreed the consent decree accomplished its objectives by requiring the plan to seek court approval for certain activities. In 2004, the presiding judge noted in a memorandum opinion and order that the \u201cprofessional management guidelines\u201d that arose from the consent decree had worked well. In 2002, discussions arose between CSPF and DOL as to whether the consent decree should be dissolved. In 2011, the independent special counsel wrote in a letter to the court that he believed the plan was well-run and the role of the independent special counsel was no longer necessary. However, DOL officials stated that the provisions of the consent decree have created a strong incentive for ERISA compliance and have had a positive impact on the administration of the plan and the selection of trustees. Similarly, CSPF officials stated they had not requested the consent decree be dissolved because its requirements have provided valuable protection from stakeholder influence."], "subsections": []}, {"section_title": "DOL Conducted a Number of Oversight Activities under the Consent Decree", "paragraphs": ["In accordance with the requirements of the consent decree, DOL may provide input on and oversight to certain plan activities. For example, DOL may comment on or object to proposedboard of trustee candidates and proposed named fiduciaries prior to court approval. CSPF must provide notice to the court and DOL within specific time frames when seeking court approval for such actions. The consent decree requires CSPF to submit trustee and named fiduciary candidates to the court and DOL 60 days before filing their request for court approval (see fig. 8). In addition, the consent decree states that CSPF must notify DOL of new trustee candidates, selected by union or employer processes, 60 days prior to the proposed effective date of the candidate\u2019s term and DOL may object to, or comment on, the approval of trustee candidates within 30 days.", "Although the consent decree does not require DOL to take any specific actions in determining whether it will comment on or object to a trustee candidate, DOL officials reported that with the assistance of other agencies they have taken the following steps to review trustee candidates:", "Requesting trustee candidate information. DOL requests that CSPF provide information on prospective trustee candidates;", "Providing questionnaires to trustee candidates via CSPF. Responses to questionnaires are reviewed by DOL\u2019s Offices of Labor- Management Standards and Inspector General, the Department of Justice, the Federal Bureau of Investigation, and the Office of the Chief Investigator at the Teamster\u2019s Independent Review Board (IRB);", "Compiling additional information. DOL searches internal and external databases for information regarding the trustee candidates;", "Assessing the information. DOL reviews any findings identified by the attorney assigned to CSPF in DOL\u2019s Office of the Solicitor, officials in DOL\u2019s Plan Benefits Security Division, and EBSA management staff. A recommendation regarding whether to file an objection is discussed and, if filing an objection is being considered, it is first discussed with the plan; and", "Filing objections. If any identified issues cannot be resolved, DOL files an objection with the court.", "Documents submitted to the court by DOL also indicated the agency has sought input on trustee candidates from PBGC, IRS, and the National Labor Relations Board. Several trustees we interviewed confirmed that DOL\u2019s process to vet them included background checks. Our review of correspondence and other documentation found DOL routinely took such steps to vet trustee candidates. CSPF and DOL provided documents associated with the appointment and approval process of the 21 trustees appointed to the board since 1982 and one additional trustee candidate who was not presented to the court for approval because DOL identified issues during the vetting process. Vetting trustees took from approximately 1 to 5 months for the cases we reviewed. Our review of documentation also found that DOL provided input and collaborated with CSPF in two cases where approved trustees were asked to resign post- approval.", "The length of time for the process to vet trustee candidates (in advance of submitting them to the court) varied, but, in the cases we reviewed, took as long as 5 months. Correspondence showed various factors contributed to in the duration of DOL\u2019s vetting process prior to submitting candidates to the court for approval, including DOL officials\u2019 workload and vacation schedules, scheduling, and additional time spent clarifying any issues identified during the vetting process.", "In 2009, the vetting processes used by CSPF and DOL identified concerns with a trustee candidate before the candidate was presented to the court. During the 4-month vetting process, the candidate was found to be involved in two ongoing court cases in his role as a fiduciary for two other pension plans. Although the nominating employer association did not consider his involvement in the suit to be a problem, they eventually withdrew the nomination and proposed another candidate.", "In 2012, DOL\u2019s review of a candidate to fill a vacancy left by a trustee who died during his term in office was completed in approximately 1 month.", "In 2015, DOL\u2019s vetting process for a trustee candidate identified and resolved a concern before the candidate was presented to the court. DOL reported that they made inquiries to agencies and the Teamsters\u2019 Independent Review Board (IRB) about the candidate during the vetting process, and the IRB did not report any issues with the trustee candidate at the time of DOL\u2019s inquiry. More than 7 months after the candidate was approved, DOL received a report from the IRB that alleged lapses in financial controls and expense payment practices and procedures at a Teamsters\u2019 local union office when the then-trustee had served as president. The trustee resigned from CSPF\u2019s board 7 weeks later, but continued to serve as a trustee for an additional 5 months until a replacement was vetted by DOL and presented to the court for approval.", "In 2007 and 2009, CSPF kept DOL apprised of trustees who resigned and were replaced because employers were leaving the plan.", "The consent decree does not discuss court or DOL involvement in resolving issues with trustees already serving on the board, but in 1996, DOL assisted the CSPF board of trustees when they learned that one of their trustees, who had been on the board of CSPF for about 11 years, was accused of fiduciary misconduct in carrying out his duties for another pension plan. To assist the nominating board and the plan\u2019s board of trustees in determining the proper course of action, CSPF consulted with DOL and the court before filing a motion with the court to appoint a special counsel to investigate, and to authorize expenditures for the investigations. Following the special counsel\u2019s report, the nominating board recommended that trustee be removed, and the trustee chose to resign.", "Documents we reviewed also indicated DOL provided input to CSPF and the court on proposed amendments to the consent decree. For example, DOL assisted in writing a proposed amendment that would allow for the addition of a second named fiduciary and for named fiduciaries to act as investment managers for the plan. In addition, in 2007, a named fiduciary requested that CSPF assume responsibility for determining the plan\u2019s asset allocation and indemnify it for any losses it might incur in fulfilling its role. In response to the request, CSPF considered several approaches to insulating the named fiduciary from fiduciary risk, and whether they would be inconsistent with the consent decree; however, CSPF decided against requesting the consent decree be dissolved. CSPF officials consulted with DOL regarding the approaches they considered, including one that would allow for flexibility in the allocation of investment assets within prescribed bands. CSPF waited to file its motion to amend the consent decree until DOL had an opportunity to evaluate the proposals. CSPF decided not to proceed with the proposed amendments, and instead worked with the named fiduciary to make changes to the investment policy to reduce risk for the named fiduciary. In our review of documents provided by CSPF, we also found that DOL regularly reviewed the quarterly reports from the independent special counsel, which included topics of discussion at the meetings of the board of trustees, a quarterly financial report, and other recent events of significance to the plan.", "Our review of communication between CSPF and DOL showed the plan also provided updates and allowed for DOL\u2019s input on other actions. For example, CSPF responded to DOL inquiries about changes in the number of participants and the plan\u2019s funded status in 2011 and 2014, respectively. In 2009, CSPF also provided details about a possible arrangement to allow a contributing employer that was at risk of bankruptcy to defer its contribution payments instead of suspending its participation in the plan. CSPF received input from DOL on the employer\u2019s request to use real estate as collateral in place of cash contributions to the plan."], "subsections": []}]}, {"section_title": "DOL Conducted Investigations of CSPF in Accordance with Its Role under ERISA", "paragraphs": [], "subsections": [{"section_title": "DOL Has Primary Responsibility for Enforcing ERISA\u2019s Fiduciary Provisions", "paragraphs": ["Separate from its role under the consent decree, DOL has a primary oversight role over plans under ERISA, which it carries out through investigations and other activities. DOL is responsible for enforcing the reporting, disclosure, and fiduciary responsibility provisions of ERISA. Additionally, ERISA grants DOL investigative authority. Title I of ERISA establishes responsibilities for fiduciaries, such as persons who are responsible for the administration and management of employee benefit plans, to ensure that they act solely in the interest of plan participants and beneficiaries, and gives DOL authority to examine and investigate plans to ensure they comply with the provisions.", "ERISA sets forth a \u201cprudent man\u201d standard of care that requires fiduciary duties to be executed \u201c\u2026with the care, skill, prudence, and diligence\u2026that a prudent man acting in a like capacity and familiar with such matters would use\u2026\u201d. According to a DOL compliance guide, prudence focuses on the process for making fiduciary decisions, and the guide states that a fiduciary lacking needed expertise is encouraged to hire others with professional knowledge to carry out fiduciary function, including investing fund assets. The guide further notes that, if a plan appoints an investment manager that is a bank, insurance company, or registered investment advisor, the plan is responsible for selecting and monitoring the manager, but is not liable for the individual investments of that manager. Further, in testimony, the former Assistant Secretary for EBSA stated that plan fiduciaries are not liable for plan losses merely because an investment lost money, but rather would be in instances where they acted imprudently in selecting and monitoring investments. Beyond the requirements of ERISA, the consent decree requires that CSPF hire a named fiduciary with exclusive responsibility and authority to manage and control the assets allocated to them. The consent decree also requires the independent special counsel to provide quarterly reports to the court and DOL. The quarterly reports include topics of discussion at the meetings of the board of trustees, a quarterly financial report, and other recent events of significance to the plan.", "Although stakeholders identified major factors contributing to the plan\u2019s critical financial condition those factors are not the focus of DOL\u2019s role under ERISA. DOL has provided assistance to the plan in identifying and assessing solutions to its financial condition. For example, in 2010, CSPF\u2019s executive director worked directly with the assistant secretary of Labor as the plan prepared a partition application for PBGC consideration. According to CSPF officials, the plan chose not to submit the application because it did not believe the application would be approved. In 2015, CSPF had discussion with the assistant secretary about MPRA before CSPF ultimately submitted its application to Treasury to reduce pension benefits under MPRA.", "CSPF-provided documents show it also collaborated with DOL in developing strategies to improve the broader multiemployer plan system. For example, DOL contacted CSPF\u2019s executive director to participate in a meeting as a \u201cthought leader\u201d on PBGC investment policy. The plan also worked with the assistant secretary and DOL and other government officials on legislative proposals, including modifications to statutes concerning partitioning and how partitions are funded through PBGC. In 2010, the assistant secretary testified regarding changes to the partition process proposed by CSPF and others, stating DOL would continue to work with CSPF on the proposal.", "IRS and PBGC also have roles under ERISA related to key factors that stakeholders identified as contributing to CSPF\u2019s critical financial condition. IRS is responsible for enforcing certain ERISA requirements, including minimum participation, vesting and benefit accrual which are generally requirements to qualify for favorable tax treatment and minimum funding standards. Plans certify their PPA funding (or zone) status to IRS annually. PBGC, in addition to collecting premiums and providing financial assistance to insolvent multiemployer plans to pay participants a statutorily guaranteed benefit for the rest of their retirement lifetimes, provides technical assistance to multiemployer plan professionals, monitors plans, and administers certain tools to help preserve plans, such as assisting with plan mergers, reviewing methods for alternative withdrawal liabilities, and providing possible relief through plan partitions."], "subsections": []}, {"section_title": "Two Completed DOL Investigations Resulted in No Action Against CSPF", "paragraphs": ["DOL has completed at least two investigations of the plan since the consent decree was established; neither of which resulted in adverse findings or action against CSPF. DOL carries out its ERISA enforcement through a wide range of activities, including civil and criminal investigations and the agency\u2019s enforcement priorities are set annually at the national level. DOL officials stated that to meet those priorities, the national and regional offices of DOL develop enforcement projects to focus enforcement activities on specific plan activities. Investigations based on enforcement projects or triggered by participant complaints are conducted by regional offices\u2014DOL officials also stated that the Chicago Regional Office is primarily responsible for oversight of CSPF at the regional level. National and regional projects may be broadly applicable or may focus on specific types of plans. Since 2012, there have been seven national projects and five regional projects (two of the regional projects are currently underway). Currently, there is a Chicago Regional Office project focused on multiemployer plans.", "DOL officials noted that field offices generally exercise broad discretion in determining when investigations will be opened and what entities or people will be investigated. During investigations, the field offices gather information and evaluate compliance with ERISA\u2019s civil and criminal provisions. Potential issues for investigation are identified through participant complaints, targeting based on computer-generated results of Form 5500 review and analysis, media, and referrals from federal, state, and local government, advocacy groups and service providers. For the period between 2007 and 2016, DOL opened an average of nearly 2,600 civil and criminal pension cases annually; about 5 percent of the cases were investigations of multiemployer plans. ERISA\u2019s fiduciary responsibility provisions are intended to ensure that plan fiduciaries act solely in the interest of plan participants. Accordingly, if investigators review the selection of investments, they generally focus on the fiduciaries\u2019 duty of prudence in the selection and monitoring of investments, rather than the ultimate performance of the asset."], "subsections": [{"section_title": "Investigation 1 from DOL\u2019s Case Management System: Opened June 1996, Closed November 1998", "paragraphs": ["The investigation was opened based on a referral from DOL\u2019s Office of the Solicitor, the entity that coordinates DOL oversight of CSPF under the consent decree.", "The investigation centered on alleged breaches of fiduciary responsibility by the plan trustees in private litigation. The parties settled for a withdrawal liability of one-fifth of the alleged amount owed and did not pursue a malpractice claim against attorneys who represented CSPF in the litigation.", "DOL\u2019s Chicago Regional Office concluded that CSPF trustees were not in violation of ERISA. DOL\u2019s Office of Enforcement concurred.", "The investigation was closed without action."], "subsections": []}, {"section_title": "Investigation 2 from DOL\u2019s Case Management System: Opened June 2001, Closed September 2004", "paragraphs": ["The investigation was opened based on a complaint from a former employee of the named fiduciary who alleged he was fired when he brought possible misconduct to the attention of the named fiduciary.", "DOL\u2019s investigation was centered on alleged securities violations by the named fiduciary.", "DOL\u2019s Chicago Regional Office concluded that no violations occurred.", "Because of incomplete documentation from DOL and because agency officials could not provide further information, we were unable to determine why the investigation was closed.", "CSPF provided documents that indicated it had also been subject to earlier DOL investigations. For example, CSPF provided a June 1989 letter from DOL indicating the agency had investigated whether CSPF met its fiduciary duties through adequate procedures for monitoring legal services provided to the plan. In the letter, the DOL investigator noted that CSPF had written procedures for monitoring services and addressing disputes and that the plan provided reports showing activities surrounding the monitoring of legal fees. DOL concluded, based on available information, that CSPF had implemented monitoring procedures and DOL would take no further action. DOL did not provide further information about the letter or investigation."], "subsections": []}]}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to the U.S. Department of Labor, U.S. Department of the Treasury, and the Pension Benefit Guaranty Corporation for review and comment. We received technical comments from the U.S. Department of Labor and the Pension Benefit Guaranty Corporation, which we incorporated as appropriate. The U.S. Department of the Treasury provided no comments.", "We will send copies to the appropriate congressional committees, the Secretary of Labor, the Secretary of the Treasury, Director of the Pension Benefit Guaranty Corporation, and other interested parties. This report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or jeszeckc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Selected Events Affecting the Central States, Southeast and Southwest Areas Pension Fund", "paragraphs": ["Below is a list of selected events that have affected the Central States, Southeast and Southwest Areas Pension Fund (CSPF) as identified through a review of relevant documentation and interviews with stakeholders and agency officials. It is not intended to be an exhaustive list of the events that have impacted CSPF, nor is it intended to include comprehensive descriptions of each event."], "subsections": []}, {"section_title": "Appendix II: Key Provisions of the Central States, Southeast and Southwest Areas Pension Fund\u2019s Consent Decree", "paragraphs": [], "subsections": [{"section_title": "Brief History and Current Status of Consent Decree", "paragraphs": ["On September 22, 1982, the Department of Labor (DOL) entered into a court-enforceable consent decree with the Central States Southeast and Southwest Areas Pension Fund (CSPF) to help ensure the plan\u2019s assets were managed for the sole benefit of the plan\u2019s participants and beneficiaries as required by the Employee Retirement Income Security Act of 1974 (ERISA). The consent decree has been amended several times and currently remains in effect, as amended, under the jurisdiction of the Federal Court for the Northern District of Illinois, Eastern Division. Below is a description of the key parties to and their primary responsibilities under the consent decree."], "subsections": []}, {"section_title": "Key Parties and Their Primary Roles under Consent Decree", "paragraphs": ["The consent decree defines roles and responsibilities for its parties, including the court, the court-appointed independent special counsel, DOL, the plan and its Board of Trustees, and the independent asset manager, which is called the named fiduciary."], "subsections": [{"section_title": "Court", "paragraphs": ["The primary role of the court is to oversee and enforce the consent decree. Specifically, the court: appointed an independent special counsel to assist it in administering has approval over the appointment of named fiduciaries and trustees; has approval over the appointment of investment managers of the may, for good cause shown, remove a named fiduciary after 60 days\u2019 notice provided to the named fiduciary and DOL; and may, upon request by the plan, dissolve the consent decree absent good cause shown by DOL why the consent decree should continue in effect."], "subsections": []}, {"section_title": "Independent Special Counsel", "paragraphs": ["The court-appointed independent special counsel is intended to serve the court by assisting in identifying and resolving issues that arise in connection with the plan\u2019s compliance with the consent decree and Part 4 of Title I of ERISA, and to report on the plan to the court. Specifically, the independent special counsel: has full authority to examine the plan\u2019s activities and oversee and report on the plan\u2019s performance of the undertakings of the consent decree; may, with court approval, employ attorneys, accountants, investigators, and others reasonably necessary and appropriate to aid him in the exercise of his responsibilities; has full access to all documents, books, records, personnel, files, and information of whatever type or description in the possession, custody, or control of the plan; may attend meetings of the plan, including meetings of the board of trustees and any meetings at which plan-related matters are discussed or considered; can petition the court to compel the plan to cooperate with the independent special counsel in the performance of his duties and responsibilities; may consult with DOL, the Internal Revenue Service, and other agencies, as appropriate, but must provide access to DOL upon its request to any documents prepared by the independent special counsel within the exercise of his power; is required to file quarterly reports, as well as any other reports the independent special counsel deems necessary or appropriate, with the court, and provide copies to DOL and the plan; may have other powers, duties, and responsibilities that the court may later determine are appropriate; and cannot be discharged or terminated during the duration of the consent decree except for leave of court, and upon the termination, discharge, death, incapacity, or resignation of an independent special counsel, the court will appoint a successor."], "subsections": []}, {"section_title": "Department of Labor", "paragraphs": ["Under the consent decree, DOL has an oversight role and may object to certain proposed plan changes. Specifically, DOL: may request and review certain reports provided by the plan and any documents prepared by the independent special counsel in the exercise of his authority; may object to the appointment of proposed trustees, named fiduciaries, investment managers of the passively-managed accounts, and asset custodians; receives notice of proposed changes to the plan\u2019s investment policy statements from the plan; and may object to the dissolution of the consent decree."], "subsections": []}, {"section_title": "CSPF (including Board of Trustees and Internal Audit Staff)", "paragraphs": ["The plan must operate in full compliance with the consent decree, with ERISA, and with any conditions contained in determination letters it receives from the Internal Revenue Service. Specifically, CSPF, its board of trustees, and its internal audit staff must meet certain requirements. is required to use an independent asset manager known as the named fiduciary; must rebid the named fiduciary role at least once within every 6 years, with the option to extend the appointment for one calendar year; may remove a named fiduciary without cause shown on 6 months\u2019 written notice to the named fiduciary and DOL; must cooperate with the independent special counsel in the performance of his duties and responsibilities and with DOL in its continuing investigation and enforcement responsibilities under ERISA; is required to recommend to the court three replacement candidates, agreeable to DOL, to replace an outgoing independent special counsel; and is required to maintain a qualified internal audit staff to monitor its affairs. is required to appoint, subject to court approval, the investment managers of the passively-managed accounts; is prohibited from authorizing any future acquisitions, investments, or dispositions of plan assets on a direct or indirect basis unless specifically allowed by the consent decree; and is required to comply with ERISA fiduciary duties, such as monitoring the performance of the assets of the plan, under Part 4 of Title I of ERISA. is required to review benefit administration, administrative expenditures, and the allocation of plan receipts to investments and administration; and is required to prepare monthly reports setting forth any findings and recommendations, in cooperation with the executive director of the plan, and make copies available to the independent special counsel and, upon request, to DOL and the court."], "subsections": []}, {"section_title": "Named Fiduciaries", "paragraphs": ["The independent asset managers, known as named fiduciaries, are appointed by the plan\u2019s trustees, subject to court approval, and have exclusive responsibility and authority to manage and control all assets of the plan allocated to them. Specifically, the named fiduciaries: may allocate plan assets among different types of investments and have exclusive authority to appoint, replace, and remove those have responsibility and authority to monitor the performance of their are required to develop, in consultation with the Board of Trustees, and implement investment policy statements for the assets they manage, giving appropriate regards to CSPF\u2019s actuarial requirements."], "subsections": []}]}]}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Charles A. Jeszeck, (202) 512-7215 or jeszeckc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above David Lehrer (Assistant Director), Margaret J. Weber, (Analyst-in-Charge), Laurel Beedon, Charles J. Ford, Jessica Moscovitch, Layla Moughari, Joseph Silvestri, Anjali Tekchandani, Frank Todisco, and Adam Wendel made key contributions to this report. Also contributing to this report were Susan Aschoff, Deborah K. Bland, David M. Chrisinger, Helen Desaulniers, Ted Leslie, Sheila McCoy, Mimi Nguyen, and Walter Vance."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Central States Pension Fund: Investment Policy Decisions and Challenges Facing the Plan. GAO-18-106. Washington, D.C.: June 4, 2018.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Pension Plan Valuation: Views on Using Multiple Measures to Offer a More Complete Financial Picture. GAO-14-264. Washington, D.C.: September 30, 2014.", "Private Pensions: Clarity of Required Reports and Disclosures Could Be Improved. GAO-14-92. Washington, D.C.: November 21, 2013.", "Private Pensions: Timely Action Needed to Address Impending Multiemployer Plan Insolvencies. GAO-13-240. Washington, D.C.: March 28, 2013.", "Private Pensions: Multiemployer Plans and PBGC Face Urgent Challenges. GAO-13-428T. Washington, D.C.: March 5, 2013.", "Pension Benefit Guaranty Corporation: Redesigned Premium Structure Could Better Align Rates with Risk from Plan Sponsors. GAO-13-58. Washington, D.C.: November 7, 2012.", "Private Pensions: Changes Needed to Better Protect Multiemployer Pension Benefits. GAO-11-79. Washington, D.C.: October 18, 2010.", "Private Pensions: Long-standing Challenges Remain for Multiemployer Pension Plans. GAO-10-708T. Washington, D.C.: May 27, 2010.", "The Department of Labor\u2019s Oversight of The Management of the Teamsters\u2019 Central States Pension and Health and Welfare Funds. GAO/HRD-85-73. Washington, D.C.: July 18, 1985.", "Investigation to Reform Teamsters\u2019 Central States Pension Fund Found Inadequate. GAO/HRD-82-13. Washington, D.C.: April 28, 1982."], "subsections": []}], "fastfact": []} {"id": "GAO-18-648", "url": "https://www.gao.gov/products/GAO-18-648", "title": "Veterans First Program: VA Needs to Address Implementation Challenges and Strengthen Oversight of Subcontracting Limitations", "published_date": "2018-09-24T00:00:00", "released_date": "2018-10-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA spends billions every year to procure goods and services and is required to give preference to veteran-owned small businesses when awarding contracts\u2014a program known as Veterans First. In turn, those firms must comply with limitations on the use of subcontracting. A 2006 statute established Veterans First, and a 2016 Supreme Court decision clarified conflicting interpretations, resulting in changes to how VA must now implement the program.", "GAO was asked to review VA's implementation of Veterans First since the Supreme Court decision. Among other things, this report assesses the extent to which (1) changes occurred in procurement obligations to veteran-owned small businesses from fiscal years 2014 through 2017; (2) VA has encountered any challenges in implementing Veterans First policies; and (3) VA has mechanisms to oversee contractor compliance with subcontracting limitations.", "GAO analyzed VA regulations, policies, and contracting data; conducted three site visits; and reviewed a non-generalizable sample, selected based on factors such as high dollar value, of 35 contracts and orders, 29 of which VA awarded under Veterans First."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the percentage of Department of Veterans Affairs (VA) obligations set aside for veteran-owned small businesses under its Veterans First program was higher in 2017\u2014the first full year following the 2016 Supreme Court decision\u2014than in previous years. In its decision, the court clarified that VA contract competitions must be restricted to these businesses if they meet two criteria: (1) the contracting officer reasonably expects that at least two such businesses will submit offers, and (2) the award can be made at a fair and reasonable price and best value to the government. This has become known as the \u201cVA Rule of Two.\u201d VA created a new policy for implementing Veterans First following the 2016 decision. The percentage of obligations set aside for veteran-owned small businesses increased from fiscal years 2014 to 2017 (see figure).", "Contracting officers face challenges implementing aspects of Veterans First, some of which VA has addressed through policy and optional training. However, 12 of the 30 contracting officers GAO interviewed cited difficulty in assessing the second criterion of the VA Rule of Two when making a set-aside decision. Eight of them stated that they sometimes lacked confidence in their fair and reasonable price determinations. VA's training, however, does not fully address these more challenging aspects of implementing the Veterans First policy. More targeted training would provide VA with greater assurance that its contracting officers have the knowledge and skills necessary to implement the policy. Additionally, assessing whether training on this policy should be mandatory would allow VA to determine if it would be beneficial for all contracting officers.", "GAO found that VA conducts limited oversight of contractor compliance with limitations on subcontracting and has few mechanisms for ensuring compliance. For example, GAO found that the required clause for ensuring that veteran-owned small business contractors perform the required portion of work was either missing entirely or an outdated version was used in 11 of the 29 set-aside contract actions GAO reviewed. Without better oversight, VA is limited in its ability to detect violations and ensure that the goal of Veterans First\u2014to promote opportunities for veteran-owned small businesses\u2014is not undermined."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that VA provide more targeted training for contracting officers, assess whether training should be mandatory, ensure required clauses are included in contracts, and improve oversight of compliance with subcontracting limitations. VA agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) spent $26.2 billion in fiscal year 2017 to procure a wide range of goods and services\u2014including construction, information technology, medical supplies, and many others\u2014to meet veterans\u2019 needs. In 2006, in order to increase opportunities for veterans to do business with VA, Congress directed the department to apply a preference to Veteran-Owned Small Businesses (VOSB) and Service-Disabled Veteran-Owned Small Businesses (SDVOSB) before awarding competitive contracts. VA created what it calls its Veterans First Contracting Program (referred to in this report as Veterans First) to implement the statute.", "In June 2016, the Supreme Court\u2019s decision in Kingdomware Technologies, Inc. v. United States clarified conflicting interpretations of the requirement for the preference, concluding that VA must restrict competition to veteran-owned small businesses if the contracting officer reasonably expects that at least two such businesses will submit offers and the award can be made at a fair and reasonable price that offers best value to the United States. VA\u2019s prior practice had been to consider this preference mandatory only until it met its annual goals for contracting with veteran-owned small businesses. Prior VA practice was also not to apply it to orders placed against the Federal Supply Schedules (FSS). The Court held that VA must apply the preference\u2014often referred to as a \u201cset- aside\u201d\u2014before contracting under competitive procedures, regardless of whether VA has met goals, and to orders placed against FSS. In response, VA made a number of changes to the policies and regulations implementing its Veterans First program to ensure appropriate application across all of the department\u2019s contracts. Firms that receive contracts through this preference must also comply with a number of requirements, which generally includes the Small Business Administration\u2019s (SBA) Limitations on Subcontracting requirement. The purpose of the subcontracting limitations is to ensure that firms that receive awards on a set-aside basis perform a material portion of the contract themselves, rather than subcontracting a majority of the work to firms that would have been ineligible for the award.", "You requested that we examine changes to how VA implements the Veterans First program as a result of the Supreme Court\u2019s decision. This report assesses: (1) how VA procurement obligations to veteran-owned small businesses changed in the period from fiscal years 2014 through 2017; (2) what actions VA has taken to update Veterans First policies and regulations and provide training following the Supreme Court\u2019s decision; (3) what challenges, if any, VA is encountering in applying Veterans First policies; and (4) the extent to which VA has mechanisms in place to monitor compliance with subcontracting limitations by veteran-owned small businesses, and the effectiveness of such mechanisms.", "To assess how VA procurement obligations to veteran-owned small businesses changed in the period from fiscal years 2014 through 2017, we obtained data from VA\u2019s Electronic Contract Management System (eCMS) on all contracts from fiscal years 2014 through 2017, chosen to provide data before and after the Supreme Court decision. We analyzed these data to determine changes in the use of set-asides for SDVOSB and VOSB firms relative to overall VA contracting obligations during this period, to identify patterns across VA contracting organizations, and to determine the number of individual SDVOSB and VOSB firms that received awards for set-aside contracts from fiscal years 2014 through 2017. We analyzed VA\u2019s Office of Small and Disadvantaged Business Utilization\u2019s (OSDBU) Vendor Information Pages (VIP) database to determine the change in the total number of businesses that were certified during this same period. To assess the reliability of the data, we reviewed documentation and interviewed officials responsible for maintaining eCMS data to gather information on processes, accuracy, and completeness of the data; we chose to exclude actions reported in Express Reports\u2014summaries of multiple orders placed on existing contracts\u2014from our analysis because they were only consistently reported in eCMS starting in 2017. We determined that the eCMS and VIP data were sufficiently reliable for the purposes of this reporting objective.", "To assess what actions VA has taken to update Veterans First policies and regulations following the Supreme Court\u2019s decision, we analyzed policies, regulations, guidance, and training materials related to the program, and compared these to what VA had in place prior to the decision. We met with leadership at VA\u2019s national contracting organizations to discuss the implementation of the Veterans First policy within their organizations, and interviewed senior officials in VA\u2019s Office of Acquisition and Logistics, OSDBU, Office of General Counsel, and Veterans Health Administration\u2019s (VHA) Procurement and Logistics Office regarding the program.", "To assess what challenges, if any, VA is encountering in applying the Veterans First policy, we gathered documentation from six contracting organizations across the VA. We conducted site visits at a non- generalizable selection of three VHA regional offices, known as Veterans Integrated Service Networks (VISN). We focused our site visits on VHA because it is the largest contracting organization in the Department. We selected these VISNs primarily based on changes in total contract obligations to SDVOSBs and VOSBs from fiscal year 2015 to fiscal year 2017\u2014the first full fiscal years before and after the Supreme Court decision\u2014selecting two with among the largest percentage changes, and one with the lowest. At the selected VISNs, we interviewed leadership at their respective Network Contracting Offices, and selected a non- generalizable sample of 35 total contracts and orders\u201429 of which were set aside for SDVOSBs or VOSBs\u2014selected based on high dollar value, and for procurements of construction, services, or supplies. For each of the selected contracts and orders, we reviewed the contract files and interviewed both the contracting officer and the customer\u2014in most cases the contracting officer\u2019s representative. We held roundtable discussions of Veterans First implementation, training, and other matters with 8 to 11 contracting officers at each location, randomly selected from the construction, services, and supply teams. We also interviewed leaders at three VA national contracting organizations\u2014the National Acquisition Center, the Technology Acquisition Center, and the Strategic Acquisition Center.", "To assess the extent to which VA has mechanisms in place to monitor compliance with subcontracting limitations, we analyzed VA and SBA policies and regulations. To assess the effectiveness of VA\u2019s mechanisms, we evaluated the extent to which VA applied these mechanisms in the 29 selected contracts set aside for SDVOSBs and VOSBs. We reviewed the internal policies of VA\u2019s Subcontracting Compliance Review Program and analyzed the program\u2019s audit results. We interviewed senior VA procurement officials responsible for developing and/or implementing these mechanisms. We also reviewed our prior work and SBA and VA Inspector General reports on VA and other agencies\u2019 compliance with subcontracting limitations. See appendix I for a more detailed scope and methodology.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VA Contracting Organizational Structure", "paragraphs": ["VA serves veterans of the U.S. armed forces and provides health, pension, burial, and other benefits. The department\u2019s three operational administrations\u2014VHA, Veterans Benefits Administration, and National Cemetery Administration\u2014operate largely independently from one another. Each has its own contracting organization, though all three administrations also work with national contracting offices under the Office of Acquisition, Logistics, and Construction for certain types of purchases, such as medical equipment and information technology. VHA, which provides medical care to about 9 million veterans at 172 medical centers, is by far the largest of the three administrations and, as such, is the primary focus of our review. These VHA medical centers are organized into 18 VISNs, organizations that manage medical centers and associated clinics across a given geographic area. Each VISN is served by a corresponding Network Contracting Office, which awards contracts for goods and services needed by the VISN. VA\u2019s Office of Procurement Policy and Warrant Management (referred to in this report as the Office of Procurement Policy), within the Office of Acquisition and Logistics, is responsible for all procurement policy matters at the VA. Figure 1 shows the organizational structure of the procurement function at VA."], "subsections": []}, {"section_title": "Preferences for Veteran- Owned Small Businesses in Awards of VA Contracts", "paragraphs": ["The 2006 Veterans Benefits, Health Care, and Information Technology Act established a requirement that VA contract competitions must be restricted to SDVOSBs and VOSBs if: 1) the contracting officer reasonably expects that at least two such businesses will submit offers, and 2) the award can be made at a fair and reasonable price that offers the best value to the government. (In this report, we refer to these two elements of the law as criteria.) This determination is known as the \u201cVA Rule of Two.\u201d The statute also establishes an order of priority for the contracting preferences, with the highest preference for SDVOSBs, followed by VOSBs. (In this report, we refer to these businesses collectively as SD/VOSBs.)", "There are a number of socio-economic programs implemented in the Federal Acquisition Regulation (FAR) that provide contracting preferences or special contracting authorities for specific groups. These include contracting preferences for small businesses overall as well as more targeted preferences such as SBA\u2019s 8(a) Business Development Program, which assists disadvantaged small businesses. Unlike these other socioeconomic preference programs that generally apply to agencies across the federal government, the 2006 statute created a preference for SD/VOSBs that applies only to VA.", "In June 2016, the Supreme Court decision in Kingdomware Technologies, Inc. v. United States found that the manner in which VA had been applying the preference for SD/VOSBs was not consistent with the 2006 statute. This case arose because VA was not applying the statute\u2019s preference in competitions for orders under the FSS, which VA uses to order medical supplies, among other things. The Supreme Court ruled that VA\u2019s FSS orders are subject to the 2006 statute, and that the VA Rule of Two must be applied because the statute mandates its use before contracting under competitive procedures.", "Previously, VA considered FSS a mandatory source of supplies and services that must be used when possible, but did not require that contracting officers apply the Rule of Two when placing FSS orders. An example of a mandatory source used across the federal government is the AbilityOne procurement list. AbilityOne is a program to employ the blind and people with severe disabilities to provide supplies and services to federal customers. Federal agencies that need the specific products and services on AbilityOne\u2019s procurement list are generally required to purchase them through the program.", "Contracting officers, who are authorized to commit the government to contracts, are ultimately responsible for awarding and administering contracts, including ensuring compliance with the VA Rule of Two. Within the VA contracting organizations we reviewed, the contracting officer typically designates a representative of the customer office\u2014the organization that has requested the purchase of a good or service for its use\u2014as the contracting officer\u2019s representative. This individual assists with tasks that support the work of the contracting officer, such as market research, developing independent government cost estimates, and monitoring contractor performance."], "subsections": []}, {"section_title": "Verification of SD/VOSBs", "paragraphs": ["The 2006 statute also required VA to maintain a database of verified SD/VOSBs, and required that only firms appearing in the database may qualify for VA awards set aside for SD/VOSBs. VA\u2019s Office of Small and Disadvantaged Business Utilization (OSDBU) maintains this database through its Center for Verification and Evaluation, which assesses whether small businesses meet the criteria for being veteran-owned and controlled by verifying self-certifications provided by the SD/VOSBs. A separate federal agency, SBA, is responsible for setting size standards (by revenue and employees) for what constitutes a small business; the threshold varies by industry. Certified SD/VOSBs\u2014which VA has verified as owned and controlled by veterans\u2014are listed in VA\u2019s Vendor Information Pages (VIP). This is an online database accessible to VA\u2019s contracting workforce and the public that includes basic information about each firm. Firms listed in this database select numerical codes based on the North American Industry Classification System to identify the types of goods and services they seek to provide to the VA; firms can do business under a variety of these codes."], "subsections": []}, {"section_title": "Subcontracting Limitations", "paragraphs": ["While SD/VOSBs that receive awards through set-asides may subcontract with firms that do not have small business status, the SD/VOSBs generally must perform a certain percentage of the work on a contract themselves. The SBA establishes regulations that govern these subcontracting limitations, which were most recently revised in May 2016. These regulations place limits on the percentage of the overall contract value that firms in particular socio-economic categories, including SD/VOSBs, may pay to subcontractors that do not belong to the same category.", "The purpose of the subcontracting limitations is to ensure that firms that receive awards on a set-aside basis perform a material portion of the contract themselves, rather than subcontracting a majority of the work to firms that would have been ineligible for the award. Under SBA\u2019s revised regulations, subcontracted work performed by \u201csimilarly situated\u201d entities\u2014those in the same socio-economic category as the firm awarded the set-aside contract\u2014does not count against the subcontracting limitation. Table 1 lists the maximum percentage a firm that is awarded a set-aside contract may subcontract to firms that are not in the same socio-economic category under SBA\u2019s 2016 Subcontracting Limitations regulations.", "If a firm violates the subcontracting limitations, SBA\u2019s subcontracting limitation regulation would allow the government to impose a penalty of $500,000 or, if it is greater, the dollar amount spent on subcontracted work in excess of the permitted level. Contracting officers are responsible for ensuring compliance with the terms of the contract, and, as discussed in more detail below, the terms of a contract may include a requirement to comply with SBA\u2019s limitations on subcontracting regulation. In addition, we have reported that contracting officers were not clear who was responsible for the monitoring, and uncertain about how to conduct the monitoring. The VA\u2019s Inspector General and SBA compliance reviews have reported similar findings."], "subsections": []}]}, {"section_title": "Obligations to and Number of SD/VOSBs Receiving Awards Were Higher Following the Supreme Court Decision Obligations and Awards to SD/VOSBs Increased Since the Supreme Court Decision", "paragraphs": ["VA\u2019s set-asides to SD/VOSBs increased following the 2016 Supreme Court decision, particularly among non-construction contract actions. The change in percentage of obligations made under set-aside contracts varied across VA contracting organizations, in part because of differences in the types of goods and services they bought. The number of SD/VOSBs certified by VA also increased, as did the number of those firms that received contract awards.", "VA obligations and awards for SD/VOSB set-asides increased in fiscal years 2016 and 2017, particularly fiscal year 2017, which was the first full fiscal year following the 2016 Supreme Court decision. VA obligations for SD/VOSB set-asides have increased as a percentage of total VA obligations over this period, while the percentage of obligations through other set-aside types\u2014mostly non-veteran-owned small business set- asides\u2014remained almost steady. VA obligated about $3.9 billion through SD/VOSB set-asides in fiscal year 2017, and VA\u2019s overall obligations also increased. Figure 2 depicts this information.", "The number of individual awards\u2014new contracts and orders\u2014made by VA through SD/VOSB set-asides has also increased as a percentage of total VA awards from fiscal years 2014 through 2017, particularly in fiscal year 2017 following the Supreme Court decision, as shown in figure 3."], "subsections": [{"section_title": "SD/VOSB Non- Construction Set Asides Increased", "paragraphs": ["VA has consistently set aside a much greater percentage of construction contracts and orders for SD/VOSBs than for other types of goods and services, according to our analysis of VA eCMS data from fiscal years 2014 through 2017. Construction accounted for about 51 percent of obligations under SD/VOSB set-asides, despite construction representing only about 15 percent of VA\u2019s overall contract obligations during this period. VA contracting officials we spoke with stated that the market for firms performing construction services generally has a greater percentage of capable SD/VOSBs than the market for firms providing non- construction goods and services. VA contracting officers working on construction contracts told us that they experienced little effect from the policy changes related to the 2016 Supreme Court decision because they had already been setting aside most construction contract actions for SD/VOSBs. Nonetheless, there was an increase in the percentage of total obligations for construction set-asides to SD/VOSBs in fiscal year 2017, while total obligations for construction contracts declined. Figure 4 shows total and set-aside obligations for construction and non-construction contract actions in fiscal years 2014 through 2017.", "As depicted in figure 4, obligations for non-construction SD/VOSB set- asides increased in fiscal year 2017 both in total dollars and as a percentage of total obligations. Among obligations for non-construction SD/VOSB set-asides, the top five categories of goods and services by obligations across fiscal years 2014 through 2017 included: 1. Automatic data processing and telecommunications. 2. Information technology equipment, software, supplies, and support equipment. 3. Medical/dental equipment and supplies. 4. Professional services. 5. Housekeeping services."], "subsections": []}, {"section_title": "Obligations for SD/VOSB Set-Asides Varied across VA Contracting Organizations", "paragraphs": ["The percentage of obligations for SD/VOSB set-asides varied across VA contracting organizations. Among the contracting offices for VHA\u2019s 18 VISNs\u2014which together accounted for about 47 percent of total obligations\u2014the percentage for SD/VOSB set-asides ranged from approximately 17 percent to 40 percent in fiscal year 2017, as shown in figure 5.", "Total obligations and SD/VOSB set-aside obligations also varied across VA\u2019s three national contracting offices\u2014the National Acquisition Center, Strategic Acquisition Center, and Technology Acquisition Center\u2014in part because of differences in the types of goods and services they procure. The Technology Acquisition Center had a larger increase in SD/VOSB set-aside obligations than other contracting organizations in fiscal year 2017. This increase is consistent with our finding that IT-related categories were among the types of goods and services that had the highest increase in SD/VOSB obligations following the Supreme Court decision. The National Acquisition Center consistently had the lowest volume and percentage of obligations for SD/VOSB set-asides; officials noted that its areas of focus in pharmaceuticals and high tech medical equipment are markets that have little participation from small businesses and SD/VOSBs. Figure 6 shows obligations on set-aside and non-set- aside contracts and orders in these three national contracting offices over fiscal years 2014 through 2017."], "subsections": []}, {"section_title": "The Number of Veteran- Owned Small Businesses Receiving Set-Aside Awards Has Increased Since the Supreme Court Decision", "paragraphs": ["Data from VA\u2019s OSDBU shows consistent increases over the last several years in the number of certified firms listed in its VIP database, with a noticeable spike following the Supreme Court decision. While the number of certified SD/VOSBs in VIP increased annually from fiscal years 2014 through 2017, the largest increase\u2014from 8,925 to 11,926 firms\u2014 occurred in the last year of this time frame.", "The number of SD/VOSBs that received set-aside contracts or orders also increased over fiscal years 2015 through 2017. The largest year-to- year increase during this period was in the last year of this time frame, when the number increased from 1,174 to 1,663, as shown in figure 7."], "subsections": []}]}, {"section_title": "VA Updated Policy for the Veterans First Program and Provided Training to Contracting Officers to Address Confusion", "paragraphs": [], "subsections": [{"section_title": "VA Updated Veterans First Program Policy", "paragraphs": ["In response to the Supreme Court\u2019s 2016 decision in the case of Kingdomware Technologies, Inc. v. United States, VA released a July 2016 policy for the Veterans First program, a revision to its 2007 policy. To develop this revised policy, officials from VA\u2019s Office of Procurement Policy said they created an integrated project team that consisted of representatives from VA procurement leadership, the Office of General Counsel, OSDBU, and others. VA\u2019s Office of Procurement Policy also subsequently issued a \u201cclass deviation\u201d to the VA Acquisition Regulation to implement changes VA viewed as necessary for consistency with the Supreme Court\u2019s decision. VA\u2019s Deputy Senior Procurement Executive issues class deviations when necessary to allow VA\u2019s contracting organizations to deviate from the FAR or VA Acquisition Regulation. According to VA officials, these deviations effectively replace existing policy. The Office of Procurement Policy also issued guidance to provide clarifications on certain issues. Among the guidance VA issued was a decision tree that summarized how to apply the VA Rule of Two under the new 2016 Veterans First policy. Figure 8 presents our analysis of VA\u2019s process.", "VA\u2019s Office of Acquisition and Logistics had issued an Information Letter in June 2007 that established procedures for the Veterans First program, to comply with the 2006 federal statute that directed VA to prioritize SD/VOSBs in their contracting decisions. While the basic principle of the VA Rule of Two was the same across the 2007 and 2016 policies, the 2007 policy did not provide contracting officers as many details for applying the VA Rule of Two. In contrast, the 2016 policy provides more detail on how contracting officers must implement set-asides for SD/VOSBs across different types of procurements and various steps in the contracting process, including market research and use of existing contract vehicles\u2014such as FSS and agency-wide indefinite delivery contracts. These changes had implications for how VA contracting officers make contracting decisions and document their work. Table 2 summarizes key differences in emphasis between the 2007 and 2016 policies and the work that contracting officers must perform."], "subsections": []}, {"section_title": "VA Provided Training on Updated Veterans First Program Policy", "paragraphs": ["VA has conducted training for its workforce on the 2016 Veterans First policy and subsequent updates and guidance. VA\u2019s Office of Procurement Policy collaborated with the VA Acquisition Academy to provide several installments of online training to contracting officers. The academy offered initial training to contracting officers in July 2016, just after the policy was issued. Supplemental training was offered to supervisors in December 2016. In March 2018, the academy offered follow-up training for all contracting officers to provide further clarification on the Veterans First policy. These trainings focused on specific areas of frequent questions that the Office of Procurement Policy received from contracting officers, including market research, fair and reasonable price determinations, and limitations on subcontracting, among other things. These trainings were highly encouraged but not mandatory. Figure 9 details the training provided to contracting officers."], "subsections": []}, {"section_title": "VA Took Steps to Clarify Certain Aspects of Veterans First Policy to Help Address Contracting Officer Confusion and Concerns", "paragraphs": ["VA\u2019s Office of Procurement Policy addressed some aspects of the 2016 Veterans First policy that had caused confusion and concerns among contracting officers by providing additional guidance and policy. Contracting officers we met with told us of their initial uncertainty about whether they could use existing contract vehicles and whether they must apply the VA Rule of Two before using these vehicles under the Veterans First policy. In response to such concerns, the Office of Procurement Policy gathered frequently asked questions, and created guidance by posting answers on its website as another mechanism for providing clarification to contracting officers.", "VA also issued new policy and guidance to address contracting officers\u2019 concerns about the additional work and delays associated with cases where they set-aside a solicitation for SD/VOSBs but did not receive any offers. Specifically, 28 of the contracting officers we interviewed individually and in roundtable discussions told us they sometimes had to cancel SD/VOSB solicitations for this reason and then reopen procurements without the SD/VOSB set-aside, resulting in delays in the contract award process. Other contracting officials we spoke with told us that since the implementation of the 2016 Veterans First policy, individual contract actions take longer to award on average due to the need to re- solicit in cases where they set aside solicitations for SD/VOSBs but do not receive acceptable offers, as well as due to expectations for increased documentation of the rationale for issuing a solicitation without an SD/VOSB set-aside restriction. For instance, a contracting officer at one of the VISN contracting offices we visited stated that a majority of his contract actions have involved multiple rounds of solicitations, which has increased his workload and procurement lead times.", "In response to such concerns, VA\u2019s Office of Procurement Policy provided informal guidance in early 2017, followed by policy in February 2018 that contracting officers could use \u201ctiered\u201d or \u201ccascading\u201d solicitations. Under VA\u2019s current policy, VA issues a solicitation that requests offers from multiple types of firms, or \u201ctiers,\u201d including SD/VOSBs, other small business types, and, potentially, large businesses. The solicitation establishes an order of preference among the different tiers. The contracting officer separates the offers based on the firms\u2019 size or socioeconomic status, and then evaluates them in the order of preference established by the solicitation. If the award cannot be made at the first tier, the evaluation moves to the succeeding tier or tiers until an award can be made."], "subsections": []}]}, {"section_title": "Contracting Officers Face Several Challenges in Applying Aspects of the Veterans First Policy", "paragraphs": ["Applying the 2016 Veterans First policy has presented challenges for contracting officers. First, the VA system that contracting officers are required to use for the initial step of market research was not designed for this purpose, and contracting officers we interviewed expressed dissatisfaction with it. Second, contracting officers we spoke with expressed confusion about conducting market research and applying the VA Rule of Two criteria\u2014determining whether there is a reasonable expectation that two or more SD/VOSBs will submit offers and that award can be made at a fair and reasonable price that offers best value to the government. Further, contracting officers also expressed confusion on how to determine whether the prices offered by SD/VOSBs in response to a set-aside solicitation are fair and reasonable. Finally, continuing workload issues, real and perceived pressure to set aside contracts, and training not reaching all VA contracting officers are other factors that continue to contribute to the challenges."], "subsections": [{"section_title": "Contracting Officers Cited Barriers in Using VA\u2019s Vendor Information Pages System to Conduct Market Research", "paragraphs": ["VA\u2019s 2016 Veterans First policy requires contracting officers to use VIP as the first step in market research to identify SD/VOSBs capable of performing the work. While the use of VIP and documentation of its use had been required by the VA Acquisition Regulation since 2009, presenting it as the first step for all market research was a key change in how contracting officers use this system. Forty-one out of 60 contracting officers we interviewed individually and in roundtable discussions expressed dissatisfaction with VIP as the starting point for market research, citing difficulty in using it and lack of usefulness to conduct market research. Specifically, several of these contracting officers stated that while VIP can be used to determine whether firms are certified as SD/VOSBs, it does not contain much information to help them determine whether these SD/VOSBs will be capable of performing the contract. They also stated, and OSDBU officials confirmed, that each SD/VOSB self-selects the codes that indicate the types of goods and services it can provide, and many list a large number. As a result, a search can return hundreds of results. Twenty-six contracting officers we interviewed\u2014 either individually or in roundtable discussions\u2014stated that they have had instances where they issued an SD/VOSB set-aside solicitation based on a VIP search returning a high number of SD/VOSB contractors that provide the desired goods or services, but no SD/VOSBs submitted offers. Many of these contracting officers stated that, because they feel they cannot rely on the VIP results, they have taken subsequent steps such as using public \u201csources sought\u201d notices to gauge interest from SD/VOSBs. While this step requires additional time, they said they found it to be a better source of information for making a VA Rule of Two decision.", "VA OSDBU officials stated that they would like to provide contracting officers with enhanced utility for conducting and documenting market research. They acknowledged that VIP is not designed to be used as a market research tool and that the challenges contracting officers noted were not surprising. The director of OSDBU stated that VA is planning to make some improvements to its VIP database to provide better information on SD/VOSB capability, but, according to these officials, these improvements are not yet available for use.", "The 2016 Veterans First policy requires contracting officers to document their VIP searches in the contract file, but this requirement is being implemented inconsistently. Specifically, 29 of the 35 contract files we reviewed did not contain such documentation. The cognizant contracting officers for most of these contracts told us they conducted the VIP searches; some stated they forgot to print and attach the results to the contract file, while others stated they had difficulty printing the results. According to VA\u2019s Veterans First policy, documenting the results of the VIP search is required to establish the contracting officer\u2019s basis for the VA Rule of Two decision, regardless of whether the contract is set aside or not. Documenting this information in the case files, as required, provides VA with assurance that contracting officers have performed this search to support their overall market research efforts."], "subsections": []}, {"section_title": "Contracting Officers Face Challenges in Determining Whether to Set Aside for SD/VOSBs Under VA Rule of Two", "paragraphs": ["There are a large number of certified SD/VOSBs offering various goods and services\u2014about 12,000 as of fiscal year 2017, according to VIP data provided by the OSDBU. A number of contracting officers we met with stated that this can result in VIP searches that return a lengthy list of SD/VOSBs. As a result, the decision of whether to set aside a solicitation is often based on the second criterion of the VA Rule of Two\u2014whether there is a reasonable expectation that the award can be made at a price that is fair and reasonable and offers the best value to VA. To meet this criterion, the contracting officer combines research and professional judgment to make a decision whether to set aside or not, according to VA officials.", "While these VA Rule of Two criteria have not changed since 2007, contracting officers told us that their perception of the rule\u2019s application has changed following the Supreme Court decision and VA\u2019s 2016 Veterans First policy. Several contracting officers we met with stated that sometimes, when they identified that there were two or more SD/VOSBs that they expected to submit offers, they set aside a solicitation without providing full consideration of this second criterion. These contracting officers told us it is difficult in some cases to make a prospective determination that they can reasonably expect to be able to make an award at a fair and reasonable price without any actual offers in-hand. Contracting officers told us that prior to the Supreme Court decision their understanding was that they had the option to set aside contract actions for SD/VOSBs when they expected that the price would be fair and reasonable. They stated that after the decision, management relayed an expectation that contracting officers must set aside contract actions to SD/VOSBs unless they can prove that they cannot reasonably expect to make an award at a fair and reasonable price.", "Contracting officers also told us of instances where they identified multiple SD/VOSBs likely to submit proposals, but, based on their market research, it was unlikely that an award could be made at a fair and reasonable price that offered best value to VA. Many of these contracting officers stated that, despite those findings, they focused only on the number of SD/VOSBs, in part because they felt pressure to do so from local or headquarters\u2019 management, OSDBU, or feared protests from SD/VOSBs, which would delay the award.", "In two specific areas of contracting we found examples of differing approaches to addressing the challenges faced by contracting officers when applying the VA Rule of Two criteria. Prior to the Supreme Court decision, there was little use of SD/VOSB set-asides in real property leasing or for high-tech medical equipment, according to officials from contracting offices responsible for these procurements. After the decision, there was uncertainty about whether and how to apply the Veterans First policy to these areas of contracting. As illustrated in the examples below, real property officials continue to face challenges applying the VA Rule of Two to leasing, whereas high-tech medical equipment contracting officials addressed this challenge by preparing a business case and used it to apply the VA Rule of Two consistently across their contracts:", "Officials in VA\u2019s headquarters Construction and Facilities Management office\u2014responsible for planning, designing, and constructing VA facilities\u2014told us that prior to the Supreme Court decision they did not apply the VA Rule of Two to its real property leases. These officials stated that they have found the Rule of Two to be difficult to apply. According to the officials, VHA facilities have requirements for specific size, space, and location, and there are few SD/VOSBs in this industry, so it is rare that an SD/VOSB can meet these requirements. These officials further told us that, since the Supreme Court decision, they have often set aside lease solicitations for SD/VOSBs as long as there were two firms available despite uncertainty that these firms could compete for the work at a fair and reasonable price at best value to the VA.", "According to these VA officials, based on guidance they received from OGC and others, they felt compelled to conduct the procurements as SD/VOSB set-asides even when they were unsure that the second criterion of the VA Rule of Two would be met. These officials stated they are often unable to make awards to those firms\u2014either because their proposals were not acceptable, or the SD/VOSBs did not submit proposals at all. They expressed concern that the Veterans First program is being applied to leasing when, from their perspective, it is impractical to do so. They stated that these challenges in applying VA\u2019s Rule of Two criteria have added an average of 3 to 6 months to the process of awarding a new lease, resulting in delays in developing new facilities. Similarly, officials responsible for awarding leases at one VISN contracting office we visited told us they set aside a solicitation to an SDVOSB even though only one SDVOSB responded to a sources sought notice. This action was taken, according to the contracting officials, because they were concerned that their decision would be challenged by OSDBU if they did not set it aside. They stated they had been without a broker\u2014a firm that helps to negotiate leases\u2014for more than a year due to challenges in applying the VA Rule of Two, making it difficult for them to move forward with any new leases.", "In both cases, VA officials stated that they decided to solicit on an SD/VOSB set-aside basis even though they lacked confidence that there was a reasonable expectation that two or more SD/VOSBs would submit offers and that award could be made at a fair and reasonable price that offered the best value to the government. Also, in both cases, VA had to reissue solicitations without the SD/VOSB set-aside restriction, which lengthened the time that VA procurement staff were required to spend on the acquisition and delayed the fulfillment of VA\u2019s leasing requirements.", "In contrast, another VA contracting organization determined that SD/VOSB set-asides were not feasible because there was no reasonable expectation that two or more SD/VOSBs would submit offers and that award could be made at a fair and reasonable price.", "The National Acquisition Center\u2019s program to procure high-tech medical equipment\u2014such as magnetic resonance imaging and X-ray machines\u2014historically had little participation from SD/VOSBs. Following the release of the 2016 Veterans First policy, contracting officials responsible for the program halted all non-emergency purchases for over a year while they conducted an analysis of how to apply the VA Rule of Two to purchases of high-tech medical equipment. These officials analyzed the marketplace and concluded that no SD/VOSBs manufacture such equipment, and that purchasing this equipment from SD/VOSB resellers would greatly increase costs and not present the best value to VA.", "The results of this analysis were summarized in an internal report that was used as documentation to support the contracting officers\u2019 decision not to set-aside high-tech medical equipment purchases for SD/VOSBs. As a result, they continued to meet medical centers\u2019 equipment needs through existing purchasing arrangements. The contracting officers told us they also periodically revisit their analysis to identify any opportunities to set aside specific solicitations for SD/VOSBs."], "subsections": []}, {"section_title": "Determining Whether the Price Offered by an SD/VOSB Is Fair and Reasonable Poses Challenges for Contracting Officers", "paragraphs": ["Contracting officers must determine whether the price proposed by an SD/VOSB is fair and reasonable and offers the best value to VA before awarding the contract. The 2016 Veterans First policy did not change this requirement, and contracting officers are generally required to make this determination for every contract award. However, we found that many of the contracting officers we interviewed were uncertain how to balance the Veterans First preference with the determination of fair and reasonable price when lower prices were available on the open market. Twelve of the 30 contracting officers we interviewed for selected contract actions stated that it is difficult to assess whether the SD/VOSB\u2019s offered price is fair and reasonable, and 8 stated that, in some cases, they lacked confidence in their determinations that prices were fair and reasonable. In many of these cases, contracting officers told us that they determined that a higher price was fair and reasonable in order to effectuate the Veterans First preference. For instance, a branch chief we interviewed provided five examples of purchases under $16,000 where, in recent, separate procurements, non-SD/VOSB small businesses had proposed prices for the same or substantially similar items that were about $400 to $3,000 less than those proposed by SD/VOSBs. These procurements were conducted as SD/VOSB set-asides, and awards were made to SD/VOSBs on the basis of the Veterans First preference.", "The FAR establishes that adequate price competition normally establishes a fair and reasonable price, and it provides methods for determining fair and reasonable pricing, such as comparing proposed prices to each other, previous prices paid for the same or similar items, published prices, or the independent government cost estimate. However, a few of these contracting officers told us that some of these comparison methods may not be reliable for offers received under SD/VOSB set-asides. They stated that they lacked the confidence that using these methods consistently provided robust and well-documented support for their decision to not award to an SD/VOSB. For example, they stated that in some instances, the independent government cost estimate is outdated, and the customer responsible for preparing it conducts limited market research. This issue is not unique to VA; in 2017, we reported on shortcomings in the usefulness and documentation of independent government cost estimates across several agencies.", "VA Procurement Policy officials emphasized that contracting officers must apply professional judgment and that no across-the-board standard exists\u2014a higher price compared to non-SD/VOSBs might be appropriately found reasonable in some cases but not others, depending on many variables, including the degree of difference between the prices and the size and complexity of the requirement. However, in response to requests for clarification from contracting officers, VA officials provided conflicting informal guidance. For example, a contracting officer stated that, during a webinar training on the implementation of the Veterans First policy in late 2016, VHA\u2019s Acting Chief Procurement and Logistics Officer said that, as a general rule, he would be hesitant to pay 5 percent more than any recent prices identified in contracting officers\u2019 market research for the same or similar supplies or services from non-SD/VOSBs, a view he repeated when we interviewed him in spring of 2018.", "In contrast, the Executive Director for the Office of Acquisition and Logistics said he would not advocate paying any amount above recent prices identified in contracting officers\u2019 market research for the same or similar goods or services from non-SD/VOSBs for any requirement. He stated that the Veterans First statute and policy did not authorize higher prices for goods and services from SD/VOSBs. According to a contracting officer we met with, he shared this view in a training session at a VA conference in March 2017, as well as when meeting with us in spring of 2018. A consistent message from senior management would provide VA greater assurance that its contracting officers have confidence when making fair and reasonable price determinations in set-aside acquisitions.", "In one of VA\u2019s national contracting offices, the Strategic Acquisition Center, the Director told us that contracting officers were confused about how to implement the Veterans First policy in their work, particularly in making VA Rule of Two decisions and fair and reasonable price determinations. In order to address confusion and provide guidance to contracting officers, the Director stated that he provided a series of case studies to contracting officers that demonstrated effective application of these aspects of the Veterans First policy. Separately, other senior VA procurement officials stated that contracting office managers have a responsibility to address confusion and serve as a source of information for their contracting workforce."], "subsections": []}, {"section_title": "Contracting Officers Faced Challenges in Implementing Veterans First Policy, in Part, Due to Training Shortfalls, Pressures, and Workload Issues", "paragraphs": ["The judgments that VA contracting officers are asked to make\u2014in conducting market research, making VA Rule of Two decisions, and determining whether proposed prices are fair and reasonable\u2014can in some cases be inherently complex, and there are additional challenges that VA has faced in implementing Veterans First. There are several factors that contribute to these challenges."], "subsections": [{"section_title": "Training Did Not Reach All Contracting Officers, and Did Not Fully Address the More Challenging Components of the Veterans First Policy", "paragraphs": ["While VA provided training concurrently with the issuance of its 2016 Veterans First policy, the training did not reach all staff. According to VA Acquisition Academy officials, 81 percent of all VA contracting officers completed the initial training on the 2016 Veterans First policy in the summer of 2016. We reviewed academy training records for the 60 contracting officers we interviewed, and these records show that 14 of them did not take the initial training in 2016. In addition, only 52 percent of VA contacting officers completed the follow-up training on the Veterans First policy in the spring of 2018. According to the academy, the feedback provided by those that attended these training sessions was favorable, with ratings of 4.59 out of 5 and 4.75 out of 5, respectively.", "In communicating about the training to contracting officers, VA sent an announcement to all contracting officers, describing the training as \u201cstrongly encouraged\u201d but not mandatory. According to VA Acquisition Academy and Office of Acquisition and Logistics officials, this is because neither of these organizations has the authority to designate training as mandatory\u2014only VA\u2019s Office of Human Resources and Administration has the ability to do so.", "GAO\u2019s Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. In doing so, management should ensure that training is aimed at developing and retaining employee knowledge, skills, and abilities to meet changing organizational needs\u2014such as those that occurred after the 2016 Supreme Court decision. Based on our review of the training, it does not fully address the more challenging aspects of implementing the Veterans First policy, such as making fair and reasonable price determinations when acquisitions have been set aside. Establishing more targeted training on the Veterans First policy and providing this training to all contracting officers would provide the VA with greater assurance that contracting officers have the knowledge and skills necessary to implement the more challenging components of this policy. Further, without establishing the importance of training on the Veterans First policy by assessing whether to make its attendance mandatory, management is not fully communicating its importance, and contracting officers may lack the tools needed to implement this policy."], "subsections": []}, {"section_title": "Contracting Officers Perceive Pressure to Apply Veterans First Preferences", "paragraphs": ["As previously stated, contracting officers told us they were not always confident in applying the Veterans First policy, in part because of pressure\u2014real or perceived\u2014from others. Contracting officers cited perceived negative scrutiny from leadership, OSDBU, Office of General Counsel reviewers, or potential protests from SD/VOSBs as reasons for their reluctance to not set aside requirements for SD/VOSBs, or to deem prices proposed by SD/VOSBs not fair and reasonable. Contracting officers explained that objections raised from any of these parties would add time to the procurement process, and a decision to cancel a set- aside because the prices were found not fair and reasonable would require yet more time to start the solicitation process again. Some contracting officers stated that they could not risk delays in awarding contracts by pursuing an approach other than setting aside for SD/VOSBs. We noted that training slides from a 2016 conference for VA contracting officials included a statement that, \u201ccontracting officers may not know if they have properly applied the VA Rule of Two standard until a court rules on the facts of a given case.\u201d VA\u2019s Acting Chief Acquisition Officer stated that he is aware of these perceived pressures and stated that some of these pressures are long-standing. He stated that VA had an initial effort to communicate the Veterans First policy immediately after the 2016 Supreme Court decision, but he acknowledged that contracting officers\u2019 confusion remains, especially regarding fair and reasonable price determinations. VHA contracting officers also noted that because their customers are hospitals, there is an inherent need to avoid delays in the procurement process to prevent an adverse effect on patient care. The effect of these pressures was exacerbated by a concern we noted among contracting officers of whether their management would fully support a decision not to set-aside a contract."], "subsections": []}, {"section_title": "VA Faces Continuing Workload Issues", "paragraphs": ["The struggles that contracting officers are facing in making VA Rule of Two and fair and reasonable price determinations, as discussed above, are exacerbated by continuing workload stresses they have faced for years. In September 2016, we reported that managing workload is a challenge for VA\u2019s contracting officers. For example, one medical center official stated that his local contracting office had at times turned away some purchase requests because it could not staff them. In November 2017, we also reported on contracting inefficiencies that affected contracting officers\u2019 ability to provide goods and services in a timely manner and at best value to medical centers. Results from a recent survey of VA staff also illustrate existing workload stress within VA contracting. Specifically, in the Office of Personnel Management\u2019s Federal Employee Viewpoint Survey, federal employees are asked if they believe their workload is reasonable; according to VA\u2019s analysis of this data in 2017, 54.2 percent of the contracting officers at VA who responded said their workload was not reasonable."], "subsections": []}]}]}, {"section_title": "VA Conducts Limited Oversight of Compliance with Subcontracting Limitations", "paragraphs": ["In many cases, clauses that require compliance with and enable monitoring of subcontracting limitations are not included in VA contracts and orders with SD/VOSBs. Contracting officers are generally aware of subcontracting limitations, but they told us they do not have sufficient time or knowledge to conduct oversight. VA conducts some audits of compliance through a separate program. While the scale of that effort has been limited, these audits have identified a number of violations. VA, however, has not shared subcontracting limitation compliance risks or practices to improve monitoring efforts."], "subsections": [{"section_title": "Contract Clauses Are VA\u2019s Primary Preventive Monitoring Mechanism, but Many Contracts We Reviewed Lacked Them", "paragraphs": ["VA contracting officers are required to include two different clauses when issuing solicitations for SD/VOSB set-asides:", "One clause requires contractors to comply with SBA\u2019s subcontracting limitations regulation.", "Another enables the VA to obtain access to the SD/VOSB prime contractor\u2019s records to monitor compliance with subcontracting limitations."], "subsections": [{"section_title": "SD/VOSB Set-Aside Clause Establishing Subcontracting Limitations Missing from Some Contract Actions", "paragraphs": ["Under the first clause, an SD/VOSB must comply with the SBA regulation that limits the percentage of the amount paid by the government under the contract that may be subcontracted to firms that are not in the same socio-economic category\u2014that is, firms that are not also SD/VOSBs. This is known as the subcontracting limitations requirement. For example, under a services contract set aside for SD/VOSB contractors, an SD/VOSB prime contractor may only subcontract to non-SD/VOSBs a maximum of 50 percent of the amount paid by the government under the contract.", "The purpose of the subcontracting limitations requirement is to ensure that the SD/VOSBs that are awarded set-aside contracts do not subcontract the work beyond prescribed levels, and ensure that the goal of Veterans First\u2014to promote opportunities for veteran-owned small businesses\u2014is not undermined. In July 2016, VA updated its standard SDVOSB and VOSB set-aside clauses to refer to SBA\u2019s revised subcontracting limitations regulation. For example, the SD/VOSB clause defines the criteria that firms contracting with VA must meet to be eligible for SD/VOSB set-asides and requires SD/VOSBs to agree to comply with SBA\u2019s subcontracting limitations regulation in the performance of set- aside contracts. VA\u2019s acquisition regulations require contracting officers to include the clause in all SD/VOSB set-aside contracts.", "We selected 35 VHA contracts and orders for review, 29 of which were set-aside to SD/VOSBs, to determine whether they contained the July 2016 (current) version of the SD/VOSB set-aside clause. All of our selected contract actions occurred after the 2016 Veterans First policy was issued, and after VA adopted SBA\u2019s 2016 update of its subcontracting limitation regulation, which made the prior clause obsolete. We found that 11 of the 29 contract actions did not contain the current version of the clause\u2014it was either missing entirely or an outdated version of the clause was used (see figure 10).", "The contracts and orders that contained the outdated version of the clause did not reference the significantly changed version of the SBA limitations on subcontracting regulation that is currently in effect, and therefore did not reference the version of the regulation that includes the penalty provision establishing that contractors that do not comply with subcontracting limitations may be subject to a $500,000 fine. Contracting officials told us the contracting officers likely forgot to include the clause or included an outdated version of the clause by mistake. Without including the mandatory clause in the contract actions as required, VA lacks assurance that SD/VOSBs are aware of subcontracting limitations."], "subsections": []}, {"section_title": "Monitoring Clause Missing from Most Contract Actions", "paragraphs": ["For the second clause, establishing VA\u2019s right to access information from SD/VOSBs to monitor their compliance with the subcontracting limitations requirement, we found that 22 of the 29 contracts and orders we reviewed did not contain this clause. VA contracting officials told us the clause was not included in the contract in some cases because the contracting officers were unaware of the requirement, which was established in a June 2011 Information Letter policy memorandum. The policy memorandum directed contracting officers to include the clause in solicitations, which the Division Chief at one VISN contracting office identified as the reason it was not included in the contracts. However, the clause would not be in effect if not contained in the contract, and a VA procurement policy official confirmed that the intent was for this clause to be included in both solicitations and contracts. Without this clause, VA could face challenges in attempting to obtain information needed from the SD/VOSBs to determine their compliance with subcontracting limitations. Omission of this clause also poses a risk to VA by hindering its ability to detect violations, enforce the subcontracting limitations requirement, and ensure that the goal of Veterans First\u2014to promote opportunities for veteran-owned small businesses\u2014is not undermined.", "In June 2018, the VA rescinded the 2011 policy memorandum and issued a class deviation to the VA Acquisition Regulation. The class deviation revised the second clause\u2014limitations on subcontracting monitoring and compliance\u2014and required the clause to be included in solicitations and contracts. This is an important step to communicate that this clause is required in the contract. However, as noted above, the first clause\u2014VA\u2019s notice of set-aside clause that requires compliance with SBA\u2019s limitations on subcontracting regulation\u2014is already required by a previous class deviation and was missing from 8 of 29 contracts we reviewed. Given this, it is uncertain whether this VA Acquisition Regulation update alone will ensure that the monitoring clause is included in all contracts."], "subsections": []}]}, {"section_title": "VA Contracting Officers Conduct Limited Oversight to Assess Contractor Compliance with Subcontracting Limitations", "paragraphs": ["VA contracting officers conduct little oversight to ensure that SD/VOSBs comply with SBA\u2019s subcontracting limitations regulations. According to the FAR, contracting officers are responsible for ensuring that the contractor complies with the terms of the contract, and, as discussed above, the terms of the contract may include subcontracting limitations. For the 29 SD/VOSB set-aside contracts and orders we reviewed, we found little evidence that contracting officers were monitoring compliance with SBA\u2019s regulatory limitations on subcontracting requirements, which includes ensuring the VA clause that requires compliance with the subcontracting limitation is in the contract. Contracting officers we spoke with were aware of these responsibilities but cited several barriers to executing them, including high workload, a focus on awarding over administering contracts, and uncertainty of what steps to take. Senior VA procurement officials stated that monitoring the subcontracting limitations requirement has not been a high priority and that contracting officers have competing priorities and, thus, limited time available to conduct this monitoring.", "The VA\u2019s limited oversight of subcontracting limitations has been a long- standing problem. In September 2016, SBA conducted a surveillance review of one of VA\u2019s VISN contracting offices. In its review of 29 contract files, SBA found no evidence that the subcontracting limitations requirement was being monitored by contracting officers and recommended that VA take measures to ensure it conducts active monitoring. In July 2017, SBA followed up to determine what steps the VISN contracting office had taken to implement its recommendation to improve monitoring of the subcontracting limitations requirement. The SBA concluded that the VISN contracting office needed to take additional steps in order to close the recommendation.", "Some of the VA contracting officers we met with told us they rely on contracting officers\u2019 representatives (COR) to monitor compliance with the subcontracting limitations and identify possible violations. CORs are generally at the location where the goods are being delivered or the services are performed to observe whether the SD/VOSB contractor is accomplishing the required work as specified in the contract. VA procurement officials told us that monitoring subcontracting limitations is the responsibility of contracting officers."], "subsections": []}, {"section_title": "VA\u2019s Program to Assist Contracting Officers in Reviewing Subcontracting Limitations Is Limited in Scope", "paragraphs": ["In June 2011, VA\u2019s Office of Acquisition and Logistics established the Subcontracting Compliance Review Program (SCRP) within the Risk Management and Compliance Service (RMCS) to assist contracting officers in conducting subcontracting limitations reviews. RMCS conducts its own reviews of compliance with subcontracting limitations, but the scale is limited. Specifically, RMCS conducted reviews of 95 SD/VOSB and other set-aside contracts out of thousands that were awarded since 2011, and the office is in the process of reviewing another 24 contract actions. The office selects a sample of contract actions awarded each fiscal year to review and may review other contract actions if contracting officers or other VA officials contact it with referrals of instances that warrant a review. RMCS officials told us they have received very few referrals to date. Many of the contracting officers we met with were unaware that SCRP existed, or that they could refer potential subcontracting limitations violations to it for review. However, VA\u2019s manual describing the SCRP is housed on a portal accessible to contracting officers, and, in March 2018, VA\u2019s Acquisition Academy training included information on the SCRP.", "RMCS\u2019s subcontracting limitations reviews have identified a number of instances of non-compliance. Specifically, since 2011, the office has identified 25 instances of non-compliance with subcontracting limitations among the 95 reviews it has completed, or 26 percent of selected contract actions. For example, one review found that a VOSB contractor responsible for providing project management services paid more than the allowable percentage (50 percent) of the contract\u2019s value to non- VOSB firms. In another example, the review found an SDVOSB contractor responsible for providing courier services paid more than 88 percent of the contract\u2019s value to non-SDVOSB firms at about the halfway point in the contract\u2019s period of performance. If VA\u2019s mechanisms for monitoring and enforcing subcontracting limitations are not robust, the department exposes itself to increased risk of not detecting noncompliance.", "RMCS\u2019s SCRP manual states that the evidence RMCS collects is to be provided to the contracting officer so that he or she can make a determination about whether the contractor is in compliance. The manual also outlines the various remedies available to contracting officers if an SD/VOSB is suspected of being or is found to be in noncompliance with the subcontracting limitations. A RMCS official told us that remedial actions taken with respect to noncompliant contractors are determined on a case-by-case basis and that contractors are generally provided an opportunity to correct the deficiency, if the contractor submits a viable plan. In several of the cases where the RMCS office identified non- compliance, contracting officers requested that SD/VOSBs develop a plan for becoming compliant with the subcontracting limitations requirement. For example, one plan specified additional oversight steps that the VOSB would take to ensure compliance with the subcontracting limitations, such as having the project manager provide a compliance plan to senior management for any instance of subcontracting with a non-VOSB that was anticipated to exceed a significant percentage of the total value of the contract award.", "RMCS officials said they had anticipated receiving additional resources to conduct the planned reviews when the SCRP was initially created but have yet to receive them. Officials stated they currently rely on three support contractor staff to conduct the reviews but are exploring the possibility of hiring additional staff to increase the number of reviews they can complete each year. In addition, the Acting Director also told us that the office has created a database that will ultimately allow contracting officers and CORs to identify contracts with which they have subcontracting limitations concerns. They have only implemented some of the database\u2019s capabilities due to resource limitations. RMCS\u2019s Acting Director stated she would like to grow the office and establish mechanisms to better facilitate communication between contracting officers and RMCS. She noted, however, that the lack of a permanent Director for RMCS, as well as competing funding priorities have made it difficult to establish these mechanisms. The Acting Director said she is the office\u2019s sixth one in the past 2 and 1/2 years, and each person in this role has had other duties in addition to the position."], "subsections": []}, {"section_title": "VA Has Not Communicated Subcontracting Limitation Risks or Useful Monitoring Practices to Stakeholders", "paragraphs": ["Because VA has few mechanisms for monitoring subcontracting limitations and RMCS reviews are limited in scope, VA may not be able to detect the risk of fraud for the Veterans First program. Proactive fraud risk management is meant to facilitate a program\u2019s mission and strategic goals by ensuring that taxpayer dollars and government services serve their intended purposes. To help agencies better address fraud, GAO\u2019s 2015 report, A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework), includes a comprehensive set of leading practices that serve as a guide when developing or enhancing efforts to combat fraud in a strategic, risk-based manner. These practices include: Identifying and assessing risks.", "Collaborating and communicating with stakeholders\u2014in this case, contracting officials\u2014 to share information on fraud risks.", "Applying lessons learned to improve the design and implementation of control mechanisms and communicating those changes to stakeholders.", "The Fraud Reduction and Data Analytics Act of 2015, and Office of Management and Budget guidance implementing its provisions, affirm that agencies should adhere to the leading practices identified in the Fraud Risk Framework.", "In our review of VA\u2019s mechanisms for monitoring subcontracting limitations, we found that VA\u2019s Office of Acquisition and Logistics as well as the RMCS perform some identification and assessment of risks, but that this assessment is not comprehensive. In addition, VA is not collaborating with and communicating these risks to stakeholders, as called for in GAO\u2019s Fraud Risk Framework. By conducting a comprehensive assessment of fraud risk, VA would be better positioned to detect potential fraud related to subcontracting limitations for the Veterans First program."], "subsections": [{"section_title": "VA Has Taken Some Steps to Identify and Assess Risks, but Has Not Communicated These Risks to Stakeholders", "paragraphs": ["RMCS officials told us they were unable to comprehensively identify and assess the risks related to subcontracting limitations due to limited staff and resources. Nonetheless, they told us that they have identified certain situations\u2014based on the reviews they have conducted to date and discussions with contracting officers\u2014that may pose a higher risk of non- compliance with subcontracting limitations. These situations include: contracts for certain types of services, such as grounds maintenance, van transportation, and specialty trade construction; where a SD/VOSB has multiple contracts across several VISNs for the same services; and where a SD/VOSB does not have a business presence in the same geographical area where the services are being performed.", "They said these were higher risk situations because the SD/VOSBs have had difficulty completing the required work on their own, or the lack of a local business presence increases the likelihood that the SD/VOSB might rely on a local, non-SD/VOSB contractor to do more than the permissible portion of the work. According to RMCS officials, they have not shared information on subcontracting limitation risks with stakeholders, such as contracting officers and their management, but they agreed this could be a helpful step. By sharing information on higher risk situations, contracting officers would have a better understanding of when to refer cases to RMCS.", "Our prior work on subcontracting limitations, in the context of SBA\u2019s 8(a) program, also identified situations presenting an increased risk that subcontracting limitations may be exceeded. These situations included instances when the 8(a) prime contractor proposed subcontractors that were the agency\u2019s incumbent contractor or that had more experience in meeting the agency\u2019s current requirement than the small business. It also included situations where the subcontractor, rather than the prime contractor, submitted documents to or corresponded directly with government officials. These situations highlight the importance of monitoring the extent of subcontracting. SBA has also identified risk factors to consider prior to contract award, such as the incumbent contractor working as a subcontractor or if the prime contractor lacks relevant experience and must rely upon its more experienced subcontractor to win the contract.", "In our review, contracting officers cited several contracts where subcontracting risk factors were present. In one case we reviewed, the contracting officer reported that a large business was the prime contractor on a previous water treatment services contract. After the 2016 Supreme Court decision, the contract was re-competed on a SDVOSB set-aside basis; a SDVOSB won the award and the incumbent contractor served as a subcontractor. According to the contracting officer, he suspected that the subcontractor was performing more than 50 percent of the work based on the SDVOSB\u2019s limited capacity, but he said he did not have the authority to request information on payments from the SDVOSB prime contractor to the subcontractor. We found that neither the set-aside clause that limits subcontracting nor the monitoring clause were included in this contract, limiting the contracting officer\u2019s ability to ensure the SDVOSB was meeting the appropriate subcontracting limitation requirement. The COR told us that the subcontractor performed most of the water treatment services work\u2014the primary requirement under the contract\u2014while the SDVOSB prime contractor sent invoices and conducted oversight."], "subsections": []}, {"section_title": "VA Has Identified Some Useful Monitoring Practices, but Has Not Communicated Them to Stakeholders", "paragraphs": ["RMCS officials told us they have identified some helpful practices that could improve compliance with subcontracting limitations. They said they have encouraged some contracting officers to require SD/VOSBs to explain in their proposals how they planned to comply with the subcontracting limitations requirement and said that some contracting officers have also used a worksheet to collect data on the work the SD/VOSB planned to complete themselves versus subcontract.", "Other VA contracting officials we met with also told us about additional practices they had implemented to facilitate monitoring of compliance with subcontracting limitations. These practices included the following: require the SD/VOSB contractors to submit quarterly reports during contract performance that indicate the percentage of the work completed by the SD/VOSB contractor and any subcontractors; hold pre-award discussions between the contracting officer and the SD/VOSB about the need to comply with subcontracting limitations; and convene post-award conferences between the contracting officer and COR to discuss whether the SD/VOSB is in compliance or not.", "Standards for Internal Control in the Federal Government state that management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. Although RMCS provides information to contracting officers and their management through the SCRP manual and related training, RMCS officials told us that they have not included these monitoring practices among the information they have shared. Having this information could improve contracting officers\u2019 ability to ensure compliance with subcontracting limitations."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The basic premise of the Veterans First Contracting Program has not changed in the 12 years since its implementation began. However, the 2016 Supreme Court decision prompted VA to refocus and refine its policy, and implementing the refined policy and the associated VA Rule of Two across the entire enterprise of VA contracting has been challenging due to inherent complexities, perceived and real pressures to award contracts to SD/VOSBs, and inconsistent and sometimes conflicting management guidance. This environment created mixed messages and lessened some contracting officers\u2019 confidence about how to appropriately apply the VA Rule of Two criteria, particularly in making a determination that there is a reasonable expectation that award could be made at fair and reasonable prices.", "Most of the contracting officers for the selected contracts we reviewed expressed dissatisfaction with VIP as the starting point for market research, citing difficulty in using it. While documentation of the VIP search results is required by the Veterans First policy, over three-quarters of the contract files we reviewed lacked such documentation. Such documentation, combined with support for overall market research efforts, provides VA with assurance that contracting officers have performed this search as part of the basis for their Rule of Two decision. These contracting officers also had some difficulty applying the VA Rule of Two, particularly in the more challenging component, determining whether they can reasonably expect prices offered by SD/VOSBs to be fair and reasonable\u2014issues that could be mitigated by establishing more targeted training that would provide the VA with greater assurance that its contracting officers have the knowledge and skills necessary to implement this policy. Further, assessing whether training on the Veterans First policy should be designated as mandatory would provide VA with information necessary to determine if such training would be beneficial for all contracting officers.", "Monitoring of subcontracting limitations is an important oversight tool to ensure effective implementation of VA\u2019s Veterans First program. Without ensuring that required contract clauses regarding subcontracting limitations are included in all SD/VOSB set-aside contracts, VA lacks assurance that SD/VOSBs are aware of subcontracting limitations. Additionally, VA\u2019s Subcontracting Compliance Review Program has found subcontracting limitation violations and has identified some risk factors and practices for monitoring compliance with subcontracting limitations. Conducting a comprehensive assessment of fraud risk, using GAO\u2019s Fraud Risk Framework, would help better position VA to detect potential fraud related to subcontracting limitations for the Veterans First program. Further, VA has not communicated identified risk factors and monitoring practices to stakeholders as called for in GAO\u2019s Framework."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to VA.", "The Secretary of Veterans Affairs should ensure that VA\u2019s Director of the Office of Acquisition and Logistics, in consultation with OSDBU, takes measures to ensure that VA contracting staff adhere to the requirements for documenting the required Vendor Information Pages searches in contract files. (Recommendation 1)", "The Secretary of Veterans Affairs should ensure that the Director of VA\u2019s Office of Acquisition and Logistics directs the VA Acquisition Academy to provide more targeted training for the more challenging components of implementing the Veterans First policy, such as making fair and reasonable price determinations. (Recommendation 2)", "The Secretary of Veterans Affairs should, in consultation with VA\u2019s Office of Human Resources and Administration, and the Director of VA\u2019s Office of Acquisition and Logistics, assess whether training on the Veterans First policy should be designated as mandatory and take appropriate action based on the assessment results. (Recommendation 3)", "The Secretary of Veterans Affairs should ensure that the Director of the Office of Acquisition and Logistics establishes a mechanism to ensure that mandatory clauses relating to subcontracting limitations are consistently incorporated in all contracts that are set aside for SD/VOSBs. (Recommendation 4)", "The Secretary of Veterans Affairs should ensure that the Director of the Office of Acquisition and Logistics conducts a fraud risk assessment for the Veterans First program. (Recommendation 5)", "The Secretary of Veterans Affairs should ensure that the Director of the Office of Acquisition and Logistics directs the Risk Management and Compliance Service to share, through guidance, training, or other methods, subcontracting limitation risks and monitoring practices with contracting officers and their management. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs and the Small Business Administration for review and comment. VA provided written comments on the draft report. In its comments, which are reprinted in appendix II, VA concurred with all of our 6 recommendations. SBA provided technical comments, which were incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Veterans Affairs, the Administrator of the Small Business Administration, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or by email at oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["You requested that we examine changes to how the Department of Veterans Affairs (VA) implements the Veterans First program as a result of the Supreme Court\u2019s decision. In June 2016, the Supreme Court\u2019s decision in Kingdomware Technologies, Inc. v. United States clarified conflicting interpretations of the requirement for the preference, concluding that VA must restrict competition to veteran-owned small businesses if the contracting officer reasonably expects that at least two such businesses will submit offers and the award can be made at a fair and reasonable price that offers best value to the United States. This report assesses: (1) how VA procurement obligations to veteran-owned small businesses changed in the period from fiscal years 2014 through 2017; (2) what actions VA has taken to update Veterans First policies and regulations and provide training following the Supreme Court\u2019s decision; (3) what challenges, if any, VA is encountering in applying Veterans First policies; and (4) the extent to which VA has mechanisms in place to monitor compliance with subcontracting limitations by veteran-owned small businesses, and the effectiveness of such mechanisms.", "To assess how VA procurement obligations to veteran-owned small businesses changed in the period from fiscal years 2014 through 2017, we obtained data from VA\u2019s Electronic Contract Management System (eCMS) on all contracts from fiscal years 2014 through 2017, chosen to provide data before and after the Supreme Court decision. We chose to exclude orders reported in Express Reports\u2014summaries of multiple orders placed on existing contracts\u2014from our analysis. These actions were only consistently reported in eCMS starting in 2017; because they represent billions of dollars of obligations with relatively little set-asides to service-disabled veteran-owned small businesses and veteran-owned small businesses (SD/VOSB), including them would have distorted year- to-year comparisons of percentages set aside for SD/VOSBs. We analyzed these eCMS data to determine changes in the use of set-asides for SD/VOSBs relative to overall VA contracting obligations during this period. We used this analysis to determine the extent to which VA set- aside contract obligations to SD/VOSBs in the period after the Kingdomware decision compared to the period before the decision. We adjusted obligations for inflation to fiscal year 2017 dollars using the fiscal year gross domestic product price index. We also analyzed the data to identify patterns of set-asides as a percentage of obligations among different contracting activities and across VA contracting organizations. To determine the extent to which new businesses are obtaining SD/VOSB certification, we obtained Vendor Information Pages (VIP) data from VA\u2019s Office of Small and Disadvantaged Business Utilization (OSDBU) for fiscal years 2014 through 2017. We used these data to identify the change in the total number of certified SD/VOSBs in VIP during this period. We also analyzed VA\u2019s eCMS data to determine the number of unique, individual SD/VOSBs that received awards for set-asides during the same period. With these data from VIP and eCMS, we compared the number of certified SD/VOSBs to the number of businesses awarded set- asides for each year during this period. To assess reliability of these data, we also reviewed available eCMS documentation and interviewed officials responsible for maintaining eCMS data to gather information on processes, accuracy, and completeness of these data. We determined that these eCMS and VIP data were sufficiently reliable for the purpose of describing changes in VA\u2019s use of SD/VOSB set-asides over this period.", "To assess what actions VA has taken to update Veterans First policies and regulations and provide training following the Supreme Court\u2019s decision, we analyzed policies, regulations, guidance, and training materials related to the program, and compared these to what VA had in place prior to the decision. We obtained and analyzed the program\u2019s initial Information Letter, policy memorandum, and revisions to VA\u2019s Acquisition Regulations, which detailed the Department\u2019s intention to comply with federal statute. We also obtained and reviewed additional program documentation, including briefings, presentations, and training provided to contracting officers. We met with leadership at VA\u2019s national contracting organizations to discuss implementation of the Veterans First policy within their organizations, and interviewed senior officials in VA\u2019s Office of Acquisition and Logistics\u2014including Office of Procurement Policy and VA Acquisition Academy\u2014OSDBU, Office of General Counsel, and the Veterans Health Administration\u2019s (VHA) Procurement and Logistics Office to discuss policies, guidance and training regarding the Veterans First program.", "To assess what challenges, if any, VA is encountering in applying the Veterans First policy, we gathered documentation from six contracting organizations across the VA. We conducted reviews of eCMS data to determine VA\u2019s use of set-asides and the increase in the use of set- asides for all VA contracting organizations. Based on our analysis of these data, we determined that VHA had the greatest use of set-asides in fiscal year 2017. As such, we conducted site visits at a non-generalizable selection of three VHA regional offices, known as Veterans Integrated Service Networks (VISN).", "The three VISNs we selected are as follows:", "VISN 8: St. Petersburg, Florida", "Network Contracting Office 8", "Orlando, Florida VA Medical Center", "Tampa, Florida VA Medical Center", "VISN 12: Westchester, Illinois", "Network Contracting Office 12", "Hines, Illinois VA Medical Center", "Milwaukee, Wisconsin VA Medical Center", "VISN 16: Ridgeland, Mississippi", "Network Contracting Office 16 Jackson, Mississippi VA Medical Center", "New Orleans, Louisiana VA Medical Center We focused our site visits on VHA, because it is the largest contracting organization in the Department. We selected these VISNs primarily based on changes in total contract obligations to SDVOSBs and VOSBs from fiscal year 2015 to fiscal year 2017\u2014the first full fiscal years before and after the Supreme Court decision\u2014selecting two with among the largest percentage changes, and one with the lowest. The first site visit to VISN 8 was chosen because it had a high change in the percent of obligations on SD/VOSB set-asides from fiscal years 2015 through 2017 and high total obligations in fiscal year 2017. After completing the first site visit, we decided to exclude obligations for construction-related contracts, as our analysis of VA\u2019s eCMS data found that construction had not been affected much by the 2016 Veterans First policy because the majority of construction contracts have always been\u2014and continue to be\u2014awarded to SD/VOSBs. The second site visit to VISN 12 was chosen because it had a low change in the percent of non-construction obligations on SD/VOSB set-asides from fiscal years 2015 through 2017 with high total non-construction obligations in fiscal year 2017. The final site visit to VISN 16 was chosen because it had a high change in the percent of non- construction obligations on SD/VOSB set-asides from fiscal years 2015 to 2017 with high total non-construction obligations in fiscal year 2017. At each selected VISN, we interviewed the VISN Deputy Network Director. We also obtained documentation from and interviewed leadership at the National Acquisition Center, Strategic Acquisition Center, and the Technology Acquisition Center.", "At the selected VISNs, we interviewed leadership at their respective Network Contracting Offices, and selected a non-generalizable sample of 35 total contracts and orders\u201429 of which were set aside for SDVOSBs or VOSBs\u2014selected based on high dollar value, and for procurements of construction, services, or supplies. For each of the selected contracts and orders, we reviewed the contract files and interviewed both the contracting officer and the customer\u2014in most cases the contracting officer\u2019s representative. We also held roundtable discussions of Veterans First implementation, training, and other matters with 8 to 11 contracting officers at each location, randomly selected from the construction, services, and supply teams.", "We selected a non-generalizable sample of 12 contract actions from VISN 8, 11 contract actions from VISN 12, and 12 contract actions from VISN 16. The selection was based primarily on: contracts and orders that were set-aside to SD/VOSBs; product and service codes for services and supplies; and awards with a total value above $1 million as well as those between $150,000 and $1 million.", "We obtained and reviewed the contract files for each of the selected contract actions, which are also stored in eCMS, including signed awards, solicitations, market research reports, fair and reasonable price determinations, independent government cost estimates, statements of work, and other documents. We visited each of the Network Contracting Offices and interviewed the contracting officer for each of the selected contract actions and discussed the set-aside determination and their experiences with the Veterans First policy; because some were responsible for more than one, we interviewed 30 contracting officers for the 35 selected contracts and orders. We interviewed leadership at each location, and held 5 roundtable discussions with contracting officers from various product lines\u2014supplies, services, construction, and leasing\u2014 whose contracts were not included in our non-generalizable sample. We also interviewed the customer\u2014in most cases the contracting officer\u2019s representative or subject matter expert\u2014for each of the selected contract actions. Finally, we met with leadership at VA\u2019s national contracting organizations\u2014including the National Acquisition Center, Strategic Acquisition Center, Technology Acquisition Center, and Construction and Facilities Management\u2014to discuss the implementation of the 2016 Veterans First policy within their organizations.", "To assess the extent to which VA has mechanisms in place to monitor compliance with subcontracting limitations by veteran-owned small businesses and the effectiveness of such mechanisms, we analyzed VA and Small Business Administration (SBA) acquisition policies and regulations to identify the monitoring mechanisms in place to ensure compliance with subcontracting limitations. To assess the effectiveness of VA\u2019s mechanisms, we leveraged our reviews of files for the 29 selected contracts that were set aside, and we assessed whether the required set- aside and monitoring clauses were included. In cases where we selected an order, we reviewed the overarching indefinite delivery contract if it was awarded by VA. We also assessed the extent to which the files reflected evidence of monitoring. We reviewed VA\u2019s Information Letter that established the Risk Management and Compliance Service\u2019s Subcontracting Compliance Review Program and the program\u2019s manual for conducting subcontracting limitations compliance audits and analyzed the audit results. We also assessed the extent to which these mechanisms met GAO internal control and fraud framework criteria. We interviewed senior VA procurement officials responsible for developing and/or implementing these mechanisms and providing training to contracting officers and contracting officers\u2019 representatives. We also reviewed our prior work and SBA and VA Inspector General reports on VA and other agencies\u2019 compliance with subcontracting limitations.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Lisa Gardner, Assistant Director; Pete Anderson; Matthew T. Crosby; Susan Ditto; Jeff Hartnett; Alexandra Jeszeck; Teague Lyons; Lorraine Ettaro; Suellen Foth; Ashley Rawson; Eric Schwab; Roxanna Sun; and Alyssa Weir made key contributions to this report."], "subsections": []}]}], "fastfact": ["VA is required to give preference to veteran-owned small businesses when awarding contracts, which it does using the Veterans First program. VA changed some aspects of this program following a 2016 Supreme Court decision.", "We found that VA increased obligations and awards set aside for veteran-owned small businesses following the Supreme Court decision. We also found that contracting officers faced challenges implementing some aspects of the Veterans First program.", "We made six recommendations, including that VA provide more training for contracting officers on implementing this program."]} {"id": "GAO-18-429", "url": "https://www.gao.gov/products/GAO-18-429", "title": "Rental Housing Assistance: Actions Needed to Improve Oversight of Criminal History Policies and Implementation of the Fugitive Felon Initiative", "published_date": "2018-08-09T00:00:00", "released_date": "2018-09-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HUD has encouraged PHAs to balance resident safety with the housing needs of persons with criminal records when administering its rental assistance programs. PHAs are responsible for screening program applicants. The HUD OIG and the FBI implement the Fugitive Felon Initiative to identify and apprehend wanted persons receiving rental assistance.", "GAO was asked to review HUD's criminal history policies and the Fugitive Felon Initiative. This report examines (1) federal requirements for PHAs' criminal history policies, (2) HUD guidance and monitoring of these requirements, and (3) implementation of the Fugitive Felon Initiative. GAO reviewed federal statutes and regulations and interviewed officials from HUD, the HUD OIG, and the FBI; analyzed Fugitive Felon Initiative data from 2013 through 2017; and interviewed staff at a nongeneralizable sample of 10 PHAs (selected based on size and other factors)."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal requirements for public housing agencies. Federal statutes and Department of Housing and Urban Development (HUD) regulations require public housing agencies (PHA) to conduct criminal history checks on individuals applying for rental assistance under HUD's public housing and Housing Choice Voucher programs and deny assistance for six types of offenses. Mandatory denials include convictions for producing methamphetamine on the premises of federally-assisted housing and lifetime sex offender registrants. Otherwise, PHAs generally have discretion in establishing their criminal history policies and may deny assistance for other offenses or factor in mitigating circumstances.", "HUD monitoring of public housing agencies. From 2011 through 2016, HUD issued new guidance to PHAs on criminal history policies, but these changes are not reflected in HUD's program guidebooks for PHAs. These guidebooks serve as key reference tools, but have not been updated in over 15 years. Updating them would help HUD more accurately communicate its criminal history policies. While HUD officials said their current efforts to update the guidebooks will reflect recent criminal history policy notices, documentation provided by the agency on these updates did not specifically address criminal history guidance. In addition, HUD's compliance reviews of high-risk PHAs do not address some criminal history policy requirements, such as the prohibition on using arrest records as the basis for determining eligibility. Further, these reviews are largely limited to examining PHAs' written policies and do not cover how PHAs implement those policies. More comprehensive compliance reviews would improve HUD's ability to identify areas of noncompliance with criminal history policy requirements.", "Fugitive Felon Initiative. From fiscal years 2013 through 2017, the HUD Office of Inspector General (OIG) and the Federal Bureau of Investigation (FBI) shared data through the Fugitive Felon Initiative, which led to the apprehension of more than 1,200 wanted persons who may have lived in HUD-assisted housing. However, GAO found that the HUD OIG had not defined its regional office responsibilities under the initiative and that four of the seven HUD OIG regions did not participate from 2012 through 2016. The HUD OIG revised its procedures for the initiative in April 2018 to include regional office responsibilities, such as coordinating with law enforcement agencies. According to HUD OIG officials, regional offices are now required to coordinate with law enforcement agencies on a priority list of investigative leads, which include warrants for violent felonies, sexual assault, and narcotics distribution. However, the HUD OIG does not plan to assess regional office implementation of several requirements. Collecting and assessing more comprehensive information on regional office activities would help the HUD OIG determine the extent to which regions are undertaking required activities. In addition, the HUD OIG and the FBI have not consistently shared information on the initiative's results\u2014such as apprehension statistics and program savings\u2014which could help evaluate the effectiveness of the initiative. Further, the HUD OIG's and the FBI's current activities to implement the initiative differ in some areas from the agreed-upon responsibilities listed in their 2012 memorandum of understanding. Updating the memorandum to reflect current responsibilities under the initiative could help improve collaboration between the agencies and improve implementation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that HUD update PHA guidebooks and improve monitoring procedures; that the HUD OIG assess more comprehensive information on the implementation of the Fugitive Felon Initiative; and that the HUD OIG and the FBI consistently share information on the initiative's results and update their memorandum of understanding to reflect current responsibilities. HUD and the FBI generally agreed. The HUD OIG did not agree with two of our recommendations. GAO maintains the recommendations, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Balancing the safety of residents receiving rental assistance with the housing needs of persons with a criminal history is a challenging undertaking that has received increased attention in recent years. Over 3 million households receive rental assistance through the Department of Housing and Urban Development\u2019s (HUD) public housing and Housing Choice Voucher (HCV) programs. In the 1990s, HUD encouraged public housing agencies (PHA)\u2014local entities responsible for administering these programs on HUD\u2019s behalf\u2014to develop and enforce strict screening and eviction policies as part of their antidrug and anticrime initiatives. However, within the last decade, HUD has encouraged PHAs to move away from strict policies that deny housing assistance to anyone who has engaged in criminal activity. For example, in 2011, the Secretary of HUD issued a letter encouraging PHAs to consider providing \u201csecond chances\u201d for formerly incarcerated individuals and to implement policies that balance resident safety with the housing needs of persons with criminal history records.", "In addition, HUD\u2019s Office of Inspector General (OIG) works with the Federal Bureau of Investigation (FBI) and other law enforcement agencies to implement the Fugitive Felon Initiative. Under this initiative, these agencies share information in an effort to locate and apprehend fugitive felons and investigate the fraudulent receipt of HUD benefits. In recent years, some members of Congress have raised questions about the presence of fugitive felons in public housing and the effectiveness of the Fugitive Felon Initiative.", "GAO was asked to review HUD\u2019s criminal history policies and the Fugitive Felon Initiative. This report examines (1) the statutory and regulatory requirements for PHAs\u2019 criminal history policies for public housing and HCV programs; (2) the extent to which HUD provides guidance and monitors PHA implementation of criminal history policy requirements for public housing and HCV programs; and (3) the HUD OIG\u2019s implementation of the Fugitive Felon Initiative, in coordination with the FBI.", "To describe the federal statutory and regulatory requirements (federal requirements) for PHAs\u2019 criminal history policies, we reviewed federal statutes and HUD regulations for the public housing and HCV programs on providing housing assistance to persons with criminal history records and arrest warrants, including fugitive felons. In addition, to obtain information about the implementation of federal requirements, we interviewed officials from HUD headquarters and five HUD field offices and 10 PHAs in four selected metropolitan areas: Chicago, Dallas/Ft. Worth, New York City, and Philadelphia. In selecting these areas, we considered, among other things, the sizes of the PHAs (measured by the number of units), geographic location, and the proximity of HUD field offices and HUD OIG regional offices to each other. We selected two or three PHAs to visit in each of the four areas, resulting in a nongeneralizable sample of 10 PHAs. We selected these PHAs based on factors that included their size, presence of both public housing and HCV programs, and geographic location (for example, urban or nonurban location). We selected HUD field offices by determining which field office oversees each of the selected PHAs.", "To determine the extent to which HUD provides guidance and monitors PHA implementation of criminal history policy requirements, we reviewed HUD guidance (letters, notices, and program guidebooks) for the public housing and HCV programs. We interviewed officials from the 10 selected PHAs for their perspectives on HUD\u2019s guidance. We also reviewed HUD\u2019s procedures for monitoring PHAs, specifically those that review PHA compliance with federal requirements on providing housing assistance to persons with criminal history records. We interviewed officials from HUD headquarters and our sample of five HUD field offices about the agency\u2019s efforts to monitor and oversee PHAs\u2019 implementation of criminal history policy requirements. We assessed HUD\u2019s guidance and compliance procedures in relation to federal statutes, HUD regulations concerning criminal history policies, and internal control standards.", "To determine the extent to which the HUD OIG, in coordination with law enforcement agencies, implements and monitors the Fugitive Felon Initiative, we reviewed agreements between the HUD OIG and the FBI and between the HUD OIG and the U.S. Marshals Service (USMS). We reviewed HUD OIG\u2019s Standard Operating Procedure for the Fugitive Felon Initiative and interviewed officials from the FBI, HUD OIG, and USMS headquarters to obtain information on the processes these agencies follow as part of the initiative. We also interviewed officials from all seven HUD OIG Office of Investigation regional offices and relevant USMS Fugitive Task Forces in our four selected metro areas (see above). We assessed the HUD OIG\u2019s and the FBI\u2019s activities in relation to their interagency agreement, OIG\u2019s Standard Operating Procedure (SOP) for the Fugitive Felon Initiative, and federal internal control standards. In addition, we collected and analyzed data on the results of HUD OIG\u2019s 2017 efforts to cross-reference HUD tenant data and the FBI\u2019s Wanted Persons File (sent to the HUD OIG in September 2016) to identify potential investigative leads into the possible location of fugitive felons. Specifically, we summarized the types of offenses related to the potential investigative leads by grouping similar offenses together and identified the top 10 most frequently occurring offenses.", "To assess the reliability of the HUD OIG data we interviewed knowledgeable agency officials, conducted electronic testing for missing data and obvious errors, observed HUD OIG\u2019s process for cross- referencing HUD tenant data and the FBI\u2019s Wanted Persons File, and reviewed system documentation for the relevant data systems. We determined these data to be reliable for our purposes of reporting on the number of potential investigative leads, including by type of offense and associated HUD rental assistance program. We also reviewed FBI data on the results of law enforcement agencies (as reported to the FBI from fiscal years 2013 through 2017) in apprehending fugitive felons based on potential investigative leads produced by the initiative. To assess the reliability of the FBI data we interviewed knowledgeable agency officials and reviewed documentation for the related FBI data system. We determined these data to be reliable for our purposes of describing the number of apprehensions resulting from the potential investigative leads identified as part of the Fugitive Felon Initiative. Further details on our scope and methodology appear in appendix I.", "We conducted this performance audit from January 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Public Housing and Housing Choice Voucher Programs", "paragraphs": ["HUD administers its public housing and HCV programs\u2014which serve eligible low- and very-low income households, the elderly, and persons with disabilities\u2014through local PHAs. PHAs are typically municipal, county, or state agencies created under state law to develop and manage public housing units for low-income families. PHAs that participate in the programs contract with HUD to provide housing in exchange for federal grants and subsidies. In total, there were 3,825 PHAs as of December 2017, according to HUD data. PHAs may administer both public housing and HCV programs.", "HUD\u2019s public housing program provides low-rent housing units to over 1 million eligible households. According to HUD, the majority of PHAs (approximately 3,300 of the 3,825 PHAs) across the country take part in its public housing program. These PHAs own and manage public housing properties, which can include high-rise and low-rise buildings, scattered single family properties, or be part of mixed-income housing developments. Some PHAs manage public housing programs with less than 100 units and others manage programs with more than 30,000 units. For the public housing program, PHAs handle admissions, calculate rents, and enforce leases, among other duties. Under the terms of their contracts with HUD, PHAs agree to administer their properties according to federal statute and HUD regulations, and in exchange they receive funding from HUD. These statutes and regulations provide PHAs with more discretion in developing certain policies, such as parts of the admissions process, and less discretion in developing other policies, such as the income determination process. PHAs are required to develop plans that describe their policies through a process that allows for\u2014and responds to\u2014community feedback.", "Approximately 2,200 PHAs across the country are responsible for managing the day-to-day operations of the HCV program, including determining the eligibility of households, approving applications, and distributing vouchers. The HCV program subsidizes housing costs for approximately 2.2 million households in the private rental market as of March 2018, according to HUD officials. In the HCV program, participants are able to find their own housing within the PHA\u2019s jurisdiction, including most single-family homes, townhouses, and apartments. If the household moves out of the unit, it can move with continued assistance to another private rental unit. PHAs are required to state their admissions policies within their administrative plans and make these plans publically available.", "HUD\u2019s Office of Public and Indian Housing (PIH) is responsible for implementing HUD\u2019s public housing and HCV programs, among others. Forty-five PIH field offices across the country are charged with overseeing PHAs\u2019 compliance with HUD rules. Within PIH, the Office of the Deputy Assistant Secretary for Public Housing and Voucher Programs develops national policy, allocates funding, and provides program direction for public housing and HCV programs. The Office of the Deputy Assistant Secretary for Field Operations oversees the field offices. Figure 1 shows the organizational chart for selected HUD divisions with responsibilities related to public housing and HCV programs."], "subsections": []}, {"section_title": "Fugitive Felon Initiative", "paragraphs": ["HUD OIG operates independently within HUD and reports to the Office of the Secretary. The OIG conducts audits, evaluations, and investigations to detect and prevent fraud, waste, and abuse; and promotes effective and efficient government operations. The HUD OIG Office of Investigations conducts work through a headquarters office and seven regional offices. The Office of Investigations initiates investigations about possible violations of laws or regulations in the administration of HUD programs and activities, or misconduct on the part of HUD employees or recipients of HUD funds.", "The HUD OIG Office of Investigations began the Fugitive Felon Initiative in fiscal year 2003, in response to a request from USMS and one of our prior recommendations. The Initiative began as a data-sharing effort between HUD OIG and USMS to identify fugitives that may be living in HUD-assisted housing. According to HUD OIG officials, the data-sharing responsibilities were transferred from USMS to the FBI in 2004. This initiative has been governed by three memoranda of understanding (MOU). Specifically, a 2002 MOU between HUD OIG and USMS facilitated sharing USMS a 2004 MOU between HUD OIG and the FBI established a process to share a larger set of warrant data from federal, state, and local law enforcement agencies; and a 2012 MOU between HUD OIG and the FBI clarified the purposes of the Fugitive Felon Initiative and the roles of HUD OIG and the FBI.", "For the purposes of this report, we refer to the Fugitive Felon Initiative as the data-sharing effort between HUD OIG and the FBI to locate and apprehend fugitives. The term \u201cFugitive Felon Initiative,\u201d however, is HUD OIG\u2019s name for the program. The FBI participates in the data-sharing efforts with HUD OIG through the FBI\u2019s Fugitive Identification Notice Delivery project. This project leverages FBI data-sharing with a small number of federal agencies, including HUD, to identify the possible location of fugitives.", "The Fugitive Felon Initiative is a law enforcement initiative, and it operates separately from PHA processes for conducting criminal history screenings to determine eligibility for housing assistance. Consistent with the 2002 and 2004 MOUs, the 2012 MOU states that the primary purpose of the Fugitive Felon Initiative is to apprehend fugitives and the secondary purpose is for HUD OIG to investigate, identify, and refer for prosecution the fraudulent receipt of HUD benefits. The Fugitive Felon Initiative includes HUD programs administered by PHAs\u2014including public housing and HCV\u2014as well as additional HUD programs not administered by PHAs.", "Through the Fugitive Felon Initiative, the HUD OIG leverages FBI and HUD data to identify potential investigative leads into the possible location of fugitives. The FBI shares with the HUD OIG nationwide data on felony and misdemeanor warrants from the FBI\u2019s Wanted Persons File. The Wanted Persons File is included in the FBI\u2019s National Crime Information Center (NCIC) database. The HUD OIG also accesses data from HUD\u2019s Public and Indian Housing Information Center (PIC) system and Tenant Rental Assistance Certification System (TRACS). These systems maintain data on tenants who receive housing assistance. The HUD OIG then cross-references the FBI and HUD data to identify potential investigative leads based on possible matches between these data sources.", "As shown in figure 2, after the FBI receives a list of potential investigative leads from the HUD OIG, the FBI is to verify that warrants associated with the leads remain active because some warrants may have been resolved during the period of time the HUD OIG cross-referenced the FBI and HUD data. For example, a warrant may no longer be active if the individual associated with the warrant was already arrested or if the case involving the warrant was dismissed. For warrants that remain active, the FBI disseminates these investigative leads by sending \u201clead letters\u201d to the federal, state, or local law enforcement agencies that entered the warrant into NCIC. These lead letters provide information, such as a possible address for an individual with the outstanding warrant. HUD OIG also disseminates potential investigative leads to its regional offices.", "HUD OIG regions may assist law enforcement in apprehending a fugitive or make referrals to PHAs to take administrative action against a tenant. This referral informs the PHA that one of its tenants may be a fugitive or has been apprehended. To ensure law enforcement agencies have sufficient time to apprehend wanted persons, the 2012 MOU states that HUD OIG regions must wait 60 days after law enforcement agencies have received the investigative leads before making referrals to PHAs. PHAs then have discretion about whether to take administrative action against the tenant to terminate assistance."], "subsections": []}]}, {"section_title": "Federal Statutes and HUD Regulations Include Requirements for PHAs\u2019 Criminal History Policies but Some Also Provide Discretion", "paragraphs": [], "subsections": [{"section_title": "Federal Statutes and HUD Regulations Require PHAs to Conduct Criminal Background Checks and Mandate Denial of Housing Assistance for Certain Offenses", "paragraphs": ["PHAs must follow federal statutes and HUD regulations (federal requirements) in determining eligibility for public housing and HCV assistance for persons with criminal history records. These requirements include the following: Conducting criminal background checks for program applicants. PHAs are required to conduct criminal background checks on all applicants to the public housing and HCV programs. PHAs must conduct these checks in the state where the housing is located and also check for criminal history records in other states where the applicant and members of the applicant\u2019s household are known to have resided. When recertifying tenants, PHAs are not required to conduct criminal background checks. According to HUD officials, there are barriers to conducting background checks when recertifying tenants such as limited staff resources and cost constraints.", "Obtaining sufficient evidence of criminal activity. In November 2015, HUD\u2019s Office of Public and Indian Housing issued a notice on the use of arrest records and other issues related to denying and terminating housing assistance for individuals who have engaged in criminal activity. The notice stated that the fact that an individual was arrested is not sufficient evidence that the individual engaged in criminal activity and informed PHAs that arrest records could not be used as the basis for denying admissions, terminating assistance, or evicting tenants. In a Frequently Asked Questions document pertaining to the notice, HUD advised PHAs to review their plans and revise their policies, as needed, to comply with the Notice. PHAs may use other forms of evidence such as conviction records, police records, or witness statements to determine whether the individual engaged in disqualifying criminal activity. The notice also reminded PHAs that their policies and procedures for screening applicants and eviction or termination of assistance must comply with the Fair Housing Act and the Civil Rights Act, and that inconsistent application of standards or decisions based on partial or inaccurate information (such as arrest record information) may result in liability under these laws.", "Establishing a process that allows applicants and tenants to dispute adverse information. PHAs must provide applicants and tenants with notification and the opportunity to dispute the accuracy and relevance of a criminal record before denying admission or terminating assistance on the basis of such a record.", "Denying or terminating assistance for certain types of criminal-related offenses. HUD regulations mandate that PHAs deny admission to the public housing and HCV programs for six types of offenses, two of which require lifetime bans on admissions. Specifically, PHAs must permanently ban admissions for individuals convicted of producing methamphetamine on the premises of federally assisted housing and individuals subject to a lifetime registration requirement under a state sex offender program. For the other four mandatory denials\u2014which are related to illegal drug use, drug-related crime, and alcohol abuse\u2014PHAs have some discretion to determine whether the offense applies to an applicant or household member or to consider mitigating circumstances. While six offenses require denial of admissions, only one of these offenses\u2014the offense related to methamphetamine production\u2014also mandates termination of assistance, as shown in table 1.", "In addition, federal statute and HUD regulations require that PHAs include certain offenses that are grounds for denial or termination in their policies, but give PHAs discretion on when and how to act on them. For example, PHAs can, but are not required to, terminate assistance for \u201cfugitive felons.\u201d Table 1 provides a summary of criminal history-related restrictions for the public housing and HCV programs."], "subsections": []}, {"section_title": "PHAs Generally Have Discretion in Establishing Their Criminal History Policies", "paragraphs": ["PHAs generally have discretion in establishing their specific criminal history policies, apart from the specific federal requirements discussed above. Below are examples of how policies vary among the 10 PHAs we reviewed.", "PHAs Have Discretion by Design In the 1990s, Congress enacted legislation to deregulate federal housing assistance programs, which gave public housing agencies broader discretion in establishing their own policies for tenant selection, income and rent, and administrative operations for the public housing and Housing Choice Voucher programs. This included discretion on policies for screening applicants, denying admissions, and terminating assistance.", "Denials and terminations. PHAs may choose to deny or terminate assistance for additional offenses that are not specifically listed in federal requirements. All of the PHAs we reviewed had established policies to deny admissions or terminate tenancy for additional offenses. For example, in addition to the mandatory denials, one PHA had a written policy to deny admission to public housing to applicants or household members convicted of arson or child molestation and persons who committed homicide, armed robbery, trafficking, or domestic violence in the past 3 years. Another PHA would deny housing assistance if an applicant, tenant, household member, or guest had ever committed homicide, kidnapping, rape or sexual assault, indecency with a child, or arson. According to selected PHA\u2019s written policies, other offenses for which PHAs may deny admission or terminate tenancy include selling, producing, or manufacturing illegal substances; violent behavior; property destruction; and fraud, bribery, or other crimes in connection with a federally-assisted housing program.", "Lookback periods. PHAs can establish periods of time before the admission decision during which an applicant must not have engaged in certain types of criminal activity, such as drug-related or violent crimes, known as lookback periods. Based on our interviews with selected PHAs, lookback periods generally ranged from 2 years to 7 years but were sometimes longer for offenses such as homicide or assault. For example, one PHA had a policy to deny housing assistance to individuals who have committed manslaughter, robbery, illegal possession of a firearm or deadly weapon, assault, or physical violence to persons or property within a 5-year period. Another PHA had a 5-year lookback period for felony convictions for burglary; a 10-year lookback period for felony convictions for assault, kidnapping, abduction, forcible sex, or arson; and a 20-year lookback period for convictions for first degree murder, according to its screening criteria for the public housing and HCV programs. Some PHAs began the lookback period on the date of the conviction, and others on the date the offense occurred.", "Representatives of three PHAs we interviewed said that they had revised their policies in the past 5 years to reduce their lookback periods. For example, from 2013 through 2016, one PHA reduced its lookback period for all offenses first from 10 years to 7 years, and then finally to 3 years. The officials said their neighborhood had a high incarceration rate and they wanted to give second chances to ex-offenders. Officials from another PHA said that in 2016, they changed their lookback period from 10 years to 5 years at the suggestion of their new deputy director.", "Use of arrest records. According to HUD\u2019s 2015 guidance, PHAs cannot rely on arrest records to determine eligibility for housing assistance. However, they may still review arrest records and may make an adverse housing decision based on the conduct underlying an arrest if the conduct indicates that the individual is not suitable for tenancy and the PHA has sufficient evidence (in addition to the arrest record) that the individual engaged in the conduct. Officials from 9 of the 10 PHAs said that they did not rely on arrest records to determine eligibility for assistance. Officials from the remaining PHA told us they have used arrest records as the basis for denying assistance for certain offenses and believed they complied with HUD\u2019s notice on the use of arrest records by providing the applicant or tenant the right to appeal the denial or termination.", "Of the 9 PHAs that did not rely on arrest records for determining eligibility for assistance, officials at 5 PHAs indicated that they obtained and reviewed information on arrest records, but that they did not take action to deny assistance or terminate tenancy based on an arrest record. Officials at 1 PHA stated that they only took action based on conviction records and officials at another PHA stated they do not use arrest records at all in making eligibility determinations. For cases where an applicant has charges pending, officials at 2 PHAs said that they may wait for the case to be closed prior to making an eligibility determination.", "Consideration of mitigating circumstances and other factors. PHAs sometimes consider mitigating circumstances for applicants or tenants who may otherwise be denied housing assistance. Officials from PHAs we interviewed took different approaches to allowing mitigating circumstances and other factors. For example, officials from one PHA said that it always considered mitigating circumstances and requested such information as part of the application process. Officials at another PHA said that after a denial letter is sent, applicants can provide evidence of mitigating circumstances during the appeals process. Another PHA\u2019s officials said that in making eligibility decisions, they considered the severity of the crime and whether the individual completed rehabilitation. As allowed by federal requirements, some PHAs included in their policies factors to consider when determining whether or not to deny or terminate housing assistance. For example, one PHA\u2019s policy stated that in making such determinations it considers several factors such as the seriousness of the case and the effects that denying assistance may have on other household members or the community. Officials from another PHA said that they allowed public housing residents to preserve their tenancy on the condition that the offending household member is permanently excluded from the public housing unit.", "Selected PHAs\u2019 Coordination with Local Law Enforcement Officials we interviewed at 10 public housing agencies (PHA) said they coordinated with local law enforcement as part of their efforts to address criminal activity in public housing. Two PHAs have their own police departments. Three PHAs said that local police officers patrol their public housing properties and inform the PHA if there are any issues related to criminal activity. Officials at one of the larger PHAs we interviewed said that staff check arrest reports every night to see if any crimes were committed by their tenants. Officials at another PHA said that they had off-duty police officers regularly patrol their public housing properties and had security cameras on their properties that are monitored by local police.", "Timing and Frequency of Background Checks. In addition to federal requirements to conduct criminal background checks at time of application, PHAs may also choose to conduct such checks as part of an annual recertification process for persons already receiving rental assistance. Officials from 3 of the 10 PHAs we interviewed said that they conducted background checks on tenants during the recertification process. In addition, officials from 3 other PHAs said that they may conduct background checks if issues arise during a person\u2019s tenancy or at any time. Officials from the other 4 PHAs we interviewed did not provide additional details on conducting tenant background checks.", "Methods Used to Obtain Criminal History Information. Federal statute and HUD regulations authorize PHAs to obtain criminal history information from law enforcement agencies. HUD has also recognized that PHAs may obtain this information through other means. HUD officials at one regional office estimated that most of the PHAs under their purview use private companies to obtain criminal history information. Of the 10 PHAs we interviewed, 6 said that they hired private screening companies to provide the PHA with a criminal history report for an applicant or tenant.", "Criminal History Records and Data Quality Challenges The completeness and accuracy of criminal history information is a known and persistent challenge for state and federal agencies and private companies that compile and sell this information to entities such as employers and public housing agencies. In its 2015 notice on the use of arrest records, the Department of Housing and Urban Development (HUD) affirmed its commitment to the goal of ensuring that individuals are not denied access to HUD-subsidized housing on the basis of inaccurate, incomplete, or otherwise unreliable evidence of criminal conduct. In addition, the Federal Interagency Reentry Council, of which HUD is a participating agency, reported that it plans to take steps to address widespread inaccuracies in criminal records, and that it would work with consumer reporting agencies to develop best practices for improving the accuracy of criminal records.", "Officials from one of the selected PHAs we interviewed said that the housing authority\u2019s police department conducted the criminal background check and determined whether to approve or deny the applicant based on the results, consulting with the PHA if needed. Officials at two PHAs said a local law enforcement agency or state agency did the initial criminal background check to determine if the applicant has a criminal record, and if so, a private screening company may obtain the individual\u2019s detailed criminal record. Another PHA said that their staff used state databases to conduct criminal background checks."], "subsections": []}]}, {"section_title": "HUD Has Not Yet Updated Its Guidebooks for PHAs with Newer Criminal History Policy Guidance, and Its Compliance Reviews Do Not Address Some Requirements", "paragraphs": [], "subsections": [{"section_title": "HUD Has Not Yet Updated Its Guidebooks to Reflect New Criminal History Policy Guidance", "paragraphs": ["As of mid-May 2018, HUD officials stated that they were in the process of updating HUD\u2019s HCV Program Guidebook and Public Housing Occupancy Guidebook (guidebooks), including updating sections of these guidebooks with new criminal history policies. However, the documentation HUD provided on these updates did not specifically address criminal history policies. The guidebooks serve as key reference documents and are designed to advise PHAs on the administration of the HCV and public housing programs, but have not been revised since 2001 and 2003, respectively. From 2011 through 2016, HUD issued notices and other documents that urged PHAs to move away from policies that deny admissions or tenancy to anyone who has engaged in criminal activity, and instead to seek policies that strike a balance between resident safety and the reentry needs of formerly incarcerated individuals and others with criminal history records.", "In 2011, the Secretary of HUD issued a letter to PHAs encouraging them to allow ex-offenders to rejoin their families in the public housing or HCV programs when appropriate. The letter reminded PHAs that they have broad discretion to set admission and termination policies for the public housing and HCV programs, aside from the federal requirements. The letter also reminded PHAs that they have discretion to consider other factors such as evidence of rehabilitation or participation in social service programs when screening applicants for suitability.", "HUD issued a notice in 2012 recommending that PHAs terminate the tenancy of persons living in federally assisted housing who were erroneously admitted while subject to a state lifetime sex offender registration requirement or who commit sex offenses while living in federally assisted housing. HUD recommended that PHAs ask at the time of annual recertification whether any member of the household is subject to a state lifetime sex offender registration program in any state. If the PHA finds that a member of the household engages in criminal activity, including sex offenses, while living in HUD-assisted housing, the PHA should pursue termination of tenancy, according to the notice.", "As previously discussed, HUD issued a notice on criminal history policies and the use of arrest records in 2015, stating that the fact that an individual was arrested is not sufficient evidence that the individual engaged in criminal activity. In addition, the notice stated that HUD does not require the adoption of \u201cone strike\u201d policies (for example, policies that deny admissions or tenancy to anyone who has engaged in criminal activity), and that in most cases PHAs have discretion to determine whether to deny admission or terminate assistance to applicants or households with criminal history records.", "In 2016, the HUD Office of General Counsel issued a document indicating that policies that exclude individuals based on arrests do not satisfy the Fair Housing Act\u2019s burden of proof. The document further stated that housing providers should consider factors such as the type of crime and the length of time since conviction when making housing decisions based on criminal history records.", "As of mid-May 2018, HCV and public housing guidebooks were outdated because they did not reflect the letters and notices cited above. HUD has not updated the guidebooks in more than 15 years because they do not frequently update these documents. For example, according to HUD\u2019s website, the 2003 Public Housing Occupancy Guidebook is the first update in over 20 years. We reported previously that HUD had struggled to maintain up-to-date and complete policies and procedures across its management functions. In March 2018, HUD officials told us they had begun the process of updating their HCV and public housing guidebooks, noting that PHAs have requested such an update. HUD officials said the eligibility chapters of the updated guidebooks will reflect the notices that HUD has provided to PHAs in recent years on criminal history policies. However, we requested documentation on HUD\u2019s planned updates and the information we received did not clearly indicate that the new criminal history guidance would be incorporated into the guidebooks.", "Federal internal control standards state that management should communicate the necessary quality information to achieve the entity\u2019s objectives. This can include ensuring appropriate means of communicating with external parties. Effective communications can take many forms, including guidance. By updating its HCV and public housing guidebooks to reflect newer criminal history guidance, HUD can ensure that these guidebooks serve as consolidated and up-to-date references for PHAs that accurately communicate HUD\u2019s current guidance on criminal history policies."], "subsections": []}, {"section_title": "HUD\u2019s Reviews for Some High-Risk PHAs Do Not Comprehensively Address Criminal History Policies", "paragraphs": ["HUD reviews the criminal history policies for the small number of PHAs it designates as high risk or very-high risk, but these reviews do not address all related federal requirements or their implementation. Using its National Risk Assessment, HUD designates each PHA on a quarterly basis as low, moderate, high, or very-high risk. The assessment uses quantitative and qualitative data sources to identify, mitigate, prevent, and anticipate potential risk in five categories: financial, physical, governance, management risks, and risks to the HCV program. This assessment does not include specific metrics related to PHAs\u2019 criminal history policies, according to HUD officials. HUD uses the results to direct field staff resources towards higher-risk PHAs, such as providing these PHAs with technical assistance or conducting compliance reviews.", "HUD Field Staff May Have Cause to Review PHAs\u2019 Criminal History Policies for Various Reasons Outside of the Department of Housing and Urban Development\u2019s (HUD) Compliance Monitoring Checklist, HUD field staff may have cause to review a PHA\u2019s criminal history policies for other reasons. Those reasons include complaints from applicants who were denied assistance for criminal history reasons or low occupancy rates, which could indicate that people do not want to live in particular public housing complexes for safety reasons, or that a PHA\u2019s screening policies may be too stringent. HUD may also review a PHA\u2019s criminal history policies through the annual plan submission process. According to HUD officials, about one-third of PHAs are required to submit annual plans, which describe PHAs\u2019 policies governing resident or tenant eligibility, and selection and admission, among other policies.", "Although HUD does not routinely monitor PHAs\u2019 compliance with federal requirements on criminal history policies, it does evaluate some aspects of compliance for those high-risk and very-high-risk PHAs that receive a compliance review. To conduct these compliance reviews, field staff use HUD\u2019s Compliance Monitoring Checklist (checklist). The checklist, which was first piloted in 2016 among six PHAs, contains six questions field staff must cover that directly relate to PHAs\u2019 criminal history policies. These include questions on the PHA\u2019s policies for denying applicants for drug-related criminal activity and checking states\u2019 sex offender registry lists. In 2017, HUD expanded the use of the checklist to 74 high-risk and very-high-risk PHAs. For 2018 reviews, HUD officials stated that each of HUD\u2019s 45 field offices will be required to use the checklist for at least one high-risk PHA in their portfolio, meaning the checklist will be applied to at least 45 PHAs out of 626 PHAs designated as high risk and very-high risk (out of a total of 3,825 PHAs as of December 2017), according to HUD officials. HUD field offices can choose to use the checklist at more than one PHA, according to HUD officials. Prior to this checklist, HUD officials said HUD field staff collected information on PHAs\u2019 criminal history policies through HUD\u2019s Rental Integrity Monitoring reviews by which HUD field office staff collect and analyze PHA income and rent information, identify income and rent errors, and assess PHA policies and procedures in both the public housing and HCV programs. However, HUD no longer required these reviews after 2006, though field staff may still conduct them, according to HUD officials.", "As shown in table 2, the checklist generally directs field staff to obtain a copy of a PHA\u2019s written policies related to criminal history. For two of the six questions, field staff are also directed to review supporting materials and interview PHA staff, but for the other four questions, no additional information must be obtained. According to HUD officials, field staff who conduct the reviews are experienced and know to obtain additional information even if it is not listed in the checklist guidance. Officials stated that the checklist was not intended to be a step-by-step guide.", "HUD\u2019s checklist does not include items to assess PHAs\u2019 compliance with additional aspects of PHAs\u2019 criminal history policies. As shown in table 2, the checklist includes specific items related to federal requirements on drug-related criminal activity, sex offenders, and convictions for methamphetamine production for which PHAs are required to deny admissions for public housing and HCV programs. The checklist, however, does not cover the requirement related to the abuse of alcohol.", "In addition, HUD\u2019s checklist also does not address the requirement that PHAs may not use arrest records as the basis for denying or terminating assistance. Officials from 8 of the 10 PHAs we interviewed stated that they were already implementing policies or changed their policies to follow HUD\u2019s notice on arrest records. However, we found that 1 of the 2 remaining PHAs we interviewed had not yet updated its written policies, though officials at this PHA said they did not base any decisions on arrest records in practice. The other PHA\u2019s policies state that a record of arrest(s) will not be used as the basis for the denial or proof that the applicant engaged in disqualifying criminal activity, but officials from this PHA said that they did use arrest records as the basis for denying assistance to persons. Specifically, PHA officials stated that they based assistance decisions on records of arrest for drug-related or violent activity if the arrest had not been dismissed, had not reached disposition, and occurred within the last 5 years. Officials from this PHA said that they comply with HUD\u2019s 2015 notice by providing the applicant the right to appeal a denial or termination (officials said that appeals by applicants are rare).", "HUD\u2019s checklist instructions direct Office of Public and Indian Housing (PIH) field staff to note regulatory violations that they observe when conducting compliance reviews using the checklist. However, officials in HUD headquarters stated that they could not provide information on any regulatory violations related to PHAs\u2019 criminal history policies specifically because they have aggregate results from the 2017 checklist reviews, which do not specify the type of compliance issues identified by field staff. As a result, violations related to criminal history policies would be included under the general categories of PHA\u2019s Admissions and Continued Occupancy Policies (for public housing) or Administrative Plans (for HCV). In addition, none of the HUD staff we interviewed from July through December 2017 from five of HUD\u2019s field offices discussed any instances of noncompliance specifically related to PHAs\u2019 criminal history policies. Field staff we interviewed identified a range of potential actions they might take if they found that a PHA\u2019s criminal history policies did not meet HUD\u2019s requirements. These actions could include providing technical assistance to the PHA, requiring the PHA to make corrective actions within a specified time frame, or requiring the PHA to rescreen applicants.", "HUD is required by law to assess the performance of PHAs in all major areas of management operations, including implementing effective screening and eviction policies and other anticrime strategies. In addition, federal internal control standards indicate that management should design control activities to achieve objectives and respond to risks. However, HUD\u2019s checklist does not address PHAs\u2019 criminal history policies in a comprehensive manner. For example, it generally does not require field staff to go beyond reviewing written policies and obtaining additional information on how the policies are being implemented. In addition, field staff are not required to address some federal requirements, such as PHAs\u2019 use of arrest records. According to agency officials, HUD issued the arrest record notice in response to information indicating that PHAs were basing denial decisions on whether an individual had been arrested, which is not sufficient evidence of criminal activity. In our interviews of 10 selected PHAs, as discussed above, officials from one PHA described practices that were not in line with its written policy on the use of arrest records. Specifically, the officials stated that they make housing assistance decisions based on arrest records though their policies state they will not. Another PHA had not updated its written policy to reflect its practice of not basing decisions on arrest records. HUD officials stated that, due to resource issues, they developed the checklist to address high-risk areas, but that they planned to review the checklist again after the guidebooks are updated. By reviewing the checklist to determine what additional criminal history policy requirements should be included and revising the checklist instructions to direct staff to obtain information on PHAs\u2019 implementation of criminal history policy requirements, HUD could improve its ability to identify areas of noncompliance. Noncompliance, according to HUD\u2019s public housing guidebook, could lead to admission of ineligible families or unlawful discrimination."], "subsections": []}]}, {"section_title": "The Fugitive Felon Initiative Has Led to Apprehensions, but Its Implementation and Program Oversight Have Been Inconsistent", "paragraphs": [], "subsections": [{"section_title": "The HUD OIG Identified and Shared Potential Leads on Locations of Fugitives with the FBI", "paragraphs": ["Through the Fugitive Felon Initiative, the HUD OIG and the FBI have shared information that has produced thousands of potential investigative leads on the location of fugitives who may live in HUD-assisted housing. From May through June 2017, the HUD OIG identified approximately 18,000 potential investigative leads using FBI warrant data from September 2016, according to HUD OIG officials and FBI data. The HUD OIG identified these leads by cross-referencing the approximately 2.4 million felony and misdemeanor warrants in the FBI\u2019s Wanted Persons File with the approximately 10.6 million records in HUD\u2019s PIC and TRACS data systems. Cross-referencing involves identifying corresponding records within the FBI and HUD data that show the same or similar names, the same date of birth, and the same sex. A HUD OIG official stated that this process is designed to be overly inclusive to minimize the risk of missing a potential investigative lead. In addition, because the Fugitive Felon Initiative uses data from HUD tenant files, fugitives who live in HUD-assisted housing but are not listed on the rental agreement would not be identified through this process, according to HUD OIG officials.", "As part of its activities under the Fugitive Felon Initiative, after cross- referencing the FBI and HUD data, the HUD OIG distributed potential investigative leads to HUD OIG regional offices and the FBI. According to HUD OIG officials, the list of potential investigative leads they sent to HUD OIG regional offices only included extraditable warrants for felony offenses. The FBI did not verify these potential investigative leads to determine if the warrants remained active. The list of potential investigative leads the HUD OIG sent to its regional offices differed from the list of leads the FBI distributed to law enforcement agencies. Specifically, the investigative leads the FBI distributed to law enforcement agencies contained only extraditable warrants for both felony and misdemeanor offenses that the FBI verified remained active, according to FBI officials.", "According to our analysis of HUD OIG data, many of the potential investigative leads the HUD OIG sent to its regional offices involved nonviolent offenses, though a small percentage included crimes such as assault or homicide. Specifically, from May through June 2017, the HUD OIG sent 4,814 potential investigative leads (about 27 percent of the approximately 18,000 potential investigative leads) to its regional offices. As shown in table 3, about one-third of these leads were for failure to appear in court or probation violations\u2014the two most frequently occurring offenses.", "According to FBI officials, once they electronically receive the list of potential investigative leads from the HUD OIG, their system automatically removes potential leads when either (1) the warrant associated with the lead is no longer active or (2) the warrant associated with the lead is not extraditable. A warrant would no longer be active if an arrest or other warrant resolution occurred between the time the FBI sent the Wanted Persons File to the HUD OIG and the time the HUD OIG returned the list of potential investigative leads to the FBI. An investigative lead would not be extraditable if the fugitive\u2019s address fell outside of the geographic extradition area. According to HUD OIG officials, the HUD OIG sent the FBI approximately 18,000 potential investigative leads in 2017. FBI data show that the warrants associated with 9,415 of these leads remained active once the FBI received the leads. Of the potential leads with active warrants, FBI data show that 4,957 of the warrants were extraditable and active. According to FBI officials, they sent lead letters\u2014 which notify law enforcement agencies of the possible location of a fugitive who may be receiving HUD assistance\u2014for the leads associated with the extraditable warrants that remained active to the relevant law enforcement agency. Lead letters include information from HUD tenant data and the associated warrant, such as name, date of birth, Social Security number, warrant number, date of the lead, and a possible address for the individual."], "subsections": []}, {"section_title": "The FBI\u2019s Investigative Lead Letters Facilitated Apprehensions", "paragraphs": ["The FBI\u2019s investigative lead letters have led to over 1,200 fugitive apprehensions from fiscal years 2013 through 2017 as a result of the Fugitive Felon Initiative. FBI data show that the FBI sent lead letters to law enforcement agencies for active, extraditable warrants each time the FBI received a list of potential investigative leads from the HUD OIG from fiscal years 2013 through 2017. From fiscal years 2013 through 2017, the FBI sent approximately 45,100 lead letters to law enforcement agencies for extraditable warrants that remained active (out of approximately 66,000 total potential investigative leads FBI data show it received from the HUD OIG during this time period, which included extraditable and nonextraditable active warrants).", "Law enforcement agencies provide information to the FBI on the disposition of most warrants associated with lead letters. According to FBI officials, when the FBI provides a lead letter to law enforcement agencies, it includes an optional questionnaire on the disposition of the warrant. Law enforcement agencies return the questionnaire about 75 percent of the time, according to FBI data. Data from these questionnaires show that law enforcement agencies reported 1,260 fugitive apprehensions that were facilitated by information from the Fugitive Felon Initiative from fiscal years 2013 through 2017. Lead letters do not always result in apprehensions. For example, law enforcement agencies may have resolved the outstanding warrant through a separate investigation, been unable to locate the subject of the warrant, or decided to not extradite a subject located in another state, according to FBI data. There may also be additional apprehensions that occurred without the FBI\u2019s knowledge if the law enforcement agency apprehended an individual but did not return the disposition questionnaire to the FBI.", "From fiscal years 2013 through 2016, law enforcement agencies reported numbers of apprehensions resulting from the Fugitive Felon Initiative ranging from 254 to 339 each year (see table 4). However, in fiscal year 2017, law enforcement agencies reported a substantial decrease in apprehensions to 77. FBI officials stated that this decrease was a direct result of the decrease in the frequency and speed with which the HUD OIG cross-referenced HUD and FBI data and provided potential leads to the FBI. Specifically, the HUD OIG did not cross-reference data for over a year during fiscal years 2016 and 2017, and the HUD OIG did not return the results to the FBI for 10 months after receiving warrant data from the FBI in September 2016, which resulted in many warrants no longer being active, according to FBI officials. HUD OIG officials stated that the lag in returning potential investigative leads to the FBI in July 2017 was due to staff turnover. HUD OIG officials stated they are developing a process so that staff turnover will not prevent the HUD OIG from cross-referencing the data in the future.", "Of the 77 apprehensions in fiscal year 2017 based on the HUD OIG\u2019s potential investigative leads, our analyses showed that many were for nonviolent offenses. Specifically, about 57 percent were for failure to appear in court or probation violations. The next most frequent offenses included larceny, fraud, dangerous drugs, harassing communication, parole violation, and contempt of court. These offenses made up approximately 25 percent of all apprehensions."], "subsections": []}, {"section_title": "The HUD OIG Has Revised Its SOP to Address Inconsistent Regional Office Participation in the Fugitive Felon Initiative", "paragraphs": ["Participation in the Fugitive Felon Initiative among the HUD OIG\u2019s regional offices was inconsistent and declined from fiscal years 2012 through 2016. In April 2018, the HUD OIG revised its Standard Operating Procedure (SOP) for the Fugitive Felon Initiative to define regional office responsibilities, improve consistency among regional offices\u2019 participation, and leverage the FBI\u2019s efforts."], "subsections": [{"section_title": "Inconsistent Participation", "paragraphs": ["The inconsistent participation of HUD OIG regional offices in the Fugitive Felon Initiative resulted from changes in HUD OIG investigative priorities, inconsistent data-sharing from HUD OIG headquarters, and resource constraints: Change in agency priorities. According to HUD OIG officials, beginning in 2012, the HUD Inspector General prioritized investigations that would have significant financial effects, such as fraud committed by PHA employees. Subsequently, four of the seven HUD OIG regional offices did not participate in the Fugitive Felon Initiative from 2012 through 2016, according to regional officials, while the other three regional offices participated by following-up on at least some of the potential investigative leads.", "In addition, most HUD OIG regional offices stopped participating in USMS fugitive task forces after 2012. Specifically, officials in six of the seven regional offices said that before 2012, they coordinated with or participated in USMS task forces to investigate potential leads they received from HUD OIG headquarters. An agent in one regional office who participated as a member on the USMS Regional Fugitive Task Force said that he gathered additional information on fugitives from law enforcement and assisted in the apprehension of fugitives. According to officials in that region, they stopped participating in the task force in 2012. Similarly, officials in four other regional offices that coordinated with or participated in USMS fugitive task forces either did not receive the data from HUD OIG headquarters after 2012 or stated that they discontinued their formal involvement in the USMS task forces around 2012. Officials in the sixth regional office stated that they continue to interact with the USMS fugitive task force. Officials in the seventh regional office reported not working with USMS on fugitive apprehensions. Officials we interviewed from three USMS fugitive task forces confirmed their prior interaction with three HUD OIG regions. According to HUD OIG and USMS officials, the three HUD OIG regional offices stopped working with the USMS fugitive task forces in 2005, 2012, and 2015, respectively. For example, officials from one task force stated that a HUD OIG agent was detailed to the task force until 2015 and provided them with related HUD information to locate potential fugitives.", "Inconsistent data-sharing. HUD OIG headquarters did not consistently share potential investigative leads with all regional offices after 2012, which affected their participation in the Fugitive Felon Initiative. HUD OIG headquarters did not track when it shared potential investigative leads with its regional offices, but our interviews indicate that regional offices did not consistently receive leads from HUD OIG headquarters. Officials from three regional offices stated that they continued to receive data on the potential leads from headquarters from 2012 through 2016, one received data on the potential leads from 2012 through 2014, one received the data upon request from 2012 through 2015, and two did not receive the data after 2012. Of the three regional offices that received the potential leads from 2012 through 2016, officials from two offices stated that they conducted further investigations or coordinated with law enforcement to pursue apprehensions of fugitives on at least some of the potential leads.", "Resource constraints. Resource constraints limited HUD OIG regional office participation in the Fugitive Felon Initiative, according to officials from six of the seven regional offices. Officials from two of these regions stated that their staff levels have been reduced in recent years, limiting the resources available to address the hundreds of potential investigative leads from HUD OIG headquarters. They noted that following up on each lead was time-consuming, requiring agents to reenter warrant information into NCIC, identify the law enforcement agency point of contact, and call the agency to provide the potential location of the wanted person. Officials from four regions that continued to receive the potential investigative leads after 2012 stated that they investigated a subset of leads, such as leads for violent offenses. Officials from another region that continued to receive the leads after 2012 stated they did not follow up on any of the leads they received due to work constraints."], "subsections": []}, {"section_title": "Revised Standard Operating Procedure", "paragraphs": ["In April 2018, the HUD OIG revised its SOP and added guidance for regional office participation in the Fugitive Felon Initiative. The prior version of the SOP (issued in 2016) did not specifically define regional activities. The 2018 SOP states that regional offices will be responsible for verifying that the warrant associated with the potential investigative lead is still active and coordinating with the law enforcement agency that originally entered the warrant into NCIC. In addition, regional offices will generally be required to conduct additional research by querying criminal databases, referring leads to PHAs for administrative action, and recording their efforts in the HUD OIG case management system.", "The 2018 SOP states that based on resource and staffing levels, HUD OIG regions may limit their participation in the Fugitive Felon Initiative to only \u201cpriority\u201d leads. According to HUD OIG headquarters officials, regional offices are to follow up on priority leads by undertaking activities listed in the 2018 SOP such as coordinating with law enforcement agencies and referring leads to PHAs for administrative action. The Prioritized Fugitive Felon List is defined as leads associated with warrants for violent felonies, sexual assault, and narcotics distribution, as well as other offenses that may affect the health and safety of housing residents, children, national security, or law enforcement. The 2018 SOP also details a new process in which HUD OIG headquarters will provide regional offices with (1) the priority list of leads and (2) the nonpriority list of leads, which includes all leads associated with extraditable felony warrants not included in the priority list.", "The 2018 SOP also states that the HUD OIG will cross-reference FBI and HUD data twice each year and return the list of potential investigative leads to the FBI before sending it to HUD OIG regional offices. As a new step under the 2018 SOP, the FBI will verify whether each warrant on the list is active before sending the list back to the HUD OIG, which according to HUD OIG officials, is intended to reduce the number of leads with inactive warrants provided to regional offices.", "Because the HUD OIG only recently issued the new SOP, it is too early to assess its effectiveness in enhancing regional office participation in the Fugitive Felon Initiative."], "subsections": []}]}, {"section_title": "The HUD OIG Has Reporting Requirements for the Fugitive Felon Initiative, but Does Not Plan to Collect or Assess Data on Some Key Aspects of Regional Implementation", "paragraphs": ["The 2018 SOP includes some added requirements for HUD OIG headquarters to track and report some statistics related to its regional offices\u2019 activities, but the HUD OIG does not plan to collect or assess data on some activities listed in the 2018 SOP that HUD OIG officials stated regional offices are required to undertake for the Prioritized Fugitive Felon List. Under the 2018 SOP, HUD OIG headquarters will be responsible for tracking and reporting statistics on the number of referrals, evictions, PHA actions, and positive matches. However, the 2018 SOP does not require the HUD OIG to track the extent to which its regional offices undertake all the activities that HUD OIG officials stated regions are required to undertake, such as contacting and coordinating with relevant law enforcement agencies for the leads on the Prioritized Fugitive Felon List.", "The HUD OIG\u2019s 2018 SOP states that the development and use of the SOP is integral to a successful quality control system and that it provides pertinent information needed to perform a required task properly by facilitating consistency. Federal internal control standards state that management should establish activities to monitor the internal control system and evaluate results. HUD OIG headquarters officials stated that they do not plan to collect or assess information on the extent to which regional offices are implementing the new SOP because collecting such information would be resource intensive. However, we believe the HUD OIG could obtain more comprehensive information on its regional offices\u2019 activities using current resources. For example, the 2018 SOP states that HUD OIG regions are to create a subject profile in the case management system on all confirmed hits. This indicates that the regions will track their efforts to implement the new SOP. As a result, HUD OIG headquarters could collect and assess this information on the extent to which regions are implementing the new SOP through periodic data calls to its regional offices. Collecting and assessing more comprehensive information would better enable the HUD OIG to (1) determine the extent to which HUD OIG regions are undertaking activities listed in the 2018 SOP, including activities agency officials stated regions are required to undertake for the leads on the \u201cPrioritized Fugitive Felon List\u201d and (2) identify any areas for improvement. Such assessments of regional office efforts would also inform HUD OIG headquarters of whether the new SOP is being implemented as intended and consistently, which is particularly important given the regions\u2019 inconsistent participation in the initiative in the past."], "subsections": []}, {"section_title": "The HUD OIG and the FBI Have Not Consistently Shared Results of the Initiative", "paragraphs": ["The HUD OIG and the FBI have not consistently shared information on the results of the Fugitive Felon Initiative or agreed on the type of information that would be the most useful to share. The 2012 MOU for the initiative states that (1) the FBI is to provide apprehension and other fugitive felon statistics to the HUD OIG monthly and (2) the HUD OIG is to provide apprehension information and estimated program savings to the FBI every 30 days.", "FBI Apprehension Data. Prior to 2012, the FBI shared aggregate data on apprehensions that resulted from its lead letter process with the HUD OIG, but stopped doing this at the request of the HUD OIG, according to FBI officials. During our review and at the request of the HUD OIG, the FBI resumed sharing information on apprehensions with the HUD OIG in November 2017. However, rather than providing aggregate apprehension statistics, the FBI provided individual disposition letters to the HUD OIG on a weekly basis. While the disposition letters contain information on apprehensions, HUD OIG officials stated that aggregate statistics would better assist them in judging the effectiveness of the initiative.", "HUD OIG Apprehension Data. HUD OIG headquarters has not tracked the numbers of apprehensions of wanted persons under the initiative and therefore has not shared this information with the FBI. HUD OIG officials stated that it is not feasible for them to collect and share this information with the FBI every month. The HUD OIG\u2019s April 2018 SOP also states that the HUD OIG will no longer share information on apprehensions with the FBI. As of April 2018, FBI officials said that they were not aware of any changes to the HUD OIG\u2019s responsibilities for sharing apprehension information under the 2012 MOU.", "HUD OIG Program Savings Data. FBI data show that HUD OIG headquarters has not shared program savings data with the FBI since 2012. HUD OIG headquarters officials stated that they do not currently have a method for estimating program savings under the Fugitive Felon Initiative although they have calculated program savings in the past. FBI data show that the HUD OIG provided an estimate of program savings in 2012. The HUD OIG and the FBI have not agreed on whether sharing information on program savings would be useful in implementing the initiative. The 2012 MOU also does not specify for what purpose the HUD OIG should share information on program savings with the FBI. FBI officials stated, however, that if they received data on apprehensions and program savings in the future, they would use this information to report to FBI management to show the ongoing results from the initiative as well as benefits for law enforcement.", "In our prior work, we found that collaborating agencies should develop mechanisms to monitor, evaluate, and report results. Reporting on these activities can help the agencies identify areas for improvement such as policy and operational effectiveness. In the 2012 MOU, the HUD OIG and the FBI documented the information they would share on results; however, they have not consistently shared this information, according to HUD OIG and FBI officials. In addition, in its 2018 SOP, the HUD OIG stated that it would no longer collect or share data on apprehensions or program savings with the FBI, but this change is not reflected in the current MOU. By agreeing on what information on results would be useful to share, and consistently sharing this information, the HUD OIG and the FBI could enhance their ability to identify areas for improvement and evaluate the effectiveness of the initiative."], "subsections": []}, {"section_title": "The HUD OIG and the FBI Have Not Updated Their 2012 MOU to Reflect Program Changes", "paragraphs": ["In addition to not consistently sharing information on results, we found several other areas where the 2012 MOU between the HUD OIG and the FBI does not align with current processes for implementing the Fugitive Felon Initiative. The MOU also does not reflect changes made by HUD OIG\u2019s April 2018 SOP, and the HUD OIG generally had not discussed these changes with the FBI.", "Prosecution for Fraud. According to HUD OIG officials, the HUD OIG generally does not pursue tenant fraud cases as part of the Fugitive Felon Initiative, although the MOU lists this as one of the purposes of the initiative. Specifically, the MOU states that in addition to apprehending fugitive felons, the secondary purpose of the initiative is to investigate, identify, and refer for prosecution individuals who fraudulently receive HUD benefits. However, according to HUD OIG headquarters and officials from one regional office, the HUD OIG generally does not pursue federal tenant fraud cases because these cases typically do not meet the dollar threshold for federal prosecution.", "New Data-Sharing Process. The HUD OIG\u2019s 2018 SOP includes a new procedure in which the FBI will return verified investigative leads to the HUD OIG, but the MOU does not include this new responsibility for the FBI. As discussed earlier, the FBI will now be responsible for verifying whether each warrant on the list of potential investigative leads is active and then sending a list of investigative leads with active warrants to the HUD OIG for distribution to its regional offices. According to FBI officials, they have discussed this added step with the HUD OIG and are currently developing the capability to implement it.", "HUD OIG Referrals to PHAs. The MOU states that HUD OIG regional offices should not refer cases to PHAs for administrative action for 60 days after the FBI sends the lead letter to law enforcement. However, the MOU does not specify how HUD OIG regional offices will be notified about when the 60-day period begins. In addition, officials from HUD OIG regional offices had differing understandings of when this 60-day period begins, and officials from one region stated that they had only recently become aware that there was a 60-day waiting period. Further, the current MOU does not reflect new language in the HUD OIG\u2019s 2018 SOP that allows HUD OIG regional offices to make referrals to PHAs if the subject of the warrant is on the Prioritized Fugitive Felon List and is apprehended before the 60-day period expires.", "HUD OIG Interaction with Law Enforcement. The HUD OIG and the FBI have not updated the 2012 MOU to reflect that, under the 2018 SOP, HUD OIG regional offices are now generally tasked with proactively contacting and coordinating with law enforcement. Further, according to HUD OIG officials, regional offices are required to proactively contact and coordinate with law enforcement for persons on the Prioritized Fugitive Felon list. However, the MOU only states that the HUD OIG will encourage law enforcement agencies to contact the HUD OIG\u2019s regional Special Agents in Charge for assistance with fugitive apprehension activities.", "Our prior work has found that agencies that articulate their agreements in formal documents can strengthen their commitment to working collaboratively, and written agreements are most effective when they are regularly updated. The HUD OIG and the FBI articulated their agreement for the Fugitive Felon Initiative in the 2012 MOU, but the MOU has not been updated to reflect either of the agencies\u2019 current implementation of the initiative or the HUD OIG\u2019s updated April 2018 SOP, according to HUD OIG and FBI officials. As discussed previously, the HUD OIG\u2019s April 2018 SOP includes program changes that affect the activities listed in the 2012 MOU, but according to HUD OIG officials, they have only raised some tentative changes with the FBI. According to FBI officials, as of April 2018 HUD OIG officials mentioned that they are interested in updating the MOU, but the HUD OIG has not discussed any specific changes with the FBI and has not made a formal request to update the MOU. HUD OIG officials stated that they are waiting to process the findings of this GAO report before finalizing program changes with the FBI. Jointly agreeing to any changes in HUD OIG and FBI responsibilities under the Fugitive Felon Initiative and updating the MOU to reflect these changes could improve collaboration between the HUD OIG and the FBI and improve implementation of the initiative."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Criminal history policies for federally assisted housing and the Fugitive Felon Initiative help ensure the safety of residents receiving rental assistance. In the past decade, HUD issued notices and other documents urging PHAs to strike a balance between resident safety and the reentry needs of individuals with criminal history records. By completing its planned updates of program guidebooks to reflect this guidance, HUD could help ensure that PHA staff know and follow HUD\u2019s current guidance on criminal history policies. In addition, HUD could improve its ability to identify and address potential noncompliance by determining what additional criminal history requirements to include in its compliance reviews and obtaining additional information on how PHAs are implementing their policies as part of these reviews.", "Through the Fugitive Felon Initiative, the HUD OIG and the FBI undertook efforts that led to over 1,200 apprehensions of wanted persons in the past 5 years. During the course of our review, the HUD OIG updated its procedures for the initiative in an effort to better define regional office responsibilities and improve the consistency of their participation, as well as to leverage the FBI\u2019s efforts. However, collecting and assessing more comprehensive information on the extent to which regional offices are implementing these new procedures would better enable the HUD OIG to determine the extent to which its regional offices are fulfilling their responsibilities and identify areas for improvement. In addition, by consistently sharing useful information on the results of the initiative, the HUD OIG and the FBI would have better information with which to evaluate the overall effectiveness of the initiative. Finally, the HUD OIG and the FBI could improve their collaboration by agreeing to changes in HUD OIG and FBI responsibilities under the initiative and updating the MOU to reflect these changes."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of seven recommendations: two to HUD\u2019s Office of Public and Indian Housing, three to HUD\u2019s Office of the Inspector General Office of Investigation, and two to the FBI. Specifically:", "The HUD Assistant Secretary for the Office of Public and Indian Housing should complete its updates of the HCV Program Guidebook and Public Housing Occupancy Guidebook to reflect current guidance on criminal history policies for its public housing and HCV programs. (Recommendation 1)", "The HUD Assistant Secretary for the Office of Public and Indian Housing should review HUD\u2019s Compliance Monitoring Checklist to determine if questions should be added to address additional federal criminal history requirements and revise checklist instructions to direct HUD staff to obtain information on PHAs\u2019 implementation of these requirements during compliance reviews. (Recommendation 2)", "The HUD Assistant Inspector General for the Office of Investigation should collect and assess more comprehensive information on regional efforts to implement the activities listed in the 2018 SOP. (Recommendation 3)", "The HUD Assistant Inspector General for the Office of Investigation should, in collaboration with the FBI, determine what information on fugitive apprehensions and any estimated program savings that occur as the result of the Fugitive Felon Initiative would be most useful and consistently share such information with the FBI. (Recommendation 4)", "The HUD Assistant Inspector General for the Office of Investigation should, in collaboration with the FBI, update the Fugitive Felon Initiative MOU to reflect the agencies\u2019 current activities and responsibilities. (Recommendation 5)", "The Director of the FBI should, in collaboration with the HUD OIG, determine what information on fugitive apprehensions that occur as the result of the Fugitive Felon Initiative would be most useful and consistently share such information with the HUD OIG. (Recommendation 6)", "The Director of the FBI should, in collaboration with the HUD OIG, update the Fugitive Felon Initiative MOU to reflect the agencies\u2019 current activities and responsibilities. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HUD, the HUD OIG, and DOJ (including the FBI and USMS) for review and comment. HUD provided comments in an email and the HUD OIG provided comments, the latter of which are reproduced in appendix II. The FBI provided technical comments, which we incorporated as appropriate. USMS informed us that they did not have any comments.", "In an email received from a HUD PIH audit liaison on July 16, 2018, HUD stated that they agreed with our recommendation to reflect current guidance on criminal history policies in HUD\u2019s updated public housing and HCV program guidebooks (Recommendation 1) and expect to publish the relevant updated chapters in December 2018. In response to our recommendation to review questions in HUD\u2019s Compliance Monitoring Checklist and include instructions for obtaining information on the implementation of the requirements (Recommendation 2), agency officials stated that they reviewed the current checklist questions and determined that no additional questions or revisions are needed at this time. However, the officials did not provide supporting documentation on how they determined that the existing questions were sufficient. They also did not address the part of our recommendation related to HUD revising its checklist instructions to direct staff to obtain information on PHAs\u2019 implementation of criminal history policy requirements. We believe these actions are needed to fully address our recommendation.", "In its written comments, the HUD OIG disagreed with our recommendation that it collect and assess more comprehensive information on regional office efforts to implement activities listed in the 2018 SOP (Recommendation 3). The HUD OIG stated that it is not feasible to capture information on regional offices\u2019 activities without diverting resources from its primary mission, and that it would be burdensome to create additional mechanisms to monitor participation. We disagree. According to the 2018 SOP, the HUD OIG will be responsible for collecting and reporting statistics for some regional office activities, such as the number of referrals. As discussed in this report, we believe the HUD OIG could obtain more comprehensive information on additional required regional activities using existing resources, such as through periodic data calls to regions. Such assessments of regional office activities are particularly important given that regional offices had not consistently participated in the Fugitive Felon Initiative in the past. Accordingly, we believe our recommendation is still warranted.", "The HUD OIG also disagreed with our recommendation to determine what information on results of the Fugitive Felon Initiative would be the most useful to share in collaboration with the FBI (Recommendation 4). The HUD OIG stated that its ability to determine apprehensions and program savings is limited. However, the current MOU between the HUD OIG and the FBI states that the HUD OIG is to share this information with the FBI. In addition, in May 2018, HUD OIG officials stated that HUD OIG plans to track statistics on apprehensions that occur with HUD OIG involvement and eventually share these statistics with the FBI. The intent of our recommendation is for the HUD OIG and the FBI to collaborate to determine what information on results should be shared and then share such information consistently. We believe our recommendation provides sufficient flexibility for the HUD OIG and the FBI to determine what information on results would be feasible to collect, and maintain that such collaboration could better position the HUD OIG and the FBI to enhance their ability to identify any areas for improvement and evaluate the effectiveness of the initiative. The HUD OIG agreed with our recommendation to update the Fugitive Felon Initiative MOU to reflect the agencies\u2019 current activities and responsibilities (Recommendation 5).", "In an email received on July 9, 2018, an FBI management and program analyst stated that the FBI agreed with our recommendation to determine what information on apprehensions resulting from the Fugitive Felon Initiative would be most useful to share and consistently share this information with the HUD OIG (Recommendation 6). The FBI also agreed with our recommendation to update the Fugitive Felon Initiative MOU to reflect the agencies\u2019 current activities and responsibilities (Recommendation 7).", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the Department of Housing and Urban Development, the Inspector General of the Department of Housing and Urban Development, the Attorney General of the United States, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact Daniel Garcia-Diaz at (202) 512-8678 or garciadiazd@gao.gov, or Gretta Goodwin at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the statutory and regulatory requirements for public housing agencies\u2019 (PHA) criminal history policies for public housing and Housing Choice Voucher (HCV) programs; (2) the extent to which the Department of Housing and Urban Development (HUD) provides guidance and monitors PHA implementation of criminal history policy requirements for public housing and HCV programs; and (3) the implementation of the Fugitive Felon Initiative by the HUD Office of Inspector General (OIG), in coordination with the Federal Bureau of Investigation (FBI).", "To describe the statutory and regulatory requirements (federal requirements) for PHAs\u2019 criminal history policies, we reviewed federal statutes and HUD regulations for the public housing and HCV programs on providing housing assistance to persons with criminal history records and arrest warrants, including fugitive felons. We focused on the public housing and HCV programs because PHAs screen applicants and determine eligibility for these programs, whereas property owners are primarily responsible for these functions for other HUD rental assistance programs. In addition, the HCV program is the U.S. government\u2019s largest rental assistance program. In addition, we interviewed officials from HUD headquarters as well as officials in five HUD field offices and 10 PHAs in four selected metropolitan areas: Chicago, Dallas/Ft. Worth, New York City, and Philadelphia. We used a cluster sampling technique to select the four metropolitan areas. In selecting these areas, we considered geographic location and proximity of HUD field offices and HUD OIG regional offices to each other, whether there were options to visit a variety of differently sized PHAs that had different characteristics (such as ones that managed both the public housing and HCV programs or had a law enforcement department), and participation of HUD OIG regional offices in the Fugitive Felon Initiative. In each of the four selected metropolitan areas, we selected two to three PHAs to visit, for a total nongeneralizable sample of 10 PHAs (see table 5). In selecting PHAs, we considered PHA size (as measured by the number of public housing and HCV units), whether the PHA implemented both public housing and HCV programs, distance in miles between a PHA and the HUD and HUD OIG metro area offices, and whether a PHA was in an urban or nonurban location and had a law enforcement department.", "We selected five HUD field offices by determining which field office oversees each of the selected PHAs. We interviewed officials from the 10 selected PHAs and reviewed their criminal history policies to better understand the federal requirements and how PHAs implemented them for the public housing and HCV programs. We did not conduct a compliance audit of the selected PHAs. We also interviewed officials from three housing associations (selected based on their expertise with the public housing and HCV programs) about federal requirements and PHAs\u2019 implementation of the requirements. In addition, we interviewed a nonprofit organization that wrote a report on HUD\u2019s criminal records policies and two private companies that conducted criminal background screening for PHAs to better understand criminal screening processes.", "To determine the extent to which HUD provides guidance and monitors PHA implementation of criminal history policy requirements, we reviewed HUD letters and notices for the public housing and HCV programs. We also reviewed HUD\u2019s 2001 HCV Program Guidebook and 2003 Public Housing Occupancy Guidebook. We interviewed officials from the 10 selected PHAs for their perspectives on HUD\u2019s guidance. We also reviewed HUD\u2019s monitoring procedures for PHAs. Specifically, we reviewed documentation related to HUD\u2019s National Risk Assessment as well as HUD\u2019s Compliance Monitoring Checklist for reviewing PHA compliance with federal requirements, including requirements on providing housing assistance to persons with criminal history records. We interviewed officials from HUD headquarters and our sample of five HUD field offices about the agency\u2019s efforts to monitor and oversee PHAs\u2019 implementation of criminal history policy requirements (same selected regional offices discussed above). We assessed HUD\u2019s guidance and compliance procedures in relation to federal requirements for criminal history policies in relation to federal statutes, HUD regulations concerning criminal history policies, and internal control standards.", "To determine the extent to which the HUD OIG, in coordination with law enforcement agencies, implements and monitors the Fugitive Felon Initiative, we reviewed memorandum of understanding (MOU) agreements between the HUD OIG and the FBI and between the HUD OIG and the U.S. Marshals Service (USMS) on their efforts to share and analyze data on HUD tenants and wanted persons and coordinate any apprehension efforts. We reviewed HUD OIG\u2019s Standard Operating Procedure for the Fugitive Felon Initiative and interviewed officials from the FBI, HUD OIG, and USMS headquarters to obtain information on the processes these agencies follow as part of the initiative. We also interviewed officials from all seven HUD OIG Office of Investigation regional offices and relevant USMS Fugitive Task Forces in our four selected metropolitan areas to obtain information on their involvement with and perspectives on the Fugitive Felon Initiative. We worked with USMS Headquarters to identify the relevant fugitive task force that would have jurisdiction over the geographic area covered by a HUD OIG regional office. We assessed the HUD OIG\u2019s and the FBI\u2019s activities in relation to their current MOU, OIG\u2019s Standard Operating Procedure for the Fugitive Felon Initiative, and federal internal control standards. We collected and analyzed data on the HUD OIG\u2019s Fugitive Felon Initiative. Specifically, we analyzed the results of the HUD OIG\u2019s 2017 efforts to cross-reference HUD tenant data and the FBI\u2019s Wanted Persons File (from September 2016) to identify potential investigative leads into the possible location of fugitive felons. We summarized the types of offenses related to these potential investigative leads by grouping similar offenses together and identified the top 10 most frequently occurring offenses. Table 6 lists the subcategories of assault, burglary, fraud, forgery, larceny, and robbery. There were no subcategories associated with the other 4 offenses in the top 10 most frequently occurring (failure to appear, probation violation, parole violation, and dangerous drugs).", "To assess the reliability of the HUD OIG data, we interviewed knowledgeable agency officials, conducted electronic testing for missing data and obvious errors, observed the HUD OIG\u2019s process for cross- referencing HUD tenant data and the FBI\u2019s Wanted Persons File, and reviewed system documentation for the data systems the HUD OIG uses to cross-reference the data. We determined these data to be reliable for our purposes of describing the number of potential investigative leads produced by the initiative, the types of offenses associated with the potential investigative leads, and the HUD rental assistance programs in which identified fugitive felons participated. We also reviewed FBI data on the results of law enforcement agencies (as reported to the FBI from fiscal years 2013 through 2017) in apprehending fugitive felons based on potential investigative leads produced by the initiative. To assess the reliability of the FBI data, we interviewed knowledgeable agency officials and reviewed documentation for the data system the FBI uses to store and retrieve these data. We determined these data to be reliable for our purposes of describing the number of apprehensions that result from the potential investigative leads identified as part of the Fugitive Felon Initiative.", "We conducted this performance audit from January 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Allison Abrams (Assistant Director), Eric Erdman (Assistant Director), Charlene J. Lindsay (Analyst in Charge), Charlene Calhoon, Mara McMillen, David Ballard, Rudy Chatlos, Willie (Billy) Commons III, Marc Molino, Tovah Rom, and Tyler Spunaugle made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Housing and Urban Development and the FBI play roles in ensuring resident safety in federally-assisted housing. For example, HUD is responsible for monitoring local public housing agencies' compliance with requirements for screening applicants.", "Also, HUD's Office of Inspector General works with the FBI to identify and apprehend fugitives who may be living in federally-assisted housing. But these efforts have not been consistent.", "We made 7 recommendations to enhance HUD's oversight of local public housing agencies and improve collaboration between HUD's Office of Inspector General and the FBI."]} {"id": "GAO-18-135", "url": "https://www.gao.gov/products/GAO-18-135", "title": "Transitioning Veterans: Coast Guard Needs to Improve Data Quality and Monitoring of Its Transition Assistance Program", "published_date": "2018-04-19T00:00:00", "released_date": "2018-04-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Thousands of Coast Guard servicemembers have left the military and transitioned into civilian life, and some of these new veterans may face significant challenges, such as finding and maintaining employment. To help them prepare, federal law mandated that DHS provide separating Coast Guard servicemembers with counseling, employment assistance, and information on veterans' benefits through TAP. GAO was asked to examine TAP implementation.", "This review analyzes (1) the reliability of TAP data on participation levels for Coast Guard servicemembers and the factors that affect participation, and (2) the Coast Guard's performance measures and monitoring efforts related to TAP. GAO interviewed Coast Guard headquarters staff; surveyed 12 Coast Guard installations that conduct TAP (100 percent response rate); collected and reviewed participation data for reliability; and interviewed TAP managers from three installations selected for size and location, and 25 Coast Guard servicemembers at one location. (For a companion report on TAP implementation for separating and retiring servicemembers in other military services, see GAO-18-23 .)"]}, {"section_title": "What GAO Found", "paragraphs": ["The United States Coast Guard (Coast Guard), which is overseen by the Department of Homeland Security (DHS), lacks complete or reliable data on participation in the Transition Assistance Program (TAP), designed to assist servicemembers returning to civilian life. According to senior Coast Guard officials, a major reason why data are not reliable is the lack of an up-to-date Commandant Instruction that specifies when to record TAP participation data. Consequently, the data are updated on an ad-hoc basis and may not be timely or complete, according to officials. Federal internal control standards call for management to use quality information to achieve the entity's objectives. Until the Coast Guard issues an up-to-date Commandant Instruction that establishes policies and procedures to improve the reliability and completeness of TAP data, it will lack quality information to gauge the extent to which it is meeting TAP participation requirements in the VOW to Hire Heroes Act of 2011.", "According to GAO's survey of Coast Guard installations, various factors affected participation, such as servicemembers serving at geographically remote locations or separating from the Coast Guard rapidly. TAP officials and Coast Guard servicemembers GAO interviewed said commanders and direct supervisors sometimes pulled servicemembers out of TAP class or postponed participation because of mission priorities. TAP managers also said they rely on delivering TAP online because many Coast Guard servicemembers are stationed remotely.", "The Coast Guard cannot effectively measure performance to ensure key TAP requirements are met because it lacks reliable data and does not monitor compliance with several TAP requirements. Further, the Coast Guard has not established a formal performance goal against which it can measure progress, although federal internal control standards stipulate that management should consider external requirements\u2014such as the laws with which the entity is required to comply\u2014to clearly define objectives in specific and measurable terms. Establishing a goal could help the Coast Guard define expected performance. In addition, the Coast Guard does not monitor TAP requirements regarding the timeliness of servicemembers' TAP participation or their access to additional 2-day classes. Consequently, it cannot know whether servicemembers are starting TAP early enough to complete the program or those who elected to attend additional 2-day classes were able to do so before separation or retirement, as required by the Act. Finally, the Coast Guard lacks an up-to-date Commandant Instruction that establishes the roles and responsibilities of Coast Guard staff in implementing TAP. Federal internal control standards stipulate that management should assign responsibility and delegate authority to key roles throughout the entity. Issuing an up-to-date Commandant Instruction that defines roles and responsibilities would clarify who is ultimately responsible for ensuring Coast Guard servicemembers attend TAP, thereby facilitating accountability."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that the Coast Guard issue a new Commandant Instruction establishing data collection policies, set TAP performance goals, monitor timeliness and access, and define roles and responsibilities. DHS agreed with all of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Over the past several years, thousands of Coast Guard servicemembers have left the military with more soon to follow. Some of these new veterans may face significant challenges as they transition to civilian life, such as finding and maintaining employment. To help them, one section of the VOW to Hire Heroes Act of 2011 (VOW Act) generally mandates the Department of Homeland Security (DHS) to assure that all separating Coast Guard servicemembers participate in the Transition Assistance Program (TAP) to receive counseling, employment assistance, and information on federal veteran benefits, among other supports. TAP is designed to help all servicemembers, including those from the Coast Guard, successfully prepare for civilian life.", "Concurrently with the VOW Act, the prior administration initiated a redesign of TAP which, among other changes, created a standardized curriculum sometimes referred to as Transition GPS (Goals, Plans, Success). The redesign was led by an interagency task force, which included DHS. The task force developed an extended, core curriculum for TAP that covered employment, veterans\u2019 benefits, and financial planning, among other topics. The redesigned TAP also included additional 2-day classes for Coast Guard servicemembers interested in pursuing higher education, career technical training, or entrepreneurship.", "In 2014, GAO issued an initial report on TAP implementation. You asked us to conduct a follow-up review of TAP. We developed two reports based on our audit work\u2014a previously issued report that focuses on the Department of Defense\u2019s (DOD) TAP implementation, and this report that focuses on the Coast Guard\u2019s implementation of TAP. This report examines: 1. What is known about the reliability of Transition Assistance Program data on participation levels and the factors that affect Coast Guard servicemembers\u2019 participation? 2. To what extent does the Coast Guard measure TAP performance and monitor key areas of Transition Assistance Program implementation?", "To address these questions, we surveyed 12 Coast Guard installations with on-site TAP managers and achieved a 100 percent response rate. We reviewed Coast Guard data on TAP participation for fiscal years 2012 to 2017 and interviewed Coast Guard officials in headquarters responsible for overseeing TAP implementation for the Coast Guard. We interviewed 3 of the Coast Guard\u2019s 13 TAP managers\u2014one in person and two by phone\u2014selected for diversity in location of the regions they oversee. We visited one Coast Guard installation where, in addition to interviewing the on-site TAP manager, we interviewed additional TAP staff as well as 25 Coast Guard servicemembers (including both officers and enlisted personnel) who had participated in the program.", "We assessed the reliability of the Coast Guard\u2019s TAP participation data and, based on interviews with agency officials knowledgeable about the data, determined these data were not sufficiently reliable due to limitations with the Coast Guard\u2019s data collection system, which does not have sufficient controls to ensure data are complete and accurate. We discuss the issues with data reliability in our report. We also reviewed relevant federal laws, regulations, policies, documents, and publications. Information in this report is current as of the date GAO received formal agency comments from DHS. For more information on our methodology, see appendix I.", "We conducted this performance audit from February 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Coast Guard Organizational Structure for TAP", "paragraphs": ["Coast Guard staffing for the TAP program reflects the organizational structure of its Health, Safety, and Work-Life Directorate, which oversees TAP policy. The Coast Guard\u2019s TAP managers are assigned to 13 installations where Health, Safety, and Work-Life offices are located. One or two TAP managers are assigned to each of the Coast Guard\u2019s nine districts, which often span multiple states and territories, and these TAP managers oversee operations both for the installation where they work and for units stationed throughout the region (see fig. 1). For example, the TAP manager assigned to Coast Guard Base Cleveland oversees TAP implementation both for that installation and for Coast Guard units serving in Coast Guard District 9\u2014a region that encompasses portions of eight states and the Great Lakes area. The program manager in Coast Guard Headquarters manages Coast Guard\u2019s Transition Assistance Program. The Coast Guard protects and defends over 100,000 miles of U.S. coastline and inland waterways, and consequently, TAP-eligible Coast Guard servicemembers sometimes work in small, widely dispersed units assigned to remote locations, including on Coast Guard vessels. One aspect of the Coast Guard\u2019s mission\u2014a first responder for maritime search and rescue in United States waters\u2014can require Coast Guard servicemembers to respond to emergency situations at a moment\u2019s notice."], "subsections": []}, {"section_title": "TAP Process and Timing", "paragraphs": ["The Coast Guard, which is overseen by DHS, not DOD, generally oversees TAP implementation for its servicemembers. Federal law requires DOD and DHS to require eligible servicemembers under their respective command to participate in TAP, with some exceptions. In response to this statutory requirement, DOD has promulgated regulations and developed issuances which require that servicemembers complete the component parts of the TAP program, and that commanding officers ensure that servicemembers under their command complete these parts, with some exceptions. In contrast, according to Coast Guard officials, Coast Guard has not promulgated any regulations to implement TAP. Further, Coast Guard issued its most recent Commandant Instruction in 2003, approximately 8 years prior to TAP redesign in 2011. However, Coast Guard issued policy guidance in 2014 that made some limited updates to the Commandant Instruction. Coast Guard officials also said the Coast Guard plans to issue a new TAP Commandant Instruction in May 2018.", "Under the redesigned TAP, Coast Guard servicemembers\u2014like their DOD counterparts\u2014begin TAP by attending pre-separation or transition counseling where they are briefed on TAP requirements and available transition resources. Pre-separation or transition counseling can be delivered by TAP managers, uniformed career counselors, or online (see fig. 2). Coast Guard servicemembers are able to participate in TAP either through the Coast Guard or at a DOD installation, if space is available.", "During or at the end of pre-separation or transition counseling, participants register for and attend TAP courses. The core curriculum includes three required courses\u2014the Department of Labor (DOL) Employment Workshop, unless exempt, and Department of Veterans Affairs (VA) Benefits Briefings I and II\u2014and other courses that focus on aspects such as translating military skills and experiences into credentialing for civilian jobs and preparing a financial plan. Participants may also elect to attend additional 2-day classes either at a Coast Guard or DOD installation or online through the Joint Knowledge Online platform, according to agency officials. These additional 2-day classes include Accessing Higher Education, Career Technical Training, and Entrepreneurship. Federal law requires the Coast Guard to permit servicemembers who elect to take these additional 2-day classes to receive them.", "Federal law establishes a time frame within which servicemembers with anticipated separation or retirement dates should begin the program. According to federal law, retirees with anticipated separation dates are expected to begin TAP as soon as possible during the 24-month period preceding that date, but not later than 90 days before separation. Similarly, servicemembers with anticipated separation dates who are not retiring are expected to begin as soon as possible during the 12-month period preceding that date, but not later than 90 days before separation. Servicemembers who learn that they will separate or retire from the military fewer than 90 days before their anticipated separation or retirement date are expected to begin TAP as soon as possible within their remaining period of service."], "subsections": []}, {"section_title": "Interagency Collaboration", "paragraphs": ["As we previously reported, officials from multiple federal agencies collaborate to deliver and assess TAP. The TAP interagency governance structure includes senior officials from DOD, VA, DOL, DHS, the Department of Education, the U.S. Office of Personnel Management, and the Small Business Administration (SBA), who participate in TAP Senior Steering Group meetings at least every month and TAP Executive Council meetings each quarter. Further, officials tasked to particular interagency working groups focus on specific elements of TAP (e.g., curriculum or performance measures), meet more frequently (typically at least once a month), and generally communicate weekly, according to agency officials. The TAP program manager for the Coast Guard told us that he participates in several of the working groups.", "One such working group is the performance management working group that oversees the interagency TAP evaluation plan, which includes monitoring performance measures related to TAP requirements, indicators of post-program outcomes, and formal evaluations sponsored by interagency partners. While DOD tracks TAP-specific performance measures, other interagency partners track indicators of how well veterans fare after leaving military service. For example, DOD tracks performance measures prior to servicemembers\u2019 separation, such as TAP participation and credential attainment rates, while other agencies track post-separation indicators, such as unemployment rates among veterans ages 18 to 24. The performance management working group also reviews the formal evaluation efforts led by individual agencies and provides feedback to help shape their efforts in accordance with the TAP Evaluation Plan."], "subsections": []}]}, {"section_title": "Coast Guard Lacks Reliable Data and Cites Several Factors that Affect Participation Coast Guard Lacks Reliable Data on Servicemembers\u2019 Participation in TAP", "paragraphs": ["The Coast Guard does not have complete or reliable data on participation levels in TAP. According to Coast Guard officials, a major reason why the data are not reliable is that the Coast Guard lacks an up-to-date Commandant Instruction that specifies when to record TAP participation data. Consequently, the data are updated on an ad-hoc basis, according to agency officials, and may not be timely or complete. For example, one TAP manager said she updates the list of TAP participants for her installation only once every few months because of her other duties. According to federal internal control standards, management should use quality information\u2014including current and timely information\u2014 to achieve the entity\u2019s objectives and to communicate quality information to external parties. Given the lack of timely and complete data, we determined the Coast Guard\u2019s TAP data were not sufficiently reliable for an analysis of participation in TAP classes. Because it lacks policies and procedures governing reliable data collection, including when data should be entered and by whom, the Coast Guard cannot determine to what extent its servicemembers attend TAP, although federal law mandates that DHS ensure all TAP-eligible servicemembers participate in the program.", "In addition, the data collection system currently used to track TAP participation is not sufficient to ensure reliable data. For example, according to Coast Guard staff, TAP staff enter TAP participation data into a shared spreadsheet that all TAP managers can edit. Specifically, staff record the names of servicemembers they identify as TAP-eligible and whether these individuals completed required portions of TAP. Coast Guard officials said they are in the process of adopting a new data system, in October 2018, to more reliably track TAP participation and that they expect to fully adopt this system\u2013DOD\u2019s TAP-IT Enterprise System\u2014after a new Commandant Instruction is finalized, in May 2018. In November 2016, DOD launched the new system to collect TAP-related data for servicemembers in the Army, Navy, Air Force, and Marine Corps. In addition to standardizing data collection and improving data completeness and accuracy, the TAP-IT Enterprise System is expected to track information related to the time frames of servicemembers\u2019 participation. According to a senior DOD official, the military services will not be able to use the system to generate unit-level or installation-level reports until October 2018."], "subsections": [{"section_title": "Serving at a Remote Installation and Rapid Separations Hindered TAP Participation, As Did Limited Staff Capacity and Competing Priorities", "paragraphs": ["According to our survey, the most common factor affecting TAP participation, cited at 11 of the 12 Coast Guard installations we surveyed, pertained to servicemembers assigned to geographically remote locations. The next three most commonly cited factors\u2013each cited by 7 of the 12 installations surveyed\u2014relate to the timing of TAP participation: rapid separation from the military, not being sufficiently aware of the need to attend TAP, and starting the transition process too late to attend. (See fig. 3.) Headquarters-based TAP officials identified additional factors that may affect servicemember participation, such as separating from the Coast Guard Reserves or retiring with no plans to work after leaving the military. However, the Coast Guard lacks participation data to verify whether participation rates for these groups are in fact lower than for other Coast Guard servicemembers.", "Coast Guard installations we surveyed did not indicate that unit commanders or direct supervisors affected participation in TAP\u2019s required courses or additional 2-day classes. However, Coast Guard servicemembers and TAP officials we spoke with said unit commanders or direct supervisors sometimes prevented participation. All three TAP managers we spoke with (of 12 nationwide) told us that while commanders generally allowed servicemembers to register for TAP courses, they occasionally required them to return to their duties before completing the courses. We observed this during a TAP class at a Coast Guard installation we visited when a servicemember\u2019s commander ordered her to return to the unit during TAP training and she missed a briefing she wanted to attend. Two of three TAP managers we interviewed also said commanders sometimes required servicemembers under their command to wait to take TAP classes until close to their separation date because of mission priorities.", "Two of three TAP managers interviewed said that commanders in the Coast Guard face unique challenges in ensuring TAP participation. They said commanders in all branches of the military must balance competing demands, including their primary mission and the training needs of the personnel they oversee. They said it can be particularly difficult for Coast Guard commanders to juggle these priorities because Coast Guard servicemembers are sometimes assigned to very small units or called to return to duty for emergency situations during scheduled TAP classes. One TAP manager said that a commander in a remote location had collaborated with her to provide a classroom-based TAP class for transitioning Coast Guard servicemembers within the commander\u2019s unit, but rescue efforts occurred during the class which resulted in most of those servicemembers returning to their vessel to respond to the emergency. In addition, all three TAP managers we spoke with said there are limited resources for holding TAP in a classroom setting. Consequently, classroom-based TAP may not be offered frequently in remote locations, making rescheduling difficult. One TAP manager said that her installation typically offers three or four TAP classes a year and because classes are so infrequent, servicemembers are encouraged to start TAP as soon as possible prior to separation.", "Coast Guard staff we interviewed said that juggling competing priorities affected the Coast Guard\u2019s ability to implement TAP. Both the frontline and headquarters staff who oversee TAP implementation said they oversee at least three other programs in addition to TAP at their installation and throughout their regions, including the Coast Guard\u2019s relocation and spousal employment programs."], "subsections": []}, {"section_title": "Coast Guard Relies on Online Delivery of TAP for Several Categories of Servicemembers", "paragraphs": ["The Coast Guard relies on online delivery of TAP information and classes for servicemembers who are rapidly separating and assigned to remote and geographically dispersed units, according to our survey results and several Coast Guard staff we interviewed. For example, all 12 installations we surveyed cited servicemembers facing rapid separations as a reason for accessing TAP training online, and 11 cited servicemembers being remotely stationed as a reason. Coast Guard staff also said online TAP was used for servicemembers interested in attending additional 2-day classes.", "The three TAP managers we interviewed also identified several reasons why installations had to rely on online TAP classes. For example, one manager corroborated our survey results, saying that many Coast Guard servicemembers worked in small units assigned to remote and geographically dispersed locations, making it difficult to convene a sufficient number of transitioning Coast Guard servicemembers to meet minimum class size requirements. In addition, all three managers said they used the online version of TAP for remotely stationed Coast Guard servicemembers because the Coast Guard lacked the resources for them to attend classes in person. Although they preferred that servicemembers participate in live, classroom-based TAP classes, all of the managers acknowledged that the online version of TAP played an integral role in ensuring that more servicemembers could participate in the program. However, two of them noted that while classroom delivery of TAP classes provided an interactive learning environment that allowed participants to ask questions and learn from their peers, online participants generally clicked quickly through the slides and had difficulty understanding the information being presented. Two managers told us that they regularly used the online version to deliver parts of the TAP curriculum. For example, one TAP manager said she required participants to complete the crosswalk of military and civilian occupations class online before attending required classes in person. Two managers noted that additional 2-day classes were available online, and one noted that some servicemembers attended these classes in a classroom setting either on a Coast Guard base or a DOD installation. Finally, all three TAP managers said that many participants in online TAP classes would benefit from participating in a real-time virtual version of TAP led by live facilitators. Two managers told us that having a remote facilitator delivering TAP in real time would give participants more opportunity to ask questions and better understand and absorb class content."], "subsections": []}, {"section_title": "Feedback About TAP Was Generally Positive", "paragraphs": ["Despite these challenges, TAP managers and separating Coast Guard servicemembers we interviewed provided generally positive feedback about the TAP program. All of the 25 Coast Guard servicemembers we spoke with said that the information they received during the courses was useful and they liked the instructors. One Coast Guard servicemember praised the classroom courses for being interactive, and several Coast Guard servicemembers said they wanted the opportunity to retake TAP before or shortly after they separated from the Coast Guard. However, many said the volume of information presented in a short period of time could be overwhelming and was like \u201ctrying to drink from a firehose.\u201d"], "subsections": []}]}, {"section_title": "Coast Guard Cannot Effectively Measure Performance or Monitor Implementation to Ensure Key TAP Requirements Are Met", "paragraphs": [], "subsections": [{"section_title": "Coast Guard Has Not Set a Formal Performance Goal for TAP Participation and Cannot Effectively Measure Program Performance Because it Lacks Reliable Data", "paragraphs": ["The Coast Guard has not set a formal performance goal for TAP participation, according to a Coast Guard official, and as previously discussed, does not have complete, reliable data. Without reliable information, the Coast Guard cannot effectively monitor TAP implementation or measure program performance. DHS is mandated to ensure that all TAP- eligible servicemembers of the Coast Guard participate in TAP before leaving military service. However, without effective monitoring of program participation, the Coast Guard cannot know to what extent its servicemembers receive the required training they need to prepare for civilian life. According to federal internal control standards, management should consider external requirements\u2014such as the laws with which the entity is required to comply\u2014to clearly define objectives in specific and measurable terms. In addition, establishing goals can help agencies define expected performance and articulate results. A Coast Guard official said the Coast Guard\u2019s long-term goal is for full compliance with TAP requirements, but in the interim, the Coast Guard uses DOD\u2019s 85 percent VOW compliance goal as an informal benchmark against which to gauge the Coast Guard\u2019s TAP performance. However, the Coast Guard has not communicated a specific, measurable goal to TAP staff implementing the program, or to Coast Guard commanders who oversee separating and retiring Coast Guard servicemembers, according to a Coast Guard official. Establishing and communicating a formal goal could help the Coast Guard define expected performance. The official also told us that, like DOD, the Coast Guard tracks the elements of TAP mandated under the VOW Act\u2014 transition or pre-separation counseling, VA Benefits I and II, and the DOL Employment Workshop."], "subsections": []}, {"section_title": "Coast Guard Does Not Monitor Compliance with Additional TAP Requirements", "paragraphs": ["The Coast Guard does not monitor the (1) timeliness of participation in TAP, and (2) access to additional 2-day classes. A Coast Guard official said the Coast Guard does not currently monitor TAP beyond tracking whether separating servicemembers participate in the required courses, and currently lacks the capacity to undertake additional monitoring efforts. However, he said additional monitoring would be possible once the Coast Guard completed the move to the DOD TAP-IT Enterprise data system."], "subsections": [{"section_title": "Timeliness of TAP Participation", "paragraphs": ["According to a Coast Guard official, the Coast Guard does not currently monitor the timeliness of TAP participation although federal law prescribes time frames for servicemembers to begin TAP participation. Generally, separating servicemembers who are not retiring are to begin TAP participation no later than 90 days before their separation date. Without a systematic method for monitoring timeliness, the Coast Guard cannot know whether its servicemembers begin the program on time or account for the timeliness of TAP participation. As a result, the Coast Guard cannot know whether its servicemembers are starting TAP early enough to complete the training they need to adequately prepare for their transition to civilian life."], "subsections": []}, {"section_title": "Access to Additional 2-Day Classes", "paragraphs": ["The Coast Guard does not track which of its servicemembers participate in the additional 2-day classes, according to a Coast Guard official we interviewed, even though federal law requires that DHS ensure those who elect to participate are able to receive the training. By not tracking which Coast Guard servicemembers participate in 2-day classes or requiring transition staff to document when servicemembers ask to attend, the Coast Guard cannot determine the extent to which servicemembers who wished to attend these courses were able to do so, as required by law."], "subsections": []}]}, {"section_title": "Roles and Responsibilities Are Not Clearly Defined", "paragraphs": ["Coast Guard commanders and TAP managers do not have clearly defined roles and responsibilities in implementing TAP because of the lack of an up-to-date Commandant Instruction, according to TAP staff we interviewed. As previously discussed, the Coast Guard\u2019s last Commandant Instruction on TAP was issued in 2003, approximately 8 years prior to TAP\u2019s redesign. According to federal internal control standards, to achieve the entity\u2019s objectives, management should assign responsibility and delegate authority to key roles throughout the entity. Without an up-to-date Commandant Instruction, TAP managers and commanders may be unclear on who is ultimately responsible for ensuring servicemembers attend TAP. Moreover, two TAP managers also told us that an up-to-date Commandant Instruction might lead some commanders to place higher priority on ensuring TAP participation. Coast Guard officials said the Coast Guard was in the process of revising the TAP Commandant Instruction and anticipated issuing the new instruction in May 2018."], "subsections": []}, {"section_title": "Coast Guard Does Not Share Participation or Performance Data with Commanders or TAP Interagency Partners, Limiting Monitoring and Evaluation", "paragraphs": ["The Coast Guard lacks the ability to share data with commanders, limiting its ability to monitor TAP participation and ensure servicemembers attend the program. According to a Coast Guard official, the Coast Guard\u2019s current data collection system also cannot generate installation or unit- level participation rates to share with commanders who oversee transitioning and retiring servicemembers. Federal internal control standards state that management should share quality information throughout an organization to enable personnel to perform key roles, and we have previously reported that by regularly sharing useful performance information with leaders at multiple levels of an organization, agencies can help leaders make informed decisions. Without this information, individual unit commanders or the commanders\u2019 supervisors cannot determine whether Coast Guard servicemembers under their command completed TAP or identify whether there is a need for corrective actions to ensure they do so.", "As we mention earlier in this report, the Coast Guard plans to adopt DOD\u2019s TAP-IT Enterprise System, which according to officials, could help the Coast Guard ensure eligible servicemembers participate in the program. According to a Coast Guard official, once the system is fully implemented by the Coast Guard, commanders will be required to verify and document whether Coast Guard servicemembers under their command completed TAP, potentially making commanders more vested in the process. We previously reported that a senior DOD official said that the TAP-IT Enterprise System may be able to generate unit- and installation-level reports for the four DOD-led military services by October 2018, and a Coast Guard official said he would work with DOD to identify whether this capability could also extend to the Coast Guard. Once data reliability improves, sharing installation and unit-level TAP performance information with Coast Guard commanders could support monitoring efforts.", "The performance measures tracked by the TAP interagency working group do not reflect TAP implementation broadly across all five military services, according to a Coast Guard official we interviewed. The Coast Guard does not currently share TAP data it collects with DOD or other members of the interagency performance working group. While the benefits of interagency data sharing cannot be realized without the Coast Guard first improving the quality and completeness of its TAP data, we have identified leading practices for interagency collaboration, including that members of interagency working groups identify and share relevant agency performance data. Moreover, federal internal control standards call for management to communicate quality information to external parties. Because the Coast Guard does not share TAP data, the performance measures tracked by the interagency group do not reflect Coast Guard servicemembers\u2019 experiences and thus do not provide a complete picture of TAP implementation across the five military services. More specifically for the Coast Guard, without such data sharing, future TAP evaluations may not be able to assess the effectiveness of TAP delivery, hindering the Coast Guard\u2019s ability to make program adjustments to better prepare its servicemembers to successfully transition to life after military service. Coast Guard officials said migrating to DOD\u2019s TAP-IT Enterprise System will facilitate information sharing with interagency partners and that improving data completeness and reliability is a top priority for 2018."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given the sacrifices servicemembers have made to serve their country, it is imperative they are afforded every chance to adequately prepare for civilian life before leaving military service. In order to make a successful transition, servicemembers need to be well-positioned to get a job or make an informed decision about whether to pursue additional education or start a small business. As such, the Transition Assistance Program (TAP) serves a critically important function\u2014to give servicemembers the tools and information they need to successfully transition to life outside the military. Federal law requires that the Coast Guard ensure all eligible servicemembers participate in the program, but thousands of Coast Guard servicemembers may have transitioned without the support provided by TAP. Reliably tracking participation has proven to be a challenge for the Coast Guard, in part because it lacks a current Commandant Instruction that defines the roles and responsibilities of staff responsible for implementing TAP and ensuring complete and reliable data are collected. In preparing to issue an updated Commandant Instruction, the Coast Guard has taken a positive step toward addressing the limitations of its current TAP data, and will be better positioned to ensure compliance with VOW Act requirements using reliable data.", "In addition to collecting reliable data, the Coast Guard could further demonstrate its commitment to meeting TAP requirements by establishing formal performance goals that measure the extent to which Coast Guard servicemembers participate in TAP. By establishing interim performance goals, the agency would be able to show its progress towards achieving full compliance. Moreover, communicating performance goals to unit and installation commanders could enhance accountability and might spur progress toward meeting federal program requirements.", "By expanding its monitoring efforts beyond tracking participation in TAP\u2019s required classes, the Coast Guard could enhance its ability to ensure other TAP requirements are met and that its servicemembers are able to access additional transition resources. Monitoring the timeliness of participation would help ensure Coast Guard servicemembers have adequate time to complete TAP before leaving the military. Further, by monitoring requests to participate in additional 2-day classes and 2-day class attendance, the Coast Guard would be in a better position to identify whether servicemembers who wish to attend the classes are able to do so, to determine whether more classes are needed, and to communicate this information to the interagency partners responsible for delivering these classes.", "Commanders can also play a key role in bolstering TAP participation. Having an up-to-date written Commandant Instruction that explicitly describes commanders\u2019 roles and responsibilities could enhance commanders\u2019 ability to ensure TAP\u2019s proper implementation and compliance with VOW Act requirements. Moreover, once data quality improves, providing commanders a mechanism to readily determine whether servicemembers under their command have completed TAP could help them monitor the program to ensure that all TAP-eligible servicemembers receive the resources they need to successfully transition to civilian life.", "Finally, once more reliable data on Coast Guard servicemember participation are available, sharing this information with interagency partners could improve TAP implementation on a broader scale. Sharing reliable data, such as participation figures for the Coast Guard, would give TAP interagency partners a more complete picture of implementation across all five military services. Sharing such information would also enhance the interagency group\u2019s ability to evaluate how well TAP serves the entire population of servicemembers. Improving the reliability of the Coast Guard\u2019s TAP data will be essential for the benefits of data sharing to be realized."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To ensure that all eligible Coast Guard servicemembers are provided the opportunity to complete the Transition Assistance Program (TAP), we recommend the Commandant of the Coast Guard take the following seven actions: Issue an updated Commandant Instruction that establishes policies and procedures to improve the reliability and completeness of TAP data by including when and by whom data should be recorded and updated. (Recommendation 1)", "Establish a formal performance goal with a measurable target for participation rates in VOW Act-mandated portions of TAP. (Recommendation 2)", "Monitor the extent to which Coast Guard servicemembers participate in TAP within prescribed time frames. (Recommendation 3)", "Monitor the extent to which Coast Guard servicemembers who elect to participate in additional 2-day classes are afforded the opportunity to attend. (Recommendation 4)", "Issue an updated Commandant Instruction that defines the roles and responsibilities of the personnel who administer the program and ensure servicemembers\u2019 participation. (Recommendation 5)", "Once reliable data are available by installation or unit, enable unit commanders and the higher-level commanders to whom they report to access TAP performance information specifically for the units they oversee so that they can monitor compliance with all TAP requirements. (Recommendation 6)", "Once reliable data are available, share TAP information with DOD and other interagency partners, such as data on participation in required TAP courses and additional 2-day classes. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Homeland Security, Defense, Education, Labor, and Veterans Affairs, the Office of Personnel Management, and the Small Business Administration for their review and comment. The formal written response of the Department of Homeland Security (DHS) is reproduced in appendix II. In addition, DHS provided technical comments from Coast Guard officials that we incorporated into the report as appropriate. The other agencies did not provide any comments.", "In its written comments, DHS agreed with all seven of our recommendations.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": [], "subsections": [{"section_title": "Overview", "paragraphs": ["This report examines (1) what is known about the reliability of Transition Assistance Program (TAP) data on participation levels and the factors that affect Coast Guard servicemembers\u2019 participation, and (2) the extent to which the Coast Guard measures TAP performance and monitors key areas of TAP implementation. To address these questions, we surveyed Coast Guard installations with full-time TAP operations; reviewed Coast Guard data on TAP participation for fiscal years 2012 to 2017; visited one Coast Guard installation and interviewed TAP managers from two additional Coast Guard installations selected for diversity in location, among other reasons; and interviewed Coast Guard officials responsible for overseeing TAP implementation for the Coast Guard. We also reviewed relevant federal laws, regulations, policies, documents, and publications. Information in this report is current as of the date GAO received formal agency comments from DHS."], "subsections": []}, {"section_title": "Survey", "paragraphs": ["Our survey of Coast Guard installations with full-time TAP operations asked about how TAP was being implemented. The survey included questions about the accessibility of TAP components, challenges Coast Guard servicemembers faced in attending the components, and the level of commander support for participation. Our survey targeted front-line TAP managers, who could draw on the expertise of TAP course facilitators, transition counselors, career counselors, and other key TAP staff as necessary.", "After drafting the survey questions, we pretested them with a TAP manager to ensure (1) the questions were clear and unambiguous, (2) terminology was used correctly, (3) the survey did not place an undue burden on agency officials, (4) the information could feasibly be obtained, and (5) the survey was comprehensive and unbiased. We revised the content and format of the survey based on the feedback we received.", "We initially sent the survey to TAP managers at all 13 Coast Guard installations at which TAP staff were located. We removed one installation when we later found that the TAP manager position was vacant and revised the total to 12 Coast Guard installations. The survey was accessible online from October 31, 2016, through January 18, 2017, through a secure server that recipients were able to access using unique usernames and passwords. We sent an email announcement to TAP staff at all 13 Coast Guard installations at which TAP staff are located on October 24, 2016. We sent a second email on October 31, 2016 to notify participants the survey was available online, and provided their unique passwords and usernames. We sent two follow-up e-mails (November 14, 2016 and November 28, 2016) to those who had not responded. Finally, we contacted all remaining nonrespondents by telephone starting December 5, 2016. The survey was available online until we reached a 100 percent response rate."], "subsections": []}, {"section_title": "Interviews with Coast Guard Installation TAP Staff and Servicemembers", "paragraphs": ["To increase our understanding into how TAP was being implemented at installations and supplement our survey findings, we visited one Coast Guard installation and interviewed TAP managers from two additional installations. We selected the installations based on several factors, including the size of the installation, proximity to Department of Defense (DOD) installations, and diverse locations in the United States. (See table 1.) At Coast Guard Base Elizabeth City in North Carolina, the installation we visited, we interviewed the TAP manager, uniformed career counselors, and senior installation leadership. During our interviews with TAP managers at all three installations, we asked about the extent to which Coast Guard servicemembers participate in TAP\u2019s required and additional 2-day classes, including whether the servicemembers attended classes online or in a classroom setting, challenges to ensuring Coast Guard servicemembers participate in TAP, and the extent to which they monitor Coast Guard servicemembers\u2019 participation in TAP. At Coast Guard Base Elizabeth City, we also interviewed 25 Coast Guard servicemembers (both officers and enlisted personnel) to get their perspective on how well TAP worked and any challenges they had participating. To help guide the interviews with the Coast Guard servicemembers, we asked them to complete a short questionnaire that asked about their experiences with the TAP program."], "subsections": []}, {"section_title": "Interviews with Agency Personnel", "paragraphs": ["We also interviewed TAP staff at Coast Guard headquarters to learn about TAP policy, monitoring efforts, and performance measures for the service overall. For example, we asked what policies and procedures guide installations\u2019 TAP implementation; what performance measures the Coast Guard uses to monitor TAP; how performance results are reported and shared with different levels of Coast Guard leadership; and to what extent the Coast Guard uses results from TAP participant satisfaction assessments. We also asked whether the Coast Guard plans to shift to DOD\u2019s new TAP-IT Enterprise System and how using the new system could affect its monitoring efforts in the future. In evaluating the Coast Guard\u2019s performance measures, we focused on measures related to servicemembers\u2019 transition experiences before leaving the military. We did not gather information on post-program evaluations and outcomes because they were determined to be outside the scope of this review."], "subsections": []}, {"section_title": "Data Reliability Assessment", "paragraphs": ["We reviewed DHS data on TAP participation for fiscal years 2012 to 2017. To assess the reliability of the Coast Guard\u2019s TAP participation data, we interviewed agency officials knowledgeable about the data. We determined these data were not sufficiently reliable due to limitations with the Coast Guard\u2019s data collection system. Specifically, the system lacks adequate controls to ensure TAP data are complete and accurate.", "We conducted this performance audit from February 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Meeta Engle (Assistant Director), Amy MacDonald (Analyst-in-Charge), James Bennett, Holly Dye, David Forgosh, Ying Long, Jonathan McMurray, Jean McSween, Andrew Sherrill, Benjamin Sinoff, and Timothy Young, made significant contributions to this report.", "Also contributing to this report were Susan Aschoff, Jessie Battle, Ramona Burton, Melinda Cordero, Elizabeth Curda, Dawn Hoff, Ben Licht, Serena Lo, Sheila McCoy, Almeta Spencer, Christopher Schmitt, James Whitcomb, and Jill Yost."], "subsections": []}]}, {"section_title": "Appendix IV: Related Products", "paragraphs": ["Transitioning Veterans: DOD Needs to Improve Performance Reporting and Monitoring for the Transition Assistance Program, GAO-18-23. Washington, D.C.: November, 8, 2017.", "Transitioning Veterans: Improvements Needed in DOD\u2019s Performance Reporting and Monitoring of the Transition Assistance Program, GAO-18-225T. Washington, D.C.: November 8, 2017.", "Department of Defense: Transition Assistance Program (TAP) for Military Personnel, GAO-16-302R. Washington, D.C.: December 17, 2015.", "Veterans\u2019 Employment: Need for Further Workshops Should Be Considered before Making Decisions on Their Future, GAO-15-518. Washington, D.C.: July 16, 2015.", "Military and Veteran Support: DOD and VA Programs That Address the Effects of Combat and Transition to Civilian Life, GAO-15-24. Washington, D.C.: November 7, 2014.", "Veterans Affairs: Better Understanding Needed to Enhance Services to Veterans Readjusting to Civilian Life, GAO-14-676. Washington, D.C.: September 10, 2014.", "Transitioning Veterans: Improved Oversight Needed to Enhance Implementation of Transition Assistance Program, GAO-14-144. Washington, D.C.: March 5, 2014.", "Military and Veterans\u2019 Benefits: Enhanced Services Could Improve Transition Assistance for Reserves and National Guard, GAO-05-544. Washington, D.C.: May 20, 2005.", "Military and Veterans\u2019 Benefits: Observations on the Transition Assistance Program, GAO-02-914T (July 18, 2002)."], "subsections": []}], "fastfact": []} {"id": "GAO-18-550", "url": "https://www.gao.gov/products/GAO-18-550", "title": "DHS Acquisitions: Additional Practices Could Help Components Better Develop Operational Requirements", "published_date": "2018-08-08T00:00:00", "released_date": "2018-08-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO has previously found that DHS's components had acquisition programs that did not meet requirements and that those requirements were, in some cases, poorly defined. Poorly defined requirements increase the risk that acquisitions will not meet the needs of users in the field\u2014for example, border patrol agents or emergency responders.", "GAO was asked to examine DHS components' practices for developing requirements. This report addresses the policies, organizations, and workforce that selected DHS components use to develop requirements for their acquisition programs.", "GAO selected seven DHS components with significant acquisition programs and a non-generalizable sample of programs\u2014based on cost, component, and acquisition phase\u2014as case studies. GAO analyzed policies and program documentation; and interviewed DHS and component officials, as well as end users of DHS programs. GAO compared components' practices to industry best practices and federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has identified several best practices to ensure that operational requirements for acquisitions are well-defined and found some Department of Homeland Security's (DHS) components met them while others did not. These practices include a formal policy for developing requirements, an independent requirements organization, and an understanding of workforce needs and training. The table below shows GAO's assessment of seven of DHS's components against these practices.", "Establishing a formal policy to guide the process is critical to developing well-defined requirements. However, only the Coast Guard has an approved policy for requirements development among the seven components reviewed. Without well-defined requirements, components are at risk of acquiring capabilities that will not meet mission needs. DHS officials told GAO that components have generally prioritized obtaining funding and starting programs over developing requirements.", "Three components have a requirements development organization, separating requirements from acquisition in addressing capability gaps. Officials from components without such organizations told GAO that they have fewer major acquisitions and rely on DHS to assist in requirements development. DHS policy and best practices, however, maintain the importance of this separation regardless of the number of major acquisitions to guard against possible bias by acquisition officials toward a specific materiel solution.", "Two components have assessed requirements development workforce needs, but both need to be updated; and one component has provided requirements development training and certification. Other component officials told GAO that they lack the resources necessary to take these steps. Best practices indicate that without an appropriately sized and trained workforce, components remain at risk of acquiring capabilities that fail to meet end user needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 25 recommendations, including to individual components to establish policies and independent organizations for requirements development, assess workforce needs, and establish training and certifications. DHS concurred with all the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security (DHS) invests billions of dollars each year in major acquisition programs to assist in executing its many critical missions. In November 2014, in response to a GAO recommendation, the department reestablished the Joint Requirements Council (JRC) that the department had dissolved in 2006, to review requirements submitted by DHS\u2019s component agencies (e.g., the Transportation Security Administration). The purpose of the council is to validate and prioritize operational requirements\u2014those capabilities that are necessary to conduct DHS\u2019s mission\u2014for all major acquisitions and to ensure that objective, analytical rigor supports these requirements. We subsequently found that several programs did not meet their key performance parameters\u2014the most important requirements a capability must meet\u2014after initial approval by DHS and deployed capabilities prior to meeting all of their key performance parameters, leaving their true capabilities in doubt. One reason programs did not achieve their specified key performance parameters was that programs poorly defined them. Poorly defined key performance parameters can increase the risk that end users\u2014such as border patrol agents or first responders in a disaster\u2014receive capabilities that do not meet their missions.", "You asked us to examine DHS\u2019s components\u2019 requirements development practices. This report discusses (1) how often selected programs changed requirements; and assesses the extent to which the selected components have (2) developed policies for requirements development, (3) established independent requirements organizations, and (4) taken steps to assess and train a requirements workforce. Our focus for this report was on the DHS components, as they are responsible for developing the requirements to meet end user needs.", "To conduct our work, we reviewed the DHS Master Acquisition Oversight List as of April 2017 and selected seven DHS components with Level 1 and Level 2 major acquisition programs and covered a broad range of missions. The seven components we selected are as follows:", "Customs and Border Protection", "Federal Emergency Management Agency", "National Protection and Programs Directorate", "U.S. Citizenship and Immigration Services From these seven components, we selected 14 major acquisition programs with DHS-approved key performance parameters to serve as case studies for our review. We selected this non-generalizable sample of programs based on different factors, such as the acquisition phase and component to have a mix of the types of programs that we reviewed. We also reviewed two programs that do not have DHS-approved key performance parameters to understand how requirements are determined before DHS validation.", "We focused on the presence of policies for requirements development, independent requirements organizations, and requirements-specific workforce and training in components as our past work on major acquisitions has shown that these are the fundamental building blocks required to develop well-informed operational requirements. This selection was also informed by our standards for internal controls. To inform each of our objectives, we interviewed officials at various levels throughout DHS to understand both their relationship to and role in components\u2019 requirements development, including: (1) department-level, (2) component-level, (3) program-level, and (4) program end users. These discussions informed our understanding of the extent to which the components have implemented requirements development policies, organizations, and assessments and training for their components. In addition, we furthered our understanding through reviewing component- and program-level documentation such as guidance manuals, mission needs statements, and operational requirements documents.", "To determine the extent to which the selected programs changed requirements, we examined key performance parameters after DHS approval when key performance parameters should be stable. To determine the extent to which DHS components developed requirements development policies, as well as determine the extent to which those components established independent organizations, we reviewed component documentation pertaining to requirements development, such as instruction manuals, mission statements, and capability analyses. To determine assessment, training, and certification standards for DHS\u2019s requirements development workforce, we spoke with JRC and U.S. Coast Guard officials regarding the training and certification programs they have in place and reviewed available documentation.", "We assessed the components\u2019 requirements development practices against GAO\u2019s standards for internal control and additional supporting criteria as stated in the findings. The standards identify key principles to help entities achieve their objectives, such as delivering capabilities to end users.", "See appendix I for a detailed description of our objectives, scope, and methodology. Appendix I also includes a detailed description of the major acquisition programs we reviewed.", "We conducted this performance audit from May 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["To help manage its multi-billion dollar acquisition investments across its components, DHS has established policies and organizations for requirements validation, acquisition management, and budgeting. The department uses these to monitor and guide delivery of the acquisition programs the components require to close critical capability needs, enabling DHS to execute its missions and achieve its goals."], "subsections": [{"section_title": "DHS and Its Components", "paragraphs": ["DHS has 14 components, which, as a part of their operational missions, are responsible for assessing capability needs, developing the requirements to fill these needs, and creating acquisition programs to meet these requirements. The number and cost of acquisition programs vary by component. DHS generally defines a capability as the means to accomplish a mission or objective that may be achieved through materiel and non-materiel solutions. Once the component has a JRC-validated capability gap, and identifies and documents the need for a materiel solution, it develops the operational requirements. Requirements can be unique to an individual component, or they can be joint requirements that apply to more than one component. Within the components, program management offices are responsible for planning and executing individual programs within cost, schedule, and performance parameters, and preparing required acquisition documents."], "subsections": []}, {"section_title": "Tracing Mission Needs to Program Requirements", "paragraphs": ["The DHS requirements process generally starts with the identification of mission needs and broad capability gaps from which components develop a program\u2019s operational requirements, key performance parameters, and more definitive technical requirements. Figure 1 depicts this traceability from mission needs to technical requirements.", "Operational requirements are what the end users need to fill capability gaps and conduct the mission. Operational requirements, in part, define the purpose for the acquisition program and set boundaries for user needs. Subject matter experts, such as system engineers, support development of operational requirements to ensure that they are clearly developed. Well-defined operational requirements trace to one or more of the identified capability gaps.", "After components define operational requirements, they identify some as key performance parameters that denote the most important and non- negotiable requirements that the program has to meet to fulfill its fundamental purpose. According to DHS policy, failure to meet any key performance parameter results in a re-evaluation of a program that may lead to requirements changes or program cancellation. See figure 2 below for an overview of the requirements process.", "According to DHS policy on managing acquisition programs, components further decompose operational requirements into technical requirements, such as design or material specifications. For example, an operational requirement may be the ability to detect explosives at the airport. The technical requirement may then be the ability to detect metal or explosive material within certain parameters."], "subsections": [{"section_title": "DHS\u2019s Joint Requirements Council and Other Offices", "paragraphs": ["Through the JRC, DHS provides oversight of operational requirements for the acquisition programs developed by its components. The JRC consists of a chair and 14 members, called principals, who are senior executives or officers that represent key DHS headquarters offices and seven of the department\u2019s operational components. JRC principals represent the views of both their components and DHS, and validate and prioritize capability needs and operational requirements. Among other responsibilities, the JRC is to provide requirements-related advice and validate key acquisition documentation to prioritize requirements and inform DHS investment decisions for all Level 1 and Level 2 major acquisitions, as well as for programs that are joint interest, regardless of level.", "Separate from the JRC, DHS\u2019s Office of Program Accountability and Risk Management, which reports directly to the Under Secretary for Management, oversees major acquisitions and guides acquisition policy. DHS also has a separate office for budget management and a planning, programming, budgeting, and execution process to allocate resources, such as funding, to acquisition programs. In addition, the Science and Technology Directorate conducts systems engineering reviews and technology assessments of the technical solutions for major acquisition programs. The Directorate also provides department-level guidance on requirements development in its Systems Engineering Life Cycle Guidebook."], "subsections": []}, {"section_title": "DHS\u2019s Joint Requirements Process", "paragraphs": ["Multiple DHS directives and manuals establish the framework for the department\u2019s Joint Requirements Integration and Management System (JRIMS)\u2014a process by which the department reviews and validates capability gaps\u2014and requirements to mitigate those gaps. DHS further clarified its directives in April 2016 through DHS Instruction Manual 107- 01-001-01, Department of Homeland Security Manual for the Operation of the Joint Requirements Integration and Management System. The JRC also instituted a series of training courses that provide an overview of JRIMS and its core concepts. JRC validation of requirements confirms the requirements are traceable, feasible, and cost-informed.", "In addition to validation by the JRC, DHS\u2019s Under Secretary for Management approves the operational requirements that the components developed and reviews them at a series of predetermined acquisition decision events. Figure 3 depicts the acquisition life cycle established in DHS acquisition policy. DHS initially established its acquisition process in policy in November 2008.", "An important aspect of acquisition decision event 2A, which begins the \u201cObtain\u201d phase and system development, is the decision authority\u2019s review and approval of key acquisition documents that establish the cost, schedule, and requirements baselines for a program. The operational requirements document and acquisition program baseline are key acquisition documents requiring this approval and include a program\u2019s key performance parameters. DHS also revisits these baselines at subsequent acquisition decision events in order to determine whether the requirements remain achievable."], "subsections": []}]}, {"section_title": "Prior GAO Work on DHS Requirements Development", "paragraphs": ["We have previously reported on the importance of stable requirements and the costs of changing them.", "In March 2016, we found that changes to key performance parameters have been common and are likely to continue for several reasons. While some changes may have a valid reason, such as a response to emerging threats, we found that one of the most common reasons programs changed key performance parameters was that the originally approved key performance parameters had been poorly defined. Key performance parameter changes on several programs were associated with schedule slips and cost growth. DHS leadership acknowledged that the department has had difficulty defining key performance parameters, and said that the Office of Program Accountability and Risk Management has improved its ability to help programs define key performance parameters. We recommended, among other things, that DHS should require the components to submit program funding certification memos to aid affordability discussions. DHS concurred and implemented our recommendation.", "In October 2016, we found that the JRC\u2019s structure and management approach\u2014informed by assessments of requirements processes, guidance, and lessons learned from DHS components\u2014are generally consistent with key practices for mergers and organizational transformations. However, we recommended that DHS\u2019s Office of the Chief Information Officer have a more formal and consistent role than that of a non-voting advisor to the JRC, since 24 of 36 major acquisitions were information technology programs, and we previously identified poor requirements definition as a factor in failed information technology programs. DHS concurred with our recommendation and implemented it in November 2016.", "In April 2017, we found that DHS\u2019s acquisition policy was not consistent with acquisition best practices in terms of when to enter the \u201cObtain\u201d phase depicted in figure 3. Specifically, best practices call for ensuring that a program\u2019s needs are matched with available resources\u2014such as technical and engineering knowledge, time, and funding\u2014prior to starting product development. We recommended, among other things, that DHS require that major acquisition programs\u2019 technical requirements be well-defined and conduct key technical reviews prior to approving programs to initiate product development, in accordance with acquisition best practices. DHS concurred with our recommendation, but has not yet implemented it."], "subsections": []}]}, {"section_title": "Over Half of the Selected Programs Changed Requirements", "paragraphs": ["Our analysis found that 9 of 14 programs from the seven components that we reviewed changed key performance parameters for various reasons after program approval and entry into the \u201cObtain\u201d phase. DHS had initially approved most programs\u2019 key performance parameters before DHS reestablished the JRC in November 2014. Whether these programs changed DHS-approved key performance parameters is shown in table 1.", "We found that the causes of these changes varied, but included requirements did not accurately describe end user needs, were not achievable given available technologies, or that programs pursued greater capability than originally intended. Further details on the nine programs that changed their requirements are in table 2.", "To mitigate these types of requirements changes, we identified several principles that are critical as the first steps to successful implementation of programs and the remainder of this report presents examples of when the principles have been implemented and when they have not."], "subsections": []}, {"section_title": "One of the Seven Selected Components Has a Policy for Requirements Development", "paragraphs": ["Among the seven DHS components we reviewed, each of which is responsible for managing major acquisition programs, only the U.S. Coast Guard has a formalized policy in place for developing requirements. Of the other six components, some are developing such policies and others rely on JRIMS guidance. In the absence of component-level policies, some sub-organizations and programs within the components have developed their own requirements policies."], "subsections": [{"section_title": "U.S. Coast Guard Has an Approved Requirements Policy, While the Other Six DHS Components in Our Review Do Not", "paragraphs": ["The U.S. Coast Guard, which has a long history of managing large acquisition programs, established a requirements policy to assess needs and fill capability gaps in 2009 and updated it in 2017. The most recent version of this requirements policy, the Coast Guard Operational Requirements Generation Manual, aligns its policies with DHS\u2019s acquisition and requirements policies. The manual contains guidance on requirements development and the analytic efforts used to develop the requirements documents. The manual also describes the personnel that are to be included in requirements development and provides guidance on drafting the necessary documentation, and includes templates to do so. As part of the process, requirements development personnel work with end users to generate requirements, which the U.S. Coast Guard reviews and approves before going to the DHS JRC for validation.", "The status of developing a requirements policy across the other six components is as follows: Immigration and Customs Enforcement, National Protection and Programs Directorate, Transportation Security Administration, and U.S. Citizenship and Immigration Services officials told us that they are currently developing or considering developing policies. These components have not yet set time frames for approving these policies.", "A Federal Emergency Management Agency official stated that they are planning to develop a formal requirements policy but are waiting for the JRC to clarify JRIMS policy on information technology program reviews and decision authorities before doing so. However, such clarification does not prevent them from drafting an interim policy.", "Customs and Border Protection has a draft requirements development policy but did not provide a definitive timeline for completion.", "Although Customs and Border Protection does not yet have a finalized policy, the following sub-component operational organizations have documented their requirements policies. For example:", "Border Patrol finalized a requirements management process policy on June 12, 2018 that defined roles and responsibilities throughout the process. The requirements policy was preceded by an October, 18, 2016 policy on the process for identifying capability gaps. GAO previously reported on the Border Patrol\u2019s policy in February 2017 and recommended clarifying the roles and responsibilities of the parties involved.", "The Office of Technology Innovation and Acquisition developed a draft requirements handbook in 2011 that provided guidance for the execution of activities within each stage of development, including defining operational requirements.", "The Passenger Systems Program Office also documented its requirements management policy in 2010 that outlined requirements development at a high level.", "While these sub-components have taken the key step of documenting their policies, without a single component policy, Customs and Border Protection may not be efficiently and effectively meeting its mission."], "subsections": []}, {"section_title": "Without Requirements Policies, Components Risk Failing to Meet Mission Needs", "paragraphs": ["In the absence of component-level policies, we found that components are less likely to establish the base of knowledge needed for requirements development. Further, we found this contributes to an inability to properly mitigate capability gaps and meet mission and end user needs.", "Outcomes for a number of our case study programs illustrate the potential benefits of having component-level requirements development policies in place.", "National Flood Insurance Program PIVOT (not an acronym): Federal Emergency Management Agency officials told us that the current attempt is the third effort to modernize its information technology systems after two failed attempts. Program officials said that one of the previous program attempts failed to meet capability gaps and end user needs because of a lack of clear policies for developing requirements. The officials said that failure is less likely as the program currently uses lessons learned from the previous attempts. In addition, the JRC is encouraging the component to adopt rigorous standards for developing requirements. However, without a policy to capture these lessons learned, programs within the Federal Emergency Management Agency are at risk for losing the knowledge.", "National Security Cutter: The U.S. Coast Guard began requirements development for the National Security Cutter in the late 1990s, before it had established a documented requirements development policy in 2009. We found in 2010 that the lack of overarching, formalized policy resulted in requirements that were vague, not testable, not prioritized, and not supportable or defendable. In 2014, the National Security Cutter completed initial operational testing but did not fully demonstrate 7 of its 19 key performance parameters, including those related to unmanned aircraft and cutter-boat deployment in rough seas. To meet the cutter-boat deployment parameter, U.S. Coast Guard officials said that the program had to overcome differing interpretations of the parameter between the U.S. Coast Guard and its independent test officials. One key practice for requirements development is assigning roles and responsibilities, such as when and in what capacity test officials should be involved in requirements development, to avoid just such an outcome and the resulting effect on cost and schedule. U.S. Coast Guard officials stated that end users of the National Security Cutter have since demonstrated its key performance parameters during U.S. Coast Guard operations.", "Electronic Baggage Screening Program: Without a finalized requirements development policy, the Transportation Security Administration\u2019s program developed requirements that focused on how the system functioned as opposed to the capability that it would provide. Program officials said that neither the Transportation Security Administration nor the program office had a documented policy for requirements development when the program began in 2004. In this environment, the program adopted an informal approach to develop operational requirements by collecting end user input. However, officials noted that end users listed technical requirements rather than broader operational requirements. Officials told us that the program \u201cbacked into\u201d operational requirements using these technical requirements, resulting in a system more focused on function and less on capability. Without a focus on the capability, the program risked not meeting the capability gap and end user need.", "We also found an example of where a component\u2019s policy was beneficial to a program developing requirements:", "Offshore Patrol Cutter: The U.S. Coast Guard has matured its requirements development policies since the National Security Cutter program as described above. For the Offshore Patrol Cutter, the U.S. Coast Guard has six DHS-approved key performance parameters, such as operating range and duration. The U.S. Coast Guard plans to use engineering reviews and developmental and operational tests throughout the acquisition to refine and demonstrate requirements. For example, to refine the requirements and ensure end user input, the U.S. Coast Guard had an early operational assessment of the cutter\u2019s key performance parameters and associated lower level technical requirements. According to officials, specific policies guided the assessment to, in part, ensure that the program refined key performance parameters before progressing through the remaining acquisition phases.", "DHS\u2019s JRIMS directive and manual are not designed to provide the level of specificity for component-level requirements development. JRIMS encourages components to elicit end user needs and translate them into requirements. It also authorizes the components to develop their own policies consistent with the intent of and required capability documentation in the JRIMS manual and DHS Instruction Manual.", "Federal standards for internal control and key practices for requirements development, such as those in Carnegie Mellon University\u2019s Capability Maturity Model Integration for Development, state that organizations should establish responsibility and authority by having documentation that communicates the \u201cwho, what, when, where, and why\u201d of achieving their missions. A policy also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel. Such a policy should include a documented process for developing and managing requirements which can help reduce the risk of developing a system that does not meet end user needs, cannot be adequately tested, and does not perform or function as intended. We depict four key practices for requirements management in figure 4.", "DHS officials indicated to us that one factor which contributes to a component\u2019s lack of finalized requirements policies is the prioritization of starting an acquisition over developing requirements. This situation reflects what we have found over many years at the Department of Defense. Undesirable program outcomes share a common origin; decisions are made to move forward with programs before the knowledge needed to reduce risk and support those decisions is sufficient. There are strong incentives within the acquisition culture to overpromise performance while understating cost and schedule. A key enabler of successful programs is firm, feasible requirements that are clearly defined, affordable, and clearly informed. Once programs begin, requirements should not change without assessing their potential disruption to the program.", "Of note, DHS established its formal acquisition process in 2008, and did not have a similar emphasis on requirements development until 2016, when the JRIMS process was set forth. DHS requirements officials said that the renewed emphasis on requirements development at DHS requires a significant culture change among the components, pushing the components away from previous practices that undervalued well-defined requirements. They said that the components generally completed the necessary requirements documents to comply with department guidance and formats rather than to ensure that the components identified the needed capabilities and generated the correct requirements.", "DHS officials said that in the past, some program offices would contract out the capability assessment and requirements development, have them approved by DHS, but not use the resulting documentation to guide the acquisition. Two component requirements officials told us that their components\u2019 previous acquisition and requirements processes focused on obtaining funding before developing requirements.", "Most components indicated that they are planning on drafting a requirements development policy. However, without specific timeframes for completing their efforts, there is a risk that management attention will not be sustained and planned actions will not be implemented. Without component-level requirements policies that are aligned with the JRC and JRIMS standards, DHS is missing an opportunity to help ensure that components\u2019 programs are set-up from the beginning to meet end user needs and close capability gaps."], "subsections": []}]}, {"section_title": "Utilization of an Independent Requirements Organization Inconsistent Across Selected Components", "paragraphs": ["Three of the seven DHS components in our review have established requirements development organizations, such as offices or directorates independent of the acquisition function. Among the reasons cited by these components\u2019 officials was recognition of the importance of the operational requirements development function for addressing capability gaps. Those that do not have separate requirements organizations cited, among other things, the smaller size of their components. However, according to key principles, independent lines of authority should develop operational requirements and manage acquisitions separately, regardless of size."], "subsections": [{"section_title": "Three Components Have Independent Requirements Development Organizations but Remaining Four Components Do Not", "paragraphs": ["Three of the seven DHS components in our review have established independent requirements development organizations that are separate from acquisition offices, as shown in table 3.", "The three components that established requirements organizations did so at various times.", "In 2009, the U.S. Coast Guard formally placed responsibility for its requirements development policy in its capabilities directorate under the Assistant Commandant for Capability, who reports to the Deputy Commandant for Operations, one level below the Vice Commandant of the Coast Guard. The capabilities directorate, which is separate from the acquisitions directorate, provides oversight and management of its requirements development process. This directorate provides expertise as well as an independent quality review of the requirements documents generated for approval.", "Customs and Border Protection officials noted that they created a requirements organization in 2010 in the Office of Technology Innovation and Acquisition. In 2016, through an organizational realignment, Customs and Border Protection separated the requirements organization and established the Planning, Analysis, and Requirements Evaluation Directorate. The officials stated that due to concerns about independence from the acquisitions office, Customs and Border Protection placed this Directorate in the Operations Support office.", "The Transportation Security Administration established the Office of Requirements and Capabilities Analysis in 2017, in part, because officials told us they recognized that prior requirements development efforts were not being done the right way. This new office, which is separate from the Office of Acquisition Management, reports directly to the Executive Assistant Administrator of Operations Support.", "The remaining four components that we reviewed did not have separate, independent requirements development organizations. Officials from Immigration and Customs Enforcement, National Protection and Programs Directorate, and U.S. Citizenship and Immigration Services noted that they are planning on developing such organizations but have not provided specific time frames for doing so. An official from the National Protection and Programs Directorate told us that although an independent office has not been established, he serves as an independent requirements official, separate from acquisitions. Among the reasons cited by components\u2019 officials for not having a requirements organization at the time of our review was a primary focus on the acquisition function, associated funding issues, and reliance on the JRC to help refine their requirements.", "Officials also noted the smaller size of their respective components and the fewer number of major acquisitions as reasons for not having an independent requirements organization. Regardless of size, components need to ensure that requirements development is independent of acquisitions in order to guard against possible bias by acquisition officials toward a specific materiel solution."], "subsections": []}, {"section_title": "A Separate, Independent Requirements Organization Is Critical to Addressing Capability Gaps", "paragraphs": ["According to federal standards for internal controls, independent lines of authority should develop requirements and manage acquisitions separately. These standards state that management should design control activities to achieve objectives and respond to risks. In addition, authorities should segregate incompatible duties to prevent risks such as management override. For example, if requirements developers were part of the acquisition function, management could tailor operational requirements to satisfy preferred acquisition outcomes, increasing the risk that capability gaps will not be addressed. The absence of an independent requirements organization hampers the components\u2019 ability to remove biases and identify crosscutting opportunities and investments. See figure 5 for a notional example of organizations with separate functions.", "In accordance with these standards, DHS, at the department level, has separate requirements, acquisitions, and resourcing organizations\u2014each with its own governance structure. In addition, U.S. Coast Guard policy notes that requirements development, when separated from acquisition organizations, results in an operational requirements document that conveys the user\u2019s true needs. The policy goes on to state that the requirements development organization informs the acquisition process by ensuring requirements are traceable to strategic objectives and recommended courses of action to address capability gaps are cost informed and assessed for feasibility. According to GAO\u2019s best practices, while these organizations should be separate, there should be consistent collaboration and feedback throughout the process.", "We found examples of programs in our review that would have benefited from an independent organization at the component level.", "Immigration and Customs Enforcement, TECS Modernization (not an acronym): The acquisition program office set the requirements without an understanding of the capability gaps it was trying to close. Without a requirements development office to guide development, program officials stated that they generated approximately 25,000 requirements, which consisted of both technical and operational requirements to address the capability gaps that they were unable to prioritize. The program revised its operational requirements a few times and went through a replanning initiative that included a full review of all the requirements to ensure completeness and accuracy to determine the program\u2019s operational requirements. Immigration and Customs Enforcement officials stated that they recognize the importance of requirements development and are in the process of establishing a requirements organization.", "U.S. Citizenship and Immigration Services, Transformation: The program began requirements development in 2006 in the absence of an independent organization for requirements development and has subsequently generated three operational requirements documents over a six-year period. Our review showed that the key performance parameters from the oldest document to the most recent one changed significantly. For example, the operational requirements document from 2009 had a key performance parameter called \u201caccount hardening,\u201d which involved gathering identity and biometric evidence. The document from 2015 did not contain this parameter. In April 2015, nine years after starting requirements development, DHS leadership finalized a revised set of operational requirements after the program struggled again to meet its previous requirements.", "We also found an example of where a component\u2019s requirements organization was beneficial to a program developing requirements:", "Customs and Border Protection, Cross Border Tunnel Threat: This program is analyzing alternative capabilities as it moves toward the JRC\u2019s validation of its requirements. To aid in developing the operational requirements, Border Patrol, a sub-component of Customs and Border Protection, has its own Operational Requirements Management Division. In addition, Customs and Border Protection officials noted that its Planning, Analysis, and Requirements Evaluation Directorate is coordinating, guiding, and providing oversight to ensure the operational requirements address the capability gaps. In doing so, these requirements organizations facilitate input from subject matter experts on tunnel threats and from end user agents who have to mitigate these threats."], "subsections": []}]}, {"section_title": "Majority of Selected Components Have Not Assessed Workforce Needs or Established Training for Requirements Development", "paragraphs": ["We found that two components have assessed requirements workforce needs, and one has provided requirements specific training. Components gave different reasons why they have not yet taken one or more of these steps, including a lack of resources."], "subsections": [{"section_title": "Two Components Have Assessed Requirements Workforce Needs, and One Has Provided Requirements Specific Training", "paragraphs": ["Two of the seven components we reviewed, Federal Emergency Management Agency and Customs and Border Protection, performed assessments of workforce needs for requirements development. The Federal Emergency Management Agency assessed its requirements workforce needs in 2016 and found, among other things, that it does not have the capacity to identify and analyze capability gaps or accurately trace operational requirements to capability needs. As a result of the assessment, the agency requested additional requirements personnel in the fiscal year 2019\u20132023 budget cycle.", "Customs and Border Protection requirements officials stated that they last conducted an assessment in 2013. They stated that the assessment identified the appropriate number and types of personnel necessary to conduct requirements development through an analysis of historical requirements workloads. In addition, Customs and Border Protection officials said that they are currently performing an assessment as part of their Acquisition Management Performance Improvement initiative. The initiative assesses training needs and availability and is due at the end of fiscal year 2018.", "Requirements officials from Immigration and Customs Enforcement, National Protection and Programs Directorate, Transportation Security Administration, and U.S. Citizenship and Immigration Services told us that they have not assessed their requirements workforce needs and have no plans to do so. U.S. Coast Guard requirements officials told us that although they have not conducted a formal assessment of their workforce needs, they informally assess those needs and would like to increase the personnel who have requirements training across the organization.", "Although the U.S. Coast Guard has not conducted an assessment of its workforce needs, it is the only component that has an established requirements training process. Requirements officials told us that the U.S. Coast Guard initially established training and training-related certification standards in 2007 to emulate similar changes taking place at the Department of Defense and address previous U.S. Coast Guard acquisition challenges. Specifically, the U.S. Coast Guard requirements development organization assigns end users for a two to three year rotation and provides them training and certification on requirements development. The requirements development certification program is two levels and requires both classroom-based training and on-the-job experience. The U.S. Coast Guard assigns those who complete a higher level of certification to develop requirements for more complex and costly programs. This helps to ensure that requirements personnel can give timely, relevant end user input but also differentiate between operational and technical requirements. U.S. Coast Guard requirements officials told us that the training and certification standardizes the proficiency of the requirements workforce across the component. In addition, Customs and Border Protection officials told us that they are in the process of training their personnel on operational requirements development as part of a larger training program implemented through their Acquisition Management Performance Improvement effort.", "Components provided multiple reasons why they have not assessed their requirements workforce development needs or implemented a requirements training program. Specifically:", "Federal Emergency Management Agency is waiting on resources to build a requirements organization and provide component-specific training.", "Immigration and Customs Enforcement officials stated that they are standing up a requirements development organization and have requested additional personnel. However, they have not done a comprehensive assessment of their workforce needs nor established additional training as a result of resource constraints.", "National Protection and Programs Directorate requirements officials told us that they do not currently have plans to assess the sufficiency of requirements development personnel and do not have component- specific requirements training.", "Transportation Security Administration has recently established a requirements development organization but has not yet assessed its workforce needs or established component-specific training.", "U.S. Citizenship and Immigration Services requirements officials told us that they have not assessed their workforce and training needs, as they are more focused on processes supporting information technology programs rather than requirements overall."], "subsections": []}, {"section_title": "Acquisition Programs Benefit from an Adequately Staffed and Trained Requirements Workforce", "paragraphs": ["Assessment and training\u2014according to GAO\u2019s internal controls, workforce development key principles, and DHS\u2019s workforce guidance\u2014 are two key steps in workforce planning to ensure that the right numbers of people with the right skills are available at the right time. Specifically, an assessment should include an understanding of the goals and objectives of the component, the workforce needed to achieve the goals, and the capacity and capabilities needed to support workforce strategies. With a better understanding of the needs and current capabilities of the workforce, management can develop specific strategies to better educate the workforce and standardize skill levels. Organizations can then develop specific training to develop the workforce and fill areas of identified need with involvement of management and employees. Organizations can use a variety of instruction approaches for training\u2014for example, classroom based learning; distance learning; or structured on- the-job training. When warranted, organizations should consider blending learning methods (such as web-based and instructor-led) within the same training effort to leverage resources in the most efficient way possible. See figure 6 for a notional workforce planning process that matches workforce needs with the goals of the organization.", "The JRC approved a DHS-wide Requirements Specialization as a part of the Technology Manager Certification on June 21, 2018. In addition, JRC officials stated that they are expanding requirements development training and determining course content for the certification. We have previously found the importance of having the appropriate workforce as a factor in meeting an agency\u2019s mission. Until the components assess their needs and take appropriate action, acquisition programs may continue to be at risk of not meeting end user needs, as they will not have a trained workforce to develop requirements.", "Selected case study acquisition programs further illustrate the effect of a trained requirements development workforce.", "Customs and Border Protection and Immigration and Customs Enforcement, TECS Modernization (not an acronym) programs: These programs illustrate the effect that knowledgeable requirements officials can have. Customs and Border Protection\u2019s TECS program had an engineer with requirements development experience. According to this official, TECS Modernization traced all program requirements from the operational to the technical level in a matrix to ensure that they were valid and understood. A trained workforce, however, is one principle among many needed to provide a program with a sound start. In this case, a trained requirements official took the critical step of tracing the requirements to the gap, but his involvement cannot address the requirements and program executing issues that may arise throughout the life of a program. In fact, TECS Modernization later experienced changes to requirements and schedule.", "In contrast, Immigration and Customs Enforcement\u2019s TECS Modernization program officials told us that the program initially utilized contractors for requirements development. Rather than develop operational requirements to close the capability gap, development started with thousands of technical requirements. The program could not trace these requirements back to the capability gap, and could not implement the proposed solution. Immigration and Customs Enforcement re-started the program by bringing in trained requirements development personnel who worked with the end users to determine the appropriate operational requirements. Current Immigration and Customs Enforcement officials acknowledged the problems of the past but indicated that with the operational requirements now in place, they have a greater likelihood of success.", "Transportation Security Administration, Electronic Baggage Screening and Passenger Screening Programs: End users of the screening units at an airport told us they are not aware of anyone, such as a requirements development official, with whom they can communicate emerging threats or problems with the screening units. They also said that some of the key performance parameters, such as the number of bags processed per hour, are not based on current data. In their experience, the volume of travelers and bags has increased significantly. Without a trained requirements development official with whom end users can provide input, the program risks not meeting end user needs.", "U.S. Coast Guard, Offshore Patrol Cutter: Requirements officials told us that they continue to mature their requirements workforce to ensure the appropriate requirements for programs. The U.S. Coast Guard\u2019s requirements workforce, as stated previously, utilizes an end user with requirements training as a subject matter expert on requirements development. These end users with requirements training work together with end users currently using the assets to ensure that requirements are well-defined. For this program, the U.S. Coast Guard recently held an assessment of the draft requirements for the cutter that solicited input from users across the organization. The trained requirements personnel facilitated the assessment and gathered the input to refine the requirements. While it is too early to determine how this acquisition program will perform against baselines, this initial focus on requirements is positive.", "As most components recognize the need for requirements development, it is important that they assess their needs for a workforce and align those needs with training to develop a workforce that can help ensure that requirements match end user needs. DHS is taking steps to standardize training and certification across its requirements workforce to ensure that the workforce across all levels implements requirements development in accordance with JRIMS. However, DHS remains at risk until such training and certification are fully implemented throughout DHS and its components."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While DHS now has the JRIMS in place, which authorizes the components to create their own internal requirements development organizations, the components lag in creating the means to develop requirements and close identified capability gaps. While DHS components generally are working toward developing their own requirements policies, they have not yet established timeframes for completing this effort. Without specific timeframes, there is the risk that management attention will be lost. Further, some components do not have in place independent requirements development organizations, separate from their acquisition functions. The overlap in these responsibilities does not comport with best practices and engenders a risk that acquisition officials may override requirements developers to procure a preferred solution as opposed to the one needed by the end user.", "Further, most of the components in our review have not taken steps to assess their requirements workforces and provide training. Compounding this problem is a lack of training and certification standards for requirements personnel at the agency level. Rather, components have prioritized obtaining funding and starting acquisition programs over requirements development. Not giving requirements development adequate priority is likely to contribute to poorly defined requirements and delays in achieving\u2014or failure to achieve\u2014the capabilities necessary to perform components\u2019 missions.", "DHS, at a department level, has recognized the importance of having a requirements policy, an independent requirements organization, and a trained workforce by establishing JRIMS, the JRC, and associated training. While the components vary in acquisition activity, it is incumbent on them to recognize the importance of these critical elements. Past acquisitions have demonstrated the need to do so."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 25 recommendations to the Secretary of DHS. Specifically, that the Secretary of DHS ensures that: The Commissioner of Customs and Border Protection through the Executive Assistant Commissioner for Operations Support finalizes and promulgates the Customs and Border Protection\u2019s draft policy for requirements development. (Recommendation 1)", "The Commissioner of Customs and Border Protection through the Executive Assistant Commissioner for Operations Support updates the 2013 workforce assessment to account for the independent requirements organization\u2019s current workforce needs. (Recommendation 2)", "The Commissioner of Customs and Border Protection through the Executive Assistant Commissioner for Operations Support establishes component specific training for requirements development. (Recommendation 3)", "The Administrator of the Federal Emergency Management Agency establishes a policy for requirements development. (Recommendation 4)", "The Administrator of the Federal Emergency Management Agency establishes an independent requirements development organization within the Federal Emergency Management Agency. (Recommendation 5)", "The Administrator of the Federal Emergency Management Agency updates the 2016 workforce assessment to account for an independent requirements organization\u2019s workforce needs. (Recommendation 6)", "The Administrator of the Federal Emergency Management Agency establishes component specific training for requirements development. (Recommendation 7)", "The Director of Immigration and Customs Enforcement establishes a policy for requirements development. (Recommendation 8)", "The Director of Immigration and Customs Enforcement establishes the planned independent requirements development organization within Immigration and Customs Enforcement. (Recommendation 9)", "The Director of Immigration and Customs Enforcement conducts a workforce assessment to account for an independent requirements organization\u2019s workforce needs. (Recommendation 10)", "The Director of Immigration and Customs Enforcement establishes component specific training for requirements development. (Recommendation 11)", "The Under Secretary of Homeland Security for the National Protection and Programs Directorate finalizes and promulgates the National Protection and Programs Directorate\u2019s draft policy for requirements development. (Recommendation 12)", "The Under Secretary of Homeland Security for the National Protection and Programs Directorate establishes the planned independent requirements development organization within the National Protection and Programs Directorate. (Recommendation 13)", "The Under Secretary of Homeland Security for the National Protection and Programs Directorate conducts a workforce assessment to account for an independent requirements organization\u2019s workforce needs. (Recommendation 14)", "The Under Secretary of Homeland Security for the National Protection and Programs Directorate establishes component specific training for requirements development. (Recommendation 15)", "The Administrator of the Transportation Security Administration through the Executive Assistant Administrator of Operations Support finalizes and promulgates the Transportation Security Administration\u2019s draft policy for requirements development. (Recommendation 16)", "The Administrator of the Transportation Security Administration through the Executive Assistant Administrator of Operations Support conducts a workforce assessment to account for an independent requirements organization\u2019s workforce needs. (Recommendation 17)", "The Administrator of the Transportation Security Administration through the Executive Assistant Administrator of Operations Support establishes component specific training for requirements development. (Recommendation 18)", "The Commandant of the U.S. Coast Guard through the Assistant Commandant for Capability conducts a workforce assessment of the U.S. Coast Guard\u2019s capabilities directorate. (Recommendation 19)", "The Director of the U.S. Citizenship and Immigration Services finalizes and promulgates the U.S. Citizenship and Immigration Services\u2019s draft policy for requirements development. (Recommendation 20)", "The Director of the U.S. Citizenship and Immigration Services establishes the planned independent requirements development organization within U.S. Citizenship and Immigration Services. (Recommendation 21)", "The Director of the U.S. Citizenship and Immigration Services conducts a workforce assessment to account for an independent requirements organization\u2019s workforce needs. (Recommendation 22)", "The Director of the U.S. Citizenship and Immigration Services establishes component specific training for requirements development. (Recommendation 23)", "The JRC collaborate with components on their requirements development policies and, in partnership with the Under Secretary for Management, provide oversight to promote consistency across the components. (Recommendation 24)", "In addition, the Secretary of DHS should ensure that training for requirements development is consistent by establishing training and certification standards for DHS and the components\u2019 requirements development workforces. (Recommendation 25)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DHS.", "DHS provided written comments, which are reproduced in appendix II. In its comments, DHS concurred with all 25 of our recommendations and identified actions it plans to take to address them. DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report discusses (1) how often selected Department of Homeland Security (DHS) programs changed requirements; and assesses the extent to which the selected components have (2) developed policies for requirements development, (3) established independent requirements organizations, and (4) taken steps to assess and train a requirements workforce. Our focus for this report was on the DHS components, as they are responsible for developing the requirements to meet end user needs.", "To conduct our work, we reviewed the DHS Master Acquisition Oversight List as of April 2017 and selected seven DHS components with Level 1 and Level 2 major acquisition programs and cover a broad range of missions. The seven components are as follows:", "Customs and Border Protection", "Federal Emergency Management Agency", "National Protection and Programs Directorate", "U.S. Citizenship and Immigration Services From these seven components, we selected 14 major acquisition programs with DHS-approved key performance parameters to serve as case studies for our review. We selected a non-generalizable sample of programs based on different factors, including their acquisition phase, component, acquisition level, and whether they were information technology (IT) or non-IT. We selected the programs on these factors to reflect the broad spectrum of DHS components\u2019 operations. In addition, we coordinated our program selection with the DHS Office of Inspector General due to its ongoing audit on the implementation of Joint Requirements Council (JRC) policies in DHS acquisition programs. See table 4 below for a description of the programs.", "We also reviewed two programs that did not have DHS-approved key performance parameters at the time of our review to understand how requirements are determined before DHS validation. The two programs were Customs and Border Protection\u2019s Cross Border Tunnel Threat and Biometric Entry-Exit Program.", "To determine the extent to which the selected programs changed operational requirements, we examined key performance parameters, which the programs document in requirements and acquisitions documents, before and after DHS approval when key performance parameters should be stable. Such program documents include the operational requirements documents and acquisition program baselines. In certain cases, programs had multiple iterations of these documents. We then compared the extent to which key performance parameters changed between documents. We selected operational requirements documents and acquisition program baselines because these are the key requirements documents validated by DHS management in order for programs to begin development.", "We focused on the presence of policies for requirements development, independent requirements organizations, and requirements specific workforce and training in components as our past work on major acquisitions has shown that these are the fundamental building blocks required to develop well-informed operational requirements. This selection was also informed by our standards for internal controls.", "To determine the extent to which DHS components\u2019 requirements development policies exist, as well as determine the extent to which those components established independent organizations, we reviewed component documentation pertaining to requirements development, such as instruction manuals, mission statements, and capability analyses. We also reviewed DHS documentation such as the Joint Requirements Integration and Management System Instruction Manual and the Acquisition Management Instruction to determine the requirements development guidance provided to the components. We also reviewed program-level documents such as mission need statements and operational requirements documents to determine the capability gaps that respective programs were intended to mitigate, and the programs\u2019 key performance parameters.", "To help determine assessment, training, and certification standards for DHS\u2019s requirements development workforce, we spoke with officials from Defense Acquisition University regarding comparable standards that apply to the Department of Defense\u2019s requirements workforce. We also reviewed training standards materials provided by these officials. In addition, we spoke with JRC and U.S. Coast Guard officials regarding their requirements development training and certification standards and reviewed available documentation.", "To inform each of our objectives, we interviewed officials at various levels throughout DHS to understand their relationship to requirements development. We interviewed JRC officials to determine their interaction with components for requirements development, policies, training, and organizational standards. We also interviewed component-level officials to understand the extent to which they have implemented requirements development policies, organizations, and training for their components. We then interviewed both program officials and program end users to understand their roles in requirements development, the extent to which their feedback is incorporated into the requirements development process, and then the extent to which they receive requirements development training. In addition, we furthered this understanding through reviewing component- and program-level documentation including guidance manuals, mission needs statements, and operational requirements documents.", "We assessed the components\u2019 requirements development practices against GAO\u2019s standards for internal control and additional supporting criteria. The standards identify key principles to help entities achieve their objectives, such as delivering capabilities to end users. Specifically, management should establish structure, responsibility, and authority including developing an organizational structure and documentation. In addition, management should have a commitment to competence by developing individuals, such as through training.", "We conducted this performance audit from May 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Marie A. Mak, (202) 512-4841, or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, J. Kristopher Keener, Assistant Director; James Kim; Stephen V. Marchesani; Cody Knudsen; Claire McGillem; Pete Anderson; Roxanna Sun; and Sylvia Schatz made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Homeland Security invests billions of dollars each year in major acquisition programs to assist in executing its many critical missions. We\u2019ve previously found that DHS agencies had acquisition programs that did not meet requirements. Sometimes operational requirements were poorly defined, increasing the risk of not meeting the needs of end users in the field, such as emergency responders.", "We looked at seven DHS agencies and found that some meet GAO-identified best practices for defining operational requirements and others do not.", "We made 25 recommendations to DHS to improve its agencies\u2019 methods for developing requirements."]} {"id": "GAO-19-121", "url": "https://www.gao.gov/product/GAO-19-121", "title": "Veterans Affairs: Additional Actions Needed to Increase Veterans' Burial Access", "published_date": "2019-09-30T00:00:00", "released_date": "2019-09-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The VA is responsible for ensuring that veterans have reasonable access to burial options in a national or state veterans' cemetery. In fiscal year 2018 VA estimated that about 92 percent of veterans had reasonable access to burial options, which was an increase from 90 percent in fiscal year 2014 but short of its goal of 96 percent by the end of fiscal year 2017.", "The House Appropriations Committee has expressed concerns that there are geographic pockets where veterans remain unserved by burial options. House Report 115-188 accompanying a bill for the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, includes a provision for GAO to examine veterans' access to burial options.", "This report (1) describes VA's plan for increasing reasonable access to burial options for veterans and (2) assesses VA's progress in implementing its plan and any challenges experienced. GAO reviewed applicable VA and NCA documents, compared NCA's cost-estimating practices with GAO's cost-estimating 12 steps, and met with cognizant officials regarding NCA's efforts to provide reasonable access to burial options."]}, {"section_title": "What GAO Found", "paragraphs": ["Within the Department of Veterans Affairs (VA), the National Cemetery Administration (NCA) has a plan to establish 18 new national cemeteries to increase reasonable access to burial options for veterans. NCA defines reasonable access as a national or state veterans' cemetery being located within 75 miles of veterans' homes. Key parts of NCA's plan include establishing 13 urban and rural initiative national cemeteries and awarding grant funds to state applicants for establishing new state veterans' cemeteries.", "NCA has made limited progress in implementing its plan to increase burial access and is years behind its original schedule for opening new cemeteries. For example, NCA has opened only two of its planned urban and rural initiative sites and is behind its original schedule for the other 11 (see fig. below). The primary factor delaying NCA's completion of these cemeteries has been challenges in acquiring suitable land.", "NCA has also been challenged in producing accurate estimates of construction costs for most of its rural initiative sites. Cost estimates have increased more than 200 percent (from about $7 million to $24 million) for these sites, and NCA's guidance for developing cost estimates for the cemeteries does not fully incorporate the 12 steps identified in cost-estimating leading practices\u2014such as conducting a risk and uncertainty analysis or a sensitivity analysis. As a result, NCA is not well positioned to provide reliable and valid cost estimates to better inform decisions to enhance veterans' cemetery access."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NCA fully adopt cost-estimating leading practices into its procedures to assist in improving its cost estimates for establishing cemeteries. NCA concurred with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1973 the Department of Veterans Affairs (VA) National Cemetery Administration (NCA) has been responsible for the interment of deceased servicemembers and veterans. As part of these responsibilities, NCA ensures that veterans have reasonable access to a burial option in a national, state, or tribal government veterans\u2019 cemetery. NCA defines reasonable access as a national or state veterans\u2019 cemetery being located within 75 miles of veterans\u2019 homes. As of September 2019, NCA maintains approximately 3.8 million gravesites at 137 national cemeteries and 33 soldiers\u2019 lots and monument sites, located across 40 states and Puerto Rico. NCA estimated that more than 2.1 million veterans\u2014 approximately 10 percent of the veterans in the United States\u2014did not have reasonable access to burial options at the end of fiscal year 2013.", "The Consolidated and Further Continuing Appropriations Act, 2013, required that VA submit to Congress a strategy to serve the burial needs of veterans residing in rural areas. This act also included a provision for us to review VA\u2019s strategy and determine whether it included specific elements related to providing veterans residing in rural areas with access to veterans\u2019 cemeteries. VA submitted a strategy in response to the Act\u2019s requirement, we reviewed the strategy and, in September 2014, we reported that the strategy included only four of the eight required elements. We made a recommendation that VA develop and implement a plan to fully meet the reporting requirements, including the estimated number and location of unserved veterans and a national map of cemeteries. VA subsequently implemented this recommendation.", "In June 2017, the House Appropriations Committee expressed concern that there were geographic pockets in the country where veterans remain unserved, and that VA had failed to meet its goal of ensuring that veterans have reasonable access to burial options. House Report 115- 188, to accompany a bill for the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, included a provision for us to examine and provide a report on rural veterans\u2019 access to national cemeteries. This report (1) describes VA\u2019s plan for increasing reasonable access to burial options for veterans and (2) assesses VA\u2019s progress in implementing its plan and any challenges experienced.", "For objective one, we reviewed applicable VA and NCA documents covering fiscal years 2011-2024, such as strategic plans, annual budget proposals, and press releases on new veterans\u2019 cemeteries, to identify VA and NCA plans for expanding reasonable access to burial options for veterans. In addition, we reviewed NCA\u2019s 5-year strategic and long-range plans and its plans of actions and milestones, as well as VA annual performance plans. Further, we interviewed knowledgeable NCA officials to discuss the agency\u2019s strategy for increasing burial access, and whether NCA has a plan to continually reexamine burial options and implement necessary changes.", "For objective two, we determined the implementation status of VA\u2019s and NCA\u2019s plans and evaluated whether timelines and goals had been met. Specifically, we compared historical information on construction and project timeline changes from fiscal years 2011-2020 with the information outlined in NCA\u2019s timeline and goals. We interviewed knowledgeable NCA officials to gather information on the project timelines and status of NCA\u2019s urban and rural initiative sites, as well as any challenges confronted in the implementation of the plans. We also gathered and reviewed project summary and cost-estimate information on NCA\u2019s urban and rural initiatives from fiscal years 2011-2020. We conducted an in- depth assessment of the cost-estimating policies and practices NCA uses to calculate estimated costs for its urban and rural initiatives and other cemetery construction projects. Specifically, we assessed VA\u2019s 2011 Manual for Preparation of Cost Estimates and Related Documents for VA Facilities (Manual); VA\u2019s 2011 Architect/Engineer (A/E) Submission Requirements for National Cemetery Projects Program Guide PG 18-15 Volume D (Guide); and NCA\u2019s Construction Program Conceptual Estimate Worksheet (Worksheet), and we compared them with the 12- step cost-estimating process established in GAO\u2019s Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs (Cost Guide). Because NCA\u2019s Worksheet along with VA\u2019s Manual and Guide collectively guide NCA\u2019s cemetery project cost estimating, we refer to these three documents collectively as \u201cNCA\u2019s cost- estimating guidance\u201d throughout the report.", "In addition, we reviewed NCA\u2019s methodology for determining the percentage of the veteran population served by a veterans\u2019 cemetery in order to understand the basis for its estimate. We compared the number of unserved veterans by using estimated veteran population data from NCA as well as data from the U.S. Census Bureau. We estimated the percentage of veterans served by multiplying the percentage of the area of each census tract in the United States that falls within the service area of an open veterans\u2019 cemetery by the estimated number of veterans in the tract, which we derived from the American Community Survey 5-year estimates for 2013-2017. We totaled these estimates at the county, state, and national levels to calculate the estimated percentage of veterans served in the United States. We determined the numbers of unserved veterans in the actual and planned service areas of the initiatives by using both NCA\u2019s county-level population data and census tract data from 2013-2017 to compare the data from the two sources and to assess whether access to burial options have been or will be expanded or increased from the urban initiatives and increased from the rural initiatives. The estimates of veterans within the service area of an open cemetery that we derived from American Community Survey 5-year data are statistical estimates that have sampling error associated with them. We followed the Census Bureau technical guidance for estimating the standard error of census tract population totals from American Community Survey 5-year data. We express our confidence in the precision of our estimate as 90 percent confidence intervals. These are the intervals that would contain the actual population value for 90 percent of the American Community Survey samples that the Census Bureau could have drawn. Estimates of total veterans derived from American Community Survey data are rounded to the nearest 100 unless otherwise noted.", "We conducted this performance audit from April 2018 to September 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of the National Cemetery Administration", "paragraphs": ["The National Cemeteries Act of 1973 created the modern veterans\u2019 cemetery system. NCA, within VA, manages a majority of veterans\u2019 cemeteries in the United States. In that role NCA maintains existing national cemeteries and builds new national cemeteries for the nation\u2019s veterans and their family members. Since 1978 NCA has also provided funding through VA\u2019s Veterans Cemetery Grants Program (Grants Program) to help establish, expand, or improve state and tribal veterans\u2019 cemeteries. States and tribal governments seeking funding from the Grants Program must apply to the VA. Any cemetery established, expanded, or improved through funding from VA\u2019s Grants Program must be maintained and operated in accordance with NCA\u2019s operational standards. Veterans from all 50 states, the District of Columbia, Puerto Rico, and some U.S. territories are served by national, state, or tribal cemeteries.", "In addition, over time NCA has changed its policies and procedures to better fulfill its mission to serve and honor veterans and their family members. For example, in 2011 NCA lowered its policy threshold for establishing new national cemeteries from an area having at least 170,000 veterans who are unserved by burial options to an area having 80,000 unserved veterans. NCA established this revised policy threshold in recognition that many highly populated areas still lacked reasonable access to a burial option, and based on data and analysis provided by an independent review of VA\u2019s burial benefits program in 2008. This revised minimum veteran population threshold was chosen based on data showing that state veterans\u2019 cemeteries funded through VA\u2019s Grants Program were located in areas that typically served a maximum of 80,000 veterans within a 75-mile service area. According to VA documentation, moving to this lower threshold has enabled the agency to establish new national cemeteries in areas where states may not have been willing to place them because of the size and cost of operating a larger state veterans\u2019 cemetery."], "subsections": []}, {"section_title": "NCA\u2019s Various Burial Options", "paragraphs": ["NCA offers a variety of facilities to meet the burial needs of veterans, including various cemetery configurations that either provide burial options to eligible veterans or improve their access to burial options, as shown in table 1."], "subsections": []}, {"section_title": "NCA\u2019s Methodology for Determining Access to Burial Options", "paragraphs": ["NCA uses county-level population data to determine whether veterans currently have reasonable access to burial options and uses county-level population projections to support decisions about future cemetery locations. NCA makes its decisions regarding whether a veteran is served or unserved based on the county in which the veteran resided, without reference to the location of the veteran\u2019s actual residence. NCA\u2019s methodology uses a veteran\u2019s county of residence as a proxy for being within 75 miles of a veterans\u2019 cemetery."], "subsections": []}]}, {"section_title": "NCA Plans to Establish Eighteen New National Cemeteries and Use Its Grants Program for the Creation of State Veterans\u2019 Cemeteries to Increase Access to Burial Options", "paragraphs": ["NCA\u2019s plan entails establishing 18 new national cemeteries\u2014comprised of five traditional national cemeteries and 13 urban and rural initiative national cemeteries\u2014and awarding funds for new state veterans\u2019 cemeteries. In 2014, we reported that NCA estimated approximately 90 percent of the veteran population had reasonable access to burial options, and that it expected to reach its strategic goal of providing reasonable access to 96 percent of veterans by the end of fiscal year 2017. Since 2014, NCA has revised its strategic goal to provide reasonable access to 95 percent of the veteran population, and NCA\u2019s current long-range plan to achieve this goal covers fiscal years 2018- 2022.", "NCA\u2019s 2014 plan to increase veterans\u2019 access to burial options included building 18 new national cemeteries as follows:", "Five traditional national cemeteries, to be located in Western New York; Central East Florida; Southern Colorado; Tallahassee, Florida; and Omaha, Nebraska. Taken together, according to NCA, these cemeteries are intended to provide a burial option to an additional 550,000 veterans and their families.", "Five urban initiative cemeteries, to be located in Los Angeles, California; the San Francisco Bay Area, California; Chicago, Illinois; Indianapolis, Indiana; and New York, New York. Taken together, according to NCA, the urban initiative is intended to expand burial options for approximately 2.4 million additional veterans in certain urban areas. NCA announced this initiative in 2011 with the purpose of expanding burial options in urban areas through building columbaria-only (facilities for cremated remains) national cemeteries close to the urban core.", "Eight rural initiative cemeteries, to be located in Idaho, Maine, Montana, Nevada, North Dakota, Utah, Wisconsin, and Wyoming. Taken together, according to NCA, the intent of the rural initiative is to increase the burial options for approximately 106,000 additional veterans in certain rural areas. NCA announced this initiative in 2012 with the purpose of increasing access by establishing new national cemeteries for states with no open national cemetery and a population of 25,000 or fewer veterans.", "In addition, since 1978, NCA has used the Grants Program to help increase veterans\u2019 cemetery access. The Grants Program was established to complement national cemeteries by assisting state, territory, and tribal government applicants to establish, expand, or improve veterans\u2019 cemeteries in order to provide gravesites for veterans in those areas where NCA cannot fully satisfy their burial needs. As noted earlier, states and tribal governments seeking grant funding must apply to the VA. States, funded by the Grants Program, often build in areas with veteran populations that are too small to qualify for a national cemetery. NCA prioritizes pending grant applications by giving the highest priority to cemetery construction projects in geographic locations with the greatest projected number of veterans who will benefit from the project, as determined by NCA based on county-level population projections. In 2018, NCA provided funding for a total of 15 grants for the expansion, improvement, or establishment of state and tribal government veterans\u2019 cemeteries. This includes the establishment of two new state and tribal government veterans\u2019 cemeteries. In 2019, NCA expects to provide funding for 17 state and tribal government veterans\u2019 cemetery projects, three of which would be for new cemeteries."], "subsections": []}, {"section_title": "NCA Has Made Limited Progress in Implementing Its Plan for Increasing Burial Access and Faces Continuing Challenges", "paragraphs": ["While NCA has made some progress in implementing its plan to increase burial access for veterans, that progress has been limited, as it is years behind its original schedule for opening new cemeteries. In its efforts, NCA has experienced three key challenges: (1) acquiring suitable land for new national cemeteries, (2) estimating the costs associated with establishing new national cemeteries, and (3) using all available data to inform how its Grants Program targets unserved veteran populations."], "subsections": [{"section_title": "NCA Has Opened Six New Cemeteries since 2014 but Is Years Behind Its Original Schedule", "paragraphs": ["In 2014, NCA planned to open 18 new sites by the end of fiscal year 2017 to better serve the burial needs of the veteran population. As of September 2019, NCA has opened four new traditional national cemeteries\u2014Tallahassee National Cemetery in Tallahassee, Florida; Cape Canaveral National Cemetery in Mims, Florida; Omaha National Cemetery in Omaha, Nebraska; and Pikes Peak National Cemetery in Colorado Springs, Colorado. NCA also opened two of its eight planned rural initiative cemeteries\u2014Yellowstone National Cemetery in Laurel, Montana, and Fargo National Cemetery in Harwood, North Dakota. As a result, according to NCA, by the end of fiscal year 2018 the percentage of veterans with reasonable access had increased from 90 percent to about 92 percent. As previously discussed, NCA\u2019s goal is to provide 95 percent of veterans with reasonable access to burial options.", "As we reported in 2014, NCA had initially planned to open all of its 13 urban and rural initiative sites by the end of fiscal year 2017. As shown in figure 1, NCA had originally estimated completing all five of its urban initiative sites by the end of fiscal year 2015. However, the completion dates for all of these sites have slipped multiple times. In July 2019, NCA officials stated that the planned completion dates for the urban initiative sites were as follows: October 2019 for Los Angeles, sometime in 2020 for New York and Indianapolis, September 2021 for Chicago, and sometime in 2027 for San Francisco.", "As shown in figure 2, NCA has opened two of its rural initiative sites, in Laurel, Montana, and Fargo, North Dakota. However, the completion dates for the other six rural initiative sites have slipped multiple times. In September 2019, NCA officials stated that the planned completion dates for the rural initiative sites were currently Fall 2019 for Twin Falls, Idaho, Machias, Maine, and Rhinelander, Wisconsin; sometime in 2020 for Cheyenne, Wyoming; and Summer 2021 for Cedar City, Utah. NCA did not provide a specific estimated completion date for the site in Elko, Nevada, affirming that it would be completed \u201cin a future year.\u201d", "When we asked NCA officials why the rural and urban initiative sites were currently projected to take years longer to complete than originally planned, they replied that they might have overstated their 2014 expectations for having all initiative sites completed by the end of fiscal year 2017. NCA officials also stated that it takes at least 12 months for the land acquisition phase of cemetery construction projects; 9 to 12 months for the design phase; and 12 to 15 months\u2014sometimes up to 30\u2014for the construction phase. According to NCA officials, as of September 2019, five of the 11 initiative sites had reached the construction phase, and one of the sites no longer had an estimated completion date. There were still some outstanding or unresolved issues that had complicated NCA\u2019s ability to estimate a completion date for the site in Elko, Nevada. See figure 3 for a timeline of each of NCA\u2019s urban and rural initiative sites as of September 2019."], "subsections": []}, {"section_title": "NCA Has Faced Challenges in Implementing Its Efforts to Increase Access to Burial Options for Veterans", "paragraphs": ["In executing its plans to increase access to burial options for veterans, NCA has experienced three key challenges: (1) acquiring suitable land for new national cemeteries; (2) estimating the costs associated with establishing new national cemeteries; and (3) using all available data to inform how its Grants Program targets unserved veteran populations."], "subsections": [{"section_title": "Challenges in Acquiring Land Have Led to Delays in Implementing NCA\u2019s Plan", "paragraphs": ["The primary factor that has led NCA to adjust its timelines for completing these cemeteries concerns challenges in acquiring suitable land. Such challenges include difficulty in finding viable land for development, legal issues related to the acquisitions process, and resistance from the local community, among others. Four examples are described below, including two instances in which, as of July 2019, NCA had not yet acquired suitable land, which may further delay the opening of those specific urban and rural sites.", "Chicago, Illinois. NCA officials stated that they are on their fifth attempt to acquire land for the urban initiative site in Chicago, Illinois. In addition, they said that the environmental assessment process for the Chicago site is currently underway, and that a site viability decision will not occur until the environmental assessment process is completed later in 2019. According to NCA documentation we reviewed, NCA initiated the land acquisition process for the Chicago site in June 2011 and planned to complete the process by July 2018. If the fifth attempt to acquire land is not successful, then NCA will attempt\u2014for the sixth time\u2014to acquire land. According to NCA officials, this would result in an additional 12 to 18 months to identify and evaluate new property for potential acquisition, likely further delaying the opening of this site. See figure 4 for more details on NCA\u2019s attempts to acquire land for the urban initiative site in Chicago.", "Elko, Nevada. NCA officials stated that they have identified a top- rated site for the rural initiative site in Elko, Nevada, on land currently owned by the Bureau of Land Management. However, according to NCA officials, Congress would need to enact legislation transferring this land from the Bureau of Land Management to VA before NCA could begin construction. As of June 2019, Congress had not done so. According to NCA officials, VA has opened dialogue with local officials about drafting a utility agreement for the city to construct infrastructure needed to supply water to the site. Implementation of a utility agreement would be dependent upon whether future legislation may potentially be introduced and subsequently passed authorizing the Bureau of Land Management to permanently transfer property to VA for national cemetery use. Also, according to NCA officials, once legislation has passed to allow the transfer of land from the Bureau of Land Management to VA, they estimate it will take 12 to 18 months for the land transfer to be completed.", "Indianapolis, Indiana. In a written response, NCA officials stated that construction for the urban initiative site in Indianapolis, Indiana, has been delayed by about a year due to a public protest of NCA\u2019s acquisition of the site because of environmental concerns, which resulted in a land transfer with the previous landowner in January 2019. In addition, NCA had to conduct a partial project re-design for the exchanged property. According to NCA\u2019s May 2018 plan of actions and milestones, it had expected to have acquired the land for the Indianapolis site by August 2018 and to have completed construction in December 2019. However, officials told us in September 2018 that, due to the delays in acquiring the land, NCA had revised its planned construction completion date to August 2020.", "Los Angeles, California. According to officials, NCA is partnering with the Veterans Health Administration, which transferred property for the proposed columbarium at the Los Angeles, California, urban initiative site. Officials stated that this project was delayed initially due to the need to remove existing encumbrances on the land (for example, leases with tenants), among other things. In July 2019, officials stated that the project is scheduled for completion in October 2019.", "According to NCA officials, unforeseen site conditions can also contribute to delays in cemetery construction projects. During the design phase, soil and geotechnical samples are taken but do not cover the entire site. After excavation begins, issues such as rock formations or hazardous waste not identified during the geotechnical investigation may create challenges to developing land for cemetery use. For example, in July 2019 NCA officials stated that the urban initiative site in San Francisco had encountered major geotechnical and soil issues, causing the project completion to slip to 2027. Also, according to NCA\u2019s 2017 annual status report to Congress on new national cemeteries, the cemetery construction contract for a new cemetery construction project in Western New York could not begin solicitation until additional parcels of land had been acquired. Those parcels of land have a gas well and a gas pipeline that must be relocated. According to NCA officials, as of September 2019, six of the 11 urban and rural initiative sites had not yet begun to be excavated, and any issues that arise during the excavation process at these sites could pose further scheduling delays.", "NCA\u2019s Cost Estimates for Most of Its Rural Initiative Sites Have Increased Significantly We found that NCA\u2019s cost estimates for seven rural initiative sites have increased significantly above what NCA officials had initially estimated. In its strategy, NCA had estimated that the construction cost estimate for each of the seven rural initiative sites would be approximately $1 million (totaling approximately $7 million). However, NCA officials told us in August 2018 that the construction cost estimates for these sites had increased to more than $3 million each (totaling almost $24 million). This amounts to a cost increase of more than 200 percent. Further, the information they provided was not always consistent. For example, in July 2018 NCA officials provided us the average land acquisition and construction costs for the urban and rural initiatives. According to the document they provided, the average construction cost for each urban initiative cemetery is $7.5 million. However, in August 2018 NCA stated in a written response that the construction cost estimates for each of the urban initiatives ranged from approximately $9 million to more than $22 million, reflecting an average cost of $13.6 million.", "NCA\u2019s cost-estimating guidance used to prepare construction cost estimates does not fully incorporate the 12 steps identified in our Cost Guide that should result in reliable and valid estimates that management can use to make informed decisions, as shown in table 2. Appendix I provides a detailed summary of our assessment of NCA\u2019s cost-estimating guidance.", "Specifically, NCA\u2019s cost-estimating guidance fully met one step, substantially met four steps, partially met four steps, minimally met two steps, and did not meet one step. For example:", "NCA\u2019s cost-estimating guidance fully met the step of \u201cobtaining the data\u201d in that it requires a market survey that explores all factors that will affect the bid cost and collects valid and useful historical data to develop a sound cost estimate.", "NCA\u2019s cost-estimating guidance substantially met the step of \u201cupdating the estimate\u201d in that it requires cost estimates to be regularly updated. For instance, it requires an updated cost-estimating report at each stage of the design of the construction project.", "NCA\u2019s cost-estimating guidance minimally met the step of \u201cconducting a risk and uncertainty analysis\u201d in that, while it mentions the inclusion of a risk analysis, it does not describe what a risk analysis is and how it relates to cost. Additionally, none of the guidance we reviewed contains any discussion of risk management.", "NCA\u2019s cost-estimating guidance did not meet the step of \u201cconducting a sensitivity analysis.\u201d According to our Cost Guide, a sensitivity analysis should be included in all cost estimates because it examines the effects of changing assumptions and ground rules. Because uncertainty cannot be avoided, it is necessary to identify the cost elements that represent the most risk, and cost estimators should if possible quantify the risk.", "NCA uses multiple guidance documents on cost estimation and requires that managers and contractors use all of these documents in implementing their projects. Specifically, NCA uses VA\u2019s 2011 Manual for Preparation of Cost Estimates and Related Documents for VA Facilities (Manual); VA\u2019s 2011 Architect/Engineer (A/E) Submission Requirements for National Cemetery Projects Program Guide PG 18-15 Volume D (Guide); and NCA\u2019s Construction Program Conceptual Estimate Worksheet. We refer to these documents collectively as \u201cNCA\u2019s cost- estimating guidance.\u201d", "We previously reported on VA\u2019s management of minor construction projects and made several recommendations, including that the Veterans Health Administration revise its cost-estimating guidance to incorporate the 12 steps presented in the Cost Guide, to help VA have greater assurance that its cost estimates for minor construction projects are reliable. VA concurred and stated that it would ensure that the Veterans Health Administration update its cost-estimating guidance by incorporating the 12 steps outlined in the Cost Guide, as applicable. As of August 2019, VA had not taken any action to implement this recommendation. The guidance document it plans to update, the VA Manual, is also used by NCA. Further, NCA uses additional guidance documents to develop cost estimates for its cemetery construction projects\u2014including the urban and rural initiatives\u2014that do not fully incorporate the 12 steps presented in the Cost Guide. Without NCA\u2019s revising its cost-estimating guidance to more fully reflect the 12 steps in the Cost Guide, including \u201cconducting a risk and uncertainty analysis,\u201d NCA will not be well-positioned to provide reliable cost estimates to VA and enable it to make informed decisions regarding the management of cemetery construction projects."], "subsections": []}, {"section_title": "NCA\u2019s Grants Program Does Not Use All Available Data for Targeting Unserved Veteran Population Sites", "paragraphs": ["As noted earlier, the Grants Program is part of NCA\u2019s plan to increase veterans\u2019 reasonable access to burial options. According to NCA officials, their plan to meet their strategic goal of 95 percent of veterans being served by burial options relies, in part, on the state and tribal government efforts funded by the Grants Program. The Grants Program, in turn, relies on states and tribal governments applying for funding to build new cemeteries or expand existing cemeteries. An NCA official told us that NCA does not have the authority to formally request that a state seek grant funding to expand access in an unserved area. However, according to VA officials, the Grants Program has had informal discussions with states that it believes have larger concentrations of unserved veterans, in order to encourage grant applications to provide increased burial access for unserved veteran populations.", "When reviewing grant applications, NCA considers a number of factors, including how the grant would enhance access for unserved veterans. NCA officials stated that they use the VA\u2019s county-level population data to identify veteran population areas unserved by national, state, or tribal government veterans\u2019 cemeteries. This analysis also allows NCA to project where additional state and tribal government veterans\u2019 cemeteries may be most needed. Specifically, NCA has ranked what it identified as the 40 largest currently unserved veteran population areas. NCA performs this ranking at the county level, not the more precise census tract level, although as we have previously reported it has the technical ability to use census tract data.", "In September 2014, we reported that NCA was using population data at the county level to identify veterans not served by burial options, and that using population data at the census tract level would enhance NCA\u2019s management of the national cemetery program. Specifically, we recommended that NCA use its existing capabilities to estimate the served and unserved veteran populations using census tract data. This would have allowed them to make better-informed decisions concerning where to locate new national cemeteries, as well as identify which state and tribal government cemetery grant applications would provide reasonable burial access to the greatest number of veterans. However, VA did not concur with that recommendation. In its comments on our draft report, VA agreed that census tract data may yield more precise information than county-level population data, but it disagreed with our conclusion that the use of census tract data would have helped VA to make better-informed decisions regarding the location of burial options.", "For this review, we performed an analysis using census tract data to examine the 40 prospective sites that NCA has identified as the currently largest unserved areas, using current veteran population data. Our analysis yielded estimates for veterans in the service areas for these prospective sites that differed substantially in some instances from the numbers used by NCA (see figure 5). For example, NCA ranked Erie, Pennsylvania, as 4th on its list of prospective sites, based on its estimate that an additional 45,154 veterans could be served by a cemetery at this location. However, using census tract data we estimate that only about 10,000 veterans could be served there, resulting in a lower priority for Erie, Pennsylvania, on this list of prospective sites. Similarly, the county- based methodology used by NCA ranked Decatur, Alabama, as 25th on the list of prospective sites, while our methodology based upon nearby census tracts placed it 2nd on the list by estimated number of veterans in the service area. Thus, even though it could serve many additional veterans, Decatur, Alabama, would not be ranked highly on the list for funding using NCA\u2019s methodology.", "By using the more precise census tract data to help inform its grant- making decisions, NCA could enhance its ability to implement its plan to provide burial options to unserved veterans. Comparing estimates of unserved veterans based on current census tract data with such estimates based on current county-level data can be a useful supplement to NCA\u2019s current reliance on long-term projected county-level population data. Comparing census tract data with county-level data could also identify areas where the county-level projections might be overridden or require additional scrutiny. This could position NCA to better identify those areas of the country that will have the most significant unserved veteran populations. Additionally, this could help NCA refine its current plans or develop new ones, as it deems appropriate. We therefore continue to maintain the validity of our 2014 recommendation for VA to use census tract data to estimate the served and unserved veteran populations to help inform its plans for providing reasonable access to burial options."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["By NCA\u2019s estimates, more than 2.1 million veterans\u2014about 10 percent of the veterans in the United States\u2014did not have reasonable access to burial options at the end of fiscal year 2013. According to NCA, its plan had helped increase the percentage served by burial options to about 92 percent of the veteran population by the end of fiscal year 2018. However, completion of some of the urban and rural sites that are part of NCA\u2019s plan is currently estimated to take 5 years or longer than planned at significantly higher cost, in part because construction cost estimates for the remaining sites may be unreliable. Without NCA\u2019s revising its cost- estimating guidance to more fully reflect the 12 steps in the Cost Guide, including \u201cconducting a risk and uncertainty analysis,\u201d NCA will not be well-positioned to provide reliable cost estimates to VA and enable it to make informed decisions regarding the funding and oversight of NCA\u2019s ongoing minor construction projects to enhance veterans\u2019 burial options."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Veterans Affairs should ensure that the Under Secretary for Memorial Affairs update its cost-estimating procedures for cemetery construction projects to fully incorporate the 12 steps identified in the GAO Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for review and comment. In written comments, VA concurred with our recommendation. VA also provided technical comments, which we incorporated as appropriate. VA\u2019s comments are printed in their entirety in appendix II.", "In its technical comments, VA disagreed with our finding that NCA had made limited progress implementing its plan for increasing burial access for veterans and stated that NCA had instead made significant progress. As we note in this report, in 2014, NCA planned to open 18 new sites by the end of fiscal year 2017 to better serve the burial needs of the veteran population. However, as of September 2019, only six of the planned sites were open, with NCA years behind its original schedule. For this reason, we characterized the progress as \u201climited.\u201d While the progress has been limited, it is important to note that the opening of the six sites has increased accessibility of burial options to veterans.", "VA also stated that it continues to disagree with our 2014 recommendation that VA use census tract data to estimate the current served and unserved veteran populations to inform its plans for providing reasonable access to burial options. In its written response, VA stated that we recommended NCA use census tract rather than county-level data. However, that is not what we recommended. As we stated in this report, comparing estimates of unserved veterans based on current census tract data with estimates based on current county-level data would provide a useful supplement to NCA\u2019s current reliance on long-term projected county-level population data. Specifically, NCA would be better positioned to identify those areas of the country that will have the most significant unserved veteran populations and refine its current plans or develop new ones, as it deems appropriate.", "We are sending copies of this report to interested congressional committees and the Secretary of Veterans Affairs. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9627 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: GAO Assessment of the National Cemetery Administration\u2019s (NCA) Guidance for Developing Cemetery Construction Cost Estimates", "paragraphs": ["We compared NCA\u2019s cost-estimating guidance with the 12 steps identified in the GAO Cost Estimating and Assessment Guide: Best Practices for Developing and Managing Capital Program Costs (Cost Guide). We found that NCA\u2019s cost-estimating guidance on preparing cost estimates for cemetery construction projects\u2014specifically Department of Veterans Affairs\u2019 (VA) Manual for Preparation of Cost Estimates & Related Documents for VA Facilities (Manual), VA\u2019s Architect/Engineer Submission Requirements for National Cemetery Projects, Program Guide 18-15 Volume D (Guide), and NCA\u2019s Construction Program Conceptual Estimate Worksheet (Worksheet)\u2014does not fully incorporate these 12 steps, as shown in table 3. The guidance incorporates some of the 12 steps to some degree, but not others, raising the possibility of unreliable cost estimates for NCA\u2019s urban and rural initiatives. Specifically, NCA\u2019s guidance on preparing cost estimates: fully or substantially met five of the 12 steps, partially met four of the 12 steps, and minimally met or did not meet three of the 12 steps."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Diana Maurer, (202) 512-9627 or maurerd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brian Lepore, Director (Retired); Maria Storts, Assistant Director; Pamela Nicole Harris, Analyst-in-Charge; Brian Bothwell, Jennifer Echard, Alexandra Gonzalez, Jason Lee, Amie Lesser, Serena Lo, John Mingus, Brenda Mittelbuscher, Maria Staunton, Frank Todisco, Cheryl Weissman, and John Wren made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Veterans Affairs is responsible for ensuring that veterans have reasonable access to burial options in a national or state veterans\u2019 cemetery. It defines reasonable access as a cemetery within 75 miles of veterans\u2019 homes. It estimated that about 92% of veterans had reasonable access in fiscal year 2018.", "VA\u2019s National Cemetery Administration has a plan to establish 18 new national cemeteries to increase access. However, it is years behind schedule for opening new cemeteries and its cost estimates for some sites have more than doubled.", "We recommended the National Cemetery Administration adopt better cost-estimating practices."]} {"id": "GAO-18-379", "url": "https://www.gao.gov/products/GAO-18-379", "title": "Emergency Communications: Increased Regional Collaboration Could Enhance Capabilities", "published_date": "2018-04-26T00:00:00", "released_date": "2018-05-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["During emergencies, reliable communications are critical. Disasters, such as 2017's hurricanes, continue to test the nation's emergency communications capabilities. As disasters can cross jurisdictional boundaries, collaboration within and across regions is very important.", "GAO was asked to review implementation of the Post-Katrina Act's provisions related to disaster preparedness, response, and recovery. This report examines: (1) challenges related to emergency communications that selected stakeholders have experienced; (2) their views on DHS's emergency communications assistance; and (3) the regional working groups established by the Post-Katrina Act and their effect on emergency communications capabilities. GAO reviewed DHS's reports and grant data for fiscal years 2011\u20132016 and conducted case studies of three cities\u2014Houston, Los Angeles, and Boston\u2014selected based on the number of declared disasters, DHS grant funding, and geographic diversity. GAO interviewed DHS officials; leaders of all 10 regional working groups and other stakeholders, including public safety officials in the case study cities; and others chosen for their expertise."]}, {"section_title": "What GAO Found", "paragraphs": ["Selected first responders and public safety officials identified various challenges related to emergency communications. These challenges include attaining the interoperability of communication systems, obtaining funding, ensuring ongoing training, and increasing the emphasis on communications during emergency response exercises. For example, some stakeholders told GAO about challenges related to equipment that is not interoperable, and others said first responders need training after investments are made in new interoperable communications equipment.", "To help address these challenges and as required by the Post-Katrina Emergency Management Reform Act of 2006 (Post-Katrina Act), the Department of Homeland Security (DHS) has provided technical assistance, such as training, and Federal Emergency Management Agency (FEMA) grants. It has also established regional emergency communications coordination working groups, which bring together stakeholders from different levels of government and the private sector within FEMA's 10 regions.", "While emergency communications challenges persist, stakeholders told GAO that DHS's technical assistance generally meets their needs and that FEMA grants have helped them enhance emergency communications capabilities. In particular, stakeholders found training for specific communications positions was useful. Houston-area officials said this training was critical in preparing first responders for Hurricane Harvey. Some stakeholders told GAO that FEMA grants helped them address needs that would otherwise go unfunded, including interoperable communications networks and equipment.", "GAO found that the regional working groups have enhanced emergency communications capabilities through building relationships and sharing information. Within the respective regions, group members have:", "assisted each other during disasters and emergencies,", "developed technical solutions to enhance interoperability, and", "addressed policy concerns, such as the use of interoperable radio channels during emergencies.", "However, most regional group leaders told GAO that more collaboration across the groups was needed. GAO's prior work has also found that including all relevant participants can enhance collaborative efforts. Further, DHS's strategic plan for emergency communications established a vision of collaboration among stakeholders across the nation. While FEMA has encouraged collaboration among regional working-group leaders, cross-regional efforts have been limited and do not involve all group members. Developing and implementing an appropriate ongoing mechanism for collaboration could enhance emergency communications capabilities, such as by helping group members address common challenges. Without ways for all members of these groups to collaborate across regions, members may be missing opportunities to share information and leverage the knowledge and experiences of their counterparts throughout the nation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FEMA should work with regional working-group members to reach consensus and implement an ongoing mechanism, such as a national-level working group, to encourage nationwide collaboration across regions. DHS concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["For first responders in emergency situations, reliable communications are critical for a rapid and sufficient response. Hurricane Katrina exposed gaps in how federal, state, and local entities responded to the catastrophic storm, gaps that include revealing that the equipment the first responders used for emergency communications were often not operable and interoperable. Congress passed the Post-Katrina Emergency Management Reform Act of 2006 (Post-Katrina Act) to improve the federal government\u2019s preparation for and response to natural and manmade disasters. Among the more than 300 reforms in the Post- Katrina Act, two of the provisions relate to emergency communications during disaster response and recovery. These provisions required that the Department of Homeland Security (DHS) provide assistance to support the rapid establishment of interoperable emergency communications in urban areas and other areas deemed to be consistently at a high level of risk from disasters; and the establishment of regional emergency communications coordination working groups (RECCWG) in each of the 10 Federal Emergency Management Agency (FEMA) regions.", "While DHS has provided assistance in the form of technical assistance and funding and Congress has established the RECCWGs (commonly pronounced rec-wigs), natural disasters such as hurricanes Harvey, Irma, and Maria in 2017 continued to test the nation\u2019s emergency communications capabilities. These types of events can cross jurisdictional borders, highlighting the critical need for collaboration of first responders and public safety officials both within and across regions.", "You asked us to evaluate how the implementation of the Post-Katrina Act\u2019s provisions has affected disaster preparedness, response, and recovery in general. In this report, we examined: the challenges selected stakeholders have experienced related to emergency communications; the emergency communications assistance\u2014technical assistance and funding\u2014provided by DHS and selected stakeholders\u2019 views on these efforts; and the RECCWGs established by the Post-Katrina Act and their effect on emergency communications capabilities.", "To address these objectives, we reviewed RECCWG annual reports from 2011 to 2016, the most recent years available. We also reviewed relevant reports and documentation from DHS\u2014such as reports on national preparedness and on specific emergency incidents and technical assistance offerings\u2014as well as other documents we identified through a literature search. We analyzed FEMA data on preparedness grant funding from fiscal years 2011 to 2016. After reviewing relevant documentation and discussing the data with FEMA staff, we determined that the data were sufficiently reliable to describe the approximate total amounts of funding for each grant program that had been provided to support emergency communications.", "In addition, we interviewed DHS officials from FEMA and the Office of Emergency Communications (OEC). We selected 41 emergency communications stakeholders and through interviews or written responses, obtained their perspectives on the general topics covered in our review\u2014challenges relating to emergency communications, DHS technical assistance and grants, and the RECCWGs. These stakeholders included 20 RECCWG leaders (representing all 10 FEMA regions) representatives of 2 public safety associations and 2 tribal emergency- management organizations; and 17 other public safety officials and first responders with knowledge of emergency communications. We selected these individuals based on their involvement with the RECCWGs, as part of our case studies (described below), or because of their emergency communications experience. We conducted case studies of emergency communications in Houston, Boston, and Los Angeles. We selected these urban areas to include variation in geographic location, in the types of declared disasters and emergencies experienced from 2011 to 2016, and in the amounts of DHS grant funding for emergency communications received from fiscal years 2011 to 2016. For each case study we reviewed documents about emergency communications in that urban area, such as reports about emergency events or articles identified in our literature search, and interviewed multiple stakeholders, including the relevant statewide interoperability coordinator and FEMA regional emergency communications coordinator, a city or county emergency manager, at least one first responder with knowledge of emergency communications, and other selected public safety officials. While the results from our case studies and interviews are not generalizable, they provide illustrative examples of challenges related to emergency communications, views on DHS-provided technical assistance and funding, and how the RECCWGs have enhanced emergency communications capabilities. We compared the collaborative efforts of the RECCWGs\u2019 and FEMA\u2019s efforts to facilitate such collaboration with the National Emergency Communications Plan, as well as practices for enhancing interagency collaboration that we identified in prior work and federal standards for internal control.", "We conducted this performance audit from December 2016 to April 2018 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Effective communications are vital to first responders\u2019 ability to respond to emergencies and ensure the safety of both their personnel and the public. In particular, first responders use communications systems to gather information, coordinate a response, and request additional resources and assistance from neighboring jurisdictions and the federal government.", "First responders use different communications systems, such as land mobile radio (LMR) and commercial wireless services.", "LMR: These systems are the primary means for first responders to gather and share information while conducting their daily operations and to coordinate their emergency response efforts. LMR systems are intended to provide secure, reliable voice communications in a variety of environments, scenarios, and emergencies. Across the nation, there are thousands of separate LMR systems. They operate by transmitting voice communications through radio waves at specific frequencies and channels within the radio frequency portion of the electromagnetic spectrum.", "Commercial wireless services: For data transmissions (such as location information, images, and video) public safety entities often pay for commercial wireless services. Some jurisdictions also use commercial wireless services for voice communications.", "These systems must work together, or be interoperable, to ensure effective communication. Emergency communications interoperability refers to the ability of first responders and public safety officials to use their radios and other equipment to communicate with each other across agencies and jurisdictions when needed and as authorized, as shown in our hypothetical example of response to a fire in figure 1.", "First responders may use designated radio frequencies\u2014known as interoperability channels\u2014to help communicate among different jurisdictions. Certain interoperability channels have been designated for federal agencies to communicate with non-federal agencies, and others have been designated for use at the state and local levels.", "OEC, created within DHS in 2007, has taken a number of steps aimed at supporting and promoting the ability of public safety officials to communicate in emergencies and work toward operable and interoperable emergency communications nationwide. OEC develops policy and guidance supporting emergency communications across all levels of government and various types of technologies. OEC also provides technical assistance\u2014including training, tools, and online and on-site assistance for federal, state, local, and tribal first responders. Also as required by the Post-Katrina Act, OEC developed the National Emergency Communications Plan in 2008 and worked with federal, state, local, and tribal jurisdictions to update it in 2014 to reflect an evolving communications environment. The long-term vision of the plan\u2014which OEC views as the nation\u2019s current strategic plan for emergency communications\u2014is to enable the nation\u2019s emergency response community to communicate and share information across levels of government, jurisdictions, disciplines, and organizations for all threats and hazards, as needed and when authorized.", "FEMA is responsible for coordinating government-wide disaster response efforts, including on-the-ground emergency communications support and some technical assistance. Additionally, FEMA provides a range of grant assistance to state, local, tribal, and territorial entities, including preparedness grants that can be used for emergency communications. FEMA provides assistance to the RECCWGs, which report to their respective FEMA regional administrator. A chair and co-chair serve as the leaders for each RECCWG and provide direction in determining activities and priorities. These groups are comprised of federal, state, and local officials, and coordinate with private sector stakeholders. For example, members include representatives from local fire departments, state and local police departments, tribal officials, telecommunications companies, and federal agencies. Figure 2 shows the member states and territories that compose each group.", "The Post-Katrina Act established the RECCWGs and requires each group: to assess local emergency communications systems to meet goals of the National Emergency Communications Plan, to ensure a coordination process for multijurisdictional and multi- agency emergency communications networks through the expanded use of mutual aid agreements for emergency-management and public-safety communications, and to coordinate support services and networks designed to address immediate needs in responding to disasters, acts of terrorism and other manmade disasters.", "According to FEMA officials, these groups are run by their members and determine their own activities. FEMA plays a role in facilitating the groups and provides some administrative support. Each group reports annually on the status of the region\u2019s operable and interoperable emergency- communications initiatives. In these reports, the groups describe how they fulfill their responsibilities and identify areas for improvement. FEMA compiles the reports into a RECCWG annual report with an executive summary and distributes it to the heads of OEC, the Federal Communications Commission, and the National Telecommunications and Information Administration, as well as to the groups themselves, which may further distribute the final report as they see fit."], "subsections": []}, {"section_title": "Selected Stakeholders Cited Ongoing Interoperability, Funding, and Training Challenges", "paragraphs": ["We identified several prevalent challenges to emergency communications based on our analysis of RECCWG annual reports, case studies, and interviews with emergency communications stakeholders. These challenges included achieving the interoperability of communication systems, obtaining funding, ensuring ongoing training, and increasing the emphasis on communications during emergency response exercises. As discussed in more detail later, DHS technical assistance and grant programs as well as coordination efforts of the RECCWGs have focused on addressing these ongoing challenges."], "subsections": [{"section_title": "Interoperability Challenges", "paragraphs": ["We identified ongoing technical and non-technical challenges in achieving interoperability of emergency communications systems. In the 2016 RECCWG annual report, most of these groups (7 of 10) cited interoperability as a challenge to emergency communications in their regions. We have reported over the years that interoperability issues can affect mission operation and put first responders and the public at risk when responding officials cannot communicate with one another."], "subsections": [{"section_title": "Technical Challenges", "paragraphs": ["Interoperability challenges can exist due to technical issues such as equipment\u2019s incompatibility. As mentioned previously, first responders primarily rely on LMR to communicate and coordinate during emergencies. Although LMR systems have similar components, such as handheld portable radios and mobile radios mounted in vehicles, systems that operate on different radio frequency bands are not always interoperable, making it difficult for different jurisdictions to communicate with each other without technical solutions such as multi-band radios and interoperable gateways. Within Los Angeles County, local stakeholders told us that many jurisdictions use LMR systems that operate on different radio frequency bands across the area\u2019s 88 cities and 56 law enforcement agencies. When an emergency involves first responders from a variety of jurisdictions, communication among them can be challenging. For example, one stakeholder told us about an incident in September 2015 where a carjacking turned into a car chase through multiple jurisdictions before the suspect barricaded himself with hostages in a restaurant. The restaurant was surrounded by multiple law enforcement entities and none of them could immediately communicate with each other since their LMR systems operated on different radio frequency bands. According to this stakeholder, this interoperability challenge was dangerous because the officers could not share information such as a description of the suspect.", "Interoperability challenges can also exist because of a reliance on commercial wireless providers for voice and data emergency communications. In such cases, if the commercial network is overloaded or damaged, first responders could be unable to communicate within their own agency. This situation could also result in interoperability challenges when an agency\u2019s first responders cannot communicate with other jurisdictions. According to a 2017 OEC report, reliance on commercial providers for first responders\u2019 voice and data access can be problematic for a variety of reasons\u2014including that they must share these networks with the public. According to the report, recent events around the country have demonstrated that regional and city commercial networks are sometimes overwhelmed and compromised by both routine events and large gatherings of people. For instance, the report stated that during the 2017 Mardi Gras celebrations in New Orleans, first responders\u2019 wireless voice and data connections were impaired while responding to an accident along the parade route, possibly because of the spike in cellular usage by the public. Additionally, two stakeholders from the same region told us that a state in their region does not have a statewide LMR system and relies on commercial wireless service for emergency communications; such reliance could cause interoperability challenges in the event of an emergency.", "The First Responder Network Authority (FirstNet) is working to establish a nationwide dedicated network for public safety use that is intended to foster greater interoperability, support important data transmissions, and meet public safety officials\u2019 reliability needs. FirstNet is working with five jurisdictions designated as \u201cearly builder projects\u201d of the public-safety broadband network that are deploying local and regional public-safety broadband networks similar to what FirstNet must do on a national scale."], "subsections": []}, {"section_title": "Non-Technical Challenges", "paragraphs": ["Interoperability challenges can also result from non-technical or human factors such as a lack of coordination or not properly using interoperability channels. Additionally, as we reported in 2016, 23 states\u2019 responses to our survey indicated that they have experienced interoperability difficulties when communicating or attempting to communicate with federal partners during disasters. For example, following Hurricane Harvey, stakeholders with the City of Houston and Harris County reported interoperability challenges when they were unable to communicate with members of FEMA\u2019s Urban Search & Rescue teams deployed to the area. However, according to stakeholders we interviewed, they were initially unaware these teams were operating in the area because the teams did not share information\u2014including the LMR channels on which they were operating\u2014 with local first responders. According to a stakeholder from the State of Texas this was a communications coordination challenge. Stakeholders from the City of Houston, Harris County, and the State of Texas told us that having this information would have been useful to help coordinate emergency response. FEMA officials told us that they were aware of this issue, which they noted was an isolated incident, and have emphasized to these teams the importance of sharing this information in the future.", "We also found that at least one stakeholder in each of our case study locations identified challenges due to first responders not using interoperable LMR channels properly. Additionally, a report about the response to the Boston Marathon bombings stated that first responders underutilized dedicated channels or had difficulty accessing them, a situation that limited coordination. Two stakeholders in Boston told us that officials in the city develop a comprehensive communications plan for major events to help allow all levels of government to better communicate, but one of these stakeholders said there is a continued need for training on using interoperability channels. As discussed later, DHS offers technical assistance and grants to improve interoperability."], "subsections": []}]}, {"section_title": "Challenges with Training and Exercises", "paragraphs": ["Based on RECCWG annual reports, our case studies, and interviews with stakeholders, we identified: (1) an ongoing need for training and (2) the lack of a communications component in emergency response exercises as both challenges to emergency communications. Stakeholders in each of our three case study locations told us there is an ongoing need for training and practice in using emergency communications equipment. Additionally, this issue was raised in a recent RECCWG annual report and a report about the response to the 2013 Boston Marathon bombing. Stakeholders in two of our case study locations, Los Angeles and Boston, told us that first responders continue to need training after investments are made in new interoperable communications equipment, posing an ongoing need for training. In addition, stakeholders from all three of our case study locations told us that first responders need training on the proper use of interoperability channels. For example, this gap in training was the case during the response to the Boston Marathon bombing when responders used their everyday channels rather than interoperable channels. If all responders are not operating on the same channels, there is the possibility of missing critical information. Additionally, with staff turnover and position changes, four stakeholders told us there is a constant need to educate first responders and other personnel. For example, officials from one department told us that emergency communications training is always a challenge with their approximately 10,000 personnel. Other stakeholders also told us that public safety officials must know how to properly use new technologies and that evolving technology requires additional training. OEC officials said that their training and technical assistance has evolved to address new and emerging technologies such as broadband. For example, OEC\u2019s current technical assistance catalog contains new or revised offerings on topics related to Next Generation 911 such as the technical and procedural challenges associated with integrating digital communications into these 911 systems. OEC officials told us they work with various emergency communications stakeholders, such as state and local agencies, to stay informed about training needs.", "Exercises\u2014which can be planned and carried out at the federal, state, or local level\u2014are important in preparing for emergencies because they can expose challenges, which can then be addressed before an actual emergency, according to stakeholders we interviewed. According to OEC officials, these exercises are intended to simulate large-scale disasters or emergencies and bring participants (including first responders, state and federal officials, hospital personnel, etc.) together to test equipment and actual response procedures. According to DHS\u2019s Interoperability Continuum, implementing effective exercise programs to practice communications interoperability is essential for ensuring that the technology works and that first responders are able to effectively communicate. One stakeholder in Houston told us that planned events prior to Hurricane Harvey revealed that many first responders in the area were not comfortable using interoperability channels because they did not typically operate on these channels or did not need to use radios for their daily work. After planned events (such as the 2017 Super Bowl), they gained experience and familiarity, and were able to use these interoperability channels without incident during the response to Hurricane Harvey, according to this stakeholder.", "According to RECCWG annual reports in 2015 and 2016, major emergency-response exercises often do not include a large communications component, which can limit the preparedness of state and local public safety officials. Additionally, the 2016 RECCWG annual report states that in a large-scale disaster, compromised or insufficient communications can have dramatic effects on response efforts. All 10 RECCWGs agreed on the need to test communications during emergency response exercises, and two of these groups cited this need as a specific priority for the upcoming year. FEMA officials told us they are working to build scenarios into exercises that will also help to test communications. Three stakeholders told us that during large-scale events, there is still too often an assumption that emergency communications systems will remain operational in the event of an emergency. The stakeholders said exercises are more beneficial and realistic when communications personnel are included in exercise planning and the exercises include a communications component. OEC officials told us that communications are frequently either omitted from or only notionally included in exercises and assessments, and because of this situation, OEC offers training on planning exercises. As discussed later, DHS offers technical assistance to help address the above challenges related to training and exercises."], "subsections": []}, {"section_title": "Funding Challenges", "paragraphs": ["Based on RECCWG annual reports and interviews with emergency communication stakeholders we identified challenges in obtaining funding for acquiring and maintaining interoperable equipment and systems, as well as for travel and training. For example, a recent RECCWG annual report noted that determining funding sources to address interoperability needs was a challenge. This report raised concerns that two federal grant programs that jurisdictions previously used to address interoperability needs are no longer funded. Stakeholders told us that DHS grant programs have been important for emergency communications projects in their regions. They also noted that within a jurisdiction many projects compete for a limited amount of funding. For example, one stakeholder explained that even after his jurisdiction used a DHS grant to purchase a new LMR system, the jurisdiction must continue to seek funding to upgrade and maintain the system. Further, one recent RECCWG annual report identified funding limitations as causing many states and agencies to make trade-offs among capabilities essential for operable and interoperable communications\u2014such as deciding whether to upgrade equipment or systems. As existing communications systems and equipment continue to age or become obsolete, these trade-offs put the agencies at an increasing risk of not being able to effectively exchange communications during an event response, according to this recent RECCWG annual report.", "Additionally, leaders from all 10 RECCWGs also told us funding was currently a challenge to emergency communications in their region. For example, half (10 of 20) of these group cited limited funding to upgrade or replace equipment as a challenge in their region. According to a leader in one region that identified funding as a major challenge, many entities within the region need funding for this purpose. They noted that efforts to find alternative funding sources have not been successful and that as emergency communications technology evolves it will grow increasingly difficult for first responders to keep pace with the changes. Likewise, representatives from one public safety association told us that maintaining interoperable communications is a challenge due to the expense of new radios and software. As a result, they noted that jurisdictions, particularly those in less populated areas, might decide to purchase less costly equipment that is not interoperable. Such purchases can result in emergency communications challenges. The leader of one RECCWG told us that due to consistent budget shortfalls over the past several years, one state in the region has deferred maintenance of communications infrastructure. This deferral is expected to create more expensive problems in the future.", "Leaders from 5 of the 10 RECCWGs told us they have also experienced funding challenges related to travel or training. For example, one regional group leader told us that funding is a challenge because funding shortfalls prevent personnel from attending courses that would increase their knowledge of equipment and new technologies. Another regional group leader told us that funding is a challenge in that travel money is very limited. Given the large geographic area covered by this RECCWG, it is expensive for group members to travel to meetings, inhibiting participation and information sharing at RECCWG meetings."], "subsections": []}]}, {"section_title": "Stakeholders Indicated DHS\u2019s Technical Assistance and Grants Have Enhanced Emergency Communications in Their Regions", "paragraphs": [], "subsections": [{"section_title": "Technical Assistance", "paragraphs": ["Technical assistance, including guidance and training, is one of OEC\u2019s main responsibilities, and while FEMA does provide certain technical assistance, it is not the agency\u2019s primary responsibility. These OEC and FEMA efforts are intended help address emergency communications challenges, including those discussed above.", "OEC offers various types of technical assistance, such as workshops and assessments to help participants strengthen their communications plans and governance structures, as well as a seminar to help participants incorporate communications into emergency response exercises. According to OEC officials, they have delivered more than 2,000 technical-assistance-training courses and workshops since OEC was created in 2007. In addition, OEC has developed other resources, such as a toolkit for managing emergency communications at planned events such as the Super Bowl. According to OEC officials, they have a technical assistance budget of approximately $9 million per year, and OEC delivers this assistance at no cost to the requesting state or territory. OEC also has 11 subject matter experts located across the country who help jurisdictions with their communications programs and resources. These individuals seek to build partnerships across different levels of government and the private sector and are involved with their respective RECCWGs.", "FEMA offers training related to emergency communications, such as various courses on emergency management topics. FEMA also has 10 regional emergency communications coordinators who are responsible for providing assistance on an as-needed basis to their respective regions and coordinating FEMA\u2019s tactical communications support during a disaster or emergency. These coordinators also support the RECCWGs.", "OEC and FEMA jointly provide training to first responders and other public safety officials to prepare them to act as communications unit leaders. OEC also provides training for other specialized communications support roles. The communications unit is part of a standardized organizational emergency response structure called the Incident Command System. When a disaster or emergency occurs, the communications unit is responsible for managing the operational and technical aspects of communications. For example, one of the unit leader\u2019s tasks includes developing a plan to coordinate the radio frequencies used by first responders, to help ensure interoperability. The unit may also include a communications technician who provides the technical skills to implement the required equipment and systems. OEC trained more than 8,000 individuals between 2007 and August 2017 to serve in communications unit positions, according to OEC information.", "While stakeholders continue to face a range of emergency communications challenges, they are generally satisfied with DHS\u2019s technical assistance to help address them. Specifically, nearly all the stakeholders we contacted (36 of 41) were generally satisfied with technical assistance from OEC, FEMA, or both. In addition, in 2016 we reported that all states had received OEC technical assistance and that almost all were satisfied with the support they received from OEC.", "When asked about the general topic of DHS technical assistance, more than half (25 of 41) of stakeholders we interviewed said that training for communications unit positions was useful in advancing emergency communications capabilities in their jurisdictions. OEC and FEMA also employ a \u201ctrain-the-trainer\u201d approach for the communications unit-leader course. Houston-area stakeholders told us that over 1,000 local personnel across the state had received communications unit training and that the area now has a large number of local trainers. Five stakeholders we interviewed for our Houston case study praised this training and said it was critical in preparing communications personnel to respond to Hurricane Harvey. Specifically, one stakeholder who served as a communications unit leader during Hurricane Harvey told us that this training prepared him to develop an effective interoperable radio communications plan for the storm. This individual also said that first responders who came to assist from outside the region often brought their own communications unit leaders with them, and because this training is consistent nationwide, the outside groups knew how the response effort would be organized and whom to call about which radio frequencies to use. However, a stakeholder from the Los Angeles area told us that while having the communications unit train itself was useful, it was insufficient without opportunities to practice the skills in real-life situations, a challenge that other stakeholders also noted in a recent RECCWG annual report. Based on feedback from state and local personnel, OEC is assisting states with establishing policies and procedures for their communications unit resources, including a process to demonstrate skills required for these specialized positions.", "While stakeholders are generally satisfied with technical assistance, many (19 of 41) stakeholders said their jurisdictions would still benefit from additional technical assistance, aligning with a challenge we identified earlier regarding the need for training. Four stakeholders told us that OEC adapted technical assistance offerings to the needs of their jurisdictions. OEC officials told us that they customize technical assistance as needed\u2014for example, when providing communications- planning support to a local jurisdiction, OEC will collect local agencies\u2019 policies and facilitate a discussion with stakeholders to determine the best overall approach. A stakeholder in Texas said that OEC\u2019s technical assistance\u2014including communications-focused exercises and support with developing a statewide interoperability plan\u2014had helped to advance capabilities in the state. Another stakeholder told us that FEMA\u2019s training has been critical in helping tribal nations build emergency-management programs, including providing an introduction to emergency communications. When asked about their experiences with technical assistance, six stakeholders specifically told us they had benefited from OEC\u2019s support with communications planning or coordination for special events, such as the Super Bowl. Each state or territory can request up to five offerings per year from OEC\u2019s technical assistance catalog, and OEC officials told us that, given their available resources, they can generally fulfill about 60\u201370 percent of requests each year."], "subsections": []}, {"section_title": "Grant Funding", "paragraphs": ["DHS administers several grant programs to help address emergency communications challenges. Three programs provided the majority of DHS\u2019s grant funding aimed at improving emergency communications from fiscal year 2011 to 2016, based on our analysis of data from FEMA\u2019s Grants Reporting Tool. FEMA administers these three grant programs, which are intended to support a wide range of emergency response capabilities, one of which is operational communications.", "Urban Area Security Initiative: Assists high-threat, high-density urban areas in efforts to build and sustain the capabilities necessary to prevent, protect against, mitigate, respond to, and recover from acts of terrorism. This assistance can include building, sustaining, and enhancing emergency preparedness activities, including emergency communications interoperability.", "State Homeland Security Program: Assists state, local, tribal, and territorial preparedness activities that address high-priority preparedness gaps across all emergency preparedness capabilities\u2014 including communications to prevent, protect against, respond to, and recover from acts of terrorism and other catastrophic events.", "Emergency Management Performance Grant: Assists state, local, tribal, and territorial emergency-management agencies in preparing for \u201call hazards,\u201d and can be used to support all capabilities, including communications. Each state and territory and the District of Columbia receive a base amount of funding, and the program requires recipients to commit matching funds.", "According to FEMA\u2019s data, which is reported by recipients, between fiscal years 2011 and 2016 more than $700 million in grants were provided to support emergency communications, as described in table 1.", "According to FEMA officials, these funding amounts are approximate totals because the recipient-reported data have certain limitations. For example, the information may be incomplete if the recipient does not submit required biannual reports. In addition, FEMA officials told us that recipients identify which core capability the funding was used to support, but the data might not capture all aspects of a project because only one core capability may be selected at a time. FEMA officials told us that FEMA tracks funds obligated and dispersed at the overall grant level and uses the recipient-reported data to have a general understanding of how funding supports emergency communications and other capabilities. According to FEMA officials, recipient-reported data is sufficient for that general purpose. We have a substantial body of work related to DHS\u2019s grant program management and in 2013 recommended that FEMA make improvements in collecting and validating performance data for certain grant programs. FEMA implemented these improvements in 2017. FEMA officials told us they have also initiated a multi-year effort to improve the oversight and monitoring of grants and support data analytics for improved efficiencies\u2014called the Grant Management Modernization program\u2014which is scheduled to be operational in 2020. Given these ongoing actions, we did not assess FEMA\u2019s grants management efforts as part of this review.", "Some state and local stakeholders told us that DHS grants (outlined in table 1 above) have allowed them to build and enhance communications capabilities that their jurisdictions would otherwise lack funding to address. These grants have been used to, among other things, build interoperable communications networks and purchase equipment, for example:", "Urban Area Security Initiative grant funds were used to enhance a regional radio system in the Houston area. According to stakeholders, the system helped the region respond to Hurricane Harvey because it enhanced interoperability in the Houston area, so that first responders from multiple counties and agencies were all using the same system to communicate. Urban Area Security Initiative grant funds have also been used to help build the LMR component of an interoperable communications network in Los Angeles County.", "Urban Area Security Initiative and State Homeland Security Program grants funds were used to build a large radio cache in Massachusetts, with over 400 multi-band radios that can be quickly deployed into the field to support both emergency and planned events across multiple jurisdictions. One stakeholder told us that these radios are requested on a regular, often weekly, basis.", "Emergency Management Performance grants have been used to establish and enhance state and local emergency operations centers across the country. These centers are activated during disasters and emergencies and provide a single location for leaders to coordinate the response effort, including the coordination of communications."], "subsections": []}]}, {"section_title": "RECCWGs Have Enhanced Capabilities in Several Ways, but Collaboration across Regions Is Limited", "paragraphs": ["As part of the Post-Katrina Act, Congress established the RECCWGs to help address emergency communications issues, such as a lack of equipment interoperability. We found the RECCWGs have enhanced emergency communications capabilities through relationship building and information sharing\u2014with demonstrated benefits. Although these groups have had successes, they still face challenges, such as ensuring continuous and broad participation and increasing the national visibility of the groups. Further, collaboration across these groups is limited. Without ways to collaborate across the regions, RECCWG members may be missing opportunities to share best practices and leverage the experience of their counterparts nationwide."], "subsections": [{"section_title": "RECCWGs Facilitate Relationship Building and Information Sharing, with Demonstrated Benefits", "paragraphs": [], "subsections": [{"section_title": "Relationship Building", "paragraphs": ["The RECCWGs bring together communications stakeholders from different levels of government and the private sector, and all of these groups have identified relationship building as a major benefit, according to our analysis of RECCWG annual reports and interviews with these groups\u2019 leaders. Members expand their professional networks and build relationships within their regions when they gather for in-person meetings and participate in regular conference calls. For example, a leader of one RECCWG told us that through these interactions, members learn about each other\u2019s areas of expertise and also make connections in the region. A leader of another RECCWG told us that his members were more willing to call on each other for assistance because of the strong working relationships they had developed in the group. The relationships established in these groups have facilitated cooperation and resulted in more effective emergency response efforts, as described below."], "subsections": []}, {"section_title": "Information Sharing", "paragraphs": ["All of the RECCWGs share best practices and lessons learned, according to the groups\u2019 annual reports and the leaders of these groups. Information sharing takes a variety of forms, including discussing lessons learned after disasters or other major events, sharing experiences with new technologies, and presenting information from federal and private industry partners. For example, the Region X group reported in 2016 that members shared lessons learned after declared disasters in several states. Further, according to the 2016 RECCWG annual report, in Region VII, members from Nebraska shared their experiences with expanding their statewide LMR system. This expansion helped members in Iowa construct their own system in a more timely and cost-effective way. RECCWG members share information about communications resources within their regions; that information can be deployed when a disaster or emergency occurs. For example, nearly all of these groups (9 of 10) groups have or are working to compile information about communications assets, such as equipment and personnel. Information sharing about communications resources has been used to facilitate response efforts, as described below. The groups have helped promote awareness of developments in federal programs, such as the public safety broadband network, according to the 2016 RECCWG annual report. The groups also provide a forum for FEMA to understand the regions\u2019 capabilities, needs, and vulnerabilities. According to FEMA officials, they use this information to develop regional plans that help FEMA assist the regions more effectively during a disaster."], "subsections": []}, {"section_title": "Demonstrated Benefits", "paragraphs": ["In several instances, RECCWG members have reported assisting each other during disasters and emergencies, drawing on the relationships and information sharing fostered by the groups. For example, a member of the Region I group, which includes New England, told us that prior to his group\u2019s formation, emergency communications stakeholders from different levels of government in that region did not meet. However, because of the relationships that regional group helped to build, these stakeholders now meet regularly to develop communications plans for large planned events and have collaborated to provide communications support in responding to the Boston Marathon bombing in 2013, Hurricane Sandy in 2012, and other events both within and outside of the region. According to a leader of the Region X group, relationships developed in the group were also helpful in responding to wildfires in Washington State in 2014 and 2015. In addition, after Hurricane Matthew and a major flood in 2016, Region IV group members drew on relationships developed in the RECCWG to coordinate support from other states in the region to assist South Carolina, according to a leader of that group. As discussed earlier, nearly all of these groups (9 of 10) have or are working to share information about resources that can be deployed during a disaster. At least three regions have consulted these resource compilations during recent disasters. For example, according to the 2016 RECCWG annual report, this information was used during Hurricanes Hermine and Matthew in 2016, severe storms and flooding in Minnesota and Wisconsin in 2016, and severe winter storms in New England in 2015.", "Several RECCWGs have or are working to develop technical solutions to enhance interoperability within or bordering their regions, according to the groups\u2019 annual reports, the leaders of these groups, and FEMA officials. For example, the group in Region V connected disparate statewide radio systems in Illinois, Indiana, Ohio, and Michigan, so that responders would be able to communicate in the event of a regional disaster or emergency.", "The Region VIII group, which includes the border states of Montana and North Dakota, is working to develop solutions to enhance interoperability among states in the region and with Canada. After the Deepwater Horizon oil spill in 2010, the Region IV group, which includes the southeastern states along the Gulf of Mexico, developed a communications network that is still in place and could be used for other events affecting the Gulf Coast. In 2011 this network was modified to connect to Arkansas and Louisiana\u2019s statewide communications networks, and was successfully tested during a multi-state hurricane evacuation exercise. The Region IV group is also working to identify technology to directly connect emergency operations centers in the southeastern states to coordinate assistance and evacuations when other communications methods fail, according to the 2016 RECCWG annual report.", "RECCWGs have addressed or are working to address several policy concerns based on joint positions developed within their groups, according to the groups\u2019 annual reports, interviews with RECCWG leaders, and FEMA officials. For example, RECCWG efforts led to changes in the National Telecommunications and Information Administration manual allowing for state and local use of federal interoperability channels, according to FEMA officials. In addition, the Region I group raised concerns regarding an interoperability challenge with Department of Defense (DOD) first responders, resulting in a nationwide rule change for DOD\u2019s land mobile radios used for domestic response activities. After a corporate jet crashed at Hanscom Air Force Base in Massachusetts in 2014, local first responders could not communicate with the Hanscom Fire Department because the base\u2019s radio programming policies did not permit the use of interoperable radio channels. The RECCWG subsequently collaborated with DOD and other federal agencies on an initiative to program DOD radios with national interoperability channels. In addition, during a Region VI group meeting, members learned that multiple states were experiencing a common problem with the use of national interoperability channels. They found that in multiple areas, local entities were using these channels for day-to-day operations, meaning they could not be reliably used during disaster and emergency situations because first responders experienced interference on these interoperability channels. In February 2017, the Region VI group raised its concerns to the Federal Communications Commission, which had licensed these channels to local entities for use on a secondary basis, and the group continues to work on addressing this issue. FEMA officials told us that the participation and involvement of federal agencies in the RECCWGs has been critical in addressing policy changes."], "subsections": []}]}, {"section_title": "RECCWGs Face Other Ongoing Challenges", "paragraphs": ["Although the RECCWGs have cited several achievements, they have ongoing challenges, such as ensuring broad, continuous participation and establishing national visibility for the groups, according to their annual reports and interviews with group leaders and other selected group members. Various factors can make participation in these groups difficult. Participation is on a volunteer basis, in addition to members\u2019 regular work responsibilities, and some groups cover large geographic areas. Leaders or members from four RECCWGs told us their groups have had turnover in membership, such as when individuals move to other positions or retire. FEMA officials told us that this turnover is a challenge shared across the RECCWGs. In the 2016 RECCWG annual report, many of these groups reported progress in broadening and diversifying their membership. For example, 7 of 10 groups added state and local 911 representatives to their membership, and nearly all saw an increase in participation from cellular providers. However, four of the groups identified challenges with tribal participation in 2016, and all 10 groups reported that they have continued outreach to tribal nations in their respective regions. A representative from a tribal emergency-management organization told us that time and resource demands can affect the level of engagement from tribal members, because emergency response personnel for tribal nations often have many other primary responsibilities.", "The activity level and achievements also vary across the 10 RECCWGs, according to our analysis of the groups\u2019 reports, as well as interviews with group leaders, selected group members, FEMA officials, and other stakeholders. As noted earlier, each group determines its own activities. Stakeholders we interviewed told us that some regions have very active groups with many achievements, while other RECCWGs meet less frequently and have had fewer achievements. For example, stakeholders from Region I told us that they meet on a monthly basis and collaborate frequently outside of formal meetings. On the other hand, a leader from another region said that his group has not been very active in recent years. According to the 2016 RECCWG annual report, that group did not have any formal meetings in 2016, and instead stakeholders worked together through other coordination groups in the members\u2019 states and territories. We also found that the emergency communications stakeholders\u2019 awareness of the activities of the RECCWGs can vary. For example, two stakeholders told us they are interested in regional collaboration but were not aware that these groups existed. In addition, four other stakeholders we interviewed knew about the groups in their respective regions, but they told us the groups\u2019 activities were limited or they were not aware of what the group had done.", "The RECCWGs have identified other issue areas they are working to address. For example, almost all of these groups (9 of 10) are working to improve the information that states, private sector partners, and others share about communications resources that can be deployed during disasters or emergencies, according to the 2016 RECCWG annual report. In addition, a member of one RECCWG told us it can be challenging to address policy concerns when federal agencies they contact are not aware of the groups or their purpose. This stakeholder said that it was important to increase the national visibility of the groups in order to improve their effectiveness. Increasing national collaboration, as discussed below, could be one way to address this concern."], "subsections": []}, {"section_title": "Collaboration across RECCWGs Has Been Limited", "paragraphs": ["OEC\u2019s National Emergency Communications Plan\u2014which OEC views as the nation\u2019s strategic plan for this area\u2014established a vision of enabling the nation\u2019s emergency response community to communicate and share information across all levels of government, disciplines, and jurisdictions. This plan has prioritized enhancing coordination among stakeholders, processes, and planning activities across the emergency response community. In addition, our previous work has found that collaboration can be used to address a range of purposes, including information sharing and communication. In this work, we identified key considerations for implementing interagency collaborative mechanisms, such as ensuring that all relevant participants have been included. Federal internal control standards also speak broadly to the importance of communicating to achieve an entity\u2019s objectives.", "FEMA has taken some steps to encourage collaboration among RECCWG leaders, but broader collaboration across regions remains limited. RECCWGs have periodically shared information with their counterparts in other regions, but according to our analysis of the groups\u2019 annual reports and interviews with group leaders, these exchanges primarily involve one region working with another on an ad-hoc basis. For example, according to one group member in Region VI, members of other RECCWGs reached out to him to learn more about communications successes and challenges during Hurricane Harvey. FEMA has taken some steps to encourage information sharing and collaboration among the RECCWGs. Specifically, FEMA encouraged the establishment of a monthly conference call for RECCWG co-chairs in 2015, and its Disaster Emergency Communications division distributes a biweekly newsletter to RECCWG members, according to FEMA officials. However, there is not an ongoing mechanism for communication across all of the regions so that the full membership can effectively share information with each other and collaborate. While the co-chair conference calls are intended to enhance collaboration across the regions, the meetings do not involve the broader membership of the groups.", "Most RECCWG leaders (15 of 20), as well as 9 other stakeholders, told us that more collaboration across the groups was needed. For example, four stakeholders explained to us that if a RECCWG in another part of the country has identified best practices it would be useful to share the information more broadly. Three other stakeholders who said their groups were less active told us it would still be helpful to receive information about what other groups are doing to enhance emergency communications. Stakeholders suggested several possible methods, such as an in-person conference or a national-level working group that functions using virtual or other means.", "FEMA officials have considered ways to enhance collaboration but they face certain limitations. Specifically, FEMA officials told us they had considered an in-person national conference, but FEMA\u2019s budget for the groups was limited and a national conference would be too resource- intensive. FEMA officials also explained that they facilitate the groups, but the groups are run by their members. According to FEMA officials, they have tried some ways to enhance collaboration across the RECCWGs, such as by encouraging the groups to extend meeting invitations to other regions and use online portals for collaboration. Developing and implementing an appropriate ongoing mechanism for collaboration may be a worthwhile investment because it could further enhance the RECCWGs\u2019 efforts to improve emergency communications. Reaching a consensus with RECCWG members may help FEMA determine options that are both useful for the membership and feasible, given FEMA\u2019s resource constraints. In the role as a facilitator for RECCWGs FEMA is well positioned to lead this effort.", "Without ways for all members of the RECCWGs, not just the groups\u2019 leaders, to collaborate across regions, members may be missing opportunities to share best practices and leverage the knowledge and experience of their counterparts throughout the nation. For example, lessons learned from Hurricane Harvey and other natural disasters in 2017\u2014such as how first responders used interoperability channels effectively\u2014may not be shared across all of the regions without additional methods for collaboration. Further, several of these groups are working to address similar challenges and priorities, as discussed above. For example, nearly all of the groups want to improve the way information about emergency communications resources is shared in their regions, so that these resources can be better leveraged during disasters and emergencies. Some of the RECCWGs have explored ways to better leverage these resources, but in the absence of methods to exchange information more broadly, RECCWGs may not be able to easily share what has been successful for their regions."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["When disasters strike or emergencies arise, they can span multiple jurisdictions, making coordination and collaboration critically important for effective emergency response. The RECCWGs established by the Post- Katrina Act have enhanced emergency communications within their regions. While the relationship building and information sharing within these groups have contributed to benefits at the regional level, nationwide collaboration among the groups has been more limited. Such collaboration could help the groups address common challenges by providing a way to improve the sharing of best practices and lessons learned and to allow members to leverage the knowledge and experience of their counterparts to improve emergency communications capabilities in their regions and nationwide. Therefore, it could benefit FEMA to work with these groups to reach consensus on and to implement a mechanism for accomplishing cross-regional collaboration. A concerted effort focusing on these groups\u2019 collaboration needs, while also considering FEMA\u2019s resource constraints, could help FEMA and regional stakeholders determine an appropriate mechanism for collaboration moving forward."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Administrator of FEMA should work with RECCWG members to reach consensus on and implement an ongoing mechanism to encourage nationwide collaboration across these groups, considering the costs of one or more suitable methods, such as a national-level working group that uses virtual or other means of coordination, as appropriate. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided written comments, which are reprinted in appendix I. In written comments, DHS concurred with our recommendation and provided an attachment describing the actions it would take to implement the recommendation. DHS noted that FEMA is committed to increased collaboration among RECCWGs to coordinate multi-state efforts and measure progress on and improving survivability, sustainability, and interoperability of communication at the regional level and nationwide. Separately FEMA provided technical comments that we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Homeland Security and appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or members of your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, David Sausville (Assistant Director); Aaron Kaminsky (Analyst in Charge); Melissa Bodeau; Josh Ormond; Kate Perl; Cheryl Peterson; and Kelly Rubin made key contributions to this report."], "subsections": []}]}], "fastfact": ["During emergencies, first responders need to be able to communicate with each other\u2014even across jurisdictions. After Hurricane Katrina, Congress passed a law to help first responders do just that. The law created working groups to improve regional collaboration. Each group has members from different levels of government, as well as from the private sector.", "We found that these groups have generally worked well at the regional level\u2014members shared information and assisted each other during emergencies. However, we recommended that FEMA encourage nationwide collaboration among the groups."]} {"id": "GAO-18-544", "url": "https://www.gao.gov/products/GAO-18-544", "title": "Tax Fraud and Noncompliance: IRS Could Further Leverage the Return Review Program to Strengthen Tax Enforcement", "published_date": "2018-07-24T00:00:00", "released_date": "2018-08-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Tax noncompliance, including refund fraud, threatens the integrity of the tax system and costs the federal government hundreds of billions of dollars annually. RRP is IRS's primary pre-refund system for detecting and preventing the issuance of invalid refunds. IRS reported that between January 2015 and November 2017 RRP prevented the issuance of more than $6.51 billion in invalid refunds.", "GAO was asked to examine RRP's capabilities. This report (1) describes how RRP detects and selects suspicious returns and prevents invalid refunds; (2) assesses how IRS monitors and adapts RRP; and (3) examines what else, if anything, IRS can do to strengthen RRP and use it to address other enforcement issues.", "GAO reviewed IRS plans for RRP and documents on its performance. GAO compared IRS's efforts to federal internal control standards, GAO's Fraud Risk Framework and IRS's strategic plan. GAO interviewed IRS officials who work on and use RRP."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service's (IRS) Return Review Program (RRP) detects and selects potentially fraudulent returns to prevent the issuance of invalid refunds. According to IRS, RRP uses advanced analytic techniques and various data sources, including prior-year tax returns, to assign multiple scores to individual returns based on characteristics of identity theft and other refund fraud.", "GAO found that IRS routinely monitors RRP's performance and adapts RRP to improve detection and address evolving fraud threats. Each year IRS updates RRP's detection tools to improve accuracy for the next filing season.", "IRS has plans to continue developing RRP to further prevent invalid refunds, including using RRP to analyze and detect fraudulent business returns. However, GAO identified other opportunities for IRS to improve RRP's fraud detection and to use RRP for other enforcement activities:", "RRP's ability to accurately detect and select suspicious returns could benefit from having information on Forms W-2, Wage and Tax Statements (W-2) available for analysis more frequently. As of April 2018, IRS officials said they were drafting but had not yet approved a work request to load W-2s into RRP daily instead of weekly for the 2019 filing season.", "IRS could collect more information electronically from paper filers. One approach IRS evaluated in 2012 is to digitize some paper returns using barcoding technology, but it has not updated that analysis or expanded it to consider other digitizing technologies. IRS requested that Congress require that returns prepared electronically but filed on paper include a scannable code printed on the return, but Congress had not done so as of May 2018.", "IRS could apply RRP's capabilities to improve other tax enforcement activities, such as audit selection or underreporting detection. Individuals' underreporting of tax liabilities accounts for hundreds of billions in lost tax revenue. Until IRS evaluates the costs and benefits of expanding RRP to analyze returns not claiming refunds, IRS will not have the information needed to make decisions that could help streamline processes for detecting and treating additional types of noncompliance and fraud."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO suggests Congress consider legislation to require that returns prepared electronically but filed on paper include a scannable code. GAO is also making five recommendations to IRS, including that IRS take action to make incoming W-2s available to RRP more frequently, update and expand a 2012 analysis of the costs and benefits of digitizing returns filed on paper, evaluate the costs and benefits of expanding RRP to analyze returns not claiming refunds, and take any appropriate action based on those evaluations. IRS agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Internal Revenue Service (IRS) faces an ongoing challenge to detect and prevent noncompliance with tax laws. Noncompliance and fraud threaten the integrity of the tax system, costing the federal government billions of dollars annually. Every year taxpayers willfully or unintentionally fail to pay hundreds of billions of dollars owed in taxes. This noncompliance includes individuals who make inadvertent mistakes and fraudsters who intentionally seek to evade taxes and obtain invalid refunds.", "IRS\u2019s enforcement of tax laws has been on our High-Risk List since the list was first established in 1990.", "In 2015 we added IRS\u2019s efforts to address identity theft (IDT) tax refund fraud to the high-risk area.", "IDT tax refund fraud occurs when a fraudster seeking a tax refund files a fraudulent tax return using a legitimate taxpayer\u2019s identifying information. Detecting fraudulent tax returns has become increasingly difficult for IRS as fraudsters gain access to more personal and financial information, which they use to file returns that appear legitimate. IRS estimated that at least $12.2 billion in IDT tax refund fraud was attempted during 2016. IRS estimated that it prevented at least $10.6 billion (86 percent) of that amount but paid at least $1.7 billion in invalid refunds.", "One of IRS\u2019s preventive tools is the Return Review Program (RRP), a pre-refund system that screens individual returns claiming refunds using characteristics predictive of IDT and other refund fraud. IRS began developing RRP in 2009 to replace the Electronic Fraud Detection System, which IRS built in the 1990s (see appendix I for more information).", "Given the importance of RRP for preventing billions of dollars in invalid refund payments, you asked us to examine RRP\u2019s capabilities. This report (1) describes how RRP detects and selects suspicious returns to prevent invalid refunds; (2) assesses how IRS monitors and adapts RRP; and (3) examines what else, if anything, IRS can do to strengthen RRP and use it to address other enforcement issues.", "To describe how RRP detects and selects suspicious returns to prevent invalid refunds, we reviewed IRS documents and procedures related to RRP development and capabilities. We reviewed IRS documents analyzing RRP\u2019s performance detecting and selecting fraudulent returns during the filing season. We reviewed IRS\u2019s replacement plans for its legacy fraud detection system and release plans outlining requirements and capabilities for RRP. We reviewed reports from the Treasury Inspector General for Tax Administration (TIGTA) on IRS\u2019s development of RRP and RRP\u2019s capabilities. We interviewed IRS officials involved in the development and operation of RRP, including officials from IRS\u2019s Information Technology (IT) organization and Wage and Investment and Criminal Investigation divisions.", "To assess IRS\u2019s efforts to monitor and adapt RRP, we reviewed IRS documents outlining IRS\u2019s process for updating RRP, reports analyzing RRP performance for the 2017 and 2018 filing seasons, and IRS reports describing changes or adjustments to RRP. We reviewed TIGTA reports and IRS documents outlining IRS\u2019s process for evaluating and updating RRP. We interviewed IRS officials overseeing and evaluating RRP\u2019s performance to determine how officials use the reports and analysis to manage RRP. We compared IRS\u2019s efforts to the Standards for Internal Control in the Federal Government that directs officials to establish and operate ongoing monitoring activities to determine the effectiveness of systems such as RRP and take corrective action as appropriate. We also assessed IRS\u2019s monitoring and evaluation of RRP against leading practices to combat fraud in a strategic, risk-based manner as identified in the Framework for Managing Fraud Risks in Federal Programs (the Fraud Risk Framework).", "To evaluate what else, if anything, IRS can do to strengthen RRP detection and use it to address other tax enforcement issues, we reviewed IRS documentation describing RRP\u2019s current state and planned development and our prior work evaluating IRS\u2019s development of RRP and other major IT investments. We also reviewed our prior work and recommendations related to IRS\u2019s tax enforcement activities. We interviewed IRS officials involved in developing and managing RRP to discuss planned development and uses of RRP. We also interviewed officials from the Small Business and Self-Employed division responsible for enforcement activities, such as auditing individual tax returns to detect misreporting, and officials from the Office of Research, Applied Analytics, and Statistics who conduct IRS\u2019s research on noncompliance and IRS\u2019s enforcement strategies. We compared IRS\u2019s efforts to goals and objectives identified in its Strategic Plan: FY2018-2022, such as encouraging compliance through tax administration and enforcement and increasing operational efficiency and effectiveness. We also compared IRS\u2019s actions to the federal standards for internal control and the Fraud Risk Framework, which direct management to evaluate the costs and benefits of using systems to inform resource allocation decisions and achieve agency objectives.", "We conducted this performance audit from June 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Noncompliance, including fraud, does not have a single source, but occurs across different types of taxes and taxpayers. It includes unintentional errors as well as intentional evasion, such as intentionally underreporting income, intentionally over-reporting expenses, and engaging in abusive tax shelters or frivolous tax schemes. IRS uses many approaches to address noncompliance, from sending notices to taxpayers to conducting complex audits. Many of these approaches can be burdensome to IRS and to taxpayers since they may occur years after taxpayers file their return.", "We have long highlighted the importance of strong preventive controls for detecting fraud because preventing payment of invalid refunds is easier and more cost-effective than trying to recover revenue through the pay- and-chase model of audits. IRS uses pre-refund compliance checks to confirm taxpayers\u2019 identities, quickly and efficiently correct some clerical and mathematical errors, and detect possible fraud and noncompliance. As shown in figure 1, RRP analyzes individual tax returns claiming refunds and identifies characteristics predictive of IDT and other refund fraud before IRS issues refunds for those returns.", "IRS reported that between January 2015 and November 2017, RRP prevented the issuance of more than $6.51 billion in invalid refunds. As of March 30, 2018, IRS reports spending about $419 million developing and operating RRP. For fiscal year 2019, IRS requested $106 million to operate and further develop RRP."], "subsections": [{"section_title": "IRS Management of RRP", "paragraphs": ["According to IRS, RRP supports data, analytical, and case processing activities conducted by employees working in revenue protection, accounts management, taxpayer communications, and criminal prosecution. IRS employees from across these areas coordinate to oversee the development and operation of the system (see fig. 2).", "Four IRS divisions work with IRS\u2019s Information Technology (IT) organization and Office of Research, Applied Analytics, and Statistics (RAAS) to develop, maintain, and operate RRP. The Wage and Investment (W&I) division leads the management of RRP with IRS\u2019s IT offices. W&I\u2019s audit programs cover mainly refundable credits claimed on individual income tax returns and the division develops policy and guidance for RRP and other pre-refund programs that detect suspicious returns. Coordinating with other IRS divisions, W&I and IT update RRP as needed to reflect any new business rules or changes to existing business rules, for example. The Large Business and International division provides RRP with business requirements specific to large corporations. The Criminal Investigation division reviews and analyzes tax returns throughout the filing season to identify fraudulent patterns and trends to incorporate into RRP. The Small Business and Self-Employed division audits individual and business tax returns to detect misreporting. RAAS leads development of some of RRP\u2019s predictive models and IDT filters."], "subsections": []}]}, {"section_title": "The Return Review Program Aims to Detect, Select, and Prevent Invalid Refunds More Accurately and Efficiently", "paragraphs": ["As IRS\u2019s primary pre-refund system for detecting IDT and other refund fraud, RRP performs three major activities (see fig. 3)."], "subsections": [{"section_title": "Detection: RRP Uses Multiple Data Sources and Predictive Models, Among Other Techniques, to Detect Suspicious Returns", "paragraphs": ["According to IRS, RRP uses advanced analytic techniques and evaluates data from various sources to assign multiple scores to individual returns claiming refunds. The scores are based on characteristics of IDT and other refund fraud known to IRS. Higher fraud scores indicate the return\u2019s greater potential for refund fraud. IRS officials told us that RRP\u2019s design helps IRS identify increasingly sophisticated tax fraud. RRP\u2019s analytic techniques include the following:", "Predictive models. IRS develops many different models that help detect emerging fraud, outliers, and taxpayer behavior inconsistencies in returns claiming refunds. These models also mine data and help IRS seek out patterns predictive of IDT and other refund fraud. For example, a model may use a combination of existing variables from the 1040 individual tax return, such as tax credits claimed and income.", "Business rules. RRP contains over 1,000 rules (a \u201cyes\u201d or \u201cno\u201d outcome) developed by IRS to flag returns for evidence of anomalous behavior. For example, RRP uses a business rule to distinguish between returns for which it has received an associated Form W-2, Wage and Tax Statement (W-2), from those which it has not.", "Clustering. RRP uses a tool that reveals patterns and relationships in masses of data allowing RRP to identify clusters of returns that share traits predictive of schemes and refund fraud. For example, IRS could use clustering to identify groups of returns that share the same geographic location, among other traits. According to IRS, this technique was developed to automate certain aspects of Criminal Investigation\u2019s identification of fraud schemes.", "A number of systems connect to RRP and provide additional taxpayer data or third-party information for RRP to analyze. RRP contains taxpayers\u2019 prior three years\u2019 filing history and third parties\u2014employers, banks, and others\u2014file information returns to report wages, interest, and other payment information to taxpayers and IRS. For example, the Social Security Administration sends W-2s to IRS. The W-2 information is loaded regularly into RRP, along with other information returns, to validate wage and income information reported on individual returns claiming refunds\u2014a process IRS calls systemic verification."], "subsections": []}, {"section_title": "Selection: RRP Filters Select Suspicious Returns for Further Action or Review", "paragraphs": ["RRP has filters that combine results from the analytic techniques to automatically make a selection decision and then a treatment decision before the return can move to the next processing step and a refund can be issued. Returns not selected by RRP continue through the pipeline process.", "Selection decision. Returns with fraud scores above thresholds\u2014 and meeting other criteria set by IRS management\u2014will automatically be selected by RRP filters for further action or review. According to IRS, the agency\u2019s capacity to review selected returns is part of the automated selection decision, as are other criteria that weigh the cost and risk to IRS. IRS reports that for the 2017 filing season, RRP selected 857,438 returns as potential IDT refund fraud and 219,210 returns as potential other refund fraud. This is less than 1 percent of almost 158 million individual returns filed that year.", "Treatment decision. RRP automatically assigns selected returns to the appropriate treatment based on the characteristics of IDT or other refund fraud RRP detected. Examples of treatments include the following: Identity theft refund fraud. Returns selected by an IDT filter are automatically assigned for treatment in the Taxpayer Protection Program. IRS notifies taxpayers that they must authenticate their identity before IRS will process the return or issue a refund. Taxpayers can verify their identity by calling an IRS telephone center, visiting a Taxpayer Assistance Center, or in some cases, authenticating online or via mail. If the taxpayer does not respond to the letter or fails to authenticate, the return is confirmed to be IDT refund fraud.", "Other refund fraud. If a return is selected by one of RRP\u2019s non- identity theft filters, RRP automatically assigns the return, based on the characteristics of fraud identified, to the Integrity and Verification Operations (IVO) function within W&I\u2019s Return Integrity and Compliance Services office for further action or review. For example, RRP may select a return as potential refund fraud because it is missing verification of income for a refundable tax credit, such as the Earned Income Tax Credit. IVO tax examiners may then, for example, contact employers to confirm the income and withholding amounts reported on the return.", "Frivolous returns. RRP selects returns that contain certain unsupportable arguments to avoid paying taxes or reduce tax liability. If IRS determines these returns to be frivolous, the taxpayer may be subject to penalty. RRP assigns potentially frivolous returns to IVO for review and to notify the taxpayer.", "Non-workload returns. RRP\u2019s non-workload filters select returns that, according to IRS, score just below the thresholds for RRP\u2019s other filters described above. IRS officials told us that RRP loops these returns for additional scoring and detection."], "subsections": []}, {"section_title": "Prevention: RRP Freezes Selected Returns and Improves Detection and Enforcement Efforts Across IRS", "paragraphs": ["RRP supports IRS\u2019s efforts to prevent issuing invalid refunds in the following ways:", "Freezing refunds. RRP connects directly to IRS\u2019s systems for processing individual tax returns and issues transaction codes directly to the Individual Master File depending on the type of refund fraud RRP detected. IRS reports that for the 2017 filing season, RRP prevented IRS from issuing about $4.4 billion in invalid refunds. Of that amount, $3.3 billion was attributed to IDT refund fraud and $1.1 billion to other refund fraud.", "When RRP selects a return as potential IDT refund fraud, RRP will simultaneously assign the return for treatment and issue a transaction code telling IRS\u2019s processing systems to freeze the refund until the case is resolved. As a result, IRS can protect the refund until the review is complete or a legitimate taxpayer has authenticated his or her identity, at which point IRS will release the return.", "If RRP\u2019s non-identity theft filters select the return because of characteristics predictive of other refund fraud, RRP issues a transaction code to freeze the return for 14 days while IVO examiners have the opportunity to screen the return. After 14 days, the return automatically resumes processing and the refund may be released. Accordingly, IRS officials told us that RRP prioritizes IDT treatment and if a return is selected by both IDT and other refund fraud filters, RRP will automatically assign the return to the Taxpayer Protection Program and freeze the refund.", "IRS officials told us that when RRP\u2019s non-workload filters select a return, RRP will issue a transaction code that delays the payment of the refund associated with the return for 1 week. According to IRS officials, this delay provides IRS an opportunity to manually review returns that contain suspicious characteristics.", "Incorporating treatment results. IRS integrates the results from each return review into its analytic techniques to improve RRP\u2019s detection ability and accuracy on an ongoing basis. For the 2018 filing season, IRS officials told us they were able to add functionality that uses real-time case feedback data to automatically improve the accuracy of some of RRP\u2019s IDT fraud filters. IRS officials can also change RRP\u2019s selection criteria or filters during the filing season based on emerging fraud or workload concerns.", "Detailed data and analysis. With RRP, all available taxpayer information is linked together and available for analysis and queries by IRS employees for post-refund enforcement activities, such as criminal investigations. RRP creates and distributes a report with the results of RRP\u2019s clustering analysis to analysts in Criminal Investigation. IRS employees are also able to search RRP and analyze data relevant to their specific enforcement activities. Criminal Investigation officials told us they use RRP reports to identify suspicious returns that were not selected by RRP and flag them for further post-refund review."], "subsections": []}]}, {"section_title": "IRS Routinely Monitors RRP\u2019s Performance and Adapts RRP to Improve Detection and Address Evolving Fraud Threats", "paragraphs": ["As the primary system for detecting IDT and other refund fraud and preventing IRS from paying invalid refunds, RRP is an integral part of IRS\u2019s ability to process returns during the filing season. Therefore, monitoring and evaluation activities that rely on quality information to identify, analyze, and respond to changes\u2014such as emerging fraud trends\u2014are critical to ensure that RRP is operating effectively. Federal standards for internal control and the Fraud Risk Framework highlight the importance of monitoring and incorporating feedback on an ongoing basis so the system remains aligned with changing objectives, environments, laws, resources, and risks. Consistent with these practices, IRS follows an industry-standard process to conduct a range of monitoring and evaluation activities for RRP throughout the year (see fig. 4)."], "subsections": [{"section_title": "IRS Evaluates and Updates RRP Each Year", "paragraphs": ["According to IRS officials, each year beginning in February, IRS evaluates and updates RRP to improve detection and accuracy for the next filing season. A leading practice in the Fraud Risk Framework is for managers to use the results of monitoring, evaluations, and investigations to improve fraud prevention, detection, and response. A more accurate RRP helps IRS use its resources more effectively. For example, if RRP automatically detects fraudulent returns previously identified by manual processes or post-refund enforcement activities, IRS can redirect those enforcement resources to identifying new and emerging fraud schemes. Further, as RRP selects fewer legitimate returns as suspicious, IRS employees are able to devote more of their time to identifying fraudulent returns.", "IRS officials stated that to improve RRP\u2019s accuracy, IRS incorporates information about all refund fraud and noncompliance detected by other enforcement activities into RRP\u2019s detection tools. IRS also uses information from its research efforts and external entities, as described below.", "Other enforcement activities. These activities include the Fraud Referral and Evaluation program, where, according to IRS, analysts manually review select tax returns that scored just below RRP\u2019s selection thresholds. Another enforcement activity is the Dependent Database, a pre-refund screening system that identifies potential noncompliance related to the dependency and residency of children. IRS staff told us they evaluate refund fraud detected by the Dependent Database and Fraud Referral and Evaluation program that RRP missed and update RRP\u2019s analytic techniques for the next year. Third, investigators in Criminal Investigation told us that they work with other IRS offices to incorporate new and emerging refund fraud patterns, such as those identified as a result of external data breaches, into RRP\u2019s detection tools. To ensure that the updates are operating effectively, IRS staff track the percentage of invalid returns that RRP automatically selected that were previously detected by other IRS processes.", "IRS research. IRS officials stated that the agency uses information from a number of research efforts to inform updates or adaptations to RRP. For example, for the 2018 filing season, IRS changed RRP\u2019s filters and selection criteria to automatically select returns that IRS held manually in 2017. IRS officials told us they made these changes after researching taxpayer behavior in noncompliant claims of the Earned Income Tax Credit and Additional Child Tax Credit during the 2017 filing season.", "Third-party information. IRS collaborates with external entities to strengthen IRS\u2019s defenses against paying invalid refunds. IRS officials told us they use information from their collaborative efforts to update RRP\u2019s detection tools for the upcoming filing season. These efforts include the External Leads Program, where participating financial institutions provide leads to IRS regarding deposits of suspicious refunds, and the Opt-In Program, a voluntary program where participating financial institutions flag and reject refunds issued by IRS via direct deposit if they find that certain characteristics do not match. IRS reported that in 2017, banks recovered 144,000 refunds with a value of $204 million. IRS has also used information from the Security Summit to improve RRP\u2019s detection of IDT refund fraud. The Security Summit is a partnership between IRS, the tax preparation industry, and state departments of revenue to improve information sharing around IDT refund fraud. For the 2017 filing season, IRS incorporated a number of data elements into RRP\u2019s detection tools that were identified by the Security Summit.", "IRS also incorporates legislative changes into RRP for the upcoming filing season. IRS officials told us in March 2018 that they are working to determine all the updates and changes they need to make to RRP\u2019s analytic techniques for the 2019 filing season to ensure that RRP will make appropriate selections in accordance with Pub. L. No. 115-97, \u201cAn act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018.\u201d"], "subsections": []}, {"section_title": "Prior to the Filing Season, IRS Tests RRP and Establishes Selection Criteria", "paragraphs": ["Between September and December each year, IRS tests RRP to ensure that the system\u2019s updated detection tools meet objectives to increase detection and accuracy for the upcoming filing season. A key factor is setting RRP\u2019s thresholds used to trigger if a return will be selected by RRP. For a given set of rules and criteria, as a threshold is lowered, the number of returns that RRP selects as suspicious will increase, including both fraudulent and legitimate returns. During this testing period, IRS officials determine appropriate threshold settings for RRP given IRS\u2019s fraud detection objectives and IRS resources available to review selected returns. IRS management uses this process to inform its risk tolerance and fraud risk profile. According to the Fraud Risk Framework, effective managers of fraud risks use the program\u2019s fraud risk profile to help decide how to allocate resources.", "IRS officials told us they test RRP\u2019s analytic techniques and filters by running a random sample of prior-year returns through numerous iterations using different settings. This testing produces various outcomes. According to documents we reviewed and IRS officials, IRS management evaluates the outcomes using the following measures:", "Selection volume: the number of returns that RRP selects as potentially fraudulent and requiring further action or review by IRS analysts and examiners to confirm the return as fraudulent or legitimate. IRS uses this measure to gauge the workload resulting from certain combinations of settings in RRP.", "Accuracy: the percent of selected returns confirmed to be legitimate (the false detection rate). IRS uses this measure to evaluate the effect RRP\u2019s settings may have on legitimate taxpayers whose refund may be delayed because their return was inaccurately selected.", "Revenue protected: the value of refunds associated with returns selected by RRP that IRS confirmed to be fraudulent. This measure can provide an estimate of RRP\u2019s return on investment based on different combinations of settings in RRP."], "subsections": []}, {"section_title": "During the Filing Season IRS Monitors and Adapts RRP", "paragraphs": ["After IRS updates RRP and establishes selection criteria, RRP is ready to operate during the filing season. To ensure that RRP is performing as expected, IRS managers collect and analyze performance reports, meet weekly during the filing season, and adapt RRP to address emerging fraud or make other adjustments. We reviewed the various reports produced by RRP and IRS staff and determined that the information is reliable, relevant, and timely, as required by federal standards for internal control. IRS officials told us that daily reports highlighting RRP\u2019s selections are helpful, especially during the first weeks of the filing season, to ensure that systems are operating effectively.", "Consistent with federal standards for internal control and the Fraud Risk Framework, we found that RRP is designed to be flexible and adaptive, and IRS can adjust RRP during the filing season to respond to emerging threats or other concerns. IRS officials told us they made several adjustments to RRP during the 2017 filing season: IRS adjusted the selection thresholds for one of RRP\u2019s IDT filters after observing that the number of selections was exceeding projections, resulting in more selections than IRS officials expected and possibly a higher rate of legitimate returns being incorrectly selected. According to IRS officials, adjusting selection thresholds takes approximately 24 hours. To respond to an external data breach, for example, IRS officials told us they might lower RRP\u2019s selection thresholds so that RRP selects more returns for review.", "IRS reported that it disabled a rule that it determined was incorrectly selecting legitimate tax returns. IRS officials told us they could address selection errors or respond to new or emerging fraud patterns by modifying RRP\u2019s analytic techniques, such as its business rules and models. According to IRS officials, these types of changes require approval of the business rules governance board and take, on average, 10 business days.", "According to IRS documents we reviewed, early in the 2017 filing season, IRS discovered that RRP did not issue appropriate transaction codes to the Individual Master File to freeze about 11,000 returns selected as potential IDT refund fraud. As a result, some of these returns posted and refunds may have been issued incorrectly. IRS told us they fixed this error within 3 days of identifying it."], "subsections": []}]}, {"section_title": "As IRS Continues to Develop the Return Review Program, Additional Opportunities Exist to Improve Enforcement", "paragraphs": [], "subsections": [{"section_title": "IRS Plans to Expand RRP Capabilities to Further Prevent Invalid Refunds", "paragraphs": ["IRS plans to continue developing RRP to expand its capabilities to detect refund fraud on business and partnership returns, as well as on individual returns that improperly claim nonrefundable tax credits. According to IRS, continued development of RRP will automate previously manual processes, eliminate duplicative efforts, and achieve greater efficiency.", "Business returns and partnership returns. IRS officials told us in January 2018 that they are currently working to develop rules, models, and filters in RRP to detect noncompliance and fraud in business and partnership returns. According to IRS, identity thieves have long used stolen business information to create and file fake W- 2s along with fraudulent individual tax returns. However, identity thieves are now using this information to file fraudulent business returns. In May 2018, IRS reported a sharp increase in the number of fraudulent business and partnership returns in recent years.", "Nonrefundable tax credits. IRS plans to develop models and rules in RRP to detect refund fraud on individual returns that improperly claim nonrefundable tax credits. A nonrefundable tax credit is limited to the taxpayer\u2019s tax liability, which means the credit can be used to offset tax liability, but any excess of the credit over the tax liability is not refunded to the taxpayer. Examples of nonrefundable credits include the Child Tax Credit, Foreign Tax Credit, and Mortgage Interest Credit. According to IRS officials, IRS currently relies on a number of systems, including the Dependent Database, to screen returns for noncompliance associated with tax credits.", "IRS\u2019s management of other major investments will affect the agency\u2019s ability to realize the full potential of RRP\u2019s current and planned capabilities because RRP interfaces with numerous legacy systems. For example, RRP obtains taxpayer information from the Individual Master File, which IRS has been working to replace with a modern database, the Customer Account Data Engine 2 (CADE 2). According to IRS, CADE 2 will provide RRP with additional taxpayer history data and more frequent data updates, improving RRP\u2019s detection capabilities. However, as we reported in June 2018, IRS delivered only 46 percent of planned scope for CADE 2 during the time period we reviewed and paused a number of CADE 2 projects. As of June 2018, a completion date is uncertain.", "RRP\u2019s effectiveness is limited by the system\u2019s dependence on a legacy case management system. In 2015, IRS approved plans to implement an enterprise-wide case management system to consolidate and replace over 60 legacy systems IRS currently uses. IRS reports a number of limitations with the current systems, including redundancies between systems and limited visibility between programs. However, IRS encountered challenges with the investment, and in 2017 IRS paused development activities. As of June 2018, IRS is working to acquire another product to serve as the platform for IRS\u2019s enterprise-wide case management system.", "Our prior work has identified actions that Congress could take that would improve IRS\u2019s ability to administer the tax system and enforce tax laws. These actions could also improve IRS\u2019s ability to further leverage RRP\u2019s capabilities. For example, in August 2014 we suggested that Congress provide the Secretary of the Treasury with the regulatory authority to lower the threshold for requiring employers to electronically file W-2s from 250 returns annually to between 5 to 10 returns, as appropriate. Under current law, employers who file 250 or more W-2s annually are required to file W-2s electronically, while those who file fewer may opt to file on paper. Without this change, some employers\u2019 paper W-2s are unavailable to RRP for matching before IRS issues refunds due to the additional time the Social Security Administration needs to process paper forms. Lowering the threshold would help IRS use RRP to verify returns before issuing refunds. This proposed change has been included in H.R. 5444. As of June 2018, H.R. 5444 passed the House and was being considered by the Senate Finance Committee.", "We have also suggested that Congress grant IRS broader math error authority, with appropriate safeguards against misuse of that authority, to correct taxpayer errors during tax return processing. IRS officials told us that this type of corrective authority would allow IRS to develop more efficient treatments for returns selected by RRP with obvious errors. Although the Consolidated Appropriations Act, 2016 gave IRS additional math error authority, it is limited to certain circumstances. Giving IRS broader math error authority or correctible error authority with appropriate controls would enable IRS to correct obvious noncompliance, would be less intrusive and burdensome to taxpayers than audits, and would potentially help taxpayers who underclaim tax benefits to which they are entitled. As of June 2018, Congress had not provided Treasury with such authority."], "subsections": []}, {"section_title": "IRS Has Not Fully Considered Opportunities to Improve Data Available to RRP", "paragraphs": ["IRS has additional opportunities to improve data available to RRP to enhance RRP\u2019s detection and accuracy. As described above, RRP\u2019s analytic techniques depend on taxpayer data and information from numerous IRS systems and external entities. RRP\u2019s access to useful and timely information enables IRS to more fully utilize RRP\u2019s analytic techniques to detect suspicious returns, leading to more accurate selection and treatment decisions. Given RRP\u2019s importance to IRS\u2019s mission, it is critical that IRS considers and addresses risks that could affect the accuracy and effectiveness of RRP\u2019s detection and selection activities.", "According to the Office of Management and Budget, risks include not only threats but also opportunities that could affect an agency\u2019s ability to achieve its mission. IRS and Congress have previously considered opportunities and taken steps to enhance some data made available to RRP. For example: IRS expanded RRP\u2019s use of relevant data from electronically filed returns and information returns. For example, as mentioned previously, IRS incorporated a number of data elements identified through the Security Summit into RRP. In 2016 and 2017, IRS used these data elements to develop additional business rules and models specific to electronically filed returns. IRS also expanded RRP analytic techniques to incorporate data from Forms 1099-MISC, which taxpayers may use to report non-employee compensation.", "Consistent with our prior reporting, in 2015 Congress enacted legislation to help IRS prevent invalid refunds associated with IDT and other refund fraud. This change allows IRS more time to use RRP to match wage information to tax returns and to identify any inconsistencies before issuing refunds. Since 2017, employers have been required to submit W-2s to the Social Security Administration by January 31, about 1 to 2 months earlier than in prior years. The act also required IRS to hold refunds for all taxpayers claiming the Earned Income Tax Credit or the Additional Child Tax Credit. In 2018 we made recommendations that IRS fully assess the benefits and costs of using existing authority to hold additional taxpayer refunds as well as extending the date for releasing those refunds until it can verify wage information. IRS outlined a number of actions it plans to take to address these recommendations. Taking these actions could prevent IRS from issuing millions of dollars in invalid refunds annually.", "IRS officials told us that they are taking steps to enhance RRP\u2019s ability to detect fraudulent returns filed using prisoners\u2019 Social Security numbers. To do this, IRS is working to load updated prisoner data into RRP more frequently and developing additional business rules. The Treasury Inspector General for Tax Administration (TIGTA) has reported that refund fraud associated with prisoner Social Security numbers is a significant problem for tax administration, accounting for IRS\u2019s issuance of potentially fraudulent refunds worth tens of millions of dollars in 2015.", "Based on our prior work, we found that there may be additional opportunities for IRS to enhance RRP by improving data made available to it:", "Making W-2 information available more frequently. In January 2018, we reported that IRS\u2019s ability to verify information on tax returns early in the filing season was affected by limitations with its IT systems. IRS receives and maintains information return data, including W-2 and 1099-MISC forms, through the Information Return Master File (IRMF) system. IRMF then makes the data available to RRP for systemic verification, the automated process that uses W-2s to verify that taxpayers accurately reported their income and other information on their tax returns. IRS receives the W-2 data from the Social Security Administration daily\u2014up to 25 million W-2s per day\u2014 but only loads the data into IRMF and RRP weekly. According to IRS, to add new information returns to IRMF, IRS staff need to reload all existing information at the same time. As employers and financial institutions send more documents to IRS during the filing season, reloading IRMF can take 3 days or more because updates take more time as IRMF\u2019s file increases in size, ultimately containing billions of information returns.", "IRS officials told us that having W-2s available for analysis sooner would benefit RRP detection and selection of fraudulent returns. In addition, matching W-2 information can also provide sufficient assurance of a valid return, even if characteristics of the return might otherwise raise suspicion. According to our analysis of RRP data for the 2017 filing season, matching available W-2s resulted in RRP excluding 367,027 electronically filed returns that RRP otherwise would have selected as suspicious. Having W-2 information loaded more frequently and available for RRP\u2019s systemic verification helps IRS improve its use of limited enforcement resources by more accurately identifying fraudulent returns and excluding legitimate returns.", "As of April 2018, IRS officials had drafted but not yet approved a work request to send IRMF data to RRP daily between January and March during the 2019 filing season. In preparing the draft request, IRS officials told us they are assessing how frequently the agency can efficiently load data into IRMF as the filing season progresses. Federal standards for internal control require federal managers to analyze and address risks to agency objectives. As noted previously, risks include not only threats but also opportunities. Leading practices in fraud risk management further state that managers should take into account external risks that can impact the effectiveness of fraud prevention efforts. Until IRS makes incoming employer W-2s available to RRP more frequently, IRS will not address an opportunity to expand the use of RRP\u2019s systemic verification process to more accurately detect and select invalid refund returns for additional action.", "Making more information available electronically from returns filed on paper. RRP\u2019s analytic techniques could be strengthened if the program had electronic access to additional information from filers of paper returns. While about 90 percent of individual taxpayers file their returns electronically, over 19 million taxpayers filed on paper in 2017. To control costs, IRS transcribes a limited amount of information provided by paper filers into its computer databases. This practice limits the amount of information readily available for enforcement and other tax administration activities that rely on digitized information. We also reported that according to IRS officials, digitizing and posting more comprehensive information provided by paper filers could facilitate enforcement efforts, expedite contacts for faster resolution, reduce handling costs, and increase compliance revenue.", "In October 2011 we found that IRS considered a number of options to make more information from paper returns available electronically, including increasing manual transcription, optical character recognition technology, and barcoding technology. An optical character recognition system would read text directly from all paper returns using optical scanners and recognition software and convert the text to digital data. A 2-D bar code is a black and white grid that encodes tax return data allowing IRS to scan the bar code to digitize and import the data into IRS\u2019s systems, such as RRP. We recommended in 2011 that IRS determine whether and to what extent the benefits of barcoding would outweigh the costs. In response to our recommendations, in 2012 IRS updated an earlier evaluation of implementing barcoding technology for paper returns. The agency estimated that implementing and using barcoding technology over a 10-year period from fiscal years 2015 to 2025 would yield about $109 million in benefits, compared to about $13 million in costs\u2014a substantial return on investment. IRS estimated benefits based on anticipated reductions in staff hours dedicated to the coding, editing, transcription, and error resolution functions of paper return processing.", "However, because of statutory limitations, a legislative change is necessary to require individuals, estates, and trusts to print their federal income tax returns with a scannable bar code. In each of its congressional justifications for fiscal years 2012 to 2016, IRS requested that Congress require returns prepared electronically but filed on paper include a scannable code printed on the return. The National Taxpayer Advocate made a similar legislative proposal in 2017. As of June 2018, Congress had not taken action on the proposal.", "In addition to barcoding, there are other technologies IRS could use to digitize more information from paper returns to further improve tax administration and enforcement activities. However, as of June 2018, IRS had not taken any additional steps to further evaluate the costs and benefits of digitizing individual return information, taking into consideration new technology or additional benefits associated with RRP\u2019s enhanced enforcement capabilities.", "IRS\u2019s strategic plan identifies expanding the agency\u2019s use of digitized information as a key activity toward its goal to increase the efficiency and effectiveness of IRS operations. Updating and expanding its 2012 analysis of the costs and benefits of digitizing returns to consider any new technology or additional benefit to RRP would provide IRS managers and Congress with valuable information to implement the most cost-effective options for making additional, digitized information available for enforcing and administering taxes. This information could help IRS make progress toward its mission by improving RRP\u2019s detection and selection of suspicious returns. In addition, greater efficiency in the paper return transcription process could free additional resources for enforcement and administration activities."], "subsections": []}, {"section_title": "IRS Has Not Fully Considered Opportunities to Use RRP to Improve Other Tax Enforcement Activities", "paragraphs": ["IRS has not yet evaluated the costs and benefits of expanding RRP to improve other tax enforcement activities, such as compliance checks or audits, for returns not claiming refunds. All individual returns (Forms 1040) are loaded into RRP as part of return processing. However, RRP is used to prevent IRS from paying invalid refunds as part of IRS\u2019s pre- refund enforcement activities and, therefore, according to IRS officials, RRP has been limited to detecting and selecting individual returns claiming refunds. Currently, IRS does not use RRP to support other enforcement activities that detect misreporting or noncompliance on individual tax returns not claiming refunds, which also contribute to the tax gap\u2014the difference between taxes owed and what are paid on time.", "Underreporting of income represents the majority of the tax gap, with the average annual underreporting of individual income tax on both refund and non-refund returns for tax years 2008 to 2010 estimated by IRS to be about $264 billion or 57 percent of the total gross tax gap of $458 billion.", "Given the large amount of revenue lost each year due to underreporting, it is important that IRS consider opportunities to improve its enforcement efforts and promote compliance. IRS\u2019s enforcement of tax laws helps fund the U.S. government by collecting revenue from noncompliant taxpayers and, perhaps more importantly, promoting voluntary compliance by giving taxpayers confidence that others are paying their fair share.", "According to IRS officials, RRP has benefited IRS\u2019s pre-refund enforcement activities by enhancing detection of IDT and other refund fraud, providing more cost-effective treatment, and enhancing data analytics for improved enforcement. Based on this review of RRP\u2019s capabilities and our prior work on tax enforcement and administration, we identified a number of activities and processes that could be improved and enhanced if IRS expanded RRP to analyze returns not claiming refunds, in addition to returns with refunds. For example:", "Enhanced detection and selection of potential noncompliance.", "IRS reported that RRP significantly enhanced its detection of IDT and other refund fraud over prior systems. In January 2018 we recommended\u2014and IRS outlined planned actions\u2014that IRS assess the benefits and costs of additional uses and applications of W-2 data for pre-refund compliance checks, such as underreporting, employment fraud, and other noncompliance. Underreporting occurs when a taxpayer underreports income or claims unwarranted deductions or tax credits. As previously noted, underreporting accounts for the largest portion of the tax gap. To detect underreporting by individuals, after the filing season and after refunds have been issued, IRS uses its Automated Underreporter (AUR) program to electronically match income information reported to IRS by third parties, such as banks and employers, against information that taxpayers report on their tax returns. During our review, we found that this process of matching income information is similar to RRP\u2019s pre- refund systemic verification process that occurs during return processing, but only applies to returns claiming refunds. IRS should consider expanding RRP\u2019s capabilities to use RRP as a platform to perform AUR matching on all individual returns during return processing and post-processing, as more information returns are available for matching. In May 2018, IRS officials told us that, in response to our January 2018 recommendation, IRS is assessing the possibility of using RRP to perform some AUR checks. However, until IRS expands RRP to analyze returns not claiming refunds, these compliance checks will not cover all potential underreporting.", "During this review of RRP, we also found that IRS could implement predictive models of noncompliance in RRP to select returns for audits. Audits are an important enforcement tool for IRS to identify noncompliance in reporting tax obligations and to enhance voluntary reporting compliance. IRS\u2019s Small Business and Self-Employed (SB/SE) division conducts audits of individual taxpayers after the return has been processed. SB/SE staff review the returns identified for potential audit by various processes. One of these audit selection processes is a computer algorithm\u2014discriminant function (DIF)\u2014that uses models to score all individual returns (with and without refunds) for their likelihood of noncompliance, an indicator of their audit potential. The DIF models are developed from a unique data set and include variables IRS has found to be effective in predicting the likelihood that a return would have a significant tax change if audited. The additional information available in RRP, such as taxpayer history, has the potential to improve the DIF models and therefore the DIF scoring. IRS officials told us that they plan to examine opportunities to use RRP for some SB/SE audit selection processes, such as incorporating DIF scoring into RRP. However, as of April 2018 IRS had not taken any action.", "More efficient and effective treatment of potentially noncompliant returns. IRS reported that RRP automated and streamlined many of IRS\u2019s selection and treatment processes for preventing the issuance of invalid refunds. Using RRP to improve IRS\u2019s detection and selection of potentially noncompliant returns during return processing could lead IRS to consider treatment options, such as soft notices, that engage taxpayers earlier, to help IRS and taxpayers resolve issues more quickly. A soft notice does not always require a response from the taxpayer; instead, it provides information about a potential error and asks taxpayers to review their records. Consequently, soft notices can be more efficient than other treatments, such as telephone calls or in-person interactions. This treatment option is consistent with IRS\u2019s strategic objective to reduce the time between filing and resolution of compliance issues. One strategy IRS highlights to achieve this objective is to review and refine IRS\u2019s risk-based systems, like RRP, to detect potential issues early.", "Currently, IRS\u2019s enforcement activities, including SB/SE audits and AUR, occur after the return has been processed and the filing season ends. For example, AUR begins matching information returns to individual tax returns in July after the filing season has ended, and according to TIGTA, routinely identifies more than 20 million individual tax returns with discrepancies each year. In 2013 we reported that IRS took on average, over 1 year\u20142 years in some cases\u2014to notify taxpayers about discrepancies. These delays are a challenge for IRS and the taxpayer. For example, when additional tax is owed, as time passes taxpayers may be less likely, or less able, to pay the original debt owed and any associated penalties that may have accrued since the time of filing. Taxpayers may also be less likely to have the relevant tax records needed to respond to IRS questions. Notifying taxpayers earlier of a potential error could help bring them into compliance more effectively than other enforcement options.", "We found that IRS could also expand RRP\u2019s capabilities to use RRP to identify and generate soft notices for taxpayers that do not pay taxes owed at the time of return processing. IRS does not contact electronic filers with an unpaid tax balance until mid-May, weeks after the April payment deadline. This treatment option could help IRS collect taxes owed and also help taxpayers by making them aware of payment options earlier and allowing them to avoid interest and penalties. IRS officials agreed that it is more likely to recover any debt owed if the taxpayer is notified earlier.", "Enhanced data analytics for improved enforcement. Just as IRS is using RRP data and reporting capabilities to better target resources for enforcement activities associated with refund returns, we found that IRS could increase its access to useful data if it expanded RRP to analyze returns not claiming refunds. For example, using RRP\u2019s enhanced data analytics, including access to multiple data sources, IRS could better identify characteristics of other types of noncompliance to improve detection and enforcement. This approach is consistent with IRS\u2019s strategic goal to advance data analytics to inform decision making and improve operational outcomes. Officials from IRS\u2019s Office of Research, Applied Analytics, and Statistics told us that RRP is a valuable data source for research on IDT and other refund fraud. However, until IRS expands RRP to analyze and score individual returns not claiming refunds, IRS will be limited in its ability to use RRP\u2019s data analytics to help IRS address other types of noncompliance and fraud.", "Evaluating the costs and benefits of expanding RRP to analyze individual returns not claiming refunds to support other tax enforcement activities is consistent with the goals and objectives outlined in IRS\u2019s Strategic Plan to encourage compliance through tax administration and enforcement and increase operational efficiency and effectiveness. IRS has identified and implemented opportunities to expand RRP to better detect IDT and other refund fraud in individual and business returns. However, until IRS evaluates the costs and benefits of expanding RRP to support other enforcement activities, IRS may be missing opportunities to realize operational efficiencies by streamlining the detection and treatment of other types of noncompliance and fraud. Additionally, IRS may be missing an opportunity to promote voluntary compliance with tax laws and make progress toward closing the estimated $458 billion average annual gross tax gap."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Noncompliance, including tax fraud, has been a long-standing challenge for IRS. More recently, IDT refund fraud has emerged as a costly and evolving threat to taxpayers and the tax system. As part of IRS\u2019s effort to strategically address these challenges, RRP provides opportunities for IRS to operate more efficiently, increase taxpayer compliance, and combat refund fraud. IRS has plans to continue developing and enhancing RRP, including analyzing business returns for fraud. However, IRS has not fully examined opportunities to improve the availability of information that RRP\u2019s analytic tools rely on.", "These opportunities include examining the costs and benefits of making more information from paper returns available electronically and making W-2 information available to RRP for income verification more frequently. Until IRS conducts such analyses, the agency will be missing opportunities to improve RRP\u2019s detection and accuracy and prevent paying invalid refunds. These evaluations can also inform Congress\u2019s decisions on requiring scannable codes on some printed tax returns, as well as issues we highlighted in our previous work, including lowering the e-file threshold for employers filing W-2s and expanding IRS\u2019s correctible error authority. Congressional action on these issues would help IRS better leverage RRP\u2019s capabilities.", "Further, RRP has the potential to improve tax enforcement in other areas such as underreporting and audit selection if IRS can successfully expand RRP\u2019s detection and selection capabilities to analyze individual tax returns, including those not claiming refunds, for fraud and noncompliance. Earlier detection of anomalies and notification can increase compliance and collection rates."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider legislation to require that returns prepared electronically but filed on paper include a scannable code printed on the return. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to IRS.", "The Commissioner of Internal Revenue should increase the frequency at which incoming W-2 information is made available to RRP. (Recommendation 1)", "The Commissioner of Internal Revenue should update and expand a 2012 analysis of the costs and benefits of digitizing returns filed on paper to consider any new technology or additional benefits associated with RRP\u2019s enhanced enforcement capabilities. (Recommendation 2)", "Based on the assessment in recommendation 2, the Commissioner of Internal Revenue should implement the most cost-effective method to digitize information provided by taxpayers who file returns on paper. (Recommendation 3)", "The Commissioner of Internal Revenue should evaluate the costs and benefits of expanding RRP to analyze individual returns not claiming refunds to support other enforcement activities. (Recommendation 4)", "Based on the assessment in recommendation 4, the Commissioner of Internal Revenue should expand RRP to support identified activities. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue for review and comment. In its written comments, which are summarized below and reprinted in appendix II, IRS agreed with our five recommendations stating that it is taking action to address them and will provide a more detailed corrective action plan.", "IRS agreed with our recommendations aimed at improving information available to RRP to enhance detection of fraudulent returns. IRS stated that it is evaluating the frequency at which W-2 data is made available to RRP and options for digitizing returns filed on paper. IRS further noted that it is evaluating other associated information provided to RRP for detection. As stated earlier, efforts to improve RRP\u2019s detection and accuracy will protect additional federal revenue.", "IRS agreed with our recommendations to evaluate options for expanding RRP to improve tax enforcement and compliance. IRS stated that its objective is to make RRP the primary detection system for pre- and post- refund processing across the agency.", "IRS stated that to expand RRP to analyze returns not claiming refunds, a legislative change requiring all information returns to be filed electronically will be necessary to achieve maximum benefit from RRP. In this report, we highlight legislative issues from our prior work, including lowering the e-file threshold for employers filing W-2s and expanding IRS\u2019s correctible error authority, to help IRS better leverage RRP\u2019s capabilities. However, we are confident that even under current conditions, IRS could use RRP to further improve compliance and its enforcement efforts. For example, with the current electronic filing requirements, RRP could help IRS detect and resolve individual underreporting earlier in the process.", "IRS stated its intention to collaborate with GAO and other organizations to determine appropriate actions after assessing the results of its analyses.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Commissioner of Internal Revenue, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512- 9110 or mctiguej@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Return Review Program Investment Summary", "paragraphs": ["The Return Review Program (RRP) is one of the Internal Revenue Service\u2019s (IRS) major information technology investments. IRS began developing RRP in 2009 to improve its ability to detect fraudulent returns. In October 2016, RRP replaced IRS\u2019s legacy system, the Electronic Fraud Detection System (EFDS) as IRS\u2019s primary fraud detection system. IRS originally planned for RRP to be operating by 2014 because IRS had determined that by 2015 EFDS would not be reliable. However, in 2014, IRS paused RRP\u2019s development to reconsider RRP\u2019s capabilities within IRS\u2019s strategic fraud detection goals. The year-long pause delayed EFDS replacement and retirement until 2016. RRP operated as IRS\u2019s primary system for detecting identity theft and other refund fraud beginning with the 2017 filing season. Figure 5 is a timeline of IRS\u2019s development of RRP."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Neil Pinney (Assistant Director), Margaret M. Adams (Analyst-in-Charge), Michael Bechetti, Mark Canter, Pamela Davidson, Robert Gebhart, James A. Howard, Jesse T. Jordan, Paul Middleton, Sabine Paul, J. Daniel Paulk, and Bradley Roach, made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The Return Review Program is one of IRS's key systems for detecting tax fraud and preventing bad refunds\u2014preventing about $4.4 billion in bad refunds during the 2017 filing season.", "IRS monitors the program's performance and adjusts it to address new threats, but we found ways to improve and expand use of the program.", "For example, we recommended ways to increase the amount of data available to the program, including loading W-2 data into it more frequently and digitizing paper returns. We also recommended using the program for other tax enforcement activities such as selecting returns for audits or checking them for underreported income."]} {"id": "GAO-18-21", "url": "https://www.gao.gov/products/GAO-18-21", "title": "Tobacco Trade: Duty-Free Cigarettes Sold in Unlimited Quantities on the U.S.-Mexico Border Pose Customs Challenges", "published_date": "2017-10-11T00:00:00", "released_date": "2017-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the 1970s, U.S. agencies have recognized that high-volume cigarette sales at duty-free stores near the U.S.\u2013Mexico land border, although lawful, could be related to illicit activity. In 1988, U.S. law limited the quantity of duty-free tobacco products an individual can purchase at stores located in airports, restricting the sale of tobacco products to quantities consistent with personal use. This requirement, however, does not apply to land border duty-free stores.", "GAO was asked to review information on sales of cigarettes at duty-free stores along the southwest border. CBP identified 88 such stores and warehouses. This report describes (1) requirements that govern the lawful sale and export of cigarettes from duty-free stores on the southwest border and schemes for illicit trade in such cigarettes, (2) U.S. agency observations about these exports and efforts to counter illicit trade, (3) the extent to which selected cigarette transaction data submitted by duty-free stores indicate compliance issues. GAO analyzed Census data on these exports; reviewed CBP, ICE, and Department of the Treasury documents; and interviewed agency officials in Washington, D.C., and in several ports along the southwest border, including Laredo, Texas, and the San Diego, California, area."]}, {"section_title": "What GAO Found", "paragraphs": ["Duty-free stores at the southwest border may sell tax-exempt cigarettes in any quantity to passengers departing the United States for Mexico; agencies have identified schemes associated with duty-free cigarette sales used to evade U.S. and Mexican taxes. U.S. Customs and Border Protection (CBP), an agency within the Department of Homeland Security (DHS), regulates duty-free stores. U.S. regulations require the stores to have procedures to provide reasonable assurance of export of cigarettes and the exporter to report export information on transactions valued at over $2,500. U.S. Census Bureau (Census) data show that about 18,500 such transactions involving cigarettes occurred from 2010 to 2015. According to information from U.S. and Mexican officials, the Mexican government limits the amount of duty-free cigarettes that can be brought into Mexico (see figure). U.S. agencies identified three schemes to evade U.S. and Mexican cigarette-related tax and other laws: (1) diversion from a duty-free store into U.S. commerce; (2) smuggling into Mexico through U.S. ports; and (3) smuggling back into the United States after export to Mexico.", "U.S. agency officials said that some smuggling of duty-free cigarettes across the southwest border has links to organized crime, supplies the illicit tobacco market in Mexico, and poses oversight and enforcement challenges. U.S. Immigration and Customs Enforcement (ICE) officials said they have identified links between the smuggling of large quantities of duty-free cigarettes and transnational criminal organizations that use the smuggled cigarettes to launder money and generate revenue. Inexpensive cigarettes made in the United States are part of the trade in duty-free cigarettes along the southwest border, including brands that a Mexican official stated are prohibited for sale in Mexico. U.S. officials reported that their efforts to counter the illicit trade in duty-free cigarettes face challenges, primarily due to the ability to buy unlimited quantities of duty-free cigarettes at the land border.", "According to CBP, in many cases, duty-free stores on the southwest border are filing noncompliant information that they are required to report on cigarette exports valued at more than $2,500. For example, officials had compliance concerns with filings in which stores identify themselves, and not the purchaser, as the exporter. CBP and Census have met with representatives of one of the largest operators of duty-free stores on the southwest border to clarify regulatory requirements. However, CBP officials said that this duty-free store operator continues to make incorrect filings. CBP has not issued guidance to all operators to clarify the correct procedure. Without accurate export data, agencies may lack the information they need to enhance their enforcement and intelligence efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["CBP should take steps to strengthen compliance with export reporting requirements for duty-free cigarette sales on the southwest border, such as issuing guidance to all duty-free store operators. DHS agreed and noted CBP plans to address the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since the 1970s, U.S. agencies have recognized that high-volume tobacco sales at duty-free stores near the southwest U.S. border, although lawful, could be related to illicit activity. The U.S. government permits sales of tobacco products at duty-free stores near U.S. points of exit. According to our analysis of agency data and our communications with U.S. agency officials, cigarettes are the primary tobacco export from duty-free stores on the southwest border. According to federal and state government officials, increases in cigarette taxes in Mexico in 2010 and in border states such as California in April 2017 have elevated the risk of cross-border cigarette smuggling from all sources, including duty-free stores. In a 2014 committee report, the House of Representatives Committee on Appropriations noted its understanding that nearly one in four packs of cigarettes consumed in Texas is smuggled in from Mexico.", "You asked us to review issues related to sales of cigarettes at duty-free stores along the southwest border of the United States. We examined (1) requirements that govern the lawful sale and export of cigarettes from duty-free stores on the southwest border and schemes for illicit trade in such cigarettes that agencies identified, (2) U.S. agency observations about these duty-free cigarette exports and efforts to counter illicit trade, and (3) the extent to which selected cigarette transaction data submitted by duty-free stores indicate compliance issues with reporting requirements.", "To address the objectives, we reviewed relevant federal laws, regulations, and agency documents. We also interviewed officials from the Department of Commerce\u2019s (Commerce) U.S. Census Bureau (Census); the Department of Homeland Security\u2019s (DHS) U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE); the Department of Justice\u2019s (DOJ) Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF); the Department of the Treasury\u2019s (Treasury) Alcohol and Tobacco Tax and Trade Bureau (TTB); and tax-collecting officials from the California state government\u2019s Board of Equalization. In addition, we conducted fieldwork at the ports in Laredo, Texas; and the San Diego, California, area, including the ports of Otay Mesa and San Ysidro; we also interviewed cognizant officials in Los Angeles, California.", "To describe how duty-free cigarettes are sold and exported and how duty- free stores report data, we analyzed Automated Export System (AES) data from Census for 2010 through 2015 on recorded transactions at the 88 duty-free stores CBP identified as being adjacent to the U.S.-Mexico border, also referred to as the southwest border, spanning Texas, New Mexico, Arizona, and California (see fig. 1). We determined that data were sufficiently reliable to review filing practices with respect to duty-free cigarette transactions. We determined that value and quantity data for those transactions were not reliable for the purposes of this report due to unexplained variations in the calculated prices; we based our assessment on a review of related documentation and on interviews with Census officials about the agency\u2019s procedures to ensure the quality of the data and interviews with CBP officials to discuss relevant aspects of how transaction data might be entered in AES. See appendix I for more details on our scope and methodology and appendix II for our assessment of AES data reliability.", "We conducted this performance audit from November 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Duty-Free Stores in the United States", "paragraphs": ["19 U.S.C. \u00a7 1555(b)(8)(D). portion was then being smuggled back into the United States without payment of U.S. taxes.", "Congress legislated on duty-free stores through the Omnibus Foreign Trade and Competitiveness Act of 1988, which required duty-free stores located in airports to restrict the sale of duty-free merchandise to any one individual to \u201cpersonal use quantities,\u201d which is defined as \u201cquantities only suitable for uses other than resale.\u201d10 During consideration of the legislative language that was enacted in 1988, a senator introduced an amendment to permit duty-free stores located along the border to continue to sell goods in wholesale quantities. In introducing the amendment, the senator observed that a large part of the sales by the border stores along the U.S.-Mexico border were in wholesale quantities and that restricting the stores\u2019 ability to sell in such quantities would adversely affect the stores\u2019 business and the regional economy. Congress adopted the law with the amendment and applied the concept of \u201cpersonal use quantities\u201d only to airport duty-free stores.12 This requirement does not apply to land border stores."], "subsections": []}, {"section_title": "Agencies with Roles Related to Duty-Free Cigarette Exports", "paragraphs": ["Pub. L. No. 100-418, \u00a7 1908(b), 102 Stat. 1107, 1315 (codified as amended at 19 U.S.C. \u00a7 1555(b)). The act does not identify any quantity amount with respect to personal use but defines personal use quantities as quantities that are only suitable for uses other than resale and includes reasonable quantities for household or family consumption as well as for gifts to others.", "Discussion of this topic occurred as part of congressional consideration of Senate Bill 1420, the Omnibus Trade and Competitiveness Act of 1987. One senator highlighted the potential for economic harm to communities adjacent to the U.S.-Mexico border if the provision precluding duty-free sales in wholesale quantities were applied to land border stores. Congress passed the Omnibus Foreign Trade and Competitiveness Act of 1987, but the President vetoed the bill, and a vote to override the veto failed in the Senate. (See H.R. 3, 100th Cong. (1987). S. 1420 was incorporated into H.R. 3.) The provision limiting the concept of \u201cpersonal-use quantities\u201d to airports was in the Omnibus Foreign Trade and Competitiveness Act of 1988, which Congress passed and the President signed. Pub. L. No. 100-418, \u00a7 1908(b), 102 Stat. 1107, 1316.", "At Commerce, Census is responsible for collecting, compiling, and publishing export trade statistics. AES is the primary instrument for collecting export trade data. Census takes steps to ensure compliance by AES filers, including duty-free store operators, through training and follow-up on unusual transactions, according to Census officials.", "At DHS, CBP and ICE are the components with roles related to duty- free cigarette exports.", "CBP is responsible for oversight of duty-free stores, including the requirements for establishment of stores and ensuring stores\u2019 compliance with various requirements for operations and lawful sales. Duty-free stores are regulated as a type of bonded warehouse. CBP port directors ensure that duty-free stores establish operating procedures. According to CBP officials, the agency is also responsible for enforcing the Foreign Trade Regulations, including consideration of enforcement action when an AES filer submits incorrect information regarding a shipment of merchandise being exported. Such enforcement action may include the issuance of penalties or the seizure of the merchandise intended for export.", "ICE enforces U.S. laws related to tobacco smuggling for cases in which it has investigative jurisdiction, including related offenses such as money laundering. According to agency officials, ICE also coordinates with CBP on enforcement efforts, such as seizures of merchandise due to violations of U.S. laws or customs regulations.", "At DOJ, ATF investigates trafficking in cigarettes that have illegally entered U.S. commerce and enforces federal antitobacco smuggling laws under Title 18 of the U.S. Code, particularly the Prevent All Cigarette Trafficking Act and Contraband Cigarette Trafficking Act (CCTA).17 As we previously reported, by enforcing the CCTA, ATF seeks to reduce illegal cigarette trafficking, divest criminal and terrorist organizations of money derived from this activity, and significantly reduce tax revenue losses to the affected states.", "At Treasury, TTB is responsible for administering and enforcing the federal tax laws relating to tobacco products. Federal law requires that every person, prior to commencing business as a manufacturer or importer of tobacco products or establishing a TTB-regulated export warehouse for the storage of nontax-paid tobacco products pending export, obtain a permit from TTB. According to TTB officials, among the regulations that TTB enforces are those governing the export of tax-exempt tobacco products, under which only tobacco product manufacturers and export warehouse proprietors may remove tobacco products for export without payment of tax. TTB officials also stated that a manufacturer of tobacco products or an export warehouse proprietor is relieved of the liability for tax on tobacco products upon providing evidence satisfactory to TTB of exportation or proper delivery, including delivery to a customs bonded warehouse operating as a duty-free facility. TTB may audit TTB permit holders to confirm such deliveries or exports.", "See Prevent All Cigarette Trafficking Act of 2009, Pub. L. No. 111-154, 124 Stat. 1087 (2010) and Contraband Cigarette Trafficking Act, Pub. L. No. 95-575, 92 Stat. 2463 (1978) (codified as amended at 18 U.S.C. \u00a7\u00a7 2341-2346). The Contraband Cigarette Trafficking Act makes it unlawful (a felony) for any person to ship, transport, receive, possess, sell, distribute, or purchase contraband cigarettes. Contraband cigarettes are cigarettes in a quantity of more than 10,000 sticks (currently, 50 cartons) that bear no evidence of applicable state or local cigarette tax payment in the state or locality in which the cigarettes are found, if such state or local government requires a stamp or other indicia to be placed on the packages or other containers of cigarettes to evidence payment of cigarette taxes and which are in the possession of any person other than specified persons, including permit holders under the Internal Revenue Code, common carriers transporting cigarettes with proper bills of lading, or individuals licensed by the state where the cigarettes are found."], "subsections": []}]}, {"section_title": "Purchasers and Exporters of Duty- Free Cigarettes at the Southwest Border Are Subject to U.S. and Mexican Requirements; Agencies Identified Schemes and Practices That Facilitate Illicit Trade", "paragraphs": ["Duty-free stores may sell tax-exempt cigarettes in any quantity to passengers departing the United States for Mexico at a port on the land border; agencies have identified schemes and practices associated with duty-free sales that are used to evade U.S. and Mexican taxes. U.S. regulations require duty-free stores to have procedures to provide reasonable assurance that duty-free merchandise sold will be exported and requires the exporter to report information on the export of commercial cargo, which CBP considers to be transactions valued at more than $2,500. Census data indicate that about 18,500 such transactions occurred from 2010 through 2015 at duty-free stores on the southwest border. According to information from CBP and a Mexican customs official, Mexican requirements dictate that, depending on place of residence, some adult travelers to Mexico can bring in one carton of cigarettes tax-exempt, and some residents can bring in an additional three cartons if they pay taxes on them. Bringing in any quantity above four cartons would require an individual to register as an importer with the Mexican government, according to the same Mexican official. U.S. agencies identified three schemes used to evade cigarette-related taxes and other legal requirements in the United States and Mexico: (1) diverting cigarettes from the store directly into U.S. commerce; (2) smuggling duty-free cigarettes into Mexico through U.S. ports of entry by concealing them, while potentially also bribing Mexican customs officials to evade payment of Mexican taxes; and (3) smuggling duty-free cigarettes back into the United States after first smuggling them into Mexico."], "subsections": [{"section_title": "U.S. Regulations Require Duty-Free Stores on the Southwest Border to Provide Reasonable Assurance of Export of Cigarettes and Report Transactions Over $2,500", "paragraphs": [], "subsections": [{"section_title": "Duty-Free Stores Sell Tax- Exempt Cigarettes to Passengers Departing the United States", "paragraphs": ["Cigarettes manufactured in the United States and labeled for export may be shipped, without payment of federal or state tax, to duty-free stores for export and consumption beyond the jurisdiction of U.S. internal revenue laws. In addition to U.S.\u2013manufactured cigarettes, duty-free stores can sell cigarettes imported from overseas. Duty-free cigarettes, which are cigarettes labeled for export, are considered to be in violation of U.S. law if sold for domestic consumption in the United States.24 According to CBP officials, in the duty-free retail environment, the individual purchasing the merchandise is the exporter.", "Cigarettes sold at duty-free stores are generally distributed to duty-free retail outlets from warehouses maintained by the duty-free operator. Figure 2 outlines potential steps in the lawful export of duty-free cigarettes, according to U.S. and Mexican agency officials.", "Tobacco products manufactured in the United States and labeled for exportation may not be sold or held for sale for domestic consumption in the United States unless such articles are removed from their export packaging and repackaged by the original manufacturer into new packaging that does not contain an export label. 26 U.S.C. \u00a7 5754(a)(1)(C).", "TTB regulates export warehouses."], "subsections": []}, {"section_title": "Duty-Free Stores at the Southwest Border Must Provide Reasonable Assurance of Export of Cigarettes to Mexico", "paragraphs": ["CBP requires duty-free stores to have procedures designed to provide reasonable assurance that duty-free merchandise is exported.25 For duty- free stores along the southwest border, such procedures are designed to ensure export by pedestrians and passengers in vehicles crossing into Mexico. The four operating procedures for duty-free stores that we reviewed require that they assure that individuals and their merchandise depart the United States for Mexico under escort or observation.", "Figure 3 shows the procedures at a duty-free store in Laredo, Texas, that is located at the border. This duty-free store sells cigarettes from a drive- through window; at the time of purchase, a store employee puts a numbered red cone on the roof of the vehicle. A private security guard employed by the duty-free store removes the red cone at the border crossing to verify that the vehicle exits the United States. In other ports, duty-free stores may be located farther from the U.S. border crossing, and the procedures designed to assure export of duty-free goods could entail having a store employee in a van or other vehicle escort purchasers to the crossing. According to the procedures of one duty-free store we visited, refusal by a pedestrian customer to cross into Mexico should typically result in that customer returning to the store and being given a refund for the duty-free goods purchased, and if the customer refuses to return to the store for a refund and does not cross into Mexico, that individual is not allowed to purchase in the facility again. In the case of a customer in a vehicle, the store should notify CBP, and that customer should not be allowed to purchase in that facility again.", "U.S. laws and a customs regulation stipulate that duty-free stores shall establish procedures to provide reasonable assurance that duty-free merchandise sold by the store is exported. 19 U.S.C. \u00a7 1555 and 19 C.F.R. \u00a7 19.36. Customs regulations further specify conditions for delivery of such items at land border locations, meaning an exit point from which individuals depart to a contiguous country by vehicle or on foot by bridge, tunnel, highway, walkway, or by ferry across a boundary lake or river. 19 C.F.R. \u00a7 19.39."], "subsections": []}, {"section_title": "Duty-Free Cigarette Transactions Valued at More Than $2,500 Are Subject to Reporting; Operators of Duty- Free Stores Reported About 18,500 Such Transactions in 2010\u20132015", "paragraphs": ["For every duty-free store transaction in which the value of the goods is more than $2,500, the Foreign Trade Regulations generally require that the U.S. principal party in interest (USPPI) or its agent file electronic export information through AES. (In this report, we use \u201cexporter\u201d to refer to the USPPI.) According to CBP officials, this requirement extends to purchases of duty-free cigarettes. The export information includes 28 mandatory data elements such as the value, quantity, name of exporter, name of the person receiving the shipment, and method of transportation. AES data from Census showed a total of 18,504 such transactions from 2010 through 2015 from duty-free stores on the southwest border, with almost 70 percent exported from Texas (see fig. 4 and table 1). The number of duty-free cigarette transactions valued at over $2,500 peaked in 2012 at 4,685 and declined to a level about 45 percent lower in 2014 and 2015. According to CBP officials in Laredo and the San Diego area, while it is not possible to determine the exact cause, duty-free stores may have reported greater numbers of these transactions in 2012 due to an increase in enforcement actions at those ports that encouraged greater compliance with export data filing requirements. These officials said stores may have reported fewer transactions valued at over $2,500 in subsequent years due to CBP\u2019s continued enforcement actions. CBP officials said that they have no way of systematically knowing the full scale of exports that occur through transactions valued at under $2,500. Those transactions are not captured in data that are required to be reported to the U.S. government."], "subsections": []}]}, {"section_title": "Mexican Customs Regulations Limit the Amount of Cigarettes Individuals Crossing the Southwest Border May Bring with Them", "paragraphs": ["According to information provided by officials from CBP and the Mexican customs agency, Mexican residents above the age of 18 are allowed to bring up to four cartons of cigarettes into Mexico, depending on where they live. Specifically, officials from CBP and the Mexican customs agency provided the following details:", "The Mexican customs agency allows each adult who is a resident of the interior of Mexico (not living in towns adjacent to the border) crossing from the United States to bring up to four cartons of cigarettes into Mexico; the first would be exempt from Mexican taxes, and the remaining three would be taxed at a 573-percent rate.", "Mexican border-zone residents, defined as those who live in towns along the U.S.-Mexico border such as Ciudad Juarez and Tijuana, are subject to different rules and are not permitted to bring cigarettes into Mexico.", "A Mexican customs official said that bringing in any quantity of cigarettes above these amounts would require an individual to register as an importer with the Mexican government, including both the customs agency and health ministry, and obtain a health authorization in advance of the importation. This official also said that commercial cigarettes are charged a 67-percent import duty, a 16-percent value-added tax, and other special duties or taxes that may be applicable."], "subsections": []}, {"section_title": "U.S. Agencies Identified Three Schemes and Related Purchasing Practices by Which Duty- Free Cigarette Traffickers Evade Taxes in the United States and Mexico", "paragraphs": ["For purposes of this report, we use \u201cdivert\u201d and \u201cdiversion\u201d to refer to the unlawful introduction of duty-free cigarettes into U.S. commerce using a scheme that does not involve the crossing of the southwest border. We use \u201csmuggle\u201d and \u201csmuggling\u201d to refer to the surreptitious exporting or importing of duty-free cigarettes that involves the crossing of an international border."], "subsections": [{"section_title": "Diverting Duty-Free Cigarettes Directly into the United States", "paragraphs": ["In this scheme, cigarettes are purchased from a land border duty-free store and diverted into the United States without paying applicable taxes. According to ICE officials, individuals diverting cigarettes use methods that include bribery of a duty-free store official to allow a vehicle to stay in the United States without informing CBP instead of observing its crossing into Mexico. CBP and ICE officials also reported instances of individuals loading cigarettes into a car after the duty-free store had closed. CBP officers in the San Diego area also identified the following deceptive practices in the course of a 2010 operation, some of which were carried out with the complicity of store employees who took actions such as escorting vehicles using unapproved exit routes, allowing purchasers of large quantities to leave the store unescorted, assisting purchasers in their efforts to conceal goods in the door panels and engine compartments of their vehicles.", "In April 2013, ICE received information of a pending large purchase of cigarettes from a duty-free store in Nogales, Arizona. ICE agents were surveilling the store when they observed an individual loading cigarettes into a van and leaving without an escort from the store. The van did a U- turn just before reaching the crossing into Mexico. ICE seized 840 cartons of cigarettes purchased from a duty-free store after pursuing the van in which the purchaser drove north away from the border into the United States instead of traveling across the border into Mexico."], "subsections": []}, {"section_title": "Smuggling Duty-Free Cigarettes into Mexico across the Land Border, Contrary to That Country\u2019s Laws", "paragraphs": ["In this scheme, according to CBP and ICE officials, individuals legally purchase cigarettes from duty-free stores in the United States and smuggle them into Mexico through U.S. ports of entry by concealing these goods in their vehicles or on their person. The individuals may attempt to bribe Mexican customs officials to evade payment of Mexican taxes, according to CBP and ICE officials.", "CBP and ICE officials reported that they observed individuals in the parking lots of duty-free stores near the port of San Diego loading cigarettes into concealed compartments in personal vehicles to smuggle them into Mexico. An ICE officer in California told us that smugglers had posted Internet advertisements online to recruit runners to move cigarettes across the border from the United States. ICE officials provided data that they obtained from the government of Mexico on cigarette seizures its officials conducted from 2012 through 2015 at numerous locations along the border, including entry points in Mexico directly opposite El Paso, Texas, and San Diego, California, as well as in other parts of Mexico. The data indicate that the Mexican government seized 1.2 million cartons of cigarettes in 2012; the number of cartons seized steadily decreased to about 320,000 cartons in 2015. At least one of the brands among those seized is associated with the operator of multiple duty-free stores on the southwest border. (See fig. 6 for photographs of duty-free cigarettes concealed in vehicles and discovered by Mexican customs officials.)", "CBP officials in Laredo told us that they had conducted joint operations with Mexican officials at the passenger crossings but that counter surveillance by smugglers often limited their effectiveness. Typically, a short time after initiating an operation, they would observe that smugglers had ceased activities temporarily and that every vehicle CBP officers examined contained only one or two cartons of cigarettes, an amount that, according the CBP officials, complies with Mexican import restrictions."], "subsections": []}, {"section_title": "Smuggling Duty-Free Cigarettes Back into the United States after First Smuggling Them into Mexico", "paragraphs": ["In this scheme, duty-free cigarettes that are smuggled into Mexico are brought back across the border and introduced into U.S. commerce without declaring the goods to CBP upon reentry, thus avoiding relevant U.S. taxes. Smugglers might bring these goods back into the United States in small amounts, to avoid detection, and take them to rented storage facilities along the border, according to CBP officials at the port of San Diego. The smuggled cigarettes are bundled into larger quantities and subsequently transported for sale at locations in the interior of the United States. During our fieldwork at the port of San Ysidro, CBP officials identified warehouses where such cigarettes had been stored in the past."], "subsections": []}, {"section_title": "Traffickers Can Facilitate Diversion and Smuggling by Avoiding the $2,500 Threshold for Reporting Transactions or by Moving to Another Port", "paragraphs": ["According to agency officials, traffickers engaged in diversion and smuggling schemes minimize their visibility to the U.S. government by dividing a large purchase of duty-free cigarettes into smaller ones to avoid the AES reporting threshold of $2,500. Such structured transactions can be carried out by individual buyers or by multiple individuals making purchases on behalf of the holder of an account at a duty-free store. As part of a 2012 enforcement operation, CBP officials reviewed receipts for cigarette sales from three duty-free stores in San Ysidro and identified six people who made multiple purchases during the same day at one of the stores. One of these six individuals made 14 consecutive purchases of cigarettes valued at $200 and then a final purchase of $100 for a total of $2,900 which, as a single transaction, would have exceeded the $2,500 threshold for reporting such exports. In addition, CBP officials in Laredo described a 2010 scenario in which U.S. citizens moved $100,000 worth of tobacco products into Mexico over the course of a month by making repeated crossings on foot with under $2,500 in merchandise each time so that no reporting was required. Further, CBP officials at the port of San Diego said that following a series of CBP operations related to duty-free stores from 2010 through 2012, they reviewed the stores\u2019 sales records and noticed a decrease in high-value sales. An ICE official said, however, that cigarette smuggling operations may have moved eastward in response to CBP operations in California. In addition, according to these CBP officials, a 2010 operation discovered multiple store operators maintaining two sets of accounts to link cash outlays upfront for multiple purchases."], "subsections": []}]}]}, {"section_title": "Smuggling of Duty- Free Cigarettes across the Southwest Border Is Reportedly Linked to Organized Crime and Supplies the Illicit Tobacco Market in Mexico; U.S. Efforts to Counter This Illicit Activity Face Challenges", "paragraphs": ["U.S. agency officials said that some smuggling of duty-free cigarettes across the southwest border has links to organized crime, supplies the illicit tobacco market in Mexico, and poses oversight challenges. ICE officials told us that transnational criminal organizations use smuggled, duty-free cigarettes to launder money and generate revenue. Furthermore, a Mexican customs official noted that relatively inexpensive cigarettes manufactured in the United States, which cannot legally be sold in the United States or in Mexico, are routinely sold for export from duty-free stores on the southwest border; such cigarettes are then smuggled across to supply Mexico\u2019s illicit tobacco market. One brand of such cigarettes has been cited in recent studies as a significant part of the illicit tobacco trade in Mexico. U.S. officials reported that their efforts to counter the illicit movement of duty-free cigarettes face challenges related to the purchaser\u2019s ability to buy duty-free cigarettes in unlimited quantities and to use passenger, not commercial, crossings from the United States into Mexico. According to U.S. officials, while U.S. agencies do not have the authority to seize exports that violate Mexico\u2019s laws related to these cigarettes, U.S. officials reported working with Mexican officials on activities to enforce the customs laws and regulations of both countries."], "subsections": [{"section_title": "Criminal Organizations Reportedly Use Duty-Free Cigarettes to Launder Money and Generate Revenue", "paragraphs": ["The term \u201cblack market\u201d refers to trade in goods or commodities in violation of laws and regulations. method of generating funds. In addition to U.S.\u2013 manufactured cigarettes, foreign cigarettes are also smuggled into Mexico.", "According to ICE officials, transnational criminal organizations launder money by depositing illicit funds into client accounts at duty-free stores along the southwest border. They then make withdrawals from these accounts, just as they would from a bank account, to purchase duty-free tobacco and alcohol.37 According to ICE officials, transnational criminal organizations purchase in quantities such that some duty-free stores give them substantial discounts on the stores\u2019 in-house cigarette brands. Subsequently, these goods are smuggled either by concealment or bribery of Mexican customs officials, according to ICE officials. According to an official from the Mexican customs agency, some drug cartels add their own product identification codes onto packs of cigarettes from duty- free stores for sale in areas that they control."], "subsections": []}, {"section_title": "Certain Duty-Free Cigarettes from the United States Comprise a Large Share of the Illicit Mexican Market", "paragraphs": ["ICE defines trade-based money laundering as the use of trade to legitimize, conceal, transfer, and convert large quantities of illicit cash into less conspicuous assets. ICE officials in San Diego explained that, in Southern California, criminals use other commodities more frequently than cigarettes for trade-based money laundering.", "According to a public health warning issued by a federal commission of the Mexico health secretariat, this particular brand of U.S.-made cigarettes for duty-free sale is among those cigarettes \u201cwhich can be counterfeit, adulterated, and even made with unknown ingredients, increasing the possibility that they contain potentially toxic non-tobacco chemicals.\u201d the illicitly trafficked cigarettes that the Mexican government confiscated at various locations in the country from 2012 through 2015. In addition, in 2013, the Mexican customs agency executed a number of seizures of this brand of duty-free cigarettes that were undeclared at ports of entry on the U.S.-Mexico border (see fig. 7).This brand of cigarettes has been cited in recent studies as a significant part of the illicit tobacco trade in Mexico.", "ICE officials provided a November 2015 report issued by the National Cyber-Forensics & Training Alliance, a public-private partnership, which stated that this U.S.-made brand of cigarettes was recognized as the largest illegal brand being sold in Mexico. The report also stated that this brand of cigarettes was being diverted into Mexico through various duty-free stores in Laredo, Texas, and San Diego, California.39", "Another study reported that, as of June 2014, 64 percent of the inflow of tobacco into Mexico from the United States consisted of this brand of cigarettes manufactured and trademarked in the United States and sold at duty-free stores on the southwest border. The study also noted that this brand of cigarettes accounted for about 13 percent of the overall illicit cigarette market in Mexico.", "National Cyber-Forensics & Training Alliance (NCFTA), Southern Border Illicit Tobacco Activity (Pittsburgh, Penn.: November 2015). The NCFTA is funded by private sector entities, including tobacco firms. ICE has a partnership agreement with the NCFTA and assigns agents there through the National Intellectual Property Rights Coordination Center that it leads.", "Mexico and that they did not have an obligation to know since the company is not the exporter of the cigarettes."], "subsections": []}, {"section_title": "U.S. Officials\u2019 Efforts to Counter Illicit Trade in Duty-Free Cigarettes Face Challenges", "paragraphs": [], "subsections": [{"section_title": "Agencies Cite the Ability to Buy Unlimited Quantities of Duty- Free Cigarettes at the U.S. Land Border as a Factor That Facilitates Smuggling", "paragraphs": ["CBP and ICE officials in Laredo said that the ability to buy unlimited quantities of duty-free cigarettes at the land border facilitates large shipments of these goods to be clandestinely smuggled into Mexico. CBP officials acknowledge that duty-free stores on the southwest border are functioning as wholesale suppliers of cigarettes. During congressional consideration of duty-free store legislation, a senator raised the issue of the potential for economic harm to communities adjacent to the U.S.- Mexican border if a provision precluding duty-free sales in wholesale quantities were applied to land border stores. Congress later enacted the Omnibus Foreign Trade and Competitiveness Act of 1988, which required duty-free stores located in airports to restrict the sale of duty-free merchandise to any one individual to \u201cpersonal use quantities,\u201d a requirement that does not apply to land border stores. According to CBP officers in San Diego, duty-free store representatives told them in 2010 that the stores at the port of San Ysidro were some of the most profitable in the country and that merchandise sold in wholesale quantities was an important part of their business."], "subsections": []}, {"section_title": "Use of Passenger Crossings to Export Large Quantities of Duty-Free Cigarettes Creates Oversight Challenges; CBP Officials Said They Are Reviewing Proposed Options at One Port", "paragraphs": ["U.S. officials said that the ability to use passenger crossings to export wholesale quantities of duty-free cigarettes enables these goods to enter Mexico with less scrutiny and oversight than if they were processed through a commercial crossing. U.S. ports on the land border may have multiple crossings, some designated for passenger traffic and others for commercial traffic. CBP officials said that duty-free cigarettes are treated as noncommercial goods that exit via passenger crossings and, therefore, are not subject to the same requirements and potential for CBP oversight as commercial exports. Requirements for commercial cargo leaving the United States include submission of electronic information to CBP in advance of departure. CBP and ICE officials in Laredo noted that CBP does not define what constitutes a commercial export, enabling the use of passenger crossings by purchasers of \u201ccommercial-type\u201d quantities.45 CBP officials in Laredo and San Diego said that individuals purchasing large quantities of duty-free cigarettes would likely be less able to evade Mexican taxes if the goods were to exit from a commercial crossing.", "Officials said that CBP-enforced regulations also do not provide a definition for what would constitute a commercial quantity and that the agency has not adopted its own definition or guidelines in part because commercial transactions can have different quantities and varying price points. CBP officials said that they view commercial exports to be merchandise for business resale or for profit, rather than for individual use, such as for personal or household consumption.", "In the San Diego area, which has one of the highest concentrations of duty-free stores among ports on the southwest border and has multiple crossings into Mexico, CBP took steps to try and address the challenge of large quantities of duty-free cigarettes moving through passenger crossings. In 2010, CBP in San Diego prepared a draft notice for members of the area trade community, including duty-free stores, announcing that the Port Director had decided more controls were necessary to ensure the export of duty-free merchandise purchased for resale. The draft notice identified four scenarios that would meet the definition of a commercial purchase and identified appropriate exit procedures for any commercial purchases to include exit from a commercial (or cargo) export facility, instead of from the passenger crossing. In July 2017, CBP officials indicated that no change in exit procedures for duty-free tobacco products had taken place; previously, they had stated that CBP had not issued the notice because it was still undergoing review. Officials at CBP headquarters in Washington, D.C., informed us that the agency was planning to engage with port officials in San Diego to plan appropriate next steps in assessing the type of crossing through which duty-free cigarettes should be exiting."], "subsections": []}, {"section_title": "U.S. Agency Officials Report That They Are Not Authorized to Seize Exports That Violate Mexico\u2019s Laws but Have Taken Steps to Work with Mexico on Enforcement", "paragraphs": ["CBP officials said the agency does not have the authority to seize goods that are being smuggled into Mexico contrary to that country\u2019s laws. Officials at CBP headquarters said that enforcing Mexican laws is not the responsibility of U.S. agencies, but officials at two different ports of entry also described efforts to work with Mexican counterparts on activities related to enforcing customs laws and regulations of both countries. In addition, CBP in Laredo instructed duty-free store operators to discourage customers from concealing duty-free items by including procedures about this in their employee manuals. We reviewed the procedures manual for one of these operators and found that it directed employees to inform customers that they were not allowed to hide or conceal duty-free items.", "CBP and ICE officials told us they are able to take some actions in concert with their Mexican counterparts related to coordination and information sharing at both the border and headquarters levels. Specifically, CBP officials in Laredo told us that they conduct joint enforcement operations with Mexican officials to inspect passenger vehicles as they exit the United States and enter Mexico. ICE and CBP officials in Laredo also said that the issue of cigarette smuggling has been raised at bilateral security cooperation meetings that are routinely held with Mexican customs and law enforcement counterparts. Additionally, according to officials there, ICE\u2019s National Intellectual Property Rights Coordination Center, under terms of the U.S.-Mexico Customs Mutual Assistance Agreement, has obtained information from the Mexican customs agency on that country\u2019s seizures of cigarettes nationwide to advance related investigations in the United States. An ICE official said that the agency has also worked concurrently with its counterparts in Mexico to advance an investigation related to the smuggling of cigarettes from U.S. bonded warehouses that were destined for duty-free stores but were being smuggled directly into Mexico and possibly diverted back into the United States. According to the ICE official, ICE has continued to keep Mexico abreast of developments through its attach\u00e9 in Mexico City."], "subsections": []}]}]}, {"section_title": "Selected Export Data Reported by Duty- Free Stores Show Irregularities, Which CBP Has Taken Some Steps to Address", "paragraphs": [], "subsections": [{"section_title": "Multiple Duty-Free Stores Are Filing Some Noncompliant Information on Cigarette Exports", "paragraphs": ["According to CBP, in many cases duty-free stores on the southwest border are filing some noncompliant information that they are required to report on cigarette exports valued at more than $2,500. Our analysis of export data from Census also showed that many transactions include some noncompliant information. Specifically, we identified the following three compliance issues:", "According to CBP, in most instances, the duty-free store should identify the purchaser of the cigarettes as the exporter, and subsequently, report the purchaser\u2019s name and also provide a unique numerical identifier for the purchaser such as a passport or border crossing card number. In our analysis of reported data for 18,504 transactions involving cigarettes at duty-free stores on the southwest border from 2010 through 2015, we found that 99 percent of these transactions indicate that the duty-free store operator sold the merchandise to an individual purchaser but identified itself as the exporter through use of its Internal Revenue Service employer identification number (EIN). According to CBP officials, these transactions pose potential compliance concerns.", "Duty-free stores on the southwest border owned by one operator commonly used the operator\u2019s postdeparture filing privilege for cigarette transactions while also reporting them as routed export transactions. However, the Foreign Trade Regulations specify that postdeparture filings cannot be made for routed export transactions. This duty-free store operator incorrectly used its postdeparture filing privilege and marked transactions as routed exports in 16,384 of the 16,387 transactions it reported during 2010 through 2015.", "In response to our inquiries, CBP reviewed AES filings for this duty- free store operator and found additional compliance concerns related to filings showing Otay Mesa, California, as the port of exit. Specifically, according to CBP, the duty-free store operator was filing information indicating that the cigarettes were leaving the country through the port of Otay Mesa, although CBP officials had previously observed the sales leaving through the port of San Ysidro, California."], "subsections": []}, {"section_title": "CBP Has Provided Information to One Duty- Free Store Operator Reporting Inaccurate Data on Cigarette Transactions but Has Not Taken Steps to Finalize Any Guidance", "paragraphs": ["CBP has acted to address its compliance concerns with one duty-free store operator, but other possible actions remain, including the issuance of final instructions and guidance to all operators on the border and the public. According to CBP, one of the ways it fosters adherence to rules and regulations in the trade community is through \u201cinformed compliance,\u201d the idea that, in order to maximize voluntary compliance with trade laws and regulations, the trade community needs to be clearly and completely informed of its legal obligations. We have previously found that information programs are a key part of CBP\u2019s informed compliance strategy at both headquarters and the ports. For example, CBP issues directives, handbooks, and a series of \u201cinformed compliance publications\u201d that provide guidance on various trade-related matters.", "In 2012, CBP informed the duty-free store operator with the largest number of AES transactions we reviewed that its transactions incorrectly identified its stores as the exporter when in fact the purchaser was the exporter. Regulations state that knowingly failing to file or knowingly submitting false or misleading export information through AES is a violation subject to penalties. CBP is authorized to enforce the Foreign Trade Regulations, which include regulations on reporting through AES. With regard to the compliance issue that CBP raised in 2012, CBP did not take action until after April 2014, when a CBP assessment of export transactions found that the problem with the operator\u2019s cigarette export filings continued. In August 2014, CBP issued a penalty to the duty-free store operator, and the operator requested that CBP give it time to arrive at an agreement with the agency and remove the penalty, noting that a change to current practices might have adverse consequences on its business and further emphasizing that its practices had been widely known for years. According to CBP officials, due to the operator\u2019s confusion over correct procedure, the penalty was canceled, and officials decided to take steps to ensure proper filing of AES through informed compliance.", "In October 2015, CBP provided the operator with interim instructions on how to comply with its requirements under the Foreign Trade Regulations. Those instructions included scenarios illustrating both compliant and noncompliant export data filings for transactions involving cigarettes. CBP officials also told us that a planned meeting with the duty-free store operator to finalize instructions never took place and that CBP never provided final instructions to that operator.", "According to CBP officials, this duty-free store operator continues to identify itself as the exporter and to use its postdeparture filing privilege. CBP officials said that duty-free stores assert that they are working to be compliant, but it is challenging for them in part because the cigarette purchasers are often unaware of their role and do not have accounts established to file the electronic export data. Additionally, one CBP official said that purchasers may be reluctant to provide a verifiable numeric identifier, such as a passport number or border crossing card, if they are involved in smuggling operations. Furthermore, CBP and ICE officials said that employees working at land border duty-free stores may not be fully trained and aware of proper filing procedures.", "In response to our inquiries, Census re-sent the 2015 interim instructions to the duty-free store operator in March 2017, after confirming that the operator was still using its postdeparture privilege when it should not. CBP officials indicated in July 2017 that they plan to conduct outreach to duty-free stores on the southwest border and provide guidance to the ports there to ensure proper data submission and appropriate use of postdeparture filing. CBP headquarters officials informed us that they had recently held initial discussions on this topic with agency officials in Laredo, but they had not issued any further information to the duty-free store operators and to the public; they said further discussions were planned. CBP officials did not identify instances of providing similar information to, or having discussions with, the other duty-free store operators.", "The Foreign Trade Regulations state that the filer of export information in AES is responsible for transmitting accurate data as known at the time of filing. An ICE official said that properly completed export data with purchasers\u2019 verifiable identification numbers would allow ICE to corroborate that information against other databases, such as the Automated Targeting System (ATS), during an investigation. ATS compares traveler, cargo, and conveyance information against law enforcement, intelligence, and other enforcement data to assess risk. In addition, ICE sought data from Mexico, such as names and dates of birth of individuals arrested in connection with cigarette seizures in that country, to keep that information on file in the event the individuals were associated with cases in the United States. Agency officials said that verifiable identification information, such as the type that is collected in AES filings, would further help ICE corroborate and identify individuals participating in the illicit trade of duty-free cigarettes. CBP officials said that accurate data on the identity of the exporter would benefit law enforcement and intelligence operations. Without accurate data, including correct and complete information on the exporter, agencies may lack the information they need to enhance their enforcement and intelligence efforts related to the illicit trade of duty-free cigarettes on the southwest border."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Unlike duty-free stores at U.S. airports, duty-free stores associated with U.S. land borders may sell tax-exempt cigarettes in any quantity. Since Congress legislatively adopted this policy in 1988, changes on both the U.S. and Mexican sides of the southwest border have affected this trade. Agencies have cited a number of schemes used by individuals to divert these products into Mexico and into U.S. commerce, despite efforts by CBP to enforce relevant regulations and procedures. Agencies have noted that, as smuggling has become potentially more lucrative, an existing linkage may grow stronger between cigarette smuggling and organized crime on the southwest border, where they believe that criminal organizations have created distribution networks to illicitly move cigarettes in both countries. CBP officials also state that the agency does not have the authority to seize goods that are being smuggled into Mexico contrary to that country\u2019s laws.", "CBP has made efforts to utilize available data collected on transactions valued at over $2,500 to evaluate duty-free store compliance with regulations. However, despite various outreach and enforcement efforts, agency officials said that inaccurate filings by one large operator\u2014 comprising nearly 89 percent of the transactions we reviewed\u2014continue, and other store operators are still potentially out of compliance. Until steps are taken to ensure that duty-free store operators and exporters fully comply with reporting requirements, U.S. agencies will lack the accurate, complete information that can help them conduct their enforcement and intelligence efforts."], "subsections": []}, {"section_title": "Recommendation for Agency Action", "paragraphs": ["The Commissioner of the U.S. Customs and Border Protection should take steps to strengthen compliance with export reporting requirements related to duty-free cigarette sales on the southwest border, such as issuing guidance to all duty-free store operators. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to Commerce, DHS, DOJ, and Treasury for comment. DHS provided substantive comments that are reproduced in appendix III. Commerce and DHS also provided technical comments, which we incorporated as appropriate. DOJ and the Treasury provided no comments.", "In its comments on our draft report, DHS concurred with our recommendation. DHS stated that CBP\u2019s Office of Field Operations will issue guidance and engage field personnel to strengthen compliance with export requirements. In addition, DHS stated that ports would be instructed to provide guidance to all duty-free store operators on correct filing procedures for electronic export information (EEI), including use of the correct port of export and identifying the party responsible for filing the EEI. DHS gave an estimated completion date for these actions of October 31, 2017.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Commerce, the Secretary of Homeland Security, the Attorney General, the Secretary of the Treasury, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) requirements that govern the lawful sale and export of cigarettes from duty-free stores on the southwest border and schemes for illicit trade in such cigarettes that agencies identified, (2) U.S. agency observations about these duty-free cigarette exports and efforts to counter illicit trade, and (3) the extent to which selected cigarette transaction data submitted by duty-free stores indicate compliance issues with reporting requirements.", "To obtain background information on duty-free stores, we reviewed documents related to the legislative history of duty-free stores, including those from the Congressional Record and U.S. laws and customs regulations. To describe relevant agency roles related to duty-free cigarette exports, we reviewed documents from the agencies and utilized information from interviews with their officials.", "To address the first two objectives, we collected and analyzed information through several methods. We reviewed relevant federal laws and regulations. We also interviewed officials from the Department of Commerce\u2019s U.S. Census Bureau (Census); the Department of Homeland Security\u2019s U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE); the Department of Justice\u2019s Bureau of Alcohol, Tobacco, Firearms, and Explosives; the Department of the Treasury\u2019s Alcohol and Tobacco Tax and Trade Bureau; and tax-collection officials from the state of California. We also interviewed representatives from private sector tobacco and duty-free firms. We conducted field work in California in the areas around San Diego, including Otay Mesa and San Ysidro, and Los Angeles. We selected these locations based on the presence of duty-free stores or reports of cigarettes being diverted from duty-free stores into the United States, supplemented by insights from agency officials. We also used information gathered from field work in Laredo, Texas, that we conducted under a related review. We spoke with U.S. agency officials in Nogales, Arizona, and in the Washington, D.C., area. Lastly, we spoke with and obtained data from an official from the Mexican customs agency, the Tax and Customs Administration Service.", "To describe how cigarettes are sold and exported from duty-free stores on the southwest border, we also reviewed relevant U.S. laws and customs regulations and collected information from U.S. and Mexican officials on allowances and requirements for duty-free cigarettes imported into Mexico. In addition, to describe the views that agency officials have expressed with regard to cigarette exports from duty-free stores on the southwest border, we reviewed CBP documents that described operating procedures at the ports of Laredo, Texas, and San Diego, California; a draft port information notice from the port of San Diego; and reports from the private sector and a public-private partnership, the National Cyber- Forensics & Training Alliance, on the illicit tobacco market in Mexico. We also analyzed data on seizures from the Mexican Tax and Customs Administration Service and information from interviews with officials from CBP, ICE, and the Mexican government.", "We also analyzed Automated Export System (AES) data from Census for 2010 through 2015 on recorded transactions at the duty-free stores CBP identified as being adjacent to the U.S.-Mexico border, also referred to as the southwest border, spanning Texas, New Mexico, Arizona, and California. We determined that value and quantity data for those transactions were not reliable for the purposes of this report; we based our assessment on a review of related documentation and on interviews with Census officials about the agency\u2019s procedures to ensure the quality of the data and with CBP officials to discuss relevant aspects of how transaction data might be entered in AES. According to Census officials, it is not possible to identify from AES whether or not an export came from a duty-free store, as such information is not required when filers submit electronic export information. We used an alternative method to identify the AES data associated with transactions at duty-free stores on the southwest border: We obtained the employer identification numbers (EIN) for those duty-free stores from CBP, which identified 88 duty-free stores on the southwest border that in some cases used the same EIN because some stores owned by the same proprietor used the same EIN. We obtained 54 EINs covering the 88 border stores. In one instance, a single EIN applied to 7 duty-free stores.", "Census provided us with the export transactions recorded in AES that corresponded to the 54 EINs provided by CBP. Census protects the confidential data contained in export transaction records it receives from firms but may disclose the data to other government agencies if the agency determines it is in the national interest to do so. For each transaction record, we requested the data for 24 of the 28 mandatory fields in AES for which exporters must provide information. In addition, we asked Census to filter the information by several fields to include country of destination (Mexico) and the Harmonized Tariff Schedule codes associated with cigarettes. Census identified 19,101 transaction records in response to our request. After removing those records that fell outside of our parameters (e.g., entries from 2009 and entries for which the value was $2,500 or less), 18,504 export transaction records remained. To identify the schemes related to the illicit trade in duty-free cigarettes, we reviewed court documentation from criminal cases at the state and federal levels. We also reviewed Federal Register notices for historical references to cases of smuggling in addition to interviewing officials from the U.S. and Mexican governments.", "To evaluate the extent to which duty-free cigarette export data presented potential compliance issues with reporting requirements, we reviewed such data from AES and compared select data elements to reporting requirements as stated in the Foreign Trade Regulations. We also reviewed summaries of events that CBP provided relating to a specific penalty issued by the port of Laredo to a duty-free store operator for failure to comply with AES reporting requirements. We examined a document Census provided to us that was submitted to that agency and CBP from the operator\u2019s lawyers as well as the interim document provided to that operator by CBP and Census. We also analyzed a subset of our data concurrently with agency officials to evaluate the compliance of the specific transaction records we received from Census with a requirement in the Foreign Trade Regulations. Additionally, we reviewed documents from the Commercial Customs Operations Advisory Committee to contextualize one of the largest duty-free store operator\u2019s use of its postdeparture filing privilege.", "We conducted this performance audit from November 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Assessment of Duty-Free Cigarette Export Data Reliability", "paragraphs": [], "subsections": [{"section_title": "Background", "paragraphs": ["We analyzed U.S. Census Bureau (Census) transaction-level data from the Automated Export System (AES) on sales of duty-free cigarettes purchased at stores located on the U.S. southwest border from 2010 through 2015. Census collects electronic export information in AES to report trade statistics, including the export of duty-free cigarettes. Stores that are principal parties to a sale of duty-free cigarettes for export generally self-report the transaction through AES. Some duty-free operators integrate point-of-sales systems to AES for automatic entry, and some enter the data manually or into software programs that are approved by Census, according to U.S. Customs and Border Protection (CBP) officials. Self-reported data captured in AES include transaction- related variables such as date of export, port of export, value, quantity, weight, method of transportation, and ultimate consignee. Census then uses the AES data to compile and publish export trade statistics.", "CBP and Census share responsibility for monitoring compliance with trade law, including the data reporting requirements that duty-free stores must meet. According to CBP officials, CBP officers regularly review duty-free store operators\u2019 inventory control and recordkeeping systems during unannounced spot checks and compliance assessments. However, according to these officials, CBP\u2019s compliance reviews of inventory control systems do not generally include an examination of how store operators report data in AES. AES is built to include automated electronic checks of stores\u2019 AES submissions as the data are entered; these data-entry validation checks produce alerts when required information is invalid or missing. Census also sometimes sends staff to meet with companies that have a high rate of submission errors, such as reporting shipments late.", "If they identify problems with the accuracy of the information that store operators are filing in AES, CBP and Census can take appropriate steps to enforce compliance with the law. CBP is responsible for the enforcement of the Foreign Trade Regulations. When data are incorrectly entered in AES, CBP can take enforcement action, including issuing penalties or seizing merchandise, according to CBP officials. Census can also respond to noncompliant reporting of electronic export information by operators by revoking special privileges granted to some, such as permission to file export information after a shipment has been exported, among other actions. In compiling and analyzing AES data, Census makes corrections to some data that appear erroneous, but CBP officials said that Census does not flag or report the data corrections it makes to CBP. Census officials stated that, while they reach out to some filers to suggest corrective action, the scale of the trade data program and the number of transactions processed every month precludes comprehensive outreach."], "subsections": []}, {"section_title": "Duty-Free Cigarette Data Collected through AES Are Not Reliable for Analysis of Value and Quantity of Exports or Associated Trends", "paragraphs": [], "subsections": [{"section_title": "Evaluating Unprocessed, Transaction-Level AES Data on Duty-Free Cigarettes", "paragraphs": ["Our testing found that the unprocessed transaction-level AES data on duty-free cigarettes for 2010 through 2015 are not reliable for use in describing the value and quantity of duty-free cigarettes, and associated trends, exported from the southwest border. For that time period, we received data on 18,504 transactions of duty-free cigarettes that had a reported value of $2,500 or above, in keeping with AES reporting requirements. To examine the data on value and quantity, we evaluated the reasonableness of the ratio of these variables, the unit price (value divided by quantity), and the consistency and stability of reported prices. We found that many of these transactions\u2019 reported unit prices are far below reasonable price levels. For example, 2.3 percent of transactions in these unprocessed data are associated with a unit price of under $4.42 per 1,000 cigarette sticks\u2014the cost of tobacco on commodity markets as of calendar year 2015, which excludes necessary costs of cigarettes such as paper costs and manufacturing costs. However, these transactions with extremely low unit prices account for more than 98 percent of the quantity of trade in duty-free cigarettes as reported in the AES data we obtained. Moreover, 39 percent of the reported transactions (accounting for more than 99.6 percent of the total reported quantity sold) were associated with unit prices lower than what we conservatively estimate to be the price at which duty-free stores could procure cigarettes from manufacturers, as discussed in the section below. We also found high levels of reported price variation in the data, with reported median unit sales prices frequently doubling or halving from year to year, even within the same port location."], "subsections": []}, {"section_title": "Evaluating Census\u2019s Data- Processing Methodology and Assumptions", "paragraphs": ["Census is responsible for collecting, compiling, and publishing AES trade data for duty-free cigarettes, and Census officials said that they clean and correct (process) these data by changing value entries to equal a \u201cprice adjustment factor\u201d when the unit price of transactions falls outside of an expected range, as explained below. For cigarette exports as of February 2017, including those transactions exempt from taxes and duties, these officials said that this range includes a minimum of $11 per 1,000 cigarette sticks, a price adjustment factor of $40 per 1,000 sticks, and a maximum of $75 per 1,000 sticks. According to these officials, Census sets its price range and adjustment factor by examining the data and identifying outlier levels based on judgment. Census officials stated that they updated this expected price range in February 2017. Census officials stated that price adjustment factors are not updated on a fixed schedule and do not automatically adjust for inflation. Instead, Census may choose to update factors when it believes there have been significant changes in an industry\u2019s trade patterns. According to these officials, prior to February 2017, the price range for cigarettes was last updated in 2007. From 2007 through January 2017, the price adjustment factor for cigarettes was $11.46\u2014about one-fourth of its current value\u2014with a minimum of $8.87 and a maximum of $27.39.", "Census\u2019s current price range for cigarettes is not appropriate for cleaning data to analyze trends in duty-free cigarette exports because it may significantly underestimate a reasonable expected price range for cigarettes. Approximately 39 percent of the observations in the unprocessed, duty-free cigarette data are associated with sales prices below Census\u2019s minimum price or above Census\u2019s maximum price. We estimated minimum and maximum expected prices for cigarettes that are substantially greater than Census\u2019s current price adjustment factor range for cigarettes.", "To estimate a minimum expected price for cigarettes, we examined commodity prices, production costs, and revenue data from a large, publicly traded cigarette manufacturer. We found that the manufacturing cost of cigarettes exceeded Census\u2019s estimated minimum sales price by 30 percent, $14.26 per 1,000 cigarette sticks instead of $11. Thus, even if the manufacturer sold its cigarettes directly to a duty-free store, and neither the manufacturer nor the duty-free store made a profit, we would still expect a price greater than Census\u2019s lower bound.", "This expected minimum retail price increases significantly if we account for cigarette manufacturers\u2019 revenue. Using revenue data from the public accounting statements of the same manufacturer, and again conservatively assuming direct sales to a duty-free store that itself sells for no profit, we would expect to see a price of $43.65 per 1,000 cigarette sticks, which is nearly 300 percent greater than Census\u2019s lower bound of $11 per 1,000 cigarette sticks and about 9 percent larger than Census\u2019s current price adjustment factor of $40 per 1,000 sticks.", "To estimate a maximum expected price for cigarettes, we examined the price of a premium cigarette brand listed for sale on a duty-free store\u2019s website. We found that this price was 163 percent higher than the upper bound in Census\u2019s price range, $197.50 per 1,000 cigarette sticks instead of $75 per 1,000 sticks.", "For any observed prices in trade data outside of this expected range for a given tariff code, Census officials said that they attempt to correct these observations by adjusting the reported quantity such that the reported price is equal to the price adjustment factor\u2014$40 per 1,000 cigarette sticks. For example, if a reported sale is $80 per 1,000 cigarette sticks, Census will adjust the reported quantity to 2,000 sticks while leaving the reported value unchanged, so the reported price (value divided by quantity) becomes $40 for each unit of 1,000 sticks. Census officials stated that this data cleaning process is sufficient for their use in producing aggregated trade statistics because of the volume of transactions they must review and the ease with which Census analysts can apply this method to clean trade data.", "Census\u2019s process of correcting missing or outlying data (unreliable data) with its price adjustment factor is not appropriate for our use because it would significantly alter the relationships among subgroups within our data, distorting trends that we otherwise would intend to analyze. For example, in a hypothetical dataset where the average sales price is $40 per 1,000 cigarette sticks across exports from the United States, Census\u2019s replacement of missing and outlying data using a price adjustment factor of $40 would not change this overall average. But if one state in the data has an average sales price lower than the national average, reflecting lower costs of doing business, any missing or outlying data replaced with the same price adjustment factor as other higher costing states would increase the state\u2019s reported average sales price. The distinction between high-price states and low-price states would thus become less clear.", "Moreover, we cannot determine the appropriateness of Census\u2019s decision to preserve reported value and adjust reported quantity when processing data to manage the relationship between value, quantity, and price. This is because we cannot determine whether the unprocessed value or the unprocessed quantity data are reliable. Applying our minimum expected price for cigarettes, discussed above, excludes many transactions in the unprocessed data, indicating problems with value, quantity, or both. Census officials stated that they believe the value data are more reliable than the quantity data and so change the reported quantity data when processing the data, though they also stated that this is a general assumption without specific insight as to whether or why this method may be valid for cigarettes. While CBP officials stated that high-level postaudit checks can be used to ensure that a store\u2019s AES system is working properly, they said that these checks are rare, and the inventory control system compliance review does not otherwise provide assurance that data self-reported into AES are reliable. CBP officials stated that they were not confident about which transaction data in AES were more reliable: value or quantity. Because neither agency\u2019s control process provides strong assurance that either the value or the quantity data are reliable for our use, we cannot appropriately use value, quantity, or price as a benchmark to correct the other variables."], "subsections": []}, {"section_title": "Evaluating Alternative Data-Processing Techniques", "paragraphs": ["Alternative methods for determining appropriate replacement values for outlying data, referred to as imputation, would not make the duty-free cigarette data reliable for our intended use. For example, stochastic regression imputation replaces a missing or excluded variable value within an observation by drawing randomly from within the error distribution of a best-fit model. Correctly specifying such a model allows data processing to occur while preserving the dataset\u2019s overall average values, correlations, and variation. However, identifying the observations that require correction remains a challenge. As discussed above, we can estimate the approximate manufacturer\u2019s sales price for cigarettes. In the absence of additional proprietary data, we are unable to determine a price range that accounts for retail store costs and profit. Without this information, and given that the duty-free cigarette data include significant and questionable variation of reported prices even within our estimated price band, it is not possible to identify which observations require correction or deletion with appropriate levels of confidence. Lacking a clear basis for finding either the value data or quantity data reliable, we also cannot appropriately determine how to manage the relationship between value and quantity if we were to impute replacement price levels for these observations."], "subsections": []}]}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Emil Friberg (Assistant Director), Farhanaz Kermalli (Analyst-in-Charge), Giff Howland, David Dayton, Neil Doherty, Andrew Kurtzman, and Grace Lui made key contributions to this report. Pedro Almoguera, Ming Chen, Jill Lacey, and Mary Moutsos provided technical assistance."], "subsections": []}]}], "fastfact": ["Unlike airport duty-free shops, U.S. duty-free stores on the border with Mexico can sell you an unlimited quantity of tax-free cigarettes. Sometimes criminals buy thousands of dollars' worth of these cigarettes to sell illegally (as shown below), which can generate revenue for organized crime.", "This report examines the illicit trade in cigarettes on the southwest border and some challenges U.S. Customs and Border Protection and other agencies face in countering it. We recommended that CBP take steps to strengthen compliance with export reporting requirements for duty-free cigarette sales."]} {"id": "GAO-17-809T", "url": "https://www.gao.gov/products/GAO-17-809T", "title": "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Affecting the Fleet", "published_date": "2017-09-19T00:00:00", "released_date": "2017-09-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since January 2017, the Navy has suffered four significant mishaps at sea that resulted in serious damage to its ships and the loss of 17 sailors. Three of these incidents involved ships homeported in Japan. In response to these incidents, the Chief of Naval Operations ordered an operational pause for all fleets worldwide, and the Vice Chief of Naval Operations directed a comprehensive review of surface fleet operations, stating that these tragic incidents are not limited occurrences but part of a disturbing trend in mishaps involving U.S. ships.", "This statement provides information on the effects of homeporting ships overseas, reducing crew size on ships, and not completing maintenance on time on the readiness of the Navy and summarizes GAO recommendations to address the Navy's maintenance, training, and other challenges.", "In preparing this statement, GAO relied on work it has published since 2015 related to the readiness of ships homeported overseas, sailor training and workload issues, maintenance challenges, and other issues. GAO updated this information, as appropriate, based on Navy data."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work shows that the Navy has increased deployment lengths, shortened training periods, and reduced or deferred maintenance to meet high operational demands, which has resulted in declining ship conditions and a worsening trend in overall readiness. The Navy has stated that high demand for presence has put pressure on a fleet that is stretched thin across the globe. Some of the concerns that GAO has highlighted include:", "Degraded readiness of ships homeported overseas: Since 2006, the Navy has doubled the number of ships based overseas. Overseas basing provides additional forward presence and rapid crisis response, but GAO found in May 2015 that there were no dedicated training periods built into the operational schedules of the cruisers and destroyers based in Japan. As a result, the crews of these ships did not have all of their needed training and certifications. Based on updated data, GAO found that, as of June 2017, 37 percent of the warfare certifications for cruiser and destroyer crews based in Japan\u2014including certifications for seamanship\u2014had expired. This represents more than a fivefold increase in the percentage of expired warfare certifications for these ships since GAO's May 2015 report. The Navy has made plans to revise operational schedules to provide dedicated training time for overseas-based ships, but this schedule has not yet been implemented.", "Crew size reductions contribute to sailor overwork and safety risks: GAO found in May 2017 that reductions to crew sizes the Navy made in the early 2000s were not analytically supported and may now be creating safety risks. The Navy has reversed some of those changes but continues to use a workweek standard that does not reflect the actual time sailors spend working and does not account for in-port workload\u2014both of which have contributed to some sailors working over 100 hours a week.", "Inability to complete maintenance on time: Navy recovery from persistently low readiness levels is premised on adherence to maintenance schedules. However, in May 2016, GAO found that the Navy was having difficulty completing maintenance on time. Based on updated data, GAO found that, in fiscal years 2011 through 2016, maintenance overruns on 107 of 169 surface ships (63 percent) resulted in 6,603 lost operational days (i.e., the ships were not available for training and operations).", "Looking to the future, the Navy wants to grow its fleet by as much as 30 percent but continues to face challenges with manning, training, and maintaining its existing fleet. These readiness problems need to be addressed and will require the Navy to implement GAO's recommendations\u2014particularly in the areas of assessing the risks associated with overseas basing, reassessing sailor workload and the factors used to size ship crews, managing investments to modernize and improve the efficiency of the naval shipyards, and applying sound planning and sustained management attention to its readiness rebuilding efforts. In addition, continued congressional oversight will be needed to ensure that the Navy demonstrates progress in addressing its maintenance, training, and other challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made 14 recommendations in prior work cited in this statement. The Department of Defense generally concurred with all of them but has implemented only 1. Continued attention is needed to ensure that these recommendations are addressed, such as the Navy assessing the risks associated with overseas basing and reassessing sailor workload and factors used in its manpower requirements process."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss issues related to Navy readiness in the wake of four significant mishaps at sea thus far in 2017. The most recent of these occurred in August when an Arleigh Burke class destroyer\u2014the USS John S. McCain (DDG 56)\u2014collided with an oil tanker while underway near Singapore. This collision resulted in serious damage to the ship, the loss of 10 sailors, and injury to five more. It was the second collision involving the loss of life for Navy ships underway in the last three months and the fourth significant at sea mishap in the past year. In response to these incidents, the Chief of Naval Operations ordered an operational pause for all fleets worldwide, and the Vice Chief of Naval Operations directed a comprehensive review of surface fleet operations, stating that these tragic incidents are not limited occurrences but part of a disturbing trend of mishaps involving U.S. warships.", "While we await the Navy\u2019s official findings on this matter, you asked us to testify today on findings from our recent Navy readiness reviews. Before we begin, however, it is important to set the context for the challenges the Navy faces. In June 2017, we issued a report highlighting five key mission challenges facing the Department of Defense (DOD). In that report, we noted that the United States faces an extremely challenging national security environment at the same time that it is grappling with addressing an unsustainable fiscal situation in which DOD accounts for approximately half of the federal government\u2019s discretionary spending. Within this environment, DOD is working to both rebuild the readiness of its forces and modernize to meet future threats while facing constrained budgets. Each of the military services today are generally smaller and less combat ready than they have been in many years, and each military service has been forced to cut critical needs in areas such as training, maintenance, and modernization due to budgetary constraints. Put simply, our work has shown that readiness challenges persist across a number of areas including, but not limited to, the Navy.", "This statement provides information on Navy readiness, including the effects of homeporting ships overseas, reducing crew size on ships, and not completing maintenance on time, and summarizes GAO recommendations to address the Navy\u2019s challenges. We provided a similar statement on September 7, 2017 before two subcommittees of the House Armed Services Committee. This statement is updated to include recently-issued work on Navy shipyards and is based on our body of work issued between 2015 and 2017 examining the readiness of ships homeported overseas, sailor training and workload issues, maintenance challenges, and other readiness issues. To perform our prior work, we analyzed Navy readiness, training, and maintenance data, and interviewed cognizant Navy officials involved in fleet operations. The reports cited throughout this statement contain more details on the scope of the work and the methodology used to carry it out. This statement also includes updates to information as of August 2017, as appropriate, based on Navy documentation and discussions with Navy officials.", "The work on which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since January 2017, the Navy has suffered four significant mishaps at sea that have resulted in serious damage to Navy ships and the loss of 17 sailors (see figure 1). Three of the four at sea mishaps that have occurred\u2014two collisions and one grounding\u2014have involved ships homeported overseas in Yokosuka, Japan. Appendix II provides a summary of major mishaps for Navy ships at sea in fiscal years 2009 through 2017.", "The Navy currently has 277 ships, a 17 percent reduction from the 333 ships it had in 1998. Over the past two decades, as the number of Navy ships has decreased, the number of ships deployed overseas has remained roughly constant at about 100 ships; consequently, each ship is being deployed more to maintain the same level of presence. We reported in September 2016 that the Navy, along with the other military services, had been reporting persistently low readiness levels. The Navy attributes these, in part, to the increased deployment lengths needed to meet the continuing high demand for its aircraft carriers, cruisers, destroyers, and amphibious ships. For example, the deployment lengths for carrier strike groups had increased from an average of 6.4 months during the period of 2008 through 2011 to a less sustainable 9 months for three carrier strike groups that were deployed in 2015. In 2016, the Navy extended the deployments of the Harry S Truman and Theodore Roosevelt Carrier Strike Groups to 8 and 8.5 months, respectively. In addition, the Navy has had to shorten, eliminate, or defer training and maintenance periods to support these high deployment rates. These decisions have resulted in declining ship conditions across the fleet and have increased the amount of time required for the shipyards to complete maintenance on these ships. Lengthened maintenance periods, in turn, compress the time that ships are available for training and operations."], "subsections": []}, {"section_title": "Ships Homeported Overseas Provide Increased Forward Presence but Train Less, Defer More Maintenance, Degrade Faster, and Cost More to Operate", "paragraphs": ["As we previously reported, to help meet the operational demands using its existing inventory of ships, the Navy has assigned more of its surface combatants and amphibious ships to overseas homeports. Since 2006, the Navy has doubled the percentage of the fleet assigned to overseas homeports. In 2006, 20 ships were homeported overseas (7 percent of the fleet); today, 40 ships are homeported overseas (14 percent of the fleet) in Japan, Spain, Bahrain, and Italy; and an additional destroyer will be homeported in Yokosuka, Japan in 2018 (see figure 2).", "According to the Navy, homeporting ships overseas is an efficient method for providing forward presence and rapid crisis response. Our prior work confirms that having ships homeported overseas provides additional presence, but it comes at a cost. For example, we found in May 2015 that homeporting ships overseas results in higher operations and support costs than homeporting ships in the United States. In addition, the operational schedules the Navy uses for overseas-homeported ships limit dedicated training and maintenance periods, resulting in difficulty keeping crews fully trained and ships maintained. In fact, the primary reason that Navy ships homeported overseas provide more deployed time than ships homeported in the United States is that the Navy reduces their training and maintenance periods in order to maximize their operational availability. Ships homeported overseas do not operate within the traditional fleet response plan cycles that apply to U.S.-based ships. Since the ships are in permanent deployment status during their time homeported overseas, they do not have designated ramp-up and ramp- down maintenance and training periods built into their operational schedules (see figure 3). Navy officials told us that because the Navy expects these ships to be operationally available for the maximum amount of time, their intermediate and depot-level maintenance are executed through more frequent, shorter maintenance periods or deferred until after they return to a U.S. homeport\u2014generally after 7 to 10 years overseas.", "In May 2015, we also found that high operational tempo for ships homeported overseas limits the time for crew training when compared with training time for ships homeported in the United States. Navy officials told us that U.S.-based crews are completely qualified and certified prior to deploying from their U.S. homeports, with few exceptions. In contrast, the high operational tempo of ships homeported overseas had resulted in what Navy personnel called a \u201ctrain on the margins\u201d approach, a shorthand way to say there was no dedicated training time set aside for the ships so crews trained while underway or in the limited time between underway periods. We found that, at the time of our 2015 review, there were no dedicated training periods built into the operational schedules of the cruisers, destroyers, and amphibious ships homeported in Yokosuka and Sasebo, Japan. As a result, these crews did not have all of their needed training and certifications. We recommended that the Navy develop and implement a sustainable operational schedule for all ships homeported overseas. DOD concurred with this recommendation and reported in 2015 that it had developed revised operational schedules for all ships homeported overseas. However, when we contacted DOD to obtain updated information in August 2017, U.S. Pacific Fleet officials stated that the revised operational schedules for the cruisers and destroyers homeported in Japan were still under review and had not been employed. As of June 2017, 37 percent of the warfare certifications for cruiser and destroyer crews homeported in Japan had expired, and over two-thirds of the expired certifications\u2014including mobility-seamanship and air warfare\u2014had been expired for 5 months or more. This represents more than a fivefold increase in the percentage of expired warfare certifications for these ships since our May 2015 report. The Navy\u2019s Surface Force Readiness Manual states that the high operational tempo and frequent tasking of ships homeported overseas requires that these ships always be prepared to execute complex operations and notes that this demand for continuous readiness also means that ships homeported overseas should maintain maximum training, material condition, and manning readiness.", "With respect to the material condition of the ships, we found in May 2015 that casualty reports\u2014incidents of degraded or out-of-service equipment\u2014nearly doubled over the 2009 through 2014 time frame, and the condition of overseas-homeported ships decreased even faster than that of U.S.-based ships (see figure 4). The Navy uses casualty reports to provide information on the material condition of ships in order to determine current readiness. For example, casualty report data provide information on equipment or systems that are degraded or out of service, the lack of which will affect a ship\u2019s ability to support required mission areas. In 2015, Navy officials acknowledged an increasing number of casualty reports on Navy ships and a worsening trend in material ship condition. They stated that equipment casualties require unscheduled maintenance and have a negative effect on fleet operations, because there is an associated capability or capacity loss.", "In our May 2015 report, we recommended that the Navy develop a comprehensive assessment of the long-term costs and risks to its fleet associated with the Navy\u2019s increasing reliance on overseas homeporting to meet presence requirements; make any necessary adjustments to its overseas presence based on this assessment; and reassess these risks when making future overseas homeporting decisions. DOD concurred with this recommendation, but, as of August 2017, it has not conducted an assessment, even though it has continued to increase the number of ships homeported overseas."], "subsections": []}, {"section_title": "Size and Composition of Ship Crews May Contribute to Sailor Overwork and Create Readiness and Safety Risks", "paragraphs": ["In the early 2000s, the Navy made several changes to its process for determining the size and composition of ship crews that may contribute to sailor overwork and create readiness and safety risks. These changes were intended to drive down crew sizes in order to save on personnel costs. However, as we reported in May 2017, these changes were not substantiated with analysis and may be creating readiness and safety risks. With fewer sailors operating and maintaining surface ships, the material condition of the ships declined, and we found that this decline ultimately contributed to an increase in operating and support costs that outweighed any savings on personnel (see figure 5). The Navy eventually reassessed and reversed some of the changes it had made during this period\u2014known as \u201coptimal manning\u201d\u2014but it continued to use a workweek standard that does not reflect the actual time sailors spend working and does not account for in-port workload\u2014both of which may be leading to sailors being overworked. Additionally, we found that heavy workload does not end after ships return to port. Crews typically operate with fewer sailors while in port, so those crew members remaining must cover the workload of multiple sailors, causing additional strain and potential overwork.", "In 2014, the Navy conducted a study of the standard workweek and identified significant issues that could negatively affect a crew\u2019s capabilities to accomplish tasks and maintain the material readiness of ships, as well as crew safety issues that might result if crews slept less to accommodate workload that was not accounted for. The Navy study found that sailors were on duty 108 hours a week, exceeding their weekly on-duty allocation of 81 hours. This on-duty time included 90 hours of productive work\u201420 hours per week more than the 70 hours that are allotted in the standard workweek. This, in turn, reduced the time available for rest and resulted in sailors spending less time sleeping than was allotted, a situation that the study noted could encourage a poor safety culture. Moving forward, the Navy will likely face manning challenges, especially given its current difficulty in filling authorized positions, as it seeks to increase the size of its fleet by as much as 30 percent over its current size. Navy officials stated that even with manpower requirements that accurately capture all workload, the Navy will be challenged to fund these positions and fill them with adequately trained sailors at current personnel levels. Figure 6 shows the Navy\u2019s projected end strength and fleet size.", "In our May 2017 report, we found that the Navy\u2019s guidance does not require that the factors it uses to calculate manpower requirements be reassessed periodically or when conditions change, to ensure that these factors remain valid and that crews are appropriately sized. We made several recommendations to address this issue, including that the Navy should (1) reassess the standard workweek, (2) require examination of in- port workload, (3) develop criteria to reassess the factors used in its manpower requirements process, and (4) update its ship manpower requirements. DOD concurred with our recommendations, stating that it is committed to ensuring that the Navy\u2019s manpower requirements are current and analytically based and will meet the needs of the existing and future surface fleet. As of August 2017, DOD had not yet taken any actions to implement these recommendations. We believe that, until the Navy makes the needed changes, its ships may not have the right number and skill mix of sailors to maintain readiness and prevent overworking its sailors."], "subsections": []}, {"section_title": "The Navy\u2019s Inability to Complete Ship Maintenance on Time Hampers Its Efforts to Rebuild Readiness", "paragraphs": ["To address its persistently low readiness levels, the Navy began implementing a revised operational schedule in November 2014, which it referred to as the optimized fleet response plan. This plan seeks to maximize the employability of the existing fleet while preserving adequate time for maintenance and training, providing continuity in ship leadership and carrier strike group assignments, and restoring operational and personnel tempos to acceptable levels. The Navy\u2019s implementation of the optimized fleet response plan\u2014and readiness recovery more broadly\u2014is premised on adherence to deployment, training, and maintenance schedules.", "However, in May 2016, we found that the Navy was having difficulty in implementing its new schedule as intended. Both the public and private shipyards were having difficulty completing maintenance on time, owing primarily to the poor condition of the ships after more than a decade of heavy use, deferred maintenance, and the Navy\u2019s inability to accurately predict how much maintenance they would need. We reported that in 2011 through 2014 only 28 percent of scheduled maintenance for surface combatants was completed on time and just 11 percent was completed on time for aircraft carriers. We updated these data as of August 2017 to include maintenance availabilities completed through the end of fiscal year 2016 and found continued difficulty completing maintenance on time for key portions of the Navy fleet (see figure 7):", "Aircraft Carriers (CVNs): In fiscal years 2011 through 2016, maintenance overruns on 18 of 21 (86 percent) aircraft carriers resulted in a total of 1,103 lost operational days\u2014days that ships were not available for operations\u2014the equivalent of losing the use of 0.5 aircraft carriers each year.", "Surface Combatants (DDGs and CGs): In fiscal years 2011 through 2016, maintenance overruns on 107 of 169 (63 percent) surface combatants resulted in a total of 6,603 lost operational days\u2014the equivalent of losing the use of 3.0 surface combatants each year.", "Submarines (SSNs, SSBNs, and SSGNs): In fiscal years 2011 through 2016, maintenance overruns on 39 of 47 (83 percent) submarines resulted in a total of 6,220 lost operational days\u2014the equivalent of losing the use of 2.8 submarines each year.", "Navy officials are aware of the challenges faced by both the public and private shipyards and have taken steps to address the risks these pose to maintenance schedules, including hiring additional shipyard workers and improving their maintenance planning processes. However, Navy officials have told us that it will take time for these changes to bring about a positive effect. For example, as of May 2016, data on the public shipyards\u2019 workforce showed that 32 percent of all employees had fewer than 5 years of experience. According to Navy officials, this workforce inexperience negatively affects the productivity of the shipyards, and it will take several years for them to attain full productivity.", "Just last week, we issued another report, prepared in response to direction from this committee, examining the ability of the Navy\u2019s public shipyards to support the Navy\u2019s readiness needs. We found that capacity limitations as well as the poor condition of the shipyards\u2019 facilities and equipment contributed to the maintenance delays we discussed earlier and were hindering the shipyards\u2019 ability to support the Navy. Specifically, we found that the shipyards will be unable to support 73\u2014or about one-third\u2014of 218 maintenance periods planned over the next 23 years. In addition, this estimate did not factor in planned increases to the fleet. We made three recommendations, with which the Navy agreed to take steps to improve its management of capital investment in the shipyards. However, we noted that at current average funding levels it would take at least 19 years and a Navy-estimated $4.86 billion to clear the backlog of restoration and modernization projects at the shipyards. Furthermore, this estimate does not include the $9 billion that the Navy estimates it will need for capacity and capability upgrades over the next 12 years to support maintenance operations for the current fleet."], "subsections": []}, {"section_title": "Navy Readiness Rebuilding is Part of a Broader DOD Effort", "paragraphs": ["In September 2016, we found that although DOD has stated that readiness rebuilding is a priority, implementation and oversight of department-wide readiness rebuilding efforts did not fully include key elements of sound planning, and the lack of these elements puts the overall rebuilding efforts at risk. The Navy states that its overall goal for readiness recovery is to reach a predictable and sustainable level of global presence and surge capacity from year to year. The Navy identified carrier strike groups and amphibious ready groups as key force elements in its plan for readiness recovery and had set 2020 for reaching a predictable and sustainable level of global presence and surge capacity by implementing the optimized fleet response plan. However, we found in 2016 that the Navy faced significant challenges, such as delays in completing maintenance and emerging demands, in achieving its readiness recovery goals for carrier strike groups and amphibious ready groups, and projections show that the Navy will not meet its time frames for achieving readiness recovery.", "As a result, we recommended that DOD and the services establish comprehensive readiness goals, strategies for implementing them, and associated metrics that can be used to evaluate whether readiness recovery efforts are achieving intended outcomes. DOD generally concurred with our recommendations and, in November 2016, issued limited guidance to the military services on rebuilding readiness; it has also started to design a framework to guide the military services in achieving readiness recovery but has not yet implemented our recommendations. The Navy has since extended its time frame for readiness recovery to at least 2021, but it still has not developed specific benchmarks or interim goals for tracking and reporting on readiness recovery. Navy officials cited several challenges to rebuilding readiness, chief among them the continued high demand for its forces, the unpredictability of funding, and the current difficulty with beginning and completing ship maintenance on time.", "In January 2017, the President directed the Secretary of Defense to conduct a readiness review and identify actions that can be implemented in fiscal year 2017 to improve readiness. DOD and Navy officials told us that, as part of this readiness review, the Navy prioritized immediate readiness gaps and shortfalls. These officials added that this review would guide the Navy\u2019s investment decisions in future budget cycles, with the intention to rebuild readiness and prepare the force for future conflicts. However, high demand for naval presence will continue to put pressure on a fleet that is already stretched thin across the globe. Looking to the future, the Navy has plans to grow its fleet by as much as 30 percent, but it has not yet shown the ability to adequately man, maintain, and operate the current fleet. These readiness problems need to be addressed and will require the Navy to implement our recommendations\u2014particularly in the areas of assessing the risks associated with overseas basing, reassessing sailor workload and the factors used to size ship crews, managing investments in its shipyards, and applying sound planning and sustained management attention to its readiness rebuilding efforts. In addition, continued congressional oversight will be needed to ensure that the Navy demonstrates progress in addressing its maintenance, training, and other challenges.", "Chairmen McCain, Ranking Member Reed, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff have questions about this testimony, please contact John Pendleton, Director, Defense Capabilities and Management at (202) 512-3489 or pendletonj@gao.gov.", "Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Suzanne Wren, Assistant Director; Steven Banovac, Chris Cronin, Kerri Eisenbach, Joanne Landesman, Amie Lesser, Felicia Lopez, Tobin McMurdie, Shari Nikoo, Cody Raysinger, Michael Silver, Grant Sutton, and Chris Watson."], "subsections": []}]}, {"section_title": "Appendix I: Implementation Status of Prior GAO Recommendations Cited in this Testimony", "paragraphs": ["Over the past three years, we issued several reports related to Navy readiness cited in this statement. Table 1 summarizes the status of recommendations made in these reports, which contained a total of 14 recommendations. The Department of Defense generally concurred with all of these recommendations but has implemented only one of them to date. For each of the reports, the specific recommendations and their implementation status are summarized in tables 2 through 5."], "subsections": []}, {"section_title": "Appendix II: Summary of Major Mishaps for Navy Ships at Sea for Fiscal Years 2009 Through 2017, as of August 2017", "paragraphs": ["The Navy defines a class A mishap as one that results in $2 million or more in damages to government or other property, or a mishap that resulted in a fatality or permanent total disability. We analyzed data compiled by the Naval Safety Center for fiscal years 2009 through 2017 to provide a summary of major Navy mishaps at sea (see table 6)."], "subsections": []}, {"section_title": "Appendix III: Related GAO Products", "paragraphs": ["Report numbers with a C or RC suffix are Classified. Classified reports are available to personnel with the proper clearances and need to know, upon request.", "Naval Shipyards: Actions Needed to Improve Poor Conditions that Affect Operation. GAO-17-548. Washington, D.C.: September 12, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet. GAO-17-798T. Washington, D.C.: September 7, 2017.", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Military Readiness: Coastal Riverine Force Challenges. GAO-17-462C. Washington, D.C.: June 13, 2017. (SECRET)", "Navy Force Structure: Actions Needed to Ensure Proper Size and Composition of Ship Crews. GAO-17-413. Washington, D.C.: May 18, 2017.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: September 7, 2016.", "Navy and Marine Corps: Services Face Challenges to Rebuilding Readiness. GAO-16-481RC. Washington, D.C.: May 25, 2016. (SECRET//NOFORN)", "Military Readiness: Progress and Challenges in Implementing the Navy\u2019s Optimized Fleet Response Plan. GAO-16-466R. Washington, D.C.: May 2, 2016.", "Navy Force Structure: Sustainable Plan and Comprehensive Assessment Needed to Mitigate Long-Term Risks to Ships Assigned to Overseas Homeports. GAO-15-329. Washington, D.C.: May 29, 2015.", "Military Readiness: Navy Needs to Assess Risks to Its Strategy to Improve Ship Readiness. GAO-12-887. Washington, D.C.: September 21, 2012.", "Force Structure: Improved Cost Information and Analysis Needed to Guide Overseas Military Posture Decisions. GAO-12-711. Washington, D.C.: June 6, 2012.", "Military Readiness: Navy Needs to Reassess Its Metrics and Assumptions for Ship Crewing Requirements and Training. GAO-10-592. Washington, D.C.: June 9, 2010.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-19-5", "url": "https://www.gao.gov/products/GAO-19-5", "title": "Department of Energy: Performance Evaluations Could Better Assess Management and Operating Contractor Costs", "published_date": "2019-02-26T00:00:00", "released_date": "2019-02-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal years 2006 through 2016, the federal government spent almost $193 billion on DOE's M&O contracts\u2014a form of contract that traces its origins to the Manhattan Project. Six DOE offices use M&O contracts to manage and operate federally owned sites that perform work to fulfill DOE's diverse missions, such as conducting scientific research and maintaining nuclear weapons.", "GAO was asked to review DOE's performance management of its M&O contracts. This report examines, among other things, (1) how DOE offices evaluated M&O contractor performance in fiscal years 2006 through 2016; (2) the extent to which DOE's fiscal year 2016 M&O contractor PERs provide information on contractors' technical, administrative, and cost performance; and (3) the results of DOE's M&O contractor performance evaluations for fiscal years 2006 through 2016.", "GAO reviewed performance evaluation documents for 21 of the 22 DOE M&O contracts; analyzed DOE policies, procedures, and guidelines, and federal regulations; analyzed technical, administrative, and cost aspects of M&O contracts' 2016 PERs; and interviewed DOE officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal years 2006 through 2016, six offices within the Department of Energy (DOE) generally used one of three different approaches to evaluate management and operating (M&O) contractor performance. Although these approaches varied in the performance criteria and methodologies used for determining contractor ratings and incentives, all the offices annually set expectations for contractors and assessed performance.", "In analyzing DOE's fiscal year 2016 Performance Evaluation Reports (PER), GAO found that these reports provided less information on M&O contractors' cost performance than on contractors' technical and administrative performance. The cost information provided in the PERs often was not detailed, did not indicate the significance of the performance being described, and applied only to specific activities. Further, the information is of limited use for acquisition decision-making, such as deciding whether to extend the length of a contract, because it does not permit an overall assessment of cost performance. A key reason PERs did not include more cost performance information is that the DOE offices' policies do not require specific assessments of cost performance or discuss how to ensure cost information is useful for future acquisition decision-making. By updating policies to require inclusion of quality cost performance information in PERs, DOE offices could better assess M&O contractors' costs, improve acquisition decision-making, and ensure performance evaluations fully address required elements.", "Based on GAO's review of DOE M&O contractor performance evaluations from fiscal years 2006 through 2016, DOE generally provided high performance ratings and more than 90 percent of available performance incentives (see figure). Ratings for some areas of contractor performance, as well as ratings for contractor performance at specific DOE sites, varied from this trend. For example, three times during this period contractors received 50 percent or less of available award and incentive fees due to a major accident and safety and security issues."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations to DOE, including to each of the six DOE offices to update their policies requiring that PERs include quality information to enable an overall assessment of M&O contractor cost performance. In commenting on a draft of this report, DOE generally agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal years 2006 through 2016, the federal government spent almost $193 billion on Department of Energy (DOE) management and operating (M&O) contracts\u2014a form of contract that traces its origins to the Manhattan Project during World War II. DOE relies extensively on M&O contracts to manage and operate many of its government-owned, contractor-operated sites. DOE\u2019s diverse missions are carried out at these sites, including developing, maintaining, and securing the nation\u2019s nuclear weapons capability and conducting basic energy and science research and development. According to DOE\u2019s Fiscal Year 2017 Agency Financial Report, DOE spends approximately 90 percent of its annual budget on contracts. As we and the DOE Inspector General have previously found, DOE and its contractors face several management challenges involving large future costs, including nuclear weapon modernization, environmental liabilities, and aging and degraded infrastructure. Because of DOE\u2019s reliance on M&O contracts, contract management is critical to the agency\u2019s ability to successfully and cost- effectively meet these challenges.", "DOE manages and oversees its M&O contractors through a variety of means, including a performance evaluation process that evaluates contractor performance, reports on those evaluations, and rewards or penalizes contractors. Contractor performance evaluation reports cover a wide range of activities due to the significant size and scope of M&O contracts. These reports help form the basis of a contractor\u2019s performance record, which DOE and other agencies consider in awarding future contracts. Further, when an M&O contract has reached the end of its contract term, the Federal Acquisition Regulation (FAR) and DOE policy require DOE to consider the contractor\u2019s technical, administrative, and cost performance before deciding whether to extend the contract or open it up for competitive bids.", "DOE\u2019s history of inadequate management and oversight of its contractors has led us, since 1990, to designate aspects of the department\u2019s contract management as a high-risk area vulnerable to fraud, waste, abuse, and mismanagement. In January 2009, to recognize progress made at DOE\u2019s Office of Science, we narrowed the focus of the department\u2019s high- risk designation to two DOE offices: the National Nuclear Security Administration (NNSA) and the Office of Environmental Management (EM). In February 2013, we further narrowed the focus of DOE\u2019s high- risk designation to major projects and contracts (i.e., those with values of at least $750 million) within these two DOE offices, to acknowledge progress made in managing smaller-value efforts.", "Our recent reports and those from the DOE Inspector General, as well as from commissions, task forces, and other outside groups, have highlighted ongoing challenges with DOE\u2019s contracting and contract management. For example, the Congressional Advisory Panel on Governance of the Nuclear Security Enterprise (also known as the Augustine-Mies Panel) and the Commission to Review the Effectiveness of the National Energy Laboratories (CRENEL) recommended various measures for reforming DOE\u2019s M&O contractor management and oversight, including DOE\u2019s use of performance incentives. DOE also recognizes that it has faced long-standing challenges in managing its contracts, as outlined in a recent memo from the Deputy Secretary calling for comprehensive reforms to improve acquisition management.", "You asked us to review DOE\u2019s performance management of its M&O contracts. This report examines (1) how DOE offices evaluated M&O contractor performance in fiscal years 2006 through 2016 and the extent to which these offices have documented their evaluation approaches; (2) the extent to which DOE\u2019s fiscal year 2016 M&O contractor performance evaluation reports provide information on contractors\u2019 technical, administrative, and cost performance; and (3) the results of DOE\u2019s M&O contractor performance evaluations for fiscal years 2006 through 2016.", "For all three objectives, we reviewed performance evaluation documentation\u2014such as performance evaluation plans, performance evaluation reports, and fee determination\u2014for 21 of the 22 DOE M&O contracts in place as of fiscal year 2016, the most recently completed contract year at the time we initiated our review. We also reviewed documentation for the remaining contract\u2014the Bettis and Knolls Atomic Power Laboratories\u2019 M&O contract\u2014but excluded it from our analysis because the contract did not have award fee and annual performance evaluation reports comparable to the other DOE M&O contracts. We did not examine performance evaluations or incentives provided outside the main M&O contract performance evaluation reports for contracts that had separate contract line items for certain projects with separate performance evaluations. We also interviewed DOE officials to gain a further understanding of the department\u2019s performance evaluation processes and results.", "To examine how DOE offices have evaluated M&O contractor performance and the extent to which these offices have policies and procedures to guide these processes, we reviewed DOE\u2019s policies and procedures for performance evaluations, as well as policies and procedures from each of the six DOE offices with M&O contracts. We also reviewed annual performance evaluation plans and performance evaluation reports from fiscal years 2006 through 2016. We selected this period to provide 10 years of data on M&O contractors, and fiscal year 2016 was the latest year for which data were available when we began our engagement.", "To evaluate the extent to which performance evaluation reports provided information on each of the performance areas outlined in the FAR\u2014 technical, administrative, and cost\u2014we performed content analysis of 22 DOE fiscal year 2016 performance evaluation reports for M&O contractors. We examined the quality of the cost performance information contained in the DOE fiscal year 2016 performance evaluation reports by comparing the information contained in those reports to the definition DOE provided for \u201cquality\u201d in its Information Quality Guidelines. These guidelines apply to information DOE makes available publicly, which includes many performance evaluation reports.", "To examine the results of DOE\u2019s M&O contractor performance evaluations for fiscal years 2006 through 2016, we analyzed performance ratings and incentives awarded in performance evaluation reports, fee determination letters, and other performance evaluation documents. To compare performance ratings and incentives provided to contractors at M&O sites, we analyzed and provided information by \u201ccontract rating sites\u201d rather than individual contractors or physical sites, because the individual contractors and how certain sites align with the contracts changed over time. Accordingly, we analyzed 24 distinct contract rating sites covered by 21 M&O contracts in place as of fiscal year 2016. There are three more contract rating sites than the number of contracts in 2016; two were because two individual contracts were consolidated into one contract during the period we covered\u2014we analyzed the two individual contracts from prior to 2014 separately from the current consolidated contract\u2014and the third was because two DOE offices separately evaluated the performance of a single contractor that performed activities for each of those offices.", "To analyze and summarize performance ratings and incentives awarded, we used rating, award fee, and incentive fee information from 239 performance evaluations at the 24 contract rating sites. We did not include fee ratings from years in which award or incentive fees were not available. We also did not include information from the EM portion of the Savannah River Site contract for fiscal years 2006 through 2009, since award fees covered multiple years that did not align with individual fiscal years. Appendix I provides additional information on our scope and methodology.", "We conducted this performance audit from October 2016 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes DOE\u2019s M&O contracts, incentives in those contracts, general requirements for DOE\u2019s M&O contractor performance evaluation processes, and contracting and performance challenges involving DOE\u2019s M&O contracts that have been identified by previous reporting."], "subsections": [{"section_title": "DOE Uses M&O Contracts", "paragraphs": ["Since the Manhattan Project produced the first atomic bomb during World War II, DOE and its predecessor agencies have depended on the expertise of private firms, universities, and others with the scientific, manufacturing, and engineering expertise needed to carry out research and development work and manage and operate the government-owned, contractor-operated facilities where the bulk of the department\u2019s mission activities are carried out. DOE relies on contracts in general, and M&O contracts in particular, to do this work. According to DOE\u2019s Fiscal Year 2017 Agency Financial Report, the department spends approximately 90 percent of its annual budget on contracts, and in fiscal year 2016 DOE managed contracts valued at more than $24 billion. Of that amount, DOE spent approximately 80 percent on its M&O contracts.", "The work is closely related to the agency\u2019s mission and is of a long-term or continuing nature, and there is a need to ensure its continuity and for protection covering the orderly transition of personnel and work in the event of a change in contractors. and sites that are contaminated from decades of nuclear weapons production and nuclear energy research.", "The Office of Fossil Energy (FE) manages the nation\u2019s Strategic Petroleum Reserve, which is an emergency stockpile of oil stored in underground salt caverns in Texas and Louisiana.", "NNSA, a separately organized agency within DOE, is responsible for maintaining and enhancing the safety, reliability, and performance of the nation\u2019s nuclear weapons stockpile, promoting international nuclear safety and nonproliferation, and supporting U.S. leadership in science and technology, among other things.", "The Office of Nuclear Energy\u2019s (NE) primary mission is to advance nuclear power as a resource capable of making major contributions in meeting the nation\u2019s clean energy supply and energy security needs.", "The Office of Science (SC) supports scientific research for energy and the physical sciences both by supporting (1) such research, and (2) the development, construction, and operation of scientific user facilities.", "These DOE offices use M&O contracts to carry out their research and development, nuclear weapons production, and other missions. For example, for research and development, DOE is the nation\u2019s single largest funding source for basic physical sciences research, supporting research in energy sciences, advanced scientific computing, physics, and other fields. For weapons production, NNSA uses production sites to maintain, evaluate, repair, and dismantle both the nuclear and non- nuclear components for nuclear weapons; manufacture weapons components; and process tritium, a key isotope used to enhance the power of nuclear weapons. DOE also uses M&O contracts for sites dedicated to other types of missions, including nuclear waste disposal and an emergency stockpile of oil. Figure 1 and appendix II provide additional information on DOE\u2019s M&O contracts.", "In August 2016, we identified three key attributes associated with DOE\u2019s M&O contracts. First, M&O contracts have a limited competitive environment\u2014we found that about half of DOE\u2019s fiscal year 2015 M&O contract spending was on contracts awarded noncompetitively or that received a single offer at the time they were competed. In addition, M&O contracts include longer terms than other federal contracts, so they are competed less frequently. Second, DOE M&O contracts have broad scopes of work that cover nearly all aspects of work at a site. In particular, though mission activities of M&O contractors can be highly technical, mission support activities generally accounted for about 25 to 50 percent of contractors\u2019 total costs in fiscal year 2015, and encompassed such things as managing infrastructure, facilities, and grounds; security; and the internal audit function. Third, M&O contracts and DOE management practices contribute to a closer relationship between contractors and the government. For example, M&O contractors are generally more integrated with DOE in how they are paid and in their accounting systems than other types of contractors. With regard to payment, rather than traditional bill payment methods including invoices, payment approval and authorization, and disbursement of funds, M&O contractors can draw funds directly from federal accounts through \u201cletter of credit financing.\u201d", "With regard to accounting systems, as we reported in August 2016, DOE requires M&O contractors to follow DOE\u2019s Accounting Handbook and integrate their costs and liabilities in DOE\u2019s accounts each month. DOE officials said that this provides visibility into contractor accounts and allows DOE to monitor the appropriateness of the contractors\u2019 withdrawal of funds in near real time. According to DOE officials, this integration carries over into how the value of contracts are determined\u2014rather than establishing the cost of the contract at the time of contract award, the value of the M&O contract is determined by the amount annually obligated on the contract by DOE, consistent with DOE\u2019s annual congressional appropriations."], "subsections": []}, {"section_title": "Incentives in M&O Contracts", "paragraphs": ["Cost-reimbursement type contracts allow the agency to contract for work when circumstances do not allow the agency to sufficiently define its requirements or estimate its costs to allow for a fixed-price contract. Under a fixed-price contract, a contractor accepts responsibility for completing a specified amount of work for a fixed price. In contrast, under cost-reimbursement contracts, the government reimburses a contractor for allowable costs incurred, to the extent prescribed by the contract. The government may also pay a fee that is either fixed at the outset of the contract or adjustable based on performance criteria set out in the contract.", "In September 2009, we reported that cost-reimbursement contracts are considered high risk for the government because of the potential for cost escalation and because the government pays a contractor\u2019s costs of performance regardless of whether the work is completed. As such, cost-reimbursement contracts are suitable only when (1) circumstances do not allow the agency to define its requirements sufficiently to allow for a fixed-price type contract; or (2) uncertainties involved in contract performance do not permit costs to be estimated with sufficient accuracy to use any type of fixed-price contract. One major reason for the inability to accurately estimate costs is the lack of knowledge of the work needed to meet the requirements of the contract, such as with research contracts, which necessarily involve substantial uncertainties. The DOE Acquisition Regulation (DEAR) states that cost-plus-award-fee (cost reimbursement) contracts are generally the appropriate contract type for M&O contracts and that the agency can choose among a number of different contract types for its M&O contracts.", "Under the FAR, cost-reimbursement contracts may include specific incentives, such as arrangements intended to improve contractor efforts and discourage inefficiency and waste. Table 1 provides definitions of incentives commonly included in DOE\u2019s M&O contracts.", "Generally, according to DOE officials, award fees and incentive fees are intended to motivate M&O contractor performance on an annual basis, as outlined in annual performance evaluation plans. All DOE M&O contracts GAO analyzed also include \u201cconditional payment of fee\u201d clauses that permit the agency to reduce an otherwise earned fee if it determines that the contractor\u2019s performance did not meet minimum requirements, such as those related to safety, health, or the environment. Under the award term incentive, contractors can earn one additional year of performance under the contract for each year they exceed certain thresholds in their annual performance evaluations. (See apps. III through VIII for additional information on the incentives included in each M&O contract, by DOE office.)", "In addition, other elements of contract administration or oversight, while not formally incentives, can influence contractor performance. For example, option periods\u2014which are established in the contract\u2014enable the government to unilaterally extend the performance period and performance of services. According to DOE officials, other potentially important influences on contractor behavior include public reputation and the ability to compete for follow-on DOE or other government contracts."], "subsections": []}, {"section_title": "Performance Evaluation and Award Fee Requirements", "paragraphs": ["The FAR, DEAR, DOE\u2019s Acquisition Guide, and DOE policies provide requirements and guidance for DOE\u2019s annual performance evaluations of contractor performance. Under the FAR, all contracts providing for award fees must be supported by an award fee plan that establishes procedures for evaluating award fees and an Award Fee Board to conduct award fee evaluations. A Fee Determining Official makes the final determination regarding the amount of award fee the contractor earns during the evaluation period. Additionally, the FAR generally calls for entities that administer contracts providing award fees to use a set of ratings from Excellent to Unsatisfactory, which include performance descriptions and associated available award fee percentages (see Table 2 below). Award fee ratings are associated with a range of percentages of the total available award fee that DOE offices may award to a contractor based on the contractor\u2019s assessed performance.", "DOE offices develop two primary documents to guide and report assessments of contractors\u2019 performance for each fiscal year: a Performance Evaluation and Measurement Plan (PEMP) and a Performance Evaluation Report (PER). The PEMP is to be developed at the beginning of each fiscal year\u2014which is the beginning of the evaluation period\u2014and is to establish expectations for contractor performance and describe how the responsible DOE office will evaluate and measure performance against those expectations. The PEMP provides the blueprint for what performance is expected of contractors, how contractors\u2019 performance will be evaluated, and how the evaluations will be used to determine award fees, award terms, and any other incentives. The PER is to be developed at the end of each evaluation period\u2014which typically is the end of the fiscal year\u2014and is the responsible DOE office\u2019s evaluation of contractor performance, in which DOE documents the performance rating and, in some cases, the fees and other incentives that will be awarded to the contractor. Figure 2 shows the general steps of DOE\u2019s performance evaluation of contractors.", "Further, under the FAR and DOE policy, the department is to consider technical, administrative, and cost performance during acquisition planning. The FAR provides that, for M&O contracts, replacement of an incumbent contractor is largely based on an expectation of meaningful improvement in performance or cost; thus, an agency or department should consider three categories of performance\u2014technical, administrative, and cost\u2014when deciding whether to extend or compete a contract at the end of the contract\u2019s term. According to DOE officials, the annual performance evaluation process and the related PER are important sources of information for making these decisions. Thus, the PER should include relevant information on an M&O contractor\u2019s technical, administrative, and cost performance. For DOE, the M&O contract PER is also important because DOE uses information from the PER to update a contractor\u2019s past performance information in the Contractor Performance Assessment Reporting System (CPARS), which DOE and other agencies use to understand a contractor\u2019s performance history and to inform their evaluations of future contract proposals."], "subsections": []}, {"section_title": "Contracting and Performance Challenges Involving DOE\u2019s M&O Contracts", "paragraphs": ["A number of commissions, task forces, and other outside groups have identified challenges involving DOE\u2019s M&O contracts. For example, two independent commissions\u2014the Augustine-Mies Panel and CRENEL\u2014 have reported on related contract management challenges. The 2014 Augustine-Mies report focused on NNSA and made numerous recommendations for comprehensive reforms, including addressing dysfunctional government-M&O contractor relationships, improving oversight of M&O contractors, and reforming award fee and performance incentive structures. CRENEL, taking a broader view of all 17 national laboratories across DOE, in 2015 found a similar erosion of trust between DOE and some of its M&O contractors while noting that some laboratories, in particular those under SC, had better, more effective relationships. The CRENEL report recommended reforms to the management and oversight of M&O contractors and performance incentive structures. In addition to challenges, CRENEL also noted that SC\u2019s annual performance evaluation and planning processes were robust and suggested that they be adapted by other DOE offices.", "NNSA\u2019s and EM\u2019s contract management remains on our High-Risk List for government operations vulnerable to fraud, waste, abuse, and mismanagement. In addition, since 2005 we have identified a variety of project and program outcomes associated with deficiencies in DOE\u2019s management and oversight of its M&O contractors. We have also identified improvements needed in core processes and functions DOE relies on to oversee its M&O contractors and assess their performance. These reports include the following examples:", "Since 2005, during various reviews, we found that cost accounting practices used by NNSA\u2019s M&O contractors have varied, making it difficult for NNSA to compare costs across its sites or accurately identify the total costs across its nuclear security enterprise and to obtain reliable cost data. In January 2017, we reported on the importance of reliable enterprise-wide cost information to effective management and oversight and found that the plan NNSA submitted to Congress in 2016 to improve and integrate its financial management, as required by Congress in 2013, did not provide a useful road map for guiding NNSA\u2019s efforts. We recommended that NNSA develop a plan for producing cost information that fully incorporates leading planning practices. NNSA agreed, and we are monitoring implementation of the recommendation.", "In October 2014, we reported on actions taken to address challenges with the Uranium Processing Facility under construction at the NNSA Production Office Sites (specifically at the Y-12 National Security Complex), which is managed by the M&O contractor at that site. A challenge with this facility was that in July 2012 the M&O contractor concluded that required equipment would not fit into the facility as designed and that addressing this issue would cost an additional $540 million. NNSA\u2019s analysis of the factors that contributed to this issue identified several causes, including project oversight deficiencies\u2014 specifically, failure to ensure that requests and directives from NNSA to the contractor were implemented.", "In May 2015, we reported on NNSA\u2019s use of contractor assurance systems to conduct oversight and evaluate the performance of M&O contractors. Contractor assurance systems are designed and used by M&O contractors to oversee their own performance and to self- identify and correct potential problems. We found that NNSA had not fully established policies or guidance for using information from these systems to conduct oversight of M&O contractors and that NNSA therefore did not have standards for ensuring that contractors are overseen consistently. We recommended that NNSA establish policies and guidance for using information from contractor assurance systems for the oversight of M&O contractors; NNSA concurred with the recommendations and has taken some steps to establish policies and guidance, though it has not yet fully addressed our recommendations.", "In March 2017, we reported that DOE needed quality data to manage its risk of fraud and recommended that DOE require contractors to maintain sufficiently detailed transaction-level cost data that are reconcilable with amounts charged to the government. DOE did not concur with the recommendation and has not taken steps to implement it. Because DOE does not require its contractors to maintain sufficiently detailed transaction-level cost data that are reconcilable with amounts charged to DOE, it is not well positioned to employ data analytics as a fraud detection tool. As a result, DOE is missing an opportunity to develop, refine, and improve its data analytics and better meet requirements of the Fraud Reduction and Data Analytics Act."], "subsections": []}]}, {"section_title": "DOE Offices Use Different Approaches to Evaluate Contractor Performance, and all but NNSA Have Documented Their Approaches", "paragraphs": ["In fiscal years 2006 through 2016, the six DOE offices generally used one of three different approaches to evaluate M&O contractor performance. All but one of these offices have documented their approaches in policies and procedures; NNSA has a broad policy but does not have procedures for implementing it, in particular for collecting and using performance information. In the absence of documented procedures, NNSA may not consistently collect and use performance information in evaluating contractor performance."], "subsections": [{"section_title": "DOE Offices Use Three Approaches That Differ in Their Criteria and Methodologies for Ratings and Incentives", "paragraphs": ["According to DOE officials, DOE does not have a department-wide performance evaluation process and offices developed their approaches to performance evaluation based on their varying missions and performance evaluation priorities.", "We identified the following three general approaches:", "The Science and Energy Lab approach (used by SC, EERE, and NE) uses broad, office-wide performance criteria and a detailed process and web-based tool to collect performance information and determine ratings and incentives.", "The NNSA approach also uses broad, office-wide performance criteria, but ratings and incentives are determined through a series of management meetings.", "The Site Specific approach (used by FE and EM) uses more detailed performance criteria specific to each contract and makes rating and incentive determinations in ways that vary based on the individual criteria.", "These approaches generally differ in their (1) performance criteria, (2) methodologies used to determine contractor ratings, and (3) methodologies used to determine incentives. Appendixes III through VIII provide additional information on each office\u2019s performance evaluation approach."], "subsections": [{"section_title": "Performance Criteria", "paragraphs": ["Based on our review of DOE documents, the three approaches all use a combination of what PEMPs describe as subjective and objective performance criteria. The Science and Energy Lab and NNSA approaches use primarily subjective criteria, and the Site Specific approach uses primarily objective criteria. Subjective criteria are generally qualitative statements that describe desired contractor performance, according to DOE officials. For example, a subjective criterion that SC used during fiscal year 2016 was for contractors to \u201cprovide effective and efficient strategic planning and stewardship of scientific capabilities and program vision.\u201d In contrast, DOE officials explained that objective criteria generally describe performance that may be measured on a \u201cpass/fail\u201d or quantitative basis. For example, FE used objective criteria such as developing a strategic plan by a specific date or ensuring that all phases of construction were mechanically complete regarding the conversion of a tank.", "Performance criteria under the Science and Energy Lab and NNSA approaches share a similar structure of three tiers of criteria: goals, objectives, and notable outcomes (called key outcomes under NNSA\u2019s approach). The criteria are also mostly subjective and broad enough to be consistent across all the contracts of the responsible DOE office. Based on our review of DOE documents and information, SC and EERE have used the Science and Energy Lab approach since fiscal year 2006 and NE since fiscal year 2007. NNSA used the NNSA approach in fiscal years 2013 through 2016.", "Under the Science and Energy Lab and NNSA approaches, goals are general overarching statements of the desired outcomes for each major performance area under the contract and constitute the highest performance criteria used to evaluate contractor performance. Based on documentation describing these approaches, goals are to be composed of at least two objectives, which are statements of desired results for an organization or activity and that discuss specific actions the contractor will undertake to accomplish a goal. Each office uses its respective goals and objectives consistently for each of its M&O contracts (EERE and NE each have only one site) and generally cover the same functional areas across the offices, though some NNSA goals focus specifically on NNSA\u2019s nuclear weapons and national security missions. For complete lists of goals and objectives used by the offices using the Science and Energy Lab and NNSA approaches, see appendixes III, VI, VII, and VIII.", "The third tier performance criteria used to evaluate contractor performance is the notable outcome, which, according to agency documents, is intended to focus the contractor on specific items that officials identified as the most important initiatives or highest risk issues the contractor must address. According to DOE documents, notable outcomes differ from goals and objectives in that they (1) are usually objective, (2) are specific to each contractor, and (3) change from year to year. However, not all goals and objectives have associated notable outcomes. Figure 3 provides an example of the relationship between a goal and its related objectives and notable outcomes for SC\u2019s Brookhaven National Laboratory contractor for fiscal year 2016.", "Our review of agency documents found that the Site Specific approach consists primarily of objective performance criteria that are specific to each contract, as well as a few broader, objective criteria. This is in contrast to the other two DOE approaches to performance evaluation, which primarily rely on broad, subjective criteria and a few objective criteria. Based on our discussions with agency officials, both EM and FE have generally used this Site Specific approach since fiscal year 2006. For both offices, objective performance criteria are defined based on quantifiable metrics (e.g., a contractor\u2019s demonstrated waste processing rate) and milestones (e.g., whether a contractor completed a task on or before a scheduled date). For example, one of FE\u2019s fiscal year 2016 objective performance criteria for the Strategic Petroleum Reserve M&O contract is whether facilities and systems functioned at a level adequate to meet program requirements based on average scores from its Maintenance Performance Appraisal Rating tool. Further, our review of agency documents showed that the Site Specific approach uses subjective performance criteria for aspects of performance that may be difficult to capture objectively\u2014such as determining how effectively measures a contractor has taken have prevented harm to workers, the general public, and the environment. (See apps. IV and V for examples of the objective and subjective criteria EM and FE use.)", "Prior to fiscal year 2013, NNSA also used the Site Specific approach, and it had specific, objective performance criteria that varied by contract. Based on our review of agency documents, NNSA\u2019s performance criteria were generally divided into four performance areas: (1) mission, (2) operations, (3) business, and (4) multi-site. According to NNSA officials, as a result of \u201clessons learned\u201d efforts, NNSA updated this approach to its current one to provide more succinct, structured, and consistent reporting by ensuring that all NNSA M&O contractors have identical goals and objectives."], "subsections": []}, {"section_title": "Methodologies Used to Determine Contractor Ratings", "paragraphs": ["Based on our review of DOE documents, rating methodologies vary across the three approaches\u2014the Science and Energy Lab approach uses a detailed, formulaic methodology; the NNSA approach determines ratings at a series of management meetings; and in the Site Specific approach, ratings depend primarily on whether the contractor accomplishes specific tasks.", "Based on our review of agency documents, under the Science and Energy Lab approach, stakeholders\u2014including officials from headquarters, field offices, and internal and external customers\u2014 generally evaluate contractor performance against the criteria for each objective and notable outcome (\u201clab customers\u201d evaluate objectives under science and technology goals only). Their evaluations, in the form of narratives and numerical scores, are entered into a web-based information collection tool that aggregates the scores using a series of calculations and weights to generate ratings that are then approved by the Fee Determining Official for the responsible DOE office. For example, for SC, once individual stakeholders enter objectives\u2019 scores into the Laboratory Rating Tool, those scores are then weighted and added together through a predetermined formula to provide an overall rating of contractor performance for each goal. Under this approach, the Laboratory Rating Tool aggregates the objective scores into numerical goal ratings and corresponding letter grades from 4.3 (A+) to 0 (F) for the contractor. Notable outcomes are rated on a \u201cpass/fail\u201d basis, meaning that the contractor either met or did not meet them. Receiving a passing rating for the notable outcome is required for the contractor to earn a B+ or better for the notable outcome\u2019s associated objective. Thus, although notable outcomes are not given their own numerical score or letter grade, they can have a significant effect on a contractor\u2019s objective ratings and, ultimately, goal ratings. (See apps. III, VII, and VIII for examples of the weighting and calculations involved in aggregating ratings for EERE, NE, and SC M&O contractors.)", "Based on our review of agency information, the methodology for the NNSA approach to determine contractor ratings entails officials holding a series of meetings to review various internally developed periodic reports and other inputs (e.g., contractor self-assessments and inspection reports). The participants in these meetings include field office managers, program managers, and NNSA executive leadership who collaboratively review contractor performance and determine ratings. According to NNSA officials, at these meetings NNSA collaboratively reviews all M&O contracts across the NNSA complex, thereby allowing officials to weigh and compare performance. The Fee Determining Official determines the final performance ratings for each M&O contractor using rating categories from the FAR: Excellent, Very Good, Good, Satisfactory, and Unsatisfactory. NNSA does not use numerical calculations to score and weigh individual objectives or goals. Instead, NNSA officials use professional judgment to determine overall goal ratings.", "Based on our review of agency information, under the Site Specific approach, field office officials rate contractor performance against objective performance criteria quantitatively or pass/fail and rate subjective performance criteria using FAR award fee categories. That is, they evaluate performance against objective performance criteria as completed or not completed\u2014for example, whether the contractor packaged 10 waste drums during the fiscal year. For the subjective performance criteria, officials assign ratings using the FAR rating categories in a similar manner to the NNSA approach."], "subsections": []}, {"section_title": "Methodologies Used to Determine Incentives", "paragraphs": ["Based on our review of DOE documents, the three performance evaluation approaches also use different methodologies for determining award and incentive fees, and two offices use similar methods to determine whether the contractor receives award term. Based on our review of agency documents, under the Science and Energy Lab approach, once ratings are determined, several additional detailed calculations determine how much of the available award fee is provided to the contractor. Precisely how ratings are weighted to determine fee differs by DOE office, but generally performance in technical areas is more important in determining the amount of fee the contractor earns. For example, SC determines award fees based on the contractor\u2019s final science and technology area rating and adjusts that fee if the final management and operations area rating is 3.0 (grade B) or below. (See app. VIII for additional information on SC\u2019s fee determination, app. III for EERE, and app. VII for NE.)", "Based on our review of agency information, under the NNSA approach, officials assign goals specific portions of the available award fee for each contract at the beginning of the fiscal year. At the end of the fiscal year, officials determine ratings and fees at the same time in the collaborative meeting with NNSA leadership. For example, for the Los Alamos National Laboratory contractor in fiscal year 2016, the nuclear weapons goal was 30 percent of fee, and the operations and infrastructure goal was 35 percent. As discussed earlier, the Fee Determining Official makes the final determination on the ratings and also determines how much fee to provide the contractor within the range defined by the FAR rating (Excellent, Very Good, Good, Satisfactory, Unsatisfactory). In fiscal year 2016, NNSA awarded the Los Alamos National Laboratory M&O contractor an \u201cExcellent\u201d rating for the nuclear weapons goal, which is associated with the contractor earning from 91 to 100 percent of the available fee for that goal. To determine the overall award fee for the contract, NNSA adds up the award fees for all of its goals. (See app. VI for an example of a NNSA fee determination letter.)", "Our review of DOE documents showed that the Site Specific approach has a different process for determining incentive and award fees, depending on whether the fee is tied to objective or subjective performance criteria. According to agency officials and documents, the Site Specific approach generally provides more money toward incentive fees tied to objective criteria than to award fees tied to subjective criteria\u2014about 60 to 75 percent of available fee money goes to incentive fees. Incentive fees tied to objective performance criteria are awarded based on completion of the specific tasks or quantitative targets defined by the performance criteria. For example, one of the objective performance criteria for EM\u2019s Waste Isolation Pilot Plant (WIPP) M&O contractor in fiscal year 2016 was to develop a maintenance and engineering program, called the Material Condition and Aging Management Program, and complete certain program activities. EM set a maximum incentive fee of $500,000 in the PEMP to be awarded upon completion of the activities.", "In regard to award fees that are tied to subjective performance criteria under the Site Specific approach, offices using this approach take a similar method to the NNSA approach, in that they determine ratings and fees simultaneously. Specific portions of an available award fee are assigned to subjective performance criteria at the beginning of the fiscal year and documented in the PEMP, and officials then determine the percentage of fee to award and corresponding ratings from the FAR award fee categories for each subjective performance criterion. The final decision on the percentage of the available fee awarded for subjective performance criteria is made by the Fee Determining Official, who is generally an on-site official. The overall fee awarded is the sum of the individual objective incentive fees and subjective award fees. (See apps. IV and V for examples of how fee is assigned to specific criteria under the Site Specific Approach.)", "With regard to award term, for the SC and NNSA contracts that had award term as an incentive, the contracts defined the conditions for receiving it, and those conditions generally included meeting certain rating thresholds, based on our review of documents from those offices. For SC, the contractor (1) was to earn at least a 3.5 (A-) science & technology area rating and a 3.1(B+) management & operations area rating, and (2) have no individual goal ratings below 3.1(B+) for science & technology area goals and 2.5 (B-) for management & operations area goals. The contracting officer is to prepare and submit a standardized document along with an annual contractor performance evaluation presentation for review through program officials, and the Director of the Office of Science is to make the final award term determination. For NNSA contracts, the contractor generally must (1) earn a rating of \u201cVery Good\u201d or better in four of the six goals and receive no rating of \u201cSatisfactory\u201d or lower in any goal, and (2) meet any additional requirements as specified in the contract."], "subsections": []}]}, {"section_title": "All DOE Offices but NNSA Have Clearly Documented Approaches, Which May Lead NNSA to Inconsistently Collect and Use Performance Information in Contractor Evaluations", "paragraphs": ["All of DOE\u2019s offices have documented policies outlining their performance evaluation approaches, and all but NNSA have documented how information is to be collected and used to make rating determinations. SC, EERE, NE, FE, and EM have included in their documented policies and performance evaluation plans detailed procedures for collecting information on contractors\u2019 performance that outline, among other things, how officials are to gather input from internal and external stakeholders and how the officials are to use that information in making rating determinations. For example, under SC\u2019s Laboratory Performance Appraisal Process and PEMP Preparation Guidance (SC\u2019s Appraisal Guidance), stakeholders are to provide evaluations using SC\u2019s web- based information collection tool, the Laboratory Rating Tool, to provide scores and narratives on contractor performance. As a result, SC\u2019s contractor performance evaluation approach clearly traces where performance information comes from and how the information is used in determining contractors\u2019 final ratings.", "Similarly, EM and FE document how officials are to collect information and use it in PEMPs or other performance evaluation plans. For example, EM\u2019s PEMP for the WIPP M&O contract provides step-by-step procedures for how field office officials are to assess contractor performance against each performance criterion. These procedures guide the flow of information from contractor to field office officials, who are to check and validate the information and provide rating and fee recommendations to the on-site Fee Determining Official. Similarly, field office officials at EM\u2019s Savannah River Site and FE\u2019s Strategic Petroleum Reserve also have detailed procedures for assessing and distributing information regarding performance. Such detailed written procedures can provide better assurance to agencies that officials are consistently gathering and using performance evaluation information and that one can trace the ultimate performance rating in the PER to the underlying performance information.", "In contrast to the detailed documented policies of other DOE offices, during the period of our review NNSA\u2019s documented policy did not always match its performance evaluation approach, and the policy did not contain procedures for how officials should collect and use information so that one can trace the performance rating to the underlying performance information. As noted above, NNSA changed from using the Site Specific performance evaluation approach that focused on objective performance criteria to the agency\u2019s current approach in fiscal year 2013. However, NNSA did not update its policy to reflect this change until December 2016. Thus, in fiscal years 2013 through 2016, NNSA was using a policy intended to evaluate site-specific objective performance criteria and incentive fees rather than the broad, office-wide subjective performance criteria that NNSA was using during those 4 fiscal years.", "NNSA brought its policy into alignment with its performance evaluation approach in December 2016 by issuing its Corporate Performance Evaluation Process for Management and Operating Contractors policy (NAP-4C). NAP-4C provides a general framework under which NNSA officials provide input into the contractor performance evaluation process; the policy also provides a general schedule for implementing the performance evaluation approach, as well as general references to information collection.", "However, NAP-4C does not include detailed procedures for how performance information should be collected and used, and according to NNSA officials, individual NNSA offices and officials determine how they collect and distribute information. This means information may be collected inconsistently across the agency, depending on individual offices\u2019 preferences. For example, NAP-4C states that officials should \u201cleverag information from contractor assurance systems . . . to monitor performance\u201d but does not discuss how and when officials should use this information to ensure performance information is traceable to rating determinations.", "In May 2015, we reported on the importance of tracing performance information from contractor assurance systems to performance evaluations. We reported that a senior NNSA official told us NNSA could not track the extent to which information from contractor assurance systems was used in evaluating contractor performance because it could be difficult to identify the sources of information used in performance evaluations. We recommended that NNSA revise policy, guidance, and procedures on performance evaluation to fully address how and under what circumstances those responsible for evaluating M&O contractors\u2019 performance should use information from contractor assurance systems for this purpose. NNSA concurred with our recommendation and issued revised policy for contractor oversight but has not yet developed guidance or procedures for how to use information from contractor assurance systems in its performance evaluation process. We continue to follow up on this recommendation.", "In addition to NAP-4C, NNSA\u2019s Fee Determining Official issued implementation guidance for the fiscal year 2016 performance evaluation cycle. This implementation guidance directs relevant NNSA officials to follow a series of templates for interim reports to the contractor and provides the format of the final PER and specific dates for those reports.", "The guidance does not include procedures as to how officials throughout NNSA are to collect or use information to create the content for those templates. For example, the guidance\u2019s Interim Feedback Report schedule states that the \u201cprogram/functional offices provide input to field offices.\u201d There is no discussion of how the program/functional office is to provide such input, what types of input are important, or how the input is to be used. Similarly, NNSA\u2019s PEMPs also do not discuss how officials should collect or use performance information.", "In the absence of documented, detailed procedures, NNSA may not consistently collect and use performance information from program managers and field office officials for contracts in a given fiscal year and may therefore inconsistently apply NNSA\u2019s evaluation process. For example, we identified two instances in which the NNSA Fee Determining Official made handwritten changes to proposed award fee amounts during fiscal year 2012 without documenting in the PER the basis for the changes, such as by identifying the performance information that would support the handwritten changes to create traceability between the award fee amounts and its supporting performance documentation. These changes awarded (1) Los Alamos National Laboratory\u2019s contractor a year of award term, even though the contractor had not met the established rating threshold for award term, and (2) Lawrence Livermore National Laboratory\u2019s contractor a higher award fee that also qualified the contractor for award term it otherwise would not have received. With these changes, these contractors received award terms and fees in a manner inconsistent with how award terms and fees were assessed for other M&O contractors. According to NNSA officials, this type of action would not happen currently because the agency\u2019s approach is rooted in a policy (NAP-4C) and implementation guide that is supported by a more collaborative decision-making process. However, even under the new policy, because NNSA does not have clearly documented procedures specifying how officials are to collect or use performance information, NNSA leadership cannot have assurance that there is clear traceability between the contractor evaluation and its underlying support.", "Federal standards for internal control state that management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. NNSA has a documented policy, but this policy does not clearly specify how to collect and use contractor performance information to evaluate contractor performance. NNSA officials stated that in their opinion their policy was still effective and robust without detailed procedures for its implementation. However, without developing and documenting clear procedures for implementing NAP-4C that specify the process for collecting contractor performance information and how officials are to ensure this information can be traced to rating determinations, NNSA leadership does not have reasonable assurance that the agency is consistently evaluating contractor performance and that it is using relevant performance information as intended."], "subsections": []}]}, {"section_title": "Evaluation Reports Could Better Assess M&O Contractors\u2019 Cost Performance", "paragraphs": [], "subsections": [{"section_title": "DOE\u2019s Fiscal Year 2016 M&O Contractor Performance Evaluation Reports Provided Less Information on Contractors\u2019 Cost Performance than on Other Types of Performance", "paragraphs": ["We found that DOE offices\u2019 fiscal year 2016 PERs provided less information on M&O contractors\u2019 cost performance\u2014evaluations of the contractor\u2019s spending, budgeting, strategic sourcing, and costs, including the contractor\u2019s cost-effectiveness\u2014and provided more information regarding technical and administrative areas of performance. Specifically, the PERs were 67 pages long on average and contained about 1 page of cost performance-related information overall. In contrast, information on contractors\u2019 technical and administrative performance included in-depth descriptions of contractors\u2019 scientific discoveries and production progress that spanned numerous pages. Figure 4 provides typical examples of the type of technical, administrative, and cost performance descriptions that we found in our review of fiscal year 2016 M&O contract PERs.", "In addition, in our review of the number of performance descriptions in DOE\u2019s 2016 PERs, we found about 24 percent (179 of 737) of the performance descriptions in the PERs provided information on cost performance; about 71 percent (524 of 737) provided information on administrative performance (evaluations of contractor\u2019s performance on mission support activities, such as information technology, human resources, legal activities, environmental safety and health, property management, risk management, and leadership activities); and about 53 percent (390 of 737) provided information on technical performance (evaluation of contractor\u2019s performance on mission- related activities such as research and development, production, storage, clean-up, and construction)."], "subsections": []}, {"section_title": "Cost Performance Information Included in DOE\u2019s Performance Evaluation Reports is of Limited Use for Acquisition Decision-Making", "paragraphs": ["In addition to providing less information on M&O contractors\u2019 cost performance than on other areas of performance, the cost information contained in DOE offices\u2019 PERs is of limited use for acquisition decision- making. DOE\u2019s Information Quality Guidelines define quality, in part, as information that is useful to DOE and the public. We examined whether the PERs included such useful information that would permit an overall assessment of contractor cost performance. FAR and DOE policy call for such an overall assessment, which therefore is useful to DOE for acquisition decision-making and to the public generally.", "Our analysis showed that the information on contractors\u2019 cost performance in the PERs did not permit such an assessment of contractor cost performance for two primary reasons. First, the information consisted of statements that lacked detail, such as \u201cwithin budget,\u201d and did not address the significance of the performance described. For example, cost performance-related statements such as \u201cover/under budget\u201d and \u201ccost savings/cost overrun\u201d did not commonly provide information on the amount saved or lost, making it difficult to identify the significance of what was reported. Information on cost effectiveness was also rare\u2014cost-effectiveness information was included in about 11 percent of the instances in which cost performance was discussed (48 of 441 instances). Second, cost performance information commonly applied to specific activities under the contract, such as construction activities, rather than to achievement of overall operating efficiencies. When cost performance information is limited to specific activities, it is not possible to assess a contractor\u2019s overall cost performance based on information in the PER.", "We identified one reason and DOE officials identified three additional reasons why more cost performance information was not provided in DOE\u2019s fiscal year 2016 PERs. We believe all of these contribute to why the cost performance information that was included was often not useful for acquisition decision-making:", "DOE offices\u2019 policies and PEMPs did not specifically require PERs to include cost performance information and did not discuss how to ensure that cost information is useful for acquisition decision-making. Based on our review, DOE offices\u2019 policies did not specifically require that PERs include cost performance information, nor did they discuss information quality. In addition, DOE offices\u2019 PEMPs\u2014which serve as a general blueprint for the type of performance information that offices should include in the corresponding PER\u2014generally did not include specific cost performance criteria or explicitly call for evaluations of contractors\u2019 cost performance. In contrast, DOE offices\u2019 fiscal year 2016 PEMPs commonly included explicit technical and administrative performance criteria such as: \u201cprovide S&T results with meaningful impact on the field\u201d (technical) and \u201cprovide an efficient and effective worker health and safety program\u201d (administrative). There were three exceptions in which PEMPs included specific cost performance criteria: EM\u2019s WIPP M&O contract, NE\u2019s Idaho National Laboratory, and FE\u2019s Strategic Petroleum Reserve M&O contract.", "Although SC does not have explicit cost performance goals or objectives, according to SC officials, cost performance is listed as a factor to consider in SC\u2019s PEMPs\u2019 descriptions of how to evaluate certain performance criteria. However, SC officials told us that PER performance descriptions may not include cost information for these criteria unless there were notable cost overruns or the contractor was doing an exceptionally good job in these areas. SC officials stated this is, in part, to keep PERs shorter and streamlined. However, when PERs are silent on cost performance, there is no formal documented record of M&O contractor cost performance.", "M&O contract missions made it difficult for DOE to assess contractor cost performance, resulting in less cost performance information in PERs. According to DOE officials, it is difficult to assess the costs of the scientific and research missions covered by many M&O contracts. For example, according to DOE officials, it is difficult to develop cost estimates for research activities because it is not always certain when scientific breakthroughs will occur or how long they will take. DOE uses cost-reimbursement contracts for its M&O contracts, in part because it is not possible to know with certainty and in advance how much research and development efforts will cost or what level of effort will be required.", "While we agree that assessing cost performance for scientific and research activities may be difficult, M&O contractors also carry out a variety of other activities for which costs may be more readily assessed. For example, a sizeable portion of the costs under M&O contracts are for administrative or mission support and other business operations activities, such as personnel, business processes, human resources, procurement, and security. In our previous work, we found that such administrative and support activities accounted for about 25 to 50 percent of M&O contractor costs in fiscal year 2015.Similarly, SC\u2019s fiscal year 2016 annual laboratory plans identify areas, such as infrastructure and information systems, as the major cost drivers for that year. We have found that other agencies assess cost performance for contractors performing such administrative activities. DOE officials we interviewed agreed that measuring cost performance in these areas would be more feasible than measuring it for its scientific and research missions.", "The M&O contract type made it difficult to some degree for DOE to assess contractor cost performance. According to DOE officials, certain aspects of how DOE implements cost-reimbursement M&O contracts create challenges to evaluating cost performance. Some officials described these challenges as the result of \u201cthe budget-based nature\u201d of M&O contracts. Specifically, according to DOE officials, M&O contract budgets (the amount contractors are allowed to spend) are not set up front in the original contract. Rather, according to DOE officials, M&O contract budgets are commonly determined by the amount DOE obligates to the contract on an annual basis, based mostly on annual congressional appropriations to the relevant DOE programs. Further, these officials noted, because much of DOE\u2019s appropriated funds are available until expended rather than expiring at the end of the fiscal year for which they were appropriated, M&O contractors may be able to carry over those funds to spend in future fiscal years. According to DOE officials, DOE reviews M&O contractor estimates when developing its budget request, including determining how much work is required by its contractors to execute the program scope outlined in the budget request. Agency officials also noted that, with regard to cost reimbursement contracts, the federal government is legally required to reimburse contractors for all allowable costs up to the approved budget amount.", "We have previously reported that cost-reimbursement contracts carry a high risk for the federal government, resulting in the potential for cost escalation, as some expenditures may be allowable under the contract but may not be cost effective. We recognize that M&O contracts are unique in many ways. Nevertheless, the manner in which DOE allocates funds to the contract, and the requirement to reimburse contractors for allowable costs do not, by themselves, affect DOE\u2019s ability to assess contractor cost performance.", "Some cost performance evaluation conducted outside of the annual performance evaluation process is not included in PERs. DOE officials told us they perform some activities related to contractor cost performance outside the performance evaluation process for M&O contracts, though information on these activities is not always included in PERs. For example, according to DOE officials, some M&O contractors participate in group purchasing efforts, where contractors coordinate purchases to drive up competition and drive down costs. Also, DOE offices generally monitor M&O contractor indirect costs to ensure they do not escalate without reason. In particular, SC\u2019s M&O contractors include a \u201cCost of Doing Business\u201d section in their annual laboratory plans, in which SC contractors report on indirect costs. According to SC officials, SC also uses its reviews of the Cost of Doing Business sections as opportunities to discuss options to reduce operational costs. SC officials stated that an internal process in which SC\u2019s laboratories compete and are awarded work, in part, also serves to control costs. According to DOE officials, efforts such as group purchasing and indirect cost monitoring and reporting are not commonly included in PERs because the agency considers its existing performance criteria to be sufficiently broad to assess contractor performance.", "Though these efforts may be important to address contractor costs and information from the efforts could inform assessments of cost performance, they do not, on their own, represent DOE office\u2019s evaluation of contractor\u2019s cost performance. In addition, PERs are important records of DOE offices\u2019 evaluations of contractor performance because, according to agency officials, DOE uses the PERs to inform acquisition decisions and help form the basis for a contractor\u2019s performance record.", "We and the DOE Inspector General have identified how important it is for DOE to obtain quality cost information and use it to evaluate cost performance. For example, for more than a decade, we have reported that some DOE offices have experienced challenges obtaining quality information that could enable the offices to make better-informed decisions about programs\u2019, and therefore DOE\u2019s, budgetary needs. Furthermore, we reported in July 2012 that NNSA based much of its congressional budget request on contractor-generated budget proposals, which the agency often did not thoroughly evaluate. More recently, according to a 2017 DOE Inspector General report, challenges in evaluating cost performance have contributed to NNSA\u2019s and its M&O contractors\u2019 difficulty in demonstrating the anticipated cost savings for the NNSA Production Office Sites contract. DOE created this contract by consolidating the contracts for the Y-12 National Security Complex and the Pantex Plant into a single contract for the explicit purpose of saving costs.", "While collecting quality information on, measuring, and reporting on cost performance for M&O contracts may be challenging, this information is important for two reasons. First, the FAR, DOE policy, and CPARS highlight the importance of information on contractor\u2019s cost performance for acquisition decision-making. As we previously noted, the FAR and DOE policy provide that decisions to extend or compete an M&O contract be based on an expectation of meaningful improvement in performance or cost, including consideration of a contractor\u2019s technical, administrative, and cost performance. In addition, according to DOE officials, they largely copy information from PERs into the federal government database on contractors\u2019 past performance, CPARS, which agencies use to inform their awarding of contracts. CPARS has several performance criteria that agencies are required to complete, one of which is \u201ccost control.\u201d This is challenging to address, according to DOE officials, because PERs do not typically include an explicit evaluation of cost performance even though, also according to DOE officials, PERs are the primary source of information entered into CPARs.", "Second, as we reported in 2009, there are inherent risks to the government from cost-reimbursement contracts such as DOE\u2019s M&O contracts, particularly with cost escalation because the government is required to pay the contractor\u2019s allowable costs regardless of whether the contractor completes the work. Because of these risks, we found that these types of contracts involve significantly more government oversight than do fixed-price contracts. This is, in part, because the agency needs to monitor contractor costs to provide a reasonable assurance that efficient methods and effective cost controls are used.", "As we previously noted, FAR, DOE guidance and policy, and CPARS highlight the importance of quality information on contractor\u2019s cost performance. In addition, federal standards for internal control state that management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals.", "DOE offices have policies on contractor performance evaluation, but these do not specifically require that PERs include quality cost performance information that can be used to make an overall assessment of cost performance. By updating policies to require inclusion of quality cost performance information in PERs to enable an overall assessment of a contractor\u2019s cost performance, DOE offices could strengthen their oversight of M&O contractor costs. For example, DOE offices could better inform acquisition decisions such as whether to extend or compete a contract, complete CPARS with greater ease, inform incentives for contractor performance, and uncover opportunities for federal cost savings. This is particularly important given that these cost- reimbursement type contracts carry risks of cost escalation."], "subsections": []}]}, {"section_title": "DOE Generally Awarded M&O Contractors High Ratings and Most Available Performance Incentives, Except in Cases of Significant Safety or Security Incidents", "paragraphs": ["In reviewing DOE\u2019s M&O contractor performance evaluations for fiscal years 2006 through 2016, we found the results of the evaluations to generally include high performance ratings and most available performance incentives, including a median of 94 percent of available award and incentive fees. During this time frame, administrative performance sometimes had lower ratings\u2014though these were balanced out in overall ratings by strong performance elsewhere\u2014and some safety issues and accidents resulted in additional fee reductions outside the performance evaluation process. In fiscal years 2006 through 2016, three contractors received 50 percent or less of available award fee due to two significant incidents\u2014a safety and security issue and a major accident."], "subsections": [{"section_title": "M&O Contractors Generally Received High Ratings in Fiscal Years 2006 through 2016 and more than 90 Percent of Available Performance Incentives", "paragraphs": ["For the 239 annual M&O contractor evaluations from the 24 DOE contract rating sites we reviewed, in fiscal years 2006 through 2016, DOE offices provided award and incentive fees equivalent to the FAR rating categories of Excellent or Very Good 94 percent of the time. Contractors at more than half of the 24 contract rating sites (17 of 24) received award and incentive fee percentages consistent with only Excellent or Very Good ratings for all fiscal years from 2006 through 2016. As discussed above, while the precise approaches for determining ratings and fees vary by DOE office, ratings and fees are directly linked in all three approaches: Fee is either determined through a formula based on ratings, or DOE offices determine ratings and fees at the same time. Differences between rating methodologies across offices and changes in performance evaluation approaches over time mean directly comparing ratings requires some caution; however, even acknowledging those differences, there is a clear trend of a high percentage of award and incentive fees awarded and high equivalent performance ratings across sites and years.", "From fiscal years 2006 through 2016, DOE also provided its M&O contractors with a median of 94 percent of their available award and incentive fees. See Table 3 for the results by FAR award fee rating category for each contract rating site for this period, and Table 4 for an analysis of average and median percentages of fees awarded by site. The amount of fee available, fee as a share of total contract spending, and the use of other incentives have varied across sites, yet performance results have been generally similar. Appendixes III through VIII provide additional details by DOE office.", "Contract rating site by DOE office Office of Energy Efficiency and Renewable Energy Savannah River Site\u2013Environmental Management Waste Isolation Pilot Plant Office of Fossil Energy Strategic Petroleum Reserve Office Office of Nuclear Energy National Nuclear Security Administration Kansas City National Security Campus Lawrence Livermore National Laboratory Los Alamos National Laboratory Nevada National Security Site NNSA Production Office Sites Pantex Plant Y-12 National Security Complex Sandia National Laboratories Savannah River Site\u2013National Nuclear Security Administration Thomas Jefferson National Accelerator Facility 94 in annual performance evaluation plans. Fixed fees are set at the inception of the contract and do not vary for performance.", "Of further note from our analysis of the extent to which contractors earned fees in fiscal years 2006 through 2016:", "Contractors for the 24 M&O contract rating sites that included award fees earned approximately $4.3 billion in total fees over this time. About three-quarters ($3.4 billion) of the $4.3 billion in fees were award fees and incentive fees, and the remaining amount was fixed fees.", "NNSA\u2019s M&O contracts represent 68 percent of the fees paid and 55 percent of the total M&O contract spending over this period.", "As discussed above, DOE offices provided a median of 90 to 95 percent of available annual award fee to 18 of 24 M&O contract rating sites. However, six rating sites, all conducting work for NNSA, had median award fee percentages below 90 percent. Several NNSA sites had fixed fees in addition to award fees. When including those fixed fees, the percentage of total fee awarded rises, with median fee percentages rising above 90 percent for three of the sites.", "Contract rating sites rarely received less than 75 percent of available award fee.", "In addition to awarding contractors high percentages of available fees, DOE offices generally awarded M&O contractors most of the available award term incentives. Several DOE and contractor officials we interviewed noted that award term is perhaps the most valuable incentive from a contractor perspective because an extra year of work on the contract represents much more revenue for them than fees. SC and NNSA\u2014the two offices with contracts that had award term\u2014awarded 92 percent of award term years available, or 76 out of 83 possible award term years. Specifically, SC included award term in seven contracts and awarded M&O contractors with 95 percent of potential award term years, and NNSA included award term in four contracts and awarded contractors with 83 percent of potential award term years (see Table 5 below). Three of the unearned award term years are attributable to the contractor at Los Alamos National Laboratory, which also had a fourth award term year that NNSA revoked retroactively. According to NNSA officials, upon not earning an award term for the fourth time, Los Alamos\u2019s contractor\u2014in accordance with the terms of the contract\u2014had all of its award terms revoked, and NNSA decided to recompete the contract."], "subsections": []}, {"section_title": "Administrative Performance Sometimes Had Lower Ratings, with Some Issues Resulting in Fee Reductions Outside of the Performance Evaluation Process", "paragraphs": ["Within the pattern of high overall performance ratings, ratings for administrative performance have generally been lower than ratings for technical performance, and some administrative performance issues\u2014 particularly safety issues and accidents\u2014resulted in fee reductions outside the performance evaluation process, as noted in table 6 below. For example, since fiscal year 2013, when NNSA adopted common performance goals across its contract rating sites, about 83 percent of possible goal ratings (134 of 162) had been rated Very Good or better. Of the 28 goal ratings below Very Good, 22 (79 percent) were in administrative goals. In many cases, incidents that led to lower ratings involved site operations issues, such as in safety and security. Similarly, the contractors at the 10 SC contract rating sites and one NE contract rating site also showed generally higher technical performance ratings with 9 of 11 contract rating sites having higher average technical area scores than administrative area scores (the two other contract rating sites had average technical area scores that were about equal to the average administrative scores).", "From our review of DOE documents and discussions with officials, one factor that may be an important influence in the difference between technical and administrative scores at SC and NE rating sites is that the Science and Energy Lab performance evaluation approach does not incentivize administrative performance above a B+. As discussed above, contractors generally receive additional award fee for higher ratings, but under the Science and Energy Lab approach, in the administrative area, all scores of B+ and above lead to the same amount of award fee. Therefore, a contractor whose only difference was an administrative score of B+ versus A+ would receive the same amount of award fee. According to DOE officials, this structure is meant to encourage contractors to reinvest cost savings into technical performance rather than improving administrative systems that already meet expectations.", "Relatively low performance in certain areas can be balanced out in overall ratings by strong performance ratings elsewhere. Of nine occasions since fiscal year 2013 that an NNSA contractor received at least one Satisfactory goal rating (below 50 percent), the overall rating for the contractor remained Good or Very Good, and contractors were provided the majority of their fees in all but one case (the contractor for Los Alamos National Laboratory in fiscal year 2014, which we discuss further below). For example, following the break-in of trespassers and related security lapses at Y-12 in 2012, NNSA provided the M&O contractor with Satisfactory ratings in operations in fiscal years 2012 and 2013. However, Very Good and Excellent ratings in other areas meant NNSA provided an overall rating of Good to the contractor in those years, and the contractor received more than 50 percent of available award fees. For SC, in the five occasions since fiscal year 2006 in which a contractor received at least one goal rating of C (2.0) or below, overall area scores remained As and Bs and fees above 75 percent, except for one instance. On that occasion, Princeton Plasma Physics Laboratory in 2016 received multiple goal ratings of C, which led to a technical score of C+ and a fee of 68 percent. This 2016 rating for Princeton Plasma Physics Laboratory is also the only case from fiscal years 2006 through 2016 of a Satisfactory-level goal rating in a technical area goal, as the others were all in the administrative areas of site operations or leadership.", "The extent to which a single area of performance affects overall ratings is influenced by the broad scope of activities under an M&O contract, the broad types of performance required under the contract, and the weights used to determine overall ratings and incentives. According to DOE officials, one way the Science and Energy Lab approach addresses these factors is to include all the ratings provided by each stakeholder and for each objective in the PER. In this way, while a C from one stakeholder or objective may be weighted out overall, the grade and the feedback associated with it are still provided to the M&O contractor and clearly visible to readers of the reports.", "Another way that DOE offices have addressed individual performance deficiencies that may get balanced out in overall ratings is through additional fee reductions. Most offices have reduced fees outside the performance evaluation process to address specific performance deficiencies\u2014generally administrative concerns, such as safety issues. In particular, all offices except EERE have reduced fees that would have been provided from performance evaluation results, relying on contract clauses that allow for fee reductions. Such clauses allow DOE offices to unilaterally reduce fees for the evaluation period if, for example, the contractor fails to meet performance requirements of the contract relating to environment, safety, and health. For example, NE used such clauses in 7 of the 11 years we reviewed to reduce the fee provided to the Idaho National Laboratory M&O contractor. FE has also frequently used fee reductions to address issues outside its predominantly objective performance criteria. SC, NNSA, and EM have also occasionally used additional fee reductions outside the performance evaluation process. For all offices, fee reductions generally resulted from administrative performance issues\u2014safety issues and accidents\u2014rather than technical performance. These fee reductions ranged from $10,000 to $35 million, and while the fee received by the contractor was lowered, the original ratings were not revised. In most cases, these reductions were for 10 percent or less of award and incentive fees provided and less than $1 million dollars; however, they represented large portions of contractors\u2019 fees in a few cases. See Table 6 below for a list of fee reductions."], "subsections": []}, {"section_title": "From Fiscal Years 2006 through 2016, Three Contractors Received 50 Percent or Less of Available Award and Incentive Fees Due to Significant Safety and Security Incidents", "paragraphs": ["Three times in fiscal years 2006 through 2016, M&O contractors received 50 percent or less of available award and incentive fees due to a safety and security issue at the Lawrence Livermore National Laboratory (LLNL) in fiscal year 2008 and a major accident involving the WIPP in Carlsbad, New Mexico, and the Los Alamos National Laboratory (LANL) in fiscal year 2014.", "LLNL, 2008. LLNL\u2019s M&O contractor received 50 percent of the available award and incentive fees\u2014$15,795,584 out of $31,879,519\u2014due to weaknesses in environmental management, security, and management/performance improvement that resulted in Satisfactory ratings in those respective areas and an overall Satisfactory rating in operations. In particular, an April 2008 inspection and force-on-force exercise conducted by DOE\u2019s Office of Health, Safety, and Security found significant weaknesses in protective force and classified matter protection and control programs that led to an Unsatisfactory rating in security. The performance evaluation also reported issues with contractor assurance system progress, staffing, and \u201cunacceptable\u201d losses of key personnel. LLNL\u2019s contractor received overall ratings of Outstanding in mission and Good in institutional management. In addition, the contractor received $21,862,651 in fixed fees, for a total fee award of $37,658,235.", "WIPP, 2014. WIPP\u2019s contractor received 6.9 percent\u2014$561,266 out of $8,192,895\u2014of the fees available under its contract in fiscal year 2014 due to two unrelated accidents, a truck fire and a waste drum explosion, that resulted in the suspension of waste disposal at the site\u2014the nation\u2019s only facility for disposal of transuranic waste. The 6.9 percent of fees awarded represented an additional reduction of fees from the amounts the contractor earned for meeting a portion of its objective criteria targets and receiving Satisfactory ratings in all four subjective criteria. WIPP did not resume waste disposal operations until 2017.", "LANL, 2014. LANL\u2019s contractor received none of the available award fee, and no DOE fixed fee, in fiscal year 2014 due to its improper oversight and packaging of the waste drum that exploded at WIPP. Of $63,406,380 in available fee, LANL\u2019s contractor received about $6.3 million in fixed fee associated with work completed under contract with other federal agencies that, according to NNSA officials, could not be revoked. Similar to WIPP\u2019s contractor, this represented an additional reduction of fees from the amounts that would have resulted from an overall Satisfactory rating (including an Unsatisfactory for operations and infrastructure; Satisfactory for science, technology and engineering; Satisfactory for leadership; and Very Good for the two mission goals). In addition to losing fee and award term, the waste portion of the LANL contract was withdrawn from the M&O contract and contracted out separately by EM.", "In all three cases, in the year following the 50 percent or less in award and incentive fees, performance ratings returned to at least Good levels and contractors received at least three-quarters of available award and incentive fees. With regard to the WIPP accident involved in two of the three cases, efforts to recover from the waste drum incident and return to full operations have cost hundreds of millions to date and are estimated to cost more than $600 million in total, all of which will be costs to the taxpayer. The combined unearned and reduced fee for both contractors amounted to $64,788,464, or about 10 percent of total estimated costs to the government. In addition to fee reductions, NNSA officials stated that the WIPP accident played a significant role in NNSA\u2019s decision to not exercise the last 7 years of possible award term on the LANL contract and thus recompete the contract in 2018. According to NNSA, those 7 years translate into approximately $17 billion in work and up to $500 million in fee the LANL contractor could have earned. Also, with regard to additional actions EM took after the accidents at WIPP, according to DOE officials, EM modified the contract terms from having a single 5-year option period to five 1-year option periods."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While there are differences in how DOE\u2019s offices approach performance evaluation of M&O contractors, all of the offices use the annual performance evaluations of the contractors and the associated rating and fee determinations to evaluate the extent to which contractors are operating sites as intended and accomplishing mission work, and to justify incentives such as fee and additional contract term. These annual performance evaluations also provide valuable information for contract management and acquisition decisions, such as whether to renew or compete expiring M&O contracts. DOE also recognizes the importance of improving performance evaluation and oversight of contractors.", "All of DOE\u2019s offices except NNSA have clearly documented procedures on how to collect and use information to make rating determinations.", "NNSA provides a general framework for its performance evaluations in its NAP-4C policy but leaves how to collect, distribute, and document information to the discretion of individual offices and officials. In the past, NNSA officials have made changes to incentives awarded without underlying performance documentation to support the change. Without developing and documenting clear procedures for implementing NAP-4C that specify the process for collecting contractor performance information and how officials are to ensure this information can be traced to rating determinations, NNSA leadership does not have reasonable assurance that it is consistently evaluating contractor performance and that it is using relevant performance information as intended.", "The cost performance information included in DOE offices\u2019 fiscal year 2016 PERs is of limited use for acquisition decision-making in that this information does not permit making an overall assessment of M&O contractors\u2019 cost performance. DOE offices have not required specific assessment of cost performance in their performance evaluation policies, nor discussed how to ensure that cost information is useful for acquisition decision-making. However, the PERs are important sources of information for contract management\u2014particularly for acquisition decisions and oversight of spending on cost-reimbursement contracts. DOE officials identified challenges in evaluating M&O contractors\u2019 cost performance and ways this evaluation may occur outside of the annual performance evaluation process. These challenges contribute to why there is less cost performance-related information in PERs than for other types of performance. While collecting, measuring, and reporting quality cost performance information may be challenging, such information is important for fully assessing contractor performance and managing the inherent risks of cost-reimbursement contracts. By updating their policies to require quality cost performance information in PERs to enable an overall assessment of M&O contractor cost performance, the six DOE offices with M&O contracts could strengthen their oversight of costs for contracts worth about $20 billion a year and use this information to improve acquisition decision-making."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making seven recommendations to DOE offices: The Administrator for the National Nuclear Security Administration should develop and document clear procedures for implementing NAP-4C, specifying the process for collecting contractor performance information and describing how officials are to ensure this information can be traced to rating determinations. (Recommendation 1)", "The Assistant Secretary for the Office of Energy Efficiency and Renewable Energy should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 2)", "The Assistant Secretary for the Office of Environmental Management should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 3)", "The Assistant Secretary for the Office of Fossil Energy should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 4)", "The Administrator for the National Nuclear Security Administration should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 5)", "The Assistant Secretary for the Office of Nuclear Energy should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 6)", "The Director of the Office of Science should update its policy to require that Performance Evaluation Reports include quality information on cost performance to enable an overall assessment of Management and Operating contractor cost performance. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE for comment. DOE provided us with written comments, as well as technical comments, which we incorporated as appropriate. In its written comments, reproduced in appendix IX, DOE agreed with four of our seven recommendations and partially agreed with the others.", "DOE partially agreed with our recommendations that three DOE offices\u2014 EERE, NE, and SC\u2014update their policies to require that PERs include quality information on cost performance to enable an overall assessment of M&O contractor cost performance. In its written comments, DOE said that the three offices have concerns that (1) our report gives the impression that DOE does not review cost performance of their respective national laboratories in an adequate manner, and (2) by focusing on the annual PERs, our report does not capture the cost performance reviews conducted in day-to-day contract oversight, the annual laboratory planning process, and contract extend/compete decisions. In its comments, DOE stated that since EERE, NE, and SC conduct cost performance reviews in normal operations and at the year-end annual evaluation process, adequate information is available to assess whether the contractor cost performance is acceptable to the department.", "In the report, we note that DOE conducts some cost performance evaluation activities outside of the annual performance evaluation process, although we did not assess these efforts. While there may be adequate information available, DOE does not commonly document this information or assessments from such activities in the PERs. We continue to believe that the PERs are important sources of information for contract management\u2014particularly for acquisition decisions and oversight of spending on cost-reimbursement contracts\u2014and that action is needed to improve these formal records of contractor performance. By not including quality information on overall cost performance and assessments in PERs, DOE offices are missing a valuable opportunity to better document contractors\u2019 cost performance, improve acquisition decision-making, and strengthen oversight of billions of dollars in contracting. We continue to believe that it is important for EERE, NE, and SC to implement the recommendations and that by doing so, these offices would have better assurance that M&O performance evaluations fully address required elements.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report reviews the Department of Energy\u2019s (DOE) performance management of its management and operating (M&O) contracts. Specifically, it examines (1) how DOE offices evaluated M&O contractor performance in fiscal years 2006 through 2016 and the extent to which these offices have documented their evaluation approaches; (2) the extent to which DOE\u2019s fiscal year 2016 M&O contractor performance evaluation reports provide information on contractors\u2019 technical, administrative, and cost performance; and (3) the results of DOE\u2019s M&O contractor performance evaluations from fiscal years 2006 through 2016.", "For all three objectives, we reviewed performance evaluation documentation\u2014performance evaluation plans, performance evaluation reports (PERs), fee determinations, award term determinations, and option term determinations\u2014for 21 of the 22 DOE M&O contracts in place as of fiscal year 2016, the most recently completed contract year at the time we initiated our review. We also reviewed documentation for Bettis and Knolls Atomic Power Laboratories\u2019 M&O contract but excluded it from our analysis because the contract does not have annual reviews and ratings comparable to the other DOE M&O contracts. The Bettis and Knolls contract does not have an award fee and thus NNSA\u2019s Office of Naval Reactors\u2014the office responsible for overseeing the M&O contract\u2014does not produce annual PERs similar to those of the other offices. In addition, we did not include in our scope the DOE contract for the cleanup of the West Valley Demonstration Project in upstate New York because it was not an M&O contract in fiscal year 2016; according to DOE officials, it switched from being an M&O to a non-M&O contract in fiscal year 2007.", "In addition, we also interviewed DOE officials to gain a further understanding of the department\u2019s performance evaluation processes and results, including officials at DOE headquarters and at several field offices that are responsible for providing day-to-day oversight of the activities of M&O contractors. To provide additional perspective, we interviewed officials at the Department of Defense, the National Aeronautics and Space Administration, and the Department of Homeland Security, which we selected because they also manage government-owned, contractor- operated laboratories and sponsor work at DOE laboratories, sometimes contributing views incorporated into DOE performance evaluations.", "To examine how DOE offices have evaluated M&O contractor performance, we reviewed DOE\u2019s and DOE offices\u2019 policies and procedures for performance evaluations, as well as annual performance evaluation and measurement plans and PERs from fiscal years 2006 through 2016. We also compared each office\u2019s policies and procedures for conducting performance evaluations against federal standards for internal control, as well as the Federal Acquisition Regulation (FAR), DOE\u2019s Acquisition Guide, and the Department of Energy Acquisition Regulations. In addition, to examine the extent to which these offices have documented their evaluation approaches, we discussed the evaluation approaches and processes with DOE officials and compared those approaches with documented policies and procedures.", "To evaluate the extent to which PERs provided information on each of the performance areas outlined in the FAR\u2014technical, administrative, and cost\u2014we performed a content analysis of 22 DOE fiscal year 2016 PERs for M&O contractors. We developed operationalized definitions of each of the three areas with input from DOE\u2019s offices. Broadly, the operationalized definition of technical performance included mission- related activities, the operationalized definition of administrative performance included mission support activities, and the operationalized definition of cost performance included spending-related activities. Mission-related activities included, for example, research and development, production, storage, clean-up, and construction. Mission support activities included, for example, information technology, human resources, legal activities, environmental safety and health, property management, risk assessment, and leadership activities. Cost-related activities included, for example, spending, budgeting, strategic sourcing, and costs, including the contractor\u2019s cost-effectiveness. In identifying information related to cost performance, we considered all evaluative statements related to cost, including broad terms such as saving, cost, spending, and budget. Then we categorized performance descriptions under these three performance areas and counted the number of performance descriptions that included information in the M&O contracts\u2019 PERs related to each of the areas. A performance description could be categorized as related to one, two, or all three areas. Two analysts independently reviewed each PER and then met to agree on the categorizations. When differences arose, we included a third analyst to arrive at a consensus.", "For the vast majority of M&O contracts, we analyzed the performance descriptions at the level of objectives\u2014where most performance descriptions were found\u2014and included notable outcomes described under those objectives. In a few instances, we used other comparable units of analysis, such as goals, for some National Nuclear Security Administration (NNSA) M&O contracts (in which performance information was provided by goals, not objectives) and criteria for Office of Environmental Management (EM) and Office of Fossil Energy (FE) (in which performance information was provided under numerous subjective and objective criteria). Based on our analysis, we reported the total number of performance descriptions for each area, as well as the percentage of performance descriptions that contained information related to each area. Because performance criteria descriptions could contain information related to more than one area, the percentages total more than 100 percent.", "To determine the extent of cost performance-related information in DOE\u2019s fiscal year 2016 PERs for its M&O contracts, we performed a content analysis. From our analysis, we reported the total number of pages the cost performance-related information represented, compared with the average number of total report pages. To determine the number of pages, we counted the number of pages of each PER.", "In addition, to evaluate the quality of cost performance-related information, we reviewed DOE Information Quality Guidelines, which apply to information DOE offices make available to the public. We then performed a content analysis of DOE fiscal year 2016 PERs based on the definition of quality in the guidelines, which includes that information generated for DOE and the public be useful. We further analyzed and categorized the types of cost performance-related information. Types of cost information included, for example, within budget, over budget, cost savings, cost overrun, and cost effectiveness. We defined cost effectiveness as good value for money spent.", "To examine the results of DOE\u2019s M&O contractor performance evaluations from fiscal years 2006 through 2016, we analyzed performance ratings and incentives awarded in PERs, fee determination letters, and other performance evaluation documents. Throughout the report, we analyzed and provided information by \u201ccontract rating sites\u201d rather than individual contractors or physical sites, because the individual contractors and how certain sites align with the contracts have changed over time. We analyzed 24 distinct contract rating sites covered by 21 M&O contracts in place as of fiscal year 2016. There are three more contract rating sites than the number of contracts in 2016: two additional contract rating sites because two individual contracts were consolidated into one contract during the period we covered\u2014we analyzed the two individual contracts from prior to 2014 separately from the current consolidated contract\u2014and one additional contract rating site because two DOE offices separately evaluated the performance of a single contractor that performed activities for each of those offices.", "To summarize the results of DOE\u2019s annual contract performance evaluations, we analyzed overall annual percentages of available award and incentive fees provided at each contract rating site and presented the corresponding FAR rating categories. We reviewed performance evaluation ratings from 239 performance evaluations at the 24 contract ratings sites. We also did not include ratings from the EM portion of the Savannah River Site contract for fiscal years 2006 through 2008 because, according to EM officials and award fee documents, it had multi-year award fee targets that did not align with individual fiscal years.", "We conducted this performance audit from October 2016 through February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Additional Information on the Department of Energy\u2019s Management and Operating Contracts", "paragraphs": ["Table 7 provides additional information on the Department of Energy\u2019s 22 management and operating contracts, contractors, contract award and end year, and total spending through these contracts. Table 8 presents the spending data adjusted for inflation."], "subsections": []}, {"section_title": "Appendix III: Additional Information on the Office of Energy Efficiency and Renewable Energy\u2019s Performance Evaluations", "paragraphs": ["The Office of Energy Efficiency and Renewable Energy (EERE) focuses on aiding the development and implementation of renewable energy technologies and improving energy efficiency across various sectors. EERE administers its management and operating (M&O) contract at the National Renewable Energy Laboratory (NREL), in Golden, Colorado. As we describe in our report, EERE follows a Science and Energy Lab approach to evaluate its M&O contractor\u2019s performance that uses broad, office-wide performance criteria, which are mostly subjective. Table 9 provides the full list of the goals and objectives EERE used to evaluate its M&O contractor performance in fiscal year 2016. For the most part, these performance criteria remained unchanged from fiscal year 2006 through fiscal year 2016.", "As we describe in our report, EERE uses detailed methodologies to determine ratings and incentives. To illustrate the detailed formulas and calculations involved, Figure 5 provides an example of how ratings and fees are calculated.", "Table 11 shows the rating scores the contractors earned for Mission and Operations goals.", "Figure 6 shows the annual total fee (both award fee and fixed fee) EERE provided to its M&O contractors for fiscal years 2006 through 2016.", "Table 12 provides the percentage of available award and incentive fees provided to the M&O contractors for fiscal years 2006 through 2016 by contract rating site."], "subsections": []}, {"section_title": "Appendix IV: Additional Information on the Office of Environmental Management\u2019s Performance Evaluations", "paragraphs": ["The Department of Energy\u2019s Office of Environmental Management (EM) is responsible for decontaminating and decommissioning facilities and sites that are contaminated from decades of nuclear weapons production and nuclear energy research. EM has two management & operating (M&O) contract sites: the Savannah River Site (SRS) in Aiken, South Carolina; and the Water Isolation Pilot Plant (WIPP) in Carlsbad, New Mexico.", "As we describe in our report, EM follows a Site Specific approach to evaluate its M&O contractors that uses detailed performance criteria specific to each contract. Under this approach, most performance criteria we reviewed are objective criteria, and a few are broader, subjective criteria. Tables 13 through 16 provide examples of some of the specific criteria EM used at each site. We provide examples rather than a full list because each site has numerous individual metrics, which are often quite technical. Specifically, Tables 13 and 14 provide examples of EM\u2019s objective performance criteria, which are defined based on quantifiable metrics (e.g., a contractor\u2019s demonstrated waste processing rate) and milestones (e.g., whether a contractor completed a task on or before a scheduled date). Table 13 includes 3 of the 6 objective performance criteria EM used to evaluate the SRS contractor\u2019s performance during fiscal year 2016. Table 14 contains examples of 3 of the 9 objective criteria EM used to evaluate the WIPP contractor in fiscal year 2016.", "Tables 15 and 16 provide examples of EM\u2019s subjective criteria, which are used for aspects of performance that may be difficult to capture objectively. Table 15 provides examples of 3 of the 12 subjective criteria for evaluating the SRS M&O contractor\u2019s performance during fiscal year 2016, while Table 16 contains the fiscal year 2016 subjective criteria for evaluating the WIPP M&O contractor\u2019s performance.", "The following tables and figure provide details on the incentives available to and earned by EM\u2019s M&O contractors from fiscal year 2006 through fiscal year 2016. Table 17 shows the performance incentives that EM included in its M&O contracts. We use the term \u201ccontract rating sites\u201d rather than individual contractors or physical sites, because the individual contractors and how certain sites align with the contracts may have changed over time.", "Figure 7 shows the annual total fee (both award fee and fixed fee) provided to EM M&O contractors for fiscal years 2006 through 2016. Because EM and National Nuclear Security Administration activities at the Savannah River Site are rated separately, only the EM portion of fees is represented below.", "Table 18 provides the percentage of available award and incentive fees EM\u2019s M&O contractors earned for fiscal years 2006 through 2016."], "subsections": []}, {"section_title": "Appendix V: Additional Information on the Office of Fossil Energy\u2019s Performance Evaluations", "paragraphs": ["The Department of Energy\u2019s Office of Fossil Energy (FE) manages the nation\u2019s Strategic Petroleum Reserve (SPR), which consists of salt caverns storing crude oil in Texas and Louisiana. As we describe in our report, FE follows a Site Specific approach to evaluate its M&O contractors that uses detailed performance criteria specific to each contract. Under this approach, most performance criteria we reviewed are objective criteria, and a few are broader, subjective criteria. Table 19 provides examples of FE\u2019s objective performance criteria, which are defined based on quantifiable metrics (e.g., the contractor\u2019s demonstrated oil drawdown rate) and performance targets (e.g., whether a contractor completed a task on or before a scheduled date). Table 19 includes 4 of the 11 objective performance criteria FE used to evaluate the Strategic Petroleum Reserve Office (SPRO) contractor\u2019s performance during fiscal year 2016. We provide examples rather than a full list because there were numerous individual metrics, which are often quite technical.", "Table 20 contains the full list of FE\u2019s subjective performance criteria\u2014 which FE uses for aspects of performance that may be difficult to capture objectively\u2014for evaluating the SPRO M&O contractor\u2019s performance during fiscal year 2016.", "Table 21 shows the performance incentives that FE included in its M&O contract.", "Figure 8 shows the annual total fee (both award fee and fixed fee) FE provided to its M&O contractors for fiscal years 2006 through 2016.", "Table 22 provides the percentage of available award and incentive fees provided to M&O contractors for fiscal years 2006 through 2016."], "subsections": []}, {"section_title": "Appendix VI: Additional Information on the National Nuclear Security Administration\u2019s Performance Evaluations", "paragraphs": ["The National Nuclear Security Administration (NNSA), a separately organized agency within DOE, is responsible for maintaining and enhancing the safety, reliability, and performance of the nation\u2019s nuclear weapons stockpile, promoting international nuclear safety and nonproliferation, and supporting U.S. leadership in science and technology. NNSA administers management and operating (M&O) contracts at eight national laboratories, plants, and sites:", "Bettis and Knolls Atomic Power Laboratory in West Mifflin, Pennsylvania, and Niskayuna and West Milton, New York", "Kansas City National Security Campus in Kansas City, Missouri", "Lawrence Livermore National Laboratory in Livermore, California", "Los Alamos National Laboratory in Los Alamos, New Mexico", "Nevada National Security Site near Las Vegas, Nevada", "NNSA Production Office Sites", "Pantex Plant in Amarillo, Texas", "Y-12 National Security Complex in Oak Ridge, Tennessee", "Sandia National Laboratories in Albuquerque, New Mexico", "Savannah River Site in Aiken, South Carolina As we describe in our report, NNSA follows an approach to evaluate its M&O contractors that uses broad, office-wide performance criteria that are mostly subjective. Table 23 provides the full list of the goals and objectives NNSA used to evaluate its M&O contractors\u2019 performance in fiscal year 2016. While there have been some language amendments, overall, goals and objectives have remained the same from fiscal year 2013 through fiscal year 2016.", "As we describe in our report, under the NNSA approach, goals are assigned specific portions of the available award fee for each contract at the beginning of the fiscal year\u2014and at the end of the fiscal year, officials determine ratings and fees at the same time in a collaborative meeting with NNSA leadership. Figure 9 provides an example of award fee amounts assigned to individual goals.", "Table 24 shows the performance incentives that NNSA included in its M&O contracts. We use the term \u201ccontract rating sites\u201d rather than individual contractors or physical sites, because the individual contractors and how certain sites align with the contracts have changed over time.", "Specifically, NNSA consolidated its Y-12 National Security Complex and Pantex Plant contracts into the National Production Office Sites contract in fiscal year 2014, and NNSA and the Office of Environmental Management separately evaluated their respective activities carried out by the Savannah River Site contractor.", "Table 25 provides annual performance ratings by goal for fiscal years 2013 through 2016 for each NNSA contract rating site.", "Figure 10 shows the annual total fee (both award fee and fixed fee) provided to NNSA M&O contractors for fiscal years 2006 through 2016 by contract rating site.", "Table 26 provides the percentage of available award and incentive fees provided to M&O contractors for fiscal years 2006 through 2016 by contract rating site."], "subsections": []}, {"section_title": "Appendix VII: Additional Information on the Office of Nuclear Energy\u2019s Performance Evaluations", "paragraphs": ["The Office of Nuclear Energy\u2019s (NE) primary mission is to advance nuclear power as a resource capable of making major contributions in meeting U.S. energy supply, environmental, and energy security needs. NE administers its management and operating (M&O) contract at the Idaho National Laboratory (INL), in Idaho Falls, Idaho. As we describe in our report, NE follows a Science and Energy Lab approach to evaluate its M&O contractor that uses broad, office-wide performance criteria that are mostly subjective. Table 27 provides the full list of the goals and objectives NE used to evaluate its M&O contractor performance in fiscal year 2016. For the most part, these performance criteria have remained unchanged from fiscal year 2007 through fiscal year 2016.", "As discussed above, NE uses detailed methodologies to determine ratings and incentives. To illustrate the detailed formulas and calculations involved, Figure 11 provides an excerpt from a fee determination letter as an example of how ratings and fees are calculated.", "Table 28 shows the performance incentives that NE included in its M&O contract.", "Table 29 shows the rating scores the contractor earned for Mission and Operations goals.", "Figure 12 shows the annual total fee (both award fee and fixed fee) provided to NE\u2019s M&O contractor for fiscal years 2006 through 2016.", "Table 30 provides the percentage of available award and incentive fees provided to M&O contractor for fiscal years 2006 through 2016."], "subsections": []}, {"section_title": "Appendix VIII: Additional Information on the Office of Science\u2019s Performance Evaluations", "paragraphs": ["The Office of Science (SC) supports scientific research for energy and the physical sciences both by directly supporting such research, for example, through grants to and cooperative agreements with universities, and by supporting the development, construction, and operation of scientific user facilities. SC administers management and operating (M&O) contracts at 10 national laboratory sites:", "Ames Laboratory in Ames, Iowa", "Argonne National Laboratory in Argonne, Illinois", "Brookhaven National Laboratory in Upton, New York", "Fermi National Accelerator Laboratory in Batavia, Illinois", "Lawrence Berkeley National Laboratory in Berkeley, California", "Oak Ridge National Laboratory, in Oak Ridge, Tennessee", "Pacific Northwest National Laboratory in Richland, Washington", "Princeton Plasma Physics Laboratory in Princeton, New Jersey", "SLAC National Accelerator Laboratory in Stanford, California", "Thomas Jefferson National Accelerator Facility in Newport News, As we describe in our report, SC follows a Science and Energy Lab approach to evaluate its M&O contractors that uses broad, office-wide performance criteria that are mostly subjective. Table 31 provides the full list of the goals and objectives SC used to evaluate its M&O contractors\u2019 performance in fiscal year 2016. Generally, these performance criteria remained mostly unchanged from fiscal year 2006 through fiscal year 2016.", "As discussed above, SC uses detailed methodologies to determine ratings and incentives. To illustrate the detailed formulas and calculations involved, Figure 13 provides excerpts from a performance evaluation report as an example of how ratings and fees are calculated.", "The following tables and figure provide details on the incentives available to and earned by SC\u2019s M&O contractors from fiscal year 2006 through 2016. Table 32 shows the performance incentives that SC included in its M&O contracts. We use the term \u201ccontract rating sites\u201d rather than individual contractors or physical sites, because the individual contractors and how certain sites align with the contracts may have changed over time.", "Table 33 shows the rating scores the contractor earned for the Science and Technology goals and Maintenance and Operations goals, by contract rating site.", "Figure 14 shows the annual total fee (both award fee and fixed fee) SC M&O contractors earned for fiscal years 2006 through 2016 by contract rating site.", "Table 34 provides the percentage of available award and incentive fees SC\u2019s M&O contractors earned for fiscal years 2006 through 2016 by contract rating site.", "Under the award term incentive, some SC M&O contractors are able to earn one additional year of performance under the contract for each year they exceed certain thresholds in their annual performance evaluations. Table 36 shows award term results for fiscal years 2006 through 2016 by contract rating site."], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements:", "paragraphs": ["In addition to the contact named above, Quindi Franco (Assistant Director), Ryan Gottschall (Analyst in Charge), Danny Baez, and Diantha Garms made key contributions to this report. Also contributing to this report were John Delicath, Brenna Derritt, Cindy Gilbert, Timothy Guinane, Rich Johnson, Danny Royer, Kiki Theodoropoulos, and Tatiana Winger."], "subsections": []}]}], "fastfact": ["The Department of Energy depends on the expertise of firms, universities, and others to do much of its work, including managing and operating nuclear weapons labs. In 10 years, it spent about $193 billion on management and operating contracts.", "DOE generally gave these contractors high ratings and awarded over 90% of available performance incentives. However, we found DOE could do a better job reporting on how well contractors spend these federal funds.", "We made 7 recommendations, including that DOE report more useful information on cost performance.", "DOE remains on our High Risk List for inadequate contractor management and oversight."]} {"id": "GAO-19-56", "url": "https://www.gao.gov/products/GAO-19-56", "title": "Supplemental Nutrition Assistance Program: More Complete and Accurate Information Needed on Employment and Training Programs", "published_date": "2018-11-20T00:00:00", "released_date": "2018-12-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SNAP is the nation's largest federally funded nutrition assistance program. In fiscal year 2017, it provided about $64 billion in benefits. To maintain eligibility for benefits, certain SNAP recipients must comply with the program's work requirements, which may include participating in a state's SNAP E&T program if required by the state.", "This report examines (1) what is known about SNAP E&T program participants and outcomes over time and (2) the extent to which state SNAP E&T programs have partnered with other programs offering similar services. GAO reviewed relevant federal laws, regulations, and guidance; analyzed USDA data on SNAP recipients, work registrants, and SNAP E&T participants from fiscal years 2008 through 2016, the most recent data available; reviewed states' fiscal year 2017 SNAP E&T plans and outcome reports; and interviewed USDA officials and state officials in five states selected, in part, to reflect a range of SNAP E&T program characteristics."]}, {"section_title": "What GAO Found", "paragraphs": ["The Supplemental Nutrition Assistance Program's (SNAP) Employment and Training (E&T) programs, which are overseen by the U.S. Department of Agriculture (USDA) and administered by states, have served a small percentage of SNAP recipients over time, and information on participant characteristics and outcomes is limited. In an average month of fiscal year 2016, SNAP E&T served about 0.5 percent of the 43.5 million SNAP recipients. Further, since 2008, the percentage of SNAP recipients served by SNAP E&T has declined. Participation in SNAP E&T may be low, in part, because most SNAP recipients were exempt from work requirements, according to USDA data. In addition, SNAP recipients may participate in other activities to comply with work requirements. Although data on the number of recipients served in SNAP E&T are generally reliable, USDA lacks reliable data on participant characteristics and outcomes because of imprecise instructions on data collection forms and staff confusion at the state level. USDA has taken some steps to address these issues, but data reliability issues persist. As a result, USDA's ability to assess whether agency goals are being met through the SNAP E&T program is limited, as is the department's ability to monitor states' implementation of work requirements and ensure program integrity.", "In fiscal year 2018, most state SNAP agencies partnered with workforce development system entities, such as community colleges and workforce agencies, to provide services to SNAP E&T participants, according to USDA data. Regional and state officials reported that state SNAP agencies often have used these partnerships to leverage non-federal funding sources and provide additional capacity and expertise to help expand SNAP E&T services. However, 3 states operated their own SNAP E&T programs without partnering with any other program, and a total of 20 states lacked partnerships with workforce agencies, according to USDA data for fiscal year 2018. Federal regulations require that SNAP E&T services be delivered through the state's workforce development system unless the services are not available locally through this system. USDA and state officials described challenges to forming effective partnerships with workforce agencies, including perceived disincentives to serving SNAP recipients. However, states that are not fully leveraging resources available through the workforce development system may miss opportunities to provide a wider variety of services to SNAP E&T participants and serve a greater number of SNAP recipients through SNAP E&T."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that USDA take additional steps to address SNAP E&T data reliability issues and to help states leverage available workforce development system resources. USDA officials generally agreed with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Supplemental Nutrition Assistance Program (SNAP) is the largest federally funded nutrition assistance program in the United States. In fiscal year 2017, the program provided approximately $64 billion in benefits to about 42 million individuals in more than 20 million households. SNAP is overseen by the U.S. Department of Agriculture\u2019s (USDA) Food and Nutrition Service (FNS) and administered by the states. To be eligible for benefits, certain SNAP recipients must comply with the program\u2019s work requirements, including registering for work and participating in certain work programs if required by the state agency. For example, a state SNAP agency may assign a SNAP recipient to participate in a state-administered SNAP Employment and Training (E&T) program as a condition of SNAP eligibility. Federal requirements for such programs were first enacted in 1985, and these programs are intended to help individuals in SNAP households acquire skills, training, employment, or experience that will increase their ability to obtain regular employment. As such, FNS considers increasing participation in state SNAP E&T programs a strategy for helping SNAP recipients achieve self-sufficiency. State agencies have flexibility in designing SNAP E&T programs and may partner with local entities, such as nonprofit community-based social service providers and community colleges, to leverage existing services.", "In recent years, the Congress and FNS have made changes to federal requirements for state SNAP E&T programs. For example, the Agricultural Act of 2014 required that states report additional data on SNAP E&T participant characteristics and outcomes. You asked us to review several aspects of SNAP E&T.", "This report examines (1) what is known about SNAP E&T program participants and outcomes over time and (2) the extent to which state SNAP E&T programs have partnered with other programs offering similar services.", "To address our first objective, we analyzed data on SNAP E&T participation from three FNS data sources, as well as data on participant outcomes from one of these sources. First, we analyzed aggregate data on SNAP E&T participants collected from state SNAP agencies for fiscal years 2008 through 2016, the most recent data available. Second, for the same time period, we analyzed Quality Control data on individual SNAP recipients, work registrants, and SNAP E&T participants. Finally, we also reviewed and analyzed aggregate outcome and participation data from state SNAP agencies\u2019 fiscal year 2017 outcome and participant characteristics reports. To assess the reliability of these data, we interviewed FNS and state officials, performed data testing, and reviewed relevant documentation. We determined these data to be sufficiently reliable to identify the number of average monthly SNAP E&T participants, work registrants, and SNAP recipients, and to assess change in the size of these groups over time.", "To address our second objective, we reviewed all fiscal year 2017 SNAP E&T state plans and analyzed data from FNS on state SNAP agency partnerships for fiscal year 2018. To assess the reliability of these data, we interviewed FNS and state officials and reviewed relevant documentation. We determined these data to be sufficiently reliable for the purposes of this report.", "To address both objectives, we reviewed relevant federal laws and regulations, as well as guidance and research from FNS, the USDA Office of the Inspector General, and our prior work on SNAP E&T programs. We interviewed relevant FNS officials from each of the seven FNS regions. We also conducted interviews with SNAP state agency officials in five states, selected based on several criteria to ensure our sample included state SNAP E&T programs with different service delivery approaches and other program characteristics, as well as geographic diversity. We visited those states (four of the five) in which services are provided through partnerships with local providers and interviewed selected local program staff with knowledge of SNAP E&T program operations, participant characteristics, and coordination with the state SNAP agency. For additional contextual information on SNAP E&T program trends, we also conducted background interviews with state officials from seven other state SNAP E&T programs, as well as representatives from national organizations with knowledge of the SNAP E&T program. Information collected from state and local SNAP E&T officials during our site visits and interviews cannot be generalized to all SNAP E&T officials nationwide. For additional information on the report\u2019s scope and methodology, see appendix I.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "SNAP Work Requirements", "paragraphs": ["All SNAP recipients ages 16 through 59, unless exempted by law or regulation, must comply with general work requirements. (See fig. 1.) These requirements generally include registering for work, reporting to an employer if referred by a state agency, accepting an offer of a suitable job, not voluntarily quitting a job or reducing work hours below 30 hours a week, or participating in a SNAP E&T program or a workfare program\u2014in which recipients perform work on behalf of the state\u2014if assigned by the state agency. SNAP recipients are exempt from complying with these work requirements if they meet certain criteria, such as being responsible for caring for a dependent child under age 6 or an incapacitated person. In addition, per federal law, those who are employed for 30 or more hours per week are exempt from the work requirements. SNAP recipients who are subject to the work requirements\u2014known as work registrants\u2014may lose their eligibility for benefits if they fail to comply with the requirements without good cause.", "In addition to meeting the general work requirements, able-bodied adults without dependents (ABAWDs) must work or participate in a work program 20 hours or more per week, or participate in workfare, which is performing work to earn the value of their SNAP benefits. Participation in SNAP E&T, which is a type of work program, is one way for ABAWDs to meet the 20-hour-per-week ABAWD work requirement, but other work programs are acceptable as well. Unless ABAWDs meet these work requirements or are determined to be exempt, they are limited to 3 months of SNAP benefits in a 36-month period. (See fig. 2.)", "At the request of states, FNS may waive the ABAWD time limit for ABAWDs located in certain areas of a state or an entire state when certain circumstances are met. For example, a waiver may be granted if the area has an unemployment rate of over 10 percent or the number of jobs available is insufficient to provide employment for these individuals. If the time limit is waived, ABAWDs are not required to meet the ABAWD work requirement in order to receive SNAP for more than 3 months in a 36-month period, but they must still comply with the general work requirements."], "subsections": []}, {"section_title": "SNAP Employment and Training Programs", "paragraphs": ["Federal requirements for state SNAP E&T programs were first enacted in 1985 and provide state SNAP agencies with flexibility in designing their SNAP E&T programs, including whom to serve and what services to offer. The state can require some or all SNAP work registrants to participate in the SNAP E&T program as a condition of eligibility, an approach commonly referred to as a mandatory program. In mandatory programs, individuals can be sanctioned if they fail to participate in an assigned SNAP E&T activity. State SNAP agencies also may elect to exempt categories and individuals from participating in SNAP E&T, such as those living in rural areas or experiencing homelessness. In addition, states may exempt all work registrants from participation in SNAP E&T and only serve volunteers, an approach commonly referred to as a voluntary program. States also determine which types of services to provide participants through their SNAP E&T programs, although they must provide at least one from a federally determined list. This list includes job search programs, job search training programs, workfare, programs designed to improve employability through work experience or training, education programs to improve basic skills and employability, job retention services, and programs to improve self-sufficiency through self- employment.", "There are three types of federal funding streams for state SNAP E&T programs: 100 percent funds\u2014formula grants for program administration, including planning, implementing, and operating a SNAP E&T program; 50 percent federal reimbursement funds; and ABAWD pledge funds\u2014 grants to states that pledge to serve all of their at-risk ABAWDs. While the federal allocation for 100 percent funds has generally been capped at $90 million over the last decade, some states do not obligate or expend their full allocation, and as a result, the following year FNS reallocates these funds to other states that request additional funds, according to FNS officials. Total federal expenditures on SNAP E&T programs increased from about $282 million in fiscal year 2007 to about $337 million in fiscal year 2016, according to FNS data (see fig. 3). Federal 50 percent reimbursement funds, which are generally not capped, constitute the largest portion of federal expenditures on SNAP E&T and were responsible for the majority of the increase in total federal SNAP E&T expenditures over the last decade. These funds are used for program administrative costs for operating SNAP E&T programs, as well as SNAP E&T participant expenses, such as transportation and dependent care costs."], "subsections": []}, {"section_title": "Program Support and Oversight", "paragraphs": ["In 2014, FNS created the Office of Employment and Training to provide support and oversight for the SNAP E&T program. Specifically, FNS expanded its headquarters staff dedicated to SNAP E&T from one to six full-time employees, and added a dedicated SNAP E&T official in each FNS regional office to provide technical assistance to states. FNS has also developed resources, such as a SNAP E&T Operations Handbook, intended to help states implement and expand their SNAP E&T programs.", "To inform its program support and oversight, FNS collects information on SNAP recipients and work registrants, as well as SNAP E&T program participants, services, and expenditures. More specifically, FNS periodically collects data from states on the total number of work registrants, ABAWDs, SNAP E&T participants, and participants in each type of SNAP E&T service. FNS also collects data from states on a sample of all households participating in SNAP each month as part of the Quality Control process. The Quality Control data include characteristics of SNAP recipients, including whether they are work registrants, for example. In addition, as a result of requirements in the Agricultural Act of 2014, FNS began collecting annual SNAP E&T outcome and participant characteristics data from states in January 2018. Furthermore, FNS collects quarterly information from states on SNAP E&T expenditures.", "States are also required to submit an annual SNAP E&T plan to FNS, including information on the services they plan to offer during the year and their projected budget and program participation numbers. Guidance on plan requirements is provided in an FNS handbook for states. FNS national and regional officials review the plans to ensure compliance with requirements, and plans must be approved by regional officials before SNAP E&T funding is allocated to a state."], "subsections": []}]}, {"section_title": "State SNAP E&T Programs Have Served a Small Percentage of Recipients over Time and Little Is Known about Participants and Outcomes", "paragraphs": ["State SNAP E&T programs have served a small and decreasing percentage of overall SNAP recipients over time, and although these data are generally reliable, FNS data on SNAP E&T program participant characteristics and outcomes are not reliable. State SNAP E&T programs have served a small percentage of SNAP recipients over the last decade potentially due in part to certain policy changes during that time, such as the increasing number of states moving from mandatory to voluntary SNAP E&T programs. The number of SNAP recipients served by SNAP E&T programs has also potentially been low because a limited number of those referred to state programs go on to participate in services. FNS\u2019s lack of reliable SNAP E&T data, as well as the agency\u2019s lack of a plan for using newly reported participant characteristics and outcome data to assess program performance, constrain FNS\u2019s ability to understand the extent to which agency goals are being met."], "subsections": [{"section_title": "State SNAP E&T Programs Have Served a Small and Decreasing Percentage of SNAP Recipients over the Last Decade, Due to Various Factors", "paragraphs": ["According to FNS data, among the approximately 43.5 million total SNAP recipients, only a small percentage\u20140.5 percent, or about 200,000\u2014were served by state SNAP E&T programs in an average month of fiscal year 2016, due to several factors. (See fig. 4.) First, according to FNS data, most SNAP recipients are exempt from work requirements for various reasons, under federal law and regulation. For example, according to FNS data, almost two-thirds of SNAP recipients were children, elderly, or adults with a disability in an average month of fiscal year 2016, and these groups generally are exempt from work requirements. As a result of federal exemptions, in an average month of fiscal year 2016, about 14 percent of SNAP recipients, or about 6.1 million individuals, were work registrants who were subject to work requirements, according to FNS data. Further, state SNAP agencies may elect to exempt individuals for whom participation is judged to be impractical or not cost effective. Moreover, SNAP work registrants may participate in other activities to comply with work requirements, such as other federal- and state-funded E&T programs.", "In recent years, the number and percentage of SNAP recipients and work registrants participating in SNAP E&T programs has decreased, according to FNS data. From fiscal years 2008 through 2016, the average monthly number of SNAP E&T participants decreased from about 256,000 to about 207,000, or by 19 percent, according to state data on SNAP E&T participants that were reported to FNS. (See fig. 5.) However, the data also show that over the same time period, the average monthly number of SNAP recipients increased from about 27.8 million to about 43.5 million, and work registrants increased from about 3.2 million to about 6.1 million. As a result, the percentage of total SNAP recipients participating in SNAP E&T programs decreased from about 0.9 percent to about 0.5 percent, and the percentage of work registrants participating in these programs decreased from approximately 8.1 percent to approximately 3.4 percent.", "The decline in SNAP E&T participation in recent years may have been influenced by certain policy changes, including states\u2019 widespread use of waivers for ABAWDs. According to FNS data, from fiscal years 2008 through 2012, the number of states with statewide waivers due to economic conditions increased from 7 to 46 states, potentially enabling ABAWDS in these states to continue receiving SNAP benefits without meeting ABAWD work requirements. As a result, these waivers potentially reduced the number of ABAWDs nationwide who may otherwise have participated in SNAP E&T programs in order to continue receiving SNAP benefits. Further, according to FNS data, from fiscal years 2011 through 2015, the majority of states continued to operate under statewide waivers of the ABAWD time limit.", "According to FNS data, states have also increasingly moved from mandatory to voluntary SNAP E&T programs in recent years, another policy change that may have influenced SNAP E&T participation. In fiscal year 2010, 36 states operated mandatory programs; however, by fiscal year 2017, 19 states operated mandatory programs. (See fig. 6.) When states move to a voluntary program, they generally experience a decline in SNAP E&T participation, according to FNS officials and our analysis of FNS data. Specifically, of the 21 states that changed from a mandatory to a voluntary program from fiscal year 2010 through fiscal year 2016, 13 experienced a decrease in SNAP E&T participation in the year following the change\u2014ranging from a 21 percent decrease to a 93 percent decrease. This trend was generally inconsistent with the trend in work registrants, as 9 of the 13 states that changed from a mandatory to a voluntary program and experienced a decrease in SNAP E&T participation also experienced an increase in their total number of SNAP work registrants during the same time period. Furthermore, voluntary programs are generally smaller overall than mandatory programs, according to our analysis of FNS data. In fiscal year 2016, for example, the 31 states operating voluntary programs together served less than half of the total number of SNAP E&T participants served by the 22 states operating mandatory programs, although these two groups of states had similar numbers of new work registrants.", "FNS officials told us that there are various reasons states may move to voluntary programs. For example, FNS officials said that many states have reported to them that offering employer-driven, skills-based, intensive employment and training services, such as vocational training or work experience, through voluntary programs yields more engaged participants with stronger outcomes. FNS officials stated that they have been actively encouraging states to offer these types of services because they believe these types of services are more effective in moving SNAP recipients, who may be more likely to have barriers to employment, toward self-sufficiency. However, they noted that SNAP E&T funding may not be sufficient to provide these types of services in mandatory programs that require participation by SNAP recipients and thus have higher participation. In addition, FNS officials told us that voluntary programs are less administratively burdensome than mandatory programs, as they allow states to focus on serving motivated participants rather than sanctioning non-compliant individuals.", "In addition, participation rates are low for SNAP recipients referred to the SNAP E&T program, according to FNS officials, state program officials, and available data, regardless of whether the state operates a mandatory or voluntary program. FNS officials said that engaging SNAP recipients who are referred to the program is a challenge across all states\u2014a point confirmed by the states we selected and available data. Among the 11 states that reported data to FNS on SNAP E&T participation by those referred to the program, which included states operating mandatory and voluntary programs, the percentage of SNAP recipients who were sent a referral letter but did not participate in any activity ranged from 35 to 98 percent in fiscal year 2017. For 8 of these states, about 70 percent or more of SNAP recipients who were sent a referral letter did not participate in any activity.", "FNS officials, state officials, and SNAP E&T service providers in our selected states indicated that participation by SNAP recipients referred to SNAP E&T may be low for various reasons. For example, FNS officials told us that some recipients face barriers to participation, such as a lack of transportation, childcare, or treatment for mental health issues, yet they have not been exempted by the state. For example, SNAP E&T providers and state officials in our selected states noted that SNAP recipients in rural areas, in particular, experience challenges participating in the E&T program due to a lack of transportation to E&T services, as well as the limited range of available services and employment opportunities. State officials and providers in all five of the states we selected also noted that SNAP recipients with mental health needs or substance abuse issues usually require additional services to participate in the SNAP E&T program, such as intensive case management or treatment. Lack of awareness of E&T services may also affect participation, as three SNAP E&T providers we spoke with said that SNAP recipients can be transient, and as a result, may not receive referral letters provided by mail. Further, some SNAP recipients may decide not to participate, despite the potential loss of SNAP benefits, or others face certain barriers to employment that may deter them from participating. For example, formerly incarcerated SNAP recipients may be discouraged from participating in SNAP E&T due to past struggles finding employers willing to hire those with a criminal background.", "Low participation rates are common across other employment and training programs serving similar populations, and although FNS has not researched how to address this issue in SNAP E&T, other agencies have assessed ways to improve participation in these programs. For example, in our past work, we found that states faced challenges with low participation in employment and training activities by Temporary Assistance for Needy Families cash assistance recipients. Recognizing that states would benefit from strategies on how to increase engagement in such activities, the U.S. Department of Health and Human Services contracted for research on behavioral interventions that affect attendance rates for employment and training services. Researchers found that strategies such as sending text messages to participants\u2014in addition to letters in the mail\u2014could increase the likelihood that they would attend program activities, particularly when communications encouraged recipients to make a detailed plan to participate. FNS officials stated that they are aware of research on strategies to address low participation in E&T programs; however, they noted that they have not researched causes of low participation in the SNAP E&T program. FNS officials added that they believe states could take steps to make enrolling and participating in SNAP E&T activities less burdensome for SNAP recipients.", "Further, FNS officials acknowledged that states could potentially benefit from technical assistance on increasing the rates at which referred SNAP recipients participate in SNAP E&T activities, but the agency\u2019s SNAP E&T technical assistance resources have generally not focused on this issue. In a recent policy brief, FNS indicated that collecting data on SNAP E&T participation can help state agencies and providers determine where attrition is occurring and point towards processes or services that need improvement. However, the brief did not provide strategies for improving processes or services to reduce attrition, and FNS officials acknowledged that they generally have not focused their resources on getting recipients to initially engage with service providers. Rather, FNS has focused its technical assistance resources on an approach intended to improve participation among those recipients who engage with the SNAP E&T program. Specifically, according to FNS officials, the agency\u2019s resources have focused on encouraging SNAP E&T providers to offer more intensive services, including skills-based training, as these services may be better able to address SNAP recipients\u2019 barriers to employment. Officials noted that they believe these types of services may be more responsive to SNAP recipients\u2019 needs, which could increase participation in E&T.", "Assisting state efforts to increase the level of participation for SNAP recipients who are referred to the E&T program could help FNS achieve agency goals, as well as help SNAP recipients move toward self- sufficiency. Specifically, USDA\u2019s fiscal year 2018 strategic plan includes increased participation in SNAP E&T as a strategy for supporting SNAP recipients in achieving self-sufficiency. Similarly, in a 2016 letter to states, FNS noted that expanding SNAP recipients\u2019 access to employment and training services is critical to helping them transition off the SNAP program by becoming economically self-sufficient. If states continue to struggle with low participation in SNAP E&T, and FNS does not expand its technical assistance to include a broader array of strategies to increase participation, both FNS\u2019s ability to meet its strategic goals, and the program\u2019s ability to help recipients achieve self-sufficiency, will be hindered."], "subsections": []}, {"section_title": "Information on SNAP E&T Participant Characteristics and Outcomes Is Not Reliable", "paragraphs": ["Although data on the number of overall participants in SNAP E&T programs in an average month from one FNS dataset are generally reliable, data on SNAP E&T program participant characteristics and outcomes are not reliable, according to our analysis of state data on SNAP E&T programs reported to FNS and our discussions with FNS and state officials. Specifically, in our review of the three FNS datasets that include state-reported information on SNAP E&T, we found several issues that affect the reliability of these data. According to our analysis, these data reliability issues include widely varying counts of SNAP E&T participants, ABAWDs, and work registrants across the datasets; missing or incomplete data on work registrants, ABAWDs, SNAP E&T participant characteristics and outcomes, and SNAP E&T services within the datasets; and inconsistencies within and between quarterly and annual reports of SNAP E&T participants in one of the datasets. For example, according to FNS officials, some states inaccurately reported participation in a single SNAP E&T service that exceeded the state\u2019s total number of SNAP E&T participants.", "FNS has taken steps to address some of the SNAP E&T data limitations, including providing additional training and guidance to states. For example, FNS provided training to states in July 2014 and September 2018 on how to accurately report SNAP E&T participant information through one of the state-reported datasets on SNAP E&T. In addition, in response to state questions regarding how to collect new outcome measures on SNAP E&T required by the Agricultural Act of 2014, FNS issued two memoranda in 2016 and 2017 providing additional policy clarifications. Recently, in 2018, FNS issued two memoranda providing clarifications on work requirements for ABAWDs and on SNAP E&T, in part to improve the reliability of data collected.", "Even with these efforts, our analysis suggests that FNS continues to lack reliable data on SNAP E&T programs for at least two reasons: imprecise instructions on data collection forms and staff confusion at the state level.", "Imprecise instructions on data collection forms. According to our analysis, state-reported data on SNAP E&T participants and characteristics are not reliable due to imprecise instructions on the respective data collection forms. For example, the form used by states to collect information on SNAP recipients nationwide asks states to indicate if recipients are work registrants, and if so, participate in employment and training programs. Although FNS officials told us that this was intended to capture SNAP E&T participants alone, the form does not specify this. As a result, FNS officials explained that they believe states are incorrectly reporting SNAP recipients participating in any E&T program. Without a reliable link to SNAP E&T participation, FNS is unable to use this source, which provides detailed information on SNAP recipients\u2019 demographic, educational, and economic characteristics, to analyze SNAP E&T participant characteristics. Similarly, in the case of another state-reported data source, we found that the form used to collect data on the types of SNAP E&T services participants receive does not list or define required services. According to FNS officials, states report widely varying SNAP E&T services within the same categories.", "Staff confusion at the state level. According to FNS officials, there has been widespread confusion among states regarding the need to track ABAWDs when waivers are in place. Consequently, some states were not tracking ABAWD participation or properly documenting SNAP recipients\u2019 ABAWD status in recent years, according to FNS officials and some of the state SNAP agency officials we spoke with. FNS noted the importance of accurately tracking ABAWDs following the expiration of the waivers and reinstatement of the time limit in a March 2015 memorandum to regional directors. Further, FNS officials told us that states should have continued to track ABAWDs even if the state was under a statewide ABAWD waiver. FNS noted in its 2015 memorandum that states that failed to accurately track ABAWDs risked potential overpayments, as ABAWDs who fail to meet work requirements are ineligible for benefits. Further, although we found generally reliable SNAP E&T participation data in one FNS dataset, staff confusion has also likely affected these participation data. FNS officials told us that some states may mistakenly include those referred into SNAP E&T programs who did not participate in a program activity in their count of SNAP E&T participants. Finally, in the case of SNAP E&T data on outcomes, FNS regional officials told us that state-level staff were confused by the two different definitions for completion of a SNAP E&T activity used by FNS\u2014an issue which may have affected the reliability of the outcome data.", "FNS has acknowledged that it is important to have reliable data on the SNAP E&T program for program oversight. Recently, in August and September 2018, FNS presented information to states at a national conference and in a webinar regarding the interactions of the different state-reported SNAP E&T data sources, and the importance of these data for funding and planning purposes. In a July 17, 2009 memorandum, FNS also stated that it is important that the agency collect reliable data on SNAP E&T to satisfy the increasing demands of Congress, advocacy groups, and the public for an accurate picture of the types of activities provided and participation patterns in those activities. This is generally consistent with federal internal control standards and our previous work on SNAP E&T. Federal internal control standards state that agencies should maintain quality data in order to produce and share quality information with stakeholders to help achieve agency goals. Further, in our 2003 report on SNAP E&T, we found that no nationwide data existed on whether SNAP E&T programs helped participants obtain employment, and we recommended that FNS collect nationwide data on program participants and require states to collect outcome measures.", "However, at present, the lack of reliable state-reported data on SNAP E&T participant characteristics and outcomes hinders FNS\u2019 ability to effectively oversee and monitor the SNAP E&T program. Without such information, states, FNS, and the Congress are unable to fully assess whether agency goals are being met through the SNAP E&T program. Further, the lack of reliable state-reported data on work registrants and ABAWDs affects FNS\u2019s ability to monitor states\u2019 implementation of program rules, including work requirements, and ensure program integrity. In addition, as data on work registrants and ABAWDs are used to allocate federal funds to states for SNAP E&T, unreliable estimates of these groups have funding implications.", "FNS\u2019s ability to understand the extent to which agency goals are being met is further hampered because FNS has not yet determined how it will use newly reported data to assess the performance of state SNAP E&T programs. As a result of provisions in the Agricultural Act of 2014, FNS required states to report new data on SNAP E&T participants\u2019 outcomes, such as the median quarterly earnings of certain program participants, and participant characteristics, such as the percentage of participants who have received a high school diploma. In addition, the Act requires that FNS assess the effectiveness of states\u2019 performance. In the preamble to the relevant interim final rule, FNS described at a high level how it intends to use the data, including identifying which program activities are most successful at moving individuals into employment. However, FNS officials told us that they were not yet certain how they will use the data to make such determinations. In addition, regional officials we spoke with stated that the current data might not allow FNS to answer questions about whether the program is achieving its goals.", "Similarly, state SNAP E&T officials we spoke with during our review did not know how the recently collected data related to program performance. Specifically, state officials in all five states we selected indicated that they were not certain how FNS will use these data to assess states\u2019 performance. Officials in three states also said that a lack of clarity about how these data relate to program goals has led to confusion.", "FNS officials told us that they have not determined how they will use the newly reported data or whether the current data are sufficient, in part, because the agency has instead focused its resources on assisting the states in submitting the data to meet the new reporting requirements. According to FNS regional and national officials, states required extensive technical assistance to obtain the requisite data and calculate the reporting measures. For example, one regional official said that his office had been providing the states technical assistance for a year and a half to prepare them for the new reporting requirements. States we spoke with also indicated that the data were time-consuming and challenging to obtain. For example, many states struggled to obtain data sharing agreements with workforce agencies for the required employment data. According to FNS officials, after receiving the first round of reports in January 2018, FNS officials continued to provide technical assistance to states to improve the quality of the data, and FNS required states to submit revised reports in May. However, as of August 2018, one state and one territory had not submitted the required reports to FNS, according to FNS officials.", "In the absence of FNS taking steps to determine how it will use the newly reported data to assess state effectiveness, questions about whether SNAP E&T programs meet their goals will remain unanswered. Further, states may continue to be challenged to report these data, and without information from FNS on how state performance will be assessed, states may lack clarity on how collecting these data will help contribute to program goals. As of October 2018, FNS officials said that they are exploring ways to improve their ability to collect and analyze all of the program data necessary to do a comprehensive assessment of state SNAP E&T. Our prior work has emphasized the importance of establishing how performance data relates to program goals. In addition, federal internal control standards state that management should determine whether performance measures for the defined objectives are appropriate for evaluating the agency\u2019s performance in achieving those objectives. Federal internal control standards also state that management should communicate necessary quality information to relevant internal and external parties to help the agency achieve its objectives."], "subsections": []}]}, {"section_title": "States Have Increasingly Partnered with Various E&T Providers, but Some States Have Not Leveraged Available Workforce Development System Resources", "paragraphs": [], "subsections": [{"section_title": "States Have Increasingly Partnered with Other Entities to Provide SNAP E&T Services", "paragraphs": ["In recent years, state SNAP agencies have increasingly partnered with other state and local organizations, such as nonprofit community-based social service providers, community colleges, and workforce agencies, to provide services to SNAP E&T participants, according to FNS officials and states we selected for our review. In fiscal year 2018, 50 state SNAP agencies partnered with at least one other organization to deliver SNAP E&T services, with the majority partnering with more than one, according to an analysis by FNS (see fig. 7). In that year, 36 states partnered with community-based social service providers, 33 states had partnerships with workforce agencies, and 24 states partnered with community colleges.", "FNS officials in all seven regions said that states have increasingly used an approach FNS refers to as third party partnerships in recent years to leverage outside funding to serve SNAP E&T participants. In this model, according to FNS officials, third party organizations use non-federal funding to provide allowable E&T services and supports to SNAP recipients, and state SNAP agencies are then eligible for a federal reimbursement of 50 percent of these expenditures. FNS has promoted this third party partnership model through various technical assistance resources provided to states, including an operations handbook and webinars, and has added a dedicated position for a SNAP E&T official in each regional office, in part, to help develop these partnerships. Federal 50 percent reimbursement funds expended increased from nearly $182 million to more than $223 million, or by 23 percent, from fiscal year 2007 to fiscal year 2016.", "According to FNS national officials as well as officials in some FNS regions and states, partnerships play a critical role in SNAP E&T programs because state SNAP agencies may lack the capacity, resources, and expertise to provide the type of intensive employment and training services FNS considers most likely to lead to self-sufficiency for SNAP recipients. For example, two of our selected states reported that they have partnered with community colleges to train participants for local in-demand occupations, including information technology, healthcare, and welding. According to officials in one FNS regional office, community- based social service providers and community colleges may have staff with expertise in workforce development, which SNAP agencies may not have, and this enables SNAP agencies to expand their programs and services without the expense of growing their own staff. According to officials in some FNS regions and some of our selected states, partnering with workforce agencies has enabled some states to provide training to participants using Workforce Innovation and Opportunity Act (WIOA) funds and supportive services using SNAP E&T funds, maximizing their ability to address participants\u2019 needs. Officials in one of the states we visited also said that partnering with the workforce agency allows them to ensure basic E&T services, such as job search assistance, are available to SNAP recipients across all counties in their state. (See fig. 8.)", "FNS officials also said that these partnerships better position states to improve their program outcomes by tapping into providers currently serving communities that include SNAP recipients. For example, one of our selected states partnered with nonprofit community-based social service providers experienced in working with homeless and previously incarcerated populations. Officials in this state said that the providers tailor E&T services based on their knowledge of these populations\u2019 unique barriers to employment. Further, officials in three of our five selected states said that some of the community-based social service organizations they partner with provide SNAP E&T participants with additional supportive services, including transitional housing, clothing, financial advising, and mental and physical health services, to address a broader set of barriers to employment."], "subsections": []}, {"section_title": "Some States Do Not Leverage Workforce Development System Resources for SNAP E&T, and FNS Has Not Assessed State Efforts to Utilize these Resources", "paragraphs": ["Although states are increasingly partnering with external entities to provide SNAP E&T services, according to FNS data for fiscal year 2018, 20 state SNAP agencies have not partnered with workforce agencies for SNAP E&T. According to FNS officials, the nationwide network of more than 2,500 American Job Centers, which are operated by state and local workforce agencies, can help to fill service gaps in areas lacking community based organizations or community colleges. However, despite the broad availability of E&T services such as job search assistance through American Job Centers, 12 state SNAP agencies directly provided job search or job search training for their SNAP E&T programs, according to their fiscal year 2017 state SNAP E&T plans.", "In addition, some states have not yet fully leveraged resources from the broader workforce development system, which includes workforce agencies, community-based organizations, and community colleges, to provide SNAP E&T services. For example, FNS data for fiscal year 2018 show that three states\u2019 SNAP agencies operated their own SNAP E&T programs in fiscal year 2018 and did not involve existing workforce development system entities in the provision of these services. According to their fiscal year 2017 state plans, these states each offered one or two types of SNAP E&T services, and the services they offered\u2014primarily job search and job search training\u2014are considered less intensive by FNS officials. In contrast, states with workforce development system partnerships offered a broader range of services, as well as more intensive services, such as vocational education. For example, all 36 state SNAP agencies that offered vocational education did so through workforce development system partnerships. As previously noted, FNS officials have said that intensive services are likely more effective in moving SNAP E&T participants, who may be more likely to have barriers to employment, toward self-sufficiency.", "Overlap and a lack of coordination in federally-funded E&T programs is a long-standing concern, and relatedly, state SNAP agencies are required to make use of workforce development system resources for SNAP E&T, when possible. In our prior work, we found that SNAP E&T was 1 of 47 federally funded E&T programs, nearly all of which overlapped with at least one other program by providing similar services to similar populations. We noted that overlap among federal E&T programs raises questions about the efficient use of resources, and we highlighted the value of coordination between these programs to ensure efficient and effective use of resources. Consistent with our findings, federal regulations require that each component of a state agency\u2019s SNAP E&T program be delivered through its statewide workforce development system, unless the component is not available locally through such a system.", "FNS national and regional officials, as well as state officials, described challenges states face in forming effective workforce development system partnerships. FNS officials said that challenges are often caused by differences in workforce agency and SNAP E&T program target populations and service delivery approaches. According to FNS, SNAP E&T participants often have more barriers to employment, such as low literacy and limited work experience, than the broader population served by workforce agencies. Because those with employment barriers could adversely impact the workforce agencies\u2019 employment and earnings performance, which could jeopardize agencies\u2019 workforce program funding, workforce agency staff are sometimes reluctant to serve SNAP E&T participants, according to FNS national and regional officials in three of the seven regions, as well as officials in one of our selected states. For example, officials in one region said that workforce agency staff had stopped serving SNAP E&T participants in the past when they realized the participants needed more supportive services or time in workforce programs to meet employment goals.", "Recognizing these challenges, in recent years, USDA has urged state SNAP agencies to collaborate with workforce agencies and others to improve coordination of E&T services. For example, in March 2016, USDA and the Department of Labor issued a joint letter encouraging state SNAP agencies and state and local workforce agencies to work together to develop shared strategies to better connect SNAP recipients with E&T opportunities through American Job Centers. FNS has also provided states with technical assistance materials on SNAP E&T and WIOA partnerships, which describe respective program requirements and how SNAP E&T and WIOA-funded workforce programs can complement one another.", "However, FNS has not ensured that all states take steps to identify potential workforce development system partners. Federal internal control standards state that agencies should collect complete and reliable information to ensure effective monitoring. FNS officials told us that they do not independently assess the availability of states\u2019 workforce development system partners but instead rely on states to document this information in their state SNAP E&T plans, a key tool used by FNS for program monitoring. However, we found that 24 states did not provide information in their fiscal year 2017 SNAP E&T plans that would allow FNS to verify whether these states had assessed available workforce development system providers. For example, the states\u2019 plans did not describe existing workforce development services in the state, despite FNS guidance that directs states to describe the statewide workforce development system and identify the E&T services that will be delivered through this system in their plans.", "States that are not fully leveraging resources available through the workforce development system may miss opportunities to provide a wider variety of services to SNAP E&T participants and serve a greater number of SNAP recipients through SNAP E&T programs. If state SNAP agencies do not assess workforce development system resources available in their state, they may lack awareness of potential partners and the resources they offer, potentially leading to an inefficient use of resources. In addition, without complete and reliable information on states\u2019 available workforce development system resources, FNS is not able to ensure that states are complying with the requirement to deliver SNAP E&T services through their state workforce development systems."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FNS has made strides in recent years to provide additional support and oversight of states\u2019 SNAP E&T programs, yet the agency lacks complete and accurate information on these programs, which may limit the effectiveness of its efforts. For example, SNAP E&T programs have served a small percentage of SNAP recipients over time, and while FNS recognizes that states lack information on strategies for increasing participation among those referred to the SNAP E&T program, it has not provided technical assistance in this area. As a result, FNS may miss opportunities to help more SNAP recipients receive program services intended to increase their self-sufficiency, a USDA strategic goal. FNS\u2019s ability to assess whether the program is assisting the department in meeting this goal is also hindered because FNS lacks reliable data on SNAP E&T participant characteristics and outcomes. Without reliable data on SNAP recipients subject to work requirements and participation in SNAP E&T, the agency\u2019s ability to monitor states\u2019 implementation of program rules to ensure recipients are not receiving benefits for which they are ineligible is also limited. Further, because FNS has not yet determined how it will use the newly required outcome and participant characteristics data to assess state SNAP E&T programs, questions about program performance remain unanswered. In addition, without information from FNS on how state performance will be assessed, states will continue to lack clarity on how reporting these data will help contribute to program goals. Finally, because partnerships can be a crucial source of additional capacity, resources, and expertise for SNAP E&T programs, states that are not fully leveraging available workforce development system resources may miss opportunities to serve a greater number of SNAP recipients through SNAP E&T and provide a wider variety of services to SNAP E&T participants. In addition, states may provide overlapping or duplicative services and use resources inefficiently, because FNS has not ensured that all states take steps to identify potential workforce development system partners."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to FNS: The Administrator of FNS should identify and disseminate strategies to states and service providers for increasing the participation of SNAP recipients referred to the SNAP E&T program. (Recommendation 1)", "The Administrator of FNS should take additional steps to address data reliability issues in the state-reported data on SNAP E&T participant characteristics and outcomes, including steps to address imprecise instructions on data collection forms and staff confusion at the state level. (Recommendation 2)", "The Administrator of FNS should determine and communicate to states how the agency will use newly reported outcome and participant characteristics data to assess the effectiveness of state SNAP E&T programs. (Recommendation 3)", "The Administrator of FNS should take additional steps to assist states in leveraging available workforce development system resources. Such steps should include ensuring that state SNAP E&T plans provide the agency with sufficient information to verify that states have assessed available workforce development system providers. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USDA for review and comment. On November 5, 2018, the Deputy Associate Administrator for SNAP and FNS officials from SNAP\u2019s Office of Employment and Training provided us with the agency\u2019s oral comments. FNS officials told us that they generally agreed with the recommendations in the report. They noted that they have been implementing strategies to help states improve their SNAP E&T programs, including expanding the reach of the programs and improving the reliability of state reported data. FNS officials stated that the agency plans to build on these current efforts to address the recommendations. We acknowledge the agency\u2019s ongoing efforts in our report but continue to believe that additional action is necessary to address our recommendations. FNS also provided technical comments, which we incorporated into the report as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the USDA, congressional committees, and other interested parties. In addition, this report will be available at no charge on the GAO website at https://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This appendix discusses in detail our methodology for addressing our two research objectives examining (1) what is known about Supplemental Nutrition Assistance Program (SNAP) employment and training (E&T) program participants and outcomes over time and (2) the extent to which state SNAP E&T programs have partnered with other programs offering similar services. We scoped our review of state SNAP E&T programs to include the 50 states, the District of Columbia, Guam, and the Virgin Islands.", "In addition to the methods we discuss below, to address both our research objectives, we reviewed relevant federal laws, regulations, and guidance; interviewed United States Department of Agriculture (USDA) Food and Nutrition Service (FNS) officials in its headquarters and seven regional offices; and reviewed relevant research from FNS and the USDA Office of Inspector General, as well as our prior work on SNAP E&T programs. Further, we interviewed representatives of a range of nationwide organizations knowledgeable about SNAP E&T and state officials from seven state SNAP E&T programs: Idaho, Louisiana, New York, Pennsylvania, Tennessee, Washington, and the District of Columbia. We also analyzed SNAP E&T expenditures using form FNS- 778 data for fiscal years 2007 through 2016, the most recent data available. The form FNS-778\u2014Federal Financial Report\u2014is a form used by FNS to collect quarterly expenditure data for state SNAP E&T programs. To assess the reliability of these data, we interviewed FNS and state officials, performed data testing, and reviewed relevant documentation. We determined these data to be sufficiently reliable for the purposes of our report. We excluded from our review the SNAP E&T pilot programs that were authorized by the Agricultural Act of 2014 because these are being evaluated separately by FNS.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "SNAP E&T Program Data", "paragraphs": ["To address our first objective, we analyzed data on SNAP E&T participation from three FNS data sources. First, we analyzed aggregate data on SNAP E&T participants collected from state SNAP agencies for fiscal years 2008 through 2016, the most recent data available. Second, for the same time period, we analyzed Quality Control data on individual SNAP recipients, work registrants, and SNAP E&T participants. Finally, we reviewed and analyzed aggregate participation data from state SNAP agencies\u2019 fiscal year 2017 outcome and participant characteristics reports."], "subsections": []}, {"section_title": "Form FNS-583 Data", "paragraphs": ["We analyzed the average monthly number of SNAP recipients participating in SNAP E&T using the form FNS-583 data. The form FNS- 583\u2014U.S. Department of Agriculture Food and Nutrition Service SNAP Employment and Training (E&T) Program Activity Report\u2014is used by FNS to collect quarterly and annual participation data for state SNAP E&T programs. To assess the reliability of these data, we interviewed FNS and state officials, performed data testing, and reviewed relevant documentation. Data testing included checks for missing data elements, duplicative data, and values outside a designated range. We determined the data were sufficiently reliable to identify the number of average monthly SNAP E&T participants and to assess change over time.", "To further examine what is known about participation in SNAP E&T, we also assessed form FNS-583 data on work registrants and able-bodied adults without dependents (ABAWDs) participating in SNAP E&T for fiscal years 2008 through 2016. To assess the reliability of these data, we interviewed FNS and state officials, performed data testing, and reviewed relevant documentation. We determined these data to be unreliable for the purposes of our report. As described above, for example, FNS officials learned in recent years that there was widespread confusion among states regarding the need to track ABAWDs when waivers were in place. Consequently, some states were not tracking ABAWD participation or properly documenting SNAP recipients\u2019 ABAWD status."], "subsections": []}, {"section_title": "FNS Quality Control Data", "paragraphs": ["We analyzed SNAP Quality Control data on individual SNAP recipients, work registrants, and SNAP E&T participants. The SNAP Quality Control database contains detailed demographic, economic, and SNAP eligibility information for a nationally representative sample of SNAP households. We estimated the number of SNAP recipients and work registrants for fiscal years 2008 and 2016 using the public use Quality Control dataset and calculated confidence intervals to determine if the change over time was statistically significant (see table 1). To assess the reliability of these data, we interviewed officials from FNS and the contractor responsible for maintaining the Quality Control dataset, as well as state officials; reviewed relevant technical documentation; and conducted data testing. For example, we compared the estimates we produced for fiscal years 2008 and 2016 to the publicly reported estimates in the annual Characteristics of Supplemental Nutrition Assistance Program Households reports for those years. We determined that the data, and the corresponding estimates in these reports, were sufficiently reliable for our purposes. As a result, for fiscal years 2009 through 2015, we relied on the estimates of SNAP recipients and work registrants published in the reports.", "We also analyzed SNAP Quality Control data on SNAP E&T participants for fiscal year 2016. To assess the reliability of these data, we interviewed officials from FNS and the contractor responsible for maintaining the Quality Control dataset, as well as state officials; reviewed relevant technical documentation; and conducted data testing. For example, we compared the estimate of SNAP E&T participants from the SNAP Quality Control dataset to the number of SNAP E&T participants reported by states on the FNS-583, which we had determined was reliable. From our review, we determined the Quality Control SNAP E&T participation data to be unreliable for the purposes of our report. As described above, for example, the form used by states to collect information on SNAP recipients nationwide asks states to indicate if recipients participate in employment and training programs. Although FNS officials told us that this was intended to capture SNAP E&T participants alone, the form does not specify this, and FNS officials said that some states are incorrectly reporting SNAP recipients participating in any E&T program.", "To determine the percentage of SNAP recipients and work registrants that participate in SNAP E&T, we used the data that we had determined were reliable. Specifically, we used the Quality Control data on SNAP recipients and work registrants, as well as the form FNS-583 data on SNAP E&T participants, for fiscal years 2008 through 2016."], "subsections": []}, {"section_title": "SNAP E&T Outcome and Participant Characteristics Data", "paragraphs": ["We also reviewed and analyzed fiscal year 2017 outcome and participant characteristics data reported by state SNAP agencies in the SNAP E&T Annual Report Federal Fiscal Year 2017. These data include information on SNAP E&T participants\u2019 outcomes, such as the median quarterly earnings of program participants, and participant characteristics, such as the percentage of participants who have received a high school diploma. Certain outcome data were only collected by FNS for two quarters of fiscal year 2017, whereas participant characteristics data were collected for the entire year. We received copies of these data reports from FNS as states submitted their initial reports to FNS in early 2018. Subsequent to FNS\u2019 review of these initial reports and their efforts to help states improve the accuracy and consistency of their reporting, FNS provided us with updated versions of the reports for many of the states. We used the reports to describe rates at which SNAP recipients referred to the SNAP E&T program participated in services\u2014data that were reported by 11 states. We did not validate the accuracy of these data."], "subsections": []}, {"section_title": "State SNAP E&T Plans and FNS Program Characteristics Data", "paragraphs": ["To address our second objective on the extent to which state SNAP E&T programs have partnered with other programs offering similar services, we reviewed fiscal year 2017 SNAP E&T state plans for all 53 state SNAP agencies. Specifically, we reviewed the plans to determine which services states planned to offer through partnerships with other programs in that year and the extent to which states documented their use of available workforce development system resources. To supplement our review of the plans, we also analyzed fiscal year 2018 summary data from FNS on the number of state SNAP agencies that partnered with community-based organizations, workforce agencies, and community colleges, as well as the number with state SNAP agency-operated SNAP E&T programs. We also analyzed fiscal year 2010 and 2017 summary data from FNS on mandatory and voluntary programs to determine how the number of state SNAP agencies with each program type changed over time. To assess the reliability of the FNS summary data, we interviewed FNS and state officials and reviewed relevant documentation. We determined these data to be sufficiently reliable for the purposes of this report."], "subsections": []}, {"section_title": "State Interviews and Site Visits", "paragraphs": ["To help inform both of our objectives and gather additional information about state SNAP E&T programs, we selected five states: Delaware, Oregon, Kansas, Texas, and Virginia. We selected these states based on several criteria to ensure our sample included state SNAP E&T programs with different service delivery approaches and other program characteristics, as well as geographic diversity. Specifically, we considered state SNAP E&T participation and expenditures, including utilization of federal 50 percent reimbursement funds. In addition, we considered whether the state operated a mandatory or voluntary SNAP E&T program, a county- or state-administered program, and opted to be an ABAWD pledge state. We also considered whether the state submitted its SNAP E&T plan as part of a Workforce Innovation and Opportunity Act Combined State Plan.", "Using semi-structured questions, we interviewed officials from the state agencies responsible for administering SNAP in the five selected states. We gathered information on SNAP E&T administration at the state level, including information on partnerships; program participation and expenditures; data collection efforts, including those related to assessing program outcomes; and any challenges to administering the program, as well as efforts to address such challenges.", "We conducted site visits to our selected states in which services are provided through partnerships with local providers\u2014Delaware, Oregon, Texas, and Virginia\u2014and interviewed selected local program staff with knowledge of SNAP E&T program operations, participant characteristics, and coordination with the state SNAP agency who provide SNAP E&T services in both urban and rural areas. We conducted these visits in February and March 2018. During each site visit, we used semi- structured questions to gather information on the goals and mission of the providers\u2019 organizations, types of services provided to SNAP E&T participants, needs and characteristics of SNAP E&T participants and how these might differ from those of other clientele, sources of funding used to provide services to SNAP E&T participants, and efforts to coordinate with the state SNAP agency. The local program staff we interviewed included representatives of workforce agencies, non-profit community-based organizations, a for-profit company, and community colleges. Information collected from state and local SNAP E&T officials during our site visits cannot be generalized to all SNAP E&T officials nationwide."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rachel Frisk (Assistant Director), Kristen Jones (Analyst-in-Charge), Morgan Jones, and Kelly Snow made key contributions to this report. Also contributing to this report were Alex Galuten, Mimi Nguyen, Sam Portnow, Julia Robertson, Monica Savoy, Almeta Spencer, Jeff Tessin, Kathleen van Gelder, Nicholas Weeks, and Jessica L. Yutzy."], "subsections": []}]}], "fastfact": ["To be eligible for benefits, some Supplemental Nutrition Assistance Program (SNAP) recipients must comply with work requirements, which may include participating in a state\u2019s SNAP Employment and Training program. These programs are intended to help recipients become self-sufficient.", "We found that only a small number of SNAP recipients participated in these programs\u2014less than 1% per month on average in 2016. However, USDA has limited data on these programs, so it can\u2019t monitor whether recipients are still eligible to receive benefits, or are achieving self-sufficiency.", "We recommended that USDA collect better data on these programs."]} {"id": "GAO-18-103", "url": "https://www.gao.gov/products/GAO-18-103", "title": "Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals' Needs for Home- and Community-Based Services", "published_date": "2017-12-14T00:00:00", "released_date": "2018-01-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["With approval from CMS, the federal agency responsible for overseeing state Medicaid programs, states can provide long-term care services and supports for disabled and aged individuals under one or more types of HCBS programs. State and federal Medicaid HCBS spending was about $87 billion in 2015. Effective needs assessments help states ensure appropriate access to, and manage utilization of, services and therefore costs. States' processes vary, and challenges include the potential for assessors to have conflicts of interest leading to over- or under-estimating of beneficiaries' needs for HCBS.", "GAO was asked to examine states' needs assessment processes for provision of long-term services and supports. This report addresses (1) how selected states assess needs for HCBS, and (2) steps CMS has taken to improve coordination and effectiveness of needs assessments, among other objectives. GAO studied six states that varied in terms of assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location; reviewed federal requirements and documents; and interviewed CMS officials and stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["The six selected states that GAO reviewed used multiple approaches to assess individuals' needs for Medicaid home- and community-based services (HCBS). Each state may have multiple HCBS programs authorized under different sections of the Social Security Act. These programs serve beneficiaries who generally need assistance with daily activities, such as bathing or dressing. States establish needs assessment processes to collect data on functional needs, health status, and other areas that they use to determine individuals' eligibility for HCBS and to plan services, such as the amount of services needed. The selected states varied in the extent to which they used different assessments across HCBS programs and used multiple types of entities\u2014such as state or government agencies, contractors, or providers\u2014to conduct them.", "The Centers for Medicare & Medicaid Services (CMS) has taken steps to improve needs assessments but concerns about conflict of interest remain in regard to HCBS providers and managed care plans. HCBS providers may have a financial interest in the outcome of needs assessments, which could lead to overstating needs and overprovision of services. CMS has addressed risks associated with HCBS provider conflicts, such as by requiring states to establish standards for conducting certain needs assessments, but these requirements do not cover all types of HCBS programs. For example, specific conflict of interest requirements are generally not in place for needs assessments that are used to inform HCBS eligibility determinations. In addition, requirements for states to establish standards to address HCBS providers' potential for conflict of interest in conducting needs assessments that are used for service planning do not apply across all programs.", "Similarly, managed care plans may have a financial interest in the outcome of HCBS assessments used for both determining eligibility and service amounts. Managed care plans could have an incentive to enroll beneficiaries with few needs, as plans typically receive a fixed payment per enrollee. For example, a plan in one state admitted in a settlement with the federal government to enrolling 1,740 individuals, from 2011 through 2013, whose needs did not qualify them. In 2013, CMS issued guidance that managed care plans may not be involved in assessments used to determine eligibility for HCBS, but CMS has not consistently required states to prevent this involvement. Among three states GAO reviewed with managed care HCBS programs, CMS required one to stop allowing plans to conduct such assessments but allowed plan involvement in two states. The absence of conflict-of-interest requirements across all types of HCBS programs and states is not consistent with federal internal control standards, which require agencies to respond to risks to program objectives."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS ensure that all Medicaid HCBS programs have requirements for states to address both service providers' and managed care plans' potential for conflicts of interest in conducting assessments. HHS concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicaid, a federal-state health financing program for low-income and medically needy individuals, is the nation\u2019s primary payer of long-term services and supports for children and adults with disabilities and aged individuals. In recent years, the majority of Medicaid spending on long- term services and supports has been for home- and community-based services (HCBS)\u2014that is, services that are provided to beneficiaries in their homes or in other settings that are integrated into their communities rather than in institutional settings such as nursing homes. In fiscal year 2015, federal and state Medicaid spending for HCBS was estimated at $87 billion, or 55 percent of total Medicaid spending on long-term services and supports. HCBS can enable beneficiaries who are limited in their ability to care for themselves to remain in their homes, maintain their independence, and participate in community life to the fullest extent possible. In administering their Medicaid programs, states have considerable flexibility to establish multiple HCBS programs authorized under different provisions of federal law, which offer states different options for serving beneficiaries. For example, some types of Medicaid HCBS program authorities limit services only to beneficiaries who need a level of care typically provided in an institutional setting.", "To receive Medicaid HCBS, beneficiaries generally must meet functional eligibility criteria\u2014which are typically based on factors such as physical and cognitive abilities indicative of a specified level of need for services\u2014 as well as financial eligibility criteria. States establish HCBS needs assessment processes that they use to determine whether individuals are functionally eligible for Medicaid HCBS and to develop service plans that specify the scope and amount of services beneficiaries may receive based on their needs. These processes must be consistent with applicable federal requirements, which may vary across HCBS programs. HCBS needs assessments directly affect the efficiency of and access to the Medicaid program, given their key role in informing both states\u2019 determination of functional eligibility for HCBS and the development of service plans that reflect the amount of services to be provided. These assessments are conducted using questionnaires or interview guides referred to as assessment tools, and individual states may use different assessment tools. A state may also use different assessment tools for different HCBS programs within the state or for different purposes such as establishing functional eligibility or developing service plans. The Medicaid and CHIP Payment and Access Commission (MACPAC) found at least 124 distinct HCBS needs assessment tools in use nationwide in 2015.", "Given the variation in needs assessment tools across and within states, stakeholders have noted potential benefits of moving toward more uniform HCBS needs assessments\u2014either by assessing all individuals with the same assessment tool, or by assessing individuals in specific populations or HCBS programs with distinct tools that gather similar information on a core set of topics for all individuals. For example, the U.S. Senate Commission on Long Term Care recommended the development and implementation of a single needs assessment tool that could be used across states, programs, and care settings. In addition, MACPAC noted potential benefits of moving to a uniform needs assessment tool, but also challenges such as differing and changing program needs across states and recent state investments in a variety of different tools. The Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS), is responsible for federal oversight of Medicaid. Recent CMS initiatives related to HCBS needs assessments were intended to help states collect uniform information across HCBS assessment tools and improve the effectiveness of needs assessments by addressing potential conflicts of interest, which may occur when entities with financial incentives that are tied to the outcomes of needs assessments conduct such assessments.", "Given the critical role that needs assessments play in determining Medicaid beneficiaries\u2019 access to long term services and supports and states\u2019 broad flexibility to structure needs assessments, you asked that we provide information related to the use of needs assessments across states.", "In this report, we: 1. describe the needs assessment processes that selected state Medicaid programs used to determine functional eligibility for HCBS and to plan the provision of services, such as the amount of services to provide; 2. describe steps selected states have taken to improve needs assessment processes for HCBS; and 3. evaluate steps CMS has taken to improve the coordination and effectiveness of needs assessment processes for HCBS.", "To describe states\u2019 HCBS needs assessment processes and the steps states have taken to improve these processes, we conducted case studies of six states. We selected states that varied in the number of assessment tools in use, types of HCBS delivery systems, participation in key CMS programs related to needs assessments, and geographic location. The six selected states were: Connecticut, Kentucky, Minnesota, New York, North Carolina, and Washington. For each state, we interviewed state officials involved in Medicaid HCBS programs and interviewed or collected information from state advocacy organizations, such as organizations representing beneficiaries that receive HCBS. We reviewed documents related to states\u2019 HCBS programs such as CMS program approvals and policy manuals, as well as documents related to the tools states use to assess beneficiaries\u2019 needs, such as questionnaires. To supplement the state case studies, we also reviewed relevant publications, such as MACPAC\u2019s inventory of the assessment tools that states used, and conducted interviews with representatives from national organizations involved in Medicaid HCBS issues. The scope of this review was to describe states\u2019 needs assessment processes for determining HCBS functional eligibility and developing service plans with respect to the amount of services to provide. While we reviewed HCBS needs assessment tools, it was not within the scope of our review to evaluate the benefits or limitations of specific assessment tools or questions, or to assess state compliance with federal requirements governing HCBS programs.", "To evaluate steps CMS has taken to improve the coordination and effectiveness of Medicaid HCBS needs assessment processes, we reviewed and analyzed relevant federal statutes and regulations, guidance, and program materials issued by CMS and its contractors. We compared CMS\u2019s regulations and guidance across Medicaid HCBS program authorities. We also reviewed evaluations and documentation of key CMS programs related to HCBS needs assessments, and interviewed CMS officials responsible for overseeing state Medicaid HCBS programs and key CMS programs related to HCBS needs assessments. We also reviewed CMS\u2019s HCBS program approvals in our selected states and information gathered from our case studies in the states. In addition, we reviewed the relevant standards for internal control in the federal government.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Medicaid is jointly financed by the federal government and the states. States administer their Medicaid programs within broad federal rules and according to a state plan approved for each state by CMS. CMS issues program requirements in the form of regulations and guidance, approves changes to states\u2019 Medicaid programs, provides technical assistance to states, and conducts other oversight activities. States are responsible for establishing state policies and procedures in accordance with federal requirements. Each state must designate a single state agency to administer its Medicaid program. That agency can delegate programs or functions\u2014such as enrollment in HCBS programs\u2014to other state and local agencies, but is responsible for their supervision. States may provide certain types of HCBS under their state plans. In addition, states may seek permission from CMS to provide HCBS under waivers of traditional Medicaid requirements; for example, in order to provide services to a targeted population or to a limited number of beneficiaries. Both state plans and waivers are developed and proposed by states and must be approved by CMS in order for states to receive federal matching funds for medical expenditures."], "subsections": [{"section_title": "Types of Medicaid HCBS Programs and Delivery Systems", "paragraphs": ["Medicaid HCBS cover a wide range of services and supports to help individuals remain in their homes or live in a community setting, such as personal assistance with daily activities, assistive devices, and case management services to coordinate services and supports that may be provided from multiple sources. With approval from CMS, states can provide Medicaid HCBS under one or more types of programs authorized under different sections of the Social Security Act, including several state plan and waiver authorities. (See table 1.) States can have multiple HCBS programs operating under different authorities, and these authorities have distinct features such as different functional eligibility criteria. For example, some types of Medicaid HCBS programs only serve beneficiaries who are functionally eligible for an institutional level of care; that is, beneficiaries must have needs that rise to the level of care usually provided in a nursing facility, hospital, or other institution.", "Under some types of HCBS programs, states can tailor their programs to the needs of specific beneficiary populations they choose to target. Common populations that states target with their HCBS programs include: older adults and people with physical disabilities, people with intellectual or developmental disabilities, people with addictions or mental illness, and other populations with specific conditions such as traumatic brain injury or Alzheimer\u2019s disease.", "States use different delivery systems to provide Medicaid HCBS, and these may vary across distinct HCBS programs within a state. Historically, states have predominantly provided HCBS using fee-for- service delivery systems in which states pay providers for HCBS rendered to beneficiaries and billed to the state. Alternatively, under managed care long-term services and supports delivery systems, states contract with managed care plans to provide HCBS to beneficiaries and typically reimburse the plans through capitation payments, which are periodic payments for each beneficiary enrolled under the contract. Managed care plans may contract with HCBS providers to provide services to beneficiaries or may provide services directly. A state may use a combination of fee-for-service and managed care delivery systems within or among its HCBS programs. Estimated expenditures on HCBS provided under managed care have grown from $8 billion in fiscal year 2012 to $19 billion in fiscal year 2015."], "subsections": []}, {"section_title": "Assessments of Individuals\u2019 Needs for Medicaid HCBS", "paragraphs": ["Individuals require HCBS because they are limited in their ability to care for themselves due to physical, developmental, or intellectual disabilities, or to chronic conditions. These services can assist beneficiaries with activities of daily living\u2014basic, personal, everyday activities such as bathing, dressing, and eating\u2014or with instrumental activities of daily living, which are other activities that allow individuals to live independently in the community, such as meal preparation or managing finances. States generally assess a beneficiary\u2019s needs for HCBS based on designated assessment tools\u2014or sets of questions\u2014that assessors use to collect information from sources such as beneficiaries, caregivers, and health records. Examples of this information include the following:", "Functional support needs: The need for assistance with activities of daily living or instrumental activities of daily living.", "Clinical care needs or medical health concerns: Information on an individual\u2019s health history, active diagnoses, medications, and clinical services (e.g., wound care or dialysis).", "Cognitive and behavioral support needs: The loss of memory function, behaviors that pose risks, or adaptive and maladaptive behaviors.", "Beneficiaries\u2019 strengths, preferences, and goals.", "The needs assessment processes may vary across states and distinct HCBS programs within a state, but typically involves the following key steps:", "States direct potentially eligible individuals to entities that conduct Medicaid HCBS needs assessments.", "An assessor conducts a needs assessment, generally in a face-to- face setting, using a designated assessment tool to collect information based on methods such as interviews with beneficiaries and caregivers, observation, and review of other sources of information needed to determine functional eligibility for services. Additional information relevant for service planning purposes may be included in this needs assessment, or collected in additional assessments that may occur after an individual is determined eligible for HCBS.", "Needs assessment results are used to inform determinations of whether an individual meets particular HCBS programs\u2019 functional eligibility requirements.", "Needs assessment results for eligible individuals inform the development of a service plan. The service plan includes the type and amount of services to be provided to the beneficiary within state- specified limits. States may use distinct needs assessments for service planning to collect more detailed information or may use the same assessment that was used to determine functional eligibility. (See fig. 1.)", "CMS\u2019s goals for HCBS and other Medicaid long-term services and supports include achieving a sustainable and efficient system that provides appropriate services to beneficiaries. Effective needs assessments can help beneficiaries to receive appropriate services to help them live independently and help states manage utilization of services, and therefore costs. An effective assessment process would facilitate efficient use of services and beneficiaries\u2019 access to available services appropriate to their needs by accurately and consistently estimating beneficiaries\u2019 needs. Assessment processes that overestimate needs, underestimate needs, or both, may result in HCBS programs that offer more services than needed or deny eligible beneficiaries access to needed services. (See fig. 2.)", "There are varied reasons why HCBS needs assessments may not accurately and consistently estimate beneficiaries\u2019 needs. HCBS needs assessments cover complex subject matter and may require assessors to make observations and judgments about beneficiaries\u2019 needs. For example, needs assessments typically address numerous and varied tasks necessary for a beneficiary to live independently, which can be difficult to measure and subject to interpretation\u2014such as a beneficiary\u2019s ability to manage finances. Furthermore, CMS has stated that assessors\u2019 conflicts of interest can influence decisions even without individual assessors realizing this. Conflicts of interest can arise when an assessor has an incentive for a beneficiary to either over- or under-utilize HCBS, or an incentive to put the needs of assessors ahead of program goals, such as promoting certain HCBS when others may be more beneficial or cost effective. As examples to further illustrate these points, incentives that could result in over- or under-utilization of HCBS include the following, respectively. On one hand, an assessor may be a provider of the services for which the beneficiary may be eligible or a managed care plan that covers these services, and thus have an incentive to find that individuals need the services or coverage they offer. Conversely, a managed care plan may have incentives to reduce enrollees\u2019 service utilization in order to reduce costs below the capitation payments that the plan receives to provide care to its enrollees and thus to maximize its profits, which could influence needs assessments used for service planning."], "subsections": []}]}, {"section_title": "Selected States Used Multiple Tools and Entities to Conduct Needs Assessments across Distinct HCBS Programs", "paragraphs": [], "subsections": [{"section_title": "Selected States Varied in the Extent to Which Needs Assessment Tools Were Tailored to Distinct HCBS Programs and Assessment Purposes", "paragraphs": ["Each of the six selected states we reviewed used varied needs assessment tools across their distinct Medicaid HCBS programs, for which both functional eligibility criteria and amount of services available to beneficiaries can differ widely. The selected states varied in the extent to which their needs assessment tools were either tailored to a single Medicaid HCBS program or used across multiple, though not necessarily all, HCBS programs in the state. The selected states also varied in the extent to which the same or different needs assessment tools were used for different purposes, such as determining functional eligibility and developing a service plan:", "Connecticut. State officials reported that the state was in the process of piloting a uniform needs assessment tool that it planned to use for all but one of the Medicaid HCBS programs in the state. This needs assessment tool was used both to determine functional eligibility and to develop beneficiary service plans.", "Kentucky. State officials reported that the state had implemented a new needs assessment tool for one Medicaid HCBS Waiver program while continuing to use previous tools for other Medicaid HCBS Waiver programs. The same assessment was used for determining functional eligibility and for developing the service plan. In selecting and adapting the new tool, officials said that they considered the assessment needs of the other Medicaid HCBS waiver programs, because they would ultimately like to use only one assessment tool across all HCBS Waiver programs.", "Minnesota. State officials reported that the state had designed a uniform needs assessment tool for use across all HCBS programs in the state and had implemented it for most programs. The uniform assessment tool was used to determine functional eligibility for all HCBS programs in the state for which it was implemented and was also used to inform the development of service plans.", "New York. State officials reported that the state had implemented a set of needs assessment tools, referred to as a uniform assessment system, for use across multiple HCBS programs. The same uniform assessment system was used to both determine functional eligibility and to inform development of beneficiary service plans.", "North Carolina. At the time of our review, officials described generally using different assessment tools for the separate HCBS programs in the state. State officials reported that the state had developed a new needs assessment tool for one Medicaid HCBS Waiver program, and that they planned to expand use of this tool to another program in the future. The state used different needs assessments to determine functional eligibility and for service planning in its HCBS Waiver programs.", "Washington. State officials reported that a uniform assessment system was used across HCBS programs in the state. The system was composed of multiple needs assessment components. One version of the assessment was used for HCBS programs serving individuals with intellectual and developmental disabilities, and a different version was used for all other programs. For all HCBS programs, the same needs assessment system was used to determine functional eligibility and to develop the service plan."], "subsections": []}, {"section_title": "Selected States Used Different Types of Entities to Conduct Needs Assessments, Including State Agencies, Local Public Agencies, Contractors, HCBS Providers, and Managed Care Plans", "paragraphs": ["All six states we studied reported using more than one type of entity to conduct needs assessments for HCBS programs. For example, New York used five different types of entities, North Carolina used four different types of entities, and the remaining four states used two or three types of entities to conduct needs assessments. State agencies, local public agencies, and independent contractors were used by four states to conduct needs assessments for at least one HCBS program. All states but one, Washington, used HCBS providers or managed care plans to conduct needs assessments (see table 2).", "The types of entities that conduct needs assessments in the selected states varied across distinct HCBS programs, or for distinct needs assessment purposes within a single HCBS program. States may use multiple types of entities to conduct needs assessments because of differences in how particular HCBS programs were delivered. For example, the entities used in Minnesota varied by delivery system\u2014the state reported that it used local public agencies to conduct needs assessments for all Medicaid HCBS programs other than its managed care HCBS program, for which managed care plans conducted needs assessments. In other states, different entities conducted needs assessments within the same HCBS programs depending on the purpose of the assessment. For example, because managed care plans may have a financial interest in eligibility determinations, New York began by July 2015 to use an independent contractor exclusively to conduct needs assessments to determine functional eligibility for HCBS for new enrollees in its managed care HCBS program. Once individuals were determined eligible for managed care HCBS, the managed care plans conducted the same assessment a second time in order to develop beneficiary service plans."], "subsections": []}, {"section_title": "Selected States Varied in Whether Formulas Were Used to Inform Functional Eligibility Determinations and Service Planning Decisions", "paragraphs": ["The six selected states also varied in whether they used formulas based on information collected using Medicaid HCBS needs assessment tools to inform key functional eligibility and service planning decisions. States may use such formulas as a means of meeting goals of consistent treatment of individuals based on needs. In making functional eligibility determinations, five of the six selected states\u2014Connecticut, Minnesota, New York, North Carolina, and Washington\u2014reported using a formula to compare the results of completed needs assessments to eligibility criteria for at least one of the HCBS programs in the state. For example, for specific HCBS programs, the assessment tool may compile results of certain assessment questions into a score that indicates whether or not the beneficiary is considered to have a need for an institutional level of care, which is required in order to be functionally eligible for some types of HCBS programs. For service planning purposes, four states\u2014 Connecticut, Minnesota, North Carolina, and Washington\u2014reported that in at least one of these states\u2019 distinct HCBS programs, the assessment tools included formulas. These formulas specified a particular amount of services or guided a potential range of service amounts for beneficiaries based on the results of particular assessment questions. (See table 3.)", "Professional judgment may also be used in conjunction with formulas. For example, when formulas are used to specify particular service levels based on the needs assessment results, they may specify a number of service hours or service budget. In either case, other factors may also be considered in some circumstances. State officials in one state described the use of formulas to allocate services as an initial step prior to the detailed person-centered service planning process. For example, in Minnesota a state formula specifies a certain number of hours of personal care services partly based on the level of need for assistance with activities of daily living such as eating, bathing, and toileting. However, the beneficiary and the entity responsible for the service planning process determine the specific services to prioritize within the overall number of hours available, and they may decide to use the authorized hours toward covered services that were not necessarily part of the formula, such as instrumental activities of daily living. In contrast, in states or HCBS programs that did not utilize formulas to specify or guide a particular amount of services based on assessment results, the amount of services may be determined\u2014within the scope of service limits applicable to the particular HCBS program\u2014by the entity responsible for working with the beneficiary on the service planning process."], "subsections": []}]}, {"section_title": "Selected States Took Steps to Unify Needs Assessment Processes and Increase Consistency", "paragraphs": [], "subsections": [{"section_title": "Selected States Made Efforts to Make Needs Assessment Processes More Uniform across Distinct HCBS Programs and Noted Benefits and Challenges", "paragraphs": ["The six selected states reported taking steps to unify needs assessment processes across Medicaid HCBS programs as a means of meeting goals such as improving the efficiency and effectiveness of assessments. Specifically, states reported taking steps to implement assessment tools for use across multiple Medicaid HCBS programs in the state. Four states\u2014Connecticut, New York, Minnesota, and Washington\u2014had adopted or were piloting needs assessment tools that were used across multiple state Medicaid HCBS programs (though not necessarily all such programs in the state) rather than completing separate needs assessments for each separate program. In addition, Kentucky and North Carolina had recently implemented new tools for specific Medicaid HCBS programs that would be considered for use in additional HCBS programs in the future.", "Important benefits to beneficiaries and HCBS programs have resulted from efforts to coordinate needs assessment processes by using a uniform assessment across distinct HCBS programs, according to state officials and advocates. For example:", "State officials and advocates described that using a uniform assessment tool to determine functional eligibility for multiple state HCBS programs resulted in benefits and efficiencies for beneficiaries. Officials and advocates in Minnesota said that the uniform assessment process allowed beneficiaries to connect with the program best suited to their needs, even if they may not have otherwise been aware of it when initially seeking assistance. For example, officials said that families of children with autism may apply for personal care services, but may benefit more from being connected to another HCBS program that is available and designed to support the children\u2019s specific needs. Similarly, officials in Connecticut said that uniform assessment across HCBS programs allows beneficiaries to access the services that are most appropriate without multiple assessments. For example, if an individual applies for a particular HCBS program but a separate program would be more appropriate, a second assessment is not necessary.", "Connecticut, Washington, and New York officials described how uniform assessment tools allowed consistent information to be shared with care providers or when beneficiaries transitioned between care settings. This, in turn, could allow care providers to better manage beneficiary care.", "State officials reported uniform assessment tools can result in better informed program management and policy decisions because they allow for the ability to collect consistent information across HCBS programs. For example, officials from Connecticut and Washington described how comparable assessment information could inform equitable policies for allocating services. Washington officials described using information about the extent of beneficiary needs to inform decisions about how many program staff were needed. Kentucky officials described how a more uniform assessment process helped them become aware of when beneficiaries were receiving services from multiple different non-Medicaid HCBS programs that were state-funded.", "States and advocates also reported challenges, including inefficiencies, to using uniform assessments under certain circumstances, such as when states have different criteria for functional eligibility across their different HCBS programs, or when different beneficiary populations have different assessment needs. For example:", "Minnesota officials reported that beneficiaries may need to address multiple versions of similar eligibility-related questions in its uniform assessment tool. This was due to the decision to incorporate each HCBS program\u2019s previously separate functional eligibility questions into its tool to avoid changes in the information they used to determine eligibility.", "Beneficiary advocates in three states expressed concerns with the use of assessments designed for a particular population on a different population, such as using assessments designed for adults to assess the needs of children. Officials from Kentucky also noted concerns about using assessments across distinct populations as part of the reason the state was not using a single assessment tool.", "State officials and advocates also reported that uniform assessments resulted in lengthier assessment question sets that take longer to complete for both the assessor and the beneficiary."], "subsections": []}, {"section_title": "Selected States Reported Efforts to Increase Consistency in How Needs Assessments Were Conducted and Used, but Balancing Consistency with Flexibility Was a Concern", "paragraphs": ["Selected states reported making efforts to improve their assessment processes to increase consistency in how assessors conduct HCBS needs assessments. These efforts included using structured questions and emphasizing training to ensure individual assessors approached the assessment questions consistently and according to policy, and addressing potential conflicts of interest by using independent assessors rather than HCBS providers and managed care plans to conduct certain needs assessments. States\u2019 improvement efforts included the following:", "Structured questions. Officials from five states described that structured approaches to assessment questions could improve the consistency of the assessment results, which are used to make functional eligibility and service planning decisions. Examples of structured questions that state officials described included questions that limited responses to a specific time period\u2014such as the past 7 days\u2014when assessing needs, and questions that used a standard scale for responses.", "Assessor training. Officials from four states reported focusing on assessor training to improve consistency. For example, North Carolina officials reported that determinations of need for personal care services were improved after training. In the training, assessors were taught to comply with a state policy to ask that beneficiaries demonstrate need for assistance with activities of daily living, such as mobility, rather than solely asking them questions about their needs.", "Independent needs assessments. Officials from three of the selected states\u2014New York, North Carolina, and Kentucky\u2014reported that needs assessments were improved by removing entities that had a financial interest in assessment results from conducting certain assessments. For example, Kentucky officials reported that using independent assessors rather than HCBS providers enhanced consistency because HCBS providers may skew beneficiaries\u2019 assessment results to generate demand for their services. They noted that providers had resisted their removal from the process.", "Three of the six selected states reported that using a formula to summarize assessment results increased the consistency with which functional eligibility determinations or decisions about the amount of services to provide were made based on each individual\u2019s assessment results. For example, officials from Washington reported that after implementing a formula to generate an overall classification of need, the amount of service hours authorized for beneficiaries was distributed more equitably and evenly across a continuum from minimum to maximum, rather than beneficiaries mainly always receiving the maximum number of hours allowed under program limits. This could allow for limited resources to be allocated more consistently across beneficiaries with similar levels of need. Officials from Connecticut similarly reported that during testing of a formula that was planned for use to specify the amount of service to provide, they had identified beneficiaries receiving more services than would be indicated by the formula based on their assessed needs.", "While officials reported that these efforts enhanced consistency of eligibility determinations and service authorization decisions, state officials and advocates also acknowledged challenges related to balancing consistency with flexibility in arriving at decisions\u2014particularly with respect to the use of formulas for service allocation. The different approaches of relying on a formula or relying on the judgement of individual entities each presented its own challenges: In two states where there was a formula to specify or guide the amount of services to provide, advocates raised concerns that the indicated amount did not adequately address needs for some individuals. For example, advocates noted that the results of a lengthy and nuanced assessment tool were ultimately reduced to a single score in order to inform a particular budget for services. While this score might reflect the average needs of beneficiaries with similar assessment results, it did not adequately convey individualized needs of some beneficiaries, according to the advocates.", "On the other hand, there were concerns that relying on entities\u2019 judgment resulted in inconsistency across beneficiaries. Advocates in three states raised concerns about inconsistent decisions across managed care plans or geographic areas, or over time, when determinations of functional eligibility or amount of services to provide were not based on state-determined formulas.", "In one state, state officials and advocates noted that these concerns were addressed by using formulas to allocate services but allowing beneficiaries to use an alternative assessment process in certain circumstances or receive \u201cexceptions\u201d to the amount of service authorized by the state\u2019s formula based on individual circumstances.", "Beneficiary advocates also emphasized that the amount of services that are authorized for beneficiaries may reflect the scope of available services rather than the needs of an individual beneficiary. To the extent that a given HCBS program has limited resources for providing services, assessment results may be used to allocate resources within those limitations rather than to estimate the amount of services that would fully meet needs. For example, an assessment formula in Washington is designed to specify service amounts based on beneficiaries\u2019 identified levels of need and the amounts that are available for particular levels of need may increase or decrease based on the state budget. State officials in Connecticut also said that because funding can vary for different HCBS programs within a single state, moving to a consistent formula for analyzing assessment results may shed light on the extent that beneficiaries with similar levels of need receive different levels of services depending on available program resources."], "subsections": []}]}, {"section_title": "CMS Has Taken Steps to Make HCBS Needs Assessment Processes More Effective, Uniform, and Free from Conflict of Interest, but Some Concerns Remain Unaddressed", "paragraphs": [], "subsections": [{"section_title": "Two CMS Programs Have Sought to Make Assessment Processes More Effective and Uniform within and across States", "paragraphs": ["CMS has implemented two key programs that facilitate state efforts to make their HCBS needs assessment processes more uniform, among other goals. One of these is called Testing Experience and Functional Tools (TEFT) and is designed, in part, to test the effectiveness of a set of specific questions that states can use to conduct needs assessments. CMS designed the TEFT assessment questions for use across multiple HCBS beneficiary populations, including beneficiaries (1) of advanced age, or with (2) intellectual or developmental disabilities, (3) physical disabilities, (4) serious mental illnesses, or (5) traumatic brain injuries. The assessment questions being tested are limited to needs that may be relevant among these populations and do not assess needs that may apply to only certain populations; for example, questions to assess cognitive status that may apply to those with intellectual or developmental disabilities or other conditions but that do not apply to those with physical disabilities only. CMS announced TEFT in 2012 and six states received grants to test needs assessment questions for their effectiveness, which includes their validity (defined as accuracy in measuring individuals\u2019 functional abilities) and reliability (defined as the consistency of results across assessors). Three of these six states were among those we selected for this review: Connecticut, Kentucky, and Minnesota. Officials in these states told us that they had not completed field testing the TEFT questions, and officials in two of these states (Connecticut and Minnesota) said they would consider the option of using TEFT questions in their assessments in the future. CMS officials told us that CMS plans to make the assessment questions they determine to be valid and reliable available to all states in the spring of 2018.", "Another key program that CMS has implemented is the Balancing Incentive Program, which was authorized by the Patient Protection and Affordable Care Act in 2010, to provide incentives for eligible states to rebalance their long-term services and supports systems towards more home- and community-based care. Among other things, this program required participating states to collect information on specific topics related to beneficiaries\u2019 needs, but allowed states to choose the needs assessment questions. Under this program, states could use different assessment tools to gather information for HCBS programs serving different populations as long as the states used tools that collected information on 26 key topics that spanned five broad areas, or domains. The five domains were (1) activities of daily living, (2) instrumental activities of daily living, (3) medical conditions/diagnoses, (4) cognitive functioning, memory, and learning, and (5) behavior concerns (e.g., injurious, uncooperative, or destructive behavior). The requirement to collect information from these five domains for each beneficiary population was designed to promote consistency in determining beneficiaries\u2019 needs across HCBS programs, while allowing states to tailor their assessment processes to specific beneficiary populations, according to CMS officials. For example, New York reported collecting information on the required topics using a suite of six assessment tools that varied to reflect differences in beneficiaries\u2019 age, population, and other factors.", "The Balancing Incentive Program ended in 2015, although some states were provided extensions to carry out planned activities. Of 20 participating states evaluated, 18 successfully carried out the requirement to incorporate the 26 key topics in their needs assessments, according to a program evaluation prepared for the HHS Assistant Secretary for Planning and Evaluation. In addition, CMS has provided information and lessons learned from the Balancing Incentive Program to all states via its website and, according to CMS officials, has done several related presentations. While CMS does not have plans to conduct additional evaluations of assessment tools used by participating states, CMS officials told us that there would be some value to doing so and they may consider it in the future."], "subsections": []}, {"section_title": "CMS Has Taken Steps to Improve Effectiveness by Addressing the Potential for Conflicts of Interest, but These Steps Do Not Address All Types of Programs or Conflicts", "paragraphs": ["CMS has sought to improve HCBS needs assessments by addressing concerns about the potential for conflicts of interest that HCBS providers and managed care plans may have in conducting assessments. As previously noted, HCBS providers may have a financial interest in providing services that could potentially lead to over-utilization of services, while managed care plans may have a financial interest in increasing enrollments and reducing enrollees\u2019 service utilization."], "subsections": [{"section_title": "Addressing HCBS Providers\u2019 Potential for Conflicts of Interest", "paragraphs": ["CMS has taken steps to address conflicts of interest that may occur when HCBS providers conduct needs assessments, but gaps remain. The Balancing Incentive Program, which ended in 2015, required the 21 participating states to either separate HCBS provision from needs assessment processes or to take steps to mitigate the potential for conflicts of interest that occur when HCBS providers conduct assessments. In addition, CMS implemented regulations requiring all states to establish standards for conducting needs assessments that address certain potential conflicts for particular types of HCBS programs. The specific requirements may differ by program and whether the assessment is used to determine functional eligibility or develop service plans:", "For example, for State Plan HCBS\u2014a relatively small program that accounted for less than 1 percent of estimated Medicaid HCBS expenditures in fiscal year 2015\u2014states are required to establish conflict-of-interest standards that address both (1) evaluation of eligibility, and (2) needs assessments used to develop service plans. These standards must prohibit HCBS providers from conducting eligibility evaluations and needs assessments for this program, with certain exceptions in which the potential for conflict of interest must be mitigated.", "Under the HCBS Waiver, Community First Choice, and Self-Directed Personal Assistant Services programs\u2014which collectively accounted for 60 percent of estimated expenditures for Medicaid HCBS in fiscal year 2015\u2014states are required to establish standards that generally prohibit HCBS providers from conducting assessments of need used to develop service plans, but this requirement does not apply to assessments that states may use to determine functional eligibility.", "In addition, for State Plan Personal Care Services programs and other HCBS authorized under Section 1905(a) of the Social Security Act\u2014 which collectively accounted for 29 percent of estimated Medicaid HCBS expenditures in fiscal year 2015\u2014regulations do not specifically limit HCBS providers from conducting assessments that states may use to determine eligibility or develop service plans.", "As a result of these differences in requirements across HCBS authorities, there are gaps in federal conflict-of-interest requirements applicable to entities that may conduct needs assessments. For example, several types of HCBS programs have specific requirements for states to establish standards to address potential conflicts of interest when HCBS providers conduct needs assessments that are used for service planning, but there are no equivalent requirements for State Plan Personal Care Services programs. (See table 4). In addition, HCBS providers may conduct certain needs assessments that inform HCBS functional eligibility determinations, but specific conflict of interest requirements are generally not in place for such assessments. With respect to gaps in requirements specific to needs assessments that are used to inform functional eligibility determinations, CMS officials suggested that state agencies\u2019 responsibility for making final eligibility determinations addresses conflict- of-interest concerns. Specifically, officials noted that CMS regulations require state agencies to determine eligibility, and that, in doing so, states may consider needs assessments conducted by assessor entities as well as information from other sources. However, states may vary in the extent to which they consider information from other sources. In addition, it is unclear how the requirement that the state maintain responsibility for eligibility determinations addresses potential conflicts of interest when an HCBS provider conducts a needs assessment upon which a determination of eligibility for HCBS may be based.", "Gaps in requirements to address the potential for conflicts of interest when HCBS needs assessments are conducted by HCBS providers are not consistent with federal internal control standards, which require federal agencies to identify, analyze, and respond to risks related to achieving defined objectives. While CMS has a goal of achieving an effective long-term services and supports system that provides appropriate services to beneficiaries, because the agency does not require states to address the potential for HCBS providers\u2019 conflicts of interest in conducting needs assessments under all HCBS authorities, there is a risk that some states may rely on HCBS providers to conduct assessments without addressing HCBS providers\u2019 financial incentives, which can lead to over-utilization of HCBS. Examples among our case study states include:", "North Carolina: A program integrity review conducted by CMS in North Carolina found that the state\u2019s transition to the use of an independent entity to conduct needs assessments for the State Plan Personal Care Services Program\u2014rather than relying on HCBS providers to assess beneficiary needs\u2014was followed by a reduction in both the number of beneficiaries using the program and a 30 percent reduction in average monthly expenditures. This suggests the program may have been over-utilized before the independent entity was used to conduct needs assessments. CMS highlighted this use of an independent entity as a practice that merits consideration from other states.", "Kentucky: State officials told us that when they transitioned to the use of independent assessors they also identified apparent instances of over-utilization that were occurring before they implemented independent assessments and other program changes. For example, officials said that when testing a new assessment tool using independent assessors, they identified individuals who had a low level of needs, and who did not appear to require an institutional level of care, as required for program eligibility, but who had been assessed at that level in the past."], "subsections": []}, {"section_title": "Addressing Managed Care Plans\u2019 Potential for Conflicts of Interest", "paragraphs": ["Conflict-of-interest concerns also exist for states with managed care HCBS programs where managed care plans conduct assessments. CMS has taken separate steps to address these concerns, including issuing guidance and new regulatory requirements.", "CMS issued guidance in May 2013 that addressed best practices and CMS\u2019s expectations of new and existing managed long-term services and supports programs, which include managed care HCBS. The guidance stated that managed care plans may not be involved in any HCBS functional eligibility determinations or needs assessment processes prior to a beneficiary\u2019s enrollment in the plan. CMS officials told us that allowing managed care plans to assess individuals before enrollment without proper oversight by the state may provide an opportunity for plans to selectively enroll individuals who require less HCBS. Despite this risk, we found that CMS does not always take steps to ensure that states have procedures in place to guard against this practice prior to approving their programs. CMS officials told us that they evaluate state programs individually and may not apply all of the detailed concepts in its guidance when developing state-specific requirements for managed care HCBS programs. CMS\u2019s application of the guidance in the three states selected for this review varied across types of HCBS programs. Examples from 1115 Demonstration and HCBS Waiver programs for our case study states include the following:", "1115 Demonstration programs: Of the six states we selected for this review, one\u2014New York\u2014operated a managed care HCBS program authorized by an 1115 demonstration. Prior to July 2015, New York used managed care plans to assess and determine individuals\u2019 functional eligibility for certain HCBS programs. One managed care plan admitted to enrolling 1,740 individuals in managed care HCBS whose needs did not qualify them for the program from January 2011 to September 2013, and it resolved allegations that it had submitted false claims for Medicaid HCBS in a $35 million settlement with the U.S. Department of Justice. In 2013, CMS amended the terms and conditions of New York\u2019s demonstration to require the state to use an independent assessor entity to both conduct needs assessments and determine eligibility for managed care HCBS, and New York has contracted with an independent assessor to carry out these functions. While this requirement applied specifically to New York, it does not necessarily apply to other states, as CMS\u2019s terms and conditions for 1115 demonstrations can vary across states. According to CMS, an additional 11 states had managed care HCBS programs approved under 1115 demonstrations as of July 2017. However, CMS officials told us that they did not have information on whether or not these 11 states were using managed care plans to conduct needs assessments for the purpose of determining individuals\u2019 functional eligibility.", "HCBS Waiver programs: Two of our six selected states\u2014Minnesota and North Carolina\u2014used managed care plans to deliver services for HCBS Waiver programs. In these states, CMS approved HCBS Waiver applications that proposed to use managed care plans to conduct or evaluate needs assessments used to determine functional eligibility for the programs, contrary to CMS\u2019s May 2013 guidance. CMS officials said that when states allow managed care plans to be involved in these assessments, CMS would expect states to provide oversight as part of their quality improvement strategies required under HCBS Waivers. However, CMS does not require states to provide assurances or evidence of oversight directly related to managed care plans\u2019 potential for conflicts of interest when plans are involved in needs assessments that states use to determine functional eligibility.", "CMS officials told us that states that do allow managed care plans to conduct assessments used to determine eligibility for HCBS should be aware of the potential for conflicts of interest in order to provide adequate oversight. CMS officials also told us that they engage in a conversation with states related to oversight of the assessment process when CMS learns of such states. However, CMS does not collect complete information on which states use managed care plans for needs assessments prior to enrollment, and states may not implement precautions absent a specific CMS requirement to address the potential for these conflicts of interest. The absence of requirements for states to address acknowledged risks is not consistent with federal internal control standards that require federal agencies to identify, analyze, and respond to risks related to achieving defined objectives.", "Developing Service Plans and Determining the Amount of HCBS to Provide Separate concerns pertain to managed care plans\u2019 involvement in HCBS needs assessments for service planning purposes that are conducted by plans after enrollment. Advocates in two of the three selected states with managed care HCBS programs, New York and North Carolina, expressed concerns about managed care plans\u2019 incentives to reduce their costs by reducing enrollees\u2019 HCBS service levels, leading to reduced access to needed HCBS. For example, advocates in New York highlighted the growth in fair hearings that enrollees initiated to dispute reductions in HCBS they receive, which can result from inaccurate needs assessments. In May 2016, in the preamble to a final rule that amended managed care regulations, CMS responded to concerns from commenters about managed care plans\u2019 involvement in the needs assessments used to develop service plans by stating that managed care plans\u2019 HCBS needs assessments of enrollees are a critical component of the plans\u2019 efforts to manage enrollees\u2019 care. CMS also noted that existing appeals processes, which are similar to fair hearings, provide adequate safeguards to address instances when enrollees believe their needs assessments do not reflect their true needs. However, according to CMS, beneficiaries enrolled in managed long-term services and supports are among the most vulnerable and often require enhanced protections to assure their health and welfare.", "To implement additional beneficiary protections, the May 2016 managed care regulations require states with managed care HCBS programs to implement a beneficiary support system. A beneficiary support system generally provides individuals with education and assistance related to appeals, grievances, and fair hearings, and assists states with the identification and resolution of systemic issues through review and oversight of program data. These regulations also require states to report annually on the activities and performance of these systems in order to drive continual improvements. CMS stated that reporting requirements of this nature would help the agency address fragmented program information about state managed care programs and help improve oversight efforts. However, as of September 2017, CMS had not issued guidance to states on the content and form of this reporting, and under the regulations, states are not required to submit reports until CMS issues such guidance. CMS officials told us they were unsure whether they would issue this guidance, and thus it is unclear whether and when the reporting requirement will take effect.", "We previously made a recommendation to CMS that pertains to this issue. Specifically, in a report published in August 2017, we identified similar concerns with the lack of requirements for state managed long- term services and supports programs to report information that CMS needs to adequately oversee states\u2019 programs for ensuring beneficiary access to services. We found that existing state reporting did not always include key elements necessary for CMS to monitor certain key aspects of beneficiaries\u2019 access and quality of care, including data related to appeals and grievances. We recommended that CMS improve its oversight of managed long-term services and supports by taking steps to identify and obtain key information needed to oversee states\u2019 efforts to monitor beneficiary access to quality services. HHS concurred with this recommendation and stated that the agency will take this recommendation into account as part of an ongoing review of the 2016 managed care regulations. This action could help to address the concerns discussed above regarding managed care plans\u2019 potential for conflicts of interest in conducting needs assessments for service planning purposes."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["HCBS needs assessments can directly affect whether individuals are eligible to receive HCBS and the amount of services they receive. Given the growth in spending for Medicaid HCBS and the potential vulnerability of individuals seeking HCBS, it is critical that needs assessments are effective in ensuring that beneficiaries receive the help they need to live independently while at the same time reducing the risk of over-utilization of HCBS. CMS plays an important role in ensuring that states appropriately assess the needs of those seeking HCBS, including addressing the potential for entities that conduct needs assessments to have conflicts of interest. Conflicts of interest can result in inaccurate assessments, potentially leading to provision of unnecessary services or restricting other beneficiaries\u2019 access to needed services. CMS has required states to take actions to avoid or mitigate the potential for conflicts of interest for some HCBS programs, and states that have taken steps to protect against conflicts of interest in HCBS programs have reported improvements; however, we found gaps in federal requirements for such safeguards. These gaps in requirements are inconsistent with federal control standards that require federal agencies to identify, analyze, and respond to risks related to achieving defined objectives. CMS could improve the efficiency and effectiveness of Medicaid HCBS programs by taking additional steps to consistently require all types of states\u2019 programs to avoid or mitigate the potential for conflicts of interest in conducting needs assessments, as appropriate."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Administrator of CMS should ensure that all types of Medicaid HCBS programs have requirements for states to avoid or mitigate potential conflicts of interest on the part of entities that conduct needs assessments that are used to determine eligibility for HCBS and to develop HCBS plans of service. These requirements should address both service providers and managed care plans conducting such assessments. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review and comment, and HHS provided written comments, which are reprinted in appendix I. HHS also provided technical comments, which we incorporated as appropriate. HHS concurred with our recommendation to ensure that all types of Medicaid HCBS programs have requirements for states to avoid or mitigate potential conflicts of interest on the part of entities that conduct needs assessments. HHS stated that it has a regulatory structure in place to protect against potential conflicts of interest on the part of entities responsible for determining eligibility for HCBS and developing service plans. As described in our report, however, there are gaps in required conflict of interest standards applicable to entities that conduct needs assessments that inform HCBS eligibility determinations. Further, the conflict of interest requirements related to service plans do not apply to all programs, such as State Plan Personal Care Services programs. Developing additional requirements in response to such gaps would further improve efficiency and effectiveness.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or iritanik@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tim Bushfield (Assistant Director), Emily Beller Holland, Anne Hopewell, Laurie Pachter, Chris Piccione, Vikki Porter, Russell Voth, and Jennifer Whitworth made key contributions to this report."], "subsections": []}]}], "fastfact": ["Medicaid spent $87 billion in FY2015 for long term care services provided in homes and community settings. To receive these services, individuals\u2019 needs must first be assessed\u2014by a government agency, independent contractor, care provider, or others.", "However, a conflict of interest can exist if the assessor has a financial interest in the outcome. For example, one state took steps to address conflicts after a managed care plan admitted enrolling 1,740 individuals whose needs did not qualify them.", "We recommended that the federal Centers for Medicare & Medicaid Services expand requirements for states to address potential conflicts of interest."]} {"id": "GAO-19-62", "url": "https://www.gao.gov/products/GAO-19-62", "title": "Central America: USAID Assists Migrants Returning to their Home Countries, but Effectiveness of Reintegration Efforts Remains to Be Determined", "published_date": "2018-11-08T00:00:00", "released_date": "2018-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2014, instability driven by insecurity, lack of economic opportunity, and weak governance led to a rapid increase of unaccompanied alien children (UAC) from El Salvador, Guatemala, and Honduras arriving at the U.S. border. In fiscal year 2017, the Department of Homeland Security reported (DHS) apprehending more than 200,000 nationals from these countries and removed nearly 75,000 nationals, including UAC, of these countries from the United States and returned them to their home countries. Current estimates also indicate nearly 350,000 individuals may need to be reintegrated to El Salvador and Honduras over the next few years when their Temporary Protected Status in the United States expires.", "GAO was asked to review U.S. efforts to support the reintegration of Central American migrants. This report describes (1) USAID efforts to assist reception and reintegration of migrants from El Salvador, Guatemala, and Honduras into their home countries since fiscal year 2014; and (2) what is known about the effectiveness of these efforts. GAO reviewed agency program documents and funding data; interviewed officials from U.S. government agencies, IOM, and host governments and beneficiaries; and conducted site visits in these countries.", "GAO is not making any recommendations in this report. USAID and IAF provided formal comments, which are reproduced in this report, and all agencies provided technical comments, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Since fiscal year 2014, the U.S. Agency for International Development (USAID) has provided approximately $27 million to the International Organization for Migration (IOM)\u2014an intergovernmental organization focusing on migration\u2014for assistance to migrants returning to El Salvador, Guatemala, and Honduras. Assistance to migrants includes short-term reception services, such as food and transportation, renovating reception centers, and collecting data on returning migrants that are used to support their reintegration. Assistance also includes long-term reintegration efforts, such as counseling services and employment assistance to make it easier for migrants to readjust to and stay in their home countries. These various efforts are in different stages of development.", "While reception services for migrants have improved, USAID has not yet assessed the effectiveness of reintegration efforts. USAID monitored and assessed reception services through site visits, meetings, and reports from IOM. IOM's early efforts improved the three host governments' capacity to provide reception services to returning migrants. For example, since fiscal year 2014, IOM renovated the seven reception centers and shelters being used in El Salvador, Guatemala, and Honduras. Further, with IOM's assistance, the host governments have improved their capacity to collect data about returning migrants. According to USAID and IOM, host governments are using these data to design policies and develop programs to provide reintegration assistance. While USAID has not yet assessed the effectiveness of reintegration efforts, many of these programs are just beginning. USAID expects to sign a new agreement by the end of December 2018 that would involve, among other things, monitoring and evaluating reintegration efforts in the three countries."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2014, instability in the Northern Triangle of Central America, driven by insecurity, lack of economic opportunity, and weak governance, led to a rapid increase of unaccompanied alien children (UAC) from El Salvador, Guatemala, and Honduras arriving at the U.S. border. In response, the U.S. government funded activities in these countries that, among other things, created information campaigns about the dangers of the journey and targeted criminal organizations involved in human smuggling. Individuals from these three countries, however, have continued to migrate to the United States, and, when apprehended and removed from the United States, will ultimately need to be reintegrated into their home countries. The Department of Homeland Security (DHS) reported apprehending more than 200,000 migrants from El Salvador, Guatemala, and Honduras in fiscal year 2017. In addition, nearly 75,000 nationals from these countries, including UAC, were removed from the United States by DHS and returned to their countries in fiscal year 2017. In 2018, the Administration made the decision to terminate Temporary Protected Status (TPS) for nationals of El Salvador and Honduras, effective September 9, 2019, and January 5, 2020, respectively. The decision has the potential to raise the number of nationals these countries may need to reintegrate in the next few years by nearly 350,000 adults, including approximately 262,500 Salvadorans and 86,000 Hondurans. Many of these adults also have children who are U.S. citizens and may return with them, according to DHS.", "The U.S. government, primarily through the U.S. Agency for International Development (USAID), the Department of State (State), and the Inter- American Foundation (IAF), has provided assistance to help address the needs of returning migrants since 2014, including receiving them upon arrival and reintegrating them in their home countries. The U.S. government provides additional assistance to these countries through the U.S. Strategy for Central America, including the Central America Regional Security Initiative. These programs focus on the drivers of migration including violence and the lack of economic opportunity. While reintegration efforts do not have dedicated funding, Central America Regional Security Initiative and Development Assistance funds support these programs.", "We were asked to review a number of issues related to U.S. efforts to assist the reintegration of Central American migrants. This report describes (1) USAID efforts to assist the reception and reintegration of migrants from El Salvador, Guatemala, and Honduras back into their home countries since fiscal year 2014; and (2) what is known about the effectiveness of these efforts. In addition, we reviewed how U.S. agencies have coordinated efforts to assist the reintegration of returning migrants (see appendix II).", "To address the objectives for this review, we reviewed agency program documents and funding data, and interviewed officials from U.S. government agencies including USAID, State, and IAF; host governments; and the International Organization for Migration (IOM). We conducted site visits in March 2018 in El Salvador, Guatemala, and Honduras. To determine what is known about the effectiveness of reintegration efforts from fiscal years 2014 through 2017, the most recent available information at the time of our review, we reviewed agency evaluation policies and progress reports and evaluations. We interviewed U.S. officials in Washington, D.C. We also interviewed U.S. government, host government, and nongovernment officials in El Salvador, Guatemala, and Honduras, where we also visited U.S. agency-assisted projects. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The rapid increase of UAC apprehended by DHS in 2014 led to USAID\u2019s assistance for reception and reintegration efforts in Central America\u2019s Northern Triangle. USAID\u2019s efforts, carried out by its implementing partner IOM, have focused on children and family units, as they are considered the most vulnerable migrant populations. According to DHS, the number of UAC from any country who were apprehended at the U.S.- Mexico border rose from nearly 28,000 in fiscal year 2012 to more than 42,000 in fiscal year 2013, and to more than 73,000 in fiscal year 2014. Prior to fiscal year 2012, the majority of UAC apprehended at the border were Mexican nationals. However, nearly three-fourths of UAC apprehended in fiscal year 2014 were nationals from El Salvador, Guatemala, and Honduras. In fiscal year 2014, approximately 122,000 nationals (both children and adults) from the Northern Triangle countries were removed from the United States and returned to their home countries, according to DHS. That number decreased to approximately 75,000 in fiscal year 2017. For the number of nationals from El Salvador, Guatemala, and Honduras removed by DHS\u2019s U.S. Immigration and Customs Enforcement (ICE) from fiscal years 2014 through 2017, see figure 1.", "In addition to migrants returned from the United States, the Northern Triangle countries also receive migrants returned from Mexico. In 2016 and 2017, the number of returnees from Mexico to these three countries was greater than those returning from the United States, according to information from countries\u2019 migration directorates. In 2017, however, the number of returning migrants from the United States and Mexico decreased in all three countries, as figure 2 shows.", "We have previously reported that the causes of migration from El Salvador, Guatemala, and Honduras to the United States are multiple and include: the lack of economic and job opportunities, gang-related violence and other insecurity issues, high poverty rates and poor living conditions, the desire for family reunification, and perceptions of U.S. immigration policy.", "A number of U.S. agencies provide assistance to these countries to address some of these socioeconomic issues, such as violence and poverty. For example, USAID, State, and DHS have programs providing assistance in areas such as economic development, rule of law, citizen security, law enforcement, education, and community development funded through the U.S. Strategy for Central America, including the Central America Regional Security Initiative. To support efforts to prevent migration, such as targeting human smuggling organizations and developing public information campaigns, the U.S. embassies in El Salvador, Guatemala, and Honduras coordinate through interagency working groups. For more information on these coordination activities, see appendix II."], "subsections": []}, {"section_title": "USAID Provides Funding for Assistance to Reintegrate Migrants Returning to El Salvador, Guatemala, and Honduras", "paragraphs": ["USAID has provided funding for short- and long-term assistance to migrants returning to El Salvador, Guatemala, and Honduras, including assisting returning migrants upon arrival at points of entry and reintegrating them into their home countries. USAID provided approximately $27 million to IOM through three program contribution agreements to conduct these efforts. These efforts are in various stages of development in all three countries. Host governments face challenges in their efforts to reintegrate migrants, including limited resources and a lack of employment opportunities."], "subsections": [{"section_title": "USAID Provides Funding for Short and Long-Term Assistance for Returning Migrants", "paragraphs": ["USAID has provided funding for short- and long-term assistance to migrants returning to El Salvador, Guatemala, and Honduras, whether they are returning from the United States or Mexico. Short-term efforts assist returning migrants arriving at reception centers in their home countries. These efforts involve processing migrants upon arrival at the points of entry and generally providing post-arrival assistance, such as food, transportation, hygiene and school kits, and clothes within the first two days after returning (see fig. 3). Long-term efforts focus on reintegrating migrants into their home countries. Reintegration seeks to restore migrants into society and to reestablish economic, psychological, and social ties.", "USAID has assisted migrants returning to their home countries since 2014 through three program contribution agreements, implemented by IOM. 1. Reception/ In-Processing and Repatriation Assistance to Returning Families and Unaccompanied Children in the Northern Triangle of Central America Agreement (also known as Post-Arrival and Reception Assistance or PARA), (July 2014\u2013April 2016). This agreement between USAID and IOM\u2014established in response to a rapid increase of UAC from El Salvador, Guatemala, and Honduras arriving at the U.S. border in 2014\u2014intended to, among other things, achieve the overall objective of contributing to the \u201cdignified, holistic, and sustainable\u201d return of children and families in the Northern Triangle. According to the program description, IOM viewed infrastructure improvements as a key component of the program. For example, IOM included the renovation of reception centers and shelters among the activities that might be carried out to meet one of the program goals, which related to supporting the countries\u2019 capacities to process and assist returnees at points of entry and migrant shelters. Other goals included efforts to address topics such as providing capacity building to key government agencies, non- governmental organizations, and other partners offering assistance to returning migrants, and improving migration data collection and information sharing among governments, donors, humanitarian agencies, and civil society. 2. Northern Triangle Migration Information Initiative Agreement (NTMI), (September 2015\u2013March 2018). This second agreement between USAID and IOM focused on improving the quality, reliability, and uniformity of migration information. According to the program description, the program would address the need for improved migration information to contribute to the development of more strategic public policies among institutional counterparts involved in the reception, assistance, and reintegration of returning migrants. The program\u2019s goal was to strengthen the governments\u2019 capacity to manage, collect, and analyze migration information to support humanitarian action and protect vulnerable populations in the Northern Triangle countries. This effort also involved taking steps to develop and strengthen data systems to register returning migrants\u2019 information. 3. Return and Reintegration in the Northern Triangle Agreement, (June 2016\u2013June 2019). This third agreement between USAID and IOM was intended to continue to promote and ensure more humane and dignified assistance to and sustainable reintegration of migrants upon return to communities of origin by strengthening the capacities of key stakeholders to assist, care for, and protect returning UAC and migrant families in the Northern Triangle countries. According to the agreement, the program would address things such as expanding the range of government-supported opportunities for returning migrants while providing high-quality services during the reintegration process at the local level."], "subsections": []}, {"section_title": "USAID Provided Approximately $27 Million for Assistance to Returning Migrants, in Fiscal Years 2014 through 2016", "paragraphs": ["USAID provided approximately $27 million for assistance to IOM through the three program contribution agreements. Once the program contribution agreement is signed and the funds are disbursed to IOM, USAID considers the funds expended for its purposes. As of April 2018, IOM has expended all the funds for the first two agreements, $7.6 million and $2.5 million respectively, and $7.1 million of $16.8 million, or 42 percent, of the funds for the third.", "For all three agreements, from fiscal year 2014 through April 2018, IOM expended about $9.1 million in El Salvador, about $5.4 million in Honduras, and about $2.7 million in Guatemala, according to IOM. (See figure 4.)", "Asociaci\u00f3n de Retornados Guatemaltecos (ARG) The civil society organization Asociaci\u00f3n de Retornados Guatemaltecos (ARG) begins its work with returning migrants from the United States at the Guatemalan Air Force Base Reception Center. Members of ARG are returned migrants themselves who started the association in 2013 because they understood the experiences of returning migrants and wanted to help people in similar situations by providing a support network. According to an ARG volunteer and our observations, at the reception center, an ARG volunteer greets every returning migrant as they come through the door. After migration authorities process the returning migrants and provide them a snack, an ARG volunteer helps them make a domestic or international telephone call to their family members. Once the migrants have received any belongings and exchanged money, ARG volunteers offer them clothing, help with various tasks\u2014such as receiving money through wire transfers or registering them for a new identity card\u2014and, if necessary, purchase bus tickets for them to return to their communities of origin. ARG volunteers stay until all the returning migrants are served, and, if the migrants are fearful of returning to their communities, accompany them to the Casa del Migrante, a shelter that provides protection assistance. The volunteers told us that they maintain a database to track the returned migrants, later call the returned migrants to make sure they arrived safely in their communities, and offer them assistance in getting certified in skills they may have acquired abroad, such as construction work or speaking English. ARG also connects returned migrants with vocational or training opportunities and potential scholarships. $49,740 to expand a network of migrant returnees to facilitate reintegration and provide information on locally available resources to returnees, such as credit access, government-training programs, market information, and contracting opportunities. The grantee also developed a working group to discuss with government officials and the private sector the health issues returnees face. Even though the grant has ended, the lnstituto Salvadore\u00f1o del Migrante\u2019s efforts continue with funds from other donors, according to IAF."], "subsections": []}, {"section_title": "Efforts to Assist Returning Migrants are in Various Stages of Development in the Three Countries", "paragraphs": ["Efforts to assist reception, migrant-related data collection, and reintegration are in various stages of development in all three countries. IOM, with U.S. assistance, has renovated seven reception centers and shelters in El Salvador, Guatemala, and Honduras and improved the collection of migration data to understand the characteristics of the population returning to their countries to inform decisions about allocating resources needed for reintegration. However, in all three countries the use of migration information varies and reintegration efforts are just beginning."], "subsections": [{"section_title": "Reception Centers and Post- Arrival Assistance", "paragraphs": ["El Salvador has one reception center for returning migrants; Guatemala has three reception centers and two shelters; and Honduras has three reception centers. See figure 5 for the locations of these reception centers and shelters as well as points of entry.", "We observed that at the reception centers in the three countries, returning migrants go through a similar reception process. The process may differ slightly depending on the country and whether the returning person is an adult, part of a family unit, or UAC. See figure 6.", "IOM has assisted in the renovation of the countries\u2019 reception centers and shelters and provided post-arrival assistance to returning migrants. Country-specific information on these facilities follows.", "El Salvador has one IOM-supported reception center, called Direcci\u00f3n de Atenci\u00f3n al Migrante (DAMI), Directorate of Assistance to Migrants, but informally known as La Chacra. IOM completed its efforts to renovate the center in February 2016, and increased its capacity to receive up to 200 returning migrants at a time. The center serves adults, UAC, and family units returned by chartered bus from Mexico or on chartered flights from the United States. Post-arrival assistance is provided at the center. See figures 7 and 8.", "Guatemala has three reception centers and two shelters for returning migrants. IOM renovated the two shelters in 2015 and one of the reception centers in 2017. IOM also provided information technology equipment for one reception center and plans to renovate another reception center in 2018. See figure 9.", "The three reception centers include:", "Sala de Recepci\u00f3n de Ni\u00f1as, Ni\u00f1os y Adolescentes Migrantes no Acompa\u00f1ados y Unidades Familiares (Reception Center for Unaccompanied Migrant Children and Family Units), La Aurora International Airport, Guatemala City. This center, which opened in May 2017, serves UAC and family units returning by commercial flights from Mexico or the United States. The center provides post- arrival assistance, and has areas for immigration processing, psychological and social assistance, and breast-feeding. It also has a medical clinic and a play area for children. See figure 10.", "Centro de Recepci\u00f3n de Retornados de la Fuerza A\u00e9rea Guatemalteca (Reception Center for Returnees at Guatemalan Air Force Base), Guatemala City. This reception center serves adults, UAC, and families returning by chartered flights from the United States, and provides post-arrival assistance to them. See figure 11. Adults traveling without children are processed separately from families. In July 2015, IOM opened a small remodeled area of the center that receives returning migrant families and provides post- arrival assistance.", "Centro de Recepci\u00f3n de Retornados en Tec\u00fan Um\u00e1n (Reception Center for Returnees at Tec\u00fan Um\u00e1n), Tec\u00fan Um\u00e1n. This reception center, on the border with Mexico, serves adults, UAC, and family units returning by chartered bus from Mexico. IOM has supported the center mainly by providing IT equipment in October 2016 to process returning migrants. The children go through immigration processing at Tec\u00fan Um\u00e1n and are then moved to Casa Nuestras Ra\u00edces Quetzaltenango by bus, accompanied by a government social worker to ensure the protection of UAC until a parent or guardian picks them up.", "The two shelters include:", "Casa Nuestras Ra\u00edces Guatemala (Our Roots Shelter, Guatemala), Guatemala City. This shelter serves UAC returning by chartered flights from Mexico and commercial or chartered flights from the United States who have been processed at either La Aurora or Fuerza A\u00e9rea Guatemalteca. IOM renovated this shelter in August 2015 and supports post-arrival assistance for returning migrants and their relatives who come to take them home. See figure 12.", "Casa Nuestras Ra\u00edces Quetzaltenango (Our Roots Shelter, Quetzaltenango), Quetzaltenango. This shelter serves UAC returning by chartered bus from Mexico. UAC are processed first at Tec\u00fan Um\u00e1n and then transported to Quetzaltenango. Similar to the shelter in Guatemala City, IOM renovated this shelter in August 2015 and provides post-arrival assistance.", "Honduras has three reception centers. IOM renovated two of the reception centers and upgraded the third. See figure 13.", "Centro de Atenci\u00f3n al Migrante Retornado SPS (SPS Assistance Center for Returned Migrants), San Pedro Sula. This reception center serves adults returning by chartered flights from the United States. IOM completed renovating and equipping this center in February 2016. It provides post-arrival assistance to returning migrants.", "Centro de Atenci\u00f3n para Ni\u00f1ez y Familias Migrantes Bel\u00e9n (Bel\u00e9n Assistance Center for Children and Families), San Pedro Sula. This center serves UAC and family units returning by chartered bus from Mexico or commercial flights from Mexico or the United States. IOM completed renovating and equipping the center in February 2016. Post-arrival, psychological, and medical assistance is also provided at Bel\u00e9n.", "Centro de Atenci\u00f3n al Migrante Retornado Omoa (Omoa Assistance Center for Returned Migrants), Omoa. This center serves adults who are returned by chartered bus from Mexico. IOM provided hygiene, sanitation, and water upgrades to the center, and, according to IOM, plans to make electrical improvements and construct a sports field, sidewalks, and parking area; some of these efforts were started in September 2018."], "subsections": []}, {"section_title": "Migration Data Collection", "paragraphs": ["IOM began assisting the countries in September 2015 with the collection and use of migration data with funding from USAID through its NTMI agreement. Since September 2015, all three host governments collect and digitize migration data. The governments use the data to understand the characteristics of the population returning to their countries so they can make decisions about allocating resources needed for reintegration, according to IOM.", "To facilitate the collection of relevant information, IOM helped each government in the three countries develop its own form to gather the information needed by the various ministries involved in reception and reintegration efforts. According to IOM, this uniform questionnaire has promoted data sharing among institutions, reduced interviewing times, and helped ensure that returning migrants are not required to provide the same information multiple times. In addition to counting the number of returned migrants and recording where they are returning from, each country now collects detailed information about each migrant. For example, the Honduran government collects information on an individual\u2019s reason for migrating, labor skills, place of birth, and education level.", "Through the NTMI agreement, IOM also provided government agencies in all three countries with information technology equipment, software, and training to collect and analyze relevant information about returning migrants. For example, IOM developed the Honduran government\u2019s data repository and official website for the agency responsible for the registration and publication of data on returning migrants. In Guatemala, IOM is helping the migration directorate implement a system to use fingerprints to identify returning migrants who had migrated previously and returned, providing information on recidivism. IOM has also trained personnel involved with migrant programs in all three countries on how to use and analyze this information."], "subsections": []}, {"section_title": "Reintegration Efforts", "paragraphs": ["El Salvador, Guatemala, and Honduras are at different stages in establishing reintegration efforts, and each government has different priorities, according to IOM. While some reintegration efforts began earlier, IOM\u2019s main reintegration efforts began under the third contribution agreement with USAID in 2016, focusing on expanding the range of government-supported opportunities for returning migrants while providing high-quality services during the reintegration process at the local level. Reintegration efforts in all three countries seek to support returnees with resources in their home communities, including psychological and social services, vocational and employment training, employment opportunities, and upgrades to public spaces. Civil society organizations support some of these reintegration efforts. USAID, through its agreements with IOM, assists these reintegration efforts in a context in which the three host countries experience challenges, such as limited resources and employment opportunities, which affect implementation.", "Reintegration Efforts in El Salvador El Salvador is furthest along in establishing reintegration efforts, at both the national and municipal levels. These efforts focus on the entire spectrum of returnees\u2014children, adolescents, and adults\u2014by providing education, psychological, and social assistance to children and families, and reintegration information to adults. At the national level, IOM has been working since November 2015 with the government of El Salvador\u2019s Assistance Centers for Returned Migrant Children and Adolescents and its information centers that support reintegration services for adults, called Ventanillas de Atenci\u00f3n al Migrante, Migrant Assistance Windows (commonly known as Ventanillas).", "The Assistance Centers for Returned Migrant Children and Adolescents are located in four municipalities, all of which have high numbers of returning migrants, including children and adolescents. These centers provide returning migrant children and families with social services and case management to facilitate their economic and social reintegration. These services include psychological and social assistance and crisis intervention; legal assistance, including safety and protection; health services, including nutrition and immunizations; educational support to ensure children and adolescents are incorporated into the formal education system; and referral services.", "The Ventanillas are information centers supporting reintegration in the five municipalities with the highest number of returning migrants. Each center has one person who is responsible for providing assistance to returned migrants such as employment assistance, school enrollment, training opportunities, and lines of credit. IOM equipped the centers with office furniture and such items as storage cabinets, water coolers, air conditioners, and telephones.", "At the municipal level, IOM is also assisting other government initiatives in four communities that have high numbers of returned migrants and which the government has prioritized under its Plan El Salvador Seguro (Safe El Salvador Plan). Specifically, IOM is working with municipal governments and community organizations to: improve public spaces with small scale infrastructure projects; raise awareness and knowledge of migration and reintegration at the community level among local governments, communities, and community leaders; and provide psychological and social assistance.", "The infrastructure projects are meant to create safe, public spaces to build social cohesion within communities. For example, in two areas in Zacatecoluca that we visited, IOM supported an effort to rebuild a sports complex, which included basketball and soccer fields, and a playground and community center. In Usulut\u00e1n, IOM supported the renovation of the municipal gym (see fig. 14). In January 2018, IOM also began providing technical assistance to the Zacatecoluca municipal government to help it obtain feedback from the community on services needed and working with local service providers to facilitate assistance to beneficiaries, among other things.", "Guatemala also has government reintegration efforts at both the national and municipal levels. The current reintegration activity underway is the municipal level Centro de Formaci\u00f3n Qu\u00e9date (Stay Here Vocational Training Center), supported by IOM. Implemented by the Secretariat for Social Welfare, this technical and vocational center provides certified vocational courses and alternative education opportunities for youth, including returned UAC and host community adolescents. While the Secretariat for Social Welfare began operations at the center in 2015, IOM\u2019s support started in July 2018. In addition, Guatemala\u2019s President and First Lady launched a national strategy in March 2017 that aims to prevent migration and to care for returning Guatemalan migrants and their families. The strategy\u2019s goal is to consolidate all government agencies\u2019 activities and create a comprehensive system for returning migrants, including children.", "Honduras, with support from IOM, has focused at the national level on improving and maintaining its reception centers, and at the municipal level on opening reintegration assistance centers. In addition, the Honduran First Lady has concentrated on UAC and their needs, such as prioritizing secure reunification. Honduras\u2019 effort to link returned migrants, specifically families and UAC, with government services in the municipalities are focused on reintegration assistance centers. There are nine centers, with plans to open seven more by the end of 2018. The Bel\u00e9n Assistance Center, discussed earlier in this report, refers returning migrants to the reintegration assistance centers, according to a center official. The reintegration assistance centers then obtain information from the returning migrants about assistance they are seeking and send it to one of 12 government agencies, such as the Ministries of Development and Social Inclusion, Education or Health, and the Women\u2019s National Institute.", "In addition to assisting government-sponsored reintegration efforts, IOM supports civil society organizations in Honduras that provide reintegration services. In Honduras, we visited three civil society organizations whose programs work directly with returned UAC.", "Casa Alianza. Casa Alianza provides reintegration support including psychological and social assistance, child protection services, and children\u2019s rights advocacy for returnees as well as internally displaced persons. The organization worked in the Bel\u00e9n Assistance Center from 2014 to 2017 with returning UAC, according to Casa Alianza officials.", "Mennonite Committee for Social Action. This organization\u2019s Support for Returned Migrants Program began in 2014 and has various components including: (1) vocational training, (2) psychological assistance, (3) complementary workshops on life skills, and (4) humanitarian assistance. The program focuses on youth between ages 15 and 25 returning to the San Pedro Sula area.", "Collaboration and Effort Association. This program in Tegucigalpa focuses on providing returned children a safe place to live, teaching them responsibility and cooperation, and supporting their education. Many of the adolescents are returned UAC, and all beneficiaries must themselves help run the association\u2019s programs.", "Host Government Challenges Affect Reintegration Efforts USAID, through its agreements with IOM, is providing assistance to host countries where various challenges affect reintegration efforts. Some of these challenges affecting host countries, such as limited employment opportunities and resource constraints, are long-standing in nature.", "Limited resources: With limited resources dedicated to reintegration efforts, the centers can connect few returning migrants with the appropriate government services. For example, at a Ventanilla we visited in El Salvador, just one official\u2014who has no vehicle\u2014is responsible for providing services to all returning migrants in an area roughly one-fifth the country\u2019s overall size and containing roughly one- fifth of its returning migrants. Similarly, at the Honduran reintegration assistance center we visited, there was only one staff member and no psychologist. As of July 2018, the Honduran government had opened 9 of the 16 planned reintegration assistance centers; it plans to open the remaining ones by the end of 2018.", "Few training and employment opportunities: There are limited training and employment opportunities for returning migrants. One of the primary reasons cited for migration is the lack of employment opportunities in the countries. Additionally, the employment opportunities that are available may not fit the migrants\u2019 skills. For example, only migrants with sufficient English skills can be placed in call centers. At the same time, the training programs being offered at a particular time may not interest the migrant. Further, the few opportunities available may not be offered in the locations where migrants can readily access them. Finally, an official from a multilateral organization working in the region raised the concern that many of the training opportunities offer similar skills, such as training to be a barber, beautician, or mechanic, and the market can support only so many people in these professions.", "Need for individualized services: Each returning migrant has a different set of needs, skills, and interests, but providing customized assistance takes time and resources. Staff at reintegration assistance centers we visited told us that they try to match a migrant with the services or opportunities they need. For example, a returning migrant may be a single mother with good English skills and referred to services and opportunities based on that profile. Additionally, according to U.S. and Honduran government officials, large-scale reintegration efforts encounter the challenge of reintegrating migrants with different and individualized profiles.", "Voluntary nature of seeking and finding assistance: Receiving reintegration assistance and services depends in part on the initiative and desire of the returning migrant. Returning migrants must seek assistance to receive reintegration services, and so must be aware of and connect with the reintegration assistance centers. In El Salvador, only about 7 percent of returning migrants requested help from the reintegration assistance centers in 2017; of those who requested assistance, however, 91 percent received it, according to El Salvador\u2019s Ministry of Foreign Affairs. In both El Salvador and Honduras, the reintegration assistance offered by the government is publicized at the reception centers where migrants are processed upon their return. However, in El Salvador, a government official told us that migrants may not have the patience to wait to receive information after traveling and going through the reception process.", "Termination of TPS May Increase the Need for Reception and Reintegration Services in El Salvador and Honduras With the Secretary of Homeland Security\u2019s decisions to terminate TPS in the United States for nationals of El Salvador and Honduras, as of September 9, 2019, and January 5, 2020, respectively, both countries face the possibility of a significant influx of returnees\u2014as many as 262,500 Salvadorans and 86,000 Hondurans, along with their U.S. citizen children. Reintegration efforts may also be complicated by the different backgrounds and needs of returning migrants who benefited from TPS. According to State officials, returning migrants who had TPS are likely to be older with more skills and education than those who left the country more recently. Successful strategies to reintegrate former TPS beneficiaries will be different than those that are currently in place. TPS beneficiaries may also have children who are U.S. citizens with different needs than UAC. During our country visits in March 2018, State officials indicated that official planning for the return of former TPS beneficiaries was either just beginning, as in El Salvador, or had not begun, as in Honduras because an official decision on the termination of TPS for Hondurans had not yet occurred. U.S. officials, though, were meeting with their counterparts to discuss the challenges of reintegrating TPS beneficiaries. In both El Salvador and Honduras, U.S. officials have encouraged the government to address the challenges of reintegrating former TPS beneficiaries. For example, in February 2018, USAID\u2019s mission in El Salvador convened a one-day conference on current efforts to prevent migration and to plan for the return of migrants with TPS. At the same time, U.S. government officials also stated that some or most TPS beneficiaries might choose to stay in the United States without lawful status, attempt to adjust their status, or move to a third country rather than return to their home countries.", "Leadership turn-over and guidance: Elections in the three countries, and the subsequent turnover of government officials, also affect implementation, according to IOM. Furthermore, in Guatemala leadership turn-over in key agencies has affected what the government can achieve in terms of reintegration of returning migrants, according to IOM officials. Both the Secretariat of Social Welfare and the Directorate of Migration have had various leaders over the past few years. The government of Guatemala has not yet determined which institution is responsible for reintegration activities and a national plan has not yet been developed, which complicates reintegration efforts, according to IOM."], "subsections": []}]}]}, {"section_title": "USAID Assessed Reception and Data Collection Efforts, Which Were Improved, but Effectiveness of Reintegration Efforts Remains to be Determined", "paragraphs": ["USAID assessed the effectiveness of its reception and migrant-related data collection efforts through site visits, meetings with IOM, and report reviews. This assistance has improved the capacity of the governments of El Salvador, Guatemala, and Honduras to provide reception services to returning migrants and to collect and utilize migration information. USAID has not yet assessed the effectiveness of reintegration efforts conducted to date, but plans to sign an agreement by the end of December 2018 for a new reintegration program which will include a monitoring and evaluation component."], "subsections": [{"section_title": "USAID Assessed the Effectiveness of its Reception and Data Collection Efforts through Program Monitoring and Report Reviews", "paragraphs": ["Beginning in October 2014, after signing the first agreement IOM, USAID monitored program implementation and assessed the effectiveness of IOM\u2019s efforts to assist returning migrants and improve migration information through site visits, regular meetings with IOM, and review of IOM reports. USAID and IOM officials noted that USAID\u2019s periodic site visits to IOM projects and frequent communications between the two parties helped USAID track progress and results, and make needed adjustments in a timely manner. In a memorandum approving the third program, USAID\u2019s mission in Honduras stated that IOM \u201cresponded quickly and satisfactorily to any concerns.\u201d IOM, in consultation with USAID, adapted activities as needed for each country, such as by rebidding a contract to renovate a reception center in Guatemala City in response to corruption allegations. During our site visit in March 2018, we observed USAID officials\u2019 familiarity with specific details related to IOM\u2019s activities and the close working relationship between USAID and IOM staff.", "In addition, USAID regularly reviewed the activity and progress reports provided by IOM, which included weekly, monthly, and quarterly reports. According to USAID officials, these activity and progress reports served as the basis for conversations with IOM about program progress and assessment. The reports included information such as an overview of achievements, activity updates by country, and challenges and actions taken. For example, the reports detailed information such as the number of returning migrants provided with post-arrival assistance, including food or hygiene kits, as well as progress on larger projects such as constructing small-scale, community-based infrastructure or renovating reception centers. IOM also explained challenges encountered and plans for overcoming them, such as building strong relationships with new key government personnel when there was turnover in Guatemala and Honduras. IOM also provided information to USAID through periodic, two- page information sheets that summarized its activities in a certain geographical area, such as a municipality in El Salvador, or with a certain program, such as NTMI in Honduras.", "As part of the agreements with USAID, IOM agreed to conduct mid-term and final evaluations of the three programs. IOM produced written mid- term and final evaluations for the first program (PARA) based on reviews of documents, field visits, and interviews with government counterparts and USAID, among others. The final evaluation highlighted the program\u2019s achievements, challenges, effective practices, lessons learned, and recommendations. For example, it noted IOM\u2019s strong working relationship with USAID and host government agencies, as well as the need to conduct high-quality assessments in each country during program design. Instead of a written mid-term evaluation for the second program (NTMI), IOM held an internal workshop, which a USAID representative attended. According to IOM officials, IOM plans to present USAID with a mid-term evaluation for the Return and Reintegration program and a final evaluation for the NTMI program, although both have been delayed due to staffing issues.", "USAID also assessed IOM\u2019s programs during internal USAID meetings. For example, according to USAID officials, when USAID considered IOM\u2019s requests for no-cost extensions for the PARA and NTMI agreements, USAID assessed the progress and challenges of the activities implemented as part of the agreements and whether they were fulfilling their goals. USAID also discussed the effectiveness of IOM\u2019s programs at a strategic level during portfolio reviews and program performance reports, according to USAID officials. USAID officials told us that because the first program with IOM was productive and had good results, USAID also funded the second and third programs through program contribution agreements. In the memorandum approving the third program, USAID\u2019s mission in Honduras stated that \u201cIOM has been a very effective partner in the first Program Contribution\u201d and noted that IOM collaborated with USAID, the host governments, and other donors to design the follow-on program focused on reintegration efforts. The memo also stated that IOM has \u201csound management systems and controls, and has long been an effective partner\u201d of the U.S. government."], "subsections": []}, {"section_title": "U.S. Assistance Has Helped Improve Reception Centers and Data Collection", "paragraphs": [], "subsections": [{"section_title": "Reception Center Improvements", "paragraphs": ["With U.S. assistance, IOM improved the capacity of the Northern Triangle governments to provide reception services to returning migrants and to collect migration information. With U.S. assistance, IOM renovated the region\u2019s seven reception centers and shelters currently in use and provided post-arrival assistance such as hygiene kits and medical services. The final evaluation for IOM\u2019s first program indicated that IOM designed the renovations in consultation with the host government agencies to meet their needs and to provide a welcoming space for returning migrants. During our site visit in March 2018, we visited five reception centers and one shelter in the three countries, including the Bel\u00e9n Assistance Center in Honduras, which we had visited in March 2015, prior to its renovation. The Bel\u00e9n Assistance Center renovations were extensive, including the dining areas, kitchen, bathrooms, dormitories, play spaces, clinics, and counseling areas as well as a conference room used for facilitating meetings and workshops among government entities and partners. We observed the improved facilities as well as the processing of returning migrants (see fig. 15).", "Likewise, IOM extensively renovated the Casa Nuestras Ra\u00edces Shelters in Guatemala City and Quetzaltenango, Guatemala, including the kitchen, bathrooms, dormitories, play spaces, clinics, and counseling areas.", "In addition to improving infrastructure, IOM provided the governments with post-arrival assistance such as hygiene kits, clothing, meals, buses, and medical, psychological, and social support for returning migrants. For example, from 2014 through 2017 in all three countries, IOM reported that it supplied in total: nearly 60,000 hygiene kits, nearly 34,000 items of clothing, and more than 75,000 meals to returning migrants.", "In fiscal year 2017, IOM provided post-arrival assistance to over 29,000 returning migrants, according to IOM. Additionally, IOM provided the host governments with 12 buses to transport returning migrants from the airport to the reception center and from the reception center to the bus station to return to their communities. U.S. and host government officials in the three countries noted that, with USAID and IOM\u2019s assistance, the reception of returnees has improved. For example, IOM expanded and renovated the DAMI Reception Center in San Salvador, adding separate areas for the various ministries involved so that returning migrants can receive specialized services such as a medical examination, psychological and social assistance, and the beginning of job placement assistance. The center also provides integrated child protection and social services. During our site visits to the reception centers and shelter in Guatemala City and San Pedro Sula in March 2018, we observed staff distributing food to returning migrants upon their arrival.", "Through technical assistance and other support, IOM also helped build the capacity of host government institutions as it relates to the reception process and their ability to provide better reception services. For example, IOM worked with government agencies to develop protocols and procedures for receiving returned migrants and trained reception staff on issues such as human rights. At the reception centers in all three countries, multiple government agencies are now working together to assist returning migrants, according to IOM."], "subsections": []}, {"section_title": "Migration-Related Data Improvements", "paragraphs": ["With IOM\u2019s support, the governments of the Northern Triangle have improved their capacity to collect data about returning migrants. According to USAID, the technical assistance and support provided by IOM through the NTMI agreement strengthened the governments\u2019 capacity to collect, manage, analyze, and share migration information. Prior to these USAID-assisted efforts, data on returning migrants was limited in all three countries and the information produced was not readily available for use by other government agencies, according to USAID. Since 2015, with IOM equipment and training, all three countries have moved toward uniform, more detailed data collection systems. In Honduras, for instance, technical assistance from IOM enabled the creation of a single data repository, which provides migration data for all agencies to use.", "IOM has trained staff of the countries\u2019 migration directorates to use the registration systems for returning migrants and has trained personnel of other government agencies on how to analyze and use the data produced by the migration directorates. Each government now knows the number of migrants returning to the country\u2014information that was not available previously. (See fig. 2 earlier in this report.) In addition, the governments now have such information as: the causes of migration reported by returnees; the location from which the migrants are returning; and the location to which they are returning.", "For example, in El Salvador, approximately 27 percent of children and adolescent migrants returning in 2017 said they left because of violence, approximately 27 percent left to reunify with families, and approximately 43 percent left for economic reasons, according to IOM\u2019s analysis of information from El Salvador\u2019s Directorate of Migration. Additionally, according to USAID officials, IOM trained the staff at El Salvador\u2019s General Directorate of Statistics and Census and the agency is now conducting its own surveys of migrants.", "According to USAID and IOM officials, the Northern Triangle governments are using the expanded information about returning migrants to make informed decisions, design public policies, and develop programs to provide reintegration assistance. Prior to USAID and IOM entering into the NTMI agreement, no official statistics were available that allowed for evidence-based decisions or public policy design. Now, during the registration process in Honduras, for instance, returning migrants are asked what trade they would like to learn, which can inform host government planning. With information about the reasons migrants left the country, governments can also refer migrants to existing programs or create programs to address those issues, such as developing training and employment opportunities. According to IOM and USAID officials, examples of how governments use this information include the following.", "In El Salvador, multiple government institutions use returning migrant information to design specific programs for this population and redirect programming if necessary. The Ministry of Labor, for instance, uses this information to design entrepreneurship programs. Relevant migration information is also shared with committees of the Alliance for Prosperity Plan.", "In Honduras, returning migrant information is used by government institutions for planning, budgeting, and monitoring reception, assistance, and reintegration activities. For instance, the First Lady of Honduras\u2019 Task Force for Child Migrants bases its strategy for the reception centers on returning migrant data.", "Detailed information on returning migrants in these countries has also been useful for U.S. government officials and has informed USAID\u2019s strategy and programming. According to a USAID official in Guatemala, the new information has been integral to USAID\u2019s ability to evaluate migration issues in a more informed manner. For example, USAID officials in Guatemala told us that much of their programming is based in the Western Highlands because they now have data showing most migrants come from this area of the country. In addition, USAID\u2019s mission in El Salvador convened a conference in February 2018 to discuss the termination of Temporary Protected Status for Salvadorans and used information gathered by El Salvador\u2019s Directorate of Migration about reasons for migration and returnees\u2019 profiles to discuss possible reintegration strategies for this population."], "subsections": []}]}, {"section_title": "USAID Has Not Yet Assessed the Effectiveness of its Reintegration Efforts", "paragraphs": ["USAID has not assessed the effectiveness of reintegration efforts conducted to date. Reintegration is a long-term process and many of the reintegration assistance programs are just beginning. Specifically, El Salvador began opening five information centers supporting reintegration in November 2015, Honduras opened nine reintegration assistance centers in 2017 and early 2018, and Guatemala\u2019s one center began assisting returned adolescents in July 2018. Given the number of returning migrants and the nascent reintegration services, relatively few have benefited from services offered by these centers. For example, in El Salvador, only about 1,700 of nearly 26,500 returning migrants were connected with government reintegration services through the centers in 2017.", "In addition, determining the effectiveness of reintegration efforts is challenging because of the difficulties of tracking migrants once they return to their communities and of accounting for the various external factors that influence an individual\u2019s decision to migrate again. USAID, IOM, and host government officials cited the challenges of tracking and following up with returned migrants once they leave the reception centers. Although the countries are beginning to offer reintegration assistance, through the information and municipal assistance centers in El Salvador and Honduras, there are currently no systems in place to track migrants when they return to their communities. U.S. government officials also noted there are multiple external factors that may influence an individual\u2019s decision to migrate again, some of which cannot be addressed through reintegration assistance programs. For example, the desire to reunify with family may affect an individual\u2019s decision, as well as the country\u2019s economic conditions and levels of violence and insecurity.", "Although USAID has not yet assessed the effectiveness of reintegration efforts, it plans to monitor and evaluate efforts. As part of the third program, IOM plans to evaluate each country\u2019s reintegration assistance projects. In addition, by the end of December 2018, USAID expects to sign a 3-year agreement with a Public International Organization (PIO) for a new program which will, among other things, continue assisting the host governments\u2019 efforts to reintegrate returning migrants. According to the USAID memorandum describing the new program, it will be underpinned by a monitoring and evaluation plan, and is expected to result in, among other things, a strengthened focus on monitoring and evaluation systems to track reintegration at the community level. Additionally, according to the memorandum, the new program will use a cost-type agreement which is structured such that the PIO will be reimbursed or advanced funds for costs of goods and services to achieve the agreement purpose."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We are not making any recommendations in this report. We provided a draft of this report to DHS, IAF, State, and USAID. All the agencies provided technical comments, which we incorporated as appropriate. USAID and IAF provided written comments which we have reprinted in appendices III and IV.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report\u2019s date. At that time, we will send copies to the appropriate congressional committees and the Administrator of the U.S. Agency for International Development, the President of the Inter-American Foundation, and the Secretaries of Homeland Security and State. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V.", "If you or your staff has any questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the U.S. Agency for International Development\u2019s (USAID) efforts to assist the reception and reintegration of migrants from El Salvador, Guatemala, and Honduras into their home countries since fiscal year 2014; and (2) what is known about the effectiveness of these efforts. In addition, we reviewed how U.S. agencies have coordinated efforts to assist the reintegration of returning migrants.", "To examine USAID\u2019s efforts to assist the reception and reintegration of returning migrants from fiscal year 2014 through fiscal year 2017 in El Salvador, Guatemala, and Honduras, we reviewed USAID\u2019s three program contribution agreements with the International Organization for Migration (IOM). We also reviewed grant agreements for Inter-American Foundation (IAF) projects in El Salvador and Guatemala. In addition, we obtained data from USAID, the Department of State (State), and IAF on agency funding to El Salvador, Guatemala, and Honduras from fiscal years 2014 through 2017. We assessed the reliability of USAID expenditures by reviewing expenditure data from USAID\u2019s Phoenix system for the three contribution agreements. We determined these data to be sufficiently reliable for reporting the amount of funding U.S. agencies expended on reintegration programs. We also reviewed IOM expenditure data from fiscal year 2014 through April 2018. We determined these data were sufficiently reliable to illustrate the general scale of IOM\u2019s expenditures. Additionally, we reviewed IOM program reporting documents detailing the status of the projects, including weekly, biweekly, and monthly progress reports and project presentations related to renovations, information management, and reintegration efforts.", "During our March 2018 site visit, we interviewed USAID, State, IAF, and IOM officials in all three countries regarding the status of the projects being implemented under the contribution agreements or grants, and we met with host government officials to discuss these projects. We interviewed representatives from nongovernmental organizations in the three countries to learn about how their work supports reintegration. We conducted five site visits to reception centers, one in El Salvador, two in Guatemala, and two in Honduras, where we observed the reception process, and we visited one shelter in Guatemala City, Guatemala. We selected the locations to visit based on the location of the majority of reception centers and shelters in the countries. In Honduras, we met with unaccompanied children (UAC) at three centers operated by different nongovernmental organizations with IOM support, where we discussed their reasons for making the journey to the U.S, and how the programs were assisting their reintegration. Spanish-speaking GAO staff primarily conducted the interviews and GAO contracted for interpreters with State to help facilitate the interviews, when necessary. We also interviewed USAID, State, and IAF officials in the United States who are responsible for these programs.", "To determine the number of migrants returned to El Salvador, Guatemala, and Honduras, we reviewed and tabulated IOM data from calendar year 2015 to 2017. We did not review 2014 data because IOM\u2019s effort had not yet begun. To determine the number of people removed from the United States, we reviewed and tabulated Department of Homeland Security (DHS) data from fiscal years 2014 through 2017. We assessed the reliability of IOM migration data on the number of returnees, and DHS data on people removed, by reviewing documents and interviewing knowledgeable agency officials and host government officials about how the data were produced, selected, and checked for accuracy. We determined the IOM data to be sufficiently reliable to provide background information on the number of migrants returning to the three countries. We determined the DHS data was sufficiently reliable for reporting on number of removals of migrants from the United States to El Salvador, Guatemala, and Honduras from fiscal years 2014 through 2017. The data for the number of Temporary Protected Status (TPS) beneficiaries is from DHS reporting in the Federal Register, which is sufficiently reliable for reporting the approximate number of TPS beneficiaries.", "To examine how USAID assessed the effectiveness of its assistance for reintegration efforts in El Salvador, Guatemala, and Honduras, from fiscal years 2014 through 2017, we reviewed IOM\u2019s contribution agreements, USAID\u2019s evaluation policies for the agreements, country strategy documents for each country, and regional planning documents. We also interviewed USAID officials. To gather migration related information and requirements, we reviewed the U.S. Strategy for Central America, the associated quarterly reporting cables, and State\u2019s Justification Memoranda for releasing foreign assistance to Central America. During our March 2018 site visit, we also interviewed USAID and IOM officials at overseas locations regarding their evaluation requirements and policy and how they monitored and evaluated the projects. We reviewed IOM\u2019s reported progress towards achieving its goals by reviewing its mid-term and final evaluation reports for the first contribution agreement, and other reporting documentation containing progress updates for the other two contribution agreements.", "During our site visit to El Salvador, we visited renovation projects that IOM supported, including two playgrounds, a municipal gymnasium, and a community center in Zacatecoluca and Usulut\u00e1n. In addition, we visited several reintegration initiatives, including an Assistance Center for Returned Migrant Children and Adolescents and, one municipal information center supporting reintegration center, both in El Salvador, and one municipal reintegration assistance center in Honduras. We selected reception and reintegration initiatives to visit based on proximity to San Salvador and San Pedro Sula. We also met with U.S. embassy officials, including the U.S. Ambassador to Guatemala and acting chiefs of mission in El Salvador and Honduras, to obtain their views on U.S. assistance for returning migrants and to understand what efforts were underway to address the impact of termination of Temporary Protected Status for El Salvadoran and Honduran beneficiaries. We also interviewed IOM officials in El Salvador on the host nation\u2019s ability to reintegrate Temporary Protected Status beneficiaries, and reviewed documents regarding El Salvador and Honduras by DHS and State on this topic.", "To examine interagency coordination, we obtained information on how USAID, State, DHS, and IAF headquarters offices with responsibility for overseeing assistance for reception and reintegration activities and country team operations in El Salvador, Guatemala, and Honduras have been coordinating with each other and with host country partners. During our March 2018 site visit, we interviewed USAID and IOM representatives at overseas locations to discuss their coordination efforts. We also interviewed USAID, State, and DHS officials in the United States who are responsible for these programs to obtain their views on interagency coordination. In addition, we obtained related information from IAF officials on coordination by email.", "We conducted this performance audit from November 2017 to November 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: U.S. Agencies Coordinate on Reception and Reintegration Efforts for Migrants Returning to El Salvador, Guatemala, and Honduras", "paragraphs": [], "subsections": [{"section_title": "Interagency Coordination on Reception and Reintegration Efforts Takes Place in All Three Countries", "paragraphs": ["Interagency coordination on reception and reintegration efforts takes place at U.S. embassies among the U.S. Agency for International Development (USAID), Department of State (State), Department of Homeland Security (DHS), and others, in El Salvador, Guatemala, and Honduras. These efforts occur on a formal basis as part of interagency working groups focused on migration at the U.S. embassies in El Salvador and Honduras and on an ad hoc basis in Guatemala, where no formal migration working group exists. Additionally, the Inter-American Foundation (IAF) coordinates its reintegration efforts with USAID\u2019s missions in El Salvador and Guatemala, where it funds such projects.", "The migration working group at the U.S. embassy in El Salvador, according to group officials, coordinates the efforts of the various U.S. agencies working on migration issues, in support of the U.S. embassy\u2019s overall goal of curbing illegal migration to the United States. Members of the working group come from USAID; State, including various sections such as Political, Consular, and Public Affairs; DHS components, including U.S. Customs and Border Protection and U.S. Immigration and Customs Enforcement; and others as appropriate. According to these officials, the working group\u2019s purpose is to have all the agencies at the U.S. embassy support and work together on migration-related issues, share information, and avoid duplication of effort. These officials told us the working group also responds to issues raised by State headquarters. For example, State officials in Washington asked the working group to assess the potential impact of former beneficiaries of Temporary Protected Status in the United States returning to El Salvador.", "The migration working group at the U.S. embassy in Honduras initially focused on addressing the rapid increase of unaccompanied children (UAC) from El Salvador, Guatemala, and Honduras arriving at the U.S. border in 2014, according to group officials. Members of the working group include individuals from USAID, State, DHS, and others as appropriate. In September 2017, the working group, according to these officials, shifted its focus to reintegration, as well as issues related to internally displaced persons. Officials told us that the working group has spun off other working groups, including one to address the issue of beneficiaries with Temporary Protected Status returning to Honduras.", "The U.S. embassy in Guatemala had no formal inter-agency migration working group, in March 2018 when we visited, but it had several others, including a law enforcement working group that meets once a week. According to the working group, the Ambassador meets with them if any sensitive issues regarding migration arise. In addition, it has an economic and political working group focused on the ports and trade that regularly discusses what is occurring at the ports of entry. Among these working groups, migration is discussed at the U.S. embassy as needed, according to embassy officials we spoke with who participate in these groups. Members of the working groups include individuals from USAID, State, DHS, and others as appropriate.", "IAF also coordinates its reintegration efforts with all three U.S. embassies, to ensure that (1) its projects are aligned with U.S. foreign policy objectives and (2) its grantees are appropriate. State provides feedback on IAF proposed grants and the relevant U.S. embassies provide their approval. According to IAF officials, for each fiscal year since 2016 IAF has presented a detailed proposal to USAID\u2019s Latin American and Caribbean Bureau, outlining its programing and funding objectives, and monitoring and evaluation plan in the Northern Triangle countries. The proposals are intended to facilitate USAID\u2019s transfer of funds to IAF, ensuring that community-led projects are included in the efforts it supports to advance the U.S. Strategy for Central America."], "subsections": []}, {"section_title": "USAID Coordinates with Foreign Partners Mainly through the International Organization for Migration", "paragraphs": ["USAID coordinates its assistance for reception and reintegration efforts with foreign partners, including host governments and international organizations, through the International Organization for Migration (IOM), which is the primary implementing partner for these efforts. USAID officials told us, however, they engage with both the host government and other national and multilateral organizations when it identifies a constructive opportunity.", "Specifically, USAID\u2019s three program contribution agreements with IOM addressed the benefits of partnerships and coordination with counterparts in government, civil society, multilateral organizations, and the private sector. Additionally, IOM noted it would engage with various stakeholders to coordinate responses and avoid duplication. For example, according to IOM, in 2014, it had already met with various private sector counterparts, such as Americares, and the civil society organizations Glasswing International and World Vision, to identify potential activities to build upon USAID-funded assistance before the initiation of the first program contribution agreement.", "IOM also coordinated with various civil society, multilateral, and private sector organizations in the three countries in its implementation of the program contribution agreements. For example, in Guatemala, IOM officials stated that their coordination with the United Nations Population Fund enabled IOM to provide computer hardware, while the United Nations provided computer software to the Ministry of Foreign Relations to register UAC, thus avoiding duplication. IOM also coordinated with civil society organizations such as:", "Fundaci\u00f3n Cristosal, in El Salvador, which is working to implement a new registration system of victims of internal displacement.", "Fundaci\u00f3n Avina, in Guatemala, which assists returnees with social and labor reintegration.", "Scalibrini Missionary Sisters, in Honduras, which operates the reception center at San Pedro Sula and provides returnees bus tickets back to their communities of origin, if needed and also phone calls to reach their family members upon their arrival.", "During our site visit to Honduras in March 2018, we attended a roundtable meeting with representatives from the International Committee of the Red Cross, the Norwegian Refugee Council, and the United Nations High Commissioner of Refugees, where these representatives discussed coordination and efforts to avoid duplication at reception centers. For example, officials at the meeting stated that during the post-election protests in Honduras in late 2017 and early 2018, returning children and families could not access the Centro de Atenci\u00f3n para Ni\u00f1ez y Familias Migrantes Bel\u00e9n (Bel\u00e9n Assistance Center for Children and Families) to be processed by IOM, so they were processed by the Honduran Red Cross at the Centro de Atenci\u00f3n al Migrante Omoa (Omoa Assistance Center for Migrants). The organizations worked together and consistently communicated to ensure that there were no gaps in coverage for the returning UAC and families, according to officials at the meeting.", "USAID officials told us that IOM programs helped strengthen the relationship between the U.S. government and the host country governments. The host government agency must formally request IOM\u2019s assistance before IOM will provide support, and IOM officials said this letter of request is important to ensure institutional support for and cooperation with IOM\u2019s programs. Additionally, IOM, USAID, and the host government agencies worked together to improve reception and reintegration services for returning migrants. For example, in Honduras in March 2018, USAID, IOM, the Ministry of Foreign Affairs, and the National Center for Social Sector Information met to discuss what additional information they would like to obtain about returning migrants and how to analyze the data.", "The program contribution agreements also called for the establishment of coordination committees to facilitate coordination and consultation among its members. According to the agreements, the committees were to share information as needed to provide assistance, evaluate the effectiveness of the assistance, and otherwise share relevant information. The committee meetings, according to IOM officials, were held regionally among representatives of IOM and the USAID missions under the first program contribution agreement, Repatriation Assistance to Returning Families and Unaccompanied Children in the Northern Triangle of Central America, when the efforts were beginning and there was a sense of urgency due the rapid influx of UAC at the U.S. border from El Salvador, Guatemala, and Honduras. When the third program contribution agreement, Return and Reintegration in the Northern Triangle, began in 2016, the meetings between IOM and USAID were held bilaterally in each country.", "The coordination committee played an important role during the beginning of the first program contribution agreement because, according to USAID officials, it facilitated interaction with the host governments, helped with coordination, and established working relationships between USAID and IOM. Once the program and relationships were established by the time of the third contribution agreement, coordination had evolved, according to USAID officials. IOM officials said that although committee meetings occur on an ad hoc basis under the third program contribution agreement, coordination is stronger. For example, USAID and IOM coordinate closely on strategic decisions, such as IOM\u2019s decision to rebid the contract to renovate and expand the reception center at the Guatemalan Air Force Base, after allegations of corruption arose surrounding the initial contractor.", "Finally, USAID interacts in various ways with IOM, outside of the formal terms of the contribution agreements. According to IOM and USAID officials,", "USAID and IOM engage in regular discussions about the programs\u2019 progress and implementation challenges, to help IOM make decisions and redefine plans of action if necessary.", "USAID is involved in IOM\u2019s strategic decisions, and IOM regularly consults USAID for feedback and recommendations regarding programming.", "USAID and IOM participated in forums such as conferences and a workshop where lessons learned and best practices were discussed."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Inter- American Foundation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Judith Williams (Assistant Director), Joe Carney (Assistant Director), Julie Hirshen (Analyst-in- Charge), Kathryn Bassion, Neil Doherty, Daniela Rudstein, Aldo Salerno, Michael Silver, and K. Nicole Willems made key contributions to this report."], "subsections": []}]}], "fastfact": ["In fiscal year 2017, the Department of Homeland Security returned nearly 75,000 migrants to El Salvador, Guatemala, and Honduras.", "We examined U.S. efforts to help migrants reintegrate into their home countries\u2014such as by helping them reestablish psychological, social and economic ties.", "Since 2014, USAID has provided about $27 million to assist returnees. This assistance has included providing food, transportation, school supplies, and help finding work. It has not yet assessed the effectiveness of these efforts, but has plans to do so."]} {"id": "GAO-18-527", "url": "https://www.gao.gov/products/GAO-18-527", "title": "District of Columbia: Improved Reporting Could Enhance Management of the Tuition Assistance Grant Program", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress funds DCTAG through an annual appropriation, which was $40 million in fiscal year 2018. DCTAG provides D.C. residents up to $10,000 per year to attend college.", "The Consolidated Appropriations Act, 2017, included a provision for GAO to review DCTAG. This report examines, among other things, the characteristics of DCTAG recipients and steps taken by the program to support recipients, as well as the extent to which OSSE reports DCTAG's performance to internal and external stakeholders.", "GAO assessed the most recent data available on DCTAG, covering academic years 2007\u20132016, as well as data on college graduation, tuition, and fees from the Department of Education's Integrated Postsecondary Education Data System for academic years 2007\u20132016, and data on enrollment in high schools and median household income in D.C. from the U.S. Census Bureau's American Community Survey for 2007\u20132016; interviewed representatives of DCTAG and the entities it partners with to support recipients; and reviewed relevant laws, the applicability of standards for internal control, and guidance on performance management."]}, {"section_title": "What GAO Found", "paragraphs": ["The federally funded District of Columbia Tuition Assistance Grant (DCTAG) program was created in 1999 to give college-bound District of Columbia (D.C.) residents greater choices among institutions of higher education. Since its creation, the DCTAG program has awarded over $440 million to more than 26,000 residents to defray costs charged to out-of-state residents at some of the nation's public colleges and universities. While the program serves students from families with a wide range of household incomes, about half the students receiving a DCTAG award in academic years 2007\u20132016 came from the three D.C. wards with the lowest household incomes, as the figure below illustrates. DCTAG coordinates with public and private partners in the community to help students prepare for college, complete financial aid applications, and stay on track to graduate college.", "Although the Office of the State Superintendent of Education (OSSE), which manages DCTAG on behalf of the Mayor of the District of Columbia, issues various annual reports, these reports do not relate program performance to the program's four goals. One of these goals is to help D.C. students make smarter college choices. OSSE officials stated that they regularly communicate information about DCTAG data and activities internally and externally. However, these efforts do not provide the context necessary for program managers, Congress, or the public to understand the program's goals, nor determine whether DCTAG is making progress toward meeting them. Standards for internal control state that program managers should communicate information that internal and external stakeholders need to help the program achieve its objectives. Absent an annual report relating performance to goals, DCTAG's stakeholders will be limited in their ability to assess the program's performance or identify opportunities to improve it."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends OSSE issue annual reports relating DCTAG's performance to program goals. In response to the recommendation, the Mayor stated that OSSE will expand annual reporting to include direct linkages and combine data points to better illustrate the program's performance."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal law created the federally funded District of Columbia Tuition Assistance Grant (DCTAG) program in 1999 to give college-bound District of Columbia (D.C.) residents more choices among colleges and universities. Since its creation, DCTAG has awarded over $440 million to more than 26,000 college-bound D.C. residents. The grants can help defray some costs associated with recipients\u2019 postsecondary education. For example, D.C. residents who attend public colleges and universities in other states may pay higher \u201cout-of-state\u201d tuition. States generally provide financial support to their state university systems and can require public institutions to offer residents lower, \u201cin-state\u201d tuition. In contrast to these state university systems, which can include dozens of institutions serving hundreds of thousands of students, D.C. has a single public university. In fiscal year 2018, Congress appropriated $40 million to fund DCTAG. While Congress funds DCTAG through annual appropriations, the Mayor of the District of Columbia manages the program through the Office of the State Superintendent of Education (OSSE).", "The Consolidated Appropriations Act, 2017, includes a provision for GAO to provide information about the performance of the DCTAG program. Specifically, the provision sought information on trends in eligibility, enrollment, performance, and outcomes, and asked for information on steps taken to provide support to current participants. In addition, the provision sought information on scholarship programs offered by other municipalities in the United States, including a comparison of participant requirements, outcomes, and funding sources.", "In this report, we reviewed DCTAG and other selected state and local scholarship programs to: 1. Describe trends in the eligible population, enrollment, and college graduation rates for DCTAG.", "2.", "Identify steps taken under the program to support recipients and address any challenges they may face staying on track to graduate. 3. Assess the extent to which DCTAG\u2019s performance is reported to program managers, Congress, and the public. 4. Describe other state and local scholarship programs with regard to participant eligibility, funding sources, steps to support recipients, and program outcomes.", "To describe trends in DCTAG, we reviewed the most recent program data available, including data on enrollment in DCTAG for academic years 2007\u20132016 and 6-year graduation rates for recipients in academic years 2012\u22122015. To assess the reliability of program data, we interviewed OSSE officials about the processes used to produce these data and reviewed the programming codes used to extract them from OSSE\u2019s data system. We did not independently verify recipients\u2019 eligibility for DCTAG. We also used American Community Survey (ACS) data to produce estimates of D.C. household income and enrollment in D.C. high schools for calendar years 2007\u22122016. To assess the reliability of these estimates, we reviewed technical documentation for ACS. Because ACS is based on samples and therefore subject to sampling error, we present these estimates with their associated 95 percent confidence intervals. Lastly, to provide context for trends in DCTAG, we reviewed data on average tuition and required fees at 4-year public institutions for academic years 2007\u20132016 and average 6-year graduation rates for certain nationwide groups of students in academic years 2012\u20132016 from the Integrated Postsecondary Education Data System (IPEDS). To assess their reliability, we reviewed technical documentation on IPEDS. We determined that data from these three sources were sufficiently reliable for our purposes.", "To identify steps taken to support recipients, we reviewed documents from OSSE describing support services offered to students either directly by DCTAG or by other entities within OSSE. For example, we reviewed documents describing services provided by OSSE\u2019s Office of College and Career Readiness, which promotes college access and graduation for D.C. students. Additionally, we interviewed officials from OSSE and the stakeholders they partner with, including public and private school officials and representatives of college access providers, which generally are organizations that seek to expand access to higher education. These organizations included the D.C. College Access Program, a privately funded scholarship program, and the federally funded D.C. Educational Opportunity Center, which provides D.C. residents information, guidance, and counseling on opportunities to pursue education beyond high school.", "We also reviewed program documents for these partners to determine how DCTAG works through its partners to offer support services that can help recipients and potential applicants prepare for college, apply for financial aid, and stay on track to graduate college.", "To assess the extent to which DCTAG\u2019s performance is reported, we interviewed OSSE officials and reviewed program documents and relevant federal laws. We used standards for internal control and information on performance management as criteria against which to assess these efforts. We also coordinated with the D.C. Office of the Inspector General to understand key management practices and requirements for D.C. government agencies. We did not assess the program\u2019s compliance with legal reporting requirements.", "To describe other state and local scholarship programs, we reviewed a non-generalizable sample of three programs that target students in two municipalities and one state: the Boston Tuition-Free Community College Plan, Boston, Massachusetts; the Kalamazoo Promise, Kalamazoo, Michigan; and the Washington State Opportunity Scholarship, Washington. We selected programs to reflect diversity in program design and geography. We reviewed key program documents and interviewed managers of each program. We did not conduct an independent review of relevant state and local laws, regulations, and municipal orders; however, we coordinated with state and local audit offices as appropriate.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["When DCTAG was created, there was no income eligibility requirement. However, in 2007, federal law limited eligibility to students from families with annual taxable incomes less than $1,000,000. In 2015, federal law further limited eligibility to students from families with annual taxable incomes less than $750,000; the law provided that this limit was to be subsequently adjusted for inflation as measured by the percentage increase, if any, in the Consumer Price Index for All Urban Consumers. For example, in academic year 2018, eligibility was limited to students from families with annual taxable incomes less than $762,000 (see textbox for selected eligibility requirements).", "Complete the Free Application for Federal", "Generally begin a course of study within 3 years of graduating high school or obtaining a General Equivalency Diploma. institution\u2019s requirements for Satisfactory Academic Progress.", "Universities (HBCU) nationwide and other participating private nonprofit institutions in the D.C. metropolitan area."], "subsections": []}, {"section_title": "Populations Eligible for and Enrolled in DCTAG Remained Relatively Stable as Amounts Awarded Increased and Recipients Graduated at Higher Rates than Selected National Comparison Groups", "paragraphs": ["We identified the following trends in eligibility for and enrollment in DCTAG and graduation rates for recipients:", "DCTAG\u2019s potentially eligible population. ACS data for calendar years 2007\u22122016 indicate that the population of high school students with incomes within DCTAG\u2019s eligibility requirements has remained relatively stable. Over this time frame, about 25,000 students in D.C. were enrolled in high school each year, and about 90 percent of D.C. households had annual incomes less than $200,000. Additional households with annual incomes of $200,000 and above were also likely eligible for DCTAG based on income.", "Enrollment in DCTAG. DCTAG program data indicate that the number of DCTAG recipients remained relatively stable over the last decade. DCTAG provided awards to an average of about 4,750 recipients annually over academic years 2007\u22122016 (see fig. 1). While enrollment in DCTAG peaked in academic year 2012, the number of DCTAG recipients in academic year 2016, the last year in our period of review, was similar to the number of recipients in academic year 2007, the first year in our period of review.", "Enrollment in DCTAG by type of high school attended. DCTAG program data indicate the majority of recipients over academic years 2007\u20132016 graduated from D.C.\u2019s public high school system\u2014both traditional public schools and public charter schools. D.C.\u2019s traditional public schools include six selective schools, or magnet schools, that limit admission to students that meet certain criteria or eligibility requirements. For example, in academic year 2016, more than 70 percent of DCTAG recipients graduated from D.C.\u2019s public high school system (see fig. 2). Many DCTAG recipients have also graduated from private schools or schools outside D.C., were home schooled, or attained their General Equivalency Diploma. For academic years 2007\u22122016, between about 30 and 40 percent of DCTAG recipients came from high schools or programs outside the D.C. public school system.", "Enrollment in DCTAG by taxable household income. Although in 2007 federal law limited eligibility for DCTAG to students from families with annual taxable incomes less than $1,000,000, DCTAG enrollment data show the program made awards to students from families with a wide range of household taxable incomes in academic years 2009\u22122016. At the same time, enrollment data indicate the program\u2019s particular support for students from middle and lower income families. Nearly 60 percent of recipients over this time frame came from families with annual household taxable incomes of $50,000 or less (see fig. 3).", "Enrollment in DCTAG by Ward. DCTAG program data indicate that for academic years 2007\u22122016, about 50 percent of recipients came from the three D.C. wards with the lowest median household incomes, according to American Community Survey estimates (see fig. 4).", "Enrollment in DCTAG by attendance at 4-year and 2-year institutions. DCTAG program data show that for academic years 2007\u22122016, about 90 percent of DCTAG recipients attended 4-year institutions (see fig. 5). To counter the downward trend in enrollment at 2-year institutions that began in academic year 2013, OSSE officials told us they made programmatic changes to DCTAG for academic year 2018. Specifically, OSSE officials told us they determined out-of-state-tuition at 2-year public institutions attended by DCTAG recipients exceeded in-state tuition by an average of $4,500 per year. However, the maximum annual award for recipients attending these institutions was only $2,500. For academic year 2018, OSSE officials said they increased the maximum annual award to attend 2-year public institutions to $10,000 to close this gap.", "Enrollment in DCTAG by amount awarded. For academic years 2007\u22122016, the percentage of recipients receiving DCTAG\u2019s maximum annual awards increased from 40 percent to 62 percent (see fig. 6). OSSE officials linked an increase in the percentage of recipients receiving maximum awards to rising tuition at colleges and universities over this period. We analyzed data from IPEDS on average tuition and required fees at 4-year public institutions and our analysis confirmed that the average gap between out-of-state and in- state tuition exceeded DCTAG\u2019s $10,000 maximum annual award starting in academic year 2015.", "DCTAG graduation rates. College graduation rates are an important measure of performance for DCTAG. OSSE officials told us they maintain a program goal of helping recipients choose schools from which they are likely to graduate. For academic years 2012\u22122015, 6- year college graduation rates for DCTAG recipients were lower than those for students nationwide. However, OSSE officials reported that rates for recipients compare favorably to rates for national and regional groups of students with characteristics similar to those of DCTAG recipients. Our analysis confirmed that in academic year 2015, about 72 percent of DCTAG recipients were African-American and the DCTAG graduation rate was about 10 percentage points higher than for African-Americans nationwide. Similarly, in academic year 2015, nearly 40 percent of DCTAG recipients attended Historically Black Colleges and Universities (HBCU) and the DCTAG graduation rate was about 15 percentage points higher than for the nationwide population of students at these schools (see fig. 7). Additionally, OSSE officials estimated that more than 65 percent of DCTAG recipients were eligible for Pell Grants in academic year 2016. The National Center for Education Statistics recently started reporting graduation rates for Pell Grant recipients, beginning with the cohort of recipients that should have graduated by academic year 2016. Although not directly aligned, the academic year 2016 graduation rate for Pell Grant recipients nationwide was 48 percent\u2014 similar to the academic year 2015 graduation rate for DCTAG recipients."], "subsections": []}, {"section_title": "DCTAG and Its Partners Help Recipients Prepare for College, Complete Applications for Financial Aid, and Stay on Track to Graduate", "paragraphs": ["DCTAG partners with other entities to offer support services intended to help D.C. students prepare for college, apply for financial aid, and stay on track to graduate college. These partners include other entities within OSSE, as well as partners in the broader community such as public and private high school officials and college access providers. DCTAG provides some support services directly to students, such as individual counseling on how to complete a DCTAG application (see fig. 8). An OSSE official told us that DCTAG counselors instruct applicants and renewing recipients on tasks such as how to obtain required supporting documents to verify their residency in D.C. Additionally, to keep recipients on track to graduate, DCTAG emails recipients a quarterly newsletter with reminders to reapply for DCTAG and federal student aid so that they do not disrupt their studies by losing financial assistance. OSSE officials also said that DCTAG expands the reach of its support services by partnering with other entities within OSSE and in the community. For example, DCTAG works with OSSE\u2019s Office of College and Career Readiness, whose mission is to increase D.C. public school students\u2019 access to college. Through this collaboration, DCTAG helps eligible students prepare for higher education, such as through assistance to public schools to offer college entrance exams at no cost to students. Similarly, by partnering with college access providers, DCTAG supplements the support services it offers to help students stay on track to graduate. For example, DCTAG partners with the D.C. College Access Program, a privately funded scholarship program that offers support services for D.C. students in college. One of their services includes using scholarship recipients to mentor incoming D.C. students."], "subsections": []}, {"section_title": "OSSE\u2019s Reporting to Key Stakeholders on DCTAG Does Not Include Program Performance Information", "paragraphs": ["We found that although OSSE communicates DCTAG\u2019s program data and activities to internal stakeholders, Congress, and the public in various formats, these reporting methods do not include the program\u2019s four goals (see textbox), relate performance information to these program goals, or describe progress toward achieving them (see table 1). For example, OSSE\u2019s 2017 annual report to Congress on DCTAG did not include DCTAG\u2019s four program goals, nor did OSSE relate information about the performance of the program to those goals. Instead, the 2017 annual report was comprised of descriptive statistics that were presented without explanation or sufficient context to allow readers to understand the significance of what was being reported. Specifically, this information was unrelated\u2014quantitatively or qualitatively\u2014to DCTAG\u2019s program goals of ensuring D.C. residents are aware of and apply to DCTAG, or of helping DCTAG students make smarter college choices, which OSSE officials told us includes helping students select schools where they are more likely to graduate. As a result, it is unclear how to interpret the information presented in these reports and whether reported results indicate positive or negative program performance.", "Federal standards for internal control state that program managers should communicate necessary quality information so both internal and external parties can help the program achieve its objectives. We have previously reported that annual reports are essential for managers of federal programs to communicate to decision makers the progress an agency has made toward achieving its goals during a given year and, in cases where goals are not met, identify opportunities for improvement or whether goals need to be adjusted. In addition, our prior work found that managers of these programs can increase the value of their reports to congressional decision makers and the public by relating annual performance information to the agency\u2019s strategic goals and mission. Furthermore, we reported that performance measurement does not require establishing a causal link between program activities and program outcomes, but rather emphasizes that the nature of performance measurement is the ongoing monitoring and reporting of program accomplishments, particularly toward pre-established goals.", "OSSE officials agreed on the importance of developing an annual report relating performance to program goals for the DCTAG program and concurred with our finding that they had not communicated DCTAG\u2019s performance information, such as progress toward program goals, in a single annual report. They explained that developing performance measures is challenging. For example, they said DCTAG recipients have access to multiple support programs, which creates difficulties in establishing causal links between a program and the desired outcome. OSSE officials also stated that many DCTAG initiatives are new and, as a result, complete data on those initiatives are not yet available. Although we recognize that developing an annual report could be challenging, our prior work has found performance measurement guidelines would not require program managers to establish causal links as part of ongoing performance monitoring and reporting of progress toward program goals. Unless DCTAG\u2019s stakeholders have access to an annual report that relates performance information to the program\u2019s goals, they may be limited in their ability to judge the significance of what is being reported, determine whether the agency is making progress toward achieving its goals, or make informed program management and funding decisions."], "subsections": []}, {"section_title": "The Design of Selected Scholarship Programs Reflects Unique State and Local Needs", "paragraphs": ["Each of the three other selected scholarship programs we reviewed was created to meet unique state or local needs.", "Boston Tuition-Free Community College Plan. Created to make college more affordable for the city\u2019s low-income students.", "Kalamazoo Promise. Created to promote the economic and social well-being of the community by expanding college access with full- tuition scholarships.", "Washington State Opportunity Scholarship. Created to address shortfalls in the state\u2019s Science, Technology, Engineering, and Mathematics (STEM) and health care workforce and increase educational opportunities for low-income and middle-income students.", "Because each program was designed to address a unique state or local need, they differ with regard to eligibility, funding, recipient supports, and outcome measures. (For additional information on these three programs see appendix I.)", "Eligibility. Each of the three selected scholarship programs established eligibility criteria, such as income requirements, residency requirements, and grade point average (GPA) requirements among others, that reflect program objectives. For example, to ensure that the Boston program serves the intended low-income population, the program requires students to be eligible for Pell grants to receive funding.", "Funding. While the selected scholarship programs have dedicated funding streams, their funding sources reflect the origins of each program. For example, Boston\u2019s program was initiated by the city\u2019s mayor and is funded through a public charitable trust from fees for large-scale commercial building projects while the Kalamazoo promise was initiated by a group of anonymous donors who have funded the program in perpetuity, according to program officials. Alternately, the Washington program was initiated through cooperation between the state government and private sector companies and is funded by private donations that are matched by state funds up to an annual maximum of $50 million.", "Recipient supports. Each of the selected scholarship programs have developed supports such as coaching and peer mentoring to help recipients transition to college and stay on track to graduate. For example, the Kalamazoo Promise partners with and provides funding to two local colleges to create counseling, coaching, or peer mentoring services for scholarship recipients, according to program managers.", "Outcome measures. The selected scholarship programs have developed outcome measures to better understand the programs\u2019 impact, such as whether students stay on track to graduate or find employment post-graduation. For example, program managers with the Washington program said they initiated a post-graduation survey in 2015 to better understand the employment status of graduates in STEM and health care fields, their job location, and annual salary."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Steady enrollment in DCTAG provides an encouraging signal that the program may be meeting the purpose set forth in federal law to expand access to higher education opportunities for D.C. students. However, without annual reports that relate DCTAG\u2019s performance information to the program\u2019s goals, it is difficult to assess the impact of the program and its support services. The information OSSE currently makes available about DCTAG does not provide the context needed for the program\u2019s internal stakeholders, Congress, or the public to determine whether the program is meeting its goals or if any changes may be necessary."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["OSSE should issue an annual report on DCTAG that relates information about the program\u2019s performance to the program\u2019s goals. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Mayor of the District of Columbia for review and comment. Comments from the Mayor are reproduced in appendix II. In response to our recommendation, the Mayor stated that OSSE plans to expand DCTAG\u2019s current annual reports to Congress with direct links to DCTAG\u2019s annual strategic performance goals and the reports will combine data points to illustrate the program\u2019s performance. The Mayor also raised a concern about the title of the draft report, stating that it implied OSSE is not meeting legislative requirements. We have modified the title and text of the report to avoid this implication.", "We are sending copies of this report to the appropriate congressional committees, the District of Columbia Office of the State Superintendent of Education, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov."], "subsections": []}]}, {"section_title": "Appendix I: Other State and Local Scholarship Programs", "paragraphs": ["Based on interviews with officials of three selected state and local scholarship programs and a review of program documents, we present a selection of information to provide additional context on these programs. They include the Boston Tuition-Free Community College Plan, the Kalamazoo Promise, and the Washington State Opportunity Scholarship. The following tables include information on these scholarship programs\u2019 eligibility requirements, funding sources, recipient supports, and annual reports and performance measures. Table 2 presents a selection of eligibility requirements for the Boston Tuition-Free Community College Plan, the Kalamazoo Promise, and the Washington State Opportunity Scholarship.", "Table 3 presents a summary of the three selected scholarship programs\u2019 funding sources, as well as how students may use those funds.", "Table 4 presents a summary of the supports developed by the three selected scholarship programs to support students, keep them on track to graduate from college, and help them begin their careers.", "Table 5 presents a summary of the annual reports and selected performance measures developed by the three selected scholarship programs."], "subsections": []}, {"section_title": "Appendix II: Comments from the Mayor of the District of Columbia", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Melissa Emrey-Arras, (617) 788-0534 or emreyarrasm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Bill J. Keller (Assistant Director), Tom Moscovitch (Analyst-in-Charge), and Michael C. Duane made significant contributions. Also contributing to this report were James Bennett, Deborah K. Bland, Sheila R. McCoy, Benjamin A. Sinoff, Rachel R. Stoiko, and Kate van Gelder."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-72", "url": "https://www.gao.gov/products/GAO-18-72", "title": "Federal Facility Security: Selected Agencies Should Improve Methods for Assessing and Monitoring Risk", "published_date": "2017-10-26T00:00:00", "released_date": "2017-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Protecting federal employees and facilities from security threats is of critical importance. Most federal agencies are generally responsible for their facilities and have physical security programs to do so.", "GAO was asked to examine how federal agencies assess facilities' security risks. This report examines: (1) how selected agencies' assessment methodologies align with the ISC's risk management standard for identifying necessary countermeasures and (2) what management challenges, if any, selected agencies reported facing in conducting physical security assessments and monitoring the results.", "GAO selected four agencies\u2014CBP, FAA, ARS, and the Forest Service\u2014based on their large number of facilities and compared each agency's assessment methodology to the ISC Standard; analyzed facility assessment schedules and results from 2010 through 2016; and interviewed security officials. GAO also visited 13 facilities from these four agencies, selected based on geographical dispersion and their high risk level."]}, {"section_title": "What GAO Found", "paragraphs": ["None of the four agencies GAO reviewed\u2014U.S. Customs and Border Protection (CBP), the Federal Aviation Administration (FAA), the Agricultural Research Service (ARS), and the Forest Service\u2014used security assessment methodologies that fully aligned with the Interagency Security Committee's Risk Management Process for Federal Facilities standard (the ISC Standard). This standard requires that methodologies used to identify necessary facility countermeasures\u2014such as fences and closed-circuit televisions\u2014must:", "1. Consider all of the undesirable events (i.e., arson and vandalism) identified by the ISC Standard as possible risks to facilities.", "2. Assess three factors\u2014threats, vulnerabilities, and consequences\u2014for each of these events and use these three factors to measure risk.", "All four agencies used methodologies that included some ISC requirements when conducting assessments. CBP and FAA assessed vulnerabilities but not threats and consequences. ARS and the Forest Service assessed threats, vulnerabilities, and consequences, but did not use these factors to measure risk. In addition, the agencies considered many, but not all 33 undesirable events related to physical security as possible risks to their facilities. Agencies are taking steps to improve their methodologies. For example, ARS and the Forest Service now use a methodology that measures risk and plan to incorporate the methodology into policy. Although CBP and FAA have updated their methodologies, their policies do not require methodologies that fully align with the ISC standard. As a result, these agencies miss the opportunity for a more informed assessment of the risk to their facilities.", "All four agencies reported facing management challenges in conducting physical security assessments or monitoring assessment results. Specifically, CBP, ARS, and the Forest Service have not met the ISC's required time frame of every 3 years for conducting assessments. For example, security specialists have not conducted required reassessments of two ARS and one Forest Service higher-level facilities. While these three agencies have plans to address backlogs, CBP's plan does not balance conducting risk assessments with other competing security priorities, such as updating its policy manual, and ARS and the Forest Service lack a means to monitor completion of future assessments. Furthermore, CBP, ARS, and the Forest Service did not have the data or information systems to monitor assessment schedules or the status of countermeasures at facilities, and their policies did not specify such data requirements. For example, ARS and the Forest Service do not collect and analyze security-related data, such as countermeasures' implementation. FAA does not routinely monitor the performance of its physical security program. Without improved monitoring, agencies are not well equipped to prioritize their highest security needs, may leave facilities' vulnerabilities unaddressed, and may not take corrective actions to meet physical security program objectives. This is a public version of a sensitive report that GAO issued in August 2017. Information that the agencies under review deemed sensitive has been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends: (1) that CBP and FAA update policies to require the use of methodologies fully aligned with the ISC Standard; (2) that CBP revise its plan to eliminate the assessments backlog; and (3) that all four agencies improve monitoring of their physical security programs. All four agencies agreed with the respective recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Several incidents\u2014such as armed citizens taking over a federal wildlife refuge in Oregon for about 40 days in 2016; the active shooter incident at the Washington Navy Yard in Washington, D.C., in 2013 that resulted in several deaths; and the fatal shooting at the Anderson Federal Building in Long Beach, California, in 2012\u2014demonstrate that government facilities and their employees continue to be targets of potential harm. In light of these incidents and other emergent threats, it is important that agencies use risk-based methodologies to assess the physical security needs of the approximately 113,000 executive-branch, non-military federal buildings. Security assessments of facilities can uncover vulnerabilities and threats and recommend protective measures\u2014called countermeasures\u2014such as fences, access control systems, and closed- circuit television systems to mitigate those threats.", "At least 30 federal agencies are responsible for protecting about 45 percent of civilian federal facilities and their occupants from potential threats. To help federal agencies protect and assess risks to their facilities, the Interagency Security Committee (ISC), an organization chaired by the Department of Homeland Security (DHS), developed physical security standards for non-military federal facilities in the United States.", "One particular standard, called The Risk Management Process for Federal Facilities, defines the criteria and process executive agencies and departments must follow when assessing risks to their facilities. However, our past work found that some federal agencies used this standard to varying degrees leaving agencies\u2019 facilities, workforce, and visitors exposed to risk. You asked us to examine how federal agencies with protective responsibilities use risk management to protect their facilities with countermeasures that meet their security needs. This report examines (1) how selected agencies\u2019 assessment methodologies align with the ISC risk management standard to identify necessary countermeasures, and (2) what management challenges, if any, selected agencies reported facing in conducting physical security assessments and monitoring the results.", "This product is a public version of a sensitive report that we issued in August 2017. DHS deemed some of the information in our August report to be sensitive, including information about facility locations, risk assessment results, and undesirable events not assessed for federal facilities physical security. Therefore, this report omits that information which must be protected from public disclosure. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address the objectives, we selected four agencies with responsibility for assessing their own facilities\u2014DHS\u2019s U.S. Customs and Border Protection (CBP); the Department of Transportation\u2019s Federal Aviation Administration (FAA); and the United States Department of Agriculture\u2019s (USDA) Agricultural Research Service (ARS) and Forest Service. To determine how these agencies\u2019 assessment methodologies align with The Risk Management Process for Federal Facilities (the ISC Standard), we compared facility security policies and procedures from the departments and agencies to the criteria and process in the ISC Standard. In addition, we selected 13 facilities within these 4 agencies for site visits based on geographical dispersion and high levels of risk. For each of the selected facilities, we reviewed assessment reports, toured the facilities, and identified the status of recommended countermeasures. We interviewed officials from the ISC, 3 departments, 4 agencies, and the 13 facilities to understand security standards, policies, and procedures; agency-specific assessment processes; management challenges; and guidance for prioritizing physical security needs. We did not independently determine what constitutes a management challenge, but relied on these facility managers and agency security staff to identify their concerns as defined in their own policies and procedures. We reviewed Standards for Internal Control in the Federal Government (Standards for Internal Control) regarding risk management criteria and the use of quality information for our evaluation of the agencies\u2019 abilities to monitor their physical security program. The results of our review of the selected agencies are not generalizable to all the ISC member agencies but provide illustrative examples of risk assessments and how the facilities addressed needed countermeasures. See appendix I for more details on our scope and methodology and appendix II for a list of the 13 selected facilities visited.", "The performance audit upon which this report is based was conducted from June 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DHS, DOT, and USDA from August 2017 to October 2017 to prepare this version of the sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["Risk management, as applied to security of federal facilities, entails a continuous process of applying a series of mitigating actions\u2014assessing risk through the evaluation of threats, vulnerabilities, and consequences; responding to risks with appropriate countermeasures; and monitoring risks using quality information (see fig. 1).", "In 1995, Executive Order 12977 established the ISC after the bombing of the Oklahoma City Alfred P. Murrah Federal Building in April 1995. The ISC\u2019s mandate is to enhance the quality and effectiveness of security in and protection of federal facilities in the United States occupied by federal employees for nonmilitary activities. The order directs the ISC to develop and evaluate security standards for federal facilities, develop a strategy to ensure executive agencies and departments comply with such standards, and oversee the implementation of appropriate security measures in federal facilities. The ISC has released a body of standards, including the ISC Standard, designed to apply to the physical security efforts of all federal, non-military agencies. The ISC Standard prescribes a process for agencies to follow in developing their risk assessment methodologies (see fig. 2).", "Most federal departments and agencies are generally responsible for protecting their own facilities and have physical security programs in place to do so. The ISC Standard requires executive departments and agencies to follow the risk-management process when conducting risk assessments for each of their facilities. That process begins with determining the facility security level, ranging from level I (lowest risk) for facilities generally having 100 or fewer employees to level V (highest risk) for the most critical facilities and generally having greater than 750 employees. The security level designation determines the facility\u2019s baseline countermeasures. For each facility, departments and agencies are required to (a) consider all of the \u201cundesirable events\u201d that could pose a risk to their facilities\u2014 such as active shooters, vandalism, and explosions\u2014and (b) assess three factors of risk (threats, vulnerabilities, and consequences) to specific undesirable events. Subsequently, agencies are to combine all three factors to yield a measurable level of risk for each undesirable event (see app. III). Based on the results of these assessments, agencies should customize (either increase or decrease) the countermeasures to adequately reflect the assessed level of risk.", "In addition, as part of planning for physical security resources within an agency\u2019s budget process, the ISC has identified the need to balance allocations for countermeasures with other operational needs and with competing priorities. The ISC Best Practices have some similarities with leading practices in capital decision-making. For example, both state that the allocation of resources should be integrated into the agency\u2019s mission, objectives, goals, and budget process. However, beyond the ISC Best Practices, the Office of Management and Budget and we have developed more comprehensive leading practices in capital decision- making that provide agencies with guidance for prioritizing budget decisions such as for countermeasure projects. The Office of Management and Budget and our guidance also emphasize evaluating a full range of alternatives, informed by agency asset inventories that contain condition information, to bridge any identified performance gap. Furthermore, the guidance calls for a comprehensive decision-making framework to review, rank, and select from among competing project proposals. Such a framework should include the appropriate levels of management review, and selections should be based on the use of established criteria.", "The following describes the mission and physical security program characteristics for the agencies in our review:", "CBP, the nation\u2019s largest law enforcement agency, has responsibility for securing the country\u2019s borders. It also has responsibility for conducting security assessments at about 1,200 facilities, including approximately 215 federally owned and agency-controlled higher-level facilities (facility security levels III and IV). These facilities include border patrol stations with holding cells for people detained at the border, office buildings, and canine-training centers. CBP conducts these assessments.", "FAA\u2019s mission is to provide a safe and efficient aerospace system for the country. According to agency data, FAA has 55 federally owned and agency-controlled higher-level facilities\u2014including critical air traffic control towers. According to FAA officials, FAA specialists conduct security assessments.", "ARS conducts research related to agriculture and disseminates information to ensure high-quality safe food and to sustain a competitive agricultural economy. According to agency data, ARS has security responsibility for four domestic federally owned and agency- controlled higher-level facilities\u2014including laboratories for research to improve food and crop quality, office buildings, and warehouses. ARS security personnel have responsibility for conducting security assessments.", "The Forest Service sustains the health, diversity, and productivity of the nation\u2019s forests and grasslands. According to agency officials, the Forest Service has one federally owned and agency-controlled higher- level facility\u2014a regional headquarters office building. The Forest Service\u2019s security officials have responsibility for conducting security assessments, but at the time of our review, USDA security officials conducted the assessment at Forest Service\u2019s one higher-level facility."], "subsections": []}, {"section_title": "Selected Agencies\u2019 Assessment Methodologies Do Not Fully Align with the ISC\u2019s Risk Management Standard", "paragraphs": ["None of the four selected agencies\u2019 security assessment methodologies fully aligned with the ISC Standard. The ISC gives agencies some flexibility to design their own security-assessment methodologies for identifying necessary countermeasures as long as the chosen methodology adheres to fundamental principles of a sound risk- management methodology. Specifically, methodologies must: consider all of the undesirable events identified in the ISC Standard as possible risks to federal facilities, and assess three factors of risk (threats, vulnerabilities, and consequences) for each of the events.", "Furthermore, the ISC Standard requires executive departments and agencies to document decisions that deviate from the ISC Standard. Agencies\u2019 policies and methodologies reference the ISC Standard. However, none of the agencies\u2019 methodologies considered all of the undesirable events during assessments although they used some type of risk assessment methodology. In addition, the agencies did not always adhere to these principles of risk management (see table 1).", "At the time of our review, CBP\u2019s methodology did not fully align with the ISC Standard because it did not consider all of the 33 undesirable events nor assess threat and consequence. CBP security specialists assessed vulnerabilities at building entrances and exits, in interior rooms, and around the perimeter using a yes/no checklist during the assessment process. However, assessment reports showed that specialists did not assess the threats and consequences of undesirable events at each facility. According to security officials, the gap occurred because they designed the checklist to meet requirements in the 2009 CBP Security Policy and Procedures Handbook, which predates the first edition of the ISC Standard issued in 2010. CBP officials told us that as of January 2017, they began using an improved methodology to assess the threats, vulnerabilities, and consequences for 30 of 33 undesirable events\u2014 omitting three now identified in the November 2016 revision to the ISC Standard. However, CBP has not yet updated its handbook to align with the ISC Standard, even though it started this effort over 3 years ago in December 2013. CBP officials did not provide a draft of its updated handbook, but they provided a plan with milestone dates for issuing the handbook by September 2018. CBP officials also told us that updates to the handbook may have to wait due to competing priorities, including efforts to address the backlog of assessments (which we discuss later in this report). Delays in updating the handbook mean that CBP\u2019s policy will continue to not align with the ISC Standard. Furthermore, although CBP security officials told us that all of the agency\u2019s security specialists have been trained to use the improved assessment methodology, without documentation of the methodology in agency policy, there may be greater risk of its inconsistent application. Standards for Internal Control emphasize the importance of agencies developing and documenting policies to ensure agency-wide objectives are met. Documentation serves to retain institutional knowledge over time when questions about previous decisions arise. Without an updated policy handbook that requires a methodology that assesses all undesirable events consistent with the ISC Standard, CBP cannot reasonably ensure that its facilities will have levels of protection commensurate to their risk.", "FAA\u2019s methodology does not fully align with the ISC Standard because it does not consider all of the 33 undesirable events nor does it assess all three factors of risk. FAA security specialists assess vulnerabilities to the site perimeter, entryways, and interior rooms using a yes/no checklist, but the checklist does not assess the consequences from each of the undesirable events at each facility. With respect to threat, FAA applies the ISC\u2019s baseline threat\u2014a general federal facilities threat level that relates directly to a set of baseline countermeasures\u2014across all its higher-level facilities because FAA policy states that there is no agency-specific threat that exceeds the current baseline threat. According to FAA officials, the baseline threat standardizes the security needs across their facilities rather than addressing the security needs of individual facilities from specific threats. When necessary, FAA policy allows specialists to modify countermeasures based on an evaluation of conditions at the facility.", "FAA realized that this approach was no longer appropriate given the agency-wide goal to make risk-based decisions, a review of the assessment process after a 2014 Chicago fire incident that destroyed critical FAA equipment, and an awareness of ISC initiatives to assess compliance. To address the resulting methodological gaps, FAA hired a contractor to design, develop, test, and validate an improved risk- assessment methodology. Subsequently, FAA improved its methodology in January 2017 to assess the threats, vulnerabilities, and consequences for 30 of the 33 undesirable events identified in the November 2016 revision to the ISC Standard \u2014and tested the methodology at lower- and higher-level facilities. This revised methodology addresses the need to assess individual facility needs rather than using a standardized baseline approach. In April 2017, FAA officials told us of their plan for implementing this methodology and provided tentative milestone dates to conduct further testing, training, and analysis before deciding to use the improved methodology, which they expect to complete by January 2018. However, their plan lacks the necessary information to ensure successful implementation, such as detail on how many facilities they will test and how they will use the results of testing, training, and analysis to implement the improved methodology within the identified 9-month time frame. Furthermore, the improved methodology does not address undesirable events for which ISC issued countermeasures in May 2017. Without a detailed implementation plan to assess the methodology\u2019s impact on its security program, FAA cannot reasonably ensure that its facilities have the proper countermeasures. With ongoing changes to its security program, FAA has an opportunity to fully align its improved methodology with the ISC Standard by including all 33 undesirable events and to update its policy requiring the use of such a methodology.", "Unlike CBP and FAA\u2014which developed their own methodologies separate from their parent departments (Department of Homeland Security (DHS) and Department of Transportation (DOT), respectively)\u2014 ARS and the Forest Service follow an assessment methodology developed by USDA. USDA\u2019s methodology does not fully align with the ISC Standard because it does not consider all of the 33 undesirable events for which ISC issued countermeasures in May 2017. Security specialists from USDA headquarters typically assess ARS\u2019s and the Forest Service\u2019s higher-level facilities using a risk-based methodology that considers the 31 undesirable events listed in the previous version of the ISC Standard dated August 2013. However, until recently, USDA did not assign ratings to each of the three risk factors\u2014threat, vulnerability, and consequence\u2014and then combine these ratings to yield a measurable level of risk for each undesirable event. USDA security officials said that they have revised the assessment-reporting format to include this risk calculation and trained their specialists to measure risk in this way. USDA officials provided us with a new assessment template that addresses all 33 undesirable events and includes measuring risk. Additionally, USDA officials said that they are revising their outdated physical security manual and expect to complete it by April 2018. With a revised manual and application of the new assessment template, USDA should be better positioned to assess risk at its facilities.", "When agencies do not use methodologies that fully align with the ISC Standard, they could face deleterious effects, ranging from facilities having inappropriate levels of protection to agencies having an inability to make informed resource allocation decisions for their physical security needs. Specifically, the ISC Standard states that facilities may face the effect of either having (1) less protection than needed resulting in inadequate security or (2) more protection than needed resulting in an unnecessary use of resources. The ISC Standard also states that these effects can be negated by determining the proper protection according to a risk assessment. Identified excess resources in one risk area then can be reallocated to underserved areas, thus ensuring the most cost- effective security program is implemented. As an illustration of such potential effects, we found that two agencies assessing two higher-level facilities came to two different conclusions in terms of their need for X-ray machines to screen for guns, knives, and other prohibitive items in federal facilities. Specifically, one agency based its decision on a policy that does not deviate from the ISC\u2019s baseline set of countermeasures, and the other agency based its decision on professional judgement that deviated from the ISC\u2019s baseline set of countermeasures. Neither agency based its decision on a risk assessment nor documented its decision\u2014both ISC requirements, specifically:", "Without conducting a risk assessment, FAA recently expanded a policy requirement calling for all higher-level facilities to have X-ray machines and magnetometers. This new requirement poses a potentially sizeable investment for the agency with an estimated cost of X-ray machines of about $24,000 and magnetometers of about $4,000 each. FAA may need such equipment at all its higher-level facilities. However, the ISC Standard requires that agencies conduct risk assessments first to justify their needs. Without conducting risk assessments, FAA managers could unnecessarily use resources by installing such equipment in all higher-level air traffic facilities when there may be higher priority needs", "A USDA security specialist decided, despite an ISC baseline requirement that higher\u2013level facilities have X-ray machines, not to recommend an X-ray machine at a higher-level Forest Service facility. The specialist reasoned that unlike other federal buildings with numerous unknown visitors, this facility receives mostly known individuals and a limited number of visitors. The ISC Standard allows for professional judgement; however, the ISC requires that agencies document deviations from the baseline set of countermeasures. Reducing the facility\u2019s level of protection without documenting an assessment of risk could result in no record of the basis of the decision for current and future facility managers and security officials to review or use as justification in the case of a question of compliance.", "In another case, we found that one higher-level facility did not have access control for employees or visitors nor did it have armed guard patrols. The facility manager told us that intelligence and a history without incidents gave leadership reason to believe that these measures were not needed and that therefore the agency did not require and would not fund such protective measures for this facility\u2014in effect, accepting the risks to the facility. Security officials said they also had the same understanding and did not document the matter in the assessment report even though agency policy and the ISC Standard require written documentation when officials deviate from the baseline requirement.", "Without security assessments that fully align with the ISC Standard and provide measureable levels of risk, agencies do not have the information they need to determine priorities and make informed resource allocation decisions. For example, they may not be able to assess whether to acquire or forego costly physical-security countermeasures\u2014such as, X- ray machines, access control systems, and closed-circuit television systems\u2014for facilities. Additionally, after determining the need to acquire a countermeasure, agencies must fund the countermeasure. As previously discussed, leading practices in capital decision-making include a comprehensive framework to review, rank, and select from competing project proposals for funding. In conducting risk assessments that do not fully align with the ISC Standard (i.e., not assessing threats, vulnerabilities, and consequences and measuring risks), agencies miss the opportunity for more informed funding decisions. Three of the four agencies (CBP, ARS, and the Forest Service) currently prioritize funding for operational needs over physical security needs (see table 2) when agencies\u2019 priorities might be different if they based their decisions on an aligned risk assessment."], "subsections": []}, {"section_title": "Selected Agencies Reported Facing Challenges in Conducting Security Assessments and Monitoring Results", "paragraphs": [], "subsections": [{"section_title": "Agencies Have Not Conducted Timely Security Assessments", "paragraphs": ["Standards for Internal Control state that agencies should use quality information on an ongoing basis as a means to monitor program activities and take corrective action, as necessary. The ISC requires that agencies assess higher-level facilities at least once every 3 years\u2014an interval requirement to identify and address evolving risks. We found that three of the four agencies (CBP, ARS, and the Forest Service) did not meet this requirement. Officials reported various challenges including (1) assessments competing with other security activities, (2) an insufficient number of qualified staff to conduct assessments when compared to the number of facilities, or (3) not knowing of the required assessment schedule.", "An \u201cinformation system\u201d is the people, processes, data, and technology that management organizes to obtain, communicate, or dispose of information. that had not been reassessed since 2010. CBP security officials attributed the backlog to (1) having too few security specialists assigned to assess about 1,200 facilities and (2) the specialists working on competing priorities, such as revising the security handbook, conducting technical inspections, and reviewing new construction designs and renovation projects. According to CBP security officials, they have developed a plan to eliminate the backlog by the end of fiscal year 2018 by prioritizing the completion of assessments. While we found the plan comprehensive, the schedule did not seem feasible. For example, the plan assumes that one specialist can complete six assessments in 3 consecutive days and that another specialist can complete three assessments in 1 day. In contrast, security officials told us specialists take about 20 work hours (or 2\u00bd days) to conduct an on-site assessment of one facility. CBP officials said that they believe they can meet the time frames of the plan because they have set aside other priorities and have a thorough understanding of the scope of work involved at the facilities. They added that it will not be easy to meet the timeline, but they can accomplish it with a motivated and committed workforce, adequate financial resources, and absent activities that would otherwise require shifting of resources. We question the feasibility of setting aside important priorities, such as updating the policy manual and reviewing physical security elements in new construction designs, as well as the workload assumptions for completing the assessments. Further, these other priorities are also key to securing facilities. Without balancing assessments with competing priorities, CBP\u2019s time frames for completing the assessments by the end of fiscal year 2018 may not be feasible and may also result in the agency\u2019s not addressing other important physical security responsibilities.", "Since the ISC issued its standard in 2010, ARS and the Forest Service have assessed their higher-level facilities at least once. However, these agencies have not reassessed all of their higher-level facilities within the 3-year interval requirement. Specifically, security specialists have not conducted required reassessments of two ARS and one Forest Service higher-level facilities. The ARS headquarters official explained that the agency had not reassessed the two facilities due to competing priorities and insufficient internal resources. During the course of our review, ARS headquarters officials said they began assessing one of the two ARS facilities in May 2017 and will begin assessing the second facility in October 2017. The Forest Service official explained that the agency missed its security reassessment of the regional office because the facility staff had not requested one. During our visit, facility staff responsible for security told us that they were not aware of the ISC\u2019s 3- year interval requirement. Facility staff requested a reassessment, and security officials told us that they expected to complete it by mid-June 2017. Completing this one-time assessment may address the facility\u2019s security needs temporarily. However, ARS and the Forest Service have not implemented a long-term schedule with key milestones and lack a means to monitor completion of assessments of higher-level facilities at least once every 3 years. Consequently, these agencies cannot reasonably ensure that they have full knowledge of the risks to their facilities.", "FAA data from 2010 through 2016 show that FAA has assessed its 55 higher-level facilities at least once every 3 years. FAA policy requires that specialists schedule assessments of higher-level facilities every 12\u2013 18 months depending on whether the facility has met FAA physical security standards."], "subsections": []}, {"section_title": "Data Limitations Affect Agencies\u2019 Ability to Fully Monitor Security Activities", "paragraphs": ["The ISC Standard states that to make appropriate resource decisions, agencies need information, such as what is being accomplished, what needs management attention, and what is performing at expected levels. We found that agencies\u2019 methods of collecting and storing security information had limitations that affected agency and facility officials\u2019 oversight of the physical security of their facilities (see table 3).", "Without having long-term, agency-wide information to monitor whether assessments are conducted on schedule, ARS and the Forest Service may not meet the ISC Standard, resulting in not adequately protecting their facilities and employees.", "The ISC Standard also states that agencies should measure their security program\u2019s capabilities and effectiveness to demonstrate the need to fund facility security and to make appropriate decisions for allocating resources. However, the agencies in our review were unable to demonstrate appropriate oversight of their physical security programs because:", "CBP\u2019s handbook does not include requirements for data collection and analysis for monitoring physical-security program activities. Facility managers and security officials do not enter assessment results, such as the countermeasures recommended for facilities, in the real property database. Consequently, they do not have comprehensive data to manage their security program, assess overall performance, and take any necessary corrective actions. A CBP official told us that a comprehensive database would allow CBP to set priorities for addressing countermeasures. Without including data collection and analysis requirements in its updated handbook, CBP may be unable to monitor the performance of its physical security program.", "FAA\u2019s policy does not require ongoing monitoring of physical security information, such as the status of recommended countermeasures or assessment schedules. As a result, FAA officials do not proactively use physical security information to assess the overall performance of its physical security program and take corrective actions before an incident occurs. Without a policy requiring ongoing monitoring of information\u2014an internal control activity, FAA may be unable to assess the overall performance of its security program and take necessary corrective actions.", "USDA has a decentralized security program and places the responsibility on agencies to create their physical security programs. Security officials from ARS and the Forest Service told us that USDA does not have a policy for collecting and managing agency-wide information; however, they said that USDA is drafting a new departmental regulation and manual that will specify (1) the roles and responsibilities of agency and facility managers and (2) electronic- data-reporting requirements for monitoring the performance of the physical security program. USDA officials provided a draft of USDA\u2019s regulation and manual for our review. The draft regulation did not mention data reporting and monitoring, while the draft manual only contained a table of contents that included a section entitled \u201cFacility Tracking Database.\u201d USDA officials expect to issue new policies sometime between October 2017 and April 2018. In the absence of new departmental regulation and manual, USDA and Forest Service officials told us that they have begun to develop a Forest Service system for storing electronic copies of agency-wide assessments and that they plan to expand the use of this system to track site specific assessment dates and status of recommended countermeasures. Forest Service officials provided milestone dates and described the capabilities for a future information system, which they expect to complete in September 2017. However, we could not determine whether the manual will have information system requirements to monitor agencies\u2019 physical security program, an internal control activity. Without USDA\u2019s including data collection and analysis requirements in its manual, its agencies may not be able to monitor the performance of their physical security programs."], "subsections": []}, {"section_title": "Selected Agencies Vary in Addressing Recommended Corrective Actions", "paragraphs": ["Without agencies having information to monitor security activities, they were unable to provide us information on the status of countermeasures across their entire portfolio. In order to better understand the status of countermeasures implemented and facilities\u2019 experiences when implementing countermeasures, we determined the status of countermeasures at 13 facilities we visited.", "As previously noted, risk management, as it pertains to physical security, involves agency officials monitoring their physical security programs. During our visits to 13 selected facilities, we found the four agencies differed in the number of countermeasures that they had not implemented. Facility officials provided us with some information on why countermeasures had not been implemented, specifically:", "CBP had a significant number of recommended countermeasures from 2010 through 2016 that remained open at the eight selected CBP facilities. CBP facility officials gave reasons why recommended countermeasures had not been implemented. At one facility, officials did not know about the recommended countermeasures from its last 2010 assessment because the individuals previously knowledgeable about the assessments left the organization without communicating the results. By taking action to improve facility security, they implemented some needed countermeasures. However, at the time of our review, a large number of the recommendations remained open. At another facility, officials told us that they too had not known (for the same reason mentioned above) of their 2010 assessment, which contained recommended countermeasures. However, these officials told us that they submitted a funding request a few weeks before our visit to address all except one of the open countermeasures. In other cases, facilities have not implemented needed countermeasures due to resource constraints or physical site limitations.", "FAA had a large number of recommended countermeasures from 2010 through 2016 that remained open at the time of our review for the two FAA facilities visited. In this case, the most recent security assessment, completed in late 2016, resulted in one facility\u2019s having little time to implement countermeasures by the time we conducted our analysis.", "While ARS had closed almost all recommended countermeasures at two facilities at the time of our review, one Forest Service facility had not yet implemented a recommendation (to secure its entrance doors) that was identified in a 2013 security assessment (see bottom center photo, fig. 3). This countermeasure remained open because facility officials said they continued to explore alternatives to address the recommendation.", "Figure 3 shows examples of countermeasures not fully implemented at selected facilities we visited.", "During our site visits and discussions with facility staff, we found that physical site limitations or other priorities can make it difficult for facility managers to implement countermeasures. For example, a countermeasure might involve correcting a clear zone violation\u2014that is, moving an object (such as a brick wall) a certain distance away from the facility\u2019s perimeter fence to prevent a potential intruder from using the object to climb over the fence. However, when the object near the fence is a building and the property outside of the fence is not federally owned (see bottom right photo, fig. 3), it may not be cost effective to correct the clear zone violation. In this situation, the agency bears the responsibility for exploring ways to address the vulnerability. In following the ISC Standard, as previously noted, managers are required to justify and document why they could not implement recommended countermeasures\u2014what the ISC calls risk acceptance."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Selected agencies carry a great responsibility for protecting facilities that support border protection activities, provide safe and efficient air traffic around the country, and protect the quality of the nation\u2019s food supply. With this responsibility comes the need to appropriately assess risk to ensure the security of these agencies\u2019 facilities. However, 7 years after the ISC issued its initial risk-management process standard, each of four selected agencies continued to use assessment methodologies that did not fully align with this standard. During our review, agencies improved their methodologies to better align with the ISC Standard, but the agencies had not yet incorporated the methodologies into their policies and procedures. Without updated policies and procedures requiring a methodology that adheres to the ISC Standard (including all 33 undesirable events now identified in the November 2016 revision to the ISC Standard), agencies may not collect the information needed to assess risk and determine priorities for improved security. This situation could hamper the agencies\u2019 ability to make informed resource allocation decisions or to recommend countermeasures commensurate to the needs at specific facilities. To address challenges in conducting timely assessments, agencies that had a backlog developed plans to address them, but the assumptions used in CBP\u2019s plans and time frames did not appear to fully reflect the agency\u2019s competing priorities and actual experience. Additionally, ARS and Forest Service have not implemented a long-term assessment schedule with key milestones to ensure that higher-level facilities are reassessed at least once every 3 years. Further, in cases where the agencies may have had risk assessment information, CBP, ARS, and the Forest Service lack the means to collect, store, and analyze this information in order to monitor the status of a facility\u2019s security. Without these key aspects of a comprehensive security program\u2014a methodology that meets the standard, policies, and procedures that incorporate that methodology; the ability to complete assessments on time; and information to perform monitoring\u2014agencies remain vulnerable to substantial security risks."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To improve agencies\u2019 physical security programs\u2019 alignment with the ISC Risk Management Process for Federal Facilities and Standards for Internal Control in the Federal Government for information and monitoring, we recommend that the Commissioner of U.S. Customs and Border Protection take the following three actions: with regard to the updated Security Policy and Procedures Handbook, the ISC\u2019s Risk Management Process for Federal Facilities requirement to assess all undesirable events, consider all three factors of risk, and document deviations from the standard, and data collection and analysis requirements for monitoring the performance of CBP\u2019s physical security program. revise the assumptions used in the plan to address the backlog to balance assessments with competing priorities, such as updating the policy manual and reviewing new construction design, to develop a feasible time frame for completing the assessment backlog.", "Secretary of Transportation direct the FAA Administrator to take the following three actions: develop a plan that provides sufficient details on the activities needed and time frames within the date when FAA will implement an improved methodology; update FAA\u2019s policy to require the use of a methodology that fully aligns with the ISC\u2019s Risk Management Process for Federal Facilities for assessing all undesirable events, considering all three factors of risk, and documenting all deviations from the standard countermeasures; and update FAA\u2019s policy to include ongoing monitoring of physical security information.", "Secretary of Agriculture take the following two actions: include data collection and analysis requirements for monitoring the performance of agencies\u2019 physical security programs, in the department\u2019s revised physical-security manual, and direct the Administrator of the Agricultural Research Service and the Chief of the Forest Service to implement and monitor a long-term assessment schedule with key milestones to ensure that higher-level facilities are reassessed at least once every 3 years."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Homeland Security, Transportation, and Agriculture for review and comment. All three departments agreed with the findings and recommendations for their respective agencies. DHS agreed with our recommendations and provided actions and timeframes for completion. With regard to our recommendation to update the Security Policy and Procedures Handbook, DHS stated that CBP is updating the handbook to include: (1) a discussion and diagram of the ISC risk management process and its application within CBP\u2019s assessment processes; (2) specific guidance for conducting risk assessments in accordance with the ISC\u2019s Risk Management Process for Federal Facilities; and (3) a requirement and guidance for data collection and analysis in support of a robust physical security program. With regard to our recommendation to revise the assumptions used in the plan to address the assessment backlog, DHS stated that CBP has reevaluated current priorities and believes the current plan to eliminate the risk assessment backlog by the end of fiscal year 2018 is achievable. DHS also provided technical comments, which we incorporated as appropriate. DHS\u2019s official written response is reprinted in appendix IV.", "DOT also agreed with our recommendations and by e-mail requested that we publish the response to the sensitive version of this report. DOT stated that FAA continues to refine its policy and develop processes that address the ISC threats, vulnerabilities, and consequences. Further, DOT stated that FAA would either validate that current mitigation strategies address those risks or apply additional appropriate countermeasures. DOT stated that it will provide a detailed response to each recommendation within 60 days from the date of this report. DOT\u2019s official written response is reprinted in appendix V.", "USDA agreed with our recommendations and provided the agency-wide actions for completion. USDA provided a plan to ensure compliance with the ISC\u2019s Risk Management Process for Federal Facilities by development of a standard physical-security assessment process and by initiation of a compliance program to track assessments and monitor the installation of countermeasures. In an e-mail, USDA provided milestone dates and planned completion by January 2019. USDA\u2019s official written response is reprinted in appendix VI.", "If you or your staff has any questions about this report, please contact me at (202) 512-2834 or RectanusL@gao.gov. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines: (1) how selected agencies\u2019 assessment methodologies align with the Interagency Security Committee\u2019s (ISC) risk management standard for identifying necessary countermeasures and (2) what management challenges, if any, selected agencies reported facing in conducting physical security assessments and monitoring the results.", "To determine how selected agencies\u2019 assessment methodologies align with ISC standards for identifying the necessary countermeasures, we identified federal executive branch departments and agencies reported by the Department of Homeland Security (DHS) to have received delegations of authority to protect their own buildings. We reviewed the Federal Real Property Council\u2019s data on the Federal Real Property Profile to identify federally owned and agency-controlled buildings. We determined that these data were sufficiently reliable for the purpose of our reporting objectives based upon our recent report that reviewed these data fields. We selected four agencies based upon their large quantity of reported federally owned and agency-controlled buildings: DHS, U.S. Customs and Border Protection (CBP); Department of Transportation (DOT), Federal Aviation Administration (FAA); United States Department of Agriculture (USDA), Agricultural Research Service (ARS) and USDA\u2019s United States Forest Service (Forest Service). This methodology purposely does not include federal buildings protected by FPS and under the control of the General Services Administration as well as other agencies that we reported on in our previous work. We obtained and reviewed one particular ISC standard, The Risk Management Process for Federal Facilities (the ISC Standard) and its related appendices for assessing physical security and providing recommended countermeasures at federal facilities. We obtained and analyzed the selected departments\u2019 and agencies\u2019 facility-security policies and procedures for a risk assessment methodology. According to the ISC Standard, agencies\u2019 risk assessment methodologies must: consider all of the undesirable events identified in the ISC Standard as possible risks to federal facilities as listed in appendix III; assess the threat, consequences, and vulnerability to specific produce similar or identical results when applied by various security provide sufficient justification for deviations from the ISC-defined security baseline.", "We limited the scope of this review to the first two standards above because agencies\u2019 adherence to these standards could be objectively verified by reviewing and analyzing agency documentation and interviewing agency officials, and their adherence to the two additional standards could not be verified in this manner. We did not conduct risk assessments with independent security professionals to evaluate: 1) the results from prior agency evaluations and 2) the sufficiency of justifications for deviations from the ISC-defined security baseline, as both evaluations were outside of the scope of the engagement. Therefore, for the purposes of this report, risk assessment policies, procedures and resulting methodology that align with ISC standards are those that consider all of the undesirable events and assess the threats, consequences, and vulnerabilities to specific undesirable events. We reviewed and analyzed information to answer the following five questions: 1. Do the policies and procedures mention the ISC standards? 2. Do the policies and procedures consider all of the undesirable events? 3. Do the policies and procedures assess the threat of specific undesirable events? 4. Do the policies and procedures assess the consequences of specific undesirable events? 5. Do the policies and procedures assess the vulnerability to specific undesirable events?", "We answered each of these questions as either a \u201cYes\u201d or \u201cNo\u201d for our selected agencies. The \u201cNo\u201d answer to questions 3, 4, and 5 includes the following two possibilities: (a) the agency\u2019s threat, consequence, or vulnerability ratings are not tied to specific undesirable events, or (b) the agency does not have a framework or formalized steps within which it collects and analyzes threat-, consequence-, or vulnerability-related information. If the answer to each of the five questions was \u201cYes,\u201d then the agency\u2019s overall risk assessment methodology aligns with ISC risk assessment standards for the purposes of this report. If the answer to one or more of the five questions was \u201cNo\u201d, then the agency\u2019s methodology does not to align with ISC standards for the purposes of this report.", "We interviewed security officials at ISC; three departments (DHS, DOT, and USDA); and four agencies (CBP, FAA, ARS, and the Forest Service). We obtained and analyzed agency guidance on prioritizing physical security needs and interviewed agencies\u2019 facility maintenance and budget officials. We reviewed the ISC\u2019s best practices for planning for physical security resources within an agency budget process. Additionally, we reviewed the Office of Management and Budget\u2019s and our leading practices in capital decision-making that provide agencies with guidance for prioritizing budget decisions such as \u201ccountermeasure projects.\u201d We also reviewed Standards for Internal Control in the Federal Government because internal controls play a significant role in helping agencies achieve their mission-related responsibilities. Our findings from our review of the selected agencies are not generalizable to all ISC member agencies, but provide insight into and illustrative examples about selected agencies\u2019 facility risk-assessment methodologies.", "To determine what management challenges selected agencies reported facing in conducting physical security assessments and monitoring results, we interviewed agencies\u2019 security, maintenance, and budget officials. We requested agency security officials to provide portfolio- wide data on facility security assessments for our review in order to select sites to visit and analyze data for dates of assessments and the status of findings. We assessed the reliability of this data through interviews with knowledgeable agency staff and a review for completeness and any unexpected values. We compiled information from physical security assessments when no portfolio-wide agency data were available. We determined that these data were sufficient for the purpose of our reporting objectives and selected geographically dispersed sites with buildings with higher reported security levels per the ISC Standard, as these higher security levels have greater requirements and therefore the potential for greater resource needs. See appendix II for the 13 sites we selected. For these selected sites, we interviewed agency staff concerning the assessment process, site-specific findings, recommendations, justification for deviations from ISC\u2019s baseline standards, and management challenges faced in addressing physical security needs. We observed and photographed the status of the findings from the site physical security assessments. We did not independently determine what constitutes a management challenge or a physical security finding. Rather, we relied on these stakeholders to determine these physical security concerns as defined in their own standards and guidance. The information from our selected sites is illustrative and cannot be generalized to sites agency- wide.", "The performance audit upon which this report is based was conducted from June 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DHS, DOT and USDA from August 2017 to October 2017 to prepare this version of the original report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Selected Facilities GAO Visited", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: The Interagency Security Committee\u2019s Undesirable Events", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Transportation", "paragraphs": ["Error! No text of specified style in document."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Agriculture", "paragraphs": ["Error! No text of specified style in document."], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": ["Appendix VII: GAO Contact and Staff Acknowledgments Error! No text of specified style in document."], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Amelia Shachoy (Assistant Director), Steve Martinez (Analyst-in-Charge), Jennifer Clayborne, George Depaoli, Geoffrey Hamilton, Joshua Ormond, Alison Snyder, Amelia Michelle Weathers, and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-671", "url": "https://www.gao.gov/products/GAO-18-671", "title": "Veterans Choice Program: Further Improvements Needed to Help Ensure Timely Payments to Community Providers", "published_date": "2018-09-28T00:00:00", "released_date": "2018-09-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Questions have been raised about the lack of timeliness of TPAs' payments to community providers under the Choice Program and how this may affect the willingness of providers to participate in the program as well as in the forthcoming Veterans Community Care Program. You asked GAO to review issues related to the timeliness of TPAs' payments to community providers under the Choice Program.", "This report examines, among other things, (1) the length of time TPAs have taken to pay community providers' claims and factors affecting timeliness of payments, and (2) actions taken by VA and the TPAs to reduce the length of time TPAs take to pay community providers for Choice Program claims.", "GAO reviewed TPA data on the length of time taken to pay community provider claims from November 2014 through June 2018, the most recent data available at the time of GAO's review. GAO also reviewed documentation, such as the contracts between VA and its TPAs, and interviewed VA and TPA officials. In addition, GAO interviewed a non-generalizable sample of 15 community providers, selected based on their large Choice Program claims volume, to learn about their experiences with payment timeliness."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs' (VA) Veterans Choice Program (Choice Program) was created in 2014 to address problems with veterans' timely access to care at VA medical facilities. The Choice Program allows eligible veterans to obtain health care services from providers not directly employed by VA (community providers), who are then reimbursed for their services through one of the program's two third-party administrators (TPA). GAO's analysis of TPA data available for November 2014 through June 2018 shows that the length of time the TPAs took to pay community providers' clean claims each month varied widely\u2014from 7 days to 68 days. VA and its TPAs identified several key factors affecting timeliness of payments to community providers under the Choice Program, including VA's untimely payments to TPAs, which in turn extended the length of time TPAs took to pay community providers' claims; and inadequate provider education on filing claims.", "VA has taken actions to address key factors that have contributed to the length of time TPAs have taken to pay community providers. For example, VA updated its payment system and related processes to pay TPAs more quickly. According to VA data, as of July 2018, VA was paying at least 90 percent of the TPAs' invoices within 7 days. In addition, VA and the TPAs have taken steps to improve provider education to help providers resolve claims processing issues. However, 9 of the 15 providers GAO interviewed said they continue to experience lengthy telephone hold times. According to VA and TPA officials, steps have been taken to improve the customer service offered to community providers. However, VA officials do not collect data on or monitor TPA compliance with customer service requirements\u2014such as calls being answered within 30 seconds or less\u2014for provider calls because they said they are not enforcing the requirements and are allowing TPAs to prioritize calls from veterans. Without collecting data and monitoring compliance, VA does not have information on challenges providers may face when contacting TPAs to resolve payment issues."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, including that VA should collect data on and monitor compliance with its requirements pertaining to customer service for community providers. VA concurred with GAO's recommendations and described steps it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Veterans Access, Choice, and Accountability Act of 2014 created the Veterans Choice Program (Choice Program) to address problems with veterans\u2019 timely access to care at Department of Veterans Affairs (VA) medical facilities. Under the Choice Program, when eligible veterans face long wait times, lengthy travel distances, or other challenges accessing care at VA medical facilities, they may obtain health care services from community providers\u2014that is, providers who are not directly employed by VA. The program is primarily administered by two contractors, known as third-party administrators (TPA)\u2014TriWest Healthcare Alliance (TriWest) and Health Net Federal Services (Health Net)\u2014which are responsible for, among other things, establishing nationwide networks of community providers, scheduling appointments for veterans, and paying community providers for their services.", "Since its implementation, the Choice Program has faced challenges and drawn scrutiny. External reviews, media reports, and congressional hearings held over the course of the Choice Program\u2019s implementation and operation have highlighted several programmatic weaknesses. These weaknesses have included insufficient community provider networks, significant delays in scheduling appointments, and a lack of timely payments by the TPAs to community providers. Media reports suggest that the untimely payments to community providers have created financial hardship for some and a reluctance to continue participating in the Choice Program. This has raised concerns that a reduction in participating community providers will increase wait times for veterans and result in longer travel distances, especially in rural areas. Due to these and other concerns, we concluded that VA health care is a high-risk area and added it to our High Risk List in 2015.", "Congress recently passed legislation to help address some of the challenges faced by the Choice Program and VA\u2019s other community care programs. Specifically, the VA MISSION Act of 2018, signed into law in June 2018, requires VA to consolidate the Choice Program and its other VA community care programs into one community care program\u2014the Veterans Community Care Program\u2014in addition to authorizing VA to utilize a TPA for claims processing and requiring VA to reimburse community providers in a timely manner. Currently, VA is in the process of evaluating proposals for the Veterans Community Care Program. Under the current request for proposals (RFP) there will be an up to 1- year implementation period, and the new program is expected to begin serving veterans in fiscal year 2019. The Choice Program is expected to continue until that time and will statutorily sunset after June 6, 2019.", "You asked us to review issues related to the timeliness of TPAs\u2019 payments to community providers under the Choice Program. In this report, we examine 1. the length of time TPAs have taken to pay community providers\u2019 claims under the Choice Program, VA\u2019s efforts to monitor these time frames, and factors that affected timeliness of payments, and 2. actions taken by VA and the TPAs to reduce the length of time TPAs take to pay community providers for Choice Program claims.", "To examine the length of time TPAs have taken to pay community providers\u2019 claims under the Choice Program, factors affecting timeliness of payments, and VA\u2019s efforts to monitor these time frames, we reviewed TPA data on the length of time it took TPAs to pay claims and the number and percentage of claims rejected or denied over the course of the Choice Program, from November 2014 through June 2018, the most recent data available at the time of our review. To assess the reliability of these data, we collected information from TPA officials regarding the reliability of the data and reviewed the data for obvious errors and missing values. We discussed and worked with TPA officials to resolve any identified data issues. On the basis of these steps, we determined the claim payment data were sufficiently reliable for the purposes of our reporting objectives. However, data limitations prohibited us from assessing the extent to which the two TPAs rejected or denied claims. We also reviewed VA and TPA documentation, such as the contracts between VA and its TPAs, contract modifications, and VA\u2019s RFP for its new contracts for the Veterans Community Care Program. We interviewed VA contracting officials and officials from the Office of Community Care (the office within VA\u2019s Veterans Health Administration responsible for implementing and overseeing the Choice Program) as well as TPA officials about VA\u2019s efforts to monitor TPA data on payment time frames, as well as claim rejections and denials, and factors that contributed to the length of time VA\u2019s TPAs have taken to pay providers. In addition, between April and June 2018, we interviewed a non- generalizable sample of 15 providers\u2014including 7 that either currently participate or previously participated in the TriWest community provider network and 10 that either currently participate or previously participated in the Health Net community provider network\u2014to identify any additional factors affecting payment time frames. We selected the providers with the largest Choice Program claims volume from July 2017 through December 2017, based on the most recent TPA data available at the time we selected these providers.", "To examine the actions taken by VA and the TPAs to reduce the length of time TPAs take to pay community providers for Choice Program claims, we reviewed VA and TPA documentation, such as contract modifications and policy documents. We also interviewed VA contracting officials and Office of Community Care officials as well as TPA officials. In addition, we interviewed the 15 selected providers to determine how claim payment timeliness issues have affected them. We assessed the actions taken by VA and the TPAs to address the factors that contributed to the length of time taken to pay providers against federal standards for internal control for performing monitoring activities.", "We conducted this performance audit from February 2018 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform our work to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Veterans Access, Choice, and Accountability Act of 2014 provided up to $10 billion in funding for veterans to obtain health care services from community providers through the Choice Program when veterans faced long wait times, lengthy travel distances, or other challenges accessing care at VA medical facilities. The temporary authority and funding for the Choice Program was separate from other previously existing programs through which VA has the option to purchase care from community providers. Legislation enacted in August and December of 2017 and June 2018 provided an additional $9.4 billion for the Veterans Choice Fund. Authority of the Choice Program will sunset on June 6, 2019."], "subsections": [{"section_title": "Responsibilities of the Choice Program TPAs", "paragraphs": ["In October 2014, VA modified its existing contracts with two TPAs that were administering another VA community care program\u2014the Patient- Centered Community Care program\u2014to add certain administrative responsibilities associated with the Choice Program. For the Choice Program, each of the two TPAs\u2014Health Net and TriWest\u2014are responsible for managing networks of community providers who deliver care in a specific multi-state region. (See fig. 1.) Specifically, the TPAs are responsible for establishing networks of community providers, scheduling appointments with community providers for eligible veterans, and paying community providers for their services. Health Net\u2019s contract for administering the Choice Program will end on September 30, 2018, whereas TriWest will continue to administer the Choice Program until the program ends, which is expected to occur in fiscal year 2019."], "subsections": []}, {"section_title": "Choice Program Claim Processing and Payment", "paragraphs": ["VA\u2019s TPAs process claims they receive from community providers for the care they deliver to veterans and pay providers for approved claims. Figure 2 provides an overview of the steps the TPAs follow for processing claims and paying community providers.", "VA\u2019s contracts with the TPAs do not include a payment timeliness requirement applicable to the payments TPAs make to community providers. Instead, a contract modification effective in March 2016 established a non-enforceable \u201cgoal\u201d of processing\u2014approving, rejecting or denying\u2014and, if approved, paying clean claims within 30 days of receipt.", "To be reimbursed for its payments to providers, the TPAs in turn submit electronic invoices\u2014or requests for payment\u2014to VA. TPAs generate an invoice for every claim they receive from community providers and pay. VA reviews the TPAs\u2019 invoices and either approves or rejects them. Invoices may be rejected, for example, if care provided was not authorized. Approved invoices are paid, whereas rejected invoices are returned to the TPAs. The federal Prompt Payment Act requires VA to pay its TPAs within 30 days of receipt of invoices that it approves."], "subsections": []}, {"section_title": "VA\u2019s Planned Consolidated Community Care Program", "paragraphs": ["The VA MISSION Act of 2018, among other things, requires VA to consolidate its community care programs once the Choice Program sunsets 1 year after the passage of the Act, authorizes VA to utilize a TPA for claims processing, and requires VA to reimburse community providers in a timely manner. Specifically, the act requires VA (or its TPAs) to pay community providers within 30 days of receipt for clean claims submitted electronically and within 45 days of receipt for clean claims submitted on paper.", "In December 2016, prior to enactment of the VA MISSION Act of 2018, VA issued an RFP for contractors to help administer the Veterans Community Care Program. The Veterans Community Care Program will be similar to the current Choice Program in certain respects. For example, VA is planning to award community care network contracts to TPAs, which would establish regional networks of community providers and process and pay those providers\u2019 claims. However, unlike under the Choice Program, under the Veterans Community Care Program, VA is planning to have medical facilities\u2014not the TPAs\u2014generally be responsible for scheduling veterans\u2019 appointments with community providers."], "subsections": []}]}, {"section_title": "The Length of Time Taken by TPAs to Pay Claims from Community Providers Has Varied Widely, and VA\u2019s Monitoring of This Timeliness Has Been Limited", "paragraphs": [], "subsections": [{"section_title": "The Time TPAs Have Taken to Pay Claims Has Varied Widely, and Available Data Do Not Account for Payment Delays Due To Rejected or Denied Claims", "paragraphs": ["From November 2014 through June 2018, VA\u2019s TPAs paid a total of about 16 million clean claims\u2014which are claims that contain all required data elements\u2014under the Choice Program, of which TriWest paid about 9.6 million claims and Health Net paid about 6.4 million. Data on the median number of days VA\u2019s TPAs have taken to pay clean claims each month show wide variation over the course of the Choice Program\u2014from 7 days to 68 days. As discussed previously, in March 2016, VA established a non-enforceable goal for its TPAs to process and, if approved, pay clean claims within 30 days of receipt each month. Most recently, from January through June 2018, the median number of days taken to pay clean claims ranged from 26 to 28 days for TriWest, while it ranged from 28 to 44 days for Health Net. (See fig. 3.)", "In addition to the 16 million clean claims the TPAs paid from November 2014 through June 2018, during this time period they also paid approximately 650,000 claims (or 4 percent of all paid claims) that were classified as non-clean claims when first received after obtaining the required information. Non-clean claims are claims that are missing required information, which the TPA must obtain before the claim is paid. From November 2014 through June 2018, TriWest paid around 641,000 non-clean claims (or 6 percent of all paid claims) while Health Net paid about 9,600 non-clean claims (or less than 1 percent of all paid claims). Data on the median number of days VA\u2019s TPAs have taken to pay non- clean claims each month also show wide variation over the course of the Choice Program\u2014from 9 days to 73 days. (See fig. 4.)", "The data on the time TPAs have taken to pay approved clean and non- clean claims do not fully account for the length of time taken to pay providers whose claims are initially rejected or denied, as, according to the TPAs, providers are generally required to submit a new claim when the original claim is rejected or denied. Thus, providers that submit claims that are rejected or denied may experience a longer wait for payment for those claims or may not be paid at all. In some cases, providers\u2019 claims may be rejected or denied multiple times after resubmission."], "subsections": []}, {"section_title": "Stakeholders Identified Three Key Factors Affecting the Timeliness of Claim Payments to Community Providers under the Choice Program", "paragraphs": ["VA and its TPAs identified three key factors affecting the timeliness of claim payments to community providers under the Choice Program: (1) VA\u2019s untimely payments of TPA invoices; (2) Choice Program contractual requirements related to provider reimbursement; and (3) inadequate provider education on filing Choice Program claims, as discussed below.", "VA\u2019s untimely payments of TPA invoices. According to VA and TPA officials, VA made untimely invoice payments to its TPAs\u2014that is, payments made more than 30 days from the date VA received the TPAs\u2019 invoices\u2014which resulted in the TPAs at times having insufficient funds available to pay community providers under the Choice Program. A VA Office of Inspector General (OIG) report estimated that from November 2014 through September 2016, 50 percent of VA\u2019s payments to its TPAs during this time frame were untimely. VA officials stated that VA\u2019s untimely payments to the TPAs resulted from limitations in its fee-basis claims system, which VA used at the beginning of the Choice Program to process all TPA invoices. In addition, the VA OIG found that VA underestimated the number of staff necessary to process Choice Program invoices in a timely manner.", "Choice Program reimbursement requirements. According to VA and TPA officials, three Choice Program requirements, some of which were more stringent than similar requirements in other federal health care programs, led to claim denials, which, in turn, contributed to the length of time TPAs have taken to pay community providers when the providers did not meet these requirements: 1. Medical documentation requirement. Prior to a March 2016 contract modification, VA required providers to submit relevant medical documentation with their claims as a condition of payment from the TPAs. According to TriWest officials, those Choice Program claims that did not include medical documentation were classified by TriWest as non-clean claims and placed in pending status until the documentation was received. When community providers did not provide the supporting medical documentation after a certain period of time, TriWest typically denied their claims. According to Health Net officials, Choice Program claims that did not include medical documentation were denied by Health Net. 2. Timely filing requirement. VA requires providers to file Choice Program claims within 180 business days from the end of an episode of care. TPAs deny claims that are not filed within the required time frame. 3. Authorization requirement. VA requires authorizations for community providers to serve veterans under the Choice Program and receive reimbursement for their services; however, if community providers deliver care after an authorization period or include services that are not authorized, the TPAs typically deny their claims. According to TPA data, denials related to authorizations are among the most common reasons the TPAs deny community provider claims.", "Inadequate provider education on filing Choice Program claims. According to VA and TPA officials as well as providers we interviewed, issues related to inadequate provider education may have contributed to the length of time it has taken the TPAs to pay community providers under the Choice Program. These issues have included providers submitting claims with errors, submitting claims to the wrong payer, or otherwise failing to meet Choice Program requirements. For example, some VA community care programs require the claims to be sent to one of VA\u2019s claims processing locations, while the Choice Program requires claims to be sent to TriWest or Health Net. Claims sent to the wrong entity are rejected or denied and have to be resubmitted to the correct payer. Ten of the 15 providers we interviewed stated that that they lacked education and/or training on the claims filing process when they first began participating in the Choice Program, including knowing where to file claims and the documentation needed to file claims that would be processed successfully. Four of these 10 providers stated that they learned how to submit claims through trial and error."], "subsections": []}, {"section_title": "VA\u2019s Monitoring of Claim Payment Timeliness Has Been Limited under the Choice Program, but VA Plans to Strengthen Monitoring under the Veterans Community Care Program", "paragraphs": ["At the infancy of the Choice Program, November 2014 through March 2016, VA was unable to monitor the timeliness of its TPAs\u2019 payments to community providers because it did not require the TPAs to provide data on the length of time taken to pay these claims. Effective in March 2016, VA modified its TPA contracts and subsequently began monitoring TPA payment timeliness, requiring TPAs to report information on claims processing and payment timeliness as well as information on claim rejections and denials. However, because VA had not established a payment timeliness requirement, VA officials said that VA had limited ability to penalize TPAs or compel them to take corrective actions to address untimely claim payments to community providers. Instead, the March 2016 contract modification established a non-enforceable goal for the TPAs to process and pay clean claims within 30 days of receipt. As of July 2018, according to VA officials, VA did not have a contractual requirement it could use to help ensure that community providers received timely payments in the Choice Program.", "Officials from VA\u2019s Office of Community Care told us that VA\u2019s experience with payment timeliness in the Choice Program informed VA\u2019s RFP for new contracts for the Veterans Community Care Program, which includes provisions that strengthen VA\u2019s ability to monitor its future TPAs. For example, in addition to requiring future TPAs to submit weekly reports on claim payment timeliness as well as claim rejections and denials, VA\u2019s RFP includes claim payment timeliness standards that are similar to those in the Department of Defense\u2019s TRICARE program. Specifically, according to the RFP, TPAs in the Veterans Community Care Program will be required to process and pay, if approved, 98 percent of clean claims within 30 return claims, other than clean claims, to the provider with a clear explanation of deficiencies within 30 days of original receipt, and process resubmitted claims within 30 days of resubmission receipt.", "The RFP also identifies monitoring techniques that VA may employ to assess compliance with these requirements, including periodic inspections and audits. VA officials told us that VA will develop a plan for monitoring the TPAs\u2019 performance on these requirements once the contracts are awarded."], "subsections": []}]}, {"section_title": "VA Has Addressed Some but Not All of the Key Factors Affecting the Timeliness of Claim Payments to Community Providers under the Choice Program", "paragraphs": ["We found that VA has made system and process changes that improved its ability to pay TPA invoices in a timely manner. However, while VA has modified two Choice Program requirements that contributed to provider claim payment delays, it has not fully addressed delays associated with authorizations for care. Furthermore, while VA and its TPAs have taken steps to educate community providers in order to help prevent claims processing issues, 9 of the 15 providers we interviewed reported poor customer service when attempting to resolve these issues."], "subsections": [{"section_title": "VA Has Changed Its System and Processes for Paying TPA Invoices in order to Improve Its Ability to Pay TPAs in a Timely Manner", "paragraphs": ["VA has taken steps to reduce untimely payments to its TPAs, which contributed to delayed TPA payments to providers, by implementing a new system and updating its processes for paying TPA invoices so that it can pay these invoices more quickly. Specifically, VA has made the following changes: In March 2016, VA negotiated a contract modification with both TPAs that facilitated the processing of certain TPA invoices outside of the fee basis claims system from March 2016 through July 2016. According to VA officials, due to the increasing volume of invoices that the TPAs were expecting to submit to VA during this time period, without this process change, VA would have experienced a high volume of TPA invoices entering its fee basis claims system, which could have exacerbated payment timeliness issues.", "In February through April 2017, VA transitioned all TPA invoice payments from its fee basis claims system to an expedited payment process under a new system called Plexis Claims Manager. VA officials told us that instead of re-adjudicating community provider claims as part of its review of TPA invoices, Plexis Claims Manager performed up front checks in order to pay invoices more quickly, and any differences in billed and paid amounts were addressed after payments were issued to the TPAs.", "In January 2018, VA transitioned to a newer version of the Plexis Claims Manager that enabled VA to once again re-adjudicate community provider claims as part of processing TPA invoices, but in a timelier manner compared with the fee basis claims system. According to VA officials, this is due to the automation of claims processing under Plexis Claims Manager, which significantly reduced the need for manual claims processing by VA staff that occurred under the fee basis claims system. Based on VA data, as of July 2018, VA is paying 92 percent of TriWest\u2019s submitted invoices within 7 days, with payments being made in an average of 4 days, and 90 percent of Health Net\u2019s invoices within 7 days, with payments being made in an average of 4 days under the newer version of Plexis Claims Manager.", "In addition to steps taken to address untimely payments to the TPAs under the current Choice Program contracts, VA has taken steps to help assure payment timeliness in the forthcoming Veterans Community Care Program. Specifically, the RFP includes a requirement for VA to reimburse TPAs within 14 days of receiving an invoice. VA officials stated that to achieve this metric, they are implementing a new payment system that will replace Plexis Claims Manager and will no longer re-adjudicate TPA invoices prior to payment."], "subsections": []}, {"section_title": "VA Has Modified Two Choice Program Requirements That Contributed to Provider Payment Delays, but Has Not Fully Addressed Delays Associated with Authorizations for Care", "paragraphs": ["VA has issued a contract modification and waivers for two Choice Program contract requirements that contributed to provider payment delays\u2014(1) the medical documentation requirement and (2) the timely filing requirement. However, while VA issued a contract modification to amend the requirements for obtaining authorizations for Choice Program care, provider payment delays associated with requesting these authorizations may persist, because VA is not ensuring that VA medical centers review and approve these requests within required time frames.", "Elimination of medical documentation requirement. Effective beginning March 2016, VA issued a contract modification that eliminated the requirement that community providers must submit medical documentation as a condition of receiving payment for their claims. Data from one TPA showed a reduction in non-clean claims following the implementation of this contract modification. For example, starting in April 2016, after this modification was executed, almost 100 percent of claims submitted to TriWest were classified as clean claims, as opposed to 49 percent of claims submitted in March 2016. However, when the modification first went into effect in March 2016, TriWest and Health Net officials stated that they processed a large amount of claims from community providers that had previously been pended or denied because they lacked medical documentation and, in turn, submitted a large number of invoices to VA for reimbursement. As previously discussed, to help address the increased number of TPA invoices, VA issued lump-sum payments to the TPAs during this time period.", "Modification of timely filing requirement. In February and May 2018, VA issued waivers that gave TPAs the authority to allow providers to resubmit rejected or denied claims more than 180 days after the end of the episode of care if the original claims were submitted timely\u2014that is, within 180 days of the end of the episode of care. VA officials stated that the waivers were intended to reduce the number of rejected and denied claims by giving community providers the ability to resubmit previously rejected or denied claims for which the date of service occurred more than 180 days ago. VA\u2019s waivers were implemented as follows: In February 2018, VA issued a waiver that allowed community providers to resubmit certain claims rejected or denied for specific reasons when the provider or TPA could verify that the provider made an effort to submit the claim prior to the claims submission deadline.", "In May 2018, VA issued a second waiver that removed the 180 day timeliness requirement for all Choice Program claims. The waiver also provided instructions to the TPAs on informing providers that they may resubmit claims rejected or denied for specific reasons and how the TPAs are to process the resubmitted claims.", "In regards to the first waiver, TPA officials stated that the processing of those resubmitted claims adversely affected the timeliness of the TPAs\u2019 payments to community providers because the waiver resulted in a large influx of older claims. As the second waiver was in the process of being implemented by the two TPAs at the time we conducted our work, we were unable to determine if the second waiver affected the TPAs\u2019 provider payment timeliness.", "Changes to authorization of care requirement. VA issued a contract modification in January 2017 to expand the time period for which authorizations for community providers to provide care to veterans under the Choice Program are valid. In addition, in May 2017, VA expanded the scope of the services covered by authorizations, allowing them to encompass an overall course of treatment, rather than a specific service or set of services. According to VA officials, the changes VA made related to the authorization of care requirement were also intended to reduce the need for secondary authorization requests (SAR). Community providers request SARs when veterans need health care services that exceed the period or scope of the original authorizations. Community providers are required to submit SARs to their TPA, which, in turn, submits the SARs to the authorizing VA medical facility for review and approval. Both Health Net and TriWest officials told us that since VA changed the time frame and scope of authorizations, the number of SARs has decreased.", "Despite efforts to decrease the number of SARs, payment delays or claim denials are likely to continue if SARs are needed. We found that VA is not ensuring that VA medical facilities are reviewing and approving SARs within required time frames. VA policy states that VA medical facilities are to review and make SAR approval decisions within 5 business days of receipt. However, officials from one of the TPAs and 7 of the 15 providers we interviewed stated that VA medical facilities are not reviewing and approving SARs in a timely manner. According to TriWest officials, as of May 2018, VA medical facilities in their regions were taking an average of 11 days to review and make approval decisions on SARs, with four facilities taking over 30 days for this process.", "According to an official from VA\u2019s Office of Community Care, VA does not currently collect reliable national data to track the extent of nonadherence to the VA policy to review and make SAR approval decisions within 5 business days. The official told us that instead, VA relies on employees assigned to each Veterans Integrated Service Network to monitor data on VA medical facilities\u2019 timeliness in making these SAR approval decisions. If a VA medical facility is found not to be in adherence with the SAR policy, the official told us that staff assigned to the Veterans Integrated Service Network attempt to identify the reasons for nonadherence, and perform certain corrective actions, including providing education to the facility. Despite these actions, the official told us that there are still VA medical facilities not in adherence with VA\u2019s SAR approval policy.", "According to a VA official, VA is in the process of piloting software for managing authorizations that will allow VA to better track SAR approval time frames across VA medical facilities in the future. However, even after this planned software is implemented, if VA does not use the data to monitor and assess SAR approval decision time frames VA will be unable to ensure that all VA medical facilities are adhering to the policy. Standards for internal control in the Federal Government state that management should establish and operate monitoring activities to evaluate whether a specific function or process is operating effectively and take corrective actions as necessary. Furthermore, monitoring such data will allow VA to identify and take actions as needed to address any identified challenges VA medical facilities are encountering in meeting the required approval decision time frames. Without monitoring data to ensure that all VA medical facilities are adhering to the SAR approval time frames as outlined in VA policy, community providers may delay care until the SARs are approved or provide care without SAR approval. This in turn increases the likelihood that the community providers\u2019 claims will be denied. Further, continued nonadherence to VA\u2019s SAR policy raises concerns about VA\u2019s ability to ensure timely approval of SARs when VA medical facilities assume more responsibilities for ensuring veterans\u2019 access to care under the forthcoming Veterans Community Care Program."], "subsections": []}, {"section_title": "TPAs Have Taken Steps to Improve Provider Education to Help Providers Resolve Claims Processing Issues, but Many Providers Still Report Poor Customer Service", "paragraphs": ["We found that VA and its TPAs have taken steps to educate community providers in order to help prevent claims processing issues that have contributed to the length of time TPAs have taken to pay these providers. Despite these efforts, 9 of the 15 providers we interviewed reported poor customer service when attempting to resolve claims payment issues.", "While VA\u2019s contracts with the TPAs do not include requirements for educating and training providers on the Choice Program, both TPAs have taken steps to educate community providers on how to successfully submit claims under the Choice Program. Specifically, TriWest and Health Net officials told us that they have taken various steps to educate community providers on submitting claims correctly, including sending monthly newsletters, emails, and faxes to communicate changes to the Choice Program; updating their websites with claims processing information; and holding meetings with some providers monthly or quarterly to resolve claims processing issues. Officials from both TPAs also told us that they provided one-on-one training to some providers on the claims submission process to help reduce errors when submitting claims. In addition, VA\u2019s RFP for the Veterans Community Care Program contracts includes requirements to provide an annual training program curriculum and an initial on-boarding and ongoing outreach and education program for community providers, which includes training on the claims submission and payment processes and TPA points of contact.", "VA and the TPAs have also made efforts to help providers resolve claims processing issues and outstanding payments. For example,", "VA launched its \u201ctop 20 provider initiative\u201d in January 2018 to work directly with community providers with high dollar amounts of unpaid claims and resolve ongoing claims payment issues. This initiative included creating rapid response teams to work with community providers to settle unpaid claim balances within 90 days and working with both TPAs to increase the number of clean claims paid in less than 30 days. In addition, VA has developed webinars on VA\u2019s community care programs and\u2014in conjunction with trade organizations and health care systems\u2014has delivered provider education on filing claims properly.", "TriWest officials stated that it has educated the customer service staff at its claims processing sub-contractor, who field community provider calls regarding claims processing issues, to help ensure that the staff are familiar with Choice Program changes and can effectively assist community providers and resolve claims processing issues. Internal TriWest data show that providers\u2019 average wait time to speak to a customer service representative about claims processing issues decreased from as high as 18 minutes in 2016 to as low as 2.5 minutes in 2018.", "Health Net officials were unable to provide data, but stated that since the fourth quarter of 2017, Health Net has decreased the time it takes for a community provider to speak with a customer service representative by adding additional staff and extending the hours in which providers can call with questions. In addition, Health Net officials stated that they have required customer service staff to undergo additional training related to resolving claims processing issues.", "Despite these efforts, 7 of the 10 providers that participate in the Health Net network and 2 of the 7 providers that participate in the TriWest network we interviewed between April and June 2018 told us that when they contact the TPAs\u2019 customer service staff to address claim processing questions, such as how to resolve claim rejections or denials, they experience lengthy hold times, sometimes exceeding one hour. In addition, 7 of the 15 providers we spoke with told us they typically reach employees who are unable to answer their questions. According to these providers, this experience frustrated them, as they often did not understand why a claim had been denied or rejected, and they required assistance correcting the claim so it could be resubmitted. One community provider stated that their common practice to resolve questions or concerns was to call customer service enough times until they received the same answer twice from a TPA representative. In addition, 5 of the 10 Health Net providers we interviewed stated that they have significant outstanding claim balances owed to them. One of these providers\u2014who reported over $3 million in outstanding claims\u2014stressed the importance of being able to effectively resolve claims issues with TPA customer service staff, as the administrative burden of following up on outstanding claim balances takes time away from caring for patients.", "The issues concerning customer service wait times and TPA staff inability to resolve some claims processing issues reported by community providers appear to be inconsistent with VA contractual requirements.", "VA\u2019s current Choice Program contracts require the TPAs to establish a customer call center to respond to calls from veterans and non-VA providers. The contract requires specified levels of service for telephone inquiries at the call center. For example, VA requires TPA representatives to answer customer service calls within an average speed of 30 seconds or less and requires 85 percent of all inquiries to be fully and completely answered during the initial telephone call. However, VA officials explained that VA does not enforce the contractual requirement for responding to calls from community providers. Furthermore, according to these officials, VA allows the TPAs to prioritize calls from veterans. Officials from VA\u2019s Office of General Counsel, Procurement Law Group, confirmed that this requirement does apply to the TPAs\u2019 handling of calls from community providers. Because VA does not enforce the customer service requirement for providers, VA has not collected data on or monitored the TPAs\u2019 compliance with these requirements for providers\u2019 calls.", "As previously stated, standards for internal control in the Federal Government state that management should establish and operate monitoring activities to evaluate whether a specific function or process is operating effectively and take corrective actions as necessary. Without collecting data and monitoring customer service requirements for provider calls, VA does not have information on the extent to which community providers face challenges when contacting the TPAs about claims payment issues that could contribute to the amount of time it takes to successfully file claims and receive reimbursement for services under the Choice Program. This, in turn, poses a risk to the Choice Program to the extent that community providers who face these challenges decide not to serve veterans under the Choice Program.", "Looking forward, VA has included customer service requirements in its RFP for the Veterans Community Care Program contracts, and VA officials have told us that these requirements are applicable to provider calls. For example, the RFP includes a requirement for its future TPAs to establish and maintain call centers to address inquiries from community providers and has established customer service performance metrics to monitor call center performance. Monitoring data on provider calls under the contracts will be important as Veterans Community Care Program TPAs will continue to be responsible for building provider networks, processing claims, and resolving claims processing issues."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Choice Program relies on community providers to deliver care to eligible veterans when VA is unable to provide timely and accessible care at its own facilities. Although VA has taken steps to improve the timeliness of TPA claim payments to providers, VA is not collecting data or monitoring compliance with two Choice Program requirements, and this could adversely affect the timeliness with which community providers are paid under the Choice Program. First, VA does not have complete data allowing it to effectively monitor adherence with its policy for VA medical facilities to review SARs within 5 days of receipt, which impacts its ability to meet the requirement. To the extent that VA medical facilities delay these reviews and approvals, community providers may have to delay care or deliver care that is not authorized, which in turn increases the likelihood that the providers\u2019 claims will be denied and the providers will not be paid. Second, VA requires the TPAs to establish a customer call center to respond to calls from veterans and non-VA providers. However, VA does not enforce the contractual requirement for responding to calls from community providers and allows the TPAs to prioritize calls from veterans. Consequently, VA is not collecting data, monitoring, or enforcing compliance with its contractual requirements for the TPAs to provide timely customer service to providers. As a result, VA does not have information on the extent to which community providers face challenges when contacting the TPAs about claims payment issues, which could contribute to the amount of time it takes to receive reimbursement for services.", "To the extent that these issues make community providers less willing to continue participating in the Choice Program and the forthcoming Veterans Community Care Program, they pose a risk to VA\u2019s ability to successfully implement these programs and ensure veterans\u2019 timely access to care."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to VA: Once VA\u2019s new software for managing authorizations has been fully implemented, the Undersecretary for Health should monitor data on SAR approval decision time frames to ensure VA medical facilities are in adherence with VA policy, assess the reasons for nonadherence with the policy, and take corrective actions as necessary. (Recommendation 1)", "The Undersecretary for Health should collect data and monitor compliance with the Choice Program contractual requirements pertaining to customer service for community providers, and take corrective actions as necessary. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for review and comment. In its written comments, reproduced in appendix I, VA concurred with our two recommendations and said it is taking steps to address them. For example, VA plans to implement software in spring 2019 that will automate the SAR process and allow for streamlined reporting and monitoring of SAR timeliness to ensure ongoing compliance. Additionally, VA has included provider customer service performance requirements and metrics in its Veterans Community Care Program RFP, and will require future contractors to provide a monthly report to VA on their call center operations and will implement quarterly provider satisfaction surveys.", "We are sending copies of this report to the Secretary of Veterans Affairs, the Under Secretary for Health, appropriate congressional committees, and other interested parties. This report is also available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Sharon M. Silas at (202) 512-7114 or silass@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia A. Mann (Assistant Director), Michael Zose (Analyst-in-Charge), and Kate Tussey made major contributions to this report. Also contributing were Krister Friday, Jacquelyn Hamilton, and Vikki Porter."], "subsections": []}]}], "fastfact": ["The VA's Veterans Choice Program allows veterans to get health care from providers not directly employed by VA (community providers), such as when facing long wait times at VA facilities.", "VA uses contractors to pay providers for their services to veterans. But contractor payment times have varied, sometimes causing delays in providers' payments. The result: providers may not want to continue participating in the Choice Program, which may decrease veterans' access to health care.", "A Veterans Community Care Program to replace the Choice Program is to begin in 2019. We recommended that VA take steps to correct provider payment issues."]} {"id": "GAO-18-563T", "url": "https://www.gao.gov/products/GAO-18-563T", "title": "Aviation Security: TSA Uses Data to Monitor Airport Operations and Respond to Increases in Passenger Wait Times and Throughput", "published_date": "2018-05-17T00:00:00", "released_date": "2018-05-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TSA employs about 43,000 Transportation Security Officers (TSO) who screen over 2 million passengers and their property each day at airports in the United States. TSA allocates TSOs to airports using both a computer-based staffing model and information from airports intended to provide each airport with the optimum number of TSOs. In the spring of 2016, long screening checkpoint lines at certain U.S. airports raised questions about TSA's process for allocating TSOs to airports. This testimony addresses (1) how TSA monitors wait times and throughput, and (2) tools TSA uses to respond to increases in passenger wait times. This testimony is based on a report GAO issued in February, 2018: GAO, Aviation Security: TSA Uses Current Assumptions and Airport-Specific Data for Its Staffing Process and Monitors Passenger Wait Times Using Daily Operations Data . GAO-18-236 , Washington, D.C.: February 1, 2018. For that report, among other things, GAO analyzed TSA documentation and passenger wait time and throughput data."]}, {"section_title": "What GAO Found", "paragraphs": ["In February 2018, GAO reported that the Transportation Security Administration (TSA) uses data to monitor passenger wait times and throughput, the number of passengers that are screened at each airport checkpoint, on a daily basis and responds to increases. For example, TSA's Airport Operations Center (AOC) monitors daily wait times and passenger throughput from 28 airports that TSA officials say represent the majority of passenger throughput nationwide or are operationally significant. Furthermore, TSA officials at airports are required to report to the AOC when an event occurs--such as equipment malfunctions--that affects airport screening operations and results in wait times that are greater than 30 minutes in standard screening lanes. For its February 2018 report, GAO analyzed wait time data for the AOC-monitored airports for the period of January 2015 through May 2017 and found that TSA's reported wait times met its standard of less than 30 minutes in standard screening 99 percent of the time. Within that time frame, two airports accounted for the longest wait times in the spring of 2016. TSA officials also identified several tools, such as passenger screening canines, that they reported using to respond to increases in passenger wait times at these airports."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Transportation Security Administration\u2019s (TSA) efforts to monitor passenger wait times and the number of passengers that are screened at each airport checkpoint, known as throughput, at airports throughout the United States. As you know, the Department of Homeland Security\u2019s TSA is responsible for protecting the nation\u2019s transportation systems while also ensuring the free movement of people and commerce. TSA employs about 43,000 Transportation Security Officers (TSOs) who screen over 2 million passengers and their accessible and checked baggage each day at nearly 440 airports across the United States. In the spring of 2016, unusually long screening checkpoint lines at certain major U.S. airports raised questions about TSA\u2019s process for allocating TSOs to airports and managing passenger wait times.", "My testimony today addresses (1) how TSA collects and monitors passenger wait time and throughput data and (2) tools TSA uses to respond to increases in passenger wait times. This statement is based on selected findings from our February 2018 report on staffing allocation and managing wait times. To perform the work from our previous report, we analyzed TSA documentation, reports, and data on wait times and passenger throughput from January 2015 through May 2017 for 28 airports that, according to TSA headquarters officials, represent the majority of passenger throughput nationwide or are operationally significant. We also interviewed headquarters officials responsible for overseeing TSA\u2019s collection and use of wait time and throughput data as well as Federal Security Directors (FSD) and their designees at eight selected airports to determine the tools they use to respond to increases in passenger wait times and throughput. Further detail on the scope and methodology for the previously issued report is available within the published product. The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "TSA Processes for Allocating TSOs across Airports", "paragraphs": ["TSA allocates TSOs to airports using its Resource Allocation Plan, which is intended to provide each airport with the optimum number of TSOs needed to screen passengers for threats to aviation security, such as prohibited and other potentially dangerous items. To implement passenger screening and pursue efficient operations, in addition to relying on TSOs, TSA works with officials from airlines and airports, as well as officials from associations that represent airlines and airports. At airports, FSDs and their designees work with individual airport operators and airlines to, among other things, adjust TSA resources (i.e., TSOs and screening assets such as metal detectors) in response to increases in passenger throughput at each checkpoint, and monitor passenger wait times at checkpoints.", "At TSA headquarters, the Office of Security Operations (OSO) has primary responsibility for operation of the Resource Allocation Plan and allocation of TSOs across airports. To allocate staff to the nearly 440 TSA-regulated airports in the United States, OSO is to use a combination of computer-based modeling and line-item adjustments based on airport- specific information. First, the agency is to work with a contractor to evaluate the assumptions\u2014such as rates of expedited screening\u2014used by the computer-based staffing allocation model to determine the optimal number of TSOs at each airport based on airport size and configuration, flight schedules, and the time it takes to perform checkpoint and baggage screening tasks. Second, after the model has determined how many TSOs are required for each airport, headquarters-level staff are to make line item adjustments to account for factors such as differences in staff availability and training needs that affect each airport.", "In 2007, we reviewed the Resource Allocation Plan (referred to as the Staffing Allocation Model at that time) and recommended, among other things, that TSA establish a mechanism to ensure periodic assessment of the assumptions, such as passenger and checked baggage screening rates, underlying the plan. TSA agreed with the recommendation, and in December 2007 developed and implemented a plan to periodically assess the plan\u2019s assumptions."], "subsections": []}, {"section_title": "TSA Processes for Collecting Wait Time and Throughput Data at Airports", "paragraphs": ["At each airport, TSA is to collect throughput data on the number of passengers screened under both expedited and standard screening and monitor passenger wait times at screening checkpoints. TSA airport officials are to submit passenger throughput and wait time data on a daily basis to OSO\u2019s Performance Management Division at TSA headquarters, which compiles the data through the Performance Measurement Information System, TSA\u2019s web-based data collection system. TSA required FSDs and their designees to collect actual wait times from 2002 through 2007 and beginning again in July 2014. From 2008 through June 2014, TSA required that FSDs collect data on wait time ranges, such as between 20 to 29 minutes or greater than 30 minutes."], "subsections": []}, {"section_title": "TSA Information Sharing Efforts with Stakeholders", "paragraphs": ["In February 2018, we reported that TSA headquarters officials have taken steps intended to improve information sharing with stakeholders\u2014officials from airlines and airports, as well as officials from associations that represent airlines and airports\u2014about staffing and related screening procedures at airports. For example, we reported that TSA holds daily conference calls with stakeholders at selected airports intended to ensure timely communication and to help identify and address challenges in airport operations such as increases in passenger wait times. Additionally, we reported that TSA conducted a series of presentations and meetings to discuss the Resource Allocation Plan, security enhancements at airports, and airport screening processes, among other things."], "subsections": []}]}, {"section_title": "TSA Uses Passenger Wait Time and Throughput Data to Monitor Airport Operations on a Daily Basis", "paragraphs": ["In February 2018, we reported that TSA collects passenger wait time and throughput data and uses those data to monitor daily operations at airports. TSA\u2019s Operations Directive (directive), Reporting Customer Throughput and Wait Times, provides instructions for collecting and reporting wait time and passenger throughput data for TSA screening lanes. Regarding wait time data, according to the directive, FSDs or their designees at all Category X, I, and II airports must measure wait times every operational hour in all TSA expedited and standard screening lanes. The directive requires wait times to be measured in actual time, using a verifiable system such as wait time cards, closed circuit television monitoring, or another confirmable method. The directive indicates that wait times should be measured from the end of the line in which passengers are waiting to the walk through metal detector or advanced imaging technology units.", "According to TSA officials at that time, at the beginning of each hour, wait time cards are handed to passengers at the end of the checkpoint line and are collected when a passenger reaches the metal detector or imaging unit. Closed circuit television is monitored from a location other than the checkpoint, such as at the airport\u2019s coordination center. According to TSA headquarters officials, TSA does not require FSDs or their designees to collect wait times from a statistical sample of passengers throughout the hour, but rather requires that one wait time is collected for every operational hour in all screening lanes. If more than one wait time is collected during the hour, the directive indicates that the maximum wait time should be reported. TSA officials at airports we visited for our February 2018 report stated that TSOs return completed wait time cards to supervisors, who then enter the information into a shared spreadsheet and eventually into the Performance Measurement Information System. Each hour\u2019s reported wait time is then applied to all of a lane\u2019s throughput for that given hour. FSDs or their designees at Category III and IV airports may estimate wait times initially, but the directive requires them to measure actual wait times when wait times are estimated at 10 minutes or greater.", "The directive also requires FSDs or their designees to collect passenger throughput data directly from the walkthrough metal detectors and advanced imaging technology units. According to TSA headquarters officials, the machines have sensors that collect the number of passengers who pass through each hour, and TSOs retrieve the data directly from the units. All airports regardless of category are required to enter their wait time and throughput data daily into the information system no later than 3:30 AM Eastern Time of the next calendar day so that the data can be included in the morning\u2019s Daily Leadership Report (discussed in more detail below).", "To monitor operations for all airports, TSA compiles a daily report utilizing a variety of data points from the information system, including wait time and throughput data. The Office of Security Operations\u2019 Performance Management Division disseminates the Daily Leadership Report to TSA officials, including regional directors and FSDs and their designees every morning detailing the previous day\u2019s wait times and throughput figures, among other data points. The Performance Management Division includes a quality assurance addendum with each Daily Leadership Report, indicating missing or incorrect data, to include wait time and throughput data, and TSA has procedures in place intended to ensure officials at the airports correct the data in the Performance Measurement Information System within 2 weeks.", "In addition to the Daily Leadership Report, we reported that TSA utilizes wait time and throughput data to monitor airport operations at 28 airports in near real time. In May 2016, TSA established the Airport Operations Center partly in response to the long screening checkpoint lines in the spring of 2016 at certain airports. The center conducts near real time monitoring of the operations of 28 airports that, according to TSA headquarters officials, represent the majority of passenger throughput nationwide or are operationally significant. TSA requires the 28 airports monitored by the center to enter passenger wait time data and throughput data hourly (whereas the remaining airports are only required to submit data once daily, by 3:30 AM Eastern Time, as described above) so that officials can monitor the operations in near real time. In addition, TSA officials at airports are required to report to the center when an event occurs\u2014such as equipment malfunctions, weather-related events, or unusually high passenger throughput\u2014that affects airport screening operations and results in wait times that are greater than TSA\u2019s standards of 30 minutes in standard screening lanes or greater than 15 minutes in expedited screening lanes.", "If an airport is undergoing a period of prolonged wait times, we found that officials at the Airport Operations Center reported coordinating with the Regional Director and the FSD to assist in deploying resources. For example, over the course of the summer of 2016, after certain airports experienced long wait times in the spring of 2016 as confirmed by our analysis, the center assisted in deploying additional passenger screening canines and TSOs to those airports that experienced longer wait times. The center disseminates a morning and evening situational report to TSA airport-level officials and airport stakeholders summarizing nationwide wait times, highlighting wait times at the top airports and any hot spots (unexpected passenger volume or other operational challenges) that may have occurred since the most recent report was issued. In addition to the near real-time monitoring of 28 airports, the center also monitors operations at all other airports and disseminates information to airports and stakeholders as needed.", "For our February 2018 report, to determine the extent to which TSA exceeded its wait time standards, we analyzed wait time data for the 28 airports monitored by the Airport Operations Center for the period of January 2015 through May 2017 for both standard and expedited screening. Our analysis showed that TSA met its wait time standard of less than 30 minutes in standard screening at the 28 airports 99.3 percent of the time for the period of January 2015 through May 2017. For expedited screening for the same time period at the same airports, we found that 100 percent of the time passengers were reported to have waited 19 minutes or less.", "Additionally, our analysis confirmed that the percentage of passengers in standard screening who waited over 30 minutes increased in 2016 during the months of March, April, and May as compared to 2015 at all 28 airports. Our analysis also confirmed that reported wait times increased in the spring of 2016 at selected airports, as mentioned in the news media. For example, in May 2016, approximately 22 percent of passengers at Chicago O\u2019Hare International airport and 26 percent of passengers at Chicago Midway International airport waited over 30 minutes in standard screening as opposed to zero percent for both airports in May 2015, which accounted for the longest wait times in the spring of 2016. These two airports were part of the 28 airports for which we analyzed wait time data for the period of January 2015 through May 2017."], "subsections": []}, {"section_title": "TSA Airport Officials Reported Using a Variety of Tools to Respond to Increases in Passenger Wait Times and Throughput", "paragraphs": ["In February 2018, we reported that FSDs and their staff at the airports we visited identified a variety of tools that they utilize to respond to increases in passenger wait times and/or throughput.", "TSOs from the National Deployment Force \u2014teams of additional TSOs\u2014are available for deployment to airports to support screening operations during major events and seasonal increases in passengers. For example, TSA officials at one airport we visited received National Deployment Force officers during busy holiday seasons and officials at another airport received officers during the increase in wait times in the spring and summer of 2016.", "TSA officials at selected airports used passenger screening canines to expedite the screening process and support screening operations during increased passenger throughput and wait time periods. For example, TSA officials at one airport we visited emphasized the importance of passenger screening canines as a useful tool to minimize wait times and meet passenger screening demands at times when throughput is high. Officials at another airport we visited relied on these canines in busy terminals during peak periods. According to officials at two of the airports we visited, the use of passenger screening canines helped them to reduce wait times due to increased passenger volumes in the spring and summer of 2016.", "TSA officials at selected airports also utilize part-time TSOs and overtime hours to accommodate increases in passenger throughput and wait times. For example, according to officials at all eight of the airports we visited, they used overtime during peak travel times, such as holiday travel seasons, and officials usually planned the use of overtime in advance. Additionally, TSA officials at four of the airports we visited told us they used part-time TSOs to help manage peak throughput times throughout the day.", "According to TSA officials at two of the airports we visited, they moved TSOs between checkpoints to accommodate increases in passenger throughput at certain checkpoints and to expedite screening operations. For example, TSA officials at one airport we visited have a team of TSOs that terminal managers can request on short notice. Officials at the other airport estimated that they move TSOs between terminals about 40 times per day.", "Chairman Katko, Ranking Member Watson Coleman and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact William Russell at (202) 512-8777 or russellw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this statement include Ellen Wolfe (Assistant Director), Joel Aldape, Brendan Kretzschmar, and Natalie Swabb. Key contributors for the previous report that this testimony is based on are listed in the product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-53", "url": "https://www.gao.gov/products/GAO-19-53", "title": "Defense Health Care: DOD Should Demonstrate How Its Plan to Transfer the Administration of Military Treatment Facilities Will Improve Efficiency", "published_date": "2018-10-30T00:00:00", "released_date": "2018-10-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2017, DOD provided health care to 9.4 million beneficiaries, including servicemembers, retirees, and their families at a cost of $43 billion. For more than a decade, partially in response to congressional mandates, DOD has worked to address inefficiencies in the Military Health System to control costs.", "To further achieve efficiencies, the NDAA for Fiscal Year 2017 required DOD to develop an implementation plan that addressed four elements related to transferring the administration of the MTFs to the DHA. DOD issued the plan in June 2018.", "The NDAA also included a provision for GAO to review the plan. GAO determined whether (1) DOD's plan included the statutory elements related to the transfer of administration of the MTFs to the DHA and (2) additional information would be useful to demonstrate that the plan will reduce or better manage duplication and improve efficiencies. GAO assessed DOD's plan against the required elements and, where appropriate, considered the extent to which the plan provided detailed information related to key change management practices identified in past GAO work."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) June 2018 plan addressed the four statutory elements for the transfer of the administration of the military treatment facilities (MTFs) from the military departments to the Defense Health Agency (DHA). Specifically, the plan provided information on (1) how the DHA will take administrative responsibility of the MTFs; (2) efforts to eliminate duplicative activities; (3) efforts to maximize efficiencies in the DHA's activities; and (4) reductions of headquarters-level military, civilian, and contractor personnel. DOD dedicated most of the plan to describing the governance structure of the proposed administrative framework and to describing the timeline for a phased transfer of the approximately 457 MTFs to the DHA by October 1, 2021. Initially, DOD was to transfer responsibility for the administration of the MTFs to the DHA by October 1, 2018. However, Congress in the National Defense Authorization Act (NDAA) for Fiscal Year 2019 amended the law to allow, among other things, DOD to complete the transfer by September 30, 2021.", "DOD has taken key steps in its June 2018 plan to improve the effectiveness and efficiency of the administration of MTFs. However, DOD's plan has two weaknesses that could be mitigated with additional information. Specifically,", "DOD excluded 16 operational readiness and installation-specific medical functions from consideration for transfer to the DHA. DOD did not define or analyze the potential effect of excluding these functions, which include dental care, substance abuse, and occupational health. Senior officials from the DHA and the Assistant Secretary of Defense for Health Affairs acknowledged that transferring the dental care function, for example, from the military departments to the DHA could potentially reduce duplicative activities.", "DOD's plans to achieve the stated goal of reducing headquarters-level personnel, including contractor personnel, by 10 percent are unclear. In its June 2018 plan, DOD states that the DHA will experience personnel growth during each phase of the transition, but that it expects to reduce headquarters-level personnel by 10 percent by 2021. However, the plan does not provide specific details about how DOD will achieve the established goal of reducing headquarters-level personnel by 10 percent while the DHA experiences personnel growth. Further, the plan does not address whether and how contractor personnel factor into the reduction. This lack of clarity exists because DOD has not validated headquarters-level personnel requirements or conducted a comprehensive review to identify the least costly mix of military, civilian, and contractor personnel to meet the validated requirements.", "Until DOD takes action to resolve these two weaknesses, DOD will likely not be well positioned to reduce or better manage duplication and improve efficiencies, including reducing headquarters-level personnel across the Military Health System. Furthermore, Congress will lack important information to determine the extent to which the transfer of the administration of the MTFs to the DHA is being planned and implemented effectively and efficiently."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD define and analyze the 16 operational readiness and installation-specific medical functions for duplication, validate headquarters-level personnel requirements, and identify the least costly mix of personnel. DOD concurred with all three recommendations and noted actions it was taking to address each one."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the Department of Defense\u2019s (DOD) Military Health System provided health care to 9.4 million beneficiaries including servicemembers, retirees, and their family members at a cost of $43 billion. For more than a decade, DOD has worked to address congressional concerns about governance-related inefficiencies in the Military Health System, in part by responding to a number of congressional mandates. For example, in September 2013, DOD established the Defense Health Agency (DHA) to create a more integrated Military Health System and achieve cost savings at headquarters-level organizations by, among other things, streamlining the administrative support for the military departments\u2019 respective medical programs. The DHA also assumed the administrative responsibility for managing military treatment facilities (MTFs) in the National Capital Region\u2014specifically, the Walter Reed National Military Medical Center and the Fort Belvoir Community Hospital. According to National Capital Region Medical Directorate information, the DHA exercises authority, direction, and control over approximately 6 MTFs in the National Capital Region. MTFs, which include military hospitals, ambulatory care clinics, and dental clinics, are part of the direct care system. According to DOD, these MTFs total approximately 679. The direct care system represents health care facilities and medical support organizations owned by DOD and managed by the military departments\u2019 respective Surgeons General.", "Section 702 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 amended Chapter 55 of title 10, United States Code, to include a new section entitled \u201c1073c Administration of Defense Health Agency and military medical treatment facilities,\u201d which describes how the DHA will take administrative responsibility of the MTFs. According to that section, the Director of the DHA shall be responsible for the administration of each MTF, including with respect to budgetary matters; information technology; and health care administration and management, among other things.", "Section 702 of the NDAA for Fiscal Year 2017 required that the Secretary of Defense develop a plan that includes four elements, such as how the Secretary will carry out subsection (a) of section 1073c of title 10 of the United States Code and efforts to eliminate duplicative activities, among others. DOD provided three interim reports to Congress in response to section 702. The first two interim reports, dated March 31, 2017, and June 30, 2017, were DOD\u2019s preliminary draft of the plan. In these reports, DOD discussed its intent to use the \u201ccomponent model\u201d as the administrative framework. Under the component model, the Director of the DHA would administer each MTF through military department-led intermediary component commands and military department-led MTFs. Congress, in the Conference report accompanying the NDAA for Fiscal Year 2018 that was issued in November 2017, raised concern about the component model. The third interim report, which DOD provided to Congress March 30, 2018, did not include the component model as DOD\u2019s administrative framework, but provided details on a new proposed framework to transition MTF administration and management to the DHA. According to the third interim report, DOD decided after deeper analysis and discussions with Congress that the component model did not adequately satisfy the requirements of subsection (a) of section 1073c. DOD submitted its final plan (hereinafter referred to as the plan) to Congress on June 28, 2018. Figure 1 provides a timeline of DOD\u2019s efforts in response to section 702.", "Section 702 also includes a provision for us to review the plan by September 1, 2018. In this report, we determined whether (1) DOD\u2019s plan included the statutory elements related to the transfer of the administration of the MTFs to the DHA and (2) additional information would be useful to demonstrate that the plan will reduce or better manage duplication and improve efficiencies.", "For objective one, we determined whether DOD\u2019s plan included the four elements set forth in the statute. Two analysts independently conducted this assessment and reconciled any differences to reach a consensus on the overall assessment. For objective two, where appropriate, we also considered the extent to which the plan provided detailed information related to key change management practices identified in our prior work, which could help ensure that DOD effectively and efficiently achieves its goals. We also reviewed key planning documents identified by DOD in developing the plan and other relevant documents, such as the Under Secretary of Defense for Personnel and Readiness memorandums related to section 702 and concepts of operations from the Assistant Secretary of Defense for Health Affairs; the DHA; and the Army, the Navy, and the Air Force departments.", "For both objectives, we corroborated our understanding of the plan by conducting interviews with officials from the Office of the Under Secretary of Defense for Personnel and Readiness; the Office of the Assistant Secretary of Defense for Health Affairs; the DHA; the Health Care Management Reform Team (one of the reform teams created in 2017 by the DOD to address improved mission effectiveness and efficiencies in DOD); the Office of Cost Assessment and Program Evaluation; the Army Medical Command, Office of the Surgeon General and the Office of the Assistant Secretary of the Army Manpower and Reserve Affairs; the Navy Bureau of Medicine and Surgery; the Air Force Medical Service; and the Joint Staff Surgeon.", "We conducted this performance audit from March 2018 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of Military Health System Reforms", "paragraphs": ["For over a decade, Congress and DOD have led a series of efforts to address the governance structure of the Military Health System, including recommending and implementing significant organizational realignments. DOD undertook a significant organizational realignment effort in June 2011, creating an internal task force to review the governance of the Military Health System and subsequently identified as priorities cost containment, greater integration, and increased unity of effort. In March 2012, DOD submitted a report to Congress that, among other things, proposed creating the DHA to achieve cost savings at headquarters- and administrative-level organizations, TRICARE, the headquarters of military departments\u2019 medical commands and agencies, and other management organizations within the Military Health System that do not directly provide health care services. DOD established the DHA in September 2013 to provide administrative support for the military departments\u2019 respective medical programs by adopting common clinical and business processes, combining common shared services, and coordinating the work of the military departments\u2019 respective MTFs and care purchased from the private sector. The DHA also assumed the administrative responsibility for managing the MTFs in the National Capital Region.", "The NDAA for Fiscal Year 2013 required that DOD create a detailed plan for carrying out its health care system reform to include the goals of the reform and performance measures to achieve them; the personnel levels required for the DHA and the National Capital Region Medical Directorate; and specific information on the shared services, among other things. In 2015, we reported on DOD\u2019s establishment of the DHA and made five recommendations, and DOD concurred or partially concurred with all of these recommendations. DOD has implemented two of the five recommendations by completing some baseline personnel assessments of the DHA workforce and reporting the number and cost of administrative headquarters personnel within the Military Health System in DOD\u2019s fiscal year 2018 Defense Health Program budget estimates. Of the three open recommendations, two relate directly to assessing personnel requirements within the DHA. As of January 2018, these recommendations have not been fully addressed and remain open because DOD has not established processes and procedures to create an overall personnel management process for the DHA.", "In December 2016, Congress expanded the role of the DHA by directing the transfer of responsibility for the administration of each MTF from the military departments to the DHA. Pursuant to section 1073c(a) of title 10, United States Code, the Director of the DHA shall be responsible for the administration of each MTF, including with respect to budgetary matters, information technology, health care administration and management, administrative policy and procedure, military medical construction, and any other matters the Secretary of Defense determines appropriate. Section 702 of the NDAA for Fiscal Year 2017 required that the Secretary of Defense develop a plan to implement section 1073c of title 10, United States Code, that includes the following four elements: A. how the Secretary will carry out subsection (a) of section 1073c of title 10 of the United States Code; B. efforts to eliminate duplicative activities carried out by the elements of the DHA and military departments; C. efforts to maximize efficiencies in the activities carried out by the DHA; and D. how the Secretary will implement section 1073c in a manner that reduces the number of members of the armed forces, civilian employees who are full-time equivalent employees, and contractors relating to the headquarters activities of the Military Health System, as of the date of the enactment of the act.", "Section 702 of the NDAA for Fiscal Year 2017 also included a provision for us to review DOD\u2019s interim and final reports on the implementation plan. In our review of DOD\u2019s plan in September 2017, we noted that DOD had selected the component model\u2014in which the Director of the DHA would administer each MTF through military department-led intermediary component commands and military department-led MTFs\u2014 as the administrative model DOD would use to meet the requirements specified in section 702. Congress, in the Conference report accompanying the NDAA for Fiscal Year 2018 that was issued in November 2017, raised concern about DOD\u2019s lack of progress on the development of the plan and about the component model. Specifically, Congress noted that the component model was an attempt to maintain current stove-piped organizational constructs that risk continued inefficiencies in the Military Health System command and governance structure. In the third interim report, DOD found that the component model would not be adequate to satisfy statutory requirements and subsequently changed from the component model to a new administrative framework."], "subsections": []}, {"section_title": "Amendments from the NDAA for Fiscal Year 2019", "paragraphs": ["The NDAA for Fiscal Year 2019 amended section 1073c of title 10, United States Code. The NDAA for Fiscal Year 2019, among other things, provided additional authorities to the Director of the DHA, such as the authority to determine total workforce requirements at each MTF and established within the DHA two subordinate organizations\u2014one for research and development, and one for public health. Additionally, the NDAA for Fiscal Year 2019 extended the date for the transfer of the administration of the MTFs to the DHA from the original deadline of October 1, 2018, to September 30, 2021. Section 1073c of title 10, United States Code, including these amendments, is reproduced in appendix I."], "subsections": []}, {"section_title": "Roles and Responsibilities of Key DOD Entities in the Military Health System", "paragraphs": ["Currently, the Under Secretary of Defense for Personnel and Readiness, the Assistant Secretary of Defense for Health Affairs, the DHA, and the military departments have various responsibilities for the oversight and management of the Military Health System:", "The Under Secretary of Defense for Personnel and Readiness is the principal staff assistant and advisor to the Secretary and Deputy Secretary of Defense for health affairs and, in that capacity, develops policies, plans, and programs for health and medical affairs.", "The Assistant Secretary of Defense for Health Affairs has the primary responsibility for the Military Health System and serves as the principal advisor to the Under Secretary of Defense for Personnel and Readiness for all DOD health policies, programs, and activities. The Assistant Secretary of Defense for Health Affairs also has the authority to develop policies; conduct analyses; issue guidance; provide advice and make recommendations to the Secretary of Defense, the Under Secretary of Defense for Personnel and Readiness, and others; and provide oversight to the DOD components on matters pertaining to the Military Health System. Further, the Assistant Secretary of Defense for Health Affairs prepares and submits a DOD Unified Medical Program budget to provide resources for the Military Health System.", "The Director of the DHA, in addition to carrying out the responsibilities outlined above, manages the execution of policy developed by the Assistant Secretary of Defense for Health Affairs.", "The Secretaries of the military departments coordinate with the Assistant Secretary of Defense for Health Affairs to develop certain Military Health System policies, standards, and procedures and provide military personnel and other authorized resources to support the activities of the DHA, among other things. The Surgeon General of each military department serves as the principal advisor to the Secretary of the military department concerned on all health and medical matters of the military department."], "subsections": []}]}, {"section_title": "DOD Addressed the Statutory Elements for the Transfer of the Administration of the MTFs to the DHA", "paragraphs": ["DOD addressed each of the four statutory elements in its June 2018 plan. DOD dedicated most of the plan to describing the governance structure of DOD\u2019s new administrative framework and to describing the schedule for the phased transfer of the administration of approximately 457 MTFs to the DHA by October 1, 2021. DOD\u2019s plan provided less detail on addressing efforts to eliminate duplicative activities; maximizing efficiency; and reducing the number of headquarters-level military, civilian, and contractor personnel. The following provides a summary of what DOD\u2019s plan included for each of the four elements in the statute: Information on efforts to transfer the administration of the MTFs to the DHA. In its plan, DOD described the transfer of the MTFs to the DHA, including budgetary matters, information technology, health care administration and management, administrative policy and procedure, military medical construction, and all other MTF operations. DOD dedicated most of the plan to describing the (1) new governance structure of the proposed administrative framework model and (2) timeline for the phased transfer of the administration of the 457 MTFs from the military departments\u2019 respective medical commands to the DHA. For example, DOD states that Military Health System governance will shift its focus from consensus-driven bodies that address both policy and management issues to a smaller, streamlined set of oversight councils that focus on high-level, Military Health System-wide policy and budgetary matters. According to the plan, the Assistant Secretary of Defense for Health Affairs will resolve matters that involve both the military departments and the DHA. DOD also stated that the DHA plans to establish six intermediate management organizations (two for each region) to assist with the administration and management of the MTFs, which are broken out as follows: an East Region, a West Region, and outside the United States. Further, DOD stated that the DHA had established an Assistant Director position for Health Care Administration, as well as four Deputy Assistant Director positions for Information Operations, Financial Operations, Health Care Operations, and Medical Affairs.", "Regarding the timeline for the phased transfer, beginning no later than October 1, 2018, DOD will transfer 5 of its approximately 679 MTFs to the DHA for the first phase of the transition. MTFs transferring to the DHA for the first phase include the Womack Army Medical Center, Fort Bragg; the Naval Hospital Jacksonville; Force 81st Medical Group, Keesler Air Force Base; 4th Medical Group, Seymour Johnson Air Force Base; and 628th Medical Group, Joint Base Charleston. In the second phase of the transition, which will begin no later than October 1, 2019, DOD will transfer 244 MTFs from the East Region to the DHA. The third phase will begin no later than October 1, 2020, and will include 134 MTFs from the West Region. The fourth phase will include 79 MTFs outside the United States and begin no later than October 1, 2021. DOD also provided DHA organizational charts for each of the four phases.", "Information on efforts to eliminate duplicative activities carried out by the DHA and the military departments. In its plan, DOD noted that it is undertaking an analysis of the functions that will be performed at DHA headquarters and at the military departments\u2019 respective medical department headquarters. In the plan, DOD provided three figures listing the functions, functional responsibilities, and functional requirements that will be carried out by the DHA, the DHA intermediate management organizations, and the military departments\u2019 medical department headquarters. Specifically, the functions listed included those functions that should be with the DHA intermediate management organizations, such as Emergency Planning and Preparation, and those functions that should be with the military departments\u2019 medical department intermediate commands or headquarters, such as Quality and Safety for Healthcare in the Operational Setting. The three figures primarily focused on functions to be performed during the first phase of the transition.", "Information on efforts to maximize efficiencies in the activities carried out by the DHA. In its plan, DOD included information about its three principle efforts currently underway to address efficiencies. Specifically, DOD describes its broader efforts to streamline clinical and business processes across the Military Health System and links some of these broader initiatives to section 702. According to the plan, efforts such as the use of centralized contract support functions and common purchasing, among others, are made possible because of the transfer of the administration of the MTFs to the DHA. Specific to the transfer of MTFs to the DHA as required by section 1073c of title 10 of the United States Code, DOD\u2019s plan stated that the DHA is developing, publishing, and implementing procedural instructions to help administer and manage the MTFs. The plan also states that each MTF transferring to the DHA will establish a performance plan\u2014referred to as a quadruple aim performance plan\u2014to monitor performance. According to the plan, Military Health System leadership adopted the quadruple aim performance plan to monitor MTF performance, which they believe will improve performance and contribute to better outcomes and increased efficiencies. The plan states that the performance of all MTFs in the Military Health System will be monitored using the Military Health System quadruple aim performance plan measures beginning October 1, 2018.", "Information on reducing headquarters-level military, civilian, and contractor personnel within the Military Health System. In its plan, DOD noted that it has already programmed a 25-percent reduction in personnel positions aligned to medical headquarters across the enterprise. Specific to the transfer of MTFs to the DHA as required by section 1073c of title 10 of the United States Code, DOD states that the DHA will experience personnel growth during each subsequent phase of the transition in order to undertake its new responsibilities. Additionally, the plan states that DOD expects at least a 10-percent reduction (approximately 695 positions from the current baseline) in headquarters military and civilian personnel by the end of the transition. However, the plan does not provide specific details about how it will achieve the 10-percent reduction while the DHA experiences personnel growth during each phase. The plan includes a figure depicting military and civilian full-time equivalent positions for the current baseline of the DHA and the military departments\u2019 respective medical department headquarters and intermediate commands. Contractors are also mentioned in the plan at a high level, but without specific data. Additionally, DOD continues to take steps to evaluate personnel requirements. Specifically, according to two June 2018 Under Secretary of Defense for Personnel and Readiness memorandums, DOD is conducting a review and validation of headquarters-level personnel requirements, which we discuss in more depth later in this report."], "subsections": []}, {"section_title": "Additional Information Would Be Useful to Demonstrate How the Plan Will Reduce or Better Manage Duplication and Improve Efficiencies", "paragraphs": ["DOD\u2019s June 2018 plan takes steps toward reducing duplication and improving effectiveness and efficiency, as previously discussed. However, the plan has two weaknesses that could be mitigated with additional information from DOD. Specifically, DOD cannot be reasonably assured that its plan will reduce or better manage duplication and improve efficiency since (1) certain functions are excluded from the transfer to the DHA and (2) it is unclear, based on the information in the plan and supporting planning documents, how implementation of the plan will result in the achievement of the stated goal of reducing headquarters-level personnel, including contractor personnel, by 10 percent."], "subsections": [{"section_title": "DOD Excluded Certain Functions from the Planned Transfer to the DHA That Could Reduce or Better Manage Duplication", "paragraphs": ["As part of its approach for addressing the requirements of section 702 of the NDAA for Fiscal Year 2017, DOD excluded 16 medical functions from the transfer to the DHA. In a February 2018 Under Secretary of Defense for Personnel and Readiness memorandum, these functions were identified as being related to operational readiness and installation- specific missions. That memorandum and another memorandum from the Under Secretary of Defense for Personnel Readiness dated May 2018 listed 16 functions that DOD identified as operational readiness and installation-specific medical functions and that would therefore be excluded from the planned transfer to the DHA (see table 1).", "DOD cannot be reasonably assured that its plans are reducing or better managing duplication because DOD has not defined the functions or analyzed the potential for the 16 functions to be transferred to the DHA. These functions are not defined in the February or May 2018 memorandums or DOD\u2019s plan. The two memorandums list only the functions and state that they are separate from MTF health care delivery services and MTF business operations. One of the memorandums explains that these functions are tied to organizing, training, and equipping personnel for operational readiness missions. These memorandums also do not explain the rationale used to determine that the 16 functions were different from the other MTF health care functions DOD plans to transfer to the DHA. Further, DOD did not provide any analysis or documentation regarding the decision to exclude these 16 functions in the supporting documentation that we reviewed, such as in the concepts of operations for the Assistant Secretary of Defense for Health Affairs, the DHA, the Army, the Navy, and the Air Force. According to senior-level officials from the Assistant Secretary of Defense for Health Affairs and the DHA, there was no formal analysis or documentation to support the decision.", "With respect to the exclusion of the transfer of the dental care function to the DHA, Assistant Secretary of Defense for Health Affairs and DHA senior-level officials stated that dental clinics serve only servicemembers, not retirees or family member beneficiaries. Therefore, dental care was considered to be an operational readiness function rather than a health care delivery function, according to these same officials. However, this statement is not completely in line with DOD information regarding overseas dental care and family member beneficiaries. According to DOD information regarding dental care overseas, family members of active- duty servicemembers can receive dental care from military dental clinics. As such, in some instances the delivery of dental care is not solely for ensuring the readiness of servicemembers. Further, senior-level officials from the Assistant Secretary of Defense for Health Affairs and the DHA acknowledged that transferring the dental care function from the military departments to the DHA could potentially reduce duplicative activities and result in more efficiencies. According to a senior-level DHA official, splitting health care and dental care results in two separate health care delivery organizations.", "Across the Military Health System there are approximately 247 (200 in the United States) dental clinics, which represent about a third of DOD\u2019s facilities within the direct care system when including dental clinics, military hospitals, and ambulatory care clinics (i.e., approximately 679 facilities in total). Moreover, senior-level officials from the Assistant Secretary of Defense for Health Affairs and the DHA stated that by transferring a function from the military departments to the DHA, DOD reduces the number of managers of a function from four (i.e., at the Army, the Navy, the Air Force, and the DHA) to only one at the DHA.", "In our prior work, we have reported that agencies can act to improve the efficiency of their programs by maximizing the level of services provided for a given level of resources, as well as improving programs\u2019 effectiveness in achieving their objectives. In particular, we have highlighted the need for agencies to define their mission, functions, activities, services, and processes when identifying fragmentation, overlap, and duplication among programs. Agencies should also assess how, if at all, the fragmented, overlapping, or duplicative functions are related and how they are being coordinated between agencies. Understanding this relationship will help inform decisions about whether and how to increase efficiency or reduce or better manage fragmentation, overlap, or duplication. Also, agencies should assess whether potential effects in areas such as program implementation, outcomes, and costs are positive or negative. Identifying the positive and negative effects of fragmentation, overlap, or duplication will help agencies determine whether or not actions to reduce or better manage the fragmentation, overlap, or duplication are economical and efficient.", "However, DOD has not fully determined whether opportunities exist to achieve additional savings due to the lack of analysis, including clear definitions, of the 16 functions that were excluded by DOD. According to senior-level officials from the Assistant Secretary of Defense for Health Affairs and the DHA, there are potential savings by transferring the 16 functions to the DHA, but these have not been adequately analyzed. Without defining and analyzing the 16 functions, DOD cannot assure decisionmakers that it has fully considered all opportunities for reducing or better managing duplication in its plan to transfer the administration of the MTFs to the DHA."], "subsections": []}, {"section_title": "DOD Has Not Demonstrated That Its Plan Will Lead to Reductions in Headquarters Personnel", "paragraphs": ["As previously discussed, DOD\u2019s plan identifies the functions that will transfer to the DHA. However, DOD\u2019s plan and supporting documents do not provide details on how DOD established the 10-percent reduction of headquarters-level military, civilian, and contractor personnel by 2021, when the administration of the 457 MTFs is to have been transferred to DHA. The plan also states that DHA personnel will grow during each subsequent phase of the transition. Further, information in other related supporting documentation indicates that headquarters-level personnel will increase rather than decrease to achieve the 10-percent reduction goal. Lastly, DOD did not include information in the plan or in its supporting documents concerning contractor personnel reductions.", "Officials from the Army, the Navy, the Air Force, the DHA, and the Office of Cost Assessment and Program Evaluation could not identify for us what office within DOD established the 10-percent reduction goal. Our review of key planning documents\u2014the concepts of operations for the Assistant Secretary of Defense for Health Affairs, the DHA, the Army, the Navy, and the Air Force\u2014found that these documents also did not provide details for the 10-percent reduction of headquarters personnel. Specifically, although these documents included some information regarding personnel reductions, they did not include specific details concerning the 10-percent reduction of headquarters personnel.", "DOD states in the plan that the DHA will experience incremental growth in staffing during each phase of the transition in order to undertake its new responsibilities, but does not explain how it will achieve its 10-percent reduction goal given the projected growth. Further, DOD does not provide any data in the plan about how much the DHA will grow during each phase. Senior-level officials from the offices of the Assistant Secretary of Defense for Health Affairs and the DHA stated that there were no explicit restrictions in section 702 of the NDAA for Fiscal Year 2017 that would prohibit the DHA from increasing its number of personnel. However, section 702 does require that the Secretary implement section 1073c in a manner that reduces the number of members of the armed forces; civilian employees who are full-time equivalent employees; and contractors relating to the headquarters activities of the military health system, which includes the DHA.", "Further, the projected growth described in DOD\u2019s plan is also consistent with a June 2018 DHA pre-decisional draft briefing concerning full-time equivalent positions based on current information provided by the military departments, which describes a transfer of personnel to the DHA from the military departments rather than a reduction in personnel. According to the briefing, full-time equivalents to support future DHA headquarters and intermediate management organizations would not lead to any reductions in personnel. On the contrary, the briefing states that full-time equivalents for military and civilian personnel would increase by 38 percent at the DHA and result in additional costs. A senior-level DHA official confirmed that the information in the briefing relates to a transfer of personnel from the military headquarters to the DHA for health care delivery, not a reduction in personnel that would result in no cost savings. The briefing also states that information related to current and future state full-time equivalent positions is misleading because contractor data, as well as other relevant personnel data, are not included.", "Regarding contractor data, DOD did not include any detailed information related to the reduction of contractor personnel in the plan. Specifically, information concerning contractor personnel reductions was not included in the figure or other parts of the section concerning headquarters-level personnel reductions. Overall, contractors are referenced only five times in the entire plan:", "Three of the references are simply repeating the language from the statutory requirement.", "Another reference reiterates that the DHA will assume management responsibilities for civilian and contractor personnel performing health care delivery functions and operations.", "The last reference from the section of the plan related to personnel reductions states that DOD is planning for headquarters personnel reductions, to include military, civilian, and contractor personnel.", "In reviewing the concepts of operations for the Assistant Secretary of Defense for Health Affairs, the DHA, the Army, the Navy, and the Air Force for details on contractor personnel, we found that most of these documents did not provide details regarding contractors. Four out of five of the aforementioned concepts of operations did not include information concerning contractors in the context of personnel reductions. Although the Assistant Secretary of Defense for Health Affairs\u2019 concept of operations does include information about contractors in the context of personnel reductions, the information does not provide further details about DOD\u2019s plans for this effort.", "According to DOD Directive 1100.4, Guidance for Manpower Management, it is DOD policy that personnel requirements are driven by workload and shall be established at the minimum levels necessary to accomplish mission and performance objectives. This directive states that personnel is a resource and that changes in personnel shall be preceded by changes to the programs, missions, and functions that require personnel resources. Additionally, the directive states that assigned missions shall be accomplished using the least costly mix of personnel (military, civilian, and contract) consistent with military requirements, among other considerations. The directive also states that military (active and reserve) and civilian manpower resources shall be programmed in accordance with validated personnel requirements, among others. Moreover, key change management practices concerning workforce reductions state that before implementing workforce reduction strategies, it is critical that agencies carefully consider how to strategically downsize the workforce and maintain the staff resources to carry out its mission. These same key change management practices also define \u201cefficiency\u201d as maintaining federal government services or outcomes using fewer resources (such as time and money) or improving or increasing the quality or quantity of services or outcomes while maintaining (or reducing) resources.", "However, DOD\u2019s ability to develop an analytically-based goal for personnel reductions associated with the transfer of administration to DHA, a plan to achieve that goal given that it is projecting growth in personnel, and how contractors factor into its plan has been limited for two reasons. First, DOD has not validated headquarters-level personnel requirements. Second, DOD has not conducted a comprehensive review\u2014a review that, per DOD\u2019s own guidance, would involve establishing at minimum levels the requirements necessary to accomplish mission and performance objectives and reflect the consideration of the least costly mix of personnel (i.e., military, civilian and contract) consistent with military requirements, among other considerations, to meet the validated requirements.", "Senior-level officials from the offices of the Assistant Secretary of Defense for Health Affairs and the DHA stated that information regarding contractor personnel reductions was not included in the plan because DOD probably did not have these data. These same officials said that it is difficult to obtain contractor personnel data. As we previously noted, DOD has faced challenges with understanding DHA headquarters personnel requirements and composition. In 2015, we reported on DOD\u2019s establishment of the DHA and on how, among other things, DOD could not determine DHA\u2019s effect on Military Health System administrative and headquarters personnel levels. We found that the DHA had not completed the personnel requirements assessment process or developed a baseline estimate of personnel in the Military Health System before the DHA was created. As discussed previously, we made five recommendations, with which DOD concurred or partially concurred. As of January 2018, DOD had not taken action to fully address three of these recommendations. Of the three recommendations that had not been fully addressed, two relate directly to DHA personnel requirements. Specifically, we recommended the following:", "To provide decision makers with appropriate and more complete information on the continuing implementation, management, and oversight of the DHA, the Secretary of Defense should direct the Assistant Secretary of Defense for Health Affairs to develop a comprehensive requirements assessment process that accounts for needed future skills through the consideration of potential organizational changes and helps ensure appropriate consideration of workforce composition through the determination of the final status of military personnel within the DHA.", "To provide decision makers with appropriate and more complete information on the continuing implementation, management, and oversight of the DHA, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to develop a plan for reassessing and revalidating personnel requirements as the missions and needs of the DHA evolve over time.", "Since the recommendations concerning DHA personnel requirements have not been fully addressed and DHA is in the middle of a significant organizational change, it would be timely for DOD to validate headquarters-level personnel requirements and conduct a comprehensive review to determine the appropriate mix of personnel. This validation and comprehensive review should occur prior to transferring authority, direction, and control of the MTFs to the DHA for the third phase, which, as previously noted, is scheduled to begin no later than October 1, 2020.", "In June 2018, DOD directed a review and validation of headquarters-level personnel requirements. The Under Secretary of Defense for Personnel and Readiness issued two memorandums concerning the review of headquarters-level personnel requirements. The June 7, 2018, memorandum directs the establishment of cross-service manpower teams to conduct a baseline review of DHA headquarters\u2019 current and future personnel requirements. Similarly, the June 15, 2018, memorandum directs the establishment of a working group to determine the appropriate manning of all above MTF-level medical activities in the military departments. This memorandum also requires the working group to review and validate the results of the cross-services manpower teams\u2019 assessment of DHA headquarters activities, among other requirements.", "Officials with the Office of the Under Secretary of Defense for Personnel and Readiness involved in these efforts said that the goal of the current review is to identify the DHA\u2019s current and future baseline personnel requirements. However, according to these same officials, the review will not (1) validate personnel requirements because of time constraints, (2) identify potential personnel reductions, or (3) consider workforce composition. These officials also clarified that a comprehensive personnel requirements study would take a considerable amount of time and would generate more technical estimates of the work being performed. They said such a study would review major functions and subfunctions, as well as get down to the task level and analyze work processes, which would allow for making process improvement suggestions.", "In September 2018, the Office of the Under Secretary of Defense for Personnel and Readiness issued the report on DHA\u2019s personnel requirements. The report stated that DHA personnel requirements would increase to support an expanded mission and included several recommendations one of which was to conduct a military essentiality review of DHA positions and functions. According to officials with the Office of the Under Secretary of Defense for Personnel and Readiness, each military department provided headquarters personnel data, which will be reviewed as part of the upcoming Program Budget Review cycle.", "Until DOD validates headquarters-level personnel requirements and conducts a comprehensive review that considers the least costly mix of personnel, DOD may not be able to achieve its goal of reducing headquarters-level personnel by 10 percent while maintaining the efficient and effective provision of healthcare services. Furthermore, Congress will lack important information to determine the extent to which the transfer of the administration of the MTFs to the DHA is being planned and implemented effectively and efficiently."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Congress required DOD to provide a plan to transfer the administration of the MTFs from the military departments to the DHA. DOD provided a final implementation plan, which made significant changes to the administrative approach described in two of DOD\u2019s initial interim plans. In its final plan, DOD addressed all of the elements of the statute. However, the plan did not provide details to demonstrate how DOD will reduce duplicative activities or headquarters-level personnel. Without defining and analyzing the 16 functions currently excluded from transfer to the DHA, validating headquarters-level personnel requirements, and conducting a comprehensive review to determine, per DOD guidance, the least costly mix of personnel, DOD and congressional decisionmakers are not positioned to know how, whether, and to what extent undertaking this significant reform effort will improve effectiveness and efficiency in the administration of the MTFs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the DOD: The Secretary of Defense should ensure that the Assistant Secretary of Defense for Health Affairs, in coordination with Director of the DHA and the Surgeons General of the military departments, define and analyze the 16 operational readiness and installation-specific medical functions currently excluded from transfer to the DHA to determine whether opportunities exist to reduce or better manage duplicative functions and improve efficiencies in the administration of the MTFs. (Recommendation 1)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Health Affairs, in coordination with DHA Assistant Director for Health Care Administration and the Secretaries of the military departments, validate headquarters-level personnel requirements to determine that they are established at the minimum levels necessary\u2014 per DOD guidance\u2014to accomplish missions and achieve objectives before transferring authority, direction, and control of the MTFs to the DHA for the third phase. (Recommendation 2)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Health Affairs, in coordination with DHA Assistant Director for Health Care Administration and the Secretaries of the military departments, conduct a comprehensive review to identify the least costly mix\u2014per DOD guidance\u2014of military, civilian, and contractors needed to meet validated requirements\u2014that is, to perform the functions identified at the DHA headquarters and intermediate management organizations and at the military departments\u2019 headquarters and intermediate commands. Additionally, this comprehensive review should be completed before transferring authority, direction, and control of the MTFs to the DHA for the third phase. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In written comments reproduced in appendix II, DOD concurred with all three recommendations and noted the actions it was taking to address each recommendation.", "In response to our third recommendation, DOD noted that it has completed an extensive review of manpower requirements for the management structure of the DHA. The September 2018 report by the Office of the Under Secretary of Defense for Personnel and Readiness is a first step toward addressing our recommendation. The report provided initial information concerning DHA\u2019s personnel requirements. As we noted in our report, however, DOD needs to identify the least costly mix\u2014per DOD guidance\u2014of military, civilian, and contractors once it has validated requirements for DHA.", "As an additional comment, DOD noted that since our draft report was provided for comment it has refined the estimated projected growth in full- time equivalents for military and civilian personnel at the DHA from 38 percent to 14 percent. In its comments, DOD stated that it continues to believe that it will achieve a 10 percent reduction. However, as we stated in this report, DOD has not demonstrated the extent to which its plan to transfer the MTFs to the DHA will lead to reductions in headquarters-level personnel.", "We are sending copies of this report to the appropriate congressional committees. We are also sending copies to the Secretary of Defense; the Under Secretary of Defense for Personnel and Readiness; the Assistant Secretary of Defense for Health Affairs; the Director, Cost Assessment and Program Evaluation; the Director, Defense Health Agency; the Surgeon General of the Army; the Surgeon General of the Navy; and the Surgeon General of the Air Force.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Section 1073c of Title 10, United States Code", "paragraphs": ["The National Defense Authorization Act (NDAA) for Fiscal Year 2017 amended Chapter 55 of title 10, United States Code to include a new section: \u00a7 1073c Administration of Defense Health Agency and military medical treatment facilities. Section 1073c of title 10, United States Code, as amended by Pub. L. No. 115-91, \u00a7\u00a7 713, 1081 (2017), and Pub. L. No. 115-232, \u00a7 711 (2018) reads as follows: \u00a7 1073c. Administration of Defense Health Agency and military medical treatment facilities (a) Administration of military medical treatment facilities. (1) In accordance with paragraph (4), by not later than September 30, 2021, the Director of the Defense Health Agency shall be responsible for the administration of each military medical treatment facility, including with respect to-- (A) budgetary matters; (B) information technology; (C) health care administration and management; (D) administrative policy and procedure; (E) military medical construction; and (F) any other matters the Secretary of Defense determines appropriate. (2) In addition to the responsibilities set forth in paragraph (1), the Director of the Defense Health Agency shall, commencing when the Director begins to exercise responsibilities under that paragraph, have the authority\u2014 (A) to direct, control, and serve as the primary rater of the performance of commanders or directors of military medical treatment facilities; (B) to direct and control any intermediary organizations between the Defense Health Agency and military medical treatment facilities; (C) to determine the scope of medical care provided at each military medical treatment facility to meet the military personnel readiness requirements of the senior military operational commander of the military installation; (D) to determine total workforce requirements at each military (E) to direct joint manning at military medical treatment facilities and intermediary organizations; (F) to address personnel staffing shortages at military medical (G) to select among service nominations for commanders or directors of military medical treatment facilities. (3) The military commander or director of each military medical treatment facility shall be responsible for-- (A) ensuring the readiness of the members of the armed forces and civilian employees at such facility; and (B) furnishing the health care and medical treatment provided at such facility. (4) The Secretary of Defense shall establish a timeline to ensure that each Secretary of a military department transitions the administration of military medical treatment facilities from such Secretary to the Director of the Defense Health Agency pursuant to paragraph (1) by the date specified in such paragraph. (5) The Secretary of Defense shall establish within the Defense Health Agency a professional staff to provide policy, oversight, and direction to carry out paragraphs (1) and (2). The Secretary shall carry out this paragraph by appointing the positions specified in subsections (b) and (c). (b) DHA Assistant Director. (1) There is in the Defense Health Agency an Assistant Director for Health Care Administration. The Assistant Director shall-- (A) be a career appointee within the Department; and (B) report directly to the Director of the Defense Health Agency. (2) The Assistant Director shall be appointed from among individuals who have equivalent education and experience as a chief executive officer leading a large, civilian health care system. (3) The Assistant Director shall be responsible for the following: (A) Establishing priorities for health care administration and management. (B) Establishing policies, procedures, and direction for the provision of direct care at military medical treatment facilities. (C) Establishing priorities for budgeting matters with respect to the provision of direct care at military medical treatment facilities. (D) Establishing policies, procedures, and direction for clinic management and operations at military medical treatment facilities. (E) Establishing priorities and between the military medical treatment facilities. (c) DHA Deputy Assistant Directors. (1) (A) There is in the Defense Health Agency a Deputy Assistant Director for Information Operations. (B) The Deputy Assistant Director for Information Operations shall be responsible for policies, management, and execution of information technology operations at and between the military medical treatment facilities. (2) (A) There is in the Defense Health Agency a Deputy Assistant Director for Financial Operations. (B) The Deputy Assistant Director for Financial Operations shall be responsible for the policy, procedures, and direction of budgeting matters and financial management with respect to the provision of direct care across the military health system. (3) (A) There is in the Defense Health Agency a Deputy Assistant Director for Health Care Operations. (B) The Deputy Assistant Director for Health Care Operations shall be responsible for the policy, procedures, and direction of health care administration in the military medical treatment facilities. (4) (A) There is in the Defense Health Agency a Deputy Assistant Director for Medical Affairs. (B) The Deputy Assistant Director for Medical Affairs shall be responsible for policy, procedures, and direction of clinical quality and process improvement, patient safety, infection control, graduate medical education, clinical integration, utilization review, risk management, patient experience, and civilian physician recruiting. (5) Each Deputy Assistant Director appointed under paragraphs (1) through (4) shall report directly to the Assistant Director for Health Care Administration. (d) Certain responsibilities of DHA Director. (1) In addition to the other duties of the Director of the Defense Health Agency, the Director shall coordinate with the Joint Staff Surgeon to ensure that the Director most effectively carries out the responsibilities of the Defense Health Agency as a combat support agency under section 193 of this title. (2) The responsibilities of the Director shall include the following: (A) Ensuring that the Defense Health Agency meets the the the commanders of operational needs of combatant commands. (B) Coordinating with the military departments to ensure that the staffing at the military medical treatment facilities supports readiness requirements for members of the armed forces and health care personnel. (C) Ensuring that the Defense Health Agency meets the military medical readiness requirements of the senior military operational commanders of the military installations. (e) ADDITIONAL DHA ORGANIZATIONS.\u2014Not later than September 30, 2022, the Secretary of Defense shall, acting though the Director of the Defense Health Agency, establish within the Defense Health Agency the following: (1) A subordinate organization, to be called the Defense Health (A) led, at the election of the Director, by a director or commander (to be called the Director or Commander of Defense Health Agency Research and Development); (B) comprised of the Army Medical Research and Materiel Command and such other medical research organizations and activities of the armed forces as the Secretary considers appropriate; and (C) responsible for coordinating funding for Defense Health Program Research, Development, Test, and Evaluation, the Congressionally Directed Medical Research Program, and related Department of Defense medical research. (2) A subordinate organization, to be called the Defense Health (A) led, at the election of the Director, by a director or commander (to be called the Director or Commander of Defense Health Agency Public Health); and (B) comprised of the Army Public Health Command, the Navy\u2013Marine Corps Public Health Command, Air Force public health programs, and any other related defense health activities that the Secretary considers appropriate, including overseas laboratories focused on preventive medicine, environmental health, and similar matters. (f) Definitions. In this section: (1) The term \"career appointee\" has the meaning given that term in section 3132(a)(4) of title 5. (2) The term \"Defense Health Agency\" means the Defense Agency established pursuant to Department of Defense Directive 5136.13, or such successor Defense Agency."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Lori Atkinson, Assistant Director; Alexandra Gonzalez; Rebecca Guerrero; Mae Jones; Mary Jo LaCasse; Kirsten Leikem; Steven Putansu; and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-163", "url": "https://www.gao.gov/products/GAO-18-163", "title": "Federal Student Loans: Actions Needed to Improve Oversight of Schools' Default Rates", "published_date": "2018-04-26T00:00:00", "released_date": "2018-04-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["As of September 2017, $149 billion of nearly $1.4 trillion in outstanding federal student loan debt was in default. GAO was asked to examine schools' strategies to prevent students from defaulting and Education's oversight of these efforts.", "This report examines (1) how schools work with borrowers to manage default rates and how these strategies affect borrowers and schools' accountability for defaults; and (2) the extent to which Education oversees the strategies schools and their default management consultants use to manage schools' default rates. GAO analyzed Education data on student loans that entered repayment from fiscal years 2009\u20132013, the most recent data at the time of this analysis; reviewed documentation from Education and a nongeneralizable sample of nine default management consultants selected based on the number of schools served (about 1,300 schools as of March 2017); reviewed relevant federal laws and regulations; and interviewed Education officials."]}, {"section_title": "What GAO Found", "paragraphs": ["According to federal law, schools may lose their ability to participate in federal student aid programs if a significant percentage of their borrowers default on their student loans within the first 3 years of repayment. To manage these 3-year default rates, some schools hired consultants that encouraged borrowers with past-due payments to put their loans in forbearance, an option that allows borrowers to temporarily postpone payments. While forbearance can help borrowers avoid default in the short-term, it increases their costs over time and reduces the usefulness of the 3-year default rate as a tool to hold schools accountable. At five of the nine selected default management consultants (that served about 800 of 1,300 schools), GAO identified examples when forbearance was encouraged over other potentially more beneficial options for helping borrowers avoid default, such as repayment plans that base monthly payments on income. Based on a review of consultants' communications, GAO found four of these consultants provided inaccurate or incomplete information to borrowers about their repayment options in some instances. A typical borrower with $30,000 in loans who spends the first 3 years of repayment in forbearance would pay an additional $6,742 in interest, a 17 percent increase. GAO's analysis of Department of Education (Education) data found that 68 percent of borrowers who began repaying their loans in 2013 had loans in forbearance for some portion of the first 3 years, including 20 percent that had loans in forbearance for 18 months or more (see figure). Borrowers in long-term forbearance defaulted more often in the fourth year of repayment, when schools are not accountable for defaults, suggesting it may have delayed\u2014not prevented\u2014default. Statutory changes to strengthen schools' accountability for defaults could help further protect borrowers and taxpayers.", "Education's ability to oversee the strategies that schools and their consultants use to manage their default rates is limited. Education's strategic plan calls for protecting borrowers from unfair and deceptive practices; however, Education states it does not have explicit statutory authority to require that the information schools or their consultants provide to borrowers after they leave school regarding loan repayment and postponement be accurate and complete. As a result, schools and consultants may not always provide accurate and complete information to borrowers. Further, Education does not report the number of schools sanctioned for high default rates, which limits transparency about the 3-year default rate's usefulness for Congress and the public."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider strengthening schools' accountability for student loan defaults and requiring that the information schools and consultants provide to borrowers about loan repayment and postponement options be accurate and complete. GAO recommends that Education increase transparency of reporting on default rate sanctions. Education agreed with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Over 42 million borrowers held nearly $1.4 trillion in federal student loans as of September 2017 through programs authorized under Title IV of the Higher Education Act of 1965, as amended. Of that amount, loans valued at $149 billion, or about 11 percent of the total, were in default, posing a financial risk to the federal government and taxpayers. The Department of Education (Education) can rescind a school\u2019s eligibility to participate in federal student aid programs if a certain percentage of their student loan borrowers default on their loans within a certain time period. Education calculates a cohort default rate (CDR)\u2014the percentage of borrowers who enter repayment in a given fiscal year who then default within a 3-year period\u2014for each school to hold them accountable for high default rates.", "The CDR, however, may have limitations as an oversight tool. News reports indicate that some schools and the consultants they hire to provide default management services may use strategies to prevent borrowers from defaulting during the CDR period that are not in borrowers\u2019 best interests. Specifically, these sources reported that schools and their consultants may counsel past-due borrowers to postpone their monthly payments by putting their loans in forbearance when other repayment options may be more favorable for some borrowers. Student loan experts have raised concerns that this strategy may harm borrowers and undermine the effectiveness of the CDR to hold schools accountable. You asked us to review this issue.", "For this report, we examined (1) how schools work with borrowers to manage schools\u2019 cohort default rates, and how these strategies affect borrowers and schools\u2019 accountability for defaults, and (2) the extent to which Education oversees the strategies schools and their default management consultants use to manage schools\u2019 cohort default rates and informs the public about its efforts to hold schools accountable.", "To determine how schools work with borrowers to manage their CDRs, we examined the practices of selected companies that schools contract with for this purpose. Specifically, we selected a nongeneralizable sample of nine default management consultants that served over 1,300 schools. These schools accounted for over 1.5 million borrowers in the 2013 CDR cohort. We reviewed documentation from these default management consultants on the schools they work with and the strategies they use to reduce borrower defaults. We interviewed management officials and employees responsible for contacting and working with borrowers at four of these companies. We also analyzed school-level data from Education\u2019s National Student Loan Data System (NSLDS), Education\u2019s central database for federal student aid information, for the five most recent CDR cohorts for which data are available, from cohort years 2009 to 2013, to analyze trends in loan postponement, repayment, and default. For the same CDR periods, we analyzed 3-year repayment rate data from Education\u2019s College Scorecard and CDRs from Education\u2019s CDR Database. We also compared the effect postponement of student loans has on the CDR by calculating an alternative metric. We assessed the reliability of the data we obtained from Education by reviewing documentation and testing the data we used in this report. We determined the data to be sufficiently reliable for the purposes of this report. We also interviewed representatives from higher education associations, the Consumer Financial Protection Bureau, a state attorney general\u2019s office, and consumer advocates. We reviewed relevant provisions in the Higher Education Act of 1965, as amended. In addition, we assessed the CDR against government standards for internal control for identifying and responding to risks and goals and objectives in the Office of Federal Student Aid\u2019s Fiscal Year 2015-2019 Strategic Plan.", "To determine the extent to which Education oversees the strategies schools and their default management consultants use to manage schools\u2019 CDRs and informs the public about its efforts to hold schools accountable, we reviewed relevant federal laws and regulations and Education\u2019s internal guidance and documentation on calculating, assessing, and overseeing CDRs. We interviewed Education officials responsible for oversight of student financial aid, including the CDR and default prevention. We assessed Education\u2019s oversight activities against goals and objectives in the Office of Federal Student Aid\u2019s Fiscal Year 2015-2019 Strategic Plan, government standards for internal control for communicating with stakeholders, and Office of Management and Budget guidelines for disseminating public information. More details on our scope and methodology are included in appendix I.", "We conducted this performance audit from May 2016 to April 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Direct Loan Program", "paragraphs": ["Education administers federal student financial aid programs, including the William D. Ford Federal Direct Loan (Direct Loan) program, through the Office of Federal Student Aid. Education issues several types of loans under the Direct Loan program, including subsidized and unsubsidized loans. Prospective borrowers apply and are approved for loans through Education, which then disburses the loan through the borrowers\u2019 school. Upon disbursement of funds, Education assigns each loan to a contracted loan servicer responsible for communicating information to borrowers while they are in school and when they enter repayment. Borrowers receive additional information about their loans and related rights and responsibilities through their loan\u2019s promissory note, Education\u2019s website, and mandatory entrance and exit counseling provided by their school. When borrowers enter repayment, generally 6 months after leaving school, they make payments directly to the assigned servicer."], "subsections": []}, {"section_title": "Federal Student Loan Repayment and Postponement Options", "paragraphs": ["Education offers a variety of repayment plan options that can help Direct Loan borrowers avoid delinquency and default, including Standard, Graduated, Extended, and Income-Driven. Income-Driven Repayment plans can ease repayment by setting loan payment amounts as a percentage of a borrower\u2019s income and extending the repayment period up to 25 years. Unlike Standard, Graduated, and Extended repayment plans, Income-Driven Repayment plans offer loan forgiveness at the end of the repayment term and monthly payments may be as low as $0 for some borrowers. Extending the repayment period may also result in some borrowers paying more interest over the life of the loan than they would under 10-year Standard repayment. In addition to making monthly payments more manageable and offering the potential for loan forgiveness, Income-Driven Repayment plans may also reduce the risk of default. For example, in 2015, we reported that borrowers in two such plans had substantially lower default rates than borrowers in the Standard repayment plan.", "Eligible borrowers may also temporarily postpone loan payments through deferment or forbearance. Several different types of deferment are currently available to borrowers, each with their own eligibility criteria. Under deferment, the interest generally does not accrue on subsidized loans, but it continues to accrue on unsubsidized loans. Eligible borrowers can also postpone or reduce loan payments through either a general or mandatory forbearance; however, interest on the loan continues to accrue in each type (see table 1). Most borrowers choose general forbearance, which, unlike most types of mandatory forbearance and deferment, can be issued over the phone with no supporting documentation. As of September 2017, $69.9 billion in outstanding Direct Loans was in general forbearance compared to $6.3 billion in mandatory forbearance, according to Education data."], "subsections": []}, {"section_title": "Cohort Default Rate Calculation", "paragraphs": ["Education computes CDRs each year for all schools that enroll students who receive funds through the Direct Loan program. To compute a school\u2019s CDR, Education divides the number of student loan borrowers in a CDR cohort\u2014those entering repayment in the same fiscal year\u2014who have defaulted on their loans in the initial 3 years of repayment by the total number of a school\u2019s student loan borrowers in that CDR cohort (see fig. 1). The CDR does not hold schools accountable for borrowers who default after the 3-year period. Borrowers in deferment and forbearance are considered to be \u201cin repayment\u201d and current on their loans for the purpose of calculating a school\u2019s CDR, even though borrowers in these loan statuses are not expected to make any monthly payments.", "For the 2014 CDR cohort, the national 3-year CDR was 11.5 percent, meaning 11.5 percent of borrowers who first entered repayment in fiscal year 2014 had defaulted on one or more loans by the end of fiscal year 2016. The national CDR has changed over time, peaking at 22.4 percent for the 1990 CDR cohort and declining to a historic low of 4.5 percent for the 2003 CDR cohort (see fig. 2). Beginning with the 2009 CDR cohort, Education switched from a 2-year measurement to a 3-year measurement as required by the Higher Education Opportunity Act.", "According to Education officials, there are several possible explanations for the general decrease in the national CDR from the 1990 cohort to the 2003 cohort. They include: 1) Education\u2019s efforts to provide schools with default prevention training; 2) the loss of eligibility to participate in federal student aid programs and subsequent closure of many schools with chronically high CDRs in the early 1990s; 3) enactment of legislation in 1998 that increased the length of time a loan can go unpaid before being considered in default, which decreased the likelihood that a borrower would default within the CDR period; and 4) an increase in borrowers consolidating their loans while in school, an option that was eliminated in 2006."], "subsections": []}, {"section_title": "Use of the Cohort Default Rate to Hold Schools Accountable", "paragraphs": ["Schools with high CDRs may lose eligibility to participate in federal student aid programs. Specifically, Education generally excludes schools from participation in the Direct Loan program if their CDR is above 40 percent for a single year and from participation in the Direct Loan and Federal Pell Grant programs if their CDRs are 30 percent or greater for 3 consecutive years. Schools potentially subject to these sanctions can pursue an appeal. The CDR is the only borrower outcome measure used to determine eligibility for participation in federal student aid programs for all schools.", "Schools with high CDRs that do not cross these thresholds may also be subject to additional oversight. For example, schools are certified for up to 6 years to maintain eligibility to participate in federal student aid, but schools with high CDRs may only be granted certification for 2 years, according to Education policy. Education policy also prioritizes selection of schools with high CDRs for program review. Further, schools whose CDRs are equal to or exceed 30 percent for any cohort are required to create a Default Prevention Taskforce that develops and submits a default prevention plan to Education to reduce defaults, among other things."], "subsections": []}, {"section_title": "Consequences of Student Loan Defaults", "paragraphs": ["When borrowers do not make payments on their federal student loans, and the loans are in default, the federal government and taxpayers are left with the costs. Borrowers also face severe financial burdens when their federal student loans go into default. For example, upon default the entire unpaid balance of the loan and any accrued interest is immediately due. The amount owed may increase due to late fees, additional interest, and costs associated with the collection process, including court costs, collection fees, and attorney\u2019s fees. The federal government also has tools to collect on defaulted student loans. For example, under the Treasury Offset Program, the federal government can withhold certain federal or state payments to borrowers, including federal or state income tax refunds and some Social Security benefits, to collect on defaulted student loans. The federal government can generally also garnish up to 15 percent of a defaulted borrower\u2019s disposable pay and apply those funds toward the defaulted loan. There is no limit on how long the government can attempt to collect on defaulted student loans, and student loans are more difficult to eliminate in bankruptcy proceedings than other types of consumer debt."], "subsections": []}, {"section_title": "Default Management Consultants", "paragraphs": ["Some schools hire default management consultants to help them reduce their CDRs. Education classifies default management consultants as \u201cthird-party servicers\u201d and generally has the authority to oversee the services they provide to schools and their students. Schools are required to notify Education when they enter into, modify, or terminate a contract with a third-party servicer. Based on concerns that a significant number of schools had not reported information on the third-party servicers they use as required, Education issued guidance to remind schools of the requirement in January 2015. In addition, Education requires third-party servicers to submit information about the services they provide to schools. As of June 2017, Education reported that it had information on 187 third-party servicers, including 48 that reported providing default management services. Schools must ensure that their third-party servicers, including default management consultants, comply with relevant federal regulations and program requirements. Education also requires third-party servicers to submit an annual compliance audit report that covers the administration of the federal student aid related services they perform to determine compliance with applicable statutes, regulations, and policies."], "subsections": []}]}, {"section_title": "Some Schools\u2019 Consultants Encourage Borrowers to Postpone Loan Payments, Which Can Lower Cohort Default Rates and Increase Borrowers\u2019 Loan Costs Some Schools\u2019 Consultants Encourage Borrowers to Postpone Loan Payments When Better Borrower Options May be Available", "paragraphs": ["To help manage their default rates, some schools hired default management consultants that encouraged borrowers with past-due student loans to postpone loan payments through forbearance, even when better borrower options may be available. The nine default management consultants we selected, which served over 1,300 schools, used various methods to contact borrowers and attempted to connect them with their loan servicer for assistance (see fig. 3). Seven of the nine participated in three-way conference calls with the borrower and the loan servicer. Further, one consultant visited past-due borrowers at their home to provide in-person loan counseling and connect them to their loan servicer.", "Income-Driven Repayment Plans May Be Better Options for Some Struggling Borrowers According to Education, postponing payments through forbearance may be appropriate for some borrowers who face temporary hardships. On the other hand, Income-Driven Repayment plans may be a better option for borrowers who are having difficulty repaying their loans for an extended period of time. These plans base monthly payments on income and family size, and payments may be as low as $0 for those who qualify. Income- Driven Repayment plans also feature the potential for forgiveness of remaining loan balances after 20 or 25 years of repayment. Interest generally continues to accrue on loans in both forbearance and Income-Driven Repayment. Under forbearance, accumulated interest that is not paid during the forbearance period will generally be added to the loan balance, resulting in higher monthly payments when forbearance ends. In contrast, the federal government does not charge the unpaid interest for up to 3 years for some borrowers repaying their loans on Income- Driven Repayment plans, and struggling borrowers on these plans are not generally expected to make higher monthly payments until their financial situation improves. In addition, GAO\u2019s past work found that borrowers in Income-Driven Repayment had substantially lower rates of default than those in Standard repayment. GAO previously found that it is difficult for Education to estimate which borrowers have incomes low enough to benefit from or be eligible for Income-Driven Repayment plans because only borrowers who apply for these plans are required to submit income information to Education.", "Four consultants sent borrowers who were past due on their loans unsolicited emails and letters that included only a forbearance application and instructed borrowers to return the application to them instead of their loan servicer. Representatives of one consultant said that this practice was to ensure that borrowers completed the forms accurately. According to Education, the application provides an opportunity for borrowers to learn about other repayment and postponement options and the potential costs of forbearance. The application includes a statement informing borrowers about the option to request a deferment or Income-Driven Repayment plan and examples of the additional costs borrowers may incur as a result of interest that continues to accrue during forbearance. While this is correct, the application does not include details about these options; instead, it directs borrowers to Education\u2019s website for more information. Borrowers who only receive a forbearance application may inaccurately assume that forbearance is their only or preferred option. Moreover, borrowers may miss the opportunity to learn about other, potentially more favorable repayment and postponement options from Education\u2019s loan servicers, who are responsible for counseling borrowers and approving forbearance requests.", "One consultant included an inaccurate statement in letters it sent to borrowers who were past due on their loans. This consultant sent past-due borrowers forbearance applications with letters that inaccurately stated that the federal government can take away Supplemental Nutrition Assistance Program and Supplemental Security Income benefits when borrowers default on a federal student loan. Inaccurate information about the consequences of default could cause a borrower who depends on these benefits to feel undue pressure to choose forbearance, even when eligible for more favorable repayment and postponement options. Further, this consultant\u2019s script for its representatives to use when calling borrowers who are past due on their loans referred exclusively to postponing loan payments. The script instructed representatives to tell borrowers \u201cI am now going to conference you in with your loan servicer and they will process your forbearance over the phone.\u201d Borrowers who hear such statements may feel undue pressure to choose forbearance. The script also instructed representatives to tell the loan servicer that the borrower they were about to speak with was requesting a forbearance. Further, representatives from this consultant were also instructed to tell borrowers to \u201cstick to their guns\u201d on the option they have selected before connecting the borrower with their loan servicer on a three-way call.", "One consultant previously offered borrowers gift cards as an incentive to put their loans in forbearance. Education has also previously identified the use of gift cards to steer borrowers toward forbearance over other available options. An internal review that Education conducted in 2012 and 2013 found that a chain of schools used gift cards to promote forbearance for purposes of lowering its CDR. According to Education\u2019s findings, a borrower who had attended one of the schools stated that she was current in her payments but was offered a $25 gift card to apply for forbearance. Multiple borrowers included in Education\u2019s review expressed the view that they were pressured or forced to apply for forbearance and were not made aware of other options, such as deferment or Income-Driven Repayment plans. Indeed, offering gift cards may steer borrowers toward forbearance over other available options. While the consultant that offered gift cards to borrowers to lower schools\u2019 CDRs has discontinued this practice, and the school Education reviewed has since closed, these practices may have affected reported CDRs and could be used by other consultants and schools.", "Schools have a financial interest in preventing borrowers from defaulting within the first 3 years of repayment to ensure that their CDRs remain low enough to meet Education\u2019s requirements for participating in federal student aid programs. Consultants also have a financial interest in preventing borrowers from defaulting during the 3-year CDR period. Eight of the nine consultants we selected did not have any school clients that paid them to contact borrowers who were past due on their loans outside the 3-year CDR period. In addition, four of the nine selected consultants were paid by their client schools based on the number of past-due borrowers they brought current on their loans during the CDR period, and representatives\u2019 salaries or incentives at two of these consultants were calculated based on this as well.", "Some consultants have an incentive to encourage forbearance in particular as a strategy to prevent borrowers from defaulting within the 3- year CDR period in an effort to lower their client schools\u2019 CDRs. This is because forbearance applications can be processed more quickly than other repayment or postponement options. Loan servicers can grant general forbearance based on a request from borrowers over the phone because there are no documentation requirements, whereas borrowers seeking deferment or an Income-Driven Repayment plan generally must submit a written application. According to Education officials, loan servicers are required to process Income-Driven Repayment plan applications within 15 business days. One consultant sent borrowers a letter that stated it could process a verbal forbearance in 5 minutes. The president of one school that contracted with a consultant that is paid based on the number of borrowers brought current told us that he did not care whether the consultant encouraged the use of forbearance as long as borrowers did not default within the 3-year CDR period and the consultant followed federal regulations. According to Education data, nearly 90 percent of the school\u2019s borrowers were in forbearance during the 2013 CDR period. Consultant payment structures, as well as the difference in processing requirements between forbearance, deferment, and Income-Driven Repayment plans may create incentives for consultants to encourage forbearance over other repayment and postponement options."], "subsections": [{"section_title": "Postponing Loan Payments Can Increase Borrowers\u2019 Loan Costs and Reduce the Usefulness of the Cohort Default Rate to Hold Schools Accountable", "paragraphs": ["While forbearance can be a useful tool for helping borrowers avoid defaulting on their loans in the short term, it increases their costs over time and reduces the usefulness of the CDR to hold schools accountable. To understand the potential financial impact of forbearance during the first 3 years of repayment (the CDR period), we calculated the cost for a borrower with $30,000 in loan debt over 10 years in the Standard repayment plan with varying lengths of time in forbearance (see fig. 4).", "A borrower on the 10-year Standard repayment plan who did not spend any time in forbearance would pay $39,427 over the life of the loan. Spending all 3 years of the CDR period in forbearance would cost that borrower an additional $6,742, a 17 percent increase over spending no time in forbearance. One borrower we spoke with who took out $34,700 in loans and opted for forbearance accrued about $10,000 in interest in just over 3 years, an amount that the borrower said she would be paying off \u201cfor the rest of my days.\u201d Further, the unpaid interest that accrues while a borrower\u2019s loans are in forbearance may result in higher future monthly payments when the forbearance period ends. Borrowers who cannot make these higher monthly payments may eventually default. If schools\u2019 consultants continue to encourage forbearance over other options that may be more beneficial, such as Income-Driven Repayment plans, some borrowers will continue to be at risk of incurring additional costs without any long-term benefits.", "Education officials and student loan experts we spoke with said that forbearance is intended to be a short-term option for borrowers facing financial difficulties lasting a few months to a year, such as unexpected medical expenses. Longer periods of forbearance, while not typically advantageous to borrowers, can be an effective strategy for schools to manage their CDRs. Specifically, spending 18 months or more\u2014at least half of the CDR period\u2014in forbearance reduces the potential for borrowers to default within the 3-year period (see fig. 5). This is because forbearance keeps borrowers current on their loans, and borrowers would not go into default until they had made no payments for an additional 360 days after the forbearance period ended. Indeed, according to our analysis of Education\u2019s data for the 2013 CDR period, only 1.7 percent of borrowers who were in forbearance for 18 months or more defaulted within the 3-year CDR period, compared to 8.7 percent of borrowers who were in forbearance up to 18 months during this period, and 20.3 percent of borrowers who were not in forbearance during this period. Borrowers who default outside the 3-year CDR period will not negatively affect a school\u2019s CDR. In an online presentation, representatives from one consultant highlighted that forbearance can be a tool for reducing a school\u2019s CDR and stated that borrowers who postponed payments defaulted less often during the CDR period than other past-due borrowers based on a case study they conducted.", "According to our analysis of Education\u2019s data, the percentage of borrowers whose loans were in forbearance for 18 months or more during the 3-year CDR period increased each year during the 5 cohorts we reviewed, doubling from 10 percent in the 2009 CDR cohort to 20 percent in the 2013 CDR cohort. During the same time period, the percentage of borrowers whose loans were in forbearance for any amount of time increased from 39 percent to 68 percent (see fig. 6). Further, borrowers in forbearance for 18 months or more defaulted in the year after the 3- year CDR period more often than they did during the CDR period. Specifically, 9.4 percent of these borrowers in the 2013 CDR period defaulted in the year following the CDR period, while only 1.7 percent defaulted in the first 3 years of repayment, suggesting that long-term forbearance may have delayed, not prevented, default for these borrowers. Reducing the number of borrowers in long-term forbearance and directing them toward other repayment or postponement options could help reduce the number of borrowers that later default and save the government money. For example, Education estimates that it will not recover a certain percentage of defaulted Direct Loan dollars even if repayment resumes. Specifically, for Direct Loans issued in fiscal year 2018, Education estimates that it will not recover over 20 percent of defaulted loans. These unrecovered defaulted loan amounts total an estimated $4 billion, according to our analysis of Education\u2019s budget data. In addition to cost savings to the government, borrowers who avoid default would not have to face severe consequences, such as damaged credit ratings that may make it difficult to obtain credit, employment, or housing.", "In addition, the percentage of borrowers who made progress in paying down their loans during each CDR cohort\u2014the repayment rate\u2014 decreased from 66 percent for the 2009 cohort to 46 percent for the 2013 cohort (see sidebar).", "We analyzed these data for a subset of schools with the largest CDR decreases from the 2009 to 2013 cohorts and found that as these schools\u2019 CDRs improved, other borrower outcomes worsened (see app. II for more information about these schools). Specifically, for this subset of schools, the percentage of borrowers in long-term forbearance doubled, and the percentage of borrowers who made progress in paying down their loans during the CDR period decreased by half, suggesting that these schools may be encouraging forbearance as a default management strategy (see fig. 7).", "Education has acknowledged that when schools encourage borrowers to postpone loan repayment until the 3-year CDR period ends, it can have a distorting effect on the CDR. Borrowers who have postponed their payments through forbearance or deferment are considered to be \u201cin repayment\u201d for the purpose of calculating the CDR, even though they are not expected to make any payments on their loans while in these statuses. As a result, an increased use of forbearance, particularly long- term forbearance, could result in lower CDRs, and therefore fewer schools being sanctioned due to high CDRs. In July 1999, we reported that the CDR understates the actual number of borrowers who default. We suggested that Congress may wish to consider amending the Higher Education Act of 1965 to exclude borrowers with loans in deferment or forbearance at the end of the CDR period from schools\u2019 CDR calculation and include these borrowers in a future CDR cohort after they have resumed making payments on their loans. Education\u2019s Office of Inspector General made a recommendation to the agency to support similar amendments to the law in December 2003.", "For this report, we examined the impact that removing borrowers in long- term forbearance from the CDR calculation would have on schools\u2019 reported CDRs. For the 2013 cohort, 35 schools from our population had CDRs of 30 percent or higher. When we excluded from our population borrowers who spent 18 months or more in forbearance and did not default within the 2013 CDR period, we found 265 additional schools that would potentially have had a CDR of 30 percent or higher (see app. II for more information about these schools). Schools with CDRs at this level for 3 consecutive years may lose eligibility to offer their students Direct Loans and Pell Grants. Further, 21 of the 265 schools would potentially have had a CDR greater than 40 percent, making them potentially subject to immediately losing eligibility to offer Direct Loans. Of the 265 schools that would have potentially been subject to sanctions based on our alternative calculation, 261 received a combined $2.7 billion in Direct Loans and Pell Grants in academic year 2016-2017.", "The CDR is a key tool for holding schools accountable for borrower outcomes and protecting borrowers and the federal government from the costs associated with default. The substantial growth in the percentage of borrowers spending at least half of the CDR period in forbearance reduces the CDR\u2019s usefulness to hold schools accountable. This presents risks to the federal government and taxpayers, who are responsible for the costs associated with high rates of default, and to borrowers who may benefit from other repayment or postponement options. Since the way the CDR is calculated is specified in federal law, any changes to its calculation would require legislation to be enacted amending the law. Strengthening the usefulness of the CDR in holding schools accountable, such as by revising the CDR calculation or using other accountability measures to complement or replace the CDR, could help further protect both borrowers and the billions of dollars of federal student aid funds the government distributes each year."], "subsections": []}]}, {"section_title": "Actions Needed to Improve Education\u2019s Oversight of Default Management Strategies and Public Reporting of CDR Sanctions Requirements Needed to Oversee How Schools and their Consultants Communicate Loan Options to Borrowers in Repayment", "paragraphs": ["Education\u2019s ability to oversee the strategies that schools and their consultants use to manage CDRs is limited because there are no requirements governing the interactions that schools and their consultants have with borrowers once they leave school. Education requires that schools provide certain information to borrowers about their student loans when they begin and finish school but does not oversee schools\u2019 or their consultants\u2019 communications with borrowers after they leave school. According to Education, the Higher Education Act does not contain explicit provisions that would allow it to impose requirements governing communications that schools and their consultants may have with borrowers who have left school.", "As noted earlier, we found that some default management consultants, in seeking to help schools lower their CDRs, provided borrowers inaccurate or incomplete information or offered gift cards to encourage forbearance over other repayment or postponement options that may be more beneficial to the borrower. According to Education officials, borrowers are protected from such practices because loan servicers are required to inform borrowers of all available repayment options upon processing a forbearance. Education officials also said that performance-based contracts provide loan servicers an incentive to keep borrowers in repayment. However, a Consumer Financial Protection Bureau report found that borrowers may not be informed about the availability of other repayment plans and instead may be encouraged by their loan servicers to postpone payments through forbearance, which may not be in borrowers\u2019 best interests. Further, some consultant practices we identified, such as instructing borrowers to return the forbearance application to the consultant and remaining on three-way calls with the loan servicer and the borrower, may undermine the role of the loan servicer. Education officials also said that borrowers should be aware of their repayment options because schools are required to inform borrowers of these options through exit counseling when they leave school. However, in 2015 we found gaps in borrowers\u2019 awareness of repayment options. Education\u2019s Office of Federal Student Aid has a strategic goal to help protect borrowers and families from unfair, deceptive, or fraudulent practices in the student loan marketplace. Without clear requirements regarding the information that schools and their consultants provide to borrowers after leaving school, Education cannot effectively oversee schools\u2019 default management strategies. Further, without such requirements, Education cannot ensure that schools and consultants are providing borrowers with the information they need to make informed decisions to manage their loan costs and avoid future default."], "subsections": [{"section_title": "Education\u2019s Public Reporting of Cohort Default Rate Sanctions Lacks Transparency", "paragraphs": ["The limited information Education reports annually to the public about schools that face sanctions for high CDRs overstates the extent to which schools are held accountable for their default rates. Specifically, Education does not report the number of schools that successfully appealed CDR sanctions or the number of schools ultimately sanctioned. For example, with the release of the 2013 CDRs in 2016, Education publicly reported that 10 schools were subject to sanctions, but did not publicly report that 9 schools appealed their sanctions and 8 were successful in their appeals and were thereby not sanctioned (see fig. 8).", "Office of Management and Budget guidelines call for federal agencies to ensure and maximize the usefulness of information they disseminate to the public. Federal internal control standards call for effective communication with external stakeholders. The number of schools subject to sanction has declined over time\u2014from a high of 1,028 schools in fiscal year 1994 to 10 schools in fiscal year 2017 (see app. III). In addition, unpublished sanction data reveal that a small fraction of borrowers who defaulted on student loans attended schools that have been sanctioned. For example, two schools were ultimately sanctioned in 2016 and accounted for 67 of the nearly 590,000 borrowers whose defaulted loans were included in schools\u2019 2013 CDRs. By reporting only the number of schools subject to sanction and not those actually sanctioned, Education\u2019s data make it difficult for Congress and the public to assess the CDR\u2019s usefulness in holding schools accountable."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Preventing student loan defaults is an important goal, given the serious financial risks default poses to borrowers, taxpayers, and the federal government. The CDR, which is specified in federal law, is intended to hold schools accountable when significant numbers of their borrowers default on their student loans during the first 3 years of repayment. However, the metric in its current form creates incentives for schools that may result in unintended consequences for some borrowers. Schools have an interest in preventing their students from defaulting during the CDR period to ensure that they can continue to participate in federal student aid programs, and some schools contract with private consultants to work with borrowers who have fallen behind on their loan payments. Although some of these consultants have recently changed their communications to borrowers, others continue to provide inaccurate or incomplete information to encourage past-due borrowers to choose forbearance over other repayment options. While postponing payments through forbearance may help struggling borrowers avoid default in the near term, it increases borrowers\u2019 ultimate repayment costs and does not necessarily put borrowers on a path to repaying their loans. Moreover, including borrowers who spend 18 months or more in forbearance in the CDR calculation reduces the CDR\u2019s ability to hold schools accountable for high default rates since long periods of forbearance appear to delay\u2014not prevent\u2014default for some borrowers. Absent a statutory change, schools and their consultants seeking to keep CDRs below allowable thresholds will continue to have an incentive to promote forbearance over other solutions that could be more beneficial to borrowers and less costly to the federal government and its taxpayers.", "Education plays an important role in overseeing schools and their default management consultants to ensure that they are held accountable and student loan borrowers are protected. However, because Education asserts that it lacks explicit statutory authority to establish requirements regarding the information that schools and consultants provide to borrowers after they leave school, Education does not hold them accountable for providing accurate and complete information about repayment and postponement options. In addition, public information on CDR sanctions is important for assessing the usefulness of the CDR to hold schools accountable. Yet, Education\u2019s practice of reporting the number of schools potentially subject to sanction without reporting the number of schools ultimately sanctioned following the appeals process limits transparency about the CDR\u2019s usefulness for Congress and the public."], "subsections": []}, {"section_title": "Matters for Congressional Consideration", "paragraphs": ["We are making the following two matters for congressional consideration: Congress should consider strengthening schools\u2019 accountability for student loan defaults, for example, by 1) revising the cohort default rate (CDR) calculation to account for the effect of borrowers spending long periods of time in forbearance during the 3-year CDR period, 2) specifying additional accountability measures to complement the CDR, for example, a repayment rate, or 3) replacing the CDR with a different accountability measure. (Matter 1)", "Congress should consider requiring that schools and default management consultants that choose to contact borrowers about their federal student loan repayment and postponement options after they leave school present them with accurate and complete information. (Matter 2)"], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Chief Operating Officer of the Office of Federal Student Aid should increase the transparency of the data Education publicly reports on school sanctions by adding information on the number of schools that are annually sanctioned and the frequency and success rate of appeals. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the Department of Education for review and comment. Education\u2019s comments are reproduced in appendix IV. We also provided relevant report sections to the Consumer Financial Protection Bureau and the nine default management consultants for technical comment. The Consumer Financial Protection Bureau provided technical comments, which we incorporated as appropriate.", "Education agreed with our recommendation to increase transparency of school sanction data. In its response, Education stated that it makes a significant amount of CDR data publicly available on its website. For example, Education posts CDRs and underlying data for each school for which the rates are calculated and lists schools subject to sanctions as a result of their CDRs. Education also stated that beginning with the release of fiscal year 2015 CDRs, it would provide additional information on its website indicating whether schools subject to sanctions have submitted appeals and the disposition of such appeals. As we recommended in our draft report, Education should also publicly report the number of schools ultimately sanctioned each year.", "Our draft report included a recommendation for Education to seek legislation to strengthen schools\u2019 accountability for student loan defaults. Education disagreed with this recommendation, asserting that from a separation of powers perspective, it has a responsibility to implement, and not draft, statutes. Education stated that if GAO believes such legislation is needed, it would be best addressed as a matter to Congress. We agree that, as an executive agency, Education is responsible for implementing laws as enacted. However, it is important to note that the President has the \u201cundisputed authority\u201d to recommend legislation to the Congress and the Office of Management and Budget within the Executive Office of the President has outlined procedures for executive branch agencies to submit proposed legislation. Indeed, in making this recommendation, we intended that Education seek legislation through any of the practices used by executive branch agencies in communicating with Congress. In a recent example, both the President\u2019s Budget Request and Education\u2019s Congressional Budget Justification for Fiscal Year 2019 seek a change in the statutory allocation formula for the Federal Work-Study program to focus funds on institutions enrolling high numbers of Pell Grant recipients. Nevertheless, in light of Education\u2019s disagreement with our draft recommendation, and the importance of strengthening schools\u2019 accountability for student loan defaults, we have converted the recommendation into a Matter for Congressional Consideration.", "Our draft report also included a recommendation for Education to require that schools and default management consultants that contact borrowers about repayment and postponement options after they leave school present accurate and complete information. Education agreed that institutions should provide accurate and complete information about all repayment options. It also stated that institutions should allow the borrower\u2019s stated preference for any given repayment option to guide the ultimate direction of the conversation, and that the information provided should be free from financial incentive. However, Education asserted that it \u201ccannot impose requirements on schools and their consultants without further authority.\u201d Education clarified in a follow-up communication that the Higher Education Act does not contain \u201cexplicit provisions\u201d under which it could require schools (and their consultants) to include specific content in the information that they choose to provide to borrowers after the borrowers leave school, but did not address whether there was any other authority under which it could take action in this area. Instead, Education noted that it could provide information to schools and their consultants on best practices in this area. We continue to believe that schools and their consultants should be required to ensure that any information they present to borrowers about repayment and postponement options after they leave school is accurate and complete. As we stated in our draft report, without clear requirements in this area, Education cannot ensure that schools and consultants provide borrowers with the information they need to make informed decisions to manage their loan costs and avoid future default. In light of this, and Education\u2019s response to our draft recommendation, we have converted our recommendation into a Matter for Congressional Consideration.", "In its comments, Education inaccurately asserted that our findings should be viewed in light of a limited scope. As stated in the draft report, we analyzed trends in forbearance, repayment, and default using national data from Education for the five most recent CDR cohorts for a population of over 4,000 schools. To determine how schools work with borrowers to manage their CDRs, we reviewed the practices of a nongeneralizable sample of nine default management consultants that served over 1,300 schools. These schools accounted for over 1.5 million borrowers in the 2013 CDR cohort. The five consultants that provided inaccurate or incomplete information about forbearance or offered gift cards served about 800 schools, which accounted for over 875,000 borrowers in the 2013 CDR cohort. For each of the consultants, as stated in our draft report, we reviewed documentation including training materials, internal policies and procedures, and examples of correspondence they send to borrowers. Finally, Education inaccurately asserted that we based our findings on a small sample of interviews with 11 borrowers and officials from 3 schools and 4 consultants. We conducted these interviews to better understand borrowers\u2019 loan experiences and the strategies that schools and their consultants use to manage the CDR, and the illustrative interview examples we include in our report do not form the basis of any of our findings or recommendations.", "In addition, Education commented that the report did not consider the extent to which borrowers enter Income-Driven Repayment plans during the 3-year CDR period or the substantial growth in borrowers participating in these plans over the past several years. Education suggested that such data would be important to consider in determining whether there has been an overreliance on forbearance in the past, and if so, whether any problems in this area are being remedied by the availability of Income- Driven Repayment plans. We have incorporated additional information regarding the increase in borrowers participating in Income-Driven Repayment plans in response. As Education noted in its comments, our draft report acknowledged that increased participation in these plans may have been a factor in the observed increase in overall rates of forbearance since it is common for loan servicers to place borrowers in administrative forbearance while processing applications for Income- Driven Repayment plans. However, as explained in our draft report, since administrative forbearance for this purpose should be for 60 days or less it would not explain the twofold increase in the percentage of borrowers in forbearance for 18 months or longer from CDR cohort years 2009 to 2013.", "Education also stated that while our report included an example of the additional interest cost incurred by a borrower using forbearance, it did not discuss the potential additional interest costs associated with other repayment options, such as Income-Driven Repayment plans. Education noted that these options could be more costly than forbearance in some instances and all options have consequences for borrowers. We acknowledged in our draft report that interest continues to accrue on loans in Income-Driven Repayment and that the monthly payments of some borrowers on these plans may not be high enough to pay down any principal during the first 3 years of repayment. However, as stated in our draft report, Income-Driven Repayment plans, unlike forbearance, offer borrowers the potential for loan forgiveness after 20 or 25 years of repayment. We have incorporated additional details about the potential costs of these and other repayment plans based on Education\u2019s comments. The potential consequences that Education highlighted in its comments further illustrate the importance of ensuring that borrowers receive accurate and complete information to help them make informed decisions to manage their loan costs and avoid default.", "In response to our findings regarding communication practices of some default management consultants, Education stated that the draft report did not acknowledge that the forbearance application that selected consultants send to borrowers provides an opportunity for borrowers to learn about other repayment options and the potential costs of forbearance. We have incorporated additional information regarding the information included on the application. Although the form mentions deferment and Income-Driven Repayment, it does not describe these options; instead, it directs borrowers to Education\u2019s website for more information. Therefore, we maintain that borrowers who only receive a forbearance application may inaccurately assume that forbearance is the only or preferred option.", "Further, Education commented that the draft report did not examine what effect, if any, consultants may have had in encouraging borrowers to seek consecutive forbearances since borrowers can remain in forbearance for no longer than 12 months before they have to reapply. Education also suggested that comparing the use of forbearance at schools that hired consultants that encouraged borrowers to postpone payments with those that did not would have provided a better understanding of the potential impact of such practices. While these topics were beyond the scope of our objectives for this report, Education may wish to explore them in support of its goals to protect borrowers and mitigate risks in the federal student aid programs.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Education, the Director of the Consumer Financial Protection Bureau, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This appendix discusses in detail our methodology for addressing (1) how schools work with borrowers to manage schools\u2019 cohort default rates (CDR), and how these strategies affect borrowers and schools\u2019 accountability for defaults; and (2) the extent to which the Department of Education (Education) oversees the strategies schools and their default management consultants use to manage schools\u2019 CDRs and informs the public about its efforts to hold schools accountable.", "We conducted this performance audit from May 2016 to April 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Default Management Consultants \u2013 Interviews and Document Requests", "paragraphs": ["To determine how schools work with borrowers to manage their cohort default rates, we examined the practices of companies that schools contract with to help them lower their CDRs. Specifically, we selected a nongeneralizable sample of 9 of the 48 default management consultants on file with Education as of December 2016. To select the 9 consultants, we obtained lists of client schools from Education and reviewed websites for each of the 48 consultants to determine the services each company offered. Some companies offered an array of services to schools, while others focused exclusively on default management. We selected our nongeneralizable sample of 9 consultants by prioritizing those with large numbers of client schools, those with a specific focus on default management, or those with unique default management practices based on our review of their websites. These 9 companies served over 1,300 schools. These schools accounted for over 1.5 million borrowers in the 2013 CDR cohort.", "We reviewed documentation from the 9 consultants on the strategies they use to reduce borrower defaults during the CDR period; their organizational structure; products and services offered; current client schools; internal training materials; contracts and agreements with schools; methods of compensation for employees responsible for outreach to student loan borrowers; internal policies and procedures; and examples of correspondence (e.g., emails, letters, and repayment applications) with borrowers. Based on the information received from these consultants, we cannot determine how many borrowers were contacted or received correspondence from these companies. However, the consultants we spoke to generally indicated that the materials they provided to us were used for all or most of their school clients.", "To learn more about the strategies schools and default management consultants use to help schools manage their CDRs, we conducted interviews with managers at 4 of the 9 consultants. We also interviewed employees responsible for working with student loan borrowers to discuss the procedures they use to contact or counsel borrowers on loan repayment options. We selected these 4 consultants by prioritizing those that provided default management services to large numbers of client schools, or had unique default management practices based on website reviews."], "subsections": []}, {"section_title": "Schools and Borrowers \u2013 Interviews and Document Requests", "paragraphs": ["To determine how schools work with borrowers to manage schools\u2019 CDRs we selected a nongeneralizable sample of 12 schools for review based on data from Education that suggested that they had successfully lowered their CDRs from the 2009 through 2013 cohorts through forbearance. This sample informed our selection of borrowers. We emailed borrowers who attended these 12 schools and requested interviews with them, and selected 3 of the 12 schools for interviews with school officials and document requests.", "To select the 12 schools, we analyzed CDRs for the 2009-2013 cohorts from Education\u2019s Cohort Default Rate Database; 3-year forbearance rates for fiscal years 2009-2012 from Education\u2019s Annual Risk Assessment data; and 3-year repayment rates for fiscal years 2009-2014 from Education\u2019s College Scorecard data. We selected the 12 schools from the population that had a CDR calculated for 2013. We excluded schools whose 2013 CDR was calculated using a different formula that Education uses for schools with fewer than 30 borrowers entering repayment in a particular cohort. To be considered for selection, schools had to have had CDRs of 25 percent or above for cohort years 2009-2013 and also be in the following: 1) top 20 percent of year-to-year decreases in CDR; 2) top 20 percent of year-to-year increases in 3-year forbearance rates; or 3) top 20 percent of 3-year forbearances that resulted in default after the 3- year CDR period ended. This analysis resulted in a list of 312 schools, which we randomized within strata based on combinations of institutional control (public, nonprofit, and for-profit), maximum length of degree programs offered (less than 4-year or 4-year and above), and school size (fewer than 1,000 borrowers entering repayment in a given fiscal year and 1,000 or more borrowers entering repayment in a given fiscal year). We removed schools that had fewer than 1,000 borrowers entering repayment in a given fiscal year to mitigate the wide variations in forbearance rates and CDRs that may occur at smaller schools. Finally, we judgmentally selected a total of 12 schools from across the remaining strata, choosing the schools from each stratum in the randomized order. We conducted interviews with officials at 3 of these schools (public, nonprofit, and for-profit) and reviewed documentation on the strategies they use to reduce borrower defaults during the CDR period.", "To examine how default management strategies may affect borrowers, we obtained record-level data from Education\u2019s National Student Loan Data System (NSLDS) related to the 12 schools we focused on in our review, including data on all loans that entered repayment from fiscal years 2011-2014 and contact information for the borrowers that took out these loans. We weighted the sample toward borrowers whose loans were in deferment, forbearance, or were consolidated during the CDR period or defaulted after the CDR period. We then randomly selected about 6,500 of these borrowers and emailed them a request to discuss their student loan repayment experience with us. We received replies from 49 borrowers and interviewed 11 of them that we thought may have been contacted by their school or a default management consultant. We generally selected borrowers for interviews in the order they replied to us. We also prioritized borrowers whose email responses included student loan experiences that were relevant to our objectives, such as receiving communication from their school about student loan repayment and postponement options. We were not able to interview borrowers who did not provide phone numbers or who provided phone numbers but did not respond to our calls."], "subsections": []}, {"section_title": "Data Analysis", "paragraphs": ["To determine how schools\u2019 default management strategies affect borrowers and the CDR, we analyzed school-level data from Education on borrowers with loans that were included in schools\u2019 official CDR calculations for the 2009 through 2013 cohorts. We selected the 2009 cohort because it was the first cohort held accountable for the 3-year CDR. The 2013 cohort was the most recent CDR available at the time of our analysis. We identified the year borrowers entered repayment using the same logic that Education does for calculating the CDR. A borrower with multiple loans from the same school whose loans enter repayment during the same cohort fiscal year was included in the formula only once for that cohort fiscal year. We excluded schools whose CDR was calculated using a different formula that Education uses for schools with fewer than 30 borrowers entering repayment in a particular cohort.", "For the population of 4,138 schools that had a CDR calculated for 2013 and a subset of 364 schools that had CDR decreases of 10 or more percentage points from the 2009 to 2013 cohorts, we analyzed cohort default rates (cohorts 2009-2013); the percentage of borrowers who were in forbearance for any length of time during their first 3 years in repayment (cohorts 2009-2013); the percentage of borrowers who were in forbearance for 18 or more months during their first 3 years in repayment (cohorts 2009-2013); the percentage of borrowers who paid down at least $1 of the principal loan amount during the first 3 years of repayment (cohorts 2009-2013); and the percentage of borrowers who were in forbearance for varying lengths of time during their first 3 years in repayment and then defaulted in the year following the CDR period (2013 cohort).", "We also calculated an alternative CDR for each of these 4,138 schools, in which we excluded borrowers who spent 18 or more months in forbearance during the 2013 cohort and did not default during the CDR period from their school\u2019s CDR calculation. We analyzed how many schools would have potentially exceeded the 30 percent and 40 percent CDR thresholds for the 2013 cohort and calculated the total amount of Direct Loans and Pell Grants that these schools received in academic year 2016-2017. We did not estimate the number of schools that could become ineligible to participate in federal loan programs under this alternative methodology because such schools would be entitled to an appeal and sanctionable thresholds may change with the advent of new methodologies of calculating the CDR. Further, schools may change their default management strategies in response to an alternative CDR. In addition, we assessed the CDR against government standards for internal control for identifying and responding to risks and goals and objectives in the Office of Federal Student Aid\u2019s Fiscal Year 2015-2019 Strategic Plan.", "Additionally, we analyzed data from Education\u2019s Integrated Postsecondary Education Data System on sector and program length for these 4,138 schools, as well as for certain subsets of these schools (for more information, see app. II).", "To assess the reliability of the data elements we analyzed for our study, we (1) performed electronic testing of required data elements; (2) reviewed existing information about the data and the systems that produced them; and (3) interviewed agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purposes of this report."], "subsections": []}, {"section_title": "Review of Education Documents and Relevant Federal Laws and Regulations", "paragraphs": ["To determine the extent to which Education oversees the strategies schools and their default management consultants use to manage schools\u2019 CDRs and informs the public about its efforts to hold schools accountable, we reviewed relevant federal laws, regulations, guidance, and internal documentation from Education on how it oversees schools and default management consultants practices as they relate to the CDR and how it implements and reports CDR sanctions. To better understand how CDRs are used in Education\u2019s oversight of schools, we reviewed relevant regulations and interviewed Education officials responsible for administering program review, recertification for eligibility for federal student aid, and oversight of the CDR including default prevention. We assessed Education\u2019s oversight activities against goals and objectives in the Office of Federal Student Aid\u2019s Fiscal Year 2015-2019 Strategic Plan, government standards for internal control for communicating with stakeholders, and Office of Management and Budget guidelines for disseminating public information."], "subsections": []}, {"section_title": "Interviews with Experts and Consumer Advocates", "paragraphs": ["To help us understand how the default management strategies used by schools and default management consultants affect borrowers and reported CDRs, we interviewed individuals with expertise on federal student loans. Specifically, we interviewed experts from federal agencies including the Consumer Financial Protection Bureau and Education\u2019s Office of Inspector General. We also interviewed experts from the Association of Community College Trustees, the Career Education Colleges and Universities, the Center for American Progress, The Institute for College Access & Success, Harvard\u2019s Project on Predatory Student Lending, the Illinois Attorney General Office, and Young Invincibles."], "subsections": []}]}, {"section_title": "Appendix II: Sector and Program Length of Schools with Selected Characteristics", "paragraphs": ["Appendix II: Sector and Program Length of Schools with Selected Characteristics Schools whose cohort default rates (CDR) were calculated using a different formula that Education uses for schools with fewer than 30 borrowers entering repayment in a particular cohort were excluded from this analysis. Schools were included in this analysis if their CDR decreased by 10 percentage points or more from the 2009 to 2013 CDR cohorts. Foreign schools include schools that are eligible to participate in the Direct Loan program and are located outside the United States."], "subsections": []}, {"section_title": "Appendix III: Number of Schools Subject to Department of Education Cohort Default Rate Sanctions, 1991-2017", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kris Nguyen and Debra Prescott (Assistant Directors), Brian Schwartz (Analyst-in-Charge), Alex Galuten, Raheem Hanifa, John Karikari, Kirsten Lauber, Jeffrey G. Miller, John Mingus, Jeff Tessin, Khristi Wilkins, and Stephen Yoder made key contributions to this report. Additional assistance was provided by Susan Aschoff, Rachel Beers, James Bennett, Deborah Bland, Jason Bromberg, Alicia Cackley, Marcia Carlsen, David Chrisinger, William Colvin, Sheila McCoy, Arthur Merriam, Jessica Orr, Ellen Phelps Ranen, Phillip Reiff, Barbara Steel-Lowney, and Christopher Zbrozek."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-34", "url": "https://www.gao.gov/products/GAO-19-34", "title": "Fraud Risk Management: OMB Should Improve Guidelines and Working-Group Efforts to Support Agencies' Implementation of the Fraud Reduction and Data Analytics Act", "published_date": "2018-12-04T00:00:00", "released_date": "2018-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Fraud poses a significant risk to the integrity of federal programs and erodes public trust in government. Implementing effective fraud risk management processes can help ensure that federal programs fulfill their intended purpose, spend their funding effectively, and safeguard assets.", "FRDAA requires agencies to establish internal controls to manage their fraud risks and to report implementation progress for the first 3 years after enactment. It also directs OMB to (1) develop guidelines for agencies to establish fraud risk management controls and (2) establish a working group to share best practices in fraud risk management and data analytics.", "GAO was asked to review agencies' and OMB's efforts to implement FRDAA. This report examines steps (1) agencies and (2) OMB have taken to implement FRDAA. GAO conducted a survey of the 72 agencies subject to the act, held a roundtable discussion with 14 selected agencies, reviewed 24 selected annual financial reports, examined OMB guidelines, and interviewed OMB staff."]}, {"section_title": "What GAO Found", "paragraphs": ["At varying stages, agencies have begun planning for and implementing fraud risk activities (like conducting an evaluation of fraud risks) required by the Fraud Reduction and Data Analytics Act of 2015 (FRDAA), according to GAO's survey of agencies subject to the act. Overall, most of the 72 surveyed agencies (85 percent) indicated that they have started planning how they will meet FRDAA requirements, and about 78 percent indicated that they have also started taking steps to implement the requirements.", "To assist agencies in implementing fraud risk management activities, the Office of Management and Budget (OMB) established FRDAA-related guidelines and a working group, as required by the act. However, agencies experienced challenges with OMB's guidelines and the working group, among other things, according to GAO's survey and roundtable discussion results (see figure below).", "Implementation guidelines. To meet FRDAA requirements, OMB updated Circular No. A-123 guidelines that govern executive agencies. However, this update included limited information on the methodologies agencies can use to assess, document, and report on internal controls required by FRDAA, according to GAO's review of the guidelines. Surveyed agencies had mixed perspectives on the usefulness of OMB's guidelines for implementing FRDAA controls. Similarly, agencies identified the lack of clear requirements and guidance as top challenges in GAO's roundtable discussion with 14 selected agencies.", "Reporting on implementation progress. Although not required by FRDAA, OMB updated annual financial report guidelines to include FRDAA requirements, but GAO found that the guidelines did not contain enough information to aid agencies in producing complete and detailed progress reports in 2017, the first year of reporting. Additional guidelines from OMB could help agencies produce more complete and detailed reports for 2019, the final year of required reporting. Without a longer reporting period, however, Congress may not have the useful information for continued oversight of agencies' progress.", "Working Group. OMB has taken steps to establish the working group, but GAO found the working group did not fully meet FRDAA requirements. As Chair, OMB did not (1) involve all agencies subject to the act in the working group or (2) hold the required number of meetings in 2017. Most surveyed agencies indicated a lack of involvement with and information from the working group as challenges in implementing FRDAA."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that OMB (1) enhance its guidelines for establishing controls, (2) enhance guidelines for reporting on agencies' progress, and (3) fully implement the working group. OMB did not concur with the need for the recommendations. GAO continues to believe the recommendations are valid, as discussed in the report. Additionally, Congress should consider extending agencies' reporting requirements."]}], "report": [{"section_title": "Letter", "paragraphs": ["Fraud poses a significant risk to the integrity of federal programs and erodes public trust in government. It is a contributor to financial and nonfinancial risks that waste taxpayer dollars, threaten national security, or put consumers at risk. Fraud\u2014which involves obtaining something of value through willful misrepresentation\u2014continues to add to the improper payments made by the government. In fiscal year 2017, agencies government-wide reported $8.8 billion in confirmed fraud, although the deceptive nature of fraud makes it difficult to detect, prevent, and measure in a reliable way. We have previously identified indicators of financial and nonfinancial fraud in a wide range of programs including the Federal Communications Commission\u2019s Lifeline program, the Department of Energy\u2019s contractors, the Centers for Medicare & Medicaid Services\u2019 oversight of Medicare Part D, and the Bureau of Alcohol, Tobacco, Firearms and Explosives\u2019 firearm applications. Managers of federal programs have the primary responsibility for reducing these risks and ensuring program integrity. In addition, the Office of Management and Budget (OMB) plays a key role in issuing guidance to assist federal managers with combating government-wide fraud, waste, and abuse.", "To aid agencies and OMB in their efforts to reduce fraud risks, in June 2016 Congress enacted the Fraud Reduction and Data Analytics Act of 2015 (FRDAA), which created requirements for agencies to establish financial and administrative controls for managing fraud risks. These requirements are aligned with leading practices outlined in GAO\u2019s A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework), issued July 2015. FRDAA also requires agencies to report to Congress on the status of efforts to implement fraud controls, identify fraud risks, and establish strategies to mitigate both financial and nonfinancial fraud risks. In support of agencies\u2019 efforts to establish these financial and administrative controls, FRDAA required the Director of the OMB, in consultation with the Comptroller General, to issue guidelines that incorporate leading practices from GAO\u2019s Fraud Risk Framework and to form a working group to share practices, among other things. In addition, as agencies take steps to implement FRDAA, they are doing so in the context of other, related OMB guidance for enterprise risk management (ERM) and memorandums directed at reducing burden and the federal civilian workforce.", "You asked us to review agencies\u2019 and OMB\u2019s efforts to implement FRDAA. Specifically, we examined: (1) federal agencies\u2019 progress and challenges in implementing fraud risk management practices, including those required by FRDAA, and (2) the extent to which OMB has taken steps that complied with FRDAA requirements and that facilitated agencies\u2019 implementation of the act.", "To determine federal agencies\u2019 progress and challenges in implementing fraud risk management practices, we (1) sent information requests to 93 federal entities to determine whether their organization met the definition of \u201cagency\u201d in 5 U.S.C. \u00a7 551(1)\u2014and were thus subject to FRDAA\u2014and then surveyed the 72 agencies that responded affirmatively; (2) held a roundtable discussion with 14 agencies, selected from those that responded to our survey; and (3) conducted a content analysis of information reported in the fiscal year 2017 annual financial reports for the 24 Chief Financial Officers (CFO) Act agencies. We report information gathered from agencies in aggregate and do not attribute survey, annual financial report, or roundtable responses to individual agencies. We used this approach to better ensure agencies\u2019 participation and candor in their survey responses and roundtable discussion. For additional details on our scope and methodology, including a list of agencies determined to be subject to FRDAA, see appendix I. 1. We surveyed the 72 agencies subject to FRDAA from January 2018 through March 2018 to determine the status of their fraud risk management planning and implementation efforts; challenges they face in managing fraud risks and implementing FRDAA; and the extent to which they followed fraud risk management practices outlined in FRDAA, GAO\u2019s Fraud Risk Framework, and the fraud risk principle (Principle 8) of the Standards for Internal Control in the Federal Government (Standards for Internal Control). All 72 agencies completed our survey, resulting in a 100 percent response rate. Appendix II contains the survey questions with response frequencies for each question. 2. We held a roundtable discussion with 14 agencies\u2014selected randomly within type and size categories described below\u2014to obtain agency officials\u2019 perspectives on the strategies and activities they used to establish fraud controls and related fraud risk management activities and on the guidance and resources used to facilitate the implementation of FRDAA, among other things. The selected agencies represented a variety of organizational types and sizes, such as executive-department agencies, independent agencies, CFO Act agencies, and Small Agency Council members. The selected agencies also varied in their FRDAA implementation status, based on their responses to our survey. Through facilitated discussions, we gathered information on the selected agencies\u2019 strategies and practices. Roundtable participants also indicated their top challenges while implementing FRDAA by ranking the challenges with votes, and discussed potential solutions for those challenges. These results are not generalizable to agencies beyond those that participated. 3. We conducted a content analysis of fiscal year 2017 annual financial reports for the 24 CFO Act agencies to assess the completeness and level of detail these agencies provided about their progress with FRDAA implementation. We selected these 24 agencies because, among other things, these agencies met the definition of \u201cagency\u201d in 5 U.S.C. \u00a7 551(1) at the time of our selection and were therefore subject to FRDAA, and were estimated to account for over 99 percent of the government-wide improper payments in fiscal year 2015. Specifically, we reviewed (1) the content and length of agencies\u2019 fraud-reporting reports and (2) the overall level of detail provided. While the reporting requirements in FRDAA list three categories of information, we broke out the unique requirements in each category for our assessment into 11 reporting elements specified by FRDAA. Each annual financial report was independently coded by one subject- matter expert familiar with fraud risk management and by a second subject-matter expert familiar with each agency\u2019s efforts.", "We assessed each annual financial report\u2019s completeness by placing it in one of four categories representing FRDAA\u2019s 11 reporting elements: (1) fully complete when all 11 elements were present, (2) mostly complete when 6 to 10 elements were present, (3) partially complete when 1 to 5 elements were present and (4) not at all complete, when no elements were present. We examined the extent to which our independent reviews of the 24 CFO Act agencies\u2019 annual financial reports were consistent between coders and found over 99 percent agreement on identification of reporting elements, reconciled the 1 percent difference, and considered all coded material complete when assessing the completeness and detail of the annual financial reports.", "To determine the extent to which OMB has taken steps that complied with FRDAA requirements and facilitated agencies\u2019 implementation of the act, we (1) interviewed OMB staff and reviewed relevant memorandums, circulars, and other documents related to FRDAA implementation and (2) evaluated agencies\u2019 perspectives and experiences using OMB\u2019s guidelines and other initiatives to implement the act. 1. We reviewed relevant memorandums, circulars, and other OMB documents such as Circular A-123 and compared these with the requirements for OMB outlined in FRDAA. Additionally, we interviewed staff from OMB\u2019s Office of Federal Financial Management and Office of Personnel and Performance Management regarding their development of guidelines, the FRDAA working group, and any challenges they may have experienced implementing the act\u2019s requirements. 2. We obtained agencies\u2019 perspectives on and experiences with OMB\u2019s guidelines and the FRDAA working group in order to assess the usefulness of these actions for agencies\u2019 implementation efforts. Collectively, we used information from our survey, annual financial- report reviews, and roundtable discussions, as described above, to inform our assessment of the quality of OMB guidelines and other efforts. We also interviewed officials from the CFO Council and Council of the Inspectors General on Integrity and Efficiency to get a broader opinion about the effectiveness of OMB and agency efforts to implement FRDAA.", "We conducted this performance audit from August 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Fraud Risk Management", "paragraphs": ["Fraud and \u201cfraud risk\u201d are distinct concepts. Fraud\u2014obtaining something of value through willful misrepresentation\u2014is a determination to be made through the judicial or other adjudicative system, and that determination is beyond management\u2019s professional responsibility. Fraud risk exists when individuals have an opportunity to engage in fraudulent activity, have an incentive or are under pressure to commit fraud, or are able to rationalize committing fraud. Although the occurrence of fraud indicates there is a fraud risk, a fraud risk can exist even if actual fraud has not yet been identified or occurred. When fraud risks can be identified and mitigated, agencies may be able to improve fraud prevention, detection, and response. Managers of federal programs maintain the primary responsibility for enhancing program integrity and managing fraud risks. Those who are effective at managing their fraud risks collect and analyze data and identify fraud trends and use data and trends to improve fraud risk management activities. Implementing effective fraud risk management processes is important to help ensure that federal programs fulfill their intended purpose, funds are spent effectively, and assets are safeguarded.", "The Fraud Risk Framework provides a comprehensive set of leading practices that serve as a guide for agency managers developing or enhancing efforts to combat fraud in a strategic, risk-based manner. The Fraud Risk Framework is also aligned with Principle 8 (\u201cAssess Fraud Risk\u201d) of the Standards for Internal Control. It is designed to focus on preventive activities, which generally offer the most cost-efficient use of resources since they enable managers to avoid a costly and inefficient \u201cpay-and-chase\u201d model of recovering funds from fraudulent transactions after payments have been made. The leading practices in the Fraud Risk Framework are organized into four components\u2014commit, assess, design and implement, and evaluate and adapt\u2014as depicted in figure 1."], "subsections": []}, {"section_title": "FRDAA Requirements", "paragraphs": ["Legislation and guidance has increasingly focused on the need for program managers to take a strategic approach to managing risks, including fraud. FRDAA was enacted to improve federal agency controls and procedures to assess and mitigate fraud risks, and to improve agencies\u2019 development and use of data analytics for the purpose of identifying, preventing, and responding to fraud. FRDAA requires agencies to establish financial and administrative controls that incorporate the Fraud Risk Framework\u2019s leading practices, including 1. conducting an evaluation of fraud risks and using a risk-based approach to design and implement financial and administrative control activities to mitigate identified fraud risks; 2. collecting and analyzing data from reporting mechanisms on detected fraud to monitor fraud trends, and using that data and information to continuously improve fraud-prevention controls; and 3. using the results of monitoring, evaluation, audits, and investigations to improve fraud prevention, detection, and response.", "Further, agencies are required to annually report to Congress on their progress in implementing the act for each of the first 3 fiscal years after its enactment.", "FRDAA required OMB, in consultation with the Comptroller General, to establish guidelines for agencies that incorporate leading practices from the Fraud Risk Framework as well as to establish a working group that shares best practices in fraud risk management. In addition, the working group is required to submit a plan to develop a federal interagency data analytics library for fraud risk management. This working group was also required to consult with the Offices of Inspector General and federal and nonfederal experts on fraud risk assessments, financial controls, and other relevant matters as well as to meet not fewer than four times per year. See figure 2 for additional details on FRDAA\u2019s requirements and implementation timeline."], "subsections": []}]}, {"section_title": "Agencies Have Taken Steps to Manage and Report on Fraud Risks as FRDAA Requires, but Have Identified Challenges", "paragraphs": [], "subsections": [{"section_title": "Agencies Indicated They Are Planning or Implementing Activities to Manage Fraud Risks", "paragraphs": ["Agencies\u2019 steps to manage fraud risks at the agency-wide level\u2014and in response to FRDAA\u2014are at varying stages of planning and implementation, according to our survey of agencies subject to the act. In our survey, we asked the 72 agencies subject to FRDAA to characterize (1) the overall status of their efforts to plan for and implement the act as \u201cnot started,\u201d \u201cstarted but not mature,\u201d or \u201cmature\u201d and (2) whether they regularly undertook specific fraud risk management activities prior to and after FRDAA\u2019s enactment. With respect to overall status, most surveyed agencies (85 percent) indicated that they have at least started planning how they will meet FRDAA requirements (started or mature), and about 78 percent indicated that they have also started or are mature in their efforts to implement the requirements. Fewer agencies, however, characterized either their planning or implementation efforts as \u201cnot started\u201d (about 15 and 22 percent, respectively). See figure 3 for agency responses on their FRDAA planning and implementing efforts.", "While most agencies indicated they have taken planning and implementation steps, agencies varied in the extent to which they indicated undertaking specific fraud risk management activities required by FRDAA at the agency-wide level, according to our survey results. We asked agencies whether they were currently performing key fraud risk management activities at the agency-wide level. The fraud risk management activities identified in the survey were an abbreviated version of the FRDAA requirements for agencies to establish financial and administrative controls, which included (1) conducting an evaluation of fraud risks and using a risk-based approach to design and implement financial and administrative control activities to mitigate identified fraud risks; (2) collecting and analyzing data from reporting mechanisms on detected fraud to monitor fraud trends and using that data and information to continuously improve fraud-prevention controls; and (3) using the results of monitoring, evaluation, audits, and investigations to improve fraud prevention, detection, and response. Most agencies (about 86 percent) indicated they use the results of monitoring, evaluation, audits, and investigations to manage fraud risk. Fewer agencies (about 63 percent) indicated they collect fraud-related data for prevention. Agencies also varied in the frequency with which they perform certain activities. For example, of the agencies that indicated that they collect fraud-related data for prevention, 44 percent indicated they do so regularly, while 18 percent indicated that they do so but not on a regular basis. See figure 4 for additional information on the frequency with which agencies indicated they perform fraud risk management activities related to FRDAA requirements for financial and administrative controls.", "The majority of agencies we surveyed indicated that they were engaged in a variety of fraud risk management activities before FRDAA\u2019s enactment, but a larger number indicated action in each of these activities since the law was enacted. For example, 86 percent of agencies indicated they used findings from monitoring, auditing, or evaluation of fraud risk activities after the enactment of FRDAA, compared with 79 percent of agencies that indicated they used such findings before FRDAA. See figure 5 for a comparison of the number of agencies reporting that they undertook fraud risk management activities before and after the enactment of FRDAA.", "To identify relationships among survey responses associated with progress implementing elements of FRDAA and fraud risk management practices, we considered direction and strength of correlations between those questions. Agencies that indicated that they have started implementing FRDAA (85 percent) also reported higher use of some key fraud risk management activities, according to our analysis of the survey data. For example, agencies that indicated their implementation efforts were \u201cmature\u201d or \u201cstarted but not mature\u201d indicated at higher rates that they conduct risk-based evaluations of fraud risks and collect fraud- related data for prevention since the enactment of FRDAA. As mentioned, these activities are FRDAA requirements and are leading practices in the Fraud Risk Framework. These agencies also indicated at higher rates that they incorporated fraud risk activities into broader ERM, as directed by OMB Circular A-123. Further, while most (89 percent) agencies indicated having a designated entity for managing fraud risk, consistent with one leading practice identified in the Fraud Risk Framework, fewer (74 percent) have designated an entity specifically for FRDAA implementation. Agencies that indicated they had a designated entity for implementing FRDAA indicated that they were at a mature stage of FRDAA implementation more often than agencies without such an entity."], "subsections": []}, {"section_title": "All CFO Act Agencies Reported on Their Progress Implementing FRDAA, but Reporting Varied in Completeness and Detail", "paragraphs": ["Each of the 24 CFO Act agencies reported on their progress implementing FRDAA in their fiscal year 2017 annual financial reports to Congress, as FRDAA requires, but the reporting varied in completeness and detail. FRDAA specifies that, beginning in fiscal year 2017 and for the following 2 fiscal years, agencies must include the following 11 elements in their reports:", "Agencies must report their progress implementing the financial and administrative controls required to be established by the agency, which include (1) conducting an evaluation of fraud risks and using a risk-based approach to design and implement financial and administrative control activities to mitigate identified fraud risks; (2) collecting and analyzing data from reporting mechanisms on detected fraud to monitor fraud trends and using that data and information to continuously improve fraud-prevention controls; (3) using the results of monitoring, evaluation, audits, and investigations to improve fraud prevention, detection, and response; (4) implementing the fraud risk principle as described in the Standards for Internal Control; and (5) implementing the OMB Circular A-123 section related to leading practices for managing fraud risk.", "Agencies must report their progress identifying risks and vulnerabilities to fraud. These include (6) payroll, (7) beneficiary payments, (8) grants, (9) large contracts, and (10) purchase and travel cards.", "Agencies must report their progress (11) establishing strategies, procedures, and other steps to curb fraud.", "In August 2017, OMB updated its financial-reporting guidance in Circular A-136, Financial Reporting Requirements, with a section on FRDAA reporting requirements, including the reporting elements specified in the act. While the reporting requirements in FRDAA and OMB\u2019s guidance list three categories of information, as noted above, we broke out the unique requirements in each category for our assessment. As a result, our analysis of the completeness of agencies\u2019 annual financial reports is based on whether they contain each of 11 specific reporting elements. See appendix I (table 2) for additional information about these reporting elements.", "The 24 CFO Act agencies each included fraud-reduction sections in their annual financial reports as FRDAA requires but, at times, the completeness and detail of reporting was limited because some reports did not completely address all of the elements specified in the act. Four agencies reported on all of the specified elements, 19 agencies reported on more than half of the specified elements, and 1 agency reported on fewer than half of the specified elements, according to our analysis. For example, each of the 24 CFO Act agencies reported on their progress in establishing financial and administrative fraud controls required by FRDAA and OMB Circular A-123, but 7 agencies did not report on progress in implementing the fraud risk principle in the Standards for Internal Control. In addition, some agencies did not report on their progress in identifying risks and vulnerabilities with respect to payroll, beneficiary payments, and other elements specified in the act. Specifically, 12 of the CFO Act agencies did not report on payroll, 11 did not report on beneficiary payments, 5 did not report on grants, 9 did not report on large contracts, and 7 did not report on purchase and travel cards. See figure 6 for an analysis of the inclusion of required FRDAA reporting elements in agency reports.", "Variation in reporting on progress in identifying specific risks and vulnerabilities could result from some agencies\u2019 determinations about their applicability to the agency. For example, some agencies that participated in our roundtable discussion noted that grant risks are not applicable to their agency because they do not have grant programs. However, this would not explain some areas of risk that are applicable to all agencies, but were not reported, such as payroll. As discussed later in this report, variation in reporting on progress in identifying specific risks and vulnerabilities may also be partly due to some agencies\u2019 uncertainty about what information must be reported.", "The reports also varied in terms of detail provided about agencies\u2019 efforts, including specific actions taken to implement elements of FRDAA. For example, one agency reported that its efforts to comply with the fraud risk principle in the Standards for Internal Control included implementing enterprise risk management (ERM) and establishing a policy for having a common risk assessment tool to ensure consistency across the agency and to determine appropriate mitigation strategies for risks identified in all programs. Conversely, another agency reported that it updated an annual entity-level control assessment to comply with this principle, but the agency did not describe how this update achieved compliance. Without this detail in the report, it is not possible to determine the extent of the agency\u2019s implementation progress, as we describe later in the report.", "Further, most (16 of the 24 CFO Act agencies) included details about financial fraud risks but did not address nonfinancial fraud risks. For example, one agency reported it had low fraud risk and, as such, did not implement any new controls in response to FRDAA. As support, the agency provided examples of identifying no or limited financial fraud risks, and concluded that it did not have fraud risks to address. The agency did not discuss nonfinancial fraud. However, a 2016 GAO report identified this agency as having vulnerabilities to nonfinancial fraud that present national security risks. In addition, a 2017 report recommended that two agencies responsible for a program with national security\u2013related responsibilities conduct joint fraud risk assessments to obtain comprehensive information on inherent fraud risks that may affect program integrity; provide reasonable assurance that their controls mitigate those risks; and ensure that fraud-prevention efforts target the areas of highest risk. However, one of these agencies did not mention nonfinancial fraud in its report. Further, neither agency identified this program in their report. As mentioned in the Fraud Risk Framework, nonfinancial fraud, such as fraudulently obtained credentials, can potentially facilitate other crimes related to national security such as international terrorism and drug trafficking. In addition, a leading practice of the Fraud Risk Framework is that managers consider nonfinancial effects of fraud, such as those related to the program\u2019s reputation and compliance with laws, regulations, or standards. As discussed later in this report, these limitations in agency reporting may be partly due to limited guidance provided by OMB to agencies regarding the level of detail and type of information that should be included in the reports."], "subsections": []}, {"section_title": "Agencies Identified Challenges Undertaking Fraud Risk Management Activities", "paragraphs": ["Agencies identified challenges undertaking some fraud risk management activities required by FRDAA, according to our analysis of survey and roundtable responses. Top identified challenges were generally related to staffing and resources, among other things. These challenges may affect agencies\u2019 ability to implement leading practices from the Fraud Risk Framework. Some roundtable participants also noted strategies for mitigating some of these challenges. The factors agencies most frequently indicated as great or moderate challenges in undertaking fraud risk management activities include the following:", "Availability of resources. Agencies most frequently noted the availability of resources, such as staffing and funding to conduct fraud risk management activities, as a challenge to managing fraud risk. About 75 percent of agencies indicated in their surveys that this was a great or moderate challenge. Agencies that participated in our roundtable discussion identified similar \u201cbandwidth\u201d concerns related to staffing. For example, one agency noted the ability of staff to manage multiple responsibilities\u2014such as conducting fraud risk management activities in addition to daily program-related activities\u2014 as a top challenge, especially within smaller units of the agency. Some agencies at the roundtable discussion told us that having the authority to use program-integrity funding for fraud risk management would help provide necessary resources to undertake fraud risk management activities required by FRDAA. However, one agency noted that this may not be a viable solution for all agencies, since not all agencies may receive additional program-integrity funding to conduct fraud risk management activities.", "Limited tools and techniques for data analytics. Most agencies (about 68 percent) indicated that limitations in having and using tools and techniques for data analytics were a great or moderate challenge, according to our survey. Using data analytics to manage fraud risk is a leading practice in the Fraud Risk Framework. While one agency at our roundtable discussion told us that the agency does not have software to assist staff in performing data analytics, other agencies suggested leveraging free or existing resources to gain access to and use data tools. For example, one agency representative described the usefulness of the Department of the Treasury\u2019s Do Not Pay Business Center. This agency representative noted that the Department of the Treasury can proactively analyze agency data it has received and share it with agencies. Another agency suggested that agencies ask their shared service providers to provide data analytics, provide insight, and benchmark against other agencies.", "Lack of available expertise. The availability of staff with expertise to conduct fraud risk management activities also presents challenges for agencies. Leading practices in the Fraud Risk Framework include designating an antifraud entity that serves as the repository of knowledge on fraud risks and controls and increasing managers\u2019 and employees\u2019 awareness of potential fraud schemes through training and education. About 56 percent of agencies we surveyed, however, identified availability of staff expertise as a great or moderate challenge. Agencies that identified this as a challenge also more frequently indicated that they experience some other challenges associated with FRDAA implementation, such as understanding FRDAA requirements and implementation time frames; reporting on implementation progress in the annual financial reports; and sufficiency of other information or tools to aid in implementation. During the roundtable discussion, some agencies also described having a staffing gap where data-analytic skills were concerned. In response to this challenge, one agency moved its centralized antifraud unit to a newly created, more-experienced unit within the agency to increase the antifraud unit\u2019s capacity to conduct data- analytics reviews.", "Access to data and information. A majority of agencies also identified having access to data to look for fraud or fraud indicators as a challenge. About 55 percent of agencies indicated that access to data is a great or moderate challenge to their ability to implement fraud risk activities. Agencies that participated in our roundtable discussion also told us that access to data is a key challenge associated with implementing FRDAA requirements. For example, one agency stated that the Privacy Act presents a challenge to data matching that may limit agencies\u2019 ability to share data with one another, such as Social Security numbers involved in potentially fraudulent activity that could cut across multiple agencies. This challenge is not new. In our July 2013 report on using data analytics for oversight and law enforcement and in our March 2017 report on using data analytics to address fraud and improper payments, we reported on similar perceived challenges from other agencies and organizations regarding data sharing among agencies.", "Some agencies at the roundtable discussion also stated that they did not receive information from their respective Office of Inspector General that would help them manage fraud risks and implement FRDAA. The Fraud Risk Framework highlights the role of the Office of Inspector General in agencies\u2019 fraud risk management activities. According to the framework, the Office of Inspector General itself should not lead or facilitate fraud risk assessments, in order to preserve its independence when reviewing the program\u2019s activities. However, the framework notes that program managers and their Office of Inspector General should collaborate and communicate to help improve understanding of fraud risks and identify emerging fraud risks, in order to proactively enhance fraud-prevention activities. While one agency at the roundtable discussion identified the lack of information from their Office of Inspector General limiting their ability to address fraud risks, some agencies appear to be reaching out to their respective Offices of Inspector General for this information. We spoke with the Council of the Inspectors General on Integrity and Efficiency, which comprises representatives of Offices of Inspector General in the executive branch. During the Council of the Inspectors General on Integrity and Efficiency meeting, representatives from three agency Inspectors General told us that their agencies reached out to them to discuss fraud, such as how an agency can use databases to look for fraud. At least one representative expected to coordinate with the representative\u2019s agency to strengthen internal controls as the agency continues to implement FRDAA."], "subsections": []}]}, {"section_title": "OMB Established Guidelines and a Working Group as Required by FRDAA, but Limited Details and Coordination Hindered Agencies\u2019 Implementation of the Act", "paragraphs": ["OMB has taken steps to establish guidelines and a working group for agencies, as required by FRDAA, but limited guidelines and working- group coordination hindered some agencies\u2019 implementation of the act. Specifically, OMB issued guidelines for agencies to implement FRDAA\u2019s requirement to establish controls and report on their progress and has established a FRDAA working group, but agencies indicated the need for additional guidance and involvement in working-group activities. Our analysis of survey responses, roundtable discussion results, and agencies\u2019 annual financial reports indicates that (1) agencies had mixed perspectives on the usefulness of OMB\u2019s guidelines for agencies to establish controls; (2) limited details in OMB\u2019s reporting guidelines contributed to CFO Act agencies\u2019 incomplete and insufficiently detailed annual financial reports; and (3) agencies had challenges implementing FRDAA in part due to their lack of involvement in and lack of communication from the working group. In addition to FRDAA, OMB has issued guidance on other government-wide reform and burden-reduction initiatives that could shape how agencies address FRDAA implementation, such as reforms that may change the structure of agencies and related programs or how agencies collect data used in managing fraud risks. While it is still too early to determine the effect of these broader initiatives on agencies\u2019 efforts to implement FRDAA, we have previously reported that broader reform efforts can be leveraged by OMB and agencies to address the high-risk areas and government-wide challenges that present vulnerabilities to fraud, waste, abuse, and mismanagement."], "subsections": [{"section_title": "OMB Updated Existing Guidelines to Meet FRDAA Requirements, but Agencies Have Mixed Perspectives on the Guidelines\u2019 Usefulness", "paragraphs": ["To comply with FRDAA, OMB updated existing guidelines for agencies to establish financial and administrative controls to manage fraud risks, but agencies indicated having challenges with the usefulness of these guidelines, according to our survey and roundtable discussion results. Specifically, OMB incorporated guidelines to meet FRDAA requirements into its July 2016 update of Circular A-123, Management\u2019s Responsibility for Enterprise Risk Management and Internal Control, within 90 days of enactment, as required by the act. This particular update of Circular A-123 introduced requirements for agencies to implement ERM and integrate with existing internal control capabilities to improve mission delivery, reduce costs, and focus corrective actions on key risks. The update to Circular A-123 also included a discussion of the Fraud Risk Framework and aligned internal control processes with the 2014 update to the Standards for Internal Control\u2014such as the reference to the fraud risk principle (Principle 8)\u2014which OMB staff stated provided agencies with a broad context for why fraud risk management is expected of agencies.", "According to OMB staff, including the reference to the Fraud Risk Framework in the circular met the FRDAA requirement to issue guidelines for agencies to establish financial and administrative controls to identify and assess fraud risks. The guidelines have a section on \u201cManaging Fraud Risks in Federal Programs\u201d that encourages agencies to develop the same financial and administrative controls that are listed in FRDAA requirements. This section also directs agencies to adhere to the leading practices described in the Fraud Risk Framework as part of their efforts to effectively design, implement, and operate an internal control system that addresses fraud risks. However, based on our review of the guidance, because FRDAA is never mentioned in the guidelines, there is a risk that agencies may not be aware that the guidelines directly apply to implementing FRDAA\u2019s requirement to establish financial and administrative controls. In addition, OMB\u2019s guidelines provide limited information related to steps that agencies should take to implement FRDAA\u2019s requirement to establish financial and administrative controls, according to our review of the guidelines.", "Agencies indicated having mixed views on the sufficiency of OMB\u2019s guidelines. For example, 65 percent of the agencies surveyed indicated that OMB\u2019s Circular A-123 guidelines were moderately or very useful. However, 40 percent of the agencies surveyed also identified the sufficiency of OMB\u2019s guidelines as a great or moderate challenge in implementing the act. Among other things, these challenges included agencies\u2019 uncertainty about how ERM and FRDAA requirements differ, given that OMB included the guidelines for managing fraud risk as a subsection of ERM requirements. These challenges contributed to agencies\u2019 lack of clarity, among other things, on the actions they should take to implement FRDAA, as described below.", "Challenges using OMB guidelines to implement FRDAA\u2019s requirement to establish controls. Some agencies indicated that using OMB guidelines for FRDAA implementation was a challenge, according to our analysis of survey responses. Specifically, 40 percent of agencies indicated the sufficiency of the guidelines was a great or moderate challenge to their implementation efforts. CFO Act agencies reported this challenge more often than non\u2013CFO Act agencies (61 and 30 percent, respectively).", "Selected Agency Officials\u2019 Perspectives on Office of Management and Budget (OMB) Fraud Reduction (FRDAA) and Data Analytics Act of 2015 Guidelines \u201cWhat does compliance mean specifically when it comes to FRDAA?\u201d \u201caving looked at other guidance that\u2019s come out of OMB, particularly like the DATA Act or even ERM [enterprise risk management], there was lots of guidance. . . . In this particular case I think it has not been as robust\u201d", "Lack of guidance and unclear requirements were also identified as top challenges in our roundtable discussion on implementation of FRDAA required controls. For example, some roundtable participants stated that clearer requirements, such as information on what activities would be considered compliant with the act, would be helpful to better implement FRDAA. In particular, two agencies identified grants and contracts as an area where additional guidance on managing fraud risks would be helpful.", "In contrast, a theme of the roundtable discussion was that there were trade-offs in having clarity on the objectives and having the flexibility to tailor requirements to different programs. One roundtable participant said that agencies had different definitions of fraud and that it would be difficult to create standardized tools that met every agency\u2019s needs. In order to better understand what steps they should take to implement the controls required by FRDAA, two roundtable participants sought out alternative sources of information to determine whether they were complying with Circular A-123, such as a previously issued GAO report on the Fraud Risk Framework. Other roundtable participants described using non-OMB guidance to implement FRDAA, such as the ERM playbook developed by the CFO Council and Performance Improvement Council, and materials developed by the Association of Certified Fraud Examiners. While relying on other sources of information can be helpful, agencies that do not have knowledge of or access to additional resources such as these may not have sufficient information to effectively implement the act. This point is underscored by the 40 percent of agencies that identified the sufficiency of OMB\u2019s guidance as a great or moderate challenge to their implementation of FRDAA.", "Selected Agency Officials\u2019 Perspectives on Office of Management and Budget Fraud Reduction and Data Analytics Act of 2015 (FRDAA) Guidelines \u201cI would like some clarification on the intent of , like what will it achieve that the other A-123 or ERM [enterprise risk management] is not achieving?\u201d", "Uncertainty about the difference between ERM and FRDAA requirements. Many agencies are leveraging existing ERM processes to implement fraud risk activities, according to our survey results, but OMB guidelines were unclear on the relationship between FRDAA and ERM requirements, according to our review of the guidelines and roundtable discussion responses. Under ERM, agencies are required to assess the full spectrum of an organization\u2019s risks, and identify those that are enterprise-level risks. For enterprise risks, agencies are expected to rate those risks in terms of impact and build internal controls to monitor and assess the risk developments at various time points and incorporate risk awareness into the agencies\u2019 culture and operations. Our survey results indicate that more agencies (56 percent) are currently incorporating fraud risk activities into broader ERM compared with before FRDAA enactment in June 2016 (34 percent). Additionally, some roundtable participants stated that they leveraged their existing ERM process and teams to implement FRDAA\u2019s control requirements. While Circular A-123 directs agencies to assess fraud risks as part of a broader assessment of enterprise risk, it does not provide information on how ERM and fraud risk management requirements differ. For example, it does not clarify that FRDAA encompasses a broad set of actions that agencies must take to manage fraud risks, regardless of whether the fraud risk is identified as an enterprise risk.", "Additionally, Circular A-123 does not specify how to implement the strategies identified in the Fraud Risk Framework within the context of ERM. According to the circular, managers should adhere to the leading practices identified in the framework and are responsible for determining the extent to which the leading practices are relevant to their program. Managers are also responsible for tailoring the practices to align with the program\u2019s operations. While the Fraud Risk Framework does state that the leading practices can be tailored, it enumerates four components and overarching concepts that are necessary for an effective risk management approach. These four components of the framework\u2014 commit, assess, design and implement, and evaluate and adapt\u2014 collectively encompass the control activities for managing fraud risks and, as outlined in the framework and Standards of Internal Control, should be present in some form to be effective. Therefore, even if agency officials identify fraud risks in a particular program that are not determined to be enterprise-level risks, the officials are still responsible for designing and implementing controls to address them and evaluating and adapting improvements to these controls over time, in line with the Fraud Risk Framework requirements. However, OMB staff informed us that if a fraud risk does not rise to the level of an enterprise risk for an agency in the ERM process, the agency may not go through all of the steps outlined in the Fraud Risk Framework or required by FRDAA to assess and respond to that risk. The Fraud Risk Framework acknowledges that agencies may use initiatives like ERM efforts to assess their fraud risks, but it does not eliminate the separate and independent fraud risk management requirements of FRDAA.", "In response to our draft report, OMB staff stated that other parts of Circular A-123 helped to fulfill their requirement to establish guidelines for agencies to establish financial and administrative controls. According to OMB, if agencies identify fraud risks that are not discussed in ERM, they will still be addressed by the broader risk management requirements in Circular A-123. These other sections of Circular A-123 existed prior to FRDAA and therefore, were not developed in response to FRDAA\u2019s requirement that OMB establish guidelines for agencies. However, our review of Circular A-123 found that there are some references to managing fraud risks that are in alignment with the spirit of the financial and administrative controls identified in FRDAA. For example, other sections of Circular A-123 describe requirements for agencies to develop a risk profile and state that agency risk profiles must include an operational objective related to administrative and major program operations, including financial and fraud objectives. Further, agencies should identify the existing management process that will be used to implement and monitor proposed actions to address the risks. However, according to Circular A-123, these sections of the document define management\u2019s responsibilities for ERM, which is focused on enterprise level risks. Further, these sections of Circular A-123 do not encourage agencies to incorporate the leading practices outlined in the Fraud Risk Framework to manage their fraud risks, as required by FRDAA.", "According to OMB staff, if agencies identify fraud risks that are not discussed in ERM, they will still be addressed by the broader risk management requirements in Circular A-123. These other sections of Circular A-123 existed prior to FRDAA and therefore were not developed in response to OMB\u2019s requirement to provide guidance on FRDAA. However, our review of Circular A-123 found that there are some references to managing fraud risks that are in alignment with the spirit of the financial and administrative controls identified in FRDAA. For example, other sections of Circular A-123 describe requirements for agencies to develop a risk profile and state that agency risk profiles must include an operational objective related to administrative and major program operations, including financial and fraud objectives. Further, agencies should identify the existing management process that will be used to implement and monitor proposed actions to address the risks. However, according to Circular A-123, these sections of the document define management\u2019s responsibilities for ERM, which is focused on enterprise-level risks. Further, these sections of Circular A-123 do not encourage agencies to incorporate the leading practices outlined in the Fraud Risk Framework to manage their fraud risks, as required by FRDAA.", "In addition, OMB staff stated that they believe that, along with Circular A-123, the Standards for Internal Control and the Fraud Risk Framework provide all the guidance that agencies need to implement and comply with FRDAA. However, based on the results of our survey and roundtable, we informed OMB that agencies reported experiencing confusion about the similarities and differences between FRDAA and other requirements, including ERM. According to OMB staff, Circular A- 123 and its focus on ERM is the appropriate place for the FRDAA guidelines because fraud is one type of risk an agency might face. However, OMB staff noted that it is the agencies\u2019 responsibility to determine how to implement the act\u2019s requirements in a way that aligns with the agency\u2019s mission, and accordingly does not have immediate plans to update Circular A-123 to provide more-detailed guidelines for agencies to implement the financial and administrative controls required by FRDAA.", "The Standards for Internal Control state that management should implement control activities through policies. Documentation of responsibilities through policies and periodic review of control activities contribute to the design, implementation, and operating effectiveness of control activities. In addition, management should externally communicate the necessary quality information to achieve the entity\u2019s objectives. These standards are practices that can assist any entity that is providing guidance to agencies with ensuring that intended objectives are accomplished. To better understand the type and level of detail in guidance that agency managers need to implement management controls, OMB and other similar oversight bodies often seek input and comments from agencies on draft guidance. In this case, OMB staff has not provided evidence that it consulted with agencies on whether the update to Circular A-123 met their needs in implementing FRDAA. While OMB staff stated they held three solicitations for agency comments on a draft update of Circular A-123 prior to FRDAA\u2019s enactment, they did not obtain input from agencies on whether the updates provided the guidance agencies needed to implement the controls in FRDAA\u2019s final enacted requirements.", "Without input from agencies, OMB does not have the information it needs to determine what additional guidance agencies need to effectively implement the controls required by the act. In addition, without clarifying that FRDAA\u2019s requirements must be addressed for all fraud risks\u2014 including those that agencies may have assessed and determined are not enterprise-level risks\u2014agencies may not follow through on the additional steps of designing, implementing, evaluating, and improving controls for their remaining fraud risks. Lastly, without additional detailed guidelines for implementing FRDAA\u2019s control requirements, agencies will continue to lack clarity on the actions they should take to effectively implement the act."], "subsections": []}, {"section_title": "OMB\u2019s Guidelines on FRDAA Reporting Requirements Lack Information Needed for Agencies to Produce Complete and Detailed Reports", "paragraphs": ["OMB updated existing guidelines to include a section on FRDAA reporting requirements, but did not include enough information to effectively assist agencies in producing complete and detailed reports, according to our analysis of annual financial reports and survey and roundtable responses. FRDAA directs agencies to report to Congress on the progress of FRDAA implementation in their annual financial reports for each of the 3 fiscal years after enactment. Although FRDAA does not require OMB to establish guidelines for agencies to comply with the act\u2019s reporting obligations, OMB generally provides guidance to support agencies\u2019 annual financial-reporting requirements in Circular A-136, Financial Reporting Requirements, and accordingly updated this guidance to include a section on FRDAA reporting requirements first in August 2017 and again in July 2018. There were no significant changes to the FRDAA section of Circular A-136 in the July 2018 update.", "Agencies are to include in their annual financial reports to Congress their progress in: (1) implementing the financial and administrative fraud controls as required by FRDAA, the fraud risk principle in the Standards for Internal Control, and the OMB Circular A-123 section related to leading practices for managing fraud risk; (2) identifying risks and vulnerabilities to fraud, including with respect to payroll, beneficiary payments, grants, large contracts, and purchase and travel cards; and (3) establishing strategies, procedures, and other steps to curb fraud. However, as previously discussed, our analysis of the 24 CFO Act agencies\u2019 annual financial reports found that many reports issued in 2017\u2014the first year of reporting\u2014were incomplete and lacked detail. Some agencies did not report on their progress in identifying risks and vulnerabilities with respect to payroll, beneficiary payments, and other elements specified in the act and did not address nonfinancial fraud risks. In addition, according to our survey results, some agencies considered reporting on implementation progress in the annual financial reports a challenge. Specifically, 31 percent of agencies indicated that reporting was a great or moderate challenge, see figure 7.", "Further, some of our roundtable participants indicated that they needed more detailed guidance on what should be reported to comply with FRDAA. In the absence of more-detailed guidance from OMB, some agencies turned to each other for help. For example, some roundtable participants indicated that they looked at other agencies\u2019 annual financial reports to see what they were reporting. While relying on other agencies\u2019 reports can be helpful, agencies may be reviewing incomplete information based on our review of the annual financial reports, and may not have appropriate examples of how FRDAA information should be reported.", "OMB\u2019s guidance to agencies on FRDAA reporting did not include information on the level of detail agencies should report. The FRDAA section of Circular A-136 is a near-exact replication of the reporting elements listed in FRDAA and specifies the period in which agencies are to report on their progress implementing FRDAA. According to OMB staff, they included the content of FRDAA verbatim in Circular A-136 because the reporting requirements are outlined in the act. However, the act provides high-level information on what should be included in agency reports, not operational guidance on how to address the reporting requirements, which is typically outlined in executive guidance to agencies. Further, OMB staff informed us that they instructed agencies to provide a status update of fraud-reduction efforts undertaken in the final quarter of fiscal year 2016 through fiscal year 2017, but did not provide agencies with any specific guidance on how detailed that reporting should be in their annual financial reports. The Standards for Internal Control state that management should implement control activities through policies and documentation and externally communicate the necessary quality information to achieve the entity\u2019s objective. Until OMB provides additional guidelines directing agencies to report more-complete and more-detailed information related to their progress on both financial and nonfinancial risks, some agencies may continue to report incomplete information on their full range of fraud risks and activities they are performing to manage these risks.", "On the basis of the limitations we identified in agencies\u2019 annual financial reports, Congress and OMB do not have complete and detailed information about agencies\u2019 progress implementing FRDAA\u2019s requirements to establish fraud controls as intended by the act. For example, as previously mentioned, 12 of the 24 CFO Act agencies did not report on payroll fraud risks, which are applicable to all agencies, and 16 did not report on nonfinancial risks such as effect on reputation and compliance with laws, regulations, or standards. The agency reporting requirement was intended to help Congress monitor the progress made by agencies in addressing and reducing fraud risk, including the success or failures of the guidelines created by OMB as a result of the act. Similar to reporting requirements for improper payments, agencies\u2019 reports on their progress implementing FRDAA serve as important oversight tools that can be used to evaluate agency efforts to make needed changes to their processes and policies. In the absence of additional OMB guidelines that include more-complete and more-detailed information for reporting on both financial and nonfinancial risks, some agencies may continue to produce incomplete information on their full range of fraud risks and fraud risk management activities. However, as noted, OMB did not make changes to the FRDAA section in its July 2018 update of Circular A-136, which might have informed agencies\u2019 2018 reporting efforts.", "On the basis of FRDAA\u2019s requirements, Congress sought 3 years of reporting on FRDAA implementation, and therefore agencies\u2019 obligation to report on their progress expires after fiscal year 2019. Even if OMB makes changes to its guidelines in 2019 to support more-complete and more-detailed reporting, agencies would report only one time after that\u2014 in their 2019 annual financial reports, due in November 2019. We have previously reported on the importance of reporting information that helps facilitate proper stewardship of federal resources, congressional oversight, transparency, and public accountability, among other things. Without an extension of reporting requirements, Congress will not have access to useful information through this reporting mechanism to support oversight and accountability of agencies\u2019 progress implementing the fraud risk management practices required by FRDAA."], "subsections": []}, {"section_title": "OMB Established a Working Group, but Agencies Identified Involvement and Information Sharing as Challenges", "paragraphs": ["OMB established a working group of agencies as required by FRDAA, but has not met all of the requirements for the working group, such as those related to member composition, and meeting frequency. As a result of these and other working-group limitations, agencies identified a lack of involvement in and limited information sharing from the working as two of the top challenges to implementing the act. As required, OMB established a working group within 180 days of enactment to improve the sharing of financial and administrative controls and other best practices for detecting, preventing, and responding to fraud, including improper payments, and the sharing and development of data-analytics techniques. OMB also submitted to Congress\u2014but not within 270 days of enactment\u2014a plan for the establishment and use of a federal interagency library of data analytics and data sets to facilitate fraud risk management. However, OMB did not initially include the CFO of each agency in earlier working-group meetings, or, according to OMB, meet four times per year in 2017 as required. The working group also did not effectively facilitate the sharing of controls, best practices, and data-analytics techniques, according to our survey results and roundtable discussion. OMB encountered challenges that limited its ability to fulfill some of these requirements, but did not take the necessary actions to implement others.", "Plan for data library. In May 2017, OMB submitted a letter to Congress describing the working group\u2019s plan to use a phased approach to establish a federal interagency library of data analytics and data sets, as required by FRDAA. However, OMB did not do so within 270 days of enactment, as required by FRDAA. According to OMB\u2019s letter, the working group is taking a phased approach to develop the plan to establish an interagency data library and took some steps, but identified challenges in the process. When developing the plan, the working group identified two challenges to developing the interagency data library: (1) standardizing how agencies define fraud in their programs, and (2) developing a fraud taxonomy to accurately compile fraud risks and categories. According to the letter, to address these challenges, the working group is creating a fraud-classification system that leverages the existing Association of Certified Fraud Examiners fraud-classification system. OMB\u2019s letter also states that the working group performed an initial inventory of existing tools and materials that will be used to populate the first phase of the library, which is currently located in the OMB MAX Information System. According to the letter, the working group is partnering with agencies to identify a permanent location for the library as well as to develop future enhancements based on the needs of agencies. OMB stated in the letter that it plans to provide Congress additional information once the next phase of the library is implemented.", "Working-group composition. FRDAA requires the working group to include the CFO of each agency. OMB, in its role as Chair, did not involve all of the relevant agencies in the working group by inviting them to participate or otherwise providing access and input into the working group as required by FRDAA, according to agencies we surveyed and our assessment of OMB documents. In addition to the statutory requirement, we have previously reported that early outreach to participants to identify shared interests is a key practice for enhancing interagency collaboration. However, OMB\u2019s initial working-group efforts in particular did not include some CFO Act agencies or most non\u2013CFO Act agencies subject to FRDAA, representing missed opportunities to share practices and collaborate on ways to advance federal efforts to reduce fraud, waste, and abuse. While the May 2017 letter to Congress states that the CFO from every agency was invited to participate in the working group, OMB staff later noted that only the 24 CFO Act agencies and the Small Agency Council representative from the CFO Council were invited to the working-group meetings. OMB staff indicated that they did not independently reach out to non\u2013CFO Act agencies to invite them to participate because they believed the Small Agency Council representative was responsible for communicating this information to its members. Nevertheless, FRDAA requires the working group to include the CFO of each agency subject to the act, as well as other parties determined to be appropriate by OMB.", "According to our survey results, about half of the agencies subject to FRDAA were not at all familiar with the working group and about two- thirds did not have an entity responsible for participating in it. Non\u2013CFO Act agencies indicated these responses more often than CFO Act agencies. Specifically, 71 percent of non\u2013CFO Act agencies indicated they were not at all familiar with the working group compared with 21 percent of CFO Act agencies. In addition, 90 percent of non\u2013CFO Act agencies indicated they did not have a designated person or entity participating in the working group, compared with 29 percent of CFO Act agencies (see fig. 8).", "Similarly, two roundtable participants stated that they thought the working group was geared towards the CFO Act agencies. Most of the CFO Act agencies that participated in our discussion noted that they had been involved in the FRDAA working group. In contrast, almost all of the non\u2013 CFO Act agencies that participated in our discussion stated that they were not aware of the working group.", "Selected Non\u2013Chief Financial Officers (CFO) Act Agency Officials\u2019 Perspectives on Lack of Communication from and Participation in the Working Group \u201cThere\u2019s been nothing that I\u2019m aware at Small Agency Council level that\u2019s had meetings or anything to give extra guidance \u2026 and I think that would have been very helpful. In most things in small agencies we wait for things to trickle down from the larger agencies if OMB [Office of Management and Budget] doesn\u2019t give us guidance, and we just haven\u2019t gotten any sort of feedback.\u201d", "It is also unclear how many and which CFO Act agencies attended the working-group meetings. In particular, OMB and agencies provided conflicting information about which agencies attended the working-group meetings. For example, according to one CFO Act agency roundtable participant, the representative was invited to the first meeting and not invited to the next. The participant further stated that the agency recently started to receive information from OMB. However, the information OMB provided about this agency\u2019s involvement in working-group meetings conflicted with this participant\u2019s description of the agency\u2019s attendance at the first four meetings.", "Agencies identified the lack of involvement in the working group as one of the top challenges to implementing FRDAA. Most CFO and non\u2013CFO Act agencies indicated that their lack of involvement was a moderate or great challenge to implementing FRDAA (see fig. 9). Agencies that indicated having these challenges also more frequently reported challenges with sharing best practices and data-analytics techniques about fraud with other agencies, which was the purpose of the working group. The need for this coordination underscores the importance of identifying shared interests and developing collaborative solutions to help achieve outcomes.", "OMB and the working group did consult with the Offices of Inspector General on fraud risk matters, as required by FRDAA, by including them in working-group meetings. In OMB\u2019s May 2017 letter to Congress, the agency reported that the working group coordinated with the Council of the Inspectors General on Integrity and Efficiency and other interagency working groups to discuss and share best practices in mission-specific areas. In addition, two agencies\u2019 Offices of Inspector General are listed as having attended the first four working-group meetings. This coordination between the working group and Inspectors General\u2014who often identify and investigate instances of fraud in agencies\u2014is a positive step for the working group. Inspectors General may be able to provide agencies with information that can assist the agencies in analyzing data for potential fraud, such as fraud indicators. In addition, we have previously reported that if collaborative efforts, like the working group, do not consider the input of all relevant stakeholders, important opportunities\u2019 for achieving outcomes may be missed.", "Frequency of meetings. The working group did not meet the FRDAA requirement to hold at least four meetings per year. OMB staff stated that there have been eight working-group meetings to date\u2014one in 2016, three in 2017, and four in 2018\u2014but these meetings do not meet the FRDAA requirement to meet at least four times per year in 2017. As of October 2018, OMB has shown improvements towards meeting this particular FRDAA requirement in 2018. Specifically, the working group has met at least four times in fiscal year and calendar year 2018, as of October 2018.", "Vacant appointment positions at OMB and the agencies have slowed efforts to establish the working group, according to OMB staff. FRDAA requires the OMB Controller to serve as the chairperson of the working group, but as of October 2018 the Senate has not made a confirmation for this position. During the roundtable discussion, one participant shared that there was a period when there was no OMB leadership and the working group was largely silent for months. According to OMB staff, it has also been difficult to establish agency membership of the working group due to the lack of confirmed CFOs at some of the 24 CFO Act agencies. As of September 2018, 7 of the 24 CFO Act agencies did not have a CFO. However, OMB and the working group could have held the required minimum number of meetings regardless of OMB and agency vacancies, as evidenced by the seven meetings that were held in the midst of these vacancies. Further, according to OMB staff, aside from the first meeting led by the former Controller, all working-group meetings have been led by the Deputy Controller and other OMB staff, while the Controller position was vacant.", "Information sharing about controls, best practices, and data- analytics techniques. It is unclear whether OMB, as chair of the working group, documented working-group meetings or any work products that were developed to facilitate sharing information about financial and administrative controls, best practices for fraud management, and data- analytics techniques. OMB staff stated that they do not have documented minutes or notes from working-group meetings, but in August 2018 stated that they uploaded work products to the FRDAA federal community site on the MAX Information System website. However, apart from two screenshots of the MAX website provided to us in February 2018, which indicated that a fraud taxonomy was among the materials produced by the working group, we were not able to obtain documentation of these work products. We have previously reported that one key practice for enhancing and sustaining agency collaboration is using plans and reports to reinforce accountability for collaborative efforts. Without documented discussions, plans, or reports for these collaborative meetings, OMB is unable to share the lessons learned from the meetings with those who cannot attend, and does not have a record of the plans and actions that the working group has agreed to take. This documentation is also important to maintaining the continuity of the working group\u2019s initiatives when leadership changes occur within the agencies and OMB.", "With respect to the information that was shared at some of the initial working-group meetings, roundtable participants stated that the topics discussed were related to the interagency data library and the working- group plan required to be submitted to Congress, as OMB described in the May 2017 letter. For example, some participants confirmed that the first few meetings were spent discussing ways to establish a standard definition of fraud, the implementation plan due to Congress, and the difficulties agencies experience in sharing data. Our survey results indicate that most agencies identified the sufficiency of information coming from the working group as a great or moderate challenge in their efforts to implement FRDAA (see fig. 10).", "Roundtable participants also identified data access and sharing, and inter- and intra-agency communication and collaboration, as top challenges for implementing FRDAA. We have previously reported that collaborative mechanisms can be used for a range of purposes such as information sharing. Without participation in appropriately recurring working-group meetings and documentation to facilitate information sharing, agencies will continue to miss opportunities to learn from each other\u2019s experiences and share solutions for establishing financial and administrative controls to prevent, detect, and respond to fraud risks in their programs."], "subsections": []}, {"section_title": "FRDAA Implementation during Broader Reforms", "paragraphs": ["OMB has recently issued guidance on other government-wide reform and burden-reduction initiatives that could shape how agencies address FRDAA implementation, such as reforms that may change the structure of agencies and related programs or how agencies collect data used in managing fraud risks. These changes may present challenges and opportunities in establishing the fraud risk management practices outlined in the FRDAA. As examples of these recent reforms, in March 2017 the President issued an executive order requiring a proposed plan to reorganize executive branch agencies. In April 2017, OMB provided guidance to federal agencies for developing their reform and workforce- reduction plans, as required by the President\u2019s executive order. Executive Order 13781\u2014Comprehensive Plan for Reorganizing the Executive Branch\u2014and other recent administration actions prompted OMB to issue a memorandum (M-17-22), that required agencies to submit an agency reform plan to OMB by September 2017. These reform plans were part of the agencies\u2019 fiscal year 2019 budget submission to OMB that included long-term workforce reductions. In addition, OMB issued a memorandum (M-17-26) that required agencies to streamline reporting requirements\u2014 an initial effort at removing duplicative, outdated reporting requirements, with the goal of making the federal government more efficient and effective.", "In March 2018, OMB released the President\u2019s Management Agenda, which provided updated information on the status of government reorganization efforts and is connected with these reform efforts. The President\u2019s Management Agenda also identified a set of cross-agency priority goals, required under the GPRA [Government Performance and Results Act] Modernization Act of 2010, to target those areas where multiple agencies must collaborate to effect change and report progress in a manner the public can easily track. One of these collaborative efforts is focused on reducing the amount of dollars lost to taxpayers through improper payments, including payments resulting from fraud. In addition to the President\u2019s Management Agenda, OMB was required by the March 2017 executive order to develop a comprehensive government-wide reform plan, including, as appropriate, recommendations for both legislative proposals and administrative actions based on agency reform plans, OMB-coordinated crosscutting proposals, and public input.", "In June 2018, OMB released the government-wide reform plan, which consists of government-wide reorganization and reform proposals with the goal of increasing focus on integrated mission, service, and stewardship delivery. While it is too early to tell whether or how all of these reforms will affect agencies\u2019 efforts to implement FRDAA, we have previously reported that OMB and agencies can leverage these broader reform efforts to address the high-risk areas and government-wide challenges that present vulnerabilities to fraud, waste, abuse, and mismanagement, or are in need of transformation. We surveyed the 72 agencies about whether their plans to implement reforms have had an effect on their efforts to implement FRDAA. About 83 percent of the agencies surveyed reported that they did not address aspects of their fraud risk management in their agency reform plans. Further, OMB reported to us that these plans are still evolving, and have not yet been finalized. However, as we have previously reported, OMB and agencies can consider whether (1) the agency has addressed ways to decrease the risk of fraud, waste, and abuse of programs as part of its proposed reforms and (2) the size of the workforce or resources dedicated to fraud risk management activities may be affected by any of the organizational reforms or efforts to reduce burden, and to make decisions with these considerations in mind."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Fraud is one contributor to financial and nonfinancial risks that cost taxpayers dollars, threaten national security, or put consumers at risk. Therefore, agencies must take a more-rigorous preventive approach to managing the risk of fraud in their programs. Compliance with FRDAA provisions can support these efforts. We recognize that effective implementation of the act will take time, and each program and agency may evolve at a different pace. While a small number of agencies reported being mature in their implementation of FRDAA activities, most are in the process of developing key fraud risk activities, and others have yet to start developing them. Wherever agencies fall on this spectrum, it is important that they continue taking actions to enhance their ability to prevent, detect, and respond to fraud risks in their programs and operations.", "OMB plays an important role in supporting agencies\u2019 efforts to manage fraud risks by providing clear guidelines and facilitating agencies\u2019 involvement with the working group. OMB has taken steps to assist agencies, such as updating ERM guidelines and chairing working-group meetings, but improvements to these efforts could better facilitate agencies\u2019 abilities to implement the act. Specifically, agencies reported the need for additional guidance and clarity on the actions they should take to effectively establish the required controls and report their progress on implementation of the act\u2019s requirements, uncertainty about the difference between ERM and FRDAA requirements, and the need for more involvement and information from the working group. With enhanced guidelines from OMB and improvements to collaboration, agencies would be better positioned to improve controls and procedures to assess and mitigate fraud risks, as FRDAA intends.", "Promoting the oversight and accountability of agency fraud risk activities through reporting is an important aspect of congressional oversight, as agencies enhance their fraud risk management controls. However, the progress reports submitted by agencies as part of their annual financial reports were incomplete and lacked detailed information to effectively inform Congress of agencies\u2019 implementation status. Further, agencies are only required to report their progress in implementing the requirements of FRDAA through fiscal year 2019. However, it is not clear that more-complete information will be reported by then. Until OMB provides additional guidelines directing agencies to report more-complete and more-detailed information related to both financial and nonfinancial risks, agencies may continue to produce incomplete information on their fraud risk management activities. Requiring agencies to report on the progress of their implementation efforts beyond 2019 could better position Congress to ensure oversight and accountability."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration.", "Congress should consider extending the requirement in FRDAA for agencies to report on their implementation of fraud controls, identification of fraud risks, and strategies for mitigating them, beyond the current 2019 expiration. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to OMB:", "The Director of OMB should enhance the guidelines for agencies to establish the controls required by FRDAA, by clarifying the difference between FRDAA and ERM requirements, and through collaboration with agencies to determine what additional information agencies need to implement the controls. (Recommendation 1)", "The Director of OMB should enhance FRDAA reporting guidelines by directing agencies to report complete and detailed information on each of the reporting elements specified by FRDAA, which should include information related to financial and nonfinancial fraud. (Recommendation 2)", "The Director of OMB should ensure the working group\u2019s composition meets FRDAA requirements by involving the CFO of all agencies subject to the act by inviting them to participate or otherwise providing access and input into the working group, and ensure that mechanisms to share controls, best practices, and data-analytics techniques are in place. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to OMB for review and comment. OMB staff provided oral comments that disagreed with our three recommendations, which we summarize below. OMB staff also provided technical comments that we incorporated as appropriate.", "OMB disagreed with our first recommendation that it should enhance the guidelines for agencies to establish the controls required by FRDAA by clarifying the difference between FRDAA and ERM requirements, and through collaboration with agencies to determine what additional information agencies need to implement the controls. According to OMB staff, Circular A-123 incorporates all of the guidance that agencies need to implement FRDAA and, outside of the current guidance in Circular A- 123 which OMB staff stated incorporates both GAO\u2019s Standards for Internal Control and GAO\u2019s Fraud Risk Framework, agencies are in the best position to make decisions about how they should implement FRDAA. Further, OMB staff stated that they did not believe that our survey of the 72 agencies and the roundtable with the 14 agencies provided sufficient evidence that a change in their guidance is needed because these responses are based on agencies\u2019 opinions.", "While Circular A-123 contains a section on Managing Fraud Risks in Federal Programs, we identified important limitations to that section of guidance in our report. In its comments on our report, OMB staff stated that other parts of Circular A-123 provide guidance on FRDAA requirements. These sections of Circular A-123 existed prior to FRDAA and therefore, were not developed in response to FRDAA\u2019s requirement that OMB establish guidelines for agencies. Our review of Circular A-123 found that there are some references to managing fraud risks that are in alignment with the financial and administrative controls identified in FRDAA, and therefore we incorporated that additional information into our report. However, as we reported, agencies stated that they needed additional guidance on how to effectively establish the controls required by FRDAA. OMB was required by FRDAA to establish guidelines. Specifically, lack of guidance and unclear requirements were identified as top challenges during the roundtable discussion, and the sufficiency of OMB\u2019s guidelines was a challenge for 40 percent of the agencies we surveyed. OMB staff stated that they did not believe that our survey and roundtable results are sufficient evidence to warrant a change in their guidance because these responses are based on agencies\u2019 opinions. However, because the purpose of OMB\u2019s guidance is to assist agencies in implementing the administrative controls required by FRDAA, agencies\u2019 experiences and perspectives on the sufficiency of the guidance is an essential part of assessing its effectiveness. Therefore, we reiterate the positions expressed by many agencies that they do not have sufficient guidance on implementing FRDAA requirements related to the establishment of financial and administrative controls. As a result, our recommendation on improving this guidance is still warranted.", "OMB also disagreed with our second recommendation that it should enhance FRDAA reporting guidelines by directing agencies to report complete and detailed information on each of the reporting elements specified by FRDAA, which should include information related to financial and nonfinancial fraud. According to OMB staff, Circular A-136 is sufficient guidance because it includes the requirements stated in FRDAA, and incorporating this guidance into Circular A-136 was not a requirement of the act. Although not required by FRDAA, OMB\u2019s guidance to agencies on FRDAA reporting is important because these reports can be used to evaluate agency efforts to make changes to their processes and policies. OMB Circular A-136 establishes reporting guidance for executive branch entities required to submit agency financial reports, among other things. Agencies were required to report on their progress implementing FRDAA in these reports. However, FRDAA provides high-level information on what should be included in agency reports, not operational guidance on how to address the reporting requirements, which is typically outlined in executive guidance to agencies. Consequently, the initiative that OMB took to provide guidance on FRDAA in Circular A-136 was an important step in the right direction. However we found that the 24 CFO Act agencies\u2019 annual financial reports for 2017 were incomplete and lacked details, which can be attributed in part to the limited guidance provided by OMB. We found that 31 percent of surveyed agencies indicated that reporting on FRDAA progress was a great or moderate challenge. The agency reporting requirement was intended to help Congress monitor the progress made by agencies in addressing and reducing fraud risks, including the success and failures of the guidelines created by OMB as a result of the act. Therefore, our recommendation to improve OMB\u2019s reporting guidelines is still appropriate.", "OMB also disagreed with our third recommendation that it should ensure that the FRDAA working group\u2019s composition meets the act\u2019s requirements by involving the CFO of all agencies subject to the act by inviting them to participate or otherwise providing access and input into the working group, and ensuring mechanisms to share controls, best practices, and data-analytics techniques are in place. According to OMB staff, they disagreed because they believe that OMB provided an opportunity for all agencies to attend the working group meeting and they have held four working group meetings in 2018. However, evidence submitted by OMB throughout our review and agencies\u2019 responses to our survey indicate that not all agencies had the opportunity to participate in the working group. The working group was required to include the CFOs of every agency subject to FRDAA, including those that are not subject to the CFO Act. However, 71 percent of non\u2013CFO Act agencies were not at all familiar with the working group, and ninety percent did not have a designated person or entity that participated in the working group, according to our survey. Moreover, 21 percent of CFO Act agencies, which represent the largest federal agencies, were not at all familiar with the working group, and 29 percent did not have a designated person or entity that participated in it, according to our survey results, as of March 2018. To ensure that we obtained information from the right contacts regarding agency participation, we surveyed the CFO or the CFO\u2019s designee of each agency subject to FRDAA. During our audit, OMB indicated that it did not have a list of CFO contacts for all agencies subject to the act, and requested that we share our list of contacts. We have agreed to do so consistent with our protocols, upon public release of the report. Given our findings, our recommendation for OMB to ensure that every agency is then given the opportunity to participate is still warranted.", "Our survey results also indicated that most agencies identified the sufficiency of information coming from the working group as a great or moderate challenge in their efforts to implement FRDAA. Further, OMB staff stated that they do not have documented minutes or notes from working-group meetings. As we stated in our report, without documented discussions, plans, or reports for these collaborative meetings, OMB is unable to share the lessons learned from the meetings with those who cannot attend, and does not have a record of the plans and actions that the working group has agreed to take. This documentation is also important to maintaining the continuity of the working group\u2019s initiatives when leadership changes occur within the agencies and OMB. As we previously noted, without participation in working-group meetings and documentation to facilitate information sharing, agencies will continue to miss opportunities to learn from each other\u2019s experiences and share solutions for establishing financial and administrative controls to prevent, detect, and respond to fraud risks in their programs. Therefore, we believe that our recommendation on ensuring mechanisms are in place to share controls, best practices, and data-analytics techniques is still warranted. Finally, although OMB did not hold the required number of meetings per year in 2017, it has done so for fiscal year and calendar year 2018, as of November 2018. Therefore, we modified our recommendation to reflect the new actions taken.", "We are sending copies of this report to appropriate congressional committees and OMB. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Rebecca Shea at (202) 512-6722 or shear@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report reviews agencies\u2019 and the Office of Management and Budget\u2019s (OMB) efforts to implement the Fraud Reduction and Data Analytics Act of 2015 (FRDAA). Specifically, it examines (1) federal agencies\u2019 progress and challenges in implementing fraud risk management practices, including those required by FRDAA, and (2) the extent to which OMB has taken steps that complied with FRDAA requirements and that facilitated agencies\u2019 implementation of the act. To address both of these objectives, we developed and implemented a government-wide survey of agencies subject to the act, conducted a roundtable discussion with selected agencies, reviewed the 24 Chief Financial Officer (CFO) Act agencies\u2019 annual financial reports, interviewed staff from OMB, the CFO Council and the Council of the Inspectors General on Integrity and Efficiency, and reviewed relevant OMB circulars and documents."], "subsections": [{"section_title": "Survey", "paragraphs": [], "subsections": [{"section_title": "Determination of Executive Branch Agencies Subject to FRDAA", "paragraphs": ["To determine which agencies were subject to FRDAA and subsequently surveyed, we first sent information requests to 93 federal executive branch entities to determine whether their organization met the definition of \u201cagency\u201d in 5 U.S.C. \u00a7 551(1). FRDAA requires the CFO of each agency to be a member of the FRDAA working group. Therefore we identified each entity\u2019s CFO or equivalent using publicly available websites. We sent an email to the 93 entities\u2019 CFO or equivalent and GAO liaison, if present, to notify the agency that we planned to administer a government-wide survey related to the act and requested that an official from the entity\u2019s Office of the General Counsel confirm whether the entity is an \u201cagency\u201d as defined in 5 U.S.C. \u00a7 551(1). If the CFO was not the official who was most appropriate to answer our survey about activities related to the act, we requested that the agency identify who should receive our survey. Of these 93 entities, 72 indicated they met this definition of agency, 20 reported that they did not, and 1 entity, the Central Intelligence Agency, did not respond. See table 1 for a list of the 72 executive branch agencies that identified themselves as being subject to the act."], "subsections": []}, {"section_title": "Survey Questionnaire Development", "paragraphs": ["To improve the response rate of agencies receiving our survey, while mitigating respondent burden and reducing total survey error, we developed the survey using a variety of quality-assurance techniques. Survey error can arise from population coverage, measurement, nonresponse, and processing errors associated with questionnaire surveys. GAO survey specialists determined survey design parameters and developed, tested, revised, and finalized the questionnaire, in consultation with subject-matter experts on the engagement team. The survey design parameters included population coverage, mode of administration, respondent communication methods, and protection from disclosure of identifiable information.", "To reduce measurement error, we pretested the questionnaire with selected agency representatives using cognitive interviewing techniques, such as nondirective probing of answers and asking respondents to think aloud when formulating answers. This process allowed us to determine whether questions were understood and answered as intended. Specifically, pretests examined respondent issues related to comprehension of the questions, ability to accurately respond to the questions, perceptions of bias in the questions or scales, and completeness of answer responses. For example, during pretesting we probed respondents on whether our scales were appropriately balanced, and whether individual questions were likely to be applicable to all respondents. We conducted pretests over the phone with CFOs or other FRDAA designated officials from three types of agencies for a total of six agencies: two executive-department CFO Act agencies; two CFO Act agencies that are not executive departments, and two non-CFO Act agencies that are not executive departments. As a result of these pretests, we made modifications to question wordings, scale categories, and other response options to improve respondent comprehension, reduce respondent burden, and mitigate risks of inaccurate or biased responses.", "An additional survey specialist, who had not been involved in the development of the questionnaire, also reviewed the questionnaire. We then modified the questionnaire based on suggestions made by the reviewer and subject-matter experts. The final version of the questionnaire was copy edited for grammatical and editorial errors.", "The final questionnaire included questions designed to capture information about FRDAA implementation government-wide and obtain a high-level status update of agencies\u2019 implementation of the act including, but not limited to, the steps agencies had taken since the enactment of the act, fraud risk management activities, challenges they have experienced implementing FRDAA, and their perspectives about OMB\u2019s support of these efforts. It was composed of questions with predetermined answer choices (closed-ended questions) and questions without predetermined answer choices requiring written response (open- ended questions). See appendix II for survey questions and frequencies of agencies\u2019 responses."], "subsections": []}, {"section_title": "Survey Administration", "paragraphs": ["To administer the survey, we emailed each agency a fillable PDF questionnaire. We fielded the survey from January 18, 2018, through March 27, 2018. To follow up with agencies that did not respond to the initial notice, we emailed or called multiple times to encourage survey participation or provide technical assistance, as appropriate. We received usable questionnaire responses from all 72 agencies, for a response rate of 100 percent. Because this survey was sent to all agencies that were identified as being subject to FRDAA, there is no error as a result of sampling, and results cover the entire population. However, the practical difficulties of conducting any survey may also introduce other types of errors, commonly referred to as nonsampling errors. For example, difficulties in how a particular question is interpreted, in the sources of information available to respondents, or in how the data were entered into a database or analyzed can introduce unwanted variability into the survey results. With this survey, we took a number of steps to minimize these nonsampling errors. For example, our staff with subject-matter expertise designed the questionnaire in collaboration with our survey specialists, and all questions were cognitively pretested with knowledgeable respondents. When the survey data were received from agencies and analyzed, a second independent analyst on our staff verified the analysis programs to ensure the accuracy of the code and the appropriateness of the methods used for the computer-generated analysis. Since this was an electronic survey, respondents entered their answers directly into the questionnaire, thereby mitigating the need to have the data keyed into a database, thus avoiding a source of data-entry error."], "subsections": []}]}, {"section_title": "Roundtable Discussion", "paragraphs": ["To collect information about agencies\u2019 experiences implementing FRDAA, we also facilitated a roundtable discussion with selected agencies subject to FRDAA that had completed the survey. The purpose of the roundtable discussion was to obtain agency officials\u2019 perspectives on the strategies and activities used to establish fraud controls and related fraud risk management activities; the guidance and resources used to facilitate the implementation of FRDAA; their challenges in implementing FRDAA; and potential solutions to improve implementation of the act, including any additional guidance or resources that may be useful to implementing the act.", "We randomly selected and invited a diverse group of agencies that are subject to FRDAA. We planned for a group of agencies that were diverse in terms of the following: 1. agency type, such as whether the agency was a CFO Act agency, an executive department or non\u2013executive department, and membership in the Small Agency Council; and 2. FRDAA implementation status as indicated by their responses to two survey questions. These two survey questions were \u201coverall, what is the status of your agency-wide efforts to implement FRDAA\u201d and \u201cas of today, does your agency do the following to manage fraud risk at the agency-wide level.\u201d We used the survey responses to divide agencies into two groups, a more-mature implementation group and a less-mature implementation group.", "We invited a total of 27 agencies to participate in our roundtable, an initial group of 20 agencies and 7 backup agencies. Fourteen agencies attended our roundtable: six executive-department CFO Act agencies; two CFO Act agencies that are not executive departments; and six Small Agency Council member agencies. Agency representatives included agency officials with responsibility for antifraud activities, including either the agency\u2019s CFO, Chief Risk Officer, or other staff responsible for fraud risk management activities.", "The roundtable discussion was held March 26, 2018, and included three sessions: an opening session, a breakout session, and a closing session. In the opening session, all 14 of the roundtable participants were given an overview of our researchable questions and the agenda for the day. Then the agencies were split into two breakout groups based on their response to our survey questions about the maturity of their implementation of FRDAA. In the two breakout groups, roundtable participants discussed the guidance and resources they used for implementation of the act, their approaches used for implementation of the act, and the strategies and challenges associated with implementation of the act. In each breakout group, roundtable participants identified and voted on their top challenges in implementing FRDAA. After the breakout session, GAO facilitators and subject-matter experts on the engagement team then met to create a new list of the top voted challenges of both groups as well as any crosscutting challenges. Finally, in the closing session, all 14 agencies came back together to recap the breakout discussions and have a broader discussion about experiences of successful implementation and potential solutions to improve implementation, including any additional guidance or resources that may be useful to implementing the act. Roundtable participants identified and voted on their top challenges to implementing FRDAA. These results are not generalizable to agencies beyond the 14 that participated."], "subsections": []}, {"section_title": "Fiscal Year 2017 Annual Financial Reports", "paragraphs": ["To further assess steps that agencies have taken to implement fraud risk management practices, as required by FRDAA, we also reviewed the fiscal year 2017 annual financial reports for the 24 agencies subject to the CFO Act. FRDAA required agencies to report to Congress on the status of their efforts to implement financial and administrative controls that incorporate leading practices from GAO\u2019s Fraud Risk Framework, identify fraud risks, and establish strategies to mitigate fraud in these reports. We selected these 24 agencies because they were known at the time of our selection to be agencies that were subject to FRDAA, and are estimated to account for over 99 percent of the government-wide improper payments in fiscal year 2015. These agencies also are required to submit their reports directly to GAO. We conducted a content analysis to determine the completeness and quality of the information provided in these reports related to these FRDAA requirements.", "Because content analysis relies on the judgment of coders to determine whether qualitative data reflects particular categories, we took several steps to ensure that this judgment remained objective, accurate, and consistent. Prior to beginning the content analysis, we worked with subject-matter and legal experts to develop a codebook and definitions for the different kinds of information that FRDAA requires agencies to report, as well as supplemental coding categories related to leading practices in fraud risk management identified in our framework. In order to test the clarity of these codes, we had four independent analysts pretest the content analysis on two annual financial reports, and found high levels of interrater reliability. Specifically, each of the categories had at least 95 percent agreement between coders. As a result to this pretest, minor changes were made to the category definitions.", "We used two independent coders within GAO to ensure consistent judgment of categories. For the content analysis, each of the 24 annual financial reports was coded by two independent analysts, including one subject-matter expert familiar with fraud risk management and another familiar with each of the CFO Act agencies. Agreement among coders exceeded 99 percent across all of the coding categories. On the basis of this high level of agreement between coders, we are confident that our content analysis represents an objective, accurate, and consistent assignment of these coding categories. Because these coding categories would be further reviewed in making our determinations about completeness and detail, we decided to resolve any intercoder disagreements by keeping all coded material for that review.", "To assess the completeness of agencies\u2019 reporting on FRDAA implementation, we broke out the unique requirements in each of the three broad categories outlined in FRDAA\u2019s reporting requirements. As a result, our analysis included an assessment of 11 coding categories, which are listed with their definitions in table 2 below. An element was considered present if the corresponding code was applied one or more times in the annual financial reports, and missing if the corresponding code was applied zero times. Each annual financial report was then categorized into one of four categories of completeness, based on these assessments: 1. Fully complete: agencies with reports that contained information on all 11 elements. 2. Mostly complete: agencies with reports that contained information on 6\u201310 elements. 3. Partially complete: agencies with reports that contained information on 1\u20135 elements. 4. Not at all complete: agencies with reports that contained information on 0 elements.", "In addition to assessing whether the annual financial report contained these elements, as required by FRDAA, we also reviewed the content of each of these coding categories, as well as additional categories related to leading practices in fraud risk management. In order to demonstrate the range of the quality and level of detail provided for each element, and for the overall reporting on fraud risk management efforts, we reviewed the specific coded excerpts in NVivo for each agency and summarized the level of detail, length, and other observations specific to each category.", "To address our second objective, determining the extent to which OMB has taken steps that complied with FRDAA requirements and that facilitated agencies\u2019 implementation of the act, we reviewed relevant documents produced to support the implementation of FRDAA. We also assessed the extent to which the guidelines were consistent with leading practices from the Fraud Risk Framework and the Standards for Internal Control in the Federal Government.", "To determine the extent to which OMB has taken steps that complied with FRDAA requirements and facilitated agencies\u2019 implementation of the act, we did the following: 1. We interviewed staff from OMB\u2019s Office of Federal Financial Management and Office of Personnel and Performance Management regarding their development of guidelines, the working group, and any challenges OMB may have experienced while implementing the act\u2019s requirements, to determine the extent to which OMB\u2019s efforts to facilitate agency implementation of the act were viewed as helpful by agencies. 2. We reviewed relevant memorandum, circulars, and other OMB documents including Circular A-123, Management\u2019s Responsibility for Enterprise Risk Management and Internal Control, and Circular A-136, Financial Reporting Requirements, and compared these with the requirements for OMB outlined in FRDAA. 3. We evaluated agencies\u2019 perspectives and experiences using OMB\u2019s guidelines and other initiatives to implement the act by assessing our survey responses, annual financial-report analysis, and roundtable discussion for responses related to OMB guidelines and other efforts, and related strengths and challenges. 4. We also interviewed officials from the CFO Council and Council of the Inspectors General on Integrity and Efficiency to get a broader opinion about the effectiveness of OMB and agency efforts to implement FRDAA.", "We conducted this performance audit from August 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Results of GAO\u2019s Survey on Agencies\u2019 Implementation of the Fraud Reduction and Data Analytics Act of 2015", "paragraphs": ["To obtain information about the extent to which executive branch agencies have taken steps required by the Fraud Reduction and Data Analytics Act of 2015 (FRDAA), we identified 72 agencies subject to the act and surveyed these agencies about their fraud risk management practices and related challenges. We received responses from all 72 agencies, for a response rate of 100 percent. The questions we asked in our survey and the percentage of agencies\u2019 responses are shown below. Our survey was composed of questions with predetermined answer choices (closed-ended questions) and questions without predetermined answer choices requiring written response (open-ended questions). In this appendix, we include all survey questions and results of responses to the closed-ended questions; we do not provide information on responses to open-ended questions.", "The tables below represent the percentage of agencies\u2019 responses to the close-ended questions. The percentages we report are rounded to the nearest whole number. For a more-detailed discussion of our survey methodology, see appendix I.", "Survey question 13: What other information, if any, should GAO know about your agency\u2019s efforts to implement FRDAA or manage fraud risks? (open-ended response)", "Survey question 14: Do you have any additional explanations for your answers or comments on any of the issues in this questionnaire? (open-ended response)", "Survey question 15: Please enter the contact information for the primary person who completed this survey. (open-ended response)"], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Latesha Love (Assistant Director); Georgette Hagans (Analyst in Charge); Sarah Cantatore, Joy Kim, Grant Mallie, James Murphy, Eve Nealon, Steven Putansu, Kristen Timko, and Shana Wallace made key contributions to this report. Other contributors include Marcus Corbin, Carrie Davidson, Colin Fallon, Barbara Lewis, and Maria McMullen."], "subsections": []}]}], "fastfact": ["Fraud in federal programs can erode public trust in government. We reviewed what the Office of Management and Budget and agencies are doing to manage fraud risk.", "We found that OMB established a working group and held meetings to help agencies share fraud risk management practices. However, the group did not meet as often as required in 2017 and not all relevant agencies were involved.", "Most agencies we surveyed had started implementing required fraud risk management activities, but reported needing more involvement and information from the working group.", "We recommended 3 ways to improve compliance with fraud risk management requirements."]} {"id": "GAO-18-119", "url": "https://www.gao.gov/products/GAO-18-119", "title": "Southwest Border Security: Border Patrol Is Deploying Surveillance Technologies but Needs to Improve Data Quality and Assess Effectiveness", "published_date": "2017-11-30T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The southwest border has long been vulnerable to cross-border illegal activity. In fiscal year 2016, Border Patrol apprehended over 409,000 illegal entrants. Border Patrol has employed a variety of land-based surveillance technologies to assist in securing the border. GAO has reported regularly on CBP's progress and challenges deploying surveillance technologies.", "GAO was asked to review CBP's use of surveillance technology. This report examines (1) the deployment status of surveillance technology programs and the extent to which CBP has developed plans for future technology deployments and (2) what data are available on the contributions of deployed technologies to CBP's border security efforts and the extent to which CBP has assessed technology performance.", "GAO analyzed technology program documents; interviewed CBP and Border Patrol officials; and conducted site visits to Arizona and south Texas to observe the operation of various land-based technologies. We selected these locations because CBP has deployed or has plans to deploy a mix of technologies there, among other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Border Patrol, within the Department of Homeland Security's (DHS) U.S. Customs and Border Protection (CBP), has made progress deploying surveillance technology along the southwest U.S. border under its 2011 Arizona Technology Plan (ATP) and 2014 Southwest Border Technology Plan. The ATP called for deployment of a mix of radars, sensors, and cameras in Arizona; the 2014 plan expanded these deployments to the rest of the southwest border. As of October 2017, Border Patrol had completed the planned deployment of select technologies to Arizona, Texas, California, and New Mexico. For example, in Arizona, Border Patrol deployed all planned Remote Video Surveillance Systems (RVSS) and Mobile Surveillance Capability (MSC) systems, and 15 of 53 planned Integrated Fixed Tower (IFT) systems. Border Patrol also deployed all planned MSC systems to Texas, California, and New Mexico and completed contract negotiations to deploy RVSS to Texas. These technology programs have experienced delays, but are currently on track against revised program schedules and cost baselines. To plan for future technology deployments, Border Patrol reports it will use its Requirements Management Process (RMP)\u2013\u2013a process designed to facilitate planning by, among other things, identifying capability gaps and collecting agents' feedback\u2013\u2013and other initiatives. Border Patrol is currently developing written guidance for the RMP to ensure station officials understand their roles and responsibilities in the process.", "Border Patrol agents collect and report data on asset assists, which are instances in which technologies or other assets (such as canine teams) contributed to an apprehension or seizure; however, Border Patrol has not provided sufficient guidance to ensure the accuracy and reliability of that data. For example, agents incorrectly attributed some apprehensions or seizures to certain technologies rather than others. Stations in the Rio Grande Valley sector recorded assists from IFTs in about 500 instances from June through December 2016; however, this sector does not have IFTs. Data integrity and quality checks are the responsibility of individual sectors, but Border Patrol has provided limited guidance on how to ensure data quality. Without sufficient guidance to ensure the quality of asset assist data, Border Patrol is limited in its ability to determine the mission benefits of its surveillance technologies and use information on benefits to inform resource allocation decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Border Patrol issue guidance to improve the quality and usability of its asset assist information. DHS concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The southwest border of the United States has long been vulnerable to cross-border illegal activity. Within the Department of Homeland Security (DHS), U.S. Customs and Border Protection\u2019s (CBP) U.S. Border Patrol (Border Patrol) is the federal agency responsible for securing the national borders between U.S. ports of entry. According to Border Patrol data, total apprehensions of illegal entrants across the southwest border increased from about 331,000 in fiscal year 2015 to about 409,000 in fiscal year 2016.", "Border Patrol has employed a variety of land-based surveillance technologies to assist in securing the border and apprehending individuals attempting to cross the border illegally. In November 2005, DHS launched the Secure Border Initiative, which was responsible for developing a comprehensive border protection system based on tower- mounted radar and camera technologies, known as the Secure Border Initiative Network (SBInet). By 2010, at a cost of about $1 billion, CBP had deployed 15 SBInet tower systems along 53 miles of Arizona\u2019s 387- mile border with Mexico. However, in January 2011, in response to internal and external assessments that identified concerns regarding the performance, cost, and schedule for implementing the systems, the Secretary of Homeland Security announced the cancellation of future SBInet systems. That same month, CBP introduced the Arizona Border Surveillance Technology Plan (ATP) for deploying technology along the remainder of the Arizona border. The ATP was based on a mix of fixed and mobile technology systems, including radars, sensors, and cameras that could be tailored to the varying terrain and operating conditions along the border to help provide security for the remainder of the Arizona border. In June 2014, CBP developed a separate plan that incorporated the ATP and extended land-based surveillance technology deployments to the remainder of the southwest border\u2014the Southwest Border Technology Plan.", "Over the years, we have reported on the progress DHS has made and challenges it has faced in implementing its border security efforts. More specifically, in November 2011 we reported on DHS\u2019s planning efforts related to the ATP and found that CBP did not have the information needed to fully support and implement the plan. Among other things, we recommended that CBP ensure the underlying analyses of the plan were documented in accordance with DHS guidance and internal control standards, develop and apply key attributes for metrics to assess program implementation, and conduct a post-implementation review and operational assessment of SBInet. DHS concurred with these recommendations and has taken action toward addressing some of them, as we discuss later this in report. In March 2014, we reported on DHS\u2019s progress in deploying land-based surveillance technologies under the ATP and efforts to assess the contributions of those technologies to border security. We found, among other things, that CBP\u2019s schedules and life-cycle cost estimates reflected some, but not all, best practices, and CBP had not developed an Integrated Master Schedule for the ATP. We recommended that CBP apply scheduling best practices, and verify life- cycle cost estimates, among other things. DHS concurred with some, but not all, of these recommendations, and has taken action toward addressing some of them, as we discuss later in this report.", "You asked us to review the status of DHS\u2019s efforts to implement the Southwest Border Technology Plan. This report addresses the following two questions: 1. What is the deployment status of the technology programs under the Southwest Border Technology Plan, and to what extent has CBP developed plans for future technology deployments? 2. What data are available on the contributions of the deployed technologies to CBP\u2019s border security efforts, and to what extent has CBP assessed the technologies\u2019 performance?", "To determine the deployment status of the technology projects under the Southwest Border Technology Plan and the extent to which CBP has developed plans for future technology deployments, we analyzed DHS and CBP documents and interviewed CBP officials regarding the technology programs\u2019 costs and schedules. We focused on the plan\u2019s three highest-cost technology programs\u2014the Integrated Fixed Tower (IFT), Remote Video Surveillance System (RVSS), and Mobile Surveillance Capability (MSC). As part of our work, we reviewed key planning and funding documents, including acquisition decision memos for these programs and relevant DHS acquisition management policies and processes. We analyzed CBP\u2019s revised schedules and cost estimates for these programs and compared them against the originally planned baselines for the selected technologies. As discussed in this report, we also identified technology deployment challenges that CBP was experiencing in testing, procuring, deploying, and operating technologies in the Southwest Border Technology Plan. We analyzed relevant documents and interviewed program officials from the Border Patrol\u2019s Program Management Office Directorate (PMOD) about the causes of those challenges, the associated risk of program delays, and their plans to manage those risks. Further, we interviewed CBP officials and analyzed documents to determine the progress CBP and DHS have made in implementing prior GAO recommendations to improve management of surveillance technology programs.", "In addition, we conducted site visits to Arizona in November 2016 and April 2017 and to south Texas in March 2017. During these site visits, we observed border surveillance operations, interviewed Border Patrol agents operating technologies, and discussed agents\u2019 experiences utilizing the technologies. In Arizona, we visited five Border Patrol stations within the Tucson sector\u2014Ajo, Brian A. Terry, Douglas, Nogales, and Tucson stations. We also conducted telephone interviews with officials from two additional stations within the Tucson sector\u2014Casa Grande and Sonoita\u2014and from the Yuma sector. We selected the Tucson and Yuma sectors because CBP has deployed a mix of technologies there and we selected specific stations in order to observe a variety of those technologies. To learn about CBP\u2019s planning for border surveillance technologies along the south Texas border, we visited four Border Patrol stations within the Rio Grande Valley sector\u2014McAllen, Rio Grande City, Weslaco, and Harlingen stations. We selected the Rio Grande Valley sector and stations within that sector because Border Patrol determined that the capability gaps in these stations constituted a critical vulnerability to border security, among other factors. While the information we obtained from interviews with officials in these sectors cannot be generalized to all Border Patrol sectors or stations within these sectors, the interviews provided important insights on Border Patrol\u2019s process for identifying border surveillance technology needs and Border Patrol\u2019s current plans for technology deployments in each area of responsibility. To assess Border Patrol\u2019s process for identifying what land-based surveillance technologies it plans to deploy in the future, we reviewed relevant documentation from the Border Patrol Operational Requirements Management Division, which is responsible for executing Border Patrol\u2019s Requirements Management Process (RMP) and deploying technologies along the southwest border.", "To determine what data are available on the contributions of the deployed land-based surveillance technologies to CBP\u2019s border security efforts and the extent to which CBP assessed the technologies\u2019 performance, we analyzed available data from DHS\u2019s Enforcement Integrated Database (EID) on apprehensions, seizures, and other events and their corresponding asset assists. Specifically, we analyzed data from fiscal years 2015 through May 3, 2017 (the most current years for which data were available) on asset assists in order to determine which assets have contributed the most to Border Patrol\u2019s activities. We reviewed Border Patrol\u2019s processes for ensuring the reliability and completeness of these data and compared those processes to standards set forth in Standards for Internal Control in the Federal Government. We report on the reliability of those data later in this report. We also reviewed available reports on technology testing and performance, including operational assessments and post-implementation reviews. Additionally, we visited Border Patrol stations within the Tucson sector, as discussed earlier, to gather agent perspectives on the impacts technologies have had on mission effectiveness, the extent to which agents\u2019 feedback during user testing has been incorporated into the final deployed systems, and the extent to which technologies have met requirements once deployed. We interviewed program officials from the Border Patrol\u2019s PMOD to determine what actions have been taken, or were planned, in order to address deficiencies identified in testing or raised by users for each technology. We also interviewed Border Patrol headquarters officials with responsibilities for collecting and using asset assist and other related data, including officials from the Strategic Planning and Analysis Directorate.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Border Patrol Organization", "paragraphs": ["Border Patrol has divided geographic responsibility for the southwest border among nine sectors, as shown in figure 1.", "Each sector has a varying number of stations, which serve as bases of operation for agents, and agents are responsible for patrolling within defined geographic areas\u2014known as areas of responsibility. Border Patrol uses a variety of land-based surveillance technologies under the Southwest Border Technology Plan to assist its efforts to secure the border by interdicting illicit cross-border activity and apprehending individuals attempting to cross the border illegally. Border Patrol is responsible for planning, acquiring, and deploying that technology along the southwest border. Border Patrol\u2019s PMOD executes the acquisition and procurement of Border Patrol systems, supplies, and services, including current and planned technology deployments along the southwest border, which was previously conducted by CBP\u2019s Office of Technology Innovation and Acquisition. CBP has an Office of Acquisitions that performs oversight."], "subsections": []}, {"section_title": "Southwest Border Technology Plan", "paragraphs": ["As noted above, the 2014 Southwest Border Technology Plan incorporated the 2011 Arizona Technology Plan and included plans to extend land-based surveillance technology deployments beyond Arizona to the remainder of the southwest border, beginning with selected areas in Texas and California. Border Patrol developed the Southwest Border Technology Plan using a two-step process. First, the Homeland Security Studies and Analysis Institute conducted an analysis of alternatives, which analyzed five technology options in 13 representative areas along the southwest border, identified the types of environmental conditions under which a given technology option might be more effective or less effective, and provided a general overview of the cost and effectiveness tradeoffs between the technologies. For example, the analysis of alternatives noted that IFTs are potentially effective if vegetation is sufficiently sparse and terrain is flat or rolling, such as in the Ajo station area of responsibility (see figure 2). However, according to Border Patrol officials, the IFT\u2019s radar capabilities may not be suited for urban environments, where illegal crossers and narcotics traffickers can blend in with the legitimate traffic. In some of these locations, such as the Nogales port of entry, Border Patrol has determined that the RVSS is more effective.", "Second, Border Patrol developed a technology deployment plan that identified the types and quantities of each technology needed for each sector. To develop this plan, Border Patrol officials reviewed the results of the analysis of alternatives and considered each sector\u2019s operational conditions, including patterns of traffic, terrain, infrastructure, weather, available resources, and challenges. For example, Border Patrol selected MSC units for Arizona\u2019s Tucson and El Centro sectors, but not for Texas\u2019s Rio Grande Valley sector because the radar was less effective in the dense vegetation of south Texas, an example of which is shown in figure 3.", "Figure 4 shows the border surveillance technology systems included in the Southwest Border Technology Plan."], "subsections": []}, {"section_title": "DHS\u2019s Acquisition Life Cycle", "paragraphs": ["Border Patrol follows DHS\u2019s acquisition policy to acquire planned technologies under the Southwest Border Technology Plan. DHS\u2019s overall policy for acquisition management is outlined in Acquisition Management Directive 102-01 and its associated Instructional Manual 102-01-001. DHS\u2019s Under Secretary for Management (USM) is currently designated as the department\u2019s Chief Acquisition Officer and, as such, is responsible for managing the implementation of the department\u2019s acquisition policies and acting as the acquisition decision authority for the department\u2019s largest acquisition programs. Within DHS, the USM is supported by the Office of Program Accountability and Risk Management (PARM), which is responsible for overseeing the acquisition process and assessing the status of acquisition programs through four phases of the acquisition life cycle. These phases include a series of five Acquisition Decision Events (ADE) that provide the acquisition decision authority an opportunity to assess whether the program is ready to proceed through the acquisition life cycle phases. Figure 5 depicts the four phases of the acquisition life cycle and the associated ADEs.", "In addition, components and program offices have established program- level groups, such as Executive Steering Committees, to provide, among other things, assistance and support during the acquisition process."], "subsections": []}, {"section_title": "Border Patrol\u2019s Requirements Management Process", "paragraphs": ["According to Border Patrol officials, in 2014, Border Patrol began implementing a new process to identify future technology needs. The Requirements Management Process (RMP), according to Border Patrol officials, is a new process designed to facilitate planning in order to fund and deploy operational capabilities, such as surveillance technology and tactical infrastructure, for border security operations. According to Border Patrol officials, Border Patrol will use information resulting from the RMP to fulfill DHS acquisition policy requirements, including information required for Acquisition Decision Events, as appropriate. Border Patrol is working to develop guidance to align the RMP with the DHS acquisition life cycle. The RMP consists of six steps as shown in figure 6.", "In the first step of the process, Border Patrol reviews strategic guidance to identify mission priorities and goals and assesses the state of the threat to be addressed. The second step, mission analysis, begins with the Capability Gap Analysis Process, which is intended to identify each station\u2019s capability gaps by determining the difference between a station\u2019s existing capabilities and the capabilities required to perform its mission- essential tasks. The identified shortfall in required capability is a capability gap. Under the RMP\u2019s third step\u2014planning\u2014Border Patrol officials examine capability gaps in detail and determine courses of action\u2014that is, solutions, which may include surveillance technologies, to close the capability gaps. For example, potential solutions could include adjusting the technologies or personnel deployed in a specific area or improving maintenance and repair of access roads. The solutions are documented in sector-specific Initial Requirements Documents. The fourth step\u2014 execution\u2014involves Border Patrol leadership executing courses of action. Border Patrol officials stated that courses of action are options for Border Patrol commanders and executives to select and implement. Certain courses of action, including acquiring and deploying land-based surveillance technology, may need to proceed through the DHS acquisition life cycle as appropriate. Once implemented, these options are expected to resolve identified capability gaps in operations, according to Border Patrol officials. The fifth and sixth steps of the process\u2014 assessment and life-cycle management\u2014involve implementing and monitoring solutions to determine their ability to resolve capability gaps, and gathering sector feedback on how the solutions affect border security operations."], "subsections": []}]}, {"section_title": "CBP Has Made Progress Deploying Technology along the Southwest Border, and Is Still Developing Guidance for Future Planning Processes", "paragraphs": [], "subsections": [{"section_title": "Border Patrol Has Completed Deployment of Select Surveillance Technology to Arizona, Texas, California, and New Mexico, and Has Further Deployment Activities Underway", "paragraphs": ["As of October 2017, Border Patrol had initiated or completed the planned deployment of select technologies to sectors across areas in Arizona, Texas, California, and New Mexico. In 2014, we reported that Border Patrol had made progress deploying technologies and had completed deployments for two technology programs in Arizona\u2014the Agent Portable Surveillance System (APSS) and the Thermal Imaging Device (TID) technologies. Since our 2014 report, Border Patrol has completed deployments of several additional technology programs. Specifically, according to Border Patrol officials, it has completed deployments of all planned RVSS, MSC, and Unattended Ground Sensors (UGS), as well as 15 of 53 IFT systems to Arizona. Border Patrol has also completed deployments of select technologies to Texas and California, including deploying 32 MSC systems to Texas and California.", "Border Patrol also has efforts underway for completing deployments of other technology programs, but some of those programs have not yet begun deployment or are not yet under contract. For example, as of October 2017, Border Patrol had not yet initiated deployments of RVSS to Texas because, according to PMOD officials, the program had only recently completed contract negotiations for procuring those systems. According to PMOD officials responsible for the RVSS program, Border Patrol has begun planning the designs of the command and control centers and towers, as well as real estate needs for the Rio Grande Valley sector. Additionally, Border Patrol initially awarded the contract to procure and deploy MVSS units to Texas in 2014 but, because of bid and size protests, did not award the contract until 2015, and the vendor that was awarded the contract did not begin work until March 2016. The deployment status of surveillance technologies is shown in table 1."], "subsections": []}, {"section_title": "Border Patrol\u2019s Technology Programs Have Experienced Delays, but Are on Track against Revised Schedules and Cost Baselines", "paragraphs": ["Border Patrol has revised schedules and cost estimates for its three highest-cost programs\u2014IFT, RVSS, and MSC\u2014and as of October 2017, is on track to meet those revised schedules and estimates; however, risks remain in Border Patrol\u2019s deployment efforts. Border Patrol has rebaselined (i.e., revised original schedule and cost goals) its three highest-cost programs\u2014IFT, RVSS, and MSC\u2014due to schedule, quantity, and cost estimating variances, among other changes to the programs\u2019 original plans. According to our cost and schedule assessment guides, while rebaselining can be beneficial for quickly identifying new variances, reporting a program\u2019s performance based on a rebaselined cost or schedule may not reflect the program\u2019s overall cost and schedule performance or timeline."], "subsections": [{"section_title": "Deployment Schedules", "paragraphs": ["In March 2014, we reported that CBP had a deployment schedule for each of the seven technology programs planned for deployment at the time\u2013\u2013IFT, RVSS, MSC, APSS, MVSS, TID, and UGS\u2013\u2013and that four of the programs would not meet their originally planned completion dates. Specifically, we found that the three highest-cost programs (IFT, RVSS, and MSC) had experienced delays relative to their baseline schedules as of March 2013, which were current at the time of our review. We recommended that CBP ensure that scheduling best practices are applied to the IFT, RVSS, and MSC program schedules. DHS concurred with the recommendation and stated that CBP planned to apply scheduling best practices when revising the three programs\u2019 schedules. Based on our assessment of the IFT, RVSS, and MSC programs\u2019 revised schedules that CBP had completed as of January 2017, CBP did not apply all scheduling best practices. However, the revised programs\u2019 schedules for the IFT, RVSS, and MSC reflect substantial improvements in quality and are consistent with the intent of our recommendation. In particular, CBP has improved the quality of its products for analyzing and quantifying risk to the programs\u2019 schedules. Continuing to apply scheduling best practices in future updates will help better position CBP to identify and address any potential delays in its programs\u2019 commitment dates.", "DHS approved Border Patrol\u2019s rebaseline of the IFT program in December 2015, which extended the program\u2019s completion date to 2020\u2014five years beyond what Border Patrol had estimated in its original baseline schedule. The RVSS and the MSC programs\u2019 completion dates were also extended because the scopes of the programs had increased, among other reasons. While Border Patrol\u2019s revisions to its schedules are positive steps in helping the agency oversee its management of these programs, the programs continue to be behind schedule relative to their original planned baseline documents dated March and September 2012 for the IFT and RVSS programs, respectively, as shown in figure 7.", "In addition to revising program schedules, Border Patrol has revised the life-cycle cost estimates for the three highest-cost programs to reflect actual costs and include cost estimates for additional and ongoing work. For example, the MSC cost estimate increased by $294.7 million\u2014from $107.2 million to $401.9 million\u2014due to, among other reasons, the program\u2019s expanded scope to Texas, California, and New Mexico. In December 2015, estimated life-cycle costs for the IFT program decreased from its original March 2012 baseline estimate by $211.5 million, in part because of lower-than-expected contract costs. However, from March 2012 to December 2015, IFT\u2019s acquisition cost threshold increased by more than $50 million\u2014from $288 million to $341 million\u2014when CBP included the costs of contractor personnel supporting the program office, the cost of replacing SBInet systems, and actual costs through fiscal year 2014, rather than estimates. According to Border Patrol officials, a CBP policy change required them to include the contractor personnel support costs in the rebaseline, which was previously not required in the original cost baseline. Figure 8 shows original and revised cost estimates for the IFT, RVSS, and MSC programs.", "In March 2014, we reported that the three highest-cost programs (IFT, RVSS, and MSC) accounted for 97 percent of the Arizona Technology Plan\u2019s estimated cost and that the life-cycle cost estimates for the two highest-cost programs\u2014IFT and RVSS\u2014reflected some, but not all, best practices for cost estimating. Reliable life-cycle cost estimates reflect four characteristics\u2014they are (1) well-documented, (2) comprehensive, (3) accurate, and (4) credible. Our analysis of CBP\u2019s estimates for the two highest-cost programs at the time of our March 2014 review showed that these estimates at least partially met three of these characteristics: well- documented, comprehensive, and accurate. In terms of being credible, these estimates had not been verified with independent cost estimates in accordance with best practices. We concluded that verifying life-cycle cost estimates with independent estimates in accordance with cost- estimating best practices could help better ensure the reliability of the cost estimates. We recommended that CBP verify the life-cycle cost estimates for the IFT and RVSS programs with independent cost estimates and reconcile any differences. DHS concurred with this recommendation, but stated then that it did not believe there would be a benefit from expending funds to obtain independent cost estimates and that if the costs realized to date continued to hold, there may be no requirement or value added in conducting full program updates with independent cost estimates.", "As part of our updates on CBP\u2019s efforts to implement our 2014 recommendations, CBP officials told us that in fiscal year 2016, DHS\u2019s Cost Analysis Division (CAD) would begin piloting its own independent cost estimate capability with the RVSS program. According to CBP officials, this pilot was an opportunity to assist DHS in developing its independent cost estimate capability. CBP selected the RVSS program for the pilot because the program was at a point in its planning and execution process where it could benefit most from having an independent cost estimate performed, as these technologies were being deployed along the southwest border beyond Arizona. According to CBP officials, CAD completed its independent cost estimate for the RVSS program in August 2016. CBP officials also told us that the RVSS life- cycle cost estimate was finalized and reconciled in March 2017. CBP reported that the component acquisition executive approved the reconciliation estimate in September 2017. According to CBP officials, CBP does not have plans to conduct an independent cost estimate and verification for the IFT. We continue to believe that independently verifying the life-cycle cost estimate for the IFT program and reconciling any differences, consistent with best practices, could help CBP better ensure the reliability of the estimate."], "subsections": []}, {"section_title": "Risks Affecting Schedule and Cost Goals", "paragraphs": ["While selected technology programs are on track to meet schedule and cost goals, according to Border Patrol officials, some programs have identified risks that may lead to schedule slips or cost growth in the future. Specifically, Border Patrol has experienced delays in completing deployments for planned technologies due to (1) land use and access- related issues; (2) technical issues; and (3) contracting challenges, among other factors. For instance, the IFT program continues to experience delays deploying IFTs to tribal lands in the Tucson sector in Arizona. Border Patrol officials stated that the IFT program has not received authorization from tribal land leaders to build an access road and deploy IFT tower systems on the tribe\u2019s land. They also stated that the historic preservation officer for the tribal lands would need to issue a finding that the IFT would not have any negative impact on cultural resources before Border Patrol could proceed with deployment. In addition, RVSS program officials we met with noted that access to privately owned land is an issue of concern in Texas that could potentially delay RVSS deployment for the Rio Grande Valley sector. Border Patrol has also encountered delays in the IFT program as a result of technical issues identified during delivery of the IFT. For example, we previously reported that testing completed in November 2015 on IFT systems in Nogales had been delayed by 2 months in order for the contractor to address issues related to IFT cameras and operator interfaces. Additionally, Border Patrol has encountered schedule delays due to contracting challenges, such as renegotiations with the contractor after the contract was awarded. For example, according to Program officials, the MVSS contractor proposed a technical change to the system to address safety and maintenance concerns. Border Patrol agreed to the change, which led to delays.", "We have previously reported that program delays can result in increased costs and force agents to rely on legacy surveillance technologies. According to Border Patrol officials, program managers and Border Patrol are working to mitigate the risk of delays through quarterly executive steering committee meetings of program managers and representatives from other component and headquarters offices, such as DHS\u2019s PARM. During these meetings, program managers discuss cost and schedule risks and evaluate options for mitigating those risks. For example, according to PARM officials, at one such meeting, officials reviewed the RVSS program and determined that it met cost criteria to receive additional DHS oversight. According to Border Patrol officials, Border Patrol has also used quarterly executive steering committee meetings to involve stakeholders and address potential risks as it moves forward with full production in the IFT program. As Border Patrol proceeds with these programs, it will be important to continue to find ways to mitigate the risk of delays in order to meet its revised schedules."], "subsections": []}]}, {"section_title": "Border Patrol Is Developing Guidance to Help Sectors Identify and Plan for Future Technology Needs and Deployments", "paragraphs": ["Border Patrol\u2019s RMP and other initiatives are intended to help inform future technology deployment decisions, but, as we reported in February 2017, additional actions are needed to ensure station officials understand the process and their respective roles and responsibilities. Border Patrol officials reported that the Southwest Border Technology Plan is the baseline for identifying technology needs and planning technology deployments, and that changes to the plan are needed as threats and priorities evolve. To help address these changes and remain adaptive, in 2014, Border Patrol began implementing the RMP that, among other things, is intended to identify capability gaps in border security operations and identify solutions to those capability gaps.", "In February 2017 we found that Border Patrol had documented the RMP, but had not developed written guidance on how officials were to use the information and analyses resulting from the process when requesting tactical infrastructure\u2014that is, fencing, gates, roads, bridges, lighting, and drainage infrastructure\u2014for deployment purposes. For example, we reported that sectors varied in their understanding of how to use results from the Capability Gap Analysis Process when engaging in planning processes or when making resource allocation decisions. We recommended that Border Patrol develop and implement written guidance for the steps within its requirements process for identifying, funding, and deploying tactical infrastructure for border security operations, including clarifying the roles and responsibilities of the parties involved in the RMP.", "In response to our recommendation, Border Patrol officials reported that they are currently updating the RMP documentation, training, and guidance to the field. Border Patrol officials expect to have an updated Internal Operating Procedure and Manual for the RMP by the second quarter of fiscal year 2018. According to CBP officials, actions taken in response to our recommendation would apply to surveillance technology as well\u2014not solely tactical infrastructure. By developing this written guidance, Border Patrol intends to reduce the risk of relevant agency officials not having the information needed to perform their appropriate role in the process. We will continue to monitor the progress of Border Patrol efforts related to the RMP to determine whether these actions meet the intent of our recommendation to fully develop and implement written guidance for the steps within the RMP. Until then, Border Patrol is less likely to have reasonable assurance that it has the best available information to inform future investments in surveillance technologies and resource allocation decisions among surveillance technologies.", "In addition to the RMP, future surveillance technology deployments will be affected by other ongoing DHS and CBP initiatives. Specifically, Border Patrol officials in the Strategic Planning and Analysis Division reported that the Domain Awareness: Land Surveillance initiative requirements documents and Southwest Border Capability Roadmap will also be taken into consideration throughout the RMP and will influence future surveillance technology deployments. CBP\u2019s Domain Awareness: Land Surveillance initiative is intended to depict current CBP land domain awareness capabilities and inform future capabilities, which could help Border Patrol identify solutions during various phases of the RMP. Border Patrol officials stated that Border Patrol, with CBP\u2019s Air and Marine Operations and U.S. Immigration and Customs Enforcement, is developing mission needs statements, concepts of operations, and capability operational requirements documents for (1) mobile, (2) fixed and relocatable, and (3) agent-portable capabilities which will help inform future technology deployments. Border Patrol also proposed a Southwest Border Capabilities Roadmap in April 2017 to assist with identifying solutions, such as surveillance technology, mobility and access, and personnel. This roadmap is intended to inform a balanced, risk-based investment strategy driven by capability gaps, geographic priorities, terrain, and other environmental factors, and to consider the evolving cross-border threat. The roadmap identifies specific requirements for persistent surveillance assets, such as RVSS, and was used to support CBP\u2019s fiscal year 2018 budget justification for RVSS deployments in the Rio Grande Valley sector. To create this roadmap, Border Patrol officials reported reaching out to stations within 40 miles of the border to discuss their current gaps and how they would close them (either through physical barriers, manpower, or technology). Because Border Patrol is still in the planning phases for future technology deployments, it is too soon to tell how these efforts will assist Border Patrol in structuring and planning those deployments."], "subsections": []}]}, {"section_title": "CBP Is Taking Action to Better Link Performance Data to Planning Efforts, but Needs to Improve Data Quality", "paragraphs": [], "subsections": [{"section_title": "Border Patrol Has Made Progress Identifying Performance Metrics for Technologies", "paragraphs": ["Border Patrol has made progress identifying performance metrics for the technologies under the Southwest Border Technology Plan, but additional actions are needed to fully implement our prior recommendations in this area. In November 2011, we found that CBP did not have the information needed to fully support and implement the ATP and recommended that CBP (1) determine the mission benefits to be derived from implementation of the ATP and (2) develop and apply key attributes for metrics to assess program implementation. We reported in 2014 that, in response to our recommendations, CBP had identified mission benefits expected from the implementation of the surveillance technologies under the ATP, but had not fully developed key attributes for performance metrics for the technologies. We recommended, among other things, that CBP analyze available data on apprehensions and seizures and technological assists, in combination with other relevant performance metrics or indicators, to determine the contribution of surveillance technologies to CBP\u2019s border security efforts. CBP officials stated that they planned to develop objectives for each performance measure, at which time the agency would begin using the data to evaluate the contributions of specific technology assets. CBP also intended to establish a tool by the end of fiscal year 2016 that explained the qualitative and quantitative impacts of technology and tactical infrastructure on situational awareness in specific areas of the border environment.", "In September 2016, Border Patrol provided us a case study that assessed technology assist data, along with other measures, to determine the contributions of surveillance technologies to its mission. In April 2017, we reported that this was a helpful step in developing and applying performance metrics; however, the case study was limited to one border location and the analysis was limited to select technologies. In May 2017, Border Patrol officials demonstrated the agency\u2019s new Tracking, Sign Cutting, and Modeling (TSM) system, which they said is intended to connect between agents\u2019 actions (such as identification of a subject with a camera) and results (such as an apprehension) and allow for more comprehensive analysis of the contributions of surveillance technologies to Border Patrol\u2019s mission. One official said that data from the TSM will have the potential to provide decision makers with performance indicators, such as changes in apprehensions or traffic before and after technology deployments. However, the TSM is still early in its use and officials confirmed that it is not yet used to support such analytic efforts. The official stated that over time it would be used to analyze performance on a systematic basis and provide information to decision makers. We continue to believe that it is important for Border Patrol to assess technologies\u2019 contributions to border security and will continue to monitor the progress of the TSM and other Border Patrol efforts to determine whether these actions sufficiently meet the intent of our November 2011 recommendation to fully develop and apply performance metrics for its border technologies. Until then, Border Patrol is not well positioned to fully assess its progress in implementing the Southwest Border Technology Plan and determine when mission benefits have been fully realized."], "subsections": []}, {"section_title": "Border Patrol Measures Technologies\u2019 Assistance in Apprehensions and Seizures, but Data Are of Limited Quality and Usability", "paragraphs": ["Border Patrol agents collect and report data on asset assists, which are instances in which technologies or other assets (such as canine teams, bicycle patrols, or air support from CBP\u2019s Air and Marine Operations) contributed to an apprehension or seizure; however, the agency does not have sufficient controls to ensure the accuracy and reliability of that data. In March 2014, we reported that CBP was not capturing complete asset assist data on the contributions of its surveillance technologies to apprehensions and seizures and that Border Patrol agents were not consistently recording these data across locations. We recommended that CBP require data on asset assists to be recorded and tracked within the DHS Enforcement Integrated Database (EID), which contains data on apprehensions and seizures. Since then, Border Patrol has taken actions to better record asset assists and to expand the types of technologies that can be tracked, consistent with our prior recommendation. Specifically, in June 2014, Border Patrol issued guidance informing agents that the asset assist data field within the e3 Portal to the EID had become a mandatory data field. Additionally, when recording asset assists, agents initially could only choose from \u201ccamera,\u201d \u201cmobile surveillance system,\u201d \u201cscope truck,\u201d \u201cunattended ground sensor,\u201d or \u201cother\u201d when selecting technologies. In May 2016, Border Patrol expanded the types of assets available for agents to choose from to include MSC, IFT, and APSS, among others.", "Border Patrol requirements for entering asset assist data into the e3 Portal and expansion of the types of assets listed have been positive steps to help better position Border Patrol to assess the contributions of surveillance technologies to border security efforts, as we recommended in 2014. However, we have identified issues with the completeness and reliability of the asset assist data. In particular, we analyzed data on asset assists from October 1, 2014 through May 3, 2017 and our analysis showed that agents incorrectly attributed some apprehensions and seizures to certain technologies rather than others. For example, stations in the Rio Grande Valley sector recorded assists from IFTs in nearly 500 instances from June through September 2016, which cannot be accurate, since the sector does not have IFTs. When we brought this issue to the attention of Border Patrol headquarters officials, they told us in December 2016 that they would discuss the matter with Rio Grande Valley sector officials. However, data from December 2016 through May 3, 2017 indicated that agents in the Rio Grande Valley sector continued to record asset assists from IFTs. Additionally, we found that one station in the Tucson sector with SBInet towers was recording asset assists from the SBInet towers as \u201cother,\u201d when Border Patrol headquarters officials told us that SBInet towers should be recorded as \u201cIFT.\u201d Moreover, our analysis showed that \u201cother\u201d (including \u201cother\u201d listed alongside additional assets) made up nearly 16 and 23 percent, respectively, of asset assists recorded in the Tucson and Rio Grande Valley sectors from October 1, 2016 through May 3, 2017. Border Patrol officials told us that \u201cother\u201d should be any technology not otherwise listed, and could include technologies or support that officials were interested in tracking locally. Officials said the large number of \u201cother\u201d assets could also be a result of agents not understanding their responsibilities or agents working to complete the asset assist data entry as quickly as possible so they could move on to other duties.", "According to Border Patrol officials, data integrity and quality checks are the responsibility of the individual sectors, and each station has a designated point of contact for data integrity and a system administrator to oversee data quality. However, Border Patrol has not provided written guidance to the sectors on how to oversee data integrity or conduct quality checks of asset assist data, and Border Patrol\u2019s guidance on how to enter asset assist data is limited. According to Border Patrol officials, Border Patrol\u2019s asset assist guidance for sectors consists of two training presentations. We reviewed the training slides for these presentations and found they included photographs and general descriptions of some technologies, along with two case examples for recording an asset assist. However, the slides did not discuss how sectors should conduct data integrity or quality checks. Furthermore, the slides did not address how agents should record assists for SBInet towers. The slides also did not explain why asset assist data are collected (other than that the Chief of the Border Patrol requires it), what it could be used for, or why it was important to ensure data were accurately recorded. Officials told us in June 2017 that the asset assist data were only used to respond to data requests from external agencies\u2014the data were not being used for planning, budgeting, performance measurement, or other purposes.", "Standards for Internal Control in the Federal Government states that management should obtain relevant data from reliable internal and external sources in a timely manner based on the identified information requirements. Reliable internal and external sources provide data that are reasonably free from error and bias and faithfully represent what they purport to represent. Management should evaluate both internal and external sources of data for reliability. Additionally, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks. If there is a significant change in the entity\u2019s process (such as the addition of new asset assist fields), management should review this process in a timely manner to determine that the control activities are designed and implemented accordingly. Without sufficient guidance for sectors on how to enter and review asset assist information, Border Patrol does not have reliable data on asset assists that could help monitor the contribution of surveillance technologies to Border Patrol apprehensions and seizures and inform resource allocation decisions."], "subsections": []}, {"section_title": "Border Patrol Reviews Agent Feedback Data on Technology Performance to Improve Current and Future Deployments", "paragraphs": ["Border Patrol has a variety of mechanisms for collecting agent feedback on technology performance and for using that information to improve current and future deployments. For example, officials from the Border Patrol Program Management Office Directorate (PMOD) reported that they conduct required technology performance evaluations at specified intervals (e.g., a 6-month post-deployment review and an annual operational analysis) to regularly collect and evaluate agent feedback, and conduct monthly reviews of maintenance and repair requests. Officials said that this feedback is consolidated, prioritized based on cost effectiveness, and used to identify system upgrades (both for systems that have been deployed and for future deployments).", "The PMOD also collects feedback as part of the annual process for developing an operational analysis report. In the 2016 operational analysis for the MSC program, the PMOD assessed Border Patrol agents\u2019 overall satisfaction with the MSC system, whether it enabled agents to perform their functions more easily and efficiently, and whether it met agents\u2019 needs. Agents identified several MSC benefits, including performance improvements from the prior system (known as the Mobile Surveillance System), radars that exceeded the performance of other mobile systems\u2019 radars, and targets being detected at farther ranges than the system specification. However, the analysis identified more opportunities for improvement, including the need for improvements to the MSC\u2019s camera, video analytics, tracking, graphical user interface, engineering, and other changes.", "Border Patrol also reported using post-implementation reviews to collect agent feedback and identify improvements. For technologies under the ATP and Southwest Border Technology Plan, Border Patrol completed post-implementation reviews for the MSC in July and October of 2014, for the IFT in June 2016, and for the RVSS in October 2016. In August 2017, Border Patrol reported expecting to conduct reviews for the remaining technologies within 6 to 18 months of each technology reaching initial operating capability. A post-implementation review\u2019s primary purpose is to determine the impact of the system on stakeholders, quantitative and qualitative performance of the system, and the ability of the system to meet identified goals. For example, the MSC review from October 2014 reported that the system was generally an improvement over the older Mobile Surveillance System; however, program risks included damage to trucks and sensors from Border Patrol agent operator error and the need to improve or widen access roads given the larger footprint of the MSC trucks (compared to the prior Mobile Surveillance System trucks). The review concluded with six recommendations to improve future assessments of the system and to plan for new sensor deployments. The recommendations to the PMOD and Border Patrol acquisition office included updating the life-cycle cost estimate to track manpower costs; using a skills-based qualification standard for MSC operators; and ensuring future Border Patrol surveillance systems include the ability to extract actual performance, operational, and environmental data. In August 2017, Border Patrol reported a range of actions underway to address these recommendations, including (1) developing updates to the MSC\u2019s support system to better capture all service requests and maintenance work orders, (2) providing standardized training to each MSC operator with refresher training available upon request, and (3) updating key acquisition documents to reflect the increase in the number of MSCs to a full operating capability of 90 units.", "In addition to required reports, PMOD officials reported gathering agent feedback directly. For example, a PMOD official with responsibility for the IFT program reported conducting feedback meetings with agents. The meetings included both contractors and government personnel in order to ensure a shared understanding of agent-identified issues. The PMOD also reported conducting weekly, monthly, and real-time monitoring of trouble-tickets\u2014that is, agent-generated reports of maintenance or other technical issues. PMOD officials reviewed the issues identified and prioritized them based on cost and the potential increases in capability. For issues beyond contractual requirements, the PMOD vets the requests and forwards them to senior Border Patrol leadership for approval and funding."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2005, Border Patrol has spent more than one billion dollars deploying technologies to the southwest border, but is not yet positioned to fully quantify the impact these technologies have on its mission. We continue to believe that developing and applying performance metrics for its border technologies, in accordance with our prior recommendation, would help Border Patrol more fully assess its progress in implementing the Southwest Border Technology Plan and determine when mission benefits have been realized. Border Patrol has taken some steps toward tracking the performance of its surveillance technologies, including requiring agents to record when technologies assist in an apprehension or seizure. However, additional guidance to better ensure the quality of these data (including agent training and managerial review), would help Border Patrol determine the mission benefits of its surveillance technologies, which in turn could be used to inform Border Patrol\u2019s resource allocation decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["The Chief of the Border Patrol should issue guidance for sectors to improve the quality and usability of its surveillance technology asset assist information to help ensure it has reliable data so that Border Patrol can be better positioned to measure the impact of these technologies on its border security efforts and inform future investments. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided written comments, which are summarized below and reproduced in full in appendix I. DHS also provided technical comments, which we incorporated as appropriate. DHS concurred with our recommendation and described actions planned to address it. Specifically, DHS stated that Border Patrol will revise its training presentation concerning asset assists to include additional information on how sectors should conduct asset assist data integrity checks, why the data are collected, how the data can be used, and why Border Patrol needs to ensure asset assist data are accurately recorded. Border Patrol also plans to prepare and release a video concerning asset assists for all field office personnel. Border Patrol plans to complete these actions by February 28, 2018.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jeanette Henriquez (Assistant Director), Ashley Davis, Charlotte Gamble, Yvette Gutierrez, Eric Hauswirth, Nancy Kawahara, Marycella Mierez, Sasan J. \u201cJon\u201d Najmi, and Claire Peachey made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-224", "url": "https://www.gao.gov/products/GAO-19-224", "title": "UN Peacekeeping Operations: State Should Take Additional Steps to Work with the UN to Improve Effectiveness and Performance Information", "published_date": "2019-03-19T00:00:00", "released_date": "2019-03-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["As of December 2018, the UN had 14 ongoing peacekeeping operations with approximately 103,000 personnel. The United States is the single largest financial contributor to these operations, assessed by the UN to contribute an estimated $1.7 billion in fiscal year 2018, according to State. It is also a member of the Security Council, the UN body tasked with maintaining international peace and security.", "GAO was asked to review UN peacekeeping operations. In this report, GAO examines (1) the UN's process to establish and renew peacekeeping operations, including the tasks these operations perform; (2) State's assessment of the effectiveness of UN peacekeeping operations; (3) how the United States works within the UN to adjust peacekeeping mandates and associated resources; and (4) member states' concerns regarding the UN's performance information. To address these objectives, GAO analyzed UN and U.S. documents and interviewed UN and U.S. officials. GAO also interviewed officials at peacekeeping operations in the Democratic Republic of the Congo, Haiti, Kosovo, and Lebanon. GAO selected these operations because they represent those that perform a variety of tasks and are located in diverse regions."]}, {"section_title": "What GAO Found", "paragraphs": ["The United Nations (UN) Security Council establishes and renews peacekeeping operations by issuing resolutions, generally referred to as mandates, which can include a range of tasks, such as monitoring ceasefires and protecting civilians. Generally once or twice a year, the Security Council renews an operation's mandate and makes adjustments as needed.", "GAO's review of the Department of State's (State) assessments as of December 2018 and discussions with State officials found that UN peacekeeping operations generally do not fully meet U.S. principles for effective peacekeeping, which include host country consent and an exit strategy, among others. GAO's review of 11 operations found that all 11 met or partially met the principle of host country consent, while five included or partially included an exit strategy. State officials stated that they must continue to work with the UN to ensure peacekeeping operations meet principles of effectiveness, which they noted are key to success.", "The United States works with the UN Security Council and member states to adjust peacekeeping mandates, but it lacks sufficient information to determine if associated resources accurately reflect these adjustments. State officials noted that they do not have this information because UN peacekeeping budgets do not estimate costs by mandated task. UN peacekeeping guidance states that when the UN changes a peacekeeping mandate, it should make commensurate changes to that operation's resources. Without information on estimated costs by task, member states have difficulty determining that resources for UN peacekeeping operations accurately reflect mandate changes.", "The UN has taken steps to improve peacekeeping performance data, but member states have raised concerns about that information's quality, including its completeness and timeliness. Among other concerns, member states note that the UN does not have complete information to assess the performance of civilians, who comprised about 14 percent of peacekeeping personnel, as of December 2018. In March 2018 the UN began peacekeeping reforms, including those to improve performance data. However, according to State officials, these efforts are in the early stages and more work is needed. Without fully addressing member states' concerns about the quality of information, the UN is limited in its ability to improve the performance of peacekeeping operations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State take additional steps to ensure that the UN (1) peacekeeping operations meet principles of effectiveness, (2) provides information on the estimated costs of mandated tasks, and (3) addresses member states' concerns about the quality of performance information. State agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the United Nations (UN), UN peacekeeping is one of the main tools employed by the organization to promote international peace and security. Also, UN peacekeeping supports U.S. government objectives by helping to sustain peace, protect civilians, and promote conditions necessary for political resolution of conflicts. As of December 2018, the UN had led 14 peacekeeping operations worldwide with over 103,000 military, police, and civilian personnel and a budget of $7 billion for the UN\u2019s 2018-2019 fiscal year. The United States is a member of the UN Security Council and the single largest financial contributor to these operations. According to the Department of State (State), in fiscal year 2018, total U.S. assessments for UN peacekeeping activities were $1.7 billion. In his fiscal year 2018 and 2019 proposed budgets, the President of the United States cited a desire to reduce U.S. peacekeeping contributions while advancing measures to improve performance of UN peacekeeping operations. Further, the United States has highlighted several principles for effective UN peacekeeping operations, including the need for host country consent and a clear exit strategy; and the UN Secretary-General regularly reports to member states on the performance of such operations.", "In this context, you asked us to examine a number of issues related to UN peacekeeping operations. In this report, we examine (1) the UN\u2019s process to establish and renew peacekeeping operations, including the tasks these operations perform; (2) State\u2019s assessment of the effectiveness of UN peacekeeping operations; (3) how the United States works within the UN to adjust peacekeeping mandates and associated resources, and (4) UN member states\u2019 concerns regarding the UN\u2019s performance information.", "To examine the UN\u2019s process to establish and renew peacekeeping operations, including the tasks these operations perform, we first reviewed various UN documents and websites to describe steps taken by UN components. Next, to determine the tasks peacekeeping operations perform, we analyzed the UN Security Council resolutions authorizing each peacekeeping operation\u2014generally referred to as a mandate\u2014as of December 2018. We described the types of mandated tasks performed by peacekeeping operations using categories and definitions published in UN Department of Peacekeeping Operations-Department of Field Support\u2019s training documents. We also reviewed these mandates to identify the date on which the authority for each operation expires and the period of time reported until the next renewal decision.", "To examine State\u2019s assessment of the effectiveness of UN peacekeeping operations, we reviewed State documents that include the department\u2019s assessment of these operations against principles of effective peacekeeping, which, according to State, establish critical conditions for an operation to successfully implement its mandate. We analyzed these documents to determine State\u2019s assessment of whether the peacekeeping operations met the principles of effectiveness and categorized State\u2019s results as: met, partially met, or did not meet. In December 2018, we updated our categorization of State\u2019s assessments based on our discussions with State/IO and officials at the U.S. Mission to the UN (USUN). We discussed our methodology and results with officials at State, who confirmed that our methodology and results were valid. We also discussed with these officials additional steps the United States could take to ensure that peacekeeping operations meet the principles for effective peacekeeping. We did not independently verify State\u2019s assessments, but we reviewed State\u2019s methodology and discussed it with officials and found the information in State\u2019s reporting to be sufficiently reliable for the purposes of this report.", "To examine how the United States works within the UN to adjust peacekeeping mandates and associated resources, we spoke with State officials to understand the different approaches the Security Council takes to revise mandates and the types of information available to UN member states to determine appropriate resource adjustments when mandates change. We also compared the information the UN provides to member states to make these adjustments to internationally-accepted and federal standards for internal control, which state that policymakers should have quality information to help them make decisions.", "To examine UN member states\u2019 concerns regarding the UN\u2019s performance information, we interviewed officials from the USUN and reviewed UN documents to understand member states\u2019 concerns regarding the quality of performance information available to them from the UN. We compared member states\u2019 concerns and the Secretary- General\u2019s plans for implementing reforms for improving performance information with internationally-accepted and federal standards for internal controls, which state that organizations should use quality information to better achieve their performance goals.", "To address all four objectives, we reviewed UN policies, Security Council resolutions, General Assembly reports, Secretary-General\u2019s reports, Security Council meeting transcripts, budget documents, and various UN websites. We also interviewed UN officials from the Departments of Peacekeeping Operations and Field Support and U.S. government officials from State and the Department of Defense. Additionally, we selected operations in four countries\u2014the Democratic Republic of the Congo, Haiti, Kosovo, and Lebanon\u2014as case studies. We selected these peacekeeping operations because, among other attributes, they represent a mix of different types of UN peacekeeping operations located in different regions of the world. We interviewed U.S., UN, and, when possible, host government officials and representatives of civil society organizations in these countries. While the findings from these peacekeeping operations cannot be generalized, they provide illustrations of the UN\u2019s peacekeeping activities. Appendix I provides more information on our objectives, scope, and methodology.", "We conducted this performance audit from October 2017 to March 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Peacekeeping Operations", "paragraphs": ["In accordance with the UN Charter, peacekeeping operations aim to maintain international peace and security, among other things. The UN has deployed 71 peacekeeping operations since 1948. As of December 2018, the UN had 14 active peacekeeping operations worldwide (see fig. 1).", "We have previously reported that UN peacekeeping operations have become more complex since 1998. Traditional UN peacekeeping operations were primarily military in nature and limited to monitoring cease-fire agreements and stabilizing situations on the ground while political efforts were made to resolve conflicts. More recently, in response to increasingly complex situations in which conflicts may be internal, involve many parties, and include civilians as deliberate targets, several UN peacekeeping operations deploy civilian and police personnel, in addition to those from the military, and focus on peacebuilding activities."], "subsections": []}, {"section_title": "Key UN Components in Establishing UN Peacekeeping Operations", "paragraphs": ["There are three principal UN bodies active in peacekeeping:", "The General Assembly, which consists of 193 member states that work through membership in one of six main committees and various subsidiary components tasked with specific issue areas.", "The Security Council, which has 15 members, including 5 permanent members with veto power: the United States, the United Kingdom, France, Russia, and China. The remaining 10 members of the Security Council are elected for 2-year terms to ensure geographical representation.", "The Secretariat, which comprises the administrative component of the UN and is led by the Secretary-General, who has responsibility for managing multiple UN departments, offices, and activities.", "The United States holds positions in two of these three components\u2014the General Assembly and the Security Council. See table 1 for more information."], "subsections": []}, {"section_title": "The United States\u2019 Role in UN Peacekeeping", "paragraphs": ["State\u2019s Bureau of International Organization Affairs (State/IO) and the USUN serve primary roles with regard to the UN. State/IO is the U.S. government\u2019s primary interlocutor with the UN and other international organizations, and is charged with advancing U.S. national interests through multilateral engagement on a range of global issues, including peace and security, nuclear nonproliferation, human rights, economic development, climate change, and global health. The USUN serves as the United States\u2019 delegation to the UN and is responsible for carrying out U.S. participation in the organization. The USUN represents the United States\u2019 political, legal, military, and public diplomacy interests at the UN.", "As part of its oversight of UN peacekeeping operations, State/IO conducts annual monitoring trips to most UN peacekeeping operations and documents the findings of these trips in Mission Monitoring and Evaluation reports. These reports summarize State/IO\u2019s evaluation of each peacekeeping operation\u2019s progress toward meeting its mandate and identify challenges the operation faces in doing so. State/IO summarizes the findings of these reports for the National Security Council in a U.S. strategy and priorities memorandum that includes recommendations for U.S. action, including how the United States should conduct negotiations and vote on upcoming renewals of the mandates that authorize peacekeeping operations. According to State, the National Security Council conducts an interagency policy formulation process based on this input.", "Other U.S. government entities also support UN peacekeeping operations. For instance, State\u2019s Bureau of Political-Military Affairs and Bureau of International Narcotics and Law Enforcement Affairs provide capacity-building support for troops and police from troop- and police- contributing countries, respectively, serving in UN peacekeeping operations. Additionally, the Department of Defense participates in UN peacekeeping operations by providing UN forces with equipment, personnel, and other support services."], "subsections": []}, {"section_title": "The United States\u2019 Principles of Effective Peacekeeping", "paragraphs": ["In April 2017, during a Security Council meeting on peacekeeping, the U.S. Permanent Representative to the UN outlined five principles that the United States believes are critical for effective peacekeeping. She remarked that, while peacekeeping is the UN\u2019s most powerful tool to promote international peace and security, there is room for improvement, citing examples of operations that no longer need to exist or have limited host country consent. To make peacekeeping operations more effective, she emphasized that the UN should identify operations that lack the underlying political conditions for a resolution to the conflict, noting that numerous studies have concluded that such conditions are central to an operation\u2019s success. To guide this process, she announced a set of five principles to which peacekeeping operations should be held: 1. Peacekeeping operations must support political solutions to conflict. 2. Operations must have host country consent. 3. Mandates must be realistic and achievable. 4. There should be an exit strategy, which would articulate the Security Council\u2019s agreement on what success looks like and how to achieve it. 5. The Security Council should be willing to adjust peacekeeping mandates when situations improve or fail to improve.", "Since the Permanent Representative\u2019s announcement of these principles, State/IO has included an assessment of each peacekeeping operation against these principles in the U.S. strategy and priorities memoranda that it prepares for the National Security Council. With regard to the fifth principle, in these memoranda, State/IO assesses whether and how a mandate itself should be changed, rather than assessing the Security Council\u2019s willingness to change the mandate. Officials indicated that they conduct their assessment in this manner in order to inform and establish the U.S. negotiating position."], "subsections": []}]}, {"section_title": "The UN Security Council Establishes and Renews Peacekeeping Operations, Which Conduct a Range of Tasks Working with UN Member States, the UN Security Council Establishes and Renews Peacekeeping Operations", "paragraphs": [], "subsections": [{"section_title": "UN Peacekeeping Operations Are Mandated to Perform Tasks Such As Maintaining Ceasefires, Protecting Civilians, and Providing Electoral Assistance", "paragraphs": ["Security Council resolutions establishing UN peacekeeping operations define mandates, or tasks, for each operation, and the peacekeeping operations perform a variety of activities to fulfill these tasks. In some cases, these activities are specifically mandated by a Security Council resolution; in others, the peacekeeping operation engages in an activity pursuant to a broad grant of authority to achieve a task. Each UN peacekeeping operation performs a unique set of tasks. The mandates of peacekeeping operations established prior to 1998 tend to include the monitoring of cease-fire as a mandated task, while those established after 1998 also include tasks such as the protection of civilians, facilitation of humanitarian assistance, and enforcement of economic sanctions or an arms embargo. Comparatively, operations in the African region have mandates that include the highest number of tasks. See appendix II for a list of the mandated tasks of all 14 peacekeeping operations.", "The UN has defined 16 categories into which these activities can be classified, including supervision or monitoring of ceasefire agreements, the protection and promotion of human rights, and protecting civilians. See table 3 for a list and description of these categories."], "subsections": []}]}, {"section_title": "State\u2019s Assessments Show that UN Peacekeeping Operations Generally Do Not Fully Meet U.S. Principles of Effective Peacekeeping and Face Challenges to Achieving Their Mandates", "paragraphs": ["Based on our review of State\u2019s most recent assessments and discussions with State officials, we found that despite some military and political successes of individual peacekeeping operations, UN peacekeeping operations generally do not fully meet the U.S.-stated principles of effective peacekeeping and face challenges to achieving their mandates. For the 11 peacekeeping operations with mandates that renew on a regular basis, State prepares strategy and priority memoranda for appropriate committees of the National Security Council to inform the mandate renewal process. We reviewed these memoranda and spoke with State officials about their assessments of these operations against four of the U.S. principles. Table 4 presents GAO\u2019s categorization of the results of State\u2019s assessments.", "Supporting political solutions to conflict. Based on State\u2019s assessment, we categorized 10 of the 11 peacekeeping operations as having met (five) or partially met (five) the principle of supporting political solutions to the conflict. For example, in Cyprus, State assessed that the United Nations Peacekeeping Force in Cyprus (UNFICYP) met this principle because its activities generally support a political solution, despite the country\u2019s slow progress toward negotiating a final settlement of conflict between the Greek Cypriot and Turkish Cypriot communities. We categorized one peacekeeping operation, the United Nations Mission for the Referendum in Western Sahara, as not meeting this principle.", "Host country consent. Based on State\u2019s assessment, we categorized all 11 peacekeeping operations as having met (four) or partially met (seven) the principle of host country consent. For example, State officials assessed that the government of the Central African Republic cooperates fully with the UN Multidimensional Integrated Stabilization Mission in the Central African Republic (MINUSCA). With respect to other peacekeeping operations, officials noted that a country\u2019s consent to host an operation differs from cooperation with all aspects of a peacekeeping operation. For example, State reported that while the government of the Democratic Republic of the Congo has consented to the UN Organization Stabilization Mission in the Democratic Republic of the Congo\u2019s (MONUSCO) presence in the country, the government has, at times, been hostile toward and actively taken steps to undermine the mission.", "Realistic and achievable mandates. Based on State\u2019s assessment, we categorized seven of the 11 peacekeeping operations as having met (two) or partially met (five) the principle of having realistic and achievable mandates. For example, we categorized the African Union-United Nations Hybrid Operation in Darfur (UNAMID) as having partially met this principle because State reports that it has been able to carry out many of its mandated tasks; however, according to State\u2019s assessments, government obstructions, a slow peace process, and mission management inefficiencies prevent the full implementation of UNAMID\u2019s mandate. We categorized the remaining four peacekeeping operations as not meeting this principle.", "Exit strategies. Based on State\u2019s assessment, we categorized five of the 11 peacekeeping operations as having met (two) or partially met (three) the principle of having an exit strategy in their mandates. For example, we categorized MINUSCA as having partially met the principle because, according to State\u2019s assessment, the operation\u2019s mandate has an exit strategy that will take several years to achieve given the lack of host government capacity. We categorized the remaining six peacekeeping operations as not meeting this principle. For example, based on State\u2019s assessment, we categorized the UN Mission in the Republic of South Sudan (UNMISS) as not meeting this principle because the operation had not considered a near-term exit strategy because of ongoing conflict and the political stalemate in South Sudan.", "In addition to the four principles in the table, the fifth principle for effective peacekeeping reads as the Security Council\u2019s willingness to change the mandate. In its memoranda, State assessed the fifth principle by examining whether the mandate was achieving its objective and, if not, should be adjusted. Using this method, State assessments show that the Security Council should adjust the mandates of nine of the 11 peacekeeping operations. For example, State assessed that the UNFICYP (Cyprus) mandate should be adapted to address the stalled political process.", "Although we found that State\u2019s assessments show most peacekeeping operations are not fully meeting the U.S.-stated principles for effective peacekeeping, State officials we interviewed noted the important role UN peacekeeping operations play in maintaining stability in volatile conflicts around the world. These officials noted the dangerous and hostile environments in which peacekeeping operations are located, and, in some cases, human atrocities these operations help prevent. Further, U.S. and UN officials cited UN peacekeeping operations\u2019 strengths, including international and local acceptance, access to global expertise, and the ability to leverage assistance from multilateral donors and development banks. Officials also cited strengths of individual operations, such as the protection of civilians against atrocities in South Sudan, the Democratic Republic of the Congo, and the Central African Republic, assistance toward the peaceful conduct of elections in numerous countries, police capacity building in Haiti, and support to peace processes and agreements in numerous countries.", "According to State/IO and USUN officials, continual evaluation and adjustment of the mandates of UN peacekeeping missions to better align with the U.S. principles remains a key tenet of the Administration\u2019s UN peacekeeping policy, but the U.S. government faces two key challenges in this regard. First, some aspects of two of the five principles\u2014host country consent and support for a political process\u2014may be outside of the control of any international organization or bilateral partner. For example, MONUSCO\u2019s (Democratic Republic of the Congo) mandate includes the provision of elections assistance in support of the nation\u2019s political process, but, according to State officials, the lack of host government cooperation has relegated MONUSCO\u2019s efforts in this area to technical assistance. Second, these officials explained that the Security Council does not always adopt U.S. proposals to change mandates to align with these principles, such as including an exit strategy. Changing peacekeeping mandates requires nine affirmative votes and no vetoes from permanent Council members, which, according to State and USUN officials, can be difficult. For example, USUN officials stated that the UN Interim Administration Mission in Kosovo (UNMIK) had fulfilled its mandate, but Russia and China were not supporting a vote to close the operation.", "Moreover, State officials noted that the assessment process using the principles began in 2017 and the United States has had a limited number of opportunities to negotiate changes to peacekeeping mandates because renewals generally occur annually. State officials cited several examples of notable progress, however, in improving the efficiency and focus of UN peacekeeping operations. According to State officials, through U.S. leadership, the Security Council reconfigured the operation in Haiti to focus on police and the rule of law. Additionally, the Security Council changed and downsized the operation in Darfur to reflect current political and security realities. State officials also said that the UN Security Council supported responsible drawdowns of peacekeeping operations, most recently in Cote d\u2019Ivoire, while pushing peacekeepers in Lebanon to use all of their mandated authorities to be more effective in carrying out their tasks.", "According to State officials, adherence to these principles is not sufficient to guarantee success. An operation could fully meet all the principles, but still face challenges carrying out its mandate because of formidable circumstances, such as insecure security environments or limited government cooperation. However, State officials also noted that these principles describe critical conditions for effective peacekeeping in that an operation that does not meet these principles is unlikely to be able to fully carry out its mandate. Moreover, given the importance of establishing the necessary conditions for peacekeeping success, State/IO and USUN officials acknowledged that State must continue to work with the Security Council to ensure that peacekeeping operations meet the principles of effectiveness, such as modifying mandates to include exit strategies. In doing so, the UN and its member states could have greater assurance that they have set up peacekeeping operations for success."], "subsections": []}, {"section_title": "The United States Has Worked with the UN to Adjust Peacekeeping Mandates, but Does Not Have Sufficient Information to Determine if UN Resource Decisions Accurately Reflect These Adjustments The United States Has Worked with Security Council Members to Adjust Peacekeeping Mandates", "paragraphs": ["When the U.S. agencies involved in peacekeeping agree that the UN should change a peacekeeping operation\u2019s mandate, USUN officials told us that the USUN works with other Security Council members to make adjustments, such as adding or removing tasks from an operation\u2019s mandate. While not all proposals are adopted by the Security Council, State officials highlighted several types of mandate adjustments the United States has pursued, including:", "Removal of tasks. State and USUN officials told us they strive to remove tasks from peacekeeping mandates when those tasks have been achieved or are no longer relevant or achievable. For example, officials noted that the USUN successfully advocated that election monitoring be removed from the list of mandated tasks for MINUSCA because the elections had taken place in the previous year and, therefore, the task was no longer relevant.", "Addition of language to prioritize tasks. State and USUN officials told us that another strategy is to add language to a mandate to designate priority tasks. Officials stated that, as a result of such language in mandates for MINUSCA, MONUSCO, and MINUSMA, management at these peacekeeping operations had shifted mission resources to focus on priority tasks. For example, officials cited MINUSCA\u2019s proposed budget, which increased resources for protection of civilians\u2014a task designated as a priority by the Security Council\u2014and reduced resources for Security Sector Reform, an area of less relevance to the mission given the current situation in the Central African Republic.", "Addition of language to clarify exit strategies. State and USUN officials noted that adding language to clarify exit strategies aids an operation\u2019s success. For example, for the MINUJUSTH (Haiti) 2017 mandate, USUN officials noted that the United States had advocated successfully for the Security Council to include language calling for an exit strategy with benchmarks to assist the UN in monitoring the progress of the operation\u2019s transition to a non-peacekeeping mission beginning in October 2019."], "subsections": [{"section_title": "USUN Does Not Have Sufficient Information from the UN on the Cost of Peacekeeping Operations to Determine Accurate Resource Allocation When Adjusting Mandates", "paragraphs": ["USUN officials told us that they do not have sufficient information to allow them to determine accurate resource allocation to peacekeeping operations when the Security Council makes a change to the mandate. For example, USUN officials told us that as a result of the Security Council\u2019s decision to reduce resources for specific tasks in MONUSCO\u2019s 2017 mandate\u2014such as Security Sector Reform and Disarmament, Demobilization, and Reintegration activities, where little progress had been achieved\u2014the United States had sought to reduce the MONUSCO budget to reflect this change. However, the USUN did not have complete information from the UN on all of the costs associated with this change, including support costs, such as flight hours and fuel for transport vehicles. In the absence of such information from the UN, USUN officials estimated these costs and advocated for a reduction in MONUSCO\u2019s budget based on their own estimates. USUN officials noted that without input from the UN, they did not have sufficient information to determine the accuracy of their estimates.", "USUN officials told us that these information gaps exist because UN peacekeeping budgets do not include estimated costs by task. Rather, UN peacekeeping budgets provide information on the operation\u2019s use of financial resources for personnel and operational costs. Thus, according to USUN officials, when the Security Council changes a peacekeeping operation\u2019s mandate\u2014such as by adding or removing a task\u2014it is not clear how to adjust the budget for that operation to accurately reflect the change. UN headquarters officials told us that the UN does not prepare peacekeeping budgets with estimated costs by task because it is challenging to do so. However, senior officials with whom we spoke at two peacekeeping operations said that, despite challenges, it is possible to estimate costs by mandated task, which would provide additional budget transparency for the UN. Further, USUN officials stated that having UN estimates readily available to all member states would not only improve the accuracy of decisions related to resource allocation, but also improve the transparency of the budget negotiation process.", "UN guidance on peacekeeping states that when the UN changes an existing peacekeeping mandate it should make commensurate changes in the resources available to the operation. Further, internationally- accepted and federal standards for internal control note that organizations should use quality information to make informed decisions to achieve their objectives. Without information on estimated costs by task, USUN and other UN member states have difficulty determining that resources for UN peacekeeping operations accurately reflect changes to the mandates of peacekeeping operations. With this information, the United States and the international community can better ensure that resources provided to peacekeeping operations support the tasks agreed upon by UN member states."], "subsections": []}]}, {"section_title": "Member States Have Expressed Concerns Regarding the Quality of Peacekeeping Performance Information, Despite UN Reform Efforts in This Area", "paragraphs": [], "subsections": [{"section_title": "Member States Have Expressed Concerns about the Completeness and Timeliness of UN Peacekeeping Performance Data", "paragraphs": ["UN member states, including the United States, have expressed concerns regarding the quality of information regarding UN peacekeeping operations. Specifically, according to member states, information on peacekeeping performance can be incomplete and is not always provided on a timely basis, despite ongoing UN efforts to improve performance information. UN Security Council resolutions and peacekeeping guidance documents have stated the importance of having access to quality performance information to make management decisions. For example, UN Security Council resolutions note that data\u2014based on clear and well- defined benchmarks\u2014should be used to improve the performance of peacekeeping operations. The UN\u2019s Special Committee on Peacekeeping Operations has also called for a timely flow of information regarding how well peacekeeping operations perform their mandated activities. Additionally, internationally-accepted and federal standards for internal control also highlight the importance of quality information in enhancing the ability of organizations to achieve their performance goals. Quality information includes information that is complete and provided on a timely basis, among other attributes."], "subsections": [{"section_title": "Completeness", "paragraphs": ["UN member states have expressed concerns regarding the completeness of peacekeeping performance information. For example, USUN officials have noted concerns related to the completeness of performance information about peacekeeping troops. USUN officials noted that while the UN maintains some performance information on peacekeeping operations, such as a database with information on troop capabilities and readiness to deploy, it does not provide a complete picture of peacekeeping performance. Specifically, USUN officials noted that they would like better performance information about when peacekeeping units are engaging well, failing to engage, or lack the training to perform the tasks they have been asked to carry out. Also, the Security Council noted concern in a September 2018 resolution sponsored by the United States about the underperformance of some peacekeepers, such as inaction in the face of imminent threats of physical violence against civilians and conduct issues.", "Another concern relates to the completeness of performance information about civilian peacekeeping staff. According to the UN, civilian peacekeeping staff, who comprise about 14 percent of all peacekeeping personnel, perform many of the mandated activities of peacekeeping operations, including promoting and protecting human rights, helping strengthen the rule of law, and fostering the political process. However, according to USUN officials, the UN needs more complete information on the performance of these staff. For example, as noted above, UN officials told us that the UN had developed a database to collect performance information on military personnel staffed to UN peacekeeping operations, but did not have a similar way to track information on civilian personnel. Additionally, the Security Council noted in a September 2018 resolution that the UN must improve evaluation of all UN personnel supporting peacekeeping operations, including civilians. Individual member states have concurred, with some stating that better performance information is needed in all sectors of UN peacekeeping and others noting the need for comprehensive information on all peacekeeping personnel, including civilian personnel.", "The Security Council has also noted concerns about underreporting of information, which can affect data completeness. For example, in a September 2018 resolution, the Security Council expressed concern regarding the underreporting of sexual exploitation and abuse by some UN peacekeepers and non-UN forces authorized under a Security Council mandate, including military, civilian, and police personnel. The UN has reported that instances of sexual exploitation and abuse by peacekeepers undermine the credibility of peacekeeping operations by breaking down the trust between an operation and the communities it serves."], "subsections": []}, {"section_title": "Timeliness", "paragraphs": ["UN member states have also expressed concerns regarding the timeliness of UN performance information on peacekeeping. For example, USUN officials cited instances of conduct violations by UN troops in the Central African Republic and the Democratic Republic of the Congo about which the Security Council had not been informed for several months. Ultimately, the Security Council learned of these incidents from media reporting and had to seek additional information from the UN Secretariat.", "Additionally, the Security Council has expressed concern regarding the timely reporting of performance information on police personnel assisting peacekeeping operations. For instance, in Resolution 2382 adopted in November 2017, the Security Council emphasized the need to improve accountability and effectiveness in the performance of peacekeeping operations, requesting that the UN Secretariat provide member states timely and complete information regarding the training needs of police personnel.", "Further, the UN\u2019s Special Committee on Peacekeeping Operations has also called for a timely flow of information on a range of peacekeeping performance issues, such as reports and evaluations of peacekeeping operations, incidents involving the safety and security of peacekeepers, and troop misconduct, such as sexual exploitation and abuse. For example, in its March 2018 report, the committee stressed the need for timely information sharing about serious incidents involving the safety and security of peacekeepers, noting that prompt reporting of such incidents contributes to their prevention and positive resolution."], "subsections": []}]}, {"section_title": "UN Is in Early Stages of Reform Efforts to Improve Performance Information and the Extent to Which the Efforts Will Address Member States\u2019 Concerns Is Unclear", "paragraphs": ["USUN officials told us that they have concerns about the quality of peacekeeping performance data because the UN does not have comprehensive performance information about its peacekeeping operations and officials are unsure whether new UN reforms in this area will address their concerns. USUN officials described various UN sources of performance information on peacekeeping operations, such as strategic reviews conducted by the Secretary-General on the performance of peacekeeping operations and a UN database containing information on peacekeeping troops\u2019 readiness to deploy. However, officials noted that this information is insufficient to help them assess the overall performance of UN peacekeeping operations. For instance, USUN officials noted that the information collected is not standardized across UN peacekeeping operations or for all peacekeeping personnel. Without better information, USUN officials said that they had challenges obtaining a clear picture of the performance of UN peacekeeping operations. According to USUN officials, a culture of performance in peacekeeping is important to better deliver on peacekeeping mandates and improve the safety and security of peacekeepers in the field.", "Acknowledging challenges related to peacekeeping, the UN Secretary- General announced a peacekeeping reform initiative known as Action for Peacekeeping in March 2018. As part of this effort, the Secretary-General invited member states to help develop a set of mutually agreed principles and commitments to improve peacekeeping operations. The Secretary- General announced these shared commitments in August 2018 and, as of September 2018, 151 member states and several regional organizations had made political commitments to implement them. The declaration of shared commitments includes a commitment to ensure the highest level of peacekeeping performance and to hold all peacekeeping personnel accountable for effective performance by, among other things, ensuring that performance data are used to inform planning, evaluation, deployment decisions and reporting.", "However, USUN officials told us in October 2018 that their concerns about the quality of UN peacekeeping performance data still remained because the UN is in the early stages of adopting these reforms. Further, USUN officials stated that they have yet to see concrete plans of action and as such, it is not clear to them that the reforms will address their concerns to ensure that the UN provides complete and timely peacekeeping performance information to its member states. For instance, officials stated that in September 2018\u20146 months after the Action for Peacekeeping agreements to improve the use of performance data to manage peacekeeping operations\u2014the Security Council adopted Resolution 2436, which noted continued concerns related to completeness and timeliness of peacekeeping performance information provided to the Council. Without fully addressing member states\u2019 concerns about the quality of information on the performance of peacekeeping operations, the Security Council is limited in its ability to identify problems and take corrective action to improve the performance of peacekeeping operations. More complete and timely performance information could enhance the Security Council\u2019s ability to effectively manage peacekeeping operations."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Peacekeeping operations are a key instrument for implementing the UN\u2019s central mission of maintaining international peace and security. As a member state of the UN, a permanent member of the Security Council, and the largest financial contributor to the UN peacekeeping budget, the United States plays a significant role in both the management of peacekeeping operations and encouraging reforms to improve peacekeeping activities. According to State, the U.S.-stated principles for effective peacekeeping are critical conditions for peacekeeping operations to carry out their mandates. Given the importance of establishing the necessary conditions for peacekeeping success, State/IO and USUN officials acknowledged the imperative of continuing to work with the Security Council to ensure that peacekeeping operations meet U.S.-stated principles of effectiveness. In doing so, the UN and its member states could have greater assurance that they have set up peacekeeping operations for success. Without information on estimated costs by task, USUN and other UN member states have difficulty determining that resources for UN peacekeeping operations accurately reflect changes to the mandates of peacekeeping operations. With this information, the United States and the international community can better ensure that resources provided to peacekeeping operations support the tasks agreed upon by UN member states. Additionally, while the UN has initiated reform efforts to strengthen peacekeeping, including better use of performance information, UN member states have continued to express concerns about the quality of this information and note that it is too soon to tell whether reforms will address their concerns. Without fully addressing member states\u2019 concerns about the quality of information on the performance of peacekeeping operations, the Security Council is limited in its ability to identify problems and take corrective action to improve the performance of peacekeeping operations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to State: The Secretary of State should continue to work with the Permanent Representative to the United Nations to ensure that UN peacekeeping operations fully meet principles of effective peacekeeping. (Recommendation 1)", "The Secretary of State should work with the Permanent Representative to the United Nations to ensure that the United Nations provides information to member states on the estimated costs of mandated peacekeeping tasks to provide better cost information when the Security Council adjusts peacekeeping mandates. (Recommendation 2)", "The Secretary of State should continue to work with the Permanent Representative to the United Nations to ensure that the United Nations takes additional steps to address member states\u2019 concerns about complete and timely information on the performance of United Nations peacekeeping operations. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Defense and State for review and comment. The Department of Defense told us that they had no comments on the draft report. In its comments, reproduced in appendix V, State concurred with our recommendations. State also provided technical comments, which we incorporated as appropriate throughout the report.", "We are sending copies of this report to congressional committees; the Acting Secretary of the Department of Defense; and the Secretary of the Department of State. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examine (1) the United Nations\u2019 (UN) process to establish and renew peacekeeping operations, including the tasks these operations perform; (2) the Department of State\u2019s (State) assessment of the effectiveness of UN peacekeeping operations; (3) how the United States works within the UN to adjust peacekeeping mandates and associated resources; and (4) UN member states\u2019 concerns regarding the UN\u2019s performance information.", "To examine the UN\u2019s process to establish and renew peacekeeping operations and the tasks these operations perform, we reviewed UN policy and guidance, as well as various UN websites accessed as of November 2018, and interviewed State and UN officials to discuss UN processes. To determine the tasks these operations perform, we analyzed the most recent UN resolution authorizing the peacekeeping operation passed by the Security Council as of December 31, 2018\u2014 generally referred to as a mandate\u2014for each of UN\u2019s 14 peacekeeping operations, and categorized the tasks of each operation. We describe UN categories of activities to achieve mandated tasks as listed in the Department of Peacekeeping Operations-Department of Field Support\u2019s Core Pre-deployment Training Materials for United Nations Peacekeeping Operations, which lists and defines 16 categories. We also analyzed the most recent mandate as of December 31, 2018 for the 14 UN peacekeeping operations to identify the date on which the authority for each operation expires and the period of time reported until the next renewal decision.", "To examine State\u2019s assessment of the effectiveness of UN peacekeeping operations, we analyzed State\u2019s Bureau of International Organization Affairs\u2019 (State/IO) most recent Mission Monitoring and Evaluation reports as of December 2018 and the accompanying U.S. strategy and priorities memoranda outlining U.S. priorities for the operations\u2019 mandate renewal. State bases its Mission Monitoring and Evaluation reports on annual field visits to peacekeeping operations during which assessors interview U.S. and UN officials to evaluate the operation\u2019s progress toward meeting its mandate and identify factors that affect the operation\u2019s ability to do so. Based on these reports, State\u2019s strategy and priorities memoranda summarize U.S. observations on the peacekeeping operation and, among other things, propose options for U.S. action within the Security Council. Each of the 11 memoranda we reviewed also includes State\u2019s assessment of the peacekeeping operation against the U.S. government\u2019s stated principles of effective peacekeeping, which State considers to be critical conditions for an operation to successfully implement its mandate. These principles are whether a peacekeeping operation (1) supports a political solution to conflict, (2) has host country consent, (3) has a realistic and achievable mandate, and (4) has an exit strategy; and (5) whether the Security Council is willing to adjust the mandate if the situation in the country improves or fails to improve.", "We reviewed State\u2019s memoranda on the operations and considered the following types of factors when determining whether to categorize State\u2019s assessments as met, partially met, or not met: Supporting political solutions: Mediation processes, peace agreements, and support for democratic elections.", "Host country consent: Consent to the operation, and the necessary freedom of action, both political and physical to carry out its mandated tasks.", "Realistic and achievable mandates: Extent to which operation tasks appeared feasible in light of current conditions and available resources.", "Exit strategies: Strategic goals and targets, strategic planning, and timetables for withdrawal.", "We categorized a principle as \u201cmet\u201d if State indicated that the operation was generally succeeding in an area. We categorized a principle as \u201cnot met\u201d if State indicated that the operation was generally not succeeding in an area. We categorized a principle as \u201cpartially met\u201d if State indicated that the operation had some areas of success, but was generally not succeeding or restricted from success in some way. The fifth principle for effective peacekeeping reads as the Security Council\u2019s willingness to change the mandate. However, in its memoranda, State/IO assesses whether and how a mandate should be changed, rather than assessing the Security Council\u2019s willingness to change the mandate. For this principle, we categorized State\u2019s results as either \u201cyes\u201d or \u201cno.\u201d We coded the results as \u201cyes\u201d if State assessed that the Security Council should adjust the mandate. We categorized the results as \u201cno\u201d if State assessed that the Security Council did not need to adjust the mandate. The coding was conducted by one GAO analyst and separately verified by two other GAO analysts. In December 2018, we met with State/IO and USUN officials to discuss their current assessment of each peacekeeping operation. We updated our categorization of State\u2019s written assessments to reflect the agency\u2019s most current assessment as appropriate.", "We discussed our methodology and results with officials from the U.S. Mission to the UN (USUN), who confirmed that our methodology and results were valid. We also discussed with these officials additional steps the United States could take to ensure that peacekeeping operations fully meet the principles for effective peacekeeping. We did not independently verify State\u2019s assessment, but we reviewed State\u2019s methodology and discussed it with officials and found the information in State\u2019s reporting to be sufficiently reliable for the purposes of this report.", "To examine how the United States works within the UN to adjust peacekeeping mandates and associated resources, we interviewed USUN officials to understand the different approaches the Security Council takes to revise mandates and to understand the types of information available to UN member states to determine appropriate resource adjustments when mandates change. We also interviewed a senior official from the UN Department of Field Support\u2019s Field Budget and Finance Division and reviewed UN budget and performance reports to identify how the UN reports on peacekeeping budget information to member states. In addition, we interviewed officials at two of the four peacekeeping operations we selected for in-depth case studies, as discussed below, to determine whether they were able to report on the operation\u2019s budget by mandated task. To determine the extent to which State has sufficient information to advocate for resources adjustments when mandates change, we compared information currently provided by the UN to internationally-accepted and federal standards for internal control, which state that organizations should have quality information to help them make decisions.", "To examine UN member states\u2019 concerns regarding the UN\u2019s performance information, we interviewed officials from the USUN to understand their concerns regarding performance information available to them from the UN. Based on these interviews, we identified two main issues of completeness and timeliness. To understand the extent to which UN member states share these concerns, we analyzed the UN Special Committee on Peacekeeping\u2019s 2016, 2017, and 2018 annual reports and Security Council resolutions to confirm member states\u2019 concerns related to completeness and timeliness of performance information. We did not independently verify the veracity of these concerns, because we did not have access to the UN\u2019s internal performance information. We also reviewed UN documents on the Secretary-General\u2019s new reform efforts, transcripts of meetings the Security Council held on peacekeeping in 2018, and Security Council resolutions to identify steps the UN is taking to address these concerns. Further, we analyzed the extent to which the UN could better address member state concerns regarding performance information by comparing the Secretary-General\u2019s plans for implementing the UN\u2019s new reform efforts with internationally-accepted and federal standards for internal controls, which identify necessary elements of performance information.", "To inform our analyses of all four objectives, we also selected UN peacekeeping operations in four countries\u2014the Democratic Republic of the Congo, Haiti, Kosovo, and Lebanon\u2014for in-depth case studies. We selected these peacekeeping operations because they are the largest of the three types the UN employs, and are located in the four geographic regions in which UN peacekeeping operations are currently deployed\u2014 Africa, Europe, the Middle East, and the Western Hemisphere. While the findings from these peacekeeping operations cannot be generalized, they provide an illustrative mix of the UN\u2019s peacekeeping activities. To inform our audit, we conducted a literature review using ProQuest language searches, focusing on literature published between 2015 and 2018. In total, we identified and reviewed 12 relevant publications that helped inform our study of the four operations. We conducted fieldwork at peacekeeping operations in Haiti, Kosovo, and Lebanon, and interviewed U.S., UN, and host government officials, as well as representatives of other donor countries and civil society. In lieu of fieldwork, we conducted videoconferences with senior officials at the peacekeeping operation in the Democratic Republic of the Congo.", "We conducted this performance audit from October 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Mandated Tasks of United Nations Peacekeeping Operations", "paragraphs": ["We analyzed United Nations (UN) Security Council resolutions authorizing the 14 UN peacekeeping operations, in effect as of December 31, 2018, and identified the mandated tasks of these operations. See table 5 below for a complete list."], "subsections": []}, {"section_title": "Appendix III: Department of State\u2019s Assessment of Challenges United Nations Peacekeeping Operations Face", "paragraphs": ["To inform its oversight of United Nations (UN) peacekeeping operations, the Department of State\u2019s Bureau of International Organizations Affairs (State/IO) conducts annual monitoring trips to most UN peacekeeping operations. State/IO evaluates peacekeeping operations\u2019 progress toward meeting their mandates and identifies any challenges to their progress. State/IO documents its findings in Mission Monitoring and Evaluation reports and disseminates these reports for comment to various State bureaus involved in international peacekeeping efforts and to relevant offices in the Department of Defense. The findings of these assessments are intended to inform the National Security Council and the U.S. Mission to the United Nations in their decision-making.", "We analyzed the most recent Mission Monitoring and Evaluation reports that State had conducted through June 30, 2018. In our analysis of State\u2019s assessments, we found that the challenges State most frequently identified for each UN peacekeeping operation were those associated with host government cooperation, resources, and the security situation."], "subsections": [{"section_title": "Host Government Cooperation", "paragraphs": ["According to the UN, the UN does not deploy a peacekeeping operation unless the organization has the consent of the involved parties, which often include the governments of the countries in which conflicts occur. While host governments generally have consented to the presence of UN peacekeeping operations, State found instances in which the host government did not cooperate fully or did not have a positive relationship with the peacekeeping operation working in-country. For example, in Darfur, State found that while the Sudanese government had demonstrated some progress, it continued to restrict the African Union- United Nations Hybrid Operation in Darfur\u2019s (UNAMID) access and movement in certain regions. Additionally, according to government officials in Kosovo, the government of Kosovo does not engage with the UN Interim Administration Mission in Kosovo (UNMIK) because it considered the operation to have completed its mandate as a transitional authority once Kosovo declared its independence and established a functioning government. As a result, UNMIK works on community trust- building activities with local communities according to the vision and strategic direction of the head of the peacekeeping operation."], "subsections": []}, {"section_title": "Resources", "paragraphs": ["State found that several operations faced financial, human, and material resource constraints. For example, State assessed that the peacekeeping operations in Mali; the Democratic Republic of the Congo; the Golan Heights, Syria; and Haiti did not have enough funds to meet their needs. State also found that troops in the peacekeeping operations in the Central African Republic; the Democratic Republic of the Congo; and the Golan Heights, Syria did not have enough troops with sufficient skillsets. Further, State found that the operations in the Democratic Republic of the Congo; Haiti; Mali; and Abyei, Sudan lacked adequate equipment. Officials from the peacekeeping operation at the UN Interim Force in Lebanon (UNIFIL) also told us they anticipated a budget shortfall of over $2 million for the 2018-2019 peacekeeping fiscal year as a result of a reduced budget and an increase in UN troop salaries.", "However, officials at the UN Organization Stabilization Mission in the Democratic Republic of the Congo (MONUSCO) told us about ways in which they were maximizing and readjusting existing resources in spite of these challenges. They stated that MONUSCO\u2019s March 2018 mandate renewal was intended to streamline the operation and was informed by the UN\u2019s most recent strategic review of the operation. Senior MONUSCO officials also told us that, as a result of the review, the Security Council had reduced its work in the justice reform sector by 50 percent because it believed the operation would be able to engage more meaningfully in this arena after the presidential election."], "subsections": []}, {"section_title": "Security Situation", "paragraphs": ["State identified several peacekeeping operations that worked in environments in which there were ongoing ceasefire violations or unstable security situations. State found that peacekeeping operations in the Democratic Republic of the Congo; the Golan Heights, Syria; Western Sahara; Cyprus; and Lebanon faced ongoing ceasefire violations. State also found that the peacekeeping operations in Mali and the Central African Republic worked in dangerous conditions and the operations in Mali and the Democratic Republic of the Congo faced persistent attacks on civilians. During our field work in Lebanon, UNIFIL officials emphasized the importance and successes of the UNIFIL-facilitated tripartite mechanism, which provides regular opportunities for soldiers from the Lebanese Armed Forces and the Israeli Defense Force to help prevent any event from escalating into a major event. According to U.S. embassy officials, because of the prevalence of armed groups in eastern Congo, the government\u2019s and international community\u2019s response to the Ebola outbreak that started there in August 2018 was significantly more complex and challenging than their response to the May 2018\u2013July 2018 outbreak in northwestern Congo, an area that does not have a significant presence of armed groups."], "subsections": []}]}, {"section_title": "Appendix IV: Synopsis of Four United Nations Peacekeeping Operations and Key Challenges They Face", "paragraphs": ["We selected United Nations (UN) peacekeeping operations in four countries\u2014the Democratic Republic of the Congo, Haiti, Kosovo, and Lebanon\u2014for case studies. Below is a synopsis of each of these peacekeeping operations and key challenges they face, according to U.S. and UN officials.", "Key Facts About DRC Population: Approximately 83.3 million people live in DRC. About 60 percent of the population is under the age of 25, and about 40 percent is under the age of 15. There are over 200 ethnic groups; the majority is Bantu.", "Map of the Democratic Republic of the Congo (DRC)", "Government: DRC is a semi- presidential republic. The last presidential election was held on December 30, 2018.", "Economy: DRC\u2019s estimated gross domestic product for 2017 was $40.4 billion. Conflict and corruption have contributed to the poor economic performance of DRC, despite its vast natural resource wealth.", "Timeline of Key Events 1960: The Republic of the Congo is granted independence from Belgium. 1960-1964: The UN deploys the United Nations Operation in the Congo (ONUC) to ensure the withdrawal of Belgian forces from the Republic of the Congo, among other things. 1998: \u201cAfrica\u2019s World War\u201d begins, with seven countries fighting in DRC.", "Current Status and Challenges According to U.S. and United Nations (UN) officials, MONUSCO\u2019s most important mandated tasks are the protection of civilians and support to the government of DRC\u2019s elections. According to the Secretary-General, the impact of intercommunal violence and attacks by armed groups continue to persist in eastern and southern DRC and have led to the displacement of thousands of people. Held after several delays, the results of the December 30, 2018 national and provincial elections are expected to result in the first democratic transition of power in the nation\u2019s history. Despite varied disputes over preliminary results and reports of sporadic violence, the UN reports that the elections were relatively peaceful. However, according to the UN, pending the announcement of the final results by the DRC Constitutional Court, the coming days will be critical.", "1999: The Lusaka Ceasefire is signed, ending the war. The UN establishes a peacekeeping operation in DRC\u2014United Nations Organization Mission in the Democratic Republic of the Congo (MONUC).", "July 2010: The UN renames MONUC MONUSCO and updates the peacekeeping operation\u2019s mandate.", "According to U.S. and UN officials, the biggest challenges MONUSCO faces in carrying out its mandated tasks are the vast size of DRC and the fact that the government of DRC will accept limited help from MONUSCO in carrying out its elections. According to UN officials, MONUSCO is having some success in addressing instability in eastern DRC. For example, MONUSCO said it receives 300 to 400 calls per month alerting it to attacks and that either MONUSCO or DRC forces respond to 90 percent of these calls. In addition, UN officials told us that the Security Council provided MONUSCO with a budget to use for logistical support for elections assistance, so MONUSCO can readily help the DRC government if and when it asks for assistance.", "Key Facts about Haiti Population: Approximately 10.6 million people live in Haiti. More than 50 percent of the population is under the age of 24.", "Government: Haiti is a semi- presidential republic.", "Economy: Haiti\u2019s estimated gross domestic product for 2017 was $8.36 billion. Haiti continues to rely on international economic assistance for fiscal sustainability, with over 20 percent of its budget coming from foreign aid. In 2010, Haiti\u2019s unemployment rate was estimated to be 40.6 percent, and in 2012, 58.5 percent of its population was estimated to be living below the poverty line.", "Timeline of Key Events 1993: Following a military coup, the UN establishes the first of a series of three peacekeeping operations. The last of these operations leaves in 2000. 2004: The UN establishes the United Nations Stabilization Mission in Haiti (MINUSTAH) to help restore and maintain order after the collapse of the government. 2017: The UN establishes MINUJUSTH as a successor to MINUSTAH, composed of police and civilian personnel and focused on institutional strengthening and development.", "Current Status and Challenges The United Nations (UN) established MINUJUSTH in 2017 to assist the government of Haiti in strengthening rule-of-law institutions, further support and develop the Haitian National Police, and engage in human rights monitoring, reporting, and analysis. In the resolution establishing MINUJUSTH, the Security Council called on the Secretary-General to develop a 2-year exit strategy with clear benchmarks. The Secretary- General regularly reports on MINUJUSTH\u2019s progress toward reaching its benchmarks. The Security Council resolution extending the MINUJUSTH mandate to April 2019 calls on the Secretary-General to conduct a strategic assessment of the operation by early 2019 and present recommendations on the UN\u2019s future role in Haiti. To facilitate the transition, the UN has created a joint UN Development Program and MINUJUSTH rule-of-law program to continue its work in this area after the peacekeeping operation ends.", "According to U.S. and UN officials, Haiti continues to struggle with weak institutions and high levels of government corruption. Moreover, according to MINUJUSTH officials, the process of transitioning from the previous peacekeeping operation in Haiti to MINUJUSTH was challenging because of the level of effort involved in liquidating assets, among other things. These officials told us that similar issues will make the MINUJUSTH transition to a non-peacekeeping UN presence equally challenging.", "Key Facts about Kosovo Population: Approximately 1.9 million people live in Kosovo. About 42 percent of the population is under the age of 25. The primary ethnic group is the Albanian Kosovars, making up approximately 93 percent of the population. Other ethnic minorities include Serbs and Bosnians.", "Government: Kosovo is a parliamentary republic.", "Economy: Kosovo\u2019s estimated gross domestic product in 2017 was an estimated $19.6 billion. Kosovo's economy has achieved some stability, but it is still highly dependent on the international community for financial and technical assistance. Kosovo\u2019s unemployment rate is 33 percent, with a youth (under 26) unemployment rate near 60 percent.", "Timeline of Key Events 1991: Kosovo's Albanians declare independence from Serbia. 1998: Multi-year conflict results in large numbers of casualties, refugees, and displaced persons.", "Current Status and Challenges The Security Council established UNMIK to provide an interim administration for Kosovo, under which UNMIK had authority over the territory and people of Kosovo, including all legislative and executive powers and administration of the judiciary. Following the declaration of independence by the Kosovo Assembly in June 2008, the tasks of the operation have changed to focus primarily on the promotion of security, stability, and respect for human rights in Kosovo, as well as reducing tensions between Serbia and Kosovo.", "1999: A 3-month NATO military operation against Serbia results in the Serbs withdrawing their military and police forces from Kosovo. 1999: UN Security Council Resolution 1244 (1999) places Kosovo under a transitional administration pending a determination of Kosovo's future status.", "According to U.S. and United Nations (UN) officials, the greatest challenge UNMIK faces in carrying out its mandate is that the Kosovo government will not engage directly with UNMIK. According to U.S., UN, and Kosovo government officials, the Kosovar government will not engage with UNMIK because it views UNMIK\u2019s mandate as obsolete, given Kosovo\u2019s independence. U.S. officials believe that UNMIK has achieved its mandate and should be closed. However, these officials also noted that Russia, as a permanent member of the Security Council with a veto, prevents the affirmative decision necessary to close UNMIK.", "2008: The Kosovo Assembly declares Kosovo\u2019s independence.", "U.S. and UN officials told us that UNMIK has found ways to indirectly assist the Kosovo government, such as by providing funding for government efforts in Kosovo through other UN agencies with which the Kosovo government will engage. For instance, one UN official told us that UNMIK had provided a ground-penetrating radar to the Office of the United Nations High Commissioner for Human Rights to assist in efforts to locate missing persons, which will help clarify the fate and whereabouts of people unaccounted for after the conflict with Serbia.", "Key Facts about Lebanon Population: Approximately 6.2 million people live in Lebanon. The country is about 27 percent Sunni, 27 percent Shia, and 41 percent Christian. Officially, there are almost 1 million Syrian refugees in Lebanon.", "Government: Lebanon is a parliamentary republic, with a unicameral legislature that elects the president. Currently, 35 of 128 legislative seats are held by the Shia Amal-Hezbollah coalition. Lebanon's borders with Syria and Israel remain unresolved.", "Economy: Lebanon\u2019s estimated gross domestic product for 2017 was $52.7 billion, with a real growth rate of 1.5 percent. The growth rate is down from about 7 percent in 2010.", "Timeline of Key Events 1975-1990: Sectarian violence leads to the Lebanese civil war. 1978: Israel sends troops into Lebanon.", "March 1978: UNIFIL is established to supervise the withdrawal of Israeli forces from southern Lebanon. Israeli forces withdraw in 2000.", "Current Status and Challenges UNIFIL was created by the Security Council in March 1978 to supervise the Israeli withdrawal from Lebanon, restore international peace and security, and assist the government of Lebanon in restoring its authority. In late 2006, following renewed conflict between Israel and Lebanon, the Security Council enhanced UNIFIL\u2019s forces and added additional tasks to its mandate to include monitoring the cessation of hostilities and extending UNIFIL\u2019s assistance to help ensure humanitarian access to civilian populations and the voluntary and safe return of displaced persons. The United Nations (UN) reported in March 2018 that the situation in UNIFIL\u2019s area of operations has remained generally calm, but there has been no progress toward implementing a permanent ceasefire.", "Early 1980s: Israeli forces in southern Lebanon start facing opposition from a militant group that would become Hezbollah, backed by Iran.", "July-August 2006: Hezbollah captures two Israeli soldiers, sparking a 34-day war with Israel. UN Security Council Resolution 1701 calls for a cease-fire between the two sides and supplements UNIFIL\u2019s mandate.", "According to U.S. and UN officials, one challenge UNIFIL faces in carrying out its mandate is that Israel and Lebanon have not agreed on a peaceful solution to their conflict. Officials noted that there is no articulated exit strategy for the operation and that the Lebanese Armed Forces lack the capacity to secure the southern border with Israel\u2014a necessary condition for the successful exit of UNIFIL. However, U.S. and UN officials agreed that UNIFIL plays a vital role by deterring further hostilities in southern Lebanon and providing a neutral forum for meetings between Israel and Lebanon."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Elizabeth Repko (Assistant Director), Shirley Min (Analyst in Charge), Julia Jebo Grant, Sarah Amer, Molly Miller, Debbie Chung, Martin de Alteriis, Neil Doherty, Mark Dowling, Michael Rohrback, and Brandon Hunt made contributions to this report."], "subsections": []}]}], "fastfact": ["As of December 2018, the UN had 14 ongoing peacekeeping operations involving about 103,000 personnel. The U.S. is the single largest financial contributor to these operations.", "Our review of Department of State assessments and discussions with State officials found that UN operations generally do not fully meet U.S. principles for effective peacekeeping, such as obtaining host country consent. State officials also said they need better financial and performance information on these operations.", "We recommended that State take additional steps to ensure more effective UN operations and improve UN reporting on finances and performance."]} {"id": "GAO-18-534", "url": "https://www.gao.gov/products/GAO-18-534", "title": "Medicare Fee-For-Service: Information on the First Year of Nationwide Reduced Payment Rates for Durable Medical Equipment", "published_date": "2018-07-25T00:00:00", "released_date": "2018-08-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To achieve Medicare DME savings, Congress required CMS to implement a CBP in certain geographic areas for certain DME items. Beginning in 2011, CMS began implementing the CBP in several phases. The agency estimates that the CBP will save the Medicare program $19.7 billion between 2013 and 2022.The Patient Protection and Affordable Care Act required CMS to use CBP information to adjust fee-for-service payment rates for certain DME items in non-bid areas. On January 1, 2016, adjusted rates for 393 items went into effect in non-bid areas. CMS estimated these adjustments will save the Medicare program about $3.6 billion between fiscal years 2016 and 2020.", "GAO was asked to review the potential effects of reduced payment rates for DME in non-bid areas. In this report, GAO examines (1) payment rate reductions and any changes in the number of suppliers; (2) any changes in the utilization of rate-adjusted items; and (3) available evidence related to potential changes in beneficiaries' access to rate-adjusted items.", "GAO compared non-adjusted 2015 fee-for-service payment rates to adjusted 2016 and 2017 rates and reviewed Medicare claims data from 2010 through 2016. GAO also reviewed CMS's monitoring activities and interviewed CMS officials. In addition, GAO interviewed select beneficiary advocacy groups and DME industry trade organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS) implemented a competitive bidding program (CBP) for certain durable medical equipment (DME), such as wheelchairs and oxygen, in 2011 that is currently operating in 130 designated U.S. areas. On January 1, 2016, CMS used information from the CBP to start adjusting Medicare fee-for-service payment rates for certain DME throughout the country in areas that had previously not been subject to the CBP (known as non-bid areas). For the first year adjusted rates were in effect in non-bid areas, GAO found:", "Reductions in payment rates were generally significant but varied by category of DME item. The unweighted average reduction in payment rates for the five rate-adjusted DME items with the highest expenditures in 2016 within each DME category was 46 percent.", "Changes in the number of suppliers furnishing rate-adjusted items were generally consistent with the years before adjusted rates went into effect. GAO found that the number of suppliers furnishing rate-adjusted items in non-bid areas in 2016 decreased 8 percent compared to 2015.", "GAO's review of Medicare claims data found that beneficiary utilization of rate-adjusted items in non-bid areas in 2016 showed little change compared to 2015. GAO also found that CMS's activities to monitor beneficiary access, including changes in health outcomes, showed little change between 2015 and 2016.", "GAO interviewed several stakeholder groups that reported anecdotal examples of specific beneficiary access concerns they attributed to the rate adjustments, but stakeholders could not provide evidence to substantiate that the access issues were widespread. GAO's findings are consistent with CMS's monitoring results, which indicate that there were no widespread effects on beneficiary access in the year after the adjusted rates went into effect. However, some effects may take longer to appear, underscoring the importance of CMS's continued monitoring activities.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicare, a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS), within the Department of Health and Human Services (HHS), spent about $6.4 billion in 2016 on fee-for-service (FFS) payments for durable medical equipment (DME). According to the 2018 Medicare Trustees Report, in 2017, 33.6 million, or about 63 percent of the total 53.4 million Medicare enrollees, were enrolled in the Medicare FFS Part B program that helps pay for DME items, such as oxygen, wheelchairs, hospital beds, and walkers, if they are medically necessary and prescribed by a physician. Medicare beneficiaries typically obtain DME items from suppliers, who then submit claims for payment to Medicare on behalf of beneficiaries.", "Historically, Medicare paid for DME items by using a fee schedule generally based on what suppliers charged for the items and services during the 1980s, and these amounts were updated annually. However, both we and the HHS Office of Inspector General have reported that Medicare and its beneficiaries sometimes paid higher than market rates for various DME items, and there were long-standing concerns about the high rates of improper payments related to DME. To achieve savings and address improper payment concerns, Congress\u2014through the Medicare Prescription Drug, Improvement, and Modernization Act of 2003\u2014 directed that CMS change the way it pays for DME and other items in certain areas of the country by implementing a competitive bidding program (CBP).", "The CBP has been implemented through several rounds, each operating in specific CBP areas and for specific time frames. The first round began in 2011 in nine of the largest metropolitan statistical areas, and the CBP currently includes 130 areas. The CBP payment for a CBP-covered DME item is based on winning bids submitted by competing suppliers within each designated CBP area. As such, the same item can have a different payment rate in different areas. We have previously found that CMS\u2019s implementation of the CBP decreased expenditures for both Medicare and beneficiaries residing in designated CBP areas as a result of lower payment rates and decreased utilization. We also reported that CMS\u2019s monitoring activities indicated that beneficiary access and satisfaction had not been affected by the CBP.", "Beginning January 1, 2016, the Patient Protection and Affordable Care Act required CMS to use payment information from the CBP to adjust FFS payment rates (hereafter referred to as adjusted rates) in all non- rural and rural areas of the United States that are not included in the CBP (hereafter referred to as non-bid areas). These adjustments reduced payment rates for almost all affected DME items in non-bid areas. CMS estimates that about half of DME items furnished to Medicare FFS Part B program beneficiaries are furnished to beneficiaries residing in non-bid areas, and the reduced rates after adjustment in non-bid areas will save the Medicare program about $3.6 billion between fiscal years 2016 through 2020. CMS officials told us adjusted rates in non-bid areas have also helped limit fraud by making DME a less lucrative target for fraud and abuse, and may also have curbed unnecessary utilization of certain DME. However, some stakeholder groups have raised concerns that reduced payment rates in non-bid areas have disrupted beneficiary access to needed DME items and such issues may be exacerbated in rural areas because some suppliers have limited their service areas.", "You asked us to examine the potential effects of reduced payment rates for DME in non-bid areas. In this report, for non-bid areas, we examine: 1. DME payment rate reductions and any changes in the number of suppliers after the rate adjustments went into effect; 2. any changes in the utilization of rate-adjusted DME items after the rate adjustments went into effect; and 3. available evidence related to potential changes in Medicare beneficiaries\u2019 access to rate-adjusted items after the rate adjustments went into effect.", "To examine the extent to which FFS payment rates changed after adjusted rates went into effect, we used FFS payment rate information on CMS\u2019s website to compare 2015 non-adjusted payment rates with 2016 and 2017 adjusted rates. Specifically, we analyzed payment rates for the five items with the largest percentage of 2016 total expenditures for all rate-adjusted items furnished to beneficiaries in non-bid areas within each of the 11 general DME product categories established by CMS. Based on Medicare claims data, the resulting top 53 of the 393 rate-adjusted items accounted for 80 percent of 2016 total expenditures for all rate- adjusted items. We analyzed payment rates by product category and by individual item.", "To examine any changes in the number of suppliers in non-bid areas, we used Medicare claims data and other CMS data to calculate percentage changes in the number of suppliers furnishing any of the 393 rate- adjusted DME items to Medicare beneficiaries from 2010 through 2016. We also reviewed changes in the number of suppliers furnishing items not included in the CBP (non-adjusted items). We did this to evaluate the effect reduced payment rates may have had on the number of suppliers in the context of broader health industry developments and CMS antifraud efforts that were not limited to rate-adjusted items, such as the implementation of new safeguards to better screen Medicare suppliers. (See Appendix I for information about CMS\u2019s CBP and antifraud initiatives.) In addition, we compared changes in the number of suppliers in both non-rural and rural areas and by product category. We also spoke with several DME suppliers as part of our outreach to four large DME industry trade organizations whose members may provide rate-adjusted items, CMS officials, and officials from the Small Business Administration\u2019s National Ombudsman\u2019s Office for Regulatory Enforcement Fairness to discuss their views on how the implementation of adjusted rates may have affected the number of DME suppliers in non- bid areas.", "To examine the extent to which adjusted rates for items included in the CBP may have affected utilization of those items, we used Medicare claims data and other CMS data to report percentage changes in the number of beneficiaries utilizing any of the 393 rate-adjusted items in non-bid areas. Specifically, we examined changes in beneficiary utilization of the 393 rate-adjusted items from 2010 through 2016 and compared changes in utilization in non-rural versus rural areas and by product category. We also examined changes in CBP areas and in beneficiary utilization of non-adjusted items to determine how these compared to non-bid areas and rate-adjusted items.", "To examine available evidence regarding the extent to which adjusted rates for DME items potentially affected Medicare beneficiaries\u2019 access to those items in non-bid areas, we reviewed: (1) data from CMS\u2019s 1-800- MEDICARE beneficiary help line; (2) CMS data on DME suppliers\u2019 rates of assignment for rate-adjusted items\u2014i.e., whether suppliers accepted the Medicare-approved amount in full or charged beneficiaries an additional amount\u2014because CMS reported that a high rate of assignment indicates that adjusted rates are sufficient; and (3) results from CMS\u2019s health status monitoring tool that tracks real-time health outcomes for beneficiaries residing in both CBP areas and non-bid areas. We also conducted our own analysis for a particular set of beneficiaries using rate- adjusted oxygen items in both non-bid and CBP areas to determine if certain health outcomes for that set of beneficiaries changed pre-and post-implementation of adjusted rates. We selected rate-adjusted oxygen items because most of these items are billed on a monthly basis, which allowed us to more easily associate utilization with changes in health outcomes. In addition, according to CMS officials, oxygen items are generally used for the entirety of a beneficiary\u2019s life once prescribed. Specifically, we reviewed trends for two health outcomes\u2014death and hospital admissions\u2014by identifying a cohort of beneficiaries who began using oxygen items in the first half of 2014 and tracking their utilization of those items through the end of 2016.", "In addition, we interviewed CMS officials, CMS\u2019s competitive acquisition ombudsman, and representatives from the State Health Insurance Assistance Program. We also interviewed representatives from the California Hospital Association, who monitor the effects of CBP and payment changes on beneficiary access, and three beneficiary advocacy groups representing Medicare beneficiaries who may have specific conditions requiring DME items. We asked about their members\u2019 experiences in obtaining rate-adjusted items in non-bid areas and the extent to which they reported widespread issues related to access and choice of DME items. When we interviewed the four large DME industry trade organizations, we asked them if they were aware of any effects on beneficiaries such as access issues and whether such effects were widespread.", "We assessed the reliability of the Medicare claims data we used for this report by reviewing existing information about the data and the systems that produced them, performing electronic data checks, and interviewing CMS officials. To assess the reliability of the data we received from CMS and its contractor, we reviewed relevant documentation, performed electronic data checks, and interviewed CMS officials. On the basis of these steps, we determined that these data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from April 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DME Items Subject to Adjusted FFS Payment Rates", "paragraphs": ["CMS used payment information from the CBP to adjust payment rates for 393 Healthcare Common Procedure Coding System (HCPCS) codes (generally referred to as \u201citems\u201d in this report) in non-bid areas. Most of these items were included in at least one CBP round; however, some are no longer included in current CBP rounds. For example, 81 items with adjusted rates were not included in the CBP rounds that were in effect at the end of calendar year 2016.", "CMS grouped the 393 items with adjusted rates into 11 general product categories. See table 1 for these categories and the number of items in each category."], "subsections": []}, {"section_title": "CMS\u2019s Methodologies for Adjusting FFS Payment Rates in Non-Bid Areas Using CBP Information", "paragraphs": ["CMS uses different methodologies to adjust FFS payment rates in non- bid areas. These adjustments are based on CBP payment information depending on the number of CBP areas in which a particular item has been competitively bid and the geographic area in which the adjusted rate is applied. For example, for an item that is competitively bid in more than 10 CBP areas and is furnished to beneficiaries residing in non-rural areas of the contiguous United States, CMS calculates a separate adjusted rate for each of eight geographic regions. In each region, the item\u2019s average regional adjusted rate reflects the unweighted average competitively bid rate for all CBP areas located fully or partially within the region. To address concerns regarding the possible effect of adjusted rates on beneficiaries residing in rural areas, CMS may apply an additional premium to the adjusted rates for items furnished to beneficiaries residing in rural areas of the contiguous United States. Similarly, CMS may also apply a premium in non-contiguous areas of the United States\u2014Alaska, Hawaii, and the U.S. territories\u2014that applies to non-rural and rural areas alike. See figure 1 for a map of CBP and non-bid areas as of 2016."], "subsections": []}, {"section_title": "Phase-In of Adjusted FFS Payment Rates", "paragraphs": ["According to CMS, it initially used a phased-in approach to adjust FFS payment rates beginning in 2016; this allowed for a transition period in which the agency could closely monitor health outcomes and access to affected DME items prior to implementing fully adjusted rates. From January 1 through June 30 of 2016, FFS payment rates were based on a 50/50 blend of non-adjusted and adjusted rates, and from July 1 through December 31 of the same year, FFS payment rates were 100 percent adjusted based on CBP information. However, the 21st Century Cures Act required CMS to retroactively apply the 50/50 blended payment rates to claims in the second half of 2016, delaying the fully adjusted payment rates to January 1, 2017. Because the retroactively applied 50/50 blended rates were based on newly available information from the CBP round 2 recompete that went into effect on July 1, 2016, the adjusted rates for the second half of 2016 may have differed from the adjusted rates for the first half of 2016. CMS contractors retroactively adjusted claims for this period, which were processed during the second half of calendar year 2017. Because this rate change became effective mid- December 2016, most decisions by suppliers and beneficiaries during the second half of 2016 were made based on the 100 percent adjusted rates, and the retroactive adjustments affected the total allowed charges, or expenditures, that suppliers were reimbursed. The implementation of adjusted rates may also affect other populations in addition to Medicare suppliers and Medicare beneficiaries in non-bid areas, because some private and other government insurers base their payment rates on Medicare\u2019s fee schedule. For example, the federal government\u2019s TRICARE military health program uses Medicare\u2019s fee schedule to help determine how much it pays for DME items."], "subsections": []}, {"section_title": "DME Supplier Requirements", "paragraphs": ["CMS has established certain requirements that all DME suppliers must meet in order to enroll in Medicare and maintain Medicare billing privileges, which include accreditation and appropriate licensure. Specifically, DME suppliers must meet Medicare enrollment and quality standards. CMS also requires all DME suppliers and each of their locations to be accredited by a CMS-approved accrediting organization. In addition, DME suppliers must meet state licensure requirements in order to furnish certain items or services. Finally, certain DME suppliers are required to post a surety bond of at least $50,000 for each business location.", "There are two key differences between supplier requirements in non-bid areas versus CBP areas. First, only suppliers who are awarded a contract\u2014referred to as contract suppliers\u2014can furnish certain DME items at competitively determined prices to Medicare beneficiaries residing in CBP areas, and they are contractually obligated to furnish items in their contract upon request. According to CMS\u2019s competitive acquisition ombudsman, contract suppliers in CBP areas may receive more scrutiny than DME suppliers in non-bid areas because CMS can take action to ensure the suppliers are meeting their contract obligations.", "However, in non-bid areas, any Medicare-enrolled DME supplier can furnish DME items. DME suppliers do not sign contracts in non-bid areas and are not contractually obligated to furnish items upon request. Second, contract suppliers in CBP areas must accept Medicare assignment, meaning that they must accept the competitively determined Medicare payment rate in full (and may not charge beneficiaries more than any unmet deductible and 20 percent coinsurance), whereas suppliers in non- bid areas may choose not to accept assignment and there is no limit on the amount they may charge a beneficiary."], "subsections": []}, {"section_title": "CMS\u2019s Monitoring Activities", "paragraphs": ["CMS has implemented several activities to monitor whether beneficiary access has been affected by the implementation of adjusted rates in non- bid areas, as summarized below.", "Inquiries to 1-800-MEDICARE. Beneficiaries with DME questions\u2014 referred to by CMS as inquiries\u2014are directed to call CMS\u2019s 1-800- MEDICARE call line. Callers are assisted by customer service representatives trained to answer questions and assist beneficiaries in finding DME suppliers. One CMS official told us the agency tracks DME-related inquiries to 1-800-MEDICARE but does not track whether inquiries are received from beneficiaries in CBP areas versus non-bid areas.", "Health Status Monitoring Tool. CMS analyzes Medicare claims data to monitor real-time health outcomes, such as death, hospitalizations, emergency room visits, and physician visits for beneficiaries in both CBP and non-bid areas. CMS posts information on its website to show historical and regional trends in health outcomes for specific groups of beneficiaries.", "Monitoring Changes in the Number of Suppliers and Beneficiary Utilization Rates. CMS officials told us they closely monitor changes in the number of suppliers furnishing items subject to adjusted rates in non-bid areas as well as changes in beneficiary utilization of rate- adjusted items.", "Monitoring Assignment Rates. CMS monitors the percentage of claims suppliers have submitted as \u201cassigned\u201d in non-bid areas. According to CMS, assignment rates are a good indicator of whether FFS payment amounts are sufficient.", "While CMS conducted beneficiary satisfaction surveys before and after the implementation of previous CBP rounds in order to measure changes in beneficiary satisfaction in CBP areas, CMS officials reported they have not conducted similar surveys of beneficiaries residing in non-bid areas."], "subsections": []}]}, {"section_title": "Payment Rate Reductions Were Generally Significant but Varied, and Number of Suppliers Continued a Trend of Annual Decreases", "paragraphs": [], "subsections": [{"section_title": "FFS Payment Rate Reductions Were Generally Significant but Varied By Product Category and DME Item", "paragraphs": ["The payment rate reductions for DME items in non-bid areas were generally significant. The average unweighted percentage reduction across the top product category items combined\u2014measured by calculating the percentage change between the 2015 non-adjusted and the 2017 fully adjusted rates\u2014was 46 percent. However, payment rate reductions varied by DME product category and by individual item within product categories. This is not unexpected given that the adjusted rates for each item were based on competitively determined payment rates from prior or current CBP rounds, and rate reductions for those payment rates also varied widely by product category and item. Specifically, average payment rate reductions by DME product category ranged from 18 percent to 74 percent with a midpoint of 47 percent. For example, the average payment rate reduction for the top items in the oxygen product category\u2014the category that accounted for the highest percentage of total expenditures in 2016\u2014was 39 percent. The range of reductions among individual items within product categories also varied. For example, payment rate reductions for the top items in the enteral nutrients product category ranged from 46 percent to 56 percent. In contrast, payment rate reductions for the three items in the negative pressure wound therapy (NPWT) product category ranged from 6 percent to 61 percent. (See table 2.)", "Table 3 shows 2015 non-adjusted and 2017 fully adjusted rates and the percentage reduction in these rates for the rate-adjusted item in each product category with the largest share of 2016 total expenditures. (See Appendix II for detailed information on the 2015 non-adjusted payment rates, 2016 transitional 50/50 blended adjusted rates, and 2017 fully adjusted rates for items with the highest 2016 expenditures in each product category.)"], "subsections": []}, {"section_title": "In 2016, Number of Suppliers Furnishing Rate- Adjusted Items in Non-Bid Areas Continued a Trend of Annual Decreases", "paragraphs": ["The number of suppliers furnishing any of the 393 rate-adjusted items to beneficiaries in non-bid areas in 2016\u2014the first year that CMS adjusted payment rates in non-bid areas\u2014decreased 8 percent compared to 2015. This continued a trend of annual decreases in non-bid areas going back to at least 2011\u2014the first year CMS began implementing the CBP in nine areas. The largest percentage decrease in suppliers, 13 percent, occurred in 2014 (the year after the CBP was expanded to an additional 100 areas), followed by 9 and 8 percent decreases in 2015 and 2016, respectively. This information is based on our review of the number of suppliers billing Medicare, so it is unclear as to how much the decreases were attributable to suppliers closing their businesses, conducting mergers or acquisitions, no longer accepting Medicare beneficiaries, or other factors.", "Also, the number of suppliers furnishing non-adjusted items to beneficiaries residing in non-bid areas decreased 4 percent in 2016 compared to 2015. Similar to trends found for rate-adjusted items, this continued a trend of annual decreases since at least 2011, although these decreases were smaller. As was the case with rate-adjusted items, the largest percentage decrease in the number of suppliers occurred in 2014 and then slowed in subsequent years. (See fig. 2.) Because 2016 was the most recent year of complete Medicare claims data available at the time of our study, we could only review data for the first year that adjusted rates were in effect in non-bid areas and could not determine if these trends continued in 2017.", "Some DME industry trade organization representatives we interviewed reported that suppliers face an additional challenge of having to travel long distances when furnishing items to beneficiaries in rural areas, which may result in suppliers limiting their service areas. However, there was little difference between non-rural and rural non-bid areas in terms of changes in the number of suppliers between 2015 and 2016. For example, the number of suppliers furnishing rate-adjusted items to beneficiaries residing in non-rural non-bid areas decreased 7 percent between 2015 and 2016 compared with a decrease of 8 percent in rural non-bid areas. (See fig. 3.)", "There was also little difference between non-rural and rural areas in terms of changes in the number of suppliers who furnished non-adjusted items to beneficiaries residing in non-bid areas. For example, between 2015 and 2016 the number of suppliers furnishing non-adjusted items to beneficiaries in non-bid areas decreased 3 percent in non-rural areas and 4 percent in rural areas.", "We found that the number of suppliers furnishing rate-adjusted items in non-bid areas decreased between 2015 and 2016 in all product categories, though the extent of these decreases varied. For example, we found that the number of suppliers furnishing items in the infusion pumps product category decreased by 1 percent between 2015 and in 2016 while the number of suppliers furnishing general home equipment decreased by 10 percent. Trends for 2010 through 2016 were generally similar. The number of suppliers decreased in all product categories, and the extent of decreases varied. Individual suppliers may furnish items across multiple product categories. (See fig. 4.)"], "subsections": []}]}, {"section_title": "Beneficiary Utilization of Rate-Adjusted Items Held Steady in 2016 Following Three Years of Decreases", "paragraphs": ["The number of beneficiaries in non-bid areas receiving at least one rate- adjusted item in 2016\u2014the first year that CMS implemented adjusted rates in non-bid areas\u2014showed little change compared to 2015, decreasing by less than one-half of a percentage point. This stabilization in beneficiary utilization occurred following three years of decreases in non-bid areas with the largest decrease (4 percent) in 2014\u2014the year following the CBP\u2019s expansion to an additional 100 areas. In comparison, the number of beneficiaries in non-bid areas who received at least one non-adjusted item increased 3 percent in 2016. (See fig. 5.) In general, the annual trends in CBP areas paralleled those in non-bid areas. Between 2015 and 2016, there was little change in the number of beneficiaries in CBP areas who received at least one rate-adjusted item, with a decrease of less than one-half a percentage point.", "In non-bid areas, there was little difference between non-rural and rural areas in terms of changes in 2016 in the number of beneficiaries who received rate-adjusted items, with decreases in both of less than one-half a percentage point. There was also little difference in terms of the changes in the number of beneficiaries in non-bid areas who received non-adjusted items. The total decrease for the 2010 to 2016 period was smaller in non-rural areas than rural areas. (See fig. 6.)", "We found that the number of beneficiaries in non-bid areas receiving at least one rate-adjusted item decreased in 2016 for 9 of the 11 product categories. Changes ranged from a 45 percent decrease for the TENS product category to a 9 percent increase for the CPAP/RAD product category. For the 2010 through 2016 period, most product categories also had total net percentage decreases, and percentage changes varied across product categories. (See fig. 7.) Individual product category decreases were generally larger in CBP areas than in non-bid areas. For example, between 2010 and 2016, the percentage change in the number of beneficiaries who received oxygen product category items was -29 percent in CBP areas as compared to -19 percent in non-bid areas. CPAP/RAD was the one product category for which the number of beneficiaries receiving at least one item increased rather than decreased in 2016 and between 2010 and 2016 in both non-bid and CBP areas. This is consistent with what we have previously reported.", "We could only report on utilization for one year following adjustment of rates because 2016 was the most recent year with complete data available; as such utilization trends may differ in 2017 and subsequent years."], "subsections": []}, {"section_title": "Available Evidence Indicates No Widespread Access Issues in the First Year of Reduced Durable Medical Equipment Payment Rates in Non-Bid Areas CMS\u2019s Health Status Monitoring Tool Indicates that Beneficiaries in Non- Bid Areas Have Not Experienced Changes in Health Outcomes", "paragraphs": ["CMS has reported that data from its health status monitoring tool indicate the reduced payment rates have not resulted in changes in access to DME items or health outcomes in non-bid areas in 2016 as compared to 2015. CMS uses the health status monitoring tool to analyze Medicare claims data and track seven health outcomes\u2014deaths, hospitalizations, emergency room visits, physician visits, admissions to skilled nursing facilities, average number of days spent hospitalized in a month, and average number of days in a skilled nursing facility in a month\u2014for beneficiaries in both CBP and non-bid areas. The data for non-bid areas are broken out by rural and non-rural areas across eight different regions of the country and non-contiguous U.S. areas. CMS monitors these health outcomes for three Medicare FFS beneficiary groups: 1) all beneficiaries enrolled in FFS, 2) beneficiaries who are likely to use one of the rate-adjusted items on the basis of related health conditions, and 3) beneficiaries who have a claim for one of the rate-adjusted items. CMS\u2019s tool considers historical and regional trends in health status to monitor health outcomes in all CBP and non-bid areas. CMS officials told us that staff meet bi-weekly to review monitoring tool trends as well as external complaints or stakeholder feedback to identify and investigate potential DME access issues. The officials told us these investigations have not identified any adverse health outcomes as a result of the implementation of adjusted rates.", "We previously conducted an analysis of CMS\u2019s methodologies and scoring algorithm that focused on evaluating health outcome trends in CBP areas and found them to be generally sound. CMS officials told us they have not made significant revisions to the tool\u2019s underlying methodologies but did create a separate workbook specially tailored to the implementation of the adjusted rates in non-bid areas that includes additional capabilities, such as review of assignment rates. In addition, because CMS uses a 4-month window to evaluate health outcomes of all beneficiaries that meet the criteria, for this report we also conducted our own analysis of health outcomes over a longer period of time to determine if our results for a particular set of beneficiaries were consistent with CMS\u2019s shorter-term results. Specifically, we tracked a cohort of about 256,000 beneficiaries in both non-bid and CBP areas who began using oxygen items in the first half of 2014 and followed their utilization through the end of 2016 to determine if mortality and hospital admissions rates remained consistent before and after the implementation of adjusted rates. We found that the trends in mortality and hospital admissions rates for this cohort were generally consistent with the cumulative trends displayed in CMS\u2019s monitoring tool. We did not find a change in health status between 2015 and 2016 related to the reduced payment rates."], "subsections": [{"section_title": "The Percentage of Medicare Enrolled Participating Suppliers and Rates of Assignment for Rate-Adjusted Items Did Not Change Following the Implementation of Adjusted Rates", "paragraphs": ["One way that CMS verifies that beneficiaries have access to needed items and services is by reviewing the percentage of suppliers who enroll as Medicare \u201cparticipating\u201d suppliers and the percentage of claims that suppliers have submitted as assigned. Participating suppliers must accept the FFS payment rate in full for all claims and cannot charge beneficiaries an additional amount above the 20 percent copayment. DME suppliers can also elect to be \u201cnon-participating\u201d suppliers meaning they can choose to accept assignment on a claim-by-claim basis and there is no limit on the amount that they can charge for a DME item. Non- participating suppliers in non-bid areas are not required to accept assignment of Medicare claims. This means a non-participating supplier can decide not to accept assignment for an item and can charge beneficiaries an amount above the Medicare payment rate. CMS told us the rate of participating suppliers in 2016 was unchanged from 2015 and decreased by one percent in 2017, and the rates of assignment for rate- adjusted items remained very high (over 99 percent of all claims for rate- adjusted items in non-bid areas) in 2016 and 2017."], "subsections": []}, {"section_title": "Number of Inquiries to CMS and the State Health Insurance Assistance Program Did Not Increase Following the Implementation of Adjusted Rates", "paragraphs": ["CMS told us the nationwide number of inquiries to 1-800-MEDICARE associated with access issues did not increase after the implementation of adjusted rates. According to a CMS official, CMS uses the same process for all DME calls received, regardless of whether the caller lives in a CBP or non-bid area, so there is no way to distinguish DME-related calls in CBP areas from non-bid areas. However, the CMS official said there has been no evidence of systemic access issues in non-bid areas, such as beneficiaries reporting they were not able to find suppliers to furnish DME items with adjusted rates.", "We spoke with officials from three of CMS\u2019s regional offices, who also reported there has not been an increase in the number of DME-related inquiries since adjusted rates in non-bid areas went into effect. One of the officials told us that her regional office is forwarded information about all inquiries related to Medicare Parts A and B from the other CMS regional offices. She also said the regional offices generally receive direct inquiries from a variety of sources including beneficiaries, beneficiary advocates, local partners, congressional district offices, and providers, and some are also escalated by 1-800-MEDICARE customer service representatives. According to that official, each year regional offices receive close to 40,000 inquiries nationwide regarding a wide range of DME issues, and most are related to questions about coverage and documentation requirements (such as what types of DME may require additional documentation or face-to-face visits with physicians). In addition, the official told us that regional offices capture detailed information about each inquiry. This includes contact information for the individual submitting the inquiry, the type of DME involved and whether it is included in the CBP, and the regional office\u2019s response. Officials said they review this information to specifically look for access issues or trends by product category but have not identified any issues. One official said she had heard anecdotal reports of beneficiaries contacting regional offices claiming they had experienced access issues, but such reports did not indicate these issues were widespread or sustained.", "We also interviewed representatives from the State Health Insurance Assistance Program who reported there has not been an increase in requests for assistance with DME-related issues since the adjusted rates went into effect. The representatives told us State Health Insurance Assistance Program counselors log all contacts, but the data do not distinguish between non-bid and CBP areas. However, they said counselors have received about 300 to 500 DME-related contacts each quarter since 2015, and the number of requests for assistance with DME- related issues remained consistent before and after adjusted rates went into effect. State Health Insurance Assistance Program representatives said counselors attempt to resolve issues on their own, but can also contact CMS\u2019s regional offices for assistance."], "subsections": []}, {"section_title": "Several Stakeholder Groups Reported Anecdotal Examples of Specific Beneficiary Access Concerns, But Did Not Have Evidence That Issues Were Widespread", "paragraphs": ["We interviewed representatives from one state hospital association, three beneficiary advocacy groups, and four DME industry trade organizations who provided anecdotal examples of varying degrees of beneficiary access issues in non-bid areas. For example, representatives from the state hospital association told us some hospital case managers in non-bid areas have reported difficulty in locating suppliers to provide DME items such as wheelchairs or walkers, but these issues are not widespread. A representative from one beneficiary advocacy group told us her organization does not receive many direct inquiries from Medicare beneficiaries in regard to access issues to DME, but it has been contacted by entities such as hospital discharge planners and pharmacies regarding issues with delivery of DME items. For example, the representative said some hospital discharge planners have reported that DME suppliers are more resistant to delivering DME items, such as wheelchairs and walkers, to the hospital when the beneficiary resides in a non-bid area as opposed to a CBP area. However, the representative said such reports are anecdotal and she does not think that issues reported are widespread or have created significant hardship. She added that her organization makes webinars available on a fairly regular basis, and very few people signed up for the DME webinar, which was not the case for webinars held for other topics.", "In contrast, a representative of another beneficiary advocacy group that focuses on a condition in which beneficiaries would typically use oxygen items with adjusted rates told us that without a real research instrument, it is difficult to determine if the increase in complaints that her group began receiving in 2016 from beneficiaries in non-bid areas is directly related to the adjusted rates, but she said she believes they are because she had not heard certain types of complaints before the adjusted rates went into effect. For example, she said the beneficiary advocacy group has received complaints about reduced delivery services and reductions in the number of portable oxygen tanks that DME suppliers are willing to furnish in a single delivery and these complaints are more frequent from beneficiaries who live in rural areas. The representative said given that rural areas may have higher delivery costs, it is not surprising that some suppliers may have decreased the number of deliveries, but she was surprised to hear they have decreased the number of portable oxygen tanks they are willing to provide. According to CMS, the agency encourages individuals to report any supplier that delivers fewer tanks of oxygen than a beneficiary needs to CMS, so this violation can be immediately addressed.", "Representatives from four DME industry trade organizations that we spoke with told us the implementation of adjusted rates has caused some suppliers to change their business models and practices. Specifically, individuals from all four DME industry trade organizations told us DME companies have lowered costs by reducing their number of employees, decreasing their service areas, or consolidating deliveries in specific areas to only certain days. For example, several DME suppliers told us that since the implementation of adjusted rates, they will only service beneficiaries who reside within the city limits or within a certain number of miles from their locations. Several DME suppliers told us the quality and range of items provided by DME suppliers in non-bid areas has changed since the adjusted rates went into effect. For example, several suppliers reported they provide cheaper, lower quality items and that some suppliers will no longer provide liquid oxygen to Medicare beneficiaries. In addition, individuals from all four DME industry trade organizations also told us there have been delays in hospital discharges as a result of not being able to find a DME supplier to provide needed DME. In contrast, CMS officials told us they investigated reported concerns about delayed patient discharges because of difficulties in acquiring rate-adjusted items and found there has not been a noticeable change in the average length of hospital stay before and after the implementation of adjusted rates. Specifically, CMS officials told us they measured: 1) average length of hospital stay for beneficiaries who received new rate-adjusted items shortly after their discharge, 2) whether beneficiaries were being discharged prior to receiving new rate-adjusted items, and 3) average length of stay for beneficiaries in individual access groups whether or not they received rate-adjusted items after being discharged. According to CMS, results of this analysis indicated no apparent changes in the average length of hospital stay after adjusted rates were implemented.", "In addition to speaking with these representatives, we also reviewed several publicly released studies that assessed the effect of the implementation of adjusted rates on beneficiaries, DME suppliers, and others. We found these studies did not provide persuasive evidence of substantial effects, primarily because of methodological issues with how the participants in the studies were recruited. Specifically, respondents were recruited on social media platforms or through targeted email notifications, raising concerns about selection bias.", "Although the number of DME suppliers and beneficiary utilization of DME items have decreased throughout the past several years, available evidence indicates there were not widespread beneficiary access issues in 2016. According to CMS officials, the long-term decreases in utilization do not necessarily indicate that beneficiaries did not receive needed DME, and suggested instead that these decreases are the result of a decline in unnecessary utilization. However, some stakeholders we interviewed continued to express concerns that lower FFS payment rates may have made it more difficult for some beneficiaries to receive needed DME, and one DME trade organization told us some decreases in utilization could be attributed to beneficiaries opting to pay for items outright rather than going through Medicare. Because there is only limited experience on changes in the number of DME suppliers and utilization of DME based on the first year that adjusted rates have been in effect, some effects may take longer to appear, and it is possible that trends could differ in 2017 or subsequent years. This underscores the importance of CMS\u2019s continued monitoring activities."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment. HHS provided technical comments, which were incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services and appropriate congressional committees. The report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or clowers@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: The Centers for Medicare & Medicaid Services\u2019 Phase-In of the Competitive Bidding Program and Other Antifraud Initiatives, 2008 through 2019", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS) has implemented several antifraud efforts that affect durable medical equipment (DME) suppliers. Specifically, CMS began phasing in DME competitive bidding program (CBP) rounds in 2008. (See fig. 8.) In addition to the CBP, CMS has also implemented several other broader initiatives. (See fig. 9.)"], "subsections": []}, {"section_title": "Appendix II: Medicare Fee-for-Service (FFS) Payment Rates for Top Expenditure Items in Each Durable Medical Equipment (DME) Product Category, 2015 to 2017", "paragraphs": ["Table 4 includes the top five Healthcare Common Procedure Coding System (HCPCS) codes for each product category based on the percentage of 2016 total expenditures for items included in the competitive bidding program (CBP) and subject to adjusted rates in non- bid areas. Combined, these items account for 80 percent of 2016 total expenditures across all 393 rate-adjusted items."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["A. Nicole Clowers, (202) 512-7114 or clowersa@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kathleen M. King, Director; Martin T. Gahart, Assistant Director; Michelle Paluga, Analyst-in-Charge; Sam Amrhein; Todd Anderson; Barbara Hansen; and Emily Wilson made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Medicare: CMS\u2019s Round 2 Durable Medical Equipment and National Mail- order Diabetes Testing Supplies Competitive Bidding Programs. GAO-16-570. Washington, D.C.: September 15, 2016.", "Medicare: Utilization and Expenditures for Complex Wheelchair Accessories. GAO-16-640R. Washington, D.C.: June 1, 2016.", "Medicare: Bidding Results from CMS\u2019s Durable Medical Equipment Competitive Bidding Program. GAO-15-63. Washington, D.C.: November 7, 2014.", "Medicare: Second Year Update for CMS\u2019s Durable Medical Equipment Competitive Bidding Program Round 1 Rebid. GAO-14-156. Washington, D.C.: March 7, 2014 Medicare: Review of the First Year of CMS\u2019s Durable Medical Equipment Competitive Bidding Program\u2019s Round 1 Rebid. GAO-12-693. Washington, D.C.: May 9, 2012.", "Medicare: The First Year of the Durable Medical Equipment Competitive Bidding Program Round 1 Rebid. GAO-12-733T. Washington, D.C.: May 9, 2012.", "Medicare: Issues for Manufacturer-level Competitive Bidding for Durable Medical Equipment. GAO-11-337R. Washington, D.C.: May 31, 2011.", "Medicare: CMS Has Addressed Some Implementation Problems from Round 1 of the Durable Medical Equipment Competitive Bidding Program for the Round 1 Rebid, GAO-10-1057T. Washington, D.C.: September 15, 2010.", "Medicare: CMS Working to Address Problems from Round 1 of the Durable Medical Equipment Competitive Bidding Program. GAO-10-27. Washington, D.C.: November 6, 2009.", "Medicare: Covert Testing Exposes Weaknesses in the Durable Medical Equipment Supplier Screening Process. GAO-08-955. Washington, D.C.: July 3, 2008.", "Medicare: Competitive Bidding for Medical Equipment and Supplies Could Reduce Program Payments, but Adequate Oversight Is Critical. GAO-08-767T. Washington, D.C.: May 6, 2008.", "Medicare: Improvements Needed to Address Improper Payments for Medical Equipment and Supplies. GAO-07-59. Washington, D.C.: January 31, 2007.", "Medicare Durable Medical Equipment: Class III Devices Do Not Warrant a Distinct Annual Payment Update. GAO-06-62. Washington, D.C.: March 1, 2006.", "Medicare: More Effective Screening and Stronger Enrollment Standards Needed for Medical Equipment Suppliers. GAO-05-656. Washington, D.C.: September 22, 2005.", "Medicare: CMS\u2019s Program Safeguards Did Not Deter Growth in Spending for Power Wheelchairs. GAO-05-43. Washington, D.C.: November 17, 2004.", "Medicare: Past Experience Can Guide Future Competitive Bidding for Medical Equipment and Supplies. GAO-04-765. Washington, D.C.: September 7, 2004."], "subsections": []}], "fastfact": ["Historically, Medicare used a standard set of rates to pay for certain durable medical equipment (i.e., walkers and oxygen) for its beneficiaries. Due to concerns that it was paying higher than market rates, Medicare began a competitive bidding program for some of these items in designated areas in 2011. In 2016, information from this program was used to reduce rates in the rest of the country.", "We found that the number of suppliers who sold these items decreased\u2014continuing a long-term trend\u2014but that available information indicates that beneficiaries were able to get needed items."]} {"id": "GAO-19-60", "url": "https://www.gao.gov/products/GAO-19-60", "title": "U.S. Secret Service: Action Needed to Address Gaps in IT Workforce Planning and Management Practices", "published_date": "2018-11-15T00:00:00", "released_date": "2018-11-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Commonly known for protecting the President, the Secret Service also plays a leading role in investigating and preventing financial and electronic crimes. To accomplish its mission, the Secret Service relies heavily on the use of IT infrastructure and systems. In 2009, the component initiated the IITT investment\u2014a portfolio of programs and projects that are intended to, among other things, improve systems availability and security in support of the component's business operations.", "GAO was asked to review the Secret Service's oversight of its IT portfolio and workforce. This report discusses the extent to which the (1) CIO implemented selected IT oversight responsibilities, (2) Secret Service implemented leading IT workforce planning and management practices, and (3) Secret Service and DHS implemented selected performance monitoring practices for IITT. GAO assessed agency documentation against 14 selected component CIO responsibilities established in DHS policy; 15 selected leading workforce planning and management practices within 5 topic areas; and two selected leading industry project monitoring practices that, among other things, were, in GAO's professional judgment, of most significance to managing IITT."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Secret Service (Secret Service) Chief Information Officer (CIO) fully implemented 11 of 14 selected information technology (IT) oversight responsibilities, and partially implemented the remaining 3. The CIO partially implemented the responsibilities to establish a process that ensures the Secret Service reviews IT contracts; ensure that the component's IT policies align with the Department of Homeland Security's (DHS) policies; and set incremental targets to monitor program progress. Additional efforts to fully implement these 3 responsibilities will further position the CIO to effectively manage the IT portfolio.", "Of the 15 selected practices within the 5 workforce planning and management areas, the Secret Service fully implemented 3 practices, partly implemented 8, and did not implement 4 (see table). Within the strategic planning area, the component partly implemented the practice to, among other things, develop IT competency needs. While the Secret Service had defined general core competencies for its workforce, the Office of the CIO (OCIO) did not identify all of the technical competencies needed to support its functions. As a result, the office was limited in its ability to address any IT competency gaps that may exist. Also, while work remains to improve morale across the component, the Secret Service substantially implemented the employee morale practices for its IT staff.", "Secret Service officials said the gaps in implementing the workforce practices were due to, among other things, their focus on reorganizing the IT workforce within OCIO. Until the Secret Service fully implements these practices for its IT workforce, it may be limited in its ability to ensure the timely and effective acquisition and maintenance of the component's IT infrastructure and services.", "Of the two selected IT project monitoring practices, DHS and the Secret Service fully implemented the first practice to monitor the performance of the Information Integration and Technology Transformation (IITT) investment. In addition, for the second practice\u2014to monitor projects on incremental development metrics\u2014the Secret Service fully implemented the practice on one of IITT's projects and partially implemented it on another. In particular, OCIO did not fully measure post-deployment user satisfaction with the system on one project. OCIO plans to conduct a user satisfaction survey of the system by September 2018, which should inform the office on whether the system is meeting users' needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 13 recommendations, including that the Secret Service establish a process that ensures the CIO reviews all IT contracts, as appropriate; and identify the skills needed for its IT workforce. DHS concurred with all recommendations and provided estimated dates for implementing each of them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Commonly known for protecting the President, the United States Secret Service (Secret Service), a component of the Department of Homeland Security (DHS), also plays a leading role in investigating and preventing a variety of financial and electronic crimes. For example, the Secret Service\u2019s criminal investigation activities encompass financial and electronic crimes, such as identity theft, counterfeiting, and computer- based attacks on the nation\u2019s financial, banking, and telecommunications infrastructure. In addition, its protective intelligence efforts include investigating threats against protected persons and facilities, such as the President and the White House. The Secret Service is also responsible for certain security activities, including presidential inaugurations and national conventions.", "To accomplish its mission, the Secret Service relies heavily on the use of information technology (IT) infrastructure and communications systems. The component\u2019s Chief Information Officer (CIO) plays a key role in effectively managing this infrastructure and systems. Among other things, the CIO is responsible for IT strategic planning and the management and governance of the IT programs and infrastructure. The CIO is also responsible for managing the component\u2019s IT workforce, which officials from the Office of the CIO (OCIO) define as the government employees who provide direct and indirect support of the day-to-day operations of the Secret Service\u2019s enterprise systems and services.", "However, the Secret Service has faced longstanding challenges in managing its IT environment. For example, a National Security Agency audit of the environment in 2008 identified network and system vulnerabilities that needed immediate remediation to protect the Secret Service\u2019s systems and electronic information.", "To address the challenges with its IT environment, the Secret Service initiated the Information Integration and Technology Transformation (IITT) investment in 2009. IITT is a portfolio of programs and projects that are intended to, among other things, modernize and enhance the IT network infrastructure; provide hardware and software to ensure reliable and consistent voice, data, and radio coverage for Secret Service agents; and provide counterintelligence and data mining capabilities to improve officials\u2019 ability to perform the component\u2019s investigative mission.", "Yet, the Secret Service\u2019s implementation of the IITT investment has also been problematic. For example, in 2011, DHS\u2019s Office of Inspector General reported that, among other things, the component\u2019s schedule for implementing IITT was not realistic. Also in that 2011 report, the Inspector General stated that, while the Secret Service had implemented an internal governance approach for IITT (including establishing governance policies and procedures), it had not implemented a formal department-level IT governance mechanism to provide integrated feedback and direction for the investment.", "Given the importance of effective IT management for achieving the Secret Service\u2019s mission, you asked us to review the role of the Secret Service CIO in overseeing the component\u2019s IT portfolio and workforce. Our specific objectives were to evaluate the extent to which: (1) the Secret Service CIO has implemented selected IT oversight responsibilities, (2) the Secret Service has implemented leading workforce planning and management practices for its IT workforce, and (3) the Secret Service and DHS have implemented selected performance and progress monitoring practices for the IITT investment.", "To address the first objective, we analyzed DHS\u2019s policies and guidance on IT management to identify the responsibilities that were to be implemented by the component-level CIO related to overseeing the Secret Service\u2019s IT portfolio, including existing systems, acquisitions, and investments. From the list of 33 responsibilities that we identified, we then excluded the responsibility that was associated with information security, which is expected to be addressed as part of a separate, subsequent GAO review. We also excluded those responsibilities that were significantly large in scope (e.g., implement an enterprise architecture) or that, in our professional judgment, lacked specificity (e.g., provide timely delivery of mission IT services). As a result, we excluded from consideration for this review a total of 10 CIO responsibilities.", "For the 23 that remained, we then combined certain responsibilities that overlapped with other related responsibilities. For example, we combined related responsibilities on the component CIO\u2019s review of IT contracts. As a result, we were left with 14 responsibilities that were relevant for our review. We then validated with the acting DHS CIO that these were key responsibilities for the department\u2019s component-level CIOs. Following this validation, we elected to include all 14 of the responsibilities in our review. Appendix I identifies the 14 selected component-level CIO responsibilities.", "We then assessed relevant Secret Service documentation to determine the extent to which the CIO had implemented the selected responsibilities. For example, we assessed monthly program management reports demonstrating the CIO\u2019s oversight of IT programs, projects, and systems; systems engineering life cycle technical review briefings; the Secret Service\u2019s enterprise governance policy; and meeting minutes from the DHS boards and councils on which the CIO participated. We also selected and analyzed two random, non-generalizable samples of a total of 33 IT contracts that the Secret Service awarded between October 1, 2016, and June 30, 2017, as well as the associated approval documentation, to determine whether or not the CIO or the CIO\u2019s delegate had approved each of the contracts.", "Further, we interviewed Secret Service officials, including the CIO and Deputy CIO, regarding the CIO\u2019s implementation of the 14 selected component-level responsibilities. We assessed the evidence against the selected responsibilities to determine the extent to which the CIO had implemented the responsibilities.", "To address the second objective, we first identified seven topic areas associated with human capital management based on our review of IT workforce planning and management guidance issued by the Office of Personnel Management, the Chief Human Capital Officers Council, DHS, the Secret Service, and us. Among these topic areas, we then selected five areas that, in our professional judgment, were of particular importance to successful workforce planning and management. These areas are: (1) strategic planning, (2) recruitment and hiring, (3) training and development, (4) employee morale, and (5) performance management.", "We also reviewed these same sources and identified numerous leading practices associated with the five topic areas. Among these leading practices, we then selected three practices within each of the five areas, for a total of 15 practices. The selected practices were foundational practices that, in our professional judgment, were of particular importance to successful workforce planning and management. Appendix I identifies the five workforce areas and the 15 associated practices that we selected.", "We then assessed the Secret Service\u2019s workforce planning documentation against the 15 selected leading practices. For example, we analyzed the staffing model that the Secret Service used to determine the number of IT staff it needed, as well as recruitment plans and action plans for improving employee morale. We also interviewed Secret Service officials\u2014including the CIO, Deputy CIO, and workforce planning staff\u2014 about the component\u2019s efforts to implement the selected leading practices for its IT workforce.", "Regarding our assessments of the Secret Service\u2019s implementation of the 15 selected leading workforce planning and management practices, we assessed a practice as being fully implemented if component officials provided supporting documentation that demonstrated all aspects of the practice. We assessed a practice as not implemented if the officials did not provide any supporting documentation for that practice, or if they provided documentation that did not demonstrate any aspect of the practice. We assessed a practice as being partly implemented if the officials provided supporting documentation that demonstrated some, but not all, aspects of the selected practice.", "In addition, related to our assessments of the Secret Service\u2019s implementation of the five selected overall workforce areas, we assessed each area as follows, based on the implementation of the three selected practices within each area:", "Fully implemented: The Secret Service provided evidence that it had fully implemented all three of the practices within the workforce area;", "Substantially implemented: The Secret Service provided evidence that fully implemented two practices and partly implemented the remaining one practice within the workforce area, or fully implemented one practice and partly implemented the remaining two practices within the workforce area;", "Partially implemented: The Secret Service provided evidence that it had partly implemented each of the three practices within the workforce area;", "Minimally implemented: The Secret Service provided evidence that it partly implemented two practices and not implemented the remaining one practice within the workforce area, or partly implemented one practice and not implemented the remaining two practices within the workforce area; or", "Not implemented: The Secret Service did not provide evidence that it had implemented any of the three practices within the workforce area.", "To address the third objective, we reviewed leading project monitoring practices and guidance from the Software Engineering Institute. We then selected two practices that, in our professional judgment, were of most significance to managing the IITT investment given the phase of the life cycle that the investment was in and the agile development methodology that the Secret Service was using for certain projects within IITT. The two selected practices were:", "Monitor program performance and conduct reviews at predetermined checkpoints or milestones by, among other things, comparing actual cost, schedule, and performance data with estimates in the program plan and identifying significant deviations from established targets or thresholds for acceptable performance levels.", "Measure and monitor agile projects on velocity (i.e., number of story points completed per sprint or release), development progression (e.g., the number of features and user stories planned and accepted), product quality (e.g., number of defects), and post- deployment user satisfaction.", "To determine the extent to which DHS and the Secret Service had implemented the first selected practice, we analyzed relevant program management and governance documentation for IITT\u2019s Enabling Capabilities program, and Multi-Level Security, Uniformed Division Resource Management System, and Events Management projects. For example, we analyzed documentation such as DHS and Secret Service program oversight reviews. We then assessed the documentation against the selected practice.", "To determine the extent to which the Secret Service had implemented the second selected practice related to measuring and monitoring agile projects on agile metrics (i.e., velocity, development progression, product quality, and post-deployment user satisfaction), we obtained and analyzed agile-related documentation for the two projects that the Secret Service was implementing using an agile methodology\u2014Uniformed Division Resource Management System and Events Management. Specifically, to determine the extent to which the Secret Service was measuring and monitoring these two projects on metrics for velocity and development progression, we obtained and analyzed documentation, such as sprint burndown charts and monthly program status reports, and compared it to the selected practice.", "In addition, the agile metrics for product quality and post-deployment user satisfaction were only applicable to projects that had been deployed to users. As such, these metrics were applicable to the Uniformed Division Resource Management System (which the Secret Service had deployed to users) and were not applicable to Events Management (which the Secret Service had not yet deployed to users, as of early May 2018).", "We therefore obtained and analyzed documentation demonstrating that Secret Service OCIO measured product defects for the Uniformed Division Resource Management System. We also requested documentation demonstrating that OCIO had measured and monitored post-deployment user satisfaction for this project. See appendix I for a more detailed discussion of our objectives, scope, and methodology.", "We conducted this performance audit from May 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Secret Service plays a critical role in protecting the President, Vice President, their immediate families, and national leaders, among others. In addition, the component is responsible for safeguarding the nation\u2019s currency and financial payment systems. To accomplish its mission, Secret Service officials reported that, as of June 2018, the component had approximately 7,100 employees (including the Uniformed Division, special agents, and administrative, professional, and technical staff). These employees were assigned to the component\u2019s headquarters in Washington, D.C., and 133 field offices located throughout the world (including 115 domestic offices and 18 international offices).", "The Secret Service\u2019s employees are heavily dependent on the component\u2019s IT infrastructure and communications systems to perform their daily duties. According to data reported on the Office of Management and Budget\u2019s IT Dashboard, the component planned to spend approximately $104.8 million in fiscal year 2018 to modernize and maintain its IT environment.", "To manage this IT environment, the Secret Service hired a full-time CIO in November 2015. In addition, in an effort to improve its management structure, the component consolidated all IT staff and assets under this new CIO in March 2017. OCIO officials stated that these staff include the government employees who provide direct and indirect support of the day-to-day operations of the Secret Service\u2019s enterprise systems and services.", "According to Secret Service officials, the component\u2019s IT workforce included 190 staff, as of July 2018. These officials stated that 166 of these employees were located in the component\u2019s headquarters in Washington, D.C., and 24 were located in domestic field offices. The officials also reported that these July 2018 staffing levels were below their current approved staffing level of 220 staff (which included 44 positions in domestic field offices).", "Secret Service IT staff also deploy to other locations, as necessary, to provide support for certain security activities. For example, the Secret Service reported that, in 2017, OCIO deployed over 79 staff to New York, N.Y., to provide communications support during the United Nations General Assembly."], "subsections": [{"section_title": "DHS IT Acquisition Policies and Guidance", "paragraphs": ["As a component of DHS, the Secret Service must follow the department\u2019s policies and processes for managing acquisitions, including IT acquisitions. DHS categorizes its acquisition programs according to three levels that are determined by the life cycle costs of the programs. These levels then determine the extent of required program and project management and the acquisition decision authority (the individual responsible for management and oversight of the acquisition). The department also categorizes its acquisition programs as major or non- major based on expected cost. Table 1 describes the levels of DHS\u2019s acquisition programs and their associated acquisition decision authorities.", "DHS\u2019s policies and processes for managing major acquisition programs are primarily set forth in its Acquisition Management Directive 102-01 and Acquisition Management Instruction 102-01-001. In particular, these policies establish that a major acquisition program\u2019s decision authority is to review the program at a series of predetermined acquisition decision events to assess whether the program is ready to proceed through the acquisition life cycle phases. Figure 1 depicts the acquisition life cycle established in DHS acquisition management policy.", "DHS\u2019s Acquisition Management Directive and Instruction do not establish an acquisition life cycle framework for the department\u2019s non-major acquisition programs. Instead, according to the Instruction, Component Acquisition Executives (i.e., the senior acquisition official within a component that is responsible for implementation, management, and oversight of the component\u2019s acquisition process) are required to establish component-specific non-major acquisition policies and guidance that support the \u201cspirit and intent\u201d of the department\u2019s acquisition policies.", "To that end, the Secret Service developed a policy that establishes an acquisition life cycle framework for its non-major acquisition programs. This acquisition framework for the component\u2019s non-major acquisition programs is consistent with the acquisition framework that DHS established for its major acquisition programs. In particular, the Secret Service\u2019s framework includes the same phases and decision events as DHS\u2019s framework (e.g., acquisition decision event 2A, the point at which the acquisition decision authority determines whether a program may proceed into the obtain phase).", "In addition, DHS\u2019s Systems Engineering Life Cycle Instruction and Guidebook outline a framework of major systems engineering activities and technical reviews that are to be conducted by all DHS programs and projects, both major and non-major. This framework is intended to ensure that appropriate systems engineering activities are planned and implemented, and that a program\u2019s development effort is meeting the business need.", "In particular, the systems engineering life cycle framework consists of nine major activities (e.g., requirements definition, integration, and testing) and a set of related technical reviews (e.g., preliminary design review) and artifacts (e.g., requirements documents). DHS policy allows programs to tailor these activities, technical reviews, and artifacts based on the unique characteristics of the program (e.g., scope, complexity, and risk). For example, a program may combine systems engineering technical reviews and artifacts, or add additional reviews. This tailored approach must be documented in a program\u2019s systems engineering life cycle tailoring plan.", "The systems engineering technical reviews are intended to provide DHS the opportunity to determine how well a program has completed the necessary systems engineering activities. Each technical review includes a minimum set of exit criteria that must be satisfied before a program may move on to the next systems engineering activity. At the end of the technical review, the program manager must develop a technical review completion letter that documents the outcome of the review, including stakeholder concurrence that the exit criteria were satisfied.", "Moreover, DHS\u2019s agile instruction, which was first issued in April 2016 and updated in April 2018, identifies agile as the preferred development approach for the department\u2019s IT programs and projects. Agile is a type of incremental (i.e., modular) development, which calls for the rapid delivery of software in small, short increments rather than in the typically long, sequential phases of a traditional waterfall approach. DHS\u2019s agile instruction also states that component CIOs are to set modular (i.e., incremental) outcomes and target measures to monitor progress in achieving agile implementation for IT programs and projects. To that end, the department identified core metrics that its agile IT programs are to use to monitor progress, including the number of story points completed per release and the number of releases per quarter.", "Further, DHS policy and guidance have established an acquisition (i.e., contract) review process that is intended to enable the DHS CIO to review and effectively guide the department\u2019s IT expenditures. According to the department\u2019s IT acquisition review guidance, DHS components with a CIO (which includes the Secret Service) are to submit to DHS OCIO for review, IT acquisitions that (1) have total estimated procurement values of $2.5 million or more; and (2) are funded by a level 1, 2, or 3 program with a life cycle cost estimate of at least $50 million (i.e., a major investment, as defined by DHS\u2019s capital planning and investment control guidance)."], "subsections": []}, {"section_title": "DHS Policies Outline Component-Level CIO Responsibilities", "paragraphs": ["DHS policies and guidance also establish numerous responsibilities for the department\u2019s component-level CIOs that are aimed at ensuring proper oversight and management of the components\u2019 IT investments. Among other things, these component-level CIO responsibilities relate to topics such as IT budgeting, portfolio management, and oversight of programs\u2019 systems engineering life cycles. Table 2 identifies 14 selected IT oversight responsibilities for DHS\u2019s component CIOs."], "subsections": []}, {"section_title": "Overview of the Secret Service\u2019s IT Portfolio", "paragraphs": ["The Secret Service acquires IT infrastructure and services that are intended to improve its ability to execute its investigation and protection missions. According to data reported on the Office of Management and Budget\u2019s IT Dashboard, the Secret Service planned to spend about $104.8 million on IT in fiscal year 2018, which included approximately $34.6 million for the development and modernization of its IT infrastructure and services, and about $70.2 million for the operations and maintenance of this infrastructure (including 21 existing IT systems). Also according to data reported on the IT Dashboard, as of April 2018, the Secret Service had one major IT investment (called the Information Integration and Technology Transformation and discussed in more detail later in this report), seven non-major IT investments, and one non- standard infrastructure investment. Figure 2 depicts the Secret Service\u2019s planned IT spending for fiscal year 2018."], "subsections": []}, {"section_title": "The Secret Service Initiated the Information Integration and Technology Transformation Investment to Address IT Challenges", "paragraphs": ["The Secret Service has faced long-standing challenges in managing its IT infrastructure. For example,", "A National Security Agency audit of the Secret Service\u2019s IT environment in 2008 identified network and system vulnerabilities that needed immediate remediation to protect the component\u2019s systems and electronic information.", "The Secret Service determined in 2010 that it had IT capability gaps associated with three key areas: network security, information sharing and situational awareness, and operational communications. The component reported that it required a significant IT modernization effort with sustained investment of resources to replace dated and restrictive network and communications capabilities.", "The Secret Service also reported in 2010 that it had 42 mission- support applications that were operating on a 1980\u2019s mainframe that lacked multi-level security (i.e., the ability to view classified information from two security levels, such as secret and top secret, at the same time), was beyond its equipment life cycle, and was at risk of failing.", "Further, in 2011, DHS\u2019s Office of Inspector General reported that the Secret Service\u2019s existing infrastructure did not meet current operational requirements. According to the Secret Service, this dated infrastructure was unable to support newer technologies (e.g., Internet protocol), share common DHS enterprise services, or migrate to the department\u2019s consolidated data centers.", "To address challenges with its IT environment, in 2009, the Secret Service initiated the IITT investment, which is intended to modernize and enhance the component\u2019s infrastructure, communications systems, applications, and processes. In particular, IITT is a portfolio of programs and projects that are meant to, among other things, improve systems availability in support of the Secret Service\u2019s business operations, increase interoperability with other government systems and networks, enhance the component\u2019s system and network security, and enable scalability to support growth.", "From 2010 to July 2018, according to OCIO officials, the Secret Service spent approximately $392 million on IITT. In fiscal year 2018, the component had planned to spend approximately $42.7 million on IITT (i.e., about 40 percent of its total planned IT spending for the fiscal year), according to data reported on the Office of Management and Budget\u2019s IT Dashboard. In total, the planned life cycle cost estimate for IITT is at least $811 million.", "As of June 2018, IITT was a major investment comprised of two programs (one of which included three projects) and one standalone project (i.e., it was not part of another program) that had capabilities that were in planning or development and modernization. These programs and project were the Enabling Capabilities program, Enterprise Resource Management System program (which included three projects that were each being implemented using an agile methodology: Uniformed Division Resource Management System, Events Management, and Enterprise-wide Scheduling), and the Multi-Level Security project.", "Table 3 describes the IITT programs and projects that had capabilities that were in planning or development and modernization, as of June 2018. The table also includes the associated level, acquisition decision authority, estimated life cycle costs, and planned or actual dates of operational capability for each of the programs and projects. (Appendix II also provides additional information on these programs and projects.)", "The Enabling Capabilities program within IITT is designated as a major acquisition program. As such, its acquisition decision authority is the DHS Under Secretary for Management, and both DHS and the Secret Service provide oversight to this program. IITT\u2019s other program and project\u2014the Enterprise Resource Management System program (which includes three projects, as discussed earlier) and Multi-Level Security project\u2014are designated non-major acquisition programs. In June 2011, DHS\u2019s Under Secretary for Management delegated acquisition decision authority for this non-major program and project to the Secret Service Component Acquisition Executive. As such, oversight of the Enterprise Resource Management System program (including its three projects) and the Multi- Level Security project is conducted primarily at the component level.", "The Secret Service also implemented other capabilities that are now in operations and maintenance (i.e., the capabilities have been fielded and are operational) as part of the IITT investment, such as a capability to move data between systems in separate classification levels (e.g., top secret and secret) and communications interoperability. Table 4 describes IITT capabilities that are in operations and maintenance."], "subsections": []}, {"section_title": "DHS\u2019s Management of Human Capital Is a High- Risk Effort", "paragraphs": ["DHS, including the Secret Service, has faced long-standing challenges in effectively managing its workforce. In January 2003, we designated the implementation and transformation of DHS as high risk, including its management of human capital, because it had to transform 22 agencies\u2014several with major management challenges\u2014into one department. This represented an enormous and complex undertaking that would require time to achieve in an effective and efficient manner. Since that time, the department has made important progress in strengthening and integrating its management functions.", "Nevertheless, we have continued to report that significant work remains for DHS to improve these management functions. Among other things, we previously reported that the department had lower average employee morale than the average for the rest of the federal government. We also reported that, in 2011, based on employee responses to the Office of Personnel Management\u2019s Federal Employee Viewpoint Survey\u2014a tool that measures employees\u2019 perceptions of whether and to what extent conditions characterizing successful organizations are present in their agency\u2014DHS was ranked 31st out of 33 large agencies on the Partnership for Public Service\u2019s Best Places to Work in the Federal Government rankings. The most recent results of these surveys in 2017 showed that DHS continues to maintain its low rankings.", "DHS\u2019s Office of Inspector General has reported on challenges that the Secret Service has faced in managing its IT workforce. Specifically, in October 2016, the Inspector General reported that the Secret Service CIO did not have oversight of, or authority over, all IT resources, including the workforce; in particular, almost all of the component\u2019s IT employees were located in a division outside of OCIO; and the Secret Service had vacancies in key positions responsible for managing IT, including not having a full-time CIO from December 2014 through November 2015.", "As previously discussed, the Secret Service has taken actions to address these two issues with the management of its IT workforce. These actions included hiring its full-time CIO in November 2015 and consolidating the workforce and all IT assets under this CIO in March 2017."], "subsections": []}]}, {"section_title": "The Secret Service CIO Fully Implemented Most of the Required Responsibilities", "paragraphs": ["Of the 14 selected responsibilities established for component-level CIOs in DHS\u2019s IT management policies, the Secret Service CIO had fully implemented 11 responsibilities and had partially implemented 3 responsibilities. Table 5 summarizes the extent to which the Secret Service CIO had implemented each of the 14 responsibilities.", "The Secret Service CIO fully implemented 11 of the 14 selected component-level CIO responsibilities. Examples of the responsibilities that the CIO fully implemented are as follows:", "Develop, implement, and maintain a detailed IT strategic plan. Consistent with DHS\u2019s IT Integration and Management directive, in January 2017, the Secret Service CIO developed an IT strategic plan that outlined the CIO\u2019s strategic IT goals and objectives, as well as tasks intended to meet the goals and objectives. The CIO maintained this strategic plan, to include updating it in January 2018. The CIO also took steps to implement the tasks identified within the strategic plan, such as working to develop an IT training program. In particular, as part of this effort to develop an IT training program, OCIO identified recommended training for the office\u2019s various IT workforce groups (discussed in more detail later in this report).", "Concur with each program\u2019s and/or project\u2019s systems engineering life cycle tailoring plan. In accordance with DHS\u2019s Systems Engineering Life Cycle instruction, the Secret Service CIO concurred with the systems engineering life cycle tailoring plan for one program and three projects included in the Secret Service\u2019s IITT investment. Specifically, the CIO documented his approval via his signature on the tailoring plans for IITT\u2019s Enabling Capabilities program, and Multi-Level Security, Uniformed Division Resource Management System, and Events Management projects.", "Participate on DHS\u2019s CIO Council, Enterprise Architecture Board, or other councils/boards as appropriate, and appoint employees to serve when necessary. As required by DHS\u2019s IT Integration and Management directive, the Secret Service CIO participated on two required DHS-level councils/boards, and appointed a delegate to serve in his place, when necessary. Specifically, the Secret Service CIO or the CIO\u2019s delegate\u2014the Deputy CIO\u2014attended bi-monthly meetings of the DHS CIO Council. In addition, another Secret Service CIO appointee\u2014the component\u2019s Chief Architect\u2014attended an ad hoc meeting of the Enterprise Architecture Board in June 2017.", "In addition, the Secret Service CIO had partially implemented three component-level CIO responsibilities, as follows.", "Manage the component IT investment portfolio, including establishing a component-level IT acquisition review process that enables component and DHS review of component acquisitions (i.e., contracts) that contain IT. As directed in DHS\u2019s Capital Planning and Investment Control directive and guidebook, the Secret Service CIO took steps to manage the component\u2019s IT investment portfolio, including reviewing certain contracts containing IT. For example, among our random sample of 33 IT contracts that the Secret Service awarded between October 1, 2016, and June 30, 2017, we found that the CIO or the CIO\u2019s delegate had reviewed 31 of these contracts.", "However, the CIO had not established and documented a defined process for reviewing contracts containing IT, which may have contributed to why the CIO or the CIO\u2019s delegate did not review 2 of the 33 contracts in our sample. OCIO officials were unable to explain why neither of these officials reviewed the 2 contracts, which had a combined planned total procurement value of approximately $1.75 million. In particular, one of the contracts, with a planned total procurement value of about $1,122,934, was to provide credentialing services for the 2017 Presidential Inauguration. The other contract, with a planned total procurement value of about $629,337, was to provide maintenance support for a logistics system. The OCIO officials acknowledged that both contracts should have been approved by one of these officials. Without establishing and documenting an IT acquisition review process that ensures that the CIO or the CIO\u2019s delegate reviews all contracts containing IT, as appropriate, the CIO\u2019s ability to analyze the contracts to ensure that they are a cost-effective use of resources and are aligned with the component\u2019s missions and goals is limited.", "Ensure all component IT policies are in compliance and alignment with DHS IT directives and instructions. As required by DHS\u2019s IT Integration and Management directive, the Secret Service CIO had ensured that certain component IT policies were in compliance and alignment with DHS IT directives and instructions. For example, in alignment with the department\u2019s IT Integration and Management directive, the Secret Service\u2019s Investment Governance for IT policy specifies that the component CIO (in conjunction with each Secret Service Office) is responsible for developing the component IT spend plan, as well as developing and maintaining an IT strategic plan.", "However, the Secret Service\u2019s enterprise governance policy was not in compliance with DHS\u2019s IT Integration and Management directive. Specifically, while the department\u2019s policy states that the Secret Service CIO is responsible for developing and reviewing the component\u2019s IT budget formulation and execution, the Secret Service\u2019s enterprise governance policy does not specify this as the CIO\u2019s responsibility.", "According to OCIO officials, the Secret Service CIO participates in the development and review of the IT budget formulation and execution as a member of the Executive Resources Board (the Secret Service\u2019s highest-level governing body, which has the final decision authority and responsibility for enterprise governance), and the Secret Service Deputy CIO is a voting member of the Enterprise Governance Council (the Secret Service\u2019s second-level governance body and advisory council to the Executive Resources Board). However, the Secret Service\u2019s enterprise governance policy has not been updated to reflect these roles. The Secret Service did not update its enterprise governance policy to properly reflect the CIO\u2019s and Deputy CIO\u2019s roles on the Executive Resources Board or Enterprise Governance Council because OCIO officials were not aware that these roles were not properly documented in the component\u2019s policy until we identified this issue during our review.", "Further compounding the issue of the Secret Service\u2019s enterprise governance policy not properly reflecting the CIO\u2019s and Deputy CIO\u2019s roles and responsibilities on the component\u2019s governance boards is that the Secret Service has not developed a charter for its Executive Resources Board. We have previously reported that a best practice for effective investment management is to define and document the board\u2019s membership, roles, and responsibilities. One such way to do so is via a charter.", "According to Secret Service officials, the component does not have a charter for the board because, while the Secret Service has established the board pursuant to law, there is little statutory guidance on how the board must be formalized, including whether a charter is required. The officials acknowledged that development of a board charter is a best practice. They stated that, in response to our review, the component has begun efforts to develop a charter for the Executive Resources Board, but they did not know when it would be completed.", "Until the Secret Service updates its enterprise governance policy to specify (1) the CIO\u2019s current role and responsibilities on the Executive Resources Board, to include developing and reviewing the IT budget formulation and execution, and (2) the Deputy CIO\u2019s role and responsibilities on the Enterprise Governance Council, the CIO\u2019s ability to develop and review the component\u2019s IT budget may be limited. Further, until the Secret Service develops a charter for its Executive Resources Board that specifies the roles and responsibilities of all board members, including the CIO, the Secret Service will not be effectively positioned to ensure that all members understand their roles and responsibilities on the board and will perform them as expected.", "Set modular outcomes and target measures to monitor the progress in achieving agile implementation for IT programs and/or projects within their component. Consistent with DHS policy, the Secret Service CIO has set modular outcomes and target measures to monitor the progress of two IITT projects that the component is implementing using an agile methodology\u2014Uniformed Division Resource Management System and Events Management. For example, the modular outcomes set for these projects included measuring planned and actual burndown (i.e., the number of user stories completed). In addition, the projects were to measure their velocity (i.e., the rate of work completed) for each sprint (i.e., a set period of time during which the development team is expected to complete tasks related to developing a piece of working software).", "However, the modular outcomes and target measures did not include product quality or post-deployment user satisfaction, although such measures are leading practices for managing agile projects. According to Secret Service OCIO officials, the component does not mandate the specific metrics that its agile projects are to use; instead, each project is to determine the metrics based on stakeholder requirements and unique project characteristics. The officials further stated that these metrics are to be documented in an acquisition program baseline and program management plan; this baseline and program management plan are then to be approved by the CIO. To its credit, the component\u2019s one agile project that, as of May 2018, had deployed its system to users\u2014the Uniformed Division Resource Management System\u2014did measure product quality. OCIO officials also stated that they regularly receive verbal, undocumented feedback from users on the system and they plan to conduct a documented user satisfaction survey on this system by September 2018.", "Nevertheless, without ensuring that product quality and post- deployment user satisfaction metrics are included in the modular outcomes and target measures that the CIO sets for monitoring agile projects, the Secret Service lacks assurance that the Events Management project or other future agile projects will measure product quality or post-deployment user satisfaction. Without guidance specifying that agile projects track these metrics, the projects may not do so and the CIO may be limited in his knowledge of the progress being made on these projects."], "subsections": []}, {"section_title": "The Secret Service Did Not Fully Implement the Majority of the Selected Leading Planning and Management Practices for Its IT Workforce", "paragraphs": ["Workforce planning and management is essential for ensuring that federal agencies have the talent, skill, and experience mix they need to execute their missions and program goals. To help agencies effectively conduct workforce planning and management, the Office of Personnel Management, the Chief Human Capital Officers Council, DHS, the Secret Service, and we have identified numerous leading practices related to five workforce areas: strategic planning, recruitment and hiring, training and development, employee morale, and performance management. Table 6 identifies the five workforce areas and 15 selected leading practices associated with these areas (3 practices within each area).", "Of the five selected workforce planning and management areas, the Secret Service had substantially implemented two of the areas and minimally implemented three of the areas for its IT workforce. In addition, of the 15 selected leading practices associated with these workforce planning and management areas, the Secret Service had fully implemented 3 practices, partly implemented 8 practices, and did not implement any aspects of 4 practices. Table 7 summarizes the extent to which the Secret Service had implemented for its IT workforce the five selected workforce planning and management areas and 15 selected leading practices associated with those areas, as of June 2018."], "subsections": [{"section_title": "The Secret Service Minimally Implemented Selected Leading IT Strategic Workforce Planning Practices", "paragraphs": ["Strategic workforce planning is an essential activity that an agency needs to conduct to ensure that its human capital program aligns with its current and emerging mission and programmatic goals, and that the agency is able to meet its future needs. We previously identified numerous leading practices related to IT strategic workforce planning, including that an organization should (1) establish and maintain a strategic workforce planning process, including developing all competency and staffing needs; (2) regularly assess competency and staffing needs, and analyze the IT workforce to identify gaps in those areas; and (3) develop strategies and plans to address gaps in competencies and staffing.", "The Secret Service minimally implemented the three selected leading practices associated with the IT strategic workforce planning area. Specifically, the component partly implemented two of the practices and did not implement one practice. Table 8 lists these selected leading practices and provides our assessment of the Secret Service\u2019s implementation of the practices.", "Establish and maintain a strategic workforce planning process, including developing all competency and staffing needs\u2014partly implemented. The Secret Service took steps to establish a strategic workforce planning process for its IT workforce. For example, the Secret Service CIO developed and maintained a plan that identified strategic workforce planning tasks, to include analyzing the staffing requirements of the IT workforce. In addition, the Secret Service defined general core competencies (e.g., communication and customer service) for its workforce, including IT staff.", "However, OCIO did not identify all required knowledge and skills needed to support this office\u2019s functions. In particular, while OCIO identified certain technical competencies that its IT workforce needs, such as cybersecurity, the office did not identify and document all of the technical competencies that it needs. OCIO officials stated that they did not identify and document the technical competencies that the office needs because the Secret Service was focused on reorganizing the IT workforce under a single, centralized reporting chain within the CIO\u2019s office. Consequently, the officials stated that they had not completed the work to identify all required IT knowledge and skills necessary to support the office.", "Yet, the Secret Service completed the IT workforce reorganization effort over a year ago, in March 2017 and, since then, OCIO has not identified all of the required IT knowledge and skills that the office needs. OCIO officials told us that they plan to identify all of the technical competency needs for the IT workforce, but they were unable to specify a time frame for when these needs would be fully identified. Until OCIO identifies all of the required knowledge and skills for the IT workforce, the office will be limited in its ability to identify and address any competency gaps associated with this workforce.", "In addition, the Secret Service did not reliably determine the number of IT staff that it needs in order to support OCIO\u2019s functions. Specifically, in January 2017, an independent review of the staffing model that the component used to identify its IT workforce staffing needs found that the model was not based on any verifiable underlying data. In late August 2018, Office of Human Resources officials reported that they had hired a contractor in early August 2018 to update the staffing model to improve the quality of the data. These officials expected the contractor to finish updating the model by August 2019. The officials plan to use the updated model to identify the Secret Service\u2019s IT workforce staffing needs for fiscal year 2021. Updating the staffing model to incorporate verifiable workload data should increase the likelihood that the Secret Service is able to appropriately identify its staffing needs for its IT workforce.", "Regularly assess competency and staffing needs, and analyze the IT workforce to identify gaps in those areas\u2014not implemented. The Secret Service regularly assessed the competency and staffing needs for 1 of the occupational series within its IT workforce (i.e., the 2210 IT Specialist series). However, it did not regularly assess the competency and staffing needs for the remaining 11 occupational series that are associated with the component\u2019s IT workforce, nor identify any gaps that it had in those areas.", "OCIO officials stated that they had not assessed these needs or identified competency or staffing gaps because, among other things, the Secret Service was focused on reorganizing the IT workforce under a single, centralized reporting chain within the CIO\u2019s office. However, as previously mentioned, the component completed this effort in March 2017, but OCIO did not subsequently assess its competency and staffing needs, nor identify gaps in those areas.", "OCIO officials reported that they plan to assess the competencies of the IT workforce to identify any gaps that may exist; however, they were unable to identify a specific date by which they expect to have the capacity to complete this assessment. Until OCIO regularly analyzes the IT workforce to identify its competency needs and any gaps it may have, OCIO will be limited in its ability to determine whether its IT workforce has the necessary knowledge and skills to meet its mission and goals.", "Further, Office of Human Resources officials reported that they plan to update the staffing model that they use to identify their IT staffing needs to include more reliable workload data. However, as discussed earlier, the Secret Service had not yet developed that updated model to determine its IT staffing needs. Office of Human Resources officials reported that once they update the staffing model they plan to re- evaluate the Secret Service\u2019s IT staffing needs. The officials also stated that, going forward, they plan to reassess these needs each year as part of the annual budget cycle. Regular assessments of the IT workforce\u2019s staffing needs should increase the likelihood that the Secret Service is able to appropriately identify the number of IT staff it needs to meet its mission and programmatic goals.", "Develop strategies and plans to address gaps in competencies and staffing\u2014partly implemented. The Secret Service developed recruiting and hiring strategies to address certain competency and staffing needs (e.g., cybersecurity) for its IT workforce. These strategies included, among other things, participating in DHS-wide recruiting events and using special hiring authorities.", "However, because OCIO did not identify all of its IT competency and staffing needs, and lacked a current analysis of its entire IT workforce, the Secret Service could not provide assurance that the recruiting and hiring strategies it developed were specifically targeted towards addressing current OCIO competency and staffing gaps. For example, without an analysis of the IT workforce\u2019s skills, OCIO did not know the extent to which it had gaps in areas such as device management and cloud computing. As a result, the Secret Service\u2019s recruiting strategies may not have been targeted to address any gaps in those areas. Until the Secret Service updates its recruiting and hiring strategies and plans to address all IT competency and staffing gaps identified (after OCIO completes its analysis of the entire IT workforce, as discussed earlier), the Secret Service will be limited in its ability to effectively recruit and hire staff to fill those gaps."], "subsections": []}, {"section_title": "The Secret Service Minimally Implemented Selected Leading Recruitment and Hiring Practices", "paragraphs": ["According to the Office of Personnel Management, the Chief Human Capital Officers Council, and our prior work, once an agency has determined the critical skills and competencies that it needs to achieve programmatic goals, and identifies any competency or staffing gaps in its current workforce, the agency should be positioned to build effective recruiting and hiring programs. It is important that an agency has these programs in place to ensure that it can effectively recruit and hire employees with the appropriate skills to meet its various mission requirements.", "The Office of Personnel Management, the Chief Human Capital Officers Council, and we have also identified numerous leading practices associated with effective recruitment and hiring programs. Among these practices, an agency should (1) implement recruiting and hiring activities to address skill and staffing gaps by using the strategies and plans developed during the strategic workforce planning process; (2) establish and track metrics to monitor the effectiveness of the recruitment program and hiring process, including their effectiveness at addressing skill and staffing gaps, and report to agency leadership on progress addressing those gaps; and (3) adjust recruitment plans and hiring activities based on recruitment and hiring effectiveness metrics.", "The Secret Service minimally implemented the selected three leading practices associated with the recruitment and hiring workforce area. Specifically, the component partly implemented one of the three practices and did not implement the other two practices. Table 9 lists these selected practices and provides our assessment of the Secret Service\u2019s implementation of the practices.", "Implement recruiting and hiring activities to address skill and staffing gaps by using the strategies and plans developed during the strategic workforce planning process\u2014partly implemented. OCIO officials implemented the activities identified in the Secret Service\u2019s recruiting and hiring plans. For example, as identified in its recruiting plan, OCIO participated in a February 2017 career fair to recruit job applicants at a technology conference. In addition, in August 2017, OCIO participated in a DHS-wide recruiting event. Secret Service officials reported that, during this event, they conducted four interviews for positions in OCIO.", "However, as previously discussed, OCIO did not identify all of its IT competency and staffing needs, and lacked a current analysis of its entire IT workforce. Without complete knowledge of its current IT competency and staffing gaps, the Secret Service could not provide assurance that the recruiting and hiring strategies that it had implemented fully addressed these gaps.", "Establish and track metrics to monitor the effectiveness of the recruitment program and hiring process, including their effectiveness at addressing skill and staffing gaps, and report to agency leadership on progress addressing those gaps\u2014not implemented. The Secret Service had not established and tracked metrics for monitoring the effectiveness of its recruitment and hiring activities for the IT workforce. Officials in the Office of Human Resources attributed this to staffing constraints and said their priority was to address existing staffing gaps associated with the Secret Service\u2019s law enforcement groups.", "In June 2018, Office of Human Resources officials stated that they plan to implement metrics to monitor the effectiveness of the hiring process for the IT workforce by October 2018. The officials also stated that they were in the process of determining (1) the metrics that are to be used to monitor the effectiveness of their workforce recruiting efforts and (2) whether they need to acquire new technology to support this effort. However, the officials did not know when they would implement the metrics for assessing the effectiveness of the recruitment activities and whether they would report the results to leadership.", "Until the Office of Human Resources (1) develops and tracks metrics to monitor the effectiveness of the Secret Service\u2019s recruitment activities for the IT workforce, including their effectiveness at addressing skill and staffing gaps; and (2) reports to component leadership on those metrics, the Secret Service and the Office of Human Resources will be limited in their ability to analyze the recruitment program to determine whether the program is effectively addressing IT skill and staffing gaps. Further, Secret Service leadership will lack the information necessary to make effective recruitment decisions.", "Adjust recruitment plans and hiring activities based on recruitment and hiring effectiveness metrics\u2014not implemented. While the Secret Service CIO stated in June 2018 that he planned to adjust the office\u2019s recruiting and hiring strategies to focus on entry- level staff rather than mid-career employees, this planned adjustment was not based on metrics that the Secret Service was tracking. Instead, the CIO stated that he planned to make this change because his office determined that previous mid-career applicants were often unwilling or unable to wait for the Secret Service\u2019s lengthy, required background investigation process to be completed.", "However, as previously mentioned, the Secret Service did not develop and implement any metrics for assessing the effectiveness of the recruitment and hiring activities for the IT workforce. As a result, the Office of Human Resources and OCIO were not able to use such metrics to inform adjustments to their recruiting and hiring plan and activities, thus, reducing their ability to target potential candidates for hiring.", "Until the Office of Human Resources and OCIO adjust their recruitment and hiring plans and activities as necessary, after establishing and tracking metrics for assessing the effectiveness of these activities for the IT workforce, the Secret Service will be limited in its ability to ensure that its recruiting plans and activities are appropriately targeted to potential candidates. In addition, the component will lack assurance that these plans and activities will effectively address skill and staffing gaps within its IT workforce."], "subsections": []}, {"section_title": "The Secret Service Minimally Implemented Selected Leading Training and Development Practices", "paragraphs": ["An organization should invest in training and developing its employees to help ensure that its workforce has the information, skills, and competencies that it needs to work effectively. In addition, training and development programs are an integral part of a learning environment that can enhance an organization\u2019s ability to attract and retain employees with the skills and competencies needed to achieve cost-effective and timely results.", "DHS, the Secret Service, and we have previously identified numerous leading training and development-related practices. Among those practices, an organization should (1) establish a training and development program to assist the agency in achieving its mission and goals; (2) use tracking and other control mechanisms to ensure that employees receive appropriate training and meet certification requirements, when applicable; and (3) collect and assess performance data (including qualitative or quantitative measures, as appropriate) to determine how the training program contributes to improved performance and results.", "The Secret Service minimally implemented the selected three leading practices associated with the training and development workforce area. Specifically, the component partly implemented two of the three practices and did not implement one practice. Table 10 lists these selected leading practices and provides our assessment of the Secret Service\u2019s implementation of the practices.", "Establish a training and development program to assist the agency in achieving its mission and goals\u2014partly implemented. OCIO was in the process of developing a training program for its IT workforce. For example, OCIO developed a draft training plan that identified recommended training for the office\u2019s various IT workforce groups (e.g., voice communications employees).", "However, the office had not defined the required training for each IT workforce group. In addition, OCIO officials had not yet determined which activities they would implement as part of the training program (e.g., soliciting employee feedback after training is completed and evaluating the effectiveness of specific training courses), nor did they implement those activities.", "OCIO officials stated that they had not yet fully implemented a training program because their annual training budget for fiscal year 2018 was not sufficient to implement such a program. However, resource constrained programs especially benefit from identifying and prioritizing training activities to inform training budget decisions. Until OCIO (1) defines the required training for each IT workforce group, (2) determines the activities that it will include in its IT workforce training and development program based on its available training budget, and (3) implements those activities, the office may be limited in its ability to ensure that the IT workforce has the necessary knowledge and skills for their respective positions.", "Use tracking and other control mechanisms to ensure that employees receive appropriate training and meet certification requirements, when applicable\u2014partly implemented. OCIO used a training system to track that the managers for IITT\u2019s programs had met certain certification requirements for their respective positions. In addition, OCIO manually tracked the technical training that certain IT staff took.", "However, as discussed earlier, OCIO did not define the required training for each IT workforce group. As such, the office was unable to ensure that IT staff received the appropriate training relevant to their respective positions. Until it ensures that IT staff complete training specific to their positions (after defining the training required for each workforce group), OCIO will have limited assurance that the workforce has the necessary knowledge and skills.", "Collect and assess performance data (including qualitative or quantitative measures, as appropriate) to determine how the training program contributes to improved performance and results\u2014not implemented. As previously discussed, OCIO did not fully implement a training program for the IT workforce; as such, the office was unable to collect and assess performance data related to such a program. OCIO officials stated that, once they fully implement a training program, they intend to collect and assess data on how this program contributes to improved performance. However, the officials were unable to specify a time frame for when they would do so.", "Until OCIO collects and assesses performance data (including qualitative or quantitative measures, as appropriate) to determine how the IT training program contributes to improved performance and results (once the training program is implemented), the office may be limited in its knowledge of whether the training program is contributing to improved performance and results."], "subsections": []}, {"section_title": "The Secret Service Substantially Implemented Selected Leading Practices for Improving the Morale of Its IT Workforce, but Did Not Demonstrate Sustained Improvement", "paragraphs": ["Employee morale is important to organizational performance and an organization\u2019s ability to retain talent to perform its mission. We have previously identified numerous leading practices for improving employee morale. Among other things, we have found that an organization should (1) determine root causes of employee morale problems by analyzing employee survey results using techniques such as comparing demographic groups, benchmarking against similar organizations, and linking root cause findings to action plans; and develop and implement action plans to improve employee morale; (2) establish and track metrics of success for improving employee morale, and report to agency leadership on progress improving morale; and (3) maintain leadership support and commitment to ensure continued progress in improving employee morale, and demonstrate sustained improvement in morale.", "With regard to its IT workforce, the Secret Service substantially implemented the selected three practices associated with the employee morale workforce area. Specifically, the component fully implemented two of the selected practices and partly implemented one practice. Table 11 lists these selected practices and provides our assessment of the Secret Service\u2019s implementation of the practices.", "Determine root causes of employee morale problems by analyzing employee survey results using techniques such as comparing demographic groups, benchmarking against similar organizations, and linking root cause findings to action plans. Develop and implement action plans to improve employee morale\u2014fully implemented. The Secret Service used survey analysis techniques to determine the root causes of its low employee morale, on which we have previously reported. For example, the component conducted a benchmarking exercise where it compared the morale of the Secret Service\u2019s employees, including IT staff, to data on the morale of employees at other agencies, including the U.S. Capitol Police, U.S. Coast Guard, and the Drug Enforcement Administration. As part of this exercise, the Secret Service also compared its employee work-life offerings (e.g., on-site childcare and telework program) to those available at other agencies.", "In addition, the Secret Service developed and implemented action plans for improving employee morale. Among these action plans, for example, the component implemented a student loan repayment program and expanded its tuition assistance program\u2019s eligibility requirements.", "Establish and track metrics of success for improving employee morale, and report to agency leadership on progress improving morale\u2014fully implemented. The Secret Service tracked metrics for improving employee morale and reported the results to leadership. For example, the component tracked metrics on the percentage of the workforce, including IT staff, that participated in the student loan repayment and tuition assistance programs. In addition, the Chief Strategy Officer reported to the Chief Operating Officer the results related to meeting those metrics.", "Maintain leadership support and commitment to ensure continued progress in improving employee morale, and demonstrate sustained improvement in morale\u2014partly implemented. Secret Service leadership developed and implemented initiatives that demonstrated their commitment to improving the morale of the Secret Service\u2019s workforce. For example, since 2014, the Secret Service had worked with a contractor to identify ways to improve the morale of its entire workforce, including IT staff.", "However, as of June 2018, the Secret Service was unable to demonstrate that it had sustained improvement in the morale of the component\u2019s IT staff. In particular, the component was only able to provide IT workforce-specific results from one employee morale assessment that was conducted subsequent to the consolidation of this workforce into OCIO in March 2017. These results were from an assessment conducted by the component\u2019s Inspection Division in December 2017 (the assessment found that the majority of the Secret Service\u2019s IT employees rated their morale as \u201cvery good\u201d or \u201cexcellent.\u201d)", "While the component also provided certain employee morale results from the Office of Personnel Management\u2019s Federal Employee Viewpoint Survey in 2017, these results were not specific to the IT workforce. Instead, this workforce\u2019s results were combined with those from staff in another Secret Service division. According to OCIO officials, the results were combined because, at the time of the survey, the IT workforce was administratively identified as being part of that other division.", "OCIO officials stated that, going forward, they plan to continue to assess the morale of the IT workforce on an annual basis as part of the Federal Employee Viewpoint Survey. In addition, the officials stated that OCIO-specific results may be available as part of the 2018 survey results, which the officials expect to receive by September 2018. By measuring employee satisfaction on an annual basis, the Secret Service should have increased knowledge of whether its initiatives that are aimed at improving employee morale are in fact increasing employee satisfaction."], "subsections": []}, {"section_title": "The Secret Service Substantially Implemented Selected Performance Management Leading Practices, but Did Not Explicitly Align Expectations with Organizational Goals", "paragraphs": ["Agencies can use performance management systems as a tool to foster a results-oriented organizational culture that links individual performance to organizational goals. We have previously identified numerous leading practices related to performance management that are intended to enhance performance and ensure individual accountability. Among the performance management practices, agencies should (1) establish a performance management system that differentiates levels of staff performance and defines competencies in order to provide a fuller assessment of performance, (2) explicitly align individual performance expectations with organizational goals to help individuals see the connection between their daily activities and organizational goals, and (3) periodically provide individuals with regular performance feedback.", "The Secret Service substantially implemented the selected three leading practices associated with the performance management workforce area. Specifically, the component fully implemented one of the three practices and partly implemented the other two practices. Table 12 lists these selected leading practices and provides our assessment of the Secret Service\u2019s implementation of the practices.", "Establish a performance management system that differentiates levels of staff performance and defines competencies in order to provide a fuller assessment of performance\u2014partly implemented. The Secret Service\u2019s performance management process requires leadership to make meaningful distinctions between levels of staff performance. In particular, the component\u2019s performance plans for IT staff, which are developed by the Office of Human Resources and tailored by OCIO, as necessary, specify the criteria that leadership use to determine if an individual has met or exceeded the expectations associated with each competency identified in their respective performance plan. The performance plans include pre-established, department-wide competencies that are set by DHS, as well as occupational series-specific goals that may be updated by the Secret Service.", "However, because OCIO did not fully define and document all of its technical competency needs for the IT workforce, as discussed earlier, the Secret Service\u2019s performance plans for IT staff did not include performance expectations related to the full set of technical competencies required for their respective positions. In addition, because OCIO officials were unable to specify a time frame for when they will identify all of the technical competency needs for the IT workforce (as previously discussed), the officials were also unable to specify a time frame for when they would update the IT workforce\u2019s performance plans to include those relevant technical competencies.", "Until OCIO updates the performance plans for each occupational series within the IT workforce to include the relevant technical competencies, once identified, against which IT staff performance should be assessed, the office will be limited in its ability to provide IT staff with a complete assessment of their performance. In addition, Secret Service management will have limited knowledge of the extent to which IT staff are meeting all relevant technical competencies.", "Explicitly align individual performance expectations with organizational goals to help individuals see the connection between their daily activities and organizational goals\u2014partly implemented. The Secret Service\u2019s performance plans for IT staff identified certain goals that appeared to be related to organizational goals and objectives. For example, the performance plan for the Telecommunications Specialist occupational series (which is one of the series included in OCIO\u2019s IT workforce) identified a goal for staff to support the voice, wireless, radio, satellite, and video systems serving the Secret Service\u2019s protective and investigative mission. This performance plan goal appeared to be related to the component\u2019s strategic goal on Advanced Technology, which included an objective to create the infrastructure needed to fulfill mission responsibilities.", "However, the Secret Service was unable to provide documentation that explicitly showed how individual employee performance links to organizational goals, such as a mapping of the goals identified in employee performance plans to organizational goals. Specifically, while Office of Human Resources officials stated that each Secret Service directorate is responsible for ensuring that employee goals map to high-level organizational goals, OCIO officials stated that they did not complete this mapping. The officials were unable to explain why they did not align the goals in their employees\u2019 performance plans to the component\u2019s high-level goals.", "According to the officials, the Secret Service is in the process of implementing a new automated tool that will require each office to explicitly align individual performance expectations to organizational goals. The officials stated that OCIO plans to use this tool to create employees\u2019 fiscal year 2019 performance plans. By explicitly demonstrating how individual performance expectations align with organizational goals, the Secret Service\u2019s IT staff should have a better understanding of how their daily activities contribute towards achieving the Secret Service\u2019s goals.", "Periodically provide individuals with regular performance feedback\u2014fully implemented. Secret Service leadership periodically provided their IT staff with performance feedback. Specifically, on an annual basis, OCIO staff received feedback during a mid-year and end-of-year performance feedback assessment. In our prior work, we have stressed that candid and constructive feedback can help individuals maximize their contribution and potential for understanding and realizing the goals and objectives of an organization. Further, this feedback is one of the strongest drivers of employee engagement."], "subsections": []}]}, {"section_title": "The Secret Service and DHS Implemented Selected Leading Monitoring Practices for the IITT Investment", "paragraphs": ["According to leading practices of the Software Engineering Institute, effective program oversight includes monitoring program performance and conducting reviews at predetermined checkpoints or milestones. This is done by, among other things, comparing actual cost, schedule, and performance data with estimates in the program plan and identifying significant deviations from established targets or thresholds for acceptable performance levels.", "In addition, the Software Engineering Institute previously identified leading practices for effectively monitoring the performance of agile projects. According to the Institute, agile development methods focus on delivering usable, working software frequently; as such, it is important to measure the value delivered during each iteration of these projects. To that end, the Institute reported that agile projects should be measured on velocity (i.e., number of story points completed per sprint or release), development progression (e.g., the number of user stories planned and accepted), product quality (e.g., number of defects), and post-deployment user satisfaction.", "DHS and the Secret Service had fully implemented the selected leading practice for monitoring the performance of one program and three projects within the IITT investment, and conducting reviews of this program and these projects at predetermined checkpoints. In addition, with regard to the selected leading practice for monitoring agile projects, the Secret Service had fully implemented this practice for one of its two projects being implemented using agile and had partially implemented this practice for the other project. Table 13 provides a summary of DHS\u2019s and the Secret Service\u2019s implementation of these leading practices, as relevant for one program and three projects within IITT.", "Monitor program performance and conduct reviews at predetermined checkpoints or milestones. Consistent with leading practices, DHS and the Secret Service monitored the performance of IITT\u2019s program and projects by comparing actual cost, schedule, and performance information against planned targets and conducting reviews at predetermined checkpoints. For example, within the Secret Service:", "The Enabling Capabilities program and Multi-Level Security project monitored their contractors\u2019 costs spent to-date on a monthly basis and compared them to the total contract amounts.", "OCIO used integrated master schedules to monitor the schedule performance of the Enabling Capabilities program and Multi-Level Security project.", "OCIO also monitored the cost, schedule, and performance of the Uniformed Division Resource Management System and Events Management projects during monthly status reviews.", "In addition, DHS and the Secret Service conducted acquisition decision event reviews and systems engineering life cycle technical reviews of IITT\u2019s program and projects at predetermined checkpoints and, when applicable, identified deviations from established cost, schedule, and performance targets. For example:", "Secret Service OCIO met with DHS\u2019s Office of Program Accountability and Risk Management in February 2017, and with DHS\u2019s Acting Under Secretary for Management in June 2017, to discuss a schedule breach for the Enabling Capabilities program. In particular, the Enabling Capabilities program informed DHS that the program needed to change the planned date for acquisition decision event 3 (the point at which a decision is made to fully deploy the system) in order to conduct tests in an operational environment prior to that decision event. This delay was due to the Secret Service misunderstanding the tests that it was required to conduct prior to that decision event. Specifically, the Enabling Capabilities program had conducted tests on \u201cproduction representative\u201d systems, but these tests were not sufficient to meet the requirements for acquisition decision event 3.", "The project team for Multi-Level Security identified that certain technical issues they had experienced would delay system deployment and full operational capability (the point at which an investment becomes fully operational). As such, in October 2017, the project notified the Secret Service Component Acquisition Executive of these expected delays. In particular, the web browser that was intended to provide users on \u201cSensitive But Unclassified\u201d workstations the ability to view information from different security levels, experienced technical delays in meeting personal identity verification requirements. The project team also described for the executive how the schedule delay would affect the project\u2019s performance metrics and funding, and subsequently updated the project plan accordingly.", "Measure and monitor agile projects on, among other things, velocity (i.e., number of story points completed per sprint or release), development progression (e.g., the number of features and user stories planned and accepted), product quality (e.g., number of defects), and post-deployment user satisfaction. Secret Service OCIO measured its two agile projects\u2014Uniformed Division Resource Management System and Events Management\u2014 using certain agile metrics. In particular, OCIO officials measured the Uniformed Division Resource Management System and Events Management projects using key metrics related to velocity and development progression. For example, the officials measured development progression for both projects on a daily basis. In addition, OCIO officials monitored each project\u2019s progress against these metrics during bi-weekly reviews that they conducted with each project team.", "The OCIO officials also tracked product quality metrics for the Uniformed Division Resource Management System. For example, on a monthly basis, the officials tracked the number of helpdesk tickets that had been resolved related to the system. In addition, on a quarterly basis, they tracked the number of Uniformed Division Resource Management System defects that (1) had been fixed and (2) were in the backlog.", "However, while OCIO officials received certain post-deployment user satisfaction information from end-users of the Uniformed Division Resource Management System by, among other things, tracking the number of helpdesk tickets related to the system and via daily verbal, undocumented feedback from certain Uniformed Division officers, OCIO officials had not fully measured and documented post- deployment user satisfaction with the system, such as via a survey of employees who use the system. The officials stated that they had not conducted and documented a survey because they were focused on (1) addressing software performance issues that occurred after they deployed the system to a limited number of users, and (2) continuing system deployment to the remaining users after they addressed the performance issues.", "OCIO officials stated that they plan to conduct such a documented survey by the end of September 2018. The results of the user satisfaction survey should provide OCIO with important information on whether the Uniformed Division Resource Management System is meeting users\u2019 needs."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The Secret Service\u2019s full implementation of 11 of 14 component-level CIO responsibilities constitutes a significant effort to establish CIO oversight for the component\u2019s IT portfolio. Additional efforts to fully implement the remaining 3 responsibilities, including ensuring that all IT contracts are reviewed, as appropriate; ensuring that the Secret Service\u2019s enterprise governance policy appropriately specifies the CIO\u2019s role in developing and reviewing the component\u2019s IT budget formulation and execution; and ensuring agile projects measure product quality and post-deployment user satisfaction, will further position the CIO to effectively manage the Secret Service\u2019s IT portfolio.", "When effectively implemented, IT workforce planning and management activities can facilitate the successful accomplishment of an agency\u2019s mission. However, the Secret Service had not fully implemented all of the 15 selected practices for its IT workforce for any of the five areas\u2014 strategic planning, recruitment and hiring, training and development, employee morale, and performance management. The Secret Service\u2019s lack of (1) a strategic workforce planning process, including the identification of all required knowledge and skills, assessment of competency gaps, and targeted strategies to address specific gaps in competencies and staffing; (2) targeted recruiting activities, including metrics to monitor the effectiveness of the recruitment program and adjustment of the recruitment program and hiring efforts based on metrics; (3) a training program, including the identification of required training for IT staff, ensuring that staff take required training, and assessment of performance data regarding the training program; and (4) a performance management system that includes all relevant technical competencies, greatly limits its ability to ensure the timely and effective acquisition and maintenance of the Secret Service\u2019s IT infrastructure and services.", "On the other hand, by monitoring program performance and conducting reviews at predetermined checkpoints for one program and three projects associated with the IITT investment, in accordance with leading practices, the Secret Service and DHS provided important oversight needed to guide that program and those projects. Measuring projects on leading agile metrics also provided the Secret Service CIO with important information on project performance."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 13 recommendations to the Director of the Secret Service: The Director should ensure that the CIO establishes and documents an IT acquisition review process that ensures the CIO or the CIO\u2019s delegate reviews all contracts containing IT, as appropriate. (Recommendation 1)", "The Director should update the enterprise governance policy to specify (1) the CIO\u2019s current role and responsibilities on the Executive Resources Board, to include developing and reviewing the IT budget formulation and execution; and (2) the Deputy CIO\u2019s role and responsibilities on the Enterprise Governance Council. (Recommendation 2)", "The Director should ensure that the Secret Service develops a charter for its Executive Resources Board that specifies the roles and responsibilities of all board members, including the CIO. (Recommendation 3)", "The Director should ensure that the CIO includes product quality and post-deployment user satisfaction metrics in the modular outcomes and target measures that the CIO sets for monitoring agile projects. (Recommendation 4)", "The Director should ensure that the CIO identifies all of the required knowledge and skills for the IT workforce. (Recommendation 5)", "The Director should ensure that the CIO regularly analyzes the IT workforce to identify its competency needs and any gaps it may have. (Recommendation 6)", "The Director should ensure that, after OCIO completes an analysis of the IT workforce to identify any competency and staffing gaps it may have, the Secret Service updates its recruiting and hiring strategies and plans to address those gaps, as necessary. (Recommendation 7)", "The Director should ensure that the Office of Human Resources (1) develops and tracks metrics to monitor the effectiveness of the Secret Service\u2019s recruitment activities for the IT workforce, including their effectiveness at addressing skill and staffing gaps; and (2) reports to component leadership on those metrics. (Recommendation 8)", "The Director should ensure that the Office of Human Resources and OCIO adjust their recruitment and hiring plans and activities, as necessary, after establishing and tracking metrics for assessing the effectiveness of these activities for the IT workforce. (Recommendation 9)", "The Director should ensure that the CIO (1) defines the required training for each IT workforce group, (2) determines the activities that OCIO will include in its IT workforce training and development program based on its available training budget, and (3) implements those activities. (Recommendation 10)", "The Director should ensure that the CIO ensures that the IT workforce completes training specific to their positions (after defining the training required for each workforce group). (Recommendation 11)", "The Director should ensure that the CIO collects and assesses performance data (including qualitative or quantitative measures, as appropriate) to determine how the IT training program contributes to improved performance and results (once the training program is implemented). (Recommendation 12)", "The Director should ensure that the CIO updates the performance plans for each occupational series within the IT workforce to include the relevant technical competencies, once identified, against which IT staff performance should be assessed. (Recommendation 13)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DHS provided written comments on a draft of this report, which are reprinted in appendix III. In its comments, the department concurred with all 13 of our recommendations and provided estimated completion dates for implementing each of them.", "For example, with regard to recommendation 2, the department stated that the Secret Service would update its enterprise governance policy and related policies to outline the roles and responsibilities of the CIO and Deputy CIO, among others, by March 31, 2019. In addition, for recommendation 13, the department stated that the Secret Service OCIO will include relevant technical competencies in performance plans, as appropriate, in the next performance cycle that starts in July 2019. If implemented effectively, these actions should address the weaknesses we identified.", "The department also identified a number of other actions that it said had been taken to address our recommendations. For example, in response to recommendation 8, which calls for the Office of Human Resources to (1) develop and track metrics to monitor the effectiveness of the Secret Service\u2019s recruitment activities for the IT workforce and (2) report to component leadership on those metrics, DHS stated that the Secret Service\u2019s Office of Human Resources\u2019 Outreach Branch provides to the department metrics on recruitment efforts toward designated priority mission-critical occupations.", "However, for fiscal year 2017, only 1 of the 12 occupational series associated with the Secret Service\u2019s IT workforce was designated as a mission-critical occupation for the component (i.e., the 2210 IT Specialist series). The 11 other occupational series were not designated as mission- critical occupations. In addition, for fiscal year 2018, none of these 12 occupational series were designated as mission-critical occupations. As such, metrics on recruiting for these IT series may not have been reported to DHS leadership.", "Moreover, while we requested documentation of the recruiting metrics for the Secret Service\u2019s IT workforce and, during the course of our review, had multiple subsequent discussions with the Secret Service regarding such metrics, the component did not provide documentation that demonstrated it had established recruiting metrics for its IT workforce. Tracking such metrics and reporting the results to Secret Service leadership, as we recommended, would provide management with important information necessary to make effective recruitment decisions.", "Further, in response to recommendation 10, which among other things, calls for the CIO to define the required training for each IT workforce group, the department stated that the Secret Service OCIO recently developed training requirements for each workforce group, which were issued during our audit. However, while during our audit OCIO provided a list of recommended training courses, the office did not identify them as being required courses. Defining training that is required for each IT workforce group, as we recommended, would inform OCIO of the necessary training for each position and enable the office to prioritize this training, to ensure that its staff have the needed knowledge and skills.", "In addition to the aforementioned comments, we received technical comments from DHS and Secret Service officials, which we incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, the Director of the Secret Service, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "Should you or your staffs have any questions on information discussed in this report, please contact me at (202) 512-4456 or HarrisCC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to evaluate the extent to which: (1) the U.S. Secret Service (Secret Service) Chief Information Officer (CIO) has implemented selected information technology (IT) oversight responsibilities, (2) the Secret Service has implemented leading workforce planning and management practices for its IT workforce, and (3) the Secret Service and the Department of Homeland Security (DHS) have implemented selected performance and progress monitoring practices for the Information Integration and Technology Transformation (IITT) investment.", "To address the first objective, we analyzed DHS\u2019s policies and guidance on IT management to identify the responsibilities that were to be implemented by the component-level CIO related to overseeing the Secret Service\u2019s IT portfolio, including existing systems, acquisitions, and investments. From the list of 33 responsibilities that we identified, we then excluded the responsibility that was associated with information security, which is expected to be addressed as part of a separate, subsequent GAO review. We also excluded those responsibilities that were significantly large in scope (e.g., implement an enterprise architecture) or that, in our professional judgment, lacked specificity (e.g., provide timely delivery of mission IT services). As a result, we excluded from consideration for this review a total of 10 CIO responsibilities.", "For the 23 that remained, we then combined certain responsibilities that overlapped with other related responsibilities. For example, we combined related responsibilities on the component CIO\u2019s review of IT contracts. As a result, we identified 14 responsibilities for review. We validated with the acting DHS CIO that these responsibilities were key responsibilities for the department\u2019s component-level CIOs. We then included all 14 of the responsibilities in our review.", "The 14 selected component-level CIO responsibilities were: 1. Develop and review the component IT budget formulation and execution. 2. Manage the component IT investment portfolio, including establishing an IT acquisition review process that enables component and DHS review of component acquisitions (i.e., contracts) that contain IT. 3. Develop, implement, and maintain a detailed IT strategic plan. 4. Ensure all component IT policies are in compliance and alignment with DHS IT directives and instructions. 5. Concur with each program\u2019s and/or project\u2019s systems engineering life cycle tailoring plan. 6. Support the Component Acquisition Executive to ensure processes are established that enable systems engineering life cycle technical reviews and that they are adhered to by programs and/or projects. 7. Ensure that all systems engineering life cycle technical review exit criteria are satisfied for each of the component\u2019s IT programs and/or projects. 8. Ensure the necessary systems engineering life cycle activities have been satisfactorily completed as planned for each of the component\u2019s IT programs and/or projects. 9. Concur with the systems engineering life cycle technical review completion letter for each of the component\u2019s IT programs and/or projects. 10. Maintain oversight of their component\u2019s agile development approach for IT by appointing the responsible personnel, identifying investments for adoption, and reviewing artifacts. 11. With Component Acquisition Executives, evaluate and approve the application of agile development for IT programs consistent with the component\u2019s agile development approach. 12. Set modular outcomes and target measures to monitor the progress in achieving agile implementation for IT programs and/or projects within their component. 13. Participate on DHS\u2019s CIO Council, Enterprise Architecture Board, or other councils/boards as appropriate, and appoint employees to serve when necessary. 14. Meet the IT competency requirements established by the DHS CIO, as required in the component CIO\u2019s performance plan.", "To determine the extent to which the Secret Service CIO has implemented these responsibilities, we obtained and assessed relevant component documentation and compared it to the responsibilities. Specifically, we obtained and analyzed documentation including evidence of the CIO\u2019s participation on the Secret Service governance board that has final decision authority and responsibility for enterprise governance, including the IT budget; monthly program management reports showing the CIO\u2019s oversight of IT programs, projects, and systems; monthly status reports on program spending; the Secret Service\u2019s IT strategic plan; the Secret Service\u2019s enterprise governance policy; meeting minutes from the DHS board and council on which the CIO participated (i.e., the CIO Council and Enterprise Architecture Board); and documentation demonstrating whether the CIO met the IT competency requirements.", "In addition, we obtained and analyzed relevant documentation related to the CIO\u2019s oversight of the major IT investments on which the Secret Service was spending development, modernization, and enhancement funds during fiscal year 2017. As of July 2017, the component had one investment\u2014IITT\u2014that met this criterion. IITT is a portfolio investment that, as of July 2017, included two programs (one of which included three projects) and one standalone project (i.e., it was not part of another program) that had capabilities that were in planning or development and modernization: the Enabling Capabilities program, Enterprise Resource Management System program (which included three projects, called Uniformed Division Resource Management System, Events Management, and Enterprise-wide Scheduling), and Multi-Level Security project.", "In particular, we obtained and analyzed documentation related to the CIO\u2019s oversight of the systems engineering life cycles for IITT\u2019s Enabling Capabilities program and the Uniformed Division Resource Management System, Events Management, and Multi-Level Security projects. This documentation included acquisition program baselines, systems engineering life cycle tailoring plans, and systems engineering life cycle technical review briefings and completion letters. We then compared the documentation against the five selected systems engineering life cycle oversight responsibilities (responsibilities 5, 6, 7, 8, and 9).", "We also obtained and analyzed documentation related to the CIO\u2019s oversight of two projects that the Secret Service was implementing using an agile methodology\u2014Uniformed Division Resource Management System and Events Management. Specifically, we obtained and assessed documentation of (1) the CIO\u2019s approval for these projects to be implemented using an agile methodology and (2) the agile development metrics that the CIO established for each of these projects. We then compared this documentation to the three agile development-related component-level CIO responsibilities (responsibilities 10, 11, and 12).", "Further, to determine the extent to which the Secret Service CIO had established an IT acquisition (i.e., contract) review process that enabled component and DHS review of component contracts that contain IT (which is part of responsibility 2), we first asked Secret Service officials to provide us with a list of all new, unclassified IT contracts that the component awarded between October 1, 2016, and June 30, 2017. The Secret Service officials provided a list of 54 contracts. We validated that these were contracts for IT or IT services by: (1) searching for them in the Federal Procurement Data System \u2013 Next Generation; (2) identifying their associated product or service codes, as reported in that system; and (3) determining whether those codes were included in the universe of 79 IT product or service codes identified by the Category Management Leadership Council.", "In validating the list of 54 contracts provided by the Secret Service, we determined that 5 of the contracts were not associated with an IT product or service code. As such, we removed those contracts from the list. In addition, we found that three other items identified by the component were not in the Federal Procurement Data System \u2013 Next Generation. Secret Service officials subsequently confirmed that these three items were not contracts. We therefore removed these three items from the list. As such, the final list of validated contracts identified by the Secret Service included 46 IT contracts.", "In addition, to identify any IT contracts that were not included in the list provided by the Secret Service, we conducted a search of the Federal Procurement Data System \u2013 Next Generation to identify all unclassified contracts that (1) the component awarded between October 1, 2016, and June 30, 2017; (2) were not a modification of a contract; and (3) were associated with 1 of the 79 IT product or service codes identified by the Category Management Leadership Council. Based on these criteria, we identified 144 Secret Service IT contracts in the Federal Procurement Data System \u2013 Next Generation (these 144 contracts included the 46 contracts previously identified by Secret Service officials). We then asked Secret Service officials to validate the accuracy, completeness, and reliability of these data, which they did.", "From each of these two lists of IT contracts (i.e., the list of 46 IT contracts identified by the Secret Service and the list of 144 IT contracts that we identified from the Federal Procurement Data System \u2013 Next Generation), we then selected random, non-generalizable samples of contracts, as described below.", "First, from the list of 46 IT contracts identified by Secret Service officials, we removed 4 contracts that had total values of less than $10,000. To ensure that we selected across all contract sizes, we randomly selected 12 contracts from the remaining list of 42 contracts, using the following cost ranges: $10,000 to $50,000 (4 contracts), more than $50,000 to less than $250,000 (4 contracts), and more than $250,000 (4 contracts).", "Second, from our list of 144 IT contracts that we identified from the Federal Procurement Data System \u2013 Next Generation, we removed the 46 contracts identified by Secret Service officials. We also removed 12 contracts that had total values of less than $10,000. To ensure that we selected across all contract sizes, we randomly selected 21 contracts from the remaining list of 86 contracts, using the following cost ranges: $10,000 to $50,000 (7 contracts), more than $50,000 to less than $250,000 (7 contracts), and more than $250,000 (7 contracts).", "In total, we selected 33 IT contracts for review. We separated the contracts into the three cost ranges identified above in order to ensure that contracts of different value levels had been selected. This enabled us to determine the extent to which the CIO appropriately reviewed contracts of all values.", "To determine the extent to which the CIO had established an IT contract approval process that enabled the Secret Service and DHS, as appropriate, to review IT contracts, we first asked Secret Service Office of the CIO (OCIO) officials for documentation of their IT contract approval process. These officials were unable to provide such documentation. Instead, the officials stated that the Secret Service CIO or the CIO\u2019s delegate approves all IT contracts prior to award. The officials also provided documentation that identified four staff to whom the CIO had delegated his approval authority. Further, the officials stated that, in accordance with DHS\u2019s October 2016 IT acquisition review guidance, they submitted to DHS OCIO for approval any IT contracts that met DHS\u2019s thresholds for review, including those that (1) had total estimated procurement values of $2.5 million or more, and (2) were associated with a major investment.", "Based on the IT acquisition review process that Secret Service OCIO officials described, we then obtained and analyzed each of the 33 selected IT contracts and associated approval documentation to determine whether or not the Secret Service CIO or the CIO\u2019s delegate had approved each of the contracts. In particular, we (1) reviewed the name of the contract approver on the approval documentation, and (2) compared the signature dates that were on the contracts to the signature dates that were identified on the associated approval documentation.", "In addition, to determine whether or not the Secret Service CIO submitted to DHS OCIO for approval the IT contracts that (1) had total estimated procurement values of $2.5 million or more, and (2) were associated with major investments, we first analyzed the 144 Secret Service IT contracts that we had previously pulled from the Federal Procurement Data System \u2013 Next Generation to determine which contracts met the $2.5 million threshold. We identified 4 contracts that met this threshold. We then requested that OCIO identify the levels (i.e., major or non-major) of the investments associated with these contracts. According to OCIO officials, 3 of the 4 contracts were associated with non-major investments and 1 was not associated with an investment. As such, based on DHS\u2019s October 2016 IT acquisition review guidance, none of these contracts needed to be submitted to DHS OCIO for review.", "We also interviewed Secret Service officials, including the CIO and Deputy CIO, regarding the CIO\u2019s implementation of the 14 selected component-level responsibilities. We assessed the evidence against the selected responsibilities to determine the extent to which the CIO had implemented them.", "To address the second objective\u2014determining the extent to which the Secret Service had implemented leading workforce planning and management practices for its IT workforce\u2014we first identified seven topic areas associated with human capital management based on the following sources:", "The Office of Personnel Management\u2019s Human Capital Framework.", "Office of Personnel Management and the Chief Human Capital Officers Council Subcommittee for Hiring and Succession Planning, End-to-End Hiring Initiative.", "GAO, High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others.", "GAO, IT Workforce: Key Practices Help Ensure Strong Integrated Program Teams; Selected Departments Need to Assess Skill Gaps.", "GAO, Department of Homeland Security: Taking Further Action to Better Determine Causes of Morale Problems Would Assist in Targeting Action Plans.", "GAO, Human Capital: A Guide for Assessing Strategic Training and Development Efforts in the Federal Government.", "GAO, Results-Oriented Cultures: Creating a Clear Linkage between Individual Performance and Organizational Success.", "DHS acquisition guidance.", "Secret Service acquisition guidance.", "Among these topic areas, we then selected five areas that, in our professional judgment, were of particular importance to successful workforce planning and management. They were also previously identified as part of our high-risk and key issues work on human capital management. These areas include: (1) strategic planning, (2) recruitment and hiring, (3) training and development, (4) employee morale, and (5) performance management.", "We also reviewed these same sources and identified numerous leading practices associated with the five topic areas. Among these leading practices, we then selected three leading practices within each of the five areas (for a total of 15 selected practices). The selected practices were foundational practices that, in our professional judgment, were of particular importance to successful workforce planning and management.", "Table 14 identifies the five selected workforce areas and 15 selected associated practices.", "To determine the extent to which the Secret Service had implemented the selected leading workforce planning and management practices for its IT workforce, we obtained and assessed documentation and compared it against the 15 selected practices. In particular, we analyzed the Secret Service\u2019s human capital strategic plan, human capital staffing plan, IT strategic plan, documentation of the component\u2019s staffing model that it used to determine the number of IT staff needed, an independent verification and validation report on the component\u2019s staffing models, documentation of the current number of IT staff, the Secret Service\u2019s recruitment and outreach plans, documentation of DHS\u2019s hiring authorities (which are applicable to the Secret Service), the Secret Service\u2019s training strategic plan, IT workforce training plan, action plans for improving employee morale, and templates used for measuring and reporting employee performance.", "We also interviewed Secret Service officials\u2014including the CIO, Deputy CIO, and workforce planning staff\u2014about the component\u2019s workforce- related policies and documentation. Further, we discussed with the officials the Secret Service\u2019s efforts to implement the selected workforce practices for its IT workforce.", "Regarding our assessments of the Secret Service\u2019s implementation of the 15 selected workforce planning and management practices, we assessed a practice as being fully implemented if component officials provided supporting documentation that demonstrated all aspects of the practice. We assessed a practice as not implemented if the officials did not provide any supporting documentation for that practice, or if the documentation provided did not demonstrate any aspect of the practice. We assessed a practice as being partly implemented if the officials provided supporting documentation that demonstrated some, but not all, aspects of the selected practice.", "In addition, related to our assessments of the Secret Service\u2019s implementation of the five selected overall workforce areas, we assessed each area as follows, based on the implementation of the three selected practices within each area:", "Fully implemented: The Secret Service provided evidence that it had fully implemented all three of the selected practices within the workforce area;", "Substantially implemented: The Secret Service provided evidence that it had either fully implemented two selected practices and partly implemented the remaining one selected practice within the workforce area, or fully implemented one selected practice and partly implemented the remaining two selected practices within the workforce area;", "Partially implemented: The Secret Service provided evidence that it had partly implemented each of the three selected practices within the workforce area;", "Minimally implemented: The Secret Service provided evidence that it partly implemented two selected practices and not implemented the remaining one selected practice within the workforce area, or partly implemented one selected practice and not implemented the remaining two selected practices within the workforce area; or", "Not implemented: The Secret Service did not provide evidence that it had implemented any of the three selected practices within the workforce area.", "To address the third objective\u2014determining the extent to which the Secret Service and DHS have implemented selected performance and progress monitoring practices for IITT\u2014we reviewed leading project monitoring practices and guidance from the Software Engineering Institute. First, we reviewed the practices within the Project Monitoring and Control process area of the Institute\u2019s Capability Maturity Model Integration\u00ae for Acquisition. Based on our review, we identified four practices associated with monitoring program performance and progress. In our professional judgment, all four of these practices were of significance to managing the IITT investment given the phase of the life cycle that the investment was in. As such, we elected to include all four of these practices in our review, and combined them into one practice, as follows:", "Monitor program performance and conduct reviews at predetermined checkpoints or milestones by, among other things, comparing actual cost, schedule, and performance data with estimates in the program plan and identifying significant deviations from established targets or thresholds for acceptable performance levels.", "Next, given the agile development methodology that the Secret Service was using for certain projects within IITT, we reviewed the Software Engineering Institute\u2019s technical note on the progress monitoring of agile contractors. Based on our review, and in consultation with an internal expert, we selected four agile metrics that the Institute identified as important for successful agile implementations and that, in our professional judgment, were of most significance to monitoring the performance of IITT\u2019s agile projects. We then combined these four metrics into one practice, as follows:", "Measure and monitor agile projects on velocity (i.e., number of story points completed per sprint or release), development progression (e.g., the number of features and user stories planned and accepted), product quality (e.g., number of defects), and post-deployment user satisfaction.", "To determine the extent to which DHS and the Secret Service had implemented the first selected practice, we analyzed relevant program management and governance documentation for IITT\u2019s Enabling Capabilities program, and Multi-Level Security, Uniformed Division Resource Management System, and Events Management projects. In particular, we analyzed acquisition program baselines, DHS acquisition decision event memorandums, artifacts from DHS and Secret Service program oversight reviews, cost monitoring reports, program integrated master schedules, and program status briefings, and compared this documentation to the selected practice. We also interviewed Secret Service OCIO officials regarding the Secret Service\u2019s and DHS\u2019s efforts to monitor the IITT investment\u2019s performance and progress.", "To determine the extent to which the Secret Service had implemented the second selected practice related to measuring and monitoring agile projects on agile metrics (i.e., velocity, development progression, product quality, and post-deployment user satisfaction), we obtained and analyzed agile-related documentation for the two projects that the Secret Service was implementing using an agile methodology\u2014Uniformed Division Resource Management System and Events Management. Specifically, to determine the extent to which the Secret Service was measuring and monitoring these two projects on metrics for velocity and development progression, we obtained and analyzed documentation, such as sprint burndown charts and monthly program status reports, and compared it to the selected practice.", "In addition, the agile metrics for product quality and post-deployment user satisfaction were only applicable to projects that had been deployed to users. As such, these metrics were applicable to the Uniformed Division Resource Management System (which the Secret Service had deployed to users) and were not applicable to Events Management (which the Secret Service had not yet deployed to users, as of early May 2018).", "We therefore obtained and analyzed documentation demonstrating that Secret Service OCIO measured product defects for the Uniformed Division Resource Management System. We also requested documentation demonstrating that OCIO had measured and monitored post-deployment user satisfaction for this project, including via a survey. OCIO officials stated that they had not conducted such a survey and were unable to provide documentation demonstrating they had measured post- deployment user satisfaction for the Uniformed Division Resource Management System.", "To assess the reliability of the cost, schedule, and agile-related data that were in DHS and the Secret Service\u2019s program management and governance documentation for the IITT investment, we (1) analyzed related documentation and assessed the data against existing agency records to identify consistency in the information, and (2) examined the data for obvious outliers, incomplete, or unusual entries. We determined that the data in these documents were sufficiently reliable for our purpose, which was to evaluate the extent to which DHS and the Secret Service had implemented processes for monitoring the IITT investment\u2019s performance and progress.", "We conducted this performance audit from May 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Description of the U.S. Secret Service\u2019s Information Integration and Technology Transformation Investment\u2019s Programs and Projects", "paragraphs": ["As of June 2018, the Secret Service\u2019s Information Integration and Technology Transformation (IITT) investment included two programs (one of which included three projects) and one project that had capabilities that were in planning or development and modernization, as described below:", "Enabling Capabilities. This program is intended to, among other things, (1) modernize and enhance the Secret Service\u2019s information technology (IT) network infrastructure, including increasing bandwidth and improving the speed and reliability of the Secret Service\u2019s IT system performance; (2) enhance cybersecurity to protect against potential intrusions and viruses; and (3) provide counterintelligence and data mining capabilities to improve officials\u2019 ability to perform the Secret Service\u2019s investigative mission.", "Enterprise Resource Management System. This program comprises three projects that are intended to provide: a system that will enable the Secret Service\u2019s Uniformed Division to efficiently and effectively plan, provision, and schedule missions (this project is referred to as Uniformed Division Resource Management System), a system that will unify the logistical actions (e.g., assigning personnel) surrounding special events that Secret Service agents need to protect, such as the United Nations General Assembly (this project is referred to as Events Management), and a capability for creating schedules for Secret Service agents and administrative, professional, and technical staff, as well as the ability to generate reports on information such as monthly hours worked (this project is referred to as Enterprise-wide Scheduling).", "Multi-Level Security. This project is intended to enable authorized Secret Service users to view two levels of classified information on a single workstation. Previously, data at various security levels were contained and used in multiple disparate systems. Multi-Level Security is intended to streamline users\u2019 access to information at different security levels in order to enable them to more quickly and effectively perform their duties.", "Table 15 provides the planned life cycle cost and schedule estimates (threshold values) for each IITT program and project that had capabilities in planning or development and modernization, as of June 2018. In addition, the table describes any changes in those cost and schedule estimates, as well as the key reasons for any changes, as identified by officials from the Secret Service\u2019s Office of the Chief Information Officer."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following staff made key contributions to this report: Shannin O\u2019Neill (Assistant Director), Emily Kuhn (Analyst-in-Charge), Quintin Dorsey, Rebecca Eyler, Javier Irizarry, and Paige Teigen."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-656", "url": "https://www.gao.gov/products/GAO-18-656", "title": "Science and Technology: Considerations for Maintaining U.S. Competitiveness in Quantum Computing, Synthetic Biology, and Other Potentially Transformational Research Areas", "published_date": "2018-09-26T00:00:00", "released_date": "2018-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Scientific and technological innovation contributes to U.S. economic competitiveness and prosperity. Federal agencies support transformational technological advances\u2014those that result in new or significantly enhanced technologies\u2014by, for example, funding research (nearly $70 billion in obligations in fiscal year 2017).", "GAO was asked to examine support for research that could lead to transformational technological advances. This report (1) describes federal agencies' and nonfederal entities' support for such research in selected areas, (2) examines federal agencies' coordination on this research, and (3) describes experts' views on considerations for maintaining U.S. competitiveness through such advances. GAO selected quantum computing and synthetic biology as examples of research areas that could lead to transformational technological advances. GAO reviewed agency documents and interviewed federal officials, subject matter experts, and stakeholders. GAO also worked with the National Academies of Sciences, Engineering, and Medicine to convene a meeting to solicit views from 19 experts selected from government, academia, and industry, among others."]}, {"section_title": "What GAO Found", "paragraphs": ["Multiple federal and nonfederal entities support research for transformational technological advances in the areas of quantum computing\u2014the manipulation of bits of data using the behavior of individual atoms, molecules, or other quantum systems to potentially outperform supercomputers\u2014and synthetic biology\u2014the combination of biology and engineering to create or modify biological systems. GAO found that at least 6 agencies support quantum computing research; at least 10 agencies support synthetic biology research; and nonfederal entities, such as universities and businesses, support research in both areas.", "Agency officials said they coordinate on quantum computing and synthetic biology through efforts such as conferences and interagency groups, but GAO found that certain new efforts have not fully implemented selected leading collaboration practices. The quantum computing group, co-chaired by officials from 4 agencies, and the synthetic biology group, led by the National Science Foundation, have taken initial steps to implement some leading practices GAO identified that can enhance and sustain interagency collaboration. For example, both groups agreed to coordinate their research, and participating agencies documented agreement with the quantum computing group's purpose through a charter. However, the groups have not fully implemented other practices, such as agreeing on roles and responsibilities and identifying common outcomes, that could help ensure they effectively marshal agencies' efforts to maintain U.S. competitiveness in quantum computing and synthetic biology.", "Experts identified considerations for maintaining U.S. competitiveness through transformational technological advances. The considerations broadly address federal and nonfederal entities' roles in supporting such advances and include:", "developing a strategic approach using consortia or other mechanisms to bring together potential partners;", "fostering an environment in which information is shared among researchers while also considering the risks of information sharing;", "focusing on technology development and commercialization, for example, by providing support across multiple stages of technology innovation; and", "strengthening the science and technology workforce through training, recruiting, and retaining talent."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the agencies leading the interagency quantum computing and synthetic biology groups take steps to fully implement leading collaboration practices. The agencies agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal support for research and development can accelerate innovation, drive technological advances, and promote U.S. competitiveness in the global economy. For example, federally supported research led to the introduction of global positioning systems and touchscreen technologies that contributed to the development of smartphones, creating new industries and significant economic growth. In fiscal year 2017, the federal government obligated nearly $70 billion for research, according to the National Science Foundation (NSF). While some research leads to incremental changes in a scientific field, other research can yield disruptive or transformational advances. These advances are transformational because they result in new technologies or significantly enhanced capabilities in existing technologies.", "The United States is considered a world leader in many science and technology areas, but other countries, such as China, are also making considerable investments in research. Increased competition from these countries has led some experts and others to express concern that the United States may be losing its competitive advantage. In January 2018, NSF\u2019s National Science Board reported that the United States\u2019 overall global share of research and development spending is declining relative to other countries. Moreover, other reports indicate that the United States is losing ground in certain technologies, such as intense ultrafast lasers, which may have applications in manufacturing, medicine, and national security.", "Since 2007, a series of laws has built on prior federal efforts to invest in innovation through research and development and to improve the United States\u2019 competitiveness. In 2007, the America Creating Opportunities to Meaningfully Promote Excellence in Technology, Education, and Science Act (COMPETES 2007) established the Advanced Research Projects Agency-Energy (ARPA-E) in the Department of Energy (DOE) to overcome long-term and high-risk technological barriers in the development of energy technologies. It also, among other things, authorized programs in the Department of Education and NSF to train teachers in science, technology, engineering and math (STEM) fields. In 2011, the COMPETES Reauthorization Act of 2010 reauthorized parts of COMPETES 2007, established several new programs, and authorized additional funding for STEM education. In 2017, the American Innovation and Competitiveness Act of 2017 reauthorized some parts of the COMPETES acts. The three acts also provided direction to the Office of Science and Technology Policy (OSTP), whose responsibilities include coordinating federal research programs, advising the President on scientific and technological considerations with regard to federal budgets, and advising the President of scientific and technological considerations involved in areas of national concern.", "However, continued concerns related to the federal debt and federal budget deficits are forcing difficult decisions about how much the federal government should spend on research, as well as what types of research it should fund. These concerns overlie a long-standing debate about the federal government\u2019s role in supporting science and technology research and which roles should be left to the private sector, academia, or other nonfederal entities. We have reported that the government often funds research at the early stages of technology development, whereas industry typically supports the final stages of technology development. As a result, U.S. innovators may find it difficult to obtain public funding or private investment during the middle stages of innovation. We have also reported that substantial amounts of funding or investment are needed to support technology maturation through the middle stages of innovation and that high costs can be a barrier to technology commercialization, especially for small and medium-sized U.S. enterprises. Long-standing disagreements among stakeholders about the appropriateness of the federal government taking an active role in supporting technological advances with ambiguous applications has led to the creation, and sometimes the dissolution, of programs such as the Advanced Technology Program and the Technology Innovation Program. These two programs were established to help U.S. businesses and organizations support, promote, and accelerate innovation through high-risk, high- reward research in areas of critical national need. Different perspectives on the appropriate federal role may have also led to the proposals in the President\u2019s Budget for fiscal years 2018 and 2019 to eliminate ARPA-E.", "You asked us to examine federal and nonfederal support for research that could accelerate innovation and advance U.S. competitiveness. This report (1) describes federal agencies\u2019 and nonfederal entities\u2019 support for research for transformational technological advances in selected areas, (2) examines federal agencies\u2019 coordination on this research, and (3) provides experts\u2019 views on considerations for maintaining U.S. competitiveness through transformational technological advances.", "To address these objectives, we selected quantum computing (a sub- area of quantum information science) and synthetic biology as examples of areas of research that could lead to transformational technological advances. We selected these two areas based on several factors, including that they (1) represent enabling or platform technologies, (2) are supported by a mix of federal agencies and nonfederal entities, and (3) represent areas of congressional interest in which we have not recently conducted work. For the purposes of our report, we defined quantum computing as computing in which bits of data are manipulated by using the behavior of atoms, molecules, or other quantum systems, with the potential to carry out extremely complicated calculations for specific problems that can outperform conventional supercomputers. We defined synthetic biology as the intersection of biology and engineering that focuses on the modification or creation of novel biological systems for useful purposes.", "To describe federal agencies\u2019 and nonfederal entities\u2019 support for research that could lead to transformational technological advances in quantum computing or synthetic biology, we focused on federal and nonfederal efforts in fiscal year 2016 through the second quarter of fiscal year 2018. We reviewed agency documentation, relevant literature, and our prior work related to federal research efforts. We also interviewed officials from federal agencies that support quantum computing or synthetic biology research, as well as subject matter experts in the areas of quantum computing, synthetic biology, or federal research more broadly from industry, academia, nonprofit organizations, and professional associations. We included 10 agencies in our review: Department of Commerce, Department of Defense (DOD), Environmental Protection Agency (EPA), DOE, Department of Homeland Security (DHS), Department of Health and Human Services (HHS), National Aeronautics and Space Administration (NASA), NSF, Office of the Director of National Intelligence (ODNI), and the U.S. Department of Agriculture (USDA). We did not seek to develop comprehensive information on federal agencies\u2019 and nonfederal entities\u2019 efforts to support research in quantum computing and synthetic biology. As a result, federal agencies and nonfederal entities could have efforts in these two areas that we do not discuss in our report.", "To examine federal agencies\u2019 coordination on quantum computing and synthetic biology research, we identified coordination efforts that took place in fiscal year 2016 through the second quarter of fiscal year 2018 during our review of agency documentation and interviews with federal officials, including OSTP officials. We then compared these efforts with selected leading practices for enhancing and sustaining collaboration. We selected six of the eight leading practices based on their relevance to the operations of the interagency coordination efforts we identified. In this report, and in our past work, we define collaboration as any joint activity that is intended to produce more public value than could be produced when organizations act alone.", "To provide experts\u2019 views on considerations for maintaining U.S. competitiveness through transformational technological advances, we convened a meeting of 19 experts in October 2017, with the assistance of the National Academies of Sciences, Engineering, and Medicine. The experts included current and former federal officials and subject matter experts from industry, academia, nonprofit organizations, and professional associations. About half of the experts were subject matter experts in quantum computing or synthetic biology, while the other half were experts with broader perspectives on the role of federal and nonfederal entities in supporting research for transformational technological advances. We worked with the National Academies to select experts with a range of viewpoints. We used a transcript of the meeting in analyzing information obtained from these experts. See appendix I for more detailed information on the scope and methods of our review and appendix II for a list of the experts who participated in the meeting we convened.", "We conducted this performance audit from November 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on translating research into new products or services, the federal government\u2019s role in supporting research, and OSTP\u2019s role in fostering collaboration among the various entities. It also provides information on the areas of quantum computing and synthetic biology."], "subsections": [{"section_title": "Translating Research into New Products or Services", "paragraphs": ["Technological innovation involves not only creating new ideas but also translating those ideas into a new product or service. Innovation, and the research driving it, is inherently risky because the likelihood that research can be translated into a product or service and the ultimate value of that product or service are unknown. Because of this risk and the long time frames sometimes associated with technology development, there can be a gap in funding and investment support that makes it challenging to translate research into commercialized products or services. While government and universities often support early-stage research and industry tends to support later stages of development, there may be a gap during the middle stages of innovation during which innovators may have difficulty finding financial support, as illustrated in figure 1 (see app. III for a printable version).", "The linear, or pipeline, model of innovation presents innovation as a succession of outputs that transfer to the next level as inputs. The starting point in the pipeline model is basic research. Knowledge created through basic research transitions to the next stage of applied research then to development and, finally, commercialization. Under this model, innovation takes place in distinct and sequential phases.", "Critics of the pipeline model have noted that innovation is actually cyclical because the development of knowledge involves feedback and interaction at these different stages of the cycle. Alternative innovation models include the following:", "Extended pipeline model. Under this model certain research and development organizations support the entire technology development process, from basic research to initial commercialization. Unlike the pipeline model, in which the government\u2019s support is disconnected from the rest of the innovation ecosystem, under the extended pipeline model the government\u2019s role is deeply connected to the rest of the system. Under this model, federal entities such as DOD support the evolution of technologies, including electronics, computing, and the internet, across all stages of innovation.", "Induced innovation model. Innovation that follows this model is more industry-led because the parties involved have a market niche that the research needs to meet. Research under this model is more likely to lead to incremental advances because it is conducted in response to market demand.", "Manufacturing-led model. Under this model, innovation is pursued with the main objective of manufacturing. This model describes innovations in production technologies, processes, and products that emerge from the manufacturing process. The production process is supplemented by applied research and development. It is typically industry-led but may have strong government support, particularly in countries such as Germany, Japan and China whose economies are organized around this model."], "subsections": []}, {"section_title": "Federal Role in Supporting Research", "paragraphs": ["While the different innovation models receive various levels of federal support, examining the organization of federal agencies in support of innovation is complex because of the decentralized nature of the federal research system. More than 25 federal agencies support intramural or extramural research, and these agencies may play different roles in supporting research that may lead to potentially transformational technologies. For example, NSF supports basic research that is in keeping with its mission of promoting the progress of science; advancing the national health, prosperity, and welfare; and securing the national defense. DOD supports research in line with its mission to provide the military forces needed to deter war and to protect the United States\u2019 security, while DOE supports research in line with its mission to ensure America\u2019s security and prosperity by addressing its energy, environmental, and nuclear challenges. Commerce\u2019s National Institute of Standards and Technology (NIST) supports research in measurement science, standards, and technology, in keeping with its mission to promote innovation and industrial competitiveness. Other agencies\u2014such as EPA, and HHS\u2019s Food and Drug Administration\u2014support research in their capacity as regulatory agencies.", "Federal support for research is not only decentralized but also changes over time. Factors such as international conflict, budgetary pressures, and globalization may contribute to shifts in U.S. science and technology policy. In times of war, federal support for research has increased in part because of the view that America\u2019s military survival might depend on science and technology leadership. Budgetary pressures also affect the federal role in research when such pressures lead to reductions in federal funding for research. Globalization and the associated integration of the world economy may also affect federal science and technology policy. While the United States invests far more resources in research and development than any other country, its rank in research and development intensity has slowly fallen in recent years.", "Researchers have said that, in addition to globalization, domestic changes\u2014such as the structure of U.S. companies\u2014present new challenges to commercializing new products and services. For example, in the last few decades, the amount of research produced by industrial laboratories has declined. Further, U.S. companies, particularly small and midsized firms, devote fewer resources to train employees compared to firms from the 1980s. In recognition of the need for a more skilled workforce to enhance U.S. competitiveness, the federal government has increasingly shifted attention to preparing students for careers in STEM fields.", "The federal role also changes in response to differing policy views. One policy perspective maintains that the federal role should be to support innovation across the economy. This policy approach has underpinned innovation and economic growth since at least the end of World War II. As we reported previously, another perspective is that the federal role should be to support individual sectors. Critics of the latter perspective argue that the government should not \u201cpick winners and losers\u201d in commercial contexts because it is unlikely that the government will have sufficient information or foresight about an individual firm\u2019s or a particular technology\u2019s growth potential to select it for special subsidy. This view advocates allocating resources through market mechanisms because such mechanisms are anticipated to result in U.S. investments that are most efficient and best suited to the comparative advantages of the United States. However, the federal government has supported individual sectors from research and development through implementation, most often because of the government\u2019s own needs in areas deemed important for national security (e.g., aerospace and defense). In addition, findings of economic market failures have justified other interventions, such as for research, development, and demonstrations in various sectors, including agriculture and energy, and recently, advanced production technologies.", "The federal government has partnered with nonfederal entities to translate research into commercialized products to foster economic growth. For example, DOD, through programs such as the Defense Advanced Research Projects Agency (DARPA), has partnered with nonfederal entities to support both early-stage research and later-stage production. Some of these partnerships have led to development of transformational technologies. For example, in the 1970s DOD supported development of a communications network to facilitate information sharing, which is considered the foundation of the modern internet.", "DOD also funded research in the 1950s on speech recognition and artificial intelligence that commercial companies leveraged in the 1990s and 2000s to develop technologies such as the Speech Interpretation and Recognition Interface, the iPhone assistant. NIST research, such as its critical technical evaluations of speech recognition technologies dating back to the 1980s, also contributed to the development of Speech Interpretation and Recognition Interface, according to NIST officials. Alongside DOE, HHS and NSF, DOD has funded research that led to technologies used to make the first iPod and later the iPhone (see fig. 2). Many federal agencies also support other mechanisms, such as Small Business Innovation Research and Small Business Technology Transfer grants, to stimulate innovation by facilitating interactions among the federal government, private sector, and nonprofit research institutions."], "subsections": []}, {"section_title": "Role of OSTP in Fostering Collaboration", "paragraphs": ["OSTP was established in 1976 to provide advice on the scientific, engineering, and technological aspects of issues that require attention at the highest levels of government. Advances in technology in areas such as quantum computing and synthetic biology have become increasingly interdisciplinary, and OSTP works with agencies across the decentralized federal research system to coordinate activities to support these advances. The National Science and Technology Council (NSTC) is a key component of these efforts and is charged with coordinating science and technology policy across the federal government. One of the NSTC\u2019s primary objectives is to establish clear national goals for federal science and technology investments. NSTC organizes its work under six committees, such as the Committee on STEM Education, which is responsible for coordinating federal programs and activities in support of STEM education. In addition to pulling together federal entities, OSTP also plays a role in pulling together nonfederal entities to help tackle technological issues of importance to the nation. For example, the National Strategic Computing Initiative, created in 2015, is a government collaboration with industry and academia to sustain and enhance U.S. leadership in high-performance computing."], "subsections": []}, {"section_title": "Quantum Computing", "paragraphs": ["Quantum computing has the potential to revolutionize computing by introducing a fundamentally new approach to computing not available with classical computers, which constitute most computers in use today. Classical computers process two different states as 1s and 0s (binary digits) to form \u201cbits\u201d of information that the computer manipulates. Bits can exist in either a 1 or 0 state. These bits may be created using, for example, specific voltage or current levels in a circuit, and there is a limit as to how quickly transistors in classical computers can manipulate these bits to conduct calculations or how many circuit components can be included on a computer chip. While classical computers rely on bits, quantum computers rely on quantum bits (\u201cqubits\u201d). Unlike bits, qubits can be in combinations of both a 1 and a 0 at the same time due to quantum superposition. Phenomena such as quantum superposition and quantum entanglement (the ability of two particles to have correlated information, even at a distance) make quantum computers more powerful than even today\u2019s most advanced classical supercomputers for solving some complex problems. This ability to exist in combinations of both states simultaneously allows for the efficient implementation of certain algorithms, resulting in the ability to solve certain types of problems significantly faster than classical computers.", "To date, a universal quantum computer is not commercially available. As of 2017, quantum computers contain at most 50 qubits and can perform some small calculations more slowly than classical computers. Among the challenges to building a quantum computer are developing software and hardware. Quantum hardware allows the computer to manipulate qubits by completely isolating quantum processors from outside forces. Quantum computing hardware is at the laboratory prototype stage and is progressing steadily, according to a 2016 federal report. Hardware development efforts include the creation of logical qubits, which use error correction techniques to actively mitigate errors, thus stabilizing the quantum state of the qubit even in the presence of external factors (i.e., noise). Quantum information is extremely fragile and requires special techniques and equipment, such as extreme refrigeration, to maintain the qubit. Other challenges include creating qubits of high quality, packaging them together in a scalable form so they can perform complex calculations in a controllable way, and limiting the errors that can result from heat and electromagnetic radiation. Addressing these challenges may require developing new materials. Stakeholders still consider developing a universal quantum computer a long-term goal. When available, these computers could provide new computational methods and powerful new tools for researchers. Quantum computing has the potential to support significant breakthroughs in medicine, manufacturing, artificial intelligence, defense, and improved cybersecurity. However, it may take a decade or more before such technology is ready to be demonstrated at scale."], "subsections": []}, {"section_title": "Synthetic Biology", "paragraphs": ["Synthetic biology represents an intersection of biology and engineering that focuses on the modification or creation of novel biological systems. The current state of synthetic biology is mostly the result of research in biology, engineering, computer science, and information technology dating back to the mid-1900s. Synthetic biology has drawn increasing attention as a potentially transformative platform technology. Whether found in nature or synthesized in a test tube, the building blocks of synthetic biology are assembled to create biological systems. Synthetic biological systems can function in cell-free environments, such as cell extracts, or may be placed into living cells, such as bacteria, which serve as a \u201cchassis.\u201d In the short-term, synthetic biology is enhancing understanding of how living organisms work through progress in the ability to design and construct biological parts.", "Synthetic biology is already being applied in a variety of fields. Through the creation of novel biological systems, synthetic biology offers potential solutions to many current challenges, such as climate change, energy needs, and global health. For example, synthetic biology may help address global warming through the development of artificial leaf technology, a synthetic version of the photosynthesis process. In the energy sector, synthetic biology is being used to devise more efficient methods of producing biofuels, and in the healthcare sector, synthetic biology may lead to biosensors that can permanently reside in the body to detect and treat abnormalities such as cancer. Synthetic biology has already resulted in biosensors that can detect arsenic in drinking water. Factors that may support growth in synthetic biology applications include a decline in the cost of deoxyribonucleic acid (DNA) sequencing and increases in genetically engineered crop development, expenditures in research and development by biotechnology and pharmaceutical companies, and demand for synthetic genes. On the other hand, bio- safety and bio-security concerns about the potential that synthetic biology could be used for nefarious purposes may restrict the short-term growth of synthetic biology."], "subsections": []}]}, {"section_title": "Multiple Federal Agencies and Nonfederal Entities Support Quantum Computing and Synthetic Biology Research for Transformational Technological Advances", "paragraphs": ["Multiple federal agencies and nonfederal entities support quantum computing and synthetic biology research that could lead to transformational technological advances in many areas of the U.S. economy, including energy, medicine, and national security. We identified 6 agencies that in fiscal year 2016 through the second quarter of fiscal year 2018 supported quantum computing research to advance foundational understanding of quantum computing or to develop related hardware and software. We found that 4 of the 6 agencies reported a combined total of at least $23.4 million in obligations to support quantum computing research in fiscal year 2017. Similarly, we identified 10 agencies that, during the timeframe we reviewed, supported synthetic biology research to advance foundational understanding of synthetic biology or knowledge of how to apply it in bioengineering, national security, and biofuels development. We found that 6 of the 10 agencies reported a combined total of at least $211.2 million in obligations to support synthetic biology research in fiscal year 2017. We also identified a variety of nonfederal entities, such as universities and private companies, that conduct research in quantum computing and synthetic biology."], "subsections": [{"section_title": "Six Agencies Support Research in Quantum Computing", "paragraphs": ["In fiscal year 2017, 6 agencies\u2014DOD, DOE, ODNI, NASA, Commerce\u2019s NIST, and NSF\u2014supported quantum computing research, and 4 of these 6 agencies reported a combined total of at least $23.4 million in obligations toward those efforts. Agency officials, stakeholders, and experts we interviewed told us they expect quantum computers could lead to transformational advances in national security technologies or in technology areas that rely heavily on simulation, such as machine learning for defense capabilities, pharmaceuticals, and materials science for advanced manufacturing. However, there is still uncertainty surrounding the specific applications of quantum computing. Agency officials, stakeholders, and experts told us that they anticipate that quantum computing applications may include large number factoring, optimization of certain tasks, and simulation of other quantum systems. Accordingly, agencies\u2019 quantum computing efforts included research to advance foundational understanding of quantum information science as well as research to develop the hardware and software needed to build a universal quantum computer."], "subsections": [{"section_title": "Foundational Understanding of Quantum Information Science", "paragraphs": ["Joint Quantum Institute (JQI) The JQI is a research partnership between the National Institute of Standards and Technology and the University of Maryland, with the support and participation of the Laboratory for Physical Sciences. JQI was created in 2006 to pursue theoretical and experimental studies of quantum physics in the context of information science and technology. Among other objectives, JQI conducts fundamental research on the engineering and control of systems based on quantum mechanics, which describes the behavior of matter and energy at the smallest physical scales. One attribute of quantum physics is that certain properties of a particle, such as its momentum and position, are not fixed; instead these properties follow probability distributions that describe the likelihood a property may be a particular value. Researchers have also discovered that the quantum states of two separate objects, like two atoms, can be entangled such that the state of one object is correlated with the other. This entanglement makes it possible to move quantum information from one place to another. The phenomena that occur at the quantum scale have the potential to affect disparate economic sectors and could lead to improvements in computing and materials science, among others. For example, researchers at JQI have devised a new chip that generates and steers single photons, which could allow researchers to systematically assemble pathways for single photons and enable new types of optical devices. An illustration of a photonic chip created by JQI researchers. and Revolutionary Computing program, NSF supports theoretical and experimental research on quantum-based computing paradigms, information, transmission, and manipulation. Also, the NSF Physics Division\u2019s Physics Frontiers Centers program supports university- based centers and institutes in enabling transformational advances through interdisciplinary research across different areas of focus. One of the Physics Frontier Centers that NSF supports is located at the JQI; this center supports research that focuses on studying the controlling and monitoring of quantum phenomena to support quantum engineering. A second Physics Frontier Center is at JILA. Both the JQI and JILA represent partnerships between the NSF and NIST.", "DOE\u2019s Office of Science supports foundational quantum computing research as part of its Advanced Scientific Computing Research program, which focuses on discovering, developing, and deploying computational and networking capabilities to analyze, model, simulate, and predict complex phenomena important to DOE and the advancement of science. The program\u2019s efforts include partnering with other Office of Science program offices to support research aimed at understanding how future computing technologies, including those based on quantum information science, could impact DOE\u2019s mission.", "NASA\u2019s Quantum Artificial Intelligence Laboratory\u2014a collaborative effort with Google and the Universities Space Research Association\u2014 supports foundational research to maximize utilization of emerging quantum hardware. This work involves analytical and experimental research on the mechanisms underlying quantum computing, including, for example, researching quantum entanglement and measurement-based quantum computation. NASA also supports university-based quantum computing research through programs such as the Established Program to Stimulate Competitive Research (EPSCoR)."], "subsections": []}, {"section_title": "Hardware Development", "paragraphs": ["Lincoln Laboratory\u2019s Quantum Computing Laboratory The Massachusetts Institute of Technology\u2019s Lincoln Laboratory is a federally funded research and development center sponsored by the Department of Defense that researches and develops a broad array of advanced technologies to meet critical national security needs. In the area of quantum information science, researchers with Lincoln Laboratory\u2019s Quantum Computing Laboratory are exploring the fundamentally different ways that information can be stored and manipulated through quantum physics. Specifically, Lincoln Laboratory researchers are working to develop and scale up two systems that could comprise the quantum bits, or \u201cqubits\u201d of a quantum computer. In one method, called Josephson junction-based superconducting circuits, Lincoln Laboratory researchers are using cryogenic dilution refrigerators and microwave test and measurement equipment to control and measure superconducting qubits at extremely cold temperatures. In another method, researchers are using cryogenically cooled vacuum systems to house micro-fabricated chips that trap individual strontium and calcium ions, which are manipulated using lasers and other electromagnetic fields. For both methods, researchers are working to scale up systems of qubits to a size large enough to address real computational problems. Laser light manipulation of trapped ion qubits at Lincoln Laboratory. broader portfolios of research across the department. For example, as part of DOD\u2019s Applied Research for the Advancement of Science and Technology Priorities program, the Office of the Secretary of Defense administers the Quantum Science and Engineering Program\u2014a cross-cutting effort that has supported research related to technologies for controlling qubit entanglement, among other things. Additionally, DOD supports a research program on Quantum System Sciences at Lincoln Laboratory, a federally funded research and development center operated by the Massachusetts Institute of Technology (MIT). This research encompasses, among other topics, development of quantum-based computation technologies.", "DOE\u2019s quantum science research efforts, such as those supported by the Office of Science\u2019s Advanced Scientific Computing Research program, includes quantum computing hardware and architecture. After DOE issued its 2015 report on quantum computing for science, the agency held a February 2017 workshop to obtain information from stakeholders on the opportunities and challenges in establishing a quantum testbed to advance quantum computing hardware.Subsequently, DOE issued solicitations in 2017 and 2018 for proposals to support developing quantum testbeds. According to an April 2018 announcement for one of these solicitations, a testbed laboratory will host experimental quantum computing platforms that are not yet ready for commercialization, and will function as a collaborative facility to provide internal and external researchers with access to novel, early-stage quantum computing resources.", "NIST\u2019s quantum science research efforts include projects within its Physical Measurement Laboratory that are looking at a spectrum of potential quantum computing hardware approaches, such as superconducting circuits or ion trap-based quantum computing, that could provide viable approaches for processing and manipulating quantum information. By working across multiple approaches, NIST has been able to apply different quantum hardware platforms to address computing and metrology problems, including creating one of the most advanced ion trap-based quantum computing platforms. Furthermore, NIST is using its advanced microfabrication facilities to develop a broad array of components that will enable the scaling of different quantum computing hardware platforms.", "ODNI, through the Intelligence Advanced Research Projects Activity\u2019s (IARPA) Logical Qubits Program, is supporting research to overcome the limitations of current multi-qubit systems, whereby qubits are impacted by other qubits, environmental factors, and other forces, which can generate errors in quantum computing operations. IARPA\u2019s Logical Qubits Program is sponsoring research teams to build qubit structures with reduced susceptibility to these types of problems and has developed a quantum system with between 10 and 20 qubits.", "NSF supports research related to quantum computing hardware as part of a broader portfolio of research under its Computing and Communication Foundations Division, which supports research that explores the foundations of computing and communications devices and their usage, including advancing hardware designs for computers and computational sciences, among other focus areas. For example, under the division\u2019s Expeditions in Computing program, which provides financial assistance awards of up to $10 million over 5 years, NSF provided an award for the Enabling Practical-Scale Quantum Computation project in 2018. This project is a multi-institution, university-based effort to build a 100-qubit computer."], "subsections": []}, {"section_title": "Software Development", "paragraphs": ["Agency officials, stakeholders, and experts said one area in which a quantum computer could offer potential benefits over a classical computer is solving optimization problems. However, using a quantum computer for this or other applications requires developing software to, for example, translate algorithms into the steps to manipulate qubits to perform computing operations. Among the six agencies that support quantum computing research, examples of agencies\u2019 efforts to support research to develop software necessary to operate a quantum computer include the following:", "DOD\u2019s Air Force Research Laboratory issued a multi-year funding opportunity announcement for research on Quantum Computing Sciences with a focus on quantum computing algorithmic implementation and problem solving. Among other potential research topics, the Air Force is seeking research proposals to develop new algorithms to help solve optimization and machine learning problems.", "NASA\u2019s Advanced Supercomputing Division provides funding for the Quantum Artificial Intelligence Laboratory. Through this effort, NASA hosts a 2,031-qubit D-Wave 2000 quantum device. NASA researchers are using this system to explore the potential for quantum computers to tackle optimization problems that are difficult or impossible for traditional supercomputers to handle and to explore the software algorithms that would be needed to do so."], "subsections": []}]}, {"section_title": "Ten Agencies Support Research in Synthetic Biology", "paragraphs": ["In fiscal year 2017, 10 agencies\u2014DOD, DHS, DOE, EPA, HHS, ODNI, NASA, NIST, NSF, and USDA\u2014supported synthetic biology research, and 6 of these agencies reported a combined total of at least $211.2 million in obligations toward those efforts. According to one agency official and experts, although synthetic biology has advanced significantly, foundational understanding is still needed in some key areas, including measurement and tool development. Accordingly, synthetic biology research that federal agencies supported included research to advance foundational understanding of the science, and the application of synthetic biology in specific areas, such as bioengineering, genome editing, national security, and biofuels and bioproduct development."], "subsections": [{"section_title": "Foundational Understanding of Synthetic Biology", "paragraphs": ["Genome in a Bottle The Genome in a Bottle consortium is one of several ongoing collaborations among the National Institute of Standards and Technology, Stanford University, and other partners in the Joint Initiative for Metrology in Biology. The initiative focuses on measurements and standards supporting the newest developments in genomics and synthetic biology. The Genome in a Bottle consortium focuses on genome sequencing, which involves determining the chemical building blocks of deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) and can give insights into the genes carried by an individual and how and when they are activated. Since the completion of the Human Genome Project in 2003 that first sequenced the whole genome of a human, scientists have worked to make whole human genome sequencing faster and less expensive. The consortium aims to develop the tools needed to ensure the accuracy of human genome sequencing. These tools include reference materials, standards, and data to enable the translation of whole human genome sequencing to clinical practice. Illustration of a chromosome inside a bottle.", "NIST supports foundational synthetic biology research by developing measurement solutions, serving as a neutral ground for the discussion of underpinning measurements and other manufacturing needs, and leading and contributing to the development of standards. NIST measurement infrastructure includes the development of enabling tools, methods, and protocols; bioinformatics and modeling tools; and documentary standards and reference materials. NIST also leads several consortia to work with measurement stakeholders and partners to accelerate breakthroughs in genomics and synthetic biology. These include NIST\u2019s Genome in a Bottle consortium and the Joint Initiative for Metrology in Biology.", "DOE supports foundational research related to synthetic biology as part of a broader portfolio of research under the Biological and Environmental Research (BER) Genomic Science program, which seeks to understand how genomic information is translated to functional capabilities, enabling more confident redesign of microbes and plants for sustainable biofuel production, improved carbon storage, or contaminant bioremediation. Within BER, DOE funds the Joint Genome Institute to produce high-throughput sequencing, a fast method of determining the order of bases of genetic material, synthesis and analysis in support of BER\u2019s bioenergy and environmental missions. Research enabled through this user facility includes developing renewable and sustainable sources of biofuels from plant biomass and exploring the biological processes controlling greenhouse gas accumulation in the atmosphere.", "Within HHS, multiple NIH institutes and centers support foundational research involving synthetic biology techniques, including NIH Common Fund support for research to understand and combat antibiotic resistance and National Cancer Institute support for research into new cancer immunotherapy methods. Additionally, the National Institute of Biomedical Imaging and Bioengineering has provided grants to researchers studying or using a multitude of synthetic biology techniques for applications, such as improving stem cell quality for biomedicine.", "NSF funds an estimated $60 million a year in foundational synthetic biology research across several directorates. For example, in 2013, NSF awarded a 5-year, $10 million Expeditions in Computing grant for a multi-university effort led by the California Institute of Technology to enable theoretical investigations in several synthetic biology-related topic areas. In 2016, NSF awarded a second 5-year, $10 million Expeditions in Computing grant for a multi-university effort led by Boston University to support synthetic biology research."], "subsections": []}, {"section_title": "Bioengineering", "paragraphs": ["Gene Editing The National Institutes of Health (NIH) describes gene editing as a group of technologies that give scientists the ability to add, remove, or alter genetic material at particular locations in the genome. One such technology is known as CRISPR-Cas9, which is short for clustered regularly interspaced short palindromic repeats and CRISPR- associated protein 9. According to NIH, the CRISPR-Cas9 system has generated excitement in the scientific community because it is faster, cheaper, more accurate, and more efficient than other existing gene editing methods. The system was adapted from a naturally occurring gene editing system that helps bacteria defend themselves against viruses by targeting the deoxyribonucleic acid (DNA) of the virus. In the lab, CRISPR-Cas9 allows researchers to cut out a specific sequence of DNA from cells. Once researchers cut out the targeted DNA sequence, they can use other techniques to add or delete genetic material. These genetic changes can cause the edited cells to express new physical traits, such as eye color, or change their disease risk. Gene editing is being applied to research on many diseases; however, according to NIH, there are still significant technical barriers to using gene editing therapies to treat human diseases. Further, the use of gene editing raises a number of ethical concerns. An illustration of a chromosome unravelling to show the DNA that makes up individual genes.", "Development programs are developing on-demand nutrients from microbes engineered to produce targeted nutrients for human consumption as well as examining how to manipulate certain types of bacteria to produce lightweight construction tools and materials.", "EPA employs synthetic biology approaches through its Chemical Safety for Sustainability Research Program, which seeks to develop new prediction techniques, pioneer the use of innovative technologies for chemical toxicity testing, and design tools to advance the management of chemical risks. For example, researchers are developing virtual tissues by building complex computer models for biological development. According to an EPA publication, the models will help reduce dependence on animal study data and provide faster chemical risk assessments.", "NSF\u2019s Science and Technology Center Program\u2019s Center for Cellular Construction seeks to develop tools to predict, design, and test the impact on cellular function of changes to cells\u2019 internal organization. The center will also develop living \u201cbioreactors\u201d that will generate products of commercial value. NSF has funded research into bacterial immunity, which led to the development of clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9\u2014a technology that allows researchers to precisely edit genes.", "Several NIH institutes and centers support research related to bioengineering. For example, NIH\u2019s Synthetic Biology for Engineering Applications Funding Opportunity Announcement solicits applications to support research to advance the understanding and application of synthetic biology for human health. In addition, NIH institutes and centers have supported research across various areas, including engineering synthetic receptor systems and genetic controller circuits, engineering microbes as therapeutic platforms, and developing enabling technologies for human-machine hybrid tissues."], "subsections": []}, {"section_title": "National Security", "paragraphs": ["Application of synthetic biology may support U.S. national security efforts by aiding with monitoring for biological or conventional threats, and strengthening the resilience of soldiers in combat. Among the 10 agencies that support synthetic biology research, officials from DOD, ODNI, and DHS said their agencies support synthetic biology research with potential national security applications. Examples of federal efforts in this area include the following:", "DOD\u2019s Office of Naval Research funds research to extend the natural capabilities of living organisms such as microbes and plants to create systems that will provide new naval capabilities, according to the office\u2019s website. Office of Naval Research officials told us the office is funding ongoing research related to engineering gut microbes in order to enhance the resilience of service members to deployment stressors, among other things. In addition, DARPA\u2019s Safe Genes Project supports force protection and military health and readiness by protecting service members from accidental or intentional misuse of genome-editing technologies. For example, researchers are developing the genetic circuitry and genome-editing machinery for robust, spatial, temporal, and reversible control of genome-editing activity in living systems.", "ODNI supports synthetic biology research through efforts including IARPA\u2019s Functional Genomic and Computational Assessment of Threats program, which supports research to protect against critical threats related to pathogens and other biological threats. Researchers aim to develop better approaches and tools for characterization and analysis of biological threats based on gene function.", "DHS\u2019s Biological Threat Characterization program and its Biodefense Knowledge Center program support synthetic biology research to understand the risks associated with the technologies useful for synthetic biology and the harmful pathogens that may be created by those who wish to do harm."], "subsections": []}, {"section_title": "Biofuels and Bioproducts", "paragraphs": ["Synthetic biology is being used to develop cost-effective methods for producing biofuels and bioproducts according to agency officials, experts, and DOE\u2019s website. Among the 10 agencies that support synthetic biology research, officials from DOE and USDA said their agencies support synthetic biology research related to biofuels development applications. Examples of federal efforts in this area include the following:", "DOE officials told us that the Office of Energy Efficiency and Renewable Energy\u2019s Bioenergy Technologies Office manages the Conversion Program and the Advanced Algal Systems Program, both of which employ synthetic biology techniques to accomplish office goals. Within the Conversion Program, DOE funds the Agile BioFoundry to help develop and transition synthetic biology tools from the laboratory to the biofuels and bioproducts industry. The program accomplishes this through targeted research and development partnerships with industry and academia, as well as by developing integrated synthetic biology tools designed to speed up biomanufacturing. In addition, the office funds the Advanced Algal Systems Program, which supports early-stage applied research to apply synthetic biology approaches to alternative fuels that use algae as their source, among other things. According to a DOE website, this industry has the capability of producing billions of gallons per year of renewable diesel, gasoline, and jet fuel.", "USDA, through the Agricultural Research Service, led a collaborative project between federal, industry, and academic researchers to produce a commercial rubber-based tire using the guayule plant, a small shrub native to the United States that has been considered a possible alternative source of natural rubber."], "subsections": []}]}, {"section_title": "Nonfederal Entities Support Research in Quantum Computing", "paragraphs": ["Nonfederal research to advance quantum computing includes efforts to address existing hardware and software challenges. We identified a variety of nonfederal entities, such as universities and private companies, that have ongoing efforts aimed at building a quantum computer. Stakeholders we spoke to told us that private companies have been increasing their research in quantum computing."], "subsections": [{"section_title": "Hardware Development", "paragraphs": ["Academic and industry stakeholders we interviewed described various efforts to develop the hardware needed for a quantum computer. Examples of ongoing efforts include the following:", "Academic researchers at Purdue University partner with Microsoft at Station Q-Purdue to perform a variety of experiments and activities related to building a semiconductor-based quantum computer, including testing different hardware designs.", "Academic researchers from Yale\u2019s Quantum Institute are working to develop scalable superconducting devices.", "Researchers at IonQ are working to develop general-purpose quantum information processors using a trapped-ion approach to create a quantum computer that is scalable and that could support a broad array of applications across a variety of industries.", "A Google official told us that the company has been working for several years to build a quantum computer through the Quantum Artificial Intelligence Lab. In a March 2018 press release, Google announced its newest 72-qubit quantum computer, called Bristlecone."], "subsections": []}, {"section_title": "Software Development", "paragraphs": ["Academic and industry stakeholders we interviewed described ongoing efforts related to software development. Examples of ongoing efforts include the following:", "An official from Microsoft said the company is working to develop quantum algorithms and software to run on a quantum computer for a given set of problems. Researchers are also currently developing an operating system and various applications that could be run on a quantum device.", "An IBM official told us that, in 2016, the company launched the Quantum Experience, a quantum computing system with five superconducting qubits on the cloud, encouraging students and researchers worldwide to explore quantum computing. Over the past two years, the system\u2019s software has been expanded and upgraded for greater functionality and exploration of quantum algorithms to allow researchers around the world to use the system to write more than 80 research publications. MIT and many other universities now use the Quantum Experience in their curricula."], "subsections": []}]}, {"section_title": "Nonfederal Entities Support Research in Synthetic Biology", "paragraphs": ["We identified a variety of nonfederal entities, such as universities and private companies, that conduct research in synthetic biology to advance foundational understanding and develop new products."], "subsections": [{"section_title": "Foundational Understanding of Synthetic Biology", "paragraphs": ["The iGEM Foundation The International Genetically Engineered Machine (iGEM) Foundation is an independent, non-profit organization dedicated to the advancement of synthetic biology, education and competition, and the development of an open community and collaboration. The foundation does these by fostering an open, cooperative community and friendly competition. The main iGEM program is the iGEM competition, which began in January 2003 as an independent study course at the Massachusetts Institute of Technology in which students developed biological devices to manipulate cells. This course became a summer competition with 5 teams in 2004, grew to 13 teams in 2005, and had expanded to 310 teams by 2017, reaching more than 40 countries. The competition was originally aimed at college students but has expanded to include high school students and others. The iGEM competition gives students the opportunity to push the boundaries of synthetic biology by tackling everyday issues facing the world. Multidisciplinary teams made up of primarily university students work together to design, build, test, and measure a system of their own design using interchangeable biological parts and standard molecular biology techniques. Every year nearly 6,000 people dedicate their summer to iGEM and then come together in the fall to present their work and compete at the annual Jamboree. A picture of the iGEM logo.", "The International Genetically Engineered Machine (iGEM) Foundation hosts an annual worldwide synthetic biology competition in Boston, the iGEM Giant Jamboree. The competition attracts teams from around the world (primarily university students) to use standardized genetic parts to address real-world problems in fields including health, medicine, manufacturing, and bioenergy.", "At MIT\u2019s Synthetic Biology Center, researchers work with federal and industry partners to advance understanding of synthetic biology for genetic programming, DNA synthesis, and genome design. Researchers at the Synthetic Biology Center seek to create a programming language for living cells that is similar to languages used to program computers and robots."], "subsections": []}, {"section_title": "Development of New Products and Technologies", "paragraphs": ["DNA Storage To facilitate storing an ever-increasing amount of digital data, researchers from Microsoft, in collaboration with the University of Washington, are studying the use of synthetic deoxyribonucleic acid (DNA) as a means of storing data. According to a Microsoft researcher, this technology uses a process by which custom sequences of synthetic DNA are produced or manufactured to store information. The researcher described three main advantages of storing data in DNA as compared to the current means of storing data, generally magnetic and optical media: Density. DNA may allow for the storage of up to 1 exabyte (one quintillion bytes) of data per cubic millimeter. In comparison, according to Microsoft, storing similarly large volumes of data in optical discs would occupy significant physical space.", "IBM researchers are developing biosensors that may be used for the early detection of cancer. They are also working on understanding and analyzing cardiac, neurological, and mental health conditions.", "Researchers from Microsoft said the company is conducting research related to data storage using synthetic DNA as the information preservation medium. This storage technology uses a process by which custom sequences of synthetic DNA are manufactured to store information.", "Ginkgo Bioworks officials said the company is focused on trying to de- risk supply chains and improve supply chain management through synthetic biology approaches. To that end, the company designs custom enzymes for a variety of customers including companies in a wide range of industries such as food and fragrance companies. relevant storage mechanism, unlike other means of storing digital data (e.g., floppy discs), which becomes outdated as technology advances.", "The Energy Biosciences Institute is a partnership among the University of California, DOE\u2019s Lawrence Berkeley National Lab, and the University of Illinois. Researchers at the Energy Biosciences Institute carry out research in the areas of biofuels, carbon sequestration, and sustainable chemicals productions, among other things."], "subsections": []}]}]}, {"section_title": "Agencies Coordinate Research through a Range of Efforts, but Interagency Groups Have Not Fully Implemented Selected Leading Practices", "paragraphs": ["Agency officials we interviewed said they coordinate on quantum computing and synthetic biology research through a range of efforts, but we found that certain efforts are new and that agencies have not fully implemented selected leading practices for collaboration in these efforts. Agency officials told us they use means of coordination ranging from attending ad hoc meetings, such as conferences or workshops, to participating in ongoing interagency groups, such as interagency groups on quantum information science (QIS) and synthetic biology. However, we found that new interagency groups on QIS and synthetic biology have not fully implemented leading practices that can enhance and sustain collaborative efforts."], "subsections": [{"section_title": "Agencies Coordinate on Quantum Computing and Synthetic Biology Research Using Efforts That Range from Ad Hoc Meetings to Ongoing Interagency Groups", "paragraphs": ["Agency officials said that they coordinate on quantum computing and synthetic biology research by attending ad hoc meetings, as well as through ongoing efforts such as participating in interagency working groups. The means of coordinating that officials most frequently cited were participating in working groups or attending a conference or workshop. Meetings such as these bring together representatives of different agencies or departments to discuss common problems, exchange information, or develop agreements on issues of mutual interest, as we have reported in the past. Specifically:", "Officials from 4 of the 6 agencies that support quantum computing research said they attended a conference or workshop related to quantum computing at some point from October 2015 through March 2018. For example, NASA and DOE officials participated in a 2017 NASA workshop that brought together experts from NASA research centers, DOE national laboratories, academia, and industry to discuss quantum information science and computation.", "Officials from all 10 agencies that support synthetic biology research cited attendance at a conference, and officials from 7 of these 10 cited workshops as a way in which they coordinated on synthetic biology research from October 2015 through March 2018. For example, officials from DOD, DOE, NIST, and national laboratories attended a 4-day conference in June 2017 to discuss synthetic biology applications in genetic engineering.", "Officials from 7 of the 10 agencies that support synthetic biology research also said they coordinated research with other selected agencies through communities of practice or consortia that meet on an ad hoc basis. For example, NASA officials said they support synthetic biology work through the Space Technology Research Institute in Biomanufacturing, a University of California Berkeley-led consortium of universities.", "Officials we interviewed also said they coordinate with one another through ongoing efforts, such as interagency groups. For example, on June 21, 2018, NSTC established the Subcommittee on Quantum Information Science (QIS Subcommittee) to coordinate quantum computing research. According to its June 2018 charter, the QIS Subcommittee\u2019s purpose is to establish and maintain a national agenda in quantum information science and technology, expand U.S. economic and national security, and coordinate federal quantum information science and technology policy and programs. The functions of the QIS Subcommittee include to issue and update plan(s) that coordinate(s) federal policy to expand U.S. leadership in quantum information science and technology; enable stakeholders to invest effectively in quantum information science and technology and post-quantum application spaces through data gathering, analysis, consultation, planning, convening, and reporting; and provide a forum for research and development coordination and collaboration, including sharing expertise and best practices for program management and conducting joint workshops and program reviews.", "The QIS Subcommittee is led by co-chairs from NIST, DOE, NSF, and OSTP and includes 9 additional agencies. The QIS Subcommittee met for the first time as an official chartered group on June 28, 2018. The OSTP official serving as a co-chair for the QIS Subcommittee said that the group\u2019s first priority will likely be to develop a national approach to QIS research and development.", "Officials from 5 of the 6 agencies that support quantum computing research said that prior to the formation of the QIS Subcommittee, they coordinated through the NSTC Interagency Working Group on Quantum Information Science (QIS working group), which was formed in 2014. In July 2016, the QIS working group produced a report, which the agency officials serving as the group\u2019s co-chairs told us included its strategic plan for federal QIS research. The July 2016 report identified QIS as a priority for federal coordination and investment as a component of U.S. scientific leadership, national security, and economic competitiveness. The QIS Subcommittee co-chair from OSTP said that the shift from a working group to a subcommittee is a significant elevation that communicates the importance of QIS to the administration.", "Agencies also coordinated synthetic biology research through interagency working groups. Officials from NSF and USDA told us that, in December 2017, they formed a new synthetic biology working group that had 7 member agencies as of February 2018. These officials said that the participating agencies saw a need for continued communication and information sharing, and the officials said the group\u2019s efforts will increase coordination. Prior to the formation of this new group, 7 of the 10 agencies that support synthetic biology research participated in an NSTC Synthetic Biology Working Group that NSF officials said existed from 2012 to 2013 and was co-chaired by DOD and DOE, according to a 2013 DOE report to Congress that the group produced. According to some officials, the working group ended after it produced this report, which described synthetic biology research and development needs at the time and identified which federal agencies were planning synthetic biology research. The report also discussed the need for communication and coordination among federal agencies that support basic and applied synthetic biology research to build synergies, consider new research and development needs, and evaluate issues as they emerge. According to a senior NSF official we interviewed who was helping lead efforts to establish the new group, one of its first undertakings will be to update the 2013 report to provide a roadmap for agencies\u2019 synthetic biology research. However, the official also stated that the participating agencies were still considering the new group\u2019s activities."], "subsections": []}, {"section_title": "Agencies Are Coordinating on Quantum Computing and Synthetic Biology through New Interagency Groups, But Have Not Fully Implemented Leading Collaboration Practices", "paragraphs": ["By recently establishing the QIS Subcommittee and a synthetic biology working group, NSTC and federal agencies, respectively, took steps to further coordination on quantum computing and synthetic biology research. However, the new subcommittee and working group have not fully implemented leading practices for collaboration.", "We have reported that effective collaboration can help reduce or better manage fragmentation, overlap, and duplication of federal programs. As described above, a number of federal agencies support research related to quantum computing and synthetic biology. In our April 2015 guide to evaluating and managing fragmentation, overlap, and duplication, we define fragmentation as those circumstances in which more than one federal agency, or organization within an agency, is involved in the same broad area of national need, and opportunities exist to improve service delivery. This definition applies concerning federal agencies\u2019 quantum computing and synthetic biology research, with more than one agency involved in the same broad area of national need. However, as shown in our description above of the agencies\u2019 support for research in these two areas, agencies\u2019 activities sometimes differ in meaningful ways or leverage the efforts of other agencies.", "We examined agencies\u2019 efforts to coordinate through interagency groups by selecting six leading practices that we have previously identified can enhance and sustain interagency collaboration:", "Define and articulate a common outcome. Effective collaboration requires agencies to define and articulate common outcomes or purposes they are seeking to achieve that are consistent with their respective agencies\u2019 goals and missions.", "Establish mutually reinforcing or joint strategies. Having mutually reinforcing or joint strategies enables agencies to align activities, core processes, and resources to achieve a common outcome.", "Identify and address needs by leveraging resources. Agencies can sustain their collaborative efforts by identifying the human, information technology, physical, and financial resources necessary to achieve identified outcomes.", "Agree on roles and responsibilities. By defining and agreeing on roles and responsibilities, including leadership, collaborating agencies can better clarify who will do what, organize their joint and individual efforts, and facilitate decision making.", "Establish compatible policies, procedures, and other means to operate across agency boundaries. Agencies can facilitate collaboration by addressing the compatibility of standards, policies, procedures, and data systems that will be used in the collaborative effort.", "Develop mechanisms to monitor, evaluate, and report on results.", "Creating the means to monitor and evaluate collaborative efforts enables agencies to identify areas for improvement.", "We identified limitations in agencies\u2019 past efforts to coordinate quantum computing and synthetic biology research. In the area of quantum computing, the QIS working group\u2014which preceded the subcommittee\u2014 took steps to implement selected leading practices for collaboration, but the group did not fully implement these practices. For example, the QIS working group\u2019s July 2016 report broadly identified quantum computing research needs but did not identify common outcomes for agencies\u2019 collaborative efforts to advance QIS, including quantum computing. The three senior officials who served as co-chairs of the QIS working group said they were not aware of any federal goals or outcomes for quantum computing research, and DOE officials said that clarifying common goals could help interagency collaboration on quantum computing research. Officials from some agencies cited challenges with collaborating on joint quantum computing projects\u2014for instance, because of variations among agencies on time frames for providing financial assistance.", "OSTP officials described the establishment of the QIS Subcommittee as an effort to further previous coordination conducted through the QIS working group. While the QIS Subcommittee has taken initial steps to implement certain leading practices for collaboration, it has not fully implemented the relevant leading collaboration practices we identified. For example, by developing a charter that identifies its high-level purpose and functions and that identifies co-chairs for the group, the QIS Subcommittee has taken initial steps to identify some agencies\u2019 roles and to establish means for operating across agency boundaries. Moreover, by having a charter signed by senior officials, the QIS Subcommittee has taken steps to document agencies\u2019 agreement to collaborate, which is a key feature of collaborative mechanisms we have identified in our prior work. However, the working group has not defined roles and responsibilities for agencies other than the co-chairs. OSTP officials said that efforts to date have focused on ensuring that all relevant agencies are included in the QIS Subcommittee; the officials also said that agencies\u2019 roles and responsibilities for contributing to the subcommittee will evolve. Table 1 provides additional information on the extent to which the QIS Subcommittee has implemented leading practices for collaboration.", "With regard to interagency coordination on synthetic biology research, NSF and USDA officials noted that the new synthetic biology working group hoped to, through continued communication and information sharing, address limitations in agencies\u2019 coordination that existed prior to its formation. Officials from NSF said the group was needed for communication, information sharing and to leverage resources and DOD officials agreed that the working group was needed. Additionally, one DOD official and one expert said that limited interagency coordination had resulted in lost opportunities to further develop the area of synthetic biology. They also noted that having a national strategy for synthetic biology would be beneficial. Other officials noted that, as in the area of quantum computing, differences in funding timeframes across agencies hinder their ability to coordinate their synthetic biology research. Some of these officials also said such differences make it difficult to develop an integrative roadmap for their research.", "Like the QIS Subcommittee, the new synthetic biology working group has taken initial steps to implement some leading practices for interagency collaboration but has not fully implemented the relevant leading collaboration practices we have identified. For example, the group has taken initial steps to identify member agencies\u2019 roles by having NSF serve as the lead agency for the first 2 years. However, the group has not identified other member agencies\u2019 roles and responsibilities. An NSF official said the new working group had also considered developing a document, such as a charter, to guide its efforts but, as of June 2018, it had not yet decided whether to do so. Table 2 provides additional information on the extent to which the Synthetic Biology Working Group has implemented leading practices for collaboration.", "As we previously reported, interagency collaborative mechanisms can take many different forms, such as working groups or subcommittees, and the leading practices we identified that help enhance and sustain interagency collaboration can be adapted to help address the specific challenges agencies face. For example, incorporating the leading practices into agencies\u2019 collaborative efforts can help address issues associated with potential fragmentation, overlap, and duplication in instances where multiple agencies have activities in a similar area. The QIS Subcommittee and the synthetic biology working group are mechanisms through which agencies can address limitations in past interagency coordination on quantum computing and synthetic biology. However, as of July 2018, the subcommittee and working group were still new and have had limited time to fully implement the leading practices we have identified. As the subcommittee and the working group move forward, by taking steps to fully implement these leading practices, member agencies could better marshal their collective efforts to support research in the areas of quantum computing and synthetic biology and help maintain U.S. competitiveness through transformational technological advances."], "subsections": []}]}, {"section_title": "Experts Identified Key Considerations for Maintaining U.S. Competitiveness through Transformational Technological Advances", "paragraphs": ["Experts who participated in the meeting we convened with the assistance of the National Academies identified four key considerations for maintaining U.S. competitiveness through transformational technological advances. These considerations extend beyond quantum computing and synthetic biology, and more broadly address the role of federal and nonfederal entities in supporting research for such advances. The key considerations experts identified were (1) developing a strategic approach for transformational technology, (2) fostering information sharing, (3) focusing on technology development and commercialization, and (4) strengthening the science and technology workforce."], "subsections": [{"section_title": "Developing a Strategic Approach for Transformational Technology", "paragraphs": ["Experts emphasized the importance of developing a strategic approach for advancing potentially transformational technologies for maintaining U.S. competitiveness. has a technological focus, such as additive manufacturing, advanced flexible electronics, or regenerative medicine, and includes members such as companies, nonprofit organizations, academic institutions, and federal agencies.", "Semiconductor Manufacturing Technology consortium (SEMATECH). Experts described SEMATECH, a nonprofit consortium that supported research and development on advanced semiconductor manufacturing, as a successful, industry-led, public-private collaboration that helped government and industry stakeholders take a strategic approach to challenges facing the U.S. semiconductor industry in the late 1980s.However, Commerce\u2019s NIST officials noted that after federal support ended, SEMATECH began accepting memberships from companies from competitor countries, which led to a transfer of technology through the consortium\u2019s work outside the United States. are industry-led and industry provides at least half of the annual funding because industry can best design a research program to meet its needs; develop a comprehensive industry assessment and prepare an operating plan that identifies realistic objectives and milestones as a basis for receiving federal funds; include active participation by member companies\u2019 senior executives in establishing research priorities and overseeing technological progress; have a program to improve long-term working relationships between manufacturers and key suppliers, unless inappropriate for the industry\u2019s structure; emphasize research projects that improve an industry\u2019s overall efficiency and that have industrywide applications; consider ways to provide access for smaller industry members that might not have the resources to participate; and establish criteria for determining how or when government should end its funding.", "Grand challenges, strategies, and roadmaps. Experts described the importance of grand challenges, strategies, and roadmaps in supporting a strategic approach to developing transformational technologies. In particular, experts described how these mechanisms help stakeholders coalesce around technology goals and organize efforts toward reaching them. Examples experts noted included the following:", "Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative. Experts described the BRAIN Initiative, which was launched in 2013 to build neuroscience measurement tools, as a key example of a grand challenge. The BRAIN Initiative\u2014led by HHS (specifically NIH), NSF, and DARPA, with the participation of other federal agencies as well as foundations, universities, and industry\u2014seeks to deepen understanding of the human mind and to improve how brain disorders are treated, prevented, and cured.", "National Nanotechnology Initiative. Experts described the National Nanotechnology Initiative as a key example of a federal government strategic effort. The National Nanotechnology Initiative began in 2000 and is an interagency effort to bring together the nanotechnology-related activities of 28 federal agencies in an effort to enhance understanding and control of nanoscale material. The National Nanotechnology Initiative maintains a strategic plan describing the initiative\u2019s vision and goals and the strategies to achieve these goals. In discussing this initiative, experts described how it could enable federal agencies to share information on their research and ensure that key research areas are advanced in pursuit of a long-term national nanotechnology strategy.", "Grand challenges may be articulated through strategy documents and, according to experts, involve getting stakeholders to think about potentially transformational technologies in a future-oriented way. Roadmaps, according to experts, represent detailed plans to guide progress toward a technology goal. Federal agencies, industry, or others may lead roadmapping efforts, according to experts. Additionally, one expert stated that roadmaps can help accelerate technology development. Another expert noted that for some fields, such as quantum computing and synthetic biology, a technology development strategy is needed in addition to a research and development strategy because the former outlines how a technology would move forward beyond the research and development phase.", "Across both of these aspects of a strategic approach, experts emphasized the importance of a sustained commitment of resources to support technology development. One expert also emphasized the importance of setting tough performance objectives without specifying how innovators will solve a problem. Experts acknowledged that developing shared national strategies is challenging in the United States, in part because of the decentralized nature of research support across multiple federal agencies. However, experts also cited as strengths of the federal research system the ability of federal agencies to support multiple approaches to developing transformational technologies in accordance with their missions and the ability to evolve and try new approaches.", "Experts identified several indicators of when developing a strategic approach might be important to support U.S. competitiveness through transformational technological advances in a particular area. Specifically:", "Convergence of advances across different technology areas.", "Experts described how transformational technologies often occur as a result of different technologies that have advanced incrementally over time. One expert noted the development of the Global Positioning System as an example of a technology that required the convergence of advances in computing power, satellite technology, geospatial imaging, and timekeeping. Because of the strength and role of the federal government in convening and fostering engagement among non-traditional collaborators on interdisciplinary issues, experts identified technology convergence as a potential indicator of the need to take a strategic approach.", "Progress from discovery to real-world application. Experts described how progress from discovery in an area of science to the appearance of niche applications for a technology can be an indicator of the need to take a strategic approach. According to one expert, one challenge in technology development is how to push the technology forward as quickly as possible to develop it into something useful. Experts explained that by taking a strategic approach that extends beyond early-stage research, the federal government can support the development of potentially transformational technologies.", "Existence of barriers to technology development. Experts identified several barriers to the development of transformational technologies that could indicate the need to take a strategic approach to developing a technology. Examples of barriers experts identified included high capital costs for research, prototyping, demonstration, or other aspects of a technology development life cycle; regulatory barriers; lack of consensus on standards; and technology measurement challenges, such as limitations in the availability of tools with which to measure products or processes. Experts described multiple ways in which the federal government can play an important role in addressing such barriers through helping efforts to de-risk technologies, establishing or revising regulations, supporting standards development, and developing measurement tools.", "Increasing involvement across multiple stakeholders or competitors. Experts described aspects of how increasing involvement across multiple stakeholders in a particular technology area can indicate the need to take a strategic approach to developing a transformational technology. For example, when multiple federal agencies are working in a technology area or industrial participants increase involvement in a particular technology, experts said such involvement could signal that a strategic approach is needed to work across boundaries and engage the research community in a coordinated way. Similarly, according to one expert, increasing international competition in a technology area could serve as an indicator of the need for the federal government to exercise leadership through a strategic approach to organize domestic public and private efforts in order for the United States to remain competitive.", "Need for sustained, long-term investment in areas of national interest. Experts identified the need for sustained, long-term investment in areas of national interest as a potential indicator of the need for a strategic approach to transformational technologies. Experts described how the short-term cycles of many federal programs and disincentives for the private sector to sustain long-term investments can present challenges to developing transformational technologies, which one expert noted can take years or even decades to develop. Experts also cited a need for a strategic approach to advancing a technology when it has the potential to be transformational and presents enormous societal benefits.", "In the areas of quantum computing and synthetic biology, experts cited a need to develop a strategic approach to maintain U.S. competitiveness. Within the area of quantum computing, experts cited all of the indicators identified above in stating that U.S. competiveness in quantum computing could benefit from a national strategy. For example, experts described the need to foster interdisciplinary engagement across the fields of physics, engineering, and computer science to support convergence of advances in these areas to further quantum computing technology. Experts also indicated that real-world applications are beginning to become apparent in the area of quantum computing. However, they noted that significant barriers to development exist and discussed a need for sustained long- term investment in this area, which has significant implications for national security, and according to one expert, economic competitiveness. Moreover, experts expressed concern over the significant and increasing international competition from China, the European Union, and other countries. One expert noted that given the security implications of quantum computing technology, the United States needs to find a way to counter the significant investment that China is making. Stakeholders and one agency official we interviewed cited similar concerns, such as the European Union\u2019s plans to launch a flagship initiative on quantum technology, which includes quantum computing; therefore, the United States needs a national quantum computing strategy, the experts said.", "Similarly, with regard to synthetic biology, experts cited several of the indicators described above in stating that the United States could benefit from a strategic approach to maintain competitiveness. For example, experts discussed barriers to technology development, including a lack of measurement tools and regulatory barriers. According to one expert, before the 2017 update to the Coordinated Framework for the Regulation of Biotechnology, the system was last updated in 1992. The expert said that it was not yet clear if the updated framework would help advance synthetic biology research. Experts also noted the need to engage across multiple stakeholders in this area; in particular, one expert noted the need for leadership to advance a dialogue about how synthetic biology could help address issues of national concern. Experts described significant foreign competition in synthetic biology. One expert said that there are more than 40 countries that have a unified strategy for synthetic biology. While one expert stated that NSF has initiated a synthetic biology roadmapping effort, a few experts stated that the United States does not have a similar unified synthetic biology strategy. One expert said that in the absence of such a strategy, the United States faces economic and physical security risks. Stakeholders we interviewed raised similar concerns."], "subsections": []}, {"section_title": "Fostering Information Sharing", "paragraphs": ["Experts also suggested considering how to foster information sharing to help maintain U.S. competitiveness through transformational technological advances. Experts discussed the role the federal government can play in bringing together stakeholders to discuss emerging technologies and collaborate on pre-competitive research. For example, according to one expert, in 2015, 2 years after the BRAIN initiative was launched, the White House convened a meeting that brought together industry partners, academic researchers, and government scientists to share information and discuss research plans. This expert highlighted the importance of communication among representatives of organizations that would not normally work together, and how these conversations about where they saw research going over the next 5 years led to greater understanding and collaboration to support the research under this initiative.", "Experts identified three key reasons for sharing information to facilitate transformational technological advances in supporting U.S. competitiveness:", "Convergence of different disciplines. Experts generally agreed that information sharing can facilitate an interdisciplinary approach to study a problem, which they said is important to the nation\u2019s ability to conduct research for transformational technological advances. The federal government\u2019s ability to convene groups, according to one expert, is particularly important for interdisciplinary areas of study because it can help bring stakeholders together to discuss how research could help address an area of national need. Another expert explained that agencies\u2019 research is increasingly interdisciplinary, which increases the importance of coordinating across agencies.Agency officials and stakeholders we interviewed also discussed the importance of sharing information across fields of study. One stakeholder said that without government funding for interdisciplinary efforts in quantum computing, it will be challenging to solve problems, such as creating some of the computer programming needed to operate a quantum computer, that need to be solved in order to make quantum computing viable.", "Overcoming barriers to innovation. Experts discussed how information sharing can facilitate the identification of barriers to innovation and help overcome them. For example, one expert noted the importance of information sharing in trying to address the challenges the U.S. semiconductor industry faced in the 1980s. The expert emphasized the recognition that individual companies could not address the barriers to innovation on their own and that they needed information sharing, such as cross-licensing of intellectual property and communication about roadmapping to overcome barriers that they faced. Another expert explained that information sharing across federal agencies led to the identification of the U.S. biotechnology regulatory system as a significant barrier to innovation and that, based on this, the Coordinated Framework for the Regulation of Biotechnology was updated. This expert further said that information sharing is the first step in coordination\u2014by sharing information, agencies can determine where there might be overlapping research efforts or gaps in ongoing research.", "Leveraging international research. Experts explained that bringing technologies to the United States that were developed elsewhere is not something that has been central to U.S. science and technology policy, but they stressed that the United States needs to consider how to take advantage of research that other countries are conducting and effectively utilize that information to maintain U.S. competitiveness. For example, one expert described the importance of the iGEM competition as an opportunity for information exchange among researchers from around the world who are working in synthetic biology-related fields. In describing this example, the expert noted that most bioengineers will not be U.S.-based and that, to remain competitive in synthetic biology, the United States needs to better understand discoveries being made by researchers from around the world.", "Experts said that while information sharing is important, there are tradeoffs, particularly with regard to sharing and protecting pre- competitive intellectual property. The experts said that the benefits of sharing pre-competitive intellectual property include the opportunity to speed innovation by allowing multiple researchers to work with the intellectual property concurrently and by preventing foreign competitors from restricting use of the intellectual property through obtaining a patent. Economically valuable knowledge can spread through publicly and freely available records such as scientific publications and open source software. Such knowledge can be used repeatedly, can quickly spread to users outside the institutions where it was created, and can lead to the creation of new products. For example, one expert stated that, as of October 2017, a quantum computer we described earlier in this report had been available over the Internet for public use for about a year and had 50,000 users. Having a larger number of users working with this resource could lead to more rapid discovery of ways in which a quantum computer might be used than if it had not been shared. The expert said that because this technology exists, it should be developed as quickly as possible to determine what its first useful application will be and to find the first problem that only a quantum computer can solve. Doing so, the expert said, would create opportunities in which a U.S. company could profit from the technology while also developing it. In addition, information sharing was cited as instrumental to the success of the Human Genome Project, according to NIH officials we interviewed, because the project made the genome\u2019s sequencing available as a resource for researchers to use.", "A deoxyribonucleic acid (DNA) strand around the outline of a person. The Human Genome Project, which formally began in 1990, was a 13-year international collaborative research project coordinated by the Department of Energy and the National Institutes of Health. The Human Genome Project\u2019s goals were to (1) identify all the genes in human DNA, (2) determine the chemical base pair sequences of human DNA, (3) store this information in databases, (4) improve data analysis tools, (5) conduct technology transfer, and (6) address the ethical, legal, and social issues that may arise from the project. The full sequence of the human genome was completed and published in April 2003. Through its policy of open data release, the Human Genome Project facilitated the research of others. The Human Genome Project also anticipated and promoted commercializing genomic resources and applications by establishing an infrastructure and supporting private-sector technology development. Consequently, the project led to new tools to support biological research. Further, the data and technologies generated by the project and related research present a broad array of commercial opportunities across many areas of the economy. These include more individualized diagnostics, prognostics, drugs, and other therapies as well as hardier, more nutritious, and healthier crops and animals, among other applications.", "At the same time, experts said that while information sharing is important, there are risks, such as foreign commercialization of U.S. intellectual property. Experts noted that the world is increasingly competing with the United States in research for transformational technological advances. One expert cautioned that while information sharing is important for transformational technologies, it must be done carefully so that other companies do not exploit a technology or it is not leaked to a foreign competitor. Similarly, one stakeholder said that while information sharing is beneficial at the early stages of technology development, a balanced approach to information sharing\u2014an approach that allows for trade secrets and that guards some research results\u2014is needed once a technology is no longer in the early stages of development.", "In light of these tradeoffs, experts emphasized the importance of ensuring that intellectual property protections support U.S. competitiveness; however, they also described challenges with how intellectual property is managed in the United States. For example, experts said it can be challenging to bring industry and academic researchers into partnerships that support transformational technological advances. Experts explained that some collaborators are willing to openly share their intellectual property, while other experts noted that some collaborators may be less inclined to do so because they view intellectual property as a profitable commodity. Additionally, one expert cited differences between potential industry and academic collaborators\u2019 knowledge of, and attention paid to, developing technologies into commercial products as a potential barrier. One expert said that foreign countries generally allow university- developed intellectual property to be owned and licensed by the inventors or third-party companies (instead of the university). This can create a foundation for a startup company or make it easier to get the interest of companies who would like to acquire a university-based technology or process. The expert noted that in one circumstance, this has given an advantage to a foreign university in recruiting top researchers, helping it to become a leader in quantum computing. However, another expert stated that most major research universities have moved to a model of developing partnerships with firms, especially startups, which has minimal upfront licensing costs, and shared gains over time if the project is successful\u2014according to that expert, such universities typically share research intellectual property rights with faculty inventors."], "subsections": []}, {"section_title": "Focusing on Technology Development and Commercialization", "paragraphs": ["Focusing on technology development and commercialization is another policy consideration that experts identified for maintaining U.S. competitiveness through transformational technological advances. According to experts, the United States\u2019 \u201cinnovation ecosystem\u201d\u2014the network of public and private institutions within a country whose activities and interactions initiate, develop, commercialize, and diffuse new technology innovations\u2014has either lost or needs better mechanisms for commercializing technologies to maintain U.S. competitiveness. To address this issue, experts discussed how the federal government could focus on technology development and commercialization by providing support across multiple stages of innovation and support for the development of tools to enhance innovation."], "subsections": [{"section_title": "Providing Longer-Term Assistance to Support Technology Development", "paragraphs": ["Experts discussed a need to improve technology development and commercialization by providing support across multiple stages of innovation. Experts described how sustained federal research investments have led to key scientific discoveries, including, for example, NIST and IARPA\u2019s decade-long support for quantum computing research and NSF\u2019s investment in synthetic biology. However, while experts said federal agencies\u2019 ability to support new discoveries is a strength, they explained that the United States is losing the ability to commercialize technologies that are invented here. For example, according to one expert, while the technology might soon be available to build small (100 qubit) quantum computers, the United States does not have the necessary enterprise in place to manufacture those systems. Experts stated that it may take decades or more from the time research is funded until it is commercialized. During this intervening period, significant investment is needed to support the innovation cycle in terms of research in the design, building, and testing of new product prototypes and production processes.", "Experts described an increasing reliance, over time, on venture capital funding to support investments in the innovation cycle. They said that while this is generally working well in some areas such as software and biotechnology, venture capital investors have become less willing to support other technologies that require higher levels of capital investment, longer-term returns, and greater risk. For example, one expert stated that while the U.S. venture capital system spends $70 billion annually on technology commercialization activities, in 2015, the expert estimated that 5 percent of venture capital funding went to hard technologies. Multiple reports in recent years have documented the challenges associated with how the innovation cycle is supported in the United States and its implications for the domestic commercialization and production of new technologies. For example, in a 2012 report, the National Research Council stated that discoveries and inventions originating from research conducted at U.S. universities, corporations, and national laboratories no longer naturally led to products that are commercialized and manufactured within the United States. According to this report, manufacturing is important in developing new products because in many high-technology industries, design cannot easily be separated from manufacturing, and a lack of sustained investment in research and infrastructure threatens to damage the U.S. innovation ecosystem, economy, and security.", "To address this issue, experts discussed a need to provide longer-term federal financial assistance to better support technology development across multiple stages of innovation. Experts stated that federal agencies often support research on short-term funding cycles (e.g., 3 years or less) that may not be conducive to the long-term support sometimes needed to effectively de-risk potentially transformational technologies. A 2017 National Academies report cited short-term funding as one factor that has resulted in U.S. science losing its flexibility and nimbleness, elements that feed new discovery. Additionally, experts said that federal agencies\u2019 support may not extend to the later stages of technology development but providing longer-term support for research is an important part of the federal government\u2019s role in advancing transformational technologies. For example, one expert said that long-term federal support facilitates creating a research infrastructure that can support a technology\u2019s development.", "Experts cited several examples of how federal agencies\u2019 programs provide different models for supporting technology development across multiple stages of innovation.", "Advanced Technology Program. Experts cited NIST\u2019s Advanced Technology Program\u2014which COMPETES 2007 repealed\u2014as a success in terms of its efforts to support transformational research.Experts cited several aspects of the program in discussing its success, including its support for (1) research that accelerated the development of high-risk technologies with the potential for broad- based economic benefits to the nation; (2) information sharing across different sectors; (3) active project management and workshops that taught awardees how to pitch their technology to venture capital investors, according to one expert. One expert noted that the program collaborated with NIH to develop diagnostic approaches that advanced the genomic revolution.", "ARPA-E. Experts described ARPA-E\u2014which was modeled after DARPA\u2014as an important challenge-based federal effort to advance technologies in areas aligned with DOE\u2019s mission. Aspects of the ARPA-E model one expert cited as important to the program\u2019s ability to support transformational technological advances included, among others, support for higher-risk research and the autonomy that program directors have in seeking expert input and selecting research projects.", "Manufacturing USA Institutes. One expert described the Manufacturing USA institutes as an important federal effort to support emerging technologies across multiple stages of innovation. Another expert explained that in order to continue to capture the economic benefits of the innovation system, the United States needs to embed the knowledge for technology production locally within the country. The first expert said the Manufacturing USA institutes help increase the connectivity among different actors involved with specific technology areas and improve their ability to leverage advances in those areas.", "Experts also discussed how other countries\u2019 long-term funding for research efforts may help them support technology development. For example, one expert discussed Germany\u2019s Fraunhofer Institutes, where the government makes research investments over time frames of 5 or even 20 years and rewards successful projects with funding increases each year. In addition, one expert noted that other countries such as the Netherlands and Singapore also provide long-term research funding, allowing them to develop the broader research infrastructure necessary to support technology development. In the area of quantum computing, one expert stated that the Netherlands\u2019 investment has contributed to one of the largest quantum computing-focused efforts in the world. According to one expert, if U.S. researchers do not conduct the research necessary over the long term to prove their research ideas, other countries will have the opportunity to pick up where U.S. researchers leave off and commercialize technologies based on this research."], "subsections": []}, {"section_title": "Supporting Development of Tools to Enhance Innovation", "paragraphs": ["Experts stated that tool development is critical to transformational technological advances and discussed a need for federal government support for tool development to maintain U.S. competitiveness. A tool is something\u2014such as equipment used for a specific purpose, a modified biological system, or a computer program\u2014that is used to perform a task or that is needed to practice a profession. According to one expert, tools are crucial supporting technologies that are necessary for the product development process. According to recent reports, research in tools development can lead to the introduction of new products, materials, or the ability to produce materials at the commercial level.", "A bioprinted coronary artery. 3D bioprinting is a tool that scientists are developing in the field of regenerative medicine. 3D bioprinting uses 3D printing with biological materials to create skin, bones, arteries, and a variety of other tissues and organs. For example, the Department of Defense has conducted research into using 3D bioprinting to repair skin damaged by burns\u2014injuries that account for 10 to 30 percent of battlefield casualties. To repair burned skin, researchers have created scans of burns that a computer then uses to have a 3D printer reconstruct the burned skin. 3D bioprinting has also been used to create small blood vessel networks that contain living cells that have joined with the blood vessel networks in a mouse, allowing blood to circulate through them. Such printed blood vessels could be used to replace a damaged heart muscle. In the future, such organs could be grown using 3D bioprinting and the cells of the person who needs the organ, and they could be used in place of transplanted organs. 3D bioprinted tissues could also be used to test the safety of new drugs. 3D bioprinting is in the early stages of development.", "Experts explained that the United States is at risk of losing its ability to develop tools, and they identified challenges to tool development, including the following:", "Unclear needs and long time frames. According to experts, industry may be less likely to invest in tool development when tools do not support existing products, but, rather, are a part of solving technology challenges that are not clearly defined. In this context, experts explained that tool development can take a relatively long time, which may not be compatible with industry\u2019s short innovation time frames.", "Potentially high or unrecoverable costs. Developing tools is expensive, according to experts, and when creating a new tool, companies have to consider whether they will be able to recover their costs. One expert described a circumstance in which a modified laser was needed to support research on a quantum system. The expert explained that a laser manufacturing company would need to change its production line in order to make the modified laser, and it would be very expensive for the company to adjust its production line to make only the modified laser.", "Experts emphasized the important role federal agencies can play in helping overcome these challenges to tool development. For example, experts described the importance of federal support for developing measurement tools to accelerate and improve the learning cycles around designing, building, and testing technologies and products. Experts specifically cited NIST\u2019s role in the development of measurement tools. For example, through the NIST-on-a-Chip program NIST is developing ultra-compact, inexpensive tools that will measure quantities such as time, distance, current and voltage, and temperature and pressure and that will allow measurement technologies to be deployed without requiring traditional measurement services. In line with NIST\u2019s goals, the private sector will manufacture and distribute these technologies. Experts also noted the important role federal agencies play in providing access to tools, such as technology testbed facilities to support de-risking technologies through prototyping and other development activities."], "subsections": []}]}, {"section_title": "Strengthening the Science and Technology Workforce", "paragraphs": ["Experts identified strengthening the science and technology workforce as a consideration for maintaining U.S. competitiveness through transformational technological advances. According to experts, there is a need for federal agencies to work with academia and industry to improve connections between the training academia provides and what industry needs, such as interdisciplinary training. Experts further discussed the recruitment of researchers and the retention of research talent and a technically trained workforce; according to experts, attracting researchers has historically been a U.S. strength, but this ability may be at risk."], "subsections": [{"section_title": "Improving Connections between Academic Training and Industry Needs", "paragraphs": ["Experts identified the need to improve connections between academic institutions and industry so that the training academia provides corresponds to industry\u2019s needs, particularly for interdisciplinary research fields. Without strengthening these connections, according to experts, academia may not deliver the interdisciplinary training needed for some research areas. Experts identified the systems engineering training needed to build a quantum computer as one such area of interdisciplinary training. For example, one expert said engineers are usually unfamiliar with the quantum mechanics used in a quantum computer and this is challenging since knowledge of both disciplines\u2014quantum mechanics and engineering\u2014is necessary to develop the technology. Also, not many quantum computing researchers are trained in the fields of computer science or engineering, according to stakeholders and agency officials we interviewed. A few experts said that because universities are not training the researchers needed in some interdisciplinary areas, there are not enough researchers in those areas available for industry to hire.", "Experts, other stakeholders and agency officials we interviewed, as well as some recent reports, identified several factors that may contribute to a disconnect between academic training and industry needs. For example, experts explained that universities appear to operate on the assumption that industry, not universities, must teach students the practical skills needed to be productive members of an engineering team. Additionally, according to a 2012 report by the National Research Council, job markets and careers for doctoral scientists and engineers have shifted since 1990 so that more than 50 percent of new doctorates work outside of academia, but there are few incentives to motivate graduate programs to align doctoral education with evolving employment activities. According to one expert, graduate education is largely supported by federally funded research awards to universities which tend to support basic research, not applied research or development. This expert further stated that as a result, graduate students are not taught later stage applied work relevant to industry because that has not been what federal research has historically funded. According to a different 2012 National Research Council report, cultural barriers often separate industry from academia and are reinforced by organizational incentives\u2014 universities have traditionally emphasized the need to publish research, not commercialize it. Further, one expert, a stakeholder, and an agency official we interviewed said that universities generally were not hiring faculty who focus on quantum computing as part of their computer science and engineering departments. The expert attributed this to limited funding available to support those research programs. According to this expert, the financial assistance federal research programs provide can send an important signal to universities that can lead to evolving academic programs and hiring in interdisciplinary fields. A 2016 MIT report made similar observations and said that many universities remain siloed along departmental lines and need resources and structures that allow for team teaching\u2014two people from different research areas co- teaching a course\u2014or research in which students from different disciplines could be paired to answer a research question. However, in synthetic biology, one expert noted that some universities have started entirely new Departments of Bioengineering because aspects of synthetic biology contribute to the development of an independent, distinctive, and complementary type of engineering. This has resulted in the development of a new curriculum that incorporates synthetic biology into the training and development of bioengineers, according to this expert."], "subsections": []}, {"section_title": "Recruitment and Retention of Talent", "paragraphs": ["Experts discussed the importance of recruiting researchers and retaining talent and a technically trained workforce. Experts stated that attracting researchers to come and stay in the United States has historically been a national strength. The Congressional Budget Office has reported that foreign-born workers contribute disproportionately to innovation. Further, according to this report, foreign-born researchers account for a disproportionate number of the scientific researchers who yield many of the big discoveries and conceptual breakthroughs that drive science.", "However, according to a few experts, and a National Research Council report, the United States is increasingly competing with other countries to recruit and retain talented researchers. Countries such as Canada, China, and Singapore are attracting talented researchers to their universities and research institutes by offering high salaries and the opportunity to run well-funded programs, according to a National Research Council report. For example, according to a few experts, China started the Thousand Talents Program in 2008 to get talented researchers to return to China. The Thousand Talents Program\u2019s goal is to bring top talent trained overseas to China on a full- or part-time basis. One expert gave the example of a university president resigning from a U.S. university because he believed the possibilities for research were greater in Asia. According to one expert, the nation\u2019s ability to recruit and retain researchers may be at risk because the United States is not working to retain and incentivize talent. According to that expert, this puts the nation at risk of missing out on the next global transformational technological advance.", "According to some experts, one challenge to retaining talent in the United States is that limited job opportunities are available to young researchers trained in certain areas. It is important to create conditions for young researchers to find employment in research and development, according to one expert, so that they can contribute to these areas. Creating the right incentive structure for people to produce transformational technologies in the United States is important, according to another expert, because when technologies are produced in the United States, the skills needed to produce them become embedded in that community. We have previously reported that too much location of skilled manufacturing jobs abroad can, in general, put the United States at a disadvantage in terms of its ability to design new products, according to participants in a 2013 forum on nanomanufacturing. Similarly, in a 2012 report, the National Research Council stated that manufacturing is integral to new product development, and production lines are linked to an iterative innovation chain that includes research and development, product refinement, and full-scale production. In many high-technology industries, design cannot be easily separated from manufacturing, and talent availability is the most important factor for deciding where to place a production facility. In some cases, according to this 2012 report, companies are choosing to produce abroad because of concerns related to the capacity of the U. S. supply chain, technical skills of U.S. workers, and the investment climate for high-volume manufacturing. Also according to this report, as a result of these factors, the United States is finding it increasingly difficult to capture the economic value generated by public and private investments in research and development."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Federal support for research in areas such as quantum computing and synthetic biology can help promote U.S. competitiveness in the global economy. For example, advances in quantum computing have the potential to lead to transformational advances in national security technologies or technology areas that rely heavily on simulation, such as pharmaceuticals and materials science for advanced manufacturing. Research in synthetic biology could help achieve significant advances in health care, energy, and other sectors. When agencies collaborate on their research efforts, they can produce more public value than when they act alone. Moreover, collaboration through mechanisms such as interagency groups can help address complex issues, such as those remaining to be resolved in quantum computing and synthetic biology. Collaboration can also mitigate challenges associated with fragmentation of efforts across multiple agencies, as well as potential overlap and duplication.", "NSTC and federal agencies have taken steps, building on earlier efforts, to coordinate their activities in the areas of quantum computing and synthetic biology. Specifically, both the new QIS Subcommittee and the new synthetic biology working group have taken initial steps to implement certain leading practices that can enhance and sustain collaborative efforts. For example, both have taken steps toward agreeing on roles and responsibilities. These steps could help address problems identified in previous interagency coordination efforts. However, both the subcommittee and working group are recently established and have had limited time to fully implement the leading practices that we describe in this report. As the subcommittee and working group move forward, by taking steps to fully implement these leading practices for collaboration, member agencies could better marshal their collective efforts to support research in quantum computing and synthetic biology and help maintain U.S. competitiveness through transformational technological advances."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations, including one to OSTP, one to Commerce, one to DOE, and two to NSF.", "As the QIS Subcommittee moves forward, the Office of Science and Technology Policy co-chair, in coordination with other co-chairs and participating agency officials, should take steps to fully implement leading practices that enhance and sustain collaboration. (Recommendation 1)", "As the QIS Subcommittee moves forward, the Department of Commerce co-chair, in coordination with other co-chairs and participating agency officials, should take steps to fully implement leading practices that enhance and sustain collaboration. (Recommendation 2)", "As the QIS Subcommittee moves forward, the Department of Energy co-chair, in coordination with other co-chairs and participating agency officials, should take steps to fully implement leading practices that enhance and sustain collaboration. (Recommendation 3)", "As the QIS Subcommittee moves forward, the National Science Foundation co-chair, in coordination with other co-chairs and participating agency officials, should take steps to fully implement leading practices that enhance and sustain collaboration. (Recommendation 4)", "As the Interagency Working Group on Synthetic Biology moves forward, the Director of the National Science Foundation, in coordination with participating agency officials, should take steps to fully implement leading practices that enhance and sustain collaboration. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments, Third-Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this product to Commerce, DOD, EPA, DOE, DHS, HHS, NASA, NSF, ODNI, OSTP and USDA for comment. Commerce, DOE, NSF, and OSTP generally agreed with the recommendations directed to them.", "Commerce, DOE, and NSF provided written comments that are reproduced in appendixes IV, V, and VI, respectively. In expressing concurrence with the recommendations directed to them, these agencies\u2019 written comments discussed aspects of the interagency groups\u2019 efforts we examined in our report or the agencies\u2019 own efforts related to coordination and collaboration.", "OSTP\u2019s General Counsel provided OSTP\u2019s comments by email. In its comments, OSTP stated that it sees value in our recommendation and will implement the recommendation as resources allow. However, OSTP expressed concern about the impact that resource limitations could have on its ability to implement the recommendation. We recognize that OSTP faces certain resource limitations. However, we believe that implementing our recommendation would allow leveraging of limited resources across the agencies participating in a collaborative effort.", "In an email from an official with the Office of the Chief Financial Officer in USDA\u2019s Agricultural Research Service, USDA provided general comments on our findings and our recommendation pertaining to the Interagency Working Group on Synthetic Biology. Specifically, USDA concurred that federal support for research and development help drive technological advances and promote U.S. competitiveness. USDA also agreed that the leading practices we discuss in our report can enhance and sustain interagency collaboration, and it expressed support for the implementation of these practices in the Interagency Working Group on Synthetic Biology, consistent with our recommendation.", "In addition, Commerce, DHS, DOE, EPA, HHS, NASA, and OSTP provided technical comments, which we incorporated as appropriate. Officials from DOD and ODNI stated via email that they had no comments on the report.", "We also provided a draft of this report to a participant who served as moderator in our October 2017 expert meeting on research for transformational technological advances. We requested his views on aspects of the report on which he has expertise and, in particular, the characterization of statements made by experts at our meeting. He provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Agriculture, Commerce, Defense, Energy, Health and Human Services, and Homeland Security; the Administrators of the Environmental Protection Agency and the National Aeronautics and Space Administration; the Directors of National Intelligence, the National Science Foundation and the Office of Science and Technology Policy; and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to (1) describe federal agencies\u2019 and nonfederal entities\u2019 support for research for transformational technological advances in selected areas, (2) examine federal agencies\u2019 coordination on this research, and (3) provide experts\u2019 views on considerations for maintaining U.S. competitiveness through transformational technological advances.", "For the purposes of this report, we selected quantum computing (a sub- area of quantum information science) and synthetic biology (the intersection of biology and engineering that focuses on the modification or creation of novel biological systems) as examples of research for transformational technological advances. We selected these two areas of research because they: (1) represent enabling or platform technologies, which could lead to other advances, (2) are supported by a mix of federal agencies and nonfederal entities, and (3) represent areas of congressional interest in which we have not recently conducted work.", "We conducted this performance audit from November 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Support for Research", "paragraphs": ["To describe federal agencies\u2019 and nonfederal entities\u2019 support for research for transformational technological advances in quantum computing or synthetic biology we reviewed agency documentation, relevant literature, and our prior work related to federal research efforts. We focused on federal and nonfederal efforts in fiscal years 2016 through the second quarter of fiscal year 2018. For example, we reviewed the National Science and Technology Council\u2019s 2016 report on advancing quantum information science which discusses the state of the research area and federal involvement. We also interviewed officials from 10 agencies and departments that have ongoing work in either quantum computing or synthetic biology, or in some instances, work in both research areas. These agencies were the: Department of Commerce, Department of Defense, Environmental Protection Agency, Department of Energy, Department of Homeland Security, Department of Health and Human Services, National Aeronautics and Space Administration, National Science Foundation (NSF), Office of the Director of National Intelligence, and U.S. Department of Agriculture. We initially selected federal agencies on the basis of those that had total research and development obligations of $500 million or greater in fiscal year 2016 according to NSF\u2019s Survey of Federal Funds for Research and Development. Additionally, we included an agency which we learned, through the course of our work, had significant ongoing work in both research areas. We did not seek to develop comprehensive information on federal agencies\u2019 efforts to support research in quantum computing and synthetic biology. As a result, federal agencies could have ongoing efforts in these two areas that we do not discuss in our report.", "To examine the funding federal agencies provide for quantum computing and synthetic biology research, we requested data on obligations for quantum computing and synthetic biology research for fiscal years 2016 through 2017, information on the type of research funded, and the names of individual studies or projects. We requested funding data from all agencies within our scope but some agencies did not provide such data. We assessed the reliability of the data we obtained by checking for obvious errors in accuracy and completeness and by comparing the data with other sources of funding information, such as agency budget documents, where possible. We determined that the data were sufficiently reliable for reporting an approximate, minimum amount of federal financial assistance obligated for quantum computing and synthetic biology research.", "To examine the extent to which nonfederal entities have supported research related to synthetic biology and quantum computing, we interviewed stakeholders from 21 nonfederal entities with experience in the areas of quantum computing, synthetic biology, or federal research more broadly. To collect a range of viewpoints, we selected nonfederal entities from industry, academia, nonprofit organizations, and professional associations. The 21 nonfederal entities we interviewed included: 1. American Chemical Society 2. American Physical Society 3. Arizona State University 4. Georgia Institute of Technology 8.", "IBM 9.", "Institute of Electrical and Electronics Engineers 10. Information Technology and Innovation Foundation 12. Massachusetts Institute of Technology (MIT)13. Materials Research Society 15. National Venture Capital Association 17. Science and Technology Policy Institute 18. University of California 19. University of Colorado We also defined the people cited in this report in the following manner: 1. Experts: individuals who participated in our expert meeting. 2. Stakeholders: academic researchers, industry officials, and representatives of professional organizations who we interviewed. This group does not include agency officials. 3. Agency officials: federal officials we interviewed.", "We identified and selected these stakeholders through a literature review and referrals. We conducted a literature review to learn about the current state of each research area as well as to identify relevant stakeholders in the areas of synthetic biology and quantum computing. We then contacted the stakeholders for interviews and asked them for additional references. We interviewed stakeholders both in person and over the phone.", "We did not seek to develop comprehensive information on nonfederal efforts to support research in quantum computing and synthetic biology. As a result, we acknowledge that there are nonfederal entities that may have ongoing efforts in these two areas that we do not discuss in our report."], "subsections": []}, {"section_title": "Federal Agencies\u2019 Coordination on Research", "paragraphs": ["To examine federal agencies\u2019 coordination on quantum computing and synthetic biology research, we identified coordination efforts in fiscal year 2016 through the second quarter of fiscal year 2018 through our review of agency documentation and interviews with federal officials. Additionally, we interviewed officials with the Office of Science and Technology Policy. For ongoing interagency coordination efforts, we compared agencies\u2019 efforts with selected leading practices for enhancing and sustaining collaboration. We selected six of the eight practices based on their relevance to the operations of the interagency coordination efforts we identified. In this report, and in our past work, we define collaboration broadly as any joint activity that is intended to produce more public value than could be produced when organizations act alone. Through interviews and a data request, we asked agency officials to provide information on their efforts to coordinate quantum computing and synthetic biology research from fiscal year 2016 through the second quarter of fiscal year 2018. For interagency groups related to quantum computing and synthetic biology, we obtained information through June 2018."], "subsections": []}, {"section_title": "Experts\u2019 Views", "paragraphs": ["To provide experts\u2019 views on considerations for maintaining U.S. competitiveness through transformational technological advances, we convened a meeting of 19 experts on October 12 and 13, 2017, with the assistance of the National Academies of Sciences, Engineering, and Medicine. The experts included current and former federal officials, as well as subject matter experts from industry, academia, nonprofit organizations, and professional associations. About half of the experts were subject matter experts in the areas of quantum computing or synthetic biology, while the other half were experts with broader perspectives on the role of federal and nonfederal entities in supporting research for transformational technological advances. We worked with the National Academies staff to select experts with a range of viewpoints.", "Prior to the meeting, we worked with National Academies staff to help ensure balance and to assess potential conflicts of interest among the experts. For example, we asked all participating experts to provide information on (1) whether their immediate family had any investments or assets that could be affected, in a direct and predictable way, by a decision or action based on the information or opinions they would provide to GAO; (2) whether they or their spouse received any income or hold any organizational positions that could be affected, in a direct and predictable way, by the information or opinions they would provide GAO; and (3) whether there were any other circumstances, not addressed in the two previous questions, that could be reasonably viewed by others as affecting participants\u2019 point of view on the topics to be discussed. We received signed responses from all participating experts. Three of the 19 experts reported potential conflicts. We evaluated their statements and determined that they did not have any inappropriate biases when taken in the context of the overall group of experts taking part in the meeting. As a result of these efforts, we determined that the group of 19 experts, overall, was balanced and had no inappropriate biases. However, the views of these experts cannot be generalized to everyone with expertise on research for transformational technological advances; they represent only the views of the experts who participated in our meeting. We list the experts who participated in our meeting in Appendix II.", "We divided the 2-day expert meeting into 8 sessions focused on a range of topics, such as the role of federal and nonfederal entities in keeping the United States competitive. Each session featured an opening presentation by two selected experts, followed by open discussion among all meeting participants. At the end of each session, one expert was tasked with highlighting the key themes discussed during that session. We then solicited feedback from the experts to determine whether there were any additional comments they wanted to add to those themes. We recorded and transcribed the meeting to ensure that we accurately captured the experts\u2019 statements.", "We analyzed the information gathered from the experts by reviewing and conducting a content analysis of the transcript and identifying considerations for maintaining U.S. competitiveness based on categorizing the experts\u2019 comments. For purposes of quantifying expert remarks, we refer to a statement from an individual expert as being from one expert, and unless there is significant disagreement in the transcript, we refer to statements from two or more experts as being from experts. In cases of significant disagreement in the transcript, we refer to statements from two to three experts as being from a few experts, and statements from four to six experts as being from some experts. Before publication and consistent with our quality assurance framework, we provided the experts with a draft of our report and asked them to provide their views on whether our overall characterization of the meeting generally reflected the considerations discussed during the meeting. Of the 18 experts who responded to our request for review, 13 experts agreed that our overall characterization generally reflected the key considerations identified during the meeting, one partially agreed, and one differed with our report\u2019s presentation of specific issues regarding synthetic biology. We incorporated feedback experts provided on the draft, as appropriate.", "To corroborate statements made by the experts on particular topics, as appropriate, we identified and analyzed studies and reports by agencies, the National Academies, and others that were recommended to us by experts. In addition, we compared the experts\u2019 statements to other information provided by agency officials and stakeholders we interviewed."], "subsections": []}]}, {"section_title": "Appendix II: Participants in GAO\u2019s Meeting on Research for Transformational Technological Advances", "paragraphs": ["Appendix II: Participants in GAO\u2019s Meeting on Research for Transformational Technological Advances Affiliation Ceres Nanosciences, Inc."], "subsections": []}, {"section_title": "Appendix III: Funding/Investment Gap in the Manufacturing-Innovation Process (Corresponds to fig. 1)", "paragraphs": ["Appendix III: Funding/Investment Gap in the Manufacturing-Innovation Process (Corresponds to fig. 1)", "Figure 3 shows the potential gap during the middle stages of innovation, in which innovators may have difficulty finding financial support. The figure includes a static display of the rollover information included in figure 1, which is interactive.", "Figure 3 Funding/Investment Gap in the Manufacturing-Innovation Process (Corresponds to fig. 1)"], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the National Science Foundation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made contributions to this report: Christopher Murray (Assistant Director), Angela Miles (Analyst-in-Charge), Justin Fisher, Scott Fletcher, Ashley Grant, Charlotte E. Hinkle, Gwen Kirby, Patricia Moye, Cynthia Norris, Emily Pinto, Tind Shepper Ryen, McKenna Storey, and Walter Vance."], "subsections": []}]}], "fastfact": ["Many federal agencies support research on quantum computing and synthetic biology. Experts we convened identified considerations, such as taking a strategic approach, that could help maintain U.S. competitiveness in these and other fields.", "We found that agencies have taken steps to collaborate on these activities, such as creating new interagency groups, but have not fully implemented key collaboration practices\u2014e.g., agreeing on roles and responsibilities. We recommended they implement these practices."]} {"id": "GAO-18-375", "url": "https://www.gao.gov/products/GAO-18-375", "title": "VA Health Care: Actions Needed to Improve Oversight of Community-Based Outpatient Clinics", "published_date": "2018-04-12T00:00:00", "released_date": "2018-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2016, VHA's 733 CBOCs provided care to more than 3 million veterans at a cost of $5.3 billion. Although most of these clinics are VHA-owned and -operated, 101 are operated through contracts with non-VHA organizations. VHA policy states that CBOCs, whether VHA-operated or contracted, must provide one standard of care that is of high quality.", "GAO was asked to review VHA's use of contracts to carry out core functions. This report examines, among other issues, the extent to which VHA oversees CBOC operations.", "To conduct this work, GAO reviewed VHA's policies and CBOC Report. GAO also interviewed officials from VHA's central office and from a nongeneralizable sample of eight CBOCs and their four respective VAMCs and VISNs. The CBOCs were selected for variation in factors such as contract status and geographic area."]}, {"section_title": "What GAO Found", "paragraphs": ["Community-based outpatient clinics (CBOC) are an important part of the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) health care delivery system. These clinics are geographically separate from VA medical centers (VAMC) and provide outpatient services, including primary care and mental health care. GAO found weaknesses in VHA's oversight of CBOCs:", "Incomplete policy implementation. VHA has not implemented certain CBOC oversight requirements as outlined in its policy. Specifically, VHA has not developed guidelines for monitoring the quality and comprehensiveness of care in CBOCs and officials said they have no plans to do so. Officials told GAO they believe the requirement was met as part of their regular oversight of Veterans Integrated Service Networks (VISN)\u2014regional networks responsible for oversight of VAMCs and CBOCs. However, VHA may miss CBOC performance problems that are not identifiable in VISN-level data. Further, although policy requires VHA central office officials to review CBOC performance as part of quarterly VISN performance reviews, officials said they do not specifically do so unless the VISN identifies a problem. Officials from three of the four VISNs in GAO's review said they largely delegate CBOC oversight to VAMCs, and do not separately review clinic performance unless a VAMC identifies a problem.", "An inaccurate and incomplete CBOC Report. VHA's CBOC Report is prepared by VHA central office and distributed to VISNs and VAMCs quarterly and at year-end. The CBOC Report could be useful to compare clinical quality of care between VHA-operated and contracted CBOCs, but it is inaccurate and incomplete. Specifically, VHA officials have used their judgment to classify certain sites as CBOCs in the report, rather than use the official classifications in policy. GAO found that 22 percent of sites were incorrectly classified as CBOCs when they were other types of sites, including VAMCs. As a result, the report is of limited usefulness to VHA as an oversight tool.", "Lack of guidance or training on the CBOC Report. VHA central office officials do not provide guidance or training specific to understanding the CBOC Report to assist VISNs and VAMCs in their oversight of CBOCs. GAO found that in several places in the report, shorthand text and acronyms were used, but not defined. In addition, several VISN and VAMC officials stated that guidance or training would be helpful.", "No requirement to use the CBOC Report. VHA officials told GAO that VAMCs and VISNs are expected to use the CBOC Report as an oversight tool, but GAO found that VHA lacks a requirement that they do so. Officials from three of the four VISNs and three of the four VAMCs in GAO's review were not using the report.", "These weaknesses potentially lead to inconsistent oversight and create a risk that VHA is not providing one standard of care that is of high quality to veterans across VHA-operated and contracted CBOCs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VHA (1) implement oversight requirements that align with existing policy; (2) establish a process to ensure the CBOC Report is accurate and complete; (3) provide guidance or training to VISNs and VAMCs on how to use the CBOC Report; and (4) require use of the CBOC Report as an oversight tool. VA concurred with all of GAO's recommendations and identified actions it is taking to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs\u2019 (VA) Veterans Health Administration (VHA) operates one of the largest health care delivery systems in the United States. In fiscal year 2016, VHA\u2019s health care system included 168 VA medical centers (VAMC) that offered inpatient, outpatient, and residential services and 733 community-based outpatient clinics (CBOC)\u2014stand-alone clinics that are geographically separate from VAMCs and provide outpatient primary care, mental health care, and, in some cases, specialty care services. In fiscal year 2016, these clinics provided care to more than 3 million veterans at a cost of $5.3 billion, which represented about half of the veterans treated by VHA and nearly 10 percent of total spending for their care. Although most CBOCs (632 of the 733) are owned and operated by VHA, about 14 percent (101) are operated by non-VHA health care organizations that contract with VHA to provide services. According to VHA, as of the end of fiscal year 2016, 29 contractors held CBOC contracts, for which VHA spent nearly $312 million. It is VHA policy that all CBOCs provide one standard of care that is of high quality, regardless of whether they are VHA-operated or contracted.", "In May 2000, VHA published the last in a series of reports in response to a 1998 request from the Under Secretary for Health to evaluate CBOC performance. The evaluation found that VHA-operated and contracted CBOCs performed equally on most performance measures, but contracted clinics provided fewer primary care visits, had fewer patients with mental health diagnoses, and did not have adequate cost data available to compare their costs to those clinics operated by VHA. Since that time, outpatient care use in VHA has grown substantially. In 2015, an external assessment of VHA reported that between 2007 and 2014, VHA outpatient visits increased 41 percent while inpatient bed days declined 9 percent. The 2015 assessment also reported that VHA\u2019s planning models predicted inpatient bed days would decline by at least another 50 percent over the next 20 years.", "We and others have cited longstanding concerns about VHA\u2019s oversight of its health care system. These concerns contributed to veterans\u2019 health care being placed on GAO\u2019s High-Risk List beginning in 2015. You asked us to conduct a management review of VHA that included, among other issues, its use of contracts to carry out core functions. In this report, we examine the extent to which: 1. VHA-operated and contracted CBOCs vary in their provision of health 2. VHA oversees CBOC operations, including ensuring the same quality of care at both VHA-operated and contracted CBOCs.", "To determine the extent to which VHA-operated and contracted CBOCs vary in their provision of health care services, we analyzed fiscal years 2014 through 2016 expenditure and encounter data (the three most recent fiscal years of data available) for the 687 of 733 CBOCs that provided care as of September 30, 2016, and for which these data were available. We compared expenditures per encounter and the types of services provided by VHA-operated clinics to those for contracted clinics. We also spoke to officials from VHA\u2019s central office about the factors that influence per-encounter expenditure variation across CBOCs. Given that our 3-year analysis period was relatively short, we did not adjust the values for inflation. We assessed the reliability of the encounter and expenditure data by checking for missing values and obvious errors and discussing them with VHA officials who were knowledgeable about the data. We analyzed the data as reported by CBOCs in VHA\u2019s managerial cost accounting system and we did not independently verify the accuracy or completeness of the information, or the methodology used by VHA to calculate total costs for VHA-operated clinics. After taking these steps, we determined the data were sufficiently reliable for the purposes of this reporting objective.", "In addition, we interviewed officials from eight selected CBOCs and from the four VAMCs and the four Veterans Integrated Service Networks (VISN) that oversee them. We also interviewed the four VHA contracting officers associated with the contracted CBOCs. The eight selected clinics are a nongeneralizable sample of four pairs of VHA-operated and contracted CBOCs. (See table 1.) We selected these clinics from a list of CBOCs that provided services as of March 10, 2017\u2014the most recently available data at the time of our review\u2014using data from the VHA site tracking (VAST) system, which lists all facilities and their characteristics. We selected the clinics for variation in geographic diversity, parent VAMC complexity level, clinic type (multi-specialty vs. primary care), and clinic size. We also interviewed officials from the American Legion, a veterans service organization, to obtain the perspective of veterans on the services provided at CBOCs. The information from our interviews is not generalizable to all CBOCs, VAMCs, VISNs, or contracting officers. We assessed the reliability of the VAST system data on clinic characteristics by reviewing relevant documentation and speaking to knowledgeable agency officials. We also performed data reliability checks, such as examining the data for missing values and obvious errors to test the internal consistency and reliability of the data. After taking these steps, we determined the data were reliable for the purposes of selecting sites and determining the complete list of CBOCs.", "To evaluate the extent to which VHA oversees CBOC operations, including ensuring the same quality of care at both VHA-operated and contracted CBOCs, we reviewed VHA policies, including Directive 1229 that establishes VHA and VISN oversight responsibilities for outpatient sites of care, including CBOCs. We also reviewed and interviewed officials about VHA\u2019s CBOC Report that documents clinical quality of care measures for both VHA-operated and contracted clinics. In addition, we analyzed the report from the first quarter of 2017\u2014the most recently available report at the time of our review\u2014and compared CBOCs in the report against sites in the VAST system as of January 3, 2017. We also interviewed officials from VHA central office and our selected clinics (including the contracting officers for our selected contracted clinics), as well as officials from the selected clinics\u2019 VAMCs and VISNs. We assessed the oversight activities performed by VHA\u2019s central office and the VISNs in the context of the federal standards for internal control.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Over the last decade, VHA has increasingly provided care on an outpatient basis, including primary care and mental health care services. VHA Handbook 1006.02, VHA Site Classifications and Definitions, defines classifications for outpatient sites of care including CBOCs. VHA\u2019s Directive 1229, Planning and Operating Outpatient Sites of Care, outlines the process for establishing new CBOCs."], "subsections": [{"section_title": "VHA\u2019s Outpatient Sites of Care", "paragraphs": ["VHA provides outpatient care through CBOCs, health care centers, and other outpatient services sites, which are defined in VHA\u2019s site classification policy:", "CBOCs are clinics that provide primary care and mental health care services, and also may provide specialty care services such as cardiology or neurology, in an outpatient setting. CBOCs can provide a wide array of services, ranging from a small, mainly telehealth clinic with one technician and a nurse, to a large clinic with several specialty care services and providers. Each clinic is overseen by, and separate from, its VAMC; each VAMC in turn is overseen by one of 18 VISNs.", "Health care centers are large multi-specialty outpatient clinics that provide primary care, mental health care, and on-site surgical services, in addition to other health care services.", "Other outpatient services sites provide nonclinical services, such as social services, homelessness services, and support services. They may also provide services that are clinical in nature through telehealth or other arrangements. (See fig. 1.)"], "subsections": []}, {"section_title": "VHA\u2019s Process for Establishing New CBOCs", "paragraphs": ["To establish a new CBOC, VHA\u2019s policy states that the VAMC and VISN must ensure that one is needed by first exhausting existing VHA resources (such as changing clinic hours or staffing) and determining that VHA community care programs cannot meet the identified demand. The VAMC and VISN follow several steps to assess the need for a new clinic:", "Step 1\u2014The VAMC and VISN identify an underserved area using VHA models that project changes in the veteran population and trends in veterans\u2019 health care needs.", "Step 2\u2014The VAMC develops a detailed proposal for the new clinic\u2014 an Access Expansion Plan\u2014that includes information such as whether the proposed clinic will be VHA-operated or contracted, projected workload, scope of the services to be provided, and cost. It also describes, as required by VHA policy, how the VAMC has exhausted existing VHA resources before proposing a new clinic.", "Step 3\u2014The VISN reviews the expansion plan, and if approved forwards it to an interdisciplinary panel at VHA\u2019s central office, which reviews it. A list of approved clinics is then sent to the Under Secretary for Health for endorsement.", "Step 4\u2014Endorsed clinics are included in the VISN\u2019s Strategic Capital Investment Planning process submission for the fiscal year. Final approval and funding for a new CBOC is dependent on Office of Management and Budget approval of VA\u2019s budget submission and VHA\u2019s final appropriations.", "In fiscal year 2015, VHA suspended the establishment of new CBOCs beginning in fiscal year 2018 due to several factors, including budget constraints and an emphasis on the use of VHA community care programs. However, VISNs can submit requests for exceptions to the Deputy Under Secretary for Health for Operations and Management for review. VHA officials told us 11 exceptions had been granted as of February 2018."], "subsections": []}]}, {"section_title": "VHA-Operated CBOCs Provided Proportionally More Specialty Care and Had Higher Expenditures than Contracted CBOCs in Fiscal Years 2014 through 2016", "paragraphs": [], "subsections": [{"section_title": "VHA-Operated CBOCs Provided Proportionally More Specialty Care and Less Primary Care and Mental Health Care than Contracted CBOCs", "paragraphs": ["We found that VHA-operated CBOCs provided more specialty care and less primary care and mental health care as a proportion of their total provided services than contracted CBOCs in fiscal years 2014 through 2016. For example, in fiscal year 2016, specialty care (e.g., cardiology, gastroenterology, physical therapy) comprised 13 percent of services provided at VHA-operated clinics and 5 percent of services provided at contracted clinics. In contrast, VHA-operated clinics provided proportionally less primary care and mental health services (services offered at all CBOCs) in fiscal year 2016\u2014these services comprised 66 percent of the services provided at VHA-operated clinics, but 84 percent of the services provided at contracted clinics. (See fig. 2.)", "We found that VHA-operated CBOCs provided several specialty care services that were not offered in contracted CBOCs. For example, dental care services and gastrointestinal endoscopy were provided by multiple VHA-operated clinics, but were not provided by any of the contracted clinics in fiscal year 2016. In addition, we found that VHA-operated clinics were generally larger and provided more complex services than contracted clinics. For example, multi-specialty CBOCs (clinics that provide two or more on-site specialty care services, and which may offer procedures requiring local anesthesia or sedation) were more often VHA- operated than contracted. Of the 733 CBOCs in fiscal year 2016, 210 were classified by VHA as multi-specialty, and nearly all of these (206) were VHA-operated.", "Officials from the four VAMCs and VISNs in our review told us decisions about what types of services CBOCs provide are made on a case-by- case basis according to local needs. For example, officials from one VAMC told us they decided to add physical therapy specialty care to one of their VHA-operated clinics based on analysis indicating that veterans\u2019 need for this care in their community would increase. Also, officials said they wanted to alleviate the travel burden for veterans who needed the care, as the next closest VHA facility that offered this care was a 2.5-hour drive away. Officials from another VAMC told us that they approached the service needs at their clinics from a regional perspective, allowing for veteran demand for services to be met across multiple clinics in the same geographic area instead of relying on one clinic to meet the need. As a result of this approach, VAMC officials were in the process of expanding services at two of its clinics."], "subsections": []}, {"section_title": "VHA-Operated CBOCs Had Higher Expenditures than Contracted CBOCs", "paragraphs": ["From fiscal years 2014 through 2016, we found that VHA-operated CBOCs had higher per-encounter expenditures than contracted CBOCs\u2014a difference ranging from 3 to 5 percent per encounter. (See table 2.)", "We also found that per-encounter expenditures for almost all service types were higher on average for VHA-operated CBOCs than contracted CBOCs in fiscal year 2016; the exception was mental health care services, where VHA-operated clinics\u2019 per-encounter expenditures were 2 percent lower than for contracted clinics. The difference in per-encounter expenditures was greatest for specialty care services. For example, VHA- operated clinics\u2019 per-encounter expenditures for specialty care services were 46 percent higher than for contracted clinics. This is in contrast to primary care, where VHA-operated clinics had 11 percent higher per- encounter expenditures, on average, compared to contracted clinics. (See fig. 3.)", "Officials told us that several factors can influence per-encounter expenditures, including (1) differences in provider compensation and types of providers (physicians vs. physician assistants); (2) the number of patients with complex health conditions that generally require longer visits and more costly services (as opposed to patients with well-managed conditions); and (3) geographic differences in the cost of providing care. One of our selected contracted CBOCs had one of the highest per- encounter expenditures for fiscal year 2016 among all clinics. Officials from this clinic\u2019s VAMC told us this was due to the contractor being able to command a very high payment rate at the time of the contract award, due to temporarily strong local economic conditions, as well as being the only contractor in the area capable of providing the required services. Officials said the VAMC is in the process of awarding a new contract for this clinic.", "Although per-encounter expenditures were generally lower for contracted CBOCs, officials from the VISNs and VAMCs in our review told us they consider several factors in determining whether a new clinic will be VHA- operated or contracted. Such factors include the ability to directly monitor performance and implement new standards of care, as well as the ability to recruit and staff the clinic. For example, officials from two VAMCs in our review told us that VHA-operated clinics can be easier to manage because the VAMC has direct control of the clinic. Officials said this makes it easier to implement changes to VHA standards of care without the need to enter into contract modification negotiations. On the other hand, officials from three of the four VISNs and three of the four VAMCs in our review told us that contractors can be more flexible than VHA in recruiting staff (such as the ability to offer higher salaries), making a contracted clinic desirable for geographic areas where VHA has challenges recruiting or retaining providers."], "subsections": []}]}, {"section_title": "VHA Has Not Fully Implemented Policy Requirements, and Inaccurate Information Limits Its Oversight of CBOC Quality of Care VHA Has Not Fully Implemented CBOC Oversight Policy Requirements", "paragraphs": ["We found that VHA has implemented certain oversight requirements, but not others described in Directive 1229\u2014its policy that outlines VHA\u2019s oversight responsibilities for outpatient sites of care, including CBOCs. In terms of the oversight requirements that VHA implemented, we found it has provided reports on patient satisfaction to VISNs and VAMCs on a monthly basis. Specifically, VHA distributes the results of the VHA Survey of Healthcare Experiences, a monthly survey of veterans\u2019 satisfaction with the care they received through VHA health care facilities. In addition, VHA implemented the requirement to make measures related to evaluating the progress of outpatient sites of care, such as data on wait times, workload, and costs, available on an internal VHA website. However, VHA has not implemented other oversight requirements, which is inconsistent with federal standards for internal control related to monitoring, which state that management should establish and operate monitoring activities to monitor the internal control system and evaluate the results.", "We found that VHA has not implemented the following requirements in Directive 1229:", "VHA has not developed guidelines for monitoring the quality and comprehensiveness of care in CBOCs. Officials from the three VHA offices with responsibility for collaborating to develop guidelines for monitoring the quality and comprehensiveness of care in CBOCs, as required in the policy, told us that they are not currently developing these guidelines and they have no plans to do so. First, officials from the office of the Assistant Deputy Under Secretary for Health for Policy and Planning told us they had not developed these guidelines because they no longer believed it was their office\u2019s responsibility, despite the fact that officials from the office had helped to develop the recently issued policy. Second, officials from the office of the Deputy Under Secretary for Health for Organizational Excellence told us that their office was not responsible for addressing the broader issue of monitoring clinics. Third, officials from the office of the Deputy Under Secretary for Health for Operations and Management told us that although they do not have formal guidelines in place, they believe their office meets the Directive 1229 requirement as part of their regular VISN oversight. Officials said they collect and review VISN- level performance data, such as patient satisfaction data, which can be broken down to the level of the CBOC if there is a performance problem. However, VHA may miss clinic performance problems that are not identifiable in the VISN-level data. In addition, without developing such guidelines, VHA has not established standardized processes for how it monitors CBOCs, which can lead to inconsistent oversight. This poses the risk that veterans may be subject to different standards of care depending on the clinic visited.", "VISNs do not conduct continuous quality monitoring of CBOCs to ensure that consistent, quality care is being delivered. We found that three of the four VISNs in our review largely delegated oversight of the CBOCs to the VAMCs, rather than conducting continuous quality monitoring as required in the policy. Specifically, officials from these VISNs said that they largely focus their oversight on the VAMCs and do not separately review the performance of every CBOC unless the VAMC informs them of a quality problem at a particular clinic. Officials from the remaining VISN in our review said they do conduct CBOC-specific oversight activities. Specifically, this VISN had created a performance review survey tool that it sends to each clinic on an annual basis, and the results are reviewed by a workgroup made up of VISN staff. The workgroup examines trends across the CBOCs, including a comparison of VHA-operated and contracted performance. For example, one question in the tool asks how an individual CBOC\u2019s performance compares with others overseen by the VAMC. The delegation of oversight responsibility for the CBOCs to the VAMCs without consistent VISN-level oversight creates the potential for inconsistencies in oversight, which does not align with VHA policy to provide one standard of care for all clinics. Consequently, veterans may be subject to different standards of care across clinics.", "The Deputy Under Secretary for Health for Operations and Management has not reviewed CBOC performance with VISNs as part of the quarterly VISN performance reviews. The Deputy Under Secretary for Health for Operations and Management is responsible for conducting reviews of VISN performance with each VISN director. Specifically, the office of the Deputy Under Secretary for Health for Operations and Management is required by VHA policy to review CBOC-level performance data during quarterly VISN performance reviews. However, officials from this office and two of the VISNs we contacted told us they do not specifically do this unless the VISN identifies a performance problem. Of the remaining two VISNs, officials at one VISN reported only having mid-year and year-end meetings with VHA central office at which they did not specifically discuss the CBOCs, and officials from the other VISN said they did not have any regular quarterly performance reviews with VHA central office. This lack of consistent oversight poses the risk that VHA is not providing one, high quality standard of care to veterans across CBOCs."], "subsections": [{"section_title": "VHA\u2019s CBOC Report Lacks Accurate and Complete Information", "paragraphs": ["Directive 1229 requires VHA to provide reports to the VISNs and VAMCs on CBOC quality of care on a quarterly and year-end basis. We found that the CBOC Report, which is VHA\u2019s only report that allows for comparing clinical quality of care data across VHA-operated and contracted CBOCs, lacks accurate and complete information. These gaps limit the CBOC Report\u2019s usefulness as a monitoring tool to determine whether VHA-operated and contracted CBOCs are providing the same standard of care. This is inconsistent with federal standards for internal control for information and communication, which state that management should use quality information to achieve the entity\u2019s objectives.", "Specifically, VHA distributes the CBOC Report to VISNs and VAMCs on a quarterly and year-end basis, which compiles CBOC quality of care performance results based on the Healthcare Effectiveness Data and Information Set (HEDIS)\u2014an industry standard set of quality measures. VISNs and VAMCs have access to other types of CBOC performance data, such as patient satisfaction data and wait time data, but these data are not used to assess clinical quality of care and they cannot be used to examine performance across all CBOCs or stratified by VHA-operated versus contracted CBOCs. In contrast, the CBOC Report allows for the comparison of clinical quality of care data across all CBOCs, which can be stratified according to whether the clinic is VHA-operated or contracted.", "However, we found the following issues with the CBOC Report: Incorrect classification of CBOCs. We compared CBOCs from the most recent CBOC Report at the time of our review (the first quarter of fiscal year 2017) against sites in the VAST system as of January 3, 2017, which is VHA\u2019s listing of all VHA sites of care and their characteristics. We found that 22 percent of sites were incorrectly classified as CBOCs, based on the site classifications in VAST. Several of these sites were much more complex, such as health care centers and VAMCs. For example, a VAMC was included in the report as a CBOC, but this VAMC has three specialized intensive care units and serves as a regional referral center for intensive inpatient surgery, including open heart surgery. In addition, we also identified sites included in the report that provided less complex services than those that are provided in CBOCs, such as other outpatient services sites.", "VHA officials who produce the CBOC Report told us that, prior to the establishment of the VAST site classifications in 2014, they used their judgment to classify existing sites of care as CBOCs and they have not updated their classifications since then. For sites established since 2014, officials told us they use the VAST site classifications, but may also use their judgment in certain situations. For example, if a site\u2019s classification changed in VAST from a non-CBOC to a CBOC, they would make a decision about whether to classify it as a CBOC in the report by examining various aspects of the facility, such as the services provided and encounters. This procedure differs from what is documented in the methodology section of the CBOC Report, which states that site classifications are based on VAST. Further, VHA officials said they did not have a document available that outlined how they make these decisions. Because the site classifications in the CBOC Report are based, in part, on officials\u2019 judgment in addition to the classifications in VAST, the report does not present accurate information on CBOCs across VHA and is of limited usefulness to VHA as a tool to ensure that VHA-operated and contracted CBOCs are providing the same standard of care that is of high quality.", "Missing CBOCs. We found that 53 CBOCs (7 percent of all CBOCs) were missing from the CBOC Report from the first quarter of fiscal year 2017, rendering the data incomplete. VHA officials provided examples of why a CBOC might not be included in the report. For example, a newer CBOC might not be included because it did not have quality of care data available at the time the report was developed. However, we identified several other sites that were listed in the report, despite unavailable data.", "Inaccurate summary calculations. Due to the incorrect site classifications and missing CBOCs, the national- and VISN-level summary calculations of performance in the CBOC Report were also inaccurate. Specifically, the report includes national- and VISN-level averages for each HEDIS measure, which VHA officials can use as benchmarks for clinic performance. These averages were over- inclusive\u2014incorporating performance results from additional sites that were not CBOCs, and under-inclusive\u2014omitting performance results from CBOCs that were missing from the report. These inaccuracies may lead VHA officials to draw incorrect conclusions about the quality of care provided in CBOCs. For example, officials from one VAMC told us that they use the national averages as benchmarks against which they compare the performance of their CBOCs. Because this VAMC requires CBOCs with lower-than-average HEDIS performance results to develop a formal action plan to improve performance, officials may not be identifying clinics that are in need of an action plan due to the inaccuracy of the averages. In addition, VHA central office officials who develop the CBOC Report said that the results from recent reports have shown that VHA-operated and contracted clinics in general provided the same standard of care, but this conclusion may not be correct as it is based on unreliable data.", "No guidance or training for use of the CBOC Report. VHA central office officials do not provide guidance or training specific to the CBOC Report to assist VISNs and VAMCs in using it to oversee CBOCs. This is inconsistent with federal standards for internal control related to the control environment, which state that management should, among other things, develop personnel to achieve the entity\u2019s objectives. Such development may include training to enable individuals to develop competencies appropriate for key roles. In our review of the CBOC Report from the first quarter of fiscal year 2017, we found that in several places in the report, shorthand text and acronyms were used, but not defined. In addition, although there is a methodology section, it is not clear that the measures described in the report are HEDIS measures, for which VHA makes training available. Several VAMC and VISN officials stated that guidance or training that is specific to understanding the CBOC Report would be helpful. If VISNs and VAMCs are not trained on how to use the report, they may not know how to use it to oversee CBOCs and ensure they are providing one standard of care that is of high quality.", "No requirement for VISNs or VAMCs to use the CBOC Report.", "VHA does not require that the CBOC Report be used as a tool to oversee CBOCs. As a result, we found that the report was not widely used. Specifically, an official from the office of the Deputy Under Secretary for Health for Organizational Excellence\u2014which produces the CBOC Report\u2014told us that the office\u2019s role is to compile the reports and distribute them, but not to monitor performance. Officials from the office of the Deputy Under Secretary for Health for Operations and Management said that VISNs and VAMCs are expected to use the report as part of their CBOC oversight; however, we found there is no requirement that they do so. We found that officials from three of the four VISNs and three of the four VAMCs in our review were not regularly using the CBOC Report. Officials from one of the four VAMCs and one of the four VISNs in our review were using it as part of CBOC oversight activities at the time of our review. Officials from another VISN said that they planned to start using the CBOC Report after we made them aware of it during our interview. If VISN and VAMC officials do not use the report as a part of their oversight, they may be missing opportunities to compare VHA- operated and contracted CBOCs and ensure they are providing one standard of care that is of high quality."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["CBOCs are an integral part of VHA\u2019s health care delivery system, and VHA requires that such clinics, whether VHA-operated or contracted, provide the same standard of care to veterans that is of high quality. Although VHA has implemented certain policy requirements for CBOC oversight, we found several weaknesses in its oversight that make it difficult to determine whether it is ensuring this consistent standard of care across the clinics.", "Specifically, VHA has not fully implemented oversight requirements that align with its established policies, including a requirement to establish guidelines for overseeing CBOC quality of care. The CBOC Report, as VHA\u2019s only report comparing clinical quality of care across both VHA- operated and contracted clinics, could be an important part of those guidelines. However, as it currently stands, the report is inaccurate and incomplete and VISNs and VAMCs are not trained on or required to use it; thus, it is of limited use to VHA, including the VISNs and VAMCs that have responsibility for CBOC oversight. As a result, VHA lacks assurance that both VHA-operated and contracted CBOCs are providing one standard of care that is of high quality."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the VHA Undersecretary for Health: Implement oversight requirements that align with VHA\u2019s existing policy, including developing guidelines for monitoring quality of care in CBOCs. (Recommendation 1)", "Establish a process for regularly updating the CBOC Report to ensure it contains an accurate and complete list of CBOCs that is consistent with VHA\u2019s established site classifications. (Recommendation 2)", "Ensure that VISNs and VAMCs receive guidance or training on how to use the CBOC Report. (Recommendation 3)", "Require the use of the CBOC Report as an oversight tool for ensuring one standard of care that is of high quality across VHA-operated and contracted CBOCs. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided VA with a draft of this report for its review and comment. VA provided written comments, which are reprinted in appendix I. In its written comments, VA concurred with all four of the report\u2019s recommendations, and identified actions it is taking to implement them.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Veterans Affairs, the Under Secretary for Health, and other interested parties. In addition, the report is available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Debra A. Draper, (202) 512-7114 or draperd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Janina Austin, Assistant Director; Malissa G. Winograd, Analyst-in-Charge; Jennie F. Apter; Zhi Boon; Keith Haddock; and Sarah-Lynn McGrath made key contributions to this report. Also contributing were Jacquelyn Hamilton and Vikki Porter."], "subsections": []}]}], "fastfact": ["Community-based outpatient clinics are an increasingly important part of the Department of Veterans Affairs\u2019 health care system, providing millions of veterans with services like primary and mental health care. Most of them are operated by VA, but others are operated by contractors.", "We found weaknesses in VA's oversight of community-based outpatient clinics, leading us to make four recommendations to help ensure veterans receive the same standard of care regardless of whether a clinic is operated by VA or by a contractor."]} {"id": "GAO-18-67", "url": "https://www.gao.gov/products/GAO-18-67", "title": "Critical Infrastructure Protection: Electricity Suppliers Have Taken Actions to Address Electromagnetic Risks, and Additional Research Is Ongoing", "published_date": "2018-02-07T00:00:00", "released_date": "2018-02-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A severe GMD or HEMP event could potentially have significant impacts\u2014 including power outages\u2014on the nation's electric grid, which could affect other sectors that depend on electricity, such as communications. In response, NERC created two regulatory standards requiring certain U.S. and Canadian suppliers to assess their vulnerability to GMD and take appropriate steps in response.", "GAO was asked to review electricity industry actions to prepare for and mitigate electromagnetic risks. This report examines, among other things, (1) to what extent U.S. and Canadian electricity suppliers have identified information about GMD and HEMP effects on the grid, (2) what steps selected U.S. and Canadian suppliers have taken to protect against GMD and HEMP, and (3) what opportunities exist for U.S. suppliers to recover costs for protecting against GMD and HEMP.", "GAO examined government and industry studies and interviewed federal and industry officials about potential GMD and HEMP effects on grid infrastructure; reviewed regulatory standards, monitoring processes, and NERC compliance audit data from April 2015 through August 2017; reviewed federal regulations and interviewed state regulators on cost recovery issues; and interviewed officials from a nongeneralizable sample of 13 U.S. and Canada electricity suppliers, selected based on factors such as GMD experience and preparation for GMD and HEMP events.", "GAO provided a draft of this report to five federal agencies and NERC. Technical comments provided were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. and Canadian electricity suppliers\u2014electricity generation and transmission owners and operators\u2014have identified information on the potential effects of a severe geomagnetic disturbance (GMD), resulting from a solar storm, but have identified less information about the potential effects of a high-altitude electromagnetic pulse (HEMP), resulting from the detonation of a nuclear device, on the electric grid. There is general agreement that more research is needed on both GMD and HEMP. Government and industry have publicly reported on the potential impacts of GMD on the grid. For example, one study identified two main risks: (1) potential voltage instability, causing power system collapse and blackouts; and (2) possible damage to key system components. However, these studies do not address the unique aspects of individual suppliers' networks. Recognizing this, 11 of the 13 selected suppliers GAO contacted said they had assessed their network vulnerability; of these 11, 6 expected GMD effects to be relatively small. In contrast, Department of Energy (DOE) and industry officials told GAO that information on HEMP effects is limited in that suppliers lack key information to fully understand HEMP effects on their networks. Historically, study of HEMP effects focused on impacts to military equipment rather than the commercial electric grid. Recently, DOE and industry began research to better understand HEMP effects. Of the 11 suppliers who responded to GAO about their HEMP efforts, 3 reported having studied the impact of HEMP on their networks and 2 of the 11 had integrated, or planned to integrate, HEMP-resistant features into new control centers.", "Of the 13 selected suppliers GAO contacted, 10 reported making technological and operational improvements to enhance overall network reliability that also provided some protection against GMD and HEMP risks. For example, suppliers reported making technological improvements such as replacement of some older transformers and unprotected control centers. As of May 2017, all 13 suppliers stated they had complied with a GMD regulatory standard issued by the North American Electric Reliability Corporation (NERC)\u2014the federally designated regulatory authority responsible for developing and enforcing reliability standards\u2013-to develop operating procedures to mitigate GMD effects. A second regulatory standard\u2014which is to be implemented in phases through 2022\u2014will generally require suppliers to further assess their vulnerability to GMD.", "Selected U.S. suppliers told GAO that costs they have incurred to protect against GMD and HEMP have been relatively small so far and they expect to recover those costs through customer rates. Suppliers could face future increased costs depending on corrective actions needed to comply with the second GMD regulatory standard. Federal and state regulators indicated that regulated U.S. suppliers' costs for protecting against GMD are generally recoverable through customer rates, but recovery is less certain for protection against HEMP because less is known about HEMP risks. Further, some suppliers could face challenges to cost recovery. Specifically, independent owners of power plants\u2014those that sell power in wholesale electricity markets and are not part of an integrated utility\u2014must recover reliability improvement costs through their sales of electricity and are not assured of cost recovery; federal regulators told GAO they are aware this could be a challenge for these independent owners."]}], "report": [{"section_title": "Letter", "paragraphs": ["The electric grid is crucial to our country\u2019s economy and wellbeing, providing electricity to over 300 million people and representing more than $1 trillion in assets, as well as supporting other critical infrastructure. Consequently, the reliability of the grid\u2014its ability to meet consumers\u2019 electricity demand at all times\u2014is essential to national safety and security. As early as 1941, electric power industry researchers have expressed concerns about the potential risks posed to grid reliability by electromagnetic events. An electromagnetic event can result from a naturally occurring, large-scale geomagnetic disturbance (GMD), caused by severe solar weather, or from human-made sources, such as the high- altitude detonation of a nuclear device to create a high-altitude electromagnetic pulse (HEMP). A major GMD or HEMP event could have long-term, significant impacts on the nation\u2019s electric grid\u2014the commercial electric power transmission and distribution system. Given the interdependency among infrastructure sectors, a disruption to the electric grid could also result in potential cascading impacts on fuel distribution, transportation systems, food and water supplies, and communications and equipment for emergency services, as well as other communication systems that utilize the civilian electrical infrastructure. More recently, however, some government and research organizations have questioned the long-term level of impact electromagnetic events could have on the electric grid and have recommended further research and study be conducted on the effects of electromagnetic events.", "Most of the U.S. electric grid is owned and operated by the private sector, with federal, state, local, and other governments playing significant regulatory and other roles. The Department of Homeland Security (DHS) has the lead role in coordinating the overall federal effort to promote the security and resiliency of the nation\u2019s critical infrastructure, which includes the electricity grid. The Department of Energy (DOE)\u2014as the sector- specific agency for the energy sector\u2014coordinates with DHS and is also responsible for coordinating with other relevant federal agencies and for collaborating with critical infrastructure owners and operators to prioritize and coordinate federal resiliency efforts. In addition, the Federal Energy Regulatory Commission (FERC), which regulates the interstate transmission of electricity, among other things, is responsible for reviewing and approving standards developed by the North American Electric Reliability Corporation (NERC)\u2014the designated U.S. Electric Reliability Organization (ERO)\u2014to provide for the reliable operation of the bulk power system (the generation and transmission components of the grid). The North America electric grid encompasses the United States, parts of Mexico, and most provinces of Canada. Canada has experienced the only extreme GMD event resulting in significant loss of power to the North America grid. NERC\u2019s role in Canada is similar to its role in the United States and reliability standards are mandatory and enforceable in most Canadian provinces.", "The United States has taken steps to assess the risks posed by electromagnetic events and identified steps to mitigate these risks. For example, in April 2008 the Commission to Assess the Threat to the United States from Electromagnetic Pulse Attack (EMP Commission) issued a report that included over 90 recommendations addressing the preparation for, and protection and recovery from, a possible EMP attack against U.S. critical infrastructure. The majority of these recommendations were made to DHS and DOE. In May 2013, FERC directed NERC to develop reliability (regulatory) standards requiring electricity suppliers to address the potential impact of GMD on the reliable operation of the U.S. bulk power system. In June 2014, FERC approved a standard, submitted by NERC, requiring that certain suppliers prepare for the effects of GMD events by developing contingency operating plans, procedures, and processes. FERC approved a second standard in September 2016, also submitted by NERC, requiring certain suppliers to assess the vulnerability of their transmission systems to GMD events; suppliers that do not meet certain performance requirements must develop a plan to achieve the performance requirements. Also, in December 2016, the National Defense Authorization Act for Fiscal Year 2017 was enacted, requiring DHS to, among other things, conduct an intelligence-based review and comparison of the risks and consequences of electromagnetic events to the nation\u2019s critical infrastructure and to use that information to inform a recommended strategy for protecting and preparing U.S. critical infrastructure against electromagnetic threats.", "In 2016, we reported that key federal agencies had taken various actions to address electromagnetic risks to the electric grid\u2014such as establishing industry standards and federal guidelines and completing related research reports\u2014and that some of these actions aligned with recommendations made in 2008 by the EMP Commission. We also found that while DHS components had independently conducted some efforts to assess electromagnetic risks, DHS had not fully leveraged opportunities to collect key risk inputs\u2014threat, vulnerability, and consequence information\u2014to inform comprehensive risk assessments of electromagnetic events. Moreover, we found that DHS and DOE, in conjunction with industry, had not established a coordinated approach to identifying and implementing key risk management activities to address EMP risk, such as identifying and prioritizing key research and development efforts. We recommended, among other things, that DHS identify internal roles to address electromagnetic risks and collect additional risk inputs to further inform risk assessment efforts. We also recommended that DHS and DOE engage with federal partners and industry stakeholders to identify and implement key EMP research and development priorities. DHS and DOE concurred with our recommendations. As of October 2017, DHS had addressed our recommendation regarding key EMP research and development priorities by, among other things, working with key industry stakeholders to help identify and implement EMP research and development efforts. DHS had also taken steps to identify key roles and responsibilities within the Department to address electromagnetic risks as well as work with federal and industry partners to collect additional inputs on threats, vulnerabilities, and consequences related to electromagnetic risks, which we are in the process of reviewing to determine whether they address our recommendations in these areas. DOE has also taken steps to work with industry to develop a joint government-industry EMP strategy and supporting DOE action plan to further address our recommendation regarding the identification of key EMP research and development priorities. Both DHS and DOE have reported taking some actions to identify critical electrical infrastructure assets, but have yet to fully address this recommendation. We will continue to review DHS and DOE\u2019s actions to address our open recommendations.", "Given our previous work reviewing federal efforts to address electromagnetic risks, you asked us to review actions taken by the electricity industry to prepare for and mitigate impacts from electromagnetic events. Our objectives were to examine (1) to what extent U.S. and Canadian electricity suppliers have identified information about the effects of GMD and HEMP events on the electric grid, (2) what steps selected U.S. and Canadian electricity suppliers have taken to protect against GMD and HEMP events and how NERC has monitored these efforts, and (3) what opportunities exist for U.S. electricity suppliers to recover costs for protecting against GMD and HEMP events.", "In conducting our work, we interviewed representatives from 13 of the 181 U.S. and Canadian electricity suppliers subject to NERC\u2019s 2014 GMD reliability standard that conduct planning and generation, transmission, and distribution operations. We selected these 13 electricity suppliers based on various factors, including input from DOE, NERC, and industry organization officials familiar with suppliers\u2019 activities to prepare for electromagnetic events. Of these 13, we conducted site visits to 6 suppliers to better understand their experiences with past GMD events and identify actions they have taken to prepare for and mitigate GMD and HEMP events, among other things. During these visits we met with officials and observed operations and facilities, such as control centers hardened to mitigate effects from HEMP events, and equipment potentially vulnerable to GMD, such as high-voltage transformers. We included three Canadian electricity suppliers among the 13 suppliers we interviewed due to their (1) experiences with past GMD events, (2) research on the impacts of GMD, and (3) actions taken to prepare for and mitigate GMD events. While we cannot generalize the information we learned from these selected suppliers to all U.S. and Canadian suppliers, they provided us with examples of what suppliers may know about the potential impacts of electromagnetic events on the electric grid, as well as steps suppliers may be taking to prepare for and mitigate such impacts. The selected U.S. suppliers also identified opportunities available to them for recovering costs for protecting against electromagnetic events. Further, we interviewed representatives from six industry organizations because of these organizations\u2019 specialized knowledge and experience with electricity suppliers.", "To address the first objective, we reviewed U.S. and Canadian government studies issued, or commissioned by, for example, DHS, DOE, and NERC regarding, among other things, the vulnerability of transmission and generation infrastructure and equipment to GMD and HEMP events, possible measures to mitigate the effects of GMD and HEMP, and areas requiring further research. We also reviewed relevant studies from various industry organizations\u2014such as the Electric Power Research Institute (EPRI)\u2014and interviewed knowledgeable officials from these organizations and government agencies to clarify our understanding of relevant research issues. We identified these studies based on feedback from all entities listed above and through references in reports and other documentation. While we did not compile a comprehensive list of all studies of the effects of GMD and HEMP on the U.S. and Canadian electric grid, industry experts indicated that we had identified relevant studies published on this subject since 2010. We assessed the methodologies used in the relevant reports and determined them to be sufficiently rigorous to provide information about the potential effects of GMD and HEMP events on the electric grid. To better understand the effects of solar weather on the electric grid, how GMD is measured, and mechanisms in place for notifying electricity suppliers of potentially dangerous solar storms, we interviewed representatives from the National Oceanic and Atmospheric Administration (NOAA) and other federal agencies and reviewed relevant documentation on processes and procedures. To identify the frequency and intensity of past GMD events, we analyzed the available historical record of GMD occurrences from 1933 through 2016 calculated and maintained by GFZ German Research Centre for Geosciences. NOAA officials confirmed that the GFZ German Research Centre for Geosciences maintains the authoritative historical record of these data. We assessed the reliability of these data by testing for missing data, outliers, or obvious errors, and found the data to be sufficiently reliable to report on the number and intensity of GMD events occurring from 1933 through 2016. With respect to ongoing HEMP research and planning efforts, we reviewed, for example, relevant U.S. government strategies and plans and interviewed relevant officials, including researchers from U.S. National Laboratories. In October 2017, we also requested an interview with a representative from the EMP Commission but did not receive a response to our requests.", "To address the second objective, we reviewed FERC orders and NERC reliability standards that require certain suppliers to take steps to assess and prepare for GMD impacts, and interviewed relevant officials regarding the standards. We also obtained information from 13 U.S. and Canadian electricity suppliers regarding steps they had taken to comply with NERC reliability standards and actions to prepare for electromagnetic events. To understand how NERC has monitored electricity suppliers\u2019 steps to comply with NERC Reliability Standard EOP-010-1, we reviewed NERC monitoring processes. NERC officials provided the number of compliance audits conducted between April 2015\u2014when NERC, through Regional Entities to which it has delegated enforcement authority, first began reviewing suppliers for compliance with EOP-010-1\u2014and August 2017 that included the EOP-010-1 reliability standard. We contrasted the number of compliance audits with the total number of suppliers potentially subject to NERC\u2019s GMD reliability standard EOP-010-1. We assessed the reliability of the data on the total number of suppliers subject to EOP-010- 1 by interviewing agency officials regarding data sources, system controls, and any quality assurance steps performed by officials before the data were provided; we found the data to be sufficiently reliable to provide the number of suppliers subject to EOP-010-1 since it went into effect. We also discussed with cognizant NERC officials the organization\u2019s processes for collecting and reporting comprehensive data on the status of their overall compliance monitoring efforts.", "To address the third objective, we reviewed FERC regulations and orders related to cost recovery, such as suppliers\u2019 costs for spare transmission equipment services. We also interviewed FERC officials and representatives of two state regulators whose jurisdictions include suppliers we interviewed, regarding procedures available to electricity suppliers to recover costs for actions taken to prepare for and mitigate electromagnetic effects. We asked these officials to discuss previous, current, and potential future regulatory actions\u2014orders or rate cases they have overseen\u2014involving recovery of costs for actions taken to protect against GMD and HEMP events. Further, we interviewed DHS and DOE officials to identify the extent to which financial incentives\u2014such as preparedness grants\u2014are available to U.S. electricity suppliers to offset the costs of preparation and mitigation efforts. We interviewed officials from the 10 selected U.S. suppliers regarding the extent to which they had recovered costs expended on preparedness and mitigation efforts and what, if any, options they were considering to recover such costs in the future. While the information provided by these selected electricity suppliers is not generalizable to the U.S. electricity industry, it illustrates examples of actions selected suppliers have taken to recover costs for GMD and HEMP mitigation and preparedness efforts. Additional details on our scope and methodology are contained in appendix I.", "We conducted this performance audit from May 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Electricity Operation and Delivery in the United States and Canada", "paragraphs": ["The electricity operation and delivery system\u2014collectively referred to as the grid\u2014in the United States and Canada includes four functions: generation, transmission, distribution, and system operations (see fig. 1). Electricity is generated at power plants by burning fossil fuels; through nuclear fission; or by harnessing renewable sources such as wind, solar, geothermal energy, or hydropower. Once wholesale electricity is generated, it enters the bulk power system\u2014a network of high-voltage, high-capacity transmission systems\u2014where it is transformed to a higher voltage and flows through transmission lines, generally over long distances, to areas where it is transformed to a lower voltage and sent through the local distribution system for use by various customers. Throughout this process, system operations are managed by a system operator, such as a local utility.", "Below is additional information on the functions of the electric grid, including equipment that may be vulnerable to GMD and HEMP.", "Electricity generation. Power plants generate electricity by converting energy from other forms\u2014such as coal, natural gas, or wind\u2014into electricity. While they produce electricity once operating they are vulnerable when power outages occur because initially starting a power plant after an outage typically requires an external source of electricity to operate the control systems\u2014electronics that are integral to their operations. Some power plants have the capability to restore operations by employing a \u201cblack start,\u201d which is the process of restoring a plant to operation without relying on off-site sources of electricity, usually through using dedicated diesel generators to provide the electricity needed. However, not all plants have this capability and in the event of a power outage could therefore be vulnerable to lengthy system disruptions.", "Electricity transmission. Power plants are generally geographically distant from the areas where electricity is consumed. To move electricity from where it is produced to where it is used, electricity is sent over transmission lines; together, these lines form a network, or grid. To transport energy over long distances with reduced power losses, suppliers increase voltages\u2014the \u201cforce\u201d that makes electricity flow through a conductor\u2014and utilize high-voltage transmission lines, operating from 230 up to 765 kilovolts (kV) in North America. According to the Quadrennial Energy Review, as of January 2017, there were approximately 240,000 miles of high-voltage transmission circuit lines in the contiguous United States. During a solar storm, high-voltage transmission lines can act as \u201cantennae\u201d that allow GMD to enter the electric system.", "Transformers. Transformers are critical to the efficient and effective delivery of electricity to customers and, under certain circumstances, can be vulnerable to the effects of GMD and HEMP. Transformers facilitate the efficient transfer of electricity over long distances through the transmission system by converting electricity to different voltages along the delivery system\u2014either up or down, depending on the design and function of the transformer (see sidebar). Figure 2 depicts a large power transformer. paired with equipment\u2014for example, a protective relay\u2014that is designed to take them out of service temporarily when the effects of an electromagnetic event reach the grid. If transformers were temporarily taken out of service for preventative purposes, it could lead to an interruption of electricity service to consumers. However, if transformers\u2014especially those more vulnerable due to age, condition, or design\u2014are not taken out of service during an electromagnetic event they are at risk of being permanently damaged when additional electrical current flows into them, causing excessive localized heating and damage to internal components. (See fig. 3 for an example of transformer windings that were damaged from localized heating associated with a GMD event.) Transformers that become permanently damaged during an electromagnetic event can also contribute to interruptions in service. According to DOE, replacing a damaged transformer can be challenging because they are custom-designed and interchangeability and availability of spares is limited. If a usable spare transformer is not immediately available, obtaining a replacement transformer is often a long and costly process, usually involving long delivery lead times due to their size and weight, limited inventory, a complex procurement and manufacturing process, and other factors. According to DOE, in 2014 the average lead time to obtain a large power transformer was between 5 and 16 months, but could take more than 20 months in the event of supply disruptions or delays in procuring raw materials or key parts; larger, more sophisticated models are generally manufactured abroad. According to a transformer manufacturer, depending on the function of the transformer, the voltage rating, and the model, in 2017 the approximate price of a large power transformer, weighing from 170 to 410 tons, ranged from approximately $2 to $7.5 million in the United States.", "Distribution system. The final stage in the electric power system is the distribution system, which carries electricity out of the transmission system to industrial, commercial, residential, and other consumers. The distribution system includes equipment that can be damaged during electromagnetic events, but the extent of the risk is limited because distribution lines are generally too short and of too low voltage to pose a risk to distribution equipment.", "System operations: Operation of the electricity system is managed by entities such as a local utility, which this report collectively refers to as system operators. Because electric energy is not typically stored in large quantities, system operators must constantly balance the generation and consumption of electricity to maintain reliability. To do this, system operators utilize a system of sensors and controls to monitor power consumption and generation from a centralized location. Operators use computerized systems to send signals to power plants and other grid components to adjust their output to match changes in consumption. Electromagnetic events can interrupt or damage some of the equipment system operators use, which can cause a disturbance in control systems (for example, such events can cause relays to unintentionally operate, which can disable system protection equipment). Because the electric power system increasingly operates at or near reliability limits during peak demand periods, a relatively modest disturbance to the system can potentially pose a risk to system reliability.", "In the United States, the electrical infrastructure is primarily operated by private industry, which owns approximately 85 percent of the nation\u2019s critical electrical infrastructure. In contrast, Canada\u2019s electrical infrastructure is primarily organized along provincial lines with large, government-owned, integrated public utilities playing a leading role in the generation, transmission, and distribution of electricity."], "subsections": []}, {"section_title": "Electromagnetic Events \u2013 GMD and HEMP", "paragraphs": ["Based on our review of relevant studies and interviews with cognizant government and industry officials, there are differing opinions on the potential impact electromagnetic events could have on the electric grid and the risk of long-term, widespread damage. However, they generally agree that more study on the effects of electromagnetic events is needed. The following section describes (1) the nature and potential impact of GMD, U.S. efforts to monitor it, and the frequency of past occurrences; and (2) the nature and potential impact of HEMP events."], "subsections": [{"section_title": "GMD \u2013 Description, Potential Impact, Monitoring, and Historical Occurrences", "paragraphs": ["Naturally occurring solar weather events can create electromagnetic impacts\u2014or GMD\u2014of sufficient intensity that can adversely affect the electric power system. Solar weather events include, for example, large coronal mass ejections (CME), which are energetic eruptions in the sun\u2019s atmosphere that can cause the release of a large mass of charged particles from the sun into space. When a large CME travels from the Sun to the Earth it can interact with and create disturbances in the Earth\u2019s geomagnetic field, referred to as a geomagnetic storm; the resulting impact on Earth is commonly referred to as a geomagnetic disturbance, or GMD. Figure 4 illustrates how solar weather can create a GMD. Strong GMDs can create large geomagnetically induced current (GIC) on the grid. The degree to which GMD and accompanying GIC affect the electric power system depends on several factors, including the magnitude of the GMD, design and geomagnetic latitude of the power system, and geology of the local area, among other things. According to NERC, the most likely consequence of a strong GMD and the accompanying GIC is the loss of voltage stability, although GMD can also damage components of the system, including high-voltage transformers.", "In the United States, the National Oceanic and Atmospheric Administration\u2019s (NOAA) National Weather Service manages the Space Weather Prediction Center (SWPC), which is responsible for monitoring and providing services on space weather, including geomagnetic storms. SWPC uses a variety of ground and space-based sensors, as well as imaging systems, to monitor conditions on the Sun and to observe and forecast geomagnetic activity around the world. SWPC uses this information to issue Watches, Warnings, and Alerts for geomagnetic storms through e-mail and website postings to those who are impacted by space weather, such as owners and operators of the electric grid, spacecraft operations, users of radio signals, and others. In addition, SWPC provides immediate telephone notification and confirmation of imminent and ongoing geomagnetic storms to all NERC reliability coordinators through a NERC hotline.", "To communicate the magnitude of geomagnetic storms (disturbances in Earth\u2019s magnetic field) and to determine whether geomagnetic alerts and warnings should be issued, SWPC relies on a real-time estimate of the Planetary K-index (Kp-index), which ranges from Kp = 0, or quiet, to Kp = 9, or extreme storm intensity. (See appendix II for more information on SWPC\u2019s notification system as well as their estimates of overall impact of geomagnetic storms to the electric power system, by storm level.) Figure 5 shows the range of planetary geomagnetic activity, by solar cycle and Kp level, from 1933 through 2017. As shown in this figure, recent activity\u2014between 2007 and 2017, approximately equivalent to the average length of a solar cycle\u2014exhibited the fewest occurrences of GMD events (minor, moderate, strong, severe, and extreme) of any solar cycle in nearly a century. -index) data show the maximum fluctuations in the magnetic field observed from a network of selected magnetometers\u2014instruments that measure relative change of a magnetic field at a particular location\u2014relative to a quiet day."], "subsections": []}, {"section_title": "HEMP \u2013 Description and Potential Impact", "paragraphs": ["According to the 2008 EMP Commission, a nuclear EMP is the burst of electromagnetic radiation that results from the detonation of a nuclear device, which can disrupt or destroy electronic equipment. The threat primarily focused on by the 2004 and 2008 EMP Commissions, and specifically addressed in this report, is the high-altitude EMP (HEMP). A HEMP event is caused by the detonation of a nuclear device above the atmosphere, from about 40 to 400 kilometers (approximately 25 to 250 miles) above the Earth\u2019s surface. A HEMP attack does not cause direct physical impacts at the Earth\u2019s surface, such as injury or damage directly from heat, blast, or ionizing radiation, but instead creates an intense electromagnetic pulse. The components of HEMP\u2014commonly identified as E1, E2, and E3\u2014can disrupt or damage critical electrical infrastructure, such as computers, electronics, and transformers. EMP can also be produced using nonnuclear weapons, but these generally have a short range and are not a focus of this report."], "subsections": []}]}, {"section_title": "Electricity System Regulation and Oversight", "paragraphs": ["Responsibility for regulating electricity is divided between states and the federal government. Most electricity consumers are served by retail markets that are regulated by the states, generally through state public utility commissions or equivalent organizations. As the primary regulator of retail markets, state commissions approve many aspects of utility operations, such as the siting and construction of new power plants, as well as approving the prices consumers pay and how those prices are set. Prior to being sold to these retail consumers, such as households and businesses, electricity is bought, sold, and traded in wholesale electricity markets by companies that own power plants, as well as utilities and other companies.", "Wholesale interstate electricity markets are regulated by FERC. Historically, FERC-approved wholesale electricity rates based on utilities\u2019 costs of production plus a rate-of-return that it determined to be reasonable. Beginning in the late 1990s, FERC took a series of significant steps to restructure the wholesale electricity markets to increase the role of competition\u2014market forces of supply and demand\u2014 in setting wholesale electricity prices, a process referred to as electricity restructuring. Subsequently, FERC has provided authority for many entities\u2014for example, independent owners of power plants\u2014to sell electricity in wholesale markets at prices determined by supply and demand. These entities can now compete with existing utilities and one another to sell electricity in wholesale markets, but have no assurance that their costs will be recovered. While electricity restructuring has introduced a measure of market-based pricing to the generation of electricity, transmission (and distribution, regulated by states) are still subject to regulation on a cost-recovery basis. FERC has jurisdiction over transmission rates on the federal level, and state regulators have jurisdiction over the charges that utilities incorporate in customers\u2019 rates in order to recover their transmission costs.", "As part of the restructuring process, FERC also encouraged the voluntary creation of new entities called Regional Transmission Organizations (RTO) and Independent System Operators (ISO) to manage regional networks of electric transmission lines as grid operators\u2014functions that, in these areas, had traditionally been carried out by local utilities. These RTOs, in many cases, established and manage wholesale electricity markets for electricity buyers and sellers to participate in. As grid operators, RTOs are also responsible for managing transmission in their regions, which includes establishing and implementing rules and pricing related to transmission, among other things. As we reported in 2003, 24 states also introduced retail competition to electricity markets they regulate and allow former utilities and new companies to compete to serve customers; since then, the states where retail competition is occurring have changed. In states with retail competition, in general, electricity rates for generators other than the original utility are not structured to guarantee recovery of generation-related costs.", "In addition to its role in regulating aspects of the electricity market, FERC is also responsible for reviewing and approving standards to ensure the reliability of the bulk power system. FERC designated NERC to develop and enforce these reliability standards, subject to FERC review and approval. These standards outline general requirements for planning and operating the bulk power system to ensure reliability. (See appendix III for information on NERC reliability standards requiring electricity suppliers to address the potential impact of GMD on the reliable operation of the U.S. electric grid.) NERC and its Regional Entities, along with FERC, can all independently enforce reliability standards. Within the boundary of each regional entity, there are one or more NERC-certified reliability coordinators. Reliability coordinators are charged with the task of continuously assessing the reliability of the transmission system. The coordinator has the authority to direct stakeholders\u2014transmission operators, generators, and others involved with the electric grid\u2019s operations\u2014to take action to preserve the reliability and integrity of the bulk power system."], "subsections": []}]}, {"section_title": "U. S. and Canadian Electricity Suppliers We Contacted Have Identified Information about GMD Effects, but Have Less Information about HEMP Effects", "paragraphs": [], "subsections": [{"section_title": "Electricity Suppliers Have General Information about GMD Effects and Some Selected Suppliers Have Taken Steps to Evaluate Their Networks", "paragraphs": ["U.S. and Canadian government and industry organizations have studied and publicly reported on potential GMD effects on the electric grid. These studies have covered the general threats to the nation\u2019s electric grid from GMD but do not cover the unique aspects of individual suppliers\u2019 generation and transmission networks that could potentially make them more or less vulnerable to GMD events. In addition, these studies typically identified areas in which more research is needed regarding the GMD threat and potential mitigation measures that would inform suppliers\u2019 own assessments of the potential impact of GMD events on their unique networks.", "These select studies we identified included those performed by NERC, DOE, EPRI, and other private industry groups and generally examined the areas of vulnerability for the grid with respect to GMD events, potential impact on the grid from these events, possible mitigation measures, and areas needing further research. While noting the need for further research, some of these studies vary with regard to their assessment of the likelihood of long-term, widespread damage to the grid from these events. The following is a summary of some of these selected studies performed since 2010 and grouped by the entities responsible for performing them:", "NERC. In June 2010, NERC issued a report, based on a joint effort with DOE, which included a plan to form a task force of government and industry efforts to examine GMD. This resulted in the formation of the NERC GMD Task Force consisting of government and industry officials to examine the GMD threat to the nation\u2019s power grid. The task force\u2019s work in evaluating the potential impact of GMD events resulted in NERC\u2019s subsequent February 2012 report which outlined its plans for working with industry on new reliability standards for protecting the grid against GMD events. This report concluded, among other things, that the failure of a large number of transformers during a severe GMD event was unlikely, although certain older transformers, along with generator step-up transformers, could be particularly susceptible. As a result of this work, and as directed by FERC, NERC developed the EOP-010-1 and TPL-007-1 GMD reliability standards. Also, as a result of this work, NERC issued a GMD Planning Guide for electricity suppliers, which assists the suppliers in carrying out studies of their individual vulnerabilities to a GMD event.", "DOE/National Labs. Since 2010, DOE has been engaged in a number of efforts regarding GMD. For example, in 2011, DOE enlisted the Pacific Northwest National Laboratory (PNNL) to study the potential effect of GMD on long, high-voltage transmission lines and associated mitigation measures that could potentially be employed. Also, in April 2014, DOE reported on the results of its study of the vulnerabilities of large power transformers to GMD and other threats and the challenges facing the replacement of these transformers in the wake of such events.", "EPRI. In conducting research for its private industry membership, the Electric Power Research Institute engaged in a number of studies from October 2010 to March 2014. These efforts began with an effort to examine potential impacts from GMD through an assessment of various risk factors. EPRI\u2019s later efforts involved the development of approaches for modeling the impacts from GMD on the grid to allow suppliers to better protect their networks from these events.", "Other private industry. Private entities conducted studies in January 2010 and November 2011 for Oak Ridge National Laboratory and DHS, respectively, that examined prior GMD events and assessed the potential future impact of these events on the grid along with areas of vulnerability and potential mitigation measures. Other private studies included those examining which regions of North America are most vulnerable to GMD events in addition to the potential impact on the insurance industry and society in general from these events.", "See appendix IV for additional details on these and other select studies performed by government and industry regarding protection of the grid from GMD events.", "These past research efforts have generally identified the degree to which the electric power system is affected by a GMD event. The level of impact from these events can depend on various factors including, among other things, magnitude of the event, design and geomagnetic latitude of the power system, and geology of the local area. Further, these studies identified that GMD can have a broad range of impacts when it is introduced to a power system, ranging from minor events such as radio interference and control malfunctions to wide-scale disruptions. NERC has identified two predominant risks to the system: (1) potential voltage instability in the transmission system caused by insufficient reactive power support and (2) possible damage to system components.", "The first risk and, according to NERC, the most likely consequence of a strong GMD event and accompanying GIC, is the insufficient reactive power support, which can lead to voltage instability and power system collapse. Reactive power support is necessary to stabilize the transfer of electricity through the electric power system, from generation to consumption. With regard to the second risk, several components of the electric system are susceptible to damage from GMD and GIC, but government and industry officials agree that the vulnerable components with the greatest potential consequence in the event of loss are transformers, which typically exist at substations throughout suppliers\u2019 transmission networks. High-voltage transmission lines act as \u201cantennae,\u201d allowing GIC to enter the electric power system, disrupting normal operations and, in some cases, damaging equipment. Transformers, in turn, run the risk of overheating during a GMD event. According to NERC, restoration times for these two risk scenarios are significantly different. Restoration time from voltage collapse\u2014i.e., system blackout\u2014would be a matter of hours to days, while the replacement of transformers, as previously discussed, could take months or potentially years. Therefore, the failure of large numbers of transformers, while less likely, would have considerable impacts on portions of the electric power system.", "While general information on the potential impact of GMD events on the electric grid is available from the aforementioned government and industry reports, individual suppliers must assess the potential impact on their own, unique networks. For example, of the 13 selected suppliers we spoke with, 11 reported performing analyses to evaluate the potential impact of GMD on their specific generation systems or transmission networks. The 11 suppliers that had performed these analyses did so in advance of all suppliers being required to analyze the vulnerabilities of their networks as part of their compliance with NERC\u2019s second-stage GMD reliability standard TPL-007-1. The nature of the analyses the 11 suppliers engaged in required the use of modeling software to determine the specific vulnerabilities of their networks which further allowed them to design their own mitigation measures, if warranted, to address any vulnerabilities identified and prevent equipment damage or power outages. Suppliers we contacted noted that potential GMD mitigation measures included installation of specific equipment to assist with network stability and voltage regulation.", "As noted previously, past research efforts have indicated that GMD events can have a variety of impacts ranging from minor malfunctions to wide-scale disruptions. For example, 3 of the 11 suppliers we contacted that had performed an analysis of their networks\u2019 potential vulnerabilities had also reported prior impacts on their networks from a GMD event. Of these three suppliers, two (including Hydro-Quebec) reported major power interruption or equipment damage from the event. The remaining supplier reported a brief power outage on one transmission line during the same 1989 GMD event that caused a major power outage for Hydro- Quebec; however, this power outage did not result in any significant loss of electricity to the supplier\u2019s customers. Outside of the 1989 event, this same supplier reported minor power fluctuations and voltage drops from smaller GMD events.", "Most suppliers we contacted that had assessed their networks\u2019 vulnerabilities to GMD expressed confidence in their ability to avoid major damage or power interruptions from future GMD events. Specifically, 6 of the 11 selected suppliers that had performed analyses of their networks\u2019 vulnerabilities to GMD reported that, going forward, they expected that any effects from a future GMD event on their networks would likely be minimal (i.e., no significant damage or power interruption). Six suppliers also thought that procedures and technology currently in place afforded better protection from these events than in the past. For example, one northern U.S. supplier we contacted had, after acquiring new GMD analysis software, studied its system and concluded that it could easily withstand the GMD \u201cbenchmark event\u201d established by NERC in its TPL- 007-1 reliability standard and that its current technology and procedures were adequate to deal with the threat. Also, another supplier studied its system and is using the results to inform future decisions on transformer purchases to obtain technology that is more resistant to GMD."], "subsections": []}, {"section_title": "Government and Industry Are Taking Steps to Better Understand Effects of HEMP on the Grid", "paragraphs": ["According to U.S. government and industry officials we spoke with, completed research and available information on the vulnerability of the grid to HEMP, along with its potential effects, is less extensive and lags behind industry understanding of GMD. These officials noted that the understanding of HEMP and how it can affect the electricity system is general in nature and not specific to the commercial electric grid. Specifically, the Department of Defense has developed information regarding the potential effects of HEMP on military assets and facilities. According to DOE, the most detailed HEMP testing has been performed on military communication and weapons systems, not on the commercial electric grid. In a number of studies since 2010, both government and private industry have examined the HEMP threat to the grid while also noting the need for further research to fully understand the specific threats to components of the grid that would allow suppliers to protect against these events. While noting the need for further research, some of these studies vary with regard to their assessment of the likelihood of long-term, widespread damage to the grid from HEMP. See appendix IV for additional details on government and industry studies on the threat to the grid from EMP events including HEMP.", "The government and private industry studies generally note the threat to the grid presented by the E1, E2, and E3 pulse components of HEMP as follows:", "E1. The E1 pulse is capable of destroying microelectronics (such as computers), communication and control systems, and other electronic equipment that can disrupt the grid and other critical sectors. According to DOE, E1 can also generate very large and damaging voltage surges in power lines. Figure 6 depicts the potential impact from an E1 pulse, and shows the higher the altitude the greater the potential radius of the impact from an E1 pulse.", "E2. The E2 pulse, similar to lightning, has an ability to impair or destroy control features that are not protected from lightning. However, the grid typically has protections in place to address the lightning threat to major components.", "E3. The E3 pulse is similar to GMD and also creates similar disruptive currents in transmission lines which can cause grid instability and heating that damages transformers.", "Few electricity suppliers we contacted reported taking steps to examine how HEMP could impact their systems. Specifically, 3 of 11 selected suppliers who responded to our inquiry on this topic reported performing a study of the potential impact of HEMP events on their network infrastructure. Two of these three suppliers reported studying the potential impact of HEMP events on their network in conjunction with these suppliers\u2019 design of hardened control centers expected to be resistant to HEMP and other hazards. One of the two suppliers that designed control centers resistant to HEMP did so due to a concern over being able to maintain power to certain critical customers for which the loss of power would have national security implications. The other supplier that had designed an HEMP-resistant control center did so as part of an \u201call hazards\u201d approach to protecting its transmission infrastructure. The third supplier that had studied the potential impact of HEMP on its system did so as part of a combined study, required by its state legislature, on the threats posed by both GMD and HEMP. Specifically, this supplier examined the potential impact of the HEMP E3 pulse on its system which is similar to GMD, and, therefore, is expected to involve similar mitigation measures. The supplier stated that the lack of available modeling and analysis tools prevents them from fully understanding the potential impact of all components of HEMP\u2014 particularly the E1 and E2 pulses.", "Four of the 8 suppliers we contacted who stated they had not studied the potential impact of HEMP on their networks indicated a desire to see EPRI complete its ongoing EMP research before engaging in studies of their own networks. Further, all eight suppliers who stated they had not performed any studies of the potential impact of HEMP on their networks also noted a lack of key information on the nature and risk of the HEMP threat that would allow them to complete studies of their networks and develop corresponding mitigation measures. Six of the suppliers cited the classified nature of much of the available information maintained by the federal government on the EMP threat\u2014particularly HEMP\u2014as a contributing factor to the industry\u2019s lack of needed information on the threat. In addition, according to NERC officials, while they have developed reliability standards directing suppliers to study the vulnerabilities of their networks to GMD and establish procedures for dealing with those events, it has yet to produce similar standards for EMP or HEMP due to the lack of information available to industry on the EMP threat and how it may impact the grid.", "According to DOE, more research is needed to fully investigate and evaluate how an electric utility could protect itself from, or mitigate the effects of, HEMP on its systems. DOE also noted that government and industry have ongoing research efforts to better understand these potential effects and develop possible mitigation measures. For example, DOE has three ongoing research efforts related to HEMP. First, DOE is collaborating with DHS to advance the understanding of HEMP effects on the grid through research at the Los Alamos National Laboratory. Second, DOE has funded efforts underway at the Idaho National Laboratory focused on developing potential HEMP strategies, protections, and mitigations for the electric grid\u2014including hardening of infrastructure, blocking of currents, developing a strategy for stocking and prepositioning of spare parts, as well as developing operational and emergency planning tools. Finally, DOE has enlisted the Oak Ridge National Laboratory in analyzing the vulnerability of the grid to a HEMP event, along with the potential damage from such an event, and how it would impact on the reliability and delivery of electric power. The analysis will examine resilience options such as hardening some facilities, stockpiling some parts, and contingency planning. In addition to these research projects, DOE officials told us both Los Alamos National Laboratory and Lawrence Livermore National Laboratory are working to produce unclassified information on the characteristics of the electromagnetic signals associated with HEMP that could be shared with electricity suppliers to better inform their planning efforts.", "In addition to its ongoing research efforts, DOE and industry have taken steps to enhance understanding of HEMP issues. In particular, DOE and industry issued the Joint Electromagnetic Pulse Resilience Strategy (Joint Strategy) in July 2016 to study HEMP and improve the sharing of information on HEMP that would be useful to industry. According to DOE, central to development of the Joint Strategy was an effort to enhance shared government-industry understanding of the current status of risks from, and preparedness for, HEMP events. DOE added that this effort is important because what is currently known about HEMP effects to the grid has been developed from computer models designed for other purposes (e.g., understanding Department of Defense system effects), or is classified and thus difficult to share with industry. Specifically, the Joint Strategy includes five strategic goals to guide DOE and industry in minimizing HEMP impacts and improving resilience of the grid to these events. These strategic goals are (1) improving and sharing understanding of HEMP: threat, effects, and impacts, (2) identifying priority infrastructure, (3) testing and promoting mitigation and protection approaches, (4) enhancing response and recovery capabilities relating to a HEMP attack, and (5) sharing best practices across government and industry both nationally and internationally.", "Following development of the Joint Strategy, both DOE and EPRI (working with DOE, on industry\u2019s behalf) committed to developing separate, but coordinated, action plans that would implement the five strategic goals for studying HEMP and providing needed information to industry. DOE\u2019s Electromagnetic Pulse Resilience Action Plan (DOE Action Plan), issued in January 2017, delineates the steps that DOE will take to address HEMP risks and emphasizes the federal government\u2019s ability to clarify and communicate HEMP threats and impacts, reduce HEMP vulnerabilities, and facilitate the energy sector\u2019s response and recovery after HEMP events. DOE stated that its Action Plan also considers the over 90 recommendations made in the 2008 EMP Commission report and at least partially addresses 10 of the 15 recommendations directly related to the electric power system made by the EMP Commission in their report. See appendix V for additional detail on the DOE Action Plan, including its relationship to the EMP Commission\u2019s work.", "As noted in the Joint Strategy, EPRI\u2019s industry action plan\u2014initiated in April 2016\u2014is a complement to the DOE Action Plan and includes research to be performed to (1) detail the potential impacts of HEMP on the bulk power system, (2) examine potential industry actions to mitigate HEMP risks, and (3) inform industry investment decisions regarding those mitigation options. According to DOE and EPRI, the research that is outlined in the industry action plan is ongoing and scheduled for completion over a 3-year period with the first two reports being issued in September 2016 and February 2017. EPRI officials added that this research is intended to provide the electric industry with what it needs\u2014 specifically, an unclassified, science-based approach to HEMP with regard to (1) threat characterization, (2) testing results, (3) modeling and simulation, and (4) recommended strategies for mitigating the impacts of HEMP including prudent and practical hardening and recovery options. To meet these goals, EPRI, together with participating suppliers, have undertaken this 3-year long research effort and expect to complete this work in 2019. This research effort is comprised of the following tasks:", "HEMP threat characterization. For the first part of this task, EPRI is identifying the state of knowledge of unclassified HEMP research for all three components of the HEMP environment (i.e., the E1, E2 and E3 pulse components of HEMP). This portion of EPRI\u2019s research was achieved by the issuance of the aforementioned September 2016 report. The remaining two components of this task are ongoing and include (1) identifying characteristics of the electromagnetic signals associated with HEMP that can be used to assess the potential impacts on bulk power system components, and (2) investigating the physics of HEMP\u2019s transmission to, and impact on, power system infrastructure.", "Electric infrastructure EMP vulnerability. This task involves identifying the vulnerability of transmission systems and support assets (e.g., protection and controls systems, communications, transformers, etc.) exposed to the HEMP threat by performing laboratory tests. EPRI will test various infrastructure components at two EMP test labs by subjecting them to E1 pulses. According to EPRI, initial results for this task are possible by the end of 2017.", "Electric infrastructure impacts. For this task, EPRI is assessing the potential impacts of a HEMP attack on the bulk power system by combining the system modeling-related efforts in the first task above with the equipment testing results of the second task above. Under this task, EPRI is also developing assessment techniques, models, and tools for assessing the impacts of a HEMP attack. The aforementioned February 2017 report assessing the potential effects of the E3 pulse component of HEMP on U.S. bulk-power transformers represents a portion of the work under this task. In this report, EPRI found that a small number of geographically-dispersed transformers (14 out of the tens of thousands included in EPRI\u2019s analysis) were potentially at risk for thermal damage from the E3 pulse. EPRI produced a companion report assessing the potential impacts of the E3 pulse on the stability of the bulk-power system (i.e., the potential for voltage collapse) in December 2017 to be followed by the results of the first E1 pulse assessment at a later date.", "Mitigation, hardening, and recovery. Under this task, EPRI is assessing various mitigation and hardening approaches that can be employed to reduce the impacts of HEMP on bulk-power system reliability\u2014including examinations of potential unintended consequences of these approaches and cost effectiveness. As an initial step, EPRI is developing interim guidance on hardening substations based on military and international standards that is scheduled to be completed by the third quarter of 2017.", "Risk-based decision support. For this task, EPRI is developing methodologies and tools to support risk-informed decisions regarding the implementation of HEMP hardening and mitigation measures.", "Trial implementation. Once hardening measures have been identified, EPRI\u2019s supporting member utilities will have the opportunity to evaluate implementation of these measures on aspects of their networks. This task will develop a collection of leading industry practices with regards to HEMP mitigation and hardening. EPRI is to communicate the effectiveness of these measures including lessons learned.", "Project member and stakeholder communication. Under this task, EPRI will communicate the results of its research project to its supporting members and stakeholders in order to share new learning in a timely manner."], "subsections": []}]}, {"section_title": "U.S. and Canadian Electricity Suppliers Have Made Improvements to Provide Protection against GMD and HEMP Events, Including Some That NERC Requires and Monitors", "paragraphs": [], "subsections": [{"section_title": "Selected Suppliers Have Made Technology Improvements Primarily to Enhance Overall Network Reliability which Can Also Help Protect Against GMD and HEMP Events", "paragraphs": ["Overall, 10 of the 13 selected suppliers we contacted reported making technological improvements to provide a range of system reliability benefits, some of which can also provide collateral benefits for protecting against GMD and HEMP events. These 10 suppliers purchased and maintained their own transmission-related equipment, while the remaining three suppliers were reliability coordinators who did not purchase or own their equipment. Various examples of these technological improvements for improved system reliability\u2014that had the added benefit of protecting against GMD or HEMP events\u2014were reported by the suppliers we contacted and include the following:", "Replacement of older transformers for various reasons, including susceptibility to GMD. Overall, 7 of the 13 suppliers we contacted noted that transformer replacement occurs for a variety of reasons, including increased efficiency. However, seven of the ten suppliers that purchased their own equipment added that, when they acquire new transformers, they generally selected models that have the added benefit of being more resilient to the effects of GIC during a GMD event. These seven suppliers reported that their specifications for the acquisition of new transformers specifically included qualities to make them more resilient to GIC. The suppliers also told us they are adhering to these specifications whenever they replace an older, less resilient, transformer as part of ongoing system upgrades. One supplier reported that they have undertaken a broad review of the transformers used in their system and taken steps to systematically reduce the number of unique units as part of a broader effort to make their system more consistent. They told us they have worked, to the extent possible, to standardize their transformer designs since implementing a new transformer purchasing program in 2008 which included upgrades such as more stringent specifications for protection against GMD. This supplier told us these efforts would also make it easier and less costly to maintain spares and to replace individual transformers that could be damaged from GMD or HEMP events.", "Participation in spare transformer programs to facilitate timely recovery of suppliers\u2019 networks after transformer failures, including those caused by GMD and HEMP events. Of the 10 selected suppliers we contacted who purchased their own equipment, 6 reported having participated in at least one spare transformer program. For example, five of these suppliers participated in the Edison Electric Institute\u2019s (EEI) Spare Transformer Equipment Program (STEP) which was intended as a coordinated approach to developing a shared inventory of spare transformers and streamlining the process of sharing transformers with affected companies. This program requires participating utilities to maintain a specific number of transformers up to 500 kV to be made available to other utilities in case of a critical substation failure. According to program documentation, any investor-owned, government-owned, or rural electric company in the U.S. or Canada may participate in the EEI STEP. The sixth supplier did not participate in an outside spare transformer program such as EEI\u2019s, but, instead, maintained its own, in-house program.", "Investment in series capacitors to enhance network efficiency. Eight of the 10 selected suppliers we contacted, who purchased their own equipment, stated that they had added series capacitors to their networks. Seven of these eight suppliers told us they had acquired series capacitors to enhance the efficiency of their networks and help with network stability and voltage regulation. These suppliers stated that these devices offer the added benefit of mitigating the impacts of GMD and HEMP events because series capacitors block GIC, therefore preventing GIC from affecting certain parts of the transmission system. For example, one Canadian supplier, whose customers were almost totally dependent on electricity for heat during the winter, reported installing these technologies to improve overall network reliability but recognized the benefits of the technology for helping alleviate the threat of GMD events\u2014which, according to DOE, is particularly acute at its far northern latitude.", "Installation of digital relays with enhanced functionality. Four of the 10 suppliers we contacted who acquired their own equipment had replaced, or were in the process of replacing, older electro- mechanical protective relays used in their grid control systems with newer digital relays. Unlike electro-mechanical relays\u2014which can fail to operate properly under certain conditions resulting from a GMD event\u2014digital relays can be programmed to properly respond to these conditions. FERC officials confirmed that digital relays may offer some degree of protection during GMD events, but cautioned that they are likely more susceptible than the older electro-mechanical relays to the E1 pulse of HEMP events.", "Construction of hardened control centers to protect against a variety of threats, including HEMP. Two of the 10 suppliers we contacted that purchased their own equipment had built, or were planning to build, control centers specifically designed to be resilient to the effects of EMP and other threats. For example, one electricity supplier\u2019s customers included critical national security agencies and others in the Washington, D.C. area\u2014resulting in the supplier\u2019s desire to protect against the HEMP threat. The second supplier was in the process of designing its own hardened control center to guard against both EMP and other threats posed by extreme weather events occasionally occurring in its area of the country.", "In addition to technological improvements to provide a range of system reliability benefits, some suppliers are considering investments in technology specifically focused on blocking harmful GIC produced during GMD events. This GMD mitigation technology is referred to as a \u201cGIC blocking device\u201d and is still being tested. Since this technology is for the sole purpose of blocking GIC produced during GMD events, its cost may be directly attributed to GMD mitigation. One of our 13 selected electricity suppliers had installed such a prototype device on its high- voltage transmission system as part of an ongoing field trial to assess its performance and overall system impact in order to determine the effectiveness of the device under different operating conditions. Four selected suppliers expressed concern that GIC blocking devices can have unintended consequences on the stability or reliability of their transmission networks which could limit their overall benefits. Two of these suppliers stated that, before considering the installation of these blocking devices, they would perform analysis to determine their effectiveness in suppressing GIC at the system level and the impact on the functioning of their transmission system."], "subsections": []}, {"section_title": "Suppliers Have Developed Operating Procedures for the Initial GMD Reliability Standard and Recognize They May Need to Take Further Steps for the Next Standard", "paragraphs": ["NERC\u2019s initial reliability standard EOP-010-1 requires certain suppliers to have GMD operating procedures to mitigate the potential effects of GMD events on the reliable operation of the transmission networks for which they are responsible. As of May 2017, the 13 suppliers we contacted told us they were all subject to the requirements of the EOP-010-1 standard and had GMD operating procedures in place to comply with the standard. Moreover, three of the 13 suppliers functioned as reliability coordinators and told us that all of the suppliers they oversaw in their territory also had operating procedures in place in accordance with EOP- 010-1. Officials with the reliability coordinators stated they reviewed their suppliers\u2019 operating procedures to ensure they did not conflict with the procedures of other electricity suppliers in the coordinators\u2019 geographic areas of responsibility.", "In addition, NERC\u2019s Compliance Registry indicates that 188 electricity suppliers in the United States and Canada are potentially subject to the EOP-010-1 standard. NERC officials stated that, based on audit reports reviewed from its Regional Entities that included EOP-010-1, suppliers with transformers fitting the criteria specified in EOP-010-1 have developed the operating procedures required by the standard. NERC officials also stated that the EOP-010-1 standard requires electricity suppliers\u2019 operating plans and procedures to mitigate the effects of GMD events on the reliable operation of the grid\u2014as well as for the reliability coordinators to coordinate these plans and procedures within their area of responsibility. NERC officials stated that, as part of their compliance review for the standard, the NERC regions will assess the reasonableness of these plans and procedures. According to NERC, the standard provides the suppliers the flexibility to develop the procedures they think they need for their respective networks. NERC officials added that the quality of the measures put in place to address vulnerabilities to GMD would be further addressed under NERC\u2019s second-stage GMD standard, TPL-007-1.", "NERC\u2019s initial GMD-related reliability standard, EOP-010-1, went into effect in April 2015. NERC\u2019s next reliability standard, TPL-007-1, includes requirements that will be phased in over a 5-year period from July 2017 to January 2022. The TPL-007-1 standard lists a total of seven requirements of which all but one are directed at planning coordinators and transmission planners whose planning area includes certain high- voltage transformers. In general, these requirements detail further steps suppliers must take to periodically model their networks and assess the vulnerable points of their networks to GMD.", "Depending on the vulnerabilities suppliers identify in conducting future assessments in accordance with TPL-007-1, suppliers will be required to develop corrective action plans, starting in January 2022, to ensure their generation or transmission networks meet certain performance requirements during a GMD event (e.g., no cascading blackouts). According to NERC, corrective actions in each plan may include (1) operational procedures, (2) enhanced training, (3) installation of devices (e.g., GIC blocking devices), (4) modification of devices (e.g., modifying equipment for greater GIC resilience), (5) removing vulnerable devices (e.g., old transformers), and (6) spare transformer programs. See appendix III for additional detail on TPL-007-1\u2019s 7 requirements for certain electricity suppliers along with implementation dates for each."], "subsections": []}, {"section_title": "NERC Has a Process to Verify Compliance with Reliability Standards, Including Those Related to GMD", "paragraphs": ["NERC has an established process to verify electricity suppliers\u2019 compliance with reliability standards, including EOP-010-1 and TPL-007- 1. Annually, NERC identifies and prioritizes risks based on the potential impact to reliability across its eight North American regions and the likelihood that such an impact might be realized. This process results in an annual compilation of risk elements for the coming year that are reflected in NERC\u2019s implementation plan for compliance monitoring of reliability standards throughout its eight regions. In this implementation plan, NERC obtains input from the regions on risks inherent in their geographic areas of responsibility, and NERC links these areas of risk with specific reliability standards. For example, since becoming effective in 2015, NERC officials stated that the EOP-010-1 standard has been an annual area of focus in the implementation plan under the \u201cextreme physical events\u201d risk area.", "NERC\u2019s overarching implementation plan provides a template for the regions to follow in developing their own regional implementation plans. NERC\u2019s eight Regional Entities build on NERC\u2019s guidance on risks facing all regions by assessing risks to the reliable operation of the bulk power system in their specific geographic areas of responsibility and identifying the reliability standards associated with those local areas of risk that they will focus on in their compliance monitoring efforts for the upcoming year. Further, according to NERC officials, each NERC Regional Entity performs individual risk assessments for each of the electricity suppliers in their areas of responsibility which further inform their approach to compliance monitoring for each of these suppliers\u2014including which tools to use when assessing compliance. According to NERC, these individual risk assessments, along with the overarching and region- specific risks, inform the regions compliance monitoring oversight plan for each supplier. At the end of this planning process, NERC approves each region\u2019s implementation and audit plans and submits the audit plans to FERC.", "As of August 2017, NERC\u2019s regions had conducted 63 compliance audits of suppliers that included the EOP-010-1 reliability standard out of the total of 188 electricity suppliers potentially subject to the standard in the United States and Canada. According to NERC officials, the EOP-010-1 reliability standard went into effect in April 2015, and, as noted previously, NERC Regional Entities conduct compliance audits of individual suppliers\u2014including those that must comply with EOP-010-1\u2014at least once every 3 years. Therefore, due to this reason and the fact that these audits are just one of several options for NERC to consider in compliance monitoring, not every supplier subject to EOP-010-1 has been the subject of a compliance audit that included that standard in its scope as of the date of this report. NERC regions conducted these compliance audits on both reliability coordinators and transmission operators registered in the U.S. that were subject to EOP-010-1. As of September 2017, NERC had reported a total of two instances of non-compliance with the EOP-010-1 standard since its inception in April 2015. Electricity suppliers self-reported these two instances of non-compliance to NERC, and they were not the result of a compliance audit. NERC concluded that these incidents posed minimal risk to the reliability of the bulk power system. The two suppliers engaged in mitigation activities (e.g., training of personnel and modification of procedures) to address their non- compliance with the standard, which was verified by NERC\u2019s Regional Entities. NERC concluded that no further action was needed in these two cases."], "subsections": []}]}, {"section_title": "Selected Suppliers Reported that Costs for Protecting against GMD and HEMP Events Have Been Relatively Small to Date, and Most U.S. Suppliers Are Expected to Be Able to Recover Costs through Charges to Electricity Customers", "paragraphs": [], "subsections": [{"section_title": "Selected Suppliers Told Us Costs for Protecting against GMD and HEMP Events Have Been Relatively Small to Date, but Costs May Increase as Suppliers Comply with Future NERC Requirements", "paragraphs": ["Selected electricity suppliers told us the costs they have incurred to date for protecting against GMD and HEMP events have been small relative to their overall system costs. One supplier said that the costs they have incurred are generally associated with projects that provide broader system reliability or other benefits not specific to GMD or HEMP events. Based on interviews with selected suppliers, there are several types of projects that protect against GMD and HEMP events at different levels of costs:", "Projects providing collateral GMD or HEMP protection at no specific, incremental cost. As noted previously in this report, selected suppliers have installed several types of equipment for the purposes of transmission efficiency or benefits of general stability, and this equipment also provides collateral protection against GMD or HEMP events. This equipment has included series compensation systems installed on transmission lines, replacement of older electro- mechanical protective relays used in the suppliers\u2019 grid control systems with newer digital relays, and acquisition of spare transformers or participation in shared spare transformer programs which improves their ability to quickly restore transmission systems from any cause, including GMD or HEMP events. Total project costs may vary widely depending on the amount and type of equipment suppliers choose to install, but according to suppliers we interviewed and information from transformer manufacturers, costs for this equipment can range from thousands of dollars per digital relay to tens of millions of dollars for a series compensation system.", "Projects providing supplemental GMD or HEMP protection at minimal added cost. As also noted previously in this report, some suppliers we interviewed said they have added specifications for improved protection against GMD or HEMP events as part of larger equipment procurement or construction projects and that this improved protection typically came at a relatively small increase in total project price. For example, several suppliers told us that transformers and other transmission equipment used to control voltage levels can be made more resistant to GIC by using certain designs or materials, and one supplier said this would increase equipment costs by 2 to 3 percent or less. In addition, the two suppliers we interviewed who have designed new control centers that are to be hardened against a range of hazards\u2014including extreme weather (earthquakes, tornadoes, hurricanes, lightning), physical attacks, and HEMP events\u2014told us that adding HEMP protection to the design of new control centers has increased total project costs from about 5 to approximately 20 percent.", "Projects built primarily for GMD or HEMP protection. As also noted previously in this report, one supplier has installed a prototype GIC-blocking device, designed specifically to protect against GMD events, as part of a pilot effort to test its operational impacts. The costs of deploying these devices are expected to be better understood after the pilot effort is completed, but based on its initial results, the supplier expects that the total cost for a well-designed GIC-blocking device would be at least $500,000, excluding installation and other costs and one device could be required to protect each transformer.", "Suppliers we interviewed told us they have also developed plans or procedures to mitigate for GMD. According to suppliers, in general these plans emphasize reducing the (1) level of power provided by individual power plants and (2) amount of power flowing over power lines to levels below their operating limits. For example, the plan for one coordinator\u2014a grid operator\u2014requires that they immediately take action to reduce the transfer of power down to GMD Operating Plan-designated limits; if these limits are approached or exceeded, selected power plants are directed to reduce the levels of power provided and, if necessary, the grid operator modifies the levels of power flowing through the system until designated transfer limits are reached. According to suppliers, lowering these power levels can reduce the temperatures of key equipment such as transformers and provide for greater flexibility to operate the system during an event. In some cases, such plans can require increased use of power plants that are more costly to operate, potentially increasing overall system costs. The costs of emergency operating procedures implemented in response to electromagnetic events are likely to vary considerably on a case-by-case basis, depending on such factors as the level of demand and the generation resources available during the event.", "In terms of customer costs, U.S. suppliers we interviewed said that the costs they have incurred for GMD or HEMP protection thus far would represent a negligible increase in rates paid by customers. For example, one supplier we interviewed serves about 4.5 million retail customers, and officials from that supplier estimated the cost of hardening a planned control center against HEMP to be at least $10 million. If this cost is fully passed on to customers and paid for in a single year, we calculated that it would amount to a total of about $2 for the average customer\u2019s electric bill for that year.", "In the future, suppliers could face increased costs for protecting against GMD, depending on the corrective actions needed to address vulnerabilities, which suppliers are to identify in accordance with reliability standard TPL-007-1. The standard does not require suppliers to complete vulnerability assessments and develop corrective action plans until 2022, and suppliers told us it is too early to know what types of corrective actions may be required. However, the costs associated with some types of potential actions could be high. In particular, examples of potential corrective actions provided in the standard, such as installing new equipment or modifying existing equipment for improved GIC resilience, could be costly according to some suppliers we interviewed. For example, high-voltage transformers can cost tens of millions of dollars each. If suppliers identify multiple transformers that are vulnerable to thermal impacts from GIC flows, replacing or modifying them would be costly. Similarly, a supplier may need to install GIC-blocking devices throughout their network to effectively protect against a GMD event because the devices re-direct GIC flows elsewhere in the network. Therefore, a blocking device strategy could be costly if suppliers determine that large numbers of their transformers are vulnerable.", "Based on our prior review of federal efforts to enhance electric grid resiliency and federal emergency management programs, and interviews with agency and industry representatives, there are no sources of direct federal funding specifically to reimburse suppliers for costs they incur for protecting against GMD or HEMP events. DHS officials told us there are two DHS grant programs that could be used to indirectly support suppliers\u2019 efforts to prepare for GMD or HEMP events. However, DHS directly awards these grants to state, local, or tribal governments, and DHS officials told us that it is rare for these grant funds to be passed through to private companies and they have no record of instances in which electricity suppliers received funding for grid preparedness efforts."], "subsections": []}, {"section_title": "Regulated U.S. Suppliers\u2019 Costs for Protecting against GMD are Generally Recoverable, but Cost Recovery is Less Certain for HEMP Events", "paragraphs": [], "subsections": [{"section_title": "Federal and State Regulators Have Made Specific Assurances about Recovering GMD-Related Costs", "paragraphs": ["At the federal level, in FERC\u2019s September 22, 2016, order approving NERC\u2019s TPL-007-1 reliability standard, FERC stated that cost recovery for prudent costs associated with or incurred to comply with the standard would be available to suppliers for whom FERC approves rates. Two suppliers we interviewed said that because FERC requires suppliers to comply with the standard and has provided specific assurance that prudent costs will be recoverable, they do not expect challenges recovering such costs. According to FERC officials, FERC determines whether suppliers\u2019 investments are prudent on a case-specific basis, in part by considering whether the supplier acted reasonably given industry norms. FERC officials also stated that for most transmission rates, it does not conduct in-depth reviews of the reasonableness and prudence of each cost item unless a stakeholder such as a ratepayer advocacy group, large customer, or state public utility commission challenges the suppliers\u2019 rate filing with FERC. FERC officials told us they were not aware of any cases in which stakeholders challenged GMD-related costs.", "Some suppliers we interviewed said that the revisions to TPL-007-1 that FERC required in Order 830\u2014particularly, revisions to the benchmark GMD event suppliers must use in their vulnerability assessments\u2014could result in added costs for suppliers. For instance, one supplier expressed concern that they could have to begin work to assess vulnerabilities and protect against the first version of the benchmark event, and that the revised standard would require them to re-do such work using a new benchmark event, at additional cost. In response to such concerns, FERC stated that it could not yet determine what impacts the revisions might have on the actions suppliers would have to take to comply, because NERC had not yet developed or proposed the revisions. However, FERC re-affirmed that cost recovery for prudent costs associated with or incurred to comply with reliability standard TPL-007-1, and future revisions to the standard, will be available to regulated suppliers.", "Representatives from the state regulators we interviewed said they allow recovery of prudent generation or distribution costs for regulated utilities for improvements needed to meet federally-required reliability standards, such as NERC\u2019s GMD reliability standards. In addition, some of the selected suppliers told us that they use federally-required reliability standards to justify necessary investments when filing a rate case with state regulators. As with FERC, state regulators we interviewed said they determine the prudence and reasonableness of costs on a case-specific basis."], "subsections": []}, {"section_title": "Suppliers\u2019 Ability to Recover Future HEMP-Related Costs is Uncertain Due to Limited Understanding of HEMP Risks and Mitigation Efforts", "paragraphs": ["To the extent suppliers and regulators determine that HEMP events pose a risk to bulk power system reliability, FERC may allow recovery of prudent costs for protecting against EMP events. However, according to FERC officials, determining prudence for costs associated with new, emerging areas such as HEMP mitigation could be challenging because regulators and suppliers have limited understanding of HEMP risks. In 2004, FERC publicly assured suppliers that it will allow for recovery of prudent costs necessary for ensuring the reliability of the bulk power system. Specifically, FERC issued a policy statement assuring public utilities that FERC will approve applications to recover prudently-incurred costs necessary to ensure bulk power system reliability, including prudent expenditures for compliance with good utility practices\u2014practices engaged in or approved by a significant portion of the electricity industry or that could be expected to accomplish the desired result at a reasonable cost. Two suppliers we interviewed said that they expect FERC would allow them to recover transmission costs they deemed necessary for protecting against HEMP events. FERC officials told us that they are not aware of any cases to date where suppliers have sought recovery of transmission costs associated with HEMP protection through FERC-approved rates, so they do not know what challenges they might encounter in determining whether these costs are prudent. Also, unlike GMD events, suppliers and electricity industry stakeholders told us there are not yet tools for assessing suppliers\u2019 vulnerability to HEMP events, standards for protecting against these events, or tools for assessing the effectiveness of protective remedies.", "Suppliers and state regulators we met with said more information is needed to understand HEMP risks and mitigation efforts in order to determine to what extent costs would be recoverable. Electricity industry stakeholders and suppliers told us that they are sensitive to the fact that their costs are typically borne by customers, and more complete knowledge of HEMP risks would allow them to invest responsibly in HEMP protection from both a reliability and cost perspective. Similarly, one state regulator we interviewed has not yet received any rate filings from suppliers that include costs associated with HEMP protection. However, one supplier said that their state regulators prioritize reliability, and they expect the regulators would allow recovery of costs for HEMP protection if suppliers determined such protection was needed. As with FERC, state regulators said that when rate filings involve new technologies or practices, there is more uncertainty regarding costs and benefits and it can be more difficult for regulators to determine prudency. For example, one state regulator told us that DHS is doing work to understand risks associated with HEMP events, and what protections such events may necessitate. The regulator said they would like to see the results of this work before suppliers invest in mitigation equipment, so there can be more certainty that the costs will be considered prudent."], "subsections": []}]}, {"section_title": "Independent Generators May Face Challenges Recovering Costs for Protecting Against GMD and EMP Events", "paragraphs": ["Independent generators\u2014generators that sell power in wholesale electricity markets and are not part of an integrated utility\u2014do not have a mechanism assuring cost recovery for reliability improvements, including such as GMD and HEMP protection. FERC officials stated that these generators sell electricity at prices determined by supply and demand in markets that FERC has determined are sufficiently competitive or that have adequate procedures in place to mitigate the effect of companies to manipulate prices, such as could be the case for a company with a large market share. As such, according to electricity industry and FERC officials, independent generators do not have the assurances of cost recovery that traditionally-regulated suppliers do. If they invest in protecting their facilities from the potential effects of GMD and HEMP, the prices independent generators obtain for selling electricity so as to be competitive in the wholesale markets may be too low to allow them to fully recover their costs. According to data from DOE\u2019s Energy Information Administration, independent generators represented nearly 47 percent of electric generation facilities and generated about 39 percent of utility- scale electricity in the U.S. in 2015.", "FERC officials said they recognize that independent generators could face challenges recovering costs for step-up transformers\u2014generator equipment which, if it is vulnerable to GMD, may need to be replaced or modified in accordance with NERC standard TPL-007-1. Independent generators must balance the need to recover costs associated with these transformers with the need to offer prices for their electricity that are competitive in wholesale markets. According to suppliers, until studies are completed to identify how companies will comply with TPL-007-1 it is unclear the extent of the risk to step-up transformers owned by independent generators and the extent of the challenges of paying for steps to mitigate those risks."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOE, DHS, NOAA, NRC, FERC, and NERC for their review and comment. DOE, DHS, NRC, FERC, and NERC provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Secretaries of Commerce, Energy, and Homeland Security, the Chairmen of the Federal Energy Regulatory Commission and the Nuclear Regulatory Commission, and the Chief Executive Officer of the North American Electric Reliability Corporation. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Chris Currie at (404) 679-1875 or curriec@gao.gov or Frank Rusco at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["In conducting our work, we interviewed representatives from 13 of the 181 U.S. and Canadian electricity suppliers\u2014entities that own or operate generation or transmission infrastructure\u2014subject to the North American Electric Reliability Corporation\u2019s (NERC) 2014 geomagnetic disturbance (GMD) reliability standard and which conduct planning and generation, transmission, and distribution operations. We selected these 13 electricity suppliers based on input from the U.S. Department of Energy (DOE), NERC, industry associations, and research institutions as to which suppliers had taken steps to prepare for and mitigate impacts from electromagnetic events. We also considered, among other things, the following supplier preparedness and mitigation actions and characteristics: (1) efforts or plans to install mitigation equipment or technology; (2) efforts or plans to develop specific mitigation processes, procedures, or other operational actions; (3) infrastructure, such as length and voltage of transmission lines; (4) high-voltage equipment, including transformers over 230 kilovolts (kV); (5) geomagnetic latitude; and (6) experience with GMD-related service disruptions. We included 3 Canadian electricity suppliers among the 13 suppliers we interviewed due to their (1) experiences with past geomagnetic disturbance (GMD) events, (2) research on the impacts of GMD, and (3) actions taken to prepare for and mitigate GMD events.", "We conducted site visits to 6 of the 13 suppliers to better understand their experiences with past GMD events and identify actions they have taken to prepare for and mitigate GMD and High-Altitude Electromagnetic Pulse (HEMP) events, among other things. During these visits we met with organization officials; observed operations and facilities, such as control centers hardened to mitigate effects from HEMP events; and viewed equipment potentially vulnerable to GMD, such as high-voltage transformers. While we cannot generalize the information we learned from these selected suppliers to all U.S. and Canadian suppliers, they provided insight on what electricity suppliers may know regarding the potential impacts of electromagnetic events on the electric grid, as well as steps suppliers may be taking to prepare for and mitigate such impacts. The selected U.S. suppliers also identified opportunities available to them for recovering costs for protecting against electromagnetic events. Based on input from DOE, NERC, supplier, and industry officials, and because of these organizations\u2019 specialized knowledge and experience with the electricity industry, we also interviewed representatives from six industry organizations\u2014five industry associations and one industry research organization\u2014two transformer manufacturers, one software modelling company specializing in simulations of high-voltage power system operations, and one designer of a prototype geomagnetically induced current (GIC)-blocking device.", "To determine the extent to which U.S. and Canadian electricity suppliers have identified information about the effects of GMD and HEMP on the electric grid, we reviewed selected U.S. and Canadian government studies issued\u2014or commissioned by\u2014DHS, DOE, U.S. National Laboratories, Natural Resources Canada, the Federal Energy Regulatory Commission (FERC), and NERC since 2010 regarding, among other things, the vulnerability of transmission and generation infrastructure and equipment to GMD and HEMP events, possible measures to mitigate the effects of GMD and HEMP, and areas requiring further research. We also reviewed relevant studies published since 2010 from the Electric Power Research Institute (EPRI) and private contractors referred to us by government, supplier, and industry representatives. We identified these studies based on feedback from all entities listed above and through references in reports and other documentation. While we did not compile a comprehensive list of all studies of the effects of GMD and HEMP on the U.S. and Canadian electric grid, industry experts indicated that we had identified relevant studies published on this subject since 2010. We also interviewed knowledgeable officials from these U.S. and Canada government agencies, national laboratories, and industry organizations to clarify our understanding of the issues addressed in these studies. We assessed the methodologies used in the relevant reports and determined them to be sufficiently rigorous to provide information about the potential effects of GMD and HEMP events on the electric grid.", "To better understand the effects of solar weather on the electric grid, how GMD is measured, and mechanisms in place for notifying electricity suppliers of potentially dangerous solar storms, we interviewed representatives from the National Oceanic and Atmospheric Administration\u2019s (NOAA) National Weather Service, the U.S. Geological Survey (USGS), and the National Aeronautics and Space Administration (NASA). We also reviewed relevant documentation on processes and procedures. -index) is a near real-time estimate of the official Planetary K-index maintained by the GFZ German Research Centre for Geosciences. events occurring from 1933 through 2016. We also interviewed Department of Homeland Security (DHS) officials regarding the Department\u2019s efforts to address requirements in the National Defense Authorization Act for Fiscal Year 2017.", "To obtain perspectives on efforts individual electricity suppliers have taken to better understand the effects of GMD and HEMP, we interviewed officials from 13 U.S. and Canadian suppliers regarding the extent to which they had evaluated the impact of electromagnetic events on their specific generation systems or transmission networks and what they had learned from these evaluations. With respect to ongoing efforts to research the effects of HEMP, we reviewed DOE and EPRI\u2019s Joint Electromagnetic Pulse Resilience Strategy and the U.S. Department of Energy Electromagnetic Pulse Resilience Action Plan and interviewed relevant DOE and EPRI officials regarding these plans. Further, we interviewed officials from various national laboratories regarding their ongoing efforts to fully investigate and evaluate how an electric utility could protect itself from, or mitigate the effects of, HEMP on its systems. We also interviewed officials from the Nuclear Regulatory Commission (NRC) regarding efforts to assess the ability of a nuclear power plant to achieve safe shut down following a GMD or EMP event and the extent to which plants are required to implement strategies or guidelines in the event of a prolonged loss of offsite power, similar to what could be caused by a GMD or EMP event. Finally, we reviewed the 2008 Commission to Assess the Threat to the United States from Electromagnetic Pulse Attack (EMP Commission) report with recommendations on preparing for and recovering from a possible EMP attack. In October 2017, we also requested an interview with a representative from the EMP Commission but did not receive a response to our requests.", "To identify steps selected U.S. and Canadian electricity suppliers have taken to protect against GMD and HEMP events and understand how NERC has monitored these efforts, we reviewed FERC orders and NERC reliability standards that require certain suppliers to take steps to assess and prepare for GMD impacts. We interviewed FERC and NERC officials to discuss these standards and reviewed public comments submitted by stakeholders during the FERC rulemaking process. We also interviewed officials from 13 U.S. and Canadian electricity suppliers to identify steps they had taken to comply with NERC reliability standards as well as any additional actions to prepare for and mitigate potential GMD and HEMP effects, such as replacement of older equipment or investment in spare transformer programs. Additionally, we reviewed relevant federal guidance on preparing for GMD and HEMP events, such as DHS\u2019s Electromagnetic Pulse protection guidelines and NERC\u2019s Geomagnetic Disturbance Planning Guide.", "To identify the extent to which NERC has monitored electricity suppliers\u2019 steps to comply with NERC reliability standard EOP-010-1, we reviewed NERC monitoring processes, including procedures for developing an annual, nationwide implementation plan for conducting monitoring activities. NERC officials provided the number of compliance audits conducted between April 2015\u2014when NERC, through Regional Entities to which it has delegated enforcement authority, first began reviewing suppliers for compliance with EOP-010-1\u2014and August 2017 that included the EOP-010-1 reliability standard. We contrasted the number of compliance audits with the total number of suppliers potentially subject to NERC\u2019s GMD reliability standard EOP-010-1. We assessed the reliability of the data on the total number of suppliers subject to EOP-010-1 by interviewing agency officials regarding data sources, system controls, and any quality assurance steps performed by officials before the data were provided; we found the data to be sufficiently reliable to provide the number of suppliers subject to EOP-010-1 since it went into effect. We also discussed with cognizant NERC officials the organization\u2019s processes for collecting and reporting comprehensive data on the status of their overall compliance monitoring efforts.", "To identify what opportunities exist for U.S. electricity suppliers to recover costs for protecting against GMD and HEMP events, we reviewed FERC regulations and orders related to cost recovery, such as suppliers\u2019 costs for spare transmission equipment services. We also interviewed FERC officials and representatives of selected state regulators whose jurisdictions include suppliers we interviewed, regarding procedures available to electricity suppliers to recover costs for actions taken to prepare for and mitigate GMD and HEMP effects. We asked these officials to discuss previous, current, and potential future regulatory actions\u2014orders or rate cases they have overseen\u2014involving recovery of costs for actions taken to protect against GMD and HEMP events. Further, we interviewed cognizant DHS and DOE officials to identify the extent to which financial incentives\u2014such as preparedness grants\u2014are available to U.S. electricity suppliers to offset the costs of preparation and mitigation efforts. As part of our review of actions taken by ten selected U.S. electricity suppliers to prepare for and mitigate the impact of electromagnetic events, we interviewed officials regarding the extent to which they had recovered costs expended on preparedness and mitigation efforts and what, if any, options they were considering to recover such costs in the future. While the information provided by these selected electricity suppliers is not generalizable to the U.S. industry, it illustrates examples of actions selected suppliers have taken to recover costs for GMD and HEMP mitigation and preparedness efforts. In addition, we interviewed representatives from various trade associations to identify challenges suppliers face in recovering costs for mitigation and preparedness efforts.", "We conducted this performance audit from May 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: National Oceanic and Atmospheric Administration (NOAA) Notifications for Geomagnetic Disturbances", "paragraphs": ["In the United States, the National Oceanic and Atmospheric Administration\u2019s (NOAA) National Weather Service manages the Space Weather Prediction Center (SWPC), which is responsible for monitoring and providing services on space weather, including geomagnetic storms. SWPC uses a variety of ground and space-based sensors, as well as imaging systems, to view and estimate geomagnetic activity around the world, and to issue Watches, Warnings, and Alerts for geomagnetic storms through e-mail and website postings to those who are impacted by space weather. Additionally, in the event of imminent geomagnetic storms, SWPC issues immediate voice notification and confirmation to all North American Electric Reliability Corporation (NERC) reliability coordinators through a special hotline. is a \u201crange index\u201d\u2014a measure of variation that saturates at K= 9\u2014Dst is an unbounded measure of solar storm effects on the Earth\u2019s magnetic field. In this report, we use the K- index, the history of which spans three solar cycles more than the Dst-index. = 9 (extreme)\u2014to determine whether geomagnetic alerts and warnings should be issued.", "SWPC\u2019s primary notifications include:", "Watches: Watch forecasts for impending geomagnetic storms\u2014 coronal mass ejections (CME)\u2014are issued when the highest predicted Kp-index for a day is between K = 5 or higher and are posted approximately 1 to 2 days before a storm reaches Earth. According to SWPC, Watch forecasts are less reliable in predicting storm intensity and timing than other types of forecasts, but are considered useful for longer-range notification. Watch forecasts are based primarily on space and ground-based solar observations as well as modelling predictions.", "Warnings: Warnings of geomagnetic storms are issued when estimated K-indices of K = 4 or higher are expected; they are generally issued 20 to 40 minutes in advance and are based on real- time observations of the solar wind conditions affecting earth. SWPC considers Warning notices as more reliable than Watch forecasts in terms of measuring storm intensity and timing. -index to determine the G-scale level (G1 through G5), in which \u201cK= 5\u201d corresponds to \u201cG1\u201d and \u201cK= 9\u201d corresponds to \u201cG5.\u201d A K of 0 to 4 is below storm levels and is labeled as \u201cG0.\u201d For purposes of consistency, we use the K- index in this report.", "Alerts: Alerts are near real-time indications that a specific storm threshold\u2014K = 4 or above\u2014is reached; they are based on SWPC\u2019s minute-by-minute estimate of GMD activity. Alerts are derived from ground-based magnetometer observations from eight locations around the world.", "According to SWPC, Watches, Warnings, and Alerts are to be issued as activity occurs and therefore can be issued very frequently during high- activity intervals and not at all during quiet periods. SWPC issues these notifications when storm levels reach a specific estimated K level. Table 1 shows the estimated K-indices that trigger each SWPC notification product as well as the estimated impacts to the electrical power system."], "subsections": []}, {"section_title": "Appendix III: North American Electric Reliability Corporation (NERC) Geomagnetic Disturbance (GMD) Reliability Standards", "paragraphs": ["In May 2013, the Federal Energy Regulatory Commission (FERC) directed NERC to develop reliability standards requiring electricity suppliers to address the potential impact of GMD on the reliable operation of the U.S. bulk power system. In June 2014, FERC approved standard EOP-010-1, submitted by NERC, requiring that certain suppliers prepare for the effects of GMD events by developing contingency operating plans, procedures, and processes. FERC approved a second standard\u2014TPL- 007-1\u2014in September 2016, also submitted by NERC, requiring certain suppliers to assess the vulnerability of their transmission systems to GMD events; suppliers that do not meet certain performance requirements must develop a plan to achieve the performance requirements. Table 2 summarizes the specific requirements in NERC\u2019s stage 1\u2014EOP-010-1\u2014 and stage 2\u2014TPL-007-1\u2014standards, the electricity industry entities responsible for them, and their effective dates for the requirements."], "subsections": []}, {"section_title": "Appendix IV: Select Government and Industry Studies on Electromagnetic Events", "paragraphs": ["An electromagnetic event can result from a naturally occurring, large- scale geomagnetic disturbance (GMD), caused by severe solar weather, or from human-made sources, such as the high-altitude detonation of a nuclear device to create a high-altitude electromagnetic pulse (HEMP). Table 3 provides details on a select number of geomagnetic-related studies performed since 2010 with respect to their objectives, findings, and recommendations. These studies include details on (1) areas of vulnerability for the grid with respect to GMD events, (2) potential impact on the grid from these events, (3) possible mitigation measures, and (4) areas needing further research. For example, as shown in the table, the North American Electric Reliability Corporation\u2019s (NERC) and the Department of Energy\u2019s (DOE) June 2010 report included a plan to form a task force of government and industry efforts to examine GMD. This resulted in the formation of the NERC GMD Task Force, consisting of government, industry, and academic experts, to examine the GMD threat to the nation\u2019s power grid. The task force\u2019s work in evaluating the potential impact of GMD events resulted in NERC\u2019s subsequent February 2012 report (also shown in table 3) which outlines its plans for working with industry on new reliability standards for GMD events, among other things. As a result of this work, and as directed by the Federal Energy Regulatory Commission (FERC), NERC developed the EOP-010-1 and TPL-007-1 GMD reliability standards. Also as a result of this work, NERC issued a GMD Planning Guide for electricity suppliers, which assists the suppliers in carrying out studies to assess the effects of GMD on their individual networks.", "Table 4 provides details on a select number of unclassified HEMP-related studies performed since 2010 with respect to their objectives, findings, and recommendations. These studies include details on (1) areas of vulnerability for the grid with respect to HEMP events, (2) potential impact on the grid from these events with respect to all three HEMP pulses (E1, E2, and E3), (3) possible mitigation measures, and (4) areas needing further research."], "subsections": []}, {"section_title": "Appendix V: Details on the U.S. Department of Energy\u2019s (DOE) Electromagnetic Pulse (EMP) Resilience Action Plan", "paragraphs": ["DOE\u2019s EMP Action Plan (DOE Action Plan), issued January 2017, describes 19 actions to be taken by September 30, 2021, to enhance the resilience of the electric power grid to high-altitude electromagnetic pulse (HEMP) effects. DOE stated that its Action Plan considers the over 90 recommendations made in the 2008 Commission to Assess the Threat of the United States from Electromagnetic Pulse (EMP) Attack (EMP Commission) report and at least partially addresses 10 of the 15 recommendations directly related to the electric power system made by the EMP Commission in their report. See table 5 for these 10 EMP Commission recommendations from 2008 and corresponding components of DOE\u2019s 2017 Action Plan.", "As of November 2017, based on our review of implementation dates for specific actions in DOE\u2019s plan, the agency had yet to complete 15 of the 19 actions detailed in the Action Plan but had initiated efforts under the plan to identify gaps in HEMP knowledge and coordinate government and industry information sharing with the electricity sector and other critical industry sectors. Future work DOE expects to address under the plan will include (1) evaluating existing models used to estimate EMP impacts to the grid, (2) the adequacy of backup power generation in the wake of an EMP event, (3) establishing a national capability for conducting EMP testing of existing grid components, (4) identifying and evaluating mitigation and protection measures for various grid components, and (5) assessing the feasibility of testing different hardening techniques for substations for EMP scenarios. The DOE Action Plan includes deliverables and due dates for the 19 action items detailed in the plan which, according to DOE, are subject to the availability of necessary funding. See table 6 for details on these deliverables, and associated dates, for each action item."], "subsections": []}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, Jon Ludwigson (Acting Director), Ben Atwater (Assistant Director), and Barbara Guffy (Analyst-in- Charge) managed this assignment. Frederick K. Childers, Jonathan Felbinger, Daniel Friess, Alexandra D. Gebhard, Michael Harmond, Eric Hauswirth, Richard Hung, Miles Ingram, and Heidi Nielson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Under some circumstances, a severe solar storm or high-altitude nuclear blast could damage the U.S. electric grid and potentially cause extensive outages.", "New standards require some electricity suppliers to assess their vulnerability to extreme solar storms. We reviewed industry actions to reduce risks from extreme solar storms and high-altitude nuclear blasts.", "Government and industry experts generally knew more about solar than nuclear risks, and agreed on a need for more research. All but 2 of the 13 electricity suppliers we contacted had assessed their systems' vulnerability to solar storms and most expected impacts to be relatively small."]} {"id": "GAO-18-96", "url": "https://www.gao.gov/products/GAO-18-96", "title": "Federal Aviation Administration: Stakeholders' Perspectives on Potentially Moving the Office of Commercial Space Transportation", "published_date": "2017-10-05T00:00:00", "released_date": "2017-10-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Office of Commercial Space Transportation, which regulates and promotes the U.S. commercial space launch industry, was established in 1984 within the Office of the Secretary of Transportation and transferred to FAA in 1995. In 2015, GAO reported that the Office of Commercial Space Transportation faced challenges associated with the growth of the commercial space launch industry such as licensing more launches. To help meet these and other challenges such as updating regulations, some industry stakeholders and others suggested that the Office of Commercial Space Transportation should be moved back to the Office of the Secretary of Transportation.", "GAO was asked to review issues regarding transferring the Office of Commercial Space Transportation from FAA to the Office of the Secretary of Transportation. This report addresses: (1) selected stakeholders' and officials' perspectives on transferring the Office of Commercial Space Transportation from FAA to the Office of the Secretary of Transportation, (2) what steps would be required to make this transfer, and (3) key practices and considerations GAO has previously identified for organizational changes that could be instructive for such a transfer. GAO interviewed industry stakeholders and FAA and DOT officials, reviewed the steps taken during the office's 1995 transfer, and reviewed prior reports on key practices and questions to consider regarding organizational changes.", "GAO is making no recommendations in this report."]}, {"section_title": "What GAO Found", "paragraphs": ["Representatives from commercial space launch companies and spaceports GAO interviewed described advantages and disadvantages of moving the Office of Commercial Space Transportation to the Office of the Secretary of Transportation, but most of them favored moving the office. Conversely, most Federal Aviation Administration (FAA) officials GAO interviewed did not favor the idea. A senior official in the Office of Commercial Space Transportation said that there are advantages and disadvantages to moving the office and that whether such an action would be beneficial depends on the implementation details and the administration's preferences. Officials from the Office of the Secretary of Transportation said they currently do not have plans to move the office. Stakeholders' and officials' perspectives are based on what they perceive could occur as a result of a move, for example:", "Communication and coordination: Department of Transportation (DOT) officials said that a possible advantage of moving the office would be having a unified point of contact for the industry in communicating about commercial space launch issues, while FAA officials said that moving the office could make it more difficult for FAA offices to coordinate on commercial space activities.", "Regulations: Some stakeholders said that moving the office could help accelerate the pace of commercial space regulatory reform, but DOT officials said that moving the office would not necessarily do so.", "Resources: According to some stakeholders and a senior official in the Office of Commercial Space Transportation, moving the office out of FAA could give commercial space launch issues a higher profile and more resources because FAA is focused on aviation as opposed to commercial space. However, officials from the Office of the Secretary of Transportation said that it is uncertain whether the office would receive more resources if it were moved to the Secretary's office.", "The Secretary of Transportation could move all or part of the office through a delegation of responsibilities for commercial space, as was the case in the prior move in 1995. If the office were moved, other necessary steps would include addressing the differences in pay scales between FAA and the Office of the Secretary of Transportation, obtaining support services and office space, and establishing new coordination and communication processes and procedures.", "GAO's prior work has identified key practices and questions for consideration when evaluating proposals for or implementing organizational changes such as a consolidation or merger. These key practices include: (1) focusing on a key set of principles and priorities at the outset of the transformation, (2) setting implementation goals and a timeline to build momentum and show progress, and (3) establishing a communication plan. Questions to consider when evaluating consolidation proposals include (1) What are the goals of the consolidation? and (2) What will be the likely costs and benefits of the consolidation?"]}], "report": [{"section_title": "Letter", "paragraphs": ["The Office of Commercial Space Transportation, which regulates and promotes the U.S. commercial space launch industry, was established in 1984 within the Office of the Secretary of Transportation and transferred to the Federal Aviation Administration (FAA) in 1995. In 2015, we reported that the Office of Commercial Space Transportation faced challenges associated with the growth of the commercial space launch industry, including licensing more launches as well as new types of vehicles and technologies, licensing more and complex launch sites, and responding to emerging business plans. To help meet these and other challenges such as updating regulations, some industry stakeholders and others have suggested that the Office of Commercial Space Transportation should be moved back to the Office of the Secretary of Transportation.", "You requested that we review issues regarding transferring the Office of Commercial Space Transportation from FAA to the Office of the Secretary of Transportation. This report addresses: (1) selected stakeholders\u2019 and officials\u2019 perspectives on transferring the Office of Commercial Space Transportation from FAA to the Office of the Secretary of Transportation, (2) what steps would be required to make this transfer, and (3) key practices and considerations we have identified for organizational changes that could be instructive for such a transfer.", "To obtain selected stakeholders\u2019 perspectives on transferring the Office of Commercial Space Transportation from FAA to the Office of the Secretary of Transportation, we interviewed representatives from four selected commercial space launch companies that have conducted launches and other activities under a permit within the last 5 years in the United States and that represent different sectors of the industry such as orbital launches and space tourism. In addition to these companies and to obtain the perspectives of companies that have different types of licenses and are in different stages of the licensing process, we also interviewed representatives from (1) a company that indicated it is working with FAA on a launch license application, (2) a licensed spaceport, and (3) an airport in the launch site licensing process. Furthermore, to obtain the perspective of an industry association that represents a range of commercial space companies\u2014including commercial spaceflight developers, operators, and spaceports\u2014we interviewed a representative from the Commercial Spaceflight Federation, an association representing the commercial space industry. Within FAA, we interviewed officials in offices that FAA identified as being involved in commercial space transportation issues, including the Office of the Administrator, the Office of Commercial Space Transportation, the Air Traffic Organization, and the Office of Airports. We also received written answers to our questions from FAA\u2019s Office of Aviation Safety. To obtain perspectives from the Department of Transportation (DOT), we interviewed officials from the Office of the Secretary of Transportation. In addition, we interviewed a former DOT official who served in a senior position when the Office of Commercial Space Transportation was transferred to FAA in 1995. Because there is no formal plan to move the office, stakeholders\u2019 perspectives are based on what they perceive could occur as a result of a move. Moreover, whether an effect of moving the office would be an advantage or disadvantage may vary depending on a stakeholder\u2019s or official\u2019s perspective and what would actually occur from a move.", "We also reviewed available documentation, including a 1992 report prepared by the National Academy of Public Administration that included organizational options for the Office of Commercial Space Transportation and the FAA Air Traffic Organization\u2019s Roadmap for Integration of Space Operations in the National Airspace System.", "To determine what would be required to move the Office of Commercial Space Transportation from FAA back to the Office of the Secretary of Transportation, we reviewed the steps taken regarding DOT\u2019s transfer of the Office of Commercial Space Transportation from the Office of the Secretary of Transportation to FAA in 1995. In addition, we reviewed the legislative histories for the Commercial Space Act of 1984 and legislation introduced in 1994 to require the transfer of the Office of Commercial Space Transportation from DOT to FAA. We also interviewed current and former officials from the Office of the Secretary of Transportation.", "To determine what we have previously identified as key practices for successful transitions that might be instructive, we reviewed our prior reports on key practices for mergers and organizational transformations and questions to consider for consolidations. For this prior work, we developed these key merger and transformation practices by convening a forum to identify and discuss useful practices and lessons learned from major private and public sector organizational mergers, acquisitions, and transformations; interviewing knowledgeable officials; reviewing relevant literature and agency documentation; and reviewing the status of high risk issues. To identify key questions that federal agencies should consider when evaluating whether to consolidate physical infrastructure or management functions, we reviewed prior GAO work that identified and reviewed relevant literature on public sector consolidations produced by academic institutions, professional associations, think tanks, news outlets, and various other organizations, and reviewed examples of agency consolidations. This information complemented our review of GAO\u2019s extensive body of work on government reform.", "We conducted this performance audit from May 2017 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In 1984, the Commercial Space Launch Act gave DOT the authority, among other things, to license and monitor the safety of commercial space launches and to promote the industry. Executive Order 12465 designated DOT as the lead federal agency for enabling private-sector launch capability. The Office of Commercial Space Transportation and its responsibilities, which were originally within the Office of the Secretary of Transportation, were transferred to FAA in 1995.", "The U.S. commercial space launch industry has achieved several milestones since 1984. For example, in recent years SpaceX, a commercial space launch company, has successfully tested reusable elements of expendable launch vehicles and landed them back on land and on an off-shore landing vessel called a drone ship. In addition, the industry is changing with the emergence of some suborbital launch vehicles that are capable of being launched into space more than once and can enable space tourism. For example, Blue Origin has successfully launched and landed the vehicle it intends to use in the future for space tourism. By adding an expendable upper stage, suborbital vehicles can also be used to transport small satellites to orbit. Furthermore, although licensed launches historically took place at federal launch sites such as Cape Canaveral Air Force Station and the National Aeronautics and Space Administration\u2019s Kennedy Space Center, launch sites now can be private spaceports or FAA-licensed launch sites. One launch site is co-located at an airport that has scheduled commercial airline flights and other spaceports are used for general aviation. As of August 2017, there were 10 licensed launch sites in the United States.", "The Office of Commercial Space Transportation works with other FAA lines of business such as: the Air Traffic Organization on integrating licensed launches and permitted activities in the national airspace, the Office of Airports regarding airports that seek to be or already are licensed launch sites, and the Office of Aviation Safety on launch vehicles that follow aircraft rules and can be used for commercial space activities.", "In fiscal year 2017, the Office of Commercial Space Transportation had 104 full-time equivalent positions and an operations budget of $19.8 million\u2014an increase of 20 full-time equivalent positions and $2 million over fiscal year 2016. FAA has a staff of over 40,000 people and a budget of $16.4 billion in fiscal year 2017. According to the Office of Commercial Space Transportation, its workload has increased significantly in recent years, particularly regarding pre-application consultations for launch and launch site licenses.", "The Office of the Secretary of Transportation has offices that are responsible for policy, legal, and government affairs among other issues.", "In 1987, the House Appropriations Committee recommended that DOT perform a comprehensive organization and management study of the Office of Commercial Space Transportation with the objectives of eliminating duplication of activities carried out by offices within the Office of the Secretary and DOT modal administrations, and determining potential areas for streamlining operations. In 1991, DOT asked the National Academy of Public Administration to analyze and evaluate the key organizational and management issues facing the Office of Commercial Space Transportation which at that time was located in the Office of the Secretary of Transportation. The report considered organizational options for the office including establishing an independent regulatory office, merging the office into an existing operating administration such as FAA, transferring this office to bureau status in DOT, or creating a new operating administration in DOT. According to the report, three of the study\u2019s five panel members stated that they believed that the office should be removed from the Office of the Secretary of Transportation and established as an operating administration because its mission was inconsistent with the broad and cross-cutting organizations within the Secretary\u2019s Office that are focused on policy, budget, and administrative issues."], "subsections": []}, {"section_title": "Stakeholders Cited Various Perspectives on Moving the Office of Commercial Space Transportation", "paragraphs": ["Representatives from the commercial space launch companies and spaceports we spoke to described both potential advantages and disadvantages of moving the office, but most of them favored moving the office. On the other hand, most FAA officials we interviewed did not favor the idea. A senior official in the Office of Commercial Space Transportation said that there are advantages and disadvantages to moving the office and that whether such an action would be beneficial depended on the implementation details and the administration\u2019s preferences. Officials from the Office of the Secretary of Transportation said they currently do not have plans to move the office. Stakeholders and officials provided perspectives on what they believe might result from a move including discussions regarding communicating with the industry and coordinating within FAA, program operations, updating regulations, and obtaining resources for the office, and other issues."], "subsections": [{"section_title": "Stakeholder Perspectives on Advantages and Disadvantages of a Move", "paragraphs": [], "subsections": [{"section_title": "Communication and Coordination", "paragraphs": ["Officials in the Office of the Secretary of Transportation said a possible advantage of moving all or part of the office would be having a unified point of contact for communicating with the industry on commercial space launch issues. Representatives from a commercial space launch company also said that rather than working with various FAA offices, they would like there to be a \u201cone-stop shop\u201d for commercial space launch issues and a senior official in the Office of Commercial Space Transportation indicated the office\u2019s original purpose was to fulfill that role. Some company representatives further explained that although they generally work with the Office of Commercial Space Transportation on licensing issues and with the Air Traffic Organization on airspace access, in some cases, the lines of responsibility between the two offices are not clearly defined. Furthermore, a spaceport official said that in addition to working with the Office of Commercial Space Transportation he also needs to work with FAA\u2019s Office of Airports, which reviews the effects of spaceports on airports, among other responsibilities.", "In discussing these issues with the senior official involved in the Air Traffic Organization\u2019s emerging technologies integration efforts, the official said that although there is overlap and a need for more communication between the Office of Commercial Space Transportation and the Air Traffic Organization, coordination between the two offices is improving. He also said that later this year or early next year, FAA plans to start an aviation rulemaking advisory committee that will help to determine airspace access priorities for all national airspace users. Similarly, an official from the Office of Airports said the office is developing standard operating procedures and a memorandum of understanding with the Office of Commercial Space Transportation to resolve issues. A spaceport official who has been working on a launch site operator\u2019s license application for several years confirmed that coordination among various FAA offices on commercial space launch issues has significantly improved during the last 6 months.", "Furthermore, several FAA senior officials said that moving the office could make it more difficult for FAA offices to coordinate on commercial space activities. For example, a senior official involved in the Air Traffic Organization\u2019s emerging technologies integration efforts said that although such a move may increase the visibility of the Office of Commercial Space Transportation, it would not necessarily improve airspace integration. In addition, written responses to our questions from the Office of Aviation Safety indicated that their ability to interact with the Office of Commercial Space Transportation at an internal agency level may be less cumbersome than having to go through the additional communication protocols at the level of the Office of the Secretary of Transportation. Similarly, officials from the Office of Airports indicated that coordinating airspace review is an inherently FAA function that uses the experience and knowledge of subject matter experts located within the FAA, and that moving the commercial space office to the Office of the Secretary of Transportation could affect the efficiency of these reviews. Officials from the Office of the Secretary of Transportation also said that even if the commercial space transportation office were moved to their office, they would still need to work with FAA on airspace access issues and that they would not necessarily favor the industry regarding airspace issues.", "Moreover, FAA officials we interviewed said they are working on improving commercial space coordination through various working groups, particularly through the Commercial Space Transportation Executive Working Group that was formed earlier this year to coordinate on commercial space issues. This group is chaired by the official directing commercial space integration in the Office of Commercial Space Transportation and is comprised of executives from across the agency, including the Air Traffic Organization, the Office of Airports, and the Office of Aviation Safety. According to the group\u2019s chairman, this group was formed to formalize coordination on commercial space launch issues across the agency because there was confusion among commercial space stakeholders and across the agency, and commercial space launch companies were hearing different things from different FAA lines of business. The group\u2019s chairman said that the Executive Working Group reports to FAA\u2019s New Entrants Board, a group formed to provide status updates on activities and events as well as decide how to move forward on specific initiatives associated with new entrants to the airspace such as drones and commercial space launch vehicles and is comprised of the principal leaders of FAA lines of business working on these issues. An FAA senior official told us that he believes commercial space coordination issues will be resolved as launches become more routine. In addition, the Air Traffic Organization has formed an Emerging Technologies Integration Office to focus on integrating commercial space operations and unmanned aircraft system activities within the national airspace system. A senior official in that office said that for decades, the Air Traffic Organization was focused on airplanes and that any deviation in airplane flow was viewed as an impediment, but that his office\u2019s goal is to shift the understanding within the organization from an airplane-only focus to the idea that several types of vehicles can use the national airspace system."], "subsections": []}, {"section_title": "Program Operations", "paragraphs": ["A representative from one commercial space launch company said that an advantage of moving the Office of Commercial Space Transportation and thereby making space transportation its own mode, is that it could facilitate a more \u201clevel playing field\u201d for space activities operating in and through the national airspace system. The representative noted that the Air Traffic Organization is a much larger office than the Office of Commercial Space Transportation and is focused on aviation safety which is regulated differently than space activities. As a result, the representative said that companies perceive an unequal playing field between these two offices and the risk of negative effects if aviation standards are imposed on space, including airspace closures during launch and reentry. According to the representative, because of the Air Traffic Organization\u2019s lack of familiarity with space launch operations and the mechanics of placing a spacecraft into orbit or on a trajectory to another celestial body, the office has suggested launch times be limited to certain times of day and certain days of the month as dictated by the amount of air traffic. The representative said that the Air Traffic Organization\u2019s proposed approach is \u201cuntenable\u201d for commercial space launches because launch times are dictated by orbital mechanics and that the Air Traffic Organization has imposed airspace restrictions during the holidays that have required launches to be rescheduled. A representative from another commercial space launch company said that an unequal playing field between these two offices results in the Office of Commercial Space Transportation not having the practical authority commensurate with its responsibility. According to this representative, the impact of this mismatch results in confusion over authority and negatively affects when commercial space companies are able to launch as well as excessive time and volume of airspace closed during a launch. A representative from a third company said that there are multiple variables to consider about moving the office. The representative said that while moving the Office of Commercial Space Transportation to the Office of the Secretary of Transportation would provide it with much more visibility, the office may still be at a disadvantage when it disagrees with larger offices in the FAA. In addition, the representative said that most launch companies would still have to work with FAA on air traffic control issues as well as hybrid vehicles and experimental aircraft licenses. Moreover, a representative from the Commercial Spaceflight Federation said that although the association does not have a consensus position on moving the Office of Commercial Space Transportation, its members are concerned that the Air Traffic Organization is attempting to treat the rapidly developing area of commercial space similarly to how it treats the mature commercial aviation industry.", "In response to these comments, an Air Traffic Organization official told us that the airspace is restricted to commercial space launches for about 15 days per year during the holidays because a launch can affect hundreds of flights and that they prefer that launches occur when there are fewer effects on the national airspace system, for example, at night. However, an official said that the Air Traffic Organization has only denied one launch request over the last 5 years. An Air Traffic Organization official also said that they do not regulate the commercial space launch industry and focus on providing safe access to the airspace by all users of the national airspace system. In addition, an official involved with commercial space integration in the Office of Commercial Space Transportation and a spaceport representative told us they expect that technology will allow for more efficient use of the national airspace in the future by reducing the amount of time that the airspace will need to be shut down for launches."], "subsections": []}, {"section_title": "Regulations", "paragraphs": ["Some stakeholders said that moving the Office of Commercial Space Transportation could help accelerate the pace of updating regulations to reflect new technology, which they said was proceeding too slowly. A senior official in the Office of Commercial Space Transportation said that instead of competing with other FAA offices for rulemaking approval within the agency, moving the Office of Commercial Space Transportation to the Office of the Secretary might give the commercial space office a higher priority with regard to rulemaking. However, officials from the Office of the Secretary of Transportation also said that the regulatory rulemakings are not allocated by office but are set according to the priorities of each administration, so moving the office would not necessarily affect regulatory reform efforts."], "subsections": []}, {"section_title": "Resources", "paragraphs": ["According to some stakeholders and a senior official in the Office of Commercial Space Transportation, moving the office out of FAA could give commercial space launch issues a higher profile and more resources because FAA is focused on aviation as opposed to commercial space. One stakeholder also said moving the office out of FAA would make the office a priority as an independent organization within DOT. Furthermore, a senior official in the Office of Commercial Space Transportation said that the office has reached the limits of what it can accomplish with existing resources, policies, and authorities, and that moving the office could enable industry growth. In addition, a company representative said that the primary possible advantage of moving the office would be to have an Assistant Secretary for Commercial Space Transportation who would be in a leadership position to represent the growing industry directly to the Secretary of Transportation. However, officials from the Office of the Secretary of Transportation said that it is uncertain whether the Office of Commercial Space Transportation would receive more resources if it were moved to the Secretary\u2019s office. In addition, some stakeholders said that if moved, the office would have to pay for support services that are currently available within FAA, such as legal, regulatory, human resources, and administrative support."], "subsections": []}]}, {"section_title": "Other Issues Noted by Stakeholders and Officials", "paragraphs": ["A commercial space launch company representative suggested that the Office of Commercial Space Transportation\u2019s promotional responsibilities should be separate from its regulatory responsibilities to avoid even the appearance of a conflict of interest between regulating safety and promoting a company interest, but did not suggest that its promotional responsibilities had affected safety. In addition, a senior FAA official said that it would make sense to move the Office of Commercial Space Transportation\u2019s promotion duties out of FAA because of an inherent conflict with the office being both a promoter and a regulator. Officials from the Office of the Secretary said transferring the policy and promotion aspects of the Office of Commercial Space Transportation\u2019s work to the Secretary\u2019s office, but not the launch licensing responsibilities, is one of various options regarding the office but that they have not advanced a specific proposal. A senior official in the Office of Commercial Space Transportation said there is no specific office within the Office of Commercial Space Transportation that promotes the industry and that the office\u2019s promotional functions are part of its overall responsibilities, so moving only the promotional responsibilities would not be feasible.", "A former DOT official who served in a senior position when the Office of Commercial Space Transportation was transferred to FAA in 1995 noted that one reason the office was moved was because of the belief that the Office of the Secretary of Transportation should not be involved in programmatic activities that belong in the operating agencies. However, in 2014, Congress moved a programmatic office, the Research and Innovative Technology Administration (RITA), to the Office of the Secretary of Transportation. This former DOT official also said that the Office of Commercial Space Transportation would benefit from the technological and engineering support available within FAA.", "Finally, representatives from commercial space launch companies and an FAA official had different perspectives on whether the Office of Commercial Space Transportation would or should be its own modal agency within DOT or part of the Office of the Secretary of Transportation. For example, a company representative who favored moving the office said that commercial space could easily be considered its own transportation mode and not as part of aviation. Another company\u2019s representative expected that the Office of Commercial Space Transportation, if it were moved out of FAA, would start out as its own modal agency. A third stakeholder suggested that eventually space transportation will become its own independent mode of transportation such as air, sea, rail, and roads and that moving the Office of Commercial Space Transportation out of the FAA is an inevitable first step in that direction. A senior official from the Office of Commercial Space Transportation said that moving the Office of Commercial Space Transportation would be a step toward considering commercial space transportation as a mode similar to rail or highway transportation."], "subsections": []}]}, {"section_title": "Steps Can Be Taken through DOT\u2019s Rulemaking Process to Move the Office of Commercial Space Transportation", "paragraphs": ["All or part of the Office of Commercial Space Transportation can be transferred back to the Secretary\u2019s office through a rulemaking process as was used in 1995 to amend the existing DOT delegation regulation. This process, which does not require congressional approval, was used when the Secretary of Transportation delegated the office\u2019s responsibilities from DOT to FAA in 1995. FAA officials and the former Deputy Secretary of Transportation said moving the Office of Commercial Space Transportation from the Office of the Secretary of Transportation to FAA in 1995 was a \u201cseamless\u201d process. FAA and DOT officials said the following steps would need to be taken to move the office:", "Equivalent salaries would need to be determined for employees who are transferring because FAA and DOT have different pay scales.", "Legal, human capital, and administrative support currently provided by FAA would need to be obtained from DOT.", "New physical space for the office would likely need to be obtained, as FAA and the Office of the Secretary of Transportation are in different buildings.", "New processes and procedures for coordination and communication would need to be established."], "subsections": []}, {"section_title": "Key Practices and Considerations for Organizational Changes", "paragraphs": ["Our prior work has identified key practices and questions for consideration when evaluating proposals for or implementing organizational changes such as a consolidation or merger. We have previously found that implementing large-scale change management initiatives, such as mergers and organizational transformations, are not simple endeavors and require the concentrated efforts of both leadership and employees to realize intended synergies and to accomplish new organizational goals. We have found that mergers and transformations that incorporate strategic human capital management approaches will help to sustain agency efforts and improve the efficiency, effectiveness, and accountability of the federal government. These key merger and transformation practices include focusing on a key set of principles and priorities at the outset of the transformation, setting implementation goals and a timeline to build momentum and show progress, and establishing a communication plan. Questions to consider when evaluating consolidation proposals include (1) What are the goals of the consolidation? and (2) What will be the likely costs and benefits of the consolidation?", "Based on these key practices and considerations, DOT and FAA, for example, would need to determine the purpose of moving the Office of Commercial Space Transportation and the costs and benefits of such a move. Furthermore, to ensure employee and management support, DOT and FAA would need to obtain the buy-in of various FAA offices involved in commercial space launch issues such as the Air Traffic Organization. In addition, to assess the costs of the transformation, DOT and FAA would need to determine the costs of any additional support that would be needed by moving to the Office of the Secretary such as legal and administrative support. Moreover, DOT could consider the risk of unintended consequences of moving the office such as incurring additional costs. In addition, a spaceport representative told us that he is more concerned about the execution of moving the office than its placement. The representative said that although conceptually moving the office to the Office of the Secretary of Transportation could bring it more visibility and resources, the move would be futile if it is executed poorly. Therefore, if a decision were made to move the office, an implementation plan would be needed, consistent with our key mergers and transformation practices. Implementing a large-scale organizational transformation requires the concentrated efforts of both leadership and employees to accomplish new organizational goals. Agencies should have an implementation plan that includes essential change-management practices such as active, engaged leadership of executives at the highest possible levels; a dedicated implementation team that can be held accountable for a strategy for capturing best practices, measuring progress toward the established goals of the consolidation, retaining key talent, and assessing and mitigating risk, among others.", "Table 1 of appendix I lists the key practices and implementation steps that we have previously identified for mergers and organizational transformations. Table 2 of appendix I provides the key questions we have identified for evaluating proposals to consolidate physical infrastructure and management functions. Although moving the office does not involve a consolidation, we believe that many of these questions would apply to other organizational changes such as an office move."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT for review and comment. DOT provided technical comments via email which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of Transportation, the Administrator of the Federal Aviation Administration, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions concerning this report, please contact me at (202) 512-2834 or dillinghamg@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Key Practices for Mergers and Organizational Transformations and Questions to Consider for Consolidations", "paragraphs": ["Appendix I: Key Practices for Mergers and Organizational Transformations and Questions to Consider for Consolidations Key Questions What are the goals of the consolidation? What opportunities will be addressed through the consolidation and what problems will be solved? What problems, if any, will be created?", "What will be the likely costs and benefits of the consolidation? Are sufficiently reliable data available to support a business-case analysis or cost-benefit analysis?", "How can the up-front costs associated with the consolidation be funded?", "Who are the consolidation stakeholders, and how will they be affected? How have the stakeholders been involved in the decision, and how have their views been considered? On balance, do stakeholders understand the rationale for consolidation?", "To what extent do plans show that change-management practices will be used to implement the consolidation? (Please see table 1 for the key merger and transformation practices.)"], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cathy Colwell (Assistant Director); Bob Homan (Analyst-in-Charge); Maureen Luna-Long; Dave Hooper; SaraAnn Moessbauer; and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-179", "url": "https://www.gao.gov/products/GAO-18-179", "title": "Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare is Needed", "published_date": "2018-01-05T00:00:00", "released_date": "2018-02-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The number of individuals receiving long term care services from Medicaid in community residential settings is expected to grow. These settings, which include assisted living facilities, provide a range of services that allow aged and disabled beneficiaries, who might otherwise require nursing home care, to remain in the community.", "State Medicaid programs and CMS, the federal agency responsible for overseeing the state programs, share responsibility for ensuring that beneficiaries' health and welfare is protected. GAO was asked to examine state and federal oversight of assisted living services in Medicaid. This report (1) describes state spending on and coverage of these services, (2) describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings, and (3) examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.", "GAO surveyed all state Medicaid agencies and interviewed officials in a nongeneralizeable sample of three states with varied oversight processes for their assisted living programs. GAO reviewed regulations and guidance, and interviewed CMS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["State Medicaid agencies in 48 states that covered assisted living services reported spending more than $10 billion (federal and state) on assisted living services in 2014. These 48 states reported covering these services for more than 330,000 beneficiaries through more than 130 different programs. Most programs were operated under Medicaid waivers that allow states to target certain populations, limit enrollment, or restrict services to certain geographic areas.", "With respect to oversight of their largest assisted living programs, state Medicaid agencies reported varied approaches to overseeing beneficiary health and welfare, particularly in how they monitored critical incidents involving beneficiaries receiving assisted living services. State Medicaid agencies are required to protect beneficiary health and welfare and operate systems to monitor for critical incidents\u2014cases of potential or actual harm to beneficiaries such as abuse, neglect, or exploitation.", "Twenty-six state Medicaid agencies could not report to GAO the number of critical incidents that occurred in assisted living facilities, citing reasons including the inability to track incidents by provider type (9 states), lack of a system to collect critical incidents (9 states), and lack of a system that could identify Medicaid beneficiaries (5 states).", "State Medicaid agencies varied in what types of critical incidents they monitored. All states identified physical, emotional, or sexual abuse as a critical incident. A number of states did not identify other incidents that may indicate potential harm or neglect such as medication errors (7 states) and unexplained death (3 states).", "State Medicaid agencies varied in whether they made information on critical incidents and other key information available to the public. Thirty-four states made critical incident information available to the public by phone, website, or in person, while another 14 states did not have such information available at all.", "Oversight of state monitoring of assisted living services by the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS), is limited by gaps in state reporting. States are required to annually report to CMS information on deficiencies affecting beneficiary health and welfare for the most common program used to provide assisted living services. However, states have latitude in what they consider a deficiency. States also must describe their systems for monitoring critical incidents, but CMS does not require states to annually report data from their systems. Under federal internal control standards, agencies should have processes to identify information needed to achieve objectives and address risk. Without clear guidance on reportable deficiencies and no requirement to report critical incidents, CMS may be unaware of problems. For example, CMS found, after an in-depth review in one selected state seeking to renew its program, that the state lacked an effective system for assuring beneficiary health and welfare, including reporting insufficient information on the number of unexpected or suspicious beneficiary deaths. The state had not reported any deficiencies in annual reports submitted to CMS in 5 prior years."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommendations to CMS include clarifying state requirements for reporting program deficiencies and requiring annual reporting of critical incidents. HHS concurred with GAO's recommendations to clarify deficiency reporting and stated that it would consider annual reporting requirements for critical incidents after completing an ongoing review."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicaid, a federal-state program for low-income and medically needy individuals, is the nation\u2019s primary payer of long-term care services for older adults and people with disabilities. Medicaid spending on long-term care is significant, representing about one quarter of Medicaid spending annually and is expected to grow with an aging population. In recent years, most states have expanded their Medicaid long-term care options to include more home and community-based services (HCBS), which may include services provided by assisted living facilities. Federal and state Medicaid spending on HCBS exceeds the amount spent on nursing home and other institutional care and, in 2015, totaled $87 billion.", "Assisted living facilities provide a residential alternative to nursing home care for individuals who prefer to live independently but need assistance to maintain their independence. They may provide residents with a variety of services to assist with activities of daily living, such as bathing and dressing. Medicaid beneficiaries receiving assisted living services include older adults and individuals with physical, developmental, or intellectual disabilities, some of whom can be particularly vulnerable to abuse, neglect, and exploitation.", "The federal government and states both have responsibilities for the health and welfare of beneficiaries receiving assisted living services and other types of HCBS covered by Medicaid. Under broad federal requirements, each state administers Medicaid under the oversight of the Centers for Medicare & Medicaid Services (CMS), an agency within the U.S. Department of Health and Human Services (HHS). States must obtain CMS approval to establish HCBS programs including those that cover assisted living services, and are then responsible for administering their approved programs, establishing policies and procedures to monitor the service providers, and safeguarding beneficiaries\u2019 health and welfare. CMS has important oversight responsibilities to ensure states are effectively administering and monitoring Medicaid HCBS programs, including those that cover assisted living services. With approval from CMS, states can provide Medicaid HCBS under one or more Medicaid authorities, including several state plan and waiver authorities. States most frequently provide assisted living services under the HCBS waiver program, which allows states to target certain populations, limit enrollment, or restrict services to certain geographic areas.", "The demand for assisted living services is expected to increase as a result of the aging of the nation\u2019s population, increased life expectancy, and increased opportunities to remain in the community for individuals with disabilities and older adults\u2014those 65 and older, generally referred to as aged individuals. Providing these services to individuals can be cost saving for the Medicaid program because the cost of nursing home care for an individual generally exceeds the cost of assisted living facility services.", "Although the federal government has comprehensive information on nursing homes providing Medicaid services, not much is known about Medicaid beneficiaries in assisted living facilities. Current information on the amount spent by Medicaid on assisted living services and number of beneficiaries receiving services provided by assisted living facilities is not available.", "In light of the expected increase in demand for assisted living services, the vulnerability of some Medicaid beneficiaries receiving these services, and limited information on the varied state programs under which they are provided, you asked us for information on Medicaid coverage of assisted living services and state and federal oversight of the health and welfare of beneficiaries receiving these services. This report 1. describes state Medicaid programs covering assisted living services, including spending, beneficiaries served, and services covered; 2. describes how state Medicaid agencies oversee the health and welfare of beneficiaries receiving assisted living services in their largest programs; and 3. examines the extent to which CMS oversees state Medicaid agencies\u2019 monitoring of the health and welfare of beneficiaries receiving assisted living services under HCBS waivers.", "To describe state Medicaid programs providing assisted living services, we administered a survey to all states and the District of Columbia (hereafter referred to as \u201cstates\u201d). As part of this survey we asked states to report information for all of their programs that provided such services in 2014. Information requested included Medicaid spending for such services in 2014, enrollment, type of beneficiaries served, services provided, and federal authority used to cover the different assisted living programs. We conducted the survey from December 2016 through March 2017, and received a response from all states. We did not independently verify the information reported by the states in the survey, but reviewed responses and followed up with state officials when reported information appeared inconsistent or needed clarification. On that basis we believe the data are reliable for the purposes of our reporting objectives.", "To describe how state Medicaid agencies oversee the health and welfare of beneficiaries receiving assisted living services, we relied on information obtained from our survey of states. Because a state may have multiple programs covering assisted living services within the state, and these programs may be overseen in different ways, we focused our work on examining states\u2019 oversight of their largest programs. In particular, we asked each state to report 2014 information only for its largest HCBS program in terms of number of aged beneficiaries receiving services provided by assisted living facilities. These results cannot be generalized to all HCBS program types within a state or nationally. Assessing whether states\u2019 oversight activities were compliant with federal requirements was not within the scope of this review.", "To examine the extent to which CMS oversees state Medicaid agencies\u2019 monitoring of the health and welfare of Medicaid beneficiaries receiving assisted living services through HCBS waiver programs, we reviewed relevant federal laws, regulations, and guidance; reviewed key documents submitted by states to CMS regarding their HCBS waiver programs; and interviewed CMS officials. We reviewed HCBS waiver programs because they are the most common type of program states use to cover assisted living services. To obtain more detailed information on CMS oversight of state monitoring, we selected a nongeneralizable sample of three states: Georgia, Nebraska, and Wisconsin. We selected these states because they were overseen by three different CMS Regional Offices and provided coverage for assisted living services to a large number of Medicaid beneficiaries using different administrative models. For these states, we reviewed documentation of CMS oversight activities, interviewed state Medicaid officials and officials in CMS\u2019s central office and the respective regional offices that have direct oversight of the states\u2019 programs and review documentation submitted by the states. We also obtained and reviewed other reports on Medicaid HCBS, including federal oversight of these services. In addition, we compared CMS\u2019s oversight process and activities to the relevant standards for internal control in the federal government.", "We conducted this performance audit from March 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal and state Medicaid spending on long-term care continues to increase; for example it increased from $146 billion in 2013 to $158 billion in 2015. Individuals seeking long-term care generally need care that is, by definition, longer term in nature and more costly than other types of care. Spending on long-term care services provided in home and community settings, including assisted living facilities, exceeds the amount spent on institutional settings such as nursing homes. State Medicaid programs may cover certain medical and non-medical services that assisted living facilities provide; however, the Medicaid statute does not provide for coverage of room and board charges of an assisted living facility.", "In their federal-state partnership, both CMS and states play important roles in the oversight of Medicaid. CMS is responsible for oversight of state Medicaid programs. To conduct this oversight, CMS issues program requirements in the form of regulations and guidance, approves changes states make to their programs, provides technical assistance to states, collects and reviews required information and data from states and, in some cases, reviews individual state programs. States are responsible for the day-to-day administration of their Medicaid programs, including monitoring and oversight of the different HCBS programs through which they cover assisted living services, within broad federal rules and requirements. Each state is required to identify and designate a single state agency to administer or supervise the administration of its Medicaid program. The state Medicaid agency may partially or fully delegate the administration and oversight of the state\u2019s HCBS programs to another state agency or other entity, such as a state unit on aging, a mental health department, or other state departments or agencies with jurisdiction over a specific population or service. However, the state Medicaid agency is ultimately accountable to the federal government for compliance with the HCBS requirements.", "Under different authorizing provisions of federal law, states have considerable flexibility to establish multiple HCBS programs including those covering assisted living services. A state Medicaid program can have multiple HCBS programs operating under different federal authorities. CMS is responsible for ensuring that states meet the requirements associated with their HCBS programs under these different authorities.", "Key to states\u2019 monitoring of the health and welfare of Medicaid beneficiaries is their tracking of, and response to, incidents that may cause harm to a beneficiary\u2019s health or welfare, such as abuse, neglect, or exploitation\u2014commonly referred to as critical incidents. Such monitoring is required for most HCBS programs; however, we previously found that requirements for states related to oversight of the health and welfare of beneficiaries in different types of HCBS programs varied, and recommended that CMS take steps to harmonize those requirements across programs.", "The most common HCBS programs with the most stringent federal requirements are HCBS waiver programs. These programs serve beneficiaries who are eligible for an institutional level of care; that is, beneficiaries must have needs that rise to the level of care usually provided in a nursing facility, hospital, or other institution. CMS oversees states\u2019 HCBS waiver programs specifically by reviewing and approving applications and reviewing HCBS program reports that states submit. HCBS waiver program applications include specific requirements implementing various statutory and regulatory provisions. (See text box below.) One requirement is that states have the necessary safeguards in place to protect the health and welfare of beneficiaries receiving services covered by HCBS waiver programs. For each of their HCBS waiver programs, states must demonstrate to CMS that they are meeting various requirements CMS has established regarding beneficiary health and welfare.", "The Six Requirements States Must Demonstrate for Home- and Community-Based Services Waiver Programs 1. Administrative authority: The Medicaid agency retains ultimate administrative authority and responsibility for the operation of the waiver program by exercising oversight of the performance of waiver functions by other state and local/regional non-state agencies (if appropriate) and contracted entities. 2. Level of care: The state demonstrates that it implements the processes and instrument(s) specified in its approved waiver for evaluating/re-evaluating an applicant\u2019s/waiver participant\u2019s level of care consistent with care provided in a hospital, nursing facility, or intermediate care facility. 3. Qualified providers: The state demonstrates that it has designed and implemented an adequate system for assuring that all waiver services are provided by qualified providers. 4. Service plan: The state demonstrates it has designed and implemented an effective system for reviewing the adequacy of service plans for the waiver participants. 5. Health and welfare: The state demonstrates it has designed and implemented an effective system for assuring waiver participant health and welfare. 6. Financial accountability: The state must demonstrate that it has designed and implemented an adequate system for insuring financial accountability of the waiver program.", "CMS also provides ongoing oversight of state HCBS programs through annual reports that states must submit for each of their HCBS waiver programs as well as renewal reports submitted about two years before an HCBS waiver is scheduled to end. The state reports are intended to provide CMS with information on the operation of state HCBS waiver programs.", "In contrast to long-term care services provided in nursing facilities, less is known at the federal level about the oversight and quality of care in assisted living facilities. Generally, states establish their own licensing and oversight requirements for assisted living facilities. As a result, the requirements for assisted living facilities and the type and frequency of oversight can vary across states.", "In contrast, nursing homes must meet a comprehensive set of federal requirements in order to receive payment for long-term care services for Medicaid and Medicare beneficiaries in addition to state requirements. CMS contracts with state entities to regularly inspect nursing facilities and investigate complaints to assess whether nursing homes meet these federal quality requirements. Annually CMS publishes a comprehensive report on nursing homes that serve Medicaid and Medicare beneficiaries, including the extent that beneficiaries are at risk for harm, based on these investigations and inspections. In addition, CMS publicly reports a summary of each nursing home\u2019s quality data using a five-star quality rating based on health inspection results, staffing data, and quality measure data. The goal of this rating system is to help consumers make meaningful distinctions among high- and low-performing nursing homes.", "This type of standardized framework for oversight, investigation and inspections, and reporting on quality of care concerns does not exist for assisted living facilities and other types of HCBS providers."], "subsections": []}, {"section_title": "States Reported Spending $10 Billion on More than 130 Programs Covering Assisted Living Services in 2014", "paragraphs": [], "subsections": [{"section_title": "Forty-Eight States Reported Spending $10 Billion on Assisted Living Services for More than 330,000 Medicaid Beneficiaries in 2014; Spending per Beneficiary Varied Widely by State", "paragraphs": ["Forty-eight state Medicaid agencies reported collectively spending about $10 billion in state and federal Medicaid funds for assisted living services in 2014, according to our survey. The other 3 states reported that they did not pay for assisted living services. We estimate that this spending for services provided by assisted living facilities represents 12.4 percent of the $80.6 billion Medicaid spent on HCBS in all settings that year. More than 330,000 Medicaid beneficiaries received assisted living services, based on data reported to us by the 48 states.", "Nationally, the average spending per beneficiary on assisted living services in the 48 states in 2014 was about $30,000; states provided these HCBS services through fee-for-service and managed care delivery models. Fee-for-service spending comprised 81 percent of total spending on assisted living services and managed care spending was about 19 percent of the total. The cost per beneficiary reported by surveyed states also varied based on payment type; average per beneficiary cost was $31,000 for fee-for-service and $27,000 for managed care. About 21 percent of Medicaid assisted living enrollment was for beneficiaries receiving these services under a managed care delivery model. (See table 1.)", "Average per-beneficiary spending varied significantly across the states. For example, for the nine states with the lowest spending per beneficiary, average Medicaid spending ranged from about $1,700 to about $9,500 per beneficiary. In contrast, in the nine states with the highest per- beneficiary spending, the average spending ranged from about $43,000 to $108,000 per beneficiary. (See Figure 1.) For more information on each state\u2019s enrollment, total spending, and average per beneficiary spending on assisted living services, see appendix I."], "subsections": []}, {"section_title": "Forty-Eight States Administered More than 130 Programs That Covered Assisted Living Services, Mainly under HCBS Waiver Authority", "paragraphs": ["The 48 states that reported covering assisted living services in 2014 said they did so through 132 different programs. The majority of the states, 31 of the 48, reported administering more than one program that covered assisted living services. As illustrated in table 2 below, of the different types of HCBS programs under which states can provide coverage for assisted living services, HCBS waivers were the most common type of program they used. Specifically, 39 states and 69 percent of the programs that provided assisted living services, were operated under the HCBS waiver program. (See appendix II for additional details on each state\u2019s number of programs by program type and total number of HCBS programs that covered assisted living facility services in 2014.)"], "subsections": []}, {"section_title": "States Reported Offering Assisted Living Services to Certain Aged and Disabled Beneficiaries, and Most Reported Covering Common Services", "paragraphs": ["Almost all of the 48 states that covered assisted living services did so for two groups of Medicaid beneficiaries eligible through their programs. In 45 of 48 states, aged beneficiaries received services provided by assisted living facilities. Similarly, in 43 of 48 states, physically disabled beneficiaries received services. (See Figure 2.)", "In 38 or more of the 48 states that covered assisted living services, six types of services were provided. For example, 45 states covered assistance with activities of daily living, such as bathing and dressing; 44 states covered medication administration; and 41 states covered coordination of meals. (See Figure 3.)"], "subsections": []}]}, {"section_title": "State Approaches for Overseeing Health and Welfare of Beneficiaries in Assisted Living Services Varied, Including Monitoring Incidents of Beneficiary Harm", "paragraphs": [], "subsections": [{"section_title": "Oversight by State Medicaid Agencies Varied in the Functions Delegated to Other Agencies, the Information Used, and the Actions Taken to Correct Any Identified Problems", "paragraphs": ["State Medicaid agency approaches for oversight of assisted living services varied widely in terms of who provided the oversight for their largest programs, according to their responses to our survey. Thirteen of the 48 state Medicaid agencies reported delegating administrative responsibilities, including oversight of beneficiary health and welfare, to other state or local agencies. State Medicaid agencies may delegate the administration of programs to government or other agencies through a written agreement; however, state Medicaid agencies retain the ultimate oversight responsibility for those delegated functions. For example, among the 13 states that delegated HCBS program administration, the administering agencies were those that provided services to the aged, disabled, or both of these populations, such as the states\u2019 Departments of Aging. (See text box, below, for examples of states\u2019 delegation.)", "Examples of State Medicaid Agencies\u2019 Delegation of Authority for Administration of Home- and Community-based Services\u2019 Programs Covering Assisted Living Services Georgia\u2019s Elderly & Disabled Waiver Program was operated in 2014 by the Georgia Department of Human Services Division of Aging Services, a separate agency of the state that was not a division/unit of the Medicaid agency. The Georgia Medicaid Agency maintained a formal interagency agreement with the Division of Aging Services which describes by function the required deliverables to support compliance and a schedule for delivery of reports.", "Nebraska\u2019s Waiver for Aged and Adults and Children with Disabilities is operated by the state Medicaid agency Division of Medicaid and Long Term Care. The majority of services are provided by independent contractors in order to allow service delivery in the rural and frontier areas of the state. The state Medicaid agency contracts with the Area Agencies on Aging, Independent Living Centers, and Early Development Network agencies to perform a variety of operational and administrative functions including authorizing services and monitoring the delivery of services.", "States also varied in the types of information they reported reviewing as part of the oversight of assisted living services, and the extent to which state Medicaid agencies review the information when another agency is responsible for administration. For example, other entities outside the state Medicaid agency\u2014such as the agency delegated to administer an HCBS program, or a contractor that manages provider enrollment\u2014may check to ensure a provider is allowed to deliver services to Medicaid beneficiaries; in such cases, however, the state Medicaid agency might not be aware of the results of such checks.", "As illustrated in table 3, in all 48 states the types of information generally reviewed by either the state Medicaid agency, the agency delegated administrative responsibilities, or other agencies were: critical incident reports, the HHS Office of Inspector General\u2019s list of excluded providers, patient service plans, and information on concerns about care received directly from patients, relatives, caregivers or the assisted living facility itself. In many cases, the state Medicaid agency did not review all information sources reviewed by other agencies. For example, although all critical incident reports were reviewed in the 48 states by either the state Medicaid agency, the agency delegated administrative responsibilities, or another agency; in 16 of those states, the state Medicaid agency was not involved in those reviews, according to responses to our survey. Instead, the critical incident reports were reviewed by another entity designated responsible for the HCBS program in the state or another state entity with regulatory responsibility over the assisted living facility. Such reviews, including any critical incidents found, may not have been communicated back to the state Medicaid agency, according to responses to our survey.", "State Medicaid agencies also varied in reporting the extent to which they were made aware or notified when enforcement actions were taken as a result of concerns with beneficiary care identified by other entities. Various oversight actions may be taken by the state Medicaid agency, the agency delegated to administer an HCBS program, or a state regulatory agency, such as a state agency responsible for licensing and inspecting various types of HCBS providers. When delegated agencies or other licensing agencies take corrective action, the state Medicaid agency may not be aware unless notified by the agencies taking that action. For example, in 23 states, the investigation of potential incidents related to beneficiary health and welfare was delegated to another agency but in only 6 of these states was the state Medicaid agency always notified of such an investigation based on our survey. (See table 4 and text box below.)", "Example of a Collaborative Approach to Monitoring and Ensuring Quality Care Specifically for Assisted Living Facilities In 2009, the Wisconsin Coalition for Collaborative Excellence in Assisted Living was formed to redesign the way quality is ensured and improved for individuals residing in assisted living communities. This public/private coalition utilizes a collective impact model approach that brings together the state, the industry, the consumer, and academia to identify and implement agreed upon approaches designed to improve the outcomes of individuals living in Wisconsin assisted living communities. The core of the coalition is the implementation of an association developed, department approved, comprehensive quality assurance, quality improvement program."], "subsections": []}, {"section_title": "State Medicaid Agencies Varied in How They Monitored Incidents of Potential or Actual Harm to Medicaid Beneficiaries Receiving Assisted Living Services", "paragraphs": ["For their largest HCBS programs that covered assisted living services, the 48 states varied in how they monitored \u201ccritical incidents\u201d that caused actual or potential harm to Medicaid beneficiaries in assisted living facilities. Specifically, the 48 states varied in their ability to report the number of critical incidents; how they defined incidents, and the extent to which they made information on such incidents readily available to the public.", "These states varied in whether they could provide us the number of critical incidents involving beneficiaries for their largest programs covering assisted living services, and for those that could report, the number of incidents they reported varied widely. In 26 of the 48 states the Medicaid agencies were unable to report, for their largest program covering assisted living services, the number of critical incidents that had occurred in assisted living facilities in 2014. The remaining 22 states reported a total of 22,921 critical incidents involving Medicaid beneficiaries in their largest programs covering assisted living services. The number of critical incidents reported in these states ranged from 1 to 8,900. For six of these states the number of critical incidents reported was more than 1,000, (See text box, below, for examples of selected state processes managing critical incidents.)", "Selected States\u2019 Processes for Managing Beneficiary Harm or Potential Harm in Assisted Living Facilities", "Georgia: According to state officials in 2014 there was no centralized or comprehensive system for capturing and tracking the data on actual and potential violations. State officials acknowledged the lack of a centralized system prevents the Division of Community Health from tracking the status of each problem.", "Nebraska: According to state officials, Nebraska\u2019s Adult Protective Services operates an electronic system that coordinates across state social service programs. When Adult Protective Services initiates an investigation of reported harm to an assisted living resident, the state Medicaid agency is automatically notified.", "Reasons state Medicaid agencies reported for being unable to provide us with the number of critical incidents included limitations in the data or data systems for tracking them. Nine states reported an inability to track incidents by provider type, and thus distinguish critical incidents in assisted living facilities from other providers of home and community based services. States also cited lacking a system to collect critical incidents (9 states), and that the system for reporting could not identify whether a resident was a Medicaid beneficiary (5 states). Even in the 32 states where the state Medicaid agencies reported reviewing information about critical incidents, 20 states were unable to provide the actual number of critical incidents that occurred in assisted living facilities.", "State Medicaid agencies\u2019 definitions of critical incidents also varied. As illustrated in Figure 4, all 48 states cited physical assault, emotional abuse, and sexual assault or abuse as a critical incident in their largest programs providing assisted living services in 2014. However, for other types of incidents, several states did not identify the incident as critical, including discharge and eviction from the facility (not a critical incident in 24 states), medication errors (not a critical incident in 7 states), and unauthorized use of seclusion, (not a critical incident in 6 states). For other serious incidents, a relatively small number of states did not identify the incident as critical, such as unexplained death (not a critical incident in 3 states) and missing beneficiaries (not a critical incident in 2 states). See appendix IV for a full list of the beneficiary-related incidents and the number of states that identify each as critical.", "Although half of the 48 states that cover assisted living services did not consider discharges or evictions to be critical incidents, according to state responses to our survey, 42 states offered certain protections related to involuntary discharge of Medicaid residents who live in assisted living facilities. The majority of protections consisted of a lease agreement requirement that applied to other housing contracts in the state, such as providing residents with eviction notices. Other protections included an appeals process (10 states) and a requirement for the facility to find an alternative location for the resident (10 states).", "State Medicaid agencies also varied in whether they made information on critical incidents and other key information readily available to the public. (See table 5.) Beneficiaries seeking care in an assisted living facility may want to know the number of critical incidents related to a particular facility. Through our survey we found that states differed in the availability of information related to health and welfare that was available to the public. For example, 34 of the 48 states reported that they made critical incident information available to the public by phone, website, or in person, and the remaining 14 states did not have such information available at all. Although all 48 states had information in some form on which assisted facilities accepted Medicaid beneficiaries, 8 states could not provide this information by phone and 22 states could not provide the information in person."], "subsections": []}]}, {"section_title": "CMS Has Taken Steps to Improve Oversight of the Health and Welfare of Medicaid Beneficiaries in Assisted Living and Other Community Settings, but Gaps Remain", "paragraphs": ["In recent years, CMS has taken steps to improve oversight of beneficiary health and welfare in HCBS programs by adding new HCBS waiver application requirements for state monitoring of beneficiary health and welfare. CMS requires state waiver applications to include specific requirements that implement various statutory and regulatory provisions, including a provision that states assure that they will safeguard the health and welfare of Medicaid beneficiaries. In March 2014, CMS added unexplained death to the events that states must be able to identify and address on an ongoing basis, as part of their efforts to prevent instances of abuse, neglect, and exploitation, and added four new requirements for states to protect beneficiary health and welfare. (See table 6.) In its guidance implementing the 2014 requirements, CMS noted that state associations and state representatives\u2019 work groups had agreed that \u201chealth and welfare is one of the most important assurances to track, and requires more extensive tracking to benefit the individuals receiving services, for instance by using data to prevent future incidents.\u201d As a condition for approval of their HCBS waiver applications for each of the requirements, states must identify and agree with CMS on the type of information they will collect to provide as evidence that they will meet the requirements. However, according to CMS officials, each state Medicaid agency has wide discretion over the information it will collect and report to demonstrate that it is meeting the health and welfare requirements and protecting beneficiaries.", "Although CMS added the additional requirements in 2014 for safeguarding beneficiary health and welfare, the agency generally did not change requirements for how it oversees state monitoring efforts once HCBS waivers are approved. We found a number of limitations in CMS\u2019s oversight of approved HCBS waivers that undermine the agency\u2019s ability to effectively monitor state oversight of HCBS waivers. These limitations include: unclear guidance on what states should identify and report annually related to any identified program deficiencies; lack of requirements on states to regularly provide CMS information on critical incidents; and CMS\u2019s inconsistent enforcement of the requirement that states submit annual reports.", "Unclear guidance on what states should identify and report annually related to any identified program deficiencies. Federal law requires states to provide CMS with information annually on an HCBS waiver\u2019s impact on (1) the type and amount, and cost of services provided and (2) the health and welfare of Medicaid beneficiaries receiving waiver services. CMS reporting requirements give states latitude to determine what to report as health and welfare deficiencies found through state monitoring of their HCBS programs.", "With respect to health and welfare, CMS\u2019s State Medicaid Manual directs states when preparing their annual reports to \u201ccheck the appropriate boxes regarding the impact of the waiver on the health and welfare\u201d of beneficiaries and to describe relevant information. States are required to provide a brief description of the state process for monitoring beneficiary safeguards, use check boxes to indicate that beneficiary health and welfare safeguards have been met, and identify whether deficiencies were detected during the monitoring process. If states determine that deficiencies were identified through monitoring, states are required to \u201cprovide a summary of the significant areas where deficiencies were detected\u201d and an explanation of the actions taken to address deficiencies and ensure the deficiencies do not recur.", "CMS\u2019s written instructions for completing the HCBS annual report do not provide further guidance regarding reporting of deficiencies. For example, the reporting instructions do not describe or identify 1) what states are supposed to report as deficiencies, 2) how they are to identify which deficiencies are most significant, and 3) the extent to which states need to explain the steps taken to ensure that deficiencies do not recur. The lack of clarity is inconsistent with federal internal control standards, in particular, the need for federal agencies to have processes that identify information needed to achieve objectives and address risk. Without clear instructions as to what states must report, states\u2019 annual reports may not identify deficiencies with states\u2019 HCBS waiver programs that may affect the health and welfare of beneficiaries.", "States may determine that issues or problems they identified through monitoring do not represent reportable deficiencies and therefore may not report those deficiencies to CMS, increasing the risk that problems are not elevated to CMS\u2019s attention.", "In the case of one of the selected states we reviewed, no problems were included on the annual reports submitted to CMS between 2011 and 2015. However, when CMS completed its review in the fourth year of the state\u2019s waiver\u2014 for purpose of renewing the waiver\u2014it determined the state was not assuring beneficiary health and welfare. CMS found that the information the state submitted for purpose of renewal suggested a \u201cpervasive failure\u201d by the state to assure the health and welfare of beneficiaries receiving services, including assisted living services. In particular, CMS noted the state provided insufficient information regarding the number of unexpected or suspicious beneficiary deaths. CMS concluded that the state failed to demonstrate that it has effective systems and processes for ensuring the health and welfare of beneficiaries.", "Lack of requirements on states to annually provide CMS information on critical incidents. Despite the importance of state critical incident management and reporting systems to protecting the health and welfare of beneficiaries, CMS lacks written requirements that states provide information needed for the agency oversight of state monitoring of critical incidents. According to CMS, a critical element of effective state oversight is the operation of data systems that support the identification of trends and patterns in the occurrence of critical incidents to identify needed improvements. Such a system is also consistent with federal internal controls standards which specify, in particular, the need for federal agencies to have processes that identify information needed to achieve objectives and address risk.", "CMS requires states to operate a critical incident reporting system. On their waiver applications states must check a box indicating they operate a system and also describe their system\u2014including who must report and when, and what must be reported. Despite this requirement for states to have critical incident reporting systems, CMS does not require states to report to CMS any data from these systems on critical incidents as part of their required annual reports. Specifically, states are not required to include, in their annual reports, the number of critical incidents reported or substantiated that involve Medicaid beneficiaries. As a result, CMS does not have a method to confirm what states describe about critical incident management systems, which is a required component of states\u2019 waiver applications or to assess the capabilities of states\u2019 systems. For example, CMS cannot confirm whether the state systems can report incidents by location or type of residential provider, such as assisted living facilities; the type and severity of critical incidents that occurred; and the number of incidents that involved Medicaid beneficiaries. Without annual critical incident reporting, CMS may be at risk of (1) not having adequate evidence that states are meeting CMS requirements to have an effective critical incident management and reporting system and of (2) being unaware of problems with states\u2019 abilities to identify, track, and address critical incidents involving Medicaid beneficiaries.", "Our prior work has shown that the lack of explicit reporting requirements on critical incidents not only impacts HCBS waiver programs but also impacts other types of Medicaid long-term services programs as well. Specifically, In a November 2016 report, we found that CMS requirements for states to report on their critical incident monitoring systems for the HCBS waiver program were more stringent than those for other types of HCBS programs, potentially leaving those other programs at even greater risk. We recommended that CMS take steps to harmonize requirements across different types of HCBS programs. HHS concurred with the recommendation stating it would seek input from states, stakeholders, and the public regarding harmonizing requirements across programs.", "In an August 2017 report we found similar issues in critical incident reporting requirements for other types of long term services programs, particularly those used to provide HCBS and other long term services under managed care. We found that CMS was not always requiring states that contracted with managed care organizations to provide long term services and supports to report to CMS sufficient information on critical incidents and other key areas needed to monitor beneficiary access and quality. We recommended that CMS take steps to identify and obtain key information needed to better oversee states\u2019 efforts to monitor beneficiary access to quality services in their managed long-term services and supports programs. HHS concurred with this recommendation and stated that the agency would take this recommendation into account as part of an ongoing review of its 2016 Medicaid managed care rule.", "We continue to believe that the implementation of our prior recommendations is needed to help improve CMS oversight of states monitoring of beneficiary safety.", "CMS\u2019s inconsistent enforcement of the requirement that states submit annual reports. States must prepare and submit an annual report for each HCBS waiver as a condition of waiver approval. According to CMS guidance, the agency\u2019s review of the annual report is part of the ongoing oversight of HCBS waiver programs and not submitting an annual report jeopardizes the states renewal of HCBS waiver programs. However, some states have not been timely in submitting the required annual reports for their HCBS waivers. A review of 2013 HCBS annual reports by a CMS contractor, published in 2016, found that annual reports were missing for 29 HCBS waivers and multiple years\u2019 of annual reports were missing for 8 waivers.", "In 2014, CMS adopted new strategies to ensure compliance with HCBS waiver requirements, including the requirement that states submit annual reports on a timely basis. These strategies include withholding federal funding, placing a moratorium on enrollment in the waiver, or other actions the agency determines necessary. CMS officials reported that the agency had not used these new strategies with states that were delinquent in submitting their annual reports. Officials said they were in the process of reviewing how to implement these new strategies in the case of one state; however, as of August 2017 officials had not finalized a decision. CMS\u2019s ability to provide effective oversight of state programs and protect beneficiary health and welfare is undermined by the lack of enforcement and receipt of required annual waiver reports."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Effective state and federal oversight is necessary to ensure that the health and welfare of Medicaid beneficiaries receiving assisted living services are protected, especially given the particular vulnerability of many of these beneficiaries to abuse, neglect, or exploitation. CMS has taken steps to strengthen beneficiary health and welfare protections in states\u2019 HCBS waiver programs, the most common type of program that covers assisted living services and one that serves the most vulnerable beneficiaries. In particular, CMS now has multiple requirements for states to safeguard beneficiaries\u2019 health and welfare, including requirements to operate an effective critical incident management and reporting system to identify, investigate, and address incidents of beneficiary abuse, neglect, exploitation, and unexplained death.", "However, CMS\u2019s ability to effectively monitor how well states are assuring beneficiary health and welfare is limited by gaps in state reporting to CMS. CMS has not provided clear guidance to states on what information to include in annual reports on deficiencies they identify. As a result, CMS lacks assurance that it is receiving consistent, complete, and relevant information on deficiencies that is needed to oversee beneficiary health and welfare. Lacking clear guidance on the reporting of deficiencies may result in a delayed recognition of problems that may affect beneficiary health and welfare. Further, for years, states have been required to check a box attesting that they operate a critical incident management system, but have not always been required to report information on incidents of potential or actual harm to beneficiaries. Given the increasing prevalence of assisted living facilities as a provider of services to Medicaid beneficiaries, it is unclear why more than half of states responding to our survey could not provide us information on the number of critical incidents that occurred in these facilities in their states. Reporting data from their critical incident systems, such as the number of incidents, the type and severity of the incidents, or the location or type of facility in which the incident occurred would provide evidence that an effective system is in place, provide information on the extent beneficiaries are subject to actual or potential harm, and allow for tracking trends over time.", "Finally, CMS has not ensured that all states submit annual reports on their HCBS waiver programs as required. Without improvements to state reporting, CMS cannot ensure states are meeting their commitments to protect the health and welfare of Medicaid beneficiaries receiving assisted living services, potentially jeopardizing their care."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CMS: The Administrator of CMS should provide guidance and clarify requirements regarding the monitoring and reporting of deficiencies that states using HCBS waivers are required to report on their annual reports. (Recommendation 1)", "The Administrator of CMS should establish standard Medicaid reporting requirements for all states to annually report key information on critical incidents, considering, at a minimum, the type of critical incidents involving Medicaid beneficiaries, and the type of residential facilities, including assisted living facilities, where critical incidents occurred. (Recommendation 2)", "The Administrator of CMS should ensure that all states submit annual reports for HCBS waivers on time as required. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS provided written comments, which are reproduced in Appendix V. The department also provided technical comments, which we incorporated as appropriate. In its written comments, the department concurred with two of our three recommendations, specifically, that CMS will clarify requirements for state reporting of program deficiencies and ensure that all states submit required annual reports on time. HHS did not explicitly agree or disagree with our third recommendation to require all states to report information on critical incidents to CMS annually. The department noted it has established a workgroup to learn more about states\u2019 health and welfare systems and that it will use the results of this workgroup to determine which additional reporting requirements would be beneficial. The workgroup\u2019s review will continue through calendar year 2018. In technical comments, HHS indicated that after the workgroup\u2019s review is complete it will consider annual reporting of critical incidents. We believe establishing the workgroup is a positive first step towards improving oversight and state reporting and encourage HHS to require annual reporting on critical incidents when developing additional reporting requirements.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, the Administrator of CMS, the Administrator of the Administration for Community Living, appropriate congressional committees, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or at iritanik@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: State Reported Enrollment and Spending on Assisted Living Services", "paragraphs": [], "subsections": [{"section_title": "State North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Wisconsin Wyoming", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: State Reported Home- and Community-Based Services (HCBS) Programs Covering Assisted Living Services", "paragraphs": [], "subsections": [{"section_title": "State Ohio", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: Information Regarding Medicaid Beneficiaries\u2019 Access to Assisted Living Services", "paragraphs": ["Our survey of state Medicaid agencies regarding coverage, spending, enrollment, and oversight of assisted living services in 2014, obtained information on challenges for Medicaid beneficiaries to access assisted living services in their states. States provided information related to factors that create challenges for Medicaid beneficiaries\u2019 ability to access and receive assisted living services and the extent states had policies to help beneficiaries with the cost of room and board.", "A number of states in our survey cited common factors as creating the greatest challenges to a beneficiary\u2019s ability to access assisted living services, including the number of assisted living facilities willing to accept Medicaid beneficiaries (13 states or 27 percent of the 48 states) program enrollment caps (9 states or 19 percent of the 48 states) beneficiaries\u2019 inability to pay for assisted living facility room and board (9 states or 19 percent of the 48 states), which Medicaid typically does not cover low rates the state Medicaid program paid assisted living facilities (8 states or 17 percent of the 48 states).", "A number of states reported that they had policies to assist Medicaid beneficiaries with the costs of room and board charged by assisted living facilities, which Medicaid does not typically cover. Two common policies, cited by at least half of the states, were aimed at limiting how much assisted living facilities could charge Medicaid beneficiaries for room and board. For example, 30 of 48 states, limited the amount facilities could charge for room and board to the amount of income certain beneficiaries receive as Supplemental Security Income. The other commonly cited policies focused on providing financial assistance to the beneficiaries to defray the room and board costs. (See table 9.)"], "subsections": []}, {"section_title": "Appendix IV: Events That States Defined as Critical Incidents", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tim Bushfield and Christine Brudevold (Assistant Directors), Jennie Apter, Shirin Hormozi, Anne Hopewell, Kelsey Kreider, Perry Parsons, Vikki Porter, and Jennifer Whitworth made key contributions to this report."], "subsections": []}]}], "fastfact": ["Older people and people with disabilities receiving Medicaid assisted living services\u2014over 330,000 in 2014\u2014can be vulnerable to abuse, neglect or exploitation. The Centers for Medicare & Medicaid Services oversees how states monitor such incidents, but its guidance has been unclear.", "More than half of the 48 states providing these services couldn\u2019t tell us the number or nature of critical incidents in assisted living facilities. In addition, states may not be monitoring things you might expect them to. For example, 3 states don\u2019t monitor unexpected or unexplained deaths.", "We recommended that CMS take steps to improve state reporting."]} {"id": "GAO-18-220", "url": "https://www.gao.gov/products/GAO-18-220", "title": "Medicaid Demonstrations: Evaluations Yielded Limited Results, Underscoring Need for Changes to Federal Policies and Procedures", "published_date": "2018-01-19T00:00:00", "released_date": "2018-02-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Demonstrations\u2014which represented roughly a third of the more than $300 billion in federal Medicaid spending in 2015\u2014are a powerful tool to test new approaches to providing coverage and delivering Medicaid services that could reduce costs and improve beneficiaries' outcomes. Evaluations are essential to determining whether demonstrations are having their intended effects. States are required to evaluate their demonstrations and CMS can initiate its own federal evaluations of demonstrations.", "GAO was asked to examine evaluations of demonstrations, including how the results have been used to inform Medicaid policy. This report examines (1) state-led evaluations and (2) federal evaluations. GAO reviewed evaluation documentation for eight states with high demonstration expenditures that varied in the number of years their demonstrations had been in effect and by geography. GAO also reviewed documentation for the ongoing federal evaluations and interviewed state and federal Medicaid officials. GAO assessed evaluation practices against federal standards for internal control and leading evaluation guidelines."]}, {"section_title": "What GAO Found", "paragraphs": ["Under section 1115 of the Social Security Act, the Secretary of Health and Human Services (HHS) may approve Medicaid demonstrations to allow states to test new approaches to providing coverage and for delivering services that can transform large portions of states' programs. However, GAO found that selected states' evaluations of these demonstrations often had significant limitations that affected their usefulness in informing policy decisions. The limitations included gaps in reported evaluation results for important parts of the demonstrations. (See table.) These gaps resulted, in part, from HHS's Centers for Medicare & Medicaid Services (CMS) requiring final, comprehensive evaluation reports after the expiration of the demonstrations rather than at the end of each 3- to 5-year demonstration cycle. CMS has taken a number of steps since 2014 to improve the quality of state-led evaluations, and in October 2017, officials stated that the agency planned to require final reports at the end of each demonstration cycle for all demonstrations. However, the agency has not established written procedures for implementing such requirements, which could allow for gaps to continue. CMS also plans to allow states to conduct less rigorous evaluations for certain types of demonstrations but has not established criteria defining under what conditions limited evaluations would be allowed.", "Federal evaluations led by CMS have also been limited due to data challenges that have affected the progress and scope of the work. For example, delays obtaining data directly from states, among other things, led CMS to considerably reduce the scope of a large, multi-state evaluation, which was initiated in 2014 to examine the impact of state demonstrations in four policy areas deemed to be federal priorities. Though CMS has made progress in obtaining needed data, it is uncertain when results from the multi-state and other federal evaluations will be available to policymakers because CMS has no policy for making results public. By not making these results public in a timely manner, CMS is missing an opportunity to inform important federal and state policy discussions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS: (1) establish written procedures for requiring final evaluation reports at the end of each demonstration cycle, (2) issue criteria for when it will allow limited evaluations of demonstrations, and (3) establish a policy for publicly releasing findings from federal evaluations of demonstrations. HHS concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicaid section 1115 demonstrations, which allow states to test and evaluate new approaches for delivering Medicaid services, have become a significant feature of the Medicaid program, increasing both in number and cost over the years and affecting millions of beneficiaries. In November 2016, nearly three-quarters of states operated at least part of their Medicaid program under section 1115 demonstrations, and, in fiscal year 2015, federal demonstration expenditures amounted to $109 billion or about one-third of Medicaid program expenditures that year.", "Under section 1115 of the Social Security Act, the Secretary of Health and Human Services may waive certain federal Medicaid requirements and approve new types of expenditures that would not otherwise be eligible for federal Medicaid matching funds for experimental, pilot, or demonstration projects that, in the Secretary\u2019s judgment, are likely to promote Medicaid objectives. For example, the Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that oversees the Medicaid program, has approved states\u2019 proposals to extend Medicaid coverage under demonstrations to populations or for services that would not otherwise be covered under Medicaid. CMS has also allowed states to use Medicaid funds to finance costs that would not otherwise be eligible for federal funds, such as incentive payments to providers to improve access to and quality of care.", "Because Medicaid section 1115 demonstrations (hereafter referred to as demonstrations) are intended to test new approaches to providing coverage and delivering Medicaid services, evaluations of the demonstrations are essential to determining whether the new approaches are having their intended effect. Evaluations are also critical to ensuring that information on the effects of demonstrations, such as on beneficiary access to care, quality of care, and costs of care is available to inform federal and state policy decisions about new approaches to coverage and care. Further, because demonstrations allow states to use Medicaid funds for costs that would not otherwise be covered under the program, evaluations serve as an important check of whether such funds are achieving federal Medicaid objectives. CMS has long required states to conduct evaluations of demonstrations. In addition, CMS has initiated its own federal evaluations of selected Medicaid demonstrations.", "Given continued state interest in undertaking Medicaid section 1115 demonstrations and their budgetary significance and programmatic scope, you asked us to examine evaluations of demonstrations, including how the results have been used to inform Medicaid policy. This report examines: 1. state-led evaluations of demonstrations; and 2. federal evaluations of demonstrations led by CMS.", "To examine state-led evaluations of demonstrations, we reviewed documentation for demonstrations in eight states\u2014Arizona, Arkansas, California, Indiana, Kansas, Maryland, Massachusetts, and New York. We selected these states by first identifying the 15 states with the highest average demonstration expenditures for fiscal years 2013 through 2015\u2014 the most current, complete years of data available at the time we began our work. From those, we selected eight states to achieve variation with regard to (1) total spending on the demonstrations, including as a percent of the state\u2019s total Medicaid spending, (2) the number of years the state\u2019s most comprehensive demonstration had been in place, and (3) geography. Together, demonstration spending in the eight states accounted for about 47 percent of total demonstration spending for fiscal year 2015. (See appendix I for more information on the characteristics of the demonstrations in our selected states.)", "For each state-led demonstration, we reviewed the following (1) evaluation requirements delineated in the contract negotiated between CMS and the state\u2014referred to as the special terms and conditions (STC), (2) evaluation design plans submitted by the state, and (3) evaluation reports submitted by the state, including any stated limitations or gaps in evaluation findings. For seven of our eight states\u2014those which had completed more than one demonstration cycle\u2014we reviewed the documentation for the most recently completed and current demonstration cycles as of the time of our review. For Kansas, which was in its first demonstration cycle at the time of our review, we reviewed the evaluation documentation for this cycle. We also reviewed, when available, documentation of CMS\u2019s review of design plans and reports. We supplemented the documentation review by interviewing CMS officials about the agency\u2019s policies and procedures for overseeing state- led evaluations, including recent and planned changes in the agency\u2019s policies and procedures and the agency\u2019s use of evaluation findings in decision making. We also interviewed state Medicaid officials (in five of our eight selected states) to gain an understanding of the design and implementation of their evaluations and their interactions with CMS during the evaluation process. In evaluating this information, we compared CMS\u2019s policies and procedures against standards for internal control in the federal government, including those related to control activities and communication, and the American Evaluation Association\u2019s recommendations for evaluations of federal programs, which include recommendations related to the scope, quality, and transparency of evaluations.", "To examine federal evaluations of demonstrations led by CMS, we reviewed documents in the contract files for the two contract task orders (hereafter referred to as contracts) that CMS awarded in 2014 and 2015 to conduct the agency\u2019s ongoing federal evaluations of demonstrations. The options for these contracts were exercised annually and work was ongoing as of November 2017. The documentation we reviewed included the contract scopes of work that define the purposes of the contract, the timeframes for execution, and the expected products, or \u201cdeliverables;\u201d monthly contractor progress reports; evaluation design documents; and other contract deliverables, including any reports of findings submitted as of October 2017. We reviewed the documents to assess the progress of the evaluations, including identifying any challenges encountered. We also interviewed CMS officials and one of CMS\u2019s contractors about the progress and status of the federal evaluations and about the agency\u2019s policies and procedures for conducting federal evaluations, including policies for identifying demonstrations for federal evaluation and for making evaluation results public. We compared CMS\u2019s policies and procedures against the American Evaluation Association\u2019s recommendations for evaluations of federal programs.", "We conducted this performance audit from November 2016 to January 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Medicaid Section 1115 Demonstrations", "paragraphs": ["Nearly three-quarters of states (37 as of November 2016) have CMS- approved Medicaid section 1115 demonstrations, which allow states to test new approaches to coverage and to improve quality and access or generate savings or efficiencies. CMS has approved demonstrations for a wide variety of purposes. For example, under demonstrations, states have extended coverage to populations or for services not otherwise eligible for Medicaid, made payments to providers to incentivize delivery system improvements, and, more recently, expanded Medicaid to certain low-income adults by using Medicaid funds to purchase private health insurance coverage. While state demonstrations vary in size and scope, many are comprehensive in nature, affecting multiple aspects of states\u2019 Medicaid programs simultaneously. For example, Kansas\u2019s demonstration, approved in 2012, significantly expands the use of managed care to deliver physical, behavioral, and long-term care services to almost all the state\u2019s Medicaid populations, care that for some populations was previously provided on a fee-for-service basis. The demonstration also established a funding pool of up to $344 million to provide payments to hospitals to finance uncompensated care.", "Kansas\u2019s demonstration expenditures accounted for about 94 percent of the state\u2019s total Medicaid expenditures in fiscal year 2015.", "In fiscal year 2015, federal spending under demonstrations represented a third of all Medicaid spending nationwide. In 10 states, federal spending on demonstrations represented 75 percent or more of all federal spending on Medicaid. (See fig. 1.)", "Demonstrations are typically approved by CMS for an initial 5-year period (referred to as a demonstration cycle), but some states have operated portions of their Medicaid programs under a demonstration for decades. This can be achieved through a series of renewals approved by CMS, generally occurring every 3 to 5 years. What a state is testing and implementing under its demonstration can change from one cycle to the next. States often make changes to their demonstrations, either through the renewal process or by requesting an amendment during the demonstration cycle. These changes can be relatively small or can be significant and can represent testing of a new approach for the state. For example, at renewal a state could request approval to expand coverage to a new population or add requirements that beneficiaries share in the cost of care by paying a monthly premium."], "subsections": []}, {"section_title": "CMS Oversight of State- Led Evaluations", "paragraphs": ["CMS has long required states to conduct evaluations of section 1115 demonstrations. CMS oversees the evaluations and can influence them at several key points during the demonstration process.", "Application review and approval: When a state applies for a demonstration, CMS reviews the state\u2019s application, which describes the goals and objectives of the demonstration and what the demonstration will test, among other things. As part of the review and approval process, CMS negotiates with the state on the STCs, including evaluation requirements. These requirements might include, for example, reporting timeframes and broad standards for the evaluation, such as standards around the independence of the evaluator and acceptable evaluation methods.", "Evaluation design phase: After a demonstration is approved, states are required to submit an evaluation design to CMS for review and approval. The evaluation design must discuss, among other things, the hypotheses that will be tested, the data that will be used, and how the effects of the demonstration will be isolated from other changes occurring in the state. During review of the design, CMS can seek adjustments such as requiring the state to address certain objectives or using particular performance measures.", "Demonstration renewal: In the event that a state wishes to renew its demonstration, it must generally submit an application to CMS at least 1 year before the demonstration is scheduled to expire. The application must include, among other things, a report presenting the evaluation\u2019s findings to date, referred to as an interim evaluation report. CMS can use the information from the interim evaluation report to negotiate changes in the STCs for the evaluation of the next demonstration cycle. If CMS renews the demonstration, the evaluation process starts over with the state submitting a new evaluation design that reflects changes in what is being tested in the new cycle.", "Demonstration end: CMS requires states to submit a final evaluation report for review and approval generally after the end of the demonstration, at which time the agency can work with the state to, for example, add clarity and disclose the limitations of the evaluation before the final evaluation report is made public.", "Within the framework that CMS has established for state-led evaluations, states design evaluations to the specifics of their demonstrations. As the size and scope of demonstrations varies considerably across states, so, too can evaluations vary in their breadth and complexity. State-led evaluations may assess the effects of several different policies, each with its own set of hypotheses\u2014predictions of the effects of the policy\u2014and methods. For example, a state could evaluate the effects of moving to a managed care delivery model for providing managed long-term services and supports (referred to as MLTSS), implementing provider payment pools aimed at delivery system reform, and expanding coverage to a new population all within the same demonstration. Each of those three elements would have its own hypotheses and methods and may have varying timeframes for the number of years of experience needed to be able to effectively measure the effects of what is being tested."], "subsections": []}, {"section_title": "Federal Evaluations", "paragraphs": ["CMS has the authority to initiate its own federal evaluations of section 1115 demonstrations, and states must fully cooperate with any such evaluations. Between 2014 and 2016, CMS initiated three federal evaluations that were ongoing as of November 2017. The first evaluation, initiated in 2014, is a large, multi-state evaluation examining four broad demonstration types in several states. (See table 1.) According to CMS, it selected these demonstration types\u2014which together account for tens of billions of dollars in federal and state Medicaid spending\u2014because they included policies that the agency considered priority areas for evaluation. CMS awarded a contract to an evaluation organization to implement the 5-year study. According to CMS, the estimated total cost of this evaluation for the 5-year life of the contract is $8.3 million. The evaluation was designed to produce three sets of results: a series of reports providing contextual information about the demonstrations being evaluated, referred to as rapid cycle reports; interim evaluation reports featuring early results of more in-depth analysis; and final evaluation reports.", "CMS contracted with another evaluation organization to conduct two federal evaluations examining demonstrations in single states\u2014Indiana and Montana\u2014over 4 years. As of September 2017, the estimated cost of this contract, inclusive of all options, was $8.2 million. In total, spending for Indiana\u2019s and Montana\u2019s demonstrations was about $2 billion in fiscal year 2015, including $1.6 billion in federal spending.", "Indiana: CMS initiated this evaluation in 2015. CMS officials told us they started this evaluation to better understand how policies in Indiana\u2019s demonstration, many of which were unprecedented, were affecting beneficiaries. These policies included, for example, charging monthly contributions for most newly eligible adults with incomes from 0 to 138 percent of the federal poverty level; imposing a lock-out period of 6 months for nonpayment of premiums for most people with incomes above the federal poverty level; and charging co-payments above statutory levels for non-urgent use of emergency room services. The federal evaluation is aimed at estimating the effects of Indiana\u2019s demonstration on health insurance coverage and access to and use of care, and documenting beneficiary understanding of enrollment, disenrollment, and copayment policies, among other things.", "Montana: CMS initiated this evaluation in 2016. CMS officials told us they started this evaluation to provide a point of comparison to Indiana\u2019s demonstration, as Montana was implementing similar policies to Indiana but with some variations. For example, under Montana\u2019s demonstration, the state charges premiums to most newly eligible adults with incomes between 51 and 138 percent of the federal poverty level; and disenrolls beneficiaries with incomes above the federal poverty level for nonpayment of premiums, with reenrollment when overdue premiums are paid. Similar to the federal evaluation of Indiana\u2019s demonstration, the evaluation of Montana\u2019s demonstration is aimed at estimating the effects of the demonstration on insurance coverage, access to and use of care, and documenting beneficiary understanding of and experience with premiums, copayments, enrollment, and disenrollment, among other things."], "subsections": []}]}, {"section_title": "Limitations in State- Led Evaluations Hindered Their Usefulness and May Not Be Fully Addressed by CMS Improvements", "paragraphs": ["State-led evaluations of demonstrations in selected states often had significant methodological weaknesses and gaps in results that affected their usefulness for federal decision-making. Though CMS has been taking steps since 2014 to improve the quality of these evaluations, the agency has not established written procedures to help implement some of these improvements."], "subsections": [{"section_title": "State-Led Evaluations in Selected States Often Had Significant Limitations That Affected Their Usefulness in Informing Federal Decision-Making", "paragraphs": ["The state-led evaluations we reviewed in our selected states often had methodological limitations that affected what could be concluded about the demonstration\u2019s effects. CMS hired a contractor to review state evaluation designs and reports, and that contractor identified a number of methodological concerns with the evaluations in our selected states. For example, CMS\u2019s contractor raised concerns about the comparison groups, or lack thereof, used to isolate and measure the effects of the demonstrations in the Arkansas, California, Indiana, and Maryland evaluations. The contractor also raised concerns with the sufficiency of sample sizes and survey response rates for beneficiary surveys in Indiana. These surveys were key methods for assessing the effect of demonstrations on access, beneficiary understanding, and perceptions on affordability. Finally, the contractor raised concerns with the analysis of the effects of the demonstration on cost in Arkansas, California, and Maryland. Officials in several states told us that some of the methodological limitations in their evaluations were difficult to control. For example, officials in two states told us that isolating the effects of the demonstration was difficult given other changes happening in the state\u2019s health care system at the same time. Some state officials also noted that state resources, including both funding and staff capacity, present challenges in completing robust evaluations. program, with approved funding up to about $690 million. Under the demonstration STCs, the state was required to evaluate whether the seven hospitals participating in the DSRIP were able to show improvements on certain outcome measures related to improving quality of care, improving population health and access to care, and reducing the per capita costs of health care. However, the evaluation report, submitted by the state 5 years after approval of the DSRIP program, provided only descriptive or summary information about the number and types of projects implemented by the hospitals receiving payments and did not provide any data to measure or conclusions on the effects of those payments.", "Arkansas: Under its demonstration, the state was testing the effects of using Medicaid funds to provide premium assistance for the more than 200,000 beneficiaries newly eligible under PPACA to purchase private insurance offered through the state\u2019s health insurance exchange. The state\u2019s evaluation was designed to assess whether beneficiaries would have equal or better access to care and equal or better outcomes than they would have had in the Medicaid fee-for- service system. The evaluation was also aimed at examining continuity of coverage for beneficiaries, as the expansion population was anticipated to have frequent income fluctuations leading to changes in eligibility and gaps in coverage. However, evaluation results submitted over two and a half years into the demonstration\u2014 the only results submitted for the state\u2019s first cycle\u2014were limited to data only from the first year of the demonstration and did not provide data on continuity of coverage. Achieving continuity of coverage was part of the state\u2019s rationale for using an alternative approach to Medicaid expansion.", "Arizona: Among other things, Arizona\u2019s demonstration includes MLTSS, including for the particularly complex populations of adults who have intellectual and developmental disabilities and for children with disabilities. As part of its evaluation, the state was assessing whether the quality of and access to care, as well as quality of life, would improve during the demonstration period for long-term care beneficiaries enrolled in MLTSS. However, evaluation results submitted in October 2016\u2014the only results submitted for the state\u2019s most recently completed demonstration cycle\u2014lacked data on key measures of access, such as hospital readmission rates, and on quality of life, such as beneficiaries\u2019 satisfaction with their health plan, provider, and case manager.", "A key contributor to the gaps in the information included in the state-led evaluations we reviewed was that CMS historically had not required the states to submit final, comprehensive evaluation results at the end of each demonstration cycle. As a result, for our selected states, including those discussed above, CMS had received only interim evaluation reports that were generally based on more limited data from the early years of the demonstration cycle and did not include all of the analyses planned. Though CMS had required final evaluation reports in the demonstration STCs, the due dates for those reports were tied to the expiration of the demonstrations or, in one case, CMS did not enforce the specified due date. Under such conditions, due dates for final evaluation reports were effectively pushed out when the demonstrations were renewed. Evaluation due dates could be pushed out for multiple cycles. CMS officials acknowledged that the lack of data in the interim evaluation reports from the more mature years of the demonstration affected the conclusions that could be drawn from them.", "We found that due dates for final evaluation reports were pushed out upon renewal in all seven of our states that had completed a demonstration cycle, leading to a gap in evaluation reporting of up to 6 or 7 years for several states. In Maryland, for example, CMS approved the demonstration to run from 2013 to 2016 with a final evaluation report due 120 days after the expiration of the demonstration. In 2016, CMS extended the demonstration, pushing the deadline for the final evaluation report to 18 months following the end of the new cycle, or June 2023. At that time, it will be 7 years since the interim evaluation report was submitted. See figure 2.", "The limitations in state-led evaluations\u2014including methodological weaknesses and gaps in results\u2014have, in part, hindered CMS\u2019s use of them to inform its policy decisions. CMS officials told us that, historically, state-led evaluations have generally provided descriptive information but lacked evidence on outcomes and impacts. As a result, officials noted that they consider the data reported in the evaluations but, generally, state-led evaluations have not been particularly informative to their policy decisions. CMS officials told us that there have been cases where data, but not the conclusions, from state-led evaluations have informed their thinking on certain policy changes. For example, CMS officials said that data reported in early evaluations of DSRIP programs helped them in considering whether and how the agency should modify the basic policy structure of these programs. State officials had mixed perspectives on whether state-led evaluations influenced CMS decision-making around renewing their demonstrations. Officials in one state told us that while CMS reviewed their interim evaluation results, the results did not appear to influence the negotiations around the demonstration renewal. In contrast, officials from another state told us that discussion of interim evaluation results and limitations was a significant part of negotiations in 2016 regarding whether CMS would be willing to reauthorize funding for certain programs, including a new DSRIP investment and broader delivery system reforms the state was trying to implement. Officials in several states told us that there was value to state-led evaluations and in the federal-state partnership in designing the evaluations."], "subsections": []}, {"section_title": "CMS Is Taking Steps to Improve the Quality of State-Led Evaluations, but Lacks Written Procedures to Ensure That All Evaluations Will Be Subject to New Requirements", "paragraphs": ["CMS has implemented several procedures since 2014 aimed at improving the quality of state-led evaluations. CMS officials told us that these changes were part of CMS placing increased focus on monitoring and evaluation, which also resulted in CMS establishing a new office in 2015 that is responsible for these activities. One of the key changes CMS began implementing in 2014 was to set more explicit requirements for evaluations in the STCs, including requirements to improve the evaluation methodologies. According to CMS officials, the agency realized that one reason why state-led evaluations had generally lacked rigor and been of limited usefulness was that CMS had not been setting clear expectations for evaluations in the STCs. The officials said that CMS began strengthening evaluation requirements starting in 2014 with demonstrations implementing approaches in CMS\u2019s high priority policy areas.", "In our review of the STCs for current demonstration cycles in our seven selected states that had completed a demonstration cycle, all of which were approved in 2014 or later, we found evidence of CMS\u2019s efforts. Specifically, we found an increased focus on the use of independent evaluators and more explicit expectations for rigor in the design and conduct of evaluations:", "Consistent requirements for independent evaluators. The STCs for the most recently approved cycle of demonstrations in all seven states required the state to use an independent evaluator to conduct the evaluation. In some cases, the STCs also required that the evaluation design discuss the process to acquire the independent evaluator, including describing the contractor\u2019s qualifications and how the state will assure no conflict of interest. These requirements were new in most states.", "More explicit expectations for rigor. In four of the seven states we reviewed, the STCs for the most recently approved cycle of states\u2019 demonstrations included new, explicit language requiring state evaluations to meet the prevailing standards of scientific and academic rigor. These included standards for the evaluation design and conduct as well as the interpretation and reporting of findings. Some states\u2019 STCs further specified the characteristics of rigor that CMS expected, including using the best available data, discussing the generalizability of results, and using controls and adjustments for and reporting the limitations of data and their effects on results. According to CMS, in the past, states have not always discussed methodological limitations in their evaluation reports.", "In addition to strengthening evaluation requirements, CMS has also taken steps since 2014 to enhance its oversight during the design and early stages of state-led evaluations, and, according to officials, some of these steps are likely to improve the usefulness of evaluations. Specifically, CMS has provided technical assistance to help states design their evaluations, sometimes leveraging expertise from other parts of HHS, including the HHS Office of the Assistant Secretary for Planning and Evaluation and the Center for Medicare & Medicaid Innovation as well as outside contractors. For example, officials stated that the agency assists states in developing relevant and standardized measures and provides assistance to help address states\u2019 data limitations. Officials said this has resulted in more robust evaluation designs with increased potential to isolate outcomes and impacts.", "CMS has also used contractors to help in its review of state evaluation designs, including sampling designs, and evaluation reports. Since 2014, one contractor has provided over 30 assessments of evaluation designs and findings in at least 11 states. According to officials, this has increased CMS\u2019s capacity to identify methodological weaknesses and negotiate changes with states to improve the usefulness of evaluations. For example, CMS\u2019s contractor reviewed four draft survey instruments that Indiana planned to use in its evaluation, providing comments on the sampling frames and the structure and organization of survey questions. In response to the contractor\u2019s feedback, Indiana made changes to the surveys to gather more reliable information and improve their readability.", "Finally, CMS has begun making changes to how it sets due dates for final evaluation reports. CMS officials told us that in spring 2017, CMS began requiring states to submit a comprehensive evaluation report for demonstrations in its high priority policy areas for evaluation at the end of each demonstration cycle, rather than after the expiration of the demonstration. CMS\u2019s recent demonstration renewals in Florida and Missouri\u2014approved in August and September of 2017, respectively\u2014 required a final, summative evaluation report at the end of the demonstration cycle, consistent with the policy. In October 2017, CMS officials stated that the agency was expanding this policy and was now planning to require final reports at the end of each cycle for all demonstrations, as they are approved or renewed. However, CMS had not established written procedures for implementing this new policy.", "It is too soon to assess the effectiveness of CMS\u2019s recent efforts to strengthen state-led evaluations. CMS has been implementing the strategies on a rolling basis as states apply for demonstration renewals and new demonstrations. If implemented and enforced consistently, CMS\u2019s efforts to improve the quality of state-led evaluations have the potential to result in more conclusive evaluations. Further, CMS\u2019s efforts to improve the quality of state-led evaluations and its plan to require final reports after each demonstration cycle are consistent with evaluation guidance from the American Evaluation Association that recommends that federal agencies conduct evaluations of public programs and policies throughout the programs\u2019 life cycles, not just at their end, and that agencies use evaluations to improve programs and assess their effectiveness. Federal internal control standards also state that management should implement control activities through policies. However, CMS does not have written procedures for implementing its planned policy, for example, for ensuring that the requirement is included in the STCs for all demonstrations, despite unique negotiations with each state, and that those requirements are consistently enforced. As a result, some state-led evaluations could continue to produce only more limited, interim findings that leave critical questions about the effects of the these demonstrations on beneficiaries and costs unanswered.", "CMS oversight of state-led evaluations may see further changes, as CMS officials told us that their oversight procedures are still evolving. For example, CMS officials told us that as of October 2017 the agency plans to begin to make distinctions in the level of evaluation required across demonstrations. They said that they are considering, for example, whether longstanding and largely unchanged components of a demonstration, and approaches previously tested by a number of other states without concern, require the same level of evaluation as testing a new approach to Medicaid expansion. Officials said that they plan to include language in demonstration STCs, as the agency did in the recent renewals for Florida and Missouri, instructing the state to consider those factors as the state designs its evaluation. Specifically, in the evaluation design submitted for CMS approval, the state should include in the discussion of limitations whether the demonstration is long-standing, noncomplex, has previously been rigorously evaluated and found to be successful, or is also considered to be successful without issues or concerns. CMS officials said that the expected level of rigor for the evaluation could be balanced against such factors.", "The implications of limiting evaluation requirements for certain types of demonstration approaches would depend on CMS\u2019s definitions of what is, for example, noncomplex or has previously been rigorously evaluated. As of October 2017, CMS had not established specific criteria for determining when a demonstration component would require less rigorous evaluation. Agency officials told us they were planning to develop such criteria after concluding a pilot of alternative criteria and expectations in certain demonstrations related to providing services for family planning and former foster care children. They said that when these pilots have concluded they will evaluate the results. It is unclear how these narrowly scoped demonstrations\u2014scoped for a particular type of service or population\u2014can be used to inform criteria for comprehensive demonstrations that can affect a state\u2019s entire Medicaid population and all services. Further, though CMS has begun indicating to states, including those with comprehensive demonstrations, that the agency may allow less rigorous evaluations for certain types of demonstration approaches, CMS has not established timeframes for issuing the criteria defining those conditions.", "Federal standards for internal control stress that management should implement control activities through policy and should internally and externally communicate necessary information to achieve the agency\u2019s objectives. If CMS does not establish clear criteria for components of demonstrations that require limited evaluation, characteristics such as \u201clong-standing\u201d or \u201cnoncomplex\u201d could be broadly interpreted. This could result in demonstrations that receive significant amounts of federal funds and affect many beneficiaries not being thoroughly evaluated. Written criteria could also reduce the potential for inconsistencies in the level of evaluation required across demonstrations."], "subsections": []}]}, {"section_title": "Ongoing Federal Evaluations Led by CMS Have Been Limited by Data Challenges and It Is Uncertain When Results Will Be Available", "paragraphs": ["Data and other challenges have significantly limited the scope and progress of CMS\u2019s large, multi-state evaluation and the agency\u2019s evaluation of Indiana\u2019s demonstration. Further, CMS has not released available evaluation results from the multi-state evaluation nor set timeframes for making these and future federal evaluation findings public."], "subsections": [{"section_title": "Data Challenges Have Limited the Scope and Progress of Federal Evaluations", "paragraphs": ["CMS encountered numerous data challenges in its multi-state evaluation that significantly reduced the scope of the analyses planned. These data challenges included limitations in the quality of CMS data and delays obtaining data directly from states. These limitations caused CMS to narrow the evaluation\u2019s scope, often by reducing the number of state demonstrations evaluated or limiting what was being examined. All four demonstration types targeted in the multi-state evaluation\u2014which reflect CMS\u2019s high priority policy areas\u2014were affected by these challenges. In the most extreme case, data limitations reduced the scope of the MLTSS evaluation to two states out of the more than 20 states operating such programs. As a result, the evaluation findings will not be generalizable to all MLTSS programs. (See table 2.) The data challenges were in addition to other challenges that affected the evaluation. For example, there were difficulties in trying to isolate demonstration effects in the context of rapidly changing health systems, or recent demonstrations had not been in operation long enough to allow CMS to appropriately assess longer- term effects.", "Many of the data challenges CMS encountered in the multi-state evaluation reflect long-standing concerns with the lack of accurate, complete, and timely Medicaid data. Specifically, we and others have found that data states are required to submit to CMS have, at times, been incomplete or have not been reported at all, particularly managed care encounter data. Complicating the availability of these data is CMS\u2019s ongoing transition to a new data system, the Transformed Medicaid Statistical Information System (T-MSIS), which is CMS\u2019s primary effort to improve Medicaid expenditure and utilization data. States\u2019 transitions to T-MSIS, however, have introduced substantial delays in state data submissions. For example, by 2015, a large number of states had stopped submitting data through the legacy information system until they established T-MSIS submissions, which meant CMS had to obtain data directly from individual states for the multi-state evaluation. New data challenges have also emerged as states under demonstrations have enrolled newly eligible beneficiaries in health insurance exchange coverage. Lack of accessible data on beneficiaries enrolled in plans offered through the exchange resulted in the delays in obtaining data for Arkansas for the multi-state evaluation. In the past, we have made recommendations to CMS to take action to improve the data available for Medicaid program oversight, including to T-MSIS.", "As with the multi-state evaluation, data challenges, particularly obtaining needed data from the state, also proved to be a significant hurdle in CMS\u2019s evaluation of Indiana\u2019s demonstration. CMS initiated its federal evaluation of Indiana\u2019s demonstration in 2015 to understand how the approaches being tested in Indiana\u2019s demonstration affected beneficiaries (see sidebar). However, in 2016, Indiana raised concerns about sharing enrollee data with CMS\u2019s evaluation contractors. Specifically, in a letter to CMS, the state cited concerns about the controls that CMS had in place to ensure that its contractors would protect enrollee information consistent with state and federal privacy protections. Despite assurances by CMS, CMS\u2019s contractor and the state were not able to execute a data use agreement. This effectively halted the evaluation\u2019s progress. The data use agreement was necessary for the contractor to access state enrollment data that drove a number of planned evaluation activities, including a key beneficiary survey. In October 2017, CMS officials told us that they were continuing to work with the state and anticipated that a data use agreement would be executed and the federal evaluation of Indiana\u2019s demonstration would proceed. They did not have timeframes for when the agreement would be reached.", "Despite the data challenges and delays, CMS\u2019s evaluations of Medicaid demonstrations, as planned, are likely to provide new information on the effects of demonstrations in different states to inform policy decisions. The multi-state evaluation, for example, is expected to provide information on whether living in a state that collects monthly contributions from beneficiaries affects the likelihood of beneficiaries enrolling in Medicaid and how per-beneficiary spending differs between premium assistance demonstration states and states that have implemented more traditional Medicaid expansions. CMS officials emphasized that federal evaluations allow for cross-state evaluations that can be used to validate the findings of related studies and also to identify which findings are generalizable to other states and populations."], "subsections": []}, {"section_title": "CMS Has Not Released Rapid Cycle Reports and It Is Uncertain When Final Evaluation Results Will Be Available", "paragraphs": ["CMS has yet to make initial reports from the multi-state evaluation publicly available, limiting the potential use of those findings by states and other federal policymakers. As of October 2017, CMS\u2019s contractor had produced 15 rapid cycle reports on states\u2019 progress in implementing demonstrations in the high priority policy areas. These reports provide information on states\u2019 implementation of their demonstrations and variations in design and provide details that can help with the interpretation of evaluation results, inform federal policymaking, and provide lessons learned to states and other stakeholders. The reports also describe policy and other challenges states encountered in implementing their programs, which could be useful to other states interested in replicating these models. (See table 3.)", "However, despite having received some of these reports from its contractor in 2015, CMS had not released these findings as of October 2017. CMS officials said that the reports were still under agency review and acknowledged that since some of the rapid cycle reports were almost 2 years old, CMS\u2019s contractor was reviewing and updating the information in them. CMS officials noted that the rapid cycle reports had provided useful information and had influenced ongoing work with states designing related demonstrations. For example, according to officials, findings from the rapid cycle reports played a part in how the agency structured the latest DSRIP demonstrations. They also said that rapid cycle reports on beneficiary engagement have shed light on the effectiveness of different beneficiary education strategies, such as what approaches are more successful in capturing beneficiaries\u2019 attention and what strategies are easiest for states to implement. In October 2017, CMS officials stated that they had recently decided to make the rapid cycle reports public, although the agency\u2019s clearance process for the reports was still being decided and the officials did not have timeframes for the reports\u2019 release.", "It is also uncertain when CMS will make interim and final evaluation reports from the multi-state evaluation public. By September 2017, CMS\u2019s contractor for the multi-state evaluation produced three interim evaluation reports covering the four demonstration types. CMS officials regard these as draft interim evaluation reports, and, as of October 2017, said they were under agency review and would not be publicly released. CMS expects the contractor to submit final interim evaluation reports, which are anticipated to include some additional information beyond the draft reports, by September 2018, about 1 year later than when the final interim evaluation reports were originally due. CMS officials said that the agency planned to release the final interim evaluation reports, although there was no specific timetable for this. Timeframes for the completion and release of final evaluation results are even more uncertain, both because of the delays in the evaluation progress and because CMS has no standard policy for timeframes for releasing evaluation results.", "It is also uncertain when evaluation results will be available and made public for CMS\u2019s evaluations of the Indiana and Montana demonstrations. Two years after the approval of the contract for the Indiana evaluation, CMS\u2019s contractor has produced an evaluation design but no evaluation findings. CMS had not posted the evaluation design on its website until November 2017, according to officials, about 1 year after it was originally submitted. As discussed above, the lack of findings is due to the contractor and state not having negotiated a data use agreement. To the extent that Indiana\u2019s evaluation moves forward and evaluation reports are produced, CMS officials said the agency plans to release the final evaluation report but did not indicate whether interim findings, available a year earlier, would be released. With regard to the Montana evaluation, CMS expects to receive the interim evaluation report by September 2018 and the final evaluation report by September 2019. How soon these findings would be publicly available, however, is difficult to estimate, as CMS officials told us the agency must review these before making them publically available and does not have timeframes for this review.", "The lack of a standard policy for the public release of findings from federal evaluations of Medicaid demonstrations is inconsistent with recommendations of the American Evaluation Association. The Association recommends that evaluation findings related to public accountability be disseminated to the public, and that evaluation results be made available in a timely manner and be easily accessible through the internet. For state-led evaluations, CMS must post on its website, or provide a link to the state\u2019s website, all evaluation materials, including research and data collection, for the purposes of sharing findings with the public within 30 days of receiving the materials. CMS has not established a comparable policy for the release of findings from federal evaluations of demonstrations. CMS officials stated that federal evaluations provide a unique cross-state perspective that states typically do not have the capacity to provide in their own state-led evaluations; however, if these reports are not made public in a timely fashion, opportunities may be missed to inform federal and state policymakers and other stakeholders on the effects of Medicaid demonstrations."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Section 1115 demonstrations have long been an important tool for providing states with the flexibility to test new approaches to providing and financing Medicaid coverage. Given the potential effects on millions of beneficiaries and significant federal investment in these demonstrations\u2014over $100 billion in 2015\u2014it is critical that they be evaluated. Evaluating Medicaid demonstrations is complex, both within a single state and across states. These programs are dynamic, and there are many factors affecting outcomes, making it challenging to isolate the effects of policy changes implemented under a demonstration. Further, persistent challenges with Medicaid data that we have highlighted over the years add to the complexity of evaluating demonstrations. Despite these challenges, targeted and well-designed evaluations offer the potential to identify policies that improve outcomes for beneficiaries and reduce costs to Medicaid. With the growing complexity of Medicaid programs and limited resources, that information could prove key in helping to sustain the program.", "CMS\u2019s approach to overseeing state-led evaluations in the past has resulted in limited information about the effects of demonstrations, leaving gaps in evidence about policies that might improve state Medicaid programs. CMS\u2019s efforts since 2014 to improve the usefulness of evaluations in informing state and federal Medicaid policy decisions have promise. If CMS consistently sets and enforces clear expectations and provides support for rigorous and timely state-led evaluations for all demonstrations as planned, those evaluations could yield more useful information within the next several years. However, CMS has not established written procedures for requiring final, comprehensive evaluation reports at the end of each cycle for all demonstrations, a key step in improving the usefulness of state-led evaluations. Further, CMS is planning to allow less rigorous evaluations for some demonstrations but has not yet established specific criteria for doing so.", "Federal evaluations led by CMS also show promise. The evaluations currently underway\u2014despite challenges that caused delays and reduced scope\u2014are likely to provide a cross-state look at the effects of policies that are of great interest to CMS, Congress, and other states. However, CMS has not yet made potentially useful rapid cycle reports public and has no established policy for making future evaluation reports public. By not making the results of the federal evaluations public in a timely manner, CMS is missing an opportunity to inform important policy discussions happening at the state and federal levels."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CMS: The Administrator of CMS should establish written procedures for implementing the agency\u2019s policy that requires all states to submit a final evaluation report after the end of each demonstration cycle, regardless of renewal status. (Recommendation 1)", "The Administrator of CMS should issue written criteria for when CMS will allow limited evaluation of a demonstration or a portion of a demonstration, including defining conditions, such as what it means for a demonstration to be longstanding or noncomplex, as applicable. (Recommendation 2)", "The Administrator of CMS should establish and implement a policy for publicly releasing findings from federal evaluations of demonstrations, including findings from rapid cycle, interim, and final reports; and this policy should include standards for timely release. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS concurred with all three recommendations. Regarding our first recommendation that CMS establish written procedures for implementing its policy requiring states to submit final evaluation reports after the end of each demonstration cycle, HHS said that it is in the process of developing such written procedures. HHS said that it is currently making this a requirement through the STCs for each demonstration as demonstrations are approved or renewed. Regarding our second recommendation that CMS issue written criteria for when the agency will allow states to limit evaluations of their demonstrations, HHS said it is in the process of testing such criteria, and that once it has experience with the criteria, it will develop written guidance. Regarding our third recommendation that CMS establish and implement a policy for publicly releasing findings from federal evaluations of demonstrations, HHS said that CMS is in the process of establishing such a policy. HHS added that CMS plans to have all finalized federal rapid cycle reports and final interim evaluation reports publicly available in the near future.", "HHS also provided technical comments, which we incorporated as appropriate. HHS\u2019s comments are reproduced in appendix II.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services, appropriate congressional committees, and other interested parties. The report will also be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or iritanik@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Characteristics of Selected States\u2019 1115 Demonstrations", "paragraphs": ["The Medicaid section 1115 demonstrations (referred to as demonstrations) in our eight selected states varied in terms of the number of years the demonstrations had been in effect and cost, among other things. For example, three of the more mature demonstrations\u2014those in Maryland, Massachusetts, and New York\u2014had been in place for two decades. Demonstrations in Arkansas and Kansas represented more recent approvals, both approved in 2013. (See table 4.) With regard to cost, all of the selected states were among the top 15 states in terms of amount of spending under demonstrations. Together, spending under demonstrations in our selected states accounted for about 47 percent of all spending under demonstrations in fiscal year 2015."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan Barnidge (Assistant Director), Linda McIver (Analyst-in-Charge), John Lalomio, Hannah Locke, and Corissa Kiyan-Fukumoto made key contributions to this report. Also contributing were Laurie Pachter and Emily Wilson."], "subsections": []}]}], "fastfact": ["About one-third of Medicaid's spending goes toward demonstrations, which allow states to test new approaches to delivering Medicaid services. Do they save money? Improve care?", "The short answer is that states and the federal government don't fully know. We found that the federal government did not require complete and timely evaluations from the states, so conclusive results were not available. Moreover, the federal government wasn't making its evaluation results public\u2014missing opportunities to inform federal and state Medicaid policy discussions.", "We recommended ways for the Centers for Medicare & Medicaid Services to address these issues."]} {"id": "GAO-18-288", "url": "https://www.gao.gov/products/GAO-18-288", "title": "Veterans Health Administration: Opportunities Exist for Improving Veterans' Access to Health Care Services in the Pacific Islands", "published_date": "2018-04-12T00:00:00", "released_date": "2018-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Veterans' access to timely health care at VA medical facilities has been a long-standing problem identified by GAO and VA's Office of Inspector General. The remote nature of the Pacific Islands creates some unique challenges for VAPIHCS, which may affect its ability to provide the approximately 50,000 veterans it serves in American Samoa, Guam, Hawaii, and the Commonwealth of the Northern Mariana Islands with timely access to primary, mental health, and specialty care.", "House Report 114\u2013497 included a provision for GAO to review VHA's efforts to provide timely access to health care within VAPIHCS. Among other things, this report examines: the extent to which the VAPIHCS veterans received (1) timely primary and mental health care, and (2) timely specialty care; and (3) any challenges VAPIHCS faced in recruiting and retaining physicians, and strategies to resolve them. GAO reviewed relevant policy documents and a randomly selected, non-generalizable sample of 164 medical records, and interviewed VHA, VAPIHCS, and DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["For the sample of veterans' medical records that GAO reviewed, most veterans received primary and mental health care from the Department of Veterans Affairs (VA) Pacific Islands Health Care System (VAPIHCS) within timeliness goals set by VA's Veterans Health Administration (VHA). However, GAO also found that some of these veterans experienced delays related to the processing of their enrollment applications, contacting them to schedule appointments, and completing comprehensive mental health evaluations. These delays were similar to some GAO had identified in previous work pertaining to veterans' access to care nationwide.", "For the sample of veterans' medical records that GAO reviewed, VAPIHCS referred nearly all specialty care to non-VA providers within VHA's timeliness goal, but the time taken to provide care was variable and sometimes lengthy. Specifically, VAPIHCS sent specialty care referrals to", "the Veterans Choice Program (Choice Program)\u2014for veterans that GAO reviewed, the number of days to receive care from the Choice Program was, on average, 75 days.", "Department of Defense (DOD) military treatment facilities\u2014for veterans that GAO reviewed, the number of days to receive care from the two DOD facilities for which VAPIHCS has agreements was, on average, 37 days from one facility and 47 days from the other.", "GAO identified weaknesses in VAPIHCS' management of its referral process for sending veterans for specialty care services at one of the two military treatment facilities. GAO found VAPIHCS did not always manage referrals to the military treatment facility in a timely way and there was inconsistent guidance describing the roles and responsibilities of the VAPIHCS staff involved in the process. These weaknesses may have contributed to the amount of time it took for veterans to receive specialty care services.", "GAO also found that VAPIHCS faces challenges recruiting and retaining physicians. As of October 2017, 17 of approximately 100 VAPIHCS physician positions were vacant, as were several other types of health care providers. Some of the challenges VAPIHCS faced are unique to the Pacific Islands, such as the availability of only one local medical school from which to recruit, along with travel burdens and a high cost of living that may discourage physicians from relocating there. Other challenges were similar to those GAO has previously identified as faced by VA medical centers across the country, such as differences in interpretation of hiring and recruiting policies. VAPIHCS officials said they use several strategies to help recruit and retain physicians, including VHA strategies used by other VA medical centers such as financial incentives and an educational debt reduction program. Although they described limits to the success of some of these strategies, they have not evaluated their effectiveness. Without completing an evaluation of its strategies, VAPIHCS may not be optimizing its resources to improve its hiring efforts and may continue to struggle with physician shortages."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes four recommendations, including that VAPIHCS improve monitoring of referrals to one DOD facility and evaluate the effectiveness of physician recruitment and retention strategies. VA concurred with three recommendations and partially concurred with the fourth. GAO maintains that monitoring referrals to the DOD facility is needed, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), operates one of the nation\u2019s largest health care systems. In fiscal year 2016, VHA provided care to about 6.9 million veterans and obligated about $65 billion for their care through 170 VA medical centers (VAMC) and 1,082 clinics nationwide. The VA Pacific Islands Health Care System (VAPIHCS) is part of Veterans Integrated Service Network (VISN) 21 and includes 1 of VHA\u2019s 170 VAMCs\u2014the Spark M. Matsunaga VAMC, located in Honolulu, Hawaii\u2014and 10 clinics located across the Pacific Islands. VAPIHCS provides health care services to approximately 50,000 veterans that reside in the Pacific Islands of Hawaii, American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. While some outpatient specialty care is provided at the Spark M. Matsunaga VAMC and the 10 clinics, VAPIHCS primarily provides outpatient primary and mental health care services. Unlike most VAMCs, the Spark M. Matsunaga VAMC does not include an inpatient hospital. For most inpatient and other specialty care, veterans are referred to local military treatment facilities through joint venture and sharing agreements with the Department of Defense (DOD) or to non-VA providers in the community. In particular, VAPIHCS partners with Tripler Army Medical Center (TAMC) through a joint venture in Hawaii and U.S. Naval Hospital Guam (NHG) through a sharing agreement, and also offers veterans access to non-VA providers in the community through the Veterans Choice Program (Choice Program).", "In recent years, we and the VA Office of the Inspector General (OIG) have expressed concerns about veterans\u2019 ability to access timely medical care and VHA\u2019s oversight of its appointment scheduling practices. VHA has timeliness goals outlined in policies that measure the amount of time it should take to schedule appointments, and for veterans to receive health care services. Additionally, we and the VA OIG have expressed concerns about whether VHA is able to ensure that it has the appropriate clinical workforce to meet the needs of veterans. The VA OIG also has found that VAPIHCS faces unique challenges in providing patient care given the geographic remoteness of the Pacific Islands, and identified concerns including about lengthy wait times for primary care.", "House report 114-497, which accompanied the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2017, included a provision for us to review the scheduling, staffing, outreach, and access management practices at VAPIHCS. This report examines: 1. the extent to which veterans in the Pacific Islands receive primary and mental health care from VA providers within VHA\u2019s timeliness goals; 2. the extent to which veterans in the Pacific Islands are referred to and receive specialty care from non-VA providers within VHA\u2019s timeliness goals; 3. the challenges, if any, in the recruitment and retention of physicians in the Pacific Islands, and the extent to which strategies are used to help resolve any such challenges; and 4. the challenges, if any, veterans in the Pacific Islands face in accessing care, and the strategies used to improve veterans\u2019 timely access to care.", "To examine all four objectives, we focused our review on services provided to veterans in 3 of the 10 clinics\u2014located on the islands of American Samoa, Guam and Maui\u2014because they provided the most comparable types of primary and mental health care services across all clinics. We interviewed VAPIHCS officials, DOD officials, and a local representative of TriWest, the third-party administrator for the Choice Program in VISN 21, the program through which most veterans in the Pacific Islands receive non-VA care, and we conducted site visits to the VA and DOD facilities in Guam and Honolulu in April 2017. We interviewed VA and DOD officials, and the local TriWest representative about policies and guidance for scheduling veterans for outpatient primary, mental health, and specialty care; arranging for and providing specialty care at a DOD military treatment facility or with a non-VA provider in the community; physician recruitment and retention challenges; and challenges veterans have with accessing health care services in the Pacific Islands. In addition, we discussed access to care challenges with community stakeholders, including with members from a local advisory council that represents veterans on Guam.", "To examine the extent to which veterans accessed primary and mental health care from VA providers, and specialty care services from non-VA providers, within VHA\u2019s timeliness goals, we reviewed relevant VHA policies for veteran enrollment application processing and appointment scheduling within VA facilities, and for facilitation of health care services referred outside a VA facility. We also examined VAPIHCS\u2019 joint venture and sharing agreements with DOD and VA\u2019s Choice Program contract with TriWest. In addition, we compared the processes VAPIHCS followed to refer veterans to care outside a VA facility to appropriate federal internal control standards. Additionally, we interviewed officials from VHA\u2019s Office of Veteran Access to Care, Office of Mental Health Services, and Office of Community Care to obtain information on VHA\u2019s scheduling policies. To measure the timeliness of care provided by VA and non-VA providers, we reviewed a sample of 164 medical records of veterans enrolled at clinics on the islands of American Samoa, Guam, and Maui. The results from our review cannot be generalized to all veterans within VAPIHCS, or to other VAMCs, but provide insights into the extent to which veterans were able to receive timely access to health care services. Our sampling methodology for the 164 medical records included requesting and obtaining lists of veterans from VHA, unless otherwise noted, that satisfied the following criteria: Initial primary care appointments. Those veterans who applied for enrollment and were successfully enrolled in VHA health care benefits; requested on their enrollment applications that VA contact them to schedule medical appointments; and received their first primary care appointment from Oct. 1, 2016, through Mar. 31, 2017.", "Initial mental health appointments. Those veterans that received their first appointment with a mental health care provider from Oct. 1, 2016, through Mar. 31, 2017.", "Follow-up appointments. Those established veterans\u2014veterans who were seen by a VA primary or mental health provider within the last 2 years\u2014who saw a provider for a follow-up primary or mental health care appointment in March 2017.", "Specialty care referrals. Those routine outpatient specialty care referrals that were created from Oct. 1, 2016, through Mar. 31, 2017, that VAPIHCS sent to either (1) DOD military treatment facilities working in partnership with VAPIHCS: TAMC and NHG, or (2) community providers through the Choice Program. The majority of veterans enrolled in VAPIHCS received non-VA care in fiscal year 2016 through the Choice Program. From these lists, we selected a random sample that included referrals for orthopedics\u2014a mission- critical physician specialty\u2014as well as the specialty care service most frequently referred to TAMC, NHG, and the Choice Program from each of the three selected clinics in fiscal year 2016. These referrals resulted in a face-to-face consultation with a specialty care provider. Additionally, we also reviewed a select sample of general surgery referrals sent to NHG that were subsequently canceled by VAPIHCS; we reviewed these referrals to further assess reasons for the cancelations.", "See Table 1 for information on the number of medical records reviewed, by type of appointment and health care service, number of records sampled, and location of veteran.", "To identify any challenges in the recruitment and retention of physicians in the Pacific Islands, and the extent to which strategies have been used to help resolve such challenges, we reviewed key VHA documents related to physician recruitment and retention and workforce and succession planning; directives related to staffing and pay administration; and guidance regarding the composition of primary care and mental health providers within clinics. Additionally, we reviewed information on the current physician staffing and vacancy levels for each clinic within VAPIHCS. We assessed VAPIHCS\u2019 strategies to address challenges it faces to recruit and retain physicians within the context of federal standards for internal control. Finally, we interviewed VHA, VISN, and VAPIHCS officials involved in physician recruitment and retention, including from VHA\u2019s Office of Workforce Management and Consulting, VISN 21\u2019s Office of Human Resources, and VAPIHCS\u2019 Office of Human Resources.", "To identify any challenges veterans in the Pacific Islands face in accessing care, and the strategies used to improve access, we reviewed VHA\u2019s handbook and guidance related to its beneficiary travel program. This program is intended to improve veterans\u2019 access to timely care by reimbursing certain travel costs to medical appointments. Additionally, we reviewed VAPIHCS materials used to inform veterans about their access options. We also collected and assessed information on the number of outreach efforts conducted by VAPIHCS to inform veterans about access to care. We also interviewed officials from VAPIHCS and VHA\u2019s Office of Rural Health and TriWest to obtain information about any access challenges for veterans they have identified and strategies used to address them.", "We conducted this performance audit from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VAPIHCS provides comprehensive health care to eligible veterans who reside in Hawaii and the three U.S. territories in the Pacific\u2014 American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. According to VAPIHCS officials, the geographic distances between the Pacific Islands and the use of multiple sources of health care to provide services to veterans in this region create complex care delivery and coordination challenges for VAPIHCS."], "subsections": [{"section_title": "VAPIHCS and Primary and Mental Health Care Services", "paragraphs": ["VAPIHCS generally provides outpatient primary and mental health care services to the veterans it serves. These services are provided through its ambulatory care clinic, housed at the Spark M. Matsunaga VAMC in Honolulu, Hawaii, on the island of Oahu, and 10 clinics located in other communities across the Pacific Islands. These 10 clinics include", "7 in the state of Hawaii on the islands of Oahu (1 clinic); Hawaii (2 clinics); Maui (1 clinic); Lanai (1 clinic); Molokai (1 clinic); and Kauai (1 clinic);", "1 in the territory of American Samoa;", "1 in the territory of Guam; and", "1 in the Commonwealth of the Northern Mariana Islands on the island of Saipan.", "VAPIHCS provides some outpatient specialty care services through the ambulatory care clinic and through traveling VAPIHCS specialty care providers. Table 2 shows the number of enrolled veterans and the number of veterans that have used outpatient services in fiscal year 2017 at each VAPIHCS facility."], "subsections": []}, {"section_title": "VAPIHCS and Specialty Care and Inpatient Services", "paragraphs": ["According to VAPIHCS officials, VAPIHCS provides most specialty care and inpatient services to veterans at military treatment facilities through joint venture and sharing agreements with DOD or through non-VA providers in the community. In fiscal year 2017, VAPIHCS sent 50,000 referrals outside of VA, mostly to DOD or through the Choice Program.", "Military treatment facilities. Two military treatment facilities located in the Pacific Islands provide care for veterans through joint venture and sharing agreements with VAPIHCS: TAMC and NHG. According to VAPIHCS\u2019 data, VAPIHCS made more than 8,000 referrals to these facilities in fiscal year 2017.", "VAPIHCS\u2019 joint venture with TAMC: VAPIHCS\u2019 joint venture agreement with TAMC\u20141 of 10 joint venture agreements in place between VA and DOD as of December 2017\u2014states that VAPIHCS may refer veterans to TAMC providers for specialty care and inpatient services and, in return, for VAPIHCS to provide services for DOD beneficiaries, such as psychiatric and post-traumatic stress disorder services.", "VAPIHCS\u2019 sharing agreement with NHG: VAPIHCS\u2019 sharing agreement with NHG\u20141 of more than 200 active sharing agreements in place between VA and DOD as of December 2017\u2014states that VAPIHCS may refer patients from the Saipan and Guam clinics to NHG for available specialty care, laboratory, emergency care, and inpatient services. NHG is located within a mile of the Guam clinic.", "Choice Program. VAPIHCS may also refer veterans to a non-VA provider in the community when veterans need care that is not offered by VAPIHCS, or cannot obtain the needed care in a timely manner. In fiscal year 2017, 61 percent of VAPIHCS referrals sent to community providers were through the Choice Program. (See fig. 1 for the breakdown of the number and percent of referrals sent to care outside of VAPIHCS in fiscal year 2017.) Veterans may opt to obtain health care services from a network of community providers through the Choice Program if they meet certain criteria, including: 1. the next available medical appointment with a VHA clinician is more than 30 days from the veteran\u2019s preferred appointment date or the date the veteran\u2019s physician determines he or she should be seen; 2. the veteran lives more than 40 miles driving distance from the nearest VHA facility with a full-time primary care physician; 3. the veteran needs to travel by air, boat, or ferry to the VHA facility that is closest to his or her home; 4. the veteran faces an unusual or excessive burden in travelling to a VHA facility based on geographic challenges, environmental factors, or a medical condition; 5. the veteran\u2019s specific health care needs, including the nature and frequency of care needed, warrants participation in the program; or 6. the veteran lives in a state or territory without a full-service VHA medical facility.", "As the third-party administrator of the Choice Program for VAPIHCS, TriWest is responsible for establishing networks of community providers, scheduling appointments with community providers for eligible veterans, and paying providers for their services. TriWest has contractual time frames in which to accept and schedule the appointment, or return the referral to VAPIHCS for further action."], "subsections": []}]}, {"section_title": "Most Veterans in Our Review Received Primary and Mental Health Care from VA Providers within VHA\u2019s Timeliness Goals, although Some Faced Delays", "paragraphs": [], "subsections": [{"section_title": "Veterans in Our Review Faced Some Enrollment Delays, but Once Contacted, Most Received Initial Primary Care from VA Providers within VHA\u2019s Timeliness Goal", "paragraphs": ["Our review of 30 medical records of newly enrolled veterans accessing initial primary care services at the American Samoa, Guam, or Maui clinic found some delays in processing of health care benefits enrollment applications and contacting of veterans to schedule appointments. Once contacted, however, most veterans in our sample received initial primary care within VHA\u2019s timeliness goal. These enrollment delays may have contributed to the time taken for veterans to see primary care providers, consistent with findings from our prior work.", "Enrollment for VA Health Care Benefits To receive VA health care benefits, a veteran may submit an enrollment application by mail, telephone, through VA\u2019s website, or by applying in person at a VA health care facility. Once a veteran submits an application, there are three key steps for processing the application: (1) intake of application, (2) verification of eligibility, and (3) enrollment determination. In fiscal year 2016, most enrollment applications were processed by VA medical center staff. According to Veterans Health Administration policy, staff are required to process applications within 5 business days of receipt. applications within the timeliness goal set in VHA policy. For 27 of the 30 veterans in our sample, VHA staff recorded the date the application was received, which enabled us to assess the timeliness of enrollment processing for these veterans. We found that 22 of these 27 applications were processed within VHA\u2019s required 5 business days, with an average of 1 day for processing. (See table 3.) Five applications were not processed within the 5-day requirement; for four of these veterans, it took an average of 10 days to process the enrollment applications. For the fifth veteran, it took 627 days for VHA to process the application, and for which VAPIHCS staff could not explain the delay.", "New Enrollee Appointments Veterans can request on their enrollment applications that Department of Veterans Affairs (VA) staff contact them to schedule an initial outpatient appointment. After a veteran\u2019s enrollment application has been processed, VA staff are to initiate the scheduling of appointment requests within 7 days. within 7 days of their eligibility determination as required by VHA policy. We found that 15 of the 30 veterans in our review had contact initiated within 7 days to schedule an appointment, with an average of 4 days. (See table 4.) Fifteen veterans did not have contact initiated within the 7 day requirement; for 14 of these veterans, it took an average of 20 days to initiate contact. For the 15th veteran, it took 183 days to initiate contact. According to clinic staff, gaps in communication between clinic and VAPIHCS staff responsible for veteran enrollment, as well as staffing shortages, may have contributed to delays in contacting newly enrolled veterans. Clinic staff reported differences in how they are notified that a veteran\u2019s enrollment application has been processed and that appointment scheduling should be initiated. In addition, staff from two clinics said there were staffing vacancies for primary care appointment schedulers in their clinics during the time of our medical record sample selection (October 2016 through March 2017), which may have caused delays in contacting veterans.", "Timeliness of initial primary care services. For the 30 newly enrolled veterans\u2019 medical records we reviewed, we found that, once contacted, 27 veterans received initial primary care services within VHA\u2019s timeliness goal of 30 days of their preferred appointment dates (the date a veteran requests health care services), with an average wait time of 7 days. (See table 4.) Three veterans did not receive initial primary care appointments at the Guam clinic within the 30-day requirement, and waited an average of 62 days. However, as we have previously reported, VHA\u2019s timeliness goal monitors only a portion of the overall time it takes newly enrolled veterans to access primary care, and does not account for the time it takes to process enrollment applications, to notify clinic staff of successful enrollments, or to contact veterans to schedule their appointments. In our March 2016 report, we recommended that VA monitor the full amount of time newly enrolled veterans wait to be seen by primary care providers, starting with the date veterans request they be contacted to schedule appointments. When accounting for the time to process applications and contact veterans, we found 6 of the 30 veterans in our review waited more than 90 days to see a provider while 9 waited 30 days or less."], "subsections": []}, {"section_title": "Most Veterans in Our Review Received Initial Mental Health Care from VA Providers within VHA\u2019s Timeliness Goal, but There Were Some Delays Completing Comprehensive Mental Health Evaluations", "paragraphs": ["Our review of a randomly selected sample of 30 medical records for veterans who accessed mental health care services for the first time at one of the selected three clinics found that most veterans received initial mental health care within VHA\u2019s timeliness goal. Although most veterans in our sample received timely initial services, our review found that those veterans needing comprehensive mental health evaluations often experienced delays receiving them.", "Mental Health Care Appointments Veterans can either request mental health care services, or be referred for these services, such as by their primary care providers. Once care is requested for non- emergent mental health care needs, appointments are to be scheduled within 30 days of the referral\u2019s clinically indicated date, or in the absence of a clinically indicated date, the veteran\u2019s preferred date for their first mental health care appointment. In addition to scheduling the initial appointment, veterans are to receive a comprehensive mental health evaluation within 30 days of that initial referral\u2019s clinically indicated date, or in the absence of a clinically indicated date, the veteran\u2019s preferred date for their first mental health care appointment. This comprehensive mental health evaluation occurs during a mental health appointment, and includes a diagnosis and a plan for treatment. While this evaluation does not necessarily have to occur during the first mental health care appointment, it is expected to be completed within the timeliness goals as noted.", "Timeliness of initial mental health care services. Our review found that 21 of the 30 veterans in our sample who needed mental health care received their initial mental health care appointments within VHA\u2019s timeliness goal of 30 days of their documented clinically indicated dates (the date an appointment is deemed clinically appropriate by the referring provider), or in the absence of clinically indicated dates, their preferred dates. (See table 5.) These 21 veterans were seen by a mental health care provider within an average of 7 days of their clinically indicated date or preferred date. Nine veterans did not receive initial mental health care appointments within VHA\u2019s 30-day timeliness goal, and waited an average of 46 days to receive care from a mental health provider.", "Timeliness of comprehensive mental health evaluations. Although 21 of 30 veterans in our sample received initial mental health care appointments in a timely manner, our review found that most veterans needing comprehensive mental health evaluations experienced delays receiving them. Of the 30 veterans in our sample, 25 were identified as needing a comprehensive mental health evaluation, and only 9 received that evaluation within VHA\u2019s timeliness goal of 30 days of their clinically indicated date, or in the absence of a clinically indicated date, the veteran\u2019s preferred date. (See table 6.) These 9 veterans received their evaluations within an average of 8 days. For the 16 veterans that did not receive a comprehensive mental health evaluation within the 30-day requirement, it took between 35 and 217 days (an average of 82 days) for 15 veterans to receive an evaluation from the initial referral\u2019s clinically indicated date or veteran\u2019s preferred appointment date. The remaining veteran had not completed an evaluation as of February 2018.", "The process by which veterans received comprehensive mental health evaluations varied by clinic, and this sometimes resulted in the evaluations being completed outside of VHA\u2019s timeliness goal:", "American Samoa clinic staff stated that they provide veterans with a hard-copy comprehensive mental health evaluation at the veteran\u2019s first appointment. The veteran is instructed to complete the form at home, and return to the clinic at a later date to discuss with a provider. Staff stated that allowing veterans to fill out the form on their own saves time at the clinic, and allows veterans to be more thorough in their answers. A staff member stated that the comprehensive mental health evaluation is just one piece of the diagnostic interview and that, presumably, the provider obtains sufficient information from the veteran to develop a treatment plan and initiate services for the veteran while waiting for the veteran to complete the form.", "Guam clinic staff said that they generally complete the comprehensive mental health evaluation during the veteran\u2019s first mental health care appointment, but do sometimes need to schedule a second appointment to complete the entire evaluation. Staff stated that the first priority is to treat and address what is clinically indicated, so they are sometimes delayed in completing all form requirements until a later time.", "Maui clinic staff stated that they typically schedule the first appointment with a veteran, and if it becomes clear that the veteran needs to continue receiving mental health services, they will schedule a comprehensive mental health evaluation at a future appointment."], "subsections": []}, {"section_title": "Most Veterans in Our Review Received Follow- Up Primary and Mental Health Care from VA Providers within VHA\u2019s Timeliness Goal", "paragraphs": ["Follow-Up Appointments After a veteran is seen for an appointment at a Department of Veterans Affairs (VA) facility, the provider is to document in the veteran\u2019s medical record a clinically appropriate specific return date or interval (such as 2, 3, or 6 months), when the provider determines the veteran should return for care. This is also known as the clinically indicated date. The follow-up appointment should then be scheduled within 30 days of the clinically indicated date.", "Our review of a randomly selected sample of medical records for 30 veterans in the Pacific Islands (15 veterans needing primary care and 15 veterans needing mental health care) who received follow-up appointments found that most of these veterans received care within VHA\u2019s timeliness goal. Specifically, we found that of the 30 veterans, 25 veterans received follow-up care within 30 days of the clinically indicated date determined by each veteran\u2019s provider, in accordance with VHA policy. (See table 7.) This included 10 veterans needing follow-up primary care (who received care an average of 6 days within the veteran\u2019s clinically indicated date), and all 15 veterans needing follow-up mental health care (who received care an average of 3 days within the veteran\u2019s clinically indicated date). The 5 veterans needing follow-up primary care that were not seen within the required 30 days were seen between 109 and 584 days (an average of 299 days) from their clinically indicated dates. Explanations for the length of time it took for these 5 veterans to receive care varied; for example, Guam clinic staff told us that one veteran\u2019s follow-up care was delayed due to clinical and scheduling staffing shortages."], "subsections": []}]}, {"section_title": "VAPIHCS Referred Most Specialty Care to Non-VA Providers within VHA\u2019s Timeliness Goal, but Time Taken to Provide Care Was Variable and Sometimes Lengthy", "paragraphs": [], "subsections": [{"section_title": "VAPIHCS Met VHA\u2019s Timeliness Goal for Almost All Specialty Care Referrals in Our Sample Sent to Choice Program and DOD Providers", "paragraphs": ["We found that VAPIHCS referred 67 of 69 randomly selected specialty care referrals in our sample to non-VA providers in the Choice Program or through DOD within 7 days, in accordance with the timeliness goal set in VHA policy. Specifically, VAPIHCS met this goal for 28 of 30 specialty care referrals sent to Choice Program providers, and all 39 specialty care referrals sent to DOD providers at two military treatment facilities. VAPIHCS staff took an average of 2 days to review and send referrals to VAPIHCS staff responsible for Choice Program referrals, and an average of 1 day to review and send specialty care referrals to TAMC and NHG. VAPIHCS staff responsible for Choice Program referrals also are responsible for uploading the referrals into TriWest\u2019s portal, the Choice Programs\u2019 third-party administrator within VAPIHCS. Although VHA policy applies to referrals sent to in-house providers, a VHA official told us that VHA expects VAMCs to manage non-VA referrals as they would those referred in-house. A VAPIHCS official confirmed that it holds staff to the 7-day requirement found in VHA policy."], "subsections": []}, {"section_title": "Time Taken for Veterans in Our Review to Receive Specialty Care from Choice Program and DOD Providers Was Variable and Sometimes Lengthy", "paragraphs": ["We found that once specialty care referrals in our review were sent to the Choice Program or one of the two DOD military treatment facilities\u2014 TAMC and NHG\u2014the amount of time it took veterans to receive care from these non-VA providers varied, and sometimes was lengthy.", "Time taken to receive care from a Choice Program provider. Once VAPIHCS staff reviews and uploads each referral into TriWest\u2019s portal, TriWest is required to meet VA\u2019s timeliness requirements for the Choice Program, which specify the amount of time TriWest has to (1) contact the veteran, (2) schedule the appointment, (3) and provide veterans with care.", "We found that for all 30 referrals in our sample, TriWest first attempted to contact the veteran within the 4 business days required once TriWest received and accepted the referral from VAPIHCS. However, we also found that TriWest did not follow the requirements for mailing letters for 3 of the referrals when it was unable to reach the veterans by phone. If TriWest is unable to reach a veteran after calling a minimum of three times over 4 business days, a letter is to be mailed to the veteran on the 7th business day after receiving the referral notifying them that they have 10 business days from the date of the letter to contact TriWest to schedule an appointment. For these 3 referrals, TriWest mailed a letter, but did not do so until one day later than the required 7th business day after receiving and accepting the referral.", "We found that after reaching the veteran, TriWest staff scheduled appointments for 17 of the 25 referrals within the 5 business days required for scheduling an appointment after the veteran opts in to the Choice Program. (See table 8.) We found varying reasons that may have delayed the scheduling of an appointment. For example, some records showed that TriWest staff did not begin to call a provider until 4 or more days after they reached the veteran and confirmed they wanted to utilize, or opt in to, the Choice Program to receive care. In addition, some providers required time to review the veteran\u2019s medical record before scheduling the appointment with TriWest.", "We found that 20 of the 30 veterans referred to Choice Program providers received care within VHA\u2019s 30-day timeliness goal that VA used to evaluate TriWest\u2019s performance under its contract. TriWest has an overall timeliness goal from VHA to provide veterans care through Choice Program providers, although the way this was calculated changed during our review due to changes in their practice and modifications to the contract. The 20 veterans that received care within the timeliness goal did so within an average of 14 days. The 10 veterans that did not receive care within the 30-day timeliness goal waited between 31 and 126 days (an average of 62 days). Veteran preferences and specific provider tendencies sometimes led to delays in scheduling, causing care to be completed outside VHA\u2019s timeliness goal. For example, our review of TriWest records found that two veterans in Guam noted that they preferred to stay on island for their ophthalmology referrals, rather than flying to Honolulu, and the non-VA Guam orthopedist sometimes took a week or more to review a veteran\u2019s file before scheduling the appointment with TriWest.", "The 30-day timeliness goal that VA used to evaluate TriWest\u2019s performance captured a portion of the overall amount of time that it took for these veterans to receive care. We found that the number of days from the referral\u2019s creation to the date that veterans received care from Choice Program providers varied by clinic, and ranged from 19 to 239 days, with the average being 75 days. (See table 9.) This range and average includes circumstances outside of TriWest\u2019s control; for example, four veterans in our sample chose to reschedule their appointments for a later date. One veteran from American Samoa was originally scheduled for an appointment within 40 days of the referral\u2019s creation date; however, the veteran chose to reschedule the appointment and, in doing so, it took a total of 166 days for the veteran to be seen. three other veterans experienced delays in care after VAPIHCS initially sent their referrals to TAMC or NHG and later redirected the referrals to the Choice Program. VAPIHCS referred one veteran from Guam for specialty care at NHG. However, when VAPIHCS discovered that NHG could not provide care to the veteran, the veteran\u2019s referral was redirected to the Choice Program 88 days after the referral creation date. This veteran encountered additional delays because of the time it took the Choice Program provider to review medical records before scheduling the appointment. As a result, it took a total of 180 days for the veteran to be seen.", "Time taken to receive care from a DOD provider. After referring a veteran to a DOD provider, VHA does not have any timeliness goals or requirements in place related to the scheduling of appointments, or when the veteran should receive care. Our review found wide ranges in the time it took for the 39 veterans in our sample to receive care at TAMC and NHG. (See table 10.)", "TAMC: It took up to 95 days for 29 veterans from the American Samoa, Guam, and Maui clinics referred to TAMC to receive specialty care, with an average of 37 days from the creation of the referral to receiving care. These time frames include some veterans that rescheduled their appointments for later dates. For example, one veteran from Maui did not show up to the originally scheduled appointment (which was scheduled for approximately a month after the referral creation date), and the appointment was rescheduled for two months later.", "NHG: It took up to 107 days for 10 veterans from the Guam clinic referred to NHG to receive specialty care, with an average of 47 days from the creation of the referral to receiving care."], "subsections": []}, {"section_title": "Weaknesses in VAPIHCS\u2019 Referral Process May Have Contributed to the Time Taken to Provide Care at One DOD Military Treatment Facility", "paragraphs": ["When reviewing VAPIHCS\u2019 referrals to NHG, we found weaknesses with the VAPIHCS\u2019 referral process, including (1) incorrectly canceling referrals, (2) inconsistent guidance describing roles and responsibilities, and (3) untimely referral management. These weaknesses may have contributed to the amount of time it took for veterans to receive care, or resulted in the veteran not receiving care.", "Military Treatment Facility Referral Process After the Department of Veterans Affairs (VA) Pacific Islands Health Care System (VAPIHCS) staff review a referral and decide care should be rendered at a military treatment facility, there are two different processes for sending the referral to Tripler Army Medical Center (TAMC) or Naval Hospital Guam (NHG). If it is determined that a veteran needs care at TAMC, VAPIHCS staff review and send the referral to TAMC\u2019s VA Referral Center. There, TAMC staff enters the referral information into DOD\u2019s electronic medical record system and completes the appointment scheduling process. If it is determined that a veteran needs care at NHG, VAPIHCS staff review and send the referral to designated staff on Guam who have access to enter the referral directly into NHG\u2019s electronic medical record. After the designated staff on Guam enter the referral into the system, NHG staff are then responsible for scheduling the veteran\u2019s appointment.", "Some referrals sent to NHG were incorrectly canceled by VAPIHCS staff. Specifically, in addition to the 10 completed referrals we reviewed, we also examined 5 referrals sent to NHG that were subsequently canceled by VAPIHCS staff responsible for referral management, but with no indication of appointments ever being scheduled. The reason for cancelations recorded in the veterans\u2019 medical records was that the referrals had been open for more than 90 days; however, this practice is not in alignment with VHA policy. According to VHA policy confirmed by a VHA official, canceling a referral is an action taken by the receiving service to alert the sending provider that additional information is needed, or to correct an obvious error in the referral; a referral should not be canceled due to the length of time the referral has been open without care being provided. VHA policy also states that canceled referrals older than 90 days are not to be resubmitted by the sending provider; instead, the sending provider must reassess the patient\u2019s needs, as the clinical circumstances may have changed, and create a new referral, as necessary. Based on our review, it is unclear why VAPIHCS staff responsible for referral management were not following VHA policy for canceling referrals, whether it was because they did not understand the policy or for other reasons. Federal internal control standards require management to review processes in a timely manner to ensure that control activities are appropriately designed and implemented. Because our review found that in some cases VAPIHCS staff were not following VHA\u2019s referral policy, it is important for VAPIHCS to determine why staff are not adhering to the policy and take needed steps to ensure compliance. Ultimately, in our review of the veterans\u2019 medical records, we did not find documentation that these veterans received the recommended care included in the canceled referrals. Additionally, we did not find evidence that four of the five referrals had been updated and resubmitted, or that any new referrals had been submitted in their place, which may have delayed needed care; or that the five affected veterans were contacted by VAPIHCS to understand why appointments had not been scheduled.", "Inconsistent guidance exists describing the roles and responsibilities of VAPIHCS staff involved in the NHG referral process. We identified different VAPIHCS guidance that provided inconsistent descriptions of the referral process with NHG. For example, a VAPIHCS flowchart depicting the referral process states that, after review, the referral is to be sent to a VAPIHCS staff member embedded within NHG to enter the referral information into NHG\u2019s electronic medical record. However, language in the referral itself states that, after review, the referral is sent to Guam clinic staff to enter into NHG\u2019s record. Federal internal control standards call for management to assign responsibility and delegate authority to achieve an agency\u2019s objectives.", "A VAPIHCS official stated that the embedded member within NHG entering in referrals in NHG\u2019s electronic medical record was an interim fix and that there are plans in place for those responsibilities to be transferred to NHG staff. Specifically, VAPIHCS and NHG officials reported that NHG plans to hire two staff members to manage the referral process, but as of December 2017, these 2 staff members had not yet been hired due to budgetary constraints. Whether or not NHG hires additional staff, it is important for VAPIHCS to clarify and document the roles and responsibilities of their staff for sending, managing, and monitoring referrals to NHG. Without such clarification, there is the risk for confusion about responsibilities for entering referrals into NHG\u2019s electronic medical record, which could potentially create delays in appointment scheduling and veterans\u2019 receiving care.", "VAPIHCS did not always manage referrals to NHG in a timely way. Our review found instances throughout the NHG referral process where lack of timely referral management by VAPIHCS staff may have contributed to delays in veterans receiving care. VHA policy states that the referral process should include appropriate staff to manage referral notification, disposition, scheduling and completion; and designate staff to run referral reports, which must be reviewed at least weekly to resolve issues. In addition, federal internal control standards state than an organization should establish and operate monitoring activities to determine appropriate corrective actions on a timely basis.", "One factor that contributed to the lack of timely referral management was that VAPIHCS does not effectively monitor the referrals sent to NHG.", "First, VAPIHCS staff did not always monitor the availability of services at NHG with the frequency necessary to ensure the timeliness of referral management. NHG is to provide VAPIHCS with a list of available outpatient services no less than quarterly so VAPIHCS can determine if a referral for a specific service can be made to NHG; we confirmed that NHG provided these lists quarterly during our review time frame. However, VAPIHCS staff did not monitor whether services remained available after sending referrals to NHG in a timely manner. For example, one veteran in our review was originally referred to NHG in late November 2016, but it was not until VAPIHCS staff followed up on the referral in early February 2017 that they were informed that NHG could not accommodate the veteran at that time and that they instead should refer the veteran to a non-VA provider. This may have contributed to delay in care for the veteran by more than 2 months.", "Second, VAPIHCS staff did not ensure that referrals were entered into NHG\u2019s electronic medical record system in a timely manner to begin the appointment scheduling process; under the process agreed to by VAPIHCS and NHG, it is the responsibility of designated VAPIHCS staff to enter referrals into the NHG electronic medical record system. For example, VAPIHCS staff referred one veteran for care to NHG in November 2016. However, it was not until December 2016\u2014one month later\u2014that VAPIHCS staff checked on the status of the referral. Finding no evidence of actions taken to schedule an appointment, staff added a reminder for the embedded VAPIHCS staff member at NHG to enter the referral into NHG\u2019s electronic medical record, to restart the appointment scheduling process.", "Third, VAPIHCS staff did not always manage referrals to ensure the timely disposition and scheduling of appointments. Among the five canceled referrals that we reviewed, we found VAPIHCS staff noticed appointments had not been scheduled only when they reviewed the referrals months later. For example, of the five referrals VAPIHCS sent to NHG, one referral, sent in mid-November 2016, was canceled in early February 2017 after VAPIHCS staff found no evidence that an appointment had or would be scheduled. another referral was sent in late November 2016. After VAPIHCS staff reviewed the referral and found no evidence that an appointment had or would be scheduled, they noted that the referral was 101 days old and canceled it in late January 2017.", "VAPIHCS staff referred another veteran to NHG in mid-March 2017. After VAPIHCS staff reviewed the referral and found no evidence that an appointment had or would be scheduled, they noted that the referral was almost 4 months old and canceled it in June 2017.", "VAPIHCS\u2019 lack of timely referral management was also due to poor communication between VAPIHCS staff and NHG. Federal internal control standards state that an organization should communicate with external bodies to receive the necessary quality information required to achieve the entity\u2019s objectives. A VAPIHCS official stated that VAPIHCS staff do not have the same level of communication with NHG as they do with TAMC, which has its own staff to schedule veteran appointments and communicate that information back to VAPIHCS on a weekly basis, including if they cannot schedule a veteran. Instead, the official stated that VAPIHCS staff have to independently monitor the status of referrals to NHG, or ask the embedded VAPIHCS staff member at NHG to complete referral research for them. In addition, our review of the referral notes for these veterans found no evidence of communication between VAPIHCS staff and NHG staff regarding NHG\u2019s efforts to schedule appointments for veterans before VAPIHCS staff canceled them. Furthermore, we also found no evidence of communication regarding outreach by NHG staff to VAPIHCS staff to discuss any scheduling difficulties, such as being unable to contact a veteran.", "Because VAPIHCS relies on NHG to provide inpatient and specialty care services for veterans from Guam and the Commonwealth of the Northern Mariana Islands, it is essential that referrals sent to NHG are managed in a timely manner, including verifying the availability of services and ensuring referrals are entered into NHG\u2019s electronic medical record system, as well as communicating with NHG about the status of veterans\u2019 appointments. Without a more robust referral management process, VAPIHCS is unable to ensure that veterans receive needed care in a timely manner, if they receive care at all."], "subsections": []}]}, {"section_title": "VAPIHCS Has Faced Physician Recruitment and Retention Challenges, but Has Not Evaluated the Strategies It Used to Help Resolve Them", "paragraphs": [], "subsections": [{"section_title": "VAPIHCS Has Faced Physician Recruitment and Retention Challenges, Including Those Unique to the Pacific Islands, and Others Common across VHA", "paragraphs": ["We found that VAPIHCS has faced physician recruitment and retention challenges that are both unique to the Pacific Islands, such as the limited number of local physicians from which to recruit, and challenges that are common across VHA, such as the amount of time it takes to hire a new physician. Having an adequate physician workforce is key to ensuring veterans\u2019 timely access to health care. Overall, there were at least 17 physician vacancies out of approximately 100 positions across VAPIHCS as of October 2017, as well as several more vacancies for other types of health care providers, some of which have been unfilled for some time. For example, Guam clinic staff told us that at one point between October 2016 and March 2017, the period of our medical record review, the clinic had 1.8 primary care physician full-time equivalents even though it was authorized for 4. VAPIHCS officials told us they are constantly trying to recruit physicians for their facilities.", "Recruitment and Retention Challenges Unique to VAPIHCS. Through our review of relevant literature and interviews with VAPIHCS officials, we learned that physician recruitment is challenging for VAPIHCS in the following ways, particularly because of its geographic remoteness:", "There is one local medical school and limited local providers from which VAPIHCS recruits. The University of Hawaii\u2019s John A. Burns School of Medicine is the only local medical school across Hawaii, Guam, and American Samoa from which VAPIHCS recruits physicians.", "The islands of American Samoa, Guam, and Hawaii all include counties, facilities, or populations designated as Health Professional Shortage Areas, which indicate health care provider shortages in primary, dental, or mental health care. These designations indicate a limited number of local physicians for VAPIHCS to target in the event of a vacancy. A 2015 University of Hawaii study further highlighted these shortages. It found that the Hawaiian Islands had a deficit of more than 600 physicians, with a projected shortage of between 800 and 1,500 physicians by 2020. This requires VAPIHCS to focus its recruitment efforts on medical schools and physicians located on the mainland United States.", "Travel options for VAPIHCS staff and their families are limited.", "Finding physicians that are willing to relocate to such remote locations is difficult, according to VAPIHCS officials. In prior work, we found that other VAMCs experienced challenges recruiting physicians who were reluctant to practice in rural or geographically remote areas. This challenge is likely more pronounced for VAPIHCS, given the location of its clinics. Both American Samoa and Guam are thousands of miles from the mainland United States and travel to and from these islands requires significant time and money. For example, American Samoa only has two direct commercial flights a week (on Mondays and Fridays) and Guam has only a daily direct commercial flight to Honolulu. While the Hawaiian Islands are more accessible to the mainland, they are still geographically isolated relative to the rest of the United States, and face some of the same travel challenges as American Samoa and Guam.", "Residents face a high cost of living, limited community resources, and trade-offs associated with island living. While other regions of the country face similar challenges, they may be more pronounced living on an island where alternatives are limited. The cost of living in Hawaii is higher than the nationwide average, and VAPIHCS officials told us that the real estate market in Hawaii is extremely expensive. These officials also said that physician candidates have raised concerns about the quality of the public school system in some areas of the islands, which could add a potential expense of sending their children to private schools and thus deter them from accepting employment. Other concerns include, for example, the lack of a veterinarian on American Samoa. According to an official, VAPIHCS lost a candidate who had agreed to relocate to the island until learning of the lack of veterinary services.", "Technical issues due to locations. One physician in American Samoa told us that it can take almost 1.5 hours to access the web- based program VHA offers for voice-activated dictation of medical notes, and thus, instead, he often uses services offline, although doing so means he has to enter his notes into VA\u2019s medical record at a later time. Guam clinic staff, including physicians, also face unique challenges due to working across the International Date Line from the Spark M. Matsunaga VAMC. Specifically, the Guam clinic information technology system operates off of a server located in Honolulu that is 20 hours, or almost a day, behind Guam. Veterans being treated in Guam are essentially being treated in the \u201cfuture\u201d according to VA\u2019s server in Honolulu, as the date of a health care appointment in Guam is always one day ahead of the server in Honolulu. For example, if a Guam physician sees a patient on Monday at 3:00 pm, it is 7:00 pm on Sunday in Honolulu. As a result, physicians must wait until the next day to retroactively complete clinical notes. Officials also said that physicians are frustrated working in a system that may require multiple days to complete clinical notes, and that this issue has impacted physician recruitment and retention. Guam clinic staff also said that, due to the time change, they only have about 16 business hours per week that the clinic is open that overlap with business hours of VAPIHCS officials working in Honolulu, which limits the amount of time physicians at the Guam clinic can consult with other VAPIHCS physicians or administrators in Honolulu.", "Recruitment and Retention Challenges across VHA. VAPIHCS has encountered some of the same physician recruitment and retention challenges that we have previously found are common across VHA, although some of these challenges may be compounded by the Pacific Islands\u2019 geographic remoteness. For example:", "Differences in interpretation of recruiting and hiring policies may have contributed to lengthy recruiting times. In prior work, we found that differences in VAMC officials\u2019 understanding of some of VHA\u2019s recruitment and hiring policies contributed to lengthy recruitment and hiring processes. We also heard differences in policy interpretations during our discussions with VAPIHCS officials for this review. For example, some officials mentioned that a physician vacancy must be posted to USAJobs; however, VHA\u2019s hiring authorities allow facilities to hire physicians for positions without regard to civil service requirements, such as requiring public notice of the vacancy. Some VAPIHCS officials also mentioned having to wait to post a position until after the predecessor had vacated it, while another official correctly noted that the recruitment process to replace a departing physician can begin before the position is vacated. Failure to understand VHA\u2019s hiring authorities and use an expeditious hiring process most suitable for a particular vacancy may contribute to the length of the recruitment process.", "Lack of interoperable electronic medical record systems between VA and DOD. We have reported for more than a decade that VA and DOD lack interoperable electronic medical record systems that permit the efficient electronic exchange of patient health information. VA and DOD partly addressed the lack of interoperability by utilizing a web-based Joint Legacy Viewer to facilitate information-sharing for VA and DOD patients, including those at VAPIHCS, NHG, and TAMC. The Joint Legacy Viewer provides VAPIHCS physicians with access to clinical notes on a veteran being treated at a military treatment facility. However, VAPIHCS and DOD officials told us that there are challenges using the Joint Legacy Viewer, including the absence of robust information found in electronic medical records, the need for physicians to toggle between multiple applications to obtain a patient\u2019s full history, slow networks, and reduced worker productivity as a result of operating several different systems simultaneously. Retention of physicians may be difficult in an environment where the administrative burdens associated with information technology may take time away from providing patient care."], "subsections": []}, {"section_title": "VAPIHCS Has Used, but Not Evaluated, VHA Strategies to Support Physician Recruitment and Retention", "paragraphs": ["Primary responsibility for physician recruitment and retention rests with each Veterans Affairs medical center (VAMC) While each Veterans Integrated Service Network has a Human Resources office responsible for overseeing the VAMC-level Human Resources offices within its network, individual VAMCs are responsible for managing their employee recruitment and retention programs. The Veterans Health Administration supports VAMCs in recruiting and retaining providers by providing system- wide strategies for their use.", "VAPIHCS and VHA officials told us they have recruited and retained physicians to the Pacific Islands by promoting attributes of its location and by using VHA strategies, similar to other VAMCs nationwide. Locally, officials told us they have advertised the Pacific Islands\u2019 weather and scenery during their recruitment efforts. Officials also said they promoted VAPIHCS\u2019 unique relationship with DOD through its joint venture with TAMC in Honolulu as an incentive for moving to Hawaii. For example, some VAPIHCS physicians working in Honolulu have the opportunity to work alongside DOD physicians at TAMC\u2014including the ability to consult face-to-face regarding care for a veteran referred to TAMC and provide care to DOD beneficiaries in certain settings.", "VAPIHCS also used many of the VHA strategies used at VAMCs nationwide to help with its physician recruitment and retention efforts. VAPIHCS officials discussed the use of the following VHA strategies, and noted limitations associated with some of them.", "Financial incentives. VAPIHCS officials reported that they sometimes used recruitment and retention bonuses and relocation allowances for physicians. For example, in fiscal year 2017, VAPIHCS paid $217,257 in recruitment incentives to three specialty care providers (for an average of $72,419 per physician). VAPIHCS did not offer any other financial incentives that year.", "Education Debt Reduction Program. Through the Education Debt Reduction Program, VHA reimburses qualifying education loan debt for employees, including physicians, in hard-to-recruit positions. In fiscal year 2017, three primary care physicians in VAPIHCS had applications approved for this program. Each recipient was awarded, on average, $17,000. VAPIHCS officials said the program was generally considered a \u201cgreat recruiting tool,\u201d but that its success was inconsistent given uncertainties regarding the amount of funding that would be available to the facility in a given year. Funds for the Education Debt Reduction Program, which are centrally managed by VHA\u2019s Healthcare Retention and Recruitment Office, are based on the availability of funds and demand each year. In instances where centralized funding is not available, VAPIHCS and other VAMCs are authorized to use local funds to support program offers, but VAPIHCS officials said they have not used any local funds to support the program in the last 5 years.", "National Recruitment Program. VHA\u2019s National Healthcare Recruitment Service, a division of VHA\u2019s Workforce Management and Consulting Office, operates the National Recruitment Program, which provides direct physician recruitment services to VAMCs for hard-to- recruit positions by using private-sector recruiting techniques, including representing VHA at medical conferences and screening resumes. As part of VISN 21, VAPIHCS may also use the services of the network\u2019s one dedicated recruiter responsible for serving the nine facilities in the VISN. In the almost 6 years since this recruiter has worked for VISN 21, he reported recruiting seven physicians and one social worker for VAPIHCS, and is in the process of recruiting a nephrologist. The recruiter observed that with recent leadership changes, VAPIHCS officials have been more engaged with his office and the recruiting assistance he can provide. VAPIHCS officials shared these sentiments, echoing their interest in increasing utilization of the VISN recruiter.", "Rural Health Training and Education Initiative. According to VHA officials, VAPIHCS is one of five facilities to participate in VHA\u2019s Office of Rural Health\u2019s Rural Health Training and Education Initiative to enhance its physician recruitment efforts. This program works with academic affiliates to help place physicians in rural areas and enhance VAMCs\u2019 recruitment efforts and educate trainees about working within a VA rural health environment. According to VAPIHCS officials, 3 out of 16 physicians from this program who are eligible to be hired have taken positions at its clinics, including positions in Guam and Molokai.", "Enhanced Physician Recruiting and Onboarding Model. In 2015, VHA issued its Enhanced Physician Recruiting and Onboarding Model to standardize interpretation of its recruitment policy, strengthen overall physician recruitment at VAMCs, and shorten hiring processing time. VAMCs were not required to implement the model, and in our prior work, we found that implementation has been limited due to, for example, the lack of resources to implement the recommendation for a dedicated VAMC-based physician recruiter.", "VAPIHCS officials we spoke with said they were unaware of the Enhanced Physician Recruitment and Onboarding Model, but reported that they use 20 of the 30 best practices listed under the model, when asked about those practices. These best practices include, for example, leveraging increased pay rates when recruiting physicians, engaging with the VISN recruiter for hard-to-fill vacancies, and identifying interview questions and an interview panel before recruitment begins. VAPIHCS officials reported that they do not use other best practices such as utilizing VA\u2019s human resources program for tracking recruitment actions and having a dedicated physician recruiter because they already have an alternate practice in place or a practice does not match their needs, among other reasons. However, officials told us they plan to examine whether there are opportunities to leverage any of these remaining best practices.", "As noted, in a prior report we recommended that VHA should conduct a comprehensive, system-wide evaluation of the physician recruitment and retention strategies used by VAMCs to determine their overall effectiveness, identify and implement improvements, ensure coordination across VHA offices, and establish an ongoing monitoring process. However, because VAMCs are primarily responsible for managing their own employee recruitment and retention programs and given the unique and ongoing challenges VAPIHCS has experienced with recruiting and retaining physicians, it is also important for VAPIHCS to similarly evaluate whether the strategies it uses are effective. An evaluation conducted by VHA on system-wide recruitment and retention strategies would not preclude the need for VAPIHCS to evaluate the strategies it uses; rather, it would further help identify those specific strategies that are most effective for recruiting and retaining physicians in the Pacific Islands.", "Federal standards for internal control related to monitoring calls for agencies to perform monitoring activities, including completing evaluations to monitor the design and effectiveness of the operations at a specific time. Agencies are to then evaluate the results of these activities and take corrective actions as needed. Ensuring veterans have timely access to health care services is one of VA\u2019s objectives, which is dependent upon having an adequate number of physicians to provide the care. VAPIHCS officials told us that as of December 2017 they have not conducted any type of evaluation of their current strategies for facilitating physician recruitment and retention due to recent changes in leadership positions. Without evaluating the strategies currently used to determine their effectiveness, or determining if additional strategies offered by VHA might be appropriate, VAPIHCS risks missing the opportunity to target its efforts to those strategies that have the greatest potential to ameliorate long-standing staffing shortages."], "subsections": []}]}, {"section_title": "Veterans Face a Number of Challenges Accessing Health Care in the Pacific Islands, and VAPIHCS Uses Several Strategies to Improve Access", "paragraphs": [], "subsections": [{"section_title": "Lack of Certain Specialties on the Pacific Islands and Significant Travel Are among Challenges Veterans Face Accessing Heath Care", "paragraphs": ["According to VAPIHCS officials, veterans face challenges accessing health care services on the Pacific Islands due to the lack of certain specialty care providers on many of the islands, the significant travel that is required to obtain these services, and limitations associated with telehealth services.", "Lack of certain specialty care providers. VAPIHCS officials told us that several Pacific Islands lack certain specialty care services entirely or significantly enough that there may be only one or a few of a certain provider type available to serve all residents, including veterans. Overall, VAPIHCS officials noted that the availability of different types of physicians across the islands is constantly in flux, but said that notable shortages are in gastroenterology, audiology, podiatry, rheumatology, dermatology, and neurology. For example, according to VAPIHCS officials, there is only one dermatologist on Guam practicing at NHG, and there is only one gastroenterologist in the community providing certain services;", "Kauai has a shortage of oncologists;", "Maui has a shortage of cardiologists; and", "American Samoa has a shortage of almost all types of specialty care providers because it only has one hospital\u2014the Lyndon B. Johnson Tropical Medical Center\u2014to provide medical care to its approximate 55,000 residents. VAPIHCS officials said the hospital is lacking many specialty services. According to VA, it does not authorize non-VA care there because the hospital receives funding from other federal agencies to provide medical services. Additionally, the hospital is not accredited for safety and quality. TriWest officials reiterated that there are virtually no specialty providers available on American Samoa for them to contract with; as of July 2017, there was only one Choice Program provider contracted on the island. As a result, essentially all eligible veterans must travel to Hawaii for specialty care services.", "Significant travel required of veterans. Because many of the islands lack certain specialty providers, VAPIHCS officials said that veterans often must fly elsewhere to obtain care. While travelling such distances helps improve veterans\u2019 access to health care services, it also creates challenges. For example, such travel requires time away from their homes and families, which may be particularly difficult for veterans in poor health. The time and distance required for travel can also be quite significant\u2014for example, veterans from American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands must travel thousands of miles by plane to receive services in Honolulu. A Guam veterans group said that veterans were frustrated with having to fly 8 hours to Hawaii for health care services. In instances where the necessary services are beyond those available in Honolulu, veterans must fly to the mainland United States for care\u2014a flight from Honolulu to California adds about 5 hours. The flight times are even longer for veterans travelling from American Samoa, the Commonwealth of the Northern Mariana Islands, and Guam. Figure 2 illustrates the locations of veterans enrolled in VAPIHCS and the distances and flight times they may need to travel to receive care.", "According to VAPIHCS data, most VAPIHCS veterans travelling for health care services over the years have received care in Honolulu, although some have had to travel to the mainland United States for subspecialty care or highly specialized care such as organ transplants. Eligible veterans are provided reimbursement for travel-related expenses under VHA\u2019s Beneficiary Travel Program. In fiscal year 2017, VAPIHCS provided beneficiary travel funds to 348 veterans from American Samoa and 92 veterans from Guam to travel to Honolulu for care, for a total of 678 trips. During this same year, 15 veterans traveled to the mainland United States for care. VAPIHCS reported that, overall, 830 VAPIHCS veterans used beneficiary travel benefits to travel to Honolulu or the mainland United States for care that year. This represents approximately 2 percent of the total number of veterans (51,213) who received some type of care through VAPIHCS in fiscal year 2017. Veterans are responsible for paying for travel if they are ineligible for travel benefits and travel is required to receive care. The significant costs associated with travel among the Pacific islands\u2014flights, lodging, meals\u2014could be cost prohibitive for these veterans and, as a result, they may be unable to access VA or non-VA health care services off island.", "Limitations with telehealth services. Veterans face challenges accessing health care services due to limitations with telehealth services. For example, VAPIHCS officials told us there are limitations with the availability of internet services on the islands of Guam and American Samoa. This could lead to disruptions\u2014or even cancellations\u2014of veterans\u2019 telehealth appointments. For example, VAPIHCS officials shared that damaged cables in the Pacific Ocean due to natural disasters and equipment failure on the part of internet service providers on the islands have led to disrupted and cancelled appointments for veterans. In March 2018, VAPIHCS reported that it had increased bandwidth and purchased new equipment to help support its telehealth efforts. Additionally, the extent to which a veteran can receive telehealth in his or her home versus the local clinic may depend upon the licensure of the provider delivering care. If a veteran is receiving telehealth services while he or she is physically located in a clinic, under federal law, the provider is not required to be licensed in the state in which the facility is located. When the patient is receiving telehealth services at home, however, a state may require that the provider be licensed in the state in which the patient is located. An official said that this is currently hampering VAPIHCS\u2019 telehealth expansion efforts into the home."], "subsections": []}, {"section_title": "VAPIHCS Uses Several Strategies to Improve Veterans Access to Health Care, including the Use of Travelling Providers and Increased Use of Telehealth", "paragraphs": ["VAPIHCS has utilized a system of travelling VAPIHCS providers and is working to improve its use of telehealth services to better ensure veterans\u2019 timely access to care, among other strategies, according to VAPIHCS officials.", "Use of travelling providers. VAPIHCS officials reported that travelling providers enable VAPIHCS to better ensure access for veterans who are not eligible for beneficiary travel, and reduce the travel burden on veterans who are. Furthermore, they noted that it can be more cost effective for VAPIHCS to send a travelling provider to an island on a set schedule than it is to fly veterans to Honolulu for care. These providers also help expand access by providing specialty care that is in short supply or missing entirely in some communities. For example, a VAPIHCS optometrist travels to American Samoa for one week each month, according to officials, because there is no board-certified optometrist on the island. In addition, the travelling providers offer veterans the opportunity to receive specialty care from a VA provider.", "Officials said they adjust the travelling providers\u2019 schedules to reflect changes in service availability in the local communities. Table 11 illustrates the types of VAPIHCS travelling providers and the frequency with which they visit different clinics, as of December 2017.", "Increased use of telehealth services. Even though internet service on the Pacific Islands is not always reliable as previously noted, VAPIHCS has been increasing its use of telehealth services to improve veterans\u2019 access to health care services. In fiscal year 2017, VAPIHCS reported that 3,046 VAPIHCS veterans utilized clinic-based telehealth services compared to 1,299 veterans in fiscal year 2011, an increase of more than 134 percent.", "VAPIHCS launched two new telehealth hubs in June 2017:", "According to VA officials, VAPIHCS was 1 of 8 VAMCs selected to establish a hub, or center for delivery of teleprimary care from the VAMC to distant clinics within its system. According to VAPIHCS officials, the teleprimary care hub in the Spark M. Matsunaga VAMC is currently providing services to veterans at the Guam clinic and is exploring opportunities to provide teleurgent care in partnership with VAPIHCS\u2019 call center. Officials further noted this would allow telehealth staff to provide veterans with \u201calmost instant access\u201d to health care services and, if successful, help improve veterans\u2019 timely access to care by increasing the number of appointments at the clinics that could be dedicated to more complex concerns. VAPIHCS officials also said that the teleprimary care hub would also be used for long-term coverage for clinics with provider vacancies.", "Similarly, VAPIHCS was one of 11 VAMCs selected to establish a telemental health hub. According to VAPIHCS officials, this hub is currently serving veterans at the Oahu, Guam, and Molokai clinics and one of the Hawaii clinics (Hilo), with plans to expand services to the Kauai clinic in the future.", "Overall, officials said that feedback from veterans using these hubs has been \u201coverwhelmingly positive,\u201d as veterans appreciate receiving care from VAPIHCS providers, the privacy afforded by telehealth, and not having to travel for their services. The number of telehealth users in VAPIHCS is likely to continue increasing as a result of these new hubs.", "While feedback has been positive, VAPIHCS officials said they have experienced some challenges with the launch of these hubs, including the time and date difference between Guam and Honolulu where the staff for both hubs are located. Staff from the hubs had to adjust their schedules to support Guam\u2019s hours given that only 16 business hours per week overlap between the two islands. Having sufficient space in the clinics for telehealth services is another challenge. To address this, one official said they are encouraging veterans to hold video visits with their providers from their homes if clinical exams are not required during their appointments.", "Improvements to clinical space. Because sufficient examination and treatment space is lacking in many of its clinics, VAPIHCS is in the process of building new or expanding existing clinics to increase the number and type of services available to veterans. According to a VAPIHCS official, as of August 2017, VAPIHCS has plans to replace six of its existing clinics and open one new clinic. These new clinics are expected to be open by fiscal year 2020. For example, the American Samoa clinic will be expanded to include additional space for mental health consultations and group meeting spaces, while the Guam clinic will be expanded to include additional primary and mental health care clinic space. This may help address a concern of the Guam veterans group we spoke with in Guam, who said the clinic was too small and did not offer sufficient patient privacy. According to VAPIHCS officials, VAPIHCS\u2019 new clinic, expected to open in 2020, is to be located on the island of Oahu and will be a multi-specialty outpatient clinic offering many different services, including primary care, mental health, telemedicine, women\u2019s care, dental care, a pain clinic, physical and occupational therapy, prosthetic, laboratory and pathology, pharmacy, and imaging services.", "Improvements to the beneficiary travel process. VAPIHCS is in the process of updating its process for arranging beneficiary travel, which ultimately could improve veterans\u2019 access to care. Under the old process, officials told us that much of the responsibility for coordinating veterans\u2019 travel fell on nursing and administrative staff, creating stress and reducing the amount of time nurses could spend on providing patient care. As a result, VAPIHCS decided to centralize its beneficiary travel process in the Office of Beneficiary Travel in Honolulu. The goal, according to VAPIHCS officials, is to remove the clinic staff from the process\u2014thereby increasing the amount of time dedicated to their clinical duties\u2014and instead encourage veterans to work directly with the staff in Honolulu to arrange their travel. As of September 2017, VAPIHCS was still in the process of implementing this new process. VAPIHCS also created a task force to improve the process for arranging travel for American Samoa veterans needing care off-island. As a result of their efforts, VAPIHCS officials reported in December 2017 that they had managed to reduce the time clinic staff in American Samoa dedicated each day to addressing travel issues from an average of 408 minutes to 64 minutes.", "Communicating with veterans about VA and Non-VA services. VAPIHCS uses a variety of mechanisms to communicate with veterans about access to VA and non-VA health care services. Veterans are introduced to these services through New Veteran Orientations that are offered at some of the clinics. VAPIHCS also gives newly enrolled veterans handbooks that are specific to the clinics where they enrolled. VAPIHCS also communicates with veterans through town hall meetings, health forums, its Facebook page, television and radio shows, and community events. For example, staff from the American Samoa clinic told us that they partner with a local television station to host a 30-minute monthly segment to educate veterans about available VA services. VAPIHCS officials reported they had planned to conduct approximately 170 outreach events, spanning 9 islands and targeting about 6,000 veterans, for fiscal year 2017. VAPIHCS officials told us that they try to provide culturally appropriate communications with veterans of the different Pacific Islands. For example, they said they are planning to translate materials into Samoan for veterans from American Samoa. They also recognize that many veterans prefer face-to-face interactions with VA officials rather than receiving information electronically; for example, the Hawaiian tradition known as \u201ctalk story\u201d focuses on informal conversations and sharing information with friends in the community."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["VAPIHCS has generally provided primary and mental health care within VHA\u2019s timeliness goals for most veterans reviewed, but there are weaknesses in the referral process for specialty care services. Because most specialty care services are provided to veterans outside of VA through DOD providers or through non-VA providers in the community, it is crucial that VAPIHCS improve its management of these referrals to ensure adherence to VHA policy. Without improvements to adherence to VHA policy in the referral process, inconsistent guidance on roles and responsibilities, and lack of timeliness of referral management, these weaknesses are likely to persist, and may add to the amount of time it takes for some veterans to receive care, or may result in some veterans not receiving care at all.", "In addition, maintaining an adequate clinical workforce to meet the health care needs of veterans is necessary to ensuring veterans\u2019 timely access to care. Doing so is particularly important for VAPIHCS given the unique challenges it faces in recruiting and retaining physicians in the geographically remote Pacific Islands. It is therefore critical that VAPIHCS identify and use the most effective recruitment and retention strategies offered by VHA. However, VAPIHCS has not evaluated the strategies that it has used to determine if they are the most optimal or if other available strategies would be more effective. Without completing such an evaluation, VAPIHCS does not know if it is optimizing its resources to improve its hiring efforts and ameliorate long-standing physician shortages."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to VA: 1. The Secretary of VA should ensure that VAPIHCS review its referral process for referrals to DOD providers, including referral cancellation, to determine why VHA policy is not being adhered to and make changes as needed. (Recommendation 1) 2. The Secretary of VA should ensure that VAPIHCS clarify guidance to clearly define and document roles and responsibilities for VAPIHCS staff involved in the referral process with NHG. (Recommendation 2) 3. The Secretary of VA should ensure that VAPIHCS improves the monitoring of referrals and communication with NHG to ensure the timely management of referrals to NHG, including verifying the availability of services for veterans; ensuring referrals are entered into NHG\u2019s electronic medical record system; and obtaining information about the status of scheduling appointments for veterans. (Recommendation 3) 4. The Secretary of VA should ensure that VAPIHCS evaluates the effectiveness of strategies it currently uses to promote physician recruitment and retention, including how the strategies could be improved. The plan should also include an assessment of whether additional strategies currently offered by VHA would be beneficial. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to VA and DOD for review and comment. VA provided written comments, which are reproduced in appendix I. In addition, both VA and DOD provided technical comments, which we have incorporated as appropriate.", "In its written comments, VA concurred with three of our four recommendations and provided information on its plans to address them. VA partly concurred with our recommendation for VAPIHCS to improve the monitoring of referrals and communication with NHG to ensure the timely management of referrals to NHG. For this recommendation, VA agreed that it should improve its monitoring of referrals by verifying the availability of services at NHG for veterans and obtaining the status of their appointments to be scheduled, and noted that VAPIHCS is developing a standard operating procedure that includes, among other things, monitoring referrals weekly to resolve issues.", "However, VA did not agree with ensuring referrals are entered into NHG\u2019s electronic medical record system as part of its monitoring efforts and stated that it does not have the authority to do so. During our review, we found that designated VAPIHCS staff on Guam have access to, and are responsible for entering referrals directly into, NHG\u2019s electronic medical record. Only after VAPIHCS staff enter referrals directly into NHG\u2019s electronic medical record did NHG staff assume responsibility for scheduling veterans\u2019 appointments. We confirmed this practice through interviews with VAPIHCS and DOD staff and through our review of a sample of referrals sent to NHG, which showed that VAPIHCS staff had entered the referrals. Furthermore, the sharing agreement between VAPIHCS and NHG documented the arrangement for VAPIHCS staff to be granted access to NHG\u2019s electronic medical record. As long as VAPIHCS staff continue to be responsible for entering referrals into NHG\u2019s electronic medical record system, we believe that it is also their responsibility to monitor the status of these referrals, including ensuring that referrals are entered correctly and timely. Because VAPIHCS relies on NHG to provide inpatient and specialty care services for veterans from Guam and the Commonwealth of the Northern Mariana Islands, it is important for VAPIHCS to monitor the entire referral management process to ensure that veterans receive needed care in a timely manner.", "We are sending copies of this report to the appropriate congressional committees and the Secretaries of Veterans Affairs and Defense. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or at DraperD@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Department of Veterans Affairs Comments", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Ann Tynan, Assistant Director, Kaitlin Coffey (Analyst in Charge), Kate Tussey, Jennie Apter, and Jackie Hamilton made key contributions to this report. Also contributing were Emily Binek, Muriel Brown, Natalie Hagy, Alexis MacDonald, and Brienne Tierney."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Veterans Health Administration: Better Data and Evaluation Could Help Improve Physician Staffing, Recruitment, and Retention Strategies, GAO-18-124. Washington, D.C.: October 19, 2017.", "VA Health Care: Opportunities Exist for Improving Implementation and Oversight of Enrollment Processes for Veterans, GAO-17-709. Washington, D.C.: September 5, 2017.", "VA Health Care: Improvements Needed in Data and Monitoring of Clinical Productivity and Efficiency, GAO-17-480. Washington, D.C.: May 24, 2017.", "Veterans Health Care: Preliminary Observations on Veterans\u2019 Access to Choice Program Care, GAO-17-397T. Washington, D.C.: March 7, 2017.", "Veterans Health Administration: Management Attention Is Needed to Address Systemic, Long-standing Human Capital Challenges, GAO-17-30. Washington, D.C., December 23, 2016.", "Veterans Health Care: Improvements Needed in Operationalizing Strategic Goals and Objectives, GAO-17-50. Washington, D.C.: October 21, 2016.", "Veterans Health Administration: Personnel Data Show Losses Increased for Clinical Occupations from Fiscal Year 2011 through 2015, Driven by Voluntary Resignations and Retirements, GAO-16-666R. Washington, D.C.: July 29, 2016.", "VA Health Care: Actions Needed to Improve Newly Enrolled Veterans\u2019 Access to Primary Care, GAO-16-328. Washington, D.C.: March 18, 2016.", "VA Mental Health: Clearer Guidance on Access Policies and Wait-Time Data Needed, GAO-16-24. Washington, D.C.: October 28, 2015.", "VA Primary Care: Improved Oversight Needed to Better Ensure Timely Access and Efficient Delivery of Care. GAO-16-83. Washington, D.C.: October 8, 2015.", "VA Health Care: Oversight Improvements Needed for Nurse Recruitment and Retention Initiatives, GAO-15-794. Washington, D.C.: September 30, 2015.", "VA Health Care: Actions Needed to Ensure Adequate and Qualified Nurse Staffing, GAO-15-61. Washington, D.C.: October 16, 2014.", "VA Health Care: Management and Oversight of Consult Process Need Improvement to Help Ensure Veterans Receive Timely Outpatient Specialty Care, GAO-14-808. Washington, D.C.: September 30, 2014.", "VA Health Care: Reliability of Reported Outpatient Medical Appointment Wait Times and Scheduling Oversight Need Improvement, GAO-13-130. Washington, D.C.: December 21, 2012.", "VA and DOD Health Care: Department-Level Actions Needed to Assess Collaboration Performance, Address Barriers, and Identify Opportunities, GAO-12-992. Washington, D.C.: September 28, 2012.", "Veterans\u2019 Health Care: Service Delivery for Veterans on Guam and the Commonwealth of the Northern Mariana Islands, GAO/HEHS-99-14. Washington, D.C.: November 4, 1998.", "Veterans\u2019 Benefits: Availability of Benefits in American Samoa, GAO/HRD-93-16. Washington, D.C.: November 18, 1992."], "subsections": []}], "fastfact": ["VA medical facilities have struggled to provide timely care. For veterans who live in American Samoa, Guam, Hawaii, and the Northern Marianas, these areas' remoteness can add challenges, such as long flights to see specialists.", "We examined the timeliness of the primary, mental health, and specialty care provided by the VA Pacific Islands Health Care System.", "Most veterans in our review received timely primary and mental health care. We found some delays and weaknesses in the referral process to community providers, such as inconsistent guidance on staff roles and responsibilities.", "We recommended actions to improve the referral process."]} {"id": "GAO-18-199", "url": "https://www.gao.gov/products/GAO-18-199", "title": "Food Safety: Federal Efforts to Manage the Risk of Arsenic in Rice", "published_date": "2018-03-16T00:00:00", "released_date": "2018-04-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Arsenic, an element in the earth's crust, can be harmful to human health and may be present in water and certain foods, such as rice. Rice may be more susceptible to arsenic contamination than other crops due to the flooded conditions in which it is typically grown. FDA and USDA work to address food safety risks. FDA's responsibilities for rice include regulatory and research programs; USDA's include research programs.", "GAO was asked to review issues related to arsenic and rice. GAO examined (1) what NRC and recent key scientific reviews have reported about the effects of ingestion of arsenic on human health, (2) the extent to which FDA and USDA have managed the risk to human health from arsenic in rice, and (3) the extent to which FDA has coordinated with USDA and other federal agencies on actions to manage the risk. GAO analyzed a 2013 NRC report on inorganic arsenic, 14 reviews of scientific studies on the human health effects of ingesting arsenic published from January 2015 to June 2017, and agency documents; interviewed agency officials; and compared good practices with actions FDA and USDA took to manage risk and that FDA took to coordinate."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Research Council (NRC) of the National Academy of Sciences, in 2013, and more recent key scientific reviews reported evidence of associations between long-term ingestion of arsenic and adverse human health effects, such as cardiovascular disease. Many of the studies NRC reviewed as part of its survey of the scientific literature examined the ingestion of arsenic in drinking water, but others looked at arsenic from all sources, including dietary sources such as rice. NRC stated that evidence suggests that food, particularly rice, may be a significant source of inorganic arsenic, the more toxic of the two forms of arsenic; however, consumption of rice and levels of arsenic in rice vary widely, making it difficult to estimate arsenic intake from rice. NRC identified stronger evidence for some health effects at higher levels of arsenic\u2014defined by NRC as 100 parts per billion or higher in drinking water\u2014than at lower levels, which are more common in the United States, and noted that research on the health effects of ingesting lower levels of arsenic is ongoing.", "The Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA) have taken actions to manage the risk of arsenic in rice to human health, including assessing the type and prevalence of health effects that may result from long-term ingestion of arsenic in rice. FDA also has taken action to publicly communicate and report on the risk. In 2016, FDA issued a risk assessment about the human health effects from long-term ingestion of arsenic in rice and draft guidance recommending industry not exceed a level of 100 parts per billion of inorganic arsenic in infant rice cereal. FDA noted it issued this guidance because infants face a higher risk owing to their less-varied diets. However, FDA has not updated the risk assessment, which was informed by a review of scientific studies published before February 2015, or finalized the draft guidance. In prior work, GAO has found that sharing risk information and incorporating stakeholder feedback can help organizations identify and better manage risks, as well as increase transparency and accountability to Congress and taxpayers. FDA officials stated that they may update the risk assessment based on newly-available information and consider public comments before finalizing the draft guidance. However, FDA officials could not provide a specific timeline for either. By developing such a timeline, FDA could help clarify when it will take action and improve the transparency of its decisions.", "FDA coordinated with USDA and other federal agencies on actions to manage the risk of arsenic in rice to varying extents. For example, FDA and USDA coordinated on developing arsenic detection methods for rice to a limited extent, although both agencies have crosscutting strategic goals for developing detection methods for foodborne contaminants, including arsenic. GAO has noted in prior work that developing interagency mechanisms to coordinate crosscutting issues may reduce potentially duplicative efforts. FDA and USDA officials stated that they coordinated on an informal basis but have no mechanism for coordinating more formally. By developing a coordination mechanism, FDA and USDA could enhance their ability to use their resources efficiently and avoid potentially duplicative efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that FDA develop a timeline for updating its risk assessment and finalizing its draft guidance and that FDA and USDA develop a coordination mechanism for developing methods to detect foodborne contaminants, including arsenic. FDA and USDA generally agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Arsenic, an element in the earth\u2019s crust, is present in the environment, including water, air, and soil, because of both natural occurrence and human activity. It exists in two general forms, organic and inorganic. Both can be harmful to human health, but inorganic arsenic is generally considered to be the more toxic form. Inorganic arsenic has been classified as carcinogenic to humans by the International Agency for Research on Cancer. According to the Department of Health and Human Services\u2019 (HHS) Agency for Toxic Substances and Disease Registry, exposure to arsenic generally occurs through contaminated groundwater and the ingestion of foods containing arsenic compounds. The Agency for Toxic Substances and Disease Registry identified rice as a predominant dietary source of arsenic. Partly because of the flooded conditions under which rice is typically grown, rice may be more susceptible to arsenic contamination than other crops. In 2009, the European Food Safety Authority noted that exposure of infants to arsenic in rice products is a concern because such products are often used in foods for infants and because infants and young children have a higher food intake relative to their body weight than adults.", "The safety and quality of the U.S. food supply, both domestic and imported, are governed by a complex system stemming from at least 30 federal laws that are administered by 15 federal agencies. HHS\u2019s Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA) are the principal agencies working to protect the food supply from risks, such as contamination. FDA is responsible for ensuring the safety of virtually all domestic and imported food products, with the exception of meat and poultry, processed egg products, and catfish, which are the responsibility of USDA\u2019s Food Safety and Inspection Service. Other agencies within USDA also play a role in food safety. For example, USDA\u2019s Agricultural Research Service (ARS) and National Institute of Food and Agriculture (NIFA) sponsor food safety research. In addition, the Environmental Protection Agency (EPA) has the statutory responsibility for, among other things, ensuring that the pesticides used on food crops do not endanger public health. EPA has been updating its assessment of the health hazards of inorganic arsenic in the Integrated Risk Information System\u2014an important source of toxicity information for federal agencies. The National Research Council (NRC) of the National Academy of Sciences has reviewed EPA\u2019s approach to updating its toxicological assessment of inorganic arsenic and issued a report in 2013 that provided key guidance and a preliminary survey of the literature on inorganic arsenic.", "For more than 4 decades, we have reported on the fragmented federal food safety oversight system, which has caused inconsistent oversight, ineffective coordination, and inefficient use of resources. In January 2007, because of risks to the economy and to public health and safety, we added transforming federal oversight of food safety to our list of areas at high risk for fraud, waste, abuse, and mismanagement, or most in need of transformation. In our February 2017 update to that list, we noted that HHS, USDA, and the Office of Management and Budget (OMB) have taken some positive steps to address fragmentation in the federal food oversight system but that additional steps are needed. In January 2017, to address ongoing fragmentation, we recommended that the Executive Office of the President, in consultation with relevant federal agencies and other stakeholders, develop a national strategy to improve the food safety oversight system. In addition, we have found shortcomings with FDA\u2019s oversight of seafood, dietary supplements, and other matters. In 2012, we identified key issues to consider that could benefit interagency collaborative mechanisms, which may help reduce potentially duplicative, overlapping, and fragmented efforts.", "You asked us to review issues related to arsenic and rice. This report examines (1) what NRC and recent key scientific reviews have reported about the effects of ingestion of arsenic on human health, (2) the extent to which FDA and USDA have managed the risk to human health from arsenic in rice, and (3) the extent to which FDA has coordinated with USDA and other federal agencies on actions to manage the risk.", "To determine what NRC and recent key scientific reviews have reported about the effects of ingestion of arsenic on human health, we analyzed NRC\u2019s 2013 report on inorganic arsenic and 14 reviews of the scientific literature published from January 2015 through early June 2017 on the human health effects of ingestion of arsenic. We identified the reviews by conducting a literature search of research databases, such as PubMed and Toxline, and selected English-language reviews that met certain criteria, such as relying on human, rather than animal, studies. We assessed the scientific and statistical credibility, reliability, and methodological soundness of the reviews and excluded reviews for which we could not clearly determine the methodology.", "To determine the extent to which FDA and USDA have managed the risk to human health from arsenic in rice, we examined relevant provisions in the Federal Food, Drug, and Cosmetic Act, as amended; the Federal Agriculture Improvement and Reform Act of 1996; and other laws, regulations, and policies. We also reviewed our prior work on enterprise risk management and used the essential elements for managing risk that it identified. We identified information on agency actions for managing the risk from arsenic in rice by collecting documentation and interviewing officials from FDA and USDA, and we reviewed the information in light of the requirements, policies, and elements. We assessed FDA\u2019s and USDA\u2019s reported actions to determine the extent to which each agency\u2019s actions aligned with the essential elements for managing risk. In assessing FDA\u2019s and USDA\u2019s actions against these essential elements, we used the terms \u201cconsistent\u201d and \u201cpartially consistent\u201d to reflect the extent to which each agency\u2019s actions aligned with an essential element. We also interviewed 17 stakeholders, including university researchers, representatives of a consumer organization, and representatives of the rice industry, including rice mills and farms, to obtain their views on the extent to which FDA\u2019s and USDA\u2019s actions managed this risk. We identified stakeholders based on suggestions from agency officials and other stakeholders; through our site visit to Arkansas\u2019 rice agricultural research and production areas and rice mills; and the stakeholders\u2019 unique perspective or qualifications, such as membership in the NRC Committee on Inorganic Arsenic. The views we obtained in these interviews are not generalizable to all university researchers or consumer or rice industry organizations but they provide illustrative examples of the views of such stakeholders.", "To determine the extent to which FDA coordinated with USDA and other federal agencies on actions to manage the risk from arsenic in rice, we identified actions for which coordination would be expected. Specifically, we identified actions for which the agencies shared similar goals in their strategic plans or relevant expertise. For these actions, we examined whether FDA developed interagency collaborative mechanisms. We had previously reported that such mechanisms could facilitate coordination between agencies. We also examined whether FDA considered a key issue we had identified when implementing one of these mechanisms: to clarify the roles and responsibilities of participating agencies. We selected this key issue because it was relevant to the challenges FDA and the other agencies faced. See appendix I for a detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from December 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Forms and Distribution of Arsenic", "paragraphs": ["Arsenic is a naturally occurring element that is widely distributed in the earth\u2019s crust in two general forms\u2014organic and inorganic. It commonly enters the body through ingestion of food or water. Most data reported for arsenic in food describe the levels of total arsenic because analyses that provide information about the forms of arsenic present are more difficult to perform, and relatively few laboratories are able to perform these analyses. Data on the levels of specific forms of arsenic, however, are becoming increasingly important because, according to the Agency for Toxic Substances and Disease Registry, the two forms have different toxicities, with inorganic arsenic being considered the more toxic form. Further, foods may have different proportions of organic and inorganic arsenic as well as different levels of total arsenic. According to the European Food Safety Authority, plants generally contain low levels of both total and inorganic arsenic, but rice may contain significant levels of total arsenic and inorganic arsenic. Levels of arsenic in groundwater, a major source of drinking water in many parts of the world, may be high in some areas; essentially all the arsenic in drinking water is inorganic arsenic.", "The form and level of arsenic in rice may vary depending on the geographic region where rice is grown, conditions under which rice is grown, variety of the rice, and rice milling practices. In the United States\u2014where, according to USDA, approximately 80 percent of the rice consumed domestically is grown\u2014rice is primarily grown in six states: Arkansas, California, Louisiana, Mississippi, Missouri, and Texas. In 2016, the latest year for which USDA data were available, about 47 percent of the rice grown in the United States was grown in Arkansas, and about 21 percent was grown in California.", "The amount of arsenic rice absorbs varies by geographic region because of differing levels of arsenic in the soil and other factors. Arsenic levels in the soil vary both naturally and as a result of human activity. Natural processes that contribute to arsenic levels in the soil may include bedrock weathering, because arsenic is present in many rock-forming minerals. Human activities that contribute to arsenic levels in the soil may include the use of arsenic-based pesticides and animal drugs, the mining and smelting of metal, and coal combustion. Figure 1 shows the results of a 2013 U.S. Geological Survey sampling of soils to measure the levels of arsenic in the contiguous United States. In addition, the figure shows the outlines of rice-growing counties based on 2016 data from USDA.", "Compared to other plants, rice absorbs more arsenic from the environment, in part because of the physiology of rice. For example, rice may readily absorb certain compounds of arsenic because, among other reasons, these compounds are similar in size to compounds containing silicon, an essential nutrient for rice. The conditions under which rice is grown may also cause it to absorb more arsenic than other plants. For instance, rice is often grown in flooded fields to control pests, grasses, and diseases, among other reasons. However, flooded conditions may promote the formation of arsenic compounds that may be easily absorbed by the rice plant. Even under the same growing conditions, some varieties of rice tend to have higher levels of arsenic in their grain, on average, than others, owing to a need for longer growing periods, among other factors. In addition, the concentrations of the two forms of arsenic may vary within the rice grain. While organic arsenic may be distributed throughout the rice grain, most of the inorganic arsenic is found in the bran layer. As seen in figure 2, the process of milling rice removes the bran layer; thus, levels of inorganic arsenic in white, or milled, rice may be lower than those in brown, or whole grain, rice."], "subsections": []}, {"section_title": "Federal Agencies\u2019 Responsibilities for Rice", "paragraphs": ["A number of federal agencies are responsible for ensuring the safety and quality of rice and for assessing the human health effects of ingestion of arsenic in rice. Within HHS, FDA has overall responsibility for implementing provisions of the Federal Food, Drug, and Cosmetic Act, as amended. Specifically, FDA is responsible for determining whether food, including rice, is deemed to be adulterated (i.e., whether it bears or contains any poisonous or deleterious substance that may render it injurious to health). Under its regulations, FDA may issue guidance to establish a level of a contaminant that a food should not exceed. FDA would consider case-by-case whether a food that contains the contaminant is adulterated. For example, in 2013, FDA issued draft guidance for arsenic in apple juice, on the basis of its risk assessment that estimated the long-term cancer risk posed by inorganic arsenic. According to FDA, its Center for Food Safety and Applied Nutrition is responsible for regulatory and research programs that address the health risks associated with foodborne contaminants and is aided in this role by the Office of Regulatory Affairs, which is responsible for field-based activities such as inspections, sampling, and testing of regulated products. The Center for Food Safety and Applied Nutrition also conducts industry outreach and educates consumers, among other things.", "Other agencies within HHS may also conduct research, collect data, and provide information on the health effects of arsenic. For example, the National Institutes of Health (NIH) sponsor research on the health effects of ingestion of arsenic. The Centers for Disease Control and Prevention (CDC) administer the National Health and Nutrition Examination Survey, which, among other things, collects data about diet and exposure to certain substances, such as arsenic. Under the Superfund Amendments and Reauthorization Act of 1986, the Agency for Toxic Substances and Disease Registry prepares toxicological profiles for certain hazardous substances, including arsenic.", "Agencies within USDA conduct and sponsor research to advance food safety and to help farmers market rice and manage the risk of growing it. Within USDA, ARS and NIFA conduct and sponsor research, to, among other things, maintain an adequate, nutritious, and safe supply of food to meet human nutritional needs and requirements. NIFA also distributes capacity grants that support research and extension programs at land- grant universities, which provide science-based information to farmers. The Agricultural Marketing Act of 1946 authorizes the Federal Grain Inspection Service (FGIS) to establish quality standards, including standards for rice. FGIS also offers inspection services for rice farmers and processors upon request. The Risk Management Agency manages the Federal Crop Insurance Corporation, which offers crop insurance to farmers for over 100 different crops, including rice. For the 2018 crop year, the rice crop insurance provisions generally require that the rice be flood-irrigated (i.e., intentionally covered with water at a uniform and shallow depth throughout the growing season).", "Other agencies play a role in managing the risk of arsenic. EPA regulates the presence of certain substances, such as arsenic, in drinking water under the Safe Drinking Water Act and conducts toxicological assessments. In 2001, EPA issued a rule limiting the level of arsenic in drinking water to 10 parts per billion (ppb) to protect consumers from the health effects of long-term exposure. Under its Integrated Risk Information System program, EPA conducts assessments that provide toxicity values\u2014such as for increased cancer risk due to lifetime ingestion of a specified quantity of a substance. In accordance with congressional direction, EPA submitted a plan for developing a draft assessment and preliminary assessment materials for inorganic arsenic to NRC for review. In 2013, NRC released an interim report, which provided guidance to EPA and included a preliminary survey of the scientific literature. In addition, in accordance with Executive Order 13272, the Small Business Administration\u2019s Office of Advocacy helps agencies assess the potential impacts of draft rules on small businesses\u2014which could include members of the rice industry\u2014small governmental jurisdictions, and small organizations.", "Entities outside of the federal government have recently proposed or established limits or guidance for arsenic in rice. For example, in 2017, the Codex Alimentarius, an international standard-setting body, published a code of practice that provides guidance for preventing and reducing arsenic contamination in rice, as well as communicating the risk to stakeholders. In 2014 and 2016, the Codex Alimentarius established a standard for inorganic arsenic of 200 ppb for white rice and 350 ppb for brown rice. In 2015, the European Commission issued a regulation limiting inorganic arsenic in various rice-based foods, including limits of 200 ppb in white rice, 250 ppb in brown rice, and 100 ppb in rice destined for food for infants and young children."], "subsections": []}, {"section_title": "Enterprise Risk Management", "paragraphs": ["Enterprise risk management allows agencies to assess threats and opportunities that could affect the achievement of their goals. In a 2016 report, we updated our 2005 risk management framework to (1) reflect changes to OMB\u2019s Circular A-123, which requires agencies to implement enterprise risk management; (2) incorporate recent federal experience; and (3) identify essential elements of federal enterprise risk management. Beyond traditional internal controls, enterprise risk management promotes risk management by considering its effect across the entire organization and how it may interact with other identified risks. Additionally, it also addresses other topics such as setting strategy, governance, communicating with stakeholders, and measuring performance, and its principles apply at all levels of the organization and across all functions\u2014such as those related to managing the risk of arsenic in rice. The six essential elements of enterprise risk management that we identified in December 2016 are as follows:", "Align risk management process with goals and objectives.", "Ensure the process maximizes the achievement of agency mission and results.", "Identify risks. Assemble a comprehensive list of risks, both threats and opportunities, that could affect the agency\u2019s ability to achieve its goals and objectives.", "Assess risks. Examine risks, considering both the likelihood of the risk and the impact of the risk to help prioritize risk response.", "Respond to the risks. Select risk treatment response (based on risk appetite), including acceptance, avoidance, reduction, sharing, or transfer.", "Monitor risks. Monitor how risks are changing and whether responses are successful.", "Communicate and report on risks. Communicate risks with stakeholders and report on the status of addressing the risks."], "subsections": []}]}, {"section_title": "NRC and Recent Key Scientific Reviews Reported Evidence of Associations between Ingestion of Arsenic and Adverse Human Health Effects", "paragraphs": ["NRC, in its 2013 report, and recent key scientific reviews reported evidence of associations between long-term ingestion of arsenic and adverse human health effects. NRC identified stronger evidence of these associations at higher arsenic levels\u2014defined by NRC as 100 ppb or higher in drinking water\u2014than at lower levels, which are more common in the United States. NRC reported greater uncertainty regarding the associations with some health effects at lower levels of arsenic and noted that research on the health effects of ingestion of lower levels of arsenic is ongoing. Many of the studies on which NRC based its conclusions were focused on the ingestion of arsenic from drinking water, but other studies were based on arsenic from all sources, including dietary sources such as rice. Further, NRC reported that evidence from CDC dietary surveys and related academic studies suggests that food, particularly rice, may be a significant source of inorganic arsenic, especially when arsenic levels in drinking water are lower; however, consumption of rice and levels of arsenic in rice vary widely, making it difficult to estimate arsenic intake from rice. NRC reported strong evidence of causal associations\u2014that is, a potential cause and effect\u2014between the long-term ingestion of arsenic from water or dietary sources, such as rice, and the following five health effects:", "Skin diseases.", "Skin lesions. Skin lesions due to arsenic ingestion predispose a person to some skin cancers and may indicate increased susceptibility to other cancer and noncancer diseases. Skin lesions have a well-established dose-response relationship with arsenic in drinking water.", "Skin cancer. Arsenic is an established skin carcinogen, according to NRC. NRC stated that almost all published studies found evidence of an association between arsenic ingestion and nonmelanoma skin cancers.", "Lung cancer. Arsenic from drinking water is an established lung carcinogen in humans, according to NRC. NRC cited studies conducted in Argentina, Chile, Japan, Taiwan, and the United States that reported associations between high levels of arsenic ingestion and lung cancer. NRC reviewed several studies that examined ingestion of lower levels of arsenic, some of which found evidence of an association, while others did not.", "Cardiovascular disease. NRC stated that many studies found a causal association between the ingestion of arsenic and cardiovascular disease and mortality. Studies suggest that the ingestion of lower levels of arsenic in drinking water and possibly in food is associated with cardiovascular disease, but additional evidence is needed to fully understand the relationship.", "Bladder cancer. Arsenic is an established bladder carcinogen in humans, according to NRC. NRC cited a 2012 assessment by the International Agency for Research on Cancer that indicated higher mortality from bladder cancer in populations that are exposed to high levels of arsenic compared to those that are not based on studies in Argentina, Chile, and Taiwan.", "NRC reported that there was moderate evidence of association between the long-term ingestion of various levels of arsenic from water or dietary sources such as rice, and adverse health effects, although some studies found evidence of an association and others did not. Adverse health effects include, for example, neurodevelopmental toxicity and pregnancy outcomes related to infant illness, disease, or injury. NRC also reported that there was limited evidence of an association between the long-term ingestion of arsenic from water and dietary sources and adverse health effects, such as liver and pancreatic cancer and renal disease.", "We analyzed 14 scientific reviews, published since NRC\u2019s 2013 report, from January 2015 through early June 2017, that generally have supported NRC\u2019s conclusions that long-term ingestion of arsenic is associated with the above-mentioned health effects. Two reviews reporting additional evidence related to cardiovascular disease suggested that there may be a threshold\u2014an arsenic level below which there is no significant occurrence of cardiovascular disease. However, one of these reviews noted that the number of studies they examined was small, among other limitations. Regarding lung cancer, another recent review proposed a dose-response relationship, which NRC identified as a gap in the understanding of this adverse health effect. However, this review noted that the studies it included did not distinguish between the risk of lung cancer in smokers and non-smokers, which NRC reported may be a key confounding factor. The review also cited other limitations, including the small number of studies it used to model this relationship. See appendix II for additional information about the reviews we identified."], "subsections": []}, {"section_title": "FDA and USDA Have Taken Actions to Manage the Risk to Human Health from Arsenic in Rice", "paragraphs": ["FDA and USDA have taken actions to manage the risk to human health from arsenic in rice, including assessing the type and prevalence of health effects that may result from long-term ingestion. These efforts were generally consistent with the six essential elements for managing risk, which we have found could help agencies assess threats that could affect the achievement of their goals. Specifically, FDA has taken actions that were consistent with five of the six essential elements, including: (1) aligning risk management process with goals and objectives, (2) identifying risks, (3) assessing risks, (4) responding to the risks, and (5) monitoring risks. However, FDA has not fully taken action on the sixth element of communicating and reporting on risks. FDA issued a risk assessment in 2016 for public comment and a draft guidance limiting the levels of arsenic in infant rice cereal, but it has not updated or finalized these key documents. USDA has taken actions consistent with five of the six essential elements but has not taken actions to monitor the risk because of its more limited, nonregulatory role."], "subsections": [{"section_title": "Aligning Risk Management Process with Goals and Objectives", "paragraphs": ["FDA and USDA have aligned their actions to manage the risk to human health from arsenic in rice to goals in their strategic plans. According to FDA officials, FDA\u2019s actions align with three of the six goals identified in the 2015\u20132018 research strategic plan for FDA\u2019s Center for Food Safety and Applied Nutrition, including advancing diet and health research that contributes to the development of science-based policies and communication strategies. Regarding USDA\u2019s actions, ARS officials stated that their research on arsenic in rice aligned with four goals in ARS\u2019s fiscal year 2012\u20132017 strategic plan, such as protecting food from pathogens, toxins, and chemical contamination during production, processing, and preparation. NIFA officials stated that the research they sponsored on arsenic in rice aligned with one of the sub-goals in NIFA\u2019s fiscal year 2014\u20132018 strategic plan: to reduce the incidence of foodborne illness and provide a safer food supply. FGIS officials provided documentation showing that their actions aligned with one of the goals in their fiscal year 2016\u20132020 strategic plan: provide the environment for fair and competitive market practices between agricultural producers and buyers. FDA\u2019s and USDA\u2019s actions were consistent with the essential element of aligning risk management actions to their strategic plans."], "subsections": []}, {"section_title": "Identifying Risks", "paragraphs": ["Total Diet Study The Food and Drug Administration\u2019s (FDA) Total Diet Study, which began testing for arsenic in 1991, is an ongoing program that monitors the levels of about 800 contaminants and nutrients in the average U.S. diet. To conduct the study, FDA buys, prepares, and analyzes about 280 kinds of foods and beverages from representative areas of the country and estimates the average amounts of contaminants and nutrients the entire U.S. population, some subpopulations, and each person consumes annually. The sampling plan calls for purchasing each type of food four times a year, each time in a different region. Within each region, FDA purchases each food product from three different stores and combines them into a composite sample, for a total of four estimates each year. FDA makes results of the study, from 1991 through 2015, available to the public in electronic form on its website.", "FDA and USDA have taken actions to identify the risk of arsenic in rice. FDA has identified the risk of arsenic in rice through the Total Diet Study\u2014an annual testing of contaminants and nutrients in food. As part of conducting the Total Diet Study, FDA collects samples of certain foods, including rice, and tests them for a variety of toxic chemicals, including total arsenic. From 2014 through 2015, the most recent years for which data are available, FDA tested six different categories of rice-based foods for arsenic. FDA officials told us that they identified arsenic in rice as a priority based, in part, on the results of the Total Diet Study, which indicated that rice had higher levels of arsenic compared to other foods. Some university researchers we interviewed stated that the Total Diet Study would be more helpful if it measured inorganic arsenic or had a more robust methodology. For example, one university researcher noted that the number of samples in the Total Diet Study is not big enough to be nationally representative. FDA officials told us that starting with the fiscal year 2018 Total Diet Study, they plan to begin testing rice-based foods for inorganic arsenic, increase the number of samples they collect, and make other improvements to the sampling methodology.", "USDA officials have taken actions to identify the risk of arsenic in rice through a variety of research programs. ARS officials told us that they have conducted research on arsenic in rice under four national programs: (1) plant genetic resources, genomics, and genetic improvement; (2) water availability and watershed management; (3) human nutrition; and (4) food safety. For example, ARS researchers are examining whether changes in soil chemistry as a result of organic or conventional management practices affect arsenic levels in rice. NIFA officials stated that NIFA sponsors research on arsenic in rice through formula-based grants to universities and through competitive grants, such as those offered through the Agriculture and Food Research Initiative.", "To identify what research to undertake, ARS officials told us that they typically meet with industry to identify its highest priorities. For example, ARS officials from the Delta Water Management Research Unit in Arkansas stated that they started researching arsenic in rice after participating in a joint ARS-USA Rice Federation conference in 2012. FGIS officials told us that contaminants such as arsenic may affect the quality of a grain, such as rice, and hence its value. They stated that they work closely with the grain industry to develop new standards and tests to meet industry\u2019s needs."], "subsections": []}, {"section_title": "Assessing Risks", "paragraphs": ["FDA and USDA have taken actions to assess the risk of arsenic in rice. In 2012, FDA published its current method to detect inorganic arsenic in rice. FDA officials told us that this method, though useful, is time- consuming and expensive, and the agency continues to develop other methods to reduce cost and time. For example, in 2017, FDA developed another method to detect inorganic arsenic in wine and rice that takes less time than its current method. FDA officials told us they have an ongoing research project on a field-deployable method based on a commercially-available digital arsenic test kit for detecting arsenic in drinking water called the Arsenator. In addition, FDA has been using laser ablation, the process of removing a material from a solid using a laser beam so that it can be measured, as a way to study arsenic distribution in rice.", "From 2011 through 2014, FDA conducted targeted sampling of more than 1,400 rice-based foods\u2014including rice, rice beverages, cereals, and snacks\u2014for inorganic arsenic. This targeted sampling and a literature review of articles published before February 2015 informed a risk assessment of arsenic in rice that FDA issued for public comment in April 2016. Specifically, the risk assessment used the results of the targeted sampling to identify levels of inorganic arsenic in rice and examined available scientific information to provide quantitative estimates of lung and bladder cancer risk\u2014that is, the number of expected lung and bladder cancer cases per million people that may be attributable to long- term ingestion of inorganic arsenic in rice and a qualitative assessment of other adverse health effects. The risk assessment also analyzed alternative approaches to reducing the risk of arsenic in rice, such as instituting limits on the allowable level of arsenic in various rice-based foods, limiting the amount and frequency of consumption of rice, and cooking practices.", "FDA\u2019s actions have helped assess the risk of arsenic in rice, although some stakeholders we interviewed have identified limitations to FDA\u2019s actions. For example, one rice producer noted that because FDA\u2019s current detection method is time-consuming and expensive, it is not widely used\u2014companies only use it when tests for total arsenic reveal that the levels exceed the limit for inorganic arsenic that their customers request. Some stakeholders noted that the evidence FDA used to assess the risk of the ingestion of low levels of arsenic, which may be more relevant for rice consumption, is more uncertain.", "USDA agencies have also taken actions to assess the risk by conducting research to develop faster and less expensive methods to detect inorganic arsenic in rice. In 2016, ARS developed a method using hydride generation, which uses an acid to convert the inorganic arsenic into a gas that can be detected by an instrument. ARS officials stated that they have conducted research on the hydride generation method for more than 5 years and were able to further refine the method with funding from the Rice Foundation. Stakeholders from the rice industry and a university researcher we interviewed noted that, while the hydride generation method is faster and cheaper than FDA\u2019s current detection method, it is too time-consuming and expensive for commercial purposes. For example, rice mills could not keep pace with trucks lining up to unload rice if they use the hydride generation method. However, ARS officials stated that researchers may use it if they need to analyze thousands of samples and are willing to trade off some accuracy for speed and cost. In addition, FGIS conducted some of its own development work on the Arsenator. Agency officials said that they began research on the Arsenator to help provide a rapid and inexpensive method of detecting inorganic arsenic at FGIS official testing locations that could include rice mills but have suspended their efforts because representatives of the rice industry have told them that these tests are not necessary."], "subsections": []}, {"section_title": "Responding to the Risks", "paragraphs": ["FDA and USDA have taken actions to respond to the risk of arsenic in rice. In 2016, FDA issued draft guidance, which proposed an action level, recommending that the rice industry not exceed a level of 100 ppb inorganic arsenic in infant rice cereal, and FDA has conducted research on cooking methods that may reduce arsenic. In its draft guidance, FDA stated that it used its risk assessment, among other considerations, to identify the level of inorganic arsenic in infant rice cereal. FDA further noted that it selected 100 ppb because of the potential for human health risks associated with inorganic arsenic and because such a level is achievable with the use of current good manufacturing practices\u2014 specifically, selecting sources of rice or rice-derived ingredients with lower inorganic arsenic levels. FDA officials told us that they focused on infant rice cereal because infants are at a higher risk of experiencing some of the health effects of ingesting inorganic arsenic, such as neurodevelopmental effects, and because the diet of infants is less varied than that of adults. FDA officials noted that the proposed guidance sets a limit for infant rice cereal that is generally consistent with the limit set by the European Commission and that other types of rice sold in the United States also generally meet the Codex Alimentarius standards.", "University researchers and a group representing consumers we interviewed stated that FDA\u2019s draft guidance is a good first step, but that FDA should establish limits for arsenic in other rice products, such as rice crackers and other foods that children eat. FDA officials noted that the next most susceptible group would likely be toddlers and young children, but because their diet is more diverse than that of infants, rice-based foods make up a smaller portion of their diet. FDA requested public comments on certain aspects of the draft guidance, such as its feasibility, and noted that when it is finalized, it will represent FDA\u2019s current thinking on this topic. The public comments were due to FDA in July 2016, although FDA noted that the public may comment on its guidance at any time. University researchers and stakeholders from the rice industry we interviewed stated that FDA\u2019s draft guidance has become a de facto industry standard for infant rice cereal. In 2016, FDA also published research on the effect that cooking methods, such as cooking rice in excess water, may have on reducing the level of arsenic in rice. FDA officials told us that they provided advice to consumers on cooking methods that could reduce arsenic in rice on the FDA website but said FDA will not direct manufacturers to change the cooking instructions for rice because the alternative methods may reduce the nutritional value of the rice.", "Within USDA, ARS and NIFA have sponsored published and ongoing research that can help respond to the risk, such as research on ways to reduce the uptake of arsenic by rice through new rice varieties, water management practices, and soil additives, as well as research on the genetic mechanisms underlying the uptake and transport of arsenic in the rice plant. For example, ARS has been conducting research on rice varieties that can improve yield and grain quality, including lower levels of arsenic, at the Dale Bumpers National Rice Research Center in Arkansas for more than 30 years. In 2016, university and ARS researchers published a study showing that growing rice using a water management practice called alternate wetting and drying could decrease the levels of arsenic. Under this practice of growing rice, shown in figure 3 below, fields are periodically drained and re-flooded during the growing season.", "ARS officials stated that the alternate wetting and drying water management practice has been adopted to a limited extent in Arkansas, but pointed out that other benefits, such as reducing water use, may have been more influential to its adoption than the lowering of arsenic levels. They noted that there are a number of challenges that may preclude widespread use, including inadequate water-pumping capacity and the lack of crop insurance coverage for the practice. In addition, in 2015, university researchers and an ARS researcher, with a grant from NIFA, published a study on the effects of adding iron oxide to the soil on the levels of arsenic in rice; they found that iron oxide resulted in significant reduction of arsenic for the two varieties of rice that the study examined."], "subsections": []}, {"section_title": "Monitoring Risks", "paragraphs": ["FDA, which is responsible for ensuring the safety of rice and rice-based foods, has taken actions to monitor the risk of arsenic in rice. USDA has not done so, because of its more limited, nonregulatory role. FDA has a compliance program designed to monitor over 1,400 products annually, including foods that are most likely to contribute to the dietary intake of toxic elements, among other contaminants. In fiscal years 2015 and 2016, FDA monitored the risk of arsenic by assessing the levels in rice and rice-based foods under this compliance program, and FDA officials told us that they plan to continue to do so in fiscal years 2017 and 2018. FDA officials told us that they generally test the rice for total arsenic but have recently analyzed some samples for inorganic arsenic based on factors such as the level of total arsenic found. FDA considers whether to conduct follow-up actions, including enforcement actions, on a case-by- case basis. As a result of its monitoring in 2016 and 2017 FDA considered, but did not take, two enforcement actions for arsenic in infant rice cereal. FDA officials stated that the inorganic arsenic level in one case was close to the 100 ppb limit and within the margin of error of the detection method, and in the second case, FDA determined during its follow-up to the initial sample that the manufacturer destroyed the remaining product.", "USDA agencies have not monitored arsenic in rice. The Food Safety and Inspection Service is USDA\u2019s regulatory agency for food safety, but officials have told us they have not taken actions in this area because rice is not under the agency\u2019s jurisdiction. ARS maintains a food composition database, but it does not monitor rice for contaminants such as arsenic because, according to ARS officials, that is not the database\u2019s purpose. FGIS officials stated that they do not have an arsenic testing program for rice at this time. They told us that they considered establishing a testing program for rice intended for export at the request of the rice industry. However, FGIS officials stated that they suspended their efforts when industry determined that it did not need a testing program."], "subsections": []}, {"section_title": "Communicating and Reporting on Risks", "paragraphs": ["FDA and USDA have taken actions to communicate and report on the risk of arsenic in rice to the public. FDA has issued a risk assessment and draft guidance on arsenic in infant rice cereal, but it has not updated or finalized these documents. FDA\u2019s 2016 risk assessment report provides information about the risk from long-term ingestion of arsenic in rice, and its draft guidance on arsenic in infant rice cereal includes a link to an FDA website with information for consumers, including pregnant women and parents. FDA has requested comments and received 22 public comments from 17 individuals and organizations on both documents. The comments have addressed a range of issues, including the methodology FDA used in its risk assessment; the 100 ppb limit and scope of the agency\u2019s draft guidance; and the effectiveness of the agency\u2019s communication to the public. However, FDA has not publicly issued versions of the guidance or the risk assessment that address these comments. In our prior work, we have found that sharing risk information and incorporating feedback from internal and external stakeholders can help organizations identify and better manage risks, as well as increase transparency and accountability to Congress and taxpayers.", "In the risk assessment, FDA stated that it will provide an update after considering public comments and any newly-available information. For example, FDA officials told us that they plan to consider newly-available information, such as any updates to EPA\u2019s Integrated Risk Information System assessment for inorganic arsenic, and may update the risk assessment as a result. With regard to public comments, FDA officials told us that they do not intend to make any changes to the approach or findings of the risk assessment and that they are still considering whether to make changes to the draft guidance as a result of public comments. FDA officials stated that they are still reviewing comments and that, before publication, the guidance would have to undergo interagency review. FDA officials also stated that the agency is not required to provide a response to comments in the final guidance. Further, FDA officials stated that the agency does not need to finalize the guidance in order to sample foods for a contaminant or to take enforcement action when contamination may pose a health hazard.", "Stakeholders we interviewed stated that updating the risk assessment and finalizing the draft guidance would improve FDA\u2019s communication of the risk. For example, some stakeholders we interviewed told us that the information used in the risk assessment\u2014both regarding the health effects of arsenic and the levels of arsenic in rice\u2014may need to be updated to incorporate the results of more recent research. Further, two stakeholders we interviewed\u2014one representing the rice industry and the other representing consumers\u2014noted that it is not clear to them what actions FDA can take based on the draft guidance. However, FDA officials could not give us a timeline for when they plan to update the risk assessment or finalize the guidance. By developing a timeline for updating the risk assessment on arsenic in rice to incorporate any newly- available information, FDA could help clarify when it will take action. Developing a timeline for finalizing the draft guidance on arsenic in infant rice cereal could also help FDA improve the transparency of its decisions\u2014such as by clarifying the effectiveness of the draft guidance.", "USDA has taken actions that can help communicate and report on the risk of arsenic in rice. ARS officials told us that they have communicated the results of their research on arsenic in rice in a number of ways, such as through presentations at conferences and through outreach to farmers, including in cooperation with extension programs at universities. For example, USDA researchers demonstrated automated irrigation systems that can be used for the alternate wetting and drying water management practice. In 2017, ARS researchers contributed to the development of a bulletin in conjunction with University of Arkansas researchers that contains recommended practices about irrigation methods that can reduce the levels of arsenic in rice. ARS officials told us that their communication efforts could help increase farmers\u2019 interest and adoption of methods they have researched. They also stated that they work with extension programs because these programs have good access to farmers."], "subsections": []}]}, {"section_title": "FDA Coordinated Several Risk Management Actions with USDA and Other Federal Agencies to Varying Extents", "paragraphs": ["FDA coordinated with USDA and other federal agencies on the actions to manage the risk of arsenic in rice for which coordination would be expected, to varying extents. FDA coordinated with USDA and several other federal agencies, including CDC, EPA, and NIH, on the development of the risk assessment and draft guidance on arsenic in infant rice cereal, but USDA raised concerns about the extent of the coordination. FDA and USDA coordinated to a limited extent to develop faster and less expensive methods to detect arsenic in rice."], "subsections": [{"section_title": "FDA Coordinated Its Risk Assessment and Draft Guidance with Several Federal Agencies, but USDA Raised Concerns about the Extent of Coordination", "paragraphs": ["FDA coordinated with several federal agencies on the development of the risk assessment and draft guidance on arsenic in infant rice cereal. According to FDA officials, in developing the risk assessment, FDA initially coordinated with EPA on two noncancer health effects\u2014adverse pregnancy outcomes and developmental neurotoxicology effects in young children\u2014to ensure consistency with the work EPA was doing to update its Integrated Risk Information System assessment for arsenic. When FDA completed the draft of the noncancer section of its risk assessment, the agency provided it to EPA and NIH\u2019s National Institute of Environmental Health Sciences for review. FDA incorporated comments from EPA and NIH in the risk assessment document, which EPA, CDC, and NIH subsequently reviewed. From December 2014 through June 2015, the risk assessment and draft guidance underwent HHS\u2019s clearance process. Through this process, CDC and NIH, along with HHS\u2019s Assistant Secretary for Legislation and its Office of the Assistant Secretary for Planning and Evaluation, reviewed the documents, and FDA revised the risk assessment and draft guidance to address their comments. CDC, EPA, and NIH officials told us that they were generally satisfied with FDA\u2019s coordination efforts and the extent to which FDA addressed their comments. For example, CDC officials said that the agency provided FDA several rounds of comments, and by the end of the process, all of its comments had been considered.", "OMB also chose to review FDA\u2019s risk assessment and draft guidance on arsenic in infant rice cereal through its interagency review process. According to FDA officials, as part of this process, which occurred from May 2015 through March 2016, FDA coordinated with EPA again, as well as with OMB\u2019s Office of Information and Regulatory Affairs and the U.S. Trade Representative within the Executive Office of the President, the Small Business Administration\u2019s Office of Advocacy, and USDA. Officials from the Small Business Administration\u2019s Office of Advocacy said that they were generally satisfied with the review process and characterized the outcome as typical in that some, but not all, of their suggested changes were accepted.", "However, USDA officials raised concerns about FDA involving them too late in the coordination process and about the extent to which FDA addressed their comments. From May 2015 through July 2015, USDA conducted its first review of these documents and provided FDA with comments. USDA had offered to provide FDA with feedback on versions of the risk assessment on several occasions earlier in the process, but FDA did not accept USDA\u2019s offers, according to a USDA official. As discussed below, FDA chose to engage USDA later in the process.", "In their comments, USDA officials expressed concerns regarding uncertainties and data limitations in the risk assessment and draft guidance on arsenic in infant rice cereal. USDA also raised questions about whether sufficient data on the link to adverse health effects existed to warrant the draft guidance. Furthermore, USDA stated that because the documents focus solely on rice, instead of addressing risks to the diet as a whole, FDA needs to share clear, consistent, and understandable messages with the public to alleviate fear and misunderstanding related to the risk posed by arsenic in rice. According to USDA officials, FDA did not adequately address their comments in the revised documents, including FDA\u2019s communication strategy. However, according to a senior USDA official, in its response to USDA\u2019s comments, FDA maintained that, overall, the comments it received from its external peer reviewers\u2014five university researchers\u2014were supportive of the risk assessment and that based on the peer review, FDA did not change its findings or conclusions. According to this USDA official, FDA also noted that there are insufficient data to accurately quantify the risk from arsenic in rice to pregnant women or children but that it decided moving forward with the draft guidance on arsenic in infant rice cereal would be prudent.", "FDA and USDA did not agree on USDA\u2019s role in developing the risk assessment and the point at which they should begin coordinating on the risk assessment. FDA officials told us that FDA generally considers agencies\u2019 expertise in determining whether and when to include them in the development of risk assessments and related documents. FDA did not see USDA as having a role in developing the risk assessment; rather, FDA officials told us that they reached out to USDA after the risk assessment was drafted, when the agency began to consider how to reduce the levels of arsenic in rice during the growing process and the feasibility of industry meeting its draft guidance on arsenic in infant rice cereal. The officials said that FDA met with USDA officials on numerous occasions and invited them to attend additional meetings with various stakeholders. However, according to a senior USDA official, USDA has relevant scientific and technical expertise that should have played a role in developing the risk assessment. According to this official, if FDA had involved USDA earlier in the development process, FDA may have addressed USDA\u2019s comments to a greater extent.", "We have shown in prior work that agencies can facilitate their collaborative efforts by developing a mechanism for interagency coordination, and a key issue to consider when developing such a mechanism is whether participating agencies have clarified their roles and responsibilities. FDA officials stated that they were not aware of the existence of any mechanism for coordinating risk assessments of contaminants in food, including arsenic in rice, which among other things, could clarify the roles and responsibilities of participating agencies. FDA officials told us that they followed a 2002 report listing guiding principles when developing the risk assessment, but this report, which broadly applies to all foodborne contaminants, did not specify the process FDA should follow to coordinate its risk assessment. However, our review of this 2002 report shows that it recommends that FDA encourage active participation and communication with other agencies and stakeholders and collaboration, when appropriate, as part of its risk assessment development process. Although FDA did reach out to USDA, those meetings were after the completion of the risk assessment. By developing a mechanism for working with relevant agencies to identify their roles and responsibilities for coordinating risk assessments of contaminants in food, including arsenic in rice, FDA could have better assurance that it fully utilizes the expertise of all participating federal agencies."], "subsections": []}, {"section_title": "FDA and USDA Coordinated on Developing Methods to Detect Arsenic in Rice to a Limited Extent", "paragraphs": ["FDA and USDA\u2019s FGIS and ARS coordinated on the development of detection methods to a limited extent. Officials from FDA and FGIS told us that they began to coordinate in March 2016, when they discovered, in the course of ongoing coordination in another area, that they were each working independently on developing a faster and less expensive detection method using the Arsenator. According to FDA officials, FDA became aware of FGIS\u2019s interest in developing methods to detect arsenic in rice during a Codex Alimentarius meeting that researchers from both agencies attended. Therefore, the avoidance of potentially duplicative effort occurred as a result of an informal discussion that occurred during this meeting. With regard to ARS, FDA officials told us that FDA did not coordinate with ARS on the development of the hydride generation method but that FDA used its own validated method to provide ARS with actual arsenic concentrations of samples to help ARS test its method. According to ARS officials, ARS did not coordinate with FDA or FGIS when developing its method on hydride generation. According to an FDA official, FDA did not coordinate the development of its current method to detect inorganic arsenic in rice, the faster method for wine and rice, or the laser ablation method with FGIS, ARS, or any other federal agency.", "We have shown in prior work that many of the meaningful results that the federal government seeks to achieve, such as those related to protecting food and agriculture, require the coordinated efforts of more than one federal agency. ARS officials told us that from their perspective, there was no reason to coordinate because ARS, FDA, and FGIS are trying to meet different needs with their research. Further, ARS officials told us that coordinating with FDA would blur the distinction between ARS\u2019s scientific role and FDA\u2019s regulatory role and may imply that ARS has regulatory responsibilities or expertise. However, all three agencies share a crosscutting strategic interest in developing methods for detecting foodborne contaminants, including arsenic in rice. The strategic plans for ARS and FDA\u2019s Center for Food Safety and Applied Nutrition include outcomes and strategies related to the development of detection methods for chemical contaminants or residues. Further, FGIS\u2019s strategic plan includes a strategy of developing innovative tests to measure grain quality, and according to FGIS officials, they have considered testing inorganic arsenic as part of measuring grain quality. According to FGIS officials, once they began coordinating with FDA on the Arsenator, they saw value in coordinating and did so for about 9 months before suspending work on the detection method.", "We have noted in prior work that interagency mechanisms to coordinate programs that address crosscutting issues may reduce potentially duplicative efforts. However, neither FDA nor USDA has such a mechanism to coordinate the development of methods to detect arsenic in rice or other methods to detect contaminants in food. FDA officials told us that the agency works with USDA research agencies on food safety in an informal manner, and USDA officials told us that they are not aware of any mechanism for coordination and that coordination with FDA generally occurs at the secretarial level because it cuts across a number of USDA agencies. Recently, we also found another example in which FDA and USDA did not coordinate in developing detection methods for other contaminants in foods. FDA and another USDA agency\u2014the Food Safety and Inspection Service\u2014did not coordinate in developing detection methods for drug residues in seafood. By developing a mechanism to coordinate their crosscutting efforts to develop faster and less expensive methods for detecting contaminants in food, including arsenic in rice, FDA and USDA could enhance their ability to use their resources efficiently and avoid engaging in unnecessary and potentially duplicative efforts."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["NRC and key recent scientific reviews have indicated that long-term ingestion of arsenic may pose a significant risk to human health, and FDA and USDA have taken various actions to manage the risk to human health of arsenic in rice. Their actions are generally consistent with the essential elements we have identified for managing risk, which can help agencies assess threats that could affect the achievement of their goals. For example, both agencies have conducted research on arsenic detection methods, and FDA has issued for public comment a risk assessment on the human health effects from the long-term ingestion of arsenic in rice. In addition, according to FDA officials, because infants are at a higher risk of experiencing some of the health effects of ingesting arsenic, such as neurodevelopmental effects, and the diets of infants are less varied than that of adults, FDA issued a draft guidance regarding arsenic in infant rice cereal. However, FDA officials have not provided a specific timeline for updating the risk assessment in response to newly- available information or for finalizing the draft guidance for infant rice cereal in response to public comments. Both of these documents could help communicate to the public the risk of arsenic in rice, and updating or finalizing them could also help FDA demonstrate its commitment to increasing transparency and accountability by addressing public comments and clarifying its enforcement authority, among other things.", "FDA coordinated the development and review of these key documents with several federal agencies, and these agencies were generally satisfied with FDA\u2019s coordination efforts. However, USDA raised concerns about being involved too late in the process and the extent to which its comments were addressed. By developing a mechanism for working with relevant agencies to identify their roles and responsibilities for coordinating risk assessments of contaminants in food, including arsenic in rice, FDA could better ensure that it fully utilizes their expertise. Furthermore, FDA and USDA coordinated on the development of arsenic detection methods to a limited extent. Developing a mechanism to coordinate their crosscutting efforts to develop methods to detect contaminants in food, including arsenic in rice, could help FDA and USDA manage their resources and avoid engaging in unnecessary and potentially duplicative efforts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations, including four to FDA and one to USDA. Specifically:", "The Commissioner of FDA should develop a timeline for updating the risk assessment on arsenic in rice. (Recommendation 1)", "The Commissioner of FDA should develop a timeline for finalizing the draft guidance on arsenic in infant rice cereal. (Recommendation 2)", "The Commissioner of FDA should develop a mechanism for working with relevant agencies to identify their roles and responsibilities for coordinating risk assessments of contaminants in food, including arsenic in rice. (Recommendation 3)", "The Commissioner of FDA should work with USDA to develop a mechanism to coordinate the development of methods to detect contaminants in food, including arsenic in rice. (Recommendation 4)", "The Secretary of Agriculture should work with FDA to develop a mechanism to coordinate the development of methods to detect contaminants in food, including arsenic in rice. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to EPA, HHS, OMB, and USDA for their review and comment. HHS and USDA provided written comments, which are summarized below and reproduced in appendix III and appendix IV, respectively. In addition, EPA, HHS, and USDA provided technical comments, which we incorporated as appropriate. OMB did not comment.", "In its comments, HHS generally agreed with our findings and three of the four recommendations directed to it and partially agreed with the other recommendation. Specifically, HHS partially agreed with our first recommendation for FDA to develop a timeline for updating the risk assessment on arsenic in rice, noting that the evolving nature of science precludes it from committing to a specific timeline. We recognize that new scientific studies continue to add to the understanding of the risk of arsenic. However, we continue to believe that FDA should demonstrate its commitment to increasing transparency and accountability by developing a timeline to update the risk assessment, potentially in conjunction with finalizing the draft guidance on arsenic in infant rice cereal. Such an update may state that recent scientific studies or public comments have not resulted in a change to FDA\u2019s assessment of the risk.", "HHS generally agreed with our findings about the actions it has taken to manage the risk from arsenic in rice and the extent of its coordination with USDA and other agencies. HHS noted that it anticipates developing a final guidance establishing an action level of 100 ppb of inorganic arsenic in infant rice cereal by the end of 2018, which will be consistent with our recommendation. HHS also noted that it will consider ways to enhance mechanisms\u2014such as the Interagency Risk Assessment Consortium\u2014to collaborate and coordinate in the development of risk assessments with agencies that have regulatory responsibility or specific expertise. Further, HHS stated that FDA agrees that a mechanism for better coordinating with USDA on the development of methods to detect contaminants in foods would be worthwhile. FDA will consider whether and how existing mechanisms, such as the lnteragency Residue Control Group and the annual meeting with USDA's ARS and the Food Safety and Inspection Service on food safety research, could be used to improve collaboration with USDA on method development. HHS\u2019s plans to enhance or use existing interagency mechanisms may be responsive to our recommendations if they focus on enhancing coordination with other agencies that have expertise or similar goals in the areas of risk assessments and methods to detect foodborne contaminants.", "In its comments, USDA generally agreed with our findings and the one recommendation we directed to it. Specifically, USDA generally agreed with our findings about the extent to which FDA coordinated with USDA on the development of methods to detect contaminants in food, including arsenic in rice. It also generally agreed with our recommendation that USDA work with FDA to develop a mechanism to do so and stated that the USDA Office of the Chief Scientist will facilitate this effort. Further, USDA noted that the Interagency Risk Assessment Consortium may be an appropriate mechanism for addressing GAO\u2019s recommendations. USDA\u2019s proposal has the potential to be responsive to our recommendation if it focuses on enhancing coordination with FDA regarding the development of detection methods for foodborne contaminants.", "As agreed with your office, unless you publicly announce the contents earlier, we plan no further distribution of this report until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretaries of Agriculture and Health and Human Services; the Administrator of EPA; the Director of OMB; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact me at (202) 512-3841 or morriss@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what the National Research Council (NRC) and recent key scientific reviews have reported about the effects of ingestion of arsenic on human health, (2) the extent to which the Food and Drug Administration (FDA) and U.S. Department of Agriculture (USDA) have managed the risk to human health from arsenic in rice, and (3) the extent to which FDA has coordinated with USDA and other federal agencies on actions to manage the risk. In this report, we use the term arsenic to refer to either total arsenic or inorganic arsenic. We use the term rice to encompass rice grain and products made with rice, such as infant rice cereal.", "To determine what NRC and recent key scientific reviews have reported about the effects of ingestion of arsenic on human health, we analyzed NRC\u2019s 2013 report on inorganic arsenic and 14 reviews of the scientific literature published from January 2015 through early June 2017 on the human health effects of ingestion of arsenic. We conducted a literature search of several research databases, such as PubMed and Toxline, to identify reviews that (1) were focused on the effects of ingestion of arsenic on human health; (2) were peer-reviewed; (3) relied on human, rather than animal, studies; (4) provided conclusions or summary statements related to more than one study, rather than just listing individual study findings; (5) included an abstract; and (6) were written in English. We assessed the scientific and statistical credibility, reliability, and methodological soundness of the reviews. We also contacted some of the authors for additional methodological information. Methodological information included, for example, criteria for selecting the studies used in the review; meta-analyses; or meta-regression approach. It also included limitations that the authors cited for the studies they reviewed or for any analyses they conducted. We excluded articles for which we could not clearly determine the methodology. We also reviewed the authors\u2019 statements regarding conflicts of interest and determined that none of the articles should be excluded for this reason. We did not examine the references cited by these reviews as part of our analysis. We also did not examine the studies cited by the NRC. The studies we reviewed are listed in appendix II.", "To determine the extent to which FDA and USDA have managed the risk to human health from arsenic in rice, we examined relevant provisions in the Federal Food, Drug, and Cosmetic Act, as amended; the Federal Agriculture Improvement and Reform Act of 1996; and other relevant laws, regulations, and policies. We also used the essential elements for managing risk as identified in our prior work on enterprise risk management. These include: (1) align the risk management process with goals and objectives, (2) identify risks, (3) assess risks, (4) respond to the risks, (5) monitor the risks, and (6) communicate and report on the risks. We identified information on agency actions for managing the risk from arsenic in rice by collecting documentation and interviewing officials from FDA and USDA and we reviewed the information in light of the requirements, policies, and elements. We assessed FDA\u2019s and USDA\u2019s reported actions to determine the extent to which each agency\u2019s actions aligned with these elements. In assessing FDA\u2019s and USDA\u2019s actions against these essential elements, we used the terms \u201cconsistent\u201d and \u201cpartially consistent\u201d to reflect the extent to which each agency\u2019s actions aligned with an essential element. A determination of \u201cconsistent\u201d meant that the agency provided evidence that it had taken major actions in alignment with that essential element. A determination of \u201cpartially consistent\u201d meant that the agency provided evidence that it had taken some actions in alignment with that essential element.", "We also interviewed 17 stakeholders to obtain their views on the extent to which FDA\u2019s and USDA\u2019s actions managed the risk, including university researchers (academics) specializing in relevant fields such as epidemiology and soil chemistry, representatives of a consumer organization, and representatives of the rice industry, including rice mills and farms. We identified stakeholders based on suggestions from agency officials and other stakeholders; through our site visit in Arkansas\u2019 rice agricultural research and production areas and rice mills; and based on the stakeholders\u2019 unique perspective or qualifications, such as membership in the NRC Committee on Inorganic Arsenic. The views we obtained from these interviews are not generalizable to all university researchers or consumer or rice industry organizations but they provide illustrative examples of the views of such stakeholders. Table 1 lists information about the 17 stakeholders we interviewed.", "To determine the extent to which FDA has coordinated with USDA and other federal agencies on actions to manage the risk to human health from arsenic in rice, we identified relevant actions and examined whether FDA developed interagency collaborative mechanisms, which we have previously reported could help to facilitate coordination between agencies. To identify actions for which the agencies shared similar goals in their strategic plans or relevant expertise and for which FDA would be expected to coordinate with USDA and other federal agencies, we reviewed relevant provisions in the Federal Food, Drug, and Cosmetic Act, as amended; the Federal Agriculture Improvement and Reform Act of 1996; other relevant laws, regulations, and policies; the current science and research strategic plan for FDA\u2019s Center for Food Science and Applied Nutrition and current strategic plans for USDA\u2019s Agricultural Research Service (ARS) and Federal Grain Inspection Service (FGIS); and information about the agencies\u2019 missions from their websites. These actions were the development of FDA\u2019s risk assessment and draft guidance on arsenic in rice and FDA\u2019s and USDA\u2019s efforts to develop detection methods for arsenic in rice. We interviewed FDA officials and reviewed documentation they provided to identify the other federal agencies and offices with which FDA coordinated the development and review of its risk assessment and draft guidance on arsenic in infant rice cereal and the development of methods for detecting arsenic in rice. These agencies and offices included ARS, the Centers for Disease Control and Prevention, the Environmental Protection Agency (EPA), FGIS, National Institutes of Health\u2019s National Institute of Environmental Health Sciences, the Department of Health and Human Services\u2019 Assistant Secretary for Legislation and Office of the Assistant Secretary for Planning and Evaluation, Office of Management and Budget\u2019s (OMB) Office of Information and Regulatory Affairs, the Small Business Administration\u2019s Office of Advocacy, and the U.S. Trade Representative.", "To determine the extent to which FDA coordinated its risk assessment and draft guidance on arsenic in rice with USDA and other federal agencies, we obtained and reviewed FDA\u2019s framework for conducting risk assessments; reviewed agencies\u2019 comments on these documents; interviewed FDA officials regarding FDA\u2019s efforts to coordinate with other agencies; and interviewed officials from the Centers for Disease Control and Prevention; EPA; the National Institutes of Health; OMB; the Small Business Administration\u2019s Office of Advocacy; and USDA regarding the nature of their comments, their experiences coordinating with FDA, and the extent to which FDA addressed their comments.", "To examine the extent to which FDA and USDA coordinated the development of arsenic detection methods, we obtained and reviewed documents, including those describing the detection methods that FDA, ARS, and FGIS have developed or have under development, and we interviewed officials from these agencies regarding their efforts to develop these methods and coordinate their development efforts. We also interviewed officials from these agencies to gather their views on the effectiveness of these coordination efforts. We then examined whether FDA had interagency collaborative mechanisms for the development of its risk assessment and draft guidance, and its efforts with USDA to develop arsenic detection methods. We also examined whether participating agencies clarified their roles and responsibilities. Our prior work identified this as a key issue for agencies to consider when implementing coordination mechanisms. We selected this practice because it was relevant to the challenges the agencies faced.", "We conducted this performance audit from December 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Recent Reviews of the Health Effects of Ingestion of Arsenic", "paragraphs": ["The following list identifies recent key reviews of the health effects of ingestion of arsenic that we analyzed.", "Amadi, C.N., Z.N. Igweze, and O.E. Orisakwe. \u201cHeavy Metals in Miscarriages and Stillbirths in Developing Nations.\u201d Middle East Fertility Society Journal, vol. 22, no. 2 (2017): 91-100.", "Bardach, A.E., A. Ciapponi, N. Soto, M.R. Chaparro, M. Calderon, A. Briatore, N. Cadoppi, R. Tassara, and M.I. Litter. \u201cEpidemiology of Chronic Disease Related to Arsenic in Argentina: A Systematic Review.\u201d The Science of the Total Environment, vol. 538, (2015): 802-16.", "Karagas, M.R., A. Gossai, B. Pierce, and H. Ahsan. \u201cDrinking Water Arsenic Contamination, Skin Lesions, and Malignancies: A Systematic Review of the Global Evidence.\u201d Current Environmental Health Reports, vol. 2, no. 1 (2015): 52-68.", "Khanjani, N., A. Jafarnejad, and L. Tavakkoli. \u201cArsenic and Breast Cancer: A Systematic Review of Epidemiologic Studies.\u201d Reviews on Environmental Health (2017).", "Lamm, S.H., H. Ferdosi, E.K. Dissen, J. Li, and J. Ahn. \u201cA Systematic Review and Meta-Regression Analysis of Lung Cancer Risk and Inorganic Arsenic in Drinking Water.\u201d International Journal of Environmental Research and Public Health, vol. 12, no. 12 (2015): 15498-15515.", "Mayer, J.E. and R.H. Goldman. \u201cArsenic and Skin Cancer in the USA: The Current Evidence regarding Arsenic-Contaminated Drinking Water.\u201d International Journal of Dermatology, vol. 55, no. 11 (2016): e585-e591.", "Milton, A.H., S. Hussain, S. Akter, M. Rahman, T.A. Mouly, and K. Mitchell. \u201cA Review of the Effects of Chronic Arsenic Exposure on Adverse Pregnancy Outcomes.\u201d International Journal of Environmental Research and Public Health, vol. 14, no. 6 (2017).", "Phung, D., D. Connell, S. Rutherford, and C. Chu. \u201cCardiovascular Risk from Water Arsenic Exposure in Vietnam: Application of Systematic Review and Meta-Regression Analysis in Chemical Health Risk Assessment.\u201d Chemosphere, vol. 177 (2017): 167-175.", "Quansah, R., F.A. Armah, D.K. Essumang, I. Luginaah, E. Clarke, K. Marfoh, S.J. Cobbina, et al. \u201cAssociation of Arsenic with Adverse Pregnancy Outcomes/Infant Mortality: A Systematic Review and Meta- Analysis.\u201d Environmental Health Perspectives, vol. 123, no. 5 (2015): 412-21.", "Robles-Osorio, M.L., E. Sabath-Silva, and E. Sabath. \u201cArsenic-Mediated Nephrotoxicity.\u201d Renal Failure, vol. 37, no. 4 (2015): 542-7.", "Sidhu, M.S., K.P. Desai, H.N. Lynch, L.R. Rhomberg, B.D. Beck, and F.J. Venditti. \u201cMechanisms of Action for Arsenic in Cardiovascular Toxicity and Implications for Risk Assessment.\u201d Toxicology, vol. 331 (2015): 78-99.", "Sung, T., J. Huang, and H. Guo. \u201cAssociation between Arsenic Exposure and Diabetes: A Meta-Analysis.\u201d BioMed Research International, (2015).", "Tsuji, J.S., M.R. Garry, V. Perez, and E.T. Chang. \u201cLow-Level Arsenic Exposure and Developmental Neurotoxicity in Children: A Systematic Review and Risk Assessment.\u201d Toxicology, vol. 337, (2015): 91-107.", "Von Stackelberg, K., E. Guzy, T. Chu, and B.C. Henn. \u201cExposure to Mixtures of Metals and Neurodevelopmental Outcomes: A Review.\u201d Risk Analysis, vol. 35, no. 6 (2015): 971-1016."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Anne K. Johnson (Assistant Director), Ruth Solomon (Analyst in Charge), Kevin Bray, Stephen Cleary, Ellen Fried, Juan Garay, Rebecca Parkhurst, Beverly Peterson, Anne Rhodes-Kline, Sara Sullivan, Kiki Theodoropoulos, Sarah Veale, and Khristi Wilkins made key contributions to this report."], "subsections": []}]}], "fastfact": ["The FDA warned in 2016 that infants face a higher health risk than adults from arsenic owing to their less-varied diets, and proposed guidance on arsenic levels in infant rice cereal.", "We reviewed recent scientific work and FDA and USDA actions to manage the risk of arsenic in rice. We found the agencies have researched methods to detect arsenic in rice and taken other actions, but that FDA could better communicate the risk to the public and coordinate with other agencies.", "We recommended that, among other things, FDA develop a timeline to finalize its guidance on infant rice cereal and work to better coordinate its actions."]} {"id": "GAO-18-311", "url": "https://www.gao.gov/products/GAO-18-311", "title": "Comparative Effectiveness Research: Activities Funded by the Patient-Centered Outcomes Research Trust Fund", "published_date": "2018-03-23T00:00:00", "released_date": "2018-03-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2010, the Patient Protection and Affordable Care Act (PPACA) authorized the establishment of PCORI to carry out CER and improve its quality and relevance. PPACA also established new requirements for HHS to, among other things, disseminate findings from federally funded CER, including findings published by PCORI; and coordinate with relevant federal health programs to build data capacity for this research. To fund CER activities, PPACA established the Trust Fund from which PCORI and HHS are expected to receive an estimated $4.0 billion from fiscal years 2010 through 2019.", "PPACA included a provision for GAO to review PCORI's and HHS's use of the Trust Fund. This report examines (1) PCORI's use of the Trust Fund for CER activities, including the dissemination and use of research findings; and (2) HHS's use of the Trust Fund for these activities.", "GAO examined PCORI and HHS documents and data related to use of the Trust Fund, such as commitment, obligation, and expenditure data; PCORI's audited financial statements; and descriptions of CER activities. GAO also interviewed PCORI and HHS officials responsible for planning and carrying out CER activities and interviewed officials from stakeholder organizations representing potential users of CER, including public and private payer organizations, provider organizations, and patient organizations. PCORI and HHS provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Patient-Centered Outcomes Research Institute (PCORI) made about $2 billion in commitments for awards in fiscal years 2010 through 2017. PCORI is a federally funded, nonprofit corporation established to carry out and improve comparative clinical effectiveness research (CER), which evaluates and compares the health outcomes and the clinical effectiveness, risks, and benefits of two or more medical treatments, services, or items. PCORI provides funding through award commitments from the Patient Centered Outcomes Research Trust Fund (Trust Fund) and may pay these awards over multiple years. Of the $2 billion PCORI committed as of the end of fiscal year 2017, about $1.6 billion (or 79 percent of its commitments) is for research awards, and $325 million (or 16 percent) is for building the capacity to use existing health data for research. Through fiscal year 2017, commitments for dissemination and implementation awards\u2014intended to share CER findings with potential users of this research\u2014were limited because most PCORI-funded research was still underway. PCORI projects to commit an additional $721 million for awards in fiscal years 2018 through 2021. In addition to awards, PCORI spent $310 million on program and administrative support services in fiscal years 2010 through 2017 and projects to spend an additional $206 million for these services through fiscal year 2024.", "From fiscal years 2011 through 2017, the Department of Health and Human Services (HHS) obligated about $448 million from the Trust Fund. Of this amount, HHS obligated about $260 million (or 58 percent of all obligations) to the dissemination and implementation of CER findings. As most PCORI-funded CER had not yet been completed due to the time needed to conduct this research, HHS efforts focused instead on the dissemination and implementation of CER funded by other federal entities. Additionally, HHS obligated funds for efforts to train researchers on conducting CER, build data capacity, and on administrative activities. HHS projects to obligate an additional $120 million for these activities in fiscal years 2018 through 2020."]}], "report": [{"section_title": "Letter", "paragraphs": ["Clinical research is often conducted to evaluate the effectiveness of a specific treatment for a disease or condition; however, research is less often conducted to compare the relative effectiveness of two or more available treatment options. Comparative clinical effectiveness research (CER) evaluates and compares the health outcomes and the clinical effectiveness, risks, and benefits of two or more medical treatments, services, or items. For example, a recent CER study found that the life expectancy of women over age 50 with breast cancer in one breast, but who do not carry the breast cancer gene mutation, is similar whether they have one or both breasts removed. Another recent study compared the effectiveness and safety of treatments for childhood anxiety disorders and found that a combination of medications and therapy is likely more effective than either treatment alone. According to the National Academies of Medicine, CER can help clinicians, patients, payers, and others make informed decisions to improve health care.", "In 2010, the Patient Protection and Affordable Care Act (PPACA) authorized the establishment of the Patient-Centered Outcomes Research Institute (PCORI) as a federally funded, nonprofit corporation to improve the quality and relevance of CER. In addition, PPACA established new requirements for the Department of Health and Human Services (HHS) to, among other things, broadly disseminate findings from federally funded CER, including findings published by PCORI; train researchers on CER methodological approaches; and coordinate relevant federal health programs to build data capacity for this research. To fund PCORI\u2019s and HHS\u2019s CER activities, PPACA established the Patient- Centered Outcomes Research Trust Fund (Trust Fund) through which PCORI and HHS expect to receive an estimated total of about $4 billion from fiscal years 2010 through 2019.", "PPACA included a provision for us to report on the use of the Trust Fund for CER activities. In this report, we examine: 1. PCORI\u2019s use of the Trust Fund for CER activities, including the dissemination and use of research findings, and 2. HHS\u2019s use of the Trust Fund for these activities.", "To examine PCORI\u2019s and HHS\u2019s use of the Trust Fund for CER activities, including the dissemination and use of research findings, we reviewed PCORI award commitment and expenditure data and HHS data on obligated funds. We also reviewed descriptions of PCORI\u2019s and HHS\u2019s CER activities, relevant legislation, and previous GAO reports. Furthermore, we conducted interviews with PCORI and HHS officials responsible for planning and carrying out CER activities. Within HHS, we interviewed officials from the Agency for Healthcare Research and Quality (AHRQ), the Office of the Assistant Secretary for Planning and Evaluation (ASPE), and the National Institutes of Health (NIH). We also interviewed officials coordinating PCORI\u2019s PCORnet initiative, the National Patient- Centered Clinical Research Network, to build data capacity for research. We reviewed funding from fiscal year 2010, the first year funding was made available, through 2017, the most recent data available at the time of our analysis. To the extent available, we also reviewed the amount of funding projected beyond fiscal year 2017. Finally, to gather the views of potential users of CER findings, including public and private payers, providers, and patients, we interviewed officials from several large organizations that broadly represent each group of potential users.", "To assess the reliability of PCORI commitment and expenditure data and HHS obligation data, we collected information from PCORI and HHS officials regarding the reliability of the data, including the accuracy of data entry and the systems that contain the data. We also reviewed PCORI\u2019s annual audited financial statements. On the basis of these steps, we determined the data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from May 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform our work to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In 2010 PPACA authorized the establishment of PCORI to improve CER quality and relevance. PPACA also established requirements for HHS to, among other things, disseminate findings from federally funded CER, including findings published by PCORI, and coordinate with relevant federal health programs to build data capacity for research. PPACA established a Trust Fund to fund these CER activities by PCORI and HHS through fiscal year 2019."], "subsections": [{"section_title": "PCORI Activities Required by PPACA", "paragraphs": ["PPACA authorized the establishment of PCORI as a federally funded, nonprofit corporation aimed at advancing the quality and relevance of evidence through research to help patients, clinicians, purchasers, and policy-makers to make informed health care decisions. PCORI is required to identify research priorities, establish a research project agenda, fund research consistent with its research agenda, and disseminate research findings, among other responsibilities. In 2015 we reported that PCORI had conducted activities consistent with its legislative requirements. For example, we reported that since its inception in 2010, PCORI established and implemented priorities for funding CER and related activities, developed plans to disseminate funded research and track its utilization, and took steps to make its research more centered on outcomes prioritized by patients. Further, PCORI developed PCORnet as a distributed research network initiative that enables electronic health-related data from multiple sources to be available for research."], "subsections": []}, {"section_title": "HHS CER-related Activities Required by PPACA", "paragraphs": ["PPACA requires HHS to perform several requirements related to CER, which it has implemented through AHRQ and ASPE. Specifically, AHRQ is required to disseminate and support the incorporation of CER funded by PCORI and other federal entities, as well as to foster capacity for conducting CER by supporting training in the methods used to conduct such research. ASPE, in turn, is required to build data capacity for conducting CER. In 2015, we reported that AHRQ had taken some steps to disseminate research findings, but had not taken other actions to help it fully address its dissemination requirements. Furthermore, we reported that ASPE coordinated among various agencies to fund projects intended to build data capacity for research, but that its approach lacked key elements\u2014such as defined objectives, milestones, and time frames\u2014that are necessary to ensure effectiveness. In our 2015 report, we made five recommendations to HHS to direct AHRQ and ASPE to address these issues, as appropriate. HHS concurred with these recommendations and specified actions it would take to address them. Four of the recommendations have since been implemented."], "subsections": []}, {"section_title": "PPACA Funding for CER", "paragraphs": ["PPACA established the Trust Fund through which PCORI and HHS receive funds for CER activities. The law provides that for fiscal years 2010 through 2019, the Trust Fund will receive appropriations from the general fund of the Treasury, transfers from the Medicare trust funds, and fees collected by the Department of the Treasury (Treasury) from private insurance and self-insured health plans. Eighty percent of the amounts in the Trust Fund must be made available to PCORI in fiscal years 2011 through 2019, and Treasury must transfer the remaining 20 percent to the Secretary of HHS in each of those years. Under current law, appropriations and transfers to the Trust Fund will end in fiscal year 2019. The law also provides that no amounts shall be available for expenditure from the Trust Fund after September 30, 2019, and specifies that any amounts remaining in the Trust Fund after that time will be transferred to the general fund of the Treasury. (See fig. 1 for an overview of transfers to the Trust Fund and distribution of funds to PCORI and HHS).", "PPACA limits the use of CER in certain ways; for example, the law prohibits PCORI from developing or using a dollars-per-quality adjusted life-year to establish what type of health care is cost effective or recommended, and prohibits the Secretary of HHS from using such measures as a threshold to determine coverage, reimbursement, or incentive programs under Medicare. HHS may use CER findings to help inform Medicare coverage decisions, but PPACA does not allow Medicare coverage to be denied solely on the basis of CER findings."], "subsections": []}]}, {"section_title": "PCORI Committed Funds Primarily to Research and Data Capacity Efforts; Awards for Dissemination and Implementation of Findings Were Limited as Most Research Was Still Underway", "paragraphs": ["In fiscal years 2010 through 2017, PCORI committed about $1.6 billion (or 79 percent of its total award commitments of $2.0 billion) to awards for conducting CER and $325 million (or 16 percent) to awards for building data capacity for research. In addition, PCORI committed $93 million for engagement and workforce awards to involve stakeholders in the research process and expand the research workforce, and committed $12 million for awards to disseminate and implement its research findings. Awards for the dissemination and implementation of its research findings were limited as of the end of fiscal year 2017, as most of this research was still underway. (See table 1 for PCORI\u2019s award commitments for fiscal years 2010 through 2017.)", "By the end of fiscal year 2024, PCORI projects to spend a total of almost $3.3 billion, which reflects its projected Trust Fund revenue through fiscal year 2019 plus interest income. This total amount encompasses the commitments PCORI has made for awards through fiscal year 2017, as well as $514 million in projected additional research award commitments to be made by the end of fiscal year 2019 and $207 million for other award commitments to be made by the end of fiscal year 2021. In addition to awards, the total includes PCORI\u2019s expenditures for program and administrative support services in fiscal years 2010 through 2017, as well as projected expenditures for these services through fiscal year 2024. (See fig. 2 for PCORI\u2019s actual and projected commitments and expenditures and see app. I for an overview of PCORI\u2019s awards.)", "The following information provides details on PCORI\u2019s awards related to research, building data capacity, engagement and workforce activities, and the dissemination and implementation of its research findings."], "subsections": [{"section_title": "Research Awards", "paragraphs": ["PCORI committed $1.6 billion, or 79 percent of its total award commitments, for research in fiscal years 2010 through 2017. In fiscal years 2018 and 2019, PCORI projects to commit an additional $514 million for research awards. PCORI research awards have increasingly focused on conditions that impose a substantial health or financial burden on patients and the healthcare system. (See table 2 for information on the health conditions that received the highest research award funding.)", "Similar to certain types of CER that may take many years, the entire research award process for PCORI-funded CER may span multiple years from the funding announcement to the dissemination of completed research. Specifically, the process PCORI established can take as many as 6 years, which includes requesting and reviewing proposals, awarding contracts, recruiting participants or obtaining data, conducting and reviewing research, and disseminating findings and typically involves awards that span multiple years. For example, PCORI estimates that the typical timeframe for announcing funding and selecting applications to receive research awards can take 8 to 11 months as PCORI brings scientists, patients, payers, and other stakeholders together to prioritize proposals based on the impact of the condition, potential to improve health, technical merit, patient-centeredness, and engagement. (See fig. 3.)", "Most of PCORI\u2019s research projects, awarded through fiscal year 2017, were still underway. Only 53 of its 543 research projects had been completed as of the end of fiscal year 2017\u2014in part because PCORI\u2019s research award process typically takes 2 to 6.5 years to complete, and because almost two-thirds of the funds committed for research projects were awarded in fiscal years 2015 through 2017. While most PCORI- funded research is underway, a larger number of research studies are projected to be completed by of the end of each year from 2018 to 2022, with all of the remaining studies to be completed by 2024. (See fig. 4.) PCORI officials told us that the institute attempts to manage its funds to ensure that its research awards are funded and managed through completion, including peer review and the distribution of research findings, in recognition of the time needed to conduct this research as well as the uncertainty regarding the total amount of funding available.", "Officials from all but one of the stakeholder organizations we interviewed\u2014public and private payers, health care providers, and patient advocacy organizations that represented potential users of CER\u2014 generally supported PCORI\u2019s research award priorities. Most of the stakeholders we interviewed stressed the importance of research conducted by unbiased organizations, such as the federally funded research funded by PCORI and HHS. In addition, most stakeholders also told us that PCORI\u2019s efforts to engage patients in the research process have changed the way research is conducted for the better, such as prioritizing research outcomes that are most meaningful to patients. However, officials from an organization representing payers (and from an individual health plan) told us that PCORI\u2019s priorities did not fully align with their needs, such as their needs for CER on certain high-cost conditions, medications or treatments."], "subsections": []}, {"section_title": "Building Data Capacity Awards", "paragraphs": ["PCORI committed the second largest portion of award funding\u2014$325 million through fiscal year 2017\u2014for awards to build data capacity for research through the development of PCORnet. PCORI officials told us that the institute supported the development of the PCORnet initiative in order to use existing medical records and claims data and to transform much of that data into a common data model to be used for clinical research, until such time when such data will have been standardized in electronic health records so that they can easily be used for research. As of December 2017, PCORnet included 36 partner networks agreeing to link their electronic claims and health data. PCORI officials told us that this distributed data network already comprises a nationally representative sample of approximately 128 million individuals whose data can be used in randomized clinical trials, large observational studies, and other research. In fiscal years 2018 and 2019, PCORI projects to commit an additional $70 million for these awards to continue building this data capacity.", "PCORnet research is managed through its Coordinating Center, which oversees the translation of certain categories of the partner networks\u2019 data into the common data model and forges agreements with each of the partners to share results of queries using their data with researchers.", "This research process generally starts when a researcher requests to query data on a specific population, after which PCORnet may approve the request and invite network partners to participate. Participating network partners then run queries on their data following established parameters and submit the results to a secure portal that the researcher can access in order to analyze the results for research. (See fig. 5.) PCORI officials told us that there were 32 research projects using PCORnet that received funding through PCORI\u2019s research award process as of the end of December 2017, as well as 45 research projects funded by other parties, including federal agencies and private industry.", "Further, as part of its building data capacity awards, in fiscal year 2017 PCORI committed $25 million to the People-Centered Research Foundation, a nonprofit foundation formed in March 2017 to support the network partners and other entities conducting research using PCORnet. This funding was provided to support this foundation\u2019s development of a business plan, as well as its governance structure, to ensure the continuity of the PCORnet network partnership efforts after PCORI funding for PCORnet ends. PCORI has indicated it may provide additional funding to the foundation, provided that the foundation and the networks make progress toward self-sustainability.", "Officials from most stakeholder organizations we interviewed generally agreed that PCORnet offers value by improving the data available to conduct CER. Officials from two organizations told us that PCORnet has made it possible to use network partners\u2019 aggregated data to make conducting research more efficient than in the past."], "subsections": []}, {"section_title": "Engagement and Workforce Awards", "paragraphs": ["Through fiscal year 2017, PCORI also committed $93 million for engagement and workforce awards. For example, PCORI committed a total of $63 million for engagement awards, intended to involve a variety of stakeholders in the research process and to improve the methodology for carrying out CER. Engagement awards include \u201cEugene Washington Engagement Awards\u201d that are intended to bring patients, caregivers, clinicians, and other healthcare stakeholders into the research process and to disseminate study results. In addition, \u201cPipeline to Proposal Awards\u201d are intended to bring together stakeholders with strong interests in a specific health issue to develop research proposals to address their needs. Officials from the two patient advocacy organizations we interviewed told us that PCORI\u2019s engagement awards have helped to support patient involvement in the research process. For example, one official noted that, while it has not been easy to find patients willing to participate, these awards have been important to train and support patients in the research process.", "PCORI also committed $30 million to workforce training awards for clinicians and researchers. For example, one of PCORI\u2019s career development programs, conducted in partnership with AHRQ, is designed to train clinician and research scientists to conduct patient-centered outcomes research and to actively engage stakeholders in efforts to improve the quality and safety of care."], "subsections": []}, {"section_title": "Dissemination and Implementation Awards", "paragraphs": ["Dissemination and implementation awards for PCORI-funded research findings thus far have been limited as most of the research was still underway, but, according to PCORI officials, awards for this work will substantially increase as research is completed. Specifically, through fiscal year 2017, PCORI committed a total of $12 million for awards to disseminate and implement PCORI-funded research by helping researchers and other stakeholders to publicize findings and by supporting patients and providers to utilize findings. PCORI projects to commit an additional $91 million for these awards in fiscal years 2018 through 2021.", "Dissemination and implementation awards are intended to encourage PCORI awardees that have completed research and their patient and stakeholder partners to pursue strategic activities to disseminate and implement their findings. For example, PCORI awarded about $0.4 million to increase awareness and promote the use of research findings on using technology to deliver virtual care home visits for those with Parkinson\u2019s disease. According to PCORI, these funds will be used to train neurologists and other health professionals to provide virtual care for patients in their homes. In addition, as part of its efforts to summarize research findings, PCORI also awarded funds to the American Institutes for Research to establish a Translation Center that develops two summaries of each of PCORI\u2019s research findings: a public abstract for general audiences that is also translated into Spanish and a professional abstract for clinicians.", "In addition to awards, PCORI has fostered the dissemination and implementation of its research findings in other ways, including through its website, publications, and roundtable briefings. For example, according to PCORI, it posts research findings on its website within 90 days of receiving final peer-reviewed research results so that patients and providers have access to the information to make healthcare decisions. In addition, according to PCORI, it pays journals\u2019 open access fees to allow free public access to selected research and plans to support research awardees to place accepted journal manuscripts in the PubMed Central database. PCORI also facilitates roundtable briefings that bring together clinicians, patients, and others with interests in recent findings in order to build support for immediate use of the findings. PCORI also coordinates its dissemination efforts with AHRQ.", "PCORI considers the implementation of its research methods and findings to be an integral part of its dissemination efforts and a culmination of its work and so has begun efforts to track implementation, such as the number of its findings published in peer-reviewed journals, and the use of its findings in clinical care. For example, PCORI officials told us that that there were 891 publications in peer-reviewed journals that resulted from studies fully or partially funded by PCORI through October 2017. According to PCORI, two PCORI-funded studies on prostate cancer, one study on oral versus intravenous antibiotics for certain children, and one study on self-monitoring of blood glucose were included in medical resource software that is used by nearly 90 percent of academic medical centers in the United States.", "Most of the stakeholder officials we interviewed noted the importance of disseminating research findings quickly and in ways that are readily available and understandable to both experts and the general public to raise awareness about the findings. While officials representing two payers noted limitations to the usefulness of PCORI\u2019s research findings because they do not take treatment costs into account, most stakeholder officials noted the importance of the PCORI-funded research underway and looked forward to utilizing the research findings once they become available. In particular, officials representing provider and patient advocacy organizations told us that they were interested in ensuring that the most important research findings would be quickly implemented by patients and clinicians."], "subsections": []}]}, {"section_title": "HHS Obligated Funds Primarily for the Dissemination and Implementation of Research", "paragraphs": ["Between fiscal years 2011 and 2017, HHS\u2019s AHRQ obligated about $260 million (or 58 percent of HHS\u2019s $448 million in total obligations) for the dissemination and implementation of CER findings. According to AHRQ officials, because most PCORI-funded research had not been completed by the end of fiscal year 2017, these efforts were primarily focused on the dissemination and implementation of research funded by other entities, including NIH and the Centers for Disease Control and Prevention (CDC). Additionally, AHRQ obligated $94 million for efforts to train researchers on conducting CER, and ASPE obligated $85 million for efforts to build data capacity. AHRQ and ASPE have obligated a total of $9 million for administrative activities during those years. Table 3 provides an overview of HHS\u2019s obligations in each fiscal year.", "AHRQ and ASPE plan to obligate an additional $120 million for dissemination and implementation, training, building data capacity, and administrative activities during fiscal years 2018 through 2020. They expect to have $245 million available to fund ongoing and future CER activities, based on expected transfers from the Trust Fund in fiscal years 2018 and 2019. (See fig. 6.)", "The following information provides details on HHS-funded projects related to dissemination and implementation, training on conducting CER, and building data capacity."], "subsections": [{"section_title": "Dissemination and Implementation", "paragraphs": ["During fiscal years 2011 through 2017, AHRQ obligated a total of $260 million for CER dissemination and implementation initiatives and plans to obligate an additional $93 million for these initiatives in fiscal years 2018 through 2020. According to officials, AHRQ plans to fund additional dissemination and implementation initiatives in fiscal years 2018 and 2019 but had not finalized those plans as of January 2018. (See app. II for an overview of all of AHRQ\u2019s dissemination and implementation initiatives.) AHRQ\u2019s dissemination and implementation initiatives comprise efforts to synthesize CER findings, translate and communicate research findings to potential users, and implement them:", "Synthesis of CER findings: According to AHRQ officials, AHRQ\u2019s Evidence-Based Practice Centers developed 48 systematic reviews of CER findings based on completed research. As of the end of fiscal year 2017, 40 of these reviews had been published, while 8 were still in progress. Officials told us that these systematic reviews have likely not included PCORI-funded research, as most of that research had not been completed by the end of fiscal year 2017.", "Translation and communication of CER findings: AHRQ funded initiatives, which\u2014according to the agency\u2014are aimed at making CER findings accessible and understandable to health care professionals, patients, and others. For example, AHRQ developed a \u201cLibrary of Patient-Centered Outcomes Research Resources\u201d website with links to CER databases maintained by other entities including NIH and PCORI. Another example is AHRQ\u2019s \u201cJohn M. Eisenberg Center for Clinical Decisions and Communications Science,\u201d which translates research findings into information that can be used by consumers, health care providers, and policymakers.", "Implementation of CER findings: AHRQ funded four key initiatives to implement CER findings. According to AHRQ officials, one of the four initiatives includes PCORI-funded research, while the other three have thus far focused on implementing existing CER funded by other entities:", "The \u201cDissemination and Implementation Initiative\u201d was designed to disseminate and implement government-funded CER findings\u2014 including PCORI-funded findings\u2014relevant to physicians, healthcare providers, patients, and others. This initiative consists of a multi-step approach for identifying several areas of CER each year that\u2014according to AHRQ officials\u2014have the greatest potential for impact and are feasible to implement. (See figure 7 for an overview of this process.) According to AHRQ officials, as of December 2017, 37 findings have been nominated for consideration under AHRQ\u2019s Dissemination and Implementation Initiative, including 5 findings nominated by PCORI. According to these officials, 1 of the findings PCORI has nominated is under consideration for implementation. Two were rejected\u20141 because of insufficient impact and the other because of challenges in implementation feasibility. (Two are still under review.)", "The \u201cEvidence Now\u201d initiative disseminates CER evidence directly to primary care practices and supports them in implementing clinical and organizational evidence in practice through regional cooperatives.", "The \u201cComparative Health System Performance Initiative\u201d established three centers of excellence and a coordinating center to identify, classify, track, and compare health systems. AHRQ\u2019s goal is to understand the factors that affect health systems\u2019 use of CER and to identify best practices in disseminating and using CER.", "The \u201cClinical Decision Support (CDS) Initiative\u201d is designed to use CDS to promote the timely incorporation of CER findings into clinical practice.", "Some of AHRQ\u2019s dissemination and implementation initiatives\u2014such as \u201cEvidence Now\u201d and \u201cCDS Initiative\u201d\u2014include an evaluation component, as described in app. II. According to AHRQ officials, as of January 2018 results from these evaluations were not yet available."], "subsections": []}, {"section_title": "Training on Conducting CER", "paragraphs": ["Between fiscal years 2011 and 2017, AHRQ obligated a total of $94 million for awards supporting training in the methods used to conduct CER. AHRQ plans to obligate an additional $14 million for training on conducting CER by fiscal year 2020. AHRQ has funded eight categories of awards for individual researchers or research institutions. For example, AHRQ\u2019s \u201cInfrastructure Development Program in Patient-Centered Outcomes Research\u201d award supports institutions in the development of their capacity to conduct and implement CER. Its \u201cInstitutional Mentored Career Development Award Program in Patient-Centered Outcomes Research\u201d award supports the development of researchers in academic and applied settings. (See app. III for an overview of these awards.) Starting in fiscal year 2018, AHRQ plans to fund an additional training award category in conjunction with PCORI. AHRQ developed a plan to evaluate its training activities and, according to AHRQ officials, the evaluation is expected to be funded in fiscal year 2018."], "subsections": []}, {"section_title": "Building Data Capacity", "paragraphs": ["Between fiscal years 2012 and 2017, ASPE obligated a total of $85 million for 30 projects designed to build data capacity for conducting CER and plans to obligate an additional $6 million to existing projects and 1 new project through fiscal year 2019. Officials told us that ASPE plans to fund additional projects to build data capacity in fiscal years 2018 and 2019, based on HHS leaders\u2019 priorities, but had not finalized those plans as of January 2018. ASPE manages these projects, which are largely carried out by other HHS agencies through interagency agreements and are intended to develop and maintain a comprehensive, interoperable data network to collect, link, and analyze data on outcomes and effectiveness from multiple sources for CER. (See app. IV for an overview of these activities.)", "In response to a recommendation in our 2015 report on HHS\u2019s CER activities, ASPE implemented a monitoring system to track progress toward its milestones and deliverables for these projects. ASPE also contracted to evaluate its projects to build data capacity for CER. The evaluation, completed in December 2017, found that ASPE made progress managing these projects towards the core functionalities outlined in its strategic framework. However, among other things, the evaluation found that additional efforts are needed to explore how to enhance data privacy and security, ensure data quality, and operationalize related standards. According to ASPE officials, the evaluation will inform the development and implementation of future ASPE projects to build data capacity for conducting CER."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to PCORI and HHS for review and comment. PCORI and HHS provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Executive Director of PCORI, the Secretary of Health and Human Services, the Director of AHRQ, the Assistant Secretary for ASPE, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in app. V."], "subsections": []}]}, {"section_title": "Appendix I: Patient-Centered Outcomes Research Institute (PCORI) Award Commitments Made During Fiscal Years 2010 through 2017", "paragraphs": ["Appendix I: Patient-Centered Outcomes Research Institute (PCORI) Award Commitments Made During Fiscal Years 2010 through 2017 Award category description These awards generally fund research studies in priority areas for conditions that impose a substantial burden on patients and the healthcare system. Information about individual research awards can be found at: https://www.pcori.org/research-results?f%255B0%255D=field_project_type%3A298&f%5B0%5D=fiel d_project_type%3A298#search-results.", "These awards fund infrastructure projects to build data capacity through the development of PCORnet and support for clinical and patient-powered data research networks. Information about individual building data capacity awards can be found at: https://www.pcori.org/research-results?f%5B0%5D=field_project_type%3A441#search-results.", "Engagement awards fund projects to improve the methodology for carrying out research by involving patients, caregivers, clinicians, and other healthcare stakeholders into the research process. Workforce training awards provide accredited continuing education opportunities, in coordination with the Agency for Healthcare Research and Quality, for researchers and clinicians. Information about individual engagement awards and workforce awards can be found at: https://www.pcori.org/research-results?f%5B0%5D=field_project_type%3A299#search-results and https://www.pcori.org/research-results/2017/k12-institutional-mentored-career-development-program.", "Dissemination and implementation awards are intended to help researchers and other stakeholders to publicize findings, and support the utilization of findings for patients and providers. Information about individual dissemination and implementation awards can be found at: https://www.pcori.org/research-results?f%5B0%5D=field_project_type%3A308#search-results."], "subsections": []}, {"section_title": "Appendix II: Agency for Healthcare Research and Quality\u2019s (AHRQ) Dissemination and Implementation Initiatives, as of September 30, 2017", "paragraphs": ["Appendix II: Agency for Healthcare Research and Quality\u2019s (AHRQ) Dissemination and Implementation Initiatives, as of September 30, 2017 Description Disseminates evidence to primary care practices and supports them in implementing clinical and organizational evidence in practice through regional cooperatives. AHRQ awarded a separate grant to establish an independent, external evaluation to study improvements in the delivery of the ABCs.", "Develops three Centers of Excellence on \u201cComparative Health System Performance in Accelerating PCOR Dissemination.\u201d According to AHRQ, the Centers of Excellence will identify and classify characteristics of health care systems over 5 years. They will also identify ways to assess the quality and cost of such systems, including their use of PCOR, understand the characteristics of high performing systems, and identify what system characteristics are associated with more rapid adoption and diffusion of PCOR- recommended practices throughout a system.", "Evaluates and synthesizes research findings to aid decision-making for patients, providers, and payers, among others.", "Translates PCOR findings into tools, such as research summaries and decision aids, designed to help patients and consumers, clinicians, and policymakers make informed and evidence-based health care decisions.", "Expands an existing initiative or creates a new initiative that supports multi-site, multi-region, multi-stakeholder dissemination and implementation of evidence.", "Develops and tests methods for translating and disseminating PCOR findings to hard-to- reach audiences, including patients with low health literacy, disadvantaged populations, isolated clinicians and policy makers, and other decision makers who may not have had the benefit of more traditional translation and dissemination efforts.", "Integrates PCOR into clinical practice using various methods shown to improve the uptake of scientific evidence in clinical decision making. Grantees were asked to consider both educational theory and the relevance of \u201cnew media\u201d as they designed their programs.", "Searches for emerging interventions, prioritizes those most likely to have a large impact in the near future, and disseminates the information to the public. According to AHRQ, the Horizon Scanning System screened more than 22,000 potential intervention leads and tracked over 2,300 intervention topics.", "Provides targeted audiences\u2014such as providers and payers\u2014with an accessible tool for obtaining objective, detailed information on evidence-based clinical practice guidelines to further their dissemination, implementation, and use.", "Promotes collaboration, reduces redundancy, and improves transparency in patient registries.", "Description Created informational tools to support the dissemination and implementation of PCOR findings, including best practices and new knowledge about the use of electronic health record data for research and quality improvement.", "Promotes the timely incorporation of PCOR findings into clinical practice\u2014which encompasses a variety of tools to enhance clinical decision-making.", "Collaborated with 176 national organizations to disseminate materials for the Effective Health Care Program.", "Multi-media campaign to educate health care consumers about the value of reviewing medical evidence when weighing treatment options.", "Educating the Educators Conducted and disseminated research to develop a process for shared decision making that includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient.", "Collects patient-generated health data, integrates patient-generated health data with PCOR evidence, and disseminates PCOR findings using mobile health technology.", "Identifies ways to reduce health care differences across diverse populations with a particular focus on minority populations in under-resourced healthcare settings.", "Established five regional offices, responsible for developing and cultivating dissemination partnerships within each region.", "This repository houses study data extracted from primary research publications during the course of conducting systematic reviews. It is designed to increase the transparency of comparative effectiveness reviews, improve the ability to update systematic reviews, improve the quality of abstracted data, and enhance the efficiency and reduce the costs of conducting reviews.", "Gathers input from patients on a complex topic related to the implementation of evidence- based health-care decision making.", "Increases the relevance of AHRQ systematic reviews for patients, clinicians, and policymakers by examining and addressing challenging topic areas that may affect the credibility and utility of the review for end users and that are areas of inconsistency or variation among AHRQ systematic reviews.", "Conducted three projects to improve the development of registries, a major activity of AHRQ\u2019s Effective Health Care Program.", "Description Provides online continuing education materials that inform physicians and other health care providers about PCOR from the Effective Health Care Program.", "Worked with health professional student associations to evaluate students\u2019 understanding of the importance and clinical applicability of PCOR and shared decision-making to their practice and evaluated students\u2019 educational needs and preferences related to integrating PCOR findings into their training curricula.", "Created a decision-modeling methods center that reviewed the existing research and guidance published on modeling methods with input from a multidisciplinary group of experts.", "Provides for maintenance and updating of existing data resources to conduct future CER through a grant competition. The grants fund three to four 1-year pilot projects aimed at enabling a future, larger competition to enhance the data infrastructure and move the resources to self-sustaining models.", "Disseminates CER findings published by the Patient-Centered Outcomes Research Institute (PCORI) and other government entities to providers, patients, payers, and others. This initiative consists of a seven-step approach for identifying research findings that have the greatest potential for implementation.", "Provided an understanding of how AHRQ could effectively disseminate and promote PCOR findings and tools in the development and maintenance of clinical decision support systems. The project included a market analysis and an assessment of potential stakeholders and audiences, including vendors of health information technology focused on clinical decision support. Information gathered from this project directly informed the concept for the PCOR clinical decision support initiative that was launched in 2016.", "Promoted PCOR through public service announcements nationwide.", "Created a new page on AHRQ\u2019s website that highlights the agency\u2019s own resources, as well as directs researchers, health professionals, patients, caregivers, and families to additional databases that collect information on CER. These databases provide summaries of findings from a wide range of CER findings and research that is in progress.", "PCOR is a form of CER."], "subsections": []}, {"section_title": "Appendix III: Agency for Healthcare Research and Quality\u2019s (AHRQ) Training Awards, as of September 30, 2017", "paragraphs": ["Appendix III: Agency for Healthcare Research and Quality\u2019s (AHRQ) Training Awards, as of September 30, 2017 Description Funds a 5-year, renewable effort to support the development of PCOR capacity among institutions that have basic health services research capacity but need to develop capacity to conduct and implement PCOR. The program would potentially include institutions located in geographic areas that lack capacity, and institutions that serve predominantly minority populations.", "Supports the development of researchers in academic and applied settings. The program combines didactic and experiential opportunities, focusing on the generation, adoption, and spread of new scientific evidence. The goal is to improve population-specific health outcomes by developing and disseminating evidence-based information to patients, clinicians, and other decision-makers, responding to their expressed needs, about which interventions are most effective for which patients under specific circumstances.", "Provides basic, advanced, and experiential training on the methods to conduct PCOR, particularly prospective observational research, registries, and clinical trials. The program was open to researchers employed in both the public and private sectors, particularly those who serve minorities, economically or medically disadvantaged populations.", "Facilitates the transition of postdoctoral candidates from mentored to independent research positions, accelerating research independence for PCOR researchers.", "Provides support for intensive, research career development for individual investigators in academic or applied settings, leading to research independence in the field of PCOR and the generation and translation of new scientific evidence and analytic tools.", "Provides career development awards for established investigators to further develop their research expertise in PCOR methodologies. This concept seeks to accelerate the development of the research workforce capable of conducting PCOR.", "Provides 2-year fellowships for training in PCOR. A focus for these fellowships is recruitment of trainees from diverse disciplines, including social and behavioral sciences, business, and engineering. The expected output of these fellowships is trained PCOR researchers.", "Establishes an expert panel, comprised of 7 to 10 leaders in the fields of learning healthcare system, health services research, and PCOR, to assess the current state of health services research and PCOR training and recommend ways to improve core competencies/curriculum to meet the needs of the health system. Develops a report summarizing the panel\u2019s recommendations concerning current deficiencies and recommendations regarding skills and competencies needed to meet the challenges.", "PCOR is a form of CER."], "subsections": []}, {"section_title": "Appendix IV: Office of the Assistant Secretary for Planning and Evaluation\u2019s (ASPE) Projects to Build Data Capacity, as of September 30, 2017", "paragraphs": ["Total obligations (dollars in millions)", "Developed technical standards for how health care providers, researchers, and the public health community access and extract data from electronic health records to conduct Patient-Centered Outcomes Research (PCOR).", "Identified and developed the functional and technical specifications necessary to enable electronic health record systems to retrieve, display, and fill a structured form or template and store and submit the completed form to an external repository.", "Provided researchers with access to the Centers for Medicare & Medicaid Services\u2019 Chronic Conditions Warehouse, which contains Medicare and Medicaid beneficiary, claims, and assessment data, and supported infrastructure enhancements to conduct CER.", "Longitudinal follow-up of certain cancer patients to assess vital statistics, disease recurrence, disease progression, and additional treatment types. Treatment data submitted each year to the Centers for Disease Control and Prevention and provided to researchers through the National Center for Health Statistics Research Data Center.", "Included clinical encounters for all patients and all conditions seen at the community health centers from 2006 to 2013 in the Community Health Applied Research Network Registry data warehouse, a research network comprising 18 community health centers. A de-identified analytic file and associated data codebook were developed to support the use of analytic files by researchers outside of the network. Established a process for investigators to access the data warehouse through the development of a data access plan.", "Maintained the infrastructure for PCOR and for quality improvement in the safety net.", "Developed common data elements and standards for CER .The results were the initial entries into the National Institutes of Health\u2019s National Library of Medicine common data element repository.", "Developed a conceptual framework and environmental scan; produced policy documents ranging from patient-initiated data, through research data on care processes, transitions and coordination, to researcher access to claims data; and developed the \u2018HHS Strategic Roadmap for Building Data Capacity for Clinical Comparative Effectiveness Research.\u2019 The overall CER Inventory project was to design and implement a system for the categorization and cataloguing of CER activities through a web-based tool. Due to the rapidly evolving technologies supporting web-based search engines, and the improved methods for identification of more recent CER, the development of the CER Inventory (as a web-based search engine using a retrospective algorithm) was determined to have been superseded by existing search engine tools available.", "Description Designed and conducted an independent evaluation of the ASPE portfolio to systematically assess progress related to the strategic framework functionalities.", "Total obligations (dollars in millions)", "Conducted CER analyses on the beta release of the Multi-Payer Claims Database and evaluated beta testers\u2019 experiences requesting and using data from the MPCD for research. Results of the beta test found that the project was successful in achieving the key objectives of building a pilot database.", "Planned for development and implementation of the Centers for Medicare & Medicaid Services\u2019 Blue Button\u2014a service that allows patients to access their own health information in electronic form.", "Linkage of data on fact, cause, and manner of death from the National Death Index to several federal population-based health data platforms in order to demonstrate the feasibility of such linkage, enable PCOR on patterns and correlates of mortality via the resulting linked data; and to facilitate collaboration between federal partners regarding strengthening the infrastructure and methods for linking healthcare data to mortality outcomes and using such linked data for PCOR.", "Improve the infrastructure to support timely and complete mortality data collection through more timely delivery of state death records to the National Death Index database and by linking National Death Index database records with nationally collected hospital datasets to obtain a more complete picture of patient care.", "Identify the best patient attributes to address the challenge of linking patients\u2019 data across research, clinical, and claims data sets in order to support the PCOR data infrastructure that enables standardization and sharing of patient data across organizations.", "Create a coordinated registry network for women\u2019s health technologies that will collect patient reported outcomes and employ structured data capture from electronic health records for data collection and exchange.", "Build data infrastructure for conducting PCOR using data from routine clinical settings. The sources of these data may include, but are not limited to, insurance billing claims, electronic health records, and patient registries. This project intends to harmonize several existing common data models, potentially including PCORnet and other networks.", "Develop technical tools for collecting and integrating patient-reported outcome assessments into electronic health records or other health information technology products.", "Create an interface that enables CMS beneficiaries to connect their MyMedicare.gov data to applications and services they trust, including research platforms related to research studies in which the beneficiary may be interested in participating.", "Provide technical assistance to the Trust Fund awardees in informatics and assist ASPE in setting up additional oversight processes and procedures to monitor progress.", "Description Develop a privacy and security data infrastructure blueprint, legal analysis, and ethical framework to address legal and privacy and security related policy issues that affect the use of data for various types of PCOR.", "Convene clinical topic-specific working groups to discuss the data definitions currently in use and how these definitions can be harmonized to promote common definitions for outcome measures across systems. These common definitions are to be made publicly available to PCOR researchers and analysts.", "Develop a natural language processing service that will be accessible and publicly available to researchers on the Public Health Community Platform \u2013 a cooperative platform for sharing interoperable technologies to address public health priority areas aimed at improving population health outcomes and health equity (e.g., tobacco use).", "Leverage the Sync for Science and Blue Button application programming interface programs to enable Medicare beneficiaries to donate their medical claims data for scientific research studies.", "Develop and test the capability to conduct timely and secure distributed regression analysis in distributed data networks. Additionally, explore the feasibility of creating virtual linkage capabilities to utilize data from multiple data sources and data for one specific patient with information at different institutions.", "Create the infrastructure for collecting data from patients through a mobile device application, allowing patient-generated data to be linked with a single data partner that participates in the Food and Drug Administration\u2019s Sentinel distributed network. The project will develop and pilot a mobile application to capture data from pregnant women who volunteer to participate.", "Develop a policy framework for the use of patient-generated data in research and care delivery that addresses data collection tools, data donation policies, regulatory gaps, combining data with medical record data, and interoperability of data across health information systems and devices.", "Create and implement a metadata standard data capture and querying system for data quality and characteristics, data source and institutional characteristics, and \u201cfitness for use.\u201d", "Cross-Network Directory Service Create an interoperable service that allows data partners to participate in multiple data research networks, query across the networks, and share analytic capabilities and knowledge across networks. The project will be piloted across two existing networks: Food and Drug Administration\u2019s Sentinel and PCORnet.", "Generate tools and data standards that could be deployed in other CER studies by leveraging the infrastructure of an existing research study called the ADAPTABLE trial (Aspirin Dosing: A Patient-Centric Trial Assessing Benefits and Long Term Effectiveness). This trial is the first major randomized comparative effectiveness trial to be conducted by PCORnet.", "Description Create a flexible, extensible, and computable mechanism for rolling data into clinically relevant equivalence groups that enable more efficient processing aggregation of laboratory data and other data from diverse health information technology systems. The primary focus of this work will be on laboratory tests.", "Total obligations (dollars in millions)", "Create a single point data capture approach from the electronic health record to electronic data capture systems using the Retrieve Form for Data Capture standard. Stakeholders will be provided with a tool to seamlessly integrate electronic health record and electronic data capture systems.", "In addition to the projects listed, ASPE plans to obligate $2.0 million for one new project starting in fiscal year 2018."], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karin Wallestad, Assistant Director; Michael Zose, Analyst-in-Charge; Kye Briesath; Laurie Pachter; Vikki Porter, and Jennifer Whitworth made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Patient Protection and Affordable Care Act established a fund to support research comparing the effectiveness of available treatments. This research can help patients, doctors, and others make decisions to improve health care.", "We found that the Patient-Centered Outcomes Research Institute and Department of Health and Human Services expect to receive about $4 billion from the fund by the end of fiscal year 2019.", "The money has primarily funded research and helped facilitate getting findings to the patients, doctors, and others who can use them. Most of the funded research will be completed in the coming years."]} {"id": "GAO-18-596T", "url": "https://www.gao.gov/products/GAO-18-596T", "title": "Waste Management: DOD Needs to Fully Assess the Health Risks of Burn Pits", "published_date": "2018-06-07T00:00:00", "released_date": "2018-06-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Burn pits help base commanders manage waste generated by U.S. forces overseas, but they also produce harmful emissions that military and other health professionals believe may result in chronic health effects for those exposed.", "This statement provides information on the extent to which DOD has assessed any health risks of burn pit use.", "This statement is based on a GAO report issued in September 2016 (GAO-16-781). The report was conducted in response to section 313 of the Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015. Specifically, GAO assessed the methodology DOD used in conducting a review of the compliance of the military departments and combatant commands with DOD instructions governing the use of burn pits in contingency operations and the adequacy of a DOD report for the defense committees. GAO also obtained updates from DOD on actions taken to assess health risks from burn pits since September 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO reported in September 2016 that the effects from exposing individuals to burn pit emissions were not well understood, and the Department of Defense (DOD) had not fully assessed the health risks associated with the use of burn pits. Burn pits\u2014shallow excavations or surface features with berms used to conduct open-air burning\u2014were often chosen as a method of waste disposal during recent contingency operations in the U.S. Central Command (CENTCOM) area of responsibility, which extends from the Middle East to Central Asia and includes Iraq and Afghanistan. According to DOD Instruction 6055.01, DOD Safety and Occupational Health (SOH) Program , DOD should apply risk-management strategies to eliminate occupational injury or illness and loss of mission capability or resources. The instruction also requires all DOD components to establish procedures to ensure that risk-acceptance decisions were documented, archived, and reevaluated on a recurring basis. Furthermore, DOD Instruction 6055.05, Occupational and Environmental Health (OEH), requires that hazards be identified and risk evaluated as early as possible, including the consideration of exposure patterns, duration, and rates.", "While DOD has guidance that applies to burn pit emissions among other health hazards, DOD had not fully assessed the health risks of use of burn pits, according to DOD officials.", "According to DOD officials, DOD's ability to assess these risks was limited by a lack of adequate information on (1) the levels of exposure to burn pit emissions and (2) the health impacts these exposures had on individuals. With respect to information on exposure levels, DOD had not collected data from emissions or monitored exposures from burn pits as required by its own guidance. Given the potential use of burn pits near installations and during future contingency operations, establishing processes to monitor burn pit emissions for unacceptable exposures would better position DOD and combatant commanders to collect data that could help assess exposure to risks.", "GAO recommended that the Secretary of Defense (1) take steps to ensure CENTCOM and other geographic combatant commands, as appropriate, establish processes to consistently monitor burn pit emissions for unacceptable exposures; and (2) in coordination with the Secretary of Veterans Affairs, specifically examine the relationship between direct, individual, burn pit exposure and potential long-term health-related issues. DOD concurred with the first recommendation and partially concurred with the second. In a May 2018 status update regarding these recommendations, DOD outlined a series of steps it had implemented as well as steps that it intends to implement. The department believes these efforts will further enhance its ability to better monitor burn-pit emissions and examine the relationship between direct, individual, burn pit exposure and potential long-term health related issues. GAO believes the steps DOD is taking are appropriate."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made two recommendations focused on improving monitoring of burn pit emissions and examining any associated health effects related to burn pit exposure. DOD concurred with one recommendation and partially concurred with the other. GAO continues to believe the recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to submit this statement on our September 2016 report covering the Department of Defense\u2019s use of burn pits. Since the initiation of military operations in Afghanistan in 2001 and Iraq in 2003, the Department of Defense (DOD) has employed several methods to dispose of the waste that U.S. forces have generated in both countries. In general, the methods employed have been left to the discretion of base commanders and include the use of incinerators, landfills, and open-air burn pits on or near military bases. According to DOD officials, when making these decisions base commanders may take into consideration a number of factors, including the local security situation, the number of personnel on the installation, and the amount and type of waste generated by those personnel. As one of the options available, burn pits help base commanders manage waste, but they also produce smoke and harmful emissions that military and other health professionals believe may result in acute and chronic health effects for those exposed to the emissions.", "My statement today focuses on the extent to which DOD has assessed any health risks of burn pit use. This statement is based on our September 2016 report. That work was conducted in response to section 313 of the Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015 (NDAA for Fiscal Year 2015). Specifically, we assessed the methodology DOD used in conducting a review of the compliance of the military departments and combatant commands with DOD Instruction 4715.19, Use of Open-Air Burn Pits in Contingency Operations, and the adequacy of the subsequent report DOD sent to the defense committees containing the results of its review.", "To evaluate the extent to which DOD has assessed any health effects of burn pit use, we reviewed relevant health assessments on the effects of burn pits, including a 2011 report by the Institute of Medicine that was contracted by the Department of Veterans Affairs, as well as prior related reports by GAO and the Special Inspector General for Afghanistan Reconstruction. We also interviewed officials from U.S. Central Command (CENTCOM), U.S. Army Central Command, U.S. Air Force Central Command, Department of Veterans Affairs, and Institute of Medicine to discuss any effects of exposures to burn pit emissions, among other things. Additionally, we obtained an update from DOD in May 2018 on actions taken regarding our findings and recommendations from our September 2016 report.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Burn pits\u2014shallow excavations or surface features with berms used to conduct open-air burning\u2014were often chosen as a method of waste disposal during recent contingency operations in the CENTCOM area of responsibility, which extends from the Middle East to Central Asia and includes Iraq and Afghanistan. In 2010, we reported that there were 251 active burns pits in Afghanistan and 22 in Iraq. However, in 2016, we reported that the use of burn pits in the CENTCOM area of responsibility had declined since that time. As of June 2016, DOD officials told us that there were no military-operated burn pits in Afghanistan and only one in Iraq. According to DOD officials, the decline in the number of burn pits from 2010 to 2016 could be attributed to such factors as (1) using contractors for waste disposal and (2) increased use of waste management alternatives such as landfills and incinerators. However, DOD officials acknowledged that burn pits were being used to dispose of waste in other locations that are not military-operated. Specifically, these officials noted instances in which local contractors had been contracted to haul away waste and subsequently disposed of the waste in a burn pit located in close proximity to the installation. In such instances, officials stated that they requested that the contractors relocate the burn pit. According to a DOD official, as of May 2018 there are two active burn pits in the CENTCOM area of responsibility.", "Although burn pits help base commanders to manage waste, they also produce smoke and emissions that military and other health professionals believe may result in acute and chronic health effects for those exposed. We previously reported that some veterans returning from the Iraq and Afghanistan conflicts have reported pulmonary and respiratory ailments, among other health concerns, that they attributed to burn pit emissions. Numerous veterans have also filed lawsuits against a DOD contractor alleging that the contractor mismanaged burn pit operations at several installations in both Iraq and Afghanistan, resulting in exposure to harmful smoke that caused these adverse health effects. We also previously reported on the difficulty of establishing a correlation between occupational and environmental exposures and health issues. For example, in 2012 we reported that establishing causation between an exposure and an adverse health condition can be difficult for several reasons, including that for many environmental exposures, there is a latency period\u2014the time period between initial exposure to a contaminant and the date on which an adverse health condition is diagnosed. When there is a long latency period between an environmental exposure and an adverse health condition, choosing between multiple causes of exposure may be difficult. In addition, in 2015 we reported that the Army had recently published a study that evaluated associations between deployment to Iraq and Kuwait and the development of respiratory conditions post-deployment. However, the study was unable to identify a causal link between exposures to burn pits and respiratory conditions."], "subsections": []}, {"section_title": "DOD Had Not Fully Assessed the Health Risks of Burn Pits", "paragraphs": ["In our 2016 report, we found that the effects from exposing individuals to burn pit emissions were not well understood, and DOD had not fully assessed these health risks. Under DOD Instruction 6055.01, DOD Safety and Occupational Health (SOH) Program, it is DOD policy to apply risk-management strategies to eliminate occupational injury or illness and loss of mission capability or resources. DOD Instruction 6055.01 also instructs all DOD components to establish procedures to ensure that risk- acceptance decisions were documented, archived, and reevaluated on a recurring basis. Furthermore, DOD Instruction 6055.05, Occupational and Environmental Health (OEH), requires that hazards be identified and risk evaluated as early as possible, including the consideration of exposure patterns, duration, and rates. Notwithstanding this guidance, which applies to burn pit emissions among other health hazards, DOD had not fully assessed the health risks of use of burn pits according to DOD officials.", "According to DOD officials, DOD\u2019s ability to assess these risks was limited by a lack of adequate information on (1) the levels of exposure to burn pit emissions and (2) the health impacts these exposures had on individuals. With respect to information on exposure levels, DOD had not collected data from emissions or monitored exposures from burn pits as required by its own guidance. DOD Instruction 4715.19 requires that plans for the use of open-air burn pits include ensuring the area was monitored by qualified force health protection personnel for unacceptable exposures, and CENTCOM Regulation 200-2, CENTCOM Contingency Environmental Standards, requires steps to be taken to sample or monitor burn pit emissions. However, DOD officials stated that there were no processes in place to specifically monitor burn pit emissions for the purposes of correlating potential exposures. They attributed this to a lack of singular exposure to the burn pit emissions, or emissions from any other individual item; instead, monitoring was done for the totality of air pollutants from all sources at the point of population exposure. As we reported in September 2016, given the potential use of burn pits near installations and their potential use in future contingency operations, establishing processes to monitor burn pit emissions for unacceptable exposures would better position DOD and combatant commanders to collect data that could help assess exposure to risks.", "In the absence of the collection of data to examine the effects of burn pit exposure on servicemembers, the Department of Veterans Affairs in 2014 created the airborne hazards and open-air burn pit registry, which allows eligible individuals to self-report exposures to airborne hazards (such as smoke from burn pits, oil-well fires, or pollution during deployment), as well as other exposures and health concerns. The registry helps to monitor health conditions affecting veterans and servicemembers, and to collect data that would assist in improving programs to help those with deployment exposure concerns.", "With respect to the information on the health effects from exposure to burn pit emissions, DOD officials stated that there were short-term effects from being exposed to toxins from the burning of waste, such as eye irritation and burning, coughing and throat irritation, breathing difficulties, and skin itching and rashes. However, the officials also stated that DOD did not have enough data to confirm whether direct exposure to burn pits caused long-term health issues. Although DOD and the Department of Veterans Affairs had commissioned studies to enhance their understanding of airborne hazards, including burn pit emissions, the then- current lack of data on emissions specific to burn pits limited DOD\u2019s ability to fully assess potential health impacts on servicemembers and other base personnel, such as contractors.", "For example, in a 2011 study that was contracted by the Department of Veterans Affairs, the Institute of Medicine stated that it was unable to determine whether long-term health effects are likely to result from burn pit exposure due to inadequate evidence of an association. While the study did not determine a linkage to long-term health effects, because of the lack of data, it did not discredit the relationship either. Rather, it outlined a methodology of how to collect the necessary data to determine the effects of the exposure. Specifically, the 2011 study outlined the feasibility and design issues for an epidemiologic study\u2014that is, a study of the distribution and determinants of diseases and injuries in human populations\u2014of veterans exposed to burn pit emissions. Further, the 2011 study reported that there were a variety of methods for collecting exposure information, but the most desirable was to measure exposures quantitatively at the individual level. Individual exposure measurements could be obtained through personal monitoring data or biomonitoring. However, if individual monitoring data were not available, and they rarely are, individual exposure data might also be estimated from modeling of exposures, self-reported surveys, interviews, job exposure matrixes, and environmental monitoring. Further, to determine the incidence of chronic disease, the study stated that servicemembers must be tracked from their time of deployment, over many years.", "While the Institute of Medicine outlined a methodology of how to conduct an epidemiologic study, DOD had not taken steps to conduct this type of research study, specifically one that focused on the direct, individual exposure to burn pit emissions and the possible long-term health effects of such exposure. Instead, some officials commented that there were no long-term health effects linked to the exposures of burn pits because the 2011 study did not acknowledge any. Conversely, Veterans Affairs officials stated that a study aimed at establishing health effect linkages could be enabled by the data in its airborne hazards and open-air burn pit registry, which collects self-reported information on servicemembers\u2019 deployment location and exposure.", "In response to a mandate contained in section 201 of Public Law 112- 260, the Department of Veterans Affairs entered into an agreement with the National Academies of Sciences, Engineering, and Medicine to convene a committee to provide recommendations on collecting, maintaining, and monitoring information through the registry. The committee assessed the effectiveness of the Department of Veterans Affairs\u2019 information gathering efforts and provided recommendations for addressing the future medical needs of the affected groups. The study was conducted in two phases. Phase 1 was a review of the data collection methods and outcomes, as well as an analysis of the self- reported veteran experience data gathered in the registry. Phase 2 was focused on the assessment of the effectiveness of the actions taken by the Department of Veterans Affairs and DOD and provided recommendations for improving the methods enacted. The committee released its final report in February 2017. As we reported in September 2016, considering the results of this review as well as the methodology of the 2011 Institute of Medicine study as part of an examination of the relationship between direct, individual exposure to burn pit emissions and long-term health effects could better position DOD to fully assess those health risks.", "In our September 2016 report we recommended that the Secretary of Defense direct the Under Secretary of Defense for Acquisition, Technology, and Logistics to: take steps to ensure CENTCOM and other geographic combatant commands, as appropriate, establish processes to consistently monitor burn pit emissions for unacceptable exposures; and in coordination with the Secretary of Veterans Affairs, specifically examine the relationship between direct, individual, burn pit exposure and potential long-term health-related issues. As part of that examination, consider the results of the National Academies of Sciences, Engineering, and Medicine\u2019s report on the Department of Veteran Affairs registry and the methodology outlined in the 2011 Institute of Medicine study that suggests the need to evaluate the health status of service members from their time of deployment over many years to determine their incidence of chronic disease, with particular attention to the collection of data at the individual level, including the means by which that data is obtained.", "DOD concurred with the first recommendation, stating that the department will ensure that geographic combatant commands establish and employ processes to consistently monitor burn pit emissions for unacceptable exposures at the point of exposure and if necessary at individual sources. In a May 2018 status update regarding this recommendation, DOD stated that it will be updating applicable department policy and procedures, its tactics techniques and procedures manual, and guidance for sampling and analysis plans to improve monitoring of burn pit emissions and other airborne hazard emissions. Specifically, DOD stated it will update DOD Instruction 6490.03, Deployment Health; that the update will provide revised procedures on deployment health activities required before, during, and after deployments, including Occupational and Environmental Health Site Assessments; and that it estimates this will be completed by the 4th quarter of fiscal year 2018. In addition, the department stated it will update its Occupational and Environmental Health Site Assessments tactics, techniques, and procedures manual and update guidance for sampling and analysis plans and that the updates will provide revised tactics, techniques, and procedures that will improve the quality of health risk assessment. The department expects this to be completed by the 1st quarter of fiscal year 2019. GAO believes that upon completion of these actions, DOD will have met the intent of this recommendation.", "With respect to our recommendation to sponsor research, in coordination with the Secretary of Veterans Affairs, to specifically examine the relationship between burn pit exposure and potential health-related issues, DOD partially concurred, stating that a considerable volume of research studies had already been completed, were ongoing, or were planned in collaboration with the Department of Veterans Affairs and other research entities to improve the understanding of burn pit and other ambient exposures to potential long-term health outcomes and that the studies, where applicable, consider and incorporate the methodology outlined in the 2011 Institute of Medicine study. In a May 2018 status update regarding this recommendation, the department stated that DOD and the Department of Veterans Affairs continue to collaborate with each other and other entities on research activities that address burn pit and other airborne exposures, and potential long-term health outcomes. Specifically, the department cited a DOD/Veterans Affairs Airborne Hazards Symposium held in May 2017; an update to the Veterans Affairs/DOD Deployment Health Working Group \"Airborne Hazards Joint Action Plan\" to be completed by the 3rd quarter of fiscal year 2018; and the completion of research to examine airborne hazard exposures and potential health-related issues. GAO believes that to the extent that continued studies consider and incorporate the methodology outlined the 2011 Institute of Medicine study, where appropriate, DOD will have met the intent of this recommendation.", "Chairman Dunn, Ranking Member Brownley, and Members of the Subcommittee, this concludes my statement for the record."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Cary Russell, Director, Defense Capabilities and Management, at 202-512-5431 or russellc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this statement include Guy LoFaro (Assistant Director), Lorraine Ettaro, Shahrzad Nikoo, Jennifer Spence, and Matthew Young.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-672", "url": "https://www.gao.gov/products/GAO-18-672", "title": "Small Business Administration: Actions Needed to Improve Confidence in Small Business Procurement Scorecard", "published_date": "2018-09-27T00:00:00", "released_date": "2018-09-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year SBA produces a scorecard measuring federal contract spending allocated to small businesses. The 2016 NDAA included a provision for SBA to revise the scorecard's methodology and for GAO to evaluate the effects of those revisions for fiscal year 2017. This report discusses, among other things, (1) SBA's changes to the scorecard methodology and plans, if any, to evaluate the effects of these changes, (2) the extent to which SBA has processes to disseminate reliable information, and (3) views of selected stakeholders on the scorecard's effects on small business procurement opportunities.", "GAO analyzed SBA's prior and revised scorecard methodology and results and interviewed officials from SBA, four other federal agencies selected based on small business procurement volume and other attributes, and three groups representing the interests of small businesses."]}, {"section_title": "What GAO Found", "paragraphs": ["For fiscal year 2017, the Small Business Administration (SBA) revised the methodology for its Small Business Procurement Scorecard, which is used to assess federal agencies' progress toward small business procurement goals. SBA made revisions to address requirements specified in the National Defense Authorization Act for Fiscal Year 2016 (2016 NDAA). SBA (1) reduced the share of the total scorecard grade devoted to prime contracting achievement, which is the dollar amount of contracts awarded directly to small businesses, and (2) added an element calculating changes in the number of small businesses receiving prime contracts. SBA made two additional revisions\u2014with input from other agencies' representatives\u2014to increase the share of subcontracting achievement results and peer review of required activities designed to facilitate small business procurement (see figure). In July 2018, officials said they had begun developing a plan to evaluate the effects of the revised scorecard methodology but did not provide a draft plan. Conducting a well-designed and comprehensive evaluation could aid SBA in determining whether the scorecard is an effective tool for helping to achieve the agency's strategic goals.", "(Scorecard elements are expressed as a percentage of total scorecard grade.)", "The published fiscal year 2017 scorecards originally contained errors, including an incorrect grade and numeric score for one agency, and SBA does not have a process to ensure that scorecard results are published accurately. Although SBA later corrected the errors, the agency did not initially document that scorecards had been changed, which is inconsistent with SBA's policy on information quality. SBA officials said that errors occurred in the process of formatting scorecards for publication. Errors in the published scorecards\u2014and the initial lack of disclosure about corrections\u2014weaken data reliability and may undermine confidence in scorecard data.", "Agency officials and representatives of small business groups that GAO interviewed generally expected the scorecard revisions to have little impact on small business procurement opportunities. However, one agency's officials said they would focus more on tracking subcontracting activity as a result of changes to the scorecard."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that SBA (1) design and implement a comprehensive evaluation to assess scorecard revisions and (2) institute a process for reviewing scorecards for accuracy prior to publication and a mechanism for disclosing corrected information. SBA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government, through contracts, purchased more than $440 billion worth of goods and services in fiscal year 2017. To help small businesses access these federal contracting opportunities, Congress set a requirement that the federal government allocate at least 23 percent of its contracted spending to small businesses. In turn, according to the Small Business Administration (SBA), small businesses provide the federal government with quality, performance, innovation, agility, and competitive pricing and are a key source of job creation. Each year, SBA produces a Small Business Procurement Scorecard (scorecard) to measure how much contracted spending federal agencies allocate to small businesses and whether the federal government is meeting its goals for awarding contracts to small businesses.", "As part of the National Defense Authorization Act for Fiscal Year 2016 (2016 NDAA), Congress directed SBA to take steps to revise the scorecard methodology for measuring small business procurement. The 2016 NDAA also included a provision for us to evaluate how well the scorecard methodology accurately and effectively measures federal agencies\u2019 compliance with small business contracting goals and how well it encourages federal agencies to expand small businesses\u2019 procurement opportunities.", "This report discusses (1) revisions to the Small Business Procurement Scorecard methodology and results of the revised fiscal year 2017 scorecard, as well as the extent to which SBA plans to evaluate the effects of revisions; (2) the extent to which SBA\u2019s revised scorecard methodology uses relevant and reliable information and SBA publishes accurate scorecards; and (3) views of selected federal agencies and industry stakeholders on the extent to which SBA\u2019s revised scorecard methodology may encourage agencies to expand small business procurement opportunities.", "To examine changes SBA made to the Small Business Procurement Scorecard, we reviewed SBA\u2019s documentation describing the revised scorecard methodology and interviewed SBA officials about their process for implementing a revised scorecard methodology. We also interviewed SBA officials about their plans, if any, to evaluate the revised scorecard. We reviewed and analyzed scorecard data from fiscal years 2014 through 2017. We assessed the reliability of these data by analyzing them for obvious errors of accuracy. We determined that SBA\u2019s corrected data were sufficiently reliable for the purpose of our analyzing scorecard results for fiscal year 2017. We evaluated SBA\u2019s process for revising the scorecard against federal internal control standards. We also used GAO guidance on evaluation design to identify examples of key attributes of effective evaluation planning. We also interviewed representatives from a judgmental, nongeneralizable sample of four agencies (the Departments of Agriculture, Defense, Energy, and Homeland Security) to obtain their views about the process of providing input on scorecard revisions and the revised scorecard methodology. We selected the four departments based on a variety of attributes, including small business procurement volume, recent improvement in scorecard results, and level of participation in discussions with SBA and other agencies about potential changes to the scorecard. To determine the extent to which SBA\u2019s revised scorecard methodology uses relevant and reliable information, we examined SBA documentation about the revised scorecard methodology for fiscal year 2017, as well as prior GAO work. We also interviewed officials from SBA and the four departments listed above. Finally, to obtain stakeholder views on the extent to which SBA\u2019s revised scorecard methodology might encourage agencies to expand small business procurement opportunities, we interviewed representatives from the selected departments, as well as officials from three groups representing the interests of small businesses. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from January 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of the Scorecard Process", "paragraphs": ["According to SBA, the purposes of the scorecard program are to monitor government-wide performance in meeting small business contracting goals and to provide accurate and transparent information through the public reporting of small business procurement data for individual agencies and government-wide. SBA uses its scorecard methodology to calculate a numeric score for each agency annually. SBA then converts those numeric scores to letter grades on an A+ through F scale. Each year, SBA negotiates small business prime contracting goals with each federal agency with procurement authority such that, in the aggregate, the federal government meets its overall 23-percent goal for the percentage of prime contract dollars awarded to small businesses. In setting annual agency goals, SBA considers prior-year achievement and other factors.", "In addition to an overall prime contracting goal, Congress also established statutory contracting goals for various socioeconomic subcategories of small businesses. These small business subcategories are small disadvantaged businesses, women-owned small businesses, service-disabled veteran-owned small businesses, and businesses located in Historically Underutilized Business Zones (HUBZone). SBA does not negotiate agency-specific goals for prime contracting and subcontracting achievement within each small business socioeconomic subcategory. Instead, each agency\u2019s goal is the same as the government- wide goals. Prime contracting and subcontracting achievement goals for each subcategory are shown in table 1 below."], "subsections": []}, {"section_title": "Procurement Data Systems", "paragraphs": ["SBA uses two government-wide data systems maintained by the General Services Administration (GSA) to measure agencies\u2019 small business contracting activity. SBA uses the Federal Procurement Data System- Next Generation (FPDS-NG) to calculate agencies\u2019 prime contracting awards to small businesses. Federal agencies are required to report to FPDS-NG all contracts whose estimated value is $3,500 or more, and FPDS-NG also records whether the contract has gone to a small business. GSA requires that agencies annually certify the accuracy of data submitted. To measure subcontracting, SBA uses the Electronic Subcontracting Reporting System (eSRS), which captures data on spending on first-tier subcontracts, including spending directed to small businesses. Prime contractors that hold one or more government contracts totaling more than $700,000 are required to report their small business subcontracting activity in eSRS."], "subsections": []}, {"section_title": "Role of the OSBDUs", "paragraphs": ["In 1978 Congress amended the Small Business Act to require that all federal agencies with procurement powers establish an Office of Small and Disadvantaged Business Utilization (OSDBU). These offices are intended to advocate for small businesses in procurement and contracting processes, and thus work with agencies to achieve contracting goals. OSDBUs have multiple functions and duties that are codified in section 15(k) of the Small Business Act, as amended. In addition to their agency responsibilities, OSDBU directors serve with the SBA administrator or a designee on the Small Business Procurement Advisory Council, which was established in 1994. The council\u2019s duties include identifying best practices for maximizing small business utilization in federal contracting and conducting peer reviews of each OSDBU to determine compliance with section 15(k). SBA has included the results of this peer review as part of its scorecard calculations for several years."], "subsections": []}]}, {"section_title": "SBA Made Several Revisions to the Scorecard for Fiscal Year 2017 but Has Not Completed a Plan to Evaluate Those Changes", "paragraphs": [], "subsections": [{"section_title": "Scorecard Revisions Focused Largely on Mandated Changes", "paragraphs": ["SBA revised the scorecard methodology prior to fiscal year 2017 to make it consistent with changes required by the 2016 NDAA. Specifically, SBA reduced the proportion of the total scorecard results related to prime contracting performance from 80 percent to 50 percent and added an element to calculate changes in the number of small business prime contractors compared to the prior year. SBA officials said they considered, but did not add, a scorecard element that calculated changes in the number of small business subcontractors, which the 2016 NDAA required to be included if data were available. Officials said that unlike prime contracting data, which are validated by agencies, subcontracting data are recorded by the prime contractor and are based on contracting plans and not obligated federal funds. As a result, SBA officials said they determined that data were not available to implement this change.", "SBA also made other changes to the scorecard methodology, as the agency was permitted to do under the 2016 NDAA. SBA adjusted the weights of other scorecard elements, increasing subcontracting performance from 10 percent to 20 percent of the total scorecard result and increasing the peer review evaluation element from 10 percent to 20 percent. SBA also established that the new statutorily required element to assess changes in the number of prime contractors would be weighted at 10 percent. (See fig. 1 for a summary of revisions to the scorecard methodology.) Officials said they increased the subcontracting weight because it was an increasingly important area of small business procurement activity.", "In addition, SBA officials and other Small Business Procurement Advisory Council members revised the peer review evaluation methodology in an effort to facilitate a more in-depth review of agencies\u2019 compliance with section 15(k) requirements. SBA included the results from this new peer review process in its revised scorecard methodology. Specifically, the council changed the peer review process in an effort to have peer reviewers make compliance determinations for categories that directly corresponded to the individual subparts of section 15(k). The prior peer review process asked reviewers to assign scores in seven areas, which the process termed \u201csuccess factors.\u201d For the fiscal year 2017 scorecard, SBA asked peer reviewers to assess and provide scores for 18 of the 21 individual subparts. Categories for the three remaining 15(k) subparts were incorporated starting with the fiscal year 2018 scorecard methodology.", "SBA officials said members of the Small Business Procurement Advisory Council were active participants in determining the revisions to the scorecard methodology. For example, SBA officials said the council members gave input on proposed revisions and recommended changes prior to the adoption of the new scorecard methodology. OSDBU directors also discussed potential methodological revisions in meetings of the Federal OSDBU Directors Interagency Council. SBA officials said the OSDBU directors\u2019 input was incorporated into SBA\u2019s revised scorecard guidance and, as a result, the criteria within the scorecard were more robust. Officials we interviewed from SBA and other agencies said the adopted scorecard revisions were the result of a consensus among Small Business Procurement Advisory Council members, although no formal votes were taken. Revisions to the scorecard methodology were outlined in a memorandum circulated to agencies in August 2016, about 8 weeks before the start of fiscal year 2017. SBA officials said that many agencies were tracking their progress toward goals using the revised methodology before results were issued. Agencies also had an opportunity to review preliminary scorecard results for fiscal year 2017 before the official scorecard results were published in May 2018."], "subsections": []}, {"section_title": "Fiscal Year 2017 Scorecard Outcomes Were Similar to Those of Prior Years", "paragraphs": ["Scorecard results under the revised methodology were similar to those of prior years. For example, in fiscal year 2017, the distribution of agencies\u2019 letter grade results was similar to those of fiscal years 2014 through 2016, with between 19 and 21 of the 24 scored agencies achieving at least an A grade each year (see table 2).", "Prime contracting achievement. Agencies\u2019 performance in small business prime contracting was similar in fiscal year 2017 and fiscal year 2016 (see table 3). In both years, 18 of 24 agencies met their overall prime contracting goals. In fiscal year 2017, 15 of 24 agencies met at least three of the four small business subcategory goals\u2014one fewer than in fiscal year 2016.", "Subcontracting achievement. In fiscal year 2017, 15 of 24 agencies met their subcontracting goals compared to 16 of 24 in the prior year. However, among the small business subcategories, more agencies met at least three subcategory goals in 2017 (14 agencies) than in fiscal year 2016 (10 agencies) (see table 4).", "Peer review evaluations element. The fiscal year 2017 government- wide score for the peer review of section 15(k) compliance (a score of 19.25 out of a maximum 20.00) was nearly identical to the government- wide score for fiscal year 2016, once we adjusted for changes in the scoring scale between the 2 years. The government-wide score in fiscal year 2016 was 9.60 out of 10, which equates to 19.20 on a 20-point scale.", "Number of small business prime contractors. The overall number of small business prime contractors declined between fiscal years 2016 and 2017. The number of prime contractors overall decreased from 120,009 in fiscal year 2016 to 117,480 in fiscal year 2017, a decrease of approximately 2 percent. However, the 24 agencies, in aggregate, had more small business prime contractors in three of the four small business subcategories in fiscal year 2017 than in the prior year (see table 5).", "Comparison with prior scorecard weighting formula. We found that agencies\u2019 numerical scores for fiscal year 2017 were generally lower under the revised scorecard methodology than they would have been under the fiscal year 2016 methodology\u2019s weighting of scorecard elements. Twenty-two of 24 agencies had a lower score than they would have had under the prior methodology\u2019s weighting. The revised methodology adjusted the weight of multiple scorecard elements, and there are a variety of reasons why an agency might have received a lower score than under the fiscal year 2016 methodology\u2019s weighting. However, reducing the weight for prime contracting achievement under the revised methodology could explain at least part of the lower score for 21 of the 22 agencies. The overall median score for fiscal year 2017 was about 7 points lower than it would have been under the weighting formula used in fiscal year 2016. (The median score for fiscal year 2017 scorecards was 111 and would have been 118 under the prior methodology\u2019s weighting formula.)"], "subsections": []}, {"section_title": "SBA Said It Was Preparing but Had Not Completed a Plan to Evaluate the Effects of Scorecard Revisions", "paragraphs": ["In June 2018, SBA officials told us they were not preparing a plan for evaluating the effects of scorecard revisions because they thought such a plan would be premature. At that time, SBA officials said they had identified some aspects of the revised methodology for further review, including two issues related to the peer review evaluations\u2014the peer review scoring scale and whether agencies believed SBA\u2019s requests for supporting information were reasonable. In July 2018, however, SBA officials said that, in response to our preliminary findings, they had begun to develop a plan for evaluating the revised scorecard methodology\u2019s effects, if any, on meeting the government-wide procurement goals. The officials did not provide us a draft plan or details about the plan. They said they expected to complete the evaluation plan by October 2018 and to complete the evaluation itself by the end of December 2018.", "Federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives, such as those in an agency\u2019s strategic plan. These standards also call for management to design control activities to achieve goals and respond to risks\u2014for example, activities to monitor performance measures and indicators. SBA\u2019s strategic plan includes an objective to ensure federal contract and innovation set-aside goals are met or exceeded. The agency uses scorecard results to measure progress toward meeting or exceeding the statutory goal of 23 percent for overall small business prime contracting. Scorecard results are also used to measure progress toward other goals for the small business socioeconomic subcategories.", "We have previously identified key attributes of effective program evaluation design, which include the following: clear criteria for making comparisons that would lead to strong, defensible evaluation conclusions; an established evaluation scope that would ensure that the evaluation is tied to its research questions, effectively defines the subject matter to be assessed, and can be completed in a timely fashion to meet reporting deadlines; clear and specific research evaluation questions that use terms that can be readily defined and measured; and carefully thought-out data and analysis choices, which can enhance the quality, credibility, and usefulness of the evaluation.", "A comprehensive evaluation of revisions to the scorecard that includes the key attributes outlined above could aid SBA officials in determining whether the revised scorecard provides better information and whether the scorecard revisions are designed and implemented appropriately. Such an evaluation also could assist SBA in understanding whether the scorecard revisions may contribute to maximizing contract dollars awarded to small businesses, which is one of the goals in SBA\u2019s strategic plan. In addition, the 2016 NDAA requires that SBA report to Congress by March 31, 2019, about changes stemming from the revised methodology and recommend whether the scorecard program should continue or be further modified. Such an evaluation could also be used by SBA to inform its report to Congress and future decisions about the scorecard methodology and program."], "subsections": []}]}, {"section_title": "SBA Uses Available Procurement Data to Calculate Scorecard Outcomes, but the Process for Producing Scorecards Has Weaknesses", "paragraphs": [], "subsections": [{"section_title": "Subcontracting Data Have Known Limitations That May Affect the Reliability of Scorecard Calculations", "paragraphs": ["The two data systems SBA uses to measure agencies\u2019 small business contracting activity\u2014FPDS-NG and eSRS\u2014are the best available sources of procurement data for calculating scorecard results, according to SBA. However, eSRS has limitations that agency officials cited and that we have previously identified that could hinder the reliability of scorecard results on subcontracting. Federal law prohibits SBA from requiring agencies to use alternative data collection methods for the purposes of the scorecard calculations. GSA intends to replace both systems as part of an initiative to consolidate the functions of several existing data systems, according to GSA documents. As we reported in 2014, this new system is intended to better link prime contracting and subcontracting data.", "Agency officials we interviewed said eSRS has limitations that make it challenging to verify the accuracy of reported subcontracting activity, and we also have identified eSRS limitations in our prior work. Prime contractors are responsible for reporting their subcontracting activity to the federal government, and the self-reported nature of these data is a limitation that could hamper the accuracy of eSRS data, agency officials said. Although prime contractors generally are required to submit a plan describing planned subcontracting activity, officials explained that eSRS did not provide a method to allow agency officials to verify that actual subcontracting activity matched the levels described in prime contractors\u2019 plans. In addition, not all prime contractors are required to file subcontracting plans. Exceptions to the requirement include, for example, when the prime contract is for goods or services worth $700,000 or less or if the prime contractor is exempt. Small business prime contractors are one example of an exempt group that is not required to prepare subcontracting plans.", "SBA officials added that measuring subcontracting activity also is challenging because there are no federal funds obligated for subcontracts. Therefore, the federal government does not have a verified record of who performed subcontracting work and the amount paid. In addition, our previous work has found that eSRS was not designed to provide a list of subcontractors associated with a particular prime contract and that linking small business subcontractors to prime contracts when there is a subcontracting plan that pertains to multiple contracts is especially difficult.", "In addition, our previous work has identified some limitations with FPDS- NG focused on specific agencies and small business programs, although we have not more broadly assessed the reliability of the FPDS-NG data fields that SBA uses to compile scorecard results. For example, we found mismatches between certain accounting records from the Department of Veterans Affairs and data captured in FPDS-NG, and we identified challenges in using FPDS-NG data to monitor the eligibility of Alaska Native Corporations for certain small business contracts available to small disadvantaged businesses. However, officials from SBA and two departments we interviewed for this work said prime contracting data in FPDS-NG generally do not have the same weaknesses they identified with subcontracting data in eSRS."], "subsections": []}, {"section_title": "Errors in Published Scorecard Results Weaken Reliability and Perceived Integrity of Scorecard Program", "paragraphs": ["Scorecard results originally published by SBA on May 22, 2018, contained errors, including one agency scorecard published with an incorrect letter grade. SBA officials said they discovered the publication errors within approximately 2 days of publication and published corrected versions. However, these corrections occurred after SBA issued a public announcement highlighting the new results, and interested parties may have downloaded erroneous results prior to the corrected versions being posted on SBA\u2019s website.", "We identified errors from SBA\u2019s originally published scorecards independent of SBA\u2019s determination that the agency had published scorecards containing errors. The errors we and SBA identified were concentrated in the scorecard for the Department of Education and the government-wide scorecard:", "The scorecard for the Department of Education showed an incorrect letter grade of A+, rather than the correct grade of A. The published scorecard also showed an incorrect overall numeric score.", "The Department of Education\u2019s score for the peer review component of the scorecard was incorrect.", "The government-wide scorecard showed incorrect scores for changes in the number of women-owned small business contractors and the number of service-disabled veteran-owned small business contractors.", "SBA did not initially document on the corrected scorecards how they had been changed from the original scorecards. However, SBA later added documentation that the scorecards for the Department of Education and government-wide results had been corrected. SBA took this step after we inquired about the absence of documentation about revisions that had been made to the fiscal year 2017 scorecards.", "SBA officials said they performed accurate calculations for determining agencies\u2019 performance and that inaccuracies in the published scorecards were the result of transcription errors associated with formatting the results for publication. Officials said SBA used new software to publish the fiscal year 2017 scorecards so that they could be accessible to visually impaired readers. Making the scorecards more accessible required some additional steps and at times required manual data entry due to limitations in SBA\u2019s software. These additional steps resulted in errors, officials said. One set of errors\u2014the inaccurate government-wide scores for changes in the number of women-owned small business contractors and the number of service-disabled veteran-owned small business contractors\u2014canceled each other out and did not lead to erroneous overall scorecard results. SBA officials said they review the scorecard data and calculations before they are prepared for publication. However, the agency does not have a process to review formatted scorecards prior to publication to confirm that the version for publication matches actual calculations. Agency officials said they believed that such a process was not necessary. Additionally, agency officials said SBA has instituted a process to update previously issued scorecards to make them accessible for the visually impaired. SBA officials said they intend to review the accuracy of these updated scorecards for characteristics such as accurate letter grades as agency resources permit.", "Both the Office of Management and Budget and SBA have issued policies related to transparency and integrity of government data. The Office of Management and Budget has issued government-wide guidance on transparency in sharing government data and instructed federal agencies to develop their own policies. SBA\u2019s policy on information quality says the policy is intended, in part, to ensure the integrity of information SBA disseminates. SBA\u2019s policy also says the agency should have full, accurate, transparent documentation and should identify and disclose to users any error sources affecting data quality. In addition, federal internal control standards cite the need for management to design controls\u2014 including controls over information processing\u2014to achieve objectives.", "Errors in the published scorecards may impair the other agencies\u2019 or Congress\u2019s access to quality information to make informed decisions and evaluate an agency\u2019s performance in meeting small business goals. The scorecard errors that we and SBA identified after publication\u2014and the lack of any indicator that scorecards had been corrected\u2014also may undermine confidence in the integrity and transparency of the scorecard data."], "subsections": []}]}, {"section_title": "Agency Officials and Other Stakeholders Expected the Revised Scorecard to Have Little Impact on Small Business Opportunities", "paragraphs": ["Agency officials and representatives of small business groups we spoke with generally expected the revised scorecard methodology for fiscal year 2017 to have little impact on small business procurement opportunities. OSDBU officials in the four agencies we interviewed said their offices, in general, are not altering existing efforts at advocating for small business opportunities as a result of scorecard revisions. Some agency officials also said they would need additional years of scorecard data before making any changes to their efforts or reassessing how their priorities align with the revised scorecard\u2019s formula. However, officials from one agency said they updated their agency\u2019s internal monitoring of subcontracting activity as a result of the revised scorecard methodology\u2019s increased emphasis on subcontracting measures. Officials said they updated the monitoring process so the agency would place more emphasis on small business subcontracting activity. Officials said the change to this agency\u2019s internal monitoring process took effect for fiscal year 2018.", "Officials from three of the four federal departments and representatives from the three small business groups we interviewed said they had not seen any changes in opportunities for small business prime contracting as a result of the scorecard\u2019s methodological changes. Instead, representatives from three small business groups and officials from two departments said any changes in prime contracting opportunities that might have occurred would be influenced by other government-wide procurement initiatives. Specifically, representatives from the three small business groups said the federal government\u2019s emphasis on \u201ccategory management\u201d was resulting in fewer prime contracts available to all government contractors, including small business contractors. Under the category management initiative, the federal government groups commonly purchased goods and services into categories to streamline procurement processes with the goal of eliminating redundancies and reducing costs. However, representatives of small business groups said these policies result in fewer contract awards and opportunities for small businesses. Representatives from the three small business groups said that the new scorecard element that calculates the annual changes in the number of small business contractors could help highlight the effects of these prime contracting trends on procurement opportunities.", "According to agency officials and small business representatives, subcontracting opportunities are also unlikely to be impacted by the revised scorecard methodology, which increased the weight of subcontracting performance. Officials from two of the four departments we interviewed told us that their agencies have stable purchasing patterns and that subcontracting activity is not likely to change as a result of scorecard revisions. Representatives from two of the three small business groups said the influence of the scorecard revisions in incentivizing agencies to focus on subcontracting opportunities is limited by the reliability of available subcontracting data, discussed previously. For example, one agency told us that the shift from prime to subcontracting performance reduces the agency\u2019s ability to influence scorecard outcomes because the agency has no means of validating the subcontracting data that are recorded. Similarly, representatives from two of the three small business groups said that because the data on subcontracting are entered by the prime contractors at the time of proposed contracting rather than confirmed contracting, the data do not include verification of subcontracting activity and therefore might not be an accurate measure of subcontracting activity.", "Representatives from agencies and small business groups said the scorecard program has generally played a role in drawing attention to agencies\u2019 performance in identifying small business procurement opportunities. For example, SBA officials said the scorecard results provide public information about how well the government performed overall in providing small business procurement opportunities and help to ensure that all agencies are contributing toward those goals. Officials at one agency told us that the scorecard was an important factor in driving internal goals and opportunities for small businesses. Another agency said that while it had been reaching its overall prime contracting goal, its performance in certain small business subcategories was falling short of goals. As a result, the agency has directed additional outreach efforts to those types of small businesses. In addition, representatives of all three small business groups said because results are public, the scorecard has created additional pressure on agencies to meet procurement goals."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["SBA uses its scorecard program to monitor federal agencies\u2019 compliance with goals set by Congress to promote small business participation in federal contracting, and SBA has identified having agencies meet or exceed those participation benchmarks as one of its agency-wide goals in its strategic plan. The effects of recent changes to the scorecard and their potential benefits for improving federal contracting opportunities for small businesses are uncertain. SBA recently began to develop a plan for evaluating whether or how changes to the scorecard might facilitate SBA\u2019s ability to meet government-wide procurement goals. Completing such an evaluation and making sure the evaluation plan is aligned with key attributes for effective evaluations could help SBA management: determine whether the revised scorecard provides quality information\u2014consistent with federal internal control standards\u2014and whether it helps meet the agency\u2019s strategic goals; fully address whether the revisions are effective in measuring and creating small business procurement opportunities; and make a well-supported recommendation about whether to continue or modify the scorecard program. Congress required that SBA recommend by March 31, 2019, whether to continue or modify the scorecard program.", "In addition, the scorecard appears to have played a role in drawing attention to agencies\u2019 performance in identifying small business procurement opportunities. However, there were errors in the initial fiscal year 2017 scorecards published on SBA\u2019s website, and SBA did not initially take steps to notify the public after it made corrections. SBA officials said that SBA does not have a process to ensure that published scorecard results are accurate. Errors in the published scorecards and a lack of timely disclosure about corrections may impair other agencies\u2019 or Congress\u2019s access to quality information to make informed decisions."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following two recommendations to SBA: The SBA Administrator or her designee should complete the design and implementation of a comprehensive evaluation of the Small Business Procurement Scorecard aligned with key attributes of effective program evaluations to assess the effectiveness of the revised scorecard in measuring agency performance and promoting small business procurement opportunities. (Recommendation 1)", "The SBA Administrator or her designee should institute a process to review Small Business Procurement Scorecards for accuracy prior to publication and a mechanism for publicly identifying when issued scorecards have been revised. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to SBA for review and comment. In written comments, reproduced in appendix II, SBA generally agreed with both of our recommendations.", "Regarding our recommendation that SBA design and implement an evaluation of the revised scorecard methodology, SBA said it planned to evaluate the changes to the scorecard methodology mandated by the 2016 NDAA. As discussed in our report, in revising the scorecard, SBA also made other changes not specifically mandated by the 2016 NDAA, such as increasing the emphasis on small business subcontracting activity and incorporating a revised peer review process to facilitate a more in-depth review of agencies\u2019 compliance with section 15(k) requirements. As stated in our report, we recommend that SBA plan and implement an evaluation of all aspects of the revised scorecard methodology. SBA also indicated that it will not complete the evaluation until after it has validated data for the fiscal year 2018 procurement scorecard. We note that SBA can prepare an evaluation plan and begin to consider potential evaluation findings using available scorecard data from fiscal year 2017. We also note that our recommendation states that SBA\u2019s evaluation plan should be aligned with the key attributes of effective evaluation design.", "Regarding our recommendation that SBA institute a process to review scorecards for accuracy prior to publication and a mechanism for publicly identifying when issued scorecards have been revised, SBA said it had taken several steps to revise the processes for publishing accurate scorecard results, including adding steps to compare the prepared scorecard documents to source documents prior to publication and to annotate any score corrections that are made to published scorecards. While we have not yet had the opportunity to assess SBA\u2019s actions, the steps SBA describes in response to our recommendation could improve other agencies\u2019 or Congress\u2019s access to quality information.", "We will send copies to the Administrator of SBA and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or shearw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report describes (1) revisions to the Small Business Procurement Scorecard (scorecard) methodology for fiscal year 2017 and results of the fiscal year 2017 scorecard, as well as the extent to which the Small Business Administration (SBA) plans to evaluate the effects of revisions; (2) the extent to which SBA\u2019s revised scorecard methodology uses relevant and reliable information and SBA publishes accurate scorecards; and (3) views of selected federal agencies and industry stakeholders on the extent to which SBA\u2019s revised scorecard methodology may encourage agencies to expand small business procurement opportunities.", "To examine the changes SBA made to the Small Business Procurement Scorecard and the rationale for these changes, we reviewed relevant documents, including the National Defense Authorization Act for Fiscal Year 2016, SBA\u2019s descriptions of the prior and revised scorecard methodology, and revised peer review guidance used for the scorecard element that assesses compliance with section 15(k) of the Small Business Act. We also interviewed officials from SBA and four other agencies about the revisions to the scorecard calculation methodology, the peer review guidance, the process for providing input on scorecard revisions, and how revisions were implemented. The four agencies (the Departments of Agriculture, Defense, Energy, and Homeland Security) represented a judgmental, nongeneralizable sample of federal agencies with procurement powers, selected based on small business procurement volume, recent improvement in scorecard results, and level of participation in discussions with SBA and other agencies about potential changes to the scorecard. We also interviewed SBA officials about their plans to evaluate the effects of scorecard revisions on small business procurement opportunities and about their plans, if any, to evaluate the revised scorecard. In addition, we reviewed federal internal control standards and GAO\u2019s key attributes for designing effective evaluations.", "We analyzed the distribution of agencies\u2019 letter grade results (A+, A, B, C, D, and F) from the fiscal year 2017 scorecard and compared this distribution to fiscal years 2014 through 2016, which used a different scorecard methodology. We also reviewed the distribution of results of fiscal year 2017 individual scorecard elements\u2014specifically, results of prime contracting achievement, subcontracting achievement, and peer reviews\u2014and compared this distribution to results for fiscal year 2016.", "We compared agencies\u2019 prime contracting and subcontracting performance against their small business procurement goals for fiscal years 2016 and 2017. To compare peer review results across years, we made adjustments to account for changes in the value of peer review results (raised from 10 points to 20 points from fiscal years 2016 to 2017). To adjust for this difference, we doubled the value of fiscal year 2016 scores to put both years\u2019 scores on a 20-point scale. Finally, we compared actual fiscal year 2017 scorecard results to the results if SBA had used the 2016 scorecard weighting. To do this, we increased the weighting of fiscal year 2017 prime contracting results from 50 percent to 80 percent of each agency\u2019s total scorecard grade, decreased the weight of subcontracting results from 20 percent to 10 percent, and decreased the weight of peer review results from 20 percent to 10 percent. We also excluded results from the new scorecard element calculating changes in the number of small business contractors, which was not part of the 2016 methodology.", "To examine the extent to which SBA\u2019s revised scorecard methodology considers relevant and reliable information, we interviewed officials from SBA and the Departments of Agriculture, Defense, Energy, and Homeland Security. We reviewed documents describing the prior and revised scorecard methodology. We discussed limitations, if any, in the electronic data systems that capture government-wide data on prime contracting and subcontracting (which SBA uses to calculate those respective scorecard elements). We also reviewed our prior work that assessed these data systems. To assess the data reliability of the published scorecards, we reviewed them for obvious errors and interviewed SBA officials about the cause of errors we identified. We found the scorecards to be reliable for analyzing scorecard results for fiscal year 2017. We also compared SBA\u2019s revised scorecard methodology against the agency\u2019s policies on information quality and against GAO\u2019s standards for internal control in the federal government.", "To collect views on the extent to which SBA\u2019s revised scorecard methodology may encourage agencies to expand small business procurement opportunities, we interviewed officials from SBA and the four selected departments cited above, as well as representatives from three organizations representing the interests of small businesses. These three organizations were selected to represent a mix of small business types: one (The American Small Business Chamber of Commerce) represented all types of small businesses; one (Women Impacting Public Policy) represented a small business socioeconomic subcategory with a 5 percent goal for prime contracting and subcontracting (as a percentage of total prime contracting and subcontracting); and one (The Task Force for Veterans\u2019 Entrepreneurship, also known as Vet-Force) represented a small business subcategory with a 3 percent goal for prime contracting and subcontracting.", "We conducted this performance audit from January 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Andy Pauline (Assistant Director), Steve Robblee (Analyst in Charge), William Chatlos, Holly Hobbs, Marc Molino, Jessica Sandler, and Jennifer Schwartz made key contributions to this report."], "subsections": []}]}], "fastfact": ["The federal government is required to allocate at least 23% of its direct contract spending to small businesses. The Small Business Administration's annual scorecards track progress toward that goal.", "SBA changed how it calculates scores for fiscal year 2017 but didn't initially plan to evaluate the effect of the changes.", "We recommended SBA evaluate its new scoring methodology to assess how effectively the scorecards measure agency performance and promote contracting opportunities for small businesses. SBA could use the evaluation results to inform Congress in its upcoming required report."]} {"id": "GAO-18-59", "url": "https://www.gao.gov/products/GAO-18-59", "title": "Coast Guard Health Records: Timely Acquisition of New System Is Critical to Overcoming Challenges with Paper Process", "published_date": "2018-01-24T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2010, the Coast Guard initiated an effort\u2014known as IHiS\u2014to replace its aging EHR system with a suite of modernized systems that was to automate various health care services for its nearly 50,000 military members. However, in October 2015, the Coast Guard announced that the modernization project would be canceled.", "GAO was asked to review the Coast Guard's efforts to develop a modernized EHR system. GAO's objectives were to (1) describe what led the Coast Guard to terminate further IHiS development, and how much was spent on the project; (2) evaluate the Coast Guard's management and oversight for the discontinued project and what, if any, lessons learned were identified; (3) describe the Coast Guard's current process for managing health records and the challenges, if any, it is encountering; and (4) determine the Coast Guard's plans for effectively implementing a new EHR system and the current status of its efforts. To do so, GAO reviewed project expenditures, analyzed key project management documentation, surveyed Regional Managers and clinical staff, and interviewed knowledgeable staff."]}, {"section_title": "What GAO Found", "paragraphs": ["Financial, technical, schedule, and personnel risks led to the United States Coast Guard's (Coast Guard) decision to terminate the Integrated Health Information System (IHiS) project in 2015. According to the Coast Guard (a military service within the Department of Homeland Security), as of August 2017, $59.9 million was spent on the project over nearly 7 years and no equipment or software could be reused for future efforts. In addition, the Coast Guard could not fully demonstrate the project management actions taken for IHiS, lacked governance mechanisms, and did not document lessons learned for the failed project.", "As a result of the cancelation of the IHiS project and the decommissioning of the two legacy electronic health record (EHR) systems IHiS was to replace, the Coast Guard directed its clinics to revert to maintaining health records using a predominantly paper process. Coast Guard Regional Managers and clinic and sick bay administrators informed GAO of the many challenges encountered in returning to a paper process. These challenges include the inability for some clinics to adequately track vital information such as the medications members are taking\u2014potentially causing harm to them.", "To help alleviate several of these challenges, the Coast Guard has developed alternative work-around processes. However, these alternative processes may not provide sustained solutions to overcoming these challenges.", "In February 2016, the Coast Guard initiated the process for acquiring a new EHR system. As of November 2017, agency officials had conducted research and recommended a solution based on performance, risk, cost, and schedule advantages. However, 2 years after canceling IHiS and moving toward a predominately manual process, the agency has not yet made a final determination on this. Successfully and quickly implementing an EHR system is vital to overcoming the challenges Coast Guard currently faces in managing paper health records. The expeditious implementation of such a system can significantly improve the quality and efficiency of care to the thousands of Coast Guard active duty and reserve members that receive health care."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending the Coast Guard (1) expeditiously and judiciously pursue the acquisition of a new EHR system, and in doing so (2) ensure key processes are implemented, (3) establish project governance boards, and (4) document lessons learned. The Department of Homeland Security concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States Coast Guard (Coast Guard), a military service within the Department of Homeland Security, is the principal federal agency responsible for maritime safety, security, and environmental stewardship in U.S. ports and waterways. In addition, the Coast Guard acts as a first responder and provides humanitarian services that aid individuals in distress or those impacted by natural and man-made disasters, whether at sea or ashore. The Coast Guard is also a law enforcement and regulatory agency with broad legal authorities associated with maritime transportation, hazardous materials shipping, bridge administration, oil spill response, pilotage, and vessel construction and operation.", "In support of its missions, the Coast Guard is tasked with providing health care to active duty and reserve members; ensuring the medical and dental readiness of all Coast Guard members to maintain their ability for worldwide deployment; and ensuring the availability of quality, cost- effective health care for all eligible beneficiaries. To assist with this task, the Coast Guard has historically relied on electronic health record (EHR) systems to perform such functions as scheduling patient appointments, documenting patient consults and referrals, and tracking prescribed medications.", "In 2010, the Coast Guard initiated an effort to replace its aging EHR systems with a suite of modernized systems called the Integrated Health Information System (IHiS). This system was to modernize various health care services and provide additional functionality, such as a document management system, which was previously lacking. However, in October 2015, the Coast Guard announced that the modernization project would be canceled.", "In light of this decision, you asked us to review the Coast Guard\u2019s actions related to its EHR modernization initiative and its current health records management process. Our specific objectives were to (1) describe what led the Coast Guard to the decision to terminate further IHiS development, and how much was spent on the project; (2) evaluate the Coast Guard\u2019s management and oversight actions for the discontinued EHR modernization project and what, if any, lessons learned were identified; (3) describe the Coast Guard\u2019s current process for managing health records and the challenges, if any, it is encountering; and (4) determine the Coast Guard\u2019s plans for effectively implementing a new EHR system and the current status of its efforts.", "To address the first objective, we reviewed relevant IHiS documentation, such as key contracts, the project plan, presentations by the project management team regarding the status of development efforts, and IHiS- related memorandums. We also reviewed project expenditures documentation developed by the Deputy Commandant for Mission Support and the Acquisition Directorate. We supplemented our review with interviews of agency officials within the Coast Guard\u2019s Health Safety and Work-Life (HSWL) Directorate, Office of Budget and Programs, Office of Resource Management, Office of Contract Operations, and Office of Acquisition Support, along with interviews of six key IHiS contractors.", "To address the second objective, we reviewed the Coast Guard\u2019s Command, Control, Communications, Computers, and Information Technology (C4&IT) System Development Life Cycle (SDLC) Policy and SDLC Practice Manual intended to guide the management and oversight of the agency\u2019s acquisition projects. We compared available project management documentation, such as project plans, the project\u2019s schedule, decision memorandums, and Executive Oversight Council (EOC) meeting minutes, which demonstrated actions taken by project management staff during the IHiS project, against key SDLC Practice Manual requirements. These included fundamental practices for conceptual planning, planning and requirements, design, and development and testing. In addition, we interviewed responsible Coast Guard officials and contractors regarding their role in the project and determined whether officials documented lessons learned for future decisions for the new EHR project.", "To address the third objective, we reviewed Coast Guard medical records management documentation, such as medical manuals, workflow procedures, and standard operating policies and procedures for the Coast Guard\u2019s 166 clinics and sick bays. We also administered a survey via e- mail to all of the 12 HSWL Regional Managers and a web-based survey to all of the 166 clinic and sick bay administrators to obtain their views on any challenges they face in managing paper health records, as well as any mitigation strategies they have employed for the challenges they identified.", "Before administering the surveys, we pretested them by interviewing 1 Regional Manager and 5 clinic and sick bay administrators to ensure survey questions were accurately reflected. We received responses to the survey from all 12 Regional Managers and from 120 of the 166 clinic and sick bay administrators.", "To address the fourth objective, we reviewed available planning documentation, such as a request for information, capabilities analysis study plan and report, and the alternatives analysis report for the acquisition or development of a new EHR system as of October 2017. We also interviewed officials within the Acquisition Directorate to determine the status of the efforts to acquire or develop a new EHR system. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Electronic health records that are interoperable and contain all relevant patient information are crucial for optimizing the health care provided to patients. Historically, patient health information has been scattered across paper records kept by different caregivers in many different locations, making it difficult for a clinician to access all of a patient\u2019s health information at the time of care. Lacking access to these critical data, a clinician may be challenged in making the most informed decisions on treatment options, potentially putting the patient\u2019s health at risk. Thus, the move toward collecting, storing, retrieving, and transferring these records electronically can significantly improve the quality and efficiency of care.", "This is especially true in the case of military personnel and veterans, such as those in the Coast Guard, because they tend to be highly mobile and may have health records at multiple facilities both within and outside the United States. Therefore, EHRs that are interoperable among health care systems of providers such as the Coast Guard, the Department of Defense (DOD), and the Department of Veterans Affairs (VA) are key to improving the care these patients receive.", "In April 2004, the President called for widespread adoption of interoperable EHRs by 2014. Similarly, in August 2006, the President instructed agencies, as they implemented, acquired, or upgraded health information technology (IT) systems, to utilize systems and products that met recognized interoperability standards. For nearly two decades both DOD and VA have been working to implement interoperable health care systems, although with little success."], "subsections": [{"section_title": "The Coast Guard Has Historically Relied on EHRs and Related Systems to Support Health Care Efforts", "paragraphs": ["The Coast Guard\u2019s HSWL Directorate is responsible for ensuring the readiness and health of nearly 50,000 members throughout the United States. In this regard, the Office of Health Services within HSWL is charged with providing healthcare to Coast Guard members, other military active duty and reserve members, retired personnel, and eligible family members. The Coast Guard\u2019s healthcare services are supported by 41 U.S. based health clinics and 125 sick bays.", "In an effort to meet the need for interoperable EHRs, in 2002, the Coast Guard implemented DOD\u2019s Composite Health Care System (CHCS) at its clinics and sickbays. According to the Coast Guard\u2019s medical manual, the clinics and sickbays used CHCS for various health care-related activities, including scheduling patient appointments; documenting patient consults and referrals; storing prescriptions; tracking and controlling prescribed medications; and tracking laboratory orders. CHCS interfaced with the DOD Defense Eligibility Enrollment Reporting System, which provided verification of the identity and benefit eligibility of Coast Guard members; other military active duty, reserve, and retired personnel; and their eligible family members. CHCS also interfaced with other health care-related systems, such as a DOD prescription repository, a patient lab delivery system used by health care providers, a system that provided eyewear-related services, and the military\u2019s health insurance provider\u2019s system.", "To provide a more user-friendly way of accessing CHCS, the Coast Guard implemented DOD\u2019s Provider Graphical User Interface (PGUI) in 2004. This interface also provided clinics and sick bays with additional system functionality, such as the ability to create and store medical notes electronically.", "According to HSWL staff, although CHCS and PGUI provided the Coast Guard with a way to manage health records electronically, these systems were outdated and lacked key functionality such as billing, scheduling, and case management. Therefore, the Coast Guard intended to transition from CHCS and PGUI to DOD\u2019s more modernized Armed Forces Health Longitudinal Technology Application (AHLTA) in 2009 to achieve interoperability with DOD and VA and comply with executive orders and statutes that called for efficient health care initiatives. However, HSWL staff stated that the cost of adopting and maintaining AHLTA, as well as the need for the Coast Guard to meet its unique mission requirements, led the agency to move forward with implementing a new system of its own in 2010. The new system was intended to be interoperable with both DOD\u2019s and VA\u2019s health information systems.", "Toward this end, on September 30, 2010, the Coast Guard awarded a 5- year, $14 million contract to acquire a commercial off-the-shelf (COTS) EHR system. According to the Coast Guard\u2019s EHR business case, the system was to provide ambulatory services, including online management of patient health records; patient scheduling and billing services; dental and radiology modules; management of prescribed medications and tracking laboratory orders, among other capabilities.", "However, while working to implement the COTS EHR system, HSWL staff determined that many other Coast Guard health care-related IT systems were outdated and also needed modernization. As a result, the HSWL Directorate began an effort to expand the original EHR modernization effort to integrate these other necessary and outdated services. This expanded project was called IHiS.", "According to the HSWL Directorate, IHiS was to provide additional services such as work-life and safety data management, work-life case management, wireless access, and an integrated patient portal that was intended to allow patients to access their medical records at any time. The project consisted of various contracts with 25 different vendors and was estimated to cost approximately $56 million to implement, which included the original $14 million COTS EHR contract.", "HSWL staff stated that, at the time that the IHiS project was being planned and designed, the Department of State was also planning to develop an EHR system. In order to reduce the overall cost to both parties, in 2012, the Department of State signed an interagency agreement with the Coast Guard to utilize IHiS for that department\u2019s personnel. The system was to be implemented in phases with beta testing at two to three selected Coast Guard clinics in October 2015, and then subsequent implementation at the other clinics, sick bays, and Department of State locations. However, on October 19, 2015, the Coast Guard decided to terminate the IHiS project and decommissioned PGUI in 2015 and CHCS in 2016."], "subsections": []}]}, {"section_title": "The Coast Guard Attributed IHiS Termination to Financial and Other Risks, after Spending Approximately $60 Million on the Project", "paragraphs": ["According to the Director of HSWL, who was appointed to the position in August 2015, financial, technical, schedule, and personnel risks led the Coast Guard\u2019s EOC to decide to terminate the IHiS project. Specifically, the Director of HSWL provided us a written summary of information on the IHiS project risks that she said she had verbally communicated to the EOC during meetings on September 24, 2015, and October 6, 2015. The financial risks that the Director presented were based on internal investigations initiated in January 2015 and May 2015 to determine whether the HSWL Directorate had violated the Antideficiency Act by using incorrect funding sources and incorrect fiscal year funds for the IHiS project. In this regard, the Coast Guard ordered project management and contractor staff to cease work on IHiS until a determination was made regarding the antideficiency violation.", "In addition, the Director stated that she relayed technical risks to the EOC. These risks were identified in an e-mail in late August 2015 by Coast Guard project management staff who participated in the design and development efforts for IHiS. The Director and the related e-mail identified the following technical risks:", "Lack of testing. IHiS lacked an independent security assessment to verify that the system\u2019s security infrastructure was adequate. In addition, full interface testing with systems such as the Defense Eligibility Enrollment Reporting System had yet to be completed to ensure security and data integrity.", "Limited system functionality. The system that was to provide user verification and IHiS role management services was not yet complete.", "In addition, Coast Guard workstations could not yet access IHiS from the network and the patient portal lacked two-factor authentication. Further, the service that was to register new IHiS users in the system had yet to be completed.", "The Director also presented schedule and personnel risks to the EOC:", "Delays in the implementation timeline. The Director stated that between August 2015 and September 2015, she requested that the DOD\u2019s Defense Health Agency Solution Delivery IT team independently validate the IHiS timelines and the status of the project. The Director said she requested this review because of the technical risks identified in the August 2015 e-mail and concerns as to whether IHiS would be ready to be piloted at the first clinic in the fall of 2015. According to the Director, the Defense Health Agency team projected the timeline for the first clinic implementation to be approximately 1 year later than originally estimated. The Director added that Defense Health Agency team members stated that the timeline was delayed, in part, because critical IHiS interfaces and workflows were not complete or operational. The Director told us that these estimations were provided by the Defense Health Agency team verbally and that the team did not provide the Coast Guard any written documentation outlining its findings.", "Changes in project management staff. Although HSWL staff had been managing the IHiS project since it was initiated in 2010, C4&IT was directed to assume the oversight responsibilities for IHiS implementation in May 2015 due to concerns about the project\u2019s adherence to established governance processes raised by the internal investigators looking into the potential Antideficiency Act violations. By August 2015, the key project management personnel that had overseen the project since 2010 had been removed. According to C4&IT staff, IHiS was cancelled during the transition of project managers. As a result of the changes in staff, one vendor noted that it was unclear as to who were stakeholders, responsible parties, and decision makers.", "According to the Director, these risk factors had demonstrated that the project was far from ready for deployment and that continuing IHiS could cause significant stewardship and reputational harm to the Coast Guard. As a result of the risks presented by the Director, the EOC members made the decision to cancel IHiS, and did not consider any other alternatives to its cancelation.", "Subsequent to the project\u2019s cancelation, the Deputy Commandant for Mission Support conducted an analysis of the amount of money that had been obligated for and spent on the project. According to the analysis, which included obligations and expenditures from September 2010 to August 2017, the Coast Guard had obligated approximately $67 million and, of that amount, had spent approximately $59.9 million on the IHiS project at the time of its cancelation. Further, according to Office of Budget and Programs staff members, no equipment or software from the IHiS project could be reused for future efforts.", "In addition, according to senior staff within the Acquisition Directorate, the Coast Guard continued to pay millions of dollars to vendors over 2 years after the project\u2019s cancelation to satisfy existing contractual obligations. For example, according to staff within the Acquisition Directorate: $102,993 was paid in November 2017 to one vendor for leased equipment that was damaged or missing, as part of closing out the contract. $460,352 was paid in November 2017 to an equipment vendor because the Coast Guard was obligated to do so after it had exercised the contract option period just prior to canceling IHiS.", "Approximately $872, 000 was paid to various vendors by November 2017 as part of closing out other contractual obligations for items such as software licensing and support and a data storage center.", "Approximately $2.4 million is to be paid to one vendor by February 2018 for software and licensing products.", "Approximately $2.8 million is to be paid by February 2018 for removal and shipment of equipment.", "However, the amount spent on the project is likely underestimated because the Coast Guard\u2019s analysis of spending did not include labor costs for the agency\u2019s personnel (civilian or military) who spent approximately 5 years managing, overseeing, and providing subject matter expertise on the project. It also did not include any travel costs incurred by these personnel."], "subsections": []}, {"section_title": "The Coast Guard Could Not Demonstrate Effective Project Management, Lacked Governance Mechanisms, and Did Not Document Lessons Learned for the IHiS Project", "paragraphs": ["The Coast Guard could not demonstrate that it effectively managed and oversaw the IHiS project prior to its discontinuance. Specifically, although the Coast Guard was to follow the SDLC Practice Manual to guide its management and oversight of the project, the agency could not provide complete evidence that it had addressed 15 of the 30 SDLC practices we selected for evaluation. In addition, project team members provided inconsistent explanations regarding whether or not documentation existed to demonstrate the actions taken to manage and oversee the IHiS project. Further, although the Coast Guard developed charters for various governance boards to provide project oversight and direction, the boards were not active and the Chief Information Officer (CIO) was not included as a member of the boards, further contributing to a lack of key governance mechanisms for IHiS. Finally, the Coast Guard did not document and share lessons learned from the failed project to help prevent similar outcomes for future IT projects."], "subsections": [{"section_title": "The Coast Guard Could Not Demonstrate That Selected Project Management Practices Were Addressed", "paragraphs": ["In an effort to institute disciplined, repeatable practices for IT development and acquisition, the Coast Guard developed the SDLC Practice Manual, which establishes the seven-phase methodology for developing the Coast Guard\u2019s Assistant Commandant for C4&IT systems, such as IHiS. The practice manual is intended to guide project management teams through a progression of activities for managing and overseeing IT projects from conceptual planning to disposition. (Appendix II provides a discussion of each SDLC phase included in the practice manual and the 30 selected practices that we evaluated.)", "Although IHiS was to adhere to the SDLC practices established in the manual, the Coast Guard could not demonstrate that the staff providing day-to-day management of the project had always done so. Specifically, of the 30 selected project management practices that we evaluated for the initial four SDLC phases of IHiS\u2014Conceptual Planning, Planning and Requirements, Design, and Development and Testing\u2014Coast Guard officials provided documentation that the project management team fully addressed 15 practices and partially addressed 5 practices. The agency could not provide documentation that the project team had addressed 10 other practices. Table 1 provides a complete listing of the SDLC project management practices that we selected for evaluation and the extent to which the Coast Guard could demonstrate that it completed each practice.", "For this phase, the Coast Guard demonstrated that steps had been taken to address five of the seven selected project management practices for IHiS. Specifically, it assigned project management roles, such as the project manager, asset manager, and the system\u2019s sponsor. The agency also documented the initial IHiS business case and acquisition strategy, as well as the designation memorandum that identified IHiS as a C4&IT system.", "However, the Coast Guard could not demonstrate that the project management team had validated the project\u2019s alignment with the agency\u2019s enterprise architecture and that the project had received the required phase exit approval. As a result, the Coast Guard could not provide evidence that the necessary steps were taken to ensure that the project would align with the agency\u2019s business objectives and that project management staff had received approval to proceed to the next SDLC phase."], "subsections": [{"section_title": "Planning and Requirements Phase", "paragraphs": ["For this phase, the Coast Guard demonstrated that 8 of the 11 selected project management practices were performed for the IHiS project. Specifically, the agency provided evidence that it had completed the tailoring plan that detailed the SDLC processes that would be required throughout the IHiS system\u2019s lifecycle, developed an initial risk management plan that included a list of vulnerabilities and the measures to overcome or lessen them, and conducted a cost benefit analysis. The Coast Guard also documented functional requirements; reviewed external mandates, such as those mentioned earlier; created an initial training plan; and designated the system development and system support agents. Finally, the Acting CIO approved the project to move to the next phase and stated in a memorandum that the project had met all the requirements of the planning and requirements phase.", "However, the Coast Guard could not demonstrate that it had fully completed all of the requirements of this phase. For example, the Coast Guard provided documentation that partially met the requirement to develop a project management plan. Specifically, the agency created a project management plan that included certain required elements, such as a project description, work breakdown structure, and a life cycle cost estimate. However, it did not complete other required elements. Specifically, although the Coast Guard developed a project schedule for IHiS, it was not well-constructed, which made the overall quality of the IHiS schedule unreliable. For example, the IHiS schedule allowed for many activities to slip a significant number of days before impacting the dates of key events. Further, the Coast Guard could not demonstrate that it had created a communication plan\u2014another element of the project management plan\u2014that is essential to identifying how system development progress is to be communicated across the project management team.", "The Coast Guard also could not demonstrate that two other selected practices were addressed. Specifically, the agency could not provide an integrated logistics support plan that is intended to document processes for ensuring IHiS data management and records management, among other things. In addition, the Coast Guard could not demonstrate that it had developed an information assurance plan that is intended to articulate the information security controls required to ensure the availability, integrity, authentication, and confidentiality of the patient health information that was to be stored in IHiS. As a result, the Coast Guard could not demonstrate that it had performed key steps to construct a reliable schedule for IHiS, plan for how the project\u2019s progress was to be communicated to key stakeholders, ensure appropriate data and records management for information stored in IHiS, and plan for the controls necessary to secure patient health information."], "subsections": []}, {"section_title": "Design Phase", "paragraphs": ["The Coast Guard demonstrated that actions had been taken to partially address three of the eight selected project management practices for the design phase. In this regard, the agency partially addressed the requirement to develop a detailed system design. Specifically, the system design documentation included a description of the operating system, external and internal system interfaces, inputs and outputs of each subsystem, administrative components that are intended to connect systems, and system security requirements. However, the system design documentation did not include information on the system architecture components, system timing and sizing, and system auditing requirements. The documentation also did not address all IHiS functional requirements as required by the SDLC.", "The Coast Guard also partially addressed the requirement to develop an operational analysis plan. For example, the plan included performance and operating measures related to availability, maintainability, and training. It also included support measures related to system utilization, incident management, and problem management. However, the Coast Guard had not included mission-related performance measures; operating measures related to reliability, user satisfaction, and effectiveness of technology; and other system support measures related to change management.", "In addition, the agency partially addressed the requirement to create the test and evaluation master plan. Specifically, the test and evaluation master plan included required elements, such as the scope, content, methodology, and sequence of testing, as well as the management of and responsibilities related to testing activities. However, the plan did not define activities for integration and security testing, both of which are intended to validate that the integrated system components function properly.", "The Coast Guard could not demonstrate that five other selected practices were addressed for the IHiS project. In this regard, it could not demonstrate that the project team had: held review sessions with the user community to ensure that the requirements and the design were consistent with the new or enhanced business requirements; developed contingency and disaster recovery plans to document the steps necessary to continue IHiS operations in the event of a disruption; completed the privacy impact analysis to describe what information was to be collected by IHiS, why the information was being collected, intended use of the information, and how the information was to be secured, among other things; tested the system design to ensure that it would have met requirements and support business processes; and obtained exit approval for the design phase to demonstrate that all requirements of the phase were met.", "As a result, no evidence was provided that the Coast Guard performed all of the required steps to translate detailed system requirements into the system design and develop plans for life cycle support, such as those that address contingencies, disaster recovery, and testing for IHiS."], "subsections": []}, {"section_title": "Development and Testing Phase", "paragraphs": ["The Coast Guard demonstrated that actions had been taken to address two of the four selected practices and partially addressed one practice for the development and testing phase. For example, the agency developed the IHiS implementation plan that specified key activities, such as system training and monitoring, and included a schedule of activities that were to be accomplished during implementation. In addition, the Coast Guard created a diagram of the IHiS system layout as part of its effort to address one practice\u2014to develop system documentation. However, it could not demonstrate that other required system documentation, such as system and user manuals that specify how to use and operate the system, had been created.", "Further, the Coast Guard could not demonstrate that it had conducted IHiS system testing, although the agency granted an authority to operate (ATO) and indicated in the ATO memorandum that the system had undergone some form of testing. The Coast Guard\u2019s SDLC specifies that system testing is to take place prior to the issuance of an ATO. However, according to a memorandum signed by the IHiS authorizing official, a short-term ATO was granted for the system on March 30, 2015, in an attempt to ensure there would be a functioning replacement system in place prior to the decommissioning of CHCS. Nevertheless, the Coast Guard could not provide complete evidence that it took the necessary steps intended to ensure that the system would function as expected, such as conducing system testing."], "subsections": []}]}, {"section_title": "Relevant Documentation Was Often Not Available", "paragraphs": ["Over the course of our review, Coast Guard project team members provided inconsistent explanations regarding the availability of documentation to support the project management activities for IHiS. For example, with regard to the SDLC practices that we identified as not having been implemented, the former IHiS project manager and a knowledgeable representative for the contractor responsible for providing engineering and acquisition technical assistance for IHiS stated that the agency had developed most of the supporting documentation which would demonstrate that actions consistent with the SDLC practices had been taken.", "In addition, annotations within the IHiS acquisition strategy indicated that required SDLC artifacts, such as enterprise architecture documentation; plans for integrated logistics support, contingency, and disaster recovery; and a privacy impact assessment, among many others, were documented, available, and maintained within a document management tool. However, staff within the HSWL Directorate, the Office of Budget and Programs, and the Office of Enterprise Applications Management told us that the documentation either did not exist or could not be located because several of the key project management team members were no longer employees of the Coast Guard.", "The absence of the various documents and other artifacts that would support the required SDLC activities raises doubts that the Coast Guard took the necessary and appropriate steps to ensure effective management of the IHiS project. Carrying out established procedures for effective management and oversight of IT projects will be important for supporting any system development and acquisition effort that the Coast Guard undertakes to implement a future EHR system."], "subsections": []}, {"section_title": "The Coast Guard Lacked Governance Mechanisms for IHiS Oversight", "paragraphs": ["According to the IT Investment Management Framework, efforts to build a foundation for IT governance involve establishing specific critical processes, such as instituting investment boards and controlling investments as they are developed. In addition, we have long reported that federal IT projects have failed due, in part, to a lack of oversight and governance especially at an executive-level, such as the CIO.", "The Coast Guard documented charters for four governance bodies that were intended to provide oversight to the IHiS project:", "The Executive Steering Committee was to provide executive oversight of the design, implementation, operation, and long term direction for IHiS. Responsibilities of the committee were to include monitoring the overall acquisition, integration, and operation of IHiS; authorizing major changes in the project\u2019s objectives, scope, and requirements; and reviewing the reliability, availability, and affordability of the project, among other things. Members of the committee were to include representatives from the Coast Guard\u2019s HSWL Directorate, the Office of Enterprise Applications Management, and Department of State representatives.", "The User Group was to make recommendations to the IHiS Program Management Office on functionality and system design and to ensure that decisions were based on end-user needs. Responsibilities of the group were to include making suggestions on improving IHiS for the user, participating in planning for future changes or upgrades to the system, and evaluating strategies to maintain and improve system efficiency. The IHiS project manager was to serve as chair of the group, and the Coast Guard and Department of State were to nominate user representatives from each functional area of IHiS as additional group members.", "The Change Control Board was to evaluate change proposals in regard to technical, user, and cost impact to the system and recommend change requests to the IHiS baseline. Members of the board were to include representatives from the Coast Guard\u2019s Office of Enterprise Applications Management, the Business Operations Division, and the Department of State.", "The System Security Committee was to manage the risk to IHiS and identify and mitigate security vulnerabilities. Responsibilities of the committee were to include reviewing IHiS security configurations, changes to those configurations, and proposed changes to IHiS to ensure that the system\u2019s security would not be compromised. Members of the committee were to include representatives from the Coast Guard\u2019s Office of Enterprise Applications Management, the Business Operations Division, and Department of State security and privacy representatives.", "While the Coast Guard chartered these various governance bodies for IHiS oversight, the agency could not provide evidence that the boards had ever been active in overseeing the project prior to its cancelation. As a result, the IHiS project lacked important oversight mechanisms to ensure the project\u2019s success.", "In addition, the CIO (Deputy Assistant Commandant for C4&IT) was not included as a member of any of the IHiS governance bodies. According to a memorandum signed by the Acting CIO in 2011, C4&IT was responsible for ensuring that the IHiS project was compliant with SDLC requirements. However, the Coast Guard could not provide evidence that demonstrated how C4&IT and the CIO were involved in ensuring compliance with the requirements. Taking steps to fully implement governance boards that include the CIO will be important to the Coast Guard\u2019s oversight efforts in implementing a future EHR system and may decrease the risk of IT project failure."], "subsections": []}, {"section_title": "The Coast Guard Did Not Document Lessons Learned from the IHiS Project", "paragraphs": ["We developed the IT Investment Management Framework that stresses the importance of identifying lessons learned to support future investment decisions. We have also previously reported that mechanisms for documenting, sharing, and disseminating lessons learned serve to communicate acquired knowledge more effectively and ensure that beneficial information is factored into planning, work processes, and activities. Lessons learned provide a powerful method of sharing good ideas for improving work processes, facility or equipment design and operation, quality, safety, and cost-effectiveness. They can be based on positive experiences or on negative experiences that result in undesirable outcomes, such as the cancelation of the IHiS project. Additionally, it is important to disseminate lessons learned since lessons are of little benefit unless they are distributed and used by people who will benefit from them.", "Although Coast Guard officials stated that lessons learned had been identified throughout the process of developing IHiS, as of 2 years after its cancelation, the agency had not documented and shared any lessons learned from the project and does not have established plans for doing so. According to an official from the Office of Budget and Programs, the Coast Guard had not yet documented lessons learned because the agency views the lessons learned process as ongoing.", "While the Coast Guard may view the lessons learned process as ongoing, the IHiS project was canceled in 2015, and it is important to document and share the lessons already identified so that this beneficial information can be factored into the planning activities for future systems and projects. Until the Coast Guard takes steps to document and share identified lessons learned with individuals charged with developing and acquiring its IT systems, opportunities to protect future systems against the recurrence of mistakes that contributed to the failure of IHiS will likely be missed."], "subsections": []}]}, {"section_title": "The Coast Guard Is Managing Health Records Using a Predominately Paper Process; Many Challenges Hinder Service Delivery", "paragraphs": ["In the absence of an EHR system, the Coast Guard currently relies on a predominately paper health record management process to document health care services for its nearly 50,000 military members. After canceling the IHiS project in October 2015, the agency could not return to managing health records using its legacy electronic capabilities because PGUI was decommissioned in 2015 and CHCS was decommissioned in January 2016. Thus, the Coast Guard directed clinics and sick bays to remove relevant information from CHCS and PGUI and maintain all health records for its members using a predominately paper process.", "The Coast Guard supplements its current paper process by using applications that various other agencies operate and maintain. For example, the Coast Guard uses the Navy\u2019s Medical Readiness Reporting System to, among other things, track immunizations, periodic health assessments, dental exams, dental status, and required physical exams. In addition, the agency uses the Army\u2019s Aeromedical Electronic Resource Office electronic tracking system to document aviation physical exams and aero medical summaries. However, while these systems hold valuable information, they are separate applications requiring separate logins and do not encompass comprehensive Coast Guard health beneficiary information.", "Currently, the Coast Guard\u2019s clinical staff (i.e., clinic administrators and clinicians) are to generally perform the following steps to process each paper health record:", "Schedule an appointment for patient using Microsoft Outlook\u2019s calendar feature.", "Provide the patient with the required forms for completion upon his or her arrival.", "Verify that all required paper forms are complete and correct.", "Handwrite clinical notes in a paper health record during the appointment.", "Complete referrals on an internal referral form and fax the form to the external provider.", "Handwrite prescription.", "Review and initial all lab and x-ray reports before filing them in the paper health record.", "File forms in their assigned sequence within the health record.", "Store all paper health records in secure cabinets or other secure areas of the facility.", "Conduct an accuracy and completeness check of the health record upon notification that an individual will be transferred to another facility and correct any identified deficiencies.", "Mail patient\u2019s paper health record to a new facility if there is a permanent change of station, or provide the patient his or her health record in a large sealed envelope to carry by hand.", "Figure 1 generally depicts the required steps for managing paper health records."], "subsections": [{"section_title": "The Coast Guard Faces Numerous Challenges in Managing Its Paper Health Records and Has Adopted a Number of Manual Steps to Deliver Services", "paragraphs": ["In response to our survey, the 12 HSWL Regional Managers identified a number of challenges that clinics and sick bays in their regions had experienced in managing and maintaining paper health records. These challenges were grouped into 16 categories. Further, the 120 clinic and sick bay administrators that subsequently responded to a separate survey reported varying degrees to which they viewed each category as challenging. Figure 2 provides the clinic and sick bay respondents\u2019 views of the challenges.", "The following summarizes clinic and sick bay responses for each identified challenge with managing and maintaining paper health records: Incomplete records. Ninety-eight (82 percent) of the respondents reported incomplete records as challenging. In this regard, 34 of the survey respondents reported that not all CHCS and PGUI records were printed out and included in patients\u2019 paper health records as required before the systems were retired; therefore, they had no way to ensure the patients\u2019 paper records were complete. According to one respondent, paper records are also often incomplete due to parts of the record being dispersed across different medical facilities, thus, making it difficult to put together a complete patient history and sometimes resulting in the need to repeat testing and treatment of patients.", "Penmanship. Among the 91 (76 percent) survey respondents that reported penmanship as challenging, several noted that it is difficult for staff to read illegible handwritten medical notes. This, in turn, results in difficulty determining the accurate diagnosis, the required prescription, or a referral.", "Tracking medications. According to 89 (76 percent) of the respondents, it is challenging to track medications without an EHR. For example, one administrator stated that the lack of an EHR makes the management of patient medication use difficult, as staff are unable to verify what medications a patient is taking, what medications have been prescribed from an outside location, and/or the effectiveness of medications. Another administrator stated that staff members rely heavily on patients to remember what medications they are taking\u2014potentially causing harm if patients cannot remember what medications they are taking and the medications have dangerous interactions.", "Amount of time to manage records. According to 86 (72 percent) of the respondents, managing paper health records is challenging and requires more time for staff to complete and file paperwork. Several respondents stated that the size of the paper health records has increased, resulting in additional time required to review and file records.", "Ability to search within records. Eighty-three (70 percent) of the respondents reported the ability of clinical staff to search within paper health records for information as challenging. For example, one respondent stated that providers must flip through individual pages of a record to search for necessary information. Another respondent reported that some patients have up to three volumes of a health record and it can take up to 2 or 3 days to find requested information if the patient does not recall when or where the medical care was performed. Figure 3 shows a large paper health record and the multiple storage cabinets used to store them, which illustrates the difficulty in manually searching for information within the records.", "Missing records. Eighty-three (69 percent) of the survey respondents stated that missing records are challenging. According to one administrator, repeat evaluations that may not be required for chronically ill patients are being conducted due to missing records. Another administrator stated that information can often get misfiled in the record of a patient with a similar name.", "Availability of records. Seventy-eight (65 percent) of the respondents reported that the availability of records is challenging. For example, one administrator reported that many records are located in different locations, making it difficult to access the necessary information. Another administrator stated that delays occur when clinic staff have to wait for patients to bring records in for review or wait for updated notes from a previous location.", "Amount of time for patient encounters. According to 65 (55 percent) of the respondents, the lack of an EHR has resulted in an increase in the amount of time required to check-in patients, complete patient appointments, and enter information in the patient record. According to one administrator, clinical documentation has to be completed by hand and some clinicians wait until the end of the day to complete notes. Another administrator reported that the clinician stays after the clinic closes to complete notes.", "Conducting consultations. Sixty-one (51 percent) of the respondents reported conducting consultations with paper records as challenging. Several administrators stated that patient information is faxed or scanned and submitted for the consulting provider to review. According to one administrator, there are times when documentation must be faxed or scanned multiple times in order to produce a legible copy, resulting in increased time spent gathering and submitting information.", "Health trends. According to 59 (50 percent) of the respondents, the use of paper records makes combining data to understand population health trends challenging. According to one survey respondent, accomplishing this without an EHR requires manually searching through every paper health record.", "Ability to view and print laboratory reports. Fifty-six (47 percent) of the survey respondents reported that the inability to view and print laboratory reports without an EHR is challenging. One administrator stated that their clinic could view and print the results from one particular laboratory, but if a patient received services from any other lab the clinic staff would have to request that the patient bring the laboratory results to the clinic. Another administrator stated that it could take 2 or more days to receive requested lab results because there was no way to easily obtain them via a centralized system.", "Sending referrals. Forty-two (35 percent) of the respondents stated that sending referrals is challenging. One administrator reported facing challenges with faxed referral forms not being received after obtaining a fax confirmation. Another respondent reported having to spend an increased amount of time on the referral process with each referral necessitating at least 20 minutes to complete the required forms and fax them to the external provider\u2014with 10\u201325 referrals being sent each day.", "Cost of maintaining records. Thirty-nine (33 percent) of the respondents reported that the cost of maintaining paper health records is challenging. For example, one administrator reported that health records are frequently mailed to other medical locations or to the National Archives (for those separated or retired), which is a large expense for the Coast Guard. Another administrator stated that the time taken to gather paperwork, wait for civilian providers to send notes, and coordinate and execute health record updates is costly to the Coast Guard. Lastly, several administrators reported that expenditures for paper and printing products have increased due to the lack of an EHR. For example, one administrator reported that the clinic had increased its expenditure for paper by 50 percent.", "Scheduling of appointments. Thirty-eight (32 percent) of the respondents reported that the time it takes to schedule appointments is challenging. One administrator stated that, due to the lack of a scheduling system, patient appointments are being scheduled using the Outlook calendar function, which is time consuming when there are network slowdowns or freezes during high rates of utilization. Another administrator reported that appointments are sometimes double scheduled or occasionally disappear from the calendar and, in one instance, a patient received an appointment reminder for an appointment that the patient had never scheduled.", "Security/privacy of records. According to 34 (28 percent) of the respondents, the security and privacy of health records is challenging. One administrator reported that paper records are more prone to be within reach of individuals that should not have access to them because they are not stored in a secure EHR that has protections built in.", "Ordering x-rays. Thirty-one (26 percent) of the respondents reported that the process for ordering x-rays is challenging. According to several administrators, the current process for ordering x-rays involves submitting a referral by fax, which takes additional time for processing and waiting for results to be returned by fax. Several administrators reported that it is difficult to know if all x-ray results have been received and filed.", "The responding clinic and sickbay administrators described a range of alternative work-around processes that they have developed to help alleviate several of the challenges. Specifically, they reported having developed additional forms, tracking methods, and alternative processes, as well as having notified Coast Guard HSWL management of the challenges they face.", "Regarding developing forms, approximately 31 percent of the survey respondents noted that they had developed additional forms in order to more easily obtain the information that they would have had available to them with an EHR in place. According to one administrator, these forms are based on the most common patient encounter needs and capture information such as medications, allergies, chronic issues, and family history. In addition, these administrators reported developing electronic file versions, such as a Microsoft Word document, of the standard health forms so that they can e-mail them to patients and reduce the number of paper forms that have to be completed by hand and scanned. According to the administrators, these steps help address handwriting and space challenges.", "In addition, approximately 37 percent of the respondents reported developing tracking methods, such as Microsoft Excel spreadsheets and logs, to collect data and assist in tracking patient and provider information. One administrator reported that a spreadsheet was created to track patients with conditions that require monitoring, since there is no longer a system that has the data in one place. Another administrator reported creating a spreadsheet to track referrals, numbers of physicals, patient encounters, and medical readiness. Based on the survey responses, these tracking methods have helped address the challenges related to combining data to understand health trends, and tracking medications and referrals.", "Further, 30 percent of the survey respondents noted that they have also developed alternative processes to mitigate some of the challenges with managing paper health records. For example, one administrator stated that the clinic started conducting weekly reconciliations of referrals to ensure that all treatment records from outside referrals were obtained by the clinic and placed in the paper health record. Another administrator stated that the clinic had begun e-mailing patient encounter notes to the medical officer for review in an effort to ensure patient records are complete.", "Finally, approximately 55 percent of the respondents reported that they have notified HSWL senior management of the challenges encountered with managing and maintaining paper records. According to an official within the Acquisitions Directorate, the Coast Guard plans to mitigate many of the challenges identified by the Regional Managers with a new EHR system initiative. However, these alternative processes may not provide sustained solutions to overcoming these challenges. Until Coast Guard implements a new EHR solution, the challenges inherent in a predominantly paper process will likely remain."], "subsections": []}]}, {"section_title": "The Coast Guard Intends to Acquire a New EHR System, but Has Not Yet Chosen a Solution", "paragraphs": ["The Coast Guard has begun taking steps to acquire a new EHR system referred to as the Electronic Health Record Acquisition (eHRa). According to the Acquisitions Directorate, the Coast Guard plans to manage and oversee the acquisition of eHRa through its non-major acquisition process (NMAP), as described in its Non-Major Acquisition Process (NMAP) Manual. The NMAP requires formal approval reviews at three discrete knowledge points called acquisition decision events (ADE) and includes three phases to assess the readiness and maturity of the acquisition. Figure 4 graphically represents the ADEs and phases of the NMAP. (Appendix V provides a more detailed discussion of each ADE and each of the three phases that make up the NMAP process.)", "Once the Coast Guard identifies the need for a new acquisition program, the program\u2019s sponsor is to seek ADE-1 approval. ADE-1 occurs when the program is designated as a non-major acquisition by the Deputy Commandant for Mission Support. If an acquisition receives ADE-1 approval, it proceeds to the analyze/select phase of the NMAP. The analyze/select phase is the first of three phases of the process, and includes required work activities such as preparing a requirements document, conducting market research to identify available alternatives, developing an acquisition strategy, developing a life cycle cost estimate, and preparing a project plan.", "The Coast Guard formally identified the need for a new EHR system on February 1, 2016, and obtained ADE-1 approval on February 13, 2016. Subsequent to the ADE-1 approval, the Coast Guard initiated the following activities associated with the analyze/select phase: Requirements development. As part of its efforts to develop new system requirements for eHRa, the Coast Guard identified its capability gaps as a result of the lack of an EHR in a Capability Analysis Report. The report offered two courses of action to address the capability gaps: (1) business process re-engineering to enhance the current paper-based process, or (2) transition to a system-based solution. According to the Acquisitions Directorate, the Coast Guard plans to use the report to inform its effort in developing requirements for eHRa.", "Market research. The Coast Guard issued a request for information in April 2017 to assess industry capabilities as part of market research for the new system. The request for information asked that the solutions fall into one of four categories that the Coast Guard was considering:", "Federal shared service. This option would allow the Coast Guard to use a system that is already in use by another federal agency. In addition, this option aligns with the Office of Management and Budget\u2019s Federal Information Technology Shared Services Strategy, issued in May 2012, which highlighted the prevalence of redundancy in federal IT systems.", "Managed by the Coast Guard, but externally hosted. This solution would require the Coast Guard to acquire a COTS system and manage its implementation. However, the system would be maintained by a vendor at an externally hosted data center.", "Commercial software as a service. This option involves purchasing commercial software for an EHR solution that is operated and maintained by a commercial vendor.", "In-house. With this solution, the Coast Guard would manage the implementation and maintenance of a COTS system with support from a commercial vendor.", "As a result of the Coast Guard\u2019s request for information, the agency collected cost, schedule, and capabilities information from commercial and government solution providers, including DOD and VA.", "The Coast Guard used the providers\u2019 responses to develop an alternatives analysis report that was completed in October 2017. The report recommended a solution based on performance, risk, cost, and schedule advantages. The report indicated that the Coast Guard plans to use the results of the alternatives analysis to refine the acquisition strategy, and to support the development of artifacts which are required to successfully achieve the ADE-2 milestone. Staff within the Acquisitions Directorate stated that they were also in the process of finalizing a life cycle cost estimate and a project plan for eHRa\u2014documents necessary for ensuring that appropriate business decisions will be made regarding eHRa\u2019s logistics, affordability, and resources, among other things.", "As of December 2017, the Coast Guard had not yet made a final determination as to which option would be chosen as the solution for the eHRa acquisition. Until a solution is chosen and successfully implemented, the Coast Guard and its thousands of members will continue to face the many challenges inherent with managing and maintaining paper health records."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The Coast Guard abruptly discontinued the IHiS project in 2015, citing financial, technical, schedule, and personnel risks. Coast Guard officials estimate this failed project has thus far cost the agency about $60 million. Further, this effort left the Coast Guard without any reusable system components for future EHR efforts.", "The Coast Guard could not demonstrate that it had fully implemented effective management and oversight for the IHiS project prior to its discontinuance. Specifically, the Coast Guard could not fully show key project management actions were taken for IHiS, lacked governance mechanisms, and did not document lessons learned for the failed project. By not doing so, the agency reduced the probability of the project\u2019s success.", "The Coast Guard\u2019s decision to revert to a predominately paper process has created a number of challenges for its many clinics and sick bays. These challenges are hindering their ability to deliver services. To help alleviate several of these challenges, the Coast Guard\u2019s clinics and sick bays have developed alternative work-around processes. However, these alternative processes will likely not provide sustained solutions.", "The Coast Guard is currently taking steps to plan for a new EHR system, but as of December 2017\u2014over 2 years after the cancelation of the IHiS project\u2014it had not yet selected another solution. Successfully and quickly implementing an EHR system is vital to overcoming the challenges the Coast Guard currently faces in managing paper health records. The expeditious and judicious implementation of such a system can significantly improve the quality and efficiency of care to the thousands of Coast Guard active duty and reserve members that receive health care."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Coast Guard: The Commandant should direct the Chief Information Officer and the Chief Acquisition Officer to expeditiously and judiciously pursue the acquisition of a new EHR system. (Recommendation 1)", "The Commandant should direct the Chief Information Officer and the Chief Acquisition Officer to ensure established processes required for the future acquisition or development of an EHR are effectively implemented and adequately documented. (Recommendation 2)", "The Commandant should direct the Chief Information Officer and the Chief Acquisition Officer to establish and fully implement project governance boards for the future EHR effort that include the Chief Information Officer. (Recommendation 3)", "The Commandant should direct the Chief Information Officer and the Chief Acquisition Officer to document any lessons learned from the discontinued IHiS project, share them with the new project management team, and ensure lessons learned are utilized for the future EHR effort. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["The Department of Homeland Security provided written comments on a draft of this report. In its comments (reprinted in appendix VI), the department concurred with our four recommendations and identified actions being taken or planned to implement them. Among these actions, the department stated that it is judiciously pursuing an EHR solution, called eHRa, through its acquisition process, which is currently in the analyze/select phase of the NMAP process. The department also stated that a contract award for eHRa is planned for later this fiscal year. In addition, the department stated that it established a designated acquisition program with a dedicated program management office team and oversight council for EHR activities, and that the EOC monitors eHRa\u2019s progress through the acquisition process. The department further added that governance boards for eHRa have been established that include the CIO as required by the NMAP manual. Finally, the department said that it plans to compile lessons learned from the discontinued IHiS project by March 30, 2018.", "Given the actions identified, the department requested that we consider the first three of our four recommendations to be closed. However, while the Coast Guard is taking positive steps with regard to initiating the eHRa program, the department noted that key decisions related to analyzing, selecting, and acquiring the new system remain to be made. Further, the Coast Guard has not yet awarded a contract for an EHR solution and is not planning to do so until later this fiscal year. Thus, the extent to which it establishes and effectively implements processes and governance boards throughout the project, and expeditiously and judiciously pursues the acquisition of the new system, remain to be seen. Accordingly, we will not yet close any of the recommendations. The department also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, the Commandant of the Coast Guard, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this study were to (1) describe what led the United States Coast Guard (Coast Guard) to the decision to terminate further Integrated Health Information System (IHiS) development, and how much was spent on the project; (2) evaluate the Coast Guard\u2019s management and oversight actions for the discontinued electronic health records (EHR) modernization project and what, if any, lessons learned were identified; (3) describe the Coast Guard\u2019s current process for managing health records and the challenges, if any, it is encountering; and (4) determine the Coast Guard\u2019s plans for effectively implementing a new EHR system and the current status of its efforts.", "To address the first objective, we reviewed relevant IHiS project documentation, such as key contracts, the project plan, presentations by the project management team, and IHiS-related memorandums. We also reviewed project expenditures documentation developed by the Deputy Commandant for Mission Support and the Acquisitions Directorate. We supplemented our review with interviews of agency officials within the Health Safety and Work-Life (HSWL) Directorate, Office of Budget and Programs, Office of Resource Management, Office of Contract Operations, and the Office of Acquisition Support, as well as six key contractors.", "To address the second objective, we reviewed relevant policies and guidance, such as the Coast Guard\u2019s Command, Control, Communications, Computers and Information Technology (C4&IT) System Development Life Cycle (SDLC) Policy and the SDLC Practice Manual intended to guide the management and oversight of development and acquisition projects at the Coast Guard. We evaluated available IHiS project management documentation, such as project plans, the project\u2019s schedule, decision memorandums, charters for IHiS governing bodies, and Executive Oversight Council (EOC) meeting minutes, which demonstrated actions taken by project management staff during the IHiS project, and assessed them against selected practices identified in the Coast Guard\u2019s SDLC Practice Manual. The practices we selected are fundamental to effective information technology (IT) management and oversight. These included practices for conceptual planning, planning and requirements, design, and development and testing. We selected the practices from each applicable phase that had an associated artifact or called for the agency to take specific action(s) that we were able to validate through evidentiary review. If an artifact was applicable to multiple practices in multiple phases of the SDLC, we evaluated the artifact in only one phase and one practice.", "We also interviewed agency officials from Coast Guard offices such as the HSWL Directorate, Office of Budget and Programs, and Office of Resource Management regarding their role in managing and overseeing the IHiS project. In addition, we interviewed or received written responses from knowledgeable representatives for six key contractors tasked with providing the ambulatory care system and patient portal, safety data management and user credentialing system, software, and engineering and acquisition technical assistance. These interviews focused on the contractor\u2019s role in the IHiS project, any issues they experienced, and the status of the services they were providing at the time of cancelation. Lastly, we interviewed Coast Guard officials within the HSWL and Acquisition Directorates to determine whether lessons learned were obtained and documented to inform future decisions for the new EHR project.", "Our methodology to determine the extent to which the Coast Guard demonstrated the completion of the selected SDLC phase practices included three levels of assessment: (1) the Coast Guard provided documentation that demonstrated that the IHiS project satisfied all of the elements of the required SDLC project management practice; (2) the Coast Guard provided documentation that demonstrated that the IHiS project partially satisfied some but not all elements of the required SDLC project management practice; and (3) the Coast Guard could not provide documentation that demonstrated that the IHiS project satisfied any of the elements of the required SDLC project management practice.", "To address the third objective, we reviewed Coast Guard medical records management documentation, such as medical manuals, workflow procedures, and standard operating policies and procedures for clinics and sick bays. We also administered a survey via e-mail questionnaire to all of the 12 HSWL Regional Managers and a web-based survey to all of the 166 clinic and sick bay administrators. The survey to Regional Managers included questions on whether the clinics and sick bays in their region faced challenges in managing health records without an EHR system in place and whether all the records from decommissioned EHR systems had been included in the paper records. The survey to clinic and sick bay administrators included questions on the challenges reported by Regional Managers and the mitigation strategies, if any, employed for the challenges identified. Before administering the surveys we pretested them by interviewing 1 Regional Manager and 5 clinic and sick bay administrators to ensure that our survey questions and skip pattern were clear and logical and that respondents could answer the questions without undue burden.", "We administered the survey to the 12 Regional Managers from March 2017 to April 2017; therefore, the corresponding responses reflect information and views as of that time period. We received 12 responses, for a 100 percent response rate. We administered the survey to the clinic and sick bay administrators from April 2017 to August 2017; therefore, the corresponding responses reflect information and views as of that time period. We received 120 responses, for a 72 percent response rate.", "To address the fourth objective, we identified the process through which the Coast Guard is managing its acquisition of its new system, the Non- Major Acquisition Process (NMAP) Manual. We then obtained planning documentation, such as relevant memorandums that described the Coast Guard\u2019s need for an EHR, the Coast Guard\u2019s request for information to assess industry capabilities for market research purposes, and a capabilities analysis study plan to identify gaps in the Coast Guard\u2019s EHR capabilities. We also reviewed a capabilities analysis report which details required capabilities for improving patient care, and an alternatives analysis report which details solutions the Coast Guard should consider based on performance, risk, cost, and schedule. We assessed these documentation against requirements identified in the NMAP, specifically within the first phase of the acquisition process. We also interviewed officials within the Acquisition Directorate to determine the status of the efforts to acquire or develop a new EHR system.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Summary of the Coast Guard\u2019s SDLC Phases and Selected Project Management Practices", "paragraphs": ["The Coast Guard implemented the Systems Development Life Cycle (SDLC) process for non-major information technology (IT) acquisitions in 2004 to help ensure IT projects are managed effectively and meet user needs. The process, as described in the Coast Guard\u2019s SDLC Practice Manual, consists of seven phases and related practices\u201430 of which we selected for evaluation for the initial four SDLC phases of Integrated Health Information System (IHiS). The following is a summary of each SDLC phase and a description of the project management practices we selected for review: Phase 1: Conceptual Planning This phase is the first step of the development or significant enhancement process. During this phase, high-level business needs are identified, a concept for fulfilling the business needs is proposed and validated, and resources are committed. Activities (or practices) we selected for review in this phase include formalizing SDLC role designations, such as the project manager, asset manager, and sponsor; developing the initial business case with information regarding the background, system justification, and project risk management, among other things; validating alignment with the enterprise architecture; identifying the funding source and providing a rough order of magnitude cost estimates as part of developing the acquisition strategy; designating the system as a Command, Control, Communications, Computers, and Information Technology (C4&IT) system; and obtaining approval to exit the conceptual planning phase.", "Phase 2: Planning and Requirements This phase begins after the project has been defined and appropriate resources have been committed. During this phase, business requirements are collected, defined, and validated. More specifically, as part of the phase practices we selected for review, the SDLC tailoring plan is completed; and initial life cycle management plans for project management, risk management, integrated logistics support, training, and information assurance are developed. In addition, a cost benefit analysis is conducted; functional requirements are documented; external mandates are reviewed; the system development agent and system support agent are designated; and approval to exit the planning and requirements phase is obtained.", "During this phase, business requirements are translated into system requirements to develop the detailed system design. Selected practices for this phase include developing the detailed system design to specify the operating system, architecture components, timing and sizing, and interfaces, among other things; developing the operational analysis plan to document system performance measures, system operating measures that address reliability, maintainability, availability, training, and user satisfaction; and system support measures containing the level of effort needed to support the system; conducting review sessions with the user community to ensure that the system design sufficiently met all functional requirements; developing contingency and disaster recovery plans; completing the privacy impact analysis; documenting the test and evaluation master plan with the scope, content, methodology, sequence, management of, and responsibilities for test activities; testing the system design according to the operational test and evaluation plan and capturing design test results in the test and evaluation master plan; and obtaining approval to exit the design phase.", "Phase 4: Development and Testing The system is developed or acquired based on detailed system design specifications and validated through a variety of tests during this phase. The objective is to ensure that the system functions as expected and that sponsor and user requirements are satisfied. More specifically, as part of the phase practices that we selected, system testing is conducted; system documentation, such as system manuals, user manuals, and diagrams of the system is developed; an implementation plan is developed; and an authority to operate is obtained.", "During this phase, the system is placed in the production environment and system users are trained. It also includes efforts required to implement the system and resolve problems identified during the system\u2019s transition from development to deployment. We did not select practices to evaluate in this phase since the system was discontinued before implementation.", "Phase 6: Operations and Maintenance The system becomes operational during this phase, and its main purpose is to ensure that the system continues to perform according to specifications. In addition, routine hardware and software maintenance and upgrades are performed to ensure effective system operations; user training continues as needed; and additional user support is provided to help resolve reported problems. We did not select practices to evaluate in this phase since the system was discontinued before implementation.", "This phase represents the end of the system\u2019s life cycle. It provides for the systematic termination of a system to ensure that vital information is archived. The emphasis of this phase is to ensure that the system (e.g., equipment, software, data, procedures, and documentation) is packaged and disposed of in accordance with appropriate regulations and requirements. We did not select practices to evaluate in this phase since the system was discontinued before implementation."], "subsections": []}, {"section_title": "Appendix III: Copy of the Survey That GAO Administered to Coast Guard Health Safety and Work-Life Regional Managers", "paragraphs": ["The questions we asked in our survey of the 12 Health Safety and Work- Life (HSWL) Regional Managers from March 2017 to April 2017 are shown below. For a more detailed discussion of our survey methodology see appendix I."], "subsections": []}, {"section_title": "Appendix IV: Copy of the Survey That GAO Administered to Coast Guard Clinic and Sick Bay Administrators", "paragraphs": ["The questions we asked in our survey of the 166 clinic and sick bay administrators from April 2017 to August 2017 are shown below. For a more detailed discussion of our survey methodology see appendix I."], "subsections": []}, {"section_title": "Appendix V: Summary of the Coast Guard\u2019s Non-Major Acquisition Process Acquisition Decision Events and Phases", "paragraphs": ["Coast Guard\u2019s Non-Major Acquisition Process (NMAP) Manual defines the process for the designation, management, and oversight of non-major acquisitions. The NMAP requires formal approval reviews at three discrete knowledge points called acquisition decision events (ADE) and includes three phases to assess the readiness and maturity of the acquisition. The phases represent work that must be accomplished to demonstrate readiness to proceed to the next phase. The following is a summary of each ADE and subsequent phase within the NMAP:", "ADE-1 occurs when the Deputy Commandant for Mission Support designates the procurement as a non-major acquisition and approves the acquisition to enter the analyze/select phase. Following ADE-1 approval, the Chief Acquisition Officer or Chief Information Officer (CIO) designates a project manager. The analyze/select phase includes project management activities such as conducting market research to identify available alternatives, preparing a requirements document, developing an acquisition strategy, developing a life cycle cost estimate, and preparing a project plan.", "The primary purpose of ADE-2 is to approve the alternatives identified through market research and to assess the readiness of the acquisition for a contract award in which the acquisition moves into the obtain phase. The CIO is the decision authority and provides oversight for ADE-2. The obtain phase includes activities such as evaluating whether the proposed solution can effectively meet the functional requirements, initiating deployment planning, and conducting usability testing.", "The primary purpose of ADE-3 is to assess the readiness of the acquisition to be deployed and supported by authorizing the acquisition to enter the produce/deploy and support phase. The CIO is the decision authority and provides oversight for ADE-3. The produce/deploy and support phase includes activities such as ensuring the delivered product meets cost, schedule, and performance baselines as described within the project plan, as well as executing production contracts."], "subsections": []}, {"section_title": "VI: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Nicole Jarvis (Assistant Director), Ashfaq Huda (Analyst in Charge), Chris Businsky, Juana Collymore, Sharhonda Deloach, Rebecca Eyler, Andrea Harvey, Gina Hoover, Jason Lee, Rob Letzler, Monica Perez- Nelson, Kelly Rubin, and Andrew Stavisky."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-10", "url": "https://www.gao.gov/products/GAO-18-10", "title": "Counternarcotics: Overview of U.S. Efforts in the Western Hemisphere", "published_date": "2017-10-13T00:00:00", "released_date": "2017-10-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Western Hemisphere nations such as Mexico and Colombia are major sources of illicit drugs such as cocaine, heroin, methamphetamine, and marijuana. Precursor chemicals used in the production of illicit fentanyl and other dangerous synthetic drugs often originate in China but typically enter the United States through Canada and Mexico. U.S. agencies implementing the National Drug Control Strategy conduct several activities to disrupt the flow of illicit drugs and dismantle the organizations that control them (see fig.). In December 2016, Congress established the Western Hemisphere Drug Policy Commission to, among other things, evaluate the U.S.-funded counternarcotics programs in the Western Hemisphere.", "In this context, GAO was asked to review key issues related to U.S. counternarcotics efforts in the Western Hemisphere. This report examines (1) U.S. agencies' spending for counternarcotic efforts in the Western Hemisphere during fiscal years 2010-2015, the most recent data available; (2) how agencies are gathering and sharing best practices and lessons learned from their counternarcotics efforts domestically and internationally; and (3) mechanisms U.S. agencies have used to address changing drug threats. GAO analyzed agencies' data and documents, interviewed agency officials, and conducted fieldwork at the U.S. Southern Command and Joint Interagency Task Force South in Florida.", "GAO is not making any recommendations in this report. Several agencies provided technical comments on a draft of this report which we incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. agencies implementing the National Drug Control Strategy identified billions in spending for Western Hemisphere counternarcotics efforts in fiscal years 2010 through 2015. Agencies that track their counternarcotics spending regionally\u2014the Department of Defense (DOD), the Department of Homeland Security's (DHS) Immigration and Customs Enforcement, the Department of State, and the U.S. Agency for International Development\u2014reported spending nearly $5 billion for such activities in the region during this period. Agencies that do not track counternarcotics spending regionally\u2014DHS's Customs and Border Protection and Coast Guard; and the Department of Justice's Drug Enforcement Administration and Organized Crime Drug Enforcement Task Forces\u2014reported spending about $34 billion for counternarcotics activities in fiscal years 2010 through 2015. According to officials of these four agencies, most of their counternarcotics activities are in the Western Hemisphere. We are not reporting Federal Bureau of Investigation counternarcotics spending separately, since it is included as part of Organized Crime Drug Enforcement Task Forces.", "The Office of National Drug Control Policy (ONDCP), which coordinates the National Drug Control Program, facilitates the sharing of best practices and lessons learned at meetings such as the North American Drug Dialogue workshop, including Canada, Mexico, and the United States. In addition, 7 of the 10 agencies GAO reviewed described processes they have in place for identifying and collecting best practices or lessons learned from counternarcotics efforts in the Western Hemisphere. For example, DOD reported using a process, known as the Joint Lessons Learned Program, that consists of five phases: discovery, validation, resolution, evaluation, and dissemination.", "U.S. agencies use a variety of mechanisms to address changing narcotics conditions in the Western Hemisphere. ONDCP collaborates with agencies working directly on regional counternarcotics efforts to address emerging threats, as reflected in the annually updated National Drug Control Strategy and the Southwest Border Counternarcotics Strategy. In addition, documentary evidence GAO reviewed showed that a variety of interagency groups, task forces, and committees have been created to coordinate the U.S. government's responses to counternarcotics threats. For example, the National Heroin Coordination Group was established to provide guidance aimed at reducing the growing supply of heroin and illicit fentanyl in the U.S. market."]}], "report": [{"section_title": "Letter", "paragraphs": ["Most of the illicit drugs consumed in the United States originate in other Western Hemisphere nations. For example, Mexico is the primary supplier of heroin and a major source of methamphetamine smuggled into this country. Similarly, Colombia is the leading producer of cocaine for the U.S. market. Moreover, illicit drugs or components manufactured in other parts of the world are smuggled into the United States through Western Hemisphere countries. For example, according to the Drug Enforcement Administration (DEA), precursor chemicals used in the production of illicit fentanyl often originate in China but typically enter the United States through Canada and Mexico.", "U.S. government efforts to reduce the trafficking of illicit drugs from other Western Hemisphere countries have included the establishment of the Office of National Drug Control Policy (ONDCP). ONDCP is responsible for, among other things, developing the National Drug Control Strategy (in this report, \u201cthe Strategy\u201d) and coordinating the efforts of National Drug Control Program agencies implementing any aspect of the Strategy. In addition, to bring attention to these and other challenges posed by illicit drug production and trafficking in the Western Hemisphere and to identify options for strengthening U.S. counternarcotics efforts in the region, Congress mandated the establishment of the Western Hemisphere Drug Policy Commission in December 2016. The commission is directed to, among other things, evaluate U.S.-funded international counternarcotics programs in the Western Hemisphere, including drug interdiction, crop eradication, alternative development, drug production surveys, police and justice sector training, demand reduction, and strategies to target drug kingpins.", "You asked us to review key issues related to U.S. counternarcotics efforts in the Western Hemisphere. This report describes (1) U.S. agencies\u2019 spending for counternarcotics efforts in the Western Hemisphere in fiscal years 2010 through 2015, (2) agencies\u2019 efforts to gather and share best practices and lessons learned from their counternarcotics efforts both domestically and internationally, and (3) mechanisms that agencies have used to address changing drug threats.", "To examine U.S. agencies\u2019 counternarcotics spending in the Western Hemisphere, we obtained obligations data from eight U.S. departments, agencies, and components that implement the National Drug Control Strategy (collectively in this report, \u201cagencies\u201d): (1) the Department of Defense (DOD); the Department of Homeland Security\u2019s (DHS) (2) Customs and Border Protection (CBP), (3) Immigration and Customs Enforcement (ICE), and (4) Coast Guard; the Department of Justice\u2019s (DOJ) (5) DEA and (6) Organized Crime Drug Enforcement Task Forces (OCDETF); the Department of State\u2019s (State) (7) Bureau of International Narcotics and Law Enforcement Affairs (INL); and (8) the U.S. Agency for International Development (USAID). We selected these eight agencies because each conducts international counternarcotics efforts in one or more program areas that the Western Hemisphere Drug Policy Commission has been asked to review and because each agency allocated a combined total of $50 million for counternarcotics efforts in the four ONDCP-defined program areas\u2014intelligence, interdiction, international, and investigations\u2014in fiscal year 2015. We worked with agency officials to determine the amounts obligated (i.e., spent) for counternarcotics activities in the Western Hemisphere in fiscal years 2010 through 2015, the most recent data available at the time of our analysis.", "We excluded ONDCP from this analysis because it plays a supporting role as the agency that coordinates the National Drug Control Program and does not conduct counternarcotics activities in the Western Hemisphere. In addition, although the Federal Bureau of Investigation (FBI) conducts counternarcotics-related investigations of transnational criminal organizations in the Western Hemisphere, we are not reporting the FBI\u2019s counternarcotics spending separately because the FBI is reimbursed by OCDETF for its support of drug-related investigations; therefore, we are including the FBI\u2019s counternarcotics spending in OCDETF spending. Because some agencies do not track their counternarcotics spending by region, we were unable to identify obligations specific to these agencies\u2019 counternarcotics activities in the Western Hemisphere. Also, to the extent possible, we excluded spending for activities primarily related to domestically focused U.S. counternarcotics activities. On the basis of our review of the data, our review of each agency\u2019s annual accounting of its drug budget, and interviews with agency officials, we determined that the data were sufficiently reliable to present obligations that were primarily or partially spent on counternarcotic activities in the Western Hemisphere.", "To examine agencies\u2019 efforts to gather and share best practices and lessons learned, we sent a standard set of questions to, and interviewed, officials of the eight selected agencies as well as ONDCP and the FBI regarding any processes they use to identify, collect, disseminate, and share best practices and lessons learned with partner nations and regarding U.S. government\u2013wide efforts to share best practices and lessons learned.", "To identify the mechanisms that the eight agencies, ONDCP, and the FBI have used to address changing drug threats, we interviewed agency officials about the mechanisms in place to address these threats. We also reviewed key national documents directing U.S. counternarcotics efforts as well as documents related to various coordination efforts. In addition, we conducted fieldwork at DOD\u2019s U.S. Southern Command and the Joint Interagency Task Force South in Florida. For a more detailed discussion of our scope and methodology, see appendix I.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Major Drug-Producing and Drug-Transit Countries in the Western Hemisphere", "paragraphs": ["The majority of illicit drugs consumed in the United States is produced in Mexico and South America and enters the United States across the southwest border or through the Caribbean. Among countries in the Western Hemisphere, Colombia and Peru are major producers of illicit drugs, while Bolivia, Jamaica, and Mexico are both major producers and major transit countries, according to State (see fig. 1).", "Mexico is a major source and transit country for heroin, methamphetamine, and marijuana destined for the U.S. market. Jamaica is likewise the largest Caribbean supplier of marijuana for the U.S. market. Colombia is the world\u2019s top producer of cocaine and is the major provider of cocaine available in the United States. While Bolivia and Peru are also major producers of cocaine, cocaine from these countries is generally smuggled into other South American countries for domestic consumption or for shipment to Europe, East Asia, and beyond, according to State.", "According to U.S. government estimates, illicit drugs originating in Mexico enter the United States directly through the southwest border, but virtually all cocaine from South America and marijuana from Jamaica are trafficked to the United States through the \u201cTransit Zone\u201d\u2014a 7-million- square-mile area that encompasses Central America, Mexico, the eastern Pacific Ocean, the Gulf of Mexico, and the Caribbean Sea. The Transit Zone has four principal maritime trafficking routes: the Eastern Pacific, Western Caribbean, Central Caribbean, and Eastern Caribbean. The Transit Zone land route is funneled north through Central America into Mexico, where it splits in several directions up to the U.S. southwest border. Although Canada is not within the Transit Zone, various drugs, including fentanyl, transit through it before entering the United States, according to the Department of State."], "subsections": []}, {"section_title": "Illicit Drug-Trafficking Shifts and Related Challenges", "paragraphs": ["In recent years, the production, trafficking, and marketing of various illicit substances consumed in the United States have undergone significant shifts. For example, according to the 2016 National Drug Control Strategy, over the previous 8 years, opioid abuse emerged as the greatest drug threat to the nation. This development was complicated by a spike in the supply and purity of heroin, primarily from Mexico, resulting in a combined epidemic of heroin-opioid overdose deaths. According to the Centers for Disease Control and Prevention, heroin overdose deaths more than tripled between 2010 and 2015, as powerful synthetic opioids, notably illicit fentanyl, were often mixed with heroin without the user\u2019s knowledge. Similarly, in its 2017 International Narcotics Control Strategy Report, State reported various indicators suggesting a significant increase in cocaine production and trafficking from Colombia. For example, according to this report, coca cultivation in Colombia increased by 39 percent in 2014 and by 42 percent in 2015, and the amount of cocaine trafficked out of Colombia has reached record levels. Consistent with these reported trends in cocaine production and trafficking, Centers for Disease Control and Prevention data indicate that, after falling sharply in the middle of the past decade, overdose deaths related to cocaine have been gradually rising in the United States. Finally, while a significant portion of the marijuana consumed in the United States continues to be smuggled from Western Hemisphere countries, including Canada, Jamaica, and Mexico, the domestic production and marketing of marijuana are undergoing important shifts, as several states and the District of Columbia have passed measures that legalize possession of limited amounts of the drug and provide for regulation of its production, processing, and sales. These shifting trends pose challenges for agencies\u2019 counternarcotics efforts in the Western Hemisphere and domestically, as they strive to respond to changing conditions."], "subsections": []}, {"section_title": "Role of ONDCP in U.S. Counternarcotics Efforts in the Western Hemisphere", "paragraphs": ["ONDCP coordinates the National Drug Control Program and develops a 5-year National Drug Control Strategy, which it updates annually, as well as a number of companion strategies that focus on various geographical areas and emerging threats, to articulate the administration\u2019s drug control policy. ONDCP was established by the Anti-Drug Abuse Act of 1988 to, among other things, enhance national drug control planning and coordination and represent the drug policies of the executive branch before Congress. In this role, ONDCP is responsible for (1) developing a national drug control policy, (2) developing and applying specific goals and performance measurements to evaluate the effectiveness of national drug control policy and National Drug Control Program agencies\u2019 programs, (3) overseeing and coordinating the implementation of the national drug control policy, and (4) assessing and certifying the adequacy of the budget for national drug control programs.", "ONDCP requires National Drug Control Program agencies to submit an annual drug control budget, categorized into 10 federal drug control program areas. One program area is international efforts, which ONDCP defines as activities focused on regions outside the United States that are intended to reduce illegal drug availability in the United States or abroad. Three additional ONDCP drug control program areas\u2014intelligence, interdiction, and investigations\u2014include domestic as well as international efforts, as interdictions may occur at or outside U.S. borders, and intelligence and investigative efforts may target drug organizations operating outside the United States."], "subsections": []}, {"section_title": "Key Agencies Involved in International Efforts to Combat Illicit Drugs Entering the United States", "paragraphs": ["In addition to ONDCP, eight agencies are involved in the four program areas that support counternarcotics efforts in the Western Hemisphere to stop the production and transshipment of illicit drugs or their precursors destined for the United States. These activities include the following: interdictions at U.S. borders; maritime drug interdictions in international waters and in international interdictions in concert with partner nations in international and territorial waters; intelligence gathering to support drug interdictions, investigations, and international activities; investigations of drug organizations based in countries outside the United States; eradication support and efforts; and building foreign partner capacity to conduct counternarcotics activities.", "Table 1 shows the eight U.S. government agencies that allocate resources in one or more of the four ONDCP program areas\u2014 counternarcotics intelligence, interdiction, international activities, and investigations\u2014that we included in our review. For a detailed description of ONDCP\u2019s program areas, more information on the roles of these agencies, and the countries in which they operate, see appendixes I, II, and III, respectively."], "subsections": []}]}, {"section_title": "U.S. Agencies Identified Billions of Dollars in Spending Primarily or Partially for Western Hemisphere Counternarcotics Efforts for 2010 through 2015", "paragraphs": [], "subsections": [{"section_title": "Some Agencies Track Counternarcotics Spending by Region and Identified $5 Billion in Obligations for Activities in the Western Hemisphere", "paragraphs": ["Of the agencies included in our review, DOD, ICE, INL, and USAID track counternarcotics spending on a regional basis and provided data on funds obligated for counternarcotics activities in the Western Hemisphere. As table 2 shows, these agencies obligated more than $5 billion for counternarcotics activities in the Western Hemisphere during fiscal years 2010 through 2015. (See app. III for the agencies\u2019 regional or country-level counternarcotics obligations, as available).", "DOD obligated a total of more than $2.8 billion for counternarcotics activities in the Western Hemisphere for fiscal years 2010 through 2015. According to DOD documents, these activities support U.S. domestic and foreign government efforts to combat drug trafficking and drug-related terrorist activities through detection and monitoring of illicit drug smuggling, information and intelligence sharing, and capacity building. DOD generally tracks its counternarcotics spending by geographic combatant command and various functional areas. A significant portion of DOD\u2019s counternarcotics activities in the Western Hemisphere are conducted by U.S. Northern Command and U.S. Southern Command. These resources fund DOD\u2019s training and equipment provided to foreign partners conducting counternarcotics activities, surveillance and communications systems, aircraft patrolling the transit zone, and costs associated with operating DOD\u2019s Joint Interagency Task Force South. However, the obligations for counternarcotics activities that DOD reported for fiscal years 2010 through 2015 underrepresent its overall obligations for such activities because the reported amounts do not include U.S. Northern Command\u2019s and U.S. Southern Command\u2019s salaries and expenses of its personnel and counternarcotics-related intelligence activities. It also does not include DOD\u2019s agency-wide intelligence gathering and training, as well as aircraft flight hours and ship days in support of counternarcotics activities.", "ICE expended a total of about $212 million for salaries and expenses of Homeland Security Investigations\u2019 (HSI) agents and analysts working on drug cases in various countries in the Western Hemisphere during fiscal years 2010 through 2015. ICE made these expenditures for the following three HSI programs:", "The Domestic Investigations program covers enforcement efforts to disrupt cross-border criminal activity related to contraband smuggling and the dismantling of the transnational criminal organizations responsible for these activities.", "International Operations covers HSI\u2019s international investigations involving transnational criminal organizations and serves as ICE\u2019s liaison to foreign law enforcement counterparts overseas.", "The Office of Intelligence provides intelligence services for Domestic Investigations and International Operations to support criminal investigations to disrupt and dismantle criminal organizations involved in the transnational drug trade and associated money-laundering crimes.", "INL obligated a total of more than $1.5 billion for counternarcotics activities in the Western Hemisphere in fiscal years 2010 through 2015. During this period, INL funded projects that were designed to improve foreign law enforcement and intelligence-gathering capabilities; enhance the effectiveness of criminal justice sectors to allow foreign governments to increase drug shipment interdictions; investigate, prosecute, and convict narcotics criminals; and break up major drug-trafficking organizations. INL also used U.S. federal law enforcement entities to provide technical assistance to its counterparts overseas. Examples of INL\u2019s technical assistance include the following: In Mexico, INL\u2019s efforts focused on enhancing the Mexican government\u2019s capacity to interdict illegal narcotics while not impeding the flow of legitimate goods. This included providing detection dogs, equipment, and training to the Mexican Federal Police, Customs, Army, and Navy.", "In Colombia, INL\u2019s program focused on aerial eradication of coca plants, land and maritime interdictions, and capacity building for counternarcotics forces.", "In Peru, INL programs included support for manual eradication of coca plants, interdiction efforts, and drug demand reduction activities.", "In Central America, INL efforts included building interdiction capacities such as funding vetted units sponsored by federal law enforcement partners and providing technical assistance and equipment for air and maritime interdiction.", "In the Caribbean, INL efforts focused on building partner nation interdiction capacity, providing support for vetted units, and enhancing information sharing among partner nations.", "USAID obligated a total of about $638 million for Western Hemisphere counternarcotics activities in fiscal years 2010 through 2015, supporting alternative development projects in Bolivia, Colombia, Ecuador, and Peru. According to agency officials, the USAID mission in Colombia is working to create licit alternatives to coca production, including holistic support to viable and lucrative agricultural value chains, such as cacao, specialty coffee, and other products that can be sold on domestic and export markets; provision of rural financial services and credits for licit opportunities; efforts to attract private sector investment into rural regions; and, to a lesser degree, helping communities build infrastructure, such as roads, to help licit products reach markets. USAID\u2019s alternative development program in Peru aims to promote licit incomes and improved governance to sustain coca reductions achieved through forced eradication. In partnership with the Peruvian national drug commission, the USAID mission in Peru facilitates the implementation of alternative development programs in the country, including improving the drug commission\u2019s ability to monitor and evaluate these programs. The mission has also partnered with the private sector to improve processes involved in preparing cacao crops for the market."], "subsections": []}, {"section_title": "Agencies That Do Not Track Counternarcotics Spending by Region Reported About $34 Billion for Activities Focused on the Western Hemisphere", "paragraphs": ["While the other agencies in our review\u2014CBP, Coast Guard, DEA, and OCDETF\u2014do not track spending specific to their counternarcotics activities in the Western Hemisphere, they conduct most of their counternarcotics activities in the Western Hemisphere or target threats originating in Western Hemisphere countries, according to agency officials. Thus, while the agencies\u2019 overall counternarcotics obligations overstate spending for such activities in the Western Hemisphere, these obligations approximate the Coast Guard\u2019s, CBP\u2019s, and OCDETF\u2019s spending on activities that were primarily for these purposes in the region. However, DEA was not able to identify spending levels for counternarcotics activities in the Western Hemisphere, and the obligations it provided included spending for some domestic and other international counternarcotics activities. These four agencies had total obligations of nearly $34 billion for their overall counternarcotics activities during fiscal years 2010 through 2015 (see table 3).", "The Coast Guard obligated a total of almost $5.3 billion for its drug- interdiction activities for fiscal years 2010 through 2015. As the nation\u2019s principal federal agency for maritime safety, security, and stewardship, the Coast Guard has a drug interdiction objective to reduce the flow of illegal drugs entering the United States by denying smugglers access to maritime routes. The Coast Guard\u2019s counternarcotics obligations in fiscal years 2010 through 2015 covered the agency\u2019s operating expenses, which include costs associated with operating Coast Guard facilities, maintaining capital equipment, improving management effectiveness, and maintaining an active duty military and civilian workforce. These funds also supported reserve training and acquisition, construction, and improvement of capital assets and facilities. The Coast Guard does not maintain data on the portion of the agency\u2019s drug resources that are used for the interdiction of drugs trafficked to or from countries outside the Western Hemisphere. However, according to Coast Guard officials, because the agency\u2019s counternarcotics efforts take place around U.S. maritime borders and in transit zones in the Western Hemisphere, the agency\u2019s drug resources are generally expended in the Western Hemisphere.", "CBP obligated a total of more than $13 billion for its counternarcotics activities in fiscal years 2010 through 2015. According to the agency\u2019s budget documents, CBP used its counternarcotics spending to carry out its border security mission at and between all ports of entry and to conduct air and marine operations in source, transit, and arrival zones in the Western Hemisphere. The agency also obligated funds to invest in border security technology and infrastructure to detect and monitor suspicious air, maritime, and land traffic. CBP\u2019s counternarcotics funds also were used for training and information technology to support its activities. CBP officials indicated that, because CBP\u2019s mission is to protect U.S. borders, the agency\u2019s counternarcotics spending should generally be considered resources spent in the Western Hemisphere. However, CBP\u2019s reported obligations also include resources dedicated to border protection measures to interdict shipments of drugs and precursor chemicals from countries outside the Western Hemisphere.", "DEA obligated a total of almost $13 billion for its domestic and international enforcement activities in fiscal years 2010 through 2015. DEA is the lead U.S. agency responsible for the development of the overall federal drug enforcement strategy, programs, planning, and evaluation. DEA\u2019s budget includes categories for domestic enforcement, international enforcement, and state and local support. While domestic enforcement accounts for the majority of DEA\u2019s resources, DEA coordinates its domestic and international enforcement activities (i.e., DEA\u2019s foreign offices) to pursue, at the highest level, multinational drug organizations and, at the lowest level, independent drug cells, according to documents. With regard to international enforcement, DEA tracks regional spending for salaries and expenses associated with agents and intelligence analysts posted in countries overseas. DEA\u2019s international enforcement includes more than $1 billion in obligations for salaries and expenses for personnel posted in Western Hemisphere countries in fiscal years 2010 through 2015.", "OCDETF obligated a total of about $2.1 billion for counternarcotics- related efforts in fiscal years 2010 through 2015. According to OCDETF reports, this funding supported investigations targeting the highest priority drug-related transnational crime organizations. OCDETF\u2019s funds were used to reimburse a number of DOJ components\u2014DEA, the FBI, and the OCDETF Fusion Center, a multiagency intelligence center\u2014for their support of OCDETF investigations of high-priority targets. According to a senior OCDETF official, although the agency\u2019s financial system does not contain information that would allow us to ascertain the amounts obligated for investigations of international targets located in the Western Hemisphere, very few OCDETF cases involve drugs coming into the United States from outside the Western Hemisphere. Most OCDETF investigations target drugs coming into the United States from other Western Hemisphere countries."], "subsections": []}]}, {"section_title": "Agencies Reported Collecting and Disseminating Best Practices and Lessons Learned Related to Counternarcotics Efforts", "paragraphs": [], "subsections": [{"section_title": "ONDCP Facilitates Sharing of Counternarcotics Best Practices and Lessons Learned", "paragraphs": ["ONDCP facilitates the sharing of best practices and lessons learned with interagency and foreign partners by including the topic on the agendas of key meetings, according to ONDCP officials. For example, ONDCP officials described the sharing of best practices and lessons learned with stakeholders from Canada, Mexico, and the United States at technical workshops of the North American Drug Dialogue held in March 2017. At these workshops, the Department of State shared with its Mexican partners lessons learned pertaining to Colombia and Peru, including the following:", "Eradication of coca alone is not sufficient. A whole-of-government approach that provides security, the incentive of alternative development, the disincentive of eradication, and intelligence-led interdiction efforts that deny harvesters or traffickers the ability to profit from the product is essential.", "Results take time. For example, the 90-percent reduction in coca production in San Martin, Peru, took 12 years.", "Efforts should be geographically targeted and driven by information and intelligence, given scarce resources. For example, data can be used to allow for planning targeted eradication operations, based on intelligence or other information, and for the planning of complementary interventions, such as rural development or target eradication goals.", "According to ONDCP officials, best practices and lessons learned are also described in the National Drug Control Strategy as well as companion strategies such as the Southwest Border and Caribbean Counternarcotics strategies. For example, according to the 2010 National Drug Control Strategy, lessons learned such as the following can be drawn from Colombia\u2019s experience that might be useful elsewhere:", "Host-government ownership. For example, although Plan Colombia required extensive U.S. financial support, the Colombian government demonstrated that it was fully committed to the initiative under consecutive administrations.", "Government-wide approach. Eradication can be an effective deterrent to illicit cultivation and can provide an incentive to move to licit crops. However, eradication must be accompanied by a government presence in rural areas; alternative development to preclude replanting or dispersal of plots; and a focus on rule of law and human rights, humanitarian needs, and social and economic reform to reduce the incentive to revert to illicit crops.", "Security. Security is a precondition for the successful expansion of social services and developmental assistance. Security must be maintained to allow the expansion of legal economic activities and the delivery of civilian services, including justice, education, and health, to a population unaccustomed to a significant government presence.", "Flexibility. Programs must adapt to changing circumstances, including adjusting programs that are not working as expected and adding new initiatives, if necessary.", "Long-term approach. Major counternarcotics programs designed to address complex and long-standing challenges require a multiyear investment in terms of financial resources and political commitment.", "ONDCP has also promoted best practices through other efforts. For example, the 2015 National Drug Control Strategy included an action item to work with the Organization of American States\u2019 Inter-American Drug Abuse Control Commission to strengthen counterdrug Institutions in the Western Hemisphere. As part of this effort, ONDCP and the Department of State participated in the Demand Reduction and the Alternatives to Incarceration meetings, which focused on promoting best practices and expanding host-nation capacity. Reflecting this effort, Organization of American States\u2019 officials cited as a best practice the training of 300 Colombian and Argentinian judges and chief justices, who learned about the Alternatives to Incarceration model, in November 2016."], "subsections": []}, {"section_title": "Most Agencies Reported Collecting Best Practices and Lessons Learned from Counternarcotics Efforts", "paragraphs": ["Officials at 7 of the 10 agencies included in our review reported having processes for identifying and collecting best practices and lessons learned from counternarcotics efforts in the Western Hemisphere. Officials at each of these seven agencies also reported having mechanisms to share best practices and lessons learned, including through web-enabled systems, and sharing these best practices and lessons learned with other U.S. agencies and foreign partners. In addition, officials at six of the seven agencies reported having a formal review process for determining best practices and lessons learned.", "USAID and DOD guidance and officials described comprehensive processes for collecting and sharing information about best practices and lessons learned. For example, according to USAID guidance, its Country Development Cooperation Strategy \u201cshould include a summary of lessons learned from the implementation of the previous Country Development Cooperation Strategy or other strategic plans (if applicable) and from previous experiences (e.g., projects and activities).\u201d The guidance states that at least once during the course of implementing the Country Development Cooperation Strategy, USAID missions must collect information by conducting reviews of ongoing efforts and of options for better aligning their programs with changes in the context, agency direction, and lessons learned. In addition, according to USAID officials, other levels of program planning incorporate lessons learned and good programming, such as portfolio reviews and other processes involving the periodic assessment of a particular aspect of a mission or a Washington operating unit\u2019s strategy, projects, or activities. USAID evaluations of its alternative development projects in Colombia include examples of best practices and lessons learned, such as the following:", "The success of a project depends on reducing the appeal of coca by improving the social and economic value of legal alternatives.", "Robust licit economies fueled by productive associations, local and regional market integration, and improved transportation networks can reduce coca cultivation.", "A necessary precondition for successful alternative development is the allocation of resources and personnel to rural areas where coca is cultivated.", "Only those strategies that can be accomplished within predetermined time frames and resource parameters and that have a proven track record of reducing coca cultivation should be implemented.", "Reinforcing local community institutions and providing youth-focused programming can help insulate vulnerable communities against the allure of drug trafficking and coca cultivation.", "DOD reported using a formal process for identifying and collecting best practices and lessons learned through its Joint Lessons Learned Program, which consists of five phases: discovery, validation, resolution, evaluation, and dissemination. According to DOD officials, the collection of best practices and lessons learned relating to counternarcotics in the Western Hemisphere through this program is intended to enhance readiness and effectiveness. DOD officials noted that the effort to collect best practices and lessons learned is routine and helps inform policy and budget proceedings. Annual conferences, such as the Counternarcotics and Global Threats Coordination Conference and the Program Objective Memoranda Conference, also offer an opportunity to identify, collect, and disseminate best practices and lessons learned as they relate to DOD\u2019s counterdrug and counter-transnational-organized-crime operations. According to DOD officials, such conferences provide a forum for participants to learn how other relevant DOD components working on counternarcotics efforts are approaching counterdrug, transnational organized crime, and related issues. DOD officials also noted that they intend to use an interagency-agency-task-forces approach to counternarcotics interdiction that the U.S. Southern Command developed in Guatemala as a model for sharing best practices and lessons learned in the region. According to DOD officials, the U.S. Southern Command\u2019s support included training in interdiction tactics, techniques, and procedures, and maintenance of provided equipment such as intercept boats, tactical vehicles, communications gear, and night vision devices. DOD officials reported that lessons learned include establishing the interagency legal framework early, clearly defining interagency relationships, developing the task force\u2019s intelligence capability, implementing police authority and leadership, identifying measures of success, communicating the task force\u2019s purpose and success to the public, and maintaining equipment. DOD officials said that they plan to use the Guatemalan interagency task force as a model with other foreign partners and new counterdrug units in Guatemala and in the region.", "State\u2019s report, \u201cLessons Learned from the M\u00e9rida Initiative and Plan Colombia with Regard to Judicial Reform Efforts,\u201d provides specific examples of operational and tactical lessons, as follows:", "Political will is critical. According to State, one of the clearest symbols of political will was Mexico\u2019s and Colombia\u2019s dedication of additional resources (to initiatives under the M\u00e9rida Initiative and Plan Colombia). In addition, according to State, the governments of El Salvador, Guatemala, and Honduras created a joint regional plan, the Plan of Alliance for Prosperity, underscoring their political will and significant commitment to improve economic opportunities, governance, and public safety. For example, these governments identified $2.6 billion in their 2016 budgets to, among other things, target criminal networks, tackle corruption, and strengthen government institutions.", "No lasting security without enhanced access to justice. The governments of Colombia and Mexico have undertaken efforts to expand access to justice in their countries. Since 2008, the government of Mexico has been working to improve the transparency and efficiency of its judicial system by implementing an oral-based accusatorial system.", "Partnership across agencies is critical. Plan Colombia represented a whole-of-government approach, with a broad U.S. interagency presence to work across the breadth of the Colombian government. This U.S. interagency presence built linkages at all levels and ensured continuity of vision through leadership transitions in the U.S. and Colombian governments."], "subsections": []}]}, {"section_title": "U.S. Agencies Use Various Mechanisms to Address Changing Counternarcotics Conditions in the Western Hemisphere", "paragraphs": [], "subsections": [{"section_title": "ONDCP Strategies Lay Out Key Efforts to Respond to Emerging Counternarcotics Threats", "paragraphs": ["ONDCP works with agencies to coordinate responses to changing conditions in a variety of ways. ONDCP is responsible for developing (1) the National Drug Control Strategy, which sets forth a comprehensive plan to reduce illicit drug use through programs intended to prevent or treat drug use or reduce the availability of illegal drugs; and (2) several associated companion strategies, which target government efforts to respond to emerging counternarcotics threats for key geographic areas.", "The Strategy issued in 2010 laid out the administration\u2019s 5-year blueprint for combatting drug use and included a section on counternarcotics efforts in the Western Hemisphere. The 2010 Strategy described an approach that reflected two core focus areas: (1) disrupting domestic drug trafficking and production and (2) strengthening international partnerships to reduce the availability of foreign-produced drugs in the United States. The Strategy, including the portions associated with counternarcotics efforts in the Western Hemisphere, is updated annually to reflect current priorities and conditions. According to ONDCP officials, an example of a key change since 2010 is the developing focus on the opioid crisis. In 2010, the President\u2019s first National Drug Control Strategy emphasized the need for action to address opioid use disorders and overdose, while ensuring that individuals with pain receive safe, effective treatment. On April 19, 2011, the White House released its national Prescription Drug Abuse Prevention Plan, which outlined its goals for addressing prescription drug abuse and overdose.", "The 2016 Strategy continued the previous administration\u2019s focus on the opioid crisis but recognized the growing threats from drug-trafficking organizations involved in manufacturing and distributing cocaine and synthetic drugs, including novel psychoactive substances such as synthetic cannabinoids. To address these efforts, the Strategy described U.S. agencies\u2019 interdiction activities, and DEA led efforts to disrupt synthetic drug production and trafficking. The 2016 Strategy also noted U.S. collaboration with China to limit the export of precursor chemicals associated with the production of psychoactive substances.", "ONDCP also develops companion strategies with a geographic focus, such as the National Southwest Border Counternarcotics Strategy, the Northern Border Counternarcotics Strategy, and the Caribbean Border Counternarcotics Strategy. The 2015 Strategy acknowledges the companion strategies and indicates that the efforts they describe will be carried out. These strategies include objectives such as enhancing intelligence, interdicting drugs and drug proceeds, ensuring prosecution, disrupting and dismantling drug-trafficking organizations, and improving cooperation with international partners.", "The companion strategies have provided opportunities for more targeted responses to address emerging threats in specific geographic areas, which include the following: National Southwest Border Counternarcotics Strategy focused primarily on U.S. government efforts to prevent the trafficking of illicit drugs\u2014heroin, methamphetamine, cocaine, and foreign-produced marijuana\u2014across the U.S.-Mexican border. The strategy also addressed the illegal outbound movement of weapons and bulk currency from the United States, both of which are associated with activities of narcotics traffickers. As an example of the growing threat posed by the trafficking of heroin from Mexico, the quantity seized on the southwest border nearly tripled, from 1,080 kilograms in 2010 to 3,158 kilograms in 2015. To address these threats, ONDCP expanded the focus of the 2011 National Southwest Border Counternarcotics Strategy to provide border communities with enhanced prevention and drug treatment assistance, in the context of maintaining strong and resilient communities. The 2013 strategy stressed the same basic goals and objectives: substantially reduce the flow of illicit drugs, drug proceeds, and associated instruments of violence across the southwest border as well as maintain strong and resilient communities. This strategy also included indicators related to seizures of drugs at the border. The 2016 strategy differed slightly from the 2013 strategy by elaborating on the threats of various illicit drugs. It also noted that \u201canything that affects one part of the border affects the entire border\u201d and noted that, for this reason, the National Southwest Border Counternarcotics Strategy must be synchronized with the other companion strategies, and the Heroin Availability Reduction Plan.", "National Northern Border Counternarcotics Strategy. The 2012 National Northern Border Counternarcotics Strategy, which ONDCP first issued that year, parallels the National Southwest Counternarcotics Border Strategy and focuses on ongoing efforts to reduce transnational organized crime threats on both sides of the border between the United States and Canada, specifically the movement of illicit drugs such as marijuana, ecstasy, methamphetamine, and cocaine, and the proceeds from the sale of those drugs. The 2014 strategy emphasizes enhanced federal collaboration with state, local, and tribal law enforcement agencies. The legislation mandating that ONDCP publish the National Northern Border Counternarcotics Strategy requires that this document be released biannually; as of June 2017, the 2016 version had not been released.", "Caribbean Border Counternarcotics Strategy. The Caribbean Border Counternarcotics Strategy, issued in January 2015, is substantially equivalent to the national counternarcotics strategies for the southwest and northern borders, according to ONDCP. The strategy identifies cocaine as the principal drug threat and a source of associated violence in the Caribbean region and notes that the documented cocaine flow via the Caribbean to the United States more than doubled from 2011 to 2013, rising from 38 metric tons to 91 metric tons. According to DEA, over 90 metric tons of cocaine was trafficked from South America using sea routes through the Caribbean corridor, primarily toward the Dominican Republic and Puerto Rico, in 2014."], "subsections": []}, {"section_title": "Interagency Groups, Task Forces, and Committees Coordinate Government Response to Emerging Counternarcotics Threats", "paragraphs": [], "subsections": [{"section_title": "Interagency Working Groups", "paragraphs": ["ONDCP facilitates a number of interagency working groups to address emerging threats. According to ONDCP\u2019s 2016 National Southwest Border Counternarcotics Strategy, interagency working groups relevant to counternarcotics efforts allow agencies with different authorities and resources to address common concerns, create a common operating picture, identify resource and capability gaps, and leverage resources. ONCDP has created working groups, such as groups focused on heroin and cocaine, to develop actions, goals, and measures to reduce the supply of those drugs in the U.S. market as a part of the overall effort to address treatment and demand, as noted in the following examples: In November 2015, ONDCP established the National Heroin Coordination Group in coordination with the National Security Council to provide guidance on interagency activities aimed at reducing the supply of heroin and illicit fentanyl in the U.S market. The working group includes agencies with federal law enforcement responsibilities and their components, select High Intensity Drug Trafficking Areas (HIDTA), the U.S. embassy in Mexico, and other federal agencies and state entities. In June 2016, the group produced the 5-year Heroin Availability Reduction Plan as part of the administration\u2019s effort to prevent and treat heroin abuse.", "In January 2016, ONDCP created an internal working group on methamphetamine and synthetic drugs to coordinate efforts across drug control agencies. The group\u2019s priorities included working in concert with federal partners, with source and transit countries to reduce the availability of illicit methamphetamine in the United States, and multilaterally to reduce the global trafficking of illicit methamphetamine and precursor chemicals coming primarily from Mexico.", "In September 2016, ONDCP created a National Cocaine Coordination Group to address emerging threats from cocaine brought on by the spike in coca cultivation and production as well as the associated increase in its trafficking and use in the United States. In addition to employing three permanent staff, the interagency group draws from expertise in intelligence, public health, and international demand reduction at DOJ, the FBI, other federal partners, and various parts of ONDCP."], "subsections": []}, {"section_title": "Interagency Task Forces", "paragraphs": ["Agencies use task forces to enhance the interagency coordination needed to respond to emerging threats, according to officials. For example, to address the smuggling of illicit drugs over the southwest border, in May 2014 DHS established three new joint task forces\u2014Joint Task Force\u2013East, Joint Task Force\u2013West, and the Joint Task Force for Investigations\u2014in support of its Southern Border and Approaches Campaign. The task forces coordinate operations to combat transnational criminal organizations and counter illegal drug flows at maritime approaches and in between ports of entry. All three joint task forces incorporate elements of the Coast Guard, CBP, and ICE as well as DHS\u2019s U.S. Citizenship and Immigration Services. Joint Task Force\u2013East is responsible for the southern maritime border and approaches, Joint Task Force\u2013West is responsible for the southern land border and the West Coast, and the Joint Task Force for Investigations focuses on investigations in support of the geographic task forces.", "Task forces also enhance coordination, deconfliction, and information sharing by colocating representatives from different entities, which facilitates interaction and enables information sharing, as we previously reported. For example, Joint Interagency Task Force South includes 26 agencies and 20 foreign partners that work together to detect and monitor illicit trafficking in the air and maritime domains, facilitating international and interagency interdiction and apprehension. Information sharing is a critical aspect of the Joint Interagency Task Force South\u2019s strategic approach in supporting national and foreign partner nation law enforcement and promoting regional stability in the Western Hemisphere. As part of this effort, Joint Interagency Task Force South uses a tool known as the Cooperative Situational Information Integration system to share strategic communications and information with foreign partner nations, according to Joint Interagency Task Force South officials. In addition, U.S. Tactical Analysis Teams, which are posted at U.S. missions overseas, and liaison officers from foreign partner nations, provide for a high level of integrated information, according to officials at Joint Interagency Task Force South. Officials indicated that Tactical Analysis Teams and liaison officers provide the information that results in 60 to 70 percent of all task force cases, directly contributing to 50 to 60 percent of all Joint Interagency Task Force South drug seizures. The task force reported that its efforts resulted in 80 percent of total U.S. cocaine seizures (282 of 338 metric tons) in fiscal year 2016.", "According to Joint Interagency Task Force South, the advantages of working as a task force include the ability to use the participants\u2019 various legal authorities (see the text box for an example):", "DOD brings detection and monitoring authorities.", "DOJ and DHS bring anticrime authorities.", "The Coast Guard brings its maritime law enforcement authorities.", "DEA, the FBI, and HSI bring drug and finance laws enforcement authorities.", "CBP and HSI bring customs and immigration authorities.", "Partner nations bring multiple authorities from their countries.", "A typical case that illustrates how the various authorities of component agencies work together in the Joint Interagency Task Force South could start with receipt of actionable law enforcement information from the Drug Enforcement Administration. This information prompts the deployment of a Customs and Border Protection or Coast Guard plane that subsequently detects and monitors a suspect vessel until Joint Interagency Task Force South can deploy a Coast Guard, U.S. Navy, or allied government\u2019s ship with an on-board law enforcement detachment to investigate. When the deployed ship arrives at the vessel\u2019s location, the Coast Guard assumes control of the investigation. If the suspect vessel is not registered in the United States, the Coast Guard commander implements a bilateral agreement with the vessel\u2019s country of registration to confirm the vessel\u2019s nationality and to stop, board, and search the vessel for drugs. If drugs are found, the State Department, Department of Justice, and the vessel\u2019s country of registry coordinate jurisdiction over, and disposition of, the vessel, drugs, and crew.", "OCDETF has also established multiagency Strike Forces (i.e., a type of task force) in 12 key cities around the country. According to OCDETF\u2019s fiscal year 2017 report to Congress, the Strike Forces aggressively target the highest-level trafficking organizations and function as central points of contact for OCDETF agents and federal prosecutors nationwide, gathering intelligence and disseminating investigative leads throughout neighboring areas. The report states that Strike Force members are colocated in offices separate from their parent agencies and interact with each other on a daily basis using the resources and support of their parent agencies. According to OCEDTF\u2019s report, Strike Force efforts help further counternarcotics investigations by combining the resources and expertise of all OCDETF participating investigators and prosecutors. The report also states that, in recognition of the nationwide heroin threat, OCDETF adjusted its resources to target heroin investigations and that when heroin use was rising in 2014 and 2015, the percentage of indictments with heroin charges likewise increased over the same time frame. According to OCDETF\u2019s report, Strike Force effectiveness is reflected in the caseload of active investigations linked to OCDETF\u2019s Consolidated Priority Organization Targets. OCDETF reported that, in fiscal year 2015, 45 percent of Strike Forces\u2019 active investigations were linked to OCDETF Consolidated Priority Organization Targets; in contrast, 22 percent of all OCDETF investigations addressing transnational organized crime were linked to these targets."], "subsections": []}, {"section_title": "Interagency Policy Committees", "paragraphs": ["The National Security Council has a number of interagency policy committees that prioritize counternarcotics, including changing conditions, in the Western Hemisphere. National Security interagency policy committees are the primary day-to-day forums for interagency coordination of national security policy, according to Presidential Decision Directive 1. National Security Presidential Directive 25 directs U.S. government agencies to attack the vulnerabilities of drug-trafficking organizations and disrupt key business sectors and weaken the economic basis of the drug trade. For example, the Transborder Security and Western Hemisphere Directorates interagency policy committee on Mexico Security Priorities directed ONDCP to establish the National Heroin Coordination Group. The agencies represented on the interagency policy committees vary, but the core group involved in addressing heroin and fentanyl include ONDCP, State, DOJ, DOD, DHS, the Department of Health and Human Services, the Office of the Director of National Intelligence, the U.S. Postal Inspection Service (as appropriate), and the Office of Management and Budget.", "Several interagency policy committees related to addressing heroin include (1) Transborder Security and Western Hemisphere, (2) Fentanyl Surge, and (3) the Heroin Availability Reduction Plan. Among the topics discussed at the committee meetings were the formation of the National Heroin Coordination Group, which created the Heroin Availability Reduction Plan, as well as approval of the plan, and deliberate and tangible actions the interagency policy committees could take under the Heroin Availability Reduction Plan to visibly disrupt the fentanyl supply chain coming into the United States. There were also various efforts set up to address common issues related to illicit opioids among the United States, Mexico, and Canada, which were addressed in forums such as the North American Drug Dialogue or the U.S.-Mexico Security Cooperation Group. Subinteragency policy committees include the U.S.- Mexico Security Group; North American Drug Dialogue; and Fentanyl- Asia, Fentanyl-Cyber, Fentanyl Screening, and Fentanyl Sub-Interagency Policy Committees. Among the topics discussed were the fentanyl threat and sources of supply into the United States, tangible actions to disrupt the fentanyl supply chain, Asia\u2019s role in the fentanyl supply and actions that could be taken to address it, and an examination of the purchase and sale of fentanyl over the Internet for shipment through the mail services and actions taken to detect such shipments. The interagency policy committees that address cocaine and methamphetamine generally involve the same agencies that are involved in the interagency policy committees addressing heroin."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We are not making recommendations in this report. We provided a draft of this report to the DOD, DHS, DOJ, ONDCP, State, and USAID for review and comment. We received technical comments from DHS, DOJ, ONDCP, and State, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 12 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretaries of Defense, Homeland Security, and State; the Attorney General of the United States; and the Director, Office of National Drug Control Policy. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-6991 or farbj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) U.S. agencies\u2019 spending for counternarcotics efforts in the Western Hemisphere in fiscal years 2010 through 2015, (2) agencies\u2019 efforts to gather and share best practices and lessons learned from their counternarcotics efforts both domestically and internationally, and (3) mechanisms that agencies have used to address changing drug threats.", "To examine U.S. agencies\u2019 spending for counternarcotics efforts in the Western Hemisphere in fiscal years 2010 through 2015\u2014our first objective\u2014we selected eight U.S. departments and components (collectively, in this report, \u201cagencies\u201d) that implement aspects of the National Drug Control Strategy and conduct counternarcotics activities in the Western Hemisphere: (1) the Department of Defense (DOD); the Department of Homeland Security\u2019s (2) Customs and Border Protection (CBP), (3) Immigration and Customs Enforcement (ICE), and (4) Coast Guard; the Department of Justice\u2019s (DOJ) (5) Drug Enforcement Administration (DEA) and (6) Organized Crime Drug Enforcement Task Forces (OCDETF); the Department of State\u2019s (7) Bureau of International Narcotics and Law Enforcement Affairs (INL); and (8) the U.S. Agency for International Development (USAID). To select these eight agencies, we used the following two criteria: 1. Agencies that have international counternarcotics efforts in one or more of the areas that the Western Hemisphere Drug Policy Commission has been asked to review. The Office of National Drug Control Policy (ONDCP), which coordinates the National Drug Control Program, requires all National Drug Control Program agencies to submit an annual drug budget identifying the amounts the agencies plan to spend on counternarcotics efforts for the upcoming fiscal year. The agencies report spending for such efforts in 10 program areas: Corrections, Intelligence, Interdiction, International, Investigations, Prevention, Prosecution, Research and Development, State and Local and Tribal Law Enforcement Assistance, and Treatment. On the basis of ONDCP\u2019s definitions of these program areas, we determined that four of these areas\u2014Intelligence, Interdiction, International, and Investigations\u2014were relevant to the areas that the Western Hemisphere Drug Policy Commission has been directed to examine. 2. Agencies that allocated a combined total of at least $50 million for their counternarcotics efforts for the Intelligence, Interdiction, International, and Investigations program areas in fiscal year 2015. The following summarizes ONDCP\u2019s definitions of these four program areas: Intelligence. Intelligence efforts encompass several drug control intelligence support, including the collection, analysis, and membership, finances, communications, and activities of drug- areas. Such efforts include providing strategic drug\u2010related dissemination of drug\u2010related information regarding structure, trafficking organizations and the identification of drug\u2010related threats.", "Other activities facilitate the sharing among U.S. agencies of domestic and foreign intelligence information on the production and trafficking of drugs in the United States and foreign countries; analysis of the willingness and ability of partner nation governments to carry out drug control programs; federal, state, local, and tribal law enforcement initiatives to gather, analyze, and disseminate information among domestic law enforcement agencies; and all other activities that provide intelligence and other information for use by national policy makers, strategic planners, and local law enforcement.", "Interdiction. Interdiction activities are intended to reduce the availability of illegal drugs in the United States or abroad by targeting transportation links. Interdiction efforts encompass the interception of shipments of illegal drugs and their precursors and the disruption of trafficking networks and their proceeds; such efforts may include air and maritime seizures and deterring transport via air, sea, and land routes. Other efforts involve accurate assessment and monitoring of interdiction programs; enhancing the ability of nations that are drug sources to interdict drugs; interdicting the flow of drugs, weapons, and bulk currency along borders; and other air and maritime activities that disrupt illegal drug-trafficking operations.", "International. International activities are primarily focused on areas outside the United States and are intended to reduce illegal drug availability in the United States or abroad. Activities may include source-country programs designed to help international partners manage the consequences of drug production, trafficking, and consumption in their own societies, including programs to train and equip security forces; efforts to raise awareness of science-based practices and programs to prevent, treat, and provide recovery from substance abuse; and support for economic development programs to help reduce the production or trafficking of illicit drugs. These efforts may also include assessment and monitoring of international drug production programs and policies; coordination and promotion of compliance with international treaties, including those directed at the eradication of illegal drugs and the production and transportation of illegal drugs; involvement of other nations in international law enforcement programs and policies to reduce the supply of drugs; and all other overseas drug law enforcement efforts to disrupt the flow of illicit drugs into the United States.", "Investigations. Investigations activities are designed to develop a prosecutable case against individuals and organizations responsible for the production and distribution of illegal drugs, including identifying seize them; identifying the leaders of illegal drug and other criminal profits and assets from drug\u2010related criminal enterprises in order to organizations; gathering information about drug\u2010related criminal activity; ensuring that legitimate controlled substances are handled, manufactured, and distributed in accordance with federal laws and regulations; and all other drug law investigative efforts to identify, disrupt, and dismantle drug smuggling in the United States.", "We requested and obtained data on spending for counternarcotics activities from these eight agencies and the Federal Bureau of Investigation (FBI), which OCDETF reimburses for international counternarcotics investigations. We also reviewed each agency\u2019s annual accounting for its counternarcotics budget. In addition, we interviewed agency officials to understand their counternarcotics budgets as they are reported in the annual ONDCP budget and performance summary reports and to determine the extent to which the agencies could identify the funding they had obligated for counternarcotics activities in the Western Hemisphere. Our methodology for identifying counternarcotics spending varied by agency, since some of the agencies\u2014DOD, ICE, INL, and USAID\u2014track such spending by region, while other agencies\u2014the Coast Guard, CBP, OCDETF, and DEA\u2014do not. Moreover, with the exception of DEA\u2019s and OCDETF\u2019s counternarcotics activities, the agencies\u2019 counternarcotics activities represent only one aspect of their larger missions. On the basis of our review of the data, our review of each agency\u2019s annual accounting of its drug budget, and interviews with agency officials, we determined that the data were sufficiently reliable for our reporting purposes. The following summarizes the Western Hemisphere counternarcotics activities reflected in the funding data we present for each agency. (The data we present for OCDETF include its reimbursements to the FBI.)", "DOD. All DOD counternarcotics activities under U.S. Northern Command and U.S. Southern Command.", "CBP. All CBP counternarcotics spending. Given that the agency\u2019s jurisdiction is triggered by the illegal movement of criminal goods across national borders, the agency considers all of its efforts to be specific to the Western Hemisphere. However, the agency\u2019s spending also includes interdictions and intelligence gathering to support these interdictions of drugs coming from all locations outside the United States.", "ICE. The portion of ICE\u2019s Homeland Security Investigations\u2019 spending for investigation of Western Hemisphere drug organizations.", "Coast Guard. All Coast Guard counternarcotics spending. Given that the Coast Guard\u2019s interdictions occur in Western Hemisphere waters, the agency considers all of its counternarcotics efforts to be specific to the Western Hemisphere.", "DEA. DEA obligations for Investigations, Intelligence, and International program areas for domestic and international enforcement activities. DEA was also able to provide its obligations for salaries and expenses for investigations and intelligence-gathering activities conducted by agents posted in overseas locations in the Western Hemisphere (see app. III).", "OCDETF. OCDETF reimbursements for drug investigations conducted by DEA, the FBI, and ICE as well as OCDETF contributions to the OCDETF fusion center.", "FBI. OCDETF reimbursements for investigations of transnational crime organizations with a drug nexus. (App. III details the FBI\u2019s expenditure of OCDETF funds).", "INL. International Narcotics Control and Law Enforcement funds for counternarcotics activities for Western Hemisphere countries.", "USAID. Economic Support Funds and Development Assistance funds for alternative development activities in Western Hemisphere countries.", "To examine how agencies gather and share best practices and lessons learned from their counternarcotics efforts both domestically and internationally\u2014our second objective\u2014we reviewed the National Drug Control Strategy and companion strategies for examples of best practices as well as other agency documents that identify best practices and lessons learned. We also sent the eight selected agencies, the FBI, and ONDCP a standard set of questions. These questions addressed how the agencies collected and identified best practices and lessons, whether they had formal definitions of best practices and lessons learned, whether their efforts to identify and collect this information were routine, whether they had review processes to assess the information, and whether they shared these practices with other agencies and with international partners. In addition, we asked the agencies to identify best practices related to counternarcotics efforts in the Western Hemisphere. Further, we conducted interviews with agency officials, seeking clarification to written responses as appropriate and asking whether the agencies had any policies or strategies regarding best practices, and we reviewed the documents that were provided to us in response.", "To identify the mechanisms U.S. agencies have used to address changing drug threats\u2014our third objective\u2014we reviewed key U.S. government-wide and agency-specific documents pertaining to U.S. counternarcotics efforts in the Western Hemisphere, including those that encompass counternarcotics efforts as part of broader national security areas. These documents include the National Drug Control Strategies, Southwest Border Counternarcotics Strategies, Northern Border Counternarcotics Strategies, the Caribbean Border Counternarcotics Strategy, the Strategy to Combat Transnational Organized Crime, and the National Interdiction Command and Control Plan. Agency-specific strategic plans included CBP\u2019s Vision and Strategy 2020, Homeland Security Investigations\u2019 Strategic Plan, ICE\u2019s Strategic Plan, DOJ\u2019s Strategic Plan, DEA\u2019s Strategic Plan, OCDETF\u2019s Strategic Plan, the Department of State\u2019s Functional Bureau Strategies and the Western Hemisphere Affairs and Latin America and the Caribbean Joint Regional Strategy, and USAID\u2019s Country Development Cooperation Strategies for Colombia and Peru. We also interviewed ONDCP and agency officials about the development of these strategies. We interviewed ONDCP officials about, and obtained documentation describing, the roles of the National Heroin Coordination Group and the Cocaine Coordination Group, and we identified the roles of other working groups through agency interviews and documents. To understand how agencies coordinated efforts and cooperate with foreign partners, we visited the U.S. Southern Command and the Joint Interagency Task Force South in Miami and Key West, Florida, and interviewed officials at both locations. Additionally, in discussions with officials from the other agencies we reviewed, we asked whether the agencies cooperated with foreign partners.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: U.S. Agencies That Conduct Western Hemisphere Counternarcotics Activities", "paragraphs": ["The Office of National Drug Control Policy coordinates the National Drug Control Program and develops the National Drug Control Strategy, which is implemented by a number of U.S. government agencies. The following summarizes the Western Hemisphere counternarcotics activities of key National Drug Control Program agencies and their components as well as the Federal Bureau of Investigation (FBI).", "The Department of Defense (DOD) maintains the lead role in detecting and monitoring aerial and maritime transit of illegal drugs into the United States and plays a key role in collecting, analyzing, and sharing intelligence on illegal drugs with U.S. law enforcement and international security counterparts. DOD supports other interdiction activities with the use of its assets. DOD also provides counternarcotics foreign assistance to train, equip, and improve the counternarcotics capabilities of relevant agencies of foreign governments.", "The Department of Homeland Security (DHS) is responsible for U.S. policies related to interdiction of illegal drugs entering the United States from abroad. Key agencies within DHS that participate in counterdrug activities include the following:", "Customs and Border Protection (CBP) is the lead agency for border security and is responsible for, among other things, keeping terrorists and their weapons; criminals and their contraband, including drugs; and inadmissible aliens out of the country. CBP is responsible for border security at ports of entry; the 6,000 miles of land borders between ports of entry; and nearly 2,700 miles of coastal waters surrounding the Florida Peninsula and Puerto Rico.", "Immigration and Customs Enforcement\u2019s (ICE) primary mission is to promote homeland security and public safety through the enforcement of federal laws governing border control, customs, trade, and immigration. ICE\u2019s office of Homeland Security Investigations investigates immigration crime; human rights violations and human smuggling; smuggling of narcotics, weapons, and other types of contraband; financial crimes; cybercrime; and export enforcement issues.", "The Coast Guard is the lead federal agency for maritime drug interdiction in the Transit Zone. The Coast Guard provides resources to the Joint Interagency Task Force South, generally including major cutters, maritime patrol aircraft, and helicopters capable of deploying airborne use of force.", "The Department of Justice (DOJ) is responsible for federal law enforcement and to ensure public safety against foreign and domestic threats, including illegal drug trafficking. The following are DOJ\u2019s primary agencies that focus on international drug control activities:", "The Drug Enforcement Administration (DEA) is the nation\u2019s federal agency dedicated to drug law enforcement and, accordingly, works to disrupt and dismantle the leadership, command, control, and financial infrastructure of major drug- trafficking organizations. DEA operates around the world to disrupt drug-trafficking operations; dismantle criminal organizations; enforce the drug-related laws of the United States; and bring to justice those organizations and individuals involved in the growing, manufacture, or distribution of illicit drugs destined for the United States.", "The Federal Bureau of Investigation (FBI) conducts its counternarcotics activities under the agency\u2019s broader strategy to counter transnational criminal organizations by targeting their command-and-control structures as well as the support networks that facilitate the smuggling of illicit goods, including drugs, into the United States.", "The Organized Crime and Drug Enforcement Task Forces\u2019 (OCDETF) primary goal is to identify, investigate, and prosecute the transnational, national, and regional criminal organizations most responsible for the illegal drug supply in the United States, the diversion of pharmaceutical drugs, and the violence associated with the drug trade. It effectively leverages the resources and expertise of its seven federal agency members.", "The Department of State\u2019s Bureau of International Narcotics and Law Enforcement Affairs develops, funds, and manages counternarcotics and law enforcement assistance programs to help reduce the entry of illicit drugs into the United States and minimize the impact of international crime on the United States.", "The U.S. Agency for International Development supports the U.S. counternarcotics effort through alternative development programs that help farmers find legal sources of income through licit crops such as cacao and coffee and that provide technical assistance, such as training in modern farming techniques and access to capital for investment in equipment."], "subsections": []}, {"section_title": "Appendix III: Selected Agencies\u2019 Obligations for Counternarcotics Activities in Fiscal Years 2010-2015", "paragraphs": ["The Department of Defense (DOD), the Department of Homeland Security\u2019s Immigration and Customs Enforcement (ICE), the Department of Justice\u2019s Federal Bureau of Investigation (FBI), the Department of State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL), and the U.S. Agency for International Development (USAID) provided data showing their obligations for counternarcotics activities in the Western Hemisphere. The Drug Enforcement Administration (DEA) provided data showing a portion of its counternarcotics obligations for salaries and expenses associated with DEA agents posted overseas.", "DOD data show obligations for counternarcotics activities by the U.S. Northern Command and the U.S. Southern Command, which have responsibility over the Western Hemisphere. Table 4 contains the commands\u2019 counternarcotics obligations for fiscal years 2010 through 2015.", "Table 5 shows the U.S Northern Command\u2019s and U.S. Southern Command\u2019s counternarcotics obligations in support of foreign partners in the Western Hemisphere, by country, for fiscal years 2013 through 2015.", "Table 6 shows ICE expenditures for counternarcotics investigations and intelligence activities conducted by ICE agents for Western Hemisphere drug cases, by country, during fiscal years 2010 through 2015.", "Table 7 shows DEA obligations for salaries, expenses, and administrative costs for DEA personnel located in 30 Western Hemisphere countries during fiscal years 2010 through 2015.", "Table 8 shows OCDETF reimbursements to the FBI for expenditures related to its investigations of transnational Central American, South American, Mexican, and Caribbean crime organizations; drug-smuggling and money-laundering organizations; alien-smuggling organizations; and drug-related public corruption cases in the Western Hemisphere, as well as headquarters administration expenses, for fiscal years 2010 through 2015.", "Table 9 shows INL obligations for counternarcotics activities in 13 Western Hemisphere countries and for two regional programs in the Western Hemisphere, the Central America Regional Security Initiative, and the Caribbean Basin Security Initiative, during fiscal years 2010 through 2015.", "Table 10 lists USAID\u2019s obligations for alternative development projects in four countries in the Western Hemisphere during fiscal years 2010 through 2015."], "subsections": []}, {"section_title": "Appendix IV: U.S. Agencies\u2019 Planning for Western Hemisphere Counternarcotics Efforts", "paragraphs": ["National Drug Control Program agencies\u2019 planning for counternarcotics efforts in the Western Hemisphere is represented in a variety of strategic documents, which may be broad or targeted, depending on their mission. For example, the Department of Defense\u2019s (DOD) 2011 Counternarcotics and Global Threats Strategy focuses primarily on the department\u2019s efforts to combat narcotics trafficking and transnational organized crime. DOD officials indicated that they are currently updating the strategy. Similarly, the Coast Guard\u2019s 2014 Western Hemisphere Strategy includes counternarcotics as part of the agency\u2019s broader regional mission. According to Coast Guard officials, the Coast Guard does not plan to update its strategy.", "The Department of Homeland Security (DHS) has several strategic documents that relate to its components\u2019 counternarcotics activities, as described below:", "Customs and Border Protection\u2019s Vision and Strategy 2020 incorporates counternarcotics efforts as part of its mission to facilitate legitimate trade and safeguard land, air, and maritime borders.", "Immigration and Customs Enforcement also has a specific goal, protecting the homeland against illicit trade, travel, and finance, including an objective targeting drug-trafficking organizations in its Homeland Security Investigations\u2019 Strategic Plan Fiscal Years 2012- 2016.", "The Department of Justice\u2019s (DOJ) Fiscal Years 2014-2018 Strategic Plan includes the Drug Enforcement Administration\u2019s (DEA) goal of disrupting and dismantling major drug-trafficking organizations within a much broader set of law enforcement missions.", "DEA\u2019s Fiscal Years 2009-2014 Strategic Plan indicates the agency has focused on international and domestic drug-trafficking and money-laundering organizations identified as having the most significant impacts internationally and domestically, known as \u201cConsolidated Priority Organization Targets\u201d and \u201cPriority Targeted Organizations.\u201d In addition, DEA\u2019s Drug Flow Attack Strategy, developed in 2009, identifies vulnerable chokepoints to disrupt the flow of drugs. DEA officials indicated they are updating the strategy.", "DOJ also released a Strategy for Combating the Mexican Cartels in January 2010, which was designed to be consistent with the National Drug Control Strategy and the National Southwest Border Counternarcotics Strategy. The DOJ strategy\u2019s 10 objectives include (1) reduce the flow of narcotics and other contraband entering the United States, (2) strengthen Mexico\u2019s operational capacities and enhance its law enforcement institutions, (3) increase bilateral cooperation between Mexico and the United States on fugitive capture and extradition activities, and (4) increase intelligence and information sharing among law enforcement agencies in the United States and Mexico to achieve focused targeting of the most significant criminal organizations.", "DOJ\u2019s Organized Crime Drug Enforcement Task Forces (OCDETF) has a long-term drug enforcement strategy for using its prosecutor- led, multiagency task forces in the field to conduct intelligence-driven, coordinated, multijurisdictional prosecutions and investigations. Specifically, OCDETF member agencies focus on Consolidated Priority Organization Targets\u2014that is, \u201ccommand and control\u201d organizations representing the most significant drug-trafficking and money-laundering organizations threatening the United States. OCDETF member agencies also pursue organizations identified as regional priorities because they have a significant impact on the illicit drug supply within a specific region.", "Officials in the Department of State\u2019s (State) Bureau of International Narcotics and Law Enforcement Affairs (INL) stated that the bureau uses a variety of strategic planning documents in its efforts to address counternarcotics in the Western Hemisphere.", "INL\u2019s Functional Bureau Strategy includes the broad objective of reducing illicit drug production and drug demand, along with other activities such as working with the United Nations Office of Drug and Crime.", "The Western Hemisphere Affairs and Latin America and the Caribbean Joint Regional Strategy, which focuses on a goal of a secure and democratic future for all citizens in Latin America and the Caribbean, includes interdiction goals for specific drugs such as opium gum (used for producing heroin) and cocaine.", "Integrated Country Strategies at posts and INL Country Plans are focused strategies, targeting, for example, the eradication of a specific number of hectares of coca or the seizure of a certain number of metric tons of illicit drugs and precursor chemicals.", "The U.S. Agency for International Development (USAID) does not have a specific strategy related to counternarcotics and instead relies on the Office of National Drug Control Policy\u2019s National Drug Control Strategy to help guide its alternative development activities in countries confronting illicit drug production and trafficking, according to USAID officials. USAID\u2019s targeted efforts are described in its Country Development Cooperation Strategies for Colombia and Peru, where alternative development efforts are currently underway. The Colombia strategy describes the U.S. government\u2019s development assistance in support of Colombian efforts to continue its transition out of conflict. According to the Colombia strategy, investments under several of its development objectives would help create conditions for alternative livelihoods and legal behaviors, contributing to broader U.S. and Colombian efforts to address drug trafficking. The Peru strategy includes alternatives to illicit coca cultivation as a development objective in specific regions, supporting the overall goal of strengthening stability and democracy through increased social and economic inclusion, reductions in illicit coca cultivation, and the illegal exploitation of natural resources. USAID conducted operations focused on alternative development in Bolivia until May 2013, when the mission closed."], "subsections": []}, {"section_title": "Appendix V: U.S. Agencies\u2019 Cooperation with Foreign Partners to Reduce Drug Trafficking in the Western Hemisphere", "paragraphs": ["Cooperation with foreign partners is a crucial element in addressing changing narcotics conditions in the Western Hemisphere. For example, the Department of State\u2019s (State) Bureau of International Narcotics and Law Enforcement Affairs (INL), the U.S. Agency for International Development (USAID); the Department of Homeland Security\u2019s (DHS) Coast Guard and Customs and Border Protection (CBP); and the Department of Justice\u2019s (DOJ) Drug Enforcement Administration (DEA) and Federal Bureau of Investigation (FBI) work with host nation counterparts on a variety of counternarcotics efforts.", "U.S. assistance programs to disrupt the flow of cocaine and other harmful products are designed to build capacity of judicial, law enforcement, and treatment institutions in partner countries, according to INL\u2019s 2017 International Narcotics Control Strategy Report. These programs are carried out through the Central America Regional Security Initiative, the Caribbean Basin Security Initiative, and the M\u00e9rida Initiative. Key activities of these programs include drug interdiction cooperation, especially maritime-based efforts in Central America and the Caribbean; law enforcement capacity building; anticorruption initiatives and support; and enhanced prosecution and judicial reform strengthening efforts. For example: In Mexico, as of September 2016, M\u00e9rida Initiative funding had supported 238,000 federal, state, and municipal police officers\u2019 standardized training in their role as first responders in the country\u2019s new criminal justice system, according to INL\u2019s report. The report also stated that as of 2016, Mexico had seized over 230 metric tons of illegal drugs and over $50 million in illegal currency with M\u00e9rida- funded equipment and training.", "In Central America, State has provided targeted assistance to help enhance the ability of local partners to interdict drug shipments, disrupt trafficking networks, and control domestic production, according to State officials. For example, State officials reported that State had partnered with DEA to support local vetted police units to interdict drug shipments and investigate traffickers. According to the officials, the 20-officer Maritime Interdiction Vetted Unit in Costa Rica interdicted 1,151 kilograms of cocaine in April 2017, and similar units in Guatemala seized 2,532 kilograms of cocaine in June 2017. In addition, according to State officials, INL assisted the Guatemalan counternarcotics police in developing an opium poppy eradication program that resulted in the destruction of 1,000 acres of poppy cultivation in a 2-month period in the spring of 2017. Moreover, State officials reported that a State-provided wiretapping system and associated training allowed Costa Rican prosecutors to convict seven Sinaloa cartel members in May 2017, shutting down an operation that, according to State officials, had been sending 14 metric tons of cocaine per year to the United States.", "USAID also relies on international partnerships to implement its alternative development activities. For example, USAID reported that it plans to continue its mitigation of drug-related security threats in Peru by replicating successes it had in the country\u2019s San Martin region and in other coca-growing regions in collaboration with the government of Peru and other U.S. government agencies, in its Peru Country Development Cooperation Strategy for 2012 through 2016. Results from the Monzon Valley in Peru also demonstrate how foreign partnerships can impact the illicit drugs trade. USAID focused its alternative development assistance on the coca stronghold of the Monzon Valley, which once supported about 10,000 hectares of coca, from 2013 to 2015. The average income was about $1.89 per day per person, well below the national extreme poverty line of $2.20 per day per person in 2013. Households that remained under assistance during the strategy period saw a 53-percent increase in income. Moreover, the percentage of assisted families in extreme poverty dropped by 25 percent, from 55 percent to 30 percent. Coca cultivation dropped by more than 91 percent in all areas where recent coca eradication was followed by sustained alternative development assistance, according to the United Nations Office on Drugs and Crime. The Central Intelligence Agency\u2019s Crime and Narcotics Center recorded a less robust, but still impressive, reduction of 64 percent over the same period, according to USAID officials. Furthermore, USAID officials noted that while its resources for alternative development in Peru diminished, the budget for the National Commission for Development and Life without Drugs, Peru\u2019s development organization, grew from $15 million in 2011 to $38 million during 2014 and 2015.", "In Colombia, USAID reported in its 2014-2018 Country Development Cooperation Strategy that it is trying to address the need for licit economic opportunities by supporting cocoa, specialty coffee, rubber, and dairy sectors in former coca-growing areas, which would help create the conditions for alternative livelihoods and legal behaviors for small producers in areas vulnerable to coca cultivation and drug production, contributing to broad U.S. government and Colombian efforts to address drug trafficking. This alternative development work increased under Plan Colombia, with USAID and the government of Colombia working together on several large-scale rural development projects. Three programs evolved that incorporate public and private partnerships to facilitate economic growth from 2006 to 2017. The first program reportedly generated 250,000 new jobs by investing in agricultural sectors such as rubber, cacao, and African palm enterprises as well as hotels and tourism. The second program supported the provision of grant subsidies to agricultural value-chains, linking small farmer associations with national and international private-sector buyers. In the 2013 selection round, for example, more than 30 selected projects included crops and products such as cacao, rubber, fruits, dairy, and meat. In the third program, USAID carried sustainable development by encouraging private-sector investment in target areas. For example, USAID focused on developing alliances with key private-sector leaders in the coffee and cacao sectors in the former sector by raising yields and quality and addressing infrastructure needs especially in conflict-prone zones. Today, Colombia is the world\u2019s largest producer of premium-quality Arabica beans, according to USAID. Likewise, fine cocoa is a successful crop in Colombia, with a growing world demand, according to USAID. The Colombian cocoa industry is relatively small, with 25,000 farmers producing about 42,000 tons, or 0.2 percent of the global market. However, about 85 percent of Colombian cocoa is from \u201cfine\u201d species, giving Colombia a 3-percent share of global fine cocoa exports. USAID also developed a private investment equity fund, providing capital to small- and medium-sized enterprises in Colombia. The fund is now an independent, for-profit enterprise providing small- and medium-sized Colombian enterprises with capital and operational support.", "The Coast Guard\u2019s efforts to support foreign partners include its Multilateral Maritime Counter Drug Summits, where U.S. and foreign partners meet to discuss operational and legal issues. The summits are attended by U.S. agencies including, among others, DEA, CBP, the Department of Defense\u2019s Joint Interagency Task Force South, State, and DOJ. Representatives from Western Hemisphere countries, including Belize, Brazil, Canada, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, and Peru, among others, also attend the summits. For example, at a summit held in May 2016, Mexico briefed about its judicial system\u2019s transition to an adversarial system, and Honduras briefed about its successes using increased penalties for money-laundering violations, when it is proven that the money is from drug trafficking, according to a Coast Guard document. On the operational side, Panama made presentations on regional operations, and the U.S. Coast Guard presented on capacity building for counterdrug operations, among other efforts. Other issues\u2014such as how to leverage increased maritime awareness regionally resulting from investments by partner nations in radar and the linking of vessel-tracking technologies along their coastlines with the Joint Interagency Task Force South\u2019s Cooperative Situational Information Integration system\u2014are discussed at these meetings.", "DHS cooperates with foreign partners in variety of ways to target emerging counternarcotics threats, as follows: ICE\u2019s Homeland Security Investigations works with foreign partners to (1) coordinate criminal investigations, including those related to counternarcotics; (2) disrupt criminal efforts to smuggle people and material, including drugs into the United States; and (3) build international partnerships through outreach and training. In ONDCP\u2019s fiscal year 2017 Budget and Performance Summary report, ICE established a target of 29 percent of transnational drug investigations resulting in the disruption or dismantlement of high-threat, transnational drug-trafficking organizations or individuals for fiscal year 2015. According to the report, ICE fell short at 15 percent but indicated there were several reasons, including a methodology that allowed double counting; as a result, the methodology was revised.", "CBP also has a network of attach\u00e9s and advisors, who serve in U.S. diplomatic missions and act as liaisons between law enforcement components such as DEA; the FBI; and DOJ\u2019s Bureau of Alcohol, Tobacco, Firearms and Explosives. Attach\u00e9s and advisors also work with foreign partners building capacity and provide training, technical assistance, and mentoring on border security, according to CBP officials. For example, CBP has trained over 1,000 Panamanian customs and law enforcement officers since 2014. Also, since February 2017, CBP helped vet, train, and mentor a unit of Peruvian intelligence analysts. Twenty tons of cocaine have been seized since the unit was created, according to CBP officials.", "CBP\u2019s National Targeting Center hosts representatives from participating foreign agencies and works with these international liaisons and other U.S. government agencies to detect and disrupt narcotic-smuggling operations, drug-trafficking organizations, and their associates. According to agency officials, in fiscal years 2015 and 2016, the center\u2019s efforts with foreign partners led to results in the Western Hemisphere such as discovery and seizure of over 100 kilograms of cocaine, identification of a previously unknown foreign company suspected of narcotics involvement, and seizure of counterfeit identification documents destined to the United States with links for possible bank fraud and the illicit money laundering.", "DOJ works with foreign country counterparts to conduct bilateral investigations and support joint counterdrug operations, among other things, such as the following:", "DEA\u2019s special agents, who work at embassies or consulates overseas, conduct bilateral investigations with their foreign counterparts. These special agents also carry out institution-building activities with their counterparts.", "DEA reported that it provides investigative equipment and training, in large part through its Sensitive Investigative Units in selected countries, including Mexico and Colombia. The Sensitive Investigative Units seek to create focused, well-trained, and vetted drug investigative and intelligence units, targeting the most significant drug- trafficking organizations affecting the United States. DEA sees the program\u2019s impact as building international cooperation, facilitating institution building and professional development, and improving judicial processes.", "DEA\u2019s International Drug Enforcement Conference is another venue for cooperation with foreign partners. The conference brings senior international drug law enforcement officials together, in regional and bilateral meetings where, according to DEA, topics such as cross- border coordination of operations, intelligence sharing, and joint training activities are addressed. According to INL\u2019s 2017 International Narcotics Control Strategy Report, at a meeting in Peru, in April 2016, geographical regional and multiregional working groups identified collective targets, agreed upon multilateral counterdrug enforcement and interdiction operations, and assessed the progress and evaluated intelligence on existing and emerging targets. The 2015 Caribbean Border Counternarcotics Strategy noted that the DEA-led International Drug Enforcement Conference is a forum for building coalitions between U.S. federal law enforcement and foreign counterparts and that within the Caribbean, law enforcement officials from over 20 nations participate in the annual meetings to discuss regional investigative targeting efforts.", "One measure DEA tracks as contributing to ONDCP\u2019s National Drug Strategy is the number of international, domestic, and diversion priority targets linked to consolidated priority organization targets it disrupts or dismantles. In ONDCP\u2019s fiscal year 2017 Budget and Performance Summary, DEA reported that in fiscal year 2015, it set a goal of disrupting or dismantling 440 targets linked to consolidated priority organization targets and achieved 356 of these targets. DEA indicated that it did not achieve its goal due to budgetary constraints.", "FBI legal attach\u00e9s carry out capacity-building programs, providing equipment and training to enhance foreign partners\u2019 ability to combat criminal activity connected to transnational criminal organizations, according to FBI officials. These officials stated that FBI-trained and - vetted investigative units in Colombia and the Dominican Republic target the most significant criminal organizations affecting the United States.", "The FBI conducts multiple trainings with Mexican law enforcement as a means of developing contacts and fostering cooperative relationships with its law enforcement counterparts in Mexico, according to FBI officials. These officials noted that the FBI\u2019s ability to advance investigations with a nexus south of the border is greatly enhanced through these contacts. According to these officials, the FBI also sponsors numerous trainings throughout Latin America to enhance its foreign partners\u2019 ability to deal with the increasing transnational organized crime threat."], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Juan Gobel (Assistant Director), Julie Hirshen (Analyst-in-Charge), Lynn Cothern, Martin De Alteriis, Neil Doherty, Mark Dowling, Reid Lowe, and Shirley Min made key contributions to this report. Dawn Locke and Diana Maurer provided technical support."], "subsections": []}]}], "fastfact": ["Most of the illicit drugs consumed in the United States come from other countries in the Western Hemisphere. For example, most of the heroin and cocaine reaching the U.S. market originates in Mexico and Colombia, respectively. Congress established the Western Hemisphere Drug Policy Commission in 2016 to evaluate the activities of U.S. counternarcotics programs in the region.", "We reviewed these activities and found that, between 2010 and 2015, federal agencies spent about $39 billion to counter drug trafficking in the Western Hemisphere. There have also been a variety of federal efforts to collect and share best practices from these activities."]} {"id": "GAO-18-493", "url": "https://www.gao.gov/products/GAO-18-493", "title": "Military Space Systems: DOD's Use of Commercial Satellites to Host Defense Payloads Would Benefit from Centralizing Data", "published_date": "2018-07-30T00:00:00", "released_date": "2018-07-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, DOD spends billions of dollars to develop, produce, and field large, complex satellites. For such satellite systems, a single adversary attack or on-orbit failure can result in the loss of billions of dollars of investment and significant loss of vital capabilities. As DOD plans new space systems and addresses an increasingly contested space environment, it has the opportunity to consider different acquisition approaches. One such approach is to integrate a government sensor or payload onto a commercial host satellite.", "House Armed Services Committee report 115-200, accompanying a bill for the Fiscal Year 2018 National Defense Authorization Act, included a provision for GAO to review DOD's use of commercially hosted payloads. This report (1) determines the extent to which DOD uses commercially hosted payloads and (2) describes and assesses factors that affect their use.", "GAO reviewed DOD policies, documentation, and planning documents, and interviewed a wide range of DOD and civil government officials, and commercial stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO and others have found that using commercial satellites to host government sensors or communications packages\u2014called payloads\u2014may be one way DOD can achieve on-orbit capability faster and more affordably. Using hosted payloads may also help facilitate a proliferation of payloads on orbit, making it more difficult for an adversary to defeat a capability. Since 2009, DOD has used three commercially hosted payloads, with three more missions planned or underway through 2022 (see figure below).", "DOD estimates that it has achieved cost savings of several hundred million dollars from using commercially hosted payloads to date, and expects to realize additional savings and deliver faster capabilities on orbit from planned missions. Cost savings can result from sharing development, launch, and ground system costs with the commercial host company.", "Among the factors that affect DOD's use of hosted payloads are", "a perception among some DOD officials that matching government payloads to commercial satellites is too difficult; and", "limited, fragmented knowledge on how to mitigate various challenges", "GAO found that further opportunities to use hosted payloads may emerge as DOD plans new and follow-on space systems in the coming years. However, DOD's knowledge on using hosted payloads is fragmented, in part because programs are not required to share information. In 2011, the Air Force created a Hosted Payload Office to provide expertise and other tools to facilitate matching government payloads with commercial hosts. However, GAO found that DOD programs using hosted payloads are not required and generally do not provide cost and technical data, or lessons learned, to the Hosted Payload Office, or another central office for analysis. Requiring programs that use hosted payloads agency-wide to provide this information to a central location would better position DOD to make informed decisions when considering acquisition approaches for upcoming space system designs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD require programs using commercially hosted payloads to contribute resulting data to a central location. In implementing this recommendation, DOD should assess whether the Air Force's Hosted Payload Office is the appropriate location to collect and analyze the data. DOD concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, the Department of Defense (DOD) spends billions of dollars to develop, produce, and field its space systems. These systems provide the government with critical intelligence information, communication and navigation methods, weather data, and other capabilities vital to military and civilian agencies and commercial industry. As satellites have become more complex, they have required larger investments of money and time to develop, produce, and launch. Some satellites, which have taken more than a decade to develop due in part to their size and complexity, contain technologies that are obsolete by the time they are launched. Additionally, in recent years, threats to DOD space systems have emerged, including anti-satellite weapons, communications jamming, and increased environmental hazards in space, such as orbital debris. A single adversary attack, on-orbit problem, or launch failure of a DOD satellite can result in the loss of billions of dollars of investment and a significant loss of capability.", "DOD is currently planning new and follow-on space systems for some of its major space programs that are in production or have been fielded. As such, program officials have the opportunity to consider fresh approaches for acquiring space-based capabilities that may be more cost-effective, place technologies on orbit more quickly, and potentially offer added resilience and augmented capabilities to allay emerging threats. Both the 2010 National Space Policy and the 2013 National Space Transportation Policy call on federal agencies to explore the use of inventive, nontraditional arrangements for acquiring commercial space services. One such arrangement is to place a government payload\u2014such as a sensor or a communications package\u2014on a commercial host satellite. In addition to launching with the host satellite, the hosted payload uses available resources from the host satellite, such as power and communication systems. The hosted payload approach allows both the government and commercial entity to capitalize on shared development and launch costs, potentially reducing overall costs for both. The House Armed Services Committee report 115-200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 contained a provision for GAO to review DOD\u2019s use of hosted payloads. This report (1) determines the extent to which DOD uses commercially hosted payloads and (2) describes factors that affect DOD\u2019s use of hosted payloads and assesses how DOD is addressing them.", "To determine the extent to which DOD uses commercially hosted payloads, we reviewed DOD documentation of prior, current, and future plans to use hosted payloads, including budget documentation and informational briefings. We analyzed program office planning documents, including management directives, hosted payload user guides, lessons learned, and analyses of alternatives study guidance. We also studied tools used to identify hosted payload opportunities and program contract documents, including the 2014 Hosted Payload Solutions multiple award indefinite delivery indefinite quantity vehicle. Because our review focused on commercially hosted payloads, we did not assess DOD\u2019s efforts to host its payloads on other government agency satellites. We interviewed DOD officials from the offices of the Under Secretaries of Defense for Acquisition and Sustainment, and Policy; the Office of the Secretary of Defense Cost Assessment and Program Evaluation; DOD\u2019s Chief Information Officer; Missile Defense Agency; the Navy\u2019s Program Executive Office for Space Systems and Space and Naval Warfare Systems Command; and research and development organizations, including the Defense Advanced Research Projects Agency and Naval Research Laboratory. Additionally, we conducted interviews with Air Force personnel from Air Force Space Command, the Space and Missile Systems Center\u2019s Hosted Payload Office (HPO), and the Space Test Program.", "To describe and assess the factors that affect DOD\u2019s use of commercially hosted payloads, we examined applicable policies, strategy documents and briefings, including the 2010 National Space Policy, 2013 National Space Transportation Policy, and the Air Force\u2019s Space Warfighting Construct. To understand logistical, technical, and other considerations for using commercially hosted payloads, we reviewed program documents on commercially hosted payload arrangements from DOD and interviewed the organizations listed above. We also interviewed officials in the Departments of Commerce and Transportation, as well as the National Aeronautics and Space Administration (NASA). Finally, we interviewed a broad range of industry stakeholders, including commercial satellite manufacturers and owner/operators, and industry associations\u2014 such as the Satellite Industry Association and the Hosted Payload Alliance\u2014to understand perspectives on the factors that affect the use of commercially hosted payloads. We compared DOD efforts to address factors affecting their use of commercially hosted payloads to criteria established in our work on strategic sourcing best practices as well as our work on duplication, overlap, and fragmentation.", "We conducted this performance audit from July 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Commercially Hosted Payloads", "paragraphs": ["DOD defines a hosted payload as an instrument or package of equipment\u2014a sensor or communications package, for example\u2014 integrated onto a host satellite, which operates on orbit making use of the host satellite\u2019s available resources, including size, weight, power, or communications. A commercially hosted DOD payload is a DOD payload on a commercial satellite. In general, hosted payloads may be either experimental or operational. Experimental payloads demonstrate new or existing technologies on orbit for potential use on future operational space systems. Operational payloads deliver required capabilities to end users. Hosted payload arrangements may be unsuitable for some missions. For example, some payloads may be too large or need too much power for a host satellite to feasibly accommodate, or may require unique satellite maneuvers that, if exercised, would negatively affect a host satellite\u2019s primary mission. Civil government agencies, like NASA and the National Oceanic and Atmospheric Administration (NOAA), have used or have plans to use commercially hosted payloads. For more information on the commercially hosted payloads that civil agencies have used or plan to use, see appendix I."], "subsections": []}, {"section_title": "Potential Benefits of Using Commercially Hosted Payloads", "paragraphs": ["We and others have identified potential benefits of using commercially hosted payloads to gain space-based capability, such as:", "Cost savings\u2014Commercially hosted payloads may increase affordability because the government payload owner pays for only a portion of the satellite development and shared launch and ground systems costs, rather than for the entire system. Also, smaller, lighter, and less complex systems may shorten procurement timelines, reduce research and development investment, and reduce risk in technology development. Some government agencies have reported saving hundreds of millions of dollars to date from using innovative arrangements such as hosted payloads.", "Faster on-orbit capability\u2014Because commercial satellites tend to take less time from concept development to launch than DOD systems do and have relatively frequent launches, hosting government payloads on commercial satellites may achieve on-orbit capability more quickly.", "Increased deterrence and resilience\u2014Distributing capabilities across more satellites increases the number and diversity of potential targets for an adversary and may make it more difficult for an adversary to decide which assets to attack, serving as a deterrent. Additionally, more frequent launches could increase DOD\u2019s ability to reconstitute its satellite groups\u2014or constellations\u2014more quickly in case of unexpected losses of on-orbit capabilities. Recent strategic and policy guidance government-wide and at DOD have stressed the need for U.S. space systems to be survivable, or resilient, against intentional and unintentional threats\u2014both types of which have increased over the past 20 years. Intentional threats can include purposeful signal jamming, laser dazzling and blinding of satellite sensors, missiles intended to destroy satellites, and ground system attacks. Some unintentional threats to satellites are created by the harsh space environment itself, like extreme temperature fluctuations and radiation, and the growing number of satellites, used rocket parts, and other space debris on orbit, which could collide with orbiting satellites.", "Continual technology upgrades and industrial base stability\u2014 New technologies may be continually incorporated into space systems using hosted payloads, which may be uniquely suited for higher rates of production and launches than traditional DOD satellites. Using commercial satellites for government payloads could help maintain the U.S. commercial space industry\u2019s ongoing technology developments by maintaining stable business and incentivizing new companies to enter the marketplace. Further, increased production may be distributed over multiple contractors\u2014including traditionally lower-tier contractors\u2014to foster more competition.", "As we reported in October 2014, hosted payloads are among several avenues DOD is considering to increase the resilience of its satellites in the face of growing threats. DOD has been looking at ways to break up larger satellites into multiple smaller satellites or payloads after decades of building large, complex satellites to meet its space-based requirements. The broader concept of breaking up larger satellites into smaller ones is known as disaggregation. In 2014, we reported that DOD lacked critical knowledge about the concept of disaggregation, including how to quantify a broad range of potential effects. At the time, for example, DOD did not have common measures for resilience, which we found is a key consideration in making a choice as to whether to continue with a current system architecture or to change it. Recently, senior DOD officials have also made public statements that indicate a willingness to consider innovative acquisition approaches so that acquisition timelines can be reduced. For example, in a 2016 strategic intent document, the Commander of Air Force Space Command stated that the Air Force should seek innovative acquisition approaches that leverage DOD\u2019s buying power across the industry. Additionally, the Secretary of the Air Force stated that the Air Force is exploring more affordable and innovative ways to acquire its satellite communication services through investments in commercial industry and international partnerships."], "subsections": []}, {"section_title": "Matching Payloads with Commercial Host Satellites", "paragraphs": ["Opportunities to match a DOD payload with a commercial host can arise in various ways. DOD may first develop a payload and seek to match it with a commercial host, DOD may work in tandem with a commercial company to develop a payload to be hosted, or commercial companies\u2014 likely the satellite owner, operator, or system integrator\u2014can first identify upcoming satellite hosting opportunities to DOD. In each scenario, the DOD program (or payload owner) and the commercial host generally consider the basic properties of both the payload and host satellite in attempting to find a match. These properties\u2014including the size, weight, area, power, and required orbital characteristics of the payload and host satellite\u2014should be complementary to create an arrangement that is mutually compatible for each party, according to Aerospace Corporation recommendations and officials we spoke with. Specifically, these properties include:", "The size of the payload when it is stowed and when it is deployed on orbit, including the available area on the host satellite;", "The available weight and mass distribution the host satellite can", "The available power on the host satellite;", "The thermal requirements of the payload and corresponding capability of the host satellite;", "The requirements to limit electromagnetic interference\u2014disturbances that affect electrical circuits on the payload and host satellite;", "The available command, telemetry, and mission data rate requirements of the payload and corresponding capability of the host satellite;", "The compatibility of interfaces between the payload and host satellite;", "The pointing accuracy and stability of the host satellite; and", "The necessary orbits, including altitude and inclination.", "Other considerations when matching a DOD payload with a host satellite are the compatibility of radio frequency spectrum (spectrum) needs between the payload and host, and the satellite\u2019s intended orbital location. Spectrum is a natural resource used to provide essential government functions and missions ranging from national defense, weather services, and aviation communication, to commercial services such as television broadcasting and mobile voice and data communications. The frequencies, or frequency bands, of spectrum have different characteristics that make them more or less suitable for specific purposes, such as the ability to carry data long distances or penetrate physical obstacles. Each frequency band has a limited capacity to carry information. This means that multiple users operating at approximately the same frequency, location, and time have the potential to interfere with one another. Harmful interference occurs when two communication signals are either at the same frequencies or close to the same frequencies in the same vicinity, a situation that can lead to degradation of a device\u2019s operation or service. As such, a payload or satellite\u2019s specific placement in any given orbit could potentially interfere with a neighboring payload or satellite in the same orbit.", "In the United States, the National Telecommunications and Information Administration (NTIA) of the Department of Commerce is responsible for establishing policy on regulating federal government spectrum use and assigning spectrum bands to government agencies. The Federal Communications Commission (FCC) allocates spectrum and assigns licenses for various consumer and commercial purposes. Additionally, all government and commercial satellite programs must apply for approval to operate at a given orbital location using a given band of spectrum internationally through the International Telecommunication Union (ITU). The ITU is an agency of the United Nations and coordinates spectrum standards and regulations."], "subsections": []}, {"section_title": "The Air Force\u2019s Hosted Payload Office", "paragraphs": ["In 2011, the Air Force created the Space and Missile Systems Center\u2019s (SMC) Hosted Payload Office (HPO) to provide acquisition architectures that achieve on-orbit capability more quickly and affordably. The HPO uses various resources and capabilities to meet its objectives:", "Hosted Payload Solutions Contract: In 2014, SMC established the Hosted Payload Solutions (HOPS) multiple award indefinite delivery indefinite quantity (IDIQ) vehicle. According to HPO documents, SMC established the contract\u2014available to all DOD and civil agencies\u2014to streamline commercially hosted payload arrangements by selecting a pool of commercial vendors that government payload owners can use to access space on commercial host satellites. Programs do not have to use HOPS, however, and may contract with commercial companies directly. The HOPS vehicle includes 14 vendors across the commercial satellite industry. SMC awarded task orders for studies to each of the vendors with a contract to gather information on potential host opportunities, orbits and launch schedules, cost estimates for hosting fees, and existing host satellite interfaces.", "Feasibility Studies: Using the information it gathered from the 14 vendor studies, the HPO stated that it built a database to provide information on potential satellite hosts and the suitability of certain payloads for host opportunities, including cost estimates. The HPO stated that it can use this information to assess the feasibility of a hosted payload opportunity for interested SMC space programs. The HPO also conducts feasibility studies for interested programs based on publicly available information and from industry requests for information.", "Hosted Payload Interface Design guidelines: The HPO published hosted payload interface design guidelines to provide technical recommendations for hosted payload developers. According to HPO officials, the intent of these guidelines is to reduce integration costs and improve the host-ability of all hosted payloads.", "Hosted Payload Data Interface Unit: The HPO is developing a secure hosted payload data interface unit to protect payload data from unauthorized access by the host. Following its release of draft documentation to industry stakeholders in March 2018, the HPO is currently integrating National Security Agency requirements into its request for data interface unit prototype proposals. According to HPO officials, the office plans to issue a request for prototype proposals in May 2018, integrate a data interface unit and payload in 2020, and launch the integrated system in 2022.", "Hosted Payload Expertise: The HPO provides general advice and expertise to programs in the form of hosted payload architectural studies, input on acquisition planning and strategy documents, and other research efforts, according to the office."], "subsections": []}]}, {"section_title": "DOD Has Used Commercially Hosted Payloads Three Times and Three More Missions Are Planned or Underway", "paragraphs": ["Since 2009, DOD has launched three experimental payloads on commercial host satellites and plans to conduct three more missions through 2022, as shown in figure 1. DOD estimates that it has achieved cost savings of several hundred million dollars from these experimental payloads. According to DOD officials, DOD expects to realize additional cost savings and be able to place capabilities on orbit more quickly from several hosted payload efforts that are planned or underway. Opportunities for additional hosted payload efforts may arise in the near term amid DOD planning for upcoming and follow-on space systems."], "subsections": [{"section_title": "DOD Has Used Commercial Satellites to Host Three Experimental Payloads", "paragraphs": ["Since 2009, DOD has placed experimental payloads\u2014intended to test or demonstrate an on-orbit capability\u2014for three programs on commercial host satellites. Several officials within DOD told us that experimental payloads tend to be smaller, less expensive, and their missions more risk- tolerant than traditional operational DOD payloads. In these ways, they said experimental payloads are better-suited to hosting arrangements than operational DOD payloads. The Air Force has not yet used the HOPS multiple award IDIQ vehicle\u2014which was awarded to facilitate commercially hosted payload arrangements\u2014to match a government payload with a commercial host. The HPO told us that, in 2019, NASA and NOAA will be the first agencies to use the HOPS vehicle to find a host satellite for two of their payloads. Table 1 describes the three experimental payloads hosted on commercial satellites to date. For more information on civilian agencies that use or plan to use commercially hosted payloads, see appendix I.", "Air Force officials told us that using commercial host satellites for their experimental payloads has saved several hundred million dollars across these programs and shortened timelines for launching payloads into space. For example, the HPO estimated that the Air Force saved nearly $300 million by using a commercial host satellite for its Commercially Hosted Infrared Payload (CHIRP), as compared to acquiring the same capability using a dedicated, free-flying satellite. In addition, Air Force officials estimated that using commercial host satellites for its Responsive Environmental Assessment Commercially Hosted (REACH) effort saved the Air Force approximately $230 million. The REACH effort consists of over 30 payloads hosted on multiple satellites. Further, because of the commercial host\u2019s launch schedule, the Air Force achieved its on-orbit capability sooner than if it had acquired free-flying satellites. In April 2013, we found that the Internet Protocol Routing in Space (IRIS) payload, launched in 2009, was a commercially hosted payload pilot mission that would provide internet routing onboard the satellite, eliminating the need for costs associated with certain ground infrastructure."], "subsections": []}, {"section_title": "DOD Has Three Commercially Hosted Payload Efforts Planned or Underway", "paragraphs": ["DOD and Air Force officials told us they are planning to pursue commercially hosted payloads for three programs in the coming decade to achieve cost savings and on-orbit capability more quickly. In each case, officials said they have identified cost and schedule benefits for their respective programs. For example, the Missile Defense Agency (MDA) stated that it expects to save approximately $700 million compared to the cost of traditional, free-flying satellites by acquiring its Spacebased Kill Assessment capability as payloads on commercial host satellites, and expects to achieve on-orbit capability years earlier than if it had acquired dedicated satellites for these payloads. Additionally, a program official from the Defense Advanced Research Projects Agency (DARPA) told us DARPA plans to use a commercially hosted payload for the Phoenix Payload Orbital Delivery effort to test more affordable ways to access space. Moreover, Air Force officials told us they expect to save $900 million over free-flying satellites by using two Space Norway satellites to fly an Enhanced Polar System Recapitalization payload. Space Norway plans to launch its satellites in 2022, which the Air Force expects will allow it to meet its need for DOD\u2019s required capability. See table 2 for additional details on DOD\u2019s planned hosted payloads.", "Additional opportunities for commercially hosted payloads may be forthcoming as DOD develops requirements and designs for new and follow-on space programs. DOD has been analyzing various alternatives to explore possible future space system designs and acquisition strategies for several of its upcoming follow-on programs. In these cases, the analysis of alternatives (AOA) study guidance, set forth by DOD\u2019s Office of Cost Assessment and Program Evaluation, included direction for the studies to consider new approaches for acquiring space capabilities. For example, AOA guidance directed study teams to include hosted payloads or other disaggregated designs, and commercial innovations in technology and acquisition to meet some space mission requirements. Table 3 provides further details of recently completed and ongoing AOAs to study new designs\u2014or architectures\u2014for upcoming follow-on satellite systems."], "subsections": []}]}, {"section_title": "Logistical and Data Challenges Contribute to Limited Use of Hosted Payloads", "paragraphs": ["Two factors have contributed to DOD\u2019s limited use of commercially hosted payloads. First, DOD officials identified logistical challenges to matching government payloads with any given commercial host satellite. For example, most of the offices we spoke with cited size, weight, and power constraints, among others, as barriers to using hosted payloads. Second, while individual DOD offices have realized cost and schedule benefits, DOD as a whole has limited information on costs and benefits of hosted payloads. Further, the knowledge it has gathered is fragmented across the agency\u2014with multiple offices collecting piecemeal information on the use of hosted payloads. The limited knowledge and data on hosted payloads that is fragmented across the agency has contributed to resistance among space acquisition officials to adopting this approach."], "subsections": [{"section_title": "DOD Officials Cite Logistical Challenges to Matching Payloads to Hosts", "paragraphs": ["DOD acquisition officials within the Office of the Secretary of Defense told us matching requirements between government payloads and commercial satellites is typically too difficult for programs to overcome. Specifically, they said the cumulative complexity of matching size, weight, power, and spectrum needs; aligning government and commercial timelines; and, addressing concerns over payload control and cybersecurity amounts to too great a challenge.", "DOD\u2019s Hosted Payload Office is developing tools designed to help address these challenges and DOD offices that have used hosted payloads have also found ways to overcome them."], "subsections": [{"section_title": "Matching Size, Weight, and Power", "paragraphs": ["Officials from DOD acquisition and policy offices, as well as Air Force and industry officials we spoke with, cited matching size, weight, and power between DOD payloads and commercial host satellites as a challenge. We similarly found in April 2013 that ensuring compatibility between payloads and host satellites can pose challenges because not all commercial satellites are big enough or have enough power to support hosting a payload. Whether a host satellite can accommodate a payload can depend on the size of the payload. Additionally, according to industry representatives, the space taken up by the hosted payload affects the amount of revenue-generating payloads the host may place on its satellite, such as additional transponders\u2014devices that emit and receive signals\u2014for the communications services it provides to customers. The complexity of integrating a government payload onto a commercial host can also drive the overall cost of the arrangement.", "However, officials said these challenges can be mitigated through the use of various expertise and lessons learned. HPO officials and industry representatives have proposed several approaches to help match properties like size, weight, and power between a DOD payload and a commercial host satellite. The HPO is developing a hosted payload interface unit that could potentially provide a standard for payload developers and system integrators to develop and test their systems. One commercial company proposed an interface unit that would accommodate a \u201cuniversal\u201d DOD payload. Additionally, industry experts stated that with sufficient planning and time for system integration, nearly any payload can be accommodated on a host satellite.", "The HPO issued guidelines in 2017 to assist DOD payload developers in working toward typical payload requirements and standards for host satellites in low Earth orbit and geostationary Earth orbit. These guidelines inform the payload\u2019s electrical power and mechanical designs. The principal guideline\u2014echoed by the successful CHIRP demonstration in 2011\u2014is that the hosted payload must \u201cdo no harm\u201d to the mission performance of its host. Also, satellite interfaces can vary from company to company. Some commercial companies had experience with the task\u2014and business opportunity\u2014of integrating multiple customers\u2019 payloads onto satellites since at least the 1990s."], "subsections": []}, {"section_title": "Matching Spectrum Needs", "paragraphs": ["Air Force, HPO, and industry officials told us that, ideally, the payload should use the same spectrum allocation as the commercial host. They said that this is due in part to the lengthy satellite registration process that takes place in the United States and through the ITU that must be undertaken prior to placing a satellite on orbit. Some DOD officials added that the process for all new satellites from initial filing to ITU approval takes around 7 years. If a satellite owner registers for one frequency band of spectrum and later requires a different band, the owner has to begin the registration process from the beginning\u2014restarting the 7-year timeline. This can be problematic for DOD payload owners seeking to match their military communications payload with an already-registered host satellite\u2014particularly if the host satellite\u2019s spectrum allocation is incompatible with the DOD payload. HPO and other DOD officials said that very different spectrum needs between payload and host would therefore preclude the match.", "Moreover, a need for military\u2014as opposed to commercial\u2014spectrum for communications payloads can introduce additional complications. Although a process exists for a commercial satellite owner to license military spectrum for use by a hosted payload, representatives from DOD\u2019s Chief Information Officer\u2019s (CIO) office could cite only one instance where this has happened. One possible explanation stems from a 2012 memorandum from DOD\u2019s CIO that outlines various preferred processes for a commercial host satellite to host military communications payloads. Several industry officials we spoke to said that the various processes outlined in the 2012 memorandum would add to the already-lengthy process of spectrum registration. Further, the memorandum instructs that contractual terms between the payload and host satellite owners should restrict all military spectrum use exclusively to the U.S. military. However, one industry official told us that international entities do not necessarily recognize U.S. military spectrum, and commercial companies that obtain licenses through other countries are permitted to use those frequencies. For example, a senior official of one commercial company we met with stated that the company licensed U.S. military spectrum through another North Atlantic Treaty Organization government after failing to successfully coordinate an FCC request with DOD and NTIA. DOD and industry representatives told us that from a business perspective, it makes little sense for a commercial company to seek hosting opportunities for DOD payloads that require U.S. military spectrum."], "subsections": []}, {"section_title": "Matching Government and Commercial Development and Acquisition Timelines", "paragraphs": ["Government and industry officials we spoke with said that aligning the development and acquisition timelines of a government payload and commercial host satellite is a challenge. The timeline associated with developing government sensors is generally much longer than that of commercial satellites, potentially creating difficulties in scheduling and funding commercially hosted payload arrangements. For example, DOD satellite systems take, on average, over 7 years to develop and launch a first vehicle, while commercial satellite programs typically take between 2 and 3 years. DOD payload owners may find it challenging to accelerate development and acquisition schedules to match those of the commercial satellite host. Additionally, DOD officials we spoke with said that their budget and planning processes require funding commitments up to 2 years in advance of actually receiving those funds. This can further complicate alignment with commercial timelines because the development of a government sensor would need to be underway well in advance of a decision to fund a commercially hosted payload approach. Furthermore, federal law generally prohibits agencies from paying in advance for a future service or from obligating future appropriations.", "However, several DOD and other government agency officials we spoke with said that it is possible to align government and commercial timelines. For example, MDA adopted the commercial host\u2019s schedule to ensure its Spacebased Kill Assessment payload was ready for integration and launch without delaying the host satellite or worse\u2014missing its own ride to space. DARPA officials told us they were also able to align DARPA acquisition and development schedules with the commercial host. The Air Force\u2019s Enhanced Polar System (EPS) Recapitalization program officials were able to leverage existing documents such as requirements documents and acquisition strategies from the predecessor program to speed up the acquisition process. According to Air Force officials, the EPS Recapitalization program had a unique opportunity to take advantage of the availability of a commercial host and had the support of a high ranking Air Force official that enabled the program to move forward using a commercially hosted payload approach."], "subsections": []}, {"section_title": "Maintaining Payload Control and Cybersecurity", "paragraphs": ["Some officials cited concerns with combining government and commercial space missions. For example, officials across DOD told us they were wary of losing control over a hosted payload should a commercial company\u2019s needs change. They said that theoretically, a commercial provider could decide to turn off power to the government\u2019s payload if the host satellite needed extra power to perform a certain function. Additionally, DOD space program officials expressed concern that commercial practices for ensuring the mission success of the payload may not be up to government standards\u2014that commercial testing and integration standards may be less robust than those used by traditional government programs to ensure success, adding risk to the government payload. Furthermore, officials in one DOD program office expressed a distrust of commercial host motives in offering to support a government payload on their satellite, suggesting that a company could be intending to steal government technologies. However, industry officials we spoke with said that DOD can generally issue a solicitation that includes necessary stipulations. For example, including a condition to preserve the payload\u2019s priority of mission and other terms to protect the government\u2019s investment may provide some assurance to those officials that perceive security risks.", "Additionally, some officials we spoke to cited cybersecurity concerns. They cited loss of control over data security as a challenge to using hosted payloads. Officials told us the data could be vulnerable to eavesdropping or manipulation as it travels between government ground systems and the commercially hosted government payload. However, according to HPO officials, the Air Force overcame this challenge on the CHIRP mission by procuring a secure interface that provided a data link between the payload and dedicated transponder and ground terminal. As mentioned previously, the Hosted Payload Office is developing a hosted payload data interface unit to mitigate this challenge by securing payload data communications from the host satellite."], "subsections": []}]}, {"section_title": "Department-wide Information on Commercially Hosted Payloads Is Limited and Fragmented Across Offices", "paragraphs": ["DOD, at the department-wide level, has limited information on commercially hosted payloads\u2014mostly due to a lack of experience in using hosted payloads and complexities associated with them. For example, acquisition officials in the Office of the Secretary of Defense told us that DOD needs more data and analysis of the potential costs and benefits. However, realistic cost modeling for commercially hosted DOD payloads is unavailable because costs can vary across potential hosts and DOD has minimal experience using commercial hosts. Similarly, the HPO performs market research and cost estimates based on data from commercial companies, but according to one official in the HPO, the costs tend to vary based on the supply and demand in the commercial satellite industry. Additionally, HPO officials said their cost savings analyses are based on only two real-world commercially hosted DOD payloads\u2014 CHIRP and REACH. HPO officials told us that with additional government data they could compare the costs of system architectures that include free-flier satellites with those that use commercially hosted payloads. Additionally, some potential benefits of using commercially hosted payloads, such as resilience, may be difficult to measure. In our 2014 report on disaggregation, we recommended that DOD define key measures related to disaggregation, including developing metrics to measure resilience. DOD is in the process of developing standard metrics for resilience.", "DOD\u2019s knowledge of commercially hosted payloads is also fragmented across the agency. Several DOD offices are independently conducting activities related to commercially hosted payloads, such as pursuing commercially hosted payload arrangements, developing lessons learned, and determining demand for commercial hosts. For example, MDA officials told us they have developed cost and technical data and lessons learned based on MDA\u2019s Spacebased Kill Assessment payload\u2014 launched earlier this year\u2014but have not shared it across the agency. On the other hand, the Space Test Program, also housed within the Air Force\u2019s SMC develops lessons learned on its payloads, which are government payloads on government host satellites and officials there told us they provide lessons learned to the HPO. In October 2017, SMC\u2019s Launch Office sent a request for data on hosted payloads to DOD agencies, research laboratories, and universities, but the HPO was not an active participant in this request. Independent efforts within DOD to collect and analyze cost, schedule, and performance results from hosted payloads can create fragmentation in DOD\u2019s knowledge base and can increase the risk of duplicative efforts within DOD.", "DOD does not collect or consolidate agency-wide knowledge on commercially hosted payloads and has no plans to do so. Agency officials stated that DOD does not require programs outside of SMC to consult the HPO when seeking commercially hosted payload arrangements. The Air Force established the HPO to facilitate commercially hosted payloads, however, the 2011 Program Management Directive that established the HPO states that the HPO will coordinate with SMC directorates for detailed implementation of hosted payloads but does not address coordination with agencies or directorates outside of SMC. According to an HPO official, programs are not required to use HPO expertise or tools as they pursue using hosted payloads. Further, this official stated that programs are not required to provide any data or lessons learned to the HPO, or any other central point within DOD, following the pursuit or completion of a hosted payload arrangement. The 2011 Program Management Directive directs the HPO to provide lessons learned to SMC directorates but does not direct SMC offices to share information\u2014 such as costs, technical data and lessons learned on completed commercially hosted payload efforts\u2014with the HPO. An HPO official indicated that the HPO obtains data through informal communication with those programs using hosted payloads that are willing to share data.", "We found that limitations and fragmentation of data and knowledge are contributing to resistance within DOD to using hosted payloads. Several DOD acquisition and program officials we spoke with who did not have experience with hosted payloads generally stated that the potential risks to using hosted payloads outweighed the benefits, and that there was little evidence-based analysis to prove otherwise. They were not aware of existing tools that could assist them in making decisions even though the HPO has been developing these tools and has made efforts to share them within SMC. DOD acquisition and program officials consistently cited a preference for maintaining the acquisition status quo over introducing any perceived added risk to their programs. At the same time, however, officials who have used hosted payloads were able to overcome logistical and technical challenges and realize cost savings. However, according to an HPO official, there is currently no requirement in place to facilitate sharing their approaches to doing so. We have reported in the past that DOD\u2019s culture has generally been resistant to changes in space acquisition approaches and that fragmented responsibilities for acquisitions have made it very difficult to coordinate and deliver interdependent systems.", "Moreover, our past studies of commercial strategic sourcing best practices have found that that leading companies centralize procurement decisions by aligning, prioritizing, and integrating procurement functions within the organization. Establishing the Hosted Payload Office is one step in this direction, but the office is organized under the Advanced Systems and Development Directorate\u2014a research and development organization\u2014under SMC. Moreover, the 2011 directive that established the HPO does not address coordination or responsibilities for agencies or directorates beyond SMC. Consolidating knowledge is important because it allows organizations to share information and data upon which to develop consistent procurement tactics, such as ways to overcome challenges in matching a government payload with a commercial host. As we found in our work on commercial strategic sourcing best practices, organizations that struggled with fragmented information in the past overcame this challenge in part by consolidating their data on costs and spending. While hosted payload acquisitions are not a typical service acquisition, successful organizations have found that these techniques work for highly specialized technical services for which few suppliers exist."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As DOD considers new architectures and acquisition approaches, commercially hosted payloads have the potential to play a role in delivering needed capabilities on orbit more quickly and at a more affordable cost than traditional DOD space acquisitions. Placing DOD payloads on commercial satellites might also be an effective method by which to increase resiliency. However, DOD\u2019s experience and the data collected so far are limited in informing decisions on the use of these payloads. DOD would benefit from leveraging the knowledge and information gained from each hosted payload experience. Centralized collection and assessment of agency-wide data would help enable DOD to mitigate the logistical challenges inherent in matching payloads to hosts, and better position DOD to make reasoned, evidence-based decisions on whether a hosted payload would be a viable solution to meet warfighter needs. Without such knowledge, and a way for interested programs to leverage it, DOD may not be fully informed about using hosted payloads and may risk missing opportunities to rapidly and affordably address emerging threats in space."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Defense should require programs using hosted payloads to provide cost and technical data, and lessons learned to a central office. In implementing this recommendation, DOD should consider whether the Hosted Payload Office is the most appropriate office to centralize agency-wide knowledge. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Commerce, NASA, and DOD for comment. The Department of Commerce provided technical comments, which we incorporated as appropriate. NASA did not have comments on our draft report. In its written comments, DOD concurred with our recommendation and stated that SMC had initiated a major reorganization since we drafted our report and that under the new organizational construct, the Hosted Payload Office had changed and may not be the appropriate office for centralizing DOD-wide hosted payload knowledge. DOD\u2019s comments are reproduced in appendix II. DOD also provided technical comments which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Commerce, the Secretary of Defense, the Administrator of NASA, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or by email at chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Civil and Other Agency Commercially Hosted Payloads", "paragraphs": ["As shown in table 4, civil and other government agencies use commercially hosted payloads to enhance navigation systems, monitor environmental pollution, conduct scientific missions, and improve search and rescue systems. Officials from all of the agencies we spoke with cited cost savings and the ability to leverage existing commercial schedules and technologies among the reasons they use commercial host satellites."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Cristina T. Chaplain (202) 512-4841 or chaplainc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rich Horiuchi (Assistant Director), Erin Cohen (Analyst in Charge), Claire Buck, Jon Felbinger, Stephanie Gustafson, Matthew Metz, Sylvia Schatz, and Roxanna Sun made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Defense spends billions of dollars a year on satellites that provide critical communications, reconnaissance, and other capabilities.", "We found that DOD may be able to save money and add capabilities faster by paying private companies to host government sensors or other equipment on their satellites. DOD estimates it has already saved hundreds of millions of dollars from this cost-sharing approach.", "We recommended that DOD gather data in a central location from its programs that use these commercially hosted payloads. Assessing this data could help DOD make reasoned, evidence-based decisions on future host satellite use."]} {"id": "GAO-18-68", "url": "https://www.gao.gov/products/GAO-18-68", "title": "Health Insurance Exchanges: Changes in Benchmark Plans and Premiums and Effects of Automatic Re-enrollment on Consumers' Costs", "published_date": "2017-11-14T00:00:00", "released_date": "2017-12-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["During open enrollment, eligible returning consumers may re-enroll in their existing health insurance exchange plan or choose a different plan. Those who do not actively enroll in a plan may be automatically reenrolled into a plan. According to the Department of Health and Human Services, automatic re-enrollment is intended to help ensure consumers' continuity in coverage. However, some have questioned whether automatic reenrollment could have unintended financial consequences for consumers.", "GAO was asked to review automatic reenrollment and benchmark plans. GAO examined 1) the extent to which plans identified as benchmark plans remained the same plans from year to year, and how premiums for benchmark plans changed; 2) the proportion of exchange consumers who were automatically re-enrolled into the same or similar plans, and how these proportions compared to those for consumers who actively re-enrolled, and 3) the extent to which consumers' financial responsibility for premiums changed for those who were automatically re-enrolled compared to those who actively re-enrolled.", "GAO reviewed relevant guidance and analyzed county-based data from the Centers for Medicare & Medicaid Services (CMS) for the 37 states that used the federal information platform, healthcare.gov, from 2015 through 2017. GAO also interviewed CMS and ASPE officials and analyzed information from ASPE on reenrollment from 2015 to 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["Through the exchanges established under the Patient Protection and Affordable Care Act, consumers can directly compare and select among health plans based on a variety of factors, including premiums. Most consumers who purchase health plans through the exchanges receive tax credits to help them pay for their premiums. The value of a consumer's premium tax credit is based, in part, on the premium for the benchmark plan, which is the second lowest cost option available in the consumer's local area within the exchange's silver metal tier (one of four metal tiers that indicate the value of plans). Because plan premiums and plan availability can change over time, the benchmark plan in each local market can also change over time. GAO analyzed changes in benchmark plans and premiums from 2015 through 2017 and found:", "In most of the nearly 2,600 counties included in the analysis, the plans identified as benchmark plans, and the premiums for these plans, changed from year to year. For example, in 85 percent of counties, the 2015 benchmark plans were not benchmark plans in either 2016 or 2017.", "Gross benchmark premiums (exclusive of tax credits) increased from year to year, and increases were higher from 2016 to 2017 than they were from 2015 to 2016.", "Premium tax credits would limit the costs of increasing premiums for most consumers, though some consumers, including those not eligible for premium tax credits, would have incurred more or all of the higher premium costs.", "During the annual open enrollment period, consumers who do not make an active plan selection are automatically reenrolled into their existing plan or, if that plan is no longer available, they are generally re-enrolled into a similar plan if one has been identified. GAO analyzed information from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) for consumers enrolled in both 2015 and 2016 and found:", "About 30 percent of consumers were automatically re-enrolled in 2016, while the remaining 70 percent chose to actively re-enroll.", "Median net monthly premiums\u2014what consumers paid after premium tax credits\u2014increased less from 2015 to 2016 for those who actively enrolled ($5) than for those who were automatically reenrolled ($22), although there was variation. Our findings are consistent with other work by ASPE that suggests that consumers consider possible cost savings when deciding to switch plans.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 2014, millions of consumers have purchased individual market health insurance plans through the health insurance exchanges\u2014or marketplaces\u2014established under the Patient Protection and Affordable Care Act (PPACA). These consumers purchase health insurance for a variety of reasons, including being self-employed or a small business owner, or because their own employer does not offer insurance. Through the exchanges, consumers can directly compare and select among health plans based on a variety of factors, such as premiums and provider networks. PPACA also established requirements for the benefits that must be covered by health plans\u2014referred to as essential health benefits\u2014and required issuers to market their plans according to defined categories (or metal tiers) that indicate the extent to which the plans would be expected to cover the costs of consumers\u2019 medical care.", "Each year, there is an open enrollment period during which new consumers may enroll for coverage and consumers who are already enrolled in an exchange plan may re-enroll into that plan or choose a different plan. Eligible consumers who do not make an active re-enrollment selection are to be automatically re-enrolled in their existing plan if it remains available. If that plan is no longer available, they are generally automatically re-enrolled in a similar plan if one was identified, or the consumers would have to actively re-enroll if a similar plan was not identified. We refer to the similar plans into which automatic re-enrollees were enrolled if their original plan was no longer available to them as a \u201csimilar crosswalked plan\u201d throughout this report. According to guidance from the Department of Health and Human Services\u2019 (HHS) Centers for Medicare & Medicaid Services (CMS), the automatic re-enrollment process was established to help ensure continuity in coverage. This process can help ensure that continuity, but because the exchanges are dynamic and plan availability and premiums can change from year to year, some have questioned whether it could have unintended financial consequences for consumers.", "PPACA includes a variety of provisions related to the exchanges that could impact what consumers pay for their health insurance. For example, most consumers purchasing health insurance through the exchanges are eligible for premium tax credits that can reduce their out-of-pocket payments for premiums. The amount of this credit is based on the consumer\u2019s household income relative to the cost of premiums for the second lowest cost silver plan available to the consumer\u2014referred to as a benchmark plan\u2014even if the consumer chooses to enroll in a different plan. A consumer who is eligible for the tax credit and enrolled in a benchmark plan is responsible for paying a premium amount that is limited to a certain percentage of his or her income, and the tax credit generally covers the rest of the premium. If, however, the consumer enrolls in a plan with a higher premium than the benchmark plan premium, then the tax credit does not increase and the consumer must make up the difference. In contrast, if the consumer enrolls in an eligible plan with a lower premium than the benchmark plan premium, the tax credit generally does not decrease and the consumer\u2019s payments would be lower than if enrolled in the benchmark plan. Because plan premiums and plan availability can change over time, the benchmark plan in each local market can also change from year to year. Therefore, a consumer enrolled in a benchmark plan in one year who is re-enrolled, either actively or automatically, into the same plan the following year may find that it is no longer the benchmark plan, and so may have to pay a lower or higher share of income on premiums. Consumers who actively re-enrolled in an exchange plan may have considered the financial implications of remaining in the same plan or switching to a new plan. Consumers who were automatically re-enrolled in an exchange plan, however, may not have taken those considerations into account.", "You asked us to examine various aspects of automatic re-enrollment and the potential implications for consumers. We examined: 1. the extent to which plans identified as benchmark plans remained the same plans or changed to different plans from year to year and how premiums for those plans changed; 2. the proportion of 2015 exchange consumers who were automatically re-enrolled in the same or similar crosswalked plans, and how those proportions compared to those for consumers who re-enrolled actively; and 3. the extent to which consumers\u2019 financial responsibility for premiums changed for those who were automatically re-enrolled compared to those who actively re-enrolled.", "To examine the extent to which plans identified as benchmark plans remained the same plans or changed to different plans from year to year, and how premiums for those plans changed, we reviewed relevant guidance and analyzed data maintained by CMS. These data included information about the qualified health plans and premiums available for individual market consumers in 2,598 counties in the 37 states that used the federal platform from 2015 through 2017. Specifically, we analyzed data from CMS\u2019s Qualified Health Plan Landscape files and Plan Attributes Public Use files to determine the plans and gross premiums (exclusive of any premium tax credits) offered to consumers through the exchanges during each year and to identify the likely benchmark plans by county and year. We also analyzed data from CMS\u2019s Plan ID Crosswalk Public Use files for the 2015 to 2016 and 2016 to 2017 transitions to map health plan and premium changes across years. For our analyses, we selected six consumer categories that represented a broad range of nonsmoking consumers who have shopped for individual market health insurance each year. They included individuals, aged 21; individuals, aged 27; couples, aged 30, with no children; individuals, aged 40, with one child; couples, aged 50, with 2 children; and individuals, aged 60. The premium amounts and supporting plan information in each data source used were self-reported by each issuer, and CMS required each issuer to comply with a data validation and attestation process.", "To determine the proportion of 2015 exchange consumers who were automatically re-enrolled in the same or similar crosswalked plans, how those proportions compared to those for consumers who actively re-enrolled, and the extent to which consumers\u2019 financial responsibility for premiums changed for those who were automatically re-enrolled compared to those who actively re-enrolled, we examined analyses conducted by HHS\u2019s Office of the Assistant Secretary for Planning and Evaluation (ASPE). Specifically, we examined analyses conducted as part of ASPE\u2019s previously issued work on 2015 and 2016 enrollment data from CMS\u2019s Multidimensional Insurance Data Analytics System (MIDAS), as well as new analyses that built upon that work. At our request and in accordance with specifications we provided, ASPE conducted additional analyses and provided information on the percentages of consumers who were automatically and actively re-enrolled in the same plans, similar crosswalked plans, or other plans during the 2015 to 2016 transition and the net change in monthly premiums, after the premium tax credit for these consumers. This information was based on plan selections for consumers enrolled in both 2015 and 2016 through exchanges using the federal platform for enrollment and eligibility as of February 1, 2016\u2014the day after open enrollment for health insurance in 2016 ended.", "To assess the reliability of the data on benchmark plans and premiums, we conducted a series of manual and electronic tests to identify missing data and other anomalies. These analyses were informed by our review of relevant documentation and interviews with knowledgeable officials from CMS. To assess the reliability of the data obtained from ASPE on re-enrollment during the 2015 to 2016 transition, we conducted a series of logic tests, including comparisons to ASPE\u2019s previously published data. We also reviewed relevant documentation and interviewed knowledgeable officials from ASPE and CMS. Using these methods, we determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from August 2016 to November 2017, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["There are several aspects of individual market plans sold through the exchanges for consumers to consider when selecting a plan, including: (1) metal tiers; (2) premium variation and plan availability; (3) covered benefits; and (4) premium tax credits. Current exchange consumers who are eligible for continued health insurance and do not actively select and enroll in a health plan for the subsequent year may be automatically re-enrolled in the same or a similar crosswalked plan."], "subsections": [{"section_title": "Considerations for Selecting and Enrolling in Individual Market Health Plans through the Exchanges", "paragraphs": ["Plans sold through exchanges are offered at one of four levels of coverage, or metal tiers\u2014bronze, silver, gold, and platinum\u2014that reflect the out-of-pocket costs that may be incurred by a consumer. The four metal tiers correspond to the plan\u2019s actuarial value\u2014a measure of the relative generosity of a plan\u2019s benefits that is expressed as a percentage of the covered medical expenses expected to be paid, on average, by the issuer for a standard population and set of allowed charges for in-network providers. The actuarial values of these metal tiers are as follows: bronze (60 percent), silver (70 percent), gold (80 percent), and platinum (90 percent). If an issuer sells a plan on an exchange, it must offer at least one plan at the silver level and one plan at the gold level. Issuers are not required to offer bronze or platinum plans.", "Premium Variation and Plan Availability As we have previously reported, the range of premiums for health plans offered through the exchanges can vary widely across counties and states, and the number and type of plans available in the health insurance exchanges vary from year to year. Issuers can add new plans and adjust or discontinue existing plans from year to year, or they can extend or restrict the locations in which plans are offered. As a result, the options available to consumers can change from year to year.", "PPACA requires that health insurance plans offered through the exchanges be certified as qualified health plans, meaning that they must provide essential health benefits, comply with cost sharing limits, and meet certain other requirements. Essential health benefits include items and services within ten categories. Some health insurance plans offered through the exchanges include benefits above and beyond the minimum requirements. For these plans, only the percentage of the plan premium that covers the essential health benefits is considered when determining the consumer\u2019s benchmark plan.", "Certain consumers purchasing health insurance through the exchanges are eligible for and receive premium tax credits that may reduce their out-of-pocket costs for premiums. To be eligible for premium tax credits, individuals and families must generally have a household income of at least 100, but no more than 400, percent of the federal poverty level (FPL).", "Consumers who are eligible for premium tax credits and enrolled in the benchmark plan are responsible for paying premiums that are generally limited to a percentage of household income, such that individuals and families with lower household incomes contribute a smaller portion of their income toward the health plan premium than individuals and families with higher incomes, and premium tax credits may be applied to only the portion of the premium that covers essential health benefits. For example, in 2016, the percentage of household income that consumers who were eligible for premium tax credits and who lived in the United States were expected to pay toward the portion of their premiums for their benchmark plan that covered essential health benefits was 2.03 percent for those at 100 percent of the FPL, 8.18 percent for those at 250 percent of FPL, and 9.66 percent for those at 400 percent of FPL. A consumer\u2019s required contribution to the premium is the amount of that benchmark plan premium that is not covered by the premium tax credit. (See table 1.)", "Although consumers\u2019 premium tax credit amounts are determined in part based on the cost of premiums for their local benchmark plan, the credit can also be applied towards the premiums for other eligible exchange plans. However, the premium tax credit available to consumers does not increase if they enroll in exchange plans with higher premiums than the local benchmark plan. In such cases, consumers are responsible not only for their required contribution but also for the difference in premiums. Similarly, if a consumer chooses to enroll in an exchange plan with lower premiums than the local benchmark plan premium, then the consumer\u2019s premium tax credit would also generally remain the same, so the consumer would pay less for that plan. The tax credit cannot, however, exceed the total value of the premium. Because most consumers enrolling in exchange plans are eligible for premium tax credits, most consumers\u2019 out-of-pocket premium costs are lower than the advertised cost of premiums. (See table 2.)"], "subsections": []}, {"section_title": "Process for Automatically Re-enrolling Consumers into Exchange Plans", "paragraphs": ["Re-enrollment in an exchange plan may occur through either an active choice by a consumer or through automatic re-enrollment by the exchange. Eligible returning consumers may enroll in a health insurance plan through the exchange each year during an open enrollment period. Federally facilitated exchanges automatically re-enroll eligible exchange consumers for the next year, unless their health insurance is terminated or the consumer makes an active plan selection. Through automatic re-enrollment a consumer is re-enrolled in the same plan for the next year if that plan remains available to him or her; if the same plan is no longer available (e.g., because the issuer decided to discontinue a particular plan or to stop offering the plan in certain locations), then the consumer is generally re-enrolled in a similar crosswalked plan. The criteria HHS established for identifying appropriate similar crosswalked plans have changed over time, but the similar crosswalked plan is typically the same metal tier level as the original plan. During the 2015 to 2016 transition, all similar crosswalked plans were plans offered by the same issuer as the original plan. If that issuer no longer offered an exchange plan, there was generally no crosswalked plan and automatic re-enrollment was not an option. Starting with the 2016 to 2017 transition, if the original issuer did not offer a similar plan, then automatic re-enrollment could be into a health plan offered by a different issuer, with plan similarity determined using established criteria.", "Both issuers and exchanges have had roles in informing consumers about the enrollment process. For example, prior to the start of the 2015 and 2016 open enrollment periods, both the exchange and health plan issuer were to provide current exchange consumers with general information about the upcoming enrollment period, including key dates and information regarding eligibility for re-enrollment. In addition, some consumers were also to receive special notices from the exchange that provided more detailed information regarding their application status, eligibility for enrollment and affordability programs, and potential effects on enrollment if they had not updated information about their income or eligibility or reviewed their re-enrollment options with the exchange prior to the end of the open enrollment period. Consumers who were automatically re-enrolled by an exchange were to receive an additional notice with updated information about their re-enrollment status. According to CMS officials, automatically re-enrolled consumers were provided with information about their new premium amount and any new advance premium tax credit amounts in a message confirming their enrollment."], "subsections": []}]}, {"section_title": "From 2015 to 2017, Most Plans Identified as Benchmark Plans Changed and Benchmark Plan Premiums Generally Increased", "paragraphs": ["In most of the nearly 2,600 counties included in our analysis, the plan that we identified as the benchmark plan changed from 2015 to 2017. For example, in 85 percent of the counties included in our analysis, the 2015 benchmark plans were not benchmark plans in either 2016 or 2017, the other 2 years we studied. The benchmark plan was the same plan in all 3 years in only 3 percent of counties. (See table 3.)", "In addition, benchmark plan premiums were more likely to increase than decrease from year to year, and increases were higher from 2016 to 2017 than they were from 2015 to 2016. Among all the counties in our analysis, the median change in monthly premiums for the benchmark plans was an increase of 11 percent from 2015 to 2016, and 28 percent 2016 to 2017. As shown in figure 1, the gross premiums for benchmark plans increased by more than 55 percent from 2016 to 2017 in 12.4 percent of the counties in our analysis but did not increase by more than 55 percent in any counties from 2015 to 2016. In contrast, although not particularly common, relatively stable or even decreasing premiums from year to year were more likely from 2015 to 2016 than from 2016 to 2017. Appendix I provides examples of median benchmark plan premiums for 2015, 2016, and 2017 for select groups of consumers. Because premium tax credits limit eligible consumers\u2019 payments for benchmark plan premiums to a percentage of their income, an increase in premiums may not increase their financial responsibility. Instead, for eligible consumers, the amount of the tax credit would increase. According to HHS, most exchange consumers have been eligible for these tax credits; those who were not eligible for tax credits would not have this protection from premium increases. The premium increases for consumers who were not eligible for premium tax credits, or for those who were eligible but who chose plans that had higher premiums than their benchmark plan premiums, could have had a more substantial financial impact, because premium tax credits would not have offset, or fully offset, the higher premiums.", "Although gross premiums for benchmark plans were likely to increase from 2015 to 2016 and from 2016 to 2017, we found that in many counties, the implications for automatically re-enrolled consumers were modest because net premiums\u2014after accounting for tax credits for those eligible for those credits\u2014were limited. We compared the 2016 premiums for plans that had been benchmark plans in 2015 to the 2016 benchmark plan premiums, and we compared the 2017 premiums for plans that had been benchmark plans in 2016 to the 2017 benchmark plan premiums. To focus this analysis on the potential effects for those who were automatically re-enrolled, we limited our comparisons to plans that were available in both years, or plans for which a similar crosswalked plan had been identified for the second year. For this analysis, we excluded plans that were benchmark plans in one year and were also benchmark plans, or were crosswalked to a benchmark plan, in the following year. We found that in many counties, the new premiums for plans that had been (but were no longer) benchmark plans differed only modestly from the new benchmark plan premiums. For example, in 60 percent or more of the counties in our analysis, the premium for the previous benchmark plan was within plus or minus about 7.5 percent of the new benchmark plan premium. This finding indicates that automatic re-enrollment from a benchmark plan into a plan that was not a benchmark plan did not necessarily result in substantially higher premiums compared to the premiums for the new benchmark plans, and the same would be true for consumers who actively chose their same or similar crosswalked plan.", "While modest premium differences were not uncommon in either year, figure 2 also shows that some differences were substantial. (See fig. 2.) Although consumers who were eligible for premium tax credits were somewhat insulated from large differences in premiums, if they were automatically re-enrolled in a plan with a premium that was higher than their benchmark plan premium, no matter how great the difference, they would have been be required to pay a larger share of their incomes on those premiums. And, as already noted, the premium differences for consumers who were not eligible for premium tax credits, or for those who were eligible but who chose plans that had higher premiums than their benchmark plan, could have had a more substantial financial impact because premium tax credits would not have offset, or fully offset, the higher premiums."], "subsections": []}, {"section_title": "Thirty Percent of Consumers Who Re-enrolled in 2016 Were Automatically Re-enrolled, and the Remaining Consumers Actively Re-enrolled, Generally into Different Plans", "paragraphs": ["Among consumers who were enrolled in plans through the federal platform in both 2015 and 2016, 30 percent (about 1.7 million consumers) were automatically re-enrolled. Of those consumers who were automatically re-enrolled, 71 percent were re-enrolled in their same plan and 29 percent were re-enrolled in a similar crosswalked plan, because their 2015 plan had been discontinued or was no longer offered in the consumer\u2019s local area. These data do not indicate whether these consumers explored their options for switching plans and made an active decision not to change plans.", "The remaining 70 percent of consumers who enrolled in exchange plans through the federal platform in both 2015 and 2016 (more than 3.9 million consumers) actively re-enrolled in 2016. Of these consumers, 39 percent chose the same plan in which they had been enrolled in 2015 or the similar crosswalked plan to which they would have been automatically re-enrolled. The majority of consumers who re-enrolled actively, 61 percent, switched to a plan that was neither their 2015 plan nor the similar crosswalked plan. (See fig. 3.) Of those consumers who actively switched plans, more than half (54 percent) would have been automatically re-enrolled in their same plan if they had not actively switched plans, indicating that plan discontinuation was not the only factor involved in consumers\u2019 decisions to change plans."], "subsections": []}, {"section_title": "Consumers\u2019 Financial Responsibility for Premiums Generally Increased Less with Active Re-enrollment than with Automatic Re-enrollment", "paragraphs": ["Consumers\u2019 median net monthly premiums (after premium tax credits) generally increased less from 2015 to 2016 for those who actively re-enrolled ($5) than for those who were automatically re-enrolled ($22). As shown in table 4, consumers who actively re-enrolled had a lower median increase in their net monthly premiums than consumers who were automatically re-enrolled for both the same and similar crosswalked plans. Moreover, table 4 also shows that consumers who re-enrolled actively, and who switched plans from 2015 to 2016, enrolled in plans with median monthly net premiums that increased the least overall\u2014a median net increase of $1 compared to $13 per month for those who enrolled in the same plan. In addition, the table shows that enrollment in a similar crosswalked plan did not generally result in a higher median net premium than enrollment in the same plan: whether enrollment was active or automatic, consumers\u2019 median net monthly premiums increased less for those who enrolled in a similar crosswalked plan than for those who enrolled in the same plan. Changes in net monthly premiums varied around these medians, however, with some consumers facing large increases or, in some cases, large decreases in their net monthly premiums. Large increases or decreases in net monthly premiums could result from changes to eligibility for tax credits, selections of plans of different metal levels, or other circumstances.", "Our findings are consistent with other work by ASPE that suggested that consumers consider possible cost savings when deciding to switch plans. For example, ASPE found that average net monthly premium for the 61 percent of consumers who actively switched plans in 2016 was $132, which represented an average savings of $42 per month compared to what they would have paid if they stayed in their same or similar crosswalked plans. This work also found that the net monthly premiums of consumers who actively chose to remain in their same or similar crosswalked plans in 2016 were, on average, only $10 more than those for consumers who actively switched plans. In addition, ASPE found that consumers\u2019 plan selections indicated sensitivity to net premiums. For example, ASPE found that consumers were much more likely to switch plans when the net premium of their 2015 plan increased than when the gross premium of their 2015 plan increased, but the net premium did not."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Acting Secretary of Health and Human Services and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Median Benchmark Plan Premiums for Select Groups of Consumers, 2015 through 2017", "paragraphs": ["Benchmark plan premiums generally increased from 2015 through 2017. Table 5 shows the median monthly gross benchmark plan premiums (exclusive of any applicable premium tax credits) for select consumer groups."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gerardine Brennan, Assistant Director; Kristen Joan Anderson, Analyst-in-Charge; Todd Anderson; and LaKendra Beard made key contributions to this report. Also contributing were Muriel Brown; Daniel Lee; Laurie Pachter; and Emily Wilson."], "subsections": []}]}], "fastfact": ["Under the Affordable Care Act, people purchasing insurance through an exchange can re-enroll each year. If they don't select a plan, they're automatically re-enrolled in their existing plan or a similar one, if available. In 2016, 30% of re-enrollments were automatic.", "We examined whether automatic re-enrollment could have unintended financial consequences for consumers. We found that, from 2015 to 2016, the median monthly premium increase for those who were automatically re-enrolled, after tax credits, was $22; for those who actively re-enrolled, the increase was $5, partly because they may have switched to less expensive plans."]} {"id": "GAO-18-140", "url": "https://www.gao.gov/products/GAO-18-140", "title": "FDA Medical Device Reviews: Evaluation is Needed to Assure Requests for Additional Information Follow a Least Burdensome Approach", "published_date": "2017-12-15T00:00:00", "released_date": "2018-01-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Determining that a new medical device is safe and effective is a substantial investment of time and resources for the sponsor and FDA, the agency that regulates medical devices. FDA relies on the device sponsor to provide supporting data at the time of its original submission, and the agency can request additional information during the review. The Federal Food, Drug, and Cosmetic Act, as amended, requires that when FDA requests additional information from sponsors, the agency consider the least burdensome means of evaluating a medical device.", "GAO was asked to provide information on FDA's implementation of the least burdensome requirements in its medical device review process. This report (1) describes FDA's requests for additional information and sponsor disagreements, (2) describes its least burdensome training efforts, and (3) describes FDA actions to improve its requests for additional information and examines the extent to which it has evaluated its implementation of the least burdensome requirements. GAO reviewed FDA documents and guidance and interviewed agency officials. GAO also interviewed officials from four relevant medical device manufacturing associations."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 1997, the Food and Drug Administration (FDA) has been required to consider the least burdensome means of evaluating certain types of medical devices for marketing, including when requesting that sponsors\u2014generally manufacturers\u2014seeking to market their medical devices provide information in addition to what was provided in their submissions. GAO found that, from 2001 through 2016, FDA issued letters asking sponsors to provide such information for a majority of the more than 62,000 medical device submissions that it reviewed. Sponsors may formally disagree with the request on the grounds that it is not the least burdensome method needed for FDA to review the submission. For example, sponsors appealed FDA decisions internally to agency management 63 times from 2013 through 2016, and of these, FDA identified 33 such appeals in which the sponsor raised an issue related to least burdensome requirements. FDA agreed or partially agreed with the sponsors in 11 of these appeals. Medical device industry representatives noted that these appeals may not fully represent the number of such disagreements, because applicants are generally concerned that an appeal would damage their relationship with FDA and potentially negatively affect future device applications.", "FDA provided staff training that was specifically dedicated to addressing the least burdensome requirements from 1997 through 1999. Since 1999, FDA has not offered a course dedicated to the least burdensome requirements, but has incorporated related concepts into other training programs, such as in a training mandatory for most new reviewers. In response to the 21st Century Cures Act, enacted in 2016, FDA is providing new least burdensome training to all relevant employees, and said that 80 percent had received the training as of October 2, 2017. Although FDA did not specifically evaluate the effectiveness of past training on least burdensome requirements, it is implementing an evaluation of all device-related training, including the new least burdensome training. It also plans to complete a required audit of training on least burdensome requirements by June 2018.", "FDA has not specifically evaluated implementation of the least burdensome requirements. However, in response to broader evaluations, such as an independent assessment of its medical device review process, the agency is in the early stages of developing processes that may improve its requests for additional information. For example, FDA plans to conduct an audit of letters requesting additional information. FDA is developing the audit's methodology and expects it will assess whether the agency's process was followed. However, due to their early stage, the extent to which these efforts will allow FDA to assess implementation of the least burdensome requirements is unclear. In 2002, FDA stated that it planned to periodically assess the implementation of the least burdensome principles, and federal internal control standards identify the importance of performance metrics for such assessments. However, the agency has yet to develop performance metrics to do so. Until such measures are developed and used, FDA will not be able to evaluate whether it effectively and consistently applies a least burdensome approach in its medical device reviews."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making one recommendation that FDA develop and use performance metrics to evaluate the implementation of the least burdensome requirements. The Department of Health and Human Services agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Food and Drug Administration (FDA), within the Department of Health and Human Services (HHS), is responsible for ensuring that medical devices sold in the United States provide reasonable assurance of safety and effectiveness and do not pose a threat to public health. Making this determination represents a substantial investment of time and resources for both FDA and the device sponsor, generally the manufacturer. For example, in 2014, FDA reviewed about 4,100 submissions from sponsors seeking to market their medical devices, and each review ranged from an average of 125 days for lower-risk devices to an average of 330 days for higher-risk devices. In making its assessment, FDA relies on the sponsor to provide supporting data at the time of its initial premarket submission and may thereafter request additional data in the course of the review to obtain sufficient evidence supporting the safety and effectiveness of the medical device. However, any request for additional information has the potential to impose undue burden on the sponsor and delay the review of the device, and sponsors may opt to formally disagree with the necessity of the requested information.", "Given the resource investment involved in getting a medical device to market, as well as the public health need, efforts have been made to streamline the decision-making process without compromising scientific integrity or FDA\u2019s ability to protect the public health. For example, Congress has already taken several steps to reduce unnecessary burdens associated with the medical device review process. For certain types of premarket submissions, federal law requires FDA to utilize the \u201cleast burdensome\u201d means possible in certain elements of the review processes of medical devices. FDA has laid out broad principles in guidance interpreting how those statutory provisions apply throughout its reviews. In 2016, Congress required FDA to provide training for appropriate staff on the meaning and implementation of the statutory least burdensome requirements and conduct periodic assessments of implementation to ensure that the least burdensome requirements are fully and consistently applied.", "You asked us to provide information on FDA\u2019s implementation of the least burdensome requirements, as well as any training FDA has done to ensure staff are aware of the statutory requirements. This report 1. describes FDA requests for additional information to support medical device reviews and how least burdensome requirements were related to sponsor disagreements about these requests, 2. describes FDA efforts to ensure that its employees are trained on the least burdensome requirements, and 3. describes the steps FDA has taken to improve its requests for additional information and examines the extent to which it has evaluated its implementation of the least burdensome requirements.", "To describe FDA requests for additional information to support medical device reviews and how least burdensome requirements were related to sponsor disagreements about these requests, we analyzed agency documents, such as FDA\u2019s guidance for industry and staff on the least burdensome provisions and FDA\u2019s annual performance reports. For fiscal year 2001 through fiscal year 2016, the years for which FDA had reliable data, we analyzed counts of medical device submissions received and reviewed by FDA, as well as FDA\u2019s requests for additional information from medical device sponsors. We also reviewed internal appeals and disputes of FDA decisions submitted by sponsors that FDA identified as being related to the least burdensome requirements. Information on internal appeals was limited to the period from May 2013 through fiscal year 2016. To assess the reliability of data FDA provided, we interviewed knowledgeable agency officials, conducted quality checks to identify any obvious errors, and compared the detailed data FDA provided to us with summary data that FDA had publicly reported on its website. We determined these data were sufficiently reliable for the purposes of our reporting objective. We also reviewed a non-generalizable sample of requests for additional information FDA issued to sponsors during the medical device review process. We interviewed FDA officials from the Center for Devices and Radiological Health (CDRH) responsible for reviewing medical devices. We also interviewed representatives of the medical device industry to obtain the industry\u2019s perspectives on how the least burdensome provisions have been involved in FDA\u2019s requests for additional information.", "To describe FDA efforts to ensure that its employees are trained on the least burdensome requirements, we asked FDA to identify any training activities for medical device review staff that related to the least burdensome requirements since they were first established with the enactment of the Food and Drug Administration Modernization Act of 1997 (FDAMA). For certain of those activities, we examined the specific course materials so we could further illustrate how these materials referred to the least burdensome requirements. We also reviewed documentation describing FDA evaluations of this training, as well as planned evaluations. We interviewed FDA officials about how training on the least burdensome requirements had changed and about the planned changes to least burdensome training and training evaluations.", "To describe the steps FDA has taken to improve its requests for additional information and examine the extent to which it has evaluated its implementation of the least burdensome requirements, we reviewed relevant statutes and guidance that set out relevant requirements for both reviewers and sponsors outlining FDA\u2019s implementation of the least burdensome requirements and its plans for evaluation of that implementation. We also reviewed documentation describing, and spoke with relevant FDA officials about, performance metrics that the agency uses to monitor its implementation of the least burdensome requirements and evaluations the agency had conducted or planned to conduct. We compared the extent to which FDA has evaluated its implementation of the least burdensome requirements with federal standards for internal control.", "We conducted this performance audit from November 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FDA Medical Device Review Process", "paragraphs": ["FDA classifies each medical device type intended for human use into one of three classes based on the level of risk it poses to the patient or the user and the controls necessary to reasonably ensure its safety and effectiveness. Examples of types of devices in each class include the following:", "Class I: tongue depressors, elastic bandages, reading glasses, and", "Class II: electrocardiographs, powered bone drills, and mercury", "Class III: pacemakers and replacement heart valves.", "Before medical devices may be legally marketed in the United States, they are generally subject to one of two types of FDA premarket review processes.", "Premarket approval (PMA) process: Class III device types are typically required to obtain FDA approval through the PMA process. Under this process, the medical device sponsor must submit an application that includes\u2014among other things\u2014full reports of investigations, typically including clinical data, providing reasonable assurance that the new device is safe and effective. The PMA process is the most stringent type of premarket review. A successful application results in FDA\u2019s approval to market the device. From 2001 through 2016, medical device sponsors submitted 651 PMA applications, and FDA approved for marketing 506 of those submissions. (See fig. 1.)", "Premarket notification, or 510(k), process: Most medical devices requiring premarket review are subject to FDA\u2019s premarket notification or 510(k) process. This includes class I and II device types that are not specifically exempted from the 510(k) notification requirement. Under this process, the medical device sponsor must notify FDA at least 90 days before it intends to market a new device and demonstrate to FDA that the new device is substantially equivalent to a predicate device, and therefore does not require a PMA. For most 510(k) notifications, clinical data are not required and substantial equivalence will normally be determined based on comparative descriptions of intended device uses and technological characteristics, and may include performance data. A successful 510(k) submission results in FDA\u2019s clearance to market the device. From 2001 through 2016, medical device sponsors submitted 61,439 premarket notifications and FDA cleared 51,028 devices for market. (See fig. 2.)", "During premarket review under both the PMA and 510(k) processes, FDA and the medical device sponsor may engage in an interactive process. To start, there may be a pre-submission meeting between FDA and the sponsor, during which the parties discuss the upcoming review and try to resolve potential obstacles for approval or clearance. Then, FDA receives the premarket submission, makes a determination to accept or not accept the submission, and assigns a reviewer. In making its assessment whether to approve, or clear, a submission, FDA relies on the sponsor to provide supporting data as part of the submission. However, the agency can request additional information in the course of the review in order to make a determination of reasonable assurance of safety and effectiveness, or of substantial equivalence. This additional information can be obtained through informal interactions, such as a phone call or email. Alternatively, for more significant issues, FDA may make a more formal request for additional information, known as a deficiency letter in the case of a PMA application and additional information (AI) letter for a 510(k) notification. FDA will issue such requests if the submission lacks significant information necessary for FDA to complete its review, and the agency will request the sponsor amend the submission to provide the necessary information regarding the device.", "If a sponsor disagrees with an FDA regulatory decision concerning a medical device submission, including a CDRH employee\u2019s decision to request additional information or a significant decision regarding approval or clearance of a medical device, it can take multiple actions. Specifically, a sponsor can, among other things, (1) contact the CDRH Ombudsman for assistance, (2) file an internal appeal of an FDA decision, or (3) request that the disagreement be resolved through CDRH\u2019s Medical Device Dispute Resolution Panel, as described below.", "Ombudsman: According to FDA\u2019s guidance, prior to the agency reaching a regulatory decision, the most effective means of resolving a dispute between CDRH and an external stakeholder is through discussion and agreement. The CDRH Ombudsman is available to assist in clarifying issues, mediate meetings and teleconferences, and conduct discussions with the parties in an effort to resolve disagreements short of a formal review or internal appeal.", "Internal Appeal: Once FDA makes a regulatory decision, a sponsor can request a supervisory review of that decision, which we refer to as an internal appeal. For this process, the supervisor of an FDA employee will, at the request of a medical device sponsor, review a decision or action of the employee and issue a decision. The decision rendered by the supervisor, acting as the review authority, customarily takes one of the following forms: overturning the decision of the employee; upholding the employee decision; or, in some circumstances, referring the matter back to the employee for reconsideration under defined conditions.", "Medical Device Dispute Resolution Panel: If the dispute remains unresolved, the sponsor may request that FDA convene the Medical Device Dispute Resolution Panel. The panel is intended to provide a means for independent review of a scientific controversy or dispute between a sponsor and FDA, and make a recommendation to the Center director. According to FDA\u2019s guidance, the panel is primarily intended to address scientific controversies rather than other issues such as regulatory, legal, or statutory authority disputes.", "As part of its commitments associated with the Medical Device User Fee Amendments of 2012 (MDUFA III), FDA agreed to participate in an independent, comprehensive assessment of the medical device submission review process. Acting on recommendations from the contractor that conducted the assessment, FDA established working groups for each submission type, including PMAs and 510(k)s, which studied existing review processes and made recommendations. In August 2017, the Medical Device User Fee Amendments of 2017 (MDUFA IV) reauthorized FDA\u2019s medical device user fee program, and FDA committed to another independent assessment. FDA has committed to hiring a contractor to conduct this assessment by the end of December 2017 with a second phase to begin in 2020."], "subsections": []}, {"section_title": "FDA Least Burdensome Requirements", "paragraphs": ["In 1997, FDAMA added a requirement that the agency use the least burdensome approach during certain parts of PMA and 510(k) reviews. These requirements were intended to reduce unnecessary burdens associated with the premarket approval and clearance processes; however, they did not lower the statutory criteria for demonstrating a reasonable assurance of safety and effectiveness or substantial equivalence. While the language in FDAMA differs slightly for the PMA and 510(k) processes, in both instances FDA was directed to consider the \u201cleast burdensome\u201d means of requesting information needed for its review. Specifically, FDAMA requires that when the agency specifies data that must be submitted as part of a PMA application, the agency must consider the least burdensome appropriate means of evaluating device effectiveness that would have a reasonable likelihood of resulting in approval. The agency must similarly consider the least burdensome appropriate means of demonstrating substantial equivalence when requesting information under the 510(k) notification process. In both cases, FDA is statutorily required to request only information that is necessary to support the determination that there is reasonable assurance of effectiveness or substantial equivalence, respectively.", "Subsequent laws have clarified the least burdensome requirements. In 2012, the Food and Drug Administration Safety and Innovation Act clarified that the term \u201cnecessary\u201d means the minimum required information that would support either a determination that a PMA application provides reasonable assurance of the effectiveness of the device or a determination, for a 510(k) notification, of substantial equivalence between a new device and a predicate device. In 2016, the 21st Century Cures Act added a provision applying the least burdensome concept to FDA\u2019s requests for additional information in the PMA process. The law also applied the least burdensome concept to significant decisions, such as denials of PMA applications, requiring such decisions to include a brief statement regarding how least burdensome requirements were considered and applied. Additionally, the law mandated each FDA employee involved in premarket submission reviews, including supervisors, to receive training on the least burdensome provisions, and required the agency to conduct an audit of the training, among other things, no later than June 2018.", "Although FDA officials have noted that the least burdensome principles are broad and could apply to all activities within the PMA and 510(k) premarket review process, they noted that the requests for additional information represent a key juncture for the application of least burdensome requirements. According to agency officials and industry representatives, the requests for additional information\u2014deficiency letters in the case of PMAs and AI letters for its 510(k) reviews\u2014are when FDA and the sponsor could disagree on whether the requested information is necessary for the agency to reach a final decision on the medical device under review."], "subsections": []}, {"section_title": "FDA Implementation of the Least Burdensome Requirements", "paragraphs": ["Following the enactment of FDAMA in 1997, FDA went through a process in collaboration with the medical device industry to define the least burdensome concept and develop an approach to implement the provisions. Based on this, FDA released multiple guidance documents related to least burdensome requirements from 2000 through 2002.", "In November 2000 guidance, FDA outlined a four-part approach\u2014 referred to as \u201cfour-part-harmony\u201d by FDA staff\u2014for communicating deficiencies to medical device sponsors in accordance with the least burdensome requirements. The guidance helps reviewers describe deficiencies identified in submissions in ways that are direct, concise, and complete, thus ensuring a more effective use of reviewers\u2019 and sponsors\u2019 time, effort, and resources. It also provides a suggested format for sponsors to respond to FDA. FDA updated this guidance in September 2017.", "In 2002 guidance, FDA described its principles for implementing the least burdensome requirements and its activities to assess implementation. The guidance outlines FDA\u2019s interpretation of the least burdensome concept as described in FDAMA, and explains its application to activities associated with PMA and 510(k) reviews. The guidance also states that FDA was in the process of developing tools to be used by both agency staff and its stakeholders to periodically assess the implementation of the least burdensome principles. It noted some measurement tools had already been developed and that additional tools were also needed to assess the impact of the least burdensome approach on expediting the development of new medical technologies.", "In addition, FDA has included language about those requirements in other guidance documents. For example, in 2014, FDA issued guidance on the 510(k) program that describes how the least burdensome principles may affect the type of information necessary to demonstrate substantial equivalence at different decision points in the review of a 510(k)."], "subsections": []}]}, {"section_title": "FDA Frequently Requested Additional Information to Support Medical Device Reviews, and Sponsor Disagreements Often Related to Least Burdensome Requirements", "paragraphs": [], "subsections": [{"section_title": "FDA Issued Deficiency and Additional Information Letters for a Significant Proportion of PMAs and 510(k)s", "paragraphs": ["FDA requested sponsors provide additional information for a majority of the PMAs and 510(k)s it reviewed. For the period 2001 through 2016, FDA issued a large number of deficiency and AI letters relative to the number of submissions, although there was variation annually. For PMAs, the number of deficiency letters as a percentage of new PMA applications submitted ranged from about 54 percent to 113 percent annually, or 82 percent on average, from 2001 through 2016. For the years 2006 through 2010, this percentage, as well as the total number of letters was higher, and FDA issued more deficiency letters than there were PMA applications submitted. Similarly, AI letters as a percentage of total 510(k) notifications received ranged from about 58 percent to more than 174 percent annually, or about 106 percent on average, from 2001 through 2016. While the number of 510(k) notifications remained similar across the time period we examined, from 2009 through 2012, the number of AI letters issued each year was, on average, nearly double the number in other years. During this period, FDA issued more AI letters than there were 510(k) notifications submitted. Since 2014, these percentages have been lower for both PMAs and 510(k)s.", "FDA officials acknowledged the historical increase in the number of deficiency and AI letters and noted the more recent decrease. The officials attributed this decrease to a number of changes the agency agreed to in MDUFA III. For example, FDA implemented a policy to review submissions for administrative completeness prior to accepting the submission. They said this allowed the agency to limit deficiency and AI letters to issues related to the quality of the data provided and the studies conducted in support of the submission rather than to administrative issues. Also as a result of MDUFA III, the agency implemented an interactive review process to increase informal interaction between FDA and applicants and to minimize the number of review questions communicated through deficiency and AI letters. (See table 1.)", "We identified changes in how the deficiency letters and AI letters referenced the least burdensome requirements. Based on our sample of 73 letters from 1997 through 2016, FDA included an explicit acknowledgment of the least burdensome requirements in the letters issued from 2001 through 2009. However, based on our review, this practice ended in 2010, and later letters did not include this standard language. Representatives from the medical device industry told us that including the least burdensome language in the deficiency letters was a good practice because it raised awareness of the least burdensome principles. In September 2017, FDA released updated deficiencies guidance that, according to FDA officials, instructs staff how to better articulate the reason that the information is needed in accordance with the least burdensome requirements. This guidance does not set forth boilerplate language regarding the least burdensome requirements for use in deficiency letters, but does include examples of well-constructed deficiencies, definitions for major and minor deficiencies, and a statement that FDA will attempt to resolve minor deficiencies interactively."], "subsections": []}, {"section_title": "Though Data are Limited, Least Burdensome Requirements were a Significant Contributing Factor in Disagreements Raised by Medical Device Sponsors", "paragraphs": ["The least burdensome requirements were often a significant contributing factor in disagreements raised by medical device sponsors, according to FDA officials and available FDA data. According to FDA, the most effective means of resolving disagreements is through discussion and mediation, and to that end, the Ombudsman\u2019s office is routinely involved in discussions between firms and medical device reviewers during the review process. For example, in 2016, the CDRH Ombudsman was involved with PMA and 510(k) medical device reviews 360 times out of 3,444 submissions. Although the agency was unable to identify which of these interactions were related to least burdensome requirements, agency officials told us that a substantial number likely resulted from a difference of opinion between the applicant and FDA on the appropriate level of scientific evidence, a portion of which likely have a least burdensome component.", "The least burdensome provisions were also frequently related to issues that applicants raised during internal agency appeals of FDA decisions of PMA and 510(k) reviews. Although FDA did not have readily available data on appeals that occurred prior to 2013, the agency was able to provide information about the 63 appeals of significant decisions that occurred from 2013 through 2016. Of these 63 appeals, FDA identified 33 appeals\u20142 related to PMAs and 31 related to 510(k)s\u2014in which the issue identified by the sponsor was related to least burdensome principles. According to medical device industry representatives, sponsors may not always pursue an appeal, so the number of official appeals may not represent the extent of least burdensome-related issues that sponsors experience. They said the sponsor may determine it is best to avoid conflict that could complicate future device submissions and comply with the request for additional information, even if it disagrees.", "Of these 33 appeals, FDA agreed, or partially agreed with the sponsor for 11 appeals, which resulted in FDA overturning the decision or reopening the file and continuing the review. For the remaining 22 appeals, the agency upheld the initial reviewer decision. The following presents examples of appeals where the issue identified by the sponsor was related to the least burdensome requirements.", "In one appeal related to a 510(k) review, the sponsor objected to the reviewer\u2019s finding that the device was not substantially equivalent to a device already on the market. The sponsor stated that it had provided sufficient data for a substantial equivalence determination, and the FDA reviewer\u2019s request for additional risk mitigation measures and supplemental testing was unwarranted and inappropriate. The review authority determined that, while the information provided in the 510(k) premarket submission was not sufficient to establish substantial equivalence, some of FDA\u2019s requests were unwarranted. As a result of the appeal, FDA reopened the file and provided the sponsor an opportunity to respond to a new set of requests for additional information.", "In an appeal related to a PMA review, the sponsor contended that FDA\u2019s not approvable decision reflected an inconsistent and erroneous interpretation of the clinical data supporting the safety and effectiveness of the subject device, and that the data it had provided was sufficient for FDA to reach an approved decision. The sponsor further contended that the review staff failed to utilize the principles outlined in FDA guidance. The review authority upheld FDA\u2019s initial decision and determined there was not sufficient valid scientific evidence to demonstrate a reasonable assurance that the subject device was safe and effective under the proposed conditions of use.", "The Medical Device Dispute Resolution Panel, which provides another avenue to resolve disagreements between sponsors and the agency, has also addressed issues related to the least burdensome requirements. Since the panel was created following FDAMA in 1997, medical device sponsors have requested that FDA resolve three disagreements through this avenue, each related to PMAs. Although not tracked by FDA, at our request, officials reviewed the records and found that one of the three disputes was related to the least burdensome requirements. Specifically, for a September 2001 dispute, FDA officials said the sponsor requested the panel after FDA initially found that the data from the clinical study submitted by the sponsor did not sufficiently support effectiveness. After reviewing evidence from the applicant and from FDA, the dispute resolution panel determined that the sponsor had provided sufficient evidence to prove effectiveness, and the device was ultimately approved."], "subsections": []}]}, {"section_title": "FDA Offered Some Training on the Least Burdensome Requirements, and Evaluates its Training for Effectiveness", "paragraphs": [], "subsections": [{"section_title": "FDA Offered Some Early Least Burdensome Training at Limited Times, and Has Incorporated Related Information in Broader Training", "paragraphs": ["FDA officials indicated that training specific to the least burdensome requirements was held in the years following the enactment of FDAMA in 1997. FDA was unable to provide records of that training, including its content. However, officials told us that the training was specific to the least burdensome requirements and offered from 1997 through 1999. FDA officials said the agency offered other presentations in subsequent years that they said covered similar least burdensome topics. For example, the agency provided slides from a presentation created in 2000 that provided an overview of FDA\u2019s implementation of the requirements.", "Although FDA officials told us this least burdensome specific training was not offered after 1999, they identified various other trainings that they said incorporated the least burdensome concept. For example, a 2005 presentation on clinical trial design has multiple slides on least burdensome requirements, and specifically states that a course objective is to \u201cunderstand how least burdensome principles apply.\u201d Least burdensome requirements are also mentioned in other training materials where they may not be the focus\u2014for example one slide of a presentation on biomarkers included a mention of least burdensome requirements. Officials also identified the training program for new reviewers that FDA implemented in 2011 as a source of training on least burdensome principles. Specifically, the Reviewer Certification Program is a training curriculum that FDA has required most new device reviewers to complete since 2011. The training curriculum covers a wide variety of courses on topics related to a reviewer\u2019s responsibilities. While none of these courses is specific to the least burdensome requirements, there are courses covering related topics. For example, there is one course on technical writing that includes FDA\u2019s guidance on developing deficiencies with least burdensome principles. Five other courses on different topics mention either the least burdensome requirements or related principles, such as a course on FDA\u2019s legislative history that included a slide identifying the least burdensome statutory provisions as an element of FDAMA, though the slide did not explain the least burdensome requirements or provide additional context. Of the 490 staff assigned to review PMAs and 510(k)s, FDA indicated that as of the end of calendar year 2016, 335 had completed the Reviewer Certification Program, 150 started working on premarket submissions prior to the beginning of 2011, and the remaining 5 individuals did not complete the training for varying reasons.", "In response to the 21st Century Cures Act, enacted in December 2016, FDA is providing mandatory online training specific to the least burdensome requirements. FDA indicated that the training focuses on key behaviors that reflect the least burdensome approaches as documented in updated guidance that FDA issued in September 2017. FDA officials told us that, as of October 31, 2017, 91 percent of CDRH staff had received the new least burdensome specific training. In addition to the online training, FDA plans other activities, such as follow-up office-level briefings to address questions or concerns and an introductory podcast from the CDRH director. In addition to providing this training to current employees, FDA plans to incorporate least burdensome requirement training into new employee orientation and the Reviewer Certification Program, and plans to include ongoing support and promotion of least burdensome principles through a center working group on the least burdensome requirements. In addition to course-based training, FDA officials told us that least burdensome concepts are conveyed to reviewers through mentoring. Officials explained that much of the training on the least burdensome requirements occurs through mentoring and conversations with supervisors, and that those encounters are not documented."], "subsections": []}, {"section_title": "FDA Is Implementing Evaluations of All Training Courses for Medical Device Review Staff, including Courses that Address the Least Burdensome Requirements", "paragraphs": ["While FDA has not had processes in place to evaluate its medical device training, it is implementing such processes for all training, including courses related to the least burdensome requirements. In its June 2014 report, the contractor performing the independent evaluation noted that CDRH did not have mechanisms in place to measure the quality and effectiveness of its training programs. The report noted that FDA should identify metrics and incorporate methods to better assess review process training satisfaction, learning, and staff behavior changes. FDA officials explained that while they had customer reaction evaluations for trainings for at least 24 years, they started evaluating training participant learning with the Reviewer Certification Program starting in 2010.", "FDA is in the process of implementing a training evaluation model, which includes various levels of evaluation, from assessing participant response to the training to evaluating its impact on the agency. As of 2017, FDA reported it was evaluating training programs to determine participant learning and preparing to evaluate whether that learning changed participant behavior. Officials told us they anticipate beginning to conduct evaluations that assess agency impact in fiscal year 2018, and they plan to have the model completely implemented for all trainings by fiscal year 2020. FDA currently evaluates its Reviewer Certification Program to determine participant learning, and though the least burdensome requirements are not specifically addressed in the Reviewer Certification Program evaluation materials FDA provided to us, they did include questions on topics related to least burdensome requirements.", "In addition to its current training evaluation plan, FDA is also required by the 21st Century Cures Act to conduct an audit of the training and its effectiveness in implementing the least burdensome requirements. Specifically, the training audit is to be conducted by the ombudsman responsible for premarket reviews, identified by FDA as the CDRH Ombudsman. According to a draft plan, FDA plans to conduct training evaluations, a process review of 510(k) and PMA documentation to assess reviewer compliance with FDA procedures, and seek feedback from industry on its experience with the premarket review process and how the least burdensome requirements are applied. Officials indicated that criteria are still under development and that they hoped to have them further developed in the first quarter of 2018, with the authorizing legislation requiring completion of the audit by June 2018, 18 months after enactment of the law."], "subsections": []}]}, {"section_title": "FDA is Taking Steps that May Improve Its Requests for Additional Information Overall, but Has Not Fully Evaluated Its Implementation of the Least Burdensome Requirements", "paragraphs": [], "subsections": [{"section_title": "FDA Is Implementing Processes to Improve the Consistency and Clarity of Its Requests for Additional Information during Medical Device Reviews", "paragraphs": ["Some stakeholders and others have raised concerns about the consistency and clarity of FDA\u2019s requests for additional information during medical device reviews. For the past 17 years, FDA has required reviewers to only request information that is necessary to make a PMA determination of \u201creasonable assurance of safety and effectiveness\u201d or a 510(k) determination of \u201csubstantial equivalence\u201d in their review of a submission. Representatives of one of the organizations representing the medical device industry noted the high percentages of medical device submissions that involve a letter, and some of their member companies have said that FDA reviewers may request additional information as a result of intellectual curiosity rather than a \u201cneed to know.\u201d In addition, the independent assessment\u2019s 2014 report, funded by FDA as part of MDUFA III, found inconsistent decision-making among FDA review staff throughout various stages of the review process, including additional information requests. While the 2014 report did not address least burdensome requirements explicitly, it examined related processes. For example, according to the report, there was inconsistent decision-making among FDA review staff throughout various stages of the review process, including a lack of clarity regarding FDA reviewer thresholds for triggering deficiency letters. The report recommended that FDA develop criteria and establish mechanisms to improve consistency in decision-making throughout the review process.", "To address problems identified during the independent assessment, FDA is implementing several initiatives to improve center processes. FDA officials told us that, in anticipation of MDUFA IV, they recognized a need for a dedicated quality management infrastructure. In 2014, FDA established a Quality Management Unit to improve center processes, which they said would include those related to the least burdensome requirements. The unit completed a framework that outlined its vision and mission and established organizational objectives, such as developing a document control system, providing training, and conducting quality assessments, audits, and management reviews.", "In addition, FDA officials told us that starting in October 2017, FDA planned to fulfill its MDUFA IV commitments to improve the clarity and consistency of its deficiency letters and AI letters after releasing updated guidance.", "In September 2017, FDA published guidance reflecting the commitments under MDUFA IV that all deficiency letters and AI letters include a statement indicating the specific basis for any cited deficiencies. According to FDA officials, this new approach will help ensure that the letters more consistently ground requests for information in the specific reason that FDA is requesting the information from the sponsor. For example, FDA may cite a law, final rule, or specific scientific issue as the basis for its request, rather than providing a more general statement of the request\u2019s relevance. According to industry representatives, in the past, FDA reviewers have, at times, asked for additional information without including justification, and may have requested additional information as a result of intellectual curiosity rather than a \u201cneed to know.\u201d The representatives stated that this new policy may better ensure the reviewers apply the least burdensome approach to their review.", "The updated guidance also explains that all deficiency letters and AI letters will undergo supervisory review prior to issuance to ensure that the information requested is relevant to a marketing authorization decision, all four elements of the deficiency are included, deficiencies are prioritized from most to least significant, and each deficiency is appropriate to include in light of the totality of all deficiencies. Officials told us that while supervisory concurrence was previously needed, under the new guidance, supervisors are now expected to review for certain criteria. For example, in the past, supervisors may have considered whether four-part harmony was addressed in each deficiency letter, but under the updated guidance this is now an expected practice. Officials said this will increase the extent to which deficiency letters are consistently constructed.", "In the MDUFA IV commitment letter, FDA agreed to base all deficiency letters and AI letters on a complete review of the submission and include all deficiencies. Therefore, FDA officials told us that any deficiencies identified following that letter would generally be limited to issues raised as a result of new information. For example, if FDA asked for information on bio-compatibility testing, FDA will first review that information, and based on that review may ask for new information. In that instance, the information responding to the initial deficiency is new information. FDA officials said that past letters should also have included all deficiencies, but this may have been done inconsistently.", "To further standardize its process for reviewing medical device submissions and developing requests for additional information, FDA is developing and implementing smart templates. FDA officials told us that these templates guide device reviewers through a standardized process for each submission. For example, they help reviewers identify the types of information necessary and include prewritten deficiency letters that have been approved by internal experts. FDA has had a smart template in place for the 510(k) process since 2013, according to FDA reports. FDA indicated that the template is already required for certain offices and divisions within CDRH, and plans for full adoption in the future. FDA officials told us that the agency also developed templates for de novo premarket submissions, which are currently available for voluntary use and will likely be mandatory in fiscal year 2018. Officials told us they plan to hire a person to develop a template to guide PMA reviews, which will likely take most of 2018. They told us the use of the smart template for PMAS will likely become mandatory for use by all reviewers in 2019. In addition to improving the consistency of deficiency letters, FDA officials said the information generated from the templates could be used to track deficiencies and requests for additional information, as well as provide information on the number and type of deficiencies in the letters. FDA officials told us that the plans for database and back-end analytical capabilities using information from the smart templates were less certain and dependent on available resources, and they pointed out that the information technology infrastructure can present unforeseen challenges."], "subsections": []}, {"section_title": "FDA Has Not Developed Metrics to Evaluate Implementation of the Least Burdensome Requirements, and While a New Audit Process Could Aid Oversight, Its Scope Is Still Unclear", "paragraphs": ["FDA has not established performance metrics that would allow it to evaluate its implementation of the least burdensome provisions. FDA officials told us that the agency does not track concerns related to the least burdensome requirements, such as by examining dispute data to identify those that may be related. According to FDA\u2019s 2002 guidance, the agency was in the process of developing tools to be used by both agency staff and its stakeholders to periodically assess the implementation of the least burdensome requirements. The FDA guidance identified a need for additional tools to accurately assess the agency\u2019s incorporation of the least burdensome principles into its various regulatory activities and to assess the impact of the least burdensome approach on expediting the development of new medical technologies. Agency officials told us FDA had not developed these tools, but was now in the process of making other tools available. For example, they cited the development of the smart templates that will guide reviewers as they evaluate medical device submissions and generate deficiency letters. Officials noted that, given the scientific nature of the inquiry, and because least burdensome is a general principle, developing a metric specific to the least burdensome requirements is a challenge. While this can be a challenge, FDA officials have noted that they are attempting to identify surrogate measures that can provide an indication that the reviewer considered the least burdensome requirements when making a request. According to federal standards for internal control, performance metrics are important for management to have relevant, reliable, and timely information available for management decision\u2013making and external reporting purposes. Without such a metric, FDA may be asking medical device sponsors to provide information unnecessarily or in less efficient ways that are not in compliance with the requirement to use the least burdensome approach to medical device reviews.", "FDA is in the process of developing an audit program that could provide it with information on its implementation of the least burdensome requirements. FDA has committed to conducting annual quality audits, which will be led by CDRH\u2019s Quality Management Unit. Accordingly, FDA plans to identify, with industry input, areas to audit at least once per year. Initially, the agency has agreed to complete an audit of deficiency letters and pre-submissions by the end of fiscal year 2020. As of August 2017, FDA was still planning the deficiency letters audit, and developing its methodology and identifying audit outcomes. FDA officials told us the agency plans to finalize a deficiency letters audit plan by the spring of 2018 and begin data collection by early summer of 2018. Officials explained that the audit will focus on processes\u2014for example, the audit will not examine the scientific content of deficiency letters but will instead focus on whether CDRH has followed existing policies and procedures surrounding deficiency letters. In addition, the Quality Management Unit was still in the process of hiring most of its staff. As of August 2017, FDA officials told us the unit had 6 staff reporting to an Associate Director, and CDRH plans to gradually hire 20 more staff by 2020, starting once MDUFA IV funds are available beginning in October 2017.", "In addition to these more specific efforts, FDA also plans to continue its overall evaluation of the medical device review process. The 2016 independent assessment resulting from MDUFA III broadly evaluated FDA\u2019s device review process, and although it mentioned least burdensome requirements only briefly, it addressed a number of related elements, including the quality of the review process and staff training. Under MDUFA IV, FDA committed to another independent assessment in two phases: (1) an evaluation of FDA\u2019s implementation of the corrective action plan FDA developed in response to the MDUFA III assessment and (2) an evaluation of FDA\u2019s premarket device review program to identify efficiencies that should be realized as a result of the process improvements and investments under MDUFA III and IV, among other things. As with the prior assessment, the new assessment will likely examine processes related to the least burdensome requirements, though the extent to which it will address the requirements is not yet known. Agency officials told us that FDA has committed to hiring a contractor by the end of December 2017."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FDA must balance the need to obtain sufficient data to determine the safety and effectiveness of medical devices under review, with the potential for undue burden and approval delays if unnecessary data is requested. Assuring that the agency uses the least burdensome method to complete its review helps to ensure it is able to make decisions about medical device approval in a timely way. While FDA implemented guidance and training related to the least burdensome requirements following the passage of FDAMA in 1997, it has taken few steps to develop performance metrics to evaluate the extent to which reviewers are using a least burdensome approach when reviewing medical device submissions. Recently, FDA implemented several changes that have the potential to improve its oversight of the least burdensome requirements and the clarity with which reviewers communicate the need for additional information. While planned audits of FDA\u2019s medical device review process have the potential to provide the agency with evaluation tools through which to assess performance, these audits are still early in their development and the extent to which they will allow FDA to assess implementation of the least burdensome requirements is unclear. A complete and thorough assessment will be important for the agency to assure itself and external stakeholders that its reviews adhere to the least burdensome principles and requirements and thus are appropriately balanced."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to FDA: The Commissioner of FDA should develop performance metrics and use them to evaluate the implementation of the least burdensome requirements, such as during its planned audits of medical device deficiency letters. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS. HHS concurred with our recommendation and provided written comments, which are reprinted in appendix I. In its written comments, HHS agreed that appropriate implementation of the least burdensome requirements is essential to FDA\u2019s evaluation of its PMA and 510(k) medical device submissions, and agreed that it is important for FDA to evaluate how successfully it is implementing the requirements. HHS also reiterated FDA\u2019s commitment to the least burdensome principles and provided an overview of its related efforts, several of which were noted in our draft report. HHS noted its concern that our draft report did not sufficiently capture all of FDA\u2019s efforts. While HHS cited FDA\u2019s efforts related to improving the science underlying its regulatory decisions, which could reduce burden on medical device sponsors, our review focused on the steps involved in FDA\u2019s review process. In this regard, HHS concurred with our recommendation that it develop performance metrics and use them to evaluate the implementation of the least burdensome requirements, such as during its planned audits of medical device deficiency letters. In response to this recommendation, HHS indicated that FDA intends to assess how it follows least burdensome requirements as part of these audits. We continue to encourage FDA to develop the evaluation tools necessary to ensure it conducts a complete and thorough assessment of its implementation of the least burdensome requirements. In addition to these general comments, HHS provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or crossem@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, William Hadley (Assistant Director), Matthew Byer (Analyst-in-Charge), Luke Baron, and William Garrard made key contributions to this report. Also contributing were Sam Amrhein and Jennifer Rudisill."], "subsections": []}]}], "fastfact": ["FDA regulates medical devices to ensure they are safe and effective, and relies on the organization sponsoring the device (usually the manufacturer) to provide the relevant information when the device is submitted for review. FDA is required to use a \u201cleast burdensome\u201d approach in its review of medical devices, including when it requests additional information from sponsors.", "We looked at FDA\u2019s implementation of the least burdensome requirements, and found the agency hasn't developed performance metrics to evaluate them. We recommended that FDA develop metrics to evaluate whether it consistently applies a least burdensome approach in reviews."]} {"id": "GAO-19-91", "url": "https://www.gao.gov/products/GAO-19-91", "title": "Foreign-Trade Zones: Board Should Document Consideration of All Required Criteria When Evaluating Applications", "published_date": "2018-11-27T00:00:00", "released_date": "2018-12-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FTZs allow companies to reduce, eliminate, or defer duty payments on foreign goods imported into FTZs for distribution or as components of other products before transferring the finished goods into U.S. commerce or exporting them overseas. The value of foreign and domestic goods admitted to FTZs in 2016 exceeded $610 billion. Responsibilities of the Board, consisting of officials from the Departments of Commerce (Commerce) and the Treasury, include evaluating production notifications and applications on the basis of factors such as the proposed activity's net effect on the U.S. economy. Federal regulations set forth requirements, pursuant to the Foreign-Trade Zones Act of 1934, for these evaluations.", "GAO was asked to review the Board's evaluation processes. This report examines the extent to which the Board has established and followed procedures aligned with regulations for evaluating (1) notifications and (2) applications. GAO analyzed the Board's regulations and procedures and interviewed Commerce, Treasury, and U.S. Customs and Border Protection officials. GAO also analyzed a nongeneralizable sample of 59 of 293 notifications the Board evaluated from April 2012 through September 2017, which GAO selected to include a range of Board decisions and exclude pending decisions. GAO also analyzed all three applications the Board issued decisions on during that period."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Foreign-Trade Zones Board (the Board) has procedures that generally align with its regulations for evaluating production notifications and followed these procedures for all 59 notifications GAO reviewed. Notifications are filed by companies proposing to bring foreign components into a foreign-trade zone (FTZ) for use in manufacturing finished products, among other purposes. GAO found, for example, that, following Board procedures, Board staff evaluating the notifications collected and considered comments from the general public, industry specialists, and U.S. Customs and Border Protection and recommended to the Board whether to authorize companies' proposed activities. Of the 59 notifications GAO reviewed for seven industry categories, 49 notifications either were approved or were approved with restrictions\u2014for example, the proposed activity was authorized for a limited time period or certain duty benefits were denied for one or more foreign components. Ten notifications were denied for reasons such as new or complex policy issues that required further review.", "The Board also has procedures that generally align with its regulations for evaluating production applications and followed these procedures for the three applications GAO reviewed. The applications were submitted by three of the companies whose notifications were denied. According to Board staff, if a notification is not approved or is approved with restrictions, a company may submit an application with additional details. Following Board procedures, Board staff, for example, collected and considered comments and recommended to the Board whether to authorize the proposed activities. Two of the applications were approved with restrictions, and the third was not approved. While the regulations require consideration of a number of criteria\u2014for example, consistency with U.S. trade and tariff law\u2014Board staff did not document consideration of all required criteria for two of the three applications, and the procedures do not require such documentation. Board staff said they document only the most relevant criteria in their reports. Standards for Internal Control in the Federal Government states that management should document its rationale for determining a criterion is not relevant and make this documentation readily available for examination. Without such documentation, the Board lacks an institutional record that all required criteria were considered and also lacks assurance that its decisions comply with U.S. trade and tariff law and public policy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Commerce should require Board staff to document consideration of all criteria required in the regulations when evaluating production applications. Commerce concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Foreign-trade zones (FTZ) are secure areas throughout the United States that, for the purpose of customs entry procedures\u2014including payment of duties\u2014are generally treated as being outside U.S. customs territory. Congress authorized the Foreign-Trade Zones program in 1934 to expedite and encourage foreign commerce. Companies authorized to operate in FTZs are able to import foreign-source components for use in manufacturing finished goods without paying customs duties or fees until the goods are transferred from the FTZs into U.S. commerce. Under the program, authorized companies operating in FTZs may be allowed, in certain circumstances, to reduce, eliminate, or defer payment of customs duties or fees for goods manufactured or stored in FTZs and pay no duties or fees for goods exported directly from the FTZs to other countries. In 2016, the value of foreign- and domestic-source components admitted into FTZs exceeded $610 billion, of which $108 billion\u2014almost 18 percent\u2014represented foreign components to be used in the production of finished goods in the zone. The value of goods exported from FTZs to other countries in 2016 was approximately $76 billion.", "The U.S. Foreign-Trade Zones Board (the Board), consisting of the Secretaries of Commerce and the Treasury, is responsible for, among other things, authorizing the establishment of FTZs and reviewing companies\u2019 production notifications and applications. A company seeking production authority\u2014that is, permission to conduct proposed production activities in an FTZ\u2014must first file a production notification with the Board that summarizes the proposed activity. If the notification is approved with restrictions or not approved, the company may choose to file a more detailed production application to provide additional evidence for the Board\u2019s consideration. In reviewing production notifications and applications, the Board is responsible for taking into account a range of criteria that include the net economic effect on the U.S. economy, such as U.S employment. The Department of Homeland Security\u2019s Customs and Border Protection (CBP) is responsible for oversight and enforcement in FTZs, including collecting revenue and assessing risk of noncompliance with U.S. laws and regulations. According to Board officials, the Board issued updated and modified regulations for FTZs in February 2012 to simplify the application process and expedite the review of applications when possible.", "You asked us to review the Board\u2019s processes for evaluating production notifications and applications. This report examines (1) the extent to which the Board has established and followed procedures aligned with its regulations for evaluating production notifications and (2) the extent to which the Board has established and followed procedures aligned with its regulations for evaluating production applications.", "To examine the extent to which the Board has established procedures aligned with its regulations for evaluating production notifications and applications, we analyzed the Board\u2019s regulations and procedures and interviewed cognizant officials of the Department of Commerce (Commerce), the Department of the Treasury (Treasury), and CBP. To determine the extent to which the Board has followed any procedures it established, we selected and analyzed a nongeneralizable sample of case records for 59 of the 293 production notifications submitted to the Board from April 2012 through September 2017. We also analyzed the three applications that the Board reviewed and rendered final decisions on during this period. We determined that these case records, which we obtained from the Board\u2019s case tracking system, were sufficiently reliable for our purposes of understanding the universe of notifications and applications submitted for production authority and reviewing a sample from that universe. To make this determination, we took steps that included reviewing related guidance for the Board\u2019s case records tracking system; interviewing knowledgeable agency officials; and reviewing a sample of cases with a data collection instrument, which confirmed information included in the case tracking system data.", "The 59 notifications we reviewed comprised all notifications submitted during this period for the following seven industry categories\u2014 silicones/polysilicon, textiles/footwear, oil refineries/petrochemical facilities, other energy, chemicals, medical supplies and devices, and miscellaneous. We selected these industry categories because the notifications that the Board did not approve were all submitted by companies in these categories. The 59 notifications we reviewed included 34 that were approved, 15 that were approved with restrictions, and 10 that were not approved, and they excluded any notifications for which the Board\u2019s decisions were pending as of September 2017. The three applications we reviewed were submitted, respectively, by three companies that had each submitted 1 of the 59 notifications in our sample. See appendix I for additional information about our objectives, scope, and methodology.", "We conducted this performance audit from July 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FTZ Benefits", "paragraphs": ["Example of Foreign-Trade Zones (FTZ) Benefits The FTZ Board might authorize an automobile manufacturer that imports foreign-source components, such as engines and transmissions into an FTZ, to pay the customs duty rate on the value of the finished vehicles (2.5 percent) instead of the sum of the duties owed for certain imported components. Duty rates for those components generally range from 0 percent to approximately 10 percent. As a result, the company would pay lower custom duties to manufacture automobiles in an FTZ than it would pay outside the FTZ.", "To encourage companies to maintain and expand their operations in the United States, the FTZ program offers a range of benefits, including the possible reduction or elimination of duties on certain imported goods. For example, a company operating in an FTZ that manufactures products using foreign materials or components can pay lower overall duties by electing to pay the duty rate for the finished product rather than for the product\u2019s imported foreign component parts, which may have a higher duty rate (see sidebar). This benefit provides an incentive to companies to manufacture in the United States rather than move their manufacturing operations overseas to avoid paying U.S. duties. We reported in July 2017 that, while FTZs were created to provide benefits to the American public, little is known about their overall economic impact. Few economic studies have focused on FTZs, and those studies have not quantified economic impacts or examined the effect of companies\u2019 FTZ status on regional and overall economic activity such as employment.", "As of June 2018, there were 262 approved FTZs in the United States, with at least 1 in each state and in Puerto Rico, according to Board staff. Most FTZs consist of multiple physical locations, known as sites or subzones, which include individual companies\u2019 plants as well as multi- user facilities such as seaports or airports."], "subsections": []}, {"section_title": "FTZ Board and CBP Responsibilities", "paragraphs": ["According to Board staff, the Board\u2019s responsibilities include, among others, approving the establishment of FTZs and reviewing notifications and applications for production authority. The Board must authorize any proposed production activity before a company can bring into an FTZ the specified foreign-source materials or components for incorporation into a final product and to potentially receive FTZ benefits. Current Board staff are Commerce employees and comprise an Executive Secretary, eight staff analysts who gather and analyze information for the Board\u2019s consideration, and a coordinator who handles clerical tasks, according to Board staff.", "CBP is responsible for oversight and supervision of FTZ operators, including the collection of duties, taxes, and fees. CBP reviews production notifications and applications with respect to its ability to provide oversight and ensure program compliance and informs the Board of its ability to oversee a proposed production activity if it were to be authorized."], "subsections": []}, {"section_title": "Production Notification and Application Processes", "paragraphs": ["Federal regulations set forth processes and procedural rules for companies applying for, and operating in, FTZs as well for the Board\u2019s evaluation of notifications and applications for production authority, pursuant to the FTZ Act of 1934 as amended. According to Board staff, the Board issued updated and modified regulations for FTZs in February 2012 to simplify the application process and expedite the review of applications when possible. The Board staff stated that they took into consideration comments from industry, including companies whose production activities require authorization decisions within short time frames, when updating the regulations.", "The 2012 regulations divided the production application process into two processes to create a less resource-intensive process for companies and the U.S. government, according to Board staff. Board staff said that the 2012 regulations allow the Board to approve notifications and applications with restrictions. For example, the Board may decide to, among other things, (1) authorize the exemption of duty payments on some, but not all, components named in the notification for the proposed production activity; (2) authorize the activity for a limited time period; or (3) authorize the activity for a specified quantity of the component to be brought into the FTZ.", "The following describes the notification and application processes under the 2012 regulations.", "Notification process. A company must first submit a production notification\u2014which requires less information from companies than a production application\u2014requesting production authority in an FTZ. If the Board approves a company\u2019s notification, the company can begin the production activity. For example, in a 2013 notification, a company requested authority to produce printing plates used in the newspaper industry and to pay duties at the duty rate applicable to the final product (i.e., printing plates) instead of the duty rates applicable to the five individual foreign-source components (e.g., aluminum coils). The Board approved the notification without restrictions, allowing the company to begin conducting the authorized activity. If a notification is approved with restrictions, the company may begin the production activity while adhering to the specified restrictions. For example, in another 2013 notification, a company requested authority to produce sports safety helmets, bicycle baby seats, and bicycle car-carrier racks and pay duties on the final products instead of paying individual duties on some foreign-source components (e.g., helmet and baby seat parts). The Board approved the notification with a restriction, authorizing the company to begin the production activity but requiring it to pay duty on one foreign-source component (textile bags).", "Application process. According to Board staff, if a notification is approved with restrictions or denied, the company may file a more detailed production application to continue seeking authority for the activity that was restricted or denied. If the Board does not unanimously decide to authorize the application with or without restrictions, the production authority is denied. For example, in 2012, the Board determined that a notification requesting that a company\u2019s existing authority to produce plastic adhesive bandages in an FTZ be expanded to include production of fabric adhesive bandages using foreign-source textile components warranted further review and denied the notification. The company subsequently filed an application for the expanded authority, providing additional information to support its request, which the Board also denied. A company whose application is denied may appeal the Board\u2019s decision to the U.S.", "Court of International Trade. According to Board staff, the production application process is similar to the application process under the pre-2012 regulations.", "Figures 1 and 2 provide an overview of the Board processes for considering notifications and applications for production authority."], "subsections": []}, {"section_title": "Criteria Relevant to Evaluation of Production Notifications and Applications", "paragraphs": ["The 2012 regulations detail criteria for the Board to consider when reviewing notifications and applications. These criteria include threshold and economic factors as well as consideration of significant public benefits (see table 1). According to the regulations, if the Board determines that any of the threshold factors apply to a proposed or ongoing production activity, it shall deny or restrict authority for the activity. After reviewing the threshold factors, if there is a basis for further consideration of the application, the Board shall consider economic factors listed in the regulation when determining the net economic effect of the proposed activity.", "The regulations\u2019 requirements for the Board to consider these criteria when reviewing notifications and applications differ as follows (italics added for emphasis):", "Notifications. Section 400.37 of the regulations states that the Executive Secretary\u2019s recommendation shall consider, among other things, comments submitted in response to the notification in the context of the factors set forth in section 400.27. The regulation does not state that the Executive Secretary\u2019s recommendation must consider each factor individually.", "Applications. Section 400.27 states that the Board shall apply the criteria set forth therein. According to section 400.27, the Board must first review the threshold factors and after its review, if there is a basis for further consideration of the application, must consider all of the listed economic factors when determining the net economic effect of the proposed activity. Additionally, the Board is to take the threshold factors and economic factors into account in considering the significant public benefit(s) that would result from the production activity.", "Board staff observed that the notification process is designed for identifying concerns related to the proposed production authority, not for resolving such concerns. If the Board identifies any concerns that it deems significant enough to deny a notification, the application process allows the Board to collect more information to inform further analysis. Board staff stated that examples of concerns related to production notifications and applications might include objections from domestic producers of component materials, such as textiles, who believe they would be negatively affected by duty reduction on foreign-source components used in the proposed production activity.", "According to the Board, of the 293 production notifications submitted from April 2012 through September 2017 for which it rendered decisions, 218 notifications were approved without restrictions, 62 were approved with restrictions, and 13 were not approved (see fig. 3). For further information about the Board\u2019s decisions for the 293 notifications by industry category, see appendix II.", "Of the companies that submitted the 75 production notifications approved with restrictions or not approved from April 2012 through September 2017, nine companies subsequently submitted production applications. As of September 2017, the Board had authorized two of these applications with restrictions and had not authorized one application, according to Board staff. For the remaining six applications, the Board had not authorized one application and the Board\u2019s decisions were pending for the other five applications as of August 2018."], "subsections": []}]}, {"section_title": "FTZ Board Followed Procedures Generally Aligned with Regulations in Evaluating Production Notifications We Reviewed", "paragraphs": [], "subsections": [{"section_title": "The Board\u2019s Procedures for Evaluating Notifications Generally Align with Regulations", "paragraphs": ["Our review of Board documents and interviews with Board staff found that the Board has established procedures for the evaluation of notifications that generally align with the Board\u2019s regulations. The Board\u2019s procedures for evaluating notifications can be organized into three phases: (1) information collection, (2) analysis and recommendation, and (3) authorization decision (see fig. 4). Each phase includes steps specifying the responsible party and the intended product and result.", "In general alignment with the regulations, the Board\u2019s procedures for evaluating production notifications include steps for collecting information from the notifications, from public comments submitted in response to Federal Register notices of the notifications, from reviews of the notifications by industry specialists at Commerce and other agencies, and from CBP regarding its ability to oversee the proposed production activity.", "Notification information. The regulations specify that notifications must (1) provide the identity and location of the FTZ user; (2) identify the materials, components, and finished products associated with the proposed activity; and (3) include information as to whether any material or component is subject to a trade-related measure or proceeding, such as orders for antidumping duties. The Board procedures require staff to determine whether a notification is complete before beginning to evaluate it. To help companies complete the application, Board staff provide an instruction sheet listing the information required by the regulations.", "Federal Register comments. The Board regulations require the Executive Secretary to invite public comments in response to a Federal Register notice, unless the Executive Secretary determines, based on the notification\u2019s content, to recommend further review without inviting public comment. The Board procedures instruct staff to publish a notice in the Federal Register after determining that the notification is complete.", "Agencies\u2019 reviews. The Board regulations do not require that industry specialists review notifications. The Board procedures instruct staff to request industry specialists at Commerce and, as appropriate, at other agencies to review the notifications.", "CBP comments. The Board regulations do not require Board staff to request CBP comments for notifications. The Board procedures instruct staff to prepare a letter to the CBP Port Director. According to CBP officials and guidance, CBP provides comments regarding its ability to oversee the proposed production activity to help ensure FTZ program rules and regulations are followed if it is approved."], "subsections": [{"section_title": "Phase 2: Analysis and Recommendation", "paragraphs": ["In general alignment with the regulations, the Board\u2019s procedures for evaluating production notifications include steps to guide staff in considering the information collected and in preparing a recommendation to the Board regarding whether to approve the notification.", "Review of comments and other relevant factors. The Board regulations require that the Executive Secretary\u2019s recommendation to the Board consider any comments submitted in response to the Federal Register notice; guidance from specialists within the government; and other relevant factors based on Board staff\u2019s assessment of the notification in the context of the criteria, including threshold and economic factors listed in section 400.27. The Board procedures require staff evaluating notifications to consider any public comments submitted in response to the Federal Register notice and comments from industry specialists and CBP", "Recommendations and memos. The Board regulations do not require Board staff to prepare recommendations or memos. The Board procedures require staff to use a prescribed format to prepare a recommendation, based on the information collected, regarding whether a notification should be approved (with or without restrictions) or not approved because further review of the proposed production activity is warranted. The staff also must prepare memos for the Treasury and Commerce Board members. The staff are to provide the memos with the recommendation to the Executive Secretary for review before sending them to the Board members."], "subsections": []}, {"section_title": "Phase 3: Authorization Decision", "paragraphs": ["In general alignment with the regulations, the Board\u2019s procedures for evaluating production notifications include steps for the Executive Secretary to make a recommendation to the Board for its consideration and for Board staff to notify the applicant of the Board\u2019s decision and to ensure that evaluation of the notification is completed within specified time frames.", "Executive Secretary\u2019s recommendation and Board\u2019s decision.", "The Board regulations specify that the Executive Secretary is required to submit a recommendation to the Board regarding whether further review of all or part of the proposed production activity is warranted. The Board procedures require the Executive Secretary to review the memos and recommendations prepared by the Board staff and submit them to the Board members for their review and concurrence with the recommendation.", "Notice to applicant. The Board regulations require the Executive Secretary to inform the applicant of the Board\u2019s decision regarding authorization of the notification. Similarly, the Board procedures require Board staff to notify the applicant of the Board\u2019s decision.", "Evaluation time frames. The Board regulations and procedures specify time frames for notification evaluation. For example, under the regulations, the Executive Secretary shall submit to the Board a recommendation on whether further review of all or part of the activity subject to the notification is warranted within 80 days of receipt of the notification. Similarly, the procedures state that Board staff will ensure that the recommendation is finalized so that the recommendation and memos can be sent to the Board members within 80 days of receipt of the notification. In addition, the regulations and procedures require that the applicant be informed of the Board\u2019s decision about the notification within 120 days."], "subsections": []}]}, {"section_title": "FTZ Board Followed Its Procedures in Evaluating Production Notifications We Reviewed", "paragraphs": [], "subsections": [{"section_title": "Phase 1: Information Collection", "paragraphs": ["Our analysis of Board case records for 59 notifications and our interviews with Board staff and Commerce, Treasury, and CBP officials showed that when evaluating the notifications, the Board followed its procedures in collecting the required information from the applicants; inviting public comments in response to Federal Register notices; requesting reviews from specialists at other agencies and Commerce; and, for most notifications, requesting CBP comments.", "The Board collected the required information from applicants for the 59 notifications we reviewed. All of the notifications included (1) the identity and location of the FTZ user; (2) the materials, components, and finished products associated with the proposed activity; and (3) information on whether any material or component was subject to a trade-related measure or proceeding.", "For 5 of the 59 notifications we reviewed, Board staff recommended further review of the proposed activity on the basis of the applicant information and staff knowledge of the industry, according to Board staff. The staff explained that if the Board is aware of issues that would require a more detailed review of the proposed activity, the Board can decide, without collecting additional information, not to approve the notification. In such cases, the company must file a more detailed application if it wants to proceed with its request for production authority. For example, for 2 of these 5 notifications, Board staff recommended further review without collecting additional information because they were already reviewing production applications requesting similar production authorities for carbon fiber. For another notification, staff recommended further review without collecting additional information because the Board had not previously reviewed a similar request and the staff needed the additional information that would be collected through the application evaluation process. Of the five companies that submitted these 5 notifications, three companies decided to submit applications for production authority.", "For the remaining 54 notifications, Board staff published notices in the Federal Register and received public comments on 5 of them. The comments included both opposition and support from domestic producers and associations. For example, in comments responding to one of the notifications, a company opposed authorization of the proposed activity because the company believed that the activity, if approved, would likely have a negative impact on the domestic silicon metal industry. According to the comments, the price of silicon metal had declined significantly and granting the requested production authority would result in further downward pressure on U.S. silicon metal prices. In comments responding to another notification, a company supported the proposed extension of FTZ authority to produce upholstered furniture and related parts. The comments stated that the activity would, among other things, encourage production in a related industry, domestic thread production.", "Board staff sought and received reviews of the 54 notifications from industry specialists in six Commerce offices, including the Offices of Textiles and Apparel, Consumer Goods, Materials, and Energy and Environmental Industries. The specialists recommended approving 49 of the notifications (with or without restrictions) and not approving the remaining 5 notifications because further review was warranted.", "For example, for one notification, an industry specialist\u2019s review recommended approval, noting that the competitive landscape in Puerto Rico\u2014the FTZ\u2019s location\u2014had changed and some industry sectors had shifted manufacturing to foreign locations. According to the review, approval of the notification would therefore contribute to maintaining manufacturing operations in Puerto Rico, which would provide employment and an economic boost to the national economy. For a second notification, an industry specialist\u2019s review recommended denying the requested production authority because of concerns about the possible effect of importing a textile component that was being produced domestically. The review stated that if the notification were approved, the company would avoid paying duties on the textile component, resulting in a significant incentive for the use of imported products over those produced domestically. For a third notification, the Board staff requested and received comments from the Department of Justice regarding a firearm import regulation for a notification seeking production authority for the demilitarization (or disassembly) of munitions and other explosive components.", "According to the industry specialists who had reviewed notifications in our sample, their analyses were based on their knowledge of the industry, including domestic manufacturers of components that applicants sought to import into an FTZ, and on public comments submitted to the Federal Register, among other things.", "For 6 of the 59 notifications, Board staff did not ask CBP about its ability to oversee a proposed production activity because the staff were recommending further review of the notification. For the remaining 53 notifications, we found that the Board requested comments from CBP regarding its ability to provide oversight."], "subsections": []}, {"section_title": "Phase 2: Analysis and Recommendation", "paragraphs": ["We found that Board staff followed the Board\u2019s procedures in reviewing comments and other relevant factors for all notifications in our sample and providing recommendations to the Board regarding authorization of the notifications.", "Review of Comments and Other Relevant Factors Our review of Board case records found that Board staff prepared evaluations for all 59 of the notifications we reviewed, documenting consideration of public comments, any agency specialists\u2019 reviews, and CBP comments. In addition, although the regulations do not explicitly require consideration of the criteria listed in the regulations when evaluating notifications, Board staff informed us that they always considered economic and threshold factors when they had collected information that identified potential areas of concern.", "Our review of the case records for the 59 notifications found that some of the factors Board staff considered included whether similar production authority had been granted in the past for another company and whether concerns had been raised by domestic industries. For example, for one notification requesting production authority for wind turbine components, the Board staff\u2019s evaluation noted that the Board had previously approved production authority involving wind turbines and related components for other companies. For another notification, requesting production authority to import a foreign-source textile fabric for adhesive bandages duty free, the Board staff\u2019s evaluation noted that similar requests claiming lack of availability of domestically produced textile fabric at competitive prices had been strongly disputed by domestic producers, trade associations, or both.", "More than half of the Board staff evaluations of the notifications we reviewed included a discussion of economic factors, and nearly a third included discussion of threshold factors. For example, 15 evaluations discussed the proposed activity\u2019s potential impact on related domestic industries. The evaluation of a notification requesting authority to produce customized plastic containers stated that a domestic company producing reusable plastic containers opposed the request on the grounds that the proposed activity could harm that company in the U.S. market. In addition, 13 evaluations discussed exporting and re-exporting finished products. For example, an evaluation of a notification requesting authority to produce automotive textile upholstery material noted that the company did not intend to enter the finished product into the U.S. market for domestic consumption (i.e., the company would re-export the finished product for sale outside the U.S. market).", "Our review of case records for the 59 notifications found that the Board staff prepared recommendations for each notification and also prepared memos to the Treasury and Commerce Board members for the Executive Secretary\u2019s review before providing them to the Board members. Reasons noted in recommendations to authorize a production activity without restrictions included prior authorization of a similar activity or lack of impact on domestic industry. Reasons for recommending denial of authorization included new or complex policy issues that required further review. Recommendations to authorize an activity with restrictions included restrictions on the quantity of a component that could be imported duty-free into an FTZ, on the amount of time for which a production activity would be authorized (e.g., 5 years), and on the eligibility of some components for FTZ benefits. For example, for one notification requesting authority to produce upholstered furniture, the memo recommended, among other things, restricting the amount of a specific foreign-source fabric that could be imported duty free into an FTZ and requiring that all other foreign-source fabrics be admitted to an FTZ under duty-paid status. We found that for all 59 notifications, the Board staff\u2019s recommendations were in agreement with the industry specialists\u2019 comments."], "subsections": []}, {"section_title": "Phase 3: Authorization Decision", "paragraphs": ["Our review of the 59 sample notifications found that for each notification, the Board\u2019s Executive Secretary followed the Board\u2019s procedures in submitting a memo to the Board with recommendations for its decision and notifying the applicants of the decision. In addition, the Board staff generally followed time frames listed in the procedures.", "Executive Secretary\u2019s Recommendation and Board\u2019s Decision The Board\u2019s Executive Secretary submitted a memo to the Board recommending approving, approving with restrictions, or not approving each of the 59 notifications we reviewed. The Executive Secretary recommended approving 34 notifications, approving 15 notifications with restrictions, and denying 10 notifications (see fig. 5). We found that the Executive Secretary\u2019s recommendations concurred with the Board staff\u2019s recommendations for all 59 notifications and that the Commerce and Treasury Board members concurred with the FTZ Executive Secretary\u2019s recommendations for 56 of the 59 notifications. For the remaining 3 notifications, the Executive Secretary recommended that further reviews were warranted and the Commerce Board member concurred. Because the notification was not approved, the Executive Secretary did not contact the Treasury Board member for his concurrence. According to Board staff, a notification will not be approved if at least one Board member determines further review is needed. See appendix III for more information about the Board\u2019s decisions for the 59 notifications in our sample.", "For all 59 notifications, Board staff informed the applicant of the Board\u2019s decision.", "For the majority of the notifications in our sample, the Board generally followed time frames listed in the procedures. For example, for 46 of the 59 notifications, the Board informed the applicant of its decision within 120 days after the notification\u2019s submission, as required by the regulations and procedures. The other 13 cases were completed within 122 to 160 days. According to Board officials, processing some notifications took more time because of a government shutdown or internal procedural delays. (See app. IV for more information about the processing times for notifications in our sample.) The Board staff also noted that even when a case was delayed, processing the notification took less time than if the company had submitted an application under the production application process before the regulations were revised in 2012.", "According to Board staff, the notification process is designed to ensure that the applicant receives an authorization decision within 120 days. Board staff stated that, in general, any issues arising during evaluation of a production notification will lead to an authorization with restriction or denial of the notification, since decisions on the merits of such issues would require extended comment and rebuttal periods and additional analysis that could not be completed within the 120-day time frame for notifications. Board staff stated that, in these cases, a company can choose to submit a more detailed application, triggering the Board\u2019s application evaluation process. Among the companies that filed the 59 production notifications we reviewed, three companies whose notifications were not approved had filed a more detailed application for production authority as of September 2017."], "subsections": []}]}]}, {"section_title": "FTZ Board Followed Procedures Generally Aligned with Regulations in Evaluating Applications We Reviewed, but It Did Not Consistently Document Consideration of All Required Criteria Board\u2019s Procedures Generally Align with Regulations for Evaluating Production Applications", "paragraphs": ["Our review of Board documents and interviews with Board staff showed that the Board has established procedures for evaluating production applications that generally align with its regulations. The Board\u2019s procedures for evaluating production applications can be organized into the same three phases as those for evaluating production notifications\u2014 (1) information collection, (2) analysis and recommendation, and (3) authorization decision\u2014although some of the requirements differ (see fig. 6 for an illustration of the Board\u2019s application process). For each phase, the procedures include steps that specify the responsible party and the intended product and result.", "In general alignment with the regulations, the Board\u2019s procedures for evaluating production applications include steps for collecting information from the applications, from public comments submitted in response to Federal Register notices of the applications, from reviews of the applications by industry specialists at Commerce and other agencies, and from CBP.", "Application information. The Board regulations require the applicant to provide detailed information about the proposed production activities, such as (1) a summary of the reasons for the application, including a description of the finished products and imported components; (2) the estimated annual value of benefits to the applicant; and (3) an explanation of the requested production authority\u2019s anticipated economic effects. To guide companies in completing applications, the Board provides an application instruction sheet with numerous questions, many of which are similar to requirements listed in the regulations. The Board\u2019s procedures require Board staff to determine whether the application is complete before beginning to evaluate it.", "Federal Register comments. The Board regulations require that, after Board staff determine that the application satisfies regulatory requirements, the Executive Secretary shall, among other things, publish a notice in the Federal Register inviting public comments. Similarly, the Board procedures require the preparation of a notice for the Executive Secretary\u2019s review and signature that will be transmitted to the Federal Register.", "Agencies\u2019 review. While the Board\u2019s regulations do not specifically require Board staff to ask industry specialists to review the production applications, the procedures instruct staff to consult with industry specialists at Commerce and other agencies as appropriate. See the text box for a description of production application reviews by industry specialists in Commerce\u2019s Office of Textiles and Apparel (OTEXA).", "Description of Production Application Review by Department of Commerce Industry Specialists According to industry specialists at the Department of Commerce, when Foreign-Trade Zones (FTZ) Board staff receive an application pertaining to textiles products, they forward the application to the department\u2019s Office of Textiles and Apparel (OTEXA). OTEXA officials then issue a mass mailing alerting industry (i.e., nongovernment) representatives that a textile case was submitted. In addition, the industry specialists said that the department co-manages the Industry Trade Advisory Committee on Textiles and Clothing, consisting of 23 vetted advisory committee members representing domestic producers, importers, retailers, distributors and associations, among others. The specialists stated that OTEXA officials would notify this committee about the Federal Register notice for the textile application to help ensure that the industries have seen the notice.", "According to the industry specialists, OTEXA will thoroughly review the case, taking into account public comments, and submit a memo with a recommendation to the FTZ Board staff for consideration. The specialists stated that the main purpose of OTEXA\u2019s review is to determine whether the applicant is seeking to bring into an FTZ a textile component that is being manufactured domestically. According to the specialists, if OTEXA determines that the component is manufactured domestically, it will recommend to the FTZ Board staff that the application should not be authorized. The industry specialists said that lack of opposition to the application usually indicates that there is no domestic manufacturer of the product.", "CBP\u2019s review. The regulations require the Executive Secretary to provide the application and Federal Register notice to CBP for review and require CBP to submit any comments about the application to the Executive Secretary by the conclusion of the Federal Register public comment period. Similarly, the Board procedures require Board staff to prepare a letter to the CBP Port Director. According to the Board staff and CBP officials, a letter is sent to the local CBP Port Director to collect information on CBP\u2019s ability to provide oversight and help ensure that FTZ program rules and regulations are followed if the activity is authorized."], "subsections": [{"section_title": "The Board Followed Its Procedures in Evaluating Production Applications We Reviewed", "paragraphs": [], "subsections": [{"section_title": "Phase 1: Information Collection", "paragraphs": ["Our review of available documents for each of the three applications in our sample indicate that Board staff followed the Board\u2019s procedures in collecting information from companies, publishing notices and obtaining public comments from the Federal Register, and gathering comments from agencies such as Commerce and CBP. All three companies requested authority to import textiles from foreign suppliers into an FTZ for use in manufacturing products that would be later imported from the FTZ into the U.S. market for consumption.", "The Board staff collected information from all three companies\u2019 applications. For example, each company provided information regarding (1) reasons for the application and an explanation of its anticipated economic benefits; (2) the estimated total annual value of benefits of the proposed activity to the company; (3) whether the activity was consistent or inconsistent with U.S. trade and tariff law or policy formally adopted by the executive branch; (4) whether approval of the activity under review would seriously prejudice U.S. tariff and trade negotiations or other initiatives; and (5) whether the activity involved items subject to quantitative import controls or inverted tariffs.", "We found that two of the companies responded partially to a question soliciting data on annual current and planned production capacity for the proposed FTZ activity. In addition, one of these companies did not respond to a question regarding whether the production activity would result in significant public benefits, taking into account the threshold and economic factors. According to Board staff, applicants may not be able to provide the quantitative information needed to answer some of the questions. The staff stated that, because the evaluation process does not lend itself to specific calculations, the absence of certain data does not prevent the Board\u2019s evaluation of the application. According to Board staff, the Board\u2019s recommendations are based on the totality of qualitative and quantitative information in the case record.", "The Executive Secretary posted notices in the Federal Register of the three production applications, pursuant to the Board\u2019s procedures, and received public comments on all three. One application received two comments from a domestic textile producer that opposed the application. Another application received three comments\u2014two from a domestic textile producer and one from domestic textile industry trade associations\u2014opposing the application and received a fourth comment\u2014 from a domestic textile producer\u2014supporting it. The third application received 14 comments from domestic textile producers, textile organizations, and congressional and city government officials, among others. Twelve of the 14 comments supported the application; the remaining 2 comments, from the same domestic producer, opposed it.", "Board staff requested that industry specialists review one of the three production applications, although the Board\u2019s procedures do not require such reviews, according to Board staff. In a memo from Commerce\u2019s OTEXA, a specialist who reviewed the application recommended not approving it because the textile components that the company had planned to import into the FTZ were also produced domestically by other manufacturers. In addition, the memo stated that granting the company\u2019s request for FTZ production authority would provide a significant incentive to use imported textile materials rather than textile materials produced domestically, which could have negative economic effects on domestic producers and companies supplying the production components.", "For the other two applications\u2014both related to the production of carbon and other fiber with foreign-source components\u2014the Board staff did not seek comments from industry specialists and initiated their own industry research instead. According to Board staff, they did not reach out to OTEXA because OTEXA had recently provided comments on a similar carbon fiber case. The Board staff did not request that other agencies review the three applications.", "CBP\u2019s local Port Director reviewed all three production applications and responded that it could provide oversight of the proposed activities."], "subsections": []}, {"section_title": "Phase 2: Analysis and Recommendation", "paragraphs": ["We found that Board staff followed the Board\u2019s procedures in reviewing comments and other relevant factors for the three production applications and providing recommendations to the Board regarding approval of the applications.", "Review of Comments and Other Relevant Factors Our review of Board case records for the three applications found that in evaluating the applications, Board staff considered the public comments submitted in response to the Federal Register notices as well as comments from industry specialists and CBP. In addition, although the case records did not document consideration of all required criteria for two of the three applications, we concluded after interviewing Board staff that they had considered the required criteria. The procedures do not require Board staff to document consideration of the required criteria. The case records we reviewed also showed that Board staff considered the authorization decisions of recent applications involving similar foreign- source components.", "Examiner\u2019s Reports and Recommendations We found that the Board staff issued preliminary recommendations and subsequently prepared detailed examiner\u2019s reports, with final recommendations, for the three production applications. For two of the applications, the examiner preliminarily recommended authorizing one of the requested production activities with a restriction, namely, requiring that the final product be re-exported and not sold on the U.S. market. For the third application, the examiner preliminarily recommended, on the basis of the OTEXA specialist\u2019s analysis, not approving the request for expanded FTZ production authority. The Board staff also prepared reports with final recommendations for the Executive Secretary\u2019s review, taking into account new evidence and rebuttals that the applicants had submitted in response to opposing public comments. The final recommendations proposed by the Board staff were identical to the preliminary recommendations.", "For the two applications that received final recommendations to authorize with restrictions, the examiner\u2019s reports stated that an authorization without restrictions would negatively impact a domestic producer and that the applicants had not demonstrated a causal link between proposed FTZ-related cost savings and an overall net positive national economic effect, among other reasons. For the application that the industry specialist had reviewed, the examiner\u2019s report stated that, after reviewing all comments and information on the case record, OTEXA\u2019s position continued to be that approving FTZ production authority in this circumstance, given the domestic supply of required textile materials, would encourage the use of imported textiles and reduce purchases from domestic producers, which could cause domestic production to decline."], "subsections": []}, {"section_title": "Phase 3: Authorization Decision", "paragraphs": ["Our review of the case records for the three production applications found that the Executive Secretary submitted the examiner\u2019s reports and recommendations to CBP for review and comment and to the Board members for their respective votes, pursuant to the Board\u2019s procedures and regulations, and that the applicants were notified of the Board\u2019s decisions. We also found that all three applications took longer than the general 12-month time frame detailed by the regulations.", "Executive Secretary\u2019s Recommendation and Board\u2019s Decision We found that CBP reviewed, and concurred with, the examiner\u2019s recommendations for all three applications. The Executive Secretary submitted copies of his memos for each of the three applications, along with the examiner\u2019s reports and recommendations, to both the Treasury and Commerce board members. The memos recommended authorizing with restrictions two of the applications and not authorizing the third application, in agreement with the examiner\u2019s recommendations. In addition, the Executive Secretary\u2019s memo to the Board regarding the application that OTEXA had reviewed stated that, as with recent cases involving textile-based production components, the content of OTEXA\u2019s memorandum established a key basis for the final recommendation for the Board\u2019s action. The Board members unanimously concurred with the Executive Secretary\u2019s recommendations for all three applications.", "For all three applications, the Board staff notified the applicants of the Board members\u2019 decisions.", "Board staff developed the examiner\u2019s preliminary recommendation within the general 150-day time frame cited in the Board\u2019s procedures for one of the three applications we reviewed and took additional time for the other two applications. Each of the three applications involved textiles related to foreign-source components, which our review of the case records showed can be controversial. For the three applications, the examiner took 116, 235, and 431 days, respectively, to complete the preliminary recommendations. In addition, the Board\u2019s evaluation of each of the three applications that we reviewed took longer than the general 12-month time frame detailed by the regulations; however, the regulations state that processing a case may take longer when it involves a controversial or complex issue. Processing the three applications took approximately 18, 28, and 28 months, respectively, from the dates when the Board received the applications to the dates when the applicants were notified of the Board\u2019s decisions.", "For all three applications, preliminary recommendations to either authorize with restrictions or not authorize led to the submission of additional evidence by the applicants, opposition and support by various parties through public comments in response to the Federal Register notices, and the applicants\u2019 rebuttals of public comments. For example, Board staff said that for one of the applications, the OTEXA specialist who reviewed it asked the Board staff to request additional information from the applicant to facilitate analysis of the potential impact of the proposal. The applicant took more than 3 months to provide the information. After the specialist and the Board staff reviewed the additional information, a preliminary negative recommendation was rendered, which necessitated opening an additional public comment period. An opposing party requested an extension of that comment period. After the extended comment period ended, the Board staff said that it allowed a public comment period for rebuttal comments. According to Board staff, another application that we reviewed involved somewhat similar sets of complex circumstances. Board staff noted that these two applications each involved a complex set of circumstances that needed to be carefully and thoroughly reviewed."], "subsections": []}]}, {"section_title": "Lack of Consistent Documentation Made It Difficult to Verify the Board Considered All Required Criteria for Applications We Reviewed", "paragraphs": ["While the Board\u2019s procedures and regulations do not call for staff to document their consideration of all criteria required by section 400.27 of the regulations, the absence of such documentation for two of the three applications we reviewed made it difficult to verify that the Board had considered all of these criteria when evaluating the applications. For example, the examiner\u2019s report for one of these two applications did not include documentation to demonstrate that the Board staff had considered the required threshold factors. Also, the reports for the two applications did not include documentation that the staff had considered several of the required economic factors, including (1) retention or creation of value-added activity, (2) extent of value-added activity, and (3) overall effect on import levels of relevant products. The records for all three applications included documentation of consideration of the proposed production activity\u2019s potential significant public benefits. Board staff and the Executive Secretary explained in interviews and in written responses to our questions how they had considered all the required threshold and economic factors and any significant public benefits when evaluating the three applications we reviewed.", "The examiner\u2019s reports for the two applications did not include documentation indicating the Board staff\u2019s rationale for selecting criteria as relevant. According to Board staff, each examiner\u2019s report includes information that is most relevant to the analysis of the case. Each report also provided a narrative discussing the criteria that the Board staff considered relevant and that supported the recommendation, and each report explained the rationale for the Board staff\u2019s decision to recommend authorizing with restrictions or not authorizing the production activity. According to the Board staff, because only the most relevant criteria are included in the examiner\u2019s report, not all of the threshold and economic factors are explicitly documented. According to Standards for Internal Control in the Federal Government, management should clearly document internal control and all transactions and other significant events in a manner that allows the documentation to be readily available for examination. If management determines that a criterion is not relevant, management should support that determination with documentation that includes its rationale. Without such documentation in the examiner\u2019s reports, Board members lack readily available written assurance that the recommendations reflect consideration of all of the required criteria and that its decisions comply with U.S. trade and tariff laws and policy that has been formally adopted by the executive branch. In addition, such documentation would provide an institutional record of the examiner\u2019s consideration of all the required criteria.", "According to Board staff, the examiner\u2019s reports may contain varying levels of discussion on each criterion, depending on the specific circumstances of the application. Board staff stated that the criteria listed in section 400.27 of the regulations form the framework and basis of the analysis in each examiner\u2019s report, although the analysis and discussion in the reports may not refer directly to each economic factor. With respect to the examiner\u2019s report that contained no documentation of the consideration of the threshold factors, the Board staff stated that their consideration of the economic factors had indicated that the application should be denied and had formed the basis of the report\u2019s recommendation. The recommendation and the Board\u2019s decision would not be affected by including in the report a discussion of the threshold factors, according to the Board staff.", "In addition, Board staff stated that the extent to which the examiner\u2019s reports discuss specific pieces of evidence can vary depending on the relevance and significance of each piece of evidence to determining whether the applicant has met the burden of proof for approval under the regulatory factors or criteria. The Board staff also noted that the extent to which the examiner addresses each piece of evidence is generally a subject of discussion with the Executive Secretary during the drafting of the report. Only by interviewing Board staff, in conjunction with our review of the case records, were we able to determine that the Board had considered all of the required criteria when making its recommendations to authorize (with or without restrictions) or not authorize an application for production authority."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Board has procedures that generally align with the regulations for evaluating production notifications and applications for production authority, and our review of FTZ sample cases and interviews with Board staff and other relevant agencies found that the Board followed these procedures. The Board regulations include criteria that the Board is required to consider during its review of an application for production authority. However, the examiner\u2019s reports we reviewed did not consistently include documentation demonstrating that the examiner considered all required criteria before recommending whether the applications should be authorized. While not required by the Board regulations and procedures, such documentation would provide the Board members readily available written assurance that the recommendations reflect consideration of all of the required criteria and that its decisions comply with U.S. trade and tariff laws. In addition, such documentation would provide an institutional record of the examiner\u2019s consideration of all the required criteria."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Commerce, as Chairman of the FTZ Board, should ensure that the Board\u2019s Executive Secretary incorporates into its procedures a requirement that each examiner\u2019s report document Board staff\u2019s consideration of all required criteria listed in section 400.27 of the regulations during evaluations of applications for production authority. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Commerce, Treasury, and the Department of Homeland Security for review and comment. Commerce provided written comments, which are reproduced in appendix V. In its comments, Commerce concurred with our recommendation and stated that it had taken action to address it. In addition, Commerce and Treasury provided technical comments, which we incorporated as appropriate. The Department of Homeland Security stated by email that it had no comments about our draft report.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretaries of Commerce, the Treasury, and Homeland Security and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report examines (1) the extent to which the Foreign-Trade Zones Board (the Board) has established and followed procedures aligned with its regulations for evaluating production notifications and (2) the extent to which the Board has established and followed procedures aligned with its regulations for evaluating production applications.", "To examine the extent to which the Board has established procedures aligned with its regulations for evaluating production notifications and applications, we reviewed and compared the Board\u2019s 2012 regulations to the Board\u2019s staff internal procedures. In conducting this analysis, we also identified procedures that the Board is required to follow in evaluating notifications and applications. We interviewed Board staff, industry specialists in the Department of Commerce (Commerce), and officials from the Department of the Treasury (Treasury) and the Department of Homeland Security\u2019s Customs and Border Protection (CBP) to identify their roles in the evaluation of notifications and applications and to clarify the regulations\u2019 requirements and the Board\u2019s internal procedures.", "To examine the extent to which Board staff followed the Board\u2019s procedures when evaluating production notifications and applications, we selected and analyzed a nongeneralizable sample of case records for 59 of the 293 production notifications submitted to the Board from April 2012 through September 2017. We selected this time period to ensure that the sample reflected the Board\u2019s activities between April 2012\u2014when, according to staff, the Board began implementing regulations that it had modified in February 2012\u2014and the end of fiscal year 2017. To select our sample of 59 notifications, we first selected 10 of the 13 notifications submitted during the selected time period that were not approved by the Board. We did not select the remaining 3 notifications that were not approved, because the companies that submitted those notifications subsequently submitted production applications and the Board\u2019s decisions about the applications were pending when we made our selection. The notifications that were not approved were submitted by companies in seven industry categories\u2014silicones/polysilicon, textiles/footwear, oil refineries/petrochemical facilities, other energy, chemicals, medical supplies and devices and miscellaneous. For each of these seven categories, our sample of 59 notifications includes all notifications for which the Board had rendered decisions at the time of our selection and excludes any for which decisions were pending. Our sample does not include six production notifications submitted by companies in the textiles/footwear industry category that the Board did not approve or approved with restrictions, because those companies subsequently submitted applications. Our final sample of 59 notifications includes all three types of Board decisions (34 approved, 15 approved with restrictions, and 10 not approved). However, because of its size, our final sample is not generalizable to all notifications submitted from April 2012 through September 2017. We also selected and analyzed three production applications, respectively submitted by three companies that submitted 3 of the 59 notifications we analyzed. These three applications were the only applications that the Board reviewed and rendered final decisions on from April 2012 through September 2017.", "We analyzed case records containing documents that companies submitted when they filed their production notifications and applications; information collected by Board staff from public comments in response to Federal Register notices; comments from industry specialists at Commerce, CBP, and the Department of Justice; and reports prepared by Board staff, documenting their analyses and recommendations for each notification and application. To conduct a systematic assessment of the case records, we created a data collection instrument to determine, among other things, whether the applicant submitted all required information for each notification and application. In addition, at least two analysts, including an economist, independently reviewed each case record; any resulting disagreements were resolved through discussion among team members and, as appropriate, with Board staff. Further, we collected and analyzed data for these cases on the types of Board decisions (approved, approved with restrictions, and not approved); the extent of public comments received for both notifications and applications; the extent of industry specialists\u2019 and CBP\u2019s comments; the types and amount of notification restrictions; and whether the duration of the Board\u2019s evaluations was within the time frames detailed in the Board\u2019s regulations and procedures. We also determined the extent to which the recommendations of the Board\u2019s analysts, Commerce\u2019s industry specialists, the Board\u2019s Executive Secretary, and Board members were in agreement. We determined that the case records data we reviewed, which we obtained from the Board\u2019s case tracking system, were sufficiently reliable for our purposes of understanding the universe of notifications and applications submitted for production authority and reviewing a sample from that universe. To make this determination, we took steps that included reviewing related documentation guidance for the Board\u2019s case records tracking system; interviewing knowledgeable agency officials; and reviewing a sample of cases with our data collection instrument, which confirmed information included in the case tracking system data.", "Further, we analyzed the extent to which Board staff considered all required threshold and economic factors and any significant public benefits for the three applications in our sample. While neither the Board\u2019s regulations nor its procedures require Board staff to document consideration of all required threshold and economic factors and significant public benefits, as detailed in section 400.27 of the regulations, during their evaluations of production applications, Standards for Internal Control in the Federal Government calls for such documentation. To conduct this analysis, we reviewed the examiner\u2019s reports for all three applications and interviewed Board staff to determine whether the examiner had considered all of the required criteria. We cannot generalize or extrapolate our analysis for the three applications to all notifications and applications submitted to the Board from April 2012 through September 2017. We also interviewed relevant officials from Commerce (including industry specialists), Treasury, and CBP to obtain clarifications regarding some of the notifications and applications in our sample.", "We conducted this performance audit from July 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Foreign-Trade Zones Board Decisions for All Production Notifications Submitted April 2012\u2013September 2017", "paragraphs": ["From April 2012 through September 2017, the Foreign-Trade Zones Board (the Board) rendered decisions on 293 notifications requesting foreign-trade zones (FTZ) production authority that were submitted by companies in 25 industry categories (see table 2). The Board reported approving 218 notifications (74 percent), approving 62 notifications with restrictions (21 percent), and not approving 13 notifications (4 percent). Nine of the companies whose notifications were approved with restrictions or not approved continued to seek production authority by submitting production applications.", "Our analysis of the Board\u2019s decisions from April 2012 to September 2017 found the following.", "The Board approved all production notifications for six industry", "Auto parts (25 notifications)", "Pharmaceutical (21 notifications)", "Other electronics/telecommunications (10 notifications)", "Metals and minerals (7 notifications)", "Semiconductors (3 notifications)", "Oil drilling equipment (2 notifications)", "According to Board staff, companies in some industry categories, such as auto parts and pharmaceutical, often have long-established records of operating in FTZs. Board staff also stated that many companies in these industry categories submit notifications requesting production authority for items similar to those for which the Board has granted authority in the past. Officials also stated that companies are more likely to submit notifications requesting authorization for certain production activities if other companies have previously received authorization for similar activities.", "Textiles/footwear was the industry category with the largest number of notifications that were approved with restrictions or not approved. Of the 23 notifications submitted, 14 were approved with restrictions and 4 were not approved. Board staff noted that domestic textile producers that could be affected by authorization of production notifications are often those that oppose approval of the notifications.", "Of the companies that submitted the 75 production notifications that were approved with restrictions or not approved, 9 companies continued seeking production authority by filing a more detailed production application with the Board. As of August 2018, 2 applications had been authorized with restrictions, 2 applications had not been authorized, and the Board\u2019s decisions were pending for the remaining 5 applications."], "subsections": []}, {"section_title": "Appendix III: Rationales for Foreign-Trade Zones Board Decisions for Selected Production Notifications Submitted April 2012\u2013September 2017", "paragraphs": ["We selected and analyzed Foreign-Trade Zones (FTZ) Board (the Board) case records for a nongeneralizable sample of 59 notifications to identify the rationales for the Board\u2019s decisions and the types of restrictions, if any, included in the decisions. Table 3 shows the Board\u2019s decisions for the 59 notifications in our sample, by industry category."], "subsections": [{"section_title": "Notifications That Were Approved", "paragraphs": ["The Board approved production authority for 34 of the 59 notifications in our sample. Our analysis of Board case records found that the Board\u2019s rationale for its decision for 32 of the 34 authorizations fell into one of the following four categories:", "The Board had previously approved similar production authority for another company (23 notifications). For example, in evaluating a notification requesting production authority for lithium ion batteries and electric vehicle motors, Board staff noted that the Board had approved similar production notifications for other companies in recent years.", "No opposition or concerns were raised by an industry or industry analyst during the Board\u2019s review of the notification (4 notifications). For example, in evaluating one notification, Board staff noted that no concerns were raised during the public comment period or by Department of Commerce industry analysts.", "No duty savings would be realized for the finished product of the proposed activity (3 notifications). For example, in evaluating a notification requesting authority to produce finished upholstery grade leather and cut parts, Board staff noted that duties for the finished goods were not lower than the duties for the components (leather hides) required for production.", "No products of foreign origin would be involved in the proposed activity (2 notifications). For example, in evaluating one notification Board staff noted that the applicant was not requesting the use of any foreign-source steel in the proposed FTZ operations."], "subsections": []}, {"section_title": "Notifications That Were Approved with Restrictions", "paragraphs": ["Our sample of 59 notifications included 15 cases in which the Board approved production authority with restrictions. Our analysis of Board case records found that the restrictions imposed by the Board fell into one or more of the following six categories.", "The Board required the company to pay duties on one or more components before importing the component into the FTZ (9 notifications). For example, the Board\u2019s decision for one notification stated that the company must pay duties on certain foreign-origin upholstery fabrics before bringing them into the zone.", "The Board required the company to pay duties on some or all components brought into the FTZ when transferring the finished product from the zone, even if the components were used in production (8 notifications). For example, for one notification, the Board required the company to pay duties on upholstery leather brought into an FTZ for manufacturing furniture when the furniture left the FTZ.", "The Board authorized a limited quantity of certain components specified in the notification (6 notifications). For example, the Board decision for one notification limited the square yards of a given fabric that the company was allowed to admit into an FTZ.", "The Board required the FTZ user to submit additional data and information (6 notifications). For example, the Board decision for one notification required the company to submit supplemental annual report data and information for the purpose of monitoring by Board staff.", "The Board restricted the duration of FTZ production authority (4 notifications). For example, the Board decision for one notification limited production authority to 5 years.", "The Board required that a product be re-exported from the zone (not for entry into U.S. market) (1 notification). For this notification, the Board instructed the company to ship all of the foreign upholstery fabric out of the subzone and not ship it into the United States for U.S. consumption.", "For the 15 notifications that were approved with restrictions, our analysis of Board case records found that the Board\u2019s rationales for its decisions fell into one or more of the following six categories.", "Similar authority had been approved in the past (6 notifications). For example, in its decision for one notification, the Board noted that a similar authority had been requested by another company and that the authority was granted with a similar restriction.", "The proposed activity supported U.S.-based production that otherwise would be conducted abroad (4 notifications). For example, in decisions for two notifications, the Board noted that the approved production authority supported domestic U.S. production that otherwise could be (or was being) conducted abroad. The restriction for these notifications concerned the quantity of a fabric that could be brought into the zone duty free.", "New or complex policy issues were involved (2 notifications). For example, in its decision for one notification, the Board approved the requested production authority for the first time and added a time restriction that would allow the Board to identify any domestic impact.", "No opposition was raised by domestic industry or by industry analysts (1 notification). In its decision for this notification, the Board noted that industry analysts at Commerce had no concerns as long as the company paid duties on imported fabric components specified in the notification when the finished good left the zone.", "No duty savings would be realized for the finished product of the proposed activity (1 notification). In its decision for this notification, the Board noted that the applicant had indicated it would pay duties on all foreign-source materials when leaving the zone for sale in the United States.", "The proposed activity would have no duty-reduction benefit and would help only with logistics or record-keeping (1 notification). In its decision for this notification, the Board noted that production authority had previously been approved with restrictions and that the company had requested a change to the authorization for record- keeping purposes."], "subsections": []}, {"section_title": "Notifications That Were Not Approved", "paragraphs": ["The Board\u2019s reasons for not approving 10 notifications fell into one or more of the following two categories.", "New or complex policy issues or concerns were involved (5 notifications). For example, in its decisions for these notifications, the Board noted that (1) it had not previously approved production authority for a given component or a given product, (2) circumstances within the industry and opposition to the production notification continued to evolve, (3) the production process made tracking the source or destination of a given component difficult when it entered or left the FTZ, (4) the component or product involved sensitive trade policy issues, or (5) the economic impacts and potential precedents were unclear.", "Further review was needed because of domestic industry concerns (8 notifications). For example, in its decisions for these notifications, the Board cited concerns that included the possibility that authorization would put pressure on domestic industries already experiencing low growth and depressed prices and would cause disagreements between the applicant and industry members regarding the domestic availability of an FTZ production component at competitive prices. In addition, for one notification, the Board\u2019s decision rationale stated that, although similar authority had been approved several years earlier, authority was not currently being granted because conditions had changed since the earlier authorization."], "subsections": []}]}, {"section_title": "Appendix IV: Time Frames for Foreign-Trade Zone Board\u2019s Processing of Selected Production Notifications and Applications", "paragraphs": ["The Foreign-Trade Zones Board (the Board) regulations establish time frames for evaluating notifications and applications submitted by companies seeking permission to conduct production activities in a foreign-trade zone (FTZ). The regulations require that the Executive Secretary inform the applicant of the Board\u2019s authorization decision within 120 days of receiving the notification. The regulations also state that the general time frame to process applications for production authority is 12 months. We selected and analyzed a nongeneralizable sample of 59 notifications and 3 applications and the Board\u2019s case records to examine, among other things, whether the Board completed its processing of these notifications and applications within the time frames detailed in the Board\u2019s regulations. We found that the Board generally followed the 120- day time frame for the majority of the 59 notifications in our sample but, for all 3 applications that we reviewed, took longer than the general 12- month time frame set in the regulations for the applications. According to the regulations, additional time may be required to process applications that involve a complex or controversial issue."], "subsections": [{"section_title": "Notification Processing Time Frame", "paragraphs": ["The Board generally completed its processing of the 59 notifications we reviewed within the time frames detailed in the regulations. Eight cases were completed in less than 120 days, with time frames ranging from 21 to 119 days. Twenty-five cases were completed in exactly 120 days. In 13 cases, the 120th day fell on a weekend or a holiday and the review was completed on the next business day. Another 13 cases were delayed and completed in 122 to 160 days. According to Board staff, processing 5 of these 13 notifications exceeded the 120-day time frame because of a government shutdown. In addition, according to the Board staff, processing 8 of the 13 notifications exceeded the 120-day time frame because of internal procedural delays, such as an industry specialist\u2019s needing more time to analyze a notification. Of those 8 notifications, 7 were submitted by companies in the textiles/footwear industry and the eighth was submitted by a company in the \u201cother energy\u201d industry category.", "The time that the Board took to complete processing (i.e., finish its evaluations and inform applicants of its decisions) for the 59 notifications we reviewed varied by industry category (see table 4). For example, the Board informed all of the applicants that submitted notifications in the chemical, medical supply and device, and silicone/polysilicon industry categories of its decisions within 120 days or within 120 days plus the next business day. However, for 7 of 17 notifications from companies in the textiles/footwear industry category, the Board informed applicants of its decisions after the 120-day period."], "subsections": []}, {"section_title": "Application Processing Time Frame", "paragraphs": ["The Board\u2019s processing of each of the three applications in our sample took longer than the general 12-month (365 days) time frame set in the regulations. Processing of the three applications took 558, 866, and 864 days, respectively, from the date when Board received the application to the date when the applicant was notified of the Board\u2019s decisions. For all three applications, the Board issued preliminary recommendations either to approve with restrictions or not to approve the requested production authority. These preliminary decisions led to the submission of additional evidence, rebuttals to additional evidence, and opposition and support by various parties, which extended the time needed for final decisions by the Board members.", "The regulations state that evaluating an application may take longer when it involves a controversial or complex issue. The three applications we reviewed involved textile-related foreign components, which the case records and our interviews with Board officials showed can be controversial. For the three applications, completing certain steps delayed Board staff\u2019s processing of the applications, causing it to exceed the general time frame set in the regulations. For example, the regulations state that the examiner shall generally develop recommendations and submit a report within 150 days after the end of the public comment period. For the three applications, the examiner took 116, 235, and 431 days, respectively, to complete the preliminary recommendations. According to Board staff, processing two of the applications took longer than the general time frame because of a complex set of circumstances that called for careful and thorough review.", "In addition, under the regulations, once the Executive Secretary has circulated the examiner\u2019s report, the Department of the Treasury (Treasury) Board member is generally expected to return a vote within 30 days. For the three applications we reviewed, Treasury took 26, 90, and 212 days, respectively, to return a vote. A Treasury official also stated that before rendering a decision about two applications requesting the same type of authorization, Treasury waited for Board staff to complete its review of both applications. The Treasury official stated that he held substantial discussions with Board staff about each of the three applications before reaching a decision."], "subsections": []}]}, {"section_title": "Appendix V: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Christine Broderick (Assistant Director), Barbara R. Shields (Analyst-in-Charge), Claudia Rodriguez, Pedro Almoguera, Martin de Alteriis, Grace Lui, Reid Lowe, and Christopher Keblitis made key contributions to this report. Other contributors include Lilia Chaidez, Philip Farah, Peter Kramer, and Julia Robertson."], "subsections": []}]}], "fastfact": ["To encourage companies to maintain and expand operations in the United States, the Foreign-Trade Zones program offers a range of benefits, such as the possible reduction or elimination of customs duties on certain imported goods.", "A government board evaluates applications for establishing these zones as well as requests to reduce or eliminate specific duties and fees. We found the board followed its procedures\u2014such as considering public and industry comments\u2014in the cases we reviewed. However, its reports did not document that it considered all required criteria.", "We recommended that the board more thoroughly document its applicant evaluations."]} {"id": "GAO-18-659", "url": "https://www.gao.gov/products/GAO-18-659", "title": "Tax Administration: Opportunities Exist to Improve Monitoring and Transparency of Appeal Resolution Timeliness", "published_date": "2018-09-21T00:00:00", "released_date": "2018-10-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Taxpayer Bill of Rights entitles taxpayers with the right to appeal a decision of the Internal Revenue Service (IRS) in an independent forum. GAO was asked to review this administrative appeal process within IRS.", "Among other things, this report (1) describes the IRS appeal process and staffing; (2) assesses how IRS monitors and manages the time to receive and resolve taxpayer appeals cases; and (3) evaluates the extent to which Appeals communicates customer service standards and assesses taxpayer satisfaction with the appeal process.", "GAO reviewed IRS guidance, publications, and documentation on the appeal process. GAO analyzed IRS data for administrative appeal cases closed in fiscal years 2014 through 2017 to compare appeal case resolution time for different types of cases. GAO interviewed IRS officials and a non-generalizable sample of external stakeholders, including attorneys and accountants, knowledgeable about the appeal process. Among other things, GAO compared IRS actions to federal standards for internal control and customer service."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) has a standard process to resolve a diverse array of taxpayer requests to appeal IRS proposed actions to assess additional taxes and penalties or collect taxes owed. The process begins with a taxpayer filing an appeal with the IRS examination or collection unit proposing the compliance action and ends with a decision from the Office of Appeals (Appeals).", "Appeals must have staff with expertise in all areas of tax law to review taxpayer appeals. However, its staffing levels declined by nearly 40 percent from 2,172 in fiscal year 2010 to 1,345 in fiscal year 2017. Appeals anticipates a continued risk of losing subject matter expertise given that about one-third of its workforce was eligible for retirement at the end of last fiscal year.", "Appeals monitors the number of days to resolve taxpayer appeals of examination, collection, and other tax disputes. However, IRS does not monitor the timeliness of transfers of all incoming appeal requests. GAO analysis showed that the time to transfer appeal requests from compliance units varied depending on the type of case (see table below).", "Collections workstreams \u2014taxpayer appeals where IRS (1) filed a notice of federal tax lien or proposed a levy (collection due process) or (2) rejected an offer to settle a tax liability for less than owed (offer in compromise).", "The Internal Revenue Manual (IRM), IRS's primary source of instructions to staff, requires transfer to Appeals within 45 days for the largest collection workstream. With manager approval, collection staff may have an additional 45 days to work with the taxpayer. Nearly 90 percent of collection appeals closed in fiscal years 2014 to 2017 were transferred to Appeals within 90 days.", "Examination workstreams \u2014taxpayer appeals of additional tax and penalty assessments IRS proposed based on its auditing of tax returns over a wide range of examination issues.", "IRS does not have an IRM requirement with guidelines and procedures for timely transfer for examination appeals. Accordingly, more than 20 percent of examination appeals closed in fiscal years 2014 to 2017 took more than 120 days to be transferred to Appeals. Delays in transferring appeals can result in increased interest costs for taxpayers.", "Although Appeals maintains data on total appeal resolution time\u2014from IRS receipt to Appeals' decision\u2014such information is not readily transparent to IRS compliance units or the public. GAO analysis of IRS data found that, for fiscal years 2014 to 2017, about 15 percent of all appeal cases closed within 90 days (see figure below). About 85 percent of all cases were resolved within one year of when the taxpayer requested an appeal. Total resolution times differed by case type. However, without easily accessible information on resolution times, taxpayers are not well informed on what to expect when requesting an appeal.", "Although Appeals has customer a service standard and conducts a customer satisfaction survey, its standard and related performance results are not readily available to the public. Under the GPRA Modernization Act of 2010 (GPRAMA) and Executive Orders, the Department of the Treasury is responsible for customer service performance. Appeals conducts outreach to the tax practitioner community but does not regularly solicit input before policy changes. Without a mechanism, such as leveraging existing IRS advisory groups or alternatively developing its own advisory body, Appeals is missing an opportunity to obtain public input on policy changes affecting the taxpayer's experience in the appeal process."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes seven recommendations to help enhance controls over and transparency of the IRS appeals process (several of the recommendations are detailed on the following page).", "GAO recommends, among other things, that the Commissioner of Internal Revenue", "Establish timeframes and monitoring procedures for timely transfer of taxpayer appeals requests by examination compliance units to the Office of Appeals.", "Direct the Office of Appeals to regularly report and share with each compliance unit the data on the time elapsed between when a taxpayer requests an appeal to when it is received in the Office of Appeals.", "Provide more transparency to taxpayers on historical average total appeal resolution times.", "GAO recommends, among other things, that the Secretary of the Treasury, consistent with its responsibilities under GPRAMA and Executive Orders for customer service, ensure that the Commissioner of Internal Revenue develops a mechanism to solicit and consider customer feedback on a regular basis on current and proposed IRS appeal policies and procedures.", "Treasury and IRS agreed with GAO's recommendations, and IRS said it will provide detailed corrective action plans."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Taxpayer Bill of Rights gives taxpayers the right to appeal a decision of the Internal Revenue Service (IRS) in an independent forum. IRS expounded further on this right, stating that \u201ctaxpayers are entitled to a fair and impartial administrative appeal of most IRS decisions, including many penalties, and have the right to receive a written response regarding the Office of Appeals (Appeals\u2019) decision.\u201d If taxpayers disagree with IRS decisions to assess additional tax or take collection action, they can generally bring their disputes before Appeals.", "Appeals\u2019 mission is to resolve taxpayer disputes, without litigation, on a basis which is fair and impartial to both the government and the taxpayer in a manner that will enhance voluntary compliance and public confidence in the integrity and efficiency of the IRS. Appeals\u2019 policy is to provide a prompt conference and decision in each case. Timely appeal decisions are important for (1) the taxpayer and IRS to know the amount of taxes owed or outcome of other tax matters in dispute, and (2) the Department of the Treasury (Treasury) to receive any additional revenue involved at the earliest practicable date.", "You asked us to review the IRS administrative appeal process, the time to resolve taxpayer appeals, and taxpayer satisfaction with the process. This report (1) describes the steps and staffing levels for the IRS appeal process and assesses the extent to which Appeals conducts workforce planning in a time of declining resources; (2) assesses how IRS monitors and manages the time to receive and resolve taxpayer appeals cases; and (3) evaluates the extent to which Appeals communicates customer service standards and assesses taxpayer satisfaction with the appeal process.", "To describe the IRS administrative appeal process, we reviewed Internal Revenue Manual (IRM) sections that detail how IRS employees are to process appeal cases. We also reviewed the IRS website and IRS documents and publications that describe the appeal process and indicate how taxpayers are to file an appeal. We interviewed senior Appeals managers to understand how Appeals operates and how cases are processed when Appeals receives them. To understand the initial IRS receipt of taxpayer appeals, we interviewed IRS examination and collection officials in the Small Business/Self-Employed (SB/SE) and Wage and Investment (W&I) business operating divisions. These two IRS divisions accounted for 97 percent of appeal cases closed in fiscal year 2017. We interviewed Appeals administrative processing staff who receive and route cases in Appeals as well as customer service staff who handle taxpayer inquiries about the status of their appeals. We also analyzed data from the Appeals Centralized Database System (ACDS) for 346,038 appeals cases closed in fiscal year 2014 (the oldest complete year available) through fiscal year 2017 (the last complete fiscal year available at the time of our analysis). We used the data to calculate the percentage of taxpayers who had a representative with them through the process and to determine the percentage of cases that had a conference with appeals, including those with an in-person conference. We also conducted observational visits to Appeals locations in Philadelphia, Pennsylvania and Atlanta, Georgia to interview a non-generalizable group of Appeals frontline supervisors and staff who handle a diversity of appeals cases to better understand how appeals cases are assigned to staff, as well as the case review process. We selected these locations because they allowed us to interview Appeals frontline staff who work a wide variety of taxpayer appeals across all seven Appeals work categories.", "To describe the staffing levels and assess the extent to which Appeals conducts workforce planning in a time of declining resources, we obtained and analyzed staffing information and reviewed the IRM section that explains the Appeals human capital programs and the IRS Strategic Workforce Planning Team. We interviewed Appeals and IRS human capital staff to better understand how they conduct workforce planning and reviewed documentation about the IRS Strategic Workforce Planning team\u2019s activities and timeframes. We then compared Appeals workforce planning activities to our key principles of effective workforce planning. We also reviewed a hiring tool Appeals uses to project case inventory based on historical case data and current staffing levels to determine workforce needs and interviewed Appeals managers about strategies and policies for maintaining staff skills.", "To assess how IRS monitors and manages the time to receive and resolve taxpayer appeals cases, we reviewed IRS documents, including IRM sections, IRS procedures, and quarterly Appeals performance reports and monthly reports to the Commissioner of Internal Revenue. We compared the controls identified to federal standards for internal control. We interviewed IRS officials responsible for managing Appeals\u2019 review process as well as SB/SE and W&I officials managing initial appeals receipt for those compliance units. We reviewed the measures IRS uses to describe timeframes to resolve appeals, which quantify case review time in average days. Overall averages can be a broad measure and may be affected by outliers. Finally, we analyzed data from the ACDS for 346,038 appeals cases closed in fiscal year 2014 through fiscal year 2017. We calculated and compared average appeal case resolution time for different types of cases. For purposes of this review, we determined that the ACDS data used in our analysis were reliable. Our data reliability assessment included reviewing relevant documentation, interviewing knowledgeable IRS officials, and reviewing the data to identify obvious errors or outliers.", "To evaluate the extent to which Appeals has and communicates customer service standards and assesses taxpayer satisfaction with the appeal process, we identified federal standards for customer service under the GPRA Modernization Act of 2010 (GPRAMA), as well as customer service-related Executive Orders, Office of Management and Budget (OMB) guidance, and internal control standards and compared IRS Appeals actions to those standards. We reviewed IRM documentation of the Appeals customer service standard and related measures from the Appeals Quality Measurement System (AQMS), as well as AQMS annual reports for fiscal years 2014 through 2017.", "To understand how Appeals obtains customer feedback, we reviewed the methodology for the annual Appeals customer satisfaction survey and analyzed survey reports for fiscal years 2016 through 2017 as well as focus group reports from fiscal years 2012 through 2014 (the last year IRS held these focus groups). We drew on results from the surveys and focus groups to describe factors that affect Appeals customer satisfaction. We interviewed Appeals managers and staff who handle cases to understand their views on factors that affect taxpayer satisfaction and understand how Appeals communicates service standards and measures customer satisfaction. We also conducted semi-structured interviews with 13 external stakeholders from law and accounting organizations who have represented a mix of higher- and lower-income individuals as well as corporations and other businesses to understand their experiences with the appeal process. To select interviewees with prior experience with IRS and its appeal process, we used a snowball sampling technique based on our review of IRS partner and stakeholder organizations, public comments about the appeals process, and referrals from initial interviewees. Information from this sample of stakeholders is not generalizable.", "We conducted this performance audit from February 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Enforcing tax laws helps IRS collect revenue from noncompliant taxpayers and, perhaps more importantly, promotes voluntary compliance by giving taxpayers confidence that others are paying their fair share. However, every year, taxpayers fail to pay hundreds of billions of dollars in taxes. This tax gap\u2014the difference between tax amounts that taxpayers should pay and what they actually pay voluntarily and on time\u2014has been a persistent problem for decades. In our 2017 High-Risk Report we continued to include Enforcement of Tax Laws as a high-risk area. Key components of this high-risk area include both addressing the tax gap and improving tax compliance.", "IRS has four business operating divisions responsible for enforcing tax law and providing taxpayer service to ensure taxpayer compliance, as shown in table 1. For this report, we refer to these divisions as compliance units and their staff as compliance staff."], "subsections": [{"section_title": "Role of the Office of Appeals", "paragraphs": ["Formed in 1927, Appeals is the only administrative function of IRS with authority to consider settlements of tax controversies and has the primary responsibility to resolve these disputes without litigation to the maximum extent possible. IRS states that the appeal process is both less formal and costly than court proceedings and is not subject to judicial rules of evidence or procedure.", "The IRS Restructuring and Reform Act of 1998 (Restructuring Act) specified that IRS must provide an independent appeals function. Appeals carries out this function. Appeals is a separate unit within IRS, and its chief reports directly to the Commissioner of Internal Revenue. The Restructuring Act also prohibits communications between Appeals staff and other IRS functions without the taxpayer or representative being given an opportunity to participate. In 2016, IRS clarified that Appeals is separate from the IRS compliance functions, including examination and collection units, that initially review a taxpayer\u2019s case and that Appeals may return cases to compliance units when taxpayers provide new information for consideration."], "subsections": []}, {"section_title": "Appeal Eligibility", "paragraphs": ["Taxpayers may appeal many IRS decisions, including tax collection actions and proposed tax assessments, with some exceptions. Taxpayers cannot appeal solely due to moral, religious, political, constitutional, conscientious, or other similar grounds. Taxpayers requesting appeals can range from individuals to large multinational corporations. IRS provides publications that explain taxpayer\u2019s rights for both examination and collection appeals. IRS also developed online self-help tools to help taxpayers understand what can be appealed.", "For collection actions, the Restructuring Act created a statutory right for collection due process appeals and provides an impartial review for taxpayers facing possible levies for collecting delinquent taxes or who have had a notice of federal tax lien filed against them. IRS also offers a collection appeals program for a broader range of collection issues, such as when IRS rejects or terminates an installment agreement to pay taxes owed. In contrast, for examination decisions, the tax code does not provide statutory rights to administrative appeals. In certain circumstances, IRS will designate an examination issue for litigation and not offer access to the administrative appeal process. In other circumstances, IRS may decide not to refer cases docketed in the U.S. Tax Court to Appeals for settlement if it determines doing so will be in the best interest of sound tax administration. For example, IRS may decide not to refer a docketed case to Appeals in cases (1) involving a significant issue common to other cases in litigation for which it is important that the IRS maintain a consistent position or (2) related to a case over which the Department of Justice has jurisdiction."], "subsections": []}, {"section_title": "Appeal Workstreams", "paragraphs": ["Appeals\u2019 workload is organized into seven workstreams based on similarities in case characteristics. Two workstreams involve collection appeals where IRS is pursuing taxpayers who failed to fully pay taxes and penalties owed. Four workstreams include a wide range of examination appeals where IRS is proposing additional tax and penalty assessments based on auditing tax returns. The last workstream covers other cases that do not fit into the collection and examination workstreams. Figure 1 below provides an overview of the appeal workstreams, including which IRS business operating divisions transfer the cases to Appeals."], "subsections": []}, {"section_title": "Appeals Funding and Workload", "paragraphs": ["While Appeals is separate from IRS\u2019s examination and collection compliance functions, its budget is part of the IRS enforcement budget appropriation. From fiscal year 2010 to fiscal year 2018, Appeals represented about 4 percent of the IRS enforcement budget appropriation. Appeals\u2019 funding has decreased by 29 percent since 2010 to $175 million in 2018 (see fig. 2). Adjusting for inflation, Appeals funding has decreased 38 percent since 2010.", "Over this same time period, Appeals received fewer cases as IRS enforcement activities declined. For example, the individual examination (or audit) coverage rate declined by about 50 percent from fiscal years 2010 to 2017. Also, the number of notices of federal tax liens filed declined by nearly 60 percent over the period. Faced with declining budgetary resources, IRS compliance units can prioritize and select fewer taxpayers to examine or pursue collection action. Appeals officials said their office generally must work every case received. Appeals aims to close approximately the same number of cases each year as it anticipates receiving during the year. Appeals closure rate\u2014or the number of cases it resolved divided by the number it received in a year\u2014improved from 98 percent for fiscal year 2010 to 103 percent for fiscal year 2017. Annual closure rates for 2017 varied by workstream, ranging from 72 percent for the innocent spouse workstream to nearly 109 percent for the examination workstream. Figure 3 shows the total number of cases received and pending at year end since fiscal year 2010."], "subsections": []}]}, {"section_title": "Appeals Has a Standard Process to Resolve Diverse Taxpayer Cases but Has Not Assessed Critical Skills Gaps in Its Declining Workforce", "paragraphs": [], "subsections": [{"section_title": "IRS Uses a Standard Process to Resolve Taxpayer Appeals", "paragraphs": ["The diverse array of appeal requests across IRS compliance units that flow into Appeals workstreams follows the same standard process. As illustrated in figure 4, the appeal process involves multiple steps, beginning with a taxpayer filing an appeal of a proposed IRS compliance action and ending with a decision from Appeals. If the taxpayer and IRS cannot reach agreement through the appeal process, the taxpayer may have the case reviewed in federal court if eligible. While certain types of cases must go through the appeal process before review by a court, others may bypass it and taxpayers may directly petition IRS\u2019s proposed actions in federal court.", "Compliance action. For proposed examination actions to assess additional taxes and penalties or collection actions, such as filing a notice of federal tax lien or proposing a levy to collect delinquent taxes, IRS notifies the taxpayer in writing about the proposed compliance action and explains their appeal rights. The notification states that the taxpayer has 30 days to file an appeal and includes a list of IRS publications and other information on how to file an appeal.", "Taxpayer action. Within 30 days from the compliance notification, taxpayers who disagree with the IRS proposed action must send a formal written request to appeal. The appeal request must include: the taxpayer\u2019s name and address, and a daytime telephone number; a statement that the taxpayer wants to appeal the IRS findings to the a copy of the letter showing the proposed changes and findings that the taxpayer does not agree with; the tax periods or years involved; a list of the changes that the taxpayer does not agree with, and why the taxpayer does not agree; the facts supporting the taxpayer\u2019s position on any issue that the taxpayer does not agree with; the law or authority, if any, on which the taxpayer is relying; and a signature on the written protest, stating that it is true, under the penalties of perjury.", "Taxpayers may choose to represent themselves or have professional representation before Appeals. A representative must be a federally authorized practitioner, who can be an attorney, certified public accountant, or enrolled agent authorized to practice before the IRS. Low-income taxpayers or those who speak English as a second language may be eligible for free or low cost representation from a Low Income Taxpayer Clinic. Based on our analysis of ACDS data for appeal cases closed from fiscal year 2014 through 2017, 57 percent of taxpayers had a representative and 43 percent were taxpayers representing themselves. The share of appeal cases with taxpayers representing themselves varied significantly across the workstreams, ranging from 18 percent for large case examination appeals to 95 percent for innocent spouse appeals.", "Taxpayers are instructed to send their appeal and supporting material to the examination or collection compliance unit that proposed the action. IRS states sending the appeal request directly to the Office of Appeals will result in delays and may result in the appeal not being considered a timely request.", "Compliance review. Compliance staff work directly with the taxpayer to try to resolve the issue once they determine a taxpayer is requesting an appeal. This may involve multiple interactions by telephone or correspondence. Compliance staff will review any new information submitted by the taxpayer as they attempt to resolve open collection or examination matters. Figure 5 illustrates the steps compliance staff are to follow when they receive an appeal.", "If compliance staff cannot reach agreement with the taxpayer, the compliance unit forwards the appeal request and documentation from the taxpayer along with the proposed compliance action documentation to Appeals. Appeals provides a case routing tool on the IRS intranet with instructions and addresses for compliance staff transferring appeal documentation to an Appeals location. In general, taxpayer appeals related to examination and collection campus cases are transferred to an Appeals campus location. Appeals for field examination and collection cases are transferred to an Appeals office near the taxpayer\u2019s location. Compliance staff may not forward an appeal request to Appeals if the taxpayer did not file the request in time or refuses to sign the appeal under penalty of perjury, among other reasons.", "Appeals receipt and review. Figure 6 provides an overview of how Appeals receives and assigns cases. Upon receipt of an appeal, Appeals processing staff log each appeal case into the ACDS used to control and track cases in Appeals inventory. Most appeal cases arrive from compliance as paper files, and Appeals is working to receive certain collection cases electronically. For examination cases, Appeals processing staff also check that sufficient time remains for Appeals to complete its review. Generally, examination cases must have at least 365 days remaining on the assessment statute expiration date when the case is received in Appeals.", "An Appeals manager is to assess a case\u2019s complexity and difficulty to determine how to assign the case. The manager is to consider the factual and legal complexity of the case issues and the level of conference negotiation skills needed to handle the case. The manager also is to consider whether the case has industry-wide implications or the decision would potentially affect other taxpayers and overall voluntary compliance. Generally, Appeals employees with higher skill levels and expertise are expected to be assigned more complex cases.", "The manager is then to assign the case to an Appeals staff person based on the employee\u2019s grade level, ability, and case load. The Appeals employee leading the case may also draw on support from Appeals technical specialists, such as engineers and economists. For the large case examination workstream, an Appeals team case leader may oversee multiple Appeals employees working a large appeal case with highly complex issues and disputed amounts of $10 million or more.", "Figure 7 provides an overview of the Appeals case review process once a case is assigned to an Appeals employee. First, the Appeals employee sends a letter to the taxpayer with information about the appeal process and schedules a meeting. The letter details what additional material is needed, if any, and explains that a determination will be made on the information provided if there is no further contact from the taxpayer. The letter states that Appeals is independent from IRS compliance offices and refers to Publication 4227\u2014Overview of the Appeals Process. Finally, the letter mentions that the taxpayer may be asked to participate in an Appeals customer satisfaction survey after they have completed the appeal process.", "Appeals offers conferences to provide taxpayers with an opportunity to present their position (see fig. 7). Based on our analysis of ACDS data for appeal cases closed, about 87 percent of appeal cases that were closed in fiscal year 2014 through 2017 had a conference. Most conferences are held by telephone which can be a quick and efficient means for taxpayers to resolve their issues. Appeals campus locations conduct telephone conferences because these locations currently are not configured to accommodate in-person conferences. Appeals may be able to resolve some taxpayer appeals with mail correspondence only. For perspective, about 10 percent of appeal cases that were closed and also had a conference from fiscal year 2014 through 2017 did so only by correspondence, and the penalty workstream accounted for nearly two-thirds of those appeal cases.", "Appeals also holds in-person conferences, usually at an Appeals office. Alternatively, under its conference policy as of August 2018, Appeals staff can meet taxpayers in a mutually convenient location when the taxpayer, representative, or business is beyond a certain distance from an Appeals office. In-person conferences may be used, among other things, for reviews involving substantial books and records, judging the credibility of witnesses, or accommodating with a taxpayer with a special need, such as disability or hearing impairment. Based on our analysis of ACDS data for appeal cases closed, about 6 percent of appeal cases that were closed from fiscal year 2014 through 2017 had an in-person conference, although this varied significantly by workstream. About half of the large case examination appeals closed over the period had in-person conferences, whereas about 3 percent of appeal cases closed in the collection due process, innocent spouse, and penalty workstreams had in-person conferences.", "As of August 2018, Appeals had revised its policy on in-person conferences twice since October 2016. Prior to that, campus appeal cases were transferred to a field office when taxpayers requested a face- to-face conference. For fiscal year 2017, Appeals limited in-person conferences to appeal cases meeting specific criteria, such as involving those with substantial books and records to review or where the taxpayer has special needs that can only be accommodated with an in-person conference. Appeals managers had final approval on granting taxpayer requests for in-person conferences. In October 2017, Appeals further revised its policy stating it would attempt to schedule in-person conferences requested by taxpayers for field appeal cases at a time and location reasonably convenient for both the taxpayer and Appeals. Appeals stated it was intending to strike the right balance between making in-person conferences available to taxpayers and ensuring the process is efficient and workable for Appeals.", "Appeals also offers virtual technology interaction to potentially allow more taxpayers, especially those in remote locations, to have an option other than a phone conference. Using IRS virtual service delivery capacity, Appeals staff at campus locations can conduct virtual conferences with taxpayers who schedule to use video terminals at some taxpayer assistance centers. In August 2017, Appeals began piloting web-based virtual conferences.", "If taxpayers provide Appeals with new information or evidence, or raise a new issue that requires additional investigation or analysis, Appeals will return the case to the originating compliance unit for further review. After a compliance unit transfers a case to Appeals, communication between compliance staff and Appeals staff is generally restricted without the taxpayer or representative being given an opportunity to participate.", "In line with its mission to resolve cases prior to litigation, Appeals is authorized to review the facts of the case considering the hazards that would exist if the case were litigated. Appeals is the only IRS unit authorized to consider hazards of litigation when deciding whether to allow taxes and penalties. This means that Appeals may recommend a fair and impartial resolution somewhere between fully sustaining and fully conceding the compliance unit\u2019s proposal that reflects the probable result in the event of litigation.", "Appeals decision. Appeals makes a decision on a taxpayer\u2019s case after weighing evidence from the compliance unit and the taxpayer. Appeals determines whether IRS compliance decisions correctly reflect the facts, as well as applicable law, regulations, and IRS procedures. To resolve an examination appeal case, Appeals may (1) agree with the IRS examination compliance unit and fully sustain its recommended assessment, (2) disagree and reduce the recommended assessment to partially sustain the assessment, or (3) fully concede to the taxpayer\u2019s position and not sustain the assessment. To resolve a collection appeal case, Appeals may (1) agree with and sustain the proposed enforcement action, (2) disagree and modify the proposed action (e.g., propose an installment agreement rather than a levy) or defer collection, or (3) fully concede to the taxpayer\u2019s position and not sustain the collection action.", "This is the final decision by Appeals. Once Appeals makes its decision, it informs the taxpayer in writing and also IRS. Taxpayers dissatisfied with Appeals\u2019 decision may file a petition in tax court if they are eligible."], "subsections": []}, {"section_title": "Appeals Has Not Conducted a Skills Gap Analysis", "paragraphs": ["To handle the diverse array of taxpayer appeals across all workstreams, IRS relies on an Appeals workforce that must have sufficient numbers of staff with expertise in all areas of tax law. However, Appeals experienced nearly a 9 percent annual attrition rate from fiscal year 2015 to fiscal year 2017 and projects a similar attrition rate for fiscal years 2018 and 2019. As shown in figure 8, Appeals staffing levels have declined from 2,172 in fiscal year 2010 to 1,345 in fiscal year 2017, nearly a 40 percent decrease. As previously noted, Appeals workload also decreased over this period of time as IRS examination and collection enforcement activity declined.", "Appeals anticipates a continued risk of losing subject matter expertise given that a large share of its workforce is eligible for retirement. According to an Appeals report, at the end of fiscal year 2017, about one-third of the Appeals workforce was eligible for retirement. Moreover, Appeals officials reported that close to half of the staff who are critical to Appeals\u2019 mission\u2014including those who handle the most complex cases\u2014were eligible for retirement. Based on our analysis of ACDS data for appeal cases closed, these types of cases accounted for about one-third of appeal cases closed in fiscal years 2014 through 2017.", "Gaps in available staff with critical skills and training can result in delays resolving appeal cases. For example, in fiscal year 2017 Appeals received an increased number of innocent spouse appeals, and officials told us they initially lacked sufficient numbers of trained staff ready to review those cases. As of April 2018, the time from receipt by Appeals to case closing for the innocent spouse workstream had increased by 39 percent over the same time period in 2017\u2014from 205 days to 285 days. In response, Appeals was training additional staff and is working to resolve the increased volume of cases.", "Appeals has taken action to mitigate the risk of having a sufficient number of staff needed to handle its workload. Appeals has a tool that draws on historical ACDS case data to project the number of Appeals staff needed to review the numbers and types of case receipts expected from IRS compliance units. From fiscal year 2014 through fiscal year 2017, Appeals requested and received approval to hire 292 employees. In November 2017, IRS changed its policy to allow business units funded from IRS\u2019s enforcement budget, including Appeals, to manage their own staff levels in certain instances provided they do not exceed their fiscal year staff limits. Under this policy, Appeals will be able to hire staff as its workforce declines due to attrition. While the steps Appeals has taken can be useful stopgap measures, they are not substitutes for nor do they replace the longer-term benefits of strategic workforce planning and conducting critical skills gap analysis.", "We have identified that key principles of effective workforce planning include that an agency must define the critical skills that it will need to meet its strategic goals and achieve its mission in the future. An agency must then develop strategies tailored to address staffing and skills gaps in its workforce, including how to acquire, develop, and retain staff to meet its goals. We have previously reported that mission-critical skills gaps within the federal workforce pose a high risk to the nation and that individual agencies must take steps to address skills gaps. We have also reported on the need to close government-wide mission critical skills gaps and to develop strategies to help agencies meet their missions in an era of highly constrained resources.", "Agencies that do not conduct a critical skills gap analysis risk significant negative effects. We have previously reported that in a time of declining resources, it is important for top management to take actions that ensure the agency maintains capacity\u2014including its workforce\u2014in order to achieve its mission. Once skill gaps are identified, strategies should be tailored to address the gaps.", "Appeals has identified knowledge loss and maintaining expertise during a time of declining staff levels as one of its top risks in its Business Performance Reviews. Although it has not conducted a skills gap analysis, Appeals has identified that maintaining expertise in all areas of tax law is essential because it must have staff trained to work a diverse array of appeal cases across all workstreams. Many Appeals staff who review appeal cases, including those who conduct in-person conferences, are in the appeals officer job series critical to Appeals\u2019 mission. As of July 2018, about 60 percent of the Appeals workforce was in this job series.", "As of September 2018, Appeals is participating in a larger IRS effort to address workforce planning. IRS states that its workforce planning is to involve an integrated and systematic process for identifying current and future human capital needs, the competencies that align with future organizational goals, and the strategies to be implemented to reduce the gaps. Created in 2017, the IRS Workforce Planning Council is comprised of representatives from all business units, including Appeals. The council is to share workforce planning activities and best practices across IRS and assist in developing the IRS strategic workforce plan. The council is working to develop an agency-wide workforce plan, which will include identifying gaps between current and projected workforce needs and developing strategies to close the gaps.", "According to IRS human capital officials responsible for workforce planning, a service-wide strategic workforce planning effort will include identifying skills and competency gaps in mission critical occupations. Initially planned for the middle of fiscal year 2018, the initiative was delayed as of September 2018, according to IRS human capital officials. IRS units redirected resources to implementation of Public Law 115-97\u2014 commonly referred to by the President and many administrative documents as the Tax Cuts and Jobs Act\u2014and requested an extension.", "IRS human capital officials also told us the workforce planning team lost resources due to attrition and anticipated the initiative would be complete in the third quarter of fiscal year 2019. Appeals officials told us that they expected to begin their activities once the IRS planning tools are in place.", "While the broader Treasury and IRS initiatives will benefit Appeals with longer-term strategic workforce planning, Appeals faces ongoing challenges in achieving its goal and may be unable to mitigate the risk of maintaining staff expertise. Gaps in the Appeals workforce could delay the timely review of Appeals cases. The large share of its staff who are critical to the mission who are eligible for retirement underscores the importance of conducting critical skills gap analysis for Appeals. Given Appeals\u2019 unique role in ensuring taxpayers\u2019 administrative option to dispute most IRS decisions, it is important for Appeals to have the tax expertise necessary to review appeals cases across multiple workstreams. These factors underscore the importance of Appeals conducting a skills gap analysis in coordination with Treasury and IRS human capital efforts to ensure Appeals immediate skill needs are reflected in broader agency planning."], "subsections": []}]}, {"section_title": "IRS Does Not Monitor Timeliness of Transfers of All Incoming Appeal Requests and Appeals Does Not Communicate Total Resolution Times to Taxpayers", "paragraphs": [], "subsections": [{"section_title": "Appeals Has a Data- Driven Process and Measures to Track and Manage Case Workstreams", "paragraphs": ["Within the standard process that all appeal cases follow, Appeals has developed a series of process measures that use ACDS data to monitor the amount of time for a case to move through an Appeals workstream. These measures track the number of days from Appeals receipt through the appeal review process to when a case is closed in ACDS. Appeals also measures the amount of time for compliance units to transfer appeals cases. For the purpose of this report, total appeal resolution time is the length of time from when a taxpayer submitted the appeal request to IRS to when the case is closed in ACDS.", "Appeals managers use ACDS to monitor progress staff have made reviewing each case assigned to them, including holding a conference with the taxpayer and reaching a decision to resolve the appeal. ACDS inventory reports allow managers to monitor total employee time per case and determine if a case has not had any activity recorded for 60 days. Appeals officials explained that the process measures are indicators that assist in making management decisions and identifying data driven process efficiencies to control workflow within each workstream. For example, an Appeals manager may use the ACDS data to address case review backlogs and offer assistance to help expedite case review. Appeals reports its review time measure by workstream in its monthly performance report to the Commissioner of Internal Revenue."], "subsections": []}, {"section_title": "IRS Does Not Always Transfer Collection Appeals on a Timely Basis and Does Not Monitor Incoming Examination Appeals or Time to Transfer to Appeals", "paragraphs": ["The IRS website states that if a taxpayer has not heard from Appeals and it has been more than 120 days since the request was submitted, the taxpayer should contact the IRS office to which they sent their appeal request. According to IRS examination and collection officials we interviewed, compliance unit staff attempt to resolve all taxpayer requests and work with taxpayers to obtain additional information if needed and answer questions about pending compliance actions. According to Appeals officials, there are different levels of case complexity across the workstreams.", "For appeal cases closed from fiscal years 2014 through 2017, table 2 shows the average number of days from when IRS received a taxpayer appeal to when the compliance unit completed its review and transferred the case file to Appeals. Across the appeals workstreams, the compliance review time varied from 30 days for innocent spouse appeals to 108 days for large case examination appeals. Any delay during compliance review adds to the total time to resolve an appeal. As shown in table 2, compliance review accounted for about a quarter of the total resolution time for collection appeals. Among the examination workstreams, the compliance review share of total resolution time ranged from 12 percent for innocent spouse appeals to about 45 percent for penalty appeals.", "According to the IRM, IRS requires SB/SE collection units to review collection due process appeals within a 45 day period of receipt of the taxpayer requests. The 45 calendar days after receipt of an appeal request includes time to ensure completeness of the request, obtain additional information if necessary, and transfer the request to Appeals. Collection unit staff reviewing appeal requests may experience delays with taxpayers submitting additional material to support their requests. With management approval, collection units may have an additional 45 days to continue working with the taxpayer to resolve the collection issue in dispute. The IRM time requirement does not specifically apply to offer in compromise collection appeals.", "According to our analysis of ACDS data for appeals closed in fiscal years 2014 to 2017, the majority of collection due process appeals were transferred within the IRM time requirements. In fiscal year 2017, approximately 57 percent of collections due process appeals were transferred in less than 45 days and approximately 93 percent of these cases were transferred within 90 days. However, IRS did not always transfer collection due process appeals in a timely manner. For collection due process appeal cases closed in fiscal year 2017, approximately 4 percent (1,559) of these collection appeals took more than 120 days to be transferred to Appeals (see fig. 9).", "As shown in figure 9, the majority of offer in compromise collection appeals were also transferred within 90 days, even though the IRM time requirement applies specifically for collection due process appeals. Approximately 11 percent (995) of these collection appeals took more than 120 days to be transferred to Appeals in fiscal year 2017.", "Delays in transferring collection due process appeals, in turn, affect prompt resolution for the taxpayer and IRS. Each tax assessment has a collection statute expiration date of 10 years after the assessment. When a taxpayer appeals a collection action within 30 days of receiving the notice, IRS suspends further collection activity until Appeals decides the case. When the IRS suspends the collection statute for a period longer than its policy allows, this means that the taxpayer can face a longer period where IRS can collect the balance owed.", "Standards for Internal Control in the Federal Government states that management should establish and operate monitoring activities to monitor internal controls. Management should evaluate the results and remediate any identified deficiencies.", "SB/SE collection tracks the number of collection due process appeals that are not transferred to Appeals within 45 days of receipt from the taxpayer. SB/SE collection officials told us that they do not have reports or tools to systematically track transfer times for other types of collection appeals. Although SB/SE has the capacity to identify how long collection due process appeals have been waiting, collection officials we interviewed acknowledged that they do not always monitor whether they are meeting the transfer time requirement. For non-docketed cases closed in fiscal year 2017, the deficiency in transferring nearly 1,600 collection due process appeals more than 120 days after receipt points to the lack of monitoring. Evaluating the existing tracking reports for collection due process appeals and remediating deficiencies in collection staff following procedures would be a key step to achieve timely transfer of these collection appeals."], "subsections": [{"section_title": "Examination Appeals", "paragraphs": ["Unlike the requirements for collection due process cases, the IRM does not establish timeframes for compliance review and transfer of taxpayer appeals of examination disputes. According to Appeals officials, examination cases can have many issues, and the level of review to try to resolve examination issues can be significant prior to the taxpayer appeal request being transferred to Appeals. Review procedures differ across the business operating divisions.", "In its examination quality standards, SB/SE field examination has national standard timeframes, which include 20 days from the receipt of a taxpayer appeal request to close the examination case and then 10 days for SB/SE technical services to transfer the file to Appeals. IRS officials acknowledged that SB/SE field does not always meet its 30-day timeframe standard for appeal transfers, in part, because examiners must review any new information submitted with a taxpayer\u2019s appeal request.", "Our analysis of ACDS data showed that about two-thirds of all examination appeals closed in fiscal years 2014 through 2017 had been transferred from IRS examination compliance units within 90 days. However, nearly a quarter of examination appeals took more than 120 days to be transferred to Appeals (see fig. 10).", "As shown in figure 11, transfer times for examination appeals varied across IRS examination compliance units. For appeal cases closed in fiscal year 2017, more than two-thirds of examination appeals originating in SB/SE and LB&I were transferred by those units within 90 days. For examination appeals originating in W&I, less than half were transferred within 90 days, and 37 percent took more than 120 days to transfer. TE/GE transferred fewer appeals than the other units, but nearly half of TE/GE appeals took more than 120 days to be transferred to Appeals.", "Delays in transferring examination appeal requests can result in increased costs for taxpayers because interest continues to accumulate on the tax liability during the appeal process. Further, taxpayers unsure of the status of their appeals, particularly those over 120 days, may generate additional calls and correspondence with IRS\u2014further tying up other IRS staff to respond to inquiries on appeals experiencing delayed transfer.", "IRS examination officials in SB/SE and W&I, which accounted for 97 percent of all examination appeals closed in fiscal year 2017, said that their compliance units do not specifically track incoming appeal requests and the time spent on initial appeal review within compliance. In effect, appeal requests resolved during compliance review would be reflected as compliance cases closed in the examination information systems. As a result, IRS does not maintain readily available data on the total number of examination appeal requests received and how many are resolved during initial review by compliance.", "IRS campus examination officials we interviewed said that taxpayer correspondence delays contribute to increased time to identify and transfer correspondence examination appeals for SB/SE and W&I. A taxpayer request for an appeal arrives like any other taxpayer correspondence related to ongoing correspondence examinations. However, according to W&I campus examination officials, taxpayer requests may sit for months before they are identified as an appeal. Once compliance unit staff determine an examination dispute cannot be resolved in their unit, the appeal request will be transferred to Appeals. SB/SE and W&I examination officials we spoke with said the steps to transfer the files to Appeals take about 5 to 10 days.", "IRS examination officials we interviewed explained that they cannot readily track information on the number of days between the taxpayer\u2019s request for an appeal to when the case was transferred to Appeals. They explained that it could require looking case by case in the examination systems. SB/SE and W&I officials we interviewed were not aware of any feedback from Appeals about the timeliness of the appeals requests transferred from their units.", "Although Appeals has this information, it does not include compliance transfer time information in its own monthly performance reports to the Commissioner of Internal Revenue. Also, Appeals officials said that they historically have not provided ACDS compliance transfer time data to IRS compliance units. Appeals has quarterly coordination meetings with the various IRS compliance units to discuss how compliance plans may affect projected appeal case volumes as well as technical training opportunities. Appeals officials said that information about transfer times has been shared at prior meetings but is not a standing agenda item. As a result, Appeals and compliance units do not consistently review performance data on the amount of time for compliance units to transfer taxpayer cases to Appeals.", "Critical information about the time it takes to transfer cases from compliance units is collected by Appeals as part its process measures but has not been shared within IRS, including with other units involved in the appeal process. The ongoing coordination meetings between Appeals and IRS compliance units could present a valuable opportunity to share data about the length of time it takes for cases to be transferred to Appeals. Sharing this information could be a low-cost first step to help IRS examination units understand their current performance and how compliance review factors into total appeal resolution time.", "Standards for Internal Control in the Federal Government also states that management should define objectives in specific terms so they are understood at all levels of the entity. This involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement. Internal control standards require that controls be documented, and an agency\u2019s documentation of them should be properly managed and maintained.", "IRS requires primary sources of guidance with an IRS-wide or organizational impact\u2014such as policy documents, procedures, and guidelines\u2014to be included in the IRM. This requirement is intended to ensure that IRS employees have the approved policy and guidance they need to carry out their responsibilities in administering the tax laws. The absence of defined timeframes for the initial compliance review and documented controls over incoming examination appeals make it difficult to hold IRS units accountable for ensuring timely transfer to Appeals."], "subsections": []}]}, {"section_title": "Appeals Case Review Times Vary Across Workstreams", "paragraphs": ["The IRM specifies that Appeals should complete a conference with a taxpayer in a timely manner and make a prompt decision to resolve the dispute. This enables the taxpayer to know with the least amount of delay the final IRS decision about the amount of tax liability or other issue in dispute. It also results in Treasury receiving any additional revenue involved at the earliest practicable date.", "Within Appeals, the time from Appeals receipt to a decision closing the case varies across the Appeals workstreams, as shown in figure 12. For fiscal years 2014 to 2017, collection due process\u2014the workstream with the highest volume of closed cases\u2014averaged 193 days to resolve a case within Appeals. Average appeals review time for large case examination appeals, the smallest volume, averaged 529 days."], "subsections": []}, {"section_title": "Transparency for Taxpayer Total Resolution Time Is Limited", "paragraphs": ["Although IRS states on its website that it takes anywhere from 90 days to 1 year for Appeals to resolve a case, this generic timeframe does not reflect the total resolution time counting from when a taxpayer requests an appeal to when a final decision is made. Further, this timeframe does not provide perspective on the range of resolution times across different types of appeals. According to our analysis of ACDS data of appeal cases closed from fiscal year 2014 through 2017, about 15 percent of all appeal cases closed within 90 days. Approximately 85 percent of all cases were resolved within 1 year of when the taxpayer requested an appeal. However, over that same period, approximately 15 percent of all appeal cases took more than one year in total to resolve, and of these, approximately 2 percent of all closed cases took more than 2 years to resolve.", "Total resolution times varied considerably across the Appeals workstreams, as shown in figure 13. The share of cases closed within 90 days ranged from approximately 3 percent for the collection due process workstream to 71 percent for the other workstream. The share of appeals cases closed within a year ranged from approximately 30 percent for the large case examination workstream to approximately 90 percent for the other workstream.", "Information about actual total appeal resolution times is not shared with taxpayers. Office of Appeals welcome letters include Appeals staff contact information and a conference date, if applicable, but do not provide total average appeal resolution time. According to the external stakeholders we interviewed, no formal communication of total appeal resolution time is shared with the taxpayer or their representative. Responses to a focus group of taxpayer representatives who went through the appeal process conducted by Appeals in 2014 shared a similar perspective. Focus group participants indicated that the acknowledgement letters did not contain enough or accurate information to set expectations. Additionally, these focus group participants noted that Appeals staff did not inform them how long the appeal process was expected to take.", "Critical information about total appeal resolution time is not shared with taxpayers. Without easily accessible information, taxpayers are not well informed on what to expect when choosing to request an appeal. Taxpayers may not understand how few appeals are likely to be resolved within 90 days. Faced with the general timeframe that Appeals will resolve cases in about a year, other taxpayers may choose to forgo their opportunity to appeal rather than risk interest accumulating during the appeal process.", "Standards for Internal Control in the Federal Government states that management should externally communicate necessary quality information to achieve the entity\u2019s objectives. Government entities should report this information to government leaders and regulators, as well as the general public.", "Feeling uninformed about appeal case wait times has been a consistent theme with taxpayers and their representatives both in IRS\u2019s customer satisfaction surveys and our interviews with external stakeholders. Total resolution time information, such as historical averages, may be especially valuable to taxpayers when considering that interest continues to accrue on tax amounts in dispute while appeals are being reviewed. In January 2017, we recommended that IRS develop and maintain an online dashboard to display customer service standards and performance information such that it is easily accessible and improves the transparency of its taxpayer service. Similarly, more detailed information on total average resolution times specific to different workstreams could provide a more transparent view of the amount of time a taxpayer can expect to receive a decision on their case from Appeals."], "subsections": []}]}, {"section_title": "Appeals Does Not Make Customer Service Standard Clear to Taxpayers, and It Does Not Have a Mechanism to Consider External Customer Input on Policy Changes", "paragraphs": [], "subsections": [{"section_title": "Appeals Measures Its Customer Service Standard Internally, but Does Not Make Performance Results Available to Taxpayers", "paragraphs": ["GPRAMA requires that agencies, in this case the Treasury, establish a balanced set of performance indicators to be used in measuring progress toward performance goals, including goals for customer service. Executive Order 13571 stated that agencies set clear customer service standards and expectations, including, where appropriate, performance goals for customer service required by GPRAMA. Customer service standards should inform customers what they have a right to expect when they request services. The President\u2019s Management Agenda highlights the importance of customer service through its cross-agency priority goal of Improving Customer Experience with Federal Services.", "In response to GPRAMA, Executive Orders, and other policies, Treasury and IRS have taken steps to define customer service targets and align them to Treasury\u2019s and IRS\u2019s strategic and performance plans. As part of the Appeals Quality Measurement System (AQMS) review process outlined in the IRM, Appeals defines its standard for customer service as whether Appeals has: (1) timely communications with the taxpayers in an appropriate, professional manner; (2) addressed the taxpayers\u2019 needs; and (3) respected the taxpayers\u2019 rights. AQMS lays out the internal attributes and internal measures which track progress towards Appeals customer service standard (see table 3).", "The performance results for the customer standard are shared as part of the annual AQMS report with Appeals executives and employees. For fiscal years 2014 through 2017, Appeals internal measures reflect that its customer service performance exceeded 86 percent annually.", "Appeals also makes a written commitment to taxpayers about what they can expect during the appeal process. IRS Publication 4227\u2014An Overview of the Appeals Process\u2014explains that taxpayers should expect the Office of Appeals to: (1) be fair and impartial; (2) be courteous and professional; (3) listen to their concerns; (4) explain their appeal rights and the appeal process; (5) be responsive; and (6) allow the taxpayer reasonable time to respond to any requests for information. Appeals officials explained that this publication, last updated in 2013, is included in the acknowledgement letter taxpayers receive from the Office of Appeals.", "However, most Appeals customers who participated in a focus group conducted by the Office of Appeals in 2014 said that they did not thoroughly review the Appeals acknowledgement letter and its enclosures, which includes Publication 4227. Therefore, relying on sharing this publication enclosed in the first letter the taxpayer receives may not be an effective mechanism to make this commitment known to taxpayers.", "Further, the official customer service standard and the related attributes and measures are not transparent to the public, and the performance results are not publicly reported. Taxpayer representatives with whom we spoke were not aware of the Appeals customer service standards outlined in the IRM and explained that publications included with letters from Appeals, such as Publication 4227, are often not read by taxpayers. Taxpayer representatives we interviewed also said that customer service standards are not discussed in conferences with taxpayers.", "Standards for Internal Control in the Federal Government outlines that management should externally communicate necessary quality information to achieve an entity\u2019s objectives. Key elements of effective customer service standards say that making customer service standards publicly available is a key element to improve those standards and the related services.", "While Appeals articulates its customer service standard in the IRM and uses AQMS to internally measure customer service delivery, the standard and related results are not available on the Appeals website and not shared during interactions with taxpayers. According to Appeals officials, Appeals, like the rest of IRS, does not publish its customer service standard or explain how performance against the standard is measured. However, as a separate entity within IRS, Appeals has an opportunity to make customer service standards and related outcomes available to the public. Without standards clearly and explicitly communicated, taxpayers may not know what to expect, when to expect, and from whom to expect interactions surrounding the appeal process.", "Likewise, Appeals does not make its customer service performance results public, and Appeals officials said this is consistent with IRS practice. However, in 2017, we recommended that IRS take similar actions to make customer service standards and performance information easily accessible and improve the transparency of its taxpayer service.", "Measuring performance allows organizations to track their progress and gives managers crucial information on which to base their organizational and management decisions. The absence of publicly reported standards and related performance information does not allow customers to understand what to expect for the services they seek."], "subsections": []}, {"section_title": "Appeals Annual Customer Satisfaction Survey Identifies Factors That Affect Taxpayer Satisfaction", "paragraphs": [], "subsections": [{"section_title": "Annual Customer Satisfaction Survey Process", "paragraphs": ["Appeals conducts an annual survey to assess customer satisfaction with the appeal process over time and to identify areas where Appeals can do more to improve customer service. According to Appeals officials, Appeals has conducted a customer satisfaction survey for over a decade. The annual survey yields an overall customer satisfaction score as well as qualitative written comments on the appeal process. Appeals contracts with a vendor to manage the survey sample selection based on Appeals ACDS closed case data; pre-survey notification; management of the online survey; telephone follow-up with non-respondents; and analysis of the survey data.", "The survey vendor sends potential respondents pre-notification invitations to complete the survey and follow-up attempts to connect with potential respondents. In fiscal years 2015 and 2016, the response rate was 36 percent and 33 percent, respectively. In fiscal year 2017, Appeals surveyed 1,447 out of approximately 107,000 possible customers with a response rate of 37 percent. According to OMB Standards and Guidelines for Statistical Surveys, agencies are to design surveys to achieve the highest practical rates of response and conduct a statistical test for potential bias if the expected response rate is below 80 percent. The vendor provides a comparison of frequencies to understand any overrepresentation in survey responses of certain taxpayer types or for different workstreams within Appeals. For example, according to the vendor\u2019s comparison of frequencies for the fiscal year 2017 survey (the most recent available at the time of our work), fewer survey responses were received from taxpayers who went through the collection due process workstream\u2014the workstream with the highest volume of cases\u2014than were in the population of potential respondents."], "subsections": []}, {"section_title": "Information about Customer Satisfaction", "paragraphs": ["The customer satisfaction survey annual report details the analysis of the survey results and summarizes significant changes in satisfaction over time, as well as customer satisfaction by categories such as taxpayer type and the length of the appeal process. Appeals reports overall customer satisfaction in its performance reports to the Commissioner of Internal Revenue. For appeal cases closed in fiscal years 2014 through 2017, about two thirds of taxpayers who responded to the survey were satisfied overall with the appeals process.", "According to the fiscal year 2017 annual survey report, customers who have higher rates of satisfaction: (1) have professional representation; (2) agree with the outcome of their case; and (3) have shorter case cycle time. The 2017 report also states that customers were most satisfied with the degree of respect shown and the professionalism of the Appeals staff. Customers were least satisfied with the consideration of information presented and the length of the appeal process.", "The annual survey also identifies the drivers of satisfaction with the appeal process which, Appeals officials said, helps Appeals determine which specific attributes of the appeal process have the most impact on overall customer satisfaction. The 2017 survey identified the drivers of overall satisfaction including: (1) how well Appeals listened to information taxpayers presented related to their case and (2) how well Appeals considered information taxpayers presented.", "Taxpayer representatives we interviewed identified similar factors that affect how satisfied their clients are with the appeal process. Their responses generally corroborated the drivers of satisfaction identified in the annual customer satisfaction survey analysis. For example, taxpayer representatives explained that their clients are more satisfied when they feel their perspectives have been heard and the Appeals staff had an open mind about the case. The representatives we interviewed also stated that the amount of time, as well as transparency about the amount of time, it takes Appeals to respond to a taxpayer\u2019s case is significant to satisfaction with the appeal process."], "subsections": []}, {"section_title": "Appeals\u2019 Use of Customer Satisfaction Survey Information", "paragraphs": ["According to Appeals officials, the customer satisfaction survey is one tool to assess customer satisfaction, and the survey information is part of the overall information that Appeals uses in management decisions. The national survey report is shared with the executive level staff each year and survey results may be shared with staff. Appeals reports annual overall customer satisfaction survey scores, along with other data on business results, employee engagement, and staffing, in its performance reports to the Commissioner of Internal Revenue. According to Appeals officials, information from the customer satisfaction survey has been used to improve Appeals procedures and interactions with taxpayers, including changes to correspondence templates to improve comprehension and readability, and how Appeals schedules taxpayer conferences."], "subsections": []}]}, {"section_title": "Appeals Conducts Outreach but Does Not Have a Mechanism to Solicit Customer Input to Inform Prospective Policy Changes", "paragraphs": ["Each year, Appeals conducts outreach presentations at tax practitioner conferences to share information about its policy and procedures, including recent changes or new initiatives that affect taxpayers and the tax practitioner community. Appeals officials told us that Appeals, in recent years, has also used these outreach presentations as an opportunity to solicit input from the attendees about the appeal process and implementation of operational or policy changes. According to Appeals officials, they obtain feedback at outreach sessions and place an emphasis on listening to commentary from the tax practitioner community. Taxpayer representatives we interviewed generally corroborated this and said that they saw improvement in their ability to communicate with Appeals and offer feedback on recent policies.", "Outreach presentations at tax practitioner conferences present an opportunity to obtain feedback and input on prospective policy changes as well. According to taxpayer representatives that we interviewed, while Appeals executives have more openly solicited feedback on policy changes, the outreach requests for feedback usually took place after the policy decision was made and implemented. For example, in October 2016 Appeals changed its policy to limit the availability of in-person appeal conferences. Appeals officials explained that this policy change was based on its data showing that for many appeal cases transferred to field staff to accommodate taxpayer requests for in-person conferences, the taxpayers ultimately chose to have phone conferences. Appeals officials acknowledged that they had not solicited public input beforehand and had received negative feedback that this was an unpopular change. As a result of feedback from the tax practitioner community at outreach events as well as written comments, in October 2017, Appeals revised its policy and will now attempt scheduling in-person conferences requested by taxpayers for field appeal cases.", "In its efforts to obtain feedback from the tax practitioner community at conferences, Appeals has attempted to be inclusive of tax practitioners representing a range of taxpayer types and income levels. According to Appeals officials, Appeals obtained feedback from the Low Income Taxpayer Clinics and conducted outreach sessions at their 2017 annual conference. However, soliciting feedback at professional association meetings for accountants and attorneys means that the opportunity to provide comments to Appeals is limited to those in attendance at the conferences. One taxpayer representative we interviewed said that he was not sure how he could submit suggestions or input to Appeals other than by attending a conference where Appeals executives were present and solicited feedback from attendees. Further, several taxpayer representatives we interviewed explained that taxpayers representing themselves without professional representation face greater challenges in the appeal process. Outreach relying on professional conferences may not be inclusive of all taxpayer experiences and may miss opportunities to understand the perspectives of individual and small business taxpayers navigating without professional assistance.", "IRS has formal advisory committees that provide forums to discuss issues with tax administration or taxpayer issues. Among these, the Internal Revenue Service Advisory Council (IRSAC) provides an opportunity for members to provide public perspective on IRS policies and procedures and recommends policies with respect to emerging tax administration issues. Conveying the public\u2019s perception of IRS activities to the Commissioner, the IRSAC charter states that it is to be comprised of individuals who bring substantial, disparate experience and diverse backgrounds to the Council\u2019s activities. IRSAC reports that its membership is balanced to represent the taxpaying public, the tax professional community, small and large businesses, state tax administration, and the payroll community.", "Although its role is to focus on broad policy matters, IRSAC recently took action to comment specifically on recent changes to Appeals policy and operations. In its 2017 public report, IRSAC commented on attendance of IRS compliance and counsel personnel at Appeals conferences with taxpayers. IRSAC stated that ensuring the independence of Appeals from the operating divisions is indispensable to Appeals\u2019 achieving its mission.", "Executive Order 13571, building on GPRAMA requirements, stated that agencies, in this case Treasury, should establish \u201cmechanisms to solicit customer feedback on Government services\u201d and that agencies use \u201csuch feedback regularly to make service improvements.\u201d In its strategic plan, IRS outlines a strategic goal to collaborate with external partners proactively to improve tax administration.", "Appeals has identified engaging with stakeholders to improve the taxpayer experience in Appeals as a fiscal year 2018 organizational goal. Appeals officials we interviewed said that Appeals\u2019 approach is to test and learn, and that they anticipate issues and complaints will continue to happen as future policy changes are implemented.", "While outreach is one way to get practitioner reaction as new policies are rolled out, other mechanisms could serve as a way to receive regular customer feedback and to hear the public\u2019s perspective and observations about both current operations as well as proposed IRS policies, programs, and procedures. For example, IRS already uses advisory groups as another way to engage with external partners via open, two- way, external reporting lines for assistance with receiving and analyzing customer feedback as well as offering a mechanism to solicit public input before policies are finalized and implemented.", "Without an effective mechanism to regularly consider and review customer feedback and policy changes before implementation, Appeals is missing an opportunity to obtain public input on policy changes that can substantially affect the taxpayer\u2019s experience in the appeal process. Possible mechanisms could include leveraging existing IRS advisory resources, exploring development of an Appeals advisory body, or offering a public comment capacity, such as an email address. Engaging with external stakeholders could offer opportunities for Appeals to gain insight on how to bring transparency to its customer service standards and measures along with providing ongoing assistance with considering results from the annual customer satisfaction survey. This would enhance Appeals\u2019 ongoing efforts to improve customer satisfaction with planned service improvements or policy changes and make modifications where appropriate."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Each year, Appeals resolves a diverse array of taxpayer appeals of IRS enforcement actions and decisions. Faced with a declining workforce, Appeals has identified that maintaining skills and expertise necessary to review its case load is a top risk to achieving its mission. High retirement eligibility rates underscore the importance for Appeals to be positioned to identify any gaps in the skills of its workforce. Conducting a skills gap analysis specific to Appeals mission needs is a key step towards developing a strategy to help ensure Appeals will retain the necessary tax expertise to review appeals cases across multiple workstreams.", "Time spent by IRS compliance units on initial review of taxpayer appeals of IRS collection and examination actions can represent a significant portion of the total appeal resolution time. For appeal cases closed in fiscal year 2017, approximately 4 percent of collection appeals cases and nearly one quarter of examination appeal requests took more than 120 days to be transferred from IRS to Appeals. Delays in transferring requests to Appeals affect prompt resolution for the taxpayer and IRS. Additional monitoring of collection transfer time requirements together with establishing transfer time guidelines and procedures for examination appeal review could improve appeal review timeliness and overall taxpayer experience.", "Appeals maintains data on the time taken to transfer appeals and monitors the progress and time to resolve appeals within its diverse workstreams. Sharing these performance data within IRS could shed light on actual transfer times and aid compliance units in improving and establishing related controls to ensure more timely transfer. Increasing the transparency of total case resolution time with more detailed information by Appeals workstream would improve taxpayers\u2019 understanding about what to expect when choosing to request an appeal.", "Improving the taxpayer experience with the appeals process also depends on clarity on customer service standards and related performance results. Under GPRAMA and Executive Orders, Treasury is responsible for customer service performance. Publicly stating what service taxpayers should expect and from whom sets the stage for a customer-focused appeals process where taxpayers can feel their story is heard. This also helps fulfill Treasury\u2019s customer service responsibility. Appeals has demonstrated its willingness to analyze customer satisfaction feedback. IRS and Appeals share goals to work with stakeholders, and Appeals has acted to address practitioner reactions to operational changes underway. Developing a mechanism to leverage public input on future policy and procedure proposals would better position Appeals to bolster customer service and effectively implement changes to improve the taxpayer experience."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to IRS and two recommendations to the Department of the Treasury.", "The Commissioner of Internal Revenue should direct the Chief of Appeals, in coordination with the IRS Human Capital Office, to conduct a skills gap analysis specific to Appeals mission needs and develop a strategy for mitigating any identified gaps. (Recommendation 1)", "The Commissioner of Internal Revenue should evaluate the existing monitoring for collection due process appeal requests and address deficiencies in collection staff meeting the requirement for timely transfer to the Office of Appeals. (Recommendation 2)", "The Commissioner of Internal Revenue should establish timeframes and monitoring procedures for timely transfer of taxpayer appeals requests by examination compliance units to the Office of Appeals. (Recommendation 3)", "The Commissioner of Internal Revenue should direct the Chief of Appeals to regularly report and share with each compliance unit the data on the time elapsed between when a taxpayer requests an appeal to when it is received in the Office of Appeals. (Recommendation 4)", "The Commissioner of Internal Revenue should provide more transparency to taxpayers on historical average total appeal resolution times. This could include publishing average total resolution times by workstream on an Office of Appeals web page as well as including total expected times in the Appeals welcome letter. (Recommendation 5)", "The Secretary of the Treasury, consistent with its responsibilities under GPRAMA and Executive Orders for customer service, should ensure that the Commissioner of Internal Revenue takes action to make Appeals customer service standards and performance results more transparent to the public. This could include publishing customer service standards and related performance measure results on the Office of Appeals web page on IRS.gov. (Recommendation 6)", "The Secretary of the Treasury, consistent with its responsibilities under GPRAMA and Executive Orders for customer service, should ensure that the Commissioner of Internal Revenue takes action to develop a mechanism to solicit and consider public input and customer feedback on a regular basis on current and proposed IRS appeal policies and procedures. This could include leveraging existing IRS advisory bodies or establishing an Office of Appeals advisory body representing the taxpaying public, the tax practitioner community, and businesses to solicit customer perspectives. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue and the Secretary of the Treasury for review and comment. In its written comments, reprinted in appendix I, IRS agreed with our five recommendations directed to it and plans to provide detailed corrective action plans in its 60-day letter response to Congress. IRS also provided technical comments, which we incorporated where appropriate.", "In an email from the audit coordinator in the Office of the Deputy Chief Financial Officer, Treasury agreed with our two recommendations directed to it. During the agency comment period, we modified language in recommendations 6 and 7 to clarify Treasury\u2019s role and responsibilities for customer service. Treasury agreed to monitor IRS\u2019s actions to make Appeals customer service standards and performance more transparent as part of its coordination of the President\u2019s Management Agenda cross-agency priority goal for customer experience. Treasury plans to monitor IRS\u2019s actions to develop a mechanism to solicit public input on appeal policies and procedures as part of the audit management process.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the Treasury, the Commissioner of Internal Revenue, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or LucasJudyJ@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff making key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, MaryLynn Sergent (Assistant Director), Keith O\u2019Brien, (Analyst-in-Charge), James Cook, and Steven Flint, made key contributions to this report. Shea Bader, Jehan Chase, Lisa Pearson, Robert Robinson, Cynthia Saunders, and Tatiana Winger also provided support."], "subsections": []}]}], "fastfact": ["Taxpayers don\u2019t have to go to court to appeal IRS decisions such as tax bills. They have the option of bringing their cases to IRS\u2019s Office of Appeals. Its mission is to resolve disputes in a timely manner that is fair to the government and taxpayer. Among other things, we found:", "information on the length of the appeals process was not readily available, making it hard for taxpayers to know what to expect", "the office solicits customer feedback but does not get input before changing the process", "We recommended more transparency about the time it takes to resolve appeals and a way for IRS to solicit input on the process, among other things."]} {"id": "GAO-18-354", "url": "https://www.gao.gov/products/GAO-18-354", "title": "Homeland Security Grant Program: Additional Actions Could Further Enhance FEMA's Risk-Based Grant Assessment Model", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FEMA, a component of DHS, provides preparedness grants to state, local, tribal, and territorial governments to help prepare for, prevent, protect against, respond to, recover from and mitigate terrorist attacks or other disasters. SHSP grants fund the nation's 56 states and territories, while UASI grants fund eligible urban areas. Grant allocations have been based, in part, on FEMA's risk-based grant assessment model, with states and urban areas deemed to be at higher risk receiving more grant dollars than those deemed at lower risk. Since 2008, GAO and others have assessed the model and made recommendations to strengthen it.", "This report 1) describes SHSP and UASI grant awards during fiscal years 2008 through 2018, and factors affecting grant distributions; and 2) examines the steps that FEMA has taken to strengthen its risk assessment model for allocating preparedness grants, and any additional opportunities to improve the model. GAO analyzed the information in FEMA's model, and data on SHSP and UASI grant awards for fiscal years 2008 through 2018. GAO also interviewed FEMA and DHS officials and collected documents."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that various factors affected Federal Emergency Management Agency (FEMA) State Homeland Security Program (SHSP) and Urban Area Security Initiative (UASI) grant awards from fiscal year 2008 through 2018. SHSP grant awards to states were based on two factors\u2014(1) minimum amounts set in law each year, and (2) FEMA's risk model. For example, in fiscal year 2012, each state was to receive a minimum of approximately $2.74 million, with each state receiving additional funds based on its relative risk score. Conversely, UASI grant awards are made based on its FEMA's risk-based grant assessment model, which ranks each urban area relative to others in that year, and Department of Homeland Security (DHS) leadership decisions on how funding should be allocated. From fiscal year 2008 through 2018, the number of USAI grantees varied from year to year (see figure below).", "Since 2008, FEMA has taken steps to strengthen its risk-based grant assessment model, but has not incorporated additional scientific practices into its model. For example, in 2011 FEMA included more information in its model on potential targets and their vulnerability in each state and urban area, addressing a prior GAO recommendation. More recently in 2018, FEMA added additional factors to better assess vulnerability in each state and urban area, such as the number of special events where large crowds gather and soft targets susceptible to lone wolf attacks, among other things. However, GAO found that FEMA does not fully utilize scientific practices recognized by the National Research Council and the Office of Management and Budget as best practices. Specifically, FEMA did not fully document its model's underlying assumptions, such as the weights in its model or the justification for changes to these weights. FEMA also did not perform the level of analysis needed to determine how changes to its model could affect the resulting risk scores. Finally, FEMA has not coordinated an independent external peer review of its model. Applying such scientific practices could assist FEMA in further strengthening its model."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to FEMA to further strengthen its risk-based grant assessment model by (1) fully documenting the model's assumptions and justifications, (2) performing additional in-depth analyses, and (3) coordinating an external peer review. FEMA concurred with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security (DHS) through the Federal Emergency Management Agency (FEMA) awarded over $50 billion in preparedness grants from fiscal years 2002 through 2018. These grants are designed to enhance the capabilities of state and local governments to, prevent, prepare for, protect against, respond to, recover from, and mitigate terrorist attacks and other disasters. The largest preparedness grant programs are the State Homeland Security Program (SHSP), which provides grants to the nation\u2019s 56 states and territories, and the Urban Area Security Initiative (UASI), which awards grants to high-risk urban areas. In order to make grant award decisions for SHSP and UASI grants, FEMA has developed and maintains a risk-based grant assessment model with the assistance of other DHS components such as the Office of Intelligence and Analysis. FEMA uses this model to represent potential threats, vulnerabilities, and consequences of a terrorist attack, among other factors. Specifically, this risk model is used to determine the relative risk order of (a) 56 states and territories, and (b) the nation\u2019s 100 most populous urban areas for purposes of designating high-risk urban areas that are eligible for funding, which serves to inform DHS leadership in their final determinations of grant award amounts, according to FEMA officials. According to FEMA officials, DHS leadership considers multiple pieces of information when making grant award decisions including historical funding, risk scores and ranking, funding separation between jurisdictions, and any special circumstances.", "In June 2008, we reported that DHS\u2019s risk-based grant assessment model for allocating grants was reasonable, but the way that this risk model measured vulnerability across states and urban areas was limited. We recommended that DHS and FEMA formulate a methodology to measure variations in vulnerability across states and urban areas. DHS concurred with our recommendation and we will discuss how they implemented this recommendation later in this report.", "You asked us to report on the grant awards to states and urban areas and any changes to FEMA\u2019s risk-based grant assessment model since 2008. Specifically, this report (1) describes SHSP and UASI total amounts funded from fiscal years 2008 through 2018, and the factors that affect the calculation of grant awards to states and territories, and urban areas; and (2) examines the steps FEMA has taken to strengthen its risk model for allocating SHSP and UASI grants, and what additional opportunities, if any, exist to improve the model.", "To address our first objective, we reviewed applicable laws governing the establishment and distribution of these grants programs, as well as FEMA\u2019s annual grant announcements and guidance. We reviewed and identified laws and regulations including the Homeland Security Act of 2002, the Implementing Recommendations of the 9/11 Commission Act of 2007, Department of Homeland Security appropriations acts and accompanying congressional reports. We analyzed SHSP and UASI annual grant awards to states, territories and urban areas, based on publically-reported information contained in DHS and FEMA\u2019s grant funding notifications for fiscal years 2008 through 2018. We compared data in these public documents to annual program funding and grant award data provided by FEMA, and determined the data were reliable for our purposes.", "To address our second objective, we collected and reviewed policy, guidance and annual grant funding notification documents from FEMA\u2019s Grant Programs Directorate. We reviewed the risk-based grant assessment models for fiscal years 2008 through 2018, and we interviewed officials from FEMA\u2019s Grant Programs Directorate and DHS\u2019s Office of Intelligence & Analysis. We reviewed the elements used in FEMA\u2019s risk model, prior assessments of FEMA\u2019s model, and FEMA\u2019s grant process to assess the status and continuing applicability of prior recommendations. These included our prior reports and studies by organizations such as the National Research Council (NRC) and DHS\u2019s Homeland Security Advisory Council. We also interviewed FEMA and DHS officials to determine the extent to which prior recommendations were implemented. Finally, we reviewed guidance and key practices from OMB and our past work to compare them against FEMA\u2019s processes and updates to its risk model over fiscal years 2008 through 2018 to examine what steps, if any FEMA undertook to improve its model.", "We conducted this performance audit from September 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our finding and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DHS\u2019s Homeland Security Grant Program", "paragraphs": ["The federal government has provided financial assistance to public and private stakeholders for preparedness activities through various grant programs administered by DHS through its component agency, FEMA. Through these grant programs, DHS has sought to enhance the capacity of states, localities, and other entities, such as ports or transit agencies, to prevent, prepare for, protect against, respond to, and recover from, and mitigate a natural or manmade disaster, including terrorist incidents. Two of the largest preparedness grant programs are the SHSP and UASI grant programs.", "SHSP grants provide federal assistance to support states\u2019 implementation of homeland security strategies to address the identified planning, organization, equipment, training, and exercise needs at the state and local levels to prevent, prepare for, protect against, and respond to acts of terrorism. SHSP grants are annually awarded to all the nation\u2019s 56 states and territories. SHSP grant awards are calculated in two parts. All states and territories are to receive a minimum grant amount required by law, based on a percentage of the total amount of SHSP and UASI appropriations in a given fiscal year. The remaining award amounts are based on FEMA\u2019s risk-based grant assessment model.", "UASI grants provide federal assistance to address the unique needs of high-threat, high-density urban areas, and assists the areas in building an enhanced and sustainable capacity to prevent, prepare for, protect against, respond to acts of terrorism. Since 2015, Congress has instructed through the Explanatory Statements accompanying the annual DHS Appropriations Acts that the UASI grants should be awarded to urban areas that reflect up to 85 percent of nationwide risk. For the UASI program, FEMA uses the risk-based grant assessment model each year to identify those urban areas that will be eligible to receive funding.", "Annual funding for the SHSP and UASI programs have generally declined over the period of fiscal years 2008 through 2018, but have remained consistent since fiscal year 2016. Figure 1 shows the changes to SHSP and UASI programs\u2019 annual funding during this period. For example, annual funding for SHSP decreased from about $861 million in fiscal year 2008, to $402 million in fiscal year 2018. During this same period, annual funding for UASI also declined, from about $782 million in fiscal year 2008 to $580 million in fiscal year 2018. However, annual funding for the UASI program has been higher than the SHSP program since fiscal year 2010."], "subsections": []}, {"section_title": "FEMA\u2019s Risk-based Grant Assessment Model for Distributing Funding Awards", "paragraphs": ["Risk=Threat x Vulnerability x Consequence Threat\u2013A natural or man-made occurrence, individual, entity, or action that has or indicates the potential to harm life, information, operations, and/ or property Vulnerability\u2013Physical feature operational attribute that renders an entity, asset, system, network, or geographic area open to exploitation or susceptible to a given hazard. Consequence\u2013Effect of an event, incident, or occurrence, commonly measured in four ways: human, economic, mission, and psychological, but may also include other factors such as impact on the environment.", "FEMA\u2019s risk-based grant assessment model uses three variables: Threat, Vulnerability, and Consequence. The purpose of this model is to apply a risk management process to provide a structured means of making informed trade-offs and choices about how to use finite resources effectively, and monitoring the effect of those choices. Specifically, inherent \u201cuncertainty\u201d is associated with any effort to develop a risk model such as assessing the risk of terrorist attacks, and thus, requires the application of policy judgments and analytic assumptions. The effect that uncertainty has on the results of the risk model can be especially important if the model produces materially different results in response to even small changes in assumptions, often referred to as the \u201csensitivity\u201d or \u201crobustness\u201d of a model\u2019s assumptions and results.", "As we reported in June 2008, FEMA\u2019s risk-based grant methodology and its continuous improvement efforts in estimating risk were part of a reasonable process to assist in determining SHSP and UASI grant allocations. For example, the risk-based grant assessment model used from fiscal year 2001 through 2003 largely relied on measures of population to determine the relative risk of potential grantees, and evolved to measuring risk as the sum of threat, critical infrastructure and population density calculations in fiscal years 2004 and 2005. Further, the fiscal year 2006 process introduced a risk assessment model that included measures of Threat, Vulnerability and Consequences.", "In June 2008, we reported that the way the risk-based grant assessment model measured vulnerability across states and urban areas was limited. We found that the model considered all states and urban areas equally vulnerable to a successful attack, and as a result, the final risk scores were determined exclusively by the Threat and Consequence scores. Specifically, the risk model did not measure vulnerability for each state and urban area; rather it assigned a vulnerability score of 1.0 to every state and urban area. We recommended that DHS and FEMA formulate a methodology to measure variations in vulnerability across states and urban areas. DHS components concurred with our recommendation to measure vulnerability in a way that captures variations across states and urban areas and apply this measure in future iterations of FEMA\u2019s model. In August 2011, FEMA reported that the agency, in coordination with other DHS components, established a Vulnerability Index for the fiscal year 2011 risk-based grant assessment model to better capture the risk to states and urban areas, thereby addressing our recommendation."], "subsections": []}, {"section_title": "Other Reviews of FEMA\u2019s Risk Methodology", "paragraphs": ["DHS and the National Research Council (NRC) have also performed reviews of FEMA\u2019s risk assessment methodologies, providing their own conclusions and recommendations, since our 2008 review. For example, in 2010, the NRC reported that FEMA should strengthen its scientific practices, such as documentation, analyses to determine how changes to a model could affect its results, and peer review by technical experts external to DHS, in order to further develop an understanding of the uncertainties in its terrorism-related risk analyses.", "Additionally, in 2016, the Homeland Security Advisory Council reported that processes by which FEMA uses to assess risk should be made more inclusive, comprehensive and effective. The Homeland Security Advisory Council recommended the following actions to strengthen this process:", "FEMA should continue to send risk profiles to states and urban areas to promote timely and meaningful feedback, and enable FEMA to evaluate recommended adjustments.", "Before each year\u2019s budget submission, FEMA should discuss with congressional appropriators the current grant allocation mechanism.", "We discuss FEMA\u2019s progress in implementing these recommendations later in this report."], "subsections": []}]}, {"section_title": "Various Factors Affected SHSP and UASI Grant Allocations to States and Urban Areas From Fiscal Years 2008 Through 2018", "paragraphs": [], "subsections": [{"section_title": "SHSP Allocations Reflect Both a State\u2019s Relative Risk Score and the Minimum Allocation by Law", "paragraphs": ["While all states and territories receive minimum SHSP program grant allocations by law, the risk-based grant assessment model also informs the grant allocation of the remaining funds to each state. However, for a majority of states each year, their SHSP grant awards are primarily based on a legal minimum amount. For example, in fiscal year 2012, 34 states, like New Mexico, were awarded $2,801,000, which included $2,745,000 based on the minimum amount by law, and $56,000 was based on its risk level. By contrast, New York was one of the high-risk states based on the risk model. For that same fiscal year (2012) New York received a total of $55,610,000, which included $2,745,000 based on the minimum amount by law, plus $52,865,000 based on its risk level.", "Over the period from fiscal years 2008 through 2018, the number of low- risk states whose SHSP grant awards were primarily based on the legal minimum amount had varied from year to year, from 19 states in fiscal year 2008, to 37 states in fiscal year 2018, as shown in table 1.", "In addition, from fiscal year 2008 through fiscal year 2018, there was a decrease in the percent of total SHSP funds awarded to states and territories based on FEMA\u2019s risk model. The percent of total SHSP funding awarded to states and territories based on FEMA\u2019s model ranged from a high of 63 percent in fiscal year 2009 (about $536 million of the $851 million of total SHSP funds), to 51 percent (about $149 million of $294 million of total SHSP funds) for fiscal year 2012. For fiscal year 2018, the total SHSP funds awarded to states and territories based on the risk-based grant assessment model was 55 percent\u2014about $220 million of $402 million.", "For specific details on SHSP grant allocations for fiscal years 2008 through 2018 by states and territories, see appendix I, table 4."], "subsections": []}, {"section_title": "UASI Grantee Eligibility and Allocations Reflect Results from FEMA\u2019s Risk- Based Grant Assessment Model", "paragraphs": ["The UASI program uses FEMA\u2019s risk-based grant assessment model to identify which of the 100 of the nation\u2019s largest urban areas are eligible for grant awards in a particular fiscal year. Then, FEMA\u2019s risk model also helps inform DHS leadership\u2019s decisions on the final funding amounts for each grantee, according to FEMA officials. Specifically, FEMA annually assesses the risk of the 100 most populous metropolitan statistical areas\u2014a geographical region with a relatively high population density at its core and close economic ties throughout the area\u2014as defined by the Office of Management and Budget, in determining the eligible urban areas. From these 100 eligible urban areas, the risk-based grant assessment model identifies those urban areas that reflect recent congressional intent that up to eighty-five percent (85%) of nationwide risk is funded each year. Those urban areas below this 85 percent threshold are ineligible for UASI grant awards in that fiscal year, according to FEMA officials.", "From fiscal years 2008 through 2018, the number of UASI grantees has remained relatively stable since fiscal year 2011. As figure 2 shows, the annual number of grantees has fluctuated from fiscal years 2008 through 2018, ranging from 60 to 64 grantees during fiscal years 2008, 2009 and 2010. However, since fiscal year 2011 the number of UASI grantees has averaged 31 urban areas, with a high of 39 urban areas in fiscal year 2014 and a low of 25 urban areas in fiscal year 2013. For fiscal year 2018, 32 urban areas were UASI grantees.", "For additional details on UASI grant awards for fiscal years 2008 through 2018 by urban areas, see appendix I, table 5.", "Because the UASI grant program is required by annual congressional guidance to fund only those urban areas that comprise up to 85 percent of risk nationally, this eligibility cut off can result in different urban areas being eligible from one year to the next. Specifically, as we demonstrated in June 2008, the variation of risk across urban areas takes on the distribution curve illustrated in figure 3.", "The few urban areas with the highest relative risk score are represented along the steep part of the relative risk curve. For example, those urban areas receiving the highest awards, informed by their risk scores and ranks, are generally the same each fiscal year: New York City, Los Angeles, and Chicago, as seen in table 2.", "Those urban areas that have less relative risk are represented along the flat section of the curve. There are urban areas with less risk that may not fall within the 85 percent of risk nationally during a specific year and thus would be ineligible to receive UASI funding during that year. Table 3 lists the lowest-funded urban areas for the last 5 fiscal years, based on our analysis of the funding amounts each received within each fiscal year. For example, during the period of fiscal year 2008 through fiscal year 2018 San Antonio, Texas, and Hampton Roads, Virginia only received awards in fiscal years 2008, 2009, 2014, 2017, and 2018.", "In addition to changes to urban areas\u2019 risk ranking from one year to the next, the amount that an urban area received of the total amount of UASI funds in a given year can change. FEMA has established a process for developing grant award funding options based on the results of the risk- based grant assessment model. These funding options are provided to the Secretary of Homeland Security for consideration and final approval. According to FEMA officials, the options may vary each year based on DHS leadership\u2019s priorities and concerns at the time; however, all options represent only those eligible grantees that represent up to 85 percent of the nation\u2019s risk, as determined by the risk-based grant assessment model. In fiscal year 2013, FEMA shifted its UASI grant funding to a process referred to as \u201cfunding bands.\u201d In fiscal year 2018, for example, UASI grantees such as Orlando, Florida; Hampton Roads, Virginia; and San Antonio, Texas each received a $1.5 million UASI grant, whereas a grouping of UASI grantees that included Sacramento, California; Pittsburgh, Pennsylvania; and Portland, Oregon each received $2.5 million.", "According to FEMA officials, grouping jurisdictions with similar risk scores into funding bands is an effort to stabilize and retain grantees\u2019 funding levels over multiple years, as annual UASI grants will fund projects that are multiyear investments and carried out over a 24 to 36-month performance period. For example, if one jurisdiction increased by four ranks and another jurisdiction in the same group dropped six ranks, the two jurisdictions would stay in the same funding band if the overall risk scores remained close together. The purpose of the funding bands is to ensure that some consistency in funding exists for jurisdictions, given minor changes in the relative risk ranking. FEMA looks at the natural risk breaks and historical grant allocation data for each year. For example, each year FEMA presents for consideration by DHS leadership the historical funding and the number of urban areas that have been placed in specific funding bands in prior grant years, if any, and the differences between the relative risk scores in the current fiscal year. According to FEMA officials, the last few grant years had produced similar funding bands, which are subject to change depending on DHS leadership\u2019s final decisions."], "subsections": []}]}, {"section_title": "FEMA Has Improved Its Risk-based Grant Assessment Model, but Additional Steps Could Further Strengthen Its Model", "paragraphs": [], "subsections": [{"section_title": "FEMA Has Taken a Number of Steps to Improve the Risk-based Grant Assessment Model for Allocating SHSP and UASI Grants", "paragraphs": ["Since 2008, FEMA has taken a number of steps to assess and improve its risk-based grant assessment model for allocating grants based on past reviews, our prior recommendations, and various changes related to evolving terrorist threats and real-world scenarios. For example, FEMA added a Vulnerability Index to its risk model in 2011 in response to our 2008 recommendation. Most recently, for fiscal year 2018, FEMA has included a \u201csoft target index.\u201d According to FEMA officials, this index was added to account for the current threat for areas where crowds congregate. Figure 4 illustrates the timeline of FEMA changes to the risk- based assessment model and prior assessments.", "Figure 5 depicts the risk-based grant assessment model used for fiscal year 2018 SHSP and UASI grant awards.", "Figure 6 depicts the changes in the Threat, Vulnerability, and Consequence indexes used in the risk-based grant assessments model for fiscal year 2008, compared to 2018. As we noted above, the 2008 risk model did not measure Vulnerability for each state and urban area, and risk scores were essentially determined by Threat and Consequences indexes.", "Changes to the Consequence Index can have the most impact on the relative risk scores because of the weight of this index (50 percent), relative to the weights for the Threat and Vulnerability indexes. Further, the weight for population within the Consequence Index represented 30 percent of the total fiscal year 2018 risk model value. As a result, the weight for the population index was greater than the weights of either the Threat Index or Vulnerability Index, each 25 percent. FEMA has decreased the weight for the population index over time, from 40 percent in 2008 to 30 in 2011, where it has remained consistent through 2018.", "For fiscal year 2018, FEMA modified how the population index was calculated within the Consequence Index to better account for attacks staged by individuals, so-called lone wolves. FEMA did so, in part, by reducing the importance of population density within the population index. In past risk models, the population index had favored high-density, high- rise urban areas, commensurate with building destruction scenarios \u2014 the 9/11-style attack scenarios that focused on large building destruction events, according to FEMA officials. The 2018 change to cap population density in the population index reduces the impact those extremely-dense population areas have in the methodology, according to FEMA officials.", "The other measures used to make up the Consequence Index remain relatively unchanged since our review in 2008, although FEMA has renamed the indexes."], "subsections": [{"section_title": "Vulnerability Index", "paragraphs": ["As explained earlier, FEMA added a Vulnerability Index to its risk-based grant assessment model in 2011, in response to our 2008 recommendation. According to FEMA officials, the Vulnerability Index helps support what DHS is trying to protect, primarily the protection of citizens and critical infrastructure. For example, the Vulnerability Index includes a measure designed to assess the extent that certain types of national critical infrastructure assets may be considered for possible attack. This Targeted Infrastructure Index measure uses actionable intelligence on types of critical infrastructure targets, such as aviation, mass transit and commuter rail. FEMA works with DHS\u2019s National Protection and Programs Directorate to match its critical infrastructure dataset to actionable intelligence from DHS\u2019s Office of Intelligence & Analysis to compile this measure.", "Vulnerability Index Designed to measure the likelihood of a successful attack in a state or urban area, based on a) intelligence information of those critical infrastructure assets identified by foreign or domestic terrorists; b) the extent of international borders entries (land, sea and air) located in a state or urban area, and c) special events where crowds congregate and are susceptible to homegrown extremism and lone wolf attacks.", "For the fiscal year 2018 grant, FEMA has included a \u201csoft target index.\u201d According to FEMA officials, this index was added to account for the current threat for areas where crowds congregate. Based on previous feedback received through this process, FEMA updated the fiscal year 2018 risk methodology to better account for the nation\u2019s current threat environment. The soft target index is composed of two new data elements:", "Visitors\u2014domestic and international\u2014using the same data used in the calculation of the Population Index; and", "Special events measure\u2014uses Special Event Assessment Rating data from DHS Office of Operations Coordination to identify large events that are state and local events that may require federal assistance. Examples of such events include the Super Bowl, the Boston Marathon and New Year\u2019s Eve in Times Square.", "In fiscal year 2018, FEMA added a new \u201cisolation\u201d measure to account for the challenges of response for those states, territories, and urban areas outside the contiguous United States, who rely on prompt mutual aid from neighboring jurisdictions. According to FEMA officials, the isolation data element was included as a response to challenges the agency witnessed as a result of the 2017 Hurricane season, specifically the unique challenges of distant U.S. territories receiving timely mutual aid from other states. For example, if Hawaii, Guam or American Samoa were attacked, there would be little to no outside help for a number of days. As a result, FEMA modified the fiscal year 2018 Border Crossings data element weight, which was dropped from 6 percent to 4 percent, in order to establish a 2 percent weight for the isolation measure."], "subsections": []}, {"section_title": "Threat Index", "paragraphs": ["The weight of the Threat Index was raised from 20 percent to 30 percent in fiscal year 2011, and has been modified again for fiscal year 2018. Specifically, according to FEMA and DHS officials, DHS leadership made a policy decision to reduce the Threat Index\u2019s weight from 30 percent in 2017, to 25 percent in 2018, due to the change in current threat environment, since Congress directed FEMA in the Explanatory Statement accompanying the FY 2017 DHS Appropriations Act to review the risk model to account for this changing threat environment. FEMA officials further stated that they assumed, as domestic terrorism and soft targets are considered to be prevalent nationwide and pose more of a challenge in identifying the source of actionable threats. FEMA officials stated that this modification to the Threat Index better reflects real-world scenarios.", "Since fiscal year 2012, FEMA has included information on domestic terrorism as well as international terrorism in its Threat Index. According to DHS officials, home grown extremism is also a likely threat, often through lone wolf attacks. DHS officials decided to assign all urban areas a minimum threat score to reflect the fact that all areas have some level of threat. According to DHS officials, the addition of a domestic terror threat measure resulted in a decrease in the variation of threat scores across states and urban areas. According to DHS officials, lone wolf attacks are difficult to determine who the actors may be, or when and where they will attack."], "subsections": []}, {"section_title": "Stakeholder Feedback", "paragraphs": ["FEMA annually transmits risk profile information to states and urban areas to promote timely and meaningful feedback. According to FEMA officials, draft risk profiles are sent to all 56 states and territories and 100 eligible urban areas closely after the enactment of DHS\u2019s annual appropriations. States and urban areas are given a 2-week period prior to the release of the Notices of Funding Opportunity to review their draft risk profiles and provide FEMA any comments or data corrections that should be considered. According to FEMA officials, it encourages and welcomes stakeholders to make suggestions for new or different data sets for the subsequent fiscal year's risk assessment at any time during the year convenient to the stakeholder. FEMA also conducts webinars during this period to can explain the risk profiles in detail, as well as discuss any updates to data sets and/or any enhancements to the risk assessment. This will often result in feedback on data elements and the methodology of the risk-based grant assessment model, according to FEMA officials. According to FEMA officials, this feedback process has been used to help guide FEMA\u2019s consideration of enhancements to the risk-based grant assessment model. For example, FEMA officials noted that this process helped them in their efforts to develop the soft targets index into the 2018 risk model."], "subsections": []}]}, {"section_title": "FEMA Does Not Fully Make Use of Recognized Scientific Practices in Maintaining Its Risk Assessment Model", "paragraphs": ["In 2010, the National Research Council (NRC) recommended that incorporating scientific practices can provide decision makers a further understanding of the effects of its policy judgments and assumptions\u2014i.e. addressing uncertainties\u2014in its terrorism-related risk analyses. The NRC identified \u201cgood scientific practice\u201d for model-based work. Specifically, the NRC recommended that detailed documentation for all risk models, including rigorous mathematical formulations, be implemented department-wide. Additionally, the NRC recommended that all risk models undergo verification and validation\u2014or a sensitivity analysis at the least\u2014of its risk-based grant assessment model. Finally, the NRC recommended that FEMA should undertake an external peer review by technical experts outside of DHS, and review its risk-informed formulas in order to identify issues such as logic flaws, evaluate the ramifications of the choices of weightings and parameters, and improve the risk model\u2019s transparency. However, FEMA has not fully adopted these scientific practices for its risk-based grant assessment model.", "Documentation: FEMA documentation on the sources of data used for the model\u2019s calculations does not include information that would enable a reviewer to understand the underlying assumptions that form the basis for its risk-based grant assessment model\u2014such as the size of the weights assigned to Threat, Vulnerability, and Consequence, or the justification for changes to these weights from one year to the next. FEMA officials stated that they focus their limited time and resources on developing the executive summary-level materials that DHS leadership will use to determine final grant eligibility and grant allocation amounts. Also, to a lesser extent, FEMA officials said they rely on the expertise of the subject matter experts from DHS\u2019s Office of Intelligence and Analysis, and DHS\u2019s National Protection and Preparedness Division\u2019s Office of Cyber and Infrastructure Analysis, parts of DHS that contribute to the annual risk assessment process.", "In April 2018, we identified documentation as one of the key methodological elements to the baseline structure of an economic analysis. Specifically, the elements include that the analysis is clearly written with a plain language summary, has clearly labeled tables that describe the data used and results, and has a conclusion that is consistent with these results. The analysis cites all sources used and documents that it is based on the best available economic information. The analysis documents that it complies with a robust quality assurance process and, where applicable, the Information Quality Act, and should disclose the use and contributions of contractors and outside consultants. FEMA officials agreed with our analysis of FEMA\u2019s supporting documentation, and officials stated that maintaining additional documentation could further assist reviewers. Documenting how subject matter expert assumptions are made would help FEMA increase the transparency of the model for key internal and external stakeholders.", "In-Depth Analyses: Similarly, we could not determine whether FEMA sufficiently performed all the analyses of the model\u2019s sensitivity needed to determine how changes to its risk-based grant assessment model could affect the resulting risk scores. FEMA officials stated that they have only analyzed the effect of a data element when it has been added to the model (e.g.: the Soft Target Index in 2018). Further, FEMA officials were unable to provide us with documentation on their sensitivity analyses processes or their results.", "DHS\u2019s Risk Lexicon states that sensitivity analysis can be used to examine how individual variables can affect the outputs of risk assessment methodologies. In addition, OMB Circular A-94 recommends that the outcomes from a risk model should be analyzed to determine how sensitive such outcomes are to changes in the model\u2019s assumptions. The assumptions that deserve the most attention will depend on the dominant elements and the areas of greatest uncertainty of the program being analyzed. In addition, research in the actuarial sciences also states that sensitivity analysis \u201cis of fundamental importance to risk analysts, especially in the presence of complex computational models with uncertain inputs.\u201d", "As we stated earlier, understanding the extent that uncertainty has on the results of the model can be especially important if the model produces materially different results in response to even small changes in assumptions\u2014often referred to as the \u201csensitivity\u201d or \u201crobustness\u201d of a model\u2019s assumptions and results. We have reported on FEMA\u2019s risk- based grant assessment model in June 2008 and March 2013, where we found grant years when the risk model was sensitive to even small changes. For example, we noted that a potential increase or decrease in a measure would have resulted in one urban area displacing the eligibility of another, thereby potentially shifting funding as well. FEMA officials stated that they focus their limited time and resources on developing the executive summary-level materials that DHS leadership will use to determine final grant eligibility and grant allocation amounts. FEMA officials agreed that they could better document the steps used in their analyses across all the model\u2019s measures and weights so that a complete understanding of potential impacts are documented and can be made available to leadership when making decisions about changes.", "FEMA\u2019s implementation of sensitivity analyses could help the agency to assess changes to the risk-based grant assessment model including the introduction of new data elements into Threat, Vulnerability, and Consequence indexes, the modifications to how existing data elements are calculated, and the changing of the weights assigned to the Threat, Vulnerability, and Consequence indexes. Further, FEMA\u2019s implementation of sensitivity analyses has the ability to show decision makers the impact or predicted impact of adjustments to FEMA\u2019s risk- based grant assessment model, including with potential shifts in funding towards or away from certain grantees.", "Use of External Peer Review: FEMA has not subjected its risk-based grant assessment model to a peer review by independent, external technical experts, as previously recommended in 2010 by the NRC. According to FEMA officials, its risk assessment methodology has undergone comprehensive internal reconsideration over time to better reflect real-world scenarios, but such reviews have not included external peer reviews. FEMA officials stated that its risk-based grant assessment model has gone through past reviews including a review as part of DHS\u2019s quadrennial review in 2014, and the model is reviewed by internal subject matter experts from DHS\u2019s Office of Intelligence and Analysis, and DHS\u2019s National Protection and Preparedness Division\u2019s Office of Cyber and Infrastructure Analysis as part of the annual risk assessment process. FEMA officials stated that the agency is exploring the possibility of participating in a DHS collaborative group to internally review and provide feedback on the model\u2019s underlying assumptions and methods. Such a group could review the underlying components of the current risk-based grant assessment model and suggest improvements, as well as present and evaluate other risk assessment theories and approaches. FEMA officials told us they have encountered time and resources constraints on establishing an external peer review process.", "As we have previously reported, independent external peer reviews can increase the probability of success by improving the technical quality of projects and the credibility of the decision-making process, and provide reasonable assurance that the agency\u2019s approach is reproducible and defensible. In addition, in December 2004, OMB issued the memorandum \u201cFinal Information Quality Bulletin for Peer Review\u201d which established government-wide guidance aimed at enhancing the practice of peer review of government science documents. OMB noted that peer review can increase the quality and credibility of the scientific information generated across the federal government, which was an effort to improve the quality of the scientific information upon which policy decisions are based. OMB also noted that, while peer review may take a variety of forms, agencies will need to consider at least the following issues when coordinating an external peer review: individual versus panel review; timing; scope of the review; selection of reviewers; disclosure and attribution; public participation; disposition of reviewer comments; and adequacy of prior peer review.", "These scientific processes are designed to help decision makers better understand the impact or predicted impact of risk management alternatives, and provide greater confidence in the reliability of the risk assessment model\u2019s results. Full implementation of these processes better position FEMA to provide further assurances that their risk-based grant assessment model and grant allocation approaches are reasonable, of high-quality, and credible."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given that risk management has been endorsed by the federal government as a way to direct finite resources to states and those urban areas that are most at risk of terrorist attack, it is important that FEMA\u2019s risk-based grant assessment model supports the application of policy judgments and analytic assumptions in the model\u2019s role of allocating those limited resources. Decreased funding levels for SHSP and UASI grant programs have increased the importance of using risk management techniques to more effectively target finite federal dollars. DHS and FEMA have strengthened its risk-based grant assessment model for allocating grants, taking into account analysis and recommendations from a variety of reviews. These improvements include the addition of a Vulnerability Index and modifications to the Threat Index. We have identified opportunities where FEMA could strengthen its scientific practices. First, documenting the model\u2019s underlying assumptions and the results of sensitivity analysis can assist decision makers in better understanding the predicted impact of risk management alternatives. Second, expanding the use of sensitivity analysis could further enhance the model. Developing a greater understanding of the how uncertainty affects its risk-based grant assessment model\u2019s results helps achieve the objectives of risk management. Third, coordinating an independent external peer review of the methodology of its risk-based grant assessment model would better position the agency to provide reasonable assurance that FEMA\u2019s risk model and grant allocation approach that FEMA uses for its SHSP and UASI programs are reasonable, of high-quality, and credible. Applying such scientific practices could assist FEMA in further strengthening its risk-based grant assessment model."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to FEMA.", "The FEMA Administrator should fully document the underlying assumptions and justifications that form the basis of the risk-based grant assessment model, such as the size of the weights assigned to Threat, Vulnerability, and Consequence, or the justification for changes to these weights from one year to the next.", "The FEMA Administrator should perform sensitivity analyses to verify how changes to the risk-based grant assessment model could affect the resulting risk scores, and document the results.", "The FEMA Administrator should take steps to coordinate an independent, external peer review of its risk-based grant assessment model."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the FEMA and DHS for comment. In its comments, reproduced in appendix II, FEMA generally concurred with our findings and three recommendations.", "In FEMA\u2019s concurrence to our first recommendation that the agency fully document the underlying assumptions and justifications that form the basis of the risk-based grant assessment model, FEMA requested that GAO consider this recommendation resolved and closed as implemented. As part of FEMA\u2019s response, they reiterate their process of providing draft Risk Profiles to all 100 urban areas and 56 states and territories and their annual communications to Congress on how FEMA calculated risk and computed grant awards. We recognized FEMA\u2019s stakeholder feedback efforts in this report. However, as we noted, FEMA\u2019s documentation on the sources of data used for the model\u2019s calculations does not include information that would enable a reviewer to understand the underlying assumptions that form the basis for its risk-based grant assessment model. Further, as stated earlier, documentation is one of the key methodological elements to the baseline structure of this type of analysis, documenting that it complies with a robust quality assurance process and, where applicable, the Information Quality Act, and should disclose the use and contributions of contractors and outside consultants. In order to fully implement this recommendation, documenting how subject matter expert assumptions are made would help FEMA increase the transparency of the model for key internal and external stakeholders, and will further support the efforts of an independent external peer review of FEMA\u2019s risk-based assessment model.", "Regarding the second recommendation, FEMA concurred, stating that the agency will expand the use of sensitivity analysis to review the entire risk methodology, and will also document these results for leadership review, as appropriate. Finally, regarding the third recommendation, FEMA concurred, stating that they will coordinate an independent external peer review and develop a detailed written response to leadership for further appropriate action.", "FEMA and DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, and other interested parties. This report will also be available at no charge on our Web site at http://www.gao.gov. Should you or your staff have any questions concerning this report, please contact me at (202) 512-8777 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report."], "subsections": []}]}, {"section_title": "Appendix I: Grant Funding and Awards for State Homeland Security Grant Program (SHSP), and the Urban Area Security Initiative (UASI) Grant Program for Fiscal Years 2008 Through 2018", "paragraphs": [], "subsections": [{"section_title": "Fiscal Years Mississippi Total Award Amount above legal minimum", "paragraphs": [], "subsections": []}, {"section_title": "Fiscal Years West Virginia Total Award Amount above legal minimum", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Chris P. Currie, at (202) 512-8777 or CurrieC@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition, key contributors to this report were Aditi Archer, Chris Keisling, Assistant Director, John Vocino, Analyst-in-Charge, Chuck Bausell, Dominick Dale, Dorian Dunbar, Eric Hauswirth, Serena Lo, Heidi Nielson, and Hadley Nobles."], "subsections": []}]}], "fastfact": ["The Federal Emergency Management Agency distributes money to states, territories, and urban areas to help them get ready for potential terrorist attacks. The amounts provided are based in part on a model FEMA uses to rank the risk posed to each area. Locations deemed at higher risk of an attack with major consequences, for example, may receive more money.", "We looked at FEMA's main grant programs and what it has done to improve its risk model. We recommended FEMA take additional steps to bolster the model's quality and credibility, including fully documenting the assumptions on which the model is based and subjecting it to external review."]} {"id": "GAO-18-181", "url": "https://www.gao.gov/products/GAO-18-181", "title": "Reserve Component Travel: DOD Should Assess the Effect of Reservists' Unreimbursed Out-of-Pocket Expenses on Retention", "published_date": "2017-10-16T00:00:00", "released_date": "2017-10-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["About 91 percent of DOD's 811,000 reservists are part-time, performing military service in addition to civilian employment and careers. These reservists may have to travel to perform required military training or other duties.", "The National Defense Authorization Act for Fiscal Year 2017 contains a provision for GAO to review the cost of travel for members of the reserve components. This report (1) describes the conditions under which reservists may incur unreimbursed out-of-pocket travel expenses in connection with their service, and (2) addresses the extent to which DOD has assessed the effect of reservists' unreimbursed out-of-pocket travel expenses on retention.", "GAO reviewed DOD's Joint Travel Regulations and interviewed officials to determine conditions under which reservists might incur unreimbursed travel expenses. It also compared DOD's efforts to analyze the effect of such expenses with federal internal control standards, which state that management requires quality information to make informed decisions and evaluate an entity's performance in achieving key objectives."]}, {"section_title": "What GAO Found", "paragraphs": ["Reservists may incur unreimbursed out-of-pocket expenses under certain conditions in connection with their service. Although the Department of Defense's (DOD) six reserve components reported paying or reimbursing $925 million in travel costs for reservists in fiscal year 2015, the most recent year for which data were available, reservists may still incur various expenses that are not reimbursable under DOD's travel regulations.", "Officials responsible for travel regulations told us that unreimbursed travel expenses for reservists generally arise because it is DOD's policy to: (1) not provide reimbursement, except in limited circumstances, for the cost of travel to attend Inactive Duty Training (i.e., the \u201c1 weekend a month\u201d training commitment for reservists) and (2) consider longer duration training or assignments as a Permanent Change of Station\u2014a change in reservists' home of record\u2014and not as temporary travel. The National Defense Authorization Act for 2008 established a reimbursement program for Inactive Duty Training travel costs, but reservists must meet certain eligibility criteria, such as serving in a critical occupation, and not all service Secretaries have chosen to participate. Under the program, reimbursement is limited to $300 for each roundtrip to the training location. Further, DOD's policy to consider longer duration training or assignments as a Permanent Change of Station may also result in unreimbursed expenses. Specifically, according to DOD officials, reservists may have to maintain two households if, because of their part-time status, they decide not to move themselves and their families to the location of Active Duty Training for 140 days or longer, or of other active duty assignments for 181 days or longer.", "DOD and the services have conducted a few limited assessments of the potential effect of reservists' unreimbursed travel expenses on the retention of reservists. However, several DOD reports and studies and officials whom GAO interviewed have expressed concern that such unreimbursed expenses may, among other factors, be a challenge for reservists and may therefore negatively affect retention. For example, a 2012 survey commissioned by the Army Reserve of a small sample of reservist officers potentially eligible for battalion command positions reported that unreimbursed travel costs were among several factors that could influence their decision to apply for these positions. DOD and the reserve components are considering changes to reserve travel policy to mitigate the effect of unreimbursed expenses on reservists, by, for example, increasing the $300 limit for Inactive Duty Training reimbursement. However, without the benefit of quality information, DOD risks not managing the potential influence of these policies on reservists' retention or agency expenditures."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that DOD collect quality information and conduct an analysis of the potential effects of reservists' unreimbursed travel expenses on retention, and respond to these risks by considering the costs and benefits of any possible actions to address the identified issues. DOD concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Of the Department of Defense\u2019s (DOD) 2.1 million servicemembers in 2016, more than 811,000 serve in the department\u2019s six reserve components\u2013the Army National Guard, the Army Reserve, the Air Force Reserve, the Air National Guard, the Marine Corps Reserve, and the Navy Reserve. In 2011, DOD stated that it had transformed its reliance on the reserve component, from considering it to be a strategic force of last resort to using the component as an operational reserve to be deployed on a periodic basis. When not deployed, reservists travel to perform training and other reserve duties, ranging from monthly weekend drills to long-duration training for career fields such as cyber defense or for maintaining skills such as proficiency in foreign languages. About 91 percent of reservists are part-time, performing military service in addition to civilian employment, and may have to travel to perform training or other duties if they do not live close to the location where they train or are needed for other duties. DOD\u2019s 2012 Report of the Eleventh Quadrennial Review of Military Compensation noted concerns over reservists\u2019 unreimbursed expenses to perform military service, and a 2008 report by the Commission on the National Guard and Reserves cited similar concerns as having possible effects on retention.", "The Under Secretary of Defense for Personnel and Readiness has overall responsibility for commercial travel management and policy. The Defense Travel Management Office oversees commercial travel management and serves as the focal point for commercial travel within DOD. This office is also responsible for any updates and revisions to the Joint Travel Regulations, DOD\u2019s central source of travel policy for all servicemembers. DOD is currently updating the Joint Travel Regulations, which is expected to be published in fall 2017.", "The National Defense Authorization Act for Fiscal Year 2017 contains a provision for us to review the cost of travel for members of the reserve components. This report (1) describes the conditions under which reservists may incur unreimbursed out-of-pocket travel expenses in connection with their service, and (2) addresses the extent to which DOD has assessed the potential effect of reservists\u2019 unreimbursed out-of- pocket travel expenses on the retention of reservists. Appendix I provides DOD\u2019s reported fiscal year 2015 travel costs for the reserve components. In addition, in June 2017, we provided a briefing to congressional committees on these costs.", "To address our first objective, we reviewed DOD\u2019s Joint Travel Regulations and interviewed officials from the Defense Travel Management Office, each service\u2019s reserve policy office, and officials from each component responsible for travel issues to understand and characterize scenarios under which reservists would not be reimbursed for travel expenses. To address our second objective, we collected and reviewed selected DOD studies and reports on the subject of reservists\u2019 out-of-pocket travel expenses, and compared DOD\u2019s efforts to analyze the potential effects of these expenses with federal internal control standards. These standards state that management requires quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risk. These standards further require that management identify, analyze, and respond to risks related to achieving the defined objectives. To report on DOD\u2019s reported fiscal year 2015 travel costs for the reserve components we obtained and reviewed fiscal year 2015 execution cost data, the most recent complete data available. We interviewed budget officials from each reserve component and from the Office of the Under Secretary of Defense (Comptroller) concerning their efforts to assess the completeness and accuracy of these cost data and determined that they were sufficiently reliable for the purpose of summarizing the cost of reserve component travel for fiscal year 2015.", "We conducted this performance audit from January 2017 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Selected Reserve comprises over 811,000 full- and part-time members from the military services\u2019 respective National Guard and reserve components, whom DOD can call to active duty to augment military forces in time of war or national emergency. DOD requires these reservists to maintain readiness by participating regularly in training to maintain the military skills needed to perform their mission. About 91 percent of the members of the Selected Reserve, or 735,876 reservists, are part-time, performing military service in addition to their civilian employment and careers. Reservists typically train for about 1 weekend a month and 2 weeks a year. Reservists may also be required to participate in longer duration training to develop and maintain specialized skills related to their military occupation, such as cyber specialists, or to perform other activities such as backfilling positions in other reserve or active units. The following are descriptions of reservists\u2019 required training and other duties:", "Annual Training: All six reserve components require an annual training period, typically 2 weeks, to acquire and maintain required military skills.", "Inactive Duty Training: This training is commonly referred to as the \u201c1 weekend a month\u201d commitment, and reservists fulfill this commitment in connection with prescribed training or maintenance activities of the units to which they are assigned.", "Active Duty for Training: So that reservists acquire and maintain required military skills, individuals serving as reservists participate in training programs such as initial basic training and advanced individual training, and may attend full time specialized schools. The duration of Active Duty for Training varies considerably, from days to several months.", "Active Duty Other than Training: All six reserve components may require that reservists perform other support activities, such as backfilling a position in a reserve or active unit.", "For a variety of reasons, reservists may not live in the same location where they train. For example, reservists may relocate for their civilian occupation, and officials told us that as reservists are promoted, command opportunities are more geographically dispersed. As a result, travel may be necessary to facilitate their service. DOD\u2019s six reserve components reported paying or reimbursing over $925 million in travel costs for reservists in fiscal year 2015, representing about 4.3 percent of the total obligations identified in the Reserve Personnel accounts. With an actual part-time endstrength of 742,683 reservists in fiscal year 2015, DOD spent an average cost of about $1,246 per reservist. Officials told us that DOD does not specifically collect and track data on reservists\u2019 unreimbursed travel expenses, which are therefore unknown. Officials told us that reservists process their travel claims through DOD-wide or military-service-based electronic data systems, such as the Defense Travel Service or the Air Force\u2019s Reserve Travel System, or sometimes using hard-copy forms, depending on the type of duty performed, the reserve component, and other factors. DOD\u2019s Joint Travel Regulations govern the extent to which reservists are eligible to be reimbursed for travel expenses to participate in required training or in other duties. The regulations authorize the reimbursement of different types of expenses depending on the nature and duration of the assignment. Eligible reimbursements include:", "Per diem, which includes reimbursement for food, temporary lodging,", "Transportation expenses, ranging from reimbursement for mileage traveled in reservists\u2019 private vehicles to reimbursement for commercial flights;", "Permanent Change of Station reimbursements related to reservists changing their home of record to the location of the assignment, such as reimbursement for the movement of household goods; and", "Basic Allowance for Housing, which is based on the costs of adequate rental properties for civilians with comparable income levels in the same location as the permanent duty station, which in the case of reservists is generally the location of their home; is received when reservists are in an active duty status, which includes Active Duty for Training and Active Duty Other than Training; and is determined based on the duration of reservists\u2019 active duty assignments.", "Reservists also receive cash compensation for the various types of training and other duties they perform; non-cash compensation, such as access to TRICARE Reserve Select and education benefits; and deferred compensation, such as participation in the military retirement system. In addition, reservists may be able to take advantage of a federal tax deduction for out-of-pocket travel expenses associated with their service."], "subsections": []}, {"section_title": "Reservists May Incur Out-of-Pocket Travel Expenses under Certain Conditions", "paragraphs": ["Reservists may incur expenses under certain conditions in connection with their service that are not reimbursable under DOD\u2019s travel regulations. Officials responsible for travel regulations and reserve policy issues told us that this can occur because: (1) the cost to attend Inactive Duty Training is a reservist\u2019s responsibility, except in limited circumstances; and (2) DOD designates longer duration training or assignments as a Permanent Change of Station\u2014a change in a reservist\u2019s home of record\u2014and not as temporary travel."], "subsections": [{"section_title": "Travel Expenses to Attend Inactive Duty Training Are the Responsibility of Reservists Except for in Limited Circumstances", "paragraphs": ["Under most circumstances, travel expenses to and from the 1 weekend a month training commitment are reservists\u2019 responsibility with no reimbursement provided, and as a result reservists may incur unreimbursed travel expenses to attend this training. Specifically, the Joint Travel Regulations states that a reserve component member performing Inactive Duty Training ordinarily receives no travel or transportation allowances, particularly when the training duty is performed at the reservist\u2019s assigned unit location. This principle is reflected in travel policy such as the Navy Reserve\u2019s requirement that reservists who live more than 100 miles from their Inactive Duty Training site sign a waiver acknowledging that they will not be reimbursed for travel expenses. Navy travel policy, citing a previous version of the Joint Travel Regulations, states that as part of the requirement to perform Inactive Duty Training, \u201cinherent to this obligation is the travel between the member\u2019s home and the location at which the member normally performs drills\u201d with no reimbursement provided.", "To mitigate expenses incurred by reservists traveling long distances, the National Defense Authorization Act for Fiscal Year 2008 established a reimbursement program for Inactive Duty Training whereby each component may, at the discretion of the service Secretary and under certain circumstances, provide reimbursement of up to $300 in expenses for each roundtrip to the training location. The Joint Travel Regulations further specifies that reservists must travel no fewer than 150 miles or greater one way from their primary residence to their normal drilling site to be eligible. DOD spent nearly $33.5 million on Inactive Duty Training travel costs in fiscal year 2015. While each service Secretary decides whether an individual component can participate in the program, the Joint Travel Regulations requires such programs to make servicemembers eligible for reimbursement when they meet one of the following criteria: They are qualified in a skill designated as critically short by the Secretary assigned to a unit of the Selected Reserve with a critical staffing shortage, or in a pay grade in the reservists\u2019 component with a critical staffing shortage; or assigned to a unit or position that is disestablished or relocated as a result of Base Realignment and Closure or other force structure reallocation.", "See table 1 for scenarios illustrating reimbursement eligibility for Inactive Duty Training expenses in the Army Reserve.", "Three of the six reserve components have established policies to allow for reimbursement of expenses of travel related to Inactive Duty Training, according to component-specific criteria. The Marine Corps Reserve and the Air Force Reserve authorize Inactive Duty Training reimbursement for several occupations, and in the case of the Marine Corps Reserve, entire rank levels. The Army Reserve authorizes reimbursement, but according to its policy targets reimbursements to soldiers and units with the highest payoff in achieving readiness. Specifically, Army Reserve commanders establish Inactive Duty Training reimbursement policy that designates and prioritizes positions, units, and occupational specialties eligible to participate. Both Air National Guard and Army National Guard officials told us that their respective components do not authorize Inactive Duty Training reimbursement. Similarly, Navy officials told us that the Navy does not participate in the reimbursement program, primarily because under its training construct Navy reservists conduct most Inactive Duty Training at a Navy Operational Support Center close to their homes, thereby limiting the training that may occur at a further distance from their homes to a minority of sessions.", "Travel distances for reservists to their drilling site may have increased over time. For example, the 2012 Report of the Eleventh Quadrennial Review of Military Compensation noted that reservists traditionally lived near a reserve site or drilling location, but reported that at the time of its review more than 100,000 reservists lived more than 100 miles from their drilling locations. Further, according to a 2008 report by the Commission on the National Guard and Reserves, after Base Realignment and Closure actions some reservists may have fewer locations available to them to perform such training. As a result, reservists may be travelling greater distances to attend such training. Officials also told us that the travel distances required to attend Inactive Duty Training can be further increased as reservists progress in their careers in certain occupational specialties or ranks. For example, officials from the Marine Corps Reserve told us that as reservists are promoted to higher ranks, there are fewer positions, which can result in long-distance travel by reservists, while Army Reserve officials told us that some reservists may turn down command positions to avoid long-distance travel."], "subsections": []}, {"section_title": "DOD\u2019s Joint Travel Regulations Treats Long- Duration Training and Other Assignments of Long-Duration as a Permanent Change of Station", "paragraphs": ["DOD\u2019s Joint Travel Regulations treats Active Duty for Training and other assignments of long-duration as a Permanent Change of Station, or a change in a reservist\u2019s home of record, generally his or her civilian home, and not as Temporary Duty. The treatment of long-duration training or other assignments as a Permanent Change of Station applies equally to reservists and active component members, as DOD travel regulations require all military personnel at a given training or assignment to be in the same status. However, officials told us that due to the interim nature of such assignments reservists are unlikely to move their families, and reservists may incur unreimbursed expenses due to the cost of maintaining two homes. For example, according to a reserve policy official, based on an internal analysis, about two-thirds of Air Reserve members on long-duration training do not move from their civilian homes. Further, the 2012 Report of the Eleventh Quadrennial Review of Military Compensation concluded that reservists would likely return to their civilian homes and employers at the conclusion of their assignments. In addition, officials stated that long-duration training is becoming more common. For example, Army language or medical training can routinely last longer than 140 days and require a Permanent Change of Station.", "The treatment of long-duration training and other assignments as a Permanent Change of Station and not as Temporary Duty affects the type of expenses that will be reimbursed and the Basic Allowance for Housing rate received by reservists. A Permanent Change of Station is triggered when Active Duty for Training assignments last 140 days or longer and Active Duty for Other than Training assignments last 181 days or longer. The changes in eligibility for reimbursement discussed below can affect the amounts of reservists\u2019 unreimbursed expenses:", "Per diem: Reservists on training or other assignments that are treated as a Permanent Change of Station are not eligible for reimbursement of per diem expenses, including for temporary lodging and meals. Reservists are unlikely to relocate their civilian homes for such long-duration, though interim, training and assignments. They may therefore incur expenses typically associated with a Temporary Duty assignment, such as temporary lodging expenses, but for which they cannot be reimbursed.", "Basic Allowance for Housing: Reservists on training or other assignments that are treated as a Permanent Change of Station receive an adjusted Basic Allowance for Housing based on the location of their new duty station. This adjusted housing allowance applies regardless of whether a reservist actually moves his or her civilian home and family to the new duty station. Depending on the new duty location, a reservist may receive Basic Allowance for Housing at a higher or lower rate than the allowance amount based on the location of their civilian home. If a reservist were in Temporary Duty status\u2014training for 139 days or fewer, or an assignment for 180 days or fewer\u2014he or she would continue to receive Basic Allowance for Housing based on the cost of maintaining his or her civilian home.", "If reservists decide not to relocate themselves and their families to the location of the long-duration training or assignment, reservists may face unreimbursed costs for maintaining two homes. Once a Permanent Change of Station has been triggered, a reservist is no longer in a Temporary Duty status and may no longer receive per diem for temporary lodging. Reservists must either (1) move to government lodging and forego any Basic Allowance for Housing, or (2) receive Basic Allowance for Housing based on the location of the assignment, which may be higher or lower than the allowance based on the location of their home of record, generally their civilian home. In the first situation, reservists must maintain their civilian home without payment of a Basic Allowance for Housing, and thus may face unreimbursed costs associated with the home\u2019s maintenance. In the second situation, reservists must maintain both their civilian home and a new home with a Basic Allowance for Housing adjusted for the location of the home at the new duty station. Unreimbursed costs may result if the Basic Allowance for Housing adjusted for the location of the new duty station is significantly lower than the housing costs in the area of the reservist\u2019s civilian home. As shown in the 2017 illustrative example in figure 1, reservists receive different levels of payment for the temporary lodging allowance and the Basic Allowance for Housing based on the duration of their Active Duty for Training assignments.", "A service Secretary may grant a waiver for individuals attending a training course to maintain Temporary Duty status beyond the 140-day time limit, which normally would require a Permanent Change of Station. However, such waivers apply to all course attendees, whether they are members of the active or reserve components. DOD maintains data on the number of these waivers, but not for the discrete number of waivers for reserve component training. Individual reservists can also apply for a waiver for the rate of their Basic Allowance for Housing payment to be based on the location of their dependents, effectively allowing payment at the geographic rate of a reservist\u2019s civilian home. However, this option is not available to reservists without dependents."], "subsections": []}]}, {"section_title": "DOD Has Not Fully Assessed the Potential Effect of Unreimbursed Out-of- Pocket Travel Expenses on the Retention of Reservists", "paragraphs": ["Within the last decade, DOD and the services have conducted a few limited assessments of the potential effect of unreimbursed out-of-pocket travel expenses incurred by reservists to perform required training and other reserve activities on retention of reservists. Although various entities have raised concerns regarding reservists\u2019 out-of-pocket travel expenses, the available information is either anecdotal or applicable to only one reserve component or one aspect of travel policy. DOD reports have noted that such unreimbursed travel expenses, among other factors, may be a challenge for reservists and may therefore affect retention. For example, in 2008, the Commission on the National Guard and Reserves reported that travel requirements and associated costs had a negative effect on DOD\u2019s ability to recruit and retain qualified personnel, particularly for leadership positions. In addition, in minutes of its meetings, the Air Reserve Forces Policy Committee has called for changes to the Permanent Change of Station requirement for long- duration training, noting in 2015 that it, \u201cfrequently creates financial hardship for RC Airmen who typically maintain a residence near their assigned unit or civilian employer.\u201d", "Three DOD studies have explored potential links between reservists\u2019 unreimbursed travel expenses and retention:", "A 2012 survey commissioned by the Army Reserve of a small sample of reservist officers potentially eligible for battalion command positions reported that unreimbursed travel costs were among several factors that could influence their decision to apply for these positions.", "A 2014 study commissioned by the Marine Corps found that, based on a statistical model of a sample of Marines eligible to participate in its Inactive Duty Training travel reimbursement program between May 2012 and September 2013, the program had increased the Marine Corps\u2019 ability to fill critical positions. The study also included an assessment of the cost of increasing the level of reimbursement for Inactive Duty Training and its possible effect on staffing.", "A 2016 survey commissioned by the Army Reserve, drawn from a non-generalizable sample of a few thousand reservists, reported that a significant majority of respondents in 2015 viewed the Inactive Duty Training travel reimbursement program as an incentive for soldier retention.", "In addition, during our review, officials from most of the reserve components told us that despite the establishment of the reimbursement program for travel costs associated with Inactive Duty Training, such expenses continue to be a challenge for some reservists. In particular, officials noted that this especially affects personnel who do not qualify for reimbursement. One official noted that, in extreme cases, reservists may find that the cost to attend Inactive Duty Training may exceed drill pay, effectively requiring them to pay out-of-pocket to perform military service.", "While these reports and studies have alerted DOD to a potential problem, DOD has not yet assessed the effect of unreimbursed travel expenses on retention of reservists in a comprehensive manner and the related overall cost to the federal government. For example, DOD has not yet systematically collected data and assessed the potential effect of current travel reimbursement policy on retention across all services, as measured by outcomes such as fill rates for critical positions and other metrics, or collected more basic information such as the number of reservists who do not move their home during long-duration training, the distances traveled for Inactive Duty Training, and the amount of unreimbursed expenses incurred by reservists. The 2014 Marine Corps\u2019 study on Inactive Duty Training reimbursement did explore fill rates for its potential effect on critical positions. However, its findings are not necessarily applicable to the other reserve components. In addition, DOD has not conducted an assessment on the issue of Permanent Change of Station rules for long- duration training or other assignments. While travel policy officials noted that there is no requirement for such an assessment, some agreed that more robust information would allow for a better understanding of the situation as well as any potential changes that are necessary in DOD\u2019s travel policy. One travel official stated that until a direct connection between unreimbursed travel expenses and retention or related areas is observed within their component, change is unnecessary.", "As of July 2017, DOD and the reserve components were considering changes to reserve travel policy to mitigate the effect of out-of-pocket expenses on reservists. Specifically, these changes include (1) requesting that Congress increase reimbursement for Inactive Duty Training travel expenses from $300 to $500 and (2) increasing the length of time of Temporary Duty travel for training courses or other assignments before such travel is considered a Permanent Change of Station. The Marine Corps Reserve has developed a draft proposal for congressional consideration for an increase in Inactive Duty Training reimbursement, which an official stated was necessary to address the challenge of filling critical occupations. The Military Advisory Panel, which advises on defense travel issues, has considered an increase in the length of time of Temporary Duty travel for training courses or other assignments before a Permanent Change of Station would be required, but no specific proposals have been developed.", "Federal internal control standards state that management requires quality information to make informed decisions and evaluate an entity\u2019s performance in achieving key objectives and addressing risk. They further require that management identify, analyze, and respond to risks related to achieving the defined objectives. However, without collecting more comprehensive information on the potential effect of the current travel policy on the retention of reservists, DOD would be considering alternative proposals with only the limited data and analysis available to date. Further, the lack of comprehensive data and analysis on the influence of current travel policies will limit DOD\u2019s ability to reach an analytically based decision which weighs the costs and benefits of any potential changes. In deciding to continue or change current travel policies relating to travel reimbursement without the benefit of quality information, DOD risks not managing the potential influence of these policies on reservists\u2019 retention or agency expenditures."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Reservists often maintain civilian careers and homes that in some cases can require them to travel long distances to perform their part-time military service. In some instances, such as when performing Inactive Duty Training and long-duration Active Duty for Training or other active duty assignments, such service can result in expenses that cannot be reimbursed to the reservist under DOD\u2019s travel policy. Despite long- standing concerns that out-of-pocket travel expenses reservists incur to perform their service may be increasing, DOD does not have sufficient data and analysis on how reservists\u2019 incurring these expenses could negatively affect DOD\u2019s ability to achieve its mission, the overall costs and benefits of DOD\u2019s travel policy, and how various proposed changes to the travel policy could potentially mitigate any of its possible negative effects. As a result, DOD is not well positioned to move forward with possible changes to travel policy absent further analysis."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Under Secretary of Defense for Personnel and Readiness collect quality information and conduct an analysis of the potential effects of unreimbursed travel expenses incurred by reservists to perform military service on DOD\u2019s ability to retain reservists in the force, and respond to these risks by considering the costs and benefits of any possible actions to address the identified issues."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix II, DOD concurred with our recommendation.", "We are sending copies of this report to appropriate congressional committees, the Secretary of Defense, the Under Secretary of Defense for Personnel and Readiness, the Secretaries of the military departments, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (213) 830-1011 or vonaha@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Reserve Components\u2019 Reported Travel Costs for Fiscal Year 2015", "paragraphs": ["To determine DOD\u2019s travel costs for the reserve components, we obtained and reviewed fiscal year 2015 execution cost data, the most recent complete data available, that each reserve component reported on travel costs for training and other activities. These costs are reported in a travel cost exhibit included in each component\u2019s annual Reserve Personnel budget justification document. We did not include any travel costs not included in the reserve components\u2019 Reserve Personnel accounts, such as any travel costs in the components\u2019 respective Operations and Maintenance accounts. We did not include travel costs for the Active Guard and Reserve because individuals serving these components are responsible for the full-time administration of the reserve components and differ significantly from part-time drilling reservists in their responsibilities and associated travel. We also did not include costs for the Individual Ready Reserve because these reservists have different training patterns than other reservists. In table 2, we summarize the costs reported by DOD\u2019s six reserve components for Annual Training, Inactive Duty Training, and all other travel costs for fiscal year 2015 by component."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Margaret Best (Assistant Director), Patricia Donahue, Mae Jones, Linda Keefer, Felicia Lopez, Carol Petersen, and Adam Smith made major contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-480", "url": "https://www.gao.gov/products/GAO-18-480", "title": "Drug Discount Program: Federal Oversight of Compliance at 340B Contract Pharmacies Needs Improvement", "published_date": "2018-06-21T00:00:00", "released_date": "2018-06-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Covered entities can provide 340B drugs to eligible patients and generate revenue by receiving reimbursement from patients' insurance. The number of pharmacies covered entities have contracted with has increased from about 1,300 in 2010 to nearly 20,000 in 2017. GAO was asked to provide information on the use of contract pharmacies. Among other things, this report: 1) describes financial arrangements selected covered entities have with contract pharmacies; 2) describes the extent that selected covered entities provide discounts on 340B drugs dispensed by contract pharmacies to low-income, uninsured patients; and 3) examines HRSA's efforts to ensure compliance with 340B Program requirements at contract pharmacies. GAO selected and reviewed a nongeneralizable sample of 30 contracts between covered entities and pharmacies, 20 HRSA audit files, and 55 covered entities to obtain variation in the types of entities and other factors. GAO also interviewed officials from HRSA and 10 covered entities."]}, {"section_title": "What GAO Found", "paragraphs": ["The 340B Drug Pricing Program (340B Program), which is administered by the U.S. Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA), requires drug manufacturers to sell outpatient drugs at a discount to covered entities so that their drugs can be covered by Medicaid. Covered entities include certain hospitals and federal grantees (such as federally qualified health centers). About one-third of the more than 12,000 covered entities contract with outside pharmacies\u2014contract pharmacies\u2014to dispense drugs on their behalf. GAO's review of 30 contracts found that all but one contract included provisions for the covered entity to pay the contract pharmacy a flat fee for each eligible prescription. The flat fees generally ranged from $6 to $15 per prescription, but varied by several factors, including the type of drug or patient's insurance status. Some covered entities also agreed to pay pharmacies a percentage of revenue generated by each prescription.", "Thirty of the 55 covered entities GAO reviewed reported providing low-income, uninsured patients discounts on 340B drugs at some or all of their contract pharmacies. Of the 30 covered entities that provided discounts, 23 indicated that they pass on the full 340B discount to patients, resulting in patients paying the 340B price or less for drugs. Additionally, 14 of the 30 covered entities said they determined patients' eligibility for discounts based on whether their income was below a specified level, 11 reported providing discounts to all patients, and 5 determined eligibility for discounts on a case-by-case basis.", "GAO found weaknesses in HRSA's oversight that impede its ability to ensure compliance with 340B Program requirements at contract pharmacies, such as:", "HRSA audits do not fully assess compliance with the 340B Program prohibition on duplicate discounts for drugs prescribed to Medicaid beneficiaries. Specifically, manufacturers cannot be required to provide both the 340B discount and a rebate through the Medicaid Drug Rebate Program. However, HRSA only assesses the potential for duplicate discounts in Medicaid fee-for-service and not Medicaid managed care. As a result, it cannot ensure compliance with this requirement for the majority of Medicaid prescriptions, which occur under managed care.", "HRSA requires covered entities that have noncompliance issues identified during an audit to assess the full extent of noncompliance. However, because HRSA does not require all the covered entities to explain the methodology they used for determining the extent of the noncompliance, it does not know the scope of the assessments and whether they are effective at identifying the full extent of noncompliance.", "HRSA does not require all covered entities to provide evidence that they have taken corrective action and are in compliance with program requirements prior to closing the audit. Instead, HRSA generally relies on each covered entity to self-attest that all audit findings have been addressed and that the entity came into compliance with 340B Program requirements.", "Given these weaknesses, HRSA does not have a reasonable assurance that covered entities have adequately identified and addressed noncompliance with 340B Program requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that HRSA's audits assess for duplicate discounts in Medicaid managed care, and HRSA require information on how entities determined the scope of noncompliance and evidence of corrective action prior to closing audits. HHS agreed with four of the recommendations, but disagreed with three recommendations, which GAO continues to believe are warranted to improve HRSA's oversight as explained in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The 340B Drug Pricing Program (340B Program), named for the statutory provision authorizing it in the Public Health Service Act, requires drug manufacturers to sell outpatient drugs at discounted prices to covered entities\u2014certain hospitals and recipients of federal grants\u2014to have their drugs covered by Medicaid. According to the Health Resources and Services Administration (HRSA), the agency within the Department of Health and Human Services (HHS) responsible for administering and overseeing the 340B Program, the purpose of the 340B Program is to enable covered entities to stretch scarce federal resources to reach more eligible patients and provide more comprehensive services. In 2017, there were more than 12,000 covered entities and more than 38,000 total sites participating in the 340B Program.", "Participation in the 340B Program is voluntary for both covered entities and drug manufacturers, but there are strong incentives to participate. Covered entities can realize substantial savings through 340B price discounts\u2014an estimated 20 to 50 percent of the cost of the drugs, according to HRSA. In addition, covered entities can generate revenue as they can purchase 340B drugs for eligible patients whose insurance reimbursement exceeds the 340B price paid for the drugs. The statute authorizing the 340B Program does not dictate how covered entities should use this revenue or require discounts on the drugs to be passed along to patients. Incentives for participation by drug manufacturers are strong because they must participate in the 340B Program to receive Medicaid reimbursement for their drugs.", "A covered entity typically purchases and dispenses 340B drugs through pharmacies\u2014either through an in-house pharmacy; through the use of a contract pharmacy arrangement, in which the entity contracts with an outside pharmacy and pays it to dispense drugs on its behalf; or both. The adoption and use of contract pharmacies in the 340B Program is governed by HRSA guidance, and in March 2010, HRSA issued final guidance allowing covered entities to have an unlimited number of contract pharmacies. Since that time, the number of contract pharmacies has increased significantly, from about 1,300 at the beginning of 2010 to around 20,000 in 2017.", "Covered entities are required to meet certain conditions set forth both in law and interpretive agency guidance. For example, they are prohibited from diverting 340B drugs\u2014that is, transferring 340B drugs to individuals who are not eligible patients of the covered entities. They are also prohibited from subjecting manufacturers to \u201cduplicate discounts\u201d in which drugs prescribed to Medicaid beneficiaries are subject to both the 340B price and a rebate through the Medicaid Drug Rebate Program. Covered entities that use contract pharmacies are responsible for overseeing those pharmacies to ensure compliance with 340B Program prohibitions on drug diversion and duplicate discounts. Some covered entities hire and pay a private company, referred to as a third-party administrator (TPA), to help determine patient eligibility and manage 340B inventory as a means to ensure compliance with 340B Program requirements at contract pharmacies.", "In a September 2011 report, we identified inadequacies in HRSA\u2019s oversight of the 340B Program and recommended ways for HRSA to improve oversight and ensure appropriate use of the program. In response, HRSA has taken action to improve its oversight of covered entities, including implementing a systematic approach to conducting audits of covered entities. Given the growth in the 340B Program, there has been continued interest in program oversight, and how the increase in contract pharmacies affects the integrity of the program. You asked us to review the use of contract pharmacies in the 340B Program. In this report we 1. describe the extent to which covered entities contract with pharmacies to distribute 340B drugs, and characteristics of these pharmacies; 2. describe financial arrangements selected covered entities have with contract pharmacies and TPAs related to the administration and dispensing of 340B drugs; 3. describe the extent to which selected covered entities provide discounts on 340B drugs dispensed by contract pharmacies to low- income, uninsured patients; and 4. examine HRSA\u2019s efforts to ensure compliance with 340B Program requirements at contract pharmacies.", "To examine the extent to which covered entities contract with pharmacies to distribute 340B drugs and the characteristics of these pharmacies, we analyzed HRSA\u2019s 340B Program database to identify the covered entities registered to participate in the 340B Program and the contract pharmacies registered to dispense 340B drugs for each entity, as of July 1, 2017\u2014the most current data available when we began our analysis. The pharmacy characteristics we reviewed included the type of pharmacy and the distance between the pharmacy and the covered entities with which it had a contract. To determine the types of pharmacies that participated as contract pharmacies, we matched the pharmacies included in the 340B database with data from the National Council for Prescription Drug Programs\u2019 DataQ\u2014a database used by health care payers and claims processors across the country to identify pharmacies, which contains information reported by pharmacies on their pharmacy type and ownership, among other items. We used the addresses included in the 340B database to determine the location of each covered entity, its affiliated sites, and its contract pharmacies and used this information to determine the distance between the entity and its contract pharmacies. We calculated the distance (in miles) from the pharmacy to the nearest site of the covered entity. To assess the reliability of the 340B and DataQ databases, we obtained information from officials who are knowledgeable about them regarding steps taken to ensure the accuracy of the information contained in each, and performed checks to identify missing or incorrect data. Based on these steps, we determined that the data were sufficiently reliable for the purposes of our reporting objective.", "To describe financial arrangements selected covered entities have with contract pharmacies and TPAs, we reviewed a sample of contracts between entities and pharmacies and collected information from selected entities and TPAs. We selected a nongeneralizable sample of 30 pharmacy contracts from among those that HRSA had collected\u2014 contracts the agency obtained during audits of covered entities from fiscal years 2014 through 2016. We selected contracts to obtain variation in the type of covered entity (15 hospitals and 15 federal grantees) and geographic location. For these selected contracts, we identified the types and amounts of fees that covered entities agreed to pay contract pharmacies for dispensing and managing 340B prescriptions, as well as determined factors that may have impacted the fee amounts. To describe financial arrangements covered entities have with TPAs, beginning in September 2017, we sent a data collection instrument\u2014which we refer to as a questionnaire in this report\u2014to a nongeneralizable sample of 60 covered entities that had contract pharmacies to obtain information about the arrangements they had with TPAs. We received responses from 55 of the covered entities\u201428 hospitals and 27 federal grantees. In addition, we interviewed 10 of the 55 covered entities that responded to our questionnaire to obtain more detailed information about the fees they pay their TPAs. We selected covered entities to receive the questionnaire and for interviews to achieve variation in terms of their type, geographic location, and number of contract pharmacies. Finally, we interviewed two TPAs to gain insights about the types of financial arrangements they have with covered entities.", "To describe the extent to which selected covered entities provide discounts on 340B drugs dispensed by contract pharmacies to low- income, uninsured patients, we used the same questionnaire as previously noted to collect information about any discounts provided. This included information on the proportion of pharmacies at which discounts on 340B drugs were available, how covered entities determined which patients were eligible for those discounts, the prices these patients generally paid to obtain the drugs, and how covered entities inform patients and contract pharmacies about the availability of discounts. Additionally, we asked officials from the 10 covered entities we interviewed for additional information about discounts provided on 340B drugs dispensed to low-income, uninsured patients at contract pharmacies.", "To examine HRSA\u2019s efforts to ensure compliance with 340B Program requirements at contract pharmacies, we reviewed relevant policies, procedures, and guidance, including HRSA\u2019s 2010 guidance on contract pharmacy services and documentation of the agency\u2019s audit procedures. We also analyzed summaries of HRSA\u2019s audits of covered entities for fiscal years 2012 through 2017, posted on its website as of February 8, 2018. We conducted an in-depth review of a nongeneralizable sample of 20 audits that were conducted from fiscal years 2014 through 2016 for covered entities that had contract pharmacies at the time of the audit. We selected this sample from among audits that were closed by HRSA to obtain variation in terms of covered entity type and audit findings. We also interviewed HRSA officials about their oversight activities, including their audit process, and spoke with the contractor that has conducted audits on HRSA\u2019s behalf since fiscal year 2017. Additionally, we asked officials from the 10 covered entities interviewed about their practices for overseeing contract pharmacies. Finally, we evaluated HRSA\u2019s contract pharmacy guidance, covered entity oversight, and audit process against federal internal control standards related to control activities, information and communication, and monitoring.", "We conducted this performance audit from January 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The 340B Program was created in 1992 following the enactment of the Medicaid Drug Rebate Program and gives 340B covered entities discounts on outpatient drugs comparable to those made available to state Medicaid agencies. HRSA is responsible for administering and overseeing the 340B Program."], "subsections": [{"section_title": "340B Program Eligibility", "paragraphs": ["Eligibility for the 340B Program, which is defined in the Public Health Service Act, has expanded over time. Covered entities generally become eligible for the 340B Program by qualifying as certain federal grantees or as one of six specified types of hospitals. Eligible federal grantees include federally qualified health centers (FQHCs), which provide comprehensive community-based primary and preventive care services to medically underserved populations, as well as certain other federal grantees, such as family planning clinics and Ryan White HIV/AIDS program grantees. Eligible hospitals include critical access hospitals\u2014small, rural hospitals with no more than 25 inpatient beds; disproportionate share hospitals\u2014 general acute care hospitals that serve a disproportionate number of low- income patients; and four other types of hospitals (see fig. 1).", "Some covered entities, typically hospitals and FQHCs, have multiple sites: the main site, which HRSA refers to as the parent site, and one or more other associated sites referred to as child sites. Child sites can include satellite clinics, off-site outpatient facilities, hospital departments, and other facilities. According to HRSA officials, to participate in the 340B Program and be considered part of the covered entity, the associated sites must meet program requirements and be registered with HRSA as a child site."], "subsections": []}, {"section_title": "Program Structure, Operation, and Key Requirements", "paragraphs": ["The 340B price for a drug\u2014often referred to as the 340B ceiling price\u2014is based on a statutory formula and represents the highest price a participating drug manufacturer may charge covered entities. Covered entities must follow certain requirements as a condition of participating in the 340B Program. For example, covered entities are prohibited from subjecting manufacturers to \u201cduplicate discounts\u201d in which drugs prescribed to Medicaid beneficiaries are subject to both the 340B price and a rebate through the Medicaid Drug Rebate Program. diverting any drug purchased at the 340B price to an individual who is not a patient of the covered entity. Under HRSA guidance defining this term, diversion generally occurs when 340B drugs are given to individuals who are not receiving health care services from covered entities or are receiving services that are not consistent with the type of services for which the covered entity qualified for 340B status. (See table 1 for more information on HRSA\u2019s definition of an eligible patient.) Covered entities are permitted to use drugs purchased at the 340B price for all individuals who meet the 340B Program definition of a patient regardless of their financial or insurance status."], "subsections": []}, {"section_title": "Contract Pharmacies", "paragraphs": ["Covered entities may choose to dispense 340B drugs they purchase through contract pharmacies. The adoption and use of contract pharmacies in the 340B Program is governed by HRSA guidance. HRSA\u2019s original guidance permitting the use of contract pharmacies limited their use to entities that did not have in-house pharmacies and allowed each entity to contract with only one outside pharmacy. However, March 2010 guidance lifted the restriction on the number of pharmacies with which a covered entity could contract. Since that time, the number of contract pharmacies has increased more than fifteen-fold, from about 1,300 to approximately 20,000. According to HRSA guidance, a covered entity is required to have a written contract in place with each pharmacy through which it intends to dispense 340B drugs, but is not generally required to submit its pharmacy contracts to HRSA. A covered entity that has more than one site at which it provides health care may enter into separate pharmacy contracts for the parent site and each child site, or one comprehensive pharmacy contract including all sites intending to use the pharmacy. It is up to the covered entity to determine which of its sites will be included in a contract with a pharmacy, and thus have what is referred to as a contract pharmacy arrangement with that pharmacy. Figure 2 provides an illustration of a covered entity that has four contract pharmacies but a total of six contract pharmacy arrangements, as not all of the entity\u2019s sites have contracts with each of the pharmacies.", "Covered entities that choose to have contract pharmacies are required to register with HRSA the names of each of the pharmacies with which they contract. Covered entities may register their contract pharmacies in one of two ways: 1) only in relation to the parent site (use by child sites would be allowed as long as the sites were included in a comprehensive contract between the entity and the contracted pharmacies); or 2) separately for each site (parent and child) involved in a contractual arrangement with the pharmacy. As part of this registration, HRSA guidance specifies that covered entities must certify that they have signed and have in effect an agreement with each contract pharmacy and have a plan to ensure compliance with the statutory prohibitions on 340B drug diversion and duplicate discounts at their contract pharmacies.", "Like other pharmacies, when contract pharmacies fill prescriptions, they collect payments from the patient; if the patient has health insurance, the pharmacy will bill the insurer for the drug. In addition, each covered entity must determine which prescriptions are for eligible patients of the entity, and thus, can be filled with 340B drugs. One way that a covered entity could choose to do this is to employ a TPA to review all the prescriptions filled by a contract pharmacy to determine which, if any, prescriptions were issued by the covered entity to an eligible patient, and thus are eligible for the 340B discount. The covered entity then pays both the contract pharmacy and the TPA fees that they have negotiated for their roles in managing and distributing 340B drugs. These fees are typically deducted from the reimbursed amounts received from patients and their health insurers by the pharmacy and TPA, and then the balance is forwarded to the covered entity. (See fig. 3 for an example of how covered entities work with contract pharmacies and TPAs to dispense 340B drugs.)"], "subsections": []}, {"section_title": "HRSA\u2019s Oversight of Covered Entities", "paragraphs": ["In fiscal year 2012, HRSA implemented a systematic approach to conducting audits of covered entities that is outlined on its website. HRSA has increased the number of covered entities audited since it began audits in fiscal year 2012, and now audits 200 entities per year. (See table 2.) HRSA\u2019s audits include covered entities that are randomly selected based on risk-based criteria (approximately 90 percent of all audits conducted each year), and covered entities that are targeted based on information from stakeholders such as drug manufacturers (10 percent of the audits conducted). The criteria for risk-based audits include a covered entity\u2019s volume of 340B drug purchases, number of contract pharmacies, time in the 340B Program, complexity of its program, and history of violations or allegations of noncompliance associated with diversion and duplicate discounts.", "Among other things, HRSA\u2019s audits include reviews of each covered entity\u2019s policies and procedures, including those for overseeing contract pharmacies; an assessment of the entity\u2019s compliance with respect to 340B eligibility status, the prevention of duplicate discounts and diversion, and other program requirements; and reviews of a sample of prescriptions filled during a 6-month period, including prescriptions dispensed by contract pharmacies, to identify instances of non- compliance. As a result of the audits conducted, HRSA has identified instances of non-compliance with program requirements, including violations related to drug diversion and the potential for duplicate discounts. Based on the audits for which results were posted on HRSA\u2019s website as of February 8, 2018, 72 percent of the covered entities audited in fiscal years 2012 through 2017 had one or more findings of noncompliance. When an audit of a covered entity has a finding of noncompliance, covered entities are required to submit a corrective action plan within 60 days of the audit being finalized for HRSA approval. HRSA closes out the audit once the entity attests that the corrective action plan has been fully implemented and any necessary repayments have been made to affected manufacturers."], "subsections": []}]}, {"section_title": "About One-Third of Covered Entities Had One or More Contract Pharmacies, and Pharmacy Characteristics Varied", "paragraphs": ["As of July 1, 2017, about one-third of the more than 12,000 covered entities in the 340B Program had contract pharmacies, but the extent to which covered entities had contract pharmacies varied by type of entity. Overall, a higher percentage of hospitals (69.3 percent) had at least one contract pharmacy compared to federal grantees (22.8 percent). Among the six types of hospitals, the percentage that had at least one contract pharmacy ranged from 39.2 percent of children\u2019s hospitals to 74.1 percent of critical access hospitals. Among the 10 types of federal grantees, the percentage with at least one contract pharmacy ranged from 3.9 percent of family planning clinics to 75.2 percent of FQHCs (see fig.4).", "Among covered entities that had at least 1 contract pharmacy, the number of contract pharmacies ranged from 1 to 439, with an average of 12 contract pharmacies per entity. However, the number of contract pharmacies varied by covered entity type, with disproportionate share hospitals having the most on average (25 contract pharmacies), and critical access hospitals having the least (4 contract pharmacies). (See fig. 5 for the distribution of contract pharmacies by covered entity type.) However, we found that a covered entity that contracts with a pharmacy may not actually use the pharmacy to dispense 340B drugs. For example, three covered entities that received our questionnaire told us that although they had one or more contract pharmacies registered with HRSA, they did not use those pharmacies to dispense 340B drugs. Moreover, officials from a covered entity we interviewed reported that while the entity maintained a contract with a specialty pharmacy, it had not dispensed 340B drugs through that pharmacy in several years. Officials explained that the covered entity maintained its contract and continued to register this pharmacy with HRSA because it would be financially beneficial should it have a patient fill a 340B-eligible specialty drug at this pharmacy in the future.", "The actual number of 340B contract pharmacy arrangements\u2014the number of contractual arrangements between contract pharmacies and the sites of a covered entity\u2014is unknown because HRSA does not require a covered entity to register pharmacies with each of its child sites. Rather, HRSA gives covered entities the option to register contract pharmacies only in relation to the parent site: child sites may use that pharmacy if included in the written contract between the entity and the pharmacy. Based on our analysis of HRSA data, 1,645 covered entities that had at least one child site registered their contract pharmacies only with their parent sites. These 1,645 covered entities had a total of 25,481 registered contract pharmacy arrangements. However, if the pharmacies were contracted to work with all of the covered entities\u2019 sites\u2014the parents and all the child sites\u2014then these 1,645 entities could have as many as 866,388 contract pharmacy arrangements. Therefore, the number of contract pharmacy arrangements is likely higher than what is reported in HRSA\u2019s database.", "Nearly 93 percent of the approximately 20,000 pharmacies that 340B covered entities contracted with as of July 1, 2017, were classified as community/retail pharmacies, less than 1 percent were classified as specialty pharmacies, and about 7 percent were other types of pharmacies including institutional and mail order pharmacies. Furthermore, the majority (75 percent) of 340B contract pharmacies were chain pharmacies, while 20 percent were independent pharmacies and 5 percent were other pharmacies. In contrast, slightly over half of all pharmacies nationwide are chain pharmacies and about one-third are independent. The five biggest pharmacy chains\u2014CVS, Walgreens, Walmart, Rite-Aid, and Kroger\u2014represented a combined 60 percent of 340B contract pharmacies, but only 35 percent of all pharmacies nationwide. Figure 6 shows how the types of pharmacies varied by type of covered entity. Critical access hospitals had a higher proportion of independent contract pharmacies (40 percent of their pharmacies) compared to other covered entity types (which ranged from 11 percent for disproportionate share hospitals to 21 percent for other federal grantees). Our analysis suggests that this is likely due, in part, to a larger proportion of critical access hospitals compared to other types of covered entities being located in rural areas; independent contract pharmacies are also more likely than other contract pharmacies to be located in rural areas.", "Across all covered entities, the distance between the entities and their contract pharmacies ranged from 0 miles (meaning that the contract pharmacy and entity were co-located) to more than 5,000 miles; the median distance was 4.2 miles. Table 3 shows the distribution of distances between covered entities and their pharmacies overall and by entity type.", "While there was a range in distances between covered entities and each of their pharmacies, about half of the entities had all their contract pharmacies located within 30 miles, but this varied by entity type. Specifically, more than 60 percent of critical access hospitals and FQHCs had all of their contract pharmacies within 30 miles. In contrast, 45 percent of disproportionate share hospitals had at least one pharmacy that was more than 1,000 miles away compared to 11 percent or less for grantees and critical access hospitals. (See fig. 7.)"], "subsections": []}, {"section_title": "Selected Covered Entities Used Various Methods to Pay Contract Pharmacies and TPAs", "paragraphs": ["Contracts we reviewed between selected covered entities and contract pharmacies showed that entities generally agreed to pay their contract pharmacies a flat fee per 340B prescription, with some entities also paying additional fees based on a percentage of revenue. Selected covered entities and TPAs included in our review indicated two main methods entities use to pay for TPA services: 1) per prescription processed, or 2) per contract pharmacy."], "subsections": [{"section_title": "Contracts Reviewed Showed Covered Entities Agreed to Pay Contract Pharmacies a Fee per 340B Prescription; Some Also Agreed to Additional Fees", "paragraphs": ["Twenty-nine of the 30 contracts we reviewed between covered entities and contract pharmacies included provisions for the entities to pay flat fees for each eligible 340B prescription. For the remaining contract, the covered entity and the contract pharmacy were part of the same hospital system, and the contract provided that the entity would not pay fees for 340B prescriptions. In addition to payment of flat fees, 13 of the 29 contracts required the covered entity to pay the contract pharmacy a fee based on a percentage of revenue generated for each 340B prescription. Among the contracts we reviewed, more federal grantees than hospitals had contracts that included both flat fees and fees based on the percentage of revenue (see fig. 8).", "We found a wide range in the amount of flat fees covered entities agreed to pay pharmacies in the contracts we reviewed, though they generally ranged from $6 to $15 per 340B prescription. (See Appendix I for a description of fees listed in each of the contracts we reviewed.) The amount of the flat fees per 340B prescription varied by several factors according to our review, including covered entity type, type of drug, and patient insurance status:", "Flat fees were generally higher for hospitals than federal grantees. In general, hospitals\u2019 flat fees were higher than those for grantees, with most flat fees ranging from $15 to $25 per 340B prescription for hospitals, compared to from $6 to $13 for grantees.", "Flat fees were sometimes higher for brand drugs. Three of the 29 contracts we reviewed specified different flat fees for brand and generic drugs. In 2 of these contracts flat fees were $5 or $7 higher for brand drugs. In the remaining contract, the fees for some brand drugs were substantially higher, ranging from $75 to $1,750 for brand drugs, compared to $0 for generic drugs. Additionally, some contracts we reviewed only specified a fee for brand drugs, and 4 of the contracts either excluded generic drugs from being purchased at the 340B price or limited the use of the 340B Program to brand drugs.", "Flat fees were different or substantially higher for certain specialty drugs. For 2 of the 29 contracts we reviewed, flat fees were for drugs to treat hemophilia. Given the different nature of hemophilia treatment drugs, fees for these drugs were different than those in the other contracts for other types of drugs, and provided for payments of $.06 and $.09 per unit of blood clotting factor. Additionally, 2 contracts contained substantially higher flat fees for specialty medications. In 1 contract, the flat fees were $125 per prescription for brand and generic human immunodeficiency virus drugs, and $1,750 for brand hepatitis C drugs. In another contract the flat fees were $65 for all specialty drugs, compared to $13 for other drugs.", "Flat fees were sometimes higher for 340B prescriptions dispensed to patients with insurance. Seven of the 29 contracts we reviewed specified different flat fees for prescriptions provided to patients with health insurance than for patients paying with cash or through a drug discount card provided by the covered entity. The flat fees entities would pay under these contracts ranged from $1 to $16 higher per 340B prescription dispensed to insured patients compared to patients not using insurance.", "As previously noted, in addition to requiring flat fees for dispensing prescriptions, 13 of the 29 contracts we reviewed included provisions for the covered entity to pay the pharmacy a fee based on the percentage of revenue generated by each prescription. These percentage fees only applied to prescriptions provided to patients with insurance, and ranged from 12 to 20 percent of the revenue generated by the prescriptions. Generally there were two methods for determining the amount of revenue generated. The first method used the reimbursement the pharmacy received for the prescription, while the second method used the net revenue after subtracting the 340B cost of the drug from the reimbursement received by the pharmacy."], "subsections": []}, {"section_title": "Selected Covered Entities Use Two Main Methods to Pay TPAs", "paragraphs": ["Officials from the two TPAs we interviewed and questionnaire respondents from the 39 covered entities that use TPAs described two main methods entities use to reimburse TPAs for 340B services: 1) a fee for each prescription processed by the TPA, and 2) a fee for each contract pharmacy for which the TPA processes 340B claims on behalf of the entity.", "Example of Fees between a Covered Entity and Third-Party Administrator (TPA) In the hypothetical example below, the TPA receives $85 from the contract pharmacy. This amount represents the total reimbursement for the 340B drug, less fees deducted by the contract pharmacy. Pursuant to an agreement with the covered entity, the TPA deducts a fee of $5, and forwards the remaining balance of $80 to the covered entity. This represents the total revenue the covered entity generated from the 340B drug.", "Officials with the two TPAs we interviewed told us that their agreements with covered entities most frequently involve covered entities compensating them based on a fee for each prescription they process on behalf of the entity. Officials from one of these TPAs described three different fee-per-prescription options they offer to covered entities, with the amount of the fees varying based on the option selected:", "A small fee, for example, 20 cents, for every prescription filled by the covered entity\u2019s contract pharmacy, and reviewed and processed by the TPA. This includes prescriptions that may not have originated from the covered entity, and may not be 340B eligible, as contract pharmacies can also fill prescriptions for individuals who are not patients of the entity.", "A mid-sized fee, for example, $1.90, for each prescription filled by the covered entity\u2019s contract pharmacy that the TPA reviewed and determined originated from the covered entity. These prescriptions may or may not be 340B eligible.", "A larger fee, for example, $5 to $7, for each prescription filled by the covered entity\u2019s contract pharmacy that the TPA determined originated from the entity and is 340B eligible.", "The 39 covered entities that responded to our questionnaire and reported using a TPA most frequently reported paying their TPAs a fee per each prescription processed, but the exact method varied. For example, some covered entities said they paid their TPAs for each prescription regardless of whether it was determined to be 340B eligible, others limited the fees to prescriptions that were 340B eligible, and some reported paying TPAs for 340B-eligible prescriptions dispensed to an insured patient. (See table 4.)", "Among the 10 covered entities we interviewed, officials from 8 of these entities said they used TPAs; 5 said they pay their TPAs a fee per prescription, 1 reported paying a fee per contract pharmacy, and 2 reported using both options. Among the covered entities that used fees per prescription and told us the amounts of the fees they pay, the fees ranged from $3.50 to $10.00 per 340B eligible prescription or $3.95 per prescription regardless of whether the prescription was 340B eligible.", "For those that pay their TPA a fee per contract pharmacy, the fee was $25,000 a year per pharmacy."], "subsections": []}]}, {"section_title": "About Half of the Covered Entities Reviewed Provided Low-Income, Uninsured Patients Discounts on 340B Drugs at Some or All of Their Contract Pharmacies", "paragraphs": ["Of the 55 covered entities responding to our questionnaire, 30 reported providing low-income, uninsured patients discounts on 340B drugs dispensed at some or all of their contract pharmacies, and 25 said they did not offer discounts at their contract pharmacies. All 30 covered entities providing patients with discounts reported providing discounts on the drug price for some or all 340B drugs dispensed at contract pharmacies. Federal grantees were more likely than hospitals to provide such discounts and to provide them at all contract pharmacies (see fig. 9).", "Of the 30 covered entities that responded to our questionnaire that they provided discounts on the drug price, 23 reported providing patients the full 340B discount\u2014the patients obtained drugs from contract pharmacies at the 340B price or less. In many cases, these covered entities indicated that patients received drugs at no cost. Some covered entities reported that patients would pay more than the 340B price, but less than the wholesale price of the drug or what a self-paying patient would pay, and others indicated they determined discounts for patients on a case-by-case basis. A larger number of federal grantees than hospitals (15 compared to 8) indicated their patients would pay the 340B price or less for their drugs at contract pharmacies where discounts were available. (See fig. 10.)", "In addition to providing discounts on the 340B drug price, some of the 30 covered entities also reported providing discounts on fees patients may pay to contract pharmacies for 340B drugs. Contract pharmacies may charge fees to dispense 340B drugs or cover administrative costs of participating in a covered entity\u2019s 340B program, including costs associated with tracking drug inventories and ordering new drugs. In general, about two-thirds of the covered entities with patients who would be subject to dispensing or administrative fees at contract pharmacies reported providing discounts on the fees at some or all of their contract pharmacies. Hospitals were more likely than grantees to provide discounts on these fees when applicable. (See fig.11.)", "The 30 covered entities providing 340B discounts to low-income, uninsured patients reported using a variety of methods to determine whether patients were eligible for these discounts. Fourteen of the covered entities said they determined eligibility for discounts based on whether a patient\u2019s income was below certain thresholds as a percentage of the federal poverty level, 11 reported providing discounts to all patients, and 5 said they determined eligibility for discounts on a case-by-case basis. For those 14 covered entities determining eligibility based on income as a percentage of the federal poverty level, the threshold used to determine who was eligible for discounts varied but most reported that patients with incomes at or below 250 percent of the federal poverty level would be eligible for discounts. (See table 5.)", "Covered entities reported making patients aware of the availability of discounts at contract pharmacies primarily through oral communication by staff located at either the entity or the pharmacy. In addition, the covered entities reported using a variety of methods to inform contract pharmacies about which patients were eligible for discounts, including through notes in patient medical records sent to the pharmacy or by placing codes on the patient\u2019s prescriptions sent to or presented at the pharmacy. (See table 6.) Officials from one covered entity we interviewed said that it provides patients eligible for discounts with an identification card (which they referred to as a drug discount card) that patients present at the contract pharmacy; this card informs pharmacy staff of the specific discount amount. Officials from another covered entity said they place codes on electronic prescriptions which informs the pharmacy about discounts.", "Some covered entities that did not provide discounts on 340B drugs at their contract pharmacies reported assisting patients with drug costs through other mechanisms. For example, 6 of the 10 covered entities we interviewed said that while they did not provide discounts on 340B drugs dispensed at their contract pharmacies, they provide charity care to low- income patients, including free or discounted prescriptions. Additionally, 4 of the 25 covered entities that reported on our questionnaire that they did not provide discounts at their contract pharmacies said they provided patients with discounts on 340B drugs at their in-house pharmacies."], "subsections": []}, {"section_title": "Oversight Weaknesses Impede HRSA\u2019s Ability to Ensure Compliance at 340B Contract Pharmacies", "paragraphs": ["HRSA does not have complete data on the total number of contract pharmacy arrangements in the 340B Program to inform its oversight efforts, including information that could be used to better target its audits. Additionally, weaknesses in HRSA\u2019s audit process compromise its oversight of covered entities. Finally, the lack of specificity in HRSA\u2019s guidance to covered entities potentially impedes covered entities\u2019 oversight of contract pharmacies."], "subsections": [{"section_title": "HRSA Does Not Have Complete Data on Contract Pharmacy Arrangements to Use for Its Oversight", "paragraphs": ["HRSA does not have complete data on all contract pharmacy arrangements in the 340B Program to inform its oversight efforts. HRSA requires covered entities to register their contract pharmacies with the agency and recertify that registration annually. Contract pharmacies registered to each covered entity are recorded in a publicly available database, which according to HRSA, is used by various stakeholders to validate the eligibility of entities and confirm shipping addresses for each contract pharmacy eligible to receive 340B drugs on an entity\u2019s behalf. However, because covered entities differ in the way they register their contract pharmacies, HRSA, and its publicly available database, does not have information on all of an entity\u2019s contract pharmacy arrangements. Specifically, because HRSA does not require covered entities to separately register contract pharmacies to each child site for which a contractual relationship exists, HRSA does not have complete information on which sites of an entity have contracted with a pharmacy to dispense 340B drugs. Our analysis of HRSA data showed that the registration of contract pharmacies for 57 percent of covered entities with child sites only specified relationships between contract pharmacies and the parent site; thus HRSA may only have information on a portion of the actual number of 340B contract pharmacy arrangements. Additionally, manufacturers do not have complete information on which covered entity sites have contracts with a pharmacy to dispense 340B drugs, according to HRSA officials. Manufacturers could use such information to help ensure that 340B discounted drugs are only provided to pharmacies on behalf of a covered entity site with a valid 340B contract with that site.", "HRSA officials told us that the number of contract pharmacy arrangements recorded in HRSA\u2019s database increases a covered entity\u2019s chance of being randomly selected for a risk-based audit. However, since HRSA gives covered entities multiple contract pharmacy registration options, the likelihood of an entity being selected for an audit is dependent, at least in part, on how an entity registers its pharmacies as opposed to the entity\u2019s actual number of pharmacy arrangements. Without more complete information on covered entities\u2019 contract pharmacy arrangements, HRSA cannot ensure that it is optimally targeting the limited number of risk-based audits done each year to entities with more contract pharmacy arrangements. Federal internal control standards related to information and communication state that management should use quality information to achieve the entity\u2019s objectives, such as by obtaining relevant data that are reasonably free from error and bias and represent what they purport to represent so that they can be used for effective monitoring. Without complete information on covered entities\u2019 use of contract pharmacies, HRSA does not have the information needed to effectively oversee the 340B Program, including information that could be used to better target its audits of covered entities."], "subsections": []}, {"section_title": "Weaknesses in HRSA\u2019s Audit Process Impede Its Oversight of 340B Program Compliance at Contract Pharmacies", "paragraphs": ["HRSA primarily relies on audits to assess covered entities\u2019 compliance with 340B Program requirements, including compliance at contract pharmacies, according to HRSA officials; however weaknesses in its audit process impede the effectiveness of its oversight. As a result of its audits, HRSA has identified instances of diversion and the potential for duplicate discounts at contract pharmacies, among other findings of noncompliance. Specifically, through the audits conducted since fiscal year 2012, HRSA identified at least 249 instances of diversion at contract pharmacies and 15 instances of the potential for duplicate discounts for drugs dispensed at contract pharmacies, as of February 2018. HRSA had also identified 33 covered entities with insufficient contract pharmacy oversight. (See Table 7.)", "However, we identified two areas of weaknesses in HRSA\u2019s audit process that impede its oversight of covered entities\u2019 compliance with 340B Program requirements at contract pharmacies: 1) the process does not include an assessment of all potential duplicate discounts, and 2) the process for closing audits does not ensure all covered entities have fully addressed any noncompliance identified.", "Medicaid Delivery Systems States provide Medicaid services through either fee-for-service or managed care. Under fee-for-service, states reimburse providers directly for each service delivered. For example, a pharmacy would be paid by the state for each drug dispensed to a Medicaid beneficiary. Under a capitated managed care model, states typically contract with managed care organizations to provide a specific set of services to Medicaid beneficiaries (which could include drugs) and prospectively pays each organization a set amount per beneficiary per month to provide or arrange those services.", "Not all potential duplicate discounts are assessed. HRSA\u2019s audits only assess the potential for duplicate discounts in Medicaid fee-for- service. They do not include a review of covered entities\u2019 processes to prevent duplicate discounts for drugs dispensed through Medicaid managed care. The potential for duplicate discounts related to Medicaid managed care has existed since 2010 when manufacturers were required to pay Medicaid rebates under managed care, and currently, there are more Medicaid enrollees, prescriptions, and spending for drugs under managed care than fee-for-service.", "HRSA officials told us that they do not assess the potential for duplicate discounts in Medicaid managed care as part of their audits because they have yet to issue guidance as to how covered entities should prevent duplicate discounts in Medicaid managed care. They agreed that the lack of Medicaid managed care guidance for covered entities was problematic, and HRSA\u2019s December 2014 policy release stated, \u201cHRSA recognizes the need to address covered entities\u2019 role in preventing duplicate discounts under Medicaid managed care, and is working with the Centers for Medicare & Medicaid Services (CMS) to develop policy in this regard.\u201d According to HRSA, in the absence of formal guidance, covered entities should work with their states to develop strategies to prevent duplicate discounts in Medicaid managed care. However, 8 of the 10 covered entities we spoke with described challenges working with their states and local Medicaid managed care organizations to ensure that duplicate discounts were not occurring or expressed the need for more guidance from HRSA on how to comply with 340B requirements related to duplicate discount prevention. As a result of these challenges, some covered entities acknowledged that they did not have assurance that duplicate discounts were not occurring with their Medicaid managed care claims, while other entities told us that they did not seek discounts for the drugs of managed care patients due to compliance challenges.", "Federal internal control standards related to control activities and monitoring state that agencies should 1) implement control activities through policies, such as by determining the necessary policies based on the objectives and related risks for the operational process; and 2) establish and operate monitoring activities to monitor the internal control system and evaluate results, such as by establishing and operating monitoring activities that are built into each entity\u2019s operations, performed continually, and responsive to change. In addition, federal law directs the agency to develop detailed guidance describing methodologies and options for avoiding duplicate discounts. Until HRSA develops guidance and includes an assessment of the potential for duplicate discounts in Medicaid managed care as part of its audits, the agency does not have assurance that covered entities\u2019 efforts are effectively preventing noncompliance. As a result, manufacturers are at risk of being required to erroneously provide duplicate discounts for Medicaid prescriptions.", "Audit closure process does not ensure all identified issues of noncompliance are addressed. Under HRSA\u2019s audit procedures, covered entities with audit findings are required to 1) submit corrective action plans to HRSA that indicate that the entities will determine the full scope of any noncompliance (beyond the sample of prescriptions reviewed during an audit); 2) outline the steps they plan to take to correct findings of noncompliance, including any necessary repayments to manufacturers; and 3) specify the timelines for implementing the corrective action plans. HRSA closes the audit when a covered entity submits a letter attesting that its corrective action plan, including its assessment of the full scope of noncompliance, has been implemented and any necessary repayments to manufacturers have been completed.", "However, we identified two specific deficiencies in HRSA\u2019s approach. First, although HRSA requires that covered entities determine the full scope of noncompliance found in audits, it does not provide guidance as to how entities should make this assessment. Specifically, HRSA does not specify how far back in time covered entities must look to see if any related noncompliance occurred and instead, relies on each entity to make this determination. For example, a document from a fiscal year 2017 audit revealed that a covered entity that had participated in the 340B Program for 3 years only reviewed 5 months of claims to determine whether any other instances of diversion had occurred, diminishing the likelihood that its efforts identified the full scope of noncompliance. Additionally, until April 2018, HRSA did not require covered entities that were audited to communicate the methodology used to assess the full scope of noncompliance, or the findings of their assessments, including how many or which manufacturers were due repayment. Beginning April 1, 2018, HRSA requires covered entities subject to targeted audits to document their methodology for assessing the full scope of noncompliance. However, as previously noted, only 10 percent of the 200 audits HRSA currently conducts each year are targeted audits. Consequently, the vast majority of covered entities audited are not required to provide HRSA with information on their methodology for assessing the full scope of noncompliance. Furthermore, HRSA officials told us that they believe determining the scope of noncompliance is a matter between the covered entities and manufacturers. Thus, HRSA relies on manufacturers to determine the adequacy of a covered entity\u2019s effort to assess the full scope of noncompliance. However, covered entities only contact the manufacturers that they determine were affected by the noncompliance based on the methodology they choose to apply; thus, it is unclear how manufacturers not contacted would be in a position to negotiate an acceptable assessment of the scope of noncompliance and any applicable repayment.", "Federal internal control standards related to control activities state that agencies should implement control activities through policies, such as by documenting policies in the appropriate level of detail to allow management to effectively monitor the control activity. As HRSA does not provide guidance on how covered entities are to assess the full scope of noncompliance and does not review most entities\u2019 methodology for making such assessments, the agency does not have reasonable assurances that entities have adequately identified all instances of noncompliance.", "Second, HRSA generally relies on each covered entity to self-attest that all audit findings have been addressed and that the entity is now in compliance with 340B Program requirements. Beginning April 1, 2018, HRSA requires the 10 percent of covered entities that are subject to targeted audits to provide documentation that they implemented their corrective action plans prior to HRSA closing the audits. However, it still relies on the remaining 90 percent of audited covered entities to self- attest to their compliance with program requirements.", "HRSA officials told us they believe that a covered entity providing a description of the corrective actions is sufficient, and that the self- attestation of corrective action plan implementation provides HRSA with the information necessary to close the audit. However, aside from the self-attestation, HRSA\u2019s only mechanism to ensure that the majority of audited covered entities have implemented their corrective action plans is to re-audit the entities\u2014in other words, subject the entity to a targeted audit. To date, the agency told us that it has re-audited 21 covered entities, and based on those re-audits, determined that 1 entity did not fully implement its corrective action plan from the original audit. However, we found that of the 19 re-audited covered entities for which results were available, 12 had similar findings of noncompliance in their second audits, as were identified in their original audits (e.g., diversion findings in both audits), 3 of which were caused by the same issue, according to information provided to us by HRSA.", "Federal internal control standards for monitoring specify that agencies should establish and operate monitoring activities to monitor the internal control system and evaluate the results, for example by using ongoing monitoring to obtain reasonable assurance of the operating effectiveness of the service organization\u2019s internal controls over the assigned process.", "By only reviewing evidence of corrective action plan implementation for the limited number of covered entities subject to targeted audits, HRSA does not have reasonable assurance that the majority of covered entities audited have corrected the issues identified in the audit, and are not continuing practices that could lead to noncompliance, thus increasing the risk of diversions, duplicate discounts, and other violations of 340B Program requirements."], "subsections": []}, {"section_title": "HRSA\u2019s Guidance for Covered Entities\u2019 Oversight of Contract Pharmacies Lacks Specificity", "paragraphs": ["HRSA guidance for covered entities on their oversight of contract pharmacies lacks specificity and thus provides entities with considerable discretion on the scope and frequency of their oversight practices. Specifically, HRSA\u2019s 2010 guidance on contract pharmacy services specifies that covered entities are responsible for overseeing their contract pharmacies to ensure that drugs the entity distributes through them comply with 340B Program requirements, but states that, \u201cthe exact method of ensuring compliance is left up to the covered entity.\u201d The guidance also states that, \u201cannual audits performed by an independent, outside auditor with experience auditing pharmacies are expected,\u201d but HRSA officials told us that covered entities are not required to conduct independent audits and instead are expected to do some form of periodic oversight of their contract pharmacies. Thus, according to HRSA officials, if a covered entity indicates that it has performed oversight in the 12 months prior to a HRSA audit, then HRSA considers the entity to have met HRSA\u2019s standards for conducting contract pharmacy oversight regardless of what the oversight encompassed.", "Due, at least in part, to a lack of specific guidance, we found that some covered entities performed minimal contract pharmacy oversight.", "Officials from a grantee reported auditing claims of 5 randomly selected patients quarterly, despite treating approximately 900 patients each month.", "Officials from a critical access hospital that serves about 21,000 patients a year at its outpatient clinics reported that the annual independent audit of their hospital system reviewed five claims.", "Officials from two entities reported that they did not contract for an independent audit of their 340B Program, despite HRSA\u2019s expectation to do so.", "Additionally, of the 20 covered entities whose audits we reviewed, 6 had no documented processes for conducting contract pharmacy oversight.", "The identified noncompliance at contract pharmacies raises questions about the effectiveness of covered entities\u2019 current oversight practices. Specifically, 66 percent of the 380 diversion findings in HRSA audits involved drugs distributed at contract pharmacies, and 33 of the 813 audits for which results were available had findings for lack of contract pharmacy oversight. However, the number of contract pharmacy oversight findings may be limited by the fact that officials from HRSA\u2019s contractor said that its auditors rely on verbal responses from entity officials about any internal review or self-audits conducted by the entity. This is despite the fact that HRSA officials told us that the agency requires auditors to review documentation of covered entities\u2019 oversight activities.", "Federal internal control standards related to control activities state that agencies should implement control activities through policies, such as by documenting the responsibility for an operational process\u2019s objectives and related risks, and control activity design, implementation, and operating effectiveness. The standards also specify that management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving its objectives or addressing related risks. As a result of the lack of specific guidance and its numerous audit findings of noncompliance, HRSA does not have assurance that covered entities\u2019 contract pharmacy oversight practices are sufficiently detecting 340B noncompliance."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The 340B Program provides covered entities with discounts on outpatient drugs and the ability to generate revenue on drugs purchased under the program. Use of contract pharmacies enables covered entities to increase the use of 340B drugs by expanding their distribution networks, thereby increasing the volume of 340B drugs dispensed and generating associated savings and revenue. The expansion of contract pharmacies presents an opportunity for entities to fill more prescriptions with discounted 340B drugs, but it also increases potential risks to the 340B Program, such as risks related to diversion and duplicate discounts. Although covered entities and HRSA have taken steps to ensure that 340B Program requirements are being met at contract pharmacies, HRSA\u2019s audits continue to identify instances of noncompliance.", "As currently structured, weaknesses in HRSA\u2019s oversight impede its ability to ensure compliance with 340B Program requirements at contract pharmacies. HRSA cannot ensure that its limited number of audits target covered entities with the most complex 340B programs, and thus the greatest risk of noncompliance, because the agency does not have complete data on entities\u2019 contract pharmacy arrangements. Additionally, HRSA\u2019s audit process does not adequately identify compliance issues, nor does it ensure that identified issues are corrected. HRSA\u2019s audits do not assess compliance with a key 340B Program requirement (the prohibition regarding duplicate discounts) as it relates to Medicaid managed care, and HRSA does not provide audited entities with guidance for determining the full scope of noncompliance, which reduces the effectiveness of HRSA\u2019s audits in identifying drug diversion and duplicate discounts. Moreover, where audits identify instances of noncompliance, HRSA\u2019s process does not confirm that all covered entities successfully correct the deficiencies and take steps to prevent future noncompliance. Although HRSA made improvements to its process for targeted audits during the course of our review, the agency does not require most covered entities subject to an audit to provide evidence of corrective actions taken.", "Moreover, the lack of specificity in HRSA\u2019s guidance to covered entities on the methods through which they should ensure compliance may impede the effectiveness of entities\u2019 oversight. For example, without guidance instructing covered entities how to prevent duplicate discounts in Medicaid managed care, entities are left to individually navigate the policies and practices of states and private insurers. Furthermore, by not clearly communicating expectations for covered entities\u2019 oversight of their contract pharmacies, HRSA faces the risk that instances of noncompliance, such as diversion, at contract pharmacies will not be identified and addressed. As the 340B Program continues to grow, it is essential that HRSA address these shortcomings."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following seven recommendations to HRSA: The Administrator of HRSA should require covered entities to register contract pharmacies for each site of the entity for which a contract exists. (Recommendation 1)", "The Administrator of HRSA should issue guidance to covered entities on the prevention of duplicate discounts under Medicaid managed care, working with CMS as HRSA deems necessary to coordinate with guidance provided to state Medicaid programs. (Recommendation 2)", "The Administrator of HRSA should incorporate an assessment of covered entities\u2019 compliance with the prohibition on duplicate discounts, as it relates to Medicaid managed care claims, into its audit process after guidance has been issued and ensure that identified violations are rectified by the entities. (Recommendation 3)", "The Administrator of HRSA should issue guidance on the length of time covered entities must look back following an audit to identify the full scope of noncompliance identified during the audit. (Recommendation 4)", "The Administrator of HRSA should require all covered entities to specify their methodology for identifying the full scope of noncompliance identified during the audit as part of their corrective action plans, and incorporate reviews of the methodology into their audit process to ensure that entities are adequately assessing the full scope of noncompliance. (Recommendation 5)", "The Administrator of HRSA should require all covered entities to provide evidence that their corrective action plans have been successfully implemented prior to closing audits, including documentation of the results of the entities\u2019 assessments of the full scope of noncompliance identified during each audit. (Recommendation 6)", "The Administrator of HRSA should provide more specific guidance to covered entities regarding contract pharmacy oversight, including the scope and frequency of such oversight. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["HHS provided written comments on a draft of this report, which are reproduced in app. II, and technical comments, which we have incorporated as appropriate. In its written comments, HHS concurred with four of our seven recommendations, did not concur with three of our recommendations, and stated that it had concerns with some of the other information in our report.", "In concurring with four of our recommendations, HHS stated that HRSA is making changes to its audit process to strengthen oversight of the 340B Program. Regarding our recommendation related to guidance on duplicate discounts, HHS concurred, but commented that the recommendation did not account for the critical role that CMS would play in its successful implementation. We agree that CMS would play an important role in ensuring compliance with the prohibition on duplicate discounts in Medicaid managed care, which is why we recommended that HRSA coordinate with CMS on the guidance. HHS indicated that HRSA and CMS are strategizing on effective ways to address this issue. HHS also concurred with our recommendations to issue guidance related to identifying the full scope of noncompliance and covered entities\u2019 oversight of their contract pharmacies, although it noted that HRSA would face challenges in issuing guidance related to areas where it does not have explicit regulatory authority. While we recognize that HRSA\u2019s authority to issue regulations governing the 340B Program may be limited, our recommendations were focused on HRSA clarifying certain program requirements through whatever format the agency deems appropriate. Since the establishment of the 340B Program, HRSA has used interpretative guidance and statements of policy to provide guidance to covered entities regarding compliance with program requirements. HRSA has also used certain of its audit procedures, such as the template provided to covered entities for the development of corrective action plans, to provide such clarifications. Our recommendations are intended to expand the availability of information HRSA provides to covered entities to help them improve compliance with existing program requirements. As such, we continue to believe that further clarification, whether provided as interpretive guidance, audit procedures, or another format, is necessary to help ensure compliance with program requirements.", "Among the recommendations with which HHS did not concur was our recommendation to require covered entities to register contract pharmacies for each site of the entity for which a contract exists. HHS stated that its current registration process is responsive to our concerns for all covered entity types other than hospitals and health centers. However, as we note in the report, hospitals and FQHCs are typically the covered entity types that have multiple sites, and are generally more likely to have contract pharmacies. HHS cited administrative burden for both covered entities and HRSA as a reason not to require covered entities to provide more complete information about contract pharmacy arrangements. However, given that HRSA requires covered entities to register both their sites and their contract pharmacies with the agency, it is unclear why there would be significant additional burden for covered entities to indicate which of the previously registered sites had contracts with which contract pharmacies. It is also important to note that contract pharmacy use by covered entities is voluntary, and covered entities that choose to have contract pharmacies are required to oversee those pharmacies to ensure compliance with 340B Program requirements. Therefore, the use of contract pharmacies inherently comes with additional administrative responsibilities for the covered entity, and we believe that the requirement to register each contract pharmacy arrangement with HRSA should present limited additional burden on covered entities.", "Rather than implementing our recommendation, HHS stated that HRSA will make changes to its audit selection process; HRSA will assume that all contract pharmacies registered with the parent site would also be used by all sites of the covered entity prior to selecting entities for risk-based audits. Although this may be a good step forward, it does not provide information on the actual number of contract pharmacy arrangements for each covered entity. As such, we continue to believe that HRSA needs more complete information on contract pharmacy arrangements to best target its limited number of audits to covered entities with the most complex 340B programs. This is also important information to provide manufactures to help ensure that 340B discounted drugs are only provided to pharmacies on behalf of a covered entity site with a valid 340B contract with that site.", "HHS also did not concur with our two recommendations to require covered entities to specify their methodologies for identifying the full scope of noncompliance identified during their audits as part of their corrective action plans, and to provide evidence that these plans have been successfully implemented prior to HRSA closing audits. In its response, HHS noted that on April 1, 2018, HRSA implemented these requirements for entities subject to targeted audits (including re-audits), which represent 10 percent of all entities audited. However, HRSA indicated that implementing these requirements for all covered entities that are audited would create a significant burden for these entities. As we previously noted, HRSA already requires covered entities with audit findings to determine the full scope of noncompliance and to submit corrective action plans. Thus, it is unclear how requiring covered entities to include written descriptions of their methodologies for identifying the full scope of noncompliance, which should already be formulated, and to provide evidence that the corrective actions that entities developed have been implemented, would create significant additional burden for these entities.", "HHS also expressed concern that these additional steps would significantly delay the audit process and repayments to manufacturers. We recognize that reviewing these documents may create some additional work for HRSA and possibly require additional time to close audits. However, we believe this additional work and time is necessary for the audits to be effective at adequately identifying compliance issues and ensuring that those issues are corrected. Furthermore, these additional actions could reduce the need for re-audits which are burdensome in terms of cost and time, for both the covered entity and HRSA.", "Finally, HHS also expressed concerns about some of the other information included in the draft report.", "HHS stated that disclosing actual fees paid by covered entities to pharmacies and TPAs could cause disruptions in the drug pricing market and fluctuations in fees entities pay. Our report provides fees for a small and nongeneralizable sample of contracts, covered entities, and TPAs. For example, we provide contract pharmacy fees for 30 of the thousands of contracts that exist between covered entities and pharmacies. It is unclear how this information could cause disruptions in the drug pricing market or lead to fluctuations in fees covered entities may pay, and HHS did not provide any evidence to support its assertion. Additionally, HHS has raised questions about the effect of the 340B Program on drug pricing. As such, we believe that our discussion of fees brings enhanced transparency to the 340B Program, and provides Congress with important information it requested to gain a better understanding of the program and enhance its oversight.", "Regarding the distance between contract pharmacies and covered entities, HHS noted that the longest distance was for a specialty pharmacy that was registered for 17 days. As noted in our scope and methodology, our analysis was of covered entities and contract pharmacies participating as of July 1, 2017. Additionally, there were other contract pharmacy arrangements of similarly long distances. HHS also expressed concern that the draft report did not note that such specialty pharmacies may be needed due to restricted distribution by a manufacturer, which would be outside a covered entity\u2019s control. In our report, we noted that the 340B database does not provide information on why a covered entity may choose to contract with a pharmacy that is located a long distance away. However, the report does include some potential reasons HRSA provided us as to why this may occur.", "HHS also commented that our table on the number and percent of covered entities audited does not fully reflect HRSA\u2019s auditing efforts because it does not include the number of entity sites and contract pharmacies included within each audit. However, HRSA\u2019s audits of covered entities generally do not include visits to multiple covered entity sites, or all contract pharmacies that distribute 340B drugs on a covered entity\u2019s behalf. Additionally, while the audits include a review of a sample of 340B drugs distributed, that sample may not include prescriptions written at, or dispensed from, all of the covered entity\u2019s sites or contract pharmacies. As a result, information in our report highlights the number of entities that were audited.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, the Administrator of HRSA, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at DraperD@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Summary of Fees Included in 340B Pharmacy Contracts Reviewed", "paragraphs": ["Table 8 provides a brief description of the fees that covered entities pay pharmacies with which they contracted to dispense 340B drugs based on our review of 30 contracts."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Michelle Rosenberg (Assistant Director), N. Rotimi Adebonojo (Analyst in Charge), Jennie Apter, George Bogart, Amanda Cherrin, David Lichtenfeld and Dan Ries made key contributions to this report. Also contributing were Julianne Flowers and Vikki Porter."], "subsections": []}]}], "fastfact": ["To have their drugs covered under Medicaid, the \"340B\" program requires drug manufacturers to sell outpatient drugs to covered entities\u2014certain hospitals and clinics\u2014at a discount. These entities are increasingly contracting with pharmacies to dispense 340B drugs. Doing so can make it harder to ensure compliance with 340B rules. For example, contract pharmacies may also fill prescriptions for the general public, increasing the risk of dispensing 340B drugs to ineligible patients.", "We recommended ways to improve federal oversight of covered entities to help ensure compliance with 340B requirements."]} {"id": "GAO-18-367T", "url": "https://www.gao.gov/products/GAO-18-367T", "title": "Positive Train Control: Many Commuter Railroads Still Have Significant Additional Implementation Work and Opportunities Exist to Provide Federal Assistance", "published_date": "2018-03-01T00:00:00", "released_date": "2018-02-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Forty-one railroads including 29 commuter railroads are required by statute to implement PTC. Commuter railroads unable to implement a PTC system by December 31, 2018, may receive a maximum 2-year extension if they meet certain statutory criteria.", "GAO was asked to review commuter railroads' PTC implementation. Among other objectives, this statement discusses (1) commuter railroads that may not be positioned to meet the PTC deadline or to qualify for an extension, and factors affecting their progress, and (2) the extent to which FRA's management and oversight approach has helped ensure that commuter railroads meet the deadline or qualify for an extension.", "GAO analyzed commuter railroads' most recently available quarterly progress reports and collected information on planned implementation schedules, interviewed 19 commuter railroads\u2014including 14 FRA identified as at-risk and 5 others further ahead with implementation\u2014and interviewed FRA officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Railroad Administration (FRA) is responsible for overseeing railroads' (including commuter railroads') implementation of positive train control (PTC) by December 31, 2018. PTC is a communications-based train control system designed to prevent certain types of accidents and involves the installation, integration, and testing of hardware and software components. For example, railroads must install equipment on locomotives and along the track, and complete field testing, including revenue service demonstration (RSD)\u2014an advanced form of testing that occurs while trains operate in regular service.", "GAO's analysis of commuter railroads' PTC scheduled milestones for two key activities necessary to meet the 2018 deadline or qualify for an RSD-based extension (one of the statutory options) found that as many as two-thirds of the 29 commuter railroads may not have allocated sufficient time to complete these milestones. Specifically, in comparing the commuter railroads' schedules to FRA's estimates of the time required to complete these milestones and the experiences of railroads that have already completed them, GAO's analysis found that from 7 to 19 commuter railroads may not complete the milestones before the 2018 implementation deadline or qualify for an RSD-based extension. For example, FRA estimates that field testing (one of the milestones) takes at least one year, but GAO found that 14 commuter railroads plan to start this testing less than a year before the 2018 deadline, increasing the potential risk that this milestone will not be completed. However, FRA has the authority to establish alternative criteria for an extension not based on RSD, and several other factors can affect commuter railroads' planned and future progress. As a result, the number of commuter railroads at risk of not meeting the deadline or qualifying for an extension could increase or decrease in the coming year.", "FRA's PTC management and oversight includes monitoring commuter railroads' progress, reviewing documentation, and sharing information with them, but the agency has not systematically communicated information or used a risk-based approach to help these railroads prepare for the 2018 deadline or qualify for an extension. GAO found that FRA has primarily used informal assistance, meetings with individual railroads, and participation in industry-convened groups to share information with commuter railroads, and in some cases the information conveyed has been inconsistent according to industry representatives. Some commuter railroads also told GAO that clarification about the agency's planned process for reviewing and approving extension requests would be helpful. Federal internal control standards state that management should externally communicate the necessary quality information to achieve its objectives. While FRA officials have said they are working to identify additional ways to convey extension-related information, they have not yet done so. Moreover, although FRA receives information from commuter railroads on their progress in implementing PTC, it has not used this information to prioritize resources using a risk-based approach. With the year-end 2018 deadline approaching, and an anticipated significant increase in FRA's workload, targeting resources to the greatest risk can help better ensure that FRA effectively fulfills its oversight responsibilities and provides commuter railroads the information they need to prepare for the 2018 deadline or seek an extension."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends FRA identify and adopt a method for systematically communicating information to railroads and use a risk-based approach to prioritize its resources and workload.", "DOT concurred with the recommendations. The agency also provided technical comments, which were incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our review of commuter railroads\u2019 implementation of positive train control (PTC).", "In the wake of rail accidents such as the 2008 Los Angeles, California, collision between a commuter train and a freight train, resulting in 25 deaths and over 100 injuries, legislation was enacted requiring certain freight, intercity passenger, and commuter railroads to implement PTC\u2014 a communications-based train control system designed to help control train movements, including braking\u2014by December 31, 2015. While the safety of the rail industry has improved in recent years, additional accidents, including the recent Amtrak derailment in Washington state in late 2017, have demonstrated the continued need for technological improvements that could help slow or stop a train to reduce the risk of certain types of accidents such as train-to-train collisions and derailments caused by exceeding safe speeds. In total, 41 railroads, including 29 commuter railroads, are currently required to implement PTC. Commuter railroads provide approximately 490-million annual passenger trips over 8,440 miles of track. Their size varies significantly, from rail lines providing approximately one-million passenger trips a year to those providing over 80 million.", "Our prior work on PTC implementation has found that it is a complex and lengthy process. It requires the integration of various components\u2014 including communication systems, hardware on locomotives and along the side of the track, and software in centralized office locations as well as onboard the train and along the track. In order to implement PTC, railroads must design, produce, and install more than 20 major components that will ultimately communicate trains\u2019 locations, movements, and speed, and then slow or stop a train that is not being operated safely. Many of these components are new technologies being designed and developed for PTC, and railroads must integrate them with their existing systems. Full implementation of PTC involves a number of steps, including but not limited to: equipment installation, testing, certification, and achieving interoperability. Interoperability will enable trains to move seamlessly across track owned by different railroads with potentially different PTC systems. U.S. railroads often operate their cars as \u201ctenants\u201d on the track of another railroad, known as the \u201chost.\u201d The Federal Railroad Administration (FRA) is responsible for overseeing railroads\u2019 implementation of PTC.", "As part of our body of work examining railroads\u2019 progress in implementing PTC, we found in September 2015 that nearly all railroads did not expect to meet the originally mandated deadline of December 31, 2015. In October 2015, Congress extended the deadline to December 31, 2018, and established criteria that would enable FRA to grant railroads meeting certain requirements a further extension up to 2020.", "You requested that we examine commuter railroads\u2019 implementation of PTC. This statement describes the results of our review and focuses on: commuter railroads\u2019 progress in implementing PTC; how many, if any, commuter railroads may be at risk of not meeting the mandated PTC deadline or certain extension criteria, and what factors may be affecting implementation progress; and the extent to which FRA\u2019s management and oversight approach has helped ensure that commuter railroads either meet the deadline or qualify for an extension.", "To address these objectives, we reviewed applicable laws as well as applicable FRA and PTC regulations, reports, and guidance. We also interviewed FRA officials involved in PTC monitoring, enforcement, and technical assistance. To describe commuter railroads\u2019 progress implementing PTC, we reviewed the most recent available railroad quarterly data that the 29 commuter railroads submitted to FRA that outlines installation and implementation progress in selected areas as of September 30, 2017. We assessed the reliability of the data in these reports by reviewing them for anomalies, outliers, or missing information, among other things. Based on these steps, we determined that these data were sufficiently reliable for our purposes of describing progress in PTC implementation. To identify railroads that may be at risk of not meeting the PTC deadline or qualifying for certain extension criteria, we collected additional information from all 29 commuter railroads related to their planned schedules for key implementation milestones. We then compared this information against FRA estimates for how long these milestones may take and to the experiences of commuter railroads that have already completed these milestones. To obtain perspectives on factors that may affect implementation progress and FRA\u2019s oversight approach, we interviewed representatives from 19 commuter railroads. These selected railroads include: (1) 14 railroads that according to FRA were identified in May 2017 as at risk of not meeting the 2018 full implementation deadline and not completing statutory requirements necessary to receive a deadline extension and (2) 5 other railroads that were further ahead with implementation and that varied in geographic location and size of rail system, among other factors. We also interviewed representatives from all 7 of the Class I freight railroads, which are also required to implement PTC; 5 major PTC equipment suppliers and contractors identified by FRA; and 2 railroad industry associations. Information from these interviews is not generalizable to all commuter railroads or all PTC stakeholders but provide valuable insights into implementation issues. Finally, we compared FRA\u2019s management and oversight approach to federal internal control standards related to communications and risk assessment. Appendix I describes our scope and methodology in greater detail.", "We conducted this performance audit from July 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Under the Rail Safety Improvement Act of 2008, a PTC system must be designed to prevent train-to-train collisions, derailments due to excessive speed, incursions into work zone limits, and the movement of a train through a switch left in the wrong position. Railroads may implement any PTC system that meets these requirements, and the majority of the 29 commuter railroads are implementing one of three primary types of systems: the Interoperable Electronic Train Management System (I- ETMS), the Advanced Civil Speed Enforcement System, or Enhanced Automated Train Control (E-ATC). PTC\u2019s intended safety benefits can only be achieved when all required hardware has been installed and tested, and a train is able to communicate continually and in real time with the software and equipment of its own railroad and also with that of other railroads operating on the same tracks. Real-time communication is needed to account for changing track conditions, which may, for example, include temporary speed restrictions where railroad employees are conducting track maintenance. Figure 1 illustrates how one system is intended to operate.", "PTC\u2019s multi-step implementation process can be grouped into three primary phases (see fig.2). Each phase involves key activities for railroads to complete\u2014such as installing PTC equipment\u2014as well as the submission of key documents for FRA review and approval\u2014such as test plans. Based on railroad data reported to FRA, most commuter railroads are currently in the second phase, which involves system design, installation, and testing. According to a recent FRA presentation, completing key activities within this phase is the near-term focus for many commuter railroads.", "According to FRA officials, railroads must complete certain implementation steps sequentially, while other activities can be worked on simultaneously; for example, railroads may work to finish installing locomotive and wayside equipment while also beginning testing on an initial track segment. Furthermore, based on railroads\u2019 PTC implementation plans, the scale of implementation activities can vary by railroad, based on the size of the railroad and the number of components to be installed. For example, one relatively large commuter railroad must install computer hardware on 528 locomotives and 789 wayside units along 218 route miles, while one relatively small commuter railroad\u2019s installation is limited to 17 locomotives and 35 wayside units along 32 route miles.", "According to FRA, full implementation of PTC is achieved when a railroad\u2019s system is FRA-certified and interoperable, and all hardware, software, and other components have been fully installed and in operation on all route miles required to use PTC. The PTC system is required to be interoperable, meaning the locomotives of any host railroad and tenant railroad operating on the same track segment will communicate with and respond to the PTC system, including uninterrupted movements over property boundaries.", "In early 2016, railroads required to install PTC had to submit revised implementation plans to FRA that included a schedule and milestones for specific activities, such as installing locomotive and wayside hardware, acquiring radio spectrum (if necessary), and training employees who will have to use and operate PTC systems. Railroads are required to report annually to FRA certain information on their implementation progress. As part of overseeing railroads\u2019 PTC implementation, FRA established a PTC Task Force in May 2015 to track and monitor individual railroads\u2019 progress. Railroads are also required to report quarterly to FRA on the status of PTC implementation in several areas such as: locomotives equipped, employees trained, territories where revenue service demonstration (RSD) has been initiated, and route miles in PTC operation.", "FRA\u2019s oversight tools include assessing civil penalties if a railroad fails to comply with legal requirements, including a railroad\u2019s failure to comply with its implementation plan. FRA has a national PTC director, designated PTC specialists in the 8 FRA regions, and a few additional engineers and test monitors responsible for overseeing technical and engineering aspects of implementation and reviewing railroad submissions of documents and test requests. FRA officials told us they conduct various types of PTC-related work simultaneously, such as providing technical assistance to railroads, addressing questions, and reviewing documentation submitted by railroads. As railroads progress with testing and before completing implementation, FRA must review and approve a safety plan for each railroad and certify the PTC system.", "Commuter railroads that will not be able to implement a PTC system by December 31, 2018, may receive a maximum 2-year extension if they meet six criteria set forth in statute. Specifically, commuter railroads must demonstrate, to the satisfaction of the Secretary of Transportation, that they have: (1) installed all PTC system hardware; (2) acquired all necessary spectrum; (3) completed required employee training; (4) included in a revised implementation plan an alternative schedule and sequence for implementing their PTC system as soon as practicable; (5) certified to FRA that they will be in full compliance with PTC requirements by the date provided in the alternative schedule and sequence; and (6) either initiated RSD on at least one territory required to have operations governed by a PTC system or \u201cmet any other criteria established by the Secretary.\u201d"], "subsections": []}, {"section_title": "Progress Reported in Some Implementation Areas, but Significant Work Remains", "paragraphs": ["Most of the 29 commuter railroads have reported progress in some of the key areas of PTC implementation that FRA monitors, such as locomotive and wayside equipment installation, but the amount of progress reported varies across individual railroads (see fig. 3 below).", "Over half of the commuter railroads reported that they have made substantial progress in some initial implementation activities, while other railroads reported that they have made much more limited progress or have yet to begin equipment installation or employee training. For example, as of the end of September 2017:", "Locomotive Equipment Installation: 18 commuter railroads reported 50 percent or more of their locomotive PTC equipment was installed, and of these, 13 had completed installation. In contrast, 6 railroads reported that they had not started installation of locomotive equipment.", "Wayside Equipment Installation: 16 commuter railroads reported 50 percent or more of their wayside PTC equipment was installed, and half of them reported that they had completed installation. In contrast, 7 reported that less than 20 percent of this equipment was installed.", "Employee Training: 11 commuter railroads reported completing PTC training for 50 percent or more of their employees requiring training. Of these, four reported that they had completed employee training. Thirteen commuter railroads had completed 10 percent or less of their employee training, and of these, 11 reported that they had not started training their employees. However, some commuter railroad representatives we spoke with stated that they are waiting to conduct training until their PTC system is closer to deployment. For example, representatives from one railroad told us they are waiting to conduct training so employees will be recently trained and familiar with PTC as the system is rolled out.", "Notably, commuter railroads reported that they have made the most progress in obtaining spectrum, which allows PTC components to transmit information about a train\u2019s movements and location. Specifically, 15 of the 17 railroads that require spectrum reported that they have obtained it. The two other railroads reported that they are in discussions to obtain leased spectrum.", "Beyond the initial implementation activities, much work remains for the majority of commuter railroads to complete other key PTC activities that will enable them to complete implementation. PTC implementation requires many additional steps to integrate equipment and software systems that go beyond installing equipment and training employees, and the majority of commuter railroads reported that they continue to work to complete these steps, which are technically complex and time consuming. For example, as of the end of September 2017:", "Locomotives Fully Equipped and PTC-Operable: Fifteen commuter railroads reported that half or more of their locomotives were fully equipped and PTC-operable, meaning that all necessary onboard hardware and software is installed and commissioned, and is capable of operating over a PTC-equipped territory. Eight commuter railroads reported that none of their locomotives were fully equipped and operable.", "Field Testing: Thirteen railroads reported that they had begun field testing\u2014a key implementation milestone that precedes RSD and allows railroads to assess how PTC components and software function together. FRA officials said that the testing phase can be a long and difficult process, as data obtained during field testing must prove the functionality of the system and be included as part of a railroad\u2019s application to enter RSD.", "RSD: Following successful field testing, FRA may grant a railroad approval to enter the next level of testing, RSD. In RSD, testing is performed on trains operating PTC as part of regular operations.", "According to FRA, RSD is the final phase of testing that a railroad completes in order to validate and verify its PTC system, and the results from RSD, along with earlier testing, are to be included in the safety plan a railroad submits to FRA. While six commuter railroads reported that they have begun RSD, most had not yet reached this key milestone\u2014including some of the largest commuter railroads.", "Conditional Certification: Once FRA approves a railroad\u2019s safety plan, the railroad receives a PTC system certification. According to FRA officials, as of September 30, 2017, only two commuter railroads were conditionally certified\u2014meaning FRA has reviewed their safety plans and granted conditional approval for PTC operations, and the railroads are providing regular service in PTC operations\u2014and two additional commuter railroads had submitted a safety plan for FRA review.", "Given the variation in commuter railroads\u2019 progress, especially related to completing later-stage PTC activities such as testing and developing safety plans, 13 of 29 commuter railroads told us they planned to seek a deadline extension, and the remaining 16 told us they do not intend to seek an extension. However, the number of commuter railroads planning to seek an extension is subject to change before the end of 2018."], "subsections": []}, {"section_title": "Over Half of Commuter Railroads May Be at Risk of Not Meeting the 2018 Deadline or Criteria for RSD-based Extension, Though Numerous Factors Create Uncertainty", "paragraphs": ["Based on our analysis of the PTC schedules of the 29 commuter railroads, over half may not have sufficient time to complete activities needed to implement PTC by the end of 2018 or to qualify for an extension of that deadline by meeting criteria based on initiating RSD\u2014 for the purposes of this statement, referred to as an RSD-based extension. In particular, our analysis focused on the time likely needed for railroads to conduct RSD activities, because RSD is both the final step of field testing required by the 2018 deadline as well as one of the statutory options railroads have in seeking a deadline extension. For our analysis, we compared the amount of time railroads plan for completing two key milestones\u2014installing the back office server and conducting field testing\u2014to the amount of time FRA officials estimate is required for each milestone and to the experiences of railroads that have already completed RSD. However, it is important to recognize that numerous factors could affect railroads\u2019 planned and future progress. For example, commuter railroads could face delays due to unexpected issues with PTC components or FRA reviews of documents submitted by the railroads."], "subsections": [{"section_title": "Over Half of Commuter Railroads May Be at Risk", "paragraphs": ["In May 2017, FRA sent letters to 14 commuter railroads and their respective state departments of transportation and governors informing the recipients that they had not installed at least 50 percent of their required locomotive and wayside equipment. In these letters FRA raised concerns that these railroads were at risk of not meeting the 2018 deadline and not completing requirements for a deadline extension. Subsequently, in January 2018, FRA applied a more stringent benchmark\u2014whether a railroad had installed at least 65 percent of all equipment\u2014and determined that 13 commuter railroads remained at risk. Using this more stringent criterion, only one railroad had made enough progress installing equipment to no longer be classified as at risk by FRA.", "In addition to FRA\u2019s benchmarks for equipment installation, for our analysis we evaluated more broadly railroads\u2019 progress in completing other implementation activities that follow equipment installation and that FRA and stakeholders said are more difficult to achieve. Specifically, we analyzed commuter railroads\u2019 planned schedules for two key milestones to determine whether these railroads appear to have built sufficient time into their implementation plans to complete these and other activities by the 2018 deadline or to qualify for an RSD-based extension. The two key milestones we examined, both of which need to be completed before a railroad enters RSD, were: installing the back office server (BOS) and associated software necessary to connect and interface with wayside, locomotive, and dispatch equipment (the BOS transmits and receives data among this equipment that enables PTC to work); and conducting field testing, in particular testing of installed infrastructure and initial assessments of the PTC system\u2019s overall functionality on trains that are not transporting passengers or operating during regular passenger service.", "Our analysis found that at least one quarter, and potentially up to approximately two thirds, of commuter railroads may not have sufficient time to enter RSD and, thus, may not meet the 2018 PTC implementation deadline or qualify for an RSD-based extension. These railroads vary by size and type of PTC system and by whether they plan to apply for a deadline extension. Specifically, our analysis found the following:", "Projection based on BOS status: Between 9 and 19 commuter railroads appear to be at potential risk of not meeting the 2018 deadline or qualifying for an RSD-based extension based on our analysis. Our analysis found that the 6 commuter railroads already in RSD took an average of 10 months from installing the BOS to starting RSD. However, the schedules of 9 railroads indicate that they plan to install a BOS less than 10 months before the 2018 deadline. We believe that given past experience of other railroads, this places these 9 railroads at potential risk. Moreover, FRA officials estimate that it can take 2 to 3 years for a railroad to install and prepare the BOS and associated software to support testing and RSD. Using FRA\u2019s 2-year installation estimate (which would require BOS installation before January 1, 2017) further exacerbates the potential risk of not meeting the deadline or of not qualifying for any RSD-based extension for up to 19 railroads.", "Projection based on time allowed to conduct field testing: Based on our review of the planned schedules, between 7 and 14 railroads may not have built sufficient time into their plans either to complete field testing ahead of the 2018 deadline or to qualify for an RSD-based extension. Commuter railroads and FRA officials told us that field testing is challenging and can take a substantial amount of time due to, for example, unanticipated issues and limited available track for testing given regular passenger operations. On average, our analysis found that the 6 commuter railroads already in RSD took 7 months to move from starting field testing to starting RSD. However, 7 commuter railroads plan to start their field testing less than 7 months before the 2018 deadline. This situation raises concerns about their ability to conduct field testing before the 2018 deadline. Moreover, FRA officials told us that moving from the start of field testing to the start of RSD can take between 1 and 3 years, averaging about 2 years, and that most railroads under-estimate the amount of time needed for testing. When we applied the lower end of FRA\u2019s estimate, we found that it further increases the potential risk for 14 railroads that plan to start field testing less than a year prior to the 2018 deadline. As a result, they could be at risk of not meeting the 2018 deadline or qualifying for an RSD-based extension.", "We used RSD as a benchmark for our analysis of key milestones based on the importance of this benchmark in implementing PTC and on the three RSD-based alternative criteria that FRA has approved to date.", "While the three approved alternative criteria all include RSD, FRA has broad authority to approve \u201cany other\u201d alternative criteria even if not based on RSD, as noted above. One FRA official told us the agency approved these three alternative criteria requests because they were all based on specific, quantifiable measures, rather than because they included RSD in particular. FRA officials stated that they have not issued guidance on uniform alternative criteria because they will strive for railroads to meet the criteria for a deadline extension that are listed in statute and want the discretion to make determinations on a case-by-case basis. In addition, FRA officials said they want to ensure that each railroad\u2019s criteria are consistent with the statutory requirements for final implementation by December 31, 2020. Because it is unknown what alternative criteria FRA may establish in the coming months, which may not include RSD, it is difficult to determine at this time whether the railroads we found to be potentially at risk of not qualifying for an RSD- based extension might be more or less likely to qualify for an extension based on other, non-RSD criteria."], "subsections": []}, {"section_title": "Many Factors May Affect Commuter Railroads\u2019 Ability to Meet the Deadline or Qualify for an Extension", "paragraphs": ["Much uncertainty exists regarding railroads\u2019 ultimate implementation progress and their ability to meet the 2018 deadline or qualify for an extension. This uncertainty is due, in part, to the fact that PTC is a new way of operating and involves technologies that are more complex to implement than many other railroad capital projects. Furthermore, a number of factors can affect commuter railroads\u2019 planned and future progress, including unexpected setbacks installing PTC components and resources and capacity issues. Below we highlight some of the factors that that could affect implementation progress."], "subsections": [{"section_title": "Limited Industry Expertise and Resources", "paragraphs": ["Three out of five PTC contractors and suppliers and about half of the commuter railroads we spoke with acknowledged that industrywide, there are a limited number of individuals with PTC technical expertise available to successfully implement the technology. This can affect the ability of railroads and contractors to meet planned schedules. For example, one large commuter railroad said it took a year and a half to hire an internal expert to continue work on its PTC project. In addition, five commuter railroads told us that they faced other issues with their prime contractors missing their milestones; such issues, going forward, could impact railroads\u2019 progress during the coming year. Also, though most railroads we spoke to are relying on contractors, some commuter railroads may lack the in-house resources and expertise to plan and oversee a project as large and complex as PTC. Representatives from three commuter railroads we interviewed noted that PTC is not a traditional capital or construction project for a railroad; therefore, it requires additional expertise. FRA officials also stated that small commuter railroads may not have technical capacity or expertise with large contracts for such complex projects, especially given limited industry resources.", "In addition to limited expertise and resources, some commuter railroads told us they faced unexpected delays in obtaining PTC equipment, such as radios, from the supplier. Some PTC equipment is only available from a single provider, which can lead to delays executing contracts and obtaining equipment. Three commuter railroads we spoke with said they encountered issues executing contracts for PTC radios, in particular negotiating unique liability requirements sought by the only supplier of this equipment, which resulted in delays or higher overall costs to the railroads. One railroad noted that executing sole-source contracts for such circumstances is particularly problematic for state and public agencies."], "subsections": []}, {"section_title": "Interoperability and Host and Tenant Coordination", "paragraphs": ["As noted above, PTC is being implemented by different types of railroads using different systems, and achieving interoperability among PTC systems can complicate implementation. For example, Northeast Corridor railroads that are implementing versions of the Advanced Civil Speed Enforcement System need interoperability with freight railroads using I- ETMS. Even railroads that are installing the same PTC system have to take significant steps to ensure that systems will communicate and interoperate properly. In one case, a railroad told us that it is equipping its locomotives with equipment for multiple PTC systems to ensure that it can operate on various host railroads\u2019 tracks.", "Some commuter railroads that only operate as tenants on other railroads\u2019 tracks may be able to complete some PTC implementation work more quickly, as these railroads may benefit from work the host railroads already completed as they coordinate to implement PTC. For example, representatives from one commuter railroad we spoke with said they have to acquire and install PTC equipment on their locomotives but rely on the host railroads to install the remainder of the necessary PTC infrastructure. These tenant-only commuter railroads, however, have to coordinate field testing and RSD with the host railroads."], "subsections": []}, {"section_title": "Schedule Changes", "paragraphs": ["Unexpected issues with components or technology can also require additional time to complete certain activities, causing schedules to slip. Such issues could affect railroads currently on schedule as well as railroads pursuing aggressive schedules in an effort to overcome late starts or early setbacks. For example, representatives from 10 railroads we spoke with said that installing the BOS and associated software, and ensuring it functions properly, can pose a challenge. One contractor told us that once the BOS is delivered to a railroad, a lot of testing work remains, and unexpected issues inevitably arise during testing, even if the BOS works according to all specifications. Representatives from one railroad said that despite strong organizational commitment to implementation and setting internal targets for progress, their PTC project schedule slipped many times over the course of implementation due to a variety of issues, including on-going software updates that caused delays while also straining the budget and burdening staff. Representatives from that commuter railroad also noted that equipping vehicles with PTC components took three times longer than originally expected (3 years instead of 1 year). However, some railroads are looking for ways to accelerate implementation. For example, representatives from one railroad said they made the difficult decision to cut some weekend passenger service to accelerate wayside equipment installation. Therefore, as representatives from one railroad articulated, given the schedule slippage experienced by railroads further along in implementation, railroads with aggressive schedules would have a limited ability to accommodate any additional delays."], "subsections": []}, {"section_title": "FRA\u2019s Resources and Capacity", "paragraphs": ["As the 2018 deadline approaches and railroads progress with implementation activities, the amount of documentation railroads will submit to FRA for review and approval is likely to increase significantly. For example, FRA reported in summer 2017 that it had taken between 10 and 100 days to review each of the test requests it received from railroads. As the 2018 deadline approaches, FRA will have to review a considerable amount of additional test plans and procedures as well as applications to begin RSD. In addition, FRA will have to concurrently review any safety plans that are submitted by railroads reaching the certification phase. At the American Public Transportation Association\u2019s (APTA) Commuter Railroad Summit in June 2017, FRA officials said that they expect each safety plan review\u2014which involves all the regional specialists and some contract personnel\u2014to take between 6 and 12 months to review. These plans are about 5,000 pages in length. FRA officials told us that reviewing all of the safety plans in a timely manner will be a challenge given staff resources. FRA has 12 technical staff dedicated to the review of railroads\u2019 PTC documentation and monitoring of PTC testing. Representatives from 10 out of 19 commuter railroads we interviewed said they are concerned about FRA\u2019s ability to review submitted documentation in a timely manner."], "subsections": []}, {"section_title": "Lessons Learned", "paragraphs": ["As railroads continue to progress with their projects and the industry becomes more experienced with PTC, railroads could benefit from lessons learned. For example, representatives from one railroad that is implementing I-ETMS, the system all large Class I freight railroads are implementing, told us that they anticipate being able to capitalize on lessons learned from freight railroads that have operated in RSD. By leveraging the freight railroads\u2019 experiences, one commuter railroad hopes to address issues before testing, rather than during, and therefore move more quickly through the testing process. If commuter railroads are able to apply lessons learned from other railroads\u2019 testing processes, then they may be able to accelerate their implementation efforts. Railroads may also accelerate implementation schedules as they become more adept at the overall testing process, which involves submitting test documents to FRA and scheduling multiple tests. This could potentially shorten the average time it takes a railroad to complete one or more of the key milestones analyzed. The two commuter railroads that have been conditionally certified told us they have met with other commuter railroads informally and have shared their project experiences as a way to facilitate information sharing."], "subsections": []}]}]}, {"section_title": "FRA Monitors Railroads\u2019 Progress but Has Not Systematically Communicated with Them or Prioritized Efforts", "paragraphs": [], "subsections": [{"section_title": "FRA Monitors Railroads\u2019 Implementation Progress, Reviews Documents, and Shares PTC Information", "paragraphs": ["Since 2015, FRA has assumed additional roles and responsibilities\u2014 primarily through the PTC Task Force and regional PTC specialists\u2014to monitor railroads\u2019 implementation progress, review required documentation, and share information about implementation steps and activities.", "Monitoring and Document Review: In response to a recommendation in our September 2015 report, FRA began to identify and collect additional information from the railroads to enable it to effectively track and monitor railroads\u2019 PTC progress. For example, in 2016, the PTC Task Force began collecting quarterly progress data and monitoring railroads\u2019 annual reports to track progress in meeting the PTC implementation milestones set out in railroads\u2019 implementation plans, such as locomotive equipment installed at the end of the year. As previously noted, the Task Force used this implementation progress data in May 2017 to identify 14 commuter railroads at risk of not meeting the 2018 deadline or requirements for an extension. FRA also monitors railroads\u2019 PTC implementation through meetings with railroad and industry associations, visits to individual railroads, and reviewing and commenting on PTC documentation submissions, such as requests to begin field testing and RSD. FRA officials told us that they monitor railroads\u2019 progress to determine how much commuter railroads understand about the implementation process and to trigger discussions between FRA and the railroads. Regional PTC specialists are responsible for reviewing and approving requests submitted by railroads preparing to test system functionality as well as individual testing procedures describing the specific equipment and movements involved in each test. In addition, FRA officials told us that assessing civil penalties and sending commuter railroads letters of concern are the primary enforcement mechanisms they have available to oversee PTC.", "Information Sharing: FRA officials said that they have primarily used informal assistance and participation in group meetings to convey information related to the implementation process and specific milestones necessary to meet the 2018 deadline or qualify for an extension. FRA officials acknowledged that they do not have the capacity to provide frequent one-on-one assistance to all railroads given their growing PTC workload and limited agency resources. As such, FRA officials explained that in order to reach a wide audience given the approaching deadline, their current focus is on presentations at industry group meetings (e.g., APTA\u2019s Commuter Rail Summit) and specific PTC systems user-group meetings. FRA\u2019s regional PTC specialists told us they also provide direction on technical aspects of PTC implementation and testing, primarily by discussing issues at individual and railroad-industry meetings and providing informal feedback on commuter railroads\u2019 PTC documentation, such as testing requests."], "subsections": []}, {"section_title": "FRA Has Not Systematically Communicated Information to Help Railroads Prepare for the 2018 Deadline or to Qualify for Extensions", "paragraphs": ["While the majority of the railroad representatives we met with said FRA officials were consistently available to discuss issues that arise during day-to-day PTC implementation activities, the information conveyed by these officials has sometimes been inconsistent. In particular, FRA\u2019s heavy reliance on informal assistance and participation in group meetings to convey information to commuter railroads has led, at least on some occasions, to different or inconsistent information being communicated in different meetings. For example, representatives from one PTC equipment supplier said that FRA has not consistently commented on different railroads\u2019 test plans, and as a result, they have not been able to carry lessons learned on to other railroads\u2019 plans. In addition, while FRA\u2019s officials said their position has been consistent with the regulations stating that the host railroad must submit a safety plan to FRA, representatives from one railroad we met with said they had heard conflicting information from FRA. For example, these railroad representatives told us that FRA officials originally said commuter railroads that are only tenants on other railroads needed to submit their own safety plans but later stated at an industry association meeting that tenant railroads could be included in the host railroads\u2019 plans.", "In addition, commuter railroads have expressed a need for additional clarification about the criteria for applying for an extension. FRA officials also told us that they have received a lot of questions from commuter railroads about the criteria for an extension related to RSD or other alternative criteria. As noted above, to date, FRA has approved alternative extension criteria for three railroads, and in each case, the criteria involved RSD testing on a shorter track segment. However, representatives from one contractor working with several commuter railroads said it is unclear what \u201calternative criteria\u201d FRA will approve to receive an extension. In addition, representatives from one commuter railroad stated that any opportunity to clearly outline FRA\u2019s interpretation of the PTC requirements, specifically the alternative extension criteria that could, for example, allow for a shorter test segment, would enable railroads to better position themselves to apply for an extension.", "Representatives from some commuter railroads we met with were likewise unclear about the agency\u2019s approach to reviewing and granting extension requests. Representatives from three commuter railroads said clarification of FRA\u2019s planned approach would be helpful as the deadline approaches. According to FRA officials, the statute does not set a deadline by which railroads have to apply for an extension, and FRA has not set a deadline or indicated the latest date by which a railroad should apply. Nonetheless, for railroads that do not comply with PTC deadlines, FRA officials said they could impose civil penalties for each day a railroad fails to implement a PTC system by the applicable statutory deadline, but the agency has yet to determine how it will handle railroads that do not meet the deadline or receive an extension. With less than a year remaining before the 2018 deadline, FRA officials stated that they anticipate their workload is likely to increase as railroads submit additional documentation to review and continue to progress with testing. More systematic communication that delineates FRA\u2019s planned approach for the upcoming deadline and extension process may be critical for the agency to efficiently use its limited resources and convey consistent information to all the railroads.", "Standards for internal control in the federal government state that management should externally communicate the quality information necessary to achieve the entity\u2019s objectives. These standards also note that management should select the appropriate form and method of communication, so that information is communicated widely and on a timely basis. As we have previously found, the particular form of the agency\u2019s communication\u2014for example, by oral presentation, written guidance, or formal regulation\u2014will depend on multiple factors including the purpose and content of the specific communication and applicable legal requirements. Moreover, internal control standards indicate agencies should have standard processes in place to determine which form of communication is appropriate in each case. FRA officials told us that the agency could issue written guidance explaining how it has decided to apply its deadline extension authority and what type of information railroads will then need to submit to get an extension. However, FRA officials stated this written guidance would require time- consuming approval by the Office of Management and Budget under the Paperwork Reduction Act, and would make timely issuance of such guidance difficult. As noted, however, FRA may have the option to use less formal, less time-consuming methods of communicating key information about the extension process, such as webinars or conference calls, to communicate information more systematically. FRA officials acknowledged they are working to identify mechanisms such as these, but they have yet to do so. Absent systematic communication articulating the agency\u2019s planned approach for the extension process, railroads may not have the information they need to effectively prepare for the deadline or seek an extension."], "subsections": []}, {"section_title": "FRA Has Made Limited Use of Implementation Progress to Prioritize Efforts and Mitigate Risks", "paragraphs": ["While FRA has taken steps to more closely monitor railroads\u2019 implementation progress, the agency has not prioritized its efforts, including its allocation of resources, based on an assessment of risk. In its 2015 Railroad Accountability Plan, FRA stated that its PTC data collection and monitoring efforts would allow the agency to inform, among other things, its resource allocation and risk mitigation. While FRA has used its data to identify at-risk railroads, it has not used this information to prioritize how to allocate its resources or address risks. For example, as discussed earlier after reviewing railroads\u2019 data on their progress in installing PTC equipment, FRA notified 14 commuter railroads of their at- risk status in May 2017. However, while FRA officials said that they hold regular meetings with many\u2014but not all\u2014of the at-risk railroads, 9 of these 14 commuter railroads said that the formal letter they received did not ultimately trigger any change in the type of interaction they have with FRA. More recently, in December 2017, the Secretary of Transportation notified all railroads required to implement PTC by letter of the expectation that all possible measures be taken to ensure implementation requirements are met by the 2018 deadline. However, these letters made no distinction between railroads\u2014that is, the same letter was sent to railroads with conditionally certified PTC systems and to railroads that reported completing no training or installing no locomotive equipment to date\u2014nor did the letters describe how FRA\u2019s approach to working with the railroads would respond to their particular circumstances and risks.", "As noted above, FRA officials have stated that the agency does not have the resources to meet more frequently with or provide additional assistance to railroads. While the PTC Task Force helps monitor railroads\u2019 progress, FRA still employs fewer than 12 individuals with the requisite PTC expertise and experience to review technical documents and help railroads implement PTC systems. In an environment with limited agency resources, targeting agency efforts to areas of the greatest risk or highest priority areas is one way to leverage existing resources. According to standards for internal control in the federal government, management should identify, analyze, and respond to risks. In addition, FRA\u2019s Strategic Human Capital Plan states that developments including the rapid introduction of new technologies, such as PTC, demand that FRA continuously evaluate its programs and resources to adapt to changing demands.", "However, FRA has not fully leveraged the implementation progress data that railroads\u2019 submit to the agency to identify and develop a risk-based approach to prioritize agency actions. At present, it is unclear whether the agency\u2019s priorities are, for example, to help the largest commuter railroads meet the deadline or extension requirements, push those railroads that are very close to full implementation, or assist railroads that are in the earliest stages of their PTC project. For example, one regional PTC specialist we met with said that if he did not need to be reviewing documentation or observing railroads\u2019 field testing, he could spend more time with at-risk railroads. By not effectively targeting actions to help mitigate risks posed by railroads most at risk of not meeting the PTC deadline or qualifying for an extension, FRA misses the opportunity to leverage its limited resources by providing direct assistance in the areas of greatest need."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Much progress has been made in implementing PTC by commuter railroads. Nevertheless, about half of commuter railroads plan to apply for an extension, and many of the railroads\u2019 planned schedules raise questions about their ability to complete key implementation milestones and qualify for RSD-based extensions prior to the 2018 deadline. As the 2018 deadline rapidly approaches, the need for clear information that is systematically communicated to all railroads implementing PTC becomes even more critical. FRA cannot expect to provide information and guidance to railroads individually, and therefore, adopting a risk-based communication strategy could help it more efficiently share information in the coming year. Moreover, the information FRA collects on railroads\u2019 progress has not been used to inform the agency\u2019s resource allocation decisions. Using this information to better allocate resources could help position FRA to better meet its responsibility to monitor and oversee PTC implementation in the future."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to FRA:", "The Administrator of FRA should identify and adopt a method for systematically communicating information to railroads regarding the deadline extension criteria and process. (Recommendation 1)", "The Administrator of FRA should develop an approach to use the information gathered to prioritize the allocation of resources to address the greatest risk. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this statement to DOT for review and comment. In its comments, reproduced in appendix II, the agency concurred with our recommendations. DOT also provided technical comments, which we incorporated as appropriate.", "Chairman Thune, Ranking Member Nelson, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Susan Fleming, Director, Physical Infrastructure team at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Susan Zimmerman (Assistant Director), Sarah Arnett, Jim Geibel, Delwen Jones, Joanie Lofgren, SaraAnn Moessbauer, Malika Rice, Amy Suntoke, Maria Wallace, Eric Warren, and Crystal Wesco."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This statement examines commuter railroads\u2019 implementation of positive train control (PTC). Specifically, this report addresses: commuter railroads\u2019 progress in implementing PTC; how many, if any, commuter railroads may be at risk of not meeting the mandated PTC deadline or certain extension criteria, and what factors may be affecting implementation progress; and the extent to which FRA\u2019s management and oversight approach has helped ensure that commuter railroads either meet the deadline or qualify for an extension.", "To address these objectives, we reviewed the Rail Safety Improvement Act of 2008, the Positive Train Control Enforcement and Implementation Act of 2015, and applicable Federal Railroad Administration (FRA) regulations, reports, and guidance. Our review focused on the 29 railroads FRA officials identified as commuter railroads required to implement PTC. We also reviewed previous GAO work on PTC and applied Standards for Internal Control in the Federal Government to FRA\u2019s role overseeing PTC implementation, including the principles that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives and that management should identify, analyze, and respond to risks. In addition, we interviewed representatives from 19 commuter railroads to further understand their implementation progress, factors that may be affecting progress, and the interviewees\u2019 perspectives on FRA\u2019s management and oversight of PTC implementation. We selected the 19 railroads to include the 14 railroads that according to FRA were identified in May 2017 as at risk of both not meeting the 2018 implementation deadline and not completing statutory requirements necessary to receive a deadline extension, as well as 5 other railroads that were further ahead with implementation and that varied in geographic location and size of rail system, among other factors.", "We met with relevant FRA officials involved in PTC monitoring, enforcement, and technical assistance including the PTC Staff Director, regional PTC specialists working in each of the FRA regions where commuter railroads selected for interviews operate, and members of the headquarters-based PTC Task Force. In addition, we met with FRA Office of Railroad Safety specialists and engineers, among others. We also interviewed representatives from all 7 of the Class I freight railroads (which are also required to implement PTC), 5 major PTC equipment suppliers and contractors identified by FRA, and representatives from 2 railroad industry associations\u2014the Association of American Railroads and the American Public Transportation Association\u2014to obtain their perspectives on commuter railroads\u2019 implementation of PTC, factors affecting implementation progress, and FRA\u2019s PTC management and oversight.", "To identify commuter railroads\u2019 progress in implementing PTC, we reviewed railroads\u2019 third quarter progress reports submitted to FRA for the period ending September 30, 2017. We reviewed the most recently available quarterly data outlining the 29 commuter railroads\u2019 installation and implementation progress in selected areas as of September 30, 2017, including: locomotive equipment installed, wayside equipment installed, employee training, locomotives fully equipped and PTC- operable, spectrum obtained, the status of field testing, and revenue service initiated. As necessary, we also reviewed the narrative fields in the quarterly reports for additional context related to a given railroad\u2019s implementation activities and the extent of progress made in specific implementation areas. We assessed the data in these reports by reviewing it for anomalies, outliers, or missing information, and reviewing supporting narratives to ensure they aligned with the reported data, among other things. Based on these steps, we determined that these data were sufficiently reliable for our purpose of describing railroads\u2019 progress implementing PTC. We also reviewed other sources of information, such as PTC Implementation Plans, railroads\u2019 2016 annual progress reports, and interviews with railroad representatives.", "To assess progress on locomotive equipment installation and wayside equipment installation, we compared the quantities installed to the total quantities required for PTC implementation. Similarly, to assess progress on employee training, we compared the number of employees trained to the number of employees required to be trained for PTC implementation. To assess progress in fully equipping locomotives to be PTC-operable, we compared the quantity of locomotives that are fully equipped and PTC-operable to the quantity required for PTC implementation. To assess progress on obtaining spectrum, we reviewed the quarterly update on spectrum. We concluded that a railroad had obtained spectrum if, for one or more area or location, it reported that spectrum was either (1) acquired but not available for use or (2) acquired and available for use. We also reviewed the narrative, as appropriate. For some railroads, we concluded that spectrum was not applicable because they use a PTC system that does not require spectrum, or because their host railroad is responsible for obtaining spectrum. To assess progress on field testing, we reviewed the third quarter status on installation and track-segment progress. We concluded that a railroad initiated field testing if one or more of its segments were reported as (1) testing or (2) operational/complete. To determine which railroads initiated revenue service demonstration (RSD), we reviewed the cumulative territories where RSD had been initiated. If the railroad reported that one or more territories had initiated RSD, we concluded that RSD had been initiated.", "Finally, to determine which railroads anticipate completing implementation before the December 31, 2018 deadline and which plan to seek any RSD- based extension, we obtained information from all 29 commuter railroads to identify which railroads plan to implement PTC by the 2018 deadline and which plan to submit an alternative schedule (that is, a request for an extension) to implement PTC after the December 31, 2018 deadline.", "To identify commuter railroads at risk of meeting neither the PTC deadline nor any RSD-based extension criteria, we first reviewed data on railroads\u2019 progress installing PTC locomotive and wayside equipment. We did this because FRA used such installation progress to identify 14 commuter railroads as being at risk and notified them via formal letter in May 2017. To confirm FRA\u2019s identification of commuter railroads that would be at risk based on an updated benchmark for the third quarter of 2017\u2014railroads with less than 65 percent of total hardware installed\u2014we analyzed railroads\u2019 reported locomotive and wayside equipment installation status as of September 30, 2017 to determine the percentage of total hardware installed for each commuter railroad.", "To build on this analysis, we collected information from all 29 commuter railroads on their actual and planned schedules for key implementation milestones. For the 19 commuter railroads we met with, we collected this information as part of our interviews, and for the remaining 10 commuter railroads, we collected this information by email using a standard data collection instrument. The key implementation milestones covered procuring a prime contractor for PTC implementation; applying for and entering field testing and RSD, which is the final phase of field testing; installing the back office server (BOS) and associated software; and completing PTC implementation. This schedule information was collected between September 2017 and January 2018.", "We compared the amount of time commuter railroads\u2019 planned for completing two key milestones to the amount of time that FRA officials estimate is required for each milestone and to the experiences of railroads that already initiated RSD. The two milestones are as follows: Install the BOS and associated software necessary to connect and interface with wayside, locomotive, and dispatch equipment.", "Conduct field testing of installed infrastructure, which is an initial assessment of the PTC system\u2019s overall functionality on trains that are not transporting passengers or operating during regular passenger service.", "We selected these two milestones because (1) each milestone follows equipment installation (which FRA had previously analyzed to assess commuter railroads PTC implementation progress); (2) a railroad must complete both to enter RSD; and (3) several interviewees, including PTC contractors and suppliers and FRA officials, said these activities are important project milestones that are complex and time consuming. We calculated the amount of time a commuter railroad planned for each milestone (with initiating RSD as the endpoint for each milestone), and compared that amount of time to two benchmarks: first, the anticipated length of time FRA officials said that the milestones have taken or may take, and second, the average amount of time (in months) that each milestone took the six commuter railroads that had started RSD as of September 2017. Since we used two benchmarks, we present a range of railroads that may not have sufficient time to complete these milestones and thus may be at risk of not meeting the 2018 deadline or qualifying for an RSD-based extension."], "subsections": []}, {"section_title": "Appendix II: Agency Comments", "paragraphs": ["Appendix II: Agency Comments This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-19-49", "url": "https://www.gao.gov/products/GAO-19-49", "title": "Information Technology: Departments Need to Improve Chief Information Officers' Review and Approval of IT Budgets", "published_date": "2018-11-13T00:00:00", "released_date": "2018-11-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In December 2014, Congress enacted FITARA, which was intended to improve covered agencies' acquisitions of IT. FITARA also provided an opportunity to strengthen the authority of CIOs to provide needed direction and oversight of agencies' IT budgets.", "GAO was asked to review whether CIOs' IT budgeting practices are consistent with FITARA and OMB's implementing guidance. This report addresses the extent to which selected federal agencies (1) established policies and procedures that address IT budgeting requirements, (2) could demonstrate that they had developed fiscal year 2017 IT budgets for sampled investments consistent with FITARA and OMB guidance, and (3) implemented processes to ensure that annual IT budgets are informed by reliable cost information.", "GAO selected four departments to review. These departments had the two highest and the two lowest average initial selfassessments scores of compliance with OMB's FITARA guidance, as well as a fiscal year 2017 IT budget of at least $1 billion. Within each of the departments, GAO also selected the component agencies with the largest fiscal year 2017 IT budget. For each selected department and component agency, GAO reviewed relevant IT budget policies and procedures, analyzed a sample of major and non-major investment proposals against key OMB requirements, and determined whether selected departments captured government labor costs, among other things."]}, {"section_title": "What GAO Found", "paragraphs": ["The departments GAO reviewed\u2014the Departments of Energy (DOE), Health and Human Services (HHS), Justice (DOJ), and the Treasury (Treasury)\u2014took steps to establish policies and procedures that align with eight selected Office of Management and Budget (OMB) requirements intended to implement information technology (IT) acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA) and to provide the chief information officer (CIO) visibility into and oversight over the IT budget. For example, of the eight OMB requirements, all four departments had established policies and procedures related to the level of detail with which IT resources are to be described in order to inform the CIO during the planning and budgeting processes. Agencies varied, however, as to how fully they had established policies and procedures related to some other OMB requirements, and none of the four departments had yet established procedures for ensuring that the CIO had reviewed whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request. (See table.)", "Where the departments had not fully established policies and procedures, it was due, in part, to having not addressed in their FITARA implementation and delegation plans how they intended to implement the OMB requirements. Until departments develop comprehensive policies and procedures that address IT budgeting requirements established by OMB, they risk inconsistently applying requirements that are intended to facilitate the CIO's oversight and approval of the IT budget.", "Departments varied in the extent to which they could demonstrate implementation of key IT budgeting requirements when developing fiscal year 2017 funding requests for sampled investments. Specifically, while DOJ demonstrated that it had fully implemented the selected requirements for the majority of the investments GAO sampled, HHS and Treasury partially demonstrated implementation for a majority of the sampled investments, and DOE could not demonstrate implementation for the majority of the sampled investments. For example, DOE, HHS, and Treasury were not able to fully show that their CIOs had reviewed whether estimates of IT resources included in the budget request were appropriate for two of their respective departments' largest fiscal year 2017 IT investments. Departments often could not demonstrate that they had implemented selected IT budgeting requirements at the investment level because they had not established comprehensive policies and procedures that required them to do so. As a result, departments could not show that CIOs were sufficiently involved in planning fiscal year 2017 IT expenditures at the individual investment level.", "All four selected departments lacked quality assurance processes for ensuring their IT budgets were informed by reliable cost information. Specifically, the selected departments did not have IT capital planning processes for (1) ensuring government labor costs have been accurately reported, (2) aligning contract costs with IT investments, and (3) utilizing budget object class data to capture all IT programs. This resulted in billions of dollars in requested IT expenditures without departments having comprehensive information to support those requests, and nearly $4.6 billion in IT contract spending that was not explicitly aligned with investments in selected departments' IT portfolios. This was due to a lack of processes for periodically reviewing data quality and estimation methods for government labor estimates, as well as a lack of mechanisms to cross-walk IT spending data in their procurement and accounting systems with investment data in their IT portfolio management systems. In August 2017, OMB developed a new approach of using a standard set of categories to group IT spending that, if properly implemented, has the potential to provide departments and CIOs enhanced visibility into IT costs across the portfolio. Nevertheless, until departments establish processes for assessing or otherwise ensuring the quality of relevant IT cost data used to inform their IT budgets, department CIOs will have less assurance that their budget includes appropriate and comprehensive estimates of IT resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 43 recommendations to the eight selected departments and component agencies to address gaps in their IT budgeting policies and procedures, demonstrate implementation of OMB requirements, and establish procedures to ensure IT budgets are informed by reliable cost information. HHS, the Centers for Medicare and Medicaid Services, DOJ, the Federal Bureau of Investigation, and the Internal Revenue Service agreed with our recommendations. DOE partially agreed with one recommendation and agreed with the other recommendations made to it, as well as with the recommendations made to its component agency\u2014the National Nuclear Security Administration. Treasury neither agreed nor disagreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Information systems are critical to the health, economy, and security of the nation. Toward this end, the President\u2019s fiscal year 2018 budget estimated that, for information technology (IT), the federal government had invested approximately $94 billion in fiscal year 2017 and expected to invest approximately $96 billion in fiscal year 2018\u2014the largest amount ever. However, as we have previously reported, prior IT expenditures have too often produced failed projects\u2014that is, projects with multimillion dollar cost overruns and schedule delays measured in years, and with questionable mission-related achievements.", "Moreover, the President\u2019s Management Agenda has pointed out that federal executives have been challenged by the lack of visibility into, and accuracy of IT spending data. In this regard, the agenda noted that 84 percent of the federal IT budget was assigned to the spending category of \u201cother,\u201d and was not tied to a specific category of IT spending. The Administration stated that this lack of granularity makes it difficult to baseline federal IT investments and show the public whether the government is spending taxpayer dollars effectively in order to drive the large-scale change needed to improve business transformation and citizen services.", "Recognizing the severity of issues related to the government-wide management of IT, in December 2014, Congress enacted IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA) as part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. FITARA was intended to improve covered agencies\u2019 acquisitions of IT and enable Congress to monitor their progress, as well as hold those agencies accountable for reducing duplication and achieving cost savings. In addition, with the enactment of FITARA, the federal government is to strengthen the authority of chief information officers (CIO) to provide needed direction and oversight of covered agencies\u2019 IT budgets. Among other things, FITARA requires the CIOs of certain major civilian agencies to have a significant role in the decision processes for all annual and multi-year planning and to approve the IT budget requests of the agencies.", "In June 2015, the Office of Management and Budget (OMB) released FITARA guidance (referred to as the \u201ccommon baseline\u201d). The common baseline describes how covered agencies are to implement the requirements of the law through the use of management controls, including controls related to the development of IT budgets.", "With these requirements in mind, you asked us to determine whether CIOs\u2019 IT budgeting practices are consistent with FITARA and implementing guidance. This report examines the extent to which selected federal agencies (1) established policies and procedures that address the IT budgeting requirements of FITARA and related OMB IT budget guidance, (2) could demonstrate that they had developed fiscal year 2017 IT budgets for sampled investments consistent with FITARA and OMB guidance, and (3) implemented processes to ensure that annual IT budgets are informed by reliable cost information.", "To address our objectives, we selected four departments to review. First, we identified a subset of the 24 agencies covered by the Chief Financial Officers Act that had a fiscal year 2017 IT budget request of at least $1 billion. From this subset, we then identified the four agencies having the two highest and the two lowest average initial FITARA self-assessment scores (which reflected the extent to which the agencies had reported implementing the specific requirements called for in the act\u2019s provisions). In the event that one or more agencies had the same average self-assessment scores, we selected the agency with the largest fiscal year 2017 IT budget. Based on these criteria, we selected four departments for our review: (1) the Department of Energy (DOE), (2) the Department of Health and Human Services (HHS), (3) the Department of Justice (DOJ), and (4) the Department of the Treasury (Treasury).", "In addition, for each of these four departments, we selected the component agency that had the largest fiscal year 2017 IT budget request. The component agencies within the four selected departments were: (1) the National Nuclear Security Administration (NNSA) within DOE, (2) the Centers for Medicare and Medicaid Services (CMS) within HHS, (3) the Federal Bureau of Investigation (FBI) within DOJ, and (4) the Internal Revenue Service (IRS) within Treasury.", "For the first objective, we compared the selected departments\u2019 IT budgeting and capital planning policies and procedures to those requirements in OMB\u2019s FITARA guidance that related to developing IT budgets. In selecting the requirements, we reviewed 10 areas within OMB\u2019s common baseline that related to budget formulation and execution, and selected 8 requirements\u2014such as including the CIO in the planning and budgeting stages for programs that are fully or partially supported with IT resources\u2014that, in our professional judgment, would significantly impact the development and approval of departments\u2019 annual IT budgets.", "We also assessed selected component agencies\u2019 IT budgeting and capital planning policies and procedures in cases where the department had delegated the responsibility for performing the requirement to its components. Of the four departments we reviewed, three departments\u2014 DOE, HHS, and Treasury\u2014had delegated the responsibility to component agencies for performing certain IT budgeting and capital planning requirements.", "With regard to the second objective, we determined whether the departments had implemented key IT budgeting requirements for a non-generalizable sample of investments in their fiscal year 2017 budget formulation. In doing so, we chose 16 investments\u2014the largest major and non-major investments at the department level and the largest major and non-major investments at the component level\u2014based on the selected departments\u2019 fiscal year 2017 IT budget requests.", "We then reviewed investment-related IT budget formulation artifacts\u2014 such as briefings, reports, meeting minutes, memorandums, and other relevant documentation\u2014for the sampled major and non-major investments at each of the departments and component agencies included in our review. We compared this documentation to the actions agencies should have taken to implement five of the eight selected requirements from the first objective. We focused on these five requirements because, based on our professional judgment, the actions taken to implement these requirements could be observed for individual investments, such as whether the CIO was included in the planning and budgeting stages for investments with IT resources.", "To address the third objective, we assessed the departments\u2019 efforts to develop their fiscal year 2017 budget with reliable cost information by comparing the selected departments\u2019 IT capital planning and budgeting processes against three best practices (from among others) that we and the International Organization for Standardization have identified: capturing government labor costs, aligning contract costs with investments, and utilizing budget object class data. We selected these three practices because of their potential to inform the development of a complete and accurate IT budget for a federal department.", "We then reviewed, for each selected department, government labor estimates and contract-related information in the 2017 budget submission reported on the Federal IT Dashboard, contract obligation data reported within the Federal Procurement Data System-Next Generation, documentation identifying the department\u2019s budget object classes, and each selected department\u2019s IT capital planning policies and procedures.", "We analyzed each department\u2019s IT investment proposals and capital planning procedures to determine whether the department was capturing government labor costs for each investment, aligning contract costs with investments, and utilizing budget object class data to inform its IT budget formulation.", "We supplemented our analyses with interviews of relevant officials in the selected departments\u2019 offices of the CIO and Chief Financial Officer, as well as program offices. These interviews included discussions of our observations of any shortfalls in their processes. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from January 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In addition to improving the government-wide acquisition of IT, FITARA was intended to assist Congress in holding covered agencies accountable for their progress towards reducing duplication and achieving cost savings. The act also enhanced the CIO\u2019s authority in covered agencies for the formulation and approval of their agency\u2019s IT budgets. In this regard, the act requires CIOs to have a significant role in the decision processes for all annual and multi-year planning, and to approve the IT budget requests of the agency.", "In June 2015, OMB released guidance that describes how agencies are to implement the requirements of FITARA. The guidance is intended to, among other things: assist agencies in aligning their IT resources with statutory requirements; establish government-wide IT management controls that will meet the law\u2019s requirements, while providing agencies with flexibility to adapt to unique agency processes and requirements; strengthen the relationship between agency CIOs and component CIOs; and strengthen the CIO\u2019s accountability for IT costs, schedules, performance, and security.", "The guidance identifies a number of actions that agencies are to take to establish a basic set of roles and responsibilities (the common baseline) for CIOs and other senior agency officials. One such action is that agencies are to conduct a self-assessment to determine whether their current policies and procedures meet or do not meet the common baseline requirements. If the agencies do not meet the requirements, they are to submit an implementation plan describing the changes they intend to make to their policies and procedures in order to ensure that the common baseline requirements are met. Further, the guidance notes that senior agency officials\u2014including Chief Financial Officers and Chief Acquisition Officers\u2014are to work in partnership to facilitate successful implementation of the common baseline and to ensure the CIO is a strategic partner in agency strategies, budgets, and operations.", "In its guidance, OMB states that agency CIOs are allowed to delegate certain responsibilities from the common baseline to other agency officials, such as component agency CIOs. For example, CIOs can delegate to these officials, inclusion in the planning, programming, and budgeting stages for programs with IT resources. However, according to the guidance, agency CIOs cannot delegate their responsibility for reviewing and approving the major IT investments portion of the budget request. The guidance further states that, for delegated responsibilities, agency CIOs are to establish plans that demonstrate how they will retain accountability. These delegation plans should include procedures for ensuring that the delegated official will execute the responsibility with the appropriate level of rigor.", "In addition to the FITARA implementation guidance, OMB Circular A-130 establishes general requirements for the planning; budgeting; governance; acquisition; and management of federal information, personnel, equipment, funds, IT resources, and supporting infrastructure and services. The circular identifies responsibilities for planning, programming, and budgeting that reinforce requirements in OMB\u2019s FITARA implementation guidance.", "Moreover, in May 2018 the President issued an executive order that reinforces requirements in OMB\u2019s FITARA implementation guidance. The order noted that its purpose was to further enhance the effectiveness of CIOs by, among other things, requiring agency heads to ensure that the CIO has a significant role in all IT-related annual and multi-year planning, programming, budgeting, and execution decisions. In addition, the executive order noted that agency heads are to direct the CIO to be a voting member of and to chair agency governance boards, including investment review boards, that have purview over IT or that set agency-wide IT standards.", "We have previously testified that, while agencies have made progress in implementing FITARA, its further implementation is critical to improving IT management. We have also noted that, continued congressional oversight of agencies\u2019 implementation of this law is essential to help ensure that these efforts succeed.", "In addition, in an August 2018 report, we noted that 23 federal agencies had reported wide variations in the authority over component-level IT spending. For example, 8 agencies reported that the CIO had 100 percent authority over the agencies\u2019 IT spending (including for components), while 10 agencies reported that these officials had authority for less than 50 percent of such spending. These widely varying levels of authority over agency-wide IT spending existed, in part, because OMB\u2019s guidance did not completely define the authority that CIOs should have over this spending. Accordingly, we recommended that OMB define the authority that the CIOs are to have when agencies report on their authority over IT spending. OMB subsequently agreed with our recommendation."], "subsections": []}, {"section_title": "Departments Took Steps to Establish Policies and Procedures for IT Budgeting, but Lacked Plans to Fully Implement FITARA Requirements", "paragraphs": ["As previously mentioned, OMB\u2019s guidance on implementing FITARA requires departments to develop policies and procedures to address a number of requirements identified in the basic set of roles and responsibilities (the common baseline) for CIOs. These include the eight selected common baseline requirements related to the CIO\u2019s responsibility for IT budgeting. As identified in table 1, these requirements can be categorized into three areas: (1) CIO visibility into IT resources, (2) CIO input into IT resource plans, and (3) CIO review and approval of IT budgets.", "OMB required federal agencies and departments to establish FITARA implementation plans that articulated policies and procedures for addressing each of the common baseline requirements and that described changes the departments intended to make to address any gaps in their policies and procedures. Further, for delegated responsibilities, OMB required agency CIOs to establish delegation plans that demonstrate how they intend to retain accountability for the requirement and ensure that the delegated official will execute the responsibility with the appropriate level of rigor.", "Toward this end, the selected departments had taken steps to establish policies and procedures that addressed the common baseline requirements established by OMB; however, most of the departments, or their component agencies, lacked comprehensive policies and procedures that fully addressed all of the requirements. Specifically, of the eight common baseline requirements that we reviewed, all four departments and their respective component agencies had fully documented one requirement in their policies and procedures, and either had partially documented or had not documented the other seven requirements. While shortfalls existed for each department, DOJ had the most comprehensive IT budgeting policies and procedures, followed by Treasury, HHS, and DOE, respectively.", "In addition, department CIOs at Treasury, HHS, and DOE had delegated many of the responsibilities for addressing the IT budgeting requirements to component CIOs\u2014thus, these component agencies were to supplement their departments\u2019 policies and procedures with their own IT budgeting policies and procedures for the responsibilities they were delegated.", "Among the three respective component agencies to which Treasury, HHS, and DOE had delegated IT budgeting responsibilities, the extent to which the components had documented requirements in their policies and procedures varied. For example, IRS had documented policies and procedures for all four of its delegated requirements. In addition, CMS had documented policies and procedures that satisfied two, partially satisfied two, and did not satisfy one of the five requirements delegated to that component. For its part, NNSA had not documented any of its five delegated requirements in the component\u2019s policies and procedures.", "Figure 1 illustrates the extent to which all four departments\u2019 policies and procedures had addressed the selected OMB common baseline requirements, and is followed by a discussion of each category of requirement. In addition, the figure highlights areas where component agencies addressed their delegated responsibilities or did not address their delegated responsibilities. Appendices II through V (for DOE, HHS, DOJ, and Treasury, respectively) provide additional details about our assessment of the extent to which the departments\u2019 policies and procedures had addressed the selected OMB common baseline requirements, as well as the extent to which component agencies fulfilled their delegated responsibilities."], "subsections": [{"section_title": "CIO Visibility into IT Resources", "paragraphs": [], "subsections": [{"section_title": "Establish the Level of Detail with Which IT Resources Are to Be Described in Order to Inform the CIO during the Planning and Budgeting Processes", "paragraphs": ["All four departments had policies and procedures that addressed the level of detail with which IT resources are to be described in order to inform the CIO during the planning and budgeting processes. For example, three of the four departments (DOE, HHS, and Treasury) had policies that required the IT budget to include a description of IT resource categories that are required by OMB\u2019s IT capital planning guidance, such as government labor and certain infrastructure resources. DOJ\u2019s policy required the IT budget to include a description of 49 different IT resource categories. As a result, the departments have increased the likelihood that IT resources will be consistently described with the appropriate level of detail for the CIO."], "subsections": []}, {"section_title": "Establish Agency-Wide Policy for the Level of Detail with Which Planned Expenditures for All Transactions That Include IT Resources Are to Be Reported to the CIO", "paragraphs": ["Each of the four departments had documented within their IT budgeting procedures the level of detail that was required for reporting planned IT expenditures to the CIO. However, the procedures did not explicitly require that every transaction that related to IT resources be included in the planned expenditure reporting to the CIO. Without explicitly requiring that all transactions that have IT resources be included in the reporting of planned expenditures, there is increased risk that the CIO cannot ensure that all budget requests contain complete and accurate resource estimates, in a consistent manner, to inform the department\u2019s annual IT budget."], "subsections": []}]}, {"section_title": "CIO Input into IT Resource Planning", "paragraphs": [], "subsections": [{"section_title": "Include the CIO in the Planning and Budgeting Stages for Programs That Are Fully or Partially Supported with IT Resources", "paragraphs": ["The departments varied in the extent to which their policies and procedures included a requirement for the department-level CIO to be included in programs supported with IT resources. For example, DOE and DOJ took steps to ensure that their CIOs are included in the planning and budgeting of programs with IT resources by requiring that each IT acquisition request include information about the investment in the CIO\u2019s IT portfolio that is to support the acquisition. Adding this investment information to each acquisition request is intended to allow the CIO to ensure that the requests are factored into resource planning for the IT budget.", "However, DOE\u2019s, HHS\u2019s, and Treasury\u2019s policies and procedures did not always require that the CIO be included in the planning and budgeting stages for every program with IT resources. For example, DOE\u2019s policies called for the CIO to be included in the budget development process by requiring the program offices to submit their IT budget to the CIO for review and approval annually. On the other hand, this policy did not apply to NNSA\u2019s IT programs because the responsibility to meet this requirement was delegated to that component.", "NNSA drafted procedures to carry out the delegated responsibility, but the procedures did not call for the DOE CIO\u2014in addition to the component-level CIO\u2014to have input into the IT budget, as required by the Secretary of Energy\u2019s October 2016 FITARA implementation memorandum. According to officials in NNSA\u2019s Office of the CIO, the component expects to finalize the procedures by the end of August 2018; however, the officials did not say whether the finalized procedures would include a requirement for NNSA to obtain input from the DOE CIO on its IT budget. By not requiring that the department-level CIO be included in the planning and budgeting stages for programs that are fully or partially supported with IT resources, DOE, HHS, and Treasury are at increased risk that the CIO is not providing input into key IT resource planning decisions."], "subsections": []}, {"section_title": "Include the CIO as a Member of Governance Boards That Inform Decisions Regarding All IT Resources, Including Component-Level Governance Boards", "paragraphs": ["The charters for all four department-level investment review boards that inform decisions regarding IT resources indicated that their respective CIOs were included as members. In addition, the charters for component-level investment review boards that inform decisions regarding IT resources at CMS and IRS included their respective component-level CIOs. However, a similar review board at FBI did not include the component-level CIO as a member and NNSA had not yet finalized its charter. Further, none of the charters for the selected components\u2019 investment review boards indicated that the department-level CIOs were members.", "Among the three CIOs at DOE, HHS, and Treasury that had delegated the responsibility of component-level board membership to component CIOs, the department-level CIOs at these agencies had not established procedures for ensuring that the components had implemented this responsibility, as required by OMB. As previously mentioned, while department CIOs were allowed to delegate this responsibility, OMB requires department CIOs to establish delegation plans that describe each requirement being delegated, demonstrate how the department CIOs will retain accountability for the requirement, and ensure that the delegated official executed the responsibility with the appropriate level of rigor. By not requiring that the department-level CIO be included in key governance board decisions regarding IT investments or establishing delegation plans that outline such activities for component CIOs, the selected departments are at increased risk that the CIO is not providing input into key IT resource planning decisions."], "subsections": []}, {"section_title": "Document the Processes by Which Program Leadership Works with the CIO to Plan an Overall Portfolio of IT Resources", "paragraphs": ["Departments varied in the extent to which they had documented the process by which program leadership is to work with the CIO to plan an overall portfolio of IT resources. For example, DOJ and Treasury documented a detailed process with roles and responsibilities for how program leadership is to work with their CIOs to plan resources for the overall portfolio through their IT governance process.", "However, DOE and HHS had partially documented the process they were to follow to meet this requirement. Specifically, these departments documented that they were to utilize department-level governance boards to plan IT resources with program leadership for investments subject to the governance board reviews. However, they did not always document how CIOs were to work with program leadership in planning IT resources for other investments that were not subject to department-level governance board reviews, such as existing HHS investments that are greater than or equal to $20 million annually and DOE investments initiated by NNSA. As a result of shortfalls in documenting policies and procedures that require the CIO to work with program leadership to plan the IT portfolio, DOE and HHS are at an increased risk that the CIO\u2019s role in the formulation of IT budgets is limited."], "subsections": []}]}, {"section_title": "CIO Review and Approval of the IT Budget Request", "paragraphs": [], "subsections": [{"section_title": "Ensure the CIO Has Reviewed and Approved the Major IT Investments Portion of the Budget Request", "paragraphs": ["The four selected departments varied in the extent to which they had documented in their policies and procedures how their CIOs are to review and approve the major IT investments portion of the budget request. For example, DOJ had a documented process for how the CIO is to review and approve all major IT investments through the department\u2019s annual budget planning and IT portfolio review processes.", "In contrast, the other three departments partially addressed the requirement by documenting the requirement to review and approve certain major investments, but not all major investments. To illustrate, DOE documented policies and procedures that required the CIO to review major IT investments, but the policies and procedures did not apply to major IT investments within NNSA and the national laboratories, including those related to high-performance computing.", "Further, NNSA had draft policies and procedures requiring its component-level CIO to review major IT investments. However, these policies and procedures had not yet been finalized and approved, and they did not include a requirement for the DOE CIO\u2019s review of these investments. Moreover, the department had not developed policies and procedures stipulating this requirement for the national laboratories. While officials in the department\u2019s Office of the CIO stated that they plan to revise policies and procedures for the national laboratories to include the CIO in their annual planning processes, the officials did not identify a time frame for completing those revisions.", "As another example, HHS had documented a process that required the department-level CIO to review and approve new major IT investments greater than or equal to $20 million. In addition, the process required that the review and approval of new and existing major investments between $10 million and $20 million annually be delegated to the department\u2019s component CIOs. Accordingly, CMS met this requirement at the component level by documenting IT investment review board policies and procedures that require the component CIO to review and approve major, high-risk, and mission critical IT investments with estimated costs of less than $20 million. However, HHS did not fully address the department-level requirement in that its process did not document how the department-level CIO would review and approve existing (as opposed to new) major investments greater than or equal to $20 million annually. As a result of not fully documenting the process for how the departments are to meet this requirement, DOE, HHS, and Treasury are at increased risk that major investments will be submitted for the budget without being reviewed and approved by the CIO."], "subsections": []}, {"section_title": "Ensure the CIO Has Reviewed IT Resources That Are to Support Major Program Objectives and Significant Increases and Decreases in IT Resources", "paragraphs": ["The departments we reviewed varied in the extent to which they had documented in their policies and procedures how they are to ensure that the CIO has reviewed IT resources that are to support major program objectives and significant increases and decreases in resources. For example, DOJ and Treasury had documented in their policies and procedures their CIOs\u2019 role in reviewing IT resources that support major program objectives and significant increases and decreases in their resources.", "However, the other two departments\u2014HHS and DOE\u2014had not documented this role for their CIOs. Specifically, HHS policies and procedures did not include a requirement for the CIO to review significant increases and decreases in IT resources. In addition, the HHS CIO delegated to component-level CIOs the responsibility to review IT resources that support major program objectives for investments of less than $20 million annually. However, HHS had not established procedures for ensuring its components carried out the responsibility, and the component agency we selected\u2014CMS\u2014did not include this requirement in its procedures.", "Similarly, DOE had not documented procedures for the department-level CIO\u2019s role in reviewing IT resources that support major program objectives and significant increases and decreases in IT resources. For NNSA programs, DOE delegated the responsibility to the NNSA CIO. However, NNSA had not documented the NNSA CIO\u2019s role in reviewing planned IT support for major program objectives, as well as significant increases and decreases in IT resources. Until DOE and HHS develop policies and procedures that include how the CIO is to review whether each investment\u2019s IT resources support major program objectives and have increased or decreased significantly, they will have less assurance that the IT budget request consistently supports the departments\u2019 goals and objectives and that the CIOs have approved significant changes in the budget."], "subsections": []}, {"section_title": "Ensure the CIO Has Reviewed Whether the IT Portfolio Includes Appropriate Estimates of All IT Resources Included in the Budget Request", "paragraphs": ["None of the four departments had documented in their policies and procedures how their CIOs are to ensure, as part of the IT budget review and approval process, that the IT portfolio includes appropriate estimates of all resources. Specifically, DOE, HHS, Treasury, and DOJ had not documented in their policies and procedures the necessary steps that their CIOs would need to take in order to ensure that the portfolios included the appropriate estimates of all IT resources in the budget requests.", "In addition, Treasury delegated this responsibility to its component CIOs for component-level investments, and IRS had documented procedures for validating the estimates of all IT resources for the IRS budget request. However, Treasury did not document the necessary steps to ensure that its delegated authorities were being carried out, as required by OMB.", "Without documented policies and procedures for the steps the CIO is to take to review whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request or delegation plans that outline such activities for component CIOs, the selected departments may be limited in their ability to assure that their CIOs are effectively positioned to consistently and adequately review and approve the IT budget request."], "subsections": []}]}, {"section_title": "Gaps in Departments\u2019 FITARA Implementation and Delegation Plans", "paragraphs": ["The shortcomings in the four departments\u2019 policies and procedures related to CIO visibility into IT resources, CIO input into IT resource planning, and CIO review and approval of the IT budget request were due, in part, to having not addressed in their FITARA implementation and delegation plans how they intended to implement the OMB common baseline requirements.", "For example, none of the four departments\u2019 FITARA implementation plans addressed how they intended to implement the requirement that all transactions related to IT resources be included in planned expenditure reporting to the CIO. These departments\u2019 implementation plans also did not address the requirement that the CIO review whether the IT portfolio includes appropriate estimates of all IT resources identified in the budget request. Officials in DOE\u2019s Office of the CIO stated that the department is in the process of determining ways to add specific review criteria to its capital planning policies and procedures to identify how the department is to review the appropriateness of IT resources in the portfolio. Had such procedures been documented and identified in the department\u2019s FITARA implementation plan, it would have been better positioned to demonstrate how this common baseline requirement is being addressed.", "In addition, the HHS and Treasury FITARA delegation plans did not address how their CIOs would ensure components carried out their responsibilities for reviewing and approving the IT budget request. Officials in HHS\u2019s Office of the CIO stated that delegation memorandums issued to their components included procedures for ensuring components carried out their responsibilities. However, the delegation plans they provided to us did not include such procedures. Officials in Treasury\u2019s Office of the CIO stated that they did not believe that it was their responsibility to have procedures for verifying that components are carrying out their delegated responsibilities because they viewed it as an audit function. However, having such procedures is called for by OMB\u2019s FITARA implementation guidance.", "Without FITARA implementation plans that address the shortfalls in policies and procedures for ensuring the implementation of OMB\u2019s common baseline requirements, departments have limited assurance that their CIOs will implement the requirements as intended by OMB and FITARA. In addition, without identifying the steps within the FITARA delegation plans that departments intend to take to ensure the responsibilities delegated to components are appropriately carried out, the departments may have limited assurance that these actions have been taken."], "subsections": []}]}, {"section_title": "Selected Departments Demonstrated Mixed Implementation of IT Budgeting Requirements in Developing Fiscal Year 2017 Budgets for a Sample of Investments", "paragraphs": ["While it is important for federal agencies to establish policies and procedures that describe how they are to carry out IT budgeting requirements identified in FITARA and OMB guidance, it is equally important for them to implement the requirements when planning and budgeting for individual IT investments and to retain supporting documentation that would demonstrate that they have done so. Among the eight selected OMB common baseline requirements related to IT budgeting, five of the requirements are applicable at the individual investment level. Table 2 shows how these five common baseline requirements would be implemented at the individual investment level, as well as the related categories.", "The selected departments and their respective component agencies varied in the extent to which they could demonstrate that they had implemented the five common baseline requirements when developing their fiscal year 2017 funding requests for 16 sampled investments.", "Figure 2 and the subsequent discussion summarize the extent to which the departments and their component agencies could demonstrate that they had implemented the five requirements in developing fiscal year 2017 budgets for the sample of investments that we reviewed. As described earlier, we reviewed the largest major and non-major investment for each of the four departments and four component agencies. In addition, appendices II through V provide further details about our assessments of the extent to which the departments and component agencies demonstrated that they had implemented the five requirements."], "subsections": [{"section_title": "CIO Visibility into IT Resources", "paragraphs": [], "subsections": [{"section_title": "IT Resources for Each Investment Are Described in Order to Inform the CIO during the Planning and Budgeting Processes", "paragraphs": ["For the investments that we reviewed, the departments and their components varied in the extent to which they could demonstrate that they had described their investments\u2019 IT resources. For example, DOJ and Treasury described specific IT resources, such as costs for personnel and software, in spreadsheets or databases for processing annual requests for resources for each proposed IT investment.", "Conversely, HHS and DOE did not fully describe in supporting documentation their respective IT resources for their investments included in our review. For example, HHS could not demonstrate that it had described the department-level non-major investment\u2019s IT resources. In addition, although HHS described non-labor resources that were allocated for a portion of the sampled department-level major investment, the department did not describe labor resources for the investment. HHS also could not account for the investment\u2019s entire funding request\u2014 leaving nearly $17 million in resources that were not described. Officials in HHS\u2019s Office of the CIO were unable to explain why supporting documentation for the investment only accounted for a portion of the investment\u2019s total funding request, and not the entire request.", "HHS and DOE officials provided various reasons as to why their departments did not describe in supporting documentation all of the IT resources associated with the investments we sampled. For example, HHS could not demonstrate that it had described IT resources for the non-major investment that we reviewed because officials in the Office of the CIO did not have the supporting documentation associated with its funding request. In addition, according to officials in HHS\u2019s Office of the CIO, the department\u2019s omission of required labor resources from program office artifacts supporting the funding request for the department-level major investment was an oversight. According to the officials, during the budget formulation cycle, the department did not consistently maintain documentation for its investments that would describe the IT resources and lacked a mature governance process for reviewing the IT resources associated with the investment.", "Moreover, officials in DOE\u2019s Office of the CIO stated that the department\u2019s budgeting procedures did not call for clearly identifying specific IT resources. However, at a minimum, DOE\u2019s budgeting procedures required that the budget estimate for investments include planned government labor expenditures.", "Until HHS and DOE describe IT resources within their investments, the CIO may have limited visibility into what the resources are that are being requested in the annual IT budget."], "subsections": []}]}, {"section_title": "CIO Input into IT Resource Planning", "paragraphs": [], "subsections": [{"section_title": "The CIO Is Included in the Planning and Budgeting Stages for Investments with IT Resources", "paragraphs": ["The extent to which each of the four departments\u2019 could demonstrate that their CIOs were included in the planning and budgeting stages for the sampled investments with IT resources varied. Specifically, of the four investments we reviewed for each agency, DOJ and its component included the CIO in the planning and budgeting stages via an annual IT portfolio review that included the four sampled investments.", "On the other hand, HHS, Treasury, and DOE\u2014along with their components\u2014could not always demonstrate that the department-level CIO was included for their investments. For example, within HHS, its component agency\u2014CMS\u2014partially implemented the requirement for both of the sampled investments. Specifically, CMS documented the CIO\u2019s review and approval of each investment\u2019s detailed IT resource estimates during governance board reviews. However, HHS\u2019s supporting documentation did not demonstrate that the department CIO was involved in the planning process for these investments even though its capital planning and investment control policy required this official to review, validate, and approve these IT investments through the department-level review board.", "Further, Treasury could not demonstrate that the department\u2019s CIO was included in the planning and budgeting stages for the two department-level investments that we reviewed. According to officials in Treasury\u2019s Office of the CIO, the relevant documentation was not retained for the selected department-level investments because procedures were not in place to document reviews by the CIO and certain artifacts that may have documented such reviews were no longer available in part due to employee turnover within the program offices responsible for the investments. Until DOE, HHS, and Treasury include the CIO in the planning and budgeting stages for investments with IT resources, they may be at risk of duplicating resources or funding investments without the CIO\u2019s knowledge or approval."], "subsections": []}, {"section_title": "Program Leadership Works with the CIO to Plan the Investment\u2019s IT Resources", "paragraphs": ["The selected departments varied in their ability to demonstrate that their CIOs worked with program leadership across the investments we sampled for the fiscal year 2017 funding request\u2014both within and across the departments. For example, DOJ demonstrated that the CIO worked with program leaders in planning IT resources for both the major and non-major investment at the department level by jointly developing a plan for how business units were to utilize funds for IT services. At the component-level, FBI demonstrated that IT officials assisted program leadership in the planning of the major investment, but could not demonstrate that the CIO worked with program leadership on both the major and non-major investment.", "In addition, HHS fully demonstrated that the CIO worked with program leaders in planning IT resources for its major investment. For example, the CIO reviewed detailed IT resource narratives and line item estimates for the investment at a department-level governance board meeting with program leadership. However, HHS could not demonstrate that the CIO worked with program leadership to plan the non-major investment. At the component-level, CMS partially demonstrated that the CIO took such actions to plan the component-level investments. Specifically, the CIO at CMS worked with program officials to review and approve detailed IT resource requests for the investments. However, HHS could not demonstrate that its CIO was also involved in planning IT resources with program leadership for the same investments, as required by the department\u2019s policy. Officials in the Office of the CMS CIO stated that they believed that the CMS CIO was an authorized delegate for this responsibility. However, the officials could not provide documentation of the delegation as required by OMB.", "Further, Treasury could not demonstrate that the CIO had worked with program leadership in planning IT resources for the department-level investments. According to officials in the Office of the CIO, they could not demonstrate the actions the CIO took to work with program leadership because documentation that would show the interaction was not retained. The officials stated that documentation was not retained due to turnover within the program offices responsible for the investments. At the component-level, IRS partially demonstrated that the CIO took action to work with program leadership for a portion of the component-level investments\u2019 budget through IT budget reviews. However, IRS could not demonstrate coordination with program leadership for the full amount of the investments\u2019 budget because the agency did not maintain a document trail for lower-level budgeting activities that included all relevant resource planning for the investments.", "Lastly, DOE could not fully demonstrate that the CIO had worked with program leadership in planning IT resources across all four investments at the department and component. DOE could not demonstrate this, in part, because the Office of the CIO\u2019s internal process, during the formulation of the fiscal year 2017 budget, did not require input from all relevant stakeholders, including senior leadership, directors, and program managers. Officials in DOE\u2019s Office of the CIO acknowledged the gap in its process and stated that the department and its component agency\u2014 NNSA\u2014are working to establish processes that include senior management and program officials in the planning process. As of May 2018, DOE did not have a time frame for establishing these processes.", "The lack of consistent partnership of program leaders and the CIO to plan an investment\u2019s IT resources at the department and component levels limits the ability of the CIO to have a significant role in the formulation of the department\u2019s IT budget."], "subsections": []}]}, {"section_title": "CIO Review and Approval of IT Budgets", "paragraphs": [], "subsections": [{"section_title": "The CIO Reviews Whether the Investment\u2019s IT Resources Support Major Program Objectives and Have Increased or Decreased Significantly", "paragraphs": ["The selected departments varied in the extent to which they could demonstrate that the CIO had appropriately reviewed all the investments we sampled. For example, DOJ demonstrated that the CIO reviewed whether the IT resources for the department- and component-level investments supported major program objectives and whether there were increases and decreases in IT resources for the investments.", "In addition, HHS partially addressed the requirement for its component-level investments. Specifically, while the component-level CIO at CMS reviewed changes in the investments\u2019 resources, supporting documentation did not show that alignment with major program objectives was reviewed.", "Further, Treasury and DOE could not demonstrate that their CIOs reviewed whether the investment\u2019s IT resources support major program objectives and any significant increases or decreases in resources for their department-level investments. According to officials in the offices of the CIO at Treasury and DOE, relevant documentation that would have demonstrated review activities had not been maintained for the investments. Until DOE, HHS, and Treasury can consistently demonstrate that the CIO has reviewed whether each investment\u2019s IT resources support major program objectives and have increased or decreased significantly, the departments will have less assurance that the IT budget request supports their goals and objectives and that significant changes in the budget are appropriate."], "subsections": []}, {"section_title": "The CIO Reviews Whether the Investment\u2019s Estimates of IT Resources in the Portfolio and Budget Request Are Appropriate", "paragraphs": ["The selected departments varied in the extent to which they could demonstrate that the CIO took steps to review whether the investment\u2019s estimates of IT resources in the portfolio and budget request were appropriate.", "For example, the CIO for DOE\u2019s component agency\u2014NNSA\u2014 demonstrated the review and approval of the non-major investment\u2019s estimates of IT resources. However, NNSA could not demonstrate that the CIO reviewed the estimates for the major investment because it did not retain documentation that would provide details on the investment\u2019s budget formulation and approval.", "In addition, HHS\u2019s component agency\u2014CMS\u2014partially demonstrated implementation of the requirement on the major investment. Specifically, the CIO for CMS reviewed and approved supporting documentation for the investment\u2019s detailed resource estimates totaling more than $500 million in developing the fiscal year 2017 budget request. However, the fiscal year 2017 budget request for this investment was $399 million, and according to officials in the CMS Office of the CIO, the CMS CIO did not review and approve the lowered estimate\u2014ensuring the IT portfolio reflected an appropriate estimate.", "According to CMS officials in the Office of the CIO, the lowered estimate was the result of the user fees portion of the investment being removed from the request before it was submitted to OMB because it was not funded by annual appropriations. However, OMB\u2019s fiscal year 2017 IT capital planning guidance required departments to report all budgetary sources of funding for each investment, including amounts available for obligation through collection of fees, as well as annual appropriations.", "Further, Treasury could not demonstrate that the CIO had reviewed the resource estimates for the department-level investments. At the component level, IRS demonstrated that officials in the Office of the CIO reviewed supporting documentation for detailed cost estimates for the component-level investments. However, these cost estimates only accounted for a portion, and not the full amount, of the investment.", "Finally, DOJ could not demonstrate that the component agency CIO ensured that the IT portfolio included appropriate estimates of all IT resources for the non-major investment at the component level. While officials in the FBI\u2019s Office of the CIO stated that the component\u2019s CIO was involved in reviewing detailed resource estimates for the investment prior to its submission to the department-level CIO, they could not provide supporting documentation because the FBI had not established procedures that explicitly required documenting the performance of this activity. Until the CIOs at DOE, HHS, Treasury, and DOJ consistently review IT resource estimates for each investment, departments will have less assurance that the estimates in the budget request are appropriate."], "subsections": []}]}]}, {"section_title": "Departments Lacked Processes for Ensuring That Their IT Budgets Are Informed by Reliable Costs; the Administration Has Introduced an Initiative to Improve Cost Visibility", "paragraphs": ["GAO and international standards recommend certain quality assurance practices that can assist departments in developing an IT budget that is informed by reliable cost information. These practices include, among others: (1) ensuring government labor costs have been accurately reported for all investments, (2) aligning contract costs with the investments, and (3) utilizing budget object class data to capture all IT programs. Further, having documented IT capital planning processes to implement these practices is important because OMB requires department CIOs to fully account for and report on planned expenditures in their annual IT budget requests.", "All of the four selected departments\u2014DOE, HHS, DOJ, and Treasury\u2014 lacked quality assurance processes to ensure government labor costs have been accurately reported, align contract costs with IT investments, and utilize budget data to capture all IT programs. However, OMB\u2019s fiscal year 2019 IT capital planning guidance introduced several major changes to the budgeting process which, if effectively implemented, should provide departments and CIOs with enhanced visibility into IT costs across the portfolio and additional assurance that the budget is being informed by all relevant IT costs."], "subsections": [{"section_title": "The Administration\u2019s Efforts to Revise IT Budget Reporting Could Provide Department CIOs Additional Visibility into IT Spending", "paragraphs": ["OMB\u2019s fiscal year 2019 IT capital planning guidance, released in August 2017, introduced several major changes to the federal IT budgeting process, including the practice of using a set of low-level cost categories to group spending. Subsequently, the President\u2019s Management Agenda, released in March 2018, identified \u201cimproving outcomes through federal IT spending transparency\u201d as one of the Administration\u2019s 14 cross-agency priority goals.", "According to the President\u2019s Management Agenda, the Administration intends to accomplish the cross-agency priority goal related to improving federal IT spending transparency by, among other things, increasing the granularity in IT budget reporting by utilizing a set of cost categories from OMB\u2019s capital planning guidance. Figure 3 identifies the standard cost categories that OMB plans to implement in IT budget reporting.", "In its fiscal year 2019 IT capital planning guidance, OMB has recognized potential value in utilizing budget object classes, or similar financial data, to provide CIOs and Chief Financial Officers additional visibility into costs that inform the budget. As noted in the guidance, OMB expects that this new approach for utilizing financial data to inform the IT investment portfolio will enable the reconciliation of this portfolio with the department\u2019s budget submitted by the Chief Financial Officer. Further, this effort is to help CIOs work more closely and in partnership with the Chief Financial Officers by using budget object classes and sub-object classes as a way to reconcile different presentations of estimated costs. In addition, OMB\u2019s guidance stated that departments should begin to identify where they lack capabilities or resources to deliver financial data for the new low-level IT cost categories (shown in figure 3), consider what changes are necessary to achieve the new reporting requirements, and take steps to align reporting with the categories.", "Moreover, the President\u2019s Management Agenda stated that the changes to how IT spending is to be categorized were made, in part, because federal executives have long known that they could better manage the more than $90 billion in federal government IT spending with increased visibility and more accurate data. The President\u2019s Management Agenda action plan identified several milestones and due dates for accomplishing the goal of improving federal IT spending transparency, such as determining data sources necessary for departments to report within the low-level cost categories and establishing the common tools and services for the required reporting by June 2019. Moreover, the action plan stated that federal departments are expected to report all of the spending within their IT portfolio against the cost categories by September 2019. Given that improving federal IT spending transparency has been identified as one of the President\u2019s top 14 management priorities and is critical to enabling department CIOs in carrying out their IT budgeting authorities from FITARA, it is important that OMB and departments take action now in order to meet the 2019 reporting requirements.", "The Administration\u2019s approach for obtaining additional granularity on department IT investment spending, when implemented, should provide departments and CIOs enhanced visibility into IT costs across the portfolio. If implemented effectively, this approach could also provide departments additional assurance that their budgets are being informed by relevant IT costs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Recognizing the importance of CIOs\u2019 ability to be responsible for IT budgeting, OMB\u2019s common baseline includes eight requirements that departments\u2019 policies and procedures should address to implement FITARA. While the four selected departments in our review either fully or partially addressed the majority of the requirements, none fully addressed all of them. The lack of policies and procedures was due, in part, to the fact that departments had not adequately addressed all of the required common baseline requirements in their FITARA implementation and delegation plans, as directed by OMB. Until the departments establish policies and procedures that address all requirements, they risk inconsistently applying requirements that are key to providing their CIOs visibility into resources, input to resource plans, and meaningful review and approval of IT budgets.", "In addition, the lack of policies and procedures has hampered the departments\u2019 ability to demonstrate their implementation of the common baseline requirements for their investments. While DOJ fully demonstrated implementation for the selected requirements for the majority of the investments we sampled, HHS and Treasury partially demonstrated implementation for a majority of their investments, and DOE had not demonstrated implementation for the majority of its investments. As a result, departments were not always able to show that these CIOs had adequate input to resource plans and review of their IT budgets. Without retaining supporting documentation to show how common baseline requirements have been addressed on individual investments, the departments will be challenged in consistently demonstrating that CIOs are sufficiently involved in planning and budgeting annual IT expenditures.", "Finally, the four selected departments lacked quality assurance processes for ensuring their IT budgets are informed by reliable cost information. This resulted in billions of dollars that were requested without departments having comprehensive information to support those requests. Among other things, this was due to a lack of processes for periodically reviewing data quality and estimation methods for government labor estimates, as well as a lack of processes to cross-walk IT spending data in their procurement and accounting systems with investment data in their IT portfolio management systems.", "The Administration\u2019s new approach of using a standard set of low-level cost categories to group IT spending could help departments address their lack of processes if properly implemented. It is important that OMB and departments meet the 2019 milestone dates associated with this approach so that department CIOs have additional transparency into IT spending and can make informed budget decisions. Nonetheless, departments will continue to have limited insight into IT budgeting until they capture all relevant IT costs in their budgets."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 43 recommendations, including 9 to DOE, 6 to NNSA, 10 to HHS, 4 to CMS, 4 to DOJ, 1 to FBI, 8 to Treasury, and 1 to IRS.", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that establish department-wide policy for the level of detail of planned expenditure reporting to the CIO for all transactions that include IT resources. (Recommendation 1)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO in the planning and budgeting stages for all programs that are fully or partially supported with IT resources. (Recommendation 2)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO as a member of governance boards that inform decisions regarding all IT resources, including component-level boards. (Recommendation 3)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the processes by which program leadership works with the CIO to plan an overall portfolio of IT resources. (Recommendation 4)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the process for the CIO\u2019s review and approval of the major IT investments portion of the budget request. (Recommendation 5)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the CIO\u2019s role in reviewing IT resources that are to support major program objectives and significant increases and decreases in IT resources. (Recommendation 6)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the steps the CIO is to take to ensure whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request. (Recommendation 7)", "The Secretary of Energy should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 8)", "The Secretary of Energy should ensure that the Office of the CIO and other offices, as appropriate, establish quality assurance processes\u2014 such as data quality checks, reviews of estimation methods, linkages between the IT portfolio and procurement system data, and linkages between the IT portfolio and financial system data\u2014for ensuring the annual IT budget is informed by complete and reliable information on anticipated government labor, contract, and other relevant IT expenditures. (Recommendation 9)", "The Administrator of NNSA should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that establish agency-wide policy for the level of detail with which planned expenditures for all transactions that include IT resources are to be reported to the CIO. (Recommendation 10)", "The Administrator of NNSA should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that include the CIO in the planning and budgeting stages for all programs that are fully or partially supported with IT resources. (Recommendation 11)", "The Administrator of NNSA should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that include the CIO as a member of governance boards that inform decisions regarding all IT resources. (Recommendation 12)", "The Administrator of NNSA should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that document the process for the CIO\u2019s review and approval of the major IT investments portion of the budget request. (Recommendation 13)", "The Administrator of NNSA should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that document the CIO\u2019s role in reviewing IT resources that are to support major program objectives and significant increases and decreases in IT resources. (Recommendation 14)", "The Administrator of NNSA should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 15)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that establish department-wide policy for the level of detail of planned expenditure reporting to the CIO for all transactions that include IT resources. (Recommendation 16)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO in the planning and budgeting stages for all programs that are fully or partially supported with IT resources. (Recommendation 17)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO as a member of governance boards that inform decisions regarding all IT resources, including component-level boards. (Recommendation 18)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the processes by which program leadership works with the CIO to plan an overall portfolio of IT resources. (Recommendation 19)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the process for the CIO\u2019s review and approval of the major IT investments portion of the budget request. (Recommendation 20)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the CIO\u2019s role in reviewing IT resources that are to support major program objectives and significant increases and decreases in IT resources. (Recommendation 21)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the steps the CIO is to take to ensure whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request. (Recommendation 22)", "The Secretary of Health and Human Services should direct the department CIO to establish, for any OMB common baseline requirements that are related to IT budgeting that have been delegated, a plan that specifies the requirement being delegated, demonstrates how the CIO intends to retain accountability for the requirement, and ensures through quality assurance processes that the delegated official will execute such responsibilities with the appropriate level of rigor. (Recommendation 23)", "The Secretary of Health and Human Services should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 24)", "The Secretary of Health and Human Services should ensure that the Office of the CIO and other offices, as appropriate, establish quality assurance processes\u2014such as data quality checks, reviews of estimation methods, linkages between the IT portfolio and procurement system data, and linkages between the IT portfolio and financial system data\u2014for ensuring the annual IT budget is informed by complete and reliable information on anticipated government labor, contract, and other relevant IT expenditures. (Recommendation 25)", "The Administrator of CMS should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that include the CIO in the planning and budgeting stages for all programs that are fully or partially supported with IT resources. (Recommendation 26)", "The Administrator of CMS should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that document the processes by which program leadership works with the CIO to plan an overall portfolio of IT resources. (Recommendation 27)", "The Administrator of CMS should ensure that the Office of the CIO and other offices, as appropriate, develop and implement policies and procedures that document the CIO\u2019s role in reviewing IT resources that are to support major program objectives and significant increases and decreases in IT resources. (Recommendation 28)", "The Administrator of CMS should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 29)", "The Attorney General should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that establish department-wide policy for the level of detail of planned expenditure reporting to the CIO for all transactions that include IT resources. (Recommendation 30)", "The Attorney General should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO as a member of governance boards that inform decisions regarding all IT resources, including component-level boards. (Recommendation 31)", "The Attorney General should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the steps the CIO is to take to ensure whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request. (Recommendation 32)", "The Attorney General should ensure that the Office of the CIO and other offices, as appropriate, establish quality assurance processes\u2014such as data quality checks, reviews of estimation methods, linkages between the IT portfolio and procurement system data, and linkages between the IT portfolio and financial system data\u2014for ensuring the annual IT budget is informed by complete and reliable information on anticipated government labor, contract, and other relevant IT expenditures. (Recommendation 33)", "The FBI Director should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 34)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that establish department-wide policy for the level of detail of planned expenditure reporting to the CIO for all transactions that include IT resources. (Recommendation 35)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO in the planning and budgeting stages for all programs that are fully or partially supported with IT resources. (Recommendation 36)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that include the CIO as a member of governance boards that inform decisions regarding all IT resources, including component-level boards. (Recommendation 37)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the process for the CIO\u2019s review and approval of the major IT investments portion of the budget request. (Recommendation 38)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, address gaps in the department\u2019s FITARA plans by developing and implementing policies and procedures that document the steps the CIO is to take to ensure whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request. (Recommendation 39)", "The Secretary of the Treasury should direct the department CIO to establish, for any OMB common baseline requirements that are related to IT budgeting that have been delegated, a plan that specifies the requirement being delegated, demonstrates how the CIO intends to retain accountability for the requirement, and ensures through quality assurance processes that the delegated official will execute such responsibilities with the appropriate level of rigor. (Recommendation 40)", "The Secretary of the Treasury should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 41)", "The Secretary of the Treasury should ensure that the Office of the CIO and other offices, as appropriate, establish quality assurance processes\u2014such as data quality checks, reviews of estimation methods, linkages between the IT portfolio and procurement system data, and linkages between the IT portfolio and financial system data\u2014for ensuring the annual IT budget is informed by complete and reliable information on anticipated government labor, contract, and other relevant IT expenditures. (Recommendation 42)", "The IRS Commissioner should direct the Office of the CIO and other offices, as appropriate, to take steps to ensure that the actions taken to comply with OMB\u2019s common baseline for implementing FITARA on individual investments are adequately documented. (Recommendation 43)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the four departments and four component agencies included in our review, as well as to OMB. In response, we received comments from two departments and three component agencies (HHS, CMS, DOJ, FBI, and IRS) which agreed with our recommendations. One department (DOE) partially agreed with one recommendation and agreed with the other recommendations made to it, as well as with the recommendations made to its component agency (NNSA). In addition, one department (Treasury) neither agreed nor disagreed with the recommendations. Further, OMB provided technical comments, which we incorporated in the report, as appropriate.", "The following departments and component agencies agreed with all of the recommendations that we directed to them:", "HHS provided written comments, reprinted in appendix VI, stating that it concurred with the 10 recommendations made to the department, and with the 4 recommendations made to CMS. Of the recommendations made to the department, HHS stated that the processes it currently has in place address the various gaps in the department\u2019s FITARA plans, documentation, and quality assurance processes. However, HHS did not provide additional evidence to demonstrate that the weaknesses we identified have been mitigated. Thus, we maintain that the department needs to take further actions to address our recommendations. Until it takes the appropriate actions to address gaps in its FITARA plans, document the actions taken to comply with OMB\u2019s guidance, and implement key quality assurance processes, the department will be at increased risk that its CIO is not effectively engaged in IT budgeting decisions.", "With regard to its component agency, HHS stated that CMS would take action to implement the recommendations made to it by updating the relevant policies and procedures to more explicitly identify the role of the CIO in developing the IT budget.", "In comments provided via email on September 27, 2018, an audit liaison in the Internal Review and Evaluation Office of the Justice Management Division stated that DOJ concurred with the four recommendations made to the department, and with the one recommendation made to FBI.", "IRS provided written comments, reprinted in appendix VII, stating that it concurred with our recommendation, has taken steps to begin implementing our recommendation, and is committed to making further progress toward fully implementing all OMB requirements when planning and budgeting for its individual investments.", "DOE provided written comments, reprinted in appendix VIII, in which it concurred with eight of the nine recommendations made to the department and partially concurred with one recommendation. The department also concurred with all six recommendations made to NNSA.", "Of the nine recommendations made to DOE, the department stated that it already had processes in place, or had taken action to address six of the recommendations, including the recommendation with which it partially concurred. However, the department did not provide sufficient evidence to demonstrate that the weaknesses we identified had been mitigated. Thus, we maintain that the recommendations warrant further actions. Until DOE takes the appropriate actions to address gaps in its FITARA plans, document the actions taken to comply with OMB\u2019s guidance, and implement key quality assurance processes, the department will be at increased risk that the CIO is not effectively engaged in IT budgeting decisions.", "In addition, DOE stated that NNSA\u2019s Office of the CIO plans to develop policies and procedures\u2014in collaboration with the component agency\u2019s Office of Acquisition and Project Management and the agency\u2019s Office of Management and Budget\u2014that should address the findings and six recommendations made to NNSA. The department anticipates that the policies and procedures will be finalized by March 31, 2019.", "Lastly, Treasury responded via email on September 28, 2018, but did not state whether it agreed or disagreed with our eight recommendations. Specifically, an audit liaison in Treasury\u2019s Office of the CIO stated that the department believes it is implementing most of the OMB common baseline requirements in practice, but agreed that gaps exist in its policies and documentation. The official added that the department had started work on strengthening existing policies and procedures or developing new ones to close the gaps uncovered by our review.", "We are sending copies of this report to the appropriate congressional requesters; OMB; the Secretaries of the Departments of Energy, Health and Human Services, and the Treasury; the Attorney General; the Administrator of NNSA, the Administrator of CMS, the FBI Director, and the IRS Commissioner. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4456 or at harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the extent to which selected federal agencies (1) established policies and procedures in place that address the information technology (IT) budgeting requirements of the Federal Information Technology Acquisition Reform Act (FITARA) and related Office of Management and Budget (OMB) IT budget guidance, (2) could demonstrate that they had developed fiscal year 2017 IT budgets for sampled investments consistent with FITARA and OMB guidance, and (3) implemented processes to ensure that annual IT budgets are informed by reliable cost information.", "To address our objectives, we first identified the subset of the 24 agencies covered by the Chief Financial Officers Act that had a fiscal year 2017 IT budget request of at least $1 billion. From this subset, we then identified the four agencies having the two highest and the two lowest average initial FITARA self-assessment scores, which included an assessment of OMB\u2019s common baseline for IT management (common baseline). In the event that one or more agencies had the same average self-assessment scores, we selected the agency with the largest fiscal year 2017 IT budget. Based on these criteria, we selected four departments for our review: (1) the Department of Energy (DOE), (2) the Department of Health and Human Services (HHS), (3) the Department of Justice (DOJ), and (4) the Department of the Treasury (Treasury).", "In addition, for each of these four departments, we selected their component agencies that had the largest fiscal year 2017 IT budget request. The components within the four selected departments were: (1) the National Nuclear Security Administration (NNSA) within DOE, (2) the Centers for Medicare and Medicaid Services (CMS) within HHS, (3) the Federal Bureau of Investigation (FBI) within DOJ, and (4) the Internal Revenue Service (IRS) within Treasury.", "For the first objective, we compared the selected departments\u2019 policies and procedures to requirements selected from OMB\u2019s FITARA guidance (referred to as the common baseline) that related to developing departments\u2019 IT budgets. In selecting the requirements, we reviewed 10 areas related to budget formulation and execution within OMB\u2019s common baseline, and used professional judgment to select 8 requirements that we believed would significantly impact the development and approval of departments\u2019 annual IT budgets. In doing so, we excluded one requirement that affected the development of annual IT budgets to a lesser extent and combined one requirement that was similar to another. Specifically, we excluded the requirement from the area related to the chief information officer\u2019s (CIO) role in program management because the CIO\u2019s review of program management artifacts could not be directly related to the IT budget review and approval process.", "In addition, two common baseline areas had a similar requirement that the CIO be involved in the internal planning of IT resources prior to the budget submission. We combined these into one requirement for our review. We consulted with OMB officials in the Office of the Federal CIO on the requirements that we selected and how we planned to evaluate them and the officials agreed with our approach.", "The eight OMB common baseline requirements within budget formulation and execution that we identified and selected are: establish the level of detail with which IT resources are to be described in order to inform the CIO during the planning and budgeting processes; establish agency-wide policy for the level of detail with which planned expenditures for all transactions that include IT resources are to be reported to the CIO; include the CIO in the planning and budgeting stages for programs that are fully or partially supported with IT resources; include the CIO as a member of governance boards that inform decisions regarding all IT resources, including component-level governance boards; document the processes by which program leadership works with the CIO to plan an overall portfolio of IT resources; ensure the CIO has reviewed and approved the major IT investments portion of the budget request; ensure the CIO has reviewed IT resources that are to support major program objectives and significant increases and decreases in IT resources; and ensure the CIO has reviewed whether the IT portfolio includes appropriate estimates of all IT resources included in the budget request.", "After determining the eight requirements that we would review, we categorized them into three areas: CIO visibility into IT resources, CIO input to IT resource plans, and CIO review and approval of IT budgets.", "We then reviewed the current policies and procedures that each department had documented for its IT budgeting process to determine whether the department documented a process for how they would address each of the eight common baseline requirements we selected for review. In addition to policies and procedures, we also reviewed each department\u2019s FITARA implementation plan, which included a description of the steps the department must take to ensure that all FITARA and OMB requirements would be implemented; and the delegation memorandums from department CIOs, in which formal assignments of responsibilities to other department officials are documented, where applicable.", "In cases where the department CIO fully or partially delegated responsibilities to component officials, we requested relevant documentation from the agency component with the largest fiscal year 2017 IT budget request. In such cases, we based our determination of departments\u2019 implementation of the requirement on (1) the extent to which the component agency had documented policies and procedures that carried out the delegated requirement and (2) the extent to which the department CIO had procedures for ensuring the delegation was being carried out by the components.", "With regard to our second objective, we determined whether the selected departments had implemented key IT budgeting requirements for a non-generalizable sample of investments in their fiscal year 2017 budget formulation. In doing so, we chose 16 investments\u2014the largest major and non-major investments at the department level and the largest major and non-major investments at the component level\u2014based on the selected departments\u2019 fiscal year 2017 IT budget request. Although the information obtained is not generalizable to all of the departments\u2019 investments, the sample provided a range of examples and conditions under which the departments were implementing requirements found in OMB\u2019s common baseline.", "We then identified a subset of requirements from the eight department requirements for developing IT budgets found in OMB\u2019s common baseline for which implementation could be observed at the investment level. In doing so, we used professional judgment to select the subset of requirements where actions taken to implement these requirements could be observed for individual investments. Specifically, we did not select the requirement to establish agency-wide policy for the level of detail with which planned expenditures for all transactions that include IT resources are to be reported to the CIO, because the requirement primarily applied to enterprise-wide policymaking and reporting. Also, we did not select the requirement to include the CIO as a member of governance boards that inform decisions regarding all IT resources for review on individual investments because certain investments may not have been subject to governance board reviews during fiscal year 2017. In addition, we did not select the requirement to ensure the CIO has reviewed and approved the major IT investments portion of the budget request for review on individual investments because half of the investments we selected were not classified as major investments.", "The five requirements for which we selected and reviewed implementation at the investment level were: IT resources for each investment are described in order to inform the CIO during the planning and budgeting processes; the CIO is included in the planning and budgeting stages for investments with IT resources; program leadership works with the CIO to plan the investment\u2019s IT the CIO reviews whether the investment\u2019s IT resources support major program objectives and have increased or decreased significantly; and the CIO reviews whether the investment\u2019s estimates of IT resources in the portfolio and budget request are appropriate.", "For each investment, if available, we obtained artifacts for the fiscal year 2017 budget submission\u2014such as briefings, reports, meeting minutes, memorandums, and other relevant documentation showing the CIO\u2019s involvement in relevant reviews or decisions. We compared this documentation to relevant OMB requirements for developing the IT budget at the individual investment level.", "To address our third objective, we assessed the selected departments\u2019 efforts to develop their fiscal year 2017 budget with reliable cost information by comparing the department\u2019s IT capital planning and budgeting processes against best practices identified by us and the International Organization for Standardization\u2014such as capturing government labor costs, aligning contract costs with investments, and utilizing budget object class data. We selected these three practices (from among others) because of their potential to inform the development of a complete and accurate IT budget for a federal department.", "Capturing government labor costs. We reviewed each selected departments\u2019 IT capital planning policies and procedures and government labor estimates within the 2017 IT budget submission reported on the Federal IT Dashboard. For each selected department, we identified the processes by which forecasted government labor costs are to be captured within investment proposals submitted with the annual IT budget. We then analyzed each department\u2019s 2017 IT investment proposals to determine whether the department was capturing government labor for each investment. In doing so, we analyzed each selected department\u2019s IT portfolio submitted with its fiscal year 2017 budget to determine whether the identified investments had included planned government labor costs, as required by OMB.", "Aligning contract costs with investments. We reviewed each selected departments\u2019 IT capital planning policies and procedures, contract-related information within the 2017 IT budget submission reported on the Federal IT Dashboard, and contract obligation data reported within the Federal Procurement Data System-Next Generation. From these document reviews, we identified the processes by which contract-related costs are to be captured within investment proposals submitted with the annual IT budget. We then determined whether departments were able to align current contracts with 2017 IT investment proposals. In doing so, we identified fiscal year 2016 contracts that departments reported in the Federal Procurement Data System-Next Generation that had an IT-related product or service code and an expected completion date that extended into fiscal year 2017 or beyond. We then attempted to match, using the unique procurement identification number for each contract, a corresponding IT investment for those contracts in departments\u2019 fiscal year 2017 IT budget data. For contracts that we could not find a match, or alignment, with investments in departments\u2019 fiscal year 2017 IT budget data, we identified dollars obligated on those contracts from October 2016 through September 2017.", "Utilizing budget object class data. We reviewed each selected departments\u2019 IT capital planning policies and procedures, budget object classes that are to help track IT financial transactions, and OMB\u2019s fiscal year 2019 IT capital planning guidance that calls for greater use of IT financial data. We then assessed whether departments\u2019 IT capital planning processes utilized budget object class information to ensure that relevant IT costs are being captured as investments for the annual IT budget.", "We assessed the reliability of reported government labor costs by identifying instances in which investments had not included planned government labor costs and by corroborating those instances with officials in the departments\u2019 offices of the CIO. We determined that the data were sufficiently reliable for our purposes. Where we identified data quality issues in capturing government labor costs for department investments, we included those in the findings of this report. We also assessed the reliability of Federal Procurement Data System-Next Generation data by performing electronic testing of selected data elements and reviewing existing information about the system and the data it produces. Specifically, we reviewed the data dictionary, data validation rules, and the fiscal year 2016 Federal Government Procurement Data Quality Summary for agency data in the Federal Procurement Data System-Next Generation. We determined that the data were sufficiently reliable for our purposes.", "We supplemented our review with interviews with officials in the departments\u2019 offices of the CIO, Chief Financial Officer, and program offices to include discussions of our observations of any shortfalls in their processes.", "We conducted this performance audit from January 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Department of Energy Detailed Analysis", "paragraphs": ["DOE established department-wide IT capital planning and budgeting procedures that document the level of detail with which IT resources are to be described during the planning and budgeting process. The documented level of detail included OMB\u2019s required reporting on government labor and certain resources for infrastructure investments.", "This requirement was assigned at the department level.", "DOE documented IT capital planning procedures for the level of detail of planned expenditure reporting. However, the procedures did not explicitly require that all transactions with an IT component be included in the expenditure reporting.", "DOE\u2019s FITARA implementation plan stated that the NNSA CIO was to work with the chief financial officer and chief acquisition officer to update NNSA\u2019s policies to ensure they documented the level of detail for planned expenditure reporting for all IT transactions. However, NNSA had not established such policies and procedures.", "DOE documented IT capital planning and annual budgeting procedures that included the CIO in the planning and budgeting stages for some, but not all programs identified as having IT resources. Specifically, at the time of our review, the department had not yet documented procedures for ensuring the CIO was included in budget decisions for all programs with IT resources, including those within NNSA and national laboratories.", "According to DOE\u2019s FITARA implementation plan and a memorandum from the Secretary providing further instructions on FITARA, NNSA was to provide an opportunity for the department CIO to provide input in its planning and budgeting stages for programs with IT resources and to document related review processes. However, at the time of our review, NNSA had not yet established the procedures that were to detail how this process was to be carried out.", "DOE developed charters that included the CIO as a member of department-level IT governance boards, but had not included the CIO as a member of component-level IT investment review boards.", "According to DOE\u2019s FITARA implementation plan, NNSA was to allow the DOE CIO to provide input into NNSA acquisition decisions through its IT investment review board. However, at the time of our review, NNSA had not yet finalized its investment review board charter and related procedures to include the DOE CIO."], "subsections": [{"section_title": "Department Rating GAO\u2019s assessment DOE", "paragraphs": ["DOE documented IT governance board procedures by which the CIO is to work with program leadership in planning IT resources for some, but not all of the programs subject to department-level governance board reviews. Specifically, at the time of our review, the department had not yet documented procedures by which the CIO was to work with program leadership in planning IT resources within NNSA and national laboratories, including high-performance computing efforts.", "This requirement was assigned at the department level.", "DOE documented IT capital planning and governance board procedures for its CIO to review and approve some, but not all of its major IT investments. Specifically, at the time of our review, the department had not yet documented procedures for the CIO to review major investments within NNSA and national laboratories, including high-performance computing efforts.", "According to DOE\u2019s FITARA implementation plan, the NNSA CIO was to review and approve NNSA major IT investments and provide the DOE CIO an opportunity to review and provide input prior to the final decision. However, at the time of our review, procedures to do so had not yet been established.", "At the time of our review, DOE had not yet documented procedures for reviewing IT resources that are to support major program objectives and significant increases and decreases in IT resources for other department and component agency budget requests. DOE delegated the responsibility to meet this requirement to NNSA for their programs.", "According to DOE\u2019s FITARA implementation plan, the NNSA CIO was to review and approve NNSA major IT investments and provide the DOE CIO an opportunity to review and provide input prior to the final decision. However, at the time of our review, procedures to do so had not yet been established. In addition, NNSA had not documented procedures by which the NNSA CIO was to review IT resources that are to support major program objectives as well as significant increases and decreases in IT resources.", "DOE had not documented procedures for this requirement.", "This requirement was assigned at the department level. \u25cf = The department provided documentation that demonstrated that the department or delegated component agency satisfied the OMB common \u25d1 = The department provided documentation that demonstrated that the department or delegated component agency satisfied some but not all of the \u25cb = The department could not provide documentation that demonstrated that the department or delegated component agency satisfied any of the OMB common baseline requirement. N/A = The component agency was not officially delegated the identified responsibilities for the OMB common baseline requirement.", "GAO\u2019s assessment NNSA could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives or changes in resources.", "The CIO reviewed IT resources that are to support major program objectives through business case materials that described the goals that the investment supported. In addition, the CIO reviewed decreases in the annual resource requirements by reviewing acquisition planning artifacts that included the investment\u2019s cost estimate details.", "DOE could not demonstrate that the CIO reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request.", "DOE could not demonstrate that the CIO reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request.", "NNSA could not demonstrate that the CIO reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request.", "The NNSA CIO took steps to ensure the appropriateness of IT resource estimates included in the investment\u2019s budget request by reviewing acquisition planning artifacts that included details on the fiscal year 2017 cost estimates. \u25cf = The department or component demonstrated that it had implemented the OMB common baseline requirement on the investment. \u25d1 = The department or component demonstrated that it had implemented some but not all of the OMB common baseline requirement on the \u25cb = The department or component could not demonstrate that it had implemented the OMB common baseline requirement on the investment.", "This requirement was assigned at the department level.", "HHS documented IT capital planning procedures for the level of detail of planned expenditure reporting. However, the procedures had not explicitly required that all transactions with an IT component are included in the expenditure reporting.", "This requirement was assigned at the department level.", "HHS documented IT capital planning procedures for including the CIO in the planning and budgeting stages for new programs with IT resources that are greater than or equal to $20 million annually. However, at the time of our review, the department had not documented procedures for ensuring the CIO was included in the budget decisions for existing programs with IT resources that are greater than or equal to $20 million annually or for other programs that may have IT resources, such as those that are not primarily IT-oriented. The HHS CIO delegated the responsibility for carrying out this requirement to component CIOs for investments less than $20 million annually. However, HHS had not established procedures for ensuring its components were carrying out this responsibility.", "CMS documented annual IT budget instructions and governance board procedures for the component CIO\u2019s involvement in the planning and budgeting stages for major investments less than $20 million annually. However, CMS had not documented procedures for how the CIO was to be involved in budgeting decisions for non-major investments.", "HHS developed charters that included the CIO on department-level governance boards that inform decisions regarding IT resources, such as the HHS Domain IT Steering Committee and the Chief Technology Officer Council. However, the HHS CIO was not a member of the Service and Supply Fund board\u2014which reviews and approves operations and common service spending across the department\u2014and other component-level IT investment review boards at CMS. The HHS CIO delegated the responsibility for carrying out this requirement to CMS\u2019s CIO for investments less than $20 million annually. However, HHS had not established procedures for ensuring components were carrying out this responsibility."], "subsections": []}, {"section_title": "Selected OMB common baseline requirements", "paragraphs": ["CMS included its CIO as a member of the IT investment review board to oversee investments that are less than $20 million annually, consistent with the delegation from the HHS CIO.", "HHS documented IT capital planning and governance board procedures by which the CIO is to work with program leadership to plan IT resources for new investments greater than or equal to $20 million annually. However, the department had not established procedures by which the CIO is to work with program leadership in planning resources for existing investments greater than or equal to $20 million annually. HHS\u2019s CIO delegated the responsibility of reviewing and approving IT investments to components for investments less than $20 million annually. However, HHS had not established procedures for ensuring its components were carrying out this responsibility.", "CMS documented the procedures by which program leadership was to work with the CMS CIO to plan IT resources for selected major and non- major investments through its IT investment review board. However, CMS had not established procedures for how the CIO was to work directly with program leadership on non-major IT investments that are not subject to the IT investment review board.", "HHS documented IT capital planning and governance board procedures by which the CIO is to review and approve new major IT investments greater than or equal to $20 million annually. However, the department had not established procedures by which the CIO was to review and approve other major IT investments, including major investments greater than or equal to $20 million annually that are not new investments. The HHS CIO delegated the responsibility of the requirement to review and approve major investments between $10 million and $20 million annually to its component CIOs. However, at the time of our review, HHS had not established procedures for ensuring its components carried out the responsibility.", "CMS documented procedures for its CIO to review and approve major IT investments that are between $10 million and $20 million annually through its IT capital planning and governance board procedures, consistent with its delegation from the HHS CIO.", "HHS had not documented procedures for the CIO\u2019s review of significant increases and decreases in IT resources. In addition, the HHS CIO delegated the responsibility for the requirement to review IT resources that are to support major program objectives to component-level CIOs for investments less than $20 million annually. However, HHS had not established procedures for ensuring its components carried out the responsibility.", "CMS had not documented procedures for how the component was to review IT resources that are to support major program objectives, consistent with its delegated responsibility by the HHS CIO."], "subsections": []}, {"section_title": "Department Rating GAO\u2019s assessment HHS", "paragraphs": ["HHS has not documented procedures for this requirement.", "This requirement was assigned at the department level. \u25cf = The department provided documentation that demonstrated that the department or delegated component agency satisfied the OMB common \u25d1 = The department provided documentation that demonstrated that the department or delegated component agency satisfied some but not all of the \u25cb = The department could not provide documentation that demonstrated that the department or delegated component agency satisfied any of the OMB N/A = The component agency was not officially delegated the identified responsibilities for the OMB common baseline requirement.", "The HHS CIO was included in the planning and budgeting stages of the sampled investment by reviewing the IT resources through budget analysis meetings with the program office and department-level governance board. However, the review board only discussed nearly $15.8 million of the $33 million in total IT resources for the investment that was reported to OMB, and HHS officials could not demonstrate that the CIO was involved in the planning and budgeting stages for the remaining portion of the budget request.", "HHS could not demonstrate that the CIO was involved in the planning and budgeting stages for the sampled investment\u2019s IT resources.", "The CMS CIO was included in the planning and budgeting stages for the sampled investment by reviewing and approving the investment\u2019s budget request. However, HHS could not demonstrate that the department-level CIO was involved in the budgeting process for the investment\u2019s IT resources through governance board reviews, as required by HHS policy. In addition, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request.", "The CMS CIO was included in the planning and budgeting stages for the sampled investment by reviewing the investment\u2019s budget. However, HHS could not demonstrate that the department-level CIO was involved in the budgeting process for the investment\u2019s IT resources through governance board reviews, as required by HHS policy. In addition, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request.", "HHS demonstrated that the CIO worked with program leadership to plan the investment\u2019s IT resources through a department-level governance board meeting with program leadership, a briefing with the program office, and direction to investment managers to plan for a different funding scenario when determining the investment\u2019s IT resource estimate.", "HHS could not demonstrate that the CIO worked with program leadership to plan the sampled investment\u2019s IT resources.", "The CMS CIO worked with program leadership to plan the investment\u2019s IT resources by chairing the CMS IT investment review board that approved the investment\u2019s funding proposal. However, HHS could not demonstrate that the department-level CIO was involved in the planning process for the investment\u2019s IT resources as required by HHS policy. In addition, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request.", "The CMS CIO worked with program leadership to plan the investment\u2019s IT resources by chairing the CMS IT investment review board that reviewed the investment\u2019s funding proposal. However, HHS could not demonstrate that the department-level CIO was involved in the planning process for the investment\u2019s IT resources as required by HHS policy. In addition, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request."], "subsections": []}, {"section_title": "Selected OMB common baseline requirements CIO review and approval of IT budgets", "paragraphs": ["The HHS CIO reviewed the investment\u2019s alignment with major program objectives during an annual operational analysis review in December 2015. However, HHS did not demonstrate that the CIO reviewed the increase in IT resources for the investment totaling $33 million, more than double its initial estimate of nearly $15.8 million.", "HHS could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives or changes in resources.", "The CMS CIO reviewed changes in resources identified within individual activity funding requests related to the investment. However, CMS could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives. In addition, HHS could not demonstrate that the department-level CIO was involved in reviewing changes in IT resources for the investment. Moreover, HHS could not demonstrate that the responsibility for reviewing changes in IT resources had been delegated to the CMS CIO for the fiscal year 2017 budget request.", "The CMS CIO reviewed changes in resources identified within individual activity funding requests related to the investment. However, CMS could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives. In addition, HHS could not demonstrate that the department-level CIO was involved in reviewing changes in IT resources for the investment. Moreover, HHS could not demonstrate that the responsibility for reviewing changes in IT resources had been delegated to the CMS CIO for the fiscal year 2017 budget request.", "The HHS CIO took steps to determine the appropriateness of nearly $15.8 million of the IT resource estimates for this investment by reviewing a line item budget estimate prepared for a department-level governance board. However, HHS could not demonstrate that the CIO took steps to determine the appropriateness of the IT resources for the remaining portion of the investment\u2019s total 2017 budget request of $33 million as reported to OMB.", "HHS could not demonstrate that the CIO or a designee reviewed the appropriateness of the IT resource estimates underlying the investment\u2019s 2017 budget request.", "The CMS CIO took steps to determine the appropriateness of the investment\u2019s IT resources totaling approximately $500 million by reviewing the detailed budget request at an IT investment review board meeting. However, according to the Federal IT Dashboard, the fiscal year 2017 budget request for this investment totaled $399 million, and CMS could not demonstrate that the CIO took steps to determine the appropriateness of the revised budget total. In addition, HHS could not demonstrate that the department-level CIO reviewed the appropriateness of the investment\u2019s IT resources. Moreover, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request."], "subsections": []}, {"section_title": "Selected OMB common baseline requirements", "paragraphs": ["The CMS CIO took steps to determine the appropriateness of the investment\u2019s IT budget request by reviewing the IT resource request through the investment review board. However, HHS could not demonstrate that the department-level CIO reviewed the appropriateness of the investment\u2019s IT resources. In addition, HHS could not demonstrate that the responsibility for this requirement had been delegated to the CMS CIO for the fiscal year 2017 budget request. \u25cf = The department or component demonstrated that it had implemented the OMB common baseline requirement on the investment. \u25d1 = The department or component demonstrated that it had implemented some but not all of the OMB common baseline requirement on the \u25cb = The department or component could not demonstrate that it had implemented the OMB common baseline requirement on the investment.", "DOJ established department-wide IT capital planning and budgeting procedures that document the level of detail with which IT resources are to be described during the planning and budgeting process. The documented level of detail went beyond OMB\u2019s minimum required reporting to include 49 IT resources across four business areas.", "This requirement was assigned at the department level.", "DOJ documented IT capital planning procedures for the level of detail of planned expenditure reporting. However, the procedures did not explicitly require that all transactions with an IT component are included in the expenditure reporting.", "This requirement was assigned at the department level.", "DOJ documented procedures for including the CIO in the planning and budgeting stages for programs with IT resources.", "This requirement was assigned at the department level.", "DOJ documented governance board charters that included the CIO as a member of department-level IT governance boards. However, the CIO was not included a member of key component-level IT investment review boards, including those at FBI.", "This requirement was assigned at the department level.", "DOJ documented procedures in its IT Governance Guide by which the CIO is to work with program and component leadership in planning the overall portfolio of IT resources.", "This requirement was assigned at the department-level.", "DOJ documented procedures in its IT Governance Guide and Department Investment Review Council for the CIO to review and approve major IT investments.", "This requirement was assigned at the department level.", "DOJ documented procedures in its IT Governance Guide and IT capital planning guidance for the CIO to review IT resources that are to support major program objectives and significant increases and decreases in resources.", "This requirement was assigned at the department level.", "DOJ did not document procedures for this requirement.", "This requirement was assigned at the department level. \u25cf = The department provided documentation that demonstrated that the department or delegated component agency satisfied the OMB common \u25d1 = The department provided documentation that demonstrated that the department or delegated component agency satisfied some but not all of the \u25cb = The department could not provide documentation that demonstrated that the department or delegated component agency satisfied any of the OMB N/A = The component agency was not officially delegated the identified responsibilities for the OMB common baseline requirement.", "FBI included the DOJ CIO in the planning and budgeting stages for the sampled investment through a review of the funding request during an annual IT portfolio review in October 2015.", "FBI included the DOJ CIO in the planning and budgeting stages for the sampled investment through a review of the funding request during an annual IT portfolio review in October 2015.", "DOJ\u2019s CIO collaborated with program leaders in planning IT resources for the investment through development of the annual operating plan for DOJ\u2019s working capital fund and through meetings with component business leadership and meetings with component CIOs.", "DOJ\u2019s CIO collaborated with program leaders in planning IT resources for the investment through development of the annual operating plan for DOJ\u2019s working capital fund.", "While FBI program leadership collaborated with IT representatives from the Criminal Justice and Information Services Division in planning IT resources, FBI could not demonstrate that the CIO was involved in the planning or that the responsibility had been delegated to the division.", "FBI could not demonstrate that the CIO worked with program leadership to plan the sampled investment\u2019s IT resources.", "DOJ\u2019s CIO reviewed IT resources that are to support major program objectives and changes in IT resources through development of the annual operating plan for DOJ\u2019s working capital fund and in an annual IT portfolio review in October 2015.", "DOJ\u2019s CIO reviewed IT resources that are to support major program objectives and changes in IT resources through development of the annual operating plan for DOJ\u2019s working capital fund and in an annual IT portfolio review in October 2015.", "FBI obtained a review from the DOJ CIO regarding IT resources that are to support major program objectives and significant changes in IT resources through an annual IT portfolio review in October 2015.", "FBI obtained a review from the DOJ CIO regarding IT resources that are to support major program objectives and significant changes in IT resources through an annual IT portfolio review in October 2015.", "DOJ\u2019s CIO took steps to ensure the investment included appropriate estimates of IT resources in its budget request by reviewing spreadsheets with additional and more detailed cost information during an annual IT portfolio review in October 2015.", "DOJ\u2019s CIO took steps to ensure the investment included appropriate estimates of IT resources in its budget request by reviewing spreadsheets with additional and more detailed cost information during an annual IT portfolio review in October 2015.", "While IT representatives within the Criminal Justice and Information Services Division were involved in validating underlying IT resource estimates, FBI could not demonstrate that the CIO was involved in the planning or that the responsibility had been delegated to the division."], "subsections": []}, {"section_title": "Selected OMB common baseline requirements", "paragraphs": ["FBI could not demonstrate that the CIO or designee reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request. \u25cf = The department or component demonstrated that it had implemented the OMB common baseline requirement on the investment. \u25d1 = The department or component demonstrated that it had implemented some but not all of the OMB common baseline requirement on the \u25cb = The department or component could not demonstrate that it had implemented the OMB common baseline requirement on the investment.", "This requirement was assigned at the department level.", "Treasury documented IT capital planning procedures for reporting investments\u2019 planned IT expenditures. However, the procedures did not explicitly require that all transactions with an IT component are included in the expenditure reporting.", "This requirement was assigned at the department level.", "While the department documented procedures for including the CIO in the planning and budgeting stages for department-level programs that are identified as having IT resources, it did not document procedures for ensuring the CIO is included in all department-level programs that may have IT resources, including those that are not primarily IT-oriented. In addition, Treasury\u2019s CIO delegated this requirement to component CIOs for component-level investments. However, the agency had not established procedures for verifying that components were carrying out this delegated responsibility.", "IRS documented annual IT budgeting procedures for including the IRS CIO in the component\u2019s planning and budgeting stages for all programs that have IT resources.", "Treasury developed department-level IT governance board charters that included the CIO as a member. In addition, the Treasury CIO delegated the responsibility for this requirement to component CIOs for component- level IT governance boards. However, the department had not established procedures for verifying that components were carrying out this delegated responsibility.", "IRS included its CIO as a member of its IT investment review board through its documented IT budgeting procedures.", "Treasury has documented procedures in its IT capital planning guidance by which the CIO works with program and component leadership in planning IT resources.", "This requirement was assigned at the department level."], "subsections": []}, {"section_title": "Selected OMB common baseline requirements CIO review and approval of IT budgets", "paragraphs": ["While Treasury documented procedures in its IT capital planning guidance for the CIO to review major IT investments with each component, the department had not documented procedures for how the CIO was to approve those investments. In addition, the Treasury CIO delegated to component CIOs the responsibility to develop proposed IT planning and budgeting artifacts while the Treasury CIO would retain the authority to approve them. However, the department had not established procedures for verifying that components were carrying out this delegated responsibility.", "IRS documented annual IT budgeting procedures that described how the component CIO was to review and approve major IT investments.", "Treasury established procedures through its Quarterly Performance Reviews and its IT capital planning guidance to review IT resources that are to support major program objectives and significant changes in IT resources. For example, during the annual Spring portfolio review with each component, the CIO was to discuss strategic IT changes for the component and any significant resource changes that have occurred on individual investments.", "This requirement was assigned at the department level.", "Treasury had not documented procedures for ensuring the appropriateness of IT resource estimates for department-level investments. In addition, Treasury delegated the responsibility for this requirement to component CIOs for component-level investments. However, the department had not established procedures for verifying that components were carrying out this delegated responsibility.", "IRS documented annual IT budgeting procedures for ensuring the appropriateness of IT resources within the component-level IT portfolio. The procedures included validating annual IT demand requests that form the basis of the budget request. \u25cf = The department provided documentation that demonstrated that the department or delegated component agency satisfied the OMB common \u25d1 = The department provided documentation that demonstrated that the department or delegated component agency satisfied some but not all of the \u25cb = The department could not provide documentation that demonstrated that the department or delegated component agency satisfied any of the OMB N/A = The component agency was not officially delegated the identified responsibilities for the OMB common baseline requirement.", "IRS demonstrated that managers from the Office of the CIO worked with program leadership from IRS business units in developing a portion of the sampled investment\u2019s budget of $286 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials worked with program leadership to develop the budget for the full investment totaling $468 million.", "IRS demonstrated that managers from the Office of the CIO worked with program leadership from IRS business units in developing a portion of the sampled investment\u2019s budget of $40 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials worked with program leadership to develop the budget for the full investment totaling $343 million.", "Treasury could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives or changes in resources.", "Treasury could not demonstrate that the CIO reviewed the investment\u2019s alignment with major program objectives or changes in resources.", "IRS demonstrated that managers from the Office of the CIO reviewed alignment with major program objectives and changes in underlying resources for a portion of the sampled investment\u2019s budget of $286 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials reviewed alignment with major program objectives and changes in resources for the full investment totaling $468 million.", "IRS demonstrated that managers from the Office of the CIO reviewed alignment with major program objectives and changes in underlying resources for a portion of the sampled investment\u2019s budget of $40 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials reviewed alignment with major program objectives and changes in resources for the full investment totaling $343 million.", "Treasury could not demonstrate that the CIO or designee reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request.", "Treasury could not demonstrate that the CIO or designee reviewed the appropriateness of IT resource estimates underlying the investment\u2019s budget request."], "subsections": []}, {"section_title": "Selected OMB common baseline requirement", "paragraphs": ["IRS demonstrated that managers from the Office of the CIO reviewed detailed cost estimates for a portion of the sampled investment\u2019s budget of $286 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials reviewed detailed cost estimates for the full investment totaling $468 million.", "IRS demonstrated that managers from the Office of the CIO reviewed detailed cost estimates for a portion of the sampled investment\u2019s budget of $40 million through IT budget reviews conducted by an integrated review team in July 2015. However, the component agency could not demonstrate that Office of the CIO officials reviewed detailed cost estimates for the full investment totaling $343 million. \u25cf = The department or component demonstrated that it had implemented the OMB common baseline requirement on the investment. \u25d1 = The department or component demonstrated that it had implemented some but not all of the OMB common baseline requirement on the \u25cb = The department or component could not demonstrate that it had implemented the OMB common baseline requirement on the investment."], "subsections": []}]}, {"section_title": "Appendix VII: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Dave Powner (Director), Nicole Jarvis (Assistant Director), Joshua Leiling (Analyst-in-Charge), Chris Businsky, Kara Epperson, Rebecca Eyler, Suellen Foth, Torrey Hardee, Tarunkant Mithani, Monica Perez-Nelson, and Andrew Stavisky made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-85", "url": "https://www.gao.gov/products/GAO-18-85", "title": "Food Safety: FDA Continues to Evaluate and Respond to Business Concerns about the Produce Rule", "published_date": "2017-11-27T00:00:00", "released_date": "2017-11-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Although the United States has one of the safest food supplies in the world, foodborne illness is a common public health problem; some of this illness can be linked to produce. For example, in 2017, a Salmonella outbreak linked to imported papayas sickened more than 200 people in 23 states and killed 1. FDA's produce rule, one of a number of rules required by the FDA Food Safety Modernization Act, established the first enforceable national food safety standards for produce. The Agricultural Act of 2014 required that the produce rule include \u201ca plan to systematically\u2026develop an ongoing process to evaluate and respond to business concerns\u201d about the rule and a provision for GAO to report on FDA's efforts 1 year after the promulgation of the final rule and again the following year. In November 2016, GAO issued the first report.", "In this follow-up report, GAO examined (1) steps FDA has taken since GAO's 2016 review to evaluate and respond to business concerns regarding the produce rule, (2) steps FDA has taken to assess the effectiveness of its efforts to evaluate and respond to business concerns regarding the rule, and (3) challenges FDA officials reported facing in evaluating and responding to business concerns regarding the rule. GAO examined TAN questions submitted by businesses; interviewed FDA officials and representatives from groups, such as the Produce Safety Alliance, working with FDA to implement the rule; and interviewed representatives from produce industry associations and a farming organization.", "GAO is not making any recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["Since GAO's November 2016 report on the Food and Drug Administration's (FDA) 2015 produce rule, the agency has continued to use its Technical Assistance Network (TAN) to evaluate and respond to questions and concerns about the rule. GAO found that since the issuance of its 2016 report, which contained data as of September 3, 2016, 2,665 more questions were submitted to the TAN, 230 of which pertained to the produce rule, and of those 230 questions, 154 were submitted by businesses (see fig.).", "a The TAN also receives questions about other rules pertaining to the FDA Food Safety Modernization Act, such as rules on imported food and the sanitary transportation of food.", "b Others include members of academia, consumers, and federal or state regulators.", "Most produce rule-related TAN questions concerned agricultural water standards, such as methods for testing water. In addition to the TAN, FDA has taken other steps to evaluate and respond to business concerns, including funding training for industry and visiting farms. FDA is also reviewing the rule's water standards and published a proposed rule in September 2017 to extend the compliance dates associated with those standards in response to concerns.", "FDA has begun collecting survey results on the web page used for submitting TAN questions and continues to develop a survey to assess the timeliness and quality of TAN responses. FDA also continued to develop metrics intended to assess its overall efforts to evaluate and respond to business concerns, officials reported. Produce industry representatives told GAO that FDA is open to hearing questions and concerns, but businesses need more information to comply with the rule and are awaiting FDA's forthcoming guidance on parts of the rule.", "FDA officials reported facing two challenges in evaluating and responding to business concerns: identifying businesses subject to the rule and providing consistent, region-specific information in response to concerns. Officials said that the agency's cooperative agreement with 43 states plays a key role in addressing these challenges, as does the Produce Safety Network, a network of region-based FDA food safety experts."]}], "report": [{"section_title": "Letter", "paragraphs": ["Although the United States has one of the safest food supplies in the world, foodborne illness is a common public health problem. Some of this illness can be linked to produce. For example, beginning in the summer of 2017, a Salmonella outbreak linked to imported papayas sickened more than 200 people in 23 states and killed 1, according to the Centers for Disease Control and Prevention; in 2011, 147 people fell ill and 33 died as a result of eating cantaloupes contaminated with Listeria. Other produce-related outbreaks in recent years have involved cucumbers, hot peppers, alfalfa sprouts, bean sprouts, and packaged salads. The Food and Drug Administration (FDA), an agency within the Department of Health and Human Services, is responsible for ensuring the safety of produce, along with many other foods. Overall, FDA is responsible for ensuring the safety of more than 80 percent of the U.S. food supply.", "Because produce is often consumed raw, without processing to reduce or eliminate contaminants, preventing contamination is key to ensuring safe consumption. In January 2011, the FDA Food Safety Modernization Act (FSMA) was signed into law, representing the largest expansion and overhaul of U.S. food safety law since the 1930s. FSMA, according to FDA, marked a historic turning point by focusing on preventing rather than reacting to foodborne illnesses. FSMA does so, in part, by requiring FDA to promulgate new rules that, combined, provide a framework for industry to implement preventive measures and for FDA to oversee implementation. In response to FSMA, FDA developed seven foundational rules; among them is the rule entitled Standards for the Growing, Harvesting, Packing, and Holding of Produce for Human Consumption\u2014also known as the produce rule. This rule, which FDA promulgated in November 2015, established the first enforceable national standards for on-farm growing, harvesting, packing, and holding of domestic and imported produce. Among other things, the rule established standards related to agricultural water quality; the use of soil amendments, such as raw manure; the presence of domesticated and wild animals; worker training, health, and hygiene; and sanitation of equipment, tools, and buildings.", "Some in the produce industry have raised questions and expressed concerns about the produce rule standards, including questions about the types of produce covered by the rule. Others have expressed concerns about the costs necessary to comply with the rule, particularly for smaller businesses. The Agricultural Act of 2014, also referred to as the 2014 Farm Bill, required that FDA ensure the final produce rule include \u201ca plan to systematically \u2026 develop an ongoing process to evaluate and respond to business concerns.\u201d", "The act included a provision for GAO to report, 1 year after the promulgation of the final produce rule and again the following year, on the ongoing evaluation and response process. In November 2016, we issued our first report. We found that FDA developed an information clearinghouse, called the Technical Assistance Network (TAN), to evaluate and respond to questions and concerns from businesses regarding implementation of the produce rule and other FSMA rules. In addition to using the TAN to respond to questions, FDA uses TAN questions to help inform the development of FSMA policy, guidance, and training to help businesses understand and comply with the produce rule and other FSMA rules. FDA officials told us the agency was developing a survey, along with other metrics, to assess the effectiveness of the TAN.", "This follow-up report examines (1) the steps FDA has taken since GAO\u2019s 2016 review to evaluate and respond to business concerns regarding the produce rule; (2) the steps FDA has taken to assess the effectiveness of its efforts to evaluate and respond to business concerns regarding the rule; and (3) the challenges FDA officials reported facing in evaluating and responding to business concerns regarding the rule.", "To examine the steps FDA has taken since GAO\u2019s 2016 review to evaluate and respond to business concerns regarding the produce rule, we reviewed information on FSMA and the produce rule on FDA\u2019s website; attended relevant food safety conferences, including the Association of Food and Drug Officials conference in Houston, Texas; interviewed FDA officials involved in implementation of the rule; and obtained data from FDA on the number of questions submitted to the TAN. To better understand the types of issues businesses were communicating to FDA, we also examined the full text of questions and concerns about the rule that businesses submitted to the TAN. We classified the questions and concerns into categories based on the type of question, such as requests for additional information or clarification regarding the produce rule. We assessed the reliability of the TAN data by interviewing agency officials knowledgeable about the data and determined that the data were sufficiently reliable for our report. In addition, we interviewed representatives from four organizations assisting FDA with implementation of the rule and an official from one state department of agriculture. We also interviewed representatives from two produce industry associations and a farming organization from the northeastern United States. We selected groups with large memberships; those representing both large and small business; those representing specific produce commodities, such as sprouts; those involved with educating businesses on produce rule implementation; and those representing different geographic locations across the United States. The information we obtained from these interviews is not generalizable to all produce industry associations, businesses, or others affected by the produce rule, but it provides illustrative examples. To examine the steps FDA has taken to assess the effectiveness of its efforts to evaluate and respond to business concerns, we interviewed FDA officials to learn about any ongoing or planned efforts. To examine the challenges FDA faces in evaluating and responding to business concerns, we interviewed FDA officials.", "We conducted this performance audit from December 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides an overview of the produce rule and describes how FDA is partnering with states to implement the rule."], "subsections": [{"section_title": "Overview of the Produce Rule and Compliance Dates", "paragraphs": ["Produce is an important part of a healthy diet but is susceptible to contamination from numerous sources, including agricultural water, animal manure, equipment, and farm workers. The produce rule established standards to help ensure the safe growing and handling of produce. For example, the rule requires that businesses take steps to ensure that agricultural water that comes into contact with produce is safe and of adequate sanitary quality for its intended use. As part of this, the rule established microbial water criteria to determine the presence of generic E. coli, which is the most commonly used indicator of fecal contamination, and referenced a testing method published by the Environmental Protection Agency to test for the presence of generic E. coli. The rule also established standards specific to sprouts, which are especially vulnerable to contamination because of the warm, moist, and nutrient-rich conditions needed to grow them. In addition to the general requirements of the produce rule, the rule also includes requirements for businesses specifically related to preventing contamination of sprouts, which have been associated with foodborne illness outbreaks.", "The rule applies to businesses that grow, harvest, pack, or hold produce, including produce that will be imported or offered for import, with some exemptions based on the produce commodity and the size of a business. For example, the rule does not apply to produce that is rarely consumed raw, such as asparagus or black beans, and produce that is to be consumed on the farm. In addition, the rule does not apply to businesses that have an average annual monetary value of $25,000 or less of produce sold during the previous 3-year period.", "FDA\u2019s implementation of the produce rule will occur over several years. According to the rule, compliance dates are phased in from 2017 through 2022 based on business size and other factors. Compliance dates for certain agricultural water standards and for sprouts differ from the compliance dates for other provisions in the rule. For example, compliance for large businesses under certain agricultural water standards with covered activities not involving sprouts is due in January 2020; compliance for small businesses under certain agricultural water standards with covered activities not involving sprouts is due in January 2021; and compliance for very small businesses under certain agricultural water standards with covered activities not involving sprouts is due in January 2022. In 2019, FDA intends to start inspecting produce businesses, other than those growing sprouts. At that time, FDA is to assess compliance with the produce rule, with the exception of the agricultural water standards, for all produce other than sprouts. See fig. 1 for more information on implementation timelines."], "subsections": []}, {"section_title": "FDA-State Partnership in Helping to Ensure Compliance with the Rule", "paragraphs": ["FSMA authorized and encouraged FDA to coordinate with states in helping to ensure compliance with the produce rule. According to FDA officials, developing a working relationship with states to implement the rule is of critical importance because states may have an understanding of farming practices as a result of their historically close relationship with farms. To facilitate coordination with states, FDA established the State Produce Implementation Cooperative Agreement Program. The program is to provide funds to support a variety of state activities, including educating and providing technical assistance to produce businesses, to the 43 participating states. Through the program, FDA obligated approximately $22 million in 2016 to 42 states and approximately $31 million in 2017 to 43 states to help these states implement the rule.", "In addition, in September 2014, FDA entered into a 5-year cooperative agreement with the National Association of State Departments of Agriculture\u2014an organization representing state agriculture departments in all 50 states and 4 U.S. territories. Under this cooperative agreement, the association is working with FDA to support implementation of the produce rule by, among other things, providing technical assistance to states to help them implement their produce safety programs. FDA renewed the cooperative agreement in 2016 with an expanded scope to include states\u2019 assistance with helping businesses understand what is expected of them ahead of compliance dates."], "subsections": []}]}, {"section_title": "FDA Has Continued to Take Steps to Evaluate and Respond to Business Concerns and Is Reviewing the Produce Rule Water Standards", "paragraphs": ["Since we last reported on the produce rule, FDA has continued to use its information clearinghouse, the TAN, to take steps to evaluate and respond to questions and concerns from businesses and other stakeholders regarding the produce rule. FDA has also taken other steps, including funding training for industry, conducting visits to farms, and publishing guidance, to evaluate and respond to concerns. In addition, FDA is reviewing the produce rule agricultural water standards and in September 2017 published a proposed rule to extend compliance dates associated with those standards."], "subsections": [{"section_title": "FDA Continues to Evaluate and Respond to Business Concerns through Its Information Clearinghouse", "paragraphs": ["FDA has continued to use the TAN to evaluate and respond to questions and concerns from businesses and other stakeholders regarding all of the FSMA rules, including the produce rule. Since our last report, we found that FDA received 2,665 additional questions submitted to the TAN from September 4, 2016, through June 30, 2017. Of those 2,665 additional questions, 230 questions (about 9 percent) pertained to the produce rule. Of those 230 questions, 154 questions (about 67 percent) came from individuals who self-identified as belonging to \u201cbusiness/industry.\u201d (See fig. 2.)", "We reviewed the full text of questions about the produce rule that were submitted to the TAN by those who identified themselves as belonging to business/industry. We reviewed all such questions submitted since September 10, 2015, when the TAN first began operating, through March 31, 2017, the date of the most recently available information when we conducted our audit work (321 total questions). Questions spanned a variety of topics related to the rule, with the most commonly asked questions pertaining to the rule\u2019s agricultural water standards. For example, some businesses submitted questions to clarify whether a specific water testing method they intended to use was acceptable. Other commonly asked questions related to the types of produce covered by the rule and whether a particular business was subject to the produce rule or a related FSMA rule known as the preventive controls for human food rule, which mandates new food safety requirements for food facilities, such as food processing businesses. For example, one business owner who grows almonds and also processes them submitted a question about whether the business is subject to the produce rule or the preventive controls rule. In addition, we found that most submissions (281 questions, or 88 percent) contained requests for additional information or clarification from FDA about implementing the produce rule. Examples of questions about the produce rule that were submitted by businesses are shown in figure 3.", "According to FDA data, as of June 2017, the agency had responded to about 84 percent (312) of the 372 questions specifically about the produce rule submitted by businesses to the TAN since it began operating. The agency\u2019s median response time to these questions was 48 business days. As of June 2017, FDA had responded to 81 percent (4,307) of all 5,291 questions submitted to the TAN, with a median response time of 16 business days. Officials we interviewed said that FDA\u2019s longer median response time for produce rule questions submitted by businesses was because the agency needed additional time to address several unique produce rule questions that were not considered during the rulemaking process.", "To understand produce businesses\u2019 concerns in detail, FDA officials said they track questions submitted to the TAN. For example, these officials said they track the number of questions requesting more information about implementing the standards in the produce rule. These officials said that FDA is using these data to inform the development of resources to help businesses comply with the rule. For example, the officials told us that they are developing a set of commonly asked TAN questions about the produce rule that businesses can examine on FDA\u2019s website prior to submitting their questions to the TAN. FDA has already published similar commonly asked TAN questions for some of the other FSMA rules. Representatives we interviewed from two industry associations said that such a list of questions would be helpful as businesses work to comply with the produce rule."], "subsections": []}, {"section_title": "FDA Has Taken Other Steps to Evaluate and Respond to Business Concerns, Including Funding Training for Industry and Conducting Visits to Farms", "paragraphs": ["Since we last reported on the produce rule, FDA has taken steps in addition to the TAN to evaluate and respond to business concerns regarding the produce rule.", "Training: FDA has funded partnerships to deliver training to help produce businesses meet the new requirements under the produce rule.", "The Produce Safety Alliance (PSA)\u2014a collaboration involving Cornell University, FDA, and the U.S. Department of Agriculture\u2014has developed a standardized national training curriculum about the produce rule and has conducted training sessions for more than 6,100 industry participants in the United States and foreign countries. In addition to serving an educational role, PSA training sessions help FDA evaluate and respond to business concerns. For example, FDA officials told us the agency uses questions submitted to the TAN to inform PSA course content, thereby helping to ensure that the training sessions address the most commonly asked questions. In addition, FDA officials and PSA representatives we interviewed said that PSA trainers are able to respond to questions from industry participants during the training sessions. These representatives said that they forward questions that PSA trainers are not able to answer during training sessions to FDA using the TAN and through regular meetings with FDA officials. One PSA trainer we interviewed said that face-to- face interactions with businesses at training sessions are the major way her organization hears about business questions and concerns.", "The Sprout Safety Alliance (SSA) is a collaboration between the Illinois Institute of Technology and FDA to enhance the sprout industry\u2019s understanding of the produce rule. SSA has developed a training curriculum to help businesses comply with produce rule standards related to sprout production. SSA has conducted training courses for over 100 industry participants in the United States and Canada. According to an SSA representative, SSA has addressed questions and concerns from sprout industry participants during trainings. This representative also said SSA communicates with FDA about questions SSA trainers are unable to answer.", "Table 1 provides information about trainings provided by PSA and SSA.", "Educational Farm Visits: FDA officials participated in educational farm visits in 2016 and 2017 across the United States. According to FDA officials we interviewed, these visits were intended to broaden FDA\u2019s knowledge of industry practices on these farms and were not for compliance or inspection purposes. FDA officials said they learned about a variety of industry concerns during these visits, including industry\u2019s concerns with the water standards under the produce rule. FDA conducted these visits in a number of states, including Alaska, Arizona, California, Colorado, Georgia, Maine, Maryland, Nevada, New Mexico, Oregon, Texas, Vermont, Washington, Wisconsin, and the U.S. Virgin Islands, according to agency officials.", "Outreach to Produce Industry Associations: According to FDA officials, the agency performs outreach to various produce industry associations to educate businesses about the produce rule, answer questions, and learn about produce business concerns. For example, FDA officials said that, since we last reported on the produce rule, they have attended industry conferences and held outreach meetings with produce industry associations and they learned about specific concerns, such as businesses\u2019 need for additional training on the produce rule and for information on how to identify materials that are suitable to properly sanitize surfaces with which produce comes into contact.", "On-farm Readiness Reviews: According to agency officials, these are voluntary reviews during which state inspectors and educators, accompanied by FDA officials, review businesses\u2019 progress toward meeting the produce rule standards to promote compliance with the rule. States and FDA piloted the program in 2016 and, according to agency officials, they plan to roll out the full program in late 2017 or early 2018. In addition to helping businesses comply with the rule, FDA officials said these reviews have helped the agency learn about businesses\u2019 questions and concerns. For example, officials said they learned during these reviews that some businesses needed additional information regarding water testing methods under the rule, including information on the number of water samples to be collected and the locations of testing laboratories.", "Produce Safety Network: Recognizing regional differences in growing practices, FDA established the Produce Safety Network in 2017 to address the unique needs of produce businesses in various parts of the country, according to agency officials. This network was established, in part, to respond to business questions and concerns, according to FDA officials. The network is made up of FDA produce safety experts and specialized investigators based in different parts of the country who help evaluate and respond to questions from businesses, state regulators, and other stakeholders in their regions, according to agency officials. For example, according to FDA officials, these produce safety experts learned about business questions regarding FDA\u2019s list of produce the agency considers rarely consumed raw and not subject to the produce rule. In response to these concerns, the network developed a fact sheet outlining FDA\u2019s rationale for developing the list.", "Guidance: According to FDA officials, the agency has been working on guidance to assist businesses in complying with the produce rule. FDA officials said guidance allows FDA to respond to questions and concerns related to the rule. For example, in January 2017, FDA published draft guidance on sprout-specific requirements under the rule. FDA officials told us they conducted outreach to sprout businesses before releasing this guidance to let businesses know why the guidance was issued and that it was available for public comment. In developing the guidance, FDA also took into account public comments made during the rulemaking process, according to FDA officials. An SSA representative we interviewed confirmed this, saying that the draft guidance was responsive to comments made by sprout businesses during rulemaking that asked FDA to include specific examples of how businesses were to comply with requirements. This representative said the draft guidance contained relevant examples. In addition, in early September 2017, FDA published guidance to help small businesses comply with the produce rule. The guidance provides small businesses with information about who must comply with the rule, training required, and which businesses are eligible for qualified exemptions from the rule, among other things. See appendix I for a list of published and forthcoming FDA produce rule guidance."], "subsections": []}, {"section_title": "FDA Is Reviewing the Produce Rule Water Standards in Response to Business Concerns and Is Proposing to Extend Compliance Dates", "paragraphs": ["FDA announced in March 2017 that it would conduct a review of the agricultural water standards under the produce rule and, in September 2017, the agency published a proposed rule in the Federal Register that would extend the compliance dates for the water standards by an additional 2 years from the original compliance dates, depending on business size, for produce other than sprouts (see fig. 4).", "According to FDA, its review of the water standards is an effort to simplify the standards and make them easier for businesses to comply with. FDA also said that it would use the extended compliance period to work with produce businesses as it considers the best approach to respond to their concerns about the standards. The extended compliance period will also allow FDA to provide additional outreach and training.", "FDA officials we interviewed said that their decision to review the water standards and extend compliance dates was in response to industry concerns. They also said that they learned about these concerns through some of the steps they have taken, which we identify in this report. For example, FDA officials said they heard numerous questions and concerns from businesses about the water standards during educational farm visits. Also, as we note above, questions about the water standards were the most common produce rule-related questions submitted to the TAN. According to representatives we interviewed from two industry associations, some businesses did not fully understand the water standards because, among other things, they said the standards do not provide a clear definition of \u201cagricultural water,\u201d leaving some businesses uncertain about what water sources and water uses are subject to the rule. In addition, according to documentation from an industry meeting with FDA, some businesses have expressed concerns about costs associated with the new water testing requirements. Some businesses have also expressed concerns that the water testing method described in the standards has not traditionally been used by industry and that finding laboratories that use this method will be difficult. The standards allow for the use of alternative testing methods, but some businesses have expressed concerns that FDA has not specified these alternative testing methods, thereby leaving businesses uncertain about what methods will be acceptable to FDA. Along with its announcement of a review of the water standards, in September 2017, FDA announced a list of eight water testing methods it determined to be equivalent to the method described in the standards. According to FDA officials, the list was established in response to business concerns, and the agency will add to this list as additional equivalent methods are identified.", "FDA officials we interviewed did not provide specific details or a timeline for the agency\u2019s review of the water standards. These officials said the agency is considering adding clarifying information on the standards in forthcoming guidance and, if necessary, making changes to the standards themselves by revising the produce rule. In addition, officials said they plan on hosting a water summit in early 2018 with stakeholders and technical experts."], "subsections": []}]}, {"section_title": "FDA Has Collected Some Survey Results to Assess the Effectiveness of the TAN and Has Continued to Develop Metrics to Assess Outcomes of Its Other Mechanisms", "paragraphs": ["FDA has begun collecting survey results to assess the effectiveness of its information clearinghouse, the TAN, and has continued to develop metrics that will assess outcomes related to the agency\u2019s overall efforts to evaluate and respond to business concerns. In October 2016, FDA implemented the first part of its survey assessing the TAN. This first part of the survey, which FDA sent to businesses and other stakeholders that submitted questions to the TAN, solicited feedback about the TAN web page provided for submitting questions. This survey included questions about how stakeholders learned about the TAN web page, the clarity of the page, and how FDA could improve the page. Officials told us they have begun making changes to the TAN web page based on the survey results. For example, FDA increased the character limit for questions submitted and provided additional information about FSMA on the web page. FDA is also developing the second part of its TAN survey, which will solicit feedback from stakeholders on the timeliness and quality of answers provided by FDA through the TAN. FDA officials told us that the agency will begin sending out this survey with its responses to TAN questions in spring 2018.", "In addition to its assessment of the effectiveness of the TAN, FDA officials told us that the agency is continuing to develop metrics intended to assess a number of desired outcomes resulting from implementation of the rule, including outcomes related to FDA\u2019s efforts to evaluate and respond to business concerns. These outcomes are specified in a draft strategic framework the agency has developed to monitor implementation of the produce rule. The framework includes outcomes such as businesses\u2019 compliance with the produce rule, expanded use of incentives for compliance, and increased dissemination of good practices and other on-farm findings. According to FDA officials, outcomes in the framework that relate to FDA\u2019s efforts to evaluate and respond to business concerns include: increased effectiveness of technical assistance provided to businesses by FDA and its partners, improved working relationships with businesses, and increased capacity of FDA partners to educate businesses.", "Performance metrics are to be targeted to measure these outcomes, officials said. These officials also stressed that the draft strategic framework is subject to change.", "Because FDA officials we interviewed said they are in the early stages of assessing the TAN and the agency\u2019s other efforts to evaluate and respond to business concerns, we asked produce industry representatives for their perspectives on FDA\u2019s efforts, including representatives from two produce industry associations, a farming organization, and four organizations working with FDA to implement the produce rule. Regarding the TAN, representatives we interviewed from two of these groups said that they had received timely responses from FDA to some questions they had submitted to the TAN, and most groups we interviewed said that at least some of the TAN responses they received provided useful information. However, representatives we interviewed also had two major concerns:", "Representatives from three groups said that responses were often slow to arrive; representatives from one of these three groups commented that response times remained largely unchanged since we last reported on the produce rule in November 2016. Representatives from another group commented that FDA\u2019s response times to TAN questions seemed to be related to the complexity of a question. For example, questions that required straightforward answers often received faster responses, while questions requiring more complex answers often got slower responses and, in some cases, FDA responded that the question would be answered in forthcoming guidance.", "Representatives from four groups we interviewed also said that some responses lacked sufficient clarity or specificity to adequately address questions and that industry needed more specific, tailored responses from FDA. For example, some FDA responses restated information from the published produce rule without providing additional detail, and other responses contained \u201ccanned\u201d language that did not directly address the question.", "FDA officials acknowledged that it has been challenging for the agency to provide timely and complete responses to TAN questions, especially early on in the TAN\u2019s operation, but that the agency has to work through complex policy questions related to the rule in order to respond. These officials said they are working to respond more quickly to TAN questions and are revising the FDA review process for TAN responses. Officials also stated that they anticipate posting commonly asked produce rule questions and responses on the TAN web page to provide immediate assistance to businesses for some questions. This is similar to what the agency has done for other FSMA rules, officials said.", "Regarding FDA\u2019s other efforts to evaluate and respond to business concerns, representatives from one group we interviewed told us that FDA continues to be open to hearing questions and concerns from the produce industry. Nevertheless, representatives from four groups told us that businesses need more information from FDA to comply with the produce rule and are awaiting FDA\u2019s forthcoming guidance pertaining to the rule. Representatives from one of these groups also commented that guidance is needed to explain the produce rule in plain language so that businesses can more easily understand the rule. In addition, representatives from two of these groups said that the produce rule training available to businesses is helpful but limited in the absence of guidance. For example, some questions cannot be answered completely during trainings without additional information from guidance.", "FDA officials told us they are aware of businesses\u2019 concerns about the need for additional guidance. These officials said they are working to publish guidance on various topics related to the produce rule, as we have described elsewhere in this report. For example, officials said they planned to issue draft compliance and implementation guidance near the first compliance date of January 2018 for businesses producing commodities other than sprouts (see app. I)."], "subsections": []}, {"section_title": "FDA Officials Reported Facing Challenges Identifying Businesses Subject to the Produce Rule and Providing Consistent and Region-Specific Information in Their Responses", "paragraphs": ["Through interviews with FDA officials, we identified two key challenges that the agency faces in evaluating and responding to business concerns about the produce rule: (1) identifying businesses subject to the produce rule; and (2) providing consistent, region-specific information to businesses in response to their questions and concerns. FDA officials told us the agency\u2019s State Produce Implementation Cooperative Agreement Program plays a key role in addressing these challenges, as does the Produce Safety Network.", "Identifying businesses subject to the produce rule: While the produce rule specifies the types of commodities subject to the rule, FDA does not have an inventory of farms producing those commodities and therefore does not know which businesses are subject to the rule. As we have previously reported, FDA\u2019s existing business inventory data are drawn from information provided by businesses required to register with FDA. Farms, however, are not required to register. According to FDA officials, the lack of a registration requirement for farms limits the data the agency has to inform its implementation of the produce rule. For example, FDA officials we interviewed said that not having data regarding farms can make it difficult for FDA to connect businesses with the educational and technical assistance resources to help them comply with the rule. FDA officials told us the agency\u2019s State Produce Implementation Cooperative Agreement Program should help address this challenge. The program, which provides resources to each participating state to support a variety of state activities related to implementing and enforcing the produce rule, includes funding for states to develop and maintain an inventory of businesses subject to the rule. According to the program\u2019s funding announcement, inventory data will be used to determine education and outreach needs related to the produce rule as well as to plan compliance and enforcement activities. FDA officials told us that states participating in the program have started to build their inventories of farms. According to these officials, participating states plan to have their inventories completed before they begin inspections of produce businesses. For states not participating in the cooperative agreement program, FDA officials said the agency is developing farm inventories.", "Providing consistent and region-specific responses to business questions and concerns: FDA officials told us that it can be a challenge to ensure that FDA and its state partners provide consistent responses to businesses\u2019 questions that are also tailored to account for regional differences in growing conditions. For example, officials said that if a business in one part of the country receives information from one of FDA\u2019s state partners, it can be a challenge to ensure that businesses in other parts of the country also receive the same information, whether from states or from FDA. At the same time, however, information provided to businesses may need to be tailored to account for regional differences in growing conditions. FDA officials told us that, to address this challenge, FDA\u2019s Produce Safety Network staff are stationed around the United States and work closely with states participating in FDA\u2019s Cooperative Agreement Program. According to these officials, this relationship provides a mechanism for states and FDA to share information about the produce rule and helps ensure that information provided by states is consistent with FDA\u2019s interpretation of the rule. In addition, these officials stated that having network staff in different growing regions allows those staff members to develop expertise in the growing conditions and practices in their regions, which in turn enhances their ability to provide outreach and technical assistance that is specifically tailored to the unique needs of those regions. For example, according to FDA officials, if a state in the Cooperative Agreement Program receives a question about the rule from a business, Produce Safety Network staff work with the state and FDA subject matter experts to craft a response that the state can provide to the business and that is tailored to the growing practices and conditions in the region. This approach helps ensure that FDA and its state partners speak with one voice about the produce rule and that the information provided is sensitive to regional differences in the produce industry, officials said."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to HHS. HHS provided us with technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or morriss@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: FDA Outreach and Guidance Related to the Produce Rule", "paragraphs": ["Date(s)"], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Anne K. Johnson (Assistant Director), Ramsey Asaly, Tim Bober, Kevin Bray, Alexandra Edwards, Ellen Fried, Cindy Gilbert, Hayden Huang, Dan Royer, Kiki Theodoropoulos, and Rajneesh Verma made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Food Safety: A National Strategy Is Needed to Address Fragmentation in Federal Oversight. GAO-17-74. Washington, D.C.: January 13, 2017.", "Food Safety: FDA\u2019s Efforts to Evaluate and Respond to Business Concerns Regarding the Produce Rule. GAO-17-98R. Washington, D.C.: November 28, 2016.", "Food Safety: FDA Coordinating with Stakeholders on New Rules but Challenges Remain and Greater Tribal Consultation Needed. GAO-16- 425. Washington, D.C.: May 19, 2016.", "Department of Health and Human Services, Food and Drug Administration: Standards for the Growing, Harvesting, Packing, and Holding of Produce for Human Consumption. GAO-16-299R. Washington, D.C.: December 16, 2015.", "Federal Food Safety Oversight: Additional Actions Needed to Improve Planning and Collaboration. GAO-15-180. Washington, D.C.: December 18, 2014."], "subsections": []}], "fastfact": ["People often eat fruits and vegetables raw, so it's important to prevent contamination that may lead to foodborne illness.", "In 2011, a new law brought major changes to food safety efforts. One of these changes was the Food and Drug Administration's produce rule. It established the first enforceable national food safety standards for produce.", "We reported in 2016 on FDA's use of an information clearinghouse to respond to business concerns about the standards. In this report, we examined FDA's responses since then, which have included funding training for industry and announcing a review of water quality standards under the rule."]} {"id": "GAO-18-164", "url": "https://www.gao.gov/products/GAO-18-164", "title": "Faith-Based Grantees: Few Have Sought Exemptions from Nondiscrimination Laws Related to Religious-Based Hiring", "published_date": "2017-10-05T00:00:00", "released_date": "2017-11-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government provides billions of dollars in grant funding to organizations offering social services, including FBOs. In carrying out their mission, some FBOs prefer to hire individuals who share their religious beliefs. Although the 1964 Civil Rights Act prohibits employment discrimination based on religion, section 702(a) of the Act exempts FBOs from this prohibition, thereby allowing them to hire based on religion. However, some federal grant programs contain statutory restrictions prohibiting this practice. Since a 2007 DOJ legal opinion, federal agencies allow faith-based grantees to use RFRA as a basis for seeking an exemption to allow religious-based hiring.", "GAO was asked to review the extent to which faith-based grantees have sought RFRA exemptions from statutory restrictions on religious-based hiring. This report describes (1) what is known about faith-based grantees that have certified exemption from statutory restrictions on religious-based hiring, per RFRA, since 2007; and (2) how agencies inform grantees of statutory restrictions on religious-based hiring and requirements for demonstrating their eligibility for an exemption.", "GAO reviewed information from DOJ, HHS, and DOL grantees from fiscal years 2007 to 2015 that were subject to statutory restrictions on religious-based hiring. GAO interviewed faith-based grantees that certified as exempt and a selection of those that did not. GAO also reviewed agency grant documentation and guidance provided to grantees and interviewed cognizant officials to understand the processes FBOs must follow to certify as exempt."]}, {"section_title": "What GAO Found", "paragraphs": ["From fiscal years 2007 through 2015, few faith-based grantees sought an exemption based on the Religious Freedom Restoration Act of 1993 (RFRA) from nondiscrimination laws related to religious-based hiring. Specifically, GAO found that the Department of Justice (DOJ), Department of Health and Human Services (HHS), and Department of Labor (DOL) awarded funding to at least 2,586 grantees through at least 53 grant programs containing nondiscrimination hiring restrictions during this time. The number of relevant grant programs could be higher, because GAO could not identify all such programs due to data limitations. Across the 3 agencies, GAO identified 117 grantees that were potential Faith-Based Organizations (FBOs). Of the 117 potential FBOs, 9 DOJ grantees were FBOs that certified as being exempt from statutory restrictions on religious-based hiring. GAO interviewed 6 of these FBOs, all of which stated that hiring individuals who share their religious beliefs was critical to their mission, and that had the RFRA exemption not been available to them, they likely would not have sought the grant.", "DOJ, DOL, and HHS inform grant applicants and recipients of statutory restrictions on religious-based hiring and processes for obtaining an exemption from such restrictions generally through grant materials. DOJ and DOL also provide relevant information on their web sites. All three agencies require grantees that seek to make employment decisions based on religion to self-certify that they meet requirements to be eligible for an exemption, but vary in how they review and approve requests for exemptions. For example, DOJ, DOL, and HHS have policies requiring grantees to submit their exemption self-certification, but only DOL reviews exemption requests and either approves them or provides a reason for denial."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year the federal government provides billions of dollars to organizations that provide social services to needy families and individuals. Some of these funds are provided through competitive grants to faith-based organizations (FBOs), which may include religious groups, like churches, mosques, synagogues, and temples, or charitable organizations affiliated with religious groups.", "In some instances, FBOs believe it is necessary to only hire individuals who share their religious beliefs in order to carry out their mission. Title VII of the Civil Rights Act of 1964 prohibits employment discrimination based on religion, as well as other factors such as race, color, sex, and national origin. However, section 702(a) of the Act exempts FBOs with respect to basing employment decisions on religion, thereby permitting FBOs to intentionally, and exclusively, hire individuals who share their religious beliefs. In light of section 702(a), FBOs that receive federal grant funding have generally been permitted to make employment decisions based on religion. There are, however, certain federal grant programs that are subject to statutory restrictions that prohibit grant recipients from using grant funding, in whole or in part, to discriminate or deny employment on the basis of religion, among other factors.", "In 2005, the Office of Justice Programs (OJP) within the Department of Justice (DOJ) awarded grant funding to World Vision, a FBO, under a program that was subject to a statutory provision that prohibited recipients from considering religion when making employment decisions in connection with the grant. World Vision had a policy to hire only Christian staff in order to maintain its identity as a Christian organization. OJP informed World Vision about the grant program\u2019s statutory restriction, which prohibited religious-based hiring. World Vision petitioned OJP arguing that it should be exempted from the statutory restriction based on the Religious Freedom Restoration Act of 1993 (RFRA). Although RFRA does not explicitly address religious-based hiring, under RFRA, the government may not substantially burden a person\u2019s exercise of religion, unless it can prove a compelling interest in doing so. World Vision argued that being required to comply with the restriction substantially burdened its exercise of religion and that the government did not have a compelling interest in prohibiting World Vision from making religious- based hiring decisions. In response, DOJ\u2019s Office of Legal Counsel (OLC) issued an opinion in June 2007 stating that RFRA could be reasonably construed to require OJP to exempt World Vision from the statutory requirement restricting federal grantees from hiring on the basis of religion. Pursuant to this OLC opinion, and RFRA, certain federal agencies have permitted FBOs that receive funding under a program that is subject to a statutory restriction on religious-based hiring to certify that they are exempt from such restrictions.", "Since OLC issued this opinion, however, the extent to which faith-based grantees have certified that they are exempt from statutory restrictions on religious-based hiring is not readily available. You asked us to examine the extent of use and the various procedures regarding these exemptions. This report addresses the following questions: 1. What is known about faith-based grantees that have certified that they are exempt from statutory restrictions on religious-based hiring, per RFRA, since 2007? 2. What processes do selected federal agencies use to notify grantees about statutory restrictions on religious-based hiring and the related exemption, per RFRA, and what processes do agencies require FBOs to follow to demonstrate they are eligible for an exemption?", "In conducting our work, we reviewed the RFRA, the OLC opinion, laws and regulations related to religious-based hiring, and our prior work on the federal government\u2019s efforts to monitor FBOs and their performance. We sought to include federal agencies that, because of their mission, may be likely to provide funding to FBOs. Therefore, we selected the five agencies required by Executive Order 13198 to establish a Center for Faith-Based and Community Initiatives: DOJ, Department of Education (Education), Department of Health and Human Services (HHS), Department of Housing and Urban Development (HUD), and Department of Labor (DOL). These centers were established in each department to help the federal government coordinate a national effort to expand opportunities for faith-based and other community organizations and strengthen their capacity to meet social needs in American communities.", "To address our first objective, we asked each agency to identify any grantees that certified they were exempt from statutory restrictions on religious-based hiring. We also asked each agency to identify all grant programs that met the following criteria\u2014the grant program was subject to a statutory restriction on religious-based hiring; nonprofits, including FBOs, were eligible to be primary recipients of the grant funding; and funding was awarded during fiscal years 2007 through 2015. We selected this timeframe because it covered the period immediately after the OLC opinion was issued through the most recent fiscal year for which grant awards had been announced at the start of our review. We subsequently removed Education and HUD from our scope after the agencies reported that they did not have any grant programs that met our criteria.", "We could not determine the complete universe of FBOs that are eligible to be primary recipients of grant funding or the amount of federal funds they receive because DOJ, DOL, and HHS do not maintain, and are not required to maintain, information on whether or not an organization is an FBO. Also, there is no formal, federal-level definition of FBOs, which makes it difficult to identify and count them. In addition, DOJ was unable to identify the total number of grant programs from fiscal years 2007 through 2015 that were subject to nondiscrimination provisions and for which nonprofits, including FBOs, were eligible to be primary recipients of grant funding, in time for our review. As a result, the information we received may not represent the complete number of DOJ grant programs and grantees subject to the provisions; therefore, we use the term \u201cat least\u201d in our report because the number of relevant grant programs could be higher.", "Because DOJ\u2019s OJP and Community Oriented Policing Services (COPS) components, DOL, and HHS do not collect information on which grantees are FBOs and potentially eligible for an exemption, we sought other ways to identify potential FBOs. After reviewing Internal Revenue Service (IRS) documents, in particular IRS Publication 4838, Instructions for Requesting Information on Exempt Organizations (Effective January 2010), we determined that the IRS collects and maintains data on tax-exempt organizations that could indicate whether the organizations are faith- based. In addition, DOJ\u2019s Office on Violence Against Women (OVW) component utilized progress reports that allow grantees to self-identify as FBOs. We asked DOJ, DOL, and HHS to provide information, including name, contact information, and Employer Identification Number (EIN), for all of the grantees that received funding for each of the grant programs that met our criteria. Additionally, we contracted with LexisNexis to provide us with the relevant IRS data for each of the grantees. We analyzed the IRS data to determine which grantees had at least one faith- based indicator; and for the purpose of our review, we refer to such grantees as potential FBOs. If DOJ, DOL, or HHS had potential FBOs, we provided the agency with a list of these grantees and asked them to confirm whether any of these grantees certified that they were exempt from statutory restrictions on religious-based hiring.", "We contacted all nine of the grantees that the agencies identified as having certified that they were exempt, and six responded to our interview requests. These interviews yielded information on how the grantees certified that they were exempt from restrictions on religious-based hiring; why they determined it was important to hire someone who shared their religious beliefs; and what they would have done had the exemption option not been available to them. Additionally, we contacted all 35 potential faith-based grantees we identified that agencies reported had not filed a self-certification to be exempted from religious-based hiring restrictions that were awarded funding in fiscal years 2014 and 2015 through any of the grant programs that met our criteria. We selected this timeframe to increase the likelihood that grantees would be able to recall the details of the grant application process. Five of the 35 potential faith- based grantees responded to our interview request. We interviewed these faith-based grantees to discuss, among other things, whether the grantees were familiar with the exemption option and why they decided not to seek the exemption.", "To address our second objective, we obtained and reviewed grant solicitations, language of the relevant statutory restrictions, grant applications, agency policies, and exemption documentation submitted by faith-based grantees. To better understand the agencies\u2019 familiarity with the OLC opinion and the processes the agencies have in place to accept and review exemption documentation, we interviewed agency officials and attorneys from DOJ, DOL, and HHS.", "We conducted this performance audit from April 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Few Grantees Certified They Were Exempt from Statutory Restrictions on Religious-Based Hiring", "paragraphs": [], "subsections": [{"section_title": "Nine DOJ Grantees Certified They Were Exempt from Statutory Restrictions on Religious- Based Hiring", "paragraphs": ["From 2007 to 2015, HHS, DOL, and DOJ awarded funding to at least 2,586 grantees through at least 53 grant programs that were subject to statutory restrictions on religious-based hiring. Specifically:", "HHS identified one grant program subject to statutory restrictions on religious-based hiring for which nonprofits were eligible to be primary recipients\u2014the Projects for Assistance in Transition from Homelessness (PATH) program, which is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). Generally, only states are eligible to be primary recipients for PATH grant awards. However, HHS may award PATH grants directly to public or nonprofit entities if a state does not submit an application or does not meet program requirements. From this program, no grants were awarded to nonprofit organizations and therefore no FBOs were awarded grants.", "DOL identified 18 grant programs subject to statutory restrictions on religious-based hiring for which nonprofits were eligible to be primary recipients. All 18 of these grant programs were in DOL\u2019s Employment and Training Administration (ETA). From these 18 programs, 931 grantees were awarded grants, including 19 we identified as potential FBOs.", "DOJ identified at least 34 relevant grant programs administered by OVW, COPS, and six different program offices within OJP that were subject to statutory restrictions on religious-based hiring. The 34 relevant grant programs represent the minimum number of grant programs that were subject to nondiscrimination provisions and for which nonprofit organizations were eligible from fiscal years 2007 through 2015. The number of relevant grant programs could be higher. As discussed below, OJP was unable to identify the total number of relevant grant programs and total number grantees awarded grants under these programs, including potential FBOs. More specifically within DOJ:", "OVW identified 20 grant programs subject to statutory restrictions on religious-based hiring. From these 20 programs, 604 grantees were awarded grants, including 25 that OVW identified as potential FBOs.", "OJP identified at least 10 grant programs subject to statutory restrictions on religious-based hiring. According to officials, OJP was not able to readily identify grant solicitations that were available to nonprofit organizations from fiscal years 2007 to 2015 and subject to statutory restrictions on religious-based hiring. This effort, according to OJP, would have required a manual search of each grant solicitation. However, OJP was able to identify at least 10 grant programs subject to statutory restrictions on religious- based hiring. From these 10 programs, at least 1,113 grantees were awarded grants, including 74 we identified as potential FBOs.", "COPS identified four grant programs subject to statutory restrictions on religious-based hiring. From these four programs, 57 grantees were awarded grants, none of which were potential FBOs.", "Of the 117 potential FBOs we identified across the three agencies, nine faith-based grantees, all of which were awarded DOJ grants, certified that they were exempt from statutory restrictions on religious-based hiring (see figure 1). These 9 grantees were, therefore, allowed to consider a prospective employee\u2019s religious faith when making employment decisions in connection with the grant. DOL and HHS reported that none of their grantees have sought exemptions from religious-based hiring provisions.", "As shown in Table 1, 8 of the 9 faith-based grantees that certified that they were exempt were awarded funding through DOJ grant programs from fiscal years 2008 to 2010. The remaining exempted grantee received a funding award in 2015. The total funding awarded to the 9 grantees was approximately $3.2 million, which is less than 1 percent of the $804 million in grants that DOJ awarded that are subject to statutory restrictions from fiscal years 2007 to 2015. DOJ reported that 8 of these grantees received the awards on a noncompetitive basis because they were identified for funding in a DOJ appropriation or accompanying committee report."], "subsections": []}, {"section_title": "Exempted Faith-Based Grantees Stated that Hiring Staff to Assist with Grant Activities on the Basis of Religion Was Critical to Their Mission", "paragraphs": ["We interviewed 6 of the 9 grantees that certified that they were exempt from religious-based hiring restrictions. Each of the 6 grantees that we interviewed stated that: hiring individuals who share their religious beliefs to assist with grant activities was critical to their mission and organizational success; they include a \u201cstatement of faith\u201d on their organization\u2019s job application form and ask the applicant to attest to the statement of faith, or hired individuals of the same faith already employed within their organization; and had the RFRA exemption not been available to them, they likely would not have sought the grant or they would have had to seek executive- level approval within their organization to apply for the grant.", "At least 3 of the 6 grantees stated that they were a recipient of other federal grant funding, but those grants were not subject to statutory restrictions on religious-based hiring, and therefore did not require an exemption to make hiring decisions based on religion. Based on grant award documentation, 6 of the 9 grantees used the funding to provide assistance to at-risk youth. However, other services that the remaining grantees provided included first responder training and programs to reduce homelessness, among others, and support and response efforts for victims of sexual assault.", "As discussed earlier, we also selected 35 potential faith-based grantees that received funding in fiscal years 2014 and 2015 and that agencies reported had not filed a self-certification to be exempted from religious- based hiring restrictions. We interviewed 5 of these 35 grantees to discuss, among other things, whether the grantees were familiar with the exemption options. The five faith-based grantees said they did not recall seeing information about the exemption option in the grant application or grant award documentation, or were not looking for information about the exemption because they were not considering religion in their hiring decisions. Two of the faith-based grantees that did not certify as exempt told us that, while they ask that the applicant have an understanding of the traditions, culture, or languages of their religion, they do not require applicants to share the same faith."], "subsections": []}]}, {"section_title": "Federal Agencies Primarily Use Grant Documentation to Notify Grantees of Restrictions on Religious-Based Hiring and Requirements for Demonstrating Eligibility for Exemptions", "paragraphs": [], "subsections": [{"section_title": "Agencies Notify Grantees of Statutory Restrictions on Religious-Based Hiring through Grant Materials that Identify Relevant Regulations", "paragraphs": ["DOJ, DOL, and HHS inform grant applicants and recipients of statutory restrictions on religious-based hiring and processes for obtaining an exemption from such restrictions through grant announcements. The agencies also use additional methods that varied across all three agencies for providing this information to grantees.", "DOJ specifically made this information available on agency web pages as well as in the documentation that is provided to grant recipients. DOJ\u2019s Center for Faith-Based and Neighborhood Partnerships has a web page specifically for FBOs that have applied for or received grant funding. This web page includes a list of Frequently Asked Questions, including one that addresses hiring employees with federal grant funds. The Office for Civil Rights within OJP also provides information on its web page regarding how FBOs may certify that they are exempt from statutory restrictions on religious-based hiring. Additionally, it includes a link to a copy of DOJ\u2019s exemption certification form. We interviewed representatives from four potential faith-based grantees that received a DOJ grant in fiscal years 2014 or 2015 and did not certify for an exemption. All four grantees said they could not recall seeing information in the grant application or award documentation about the exemption option or were not looking for it because they were not considering religion in their hiring decisions.", "Similarly, DOL has a web page devoted specifically to explaining statutory restrictions on religious-based hiring to faith-based grant applicants and recipients, which also covers the process for seeking exemptions from the restrictions. The web page makes reference to DOL\u2019s regulations related to religious-based hiring by FBOs and also has a link to the June 2007 OLC opinion. Additionally, DOL has prepared a guidance document\u2014available from its grants program overview web page\u2014that explains in detail the process for seeking exemptions and how they are reviewed and approved. A representative from the one potential FBO we interviewed that received a DOL grant in fiscal years 2014 or 2015 but did not certify that they were exempt could not recall seeing information about the exemption option.", "Lastly, in addition to providing information in grant announcements, HHS provides all SAMHSA grant applicants seeking funds for substance abuse prevention and treatment services with a form that cites laws and regulations governing religious organizations that receive SAMHSA funding, including the regulation that outlines the exemption process. HHS requires the applicants to sign the form, and in doing so, the applicants are certifying that they are aware of and will comply with applicable laws that allow FBOs to provide SAMHSA-funded services without impairing their religious character and without diminishing the religious freedom of those who receive their services."], "subsections": []}, {"section_title": "Agencies Rely on Grantees to Self-Certify that They Meet Eligibility Requirements for Exemptions from Statutory Restrictions on Religious- Based Hiring", "paragraphs": ["DOJ, DOL, and HHS all require grantees that seek to make employment decisions based on religion to self-certify that they meet requirements to be eligible for an exemption from statutory restrictions on religious-based hiring, but vary in how they review and approve requests for exemptions."], "subsections": [{"section_title": "Department of Justice", "paragraphs": ["DOJ faith-based grantees that wish to demonstrate they are eligible for an exemption from statutory restrictions on religious-based hiring must complete and sign a \u201cCertificate of Exemption for Hiring Practices on the Basis of Religion.\u201d If an applicant is awarded a grant, it must submit a copy of the signed version of this form through DOJ\u2019s Grants Management System. By signing the form, the grantee is certifying that: federally-funded services will be offered to all qualified beneficiaries without regard for the religious or nonreligious beliefs of those individuals; activities that contain inherently religious content will be kept separate from grant-related activities or offered to clients voluntarily; and the organization believes that the services provided are an expression of its religious beliefs, employing persons of a particular religion is important to its mission, and not being able to hire such persons would be a substantial burden to the organization.", "DOJ does not review these self-certification submissions to approve or deny the requests. It only reviews them for any indication that the applicant may not be an FBO, in which case DOJ officials said they would follow up with the grantee to get clarification. Agency officials also said DOJ would review any self-certifications as part of grantee compliance reviews and in response to complaints from other parties. The self- certification form covers the entire grant award period, and can cover multiple DOJ grants as long as all of the grant programs are subject to the same statutory restrictions on religious-based hiring. There is no deadline for submitting the self-certification and DOJ officials told us that while it is understood that self-certifications should be submitted before grant funds are dispersed, grantees do not need to do so."], "subsections": []}, {"section_title": "Department of Labor", "paragraphs": ["DOL faith-based grantees that wish to demonstrate they are eligible for an exemption also self-certify, but are required to submit their request to DOL for review and approval by the Assistant Secretary responsible for issuing or administering the grant. In its request, the grantee must certify that: providing the services to be funded by the grant is an exercise of its without the grant, its ability to provide the services funded by the grant would be substantially diminished, and providing those services is demonstrably tied to the recipient\u2019s religious beliefs; employing individuals of a particular religious belief is important to its religious identity, autonomy, or communal religious exercise; conditioning the grant award on compliance with the nondiscrimination provision creates substantial pressure on it, in providing the services being funded, to abandon its belief that hiring based on religion is important to its religious exercise; and it will comply with the requirements of 29 C.F.R. part 2, subpart D, Equal Treatment in Department of Labor Programs for Religious Organizations; Protection of Religious Liberty of Department of Labor Social Service Providers and Beneficiaries.", "The Assistant Secretary\u2019s office then reviews exemption requests and approves them or provides a reason for denial. DOL has instituted a 30- day deadline to reply back to the grant applicant with its decision. DOL implemented this process in response to the 2007 OLC opinion. However, agency officials said they have never used this process because, as explained earlier in this report, DOL has not received any exemption requests. They also told us exemptions are only valid for the grant award period and new requests must be re-submitted if the grant is renewed. However, an exemption can cover multiple grants to the same grantee as long as those grants are received from the same DOL component. Lastly, the officials said that grant funds can be disbursed before the grantee has submitted an exemption request."], "subsections": []}, {"section_title": "Department of Health and Human Services", "paragraphs": ["HHS faith-based grantees seeking to demonstrate that they are eligible for an exemption from statutory restrictions on religious-based hiring must self-certify that they meet several requirements outlined in HHS regulations. To demonstrate its eligibility for an exemption, a grantee must certify that: it sincerely believes employing individuals of a particular religion is important to the definition and maintenance of its religious identity, autonomy, and/or communal religious exercise; it makes employment decisions on a religious basis in analogous programs; it believes the grant would materially affect its ability to provide the type of services in question; and providing the services in question is expressive of its values or mission.", "Grantees must then submit their self-certification to HHS requesting an exemption, and maintain supporting justification documentation on file if needed for future review. However, as explained earlier in this report, there is currently only one HHS grant program that is subject to a statutory restriction on religious-based hiring and for which FBOs are eligible to be primary recipients\u2014the PATH program. We did not identify any faith-based recipients of grants from this program from fiscal years 2007 through 2015, and HHS officials confirmed that no nonprofit entities received any grants from the program during this time."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Labor, Justice, and Health and Human Services. Although the agencies did not provide formal comments, the Departments of Justice and Health and Human Services did provide technical comments that we incorporated, as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time we will send copies of this report to the Secretaries of Health and Human Services and Labor; the Attorney General; and appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact either Diana Maurer at (202) 512-8777 or maurerd@gao.gov; or Cindy Brown Barnes at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in Appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mary Crenshaw, Adam Hoffman, and Kristy Love (Assistant Directors); David Ballard; Dominick Dale; Michele Fejfar; Melissa Hargy; Joel Marus; Heidi Nielson; Kelly Rolfes- Haase; and Katrina Taylor made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-226", "url": "https://www.gao.gov/products/GAO-18-226", "title": "National Security: Ongoing Review of the Military Selective Service Process Could Benefit from Additional Information", "published_date": "2018-01-10T00:00:00", "released_date": "2018-01-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Military Selective Service Act established the Selective Service System whose mission, among other things, is to be prepared to provide trained and untrained manpower to DOD in the event of a national emergency when directed by the President and the Congress. In the NDAA for FY 2017, Congress included a provision requiring that DOD submit a report on the current and future need for a centralized registration system under the Military Selective Service Act. In addition, the act established a Commission to review, among other things, the military selective service process and report on it.", "The act also included a provision for GAO to review DOD's procedures for evaluating selective service requirements. In this report, GAO compared the information DOD included in its report with the act's required elements and identified additional information that could benefit the Commission as it further reviews the military selective service process.", "GAO reviewed DOD's report and the statutory elements and interviewed officials involved in the military selective service process to identify additional information that could benefit the Commission's ongoing review."]}, {"section_title": "What GAO Found", "paragraphs": ["In its July 2017 report to Congress and the National Commission on Military, National, and Public Service (i.e., \u201cthe Commission\u201d), the Department of Defense (DOD) provided information regarding each of the six required reporting elements contained in the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017. Specifically, DOD provided information on:", "1. the direct and indirect benefits of the military selective service system;", "2. the functions performed by the Selective Service System that would be assumed by DOD in the absence of a national registration system;", "3. the systems, manpower, and facilities needed by DOD to physically mobilize inductees in the absence of the Selective Service System;", "4. the feasibility and the utility of eliminating the focus on the mass mobilization of primarily combat troops in favor of a system that focuses on the mobilization of military occupational specialties, and the extent to which such a change would impact the need for both male and female inductees;", "5. DOD's personnel needs in the event of an emergency requiring mass mobilization; an analysis of any additional critical skills that would be needed in the event of a national emergency; and a timeline for when DOD would require the first inductees to report for service; and", "6. a list of the assumptions used by DOD to conduct its analysis.", "GAO identified additional information that may benefit the Commission's ongoing evaluation of the military selective service process. The fifth required reporting element required DOD to analyze its personnel needs in the event of an emergency requiring mass mobilization and a timeline for obtaining these inductees. In response, DOD provided the personnel requirements and timeline that were developed in 1994 and that have not been updated since. DOD officials stated that they did not conduct additional analysis to update these requirements because the all-volunteer force is of adequate size and composition to meet DOD's personnel needs. In 2012, GAO recommended that DOD establish a process to periodically reevaluate DOD's requirements for the Selective Service System. Although DOD concurred with this recommendation, it has not yet implemented it. GAO believes this recommendation is still valid. Having updated DOD Selective Service System requirements and timelines for a potential draft may be useful in supporting the ongoing evaluation of the military selective service process by the Commission.", "Further, military service officials told GAO that their perspectives on how selective service processes that could affect them had not been solicited in the preparation of DOD's report. Since the military services are to receive, train and integrate the inductees; provide support to the Selective Service System during a national emergency; and could help identify critical skill sets needed to meet emerging demands and the impact a draft could have on meeting those demands, the military service officials' perspectives could be useful to the Commission. DOD officials stated that they are currently collecting these perspectives and plan to provide this information to the Commission."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations. GAO believes its 2012 recommendation to DOD to periodically reevaluate its requirements for the Selective Service System, which DOD concurred with, is still valid. DOD had no additional comments on this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Military Selective Service Act established the Selective Service System whose mission, among other things, is to be prepared to provide trained and untrained manpower to the Department of Defense (DOD) in the event of a national emergency when directed by the President and the Congress. The Selective Service System, an independent executive branch agency with a budget of about $25 million, maintains a registration database of individuals who could be drafted into the service of our nation, if needed, in the event of a national emergency.", "In 2012, we reported on the military necessity of the Selective Service System and examined alternatives to its current structure. We found that because of DOD\u2019s reliance and emphasis on using the all-volunteer force, DOD had not reevaluated requirements for the Selective Service System since 1994, even though the national security environment had changed significantly since that time. In our report, we recommended that DOD (1) evaluate DOD\u2019s requirements for the Selective Service System in light of recent strategic guidance and report the results to Congress; and (2) establish a process of periodically reevaluating DOD\u2019s requirements for the Selective Service System in light of changing threats, operating environments, and strategic guidance. DOD concurred with these recommendations and in response implemented the first recommendation in February 2013. At that time, the Principal Deputy Assistant Secretary of Defense for Readiness and Force Management reported that it had reevaluated the mission and military necessity for the Selective Service System and concluded that the all-volunteer force was of adequate size and composition to meet the department\u2019s demands, and that there were no operational plans that envision mobilization at a level that would require conscription. Additionally, the reevaluation showed that although there was no longer an immediate \u201cmilitary\u201d necessity for the Selective Service System, there continued to be a \u201cnational\u201d necessity for it because it provides the structure that would allow the military services to more rapidly increase their size if that became necessary. As of November 2017, DOD had not implemented our second recommendation, as discussed later in this report.", "The National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017 established the National Commission on Military, National, and Public Service (the \u201cCommission\u201d) to, among other things, review the military selective service process. Composed of 11 members, the Commission is to submit a report to the President and Congress no later than 30 months after its establishment date on its findings, conclusions, and recommendations regarding the need for a military selective service process and a means by which to foster a greater propensity to serve among U.S. youth, among other things. To inform the Commission\u2019s efforts, the NDAA for FY 2017 also included a provision that the Secretary of Defense report to Congress and the Commission on the current and future need for a centralized registration system under the Military Selective Service Act. Specifically, DOD\u2019s report was to address six elements related to the Selective Service System process. DOD submitted its report to Congress and the Commission in July 2017.", "The NDAA for FY 2017 also included a provision for us to review DOD\u2019s procedures for evaluating selective service requirements. Specifically, we compared the information that DOD included in its report with the act\u2019s six required reporting elements and identified additional information that could benefit the Commission in its ongoing review of the military selective service process.", "To address our objective, we compared the six reporting elements required by the NDAA for FY 2017 with the report DOD produced to meet the congressional mandate. We also discussed with officials within the Office of the Assistant Secretary of Defense for Manpower and Reserve Affairs, who developed the report, what information they used and what analysis they performed to support their responses to each of the required reporting elements. Additionally, we examined documentary evidence cited in the report or that was provided by officials. Further, we interviewed officials with whom the Office of the Assistant Secretary of Defense for Manpower and Reserve Affairs consulted to prepare the report. Specifically, we met with officials from the Office of the Deputy General Counsel for Personnel and Health Policy, the Joint Advertising and Market Research Service, the Joint Staff, the U.S. Military Entrance Processing Command, and the Selective Service System and discussed the extent and nature of the information they provided and their involvement in the development of the report. We also reviewed documents, such as selected instructions, regulations, and memorandums.", "To identify any additional information that could benefit the Commission in its ongoing review of the military selective service process, we spoke with officials in organizations responsible for operating and maintaining the selective service process, as well as those that would be involved in any mass mobilization if a draft were utilized, to discuss topics that they thought the report had not addressed. Further, we spoke with personnel officials from the Army, the Navy, the Air Force, and the Marine Corps to obtain their assessment of DOD\u2019s report and their insights into the selective service and mass mobilization processes. We also reviewed a previously issued GAO report regarding the Selective Service System and related documents to determine whether DOD had implemented all applicable recommendations. Finally, we interviewed the Chair and the two Vice-Chairs of the National Commission on Military, National, and Public Service to obtain their perspectives on DOD\u2019s report.", "We conducted this performance audit from June 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Military Selective Service Act established the Selective Service System whose mission is to be prepared to provide trained and untrained manpower to DOD in the event of a national emergency when directed by the President and the Congress. Additionally, the Selective Service System is to be prepared to implement an alternative service program within the civilian community for registrants classified as conscientious objectors during a draft. The Selective Service System is an independent agency, and it maintains a database that includes the names, birthdates, social security numbers, and mailing addresses of men ages 18 through 25 who could be drafted into the service of our nation, if needed, in the event of a national emergency. Further, the Selective Service System also is to conduct peacetime activities, such as public registration awareness and outreach; responding to public inquiries about registration requirements; and providing training and support to its workforce of career, non-career, full-time and part-time employees, uncompensated employees, and selected military personnel.", "The Military Selective Service Act does not currently authorize the use of a draft for the induction of persons into the armed forces. In order to meet a national emergency requiring a mass mobilization, Congress and the President would be required to enact a law authorizing a draft to supplement the existing force with additional military manpower. In the event of a draft, the regulation governing the Military Entrance Processing Stations would have the Under Secretary of Defense for Personnel and Readiness, with input from the military services, provide the Director of the Selective Service System with the number of personnel needed to be drafted. The Selective Service System would then conduct a lottery and send induction notices to selected draftees to supply the personnel requested by the Secretary of Defense. Each draftee would be required to report to one of DOD\u2019s 65 Military Entrance Processing Stations throughout the country at a specific time and date to undergo assessments of their aptitude, character, and medical qualifications in order to determine whether they are fit for military service based on standards set by each military service. Fully qualified draftees would receive induction orders and would be transported from one of the Military Entrance Processing Stations to the appropriate military service\u2019s entry- level training location. According to DOD, the Selective Service System must deliver the first inductees within 193 days from when the President and the Congress authorize a draft, and the military services then are to train, equip, and accommodate in other ways the new inductees.", "The military services are generally smaller today than they have been in many years. In fiscal year 2003, for example, DOD\u2019s total active military end strength was approximately 1.5 million, while in fiscal year 2017 the number was 1.38 million. Additionally, DOD\u2019s total workforce mix has also changed. For example, in late 2003 DOD directed the military services to convert certain military positions to federal civilian or contract positions based on evaluations that showed that many military personnel were being used to accomplish work that was not military essential and that civilians could often perform these tasks in a more efficient and cost- effective manner than military personnel. In May 2013, we reported that DOD officials stated that about 50,000 military positions were converted to DOD federal civilian positions or to contractors since fiscal year 2004 in order to devote more military positions to the support of ongoing military operations.", "Under current law, women may serve voluntarily in the armed forces but are not required to register with the Selective Service System. In the 1981 case of Rostker v. Goldberg, the Supreme Court of the United States upheld the constitutionality of our nation\u2019s practice of registering only men. Recognizing the purpose of registration was to prepare for a draft of combat troops and since women were excluded from combat, the Supreme Court ruled that Congress could exclude women from registration. DOD gradually began to eliminate prohibitions on the assignment of women to direct ground combat positions and on January 24, 2013, the Secretary of Defense and the Chairman of the Joint Chiefs of Staff rescinded a 1994 rule preventing women from serving in direct ground-combat positions and directed the military services to open all closed positions and occupations to women by January 1, 2016. In December 2015, the Secretary of Defense announced that all military occupational specialties were open to women and removed all final restrictions on the service of women in combat. As part of the congressional notification process when DOD decided to open previously- closed positions and occupations to women, the department was required to provide a detailed legal analysis of the implications of the proposed change with respect to the constitutionality of the Military Selective Service Act to men only. DOD\u2019s July 2017 report on the purpose and utility of a registration system for military selective service stated that in December 2015, DOD advised Congress that the opening of all positions and occupations to women \u201cfurther alters the factual backdrop\u201d to the Supreme Court\u2019s ruling on a challenge to the exemption of women from selective service registration. However, the report stated that DOD took no further stance on the legal issues raised by the then-Secretary of Defense\u2019s decision to open all military positions to women. Further, DOD stated that it would consult with the Department of Justice as appropriate regarding these issues."], "subsections": []}, {"section_title": "DOD Included Information on the Six Required Reporting Elements but Additional Information May Benefit the Commission\u2019s Ongoing Review", "paragraphs": [], "subsections": [{"section_title": "DOD Included Information on the Six Required Reporting Elements in Its Report", "paragraphs": ["DOD included information on each of the six required reporting elements in its July 2017 report to Congress and the Commission on the purpose and utility of a registration system for military selective service, as shown in table 1. In preparing the report, officials within the Office of the Assistant Secretary of Defense for Manpower and Reserve Affairs stated that they coordinated and consulted with subject matter experts at the Selective Service System and the Joint Staff as well as with officials from selected organizations within the Office of the Secretary of Defense, including the U.S. Military Entrance Processing Command. Further, the DOD report references internal DOD documents, a policy publication from the Congressional Research Service regarding Selective Service issues, statements from former DOD executives, and publications from contributing authors on web-based foreign policy and national security discussion sites for additional support."], "subsections": []}, {"section_title": "Additional Information May Be Useful for the Commission\u2019s Ongoing Review of the Military Selective Service Process", "paragraphs": ["While DOD included information on the six required reporting elements in its report, we identified additional information that may be useful in supporting the ongoing review of the military selective service process by the Commission. Specifically, based on our review of DOD\u2019s report and our prior work, the Commission could benefit from additional information on (1) DOD\u2019s requirements and timelines for the induction of individuals into the military services who are selected through a draft, and (2) the perspectives of the military services on the military selective service processes.", "First, one of the six required reporting elements in the NDAA for FY 2017 required DOD to provide a detailed analysis of its personnel needs in the event of an emergency requiring a mass mobilization, along with a timeline for obtaining these inductees. In response, DOD provided the personnel requirements and a timeline that was developed in 1994 and that have not been updated since. These requirements state that, in the event of a draft, the first inductees are to report to a Military Entrance Processing Station in 193 days and the first 100,000 inductees would report for service in 210 days. DOD\u2019s report states that the all-volunteer force is of adequate size and composition to meet DOD\u2019s personnel needs and it has no operational plans that envision mobilization at a level that would require a draft. Officials stated that the personnel requirements and timeline developed in 1994 are still considered realistic. Thus, they did not conduct any additional analysis to update the plans, personnel requirements, or timelines for responding to an emergency requiring mass mobilization. Further, they said that they were limited in the amount of time that they were given to respond to the congressional mandate and that they believed it would be most helpful to produce a report that provided basic information that could serve as a starting point for the Commission to begin a more in-depth review of the military selective service process. As previously discussed, in 2012, we reported that changes in the national security environment require DOD and the services to reassess their force structure requirements, including how many and what types of units are necessary to carry out the national defense strategy. We reported that these changes represented junctures at which DOD could systematically reevaluate service personnel levels to determine whether they are consistent with strategic objectives. As such, we recommended that DOD establish a process of periodically reevaluating DOD\u2019s requirements for the Selective Service System in light of changing operating environments, threats, and strategic guidance. Since DOD did not perform additional analysis to reevaluate its requirements or timelines for obtaining inductees to respond to this mandate and the most recent requirements were determined based on assumptions developed in 1994, we continue to believe our 2012 recommendation is valid. An updated analysis would also benefit the Commission by informing their study and recommendations.", "Second, the military service officials that we met with told us that their perspectives on the selective service processes that would affect them had not been solicited in the preparation of DOD\u2019s report. For example, while the military services are responsible for training inductees upon their mobilization and integrating them into the force, service officials expressed concerns to us regarding whether, for example, they would have the training facilities, uniforms or funding to receive, train, equip, and integrate a large influx of inductees in the event of a draft. Additionally, the services are expected to provide support to the Selective Service System during a national emergency. A 1997 memorandum of understanding between the Selective Service System and DOD indicates, among other things, that the Department of the Army will provide 1,500 enlisted Army retirees to augment the Selective Service System within 72 hours after a draft is initiated. According to officials within the Office of the Under Secretary of Defense for Personnel and Readiness-Military Personnel Policy, this memorandum of understanding was reviewed and revalidated in 2014. However, Army officials told us that they believed some of their service-specific procedures might require updates identifying individuals to augment the Selective Service System\u2019s staff, especially the retired personnel that would need to be recalled to duty. They thought it would be beneficial for officials within the Office of the Secretary of Defense to conduct a thorough, top-down review, and lead an update of service instructions related to supporting a draft to ensure the services are prepared to provide their share of personnel if needed. These Army officials said, however, that their higher Army headquarters saw no operational reason to review their policies and procedures related to mass mobilization given that DOD has no operational plans that envision mobilization at a level that would require a draft.", "As discussed previously in this report, DOD\u2019s workforce mix has been changing. For example, over the last decade, the use of unmanned aerial systems has emerged as an integral part of warfighting operations and the demand for their use has outpaced the Air Force\u2019s ability to produce pilots to operate them. Additionally, each of the services has reported critical skill gaps in such areas as various military medical specialties. Further, challenges exist in identifying cyber capabilities of all National Guard units, as required by law, which could be used for the support of a cyber-related emergency. Officials from the Office of the Under Secretary of Defense for Personnel and Readiness-Military Personnel Policy stated that critical skills identified as necessary today may not be the critical skills needed in future crises. Additionally, they said that creating and maintaining tools, such as databases of individuals with these needed critical skills, is costly and may become outdated quickly. We agree that the requirements for critical skills will evolve over time; however, any discussion of a draft using the selective service process\u2014 as presented in DOD\u2019s July 2017 report\u2014that focuses on specific military occupational specialties would benefit from the perspectives and input of officials from the military services and the impact a draft may have on meeting those demands. Specifically, these officials would be helpful in identifying the needed critical skill sets for their emerging mission demands and the impact a draft may have on meeting those demands.", "DOD officials within the Office of the Assistant Secretary of Defense for Manpower and Reserve Affairs stated that they are currently collecting the perspectives of the military services on the selective service process and plan to provide this information to the Commission. DOD officials explained that they did not incorporate information from the military services into their report because DOD\u2019s involvement in any potential decision to initiate and implement a draft is mostly centralized within the Office of the Secretary of Defense, not within the individual military services. They further stated that information regarding the level of additional personnel that would be needed using a draft in the event of a national emergency comes from the war plans that are developed and maintained by the Joint Staff. Additionally, they said that they primarily produced a report that characterized the overall processes and was a factual account of how DOD interacts with various aspects of the Selective Service System.", "Another provision within the NDAA for FY 2017 required the Secretary of Defense and other Cabinet-level government officials, along with any experts designated by the President, to submit to the Commission and Congress recommendations for the reform of the military selective service process not later than 7 months after the Commission\u2019s establishment date. To accomplish this, officials from the Office of the Assistant Secretary of Defense for Manpower and Reserve Affairs said that they initially developed a questionnaire on which the Commission provided feedback. These officials stated that they sent it to 18 organizations, including the Cabinet positions listed in the act and to additional organizations that were recommended by the National Security Council or that had some role or responsibility in the event of a draft. In order to produce the Secretary of Defense\u2019s submission, these officials further stated that they requested each of the military services and the Joint Staff to complete the questionnaire by November 2017. Further, these officials viewed the questionnaire as an opportunity for the respondents\u2014the military services in the case of DOD\u2014to provide their ideas regarding military selective service processes, both current and future."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In an email, the Director of Accession Policy within the Office of the Deputy Assistant Secretary of Defense for Military Personnel Policy stated that the military services concurred with the report and DOD had no additional comments.", "We are sending copies of this report to the appropriate congressional committees; the National Commission on Military, National, and Public Service; the Secretary of Defense; the Acting Assistant Secretary of Defense for Manpower and Reserve Affairs; the Commander, U.S. Military Entrance Processing Command; the Secretaries of the Army, the Navy, and the Air Force; the Commandant of the Marine Corps; and the Director, Selective Service System. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly Seay, Assistant Director; Rebecca Beale; Vincent Buquicchio; Mae Jones; Kevin Keith; Jordan Mettica; and Amber Sinclair made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-454", "url": "https://www.gao.gov/products/GAO-18-454", "title": "Coast Guard Acquisitions: Actions Needed to Address Longstanding Portfolio Management Challenges", "published_date": "2018-07-24T00:00:00", "released_date": "2018-07-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Coast Guard spends billions of dollars on its major acquisition programs to meet its missions. GAO's prior work has identified the Coast Guard's reliance on its annual budget process to manage its acquisition portfolio as a challenge.", "GAO was asked to review the recapitalization of the Coast Guard's acquisition portfolio. This report assesses, among other topics, the extent to which the Coast Guard has made changes to how it manages its acquisition portfolio.", "GAO assessed Coast Guard's major acquisition programs to determine changes since GAO's 2014 portfolio review. GAO analyzed program baselines and interviewed Coast Guard officials. GAO analyzed the CIP for fiscal years 2014 through 2018, and reviewed the EOC's documentation."]}, {"section_title": "What GAO Found", "paragraphs": ["The Coast Guard, a component within the Department of Homeland Security (DHS), continues to manage its acquisitions through its annual budget process and the 5-year Capital Investment Plan (CIP)\u2014congressionally mandated and used for oversight. This management approach creates constant churn as program baselines must continually re-align with budget realities instead of budgets being formulated to support program baselines. Further, Coast Guard officials said the CIP reflects the highest priorities of the department\u2014such as the Offshore Patrol Cutter, which is the Coast Guard's highest priority\u2014and that trade-off decisions are made as part of the annual budget process. However, the effects of these decisions, such as which acquisitions would take on more risk so others can be prioritized and adequately funded, are not communicated in the CIP to key decision makers, because including such information is not statutorily required. Over the years, this approach has left the Coast Guard with a build up\u2014or bow wave\u2014of near-term unfunded acquisitions, negatively affecting recapitalization efforts and limiting the effectiveness of long-term planning. Including the effects of these trade-offs in the CIP would align with GAO's cost estimating best practices. Until it does so, the Coast Guard limits its ability to manage its acquisition portfolio in the long-term, beyond the time covered in the 5-year CIP.", "In response to a September 2012 GAO recommendation, the Coast Guard updated the Executive Oversight Council's (EOC)\u2014a cross-directorate group that oversees major acquisition programs\u2014charter in 2014 to require annual reviews of the acquisition portfolio collectively. However, EOC officials said that these annual reviews never occurred, and GAO found that the annual review requirement was removed from the charter in 2017. Thus, the Coast Guard is without a senior-level group charged to collectively review and ensure affordability of its acquisition portfolio. The Office of Management and Budget's Capital Programming Guide states that a senior-level executive committee should be responsible for reviewing the agency's entire asset portfolio and for making decisions on the proper composition of assets needed to achieve strategic goals within budget constraints."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the annual CIPs reflect acquisition trade-off decisions and their effects, and that the EOC review the overall acquisition portfolio and its affordability annually. DHS concurred with the CIP recommendation. DHS did not concur with the EOC recommendation. It noted that other existing Coast Guard bodies are responsible for evaluating and prioritizing funding. However, DHS stated that the EOC charter will be updated to require it to review the overall acquisition portfolio, including long-term planning. If this long-term planning accounts for budget realities for the acquisition portfolio, GAO believes the intent of the recommendation will be met."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1996, the Coast Guard\u2014a component within the Department of Homeland Security (DHS)\u2014has been acquiring a portfolio of new surface and aviation assets as part of a multibillion-dollar recapitalization effort\u2014 replacing assets that have reached or will soon reach the end of their service lives. These assets are intended to conduct missions that range from illegal drug and migrant interdiction to search and rescue operations. For more than 15 years, we have reported extensively on the Coast Guard\u2019s portfolio of major acquisition programs and its risks and uncertainties. In our prior work, we found shortcomings in the Coast Guard\u2019s acquisition planning practices, such as its reliance on the annual budget process to plan major acquisitions without a thorough plan to ensure the affordability of the entire acquisition portfolio. This approach has resulted in delayed acquisitions and reduced capabilities. In September 2012, we recommended that the Coast Guard conduct a comprehensive portfolio review to focus on acquisition priorities.", "Although DHS agreed with our recommendation at the time, as of October 2017 it had not yet been implemented.", "Subsequently, in June 2014, we recommended that the Coast Guard develop a 20-year fleet modernization plan to aid in identifying the assets that need to be recapitalized, the resources required, and the trade-offs necessary given fiscal constraints. DHS agreed with our recommendation but the Administration has not yet approved a 20-year plan.", "Delayed acquisitions have also strained existing Coast Guard resources. Specifically, older assets in the fleet\u2014such as the 210-foot and 270-foot Medium Endurance Cutters and Polar Star (heavy icebreaker)\u2014have become more expensive to maintain as they continue to operate well beyond the estimated service life dates determined when they were built.", "You asked us to review the Coast Guard\u2019s acquisition portfolio. This report assesses (1) the extent to which the Coast Guard has made changes to how it manages its acquisition portfolio and (2) how the Coast Guard is sustaining existing assets until new assets become operational.", "To assess the extent to which the Coast Guard has changed how it manages its acquisition portfolio, we assessed the Coast Guard practices for managing the portfolio\u2019s affordability through long-term planning to determine how it has changed since our last Coast Guard acquisition portfolio review in 2014. We analyzed the Coast Guard\u2019s 5-year Capital Investment Plans (CIP) that supported the budget requests for fiscal years 2014 through 2018 to determine how the Coast Guard has managed the affordability of its acquisition portfolio. We compared Coast Guard practices for managing affordability and long-term planning with best practices outlined in GAO\u2019s Cost Estimating and Assessment Guide and prior GAO reports. We also reviewed a range of acquisition programs based on if they were already major acquisition programs (programs with a life-cycle cost estimate greater than or equal to $300 million or a total acquisition cost greater than or equal to $100 million) by definition, the programs were part of our 2014 review, or they are likely to be major acquisition programs that will require significant funding in the near future. We reviewed charters for the Coast Guard\u2019s various cross directorate groups that help oversee Coast Guard acquisitions to identify responsibilities and membership, and conducted interviews with officials from these bodies to better understand their portfolio oversight activities. We also interviewed Coast Guard officials to ascertain the anticipated content of the 20-year Long-term Major Acquisitions Plan.", "To assess how the Coast Guard is sustaining existing assets until new assets become operational, we selected and reviewed assets that were at or approaching their end of design service lives\u2014an estimated period before the asset reaches obsolescence\u2014and if the Coast Guard was planning to extend their design service lives through a Service Life Extension Project. We collected and analyzed program documentation on asset operational availability and mission capability, sustainment needs and maintenance history, and plans for extending the service lives of selected assets. We assessed Coast Guard expenditures on depot-level maintenance\u2014which, according to the Coast Guard, is maintenance that is beyond the capability of the crew of a cutter or other asset\u2014for fiscal years 2010 through 2017 for legacy assets, and compared them with annual funding estimates for those assets. Appendix I contains more information regarding our scope and methodology.", "We conducted this performance audit from March 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Coast Guard\u2019s Major Acquisition Programs", "paragraphs": ["As of March 2018, the Coast Guard\u2019s portfolio of major acquisitions has 10 programs, 2 more than during our June 2014 review, when the Coast Guard had 8 major acquisition programs (see figure 1). DHS defines major acquisition programs as those with life-cycle cost estimates of at least $300 million.", "Appendix II provides information on the programs included in the Coast Guard\u2019s major acquisition portfolio in 2018.", "Programs in the acquisition portfolio progress through a series of four acquisition phases, accompanied by a series of acquisition decision events (ADE), outlined in the DHS\u2019s acquisition life-cycle framework (acquisition process). Figure 2 depicts the acquisition process."], "subsections": []}, {"section_title": "Oversight of the Coast Guard\u2019s Acquisition Portfolio", "paragraphs": ["The Coast Guard currently has three cross-directorate groups that include members from the acquisitions, resources, and requirements directorates and are responsible for addressing and overseeing issues across the Coast Guard. Since 2011, these three groups\u2014the Executive Oversight Council, the Systems Integration Team, and the Resource Councils\u2014 have helped oversee the Coast Guard\u2019s acquisition portfolio. Table 1 provides information on the roles and responsibilities of these three groups.", "Each of these groups has a charter to identify its purpose and scope of responsibilities, which involve providing cross-directorate representation and information on all of the acquisition programs to help manage its portfolio. The Coast Guard updated the roles and responsibilities for two of its cross-directorate groups in its Major Systems Acquisition Manual, including how the groups are to interact and work together within the established acquisition governance framework. For example, the Resource Councils are to serve as advisors to the senior-level Executive Oversight Council. Each of the Resource Councils is to report directly to the Executive Oversight Council for issues within its own domain and report to the Systems Integration Team for issues that cross domains. The Executive Oversight Council oversees the acquisition governance framework and is positioned to delegate tasks to the other two cross- directorate groups or obtain information from them to assist in the management of acquisitions to address problems related to acquisitions."], "subsections": []}, {"section_title": "Asset Service Life and Maintenance of Legacy Assets", "paragraphs": ["Coast Guard assets are developed with a specific design service life. According to Coast Guard officials, the design service life for aircraft is established as a maximum number of flight hours; while for cutters, the design service life is the number of years the cutter is expected to operate based on contractual design requirements.", "An asset\u2019s design service life can be extended through major maintenance events, such as Service Life Extension Projects (SLEP). SLEPs are funded with the Coast Guard\u2019s acquisition, construction, and improvements appropriation account whereas routine depot-level maintenance is funded with the Coast Guard\u2019s operating expenses appropriation account. SLEPs address specific systems and major maintenance to extend the service life of an asset beyond the original plan. A SLEP is not designed to increase an asset\u2019s capability; it extends the service life by replacing obsolete, unsupportable, or maintenance- intensive equipment. Table 2 provides more details about the design service life and maintenance history of select legacy assets."], "subsections": []}, {"section_title": "Prior GAO Reviews", "paragraphs": ["We have issued several reports since 2012 on the Coast Guard\u2019s management of its acquisition portfolio and the oversight of its depot-level maintenance resources. We have made several recommendations in these reports. For example, in September 2012, we found a mismatch between resources needed to support all approved major acquisition program baselines and expected funding levels. This resulted in the Coast Guard requesting funding for programs as a part of its annual budget process below the levels identified in programs\u2019 life-cycle cost estimates, resulting in a bow wave of future funding requirements. At the time, DHS and the Coast Guard acknowledged this resource challenge, but we found they had not developed a clear strategy for moving forward. At that time, DHS officials stated that funding variability results in inevitable trade-off decisions being made on an annual basis. We recommended that the Coast Guard conduct a comprehensive portfolio review to develop revised baselines that reflect acquisition priorities as well as realistic funding scenarios. DHS concurred with our recommendation. Since 2014, the Coast Guard has undertaken efforts to address this issue, but, as of October 2017, we found these efforts have not led to the significant trade-off decisions needed to improve the affordability of the Coast Guard\u2019s portfolio.", "Additionally, in September 2012, we found that the Coast Guard had established an acquisition governance framework and that the Executive Oversight Council was well positioned to receive information from other cross-directorate groups in order to manage the acquisition portfolio. However, while the Executive Oversight Council had been active in overseeing individual programs, it had not met to oversee the portfolio collectively. Officials told us at that time that the portfolio oversight was done through the annual budget process. We found this approach to managing portfolio affordability was ineffective and facilitated immediate trade-offs, and did not provide the best environment to make decisions in developing a balanced long-term portfolio. We recommended that the Coast Guard identify the Executive Oversight Council as the governing body to oversee the Coast Guard\u2019s acquisition enterprise with a portfolio management approach. In addition, this council should supplement individual program reviews with acquisition portfolio-wide reviews to make performance and affordability trade-off decisions that will help ensure the Coast Guard is acquiring a balanced portfolio to meet mission needs. DHS concurred and the Coast Guard updated the Executive Oversight Council\u2019s charter in 2014 to require the group to annually oversee the acquisitions collectively as a balanced long-term and affordable portfolio.", "Similarly, in June 2014, we found that the Coast Guard had repeatedly delayed and reduced its capabilities through its annual budget process and did not know the extent to which it would meet mission needs and achieve desired results. We reported that this was because the Coast Guard did not have a long-term fleet modernization plan that identified all acquisitions needed to meet mission needs over the next 20 years within available resources. We recommended that the Coast Guard develop a 20-year fleet modernization plan that identifies all acquisitions needed to maintain the current level of service and the fiscal resources necessary to build the identified assets. We recommended this plan consider trade-offs in cases where the fiscal resources needed to execute the plan are not consistent with annual budgets. DHS concurred, but, according to Coast Guard officials, the plan has yet to be approved.", "In addition to reporting on the Coast Guard\u2019s management of its acquisition portfolio, we have also issued several reports on how it oversees depot-level maintenance funding. For example, in July 2012, we found that the Coast Guard\u2019s depot-level maintenance cost-estimating process did not fully reflect best practices. We recommended that the Coast Guard conform its estimated depot-level maintenance expenditures with cost-estimating best practices. DHS concurred; however, it raised several points that we found could limit the implementation of the recommendation. DHS stated, for example, that cost-estimating best practices are most applicable for new acquisitions. As our report noted, our cost-estimating best practices guide is intended to be applicable to programs and assets in all stages of their life cycles, including maintenance and support.", "Additionally, in March 2017, we found that the cost estimates were not adjusted or updated over the course of an asset\u2019s service life, leading to a large discrepancy between expected and actual annual depot-level maintenance expenditures. We recommended that the Coast Guard periodically update standard support levels, which are annual estimates for depot-level maintenance over the course of an asset\u2019s life cycle, to account for actual expenditures. DHS concurred with our recommendation and plans to complete actions to implement it by December 2018."], "subsections": []}]}, {"section_title": "Effectiveness of the 5-Year Capital Investment Plan Is Limited and Coast Guard Does Not Review Its Acquisition Portfolio Collectively", "paragraphs": ["The Coast Guard\u2019s 5-year CIP, a congressionally mandated report, does not fully reflect cost realities or acquisition needs. For example, the most recent CIP\u2014from fiscal years 2018 through 2022\u2014projects funding for its portfolio of major acquisitions that, over the 5-year period, exceeds average budget requests in the last several years. As such, we found that the Coast Guard continues to face the same programmatic risks that annual CIP-based planning perpetuates, similar to what we have been reporting since 2011. To address funding constraints, the Coast Guard has been in a reactive mode by making prioritization decisions through the annual budget process without identifying how trade-off decisions made in the current budget cycle will affect the future of the acquisition portfolio. As a result of this planning process, and as we found in 2012 and in this current review, the Coast Guard has continued to defer planned acquisitions to future years and left a number of operational capability gaps unaddressed that could affect future operations. Moreover, the Coast Guard has not conducted portfolio-wide oversight through its cross-directorate groups."], "subsections": [{"section_title": "Coast Guard CIP-based Planning Has Shortcomings That Limit Its Effectiveness", "paragraphs": ["The 5-year CIP is the Coast Guard\u2019s key acquisition portfolio planning tool. However, since 2011, we have reported on shortcomings that limit its effectiveness. As required by statute, the Coast Guard prepares a 5-year CIP that is required to be updated and submitted annually with the administration\u2019s budget request. This 5-year CIP provides information on the proposed budget for the upcoming fiscal year and the following 4 fiscal years. Coast Guard officials told us the 5-year CIP is the starting point for developing the acquisition, construction, and improvements budget for a given year, which funds asset acquisitions as well as major sustainment projects and infrastructure investments. Officials also indicated that operational commanders provide input for the budget, as do senior Coast Guard officials for operations, resources, and others who have a role within its resource governance construct.", "As we have previously found, the Coast Guard\u2019s 5-year CIPs continue to demonstrate a pattern of certain planning practices, to include: not identifying priorities or trade-offs between acquisition programs and not showing the effect of current decisions on the overall affordability of the acquisition portfolio; projecting funding levels for the current budget year that do not reflect the full extent of the Coast Guard\u2019s projected acquisition needs; and projecting funding levels for future years that frequently surpass the average funding amounts requested by the Coast Guard in recent years.", "These shortcomings limit the Coast Guard\u2019s ability to manage the affordability of its acquisition portfolio. Coast Guard officials said the CIP reflects the highest priorities of the department within the given top funding level and that prioritization and trade-off decisions are made as part of the annual budget cycle. However, these decisions, and the resulting impacts on affected programs, are not articulated in the CIPs. While the Coast Guard is not required under statute to identify the effects of trade-off decisions in the CIP, failing to show which acquisitions would take on more risk so other acquisitions can be prioritized and adequately funded within budget parameters also makes it difficult for Congress and other stakeholders, such as DHS and the Office of Management and Budget (OMB), to understand other options the Coast Guard considered. GAO\u2019s Cost Estimating and Assessment Guide states that comparative analyses showing facts and supporting details among competing alternatives, such as budget priorities, should consider trade-offs needed to identify solutions and manage risk. Our past work has also highlighted other best practices for portfolio management, such as demonstrating comprehensive knowledge of the portfolio, including needs, gaps, and how to address those gaps; prioritizing investments through alignment of requirements, acquisition, and budget processes; and use of long-term planning.", "As we found in September 2012, the Coast Guard\u2019s approach of relying on the annual budget process to manage portfolio affordability does not provide the best basis for making decisions to develop a more balanced and affordable portfolio in the long-term. In June 2014, we also found that there is no evidence that short-term budget decisions will result in a good long-term strategy, and the Coast Guard\u2019s annual budget-driven trade-off approach creates constant churn as program baselines must continually re-align with budget realities instead of budgets being formulated to support program baselines. This results in trade-off decisions between capability and cost being pushed into the future. For example, the Coast Guard has a stated requirement for three medium icebreakers and three heavy icebreakers, and has initiated an acquisition program for heavy icebreakers. Assets acquired under this program will replace the Coast Guard\u2019s only operating heavy icebreaker\u2014the Polar Star\u2014which is well past the end of its original design service life. The Coast Guard currently plans to have the three heavy icebreakers delivered in 2023, 2025, and 2026. Additionally, the Coast Guard operates one medium icebreaker, the Healy, which has an expected end of service life in 2029. Despite the requirement for three medium icebreakers, Coast Guard officials said they are not currently assessing acquisition of the medium polar icebreakers because they are focusing on the heavy icebreaker acquisition and plan to assess the costs and benefits of acquiring medium polar icebreakers at a later time.", "This planning approach can also lead to delayed capabilities and program risks, as the 5-year CIP does not prioritize acquisition programs in its projections for the 5-year period. We found in 2017 that both acquisition needs\u2014as articulated in program baselines\u2014as well as the 5-year CIP\u2019s funding projections frequently surpass the average requested funding amounts in recent years. Similarly, in this review, we found this to be the case in the 5-year CIP covering fiscal years 2018 through 2022.", "Congressional appropriations for Coast Guard acquisition, construction, and improvements in fiscal years 2013 through 2018 exceeded the Coast Guard\u2019s requests. Explanatory materials on the annual appropriations acts for these fiscal years indicated, among other things, that funding was provided above requested amounts for procurement of one HC-130J aircraft each year. The House Committee on Appropriations report accompanying the Homeland Security appropriations bill for 2018 noted that the Secretary is expected to include adequate funding in the fiscal year 2019 budget request to normalize the recapitalization of the HC-130 fleet. Recent annual appropriations acts also direct the use of funds to contract for three National Security Cutters that were not a part of the program of record for the fleet of these cutters.", "Absent any additional funding appropriated by Congress above Coast Guard requests, the acquisition portfolio put forth in the fiscal year 2018 CIP will not be affordable by fiscal year 2019 based on average recent budget requests. Figure 3 shows aggregate projected funding for various major Coast Guard acquisitions over the fiscal year 2018 through 2022 CIP, along with average budget requests and appropriations from fiscal years 2014 through 2018.", "Further, the previous Commandant of the Coast Guard testified in November 2017 that an annual acquisition budget of $2 billion is needed to modernize the fleet and address other critical priorities, such as the recapitalization of the Coast Guard\u2019s icebreaker fleet. However, the fiscal year 2018 through 2022 CIP, dated October 2017, does not reflect this need for any year in its 5-year budget window. By not providing comprehensive information in the CIP on the acquisitions needed to perform its missions as well as the trade-offs necessary at different funding levels, the Coast Guard is not providing decision makers, including those in Congress, information to help decide which programs are the highest priority and which funding increases may or may not be consistent with the Coast Guard\u2019s programs of record, as approved by DHS. For example, even though recent annual appropriations acts direct the use of funds to contract for three additional National Security Cutters, the Coast Guard had not identified a need for these cutters as they were not part of the original program of record."], "subsections": [{"section_title": "Coast Guard Is Developing a 20-Year Long-term Major Acquisitions Plan", "paragraphs": ["The Coast Guard has initiated the development of a 20-year Long-term Major Acquisitions Plan, but it is incomplete as of March 2018. According to Coast Guard officials, the Coast Guard\u2019s efforts were in response to Congressional direction in 2016. In February 2016, Congress directed that the Coast Guard develop a Long-term Major Acquisitions Plan to cover the upcoming 2017 fiscal year, and for each of the 20 fiscal years thereafter, and stated that it should be updated every 2 years. Specifically, each plan is to include the following: (1) the number and types of cutters and aircraft to be decommissioned; (2) the number and types of cutters and aircraft to be acquired to replace the cutters and aircraft or address an identified capability gap; and (3) the estimated level of funding in each fiscal year required to acquire the cutters, aircraft, and command and control systems as well as acquire, construct, or renovate shore-side infrastructure.", "As of November 2017, officials told us that the Coast Guard was developing a 20-year Long-term Major Acquisitions Plan that specifically focused on its highest priority recapitalization and sustainment efforts for its assets and will focus on meeting the intent of the 2016 congressional mandate. These officials said that the plan will also be based on the Coast Guard\u2019s 5-year CIP and will contain the necessary sustainment activities for current assets, according to service life limitations and recapitalization efforts for assets that reach the end of their service lives. Coast Guard officials stated that the plan will not be a budget document, but rather an overall planning document for future budgets. As of March 2018, the Coast Guard had not completed this long-term plan."], "subsections": []}]}, {"section_title": "Coast Guard Made Progress in Reducing Cost of the Portfolio but Reactive Planning Has Created Impending Surge of Unfunded Acquisitions", "paragraphs": ["Since our 2014 review, the Coast Guard has generally demonstrated improved fiscal management of the major programs in its acquisition portfolio and made progress in acquiring the assets in the portfolio. At that time, we found that program cost increases were consuming significant amounts of funding, and the Coast Guard was further from fielding its planned fleet than it was in 2009, in terms of the fiscal resources needed to finish those programs\u2014or the remaining investment required. Since 2014, program costs have generally been stable and, from 2014 to 2018, the Coast Guard reduced the remaining investment required to complete those acquisitions by $4.9 billion or 24 percent (see table 3).", "However, while the Coast Guard has reduced the remaining investment required to complete its acquisition portfolio, there is little room for additional major acquisitions based on recent budget requests. For example, the National Security Cutter and Fast Response Cutter\u2014two of the Coast Guard\u2019s most expensive acquisitions programs\u2014both experienced delays and were not delivered as originally scheduled. As a result, these delays stretched its acquisition budget longer than intended. Going forward, our analysis indicated that once the Coast Guard begins funding construction of Offshore Patrol Cutters\u2014another major acquisition program critical in replacing vessels well past their service lives\u2014that program is expected to consume a significant portion of the Coast Guard\u2019s planned acquisition, construction, and improvements budget between 2018 and 2032, also raising uncertainties in how the Coast Guard will be able to fund other priorities.", "According to the previous Commandant of the Coast Guard, the Offshore Patrol Cutter is the Coast Guard\u2019s top priority and, as such, the Coast Guard will prioritize its budget requests for the Offshore Patrol Cutter before other assets, potentially limiting funds requested for other acquisition programs. This approach will limit the portfolio for the foreseeable future and affect other new programs, such as the Heavy Polar Icebreaker and Waterways Commerce Cutter. These two programs represent critical needs for the Coast Guard, as the legacy assets they are intended to replace are well past their designed service lives, but there are limited resources for them if acquisition of the current portfolio is to be completed as scheduled.", "The polar icebreaker program has an estimated total acquisition cost of more than $3 billion and, according to the Coast Guard, is needed to alleviate a potential icebreaking mission capability gap. Heavy icebreakers are needed, as Coast Guard officials also indicated, to provide year-round access to the Polar Regions, including the clearance of a navigable channel for access to the National Science Foundation\u2019s McMurdo Research Station on Ross Island, Antarctica as well as to facilitate other national security interests in polar waters. DHS approved the icebreaker program for entry into the obtain phase of the acquisition process in March 2018. The Coast Guard\u2014in partnership with the Navy\u2014is expected to award a contract for design and construction of up to 3 heavy polar icebreakers by June 2019, and plans for the first icebreaker to be delivered by the end of fiscal year 2023. We recently reported on this program in April 2018 and have an ongoing review that is expected to be completed by summer 2018.", "DHS recently approved a new program, known as the Waterways Commerce Cutter program, to recapitalize aging vessels such as its fleet of 35 Inland Tenders (river, buoy, and construction tenders). The assets in the current fleet continue to age beyond their expected service lives and the Waterways Commerce Cutter program is currently in the analyze/select phase of the acquisition process. Coast Guard officials said they are still determining how many new vessels are needed to provide capabilities similar to the current fleet of vessels that replace or relocate river buoys and builds fixed aids to navigational marine structures. A life-cycle cost estimate has not yet been developed for this program, but, according to Coast Guard officials, the preliminary rough order of magnitude estimate for total acquisition cost is $1.1 billion.", "As we reported in July 2017, the Coast Guard has no method in place to capture the effects of deferred acquisitions on its future portfolio. The lack of a long-term plan, as discussed earlier, and determining priorities and making trade-off decisions based on the annual budget have put the Coast Guard in a reactive planning mode each year. We found that this type of reactive planning and the Coast Guard\u2019s constrained budget environment have created a bow wave of near-term unfunded acquisitions, negatively affecting future acquisition efforts and potentially affecting future operations. This bow wave consists of new acquisition programs and recapitalization efforts, as well as high-cost maintenance projects that use the acquisition construction and improvements account, which continue to put pressure on available resources. These projects include some that are not currently identified in the acquisition portfolio. For instance, the Coast Guard\u2019s 87-foot patrol boats are forecast to require recapitalization beginning in 2023. Additionally, the ocean-going 175-foot coastal buoy tenders\u2014not included in the Waterways Commerce Cutter program\u2014are past the point in their service lives when a midlife maintenance availability would normally have been conducted. However, we found that the Coast Guard has historically operated vessels well past their expected end of service life, and it will likely need to do so with these assets given limited available acquisition funding.", "Furthermore, the Coast Guard has identified more than $1.5 billion in shore infrastructure projects, which are paid for with funding from the acquisition, construction, and improvements account that it has not been able to address, primarily due to lack of funding, among other reasons. Some of these projects are detailed in an unfunded priorities list the Coast Guard submitted to congressional committees in July 2017 pursuant to statutory requirements. Among the projects identified are recapitalization for waterfront facilities damaged in hurricanes; major acquisition systems infrastructure associated with homeporting the ninth National Security Cutter; and a number of pier replacements, building construction, and navigational aid realignment projects in several locations. The Explanatory Statement regarding the Consolidated Appropriations Act, 2018, reflected approximately $135 million in acquisition, construction, and improvements funding for shore infrastructure/construction projects, including for some previously unfunded priorities. We currently have an ongoing review to assess Coast Guard shore infrastructure projects and expect to issue a report in early 2019.", "Figure 4 shows the current and future acquisitions that, based on current Coast Guard programs and requirements, need to be addressed in order for the Coast Guard to meet its statutory missions, along with the backlog of shore infrastructure projects noted above. For more information about the Coast Guard\u2019s 11 mission areas, including which assets perform each mission, see appendix III.", "Federal standards for internal control state that quality information that is appropriate, current, complete, accurate, accessible, and timely is necessary for an organization to achieve its objectives. The Coast Guard has not communicated quality information to Congress or demonstrated how deferred acquisitions will affect the future acquisition portfolio. Including information in the CIP, such as how trade-off decisions will affect other programs in the portfolio, would allow decision makers, including Congress, to better understand Coast Guard priorities and how changes to one program might potentially affect other programs."], "subsections": []}, {"section_title": "Coast Guard Does Not Conduct Oversight of Its Acquisitions Portfolio Collectively", "paragraphs": ["The Coast Guard has a management body in place to conduct oversight of its major acquisition programs; however, this management body has not conducted oversight across the entire acquisition portfolio from a collective approach. Among the Coast Guard\u2019s three cross-directorate groups, the Executive Oversight Council is positioned to oversee the portfolio collectively and has the potential to implement key portfolio-wide management practices, including conducting formal reviews and issuing reports. This council has cross-directorate senior-level management representation, access to information on acquisition programs, and support from the other two cross-directorate groups (the Systems Integration Team and the Resource Councils). However, this council has not carried out these portfolio-wide practices. Since 2012, the responsibilities of the Executive Oversight Council regarding portfolio- wide management have been changed multiple times (see figure 5).", "In 2014, the Coast Guard updated the Executive Oversight Council\u2019s charter, in response to our September 2012 recommendation, adding the responsibility for portfolio-wide oversight to include conducting an annual review to assess and oversee acquisitions collectively. However, during our current review, we found that the Coast Guard revised the council\u2019s charter in June 2017, removing this responsibility. According to Executive Oversight Council officials, this responsibility was removed from the 2017 charter because the council did not conduct these annual reviews. Instead, Executive Oversight Council officials indicated that the council facilitates a balanced and affordable portfolio of acquisition programs through the individual program-level reviews. GAO\u2019s best practices work states that successful organizations assess product investments in aggregate, rather than as independent products or programs. For example, by considering the requirements, acquisition, and budget processes collectively, it helps organizations prioritize their product investments.", "In addition, Coast Guard officials said that a portfolio-wide affordability review or assessment is undertaken by the Systems Integration Team\u2014a cross-directorate, cross-enterprise group below the flag/Senior Executive Service-level\u2014to help inform the annual budget process. The Systems Integration Team\u2019s responsibilities outlined in its current charter include addressing issues tasked by the Executive Oversight Council chair, reporting to the council on cross-programmatic issues, and providing recommendations to the council. For example, officials with the Systems Integration Team said they met with, and gathered information from, each of the Resource Councils and briefed the Executive Oversight Council in February 2018 with proposals for looking at investments collectively across the Coast Guard enterprise to include potential priorities and trade-offs. They said the briefing included a review of the upcoming annual budget, a look at the overall portfolio of major acquisition programs over the next 10 years, and prospective new start initiatives at low, medium, and high funding levels. It is unclear what actions the Executive Oversight Council has taken as a result of the Systems Integration Team briefing. However, we found that the Executive Oversight Council did not review the portfolio from a collective perspective.", "Further, the members of the Systems Integration Team, who inform and report to the senior-level Executive Oversight Council, are not at the appropriate senior position to oversee or make decisions for the acquisition portfolio. Specifically, the Executive Oversight Council\u2019s revised 2017 charter states that the Systems Integration Team is to support the council in its role to facilitate a balanced and affordable portfolio as a whole. However, as the higher-level cross-directorate group, the Executive Oversight Council has not engaged in overseeing or reporting on the acquisition portfolio collectively and annually. OMB\u2019s 2017 Capital Programming Guide outlines a capital programming process, including how agencies should effectively and collectively manage a portfolio of capital assets. This OMB guidance states that a senior-level executive review committee should be responsible for reviewing the agency\u2019s entire capital asset portfolio on a periodic basis and for making decisions or priorities on the proper composition of agency assets needed to achieve strategic goals and objectives within the budget limits. In the case of the Coast Guard, only the Executive Oversight Council has representation at the senior-level executive level and has the responsibility for oversight of its major acquisition programs. Without collective portfolio reviews at the senior management level, the Coast Guard does not have sufficient cross-directorate information to determine needed trade-offs in the major acquisitions realm, considering budget realities."], "subsections": []}]}, {"section_title": "Coast Guard Plans to Extend Service Lives of Certain Legacy Assets as Sustainment Costs and Other Risks Are Increasing", "paragraphs": ["Given the Coast Guard\u2019s limited acquisition budget in recent years, it is unclear how the Coast Guard will be able to fund planned Service Life Extension Projects (SLEP) on several aging assets in order to sustain them\u2014that is, keep them operating at acceptable levels\u2014until replacement assets are available. We found that each of these sustainment efforts involves a certain amount of risk. For example, according to Coast Guard officials, they plan to operate H-65 and H-60 helicopters to flight hours beyond what has been flown for those aircraft. In addition, several of the Coast Guard\u2019s aging cutters have spent more on depot-level maintenance than was planned. Combined, these cutters\u2014the 210-foot and 270-foot Medium Endurance Cutters, the icebreaker Polar Star, and Inland Tenders\u2014expended in excess of $460 million more than what was originally estimated (standard support levels) from 2010 to 2017. When combined with the challenges facing the acquisition portfolio noted above, the Coast Guard will likely struggle to pay for the maintenance of older assets, a situation that could lead to deferred maintenance and lost operational capability, as we found in our July 2012 review and in our current review. As discussed earlier, the 20- year long-term plan, if completed as directed by our June 2014 recommendation and subsequent congressional direction, will begin to lay out the prioritization of all efforts, trade-offs, and impacts."], "subsections": [{"section_title": "Coast Guard Intends to Extend the Service Lives of Certain Legacy Assets", "paragraphs": ["The Coast Guard currently operates several assets that have passed, or will soon pass, the end of their design service lives\u2014the total period for which they were designed to operate. We found that these legacy assets are generally meeting metrics for availability to conduct operations; however, they are in need of major maintenance overhauls\u2014or SLEPs\u2014 in order to continue providing capabilities to operators. According to Coast Guard officials, SLEPs are necessary because the Coast Guard does not have the funds available to initiate a new major acquisition program to recapitalize these assets in the short term, or because a significant amount of maintenance work is required to keep these assets operational until replacements are fielded. Table 4 provides details about the Coast Guard\u2019s plans for SLEPs for selected assets.", "These planned SLEPs involve several risks including technical, scheduling, and funding. While SLEPs will extend these assets\u2019 expected service lives, they will also add cost to an already constrained Coast Guard acquisition, construction, and improvements account. Since these projects use these funds, we would expect them to be included in the Coast Guard\u2019s forthcoming 20-year long-term plan so that decision makers and stakeholders can see their effects on the broader acquisition portfolio. Additional detail on these planned SLEPs follows."], "subsections": [{"section_title": "H-65 and H-60 Aircraft", "paragraphs": ["The Coast Guard is planning to conduct a SLEP that will add an additional 10,000 hours to the H-65 rotary-wing aircraft, taking the service life of each aircraft in the fleet to 30,000 hours. The Coast Guard is evaluating alternatives to extend the service lives of the H-60 fleet. According to DHS, two options the Coast Guard is considering include utilizing newer H-60 aircraft from the Navy and conducting a SLEP on those aircraft to extend their service lives to 20,000 hours or extending the life of the current fleet to 30,000 hours. Coast Guard officials said that this will allow both the H-65 and H-60 aircraft to operate into the mid- 2030s so that the Coast Guard can focus funds from the acquisition, construction, and improvements account on the Offshore Patrol Cutter procurement and align its next helicopter acquisition effort with the Department of Defense\u2019s future vertical lift acquisition plans. However, there are risks associated with these SLEP plans. According to Coast Guard officials, they plan to operate H-65 and H-60 helicopters to flight hours beyond what has been flown for those aircraft. The Coast Guard is working with the original manufacturers to identify structural components that would need to be replaced to accomplish the service life extension.", "From fiscal years 2012 to 2017, the H-65 operational availability\u2014time available to conduct missions\u2014averaged 70.9 percent and the H-60 averaged 73.5 percent, compared to their target of 71 percent. Both aircraft generally met their target but are approaching their end of service lives, with the H-65 expected to reach its 20,000 flight hour limit starting in 2020 and the H-60 in 2023. The Coast Guard expects the H-65 SLEP to cost about $61.6 million, but the H-60 SLEP cost is unknown because the effort has not progressed to the acquisition decision event at which a cost estimate is required to be approved. The H-60 SLEP was recently approved for entry into the analyze and select phase, where it was designated as a level 1 program, which DHS defines as programs with estimated life-cycle costs greater than or equal to $1 billion."], "subsections": []}, {"section_title": "Heavy Icebreaker Polar Star", "paragraphs": ["The Coast Guard conducted reactivation work on the Polar Star from 2010 to 2013, and the icebreaker resumed its missions for the annual breakout of the National Science Foundation\u2019s McMurdo Research Facility in Antarctica in 2014. The Coast Guard is planning a SLEP on the Polar Star to keep it operational until the first and second new heavy polar icebreakers are delivered (planned for 2023 and 2025, according to current acquisition plans) in order to bridge a potential operational gap. This approach would allow the Coast Guard to operate a minimum of two heavy icebreakers once the first polar icebreaker is delivered. The approach would also provide the Coast Guard with a self-rescue capability\u2014the ability for one icebreaker to rescue the other if it became incapacitated while performing icebreaking operations.", "The Coast Guard\u2019s plan to conduct the Polar Star SLEP during its existing annual depot-level maintenance periods may not be feasible given the amount of maintenance already required on the cutter. The Polar Star\u2019s mission capable rating has been decreasing in recent years and reached a low point of 29 percent\u2014well below the target of 41 percent\u2014from October 2016 to September 2017. Based on mission capable data, we found this is mostly due to additional time spent in depot-level maintenance, which has increased in recent years from about 6 months in 2015 to more than 8 months in 2017.", "Additionally, the Polar Star has required extensions of about 3 months for its annual dry dock periods\u2014the period of time when a cutter is removed from the water so that maintenance can be conducted\u2014in 2016 and 2017 to complete required maintenance activities. These dry docks were originally planned to last between 2-1/2 months and 4 months. These extensions also compressed the amount of time that the crew had to prepare for its annual mission to Antarctica, which, according to members of the Polar Star crew, placed a large stress on the crew, risked the quality of work, and reduced or eliminated the crews\u2019 planned rest and personal preparation for their roughly 4-month deployment. Based on our analysis, these delays and extensions are likely to continue as the cutter ages. According to Coast Guard officials, the Polar Star\u2019s SLEP work will be conducted during the annual dry dock periods by adding an additional 1 or 2 months to the annual dry docks. However, if the work is unable to be completed during this time frame, it could force the Coast Guard to miss its commitment to conduct the annual Antarctica mission. Coast Guard maintenance officials stated that until the Polar Star completes the SLEP, its repairs will likely continue to get more expensive and time consuming. We will continue to monitor the Polar Star\u2019s SLEP through our annual review of DHS programs.", "As we found in July 2017, the Polar Star SLEP effort has a rough order cost estimate of $75 million, which is based on the reactivation work completed in 2013. However, this estimate may be unrealistic based on assumptions the Coast Guard used, such as that it would continue to use parts from the Coast Guard\u2019s other heavy polar icebreaker, the Polar Sea, which has been inactive since 2010. The Coast Guard\u2019s recent assessment of the Polar Star\u2019s material condition\u2014the physical condition of the cutter, which includes the hull structure, habitability, major equipment systems, and spare parts availability\u2014was completed in January 2018. The material assessment stated that many of the available parts from the Polar Sea have already been removed and installed on the Polar Star. As a result of the finite parts available from the Polar Sea, the Coast Guard may have to acquire new parts for the Polar Star that could increase the $75 million SLEP estimate. The Polar Star\u2019s recent material assessment will form the basis to determine which systems will be overhauled during the SLEP and for a more detailed cost estimate. The Coast Guard expects the program to reach the obtain phase of the acquisition life cycle by December 2019, at which time the Polar Star could reach the end of its current useful service life (currently projected to be between 2020 to 2023). This timeline contains risk that the Polar Star could be rendered inoperable before the cutter is able to undergo a SLEP."], "subsections": []}, {"section_title": "Medium Endurance Cutters", "paragraphs": ["The Coast Guard operates two fleets of Medium Endurance Cutters (270- foot and 210-foot cutters) and both are either approaching or have exceeded their design service lives. According to Coast Guard maintenance officials, the primary problem facing the 270-foot Medium Endurance Cutters is obsolescence given the age of these cutters. The cutters have several systems that are no longer manufactured, and in many cases the original manufacturer no longer makes parts for the systems, such as the generators, fire pumps, and main diesel engines. In order to sustain the 270-foot Medium Endurance Cutters until the Offshore Patrol Cutters\u2014replacements for the Medium Endurance Cutters\u2014are delivered, the Coast Guard is planning to conduct a SLEP. Officials stated they are evaluating how many of the 13 cutters will undergo the SLEP. The Coast Guard does not have a cost estimate for the SLEP, but officials said that the project should enter the obtain phase and complete its first cost estimate by June 2019.", "Despite the age and condition of the cutters, the mission capable rate for the 270-foot Medium Endurance Cutters has been increasing since the fleet first started using the metric in August 2014 and has met its minimum target of 49 percent. Specifically, the 270-foot Medium Endurance Cutters\u2019 mission capable rate increased from 47.6 percent in 2015 to 69.4 percent in 2017. This indicates that the Coast Guard has been increasing the amount of time that the cutters are available to conduct operations. However, the mission capable rating of 69.4 percent in 2017 is above the maximum target\u201461 percent\u2014which means the Coast Guard is operating the cutters more than planned. This could be troublesome since the percentage of time above the 61 percent target is time that is allocated to depot-level maintenance, meaning these cutters are not spending as much time as planned in maintenance. In May 2016, we found that deferring maintenance can lead to declining ship conditions and longer maintenance periods that can reduce a ship\u2019s operational availability.", "The Coast Guard is also evaluating how long the 270-foot Medium Endurance Cutters should remain in service. According to Coast Guard officials, this decision is at least partially dependent on the delivery of the Offshore Patrol Cutters\u2014specifically the shipbuilder\u2019s ability to deliver 2 cutters per year, which is expected to start in fiscal year 2024 with the 4th and 5th cutters. Officials stated that the Coast Guard does not plan to operate any Medium Endurance Cutters once all 25 Offshore Patrol Cutters are operational, yet the fiscal year 2018 through 2022 CIP report indicates that 7 of the 270-foot Medium Endurance Cutters will still be in service when all 25 Offshore Patrol Cutters are delivered and operational. Officials said this is a contingency plan in case not all Offshore Patrol Cutters are delivered on time. As we found in June 2017, the Coast Guard completed refurbishment work on the 210-foot and 270-foot Medium Endurance Cutters in 2014, but this was not intended to extend the cutters\u2019 service lives. Figure 9 shows the delivery dates for the Offshore Patrol Cutters and the decommissioning dates for the legacy Medium Endurance Cutters.", "The fiscal year 2018 through 2022 CIP shows that there is little, if any, gap between when the 210-foot and 270-foot Medium Endurance Cutters will be removed from service and when the Offshore Patrol Cutters will be operational. However, both Medium Endurance Cutter classes will be well past their end of service lives by the time they are decommissioned. For instance, in our July 2012 report, we reported that the 210-foot Medium Endurance Cutter Dependable reached its end of service life in 2006. In addition, based on the fiscal year 2018 through 2022 CIP, we found that the Coast Guard plans for the cutter to operate for an additional 23 years (until 2029) without any major sustainment work to extend its service life. While it is not unusual for the Coast Guard to operate cutters for longer than originally planned, the acquisition schedule for fielding the Offshore Patrol Cutters will result in some of the Medium Endurance Cutters being expected to operate up to 30 years beyond their original design service lives when they are removed from service.", "In the February 2017 Sustainability Assessment of the 210-foot Medium Endurance Cutters, the Coast Guard rated 5 of the 14 cutters as a high risk for sustainability, which reflects either a poor material condition or high maintenance costs. Additionally, the most recent material condition assessments for the Medium Endurance Cutters, which were completed in 2015, found that the:", "210-foot Medium Endurance Cutters cannot be expected to meet operational requirements using the normal depot-level maintenance funding levels due to the time required to complete maintenance and the increased maintenance costs in recent years; and mission effectiveness of the 270-foot Medium Endurance Cutters will continue to degrade without a near-continuous recapitalization of older sub-systems.", "Further, according to the fiscal year 2018 through 2022 CIP, the Coast Guard is planning to operate some of the Medium Endurance Cutters for about the same period of time as other Medium Endurance Cutters that will undergo the SLEP project. This raises questions as to how those cutters that do not go through the SLEP will continue operating until their planned decommissioned date, which in some cases is the same time period as those cutters undergoing the SLEP. As shown in figure 9, the 210-foot Medium Endurance Cutter Alert will be decommissioned in 2030 and will not undergo a SLEP, while the 270-foot Medium Endurance Cutter Bear will also be decommissioned in 2030 and could undergo the SLEP. In July 2012, we found that as assets age beyond their design service lives, they can negatively affect the Coast Guard\u2019s operational capacity to meet mission requirements as the cutters require more maintenance. As discussed earlier, in response to Congressional direction, as the Coast Guard continues its development of a 20-year Long-term Major Acquisitions Plan, it is important to include more details about the 270-foot Medium Endurance Cutter SLEP, including when the SLEP should begin and how much service life the SLEP should add to the cutters."], "subsections": []}]}, {"section_title": "Depot-Level Maintenance Costs for Aging Assets Are Increasing", "paragraphs": ["As legacy assets operate longer than originally planned, they are becoming costlier to maintain, which introduces risk to an already constrained Coast Guard budget. For example, depot-level maintenance expenditures from fiscal years 2010 to 2017 for the 210-foot and 270-foot Medium Endurance Cutters, Polar Star, and Inland Tenders exceeded by $460 million the assets\u2019 estimated costs for depot-level maintenance (standard support levels\u2014the Coast Guard\u2019s annual estimates for depot- level maintenance) since these assets are near the end of or have exceeded their expected service lives. Specifically, over the 8-year period the:", "210-foot Medium Endurance Cutters\u2019 expenditures were about $151 million (219 percent) more,", "270-foot Medium Endurance Cutters\u2019 expenditures were $192 million (265 percent) more,", "Polar Star\u2019s expenditures were about $15 million (31 percent) more, Inland Tenders expenditures were about $102 million (151 percent) more than standard support levels.", "The most recent material assessments for the 210-foot and 270-foot Medium Endurance Cutters, completed in September 2015 and November 2015 respectively, stated that the cutters\u2019 current standard support level funding is not sufficient to continue funding the necessary maintenance activities. The assessments noted that there is the likelihood that maintenance will be deferred, postponed, or modified to accommodate this funding shortfall and that the cutters could degrade at an increasing rate if additional funding is not identified. According to Coast Guard guidance, once the cost to maintain or repair equipment is in excess of 50 percent of a cutter\u2019s annual standard support level, it is considered to have zero years of remaining service life. The 210-foot and 270-foot Medium Endurance Cutters and Inland Tenders exceeded this threshold each year from 2010 to 2017 and the Polar Star exceeded this threshold in 2016. This indicates that, although the legacy cutters we reviewed continue to perform missions, the Coast Guard is accepting a significant level of risk based on the cutters\u2019 increased depot-level maintenance expenditures, and that these cutters could experience catastrophic failures. Such an event could result in assets being removed from service without available replacement assets. Our March 2017 recommendation that the Coast Guard periodically update standard support levels to account for actual expenditures would, if implemented, begin to address this problem so that standard support levels would better align with depot-level maintenance expenditures."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Coast Guard continues to use the annual budget process to address the affordability of its portfolio of major acquisition programs by making trade-off decisions that result in delayed acquisitions and reduced capabilities. This approach places decision makers, including those in Congress in a position of committing fiscal resources to individual programs without knowing whether they are affordable or achievable within the context of the Coast Guard\u2019s overall portfolio. While the 5-year CIP shows the Coast Guard\u2019s immediate trade-off decisions, it does not show how these decisions could affect other programs in the portfolio or future acquisition efforts. Not providing comprehensive information in the CIP on the acquisitions needed to perform its missions, the trade-offs necessary at different funding levels, and the impact of the trade-off decisions made, the CIP limits the information available to decision makers, including those in Congress.", "In addition, the Coast Guard currently is not conducting key oversight that could facilitate a balanced, affordable portfolio. While the Coast Guard has a group in place to conduct portfolio reviews as a part of the annual budget cycle in the Systems Integration Team, it does not have senior- level executive representation or responsibilities necessary for the oversight and management of the portfolio as a whole. The Executive Oversight Council is a flag/Senior Executive Service-level group that monitors major risks and provides direction to other cross-directorate teams. In the past, this council had a documented role to annually review and oversee the Coast Guard\u2019s overall acquisition portfolio, but it never conducted these reviews. Without collective portfolio reviews at the senior management level, the Coast Guard does not have sufficient information to determine needed trade-offs between the major acquisition programs while also considering the affordability of the portfolio and budget realities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Coast Guard: The Commandant of the Coast Guard should work with Congress to include in the Coast Guard\u2019s annual 5-year CIP a discussion of the acquisition programs it prioritized that describes how trade-off decisions made could affect other acquisition programs, such as by delaying recapitalization efforts or needing to conduct Service Life Extension Projects for legacy assets. (Recommendation 1)", "The Commandant of the Coast Guard should require the Executive Oversight Council, in its role to facilitate a balanced and affordable acquisition portfolio, to annually review the acquisition portfolio collectively, specifically for long-term affordability. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS\u2019s written comments are reprinted in appendix IV. The Coast Guard also provided technical comments that we incorporated into the report as appropriate. In responding to a draft of our report, DHS concurred with our first recommendation and non-concurred with our second recommendation. In its response, with respect to our second recommendation DHS noted that several existing organizations within the Coast Guard\u2014such as its Investment Board, Deputies Council, and Investment Review Board\u2014are responsible for making decisions regarding out-year funding. Further, DHS noted that the Executive Oversight Council works outside the Planning, Programming, Budgeting, and Execution process and that the phrase \u201clong-term affordability\u201d is subject to interpretation in the context of our recommendation. DHS also stated that, to meet the spirit of our recommendation, the Coast Guard will update the Executive Oversight Council\u2019s charter to require a review of the collective acquisition portfolio, specifically evaluating long-term planning.", "We believe that updating the Executive Oversight Council\u2019s charter to include long-term planning is a positive step. However, long-term affordability, as discussed throughout this report, should include the budget realities faced by the Coast Guard in its major acquisition portfolio. If the planning accounts for long-term funding considerations to achieve the Coast Guard\u2019s acquisition goals and objectives, we believe the intent of our recommendation would be met.", "We are sending copies of this report to the Secretary of Homeland Security and the Commandant of the Coast Guard. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report are to assess (1) the extent to which the Coast Guard has made changes to how it manages its acquisition portfolio and (2) how the Coast Guard is sustaining existing assets until new assets become operational.", "To examine the extent to which the Coast Guard has changed how it manages its acquisition portfolio, we assessed Coast Guard practices for managing the portfolio\u2019s affordability and long-term planning. We looked at the portfolio to determine how its composition changed since our last Coast Guard acquisition portfolio review in 2014. We selected a range of acquisition programs based on if they were already major acquisition programs (programs with a life-cycle cost estimate greater than or equal to $300 million or a total acquisition cost greater than or equal to $100 million) by definition, the programs were part of our 2014 review, or they are likely to be major acquisition programs that will require significant funding in the near future.", "Using acquisition program baselines, we also identified changes in the expected total acquisition costs of these programs using the threshold costs and compared them with what we reported in 2014. We used the threshold acquisition costs\u2014the maximum amount the program should cost as approved by DHS\u2014when referring to the total acquisition cost of a program. We calculated the remaining investment required for each program by taking the total acquisition cost, as reported in the program\u2019s acquisition program baseline, and subtracting the funding reflected for the program in Explanatory Statements regarding annual appropriations acts through fiscal year 2018 appropriations.", "We reviewed program documentation and interviewed officials from program offices and the Coast Guard\u2019s capabilities and engineering directorates. These discussions helped identify program achievements as well as any risks associated with realizing planned cost, schedule, and capability targets. We analyzed Coast Guard 5-year Capital Investment Plans (CIP) that supported the budget requests for fiscal years 2014 through 2018 to determine how the Coast Guard has managed the affordability of its acquisition portfolio. We also compared annual appropriations acts and accompanying explanatory materials since fiscal year 2014 with acquisition needs and capability gaps identified in the CIPs. We compared Coast Guard practices for managing the affordability of its acquisition portfolio and long-term planning with best practices outlined in GAO\u2019s Cost Estimating and Assessment Guide and prior GAO reports. In addition, we reviewed Atlantic Area Command annual area planning assessments for fiscal years 2011 through 2016 and other Coast Guard documents highlighting shore-side infrastructure and vessel recapitalization needs. We reviewed charters for Coast Guard cross directorate groups\u2014the Executive Oversight Council and Systems Integration Team\u2014that help oversee Coast Guard acquisitions\u2014to identify responsibilities and membership for these organizations, and conducted interviews with officials from these bodies to better understand their portfolio oversight activities. We also reviewed surface and aviation fleet mix studies and other strategy and planning documents. We interviewed Coast Guard officials about the anticipated content of the 20- year Long-term Major Acquisitions Plan. Additionally, we interviewed officials from the Coast Guard resources directorate; the Coast Guard\u2019s two operational commands (Pacific Area Command and Atlantic Area Command); the Department of Homeland Security (DHS) offices for Program Accountability and Risk Management, and Program Analysis and Evaluation; and the Office of Management and Budget (OMB) to discuss Coast Guard planning and budget preparation. We visited Eastern Shipbuilding Group and the Offshore Patrol Cutter Project Resident Office in Panama City Beach, Florida, to discuss Offshore Patrol Cutter production.", "To examine how the Coast Guard is sustaining existing assets until new assets become operational, we selected assets to review that were at or approaching their end of design service lives\u2014an estimated period before the asset reaches obsolescence\u2014and if the Coast Guard was planning to conduct a Service Life Extension Project (SLEP). We collected and analyzed program documentation on asset operational availability and mission capability, sustainment needs and maintenance history, and plans for extending the service lives of selected assets. We assessed Coast Guard expenditures on depot-level maintenance\u2014which, according to the Coast Guard, is maintenance that is beyond the capability of the crew\u2014for fiscal years 2010 to 2017 for legacy assets, and compared them with standard support levels\u2014annual funding estimates for depot- level maintenance\u2014for those assets over that same time period. We interviewed Coast Guard officials from the Long Range Enforcer Product Line Office, which is responsible for sustainment of the Polar Star, the Coast Guard\u2019s only active heavy icebreaker. We conducted site visits\u2014 based on Coast Guard\u2019s availability of assets\u2014to the Coast Guard\u2019s Medium Endurance Cutter Product Line Office in Portsmouth, Virginia, and the Aviation Logistics Center in Elizabeth City, North Carolina. We also toured a 270-foot Medium Endurance Cutter in Portsmouth, Virginia, and interviewed the officers serving on the cutter at the time. Based on the nature of the information we collected, we are not making any generalizable statements from these site visits.", "We conducted this performance audit from March 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: The Coast Guard\u2019s Major Acquisition Portfolio", "paragraphs": ["The Coast Guard\u2019s major acquisition portfolio comprises 10 surface, aviation, and command and control programs. Major acquisition programs are those with life-cycle cost estimates of at least $300 million. Table 5 provides quantities and descriptions of each major acquisition program in the Coast Guard\u2019s 2018 portfolio."], "subsections": []}, {"section_title": "Appendix III: Coast Guard Missions", "paragraphs": ["The Coast Guard performs 11 statutory missions, some of which align with DHS missions (such as undocumented migrant interdiction; defense readiness; and ports, waterways, and coastal security) and some of which are broader (such as search and rescue, and living marine resources). Table 6 shows select Coast Guard assets we reviewed and which of the 11 statutory missions they perform."], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact Staff and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Marie A. Mak, (202) 512-4841 or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Rick Cederholm, Assistant Director, Peter W. Anderson, John Crawford, Kristine Hassinger, Andrew Redd, Suzanne Sterling, and Roxanna Sun all made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Homeland Security Acquisitions: Leveraging Programs\u2019 Results Could Further DHS\u2019s Progress to Improve Portfolio Management. GAO-18- 339SP. Washington, D.C.: May 17, 2018.", "Coast Guard Acquisitions: Status of Coast Guard\u2019s Heavy Polar Icebreaker Acquisition. GAO-18-385R. Washington, D.C.: April 13, 2018.", "Coast Guard Acquisitions: Limited Strategic Planning Efforts Pose Risk for Future Acquisitions. GAO-17-747T. Washington, D.C.: July 25, 2017.", "Coast Guard Recapitalization: Matching Needs and Resources Continue to Strain Acquisition Efforts. GAO-17-654T. Washington, D.C.: June 7, 2017.", "Coast Guard Cutters: Depot Maintenance Is Affecting Operational Availability and Cost Estimates Should Reflect Actual Expenditures. GAO-17-218. Washington, D.C.: March 2, 2017.", "Coast Guard Aircraft: Transfer of C-27J Aircraft Is Complex and Further Fleet Purchases Should Coincide with Study Results. GAO-15-325. Washington, D.C.: March 26, 2015.", "Coast Guard Acquisitions: Better Information on Performance and Funding Needed to Address Shortfalls. GAO-14-450. Washington, D.C.: June 5, 2014.", "Coast Guard: Portfolio Management Approach Needed to Improve Major Acquisition Outcomes. GAO-12-918. Washington, D.C.: September 20, 2012.", "Coast Guard: Legacy Vessels\u2019 Declining Conditions Reinforce Need for More Realistic Operational Targets. GAO-12-741. Washington, D.C.: July 31, 2012.", "Coast Guard: Action Needed as Approved Deepwater Program Remains Unachievable. GAO-11-743. Washington, D.C.: July 28, 2011.", "Coast Guard: Progress Being Made on Deepwater Project, but Risks Remain. GAO-01-564. Washington, D.C.: May 2, 2001."], "subsections": []}], "fastfact": ["The Coast Guard is spending billions of dollars to replace aging ships, aircraft, and other assets.", "Because the Coast Guard has managed its acquisitions with a short-term, asset-by-asset focus, it has at times lost sight of the balance and cost of its overall asset portfolio. For example, some high-priority acquisitions have been delayed.", "Also, the Coast Guard continues to operate its fleets for longer than originally planned, placing risk on its ability to accomplish its missions.", "We recommended, among other things, that the Coast Guard annually assess the long-term affordability and balance of its acquisition portfolio."]} {"id": "GAO-19-221", "url": "https://www.gao.gov/products/GAO-19-221", "title": "Fees, Fines, and Penalties: Better Reporting of Government-wide Data Would Increase Transparency and Facilitate Oversight", "published_date": "2019-03-07T00:00:00", "released_date": "2019-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress has authorized federal agencies to collect hundreds of billions of dollars annually in fees, fines, and penalties. These collections can fund a variety of programs, including programs related to national security, and the protection of natural resources. Data on collections are important for congressional oversight and to provide transparency in agencies' use of federal resources.", "GAO was asked to review the availability of government-wide data on fees, fines, and penalties. This report examines (1) the extent to which data on collections of fees, fines, and penalties are publically available and useful for the purpose of congressional oversight; and (2) the benefits and challenges to government-wide reporting of fees, fines, and penalties. GAO assessed government-wide fee, fine, and penalty data against criteria for availability and usefulness based on multiple sources, including prior GAO work and input from staff of selected congressional committees. GAO interviewed OMB staff, Treasury officials, and representatives of organizations with expertise in federal budget issues and reviewed prior GAO work to identify benefits and challenges of reporting these data."]}, {"section_title": "What GAO Found", "paragraphs": ["There are no comprehensive, government-wide data at the level of detail that identifies specific fees, fines, or penalties. The Office of Management and Budget (OMB) and the Department of the Treasury (Treasury) report data that include these collections at the budget account level, which generally covers a set of agency activities or programs. OMB and Treasury also report some summary data for budgeting and financial management purposes. In the Budget of the U.S. Government , for example, OMB data showed government-wide fees totaled just over $335 billion in fiscal year 2017. These reports, however, are not designed to inventory or analyze fee, fine, or penalty collections and have significant limitations for that purpose.", "Although OMB collects more disaggregated data on fees, fines, and penalties, it does not make the data publicly available. OMB uses the disaggregated data in its OMB MAX database\u2014such as the agency and account\u2014to compile reported totals, such as the government-wide fees total in the Budget of the U.S. Government . Until OMB makes more disaggregated data publicly available, Congress has limited information on collections by agency to inform oversight and decision-making.", "OMB's government-wide total of fees includes collections that are not fees and excludes some fee collections. The total includes all collections for accounts in which fees make up at least half of the account's collections and excludes all others. OMB does not direct agencies to regularly review and update the accounts included in the total. Therefore, if accounts' makeups change such that fee collections drop below, or rise above, the 50 percent threshold, accounts may have incorrect fee designations and the total may be inaccurate.", "Further, OMB does not disclose the limitation that the total may exclude some fees and include other collections that are not fees. As a result, some users of the data are likely unaware of the potential for the total fees to be overestimated or underestimated.", "Further, no source of government-wide data consistently reports data elements on fees, fines, and penalties that could help inform congressional oversight. Generally, congressional staff told us that additional data, such as amounts of specific penalties, would increase transparency and facilitate oversight. These data could help Congress identify trends in collections and significant changes that could be an indication of an agency's performance. While reporting government-wide fee, fine, and penalty data provides benefits, there are trade-offs in terms of the time and federal resources it would take to develop and implement a process for agencies to report these data. The level of federal investment would vary depending on factors, such as the number of data elements included and the level of detail reported. Developing a comprehensive and accessible data source would provide greater benefits, but would likely be resource intensive. Alternatively, incorporating a small number of data elements that Congress identifies as most useful for oversight into ongoing government-wide reporting efforts could incrementally improve transparency and information for oversight and decision-making, with fewer resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to enhance OMB reporting on fees, fines, and penalties, including making disaggregated data publically available, updating instructions to federal agencies to review accounts designated as containing fees, and disclosing limitations in data reported. OMB did not provide comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["Congress has authorized federal agencies to collect hundreds of billions of dollars annually in fees, fines, and penalties. These collections can fund a wide variety of programs, including programs integral to our nation\u2019s security, to the security of our financial system, and to the protection of our natural resources. Agencies are authorized to charge more than 3,600 different user fees, such as for visiting national parks, patent applications, and customs inspections. Agency authority to assess and collect fines and penalties is a critical method for enforcing policies and deterring violations of laws and regulations. For example, the Office of Management and Budget (OMB) has identified more than 50 different agencies as having civil monetary penalty authority. In fiscal year 2017, these federal agencies assessed millions of dollars in civil monetary penalties for violations of statutory requirements, such as phone calls that violated federal telemarketing law.", "Given the nation\u2019s fiscal condition, it is critical Congress has full visibility over all federal resources. Federal collections of fees, fines, and penalties vary in the extent to which revenue collected is dedicated to the related program or agency and the extent to which the agency has authority to obligate and expend collections. Congress retains oversight over fees, fines, and penalties, regardless of agencies\u2019 authority to use these collections. As such, data that provide visibility on collections and how they are used are important for Congress to oversee agencies and programs, and provide transparency in agencies\u2019 use of federal resources.", "OMB reports high-level, government-wide summary data on fee, fine, and penalty collections in the Budget of the U.S. Government\u2019s Analytical Perspectives and the Department of the Treasury (Treasury) reports data on agency receipts in the Combined Statement of Receipts, Outlays, and Balances (Combined Statement). These reports are designed to serve specific purposes and audiences, and provide information targeted to meet those needs.", "You asked us to review issues related to the availability of government- wide data on fees, fines, and penalties. This report examines: (1) the extent to which government-wide data on collections of fees, fines, and penalties are publicly available and useful for the purpose of congressional oversight; and (2) the benefits and challenges to government-wide reporting of specific fees, fines, and penalties including data elements that facilitate congressional oversight.", "To address these objectives, we developed criteria for the availability and usefulness of data on collections of fees, fines, and penalties for the purpose of congressional oversight based on: our Standards for Internal Control, requirements found in the Digital Accountability and Transparency Act of 2014 (DATA Act), government-wide instructions from OMB on public access to data and our prior work on user fees, fines, and penalties, and input from staff of congressional committees on appropriations, budget, and oversight (see table 1).", "We shared the criteria with OMB staff and Treasury officials, and they agreed the criteria are relevant and reasonable. See appendix I for more information on the data elements that are useful for congressional oversight.", "To determine the extent and usefulness of publicly available data for our first objective, we first identified government-wide sources containing data on fees, fines, and penalties to include in our review. We reviewed our prior work, conducted background research, including reviewing Congressional Budget Office and Congressional Research Service reports, and interviewed Treasury officials and OMB staff. As a result, we identified the Budget of the U.S. Government\u2014including Analytical Perspectives, the Budget Appendix, and the Public Budget Database\u2014 produced by OMB, and the Combined Statement produced by Treasury. We assessed these sources and related documents and processes using the applicable criteria we developed on availability and usefulness of data on fees, fines, and penalties for the purpose of congressional oversight and Standards for Internal Control in the Federal Government.", "We also analyzed OMB and Treasury data to identify and report government-wide totals for fees, fines, and penalties to the extent that they were reported. To assess the reliability of OMB\u2019s MAX database data related to the collections of fees, fines, and penalties, we reviewed related documentation, interviewed knowledgeable OMB staff, and conducted electronic data testing. To assess Treasury\u2019s Bureau of the Fiscal Service data related to the collections of fees, fines, and penalties, we reviewed related documentation and interviewed knowledgeable Treasury officials. In both cases, we found the data to be reliable for our purposes. We did not examine whether agencies accurately report collections as fees, fines, and penalties to OMB and Treasury.", "To determine the benefits and challenges of government-wide reporting of fees, fines, and penalties for our second objective, we interviewed staff of congressional committees on appropriations, budget, and oversight, OMB staff and Treasury officials, and external organizations on the potential benefits and challenges of government-wide reporting of fees, fines, and penalties. In addition, we reviewed our prior reports on the DATA Act, federal program inventories, and federal fees to identify and assess issues to consider in government-wide reporting. See appendix I for additional details on our scope and methodology.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government receives funds from numerous sources in addition to tax revenues, including collections of user fees, fines, and penalties. According to the Budget of the U.S. Government, in fiscal year 2017, the U.S. government\u2019s total receipts were $3.3 trillion and collections of fees, fines, penalties, and forfeitures were more than $350 billion.", "User fees (fees): Fees are charges assessed to users for goods or services provided by the federal government, such as fees to enter a national park, and charges assessed for regulatory services, such as fees charged by the Food and Drug Administration for prescription drug applications. Fees are an approach to financing federal programs or activities that, in general, are related to some voluntary transaction or request for government services above and beyond what is normally available to the public. By requiring identifiable beneficiaries to pay all or part of the cost of a good or service, fees can promote both equity and economic efficiency. Regularly reviewing fees help ensure that agencies, Congress, and stakeholders have complete information.", "Fines and penalties: Criminal fines and penalty payments are imposed by courts as punishment for criminal violations. Civil monetary penalties are not a result of criminal proceedings but are employed by courts and federal agencies to enforce federal laws and regulations. For example, civil monetary penalty payments are collected from financial institutions by certain financial regulators, such as the Federal Deposit Insurance Corporation, from enforcement actions assessed against financial institutions for violations related to anti-money laundering requirements. Reviews and, as needed, adjustments to fines and penalties could help ensure they provide a meaningful incentive for compliance.", "The design and structure of statutory authorities for fees, fines, and penalties can vary widely. In prior work, we have identified key design decisions related to how fee, fine, and penalty collections are used that help Congress balance agency flexibility with congressional control and oversight. Congress determines the availability of collections by defining the extent to which an agency may obligate and expend them, including the availability of the funds, the period of time the collections are available for obligation, the purposes for which they may be obligated, and the amount of the collections that are available to the agency. Fees, fines, and penalties may be categorized as one of three types of collections based on the structure of their statutory authority: offsetting collections, offsetting receipts, or governmental receipts (see figure 1).", "Offsetting collections can provide agencies with more flexibility because they are generally available for agency obligation without an additional annual appropriation. In contrast, offsetting receipts and governmental receipts involve greater congressional opportunities for control and oversight because, generally, additional congressional action is needed before the collections are available for agency obligation. For example, Congress must appropriate collections from offsetting receipts before agencies are authorized to obligate these funds.", "The type of collection also determines how OMB and Treasury report the collections. Offsetting collections and offsetting receipts result from businesslike transactions and are recorded as offsets to spending. Offsetting collections are authorized by law to be credited to appropriation or fund expenditure accounts, while offsetting receipts are deposited in receipt accounts. Because offsetting collections are offsets to spending, an account will generally show the net amount that was collected and spent at any point in time."], "subsections": [{"section_title": "Congressional Actions to Make Government-wide Data Publicly Available", "paragraphs": ["While there is no statutory requirement for government-wide reporting of data of specific fees, fines and penalties, Congress has enacted legislation to make other data on federal spending and federal programs publicly available:", "The Digital Accountability and Transparency Act of 2014 (DATA Act). The DATA Act built on previous transparency legislation by expanding what federal agencies are required to report regarding their spending. The act significantly increased the types of data that must be reported, and required the use of government-wide data standards and regular reviews of data quality to help improve the transparency and accountability of federal spending data. These data are reported on the USAspending.gov website.", "The GPRA Modernization Act of 2010 (GPRAMA). GPRAMA, in part, requires OMB to present a coherent picture of all federal programs by making information available about each federal program on a website, including related budget and performance information. Programs have been defined as an organized set of activities directed toward a common purpose or goal that an agency undertakes or proposes to carry out its responsibilities. A federal program inventory would consist of the individual programs identified by the agencies and OMB and information collected about each of them. OMB and agencies implemented the inventory once, in May 2013. In October 2014, we found several issues limited the usefulness of that inventory and made several recommendations to OMB to ensure the effective implementation of federal program inventory requirements and to make the inventories more useful. Further, in September 2017, we found that OMB continued to delay implementation of the program inventory. We recommended that OMB consider a systematic approach to developing the program inventory and issue instructions to provide time frames and milestones for its implementation. Although OMB updated its instruction in June 2018, it did not provide any time frames or milestones for implementing the inventory. OMB has yet to develop a systematic approach for resuming implementation of the inventory or specific time frames for doing so."], "subsections": []}]}, {"section_title": "OMB, Treasury, and Agencies Publicly Report Some Data on Fees, Fines, and Penalties, but the Data Have Significant Limitations", "paragraphs": [], "subsections": [{"section_title": "OMB, Treasury, and Agencies Report Broad Financial Information, but Not All Collections from Specific Fees, Fines, and Penalties", "paragraphs": ["There is no source of data that lists all collections of specific fees, fines, and penalties at a government-wide or agency level. Both OMB and Treasury report government-wide budgetary and financial data, including some information on collections of fees, fines, and penalties; however, none of the reports identifies all specific fees, fines, and penalties, and their associated collection amounts at a government-wide level. OMB reports budgetary and financial data in various parts of the Budget of the U.S. Government, including Analytical Perspectives, the Budget Appendix, and the Public Budget Database. Treasury reports financial data in the Combined Statement. Each source provides information for a broader purpose than reporting on collections of fees, fines, and penalties. OMB and Treasury provide specific instructions for agency submission of the underlying data, as described in table 2.", "OMB\u2019s reports include budgetary and financial information on federal collections at different levels of detail\u2014from aggregated government-wide data to agency account-level data\u2014depending on the source and its purpose. Analytical Perspectives identifies collections as fees and as fines, penalties, and forfeitures and reports government-wide summary information on these collections. For example, in a table summarizing government-wide governmental receipts in Analytical Perspectives, OMB reported fines, penalties, and forfeitures in federal funds as $20.98 billion and in trust funds as $1.17 billion for fiscal year 2017. These summary data do not provide a government-wide total of all federal collections from fines, penalties, and forfeitures because they do not include those that are categorized as offsetting collections or offsetting receipts, according to OMB staff. OMB staff said that OMB does not publish a government- wide total of fines, penalties, and forfeitures. OMB data on governmental receipts include source codes\u2014including a code that identifies fines, penalties, and forfeitures\u2014but data on offsetting collections and offsetting receipts do not include a comparable source code. In the Budget Appendix and the Public Budget Database, OMB reports account-level information by agency, identified by types of collections, such as offsetting collections, offsetting receipts, and governmental receipts. The Budget Appendix and the Public Budget Database do not label collections as fees, fines, or penalties and therefore, cannot be used to calculate government-wide totals for fees, fines, or penalties.", "To assemble Analytical Perspectives, the Budget Appendix, and the Public Budget Database, OMB compiles data from federal agencies into OMB MAX. OMB MAX, which is not publicly available, contains government-wide data at the account level and captures information such as the type of collection and the type of fund to which collections are deposited. While the data in OMB MAX help drive reporting in the Budget, not all data compiled in OMB MAX appear in the Budget. For example, OMB MAX includes an indicator for accounts that contain fees, but that information is not made available in the Budget of the U.S. Government. According to congressional staff we spoke with, they do not have open access to OMB MAX, but OMB provides excerpts of OMB MAX data to staff upon request.", "Treasury\u2019s Combined Statement reports both government-wide totals and agency account-level data for collections classified as receipts, by various source categories\u2014such as proprietary receipts from the public, miscellaneous receipts, and fines, penalties, and forfeitures.", "Fees. Fees may fall within several source categories. Therefore, Treasury does not have a single government-wide total for fees. It does present government-wide totals for various source categories, including, Sale of Products and Fees for Permits and Regulatory and Judicial Services, for example. Treasury also reports some fees under non-fee categories, such as Miscellaneous Taxes and Excise Taxes.", "Fines, Penalties, and Forfeitures. Treasury reports a government- wide total of receipts of fines, penalties, and forfeitures, which in fiscal year 2017 was $22.2 billion. Treasury\u2019s Combined Statement presents these data, disaggregated by account, in the tables Receipts by Source Categories and Receipts by Department. For example, it identifies total Internal Revenue Service receipts in the category Fines, Penalties, and Forfeitures of about $6.8 million in fiscal year 2017. Treasury also reports some fines, penalties, and forfeitures receipts under other categories; these receipts are not included in its total of fines, penalties, and forfeitures. For example, Department of Homeland Security breached bond penalties are reported in two categories labeled as fees: Miscellaneous Receipts \u2013 Fees for Permits and Regulatory and Judicial Services and Offsetting Governmental Receipts \u2013 Regulatory Fees (see figure 2).", "In addition to the government-wide data sources, agencies report some data on their collections of specific fees, fines, and penalties in their annual financial reports, congressional budget justifications, and on agency websites. These data are dispersed by agency, are not comprehensive, and cannot be aggregated to create government-wide data because they vary in format and in the level of detail presented. For example:", "The Environmental Protection Agency (EPA) has an online, searchable database of enforcement and compliance information that includes data on individual fine and penalty assessments for violations of certain, but not all, statutes.", "The Department of Labor also makes selected enforcement data accessible in an online database collected by the Employee Benefits Security Administration, the Mine Safety and Health Administration, the Occupational Safety and Health Administration, and the Wage and Hour Division without Department of Labor-wide data standards on individual fine and penalty assessments.", "USDA\u2019s Animal and Plant Health Inspection Service\u2019s 2019 Congressional Budget Justification, on the other hand, is a PDF document that provides annual collection totals for Agriculture Quarantine Inspection Fees, Import-Export User Fees, Phytosanitary Certificate User Fees, Veterinary Diagnostics User Fees, and Other User Fees, rather than disaggregated to individual fee assessments."], "subsections": []}, {"section_title": "OMB Reports Government-wide Totals that Cannot Be Disaggregated and Does Not Disclose Limitations or Regularly Review Its Designation of Fees", "paragraphs": [], "subsections": [{"section_title": "OMB Reports Government- wide Data that Cannot Be Disaggregated", "paragraphs": ["The government-wide totals for fees that OMB reports in Analytical Perspectives are not presented at a more disaggregated level, such as by agency or program, except for some major fee collections identified by OMB. For example, in Analytical Perspectives for fiscal year 2017, OMB reported $335.4 billion as a government-wide total of fee collections. OMB also reported some disaggregated data for the subset of fees that were offsetting collections and offsetting receipts. Specifically, it listed 11 fees totaling $258.4 billion collected by specific agencies and listed the remaining $72.3 billion as \u201call other user charges\u201d without identifying the agency or program. As described in table 1 above, clear and accessible data can be aggregated or disaggregated by the user. OMB has more detailed data on collections in OMB MAX, including the agency, account, type of collection, and fund type, which it uses to compile reported totals of fees as well as fines, penalties, and forfeitures.", "OMB does not publicly report these data disaggregated below the government-wide level, such as at the agency level. OMB staff said that they do not report the disaggregated data because the purpose of Analytical Perspectives is to develop or support the President\u2019s policies and more detailed tables may not be included if they are not considered necessary for that purpose. However, Analytical Perspectives also serves to provide other significant data that place the President\u2019s Budget in context and assist the public and policymakers in better understanding the budget proposals. For example, Analytical Perspectives includes a chapter on aid to state and local governments that presents the President\u2019s budget proposals for grant programs along with crosscutting information on federal grants to state and local governments, including government-wide grant spending, by agency and program. Analytical Perspectives also presents a summary of fee proposals but does not provide comparable crosscutting information about current fees. For fines and penalties, neither proposals nor crosscutting information is presented by agency. Until OMB makes more disaggregated data on fees, fines, and penalties maintained in its OMB MAX database\u2014such as collections by agency\u2014publicly available, Congress has limited information on such collections to inform oversight and decision-making."], "subsections": []}, {"section_title": "OMB Does Not Disclose Limitations or Regularly Review Its Designation of Fees", "paragraphs": ["Analytical Perspectives\u2019 government-wide totals of fees may include inaccurately labeled collections\u2014other collections that are not fees\u2014and may exclude some fee collections. Data that are clear and accessible are presented with known limitations, as shown in table 1. OMB Circular No. A-11 states that all accounts in which more than half of collections are from fees will be designated as containing fees. OMB staff said that the entire account is designated as containing fees because account-level data are the most disaggregated data OMB collects from agencies. OMB calculates its government-wide total for fees by adding collections in all accounts designated in OMB MAX as containing user fees. However, agency accounts can include multiple sources of budget authority. For example, Treasury\u2019s U.S. Mint\u2019s account \u201cUnited States Mint Public Enterprise Fund\u201d includes offsetting collections from Mint operations and programs; these include the production and sale of commemorative coins and medals, the production and sale of circulating coinage, the protection of government assets, as well as gifts and bequests of property. The United States Mint Public Enterprise Fund is designated as containing fees in OMB MAX. Therefore, budget authority that is not derived from the collection of fees but is still included in this account will be designated as fees as well when calculating a government-wide total.", "Conversely, accounts in which fees contribute to less than half of collections are not designated as containing fees amounts, and those fees will not be included in the government-wide total OMB calculates. OMB Circular No. A-11 describes the designation of fee accounts, but the data presented in Analytical Perspectives as totals for fees do not disclose OMB\u2019s designation criteria, including the limitations to the accuracy of the data. OMB staff said they do not report this limitation because they consider OMB Circular No. A-11 a more appropriate document for providing technical information like the designation of accounts containing user fees. However, the section on fees in Analytical Perspectives does not direct the reader to OMB Circular No. A-11 for key information related to the data presented on fees. For other topics, including lease-purchase agreements, Analytical Perspectives directs the reader to OMB Circular No. A-11 for further details. Furthermore, for other topics, OMB provided explanatory information along with the data in Analytical Perspectives. For example, OMB explained a recent change to definitions in the research and development section of Analytical Perspectives and the effect of the change on budget authority. Until OMB provides a description of data limitations regarding the criteria used to identify accounts with fees for compiling government-wide totals in Analytical Perspectives, or directs users to the relevant section of OMB Circular No. A-11, some users are likely to be unaware of the potential for the total user fees to be overestimated or underestimated.", "In addition, OMB does not regularly review and update implementation of its criteria for designating fees. Standards for Internal Control in the Federal Government state that agency management should use quality information to achieve the objectives, such as processing data into quality information that is current and accurate. OMB Circular No. A-11 states that the fee designation is applied at the time the account is established. OMB staff told us that when establishing a new account, OMB collaborates with Treasury to determine the legal attributes of the account, including any fee authorities, and whether to designate the account as containing fees. OMB staff further explained they review the designation when new legislation is enacted that would change the attributes of the account, or if an agency informs OMB that the makeup of an account has changed because of programmatic changes. However, OMB Circular No. A-11 does not instruct agencies to regularly review or update this designation and report changes to OMB. Therefore, if the makeup of collections in an account changes so that fees go from being more than half of the collections to less than half, or vice versa, the account\u2019s fee designation may not be updated accordingly. Until OMB instructs agencies to regularly review the fee designation in OMB MAX and update the designation, as needed, OMB cannot provide reasonable assurance that accounts are designated correctly, and that the government-wide totals of fees reported in Analytical Perspectives are accurate."], "subsections": []}]}, {"section_title": "OMB and Treasury Sources Do Not Completely Identify Fees, Fines, and Penalties", "paragraphs": [], "subsections": [{"section_title": "Users Cannot Disaggregate the Agency Account-Level Data to Specific Fee, Fine, and Penalty Collections", "paragraphs": ["While Analytical Perspectives reports government-wide data labeled as fees, fines, and penalties, the other three sources we reviewed\u2014the Budget Appendix, the Public Budget Database, and the Combined Statement\u2014report account-level information by agency. Users cannot further disaggregate the data presented to specific fee, fine, and penalty collections. For example, USDA\u2019s Animal and Plant Health Inspection Service (APHIS) is funded in part by six fees: (1) Agricultural Quarantine Inspection (AQI) fee, (2) Phytosanitary Export Certification fee, (3) Veterinary Services Import Export fee, (4) Veterinary Diagnostics fee, (5) Reimbursable Overtime, and (6) Trust Funds and Reimbursable Funds. However, a user cannot identify collections from each of these APHIS fees in the Budget Appendix. The Budget Appendix specifically identifies AQI fee collections\u2014$768 million in fiscal year 2017\u2014because they are receipts deposited to a trust fund. The other five fees are combined within the total for offsetting collections\u2014$152 million (see figure 3).", "The Budget Appendix, the Public Budget Database, and the Combined Statement report data at the account level because the purposes of these reports are broader than fees, fines, and penalties, and OMB and Treasury instruct agencies to report data at that level. Treasury\u2019s Financial Manual states that agencies post appropriations and spending authorizations by Congress to accounts established by Treasury. OMB\u2019s Circular No. A-11 instructs agencies to report data at the budget account level in OMB MAX, which supports the data in the Budget Appendix and the Public Budget Database. Because OMB and Treasury do not collect data that can be disaggregated to the level of fee, fine, or penalty, the collections for specific fees, fines, and penalties within accounts are not identifiable within account totals."], "subsections": []}, {"section_title": "OMB Data Sources Label Data More Broadly than Fees, Fines, and Penalties", "paragraphs": ["Both the Budget Appendix and Public Budget Database label and present data within each account by collection type: offsetting collections, offsetting receipts, and governmental receipts. These collection types include fees, fines, and penalties, as well as other sources of collections, as shown in the text box below.", "Budgetary Collections as Labeled by the Budget of the U.S. Government Include More than Fees, Fines, and Penalties", "Offsetting Collections and Offsetting Receipts include user fees as w ell as reimbursements for damages, intragovernmental transactions, and voluntary gifts and donations to the government.", "Governmental Receipts include collections that result from the government\u2019s exercise of its sovereign pow er to tax or otherw ise compel payment, and include taxes, compulsory user fees, regulatory fees, customs duties, court fines, certain license fees, and deposits of earnings by the Federal Reserve System.", "As a result, the user cannot separate fees, fines, and penalties from other collections. For example, offsetting collections may include fees, reimbursements for damages, gifts or donations of money to the government, and intragovernmental transactions with other government accounts.", "Analytical Perspectives explains that amounts collected by government agencies are recorded in two ways that broadly affect the formulation of the government-wide budget, but may not provide detail on specific agency collections: (1) governmental receipts, which are compared to total outlays in calculating the surplus or deficit; and (2) offsetting collections or offsetting receipts, which are deducted from gross outlays to calculate net outlay figures. These collections are presented together for budgeting purposes, but cannot be separated to specific fees, fines, or penalties. Therefore, it is not clear what percentage of the reported collections are fees, fines, and penalties as opposed to other collections."], "subsections": []}, {"section_title": "OMB Does Not Clearly Describe How the Public Budget Database Reports Certain Fee, Fine, and Penalty Collections", "paragraphs": ["Treasury\u2019s Combined Statement and OMB\u2019s Public Budget Database do not identify offsetting collections, including collections of fees, fines, and penalties. Instead, the Combined Statement reports net outlays, which include any offsetting collections as deductions from outlays. Similarly, the Public Budget Database reports budget authority net of any offsetting collections. Treasury clearly describes this presentation of the data in the Combined Statement, but OMB does not in the Public Budget Database. In the \u201cExplanation of Transactions and Basis of Figures\u201d section of the Combined Statement, Treasury describes that outlays are stated net of collections representing reimbursements as authorized by law, which include offsetting collections. With the description provided in the Combined Statement, the user can understand that fees, fines, and penalties that are offsetting collections are not identifiable in the data.", "OMB reports receipts and budget authority\u2014which include collections from fees, fines, and penalties\u2014in separate spreadsheets of the Public Budget Database. Similar to outlays reported in Treasury\u2019s Combined Statement, the Budget Authority spreadsheet reports the net budget authority of accounts after agencies have credited offsetting collections from fees, fines, penalties, or other collections. For example, the National Park Service reported net budget authority of $2.425 billion for the Operation of the National Park System account in fiscal year 2017 in both the Budget Appendix and the Public Budget Database, both of which present data compiled in OMB MAX. The Budget Appendix presents additional information, reporting offsetting collections that are at least partially derived from fees of $35 million, and gross budget authority of $2.46 billion, as shown in figure 4. The Public Budget Database, on the other hand, does not identify the amount of offsetting collections in the account or gross budget authority.", "OMB does not describe this presentation of the data in the Public Budget Database User\u2019s Guide. As shown in table 1, data that are clear and accessible are presented with descriptions of the data. The User\u2019s Guide directs users who may not be familiar with federal budget concepts to Analytical Perspectives and OMB Circular No. A-11. However, OMB does not describe, either in the User\u2019s Guide or in the Budget Authority spreadsheet of the Public Budget Database, that this source reports budget authority net of offsetting collections, such as collections of fees, fines, and penalties. OMB staff said they do not describe the presentation because it is explained in Analytical Perspectives. However, the Public Budget Database is available for download separate from Analytical Perspectives, and the User\u2019s Guide specific to the Public Budget Database includes other information describing the data in the spreadsheets. Describing the presentation of the data in the User\u2019s Guide would help ensure that users of the Public Budget Database can correctly interpret the information and not underestimate agencies\u2019 fee, fine, or penalty collections."], "subsections": []}]}, {"section_title": "Government-wide Sources Do Not Consistently Report Data that Would Facilitate Oversight", "paragraphs": ["No source of government-wide data consistently reports data elements related to fees, fines, and penalties that could help inform congressional oversight of agencies and programs, such as the amount collected annually, account balances, and whether the collection is a fee, fine, or penalty. See figure 5 for the extent to which data elements are included in the Budget Appendix, Public Budget Database, and Combined Statement. See appendix I for more detailed information on the data elements that are useful for congressional oversight.", "To a limited extent there are some cases where government-wide reports included data elements useful for the purpose of congressional oversight of fees, fines, and penalties. In some cases the Budget Appendix includes information on the fund type receiving collections and the extent to which the collections from fees may be appropriated to the agency collecting the fee. The Budget Appendix, for example, reports that collections for the Agricultural Quarantine Inspection (AQI) fee are recorded under \u201cSpecial and Trust Fund Receipts,\u201d as shown previously in figure 3. The user can also identify the appropriation of collections from the AQI fee under \u201cProgram and Financing, Budgetary resources,\u201d as shown below in figure 6. As discussed previously, the other five fees the Animal and Plant Health Inspection Service(APHIS) collects are not individually identifiable in the Budget Appendix, but fall under offsetting collections.", "OMB and Treasury reports, and the systems that support them, are designed for budget and financial information and not for an inventory of fees, fines, and penalties that includes the data elements that Congress may use in oversight. OMB staff said the agency does not have a requirement to prioritize reporting fee, fine, and penalty data over more detailed information on other types of funds. OMB staff said while they generally agree that additional data elements would be useful for oversight, there are trade-offs between transparency and the burden of collecting and reporting additional information."], "subsections": []}]}, {"section_title": "Better Reporting of Government-wide Data on Fees, Fines, and Penalties Would Increase Transparency and Data Available for Oversight, but Would Require an Investment of Federal Resources", "paragraphs": [], "subsections": [{"section_title": "Benefits Include Increased Transparency and Better Information for Oversight and Decision-Making", "paragraphs": ["According to OMB staff and officials from Treasury, the Congressional Research Service, and external organizations with expertise in federal budget issues and data transparency, there are two primary benefits to government-wide reporting of fee, fine, and penalty data: increased transparency and better information for congressional oversight and decision-making. Generally, all congressional staff we spoke with said making additional government-wide data on fees, fines, and penalties, such as those data elements described previously, without additional outreach to agencies, would be useful and increase transparency. While some congressional staff said such data elements are available through direct outreach to agencies, other congressional staff told us they could not always obtain the information they wanted. For example, staff from a congressional committee said that one of the most critical data elements for the purpose of congressional oversight is information on agency reporting of obligations and expenditures because, in their view, currently many agencies do not adequately report this information and some agencies do not report this information at all. These data would provide Congress a more complete picture of individual agencies\u2019 activities and any potential overlap or duplication in multiple agencies\u2019 activities. Congressional staff also said having government-wide data on collections of fees could inform efforts that are crosscutting in nature. For example, APHIS and Customs and Border Protection jointly implement the AQI program to help prevent the introduction of harmful agricultural pests and diseases into the United States, and AQI fee collections are divided between the two agencies.", "Publicly available data on government-wide collections of fines and penalties could inform the public on agency enforcement activities and compliance of regulated parties, such as those related to health or safety. Some officials from external organizations and congressional staff said that it would be useful to have government-wide data on individual fines and penalties levied by agencies. For example, the Environmental Protection Agency publishes an online database on its compliance and enforcement actions, Enforcement and Compliance History Online (ECHO). According to the website, the data available on ECHO allows the public to monitor environmental compliance in communities, corporations to monitor compliance across facilities they own, and investors to more easily factor environmental performance into decisions. Further, an official from an external organization with expertise in data transparency stated that, ideally, a user would be able to link fine and penalty data to spending data on USAspending.gov to increase transparency in instances where an organization receiving a federal grant or contract has also had a fine or penalty levied against it.", "Last, publicly available government-wide data on collections could inform the public, specifically payers of fees, fines, and penalties, and facilitate their participation in public comment opportunities. For example, OMB staff said government-wide data could provide the public with clear, transparent information across agencies on fee collections and allow the public to analyze differences in fee programs among agencies. Payers of fees may be able to make more informed comments on proposed changes to a fee program if they had information on how it relates to other fee programs across the federal government.", "Government-wide fee, fine, and penalty data would provide more information to facilitate congressional oversight. These data could help Congress identify trends in collections and significant changes that could be an indication of an agency\u2019s performance. For example, staff of a Congressional committee stated that fine and penalty data can be used to examine enforcement actions on a particular issue or to identify potential trends over time as an indicator of stronger or weaker enforcement actions by an agency. Congress could also use these data to identify variations in enforcement action among geographic regions or as an indicator of the frequency of violations.", "Additionally, data on review and reporting requirements can inform congressional oversight of fees, fines, and penalties. We previously reported that regular comprehensive reviews of fees provide opportunities for agencies and Congress to make improvements to a fee\u2019s design which, if left unaddressed, could contribute to inefficient use of government resources. For example, fee reviews could help ensure that fees are properly set to cover the total costs of those activities which are intended to be fully fee-funded. Fee reviews may also allow agencies and Congress to identify where similar activities are funded differently; for example, one by fees and one by appropriations. One such example is the export control system, in which the State Department charges fees for the export of items on the U.S. Munitions List, while the Commerce Department does not charge fees for those items exported under its jurisdiction.", "Government-wide reporting of fee, fine, and penalty data could also inform Congress\u2019s funding decisions by providing a clearer picture of agencies\u2019 total resources. Congressional staff stated that knowing the statutory authority to collect and obligate funding from fees, fines, and penalties\u2014along with any appropriation an agency may have received from an annual appropriation act, which are currently available to congressional staff\u2014would provide a more complete picture of an agency\u2019s total annual funding, including the portion attributed to the taxpayer and the portion attributed to payers of specific fees, fines, and penalties. For example, staff from congressional committees we spoke with said it would be useful to have data to show programs that receive appropriations from both offsetting collections and appropriations not derived from offsetting collections to inform decisions on how the program is funded. Congressional staff also said this would provide more opportunities to track the flow of money in and out of the government. Overall funding decisions may be affected if an agency has an increase in fee collections, for example. Congressional committee staff also said it would be useful to have government-wide data on specific fees, fines, and penalties that are offsetting collections because these collections are available for obligation without going through the annual appropriations process. Our prior work has shown that it is important to consider how the agencies and entities with this authority facilitate oversight to ensure effective management, transparency, and public accountability. Some committee staff said they can request data directly from agencies when they need more disaggregated information on fees, fines, and penalties, and reported different levels of responsiveness from agencies. Publicly available data could reduce potentially overlapping or duplicative requests from staff to agencies."], "subsections": []}, {"section_title": "Potential Challenges Exist for Standardizing Definitions of Fees, Fines, and Penalties", "paragraphs": ["According to officials from agencies and external organizations, there are potential challenges to defining the government-wide data standard or definition of fee, fine, and penalty programs by which agencies could report. Because there is no statutory requirement for government-wide reporting of fee, fine, and penalty data, agencies collect and use these data for their own purposes, and are not using government-wide data elements and standards that are consistent and comparable between agencies. First, an agency may define a fee program as a single fee or a set of related fees. For example, the U.S. Citizenship and Immigration Services charges more than 40 immigration and naturalization fees to applicants and petitioners that could be grouped together as related fees or split into up to 40 different fee programs. Second, officials from external organizations said there are also challenges in defining data standards the level of detail to report. For example, an official from an external organization said, for large financial penalties, it may be useful for oversight for the data to identify each instance of the penalty, including the fined party. However, that level of detail could raise privacy sensitivities. For example, reporting every individual that paid an entrance fee at a national park could present privacy concerns. Finally, for elements that are useful for congressional oversight, one challenge could be the timing of when funds are collected compared to when they are available for obligation. The amount of funds collected in a year does not necessarily equal the amount available to the agency that year. For example, collections of Harbor Maintenance Fees are deposited to the Harbor Maintenance Trust Fund and are not available for obligation without appropriation. Funds collected in one year may not be necessarily appropriated and obligated until a subsequent year.", "Our prior work on the Digital Accountability and Transparency Act of 2014 (DATA Act) implementation underscores the importance of standardized and clearly defined data elements. We found inconsistent and potentially confusing instructions from OMB regarding the Primary Place of Performance data elements that resulted in inconsistent reporting among agencies. The standard established by OMB and Treasury defines Primary Place of Performance as \u201cwhere the predominant performance of the award will be accomplished\u201d while other instructions define it as \u201cthe location of the principal plant or place of business where the items will be produced, supplied from stock, or where the service will be performed.\u201d We found some agencies used the first definition and some used the second. In one case, the Departments of Labor and Health and Human Services issued contracts to the same company for similar office printers, but one reported the primary place of performance as California, the location of the office where the printers were delivered and used. The other agency reported the primary place of performance as New Jersey, the location of the company that supplied the printers. As a result, the data were not comparable between agencies or across the federal government, limiting the usefulness for congressional oversight. We previously recommended that OMB and Treasury provide additional instruction to agencies on how to report Primary Place of Performance to ensure the definitions are clear and the data standards are implemented consistently by agencies.", "Staff from one congressional committee cautioned that attempts to present information on budget authorities for fees, fines, and penalties in a simple and accessible database create an unacceptable risk of confusion and legislative error. The staff said an accurate description of the nature of the spending\u2013-including whether there is authority to obligate without further appropriation\u2013-would be labor intensive and require significant legal analysis and research."], "subsections": []}, {"section_title": "Government-wide Reporting Would Require an Investment of Federal Resources", "paragraphs": ["Government-wide reporting of fees, fines, and penalties could increase transparency and facilitate oversight and decision-making, but would require time and resources to develop given that there is currently no government-wide system or requirements for agencies to collect and report detailed fee, fine, and penalty data. The level of federal investment would vary depending on factors, such as the number of data elements included and the level of detail reported. Developing a comprehensive and accessible data source would provide greater benefits, but would likely be resource intensive. We have reported on other federal transparency efforts that could provide strategies for reporting government-wide fee, fine, and penalty data. For example, to create a clear and accessible government-wide data source that includes the data elements we identified that would be useful for congressional oversight, Treasury officials said the process would be similar to the implementation of the DATA Act for spending data. To implement the DATA Act, OMB and Treasury led an intensive effort starting in May 2014 through May 2017 when the first government-wide data were reported under the DATA Act\u2019s new standards.", "Data Standards: OMB, in coordination with Treasury, established 57 standardized data element definitions and approximately 400 associated sub-elements for reporting federal spending information. OMB and Treasury created opportunities for non-federal stakeholders to provide input into the development of data standards, including publishing a Federal Register notice seeking public comment on the establishment of financial data standards; presenting periodic updates on the status of DATA Act implementation to federal and non-federal stakeholders at meetings and conferences; soliciting public comment on data standards using an online collaboration space; and collaborating with federal agencies on the development of data standards and the technical schema through MAX.gov, an OMB- supported website.", "Technical Process for Reporting: Treasury developed the initial DATA Act Information Model Schema, which provided information on how to standardize the way financial assistance awards, contracts, and other financial and nonfinancial data would be collected and reported under the DATA Act.", "System to Collect and Validate Data: Treasury developed a system that collects and validates agency data (the DATA Act Broker), which operationalizes the reporting framework laid out in the schema. In addition, Treasury employed online software development tools to provide responses to stakeholder questions and comments related to the development and revision of the broker.", "Public Reporting: Treasury created and updated the new USAspending.gov website to display certified agency data submitted under the DATA Act.", "Agencies also took steps to prepare to report spending data. They reviewed data elements OMB identified, participated in standardizing the definitions, performed an inventory of their existing data and associated business processes, and updated their systems and processes to report data to Treasury. OMB and Treasury issued policy directions to help agencies meet their reporting requirements under the act. They also conducted a series of meetings with participating agencies to obtain information on any challenges that could impede effective implementation and assess agencies\u2019 readiness to report required spending data.", "Although the steps to developing comprehensive, detailed reporting on government-wide collections of fees, fines, and penalties might be similar to the DATA Act efforts, the dollar amounts of collections would be smaller than those of federal spending. In fiscal year 2017, federal spending was $3.98 trillion compared to about $350 billion in collections of fees, fines, penalties, and forfeitures reported by OMB. On the other hand, defining data elements and standards for fee, fine, and penalty data could be more resource intensive than developing data standards for DATA Act implementation because the DATA Act built on earlier reporting requirements. The DATA Act amended the Federal Funding Accountability and Transparency Act of 2006 (FFATA), which required OMB to establish the website USAspending.gov to report data on federal awards, including contracts, grants, and loans. The DATA Act required OMB and Treasury to standardize data required to be reported by FFATA. For fee, fine, and penalty data, OMB and Treasury would be starting without the benefit of some data elements already defined. Further, we have previously reported that effective implementation of provisions to make federal data publicly available, including the DATA Act and GPRAMA\u2019s program inventory, especially the ability to crosswalk spending data to individual programs, could provide vital information to assist federal decision makers in addressing significant challenges the government faces.", "Incorporating a small number of data elements that Congress identifies as most useful for oversight into ongoing government-wide agency reporting efforts could incrementally improve transparency and information for oversight and decision-making, with fewer resources. For example, Congress required agencies to add selected data elements to their annual financial reports on civil monetary penalties. Specifically, the Federal Civil Penalties Adjustment Act Improvements Act of 2015 requires agencies to include information about the civil monetary penalties within the agencies\u2019 jurisdiction, including catch-up inflation adjustment of the civil monetary penalty amounts, in annual agency financial reports or performance and accountability reports. As shown in figure 7, to facilitate agencies\u2019 reporting, OMB provided a table to define the data elements required in the act in its annual instructions, OMB Circular No. A-136, Financial Reporting Requirements.", "Agencies started reporting these data in their agency financial reports in fiscal year 2016. In July 2018, we reported that 40 of 45 required agencies reported in their fiscal year 2017 agency financial report information on civil monetary penalties as directed by the OMB instructions. Similarly, if Congress sought additional fine and penalty data elements, such as amounts collected and authority to spend collections, OMB could expand this table in Circular No. A-136 to include those data elements. Circular No. A-136 also outlines that agencies may include the results of biennial reviews of fees and other collections in their agency financial reports. OMB could also update this portion of the circular to require agencies to report specific data elements that are useful for oversight, such as review and reporting requirements. While this information reported in agency financial reports would be disaggregated in portable document format, or PDF, documents, it would provide some transparency on agencies\u2019 activities that Congress could use to prioritize its oversight efforts.", "In another example, if OMB implements the federal program inventory as required by GPRAMA, it could include a data element on whether a program has a fee, fine, or penalty. We previously reported that the principles and practices of information architecture\u2014a discipline focused on organizing and structuring information\u2014offer an approach for developing such an inventory to support a variety of uses, including increased transparency for federal programs. A program inventory creates the potential to aggregate, disaggregate, sort, and filter information across multiple program facets. For example, from a user\u2019s perspective, a program could be tagged to highlight whether it includes activities to collect fees, fines, or penalties. Then, a user interested in this data facet could select a tag (e.g., fees) that could generate a list of programs that also have fees, fines, or penalties. While the program inventory is broader than agency collections of fees, fines, and penalties and would include programmatic descriptions, it would increase transparency by enabling Congress and the public to identify and isolate all programs that include, as a source of funding or a key data element, a fee, fine, or penalty to inform oversight and target additional requests for information to agencies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Federal agencies are authorized to collect hundreds of billions of dollars from fees, fines, and penalties each year that fund a wide variety of programs, but Congress and the American public do not have government-wide data on these collections that would provide increased transparency and facilitate oversight. OMB\u2019s MAX database contains some disaggregated data labeled as fees, fines, and penalties, but OMB does not make these data publicly available. Without more disaggregated, government-wide, accessible data on collections of fees, fines, and penalties, such as by agency, Congress and the public do not have a complete and accurate picture of federal finances, the sources of federal funds, and the resources available to fund federal programs.", "In addition, improving the data OMB currently reports related to fees, fines, and penalties could help the user better understand the data and the potential limitations. First, until OMB describes how it identifies accounts with fees including that the government-wide totals of fees it reports in Analytical Perspectives may include collections that are not fees and exclude some fee collections, some users will likely be unaware that reported totals could be over- or under-estimates. Second, without OMB instruction to agencies to regularly review and update implementation of the criteria for designating accounts that contain fees, accounts could be designated incorrectly if the makeup of the collections changes. Therefore, OMB cannot provide reasonable assurance that the total amount of fees it reports is accurate. Third, until OMB describes in the User\u2019s Guide that its Public Budget Database reports budget authority net of offsetting collections, including collections of fees, fines, and penalties, users could misinterpret the information and underestimate collections in some cases.", "OMB and Treasury do not collect many of the data elements on fees, fines, and penalties that would be useful for congressional oversight, such as review and reporting requirements. There are trade-offs between the potential costs and the potential benefits. While reporting government- wide data on specific fees, fines, and penalties would improve transparency and information for decision-making, more data elements would require greater investment of resources from OMB, Treasury, and agencies. Any new reporting of fee, fine, and penalty data would be most useful if it is designed to be compatible with other transparency efforts\u2014 the DATA Act reporting and the federal program inventory. Regardless of the approach taken, linkage of data on fees, fines, and penalties with other government-wide data reporting, such as USASpending.gov, would enhance transparency and facilitate congressional oversight."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to OMB: The Director of OMB should make available more disaggregated data on fees, fines, and penalties that it maintains in its OMB MAX database. For example, OMB could report data on fee collections by agency in Analytical Perspectives. (Recommendation 1)", "The Director of OMB should present, in Analytical Perspectives, the data limitations related to the government-wide fee totals by describing the 50- percent criteria OMB uses to identify accounts with fees or by directing users to the relevant sections of OMB Circular No. A-11. (Recommendation 2)", "The Director of OMB should instruct agencies to regularly review the application of the user fee designation in the OMB MAX data and update the designation, as needed, to meet the criteria in OMB Circular No. A-11. (Recommendation 3)", "The Director of OMB should describe in the Public Budget Database User\u2019s Guide that budget authority is reported net of any offsetting collections, such as collections of fees, fines, and penalties. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Treasury and OMB for review and comment on December 10, 2018. Treasury informed us that they had no comments. As of March 4, 2019, OMB did not provide comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of the Treasury, and the Director of the Office of Management and Budget. In addition, the report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or nguyentt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report examines: (1) the extent to which government-wide data on collections of fees, fines, and penalties are publicly available and useful for the purpose of congressional oversight, and (2) the benefits and challenges to government-wide reporting of specific fees, fines, and penalties including data elements that facilitate congressional oversight.", "To assess the extent and usefulness of publicly available data, we developed criteria for the availability and usefulness for the purpose of congressional oversight of data on collections of fees, fines, and penalties reported in government-wide sources (see table 3).", "The first three criteria\u2014clear and accessible presentation, complete, and accurate\u2014address the availability of the data and the final criterion, useful for the purpose of congressional oversight, addresses content of the data specific to congressional oversight needs. These criteria are based on:", "Standards for Internal Control in the Federal Government related to", "Digital Accountability and Transparency Act of 2014 (DATA Act) government-wide instruction from the Office of Management and Budget (OMB) on public access to data and open government, our prior work on user fees, fines, and penalties, and input from staff of congressional committees on appropriations, budget, and oversight.", "Using a standard list of semistructured interview questions, we interviewed congressional staff that were available to meet with us on or before November 1, 2018. We shared the criteria with OMB staff and Department of the Treasury (Treasury) officials, and they agreed the criteria are relevant and reasonable.", "To identify publicly available government-wide sources of data with information on collections of fees, fines, and penalties, we reviewed our prior work on user fees, fines, penalties, and permanent funding authorities, conducted general background research including reviewing Congressional Budget Office (CBO) and Congressional Research Service (CRS) reports, and interviewed staff from OMB, and officials from Treasury, CBO, and CRS. We identified the Budget of the U.S. Government\u2014including Analytical Perspectives, the Budget Appendix, and the Public Budget Database\u2014produced annually by OMB; the Financial Report of the U.S. Government (Financial Report), the Daily Treasury Statement, the Monthly Treasury Statement, the Combined Statement of Receipts, Outlays, and Balances, and USAspending.gov produced by Treasury; and CBO products, such as its budget projections and historical budget tables as containing government-wide federal budget or financial data.", "Of the sources we identified, we included Analytical Perspectives, the Budget Appendix, the Public Budget Database, and the Combined Statement of Receipts, Outlays, and Balances in our study because they contain government-wide information on collections of fees, fines, and penalties. We excluded the Treasury\u2019s Daily Treasury Statement, Monthly Treasury Statement, Financial Report, and USAspending.gov from this review because we determined that the information presented did not differentiate between types of collections in a way that would allow us to separately identify fees, fines, and penalties. For example, Treasury\u2019s Financial Report reports government-wide information in categories that are broader than fees, fines, and penalties. Specifically, it reports \u201cearned revenue,\u201d which includes collections of interest payments for federal loan programs. Such collections are not fees. The Financial Report also reports fines and penalties combined with interest and other revenues. We also reviewed and excluded CBO products because the data reported are not designed to differentiate between types of collections.", "We assessed Analytical Perspectives, the Budget Appendix, the Public Budget Database, and the Combined Statement of Receipts, Outlays, and Balances using the criteria we developed for clear and accessible presentation, accurate, and complete. We also assessed the Budget Appendix, the Public Budget Database, and the Combined Statement of Receipts, Outlays, and Balances using the criteria for useful for the purpose of congressional oversight. Further, we assessed relevant portions of OMB and Treasury instructions using Standards for Internal Control in the Federal Government.", "We also used OMB and Treasury data to identify and report government- wide totals for fees, fines, and penalties to the extent that they were reported. To assess the reliability of OMB\u2019s MAX database data related to the collections of fees, fines, and penalties, we reviewed related documentation, interviewed knowledgeable agency officials, and conducted electronic data testing. To assess Treasury\u2019s Bureau of the Fiscal Service data related to the collections of fees, fines, and penalties, we reviewed related documentation and interviewed knowledgeable agency officials. In both cases, we found the data to be reliable for our purposes. We did not examine whether agencies accurately report collections as fees, fines, and penalties to OMB and Treasury.", "In addition, we identified and reviewed other sources of data on fees, fines, and penalties that are specific to federal agencies, including annual financial reports and agency websites. We did not apply the criteria we developed for available and useful for the purpose of congressional oversight to these sources because they contain data for an individual agency rather than government-wide data.", "To determine the benefits and challenges to government-wide reporting of fees, fines, and penalties, we interviewed staff of congressional committees on appropriations, budget, and oversight, OMB staff and Treasury officials, staff of CBO, and external organizations, including the Committee for a Responsible Federal Budget, the Data Coalition, the Data Foundation, the Project on Government Oversight, the Peter G. Peterson Foundation, and the Sunlight Foundation, on the potential benefits and challenges of government-wide reporting of fees, fines, and penalties. In addition, we reviewed our prior work on the DATA Act, federal program inventories, and federal fees, to identify and assess issues to consider in government-wide reporting.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan E. Murphy (Assistant Director), Barbara Lancaster (Analyst in Charge), Michael Bechetti, Jacqueline Chapin, Colleen Corcoran, Ann Marie Cortez, Lorraine Ettaro, John Mingus, and Rachel Stoiko made key contributions to this report."], "subsections": []}]}], "fastfact": ["Federal agencies collect hundreds of billions of dollars annually in fees, fines, and penalties, such as national park entry fees and penalties for violations of federal telemarketing law.", "Government-wide data could help Congress identify trends in collections and significant changes that could be an indication of an agency\u2019s performance. Currently, there is no comprehensive, government-wide report that identifies specific fees, fines, and penalties.", "We made 4 recommendations to enhance the Office of Management and Budget's current reporting on these collections, such as making more specific data publically available."]} {"id": "GAO-18-20", "url": "https://www.gao.gov/products/GAO-18-20", "title": "Identity Theft: Improved Collaboration Could Increase Success of IRS Initiatives to Prevent Refund Fraud", "published_date": "2017-11-28T00:00:00", "released_date": "2017-11-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IRS estimates that fraudsters attempted at least $14.5 billion in IDT tax refund fraud in tax year 2015. Since 2015, GAO's High-Risk List has included IRS's efforts to address IDT refund fraud. Starting with its March 2015 Security Summit, IRS has partnered with state tax administrators and tax preparation companies, among others, on initiatives aimed at better preventing and detecting IDT refund fraud.", "GAO was asked to examine IRS's efforts to collaborate with these partners. This report, among other things, (1) describes actions taken to implement the ISAC and RRT, (2) evaluates the extent to which the ISAC pilot aligns with leading practices for pilot design, and (3) identifies actions, if any, that IRS could take to improve the ISAC pilot.", "GAO reviewed planning and other documents on the initiatives. It interviewed IRS and state officials and industry and trade organization representatives, among others involved in the ISAC and RRT. GAO also conducted four non-generalizable focus groups with state and industry partners."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) launched an Identity Theft Tax Refund Fraud Information Sharing and Analysis Center (ISAC) pilot for the 2017 filing season. It aims to allow IRS, states, and tax preparation industry partners to quickly share information on identity theft (IDT) refund fraud. The ISAC pilot includes two components: an online platform run by IRS to communicate data on suspected fraud, and an ISAC Partnership, a collaborative organization comprised of IRS, states, and industry, which is intended to be the governance structure. As of November 2017, the ISAC had 48 members: 31 states (including full members and those receiving alerts only), 14 tax preparation companies, and 3 financial institutions. In addition, IRS is using a Rapid Response Team (RRT) in partnership with states and industry members to coordinate responses to IDT refund fraud incidents that pose a significant threat within 24 to 72 hours of being discovered. IRS deployed the RRT for six incidents in 2016 and once in 2017.", "GAO found that the ISAC pilot aligns with key aspects of all five leading practices for effective pilot design GAO previously identified, but none fully. For example, IRS has worked to incorporate stakeholder input, but its message about the ISAC's benefits has not fully reached states. Further, IRS does not have criteria for assessing whether the pilot's objectives have been met. Without this assessment and better alignment with leading practices, IRS, its partners, and Congress will have difficulty determining the effectiveness of the pilot and whether to implement it more broadly.", "IRS has taken actions to improve the ISAC pilot, but the ISAC Partnership does not have an outreach plan. While the ISAC Senior Executive Board limited industry participation to partners who participated in its Security Summit, the ISAC has obtained support from trade organizations. However, officials from almost all states represented in our focus groups noted that they either had not used, or were unfamiliar with, the ISAC-specific resources. While the ISAC Board has taken steps to engage stakeholders, the ISAC Partnership does not have an outreach plan to increase membership and improve states' and industry partners' understanding of the ISAC's benefits. Without such a plan, less effective collaboration is likely among stakeholders and opportunities to prevent IDT refund fraud may be missed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends IRS ensure (1) the ISAC better aligns with leading practices for effective pilot design, and (2) the ISAC Partnership develops an outreach plan to expand membership and improve understanding of the ISAC's benefits. IRS and the ISAC Board state and industry co-chairs agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Identity theft (IDT) tax refund fraud is an evolving and costly problem that causes hardship for legitimate taxpayers who are victims of the crime and demands an increasing amount of the Internal Revenue Service\u2019s (IRS) resources. IDT refund fraud occurs when a refund-seeking fraudster obtains an individual\u2019s Social Security number, date of birth, or other personally identifiable information (PII), and uses it to file a fraudulent tax return seeking a refund. This crime burdens honest taxpayers because authenticating their identities is likely to delay the processing of their returns and refunds. IRS estimates that at least $14.5 billion in IDT tax refund fraud was attempted in tax year 2015, of which it prevented at least $12.3 billion (85 percent). Of the amount attempted, IRS estimated it paid at least $2.2 billion (15 percent).", "Given current and emerging risks, in 2015 we added IRS\u2019s efforts to address IDT refund fraud to our high-risk area for enforcement of tax laws. This is part of our broader body of work on IDT refund fraud since 2014. We previously reported that IRS had undertaken substantial research efforts to combat this problem, such as estimating the cost of IDT refund fraud. The efforts also include examining the size of the problem and evaluating whether IRS\u2019s methods for authenticating taxpayers provide reasonable assurance that the authentication determination is accurate. Our work and associated recommendations have helped IRS continue to adapt as it confronts new and evolving schemes.", "To further address IDT refund fraud, IRS held a Security Summit in March 2015, with representatives such as state tax administrators and industry partners, including tax preparation and software firms and financial institutions. Following the Summit, seven working groups were created to combat IDT refund fraud in different ways. These working groups\u2014 composed of Security Summit partners\u2014have collaborated on various initiatives aimed at better detecting and preventing IDT refund fraud.", "You asked us to examine IRS\u2019s efforts to collaborate with state and industry partners to combat IDT refund fraud. This report (1) describes actions Security Summit partners are taking to implement two initiatives, an Information Sharing and Analysis Center (ISAC) and a Rapid Response Team (RRT); (2) evaluates the extent to which the ISAC pilot aligns with leading practices for pilot design; and (3) identifies actions, if any, that IRS could take to improve the ISAC pilot.", "We selected the ISAC and RRT from among those initiatives identified in the June 2016 IRS Commissioner\u2019s Security Summit Update Report as the focus of our review because of their importance, the potential for a major effect on IDT refund fraud, and the timeline for planned actions.", "To address each objective, we reviewed documents from IRS, the ISAC Senior Executive Board (Board), the ISAC working group, and the Information Sharing working group. These documents included meeting minutes, planning documents, the biweekly ISAC dashboard, and weekly ISAC updates from IRS\u2019s contractor. We observed a training session IRS\u2019s contractor conducted for new ISAC members, and we received a demonstration from the contractor of the ISAC online platform capabilities. In addition, we conducted semistructured interviews with IRS, state, and industry co-leads of the ISAC and Information Sharing working groups; ISAC Board co-chairs; the outreach and metrics ISAC Board subgroups; and trade organizations including the Federation of Tax Administrators and American Coalition of Taxpayer Rights.", "To further address all objectives, we conducted four focus groups in March and April 2017\u2014two sessions with states and two sessions with industry partners. We randomly selected states from among those with an official who participated in the ISAC or Information Sharing working groups and from among those that had not been involved in either working group. We selected industry partners from among those involved in those working groups. We excluded from our sample states or industry partners with whom we previously conducted\u2014or planned to conduct\u2014a separate semistructured interview. We asked similar questions of each focus group with some variation between state and industry groups. We transcribed the focus group sessions and analyzed the data to identify common themes and patterns. We used these sessions to provide illustrative examples of state and industry perceptions of the accomplishments of, and challenges to implementing, the ISAC and RRT.", "The responses are non-generalizable and do not reflect opinions of all states or industry partners.", "To evaluate the extent to which the ISAC aligns with the five leading practices for pilot design, we reviewed our prior work and compared IRS actions against these practices and criteria. Our April 2016 report describes the criteria we developed for evaluating pilot design and the methodology we used to do so. Further, we compared IRS actions to the internal control standard for having a plan to meet its objective. See appendix I for additional details on the objectives, scope, and methodology.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Viewed broadly, IDT refund fraud is comprised of two crimes: (1) stealing or compromising PII and (2) using stolen (or otherwise compromised) PII to file a fraudulent tax return and collect a fraudulent refund. Figure 1 presents an example of how fraudsters may use stolen PII and other information, real or fictitious (e.g., sources and amounts of income), to complete and file a fraudulent tax return and receive a refund. In this example, a taxpayer may alert IRS of IDT refund fraud. Alternatively, IRS can detect IDT refund fraud through its automated filters that search for specific characteristics as well as through other reviews of taxpayer returns."], "subsections": [{"section_title": "Information Sharing and Analysis Centers", "paragraphs": ["In May 1998, Presidential Decision Directive 63 introduced and promulgated the concept of ISACs, which help critical infrastructure owners and operators protect facilities, personnel, and customers from cyber and physical security threats and other hazards. ISACs typically collect, analyze, and disseminate actionable threat information to their members and provide members with tools to mitigate risks and enhance resiliency. ISACs have been used in other sectors such as energy, financial services, and surface transportation to facilitate coordination between public and private entities. We have reported that ISACs have developed diverse management structures and operations to meet the requirements of their respective critical infrastructure sectors. Likewise, we also have assessed federal support to fusion centers, information sharing platforms between the government and the private sector that prevent and respond to criminal and terrorist activity.", "ISAC characteristics differ across various sectors; however, we have reported common challenges\u2014including information sharing\u2014that need to be addressed for an ISAC to be successful. Barriers to information sharing may stem from practical considerations because the benefits of sharing information are often difficult to discern, while the risks and costs of sharing are direct and foreseeable. As a result, we have noted that it is important to lower the practical risks of sharing information through both technical means and policies, and to develop internal systems that are capable of supporting operational requirements without interfering with core operations.", "IRS\u2019s Information Sharing and Analysis Center Mission The mission is to provide a secure platform via a sustainable public/private partnership to facilitate information sharing, consistent with applicable law, and analytics necessary to detect, prevent, and deter activities related to stolen identity refund fraud.", "IRS\u2019s ISAC\u2014the Identity Theft Tax Refund Fraud-Information Sharing and Analysis Center\u2014 is intended to improve collaboration and information sharing among IRS, states, and industry partners and began as a pilot in January 2017. (See sidebar.) Two entities operate under the ISAC umbrella. One entity is the ISAC Partnership, a collaborative organization run jointly by IRS, states, and industry partners. The other entity is the ISAC online platform, which is controlled by IRS and includes an early warning alarm system that allows states and industry partners to share information related to IDT refund fraud and schemes more quickly to better defend against fraud."], "subsections": []}, {"section_title": "Additional Information Sharing Efforts", "paragraphs": ["Outside of the ISAC, four other efforts have supported information sharing about potential IDT refund fraud for years.", "Suspicious Filer Exchange: The Federation of Tax Administrators (FTA) operates an online platform for states to share information\u2014 including record-level data\u2014among themselves about suspected fraud.", "Industry Leads Program: This IRS-operated program requires tax preparation companies to perform post-filing analysis and provide, on a recurring and timely basis, information to IRS on IDT refund fraud patterns and indices as a condition of electronically filing returns. IRS then provides this information to states, which are to use the information to bolster their fraud detection and prevention efforts.", "External Leads Program: This IRS-operated program involves third parties such as banks or other financial institutions providing information to IRS about questionable refunds. If the questionable refund is confirmed as fraudulent, IRS requests that the financial institution return the refund.", "Opt-In Program: IRS operates this program that allows financial institutions to electronically reject suspicious refunds and return them to IRS and indicate why the institution is rejecting the refunds."], "subsections": []}, {"section_title": "Rapid Response Team", "paragraphs": ["The RRT, which began in the 2016 filing season, coordinates responses to IDT refund fraud incidents that IRS, states, or industry partners believe pose a significant and immediate threat to taxpayers or the tax system. The Information Sharing work group is responsible for managing the RRT and is led by one representative each from IRS, states, and industry. The main component of the RRT process is a call among relevant IRS, state, and industry partners to coordinate a response to the incident. IRS\u2019s goal is to convene the call within 24 to 72 hours after an incident is discovered. The RRT process describes the next steps for the first 3 days after an incident is identified.", "The RRT process differs depending on whether the incident is reported by IRS, a state, or an industry partner, based on the laws governing information sharing discussed later in this report. For example, if a state identifies an incident, the RRT process indicates that the state should share that information\u2014including Social Security numbers as appropriate\u2014with IRS and other states on the next business day and with industry in the next 2 to 3 days. If IRS or an industry partner identifies an incident, the RRT process indicates that IRS or the industry partner should share relevant information in the next 2 to 3 days.", "In the 2016 filing season, the RRT was deployed for six incidents. For example, as we reported in January 2017, IRS announced in February 2016 that cybercriminals had stolen more than 100,000 e-file Personal Identification Numbers (PIN) from an online tool. Stolen e-file PINs could be used to file fraudulent federal tax returns."], "subsections": []}]}, {"section_title": "IRS Has Taken Significant Actions to Facilitate Information Sharing through the ISAC and RRT", "paragraphs": ["IRS implemented the ISAC in 2017 to facilitate information sharing among IRS, state, and industry partners\u2014subject to disclosure prohibitions\u2014by launching an online platform, establishing a governance structure, and recruiting members. IRS and state officials and industry representatives attributed increased trust and improved relationships to IRS\u2019s efforts in recent years. Additionally, IRS coordinated with state and industry partners to establish the RRT in 2016, which has been initiated once thus far in 2017."], "subsections": [{"section_title": "IRS Actions to Implement the ISAC Include Launching the Online Platform and Recruiting Members", "paragraphs": ["The ISAC online platform provides two capabilities\u2014alerts and record- level data\u2014which facilitate information sharing.", "Alerts: This capability consists of alerts on potential IDT refund fraud that have been identified by IRS, states, or an industry partner and shared on the ISAC online platform. Alerts are available to all states and Security Summit partners who sign a terms of use agreement. Alerts include detailed information about identified schemes, indicators of suspicious activity, and types of accounts targeted, among other things. Alerts may also include anecdotal evidence from ISAC members who have already been targeted by this scheme.", "Record-level data and analysis: This capability consists of several tools to facilitate IDT refund fraud prevention and detection, including a secure data transfer tool that members can use to input IDT refund fraud data and record-level data. Record-level data may include PII or other details about suspected fraud. States and industry partners share record-level data with the ISAC. However, according to IRS officials, IRS does not due to legal restrictions. This part of the ISAC also contains, among other things, analytic reports which identify, for example, Internet Protocol (IP) addresses associated with potential fraud. This space is only accessible to full ISAC members.", "Information that is shared and available to be reviewed by various ISAC stakeholders is controlled by disclosure laws within the Internal Revenue Code. According to IRS officials, IRS does not contribute Federal Tax Information to the ISAC because those data are protected from disclosure under section 6103 of the Internal Revenue Code, which generally prohibits IRS from disclosing tax returns or return information. Similarly, IRS does not control or have ownership of any record-level data on the ISAC. Instead, IRS receives record-level data directly from states and industry partners through other channels such as the External Leads Program. IRS can, however, still contribute alerts that do not include record-level data.", "Moreover, unless exempted, section 7216 of the Internal Revenue Code prohibits disclosure or use of taxpayer information by preparers of returns and imposes criminal penalties on knowing or reckless disclosure. Disclosure of information from one preparer to another preparer or disclosure to federal, state, or local officials to inform them of activities that may constitute a crime is permitted by Department of the Treasury (Treasury) regulation. As seen in figure 2, tax preparation companies\u2014 covered under section 7216 and referred to as industry 7216\u2014have full access to all of the information provided to the ISAC. However, financial institutions\u2014not covered under section 7216 and referred to as industry non-7216\u2014are not able to view record-level data submitted by, or comingled with data from, tax preparation companies. Three of the 17 industry members of the ISAC are financial institutions\u2014non-7216 entities\u2014and therefore have this more limited view.", "IRS contracted with a company to facilitate information sharing among partners. The contractor developed and manages the online platform and also analyzes data on IDT fraud, which it makes available to IRS\u2019s ISAC members. In addition, IRS developed a governance structure for the ISAC. Figure 3 shows these and other key events.", "Three of IRS\u2019s goals for the ISAC when it launched in 2017 were to (1) launch the online platform, (2) establish the governance structure, and (3) recruit new members.", "In terms of its first goal, as noted, the online platform became operational January 23, 2017. IRS\u2019s contractor provided ISAC members with training on how to use the online platform and how to use the data visualization tools. (See figure 4.) The data visualization tools include charts and figures with data on trends in refund fraud. The tools are available to members of the ISAC with the exception of financial institutions that cannot view data visualization tools compiled with tax preparation company data (as noted in figure 2 earlier).", "The ISAC also established a community of practice (COP) that brings together fraud analysts from IRS, states, and industry partners to share leading practices. The intent is to encourage dialogue among staff involved in implementing fraud prevention strategies. In our focus groups, an industry official said that the COP has been a positive experience for industry, but most state officials said they were not familiar with the COP.", "In terms of establishing a governance structure, the ISAC Partnership is governed by the ISAC Senior Executive Board (Board) that consists of 15 members, with 5 representatives each from IRS, states, and industry. The Board is principally responsible for crafting mission or vision statements for the ISAC Partnership, recommending ISAC operating procedures,; and nominating new ISAC Platform participants and recommending the removal of such participants, among other responsibilities. An IRS executive official must approve any recommendation by the Board that affects the online platform. The partnership also includes three subgroups: metrics, outreach, and governance.", "IRS also made progress on its goal of recruiting new participants. As of November 2017, the ISAC had 24 full state members, 7 alerts-only state members, 14 tax preparation company members, and 3 financial institution members. An additional 7 states have membership pending. In total, 38 states are members (either full members or those receiving only alerts) or have membership pending. Goals moving into the 2018 filing season include increasing the participation of current members, exploring additional analytical capabilities, and establishing and refining performance metrics."], "subsections": []}, {"section_title": "Partners Attributed Improved Collaboration to the Security Summit and ISAC", "paragraphs": ["In our focus groups, industry representatives said that they see ISAC collaboration as critical to managing IDT threats. The ISAC is intended to go beyond other efforts, most notably in that it brings IRS, states, and industry together in equal partnership and allows for communication among all stakeholders. IRS reports over 1.8 million leads submitted to the ISAC from 14 partners. However, the number of leads does not reflect their quality. Industry representatives we spoke with in our focus groups said that they would like feedback from IRS on the usefulness of industry leads so that they can adjust their fraud filters and provide more accurate leads.", "These comments about the usefulness and quality of industry leads are consistent with what our prior work has found on the value of external leads. Specifically, in 2014, we recommended that IRS take the following actions on its External Leads Program: 1. provide aggregated information on both the success of external leads in identifying suspicious returns, and also emerging trends (pursuant to section 6103 restrictions), and 2. develop a set of metrics to track external leads by the submitting third party.", "IRS has taken steps to address these recommendations, including developing timeliness metrics for managing leads and holding six feedback sessions with financial institutions participating in the External Leads Program. As of November 2017, we are following up with industry members to determine if they consider the feedback accurate, timely, and actionable. Without such feedback, the more than 600 external parties participating in the External Leads Program do not know if the leads they provide to IRS are useful and they may not be able to assess their success in identifying IDT refund fraud or improve their detection tools.", "In the focus groups, both state officials and industry representatives said the relationship among IRS, states, and industry has improved as a result of increased collaboration over the last several years. As of November 2017, the ISAC had 48 members. Further, IRS officials said they think trust and the relationship between all parties has and is continuing to improve. Likewise, in the focus groups, industry officials cited benefits of improved coordination from the Security Summit. For example, one industry representative cited IRS\u2019s pushing out communications faster because of the Security Summit, while another noted that participation in the summit has made IRS officials more accessible.", "However, in focus groups, a few state officials noted that because IRS is compartmentalized, they have found their interactions with IRS to be inconsistent. For example, these state officials reported some IRS units are more responsive than others and that information sometimes is not shared among IRS units."], "subsections": []}, {"section_title": "IRS Established the RRT in 2016 and Initiated the RRT Process Once in the 2017 Filing Season", "paragraphs": ["As part of establishing the RRT, IRS outlined the responsibilities of IRS, states, and industry to respond to significant IDT refund fraud incidents. As noted earlier in this report, the RRT was activated six times in 2016. IRS initiated the RRT once in the 2017 filing season for a data breach related to the Department of Education.", "In March 2017, IRS and the Department of Education responded to security concerns and removed access on https://www.fafsa.gov and https://www.StudentLoans.gov to IRS\u2019s Data Retrieval Tool\u2014the online process through which student financial aid applicants obtain their family\u2019s tax information. IRS suspects that fraudsters used personal information obtained elsewhere to access the Data Retrieval Tool in an attempt to access tax information, particularly adjusted gross income.", "As of April 6, 2017, IRS reported that fewer than 8,000 fraudulent returns from this incident had been filed, processed, and issued refunds, but IRS estimated that about 100,000 taxpayers may have been affected. The Data Retrieval Tool was taken offline while IRS and the Department of Education made updates and will not be available for completing applications for the current school year (2017-2018). As of November 2017, taxpayers could use the Data Retrieval Tool for completing financial aid applications for the next school year (2018-2019). While IRS initiated the RRT for this incident, an industry official said that the information provided in the press release was more detailed than what was previously provided to industry partners via the RRT.", "The RRT is administered separately from the ISAC. According to IRS officials, they intend to eventually integrate components of the RRT into the ISAC to further streamline information sharing. Specifically, IRS envisions the ISAC serving as the primary mechanism for states and industry partners to report and escalate IDT refund fraud incidents by facilitating communication among participants. IRS does not have a timeline for this integration."], "subsections": []}]}, {"section_title": "The ISAC Pilot Partially Aligns with Leading Practices for Pilot Design, but IRS Does Not Have a Plan to Improve Alignment", "paragraphs": ["In 2016, we identified five leading practices for designing a well- developed and documented pilot program: (1): ensuring stakeholder communication, (2) establishing objectives, (3) ensuring scalability, (4) having an assessment methodology, and (5) developing a data-analysis plan. These practices enhance the quality, credibility, and usefulness of evaluations and help ensure that time and resources are used effectively. Each leading practice shares common elements but serves a unique purpose and builds on the other. For example, four of the five leading practices recommend either establishing criteria for assessing whether the pilot\u2019s objectives have been met or developing a data plan necessary for effectively evaluating the pilot.", "While the ISAC pilot is in nascent stages, IRS has taken steps that partially align with key aspects of all five leading practices. (See figure 5.)", "Ensure appropriate two-way stakeholder communication: In 2016, we reported that it is critical that agencies identify who the relevant stakeholders are and communicate early and often to address their concerns and convey the initiative\u2019s overarching benefits.", "IRS\u2019s efforts mostly aligned with this practice because IRS included stakeholder input during the design, implementation, and preliminary stages of the data-gathering and assessment phases of the pilot. IRS, through the ISAC working group and the Board, communicated with stakeholders before, during, and after forming the ISAC. Such communication helped ensure that stakeholders were engaged and that their views were understood and incorporated. For example, in 2016, IRS\u2019s contractor conducted a preliminary assessment and interviews to compile and present stakeholder views and aspirations for the ISAC. This process included meeting with state officials and industry partners about ISAC preferences, suggestions, concerns, and risks. According to the IRS ISAC Executive Official, ahead of the ISAC launch, IRS established several mechanisms to ensure ongoing stakeholder input, including coordinating with both state and industry trade organizations, including the FTA and the American Coalition of Taxpayer Rights, to gain their endorsement.", "IRS and its contractor also solicited feedback at conferences, such as FTA\u2019s annual conferences. During a 3-day fraud simulation exercise hosted by IRS\u2019s contractor, participants discussed partner actions, needs, and processes to inform the ISAC\u2019s development. Additionally, IRS conducted a stakeholder analysis which documented stakeholders\u2019 engagement in the ISAC Partnership. This is intended to inform the development of the ISAC communications plan. Finally, the ISAC\u2019s Partnership governance structure, which includes representatives from states and industry, helps facilitate communication among stakeholders.", "Despite these efforts, IRS\u2019s message about the ISAC\u2019s benefits has not fully reached states. In our focus groups, a few state officials reported they are unclear about the benefit of the ISAC. To help improve communication, the Board invited relevant trade organizations to participate in its July Board meetings. IRS officials reported that the message about the benefits of the ISAC may not have initially reached states because it took time to build trust among state and industry partners. FTA confirmed that states may not have understood the benefits of working with IRS and industry partners and were wary of joining the ISAC. Further, IRS officials said that some trade organizations that endorsed the ISAC had differing views about the organization of the ISAC\u2014such as who should be invited to participate\u2014which made it challenging for IRS to effectively garner support. A few states reported in our focus groups that FTA\u2019s endorsement was important to their decision to join the ISAC. Until IRS further communicates the ISAC\u2019s benefit to current and potential stakeholders, IRS and the ISAC Board may face challenges in reaching their goal of increasing robust participation in the ISAC. We discuss how IRS can improve its outreach to state and industry partners later in this report.", "Establish well-defined, appropriate, clear, and measureable objectives: In our 2016 report, we found that well-formulated objectives help ensure that appropriate evaluation data can be collected from the outset of the pilot so that data are available for measuring performance against clear goals and standards. Broad objectives should be translated into specific researchable questions that articulate what will be assessed. Additionally, we have reported that agencies should establish measurable goals for determining when the pilot progresses from one stage to the next to improve their ability to evaluate the success of the pilot.", "IRS\u2019s efforts mostly aligned with this leading practice. For example the ISAC\u2019s charter sets forth objectives, which include (1) exchanging information among participants, (2) providing a forum for real-time responses to fraud schemes, and (3) promoting strategies to detect and prevent fraud. In February 2017, the Board established the metrics subgroup to assess the performance of the ISAC and develop metrics. The Board noted that metrics are essential for showing the value added by the ISAC compared to other efforts. The ISAC Roadmap, a planning document that outlines three developmental phases over 4 years, shows that IRS and the Board have considered an implementation plan, as well as how the online platform might evolve in the areas of program operations, infrastructure, analytics, and partner engagement. Additionally, IRS\u2019s contractor anticipated and developed risk mitigation strategies to handle scenarios that might arise before, during, and after the ISAC\u2019s launch and interfere with reaching the pilot\u2019s objectives. Finally, ahead of ISAC\u2019s launch, the contractor refined key operational attributes to help define ISAC\u2019s full desired capabilities.", "However, IRS has not translated its objectives into specific, researchable questions that articulate what will be assessed. For example, one of the ISAC\u2019s objectives is to facilitate the exchange of information among members. While IRS closely monitors members\u2019 use of the ISAC, IRS does not have performance goals, such as desired participation levels, or a plan to assess progress towards those goals, such as members\u2019 usage of ISAC data and tools. These are needed to ensure that appropriate evaluation data are collected during the pilot. Furthermore, IRS does not have measurable goals to determine when the pilot should progress to full implementation.", "In the early stages of a new program or initiative within a program, evaluation questions tend to focus on program process\u2014on how well authorized activities are carried out and reach intended recipients. We have previously reported that common evaluation questions include the following: Is the program being delivered as intended to the targeted recipients?", "Have any feasibility or management problems emerged?", "What progress has been made in implementing changes or new provisions?", "According to IRS officials, the ISAC pilot is still in early stages; they did not know what to expect the first year but knew they wanted to focus on building trust and, therefore, did not set goals for participation. However, we have previously reported that without well-defined, appropriate, clear, and measurable objectives, it will be difficult to ensure appropriate evaluation data are collected and available to measure performance against the objectives and goals. In short, it will be difficult for IRS to know whether it achieved its objectives. Without knowing this, IRS will have difficulty justifying investing additional resources.", "Ensure scalability of pilot design: The purpose of a pilot is generally to inform a decision on whether and how to implement a new approach in a broader context. Identifying criteria or standards for identifying lessons about the pilot will help inform an agency\u2019s decisions about scalability and when to integrate pilot activities into overall efforts. We previously reported that the criteria and standards should be observable and measureable events, actions, or characteristics that provide evidence that the pilot objectives have been met.", "IRS\u2019s efforts in designing the ISAC partially aligned with this leading practice. First, IRS identified and integrated lessons learned into its pilot. For example, ahead of ISAC\u2019s launch, IRS\u2019s contractor identified potential capabilities of the ISAC based on lessons learned from four ISACs from other industries and a 2-day collaborative session in summer 2015. In February 2017, 1 month after the ISAC\u2019s launch, the Board established the metrics subgroup to develop evaluation criteria to determine the extent to which the pilot objectives have been met. According to ISAC Board officials, the metrics subgroup is developing and testing metrics that the ISAC Board expects to use beginning in the 2018 filing season. The metrics are designed to measure participation in the ISAC, contribution of data or information to the ISAC, and the effectiveness of the data or information provided.", "IRS also took steps to improve the ISAC pilot design, which will help it scale the pilot in the future. For example, in May 2017, IRS\u2019s contractor presented lessons learned from the 2017 filing season, including what was accomplished, what should be changed in future filing seasons, and areas for future attention to consider how well the lessons learned can be applied when the pilot is scaled up. The contractor\u2019s presentation also outlined recommendations from a May 2017 independent assessment of the ISAC, including the current status of each recommendation and actions needed to implement them. In addition, during the July 2017 ISAC Board meeting, IRS\u2019s contractor discussed lessons learned, and the IRS ISAC Executive Official discussed takeaways thus far from standing up the ISAC. Finally, IRS took steps to establish criteria for assessing the pilot\u2019s performance, but these steps are primarily related to participation, access, and data contribution requirements.", "IRS does not have criteria that would inform decisions about the ISAC\u2019s scalability, including when it is appropriate to include more state and industry members, how to identify additional members, or how to expand the functionalities of the online platform. For example, IRS has yet to articulate the criteria to determine the appropriate time frame for the ISAC to remain in the pilot stage and does not have a plan to decide how and when the ISAC will move from the pilot stage into full implementation. However, IRS officials have said that the ISAC will likely continue in pilot phase through the 2018 filing season.", "According to IRS officials, IRS had prioritized other activities and is now turning its attention to plans for scaling the pilot. Without measurable evaluation criteria that provide evidence that the ISAC pilot objectives have been met, the Board will have difficulty assessing the ISAC\u2019s performance and making decisions about scalability.", "Clearly articulate an assessment methodology: In 2016, we reported that key features of an assessment methodology include a strategy for comparing the pilot\u2019s implementation and results with other efforts; a clear plan that details the type and source of the data necessary to evaluate the pilot; and methods for data collection, including the timing and frequency.", "While IRS\u2019s efforts minimally aligned with this leading practice, it has taken some steps to clearly articulate its assessment methodology. For example, according to the IRS ISAC Executive Official, IRS plans to evaluate the extent to which the revenue protected by the ISAC pilot compares to existing fraud detection and prevention efforts, including the External Leads Program. To help accomplish this, IRS took preliminary steps to collect and track metrics related to ISAC\u2019s performance and compare ISAC\u2019s efforts against other mechanisms to combat fraud. For example, IRS\u2019s contractor collects and disseminates program metrics and ISAC analytics weekly, including the total number of members, leads, alerts, and Internet Protocol (IP) addresses. This is intended to help assess progress in expanding the ISAC and identifying fraud. In addition, the metrics subgroup started comparing ISAC leads against information collected from the states as part of its effort to assess ISAC data quality.", "However, IRS has not completed an assessment methodology and data gathering strategy that outlines the type and source of data necessary to evaluate the pilot to assess the progress in achieving each of the ISAC\u2019s objectives, including whether the ISAC successfully facilitates the exchange of information and helps detect and prevent fraud. IRS also does not have a strategy for comparing the pilot\u2019s implementation and results with other efforts. For example, while IRS officials expect to determine federal revenue protected by the ISAC and compare that to other efforts, IRS has not formalized this plan and IRS officials do not expect to start until at least October 2017, when the needed data become available. Additionally, according to IRS\u2019s ISAC Executive Official, state and industry partners\u2014who are important stakeholders in the ISAC\u2014may not be able to track dollars protected through the ISAC. As a result, IRS may only know the federal dollars protected, while the amount protected at the state level may remain unknown. This makes it more difficult to communicate the potential benefits to states. Furthermore, the ISAC could be collecting additional data to better meet its objectives. While quantifying federal dollars protected is a key indicator of the ISAC\u2019s success, that metric alone will not demonstrate the ISAC\u2019s benefit and effectiveness.", "Without a documented strategy to compare the ISAC pilot to other efforts and a methodology that details the type and source of data necessary to evaluate the pilot\u2014beyond the federal dollars protected by the ISAC that would otherwise have been undetected\u2014IRS may find it difficult to assess the effectiveness of the pilot, identify areas for improvement, and demonstrate its capabilities compared with other efforts.", "Develop a data-analysis plan: In conjunction with a clearly articulated assessment methodology, a detailed data-analysis plan identifies who will analyze the data as well as when and how data will be analyzed to assess the pilot\u2019s performance and draw conclusions about how to improve procedures moving forward. As we previously reported, the results will show the successes and challenges of the pilot, and in turn, how the pilot can be incorporated into broader efforts.", "While IRS\u2019s efforts minimally aligned with this leading practice, it has taken some steps to measure performance at the activity level. For example, IRS worked with its contractor to regularly track and report engagement metrics; user statistics; and analytics on alerts, leads, and device IP addresses, which at times are categorized and aggregated. (See figure 4 earlier in this report for an example of the ISAC data visualization tool with illustrative data.) IRS\u2019s contractor also surveyed ISAC members to better gauge user experience with alerts and what participants found to be most valuable on the online platform. In response to other recommendations to develop metrics for measuring ISAC\u2019s performance and success, the contractor\u2019s May 2017 ISAC evaluation outlined actions, including beginning to track recommended metrics and exploring means of quantifying the benefit.", "However, IRS has not formalized the plan to determine the amount of revenue protected nor has it developed a detailed data-analysis plan to determine how the ISAC pilot\u2019s performance will be tracked. The ISAC\u2019s metrics subgroup reported that it is working to develop preliminary performance metrics to benchmark the ISAC pilot\u2019s progress. It acknowledged that metrics and a detailed analysis plan are essential to demonstrate the ISAC\u2019s benefit. The subgroup reported it is in the process of developing them. Without a detailed data analysis and evaluation plan that identifies data sources and criteria, IRS cannot fully determine or demonstrate the pilot\u2019s performance and challenges. As a result, IRS, its partners, and Congress will have difficulty determining the ISAC\u2019s effectiveness and whether IRS should expand the pilot.", "IRS officials said they are still learning about the five leading practices for pilot design, and as noted, the ISAC at least partially aligns with each one. According to internal control standards in the federal government, an agency should formulate plans to achieve its objectives in order to meet them. Without such a plan to inform decisions about the ISAC\u2019s benefits and performance, IRS, its partners, and Congress will have difficulty determining the effectiveness of the pilot and whether to proceed with full implementation."], "subsections": []}, {"section_title": "The ISAC Board Should Develop an Outreach Plan to Improve the Pilot", "paragraphs": ["IRS took actions to improve the ISAC pilot, including waiving the requirement for states to contribute data. However, IRS does not have an outreach plan to increase membership or inform states about the ISAC\u2019s benefits."], "subsections": [{"section_title": "IRS Waived the Data Contribution Requirement for 2017 and Improved Collaboration with Endorsing Organizations", "paragraphs": ["IRS officials determined that requiring participating states to contribute data on suspected fraud may be a potential barrier and limit participation in the ISAC. Therefore, IRS waived the data contribution requirement for the first year and one state subsequently contributed data to the ISAC in the 2017 filing season. However, as of October 2017, 5 states had contributed data and 8 states had submitted 29 alerts. In our focus groups, officials from a few states reported they were concerned about the data contribution requirement and were unsure if they had the resources to contribute such data and did not fully understand the terms of the data contribution requirement. IRS officials attribute the low data contribution this year to it taking time to build trust among partners. The ISAC Board sought to reframe the discussion about data contribution and, in July 2017, changed the language to describe data contribution as a data/information opportunity.", "Endorsing organizations are another potential tool to increase participation in the ISAC. Five trade organizations\u2014American Coalition of Taxpayer Rights, Council for Electronic Revenue Communication Advancement, Computer and Communications Industry Association, the Free File Alliance, and FTA\u2014are supporting the ISAC Partnership as endorsing organizations. According to IRS, endorsing organizations provide additional support for the ISAC concept and are uniquely positioned to serve as links between the ISAC and the sectors they represent. While they are not ISAC members and therefore cannot access the online platform, their role is important to build connections between stakeholders. However, according to FTA officials, IRS did not effectively leverage FTA to communicate the benefits to states during the first year of the pilot, but IRS and the ISAC Board have since taken important steps to improve collaboration.", "FTA endorsed the ISAC in February 2017 and, in our focus groups, both state and industry officials said the endorsement was important for securing more widespread state participation. According to FTA, IRS did not incorporate its feedback about the probable response from states to the ISAC, which FTA officials believe may have resulted in a lower-than- expected rate of participation by states in the early months of the ISAC. According to IRS officials, IRS attempted to work with endorsing organizations while standing up the ISAC online platform and received comments from FTA and an industry trade organization that reflected different interests and priorities. According to IRS officials, IRS attempted to find a middle ground. More recently, the Board attempted to better engage endorsing organizations by including them in a July 2017 meeting about planning the next steps for the ISAC."], "subsections": []}, {"section_title": "Taxpayer Data Safeguards Determine Access to Information Shared in the ISAC", "paragraphs": ["IRS, states, and industry partners have all faced data safeguarding challenges to participating in the ISAC. For example, IRS is unable to share taxpayer or record-level data in the ISAC due to the section 6103 safeguards discussed earlier in this report. In a June 2017 report to Congress, the Electronic Tax Administration Advisory Committee (ETAAC) recommended IRS identify, analyze, and mitigate barriers that preclude IRS from sharing information in the ISAC. IRS officials said that IRS not sharing information in the ISAC limits the full benefit of the ISAC. While the ISAC is designed to be a three-pronged collaboration between IRS, states, and industry, because IRS does not view or contribute record-level data, such data only flows between states and industry. This limits the full value of the ISAC. Further, it may be challenging for the ISAC partnership to meet a key goal of increasing participation among state and industry members if a key stakeholder in the partnership is unable to fully participate. IRS officials said the agency is considering options to allow it to participate more fully in the ISAC. Specifically, IRS included a request for a legislative change to section 6103 in a report to Treasury. This request is an important step to enable the ISAC to be an effective information sharing and collaboration tool.", "Likewise, some states faced legal hurdles to joining the ISAC. According to FTA, while it outlined potential concerns about those hurdles in a memo to state legal counsels, it expected those would be manageable for states.", "Furthermore, some industry partners face difficulties in accessing the ISAC\u2019s online platform. As previously mentioned and shown in figure 2, tax preparation companies\u2014covered under section 7216 and referred to as 7216 industry partners\u2014have full access to all of the information provided to the ISAC. However, financial institutions\u2014not covered under section 7216 and referred to as non-7216 industry partners\u2014have limited access to information in the ISAC. According to IRS officials, IRS is considering a request from financial institutions to amend regulations under section 7216 to allow them greater access to the ISAC."], "subsections": []}, {"section_title": "ISAC Partnership Has Not Developed an Outreach Plan to Improve State and Industry Partners\u2019 Participation", "paragraphs": ["In the 2017 filing season, contribution levels from IRS, states, and industry partners varied significantly. While IRS invited states and Security Summit partners to participate, other stakeholders\u2014such as industry partners that are not members of the Security Summit\u2014have not been included. While IRS has taken steps to reach out to state and industry partners, IRS and the ISAC Partnership have opportunities to more fully engage stakeholders.", "One challenge to state participation is that there has been a disconnect, at times, between the ISAC Board\u2019s and states\u2019 perceptions of how the ISAC can be used to prevent and detect fraud. For example, IRS views the ISAC as the key tool for information sharing between IRS, states, and industry partners in the future. However, officials from all states represented in our focus groups noted that they either had not used, or were unfamiliar with, the ISAC-specific resources\u2014such as the data visualization tools shown previously in figure 4. These are intended to help users identify IDT refund fraud trends more broadly. Moreover, officials from a few states reported IRS already sends more data on suspected fraud through other channels than they can effectively process with their current resources.", "IRS is working to quantify the benefits of the ISAC, which could help enhance states\u2019 understanding. The ISAC Board is working with IRS\u2019s research organization to quantify the refund fraud averted and federal dollars protected by analyzing Treasury receipts. According to IRS, it is working with ISAC state members to communicate the value of the ISAC to their leadership and share key activities, as appropriate, to enable their continued involvement. IRS and the ISAC Board also took several steps to inform states and members of industry\u2014both members of the ISAC and non-members\u2014about the benefits of the ISAC. For example, IRS\u2019s contractor provided training to users of the ISAC to demonstrate the platform\u2019s functionality and tools. In addition, IRS officials presented information about the ISAC at conferences with tax industry partners.", "Relatedly, ETAAC recently recommended that IRS encourage greater participation in the ISAC by stakeholders involved in tax administration.", "In addition to inviting states to join the ISAC, IRS invited industry partners who were members of the Security Summit to join. Security Summit industry partners account for the majority of tax returns IRS accepts using a paid preparer or tax software. The ISAC Board limited industry participation in the ISAC Partnership to Security Summit partners because it was concerned about securely authenticating new members and scaling up the size of the pilot to accommodate additional participants.", "Furthermore, although three ISAC members are non-7216 financial institutions, IRS does not consider banks or credit unions\u2014both of which cash refund checks\u2014to be fully represented in the ISAC. IRS officials said they were focused on engaging tax preparation companies and building trust among existing stakeholders. In June 2017, ETAAC recommended that IRS should address expanding the participation of financial institutions in the ISAC, as well as in other efforts.", "Although the ISAC Partnership does not have an outreach plan, such a plan could, for example, address how to expand ISAC membership or the disconnect between the benefits identified by the ISAC Board and how states perceive the ISAC can be used to prevent and detect fraud in their states. According to IRS officials, the ISAC Partnership has not developed a plan yet because it has been focused on other priorities.", "Project management standards state that when an entity is planning a project\u2014that is, a temporary endeavor to create a unique product, service, or result\u2014it is important to define relevant activities and determine the scope, sequence, and schedule of those activities, among other things. In addition, federal Standards for Internal Control in the Federal Government state that federal agencies should establish plans to help ensure goals and objectives\u2014such as increasing participation in the ISAC\u2014can be met. Additionally, internal control standards state that documentation of agency decisions and activities is important because it provides a means to retain organizational knowledge, mitigate the risk of having that knowledge limited to a few personnel, and communicate that knowledge to external parties, as appropriate. Furthermore, we have reported that without developing a user outreach plan, an agency risks being unable to provide services to its users where they need them most. For the ISAC, this could mean less effective collaboration among stakeholders or missed opportunities to prevent IDT refund fraud."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["IRS has taken important steps to improve its ability to respond to the ongoing challenge of IDT refund fraud. Among these efforts, the ISAC and RRT show promise for increasing information sharing and collaboration among IRS, states, and industry to help detect and prevent IDT refund fraud and coordinate responses to fraud incidents. The ISAC pilot goes beyond existing fraud information sharing efforts and has strengthened collaboration among stakeholders. While IRS has taken actions that partially align with key aspects of five leading practices for effective pilot design, its actions do not fully align with any of the practices. Further, IRS has not developed criteria for assessing whether the pilot\u2019s objectives have been met. Without this assessment and better alignment with leading practices for pilot design, IRS, its partners, and Congress will have difficulty determining the effectiveness of the pilot and whether and when to proceed with full-scale implementation.", "The benefit of the ISAC can only fully be realized when there is robust participation among stakeholders. However, officials from all states represented in our focus groups noted that they either had not used, or were unfamiliar with, the ISAC-specific resources. Part of the issue is that IRS has not effectively communicated the benefits of the ISAC to states, so they can better understand how the ISAC will help them combat IDT refund fraud. Developing an outreach plan to broaden membership to additional states, non-Security Summit members of industry, and financial institutions would further promote stakeholders collaborating and sharing fraud information."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to IRS: The Acting Commissioner of Internal Revenue should ensure that the Information Sharing and Analysis Center (ISAC) pilot better aligns with leading practices for effective pilot design. This should include establishing criteria for assessing whether the pilot\u2019s objectives have been met before making decisions about its scalability and whether, how, and when to when to proceed to full implementation; and developing a data analysis plan that identifies data sources and criteria necessary for effectively evaluating the pilot. (Recommendation 1)", "The Acting Commissioner of Internal Revenue should ensure that the ISAC Partnership develops an outreach plan to expand membership and improve states\u2019 and industry partners\u2019 understanding of the ISAC\u2019s benefits. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a draft of this report to IRS and the co-chairs of the ISAC Board for comment. In written comments reproduced in Appendix II, IRS agreed with both recommendations. IRS reported it will be finalizing an Identity Theft Tax Refund Fraud Pilot Management Plan to help it better align the ISAC pilot with leading practices for pilot design. Additionally, IRS reported it will work with the ISAC Board to ensure that the Board develops an outreach plan to expand membership and improve states' and industry partners' understanding of the ISAC's benefits.", "In an email dated October 27, 2017, the ISAC Board state and industry co-chairs also agreed with both recommendations and provided technical comments which were incorporated, as appropriate.", "We are sending copies of this report to the Chairmen and Ranking Members of other Senate and House committees and subcommittees that have appropriation, authorization, and oversight responsibilities for IRS. We are also sending copies to the Acting Commissioner of Internal Revenue, the Secretary of the Treasury, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or lucasjudyj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this engagement were to (1) describe actions Security Summit partners are taking to implement an Information Sharing and Analysis Center (ISAC) and a Rapid Response Team (RRT); (2) evaluate the extent to which the ISAC pilot design aligns with leading practices; and (3) identify actions, if any, that the Internal Revenue Service (IRS) could take to improve the ISAC pilot.", "We selected the ISAC and RRT from among those initiatives identified in the June 2016 IRS Commissioner\u2019s Security Summit Update Report as the focus of our review because of their importance, the potential for a major effect on IDT refund fraud, and the timeline for planned actions. Although the External Leads Process and the Industry Leads Process are discussed in this report, we did not select them for in-depth review.", "To address all objectives, we reviewed IRS, ISAC Senior Executive Board (Board), ISAC working group, and Information Sharing working group documents. These included meeting minutes, planning documents, the biweekly ISAC dashboard, and IRS\u2019s contractor\u2019s weekly ISAC updates. We also observed a training session IRS\u2019s contractor conducted for new ISAC members and we received a demonstration of the ISAC online platform capabilities, including the visualization tools. (See figure 4.) In addition, we conducted semistructured interviews with IRS, state, and industry co-leads of the ISAC and the Information Sharing working groups; ISAC Board co-chairs; the outreach and metrics ISAC Board subgroups; and trade organizations including the Federation of Tax Administrators and American Coalition of Taxpayer Rights.", "To further address all objectives, we conducted four focus groups in March and April 2017\u2014two sessions with states and two sessions with industry partners: 1. Five representatives from members of industry that were involved in the ISAC or RRT. 2. Seven representatives from members of industry that were involved in the ISAC or RRT. 3. Six officials from states randomly selected from among those with an official who participated in the ISAC or Information Sharing working groups. 4. Five officials from states randomly selected from among those that had not been involved in either working group.", "We excluded from our focus group sample those states or industry partners with whom we previously conducted\u2014or planned to conduct\u2014 a separate semistructured interview.", "We asked similar questions for each focus group with some variation between state and industry groups. We recorded and transcribed the focus group sessions for review. We analyzed the focus group transcripts to identify common themes, patterns, and comments. We used these focus group discussions to provide illustrative examples of state and industry perceptions of the benefits and challenges to implementing the ISAC and RRT. However, the responses are non-generalizable and do not reflect opinions of all states or industry partners. Because of concerns about identifying which state and industry partners have been involved in these fraud prevention efforts, we are not identifying the focus group participants or the state officials and industry representatives that we interviewed.", "To evaluate the extent to which the ISAC aligns with the five leading practices for pilot design, we reviewed our prior work and compared IRS actions against these practices and criteria. Our April 2016 report describes the criteria we developed for evaluating pilot design and the methodology we used to do so. For this work, we evaluated each subcomponent of the leading practices to determine if it met fully, mostly, partially, or not at all with the criteria. Each of those assessments was subsequently verified by another individual.", "To identify actions, if any, that IRS could take to improve the ISAC pilot, we assessed IRS and the ISAC Board\u2019s efforts to implement the ISAC pilot using internal control standards and performance management standards.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following staff made key contributions to this report: Joanna Stamatiades, Assistant Director; Melissa King, Analyst-in-Charge; Parul Aggarwal; Amy Bowser; Ann Czapiewski; Robert Gebhart; Layla Moughari; and Cynthia Saunders."], "subsections": []}]}], "fastfact": ["The IRS estimates that would-be thieves used false identities to try to steal $14.5 billion in refunds in the 2015 tax year.", "To address this high risk area, the IRS launched a pilot initiative in 2017 to help it, states, and tax industry members quickly share information. So far, 31 states and 17 industry groups are participating.", "We reviewed this effort and assessed how well it aligned with 5 leading practices for pilot design. We recommended that the IRS and the initiative's Executive Board (1) take steps to improve the pilot's implementation, and (2) develop a plan to expand membership to more states and tax industry members."]} {"id": "GAO-18-460T", "url": "https://www.gao.gov/products/GAO-18-460T", "title": "Information Technology: Further Implementation of Recommendations Is Needed to Better Manage Acquisitions and Operations", "published_date": "2018-03-14T00:00:00", "released_date": "2018-03-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government plans to invest almost $96 billion in IT in fiscal year 2018. Historically, these investments have too often failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. In December 2014, Congress and the President enacted FITARA, aimed at improving covered agencies' acquisitions of IT. Further, in February 2015, GAO added improving the management of IT acquisitions and operations across government to its high-risk list.", "This statement summarizes agencies' progress in improving the management of IT acquisitions and operations. Among others, GAO summarized its published reports on (1) data center consolidation, (2) incremental software development practices, (3) IT acquisitions, (4) IT workforce, and (5) legacy IT."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Management and Budget (OMB) and federal agencies have taken steps to improve the management of information technology (IT) acquisitions and operations through a series of initiatives, to include (1) data center consolidation, (2) implementation of incremental development practices, (3) approval of IT acquisitions, (4) implementation of key IT workforce practices, and (5) addressing aging legacy IT systems. As of March 2018, the agencies had fully implemented about 59 percent of the approximately 800 related recommendations that GAO made during fiscal years 2010 through 2015. However, important additional actions are needed.", "Consolidating data centers . OMB launched an initiative in 2010 to reduce data centers, which was codified and expanded by a law commonly referred to as the Federal Information Technology Acquisition Reform Act (FITARA). GAO has since noted that, while this initiative could potentially save the government billions of dollars, weaknesses exist in areas such as optimization and OMB's reporting on related cost savings. Accordingly, GAO has made 160 recommendations to OMB and agencies to improve the initiative; however, about half of GAO's recommendations have not yet been implemented.", "Implementing incremental development . OMB has emphasized the need for agencies to deliver investments in smaller increments to reduce risk and deliver capabilities more quickly. Further, GAO has issued reports highlighting actions needed by OMB and agencies to improve their implementation of incremental development. In these reports, GAO made 42 related recommendations, but the majority of GAO's recommendations have not yet been addressed.", "Approval of IT acquisitions . OMB's FITARA implementation guidance required covered agencies' chief information officers (CIO) to review and approve IT acquisition plans. In January 2018, GAO reported that many agencies' CIOs were not reviewing and approving acquisition plans, as required by OMB. GAO made 39 recommendations to improve the review and approval of IT acquisitions, but they have not yet been implemented by the agencies.", "Implementation of key IT workforce practices . Effective IT workforce planning can help agencies improve their ability to acquire IT. In November 2016, GAO reported on agencies' IT workforce planning activities. GAO noted that five selected agencies had not fully implemented key workforce planning activities and recommended that they do so, but the agencies have not yet addressed the recommendations.", "Addressing aging legacy IT systems. Legacy IT investments across the federal government are becoming increasingly obsolete and consuming an increasing amount of IT dollars. In May 2016, GAO reported that many agencies were using systems which had components that were, in some cases, at least 50 years old. GAO noted, however, that several agencies did not have specific plans with time frames to modernize or replace these investments. GAO recommended that 12 agencies plan to modernize or replace legacy systems; all of which have not yet been implemented."]}, {"section_title": "What GAO Recommends", "paragraphs": ["From fiscal years 2010 through 2015, GAO made about 800 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations. Among other recommendations, GAO made recommendations to improve the oversight and execution of the data center consolidation initiative, incremental development policies, the review and approval of IT acquisitions, implementation of key workforce planning activities, and aging federal IT systems. Most agencies agreed with GAO's recommendations. In addition, from fiscal year 2016 to present, GAO has made more than 200 new recommendations in this area. GAO will continue to monitor agencies' implementation of these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to provide an update on federal agencies\u2019 efforts to improve the acquisition of information technology (IT). As I have previously testified, the effective and efficient acquisition of IT has been a long-standing challenge in the federal government. In particular, the federal government has spent billions of dollars on failed and poorly performing IT investments, which often suffered from ineffective management. Recognizing the severity of issues related to the government-wide acquisition of IT, in December 2014, Congress and the President enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA).", "In addition, in February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas for the federal government. We recently issued an update to our high-risk report and noted that, while progress has been made in addressing the high-risk area of IT acquisitions and operations, significant work remains to be completed.", "My statement today provides an update on agencies\u2019 progress in improving the management of IT acquisitions and operations. The statement is based on our prior and recently published reports that discuss federal agencies\u2019 (1) data center consolidation efforts, (2) risk levels of major investments as reported on the Office of Management and Budget\u2019s (OMB) IT Dashboard, (3) implementation of incremental development practices, (4) management of software licenses, (5) approval of IT acquisitions, (6) implementation of key IT workforce practices, and (7) efforts to address aging legacy IT. A more detailed discussion of the objectives, scope, and methodology for this work is included in each of the reports that are cited throughout this statement.", "We conducted the work upon which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to the President\u2019s budget, the federal government plans to invest more than $96 billion for IT in fiscal year 2018\u2014the largest amount ever budgeted. However, as we have previously reported, investments in federal IT too often result in failed projects that incur cost overruns and schedule slippages, while contributing little to the desired mission-related outcomes. For example:", "The Department of Veterans Affairs\u2019 Scheduling Replacement Project was terminated in September 2009 after spending an estimated $127 million over 9 years.", "The tri-agency National Polar-orbiting Operational Environmental Satellite System was disbanded in February 2010 by the White House\u2019s Office of Science and Technology Policy after the program spent 16 years and almost $5 billion.", "The Department of Homeland Security\u2019s Secure Border Initiative Network program was ended in January 2011, after the department obligated more than $1 billion for the program.", "The Office of Personnel Management\u2019s Retirement Systems Modernization program was canceled in February 2011, after the agency had spent approximately $231 million on its third attempt to automate the processing of federal employee retirement claims.", "The Department of Veterans Affairs\u2019 Financial and Logistics Integrated Technology Enterprise program was intended to be delivered by 2014 at a total estimated cost of $609 million, but was terminated in October 2011.", "The Department of Defense\u2019s Expeditionary Combat Support System was canceled in December 2012 after spending more than a billion dollars and failing to deploy within 5 years of initially obligating funds.", "Our past work found that these and other failed IT projects often suffered from a lack of disciplined and effective management, such as project planning, requirements definition, and program oversight and governance. In many instances, agencies had not consistently applied best practices that are critical to successfully acquiring IT.", "Such projects have also failed due to a lack of oversight and governance. Executive-level governance and oversight across the government has often been ineffective, specifically from chief information officers (CIO). For example, we have reported that some CIOs\u2019 roles were limited because they did not have the authority to review and approve the entire agency IT portfolio."], "subsections": [{"section_title": "Implementing FITARA Can Improve Agencies\u2019 Management of IT", "paragraphs": ["FITARA was intended to improve covered agencies\u2019 acquisitions of IT and enable Congress to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. The law includes specific requirements related to seven areas.", "Federal data center consolidation initiative (FDCCI). Agencies covered by FITARA are required to provide OMB with a data center inventory, a strategy for consolidating and optimizing their data centers (to include planned cost savings), and quarterly updates on progress made. The law also requires OMB to develop a goal for how much is to be saved through this initiative, and provide annual reports on cost savings achieved.", "Enhanced transparency and improved risk management. OMB and covered agencies are to make detailed information on federal IT investments publicly available, and agency CIOs are to categorize their investments by level of risk. Additionally, in the case of major IT investments rated as high risk for 4 consecutive quarters, the law requires that the agency CIO and the investment\u2019s program manager conduct a review aimed at identifying and addressing the causes of the risk.", "Agency CIO authority enhancements. Agency heads at covered agencies are required to ensure that CIOs have authority to (1) approve the IT budget requests of their respective agencies, (2) certify that OMB\u2019s incremental development guidance is being adequately implemented for IT investments, (3) review and approve contracts for IT, and (4) approve the appointment of other agency employees with the title of CIO.", "Portfolio review. Covered agencies are to annually review IT investment portfolios in order to, among other things, increase efficiency and effectiveness and identify potential waste and duplication. In establishing the process associated with such portfolio reviews, the law requires OMB to develop standardized performance metrics, to include cost savings, and to submit quarterly reports to Congress on cost savings.", "Expansion of training and use of IT acquisition cadres. Covered agencies are to update their acquisition human capital plans to address supporting the timely and effective acquisition of IT. In doing so, the law calls for agencies to consider, among other things, establishing IT acquisition cadres or developing agreements with other agencies that have such cadres.", "Government-wide software purchasing program. The General Services Administration is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law requires that, to the maximum extent practicable, the General Services Administration should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user.", "Maximizing the benefit of the Federal Strategic Sourcing Initiative. Federal agencies are required to compare their purchases of services and supplies to what is offered under the Federal Strategic Sourcing Initiative. The Administrator for Federal Procurement Policy was also required to issue regulations related to the initiative.", "In June 2015, OMB released guidance describing how agencies are to implement FITARA. This guidance is intended to, among other things: assist agencies in aligning their IT resources with statutory establish government-wide IT management controls that will meet the law\u2019s requirements, while providing agencies with flexibility to adapt to unique agency processes and requirements; strengthen the relationship between agency CIOs and bureau CIOs; and strengthen CIO accountability for IT costs, schedules, performance, and security.", "The guidance identified several actions that agencies were to take to establish a basic set of roles and responsibilities (referred to as the common baseline) for CIOs and other senior agency officials, which were needed to implement the authorities described in the law. For example, agencies were required to conduct a self-assessment and submit a plan describing the changes they intended to make to ensure that common baseline responsibilities were implemented. Agencies were to submit their plans to OMB\u2019s Office of E-Government and Information Technology by August 15, 2015, and make portions of the plans publicly available on agency websites no later than 30 days after OMB approval. As of November 2016, all agencies had made their plans publicly available.", "In addition, in August 2016, OMB released guidance intended to, among other things, define a framework for achieving the data center consolidation and optimization requirements of FITARA. The guidance requires each agency on a quarterly basis to: maintain complete inventories of all data center facilities owned, operated, or maintained by or on behalf of the agency; develop cost savings targets for fiscal years 2016 through 2018 and report any actual realized cost savings; and measure progress toward meeting optimization metrics.", "The guidance also directs agencies to develop a data center consolidation and optimization strategic plan that defines the agency\u2019s data center strategy for fiscal years 2016, 2017, and 2018. This strategy is to include, among other things, a statement from the agency CIO indicating whether the agency has complied with all data center reporting requirements in FITARA. Further, the guidance indicates that OMB is to maintain a public dashboard that will display consolidation-related costs savings and optimization performance information for the agencies."], "subsections": []}, {"section_title": "IT Acquisitions and Operations Identified by GAO as a High-Risk Area", "paragraphs": ["In February 2015, we introduced a new government-wide high-risk area, Improving the Management of IT Acquisitions and Operations. This area highlighted several critical IT initiatives in need of additional congressional oversight, including (1) reviews of troubled projects; (2) efforts to increase the use of incremental development; (3) efforts to provide transparency relative to the cost, schedule, and risk levels for major IT investments; (4) reviews of agencies\u2019 operational investments; (5) data center consolidation; and (6) efforts to streamline agencies\u2019 portfolios of IT investments. We noted that implementation of these initiatives was inconsistent and more work remained to demonstrate progress in achieving IT acquisition and operation outcomes.", "Further, our February 2015 high-risk report stated that, beyond implementing FITARA, OMB and agencies needed to continue to implement our prior recommendations in order to improve their ability to effectively and efficiently invest in IT. Specifically, from fiscal years 2010 through 2015, we made 803 recommendations to OMB and federal agencies to address shortcomings in IT acquisitions and operations. These recommendations included many to improve the implementation of the aforementioned six critical IT initiatives and other government-wide, cross-cutting efforts. We stressed that OMB and agencies should demonstrate government-wide progress in the management of IT investments by, among other things, implementing at least 80 percent of our recommendations related to managing IT acquisitions and operations within 4 years.", "In February 2017, we issued an update to our high-risk series and reported that, while progress had been made in improving the management of IT acquisitions and operations, significant work still remained to be completed. For example, as of March 2018, OMB and agencies had fully implemented 476 (or about 59 percent) of the 803 recommendations. Figure 1 summarizes the progress that OMB and agencies have made in addressing our recommendations as compared to the 80 percent target, as of March 2018.", "In addition, in fiscal year 2016, we made 202 new recommendations, thus further reinforcing the need for OMB and agencies to address the shortcomings in IT acquisitions and operations. Also, beyond addressing our prior recommendations, our 2017 high-risk update noted the importance of OMB and covered federal agencies continuing to expeditiously implement the requirements of FITARA.", "To further explore the challenges and opportunities to improve federal IT acquisitions and operations, we convened a forum on September 14, 2016, to explore challenges and opportunities for CIOs to improve federal IT acquisitions and operations\u2014with the goal of better informing policymakers and government leadership. Forum participants, which included 13 current and former federal agency CIOs, members of Congress, and private sector IT executives, identified key actions related to seven topics: (1) strengthening FITARA, (2) improving CIO authorities, (3) budget formulation, (4) governance, (5) workforce, (6) operations, and (7) transition planning. A summary of the key actions, by topic area, identified during the forum is provided in figure 2.", "In addition, in January 2017, the Federal CIO Council concluded that differing levels of authority over IT-related investments and spending have led to inconsistencies in how IT is executed from agency to agency. According to the Council, for those agencies where the CIO has broad authority to manage all IT investments, great progress has been made to streamline and modernize the federal agency\u2019s footprint. For the others, where agency CIOs are only able to control pieces of the total IT footprint, it has been harder to achieve improvements."], "subsections": []}, {"section_title": "Congress Has Taken Action to Continue Selected FITARA Provisions and Modernize Federal IT", "paragraphs": ["Congress has recognized the importance of covered agencies\u2019 continued implementation of FITARA provisions, and has taken legislative action to extend selected provisions beyond their original dates of expiration. Specifically, Congress and the President enacted laws to: remove the expiration date for enhanced transparency and improved risk management provisions, which were set to expire in 2019; remove the expiration date for portfolio review, which was set to expire in 2019; extend the expiration date for FDCCI from 2018 to 2020; and authorize the availability of funding mechanisms to help further agencies\u2019 efforts to modernize IT.", "In particular, a law was enacted to authorize the availability of funding to help further agencies\u2019 efforts to modernize IT. The law, known as the Modernizing Government Technology (MGT) Act, authorizes agencies to establish working capital funds for use in transitioning from legacy IT systems, as well as for addressing evolving threats to information security. The law creates a technology modernization fund within the Department of the Treasury, from which agencies can \u201cborrow\u201d money to retire and replace legacy systems as well as acquire or develop systems."], "subsections": []}, {"section_title": "The Current Administration Has Undertaken Efforts to Improve Federal IT", "paragraphs": ["The current administration has initiated additional efforts aimed at improving federal IT, including digital services. Specifically, in March 2017, the administration established the Office of American Innovation, which has a mission to, among other things, make recommendations to the President on policies and plans aimed at improving federal government operations and services. In doing so, the office is to consult with both OMB and the Office of Science and Technology Policy on policies and plans intended to improve government operations and services, improve the quality of life for Americans, and spur job creation.", "In May 2017, the administration also established the American Technology Council, which has a goal of helping to transform and modernize federal agency IT and how the federal government uses and delivers digital services. The President is the chairman of this council, and the Federal CIO and the United States Digital Service Administrator are among the members.", "In addition, on May 11, 2017, the President signed Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure. This Executive Order tasked the Director of American Technology Council to coordinate a report to the President from the Secretary of the Department of Homeland Security, the Director of OMB, and the Administrator of the General Services Administration, in consultation with the Secretary of Commerce, regarding the modernization of federal IT. As a result, the Report to the President on Federal IT Modernization was issued on December 13, 2017, and outlined the current and envisioned state of federal IT. The report recognized that agencies have attempted to modernize systems but have been stymied by a variety of factors, including resource prioritization, ability to procure services quickly, and technical issues. The report provided multiple recommendations intended to address these issues through the modernization and consolidation of networks and the use of shared services to enable future network architectures.", "In February 2018, OMB issued guidance for agencies to implement the MGT Act. The guidance was intended to provide agencies additional information regarding the Technology Management Fund, and the administration and funding of the related IT Working Capital Funds. Specifically, the guidance allowed agencies to begin submitting initial project proposals for modernization on February 27, 2018. In addition, in accord with the MGT Act, the guidance provides details of the Technology Modernization Board, which is to consist of (1) the Federal CIO; (2) a senior official from the General Services Administration; (3) a member of the Department of Homeland Security\u2019s National Protection and Program Directorate; and (4) four federal employees with technical expertise in IT development, financial management, cyber security and privacy, and acquisition, appointed by the Director of OMB."], "subsections": []}]}, {"section_title": "Agencies Can Improve IT Acquisitions and Operations", "paragraphs": ["Agencies have taken steps to improve the management of IT acquisitions and operations. However, agencies would be better positioned to realize billions in cost savings and additional management improvements, if they addressed the numerous recommendations we have made aimed at improving data center consolidation, increasing transparency via OMB\u2019s IT Dashboard, implementing incremental development, managing software licenses, reviewing IT acquisitions, implementing key IT workforce activities, and addressing aging legacy systems."], "subsections": [{"section_title": "Agencies Have Made Progress in Consolidating Data Centers, but Need to Take Action to Achieve Planned Cost Savings", "paragraphs": ["One of the key initiatives to implement FITARA is data center consolidation. OMB established FDCCI in February 2010 to improve the efficiency, performance, and environmental footprint of federal data center activities, and the enactment of FITARA codified and expanded the initiative. However, in a series of reports that we issued from July 2011 through August 2017, we noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in several areas, including agencies\u2019 data center consolidation plans, data center optimization, and OMB\u2019s tracking and reporting on related cost savings. In these reports, we made a matter for Congressional consideration, and a total of 160 recommendations to OMB and 24 agencies to improve the execution and oversight of the initiative. Most agencies and OMB agreed with our recommendations or had no comments. As of March 2018, 83 of these recommendations remained open.", "For example, in May 2017, we reported that the 24 agencies participating in FDCCI collectively had made progress on their data center closure efforts. Specifically, as of August 2016, these agencies had identified a total of 9,995 data centers, of which they reported having closed 4,388, and having plans to close a total of 5,597 data centers through fiscal year 2019. Notably, the Departments of Agriculture, Defense, the Interior, and the Treasury accounted for 84 percent of the completed closures.", "In addition, that report noted that 18 of the 24 agencies had reported achieving about $2.3 billion collectively in cost savings and avoidances from their data center consolidation and optimization efforts from fiscal year 2012 through August 2016. The Departments of Commerce, Defense, Homeland Security, and the Treasury accounted for approximately $2.0 billion (or 87 percent) of the total.", "Further, 23 agencies reported about $656 million collectively in planned savings for fiscal years 2016 through 2018. This is about $3.3 billion less than the estimated $4.0 billion in planned savings for fiscal years 2016 through 2018 that agencies reported to us in November 2015. Figure 3 presents a comparison of the amounts of cost savings and avoidances reported by agencies to OMB and the amounts the agencies reported to us.", "As mentioned previously, FITARA required agencies to submit no later than the end of fiscal year 2016 and annually thereafter multi-year strategies to achieve the consolidation and optimization of their data centers. Among other things, this strategy is required to include such information as data center consolidation and optimization metrics, and year-by-year calculations of investments and cost savings through October 1, 2020.", "Further, OMB\u2019s August 2016 guidance on data center optimization contained additional information for how agencies are to implement the strategic plan requirements of FITARA, and stated that agencies were required to publicly post their strategic plans to their agency-owned digital strategy websites by September 30, 2016.", "As of April 2017, only 7 of the 23 agencies that submitted their strategic plans\u2014the Departments of Agriculture, Education, Homeland Security, and Housing and Urban Development; the General Services Administration; the National Science Foundation; and the Office of Personnel Management\u2014had addressed all five elements required by the OMB memorandum implementing FITARA. The remaining 16 agencies either partially met or did not meet the requirements. For example, most agencies partially met or did not meet the requirements to provide information related to data center closures and cost savings metrics. The Department of Defense did not submit a plan and was rated as not meeting any of the requirements.", "To better ensure that federal data center consolidation and optimization efforts improve governmental efficiency and achieve cost savings, in our May 2017 report, we recommended that 11 of the 24 agencies take actions to ensure that the amounts of achieved data center cost savings and avoidances are consistent across all reporting mechanisms. We also recommended that 17 of the 24 agencies each take action to complete missing elements in their strategic plans and submit their plans to OMB in order to optimize their data centers and achieve cost savings. Twelve agencies agreed with our recommendations, 2 did not agree, and 10 agencies and OMB did not state whether they agreed or disagreed.", "More recently, in August 2017, we reported that agencies needed to address challenges in optimizing their data centers in order to achieve cost savings. Specifically, we noted that, according to the 24 agencies\u2019 data center consolidation initiative strategic plans as of April 2017, most agencies were not planning to meet OMB\u2019s optimization targets by the end of fiscal year 2018. Further, of the 24 agencies, 5\u2014the Department of Commerce and the Environmental Protection Agency, National Science Foundation, Small Business Administration, and U.S. Agency for International Development\u2014reported plans to fully meet their applicable targets by the end of fiscal year 2018; 13 reported plans to meet some, but not all, of the targets; 4 reported that they did not plan to meet any targets; and 2 did not have a basis to report planned optimization milestones because they do not report having any agency-owned data centers. Figure 4 summarizes agencies\u2019 progress in meeting OMB\u2019s optimization targets as of February 2017, and planned progress to be achieved by September 2017 and September 2018, as of April 2017.", "FITARA required OMB to establish a data center optimization metric specific to measuring server efficiency, and required agencies to report on progress in meeting this metric. To effectively measure progress against this metric, OMB directed agencies to replace the manual collection and reporting of systems, software, and hardware inventory housed within agency-owned data centers with automated monitoring tools and to complete this effort no later than the end of fiscal year 2018. Agencies are required to report progress in implementing automated monitoring tools and server utilization averages at each data center as part of their quarterly data center inventory reporting to OMB.", "As of February 2017, 4 of the 22 agencies reporting agency-owned data centers in their inventory\u2014the National Aeronautics and Space Administration, National Science Foundation, Social Security Administration, and U.S. Agency for International Development\u2014reported that they had implemented automated monitoring tools at all of their data centers. Further, 10 reported that they had implemented automated monitoring tools at between 1 and 57 percent of their centers, and 8 had not yet begun to report the implementation of these tools. In total, the 22 agencies reported that automated tools were implemented at 123 (or about 3 percent) of the 4,528 total agency-owned data centers, while the remaining 4,405 (or about 97 percent) of these data centers were not reported as having these tools implemented. Figure 5 summarizes the number of agency-reported data centers with automated monitoring tools implemented, including the number of tiered and non-tiered centers.", "To address challenges in optimizing federal data centers, in our August 2017 report, we made recommendations to 18 agencies and OMB. Ten agencies agreed with our recommendations, three agencies partially agreed, and six (including OMB) did not state whether they agreed or disagreed."], "subsections": []}, {"section_title": "Risks Need to Be Fully Considered When Agencies Rate Their Major Investments on OMB\u2019s IT Dashboard", "paragraphs": ["To facilitate transparency across the government in acquiring and managing IT investments, OMB established a public website\u2014the IT Dashboard\u2014to provide detailed information on major investments at 26 agencies, including ratings of their performance against cost and schedule targets. Among other things, agencies are to submit ratings from their CIOs, which, according to OMB\u2019s instructions, should reflect the level of risk facing an investment relative to that investment\u2019s ability to accomplish its goals. In this regard, FITARA includes a requirement for covered agency CIOs to categorize their major IT investment risks in accordance with OMB guidance.", "Over the past 6 years, we have issued a series of reports about the Dashboard that noted both significant steps OMB has taken to enhance the oversight, transparency, and accountability of federal IT investments by creating its Dashboard, as well as concerns about the accuracy and reliability of the data. In total, we have made 47 recommendations to OMB and federal agencies to help improve the accuracy and reliability of the information on the Dashboard and to increase its availability. Most agencies agreed with our recommendations or had no comments. As of March 2018, 19 recommendations remained open.", "In June 2016, we determined that 13 of the 15 agencies selected for in- depth review had not fully considered risks when rating their major investments on the Dashboard. Specifically, our assessments of risk for 95 investments at the 15 selected agencies matched the CIO ratings posted on the Dashboard 22 times, showed more risk 60 times, and showed less risk 13 times. Figure 6 summarizes how our assessments compared to the selected investments\u2019 CIO ratings.", "Aside from the inherently judgmental nature of risk ratings, we identified three factors which contributed to differences between our assessments and the CIO ratings:", "Forty of the 95 CIO ratings were not updated during April 2015 (the month we conducted our review), which led to differences between our assessments and the CIOs\u2019 ratings. This underscores the importance of frequent rating updates, which help to ensure that the information on the Dashboard is timely and accurately reflects recent changes to investment status.", "Three agencies\u2019 rating processes spanned longer than 1 month.", "Longer processes mean that CIO ratings are based on older data, and may not reflect the current level of investment risk.", "Seven agencies\u2019 rating processes did not focus on active risks.", "According to OMB\u2019s guidance, CIO ratings should reflect the CIO\u2019s assessment of the risk and the investment\u2019s ability to accomplish its goals. CIO ratings that do no incorporate active risks increase the chance that ratings overstate the likelihood of investment success.", "As a result, we concluded that the associated risk rating processes used by the 15 agencies were generally understating the level of an investment\u2019s risk, raising the likelihood that critical federal investments in IT are not receiving the appropriate levels of oversight.", "To better ensure that the Dashboard ratings more accurately reflect risk, we made 25 recommendations to 15 agencies to improve the quality and frequency of their CIO ratings. Twelve agencies generally agreed with or did not comment on the recommendations and three agencies disagreed, stating that their CIO ratings were adequate. However, we noted that weaknesses in these three agencies\u2019 processes still existed and that we continued to believe our recommendations were appropriate."], "subsections": []}, {"section_title": "Agencies Need to Increase Their Use of Incremental Development Practices", "paragraphs": ["OMB has emphasized the need to deliver investments in smaller parts, or increments, in order to reduce risk, deliver capabilities more quickly, and facilitate the adoption of emerging technologies. In 2010, it called for agencies\u2019 major investments to deliver functionality every 12 months and, since 2012, every 6 months. Subsequently, FITARA codified a requirement that covered agency CIOs certify that IT investments are adequately implementing incremental development, as defined in the capital planning guidance issued by OMB. Further, subsequent OMB guidance on the law\u2019s implementation, issued in June 2015, directed agency CIOs to define processes and policies for their agencies which ensure that they certify that IT resources are adequately implementing incremental development.", "However, in May 2014, we reported that 66 of 89 selected investments at five major agencies did not plan to deliver capabilities in 6-month cycles, and less than half of these investments planned to deliver functionality in 12-month cycles. We also reported that only one of the five agencies had complete incremental development policies. Accordingly, we recommended that OMB clarify its guidance on incremental development and that the selected agencies update their associated policies to comply with OMB\u2019s revised guidance (once made available), and consider the factors identified in our report when doing so.", "Four of the six agencies agreed with our recommendations or had no comments, one agency partially agreed, and the remaining agency disagreed with the recommendations. The agency that disagreed did not believe that its recommendations should be dependent upon OMB taking action to update guidance. In response, we noted that only one of the recommendations to that agency depended upon OMB action, and we maintained that the action was warranted and could be implemented.", "Subsequently, in August 2016, we reported that agencies had not fully implemented incremental development practices for their software development projects. Specifically, we noted that, as of August 31, 2015, 22 federal agencies had reported on the Dashboard that 300 of 469 active software development projects (64 percent) were planning to deliver usable functionality every 6 months for fiscal year 2016, as required by OMB guidance. The remaining 169 projects (or 36 percent) that were reported as not planning to deliver functionality every 6 months, agencies provided a variety of explanations for not achieving that goal. These included project complexity, the lack of an established project release schedule, or that the project was not a software development project.", "Further, in conducting an in-depth review of seven selected agencies\u2019 software development projects, we determined that 129 out of 287 software development projects delivered functionality every 6 months for fiscal year 2015 (45 percent) and 113 out of 206 software projects (55 percent) planned to do so in fiscal year 2016. However, significant differences existed between the delivery rates that the agencies reported to us and what they reported on the Dashboard. For example, for four agencies (the Departments of Commerce, Education, Health and Human Services, and the Treasury), the percentage of delivery reported to us was at least 10 percentage points lower than what was reported on the Dashboard. These differences were due to (1) our identification of fewer software development projects than agencies reported on the Dashboard and (2) the fact that information reported to us was generally more current than the information reported on the Dashboard.", "We concluded that, by not having up-to-date information on the Dashboard about whether the project is a software development project and about the extent to which projects are delivering functionality, these seven agencies were at risk that OMB and key stakeholders may make decisions regarding the agencies\u2019 investments without the most current and accurate information. As such, we recommended that the seven selected agencies review major IT investment project data reported on the Dashboard and update the information as appropriate, ensuring that these data are consistent across all reporting channels.", "Finally, while OMB has issued guidance requiring agency CIOs to certify that each major IT investment\u2019s plan for the current year adequately implements incremental development, only three agencies (the Departments of Commerce, Homeland Security, and Transportation) had defined processes and policies intended to ensure that the CIOs certify that major IT investments are adequately implementing incremental development. Accordingly, we recommended that the remaining four agencies\u2014the Departments of Defense, Education, Health and Human Services, and the Treasury\u2014establish policies and processes for certifying that major IT investments adequately use incremental development.", "The Departments of Education and Health and Human Services agreed with our recommendation, while the Department of Defense disagreed and stated that its existing policies address the use of incremental development. However, we noted that the department\u2019s policies did not comply with OMB\u2019s guidance and that we continued to believe our recommendation was appropriate. The Department of the Treasury did not comment on its recommendation.", "More recently, in November 2017, we reported that agencies needed to improve their certification of incremental development. Specifically, agencies reported that 103 of 166 major IT software development investments (62 percent) were certified by the agency CIO for implementing adequate incremental development in fiscal year 2017, as required by FITARA as of August 2016. Table 1 identifies the number of federal agency major IT software development investments certified for adequate incremental development, as reported on the IT Dashboard for fiscal year 2017.", "Officials from 21 of the 24 agencies in our review reported that challenges hindered their ability to implement incremental development, which included: (1) inefficient governance processes; (2) procurement delays; and (3) organizational changes associated with transitioning from a traditional software methodology that takes years to deliver a product, to incremental development, which delivers products in shorter time frames. Nevertheless, 21 agencies reported that the certification process was beneficial because they used the information from the process to assist with identifying investments that could more effectively use an incremental approach, and used lessons learned to improve the agencies\u2019 incremental processes.", "In addition, as of August 2017, only 4 of the 24 agencies had clearly defined CIO incremental development certification policies and processes that contained descriptions of the role of the CIO in the process and how the CIO\u2019s certification will be documented; and included definitions of incremental development and time frames for delivering functionality consistent with OMB guidance. Figure 7 summarizes our analysis of agencies\u2019 policies for CIO certification of the adequate use of incremental development in IT investments.", "Lastly, we reported that OMB\u2019s capital planning guidance for fiscal year 2018 (issued in June 2016) lacked clarity regarding how agencies were to address the requirement for certifying adequate incremental development. While the 2018 guidance stated that agency CIOs are to provide the certifications needed to demonstrate compliance with FITARA, the guidance did not include a specific reference to the provision requiring CIO certification of adequate incremental development. We noted that, as a result of this change, OMB placed the burden on agencies to know and understand how to demonstrate compliance with FITARA\u2019s incremental development provision. Further, because of the lack of clarity in the guidance as to what agencies were to provide, OMB could not demonstrate how the fiscal year 2018 guidance ensured that agencies provided the certifications specifically called for in the law.", "In August 2017, OMB issued its fiscal year 2019 guidance, which addressed the weaknesses we identified in the previous fiscal year\u2019s guidance. Specifically, the revised guidance requires agency CIOs to make an explicit statement regarding the extent to which the CIO is able to certify the use of incremental development, and to include a copy of that statement in the agency\u2019s public congressional budget justification materials. As part of the statement, an agency CIO must also identify which specific bureaus or offices are using incremental development on all of their investments.", "In our November 2017 report, we made 19 recommendations to 17 agencies to improve reporting and certification of incremental development. Eleven agencies agreed with our recommendations, 1 partially agreed, and 5 did not state whether they agreed or disagreed. OMB disagreed with several of our conclusions, which we continued to believe were valid.", "In total, from May 2014 through November 2017, we made 42 recommendations to OMB and agencies to improve their implementation of incremental development. As of March 2018, 34 of our recommendations remained open."], "subsections": []}, {"section_title": "Agencies Need to Better Manage Software Licenses to Achieve Savings", "paragraphs": ["Federal agencies engage in thousands of software licensing agreements annually. The objective of software license management is to manage, control, and protect an organization\u2019s software assets. Effective management of these licenses can help avoid purchasing too many licenses, which can result in unused software, as well as too few licenses, which can result in noncompliance with license terms and cause the imposition of additional fees.", "As part of its PortfolioStat initiative, OMB has developed policy that addresses software licenses. This policy requires agencies to conduct an annual, agency-wide IT portfolio review to, among other things, reduce commodity IT spending. Such areas of spending could include software licenses.", "In May 2014, we reported on federal agencies\u2019 management of software licenses and determined that better management was needed to achieve significant savings government-wide. In particular, 22 of the 24 major agencies did not have comprehensive license policies and only 2 had comprehensive license inventories. In addition, we identified five leading software license management practices, and the agencies\u2019 implementation of these practices varied.", "As a result of agencies\u2019 mixed management of software licensing, agencies\u2019 oversight of software license spending was limited or lacking, thus potentially leading to missed savings. However, the potential savings could be significant considering that, in fiscal year 2012, 1 major federal agency reported saving approximately $181 million by consolidating its enterprise license agreements, even when its oversight process was ad hoc. Accordingly, we recommended that OMB issue needed guidance to agencies; we also made 135 recommendations to the 24 agencies to improve their policies and practices for managing licenses. Among other things, we recommended that the agencies regularly track and maintain a comprehensive inventory of software licenses and analyze the inventory to identify opportunities to reduce costs and better inform investment decision making.", "Most agencies generally agreed with the recommendations or had no comments. As of March 2018, 95 of the recommendations had not been implemented. Table 2 reflects the extent to which agencies implemented recommendations in these areas."], "subsections": []}, {"section_title": "Agencies Need to Ensure That IT Acquisitions Are Reviewed and Approved by Chief Information Officers", "paragraphs": ["FITARA includes a provision to enhance covered agency CIOs\u2019 authority through, among other things, requiring agency heads to ensure that CIOs review and approve IT contracts. OMB\u2019s FITARA implementation guidance expanded upon this section of FITARA in a number of ways. Specifically, according to the guidance:", "CIOs may review and approve IT acquisition strategies and plans, rather than individual IT contracts;", "CIOs can designate other agency officials to act as their representatives, but the CIOs must retain accountability;", "Chief Acquisition Officers (CAO) are responsible for ensuring that all IT contract actions are consistent with CIO-approved acquisition strategies and plans; and", "CAOs are to indicate to the CIOs when planned acquisition strategies and acquisition plans include IT.", "In January 2018, we reported that most of the CIOs at the 22 selected agencies were not adequately involved in reviewing billions of dollars of IT acquisitions. For instance, most of the 22 selected agencies did not identify all of their IT contracts. The selected agencies identified 78,249 IT-related contracts, to which they obligated $14.7 billion in fiscal year 2016. However, we identified 31,493 additional contracts with $4.5 billion obligated, raising the total amount obligated to IT contracts in fiscal year 2016 to at least $19.2 billion. Figure 8 reflects the obligations agencies reported to us relative to the obligations we identified.", "The percentage of additional IT contract obligations we identified varied among the selected agencies. For example, the Department of State did not identify 1 percent of its IT contract obligation dollars. Conversely, 8 agencies did not identify over 40 percent of their IT-related contract obligation dollars. Many of the selected agencies that did not identify these IT acquisitions did not follow OMB guidance. Specifically, 14 of the 22 agencies did not involve the acquisition office in their process to identify IT acquisitions for CIO review, as required by OMB. In addition, 7 agencies did not establish guidance to aid officials in recognizing IT. Until agencies involve the acquisitions office in their IT identification processes and establish supporting guidance, they cannot ensure that they will identify all IT acquisitions. Without proper identification of IT acquisitions, agencies and CIOs cannot effectively provide oversight of these acquisitions.", "In addition to not identifying all IT contracts, 14 of the 22 selected agencies did not fully satisfy OMB\u2019s requirement that the CIO review and approve IT acquisition plans or strategies. Further, only 11 of 96 randomly selected IT contracts at 10 agencies that we evaluated were CIO- reviewed and approved as required by OMB\u2019s guidance. The 85 IT contracts not reviewed had a total possible value of approximately $23.8 billion.", "Until agencies ensure that CIOs are able to review and approve all IT acquisitions, CIOs will continue to have limited visibility and input into their agencies\u2019 planned IT expenditures and will not be able to use the increased authority that FITARA\u2019s contract approval provision is intended to provide. Further, agencies will likely miss an opportunity to strengthen CIOs\u2019 authority and the oversight of IT acquisitions. As a result, agencies may award IT contracts that are duplicative, wasteful, or poorly conceived.", "As a result of this report, we made 39 recommendations, including that agencies ensure that acquisition offices are involved in identifying IT and issue related guidance and ensure that IT acquisitions are reviewed according to OMB guidance. OMB and 20 agencies generally agreed with or did not comment on the recommendations. One agency agreed with one recommendation, but disagreed with another. The remaining agency disagreed with two recommendations. We subsequently removed one of these recommendations from the final report, but not the other. As of March 2018, all 39 recommendations remain open."], "subsections": []}, {"section_title": "Implementing Key IT Workforce Planning Activities Can Help Ensure Acquisition Skill Gaps Are Addressed", "paragraphs": ["An area where agencies can improve their ability to acquire IT is workforce planning. In November 2016, we reported that IT workforce planning activities, when effectively implemented, can facilitate the success of major acquisitions. Ensuring program staff have the necessary knowledge and skills is a factor commonly identified as critical to the success of major investments. If agencies are to ensure that this critical success factor has been met, then IT skill gaps need to be adequately assessed and addressed through a workforce planning process.", "In this regard, we reported that four workforce planning steps and eight key activities can assist agencies in assessing and addressing IT knowledge and skill gaps. Specifically, these four steps are: (1) setting the strategic direction for IT workforce planning, (2) analyzing the workforce to identify skill gaps, (3) developing and implementing strategies to address IT skill gaps, and (4) monitoring and reporting progress in addressing skill gaps. Each of the four steps is supported by key activities (as summarized in table 3).", "However, in our November 2016 report, we determined that the five agencies that we selected for in-depth analysis had not fully implemented key workforce planning steps and activities.For example, four of these agencies had not demonstrated an established IT workforce planning process. In addition, none of these agencies had fully assessed their workforce competencies and staffing needs regularly or established strategies and plans to address gaps in these areas. Figure 9 illustrates the extent to which the five selected agencies had fully, partially, or not implemented key IT workforce planning activities.", "The weaknesses identified were due, in part, to these agencies lacking comprehensive policies that required such activities, or failing to apply the policies to IT workforce planning. We concluded that, until these weaknesses are addressed, the five agencies risk not adequately assessing and addressing gaps in knowledge and skills that are critical to the success of major acquisitions. Accordingly, we made five recommendations to the five selected agencies to address the weaknesses in their IT workforce planning practices that we identified. Four agencies\u2014the Departments of Commerce, Health and Human Services, Transportation, and the Treasury\u2014agreed with our recommendations and one, the Department of Defense, partially agreed. As of March 2018, the agencies had not addressed the five recommendations."], "subsections": []}, {"section_title": "Agencies Need to Address Aging Legacy Systems", "paragraphs": ["IT investments across the federal government are becoming increasingly obsolete. Specifically, in May 2016, we reported that many agencies were using systems which had components that were, in some cases, at least 50 years old. For example, we determined that the Department of Defense was using 8-inch floppy disks in a legacy system that coordinates the operational functions of the nation\u2019s nuclear forces. In addition, the Department of the Treasury was using assembly language code\u2014a computer language initially used in the 1950s and typically tied to the hardware for which it was developed. Further, in some cases, the vendors were no longer providing support for hardware or software. For example, each of the 12 agencies in our review reported using unsupported operating systems and components. At the time, five of the selected agencies reported using 1980s and 1990s Microsoft operating systems that stopped being supported by the vendor more than a decade ago. Table 4 provides examples of legacy systems across the federal government that agencies report are 30 years old or older and use obsolete software or hardware, and identifies those that do not have specific plans with time frames to modernize or replace these investments.", "To address this issue, we recommended that 12 agencies identify and plan to modernize or replace legacy systems, including establishing time frames, activities to be performed, and functions to be replaced or enhanced. Most agencies agreed with our recommendations or had no comment. As of March 2018, all of the recommendations remained open.", "In conclusion, the federal government has an opportunity to save billions of dollars; improve the transparency and management of IT acquisitions and operations; and to strengthen the authority of CIOs to provide needed direction and oversight. The forum we held also recommended that CIOs be given more authority, and noted the important role played by the Federal CIO.", "Most agencies have taken steps to improve the management of IT acquisitions and operations by implementing key initiatives, including data center consolidation, efforts to increase transparency via OMB\u2019s IT Dashboard, incremental development, management of software licenses, approval of IT acquisitions, implementation of IT workforce key practices, and addressing legacy IT; and they have continued to address recommendations we have made over the past several years. However, additional improvements are needed, and further efforts by OMB and federal agencies to implement our previous recommendations would better position them to improve the management of IT acquisitions and operations.", "To help ensure that these efforts succeed, OMB\u2019s and agencies\u2019 continued implementation of recommendations is essential. In addition, we will continue to monitor agencies\u2019 implementation of our previous recommendations.", "Chairmen Meadows and Hurd, Ranking Members Connolly and Kelly, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Dave Powner, Director, Information Technology at (202) 512- 9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Kevin Walsh (Assistant Director), Chris Businsky, Rebecca Eyler, Meredith Raymond, and Jessica Waselkow (Analyst in Charge).", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-349T", "url": "https://www.gao.gov/products/GAO-18-349T", "title": "VA Disability Benefits: Opportunities Exist to Better Ensure Successful Appeals Reform", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA's disability compensation program pays cash benefits to veterans with disabilities connected to their military service. In recent years, the number of appeals of VA's benefit decisions has been rising. For decisions made on appeal in fiscal year 2017, veterans waited an average of 3 years for resolution by either VBA or the Board, and 7 years for resolution by the Board. The Veterans Appeals Improvement and Modernization Act of 2017 makes changes to VA's current (legacy) appeals process, giving veterans new options to have their claims further reviewed by VBA or appeal directly to the Board. The Act requires VA to submit to Congress and GAO a plan for implementing a new appeals process, and includes a provision for GAO to assess VA's plan.", "This testimony focuses on the extent to which VA's plan: (1) addresses the required elements in the Act, and (2) reflects sound planning practices identified in prior GAO work. GAO's work entailed reviewing and assessing VA's appeals plan and related documents against sound planning practices, and soliciting VA's views on GAO's assessments."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs' (VA) plan for implementing a new disability appeals process while attending to appeals in the current process addresses most, but not all, elements required by the Veterans Appeals Improvement and Modernization Act of 2017 (Act). VA's appeals plan addresses 17 of 22 required elements, partially addresses 4, and does not address 1. For example, not addressed is the required element to include the resources needed by the Veterans Benefits Administration (VBA) and the Board of Veterans' Appeals (Board) to implement the new appeals process and address legacy appeals under the current process. VA needs this information to certify, as specified under the Act, that it has sufficient resources to implement appeals reform and make timely appeals decisions under the new and legacy processes.", "VA's appeals plan reflects certain sound planning practices, but it could benefit from including important details in several key planning areas:", "Performance measurement : VA's plan reflects steps taken to track performance, but could articulate a more complete and balanced set of goals and measures for monitoring and assessing performance on a range of dimensions of success. Specifically, the plan reports that VA is developing a process to track timeliness of the new and legacy processes. However, contrary to sound planning practices, the plan does not include timeliness goals for all five appeals options available to veterans, does not include goals or measures for additional aspects of performance (such as accuracy or cost), and does not explain how VA will monitor or assess the new process compared to the legacy process. Unless VA clearly articulates a complete and balanced set of goals and measures, it could inadvertently incentivize staff to focus on certain aspects of appeals performance over others or fail to improve overall service to veterans.", "Project management : VA's plan includes a master schedule for implementing the new appeals plan; however, this schedule falls short of sound practices because it does not include key planned activities\u2014such as its pilot test of two of the five appeals options. In addition, the schedule does not reflect other sound practices for guiding implementation and establishing accountability\u2014such as articulating interim goals and needed resources for, and interdependencies among, activities. Unless VA augments its master schedule to include all key activities and reflect sound practices, VA may be unable to provide reasonable assurance that it has the essential program management information needed for this complex and important effort.", "Risk assessment : VA has taken steps to assess and mitigate some risks related to appeals reform by, for example, pilot testing two of the five appeals options through its Rapid Appeals Modernization Program (RAMP). However, as designed, RAMP does not include key features of a well-developed and documented pilot test. For example, VA has not articulated how it will assess RAMP before proceeding with full implementation. In addition, RAMP is not pilot testing three options and, as a result, VA will not have data on the extent to which veterans will appeal directly to the Board when given the option. Unless VA identifies and mitigates key risks associated with implementing a new process, VA is taking a chance that untested aspects will not perform as desired."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its forthcoming report, GAO is considering recommending that VA: fully address all legally required elements in its appeals plan, articulate how it will monitor and assess the new appeals process as compared to the legacy process, augment its master schedule for implementation, and more fully address risk."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our review of the Department of Veterans Affairs\u2019 (VA) plan for implementing a new disability appeals process while processing pending appeals under the current, or legacy, process. VA provides cash benefits to veterans for disabling conditions incurred in or aggravated by military service, paying an estimated $67 billion to about 4.3 million veterans in fiscal year 2016. If veterans are dissatisfied with VA\u2019s initial decision they can appeal\u2014first to the Veterans Benefits Administration (VBA) and then, if not satisfied there, to the Board of Veterans\u2019 Appeals (Board), a separate agency within VA. In recent years, the number of appeals of VA\u2019s benefit decisions has been rising. For appeals resolved in fiscal year 2017, veterans waited an average of 3 years from the date they initiated their appeal to resolution by either VBA or the Board\u2014and a cumulative average of 7 years for appeals resolved by the Board. Due in part to the challenges VA faces managing large workloads and deciding disability claims and appeals in a timely manner, GAO in 2003 designated VA disability compensation and other federal disability programs as one of the government\u2019s highest management risks.", "In a March 2017 report, we examined VA\u2019s approaches to address challenges it identified as contributing to lengthy appeals processing times\u2014including VA efforts to hire staff, propose reform legislation to Congress in April 2016, and upgrade its information technology systems\u2014and the extent to which those approaches were consistent with sound planning practices. We made five recommendations to improve VA\u2019s ability to implement its proposed appeals process reform while addressing a growing appeals workload. VA agreed in principle with our five recommendations, which remain open as of January 2018. We recommended, in essence, that VA develop: (1) a detailed workforce plan, (2) a complete schedule of information technology (IT) updates, (3) better estimates of future workloads and timeliness, (4) a robust plan for monitoring appeals reform, and (5) a strategy for assessing whether the new process improves veterans\u2019 experiences over the current process. We also suggested that Congress require VA to pilot test appeals reform.", "Enacted on August 23, 2017, the Veterans Appeals Improvement and Modernization Act of 2017 (the Act) will make changes to VA\u2019s appeals process. Specifically, the Act replaces the current appeals process with a process that gives veterans various options to have their claim reviewed further by VBA or to bypass VBA and appeal directly to the Board. The Act also requires VA to submit a comprehensive plan for implementing the new appeals process and processing legacy appeals (appeals that remain pending in the current process prior to fully implementing appeals reform) to the appropriate committees of Congress and GAO. The Act delineates the required elements of this plan, and required VA to submit its plan within 90 days of enactment. VA submitted its plan on November 22, 2017. The Act also includes a provision for GAO to assess VA\u2019s appeals plan, including whether the plan comports with sound planning practices and/or contains gaps.", "My testimony today is based on work being conducted for a report that GAO expects to issue pursuant to the Act. This statement focuses on the extent to which VA\u2019s appeals plan (1) addresses the required elements in the Act; and (2) reflects sound planning practices identified in prior GAO work.", "To assess the extent to which VA\u2019s plan addresses the required elements in the Act, we identified the required elements for VA\u2019s comprehensive plan under section 3(a) and (b) of the Act; compared the required elements against VA\u2019s appeals plan and supplemental materials VA provided at our request; and made a preliminary determination as to whether VA\u2019s plan addressed, partially addressed, or did not address each element. We then shared the results of this review with VA officials, and considered their comments in arriving at our assessment.", "To address the extent to which VA\u2019s plan reflects sound planning practices, we compared the appeals plan and supplemental materials against relevant sound planning practices and other criteria identified in our prior work. Our analyses focused on the information and elements VA presented in its appeals plan and supplemental materials provided by VA, rather than auditing the underlying information. We conducted the work for this statement in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VA\u2019s Disability Compensation Claims Process", "paragraphs": ["VA\u2019s process for deciding veterans\u2019 eligibility for disability compensation begins when a veteran submits a claim to VA. The veteran submits his or her claim to one of VBA\u2019s 56 regional offices, where staff members assist the veteran by gathering additional evidence, such as military and medical records, that is needed to evaluate the claim. Based on this evidence, VBA decides whether the veteran is entitled to compensation and, if so, how much.", "A veteran dissatisfied with the initial claim decision can generally appeal within 1 year from the date of the notification letter VBA sends to the veteran. Under the current appeals process (now referred to by VA as the legacy process), an appeal begins with the veteran filing a Notice of Disagreement. VBA then re-examines the case and generally issues a Statement of the Case that represents its decision.", "A veteran dissatisfied with VBA\u2019s decision can file an appeal with the Board. In filing that appeal, the veteran can indicate whether a Board hearing is desired. Before the Board reviews the appeal, VBA prepares the file and certifies it as ready for Board review. If the veteran requests a hearing to present new evidence or arguments, the Board will hold a hearing by videoconference or at a local VBA regional office. The Board\u2019s members, also known as Veterans Law Judges, review the evidence and either issue a decision to grant or deny the veteran\u2019s appeal or refer (or remand) the appeal back to VBA for further work."], "subsections": []}, {"section_title": "New Appeals Process", "paragraphs": ["The 2017 Act made changes to VA\u2019s legacy appeals process that will generally take effect no earlier than February 2019, which is approximately 18 months from the date of enactment. According to its appeals plan, VA intends to implement the Act by replacing the current appeals process with a process offering veterans who are dissatisfied with VBA\u2019s decision on their claim one of five options: two of those options afford the veteran an opportunity for an additional review of VBA\u2019s decision within VBA, and the other three options afford them the opportunity to bypass additional VBA review and appeal directly to the Board.", "Under the new appeals process, the two VBA options will be: 1. Request higher-level review: The veteran asks VBA to review its initial decision based on the same evidence but with a higher-level official reviewing and issuing a new decision. 2. File supplemental claim: The veteran provides additional evidence and files a supplemental claim with VBA for a new decision on the claim.", "The three Board options will be: 3. Request Board review of existing record: The veteran appeals to the Board and asks it to review only the existing record without a hearing. 4. Request Board review of additional evidence, without a hearing. 5. Request Board review of additional evidence, with a hearing."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan", "paragraphs": ["The Act also requires VA to submit to the appropriate committees of Congress and GAO, within 90 days of the date of enactment, a comprehensive plan for (1) processing appeals under the legacy process until there are no more to process, (2) implementing the new appeals process, (3) processing of claims under the new appeals process in a timely manner, and (4) monitoring implementation of the new appeals process. In addition to these four broad elements, the Act lists 18 elements required to be included in the plan that relate to, among other things: staffing, information technology (IT), and other resources required to implement the plan; estimated timelines for hiring and training VA employees; and a description of risks associated with each element of the plan.", "The Act also includes a provision for GAO to assess the plan within 90 days after VA submits it.", "The Act also requires VA to provide progress reports to the appropriate committees of Congress and GAO at least once every 90 days (starting after VA submits its plan), until the date the Act\u2019s legal changes to the appeals process generally go into effect and then at least once every 180 days after this date for 7 years."], "subsections": []}, {"section_title": "Rapid Appeals Modernization Program (RAMP)", "paragraphs": ["The Act also authorized VA to carry out a program to test any assumptions relied upon in developing its comprehensive plan and test the feasibility and advisability of any facet of the new appeals process. In its appeals plan, VA reported its decision to pilot test two of the five new options by allowing veterans with pending appeals in the legacy process (known as legacy appeals) to elect the VBA supplemental claim or the higher-level review options beginning in November 2017. This program, which VA refers to as RAMP, is intended to reduce legacy appeals by providing veterans with a chance for early resolution of their claims within VBA while the Board focuses on reducing its inventory of legacy appeals, according to VA. Participation in RAMP is voluntary, but veterans must withdraw their pending legacy appeal to participate, according to VA. Veterans dissatisfied with their RAMP decisions must wait until VA fully implements the new appeals process (in February 2019 at the earliest) before pursuing an appeal with the Board under the new process, according to VA officials."], "subsections": []}]}, {"section_title": "VA\u2019s Plan Addresses Most of the Act\u2019s Required Elements for the New and Legacy Disability Appeals Processes", "paragraphs": ["VA\u2019s appeals plan addresses 17 of the Act\u2019s 22 required elements, partially addresses 4 related to monitoring implementation and workforce planning, and does not address 1 element related to identifying total resources. For example, VA\u2019s appeals plan addresses the required elements related to, among others, identifying legal authorities for hiring and removing employees, estimating timelines for hiring and training employees, and outlining the outreach VA expects to conduct. For the elements in the Act that VA\u2019s appeals plan partially addresses or does not address, see table 1. For a detailed list of the 22 required elements in the Act, see appendix I.", "When we provided VA with our preliminary assessment, VA officials said they disagreed with our assessment and that their appeals plan addresses all 22 of the required elements. In general, they said that data are not available, and VA cannot yet forecast the information required by the Act until aspects of the new appeals process are tested or implemented.", "We continue to believe the information as presented in VA\u2019s appeals plan and supplemental materials addresses 17 of the required elements, partially addresses 4, and does not address 1 element. Without complete information on all 22 of the required elements, Congress does not have the information it needs to fully conduct oversight of VA\u2019s appeals plan and the agency\u2019s efforts to implement and administer the new process while addressing legacy appeals. VA also is required to provide information on resources, among other areas, before it can certify that the agency is prepared to carry out timely processing of appeals under the new and legacy appeals process. Further, as discussed below, addressing required elements through a more comprehensive plan and underlying analysis is consistent with sound planning practices and would better position VA to implement the new appeals process while attending to legacy appeals; for example, a plan that provides for carefully monitoring the new and legacy appeals processes against balanced goals and metrics, and clearly articulates resources, milestones and other information needed for effective program management."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan Reflects Certain Sound Planning Practices, but Could Improve on Others", "paragraphs": ["VA\u2019s appeals plan reflects certain sound planning practices, such as convening a working group on performance tracking; however, the plan could benefit from including important details related to three key planning areas: 1. articulating a balanced set of goals and related measures to monitor and assess the performance of the new appeals process, in conjunction with the legacy process; 2. developing a high-quality and reliable implementation schedule to manage key steps and activities of the project; and 3. assessing key risks in a comprehensive manner, including respective mitigation strategies, and articulating clear criteria and an assessment plan for RAMP, and more fully testing or analyzing all appeal options."], "subsections": [{"section_title": "VA\u2019s Appeals Plan Indicates Steps to Assess Process Changes, but Should Also Include Goals and Measures to Provide Full Picture of Success", "paragraphs": ["VA\u2019s appeals plan reflects steps taken to track performance, but it could improve its planning practices related to monitoring and assessing performance on a range of key dimensions of success. Sound planning practices suggest that agencies develop overall goals tied to meaningful and balanced performance measures. These measures include a mix of outcome, output, and efficiency measures to ensure that an organization\u2019s priorities\u2014as well as government-wide priorities such as quality, timeliness, and cost of service\u2014are addressed.", "VA\u2019s appeals plan reports that the agency convened a working group to design a process for tracking timeliness of both the legacy appeals and appeals within the new process. In supporting documentation that we requested, VA officials stated they are also determining the best way to measure veterans\u2019 satisfaction with the new appeals process. VA\u2019s appeals plan and supporting documentation also identify timeliness goals for the two VBA-only options and one of the three Board options. Nevertheless, its appeals plan does not articulate a set of goals and measures that cover all aspects of its new appeals process, such as accuracy of decisions and cost. The plan also does not provide details on the metrics the agency will develop, how it will assess if the new appeals process is an improvement over the legacy appeals process, and how it will monitor the allocation of resources between legacy and new appeals claims. More specifically:", "VA\u2019s reported timeliness measures are incomplete: VA\u2019s appeals plan outlines timeliness goals for the two VBA options (average processing time of 125 days) and for the Board option that does not include new evidence or a hearing (average processing time of 365 days). However, VA\u2019s plan does not establish timeliness goals for the other two Board options: Board review of additional evidence without a hearing and Board review of additional evidence with a hearing. In commenting on our assessment, while VA officials indicated they expect the new process to be more efficient than the legacy process (and, therefore, more timely), data to inform goal setting for all Board options will not be available until VA fully implements these options. However, establishing timeliness goals for all options would provide a more complete picture of VA\u2019s vision for the new appeals process, and help VA to develop concrete, objective, and observable performance measures to show progress in achieving that vision, as well as inform resource estimates.", "VA\u2019s reported measures lack adequate balance: Other than including certain timeliness goals, VA\u2019s appeals plan does not articulate additional aspects of performance important for managing appeals, such as accuracy of decisions, veteran satisfaction with the process, or cost. We previously reported that VA officials said that they wanted to also use veteran survey results, wait times, and inventories as sources of information to measure progress under the new appeals process. Further, VA\u2019s fiscal year 2018 annual performance plan includes an overall customer satisfaction score for veterans\u2019 benefits. However, these and other potential measures of success are not specified in VA\u2019s appeals plan for monitoring the new appeals process as compared with legacy appeals. By not articulating a set of comprehensive and balanced goals and measures in its appeals plan, VA could be inadvertently creating skewed incentives by focusing on one area of program performance to the detriment of other areas (e.g., processing claims quickly but inaccurately).", "In commenting on our assessment, VA officials recognized the need to develop additional goals and measures and indicated, for example, that they are developing and testing whether the existing quality assurance goal\u2014requiring 92 percent accuracy\u2014is appropriate for the new process. According to VA officials, once they have developed these other goals and measures, VA will communicate this information as part of the required progress reports to the appropriate committees of Congress and GAO.", "VA\u2019s plan does not reflect how it will establish baseline data: VA\u2019s approach for evaluating the efficiency and effectiveness of the implementation of the new appeals process falls short of sound practices for using baseline data to assess performance. Our prior work has demonstrated that by tracking and developing a performance baseline for all measures, including those that demonstrate the effectiveness of a program, agencies can better evaluate progress made and whether or not goals are being achieved. However, VA\u2019s appeals plan did not provide important details about what aspects of the new appeals process\u2019 performance will be compared to what aspects of the legacy process\u2019 performance.", "In particular, section 5 of the Act lists a number of metrics VA is required to report periodically, including some that could be used as baseline measures. For example, VA is required to periodically publish on its website the average time that elapsed between the filing of an initial claim and the final resolution of the claim, for legacy appeals as well as appeals under the new system, which is consistent with our prior recommendation. However, VA\u2019s appeals plan does not explain how or when the agency would collect and use these or other data about the legacy and new processes\u2019 performance\u2014such as accuracy, veteran satisfaction, and cost\u2014to assess their relative performance.", "As we had previously reported, VA\u2019s business case for reform in some instances relied on unproven assumptions and limited analyses of its legacy process to identify root causes of performance problems. Specifically, VA determined that the open-ended nature of its legacy appeals process, whereby a veteran can submit additional evidence numerous times at any point during the VA appeals process, can cause additional cycles of re-adjudication, a process VA refers to as \u201cchurning.\u201d According to VA, this re-adjudication can occur multiple times and can add years to the time needed to reach a final decision on an appeal. Without fully articulating a plan for collecting and using baseline and trend data, VA cannot determine the extent to which the new appeals process, which also allows for multiple appeal opportunities, will achieve final resolution of veterans\u2019 appeals sooner, on average, than the legacy process.", "In commenting on our assessment, VA indicated that it is working toward capturing the metrics listed in section 5 of the Act. VA officials also noted that reporting on the new appeals process will require IT system functionality that currently does not exist, but stated that efforts are underway to add this functionality.", "VA\u2019s plan does not explain how the agency will monitor processing of legacy versus new appeals: In addition, VA\u2019s appeals plan does not fully articulate how the agency will monitor whether resources are being appropriately devoted to both the new and legacy appeals process and how it will track both sets of workloads. An appeals plan that does not specifically articulate how VA will manage the two processes in parallel exposes the agency to risk that veterans with appeals in the legacy process may experience significant delays or otherwise poor results relative to those in the new appeals process or vice versa. In commenting on our assessment, VA officials noted that VA was not required under section 3 of the Act to provide a description of its plans to capture metrics listed in section 5. Even if not required by the Act, developing an approach for carefully monitoring the management of new and legacy appeals would help VA track progress being made and achievement of goals.", "Until VA establishes complete and balanced goals and measures, identifies baseline data, and develops a plan for monitoring and assessing both the new and legacy processes, VA runs the risk of promoting skewed behaviors, or not fully understanding whether the new process is an improvement or whether veterans with appeals in the legacy process are experiencing poor results."], "subsections": []}, {"section_title": "VA\u2019s Appeals Plan Needs a Reliable Implementation Schedule to Manage the Project", "paragraphs": ["VA\u2019s appeals plan reflects certain aspects of sound planning practices related to managing the implementation of process change; however, other key components are not addressed. Sound planning practices for implementing process change suggest establishing a transition team. Consistent with such practices, VA\u2019s appeals plan states that the agency convened an agency-wide governance structure to coordinate implementation of its new appeals process; it is comprised of senior-level employees with authority to make necessary decisions to keep the project on track. VA\u2019s appeals plan also includes a copy of a master schedule. In its plan, VA asserts that the master schedule reflects timelines, interim goals and milestones, reporting requirements, and established deadlines, and that it will be used to guide implementation. VA\u2019s appeals plan also reports that VA is consulting with project management professionals, who are using the master schedule, among other tools, to monitor implementation. In addition, VA made progress addressing some of the issues we previously identified by developing steps and timetables for updating training in anticipation of implementing the new appeals process.", "However, VA\u2019s master schedule for implementing reform is missing elements of a high-quality and reliable implementation schedule for key activities. We have previously reported that having a well-planned schedule is a fundamental management tool. Generally recognized sound practices from the Project Management Institute (PMI) and GAO call for organizations to employ an integrated and reliable master schedule that defines when work activities will occur, who will complete the work, how long they will take, how they are related to one another, and the constraints affecting the start and completion of work elements, as well as whether resources will be available when they are needed. Such a project management schedule not only provides a road map for systematic project execution, but also provides the means by which to gauge progress, identify and address potential problems, and promote accountability.", "The master schedule VA provided in its appeals plan should have included other sound practices for project management related to a reliable schedule. Specifically:", "Key activities and their duration are not included: VA\u2019s master schedule does not capture the Rapid Appeals Modernization Program (RAMP) activities, even though this pilot test is occurring at the same time VA is preparing for full implementation of appeals options at VBA and the Board. In addition, specific Board-related activities are missing from the schedule, such as efforts to develop metrics, and the schedule and other project plans we reviewed do not go beyond February 2019. For example, the schedule does not indicate the period of time when VA expects to no longer be processing legacy appeals. When all key and necessary activities are not included, it raises questions about whether all activities are scheduled in the correct order, resources are properly allocated, or the estimated completion dates are reliable. In addition, if the schedule does not fully and accurately reflect VA\u2019s efforts, it will not serve as an appropriate basis for analysis and may result in unreliable completion dates and delays.", "Sequencing and linkages among activities are not identified: For the high-level activities VA\u2019s appeals plan identifies, VA\u2019s master schedule does not indicate whether there were linkages or sequencing among them, which is not consistent with sound scheduling practices. Linkages and sequencing would show, for example, if any of these activities or sub-activities must finish prior to the start of other activities, or the amount of time an activity could be delayed before the delay affects VA\u2019s estimated implementation date. For example, VA cannot train new employees until after it hires them.", "The activities VA identifies also do not appear supported by lower- level project schedules. Specifically, when we requested documentation to support VA\u2019s high-level summary of activities and milestones, VA officials did not provide intermediate or more detailed schedules that reflected these practices. In particular, VA\u2019s appeals plan lacks a complete schedule for IT modifications that clearly defines what is to be achieved and the time frames for achievement. We previously recommended that VA develop a schedule for IT updates that explicitly addresses when and how process reform will be integrated into new systems and when these systems will be ready to support the new appeals process at its onset. For example, VA\u2019s appeals plan references several required IT modifications that do not appear in its master schedule. Schedules that are defined at too high a level may disguise risk that is inherent in lower-level activities.", "Interim goals are not reflected: VA officials stated that they have interim goals and milestones, though VA\u2019s appeals plan and supporting documentation generally do not include this information. Sound planning and redesign practices suggest closely monitoring implementation and developing project goals that include a mix of intermediate goals to be met at various stages. VA\u2019s appeals plan does not include this information. We previously made a recommendation that VA develop a more robust plan for closely monitoring implementation of process reform, including metrics and interim goals to help track progress, evaluate efficiency and effectiveness, and identify trouble spots\u2014all of which are consistent with sound planning practices.", "Resources are not assigned to all identified activities: The high- level summary schedule that VA provided us also lacks details regarding the assignment of resources for all activities. Specifically, while the plan identifies workgroups responsible for coordinating elements in the plan, such as regulations, training, and outreach, the schedule does not assign resources to the 40 listed activities. As discussed previously, VA\u2019s appeals plan also does not provide information on the total resources required for this reform effort. Assigning resources to the listed activities, as well as providing other information, could provide a better indication of the estimated total resources required to implement the new appeals process and address legacy appeals.", "In commenting on our assessment, VA officials stated that the agency is developing lower-level project schedules for key activities\u2014such as RAMP and IT requirements\u2014and will provide these schedules as part of the required progress reports to the appropriate committees of Congress and GAO. VA officials also noted that future updates will include additional dependencies and risks, which VBA and the Board are still developing. Until VA has a robust integrated master schedule, supported by detailed project plans that adhere to sound practices, VA\u2019s appeals plan does not provide reasonable assurance that decision makers have the essential program management information needed for this complex and important effort."], "subsections": []}, {"section_title": "VA\u2019s Plan Addresses Some but Not All Key Risks Related to the New Appeals Process", "paragraphs": ["VA\u2019s appeals plan includes an assessment of risks involved in implementing the new appeals system, but could more comprehensively reflect key risks posed by such a significant reform effort. VA\u2019s appeals plan and supplementary materials include a \u201crisk register\u201d that describes risks associated with many elements of its plan and the remaining level of risk after its planned response to these risks. VA\u2019s appeals plan also states that senior leaders will receive regular updates of risks and mitigation strategies. However, because VA has not yet articulated a balanced set of performance goals and measures in its appeals plan, it is hindered in its ability to identify and assess risks.", "Federal internal control standards state, and our previous work at VA and other agencies demonstrates, that establishing clear performance goals and objectives is a necessary pre-condition to effectively assessing risk. Having, for example, more complete timeliness goals, and goals and measures reflecting other areas of performance, would allow VA to better identify and target risks associated with managing two processes in parallel, including the potential that veterans with appeals in the legacy process may experience significant delays relative to those in the new appeals process.", "Importantly, VA is missing an opportunity to fully benefit from RAMP by not testing and assessing other aspects of the new appeals process. The Act authorizes VA to test the feasibility and advisability of any facet of the new appeals process, and VA is taking a positive step to mitigate some risks by testing the two review options available within VBA (review of a claim by a higher-level official based on the same evidence and review of a supplemental claim with additional evidence) through RAMP. In November 2017, VA began RAMP by inviting 500 veterans whose appeals have been pending the longest to participate. According to VA officials, each month VA plans to continue offering RAMP to additional eligible veterans with pending legacy appeals until January 2019\u2014a month before VA anticipates fully implementing the new appeals system. However, as designed, RAMP does not include features that\u2014consistent with a well-developed and documented pilot test program\u2014would provide VA with an opportunity to evaluate fully the soundness of new processes and practices on a smaller scale. Specifically:", "VA\u2019s plan does not clearly define success criteria for RAMP: VA\u2019s appeals plan states that the agency will collect certain data from RAMP, such as the rate at which eligible veterans opt into the process, timeliness of claims processing, and individual employee productivity. VA also established an overall average processing time goal of 125 days for the two VBA options; however, the plan and supporting documentation do not clearly articulate whether RAMP reviews are expected to meet this timeliness goal. The plan also did not identify other success criteria for RAMP or the types of results expected before fully implementing the new appeals process. For example, VA\u2019s plan does not articulate the expected number and type of subsequent appeals to the Board that result from RAMP.", "In commenting on this assessment, VA noted that its intent in implementing RAMP was to collect data and test aspects of the new process, and that RAMP was not an initiative in and of itself. However, developing performance measures and data gathering procedures and defining success criteria for a pilot test before proceeding to full implementation are sound practices for process redesign and pilot testing. In addition, because RAMP was not included in VA\u2019s risk assessment, we asked VA if it had identified any risks or mitigation strategies specific to RAMP. In its supplemental materials, VA stated that the greatest risk to RAMP is a low participation rate among eligible veterans with legacy claims. VA also indicated that it would need 10 percent of eligible veterans to opt into RAMP to yield meaningful results. However, this threshold is not articulated in VA\u2019s appeals plan as an explicit success criterion or objective. According to data provided by VA, as of January 22, 2018, 238 veterans opted in. Of veterans with pending claims in RAMP, two-thirds chose the higher-level review option. VA also reported that 47 RAMP decisions have been made so far. As of yet, no appeals of RAMP decisions have been filed.", "VA\u2019s plan does not articulate how it will assess RAMP before proceeding with full implementation: Although VA\u2019s appeals plan describes a \u201cclose-out\u201d phase in which VA intends to assess the results of RAMP, it does not detail the conditions that would have to be met (or not met) to trigger changes. For example, VA\u2019s plan does not explain when or how it might respond to low opt-in rates for RAMP\u2014other than stating it will increase outreach to eligible veterans\u2014or to unexpectedly high appeal rates to the Board resulting from RAMP decisions. Sound redesign and change management practices both suggest that pilot tests be rigorously monitored and evaluated, and that further roll-out occur only after an agency\u2019s transition team takes any needed corrective action and determines that the new process is achieving previously identified success criteria. Without fully articulating its plan for deciding how and when to roll out changes more broadly, it is not clear whether VA would be prepared to fully implement a new appeals process that achieves its aim of better serving veterans.", "RAMP does not test all aspects of the new appeals process: RAMP provides an opportunity to learn about experiences at VBA under the new system, such as the rate at which eligible veterans choose those options and the resources that will be required to process their appeals. However, RAMP was not designed to test how many veterans would choose to appeal directly to the Board and, therefore, it will not provide comparable information on the Board appeals options. Sound workforce planning practices suggest that agencies identify the total resources needed to manage the risk of implementing new processes and conduct scenario planning to determine those needs.", "In addition, although we previously recommended VA conduct additional sensitivity analyses to inform projections of future appeals inventories, VA\u2019s appeals plan does not reflect VA\u2019s use or intended use of sensitivity analyses when projecting staffing needs for new appeals options at the Board. In commenting on our assessment, VA officials said they do not plan to conduct additional sensitivity analyses to project future workloads until they have more information from RAMP to inform their assumptions. As a result, VA will lack data on scenarios in which veterans may overwhelmingly choose options available at the Board over those at VBA when the appeals plan is fully implemented. This presents a risk that VA\u2019s early production projections and initial resource allocations may not be properly balanced between the Board and VBA. This, in turn, may result in an unexpectedly large number of appeals pending with the Board, and corresponding lengthy average wait and decision times for some, if not all, Board options.", "Having information on the number of veterans who are likely to appeal to the Board is particularly critical, given that similar efforts to create additional review options at VBA did not achieve their goals of reducing the percentage of appeals that continue on to the Board. In 2001, VA established the Decision Review Officer (DRO) process\u2014in which senior staff have the authority to overturn an initial disability claim decision without any new evidence\u2014to resolve more appeals at the regional level and avoid long waits at the Board. However, we reported in 2011 that, although the DRO process helped some veterans get additional benefits at the regional office level, it did not accomplish the program\u2019s primary goal of reducing the percentage of appeals continuing on to the Board.", "In responding to our assessment, VA officials reiterated their plans to increase outreach in the event of low opt-in rates for RAMP and indicated they recently began to send follow-up RAMP invitation letters. With respect to assessing all appeal options, VA officials stated that, while no legal bar prevents testing of the Board options, the Board is focused on reducing its inventory of pending appeals while RAMP provides early resolution of appeals within the new VBA-only options. Officials conceded that this approach means they cannot collect data on the rate at which veterans opt to appeal directly to the Board (e.g., bypassing additional VBA review) until the new process is fully implemented. However, they noted that they can collect some data on the rate at which veterans whose appeals go through RAMP file subsequent appeals to the Board, even though the Board will not begin processing those appeals until full implementation.", "By pursuing an approach that does not identify or mitigate significant risks associated with implementing a new process, VA is taking a chance that untested aspects will not perform as desired. The Act provides VA authority to pilot aspects of the process and flexibility on the timing of implementing the new process, which could allow some additional time for VA to carefully measure performance under RAMP and determine whether any corrective actions are necessary. If VA does not take full advantage of this authority, it risks moving forward without knowing whether the new appeals process improves experiences for veterans, and potentially implementing a process that is more expensive or results in longer wait times than originally anticipated.", "In conclusion, in implementing appeals reform after the enactment of the Veterans Appeals Improvement and Modernization Act of 2017, VA is undertaking a complex endeavor that has the potential to affect the lives of hundreds of thousands of veterans with service-connected disabilities.", "Such an endeavor demands a commensurate level of planning to be successful. While the Act required VA to submit its plan within 90 days of enactment, VA had proposed and began to plan for appeals reform much earlier, and had our March 2017 recommendations to guide its planning efforts from a foundation of sound practices.", "VA\u2019s November 2017 appeals plan is a positive step forward. Certain elements of the plan\u2014such as establishing an agency-wide governance structure to oversee implementation and testing aspects of reform prior to full implementation\u2014are notable gains since our March 2017 report. At the same time, the plan partially addresses or does not address five of the required elements called for by the Act, such as delineating the total resources required by VBA and the Board to implement and administer the new appeals process and address legacy appeals. The plan also is not fully responsive to our past recommendations and does not reflect a number of sound planning practices that are essential for gauging progress, establishing accountability, and linking resources to results.", "One such key practice is articulating a desired \u201cend state\u201d\u2014a vision for what successful implementation would look like for the new appeals process as well as the wind-down of the legacy process, such as accurate and timely processing of appeals while ensuring veteran satisfaction. Without establishing a complete and balanced set of goals and related performance measures to achieve this end state and monitoring and assessing progress along the way, VA risks falling short of its overarching objective\u2014to improve timeliness of appeals decisions for veterans overall. By not fully articulating how it plans to monitor workloads and devote resources to both the new and legacy processes, VA runs the risk of disadvantaging veterans with legacy appeals relative to those in the new process, or vice versa.", "Just as important is establishing a robust integrated master schedule\u2014 rather than a high-level timeline\u2014that is built upon and clearly reflects extensive detailed planning and includes all of the activities necessary to execute the program and interdependencies between these activities. Without such a road map, VA\u2019s appeals plan does not provide reasonable assurance that decision makers have the essential information needed to manage this complex and important program.", "We are encouraged that VA has taken some steps toward assessing risks, including establishing a risk register and implementing RAMP to collect information on the two VBA appeals options; however, unless VA assesses risks against a balanced set of goals and measures, VA may not be fully aware of risks that may impede successful implementation of appeals reform. Further, although VA will undoubtedly learn from the RAMP experience, it may not learn all that it should from its efforts without (1) establishing clear criteria for what success looks like (or the circumstances that would cause VA to consider making course corrections) and (2) building in time to take stock of the lessons learned before moving to full implementation.", "VA\u2019s plan places a lot of weight on RAMP to, among other efforts, mitigate risk and generate estimates of the resources needed for successful implementation after fiscal year 2018, even though RAMP does not fully test options for appealing to the Board that will be available to veterans after full implementation. Unless VA addresses key risks associated with fully implementing appeals reform\u2014by either testing or conducting sensitivity analyses for all five appeals options, to better understand potential workloads at the Board\u2014VA runs the risk of fully implementing the process without knowing if it is improving the process for veterans.", "In our forthcoming report, we anticipate making recommendations to address these issues. Specifically, we are preliminarily considering recommending that the Secretary of Veterans Affairs: address all of the required elements in the Act in VA\u2019s appeals plan to Congress\u2014including delineating resources required for all VBA and Board appeals options\u2014using sensitivity analyses and RAMP results, where appropriate and needed. clearly articulate in VA\u2019s appeals plan how VA will monitor and assess the new appeals process compared to the legacy process, including specifying a balanced set of goals and measures\u2014such as timeliness goals for all VBA appeals options and Board dockets, and measures of accuracy, veteran satisfaction, and cost\u2014and related baseline data. augment the master schedule for VA\u2019s appeals plan to reflect all activities\u2014such as RAMP and modifications to IT systems\u2014as well as assigned responsibilities, interdependencies, start and end dates for key activities for each workgroup, and resources, to establish accountability and reduce overall risk of implementation failures. ensure that the appeals plan more fully addresses risk associated with appeals reform\u2014for example, by assessing risks against a balanced set of goals and measures, articulating success criteria and an assessment plan for RAMP, and testing or conducting sensitivity analyses of all appeal options\u2014prior to fully implementing the new appeals process.", "Chairman Roe, Ranking Member Walz, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information about this testimony, please contact Elizabeth Curda at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. Other key contributors to this testimony include Michele Grgich (Assistant Director), James Whitcomb (Analyst in Charge), and Rachael Chamberlin. In addition, key support was provided by Susan Aschoff, Mark Bird, David Chrisinger, Daniel Concepcion, Clifton Douglas, Alex Galuten, Nisha Hazra, Melissa Jaynes, Benjamin Licht, Patricia McClure, Sheila McCoy, Lorin Obler, Gloria Proa, Almeta Spencer, James Sweetman, Walter Vance, and Greg Whitney."], "subsections": []}]}, {"section_title": "Appendix I: Our Assessment of VA\u2019s Appeals Plan Against Required Elements in the Act", "paragraphs": ["To assess the extent to which VA\u2019s appeals plan addresses the required elements in the Veterans Appeals Improvement and Modernization Act of 2017 (the Act), we first identified and developed a checklist reflecting each required element for VA\u2019s appeals plan (including sub-parts) under section 3(a) and (b) of the Act. To compare the required elements and their sub-parts against VA\u2019s appeals plan and supplemental materials provided, we developed decision rules for determining whether the VA\u2019s appeals plan addressed, partially addressed, or did not address each required element. Specifically, we concluded that VA\u2019s plan addressed (or partially addressed) a required element if the plan included information related to all (or some) subparts of the requirement. We focused on the plan as presented, rather than auditing the information VA relied on in developing the plan. For example, the Act\u2019s section 3(b)(10) required VA\u2019s plan to include a description of the modifications to the IT systems that VBA and the Board require to carry out the new appeals system, including cost estimates and a timeline for making the IT modifications. We concluded that VA\u2019s plan addressed all sub-parts of this element because it provided a description of required IT modifications, a reference to costs included in the Appeals Modernization IT budget, and a timeline. However, our determination that VA addressed this element should not be construed to necessarily mean that VA fully identified or described all IT requirements, or provided complete estimated costs and timelines associated with those requirements, or that the information in VA\u2019s appeals plan comported with sound planning practices. This type of assessment was outside the scope of this objective. Table 2 summarizes our assessment of VA\u2019s appeals plan against the 22 required elements in the Act."], "subsections": []}], "fastfact": []} {"id": "GAO-19-136", "url": "https://www.gao.gov/products/GAO-19-136", "title": "DOD Space Acquisitions: Including Users Early and Often in Software Development Could Benefit Programs", "published_date": "2019-03-18T00:00:00", "released_date": "2019-03-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Over the next 5 years, DOD plans to spend over $65 billion on its space system acquisitions portfolio, including many systems that rely on software for key capabilities. However, software-intensive space systems have had a history of significant schedule delays and billions of dollars in cost growth.", "Senate and House reports accompanying the National Defense Authorization Act for Fiscal Year 2017 contained provisions for GAO to review challenges in software-intensive DOD space programs. This report addresses, among other things, (1) the extent to which these programs have involved users; and (2) what software-specific management challenges, if any, programs faced.", "To do this work, GAO reviewed four major space defense programs with cost growth or schedule delays caused, in part, by software. GAO reviewed applicable statutes and DOD policies and guidance that identified four characteristics of effective user engagement. GAO reviewed program documentation; and interviewed program officials, contractors, and space systems users. GAO also analyzed program metrics, test and evaluation reports, and external program assessments."]}, {"section_title": "What GAO Found", "paragraphs": ["The four major Department of Defense (DOD) software-intensive space programs that GAO reviewed struggled to effectively engage system users. These programs are the Air Force's Joint Space Operations Center Mission System Increment 2 (JMS), Next Generation Operational Control System (OCX), Space-Based Infrared System (SBIRS); and the Navy's Mobile User Objective System (MUOS). These ongoing programs are estimated to cost billions of dollars, have experienced overruns of up to three times originally estimated cost, and have been in development for periods ranging from 5 to over 20 years. Previous GAO reports, as well as DOD and industry studies, have found that user involvement is critical to the success of any software development effort. For example, GAO previously reported that obtaining frequent feedback is linked to reducing risk, improving customer commitment, and improving technical staff motivation. However, the programs GAO reviewed often did not demonstrate characteristics of effective user engagement that are identified in DOD policy and statute:", "Early engagement. OCX involved users early; JMS planned to but, in practice, did not; SBIRS and MUOS did not plan to involve users early.", "Continual engagement. JMS, OCX, and SBIRS all planned to continually involve users but, in practice, did not fully do so; MUOS did not plan to do so.", "Feedback based on actual working software. OCX and SBIRS provided users opportunities to give such feedback but only years into software development; JMS and MUOS did not provide opportunities for feedback.", "Feedback incorporated into subsequent development. JMS, OCX, and SBIRS all planned to incorporate user feedback but, in practice, have not done so throughout development; MUOS did not plan to do so.", "As reflected above, actual program efforts to involve users and obtain and incorporate feedback were often unsuccessful. This was due, in part, to the lack of specific guidance on user involvement and feedback. Although DOD policies state that users should be involved and provide feedback on software development projects, they do not provide specific guidance on the timing, frequency, and documentation of such efforts. Without obtaining user feedback and acceptance, programs risk delivering systems that do not meet users' needs. In selected instances, the lack of user involvement has contributed to systems that were later found to be operationally unsuitable.", "The programs GAO reviewed also faced software-specific challenges in using commercial software, applying outdated software tools, and having limited knowledge and training in newer software development techniques. For example, programs using commercial software often underestimated the effort required to integrate such software into an overall system. Secondly, selected programs relied on obsolete software tools that they were accustomed to using but which industry had since replaced. Finally, GAO found that two of the reviewed programs lacked knowledge of more modern software development approaches. DOD has acknowledged these challenges and has efforts underway to address each of them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations that DOD ensure its guidance that addresses software development provides specific, required direction on the timing, frequency, and documentation of user involvement and feedback. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Department of Defense (DOD) space systems have grown increasingly dependent on software to enable a wide range of functions, including satellite command and control, early detection and tracking of objects in the earth\u2019s orbit, global positioning system (GPS) signals, and radio communication for military forces. Over the next 5 years, DOD plans to spend over $65 billion on its space system acquisitions portfolio, including many systems that rely on software for key capabilities. However, over the last two decades, DOD has had trouble with space acquisition programs where software is a key component, as evidenced by significant schedule delays and billions of dollars of cost growth attributable in part to software problems.", "For over 30 years, we have reported on DOD\u2019s challenges in acquiring software-intensive weapon systems, including space systems. These challenges include: ineffective management of system requirements, critical software design deficiencies, deferred resolution of problems to later phases of development, inadequate testing of systems, and a lack of meaningful metrics. Congress has mandated DOD to improve its approaches for software development within major defense acquisitions. For example, in 2002, Congress required that each military department establish a program to (1) improve the software acquisition process that includes efforts to develop appropriate metrics for performance measurement and continual process improvement; and (2) ensure that key program personnel have an appropriate level of experience or training in software acquisition. In 2010, Congress required that DOD implement processes to include early and continual user involvement, among other things. In 2014, Congress enacted information technology (IT) acquisition reform legislation (referred to as the Federal Information Technology Acquisition Reform Act, or FITARA), which, among other things, requires covered agencies\u2019 chief information officers to certify that incremental development is adequately implemented for IT investments.", "In response, DOD has made efforts to improve its software development within weapon system acquisitions, such as revising the Department of Defense Instruction (DODI) 5000.02\u2014its instruction for the management of all DOD acquisition programs\u2014in 2015 for programs to use development approaches such as incremental development and to involve users more frequently. In addition, the DODI 5000.02 allows programs to tailor its acquisition procedures to more efficiently achieve program objectives.", "Senate and House reports accompanying the National Defense Authorization Act (NDAA) for Fiscal Year 2017 contain provisions for us to review software-intensive DOD space system acquisition programs, among other things. This report addresses, for selected software-intensive space programs, (1) the extent to which these programs have involved users and delivered software using newer development approaches; and (2) what software-specific management challenges, if any, these programs have faced.", "We reviewed four software-intensive major defense programs with cost growth or schedule delays attributed, in part, to software development challenges. In selecting these systems from an initial list of 49 DOD space programs, we narrowed our selection to software-intensive Major Defense Acquisition Programs and Major Automated Information Systems as identified by DOD where software development has contributed in some part to cost growth or schedule delays. We further narrowed to those programs that experienced unit cost or schedule breaches or changes and represented different DOD services and acquisition categories. These programs are the Air Force\u2019s Joint Space Operations Center Mission System Increment 2 (JMS), Next Generation Operational Control System (OCX), Space-Based Infrared System (SBIRS); and the Navy\u2019s Mobile User Objective System (MUOS).", "To address the objectives, we interviewed officials from the Undersecretary of Defense for Acquisition and Sustainment, Office of the Deputy Assistant Secretary of Defense for Systems Engineering, Office of Cost Assessment and Program Evaluation, Office of the Director of Operational Test and Evaluation, Defense Digital Service, Defense Innovation Board, and the Office of the Assistant Secretary of the Air Force for Space Acquisition. We also interviewed officials from the selected program offices and their respective contractors, space systems users, DOD test organizations, and Federally Funded Research and Development Centers.", "To determine how effectively selected DOD software-intensive space programs have involved users and adopted newer software development approaches, we reviewed the Fiscal Year 2010 NDAA, in addition to DOD\u2019s 2010 report to Congress in response to this statute, and DODI 5000.02, which identified characteristics of user engagement. We then reviewed relevant program plans and documentation\u2014such as human engineering and human systems integration plans, and standard operating procedures\u2014and interviewed program officials and end users to determine the extent to which the program addressed the characteristics. We also examined DOD guidance and applicable leading practices to identify time frames for delivering software under incremental and iterative software development approaches, and we compared these time frames to program performance.", "To determine what software-specific management challenges, if any, these selected programs have faced, we reviewed GAO reports and industry reports and studies on software tools and metrics used to manage software programs and also reviewed program management reports, contract documents, and external reports. We also interviewed program and contractor officials and officials from Federally Funded Research and Development Centers. We also reviewed program metrics, test and evaluation reports, and external program assessments. See Appendix I for additional information on our objectives, scope, and methodology.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Software development approaches have evolved over time. DOD weapon system acquisition programs have traditionally developed software using what is known as the waterfall development approach, first conceived in 1970 as linear and sequential phases of development over several years that result in a single delivery of capability. Figure 1 depicts an overview of the waterfall approach.", "Within industry, software development has evolved with the adoption of newer approaches and tools. For example, while a traditional waterfall approach usually is often broadly scoped, multiyear, and produces a product at the end of a sequence of phases, an incremental approach delivers software in smaller parts, or increments, in order to deliver capabilities more quickly. This development technique has been preferred for acquiring major federal IT systems, to the maximum extent practicable, and in OMB guidance since at least 2000. In addition, iterative development promotes continual user engagement with more frequent software releases to users. Figure 2 shows an overview of incremental and iterative development.", "DevOps is a more recent type of software development first used by industry around 2009. According to the Defense Innovation Board, DevOps represents the integration of software development and software operations, along with the tools and culture that support rapid prototyping and deployment, early engagement with the end user, and automation and monitoring of software. Figure 3 shows a notional representation of the DevOps approach based on DOD and industry information. There are also a variety of other software development approaches.", "Incremental, Iterative, and DevOps approaches are further described as follows: Incremental development sets high level requirements early in the effort, and functionality is delivered in stages. Multiple increments deliver a part of the overall required program capability. Several builds and deployments are typically necessary to satisfy approved requirements. DOD guidance for incremental development for software-intensive programs states that each increment should be delivered within 2 years, and OMB guidance issued pursuant to FITARA requires delivery of software for information technology investments in 6-month increments.", "Iterative development takes a flexible approach to requirements setting. In this approach, requirements are refined in iterations based on user feedback. We include Agile development approaches in this category of development; although most Agile approaches include aspects of both iterative and incremental development, as shown in figure 4. The Agile approach was first articulated in 2001 in what is known as the Agile Manifesto. The Agile Manifesto states the importance of four values: (1) individuals and interactions over processes and tools, (2) working software over comprehensive documentation, (3) customer collaboration over contract negotiation, and (4) responding to change as opposed to following a pre-set plan. Approaches that share common Agile principles include: Scrum, Extreme Programming, and Scaled Agile Framework, among others.", "These approaches stress delivering the most value as early as possible and constantly improving it throughout the project lifecycle based on user feedback. Within industry, Agile development approaches typically complete iterations within 6 weeks, and deliver working software to the user at the end of each iteration. According to DOD and industry, iterative development approaches have led to quicker development at lower costs and have provided strategic benefit through rapid response to changing user needs.", "DevOps is a variation of Agile that combines \u201cdevelopment\u201d and \u201coperations,\u201d emphasizing communication, collaboration, and continuous integration between both software developers and users. According to the Software Engineering Institute, DevOps is commonly seen as an extension of Agile into the operations side of the process, implementing continuous delivery through automated pipelines. In general, all stakeholders\u2014including operations staff, testers, developers, and users\u2014are embedded on the same team from the project\u2019s inception to its end, ensuring constant communication. Automated deployment and testing is used instead of a manual approach, and the developer\u2019s working copies of software are synchronized with the users. Software code is continuously integrated and delivered into production or a production-like environment. According to industry reports, the use of DevOps may lower costs due to immediate detection of problems as well as result in a greater confidence in the software because the users have continuous visibility into development, testing, and deployment.", "According to DOD officials from the Undersecretary of Defense, Research and Engineering, adopting Agile and DevOps within DOD weapon system acquisitions\u2014which includes DOD space programs\u2014is challenging and requires programs to adopt comprehensive strategies that cover broad topics. Officials said these strategies should include plans for cultural adoption by the program office and contractor; training and certification for program office and contractor personnel; and tools, metrics, and processes that support continuous integration and delivery, among others."], "subsections": [{"section_title": "Collaboration between Developers and Users Is Key to Reducing Program Risk", "paragraphs": ["While there are a variety of approaches to developing software, involving users in early stages and throughout software development helps detect deficiencies early. Industry studies have shown it becomes more expensive to remove conceptual flaws the later they are found. Previous GAO reports as well as other DOD and industry studies have also found that user involvement is critical to the success of any software development effort. For example, we previously reported that obtaining frequent feedback is linked to reducing risk, improving customer commitment, and improving technical staff motivation. We also previously reported that two factors critical to success in incremental development were involving users early in the development of requirements and prior to formal end-user testing.", "In the Fiscal Year 2010 NDAA, Congress directed DOD to develop and implement a new acquisition process for information technology systems that, among other things, include early and continuous involvement of the user. This statute, in addition to DOD\u2019s 2010 report to Congress in response to the statute, and DODI 5000.02 identify characteristics of effective user engagement for DOD acquisitions, including:", "Early engagement: Users are involved early during development to ensure that efforts are aligned with user priorities.", "Continual engagement: Users are involved on a regular, recurring basis throughout development to stay informed about the system\u2019s technical possibilities, limitations, and development challenges.", "Feedback based on actual working software: User feedback during development is based on usable software increments to provide early insight into the actual implementation of the solution and to test whether the design works as intended.", "Feedback incorporated into subsequent development: User feedback is incorporated into the next build or increment."], "subsections": []}, {"section_title": "Software Enables Operational Capability in All Segments of Space Systems", "paragraphs": ["Defense space systems typically consist of multiple segments: one or more satellites, ground control systems, and, in some cases, terminals for end-users. Each segment depends on software to enable critical functionality, such as embedded software in satellite vehicles, in applications installed on computer terminals in ground control stations, or embedded signal processing software in user terminals to communicate with satellites, shown in figure 5."], "subsections": []}, {"section_title": "Selected Software- Intensive Space Systems Have a History of Cost Growth and Schedule Delays", "paragraphs": ["We have previously reported on significant cost growth and schedule delays in numerous DOD space systems, with some space program costs rising as much as 300 percent, and delays so lengthy that some satellites spend years in orbit before key capabilities are able to be fully utilized. In particular, the programs described below have experienced significant software challenges, including addressing cybersecurity requirements, which have contributed to cost growth and schedule delays."], "subsections": []}]}, {"section_title": "Joint Space Operations Center (JSpOC) Mission System Increment 2 (JMS)", "paragraphs": ["The Air Force's JMS program aims to replace an aging space situational awareness and command and control system with improved functionality to better track and catalogue objects in the earth's orbit to support decision making for space forces. Increment 2 is to replace existing systems and deliver additional mission functionality. The Air Force is providing this functionality in three deliveries: the first delivery\u2014Service Pack 7\u2014provided hardware and software updates and was delivered in September 2014; the second delivery\u2014Service Pack 9\u2014aims to improve functions currently being performed, such as determining space object orbits and risks of collision; and the final delivery\u2014Service Pack 11\u2014 aims to provide classified functionality. The government is serving as the system integrator directly managing the integration of government and commercially developed software onto commercial, off-the-shelf hardware, so there is no prime contractor.", "Historical software development challenges include: In 2015, we found that inconsistencies in the program\u2019s software development schedule made it unclear whether the program would be able to meet its remaining milestones. The same year, the program declared a schedule breach against its baseline due, in part, to delays in resolving deficiencies identified during software testing.", "In 2016, DOD noted that the revised schedule was still highly aggressive with a high degree of risk because the program was concurrently developing and testing software.", "In 2017, developmental tests found a number of mission critical software deficiencies, which delayed operational testing. The Director of Operational Test and Evaluation also noted that additional work remained to help provide adequate cyber defense for JMS.", "During operational testing in 2018, JMS was found not operationally effective and not operationally suitable due, in part, to missing software requirements, urgent deficiencies that affected system performance, and negative user feedback.", "Mobile User Objective System (MUOS)", "The Navy\u2019s MUOS program aims to provide satellite communications to fixed and mobile terminal users with availability worldwide. MUOS includes a satellite constellation, a ground control and network management system, and a new waveform for user terminals. The ground system includes the ground transport, network management, satellite control, and associated infrastructure to both operate the satellites and manage the users\u2019 communications. The MUOS constellation is complete, and, according to program officials, software development officially ended in 2012 with the delivery of the waveform software. However, the user community still cannot monitor and manage MUOS. MUOS has two types of users: ground operators responsible for managing the MUOS communications network, and the military users of radios. Space and Missile Defense Command / Army Forces Strategic Command (SMDC/ARSTRAT) was the user representative while MUOS was developed.", "While DOD allowed the program to move into sustainment\u2014the phase after development is formally completed\u2014the program continues to resolve challenges with the ground segment, and the contractor continues to deliver software updates to address deficiencies. In 2017, the program transitioned its software sustainment efforts to an Agile development approach in preparation for a follow-on operational test currently scheduled to begin in June 2019. While Lockheed Martin Space Systems is the prime contractor for MUOS, we evaluated software efforts conducted by General Dynamics, the subcontractor performing software development.", "Historical software development challenges include: In 2014, DOD found that 72 percent of the software was obsolete.", "Also in 2014, operational testing was delayed due to software reliability issues in the ground system and waveform.", "In 2015, we found that over 90 percent of MUOS\u2019 planned capability was dependent on resolving issues related to integrating the MUOS waveform, terminals, and ground systems.", "Also in 2015, operational tests determined MUOS was not operationally effective, suitable, or survivable due in part to cybersecurity concerns in the ground system.", "As of 2016, there were still existing and emerging cybersecurity vulnerabilities to be addressed.", "Lockheed Martin Space Systems (Prime) General Dynamics (Software development subcontractor) Contract Type: Cost Plus Incentive and Award Fee/Fixed Price Incentive (Firm Target) and Award Fee Naval Computer and Telecommunications Area Master Station Pacific (NCTAMS PAC) Space and Missile Defense Command / Army Forces Strategic Command (SMDC/ARSTRAT)", "Next Generation Operational Control System (OCX)", "The Air Force\u2019s OCX program is designed to replace the current ground control system for legacy and new GPS satellites. OCX software is being developed in a series of blocks: Block 0 is planned to provide the launch and checkout system and support initial testing of GPS III satellites and cybersecurity advancements. Blocks 1 and 2 are planned to provide command and control for previous generations of satellites and GPS III satellites as well as monitoring and control for current and modernized signals. The OCX contractor delivered Block 0 in September 2017. The Air Force took possession of Block 0 in October 2017 by signing a certificate of conformance, and will accept it at a later date after Block 1 is delivered.", "Historical software development challenges include: In 2013, DOD paused OCX development due to incomplete systems engineering, which led to continuous rework and deferred requirements.", "In 2015, we reported that, among other things, OCX had significant difficulties related to cybersecurity implementation.", "In 2016, the program declared a Nunn-McCurdy unit cost breach. Also in 2016, the contractor began implementing DevOps at the recommendation of Defense Digital Service but, according to the program office and contractor, only planned to automate development without the operations component of DevOps. The contractor did not achieve initial planned schedule efficiencies.", "In 2017, the Air Force accepted Block 0 despite over 200 open software defects. According to the program, when Block 0 was accepted there was also a plan to resolve the open software defects by the time of the first launch. Since then, according to the program office, all necessary defects related to launch have been addressed.", "In 2018, DOD noted that the schedule was at risk since the program made aggressive assumptions in its plan to develop, integrate, test software, and resolve defects.", "Space-Based Infrared System (SBIRS)", "The Air Force\u2019s SBIRS program is an integrated system of both space and ground elements that aim to detect and track missile launches. SBIRS is designed to replace or incorporate existing defense support ground stations and satellites to improve upon legacy system timeliness, accuracy, and threat detection sensitivity. The Air Force is delivering the SBIRS ground system in one program with two increments: the first increment became operational in 2001 and supports functionality of existing satellites. The second increment, which is still in development, is designed to provide new space segments, mission control software and hardware, and mobile ground capability. The Air Force is delivering these capabilities in multiple blocks: Block 10 was accepted in 2016 and introduced new ground station software and hardware. Block 20 is expected to be complete by late 2019 and is planned to further improve ground station software.", "Historical software development challenges include: In 2001, 2002, and 2005, cost increases and schedule delays due, in part, to software complexity problems led to four separate Nunn- McCurdy unit cost breaches.", "In September 2007, we found that the amount of rework resulting from unresolved software discrepancies was contributing to cost growth and schedule delays. In addition, the program had software algorithms that were not yet completed or demonstrated, hundreds of open deficiency reports, and a lack of coordination between space and ground system software databases.", "In 2016, DOD said that software deficiencies were contributing to delays in delivering the ground architecture.", "In 2018, DOD noted that flight software development remained a concern to the overall program schedule. According to SBIRS users and the program office, cybersecurity issues found during Block 10 testing are still being addressed as a part of the Block 20 effort.", "DOD programs we reviewed frequently did not involve users early or continually during development, base user feedback on actual working software, or incorporate user feedback into subsequent software deliveries. Most programs had plans to incorporate these elements of user engagement throughout their software development efforts, but they often did not follow those plans due, in part, to the lack of specific guidance on user involvement and feedback. Regarding frequency of software delivery, while DODI 5000.02 suggests that programs deliver incremental software deliveries every 1 to 2 years, the programs we reviewed often continued to deliver software consistent with the long delivery schedules common to waterfall development. DOD is taking steps to address this issue."], "subsections": [{"section_title": "Selected DOD Programs Often Did Not Effectively Engage Users", "paragraphs": ["The four programs we reviewed often did not demonstrate key characteristics of effective user engagement as summarized below:", "Early engagement. OCX involved users early and JMS planned to involve users early but, in practice, did not do so; SBIRS and MUOS did not plan to involve users early in software development.", "Continual engagement. JMS, OCX, and SBIRS all planned to continually involve users but, in practice, did not fully do so; MUOS did not plan to do so.", "Feedback based on actual working software. OCX and SBIRS have provided users opportunities to provide such feedback but only years into software development; JMS and MUOS did not provide opportunities for feedback.", "Feedback incorporated into subsequent development. JMS, OCX, and SBIRS all planned to incorporate user feedback but, in practice, have not done so throughout development; MUOS did not plan to do so during software development.", "Program efforts to involve users often did not match what their planning documentation described. In addition, when user input was collected, program officials did not capture documentation of how user feedback was addressed. Further, we found that, in practice, none of the programs we reviewed had users providing feedback on actual working software until years after system development began. This was the case even for programs utilizing Agile or iterative-incremental software development approaches, where user involvement and feedback from using functional systems early in the development cycle is foundational.", "These shortcomings were due, in part, to the lack of specific guidance on user involvement and feedback. Both DODI 5000.02 and DOD\u2019s guiding principles for delivering information technology acquisitions note that software should be developed via usable software deliveries to obtain user acceptance and feedback for the next segment of work, but this guidance lacks specificity. In particular, DOD does not specify when to involve users and request their feedback, how frequently to seek user involvement and feedback on software deliverables, how to report back to users on how that feedback was addressed, and how to document the results of user involvement and feedback.", "As a result of programs\u2019 shortcomings with user involvement and feedback, programs risk delivering systems that do not meet user needs. In selected cases, delivered software was deemed operationally unsuitable by DOD testers and required substantial rework.", "Further details on the extent to which programs implemented the four key characteristics are described below.", "JMS: Program documents created at the start of JMS system development contain specific operating procedures for conducting interactions with the user community\u2014Air Force personnel who track and catalogue objects in orbit\u2014during acquisition and fielding. However, the program has not followed these operating procedures during system development.", "Early Engagement. The JMS program office planned to involve users early in development but, in practice, did not do so. JMS program documentation states that users were to be involved in user engagement sessions within the first 4 weeks of iterative development. However, the first documented user engagement session was held more than a year after development start.", "Continual Engagement. The JMS program office planned to engage users throughout development but, in practice, did not do so. JMS program documentation states that user engagement sessions are to be held regularly during development\u2014roughly every 2 to 4 weeks. However, in practice, program officials told us they only involved users as needed during software development. We found that the frequency of user engagement events varied from several weeks to more than 6 months. According to program officials, there were limited users available, and their operational mission duties were prioritized over assisting with system development.", "Feedback Based on Actual Working Software. The JMS program office did not provide users an opportunity to give feedback based on actual working software during development. According to program documentation, designs and notional drawings, not working software, were to be used for user engagement sessions. While JMS did provide users opportunities to provide feedback, this feedback was not on actual working software. Program officials said the goal of these events was never intended to include user feedback on actual working software. However, users told us that when they were finally able to use the system for the first time, 4 years after development started, it did not function as needed. The software did not execute what it had been designed to do, and earlier user engagement on actual working software may have identified these issues.", "Feedback Incorporated Into Subsequent Development. The JMS program office planned to incorporate user feedback into development but, in practice, did not do so. JMS program documentation states that the program will document user feedback from user engagement events using summary notes communicated back to the user. However, JMS users said it was often unclear if their feedback was incorporated. For example, in March 2016, a user engagement event was held to discuss any questions and concerns relating to the planned system\u2019s conjunction assessment\u2014a key feature that predicts orbit intersection and potential collision of space objects\u2014 that resulted in 8 user-identified issues. When we met with the users in 2018, they told us that conjunction assessment issues remained unaddressed, and they would still be reliant on the legacy system to fully execute the mission and perform their duties. The legacy system is still needed, they said, because the program deferred critical functions, and the most recent operational test found the system to be operationally unsuitable.", "MUOS: The MUOS program office did not engage users\u2014Army Forces Strategic Command personnel who support the narrowband and wideband communications across the Air Force, Marines, Navy, and Army\u2014during software development but are engaging users while developing software during sustainment, the acquisition phase after development when the program mainly supports and monitors performance. Following the end of development, at an operational test event in 2015, DOD testers deemed the system was operationally unsuitable. The MUOS program office moved to an Agile development approach in 2017 to address software deficiencies in preparation for the next operational test event.", "Early Engagement. The MUOS program office did not engage users early in development. Program documentation does not describe any plans for user engagement or involvement during development and, according to program officials, no users evaluated the actual system during development.", "Continual Engagement. The MUOS program office did not continually engage with users. Program documentation does not describe any plans for user engagement or involvement during development. Program officials said no users evaluated the system during development because there were no users with real world experience on a system like MUOS. However, as previously noted, SMDC/ARSTRAT represented end users\u2019 interests during MUOS development.", "Feedback Based on Actual Working Software. The MUOS program office did not provide users an opportunity to give feedback based on actual working software. Program documentation does not describe a process for obtaining user feedback based on actual working software. The first time users had a chance to fully operate the system was after development ended, in preparation for operational testing in 2014, which identified numerous defects. Additionally, MUOS users said that they have since identified 128 functions in 11 critical areas that must be addressed or they will not accept the system. Users also said that some of the vulnerabilities found during operational testing, including cybersecurity vulnerabilities, have been deferred.", "Feedback Incorporated Into Subsequent Development. The MUOS program office did not incorporate user feedback into development. Program documentation did not describe plans to gain user feedback or acceptance into the development of the MUOS system. In addition, users and the contractor told us that program officials did not allow direct interaction during development due to a concern that such interactions could lead to changes in system requirements. The program office said that user involvement to-date has not caused delays to testing or software delivery.", "OCX: The OCX program had limited user engagement, but has recently held user engagement events based on releases of actual working software. The program has made efforts to obtain feedback from users, but users have noted there is no time in the schedule to address much of their feedback prior to delivering the system.", "Early Engagement. The OCX program office involved users early in development in accordance with its plans. From 2011, OCX users were involved in technical meetings where they provided feedback on the concept of operations and the design of the system.", "Continual Engagement. The OCX program office planned to engage users throughout development but, in practice, did not fully do so. OCX planning documentation includes multiple opportunities for user engagement at various stages of system development, including operational suitability and \u201chands-on\u201d interaction with an integrated system. According to the program office, numerous events were held for users to give feedback on the system. However, since 2012, the program has only held one of its planned events to address operational suitability. In addition, other opportunities for users to operate the system have been removed to accommodate the program\u2019s schedule, such as \u201cday in the life\u201d events that allowed users to validate the system as they would actually operate it. Users said that removing events like these created fewer opportunities to identify and resolve new deficiencies.", "Feedback Based on Actual Working Software. OCX did not plan to provide users an opportunity to give feedback based on actual working software but, in practice, did so years into development. OCX planning documents rely on simulations and mock-ups for evaluating system usability. However, users told us that mock-ups do not allow them to test functionality and may not be representative of the final delivered product. Starting in 2014\u20142 years after development started\u2014users had opportunities to review the limited functionality available at the time. Since 2017, users said they were able to test working software.", "Feedback Incorporated Into Subsequent Development. The OCX program office planned to incorporate user feedback into development but, in practice, did not do so throughout development. OCX planning documentation includes a user comment response process that would collect and validate user comments and communicate results back to the users. According to the program office, for OCX Block 0, users provided feedback that was incorporated prior to the first launch. While OCX users said that they have the opportunity to provide feedback, there is a growing list of unaddressed Block 1 issues to be resolved. Some of these feedback points, if left unresolved, may result in operational suitability concerns and a delayed delivery to operations. According to the program office, critiques from the users have either been closed, incorporated into the OCX design, or are still under assessment between the contractor and users. A majority of user feedback points for the OCX iteration currently in development remain unresolved, as depicted in figure 6. In 2016, DOD told the Air Force and the contractor to utilize DevOps. As previously noted, DevOps is intended to release automated software builds to users in order to unify development and operations and increase efficiency. The contractor stated it implemented DevOps in 2016. However, both the Air Force and the contractor admitted in 2018 they never had plans to implement the \u201cOps\u201d side of DevOps, meaning they didn\u2019t plan to automatically deliver software builds to the users. Without incorporating the users and experts in maintainability and deployment, the program is not benefiting from continuous user feedback.", "SBIRS: SBIRS users\u2014Air Force personnel who operate, command, and control SBIRS satellites to detect and track missile launches\u2014were not involved during early system development and the program only recently increased the frequency of user events. SBIRS users have been able to provide feedback on working software but are unaware how this feedback is incorporated into software development.", "Early Engagement. The SBIRS program office did not engage users early in development because users were not in place and user groups were not defined. The program planning documentation that instituted the framework for user involvement was not in place until 2004. According to SBIRS users and test officials, this resulted in a poor interface design and users being unable to respond adequately to critical system alerts when using the system. Though the program contractor told us that user involvement is critical for ensuring the developers deliver a system that users need and will accept, DOD officials said that users were not integrated with the development approach until the software was ready to be integrated into a final product.", "Continual Engagement. The SBIRS program office planned to engage users throughout development but, in practice, did not do so. SBIRS planning documentation includes users involved in regular working groups throughout development. SBIRS users began to be involved with system development in 2013 on a weekly basis. Users were not involved during the 17 years of system development prior to this time.", "Feedback Based on Actual Working Software. The SBIRS program did not plan to provide users an opportunity to give feedback based on actual working software during development but, in practice, did so years into development. SBIRS documentation only outlines user engagement as reviewing and commenting on design plans. While users were able to provide feedback on working software in 2017, these events did not occur until 21 years after the start of development when the software was ready to be integrated. When users were able to provide feedback, they identified issues with the training system and cybersecurity.", "Feedback Incorporated Into Subsequent Development. The SBIRS program planned to incorporate user feedback into development but, in practice, did not do so. SBIRS planning documentation includes methods for users to provide feedback, but users said there is no feedback loop between them and the developers; therefore, users are unaware if their comments and concerns are addressed or ignored."], "subsections": []}, {"section_title": "Selected Programs Have Generally Not Delivered Software Frequently, but DOD Is Taking Steps to Improve Efforts", "paragraphs": ["DOD officials and DODI 5000.02 point to the benefits of delivering smaller packages of software more frequently, but the four programs we examined have generally delivered them infrequently. DOD is beginning to take steps to address these issues, such as establishing an independent advisory panel and considering recommendations issued by the Defense Science Board on the design and acquisition of DOD software.", "Selected programs continue to focus on infrequent deliveries. According to industry practices, short, quick deliveries allow a program to deliver useful, improved capabilities to the user frequently and continually throughout development. Within industry, iterations for Agile development approaches are typically up to 6 weeks, and working software is delivered to the user at the end of each iteration. In addition, DODI 5000.02 states that for incremental development increments should be delivered within 2 years.", "While two programs in our review\u2014JMS and MUOS\u2014say they have undertaken elements of Agile development, which emphasize smaller deliveries of frequent software to users, they still struggled to move away from the long delivery schedules common to waterfall development. In addition, the two programs with incremental development\u2014OCX and SBIRS\u2014have not delivered within suggested DOD time frames. See figure 7 below for program software deliveries.", "Further observations on each of the four programs follow: JMS program officials and documentation indicate that the program is using an Agile development approach to deliver smaller, rapid deliveries to minimize risk. According to JMS program documentation, software releases were to be delivered in 6-month intervals. However, the program only delivered actual working software once during development\u2014a delivery of capability in 2014. The program was operationally accepted in late 2018. However, only 3 of 12 planned capabilities were accepted for operational use.", "The MUOS program used a traditional waterfall approach during development from 2004 to 2012 and has only had one overall software product delivery during that time. The program completed the software in 2012, yet continued to make changes during sustainment using the waterfall methodology and adopted an Agile approach in 2017 to address deficiencies. Since this adoption, it has delivered software more frequently\u2014about every 3 months. This is a significant improvement over the delivery time frames during the MUOS waterfall development approach.", "The OCX program is using an \u201citerative-incremental\u201d development approach. According to OCX software development plans, this approach was to enable early and frequent deliveries of capabilities. Specifically, the program plans for iterations to be completed every 22 weeks. However, since software development began in 2012, OCX has delivered just one increment of software, referred to by the OCX program as a block.", "The SBIRS program began in 1996, using a waterfall approach, and has had two deliveries of software. SBIRS Increment 1 was delivered in 2001, and the next increment, SBIRS Increment 2, Block 10, was delivered 15 years later, in 2016. The next increment, SBIRS Increment 2, Block 20, is expected to be delivered in 2019.", "Part of the reason programs delivered larger software packages less frequently was the adherence to the process steps in the DODI 5000.02 that were designed under the waterfall approach. While DODI 5000.02 authorizes programs to tailor their acquisition procedures to more efficiently achieve program objectives, none of the programs that were trying to employ a newer development approach took steps to tailor procedures in order to facilitate development. For example, the OCX contractor said it was delayed by complying with technical reviews under a military standard for traditional waterfall approaches, such as the Preliminary Design Review, Critical Design Review, and others, but the OCX program did not alter these reviews, despite having flexibility to do so. The contractor told us a more tailored approach would enable execution of smaller iterations of software deliverables. Similarly, the JMS program office noted that it was not fully able to integrate Agile development practices because of all the different technical reviews, but JMS did not tailor these requirements to more efficiently achieve outcomes, despite flexibility to do so.", "DOD officials have acknowledged these challenges and have recently begun recommending steps to address them. Officials we spoke with from Defense Digital Service, Director of Operational Test and Evaluation, and DOD leadership said that rapid development of software using newer software practices does not fit with the requirements of the DOD acquisition process. Further, DOD\u2019s Special Assistant for Software Acquisition said that DOD software development should be iterative, providing the critical capabilities in smaller, more frequent deliveries rather than delivering capabilities in a single delivery via traditional waterfall software development. In addition, other DOD officials we interviewed agreed that since DOD programs may not always know the full definition of a system\u2019s requirements until late in development, additional flexibility to tailor acquisition approaches could improve software acquisitions.", "In acknowledging the challenges in moving from a waterfall model to a more incremental approach, various DOD groups have made recommendations to support delivery of smaller, more timely software deliverables: In February 2018, the Defense Science Board issued a series of recommendations to support rapid, iterative software development. The recommendations included requiring all programs entering system development to implement iterative approaches and providing authority to the program manager to work with users.", "In April 2018, the Defense Innovation Board made recommendations to improve DOD software acquisitions, such as moving to more iterative development approaches that would deliver functionality more quickly.", "In June 2018, the DOD Section 809 Panel recommended eliminating the requirements for Earned Value Management (EVM)\u2014one of DOD\u2019s primary program planning and management tools\u2014in Agile programs. However, other DOD and industry guides state that Agile programs can still report EVM if certain considerations are made, such as an Agile work structure that provides a process for defining work and tracking progress of this work against planned cost and schedule.", "Pursuant to the Fiscal Year 2019 National Defense Authorization Act, DOD is required, subject to authorized exceptions, to begin implementation of each recommendation submitted in the final report of the Defense Science Board Task Force on the Design and Acquisition of Software for Defense Systems by February 2020. For each recommendation that DOD is implementing, it is to submit to the congressional defense committees a summary of actions taken; and a schedule, with specific milestones, for completing implementation of the recommendation. We intend to monitor DOD\u2019s progress in implementing the recommendations."], "subsections": []}]}, {"section_title": "Selected Program Offices Have Had Software-Specific Management Challenges but Are Taking Steps to Address Weaknesses", "paragraphs": ["The programs we reviewed faced management challenges using commercial software, applying outdated software tools and metrics, and having limited knowledge and training in newer software development. DOD is taking steps to address these challenges."], "subsections": [{"section_title": "Selected DOD Programs Face Difficulties Identifying the Effort Required by and Mitigating the Risk Associated with Commercial Software", "paragraphs": ["DOD has previously encouraged DOD acquisition programs to use commercial software where appropriate. For example, in 2000 and in 2003, DOD policy encouraged considering the use of commercial software. In addition, regulations continue to emphasize consideration of commercial software suitable to meet the agency\u2019s needs in acquiring information technology. DOD officials said that, although the effort to maintain commercial software may be equivalent to developing such capabilities in-house, programs should still consider the use of commercial software because DOD and its contractors may lack the technical skillsets to develop a similar product.", "However, three of the programs we reviewed had difficulty integrating and maintaining modified commercial software during development:", "The JMS acquisition approach was to only use commercial and government-provided software with no new software development planned, but the commercial products selected were not mature and required additional development, contributing to schedule delays.", "The MUOS program underestimated the level of effort to modify commercial software, which increased cost and introduced schedule delays in completing both the ground system and the waveform. According to an Aerospace official who advised the program on software issues, the MUOS software development approach was to use a commercial software solution but with substantial modifications. In particular, the MUOS contractor planned to take a commercial cellular system and substantially modify it for MUOS. This official, along with the MUOS program office, said that underestimating the level of effort to modify and integrate the commercial software has been the program\u2019s biggest challenge.", "In September 2015, we found that the OCX contractor was overly optimistic in its initial estimates of the work associated with incorporating open source and reused software. Further, according to the Air Force, OCX program managers and contractors did not appear to follow cybersecurity screening or software assurance processes as required. For example, open source software was incorporated without ensuring that it was cybersecurity-compliant. These problems led to significant rework and added cost growth and schedule delays to address the cybersecurity vulnerabilities and meet cybersecurity standards. In addition, in an independent assessment of OCX, officials from the MITRE Corporation said that there is a lack of appreciation for the effort required for commercial software integration, stating that the level of effort is \u201ccategorically underestimated.\u201d", "Some program officials noted that commercial software updates led to system instability and increased costs. For example, OCX program officials said that updating an operating system version led to 38 other commercial software changes. Each of these changes had to be configured, which took considerable time and added cost to the program. Similarly, the SBIRS contractor said they have been concerned that updates to commercial software could create a domino effect of instability, and the risks could outweigh the benefits of the update. For example, if one commercial software product is updated and becomes unstable, instability may be introduced to other commercial software products and software components. On the other hand, not updating software products could lead to cybersecurity concerns. As we previously noted, developers of commercial software generally update software to address identified flaws and cybersecurity vulnerabilities. We also reported in a review of weapon systems cybersecurity that, although there are valid reasons for delaying or forgoing weapon systems patches, this means some weapon systems are operating, possibly for extended periods, with known vulnerabilities.", "In addition, the lifecycles of commercial software can contribute to management challenges when these products become obsolete. For example, in 2014, a MUOS Ground System Deep Dive review identified that 72 percent of the MUOS software was considered to be obsolete. According to program officials, commercial software became obsolete before or soon after it was fielded, especially for operating systems and browsers, due to the long MUOS development cycle. Software obsolescence is also among the top risks of the OCX program and has contributed to additional costs during development.", "DOD officials and others have started to acknowledge challenges in using commercial software. For example, as we previously reported in 2018, DOD has stated that many weapon systems rely on commercial and open source software and are subject to any cyber vulnerabilities that come with them. While DOD states that using commercial software is a preferred approach to meet system requirements, some program officials we interviewed told us that the effort to modify and update commercial software is underestimated. DOD is working on helping programs understand commercial software risks. For example, in January 2018, DOD published a Guidebook for Acquiring Commercial Items. In addition, Defense Acquisition University offers several modules designed to address challenges in integrating commercial solutions."], "subsections": []}, {"section_title": "Selected DOD Programs Are Using Outdated Software Tools and Metrics but Are Updating Them", "paragraphs": ["Three of the DOD programs we reviewed have experienced challenges in using outdated software tools or identifying appropriate performance metrics as they transition to newer software development approaches.", "Contractors continue to rely upon outdated software tools and experience challenges. We found that three of the programs we reviewed used tools that are considered outdated and lack the flexibility needed for iterative development. Contractors for three of the four programs we reviewed have experienced software development challenges due to outdated tools:", "The SBIRS contractor uses a suite of tools that is considered outdated for newer commercial approaches. For example, one of these tools relies on a central database that, if corrupted, will stop development work and could take days or weeks to fix. According to the contractor, fixing this database has led to multiple periods of downtime and schedule delays.", "The MUOS contractor also uses a toolset that is considered outdated by commercial software development experts. The program moved to a newer Agile development approach in 2017 but has retained an older software development toolset. The MUOS contractor said they are heavily reliant on these tools for development and do not anticipate changing the toolset.", "The OCX contractor also uses tools that are considered outdated by commercial approaches. According to the contractor, these tools have been in place for many years, and switching over to a new set of tools would not be in the best interest of the program because it could be disruptive to ongoing development. Defense Digital Service experts said that a particular suite of tools used by the OCX contractor is outdated because the tools lack the flexibility needed for iterative development.", "Both MUOS and SBIRS contractors said that they have had to train new employees to use their outdated tools. For example, the SBIRS contractor told us that when new employees begin work on the SBIRS program, they already know how to use newer tools but have to be trained on the outdated tools used for SBIRS development. The SBIRS contractor said this has affected retention of its workforce in some cases, and the program has allocated funding to transition to newer tools in order to better recruit and retain personnel.", "What is Cloud-Based Testing? Cloud-based testing uses cloud computing environments to simulate an application\u2019s real-world usage. According to international standards, cloud testing can lead to cost savings, improved testing efficiency, and more realistic testing environments.", "Two contractors have taken steps to update their software tools to increase automation and cloud-based testing but have not yet experienced the anticipated efficiencies:", "The OCX contractor is attempting to employ cloud-based testing and a DevOps approach. The contractor said it had to gain approval from the DOD Chief Information Office to employ commercial cloud-based testing for the unclassified portions of OCX but it has not gained similar approval for the classified portion.", "The SBIRS contractor is using a software testing tool that would allow for faster automated testing but is not yet realizing the full benefit of its use. The SBIRS testers did not use this tool in the way it was intended. Specifically, the contractor said that when the software was deployed to the testing environment, testers deactivated the software at the end of their shifts instead of allowing it to run continuously until the tests were complete. The contractor said the testers did this because there were concerns over unauthorized access to the system if no one was present. As a result, the contractor separated the tests into 8-hour segments rather than allowing the tests to run continuously, reducing the effectiveness and value of automated testing.", "The Defense Science Board, Defense Innovation Board, and others have recommended DOD use tools that enable the developers, users, and management to work together daily. As noted, DOD is required to begin implementation of the recommendations made in the Defense Science Board report.", "Software metrics are measurements which provide insight to the status and quality of software development.", "Metrics may not support newer development approaches. We have previously found that leading developers track software-specific metrics to gauge a program\u2019s progress, and that traditional cost and schedule metrics alone may not provide suitable awareness for managing iterative software development performance. Three programs have faced challenges in identifying and collecting metrics that provide meaningful insight into software development progress: JMS planned to collect traditional software development metrics to measure software size and quality, as well as Agile metrics that provide insight into development speed and efficiency. However, officials from the JMS government integrator managing sub-contracts said they lack regular reporting of metrics and access to data from subcontractors that would allow them to identify defects early. These officials said this was a challenge because the program has to run its own quality scans at the end of each sprint instead of being able to identify defects on a daily basis.", "MUOS program officials were able to receive Agile metrics from the contractor when they transitioned to Agile development, but they lacked access to the source data, which they said hindered their ability to oversee development.", "OCX program officials said they plan to use performance-based metrics throughout the remainder of the program. However, the metrics may not adequately track performance as intended. The Defense Contract Management Agency reviewed OCX metrics, particularly those related to DevOps, and expressed concern that program metrics may only measure total defects that were identified and corrected but may not provide insight into the complexity of those defects.", "DOD is taking steps to identify useful software development metrics and ways to include them in new contracts. DOD is aware of challenges with metrics and is taking actions to address the issues. For example, the Defense Innovation Board is consulting with commercial companies to determine what metrics DOD should collect; and the Air Force\u2019s Space and Missile Systems Center has tasked The Aerospace Corporation with examining how to apply software performance metrics in contracts for DOD space programs. DOD offices such as the Defense Science Board and DOD Systems Engineering, as well as several Federally Funded Research and Development Centers including the Software Engineering Institute and The Aerospace Corporation, have also attempted to identify new metrics in correlation with advances in software development approaches."], "subsections": []}, {"section_title": "Two Program Offices Lacked Newer Software Development Knowledge, but DOD Is Working to Improve Training", "paragraphs": ["Two program offices we reviewed experienced challenges due to limited software development knowledge:", "OCX experienced an extended period of inefficient processes because it lacked an understanding of newer approaches. According to Defense Digital Service, when the Office of Secretary of Defense advised the OCX program in May 2016, it discovered that neither the program office nor contractor had been aware of the benefits of automated testing. Defense Digital Service helped the OCX contractor automate a process that had been taking as long as 18 months to one in which the same process takes less than a day. If the program office had been aware of newer software approaches, it could have recognized these inefficiencies much earlier and avoided unnecessary schedule delays.", "The MUOS contractor lacked an \u201cAgile advocate\u201d in the program office, which undermined its ability to fully employ an Agile development approach. For example, even after the contractor adopted an Agile approach, the program office directed the contractor to plan out all work across software builds in order to maintain control over requirements\u2014similar to a waterfall approach but inefficient in Agile. According to the Software Engineering Institute, without an Agile advocate in a program\u2019s leadership, organizations tend to do a partial Agile or \u201cAgile-like\u201d approach.", "Program officials from the programs we reviewed said that while they have taken some software development training, more would be beneficial. The JMS program office said that there are external training courses available locally as well as trainings at Air Force\u2019s Space and Missile Systems Center, but neither are required. JMS program officials said that, while specific software training has not been required for the program outside of Defense Acquisition University certifications, courses on managing software-intensive programs would have been beneficial. Similarly, Defense Contract Management Agency officials told us that OCX program officials would have benefited from more software development training. The MUOS program office said its training on software acquisition, software and systems measurement, software planning supportability and cost estimating, and software policies and best practices was sufficient, but the program office did not have newer software development training prior to transitioning to an Agile development approach.", "DOD is working to improve software acquisition training requirements and update them to reflect changes in the software development industry. For example, in 2017, the Defense Acquisition University introduced a course on Agile software development that includes how Agile fits into the overall Defense Acquisition System and how to manage an Agile software development contract. DOD told us it is also working with the Defense Acquisition University to help inform a course on DevOps automation."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Software is an increasingly important enabler of DOD space systems. However, DOD has struggled to deliver software-intensive space programs that meet operational requirements within expected time frames. Although user involvement is critical to the success of any software development effort, key programs often did not effectively engage users. Program efforts to involve users and incorporate feedback frequently did not match plans. This was due, in part, to the lack of specific guidance on the timing, frequency, and documentation for user involvement and feedback. The lack of user engagement has contributed to systems that were later found to be operationally unsuitable.", "Selected programs have also faced challenges in delivering software in shorter time frames, and in using commercial software, applying outdated software tools and metrics, and having limited knowledge and training in newer software development techniques. DOD acknowledges these challenges and is taking steps to address them."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Secretary of Defense should ensure the department\u2019s guidance that addresses software development provides specific, required direction on when and how often to involve users so that such involvement is early and continues through the development of the software and related program components. (Recommendation 1)", "The Secretary of Defense should ensure the department\u2019s guidance that addresses software development provides specific, required direction on documenting and communicating user feedback to stakeholders during software system development. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the Department of Defense for comment. In its comments, reproduced in appendix II, DOD concurred. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of the report to the Acting Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; and interested congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or ludwigsonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Senate and House reports accompanying the National Defense Authorization Act for Fiscal Year 2017 contained provisions for GAO to review challenges in software-intensive Department of Defense (DOD) space systems, among other things. This report addresses, for selected software-intensive space programs, (1) the extent to which these programs have involved users and delivered software using newer development approaches; and (2) what software-specific management challenges, if any, these programs have faced.", "To select the programs, we identified a non-generalizable, purposeful sample of four major defense programs representing different space military services where software is an essential component and where each program has experienced cost growth or schedule delays attributed, in part, to software challenges. We began our selection process with 49 DOD space programs from the U.S. Air Force and Navy services as identified by the Office of the Assistant Secretary of the Air Force for Space Acquisition and a GAO subject matter expert. We then narrowed our selection to 19 Major Defense Acquisition Programs (MDAP) and Major Acquisition Information System (MAIS) programs identified by DOD. Next, using information from prior GAO Annual Weapons Assessments, DOD Selected Acquisition Reports, DOD Defense Acquisition Executive Summary Reports, and the Defense Acquisition Management Information Retrieval system, we identified 15 programs that were software-intensive systems as defined in the international standard ISO/IEC/IEEE 42207. This standard states that a software- intensive system is one where software contributes essential influences to the design, construction, deployment, and evolution of the system as a whole. From these 15 programs, 8 were found to have had cost growth or schedule delays attributed, in some part, to software development. We further analyzed these 8 programs for unit cost or schedule breaches as defined in 10 U.S.C. \u00a7 2433 and 10 U.S.C. \u00a7 2366b, ultimately resulting in 7 programs. Finally, from these 7 programs, we chose a purposeful sample of 5 programs, ensuring representation from different DOD services and Acquisition Categories.", "Family of Advanced Beyond Line-of-Sight Terminals (FAB-T); Air", "Next Generation Operational Control System (OCX); Air Force MDAP Joint Space Operations Center Mission System Increment 2 (JMS); Air Force MAIS", "Mobile User Objective System (MUOS); Navy MDAP", "Space-Based Infrared System (SBIRS); Air Force MDAP We were unable to assess FAB-T software issues with the same level of detail as the other programs we reviewed because, despite prior software challenges, the program stated it does not have documentation that separately tracks software-related requirements or efforts. This brought our total to 4 selected programs.", "To address the objectives, we interviewed officials from the Undersecretary of Defense for Acquisition and Sustainment, Office of the Deputy Assistant Secretary of Defense for Systems Engineering, Office of Cost Assessment and Program Evaluation, Office of the Director of Operational Test and Evaluation, Defense Digital Service, Defense Innovation Board, and the Office of the Assistant Secretary of the Air Force for Space Acquisition. We also interviewed officials from the selected program offices and their respective contractors, subcontractor, integrator, space systems users, a DOD test organization, and Federally Funded Research and Development Centers. In addition, we conducted a literature search using a number of bibliographic databases, including ProQuest, Scopus, DIALOG, and WorldCat. We reviewed documentation that focused on software-intensive major military acquisitions. We conducted our search in March 2018.", "To determine how effectively selected DOD software-intensive space programs have involved users and adopted newer software development approaches, we reviewed applicable DOD policies, guidance, and federal statute that identify characteristics of user engagement. These sources were the Department of Defense Instruction (DODI) 5000.02; Office of the Secretary of Defense Report to Congress, A New Approach for Delivering Information Technology in the Department of Defense; and National Defense Authorization Act for Fiscal Year 2010. We supplemented this with Defense Science Board and Defense Innovation Board documentation, and other industry analyses. We then reviewed relevant program plans and documentation, such as human engineering and human systems integration plans, standard operating procedures, acquisition strategies, software development plans, and other program user engagement guidance to identify plans for user engagement. We then conducted interviews with space system users and analyzed software development documentation to evaluate the extent to which programs met these DOD user engagement characteristics. We also analyzed user feedback reports to identify trends in user feedback. We also examined DOD and OMB guidance and applicable leading practices to identify time frames for delivering software under incremental and iterative software development approaches, and we compared these time frames to program performance.", "To determine what software-specific management challenges, if any, selected programs faced, we reviewed reports and studies on software tools and metrics used to manage software programs, including GAO reports, DOD policies and guidance, and studies from the Software Engineering Institute. We then reviewed program documents, such as Software Development Plans, System Engineering Plans, System Engineering Management Plans, Software Resource Data Reports, Test and Evaluation Master Plans, Master Software Build Plans, and Obsolescence Plans, as applicable, as well as contracts and Statements of Work. We reviewed defect metrics and reports on amounts of new, reused, inherited, and commercial software; test and evaluation reports; program management reports; and external program assessments. We also evaluated program retrospectives and DOD reports on leading practices to understand how programs are making efforts to address challenges in these areas. We spoke with contractors and an applicable subcontractor and government integrator, program officials, and officials from Federally Funded Research and Development Centers to understand program issues, including program office and contractor training requirements.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Raj Chitikila, Assistant Director; Pete Anderson, Erin Carson, Jordan Kudrna, Matthew Metz, Roxanna Sun, and Jay Tallon made key contributions to this report. Assistance was also provided by Mathew Bader, Virginia Chanley, Susan Ditto, Sarah Gilliland, Carol Harris, Harold Podell, Andrea Starosciak, Anne Louise Taylor, and Alyssa Weir."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Weapon Systems Cybersecurity: DOD Just Beginning to Grapple with Scale of Vulnerabilities. GAO-19-128. Washington, D.C.: October 9, 2018.", "Weapon Systems Annual Assessment: Knowledge Gaps Pose Risks to Sustaining Recent Positive Trends. GAO-18-360SP. Washington, D.C.: April 25, 2018.", "Information Technology: Agencies Need to Involve Chief Information Officers in Reviewing Billions of Dollars in Acquisitions. GAO-18-42. Washington, D.C.: January 10, 2018.", "Global Positioning System: Better Planning and Coordination Needed to Improve Prospects for Fielding Modernized Capability. GAO-18-74. Washington, D.C.: December 12, 2017.", "Information Technology Reform: Agencies Need to Improve Certification of Incremental Development. GAO-18-148. Washington, D.C.: November 7, 2017 Space Acquisitions: DOD Continues to Face Challenges of Delayed Delivery of Critical Space Capabilities and Fragmented Leadership. GAO-17-619T. Washington, D.C.: May 17, 2017.", "Defense Acquisitions: Assessment of Selected Weapon Programs. GAO-17-333SP. Washington, D.C.: March 30, 2017.", "Immigration Benefits System: U.S. Immigration Services Can Improve Program Management. GAO-16-467. Washington, D.C.: July 7, 2016.", "GPS: Actions Needed to Address Ground System Development Problems and User Equipment Production Readiness. GAO-15-657. Washington, D.C.: September 9, 2015.", "Defense Acquisitions: Assessments of Selected Weapon Programs. GAO-15-342SP. Washington, D.C.: March 12, 2015.", "Defense Major Automated Information Systems: Cost and Schedule Commitments Need to Be Established Earlier. GAO-15-282. Washington, D.C.: February 26, 2015.", "Standards for Internal Control in the Federal Government. GAO-14-704G. Washington, D.C.: September 2014.", "Software Development: Effective Practices and Federal Challenges in Applying Agile Methods. GAO-12-681. Washington, D.C.: July 27, 2012.", "Information Technology: Critical Factors Underlying Successful Major Acquisitions. GAO-12-7. Washington, D.C.: October 21, 2011.", "Space Acquisitions: Development and Oversight Challenges in Delivering Improved Space Situational Awareness Capabilities. GAO-11-545. Washington, D.C.: May 27, 2011.", "Significant Challenges Ahead in Developing and Demonstrating Future Combat System\u2019s Network and Software. GAO-08-409. Washington, D.C.: March 7, 2008.", "Space Based Infrared System High Program and its Alternative. GAO-07-1088R. Washington, D.C.: September 12, 2007.", "Defense Acquisitions: Stronger Management Practices Are Needed to Improve DOD\u2019s Software-Intensive Weapon Acquisitions. GAO-04-393. Washington, D.C.: March 1, 2004.", "Information Security: Effective Patch Management is Critical to Mitigating Software Vulnerabilities. GAO-03-1138T. Washington, D.C.: September 10, 2003.", "Test and Evaluation: DOD Has Been Slow in Improving Testing of Software-Intensive Systems. GAO/NSIAD-93-198. Washington, D.C.: September 29, 1993.", "Mission-Critical Systems: Defense Attempting to Address Major Software Challenges. GAO/NSAID-93-13. Washington, D.C.: December 24, 1992.", "Space Defense: Management and Technical Problems Delay Operations Center Acquisition. GAO/IMTEC-89-18. Washington, D.C.: April 20, 1989."], "subsections": []}], "fastfact": ["Developing software for DOD space systems, like GPS, has historically taken longer and cost billions of dollars more than planned.", "We looked at four software-intensive DOD space systems that had cost growth or delays.", "While DOD has started using better software development approaches, we found some challenges to making them work. For example, program offices and system developers don't consistently involve the systems' end users in development, making it hard to ensure that the systems will meet their needs.", "We recommended DOD provide specific direction on when and how often to involve users, and document the involvement to ensure it happens."]} {"id": "GAO-18-602", "url": "https://www.gao.gov/products/GAO-18-602", "title": "Postal Retiree Health Benefits: Unsustainable Finances Need to Be Addressed", "published_date": "2018-08-31T00:00:00", "released_date": "2018-10-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["USPS is required to prefund its share of health benefits costs for its retirees. To do so, USPS is required to make payments into the RHB Fund, which is administered by OPM. However, USPS has not made any payments to the fund since fiscal year 2010. At the end of fiscal year 2017, USPS had missed $38.2 billion in payments, leaving the fund 44 percent funded. Pursuant to law, beginning in fiscal year 2017, OPM started drawing from the fund to cover USPS's share of postal retirees' health benefits premiums. GAO was asked to review issues related to the sustainability of the RHB Fund.", "This report examines (1) the financial outlook for the RHB Fund and (2) policy approaches for postal retiree health benefits, among other topics. GAO evaluated financial projections for the RHB Fund from OPM. GAO reviewed laws and regulations and identified policy approaches primarily by identifying legislative proposals, and literature on actions of companies and state governments to address retiree health benefits. These approaches are not exhaustive or mutually exclusive. GAO also interviewed experts in retiree health benefits and postal stakeholders, chosen on the basis of relevant publications and prior GAO work, and interviewed and obtained written responses from OPM and USPS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The financial outlook of the Postal Service Retiree Health Benefits Fund (RHB Fund) is poor. At the end of fiscal year 2017, the fund's assets declined to $49.8 billion and unfunded liabilities rose to $62.2 billion. Based on Office of Personnel Management (OPM) projections requested by GAO, the fund is on track to be depleted in fiscal year 2030 if the United States Postal Service (USPS) continues to make no payments into the fund. Annual payments of $1 billion or $2 billion into the fund would extend the projected depletion date by 2 to 5 years (see figure). USPS has said that its required payments to the fund are unaffordable relative to its current financial situation and outlook. For the past 11 years USPS has incurred large operating losses that it expects will continue. Additionally, USPS has stated that its opportunities for revenue generation and cost-cutting are limited. USPS reported that it did not make required fund payments in 2017 in order to preserve liquidity and cover operational costs. If the fund becomes depleted, USPS would be required by law to make the payments necessary to cover its share of health benefits premiums for current postal retirees. Current law does not address what would happen if the fund becomes depleted and USPS does not make payments to cover those premiums. Depletion of the fund could affect postal retirees as well as USPS, customers, and other stakeholders, including the federal government. About 500,000 postal retirees receive health benefits and OPM expects that number to remain about the same through 2035.", "GAO identified three categories of policy approaches for postal retiree health benefits, based on legislative proposals and pertinent literature. First, some approaches, such as generally requiring eligible postal retirees to participate in Medicare, would shift costs to the federal government. Second, some approaches would reduce benefits or increase costs to postal retirees and/or employees. Third, some approaches would change how benefits are financed (see table). All of these approaches have different potential effects and would require congressional action. Thus, it is up to Congress to consider the merits of different approaches and determine the most appropriate action to take. It would be preferable to take action when careful consideration is possible, rather than wait until lack of adequate funding could disrupt postal retiree health benefits."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider passing legislation to put postal retiree health benefits on a more sustainable financial footing. USPS agreed that congressional action is needed and offered views on some policy approaches discussed in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["About 500,000 postal retirees currently receive federal retiree health benefits. Unlike most federal entities, the U.S. Postal Service (USPS) is required to prefund its share of health benefits for its retirees. To do so, USPS is required to pay money into the Postal Service Retiree Health Benefits Fund (RHB Fund), which is administered by the Office of Personnel Management (OPM). However, USPS has experienced financial difficulties and has not made its required payments to the RHB Fund since 2010. Those missed payments totaled $38.2 billion through the end of fiscal year 2017. At the same time, the fund had assets of $49.8 billion but liabilities of $112.1 billion\u2014leaving a shortfall of $62.2 billion in unfunded liabilities\u2014and thus only 44 percent of the liabilities were funded. Further, pursuant to law, beginning in fiscal year 2017, OPM started drawing from the RHB Fund to cover USPS\u2019s share of premiums for postal retirees\u2019 health benefits.", "Challenges related to funding and providing retiree health benefits are not unique to USPS. For years, private companies and state governments have been similarly challenged with the rising costs of providing retiree health benefits and have taken actions to address this issue. However, no consensus exists about what actions should be taken to address the growing financial shortfall for postal retiree health benefits. You asked us to review issues related to postal retiree health benefits funding and what lessons could be learned from the efforts of other organizations including companies and state governments that have dealt with retiree health benefits issues.", "This report examines (1) the financial outlook for the RHB Fund, (2) actions that companies and state governments have taken to address retiree health benefit costs, and (3) possible policy approaches regarding postal retiree health benefits.", "To assess the financial outlook for the RHB Fund, we obtained OPM\u2019s projections for the RHB Fund\u2019s income and expenses and reviewed written comments of USPS and OPM officials on the fund. Next, we evaluated the projections and statements against statutory provisions specifying the fund\u2019s responsibilities for funding postal retiree health benefits. We discussed the methods and assumptions underlying OPM\u2019s estimates with OPM officials, and concluded that OPM\u2019s projections would be reasonable for our purposes, but we did not otherwise evaluate the underlying data, which were outside the scope of this review. The baseline scenario that OPM developed was based on a continuation of current practices in which USPS would make no additional payments into the fund. In addition, we interviewed and obtained written responses from OPM and USPS officials.", "To identify actions the private sector and state governments have taken to address retiree health costs and obtain a broad perspective on how these entities have dealt with issues in this area, we identified reports and articles issued from 1998 through 2018 on retiree health benefits provided by companies and state governments, based on searches in bibliographic databases and other online resources, prior GAO work, and interviews with experts on retiree health benefits. We conducted interviews with 20 experts in retiree health benefits and four postal stakeholders, including two postal labor unions and two mailer groups, chosen on the basis of our review of relevant publications and prior GAO work.", "In addition, we identified and used data from surveys on companies\u2019 provision of retiree health benefits. These surveys were sponsored by: the Kaiser Family Foundation and the Health Research & Educational Trust (Kaiser/HRET) from 1999 through 2017 and the U.S. Department of Health and Human Services\u2019 Agency for Healthcare Research and Quality (AHRQ), which sponsored the Medical Expenditure Panel Survey, Insurance Component, from which we used data from 2003 through 2016.", "The Kaiser/HRET and AHRQ surveys were selected because they were generalizable at the national level and used comparable methodology across time. We conducted a data reliability assessment of both surveys by reviewing documentation related to how the survey data were collected and processed. We found these surveys produced evidence of sufficient quality for the purposes of our reporting objectives.", "To identify and select approaches that could address postal retiree health benefits, we identified legislative proposals and the experiences of private companies and state governments based on the work described above. In addition, we considered input provided during our interviews with experts in retiree health benefits and postal stakeholders, and drew on our prior work.", "We conducted this performance audit from June 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Postal retiree health benefits are provided as part of the Federal Employees Health Benefits Program (FEHBP). FEHBP covers federal employees and retirees, including postal and nonpostal retirees, who receive health insurance from companies that contract with OPM. Retiree participation is voluntary; in fiscal year 2018, about 500,000 postal retirees have participated in FEHBP.", "Funding requirements for postal retiree health benefits are established by law, which divides responsibility among USPS, the federal government, and postal retirees. USPS is responsible for a specific percentage of premiums, the federal government is responsible for paying a prorated share, and retirees are responsible for the rest. The funding requirements for these benefits changed in 2006. Before then, a \u201cpay-as- you-go\u201d system governed USPS\u2019s payments, which required USPS to pay its share of premiums for current postal retirees. The 2006 Postal Accountability and Enhancement Act (PAEA) required USPS to start fully \u201cprefunding\u201d retiree health benefits. This meant that USPS was required to make annual prefunding payments to a newly established fund to build up funds to cover USPS\u2019s share of future postal retiree health benefit costs. PAEA also established the RHB Fund as a new fund in the U.S. Treasury for USPS to deposit money into, and specified that beginning in fiscal year 2017, the fund would be used by OPM to pay USPS\u2019s share of postal retiree premiums for health benefits. Under PAEA, the first 10 years of prefunding payments were fixed\u2014ranging from $5.4 billion to $5.8 billion annually from fiscal years 2007 to 2016. From fiscal years 2007 through 2016, USPS was also required to continue \u201cpay-as-you-go\u201d payments for its share of premiums for current retirees. The permanent schedule for USPS payments to prefund postal retiree health benefits under PAEA started in fiscal year 2017.", "We have reported that USPS\u2019s financial condition continues to deteriorate and its outlook is bleak. We have separately issued reports and testimonies that examined USPS\u2019s financial condition, including its liabilities, and identified strategies and options for USPS and Congress to reduce postal costs, generate revenue, and restructure the funding of USPS\u2019s pension and retiree health benefits. Looking forward, we have reported that USPS is facing unsustainable financial challenges as First- Class Mail volume continues to decline. USPS has recently reported that its revenue generation options are constrained, including by the price cap on market-dominant mail, and that any cost-cutting opportunities within its control are \u201crelatively limited and dwindling.\u201d USPS stated that the opportunity for further cost savings within its control will not come close to filling its financial gap.", "With respect to actions taken by companies and state governments, we have previously reported on the long-term trend for these organizations to eliminate or reduce retiree health benefits. Factors contributing to this decline include financial challenges for companies and states, current and expected retiree health benefit costs, and the legal ability to change retiree health benefit programs."], "subsections": []}, {"section_title": "The Financial Outlook of the Postal Service Retiree Health Benefits Fund Is Poor", "paragraphs": ["The RHB Fund is on an unsustainable path and is projected to be depleted in 12 years under the status quo. USPS has missed approximately $38 billion in payments to the fund since fiscal year 2010, and the fund\u2019s balance is declining. Beginning in fiscal year 2017, OPM started drawing from the fund to pay USPS\u2019s share of premiums for postal retirees\u2019 health benefits. OPM\u2019s payments in that year exceeded the fund\u2019s income from interest, and OPM projects that, based on the status quo, future payments will continue to exceed the fund\u2019s income from interest. As long as USPS continues to miss its annual payments\u2014which were nearly $4.3 billion in fiscal year 2017 and are $4.5 billion in fiscal year 2018\u2014the fund is on track to be depleted in fiscal year 2030 based on OPM projections requested by us (see fig. 1). We reported similar results in our December 2012 report on postal retiree health benefits.", "At our request, OPM conducted a sensitivity analysis in which alternative projections were made that assumed USPS made payments to the fund of $1 billion per year or $2 billion per year; these alternative projections extended the fund\u2019s projected depletion date from fiscal year 2030 to fiscal years 2032 or 2035, respectively (see fig. 2). OPM estimates the number of postal retirees eligible for federal retiree health benefits will remain near the current level of 500,000 through fiscal year 2035.", "The outlook for the RHB Fund is poor as USPS has inadequate resources to cover its required payments to the RHB Fund and, in our view, based on past practices and USPS statements, appears unlikely to make partial payments. USPS has repeatedly testified that its required payments to the RHB Fund are \u201cunaffordable\u201d relative to its current financial situation and outlook. In this regard, USPS accumulated net losses of more than $65 billion in the last 11 years and has budgeted for a net loss of about $5 billion in fiscal year 2018. Further, USPS reached its statutory borrowing limit of $15 billion in 2012. Although USPS accumulated liquid assets (cash and cash equivalents) of about $10.5 billion at the end of fiscal year 2017, it did not make $6.9 billion in required payments for retiree health and pension benefits. According to USPS officials, USPS did not make these payments in order to preserve liquidity and cover operational costs.", "If the RHB Fund is depleted, PAEA requires USPS to fill the resulting financial gap by resuming \u201cpay-as-you-go\u201d payments for its share of retiree health premiums that are currently being paid by the fund. However, PAEA does not address how funding will be provided or whether benefits will be provided if the fund becomes depleted and USPS does not make payments to cover its share of premiums.", "OPM and USPS have identified the following issues should the fund be depleted:", "According to OPM: (1) The RHB Fund is the initial funding source for USPS\u2019s share of postal retirees\u2019 health insurance premiums as long as money remains in the fund. (2) If the fund is depleted, then USPS becomes the funding source responsible for paying USPS\u2019s share of these premiums. (3) Regardless of whether funds are available to pay USPS\u2019s share of premiums, postal retirees are statutorily entitled to remain enrolled in their FEHBP plans. (4) Therefore, if the fund is depleted and USPS does not pay its share of premiums, the providers of these FEHBP plans would be underpaid.", "According to USPS: (1) Current law does not appear to contemplate a situation in which USPS itself is unable to make payments to the RHB Fund after the fund is depleted. (2) The law does not condition postal retirees\u2019 eligibility for health benefits upon the fund or the payment of government contributions by USPS and the federal government. (3) Therefore, USPS stated it is reasonable to expect that postal retirees would remain eligible for health coverage even if USPS is unable to make payments to the RHB Fund after it is depleted. Regarding who would pay for their health coverage at this point, USPS stated that ultimately, it would be up to Congress to legislate a resolution to the funding issue.", "As the above projections show, the RHB Fund could be depleted in as little as 12 years\u2014and USPS may be unable to cover its share of retiree health insurance premiums should its financial condition remain precarious. Depletion of the fund could affect postal retirees\u2014who have provided a vital service to the nation\u2014as well as USPS, postal customers and other stakeholders, including the federal government."], "subsections": []}, {"section_title": "Many Companies and State Governments Have Cut Retiree Health Benefits to Control Costs", "paragraphs": [], "subsections": [{"section_title": "A Small and Decreasing Percentage of Companies Continue to Offer Retiree Health Benefits", "paragraphs": ["Survey data we reviewed indicate that most companies do not offer retiree health benefits and that the number of companies providing such benefits is decreasing over time. For example, the percentage of all private and public organizations (e.g., state or local governments) with more than 200 employees that offer employee health benefits and that also offer retiree health benefits is estimated to have declined from 40 percent in 1999 to 25 percent in 2017, according to annual surveys conducted by the Henry J. Kaiser Family Foundation and the Health Research & Educational Trust (Kaiser/HRET).", "Focusing specifically on the results for private for-profit companies, the 2017 Kaiser/HRET survey estimated that only 11 percent of companies with at least 200 employees that offered health benefits to active employees also offered retiree health benefits in 2017, the smallest percentage since comparable data were measured in 2012. The 2017 Kaiser/HRET survey also estimated that the percentage of companies offering retiree health benefits was greater among companies with at least 5,000 employees (35 percent) than those with 1,000 to 4,999 employees (18 percent) and those with 200 to 999 employees (9 percent) (see fig. 3).", "Surveys sponsored by the Agency for Healthcare Research and Quality (AHRQ) have estimated similar trends for private sector establishments with at least 1,000 employees and with 100-999 employees. According to the AHRQ surveys, an estimated 25 percent of private sector establishments with at least 1,000 employees offered health insurance coverage to retirees age 65 and older in 2016, down from 41 percent in 2003. For retirees under 65, an estimated 32 percent offered such coverage in 2016, down from 42 percent in 2003 (see fig. 4)."], "subsections": []}, {"section_title": "Many Companies with Retiree Health Benefits Have Changed Eligibility or Benefit Structures", "paragraphs": ["Based on reports we reviewed and experts we interviewed, many companies that have retained their retiree health benefits have done so by making changes to control costs, including tightening eligibility and restructuring benefits. Depending on the company, the changes have applied to new hires, current employees, or retirees. Specific changes have included the following:", "Tightening eligibility: Some companies have made new employees and/or employees hired after a given date ineligible to receive retiree health benefits, while other companies have increased the minimum age and/or length of service requirements for eligibility, according to reports and experts we interviewed.", "Restructuring benefits: Many companies have restructured retiree health benefits to reduce the level of the benefit, to shift costs to retirees, and to change how the benefits are provided. For example, some companies have shifted from an approach under which a company pays a percentage of premiums for a selected health benefit plan, to an approach under which a company pays a fixed dollar amount that employees may put toward health care costs. The 2017 Kaiser/HRET survey estimated that 30 percent of private and public organizations with 200 or more employees that offer retiree health benefits provide a fixed dollar amount that the retiree can use to purchase a retiree health plan they choose. Experts on retiree health benefits that we interviewed told us such companies often shift costs to retirees by maintaining defined contributions at the same level over time, even as overall health care costs increase."], "subsections": []}, {"section_title": "State Governments Have Also Changed Eligibility or Benefit Structures", "paragraphs": ["Based on multiple reports and experts, nearly all state governments continue to offer retiree health benefits to at least some state government retirees but generally have shifted some costs from the state to retirees and/or active employees in various ways. For example, in 2016, the Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation reported on the following recent changes at the state level related to eligibility for retiree health benefits, benefit levels, and aspects of how the benefits coordinate with Medicare:", "Tightening eligibility or limiting benefit levels: Most states varied eligibility for retiree health benefits based on factors such as age and years of service, and varied benefit levels based on factors such as date of hire, date of retirement, or vesting eligibility; some states varied benefit levels based on years of service. Between 2000 and 2015, more than a dozen states changed the minimum age or the number of state service years required for retirees to be eligible for health benefits. During that timeframe, at least 10 states adopted formulas for prorating benefits that required different premium-sharing amounts based on years of service, or altered existing prorating formulas, bringing the total to 31 states that used prorating in 2015. At least 5 states stopped making any contributions to health premiums for certain retirees.", "Medicare coordination: Thirty-five states provided employer- sponsored Medicare Advantage or Medicare Part D plans, known as Employer Group Waiver Plans, to provide health or prescription drug benefit coverage for Medicare-eligible retirees since these options were authorized in 2003. According to the report, \u201cThese cost- saving programs provide states with financial subsidies from the federal Medicare program to provide Medicare plus wraparound benefits.\u201d"], "subsections": []}]}, {"section_title": "Various Policy Approaches to Address the Sustainability of Postal Retiree Health Benefits Could Have Wide-Ranging Effects", "paragraphs": ["We identified eight potential policy approaches to address the financial sustainability of postal retiree health benefits, primarily based on a review of legislative proposals and pertinent literature on actions that were taken by private companies and state governments and are discussed above. These approaches fall into three categories: (1) approaches that shift costs to the federal government; (2) approaches that reduce benefits or increase costs to postal retirees and/or postal employees; and (3) approaches that change how the benefits are financed.", "These eight approaches are not mutually exclusive, nor are they an exhaustive list of possible approaches. Each approach could include a range of specific options; thus, even if successfully implemented, no one approach would necessarily be sufficient to make postal retiree health benefits financially sustainable. Although our discussion of the various policy approaches specifically addresses postal retiree health benefits, most approaches could address federal retiree health benefits more broadly, as both postal and non-postal federal employees participate in the same federal health benefits program.", "All approaches we identified have different potential effects and would require congressional action because current law establishes certain requirements for postal retiree health benefit plans, including basic rules for benefits, enrollment, and participation, and how benefits are to be paid for. Because the RHB Fund has a large and growing financial gap, any approach that would have a significant financial impact could affect the federal government, postal retirees, postal employees, USPS, and customers to varying degrees."], "subsections": [{"section_title": "Some Approaches Would Shift Costs to the Federal Government", "paragraphs": ["Medicare Integration: Various legislative proposals have been made to increase postal retirees\u2019 participation in Medicare\u2014a shift that would decrease USPS\u2019s costs but increase Medicare\u2019s costs, according to analyses by the Congressional Budget Office (CBO). These proposals would establish a program within FEHBP for active postal employees and postal retirees. Under these bills, Medicare-eligible postal retirees enrolled in this program would generally also be required to be enrolled in Medicare Parts A, B, and D. According to CBO analyses, the bills would have resulted in USPS savings, in part because increased participation in Medicare would shift primary responsibility for covering certain health care services to Medicare for those who enroll. As we have previously reported, the primary policy decision for Congress to make is whether to increase postal retirees\u2019 use of Medicare.", "Supplemental federal appropriations: If the RHB Fund becomes depleted and USPS does not fill the financial gap, supplemental federal appropriations could be an alternative if Congress wants benefits to continue at the same level. As previously noted, OPM officials told us that regardless of whether funds are available to pay USPS\u2019s share of premiums, postal retirees are statutorily entitled to remain enrolled in their FEHBP plans. However, supplemental federal appropriations for postal retiree health benefits could increase the federal budget deficit. In addition, supplemental appropriations for postal retiree health benefits would be inconsistent with USPS functioning as a self-financing entity that covers its costs with revenue it generates."], "subsections": []}, {"section_title": "Some Approaches Would Reduce Benefits or Increase Costs to Postal Retirees and/or Employees", "paragraphs": ["Tighten eligibility or reduce or eliminate retiree health benefits: As some companies and state governments have done, eligibility restrictions could be tightened for postal retiree health benefits, or other actions could reduce the level of benefits or even eliminate benefits, such as making new hires ineligible to receive retiree health benefits. The effects would depend on the specific changes and whether they were made to apply to current retirees, current employees, or future hires. Depending on the extent of the changes, this approach would reduce USPS\u2019s liability for postal retiree health benefits and thereby reduce its unfunded liability.", "Increase premium payments by postal retirees and/or postal employees: As some companies and state governments have done, premium payments for postal retiree health benefits by postal retirees and/or postal employees could be increased. For example, as others have reported, some companies and state governments have required retirees to pay 100 percent of the health insurance premium for their retiree health benefits. Similarly, a larger share of retiree health premiums could be borne by postal retirees or postal employees could be required to pay for retiree health benefits before they retire. Such changes would require changes to current law that allocates specific financial responsibility for payments among USPS, the federal government, and retirees participating in FEHBP, as active postal employees make no payment for retiree health benefits under current law.", "The expenses of the RHB Fund could be decreased by these approaches that shift costs to postal retirees, postal employees, or both. Depending on how much of the costs are shifted, the additional costs could increase the challenge for retirees to ensure their accumulated resources last throughout retirement, or for postal employees to save for retirement. Further, as we have reported, rising health care costs can increase the overall amount individuals may need to save to ensure they have an adequate income once they retire.", "Change the federal contribution to a fixed subsidy: As some companies and state governments have done, postal retiree health benefits could be shifted to a structure with a fixed amount subsidizing the benefit. This amount could be adjusted over time; any adjustments might or might not keep up with costs. Depending on the initial size of the fixed subsidy and any adjustments over time, this approach could reduce the expenses of the RHB Fund and USPS\u2019s required payments. RHB Fund expenses could be reduced over time if the fixed subsidy increases less than postal retiree health premiums. This approach would require changes to current law and regulations that prescribe the federal government\u2019s financial contribution to FEHBP. For example, CBO recently identified one option to change FEHBP\u2019s statutory structure from a premium-sharing structure that is required by law to fixed subsidies for health benefits. Under this option, the fixed subsidies would grow at the rate of inflation rather than at the average rate of growth for FEHBP premiums; CBO stated this change would be expected to slow the growth of federal contributions to FEHBP. A fixed subsidy for retiree health benefits could increase incentives for retirees to make less costly decisions with respect to health care. However, this approach could result in greater cost exposure for retirees, who may face difficult decisions regarding their health care, particularly if their financial resources are limited. As we have reported, individuals face the risk that rising and unpredictable health care or long-term care costs may lead them to draw down their retirement savings faster than expected.", "Establish a non-federal voluntary employees\u2019 beneficiary association (VEBA) for postal retiree health benefits: As some companies have done to provide retiree health benefits separately from the employer, a VEBA outside the federal government could be established to manage postal retiree health benefits. This approach means that postal retiree health benefits would be provided through the VEBA instead of through the OPM-administered FEHBP. The non-federal VEBA would administer the postal retiree health benefits program, including determining the specific benefits that would be provided and the level of contributions from the VEBA members\u2014who could include retirees and employees\u2014and the investing of its assets. Such an approach would require determining the VEBA\u2019s governance structure, funding sources, level of funding, type of investments, and associated market risks. One issue could be determining the source and level of initial funding for a new VEBA for postal retiree health benefits, such as whether initial funding would come from the RHB Fund, the Treasury, or both. Other issues could be what funds would be provided to the VEBA going forward, including the source(s) and level of funding, and what the benefit levels would be. If the entire RHB Fund were transferred into a VEBA, the current level of benefits would ultimately not be sustainable unless further funding is provided from one or more sources, such as from USPS, retirees, active employees, or the federal government. Thus, trade-offs would involve what level of benefits would be provided, who would bear the costs, and what might happen if VEBA assets decline or become depleted."], "subsections": []}, {"section_title": "Some Approaches Would Change How Benefits Are Financed", "paragraphs": ["Reduce the required level of prefunding: Proposed legislation includes an 80 percent funding target for postal retiree health benefits instead of the 100 percent target established by current law. This would reduce USPS\u2019s required payments to the RHB Fund but could increase costs for future postal ratepayers and increase the risk that USPS may not be able to pay for these costs. As previously discussed in this report, state governments either do not prefund their retiree health benefits or generally have a low level of prefunding. We have expressed concern about a proposed 80 percent funding target for postal retiree health benefits that would have the effect of carrying a permanent unfunded liability equal to roughly 20 percent of USPS\u2019s liability, which could be a significant amount. As we previously reported, an alternative could be to build in a schedule to achieve 100 percent funding in a later time period after the 80 percent level is achieved. Although USPS payments with an 80 percent funding target would reduce USPS\u2019s required payments, fully funded benefits protect against an inability to make payments later, make promised benefits less vulnerable to cuts, and protect USPS\u2019s long-term viability. Further, reducing the funding target is unlikely to have any effect as long as USPS continues to make no payments to the RHB Fund, as discussed earlier.", "We continue to believe that as long as USPS is required by law to pay its share of retiree health benefits premiums, it is important for USPS to prefund its retiree health benefit liability to the maximum extent that its finances permit. We recognize that multiple options exist to prefund benefits and amortize unfunded liability and that no prefunding approach will be viable unless USPS can make the payments and maintain liquidity. As we have reported, making affordable prefunding payments would protect the viability of USPS by not saddling it with bills later on, when employees are already retired and no longer helping it to generate revenue; making payments can also make the promised benefits more secure. We also have reported that deferring payments can pass costs from current to future postal ratepayers. To the extent prefunding is postponed by using a lower funding target, larger payments will be required later, when they likely would be supported by lower levels of profitable First-Class Mail volume.", "Outside investment: Proposed legislation would initially require 25 percent of the RHB Fund to be invested in index funds modeled after those used for federal Thrift Savings Plan investments. The objective of investing RHB Fund assets outside of U.S. Treasury securities would be to seek a greater rate of return on these assets in an attempt to reduce unfunded liabilities and the amount of required prefunding payments. Such outside investment would require legislation because current law limits RHB Fund assets to U.S. Treasury securities that are backed by the full faith and credit of the federal government. A higher rate of return on RHB Fund assets could reduce long-term funding needs. However, there are other considerations. For example, we have reported that if fund assets were invested in non-Treasury securities, the fund may experience losses in a market downturn and would thus have reduced assets available for health care. Assuming there would be no explicit federal guarantee of the value of the invested assets, we stated that USPS is not well positioned to deal with a potentially significant decline in their value, given its significant operating losses and continuing decline in mail volume. We also reported that the impact of any asset losses could be magnified because a market downturn that negatively affects asset value could be associated with a more general economic downturn that negatively affects USPS mail volume and revenues."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["About a half million postal retirees receive retiree health benefits. Postal retirees have provided a vital service to the nation, and resolving a key aspect of their future situation warrants congressional action. Failure to address the poor financial outlook of the RHB Fund could pose serious consequences for these retirees as well as USPS, postal customers, and other stakeholders, including the federal government. It is reasonable to believe that USPS will not be able to fill the financial gap once the RHB fund is depleted\u2014a situation that could occur in as little as 12 years under the status quo. There is no certainty on what actions should be taken to address this problem. However, we have identified multiple approaches that could be used, individually or in combination, that Congress could consider to help address the financial shortfall in this area. All of these approaches have different potential effects, and it is up to Congress to consider the merits of the approaches and determine the most appropriate action to take. It would be preferable to take action when careful consideration is possible, rather than wait until lack of adequate funding could disrupt postal retiree health benefits."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider passing legislation to put postal retiree health benefits on a more sustainable financial footing."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OPM and USPS for their review and comment. OPM provided technical comments, which we incorporated as appropriate. USPS provided a written response, which is reproduced in appendix II of this report.", "In its written response, USPS stated that it concurred with our matter for congressional consideration that congressional action is necessary to achieve a financially sustainable Postal Service Retiree Health Benefits Fund (RHB Fund). However, USPS said our discussion of potential policy approaches for postal retiree health benefits would benefit from additional context and balance. USPS also put forth additional information for three of the potential policy approaches highlighted in our report. Our report presents a high-level overview of eight potential policy approaches. It was not designed to be a comprehensive catalog of possible options with an analysis of the various considerations relevant to each.", "With regard to the Medicare integration approach, USPS stated that increased Medicare participation by postal retirees is not limited to the \u201cfull Medicare integration option,\u201d as represented in our report and identified variations of such an approach. USPS said readers would benefit from a fuller picture of Medicare integration practices, stating that among employers that continue to provide retiree health benefits, full Medicare integration is a uniform best practice. USPS cited a 2014 report that said Medicare integration is the most common arrangement for employer-provided retiree health benefits, adding that retiree health benefits for Medicare-eligible employees are assumed to be merely supplemental to Medicare as a matter of course. Our report discussed Medicare integration by state governments, but did not present recent data on the percentage of private companies that coordinate their retiree health benefits with Medicare because such data are not publicly available. Additionally, USPS said our report framed the issue of Medicare integration as \u201csolely\u201d a tradeoff between USPS and Medicare costs while there are other factors to consider, such as the relative benefits to USPS compared to the overall cost for the Medicare program. As we noted in our report, the eight potential policy approaches were not designed to be mutually exclusive, nor an exhaustive list of possible approaches. Additionally, we recognize there are various factors related to this approach, but that the primary one is whether to increase postal retirees\u2019 use of Medicare which would lead to further increasing Medicare costs.", "Second, USPS said it believed our statements about approaches for changing the level of prefunding for retiree health benefits below the 100 percent level were misplaced, citing \u201cuniversally accepted practices\u201d for other entities to \u201cpay-as-you-go\u201d (i.e., not prefund at all), or to prefund at much lower levels. We have reported on such funding levels in the past as well. However, a proposed 80 percent funding target for postal retiree health benefits would have the effect of carrying a permanent unfunded liability equal to roughly 20 percent of USPS\u2019s liability, which could be a significant amount. As we previously reported, an alternative could be to build in a schedule to achieve 100 percent funding in a later time period after the 80 percent level is achieved. As our report also explained, although USPS payments with an 80 percent funding target would reduce USPS\u2019s required payments, fully funded benefits protect against an inability to make payments later, make promised benefits less vulnerable to cuts, and protect USPS\u2019s long-term viability.", "Finally, USPS said that our statements about potential risks associated with investment of assets outside the U.S. Treasury seem disproportionate given USPS\u2019s view that diversification of assets set aside for retiree health benefits is \u201cuniversally accepted\u201d as a best practice. We recognize that a higher rate of return on RHB Fund assets could reduce long-term funding needs for the RHB Fund. However, there are considerations specific to USPS. For example, assuming there would be no explicit federal guarantee of the value of the invested assets, we stated that USPS is not well positioned to deal with a potentially significant decline in their value, given its significant operating losses and continuing decline in mail volume. We also noted that, as we have previously reported, the impact of any asset losses could be magnified because a market downturn that negatively affects asset value could be associated with a more general economic downturn that also negatively affects USPS mail volume and revenues.", "In summary, we believe our report presents a balanced description of a wide range of possible policy options; it does not endorse or recommend any particular option for Congress. As we concluded, all of these approaches have different potential effects, and the information we present, as well as the additional views presented by USPS, provide critical information for congressional decision-makers to assess as they consider the merits of the approaches and determine the most appropriate action to take.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Postmaster General; and the Director of the Office of Personnel Management. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions concerning this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Postal Retiree Health Benefits Trend Data", "paragraphs": ["End of year net funded status (unfunded) (55.0)", "Missed USPS payments to the fund (53.5) (52.0) (48.6) (46.2) (47.8) (48.3) (48.9) (54.8) (52.1)"], "subsections": [{"section_title": "2017 Total", "paragraphs": ["payments due on Sept. 30, 2017, of $955 million for the amortization of USPS\u2019s unfunded liability for postal retiree health benefits, and $3.3 billion for the \u201cnormal costs\u201d of retiree health benefits. The \u201cnormal cost\u201d is the annual expected growth in liability attributable to an additional year of employees\u2019 service."], "subsections": []}, {"section_title": "Fiscal Year", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Comments from the U.S. Postal Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Derrick Collins (Assistant Director); Kenneth John (Analyst-in-Charge); Amy Abramowitz; Taiyshawna Battle; William Colwell; Swati Deo; John Dicken; Leia Dickerson; William Hadley; James Leonard; Emei Li; Thanh Lu; Sara Ann Moessbauer; Joshua Parr; Malika Rice; Matthew Rosenberg; Amy Rosewarne; Frank Todisco; and Crystal Wesco made key contributions to this report."], "subsections": []}]}], "fastfact": ["About 500,000 postal retirees receive retiree health benefits. The Postal Service Retiree Health Benefits Fund pays most of the costs.", "The Postal Service has not made $38.2 billion in required payments to this fund through fiscal year 2017. If it makes no more payments, the Office of Personnel Management projects the fund will be depleted in fiscal year 2030.", "We highlighted several approaches to address this shortfall, such as requiring most eligible retirees to participate in Medicare, increasing cost-sharing, or reducing benefits.", "Congress should consider legislation to put postal retiree health benefits on a more sustainable footing."]} {"id": "GAO-18-415", "url": "https://www.gao.gov/products/GAO-18-415", "title": "Compacts of Free Association: Actions Needed to Prepare for the Transition of Micronesia and the Marshall Islands to Trust Fund Income", "published_date": "2018-05-17T00:00:00", "released_date": "2018-05-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2003, the United States approved amended compacts of free association with the FSM and RMI, providing a total of $3.6 billion in economic assistance in fiscal years 2004 through 2023 and access to several U.S. programs and services. Compact grant funding, overseen by the Department of the Interior, generally decreases annually. However, the amount of the annual decrease in grants is added to the annual U.S. contributions to the compact trust funds, managed by joint U.S.-FSM and U.S.-RMI trust fund committees. Trust fund earnings are intended to provide a source of income after compact grants end in 2023, but GAO and others have previously found that the trust funds may not provide sustainable income.", "GAO was asked to examine preparations for the transition in 2023. This report examines (1) the use and role of U.S. funds and programs in FSM and RMI budgets, (2) projected trust fund disbursements and potential strategies to address risks to those disbursements, and (3) FSM and RMI plans to prepare for grant decreases and the transition to trust fund income. GAO reviewed compact agreements, audit reports, and U.S. law; modeled trust fund performance under existing conditions and using potential strategies; and reviewed FSM and RMI plans. GAO visited each country and interviewed FSM, RMI, and U.S. officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federated States of Micronesia (FSM) and the Republic of the Marshall Islands (RMI) continue to rely on U.S. grants and programs, including several that are scheduled to end in 2023. U.S. compact sector and supplemental education grants, both scheduled to end in 2023, support a third of the FSM's and a quarter of the RMI's expenditures. Agreements providing U.S. aviation, disaster relief, postal, weather, and other programs and services are scheduled to end in 2024, but some agencies may provide programs and services similar to those in the agreements under other authorities. FSM and RMI eligibility for some other U.S. grants and programs is expected to continue after 2023.", "Disbursements from the compact trust funds face risks that the trust fund committees have not addressed. GAO found that the trust funds are increasingly likely to provide no annual disbursements in some years and to not sustain their value. Potential strategies such as reduced trust fund disbursements or additional contributions from the countries or other sources could help address these risks. Changing the trust fund disbursement policies could also address these risks but may require revising the trust fund agreements with each country. However, the trust fund committees have not prepared distribution policies, required by the agreements, which could assist the countries in planning for the 2023 transition to trust fund income. The committees also have not prepared the required fiscal procedures for oversight of the disbursements or addressed differences between the timing of their annual determination of the disbursement amounts and the FSM's and RMI's annual budget cycles.", "The FSM and RMI did not implement planned budget reductions to address decreasing compact grants owing to increased revenues from other sources that offset the grant decreases. Current FSM and RMI infrastructure plans address the 2023 transition, while health and education plans focus on strategic goals. Both countries have established new compact planning committees to identify future challenges and develop plans for the 2023 transition to trust fund income."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Interior work with the compact trust fund committees to develop distribution policies and fiscal procedures for the funds and to address disbursement timing. Interior concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2003, the United States approved amended compacts of free association with the Federated States of Micronesia (FSM) and the Republic of the Marshall Islands (RMI) that provide for a total of $3.6 billion in compact sector grants, trust fund contributions, and other grants, as well as access to several U.S. programs and services, in fiscal years 2004 through 2023. This compact assistance is intended to assist the FSM and RMI governments in their efforts to promote the self-sufficiency and budgetary self-reliance of their people. Compact sector grants, managed by the U.S. Department of the Interior (Interior), generally decrease annually before their scheduled end in 2023. However, the amount of the annual decrease in compact sector grants (also referred to as the annual decrement) is added to the annual U.S. contributions to the compact trust fund established for the benefit of each country. Investment earnings from the compact trust funds are intended to provide an annual source of revenue after the compact sector grants are scheduled to end in 2023. In 2007, we reported that the compact trust funds may not provide sustainable income after the compact sector grants end. As 2023 approaches, questions remain as to whether the FSM and RMI will successfully transition to greater self-reliance when the 20 years of U.S. compact economic assistance end.", "You asked us to review issues related to the FSM\u2019s and RMI\u2019s transition from compact grant assistance to relying on income from the compact trust funds. This report examines (1) the use and role of U.S. funds and programs in the FSM and RMI budgets, (2) projected compact trust fund disbursements and potential strategies to address risks to those disbursements, and (3) FSM and RMI efforts to prepare for the scheduled decrements in compact grant funding and the transition to relying on compact trust fund income.", "To examine the use and role of U.S. funds and programs in the FSM and RMI, we interviewed U.S. officials, and we also interviewed FSM and RMI officials during our site visits to each country in July and August 2017. In addition, we reviewed U.S. law; the FSM and RMI compact agreements and the associated military use and operating rights agreements (MUORA) and programs and services agreements; the FSM and RMI government and component unit single audit reports for fiscal years 2012 through 2016; and U.S. Region IX reports for fiscal years 2015 and 2016. To assess the reliability of federal program funding information, we reviewed the single audit reports and found that the auditors did not express any qualified or adverse opinions regarding the information the auditors used to prepare the audits\u2019 Schedule of Expenditures of Federal Awards listing the amount and use of federal grants. We therefore concluded that these data were sufficiently reliable for estimating the role of federal programs in the FSM and RMI budgets. To determine the legal status of U.S. grants, programs, and services after 2023, we analyzed U.S. law and requested review of our analysis from officials of U.S. agencies that provide grants, programs, or services in the FSM and RMI. Although we took multiple steps to validate our list of programs with the FSM and RMI and the relevant U.S. agencies, our analysis may not have captured all U.S. grants and programs provided in the FSM and RMI.", "To examine projected compact trust fund disbursements and actions to address risks, we reviewed previous studies of the compact trust funds, the U.S.-FSM and U.S.-RMI compact trust fund agreements and other governance and reporting documents, such as investment policy statements, presentations before the committees for each compact trust fund, audits, and annual reports. We also interviewed compact trust fund committee members and the funds\u2019 administrator, investment advisers, and money managers.", "To project the compact trust funds\u2019 average disbursements, likelihood of years with zero disbursement, and likelihood of maintaining value after fiscal year 2023, we built a Monte Carlo simulation model and performed 10,000 trial runs of projected returns and disbursements. We used the unaudited fiscal year 2017 year-end balances of the compact trust funds as the starting point for our projections. To assess the reliability of the unaudited balances, we reviewed the previous years\u2019 audits and discussed with the trust funds\u2019 administrator whether these audits had resulted in any significant change between the preliminary unaudited balances and the final audited balances. The March 2018 audited fund balances, released after we completed our analysis, were within $5 of the unaudited fund balances. We concluded that the unaudited balances were sufficiently reliable as a basis for our projections of future trust fund performance. To assess our net rate of return assumptions, we reviewed the trust fund money managers\u2019 capital market assumptions and projections and tested varying rates of return and return distributions.", "To consider the effects of alternative trust fund strategies, we again performed the Monte Carlo analysis to determine the likely effects, relative to the baseline, of five potential strategies that used one of three approaches: (1) reducing annual compact trust fund disbursements, (2) making additional contributions, and (3) changing the disbursement policies, including strategies that would require changes to the trust fund agreements. To select these potential strategies, we reviewed previous studies of the compact trust funds and interviewed agency and trust fund officials.", "To examine FSM and RMI preparations to address the compact grant decrements and the transition to trust fund support, we interviewed FSM and RMI officials and reviewed the FSM and RMI decrement management plans. We compared these plans to single audit reports, budgets, and actions to determine whether the plans were implemented. We also followed up with Interior and the FSM and RMI governments regarding the status of the plans and plan updates. To identify current planning documents for the key sectors of health, education, and infrastructure in the FSM and RMI as well as the status of current planning efforts, we obtained the plans from department heads in each key sector from the RMI and FSM national and state governments and confirmed our identification of the documents with FSM and RMI officials. We then reviewed these plans to determine whether the plans discussed budget changes to address the transition to relying on compact trust fund income after 2023. We also interviewed U.S., FSM, and RMI officials and reviewed documentation to identify and describe ongoing planning committees and working groups for the 2023 transition.", "For more details of our objectives, scope, and methodology, see app. I.", "We conducted this performance audit from March 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The FSM and the RMI are independent countries located about 3,000 miles southwest of Hawaii (see fig. 1).", "The FSM is a federation of four semiautonomous states\u2014Chuuk, Kosrae, Pohnpei, and Yap\u2014whose population and income vary widely. Chuuk, the largest state by population, has the lowest per capita gross domestic product (GDP). Overall, the FSM had a 2016 population of approximately 102,000 and a GDP per capita of about $3,200. The RMI\u2019s 2016 population was approximately 54,000 with a GDP per capita of about $3,600. The RMI\u2019s most recent census, in 2011, found that approximately three-quarters of the population lived in Majuro, the nation\u2019s capital, and on the island of Ebeye in the Kwajalein Atoll. Table 1 shows the FSM\u2019s, FSM states\u2019, and RMI\u2019s estimated population and annual GDP per capita in fiscal year 2016."], "subsections": [{"section_title": "FSM and RMI Government Revenues", "paragraphs": ["The FSM states maintain considerable authority, relative to the FSM national government, to allocate U.S. assistance and implement budgetary policies. While the United States provides compact sector grants directly to the FSM national government, a large portion of these grants is passed through and provided to the four FSM states. The states also receive other U.S. program grants that have been passed through from the national government but may also receive grants directly from U.S. agencies.", "Overall, FSM public sector revenue sources include U.S. compact and program grants; grants from other countries; taxation, including taxation of foreign corporations domiciled in the FSM; and Parties to the Nauru Agreement fishing fees charged to vessels operating in its waters. In addition to maintaining departmental budgets, both the FSM national government and the FSM states have government-owned enterprises and component units, such as public utilities and port authorities, whose operations are supported by public funds. Some of these component units also receive U.S. compact sector grants or other U.S. grants passed through the FSM national or state governments or directly from U.S. agencies. According to Graduate School USA, the FSM\u2019s public sector accounted for about 53 percent of all employment in the FSM in fiscal year 2016.", "The RMI government is responsible for allocating U.S. assistance in that country, though the RMI\u2019s 24 local governments exercise local government authority. RMI public sector revenue sources include U.S. compact and program grants, grants from other countries, ship and corporate registry earnings, and Parties to the Nauru Agreement fishing fees. The RMI government also has state-owned enterprises and component units whose operations are supported by public funds. Some of these component units receive U.S. compact sector grants or other U.S. grants passed through the RMI government or directly from U.S. agencies. According to Graduate School USA, in fiscal year 2016, RMI\u2019s public sector accounted for approximately 48 percent of all employment in the RMI. The U.S. Army Garrison\u2013Kwajalein Atoll, located near Ebeye island, also provides a significant source of employment for Marshallese. In September 2017, U.S. Army Garrison-Kwajalein Atoll officials estimated that approximately 1,100 Marshallese were employed at the garrison."], "subsections": []}, {"section_title": "Compact of Free Association (1986\u20132003)", "paragraphs": ["U.S. relations with the FSM and the RMI began during World War II, when the United States ended Japanese occupation of the region. Beginning in 1947, the United States administered the region under a United Nations trusteeship. During the 1940s and 1950s, the RMI was the site of 67 U.S. nuclear weapons tests on or near Bikini and Enewetak Atolls. The four states of the FSM voted in a 1978 referendum to become an independent nation, while the RMI established a constitutional government and declared itself a republic in 1979. Under the trusteeship agreement, both newly formed nations remained subject to the authority of the United States until 1986.", "In 1986, following a period of negotiations, the United States entered into a compact of free association with the FSM and the RMI that provided for economic assistance to the two countries, secured U.S. defense rights, and allowed FSM and RMI citizens to migrate to the United States. The compact provided a framework for the United States and the two countries to work toward achieving the following three main goals: (1) establish self-government for the FSM and the RMI, (2) ensure certain national security rights for all of the parties, and (3) assist the FSM and the RMI in their efforts to advance economic development and self- sufficiency. The compact\u2019s third goal was to be accomplished primarily through U.S. direct financial assistance to the FSM and the RMI.", "Under the original compact, the FSM and the RMI used funds for general government operations; capital projects, such as building roads and investing in businesses; debt payments; and targeted sectors, such as energy and communications. The FSM concentrated much of its spending on government operations at both national and state levels, while the RMI emphasized capital spending. While the original compact set out specific obligations for reporting and consultations regarding the use of compact funds, the FSM, RMI, and U.S. governments provided little accountability over compact expenditures and did not ensure that funds were spent effectively or efficiently."], "subsections": []}, {"section_title": "Amended Compacts of Free Association (2004\u2013 Present)", "paragraphs": ["In 2003, following a period of negotiations, the United States approved separate amended compacts with the FSM and the RMI that went into effect on June 25, 2004, and May 1, 2004, respectively."], "subsections": [{"section_title": "Compact Grants and Trust Fund Contributions", "paragraphs": ["The amended compacts\u2019 implementing legislation authorized and appropriated direct financial assistance to the FSM and the RMI in fiscal years 2004 through 2023, with the base amounts decreasing in most years. The annual decrements in assistance are added to the amounts deposited in the trust funds established under the amended compacts for the two nations. Earnings from the compact trust funds are intended to provide an annual source of revenue after the scheduled end of compact sector grants at the end of fiscal year 2023. Both the compact sector grants and trust fund contributions are partially adjusted for inflation each fiscal year. Appendix II provides additional information on the base and inflation-adjusted amounts of U.S. compact sector grants and trust fund contributions in fiscal years 2004 through 2023.", "The amended compacts and associated fiscal procedures agreements require that compact sector grants support the countries in six core sectors\u2014education, health, infrastructure, environment, private sector development, and public sector capacity building\u2014with the education and health sectors having priority. These grants are described in section 211(a) of each compact and are referred to as compact sector grants or 211(a) grants. Section 211(b) of the RMI compact further states that the RMI must target a specified amount of grants to Ebeye and other Marshallese communities within Kwajalein Atoll. The RMI MUORA states that the Kwajalein-related funds provided to the RMI in the compacts shall be provided through fiscal year 2023 \u201cand thereafter for as long as this agreement remains in effect.\u201d"], "subsections": []}, {"section_title": "Compact Trust Fund Management and Implementation", "paragraphs": ["The amended compacts and their subsidiary trust fund agreements provided that each trust fund is to be managed by a compact trust fund committee. Each compact trust fund committee includes representatives from both the United States and the respective country, but the United States is required by the terms of the trust fund agreements to hold the majority of votes on each committee. The Director of Interior\u2019s Office of Insular Affairs serves as the chair of each committee. Trust fund committee responsibilities include overseeing fund operation, supervision, and management; investing and distributing the fund\u2019s resources; and concluding agreements with any other contributors and other organizations. As part of this oversight, the committees are to establish an investment and distribution policy. The committees are also to determine fiscal procedures to be used in implementing the trust fund agreements based on the fiscal procedures used for compact grant administration unless otherwise agreed by the parties to the agreement.", "The trust fund agreements between the United States and the FSM and the RMI allow for the agreements to be amended in writing at any time, with mutual consent of the governments. However, the U.S. legislation implementing the amended compacts requires that any amendment, change, or termination of all or any part of the compact trust fund agreements shall not enter into force until incorporated into an act of Congress.", "According to the trust fund agreements, each trust fund committee is to appoint a trustee and an independent auditor. Each committee has retained an Executive Administrator to manage the daily operations of the trust fund. In addition, the committee has the authority to appoint 1 or more investment advisers and may enter into a separate agreement with 1 or more money managers. The investment policy statement for each fund guides the fund\u2019s investment strategy and portfolio."], "subsections": []}, {"section_title": "Compact Trust Fund Structure", "paragraphs": ["The compact trust fund agreements state that no funds, other than specified trust fund administrative expenses, may be distributed from the compact trust fund prior to October 1, 2023. From fiscal year 2024 onward, the maximum allowed disbursement from each compact trust fund is the amount of the fiscal year 2023 annual grant assistance, as defined by the trust fund agreement, with full adjustment for inflation.", "In addition, the trust fund committees may approve additional amounts for special needs. The RMI compact trust fund agreement excludes from the calculation of the allowed disbursement the amount of the Kwajalein- related assistance defined in section 211(b) of the RMI compact. Although the compact trust fund agreements state the maximum allowable disbursement level, they do not establish or guarantee a minimum disbursement level.", "Each country\u2019s compact trust fund consists of three interrelated accounts: the \u201cA\u201d account, the \u201cB\u201d account, and the \u201cC\u201d account.", "The A account is the trust fund\u2019s corpus and contains the initial, and any additional, U.S. and FSM or RMI contributions; contributions from other countries; and investment earnings. No funds, other than specified trust fund administrative expenses, may be disbursed from the A account.", "The B account is the trust fund\u2019s disbursement account and becomes active in fiscal year 2023. All income earned in 2023 will be deposited in the B account for possible disbursement in 2024. Each subsequent year\u2019s investment income will similarly be deposited into the B account for possible disbursement the following year. If there is no investment income, no funds will be deposited in the B account for possible disbursement the following year.", "The C account is the trust fund\u2019s buffer account. Through 2022, any annual income exceeding 6 percent of the fund balance is deposited in the C account. From 2023 onward, if annual income from the A account is less than the previous year\u2019s disbursement, adjusted for inflation, the C account may be tapped to address the shortfall. After 2023, any funds in the B account in excess of the amount approved for disbursement the following fiscal year are to be used to replenish the C account as needed, up to the maximum size of the account. The size of the C account is capped at three times the amount of the estimated annual grant assistance in 2023, including estimated inflation. If there are no funds in the C account, and no prior year investment income in the B account, no funds will be available for disbursement to the countries the following year.", "Figure 2 shows the compact trust fund account structure and associated rules.", "According to the U.S. trust fund agreements with the FSM and the RMI, contributions from other donors are permitted. In May 2005, Taiwan and the RMI reached an agreement that Taiwan will contribute a total of $40 million to the RMI\u2019s compact trust fund A account between 2004 and 2023. A \u201cD\u201d account may also be established to hold any contributions by the FSM and the RMI governments of revenue or income from unanticipated sources. According to the trust fund agreements, the D account must be a separate account, not mixed with the rest of the trust fund. Only the RMI has a D account, governed in part by an agreement between Taiwan and the RMI."], "subsections": []}, {"section_title": "Compact Accountability, Management Structures, and Reporting", "paragraphs": ["The amended compacts\u2019 implementing legislation and their subsidiary fiscal procedures agreements established committees to oversee compact grants to each country\u2014the Joint Economic Management Committee (JEMCO) for the FSM and the Joint Economic Management and Financial Accountability Committee (JEMFAC) for the RMI. Each five- member committee comprises three representatives from the U.S. government and two representatives from the corresponding country, with the Director of Interior\u2019s Office of Insular Affairs serving as the chair.", "JEMCO\u2019s and JEMFAC\u2019s designated roles and responsibilities include the following: reviewing the budget and development plans from each of the governments; approving grant allocations and performance objectives; attaching terms and conditions to any or all annual grant awards to improve program performance and fiscal accountability; evaluating progress, management problems, and any shifts in priorities in each sector; and reviewing audits called for in the compacts.", "JEMCO and JEMFAC can require that terms and conditions be attached to any and all annual compact sector grant awards to improve program performance and fiscal accountability. Under the fiscal procedures agreements governing the amended compacts, the Office of Insular Affairs is responsible for using financial reports to monitor each country\u2019s budget and fiscal performance and for using performance reports submitted by the countries to evaluate sector grant performance. The FSM and the RMI also must adhere to specific fiscal control and accounting procedures and are required to submit annual audit reports, within the meaning of the Single Audit Act as amended.", "The FSM and RMI compacts require each country to develop multiyear plans that are strategic in nature and continuously reviewed and updated through the annual budget process and that address the assistance for the defined sectors. In 2013, we recommended that Interior, as Chair of JEMCO and JEMFAC, ensure that the FSM and the RMI complete plans to address the impact of declining compact sector grants (in this report, decrement management plans). In November 2013, the FSM finalized its decrement management plan for fiscal years 2014 through 2023; the plan indicated that a similar planning process is to be repeated in 3-year intervals. In September 2014, the RMI finalized its decrement management plan for fiscal years 2015 through 2023; the plan similarly stated that a comprehensive planning process to address the ongoing decrement may proceed on a 3-year update schedule. Each decrement management plan includes commitments for budget reductions in the national governments and, in the FSM, the state governments, as well as plans to undertake actions such as tax reform."], "subsections": []}, {"section_title": "Programs and Services Provided in Compact-Related Agreements", "paragraphs": ["The amended compacts\u2019 implementing legislation incorporates by reference related agreements extending programs and services to the FSM and RMI. The programs and services agreement with each country identifies the following programs and services as being available to each country: U.S. postal services, weather services, civil aviation, disaster preparedness and response, and telecommunications. Each programs and services agreement extends for 20 years from the compact\u2019s entry into force. Therefore, the agreement with the FSM ends on June 24, 2024, and the agreement with the RMI ends on April 30, 2024."], "subsections": []}, {"section_title": "Programs Authorized by U.S. Legislation", "paragraphs": ["The amended compacts\u2019 implementing legislation (Pub. L. No. 108-188) and other U.S. legislation authorize other U.S. grants, programs, and services for the FSM and RMI. Pub. L. No. 108-188 authorized an annual supplemental education grant (SEG) for the FSM and RMI in fiscal years 2005 through 2023, to be awarded in place of grants formerly awarded to the countries under several U.S. education, health, and labor programs. The FSM and RMI are not eligible for the programs replaced by the SEG during these years. Unlike the compact sector grants, the amended compacts\u2019 implementing legislation authorized the SEG but did not appropriate funds for it. Funding for the SEG is appropriated annually to the U.S. Department of Education (Education) and transferred to Interior for disbursement. Other provisions of the amended compacts\u2019 implementing legislation, as well as other U.S. law, make the FSM and RMI eligible for a number of additional programs. Other federal departments are responsible for the administration and oversight of their respective programs in the FSM and RMI."], "subsections": []}]}]}, {"section_title": "The FSM and RMI Continue to Rely on U.S. Grants and Programs That End in 2023", "paragraphs": ["Compact sector grants and the SEG, each of which end in 2023, continue to support a substantial portion of government expenditures in the FSM and RMI. In the FSM, compact sector grants and the SEG support about one-third of all government expenditures. The four FSM states rely on these grants to a greater extent than the FSM national government does. In the RMI, compact sector grants and the SEG support about one- quarter of all government expenditures. The end of the compacts\u2019 programs and services agreements in 2024 would also require the FSM and RMI to bear additional costs to provide services currently provided by the United States as part of the Agreements. Appendix IV provides a detailed summary of programs and services we identified that have been provided through the amended compacts, the amended compacts\u2019 implementing legislation, compact-related agreements, and other provisions of U.S. law, as well as their status in the FSM and RMI after 2023."], "subsections": [{"section_title": "U.S. Compact Grants and Other Grants Continue to Provide Substantial Support to the FSM and RMI Budgets", "paragraphs": [], "subsections": [{"section_title": "U.S. Grants Scheduled to End in 2023 Support About One- Third of Total FSM Government Expenditures", "paragraphs": ["The FSM national and state governments overall continue to rely on U.S. support for program expenditures. Compact sector grants, the SEG, and other U.S. grants supported almost half of FSM national and state government expenditures in fiscal year 2016. Compact sector and supplemental education grants that end in 2023 supported approximately one-third of total FSM national and state government expenditures in fiscal year 2016, while other U.S. grants supported an additional 15 percent of total FSM government expenditures (see fig. 3).", "Compact sector and supplemental education grants that end in 2023 support a larger proportion of FSM state governments\u2019 expenditures than of the FSM national government\u2019s expenditures. In fiscal year 2016, compact sector grants and the SEG supported 8 percent of national government expenditures but supported 50 percent or more of each state\u2019s government expenditures. Among the FSM states, Chuuk\u2014both the largest state and the state with the lowest per capita income in the FSM\u2014has the highest percentage of its expenditures supported by U.S. grants. (See table 2 for a summary of FSM national and state government expenditures supported by compact sector grants and the SEG, and by other U.S. grants.) Compact sector grants and the SEG support an even higher proportion of FSM states\u2019 health and education expenditures. See app. III for a summary of the role of compact funds in the FSM health and education sectors.", "The RMI continues to rely on U.S. support for program expenditures. Compact sector and supplemental education grants that end in 2023 supported approximately 25 percent of the RMI\u2019s $123.5 million in government expenditures in fiscal year 2016, while other U.S. grants supported an additional 8 percent. Compact Kwajalein-related grants that do not end in 2023 supported an additional 3 percent (see fig. 4). Compact sector grants and the SEG support an even higher proportion of RMI health and education expenditures. See app. III for a summary of the role of compact funds in the RMI health and education sectors."], "subsections": []}]}, {"section_title": "End of the Programs and Services Agreements Would Also Affect FSM and RMI Budgets", "paragraphs": ["FSM and RMI budgets would be affected if the countries were to assume responsibility for providing some additional programs and services currently provided by the United States. Current U.S. law enables U.S. agencies to continue providing some programs and services now provided under the agreements after they end in 2024. However, under current law, some programs and services provided in the programs and services agreements will end and would require the FSM and RMI to bear additional costs. See appendix IV for a summary of the status of programs and services provided under the programs and services agreements after the agreements end."], "subsections": []}]}, {"section_title": "Compact Trust Funds Face Continuing Risks That Trust Fund Committees Have Not Yet Addressed", "paragraphs": ["Previous studies of the FSM and RMI compact trust funds, including a review we conducted in 2007, found that after fiscal year 2023 the funds are unlikely to provide maximum annual disbursements, may provide no disbursements at all in some years, and are unlikely to sustain the funds\u2019 fiscal year 2023 value. Our updated projections for the compact trust funds show similar outlooks. Several potential strategies could improve the compact trust funds\u2019 outlook; some of these strategies could be implemented under the current trust fund agreements, while other strategies may require changing the trust fund agreements. The compact trust fund committees have not yet prepared distribution policies, required by the trust fund agreements, that could assist the countries in planning for the transition to trust fund income. In addition, the committees have not established fiscal procedures for oversight of compact trust fund disbursements as required by the trust fund agreements. Further, the trust fund committees have not yet addressed a potential misalignment between the timing of their annual calculation of the amounts available to disburse and the FSM\u2019s and RMI\u2019s budget timelines, potentially complicating each country\u2019s planning and management."], "subsections": [{"section_title": "Previous Studies of Compact Trust Funds Found Increasing Risks to Disbursements and Sustainability under Current Rules", "paragraphs": ["Previous studies of the compact trust funds have found that some yearly disbursements from the funds after 2023 are likely to fall short of the inflation-adjusted amount of annual grant assistance in 2023 and that the funds may provide no disbursement at all in some years. Our 2007 analysis of the compact trust funds projected a wide range of potential balances and found that the funds\u2019 capacity to provide the maximum allowable disbursement would likely decrease over time. In addition, our analysis showed an increasing likelihood that the trust funds would exhaust the C account and be unable to provide any disbursements in the latter years of our projection. Other analyses have similarly found risks of low or zero disbursements and risks to sustainability.", "Graduate School USA has prepared an annual series of economic reports on each country, including analyses of their compact trust funds.", "In 2015, an Asian Development Bank report separately analyzed the trust funds.", "The International Monetary Fund projected the status of the trust funds as part of its biennial FSM and RMI consultations."], "subsections": []}, {"section_title": "Updated Projections Show Continuing Risks to Compact Trust Fund Disbursements and Sustainability", "paragraphs": ["Our updated projections for the FSM and RMI compact trust funds after 2023 indicate a continued likelihood that, given their balance at the end of fiscal year 2017 and current compact trust fund rules\u2014the baseline scenario\u2014the funds will be unable to provide maximum disbursements (equal to the inflation- adjusted amount of annual grant assistance in 2023) in some years; unable to provide any disbursement at all in some years, with the likelihood of zero disbursement in a given year increasing over time; and unable to maintain the inflation-adjusted value of the compact trust fund after fiscal year 2023.", "The compact trust funds\u2019 C account\u2014designed as a buffer to protect disbursements from the B account in years when the funds do not earn enough to fund the disbursement\u2014could be exhausted by a series of years with low or negative annual returns. Since current rules do not allow disbursements from the compact trust fund corpus (the A account), exhaustion of the C account would result in zero disbursement in years when fund returns are zero or negative. Thus, there may be no funds available to disburse even if the funds\u2019 A accounts have a balance. As a result of low or zero disbursements, the countries could face economic and fiscal shocks and significant challenges in planning programs and budgets."], "subsections": [{"section_title": "FSM Compact Trust Fund Projections", "paragraphs": ["Our model projects that, given the baseline scenario and a 6 percent net return, the FSM compact trust fund will experience declining disbursements relative to the maximum allowable disbursements; an increasing chance of zero disbursements; and a declining likelihood of maintaining its 2023 balance. See appendix I for a full description of our methodology and appendix V for the baseline results with alternative net returns.", "Projected disbursements. We project that the FSM compact trust fund will, on average, be able to provide disbursements equal to 82 percent of the maximum allowable disbursement\u2014the inflation- adjusted amount of 2023 annual grant assistance\u2014in its first decade of disbursements. The likely average disbursement falls to 49 percent of the maximum in the next decade and falls further in subsequent decades. In addition, the amount available for disbursement may fluctuate substantially from year to year. Depending on the compact trust fund\u2019s performance in the previous year, disbursements may be higher or lower than the average amount if the balance in the C account is not sufficient to provide additional disbursements.", "Likelihood of providing zero disbursement. We project a 41 percent likelihood that the FSM compact trust fund will be unable to disburse any funds in 1 or more years during the first decade of trust fund disbursements. This likelihood increases over time, rising to 92 percent in fiscal years 2054 through 2063.", "Likelihood of maintaining inflation-adjusted 2023 balance. We project a 13 percent likelihood that the FSM compact trust fund will maintain or exceed its inflation-adjusted fiscal year 2023 value in fiscal year 2033. This likelihood decreases in later years.", "Figure 5 shows our projections of the FSM compact trust fund\u2019s average disbursements as a percentage of maximum disbursement, the likelihood of 1 or more years of zero disbursement, and the likelihood of the fund\u2019s maintaining its inflation-adjusted fiscal year 2023 balance given the baseline scenario and a 6 percent net return.", "The FSM also maintains its own trust fund separate from the compact trust fund (see app. VI for additional information). We did not independently project the FSM Trust Fund\u2019s future balance or potential disbursements after 2023."], "subsections": []}, {"section_title": "RMI Compact Trust Fund Projections", "paragraphs": ["Our model projects that, given the baseline scenario and a 6 percent net return, the RMI compact trust fund will experience declining disbursements relative to the maximum allowable disbursements; an increasing chance of zero disbursements; and a declining likelihood of sustaining its 2023 balance.", "Projected disbursements. We project that the RMI compact trust fund will, on average, be able to provide disbursements nearly equal to the inflation-adjusted amount of 2023 annual grant assistance as defined by the trust fund agreement\u2014the maximum allowable\u2014in its first decade of disbursements. However, the projected disbursements as a percentage of the maximum disbursements decline by about 10 percentage points in each subsequent decade. In addition, the amount available to disburse may fluctuate substantially from year to year. Depending on the compact trust fund\u2019s performance in the previous year, disbursements may be higher or lower than the average amount if the balance in the C account is not sufficient to provide additional disbursements.", "Likelihood of providing zero disbursement. We project a 15 percent likelihood that the RMI compact trust fund will be unable to disburse any funds in 1 or more years during the first decade of trust fund disbursements. This likelihood increases over time, rising to 56 percent in fiscal years 2054 through 2063.", "Likelihood of maintaining inflation-adjusted 2023 balance. We project a 41 percent likelihood that the RMI compact trust fund will maintain or exceed its inflation-adjusted fiscal year 2023 value in fiscal year 2033. This likelihood decreases in later years.", "Figure 6 shows our projections of the RMI compact trust fund\u2019s average disbursements as a percentage of maximum disbursement, its likelihood of 1 or more years of zero disbursement, and its likelihood of maintaining its inflation-adjusted fiscal year 2023 balance given the baseline scenario and a 6 percent net return.", "The RMI also maintains its own D account separate from the compact trust fund (see app. VI for additional information). We did not independently project the D account balance or potential disbursements from the D account after 2023."], "subsections": []}]}, {"section_title": "Reducing Disbursements, Making Additional Contributions, and Changing Disbursement Policies Would Each Affect the Outlook of the Compact Trust Funds", "paragraphs": ["We conducted a series of simulations to determine the likely effects of potential strategies for improving the outlook of the FSM and RMI compact trust funds. Prior studies by Graduate School USA, the Asian Development Bank, and the International Monetary Fund examined the effects of three general approaches for improving the trust funds\u2019 outlooks: (1) reducing planned disbursements from the funds, (2) making additional contributions to the funds, and (3) changing the compact trust fund disbursement policies. These prior studies included strategies that would require changing the trust fund agreements to permit disbursements from the A account. To isolate the impact of individual changes on compact trust fund balance and disbursements, we developed and analyzed five potential strategies based on the approaches examined in the prior studies. 1. Annual disbursements are reduced below the maximum allowable disbursement. 2. Additional annual contributions are made to the trust fund in fiscal years 2018 through 2023. 3. The trust fund agreement disbursement policies are modified to limit the annual disbursement to a fixed percentage of the fund\u2019s moving average balance over the previous 3 years, up to the maximum disbursement amount defined by the current trust fund agreement. 4. The trust fund agreement disbursement policies are modified to reduce the amount of the annual disbursement if the compact trust fund\u2019s moving average balance over the previous 5 years is lower than a primary target amount. 5. The trust fund agreement disbursement policies are modified to set the target disbursement as 2.1 percent of the compact trust fund\u2019s balance in fiscal year 2024. The disbursement amount is further decreased if the fund\u2019s moving average balance over the previous 5 years is lower than the primary target balance.", "Implementing either of the first two potential strategies would not require any changes to disbursement provisions in the existing trust fund agreement, but implementing any of the remaining three strategies may require such changes. In strategies 3, 4, and 5, we analyzed strategies that would permit disbursement from the A account. Disbursing from the A account would require changing the compact trust fund agreements. The agreements can be amended in writing at any time, with mutual consent of the governments. However, the U.S. legislation implementing the amended compacts requires that any amendment, change, or termination of all or any part of the compact trust fund agreements shall not enter into force until incorporated into an act of Congress.", "All of the potential strategies we analyzed would reduce or eliminate the risk of the compact trust funds experiencing years of zero disbursement. However, all of the potential strategies would require the countries to exchange a near-term reduction in resources for more predictable and sustainable disbursements in the longer term. Appendix VII presents the detailed results of our analysis."], "subsections": []}, {"section_title": "Compact Trust Fund Committees Have Not Addressed Issues Related to Distribution Policies, Fiscal Procedures, and Disbursement Timing", "paragraphs": [], "subsections": [{"section_title": "Trust Fund Committees Have Not Developed Distribution Policies Required by the Compact Trust Fund Agreements", "paragraphs": ["Under the compact trust fund agreements, each trust fund committee must develop a distribution policy, with the intent that compact trust fund disbursements will provide an annual source of revenue to the FSM and RMI after fiscal year 2023. The trust fund committees could use distribution policies to address risks to each fund\u2019s sustainability. For example, the committees have the discretion to disburse an amount below the established maximum. Our analysis of potential strategies for improving the funds\u2019 outlook shows that reducing the size of disbursements would improve each compact trust fund\u2019s long-term sustainability. According to interviews with, and documents provided by, the trust funds\u2019 administrator, the committees reviewed presentations in 2016, 2017, and early 2018 from the authors of previous studies and fund managers regarding the likely status of the trust funds after 2023 and have also reviewed options for addressing risks to the trust funds\u2019 disbursements and sustainability, including changes to disbursement provisions in the compact trust fund agreements. However, as of January 2018, according to the trust funds\u2019 administrator, neither committee had developed a distribution policy. Without a distribution policy that provides information about the size of expected disbursements, the FSM and RMI are hampered in their current and ongoing efforts to plan for the potential reduction in U.S. compact assistance after 2023."], "subsections": []}, {"section_title": "Trust Fund Committees Have Not Established Fiscal Procedures Required by Compact Trust Fund Agreements", "paragraphs": ["The compact trust fund committees have not yet established fiscal procedures for compact trust fund disbursements after fiscal year 2023. Each trust fund agreement requires the respective committee to determine the fiscal procedures to be used in implementing the trust fund agreement. The committees are to base their procedures on the compact fiscal procedures agreements, which define the membership and duties of the JEMCO and JEMFAC and single audit report requirements, among other things, unless the parties to the trust fund agreement agree to adopt different fiscal procedures. No compact trust fund disbursements are to be made unless the committee has established such trust fund fiscal procedures.", "U.S., FSM, and RMI officials are aware of the need to determine the fiscal procedures that will govern oversight of compact trust fund disbursements. Issues related to future oversight of compact trust fund disbursements have been raised for discussion with U.S. representatives on JEMCO and JEMFAC. However, according to an RMI representative on the compact trust fund committee, that committee has not discussed fiscal procedures for the compact trust fund disbursements. In addition, FSM officials noted that they were unsure whether the JEMCO or the compact trust fund committees would approve specific projects. Without fiscal procedures in place, the trust fund committees will not be able to provide disbursements and the United States, the FSM, and the RMI will lack clear guidance to ensure oversight for trust fund disbursements."], "subsections": []}, {"section_title": "Trust Fund Committees Have Not Addressed Issues Related to Disbursement Timing", "paragraphs": ["The timing of the trust fund committees\u2019 calculation of the amounts available for annual disbursement to the FSM and the RMI does not align with the countries\u2019 budget and planning timelines. The amounts available for disbursement in a given fiscal year cannot be determined until each fund\u2019s returns have been determined at the end of the prior year. Further, if the disbursement amounts are calculated from audited fund returns as determined by annual audits required by the trust fund agreements, the amounts may not be determined until as late as March 31, 6 months into the fiscal year for which the disbursement is to be provided. However, both the FSM and the RMI government budget cycles are completed before the annual amounts available for disbursement will be known. As a result, the FSM and RMI would have to budget without knowing the amount to be disbursed, complicating their annual budget and planning processes. See figures 7 and 8 for the FSM and RMI budget timelines for fiscal year 2024, based on their current budget calendars, relative to the dates when the compact trust fund disbursement amounts will be determined on the basis of the funds\u2019 unaudited end-of-fiscal-year balances and of their audited balances. Standards for Internal Control in the Federal Government\u2014which is applicable to the U.S. government but can be adopted as a best practice by nongovernmental entities\u2014states that management should use quality information to achieve the entity\u2019s objectives. For example, as part of using quality information, the entity obtains relevant data from reliable internal and external sources in a timely manner based on the identified information requirements.", "Given the FSM\u2019s and RMI\u2019s current budget processes, the FSM and RMI will not have accurate and timely information on the amounts that will be available for annual disbursements for each fiscal year. The FSM Secretary of Finance and Administration, a member of the compact trust fund committee, indicated that she is aware of the discrepancy between the timing of the trust fund disbursement calculations and dates in the FSM\u2019s budget and planning cycle and stated that the FSM would raise the issue of this discrepancy as part of its planning for the transition to relying on compact trust fund disbursements. One of the RMI\u2019s representatives on the compact trust fund committee stated that the timing of the disbursement calculations was a challenge and would complicate RMI planning and management. Each trust fund committee received a briefing in 2016 from the trust funds\u2019 administrator that discussed issues associated with the timing of the disbursement calculations. However, as of January 2018, the committees had not determined how they would address this issue."], "subsections": []}]}]}, {"section_title": "FSM and RMI Decrement Plans Were Not Implemented Because of Increased Revenues, but Each Country Has Begun New Planning Efforts", "paragraphs": ["The FSM and RMI did not implement planned budget reductions to address decreasing compact sector grants because of increasing revenue from other sources. FSM officials stated that they did not implement their plan\u2019s planned budgetary reductions due to increasing revenues for the state and national governments. The RMI also did not implement budget reductions but used increased revenue, particularly from fishing fees, to offset the decrement in compact sector grants. FSM and RMI strategic plans in the key sectors of education and health focus on strategic goals and priorities rather than addressing the effect of the 2023 transition on health and education budgets. However, FSM and RMI infrastructure plans discuss funding requirements and potential alternative funding sources. The FSM, the RMI, and the United States have each established bodies to plan to address issues related to the 2023 transition to trust fund income."], "subsections": [{"section_title": "Previous Decrement Management Plans Were Not Implemented Because of Growth in Revenues", "paragraphs": [], "subsections": [{"section_title": "FSM Long-Term Fiscal Framework", "paragraphs": ["The FSM has not implemented budget reductions scheduled in its decrement management plan, the FSM-Wide Long-Term Fiscal Framework (Long-Term Fiscal Framework). The FSM\u2019s plan included a firm commitment for a 6 percent reduction in real terms in FSM state expenditures in fiscal year 2014. Two additional 6 percent expenditure reductions were planned for fiscal years 2017 and 2020, but these were contingent reductions that would not be implemented if the FSM states received offsetting revenue to address the reductions. According to FSM national government officials, revenue increases, including growth in revenue from fishing fees, have enabled the FSM to avoid implementing the 2017 contingent 6 percent expenditure reductions, and the further reductions in fiscal year 2020 are not likely to be implemented. FSM officials cited multiple reasons for not implementing the planned reductions: Increasing revenue to the state and national governments. The FSM\u2019s Long-Term Fiscal Framework included a plan to increase the proportion of compact sector grant funding distributed among the FSM states and reduce the proportion retained by the national government. This change in the FSM\u2019s internal compact grant distribution formula reduced the amount of the decrement in compact sector grants received by the states that would have otherwise occurred. The FSM national government\u2019s revenue from fishing fees has increased rapidly in recent years, allowing it to use this revenue in place of compact sector grants.", "Effect of inflation adjustments on compact sector grants.", "According to FSM officials, because of inflation adjustments, the nominal value of the compact sector grants has not significantly declined. As a result, the FSM government questions the need for expenditure reductions.", "In addition to scheduling budget reductions, the FSM\u2019s Long-Term Fiscal Framework included plans to implement unified tax reform measures, which also have not been implemented. However, plans to reduce the national government\u2019s share of compact sector grants and to use surpluses to mitigate the effect of fiscal reforms were implemented. (See app. VIII for a summary of the FSM\u2019s planned actions and their implementation.) As of January 2018, the FSM had not updated the Long- Term Fiscal Framework but had included information updates in its annual budget submittal."], "subsections": []}, {"section_title": "RMI Decrement Management Plan", "paragraphs": ["The RMI government has not implemented budget reductions scheduled in its decrement management plan. The RMI\u2019s decrement management plan divided proposed budgetary reductions into three periods: fiscal years 2016 through 2017, fiscal years 2018 through 2020, and fiscal years 2021 through 2023. Only the reductions in the first period were to be considered binding, with adjustments in the later periods subject to review during the next 3-year planning cycle. According to RMI government officials, significant growth in fishing fee revenue and growth in ship registry and income tax revenue has minimized the initially anticipated impact of the compact decrements, thereby reducing the need to implement expenditure reductions. RMI officials noted that it expected to continue to use its own revenue in place of compact funds in fiscal years 2019 through 2023.", "In addition to scheduling the budget reductions, the RMI decrement management plan includes plans to implement new taxes, program fishing fees into the annual budget, reduce subsidies to state-owned enterprises, and reduce compensation to Majuro landowners for the use of their land for utilities. The RMI has programmed a portion of its fishing fee surplus into the annual budget in each fiscal year from 2015 to 2017 but has not implemented other planned actions. (See app. VIII for a summary of planned actions and their implementation.) As of January 2018, the RMI government had not updated its plan and did not intend to do so, according to RMI officials. However, the officials stated that the government has incorporated elements of the plan, particularly its expenditure analysis, into the RMI\u2019s medium term budget and investment framework, a planning and budgeting document submitted to JEMFAC in August 2017. In comments on a draft of this report, the RMI stated that it is developing a long-term fiscal framework in addition to the medium term budget and investment framework. According to the RMI, the long-term fiscal framework will have a 10-year outlook through 2028 and take into account compact decrements and anticipated resources from the compact trust fund and other sources."], "subsections": []}]}, {"section_title": "FSM and RMI Have Developed Plans for Health, Education, and Infrastructure", "paragraphs": [], "subsections": [{"section_title": "FSM Sector Plans", "paragraphs": ["FSM national and state infrastructure plans provide specific budgetary information to address the fiscal year 2023 transition from compact sector grants to trust fund income, such as funding requirements and sources of funding for planned infrastructure projects in fiscal years 2016 through 2025. The FSM national and state health and education plans generally focus on the national and state health and education departments\u2019 strategic goals and priorities rather than discussing budget changes or new revenue generation strategies to address the possibility of reduced resources after 2023.", "In addition to preparing sector strategic development plans, the FSM national and state governments issued the 2023 Action Plan in 2014, designed to address fiscal and economic challenges before and after compact sector grant funding ends in fiscal year 2023. In contrast to the FSM Long-Term Fiscal Framework, which committed to specific expenditure reductions and government actions prior to fiscal year 2023, the 2023 Action Plan includes an economic growth strategy that seeks to boost private sector development. The plan addresses economic growth strategies and improved performance in key economic sectors such as tourism, agriculture, and fisheries and identifies the need for the FSM national and state governments to limit expenditure growth in the medium and long terms."], "subsections": []}, {"section_title": "RMI Sector Plans", "paragraphs": ["The RMI\u2019s infrastructure plan addresses the scheduled cessation of compact sector grant assistance in fiscal year 2023 through a review of potential future budgets, while the RMI\u2019s education and health plans outline strategic goals and priorities. Similar to the FSM\u2019s infrastructure plans, the RMI National Infrastructure Plan reviews budget information to address the fiscal year 2023 transition, such as planned infrastructure investments and potential alternative funding sources for fiscal years 2017 through 2026. The RMI\u2019s national education and health plans primarily focus on goals and objectives to address key challenge areas in health and education over the next few fiscal years and do not discuss specific budget changes for the transition in 2023."], "subsections": []}]}, {"section_title": "FSM, RMI, and U.S. Planning Groups Have Been Formed to Prepare for Transition to Trust Fund Income", "paragraphs": ["Both the FSM and the RMI have formed planning committees and charged them with planning for the fiscal year 2023 transition from compact sector grants to compact trust fund income. In addition, the U.S. Department of State (State) has organized a U.S. interagency planning group to help coordinate U.S. policy related to the transition."], "subsections": [{"section_title": "FSM Joint Compact Review and Planning Committee", "paragraphs": ["In 2016, the FSM national government established a Joint Compact Review and Planning Committee to coordinate FSM planning for the transition from compact sector grants to trust fund income in 2023. The committee is mandated to, among other things, set goals in anticipation of the end of compact grants, develop strategies and alternatives, identify financial assistance sources, analyze economic information, and provide periodic reports to the FSM Congress. The committee first met in May 2017. In September 2017, the committee hired an Executive Director, who in turn hired an economist and Executive Secretary prior to the committee\u2019s February 2018 meeting. As of January 2018, according to FSM officials, the committee had not produced any publicly available products but had collected information from various FSM government agencies."], "subsections": []}, {"section_title": "RMI Compact Review Commission", "paragraphs": ["According to the RMI Office of Compact Implementation, the RMI established the Compact Review Commission in late 2016 to plan for the fiscal year 2023 transition from compact sector grants to trust fund income. According to the Office of Compact Implementation, the commission is mandated to review the compact and make recommendations to the cabinet regarding priorities to be addressed for the fiscal year 2023 transition. Specific priorities may include the status of federal programs that will expire in fiscal year 2023, the adequacy of the compact trust fund to provide needed revenue, and other issues relevant to the cessation of compact grant assistance. In January 2018, the RMI Presidential Cabinet appointed a Compact Review Commission Coordinating Committee, consisting of the RMI Ambassador to the United States, the Director of the RMI Office of Compact Implementation, the Secretary of Finance, a private sector representative, and a legal adviser, and directed it to coordinate the commission\u2019s meetings, actions, and reporting."], "subsections": []}, {"section_title": "Ongoing U.S. Interagency Working Group", "paragraphs": ["State began holding regular meetings of the Interagency Working Group on the Freely Associated States in February 2017 to provide guidance and oversight for policy concerning the Compacts of Free Association and to coordinate U.S. policy in light of the fiscal year 2023 transition. The group met monthly through the rest of 2017, except in November. The monthly meetings have focused individually on the FSM and RMI, as well as addressed cross-cutting issues such as donor coordination. For example, in March and July 2017, the group\u2019s monthly meetings focused on the FSM and included participation by the U.S. Ambassador and the FSM Ambassador, respectively. Similarly, in April and June 2017, the group\u2019s monthly meetings focused on the RMI and included participation by the U.S. and RMI ambassadors, respectively. According to State officials, the meetings will continue indefinitely on a monthly basis."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The U.S. compacts of free association with the FSM and the RMI provided a framework for the United States and the two countries to work toward, among other things, the goal of assisting the FSM and the RMI in their efforts to achieve economic development and self-sufficiency. The end of U.S. compact sector grants in fiscal year 2023 and the beginning of disbursements from the compact trust funds in fiscal year 2024 will mark a key transition in these ongoing efforts, and the FSM and RMI are currently preparing plans for addressing issues associated with the transition to compact trust fund income. The countries\u2019 transition to relying on income from the compact trust funds will likely require significant budgetary choices. However, lacking the trust fund distribution policies required under the trust fund agreements, the FSM and RMI are hampered in their efforts to plan for the potential reduction in U.S. compact assistance after 2023. In addition, without the required fiscal procedures governing trust fund actions after 2023, the trust fund committees will be unable to make disbursements and the United States, the FSM, and the RMI will not have assurance of necessary oversight of trust fund disbursements. Finally, without alignment between the timing of the trust fund committees\u2019 annual calculation of the amounts available for disbursement and the countries\u2019 annual budget cycles, the FSM and RMI will have to plan their budgets for each fiscal year without knowing the amount of the disbursements from the compact trust funds."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to Interior: The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the FSM compact trust fund committee, works with other members of the committee to develop a distribution policy for the FSM compact trust fund, as required by the compact trust fund agreement, that takes into account potential strategies that could address risks to the fund\u2019s ability to provide a source of income after fiscal year 2023. (Recommendation 1)", "The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the FSM compact trust fund committee and of the FSM Joint Economic Management Committee, works with other members of the committees to develop the fiscal procedures required by the compact trust fund agreement. (Recommendation 2)", "The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the FSM compact trust fund committee, works with other members of the committee to address the timing of the calculation of compact trust fund disbursements. (Recommendation 3)", "The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the RMI compact trust fund committee, works with other members of the committee to develop a distribution policy for the RMI compact trust fund, as required by the compact trust fund agreement, that takes into account potential strategies that could address risks to the fund\u2019s ability to provide a source of income after fiscal year 2023. (Recommendation 4)", "The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the RMI compact trust fund committee and of the RMI Joint Economic Management and Financial Accountability Committee, works with other members of the committees to develop the fiscal procedures required by the compact trust fund agreement. (Recommendation 5)", "The Secretary of the Interior should ensure that the Director of the Office of Insular Affairs, as Chairman of the RMI compact trust fund committee, works with other members of the committee to address the timing of the calculation of compact trust fund disbursements. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, the Interior, Labor, State, the Treasury, and Transportation; the Federal Communications Commission; the Federal Deposit Insurance Corporation; the Federal Emergency Management Agency; the National Science Foundation; USAID; and the U.S. Postal Service, as well as to the FSM and RMI. We also provided copies of the draft to the administrator of each compact trust fund and to Graduate School USA for their technical review. The Department of the Interior, the U.S. Postal Service, and the FSM and RMI provided official comments, which are reproduced in appendixes IX through XII with, where relevant, our responses. The Departments of Agriculture, Education, Health and Human Services, Labor, State, and Transportation; the Federal Deposit Insurance Corporation; USAID; the RMI; the trust funds\u2019 administrator, and Graduate School USA provided technical comments, which we incorporated as appropriate.", "The following summarizes the official comments from Interior, the U.S. Postal Service, the FSM, and the RMI, and our responses.", "Interior concurred with our recommendations and stated that discussions to address them are ongoing within the trust fund committees. In addition, Interior stated that a working group comprising staff from Interior\u2019s Office of Insular Affairs and the Department of State\u2019s Office of Australia, New Zealand and Pacific Island Affairs will present recommended actions related to our recommendations to the trust fund committees in 2018.", "The U.S. Postal Service stated that, in general, the report includes helpful information on the compact obligations regarding postal services provided to the FSM and RMI. However, the U.S. Postal Service also provided additional information on the reimbursement shortfall for its services since 2002 in the freely associated states. The U.S. Postal Service stated that it recommends that, upon expiration of the programs and services agreements, the FSM and RMI be treated as international postal origin and destination points.", "The FSM concurred with our recommendations to Interior. In addition, the FSM stated that the programs and services provided by U.S. agencies were essential to the FSM and should continue to the greatest extent possible after 2023. The FSM would like to work with U.S. officials to ensure timely approval of continuing these programs and services. The FSM also noted that we had reported the potential for the FSM compact trust fund to not provide disbursements sufficient to cover the estimated value of expiring federal services in 2002, prior to the signing of the amended compact. Further, the FSM provided additional information regarding its Long-Term Fiscal Framework and summarized ongoing public sector and tax reform efforts and its own contributions to the FSM Trust Fund.", "The RMI concurred with our recommendations to Interior and provided additional comments regarding the recommendations. The RMI asserted that, absent accountability issues, the maximum annual disbursement amount should be disbursed from the compact trust fund. However, as our report notes, the compact trust fund agreements state the maximum allowable disbursement level and do not establish or guarantee a minimum disbursement level. The RMI also stated that it would prefer that future accountability procedures be based on a new agreement rather than a reshaping of the current fiscal procedures agreement. In addition, the RMI raised the issue of compensation under the tax and trade provision of the original compact as well as the effect of delays in investing the RMI compact trust fund on its current value. We discuss the tax and trade provisions in Appendix VII of our report. The RMI also recommended that amendments to the trust fund agreement should not require action by the U.S. Congress. As our report notes, the U.S. legislation implementing the amended compacts requires that any amendment, change, or termination of all or any part of the compact trust fund agreements shall not enter into force until incorporated into an act of Congress. Finally, the RMI noted that programs and services provided through the amended compacts' implementing legislation (Pub. L. No. 108-188) and the compact programs and services agreement were essential and that the RMI could not replace them by using its own resources.", "We are sending copies of this report to the appropriate congressional committees and to the Departments of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, the Interior, Labor, State, the Treasury, and Transportation; the Federal Communications Commission; the Federal Deposit Insurance Corporation; the Federal Emergency Management Agency; the National Science Foundation; USAID; and the U.S. Postal Service, as well as the President of the FSM and the President of the RMI. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix XIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We were asked to review issues related to the Federated States of Micronesia\u2019s (FSM) and Republic of the Marshall Islands (RMI) transition from compact grant assistance to relying on income from the compact trust funds. This report examines (1) the use and role of federal funds and programs in the FSM and RMI budgets, (2) projected compact trust fund disbursements and potential strategies to address risks to those disbursements, and (3) FSM and RMI efforts to prepare for the scheduled decrements in compact grant funding and the transition to relying on compact trust fund income."], "subsections": [{"section_title": "Federal Funds and Programs", "paragraphs": ["To identify the use and role of federal funds and programs, we reviewed relevant documents and interviewed knowledgeable U.S., FSM, and RMI officials during our site visits to the RMI in July 2017 and in the FSM in July and August 2017. We reviewed U.S. law; the amended compacts and associated programs and services agreements and military use and operating rights agreements with each country; each country\u2019s government and component unit single audit reports for fiscal years 2012 through 2016; and U.S. Region IX reports for fiscal years 2015 and 2016. We analyzed expenditure and funding data in FSM and RMI single audit reports, including their Schedule of Expenditures of Federal Awards, to identify the sources of funds expended by the FSM national and state governments, the RMI national government, and their component units and calculated federal funds as a percentage of each entity\u2019s total resources. We reviewed the single audit reports and found that the auditors did not express any qualified or adverse opinions regarding the information they used to prepare the audits\u2019 Schedule of Expenditures of Federal Awards, which lists the amount and use of federal grants. We concluded that these data are sufficiently reliable for estimating the role of federal programs in the FSM and RMI budgets.", "To identify the FSM and RMI national government component units and FSM state government component units, we reviewed the websites of, and audit reports from, the FSM Office of the National Public Auditor and the RMI Office of the Auditor-General and confirmed the list of component units we identified with FSM and RMI officials. We also discussed the uses of federal funds in the countries with FSM national and state government officials, RMI government officials, and FSM and RMI component unit representatives during our site visits to the countries. Our portrayal of the role of federal funds in the government and component unit budgets does not capture the value of any noncash goods and services that do not appear in the single audit reports. In addition, it does not capture benefits that some programs provide to individuals, such as U.S. Department of Agriculture rural housing loans and Federal Deposit Insurance Corporation insurance that benefits depositors at the Bank of the Federated States of Micronesia.", "To determine the legal status of U.S. programs, services, and grants after fiscal year 2023, we analyzed the amended compacts, the compact- related agreements, and U.S. law governing the programs, services, and grants that we identified to determine whether, under current law, they would still be available to the FSM and RMI after the end of that fiscal year. For the programs and services agreement with each country, we reviewed the status of programs and services when the agreements end in fiscal year 2024. Our legal analysis included programs, services, and grants that we identified from the compacts, the amended compacts\u2019 implementing legislation, the military use and operating rights agreements, and the programs and services agreements. We also included in our legal analysis the programs (1) that we identified through the single audit reports and Region IX reports and (2) that were not already identified through our review of the compacts, the amended compacts\u2019 implementing legislation, and the compact-related agreements; and (3) that the single audit reports showed as having expenditures above $200,000 in any year in fiscal years 2012 through 2016 or the Region IX reports identified as providing more than $200,000 in federal funding in fiscal years 2015 or 2016. We prepared an initial list of federal programs based on our review. We then provided our list of programs to the FSM, the RMI, and the U.S. Departments of State and the Interior for their review and updated the list on the basis of information they provided.", "We prepared a preliminary analysis of the post-2023 status of the programs and funding sources we identified and asked officials of the relevant U.S. agencies to review and comment on the accuracy of the list. As part of this analysis, we contacted officials from the Departments of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, the Interior, Labor, State, and Transportation; the Federal Communications Commission; the Federal Deposit Insurance Corporation; the Federal Emergency Management Agency; the National Science Foundation; the U.S. Agency for International Development; and the U.S. Postal Service. We incorporated into our analysis the comments that these officials provided, and we again asked for their review of our analysis before we completed our draft report. Our conclusions are based on a review of current law. Therefore, any changes in the applicable law subsequent to our report but before 2023 may affect the FSM\u2019s and RMI\u2019s eligibility for U.S. programs and funding. In addition, the availability of programs depends on appropriations made for that purpose. Although we took multiple steps to validate our list of programs with the FSM and RMI and the relevant U.S. agencies, our analysis may not have captured all U.S. grants and programs provided in the FSM and RMI."], "subsections": []}, {"section_title": "Compact Trust Funds", "paragraphs": ["To examine projected compact trust fund disbursements and actions to address risks, we reviewed previous studies of the compact trust funds; the U.S.-FSM and U.S.-RMI compact trust fund agreements; and other governance and reporting documents such as investment policy statements, presentations to the compact trust fund committees, audits, and annual reports. We also interviewed FSM and RMI officials, compact trust fund committee members, authors of the previous studies, and the funds\u2019 administrator, investment advisers and money managers.", "To project the compact trust funds\u2019 likely income at their current value and under current trust fund rules (i.e., the baseline scenario), we built a Monte Carlo simulation model and performed 10,000 trial runs of projected returns and disbursements over a four-decade time period, using random values for key variables.", "We used the following key assumptions in our compact trust fund analysis:", "Compact trust fund balance. We used the unaudited FSM and RMI fiscal year 2017 year-end compact trust fund balances.", "C account balance. We estimated the C account balance on the basis of the unaudited FSM and RMI fiscal year 2017 year-end balances.", "To assess the reliability of the unaudited balances, we reviewed the previous years\u2019 audits and confirmed with the trust funds\u2019 Administrator that previous years\u2019 audits had not resulted in any significant differences between the preliminary balances and the final audited balances. We concluded that the unaudited balances were sufficiently reliable as a basis for our projections of future trust fund performance. The March 2018 audited fund balances, released after we completed our analysis, were within $5 of the unaudited fund balances.", "Amount of future compact trust fund contributions. We based the amounts of future annual U.S. contributions to both trust funds on the inflation-adjusted amounts estimated in the U.S. Department of the Interior\u2019s (Interior) Office of Insular Affairs\u2019 Budget Justifications and Performance Information, Fiscal Year 2018. For the RMI, we assumed that Taiwan would continue to contribute $2.4 million per year to the RMI\u2019s A account each year through 2023 in keeping with Taiwan\u2019s May 2005 agreement with the RMI.", "Estimated annual grant assistance for fiscal year 2023. We based our estimates of fiscal year 2023 assistance on the inflation-adjusted amounts estimated by the Office of Insular Affairs. The office estimated that the FSM would receive $82 million in annual grant assistance in fiscal year 2023 and that the RMI would receive $36 million, including Kwajalein-related assistance. In keeping with the RMI compact trust fund agreement, we excluded from our analysis grants provided to the RMI under compact section 211(b) for Kwajalein-related assistance, resulting in an estimated $27 million in grant assistance to the RMI under compact section 211 in fiscal year 2023. The actual amount of annual grant assistance in fiscal year 2023 will depend on actual inflation rates in the years preceding 2023. Different assumptions about the inflation rates will result in different estimates of the amount of fiscal year 2023 annual grant assistance.", "Net rate of return. In the baseline scenario, we present our results based on a 6 percent rate of return after fees are deducted. To select and assess the reasonability of this projected net rate of return, we reviewed the capital market assumptions and projections used by the money managers for the compact trust funds as well as historical market rates of return. However, because projecting the funds\u2019 long- term performance using the current portfolio and economic assumptions has limitations, we also conducted our analyses using different nominal values for the net returns\u20145 percent, 7 percent, and 8 percent\u2014in each case using a standard deviation of 13 percent. These results are presented in appendix V. We assumed a normal distribution, but we tested the same baseline analyses with a t- distribution and found that a t-distribution did not substantially affect the results.", "Inflation rate after fiscal year 2023. We applied the 2 percent long- term inflation rate projected by the Congressional Budget Office.", "To further analyze actions that could address risks to the compact trust funds, we modeled alternative strategies for managing the funds that were analyzed by previous studies of the compact trust funds. We identified previous studies through a literature search and by interviewing cognizant agency and trust fund officials. On the basis of this review, we developed five potential strategies that are representative of the approaches identified in previous studies. These five strategies are examples of many possible strategies, including varying amounts of disbursement reductions, additional contributions, and methods of calculating annual disbursements. We are not recommending any specific strategy. To provide additional information about potential outcomes, we also analyzed another four strategies that assumed a lower amount of additional trust fund contributions, lower disbursement reductions, or a lower percentage of the compact trust fund balance that could be withdrawn (see app. VII). To help ensure that we had appropriately reproduced the methods used in previous studies, we shared our preliminary results for strategy 4, which modeled the Moving Adjustment Rule, and strategy 5, which modeled the Sustainability Adjustment for Enhanced Reliability (SAFER), with the Graduate School USA representatives who had initially prepared these potential strategies. We analyzed each strategy separately to isolate the impact of individual changes in the strategy on compact trust fund balance and disbursements. However, in practice, these individual changes could occur in combination with each other. We again performed the Monte Carlo analysis, using the same key assumptions as in the baseline scenario, to determine the likely effects, relative to the baseline, of five potential strategies representing three approaches: (1) reducing annual compact trust fund disbursements; (2) making additional contributions; (3) and changing the disbursement policies, including strategies that would require changing the trust fund agreements to permit disbursements from the A account. We present the results of this analysis with a 6 percent net return, a standard deviation of 13 percent, and a normal distribution and tested the results with 5 percent, 7 percent, and 8 percent net returns (see app. VII for further details).", "To summarize and compare our simulation results for the baseline and alternate scenarios, we analyzed the average disbursements in nominal dollars, the average disbursements in comparison with maximum disbursements, the likelihood of 1 or more years with zero disbursement, and the likelihood that the trust funds will maintain their inflation-adjusted value after fiscal year 2023.", "We calculated the average disbursement in the given time periods by averaging simulated disbursements over 10-year periods (averaging first over 10 years and then over 10,000 simulated cases).", "We calculated the average disbursement as a percentage of the maximum allowable disbursement by averaging the ratio of each simulated disbursement to the maximum inflation-adjusted allowable disbursement in the given period (averaging first over 10 years and then over 10,000 simulated cases).", "We calculated the likelihood of zero disbursement by counting cases with 1 or more years of zero disbursement among the 10,000 simulated cases in each 10-year period.", "We calculated the likelihood that the fund balance will maintain its inflation-adjusted fiscal year 2023 value by counting simulation cases where the simulated balance exceeds or equals its projected inflation- adjusted 2023 balance in the given year.", "We report the disbursement results averaged by decade for the first 40 years of compact trust fund disbursements\u2014fiscal years 2024 through 2033, fiscal years 2034 through 2043, fiscal years 2044 through 2053, and fiscal years 2054 through 2063\u2014to summarize the overall trend in disbursements. However, depending on market volatility, disbursements during these decades are likely to fluctuate from year to year. While the projected per-decade averages can show long-term trends in the funds\u2019 disbursements and sustainability and provide a comparison of the likely effects of the potential strategies we analyzed, the projected averages do not provide information about the volatility of changes in annual disbursement. We compare the compact trust funds\u2019 projected value with the projected inflation-adjusted fiscal year 2023 value through 2063 in 10- year increments beginning in fiscal years 2033.", "To document the status of the FSM Trust Fund and the RMI\u2019s D account and their potential use to supplement FSM and RMI resources after 2023, we reviewed information about the FSM laws establishing the FSM Trust Fund, FSM economic reports, and the RMI-Taiwan agreement regarding the D account. We also interviewed FSM and RMI officials. We did not independently verify the FSM\u2019s projections of the future size of, and disbursements from, its trust fund. The information on foreign law or on foreign government operations in this report is not the product of our original analysis, but is derived from interviews and secondary sources."], "subsections": []}, {"section_title": "FSM and RMI Plans", "paragraphs": ["To examine FSM and RMI efforts to prepare for the scheduled compact grant decrements, we reviewed each country\u2019s decrement management plans to determine the FSM\u2019s and RMI\u2019s planned budget reductions and other actions. We then reviewed the FSM\u2019s and RMI\u2019s single audit reports and budget documents and interviewed FSM and RMI officials to determine whether the planned reductions had been implemented. We compared the planned actions to current legislation, single audit reports, or recent reports that discussed the status of FSM and RMI economic and financial reforms. In addition, we interviewed Interior, FSM, and RMI officials to determine whether FSM and RMI decrement management plans had been revisited or updated, why the plans were or were not adhered to, and whether the countries planned any future updates to the plans. We also conducted interviews with U.S. officials from the Department of State, a representative of Graduate School USA, and representatives of the World Bank and the International Monetary Fund regarding each country\u2019s previous and current planning efforts.", "To assess whether the FSM and RMI strategic plans for the key sectors of health, education, and infrastructure addressed the 2023 transition from compact grants and other U.S. assistance to compact trust fund income, we first obtained the relevant plans from department heads in each key sector of the FSM and RMI national governments and FSM state governments and confirmed our identification of the documents with FSM and RMI officials. We reviewed the plans to determine whether they included any discussion of budget projections, economic or financial reforms, alternative funding sources or other revenue generation strategies, and expenditure cuts or saving strategies for periods before and after fiscal year 2023. We also reviewed the FSM\u2019s 2023 Action Plan and the RMI\u2019s updated Medium Term Budget and Investment Framework to determine whether these documents discussed budget changes to address the 2023 transition.", "Through our interviews with U.S., FSM, and RMI officials, we also learned about other ongoing planning efforts to address the 2023 transition: the U.S. Interagency Working Group on the Freely Associated States, the FSM Joint Compact Review and Planning Committee, and the RMI Compact Review Commission. Following our interviews, we reviewed and summarized documentation related to the working group\u2019s purpose, meetings, and membership. We also contacted FSM and RMI committee members and officials to obtain additional information on the mandate, membership, and status of the FSM and RMI committees. The information contained in this report on foreign law or on foreign government operations is not the product of our original analysis, but is derived from interviews and secondary sources.", "We conducted this performance audit from March 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: U.S. Compact Sector Grants and Trust Fund Contributions, 2004 through 2023", "paragraphs": ["The amended compacts\u2019 implementing legislation authorized and appropriated direct financial assistance to the FSM and the RMI in fiscal years 2004 through 2023, and provided for partial inflation adjustment of the base amount of compact sector grants and trust fund contributions each year. The base amount is partially inflation-adjusted by the percentage that equals two-thirds of the percentage change in the U.S. gross domestic product implicit price deflator, or 5 percent, whichever is less in any 1 year, using the beginning of 2004 as a base. As the base amount of compact sector grants decreases, the trust fund contributions generally increase by an equivalent amount. Figure 9 shows the amount of compact sector grants and trust fund contributions each fiscal year from 2004 through 2023.", "The cumulative inflation adjustment largely offsets the amount of the decrement, resulting in a relatively steady nominal amount of compact sector grants after inflation adjustments (see fig. 10). However, because the inflation adjustment is not equal to full inflation, the value of compact sector grants continues to decline in real terms."], "subsections": []}, {"section_title": "Appendix III: Compact Grants Supporting Health and Education in the FSM and RMI", "paragraphs": ["U.S. grants that end in 2023 play a significant role in the budgets of the FSM states and the RMI in the health and education sectors. The colleges of both countries have also relied on compact sector grants but rely even more on Pell grants to support their operation.", "FSM states rely on U.S. grants scheduled to end in 2023 for the majority of their health and education expenditures. In fiscal year 2016, compact sector grants and the SEG supported 60 percent or more of health expenditures and 82 percent or more of state education expenditures. Table 3 shows the states\u2019 health and education expenditures of compact sector grants and the supplemental education grant (SEG) in fiscal year 2016. In fiscal years 2012 through 2016, compact sector grants and the SEG supported 56 to 99 percent of FSM states\u2019 health expenditures and 82 to 100 percent of FSM states\u2019 education expenditures.", "Total expenditures (dollars)", "Amount (dollars)", "U.S. compact sector, supplemental education, and other grants also supported approximately 76 percent of the average $21 million in annual expenditures of the College of Micronesia\u2013FSM, an FSM government component unit, in fiscal years 2012 through 2016. Compact sector grants and the SEG, each of which end in 2023, supported approximately 15 percent of the college\u2019s annual expenditures. Pell grants, which provide support for education expenses for qualifying students, supported more than half of the college\u2019s annual expenditures. College officials told us that the college would be unable to operate without Pell grants. According to officials from the U.S. Department of Education, the college will remain eligible after 2023 to receive Pell grants that benefit its students as long as such grants are available to institutions and students in the United States (see app. IV).", "The RMI relies on U.S. grants scheduled to end in 2023 for health and education expenditures. In fiscal year 2016, compact sector and supplemental education grants scheduled to end in 2023 supported approximately 25 percent of RMI health expenditures and approximately 59 percent of RMI education expenditures (see table 4). Kwajalein-related grants increased these percentages to 32 percent for health and 66 percent for education. In total, in fiscal years 2012 through 2016, compact sector grants and the SEG supported approximately 58 percent of RMI education expenditures and 29 percent of health expenditures. During this period, the percentage of education expenditures supported by compact sector and supplemental education grants scheduled to end in 2023 remained relatively steady and the percentage of health expenditures decreased slightly.", "U.S. compact sector, supplemental education, and other grants also supported approximately half of the average $11.9 million in annual expenditures of the College of the Marshall Islands, an RMI government component unit, in fiscal years 2012 through 2016. Compact sector grants and the SEG, each of which end in 2023, supported approximately 8 percent of the college\u2019s annual expenditures. Pell grants supported about 39 percent of the college\u2019s expenditures. According to officials from the U.S. Department of Education, the college will remain eligible after 2023 to receive Pell grants that benefit its students, as long as such grants are available to institutions and students in the United States (see app. IV). Also in fiscal years 2012 through 2016, compact sector and supplemental education grants scheduled to end in 2023 supported about half of the expenditures of the RMI government component unit, the Marshall Islands Scholarship, Grant, and Loan Board, which provides financial assistance for educational and training opportunities. Kwajalein- related compact grants that do not end in 2023 supported an additional 13 percent of the board\u2019s expenditures."], "subsections": []}, {"section_title": "Appendix IV: Status of U.S. Grants and Programs in the FSM and RMI After 2023", "paragraphs": ["The amended compacts, compact-related agreements, the amended compacts\u2019 implementing legislation, and other U.S. laws provide grants or eligibility for U.S. programs and services for the FSM and RMI. The amended compacts provided compact sector, Kwajalein-related, and audit grants. Under current law, compact sector and audit grants are each scheduled to end in 2023, but the RMI military use and operating rights agreement (MUORA) extended the time frame of Kwajalein-related compact grants for as long as the agreement is in effect. The amended compacts\u2019 implementing legislation provided additional grants, including authorizing a supplemental education grant (SEG), and identified several specific U.S. programs as available to the FSM and RMI. Under current law, the additional grants end in 2023 but the statutory authorizations for some programs identified in Pub. L. No. 108-188 provide for the continued eligibility of the FSM and RMI to receive benefits under the programs. However, after fiscal year 2023, the FSM and RMI will no longer be eligible under current U.S. law for some programs that the SEG replaced. The compact-related programs and services agreements with each country identify additional programs and services that the United States makes available to the FSM and RMI. While these agreements will end in 2024, under current law, some U.S. agencies may continue to provide programs and services similar to those provided in the agreement under other authorities. Based on the status of current law, the FSM\u2019s and RMI\u2019s eligibility for other programs we identified that have been provided under other current U.S. laws will not change after fiscal year 2023."], "subsections": [{"section_title": "Compact Sector and Audit Grants End in 2023, but Kwajalein-Related Grants for the RMI Will Continue", "paragraphs": ["Under current law, compact sector grants provided to the FSM and the RMI under their compact sections 211(a) are scheduled to end in 2023. However, the RMI is scheduled to continue to receive $7.2 million, partially inflation adjusted, related to the U.S. military base in Kwajalein Atoll and provided under section 211(b) of its compact. Under the terms of the RMI MUORA, the United States agreed to provide these Kwajalein- related grants for as long as the MUORA is in effect. The MUORA continues until 2066 and may be extended at the discretion of the United States until 2086. The amended RMI compact provides for $18 million, partially inflation adjusted, in annual payments to the RMI government to compensate for impacts from the U.S. Army Garrison\u2013Kwajalein Atoll. These payments will continue for as long as the MUORA is in effect.", "Annual compact grants of up to $500,000 (not inflation adjusted) to each country to pay for required annual audits of compact grants are scheduled to end in 2023. See table 5 for a summary of compact sector, Kwajalein- related, and audit grants."], "subsections": []}, {"section_title": "FSM and RMI are No Longer Eligible for Many Programs Replaced by the Supplemental Education Grant", "paragraphs": ["The supplemental education grant (SEG) authorized by the amended compacts\u2019 implementing legislation is scheduled to end in fiscal year 2023 and, under current law, FSM and RMI eligibility for most programs that the SEG replaced will not resume after fiscal year 2023. Absent changes to current law, the FSM and RMI will not be eligible after fiscal year 2023 for the following programs that the SEG replaced during fiscal years 2005 through 2023: U.S. elementary and secondary education grant programs, adult education and literacy programs, career and technical education programs, job training programs, and Head Start early education programs. However, under other provisions of current law, qualifying individuals in the FSM and RMI will be eligible after fiscal year 2023 for undergraduate education grants and work-study programs that the SEG replaced. See table 6."], "subsections": []}, {"section_title": "Some Programs and Services in the Programs and Services Agreement Will End, while Others May Continue under Other Authorities", "paragraphs": ["Although the programs and services agreements with the FSM and RMI will end in fiscal year 2024, current U.S. law enables U.S. agencies to continue providing some programs and services now provided under the agreements. No current provisions of U.S. law will enable the Federal Emergency Management Agency (FEMA) to provide disaster response funding or enable the Federal Deposit Insurance Corporation to provide deposit insurance or the U.S. Postal Service to provide services to the FSM and RMI after the agreements end. However, the National Weather Service, the U.S. Department of Transportation\u2019s (DOT) Federal Aviation Administration (FAA), and the U.S. Agency for International Development (USAID) could, under other legal authorities, provide services similar to those they now provide under the programs and services agreements.", "National Weather Service. The programs and services agreements authorize the National Weather Service to fund the operations of weather stations in the FSM and RMI, which it can continue to fund after the end of the Agreements under other authorities, according to Department of Commerce officials.", "Federal Aviation Administration. The programs and services agreements authorize DOT\u2019s FAA to provide technical assistance in the FSM and RMI, which it can continue to provide after the end of the Agreements under other provisions of current U.S. law. However, DOT officials stated that FAA would require new bilateral agreements with the FSM and the RMI in order for the countries to continue to receive the civil aviation safety services that FAA currently provides under the programs and services agreements. The FAA would also seek reimbursement for any technical assistance it provides to the FSM and RMI. With regard to the civil aviation economic services of the programs and services agreements, DOT officials stated that, while the FSM and RMI could voluntarily decide to allow U.S. air carriers to continue operations in the FSM and RMI, new bilateral agreements would be needed to assure that result.", "U.S. Agency for International Development. Following a U.S. presidential disaster declaration, FEMA provides the funding for disaster relief and reconstruction, which is programmed through USAID. Under current law, FEMA funds will no longer be available for this purpose once the agreements end; however, USAID will be able to provide foreign disaster assistance funding to the FSM and RMI under the same terms as it provides this assistance to other countries. After the programs and services agreements end, FEMA will be able to support disaster relief efforts only if USAID or the countries request it to do so on a reimbursable basis.", "In addition, according to State and Interior officials, telecommunications- related services that the two agencies provide to the FSM and RMI under the programs and services agreements will continue as long as the FSM and RMI provide appropriate authorization for such services. Table 7 shows the status after fiscal year 2024 of programs and services currently provided to the FSM and the RMI under the agreements."], "subsections": []}, {"section_title": "Programs Identified in the Amended Compacts\u2019 Implementing Legislation Generally Continue after Fiscal Year 2023", "paragraphs": ["Additional grants provided to the FSM and the RMI under the amended compacts\u2019 implementing legislation will end in fiscal year 2023, but the countries\u2019 eligibility for programs now provided under that legislation will generally continue under current U.S. law. Grants provided under the amended compacts\u2019 implementing legislation for (1) judicial training in the FSM and the RMI, and (2) agricultural and planting programs on the RMI\u2019s nuclear-affected Enewetak Atoll are scheduled to end. However, under current U.S. law, legal authorities permitting the operation of other programs would remain available to the FSM and RMI after fiscal year 2023. Eligibility under these legal authorities continues either because the amended compacts\u2019 implementing legislation does not specify an ending date or because other provisions in current U.S. law make the FSM and RMI eligible for the program.", "Programs provided in the amended compacts\u2019 implementing legislation include U.S. Department of Agriculture Rural Utilities Service grant and loan programs; U.S. Department of Education Pell grants for higher education and grants under Part B of the Individuals with Disabilities Education Act for children with disabilities; programs for nuclear-affected areas in the RMI; and additional programs provided by the Departments of Commerce and Labor as well as law enforcement assistance provided by the U.S. Postal Service. See table 8 for a summary of the programs identified in the amended compacts\u2019 implementing legislation and their status as of the end of fiscal year 2023."], "subsections": []}, {"section_title": "Programs Identified in Other Legislation Generally Continue after Fiscal Year 2023", "paragraphs": ["In addition to being eligible for the programs provided through the compact, its associated agreements, and the amended compacts\u2019 implementing legislation, the FSM and RMI are also eligible for a number of programs under other provisions of current U.S. law. The FSM and RMI have each received funds from the U.S. Department of Agriculture for forestry and rural housing programs, multiple Health and Human Services public health program grants, Interior technical assistance and historic preservation programs, and the DOT FAA airport improvement program, among others. Under current U.S. law, the legal authorities permitting the provision of these programs in the FSM and RMI would not necessarily change after 2023. Table 9 shows the FSM\u2019s and RMI\u2019s eligibility for these additional grants and programs under current law after fiscal year 2023."], "subsections": []}]}, {"section_title": "Appendix V: Compact Trust Fund Baseline Outcomes Calculated with Varying Return Assumptions", "paragraphs": ["In order to the test the sensitivity of our compact trust fund projections to assumptions about the future rate of return, we also performed our Monte Carlo analysis using alternate rates of return. We projected the compact trust fund disbursements and balance under current compact trust fund rules on the basis of a 6 percent net return and also estimated the trust fund on the basis of 5 percent, 7 percent, and 8 percent net returns. Higher rates of return would improve the outlook for each compact trust fund. However, even with higher rates of return, our analysis shows a high likelihood that available compact trust fund disbursements will not reach an amount equivalent to maximum disbursements permitted by the compact trust fund agreement (i.e., the inflation-adjusted amount of fiscal year 2023 annual grant assistance, as defined by the trust fund agreements), a continuing risk of zero disbursements, and a decreasing likelihood that the fund will maintain or exceed its inflation-adjusted balance in fiscal year 2023. See tables 10 and 11 for our projections of FSM and RMI compact trust fund disbursements, likelihood of 1 or more years with zero disbursement, and likelihood of maintaining or exceeding its inflation-adjusted fiscal year 2023 value."], "subsections": []}, {"section_title": "Appendix VI: FSM and RMI Country Trust Funds", "paragraphs": ["The FSM and RMI each maintain their own country trust funds separate from the compact trust funds. These country trust funds are also available to provide a source of revenue after compact grants end at the end of fiscal year 2023. We did not independently project the future balance or potential disbursements from the FSM Trust Fund after 2023."], "subsections": [{"section_title": "FSM Trust Fund", "paragraphs": ["The FSM maintains its own trust fund, separate from the compact trust fund, which can provide additional resources after fiscal year 2023 to offset a reduction in resources relative to those made available as of fiscal year 2023. The FSM Trust Fund, established in 1999, has grown rapidly in recent years. In fiscal years 2012 through 2017, the FSM appropriated a total of $73.3 million for contributions to its trust fund. In addition, in 2015, the FSM changed its tax law to allocate 20 percent of revenue collected by the states to state subaccounts within the FSM Trust Fund. Along with investment gains, these appropriations and contributions of tax revenue have increased the FSM Trust Fund\u2019s balance from $8 million at the end of fiscal year 2011 to $115 million as of the end of fiscal year 2017. As of 2017, the FSM proposed to continue adding $10 million annually from national government surpluses into its trust fund, with the aim of achieving a balance of $250 million by fiscal year 2023 and $10 million in annual disbursements. However, as of early 2018, according to FSM officials, the FSM planned to add $15 million per year to the FSM Trust Fund and projected that the fund would have a balance of $275 million by the end of fiscal year 2023. However, like the compact trust fund, the full balance of the FSM Trust Fund is not available for disbursement. Under current FSM law, funds in the FSM Trust Fund may not be withdrawn until fiscal year 2024. In addition, according to FSM officials, the FSM can withdraw only the fund\u2019s earnings and cannot withdraw the inflation-adjusted value of the FSM Trust Fund corpus."], "subsections": []}, {"section_title": "RMI D Account", "paragraphs": ["The RMI also maintains its own trust fund\u2014the compact trust fund\u2019s D account. Although managed alongside the compact trust fund, the D account is not subject to the same disbursement provisions as the compact trust fund\u2019s A, B, and C accounts. Instead, disbursements from the D account are subject to the provisions of the agreement between Taiwan and the RMI under which Taiwan contributed the $10 million that the RMI used to establish the D account. According to the terms of this agreement, the RMI may withdraw income after consultation with Taiwan but may not withdraw funds from the D account\u2019s $10 million corpus. At the end of fiscal year 2017, the D account had a balance of $15.1 million, with $5.1 million potentially available for use by the RMI."], "subsections": []}]}, {"section_title": "Appendix VII: Potential Trust Fund Strategies and Model Results", "paragraphs": ["We conducted a series of simulations to determine the likely effects of potential strategies for improving the outlook of the FSM and RMI compact trust funds. Prior studies by Graduate School USA, the Asian Development Bank, and the International Monetary Fund examined the effects of three general approaches for improving the trust funds\u2019 outlooks: (1) reducing planned disbursements from the funds, (2) making additional contributions to the funds, and (3) changing the compact trust fund disbursement policies. To isolate the impact of individual changes on the compact trust fund balance and disbursements, we developed and analyzed five potential strategies based on those examined in the previous studies. Reduced disbursements and additional contributions could occur without changes to the trust fund agreement, but changes to the disbursement policies may require changing the agreements. In strategies 3, 4, and, 5, we analyzed strategies that would permit disbursement from the A account. Disbursing from the A account would require changing the compact trust fund agreements. Table 12 shows the 5 potential strategies we analyzed.", "We analyzed two potential strategies that could be implemented without changes to the trust fund agreements: reductions in the amount of disbursements and additional contributions to the trust funds.", "Strategy 1: Annual disbursements are reduced below the maximum allowable disbursement. We analyzed the likely effects of reducing disbursements to an amount 30 percent below the maximum disbursement, relative to the baseline scenario, for both the FSM and the RMI compact trust funds.", "For the FSM, the average size of the disbursements would be lower in the first 10 years of our projection, fiscal years 2024 through 2033, but greater in later years. For the RMI, the average disbursement size would remain lower than the disbursement amounts we projected using the baseline scenario. Disbursement amounts would remain volatile from year to year if the balance in the C account is not sufficient to provide additional disbursements.", "For both countries, the risk of zero disbursements would be reduced, but not eliminated, in each decade.", "For both countries, the likelihood that the funds would maintain or exceed their inflation-adjusted fiscal year 2023 value after fiscal year 2023 would be higher in each decade.", "Reductions in annual disbursements could be effected by the compact trust fund committees at their discretion, without changes to the compact trust fund agreements. However, reductions in annual disbursements below the maximum amount would require each country to permanently adjust to having fewer resources for their budgets and economies than the compact grants provided.", "Strategy 2: Additional annual contributions are made to the trust fund in fiscal years 2018 through 2023. We analyzed the likely effects of additional contributions equivalent to 5 percent of each country\u2019s fiscal year 2016 GDP, relative to the baseline scenarios, for both the FSM and the RMI compact trust funds.", "The average size of the disbursements would be greater.", "Disbursement amounts would remain volatile from year to year if the balance in the C account is not sufficient to provide additional disbursements.", "The risk of zero disbursements would be reduced but not eliminated.", "The likelihood that the funds would maintain or exceed their inflation- adjusted fiscal year 2023 value after fiscal year 2023 would be higher.", "Additional contributions to the FSM or RMI trust funds could be accepted at the discretion of compact trust fund committees, without changes to the compact trust agreements. However, unless the compact trust fund committees could identify other donors for these contributions, the countries would have to choose to reprogram existing revenues from other uses into compact trust fund contributions. The addition of funds from other donors would have no negative impact on the trust funds\u2019 outlook if other conditions remained unchanged."], "subsections": [{"section_title": "Potential Strategies That Would Permit Disbursement from the A Account", "paragraphs": ["We analyzed three additional potential strategies that would involve calculating annual disbursements as a percentage of the FSM and RMI compact trust funds\u2019 balance and which would permit disbursement from the A account. Disbursing from the A account would require changing the compact trust fund agreements, necessitating negotiation and agreement between the United States and each country and statutory enactment by the U.S. Congress. In strategy 3, disbursements are calculated as a fixed percentage of the funds\u2019 moving average balance over the previous 3 years. In strategies 4 and 5, disbursements are calculated on the basis of the funds\u2019 moving average balance over the previous 5 years as well as the committees\u2019 determination of the target size for the funds\u2019 balance or disbursements. All three potential strategies would require the FSM and the RMI to exchange a reduction in resources for more predictable disbursements in the longer term.", "Strategy 3: The annual disbursement is set as a fixed percentage of the fund\u2019s moving average balance over the previous 3 years, up to the maximum disbursement amount defined by the current trust fund agreement. We analyzed the likely effects of limiting annual disbursements to 5 percent of the moving average balance over the previous 3 years, relative to the baseline scenario for the FSM and the RMI compact trust funds.", "In earlier years, average disbursements from the compact trust funds would be smaller than those in the baseline scenario; in later years, average disbursements would exceed those in the baseline scenario. For the FSM, the average disbursement would start to exceed that in the baseline scenario in the second decade after disbursements begin (fiscal years 2034-2043). For the RMI, the average disbursement would start to exceed that in the baseline scenario in the fourth decade after disbursements begin (fiscal years 2054-2063). Disbursement amounts would be less volatile from year to year than the volatility that could be experienced in the baseline scenario when the balance in the C account is not sufficient to provide additional disbursements.", "The risk of zero disbursements would be eliminated.", "The likelihood that the funds would maintain or exceed their inflation- adjusted fiscal year 2023 value after that year would be higher than in the baseline scenario.", "Strategy 4: The amount of the annual disbursement is reduced if the compact trust fund\u2019s moving average balance over the previous 5 years is lower than a primary target amount. We analyzed the likely effects of implementing this strategy, relative to the baseline scenario for the FSM and the RMI compact trust funds.", "In the FSM, the average disbursement would be lower than that in the baseline scenario in earlier years but higher than that in the baseline scenario in the fourth decade after disbursements begin (i.e., fiscal years 2054-2063). In the RMI, the average disbursement would be lower than that in the baseline scenario in earlier years but would equal that in the baseline scenario in the fourth decade after disbursements begin (i.e., fiscal years 2054-2063). Disbursement amounts would be less volatile from year to year than the volatility that could be experienced in the baseline scenario when the balance in the C account is not sufficient to provide additional disbursements.", "The risk of zero disbursements would be greatly reduced but not eliminated. In the FSM, the risk would be 55 percentage points lower than in the baseline scenario in the fourth decade after disbursements begin (i.e., fiscal years 2054-2063). In the RMI, the risk would be less than 5 percent in each decade.", "The likelihood that the funds would maintain or exceed their inflation- adjusted fiscal year 2023 value after that year would be higher than in the baseline scenario.", "Strategy 5: The target disbursement is set as 2.1 percent of the compact trust fund\u2019s balance in fiscal year 2024. The disbursement amount is further decreased if the fund\u2019s moving average balance over the previous 5 years is lower than the primary target balance. Our analysis projected the following effects of implementing this strategy relative to the baseline scenario for the FSM and the RMI compact trust funds:", "For both countries, the average disbursement would be smaller than that in the baseline scenario in the first 3 decades after disbursements begin (i.e., fiscal years 2024-2053) but would exceed that in the baseline scenario in the fourth decade. Disbursement amounts would be less volatile from year to year than the volatility that could be experienced in the baseline scenario between 2024 and 2063 when the balance in the C account is not sufficient to provide additional disbursements.", "The risk of zero disbursements would be almost eliminated.", "The likelihood that the funds would maintain or exceed their inflation- adjusted fiscal year 2023 value would be much higher.", "Figures 11 through 16 compare projected compact trust fund disbursements and fund balances in the baseline scenario with projected disbursements and fund balances for the five selected potential strategies for improving the trust funds\u2019 outlook.", "The amounts of disbursement reductions and additional contributions varied among the strategies examined in prior studies. To provide additional information about potential trust fund outcomes, we analyzed another four examples of the selected strategies that assumed a lower amount of additional trust fund contributions, lower disbursement reductions, or a lower percentage of the compact trust fund balance that could be withdrawn. Tables 13 and 14 show the results for all 9 analyses."], "subsections": []}]}, {"section_title": "Appendix VIII: Status of Other Planned Actions in the FSM and RMI Decrement Management Plans", "paragraphs": ["In addition to planning budget reductions in the FSM Long-Term Fiscal Framework (its decrement management plan) and the RMI Decrement Management Plan, the FSM and RMI planned other actions such as tax reforms and subsidy reductions to address the scheduled decrement in compact sector grants. The FSM implemented two of three planned actions and the RMI implemented one of four planned actions. The FSM did not implement unified tax reform measures but implemented a change in the formula for sharing compact sector grants with the FSM states and using planned surpluses to mitigate the effects of fiscal reforms. The RMI did not implement planned new taxes, reductions in subsidies to state- owned enterprises, or reductions in payments to Majuro landowners for the use of their land for utilities. The RMI did program a portion of its fishing fee surplus into the annual budget.", "As of January 2018, the FSM national government had implemented two of three actions that the FSM Long-Term Fiscal Framework indicated the FSM would take in addition to budget reductions. 1. Implementing unified tax reform measures", "Not implemented. The FSM Long-Term Fiscal Framework states that substantial effort and progress has been made towards comprehensive tax and revenue reform and that the FSM national and state governments anticipated that the Long-Term Fiscal Framework process would provide further impetus towards tax reform. However, according to FSM officials, two FSM states (Pohnpei and Yap) did not approve the Unified Revenue Act. According to FSM officials, the FSM is currently considering other models for tax reform and plans to revisit the issue in the future. 2. Reducing the national government\u2019s share of compact grants and reallocating it to the FSM states Implemented. According to the Long-Term Fiscal Framework, FSM Public Law 18-12 reduced the national government\u2019s share of fiscal year 2014 compact grants from 10 percent to 5 percent, with the amount of the reduction passed along to the FSM states. In May 2014, FSM Public Law 18-57 further reduced the national government\u2019s share of compact grants to 0 percent and increased the amount of compact grants allocated to the state governments, according to the FSM. 3. Using planned surpluses for actions such as possible contributions to activities that mitigate the effects of fiscal reforms, the FSM\u2019s compact trust fund, retiring debt, or reform costs.", "Implemented. The FSM national government has made additional trust fund contributions but, according to FSM officials, has made a policy decision to make these contributions to the FSM Trust Fund instead of the compact trust fund.", "As of January 2018, the RMI national government had implemented one of four other actions that its decrement management plan indicated it would take. 1. Implementing a value-added tax and net profits tax in 2017", "Not implemented. Officials from the RMI Economic Policy, Planning, and Statistics Office and Ministry of Foreign Affairs confirmed that tax reform has not been implemented due to political challenges. However, a tax task force has been established to revisit tax revenue reforms. 2. Programming 80 percent of unallocated Marshall Islands Marine Resources Authority fishing fee surplus into the annual budget in fiscal year 2015 and using the remaining 20 percent to develop the fishing industry.", "Implemented. The RMI programmed a portion of its fishing fees into the annual budget in fiscal years 2015 through 2017\u2014$15.8 million in fiscal year 2015, $26.3 million in fiscal year 2016, and $40 million in fiscal year 2017. Although fishing fees were programmed into the budget, according to RMI\u2019s Office of Compact Implementation, the formula allocating 80 percent of fishing fee revenue into the annual budget and the remaining 20 percent to develop the fishing industry is part of proposed RMI legislation but has not become law. 3. Reducing state-owned enterprise subsidies by 10 percent in fiscal years 2016 and 2018.", "Not implemented. The RMI national government did not reduce the total amount of state-owned enterprise subsidies by 10 percent in fiscal years 2016 as committed in the 2014 decrement management plan. Audit reports for state-owned enterprises in fiscal years 2015 and 2016 indicate that, while the RMI reduced subsidy amounts for some state-owned enterprises, other subsidy amounts increased and overall subsidies were higher in both fiscal years 2015 and 2016 than in fiscal year 2014. See table 15. for the government\u2019s use of their land for utilities by 20 percent in fiscal years 2016, 2018, and 2021.", "Not implemented. The RMI national government has not reduced government transfers to Majuro landowners to compensate for the government\u2019s use of their land for utilities due to political challenges, according to RMI officials. RMI Ministry of Finance officials stated that, as of January 2018, there had been no reductions in government transfers to Majuro landowners. According to RMI government officials, the total rent payment bill has in fact increased as utilities in Majuro have expanded."], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the U.S. Postal Service", "paragraphs": [], "subsections": [{"section_title": "Now on page 68.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix XI: Comments from the Federated States of Micronesia", "paragraphs": [], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["1. The FSM refers to our testimony in 2002 regarding the potential for the FSM compact trust fund to not provide funds sufficient to cover the estimated value of expiring federal services as early as 2002. 2. The FSM includes a graphic showing the effect of the partial inflation adjustments and the decrement in the compact sector grants. We include a similar portrayal of this analysis in figure 10 in this report. 3. The FSM states that the amount of the decrement in compact sector grants that is used for annual contributions to the FSM compact trust fund should be recorded as an FSM contribution to the fund. However, Section 215 of the FSM compact refers to the annually decreasing amounts provided to the compact trust fund as set forth in Section 216 of the FSM compact as United States contributions to the compact trust fund."], "subsections": []}]}, {"section_title": "Appendix XII: Comments from the Republic of the Marshall Islands", "paragraphs": [], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["1. The RMI states that, absent accountability issues, the maximum annual disbursement amount should be disbursed from the compact trust fund. However, as our report notes, although the compact trust fund agreements state the maximum allowable disbursement level, they do not establish or guarantee a minimum disbursement level. 2. The RMI states that the 2-year delay in investing the compact trust fund will result in a compounded total loss of $33.6 million by the end of fiscal year 2023. Our 2007 analysis of the trust funds included information about the delays in establishing the trust funds. We did not update our 2007 analysis of the loss in income due to the delay in investing the compact trust fund for this report. 3. The RMI notes that the amended compacts' implementing legislation extended several important federal programs. Appendix IV of this report presents our conclusions, based on our analysis of current law, that the RMI will remain eligible as of the end of fiscal year 2023 for special education programs and for some programs replaced by the supplemental education grant."], "subsections": []}]}, {"section_title": "Appendix XIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Emil Friberg (Assistant Director), Ming Chen, Neil Doherty, Mark Dowling, Reid Lowe, Moon Parks, Shaundra Patterson, and Michael Simon made key contributions to this report. Justin Fisher, Jeff Isaacs, Julie Hirshen, Risto Laboski, Courtney LaFountain, and Jeffery Malcolm provided technical assistance."], "subsections": []}]}], "fastfact": ["The U.S. is providing $3.6 billion in economic assistance to the nations of Micronesia and the Marshall Islands from 2004 through 2023. This assistance has increasingly been provided in the form of contributions to trust funds for each nation, and is intended to boost their self-sufficiency. After the assistance ends, the trust funds should generate revenue from investments.", "But we found the trust funds may not provide disbursements in some years or sustain their value after 2023.", "We made 6 recommendations, including that the U.S. Interior Department take steps to address the risks to the funds' ability to provide income after 2023."]} {"id": "GAO-18-539", "url": "https://www.gao.gov/products/GAO-18-539", "title": "Public Transit Partnerships: Additional Information Needed to Clarify Data Reporting and Share Best Practices", "published_date": "2018-07-30T00:00:00", "released_date": "2018-07-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The public transit landscape is changing, as advances in technology have enabled more on-demand mobility services, such as ridesourcing and bike-share services. In response, some transit agencies have started to partner with private mobility companies with the aim of offering public transit riders more efficient and convenient options through on-demand services. FTA supports public transportation systems through a variety of federal grant programs.", "GAO was asked to review various issues related to such partnerships. This report examines, among other things: (1) the types of partnership projects that selected transit agencies have initiated with private mobility companies and (2) how DOT's efforts and funding and federal requirements may impact such partnerships. GAO interviewed DOT officials and reviewed DOT documents; interviewed 16 local transit agencies and 13 private mobility companies involved in transit partnerships; and reviewed 22 projects initiated by the selected partners, including 5 funded by the Mobility on Demand Sandbox grant program. GAO selected these partners to represent a range of service types and geographic locations; the results are non-generalizable."]}, {"section_title": "What GAO Found", "paragraphs": ["Some local transit agencies are pursuing partnerships with private mobility companies\u2014including car-share and \"ridesourcing\" companies such as Lyft and Uber, which provide access to a shared vehicle \u201con demand\u201d\u2014with the aim of offering public transit riders more efficient and convenient service options. Most of the transit partnership projects that GAO selected (14 of 22) involved private partners providing on-demand transportation for the \u201cfirst- and last-mile\u201d connections to or from public transit stations (see figure). Local transit agencies use first- and last-mile connections to increase their public transit ridership. Other services provided through selected projects included filling transit service gaps in under-served areas. Most selected projects have not yet been evaluated to determine whether they achieved intended outcomes.", "The Department of Transportation's (DOT) efforts, especially the Federal Transit Administration's (FTA) initiation of the Mobility on Demand Sandbox program, have facilitated partnerships, but confusion about how to meet some requirements and how to report data pose challenges to implementing projects. In October 2016, FTA announced the selection of 11 projects to receive grants and has since provided assistance to the grantees. FTA also issued clarifications about how certain federal requirements\u2014such as those related to the Americans with Disabilities Act of 1990 (ADA)\u2014apply to transit partnerships. However, most selected local transit agencies (14 of 16) said that additional information beyond what FTA has already disseminated, including how agencies have successfully structured partnerships and met federal requirements, would be helpful. Collecting and disseminating such information could help FTA be better positioned to respond to changes in the transit industry that could impact its own efforts and goals, such as planning for future Mobility on Demand grants. In addition, most selected local transit agencies reported confusion related to reporting information about their on-demand projects into the FTA's National Transit Database, including confusion about which on-demand project data would qualify for entry. This confusion has led to possible reporting inconsistencies by some local transit agencies. Ensuring that data contained in the National Transit Database are complete and accurate is important, since according to FTA officials, FTA uses these data (1) to apportion certain grant funds to local transit agencies based on factors such as passenger miles traveled, and (2) to track its progress in achieving goals such as promoting efficient transportation systems, among other things."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations including that FTA disseminate information about how partnership projects met federal requirements and how data on partnerships should be entered into the National Transit Database. DOT concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In response to recent developments in technology, local transit agencies have started to partner with private mobility companies\u2014including car- share and bike-share companies, taxis, and \u201cridesourcing\u201d companies such as Uber and Lyft\u2014with the aim of offering public transit riders more efficient and convenient service options. Such transit partnerships may become more common as mobility technologies emerge, many of which are enabled by smartphone applications. Partnerships include, for example, arrangements where local transit agencies seek to increase public transit ridership by subsidizing ridesourcing rides to or from rail stations, making access more convenient.", "In 2016, the Federal Transit Administration (FTA) launched a new program to explore such transit partnerships and in turn to make transportation services more integrated and efficient. FTA\u2019s funding opportunity announcement for its Mobility on Demand (MOD) \u201cSandbox\u201d grant program generated a lot of interest among transit providers such as local transit agencies, generating 78 eligible proposals. From these applications, FTA announced the selection of 11 projects to receive about $8 million. Such partnerships can offer benefits, but some private mobility companies\u2019 business models may run counter to providing accessible and equitable transit. For example, riders without a smartphone could be excluded from accessing some emerging services.", "In the light of these developments, you asked us to examine several aspects of partnerships between local transit agencies and private mobility companies such as ridesourcing companies, including potential benefits from partnerships and challenges to their implementation. This report addresses: 1. the types of partnership projects that selected transit agencies have pursued with private mobility companies and the potential effects of these partnerships; 2. how DOT\u2019s efforts and funding, and various federal requirements impact such emerging partnerships; and 3. other considerations that may affect the future prevalence of such partnerships.", "To address these objectives, we reviewed documents from and conducted interviews with a selection of local transit agencies and private mobility companies engaged in transit partnerships. Specifically, we selected 15 transit partnerships, to represent a range of type of project, type of service, and geographic location. The selected transit partnerships also include 5 projects that received funding through FTA\u2019s MOD Sandbox grant program. We interviewed 29 stakeholders involved in these partnerships including representatives from 16 local transit agencies and 13 private mobility companies, including three ridesourcing companies, 3 taxi companies, 5 technology companies focused on transit, a bike-share company, and a car-share company. Although the views of these selected officials are not generalizable to those of all local transit agencies or private mobility companies, they represent a range of perspectives and expertise regarding partnerships. We also interviewed officials and reviewed documents from the Department of Transportation (DOT), including in FTA and the Intelligent Transportation Systems Joint Program Office (ITS JPO) and interviewed five other stakeholders with knowledge of transit issues, such as the Shared Use Mobility Center (SUMC) and the Community Transportation Association of America. In addition, we reviewed industry and research documents and compared DOT\u2019s efforts to federal internal control standards and leading practices for collaboration identified in prior GAO work.", "We conducted this review from June 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The growth of the \u201csharing economy\u201d has begun to impact public transportation. DOT describes the sharing economy as a developing phenomenon based on sharing, renting, and borrowing goods and services, rather than owning them. One facet of the sharing economy is shared mobility, meaning the shared use of a motor vehicle, bicycle, or other transportation mode that is often facilitated by requests from users, largely through mobile applications. See figure 1 for examples of shared mobility services available \u201con demand\u201d through mobile applications.", "The increased use of ridesourcing services has been particularly noticeable in recent years. Since Uber first initiated ridesourcing services in the U.S. in 2010, such services have become increasingly popular, especially in urban areas. While data on the use of ridesourcing are limited, researchers reported in 2017 that about 21 percent of adults in major U.S. cities had used ridesourcing services, and about a quarter of them used these services on a frequent (weekly or daily) basis. Ridesourcing services offer convenience benefits for riders (see fig. 2, which explains how such services work).", "Millions of Americans\u2014especially those unable to provide their own transportation due to age, disability or income constraints\u2014rely on public transit to fully participate in society and access vital services. The types of services typically provided by local transit agencies include: rail services, in which vehicles operate along railways. fixed-route bus services, which operate according to regular schedules along prescribed routes with designated stops. paratransit services, which generally speaking are accessible, origin-to-destination transportation services that operate in response to calls or requests from riders. other demand-response services, which are sometimes called dial- a-ride.", "Local transit agencies have historically contracted out some services, in part to decrease their operating costs. For example, a survey we conducted in 2013 showed that a majority (61 percent) of the 463 responding local transit agencies contracted out one or more services. Services most frequently contracted out included paratransit services for individuals with disabilities and demand-response services. In particular, taxi companies have often been used to fulfill paratransit services and other demand-response services.", "Within DOT, FTA is responsible for providing grants that support the development of safe, comprehensive, and coordinated public transportation systems, among other things. Specifically, FTA:", "Annually distributes about $12 billion to support and expand transit systems, according to DOT. Two of these funding sources are Urbanized Area Formula Grants and Formula Grants for Rural Areas. These grant funds go to local transit agencies, but these local transit agencies may in some cases use these funds to procure the services of third parties such as private mobility companies.", "Ensures that local transit agencies receiving certain federal financial assistance do not discriminate based on race, color, religion, national origin, sex, disability, or age. Furthermore, FTA ensures local transit agencies comply with DOT regulations implementing certain portions of Title VI of the Civil Rights Act of 1964, as amended, (Title VI) and the Americans with Disabilities Act of 1990, as amended, (ADA).", "Administers the National Transit Database (NTD), which is intended to provide information to the federal government and others on which to base public transportation service planning. All recipients and direct beneficiaries of grants from the urbanized area formula program and rural area formula program are required by statute to submit data to the NTD, such as financial and operating data.", "FTA\u2019s Office of Research, Demonstration, and Innovation recently launched a new MOD program to further its goals of improving the integration of transportation systems and increasing the accessibility and efficiency of public transit services for riders. According to officials, FTA believes that the U.S. public transportation system will be heavily influenced by the \u201cMobility on Demand\u201d concept in the future, so has incorporated this concept into its planned research efforts. The MOD program is the agency\u2019s main effort to help local transit agencies to explore emerging shared mobility technologies, in part by partnering with private mobility companies. The MOD program involves several components, including funding projects through the competitive MOD Sandbox grant program. In May 2016, FTA published a notice of funding opportunity and solicitation of project proposals for the MOD Sandbox grant program. In October 2016 FTA announced the selection of 11 projects to receive about $8 million. According to FTA officials, the agency designed the MOD program with several goals in mind, including:", "Funding those proposed grant projects with the most promise for generating benefits for the respective communities.", "Helping agencies better understand how such partnerships work in practice to promote emerging on-demand mobility options.", "Identifying any federal requirements that could impact the ability to provide on-demand mobility services offered through partnerships.", "Evaluating the extent to which the MOD Sandbox projects achieve their intended outcomes by developing and applying relevant performance metrics."], "subsections": []}, {"section_title": "Partnerships Seek Various Service Efficiencies, but Their Full Impacts are Unknown", "paragraphs": [], "subsections": [{"section_title": "Most Selected Projects\u2019 On-Demand Services Aimed to Increase Transit Ridership", "paragraphs": ["As shown in figure 3 below, local transit agencies nationwide are pursuing partnerships to offer a variety of on-demand services that aim to make access to public transportation more efficient and convenient. The private mobility companies involved in selected partnerships include some well- known companies such as Uber and Lyft, and some lesser-known types of companies such as a bike-share company and technology companies focused on transportation. Selected local transit agencies most frequently partnered with ridesourcing companies (11 projects), while 8 partnership projects included more than one type of private partner. Five of the 22 partnership projects were in FTA\u2019s MOD Sandbox program.", "Most selected projects (14 of 22) involved on-demand first- and last-mile transportation connections, through which respective local transit agencies aim to increase ridership on their transit systems (see table 1). Addressing the first- and last- mile issue has been identified as an ongoing challenge for many local transit agencies seeking to increase their transit ridership. Research suggests that the easier it is to access a transit system, the more likely people are to use it.", "Connecting on-demand services for the \u201cfirst- and last-mile\u201d\u2014which refers to the distances riders need to travel to or from a public transit station or a stop to arrive at their final destination\u2014could improve transit access by effectively extending service beyond the respective fixed-route buses and commuter trains (see fig. 4). To attract riders to use such first- and last- mile services, eight projects provided a discount to pay for a portion of the fare for the ridesourcing ride to access public transit. Figure 5 below shows a selected local agency\u2019s advertisement for such a voucher program.", "The second most common type of service provided through selected projects was on-demand paratransit service, which could help the respective transit agencies offer eligible riders more convenient options and also help address the high cost of providing such services. More than half of the selected projects (13 of 22) provided on-demand services targeted toward paratransit-eligible riders, either as the primary project goal or to ensure equivalent service for eligible customers. Officials from two local transit agencies told us that by providing more convenient ADA paratransit services\u2014as compared to traditional services that require booking a day or more in advance\u2014these projects in turn produce other benefits. For example, officials from one local transit agency with such a partnership thought their program could really benefit the broader community because the targeted riders could make more spur-of-the- moment decisions to participate in activities such as shopping, work, and church. Also, as we have previously reported, the costs of paratransit services are much more costly to provide than fixed route trips.", "Some local transit agencies also aimed to improve their public trip planning and ticketing systems, to increase convenience for riders in their communities. Specifically, five selected local agency projects involved early experiments with the Mobility as a Service (MaaS) concept, meaning offering riders a central electronic platform\u2014such as an app\u2014to plan end-to-end trips including booking, ticketing, and paying for any transportation needed to make the trip, both public or private. If fully implemented, MaaS would allow riders to, for example, use one app to view and compare real-time availability of various modes (e.g., a traveler might be directed to a train if one is arriving quickly, or to a ridesourcing vehicle if train service has ended for the night). Riders could tailor their trip to meet their needs and payments could be processed through their phone. Implementing MaaS apps could increase convenience for consumers, and may also increase transit ridership. As an example of an \u2018early\u2019 MaaS experiment, Chicago Transit Authority\u2019s MOD Sandbox project seeks to integrate the city\u2019s bike-share system into CTA\u2019s central trip planning and fare payment app, so that riders can more easily pay for a bike-share ride along with their transit trip. Figure 6 shows a sample of a current trip planner and a future MaaS concept.", "To initiate their on-demand projects, half of selected local transit agencies relied on local funds and not federal funds. Specifically, officials from half of the local transit agencies (8 of 16) indicated that their projects did not use federal funds, with the projects either partially or entirely funded through a local transit agency or local government subsidy, where the transit agency subsidizes or pays the entire cost of the on-demand service. The remaining 7 local transit agencies used federal funds for their projects. For example, the 5 FTA MOD Sandbox projects in our selection received federal funds to support 80 percent of project costs, with the remaining 20 percent of project costs supported through local matching funds. One FTA MOD Sandbox project involved two local transit agencies."], "subsections": []}, {"section_title": "Long-Term Sustainability and Effects on Transit Ridership, Costs, and Communities Have Not Yet Been Determined", "paragraphs": ["Most of the selected projects have not yet been evaluated to determine whether they achieved intended outcomes. However, a few transit officials told us that their agencies\u2019 costs had decreased since initiating the partnerships. For example, an official from one transit agency reported that the on-demand service provided through their partnership had helped them reduce costs for paratransit. Two of the completed partnerships in our review generated insufficient ridership to succeed. The partnerships were widely covered by the press, which transit agency officials believe provides other transit agencies the opportunity to learn from them as well. Specifically, Kansas City\u2019s Bridj project and the Go Centennial project in the city of Centennial, Colorado failed to attract sufficient riders despite the money and time invested by the local transit agencies and their private partners. The transit officials involved indicated that the projects should have incorporated more marketing of the services being offered and allowed more time for riders to adapt to the new on- demand services, an issue which we will further discuss later in this report.", "In addition, according to some selected local transit agencies and literature, the increase in such partnerships may have negative effects on public transit ridership and on local transit agencies more broadly. For example, as riders become comfortable with the new on-demand options, they may elect to use these transportation modes instead of public transit, thus reducing public transit ridership. In addition to the possible loss of ridership revenue, on-demand services could decrease other transit agency revenues, such as parking fees charged at some transit stations. Further, one researcher that regularly reviews emerging mobility topics discussed the concern that over time, an increase in on-demand services offered could result in inequitable public transit. Specifically, she noted that if on-demand services offered continue to increase, riders may begin to perceive fixed route transit services as inferior to these new services, which could divert riders and revenues away from public transit. Eventually, this could result in two systems: an inferior public transit system and a superior on-demand system for those who can afford it.", "To provide more information about potential outcomes from such partnerships, DOT officials have commissioned a study to evaluate the outcomes of the MOD Sandbox partnerships and anticipate publishing results in 2019. In collaboration, FTA and DOT\u2019s ITS JPO developed an evaluation framework for each of the 11 funded MOD Sandbox projects. As part of this evaluation, the transit agencies plan to collect information, such as ridership and cost data, to demonstrate how the project has influenced transit rider behavior. ITS JPO plans to use the data to measure the extent to which each project has fulfilled its goals and impacted travel behavior. The study will also include crosscutting analyses and lessons learned for all MOD Sandbox projects. According to DOT officials, FTA is also developing performance metrics to track the projects over time to see the extent to which they promote integrated transportation."], "subsections": []}]}, {"section_title": "While DOT Has Facilitated Partnerships, Some Requirements and Limited Data Pose Implementation Challenges FTA Has Facilitated Partnerships through the Mobility on Demand Program", "paragraphs": ["FTA\u2019s MOD program is a key effort under way to encourage and better understand transit partnerships. Since first announcing the selected 11 MOD Sandbox projects to receive funding in October 2016, FTA has supported the program through various efforts, and most (10 of 16) selected local transit agencies in our review expressed positive views on the program. Specifically:", "FTA has provided technical support to participants as the MOD Sandbox projects have progressed. According to FTA officials, FTA has contracted with the SUMC to provide technical assistance to MOD Sandbox grantees. Officials from all six MOD grantees in our selection said that FTA support throughout the grant and planning processes has been helpful. For example, officials from one transit agency indicated that this program shows FTA\u2019s dedication to the idea of shared mobility and enables the grantees to try out new models in a \u201cnurturing environment.\u201d", "FTA has held quarterly meetings open to all MOD Sandbox participants, including local transit agencies and private mobility companies. According to two private mobility companies in our selection that participated in the MOD Sandbox program, these meetings were a constructive forum where participants could discuss challenges, lessons learned and other issues."], "subsections": [{"section_title": "Most Selected Transit Agencies Wanted Additional Information Describing How Transit Partnerships Have Met Federal Requirements", "paragraphs": ["Since initiating the MOD Sandbox program, FTA has gathered information from grantees about federal requirements that may pose challenges to implementing transit partnerships. For example, FTA\u2019s MOD Sandbox notice of funding opportunity encouraged grant applicants to identify any regulatory or policy waivers needed to implement proposed projects. According to FTA officials, they received many such waiver requests from applicants, many of which they could not grant. For example, some of the MOD Sandbox grantees\u2019 private partners requested waivers from ADA requirements, which according to FTA officials the agency does not have the authority to waive. FTA officials also clarified that they do not intend to immediately change policies or regulations based on the feedback received through the MOD Sandbox program. Instead, they aim to help MOD Sandbox participants meet requirements and to provide technical assistance to local transit agencies outside of the program. They said that, in the longer term, the agency would consider potential policy and regulatory revisions if needed.", "Most selected transit agencies (11 of 16) and private mobility companies (10 of 13) indicated that some federal requirements\u2014if applicable to a certain partnership\u2014can impact these partnerships and in some cases, make them more challenging to undertake. Table 2 below shows four categories of requirements cited as having the potential to impact partnerships, along with examples of stakeholder views on their potential impacts. Although some stakeholders identified these requirements as potentially impacting partnerships, they did not agree that the requirements should be waived to facilitate partnerships. For example, officials from two local transit agencies told us that requirements related to providing accessible and equitable transportation are important to maintain even if they could deter partnerships. However, FTA designed the MOD Sandbox grant application process so that the applicant local transit agencies could choose their private mobility partners using a noncompetitive process, bypassing the procurement requirements that normally require a full and open competition. One MOD grantee told us that their ability to bypass a competitive process was helpful and expedited their project planning efforts.", "As FTA has gained more knowledge about such partnerships, the agency has sought to clarify how some of these requirements apply to such partnerships. For example, in December 2016, shortly after announcing MOD Sandbox grantees, FTA issued documentation clarifying various aspects of transit partnerships, as well as certain federal requirements.", "FTA issued a \u201cDear Colleague\u201d letter to local transit agencies which addressed how certain ADA and Title VI requirements apply when a local transit agency enters into a partnership with a ridesourcing company.", "FTA published a dedicated webpage of frequently asked questions (FAQ) about shared-mobility partnerships. This website supplements subject-specific FAQs already available on FTA\u2019s website that also may apply to these partnerships; it includes FAQs on Civil Rights and ADA requirements.", "In addition, FTA provides clarifying information to local transit agencies upon request, according to FTA and several local transit agency officials.", "However, officials from most (14 of 16) selected local transit agencies told us that additional information from FTA would be helpful, especially examples of how local transit agencies are structuring their partnerships to ensure they meet federal requirements. As noted above, FTA has issued various documents for local transit agencies about how federal requirements, such as Title VI requirements, apply to emerging partnerships. Nonetheless, officials from some local transit agencies told us that without examples, they were unclear about how such partnerships could ever meet requirements. For instance, one transit official told us he was unaware FTA has determined that local transit agencies may use ridesourcing companies without requiring that these contractors undergo drug and alcohol testing\u2014the aforementioned \u201ctaxicab exception\u201d\u2014if riders are able to select from multiple providers for their on-demand rides. In another example, officials from one agency told us that they had tried to look at the NTD database to find peer local transit agencies with similar on-demand programs to ask these agencies for advice, but could not find any peers using that method. These officials wanted to know how other local transit agencies were dealing with customers without bank cards in their on-demand services. They told us that having more examples from FTA of how various local transit agencies are structuring their transit partnerships to comply with federal requirements could be especially helpful.", "Selected local transit agencies with ridesourcing partners described approaches that they believe help to ensure compliance with the drug and alcohol testing, ADA, and Title VI requirements, including using a taxi company, a paratransit company, or both. For example, transit officials managing four of the 11 selected projects involving a ridesourcing company told us they had added a taxi or paratransit company as an option for riders to comply with requirements. According to two taxi representatives we interviewed and research studies, taxi companies already have procedures for fulfilling federally-required drug and alcohol tests. Several local transit officials told us that taxi companies usually have call centers and accept cash payments, making it easier to ensure that the services comply with Title VI. In addition, according to taxi representatives and research reports, taxi companies may have experience complying with the ADA since some of DOT\u2019s implementing regulations may already apply to them.", "Gathering and disseminating more information on partnerships corresponds with best practices for collaboration with external parties identified in prior work by GAO and others. For example, as we have previously reported, if federal agencies can identify and share best practices, this can help the entities that federal agencies oversee\u2014such as local transit agencies in this case\u2014make changes to successfully adapt to changes in the environment. Additionally, a recent industry report argues that local transit agencies seeking to form transit partnerships will strongly benefit from learning directly from peer agencies with relevant experiences in the emerging area.", "As discussed above, FTA has gathered local transit partnership information from its MOD Sandbox projects. However, the majority of local transit agencies that participate in partnerships are not in the MOD Sandbox program; and many of their projects may already be underway or complete. Gathering information from those local transit agencies would provide FTA with more information about how partnerships are meeting federal requirements. It would also likely provide FTA with more examples to disseminate to all local transit agencies interested in pursuing partnerships to help those agencies structure their partnerships in accordance with federal requirements. Finally, additional information on these partnerships would better position FTA to respond to changes in the transit industry that could impact its own efforts and goals, such as planning for future MOD grants and improving the efficiency of transit services overall."], "subsections": []}, {"section_title": "Selected Transit Agencies Reported Confusion about Whether and How On- Demand Project Data Should Be Entered into the National Transit Database", "paragraphs": ["To track its progress toward achieving its goals, such as increasing the efficiency of public transit services, FTA can use data from NTD. According to FTA officials, NTD is its primary source for information and statistics on U.S. transit systems. As we have previously reported, NTD is intended to provide timely, accurate information to help Congress and FTA apportion funding and assess the continued progress of the nation\u2019s public transportation systems. A key goal of the NTD is to gather information from local transit agencies, such as financial and operating data, to inform public transportation service planning. All recipients and direct beneficiaries of grants from the Urbanized Area Formula Program and Rural Area Formula Program\u2014such as local transit agencies\u2014 are required to report certain data to NTD. For example, in 2016, over 950 urban transit agencies and others reported into NTD, and FTA encourages transit agencies not receiving urbanized area and rural area grant funds to report voluntarily so that NTD can be more complete. Additionally, according to FTA officials, FTA uses certain NTD data to apportion certain grant funds to local transit agencies nationwide, including data on passenger miles traveled and vehicle revenue miles.", "Each year, urbanized area and rural area formula grant recipients and beneficiaries are required to submit an NTD package with many different types of data, including: financial information, including operating expenses and funding sources, asset inventory data, such as numbers of transit stations and maintenance facilities, and services supplied, including the number of passenger trips that year, and miles traveled by passengers.", "To help local transit agencies with this reporting, FTA issues NTD manuals annually that are updated with new information, as needed. These manuals describe how to report all the various NTD data requested, including how to report services that the transit agency provided based on the transportation mode, divided between rail and non- rail, with non-rail including demand response services, potentially provided by private mobility companies.", "According to FTA officials, some data that local transit agencies would need to report on-demand project data into NTD and to measure project outcomes\u2014such as whether the targeted riders are using the on-demand rides to get to and from transit stations\u2014would be tracked by the private mobility companies involved in the project. For example, to report data about services supplied into NTD, the local transit agency would need certain data such as: the numbers of trips and riders taken, distances traveled in miles, time spent travelling, and the days of the week when the services are offered. In the case of on-demand rides offered through transit partnerships, much of that data would be tracked by the private mobility company and potentially shared with the local transit agency for NTD entry.", "Although FTA has made some information available that could facilitate these transit partnerships\u2014including updated NTD manuals\u2014local transit agencies in our selection reported the following issues: confusion regarding whether and how to report on-demand service data into NTD, and difficulties gathering data for NTD reporting from ridesourcing companies."], "subsections": [{"section_title": "Confusion Regarding Whether and How to Report Data about On-Demand Services into NTD", "paragraphs": ["According to FTA officials and the most recent NTD manual, transit agencies only report data to the NTD for services provided that meet the statutory definition of public transportation. Under the statute, public transportation means regular, continuing shared-ride surface transportation services that are open to the general public or open to a segment of the general public defined by age, disability, or low income. However, public transportation does not include intercity passenger rail transportation provided by Amtrak, intercity bus service, charter bus service, school bus service, sightseeing service, courtesy shuttle service for patrons of one or more specific establishments, or intra-terminal or intra-facility shuttle services. FTA officials told us that for a transportation service to be considered \u201cshared-ride\u201d the service must have the real possibility of being offered on a shared-ride basis. According to FTA officials, for a transportation service to be \u201copen to the general public\u201d it cannot be limited to a specific group (except those groups specified in the definition), and neither the driver nor passenger can deny another person on board. For example, a service provided by a ridesourcing company in which a passenger or driver can refuse additional passengers would not be considered \u201copen to the general public,\u201d according to FTA officials. Furthermore, FTA officials told us that a time-limited pilot providing transportation service is not considered \u201cregular\u201d and \u201ccontinuing.\u201d", "Additionally, FTA officials told us that, even if a transportation service meets the statutory definition of public transportation, the local transit agency may not be required to report the associated data if that agency did not directly provide the transit service. For example, according to FTA officials, whether or not a local transit agency would have to report transportation service provided by a private partner would depend on the contract between the local transit agency and the private partner. Also, according to FTA officials, a local transit agency cannot report data about service provided by a private partner if it is a voucher program, because those services are not considered \u201cshared ride\u201d and thus do not meet the statutory definition of public transportation. If the service provided by the private partner meets the statutory definition of public transportation and is considered a service provided by the local transit agency, then FTA officials told us most services provided through these partnerships should be reported under the Demand Response or Demand Response-Taxi transportation modes.", "Despite available NTD manuals that discuss the statutory definition of public transportation, officials from most (10 of 16) selected local transit agencies expressed confusion about NTD reporting for on-demand projects, such as about which types of on-demand rides qualify as \u201cpublic transportation\u201d for NTD reporting purposes and how qualifying rides should be entered into NTD. These officials told us that further clarification is needed from FTA about this issue. For example, three projects in our review offered similar on-demand paratransit rides\u2014 through ridesourcing or taxi company partners\u2014but officials from the three local transit agencies involved had different views on whether and how these rides should be entered into NTD.", "Officials from the first local transit agency told us that they were planning to report these rides into NTD and had met with the FTA officials responsible for maintaining NTD to ask them how to report them. These FTA officials had told them it should theoretically be possible to enter those rides into NTD, but they did not clarify how to do so.", "Officials from the second transit agency told us that if they extend the dates of their current partnership with two ridesourcing companies, then they will need more clarification from FTA about the information that should be reported into NTD, such as passenger miles traveled. These officials also noted that they already use an extensive process for entering paratransit information into NTD, including tracking vehicle hours and passenger miles of all vehicles used to provide such services.", "Officials from the third local transit agency told us that they did not intend to report these rides into NTD. In these officials\u2019 opinion, these rides should not be entered into NTD since they do not meet the definition of public transportation in the NTD policy manual.", "Selected transit agencies in our review seem to be interpreting the information about whether and how to enter data from their partner- provided on-demand services\u2014as outlined in NTD manuals\u2014differently, leading to inconsistencies in whether and how these agencies planned to enter data. For example, one local transit agency\u2019s project offered shared microtransit services on-demand through a technology company partner. In our interview, officials from this local transit agency told us that they intended to report these rides into NTD, but had received unclear and seemingly incorrect advice from the regional FTA staff on how to do so. According to these officials, the regional FTA staff had told them to include these microtransit rides with the agency\u2019s demand-response paratransit rides, since some of the riders of this on-demand service were also qualified for paratransit. The local transit officials told us that they hesitated to report to NTD in the way instructed because it seemed inaccurate. In this local transit agency\u2019s response to follow up questions, the local officials said they were no longer planning to report data on their on-demand service into NTD. We asked FTA officials if this type of service provided by a private partner qualifies as public transportation, and thus should be entered into the NTD by the local transit agency, and FTA officials said it seemed to qualify for entry. In another example, one transit official managing a first- and last- mile voucher project told us that she planned to report these rides into NTD. However, FTA officials told us services provided through voucher programs generally do not meet the definition of public transportation and therefore do not qualify for NTD entry.", "Federal internal control standards state that agencies should use quality information to achieve the entity\u2019s objectives. To ensure that quality data are used to track progress toward achieving objectives, agencies should obtain relevant data from internal and external sources in a timely manner, according to the standards. Further, the standards state that agencies should use an iterative and ongoing process to identify what information is needed. As changes to the agencies\u2019 objectives occur\u2014or as external events occur that impact such objectives\u2014the standards indicate that agencies should change information requirements as needed to meet these modified objectives.", "The above examples of local transit agencies\u2019 confusion about NTD reporting requirements raise questions about whether NTD data accurately reflect the status of the U.S. public transportation system, a key goal of the NTD. According to officials, FTA is considering issuing more information clarifying required NTD reporting for on-demand services provided through partnerships. They explained that rather than change any reporting requirements, this new information would clarify how emerging on-demand services fit into current NTD reporting requirements. These officials also told us that local transit officials with questions related to NTD reporting can call an FTA NTD help desk or they can direct their questions to the designated NTD analyst. Officials said that they would consider issuing a document on frequently asked questions about NTD reporting for these partnerships, but that thus far FTA had received few relevant questions from transit agencies. Specifically, FTA officials told us that their NTD office had received relevant questions from two local transit agencies (both of which are in our selection), both about what types of ridesourcing services would be reportable to the NTD. According to FTA officials, they responded to these inquiries by explaining that all services entered into NTD must be shared and meet the statutory definition of \u201cpublic transportation.\u201d", "While FTA officials told us that only two local transit agencies had contacted them about NTD reporting confusion, this did not include some other agencies in our selection that had contacted their regional FTA offices for clarification. This raises the possibility that more transit agencies nationwide with such partnerships might have confusion about NTD reporting than the FTA headquarters office was aware of. FTA officials also told us that, in the longer-term, they are considering developing a separate NTD reporting category\u2014or transportation mode\u2014 for shared ridesourcing services that qualify as public transportation. However, FTA officials did not commit to taking action on this issue.", "Without clarified information from FTA on whether services provided through on-demand projects qualify as public transportation, and how to enter data about these services into NTD, some local transit agencies will likely remain confused, potentially leading to inaccurate data in the NTD. Also, according to FTA officials, without accurate NTD data, (1) FTA will not be able to effectively track its own progress toward achieving goals\u2014 such as improving the efficiency of transit systems, and (2) the apportionment of certain grant funds to local transit agencies could be affected."], "subsections": []}, {"section_title": "Difficulties Gathering Data from Some Ridesourcing Partners", "paragraphs": ["Selected local transit agencies reported difficulties obtaining some data from their ridesourcing partners\u2014such as the total miles travelled with passengers on board\u2014and according to some stakeholders, local transit agencies nationwide have faced similar challenges. Some of these data may be needed for NTD reporting but they could also be useful to local transit agencies in tracking the outcomes of their on-demand projects. Specifically, officials from six selected local transit agencies that had partnered with ridesourcing companies had experienced issues obtaining data from them, mostly due to these companies\u2019 concerns about rider privacy and proprietary data. For example, one local transit official told us that she requested, but did not receive, data needed for NTD reporting from a ridesourcing company, including miles travelled with passengers on board.", "While representatives from most selected private mobility companies we spoke to (11 of 13) expressed no issues with sharing data, representatives from the two large ridesourcing companies did. Specifically, Uber and Lyft representatives said their companies are uncomfortable with sharing riders\u2019 personally identifiable information, such as the exact destination and origin addresses of their ridesourcing trips, with a public entity without riders\u2019 previous consent because they believed the data would be subject to Freedom of Information Act (FOIA) requests. Representatives of two industry associations and a researcher told us that issues gathering data from ridesourcing companies is a broader challenge faced by local transit agencies in such partnerships. However, representatives of the two ridesourcing companies stated that they are working with local transit agencies and FTA to figure out how to provide data to local transit agencies for NTD reporting while still protecting privacy.", "FTA officials told us they have reached an informal agreement with ridesourcing companies participating in the MOD Sandbox program, including Uber and Lyft, for the collection of one category of data. According to FTA officials, that agreement relates only to certain data needed to assess the ADA equivalent level of service requirement. If the local transit agencies participating in the MOD Sandbox program need additional data for NTD reporting, FTA officials told us it is up to those local transit agencies to obtain it from the ridesourcing companies. In addition, FTA officials told us that local transit agencies partnering with ridesourcing companies outside of the MOD Sandbox program would not benefit from this informal agreement.", "To help address data collection issues, officials from some (5 of 16) selected local transit agencies suggested that FTA could play a greater role in encouraging ridesourcing companies to provide some minimum level of data needed for NTD reporting. For example, several transit officials suggested that FTA could circulate effective practices for data sharing, such as a template contract between a local transit agency and a private mobility company that includes data sharing obligations. Several transit officials discussed how such additional information from FTA could be helpful for local transit agencies in pursuing or maintaining their partnerships. For instance, officials from one local transit agency argued that FTA information in this area could help the many local transit agencies that are too small to have sufficient market power to get the needed NTD data from ridesourcing companies.", "The above examples of local transit agencies seeking templates of data sharing agreements suggest that these and other local transit agencies could benefit from more communication from FTA on this issue. If local transit agencies could use such data sharing templates from FTA to gather more complete and accurate data from their ridesourcing partners, this would in turn help ensure the accuracy and completeness of NTD data.", "As noted above, the internal control standards instruct federal agencies to use quality data. If FTA communicated more information about practices for data sharing, this would assist local transit agencies and also help FTA be better poised to track its overall progress in furthering its goals, including promoting efficient public transit systems.", "However, FTA officials told us that they do not track information about partnerships that did not receive funding through the MOD Sandbox program, such as details of data sharing agreements, and so could not disseminate examples of how those local transit agency partnership participants are handling data sharing issues. However, local transit agencies with partnerships that are outside of the MOD Sandbox program may still be required to report data into the NTD and could benefit from additional information. FTA officials explained that they want to avoid duplicating the work of other groups that are gathering and sharing information about partnerships. For example, SUMC gathers some information about such partnerships nationwide in a public database and has sponsored conferences to facilitate information sharing about local transit agencies\u2019 experiences with their partnerships. However, SUMC\u2019s public database of partnerships does not include details about how all partnerships are handling data sharing issues. Further, because FTA oversees local transit agencies, the documents that it issues may be viewed as more authoritative than those of a contracted agency such as SUMC.", "As FTA continues its efforts to address data sharing with the ridesourcing companies involved in the MOD Sandbox program, the agency could also develop broader information on best practices for data sharing agreements\u2014in collaboration with the MOD Sandbox grantees and possibly also with SUMC\u2014and share that information so it would be available for interested local transit agencies. By sharing such gathered information on partnerships, FTA could in turn help transit agencies make sound decisions regarding the data needed from their private mobility partners, and about various options for structuring partnerships to achieve that end."], "subsections": []}]}]}, {"section_title": "Considerations Impacting the Future Prevalence of Transit Partnerships Include Industry Changes, Available Funding for Local Transit, and Access to Services, Among Others Roles of Local Transit Agencies and Private Mobility Companies Could Change as the Broader Transportation Industry Evolves", "paragraphs": ["The transportation industry as a whole is rapidly evolving, with more on- demand services being offered, which could increase the use of transit partnerships. According to SUMC, the U.S. is currently experiencing a seismic shift in transportation, as breakthroughs in mobile technology, an influx of new mobility options and changes in travel behavior have significantly altered today\u2019s transportation landscape, a trend likely to accelerate in the years ahead. Most selected local transit agencies (15 of 16) and private mobility companies (12 of 13) agreed that the industry is changing, and some discussed how transit agencies\u2019 roles and operations are changing as a result. For example, officials at five local transit agencies told us that the transit industry is shifting to offer more mobility on-demand services. Some of these stakeholders predicted that as local transit agencies increasingly use contracted services, these agencies will increasingly become \u201cmobility managers\u201d rather than direct service providers. Officials from three agencies said they are already making or planning for this shift.", "The increasing automation of vehicles is another key industry change that could impact local transit agency operations and partnerships, but the timeframes needed for full automation remain unclear. As we have reported, automated vehicles promise transformative benefits such as reducing crashes and fatalities and increasing mobility, but such vehicles also pose challenges for policymakers, such as assuring safety and addressing data privacy and other issues. We also reported that these technologies are rapidly evolving, but there is no consensus about the time needed for their full deployment. According to a recent study, vehicle automation could result in significant changes to transit agencies\u2019 operations. For example, FTA has reported that automated transit vehicles could be used to address first- and last-mile issues, which could in turn decrease the need for local transit agencies to partner with private mobility companies to fill such gaps.", "According to several stakeholders and research reports, some automakers and others have started investing in automated vehicle technologies and in private mobility companies in response to the projected rollout of shared automated vehicles in the near future. If these entities continue making such investments, this could help address challenges related to private mobility companies\u2019 long-term sustainability, which could increase such companies\u2019 ability to enter into partnerships. Of the 13 private mobility companies in our review, representatives of 5 told us that they receive significant financial support from an automaker. In addition to a car-share company, recipients of such support included, for example, three technology companies and a bike-share company.", "Representatives from two of these companies told us that such support helps ensure their long-term sustainability or provides them with the flexibility to try different business models and enter into transit partnerships without worrying about each being profitable. Such investments from well-established companies may also help address some local transit agency concerns about whether some private mobility companies would be reliable partners, thereby increasing partnerships. For example, according to a recent industry report, some transit officials have questioned the long-term financial viability of the ridesourcing business model, citing high driver turnover rates and other factors as concerns."], "subsections": [{"section_title": "Available Local Transit Funding and Transit Ridership Levels Will Impact Transit Partnerships", "paragraphs": ["All 16 selected local transit agencies and most private companies (10 of 13) told us that local transit agencies\u2019 constrained budgets will impact transit partnerships, and most transit officials agreed that this would encourage partnerships. For example, officials from one local transit agency told us that they first began researching partnerships several years ago, when they felt compelled to look for other viable alternatives to certain bus routes after a local referendum to pay for increased bus services failed.", "According to several transit officials, if the current decline in public transit ridership continues, this could increase partnerships. For example, local transit agencies may seek to maintain their transit riders by, for example, offering first- and last-mile connections to make accessing transit services more convenient. Based on GAO analysis of FTA data, overall transit ridership decreased by about 1 percent between 2012 and 2016, but ridership changes varied greatly by metropolitan area. For example, since 2010, some larger metropolitan areas have experienced more significant ridership decreases, such as Los Angeles (over a 9 percent decrease) and Washington, D.C. (over a 9 percent decrease). However, ridership grew by more than 10 percent in several areas, including Seattle (24 percent increase), and Nashville (12.5 percent increase). According to recent reports, it remains unclear if the recent decline in public transit ridership, after a decade or more of growth, represents a long-term change in rider behaviors or a short-term cycle related to factors such as lower gas prices in recent years."], "subsections": []}, {"section_title": "Extent of Marketing and Outreach about On- Demand Services Can Impact Partnerships\u2019 Success and Increase Access to Services", "paragraphs": ["Most stakeholders we interviewed agreed that sufficient marketing and outreach to target rider populations is critical for the success of new on- demand services, and this also impacts the overall success of the partnerships. Most selected local transit agencies (12 of 16) and companies (10 of 13) cited marketing as a significant factor impacting new service use. For example, officials at several local transit agencies told us that they dedicated resources for outreach to target riders to ensure these riders understood the new services being offered. One agency advertised its new on-demand taxi services for paratransit-eligible customers through phone calls to customers and residential mailings, and also encouraged the taxi companies involved to separately advertise these services.", "Even with outreach and marketing to target riders, some potential riders\u2014 particularly the elderly and low-income earners\u2014may not be able to easily access some on-demand services. For example, the current ridesourcing model generally requires riders to have a smartphone and a bank card to request a ride, which could exclude some riders.", "According to recent reports, less than one-third of Americans over age 65 own a smartphone and only 4 percent had used a ridesourcing service as of 2016. However, according to literature, older Americans will be a key demographic for transit providers to target in coming years, since their numbers are projected to grow significantly and some will stop driving their own vehicles in the near future.", "Reflecting similar concerns, several officials from local transit agencies (4 of 16) told us that it can be challenging for older residents in their communities to learn to use the smartphone apps that are needed to access some on-demand services.", "According to a 2016 Pew Research Center report, of those surveyed with household incomes greater than $75,000, 86 percent had heard of ridesourcing services and 26 percent had used them. For those surveyed with incomes less than $30,000, however, only 51 percent had heard of these services and 10 percent had used them. According to a recent report, those with lower incomes could particularly benefit from more on-demand services, especially since reliable access to transportation can help people acquire and keep better jobs.", "Several selected transit and private mobility stakeholders had efforts underway to address such access issues. For example, two local transit agencies had done targeted outreach to senior communities to educate them about using the new services, including instructions for using the smartphone apps. According to transit officials involved, these efforts had increased the use of these on-demand services by elderly riders. In addition, one ridesourcing company offers gift certificates to offer an option for those without bank cards, which can be purchased with cash and used to redeem rides. In another example, staff at a bike-share company said that their company already offers some options for those without bank cards. Staff at a technology company told us they have plans to offer more such payment options in the future."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As the sharing economy continues to grow, local transit agencies may increasingly look for opportunities to leverage emerging technologies to extend their services, address first- and last- mile and other issues, and provide additional options for riders by partnering with private mobility companies. Since the sharing economy is a relatively recent phenomenon, FTA has an opportunity to proactively facilitate and share information about ongoing transit partnership projects, including how projects are meeting federal requirements related to accessibility and equity. In addition, FTA could improve the quality of NTD data by advising transit agencies on which on-demand services qualify for NTD entry and how to accurately report about qualifying services. Without clearer instructions on whether and how data from new on-demand services should be reported into NTD, local transit agencies may remain confused, potentially resulting in inconsistent reporting. Further, without more consistent and complete data on partnership activities, including projects that were not funded through the MOD Sandbox program, FTA may lack key information needed to track progress in achieving its goals of promoting more integrated and efficient transit systems. In the absence of a clear statement from FTA about the minimum data needed from private partners for entry into NTD, some local transit agencies will likely continue encountering challenges getting needed data from partners. Finally, absent more sharing of information on partnerships by FTA, including how such partners are addressing data sharing issues, local transit agencies will be poorly positioned to navigate ongoing changes in the transit industry."], "subsections": []}, {"section_title": "Recommendations for Executive Action:", "paragraphs": ["We recommend that FTA take the following three actions:", "Gather and publicly share information on transit partnerships, including those that did not receive funding through the MOD Sandbox program, to include examples regarding how various local transit agencies complied with federal requirements\u2014such as procurement, drug and alcohol testing, ADA, and Title VI requirements\u2014while offering new on-demand services in partnerships. (Recommendation 1)", "Determine which on-demand services qualify as \u201cpublic transportation\u201d based on the statutory definition and disseminate information to clarify whether and how to report data from such services into NTD. (Recommendation 2)", "Gather and publically share information on transit partnerships, including those that were not part of the MOD Sandbox program, to include: information on how the local transit agencies and their private mobility company partners are facilitating data sharing, and minimum data needed from a private partner to facilitate NTD reporting. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments:", "paragraphs": ["We provided a draft of this report to DOT for review and comment. We received written comments from DOT, which are reprinted in appendix II. DOT concurred with our three recommendations. The department stated that, in line with these recommendations, it will continue its proactive efforts related to the Mobility on Demand program, and continue to share information about public transit partnerships. DOT also provided technical comments, which we incorporated in the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Transportation and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact Mark Goldstein at (202) 512-2834 or GoldsteinM@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Descriptions of Selected Transit Partnership Projects That GAO Reviewed", "paragraphs": ["Project description From January 2017 through June 2018, LAVTA\u2019s GoDublin Project provided first- and last-mile service for trips that begin and end within the city limits of Dublin, CA. LAVTA paid half of the fare of a ridesourcing ride, up to a maximum of $5.00. The service included a service option for paratransit-eligible riders. The overall goal of the pilot project was to see if rideshare programs reduce congestion and parking issues in Dublin.", "Lyft Line, Via Mobility Services, Denver South Transportation Management Association, Conduent (formerly Xerox)", "GoCentennial, a demonstration project that operated from August 17, 2016 through February 17, 2017, was intended to increase rail ridership by providing first- and last-mile Lyft Line rides (microtransit) and accessible transportation service to and from the Denver Regional Transportation District rail station located in Centennial, CO. The service included a transportation option for paratransit-eligible riders.", "Beginning in September 2017 WMATA\u2019s Abilities Ride program provides riders that are eligible for WMATA\u2019s Metro Access paratransit program the option to use on-demand taxi service for trips that originate and end in WMATA\u2019s Maryland service area at a discounted rate. The Metro Access customer pays the first $5 of the fare; then WMATA pays up to the next $15. For a trip requiring a Wheelchair Accessible Vehicle, WMATA pays an extra $10 to the vendor for that trip.", "Beginning in December 2017, PSTA\u2019s Mobility on Demand Sandbox project provides same day, on-demand door-to-door service to a small subset of paratransit-eligible customers in Pinellas County, FL.", "Beginning in February 2016, PSTA\u2019s Direct Connect program provided first- and last-mile service, initially within two pilot zones. PSTA expanded the program to eight zones in Pinellas County in January 2017. As of April 2018, users can travel to or from 24 locations throughout Pinellas County. PSTA pays the first $5 of the ride and the customer pays the rest. The service includes a transportation option for paratransit-eligible riders.", "Beginning in August 2016, PSTA\u2019s TD Late Shift program has provided service between home and work for lower-income riders from 10:00 pm through 6:00 am when PSTA\u2019s regular service does not operate. The service includes a transportation option for paratransit-eligible riders.", "MARTA partnered with Uber for a promotional partnership to provide first- and last-mile transportation in 2015, then again after a bridge collapsed on Interstate 85 on March 30, 2017. MARTA currently has informal partnerships with both Uber and Lyft in which they advertise one another\u2019s services."], "subsections": [{"section_title": "Transit agency, location of project 8", "paragraphs": ["Project description CTA is partnering with the Chicago Department of Transportation and Divvy bike-share to integrate Divvy rentals into Ventra. Ventra is CTA\u2019s central fare payment system that is accessible by Smartphone application, through a Mobility on Demand Sandbox project. CTA expects to launch the updated Ventra app in summer 2018.", "From October 2016 through June 2018, MBTA operated a pilot program with Uber and Lyft to offer on-demand paratransit service to customers that are eligible for MBTA\u2019s The Ride, MBTA\u2019s regular paratransit service.", "Once launched in summer 2018, MBTA will partner with local taxis on Curb\u2019s platform to provide on-demand paratransit service to customers that are eligible for MBTA\u2019s The Ride, MBTA\u2019s regular paratransit service.", "From March 2016 through April 2017 KCATA partnered with Bridj, a company offering microtransit services, to offer riders services within and between two zones around downtown Kansas City, MO during weekday rush hours. The service included a transportation option for paratransit-eligible riders.", "From May 2017 through April 2018, KCTA partnered with local taxi companies owned by TransDev to provide subsidized on- demand service for paratransit-eligible customers. Customers that are not eligible for paratransit could also use the service, but KCATA did not subsidize the cost of the ride.", "Rabbit Transit has used demand-responsive service from Uber and Lyft to fill gaps during peak travel periods when the agency\u2019s regular services are running late.", "King County Metro and Sound Transit will be partnering with Via to provide rides for customers traveling to and from bus and rail stations in the Seattle, WA area as a sub-recipient of the Los Angeles County Metropolitan Transportation Authority\u2019s Mobility on Demand Sandbox partnership. Expected launch of the service is late 2018.", "King County Metro has dedicated four parking spaces at its Northgate Transit Center Park & Ride to free floating car-share vehicles to increase the number of options for customers to connect to transit, including customers who do not own a personal vehicle. The car-share spaces are also intended to enable more customers to ride transit by increasing parking turnover at this overcrowded lot.", "King County Metro will be operating a pilot program to provide on- demand first and last mile service to customers within a 2-mile radius of the Eastgate, Northgate, and South Renton park & ride lots. The service also will include a transportation option for paratransit-eligible riders. Expected launch of the service is August 2018."], "subsections": []}, {"section_title": "Transit agency, location of project 17", "paragraphs": ["Project description Through its Mobility on Demand Sandbox project, LA Metro will be partnering with Via to provide first- and last-mile rides to and from locations where customers can board an LA Metro bus or train, in an effort to increase transit ridership. LA Metro will provide vehicles that can accommodate customers that need additional assistance or customers in wheelchairs as well as a call center for customers without smartphones. LA Metro aims to launch the service in September 2018.", "LA Metro partnered with Uber for two weeks in May 2016 to provide rides to and from Metro Expo Line stations. Customers received a $10 discount on these Uber rides.", "Through the Adaptive Mobility with Reliability and Efficiency (AMORE) Mobility on Demand Sandbox project, the Regional Transportation Authority (RTA) of Pima County, AZ will offer riders the ability to request services from Ruby Ride, a ridesourcing company, via a phone app, for first- and last-mile transportation. According to an RTA official, this project seeks to provide more services to outlying areas, which previously had either infrequent fixed routes or no service. The RTA and Metropia\u2014a technology company involved in the project\u2014 also plan to offer riders incentives, such as discounted services, to change their travel behavior, such as changing their travel times to when roads are less busy. The phone app will also include a carpool matching service that will dynamically recommend potential driver/rider combinations to customers. RTA plans to launch this service in fall 2018. The service will include a transportation option for paratransit-eligible riders.", "From January through June 2018, GoTriangle partnered with TransLoc, a technology company, to provide first- and last-mile Go OnDemand shuttle service (microtransit) in Research Triangle Park and surrounding areas. Riders were able to hail GoTriangle\u2019s shuttle service from their phone or online using the TransLoc Rider app.", "From June 2017 through June 2019, the Greater Dayton Regional Transit Authority (RTA) is partnering with Lyft and two other providers to provide on-demand rides from designated RTA Connect stops in underserved areas of the Greater Dayton service area to a transfer point where riders can access fixed- route bus service. The on-demand service has replaced fixed- route bus service that was eliminated due to low ridership.", "Capital Metro partnered with Via Transportation, Inc. (Via) to provide first- and last-mile on-demand microtransit service from June 2017 through June 2018 to an area of Austin with few fixed route options. Riders were able to book rides with Via, whose service has no fixed routes or fixed schedules. The buses used for the project were able to accommodate two wheel-chair riders and up to nine seated occupants."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Heather MacLeod (Assistant Director); Jessica Bryant-Bertail (Analyst-in-Charge); Lacey Coppage; Delwen Jones; Terence Lam; Bonnie Pignatiello Leer; Josh Ormond; Oliver Richard; and Kelly Rubin made key contributions to this report."], "subsections": []}]}], "fastfact": ["Have you tried bike- or car-sharing? Local transit agencies are partnering with private companies offering these and other new options to help riders connect to and use mass transit systems.", "The Federal Transit Administration (FTA) wants to support transit agencies undertaking such efforts. But transit agencies are seeking more information from FTA to help them form successful partnerships, including details on what data FTA needs\u2014such as on the number of rides shared\u2014to grant money to these agencies.", "We recommend that FTA share more information with transit agencies, including about how to report this data to FTA."]} {"id": "GAO-18-623T", "url": "https://www.gao.gov/products/GAO-18-623T", "title": "Veterans Health Administration: Steps Taken to Improve Physician Staffing, Recruitment, and Retention, but Challenges Remain", "published_date": "2018-06-21T00:00:00", "released_date": "2018-06-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["As the demand for VHA's services grows\u2014due, in part, to increasing demand from servicemembers returning from the United States' military operations in Afghanistan and Iraq and the growing needs of an aging veteran population\u2014attracting, hiring, and retaining top talent is critical to VHA's mission to provide high quality and timely care for the nation's veterans.", "Physicians\u2014who provide and supervise a broad range of care including primary and specialty care\u2014serve an integral role in VHA's mission. Certain physician types are consistently among the most difficult to recruit and retain, and are thus considered mission-critical by VHA.", "Over the past two decades, GAO and others have expressed concern about VHA's ability to ensure that it has the appropriate clinical workforce, including physicians, to meet the current and future needs of veterans.", "This statement is based on GAO's October 2017 report and examines (1) VHA information on how many mission critical physicians provided care at VAMCs, (2) VHA guidance for determining its physician staffing needs, and (3) the strategies VHA used to support the recruitment and retention of physicians at VAMCs, and the extent to which it has evaluated these strategies to determine their effectiveness.", "For this statement, GAO updated the information from its October 2017 report and obtained information from VHA officials in June 2018 about steps they have taken to implement the 2017 recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) continues to face challenges related to physician staffing, recruitment, and retention, though it has begun work to implement recommendations made in GAO's October 2017 report. Specifically, GAO's report found the following:", "VHA's data on the number of physicians that provided care at VA medical centers (VAMC) were incomplete. GAO found that data were incomplete because they did not include data on the number of contract physicians and contained only limited data on the number of physician trainees\u2014two types of physicians that augment the care provided by physicians employed by VHA. Thus, VHA data underestimated the total number of physicians providing care in its medical centers leaving it unable to ensure that its workforce planning processes sufficiently addressed gaps in staffing. GAO recommended that VHA implement a process to accurately count all its physicians. VHA did not concur with this recommendation, stating that it used other tools for workforce planning. VHA has since implemented a new human resources (HR) database\u2014HR Smart\u2014that has the capability to track each position at its VAMCs. However, VHA officials told us they do not plan to include information on physician contractors in this database.", "VHA provided VAMCs with guidance on how to determine the number of physicians and support staff needed for some physician occupations, although it lacked sufficient guidance for its medical and surgical specialties. GAO recommended that VHA issue guidance to VAMCs on determining appropriate staffing levels for all physicians. VHA concurred and reported it would develop staffing guidance for its medical and surgical specialties. VHA officials told GAO VHA signed a specialty care workgroup charter November 27, 2017; the primary goal of the workgroup was to develop a specialty care staffing model that would include staffing information for all specialty care. VHA anticipates completing its work and issuing staffing guidance by December 2018.", "VHA used various strategies to recruit and retain its physician workforce, but had not comprehensively evaluated them to assess effectiveness . Without such an evaluation, VHA did not have complete information on the underlying causes of the difficulties VAMCs face, or whether its recruitment and retention strategies were meeting physician workforce needs. GAO recommended VHA (1) establish a system-wide method to share information about physician trainees to help fill vacancies across VAMCs and (2) conduct a comprehensive, system-wide evaluation of VAMCs' physician recruitment and retention efforts and establish an ongoing monitoring program. VHA concurred and reported it has since taken steps to address the recommendations. For example, VHA's Office of Workforce Management and Consulting has partnered with its Partnered Evidence-based Policy Resource Center to evaluate and recommend a systematic approach for allocating workforce management resources. In addition, VHA has added the capability to track physician trainees to its HR Smart database. VHA expects to complete its efforts by September 2018 and September 2019, respectively."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to participate in today\u2019s hearing on the ability of the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) to recruit and retain high-quality physicians. A strong clinical workforce capable of providing quality and timely care to our nation\u2019s veterans is critical to the success of VHA, which operates one of the largest health care systems in the United States, providing care at 1,252 facilities, including 170 VA medical centers (VAMC). As the demand for VHA\u2019s services grows\u2014due in part to increasing demand from servicemembers returning from the United States\u2019 military operations in Afghanistan and Iraq, and the growing needs of an aging veteran population\u2014attracting, hiring, and retaining top talent is critical to VHA\u2019s mission to provide high-quality and timely health care for our nation\u2019s veterans.", "Physicians\u2014who provide and supervise a broad range of care, including primary and specialty care\u2014serve an integral role in VHA\u2019s mission. VHA indicated that physicians occupy a top spot on its annual list of mission- critical occupations, as a result of factors including the time frames needed for VHA\u2019s hiring process, a limited supply of candidates, and competition for candidates. Within the physician category, VHA has also identified the top five physician occupations that are the hardest to recruit and retain. We use the term \u201cmission-critical physician occupations\u201d to refer to the top five physician occupations VHA identified in fiscal year 2016 as most in need of staffing: primary care, mental health, gastroenterology, orthopedic surgery, and emergency medicine. VHA hires more than 2,800 mission-critical physicians annually. Yet, physicians have consistently been identified by VHA as a critical staffing priority due to recruitment and retention concerns.", "Over the past two decades, we and others have expressed concerns about VHA\u2019s ability to ensure that it has the appropriate clinical workforce to meet the current and future needs of veterans. A 2015 independent assessment found that if VHA does not increase its total number of clinical employees, including physicians, it will be difficult for it to meet the projected demand for services. Further, in July 2016, we found that the number of physicians who leave VHA had steadily increased from fiscal years 2011 through 2015. During this time, physicians were among the 10 occupations with the highest rates of attrition each year. The attrition was primarily due to voluntary resignations and retirements.", "My statement today is based on our October 2017 report examining VHA physician staffing, recruitment, and retention strategies. In particular, my statement focuses on (1) VHA information on how many mission-critical physicians provided care at VAMCs; (2) VHA guidance for determining its physician staffing needs; and (3) the strategies VHA used to support the recruitment and retention of physicians at VAMCs, and the extent to which it has evaluated these strategies to determine their effectiveness. As part of that work, we made several recommendations for VHA to improve staffing, recruitment, and retention strategies for physicians.", "To do the work for our October 2017 report, we reviewed key documents and interviewed knowledgeable officials from VHA in headquarters offices, as well as in six VAMCs across the country. More detailed information on the objectives, scope, and methodology for our 2017 report can be found in that report. For this statement, we obtained information from VHA officials in June 2018 about any steps they have taken to implement our 2017 recommendations.", "This statement is based on work conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The attrition among VHA physicians has been of particular concern given that the Health Resources and Services Administration (HRSA) anticipates that by 2025 the national demand for physician services will exceed supply. HRSA\u2019s Office of Rural Health Policy reported, in 2017, that physician shortages were exacerbated in rural areas, where communities struggle to attract and keep well-trained providers. This difficulty has posed a particular challenge for VHA, as approximately one in four VAMCs is located in a rural area.", "Most physicians providing care at VAMCs are employed by VHA. VHA also supplements the capacity of its employed physician staff by acquiring additional physician services through fee-basis arrangements or contracts. Under fee-basis arrangements, providers are paid a pre- agreed-upon amount for each service provided. Under contracts, physician services may be obtained on a short-term basis; for example, through sole-source contracts with academic affiliates. VAMCs may also use physicians who volunteer their time, who are referred to as work- without-compensation providers.", "In addition to VHA-employed, contract, and fee-basis physicians, VAMCs often supplement their capacity by using physician trainees, who include medical residents and advanced fellows. In 2016, 135 of the 170 VAMCs had active physician training programs. According to VHA officials, there were 43,768 medical residents who trained at a VAMC in 2016. VHA has been expanding its physician training program, as directed by the Veterans Access, Choice, and Accountability Act of 2014, as amended. In 2017, VHA added 175 physician trainee positions across VAMCs nationwide, including 3 VAMCs that did not have physician trainees prior to this expansion. VHA\u2019s objective is to add 953 additional physician trainee positions to its VAMCs by 2025 in order to improve access and hire additional physicians. Further, VHA officials told us they want to continue to add new positions that would eventually allow all VAMCs access to physician trainees."], "subsections": []}, {"section_title": "VHA Lacked Information on the Total Number of Mission-Critical Physicians Who Provided Care at VAMCs and Does Not Plan to Collect this Information", "paragraphs": ["In our October 2017 report, we found that VHA\u2019s data on physicians who provided care at VAMCs were incomplete. Specifically, we found that VHA had data on the number of mission-critical physicians it employed (more than 11,000) and who provided services on a fee-basis (about 2,800), but lacked data on the number of contract physicians and physician trainees. As a result, VHA did not have data on the extent to which VAMCs used these arrangements and thus, underestimated its physician use overall. Therefore, VHA was unable to ensure that its workforce planning processes sufficiently addressed any gaps in staffing.", "All six VAMCs included in our review used at least one type of arrangement other than employment for physicians, and five of the six used contract physicians or physician trainees. (See fig. 1.) On average, contract and fee-basis physicians made up 5 to 40 percent of the physicians in a given mission-critical physician occupation at each VAMC in our review. For example, officials from a large, highly complex VAMC told us that, in March 2017, they augmented the 86 employed primary care physicians with eight contract and three fee-basis physicians, which represented about 16 percent of their primary care physician workforce. Further, this VAMC also had about 64 primary care physician trainees providing certain medical services under the supervision of a senior physician.", "During the course of our work for the October 2017 report, VHA officials told us that its personnel databases were designed to manage VHA\u2019s payroll systems, but that these databases did not contain information on contract physicians or physician trainees. VHA officials told us they were working to include information on physician trainees in a new human resources (HR) database\u2014HR Smart\u2014which at the time of our review, was scheduled to be implemented in 2017. However, these officials were not aware of plans to add information to the database on contract physicians. Instead, VAMC leaders used locally devised methods to identify and track contract physicians, fee-basis physicians, and physician trainees. For example, one VAMC in our October 2017 review used a locally maintained spreadsheet to track its physicians under arrangements other than employment, while another VAMC asked department leaders to identify how many of these provided care within their respective departments. At each of the six VAMCs in our review, we found that department leaders were generally knowledgeable about the total number of physicians that provided care within the departments they managed. However, this locally maintained information was not readily accessible by VHA officials.", "To address the limitations in VHA\u2019s data, we recommended in our October 2017 report that VHA develop and implement a process to accurately count all physicians providing care at each of its VAMCs, including physicians not employed by VHA. VHA did not concur with this recommendation, stating that it uses other tools for workforce planning. However, a VHA official acknowledged that data sources used for workforce planning may not include all types of contract physicians or work-without-compensation physicians.", "As we discussed in our prior report, implementing such a systematic process would eliminate the need for individual VAMCs to use their own mechanisms, such as a locally developed and maintained spreadsheet to track its physician workforce, as was done by one VAMC in our prior review. Further, local mechanisms may not be readily accessible to VHA officials engaged in workforce planning, resulting in incomplete information for decision-making purposes.", "Since our report, VHA officials told us that they have completed implementation of HR Smart, which provides the capability to track every position with a unique position number, and each employee\u2019s full employment history. However, VHA officials told us they do not plan to enhance the capability of HR Smart to track contractors.", "We continue to believe that having a systematic and consistent process to account for all physicians who provide care across VAMCs, including physicians not employed by VHA, would help address concerns that VHA is unable to identify all physicians providing care at its VAMCs."], "subsections": []}, {"section_title": "VHA Has Begun to Develop Guidance for Determining Its Staffing Needs for All Physicians", "paragraphs": ["In our October 2017 report, we found that VHA gave responsibility for determining staffing needs to its VAMCs and provided its facilities with guidance, through policies and directives, on how to determine the number of physicians and support staff needed for some physician occupations. Specifically, VHA provided this guidance for primary care, mental health, and emergency medicine, but lacked sufficient guidance for its medical and surgical specialties, including occupations such as gastroenterology and orthopedic surgery. For these occupations, VHA provided guidance on the minimum number of physicians, but did not provide information on how to determine appropriate staffing levels for physicians or support staff based on the need for care.", "Specifically, the VHA guidance available at the time set a minimum requirement that VAMCs of a certain complexity level have at least one gastroenterologist and one orthopedic surgeon that is available within 15 minutes by phone or 60 minutes in person 24 hours a day, 7 days a week. VHA guidance did not include information on how to use data, such as workload data, to manage the demand for care or help inform staffing levels for these physician occupations beyond this minimum requirement. Officials from four of the six VAMCs we reviewed for our October 2017 report told us that because they lacked (1) guidance on how to determine the number of physicians and support staff needed, and (2) data on how their staffing levels compared with those of similar VAMCs, they were sometimes unsure whether their staffing levels were adequate.", "In our October 2017 report, we discussed that VHA had previously established, in 2016, a specialty physician staffing workgroup that examined the relationships between staffing levels, provider workload and productivity, veterans\u2019 access, and cost across VAMCs for its medical and surgical specialties, including gastroenterology and orthopedic surgery. This group\u2019s work culminated in a January 2017 report that found VHA was unable to assess and report on the staffing at each VAMC, as required by the Veterans Access, Choice, and Accountability Act of 2014, because a staffing model for specialty care had not been established and applied across VAMCs. This report made a number of recommendations, including that VHA provide guidance to its VAMCs on what level of staffing is appropriate for its mission-critical physician occupations. However, as we noted in our October 2017 report, VHA leadership had not yet taken steps to develop such staffing guidance. We reported that, according to a VHA official, other priorities were taking precedence and continued work in this area had not yet been approved by VHA leadership. Although VHA officials agreed that further steps should be taken, they did not indicate when these would occur. In our report, we concluded that until VHA issues guidance on staffing levels for certain physician occupations that provide specialty care to veterans, there would continue to be ambiguity for VAMCs on how to determine appropriate staffing levels.", "To address this, we recommended that VHA develop and issue guidance to VAMCs on determining appropriate staffing levels for all mission-critical physician occupations. VHA concurred with our recommendation and reported it would evaluate and develop staffing guidance for its medical and surgical specialties.", "Since our report, VHA officials told us that on November 27, 2017, the Executive-in-Charge for VHA signed the specialty care workgroup charter. The primary goal of the workgroup is to develop a specialty care staffing model that will include staffing information for all specialty care. VHA anticipates completing its work and issuing staffing guidance by December 2018."], "subsections": []}, {"section_title": "VHA Used Multiple Strategies for Physician Recruitment and Retention, but Has Not Comprehensively Evaluated Them to Assess Effectiveness", "paragraphs": ["In our October 2017 report, we found that VHA used various strategies to recruit and retain its physician workforce, including providing assistance recruiting for mission-critical physician occupations through the National Recruitment Program; policies and guidance; financial incentives to enhance hiring and retention offers; and a national physician training program. (See table 1.)", "In our October 2017 report, we found that VHA faced challenges using its strategies for recruiting and retaining physicians. For example, according to VHA officials, budget shortfalls in the Education Debt Reduction Program\u2014which reimburses qualifying education loan debt for employees, including physicians, in hard-to-recruit positions\u2014reduced VAMCs\u2019 ability to offer this recruitment incentive to physician candidates. In addition, the relatively small number of physician recruiters in VHA\u2019s National Recruitment Program\u201419 recruiters for the 170 VAMCs at the time of our report\u2014limited their ability to understand the particular nuances of some markets, particularly in rural areas.", "Further, despite VHA\u2019s large and expanding graduate medical training program, VAMCs experienced difficulties hiring physicians who received training through its residency and fellowship programs. VHA did not track the number of physician trainees who were hired following graduation, but officials told us that the number was small in comparison to the almost 44,000 physician trainees educated at VAMCs each year.", "We found that VAMCs faced challenges hiring physician trainees, in part, because VHA did not share information on graduating physician trainees for recruitment purposes with VAMCs across the system. VHA officials told us that recruitment efforts could be improved by developing and maintaining a database of physician trainees, but said that VHA had no such database. According to VHA officials, information sharing could help both VAMCs in geographically remote locations that do not have a residency program and help identify trainees who want to work at VHA after graduating, but who received no offers from the VAMC they trained at due to the lack of vacancies in their specialty.", "We also reported in October 2017 that VHA did not have complete information on whether its recruitment and retention strategies were meeting its needs. VHA had gathered feedback on barriers VAMCs face when offering financial incentives to physician candidates through its Education Debt Reduction Program and created a workgroup to look at its overall use of physician retention strategies, although it had not completed a comprehensive review of its recruitment and retention strategies to identify any areas for improvement. As a result, VHA did not have complete information on the underlying causes of the difficulties VAMCs faced or whether its recruitment and retention strategies met its objective of having a robust physician workforce to meet the health care needs of veterans.", "To address these issues, we recommended that VHA (1) establish a system-wide method to share information about physician trainees to help fill vacancies across VAMCs, and (2) conduct a comprehensive, system- wide evaluation of its physician recruitment and retention efforts, and establish an ongoing monitoring program. VHA concurred with our recommendations, and reported it planned to enhance its personnel database, HR Smart, to include physician trainees. Additionally, VHA said it planned to complete a comprehensive, system-wide evaluation of the physician recruitment and retention strategies.", "Since our report, VHA reported taking some steps to address these recommendations. Specifically, officials told us they are working to include information in the newly implemented HR Smart database on work-without-compensation employees, such as physician trainees, and anticipate conducting pilot projects at various sites before fully implementing this capability by September 30, 2019. Additionally, officials said that they are in the process of completing a review of physician recruitment and retention incentives. Furthermore, according to VHA officials, beginning in October 2017, VHA\u2019s Office of Workforce Management and Consulting partnered with the Partnered Evidence- based Policy Resource Center\u2014an internal VHA resource center\u2014to evaluate and recommend a systematic approach for allocating workforce management resources, such as the Education Debt Reduction Program. VHA expects to complete its efforts by September 2018.", "Chairman Dunn, Ranking Member Brownley, and Members of the Subcommittee, this concludes my statement. I would be pleased to respond to any questions you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information about this statement, please contact Debra A. Draper at (202) 512-7114 or draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. Key contributors to this statement were Janina Austin (Assistant Director), Sarah Harvey (Analyst-in-Charge), Jennie Apter, Frederick Caison, Alexander Cattran, and Krister Friday.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["We have long expressed concern about the Veterans Health Administration\u2019s ability to ensure that it has the staff to meet veterans' needs. This testimony is based on our 2017 report on its physician staffing challenges.", "We found VHA needed to:", "provide additional guidance on how to determine the staff size needed in some specialty areas. VHA reports this will be done by December.", "comprehensively evaluate its recruitment and retention strategies' effectiveness. VHA reports taking steps to address this.", "determine the number of contract and trainee physicians at its centers. VHA says it does not need this information for workforce planning."]} {"id": "GAO-18-230", "url": "https://www.gao.gov/products/GAO-18-230", "title": "Defense Infrastructure: DOD Needs to Improve the Accuracy of Its Excess Capacity Estimates", "published_date": "2018-05-24T00:00:00", "released_date": "2018-05-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD has used the Base Realignment and Closure (BRAC) process primarily to reduce excess infrastructure capacity, transform the force, and produce cost savings. DOD completed hundreds of base closures and realignments in previous BRAC rounds and intends to work with Congress to address remaining excess capacity. The NDAA for Fiscal Year 2016 required DOD to submit, among other things, a force structure plan and a categorical infrastructure inventory of worldwide military installations. In response, DOD submitted its infrastructure capacity report to Congress in October 2017.", "The NDAA included a provision for GAO to evaluate DOD's report for accuracy and analytical sufficiency. In this report, GAO evaluates the extent to which (1) DOD's report included the required elements, and (2) DOD's methodology and analysis result in accurate and analytically sufficient information on excess capacity. To conduct this work, GAO reviewed DOD's 2017 report and compared it with the statutory requirements and generally accepted research standards. GAO also interviewed DOD and military service officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) 2017 infrastructure capacity report addressed four of five required elements from section 2815 of the National Defense Authorization Act (NDAA) for Fiscal Year 2016. Specifically, DOD's report addressed the elements requiring it to submit", "a force-structure plan,", "a categorical inventory of worldwide military installations,", "a discussion of categories of excess infrastructure, and", "an assessment of the value of retaining certain excess infrastructure.", "DOD's report partially addressed the element to include a description of the infrastructure capacity required to support the force structure. Specifically, DOD's report did not provide a complete picture of the infrastructure needed. For example, infrastructure at Air Force large aircraft installations was described by square yards of apron space, but did not include other infrastructure needs such as aircraft hangars and maintenance facilities.", "DOD's excess capacity methodology and analysis has three key limitations that affect the accuracy and analytical sufficiency of the estimate. Specifically:", "DOD used a 1989 baseline for excess capacity that may lead to inaccurate results. This 1989 baseline does not reflect updates in DOD facility standards and requirements or requirements associated with new weapon systems.", "DOD's excess capacity methodology includes assumptions, such as not accounting for potential shortfalls\u2014not having enough infrastructure to support the mission\u2014that may not be reasonable. Specifically, when DOD's calculation identifies shortfall in capacity, DOD concludes that no excess capacity exists. As a result, DOD's analysis identifies no excess capacity in nearly half (14 of 32) mission categories. However, most installations support more than one mission and have more infrastructure present than the installation category metric measures. Thus, including potential capacity shortfalls could provide DOD and Congress with a more accurate estimate of excess capacity upon which to base decisions concerning the management of base infrastructure and excess capacity.", "DOD's method for estimating excess capacity is not always sufficient because the installation selection process does not result in a generalizable sample. Furthermore, DOD's method is not always implemented effectively because the military departments did not follow a consistent approach.", "According to DOD officials, specific department-wide guidance concerning DOD's methods for selecting installations in its analysis does not exist. Moreover, without developing guidance, the estimate of excess capacity may not be based on consistent methods across the department, resulting in inaccurate estimates. Furthermore, neither DOD nor Congress will have the necessary information to make decisions concerning the management of excess infrastructure capacity across the department."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to DOD to update the baseline; use reasonable assumptions; and develop guidance to improve its methods for estimating excess capacity. In comments on a draft of this report, DOD concurred with one recommendation, partially concurred with two recommendations, and plans to incorporate them in any future capacity analysis."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) has used the Base Realignment and Closure (BRAC) process primarily to reduce excess infrastructure, readjust bases to accommodate changes in the size and structure of DOD\u2019s forces, and produce cost savings. Congress authorized five BRAC rounds in 1988, 1991, 1993, 1995, and 2005, and DOD completed hundreds of base closures and realignments as a result. To address remaining excess capacity, between 2013 and 2017 DOD requested additional BRAC rounds and, in February 2018, stated that it would work with Congress to find common areas where reforms and changes could be made. Congress has not authorized additional BRAC rounds to date.", "Section 2815 of the National Defense Authorization Act (NDAA) for Fiscal Year 2016 required the Secretary of Defense to submit: a force-structure plan for each military service\u2014the Army, Navy, Air Force, and Marine Corps; a categorical infrastructure inventory of worldwide military installations for each military department; a description of the infrastructure necessary to support the force a discussion of categories of excess infrastructure and infrastructure an assessment of the value of retaining certain excess infrastructure to accommodate contingency, mobilization, or surge requirements.", "DOD provided its final report\u2014Department of Defense Infrastructure Capacity\u2014to Congress on October 6, 2017.", "The act also included a provision for us to evaluate the force-structure plan and categorical infrastructure inventory for accuracy and analytical sufficiency. In this report, we evaluate the extent to which (1) DOD\u2019s 2017 infrastructure capacity report included the required elements and (2) DOD\u2019s methodology and analysis in its report results in accurate and analytically sufficient information on excess capacity.", "For objective one, we reviewed DOD\u2019s 2017 infrastructure capacity report and compared it with the required elements contained in section 2815 of the NDAA for Fiscal Year 2016. Specifically, two analysts independently reviewed DOD\u2019s infrastructure capacity report using a scorecard to determine whether the report included information that met the required reporting elements. We considered an element to be \u201caddressed\u201d if DOD\u2019s 2017 infrastructure capacity report provided any evidence to support all aspects of the requirement. We considered an element to be \u201cpartially addressed\u201d if the report provided evidence concerning some aspects of the requirement and \u201cnot addressed\u201d if the report did not provide any evidence concerning any aspect of the requirement. We then reconciled the individual reviews, and reached a consensus on our assessment.", "For objective two, we assessed the contents of DOD\u2019s 2017 infrastructure capacity report against a relevant subset of the generally accepted research standards that we have described in a previous report. Specifically, we focused on whether assumptions were reasonable and, where appropriate, consistent; methods were sufficient and successfully executed; and the baseline and other data used to support the analyses were determined to be reliable and valid. All of the applied standards were considered to have equal importance regarding the accuracy and analytical sufficiency of the report. Some modification of the wording of some of the standards was needed for the standard to be relevant and appropriate in the context of DOD\u2019s 2017 infrastructure capacity report. In such instances, we kept the meaning of the standard, but modified the language to align with the objectives and scope of DOD\u2019s tasks. Appendix I describes all the research standards, identifies the standards we chose to use in evaluating the quality of the research results conveyed in DOD\u2019s report, and provides the rationale for the inclusion and exclusion of each specific standard.", "To conduct our analysis of DOD\u2019s 2017 infrastructure capacity report against the selected research standards, two analysts independently reviewed the contents of the report for information indicating the extent to which the presented analyses, results, and conclusions met these standards. We considered the report to have \u201cmet\u201d a research standard when its contents explicitly addressed all aspects of the standard with sufficient specificity and detail. We considered the report to have \u201cpartially met\u201d a standard when its contents addressed one or more attributes of the standard, but not all of the standard\u2019s attributes, or without sufficient specificity and detail. We considered the report to have \u201cnot met\u201d a standard when its contents did not explicitly address any of the attributes of the standard and any implicit references to the standard\u2019s attributes were too vague or general to be useful. We then reconciled the individual assessments, and reached a consensus on the overall assessment. To further corroborate our scorecard assessment, we had a second pair of technical experts independently assess the validity and reliability of the methodology used to generate the report\u2019s results.", "We conducted this performance audit from April 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Defense Base Closure and Realignment Act of 1990, as amended, has governed the BRAC process since 1990. The law established the procedures for making recommendations for base closures and realignments and originally required DOD to submit a 6-year force- structure plan and base its closure and realignment decisions on that plan. For the 1991, 1993, and 1995 BRAC rounds, DOD performed a detailed capacity analysis based on extensive data-collection efforts to identify specific bases capable of accommodating additional forces to develop its proposed list of closures and realignments. In 1997, after DOD requested another BRAC round, Congress required DOD to submit a report on, among other things, the need for any additional BRAC rounds and an estimate of the amount of DOD\u2019s excess capacity at the time. In 2001, when Congress authorized a BRAC round to begin in 2005, it required DOD to submit a force-structure plan to cover a 20-year period and an infrastructure inventory with its budget-justification documents for fiscal year 2005 before proceeding with the extensive data gathering efforts and analysis associated with the BRAC process. The submission was also to discuss categories of excess infrastructure and infrastructure capacity.", "Prior statutes included provisions for us to review DOD\u2019s 1998 and 2004 excess capacity reports, which used a method to estimate excess capacity that was very similar to the method used in its 2017 report. Our 1998 and 2004 reports reviewed DOD\u2019s 1998 and 2004 excess capacity reports, respectively. Our 2013 report assessed the estimating methods used in both the 1998 and 2004 excess capacity reports. In these three previous reports, we concluded that DOD\u2019s methodology to estimate excess capacity had a number of limitations, and thus gave a rough indication that excess capacity existed. Specifically, we identified the following four limitations with the method used in DOD\u2019s 1998 and 2004 reports: Installations were assigned to a single-mission category, yet most installations perform more than one mission.", "Military services used different metrics to evaluate installations in similar mission categories.", "DOD used a 1989 baseline that did not take into account any excess capacity or capacity shortfall that may have existed at the time.", "DOD\u2019s analysis did not consider the possibility that a mission category might have a capacity shortage; mission categories were determined to have either an excess or no excess capacity.", "DOD agreed that our 2013 report properly highlighted the limitations in DOD\u2019s methodology for estimating excess capacity. At that time, DOD reiterated that the purpose of its methodology is to provide an indication of whether sufficient excess exists to justify authorization of another BRAC round. DOD concluded that only through the BRAC process is it able to determine excess capacity by installation and mission or function in a fair and thorough way. A list of related GAO products is included at the end of this report."], "subsections": []}, {"section_title": "DOD\u2019s 2017 Infrastructure Capacity Report Addressed or Partially Addressed the Required Elements", "paragraphs": ["DOD\u2019s 2017 infrastructure capacity report addressed or partially addressed the five required elements from section 2815 of the NDAA for Fiscal Year 2016. As shown in table 1, DOD addressed four of the required elements and partially addressed one element.", "DOD\u2019s report partially addressed the requirement to include a description of the infrastructure capacity required to support the force structure because the report describes only a small portion of the capacity needed. For example, in the case of Air Force large aircraft installations, the needed infrastructure was described in terms of the square yards of apron space needed to support the assigned aircraft, but did not describe other infrastructure needs such as aircraft hangars, maintenance facilities, and administrative space used by squadrons assigned to the installation. Similarly, in the case of Army maneuver installations, the needed infrastructure was described in terms of maneuver acres needed, but did not describe other infrastructure necessary to support assigned units. Consequently, the description of infrastructure needed does not provide DOD and Congress with a complete picture of the infrastructure needed to support the force structure at these major installations. However, as DOD points out in its report to Congress, the analysis performed does not provide the detail necessary to identify specific infrastructure for elimination; instead it provides an indicator of the categories of excess. DOD also stated that this level of detail is only provided through the formal BRAC process. Consequently, without a formal BRAC round, DOD does not have the details necessary to identify the total infrastructure necessary to support its current force structure. Therefore, we are not making any recommendations concerning this reporting requirement."], "subsections": []}, {"section_title": "DOD\u2019s Excess Capacity Methodology and Analysis Has Limitations That Affect the Accuracy and Analytical Sufficiency of the Estimate", "paragraphs": ["DOD\u2019s excess capacity methodology and analysis has limitations that affect the accuracy and analytical sufficiency of the estimate. Specifically, DOD\u2019s use of a 1989 baseline for excess capacity results in inaccurate estimates of excess capacity; DOD\u2019s methodology included assumptions that were not always reasonable; and DOD\u2019s approach to estimating excess capacity is not always sufficient or implemented consistently across the military departments. DOD noted some of these same limitations in its 2017 infrastructure capacity report."], "subsections": [{"section_title": "DOD\u2019s Use of 1989 Data as the Baseline for Its Excess Capacity Analysis Results in Inaccurate Estimates of Excess Capacity", "paragraphs": ["DOD\u2019s use of 1989 data as the baseline for its excess capacity analysis resulted in inaccurate estimates of excess capacity. According to generally accepted research standards, listed in appendix I, the baseline and other data used to support the analysis should be determined to be reliable and valid. Specifically, the baseline should be fully and completely identified and used consistently, where appropriate. In addition, the data limitations should be identified and the effect of these limitations should be fully explained. DOD has also recognized that using 1989 as a baseline did not account for excess capacity that existed in 1989. However, DOD only partially explained the effect of this limitation on its estimate of excess capacity.", "First, using 1989 as the baseline assumes that the bases and facilities as they existed in 1989 were appropriately sized to support their missions. However, DOD\u2019s 2017 infrastructure capacity report did not provide a rationale for either why 1989 was an appropriate baseline or why the bases and facilities were assumed to be appropriately sized at that time. In fact, as discussed below, DOD has stated that excess capacity existed in 1989, but does not attempt to quantify the amount. Further, in at least one mission category, Marine Corps Bases, DOD acknowledges that it overstated excess capacity because the baseline ratio was based on infrastructure numbers that were not adjusted to recognize the documented shortfalls that existed in 1989.", "Second, the effects of DOD\u2019s assumptions about the 1989 baseline have not been consistently reported by DOD. DOD has used the same baseline in its three analyses conducted over the past 20 years, yet DOD draws different conclusions concerning how the baseline affects its estimates of excess capacity. For example, DOD concluded in 1998 that excess capacity existed in the 1989 baseline because the majority of realignment and closures took place after 1989; in 2004 that very significant excess capacity existed in the 1989 baseline; and in 2017, in DOD\u2019s infrastructure capacity report, that the 1989 baseline was both properly sized to support assigned missions and forces and included significant excess capacity.", "Nevertheless, DOD has consistently stated that its estimate of excess capacity is likely conservative because significant excess existed in 1989. DOD also stated that its analysis provides an indicator of the categories where excess might exist and that only through a BRAC round can the department undertake the detailed analysis necessary to make closure and realignment recommendations. Since 1988, DOD has completed five BRAC rounds that have closed a significant number of DOD facilities. In addition, as discussed below, DOD facility standards and requirements have been updated and new weapon systems have been introduced, which can affect the amount and type of infrastructure needed. Consequently, without a definitive measure of the excess that existed in 1989, as well as adjustments in the method to account for the effect of updated facility standards and requirements, and new weapons systems, there is no clear rationale for using 1989 as a baseline year in the estimate of excess capacity provided by DOD\u2019s analysis.", "Third, during the last 29 years DOD facility standards and requirements have been updated and new weapon systems with greater ranges and capabilities have been developed that have changed the amount and type of infrastructure needed to support DOD\u2019s forces. For example, we recently reported that only 11 of the Navy\u2019s 18 drydocks are configured to perform maintenance on the newer ship and submarine classes like the Ford-class aircraft carrier and Virginia-class submarine. Using such an old baseline, without making adjustments in the method to account for these changes, leads us to conclude that DOD\u2019s results are likely inaccurate.", "Because DOD continues to use its outdated 1989 baseline we found that DOD\u2019s 2017 excess capacity analysis results in estimates that are likely inaccurate. Without updating the baseline that is used in the methodology to calculate excess capacity across DOD, DOD will not have accurate information for making critical decisions related to investments in infrastructure. Furthermore, Congress will not have accurate information to make fully informed decisions concerning whether and to what extent another BRAC round is needed."], "subsections": []}, {"section_title": "DOD\u2019s Methodology for Estimating Excess Capacity Includes Assumptions That Are Not Always Reasonable", "paragraphs": ["DOD\u2019s excess capacity methodology includes assumptions that are not always reasonable, such as assigning installations to only one mission category. According to generally accepted research standards, reasonable assumptions are characterized by being realistic, credible, and accompanied by a statement of their rationale. In addition, these standards also state that assumptions should support a sound analysis (e.g., the assumptions should not skew the results of the analysis or reduce the range of possible outcomes).", "We previously reported limitations related to DOD\u2019s assumptions when we examined DOD\u2019s excess capacity analyses in 1998, 2004, and 2013. DOD continues to use the same methodology in 2017 that it has previously used to estimate excess capacity; thus, these limitations continue to exist in its methodology in its 2017 report. First, DOD\u2019s approach of assigning an installation to only one mission category treats an installation as if it has only one mission, yet most installations support more than one mission. As a result, only a small portion of an installation\u2019s infrastructure may be considered by DOD\u2019s analysis. For example, in the case of Fort Bragg, North Carolina, which is included in the maneuver base category by the Army, base acres are included in the analysis, but more than 43.8 million square feet of infrastructure is not considered. Similarly, in the case of Naval Base Kitsap, Washington, which is included in the Naval Station category by the Navy, the pier space is considered in the analysis, but the more than 7.5 million square feet of facilities is not considered. In addition, as discussed later in this report, there were instances where the military departments included installations in more than one mission category. Finally, there are several categories that measure capacity in terms of direct labor hours or work- years, but the analysis does not include the actual infrastructure, such as buildings, structures, and linear structures. Consequently, the assumption that each installation is included in one mission category may not be reasonable because only a portion of the infrastructure at the installations is being considered when identifying potential excess capacity.", "Second, as implemented, DOD\u2019s estimate of excess capacity may be overstated because its methodology did not account for any potential shortfalls in capacity\u2014not having enough infrastructure to support the mission\u2014and did not provide a rationale for this approach in its calculations. As illustrated in table 2, when DOD\u2019s calculation identifies that the proportional capacity is less than the infrastructure capacity for the year being analyzed (i.e., DOD needs less infrastructure than it has), DOD concludes that excess capacity exists and provides a percentage amount of excess capacity. However, when the proportional capacity exceeds the infrastructure capacity for the year being analyzed (i.e., DOD may need more infrastructure), DOD concludes that no excess capacity exists. Moreover, DOD\u2019s calculation provides a zero percentage for excess capacity, rather than a negative percentage that would account for a potential capacity shortfall in its analysis. DOD\u2019s 2017 infrastructure capacity analysis identifies zero percent excess capacity in nearly half (14 of 32) of the installation categories that needed more capacity\u2014included in the analysis, including 8 or 12 Navy installation categories.", "Because DOD\u2019s methodology uses the excess capacity percentages from the 32 installation categories to compute a weighted average for excess capacity across the department, treating a negative percentage from a mission category as 0.0 percent would increase DOD\u2019s overall excess capacity percentage. DOD officials believe that treating these 14 installation categories as if they have 0.0 percent excess capacity is appropriate because the purpose of the analysis is to identify the categories where excess capacity may exist. In addition, they asserted that treating these categories as if they had a shortfall would assume that infrastructure from 1 of the 18 other installation categories identified as having excess capacity could be used to offset the shortfall when the categories are likely to have different metrics. DOD officials also told us that, from their perspective, no increase does not mean that there is large deficit of infrastructure within a mission category; it just means that the infrastructure to force-structure ratio indicates that the particular category does not have excess. We found, however, 6 installation categories where the force-structure measure exceeds the capacity measure, which indicates that a shortfall exists. In addition, because most installations support more than one mission and have more infrastructure present than the mission category metric measures, including potential capacity shortfall in its analysis could provide DOD and Congress with a more accurate estimate of excess capacity.", "DOD\u2019s methodology to estimate excess capacity includes assumptions that are not reasonable. Without using assumptions to estimate excess capacity that are considered reasonable (i.e., realistic, credible, and accompanied by a statement of their rationale), DOD\u2019s methodology may overstate its estimate of excess capacity."], "subsections": []}, {"section_title": "DOD\u2019s Method for Estimating Excess Capacity Is Not Always Sufficient or Implemented Consistently", "paragraphs": ["DOD\u2019s method for estimating excess capacity across the department is not sufficient because it is based on a nongeneralizable sample and therefore its reported estimates cannot be generalized to describe excess capacity across the department. Furthermore, DOD\u2019s sampling method is not always implemented effectively because some of the military departments adjusted the sampling approach. According to generally accepted research standards, the methods used and the analysis should be sufficient for accomplishing the objectives of the study. In addition, the analysis should be executed consistently with the study plan or the described methodology. We found that the calculations performed by DOD in the analysis were generally accurate.", "First, DOD and the military departments used a nongeneralizable sample of different types of installations to develop an excess capacity estimate. However, a nongeneralizable sample cannot be used to develop a department-wide estimate of excess capacity because this technique is not designed to yield a sound probable statistical estimate. Specifically, when the analysis was first done in 1998, the military departments sorted installations into categories and only included installations that were considered by the departments to be \u201cmajor installations.\u201d The departments were to assign each \u201cmajor installation\u201d to only one mission category. The departments were to then calculate the estimated capacity by mission category for both the baseline year, 1989, and the projected force-structure year, 2003. The same approach was used for the 2017 analysis; however, neither the 1998 nor the 2017 analysis provided guidance to the military department concerning what constitutes a \u201cmajor installation.\u201d This approach for selecting and sorting samples of installations relies on the judgment of each of the military departments, yielding a nongeneralizable sample of installations that vary across the military departments. Consequently, the results from the analysis cannot be used to make inferences about the amount of excess capacity across DOD.", "Second, the military departments did not follow a consistent approach when calculating excess capacity. Specifically, the DOD method bases its excess capacity estimate on the number of installations in each mission category. However, we found that, in the 2017 analysis, the military departments did not consistently follow the practice of including installations in only one category across the services when the analysis was performed in 2017. For example, we found several installations that were included in more than one category by some of the military departments: In the 2017 analysis, the Air Force included two subcategories under the heading of \u201cEducation and Training\u201d: \u201cFlight Training\u201d and \u201cClassroom.\u201d The flight training subcategory included 13 installations and the classroom subcategory included 14 installations. We found that all 13 of the flight training installations were also included as classroom installations. Yet, when the analysis was performed in both 1998 and 2004, the same 14 installations were used, but 8 of the installations were then categorized as being flight training installations and the other 6 installations were categorized as classroom installations. If this previous categorization approach was used in the 2017 analysis, the Air Force estimate of excess capacity would have been about 2 percent lower.", "In two instances, the Navy included the same installations in both the \u201cNaval Station\u201d and \u201cAir Station\u201d categories and, in one instance, the Navy included a joint base in both the \u201cNaval Station\u201d and \u201cShipyards\u201d categories. According to a Navy official, these installations were included in both categories because a major mission would have been omitted from the analysis if the bases were included in only one category. This treatment, however, is not consistent with DOD\u2019s methodology.", "Including the same installation in multiple installation categories may have resulted in double counting of capacity, and thereby affected the resulting estimate of excess capacity for multiple installation categories.", "Third, the military departments did not consistently account for the joint bases in their excess capacity analysis. In some instances, we found that only the lead military department included the joint base in its analysis. For example, in the case of Joint Base Lewis-McChord, Washington\u2014an Army-led joint base comprising Fort Lewis and McChord Air Force Base\u2014the Army, consistent with its treatment of Fort Lewis in previous excess capacity analyses, included the joint base in its maneuver category. However, the Air Force did not include McChord Air Force Base in its analysis in 2017 although it had in previous years. In these instances where only the lead military department included the joint base in its analysis, the infrastructure associated with the tenant military department was usually left out of the analysis because the metric used by the leading department does not incorporate the same measures of infrastructure and force structure as the tenant department. In the Joint Base Lewis-McChord example, the Army included the base in the maneuver category, which is measured by the ratio of maneuver acres to maneuver battalion equivalents while the Air Force had previously used the ratio of parking apron space to number of aircraft to measure capacity at McChord Air Force Base. Consequently, DOD\u2019s analysis no longer takes into account the infrastructure that supports the flying mission at this joint base.", "In other instances, we found that both the lead military department and the tenant military department included their portion of the infrastructure in their analyses. For example, for Joint Base Charleston, South Carolina\u2014an Air Force-led joint base comprised of Charleston Air Force Base and Naval Support Activity Charleston\u2014each of the military departments continued to include their portion of the infrastructure in their individual analyses. Consequently, DOD\u2019s analysis accounts for the infrastructure that supports both missions at the joint base.", "DOD\u2019s method for estimating excess capacity is not always sufficient and is not implemented consistently across the military departments because DOD lacks specific department-wide guidance, according to DOD officials. Specifically, explicit guidance does not exist that clearly defines \u201cmajor installations,\u201d identifies whether and when it is appropriate to include a facility in more than one category to take into account multiple missions at the facilities, or provides protocols for assessing excess capacity at joint bases. These topics were discussed in meetings with military department officials, but, according to DOD officials, no specific method was identified for department-wide use. Without developing guidance for the military departments, the estimate of excess capacity may not be based on consistent methods across the department, resulting in inaccurate estimates."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD\u2019s 2017 excess capacity analysis does not have the accuracy and analytical sufficiency to provide Congress with a reasonable estimate of the actual excess capacity within the department. DOD recognizes the limitations of its analysis, specifically noting that the resulting percentages of excess capacity are at best indicators to justify the more detailed analysis of excess capacity provided by a full BRAC analysis. Specifically, DOD used a baseline for the analysis that did not fully take into account changes in infrastructure needs since 1989, used assumptions in its analysis that are not reasonable, and used methods that were not sufficient or implemented consistently. These limitations resulted in excess capacity estimates that do not have the accuracy and analytical sufficiency to support decision making on future BRAC rounds. Without improvements to DOD\u2019s method of estimating excess capacity, DOD is not providing the information that Congress requires to make decisions concerning the management of excess infrastructure capacity within the department. Similarly, DOD does not have the information it needs to appropriately manage its infrastructure capacity and therefore cannot make informed decisions about what it needs to support its mission as land and infrastructure requirements of newer weapon systems are introduced. Moreover, the combined effect of neither DOD nor Congress having the information means that DOD will continue to experience challenges with funding related to its infrastructure and potential excess costs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOD: The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and Environment reliably updates the baseline used for estimating excess infrastructure capacity. (Recommendation 1)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and Environment uses assumptions in estimating excess capacity that are considered reasonable (i.e., realistic, credible, and accompanied by a statement of their rationale). (Recommendation 2)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and Environment develops guidance to improve the methods used in the analysis and ensure consistent implementation of DOD\u2019s methodology to produce reliable estimates of excess capacity across the department. The guidance, at a minimum, should clearly define \u201cmajor installations,\u201d identify whether and when it is appropriate to include a facility in more than one category to take into account multiple missions at the facilities, and provide protocols for assessing excess capacity at joint bases. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Defense (DOD) for comment. DOD provided written comments, which are reproduced in appendix II.", "DOD concurred with one recommendation and partially concurred with the other two recommendations.", "DOD stated that it concurred with our first recommendation, which called for it to reliably update the baseline used for estimate excess infrastructure capacity. Specifically, the department stated that it would review methods to update the baseline for future excess capacity analysis that is undertaken.", "The department partially concurred with our second recommendation, which called for the department to use assumptions that were considered reasonable (i.e. realistic, credible, and accompanied by a statement of the rationale) in estimating excess capacity. Specifically, the department agreed that its capacity report should lay out any assumptions made and the rationale for each assumption and will ensure that any future capacity report includes that information. The department did not concur, however, that assumptions used in its 2017 infrastructure capacity report were other than reasonable, realistic, or credible. While we are encouraged that the department will lay out any assumptions and the rationale for each assumption in future capacity reports, not all assumptions used in the 2017 analysis were reasonable (i.e. realistic, credible, and accompanied by a statement of the rationale) as outlined in this report. For example, we found that assigning installations to only one mission category was not realistic because most installations support more than one mission.", "The department partially concurred with our third recommendation that DOD develop guidance to improve the methods used in the analysis and ensure consistent implementation of DOD\u2019s methodology to produce reliable estimates of excess capacity across the department. This guidance, at a minimum, should clearly define \u201cmajor installations,\u201d identify whether and when it is appropriate to include a facility in more than one category to take into account multiple missions at the facilities, and provide protocols for assessing excess capacity at joint bases. DOD concurred that guidance should precede any future infrastructure capacity review and that such guidance should include definitions and implementation instructions, but the three items identified would not necessarily be applicable for a future analysis. Provided that future DOD guidance addresses all appropriate characteristics for analysis, such guidance would meet the intent of our recommendation.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; and the Assistant Secretary of Defense for Energy, Installations, and Environment. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Generally Accepted Research Standards Relevant to DOD\u2019s Infrastructure Capacity Report", "paragraphs": ["Table 3 describes the generally accepted research standards, identifies the standards we used in evaluating the quality of the research results conveyed in DOD\u2019s 2017 infrastructure capacity report and provides the rationale for the inclusion and exclusion of each specific standard.", "Study plan, scope, and objectives follow existing guidance?", "Do the study scope and objectives fully address the mandated elements?", "Does the study plan address specified guidance?", "Team is not aware of any standard guidance for the development of this document.", "Was the study plan followed?", "Team is not aware of any study plan that guided the development of this report.", "Were deviations from the study plan explained and documented?", "Team is not aware of any study plan that guided the development of this report.", "Was the study plan updated over the course of the study and the updates explicitly identified in the study and updated study plan? Assumptions and limitations are reasonable and, where appropriate, consistent Are assumptions and limitations explicitly identified?", "Team is not aware of any study plan that guided the development of this report.", "Given the judgment required to execute the analyses the assumptions and constraints are key to team\u2019s determination of the accuracy and analytical sufficiency of the report."], "subsections": [{"section_title": "Generally Accepted Research Standards II.a.1", "paragraphs": ["Are the assumptions reasonable in that they are realistic, credible, and accompanied by a statement of their rationale?", "Rationale for inclusion in or exclusion from GAO\u2019s review Given the judgment required to execute the analyses, the assumptions and constraints are key to the team\u2019s determination of the accuracy and analytical sufficiency of the report. Team felt that \u2018reasonable\u2019 was sufficient and \u2018necessary\u2019 was not readily apparent.", "Do the assumptions support a sound analysis?", "Given the judgment required to execute the analyses the assumptions and constraints are key to team\u2019s determination of the accuracy and analytical sufficiency of the report.", "Are the assumptions used in analyses common throughout the study and models?", "This standard is not needed to answer the objectives of our report. Other standards for study assumptions are more relevant and sufficient for our purposes.", "Do the assumptions contribute to an objective and balanced research effort?", "Scenarios and threats are reasonable Did they synthesize the supporting analyses such that it is traceable back to formal guidance?", "Were the threat scenarios validated and Joint Staff approved and documented?", "Do scenarios represent a reasonably complete range of conditions?", "Were the threats varied to allow for the conduct of sensitivity analysis?", "Methods are sufficient and successfully executed Were the study methods executed consistent with the study plan and schedule?", "Were the methods and analyses sufficient for accomplishing the objectives presented in the study?", "Given the judgment required to execute the analyses the methodology is key to determine if DOD accomplishes its objectives."], "subsections": []}, {"section_title": "Generally Accepted Research Standards IV.c", "paragraphs": ["Were the models used to support the analyses adequate for their intended purpose? //Were the calculations used to support the analyses accurate? Baseline and other data used to support the analyses were determined to be reliable and valid? Is the baseline fully and completely identified and used consistently, where appropriate, throughout the various analyses?", "Rationale for inclusion in or exclusion from GAO\u2019s review Important to ensure the model is designed well in addition to accurate arithmetic calculations. DOD conducted analyses and calculations in the report."], "subsections": []}, {"section_title": "V", "paragraphs": ["DOD report includes the use of baseline data in the underlying analyses.", "Were data limitations identified and the impact of the limitations fully explained?", "DOD report uses data obtained from DOD components.", "Were the data determined to be reliable and valid?", "Incorporated with V.e below.", "Were the data reliability and validation process documented?", "DOD report uses data obtained from DOD components.", "Were the appropriate data gathered to support the analyses?", "OSD obtained data from other DOD components and used it to generate the report.", "Analyses are reasonable Was a verification, validation, and accreditation report that addresses the models and data certification signed by the study director and included in the report?", "In the context of our engagement, redundant with section II above.", "Were analytic limitations identified and explained?", "In the context of our engagement, redundant with section II above.", "Has each analysis in the study been described?", "In the context of our engagement, redundant with section II above.", "Were the analyses clearly explained, documented?"], "subsections": []}, {"section_title": "Measures of effectiveness (MOEs) and essential elements of analysis (EEAs) are addressed Do MOEs adhere to the guidance in the study terms of reference?", "paragraphs": ["The mandate language does not require DOD to include measures of effectiveness in its report. Furthermore, DOD is not required to submit a strategic plan so Government Performance and Results Act requirements are not applicable.", "Are the MOEs fully addressed in the study?", "Same rationale cited above.", "Are the EEAs addressed in the study?", "Same rationale cited above."], "subsections": []}, {"section_title": "Generally Accepted Research Standards", "paragraphs": ["Standard used in GAO\u2019s review?", "Presentation of results support findings Does the report address the objectives?", "Does the report present an assessment that is well documented and conclusions that are supported by the analyses?", "Are conclusions sound and complete?", "We will address conclusionary language in the context of the data used to support it above.", "Are recommendations supported by analyses?", "The mandate language does not require DOD to include recommendations and DOD did not include recommendations.", "Is a realistic range of options provided?", "Not applicable. DOD\u2019s report does not include range of options for force- structureplans and categorical infrastructure inventory.", "Are the study results presented in the report in a clear manner?", "Are study participants/stakeholders (i.e., services and Combatant Commands) informed of the study results and recommendations?"], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gina Hoffman (Assistant Director), Tracy Barnes, Ronald Bergman, Patricia Donahue, Kerstin Hudon, Terrance Lam, Amie Lesser, Carol Petersen, Clarice Nassif Ransom, Matt Spiers, Tristan To, and John Wren made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Military Base Realignments and Closures: DOD Has Improved Environmental Cleanup Reporting but Should Obtain and Share More Information. GAO-17-151. Washington, D.C.: January 19, 2017.", "Defense Infrastructure: DOD Efforts to Prevent and Mitigate Encroachment at Its Installations. GAO-17-86. Washington, D.C.: November 14, 2016.", "Defense Facility Condition: Revised Guidance Needed to Improve Oversight of Assessments and Ratings. GAO-16-662. Washington, D.C.: June 23, 2016.", "Defense Infrastructure: More Accurate Data Would Allow DOD to Improve the Tracking, Management, and Security of Its Leased Facilities. GAO-16-101. Washington, D.C.: March 15, 2016.", "Underutilized Facilities: DOD and GSA Information Sharing May Enhance Opportunities to Use Space at Military Installations. GAO-15-346. Washington, D.C.: June 18, 2015.", "Military Base Realignments and Closures: More Guidance and Information Needed to Take Advantage of Opportunities to Consolidate Training. GAO-16-45. Washington, D.C.: February 18, 2016.", "Military Base Realignment and Closures: Process for Reusing Property for Homeless Assistance Needs Improvements. GAO-15-274. Washington, D.C.: March 16, 2015.", "High-Risk Series: An Update. GAO-15-290. Washington, D.C.: February 11, 2015.", "Federal Real Property: Strategic Focus Needed to Help Manage Vast and Diverse Warehouse Portfolio. GAO-15-41. Washington, D.C.: November 12, 2014.", "DOD Joint Bases: Implementation Challenges Demonstrate Need to Reevaluate the Program. GAO-14-577. Washington, D.C.: September 19, 2014.", "Defense Infrastructure: DOD Needs to Improve Its Efforts to Identify Unutilized and Underutilized Facilities. GAO-14-538. Washington, D.C.: September 8, 2014.", "Defense Infrastructure: Army Brigade Combat Team Inactivations Informed by Analyses, but Actions Needed to Improve Stationing Process. GAO-14-76. Washington, D.C.: December 11, 2013.", "Military Bases: DOD Has Processes to Comply with Statutory Requirements for Closing or Realigning Installations. GAO-13-645. June 27, 2013.", "Defense Infrastructure: DOD\u2019s Excess Capacity Estimating Methods Have Limitations. GAO-13-535. Washington, D.C.: June 20, 2013.", "Military Bases: Opportunities Exist to Improve Future Base Realignment and Closure Rounds. GAO-13-149. Washington, D.C.: March 7, 2013.", "GAO\u2019s 2013 High Risk Series: An Update. GAO-13-283. Washington, D.C.: February 2013.", "DOD Joint Bases: Management Improvements Needed to Achieve Greater Efficiencies. GAO-13-134. Washington, D.C.: November 15, 2012.", "Military Base Realignments and Closures: The National Geospatial- Intelligence Agency\u2019s Technology Center Construction Project. GAO-12-770R. Washington, D.C.: June 29, 2012.", "Military Base Realignments and Closures: Updated Costs and Savings Estimates from BRAC 2005. GAO-12-709R. Washington, D.C.: June 29, 2012.", "Military Base Realignments and Closures: Key Factors Contributing to BRAC 2005 Results. GAO-12-513T. Washington, D.C.: March 8, 2012.", "Excess Facilities: DOD Needs More Complete Information and a Strategy to Guide Its Future Disposal Efforts. GAO-11-814. Washington, D.C.: September 19, 2011.", "Military Base Realignments and Closures: Review of the Iowa and Milan Army Ammunition Plants. GAO-11-488R. Washington, D.C.: April 1, 2011.", "GAO\u2019s 2011 High-Risk Series: An Update. GAO-11-394T. Washington, D.C.: February 17, 2011.", "Defense Infrastructure: High-Level Federal Interagency Coordination Is Warranted to Address Transportation Needs beyond the Scope of the Defense Access Roads Program. GAO-11-165. Washington, D.C.: January 26, 2011.", "Military Base Realignments and Closures: DOD Is Taking Steps to Mitigate Challenges but Is Not Fully Reporting Some Additional Costs. GAO-10-725R. Washington, D.C.: July 21, 2010.", "Defense Infrastructure: Army Needs to Improve Its Facility Planning Systems to Better Support Installations Experiencing Significant Growth. GAO-10-602. Washington, D.C.: June 24, 2010.", "Military Base Realignments and Closures: Estimated Costs Have Increased While Savings Estimates Have Decreased Since Fiscal Year 2009. GAO-10-98R. Washington, D.C.: November 13, 2009.", "Military Base Realignments and Closures: Transportation Impact of Personnel Increases Will Be Significant, but Long-Term Costs Are Uncertain and Direct Federal Support Is Limited. GAO-09-750. Washington, D.C.: September 9, 2009.", "Military Base Realignments and Closures: DOD Needs to Update Savings Estimates and Continue to Address Challenges in Consolidating Supply- Related Functions at Depot Maintenance Locations. GAO-09-703. Washington, D.C.: July 9, 2009.", "Defense Infrastructure: DOD Needs to Periodically Review Support Standards and Costs at Joint Bases and Better Inform Congress of Facility Sustainment Funding Uses. GAO-09-336. Washington, D.C.: March 30, 2009.", "Military Base Realignments and Closures: DOD Faces Challenges in Implementing Recommendations on Time and Is Not Consistently Updating Savings Estimates. GAO-09-217. Washington, D.C.: January 30, 2009.", "Military Base Realignments and Closures: Army Is Developing Plans to Transfer Functions from Fort Monmouth, New Jersey, to Aberdeen Proving Ground, Maryland, but Challenges Remain. GAO-08-1010R. Washington, D.C.: August 13, 2008.", "Defense Infrastructure: High-Level Leadership Needed to Help Communities Address Challenges Caused by DOD-Related Growth. GAO-08-665. Washington, D.C.: June 17, 2008.", "Defense Infrastructure: DOD Funding for Infrastructure and Road Improvements Surrounding Growth Installations. GAO-08-602R. Washington, D.C.: April 1, 2008.", "Military Base Realignments and Closures: Higher Costs and Lower Savings Projected for Implementing Two Key Supply-Related BRAC Recommendations. GAO-08-315. Washington, D.C.: March 5, 2008.", "Defense Infrastructure: Realignment of Air Force Special Operations Command Units to Cannon Air Force Base, New Mexico. GAO-08-244R. Washington, D.C.: January 18, 2008.", "Military Base Realignments and Closures: Estimated Costs Have Increased and Estimated Savings Have Decreased. GAO-08-341T. Washington, D.C.: December 12, 2007.", "Military Base Realignments and Closures: Cost Estimates Have Increased and Are Likely to Continue to Evolve. GAO-08-159. Washington, D.C.: December 11, 2007.", "Military Base Realignments and Closures: Impact of Terminating, Relocating, or Outsourcing the Services of the Armed Forces Institute of Pathology. GAO-08-20. Washington, D.C.: November 9, 2007.", "Military Base Realignments and Closures: Transfer of Supply, Storage, and Distribution Functions from Military Services to Defense Logistics Agency. GAO-08-121R. Washington, D.C.: October 26, 2007.", "Defense Infrastructure: Challenges Increase Risks for Providing Timely Infrastructure Support for Army Installations Expecting Substantial Personnel Growth. GAO-07-1007. Washington, D.C.: September 13, 2007.", "Military Base Realignments and Closures: Plan Needed to Monitor Challenges for Completing More Than 100 Armed Forces Reserve Centers. GAO-07-1040. Washington, D.C.: September 13, 2007.", "Military Base Realignments and Closures: Observations Related to the 2005 Round. GAO-07-1203R. Washington, D.C.: September 6, 2007.", "Military Base Closures: Projected Savings from Fleet Readiness Centers Likely Overstated and Actions Needed to Track Actual Savings and Overcome Certain Challenges. GAO-07-304. Washington, D.C.: June 29, 2007.", "Military Base Closures: Management Strategy Needed to Mitigate Challenges and Improve Communication to Help Ensure Timely Implementation of Air National Guard Recommendations. GAO-07-641. Washington, D.C.: May 16, 2007.", "Military Base Closures: Opportunities Exist to Improve Environmental Cleanup Cost Reporting and to Expedite Transfer of Unneeded Property. GAO-07-166. Washington, D.C.: January 30, 2007.", "Military Bases: Observations on DOD\u2019s 2005 Base Realignment and Closure Selection Process and Recommendations. GAO-05-905. Washington, D.C.: July 18, 2005.", "Military Bases: Analysis of DOD\u2019s 2005 Selection Process and Recommendations for Base Closures and Realignments. GAO-05-785. Washington, D.C.: July 1, 2005.", "Military Base Closures: Observations on Prior and Current BRAC Rounds. GAO-05-614. Washington, D.C.: May 3, 2005.", "Military Base Closures: Assessment of DOD\u2019s 2004 Report on the Need for a Base Realignment and Closure Round. GAO-04-760. Washington, D.C.: May 17, 2004.", "Military Bases: Review of DOD\u2019s 1998 Report on Base Realignment and Closure. GAO/NSIAD-99-17. Washington, D.C.: November 13, 1998."], "subsections": []}], "fastfact": []} {"id": "GAO-19-52", "url": "https://www.gao.gov/products/GAO-19-52", "title": "Internet Privacy: Additional Federal Authority Could Enhance Consumer Protection and Provide Flexibility", "published_date": "2019-01-15T00:00:00", "released_date": "2019-02-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In April 2018, Facebook disclosed that a Cambridge University researcher may have improperly shared the data of up to 87 million of its users with a political consulting firm. This disclosure followed other recent incidents involving the misuse of consumers' personal information from the Internet, which is used by about three-quarters of Americans. GAO was asked to review federal oversight of Internet privacy. This report addresses, among other objectives: (1) how FTC and FCC have overseen consumers' Internet privacy and (2) selected stakeholders' views on the strengths and limitations of how Internet privacy currently is overseen and how, if it all, this approach could be enhanced.", "GAO evaluated FTC and FCC Internet privacy enforcement actions and authorities and interviewed representatives from industry, consumer advocacy groups, and academia; FTC and FCC staff; former FTC and FCC commissioners; and officials from other federal oversight agencies. Industry stakeholders were selected to represent different sectors, and academics were selected because of their expertise in privacy, consumer protection, and regulatory issues."]}, {"section_title": "What GAO Found", "paragraphs": ["The United States does not have a comprehensive Internet privacy law governing the collection, use, and sale or other disclosure of consumers' personal information. At the federal level, the Federal Trade Commission (FTC) currently has the lead in overseeing Internet privacy, using its statutory authority under the FTC Act to protect consumers from unfair and deceptive trade practices. However, to date FTC has not issued regulations for Internet privacy other than those protecting financial privacy and the Internet privacy of children, which were required by law. For FTC Act violations, FTC may promulgate regulations but is required to use procedures that differ from traditional notice-and-comment processes and that FTC staff said add time and complexity.", "In the last decade, FTC has filed 101 enforcement actions regarding Internet privacy; nearly all actions resulted in settlement agreements requiring action by the companies. In most of these cases, FTC did not levy civil penalties because it lacked such authority for those particular violations. The Federal Communications Commission (FCC) has had a limited role in overseeing Internet privacy. From 2015 to 2017, FCC asserted jurisdiction over the privacy practices of Internet service providers. In 2016, FCC promulgated privacy rules for Internet service providers that Congress later repealed. FTC resumed privacy oversight of Internet service providers in June 2018.", "Stakeholders GAO interviewed had varied views on the current Internet privacy enforcement approach and how it could be enhanced. Most Internet industry stakeholders said they favored FTC's current approach\u2014direct enforcement of its unfair and deceptive practices statutory authority, rather than promulgating and enforcing regulations implementing that authority. These stakeholders said that the current approach allows for flexibility and that regulations could hinder innovation. Other stakeholders, including consumer advocates and most former FTC and FCC commissioners GAO interviewed, favored having FTC issue and enforce regulations. Some stakeholders said a new data-protection agency was needed to oversee consumer privacy. Stakeholders identified three main areas in which Internet privacy oversight could be enhanced:", "Statute . Some stakeholders told GAO that an overarching Internet privacy statute could enhance consumer protection by clearly articulating to consumers, industry, and agencies what behaviors are prohibited.", "Rulemaking . Some stakeholders said that regulations can provide clarity, enforcement fairness, and flexibility. Officials from two other consumer protection agencies said their rulemaking authority assists in their oversight efforts and works together with enforcement actions.", "Civil penalty authority. Some stakeholders said FTC's Internet privacy enforcement could be more effective with authority to levy civil penalties for first-time violations of the FTC Act.", "Comprehensive Internet privacy legislation that establishes specific standards and includes traditional notice-and-comment rulemaking and broader civil penalty authority could enhance the federal government's ability to protect consumer privacy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider developing comprehensive legislation on Internet privacy that would enhance consumer protections and provide flexibility to address a rapidly evolving Internet environment. Issues that should be considered include what authorities agencies should have in order to oversee Internet privacy, including appropriate rulemaking authority."]}], "report": [{"section_title": "Letter", "paragraphs": ["In April 2018, Facebook disclosed that a Cambridge University researcher may have improperly shared the data of up to 87 million of Facebook\u2019s users with a political consulting firm. This followed other incidents in recent years involving the misuse of consumers\u2019 personal information from the Internet, which about three-quarters of Americans use. These types of incidents raise public concern because people use the Internet as an essential service for everyday social and economic purposes, and consumer products are increasingly being connected to the Internet. These Internet-based services and products often collect and use various forms of personal information about users, including their location, search terms, contact information, financial information, and many other forms of inherently or potentially sensitive details that could cause users harm if released.", "To address such privacy concerns, in May 2018, the European Union implemented the General Data Protection Regulation, a set of Internet privacy rules that give consumers control over the collection, use, and sharing of their personal information. In addition, California passed its own Internet privacy law in June 2018 that becomes effective in 2020. The United States does not have a similar comprehensive data privacy law at the federal level and instead relies in part on an industry-specific (sectoral) privacy approach. This involves industry-specific laws enforced by various agencies governing areas such as healthcare and financial services. In addition, the Federal Trade Commission (FTC) currently has the lead in overseeing Internet privacy across all industries, with some exceptions. Specifically, FTC addresses consumer concerns about Internet privacy using its broad authority under the FTC Act to protect consumers from unfair and deceptive trade practices. FTC has jurisdiction over a broad range of entities and activities that are part of the Internet economy, including websites, applications (apps), advertising networks, data brokers, device manufacturers, and others. The common carrier exemption in the FTC Act, however, prohibits FTC from taking action against common carriers, such as providers of telecommunications services.", "From 2015 to 2017, the Federal Communications Commission (FCC) classified broadband Internet service as a telecommunications service and asserted statutory and regulatory authority to address privacy concerns related to broadband providers of this service, known as Internet service providers. FCC developed privacy regulations governing these entities in 2016, but Congress repealed the regulations before they took effect. In December 2017, FCC reversed its decision to classify broadband as a telecommunications service, and in June 2018, FTC resumed privacy oversight of Internet service providers.", "You asked us to examine issues related to federal oversight of Internet privacy. This report discusses: the benefits and concerns associated with the collection of Internet users\u2019 personal information for commercial purposes, how FTC and FCC have overseen consumers\u2019 Internet privacy, and selected stakeholders\u2019 views on the strengths and limitations of how Internet privacy currently is overseen and how, if it all, this approach could be enhanced.", "To determine what is known about the benefits and concerns associated with the collection of Internet users\u2019 personal information for commercial purposes, we reviewed public opinion surveys conducted by the Commerce Department\u2019s National Telecommunications and Information Administration (NTIA) in 2017 and the Pew Research Center in 2015 and 2018, prior GAO reports, and other related literature. For this and the other objectives, we interviewed FTC and FCC staff; NTIA officials; stakeholders from 4 consumer advocacy groups and 4 industry groups; 6 Internet service providers; 6 Internet content providers; and 11 academics about Internet privacy. To obtain a variety of perspectives, we selected 6 Internet service providers that represented different industry sectors (i.e., cable, satellite, and telephone-based Internet service) and 6 Internet content providers that provide a variety of information and social media services. Academic stakeholders were selected because of their expertise in privacy, consumer protection, and regulatory issues. We also interviewed a former congressional staff member who has expertise on privacy issues and is now a consultant. Stakeholders were selected to represent a range of views, but our interview results are not generalizable to all stakeholders. Appendix I lists our interviewees.", "To address how FTC and FCC have overseen Internet privacy, we analyzed 101 Internet privacy enforcement actions that FTC filed during the last 10 years and an FCC Internet privacy case that was brought during the 2015-2017 period when the agency asserted jurisdiction over the privacy practices of Internet service providers. We also reviewed FTC and FCC guidance on Internet privacy and enforcement and a memorandum of understanding between FTC and FCC regarding Internet privacy jurisdiction and coordination.", "To determine selected stakeholders\u2019 views on the strengths and limitations of how Internet privacy currently is overseen and to identify how, if it all, this approach could be enhanced, we reviewed pertinent literature, the legislative history of FTC\u2019s statutory rulemaking authorities, and consumer protection statutes and regulations. We also interviewed the stakeholders identified above and eight former FTC and FCC commissioners. We selected to interview former FTC and FCC commissioners who served during the Barack Obama and George W. Bush administrations and are from different political parties. We also interviewed officials from other federal agencies that oversee various industries about the strengths and limitations of their regulatory and enforcement authorities and approaches. The interviews included officials from three consumer protection agencies\u2014the Consumer Financial Protection Bureau (CFPB), the Consumer Product Safety Commission (CPSC), and the Food and Drug Administration (FDA)\u2014and two worker protection agencies\u2014the Occupational Safety and Health Administration (OSHA) and the Equal Employment Opportunity Commission (EEOC). We selected these agencies because they had consumer- or worker- protection responsibilities. In addition, we compared FTC\u2019s authorities regarding Internet privacy to characteristics we identified in our prior work that should be reflected in new regulatory systems and to the Fair Information Practice Principles, which are a set of internationally developed voluntary principles for protecting the privacy and security of personal information.", "This report focuses on Internet data privacy, which is affected by the collection and use of consumers\u2019 personal information such as their Internet browsing histories, purchases, locations, and travel routes. Although this report discusses some Internet privacy enforcement actions that also involved data security issues, for the purposes of this review we are distinguishing between Internet data privacy and Internet data security, the latter of which can involve illegal breaches of sensitive information through hacking.", "We conducted semi-structured interviews; not all interviewees were asked the same questions. Throughout this report, we use certain qualifiers when describing responses from interview participants, such as \u201csome,\u201d and \u201cmost.\u201d We define \u201csome\u201d as three or more but less than half and \u201cmost\u201d as a majority of all interviewees or a relevant subset of them.", "We conducted this performance audit from October 2017 through January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Internet Industry and Consumer Privacy", "paragraphs": ["To varying extents, Internet content providers\u2014also called \u201cedge providers\u201d\u2014and Internet service providers collect, use, and share information from their customers to enable their services, support advertising, and for other purposes. Many companies describe these and other privacy-related practices in privacy policies, to which consumers may be required to consent in order to use the service. Consumers access such services through a variety of devices, including mobile phones and tablets, computers, and other devices connected to the Internet by wired or wireless means.", "A nationwide survey that the U.S. Census Bureau conducted for NTIA in 2017 found that 78 percent of Americans ages 3 and older used the Internet. Another nationwide survey that the Pew Research Center conducted in 2018 found that 69 percent of American adults reported that they use some kind of social media platform such as Facebook.", "No comprehensive federal privacy law governs the collection, use, and sale or other disclosure of personal information by private-sector companies in the United States. Rather, the federal privacy framework for private-sector companies is comprised partly of a set of tailored laws that govern the use and protection of personal information for specific purposes, in certain situations, or by certain sectors or types of entities. These laws include the Fair Credit Reporting Act, which protects the security and confidentiality of personal information collected or used to help make decisions about individuals\u2019 eligibility for such products as credit or for insurance or employment; the Gramm-Leach-Bliley Act, which protects nonpublic personal information that individuals provide to financial institutions or that such institutions maintain; and the Health Insurance Portability and Accountability Act which establishes a set of national standards for the protection of certain health information. In addition, as detailed in this report, FTC addresses consumer concerns about Internet privacy using its broad authority to protect consumers from unfair and deceptive trade practices.", "We have reported on a variety of Internet privacy concerns in recent years that include the collection and use of data such as people\u2019s Internet browsing histories, purchases, locations, and travel routes, including: Internet of things: In 2017, we found that as new and more devices become connected, they increase not only the opportunities for security and privacy breaches, but also the scale and scope of any resulting consequences.", "Vehicle data privacy: We found in 2017 that most selected automakers reported limiting their data collection, use, and sharing, but their written notices did not clearly identify data sharing and use practices.", "Information resellers: In a 2013 report on companies that collect and resell information on individuals, we found that no overarching federal privacy law governs the collection and sale of personal information among private-sector companies, including information resellers. We found that gaps exist in the federal privacy framework, which does not fully address changes in technology and the marketplace. Among the issues we noted were the potential need for changes to privacy controls for web tracking, mobile devices, and other technologies. We recommended that Congress consider strengthening the consumer privacy framework to reflect the effects of changes in technology and the marketplace. Such legislation has not been enacted to date.", "Mobile device location data: In 2012, we found that, according to privacy advocates, consumers are generally unaware of how their location data are shared with and used by third parties. We recommended that FTC consider issuing guidance establishing FTC\u2019s views regarding mobile companies\u2019 appropriate actions to protect location data privacy. FTC implemented that recommendation in 2013.", "To guide their privacy practices, many organizations and governments have used the Fair Information Practice Principles. As noted above, these principles\u2014which are not limited to Internet privacy\u2014address the collection and use of personal information, data quality and security, and transparency, among other things, and have served as the basis for many of the privacy recommendations federal agencies have made. The Organisation for Economic Co-Operation and Development developed a version of these principles in 1980 that has been widely adopted and was updated in 2013. In 2000, FTC recommended that Congress enact a consumer Internet privacy statute that would require companies to comply with broad and flexible definitions of the principles, and an FTC commissioner said in a 2014 speech that they are a solid framework and are flexible and effective. While they are principles, not legal requirements, they provide a possible approach for balancing the need for privacy with other interests. Table 1 provides more detailed information about the principles."], "subsections": []}, {"section_title": "FTC and FCC Oversight of Internet Privacy", "paragraphs": ["FTC is primarily a law enforcement agency that, among other responsibilities, currently has the lead in overseeing Internet privacy at the federal level. Specifically, it addresses consumer concerns about Internet privacy, both for Internet service providers and content providers, using its general authority under section 5 of the FTC Act. Section 5, as amended in 1938, prohibits \u201cunfair or deceptive acts or practices in or affecting commerce.\u201d Although the FTC Act generally empowers FTC to take enforcement action, it prohibits FTC from taking action against common carriers such as telecommunication services, airlines, and railroads under certain circumstances. FTC also does not have jurisdiction over banks, credit unions, or savings and loans institutions.", "Even though the FTC Act does not speak in explicit terms about protecting consumer privacy, the Act authorizes such protection to the extent it involves practices FTC defines as unfair or deceptive. According to FTC, an act or practice is \u201cunfair\u201d if it causes, or is likely to cause, substantial injury not reasonably avoidable by consumers and not outweighed by countervailing benefits to consumers or competition as a result of the practice. FTC has used this \u201cunfairness\u201d authority to address situations where a company has allegedly failed to properly protect consumers\u2019 data. According to FTC, a representation or omission is \u201cdeceptive\u201d if it is material and is likely to mislead consumers acting reasonably under the circumstances. For example, the omission of terms in an advertisement would need to be material and likely to mislead consumers in order to be deceptive. FTC applies this \u201cdeceptive\u201d authority to address deceptions or violations of written privacy policies and representations concerning data security.", "FTC\u2019s Bureau of Consumer Protection investigates Internet privacy complaints from various sources, including consumers, other agencies, Congress, and industry, and also initiates investigations on its own. If the bureau has reason to believe that an entity is engaging in an unfair or deceptive practice, it may forward an enforcement recommendation to the commission. The commission then determines whether to pursue an enforcement action, which can include the following: litigating commission-filed administrative complaints before an FTC administrative law judge; filing and litigating complaints in federal district court seeking preliminary and permanent injunctions, monetary redress for consumers or other equitable relief; or referring complaints seeking civil penalties for violations of rules authorizing such penalties or for violations of administrative orders to the Department of Justice (DOJ) and assisting DOJ in litigating those cases (if DOJ does not take action, FTC can pursue the action on its own).", "FTC\u2019s Internet privacy enforcement cases may be settled without the imposition of civil penalties. Instead, FTC typically enters into settlement agreements requiring companies to take actions such as: implementing reasonable privacy and security programs; being subject to long-term monitoring of compliance with the settlements by outside entities; providing monetary redress to consumers; forfeiting any money gained from the unfair or deceptive conduct; deleting illegally obtained consumer information; and providing transparency and choice mechanisms to consumers.", "If a company violates an FTC final consent order, the agency can then request civil monetary penalties in court for the violations. In addition, as discussed below, FTC can seek to impose civil monetary penalties directly for violations of certain privacy statutes and regulations such as the statute pertaining to the Internet privacy of children and its implementing regulations. Although FTC can levy civil penalties up to $41,484 per violation, per day, against an entity that violates a trade regulation rule under the FTC Act, it has not promulgated trade regulation rules under section 5 specific to privacy.", "Although FTC has not implemented its section 5 authority by issuing regulations regarding Internet privacy, it has issued regulations to implement other statutory authorities. Likewise, other federal agencies use regulations to implement the statutes they are charged with administering. The process by which federal agencies typically develop and issue regulations is spelled out in the Administrative Procedure Act (APA). Section 553 of the APA establishes procedures and requirements for what is known as \u201cinformal\u201d rulemaking, also known as notice-and- comment rulemaking. Among other things, section 553 generally requires agencies to publish a notice of proposed rulemaking in the Federal Register. After giving interested persons an opportunity to comment on the proposal by providing \u201cdata, views, or arguments,\u201d the statute then requires the agency to publish the final rule in the Federal Register. Regulations may be enforced in various ways, for example, by seeking civil penalties for non-compliance. FTC has authority to seek civil penalties, for example, when a company knowingly violates a regulation or, as discussed below, a final consent order.", "In contrast to the APA section 553 rulemaking process, the rulemaking process that FTC generally must follow to issue rules under the FTC Act is spelled out in the Magnuson-Moss Warranty Act amendments to the FTC Act (Magnuson-Moss). The Magnuson-Moss amendments\u2014 enacted in 1975 partly in response to industry opposition to FTC\u2019s trade regulations, and amended in 1980\u2014require additional rulemaking steps beyond APA section 553. For example, Magnuson-Moss requires FTC to publish an advance notice of proposed rulemaking in addition to the notice of proposed rulemaking required by the APA, and to offer interested parties the opportunity for an informal hearing involving oral testimony. FTC has not promulgated any regulations using the Magnuson-Moss procedures since 1980; according to FTC staff, the additional steps required under Magnuson-Moss add time and complexity to the rulemaking process.", "The Children\u2019s Online Privacy Protection Act (COPPA), enacted in 1998, governs the online collection of personal information from children under the age of 13 by operators of websites or online services, including mobile applications. COPPA required FTC to issue and enforce regulations concerning children\u2019s online privacy and directed FTC to promulgate these regulations using the APA section 553 notice-and- comment rulemaking process. COPPA contained a number of specific requirements that FTC was directed to implement by regulation, such as requiring websites to post a complete privacy policy, to notify parents directly about their information collection practices, and to obtain verifiable parental consent before collecting personal information from their children or sharing it with others. The commission\u2019s original COPPA regulations became effective on April 21, 2000, and amended COPPA regulations took effect on July 1, 2013. According to an FTC staff member, COPPA and FTC\u2019s implementing regulations reflect various principles that are similar to the Fair Information Practice Principles.", "FCC regulates the telecommunications industry pursuant to the Communications Act of 1934, as amended (Communications Act). FCC follows the APA section 553 notice-and-comment rulemaking process to promulgate regulations implementing the Communications Act. FCC also has an enforcement bureau that pursues violations of its regulations and the Communications Act.", "The Communications Act establishes separate definitions for \u201cinformation services\u201d and \u201ctelecommunications services\u201d and treats these two types of services differently. Specifically, information services are subject to less regulation by FCC than telecommunications services under the Communications Act. However, FTC is prohibited from regulating telecommunications carriers (a provider of telecommunications services) under the common carrier exemption. Prior to 2015, Internet services were considered information services under the Communications Act, and thus FTC was not prohibited from considering the privacy practices of Internet service providers under its FTC Act authority to protect consumers from unfair and deceptive practices. This changed in 2015 when FCC classified broadband as a telecommunications service, which meant that broadband Internet service providers were considered telecommunications carriers and FCC asserted primary oversight over them. As a result of the reclassification, FTC no longer had jurisdiction over Internet service providers. Once FCC had asserted primary oversight over Internet service providers, FCC promulgated privacy regulations specific to them. However, before the privacy regulations went into effect, Congress repealed them under the Congressional Review Act. In December 2017, FCC reclassified broadband as an information service\u2014reverting Internet service providers\u2019 classification to what it had been prior to 2015. When that reclassification became effective in June 2018, jurisdiction of Internet privacy for Internet service providers was effectively transferred from FCC back to FTC. As a result, FCC currently has limited Internet privacy oversight responsibilities, as shown in figure 1."], "subsections": []}]}, {"section_title": "Stakeholders\u2019 Views Varied on the Benefits and Concerns with Collecting and Using Consumers\u2019 Data from the Internet", "paragraphs": ["Perspectives on the benefits of and concerns about the collection and use of consumers\u2019 data from the Internet varied somewhat across stakeholder groups. Various stakeholders we interviewed\u2014including those from academia, industry, and government\u2014said that there should be a balance between the freedom of companies to collect and use consumers\u2019 data needed to provide services and the necessity to protect consumers\u2019 privacy. In general, industry stakeholders highlighted the benefits of data collection and use, such as facilitating innovation, while consumer advocacy groups and other stakeholders emphasized concerns about consumers\u2019 loss of control over their data and their lack of understanding of how companies collect and use their information. Additionally, surveys and other literature that we reviewed on Internet privacy highlighted concerns among consumers. The key benefits of information collection were identified as:", "Enables certain services. According to two industry stakeholders, the collection and use of consumer data from the Internet enable content providers to provide services. These stakeholders said that sometimes a content provider must collect and use information from consumers to provide the service. For example, a mapping service must collect and use consumers\u2019 current location to provide them with up-to-date directions.", "Provides low-cost or free services. A representative from a content provider said that revenue from targeted advertising helps allow some content providers\u2019 services to be offered to consumers at little or no charge. Instead of charging a subscription fee, a social media company may be able to provide free service because it uses information that it collects from consumers to target advertisements to users on a customized, user-by-user basis. These ads are targeted to users based on interests they express through their use of social media, among other things. According to a representative from an Internet search engine, using consumer data for targeted advertising may be relatively less important for some kinds of content providers, such as search engines. This company representative said that search engines may use keywords entered for a particular Internet search to provide advertisements relevant to the search. For example, a search for \u201ccar insurance\u201d can offer the consumer advertisements from car insurance companies without any additional data from the consumer other than the search\u2019s keywords.", "Supports innovation and customization. According to some stakeholders, the collection and use of data also benefit consumers through other means such as providing innovative products or customized services. According to a representative from a content provider, the collection of personal information, with consent, for commercial purposes can at times have benefits. The representative said, for example, that collection of images containing identifiable information, like faces, can help in the development of new technologies such as object and facial recognition. According to two content providers, consumers may also benefit from customized services and content. For example, according to a representative from a travel-related company, that company can collect information about a consumer to suggest travel itineraries and suggestions for activities. Additionally, representatives from a consumer advocacy group and a content provider stated that direct-marketing approaches are enabled through data collection. Such marketing approaches allow consumers to receive advertisements that are uniquely tailored to their interests. For example, a consumer that a content provider has identified as being a hiker may receive advertisements for hiking boots.", "Despite these benefits, public opinion surveys have shown concerns about the collection and use of consumers\u2019 information on the Internet. For instance, recent analyses based on surveys by the Pew Research Center and NTIA showed that the public lacks trust in Internet privacy, a concern that may limit economic activities. NTIA\u2019s survey results show that privacy concerns may lead to lower levels of economic productivity as people decline to make financial transactions on the Internet. According to the NTIA analysis, in 2017, 24 percent of American households surveyed avoided making financial transactions on the Internet due to privacy or security concerns. Consumers NTIA surveyed indicated that their specific concerns were identity theft, credit card or banking fraud, data collection by online services, loss of control over personal information, data collection by government, and threats to personal safety. Stakeholders we interviewed elaborated on some of these concerns:", "Public disclosure and data breaches. Some stakeholders, including representatives from content providers, said that personal information from the Internet can be publicly disclosed, including through data breaches. An academic and a former FCC commissioner told us that such disclosures are becoming more frequent. Various consumer advocacy groups and state governments continue to report data breaches. This personal information can include financial information such as credit card information, the disclosure of which can result in financial harm to the consumer. It can also include other kinds of sensitive information such as political views or medical conditions, the disclosure of which can cause non-financial harms such as embarrassment or harassment. According to public reports, the 2017 breach of consumer information from Equifax, a credit-reporting agency, resulted in the disclosure of 143 million American consumers\u2019 sensitive information. According to NTIA\u2019s 2017 survey, 45 percent of households surveyed reported major concerns about credit card fraud. Regarding non-financial information, in a recent case FTC alleged that an Internet-based company publicly disclosed patients\u2019 sensitive medical information without their knowledge after patients submitted what they thought were confidential reviews of physicians. According to FTC, these reviews were then publicly posted on the company\u2019s website.", "Financial and other harms. Stakeholders identified both potential financial and non-financial harms associated with misuse of personal information from the Internet. A former FTC acting chair has said that privacy and data-security incidents can cause injuries that do not only involve financial loss and that it may be difficult to measure this type of non-financial injury. In a February 2018 speech, this former acting FTC chair cited a case that the agency filed involving the misuse of personal information from the Internet that resulted in people losing jobs or job opportunities or being threatened, stalked, and harassed. The acting chair said that in another case, there was evidence that several people committed suicide after their names and other data were disclosed. The commission can, by bringing suit in district court, obtain an order compelling content providers to provide monetary relief to consumers if a data disclosure results in financial harm to a consumer. However, an academic noted that many data disclosures of sensitive information cannot be financially redressed; information can indefinitely persist on the Internet once it is disclosed.", "Consumers\u2019 lack of understanding. A range of stakeholders we interviewed, including those from industry, said that consumers lack an understanding of how their data are collected and used. Some stakeholders said content providers are insufficiently transparent about how they collect and use data. For instance, content providers\u2019 privacy policies, according to various stakeholders, may contain technical language that is difficult for typical consumers to understand, may be located in a difficult-to-access or inconspicuous part of the content provider\u2019s website, or may be lengthy to the point where it becomes prohibitively difficult for a consumer to set aside enough time to read. Furthermore, according to an academic, companies may have an incentive to intentionally obscure their privacy practices, since clarity could put the companies at a competitive disadvantage.", "The academic also stated that different privacy policies may apply to different parts of a consumer\u2019s experience on a single website. For example, the academic described how a website may have contracts with third-party vendors for specific services included on the website that consumers use, such as an online shopping cart\u2019s features. The privacy policy for the website and the third-party shopping cart can be separate and unrelated to each other, and consumers may not be aware of this since these policies may never appear to consumers or be hard to obtain. A representative from a consumer advocacy group also mentioned that consumers may be unaware that companies track consumers\u2019 Internet activity in order to target those consumers with customized prices. An academic said that these practices may disproportionately affect people with low computer literacy, as they may not be aware of tracking or know of ways to counteract it. In 2015, we found that the lack of computer and Internet skills is one of the primary barriers people face in using the Internet and that this is a particular problem for certain demographic segments who may lack exposure to or knowledge about computers, such as those of age 65 and older and those with low levels of income and education.", "Consumer lack of control. Some academics and consumer advocacy groups also identified a lack of control as a concern with respect to Internet privacy\u2014consumers have little or no control over how their information is collected, used, and shared. In a 2015 survey conducted by Pew Research Center, 65 percent of respondents said it is very important to be in control of what information is collected about them. However, according to an academic and a consumer advocacy group we interviewed, privacy policies offer consumers little or no bargaining power, and consumers may be forced to either accept the terms of the policy as written or not use the application or service at all. Furthermore, we recently reported that sometimes consumers\u2019 information is used for purposes that are altogether separate from what those consumers originally anticipated. For example, FTC alleged in an enforcement action that in 2009 and 2010, a company told consumers that it would track the websites they visited in order to provide them with personalized offers, when in fact the company was also transmitting credit card information it collected through such tracking to third parties. The company settled with FTC. We also recently reported on how devices that comprise the Internet of Things pose privacy concerns for consumers, including that information collected by such Internet-connected devices can be used in ways to which the consumer was not given the option to opt out.", "As discussed above, stakeholders described various types of harm that could result from Internet privacy violations. Regardless of whether violations involve financial or other types of harm, a challenging factor in providing Internet privacy oversight is identifying the responsible parties. A former federal government official with experience in privacy issues said that it frequently is difficult to identify which Internet entity in the chain is ultimately responsible for a privacy-related harm. For example, if a consumer is harmed by the theft of his or her Social Security number, it can be difficult to determine which entity is responsible if multiple entities have suffered data breaches of information systems that contained the Social Security number. In addition to the challenges in identifying responsible parties, the federal government has faced challenges in providing Internet privacy oversight. Our prior work has found that such efforts lack clearly defined roles, goals and performance measures, and that gaps exist in the current privacy framework."], "subsections": [{"section_title": "FTC and FCC Have Used Different Approaches to Oversee Internet Privacy FTC Primarily Uses Settlement Agreements with a Range of Companies to Address Internet Privacy Violations", "paragraphs": ["We found that during the last decade, FTC filed 101 Internet privacy enforcement actions for practices that the agency alleged were unfair, deceptive, a violation of COPPA, a violation of a settlement agreement, or a combination of those reasons. Most of these actions pertained to first-time violations of the FTC Act for which FTC does not have the authority to levy civil penalties. In those cases where a party violated an FTC regulation or settlement agreement, however, FTC does have the authority to impose civil penalties. The 101 cases\u2014filed between July 1, 2008 and June 30, 2018\u2014involved a variety of products, services, and industries that collect and use personal information from the Internet. During the years for which we examined full-year data, the number of enforcement actions taken per year ranged from 5 in 2010 and 2016 to 23 in 2015. For example, in recent years, FTC took enforcement action against the following entities for alleged conduct that the agency contended violated section 5 or COPPA: a toy manufacturer for collecting personal information from children online without providing direct notice and obtaining their parents\u2019 consent; a computer manufacturer for pre-loading laptops with software that compromised security protections in order to deliver ads to consumers; a mobile ride-hailing business for misrepresenting the extent to which it monitored its employees\u2019 access to personal information about users; a television manufacturer for installing software on its televisions to collect viewing data on 11 million consumers without their knowledge or consent and providing the viewing data to third parties; and a mobile advertising network for deceptively tracking the locations of hundreds of millions of consumers, including children, without their knowledge or consent, to serve them geographically targeted advertising.", "Of the 101 actions filed during the 10-year period, 51 involved Internet content providers, 21 involved software developers, 12 involved the sale of information or its use in advertising, 5 involved manufacturers, 1 involved an Internet service provider, and 11 involved a variety of different products, such as those provided by rent-to-own companies or certification services. In nearly all 101 cases, companies settled with FTC, which required the companies to make changes in their policies or practices as part of the settlement. FTC levied civil penalties against two of those companies for violating their settlement agreements. Also during this 10-year period, FTC levied civil penalties against 15 companies (a total of $12.7 million) for alleged violations of the COPPA regulations. The COPPA civil penalties ranged from $50,000 to $4 million and the average amount was $847,333. FTC can also seek to compel companies to provide monetary relief to those they have harmed. During this time period, FTC levied civil penalties against companies for violations of consent decrees or ordered monetary relief to consumers from companies for a total of $136.1 million. These payment orders ranged from $200,000 to $104.5 million and the average amount was $17 million.", "In the majority of these 101 enforcement actions that FTC settled, FTC alleged that companies engaged in practices that were deceptive. Examples of the charges FTC brought include: \u201cDeceptive practices\u201d cases (61 cases): In 2016, FTC alleged that Turn, Inc., an Internet advertising company, continued to track the Internet activities of consumers for targeted advertising purposes after the company had made representations that it would stop doing so. According to FTC, the company led consumers to believe they could turn off such tracking when in fact they were unable to do so. \u201cUnfair practices\u201d cases (4 cases): In 2014, FTC alleged that LeapLab, a data broker, knowingly provided scammers with hundreds of thousands of consumers\u2019 sensitive personal information, including Social Security and bank account numbers. \u201cUnfair and deceptive\u201d practices cases (19 cases): In 2015, FTC alleged that Equiliv Investments, a software developer, lured consumers into downloading its \u201crewards\u201d application, saying it would be free of malware, when the application\u2019s main purpose was actually to load the consumers\u2019 mobile phones with malicious software to mine virtual currencies for the developer.", "COPPA and COPPA regulations cases (6 cases): In 2011, FTC alleged that Broken Thumbs Apps, a software developer, had collected information from Internet applications that the developer specifically targeted toward children under the age of 13. FTC\u2019s complaint stated that the company had, among other things, failed to provide notice of what information it collected and how it was used and also had failed to inform parents of these practices and receive their consent as COPPA required.", "Violation of settlement agreement cases (2 cases): In 2012, Google agreed to pay a $22.5 million civil penalty to settle FTC charges that it misrepresented to users of Apple\u2019s Safari Internet browser that Google would not place tracking cookies or provide targeted ads to those users, violating an earlier settlement agreement between the company and FTC.", "In 14 of the 101 cases, FTC required companies to be audited by outside entities to monitor compliance with the terms of the settlement. The audit period ranged from 5 years to 20 years, with an average of 17.5 years.", "As noted above, 2 of the 101 cases involved a violation of FTC settlement agreements. In addition, in March 2018, FTC announced that it is investigating whether Facebook\u2019s privacy practices violate a 2012 Facebook settlement agreement with FTC. In the case that resulted in the 2012 settlement, FTC charged Facebook with deceiving consumers by telling them they could keep their information private, but then allowing it to be shared and made public.", "Appendix II contains more detailed information about the 101 cases."], "subsections": []}, {"section_title": "FCC Developed Internet Privacy Rule for Internet Service Providers That Was Later Repealed", "paragraphs": ["As stated earlier, in 2015, FCC classified broadband Internet service as a telecommunications service, placing primary oversight of broadband Internet service providers\u2019 privacy practices under FCC\u2019s jurisdiction instead of FTC\u2019s jurisdiction. In 2016, FCC filed a privacy enforcement action against a mobile Internet service provider, alleging, in part, violation of section 222 of the Communications Act and FCC\u2019s Open Internet Transparency Rule. Section 222 requires telecommunications carriers to protect the confidentiality of customers\u2019 proprietary information. In that case, FCC fined Verizon Wireless $1.4 million for failing to disclose that it was inserting \u201cunique identifier headers,\u201d also called \u201cperma- cookies\u201d or \u201csuper cookies\u201d (mobile web tracking cookies that users cannot remove), into customers\u2019 Internet traffic over its wireless network. Although the settlement was finalized during the 2015-2017 period when FCC had asserted jurisdiction over the privacy practices of Internet providers, the Verizon Wireless practices occurred prior to the classification of Internet service providers as telecommunications carriers. The investigation therefore did not rely upon FCC\u2019s subsequent assertion of authority over Internet service providers\u2019 privacy practices.", "In October 2016, after FCC had reclassified broadband as a telecommunications service, the commission issued Internet service provider privacy regulations, asserting its authority under section 222 of the Communications Act. In April 2017, however, Congress repealed these regulations under the Congressional Review Act before they took effect. In December 2017, FCC then reversed its 2015 classification of broadband, and oversight of broadband Internet service providers\u2019 privacy practices reverted to FTC once the decision took effect in June 2018. In explaining the December 2017 decision, FCC\u2019s new chair said that FTC\u2019s privacy oversight approach regarding Internet service providers\u2014using its authority to protect consumers against unfair, deceptive, and anti- competitive practices\u2014had worked well in the past and that this action would \u201cput the nation\u2019s most experienced privacy cop back on the beat.\u201d Under FCC\u2019s new legal approach, it no longer asserts jurisdiction to take enforcement action against Internet service providers for privacy-related matters, including mobile Internet service providers. As part of FTC\u2019s resumption of Internet service provider oversight, FCC and FTC entered into a memorandum of understanding in December 2017 spelling out their roles and responsibilities regarding oversight of these companies. FTC staff said that they regularly communicate with FCC and have an agreement to share Internet privacy complaints."], "subsections": []}, {"section_title": "Selected Stakeholders Provided Various Views on the Effectiveness of Current Internet Privacy Oversight and How It Could be Enhanced Industry Stakeholders View Current Enforcement Approach as Providing Flexibility, While Consumer Stakeholders See Limitations with This Approach", "paragraphs": ["As previously discussed, no federal statute comprehensively and specifically governs Internet privacy across all sectors. FTC oversees some aspects of Internet privacy by using its FTC Act section 5 authority to protect consumers from unfair and deceptive practices. FTC also uses its specific COPPA authority to police the collection and use of personal information from children by online services. Some industry representatives said that FTC\u2019s enforcement has been effective because the agency has expertise and experience in privacy issues and has the flexibility to take enforcement action on a case-by-case basis. In addition, a content provider said that FTC has taken enforcement actions against companies of various sizes in different sectors and has a powerful tool by being able to require companies to be audited by outside entities for up to 20 years.", "Industry stakeholders we interviewed generally said that \u201cdirect enforcement\u201d of a statute is preferable to promulgating and enforcing regulations implementing that statute (which constitutes enforcement of the statute as well). These stakeholders noted several key concerns they believe exist with regulatory versus statutory enforcement of Internet privacy:", "Regulations can stifle innovation. Two industry stakeholders said that regulations can hinder companies\u2019 ability to innovate. For example, representatives from an Internet service provider said that innovation can stop during the rulemaking process as the industry waits for the regulation to be finalized.", "Regulations may create loopholes. Representatives from an Internet industry group and a content provider said that regulations can also contain loopholes that can be legally exploited because imprecise language in a regulation may allow a company to legally engage in an action that was originally unforeseen by the regulator.", "Regulations can become obsolete. Several industry stakeholders said regulations also may become obsolete quickly because the Internet industry is rapidly changing. An Internet industry representative noted that there can be large shifts in the Internet industry from year to year, while it often takes an agency much longer than a year to adopt a rule. Industry stakeholders said the flexibility of FTC\u2019s approach allows FTC to adapt continuously to changing market conditions.", "Rulemakings can be lengthy. FCC officials said that in some cases, rulemakings can take a long time, especially when the issues are complex and there is no statutory deadline. Our previous work on rulemaking found that length of time required for the development and issuance of final rules varied both within and among agencies.", "Additionally, while some stakeholders suggested that regulations can clarify acceptable practices, other stakeholders, including from industry and academia, said that enforcement actions can send a similar message. According to both a representative from a content provider and an academic, enforcement actions such as settlement agreements, for example, establish precedents that companies can follow, similar to the way that case law developed by courts provides guidance for companies.", "Although some industry representatives we interviewed said that FTC\u2019s use of settlement agreements provides companies with guidance, certain trade associations took a different position in a recent case brought before the U.S. Court of Appeals for the Third Circuit, FTC v. Wyndham Worldwide Corp. 799 F.3d 236 (3d Cir. 2015). However, the court did not agree with the associations\u2019 arguments. The case involved an enforcement action against Wyndham Worldwide Corporation where FTC alleged that data security failures led to three data breaches at the company in less than 2 years. The court considered whether FTC could bring an enforcement case involving cybersecurity using FTC\u2019s section 5 \u201cunfair practices\u201d authority and, if so, whether Wyndham had \u201cfair notice\u201d that its specific cybersecurity practices could be deemed \u201cunfair.\u201d A group of companies and the U.S. Chamber of Commerce wrote a friend- of-the-court brief supporting Wyndham, criticizing FTC\u2019s \u201cregulation- through-settlements\u201d approach. The companies argued this approach subjects businesses to \u201cvague, unknowable, and constantly changing data-security standards\u201d and businesses often are unaware of the standards to which they are held until after they receive a notice of investigation from FTC, at which point they must settle or expend considerable resources fighting the agency.", "Potential Limits on Federal Trade Commission (FTC) Remedies A recently decided federal appeals court case illustrates potential limits on the remedies that FTC can order in an \u201cunfair practices\u201d enforcement proceeding. In this 2018 case, LabMD, Inc. v. FTC, 891 F.3d 1286 (11th Cir. 2018), the U.S. Court of Appeals for the Eleventh Circuit found that FTC could not direct a medical laboratory to create and implement wholesale data-security protective measures as a remedy to the laboratory\u2019s alleged unfair practices. FTC had filed a complaint against LabMD under section 5 of the FTC Act for allegedly committing an unfair act or practice by failing to provide reasonable and appropriate security for personal information on its computer networks. The commission found that LabMD\u2019s inadequate security constituted an unfair act or practice and ordered LabMD to take various actions, including establishing and maintaining a reasonable and comprehensive information security program. On appeal, the Eleventh Circuit ruled that FTC\u2019s order exceeded its authority because it did not prohibit a specific act or practice but instead, mandated a complete overhaul of the company\u2019s data-security program. FTC had argued that the FTC Act gives it broad discretion to prevent unfair or deceptive acts or practices that injure the general public and that FTC had spelled out standards for LabMD to craft a reasonable security program. The court ruled, however, that such a general approach would make it difficult for a reviewing court to determine if LabMD had complied with the order, in the event of a future FTC challenge. company can reasonably foresee that a court could construe its conduct as falling within the meaning of the statute.\u201d", "A majority of non-industry stakeholders we interviewed identified limitations in the current Internet privacy oversight approach because they view regulations in conjunction with enforcement as being more effective. These stakeholders include all of the former FTC commissioners we interviewed, three of the four former FCC commissioners we interviewed, and representatives from consumer advocacy groups we interviewed. In addition, a former FCC commissioner said that the current Internet privacy oversight approach is limited in part because he viewed regulations applying equally to all players in the Internet ecosystem in conjunction with enforcement as being more effective. A representative from a consumer advocacy group also said that regulations in conjunction with enforcement are essential for effective privacy protection. Some of these stakeholders noted key ways that they believe Internet privacy regulations can provide clarity to industry and consumers, as well as fairness and flexibility in enforcement:", "Regulations can provide clarity. An Internet industry group representative said that various companies have favorable views of regulations because they can provide clear expectations about what actions are permissible. Similarly, a former congressional staff member with expertise on privacy issues said that some companies have favorable views of regulations because the regulations often provide clearer expectations about what the companies can do. FCC officials said that with respect to telephone privacy provisions of the Communications Act, the telephone industry wanted rules because it sought greater clarity about what it should be doing, what constituted a violation, how to comply, and what behaviors were acceptable.", "Regulations may promote fairness. Some other stakeholders discussed the ability of regulations to provide fairness. For example, a former federal enforcement official described regulations as creating a fair and consistent oversight regime across the entire industry in a way that case-by-case enforcement actions do not. Another former federal enforcement official said that regulations give companies fair notice of what actions may be violations and thus help those companies avoid surprising or unexpected enforcement.", "Regulations can be flexible. An academic said that by targeting behaviors and not specific technologies, regulations can be written in such a way that they do not become obsolete. An academic also said that regulations based on broad performance-standards principles can avoid being overly prescriptive. FCC officials also noted that regulations can be amended to adapt to changes in technology often faster than new laws can be enacted. Furthermore, regulations determined to be obsolete can be repealed. FTC staff told us that the agency systematically reviews all of its regulations every 10 years, even though it is only legally required to review its most significant ones, and that the number of FTC regulations has decreased because the agency determined prior ones were obsolete. The Regulatory Flexibility Act requires federal agencies to analyze the effect of their regulations on small entities.", "Regulations can be a deterrent. FCC officials said that rules can have a deterrent effect on bad practices in the industry or have a role in mitigating the negative effects of bad practices after they occur. They said, for example, that the practice of pretexting (improperly obtaining people\u2019s telephone records) was greatly curtailed by an FCC regulation prohibiting such practices. They also said that rules can foreclose arguments by companies claiming that because no rule was in place, they had no reasonable notice or awareness that they should behave in a particular way.", "Consumer advocacy groups and other stakeholders, including some former FTC and FCC commissioners, had concerns about the efficacy of an enforcement approach such as FTC\u2019s approach to Internet privacy oversight, which focuses on enforcing a statute rather than implementing regulations. They said that FTC\u2019s enforcement approach limits the ability of the agency to affect companies\u2019 behavior, and that any enforcement activity occurs after the violation, undesirable behavior, harm, or illegal action has already occurred. A former federal enforcement official also said that regulations can prevent companies from engaging in bad practices in the first instance and thus have a preventive effect. A former FCC commissioner said that by the nature of a direct statutory- enforcement approach (as opposed to rulemaking), an agency would only address a harm after it has occurred. As discussed above, for example, data often cannot be removed from the Internet because copies of the data can exist among many bad actors, and it can be difficult to identify the entity responsible for unwanted disclosures. Therefore, it may be more important to avoid such Internet privacy harms from occurring in the first place. Another former FCC commissioner told us that Internet privacy oversight should be returned to FCC because it has APA section 553 notice-and-comment rulemaking authority and considerable enforcement experience.", "Representatives from consumer advocacy groups said that FTC\u2019s enforcement action has been insufficient because it investigates only a small portion of actual Internet-privacy violations or takes action regarding only the most egregious or outrageous cases that it can win. FTC has also stated in its strategic plan that it focuses on investigating and litigating cases that cause or are likely to cause substantial injury to consumers and that by focusing on practices that are actually harming or likely to harm consumers, FTC can best use its limited resources. Representatives from an Internet association said that FTC\u2019s Internet- privacy enforcement actions should focus on concrete harms. An FTC staff member from the Division of Privacy and Identity Protection said that the agency has been effective with the limited enforcement resources it has available. Furthermore, the staff member said the agency uses no formal written criteria or template to assess individual cases but considers the size and scale of a company\u2019s effect on consumer privacy when deciding whether to take enforcement action. However, a former FTC commissioner told us that the agency needs more resources to effectively oversee Internet privacy.", "We asked stakeholders whether it was clear under what circumstances FTC will take Internet privacy enforcement action. In response, some stakeholders said that FTC\u2019s enforcement priorities are reflected in its settlement agreements, which provide information that is similar to a body of case law. Individual commissioners also may issue statements explaining their decisions. Two stakeholders also said that FTC\u2019s closing letters, which the agency sends to companies and posts on its website when it closes an investigation without taking enforcement action, may explain its decisions. Other stakeholders said that more guidance would be helpful to provide additional clarity on how the agency uses its Internet privacy enforcement authority. FTC staff and other stakeholders also said that FTC has provided useful Internet privacy guidance. For example, in 2015, FTC published guidance for businesses on complying with COPPA."], "subsections": []}, {"section_title": "Stakeholders and FTC Identified Potential Actions to Enhance Federal Oversight of Consumers\u2019 Internet Privacy", "paragraphs": ["Various stakeholders we interviewed said that opportunities exist for enhancing Internet privacy oversight. A key component of FTC\u2019s mission, as specified by the FTC Act, is to protect consumers against unfair and deceptive practices. As discussed earlier, some stakeholders believe that FTC\u2019s reliance on its unfair and deceptive practices authority to address Internet privacy issues has limitations. In addition, although the Fair Information Practice Principles provide internationally recognized principles for protecting the privacy and security of personal information, they are not legal requirements and FTC cannot rely on them to define what constitutes unfair and deceptive practices related to privacy and data security.", "We stated in our 2013 information resellers report that the current U.S. privacy framework is not always aligned with the Fair Information Practice Principles and that these principles provide a framework for balancing the need for privacy with other interests. We found that there are limited privacy protections under federal law for consumer data used for marketing purposes. We said that although the Fair Information Practice Principles call for restraint in the collection and use of personal information, the scope of protections provided under current law has been narrow in relation to: (1) individuals\u2019 ability to access, control, and correct their personal data; (2) collection methods and sources and types of consumer information collected; and (3) new technologies, such as tracking of web activity and the use of mobile devices. Although we recommended in that report that Congress consider strengthening the consumer privacy framework to reflect the effects of changes in technology and the marketplace, this matter for congressional consideration was not specific to Internet privacy or to the oversight authorities of any particular agency or agencies.", "As noted above, various stakeholders expressed concern about the ability of consumers to control their data and understand how that data are used. These concerns suggest that companies are not always following the Fair Information Practice Principles, such as that companies\u2019 data practices should be transparent, allow consumers the right to access and edit their data, and limit the collection of data to the extent feasible.", "Those stakeholders who believe that FTC\u2019s current authority and enforcement approach is unduly limited identified three main actions that could better protect Internet privacy: (1) enactment of an overarching federal privacy statute to establish general requirements governing Internet privacy practices of all sectors; (2) APA section 553 notice-and- comment rulemaking authority; and (3) civil penalty authority for any violation of a statutory or regulatory requirement, rather than allowing penalties only for violations of settlement agreements or consent decrees that themselves seek redress for a statutory or regulatory violation."], "subsections": [{"section_title": "Privacy Statute", "paragraphs": ["Stakeholders from a variety of perspectives\u2014including from academia, industry, consumer advocacy groups, and former FTC and FCC commissioners\u2014told us that a privacy statute could enhance Internet privacy oversight by, for example, clearly articulating to consumers, industry, and privacy enforcers what behaviors are prohibited, among other things. In addition, a former FCC commissioner said that a new privacy statute could enhance Internet privacy oversight by creating uniform standards for all players in the Internet ecosystem that is focused on the consumer rather than the regulatory legacy of the companies involved (regulations that apply to specific types of companies based on what they are or used to be, such as telecommunications carriers, cable companies, broadcasters, and mobile wireless providers). The former FCC commissioner said that as companies, technologies, and markets change, there is a question about whether existing law should be modernized. In 2015, FTC staff recommended that Congress enact broad-based legislation that is flexible and technology-neutral, while also providing clear rules of the road for companies about such issues as how to provide choices to consumers about data collection and use practices. Some stakeholders suggested that such a framework could either designate an existing agency as responsible for privacy oversight (such as FTC) or create a new privacy-oriented agency. A representative from a consumer advocacy group mentioned that the European Union, for example, has established the European Data Protection Supervisor, an independent data protection authority, to monitor and ensure the protection of personal data and privacy. Similarly, in Canada, the Office of the Privacy Commissioner, an independent body that reports directly to the Parliament, was established to protect and promote individuals\u2019 privacy rights.", "Some stakeholders also stated that the absence of a comprehensive Internet privacy statute affects FTC\u2019s enforcement. For example, a former federal enforcement official said that FTC is limited in how it can use its authority to take action against companies\u2019 unfair and deceptive trade practices for problematic Internet privacy practices. Similarly, another former federal enforcement official said that FTC is limited in how and against whom it can use its unfair and deceptive practices authority noting, for example, that it cannot pursue Internet privacy enforcement over exempted industries such as common carriers. In addition, a former FCC commissioner said that it is more difficult for FTC to take effective action because its enforcement comes only after a complaint and after an often lengthy review process. The former FCC commissioner also said that without \u201cex ante\u201d rules (rules that define prohibited activity before it has occurred), there inevitably will be delay, confusion, and lack of knowledge about what is and is not acceptable behavior.", "In addition, some stakeholders\u2014including a representative from a consumer group, a former federal enforcement official, and a former FCC commissioner\u2014said FTC\u2019s section 5 \u201cunfair or deceptive practices\u201d authority may not enable it to fully protect consumers\u2019 Internet privacy because it can be difficult for FTC to establish that Internet privacy practices are legally \u201cunfair.\u201d For example, under section 5, FTC has charged companies with committing a \u201cdeceptive\u201d practice if their privacy policies said they would not collect or use consumers\u2019 personal information but then did so. However, a former congressional staff member said that companies often write broad and vague policy statements, making it difficult for FTC to charge companies with committing deceptive practices. Instead, according to a representative from a consumer advocacy group, FTC would have to show the companies\u2019 actions were \u201cunfair,\u201d which, according to the representative, is legally difficult to establish. We found in our 2017 report on vehicle data privacy that most automakers\u2019 written privacy notices used vague language. Similarly, we found in our 2012 report on mobile device location data that although companies\u2019 policies stated that they shared location data with third parties, they were sometimes vague about which types of companies these were and why they were sharing the data.", "Some stakeholders said that FTC relies more heavily on its authority to take enforcement action against deceptive trade practices compared with the agency\u2019s unfair trade practices authority. This was confirmed in our analysis of FTC\u2019s Internet privacy enforcement actions discussed previously. However, a representative from a consumer advocacy group said that FTC\u2019s ability to take such action is limited practically to instances where a company violates its own privacy policy\u2014companies generally can collect and use data in any way they want if they include language in their policies asserting their intent to do so. According to a former FCC commissioner, a privacy statute could clarify the situations in which FTC could take enforcement action."], "subsections": []}, {"section_title": "APA Notice-and-Comment Rulemaking", "paragraphs": ["Various stakeholders said that there are advantages to overseeing Internet privacy with a statute that provides APA section 553 notice-and- comment rulemaking authority. As discussed above, that provision lays out the basic process by which so-called informal agency rulemaking shall be conducted, namely, publication of proposed regulations in the Federal Register; an opportunity for public comment (written and possibly oral submission of data and views); and publication of final regulations in the Federal Register with an explanation of the rules\u2019 basis and purpose. Also as noted above, Congress imposed additional rulemaking steps on FTC in the Magnuson-Moss Act when FTC is promulgating rules under section 5 of the FTC Act. These additional steps include providing the public and certain congressional committees with advance notice of proposed rulemaking (in addition to notice of proposed rulemaking). FTC\u2019s rulemaking under Magnuson-Moss also calls for, among other things, oral hearings, if requested, presided over by an independent hearing officer, and preparation of a staff report after the conclusion of public hearings, giving the public the opportunity to comment on the report. Finally, Congress made it easier for the public to appeal FTC\u2019s Magnuson-Moss rules by making the agency meet a higher standard when the rules are challenged in court. FTC staff said that these additional steps add time and complexity to the rulemaking process.", "In congressional testimony in 2010, the then-Director of FTC\u2019s Bureau of Consumer Protection said that \u201cif Congress enacts privacy legislation, the commission agrees that such legislation should provide APA rulemaking authority to the commission.\u201d According to FTC, this testimony was voted on and approved by the commissioners and, therefore, constituted the commission\u2019s official position at the time.", "Moreover, according to stakeholders, in many cases regulations can be used to implement statutes. Officials from other consumer and worker protection agencies we interviewed described their enforcement authorities and approaches. For example, officials from the CFPB and the FDA, both of which use APA section 553 notice-and-comment rulemaking, said that their rulemaking authority assists in their oversight approaches and works together with enforcement actions. OSHA officials said that the standards that the agency promulgates under its authority specify what employers are required to do to reduce safety and health risks to workers. Such standards lay out the workplace conditions that must be maintained by employers and require that employers implement certain practices, operations, or processes that ensure worker protections. EEOC officials said that regulations are used to guide investigations that establish whether enforcement action is appropriate. CPSC officials said that the agency conducts consumer protection not only by establishing and enforcing mandatory regulations, but also through collaborative actions such as educating industry, developing consensus voluntary safety standards, removing defective products from the marketplace through voluntary corrective actions, and litigating when necessary. In addition, in contrast to FTC\u2019s approach, FCC has APA section 553 notice-and-comment rulemaking authority and has issued regulations implementing section 222 of the Communications Act using that rulemaking authority to protect the privacy of telephone users."], "subsections": []}, {"section_title": "Ability to Levy Civil Penalties for Initial Violations and to Impose Larger Civil Penalties", "paragraphs": ["Some stakeholders suggested that FTC\u2019s current ability to levy civil penalties could also be enhanced. Currently, FTC can levy civil penalties against companies for violating certain regulations, such as COPPA regulations, or if the company violates the terms of a settlement agreement already in place. According to most former FTC commissioners and some other stakeholders we interviewed, FTC should be able to levy fines for initial violations of section 5 of the FTC Act. An academic told us that the power of an agency to levy a fine is a tangible way to hold industries accountable. Another academic noted, however, that fines may be relatively less effective in industries where there is limited competition because the costs of those fines may be more effectively passed on to consumers in the form of higher prices for services. In addition, some stakeholders said that payments required by FTC orders are not large enough to act as a deterrent and that companies may consider them to be a cost of doing business.", "There is a growing debate about the federal government\u2019s role in overseeing Internet privacy. In a July 2018 congressional hearing, FTC\u2019s new chair testified that the FTC Act cannot address all privacy and data- security concerns in the marketplace. The chair said, for example, that FTC\u2019s lack of civil penalty authority for violations of the FTC Act reduces its deterrent capability. He also noted the agency lacks authority over non-profits and over common carrier activity, even though those entities and activities often have serious implications for consumer privacy and data security. In November 2018, FTC\u2019s chair testified before Congress and urged Congress to consider enacting privacy legislation that would be enforced by FTC. A majority of the commission has indicated support for APA rulemaking and civil penalty authority for privacy. FTC also held hearings in September, November, and December 2018 to advance the discussion around privacy issues, among other topics, and FTC plans to hold an additional hearing on data security and consumer privacy in February 2019. In a Federal Register notice, FTC announced that it is interested in the benefits and costs of various state, federal and international privacy laws and regulations, including the potential conflicts among those standards. FTC also indicated that it is particularly interested in the efficacy of the commission\u2019s use of its current authority and the identification of any additional tools or authorities the commission may need to adequately deter unfair and deceptive conduct related to privacy and data security. Also in July 2018, an NTIA official announced that NTIA, in coordination with the Commerce Department\u2019s International Trade Administration and National Institute of Standards and Technology, had recently started holding stakeholder meetings to identify common ground and formulate core, high-level principles on data privacy.", "Regarding the development of the Administration\u2019s approach to consumer privacy, in September 2018, NTIA requested comments on ways to advance consumer privacy while protecting prosperity and innovation. Our 2009 report on a framework for assessing proposals for modernizing the financial regulatory system similarly found that regulators should have the authority to carry out and enforce their statutory missions. We further said that a regulatory system should be flexible and forward looking, allowing regulators to readily adapt to market innovations and changes, including identifying and acting on emerging risks in a timely way without hindering innovation. These factors are useful considerations as the federal government explores how it can better oversee privacy and data security. Having sufficient and appropriate authorities and providing flexibility to address a rapidly evolving Internet environment could better ensure that the federal government can protect consumers\u2019 privacy."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Recent developments regarding Internet privacy suggest that this is an appropriate time for Congress to consider comprehensive Internet privacy legislation. Although FTC has been addressing Internet privacy through its unfair and deceptive practices authority, among other statutes, and other agencies have been addressing this issue using industry-specific statutes, there is no comprehensive federal privacy statute with specific standards. Debate over such a statute could provide a vehicle for consideration of the Fair Information Practice Principles, which are intended to balance privacy concerns with the need for using consumers\u2019 data. Such a law could also empower a specific agency or agencies to provide oversight through means such as APA section 553 rulemaking, civil penalties for first time violations of a statute, and other enforcement tools. Comprehensive legislation addressing Internet privacy that establishes specific standards and includes APA notice-and-comment rulemaking and first-time violation civil penalty authorities could help enhance the federal government\u2019s ability to protect consumer privacy, provide more certainty in the marketplace as companies innovate and develop new products using consumer data, and provide better assurance to consumers that their privacy will be protected."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider developing comprehensive legislation on Internet privacy that would enhance consumer protections and provide flexibility to address a rapidly evolving Internet environment. Issues that should be considered include: which agency or agencies should oversee Internet privacy; what authorities an agency or agencies should have to oversee Internet privacy, including notice-and-comment rulemaking authority and first-time violation civil penalty authority; and how to balance consumers\u2019 need for Internet privacy with industry\u2019s ability to provide services and innovate."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FTC, FCC, and the Department of Commerce for their review and comment. FTC and FCC provided technical comments, which we incorporated as appropriate. The Department of Commerce indicated that it did not have comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the FTC chair, the FCC chair, the Secretary of Commerce, and interested congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or members of your staff have any questions about this report, please contact Alicia Puente Cackley at (202) 512-8678 or cackleya@gao.gov or Mark Goldstein at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Interviewees", "paragraphs": ["For this review, we interviewed staff from agencies with roles in Internet privacy; officials from other consumer- and worker-protection agencies; stakeholders from consumer advocacy groups, industry groups, Internet service providers, and Internet content providers; academics; and former government officials. To obtain a variety of perspectives, we selected Internet service providers that represented different industry sectors and Internet content providers that provide a variety of information and social media services. Academic stakeholders were selected because of their expertise in privacy, consumer protection, and regulatory issues. We also interviewed former Federal Trade Commission (FTC) and Federal Communications Commission (FCC) commissioners who served during the Barack Obama and George W. Bush administrations and are from different political parties."], "subsections": [{"section_title": "Academics", "paragraphs": [], "subsections": []}, {"section_title": "Consumer advocacy groups", "paragraphs": [], "subsections": []}, {"section_title": "Federal government agencies", "paragraphs": ["Consumer Financial Protection Bureau (CFPB) Consumer Product Safety Commission (CPSC) Department of Commerce, National Telecommunications and Information Administration (NTIA) Equal Employment Opportunity Commission (EEOC) Federal Communications Commission (FCC) Federal Trade Commission (FTC) Food and Drug Administration (FDA) Occupational Safety and Health Administration (OSHA)"], "subsections": []}, {"section_title": "Former government officials", "paragraphs": [], "subsections": []}, {"section_title": "Industry groups", "paragraphs": [], "subsections": []}, {"section_title": "Internet content providers", "paragraphs": [], "subsections": []}, {"section_title": "Internet service providers", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Federal Trade Commission Internet Privacy Enforcement Cases", "paragraphs": ["The following table identifies 101 Federal Trade Commission (FTC) Internet privacy enforcement actions filed between July 1, 2008 and June 30, 2018 in which the agency alleged a violation of either the Federal Trade Commission Act (FTC Act) or the Children\u2019s Online Privacy Protection Act (COPPA) and implementing COPPA regulations and subsequently entered into a settlement agreement with the target entity. Although some of these cases may involve both Internet data privacy and security issues, this table does not include cases that involved data security issues only."], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact names above, Andrew Huddleston, Assistant Director; Kay Kuhlman, Assistant Director; Bob Homan, Analyst-in- Charge; Melissa Bodeau; John de Ferrari; Camilo Flores; Erica Miles; Josh Ormond; and Sean Standley made significant contributions to this report."], "subsections": []}]}], "fastfact": ["In April 2018, Facebook said that up to 87 million users' personal data may have been improperly disclosed. This was one of many recent Internet privacy incidents.", "We found that there is no comprehensive U.S. Internet privacy law governing private companies\u2019 collection, use, or sale of users\u2019 data. Consumer advocates and others told us greater regulatory powers are needed. Most industry representatives we interviewed favored the current enforcement approach and warned that regulations could hinder innovation.", "We recommended that Congress consider developing comprehensive Internet privacy legislation to better protect consumers."]} {"id": "GAO-18-323", "url": "https://www.gao.gov/products/GAO-18-323", "title": "Railroad Retirement Board: Additional Controls and Oversight of Financial Interchange Transfers Needed", "published_date": "2018-04-19T00:00:00", "released_date": "2018-05-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["RRB collects payroll taxes and administers retirement, disability, and Medicare benefits for rail workers and their families. A financial interchange exists between RRB, SSA, and HHS in order to put the trust funds for these benefits in the same financial position as if Social Security covered rail workers. RRB generally transfers to the Social Security and Hospital Insurance trust funds the taxes that would be collected from rail workers and employers, while SSA provides RRB the benefits that would otherwise be paid directly to rail workers. GAO was asked to review the financial interchange calculation process.", "This report examines (1) the steps taken to calculate financial interchange amounts, (2) factors that could account for trends in transfers over time, and (3) the extent to which RRB, SSA, and HHS provide oversight to ensure calculations are accurate. GAO reviewed agency policies, procedures, and regulations; observed RRB staff calculating four cases selected for beneficiary type; reviewed data on payment and beneficiary trends; and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Established in 1937, the Railroad Retirement Board (RRB) administers retirement and disability benefits for rail workers and their families. A financial interchange between RRB and the Social Security Administration (SSA) was created in 1951, which as GAO previously reported, helped finance RRB benefits as they increased over time to keep pace with growing Social Security benefits to individuals. Through its financial interchange calculation, RRB takes steps each year to estimate the amount of funds that would have flowed in and out of Social Security's trust funds if rail beneficiaries were covered by Social Security instead of RRB. Five key steps go into the annual calculation:", "RRB is credited for (1) the estimated amount of benefits it would have paid to beneficiaries under SSA rules, (2) administrative costs, and (3) interest accrued on the financial interchange amount.", "SSA is credited for the revenues it would have received from rail workers if they paid into Social Security; specifically, (4) payroll taxes and (5) income taxes paid on benefits received.", "The determined net amounts are transferred between the agencies, which since 1958 have been from SSA to RRB each year. RRB received $4.1 billion in fiscal year 2016, almost one-third of the $12.4 billion in retirement and disability benefits it paid that year. The financial interchange was expanded to Medicare in 1965 to facilitate funding of Medicare benefits to rail workers; RRB transfers Medicare payroll taxes collected, income taxes paid on benefits received, and interest, minus administrative costs to the Department of Health and Human Services (HHS).", "A high ratio of beneficiaries to active railroad workers primarily explains the net transfers from Social Security's trust funds to RRB each year since 1958. Rail employment has fallen steadily since World War II, and the number of beneficiaries has exceeded the number of workers since 1961. RRB had 2.7 beneficiaries for every worker in 2015. As a result, RRB has paid out more in benefits than it has collected in payroll taxes and projects this to continue for the foreseeable future.", "RRB takes a number of steps each year to ensure the accuracy of its calculations, such as checking that the sample of cases used to estimate benefit payments is complete, reviewing the work of new employees, and using electronic alerts to help prevent staff from entering incorrect information into its computer system. SSA and HHS also conduct high-level reviews of the calculation results to identify any significant changes from one year to the next. However, RRB's process includes manual data entry and its electronic edit checks cannot flag entries that are incorrect but plausible, which could lead to calculation errors. RRB also has limited documentation of its calculation process, and does not have formal policies on how staff should address some potential calculation errors and on how supervisors should review staff work. This is contrary to internal control standards for having quality data and documenting procedures. In terms of SSA and HHS, they do not currently review case-level calculations made by RRB, and cannot reasonably ensure that work used to determine the transfers they made and received is correct."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes eight recommendations, including that RRB create formal policies and improve documentation of its processes, work with SSA to obtain data electronically, and that SSA and HHS increase their oversight. RRB and SSA agreed, while HHS did not, asserting that statute limits its authority; however, HHS continues to review this issue. HHS should seek this authority if it determines it necessary."]}], "report": [{"section_title": "Letter", "paragraphs": ["Established in 1937, the Railroad Retirement Board (RRB) administers retirement and disability benefits for rail workers and their families. After Medicare was enacted in 1965, RRB began administering these benefits for rail employees and their families. For most other workers in the United States, the Social Security Administration (SSA) administers retirement and disability benefits and the Department of Health and Human Services (HHS) administers Medicare benefits.", "We previously reported that the 1951 amendments to the Railroad Retirement Act of 1937 substantially increased railroad retirement benefits to bring them in line with benefit increases granted to individuals under Social Security, and that a financial interchange was created between the agencies in 1951 to help pay for these increases. The financial interchange was expanded in 1965 to include HHS. The financial interchange is intended to put the Old-Age and Survivors (OASI), Disability Insurance (DI)\u2014which finance retirement and disability benefits respectively\u2014and Hospital Insurance trust funds in the same position that they would have been had railroad employment been covered under the Social Security Act and the Federal Insurance Contributions Act. Through this financial interchange, RRB typically receives sizable transfers each year from the OASI and DI trust funds and transfers funds to the Hospital Insurance Trust Fund. In fiscal year 2016, RRB reported that it received about $4.1 billion in transfers from the OASI and DI trust funds\u2014about one-third of the $12.4 billion it paid in retirement and disability benefits.", "You asked us to review the financial interchange calculation process. This report examines: 1. What steps does RRB take to calculate financial interchange amounts? 2. What factors, if any, account for the trends in transfers between RRB, SSA, and HHS through the financial interchange? 3. To what extent do the agencies provide oversight to ensure that financial interchange transfer amounts are accurate?", "To address the first objective we reviewed RRB guidance and documentation to determine the methodology RRB uses for its financial interchange calculations, as well as assessments of the soundness of the methodology. We also observed RRB staff while they conducted calculations on four non-generalizable four cases\u2014selected to provide variation in terms of the type of benefits being received\u2014to determine the steps taken by staff.", "To address the second objective, we analyzed data on the amounts of financial interchange transfers from calendar year 1951 to 2015, the number of RRB beneficiaries from fiscal year 1937 to 2016, and the number of rail workers from calendar year 1937 to 2016, the most recent available data. We assessed the reliability of these data by reviewing RRB documentation regarding internal controls and interviewing knowledgeable officials. We determined that the data on the number of beneficiaries and workers were sufficiently reliable for our purposes. We determined that the data we report on the amounts of financial interchange transfers were sufficiently reliable for our purposes of discussing trends in transfers over time.", "To address the third objective, we reviewed agency policies, procedures, and documentation. We also observed RRB staff demonstrate, on the four illustrative cases described above, the safeguards to prevent errors that are built into the system they use to compute financial interchange amounts. We compared these steps taken by the agencies to criteria for using quality data and documenting agency procedures in standards for internal controls in the federal government.", "For all three objectives, we reviewed relevant federal laws and regulations, and interviewed staff at the three agencies to provide additional context.", "We conducted this performance audit from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The rail industry was one of the first to pioneer private pensions for its employees in the late 19th century, and by the 1930s, these pensions were more developed than in most other industries. However, according to RRB, these private rail pensions had serious defects that were magnified by the effects of the Great Depression. For instance, RRB noted that the plans were generally inadequately financed and that employers could terminate the plans at will. In prior work, we noted that the Railroad Retirement Act of 1937 was enacted at the urging of rail labor and established the national railroad retirement system administered by RRB. The program was to be solely supported by employees and employers of the rail industry through payroll taxes.", "According to RRB, this system was created separately from Social Security for several reasons. For instance, RRB notes that Social Security\u2014created in 1935\u2014would not begin payments for several years or credit workers for work prior to 1937, while the deteriorating state of private rail pensions called for immediate retirement payments based on prior service.", "We previously reported that the 1951 amendments to the Railroad Retirement Act of 1937 substantially increased railroad retirement benefits to bring them in line with benefit increases granted to individuals under Social Security, and that a financial interchange was created between the agencies in 1951 to help pay for these increases. RRB annually computes the amounts that SSA would have collected in taxes from rail workers and their employers, and what SSA would have paid in benefits if rail workers had been covered under Social Security, with the net difference transferred between the agencies. The amounts computed under the financial interchange do not necessarily represent the actual RRB benefits paid to rail workers and their beneficiaries. RRB determined that it was due a net transfer from SSA each year since 1958.", "Financial interchange transfers make up a significant portion of the financing for RRB\u2019s retirement, disability, and survivors benefits. In fiscal year 2016, RRB paid about $12.4 billion in these benefits and collected $5.9 billion in payroll taxes from rail employees and employers. RRB reported that the remainder of its funding for these benefits came from the financial interchange ($4.1 billion), transfers from the National Railroad Retirement Investment Trust ($1.4 billion), income taxes collected on RRB benefits ($758 million), and other funding sources, such as appropriations. The interchange also serves as a vehicle to fund Medicare Part A (Hospital Insurance) benefits for rail workers.", "The benefits provided by RRB consist of a core-level of benefits that are similar to those available to most workers covered under Social Security, including Medicare. Rail workers also receive a second level of retirement benefits that approximate payments from private pension plans (see table 1).", "For non-rail workers, Social Security and Medicare benefits are paid from their respective trust funds:", "Retirement benefits are paid from SSA\u2019s OASI Trust Fund;", "Disability benefits are paid from SSA\u2019s DI Trust Fund; and", "Medicare Part A benefits are paid from the Hospital Insurance Trust Fund."], "subsections": []}, {"section_title": "RRB Calculates Financial Interchange Amounts by Approximating Key Flows In and Out of SSA and HHS Trust Funds", "paragraphs": ["The financial interchange is intended to place Social Security\u2019s OASI and DI Trust Funds and HHS\u2019s Hospital Insurance Trust Fund on the same financial footing as if rail workers and beneficiaries were covered under Social Security instead of by RRB. Regarding Social Security, RRB is credited for what it paid beneficiaries, administrative costs involved with paying benefits, and interest for the time between the determination of the interchange amount and its actual transfer. SSA is credited for the amount of payroll and income taxes it would have collected from rail workers and for income taxes that would have been paid by RRB beneficiaries on Social Security equivalent benefits. The net of the five amounts is the amount that is transferred (see fig. 1). A net transfer from SSA to RRB means that rail workers would have been a net draw on SSA\u2019s trust funds if covered under Social Security. RRB calculates the financial interchange amount each year, which is done on a retrospective basis, i.e., the amount is determined for the previous fiscal year. By law, the agencies must complete their determination by June of each year.", "In keeping with the purpose of keeping the OASI and DI trust funds in the same place as if rail workers were covered under Social Security, RRB determines the retirement and disability benefits that rail workers and dependents would have received if they were covered under Social Security. Specifically, RRB uses railroad earnings data provided by employers to replicate SSA\u2019s benefits calculations. Although the basic retirement and disability benefits that SSA and RRB pay to their beneficiaries are based on the same formulas, there are several eligibility differences between the two programs. For instance, a rail worker may receive unreduced retirement benefits at age 60 after 30 years of work, whereas the earliest most workers covered under Social Security can begin receiving retirement benefits is at age 62. According to RRB officials, even though a 60-year-old railroad worker may be receiving RRB retirement benefits, RRB would not receive credit through the interchange for that individual. Once that individual turns 62, RRB determines the amount of reduced Social Security retirement benefits for which he or she would have been eligible, given the person\u2019s earnings history and Social Security\u2019s benefits rules. According to RRB officials, the agency receives a credit through the interchange for this amount even though the individual is receiving full RRB retirement benefits.", "To account for these potential differences, RRB officials said that the agency must make calculations for individual RRB cases. Additionally, RRB officials said that in light of the number of RRB cases\u2014nearly 400,000\u2014it is not practical to make these calculations annually for each case. Instead, RRB uses SSA rules to calculate benefits for a subset of RRB cases in which the worker\u2019s Social Security number ends in 30, which approximates a 1-percent sample. The sample size was about 4,000 for fiscal year 2016. Once RRB completes its benefit calculation for each of those cases, it aggregates the result and produces an estimated amount for its entire population of cases (see fig. 2).", "RRB reported in its annual financial interchange determination report that it was credited $7.2 billion dollars in fiscal year 2016 for the estimated amount beneficiaries would have been paid under Social Security."], "subsections": [{"section_title": "Administrative Expenses", "paragraphs": ["These expenses represent those that SSA would have incurred to administer benefits had rail workers been covered under Social Security (as opposed to the actual amount RRB spent to administer its programs). These expenses, which SSA would have funded out of its trust funds, include the cost to enroll individuals in its programs and maintain its benefit rolls. RRB calculates the amount of administrative expenses based on unit-cost data provided by SSA. RRB reported that it was credited about $22 million in administrative costs for fiscal year 2016."], "subsections": []}, {"section_title": "Interest Charges", "paragraphs": ["SSA credits RRB for interest that accrues on the annual financial interchange transfer from the period in time for which it is calculated (the end of the fiscal year on September 30) until the amount is transferred to RRB in June of each year. The interest rates are equal to those SSA earns on its trust funds. RRB reported that it was credited about $163 million in interest for fiscal year 2016."], "subsections": []}, {"section_title": "Payroll Taxes", "paragraphs": ["This amount represents the payroll taxes rail employees and employers would have paid into Social Security\u2019s trust funds had workers been covered under Social Security. SSA and RRB generally levy payroll taxes on earnings at the same rate, and RRB officials told us they use payroll data from employers to determine this amount. RRB reported that it credited SSA $2.4 billion for fiscal year 2016."], "subsections": []}, {"section_title": "Income Taxes", "paragraphs": ["Some RRB beneficiaries pay income taxes on the benefits they receive, and that tax revenue is credited to SSA\u2019s trust funds through the financial interchange. To put the OASI and DI trust funds in the same place as if rail workers were covered under Social Security, RRB credits SSA for the amount of income tax railroad beneficiaries paid on Social Security equivalent benefits. RRB computes this amount using tax data from the Department of the Treasury, and credited about $296 million to SSA for fiscal year 2016.", "RRB also may adjust calculations on transfers from prior years; for instance, if new income was reported for individuals or if benefit overpayments are discovered for individuals in the sample."], "subsections": []}, {"section_title": "Medicare Transfers", "paragraphs": ["The process for determining the financial interchange transfer with HHS\u2014 which helps finance Medicare benefits for rail workers\u2014has fewer components than for retirement and disability benefits. Generally, RRB determines the Medicare payroll taxes and income taxes paid by rail workers and transfers this amount, less administrative expenses, to HHS (see fig. 3). RRB estimates how much it collects in Medicare payroll taxes by using payroll data provided by employers for workers whose Social Security numbers end in 30. RRB credited HHS for about $637 million for fiscal year 2016.", "Overall, the procedures we observed, and which RRB explained and demonstrated, for calculating the financial interchange are consistent with the methodology agreed to by RRB, SSA, and HHS. An annual determination report produced by the three agencies documents this methodology. Additionally, several audits conducted for the RRB Office of Inspector General determined that the methodology is appropriate for achieving the purpose of the financial interchange. Specifically, the audits concluded that the sample used in calculating benefits was representative of RRB\u2019s population of beneficiaries, the formulas used to project the results of the sample on the entire population of beneficiaries were consistent with RRB\u2019s design, and that assumptions made by RRB when carrying out calculations were reasonable."], "subsections": []}]}, {"section_title": "High Ratio of Beneficiaries to Rail Workers Has Resulted in Transfers From SSA to RRB Each Year Since 1958", "paragraphs": ["SSA has made a net transfer to RRB through the financial interchange each year since 1958. The cumulative net transfer from the Social Security trust funds to RRB through 2015 was approximately $266 billion in 2016 dollars. Of this amount, transfers related to retirement and survivor benefits comprised about $256 billion and disability benefits accounted for about $10 billion. This trend in transfers is primarily caused by RRB benefit payments exceeding payroll taxes collected as calculated by the interchange, which has been the case each year of the financial interchange, resulting in a net amount owed to RRB from SSA each year (see fig. 4).", "Based on the data RRB reported, the continuing flow of funds to RRB from SSA has largely been driven by a steadily shrinking number of active workers in the rail industry paying payroll taxes in support of a larger population of beneficiaries. According to RRB data, the number of workers in the rail industry peaked at the end of World War II, when there were almost 1.7 million workers. Since then, this number declined steadily to about 231,000 in 2016. Additionally, the number of beneficiaries has exceeded the number of active workers since 1961. According to RRB data, there was about 1 beneficiary for every 10 workers in 1938; the ratio had increased to 3 beneficiaries for every 10 rail workers in 1951, when the financial interchange was created. By 2016, there were 28 beneficiaries for every 10 workers. Furthermore, RRB officials noted that another factor causing increased fund transfers from SSA to RRB was a series of successive amendments to the Social Security Act which raised benefits immediately while deferring tax increases to pay for the increased benefits. As a result of these two factors, the payroll taxes paid by rail workers have not been sufficient to pay for all of the benefits paid by RRB. Hence, the financial interchange has consistently transferred money from SSA to RRB (see fig 5).", "According to SSA actuarial estimates, the flow of funds to RRB from SSA is projected to continue. Social Security\u2019s 2017 trustees report projects that the amount of transfers to RRB will continue to grow though at least 2026. Moreover, RRB\u2019s most recent actuarial valuation report estimates that under three employment assumptions\u2014optimistic, moderate, and pessimistic\u2014the number of beneficiaries will continue to exceed the number of rail workers through at least 2088.", "RRB has collected payroll taxes for HHS since 1966. From 1966 through 2016, RRB reported that it transferred a total of $30 billion in 2016 dollars through the financial interchange to the Hospital Insurance Trust Fund (see fig. 6)."], "subsections": []}, {"section_title": "RRB Takes Measures to Oversee the Financial Interchange Calculation, but Shortcomings Increase the Risk of Errors", "paragraphs": [], "subsections": [{"section_title": "RRB Takes Oversight Steps, but Manual Data Entry and Systems Limitations May Prevent RRB from Detecting Mistakes", "paragraphs": ["RRB takes a number of steps to ensure that the financial interchange amount is accurately calculated each year. For example:", "Sample verification: To make sure that the financial interchange sample is up to date, RRB staff told us that they query their beneficiary database at the beginning and end of the annual financial interchange calculation to ensure that all beneficiaries who should be part of its sample\u2014those with a Social Security number ending in 30\u2014are included. Those included in the sample can change from year to year, for instance, when new beneficiaries join the retirement rolls or when beneficiaries die.", "Supervisory review: RRB officials told us that the work of a new employee who calculates the financial interchange is reviewed by another employee until the new employee is determined to be proficient.", "Error checks: Electronic error checks built into the system RRB uses to calculate the financial interchange help prevent mistakes by flagging erroneous values. These checks alert employees in real time that an incorrect value may have been entered (for example, a benefit amount that exceeds what beneficiaries can receive). Officials also told us that they run similar checks in batches throughout the year to sweep for any potential errors that were not addressed by employees. They noted that they will work with staff to address all potential errors before the financial interchange calculation is finalized. However, RRB\u2019s error checks do not cover all potential erroneous values.", "High-level review: RRB officials told us that the Chief of Benefit and Employment Analysis and his staff review the results of the interchange calculations and determine if the end result is reasonable compared to projections made earlier in the year, based on actual payroll and beneficiary data.", "Despite these steps, limitations in RRB\u2019s error checks and its reliance on manual data entry are potential sources of mistakes in financial interchange calculations. The process RRB staff follow in computing benefit amounts for the financial interchange involves manual data entry of earnings data and SSA-equivalent benefits. RRB\u2019s error checks will help identify values that are impossible\u2014such as a benefit amount that exceeds the maximum a beneficiary can receive\u2014but not values that are incorrect but still within the range of possibility. RRB staff demonstrated this scenario for us and acknowledged this as a limitation in their internal controls.", "Any data entry errors have the potential to result in larger errors in the financial interchange determination. The benefits portion of the financial interchange determination is based on a sample of all cases. Should any errors occur in the sample, they will be magnified when RRB inflates the estimate to arrive at an amount for the entire population of beneficiaries. Additionally, RRB\u2019s process could result in incorrect transfers for years. The sample is chosen in the same way each year\u2014individuals with Social Security numbers ending in 30\u2014so the same cases will remain part of the sample until the individuals leave the rolls. RRB officials told us that they generally only have to do a full set of calculations for new cases or cases in which additional income is detected that affects benefit amounts. RRB officials estimated that about 20 percent of cases in the financial interchange sample each year require a full calculation. For the remainder of cases in the interchange sample, officials said that no annual recomputation is needed. Instead, the previous year\u2019s results are adjusted according to any cost of living increase. If a data entry error is made in one of these cases, RRB may not discover it until the individual leaves the rolls or dies, at which point RRB staff told us they recalculate the individual\u2019s benefit amount.", "Data sharing between RRB and SSA could reduce the potential for data entry errors, but the two agencies have not recently pursued this option. RRB officials told us that prior to 2008 they used computer code to automatically save data from SSA databases into spreadsheets, where the data could be used for calculating the financial interchange. However, SSA instructed RRB to stop using this method in 2008 because of security concerns about saving this information outside of SSA systems. RRB officials added that this constraint prevents them from developing a more efficient method of data collection that would improve the accuracy and timeliness of benefit calculations for the financial interchange. However, RRB officials said that they have not formally approached SSA in the last several years to discuss potential alternatives for gaining greater access to data. SSA officials said that RRB should follow SSA\u2019s procedures for requesting a data exchange if RRB wishes to revisit this topic. Federal internal control standards state that agencies should use quality information to achieve their objectives. By taking additional steps to obtain data from SSA electronically, RRB can better position itself to ensure that data entered into its systems are correct and that its calculations are free of errors."], "subsections": []}, {"section_title": "Limited Documentation and Formal Policies Increase the Risk for Errors in Key Aspects of the Financial Interchange Process", "paragraphs": ["RRB has limited documentation and does not have formal policies to guide several key aspects of the financial interchange calculation. While we did not identify any actual errors in its calculations, these shortcomings in its controls increase the risk of calculations being carried out inconsistently or incorrectly."], "subsections": [{"section_title": "Limited Documentation of the Financial Interchange Process", "paragraphs": ["The broad steps that RRB takes to determine the amounts of the financial interchange are documented in an annual determination report produced by RRB. They include, for example, the factors used to calculate administrative costs, discussion of adjustments made to calculations from prior years, and descriptions of the formulas used to project the results of RRB\u2019s benefit sample to the population of railroad beneficiaries. However, the agency does not have clear documentation of the detailed steps used by staff to calculate the interchange amounts. A 2010 audit of the financial interchange process conducted for the RRB Office of Inspector General found that documentation of the financial interchange process was insufficient for a knowledgeable third party to replicate without verbal explanation from RRB staff. In response, RRB officials told us that they produced some documentation such as charts showing the workflows for different portions of the process, such as for calculating benefits, payroll taxes, and financial projection\u2014and instructions for staff in RRB\u2019s Bureau of the Actuary for high-level review of the formulas and entries for the final calculation results.", "However, the documentation did not provide enough detail about the steps staff must take when conducting financial interchange calculations so the process can be followed without additional explanation. For instance, the documentation did not discuss the process by which staff obtain earnings data and enter it into SSA\u2019s benefit calculator, manually enter the results into RRB\u2019s system, or the different alerts that notify staff of potential mistakes and how staff deal with them. Federal internal control standards state that effective documentation provides a means to retain organizational knowledge and mitigate the risk of having knowledge limited to a few personnel, as well as a means to communicate that knowledge as needed to external parities, such as auditors. Written documentation with specific steps for carrying out the financial interchange calculation and using its data system would help RRB ensure that its staff and others could carry out and replicate its process consistently."], "subsections": []}, {"section_title": "Limited Documentation of RRB\u2019s Computer System", "paragraphs": ["RRB does not have current or complete documentation related to the computer system it uses to compute the financial interchange. Specifically, RRB officials said that they do not have current documentation such as a manual or data dictionary that would provide information on the data elements in the system, their definitions, descriptions, and range of potential values. They said a data dictionary is not necessary because data are contained in a format in which rows and columns are labeled according to fields and years. However, such labeling does not include documentation, for example, about whether values entered in those fields are allowable. Federal internal control standards state that effective documentation is needed to retain knowledge and prevent knowledge from being limited to a few staff. Even if the data system is relatively uncomplicated, without such documentation, it is difficult for RRB staff and others to fully understand all elements in the system, and it could complicate efforts to make any changes in the future or bring new staff up to speed on the system."], "subsections": []}, {"section_title": "No Written Documentation on Procedures for Overriding Potential Errors", "paragraphs": ["RRB does not have written procedures for how to address instances in which staff do not correct potential errors flagged by its computer system. As noted earlier, RRB\u2019s system for calculating the financial interchange will alert staff to potential data entry errors. RRB officials said this system has the ability to allow staff to override the alert in some cases, generally in complex cases, such as when RRB benefits are offset by other public pensions. In these cases, the system does not distinguish between an actual error and instances in which additional work and review are needed because of complex benefit calculations. Staff can override the alert in these cases where there is no actual error, but officials noted that a report of potential errors that is generated by the system would still include these cases, which may be referred back to staff for clarification or correction. If implemented correctly, these procedures could help staff take appropriate action on these complex cases. However, current procedures are not formally documented and officials said they have not considered producing written procedures because they believe the process for addressing alerts is clear. Federal internal control standards indicate that effective documentation assists in management\u2019s design of internal controls and can mitigate the risk that knowledge is limited to a few staff. RRB\u2019s lack of written procedures can make it difficult for staff or reviewers to know if procedures are carried out consistently\u2014such as whether staff appropriately override an error alert\u2014and can create challenges if there is staff turnover. It is important to ensure that all potential errors are addressed correctly given that mistakes in the financial interchange sample can be multiplied when estimating benefit payments for the universe of RRB beneficiaries."], "subsections": []}, {"section_title": "No Formal Policy on Supervisory Review", "paragraphs": ["According to RRB officials, new employees will have their calculations reviewed until the employees are deemed to be proficient, and calculations by any staff member are subject to review and periodically reviewed for accuracy. Federal internal control standards call for documenting agency procedures. However, RRB does not have a minimum or maximum time established for which it will review the work of new staff, and does not have an overall policy for reviewing staff members\u2019 work after they have been deemed proficient. Officials told us they had not considered setting a policy regarding supervisory review. They added that individualized, on-the-job training is more appropriate for new staff than a formalized process. In the case of current employees, any potential errors would be identified when the case is terminated, at which time all cases are reviewed and recomputed. Additionally, officials said that a formal policy would not increase the number of cases reviewed and potentially constrain their ability to correct new errors as they occur. Nonetheless, without formal policies on supervisory review, RRB cannot reasonably ensure that the work performed by staff is adequately or consistently reviewed for quality."], "subsections": []}]}, {"section_title": "SSA and HHS Do Not Review the Results of Case-Level Calculations", "paragraphs": ["SSA and HHS provide some oversight of the financial interchange process, but do not review case-level calculations. Both agencies approve the results of the financial interchange calculations, but officials from SSA and HHS told us that their oversight is limited to high-level reviews of RRB\u2019s calculations to determine whether results significantly vary from previous years. For instance, staff from SSA\u2019s Office of the Chief Actuary told us that they examine RRB\u2019s payments and revenues against SSA\u2019s benefits paid and payroll taxes collected to determine if there are large or inexplicable changes from year to year, in which case they will ask RRB for additional information to understand the changes. Additionally, RRB officials told us that formulas used in their spreadsheets to calculate the results of the interchange have been reviewed by SSA actuaries.", "While these actions could help identify larger errors, the agencies will not be able to detect whether errors are made on complex, case-level calculations or if SSA rules are being correctly followed. In response to prior errors in financial interchange calculations, RRB officials told us that SSA reviewed case-level calculations from the 1990s until 2002. SSA officials told us that they have not reviewed cases since then because of resource constraints. A 2009 SSA Office of the Inspector General report recommended that the agency consider increasing its oversight of the process, such as setting a schedule for review of individual cases given the importance of reviews in verifying transfers. However, SSA has not taken action on this recommendation. HHS officials told us that the financial interchange is one of a number of relatively small funding streams and the agency has never had cause to suspect mistakes and has never examined case-level calculations. Federal internal control standards state that agencies should establish and operate monitoring activities to evaluate the results of activities. Without monitoring how calculations are made, SSA cannot reasonably ensure that the transfers it makes or receives with RRB are accurate. In commenting on a draft of this report, HHS raised questions about whether it has the authority to review case-level calculations, but noted in follow-up communication that this issue is currently undergoing legal review at HHS. As a result, HHS officials told us that they would not be able to provide additional clarification at this time. We continue to believe that HHS would be better positioned to ensure that transfers it makes and receives are calculated correctly if it reviews case-level calculations."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The financial interchange provides RRB with a significant portion of its funding, and trends in the number of beneficiaries and workers suggest this will continue to be the case in the future. RRB developed a process to calculate the financial interchange amount, and the accuracy of the calculations depends in large part on correct data being manually entered into RRB\u2019s computer system. However, RRB\u2019s current controls do not address some potential sources of error. Having the ability to electronically obtain data from SSA could help reduce the risk posed by data entry errors.", "Further, RRB has limited written documentation for carrying out aspects of the financial interchange calculation, such as how its computer system is structured, how to address instances when staff override error alerts, and how staff work is reviewed. Without such documentation, RRB puts itself at risk of staff carrying out actions inconsistently, losing operational knowledge when staff leave or retire, and complicating oversight of its operations.", "Lastly, SSA and HHS increase the risk of errors by not performing case- level reviews of financial interchange calculations. This is especially true for the SSA portion of the interchange, which involves complex calculations performed according to SSA rules. In its role as the administrator of the OASI and DI programs, SSA is best positioned to determine if its rules are properly being applied to financial interchange calculations. The large sums SSA transfers through the interchange\u2014 over $4 billion annually\u2014warrant additional oversight to ensure that transfer amounts are correct."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of eight recommendations, including five to RRB (The Board), two to the Commissioner of SSA, and one to the Secretary of HHS.", "The Board should work with SSA to explore options for obtaining data electronically and limiting the reliance of the financial interchange process on manual data entry. (Recommendation 1)", "The Board should produce written documentation on the financial interchange process such that a knowledgeable third party could carry out and replicate its process consistently without further explanation. (Recommendation 2)", "The Board should produce written documentation of its computer system and its structure, such as a manual for the computer system, and data dictionary to provide information on the data elements in the system, their definitions, descriptions, and range of potential values. (Recommendation 3)", "The Board should produce written documentation of its procedures for instances when staff override error alerts generated by its computer system. (Recommendation 4)", "The Board should produce formal policies on how the work of staff performing the financial interchange is reviewed. (Recommendation 5)", "The Commissioner of SSA should work with RRB to explore options for electronically sharing data and limiting the reliance of the financial interchange process on manual data entry. (Recommendation 6)", "The Commissioner of SSA should take additional steps to provide oversight of financial interchange calculations at the individual-case level. This could include periodically reviewing a subset of these cases. (Recommendation 7)", "The Secretary of HHS should, consistent with its existing statutory authority, take additional steps to provide oversight of financial interchange calculations at the individual-case level. If the Secretary concludes that there are limitations in its authority in this area, the Secretary should seek to obtain the necessary additional authority. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to RRB, SSA, and HHS for review and comment. In written comments, both RRB and SSA agreed with the recommendations. RRB noted that it will devote the resources needed to improve the written documentation of its procedures and computer system. RRB and SSA also provided technical comments which we incorporated as appropriate. Copies of their written comments are reproduced in appendixes I and II.", "In written comments, which are reproduced in appendix III, HHS disagreed with the recommendation that it take additional steps to provide oversight of financial interchange calculations at the individual-case level. HHS noted that while in theory it may be a good idea to incorporate such review into the process, it is limited by statute in its ability to oversee how RRB calculates transfers between HHS and RRB. HHS went on to describe a section of the Social Security Act that they noted \u201cpertains more to Supplemental Medical Insurance trust fund draws for administrative costs.\u201d Notably, with respect to HHS, our report does not involve that trust fund, but rather addresses the Hospital Insurance Trust Fund. Although HHS\u2019s comments did not clarify why it believes that this section of law would limit its authority with respect to the Hospital Insurance Trust Fund, it nevertheless asserted that it does apply in this scenario. We reached out to HHS to seek clarification of its comments. For example, we inquired about the applicability of a separate provision of law that would appear to establish a role for HHS to work with RRB to determine financial interchange amounts. Ultimately, HHS did not provide the clarification we sought, instead indicating via email that this recommendation is currently undergoing legal review and that HHS is unable to provide a response to our questions at this time. HHS further stated that it will continue to work on this issue to provide GAO with updates in the future. In light of the uncertainty surrounding HHS\u2019s authority in this area and the fact that HHS declined to respond to our requests for clarification of its legal authority, we have modified our recommendation to reflect the fact that HHS may need to seek additional statutory authority to implement our recommendation, should HHS determine it to be necessary.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Railroad Retirement Board, the Commissioner of the Social Security Administration, and the Secretary of the Department of Health and Human Services. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions, please contact me at (202) 512- 7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in Appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Railroad Retirement Board", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mark Glickman (Assistant Director), Daniel R. Concepcion (Analyst-in-Charge), and Randy DeLeon made key contributions to this report. Additional contributors include David Ballard, Carl Barden, William Boutboul, James Cosgrove, Alexander Galuten, Jennifer Gregory, Sheila McCoy, Jean McSween, Mimi Nguyen, Joseph Silvestri, Almeta Spencer, and Kate van Gelder."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-424", "url": "https://www.gao.gov/products/GAO-18-424", "title": "Military Personnel: DOD Needs to Improve Funding Process for Morale, Welfare, and Recreation Programs", "published_date": "2018-08-08T00:00:00", "released_date": "2018-08-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD's MWR programs provide servicemembers and their families with three categories of programs: Category A (e.g., fitness and libraries), Category B (e.g., camping and performing arts), and Category C (e.g., golf). DOD oversees the percentage of appropriated funding allocated to MWR programs by category and measures the military services' compliance with established funding targets. DOD set the targets at 85 percent for Category A and 65 percent for Category B. DOD did not set a target for Category C since this category has the ability to generate revenue from user fees.", "House Report 115-200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 includes a provision for GAO to review DOD' s MWR programs. GAO assessed the extent to which (1) the services have met DOD's established funding targets for each category of MWR programs and DOD has comprehensively evaluated the relevance of its targets, and (2) DOD has oversight structures and performance measures that include measurable goals, including those for cost-effectiveness, by which to review MWR programs. GAO analyzed MWR program information for fiscal years 2012-2017 and compared DOD's MWR policy with guidance for using measures and evaluating goals."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) established funding targets for two categories of Morale, Welfare, and Recreation (MWR) programs\u2014Category A, which promotes the physical and mental well-being of servicemembers, and Category B, which funds community support systems for servicemembers and their families. These targets are intended to ensure that the military services adequately fund these programs with appropriated funds instead of requiring servicemembers and their families to pay fees out of pocket to cover program costs. However, GAO found the following:", "In fiscal years 2012-2017, the military services generally met the DOD-set target to provide 85 percent of appropriated funding for Category A programs but not the 65-percent target for Category B programs. Service officials said they are taking steps to meet the Category B target, such as by restoring targeted levels of appropriated funding support in future budget planning. Data GAO reviewed indicate that these steps are helping the services get closer to meeting the target for Category B.", "DOD has not comprehensively evaluated the targets, established more than 20 years ago, to ensure that they are appropriate. DOD officials said they agree that it is time to evaluate the relevancy of the targets as the current operating environment is fundamentally different than when the targets were established 2 decades ago. Further, DOD officials said that they are unsure of the process or methodology used to originally develop the targets because they have no documentation supporting these decisions. Until DOD comprehensively evaluates the appropriateness of the targets and, based on its evaluation, documents any changes made, it cannot be certain that the targets reflect the current operating environment and do not pose undue financial burden on servicemembers.", "DOD established oversight structures and performance measures for MWR programs, but has not established measurable goals to assess the cost-effectiveness of the 55 activities that make up MWR programs. DOD's MWR policy identifies six broad performance measure categories for the program. DOD officials responsible for developing MWR program goals acknowledged that DOD's MWR policy does not include measurable goals for assessing the cost-effectiveness of program activities, and do not currently have plans to make any changes to the goals. Service officials told GAO that they collect and use various types of information within the categories to assess specific activities. While both the categories established by DOD and the service-specific efforts provide useful context about the status of individual MWR activities, they do not replace the need for measurable goals that can be used to assess whether the programs are operating cost-effectively. The services are in the early stages of developing more specific performance measures, but it is too early to determine whether these efforts will result in measurable goals that can be used to assess cost-effectiveness. Until DOD develops performance measures that include measurable goals, it cannot ensure that MWR programs meet servicemember needs in a cost-effective manner."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD evaluate the funding targets and document any changes needed and develop measurable goals for MWR programs' performance measures. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense\u2019s (DOD) Morale, Welfare, and Recreation (MWR) programs are a multibillion dollar effort to provide servicemembers and their families with a wide range of benefits designed to support military missions and readiness, both in times of war and peace. In fiscal year 2017, DOD spent approximately $3.9 billion on MWR programs administered by the Army, the Navy, the Marine Corps, and the Air Force. DOD\u2019s three categories of MWR programs are mission- sustaining programs promoting the physical and mental well-being of servicemembers (Category A), community support system programs for servicemembers and their families (Category B), and recreational activities for servicemembers and their families that are revenue- generating (Category C). The Office of the Under Secretary of Defense for Personnel and Readiness (USD(P&R)) oversees the percentage of appropriated funding provided to MWR programs by category and measures the services\u2019 compliance with established funding \u201ctargets.\u201d These targets set the minimum level of appropriated funding by category as a percentage of total expenses compared with funding received from nonappropriated funding sources, such as fees collected from revenue- generating activities.", "House Report 115-200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 includes a provision for us to review DOD\u2019s MWR programs. Specifically, the committee expressed concern that the services have not complied with established DOD policy to ensure appropriate financial support of family, welfare, and recreational programs for the past several years, particularly for programs within Category B, which relies on both appropriated and nonappropriated funding. For this report, we assessed the extent to which (1) the services have met DOD\u2019s established funding targets for each category of MWR programs and DOD has comprehensively evaluated the relevance of its targets, and (2) DOD has oversight structures and performance measures that include measurable goals, including those for cost-effectiveness, by which to review MWR programs.", "For our first objective, we assessed the extent to which the Army, the Navy, the Marine Corps, and the Air Force met DOD\u2019s established funding targets in fiscal year 2012 through fiscal year 2017. We met with officials from USD(P&R) and the services to discuss MWR program policies and procedures and any challenges they have meeting funding targets as well as any actions they plan to take to meet the targets. We also reviewed memorandums the services developed showing their plans to meet the funding targets when they missed them. Based on responses to data reliability questionnaires from USD(P&R) and the services, we determined that the data we obtained on DOD\u2019s MWR programs are sufficiently reliable for the purpose of reporting program information\u2014 including costs from fiscal years 2012 through 2017, which are the most current data available.", "For our second objective, we reviewed DOD Instruction 1015.10, Military Morale, Welfare, and Recreation (MWR) Programs, which specifies DOD\u2019s oversight roles and responsibilities for the MWR programs, the goals for those programs, and the information the services should collect on the programs. We compared this instruction with the Standards for Internal Control in the Federal Government that states, among other things, that managers should establish activities to monitor performance measures. We also compared DOD\u2019s instruction with DOD\u2019s Financial Management Regulation and with guidance we have identified in our prior work on performance measurement. This work provides guidance for using performance measures and evaluating whether goals were met and for assessing cost-effectiveness. We met with officials from USD(P&R) and the services to discuss oversight of the program and processes they have in place for meeting program goals and measuring cost-effectiveness.", "We conducted this performance audit from August 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD\u2019s MWR Program Categories and Funding Sources", "paragraphs": ["DOD Instruction 1015.10, Military Morale, Welfare, and Recreation (MWR) Programs, establishes policy, assigns responsibilities, and prescribes procedures for operating and managing programs for military MWR programs. Specifically, the policy states that the services are to establish MWR programs in order to maintain individual, family, and mission readiness and that these programs are an integral part of the military and its benefits package. The Office of USD(P&R) oversees DOD\u2019s MWR programs, develops policy, and oversees MWR programs\u2019 funding. DOD\u2019s instruction specifies the purpose of, the funding sources for, and the activities within each of MWR\u2019s three designated program categories\u2014all of which are summarized below in table 1. For a complete listing of the activities by program category, see appendix I.", "Each service supports MWR programs with a mix of appropriated and nonappropriated funding. According to officials, the services allocate appropriated funding amounts for MWR purposes, which primarily supports Category A and B programs. Nonappropriated funding is government money from sources other than amounts appropriated by Congress and may be generated in a number of ways to support MWR programs. For example, bowling programs, marinas, and golf programs generate nonappropriated funding revenue through participation fees for recreational activities paid by servicemembers and their families. Services must use any nonappropriated funding generated from or associated with MWR programs within their MWR programs."], "subsections": []}, {"section_title": "DOD\u2019s MWR Program Funding Targets", "paragraphs": ["According to DOD Instruction 1015.10, the MWR programs are divided into three distinct categories, two of which also have specific funding targets. According to DOD\u2019s 2016 report to Congress on appropriated funding support for MWR programs, the funding targets are intended to ensure that the services adequately fund MWR programs instead of requiring the servicemembers and their families to pay out of their own pockets for costs that should be borne by appropriated funding. While DOD Instruction 1015.10 establishes minimum funding targets for MWR Category A and B programs, it directs that the basic funding target, regardless of program category, is to use appropriated funding for 100 percent of costs for which they were authorized. While DOD\u2019s Instruction allows the services to use appropriated funding for 100 percent of authorized costs, according to service officials this is generally not possible given budget constraints. Therefore, for MWR Category A mission sustaining programs, the DOD instruction establishes the funding target\u2014stating that DOD is to use appropriated funding amounts for a minimum of 85 percent of total expenditures. For the MWR Category B community support system programs, the DOD instruction establishes the funding target as DOD\u2019s use of appropriated funding amounts for a minimum of 65 percent of total expenditures. For the MWR Category C recreational activities for servicemembers and their families, appropriated funding support should generally be limited because this category has the highest capability of generating nonappropriated funding revenues."], "subsections": []}, {"section_title": "Budget, Funding, and Accounting Processes for MWR Programs", "paragraphs": [], "subsections": [{"section_title": "Budget Processes", "paragraphs": ["The services have annual budget processes for MWR programs that vary based on whether appropriated or nonappropriated funding is being used. For MWR programs supported by appropriated funding, according to officials, the services submit and validate program requirements through DOD\u2019s Planning, Program, Budgeting, and Execution process. DOD and service guidelines for certain MWR programs as well as annual service- issued budget guidance provide input for determining MWR programs\u2019 requirements. Service officials from the Army, the Marine Corps, and the Air Force also stated that they determine program requirements using input from installations and service components, while service officials from the Navy stated that they use a budget model along with performance measures and budget guidance to determine program requirements. The requirements are then submitted to higher level components within the services for review, adjustment, and approval. Once the services validate the requirements, they are provided to the Office of the Secretary of Defense for inclusion in the President\u2019s Budget. Figure 1 provides an overview of the general process the services use to budget for appropriated funding support of MWR activities.", "Budget processes and authorities for nonappropriated funding, or program-generated revenue, vary by service. Specifically, the services maintain nonappropriated funding budgets and budget approvals at different levels within the service organization. For example, officials stated that Marine Corps and Air Force installations maintain and manage nonappropriated funding generated at their locations while Army and Navy installations submit nonappropriated funding and budgets to a higher level of command, Installation Directorates for the Army and Regions for the Navy, as well as the service headquarters component. The services plan for and manage their nonappropriated funding budgets based on a number of factors, including revenue generated; projected revenues; and the amount, if any, of appropriated funding available. Figure 2 provides an overview of the general process the services use to approve and manage nonappropriated funding generated within the service.", "Each service uses processes to provide funds for the implementation of its MWR programs. Service officials stated that during program execution the services execute their programs and make adjustments to their budgets based on funding authorized from appropriated funding and nonappropriated funding sources. Commanders have authority over budget implementation and the guidelines and parameters for commanders vary by service. For example, according to Army officials, during the fiscal year Army commanders can change MWR program budgets and have some flexibility to move funding to other non-MWR command priorities. Installations report to the services actual expenditures and income generated, which are included in the services\u2019 annual reports. Figure 3 provides an overview of the general process the services use to provide funding for MWR programs.", "Each service uses accounting processes for its MWR programs. According to service officials, accounting is handled differently at each service depending on the service\u2019s organizational structure. According to service officials, the Navy and the Marine Corps centrally manage their MWR accounting processes at their service headquarters; the Army manages its accounting process at its headquarters and at the Defense Financial and Accounting Services Nonappropriated Financial Services; and the Air Force manages its accounting process at its Secretariat and at the service components. According to service officials, program managers at the service headquarters and activity level are able to review financial data, such as expenditures and revenues, for MWR programs on a recurring basis. DOD\u2019s Instruction 1015.10 states that the services should identify appropriated and nonappropriated funding accounts in annual budgets, and the services have designated codes to categorize expenditures. Service officials stated they use the codes to report annually to USD(P&R) on MWR programs\u2019 expenditures for both appropriated and nonappropriated funding."], "subsections": []}]}]}, {"section_title": "The Services Did Not Consistently Meet One of the Two Appropriated Funding Targets and Are Taking Steps to Address This, but DOD Has Not Comprehensively Evaluated the Targets to Ensure They Are Appropriate", "paragraphs": ["The services generally met the funding target for fiscal years 2012 through 2017 for MWR Category A mission-sustaining programs, but did not consistently meet the target for Category B programs that provide community support systems to servicemembers and their families during the same time period. Service officials said they are taking steps to meet the Category B target, such as restoring targeted levels of appropriated funding support in future budget planning. Data indicate that the services are getting closer to meeting the target. However, DOD has not comprehensively evaluated the funding targets, which were established more than 20 years ago, to ensure they currently are appropriate."], "subsections": [{"section_title": "The Services Generally Met the Funding Target for MWR Category A Mission- Sustaining Programs", "paragraphs": ["For MWR Category A mission-sustaining programs, the services generally met the 85-percent target for appropriated funding support. Specifically, the Navy and the Air Force consistently met or exceeded the 85-percent funding target in fiscal years 2012 through 2017, and the Army met or exceeded the target every year except for fiscal year 2012 when it reported that 84 percent of its Category A programs were supported with appropriated funds. The Marine Corps exceeded the minimum funding target for Category A programs in fiscal years 2012 through 2017, but consistently fell below the target with appropriated funding support ranging from 77 percent to 84 percent from fiscal years 2013 through 2016. Table 2 provides additional detail on the extent to which each service met the 85-percent funding target for MWR Category A mission- sustaining programs in fiscal years 2012 through 2017."], "subsections": []}, {"section_title": "The Services Did Not Consistently Meet the Funding Target for MWR Category B Community Support Programs, but Are Taking Steps to Meet the Target in the Future", "paragraphs": ["For MWR Category B community support programs, the services missed the 65-percent target for appropriated funding support with increasing frequency from fiscal years 2012 through 2017. Service officials stated that constrained budgets and competing priorities have made it difficult to allocate the appropriated funding needed to support their programs. However, service officials said they are taking steps to meet the Category B funding target in the future. Specifically, we found that the services collectively missed the funding target over 60 percent of the time from fiscal years 2012 through 2017. All four services missed the funding target in fiscal years 2015 and 2016 with appropriated fund support ranging from 55 to 63 percent. Most recently, in fiscal year 2017 the Army met the 65-percent funding target, but the Navy, the Marine Corps, and the Air Force fell below the 65-percent funding target with appropriated funding support ranging from 60 percent to 62 percent. Although the Air Force did not meet the 65-percent target for fiscal years 2012\u20132017 citing resource issues, Air Force leadership has increased appropriated funding for the MWR programs each year to help get closer to meeting the Category B funding target. Air Force officials said they plan to continue to increase funding each year so they can meet the target in the future. Table 3 provides additional detail on the extent to which each service met the 65-percent funding target for MWR Category B community support programs in fiscal years 2012 through 2017.", "The USD(P&R) monitors the services\u2019 compliance in meeting the targets. When a funding target is missed, USD(P&R) officials said a memorandum is sent to the services that asks for a detailed plan on how they will achieve the required level of appropriated funding support for the missed target in the future, and these officials said that each service has provided such a plan when they fell below the 65-percent funding target. In instances when a service does not respond to the initial request for a remediation plan, USD(P&R) officials said a second memorandum is sent notifying the service that they missed the funding target and that they need to submit a plan detailing how they intend to come into compliance. For example, in fiscal year 2015 the Army did not meet the 65-percent funding target for Category B programs. In June 2016, the Assistant Secretary of Defense for Manpower and Reserve Affairs sent the Army a memorandum asking it to submit a plan on how it would meet the target. After not receiving a response, the Assistant Secretary of Defense for Manpower and Reserve Affairs sent the Army a second memorandum in September 2016 that noted the missed target and reiterated the need to submit a plan for achieving compliance with designated funding targets. Following the second memorandum, the Army issued a memorandum in December 2016 stating it would fully fund Category A and B programs to the required targets in fiscal year 2017. Following these communications, in February 2018, the Army sent USD(P&R) its fiscal year 2017 program and metric report showing that it had successfully met the Category A and B funding targets as planned.", "Service officials said they are taking steps to meet the Category B target, and data from fiscal years 2015 through 2017 indicate that the services are getting closer to meeting it. However, in the prior years when the services have not met appropriated funding targets for Category B programs, officials said that the services have relied on nonappropriated funding as supplemental support to help ensure that such programs continue to operate. Specifically, according to USD(P&R) officials, the services have used nonappropriated funding\u2014that is, revenue generated largely through user fees incurred by servicemembers and their families\u2014 to cover MWR program costs for which appropriated funding was authorized. However, the use of nonappropriated funds to cover shortfalls in appropriated funding support for MWR programs has been a long- standing issue about which Congress has previously expressed concern. Specifically, in House Report 104-563, which accompanied H.R. 3230, a bill for the National Defense Authorization Act for Fiscal Year 1997, the House Committee on National Security established the annual DOD Category A and B MWR programs reporting requirement to Congress, after receiving testimony from the services\u2019 MWR managers and noting a disparity in the degree of appropriated funding support afforded these programs particularly in the area of Category A and B programs. While the committee recognized that shortfalls in appropriated funding support for MWR programs requires the use of nonappropriated funding to meet requirements, it also stated that the use of nonappropriated funding resources\u2014soldier, sailor, airman, and Marine money\u2014to subsidize appropriated funding activities should be minimized.", "While the Army met the Category B funding target for fiscal year 2017, the Navy, the Marine Corps, and the Air Force have each submitted plans and briefed USD(P&R) on how they plan to meet the target in the future. Navy officials said that they acknowledged the Navy\u2019s challenges with meeting the Category B funding target and, as a result, began assessing their Category B programs to eliminate those that had limited use, consolidate some where possible, and implement operational efficiencies. Marine Corps officials indicated that the Marine Corps is committed to preserving valuable MWR programs and restoring appropriate levels of appropriated funding support in future budget planning. Specifically, the Marine Corps plans to readdress appropriated funding levels in the budget planning process in 2019. However, Marine Corps officials noted they may continue to have challenges meeting the 65-percent funding target in fiscal year 2018. Air Force officials said they will continue to advocate for retaining established MWR program funding in the budget process. Air Force officials said that for fiscal years 2014 through 2017, Air Force leadership has increased appropriated funding for the MWR programs each year to help get the Air Force closer to meeting the Category B funding target."], "subsections": []}, {"section_title": "DOD Has Not Comprehensively Evaluated the Funding Targets to Ensure They Are Appropriate", "paragraphs": ["DOD has not comprehensively evaluated the funding targets for Category A and B programs, which were instituted more than 20 years ago, to ensure they are appropriate. Standards for Internal Control in the Federal Government recommends that management periodically review policies and procedures for continued relevance and effectiveness in achieving an entity\u2019s objectives. According to USD(P&R)officials, a limited evaluation took place prior to 1995 that resulted in the Category A funding target in DOD\u2019s instruction being changed from 100 percent to 85 percent. USD(P&R) officials said that the Category A appropriated funding target was changed because some of the activities within the category have expenses, such as for the food and beverage elements, that are able to generate revenue and thus not authorized to use appropriated funds.", "USD(P&R) officials stated that since that time there have been no further evaluations of the Category A or Category B targets and agree that it is time to evaluate the current relevance of the targets. Specifically they noted the considerable changes to the budgeting and funding environment that have taken place in the more than 20 years since the Category A funding target was modified. In addition, officials told us they also agree that it is time to evaluate the relevance of the Category B funding target, which has never been modified. Specifically, officials said that the services\u2019 extended engagement in overseas conflicts and constrained budgets have resulted in an operating environment that is substantially different from the peacetime setting in which the targets were first established.", "Moreover, Standards for Internal Control in the Federal Government requires management to document internal controls to meet operational needs. Documentation of controls, including changes to controls, is evidence that controls are identified, capable of being communicated to those responsible for their performance, and capable of being monitored and evaluated by an entity. Documentation also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel, as well as a means to communicate that knowledge as needed to external parties, such as external auditors. As previously stated, officials stated that the Category A funding target was updated sometime prior to 1995; however, officials did not have any specific documentation related to this change. Furthermore, USD(P&R) officials said the targets were developed so long ago that there is a general lack of information on the funding targets\u2019 origins and that they are not sure of the process or methodology that was used to develop them.", "The amount of time that has passed since Category A\u2019s target was modified, recent challenges in meeting the Category B target, and the general lack of information on the funding targets\u2019 origins raise concerns about the appropriateness and continued relevance and effectiveness of the targets in achieving MWR programs objectives. Until DOD comprehensively evaluates the appropriateness of current targets for Category A and B programs and, based on its evaluation, documents any changes it makes to its funding targets, DOD cannot be certain that the targets reflect the current operating environment and do not pose undue financial burden on the servicemembers."], "subsections": []}]}, {"section_title": "DOD Has Established an Oversight Structure and Performance Measures for MWR Programs but Has Not Developed Measurable Goals for Determining Whether MWR Programs Are Cost-Effective", "paragraphs": [], "subsections": [{"section_title": "DOD Has Established a Structure to Provide Oversight of MWR Programs", "paragraphs": ["DOD has established a structure that specifies roles, responsibilities, and procedures for overseeing MWR programs. Specifically, DOD Instruction 1015.10 assigns roles and responsibilities for oversight of MWR programs to the USD(P&R), the Secretaries of the military departments, and the Chiefs of the military services (i.e., the Chiefs of Staff for the Army and the Air Force, the Chief of Naval Operations, and the Commandant of the Marine Corps). In addition, the services\u2019 respective policies assign roles and responsibilities for MWR program oversight to the commander level. Table 4 summarizes the general oversight roles and responsibilities for DOD\u2019s MWR programs.", "The first level of oversight responsibility for MWR programs is assigned to the USD(P&R). Specifically, responsibilities include the development of department-level policies, program goals, performance measures, funding targets, and the oversight of appropriated and nonappropriated funding and expenditures for all MWR programs. To help ensure consistent quality, USD(P&R) monitors the services\u2019 compliance in meeting minimum MWR funding targets and performance measures. As previously discussed, if a service misses a funding target, USD(P&R) officials said they ask that service to submit a remediation plan that summarizes its intent to meet the target in the future, as USD(P&R) did in fiscal year 2015 when several services missed appropriated funding targets for Category A and B activities.", "The second level of oversight is assigned to the Secretaries of the military departments who are responsible for designating a central point of contact within their respective service to facilitate MWR programs policy compliance, coordinating with USD(P&R), and establishing funding priorities and strategy for MWR programs. For example, service officials we met with from the military departments said they have designated their respective Assistant Secretary Offices for Manpower and Reserve Affairs as the central point of contact for the services\u2019 MWR programs.", "The third level of oversight is assigned to the Chiefs of the military services who are responsible for the development of overall goals and uniform quality measures, which could include performance measures, for MWR programs consistent with the performance measures set by DOD in its instruction. For example, the Commander, Navy Installations Command has developed uniform quality measures for the Navy MWR Fitness program based on items such as customer satisfaction, usage rates, and equipment maintenance, among other things. According to officials, these quality measures provide a common tool to measure customer satisfaction and the quality of each installation\u2019s MWR Physical Fitness program. Additionally, these Chiefs are also responsible for helping to ensure MWR programs are resourced with appropriated and nonappropriated funding according to financial categories and for identifying their respective appropriated and nonappropriated accounts in annual budgets to meet DOD funding goals. Service Chiefs are also responsible for ensuring that military installations operate customer-driven MWR programs that are determined locally by market analysis.", "Lastly, the services\u2019 respective policies assign roles and responsibilities for MWR program oversight to the commander level. Additionally, according to service officials, commanders assist with preparing an annual briefing for USD(P&R) on their MWR programs, which includes initiatives, challenges, program trends, and financial information. For example, in fiscal year 2017, each of the services reported on new initiatives to support MWR programs for servicemembers and their families, some of which are highlighted in table 5."], "subsections": []}, {"section_title": "DOD and the Services Have Performance Measures to Assess MWR Programs but These Measures Lack Measurable Goals for Determining Cost- Effectiveness", "paragraphs": ["DOD Instruction 1015.10 identifies six broad categories of performance measures that the services use to assess their respective MWR programs. However, these measures do not include measurable goals, which are needed to assess the cost-effectiveness of the 55 activities that currently make up the MWR programs. Specifically, DOD identifies six broad performance measure categories in its instruction and, according to service officials, the services collect and use various types of information within these categories to periodically assess and adjust these activities, as appropriate. Table 6 summarizes the types of information that DOD requires the services to collect across the six categories established in its instruction.", "In addition to the information that is to be collected across these six broad categories, DOD established separate, more specific performance measures for 2 of the 55 activities\u2014namely, for Physical Fitness and for Library Programs and Information Services. For the Physical Fitness activity, the services are required to submit annual reports to DOD on their compliance with meeting more specific performance measures in a variety of areas such as administrative operations, staff qualifications, facility equipment, and child play areas. Similarly, DOD requires the services to report on a variety of areas related to the Library Programs and Information Services activity, such as library operation plans, customer programs and service, and technology infrastructure. Unlike the broad measures contained in DOD\u2019s Instruction, the specific performance measures DOD established for the Physical Fitness and Library Programs and Information Services activities tell the services exactly what information to collect and report in each performance measure category instead of the services having to develop specific measures on their own.", "In an effort to better evaluate MWR programs, the services also have efforts underway that include the following to develop specific performance measures for their programs beyond the broad performance measures contained in DOD Instruction 1015.10.", "Army. Army officials told us that they partnered with the Army Public Health Center to build evidence-based MWR programs. Based on this review, the Army found that Army MWR Community Recreation and Fitness programs have not been formally evaluated as directed by DOD Instruction 1015.10 requirements to measure and assess programs. Additionally, the Army found that, while the Army Office of the Assistant Chief of Staff for Installation Management provides program oversight, it does not possess the capability to conduct program evaluations. According to the results of the Army Public Health Center report issued in June 2017, the Army initiated a three- phase approach for evaluating its MWR programs. The report showed that assessing the evaluability of the Army MWR programs is phase one. According to the Army, these evaluations will enable the Army to validate program outcomes and better position itself to compete for scarce resources. The report also showed that many of the 13 Army MWR programs selected for review do not have direct links between activities and the priority outcomes with behavioral, social, and physical health, and that they do not have sufficient outcomes data that have been consistently collected. Army officials said that phase two will include the development of formal evaluation plans for selected evaluable MWR programs. Lastly, Army officials said that phase three will be the execution of the evaluation for two selected MWR programs, which is on target to be completed by December 2018. While Army officials are learning how to evaluate programs through this partnership with the Army Public Health Center, they said that they have also learned that these endeavors are costly. Officials said that a very modest program evaluation requires approximately $300,000 to $500,000. Army officials also stated that program evaluation requires support and participation by those organizations and people that deliver the programs. Furthermore, according to Army officials, resource reductions at the operational level (garrisons) are increasingly restrictive, preventing them from collecting critical information to support this multiphase effort.", "Navy. Navy officials said that they use the MWR Enterprise Modeling System, which is based on performance measures that have been developed and routinely reviewed and updated by headquarters, regional, and installation program managers. The MWR Enterprise Modeling System is used as the baseline for the annual MWR performance data call that measures actual program performance against performance standards. Navy officials said that the performance measures provide the business strategy and guidance to ensure efficient, effective and market-driven delivery of programs and services.", "Marine Corps. Marine Corps officials said they collaborated with the RAND Corporation to provide an analytically rigorous assessment framework to evaluate program performance. The RAND Corporation provided draft measures of performance. Marine Corps officials said that the RAND Corporation also provided a user guide that outlines an evaluation methodology and ensures consistent and standard application. Marine Corps officials said that they are reviewing the draft measures to determine appropriate data collection and have drafted an implementation plan. Specifically, Marine Corps officials said that they plan to brief Marine Corps installations in June 2018 on the performance measures they plan to collect data from, which will begin in fall 2018.", "Air Force. Air Force officials said that they are building off the work that the RAND Corporation undertook for the Marine Corps and have also started collaborating with the RAND Corporation. The objective of the Air Force study is to develop an evidence-based evaluation framework for MWR programs that identifies immediate and mid-term outcomes that contribute to airman and family readiness and resilience. Specifically, the goal is to provide the Air Force with logic models and performance measures that are tied to each of the programs and services in the MWR portfolio. Air Force officials said they expect to finish this study by June 2018. However, the officials noted that implementing the performance measures will be a challenge since these types of MWR programs are difficult to measure and hard to capture data for.", "While both the broad and specific measures established by DOD and the services can provide useful context about the status of individual MWR activities, they do not contain measurable goals that service officials could use to compare program results with costs to determine whether an individual activity is cost-effectively operating. Because the services\u2019 efforts to develop specific performance measures are in early stages of development it is too early to determine whether these efforts will result in measurable goals that can be used to assess the cost-effectiveness of the MWR programs.", "DOD\u2019s Financial Management Regulation specifies that performance measurement should include program accomplishments in terms of outputs and how those outputs effectively meet intended agency mission goals. Further, cost itself can be a performance metric, but should also be combined with an effectiveness measure, such as the percentage of a goal achieved at a level of expected performance, to ensure that the resulting output is cost effective. Additionally, through our prior work on performance measurement, we have reported that performance goals and measures should align with an agency\u2019s goals and mission. However, in reviewing DOD Instruction 1015.10, we found no mention of any goals, mission, objectives, or purpose for the MWR programs. There is one section entitled \u201cpolicy\u201d in the instruction that included items that resemble goals. Specifically, the instruction stated that MWR programs: 1. are an integral part of the military and benefits package; 2. build healthy families and communities and provide consistently high- quality support services that are commonly furnished by other employers or by state and local governments to their employees and citizens; 3. encourage positive individual values and aid in recruitment and retention of personnel; and 4. promote esprit de corps and provide for the physical, cultural, and social needs; general well-being; quality of life; and hometown community support of servicemembers and their families.", "USD(P&R) officials who have responsibility for developing MWR program goals acknowledged that these policy items function as strategic goals but were not clearly identified as such in the instruction and also acknowledged that the instruction does not include measurable goals for assessing cost-effectiveness. In addition, USD(P&R) officials said that they are starting a review of DOD Instruction 1015.10 and did not know yet whether they would make any changes to the goals or expand the reporting requirement to include all 55 activities. Until DOD develops performance measures that include measurable goals, DOD officials and other decision makers, such as Members of Congress, may find it difficult to determine whether the MWR programs and the activities that make up the MWR programs are meeting servicemember needs in a cost-effective manner."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD\u2019s multibillion dollar MWR programs provide a wide range of benefits for servicemembers and their families that ultimately help support military missions and readiness, both in times of war and peace. DOD has established funding targets for providing appropriated funding support for Category A and B MWR programs. However, the funding targets have not been comprehensively evaluated in the last 20 years to determine their current relevance. Until DOD comprehensively evaluates the appropriateness of current funding targets and documents any changes made to the targets, DOD\u2019s funding targets may not reflect the current operating environment, and may be posing an undue burden on the servicemembers. DOD has also not developed performance measures with measureable goals that would allow it to assess the cost- effectiveness of its MWR programs. Without performance measures that include such measurable goals, it will be difficult for DOD and Congress to determine whether the individual activities and overall MWR programs are meeting desired outcomes in a cost-effective manner."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD.", "We recommend that the Secretary of Defense ensure that the USD(P&R), in consultation with the Secretaries of the military departments, comprehensively evaluate the funding targets for Category A and B MWR programs and document any changes made to the targets and the methodology used. (Recommendation 1)", "We recommend that the Secretary of Defense ensure that the USD(P&R), in consultation with the Secretaries of the military departments, develop measurable goals for its MWR programs\u2019 performance measures to determine the programs\u2019 cost-effectiveness. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its comments, DOD concurred with our recommendations and noted actions that it is taking. DOD\u2019s comments are reprinted in their entirety in appendix II. DOD also provided technical comments, which we incorporated into the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, the Navy, and the Air Force; the Commandant of the Marine Corps; and the Under Secretary of Defense for Personnel and Readiness. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Department of Defense\u2019s Morale, Welfare, and Recreation Program Categories", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly A. Mayo, Assistant Director; Rebekah Boone; Mae Frances Jones; Felicia Lopez; Stephanie Moriarty; Cynthia Saunders; John W. Van Schaik; Paul Seely; Carter Stevens; and Roger Stoltz made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-117", "url": "https://www.gao.gov/products/GAO-19-117", "title": "VA Construction: Strengthened Pilot Design and a Dedicated Team Could Improve Real-Property Donation Pilot Program", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA has pressing infrastructure needs. The Communities Helping Invest through Property and Improvements Needed for Veterans Act of 2016 (CHIP-IN Act) authorized VA to accept donated real property\u2014such as buildings or facility construction or improvements\u2014through a pilot program. VA has initiated one project in Omaha, Nebraska, through a partnership with a donor group. VA can accept up to five donations through the pilot program, which is authorized through 2021.", "The CHIP-IN Act includes a provision for GAO to report on donation agreements. This report (1) examines the extent to which the VA's pilot design aligns with leading practices and (2) discusses what VA has learned from the pilot to date. GAO reviewed VA documents, including plans for the pilot program, and visited the Omaha pilot project. GAO interviewed VA officials, the Omaha donor group, and three non-federal entities that responded to VA's request seeking donors. GAO compared implementation of VA's pilot to leading practices for pilot design, organizational transformation, and cross-functional teams."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) is conducting a pilot program, called CHIP-IN, that allows VA to partner with non-federal entities and accept real property donations from them as a way to help address VA's infrastructure needs. Although VA signed its first project agreement under the program in April 2017, VA has not yet established a framework for effective design of the pilot program. Specifically, VA's pilot program design is not aligned with four of five leading practices for designing a well-developed and documented pilot program. VA has begun to implement one leading practice by improving its efforts to communicate with relevant stakeholders, such as including external stakeholders in key meetings. However, the VA offices involved have not agreed upon and documented clear, measurable objectives for the pilot program, which is a leading practice. Further, VA has not developed an assessment methodology or an evaluation plan that would help inform decisions about whether or how the pilot approach could be expanded. While VA officials said they intend to develop these items as tasks for the newly formed CHIP-IN steering committee, they have no timeline for doing so. Without clear objectives and assessment and evaluation plans, VA and Congress may have difficulty determining whether the pilot approach is an effective way to help address VA's infrastructure needs.", "To date, the CHIP-IN pilot suggests that donation partnerships could improve construction projects, but identifying donors and establishing a team for the pilot program have presented challenges. Officials from VA and the donor group for the first pilot project\u2014an ambulatory care center in Omaha, Nebraska\u2014said they are completing the project faster than if it had been a standard federal construction project, while achieving potential cost savings by using private sector practices. However, VA officials said it is challenging to find partners to make large donations with no financial return, and VA's lack of marketing and philanthropic development experience exacerbates that challenge. VA and the donor group agreed that a dedicated team of individuals with relevant expertise could facilitate the pilot's implementation. The new CHIP-IN steering committee could serve this purpose, but it lacks documented roles and responsibilities. Establishing a team with clear roles and responsibilities and identifying both available and needed staff resources could assist VA in partnering with additional donors and creating new opportunities to meet veterans' needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that VA: (1) establish pilot program objectives, (2) develop an assessment methodology and an evaluation plan, and (3) document roles and responsibilities and identify available and needed staff resources. VA concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) operates one of the largest health care systems in the country with over 1,200 sites serving 9-million veterans each year, as VA reported in 2018. However, VA\u2019s infrastructure is aging and many facilities, designed for an inpatient health care system, do not align with VA\u2019s current and future needs\u2014such as providing more care in outpatient settings, similar to trends in the health care industry overall. Further, our prior work has identified instances of VA facility construction experiencing cost overruns totaling hundreds of millions of dollars and schedule delays exceeding several years.", "In December 2016, a pilot program was enacted that helps to address VA\u2019s infrastructure needs by allowing VA to partner with and accept donations from non-federal entities to construct or improve some facilities. Specifically, the Communities Helping Invest through Property and Improvements Needed for Veterans Act of 2016 (CHIP-IN Act) authorizes VA to accept donated real property, such as buildings, from non-federal entities. The legislative history suggests that Congress was seeking innovative ways to help VA meet its pressing infrastructure needs. CHIP- IN donations can include an already constructed facility or construction of a facility on either VA property or donated property. Examples of non- federal entities that can make donations under the pilot include state or local authorities, a donor or donor group, limited liability corporations, or tax-exempt organizations. The CHIP-IN Act allows VA to use funds that have already been appropriated for a particular facility\u2019s construction project to assist a donor of real property and improvements with financing, designing, or constructing the facility. VA may accept up to five donations through the pilot program, which is authorized through 2021. As of September 2018, VA has entered into a formal agreement for one CHIP-IN project\u2014the construction of an ambulatory care center on the VA medical center\u2019s campus in Omaha, Nebraska (Omaha project). This agreement created a partnership between VA and a nonprofit corporation formed by a donor group in Omaha (Omaha donor group). In this case, the donor, in consultation with VA, is leading the project\u2019s design and construction efforts and will donate the completed facility to VA. VA plans to use this facility to provide various outpatient services, including primary care and certain surgical services. Additionally, according to agency officials, VA has engaged in discussions with potential partners regarding CHIP-IN donation opportunities in locations across the country but has not signed any other formal agreements as of September 2018.", "The CHIP-IN Act included a provision for us to report on the pilot\u2019s donation agreements on a biennial basis. This report (1) examines the extent to which VA\u2019s CHIP-IN pilot program design aligns with leading practices and (2) discusses what VA has learned from the pilot program to date.", "To address both objectives, we reviewed statutes, journal articles and published reports on real property donations, and VA documents, including plans for the pilot program and the donation agreement for the Omaha project. We visited the Omaha project, where we toured the construction site. We interviewed VA officials, representatives from the Omaha donor group, and three of the five non-federal entities that responded to VA\u2019s request for information (RFI) seeking CHIP-IN donations but that had not met the CHIP-IN Act requirements. To determine the extent to which VA\u2019s pilot design aligns with leading practices, we compared steps VA has taken in developing the pilot to a set of leading practices that we developed and identified in 2016. We also reviewed the pilot\u2019s design in comparison to relevant federal standards for internal control. In determining what VA has learned from the pilot program to date, we reviewed the CHIP-IN pilot\u2019s implementation as compared to several relevant leading practices, including our prior work on organizational transformation, collaboration, and effective cross-functional teams.", "We conducted this performance audit from March 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CHIP-IN Act", "paragraphs": ["According to VA officials and Omaha donor group representatives, two main factors coalesced to become the impetus for the CHIP-IN Act.", "One factor was an Omaha donor group\u2019s interest in constructing an ambulatory care center that could help address the needs of veterans in the area, given uncertainty about when or whether VA would be able to build a planned replacement medical center. In 2011, VA allocated $56 million for the design of the replacement medical center in Omaha, which had a total estimated cost of $560 million. However, VA officials told us that given the agency\u2019s backlog of construction projects, the replacement medical center was not among its near-term projects. In the meantime, according to VA officials and the Omaha donor group, they discussed a change in the scope of the project\u2014 from the original plan of a replacement medical center to a smaller- scope project for a new ambulatory care center\u2014that could potentially be constructed using the existing appropriation of $56 million plus a donation from the Omaha donor group.", "Another factor was the Congress\u2019s and VA\u2019s broader interest in testing innovative approaches to meeting VA\u2019s infrastructure needs. According to VA officials, the agency was interested in constructing medical facilities in a more expeditious manner and developing legislation that allowed private money to help address VA\u2019s needs.", "The CHIP-IN Act authorized a total of five pilot projects but did not name any specific project locations. Subsequently, the Omaha donor group applied to participate in the pilot program\u2014with the construction of an ambulatory care center\u2014and VA executed a donation agreement in April 2017. VA may accept up to four more real property donations under the pilot program, which is authorized through 2021.", "The CHIP-IN Act places certain requirements on donations under the pilot program. VA may accept CHIP-IN donations only if the property: (1) has already received appropriations for a VA facility project, or (2) has been identified as a need as part of VA\u2019s long-range capital planning process and the location is included on the Strategic Capital Investment Planning process priority list provided in VA\u2019s most recent budget submission to Congress. The CHIP-IN Act also requires that a formal agreement between VA and the non-federal entity provide that the entity conduct necessary environmental and historic preservation due diligence, obtain permits, and use construction standards required of VA, though the VA Secretary may permit exceptions."], "subsections": []}, {"section_title": "Omaha Project", "paragraphs": ["VA entered into an agreement with the Omaha donor group for the design and construction of an ambulatory care center in April 2017\u20144 months after enactment of the CHIP-IN Act. According to this agreement, which establishes the terms of the donation, the Omaha donor group will complete the design and construction of the facility and consult with VA. The facility will provide approximately 158,000 gross square feet of outpatient clinical functions, including primary care, an eye clinic, general purpose radiology and ambulatory surgery, specialty care, and mental health care.", "According to VA officials, planning for the facility began in April 2017, after the donation agreement was executed, and the project broke ground in April 2018. This donation agreement includes the mutually agreed- upon design and construction standards, which incorporate both VA\u2019s standards and private sector building standards. The donation agreement also sets the terms of VA\u2019s review of the design and construction documents and establishes escrow operations for the holding and disbursement of federal funds. Upon the Omaha donor group\u2019s completion of the facility (scheduled for summer 2020) and VA\u2019s acceptance, the Omaha donor group will turn the facility over to VA. The total estimated project cost is approximately $86 million. VA is contributing the $56 million that had already been appropriated for the design of the replacement medical facility. The Omaha donor group will donate the remaining approximately $30 million in private sector donations needed to build the facility."], "subsections": []}, {"section_title": "Pilot Program", "paragraphs": ["As shown in figure 2 and described below, VA officials told us that several offices are involved in various aspects of the CHIP-IN pilot\u2014such as executing the Omaha project, seeking additional partnerships, and establishing the overall pilot program effort. The VA Office of Construction and Facilities Management (CFM) includes its Office of Real Property (ORP) and Office of Operations. ORP has taken a lead role in establishing the pilot program, while CFM Operations has led the execution of the Omaha project. Other VA offices that have been involved at different stages include the Office of General Counsel and the Secretary\u2019s Center for Strategic Partnerships. Within the Veterans Health Administration (VHA), the local medical-center leadership was involved with developing the Omaha project, and the Office of Capital Asset Management, Engineering, and Support (Capital Asset Management Office) has contributed to efforts to identify additional projects. Some of these offices are involved with a steering committee created to implement the CHIP-IN Act (CHIP-IN steering committee). This steering committee met for the first time in September 2018."], "subsections": []}]}, {"section_title": "VA Has Not Yet Established a Framework for Effective Pilot Design for the CHIP-IN Pilot Program", "paragraphs": ["In 2016, we identified five leading practices for designing a well- developed and documented pilot program: articulating an assessment methodology, developing an evaluation plan, assessing scalability, and ensuring stakeholder communication. (See fig. 3.)", "These practices enhance the quality, credibility, and usefulness of pilot program evaluations and help ensure that time and resources are used effectively. While each of the five practices serves a purpose on its own, taken together, they form a framework for effective pilot design.", "VA officials have worked to communicate with relevant stakeholders, but have not yet established objectives, developed an assessment methodology and evaluation plan, or documented how they will make decisions about scalability of the pilot program."], "subsections": [{"section_title": "VA Has Not Established Clear Objectives", "paragraphs": ["In 2016, we reported that clear, measurable objectives can help ensure that appropriate evaluation data are collected from the outset of a pilot program. Measurable objectives should be defined in qualitative or quantitative terms, so that performance toward achieving the objectives can be assessed, according to federal standards for internal control. For example, broad pilot objectives should be translated into specific researchable questions that articulate what will be assessed. Establishing well-defined objectives is critical to effectively implementing the other leading practices for a pilot program\u2019s design. Objectives are needed to develop an assessment methodology to help determine the data and information that will be collected. Objectives also inform the evaluation plan because performance of the pilot should be evaluated against these objectives. In addition, objectives are needed to assess the scalability of the pilot, to help inform decisions on whether and how to implement a new approach in a broader context (i.e., whether the approach could be replicable in other settings).", "Relevant VA stakeholders have not yet collectively agreed upon and documented overall objectives for the CHIP-IN pilot program, but the stakeholders said they are planning to do so. However, at the time of our review, each of the VA offices we interviewed presented various ideas of what the objectives for the pilot should be, reflecting their varied missions and roles in the CHIP-IN pilot. For example,", "A senior VHA official said the objectives should include (1) determining whether the CHIP-IN donation partnership approach is an effective use of VA resources and (2) defining general principles for the pilot, including a repeatable process for future CHIP-IN projects.", "A senior VA official who has been closely involved with the pilot said one objective should be determining how VA can partner with the private sector for future construction projects, whether through donation partnerships or other means.", "Officials from ORP, who have taken a lead role in establishing the pilot, told us their objectives include identifying the four additional projects authorized by the CHIP-IN Act, developing a process to undertake potential projects, and determining whether a recommendation should be made that Congress extend VA\u2019s CHIP-IN authority beyond the 5-year pilot. ORP officials said they have written some of these objectives in an early draft of plans for the CHIP-IN steering committee, but they have also discussed other objectives that are not yet documented.", "While the various VA offices involved may have somewhat different interests in the pilot program, developing a set of clear, measureable objectives is an important part of a good pilot design. For example, several VA officials who are involved in the pilot told us that it would be useful for relevant internal stakeholders to collectively agree upon and document overall objectives. ORP officials told us that the newly formed CHIP-IN steering committee will discuss and formalize objectives for the pilot. However, at the time of our review, a draft of these objectives had not been developed and a timeline for developing objectives was not yet established. A discussion of objectives was planned for the steering committee\u2019s first meeting in September but had been rescheduled for the next meeting in October 2018.", "VA officials told us that they did not immediately move to establish a framework for the pilot program\u2014which would include objectives for the pilot\u2014for various reasons. Some officials said that VA and the Omaha donor group entered into formal discussions shortly after the CHIP-IN Act was enacted, and that their focus at the time was on negotiating and then executing a donation agreement for that particular project. As such, formal efforts to establish the framework for the overall pilot effort were in initial stages at the time of our review. ORP officials also said that the enactment of the CHIP-IN Act was not anticipated at the time CFM was planning and budgeting its resources for fiscal years 2017 and 2018, so work on the pilot had to be managed within available resources, largely as an additional duty for staff. In addition, a senior VHA official said a meeting to agree upon the pilot program\u2019s objectives was needed but had not been held yet, noting that VA has competing priorities and vacancies at the senior executive level. ORP officials said they are now following project management principles in implementing the pilot. As part of this effort, they said that they intend to develop foundational documents for review by the CHIP-IN steering committee\u2014such as a program plan containing objectives\u2014but they have not done so yet.", "Without clearly defined and agreed-upon objectives, stakeholders within VA may have different understandings of the pilot\u2019s purpose and intended outcomes. As a result, the agency risks pursuing projects that may not contribute to what VA hopes to learn or gain from the pilot. While VA officials are planning to establish objectives as they formalize the CHIP-IN steering committee, at the time of our review these objectives had not been documented and no timeline has been established for when they would be. Without clear, measurable objectives, VA will be unable to implement other leading practices for pilot design, such as determining how to make decisions about scalability. Further, not defining objectives in the near future would ultimately affect VA\u2019s ability to evaluate the pilot and provide information to Congress about its results."], "subsections": []}, {"section_title": "VA Has Not Developed and Documented an Assessment Methodology or Evaluation Plan", "paragraphs": ["We have reported that developing a clearly articulated assessment methodology and a detailed evaluation plan are leading practices for pilot design. The assessment methodology and evaluation plan should be linked to the pilot\u2019s objectives so that evaluation results will show successes and challenges of the pilot, to help the agency draw conclusions about whether the pilot met its objectives. The assessment methodology and evaluation plan are also needed to determine scalability, because evaluation results will show whether and how the pilot can be expanded or incorporated into broader efforts. Given that several VA offices are involved in the pilot\u2019s implementation, it is important for relevant stakeholders to be involved with defining and agreeing upon the assessment methodology and evaluation plan.", "VA has not yet fully developed and documented either an assessment methodology or evaluation plan for the pilot, but VA officials told us they plan to do so. For example, ORP officials said they intend to collect lessons learned and then evaluate the pilot at its end in 2021 by reviewing this information with relevant stakeholders. However, more specific details for this assessment methodology have not been defined in accordance with this leading practice. For example, we found that ORP has not yet determined which offices will contribute lessons learned, how frequently that information will be collected, or who will collect it. Similarly, details for an evaluation plan have not been defined, including who will participate in the evaluation and how information will be analyzed to evaluate the pilot\u2019s implementation and performance. Now that the CHIP- IN steering committee has met for the first time, this group intends to discuss assessment of the pilot at a future meeting, but it is not clear when that discussion will occur, what leading practices will be considered, and when plans will be defined and documented.", "According to VA officials, an assessment methodology and evaluation plan have not been developed because, as discussed above, after the CHIP-IN Act was enacted, efforts were focused on negotiating the Omaha donation agreement and then executing that project. As such, formal efforts to establish the pilot through the CHIP-IN steering committee were in initial stages at the time of our review. Further, until VA has agreed- upon and documented objectives for the pilot program, it may be difficult to determine what information is needed for an assessment methodology and how the pilot will be evaluated.", "Unless VA establishes a clear assessment methodology that articulates responsibilities for contributing and documenting lessons learned, VA may miss opportunities to gather this information from the pilot. For example, while some stakeholders are documenting lessons learned relevant to their roles in the pilot, others are not. Specifically, ORP and CFM Operations are documenting lessons learned, but other VA offices and the Omaha donor group have not, though some told us they would be willing to share lessons learned if asked. Without an assessment methodology, there may also be confusion about who is responsible for documenting lessons learned. For example, a senior CFM official said that the Omaha donor group was compiling lessons learned from the pilot overall and would subsequently share those with VA. However, representatives from the donor group told us they have not been asked to share lessons learned with VA, but they would be willing to do so. When key individuals leave their positions\u2014a situation that has occurred a number of times during implementation of the CHIP-IN pilot\u2014their lessons learned may not be captured. For example, VA officials and donor group representatives told us that two VA officials who were involved in developing the pilot have since left the agency. In addition, stakeholders\u2019 memories of lessons learned may fade unless they record them. Waiting to develop an evaluation plan\u2014which should include details about how lessons learned will be used to measure the pilot\u2019s performance\u2014may ultimately affect VA\u2019s preparedness to evaluate the pilot and provide information to Congress about its results."], "subsections": []}, {"section_title": "VA Has Not Documented Plans to Assess Scalability", "paragraphs": ["The purpose of a pilot is to generally inform a decision on whether and how to implement a new approach in a broader context\u2014or in other words, whether the pilot can be scaled up or increased in size to a larger number of projects over the long term. Our prior work has found that it is important to determine how scalability will be assessed and the information needed to inform decisions about scalability. Scalability is connected to other leading practices for pilot design, as discussed above. For example, criteria to measure scalability should provide evidence that the pilot objectives have been met, and the evaluation\u2019s results should inform scalability by showing whether and how the pilot could be expanded or how well lessons learned from the pilot can be incorporated into broader efforts.", "VA officials have begun to implement this leading practice by considering the pilot as a means of testing the viability of the donation partnership approach; however, plans for assessing scalability have not been fully defined and documented. A senior VA official said scalability is seen as a way to determine if the donation approach or other types of private sector partnerships are a viable way to address VA\u2019s infrastructure needs. Similarly, ORP officials told us they are first considering scalability in terms of whether the CHIP-IN donation approach is an effective or feasible way of delivering VA projects. These officials said scalability will be largely determined by whether all five authorized projects can be executed before authorization for the CHIP-IN pilot program sunsets. For example, if VA can find four additional projects and execute donation agreements before the pilot\u2019s authority expires, then potentially VA could seek congressional reauthorization to extend the program beyond the 5- year pilot. ORP officials are also considering scalability in terms of any changes to the program, such as incentives for donors, that could potentially increase its effectiveness. However, ORP officials explained that scalability may be limited because the types of projects that can be accomplished with the CHIP-IN donation approach may not be the projects that are most needed by VA. Along with other pilot design topics, the CHIP-IN steering committee intends to discuss scalability at a future meeting, but it is not clear when that discussion will occur. Thus, while VA officials have considered what scalability might look like, they have not fully determined and documented how to make decisions about whether the pilot is scalable.", "Since VA has not defined and documented the pilot\u2019s objectives and its evaluation plans, it may be more difficult to determine how to make decisions about scalability. Considering how the pilot\u2019s objectives and evaluation plans will inform decisions about scalability is critical to providing information about the pilot\u2019s results. For example, at the end of the pilot, VA and Congress will need clear information to make decisions about whether the CHIP-IN donation approach could be extended beyond a pilot program, if any changes could enhance the program\u2019s effectiveness, or if particular lessons learned could be applied to VA construction projects more broadly. Without clear information about scalability, VA may be limited in its ability to communicate quality information about the achievement of its objectives. Such communication is part of the federal standards for internal control."], "subsections": []}, {"section_title": "VA Is Making Efforts to Improve Communication with Relevant Stakeholders", "paragraphs": ["We have reported that appropriate two-way stakeholder communication and input should occur at all stages of the pilot, including design, implementation, data gathering, and assessment. To that end, it is critical that agencies identify who or what entities the relevant stakeholders are and communicate with them early and often. This process may include communication with external stakeholders and among internal stakeholders. Communicating quality information both externally and internally is also consistent with federal standards for internal control.", "VA has begun to implement this practice, with generally successful communication with the Omaha donor group. While VA has experienced some external and internal communication challenges about the pilot, officials have taken steps to help resolve some of these challenges.", "External communication. VA officials and representatives from the Omaha donor group generally described excellent communication between their two parties. For example, donor group representatives told us that in-person meetings helped to establish a strong relationship that has been useful in negotiating the donation agreement and executing the project to date. Further, VA officials and donor group representatives said that all relevant stakeholders\u2014such as the donor group\u2019s construction manager, general contractor, and architect, as well VA\u2019s engineer, project manager, and medical center director\u2014were included in key meetings once the Omaha project began, and said that this practice has continued during the construction phase.", "Although the Omaha donor group reported overall effective relations and communications with VA, donor group representatives noted that additional public relations support from VA would have been helpful. For example, after the CHIP-IN project was initiated in Omaha, the donor group encountered a public relations challenge when news reports about unauthorized waiting lists at the Omaha medical center jeopardized some donors\u2019 willingness to contribute to the project. While donor group representatives said this challenge was addressed when the donor group hired a public relations firm, they also explained that it would be helpful for VA headquarters to provide more proactive public relations support to the local areas where future CHIP-IN projects are located.", "VA officials stated that they experienced some initial challenges communicating pilot requirements to external entities that are interested in CHIP-IN donation partnerships, but officials said that in response the agency has changed its outreach approach. As discussed below, the donation commitment aspect of the pilot can be a challenge. When interested entities contact VA to request information on the CHIP-IN pilot, VA officials told us they find the entities are often surprised by the donation commitment. For example, two entities that responded to VA\u2019s RFI told us they were not clear about the donation requirement or the expected level of donation, or both. One respondent did not understand the pilot required a donation and would not provide an opportunity for a financial return on investment. Another respondent indicated that when they asked VA for clarification about the expected project\u2019s scope, personnel from a headquarters office and the local VA medical center could not fully answer their questions. VA officials acknowledged these challenges and said they have changed their outreach efforts to focus on certain potential CHIP-IN locations, rather than RFIs aimed at a broader audience. Further, VA officials said that when speaking with potential donors going forward, they plan to involve a small group of officials who are knowledgeable about the pilot and its donation approach.", "Internal communication. While VA initially experienced some challenges in ensuring that all relevant internal stakeholders have been included in the pilot\u2019s implementation, according to officials, the agency has taken recent steps to address this concern and involve appropriate internal offices. For example, officials from the Capital Asset Management Office said they could have assisted ORP in narrowing the list of potential projects in the RFIs but were not consulted. Later, after revising the marketing approach, ORP reached out to the Capital Asset Management Office and other relevant offices for help in determining priority locations for additional CHIP-IN projects, according to an ORP official. Officials from the Capital Asset Management Office told us that with improved engagement they were able to participate more actively in discussions about the pilot. In addition, initial plans for the CHIP-IN steering committee did not include VHA representation. However, in summer 2018 ORP expanded the planned steering committee to include VHA representatives, a plan that some other VA offices told us is needed to ensure that the pilot addresses the agency\u2019s healthcare needs and that VHA offices are informed about pilot efforts."], "subsections": []}]}, {"section_title": "CHIP-IN Pilot Suggests That Donation Partnerships Can Improve Project Implementation, but Challenges Include Identifying Donors and Establishing Responsibilities", "paragraphs": [], "subsections": [{"section_title": "VA and Omaha Donor Group Agree That the CHIP-IN Donation Approach and Private Sector Practices Have Improved the Omaha Project\u2019s Implementation", "paragraphs": ["Based on the experience with the Omaha project, the CHIP-IN donation approach can result in potential cost and time savings\u2014through the leveraging of private-sector funding, contracting, and construction practices\u2014according to VA officials and the Omaha donor group. Regarding cost savings, one VA official stated that using donations makes VA\u2019s appropriated funds available to cover other costs. In addition, based on the experience with the Omaha project, other VA officials told us that a CHIP-IN project can potentially be completed for a lower cost because of practices resulting from private sector leadership. Specifically, VA estimated that the Omaha ambulatory care center would cost about $120 million for VA to build outside of a donation partnership\u2014as a standard federal construction project. Under the CHIP-IN pilot, however, the total estimated cost of the Omaha facility is $86 million\u2014achieving a potential $34 million cost savings. Regarding time savings, CHIP-IN projects can potentially be completed at a faster pace because of the use of certain private sector practices and because projects can be addressed earlier than they otherwise would be, according to VA officials.", "The use of private-sector building practices can result in cost and time savings in a number of ways, according to VA officials and the Omaha donor group, as follows:", "The use of private-sector building standards contributed to cost savings for the Omaha project, according to VA officials and donor group representatives. VA and the donor group negotiated a combination of industry and VA building standards. A CFM official told us that using this approach and working with the private sector donor group encouraged the design team to think creatively about the risk assessment process and about how to meet the intent of VA\u2019s physical security standards, but at a lower cost than if they were required to build a facility using all of VA\u2019s building standards as written. For example, when assessing the safety and physical-security risk, the donor group and VA identified a location where two sides of the facility will not have direct exposure to the public or roadway traffic. Prohibiting exposure to roadways on two sides of the facility will mean spending less money to harden (i.e., protect) the facility against threats such as vehicular ramming. According to VA officials, using the combined standards did not compromise security on the Omaha project.", "Involving the general contractor early on in the design for the Omaha project, an approach VA does not typically take, contributed to both time and cost savings. VA officials told us that engaging the general contractor during the project\u2019s design stage allowed the project to begin more quickly and was also helpful in obtaining information about costs and keeping the project within budget. However, VA officials said that depending on the project and contracting method used, it might not be possible to apply this contracting practice to VA construction projects outside of the pilot program.", "A private-sector design review method helped to save time. The Omaha donor group used a software package that allowed all design- document reviewers to simultaneously review design documents and then store their comments in a single place. VA officials said this approach was more efficient than VA\u2019s typical review method and cut about 18 weeks from the project\u2019s timeline. VA officials also said use of this software was a best practice that could be applied to VA construction projects more broadly. In addition, the donor group and VA employed fewer rounds of design reviews than VA typically uses; this streamlining also helped to save time during the design process, according to VA officials.", "Further, VA officials said that the CHIP-IN donation approach can allow VA to address projects more quickly because they are addressed outside of VA\u2019s typical selection and funding process. For example, VA officials told us that because of the agency\u2019s current major construction backlog, using the CHIP-IN donation approach allowed work on the Omaha project to begin at least 5 years sooner than if the CHIP-IN approach had not been used. The Omaha project\u2019s priority was low relative to other potential projects, so that it was unlikely to receive additional funding for construction for several years. For example, one agency official noted that even if the project was at the top of VA\u2019s priorities, there is a backlog of 20 major construction projects worth $5 billion ahead of it\u2014meaning the Omaha project would probably not be addressed for at least 5 years. VA officials also told us that as they consider future CHIP-IN projects, they are looking for other projects that, like the one in Omaha, are needed, but may not be a top priority given available funding and could be moved forward with a private sector donation. In addition, use of the CHIP-IN donation approach and decision to pursue an ambulatory care center contributed to an earlier start on a project to address veterans\u2019 needs. However, as mentioned earlier, VA officials said that future construction projects will be necessary to address some needs that were part of the original replacement medical center plan."], "subsections": []}, {"section_title": "Stakeholders Agreed That Relying on Philanthropic Donations and Identifying Donors Is a Challenge to Establishing Pilot Partnerships", "paragraphs": ["A main challenge to establishing pilot partnerships is the reliance on large philanthropic donations, according to VA officials, the Omaha donor group, and RFI respondents. In general, the potential donor pool may not be extensive given the size of the expected donations\u2014in some cases tens or hundreds of millions of dollars\u2014and the conditions under which the donations must be made. For example, as discussed earlier, VA officials said that when interested entities contact them about the pilot, they are often surprised by the donation commitment. When we spoke with two entities that responded to VA\u2019s RFI, one told us that they \u201ccould not afford to work for free\u201d under the pilot while another told us that developers are more likely to participate in the pilot if they see an incentive, or a return on their financial contribution. Also, VA officials told us that some potential project locations have not received any appropriations\u2014making the projects\u2019 implementation less appealing to potential donors. The Omaha donor group noted that a VA financial contribution at or above 50 percent of a project\u2019s estimated cost is essential for demonstrating the agency\u2019s commitment and for leveraging private-sector donations.", "To address challenges involving the philanthropic nature of the pilot, ORP officials told us that VA has tried to identify strategies or incentives that could encourage donor involvement. For example, the CHIP-IN steering committee is considering what incentives might be effective to encourage greater participation. One ORP official told us that such incentives could include potential naming opportunities (that is, authority to name items such as facility floors, wings, or the actual facility), although offering such incentives may require changes in VA\u2019s authority. Further, because it may be difficult to secure donations for larger, more costly projects, some VA officials, donor group representatives, and one RFI respondent we spoke to suggested that VA consider developing less costly CHIP-IN projects\u2014giving VA a better chance of serving veterans by filling gaps in service needs. Other VA officials, however, said they wanted to focus on larger projects because the pilot allows only five projects.", "Another challenge is that VA generally does not possess marketing and philanthropic development experience. VA officials told us that this makes the inherent challenge of finding donors more difficult. While VA officials have used the assistance of a nonprofit entity that has marketing expertise, they also said that going forward it would be helpful to have staff with relevant marketing and philanthropic development experience to assist with identifying donors. VA officials said this expertise could possibly be acquired through hiring a contractor, but funding such a hire may be difficult within their existing resources."], "subsections": []}, {"section_title": "CHIP-IN Team Lacks Documented Roles and Responsibilities and Has Limited Available Staffing", "paragraphs": ["As discussed above, the CHIP-IN pilot presents an uncharted approach to VA\u2019s implementation of projects, and using CHIP-IN has aspects of an organizational transformation in property acquisition for the agency because it leverages donation partnerships and streamlines VA\u2019s typical funding process. We have found that a key practice of organizational transformation includes a dedicated implementation team to manage the transformation process and that leading practices for cross-functional teams include clear roles and responsibilities, and committed members with relevant expertise. VA officials and Omaha donor group representatives acknowledged that a dedicated CHIP-IN team could help focus pilot implementation\u2014and that no such team existed within the agency. ORP officials told us that the newly formed CHIP-IN steering committee would provide the necessary leadership for pilot implementation. They anticipate that a working group will be part of the committee and serve as a dedicated team for the pilot. However, as discussed below, roles and responsibilities have not been defined and staff resource decisions have not been made.", "Clear and documented roles and responsibilities. Several VA officials told us that responsibility for managing the overall pilot effort had not been assigned, and that they had different interpretations of which office had responsibility for leading the pilot. Some officials identified ORP as the leader, while others thought it was CFM or the Center for Strategic Partnerships. One CFM official told us that a clear definition of responsibilities is needed under the pilot along with a dedicated office or person with the ability to make decisions when an impasse across offices exists. Similarly, a senior VHA official told us that leadership roles and responsibilities for the pilot are not fully understood within the agency, which has made establishing partnerships under the pilot a challenge. For example, both VA officials and Omaha donor group representatives identified the lack of a senior-level leader for the pilot as a challenge and emphasized the need for strong pilot leadership going forward. Now that a CHIP-IN steering committee is being formed to provide pilot leadership, ORP officials intend to discuss committee members\u2019 roles and responsibilities. This discussion was planned for the first committee meeting but was rescheduled for the next meeting in October 2018. ORP officials, however, told us that they do not expect to assign individual members\u2019 roles and responsibilities until a future date. VA officials did not have a timeline for when committee or individual members\u2019 roles and responsibilities would be formally documented.", "ORP officials said that roles and responsibilities for the pilot have not been defined because after enactment of the CHIP-IN Act, their first priority was to engage the Omaha donor group and negotiate an agreement. Later, after the Omaha project was progressing, ORP officials said they turned their attention to formalizing the pilot program and identifying additional donation partnerships. While it is important to concentrate on completion of individual projects, it is also important to plan for the overall pilot\u2019s implementation\u2014to help ensure that the pilot\u2019s purpose and goals are met and in a timely manner. We have found that clarifying roles and responsibilities is an important activity in facilitating strong collaboration and building effective cross-functional teams. In addition, we have found that articulating roles and responsibilities is a powerful tool in collaboration and that it is beneficial to detail such collaborations in a formal, written document.", "Committed team members. Various VA offices and staff members have worked on the CHIP-IN pilot in addition to their other responsibilities, but several VA officials told us the resources currently dedicated to the pilot are insufficient. During our review, an ORP official told us that two ORP staff each spent about 4 to 6 hours per week on the pilot, as collateral duties. However, since that time, one of these two staff members has left the agency. A senior VA official told us that ORP and the Center for Strategic Partnerships could each use two to three more dedicated staff members to work solely on the pilot. While one ORP official said that additional staff would likely be assigned after other CHIP-IN projects are identified, a Center for Strategic Partnerships official said a specified percentage of staff time should be dedicated now to identifying potential donors. As mentioned above, VA officials told us they anticipate a working group will be part of the CHIP-IN steering committee and will serve as the dedicated team to implement the pilot. However, VA has not yet documented how it will staff the working group, including how it will obtain the needed expertise within its existing resources.", "According to one VA official, staff had not been initially dedicated to the pilot because the CHIP-IN Act did not provide resources to fund a dedicated team for the pilot, so VA has needed to implement the pilot within its existing resources. This VA official also told us that they were not certain VA could support a dedicated team with existing resources. Another official indicated that VA would need to consider how to incorporate CHIP-IN into the agency\u2019s operations if the pilot program were expanded beyond the initial pilot and then dedicate needed resources. Dedicating a strong and stable implementation team is important to ensuring that the effort receives the focused, full-time attention needed.", "Team members with relevant knowledge and expertise. As previously discussed, VA officials told us that it would be helpful for a CHIP-IN team to include stakeholders with certain expertise, such as marketing and philanthropic development experience. In addition, representatives from the Omaha donor group said going forward, proactive public relations expertise is needed from VA headquarters (in particular, for external communications outside of the partnership) to quickly and positively address any incidents that could negatively impact VA\u2019s ability to encourage donor participation in the pilot at the local level. For example, in the event of critical news reports about a local VA facility, such as what occurred in Omaha, donor group representatives said that additional public relations support would be helpful. VA officials also told us that a CHIP-IN team should be a collaborative effort across several offices. Specifically, one senior VA official said a cross-functional team with representation from ORP, CFM Operations, the Center for Strategic Partnerships, VHA, and the Office of Asset Enterprise Management (which has budget and finance expertise) would be useful in focusing and implementing the pilot. Leading practices for cross-functional teams include having members with a wide diversity of knowledge and expertise.", "Having a dedicated team or working group that consists of committed members with clear roles and responsibilities could assist VA in implementing the CHIP-IN pilot. For example, the working group could focus time and attention on strengthening design of the pilot program as a whole, instead of implementing projects on a piecemeal basis. Further, clearly identifying and documenting roles and responsibilities could help relevant stakeholders define and agree upon pilot objectives as well as an assessment methodology and evaluation plan. In addition, including stakeholders with relevant expertise on the dedicated team may assist VA in identifying viable projects and negotiating partnership agreements more readily."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The CHIP-IN pilot is a unique, time-limited opportunity for VA to test a new way of building needed medical facilities by using non-federal funding sources\u2014donors\u2014to leverage federal funds. Though the first project is still under way, stakeholders have already noted benefits of the donation partnership approach, including potential cost and time savings as well as learning about private sector practices that could be applied more broadly to VA construction. However, VA is not yet collecting the information it needs to support decisions by VA or Congress about the pilot. Without a strengthened pilot design\u2014including measurable objectives, an assessment methodology, and an evaluation plan\u2014that can help inform decisions about the scalability of the pilot, it may not be clear to VA and Congress whether the CHIP-IN approach could be part of a longer-term strategy or how lessons learned could enhance other VA construction efforts. While leadership for the pilot had not been previously assigned, a newly formed CHIP-IN steering committee is meant to focus on the pilot\u2019s implementation. Defining and documenting roles and responsibilities for this committee\u2014and identifying the resources needed to effectively implement the pilot\u2014could assist VA in partnering with additional donors and creating new opportunities to meet the urgent needs of veterans."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to VA.", "The Secretary of VA should ensure that internal stakeholders\u2014such as the CHIP-IN steering committee\u2019s members\u2014agree to and document clear, measurable objectives for the CHIP-IN pilot that will help inform decisions about whether and how to scale the program. (Recommendation 1)", "The Secretary of VA should ensure that internal stakeholders\u2014such as the CHIP-IN steering committee\u2019s members\u2014develop an assessment methodology and an evaluation plan that are linked to objectives for the CHIP-IN pilot and that help inform decisions about whether and how to scale the program. (Recommendation 2)", "The Secretary of VA should ensure that the CHIP-IN steering committee documents the roles and responsibilities of its members and identifies available staff resources, including any additional expertise and skills that are needed to implement the CHIP-IN pilot program. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for comment. In its written comments, reproduced in appendix I, VA concurred with our recommendations and stated that it has begun or is planning to take actions to address them. VA also provided a general comment on the role of VHA in the CHIP-IN pilot, which we incorporated in our report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions regarding this report, please contact me at (213) 830-1011 or vonaha@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Vetera ns Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cathy Colwell (Assistant Director), Kate Perl (Analyst in Charge), Melissa Bodeau, Jennifer Clayborne, Peter Del Toro, Shirley Hwang, Terence Lam, Malika Rice, Crystal Wesco, and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": ["A 2016 law allows a VA pilot program to accept donations for facility construction or improvements. In Omaha, Nebraska, one donor group\u2014in consultation with the VA\u2014is building an ambulatory care center. The VA and the donor group said this project is proceeding faster and at a lower cost than a typical VA project. However, VA officials said it is hard to find partners to make large donations.", "We made 3 recommendations, including ways to make the program's steering committee more effective at finding partners."]} {"id": "GAO-18-76", "url": "https://www.gao.gov/products/GAO-18-76", "title": "Small Business Contracting: SBA Efforts May Clarify the Assignment of Industry Codes, and Most Code Appeals Were Dismissed", "published_date": "2017-12-05T00:00:00", "released_date": "2018-01-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal regulations require that contracting officers assign the NAICS code that best describes the principal purpose of the acquisition. SBA's OHA is responsible for reviewing appeals of NAICS code assignments. Questions have been raised about whether agencies assign the appropriate NAICS codes to ID/IQ contracts with multiple task orders.", "GAO was asked to review several issues related to NAICS codes. In this report, GAO examines (1) what contracting officers consider when assigning NAICS codes to federal contracts and the status of efforts to clarify code assignment and (2) industry views on NAICS code assignment and the number and outcomes of appeals.", "GAO reviewed policies and procedures of the four agencies with the highest ID/IQ obligations from fiscal years 2011\u20132015: Army, Navy, Department of Homeland Security (DHS), and Department of Health and Human Services (HHS); reviewed one contract and 10 related task orders at each of the selected agencies and interviewed the related contracting officers; analyzed 2016 federal contracting data to identify commonly used NAICS codes and size standards; interviewed three industry groups and five firms that filed appeals for industry views on NAICS code assignment; and analyzed SBA decisions on NAICS code appeals in 2014\u20132016.", "The Department of Defense, DHS, and SBA had no comments on the report. The General Services Administration and HHS had technical comments, which we incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies' contracting officers consider various factors in assigning North American Industry Classification System (NAICS) codes to federal contracts, and the Small Business Administration (SBA) issued a rule in 2013 intended to clarify NAICS code assignment. NAICS codes are the basis for SBA's size standards; therefore, the code that the contracting officer assigns determines whether a firm is eligible for federal contracting preferences, such as small business set-asides. The contracting officers GAO interviewed cited several factors that affect their assignment of NAICS codes, including information on the work to be performed and input from agency small business specialists. However, they stated that assigning a NAICS code can be challenging when one or more codes could apply to a contract. In the 2013 rule, SBA clarified that under certain circumstances, contracting officers may assign more than one code to multiple-award contracts. Such contracts are awarded to two or more contractors under a single solicitation and include indefinite delivery/indefinite quantity (ID/IQ) contracts used when quantities and timing are not known at the time of the award. However, updates to the Federal Acquisition Regulation (FAR)\u2014the rules governing the federal government's purchasing process\u2014are required to fully implement SBA's final rule. The agencies GAO interviewed plan to implement this rule after it is adopted into the FAR and they can make necessary updates to their information technology for contracting. This FAR rule-making process is ongoing.", "Some industry groups and firms GAO interviewed expressed concerns about how contracting officers assign NAICS codes, but SBA's Office of Hearings and Appeals (OHA) dismissed most appeals and denied more than half of the remaining appeals. Some industry groups and firms GAO interviewed expressed concerns that contracting officers may assign NAICS codes based on the size standard (thereby affecting the number of firms that can compete as a small business) and not the work to be performed. However, some also stated it was difficult to determine how often this practice occurs, and OHA officials noted it is the office's role to review the appropriateness of appealed NAICS codes, not the contracting officer's intention when assigning the code. Of the 62 NAICS code appeals that were filed in calendar years 2014\u20132016, OHA dismissed 35, denied 15, and granted 12 (see fig.). Appeals were dismissed because, among other things, they were untimely or the contracting officer cancelled the acquisition."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2016, about $100 billion in federal contracts were awarded to small businesses. The Small Business Administration (SBA) uses the North American Industry Classification System (NAICS), the federal standard for classifying businesses by industries, as the basis for its small business size standards. Size standards determine eligibility for receiving federal contracting preferences, such as small business set-asides. The Federal Acquisition Regulation (FAR)\u2014the principal set of rules governing the federal acquisition process\u2014requires that contracting officers assign the NAICS code that best describes the principal purpose of the product or service being acquired. The contracting officer\u2019s code assignment is final unless SBA or an affected firm files an appeal. SBA\u2019s Office of Hearings and Appeals (OHA) reviews appeals of NAICS code assignments.", "Questions have been raised about the extent to which contracting officers choose a NAICS code because they want a certain size standard, not because it best describes the principal purpose of the acquisition. Questions have also been raised about the assignment of NAICS codes to indefinite delivery/indefinite quantity (ID/IQ) contracts, which are awarded to one or more firms for the same or similar products or services and are used when the exact times and quantities of future deliveries are not known at the time of award. These contracts may consist of multiple awards and orders, and one concern is that the NAICS code assigned to a contract may not represent the work performed under the majority of the orders.", "You asked us to review several issues related to NAICS codes. In this report, we examine (1) what contracting officers consider when assigning NAICS codes to federal contracts and the status of efforts to clarify code assignment and (2) industry views on NAICS code assignment and the number and outcomes of appeals filed with SBA OHA.", "For our first objective, we reviewed federal laws and regulations related to NAICS code assignment and relevant policies and procedures from the four agencies with the highest ID/IQ obligations from fiscal years 2011\u2013 2015 (the 5 most recent years of data available from the Federal Procurement Data System-Next Generation (FPDS-NG) when we began our review): Army, Navy, Department of Homeland Security (DHS), and Department of Health and Human Services (HHS). To understand how these selected agencies assign NAICS codes to contracts, we reviewed contract documentation, such as acquisition plans and market research documents, for one ID/IQ contract from each of the agencies and interviewed the relevant contracting officers, small business specialists, and SBA procurement center representatives (PCR). We also selected and reviewed 10 orders from each contract and compared the order purposes to the base award purposes. To determine the status of ongoing efforts to clarify code assignment, we reviewed proposed and final regulatory changes and interviewed officials at SBA and the General Services Administration (GSA) (the agency responsible for managing the operation, maintenance, and updating of FPDS-NG). To assess the reliability of the FPDS-NG data we used, we conducted electronic testing for missing data, outliers, and inconsistent coding, and compared the data on selected contracts to contract documentation we obtained. We determined that these data were sufficiently reliable for the purposes of determining ID/IQ obligations and identifying trends in NAICS codes assigned (as discussed below).", "For our second objective, we interviewed officials from three industry groups and five firms that filed NAICS code appeals during calendar years 2014\u20132016 (the 3 most recent years of data available). To identify commonly used NAICS codes and commonly used size standards, we analyzed data from FPDS-NG to identify the top NAICS codes by obligations and by number of contracts awarded in fiscal year 2016. To assess whether contracting officers were more likely to use a NAICS code after the corresponding size standard increased, we analyzed FPDS-NG data on fiscal year 2009\u20132016 obligations and number of contracts awarded for NAICS codes with size standards that SBA increased in 2012. To understand SBA OHA\u2019s process for reviewing NAICS code appeals, we reviewed federal regulations and interviewed OHA officials. For context, we compared OHA\u2019s process for NAICS codes appeals to its processes for other types of appeals. To identify the number and outcomes of NAICS code appeals, we analyzed SBA\u2019s OHA decisions on NAICS code appeals filed during calendar years 2014\u20132016. Appendix I provides additional details on our scope and methodology.", "We conducted this performance audit from October 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based in our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "NAICS Codes and SBA\u2019s Size Standards", "paragraphs": ["The Economic Classification Policy Committee of the Office of Management and Budget (OMB), Statistics Canada, and Mexico\u2019s Instituto Nacional de Estadistica y Geografia developed NAICS codes as a standard for collecting and analyzing data describing the economies of North American countries. The U.S Census Bureau assigns a 6-digit NAICS code to each industry based on its primary activity that generates the most revenue. The Economic Classification Policy Committee reviews NAICS codes every 5 years for potential revisions to ensure the relevance, accuracy, and timeliness of the classifications.", "Additionally, SBA uses NAICS codes as the basis for its small business size standards. The Small Business Act authorizes SBA to establish size standards for determining eligibility for federal small business assistance, including contracting preferences. Size standards vary by industry and are generally expressed either as the average number of employees over a 12-month period or the average annual receipts in the previous 3 years. For certain codes, there are more than one size standard. SBA refers to these additional size standards as exceptions. For example, NAICS code 541712 (Research and Development in the Physical, Engineering, and Life Sciences, Except Biotechnology) with a general size standard of 1,000 employees has three exceptions related to aircraft and aircraft engines (1,500 employees), other aircraft parts (1,250 employees), and guided missiles and space vehicles (1,250 employees). The Small Business Jobs Act of 2010 requires SBA to review at least one-third of all size standards during every 18-month period from the date of its enactment and to review all size standards at least every 5 years. SBA has completed the first 5-year review of all size standards.", "To help ensure that small businesses receive a share of federal procurement contract dollars, Congress has set an annual government- wide goal of awarding not less than 23 percent of prime contract dollars to small businesses. For firms to compete for government contracts set aside for small businesses, these firms have to meet the small business size standard for the procurement and have the capacity to provide the goods and services."], "subsections": []}, {"section_title": "Indefinite Delivery/Indefinite Quantity (ID/IQ) Contracts", "paragraphs": ["ID/IQ contracts provide flexibility in cases where the government cannot determine the exact quantities and required timing for a product or service. We found in 2017 that from fiscal years 2011 through 2015, the proportion of spending by federal agencies on ID/IQ contracts remained stable and accounted for about a third (more than $130 billion annually) of total government contract obligations. Contracting officers may award either a single-award or multiple-award ID/IQ contract to meet procurement needs. Single-award ID/IQ contracts refer to situations when only one contract is awarded under a solicitation and are used in certain circumstances such as when only one contractor is capable of providing the product or service. Multiple-award ID/IQ contracts refer to situations when contracts are awarded to two or more contractors under a single solicitation. The FAR contains policies for using multiple-award ID/IQ contracts and states a preference for multiple-award (rather than single- award) ID/IQ contracts."], "subsections": []}, {"section_title": "NAICS Code Assignment and Acquisition Process", "paragraphs": ["Contracting officers have the authority to enter into, administer, or terminate contracts and are responsible for assigning the appropriate NAICS code and corresponding size standard to an acquisition. The FAR requires that contracting officers assign the NAICS code that best describes the principal purpose of the acquisition and states that the contracting officer\u2019s assignment of the NAICS code is final unless a person adversely affected by the decision or SBA files an appeal. The FAR states that when selecting the NAICS code, contracting officers are to give primary consideration to the industry descriptions in the NAICS Manual, the product or service description in the solicitation, the relative value and importance of the components of the procurement making up the end item being procured, and the function of the goods or services being purchased. It also notes that a procurement is usually classified according to the component that accounts for the greatest percentage of contract value.", "In addition to the contracting officer, a number of agency officials and offices provide input on the assignment of NAICS codes to federal contracts during different phases of the acquisition process (presolicitation, pre-award, and award) (see fig. 1).", "Presolicitation phase. The program office identifies a need and contacts the contracting officer for guidance on developing and preparing key acquisition documents, such as the market research report and acquisition plan. The contracting officer and program office may also seek advice from the small business specialist and assigned PCR. After the approval of the procurement request, the contracting officer and program office work together to revise planning documents as necessary. Also during the presolicitation phase, the contracting officer coordinates with agency small business specialists and SBA\u2019s assigned PCR using a small business coordination form. The contracting officer then publishes the presolicitation notice to summarize proposed contract actions.", "Pre-award phase. After the approval of the NAICS code, the contracting officer publishes the solicitation, which specifies the assigned NAICS code and corresponding size standard.", "Award phase. The agency awards the contract and publishes the award notice. Agencies use their contracting writing systems to execute the acquisition life-cycle from planning to contract award and use FPDS-NG to report contract awards.", "Firms interested in challenging a NAICS code assigned to a solicitation may file an appeal with SBA OHA. OHA was established in 1983 and is responsible for reviewing appeals of NAICS code assignments. OHA also reviews appeals of certain SBA program decisions such as size determinations; eligibility determinations for service-disabled veteran- owned (SDVO) small businesses, women-owned small businesses (WOSB), and economically disadvantaged women-owned small businesses (EDWOSB); and 8(a) business development program eligibility determinations, suspensions, and terminations."], "subsections": []}]}, {"section_title": "Contracting Officers Consider Various Factors When Assigning NAICS Codes, and SBA\u2019s 2013 Rule Provides Additional Guidance for Multiple-Award Contracts", "paragraphs": [], "subsections": [{"section_title": "Contracting Officers Consider Several Factors When Assigning NAICS Codes", "paragraphs": ["Officials at the Army, the Navy, DHS, and HHS stated that contracting officers refer to the FAR when assigning NAICS codes and consider a variety of factors. Additionally, in 2010 the Department of Defense (DOD) disseminated a memorandum to its components, which include the Army and the Navy, reiterating the process for determining the size status of contractors, including the requirement that contracting officers determine the appropriate NAICS code and related small business size standard and include them in solicitations. Although these agencies did not have training that specifically focused on NAICS codes, the training for contracting officers included discussion of NAICS code assignment.", "Contracting officers at these four agencies cited several factors, including a contract\u2019s scope of work, that are involved in determining the NAICS code for a contract solicitation or an order:", "Statements of work and market research reports. The contracting officers we interviewed at all four agencies stated that they review the statements of work and assign the code that represents the majority of the work. One contracting officer stated that she also reviews the market research report when assigning the NAICS code. All of the contracting officers we interviewed at the four agencies stated that the market research reports usually include the relevant NAICS code. We found evidence of market research for two of the four contracts that we reviewed and found that the market research reports included the NAICS codes assigned to the contracts. Navy and HHS contracting officers were unable to provide evidence of market research for the contracts included in our review. Navy officials stated that the contracting team conducted market research but was unable to find copies of the documents. The HHS contracting officer stated that he conducted market research for the contract, but did not document it in a market research report. Instead, he noted in the small business coordination form that he reviewed prior or similar acquisitions as part of efforts to locate small business sources.", "Input from small business specialists. These four agencies\u2019 contracting officers consult with their agencies\u2019 small business specialists when deciding the NAICS code for a contract. Each of the four agencies we reviewed required their contracting officers to complete small business coordination forms prior to issuing solicitations for their agencies. When completing the forms, contracting officers must include the NAICS code designation and the corresponding size standard. Small business specialists must review the form before the contracting officer can issue the solicitation. All four agencies provided small business coordination forms related to the selected contract we reviewed. Additionally, each form included the signature of the small business specialist and listed the NAICS code and size standard, as required.", "All four of the agencies\u2019 small business specialists we interviewed stated that they rarely disagreed with contracting officers on NAICS code assignments. They also noted that they coordinate with contracting officers on the NAICS code early in the acquisition process, for example, during market research. If they are unable to reach agreement on the code assignment, the specialists can elevate their concerns to the SBA PCR assigned to the office. According to SBA officials, the PCR will examine the research and either concur with the decision or file an appeal to the contracting officer. None of the specialists we interviewed had elevated any concerns to their PCR.", "Contract writing system requirements. The contracting officers we interviewed at all four agencies stated that they assign a single NAICS code for each solicitation, including for multiple-award contracts, because their contract writing systems and FPDS-NG do not allow them to enter more than one code per contract. While acquisition officials at each agency confirmed that contracting officers can assign only one code per multiple-award contract in their contract writing systems, they noted that contracting officers may list multiple codes for a multiple-award contract in the solicitation.", "Codes assigned to other contracts. Contracting officers we interviewed at all four agencies stated that if the solicitation is for a recurring contract, they refer to the previously assigned code. Two of the four contracting officers also consider the codes assigned to other contracts within their agencies that consisted of similar work.", "The purpose of the order. To issue an order under a contract, the purpose of the order must be within the scope of the underlying base contract. The four contracts we reviewed all had one NAICS code. The contracting officers we interviewed at all four agencies stated that if an order did not relate to the base award\u2019s statement of work or NAICS code, they would award the order through another existing contract or award a new contract. We reviewed 10 orders from each of the four selected contracts and found that all 40 of the orders appeared to reflect the purpose of the base award and appeared to relate to the assigned NAICS code.", "However, the contracting officers we interviewed at two of the four agencies noted some challenges in assigning NAICS codes. They stated that because NAICS code definitions are broad, sometimes more than one code could be assigned to a solicitation. In reviewing the 40 orders associated with the four contracts we selected, we noted that in some instances more than one code could appear to apply to a contract. For example, the purpose of one order was to provide recommendations on design, testing, and evaluation in support of engineering activities. We found that this order could relate to the Research and Development in the Physical, Engineering, and Life Sciences (Except Biotechnology) code that was assigned as well as to the Engineering Services code because both include studies and development using engineering sciences. One contracting officer also noted that assigning the NAICS code is subjective and two different contracting officers could review the same contract and find different codes to be appropriate. We also noted this in reviewing our sample of orders. We found that some orders had similar purposes but were assigned different NAICS codes with different corresponding size standards. For example, as shown in table 1, we found two orders related to the installation of closed-circuit TV systems that had different NAICS codes.", "Three of the four contracting officers we interviewed stated that there are no unique challenges associated with assigning NAICS codes to ID/IQ contracts compared to other contracts. However, one small business specialist noted that assigning NAICS codes to ID/IQ contracts may be challenging for contracting officers because the statements of work may cover more than one code. One contracting officer we interviewed also stated that it can be challenging to assign NAICS codes to ID/IQ contracts because it is difficult to predict the nature of future orders associated with the base award, especially for research and development contracts."], "subsections": []}, {"section_title": "SBA\u2019s 2013 Rule May Clarify NAICS Code Assignments on Multiple- Award Contracts", "paragraphs": ["In 2013, SBA issued a rule on assigning NAICS codes to multiple-award contracts that may further clarify code assignment for contracting officers. The purpose of the rule was to implement the Small Business Jobs Act of 2010, which amended the Small Business Act to allow small business set-asides for parts of multiple-award contracts, for orders placed against multiple-award contracts, and for reserving one or more contract awards for small business concerns. The final rule clarifies that if a multiple- award contract consists of discrete categories, contracting officers may assign a different NAICS code and corresponding size standard to each category. Additionally, under the final rule, contracting officers may issue orders under each category as long as the category\u2019s NAICS code matches the order\u2019s NAICS code. SBA officials stated that they developed the rule because contracting officers were unclear on how to assign NAICS codes to orders from multiple-award contracts.", "Updates to the FAR and FPDS-NG are required to fully implement the portion of SBA\u2019s final rule related to NAICS codes. In a 2016 proposed rule to update the FAR, DOD, GSA, and the National Aeronautics and Space Administration (NASA) proposed changes to implement SBA\u2019s 2013 rule and stated that enhancements to federal data systems were in process. In June 2017, GSA officials told us that updates to FPDS-NG would be required because the system does not currently allow agencies to assign a NAICS code to an order that differs from the code assigned to the base contract. They also told us that GSA was working on a new version of FPDS-NG that would allow contracting officers to assign NAICS codes to orders that differ from the code assigned to the base contract. SBA officials told us that this planned change would be responsive to their rule. As of mid-November 2017, the final FAR rule had not been issued, and updates to FPDS-NG will depend on the final rule. The four agencies we interviewed were aware of SBA\u2019s 2013 final rule and the 2016 proposed update to the FAR, and stated they would apply the guidance in the rule and update their contract writing systems once the FAR update was finalized."], "subsections": []}]}, {"section_title": "Some Stakeholders Expressed Concerns about NAICS Code Assignments, but Few Appeals Have Been Filed", "paragraphs": [], "subsections": [{"section_title": "Some Industry Groups and Firms Expressed Concern That Contracting Officers Assign NAICS Codes Based on Size Standards", "paragraphs": ["Some of the stakeholders we interviewed\u2014three industry groups and five small businesses that had filed NAICS code appeals (appellants)\u2014 expressed concern that some contracting officers assign NAICS codes because they want specific size standards, not because they are the most appropriate codes, but several also stated it was difficult to determine how often this occurs. Specifically, the three industry groups and four of the five appellants we interviewed contended that contracting officers in some instances assign NAICS codes that allow them to make an award to a firm that would not be considered a small business under the \u201cappropriate\u201d code. Conversely, an official of one firm we interviewed told us that contracting officers in some instances assign NAICS codes with smaller size standards to limit competition for a contract. Because agencies have a federal mandate to meet small business contracting goals, contracting officers are required to provide maximum practicable opportunity to award contracts to small businesses in support of those goals.", "The following are specific concerns that industry groups and firms expressed:", "Ambiguous and overlapping language. An official from one firm told us that the language in the NAICS Manual can be ambiguous and noted overlap in the descriptions of certain codes with different size standards. For example, NAICS codes 541330 (Engineering Services) and 541712 (Research and Development in the Physical, Engineering and Life Sciences except Biotechnology) both include engineering, but have different size standards ($15 million and 1,000 employees, respectively). An official from another firm stated that the broad NAICS code descriptions result in solicitations that describe identical work having different NAICS codes and size standards. One industry group official stated that the practice of assigning a code based on the size standard and not the principal purpose is particularly a concern for research and development, professional services, and construction contracts. The definitions of the NAICS codes for these industries are broad and there is some overlap. For example, the Professional, Scientific, and Technical Services sector (Sector 54) includes research and development, engineering, legal and accounting, and computer systems design services, among other services. The Construction sector (Sector 23) also includes engineering services in addition to housing construction, water and sewer line construction, and plumbing and heating contractors.", "Preference for incumbent. Officials from two firms we interviewed told us that when recompeting an existing contract, the contracting officer may choose the NAICS code that best positions the incumbent company to compete rather than the code that best represents the work. Officials of one of these firms also stated that they are concerned when the NAICS code assigned to an existing contract that is being recompeted has changed and, in their opinion, the body of work to be performed under the new contract remains the same as the existing contract.", "Need to select multiple NAICS codes. In addition, one firm we interviewed stated that it is difficult to predict the code that a contracting officer will use for a procurement. Therefore, the firm selects multiple NAICS codes in its SAM entity registration so contracting officers will consider it for a variety of contracts. The other four firms we interviewed also told us that they selected multiple NAICS codes in SAM. As shown in table 2, a hypothetical firm that has 450 employees and revenue of $200 million would be a small business under some NAICS codes and large under other codes. Certain NAICS codes such as 541330 (Engineering Services) have exceptions to accommodate military procurement needs.", "However, one industry group and some firms stated that it is difficult to determine how often the practice of assigning a code based on the size standard and not the principal purpose occurs. Industry groups and firms also acknowledged that other factors could lead to the assignment of inappropriate NAICS codes. For example, one industry group official stated that human error, not ill intentions, may lead to the assignment of inappropriate codes. In addition, two firms we interviewed cited the inexperience of some contracting officers as a cause. One of these firms also noted that there could be legitimate disagreements about the appropriate NAICS code because individuals can perceive the nature of the work differently, including what is the preponderance of work to be performed. Another industry group official noted that the intended use of NAICS codes is for statistical purposes, not procurement, and as a result, the codes do not always align with procurement needs and the contracting marketplace. OHA officials acknowledged that assigning codes based on size standards may occur, but noted that it is OHA\u2019s role to review the appropriateness of appealed NAICS code assignments, not the contracting officer\u2019s intention behind assigning the code. As discussed in more detail later in this report, the standard for OHA\u2019s review is whether the NAICS code designation was based on clear error of fact or law.", "When we shared stakeholders\u2019 concerns about the assignment of NAICS codes with officials at the four agencies we reviewed and SBA, officials at three of the five agencies told us that they did not agree with some of the concerns. For example, DHS officials said that some of the observations\u2014particularly the statement that contracting officers may assign the NAICS code that best positions the incumbent company to compete for the contract\u2014were unfair and could be taken out of context. HHS officials told us they did not believe that contracting officers at HHS assign NAICS codes because they want specific size standards. SBA officials also questioned the stakeholders\u2019 statements and pointed to the results of NAICS code appeals as an indication that the practice of assigning NAICS codes based on the size standard was not widespread.", "In addition, we analyzed the use of NAICS codes from fiscal years 2009\u2013 2016 to determine whether contracting officers used NAICS codes whose size standard increased in 2012 more often than codes whose size standard did not increase. We selected three sectors with size standard increases in 2012 (Sectors 48\u201349 and 54) for this analysis because these sectors were among the first that SBA reviewed and adjusted. We found that the proportion of obligations and new contracts, respectively, related to NAICS codes with size standards that increased in 2012 remained relatively consistent for Sector 54 and increased for Sectors 48\u201349 after the size increase. See appendix II for more details."], "subsections": []}, {"section_title": "SBA\u2019s Process for NAICS Code Appeals Includes Expediting Them", "paragraphs": ["According to OHA officials, OHA expedites NAICS code appeals over other appeals it receives, issuing the decision as soon as practicable because the decision is effectively moot if it is not made before offers are due. They stated that the NAICS code appeal process takes an average of 18 to 30 days to complete, depending on the complexity of the appeal. SBA\u2019s process for NAICS code appeals includes (1) determining if appeals are timely and within OHA\u2019s jurisdiction, (2) determining if the appellant is adversely affected by the assignment, and (3) expediting NAICS code appeals that are accepted. Interested parties filing a NAICS code appeal do not have to follow a particular format, but the appeal must include the following information: the solicitation or contract number; the name, address, and telephone number of the contracting officer; a full and specific statement as to why the NAICS code designation is alleged to be in error, and argument in support of such allegations; and the name, address, and telephone number of the appellant or its attorney.", "Once an appeal is filed, an administrative judge is assigned to adjudicate it. The judge issues a Notice and Order informing the parties of the filing of the appeal petition, establishing the close of record as 15 days after service of the Notice and Order, and informing the parties that OHA must receive any responses to the appeal petition no later than the close of record. Upon receiving notice of the appeal, the contracting officer must place a hold on the solicitation; inform the public about the appeal and the procedures and deadline for interested parties to submit arguments concerning the appeal; and send OHA copies of the solicitation and inform them of any amendments, actions, and developments concerning the procurement in question. When reviewing NAICS code appeals, the judge first considers whether the appeal is timely and within OHA\u2019s jurisdiction. SBA regulations define timely appeals as those that are filed within 10 calendar days after issuance of the solicitation or amendment to the solicitation affecting the NAICS code. According to OHA officials, because the office has jurisdiction over small businesses only, large businesses cannot file appeals. If the appeal is untimely or outside OHA\u2019s jurisdiction, the appeal is dismissed.", "If the appeal is not dismissed, OHA officials told us the judge then reviews the NAICS Manual, SBA regulations on size standards, OHA precedent, and the written records to make a final and independent decision. The standard of review is whether the NAICS code designation was based on clear error of fact or law. If there was no clear error of fact or law, OHA will deny the appeal. If it finds a clear error of fact or law, OHA will grant the appeal (see fig. 2).", "We found that OHA\u2019s process for reviewing NAICS code appeals is generally similar to other types of OHA appeals (see table 3). For example, NAICS code appeals and other SBA appeals generally must be filed by an interested party that has been adversely affected. In addition, NAICS code appeals and some other SBA appeals must be filed within 10 calendar or business days. NAICS code appeals are different from other SBA appeals in that OHA is adjudicating an action taken by a contracting agency as opposed to a determination made by an SBA official.", "Four of the five firms (appellants) that we interviewed to discuss their experience with NAICS code appeals were generally satisfied with the appeals process. Of the five appellants, four used a legal counsel and expressed general satisfaction with the time frames for filing a NAICS code appeal. Four of the five appellants noted that filing within the 10 calendar days was not a challenge, two of them indicating that they had known about the code for some time because it was included in the agency\u2019s request for information or proposals. Three of the four firms that used a legal counsel also told us the NAICS code filing process was straightforward. However, the remaining appellant said that 10 calendar days was not enough time. In addition, two appellants noted that firms may not file appeals because they are concerned that filing an appeal will affect their ability to receive future awards from the contracting officer."], "subsections": []}, {"section_title": "Few NAICS Code Appeals Were Filed, and Most Were Dismissed or Denied", "paragraphs": ["Of the 62 NAICS code appeals filed during calendar years 2014\u20132016, the majority were dismissed or denied. During this same time period, approximately 1.4 million new federal contracts were awarded, and 284 other types of appeals were filed with OHA.", "The majority of NAICS code appeals were dismissed, and less than half of the remaining appeals were granted (see fig. 3).", "Thirty-five appeals were dismissed for procedural reasons. For example, OHA dismissed NAICS code appeals that were not filed before the 10 calendar day deadline.", "Fifteen appeals were denied, meaning that OHA determined that the NAICS code designation was not based on a clear error of fact or law.", "Twelve appeals were granted, meaning that OHA determined that the NAICS code designation was based on a clear error of fact or law."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We requested comments from DOD, DHS, GSA, HHS, and SBA on a draft of this report. DOD, DHS, and SBA had no comments on the draft report. GSA and HHS provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to DOD, DHS, GSA, HHS, and SBA and appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-8678 or shearw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what contracting officers consider when assigning North American Industry Classification System (NAICS) codes to federal contracts and the status of efforts to clarify code assignment and (2) stakeholder views on NAICS code assignment and the number and outcomes of appeals filed with the Small Business Administration\u2019s (SBA) Office of Hearings and Appeals (OHA).", "For our first objective, we reviewed federal laws and regulations related to NAICS code assignment and relevant policies and procedures from the four agencies with the highest indefinite delivery/indefinite quantity (ID/IQ) contract obligations from fiscal years 2011\u20132015 (the 5 most recent years of Federal Procurement Data System-Next Generation (FPDS-NG) data available when we began our review): Army, Navy, Department of Homeland Security (DHS), and Department of Health and Human Services (HHS). These agencies accounted for approximately $347 billion in obligations and 47 percent of all ID/IQ obligations in fiscal years 2011\u20132015. To understand how these selected agencies assign NAICS codes to contracts, we reviewed contract documentation, such as acquisition plans and market research documents, for one ID/IQ contract from each of the agencies (see table 4).", "We selected the four contracts we reviewed based on (1) whether they had small business set-asides, (2) the NAICS code, and (3) the number of orders. We selected contracts to obtain a mix of assigned NAICS codes and corresponding size standards. We selected contracts awarded in fiscal years 2014 and 2015 with codes from NAICS industry Sector 54 (Professional, Scientific, and Technical Services) because this sector accounted for half of the 10 NAICS codes with the highest ID/IQ obligations from fiscal years 2011\u20132015 (see table 5). We focused on ID/IQ contracts for our contract review because orders for these contracts are ordered after the base contract is awarded, potentially leading to challenges when assigning the NAICS code.", "We interviewed contracting officers, small business specialists, and SBA procurement center representatives (PCR) associated with each contract. Of the contracting officers who assigned the NAICS codes to the selected contracts, three no longer worked at the agencies. As such, we interviewed the contracting officer currently assigned to the contract. We also interviewed either the small business specialist who reviewed the NAICS code assignment or the specialist currently responsible for the contract or program office.", "To understand how orders relate to the base awards and their NAICS codes, we reviewed 10 orders from each contract and compared each order\u2019s purposes to the base award purposes and to the NAICS code definition. We selected a mix of (1) orders that had product and service codes different from the codes assigned to the majority of the contract\u2019s orders or did not contain key words contained in the contract\u2019s statement of work and (2) orders that were the top orders in terms of obligations. To determine the status of ongoing efforts to clarify code assignment, we reviewed proposed and final regulatory changes to NAICS code assignment and interviewed officials at SBA and the General Services Administration (the agency responsible for managing the operation, maintenance, and updating of FPDS-NG).", "For our second objective, to understand stakeholders\u2019 views on NAICS code assignment, we interviewed officials from three industry groups and five firms that filed NAICS code appeals during calendar years 2014\u2013 2016 (the 3 most recent years of data available). We selected three industry groups to interview that were small business trade associations or contracting interest groups with information on their websites about NAICS codes. We interviewed 5 of the 14 firms that filed appeals in calendar years 2014\u20132016 of NAICS codes in Sector 54 (the sector with the most appeal decisions). We selected these firms to get a variety of results (granted, denied, or dismissed) and focused on firms that had filed multiple appeals or recent appeals.", "To identify commonly used NAICS codes and commonly used size standards, we analyzed data from FPDS-NG to identify the top NAICS codes by obligations and by number of contracts awarded in fiscal year 2016. To assess whether contracting officers were more likely to use a NAICS code when the corresponding size standard increased, we analyzed fiscal year 2009\u20132016 obligations and number of contracts awarded for NAICS codes in three sectors with size standards that SBA increased in 2012. We assessed the reliability of the FPDS-NG data we used by electronically testing for missing data, outliers, and inconsistent coding, and by comparing the data on selected contracts to contract documentation we obtained, including the NAICS code and whether or not the contract was an ID/IQ contract. We determined that the data were sufficiently reliable for the purposes of identifying trends in NAICS codes assigned.", "To understand SBA OHA\u2019s process for reviewing NAICS code appeals, we reviewed federal regulations and interviewed OHA officials. For context, we compared OHA\u2019s process for NAICS code appeals to its processes for other types of appeals. To identify the number and outcomes of NAICS code appeals, we obtained and analyzed SBA\u2019s OHA decisions on NAICS code appeals filed during calendar years 2014\u20132016. We summarized the year, agency, outcome, and challenged code for each of the decisions in this time period.", "We conducted this performance audit from October 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based in our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Analysis of Federal Procurement Data System-Next Generation Data on North American Industry Classification System Code Assignments", "paragraphs": ["In this appendix, we present analyses of FPDS-NG data on NAICS codes by obligations and number of contracts awarded. Specifically, we analyzed (1) FPDS-NG data for fiscal year 2016 to determine commonly used NAICS codes and size standards and (2) FPDS-NG data for fiscal years 2009 through 2016 to determine whether selected NAICS codes were used more often when the corresponding size standards increased."], "subsections": [{"section_title": "Commonly Used NAICS Codes", "paragraphs": ["Tables 6 and 7 contain data on the top 50 NAICS codes by obligations and number of new contracts awarded, respectively, in fiscal year 2016.", "Tables 8 and 9 contain data on commonly used revenue-based size standards and employee-based size standards by obligations.", "Tables 10 and 11 contain data on commonly used revenue-based size standards and employee-based size standards by new contracts awarded."], "subsections": []}, {"section_title": "Use of NAICS Codes with Size Standard Increases in 2012", "paragraphs": ["Industry stakeholders we interviewed stated that contracting officers may assign NAICS codes because they want specific and usually higher size standards, not because they are the most appropriate codes. We analyzed the use of NAICS codes from fiscal years 2009\u20132016 to determine whether contracting officers used NAICS codes whose size standard increased in 2012 more often than codes whose size standard did not increase. We selected three sectors with size standard increases in 2012 (Sectors 48\u201349 and 54) for this analysis because these sectors were among the first that the Small Business Administration reviewed and adjusted. As shown in figures 4 and 5, the proportion of obligations and new contracts, respectively, with NAICS codes where size standards increased in 2012 remained relatively consistent for Sector 54 and increased for Sectors 48\u201349 after the size increase."], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Paige Smith (Assistant Director), Juliann Vadera (Analyst in Charge), Pamela Davidson, Timothy DiNapoli, Suellen Foth, Julia Kennon, John McGrail, Marc Molino, Ifunanya Nwokedi, and Tovah Rom made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-304", "url": "https://www.gao.gov/products/GAO-18-304", "title": "Federal Buildings: Agencies Focus on Space Utilization As They Reduce Office and Warehouse Space", "published_date": "2018-03-08T00:00:00", "released_date": "2018-03-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government continues to work to reduce its real property inventory and associated costs. GSA provides space for agencies in government-owned and commercially leased buildings. In 2015, the OMB issued a memorandum requiring the 24 agencies with chief financial officers to reduce their domestic office and warehouse space. These agencies are required to set annual reduction targets for a 5-year time period and update their real property plans annually.", "GAO was asked to review the implementation of this space reduction initiative. This report discusses: (1) the approaches and any challenges the 24 agencies identified to achieving their reduction targets for all their domestic office and warehouse space; (2) the extent these agencies reduced their space and met their fiscal year 2016 targets; and (3) how GSA manages vacated space it had leased to these agencies.", "GAO conducted a content analysis of the 24 agencies' real property plans for fiscal years 2016 and 2017 and analyzed agencies' data as submitted to GSA on their targets and reductions for fiscal year 2016, the only year for which data were available. GAO selected five agencies as case studies based on several factors, including size of the agencies' office and warehouse portfolio, agency reduction targets, and fiscal year 2016 reported reductions. GAO reviewed relevant documentation and interviewed officials from GSA, OMB, and GAO's case study agencies. GAO provided a draft of this product to GSA, OMB, and our case study agencies for comment. GAO incorporated technical comments, as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Most of the 24 agencies with chief financial officers reported to the Office of Management and Budget (OMB) and the General Services Administration (GSA) that they planned to consolidate their office and warehouse space and allocate fewer square feet per employee as the key ways to achieve their space reduction targets. For example, the Department of Agriculture reported it will consolidate staff from five component agencies in two office buildings. When complete, the space allocated per employee will average about 250 square feet down from a high of 420 square feet per employee. In taking these actions, the agencies most often identified the cost of space reduction projects as a challenge to achieving their targets. Agencies cited costs such as for space renovations to accommodate more staff and required environmental clean-up before disposing of property as challenges to completing projects. Some agencies required to maintain offices across the country reported that their mission requirements limit their ability to reduce their space.", "In fiscal year 2016, 17 of the 24 agencies reported they reduced their space, but had varying success achieving their first-year targets. Of the 17 agencies, 9 exceeded their target and reduced more space than planned, 7 missed their target (by anywhere between 2.8 and 96.7 percent), and 1 reduced space, despite a targeted increase. Agency officials said that it is not unusual for projects to shift to different years and that such shifts could lead to missing targets one year and exceeding them the next.", "GSA has processes to manage the space vacated by agencies that is leased through GSA. For example, starting in November 2016, GSA started tracking agencies' space release requests centrally to help standardize the process and established an e-mail address to which agencies can submit requests. GSA relies on regional offices to manage real property in their regions and to identify tenants for vacant space or to remove unused space from the inventory. GSA's regional officials said regular monitoring and coordinating with agencies minimizes the likelihood GSA is caught off guard by a return of space. These processes also help them to plan ahead. GSA met its 2016 performance goal to have an annual vacant space rate of no more than 3.2 percent in its federally owned and leased buildings. However, given the recent implementation of the space reduction initiative, it is too early to determine the extent to which agencies will return space to GSA prior to the end of their leases and the effect on GSA's inventory."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is committed to reducing vacant and underutilized real property and its associated costs. Federal real property management has been on our High-Risk list since 2003, in part because we have found that the government maintains more property than it needs. In 2012, the Office of Management and Budget (OMB) directed the 24 Chief Financial Officers (CFO) Act agencies to \u201cfreeze\u201d their footprint and maintain their civilian real estate inventory at or below their then-current levels. In 2015, OMB issued its Reduce the Footprint (RTF) policy requiring the CFO Act agencies to set annual targets for reducing their portfolio of domestic office and warehouse space. As the federal government\u2019s principal landlord, the General Services Administration (GSA) plays a large role in providing space for agencies in both government-owned buildings that GSA leases to federal agencies and space GSA acquires in commercially-leased buildings for agencies.", "You asked us to review the implementation of the RTF policy to determine to what extent its goals are being met. This report determines: (1) the approaches and any challenges CFO Act agencies have identified to achieving their RTF-reduction targets for all their domestic office and warehouse space; (2) the extent to which these agencies reduced their space and met their fiscal year 2016 RTF targets; and (3) how GSA manages vacated space that it had leased to these agencies.", "To determine the approaches used and any challenges reported by agencies to achieving their RTF-reduction targets for all their domestic office and warehouse space, we conducted a content analysis of the 24 CFO Act agencies\u2019 5-year Real Property Efficiency Plans (Plan) for fiscal years 2016 and 2017. Each Plan describes the agency\u2019s overall strategic and tactical approach to managing its real property, provides a rationale for and justifies its optimum portfolio, and directs the identification and execution of real property disposals, efficiency improvements, and cost savings measures. The content analysis of the Plans helped us to understand the approaches agencies expected to use to reduce space, how space-reduction targets were set, and any challenges they experienced in reducing their space. We also selected five agencies as case studies to further understand their experiences in implementing the RTF policy. We selected the agencies using a variety of considerations such as diversity in the size of the agency\u2019s domestic office and warehouse portfolio, agency reduction targets, the extent to which the agency met its fiscal year 2016 RTF targets, types of real property authorities the agency has, as well as suggestions from GSA and OMB related to agencies\u2019 experiences. Based on these factors, our selected case study agencies included the: (1) Department of Commerce (Commerce); (2) Department of Energy (Energy); (3) Department of Housing and Urban Development (HUD); (4) Department of the Interior (Interior); and (5) Department of the Treasury (Treasury). While our case study agencies and their experiences reducing their space are not generalizable to all CFO Act agencies, they provide a range of examples of how a number of agencies are implementing the RTF policy.", "To determine the extent to which agencies reduced their space and met their fiscal year 2016 RTF office and warehouse reduction targets, we analyzed the 24 CFO Act agencies\u2019 data as submitted to GSA on their RTF targets and reported reductions. At the time of our review, fiscal year 2016 was the first and only year of RTF data available as the policy was implemented in March 2015. We conducted a data reliability assessment of the RTF data by interviewing GSA officials and reviewing documentation, and concluded the data were reliable for our purposes. We also interviewed officials at GSA, OMB, and our five selected case- study agencies to obtain supporting documentation and to improve our understanding of how agencies set their RTF targets, agencies\u2019 progress toward those targets, and the approaches used and challenges faced in meeting those targets. We also visited three office buildings occupied by our case study agencies in the Washington, D.C., area with ongoing or recently completed RTF projects. We selected the buildings based on recommendations from officials at our case study agencies.", "To determine how GSA manages vacated federally owned and commercially leased space that it had leased to agencies, we reviewed federal requirements and GSA policies and vacancy data. We conducted a data reliability assessment of GSA\u2019s vacancy and cost avoidance data by interviewing GSA officials and reviewing documentation, and concluded the data were reliable for our purposes. We also interviewed GSA headquarters and regional officials and obtained documentation on how GSA manages space returned by agencies. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government owns and leases hundreds of thousands of buildings across the country that cost billions of dollars annually to operate and maintain. In recent years, the federal government has taken steps to improve the management of federal real property and address long-standing issues by undertaking several government-wide initiatives and issuing memorandums to the CFO Act agencies. Within the executive branch, OMB and GSA provide leadership in managing federal real property. As the chief management office for the executive branch, OMB oversees how federal agencies devise, implement, manage, and evaluate programs and policies. OMB provides direction to federal agencies by, among other things, issuing policies and memorandums on real property management.", "In 2012, OMB issued a memorandum that required agencies to move aggressively to dispose of excess properties held by the federal government and more efficiently use real estate assets. This memorandum initially laid out the requirement to \u201cfreeze the footprint.\u201d In 2013, OMB issued a memorandum clarifying the Freeze the Footprint policy. This memorandum required agencies going forward to maintain no more than their fiscal year 2012 total square footage of domestic office and warehouse space. The policy required agencies to specifically identify existing properties to be disposed of to offset any new property acquisitions.", "In March 2015, OMB transitioned from freezing the federal government\u2019s real property footprint to reducing it. Specifically, OMB issued the National Strategy for the Efficient Use of Real Property (National Strategy) to provide a framework to guide agencies\u2019 real property management, increase efficient real property use, control costs, and reduce federal real property. The National Strategy outlined three key steps to improve real property management: (1) freeze growth in the inventory; (2) measure performance and use data to identify opportunities to improve the efficiency of the real property portfolio; and (3) reduce the size of the inventory by consolidating, co-locating, and disposing of properties.", "OMB also issued the RTF policy which clarified existing policy to dispose of excess properties and promote more efficient use of real property assets. The RTF policy requires agencies to: (1) submit annual Real Property Efficiency Plans (Plan) to GSA and OMB; (2) issue a policy that specifies a design standard for maximum useable square feet by workstation for use in domestic office space; (3) set and specify in their Plans annual reduction targets for their domestic office and warehouse space for a 5-year period; (4) set and specify in their Plans annual reduction targets for domestic owned building properties reported in the Federal Real Property Profile; and (5) continue to not increase the square footage of their domestic inventory of office and warehouse space. Additionally, agencies must identify in their Plans potential projects related to office and warehouse consolidation, co-location, disposal, as well as construction and acquisition efforts. OMB is responsible for reporting the progress of agencies\u2019 efforts in reducing the amount of federal real property space under the RTF policy.", "GSA has two key leadership responsibilities related to real property management. First, GSA\u2019s Public Buildings Service functions as the federal government\u2019s principal landlord. In this role, GSA acquires, manages, and disposes of federally owned real property for which it has custody and control on behalf of federal agencies that occupy the space. Additionally, GSA leases commercial buildings on behalf of agencies and manages the lease agreements. In these situations, GSA executes an occupancy agreement with a customer agency for each space assignment that is similar to a sublease between GSA and the agency. The occupancy agreement outlines both the financial specifics of the agreement and the responsibilities of GSA and the customer agency. There are certain unique advantages for customer agencies when GSA leases on their behalf. For example, GSA is able to enter into longer-term leases, and agencies can release space back to GSA with 4 months\u2019 written notice if certain conditions are met, relieving the agencies of the cost for the returned space. Second, GSA\u2019s Office of Government-wide Policy is responsible for, among other things, identifying, evaluating, and promoting best practices to improve the efficiency of management processes. In this policy role, GSA provides guidance for federal agencies and publishes performance measures. It also maintains the Federal Real Property Profile, a real property inventory database that contains information on federal real property government-wide."], "subsections": []}, {"section_title": "Agency Plans Identified Similar Strategies to More Efficiently Use Space and Common Challenges", "paragraphs": [], "subsections": [{"section_title": "Agencies Identified Space Consolidation, Co- location, or Property Disposal as Ways to Achieve Space Reductions", "paragraphs": ["Based on our review of agencies\u2019 2016 and 2017 Plans, we found that all 24 CFO Act agencies described strategies for reducing office and warehouse space. As previously mentioned, these annual Plans must include all potential projects related to office and warehouse consolidation, co-location, disposal, as well as construction and acquisition efforts. The agencies\u2019 Plans cited consolidation, co-location, and disposal as the primary means to reduce their office and warehouse space, activities mentioned in the National Strategy. Agencies also cited other methods, such as utilizing telework and decreasing the space they allocate per person to achieve space reductions.", "The space reduction strategies included most often in the Plans we reviewed include the following.", "Consolidation: All 24 agencies reported planned or ongoing efforts to reduce their space by consolidating their offices or operations. For example, we spoke with officials at HUD, which is in the process of consolidating staff from four offices in the National Capital Region into its 1.12-million square foot headquarters building in Washington, D.C. HUD started by remodeling one floor to create a more open floor plan and intends to apply this design throughout the building. As part of the consolidation project, HUD has reduced the size of some office cubicles from 64 square feet to 56 square feet. (See fig. 1.) HUD leases its space through GSA and estimates that it will be able to return about 175,000 square feet of unneeded space back to GSA once all four offices are closed. At that point, GSA would then bear the cost of the space and work to lease it to another agency or otherwise dispose of it. Once the project is completed, HUD estimated that its headquarters building will accommodate about 500 more personnel (for a total of 3,200) and reduce its annual lease payments by about $11 million.", "Fifteen of the 24 agencies identified consolidation opportunities outside of their headquarters buildings. For example, the Department of Agriculture (USDA) discussed a consolidation project involving five component agencies in Albuquerque, New Mexico, in its fiscal year 2017 Plan. According to USDA officials, four component agencies occupying nearly 44,500 square feet in one building were to be consolidated into about 34,000 square feet of space in another building already occupied by a different USDA agency. In the prior location, the multiple components spaces\u2019 square footage per person averaged 327, but the proposed consolidation would bring the utilization rate down to 255 square feet per person. USDA estimated that the consolidation project would result in about $238,000 in annual rent cost savings for the four components. Additionally, to enable this consolidation project, the component agency already occupying the building consolidated and vacated about 20,000 square feet, a move that resulted in an annual rental savings of about $500,000. In its fiscal year 2017 Plan, Interior\u2019s Bureau of Reclamation anticipated eliminating 87,000 square feet of office space by consolidating operations from two buildings in Denver, Colorado. Interior estimated that the consolidation will result in a 40 percent reduction in its overall utilization rate to 165 square feet per person and an annual cost savings of about $2.1 million.", "Co-location: Thirteen of the 24 agencies\u2019 Plans stated that they are exploring or implementing co-location projects to reduce space by merging staff from different components or agencies into another agency\u2019s space. For example, the Social Security Administration (SSA) recently initiated a co-location pilot program with the Internal Revenue Service (IRS) within Treasury to combine SSA field offices with IRS Taxpayer Assistance Centers. Co-location of operations can reduce the overall space required by allowing agencies to share common space such as waiting rooms, an action that can reduce rent and operating costs for the co-located agencies. Since the inception of the 1-year program in January 2017, four IRS offices are participating and have moved into SSA field offices. According to SSA, IRS and SSA staff have adjusted to sharing space and the IRS presence in SSA space has not affected SSA wait times or created security or parking issues. According to an IRS official, IRS employees continue all normal operations from their co-located offices with SSA, including meeting with taxpayers in-person. The official also noted that IRS has extended the terms of its agreement with SSA for an additional year. However, SSA noted that the agencies are still working through customer access issues that could determine whether it would be possible to expand the pilot program and pursue additional co-location opportunities. In another example, according to Interior officials, the U.S. Geological Survey is co-locating staff from Menlo Park, California, to a National Aeronautics and Space Administration facility in the nearby city of Mountain View, California. About 40 percent of the staff will move early in fiscal year 2019, and the U.S. Geological Survey expects the remaining staff to be co- located by the end of 2021. Interior officials estimate that the co- location will result in an overall reduction of 165,000 square feet (about 50 percent of its space) and expects to save about $12 to $14 million in annual rent costs.", "To help agencies identify potential co-location opportunities and work with other agencies to meet their space requirements, GSA developed and provided agencies access to its Asset Consolidation Tool in fiscal year 2015. This database tool provides agencies with information about federal spaces in their area, including the buildings\u2019 vacancy and utilization rates.", "Disposal of unneeded space: Thirteen of the 24 agencies reported that they plan to reduce their real property footprint by disposing of unneeded space, including selling or demolishing federal buildings or terminating leases, among other actions. For example, IRS has five tax submission-processing centers that receive all mailed income-tax returns and have warehouses that store the physical tax records. Each of these five processing centers, which include both office and warehouse spaces in multiple buildings, is approximately 500,000 square feet. According to IRS officials, 87 percent of all 2016 individual income-tax returns were filed electronically. As a result, the IRS plans to dispose of three of the five centers by 2024 to align with its reduced need for income-tax return processing and storage space.", "GSA has the statutory authority to dispose of property for all federal agencies and generally does so on their behalf. In addition, some federal agencies, such as Energy, or departmental components have statutory authority to dispose of buildings and other types of property and are not required to notify or use the services of GSA to complete the disposal.", "Better utilization of existing space: In their Plans, agencies also reported using tactical tools, such as incorporating space utilization rates into their capital-planning process, to identify opportunities to reduce space. For example, 22 of the 24 agencies reported incorporating office space design standards and agency utilization rates into their processes to identify space reduction opportunities. Agencies set their own space design standards and space utilization rates, which may vary based on agency mission requirements across their components. The RTF policy requires agencies to establish a design standard for the maximum workstation size, which should, at a minimum, be applied to all space renovations and new acquisitions. In addition, GSA has a recommended office space-utilization rate range of 150 to 200 square feet per person.", "Officials from our case study agencies noted several practices they said were helpful to identify opportunities to better utilize and ultimately reduce their space. For example, Commerce officials described developing a process for identifying and prioritizing space reduction opportunities using a two-factor matrix. Through this process, Commerce plans to target office space with a large number of employees and poor utilization rates (compared to its 170 square foot utilization rate). According to Commerce officials, these situations may offer the most opportunity for space reductions and achieving significant rent and operating cost savings, particularly in high-cost real estate markets. Using this process, Commerce identified the potential for reducing as much as 1.6-million square feet (16 percent) of its total office space within 52 high priority facilities. According to IRS, retirements, hiring freezes, budget reductions, and increased telework have resulted in excess space throughout its portfolio. In fiscal year 2016, IRS started using a Strategic Facility Plan model to help identify space reduction projects. IRS\u2019s objectives include consolidating multiple offices within a metropolitan area, closing outlying buildings, and leveraging telework, mobility, and its attrition rates. This model utilizes a template form to provide a consistent decision-making framework for assessing various options, articulating the rationale for selecting the preferred option, and documenting decisions and concurrence. According to IRS officials, this model has helped IRS to reduce a lot of its space.", "In 2014, GSA developed and provided agencies with access to the Real Property Management Tool, which can aid agencies that want to more effectively utilize their space. The database tool provides agencies with the capability to comprehensively view their real property portfolio by consolidating data from the assets that agencies directly manage with the assets that GSA manages on their behalf. As such, regardless of whether an agency initiated the action or GSA did so on its behalf, the tool gives an agency the ability to see all of its data, such as on expiring leases, in one place. The tool enables agencies to create individualized analytic reports allowing them to analyze the data in various ways.", "Teleworking and hoteling: Fifteen of the 24 agencies also described alternate workplace arrangements enabled by information technology, such as telework and hoteling, to help reduce office space. Telework is a work flexibility arrangement under which an employee performs their work responsibilities at an approved alternative worksite (e.g., home). Executive agencies are required to establish policies that authorize eligible employees to telework, determine the eligibility of all employees to participate in telework, and notify all employees of their eligibility. Federal law also requires that agencies consider whether space needs can be met using alternative workspace arrangements when deciding whether to acquire new space. As such, some agencies are eliminating designated offices for staff who primarily telework, a step that can improve space utilization. In a hoteling arrangement, employees use non-dedicated, non-permanent workspaces assigned for use by reservation and on an as needed basis. For example, the Office of Personnel Management implemented a workspace sharing initiative at one of its program offices. Staff who are not physically present in the office 4 or more days per week are required to share cubicles and offices. The Office of Personnel Management estimated that the initiative resulted in a 47 percent office space reduction for the program office."], "subsections": []}, {"section_title": "Cost and Mission Considerations Were Cited as Leading Challenges to Reducing Space", "paragraphs": ["As part of their fiscal year 2016 and 2017 Plans, the 24 CFO Act agencies also described the major challenges they anticipated facing in their efforts to meet their space reduction targets. The agencies most frequently cited the following challenges:", "Space reduction costs: Twenty of 24 agencies stated that the costs of space reduction projects pose a challenge. Agencies are generally responsible for the up-front costs associated with relocations and tenant improvements, such as acquiring new furniture and renovating existing areas to reduce space or to accommodate more personnel in a smaller area. For example, the Department of Labor (Labor) reported in its fiscal year 2017 Plan that it did not have sufficient funding to implement a space reduction project that would have reduced commercially leased office space by 4,000 square feet. Similarly, the Department of Veterans Affairs\u2019 fiscal year 2017 Plan noted that assuming a limited budget, large scale consolidations would be difficult to achieve.", "Some agencies have used or report that they intend to use funding from GSA\u2019s Consolidation Activities program to help fund their space reduction projects. According to GSA, from fiscal years 2014 to 2017, GSA\u2019s Consolidation Activities program funded projects that will eliminate 1.4-million rentable square feet from the GSA inventory and reduce agencies\u2019 annual rent payments by $54 million. According to the IRS, GSA\u2019s Consolidation funds have helped the agency reduce about 500,000 square feet of space. IRS officials noted that these funds helped the agency implement larger and more expensive space reduction projects than it would have been able to do otherwise. However, according to officials from several agencies, to use this program, agencies must also contribute funds to the projects. HUD officials stated that they considered applying for project funding through GSA but did not do so because HUD did not have sufficient funds for the agency\u2019s share of project costs.", "Three of the 24 agencies specifically noted that the cost to clean up environmentally contaminated buildings is a challenge to disposing of excess office and warehouse space. Agencies are required to consider the environmental impact of property disposals. We have previously found that assessments and remediation of contaminated properties can be expensive and complicate the disposal process. Also, agencies are responsible for supervising decontamination of excess and surplus real property that has been contaminated with hazardous materials of any sort. In its fiscal year 2017 Plan, Energy estimated that over 60 percent of its excess buildings require extensive decontamination prior to disposal. Overall, Energy projected that its total liability for environmental clean-up could cost more than $280 billion.", "Mission delivery: Thirteen of the 24 agencies reported that mission delivery requirements can also affect their ability to reduce space. Agency missions may require office locations in certain areas or require additional space to accommodate activities such as customer interactions. These requirements may preclude disposals or limit opportunities to reduce space. For example, in its fiscal year 2017 Plan, SSA stated that its efforts to reduce space are affected by its mission, which requires offices widely dispersed throughout the country to administer and support its benefit programs, among other things. SSA has about 1,500 office spaces nationwide, most of which require space to accommodate the public. SSA had an overall office space utilization rate of 301 square feet per person, which exceeded GSA\u2019s recommended office space utilization rate range of 150 to 200 square feet per person. USDA\u2019s fiscal year 2017 Plan stated that its missions require office space in rural areas to, among other things, provide program assistance and leadership on food, agriculture, natural resources, rural development, nutrition, and related issues. In its fiscal year 2017 Plan, USDA also observed that the real estate market in rural areas is less competitive than in urban areas because there are fewer rental options, a situation that can also drive up rent costs. As such, USDA noted that these factors may contribute to difficulties identifying disposal opportunities and finding alternate spaces that could allow for more effective space utilization.", "Employee organization concerns: Ten of the 24 agencies reported that considering employee organizations\u2019 concerns and addressing collective bargaining requirements when reconfiguring space can add time and affect the extent of their space reductions. For example, in its fiscal year 2017 Plan, SSA noted that the agency must meet with three employee unions when revising office space policies or design standards and collaborating with these organizations adds to the project\u2019s implementation timeline. In July 2017, we reported that SSA officials met with employee union groups about the impact of potential changes to its space configuration or usage. Officials said that while the interactions with the union groups were positive\u2014including gaining input on issues such as ergonomics, the security of field offices, and overall implementation\u2014at times, these negotiations caused delays to individual projects and complicated reduction efforts by requiring union buy-in. In addition, Labor reported in its fiscal year 2017 Plan that its collective bargaining agreement and agency mission requirements for offices and work stations do not always enable it to take advantage of the previously discussed GSA Consolidation Funding program as well as GSA\u2019s Total Workplace Furniture & Information Technology program. For example, the Total Workplace Furniture & Information Technology program requires that cubicles and offices must not exceed a specified square footage. However, according to Labor officials, Labor\u2019s Departmental Space Management Regulation requires a certain utilization rate per person which may make it challenging to also stay within the program\u2019s square footage requirements.", "Workload growth: Eight of the 24 agencies noted that increases in their workload limited their ability to achieve overall agency space reductions. For example, according to the Department of Justice\u2019s fiscal year 2017 Plan, the agency anticipated having to provide additional court rooms to support an increased volume of immigration cases and accommodate the additional immigration judges needed to handle that volume. The Department of Justice estimated that the space needed to accommodate the new judges and additional public areas could add about 155,000 square feet to its portfolio. Also, according to the Department of Health and Human Services\u2019 fiscal years 2016 and 2017 Plans, the Office of Medicare Hearings and Appeals experienced a 30 percent growth in cases and expected 1.2- million new cases annually after 2017. The Department of Health and Human Services projected that the growth in cases and additional staff needed to process the cases required additional field offices, which would increase its total office space square footage."], "subsections": []}]}, {"section_title": "The Majority of Agencies Reported Space Reductions in Fiscal Year 2016 but Achieved Varied Success in Meeting Their Targets", "paragraphs": ["As previously mentioned, agencies are required to set annual square foot reduction targets for domestic office and warehouse space in their annual Plans. According to an OMB official, to help ensure the targets are realistic, agencies are also required to identify the specific projects that will help them to achieve their space reduction targets. According to GSA and OMB officials, agencies submit their Plans, including their reduction targets, and their Plans are reviewed by both GSA and OMB. But each individual agency ultimately establishes its targets based on what it determines to be cost-effective and feasible. Through its Real Property Efficiency Plan template, GSA provides guidance to agencies on what is expected in their annual submissions. Each agency is required to document its internal controls, such as the process for identifying and prioritizing reductions to office and warehouse space and disposal of properties based on return on investment and mission requirements. The identified internal controls should help ensure that an agency\u2019s proposed space reduction projects reflect an efficient use of space and are cost effective. A review of our five case study agencies illustrated some of the different approaches agencies used to determine their reduction targets. For example, several agencies\u2019 targets were based on the total estimated feasible reductions identified by each agency component. In contrast, one agency centrally established a reduction target percentage and then asked its components to develop projects to meet that target. According to case-study agency officials, the agencies considered many factors, including their missions, priorities, component needs, and available budgets, when determining their targets.", "We found that the number and magnitude of the space reduction projects agencies identified in their fiscal year 2017 Plans varied greatly and were generally proportional to the size of the agency\u2019s real property portfolio. The number of projects identified in agency Plans ranged from as few as 3 projects (the minimum required in the Plans) to nearly 400 projects. The estimated space reductions per project across agencies ranged from about 1,400 to over 94,000 square feet. For example, the Department of Veterans Affairs has a relatively large office and warehouse portfolio of over 28-million square feet. As part of its fiscal year 2017 Plan, the agency reported 320 planned or ongoing projects with an average space reduction of about 1,800 square feet per project. Conversely, the Office of Personnel Management has a relatively small office space portfolio of about 1-million square feet; its fiscal year 2017 Plan identified 4 ongoing or potential projects with an average space reduction of about 6,000 square feet.", "In fiscal year 2016\u2014the first and only year RTF data were available at the time of our review\u2014the majority (71 percent or 17 of the 24 agencies) reported they achieved reductions in their office and warehouse space even though the agencies had varying success in achieving the individual targets they set for themselves. For example, as shown in figure 2, of the 17 agencies that reduced space, 9 exceeded their targets (i.e., reduced more space than planned); 7 reduced space but missed their target (by anywhere between 2.8 and 96.7 percent); and 1 agency expected to increase in square footage, but reduced space.", "Whether an agency met its target is not the only indicator of an agency\u2019s success in reducing space. For example, although some agencies missed their targets, they reduced their office and warehouse space by a larger percentage than some agencies that exceeded their targets. Also, the fact that some agencies missed their targets can in part be attributed to setting more aggressive targets than other agencies. Agencies\u2019 fiscal year 2016 targets ranged from a 0.8 percent increase to an 8.4 percent decrease in office and warehouse space. Of the 9 agencies that exceeded their reduction targets, 4 more than tripled their target. As mentioned, agency targets are set by the agency and are a reflection of their unique situation including mission needs and priorities and therefore cannot be generalized across agencies. For example, Energy exceeded its fiscal year 2016 reduction target and reduced 292,140 square feet of space (0.8 percent of its total square footage). However, the Environmental Protection Agency missed its target, which was the second most aggressive target across all the agencies at 7.2 percent of its total square footage; but the agency reduced 174,003 square feet (3.24 percent of its total square footage). Of the three agencies with the most aggressive target reductions\u2014those that ranged between 6.7 and 8.4 percent of their total square footage\u2014only one met its target. Figure 3 shows the extent to which each of the CFO Act agencies met its fiscal year 2016 targets. See appendix II for more detailed information on each agencies\u2019 square footage of space, reduction targets and fiscal year 2016 reductions.", "Officials from our case study agencies cited a number of factors that influenced whether or not they met their fiscal year 2016 targets, and may also affect their target achievement in subsequent years. Of our five case study agencies, three exceeded their fiscal year 2016 reduction target and two missed their target.", "Timing and funding: Officials from two case study agencies cited timing as a factor, noting that there is fluidity to the project\u2019s planning, implementation, and disposal process that may not always be within an agency\u2019s control. As a result, space reductions anticipated in one fiscal year may not be realized until a subsequent fiscal year; conversely, some space reduction opportunities may present themselves unexpectedly. For example, according to officials at HUD, which missed its fiscal year 2016 reduction target, some projects take longer than anticipated to start or complete. HUD officials said that their fiscal year 2016 target may have been too ambitious and planned projects were delayed because they were unable to secure sufficient funding. As such, the officials said the agency must carefully select which projects to move forward with in a given fiscal year, but expected to move forward with their delayed, planned projects in the next fiscal year. Energy on the other hand, exceeded its fiscal year 2016 reduction target. Energy officials said that they tend to be conservative in listing potential RTF projects in their Plans. They noted that it takes a long time to dispose of a building and the timing was dependent on the building\u2019s level of contamination, location, size, agency budget, and other factors. As a result, even though the agency may have planned to dispose of a building in a given fiscal year, there were numerous reasons why the project may get delayed.", "Further, RTF is a long-term effort and should not be judged based on agencies\u2019 progress in their first year. According to an OMB official, it is understood that there may be circumstances in a given year that may hinder agencies from reaching their RTF targets, such as budget constraints or the timing of leases; however, the expectation is that agencies will continue to work toward accomplishing their target in the next year. Accordingly, under RTF, agencies set annual space reduction targets for a 5-year period. Officials from our case study agencies emphasized that the 5-year targets are not static, but rather are subject to annual updates. The RTF policy also acknowledged that changes to mission requirements and the availability of budgetary resources may require modifications to an agency\u2019s targets, particularly in each of the subsequent years. Lastly, given that the RTF policy is still relatively recent, an OMB official noted that agencies are still in the process of learning how to set appropriate targets.", "Previous space reductions: Officials from three of our case study agencies noted that prior space reductions made during the Freeze the Footprint policy limited their ability to reduce space more aggressively. Though the thrust of Freeze the Footprint was to maintain the fiscal year 2012 size of an agency\u2019s portfolio, agencies started to look more strategically for opportunities to dispose of excess space in their portfolios. The majority of agencies (18 of 24) have been decreasing the square footage of their domestic office and warehouse space since the Freeze the Footprint policy was implemented in 2013. OMB reported that under Freeze the Footprint, agencies achieved a 24.7-million square foot reduction between fiscal years 2012 and 2015. Officials from the IRS, which accounts for 70 percent of Treasury\u2019s real property inventory, noted it has released 2.7-million square feet (approximately 10 percent) in the past 5 years, bringing its total square footage down to 25.3 million. According to officials from three of our case study agencies, a certain amount of space is required to effectively fulfill their missions. As such, the closer agencies get to attaining their optimum footprint, their ability to achieve further space reductions may be limited."], "subsections": []}, {"section_title": "GSA Has Processes to Track Space Release Requests and Manage Vacant Space", "paragraphs": ["In November 2016, GSA put into effect a new standard operating procedure to, among other things, standardize and streamline the process of receiving, reviewing, and documenting agencies\u2019 space release actions. As previously mentioned, GSA\u2019s occupancy agreements for space it leases on behalf of its customer agencies generally allow the agencies to release space back to GSA with as little as 4 months\u2019 notice, if certain conditions are met. This can enable agencies to reduce their space and related rent costs relatively quickly without penalty. As a result of this new process, GSA established a centralized e-mail for agencies to submit their space release requests. The e-mail is maintained at GSA headquarters before it is forwarded to the respective GSA region.", "GSA also developed a centralized space release tracking spreadsheet to help ensure that all GSA regions were (1) notifying the customer agency of GSA\u2019s determination on whether the space release request was within GSA\u2019s policy, and (2) processing the space release and ceasing rent billings in a timely manner. According to GSA headquarters officials, this new process was implemented to rectify past concerns that space release requests were not centrally tracked, GSA regions may not have been making consistent determinations, and some requests either were missed or were not processed within the appropriate time frames.", "GSA officials noted that GSA similarly manages all vacant space in federally owned property under its custody and control and in commercial space it leases, and the agency seeks to utilize the space as quickly as possible. GSA has 11 regional offices throughout the country that generally conduct the day-to-day real property management activities for its customer agencies. These responsibilities include acquiring, managing, and disposing of real property, as well as executing, renewing, and terminating leases on behalf of its customer agencies in exchange for a monthly fee for GSA\u2019s services. GSA headquarters officials told us that GSA regional offices track all the occupancy agreements and proactively work with customer agencies to help manage their space needs well before the agreements expire to understand ongoing space requirements. For example, according to GSA headquarters officials, this process includes working with agencies at a strategic level and helping them think about how they can accomplish their space needs and meet their targets 4 to 5 years in advance. GSA headquarters and regional officials noted that the advance planning helps the GSA regional officials integrate agencies\u2019 potential space needs into the work they are already doing in the region as GSA manages the regional inventory as a whole, including managing the amount of vacant space. GSA regional officials told us that they work closely with the agencies in their space consolidation and reduction efforts to minimize the likelihood that GSA would be caught off guard by a release of space. This work enables GSA to develop options for either filling vacant space based on the known needs in the region or developing an alternative plan to effectively utilize the unneeded space.", "One of GSA\u2019s strategic objectives is to improve the federal utilization of space in order to lower the government\u2019s operational costs. To assess progress, GSA has an agency-wide vacant space performance goal of 3.2 percent for its federally-owned and leased inventory (with a 5 percent goal for federally owned and 1.5 percent goal for leased space). Based on GSA data, the agency has steadily lowered its percentage of vacant space under its custody and control from 3.8 percent in fiscal year 2013 to 3 percent in fiscal year 2016, exceeding its performance goal of 3.2 percent for the first time in 4 years. The vacant space performance goal\u2019s data help GSA evaluate its real property assets and plan for and make investment decisions while meeting its customer\u2019s needs. According to GSA officials, the lower vacant space percentage is a reflection of the agency\u2019s continued focus on working with its customer agencies to: (1) move into federally owned space, when possible; (2) decrease the size of commercially leased space to reduce agency rental costs and overall government reliance on leased space; and (3) dispose of unneeded federally owned assets. However, GSA officials noted that a certain level of vacant space is necessary to meet the space needs of new customers and customers with changing space requirements.", "According to GSA officials, GSA also tracks and reports annual cost avoidance data for all office and warehouse space reductions. These data include space covered under RTF in federally owned buildings under GSA\u2019s custody and control and commercial space that GSA leases. Cost avoidance is defined as the results of an action taken in the immediate timeframe that will decrease future costs. The government-wide cost avoidance for fiscal year 2016 was $104 million based upon a net 10.7 million square foot reduction to all office and warehouse space. Of the government-wide figure, according to GSA, the total cost avoidance associated with office and warehouse space reductions in federally- owned space under GSA\u2019s custody and control and commercial space GSA leased in fiscal year 2016 was over $75.8 million and 3.1 million square feet. In its cost avoidance calculation, GSA accounts for space returned to it by customer agencies only if there is a net square footage reduction in GSA\u2019s total square footage across all the space that it manages.", "Similarly, the space returned to GSA does not reduce the federal government\u2019s overall office and warehouse square footage unless GSA disposes of it. However, space that is returned to GSA is reflected as a square footage reduction for the customer agency and contributes toward that agency\u2019s RTF target reduction. According to GSA regional officials, agencies\u2019 requests to return space prior to the end of their occupancy agreements appear to have increased since the implementation of the RTF policy. Thus far, GSA has processes to manage agencies\u2019 space release requests and keep its vacant space to a minimum. However, it is too early to determine how the recent increase in space release requests, in combination with agencies\u2019 continued focus on occupying a smaller footprint and reducing their square footage, will affect: (1) the size of GSA\u2019s inventory of vacant space in the long term, (2) GSA\u2019s regional office workload to manage the requests, and (3) the cost savings for the federal government."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA, OMB, Commerce, Energy, HUD, Interior, and Treasury for review and comment. We received technical comments from Energy, which we incorporated, where appropriate. GSA, OMB, Commerce, HUD, Interior, and Treasury did not have comments on our draft report.", "We are sending copies of this report to the appropriate congressional committees; the Administrator of GSA; the Director of the OMB; the Secretaries of the Departments of Commerce, Energy, HUD, the Interior, and the Treasury; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine: (1) the approaches and any challenges the 24 Chief Financial Officers (CFO) Act agencies identified to achieving their Reduce the Footprint (RTF) reduction targets for all their domestic office and warehouse space; (2) the extent to which these agencies reduced space and met their fiscal year 2016 RTF targets; and (3) how the General Services Administration (GSA) manages vacated space that it had leased to these agencies.", "To obtain background information for all three objectives, we reviewed relevant literature, including laws governing federal real-property management and agencies\u2019 efforts to reduce their real property portfolios and Office of Management and Budget\u2019s (OMB) and GSA\u2019s memorandums and guidance governing the RTF policy. We also reviewed prior GAO and GSA inspector general reports describing agencies\u2019 real-property management and efforts to more efficiently manage their real property portfolios.", "To determine the approaches used and any challenges faced by the CFO Act agencies in achieving their RTF reduction targets for all their domestic office and warehouse space, we conducted a content analysis of the agencies\u2019 5-year Real Property Efficiency Plans (Plans) for fiscal years 2016 and 2017. These Plans were obtained directly from each of the agencies. Each Plan describes an agency\u2019s overall strategic and tactical approach in managing its real property, provides a rationale for and justifies its optimum portfolio, and directs the identification and execution of real property disposals, efficiency improvements, general usage, and cost-savings measures. The content analysis of the Plans helped us to understand the approaches agencies used to reduce space, how space- reduction targets were set, and any challenges they experienced in reducing their space. To identify agencies\u2019 approaches to achieving their RTF targets, we reviewed all agencies\u2019 Plans to determine the most frequently mentioned approaches agencies reported using or planned to use to reduce their real-property footprints. As part of their plans, each agency is required to include a section detailing approaches it plans to use to reduce space. While these sections were the primary focus of the analysis, we analyzed the Plans as a whole for any additional mention of agencies\u2019 approaches to reduce space. Based on the frequently identified approaches, codes were developed. An analyst reviewed all the agencies\u2019 Plans and coded the approaches and another analyst reviewed the coding. If there was a disagreement, the two analysts reviewed and discussed until they reached an agreement. As a result of the analysis, five approaches were identified that agencies most frequently reported using or were planning to use to achieve their RTF targets. These five approaches are described in more detail in the report: (1) consolidation; (2) co-location; (3) disposition of unneeded space; (4) better utilization of existing space; and (5) teleworking and hoteling. For the purposes of our report, telework and hoteling were combined because these approaches are often used in combination. For example, agencies can use telework strategically to reduce space needs and increase efficiency by making hoteling (i.e., desk sharing) possible.", "To identify any challenges agencies faced in achieving their RTF targets, we similarly conducted a content analysis of agencies\u2019 fiscal year 2016 and 2017 Plans. As part of their Plans, each agency included a section describing challenges it faced to reducing space. While these sections were the primary focus of the analysis, we analyzed the Plans as a whole for any additional mention of agencies\u2019 challenges. Based on the frequently identified challenges, codes were developed. An analyst went through all the agencies\u2019 Plans to code the challenges and another analyst reviewed the coding. If there was a disagreement, the two analysts reviewed and discussed until they reached an agreement. As a result of the analysis, we identified the four challenges that agencies most frequently described in their Plans: (1) space reduction costs; (2) mission delivery; (3) employee organization concerns; and (4) workload growth. In our report, we relied specifically on agencies\u2019 fiscal year 2016 and 2017 Plans to provide examples and context for our description of the approaches agencies use and challenges they experience in achieving their RTF targets. However, after these Plans were submitted, agencies reported that the specific details as described in their Plans may in some instances, have changed due to a variety of factors. For our case study agencies, to the extent possible, we have provided updated information from agency officials as of December 2017.", "We selected five agencies as case studies to inform our first two objectives. We selected the agencies using a variety of considerations such as the diversity in the size of the agency\u2019s domestic office and warehouse portfolio, the extent to which the agency met its fiscal year 2016 RTF targets, the types of real property authorities the agency has, as well as suggestions from GSA and OMB related to agencies\u2019 experiences. Based on these factors, we selected the: (1) Department of Commerce (Commerce); (2) Department of Energy (Energy); (3) Department of Housing and Urban Development (HUD); (4) Department of the Interior (Interior); and (5) Department of the Treasury (Treasury). While our case-study agencies and their experiences reducing their space are not generalizable to all CFO Act agencies, they provide a range of examples of how agencies are implementing the RTF policy. We interviewed officials at the selected agencies as well as GSA and OMB, and reviewed relevant agency real-property management and RTF guidance, to obtain more detailed information about agencies\u2019 RTF approaches, challenges, specific RTF projects, RTF project funding and prioritization, and experiences in meeting their RTF targets. In addition, we visited three office buildings of our case study agencies in Washington, D.C., with ongoing or recently completed RTF projects that illustrated approaches the agencies used to reduce space and met with officials to discuss the projects in more detail. The spaces we visited were the headquarters buildings for Commerce, HUD, and Interior. We selected the buildings based on recommendations from officials at our case study agencies.", "To determine to what extent agencies reduced their space and met their fiscal year 2016 RTF targets, we analyzed the 24 CFO Act agencies\u2019 data as submitted to GSA on their RTF targets and reported reductions for fiscal year 2016. The office and warehouse square footage reductions are calculated annually using GSA occupancy agreement data and agencies\u2019 self-reported data in GSA\u2019s Federal Real Property Profile. For example, for fiscal year 2016, the space reduction calculations based on these data sources at the end of the fiscal year was compared to the square footage reported in fiscal year 2015. At the time of our review, this was the first and only year of RTF data available as the policy was implemented in March 2015. We conducted a data reliability assessment of the RTF data GSA provided by interviewing GSA officials and reviewing documentation, and concluded the data were reliable for our purposes. We also interviewed officials at GSA and OMB and reviewed relevant documentation to learn more about each agency\u2019s role and the requirements of the RTF policy. We interviewed officials from our selected case-study agencies to obtain supporting documentation and to improve our understanding of how agencies set their RTF targets, agencies\u2019 progress toward those targets, and the approaches used and challenges faced in meeting those targets. We also asked the agency officials for examples of successful practices used to reduce their office and warehouse space.", "To determine how GSA manages vacated federally owned and commercially leased space that it leases to agencies, we reviewed federal requirements and GSA policies and vacancy data. We conducted a data reliability assessment of GSA\u2019s vacancy and cost avoidance data by interviewing GSA officials and reviewing documentation, and concluded the data were reliable for our purposes. We also interviewed GSA headquarters and regional officials and obtained documentation on how GSA manages space returned by agencies.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Agencies\u2019 Reported Baselines, Targets, and Fiscal Year 2016 Reductions", "paragraphs": ["FY 2016- FY 2020 target reduction (118,127)", "Social Security Administration Missed target and increased in space Department of Health and Human Services (170,147) (520,987) (15,466) (47,946) (56,062)"], "subsections": [{"section_title": "CFO Act Agencies", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Maria Edelstein (Assistant Director); Lacey Coppage; Edgar Garcia; Delwen Jones; Catherine Kim (Analyst-in-Charge); Michael Mgebroff; Malika Rice; Kelly Rubin; and David Wise made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-270", "url": "https://www.gao.gov/products/GAO-18-270", "title": "Inspectors General: Information on Vacancies and IG Community Views on Their Impact", "published_date": "2018-03-09T00:00:00", "released_date": "2018-03-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The IG Act established OIGs to conduct and supervise audits and investigations; recommend policies to promote economy, efficiency, and effectiveness; and prevent and detect fraud and abuse. The Inspector General Empowerment Act of 2016 included a provision for GAO to review prolonged IG vacancies during which a temporary appointee has served as the head of the office. This report addresses (1) the status of IG vacancies as of the end of fiscal year 2017, and the number and duration of IG vacancies for fiscal years 2007 through 2016, and (2) the IG community's views about how IG vacancies impact the OIGs' ability to carry out their duties effectively, including views on the impact on independence.", "GAO analyzed data related to IG vacancies; interviewed officials from the Council of the Inspectors General on Integrity and Efficiency (CIGIE); and conducted a web-based survey to obtain the views of (1) the 52 permanent IGs serving as of August 22, 2017; (2) 9 acting IGs who had served in OIGs that had vacancies of over 365 days during fiscal years 2014 through 2016; and (3) a stratified random sample of employees in OIGs with IG vacancies of over 365 days during fiscal years 2014 through 2016. Survey response rates ranged from 71 percent to 100 percent.", "CIGIE and nine OIGs provided technical comments, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["For the 10-year period covering fiscal years 2007 through 2016, 53 of the 64 IG Act OIGs experienced one or more periods of IG vacancy with the cumulative durations ranging from about 2 weeks to 6 years.", "Plan and conduct work. Overall, at least eight of the nine acting IGs responded \u201cno impact\u201d for the questions in this area. The estimated percentage of OIG employees who believed that working under an acting IG has \u201cno impact\u201d ranged by question from 49 percent to 69 percent, \u201cnegative impact\u201d ranged from about 8 percent to 24 percent, and \u201cpositive impact\u201d ranged from 6 percent to 13 percent.", "Interact with agency management. The responses of seven of the nine acting IGs and 63 percent to 65 percent of OIG employees indicated that an acting IG position had no impact in this area. Approximately 16 percent of the OIG employees believed that there was a negative impact on timely access to documentation, while 7 percent believed that there was a positive impact.", "Managing OIG and personnel. Four of the nine acting IGs and about 36 percent of OIG employees responded that an acting IG position had a negative impact on employee morale. An estimated 44 percent of employees believed that working under an acting IG had no impact on employee morale while about 10 percent believed it had a positive impact. Four acting IGs also responded that it had a negative impact on office restructuring.", "With regard to independence, GAO's survey of permanent IGs found that while the majority who responded did not think that acting IGs are inherently less independent, they did indicate by a similar majority that an acting IG is less independent in appearance than a permanent IG, especially when the acting IG is applying for the IG position."]}], "report": [{"section_title": "Letter", "paragraphs": ["Inspectors general (IG) play a key role in federal agency oversight by enhancing government accountability and protecting the government\u2019s resources. IGs have a unique oversight role under the Inspector General Act of 1978, as amended (IG Act), including identifying areas for improved economy, efficiency, and effectiveness through independent and objective oversight; preventing and detecting fraud, waste, abuse, and mismanagement; and recommending corrective actions. Among other things, each IG provides oversight through audits and investigations of the respective federal agency while maintaining an independent working relationship with the agency head and Congress. However, in recent years the number and length of IG vacancies have raised questions about the effect of these vacancies on the ability of the offices of inspector general (OIG) to carry out their statutory duties and responsibilities.", "The Inspector General Empowerment Act of 2016 includes a provision for GAO to review prolonged IG vacancies during which a temporary appointee has served as the head of the office. This report addresses (1) the status of IG vacancies as of the end of fiscal year 2017, and the number and duration of IG vacancies from fiscal years 2007 through 2016, and (2) the views of the IG community on the impacts, if any, of IG vacancies on the OIGs\u2019 ability to effectively carry out their duties, including views on independence and permanent IG suggestions for improvements in the appointment process. To address these objectives we included in our scope the 64 active OIGs that were established under the IG Act.", "To determine the status of IG vacancies as of the end of fiscal year 2017 and the number and duration of IG vacancies from fiscal years 2007 through 2016, we obtained vacancy data for fiscal years 2007 through 2017 from the Council of the Inspectors General on Integrity and Efficiency (CIGIE) and a congressional website, and we confirmed that information with the respective OIGs. We also interviewed CIGIE officials to obtain an understanding of issues related to IG vacancies and discuss the reliability of IG vacancy data.", "To obtain the views of the IG community\u2014specifically, permanent IGs, acting IGs, and employees working under an acting IG\u2014we conducted a web-based survey on the impact that a prolonged vacancy could have on the OIG\u2019s ability to carry out its duties, including any impact on independence. These surveys included both multiple choice questions and open-ended questions for written responses to obtain the views of the IG community on the impacts of vacancies, if any, and views on independence, challenges, and positive outcomes. We surveyed (1) permanent IGs serving as of August 22, 2017, to obtain their views on the impact that an IG vacancy could have on an OIG\u2019s ability to conduct its oversight, including any independence issues presented by acting IGs; (2) acting IGs who had served in OIGs that had vacancies of over 365 days during fiscal years 2014 through 2016 to obtain their views on the impact that a prolonged vacancy could have on an acting IG\u2019s ability to carry out his or her duties, including any impact on independence; and (3) employees of OIGs headed by acting IGs. For our survey of OIG employees, we surveyed a stratified random sample of Senior Executive Service (SES) and non-SES employees working in offices with an IG vacancy that lasted over 365 consecutive days during fiscal years 2014 through 2016. Views expressed in the open-ended questions may not be representative of all acting IGs, permanent IGs, or employees on given topics. We did not assess the merits of the individual comments or suggestions provided in response to the open-ended survey questions. See appendix I for further details on the survey and our scope and methodology.", "We conducted this performance audit from February 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The IG Act establishes OIGs both at select major federal agencies, called establishments, and at some smaller agencies, called designated federal entities (DFE), to conduct oversight of their programs and operations. The IG Act also sets out, among other things, (1) the duties and responsibilities of each IG with respect to the entity within which its office is established; (2) how IGs are appointed, whether by the President with the advice and consent of the Senate, or by the head of the DFE; and (3) the processes for removing an IG."], "subsections": [{"section_title": "Duties, Responsibilities, and Authorities under the IG Act", "paragraphs": ["The IG Act established OIGs to be independent and objective units to (1) conduct and supervise audits and investigations relating to the programs and operations of government establishments; (2) provide leadership and coordination and recommend policies for activities designed to promote economy, efficiency, and effectiveness in the administration of and to prevent and detect fraud and abuse in such programs and operations; and (3) provide a means for keeping the head of the agency and Congress fully and currently informed about problems and deficiencies relating to the administration of such programs and operations and the necessity for and progress of corrective action.", "IGs covered by the IG Act have been granted broad oversight authority, including to conduct, supervise, and coordinate audits and investigations; directly access the records and information related to the applicable agency\u2019s programs and operations; request assistance from other federal, state, and local government agencies; subpoena information and documents; administer oaths when conducting interviews; hire staff and manage their own resources; and receive and respond to complaints from agency employees, whose identities are to be protected.", "In addition to their duties, responsibilities, and authorities in conducting their oversight work, IGs derive independence through numerous provisions in the IG Act. These provisions include the following: the requirement that IGs be appointed without regard to political affiliation and solely on the basis of integrity and demonstrated ability; the authority to select, appoint, and employ OIG officers and employees, as noted above; the authority of IGs to report violations of law directly to the Department of Justice; the requirement for agency heads to transmit the IGs\u2019 semiannual reports of their activities to Congress without alteration; the authority of IGs to perform any audit or investigation without interference from the agency head or others except under certain conditions specified by the act; and the requirement for the President or the agency head to communicate to Congress the reasons for removing an IG."], "subsections": []}, {"section_title": "IGs Established by the IG Act and the Appointment Process", "paragraphs": ["The IG Act establishes the basis on which an IG is to be appointed; which OIGs are required to have presidentially appointed, Senate confirmed (PAS) IGs; and which are DFE OIGs, with IGs appointed by the heads of the agencies. For the purposes of the IG Act, subject to some specifically enumerated exceptions, the head of the DFE is the DFE\u2019s board or commission, or if an entity does not have a board or commission, any person or persons designated by statute as the head of the DFE.", "Of the 64 active IG offices established under the IG Act, 32 have PAS IGs and 32 have DFE IGs. Both PAS and DFE IGs are required to be appointed without regard to political affiliation and solely on the basis of integrity and demonstrated ability in accounting, auditing, financial analysis, law, management analysis, public administration, or investigations. See table 1 for a list of PAS and DFE agencies as designated by the IG Act.", "The process for appointing PAS IGs generally has three main steps: (1) President\u2019s selection and nomination, (2) Senate\u2019s evaluation and confirmation, and (3) President\u2019s official appointment. CIGIE assists the White House Office of Presidential Personnel (OPP) in the vetting of candidates for the IG nomination process. According to CIGIE officials, CIGIE\u2019s Candidate Recommendations Panel receives r\u00e9sum\u00e9s for potential candidates in various ways, including submissions from interested candidates through a link on the CIGIE website. The CIGIE panel also proactively reaches out to potential candidates who members of this panel believe would be good choices for IG positions.", "According to a CIGIE official, during the prior administration, the panel reviewed r\u00e9sum\u00e9s from potential IG candidates and sent the r\u00e9sum\u00e9s of those most qualified to the White House OPP for its process. Under the current administration, the CIGIE panel conducts interviews of potential IG candidates in addition to reviewing r\u00e9sum\u00e9s, and then refers those candidates that the panel deems the most qualified to the White House OPP. CIGIE\u2019s panel assesses potential candidates\u2019 leadership philosophy and skills, as well as their understanding of the independent, non-partisan role of an IG.", "PAS IGs may be removed from office by the President, who must communicate the reasons for removal in writing to both Houses of Congress not later than 30 days before the removal.", "A DFE IG is appointed by the head of the entity in accordance with the applicable laws and regulations governing appointments within that entity. DFE IGs do not require presidential appointment or Senate confirmation. DFE IGs may be removed from office by the agency heads, or for an entity led by a board or a commission, removal requires written concurrence of a two-thirds majority of the board or commission. Similar to the President removing a PAS IG, the head of the entity must communicate the reasons for removal in writing to both Houses of Congress not later than 30 days before the removal.", "After a PAS IG retires or otherwise leaves office, the Federal Vacancies Reform Act of 1998 (Vacancies Act) instructs the official previously serving as first assistant to the vacant position to perform the duties of that position in an acting capacity, absent other action by the President. For DFE OIGs, acting IGs may be appointed according to laws, regulations, and policies governing appointments for each agency. Neither the IG Act nor the Vacancies Act places limits on the authority of acting IGs (relative to that of officially appointed IGs) to carry out the statutory responsibilities of the IG. However, the IG Act\u2019s requirement for congressional notification prior to removal of a permanent IG does not apply to an acting IG."], "subsections": []}]}, {"section_title": "IG Vacancies as of Fiscal Year 2017 and the Number and Duration of IG Vacancies for Fiscal Years 2007 through 2016", "paragraphs": ["As of September 30, 2017, there were 12 IG vacancies in the 64 IG Act offices. Over the 10-year period covering fiscal years 2007 through 2016, the total number of IG vacancies varied with a low of 6 total vacancies as of the end of fiscal year 2007 to a high of 11 vacancies as of the end of fiscal years 2009, 2014, and 2016. In addition, some OIGs experienced prolonged continuous vacancies ranging from over 1 year to approximately 6 years."], "subsections": [{"section_title": "Twelve IG Positions Were Vacant as of September 30, 2017", "paragraphs": ["As of September 30, 2017, there were 12 IG vacancies consisting of 10 vacancies in PAS IGs and 2 in DFE IGs, as shown in table 2. Two of these vacancies had presidential nominations that were awaiting Senate evaluation as of September 30, 2017. During fiscal year 2017, four OIGs had an IG position that became vacant: Small Business Administration, Federal Election Commission, Department of Housing and Urban Development, and Tennessee Valley Authority."], "subsections": []}, {"section_title": "Number of IG Vacancies Varied from Fiscal Years 2007 through 2016", "paragraphs": ["For the 10-year period from October 1, 2007, through September 30, 2016, the total number of IG vacancies at the ends of the fiscal years ranged from 6 to 11 vacancies, as shown in figure 1. For the PAS IGs, the number of IG vacancies increased from 3 at the end of fiscal year 2007 to 9 at the end of fiscal year 2016. For DFE IGs, the number of IG vacancies ranged from 0 to 4 vacancies at the ends of the fiscal years during the 10-year period."], "subsections": []}, {"section_title": "The Cumulative Duration of IG Vacancies Ranged from Less Than 1 Month to Almost 6 Years for Fiscal Years 2007 through 2016", "paragraphs": ["From October 1, 2006, through September 30, 2016, 53 of the 64 IG Act offices experienced vacancies, as shown in figure 2. Of the 32 PAS IGs, 26 experienced at least one vacancy during the 10-year period with the cumulative duration ranging from 25 days to 5 years and 258 days. Of the 32 DFE IGs, 27 experienced at least one vacancy during the 10-year period with the cumulative duration ranging from 13 days to 3 years and 67 days.", "Of the 26 PAS IGs that had vacancies during the 10-year period from fiscal years 2007 through 2016, 20 experienced at least one vacancy with a cumulative duration of more than 1 year, and for 11 of these IGs the cumulative vacancy period was over 3 years, as shown in figure 3. In addition, 5 of the 20 agencies with a cumulative IG vacancy of 1 year or more were the result of the agency experiencing two or more periods of IG vacancy over the 10-year period.", "The Department of State experienced the longest period of continuous PAS IG vacancy during the 10-year period, with 5 years and 258 days without a permanent IG. The Department of State IG vacancy began on January 16, 2008, and no nomination was made by the President until June 27, 2013. The nominee was confirmed by the Senate on September 17, 2013, and the vacancy ended on September 30, 2013.", "The Department of the Interior experienced the second longest PAS IG vacancy during the 10-year period, with 4 years and 273 days without a permanent IG as of the end of fiscal year 2016, and the vacancy remained as of the end of fiscal year 2017. The Department of the Interior IG vacancy began on January 1, 2012. The acting IG was nominated by the President on June 8, 2015. The nomination was received in the Senate and referred to the Committee on Energy and Natural Resources, which held a hearing on October 20, 2015. The nomination was returned to the President on January 3, 2017, under the provisions of a Senate rule that require nominations that are not confirmed or rejected during the congressional session be returned to the President. Once returned, the Senate will not consider the nomination until the President provides the Senate a new nominee.", "Other PAS IGs experienced several vacancies throughout the 10-year period. For example, the Department of Defense OIG had four periods of vacancy from fiscal years 2007 through 2016, two of them 1 year or longer, and one that began in January 2016 and remained vacant as of September 30, 2016.", "Of the 27 DFE IG offices that experienced IG vacancies during the 10- year period from fiscal years 2007 through 2016, 12 experienced at least one vacancy with a cumulative duration of more than 1 year as shown in figure 4. In addition, 5 of the 12 agencies with a cumulative IG vacancy of 1 year or more were the result of the agency experiencing two or more periods of IG vacancy over the 10-year period.", "The U.S. International Trade Commission (USITC) experienced the longest continuous DFE IG vacancy during the 10-year period, with 3 years and 67 days without a permanent IG. The position was filled and the vacancy ended on December 6, 2009. In fiscal year 2011, we reported that the USITC OIG lacked an appointed IG and adequate budget and staff resources for fiscal years 2005 through 2009, which contributed significantly to the OIG\u2019s limited oversight of USITC. We recommended that the Chairman of USITC revise formal orientation information provided to the commissioners to include sections on, among other things, the responsibilities of the Chairman to maintain an appointed IG. USITC implemented these recommendations. The National Archives and Records Administration experienced the second longest DFE IG vacancy during the 10-year period, with 2 years and 190 days without a permanent IG. The vacancy started when the IG was placed on administrative leave, which lasted from September 14, 2012, until August 9, 2014. The National Archives and Records Administration was not able to replace the IG during this time. The position was eventually filled on March 23, 2015."], "subsections": []}]}, {"section_title": "Acting IG, OIG Employee, and Permanent IG Views on the Impact of IG Vacancies, and Permanent IG Suggestions for Improving the Appointment Process", "paragraphs": ["We surveyed the acting IGs and OIG employees who worked under an acting IG among the 64 active OIGs established under the IG Act and asked for their views on the impact that having an acting IG has on an OIG\u2019s ability to carry out its duties and responsibilities. While overall the survey responses indicated that having an acting IG had no impact on the OIGs\u2019 ability to perform their statutory functions, responses varied in areas related to (1) planning and conducting work, (2) interacting with agency management, and (3) managing the OIG and personnel. In addition, a number of survey responses also pointed to challenges or positive outcomes in their experiences of working under an acting IG, and certain permanent IGs provided suggestions for improvements in the IG appointment process. For details on our survey methodology, see appendix I."], "subsections": [{"section_title": "Acting IG and OIG Employee Views on the Impact of IG Vacancies", "paragraphs": [], "subsections": [{"section_title": "Views on the Impact of IG Vacancies on the OIG\u2019s Ability to Plan and Conduct Work", "paragraphs": ["Acting IGs: When asked whether, during their tenure as acting IGs, the vacancy had a positive impact, negative impact, or no impact on several areas related to the OIG\u2019s ability to plan and conduct work, overall, at least eight of the nine acting IGs indicated that having an acting IG had no impact on the OIG\u2019s ability to plan and conduct work. Table 3 summarizes the responses from the acting IGs related to the OIG\u2019s ability to plan and conduct audit work.", "One of the nine acting IGs reported that the vacancy had a positive impact on developing comprehensive work plans for audits, investigations, and other OIG work, as well as addressing high-risk and high-priority issues.", "OIG employees: As shown in figure 5, the estimated percentage of OIG employees who worked under an acting IG who believe this has no impact ranged by question from 49 percent to 69 percent for the areas related to the OIG\u2019s ability to plan and conduct audit work. In contrast, based on our survey results, almost a quarter of the OIG employees believed that working under an acting IG had a negative effect on their OIG\u2019s ability to complete reports and other OIG work products in a timely fashion, issue high-visibility or high-risk reports, and address high-risk and high-priority issues. According to the survey results, from 6 percent to 13 percent of the employees found a positive impact in these areas.", "We also asked OIG employees to identify any additional challenges, in written comments, that they experienced in relation to their work under an acting IG. Four OIG employees provided responses related to the ability to plan and conduct work, specifically, on the timely completion of reports and other OIG work products, as noted in the following examples of individual comments: \u201cHowever, seemed to struggle to \u2018see the forest through the trees\u2019 and the timeliness (and associated impact) of our work suffered significantly.\u201d \u201cSometimes it would take longer to get a report out because were a review from the IG.\u201d", "We also asked OIG employees to identify any positive outcomes or improvements based on their experiences with working under an acting IG. The following are some OIG employee written responses that were received regarding positive outcomes or improvements, which were related to the acting IG\u2019s ability to plan and conduct work.", "The acting IG came from within the OIG. Thirteen OIG employees provided comments related to the acting IG coming from within the OIG ranks and having expertise in the agency issues, as noted in the following examples of individual comments: \u201cOur acting IG was already a part of our OIG when appointed. Thus, they were already invested in the mission, our offices, and staff.\u201d \u201cThe acting Inspector General had significant experience with agency management, and with our office processes and procedures, so products were issued timely.\u201d \u201cA positive is that the acting Inspector General usually comes with a wealth of knowledge about the OIG\u2019s current practices and can hit the ground running to keep things moving along effectively.\u201d \u201cBecause of the acting IG\u2019s investigative background as well as his lack of interest in further political appointment I think we actually got more done than under the former and current IG.\u201d"], "subsections": []}, {"section_title": "Views on the Impact of IG Vacancies on the OIG\u2019s Ability to Interact with Agency Management", "paragraphs": ["Acting IGs: When asked whether, during their tenure as acting IGs, the vacancy had a positive impact, negative impact, or no impact on the OIG\u2019s ability to interact with agency management, seven of the nine acting IGs indicated that there was no impact on the OIG\u2019s ability to interact with the agency. Other acting IGs indicated a positive impact in regard to responsiveness from agency management, meeting with senior agency leadership, responsiveness of agency to recommendations, and timely access to agency documentation. One of the nine acting IGs indicated a negative impact regarding responsiveness of the agency to recommendations, and another saw a negative impact in timely access to agency documentation, as summarized in table 4.", "While the majority of the acting IGs responded that there was no impact in interactions with agency management, in commenting about challenges faced during their acting IG tenure that affected their ability to carry out their responsibilities, one acting IG commented that agency managers failed several times to disclose relevant information that affected both the results and timeliness of the OIG\u2019s audit work. In addition, one acting IG found that agency officials were more open to recommendations and more supportive of the OIG during the acting IG\u2019s tenure than under the previous permanent IG tenure.", "OIG employees: As shown in figure 6, we estimate that 63 percent of the OIG\u2019s employees working under an acting IG believed that there was no impact on the responsiveness from agency management and an estimated 65 percent believed that there is no impact on timely access to agency documentation. Based on our survey results, the estimates for positive impact ranged from 7 percent to 9 percent, and approximately 17 percent of the OIG employees believed that working under an acting IG has a negative impact on these two areas.", "Acting IGs: Responses of the acting IGs regarding their ability to manage the OIG and employees varied by question, as summarized in table 5. For example, regarding employee morale, four of the nine acting IGs indicated that an acting IG leading the office had a negative impact, three indicated that the vacancy had a positive impact, and one indicated that the vacancy had no impact.", "In written comments included in the survey, three acting IGs provided additional information regarding restructuring the office and developing or changing office policy. Specifically, two acting IGs indicated a reluctance to make changes that could not be easily reversed by an incoming appointed IG or to \u201cshake up the organization\u201d only to experience further changes once an IG was in place. The third acting IG identified constraints as typical for acting officials in making personnel, policy, or organizational changes, especially when the length of the tenure as the acting official is unknown.", "We also asked the acting IGs if they had faced any challenges during their tenure that affected their ability to carry out their statutory duties and responsibilities. Of the three acting IG respondents who answered \u201cyes,\u201d two provided written responses citing challenges in the area of OIG management and personnel, such as difficulty in promotions and hiring decisions and OIG employee resistance to changes. For example, one acting IG indicated that the acting IG needed to get a special delegation from the agency to approve certain office promotions and hiring decisions. Another acting IG indicated the agency\u2019s Office of General Counsel had to resolve a matter involving an employee who refused to relinquish his or her duties after the acting IG\u2019s decision to reassign the employee.", "OIG employees: As shown in figure 7, just over 50 percent of the OIG employees working under an acting IG believe that an acting IG had no impact or a positive impact on these two areas. We also estimate that about 36 percent of the OIG employees believed that working for an acting IG negatively affected employee morale and about 23 percent believed that it negatively affected the ability to attract and retain qualified employees.", "We asked OIG employees to identify any additional challenges they have experienced in relation to their work under an acting IG. Eighty-three employees provided written responses, and 65 of those responses were related to areas that affect the ability to manage the OIG and its personnel, which are summarized below.", "Strategic planning. Nineteen OIG employees provided comments related to difficulty in strategic planning, as noted in the following examples of individual comments: \u201cAn acting IG is a caretaker, someone internal who is expected to maintain the status quo. Therefore, having an acting IG in place for an extended period may have delayed the implementation of reforms or bold changes that would normally be expected from new leadership.\u201d \u201cInternal processes, which may need to be changed, may not change in anticipation of the new leadership.\u201d \u201cCertain decisions such as \u2018strategic vision\u2019 or filling high-level positions within the organization may be delayed pending appointment of a permanent IG.\u201d \u201c are not as willing to make changes at the agency because it may not be what the new IG wants. [Acting IGs] are more stewards of the organization until the new IG arrives.\u201d", "Uncertainty. Fifteen OIG employees provided comments related to the uncertainty within the OIG, as noted in the following examples of individual comments: \u201cThe ability to make long-term decisions is affected due to uncertainty incoming Inspector General will support the decisions made by the acting Inspector General.\u201d \u201cWaiting for a permanent selection and the uncertainty as to the future impact of the person selected is disconcerting. It also negatively affects employee morale and motivation.\u201d \u201cWorking under an acting Inspector General creates a climate of uncertainty within the organization . . . . They hesitate to make a decision that would be contrary to the views and/or opinions of the new IG and put them in what they perceive to be a bad light.\u201d \u201cI think the biggest challenges we had were related to employee morale and the direction of the organization as a whole. Employees did not know who was going to permanently lead the organization, or when the decision would be made on this.\u201d", "Staffing. Twelve OIG employees provided comments related to addressing staffing needs or issues with staffing, as noted in the following examples of individual comments: \u201cThere were several difficulties related to meeting human resource needs without the proper authority to make decisions such as removals, promotions and/or bonuses.\u201d \u201cIssues with staffing could not be finalized pending the appointment of a new IG.\u201d \u201cEveryone except a select few in the OIG senior staff was leaving.\u201d", "Morale. Eight OIG employees provided comments related to morale issues, as noted in the following examples of individual comments: \u201cPromotions were unnecessarily delayed under the acting IG. Not good for morale.\u201d \u201cCertain issues relating to personnel management were left unaddressed or dismissed (i.e., problem managers) morale to dip among staff members.\u201d \u201cThe acting IG appeared to have the need to prove to the agency what power they had. This, in effect, caused a great discord amongst not only agency management and OIG, but also between the OIG and the rest of the agency that we are still working to overcome.\u201d", "Lack of leadership and office structure. Eight OIG employees provided comments related to the lack of leadership and office structure, as noted in the following examples of individual comments: \u201c management organization was seemingly dysfunctional. In part, because alliances likely to change once permanent IG .\u201d \u201cThere isn\u2019t a sense of real structure without IG.\u201d \u201cLack of guidance on ongoing audits at that time. The acting IG wore too many hats: Acting IG, Assistant IG for Audits, and Assistant IG for Investigations.\u201d", "Acting IGs are risk-averse pending permanent IG nomination. Two OIG employees provided the following comments related to the pending IG nomination: \u201cI think it\u2019s fair to say, although granted, it is a generalization, that an acting IG is more likely to be tentative and risk-averse than a fully confirmed IG. Also, within the OIG itself, senior staff may likewise be tentative and risk-averse knowing that new leadership is in the wings.\u201d \u201cThe acting IGs are always hesitant to make waves . . . . One of them was in the process of being nominated, so didn\u2019t want to do anything that could be seen as controversial or unpopular with staff. It the status quo being continued until a new official is confirmed.\u201d", "Negatively affects budget discussions. One employee provided the following comment related to budget discussions: \u201cIn budget discussions with Congress and the administration, there is no trust that the acting IG understands the will of Congress . . . or has administration support.\u201d", "We also asked OIG employees to identify any additional positive outcomes or improvements, in written comments, based on their experience from having an acting IG. Sixty-five employees provided written responses, and 12 of those responses related to the acting IG\u2019s ability to manage the OIG and personnel, which are summarized below.", "Higher morale. Twelve OIG employees provided comments related to higher morale with an acting IG, as noted in the following examples of individual comments: \u201c scores remarkably higher under .\u201d \u201cThe acting IG, a career civil servant, established trusting relationships meant for the long haul with the leadership team and staff, and also members of the overseen agency, and with the Congress. Morale was high and productivity was exceptionally high.\u201d \u201cI believe that the morale and overall quality of work that I witnessed at OIG offices during the tenures of the two acting IGs that I worked for was superior to that of offices that I worked in under one or more Senate-confirmed IGs.\u201d"], "subsections": []}]}, {"section_title": "Acting IG, Permanent IG, and OIG Employee Views on the Impact of IG Vacancies on the Ability to Maintain Independence and Permanent IG Suggestions regarding Independence", "paragraphs": ["The following summarizes (1) responses from acting IGs, permanent IGs, and OIG employees regarding the impact, if any, of a prolonged vacancy on the OIG\u2019s ability to maintain independence and (2) permanent IGs\u2019 suggestions on how to improve independence."], "subsections": [{"section_title": "Acting IG Views on the Impact of IG Vacancies on the Ability to Maintain Independence", "paragraphs": ["We asked acting IGs if they felt that serving as an acting IG instead of a permanent IG created threats (such as self-interest threat or bias threat) to their independence of mind or independence in appearance, and eight responded \u201cno\u201d and one responded \u201cyes.\u201d The eight acting IGs who responded \u201cno\u201d to independence threats provided additional written comments to explain their answers, as noted in the following examples of individual explanations: \u201cBecause I\u2019d been in the office since inception . . . I understood the importance of independence in all aspects.\u201d \u201cI was appointed to carry out the duties and functions of the IG and that is what I did to the best of my abilities. As an OIG employee, independence is always a factor, regardless of position and taking on additional duties and responsibilities did not impact that.\u201d \u201cI stated clearly and repeatedly to agency management and to Capitol Hill stakeholders that I was not interested in seeking the IG nomination on a permanent basis, in order to mitigate any concerns about independence or bias that could arise from seeking an appointment from officials I was charged with auditing/investigating.\u201d \u201cI declined the position of permanent Inspector General, in part to preserve my independence in the face of the potential conflict that could be perceived were I seeking the appointment. Serving in an acting capacity per se creates no threat to independence in fact or in appearance insofar as I am concerned based on my experience.\u201d \u201cServing as acting IG had no threats to independence.\u201d", "The acting IG that responded \u201cyes\u201d commented that there may be an appearance of independence problem if the acting IG is lobbying for the permanent position.", "We also asked the acting IGs if their independence was ever questioned by agency officials or others because of their role. Eight of the nine acting IGs answered \u201cno,\u201d while one acting IG answered \u201cyes\u201d and indicated that an external entity had questioned the independence of the acting IG. The acting IG further commented that certain Members of Congress had questioned the independence of acting IGs."], "subsections": []}, {"section_title": "Permanent IG Views on the Impact of IG Vacancies on the Ability to Maintain Independence", "paragraphs": ["We asked 52 permanent IGs whether they felt that an acting IG is inherently less independent than a permanent IG and whether an acting IG is less independent in appearance. While the majority of permanent IGs who responded did not think that acting IGs are inherently less independent, they did indicate by a similar majority that an acting IG is less independent in appearance than a permanent IG, especially in situations when the acting IGs are applying for the IG positions. Of the 49 IGs who responded to the question of whether an acting IG is inherently less independent, 13 said \u201cyes,\u201d 30 said \u201cno,\u201d and 6 responded that they had no basis for judgment, as shown in figure 8.", "Of the13 permanent IGs that answered \u201cyes\u201d to the acting IG being inherently less independent, 12 provided written comments as noted in the following examples of individual explanations.", "An acting IG who is a candidate for position. Six permanent IGs provided comments related to an acting IG who is seeking the permanent position, as noted in the following examples of individual comments: \u201cIf the selecting officials (or recommending officials) are also subject to audit or investigation by the acting , and the acting is interested in the permanent position they may actually be influenced to not report aggressively.\u201d \u201cThey could be perceived as less independent if they are a candidate for the job and they often are.\u201d \u201cGenerally speaking, the position of Inspector General would be a desirable promotion for an acting IG (sometimes the Deputy IG). An acting/Deputy IG, interested in the IG position and striving to impress the agency leadership/White House for consideration of the IG job, could be less aggressive (independent) in an effort to please the \u2018hiring official\u2019 (agency head/White House). Agency leaders/White House understand this dynamic, so in order to avoid/minimize any negative reports by the OIG, the agency heads can delay filling IG positions in order to have more \u2018control\u2019 over their acting IG.\u201d", "Lack of Senate confirmation. Three permanent IGs provided comments in this category related to an acting IG having less authority to deal with agency officials and Congress than a permanent IG as the acting IG lacked Senate confirmation, as noted in the following individual comments: \u201cNot having the full backing of the President, nor confirmation of the Senate, does not provide an even playing field when the IG negotiates with PAS agency heads and other PAS or senior level officials.\u201d \u201cFirst, because the agency knows that the acting IG is only temporarily in that position, the willingness of agency officials (particularly middle management and component leadership) to inappropriately respond to and challenge OIG oversight efforts increases. Second, an acting PAS IG (unlike a confirmed PAS IG) has not been approved for that position by the Senate and therefore doesn\u2019t have that stamp of approval if there is a need to respond to inappropriate efforts by the agency to interfere with the OIG.\u201d \u201cIn my experience, discussions between the Dept\u2019s political leaders and the \u2018permanent,\u2019 politically-appointed IG (as well as between Congress and that IG) are different\u2014more frank\u2014in substance and tone.\u201d", "Of the 30 permanent IGs that answered \u201cno\u201d to the acting IG being inherently less independent, 28 provided written comments as noted in the following examples of individual explanations.", "An acting IG has the same statutory authority as a permanent IG. Eight permanent IGs provided responses related to the acting IG having the same statutory authority as a permanent IG and the OIG structure having independence safeguards, as noted in the following examples of individual comments: \u201cBecause of the inherent structure of an OIG, with the independence safeguards that are derived from the IG Act, the Office of Inspector General should continue to be independent even if headed by an acting IG.\u201d \u201cAn acting IG has the same independence protections as a \u2018permanent IG\u2019.\u201d \u201c have the same statutory powers as an appointed IG to fulfill their role.\u201d", "Having a permanent title should not be a factor in independence. Ten permanent IGs provided responses related to a permanent title not being a factor in independence as the acting IGs are held to the same standards and independence is driven by the acting IG\u2019s character and background, as noted in the following examples of individual comments: \u201cIndependence is a matter of personal mindset and perceptions drawn by others based on individual/Office actions. Having the permanent title is not a key element required in order for the above to effectively exist.\u201d \u201cAn acting IG can carry out his/her responsibilities as independently as a permanent IG; there are no inherent restrictions on their ability/capacity due solely to status. It boils down to the individual involved and their willingness/ability to do so in the context in which they operate.\u201d \u201cThe independence resides in the position regardless of whether being occupied by an acting or permanent IG.\u201d \u201cThe independence of an IG is largely driven by his or her character, background, and experience.\u201d \u201cIndependence is obtained by the characteristics of the individual in the position of Inspector General. Just because the person occupying the position is \u2018acting\u2019 does not mean they are not independent.\u201d", "An acting IG is usually a career OIG employee. Five permanent IGs provided comments related to the acting IG being a career OIG employee and knowing the importance of independence, as noted in the following examples of individual comments: \u201cCareer OIG employees place a high value on the independence of the office.\u201d \u201cGenerally acting IGs come from within the OIG and have long service in the community and an understanding of and commitment to the role of the IG.\u201d", "We also asked permanent IGs whether they felt that an acting IG is less independent in appearance than a permanent IG. Thirty of the 49 IGs who responded to this question answered \u201cyes\u201d and 13 answered \u201cno,\u201d as shown in figure 9.", "Of the 30 permanent IGs who answered \u201cyes\u201d to this question, 27 provided written comments, some of which are summarized below.", "An acting IG will be less independent in appearance if he or she is seeking the permanent position. Sixteen permanent IGs provided comments related to an acting IG being less independent in appearance if he or she is seeking the permanent position or perceived to be seeking the permanent IG position, as noted in the following examples of individual comments: \u201cThere will always be an appearance issue regarding the judgment of an acting IG if that individual is seeking the permanent position.\u201d \u201cThere may be an appearance that an acting IG is less independent from the agency, particularly where he or she is seeking to become the permanent IG and needs the endorsement of the agency to move forward. This scenario could create an appearance of, or an actual, conflict of interest.\u201d \u201cIf the incumbent aspires to the permanent appointment, I feel the designation as acting Inspector General carries the inherent risk that the incumbent may be vulnerable to political pressures, since the incumbent\u2019s chances of being appointed as the permanent Inspector General may be adversely influenced by sensitive or controversial decisions made during the period that he/she served as acting Inspector General.\u201d \u201cAn \u2018acting\u2019 may be reluctant to assert independence if the acting believes that he or she may be in the running for the vacant IG job. This may create a conflict under certain facts.\u201d \u201cUnfortunately, if an acting IG is interested in becoming the IG, people who are looking for reasons to find fault with their work can make an argument that they are pulling punches to better their chances of being selected. I don\u2019t think this is true in most cases, but the argument is made.\u201d", "An acting IG is also perceived as less independent. Six permanent IGs provided comments related to an acting IG being perceived as less independent by Congress, the public, and other organizations, as noted in the following examples of individual comments: \u201cI am aware of at least one instance where the press and certain Members of Congress speculated or implied that an acting IG who wanted to be considered for appointment as the IG was lenient toward the agency.\u201d \u201cCongress and the public . . . have both expressed this concern.\u201d \u201cThere is an inherent suspicion that the acting IG will pull his or her punches on audits and inspections in order to get nominated by the agency he is auditing.\u201d \u201cSome judge an acting IG for the actions they take or don\u2019t take through the prism of partisan politics and often unfairly ascribe decisions to the acting IG\u2019s interest in becoming an IG.\u201d", "Of the 13 permanent IGs who answered \u201cno,\u201d 11 provided written comments, some of which are summarized below.", "Acting IGs have the same authority as permanent IGs. Three permanent IGs provided comments related to an acting IG having the same authority as a permanent IG, as noted in the following examples of individual comments: \u201cThe law doesn\u2019t change and tenets such as independence are the same regardless of whether you are acting or not.\u201d \u201cAn acting IG still heads an independent Office of Inspector General and as long as that office continues to act independently, there should be no appearance issue.\u201d \u201cThe acting Inspector General has the same authority as a permanent IG.\u201d", "Acting IGs should be able to perform their work independently. One permanent IG provided the following comment related to an acting IG performing his or her work independently: \u201cI don\u2019t necessarily think an acting IG has an appearance of lack of independence per se. Again, I think it depends on the acting IG, the agency, and the relationship between the OIG and the agency.\u201d", "We also asked permanent IGs for suggestions on how the independence of the acting IG role could be improved. Although the majority of permanent IGs did not provide specific suggestions, the following summarizes the 12 written responses received:", "Expedite the appointment process (7 respondents).", "Make acting IGs ineligible for the permanent position (1 respondent).", "Establish a legislative solution for filling positions quickly (1 respondent). Specifically, there should be requirements that (1) acting IGs be named within 30 days of vacancy and the IG position filled within a certain amount of time; (2) DFE IG positions be filled within 180 days of a vacancy, and if not, the agency head should be required to report every 30 days to the agency\u2019s oversight committees on the reason for delay; and (3) for PAS IG positions, a candidate should be nominated within 180 days.", "For visibility, make clear whether the acting IG is under consideration for the permanent position (1 respondent). The administration should do this for a PAS IG, and the agency should for a DFE IG.", "Extend statutory protection to acting IGs (1 respondent). \u201cThe independence of the acting Inspector General role could be improved by extending the same protections mandated for the Inspector General position to the acting Inspector General (as appropriately tailored for the temporary nature of the \u2018acting\u2019 role).\u201d", "Rotate the individuals who will be in the acting IG position (1 respondent).", "In addition to views on the acting IG\u2019s independence, we asked permanent IGs to provide additional comments and identify any challenges related to the acting IG role and prolonged IG vacancies. Thirty-one written responses were provided for this question, some of which are summarized below.", "Importance of permanent IGs. Six permanent IGs provided written comments related to the importance of the permanent IG and impediments in the role of acting IGs, as noted in the following examples of individual comments: \u201cProlonged IG vacancies are never good, and negatively impact the entire IG community and CIGIE because we need fully engaged IGs who can participate in IG and CIGIE business knowing that they will be in the position for the long-term and without wondering when and whether they will be replaced.\u201d \u201cIG vacancies have been allowed to be vacant for years. While the role of an acting IG may be filled successfully, it is important to each agency/department to have a permanent IG who is appointed by the appropriate process.\u201d \u201cExtended vacancies undermine the system of checks and balances.\u201d \u201cI generally believe that it is detrimental for an OIG to have a prolonged IG vacancy with an acting IG. I believe that acting IGs may be disinclined to take necessary agency actions because of their temporary status. In addition, the acting IG is vulnerable to attacks on his or her independence, particularly where he or she is seeking a permanent position and requires the agency\u2019s endorsement.\u201d", "Effect on strategic planning. Eight respondents pointed out challenges acting IGs face in long-term planning, as noted in the following examples of individual comments: \u201cOne of the biggest challenges to an acting IG may be the ability to make long-term plans for the organization.\u201d \u201cA prolonged vacancy creates a leadership gap for the OIG and the entity.\u201d \u201cActing IGs do not feel empowered to take on new initiatives or projects on behalf of the office, and may feel inhibited in terms of management issues, including hiring.\u201d", "Authority. Four respondents commented on the need for authority provided by permanent leadership, as noted in the following examples of individual comments: \u201cRegardless of whether the discussion is focused on acting IG positions or any acting leadership position (within Mission or otherwise), there is some level of authority in terms of institutional impact and ability to effect change that comes from knowing those advancing mission have some level of anticipated continuity in service and ability to see things through.\u201d \u201cThe acting did a remarkable job at getting the office through a very difficult time, but largely saw as a caretaker. [The acting IG] did not feel comfortable doing the things that I immediately recognized needed to be done. The Office\u2019s work got little traction while the acting was in charge, in part because the Office was without a permanent leader and the agency did not feel compelled to pay attention to OIG recommendations.\u201d \u201cI believe the greatest challenge to anyone in an acting role has more to do with authority than it has to do with independence . . . . I believe it is often difficult for anyone in an acting position to think long-term and make decisions that have long-term implications because they (1) have no idea how long they will be acting and (2) may be overruled or have decisions reversed by a permanent appointee. So I think acting individuals tend to \u2018keep the home fires burning\u2019 as well as they can but don\u2019t necessarily think in terms of leading the organization in the direction it needs to go in the future, especially since they don\u2019t know what the future will bring.\u201d", "OIG morale. Four respondents reported morale problems in OIGs without a permanent IG, as noted in the following examples of individual comments: \u201cProlonged vacancies in senior leadership positions, whether in an OIG or other government offices, can lead career employees to lose their focus and their dedication to fulfill the mission of the office. When new leadership is finally put into place, it often encounters stiff resistance to any changes because the employees have enjoyed being \u2018home alone\u2019.\u201d \u201cThe prolonged vacancy at the agency diminished the stature of the office and did not make it an inviting place for experienced oversight staff to want to work.\u201d", "IG vacancies seen as lack of support. Five respondents reported that prolonged vacancies are seen as a lack of congressional or agency support for the OIG, as noted in the following examples of individual comments: \u201cProlonged vacancies in the IG position . . . can be viewed by some as a lack of support for the IG oversight mission on the part of the Administration and Congress.\u201d \u201cAny individual serving in any position with the word \u2018acting\u2019 in front of it inherently carries less authority than the same individual in the same position serving in a permanent capacity. The longer an IG position is left vacant the greater the appearance that the agency does not want to have an IG providing oversight.\u201d"], "subsections": []}, {"section_title": "OIG Employees\u2019 Views on the Impact of IG Vacancies on the Ability to Maintain Independence", "paragraphs": ["OIG employees\u2019 views on the inherent independence of an acting IG as compared to the independence of a permanent IG are summarized in figure 10.", "Based on our survey, we estimate that 16 percent of the OIG employees believe that an acting IG is inherently less independent than a permanent IG. Of the employees who responded \u201cyes,\u201d 25 provided written explanations along with their answers, some of which are summarized below.", "The acting IG may be seeking a permanent position. Eleven OIG employees provided comments related to the acting IG seeking a permanent position, as noted in the following examples of individual comments: \u201cIf interested in permanent appointment, there is a risk that acting IG becomes more interested in being liked by and pleasing the agency, thus independence could be impaired.\u201d \u201cAn acting Inspector General may be seeking an IG appointment. He/she wants the agency to like him, to support his nomination, and may kowtow to them. This dynamic may result in a \u2018don\u2019t rock the boat\u2019 mentality.\u201d \u201cIf the acting IG is going to be a candidate for the IG position, and is appointed by the head of the agency, they may stay away from reviewing sensitive issue areas.\u201d", "The acting IG came from within the OIG. Three OIG employees provided comments related to the acting IG selected from within the OIG having preconceived notions, as noted in the following examples of individual comments: \u201cOur acting Inspector General was previously the IG for Audits and Evaluation. As such, entered the position with substantial preconceived notions about the other directorates. In contrast, our permanent IG came to the position with limited preconceived notions. In the future, it would be better if the Acting IG came from another IG (as opposed to temporarily promoting from within).\u201d \u201cI believe that an acting IG is inherently less independent because he or she has no official term, may either receive an appointment as IG, or be replaced at the discretion of the President.\u201d \u201cBring in an acting IG from another agency for independence reasons or ensure other acting positions are filled and the acting IG is not performing multiple roles.\u201d", "Based on our survey, we estimate that 52 percent of the OIG employees believe that an acting IG is not inherently less independent than a permanent IG. Of the 71 employees who responded \u201cno\u201d to this question, 56 provided written explanations, some of which are summarized below.", "There is no difference between the permanent IG and an acting IG. Eighteen OIG employees provided comments related to the acting IG and permanent IG as having no difference, as noted in the following examples of individual comments: \u201cWe saw absolutely no difference in the independence of the acting IG the appointed IG.\u201d \u201cThe acting title (as compared to a permanent IG title) is irrelevant. It ALL comes down to the specific individual occupying the position.\u201d \u201cThe Inspector General is independent by law. The authority of the position is the same, whether it is filled by an acting IG or a permanent IG. . . . I have not encountered circumstances in which I felt the acting IG was inherently less independent.\u201d \u201cThe acting IG at was the Deputy IG who is a strong ethical and principled leader. There was no change to our mission, focus, or independence, nor in our ability to conduct our work. To suggest that, merely because there was an acting IG, independence was inherently compromised is unfounded, bespeaks a lack of understanding of OIG standards and ethics, and is just wrong.\u201d \u201cThe acting IG served as any IG would be expected to in the area of independence. No difference there.\u201d", "An acting IG is independent. Nineteen OIG employees provided comments related to the acting IG\u2019s independence, as noted in the following examples of individual comments: \u201cBased on my experience, both acting IGs were career OIG employees understood and embraced independence.\u201d \u201cI felt the acting IG was very independent and did a fantastic job.\u201d \u201cAll persons within the OIG are to be objective and independent, no matter their position.\u201d \u201c acting IG the same level of independence that is expected of all IG employees.\u201d \u201c acting IG is as independent as our previous and is not hesitant to report problems and weaknesses to Congress.\u201d", "An acting IG and permanent IG follow the same independence standards. Six OIG employees provided comments related to the acting IG and permanent IG as having the same independence standards, as noted in the following examples of individual comments: \u201cThe acting is subject to the same standards.\u201d \u201cThe acting IG is just as important and they adhered to all the laws and regulations as the IG.\u201d \u201cActing or permanent, they are held to the same standards of independence.\u201d", "An acting IG position is not less independent. Six OIG employees provided comments related to the acting IG position not being less independent and depending on the individual in the role, as noted in the following examples of individual comments: \u201cWhether an acting IG is able to maintain independence is dependent upon the person holding the position and his or her confidence, strength of character, leadership capabilities and subject matter expertise. The same is true for IGs.\u201d \u201cIt depends on the individual. If a particular acting IG is a strong person, who puts aside any desire to pander to the agency head in the hope of being made permanent, there would be no effect on his/her independence.\u201d", "We also asked OIG employees to identify any additional challenges they experienced in relation to working under an acting IG. Overall, 83 employees provided written responses, and 4 of those responses were additional challenges related to OIG independence, as noted in the following examples of individual comments: \u201cHaving worked in OIGs and observed functioning in other OIGs, the acting IG issue seems serious. There are subtle pressures to go along with management. Few acting IGs deliberately decide to compromise their principles, but many seem to wind up doing so.\u201d \u201cBecause the acting IG wanted to gain the support of others, was not independent.\u201d \u201cThe one challenge I am concerned with an acting IG is if that person has applied for the IG position and will not commit to certain decisions that will negatively impact their opportunity to obtain the permanent position as IG.\u201d", "We also asked OIG employees to provide suggestions on how the independence of the acting IG role could be improved. The majority of the 25 respondents who provided written comments to this question did not provide suggestions for improving the independence. The comments that provided suggestions are summarized below: Timely appoint an IG (4 respondents).", "Consult with other CIGIE IGs to help monitor and assess the acting IG based on clear criteria and expectations (1 respondent).", "Limit the amount of time an acting IG can serve (1 respondent).", "Bring in an acting IG from another agency for independence reasons or ensure that other acting positions are filled and the acting IG is not performing multiple roles (1 respondent)."], "subsections": []}]}, {"section_title": "Suggestions from Permanent IGs for Improving the Appointment Process", "paragraphs": ["Prolonged IG vacancies have been the subject of congressional hearings because of the importance of these key oversight positions. Delays in the presidential nomination and Senate confirmation process for all positions filled by this process, including PAS OIGs, have also been the subject of recent academic studies. For example, a recent study that explored the failure of nominations and the delay in confirmation of successful nominations across recent administrations from 1981 to 2014, found that nominations for the IG position had about a 24 percent failure rate. Given that in recent years, certain OIGs have experienced prolonged IG vacancies, especially IGs that require presidential nomination and Senate confirmation, we asked the 52 surveyed permanent IGs to provide comments on their experience with the appointment process and any suggestions for improving the process and minimizing the duration of IG vacancies. Comments were provided by 45 permanent IGs in these areas, including eight suggestions to minimize the duration of IG vacancies, as noted in the following individual comments: \u201cOne thing that could be improved an agreement between the , Congress and on a format for information. I was required to provide essentially the same information (with small variations) three times. But the precise formatting and framing of the questions [asked of the nominees] was different in each case, taking time and creating the possibility of inconsistencies.\u201d \u201cA possible suggestion would be to improve the timeliness of the selection, vetting, and confirmation process of IGs, particularly given the current number of vacancies. IGs play a vital role in ensuring that government programs and operations are functioning efficiently and effectively, and greater emphasis on the part of the White House and Congress to nominate and confirm IGs in a timely manner would provide great benefit.\u201d \u201cI believe the process could be improved by streamlining the number of committees involved so that each nominee need only obtain approval from one committee.\u201d \u201cWhile I worked through the paperwork requirements efficiently, it was a tremendous lift and I wonder if all that is required is necessary and in the form it took. I found a good degree of duplication in what was asked of from the . . . and Senate. I think there are opportunities to streamline with better coordination.\u201d \u201c a timeline from start to finish would be helpful. I also recommend that Congress prioritize IG confirmations above most other confirmations.\u201d \u201cFaster consideration and vote would be useful.\u201d \u201cThe Senate be required to act on IG candidates within 90 days of their nomination by the President.\u201d \u201cAlthough I think it is very important for any IG to have a strong working relationship with the agency head, it seems inappropriate for the agency head to have a strong voice in selecting the nominee for a residentially appointed, Senate-confirmed IG who is supposed to provide independent oversight of the agency. I suggest changing the process to omit the pre-selection interview with the agency head and substitute instead a pre-nomination courtesy meeting.\u201d"], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to CIGIE for comment and CIGIE shared the draft with the 64 OIGs active under the IG Act. CIGIE and the OIGs at the National Credit Union Administration and U.S. Election Assistance Commission provided written comments, which are discussed below and reprinted in appendixes II, III, and IV, respectively.", "CIGIE expressed appreciation for the review and analysis efforts that we conducted for the purposes of this report. CIGIE also noted some information regarding the Central Intelligence Agency IG and the Intelligence Community IG, which were outside the scope of our work.", "CIGIE stated that both IGs are PAS and that the Central Intelligence Agency IG position has been vacant for over 3 years.", "The National Credit Union Administration OIG stated that while it did not have a vacancy during the 10-year period we reviewed, it agreed that looking at this area to reduce IG vacancies is an important endeavor.", "The U.S. Election Assistance Commission OIG expressed concurrence with the facts as they pertain to its office and stated that the report will contribute to improving the appointment process for IGs.", "In addition, CIGIE and the OIGs at the Appalachian Regional Commission, Denali Commission, Department of Commerce, Department of Education, Department of Housing and Urban Development, Federal Deposit Insurance Corporation, General Services Administration, National Reconnaissance Office, and U.S. Election Assistance Commission provided technical comments, which we incorporated as appropriate. The remaining OIGs did not provide comments.", "We are sending copies of this report to the Executive Director of CIGIE and to the 64 IG Act offices listed in this report as well as interested congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2623 or davisbh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to determine (1) the status of inspector general (IG) vacancies as of the end of fiscal year 2017, and the number and duration of the IG vacancies for fiscal years 2007 through 2016, and (2) the views of the IG community on the impacts, if any, of IG vacancies on the Offices of Inspector General\u2019s (OIG) ability to effectively carry out their duties, including views on independence and permanent IG suggestions for improvements in the appointment process. To address these objectives we included in our scope the 64 active OIGs that were established under the IG Act of 1978, as amended (IG Act).", "To determine the status of IG vacancies as of the end of fiscal year 2017, we obtained the vacancy data from the 64 OIGs active under the IG Act, and documented any changes for fiscal year 2017. To identify IG vacancies and changes for fiscal years 2007 through 2016, we first obtained vacancy data from the Council of the Inspectors General on Integrity and Efficiency (CIGIE). We interviewed CIGIE personnel to obtain an understanding of issues related to IG vacancies and to discuss the reliability of the vacancy data. Data obtained from CIGIE included the resignation dates of the permanent IGs, vacancy start and end dates, names of the acting IGs, names of newly appointed IGs, and whether each IG was presidentially appointed, Senate confirmed (PAS) or appointed by the head of a designated federal entity (DFE). We also obtained nominations from Congress.gov, which included information on nominated IGs and the status of those nominations. As part of our data reliability procedures, we confirmed the vacancy data with the 64 OIGs established under the IG Act. We reviewed and summarized the IG vacancy data and documented any changes in IG vacancies for fiscal years 2007 through 2016. In 2014, the IG appointment structure for the IGs of the National Security Agency and National Reconnaissance Office was changed from DFE to PAS. For the 10-year period under review, these two OIGs experienced vacancies during both their DFE and new PAS status. However, to avoid duplicating the agencies, we only counted the number and length of vacancies for each agency under the PAS IGs.", "To obtain the views of the IG community\u2014specifically, permanent IGs, acting IGs, and employees working under an acting IG\u2014on the impact that a prolonged IG vacancy can have on the OIG\u2019s ability to carry out its duties effectively, including any impact on independence, we conducted web-based surveys of 54 IG Act OIGs. These surveys included both multiple choice and open-ended questions for written responses to obtain the views of the IG community on the impacts of vacancies, if any, and views on independence, challenges, and positive outcomes. The surveyed groups were as follows: Fifty-two permanent IGs serving as of August 22, 2017.We used both multiple choice questions and open-ended questions to obtain their views on the impact that an IG vacancy could have on the OIG\u2019s ability to conduct its oversight, including any independence issues presented by acting IG. We also asked the permanent IGs to provide any suggestions for improvements in the appointment process. The survey was administered on the web from August 22, 2017, through September 29, 2017. The survey response rate of permanent IGs was 96 percent: 50 of the 52 permanent IGs completed the survey. Two permanent IGs did not respond to the survey.", "Nine acting IGs who had served for over 365 days from fiscal years 2014 through 2016. We used both multiple choice questions and open-ended questions to obtain their views on the impact that a prolonged vacancy could have on the acting IG\u2019s ability to carry out his or her duties, including any impact on independence. The survey was administered on the web from August 22, 2017, through September 29, 2017. The survey response rate of acting IGs was 100 percent. While 14 acting IGs met our selection criteria, 4 have either retired or have since left the government and were not surveyed. The National Reconnaissance Office\u2019s acting IG was excluded because of concerns regarding sensitive personally identifiable information. Of the 9 remaining acting IGs, 2 are now permanent IGs but provided responses for their acting IG tenure, which were included with those of the 7 acting IGs. In this report, we refer to all nine as acting IGs.", "A stratified random sample of 185 OIG employees consisting of 39 Senior Executive Service (SES) employees and 146 non-SES OIG employees, from OIGs with an acting IG in place for over 365 days from fiscal years 2014 through 2016. We used both multiple choice questions and open-ended questions to obtain the employee views about challenges related to working under an acting IG as compared to a permanent IG. The web-based survey was administered from September 11, 2017, through September 29, 2017. We had a weighted survey response rate of 71 percent; 133 of the sample of 185 employees completed the survey.", "Because we followed a probability procedure based on random selections, our OIG employee sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 10 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Confidence intervals are provided along with each sample estimate in the report. Estimates from the employee survey are generalizable to the population of employees from OIGs that had an acting IG in place for over 365 days from fiscal years 2014 through 2016. To minimize nonsampling errors, and to enhance data quality, we employed recognized survey design practices in the development of the questionnaire and in the collection, processing, and analysis of the survey data. To minimize errors arising from differences in how questions might be interpreted and to reduce variability in responses that should be qualitatively the same, we conducted pretests with permanent IGs, acting IGs, and employees.", "To ensure that we obtained a variety of perspectives on our survey questions, we randomly selected three permanent IGs, two acting IGs, and two employees for the pretests. Based on their feedback, we revised each survey in order to improve the clarity of the questions. An independent survey specialist within GAO also reviewed a draft of each survey prior to its administration. To reduce nonresponse, another source of nonsampling error, we followed up by e-mail or phone with the IGs, acting IGs, and employees who had not responded to encourage them to complete the survey.", "We did not survey a total of 10 IG Act OIGs. Nine OIGs were not surveyed because there was no permanent IG in position or the acting IG at the time of our survey did not meet our criteria of serving for more than 365 days from fiscal year 2014 through 2016. Those OIGs were at the U.S. Postal Service, Social Security Administration, Small Business Administration, Office of Personnel Management, National Security Agency, Federal Election Commission, Department of Housing and Urban Development, Department of Energy, and Department of Defense. In addition, one OIG, the National Reconnaissance Office, was not surveyed because of concerns regarding sensitive personally identifiable information.", "We also performed a two-step content analysis on the open-ended survey responses to summarize key ideas. In the first step, analysts read the respondents\u2019 comments and jointly developed categories for them. In the second step, each open-ended response was coded by one analyst, and then those codes were verified by another analyst. Any coding discrepancies were resolved by the analysts discussing the comments and then agreeing on the code. In some cases, we edited responses for clarity or grammar. Views expressed in the open-ended questions may not be representative of all acting IGs, permanent IGs, or employees on given topics. We did not assess the merits of the individual comments or suggestions provided in response to the open-ended survey questions.", "We conducted this performance audit from February 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Council of the Inspectors General on Integrity and Efficiency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the National Credit Union Administration Office of Inspector General", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Election Assistance Commission Office of Inspector General", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Elizabeth Martinez (Assistant Director), Carl Barden, Jason Kirwan, Christopher Klemmer, Jill Lacey, Won Lee, Yvonne Moss, and Lisa Rowland made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-50", "url": "https://www.gao.gov/products/GAO-18-50", "title": "Border Patrol: Issues Related to Agent Deployment Strategy and Immigration Checkpoints", "published_date": "2017-11-08T00:00:00", "released_date": "2017-11-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Border Patrol has primary responsibility for securing the border between U.S. ports of entry. On the southwest border, Border Patrol deploys agents along the immediate border and in areas up to 100 miles from the border as part of a layered approach known as the defense in depth strategy. Immigration checkpoints, generally located between 25 and 100 miles from the border, are one element of this strategy. GAO was asked to review the defense in depth strategy.", "This report addresses: (1) the factors Border Patrol considers in deploying agents, (2) where apprehensions of illegal crossers and seizures of contraband are occurring, and (3) what data show about how checkpoints contribute to apprehensions and seizures, among other objectives. To answer these questions, GAO analyzed Border Patrol documents and data on apprehensions and seizures from fiscal year 2012 through 2016, visited two southwest border sectors, interviewed officials from the other seven southwest border sectors and Border Patrol headquarters, and reviewed prior GAO work on border security."]}, {"section_title": "What GAO Found", "paragraphs": ["According to U.S. Border Patrol (Border Patrol), agent deployment decisions are based on factors such as staffing levels and the availability of agents, among other things. As of May 2017, nationwide, Border Patrol had about 1,900 fewer agents than authorized, which officials cited as a key challenge for optimal agent deployment. In recent years, attrition has exceeded hiring (an average of 904 agents compared to 523 agents) according to officials. GAO analyzed scheduling data, including time that agents were scheduled to be not working (for example, off duty or on leave) because these activities can affect deployment decisions by reducing the number of agents available on a particular day. GAO found that agents were available for deployment about 43 percent of the time.", "From fiscal years 2012 through 2016, Border Patrol apprehended a total of almost 2 million individuals along the southwest border, and these apprehensions increasingly occurred closer to the border, with 42 percent of apprehensions occurring one-half mile or less from the border in fiscal year 2016 compared to 24 percent in fiscal year 2012. One driver for this change is the increasing number of apprehensions of children, whom officials report may turn themselves in to Border Patrol without attempting to evade detection. Meanwhile, over this period, the locations where seizures of contraband occurred remained roughly the same, with the majority occurring 10 or more miles from the border.", "For fiscal years 2013 through 2016, GAO found that 2 percent of apprehensions and 43 percent of seizures occurred at checkpoints; however, determining the extent to which apprehensions and seizures are attributable to checkpoints is difficult because of long-standing data issues. More apprehensions and seizures may be attributable to checkpoints, but Border Patrol's reporting does not distinguish apprehensions that occurred \u201cat\u201d versus \u201caround\u201d a checkpoint. Border Patrol is drafting guidance to clarify how checkpoint apprehension and seizure data are to be recorded that would respond to a 2009 GAO recommendation to improve the internal controls for management oversight of checkpoint data. GAO also determined that seizures at checkpoints differed from those at other locations. Specifically, 40 percent of seizures at checkpoints were 1 ounce or less of marijuana from U.S. citizens. In contrast, seizures at other locations were more often higher quantities of marijuana seized from aliens."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations at this time but has previously recommended that Border Patrol establish internal controls for checkpoint data, among other things. DHS concurred with this recommendation and has taken some steps to improve the quality of checkpoint data, but additional actions are needed to fully implement the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States\u2019 international border with Mexico continues to be vulnerable to illegal cross-border traffic. The U.S. Border Patrol (Border Patrol)\u2014an office within the Department of Homeland Security\u2019s (DHS) U.S. Customs and Border Protection (CBP) that has primary responsibility for securing the border between the U.S. ports of entry\u2014recorded more than 400,000 apprehensions and more than 15,000 seizures in fiscal year 2016. Agents are among the key resources Border Patrol deploys\u2014 along with infrastructure and technology\u2014to respond to cross-border threats, and Border Patrol\u2019s most recent strategic plan calls for a risk- based approach to resource deployment.", "Along the southwest border, Border Patrol deploys agents along the immediate border and in areas up to 100 miles from the border as part of a layered approach the agency refers to as the defense in depth strategy. As part of this strategy, Border Patrol deploys agents on temporary duty assignments to Forward Operating Bases (FOBs) located in difficult to access areas near the border to reduce the response time to threats in these areas, and it also deploys agents to immigration checkpoints (checkpoints) that are generally located on highways 25 to 100 miles from the border.", "At checkpoints, Border Patrol agents screen vehicles for aliens who were able to illegally cross the border undetected at or between ports of entry. Border Patrol checkpoints are located on major U.S. highways and secondary roads. This permits checkpoints to be far enough inland to detect and apprehend aliens in violation of U.S. immigration law, smugglers, and potential terrorists attempting to travel farther into the interior of the United States on ingress routes after evading detection or otherwise avoiding required inspection at the border. According to Border Patrol data, there are about 140 locations that Border Patrol uses for checkpoint operations near the southwest border, although not all of them are operational at all times. Some of these checkpoints have a permanent structure with off-highway inspection lanes and technology to facilitate inspection and convenience, while other checkpoints have temporary infrastructure in the form of trailers and generators. DHS\u2019s Congressional Justification for the fiscal year 2018 budget notes that, because checkpoints are an integral part of the defense in depth strategy, measurements of checkpoint events (apprehensions and seizures) serve as barometers of the effectiveness of Border Patrol\u2019s overall strategy to deny illegal entries into the United States.", "Communities located near the southwest border may be positively or negatively impacted by the placement and operation of checkpoints and other Border Patrol resources deployed under the defense in depth strategy. You requested that we review Border Patrol\u2019s defense in depth strategy. This report addresses the following questions: 1. What factors does Border Patrol consider in deploying agents to the different layers of the defense in depth strategy along the southwest border, including FOBs along the border and checkpoints? 2. Where are apprehensions and seizures occurring in relation to the border, as a reflection of Border Patrol\u2019s defense in depth strategy? 3. What do data show about how checkpoints contribute to apprehensions and seizures? 4. What is known about the effects of Border Patrol\u2019s defense in depth strategy on surrounding communities, and how, if at all, does Border Patrol engage with these communities to identify and respond to any such effects?", "To address these objectives, we analyzed Border Patrol data and documents, visited two southwest border sectors, and interviewed Border Patrol officials from the other seven southwest border sectors and Border Patrol headquarters. Specifically, we analyzed Border Patrol data on planned agent deployment, apprehensions, and seizures across all nine southwest border sectors from fiscal years 2012 through 2016. We selected these years because they were the five most recent fiscal years for which complete data were available at the time of our review.", "We also selected the two sectors to visit (Tucson sector and Rio Grande Valley sector) based on the role of checkpoints in those locations, the presence of FOBs, the role of known community groups that engage with Border Patrol, and a relatively high level of known cross-border illegal activity in those sectors, among other factors. In these two sectors, we met with sector and station officials, local law enforcement agencies, and community groups. We selected local law enforcement agencies and community groups based on recommendations from sector officials and geographic considerations, such as proximity to checkpoints. We also visited Border Patrol facilities including checkpoints and FOBs. Both in- person during our visits to the two selected sectors and by phone with the remaining seven sectors, we interviewed officials responsible for making agent deployment decisions to discuss how sectors and stations decide to deploy agents, the operational results of agent deployment, and how sectors and stations respond to any effects of Border Patrol\u2019s defense in depth strategy on the surrounding community. We also interviewed officials from Border Patrol headquarters\u2014specifically officials from the Checkpoint Program Management Office (CPMO) and from the Border Community Liaison (BCL) Program\u2014and officials responsible for overseeing and analyzing Border Patrol deployment, apprehension, and seizure data. These interviews focused on Border Patrol\u2019s oversight of and data regarding agent deployment, enforcement actions, and checkpoints.", "We also reviewed our prior work regarding checkpoints, the defense in depth strategy, and issues related to private property damage along the southwest border. In particular, we reviewed recommendations from our August 2009 report on checkpoints and assessed actions taken in response to these recommendations to determine whether they had been implemented.", "To address our first objective, we analyzed data on planned agent deployment from the Border Patrol Enforcement Tracking System (BPETS) for fiscal years 2013 through 2016. We reviewed the activities in the data to determine broad categories represented among the activities. Border Patrol officials responsible for overseeing the data concurred with our categories and how we organized the activities into these categories. We assessed the reliability of these data by testing for missing data and obvious errors, reviewing related documentation, and interviewing knowledgeable agency officials. We determined that the data used in our analyses were sufficiently reliable for the purposes of this report.", "To address our second and third objectives, we obtained and analyzed apprehension and seizure data from Border Patrol\u2019s Enforcement Integrated Database/e3 (e3) database for fiscal years 2012 through 2016. We assessed the reliability of these data by testing for missing data and obvious errors, reviewing related documentation, and interviewing knowledgeable agency officials. We used Global Positioning System (GPS) coordinates contained in the e3 data to analyze distance from the border and proximity and relation to checkpoints for apprehensions and seizures. In assessing the reliability of these data, we identified some apprehension and seizure records with GPS coordinates that were outside the scope of our review. We excluded the small percentage of records that had missing GPS coordinates or had GPS coordinates that were not within the boundaries of southwest Border Patrol sectors. We determined that the data used in our analyses were sufficiently reliable for the purposes of this report. For our analysis of apprehensions\u2019 and seizures\u2019 proximity and relation to checkpoints, we analyzed data for fiscal years 2013 through 2016 because a listing of checkpoints that were operational in fiscal year 2012 was not available.", "To address our fourth objective, we reviewed BCL program documents from headquarters and all nine southwest border sectors, interviewed officials in these sectors, and met with community members and local law enforcement officials in the two sectors we visited. We spoke with officials from all nine southwest border sectors about their views on the effects that Border Patrol and illegal cross-border activity have had on nearby communities up to 100 miles from the border. Our interviews also focused on Border Patrol\u2019s efforts to identify and respond to any effects, including the organization of and actions taken as part of the BCL program. Although the information we obtained from these interviews cannot be generalized to other communities near border checkpoints, these interviews provided important insights and perspectives about the checkpoints.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Border Patrol\u2019s Organizational Structure", "paragraphs": ["Border Patrol divides responsibility for southwest border security operations geographically among nine sectors, each with its own sector headquarters. Each sector is further divided into varying numbers of stations. For example, the Tucson sector has divided geographic responsibility across eight stations, seven of which have responsibility for miles of land directly on the U.S.-Mexico border. Stations\u2019 areas of responsibility are divided into zones. Border Patrol refers to \u201cborder zones\u201d\u2014those having international border miles\u2014and \u201cinterior zones\u201d\u2014 those without international border miles. For example, as shown in figure 1, within the Tucson sector, the Sonoita station has only border zones, the Willcox station has only interior zones, and the other stations have a mix of both border and interior zones. According to Border Patrol officials, dividing stations into zones allows sectors to more effectively analyze border conditions, including terrain, when planning how to deploy agents. Zone dimensions are largely determined by geography and topographical features, and zone size can vary significantly."], "subsections": []}, {"section_title": "Staffing Levels and Agent Deployment", "paragraphs": ["In fiscal years 2011 through 2016, Border Patrol was statutorily required to maintain a minimum of 21,370 full-time equivalent agent positions, but Border Patrol has faced challenges in staffing to that minimum level. As of May 2017, Border Patrol had about 19,500 agents on board. Additionally, in January 2017, an executive order called for the hiring of 5,000 additional Border Patrol agents, subject to available appropriations, and Border Patrol is aiming to have 26,370 agents by the end of fiscal year 2021. The Acting Commissioner of CBP reported in a February 2017 memo to the Deputy Secretary for Homeland Security that from fiscal year 2013 to fiscal year 2016, Border Patrol hired an average of 523 agents per year while experiencing a loss of an average of 904 agents per year. The memo cited challenges such as competing with other federal, state, and local law enforcement organizations for applicants. In particular, the memo noted that CBP faces hiring and retention challenges compared to DHS\u2019s U.S. Immigration and Customs Enforcement (which is also planning to hire additional law enforcement personnel) because CBP\u2019s hiring process requires applicants to take a polygraph examination, Border Patrol agents are deployed to less desirable duty locations, and Border Patrol agents generally receive lower compensation.", "Border Patrol headquarters, with input from the sectors, determines how many authorized agent positions will be allocated to each of the sectors. According to Border Patrol officials, these decisions take into account the relative needs of the sectors, based on threats, intelligence, and the flow of illegal activity. Each sector\u2019s leadership determines how many of the authorized agent positions will be allocated to each station within their sector. Sector leadership also distributes newly assigned agents\u2014those agents recently hired whom headquarters has assigned to the sector, or existing agents who are being transferred\u2014to specific stations within the sector. Table 1 shows the number of authorized agent positions for each southwest border sector as well as the number of agents who were assigned to each of those sectors, as of May 2017.", "Once a sector assigns agents to a station, station officials assign agents to a shift. Most agents work 10-hour shifts, which allows for some overlap in time for the outgoing shift to relay key information to the incoming shift. Most agents work 5 days per week with 2 off duty days."], "subsections": []}, {"section_title": "FOBs and Checkpoints", "paragraphs": ["Border Patrol has 17 FOBs that are established in forward or remote locations in five of the nine southwest border sectors to sustain Border Patrol operations. According to Border Patrol officials, the primary function of these facilities is to give the Border Patrol a tactical advantage by reducing response time to threats or actionable intelligence. Typically, agents are assigned for 7 days, during which they reside at the FOB and deploy to their assigned duties. FOBs allow agents to be pre-positioned at these locations, which reduces the portion of an agent\u2019s shift that is spent in transit between the station and the patrol location. In addition, these facilities are intended to increase security awareness and presence in the border areas where they are located. FOBs are staffed by Border Patrol agents on temporary duty assignments from their permanent duty station. After their shift, they are normally required to remain at the FOB to rest, prepare for their next shift, and be available, if needed, to respond to operational issues. Figure 2 includes a photo of a FOB in the Rio Grande Valley sector. Five of the nine southwest border sectors\u2014Yuma, Tucson, El Paso, Big Bend, and the Rio Grande Valley\u2014have FOBs, whereas the other four sectors\u2014San Diego, El Centro, Del Rio, and Laredo\u2014do not.", "Border Patrol operates two types of checkpoints\u2014permanent and tactical\u2014that differ in terms of size, infrastructure, and location. While both types of checkpoints are generally operated at fixed locations, permanent checkpoints\u2014as their name suggests\u2014are characterized by their brick and mortar structures, that may include off-highway covered lanes for vehicle inspection and several buildings including those for administration, detention of persons suspected of smuggling or other illegal activity, and kennels for canines used in the inspection process. Figure 2 shows examples of permanent and tactical checkpoints we observed in the Rio Grande Valley and Tucson sectors, and figure 3 is a map depicting the locations of permanent checkpoints near the southwest border.", "Border Patrol agents at checkpoints have legal authority that agents do not have when conducting roving patrols away from the border. The United States Supreme Court ruled that Border Patrol agents may stop a vehicle at fixed checkpoints for brief questioning of its occupants even if there is no reason to believe that the particular vehicle contains illegal entrants, and also held that the operation of a fixed checkpoint does not require a judicial warrant. The Court further held that, provided the intrusion is sufficiently minimal so as not to require particularized justification, Border Patrol agents \u201chave wide discretion\u201d to refer motorists selectively to a secondary inspection area for additional brief questioning. In contrast, the Supreme Court held that Border Patrol agents on roving patrol may stop a vehicle only if they have reasonable suspicion that the vehicle contains aliens who may be illegally in the United States\u2014a higher threshold for stopping and questioning motorists than at checkpoints. The constitutional threshold for searching a vehicle is the same, however, and must be supported by either consent or probable cause, whether in the context of a roving patrol or a checkpoint search. Probable cause can include a canine detecting something it is trained to detect (e.g., concealed people, narcotics). Figure 4 shows a Border Patrol canine team inspecting a vehicle at a checkpoint."], "subsections": []}, {"section_title": "Previous GAO Work", "paragraphs": ["We have previously reported on topics related to the defense in depth strategy, and specifically on checkpoints. In August 2009, we reported on the measurement of checkpoint performance and the impact of checkpoint operations on nearby communities, among other things related to checkpoints. In that report, we made recommendations to, among other things, strengthen checkpoint design and staffing and improve the measurement and reporting of checkpoint effectiveness, including measuring community impacts. CBP has implemented two of our recommendations from that report\u2014specifically, Border Patrol explored and considered the feasibility of a checkpoint performance model and required that traffic volumes be studied and considered when designing new permanent checkpoints. Appendix I provides details on the status of all six recommendations from that report. We also reported in December 2012 on how Border Patrol manages personnel resources at the southwest border, including aspects of the defense in depth strategy, such as where apprehensions and seizures were occurring relative to the southwest border. That report focused on the Tucson sector\u2014which at the time had the most Border Patrol apprehensions of the nine southwest border sectors\u2014and compared data on agent deployment, apprehensions, and seizures from the Tucson sectors with data for other sectors."], "subsections": []}]}, {"section_title": "Border Patrol Deploys Agents Based on Availability and Geography, Among Other Factors, and Agent Activity Schedules Vary By Sector", "paragraphs": [], "subsections": [{"section_title": "Border Patrol Assigns Agents Based on Factors Such As Availability, Geography, and Illegal Traffic Patterns", "paragraphs": ["According to sector officials, decisions about agent deployment in terms of location and activity are based on multiple factors, including the availability of agents for a given shift, the geography in a station\u2019s area of responsibility, and illegal traffic patterns. For example, when considering the various assignments that need to be filled for a given day, supervisors must take into account agents that are unavailable because they are off duty, on scheduled leave, or are scheduled to attend training. The geography in a station\u2019s area of responsibility can also affect decisions about where to deploy available agents. For example, Border Patrol may have limited access to certain areas because of challenging terrain, limited or poor quality roads, or private ownership. Supervisors also review information about illegal traffic patterns in their areas of responsibility to determine where enforcement operations may be needed."], "subsections": [{"section_title": "Number and Availability of Agents", "paragraphs": ["One key factor in how Border Patrol makes deployment decisions at the station level is the overall number of agents available. Officials from all nine southwest border sectors cited current staffing levels and the availability of agents as a challenge for optimal deployment. Nationwide, as of May 2017, Border Patrol had nearly 1,900 fewer agents than authorized and has faced hiring and retention challenges in recent years. As shown in table 1 earlier, eight of the nine southwest border sectors were below their authorized agent staffing levels as of May 2017. As such, resources are constrained and station officials must make decisions about how to prioritize activities for deployment given the number of agents available.", "Within sectors, some stations may be comparatively more understaffed than others because of recruitment and retention challenges, according to officials. Generally, sector officials said that the recruitment and retention challenges associated with particular stations were related to quality of life factors in the area near the station\u2014for example, agents may not want to live with their families in an area without a hospital, with low- performing schools, or with relatively long commutes from their homes to their duty station. This can affect retention of existing agents, but it may also affect whether a new agent accepts a position in that location. For example, officials in one sector said that new agent assignments are not based solely on agency need, but rather also take into consideration agent preferences. These officials added that there is the potential that new agents may decline offers for stations that are perceived as undesirable, or they may resign their position earlier than they otherwise would to pursue employment in a more desirable location.", "Supervisors make decisions about how to deploy agents based on the number of agents assigned to a shift who are available to work the shift on a particular day. On any given day, some agents will be off duty, in training, or have annual or sick leave scheduled, thereby reducing the number of agents available for deployment during a shift.", "To assess how Border Patrol has scheduled and deployed agents across the southwest border sectors, we analyzed the scheduled deployment data that supervisors entered into BPETS for fiscal years 2013 through 2016. Supervisors enter data into BPETS in advance of a shift to track expected time and attendance. Supervisors record work status by indicating whether an agent will be working, off duty, or otherwise not working (for example, on annual leave or scheduled sick leave), and for agents who are working, the supervisors also record an assignment to which the agent is expected to be deployed that day. We analyzed these assignments to determine how agents\u2019 work time was distributed among activities in the following categories:", "Operations and Patrol refers to frontline activities that involve identifying and apprehending illegal entrants and identifying and seizing contraband. Some specific examples include linewatch, sign cutting, and checkpoint duties.", "Operational Support refers to activities, such as intelligence gathering or surveillance, that support frontline agents conducting operations and patrol activities.", "Processing refers to activities that occur after apprehending an individual, including transport, processing, detention, and removal.", "Legal Support and Litigation refers to activities, such as attending court proceedings, that involve prosecution of apprehended individuals.", "Training refers to activities that involve providing instruction, attending training, or completing qualification/certification tests.", "Administrative and Other Non-Enforcement Activities refers to activities other than those above, including public relations, hiring and recruitment, and policy and compliance.", "Our analysis included time that agents were scheduled to be off duty or on scheduled leave because scheduled time off can affect supervisors\u2019 deployment decisions by reducing the number of agents available on a particular day.", "As shown in figure 5, agents were unavailable for deployment for a total of 42 percent of time (off duty time, scheduled non-work time, and training), and about 43 percent of agents\u2019 time was scheduled for operations and patrol activities in the field. As an example, this means that a station with 300 total agents\u2014with 100 agents assigned to each of three shifts\u2014would have had on average about 42 of the 100 agents per shift unavailable because of planned time not working (off duty or other scheduled non-work time) or in training. Of the remaining 58 agents, on average, about 43 would have been scheduled to field-based operations and patrol activities, and 15 would have been assigned to other activities.", "Furthermore, it is important to note that BPETS deployment schedules reflect the scheduled availability and deployment of agents, rather than actual deployment. Actual availability or deployment may have differed because of changes in circumstances or other factors, and supervisors are not required to update BPETS to reflect these deployment changes. For example, an agent who was assigned to patrol the border might do so for part of a shift, but upon apprehending an illegal entrant the agent may spend some or all of the remainder of the shift processing the apprehended individual. According to Border Patrol officials, additional agents in the field may also be pulled from their patrol activities to conduct processing when large groups are apprehended."], "subsections": []}, {"section_title": "Geography", "paragraphs": ["Border Patrol station officials also make deployment decisions based on the unique geographical factors in their area of responsibility, such as proximity to population centers and access to certain areas (including remote areas where FOBs are located). In addition, whether the station is responsible for the operation of checkpoints is another factor that station officials consider in making decisions about how to most effectively use available agents for operations and patrol activities in the field.", "In relatively populated areas close to the border, the window of time Border Patrol has to respond to illegal crossings may be shorter than in more remote areas where agents may have more time to apprehend illegal crossers. Thus, proximity to population centers is a factor that officials consider when deciding how many agents to deploy to particular locations within a station\u2019s area of responsibility. In February 2017, we reported that Border Patrol officials said that populated urban environments offer an advantageous setting for illegal entrants because within seconds to minutes these entrants can blend in with the local U.S. community after crossing the border. Therefore Border Patrol has intended to divert illicit cross-border activities into more remote or rural environments, where illegal entrants may require hours or days to reach the nearest U.S. community. For example, El Centro sector officials told us that an outlet mall located at the immediate border posed a threat in terms of the limited time it would take illegal crossers to assimilate into the population. Similarly, officials in one station in the Rio Grande Valley sector identified a town that is very close to the Rio Grande River, and Border Patrol agents must aim to apprehend crossers within a two to three block distance to prevent crossers from blending in with residents of the town. Sector officials generally stated that stations prioritize deployment to areas along the immediate border.", "Border Patrol may have limited access to certain areas because of land ownership or limited road infrastructure, and this may affect decisions about how to deploy agents (if at all) to these areas. Some sectors consist primarily of privately owned land, and Border Patrol officials must obtain permission from the landowner, or a judicial warrant, to access any private lands further than 25 miles from the border. Border Patrol officials in one sector noted that some landowners do not want Border Patrol on their property. Additionally, the availability and condition of road infrastructure can make it challenging for agents to get to some locations. For example, officials in sectors with mountainous terrain cited challenges related to accessing and patrolling mountainous areas. In particular, officials in the Tucson sector noted that the sector includes seven mountain ranges and estimated that about 20 percent of the 262 miles of land border in the sector are inaccessible by vehicle. As a result, these officials said that agents deployed to those areas patrol by foot, horseback, and air.", "In some areas where there are terrain and road access challenges, Border Patrol may establish FOBs to facilitate access to areas near the immediate border and enable agents to spend a greater proportion of their shifts on patrol. Border Patrol sector officials in the five sectors that currently operate at least one FOB, as well as officials in one other sector that previously operated a FOB, said that FOBs are beneficial for maximizing patrol time in difficult to reach locations. Assigning agents to these locations on temporary duty assignments reduces the portion of an agent\u2019s shift that is spent in transit between the station and the patrol location. For example, officials in one sector said that the transit time between the station and the FOB is a 5 to 6 hour round trip. Thus, transit to that location could comprise 50 to 60 percent of a shift for agents deployed to that patrol area if they were to report to the station each day prior to beginning their patrol duties. Instead, agents travel between the station and the FOB only as part of the first and last day of their multi-day assignment to the FOB, and on the days in between they are pre- positioned at the FOB to begin patrols at the start of their shift.", "Although FOBs can help facilitate access to some remote locations, there can also be associated challenges, and therefore, they may not be an effective solution in all cases to improving access to remote areas. For example, officials in one sector noted that Border Patrol had considered establishing a FOB to improve accessibility to that location, but there were challenges to securing the rights to access private property and providing for adequate facilities given that the area of interest did not have infrastructure to supply water to the FOB if it were to be built. In February 2016, the DHS Office of the Inspector General reported that although the challenge of supplying water to FOBs rarely causes Border Patrol to shut down a FOB, it is a frequent problem that often requires additional resources to resolve. Additionally, some remote or difficult to access locations may be located on private or tribal lands, which require Border Patrol to negotiate access and other aspects of FOB operations, or on wildlife refuges, which may have limitations regarding the types of infrastructure or operations in order to preserve the local habitat.", "Stations that have responsibility for checkpoints in their areas of responsibility consider checkpoint operations in their deployment decisions. Border Patrol\u2019s checkpoints policy includes a recommended minimum number of agents to operate the checkpoint. The nature of a checkpoint\u2014whether it is permanent or tactical\u2014can also affect deployment. Permanent checkpoints are generally intended to be operational most of the time, meaning that stations with responsibility for permanent checkpoints generally assign at least the minimum number of agents to those checkpoints to ensure continuous operation. In contrast, tactical checkpoints are intended to be set up for short-term or intermittent use. Accordingly, a station can make a decision about whether to operate a tactical checkpoint based on a determination of whether it is more effective to staff the checkpoint or whether it is more effective to deploy those agents elsewhere. Stations with responsibility for both the immediate border and interior checkpoints must balance agent deployment across both responsibilities. In contrast, border stations that do not contain checkpoints in their areas of responsibility do not have to distribute agents between checkpoint and patrol activities. Similarly, interior stations that do not have responsibility for the border can prioritize checkpoints.", "Additionally, for stations with checkpoints, supervisors must determine how many agents, if any, to deploy to the areas around a checkpoint through which illegal entrants or smugglers may travel to circumvent the checkpoint (known as circumvention routes). We reported in August 2009 that Border Patrol policy highlights the need to detect and respond to circumvention activity, but at the time, officials stated that other priorities sometimes precluded positioning more than a minimum number of agents and resources in checkpoint circumvention routes. Similarly, as part of this review, sector officials said checkpoint circumvention routes may not be patrolled at all times because of the need to deploy agents elsewhere, including to the checkpoint itself to meet the minimum number of agents needed to keep the checkpoint operational. According to officials, in some locations, sensors and cameras assist with monitoring traffic in circumvention routes, and when technology detects traffic, agents can be deployed to respond.", "In our August 2009 report, we reported that checkpoint performance can be hindered by limited staffing at checkpoints. Border Patrol policy recommended the minimum number of agents for checkpoint operation, but sector managers may have had other priorities for staff placement, and thus stations may have only staffed checkpoints\u2014and circumvention routes\u2014with the minimum number of agents. Additionally, as part of that review, we found that design and planning documents for the planned Interstate 19 checkpoint in the Tucson sector did not include an estimate of the number of agents who would be deployed to address circumvention activity at the new checkpoint. We recommended that, in connection with planning for new or upgraded checkpoints, CBP should conduct a workforce planning needs assessment for checkpoint staffing allocations to determine the resources needed to address anticipated levels of illegal activity around the checkpoint.", "In January 2017, Border Patrol began construction of a new checkpoint facility on U.S. Highway 281 south of Falfurrias, Texas, that will replace the existing checkpoint. The current checkpoint has a maximum of five lanes of traffic, whereas the new checkpoint will have a maximum of eight lanes. Border Patrol provided us an estimate for the number of agents, supervisors, and canine units that are expected to be needed to operate the new checkpoint; however, the information provided lacked supporting details, such as a discussion of what data were collected and how the data were analyzed to determine how many agents would be needed to staff the checkpoint and the surrounding circumvention routes. Given existing staffing constraints, having an accurate workforce planning needs assessment is important to inform future considerations for how to deploy agents to address anticipated levels of illegal activity at and around the checkpoint. Therefore, we continue to believe this recommendation is warranted."], "subsections": []}, {"section_title": "Intelligence Information about Illegal Traffic Patterns", "paragraphs": ["Sector officials said they consider intelligence information\u2014such as information about illegal traffic patterns and data on apprehensions and seizures; the types of threats in the area (e.g., illegal border crossing, drug smuggling); and transnational criminal organizations\u2019 tactics, techniques, and procedures\u2014when determining where to deploy available agents. Officials said they also receive information on suspected illegal traffic from community members, and stations may deploy agents to respond."], "subsections": []}]}, {"section_title": "Sectors Vary in How Much Time Agents Are Scheduled for Operations and Patrol Activities and Where Such Activities Are Scheduled to Occur", "paragraphs": ["From fiscal years 2013 through 2016, the nine southwest border sectors varied in how they distributed work time scheduled to activities in the six categories previously discussed\u2014(1) operations and patrol, (2) operational support, (3) processing, (4) legal support and litigation, (5) training, and (6) administrative and other non-enforcement\u2014although all the sectors scheduled the majority of agents\u2019 time (between 61 and 77 percent) to operations and patrol activities. As shown in figure 6, the Rio Grande Valley sector scheduled the smallest percentage of agents\u2019 work time to operations and patrol activities (61 percent) and the highest percentage of time to processing (13 percent). As discussed later in this report, the Rio Grande Valley had the highest number of apprehensions out of the nine southwest border sectors from fiscal year 2012 through 2016, thereby affecting the time needed for processing or otherwise attending to apprehended individuals.", "The scheduling data also show variations in the locations where sectors plan to deploy agents to operations and patrol activities in proximity to the border. Specifically, as shown in figure 7, the sectors ranged from scheduling 34 to 61 percent of operations and patrol time in border zones (for the Big Bend and Rio Grande Valley sectors, respectively) and from 17 to 52 percent of operations and patrol time in non-border zones (for the Del Rio and Big Bend sectors, respectively). In some cases, the data do not include a zone assignment, and sectors varied in what percentage of operations and patrol scheduling assignments did not have a zone assignment. Including a zone assignment is not required by Border Patrol policy, and headquarters and sector officials identified some possible reasons why an assignment may not include a zone. For example, officials said that an agent could be deployed to an activity that has responsibility for multiple zones or no specific zone, such as roving patrol, specialty units (such as an intelligence unit or special operations), or assisting CBP\u2019s Air and Marine Operations. Officials from one sector noted that a zone may not be assigned in the data because supervisors assign them orally when agents arrive at the start of a shift, and this provides supervisors flexibility to make the assignments based on the most up-to-date information about traffic patterns. Border Patrol headquarters officials said that the reasons for variations in border zone deployment are the same as we previously reported in December 2012\u2014 specifically, differences in geographical factors among the southwest border sectors (such as varying topography, ingress and egress routes, and land access issues, and structural factors such as technology and infrastructure deployments) that can affect how sectors operate and may preclude closer deployment to the border.", "Sectors also varied in terms of the proportion of operations and patrol time scheduled for checkpoint-related activities. Across the nine southwest border sectors from fiscal year 2013 through fiscal year 2016, approximately 9.4 percent of agents\u2019 time scheduled for operations and patrol was scheduled for checkpoint activities. However, the number of agent hours scheduled for checkpoint activities\u2014and what percentage of operations and patrol time these hours represent\u2014vary by sector because of differences in factors, such as the number of checkpoints in a sector, the relative size of checkpoints, and the overall number of agents in a sector. For example, as shown in table 2, the El Centro and Big Bend sectors scheduled a similar number of hours to checkpoint-related activities, but these hours represented different percentages of total scheduled operations and patrol activities time\u201413.9 percent and 21.0 percent, respectively\u2014which partly reflects that the El Centro sector has almost double the number of agents and fewer checkpoints than the Big Bend sector."], "subsections": []}]}, {"section_title": "Apprehensions Occurred Closer to the Border in Fiscal Year 2016 Compared to Fiscal Year 2012, While Seizure Locations Remained Relatively Unchanged", "paragraphs": [], "subsections": [{"section_title": "Apprehensions", "paragraphs": ["From fiscal years 2012 through 2016, 33 percent of southwest border apprehensions were made one-half mile or less from the border, and over this time period apprehensions increasingly occurred closer to the border, as shown in figure 8. Specifically, from fiscal years 2012 through 2016, apprehensions one-half mile or less from the border increased from 24 percent to 42 percent. During the same time period, the percentage of apprehensions occurring more than 20 miles from the border steadily dropped, from 27 percent in fiscal year 2012 to 15 percent of all apprehensions in fiscal year 2016.", "While all nine southwest border sectors exhibited this trend of an increase in apprehensions one-half mile or less from the border and a decrease in apprehensions farther than 20 miles from the border, the Rio Grande Valley sector had the greatest influence on the overall southwest border trend because that sector accounted for almost half (42 percent) of all southwest border apprehensions during this time period. Consistent with the overall trend for southwest border apprehensions in figure 8 above, the percentage of Rio Grande Valley sector apprehensions one-half mile or less from the border increased (from 27 percent in fiscal year 2012 to 48 percent in fiscal year 2016) and the sector\u2019s percentage of apprehensions more than 20 miles from the border decreased (from 30 percent in fiscal year 2012 to 12 percent in fiscal year 2016). Appendix II provides more detailed information about trends in apprehensions by sector for fiscal years 2012 through 2016.", "According to Border Patrol officials and apprehension data, one key driver for apprehensions occurring closer to the border is the increasing number of apprehensions of children (either unaccompanied or as part of family units) from countries other than Mexico. We have previously reported that CBP officials have attributed high apprehension rates in the Rio Grande Valley sector to the high number of unaccompanied children and adults with children, many of whom turn themselves in to Border Patrol without attempting to evade detection. Officials said children are often told by smugglers to wait in specific locations where agents frequently patrol so that they will be found. According to Border Patrol officials, persons apprehended from Central America are often fleeing violence, and once apprehended they may assert claims for asylum in the United States.", "As shown in table 3, apprehensions of individuals, particularly children, from Central American countries (specifically, El Salvador, Guatemala, and Honduras) increased, while apprehensions of Mexicans, including children, decreased. In particular, in the Rio Grande Valley sector, the number of children apprehended from El Salvador, Guatemala, and Honduras increased almost tenfold, from 6,869 in fiscal year 2012 to 60,084 in fiscal year 2016. Such apprehensions also increasingly occurred closer to the border. In fiscal year 2016, Border Patrol apprehended 36,882 children from these countries (about 61 percent) one-half mile or less from the border, compared to 1,830 (about 27 percent) in fiscal year 2012. Although other sectors accounted for smaller percentages of overall southwest border apprehensions, all sectors saw notable increases in the percent of apprehensions who were children from Central America and who were apprehended closer to the border. Border Patrol officials said other factors may also have contributed to the change in apprehension patterns, such as changes in where patrols occurred during the time period we analyzed."], "subsections": []}, {"section_title": "Seizures", "paragraphs": ["From fiscal year 2012 through fiscal year 2016, seizure locations remained roughly the same, with between 64 and 70 percent of seizures occurring 10 or more miles from the border each year and between 9 percent and 11 percent of seizures occurring one-half mile or less from the border each year, as shown in figure 9.", "Trends within individual sectors varied, but unlike with apprehensions, no single sector dominated the proportion of seizures to strongly influence the overall pattern for the southwest border. The greatest number of seizures during the 5 fiscal years occurred in the Tucson, Big Bend, and Rio Grande Valley sectors (34, 19, and 16 percent of all seizures respectively). These sectors each had different distributions of where seizures occurred, as shown in figure 10. In particular, about 1 percent of seizures in the Big Bend sector occurred within 1 mile of the border, compared to 13 percent of seizures in the Tucson sector and 37 percent of seizures in the Rio Grande Valley sector. Appendix III provides more detailed information about trends in seizures by sector for fiscal year 2012 through fiscal year 2016."], "subsections": []}]}, {"section_title": "Long-Standing Data Quality Issues Make It Difficult to Precisely Measure Checkpoints\u2019 Contributions to Apprehensions and Seizures", "paragraphs": [], "subsections": [{"section_title": "Checkpoints\u2019 Role in Apprehensions and Seizures Is Difficult to Measure with Precision Because Of Long- Standing Data Quality Issues", "paragraphs": ["According to our analysis of Border Patrol data, checkpoints accounted for about 2 percent of apprehensions and almost half of seizures in southwest border sectors. However, determining the extent to which apprehensions and seizures farther from the border are attributable to checkpoints is difficult because of data quality issues that have persisted since we previously reported on checkpoints in August 2009. In that report, we found that Border Patrol had established a number of measures for checkpoint performance to inform the public on program results and provide management oversight, including measures related to apprehensions and seizures at checkpoints and on circumvention routes. However, we reported that information gaps and reporting issues hindered public accountability and that inconsistent data collection and entry hindered Border Patrol\u2019s ability to monitor the need for program improvement. Specifically, we found that a lack of management oversight and unclear checkpoint data collection guidance resulted in the overstatement of checkpoint performance results in agency performance reports, as well as inconsistent data collection practices at checkpoints. For example, officials at some checkpoints were including apprehensions that occurred within a 2.5-mile radius of the checkpoints in their reporting of apprehensions at checkpoints, which led to inconsistent reporting across checkpoints. We reported that the lack of oversight and unclear data collection guidance hindered management\u2019s ability to monitor the need for program improvement. We therefore recommended, among other things, that Border Patrol establish internal controls for management oversight of the accuracy, consistency, and completeness of checkpoint performance data.", "In response to our recommendations, Border Patrol issued several memoranda in 2009 and 2010 related to the collection of checkpoint data, including guidance intended to distinguish between apprehensions and seizures occurring at checkpoints compared to those occurring in circumvention routes. In particular, these memoranda stated that: \u201cAt the checkpoint\u201d is defined as the area including the checkpoint itself and the roadway prior to the checkpoint marked with cones and/or warning signs related to checkpoint operations (which, according to Border Patrol\u2019s checkpoint policy, are to begin on the roadway one-half mile from the checkpoint itself). Apprehensions and seizures occurring at a checkpoint are to be recorded by selecting the appropriate checkpoint location from a dropdown list of landmarks (landmark data field). \u201cCircumvention\u201d is defined as \u201cany deviation from a normally used route of egress in order to avoid detection by a checkpoint,\u201d and if an individual was apprehended while attempting to circumvent a checkpoint, the apprehension is to be recorded by marking a checkbox labeled \u201cCircumvention App?\u201d (There is no data field for seizures that indicates that Border Patrol seized contraband from someone attempting to circumvent a checkpoint, but the seizure can be associated with an apprehension or arrest record for the person carrying the contraband, and the apprehension or arrest record may have the \u201cCircumvention App?\u201d box checked.)", "However, as discussed below, these memoranda have not fully addressed our recommendation because our analysis indicates that issues persist regarding the accuracy and consistency of data on checkpoint apprehensions and seizures. These issues continue to affect how Border Patrol monitors and reports on checkpoint performance results.", "According to Border Patrol officials, since the implementation of these memoranda, Border Patrol has reported on apprehensions and seizures at checkpoints based solely on the landmark data field. Specifically, an apprehension or seizure event is reported as having occurred at a checkpoint if the landmark associated with the event corresponds to the landmark for a checkpoint (checkpoint landmark). In September 2016, the Border Patrol Chief testified before a congressional committee that Border Patrol apprehended 8,503 individuals and seized over 75,000 pounds of drugs at checkpoints nationwide in fiscal year 2015, and the officials responsible for overseeing and analyzing the data said that these numbers were generated by determining the number of apprehensions and seizures associated with a checkpoint landmark. Furthermore, CBP\u2019s fiscal year 2018 congressional budget justification noted that measurement of checkpoint activities\u2014such as apprehensions at checkpoints\u2014can gauge checkpoint operational effectiveness and provide insight into the effectiveness of the Border Patrol\u2019s overall national border enforcement strategy. CBP reported in the budget justification that apprehensions at checkpoints ranged from 1.34 to 2.52 percent of nationwide apprehensions across fiscal years 2013 through 2016.", "To assess Border Patrol\u2019s efforts to implement our August 2009 recommendation and determine the extent to which Border Patrol\u2019s reporting of checkpoint statistics provides accurate information about enforcement actions at and around checkpoints, we analyzed apprehension and seizure data from fiscal years 2013 through 2016. For example, as shown in table 4, an apprehension or seizure event that occurred one-half mile or less from a checkpoint (according to the GPS coordinates of the event) and that was also associated with the nearest checkpoint landmark was considered category 1.", "Our analysis of Border Patrol data, as shown in table 5, indicates that at least 31,639 apprehensions and 30,449 seizures\u2014those that are in category 1\u2014occurred at checkpoints from fiscal years 2013 through 2016 based on both the GPS coordinates and the landmarks associated with those apprehensions and seizures. These apprehension and seizure events would be considered as occurring \u201cat checkpoint\u201d for Border Patrol reporting purposes because a checkpoint landmark was associated with the event.", "However, for the 19,759 apprehensions and 1,182 seizures in category 2\u2014which are not included in Border Patrol\u2019s reporting\u2014it is unknown what proportion should be considered \u201cat a checkpoint.\u201d This is because for each of these apprehensions and seizures, the associated landmark does not correspond to the nearest checkpoint landmark, even though the GPS coordinates indicate that these apprehensions and seizures occurred one-half mile or less from a checkpoint location. Border Patrol officials said that one reason why the checkpoint landmark might not be indicated for apprehensions and seizures that occur one-half mile or less from a checkpoint is if the checkpoint is nonoperational at the time. However, our analysis suggests that not all apprehensions and seizures recorded in category 2 would reflect instances of checkpoints being non- operational. For example, about 30 percent of apprehensions that were one-half mile or less from the Falfurrias, TX, checkpoint (4,278 of 14,345 apprehensions) did not use the landmark for that checkpoint. Border Patrol officials in the Rio Grande Valley sector said the Falfurrias checkpoint is rarely closed, so the checkpoint being closed does not fully explain why the relevant checkpoint landmark was not used. Because Border Patrol\u2019s policies do not provide guidance about recording data differently when a checkpoint is operational or nonoperational, it is unclear what proportion of apprehensions or seizures in category 2 reflect inconsistent application of Border Patrol\u2019s guidance versus instances of a checkpoint being nonoperational.", "There are also inconsistencies in how Border Patrol is recording and reporting on apprehensions and seizures on potential circumvention routes. Events in category 3 appear to have occurred in circumvention routes rather than at checkpoints\u2014they occurred farther than one-half mile from a checkpoint, and thus do not fit Border Patrol\u2019s definition of an apprehension that occurs \u201cat a checkpoint\u201d\u2014but because they are associated with a checkpoint landmark, Border Patrol\u2019s reporting of events at checkpoints includes these apprehensions and seizures.", "Additionally, officials responsible for compiling checkpoint data said that they have not analyzed the use of the \u201cCircumvention App?\u201d checkbox to separately determine apprehensions that occur around checkpoints. Although the GPS coordinates and associated landmarks suggest that apprehensions in category 4 are not related to checkpoints, there were over 27,000 apprehensions in this category that had the \u201cCircumvention App?\u201d box checked. However, these apprehensions have not been included in statistics related to checkpoints because Border Patrol\u2019s reporting to date has focused on events associated with checkpoint landmarks and has not separately analyzed or reported the number of apprehensions for which the \u201cCircumvention App?\u201d box was checked. In doing so, Border Patrol\u2019s reporting does not differentiate between apprehensions that occurred at versus around a checkpoint. Border Patrol officials agreed that the agency\u2019s policies could better differentiate between these areas and how to record data for events that occur in each location.", "Examining apprehensions specific to an individual checkpoint further illustrates the inconsistencies in data recorded for checkpoints. Figure 11 shows how apprehensions at and around one checkpoint have been recorded using GPS coordinates and landmarks, in relation to the one- half mile radius around the checkpoint.", "Border Patrol\u2019s methodology for determining the number of apprehensions and seizures at checkpoints\u2014which counts only apprehensions and seizures associated with checkpoint landmarks\u2014may result in overstating or understating apprehensions and seizures that occurred at checkpoints; however, the precise number of apprehensions and seizures that occurred at checkpoints cannot be determined because of the data inconsistencies noted above. For example, Border Patrol\u2019s reporting\u2014such as in the Border Patrol Chief\u2019s testimony or CBP\u2019s fiscal year 2018 budget justification\u2014may overstate apprehensions at checkpoints by including apprehensions in category 3, while it may understate apprehensions by not including some portion, or all, of the apprehensions in category 2. For the 4 fiscal years of data we analyzed, this means that Border Patrol\u2019s methodology for attributing apprehensions to checkpoints would potentially overstate by 1,746 apprehensions (about 0.1 percent of total southwest border apprehensions) and potentially understate by as many as 19,759 apprehensions (about 1.2 percent of total southwest border apprehensions). Although these numbers represent relatively small percentages of total southwest border apprehensions, they are important for the measurement of checkpoint apprehensions given that Border Patrol has generally reported that about 2 percent of apprehensions occur at checkpoints, and in particular, adding 1.2 percentage points to the reported 2 percent would increase the reported contributions of checkpoints by about 50 percent.", "Although Border Patrol issued guidance in 2009 and 2010 in response to our recommendation, our analysis demonstrates that this guidance does not provide sufficient clarity on how data are to be recorded, and as a result data quality issues have persisted. For example, Border Patrol\u2019s guidance does not indicate what landmark should be used when an agent apprehends an individual who was attempting to circumvent a checkpoint. Additionally, Border Patrol has not provided sufficient oversight of the accuracy, consistency and completeness of checkpoint data since the guidance was issued. In July 2013, Border Patrol issued a memorandum to establish the Checkpoint Program Management Office (CPMO), and the memorandum tasked CPMO with overseeing checkpoint data quality and accuracy, among other things. However, CPMO was not officially formed until the summer of 2016 when we began this review. Officials noted that while Border Patrol staff had been consistently assigned to oversee checkpoint data as a collateral duty, these assignments were not within an officially formed CPMO and there was no centralized oversight of checkpoint data or performance. The Associate Chief responsible for overseeing CPMO told us he had not been aware of the memorandum establishing CPMO until we requested checkpoint policies as part of this review, and he explained that CPMO had not been formally established under his predecessor at the time of the July 2013 memorandum.", "In late summer 2016, the Associate Chief formally established CPMO with the two Border Patrol agents who were, at the time, assigned part- time to oversee checkpoints. However, the CPMO establishing memo called for two full-time staff members, and one of the staff assigned to CPMO part-time moved to another position within Border Patrol several months later. The first full-time staff person was assigned to CPMO in January 2017. In March 2017, CPMO officials said they agreed with our findings regarding inconsistent recording of checkpoint data, and they said they have drafted a policy to provide additional guidance, including how to distinguish how data are recorded for apprehensions and seizures that occur at the checkpoint versus around the checkpoint. The Assistant Chief for CPMO, in consultation with sector and data analysis officials, has drafted additional guidance for recording apprehensions and seizures data in a manner that differentiates between events that occurred at versus around checkpoints. According to this official, this guidance will be included in a larger update to Border Patrol\u2019s checkpoint policy because the checkpoint policy was last updated in 2003. Border Patrol officials said they expect the updated checkpoint policy with additional data entry guidance and procedures will be in place by March 2018, following Border Patrol and CBP management review and approval and programming changes to Border Patrol\u2019s data systems.", "Having quality control procedures in place to accurately document apprehensions and seizures that occur at and around checkpoints is important to enable Border Patrol to measure checkpoint effectiveness and to make better deployment decisions about the extent to which circumvention routes should be staffed. Distinguishing between the locations of apprehensions and seizures, relative to checkpoints, would provide more visibility into illegal traffic patterns at and around checkpoints that can be used for staffing and other resource decisions. Until revised internal control practices are in place, including data collection guidance and sufficient oversight of the recording of the data, our 2009 recommendation that Border Patrol establish internal controls for management oversight of the accuracy, consistency, and completeness of checkpoint performance data remains warranted. As part of our regular follow up on implementation of our recommendations, we will monitor Border Patrol\u2019s progress in issuing and implementing the planned update to its checkpoint policy."], "subsections": []}, {"section_title": "Almost Half of Seizures that Occurred at Checkpoints Were One Ounce or Less of Marijuana from U.S. Citizens", "paragraphs": ["In addition to analyzing where apprehensions and seizures occurred, we analyzed marijuana seizure data to determine how seizures that occurred at checkpoints compared to those that occurred at other locations. As shown in figure 12, out of the 30,449 seizures that occurred at checkpoints, at least 12,214 (40 percent) were 1 ounce or less of marijuana seized from U.S. citizens. In contrast, seizures occurring at non-checkpoint locations were more often higher-quantities seized from aliens. For example, more than three-quarters of marijuana seizures at non-checkpoint locations were of over 50 pounds (25,792 out of 33,477 seizures). (Appendix III includes additional detail on the distribution of marijuana seizures by quantity seized.)", "Border Patrol officials said that the primary purpose of checkpoints is to enforce immigration laws, but agents at checkpoints are also expected to take action when they incidentally encounter violations of other federal laws. In particular, they noted that when a trained canine alerts agents to the presence of a concealed human or substance the canine was trained to detect, agents are required to respond to the alert. Based on the canine alert, agents do not know until they conduct a search of the vehicle what the canine detected (concealed human or illicit substance) or what quantity of a substance might be present\u2014and therefore, agents cannot determine prior to an inspection whether the occupants of the vehicle are travelling with what would generally be considered a personal use quantity of a substance or whether they are carrying larger quantities potentially with the intent to distribute, dispense, or manufacture."], "subsections": []}]}, {"section_title": "Collecting Additional Data Could Improve Border Patrol\u2019s Existing Efforts to Identify and Respond to Community Concerns Regarding the Defense in Depth Strategy", "paragraphs": [], "subsections": [{"section_title": "Defense in Depth Strategy\u2019s Effects on Surrounding Communities are Difficult to Quantify, but Collecting Additional Data Could Inform Actions to Address Such Effects", "paragraphs": ["Members of state and local law enforcement and business and community groups that we spoke to generally support Border Patrol\u2019s efforts, but some raised concerns about checkpoint operations and the broader defense in depth strategy. Members of all three community groups we met with during our visits to the Rio Grande Valley and Tucson sectors generally supported Border Patrol. Additionally, officials from law enforcement agencies we interviewed generally said they had a positive working relationship with Border Patrol and that Border Patrol has played a role in limiting cross-border illicit activity in their communities. For example, one law enforcement official from the Tucson sector said that the community would be overwhelmed without Border Patrol\u2019s efforts in the area, and another said that without the defense in depth approach, illegal activity would likely be worse, although this latter official noted there can be communication and coordination challenges in working with Border Patrol. Some residents and law enforcement officials we met with in the two sectors we visited said that they support Border Patrol\u2019s use of checkpoints. For example, the leader of one community group said the group\u2019s members viewed checkpoints positively, and members from another group said that some residents in their community believe that their local checkpoint is making the community safer through law enforcement presence.", "However, Border Patrol\u2019s defense in depth deployment strategy may also result in communities ranging up to 100 miles from the border experiencing effects associated with Border Patrol enforcement actions to interdict illicit cross-border activity. In April 2015, we reported that illicit cross-border activity can negatively affect business and the safety of farms and ranches on or near the border. Although data are limited to support the extent of criminal activity tied to cross-border illegal traffic, available data indicate that cross-border traffic affects areas beyond the immediate border. For example, in fiscal year 2016, 20 percent of all Border Patrol apprehensions and 77 percent of all seizures occurred more than five miles from the border. Therefore, illegal crossers and drug smugglers may sometimes travel near or through communities and private property in areas that are not along the immediate the border, prior to being apprehended by Border Patrol. For example, members of one community group we interviewed said that there are hundreds of illegal crossers and smugglers who attempt to circumvent the local checkpoint by walking through the surrounding ranches. Echoing views from ranchers we interviewed for a December 2012 report, members of one community group we spoke with as part of this review said that they would like to see Border Patrol direct more enforcement efforts at the immediate border to prevent illegal crossers from entering their communities or properties. Officials we interviewed from two sheriffs\u2019 departments in nearby counties said they have heard similar views from residents.", "Community groups and law enforcement officials we met with as part of this review identified concerns regarding private property damage and public safety resulting from illegal cross border traffic, similar to concerns we have reported in the past.", "Private Property Damage: Community members have reported damage to private property suspected to have occurred as a result of individuals trying to illegally cross the border or Border Patrol enforcement actions. Border Patrol officials we spoke with in six of nine sectors cited concerns from community residents about illegal crossers and Border Patrol agents traveling on their private property. Additionally, officials from two sheriffs\u2019 departments told us that ranchers in their communities have voiced complaints about damage on their properties resulting from illegal crossers or Border Patrol activity. These concerns are similar to concerns we identified in an April 2015 report, in which we reported that landowners had reported damage to private property\u2014including broken gates, destroyed crops, and injured or lost livestock\u2014as a result of individuals trying to illegally cross the border (see fig. 13).", "In addition to identifying damage suspected to be caused by illegal crossers, landowners we spoke with as part of that review also reported damage that may have resulted from Border Patrol\u2019s enforcement efforts. We previously reported in April 2015 that some landowners had filed tort claims alleging damage to their property as a result of the conduct of an employee of Border Patrol or any CBP component that was acting within the scope of his or her official duties. Examples of such claims include CBP vehicles crashing through properties and damaging fences, gates, irrigation pipes, and crops.", "Public Safety: Additionally, according to Border Patrol and local law enforcement officials, illegal entrants and smugglers could pose a public safety risk to communities along the border or further inland. We previously reported in December 2012 that ranchers in the Tucson sector said they were most concerned about safety. Officials from law enforcement agencies that we interviewed as part of this current review said that crime resulting from illicit cross-border activity has affected border communities. In particular, law enforcement officials we spoke with cited drug smuggling (including recruiting juveniles to engage in drug smuggling), home invasions, burglaries, and vandalism. The effects related to public safety and private property associated with Border Patrol\u2019s defense in depth strategy may be felt more acutely in communities near checkpoints; in particular, one of Border Patrol\u2019s stated goals for checkpoints is to deter and disrupt smuggling efforts, and as a result, smuggling traffic may be pushed onto checkpoint circumvention routes, which may pass through these communities. We previously reported in August 2009 that Border Patrol officials acknowledge that this approach can adversely impact communities near checkpoints, and said that sometimes there were not enough agents in place to deter illegal activity or apprehend trespassers in surrounding areas. As noted earlier in this report, this remains true\u2014checkpoint circumvention routes are not always patrolled.", "We are unable to measure the extent Border Patrol\u2019s defense in depth strategy has affected communities through measures such as crime rates or effects on property values. As part of previous reviews, we have reviewed information related to the impacts of illegal cross-border activity on local communities, including reports of property damage (such as tort claims) and available crime data. As a result, we have previously reported that methodological challenges existed and data were unavailable to substantiate the extent to which illegal border crossings and drug smuggling have affected local communities in terms of public safety and private property damage. In August 2009 we reported that a comparison of community impacts for the time before and after a checkpoint was established would require a complete set of historical data to develop a baseline understanding, before interpreting factors that can change the baseline. However, there are limited data sets for specific geographic areas around checkpoints, with county level data being the smallest possible geographic area, in many cases. For instance, in terms of crime data, officials from one police department in the Tucson sector told us that they did not track criminal activity committed by illegal entrants. In 2011, as part of Border Patrol\u2019s efforts to implement our August 2009 recommendations, Border Patrol requested a study to identify the effects of checkpoints on nearby communities and develop an approach to measure these effects, and this study also noted data limitations that affect conclusions regarding the effects of checkpoints on surrounding communities.", "Implementing two of our August 2009 recommendations could help Border Patrol collect relevant data to examine the community effects of checkpoint operations specifically and take corresponding actions to respond to ongoing community concerns. In August 2009 we reported that Border Patrol had previously identified performance measures to examine the effect checkpoint operations have on quality of life in the surrounding communities, but the agency was not using these measures. As a result, Border Patrol was hindered in its ability to assess the impact of checkpoints on local communities. We recommended that Border Patrol (1) implement quality of life measures identified by Border Patrol to evaluate the impact that checkpoints have on local communities; and (2) use the information generated from the quality of life measures in conjunction with other relevant factors to inform resource allocations and address identified impacts.", "Border Patrol agreed with the recommendations but has not yet fully implemented them. In 2010, Border Patrol asked a DHS Center of Excellence, co-led by the University of Arizona and the University of Texas at El Paso, to conduct a study to help address our recommendations. The resulting December 2012 report made several recommendations to Border Patrol on evaluating the impact of checkpoints on local communities using quantitative measures and with maintaining regular contact with the public to elicit opinions on experiences with the checkpoint, both positive and negative. Border Patrol has since reported plans for implementing our recommendations but has revised the estimated completion dates several times. (See appendix I for more information about Border Patrol\u2019s planned actions to address these recommendations.) As discussed later in this report, Border Patrol provides opportunities for members of the community to express concerns related to the defense in depth strategy since our previous review of checkpoint operations in 2009, however, some residents and local law enforcement officials near checkpoints we spoke to for this review remain concerned about the effects checkpoints may have on their communities. Measuring performance, such as quality of life measures related to checkpoints, would give Border Patrol critical information on which to base decisions for improving checkpoint operations. Therefore, we continue to believe that our recommendations remain warranted."], "subsections": []}, {"section_title": "Border Patrol Is Taking Steps to Identify and Respond to Community Concerns", "paragraphs": ["Border Patrol uses a variety of methods to collect feedback from community members related to the defense in depth strategy. It receives feedback through direct communication and informal relationships, which are facilitated in part by communication and outreach events organized by sector Border Community Liaison (BCL) programs. Border Patrol initiated the BCL program in April 2011 in an effort to enhance Border Patrol\u2019s relationships with landowners and the community as a whole. According to the July 2012 CBP implementation memo, the BCL program\u2019s function and associated positions are intended to enhance CBP\u2019s interaction with communities and provide a fact-based understanding of community views, concerns, and issues as they relate to CBP. According to Border Patrol officials, sector BCL agents interact with members of the local community to address complaints and also introduce the community to how Border Patrol operates so that there is a better understanding and relationship between Border Patrol agents and the surrounding community.", "Each sector has its own BCL program designed to address complaints and improve the relationship between Border Patrol agents and the surrounding community, and the efforts within each program range from official events to informal communications. Sector and station BCL programs organize official events such as cook-offs, stakeholder events, and open houses where community members learn about Border Patrol\u2019s activities and have the opportunity to share their concerns. As an example of informal communications, Border Patrol officials from one station in the Rio Grande Valley sector told us that agents and officials make an effort to be very approachable to community members, as demonstrated through actions such as the station\u2019s patrol agent in charge providing a personal cell phone number to local residents to facilitate direct communication.", "In addition, every southwest border sector uses the Compliments and Complaints Management System (CCMS). The CCMS is a computerized system that allows users to log and track complaints or compliments. The CCMS is meant to identify trends and patterns in community comments to better address complaints and compliments, but Border Patrol officials have questioned its usefulness. Following a pilot program, in January 2017, CCMS became a permanent program to all CBP offices that have interaction with the public. Comments can be entered directly by residents or by Border Patrol officials who have received feedback from the community. According to the memo, CBP also standardized the response time for compliments and complaints entered into the system throughout the agency. Agency officials are to send an acknowledgment of receipt within 5 business days and complete responses within 45 days.", "Officials from six of nine sectors said they generally preferred the less formal methods of interacting with the community, as discussed above, compared to the CCMS. Some of the reasons they identified included that community members often prefer to speak with an agent instead of inputting their concern into a system, very few complaints or compliments are logged into the CCMS by residents, the system is not user friendly, and it is rarely used for data recall. According to a report generated by Border Patrol headquarters, there were 599 comments entered into the CCMS nationwide in calendar year 2016. Of those, 81 were compliments.", "Border Patrol takes various actions to respond to community concerns it has identified, including considering the input of local stakeholders when making deployment decisions. For example, officials from the Tucson sector told us that agents engage with ranchers who have game cameras on their properties so station officials can consider the flow of illegal entrants or drug smugglers on their properties when making deployment decisions. Moreover, officials from the Rio Grande Valley sector said that sector and station officials take into account population centers when making deployment decisions to attempt to deploy agents in positions to apprehend entrants prior to reaching population centers because once they enter the general population they are more difficult to detect and apprehend. Additionally, community members and Border Patrol officials told us that agents respond to calls of suspected illegal cross-border activity on private lands. Border Patrol has various mechanisms in place for community members to notify agents of suspected activity. For example, one station in the Rio Grande Valley sector created a mobile phone application and released a limited number of licenses for ranchers and landowners to take a picture if they see suspicious activity and send it directly to Border Patrol. Moreover, landowners in the Rio Grande Valley sector told us that Border Patrol has been responsive to calls when something out of the ordinary has been spotted on private land."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Homeland Security for their review and comment. In its comments, reproduced in appendix IV, DHS provided an update on planned actions to implement the four open recommendations from our August 2009 report. DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Status of GAO Recommendations Related to Checkpoints", "paragraphs": ["In August 2009, we reported on and made recommendations regarding the measurement of checkpoint performance and the impact of checkpoint operations on nearby communities, among other things related to checkpoints. In comments provided on our August 2009 report, the Department of Homeland Security (DHS) concurred with those recommendations. This appendix provides additional detail regarding the status of the recommendations from that report, including two recommendations that U.S. Customs and Border Protection (CBP) has implemented.", "Recommendation 1: Establish milestones for determining the feasibility of a checkpoint performance model that would allow the Border Patrol to compare apprehensions and seizures to the level of illegal activity passing through the checkpoint undetected.", "Status: Closed \u2013 Implemented In August 2009, we reported that the Border Patrol had developed some useful measures of checkpoint performance, but the agency lacked a model or method that would allow the agency to compare the number of apprehensions and seizures made at the checkpoint to the level of illegal activity passing through the checkpoint undetected. The lack of this information challenged the Border Patrol\u2019s ability to measure checkpoint effectiveness and provide public accountability. In 2010, Border Patrol asked a DHS Center of Excellence to study checkpoint performance, including developing a checkpoint performance model, and the DHS Center of Excellence issued its report in December 2012. In June 2013, Border Patrol reported that the agency had considered the checkpoint performance models proposed by the National Center for Border Security and Immigration\u2014the DHS Center of Excellence\u2014but determined it was not feasible to use the proposed models due to cost prohibitions and other factors. This action was responsive to the intent of our recommendation to study the feasibility of a checkpoint performance model, and this recommendation has been closed as implemented.", "Recommendation 2: Establish internal controls for management oversight of the accuracy, consistency, and completeness of checkpoint performance data.", "In August 2009, we reported on inconsistencies in the way agents collected and entered performance data into the checkpoint information system. As a result, data reported in the system were unreliable. In October 2009, Border Patrol issued a memorandum specifying which data fields agents should use to indicate that an enforcement activity occurred at a checkpoint (or on a circumvention route, for apprehensions), and in January 2010 Border Patrol issued an additional memorandum on checkpoint data integrity that further specified definitions for \u201cat the checkpoint\u201d and \u201ccircumvention.\u201d In subsequent years, Border Patrol officials reported to us that they were taking steps to develop a redesigned checkpoint information system, implement a data oversight procedure, and provide training, and estimated completion dates were revised several times. In its comments on this report (see app. IV), DHS stated that it expects to issue an updated checkpoint policy, including updates on data entry guidance and oversight to address data integrity, by February 28, 2018. As discussed earlier in this report, data quality issues have persisted, and without established internal controls, the integrity of Border Patrol\u2019s performance and accountability system with regard to checkpoint operations remains uncertain.", "Recommendation 3: Implement the quality of life measures that have already been identified by the Border Patrol to evaluate the impact that checkpoints have on local communities. Implementing these measures would include identifying appropriate data sources available at the local, state, or federal level, and developing guidance for how data should be collected and used in support of these measures.", "In August 2009, we reported that Border Patrol had identified some measures to evaluate the impact that checkpoints have on local communities in terms of quality of life, but Border Patrol had not implemented the measures. As a result, the Border Patrol lacked information on how checkpoint operations could affect nearby communities. In October 2009, the Border Patrol reported that it was reevaluating its checkpoint performance measures, including quality of life measures. In December 2012, the DHS Center of Excellence completed a study for CBP on checkpoints. This study made several recommendations to Border Patrol on evaluating the impact of checkpoints on local communities using quantitative measures and with maintaining regular contact with the public to elicit opinions on experiences with the checkpoint, both positive and negative. At the time, the Border Patrol noted it intended to develop quantitative measures on community impact, such as on public safety and quality of life, using information collected in the new checkpoint information system it was planning. Border Patrol also noted that it was considering the budgetary feasibility of (1) conducting a survey of checkpoint travelers to gather detailed information about the community and impact metrics that are of highest importance to the public and (2) implementing an expedited lane for regular and pre-approved travelers. In July 2014, the Border Patrol revised the expected completion date for its actions to address this recommendation to March 2015, noting that it planned to request ideas from the field commanders on what the agency could measure that would accurately depict the impact of checkpoints on the community. In June 2015, Border Patrol revised the expected completion date to September 2015. In September 2016, officials from Border Patrol\u2019s Checkpoint Program Management Office said quality of life measures had not been implemented and they were not aware of any plans to develop and implement such measures. In its comments on this report (see app. IV), DHS stated that it expects to establish performance measures related to community impacts by February 28, 2018. As noted earlier in this report, residents and local law enforcement officials near checkpoints we spoke to for this review remain concerned about the effects checkpoints may have on their communities. Measuring performance, such as quality of life measures related to checkpoints, would give Border Patrol critical information on which to base decisions for improving checkpoint operations.", "Recommendation 4: Use the information generated from the quality of life measures in conjunction with other relevant factors to inform resource allocations and address identified impacts.", "In August 2009, we reported that while the Border Patrol\u2019s national strategy cites the importance of assessing the community impact of Border Patrol operations, the implementation of such measures was lacking in terms of checkpoint operations. In October 2009, the Border Patrol reported that once it had completed an upgrade of its existing checkpoint data systems and had reevaluated its checkpoint performance measures, the agency would begin using information garnered by these performance measures to inform future resource allocation decisions. This was originally expected to be completed by September 30, 2010, but due to budgetary and other issues, the checkpoint system upgrades were not yet completed as of June 2013. Border Patrol then reported to us in June 2013 that the redesigned and upgraded checkpoint information system was expected to be implemented in September 2014, but this system has not been developed or implemented, and in September 2016, officials from Border Patrol\u2019s Checkpoint Program Management Office stated that they were not aware of any planned or completed actions to address this recommendation. In its comments on this report (see app. IV), DHS stated that it expects to establish performance measures related to community impacts by February 28, 2018, and that these measures will be used to inform resource allocation decisions. As noted earlier in this report, residents and local law enforcement officials near checkpoints we spoke to for this review remain concerned about the effects checkpoints may have on their communities. Measuring performance, such as quality of life measures related to checkpoints, would give Border Patrol critical information on which to base decisions for improving checkpoint operations.", "Recommendation 5: Require that current and expected traffic volumes be considered by the Border Patrol when determining the number of inspection lanes at new permanent checkpoints, that traffic studies be conducted and documented, and that these requirements be explicitly documented in Border Patrol checkpoint design guidelines and standards.", "Status: Closed \u2013 Implemented In August 2009, we reported that Border Patrol did not conduct traffic studies when designing three recently constructed checkpoints. As a result, we could not determine if the Border Patrol complied with its checkpoint design guidelines to consider current and future traffic volumes when determining the number of inspection lanes at the three checkpoints. In the absence of documented traffic studies, the Border Patrol could not determine if the number of inspection lanes at each of these checkpoints was consistent with current and projected traffic volumes, or if a different number of lanes would have been more appropriate. On October 28, 2009, the Border Patrol finalized an addendum to the Border Patrol Facilities Design Standard, which requires the Border Patrol to acquire, document, and utilize traffic study data collected by the state Departments of Transportation regarding current and projected traffic volumes on roadways where permanent checkpoints are to be constructed. The traffic studies are to be documented by the Border Patrol and utilized as the baseline requirement to determine the number of inspection lanes at new permanent checkpoints, and therefore this recommendation has been closed as implemented.", "Recommendation 6: In connection with planning for new or upgraded checkpoints, conduct a workforce planning needs assessment for checkpoint staffing allocations to determine the resources needed to address anticipated levels of illegal activity around the checkpoint.", "In August 2009, we reported that Border Patrol\u2019s checkpoint strategy to push illegal crossers and smugglers to areas around checkpoints\u2014which could include nearby communities\u2014underscores the need for the Border Patrol to ensure that it deploys sufficient resources and staff to these areas. In October 2009, Border Patrol reported that the agency was evaluating its checkpoint policy regarding the establishment of a new checkpoint or the upgrade of an old checkpoint, and checkpoint policy changes would be finalized by September 30, 2010. Border Patrol also reported that checkpoint system upgrades that capture data on checkpoint performance would help management determine future resource needs at checkpoints. In June 2013, Border Patrol reported that due to budget and other issues, the checkpoint system upgrade had not been completed, and the rewritten checkpoint data protocol had not been approved. In June 2013, Border Patrol reported that as part of the checkpoint study conducted by the DHS Center of Excellence, the Center created checkpoint simulation tools that would help inform resource allocations when determining the number of inspection lanes on current or new checkpoints. The Border Patrol agreed with the utility of such a model, but noted that the Border Patrol would need to purchase modeling software\u2014a cost-prohibitive measure in the current budget environment. In the interim, Border Patrol is developing a formal workforce staffing model to identify staffing strategies for all Border Patrol duties. Border Patrol expected to implement this model for checkpoint staffing assignments in fiscal year 2014. However, in July 2014, Border Patrol reported that the Border Patrol\u2019s Personnel Requirements Determination project was still being developed and that process would inform staffing at checkpoints, although the project is not specific to checkpoint staffing needs. As a result, Border Patrol revised its expected implementation date to September 2015. However, according to the Border Patrol official overseeing the project, subsequent changes in leadership and factors unrelated to checkpoints have affected the overall time frames for the Personnel Requirements Determination project. In September 2016, Border Patrol officials reported that the agency\u2019s Personnel Requirements Determination process would not provide information on staffing needs until fiscal year 2017 or 2018. In its comments on this report (see app. IV), DHS stated that it expects to use information from the Personnel Requirements Determination process to determine staffing requirements and address our recommendation by September 30, 2019. Given that local residents continue to express concerns about the impacts of checkpoints on communities, conducting a needs assessment when planning for a new or upgraded checkpoint could help better ensure that officials consider the potential impact of the checkpoint on the community and plan for a sufficient number of agents and resources."], "subsections": []}, {"section_title": "Appendix II: Trends in Southwest Border Apprehensions, Fiscal Years 2012 through 2016", "paragraphs": ["This appendix contains additional detail about trends in southwest border apprehensions from fiscal years 2012 through 2016, including trends in the: number of apprehensions by sector, distribution of apprehensions by sector and by distance from the border, distribution of apprehensions by sector and by proximity to checkpoints."], "subsections": [{"section_title": "Apprehensions by Sector", "paragraphs": ["From fiscal years 2012 through 2016, Border Patrol apprehended a total of almost 2 million individuals in southwest border sectors. The number of apprehensions over this period rose to a peak in fiscal year 2014, declined in fiscal year 2015, and rose again in fiscal year 2016. Over this 5-year period, about two-thirds of the apprehensions occurred in the Rio Grande Valley and Tucson sectors (42 percent and 23 percent, respectively), and the Rio Grande Valley sector accounted for an increasing percentage of total southwest border apprehensions over this time period (from 27 percent of all southwest border apprehensions in fiscal year 2012 to 46 percent of apprehensions in fiscal year 2016). As shown in figure 14, apprehensions also increased in five other sectors, but the other sectors represented consistently smaller percentages of all apprehensions over the 5-year period.", "The Secretary of the Department of Homeland Security stated during testimony before the Senate Committee on Homeland Security and Governmental Affairs that apprehensions have dropped sharply since the beginning of 2017. He stated, for example, that Border Patrol apprehended approximately 1,000 unaccompanied alien children in March 2017 (a time of year he noted when apprehensions generally are higher) compared to over 7,000 unaccompanied alien children in December 2016."], "subsections": []}, {"section_title": "Distribution of Apprehensions by Sector and by Distance from the Border", "paragraphs": ["As noted in this report, apprehensions overall for the southwest border increasingly occurred closer to the border. Table 6 shows the distribution for each sector of apprehensions by distance from the border during fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Apprehensions at Checkpoints by Sector", "paragraphs": ["For fiscal years 2013 through 2016, the percent of apprehensions occurring at checkpoints varied by sector. We assigned each apprehension into one of four location categories based on whether the GPS coordinates for the event occurred close enough to the GPS coordinates for a checkpoint to be considered \u201cat a checkpoint\u201d and whether the event\u2019s landmark corresponds to the nearest checkpoint landmark. Table 7 shows the distribution of apprehensions for each sector by location category during fiscal years 2013 through 2016, and the extent to which apprehensions were identified as checkpoint circumventions based on use of the \u201cCircumvention App?\u201d checkbox. Differences in sector apprehensions at checkpoints could depend in part on the number of checkpoints within a sector, the amount of time checkpoints are operational, and the extent to which sectors consistently apply guidance on how to enter data for apprehensions that are related to checkpoint operations."], "subsections": []}]}, {"section_title": "Appendix III: Trends in Southwest Border Seizures, Fiscal Years 2012 through 2016", "paragraphs": ["This appendix contains additional detail about trends in southwest border seizures from fiscal years 2012 through 2016, including trends in the: number of seizures by type of contraband seized, number of seizures by sector, distribution of seizures by sector and by distance from the border, seizures related to Border Patrol checkpoints each available year by sector, and marijuana seizures at checkpoints by quantity seized."], "subsections": [{"section_title": "Seizures by Type of Contraband Seized", "paragraphs": ["Border Patrol seized almost 90,000 prohibited items in southwest border sectors from fiscal year 2012 through fiscal year 2016. Most of these seizures (92 percent) were narcotics, and 87 percent of narcotics seizures were marijuana. The remaining seizures were of firearms, ammunition, currency, or other property. As shown in table 8, the number of seizures on the southwest border generally decreased from fiscal year 2012 to fiscal year 2016, with the exceptions of slight rises in the amount of methamphetamines and heroin seized during this period."], "subsections": []}, {"section_title": "Seizures by Sector", "paragraphs": ["The greatest number of seizures during the 5 fiscal years occurred in the Tucson, Big Bend, and Rio Grande Valley sectors (34, 19, and 16 percent respectively). Collectively, these three sectors accounted for 69 percent of southwest border seizures from fiscal years 2012 through 2016. For all southwest border sectors except the Big Bend sector, the numbers of seizures decreased during this 5-year period. For example, the number of seizures in the Tucson sector decreased 12 percent, and the number of seizures in the Rio Grande Valley sector decreased 36 percent during this period. The number of seizures in the Big Bend sector increased 39 percent from fiscal years 2012 through 2016. Figure 15 shows the number of seizures from fiscal years 2012 through 2016 by sector."], "subsections": []}, {"section_title": "Distribution of Seizures by Sector and by Distance from the Border", "paragraphs": ["As noted in this report, the location where seizures occurred remained relatively stable from fiscal year 2012 through fiscal year 2016, with the majority of seizures occurring 10 miles or more from the southwest border. Table 9 shows the distribution of seizures for each sector by distance from the border during fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Seizures at Checkpoints by Sector", "paragraphs": ["For fiscal years 2013 through 2016, the percent of seizures occurring at checkpoints varied by sector. We assigned each seizure into one of four location categories based on whether the GPS coordinates for the event occurred close enough to the GPS coordinates for a checkpoint to be considered \u201cat a checkpoint\u201d and whether the event\u2019s landmark corresponds to the nearest checkpoint landmark. Table 10 shows the distribution of seizures for each sector by checkpoint location category during fiscal years 2013 through 2016. Differences in sector seizures at checkpoints could depend in part on the number of checkpoints within a sector, the percent of time checkpoints are operational, and the extent to which sectors consistently apply guidance on how to enter data for seizures that are related to checkpoint operations."], "subsections": []}, {"section_title": "Marijuana Seizures by Quantity Seized", "paragraphs": ["Most southwest border seizures were narcotics, and most narcotics seizures were marijuana. As noted in this report, marijuana seizures at checkpoints were often for smaller quantities compared to marijuana seizures at non-checkpoint locations. Table 11 shows that about 67 percent of marijuana seizures at checkpoints were for quantities less than or equal to 1 ounce, whereas the quantities seized at non-checkpoint locations were often larger. For example, more than three-quarters of marijuana seizures at non-checkpoint locations were of over 50 pounds (25,792 out of 33,477 seizures)."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Adam Hoffman (Assistant Director), David Alexander, Alana Finley, Eric Hauswirth, Monica Kelly, John Mingus, Sasan J. \u201cJon\u201d Najmi, Christine San, Adam Vogt, and Tomas Wind made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-404T", "url": "https://www.gao.gov/products/GAO-18-404T", "title": "Analyzing Regulatory Burden: Policies and Analyses under the Regulatory Flexibility Act and Retrospective Reviews Could Be Improved", "published_date": "2018-02-27T00:00:00", "released_date": "2018-02-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal financial regulators must comply with various rulemaking and review requirements, including those in RFA and EGRPRA. These statutes require analyses relating to regulatory burden, small entities, or both. RFA requires analyses of a rule's impact on small entities and alternatives that may minimize any significant economic impact. It also requires agencies to review rules (within 10 years) to determine if the rules should be amended or rescinded. EGRPRA directs specified regulators to review regulations at least every 10 years and identify areas that are outdated, unnecessary, or unduly burdensome on insured depository institutions.", "This statement is based on findings from GAO's January 2018 report on RFA implementation ( GAO-18-256 ) and February 2018 report on regulatory burden on community banks and credit unions ( GAO-18-213 ). GAO discusses regulatory burdens and how financial regulators address regulatory burdens through the rulemaking process and retrospective reviews. For those reports, GAO's work included reviewing Federal Register notices; regulators' workpapers, policies and procedures; and reports to Congress on EGRPRA reviews. GAO also interviewed more than 60 community banks and credit unions."]}, {"section_title": "What GAO Found", "paragraphs": ["More than 60 smaller depository institutions told GAO that regulations for reporting mortgage characteristics; reviewing transactions for potentially illicit activity; and disclosing fees, conditions, and mortgage terms to consumers were the most burdensome. Institution representatives said these regulations were time-consuming and costly because the requirements were complex and required reporting that had to be reviewed for accuracy. Financial regulators and others noted these regulations provide various benefits as well, such as preventing lending discrimination or use of the banking system for illicit activity.", "The Regulatory Flexibility Act (RFA) requires federal agencies to analyze the impact of their regulations on small entities. GAO found several weaknesses with the analyses of six financial regulators\u2014Board of Governors of the Federal Reserve System (Federal Reserve), Office of the Comptroller of the Currency (OCC), Federal Deposit Insurance Corporation (FDIC), Securities and Exchange Commission, Commodity Futures Trading Commission, and Consumer Financial Protection Bureau (CFPB)\u2014that could undermine the goal of RFA and limit transparency and public accountability. For example, some analyses lacked important information, such as data sources, methodologies, and consideration of broad economic impacts. Evaluations of potential economic effects and alternative regulatory approaches also were limited. Finally, regulators generally lacked comprehensive policies and procedures for RFA implementation. By not developing such policies and procedures, regulators' ability to consistently and effectively meet RFA objectives may be limited.", "The Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA) and RFA require regulators to conduct retrospective reviews, and GAO found weaknesses.", "EGRPRA. GAO found limitations in activities regulators undertook for retrospective reviews under EGRPRA. CFPB, which has regulatory authority for a number of consumer financial laws, was not included in the most recent review process. Moreover, as part of their EGRPRA reviews, the Federal Reserve, OCC, FDIC, and the National Credit Union Administration had not conducted and reported analyses of quantitative data nor had these regulators assessed the cumulative effect of regulations. Addressing these limitations in the EGRPRA processes likely would make the analyses they perform more transparent, and potentially result in additional burden reduction.", "RFA. The issues GAO identified with RFA retrospective reviews (section 610 reviews) included some regulators using the EGRPRA process to fulfill RFA requirements and gaps or weaknesses in analysis and documentation. But EGRPRA requirements do not fully align with RFA's, and it is not clear if the EGRPRA process satisfies the requirements of section 610. Also, regulators generally have not developed policies and procedures for section 610 reviews. By meeting section 610 review requirements, regulators will be in a better position to minimize any significant economic impact of a rule on a substantial number of small entities, as the statute seeks to ensure."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made a total of 20 recommendations to the financial regulators in the two reports to improve their policies and procedures and analysis under RFA and in retrospective reviews. The regulators generally agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent work on regulatory burden for small entities (such as community banks and credit unions) and efforts by financial regulators to reduce such burden when developing and retrospectively assessing regulations. Federal financial regulators normally must comply with various rulemaking and review requirements, including those in the Regulatory Flexibility Act (RFA) and the Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA). These statutes require analyses relating to regulatory burden, small entities, or both:", "Analyses during rulemaking. RFA requires federal agencies, including financial regulators, to provide an assessment\uf8e7known as a regulatory flexibility analysis\uf8e7of a rule\u2019s potential impact on small entities and consider alternatives that may minimize any significant economic impact on small entities. Alternatively, agencies may certify that a rule would not have a significant economic impact on a substantial number of small entities instead of performing a regulatory flexibility analysis.", "Retrospective reviews. (1) EGRPRA directs three depository institution regulators\u2014the Board of Governors of the Federal Reserve System (Federal Reserve), the Federal Deposit Insurance Corporation (FDIC), and the Office of the Comptroller of the Currency (OCC)\u2014to review regulations at least every 10 years and identify areas that are outdated, unnecessary, or unduly burdensome on insured depository institutions. (2) RFA requires agencies to review within 10 years of publication those rules assessed as having a significant economic impact on a substantial number of small entities. Agencies are to determine if rules should be continued without change, amended, or rescinded to minimize such impacts.", "My remarks today are based on our January 2018 report on RFA implementation and our February 2018 report that includes an analysis of the EGRPRA review process. My statement will focus on (1) regulations community banks and credit unions regarded as most burdensome and why; (2) the extent to which financial regulators performed analyses required by RFA and established policies and procedures for complying with RFA requirements; (3) efforts to reduce regulatory burden on community banks and credit unions during EGRPRA reviews; and (4) retrospective reviews required by RFA.", "For the January 2018 report, our work included a review of the RFA section of the Federal Register notices and financial regulators\u2019 internal workpapers for all RFA certifications made in the final rule (66) and all rules for which agencies performed an initial regulatory flexibility analysis in the proposed rule and a final regulatory flexibility analysis in the final rule (39) in calendar years 2015 and 2016. We also reviewed internal agency policies, procedures, and guidance for RFA analyses and certifications and documentation of retrospective reviews required by RFA (section 610 reviews) performed from calendar years 2006 through 2016. For the February 2018 report, our work included reviewing the EGRPRA report the Federal Reserve, FDIC, OCC, and the National Credit Union Administration (NCUA) issued in 2017. To identify regulations that community banks and credit unions viewed as most burdensome, we obtained opinions from a non-probability selection of more than 60 community banks and credit unions. We also reviewed comment letters received and transcripts of public meetings held as part of the review. We compared the requirements of Executive Orders 12866, 13563, and 13610 with actions regulators took implementing reviews. Detailed information on our scope and methodology can be found in our January and February 2018 reports.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Regulatory Flexibility Act", "paragraphs": ["RFA requires that federal agencies, including financial regulators, engaged in substantive rulemaking analyze the impact of proposed and final regulations on small entities. If a rule might have a significant economic impact on a substantial number of small entities, regulators are to consider any significant regulatory alternatives that will achieve statutory objectives while minimizing any significant economic impact on small entities. RFA defines \u201csmall entity\u201d to include small businesses, small governmental jurisdictions, and certain small not-for-profit organizations. RFA does not seek preferential treatment for small entities. Rather, it requires agencies to use an analytical process that includes identifying barriers to small business competitiveness and seeks a level playing field for small entities.", "For each draft rule that requires a notice of proposed rulemaking, RFA requires regulators to prepare an initial regulatory flexibility analysis that contains an assessment of the rule\u2019s potential impact on small entities and describes any significant alternatives to reduce the rule\u2019s significant economic impact on small entities while achieving statutory objectives. Following a public comment period, RFA requires regulators to conduct a similar analysis when they promulgate the final rule. If the head of the agency certifies in the Federal Register that the rule would not have a significant economic impact on a substantial number of small entities, agencies do not have to conduct the initial or final analysis. Certifications must include a statement providing a factual basis for the certification.", "Section 610 of RFA requires agencies to review, within 10 years of a final rule\u2019s publication, those rules assessed as having a significant economic impact on a substantial number of small entities to determine if they should be continued without change, amended, or rescinded (consistent with statutory objectives) to minimize any significant economic impact on small entities.", "RFA designates certain responsibilities to the Small Business Administration\u2019s Chief Counsel for Advocacy, including monitoring agency compliance with RFA and reviewing federal rules for their impact on small businesses. Executive Order 13272 requires the Small Business Administration\u2019s Office of Advocacy (Office of Advocacy) to provide notifications and training about RFA requirements. The Office of Advocacy published guidance on RFA compliance in 2003 (updated in 2012 and August 2017). For example, the guidance details components regulators should include in their certifications to obtain meaningful public comments, such as a description and estimate of the economic impact."], "subsections": []}, {"section_title": "Economic Growth and Regulatory Paperwork Reduction Act of 1996", "paragraphs": ["Under EGRPRA, the Federal Reserve, FDIC, and OCC are to categorize their regulations by type and provide notice and solicit public comment on all regulations for which they have regulatory authority to identify areas of the regulations that are outdated, unnecessary, or unduly burdensome. The act also includes requirements on how the regulators should conduct the reviews, including reporting results to Congress.", "The first EGRPRA review was completed in 2007. The second began in 2014, and the report summarizing its results was submitted to Congress in March 2017. While NCUA is not required to participate in the EGRPRA review, NCUA has been participating voluntarily. NCUA\u2019s assessment of its regulations appears in separate sections of the 2007 and 2017 reports to Congress."], "subsections": []}]}, {"section_title": "Community Banks and Credit Unions Saw Regulations on Mortgage Reporting and Disclosures and Anti-Money Laundering as Most Burdensome", "paragraphs": ["Community bank and credit union representatives we interviewed identified three areas of regulations as most burdensome to their institutions: 1. Data reporting requirements related to loan applicants and loan terms under the Home Mortgage Disclosure Act of 1975 (HMDA). 2. Transaction reporting and customer due diligence requirements as part of the Bank Secrecy Act and related anti-money laundering regulations (collectively, BSA/AML). 3. Disclosures of mortgage loan fees and terms to consumers under the Truth in Lending Act and the Real Estate Settlement Procedures Act of 1974 Integrated Disclosure (TRID) regulation.", "Institution representatives told us they found these regulations were time- consuming and costly to comply with because the requirements were complex, required individual reports that had to be reviewed for accuracy, or mandated actions within specific timeframes. For example, among the 28 community banks and credit unions whose representatives commented on HMDA-required reporting in our focus groups, 61 percent noted having to conduct additional HMDA-related training. Representatives in most of our focus groups said that they had to purchase or upgrade software systems to comply with BSA/AML requirements, which can be expensive, and some representatives said they have to hire third parties to comply with BSA/AML regulations. Representatives in all of our focus groups and many of our interviews said that the TRID regulations have increased the time their staff spend on compliance, increased the cost of providing mortgage lending services, and delayed the completion of mortgages for customers.", "However, federal regulators and consumer advocacy groups\u2019 representatives said that benefits from these regulations were significant, such as collecting HMDA data that has helped address discriminatory practices. Staff from Financial Crimes Enforcement Network (FinCEN), which has delegated authority from the Secretary of the Treasury to implement anti-money laundering regulations, told us that the transaction reporting required and due-diligence programs required in BSA/AML rules are critical to safeguarding the U.S. financial sector from illicit activity, including illegal narcotic trafficking proceeds and terrorist financing activities.", "The Consumer Financial Protection Bureau (CFPB) has taken steps to reduce the burdens for community banks and credit unions associated with the HMDA and TRID regulations. Also, FinCEN has developed several efforts in reducing the reporting requirements from BSA/AML regulations to reduce regulatory burden, such as a continuous evaluation process to look for ways to reduce burden associated with BSA reporting requirements, soliciting feedback through an interagency working group about potential burden, and expanding the ability of institutions to seek a Currency Transaction Report filing exemption when possible.", "To reduce institutions\u2019 misunderstanding of the TRID regulation, CFPB has published a Small Entity Compliance Guide and a Guide to the Loan Estimate and Closing Disclosure Forms. However, CFPB officials acknowledged that some community banks and credit unions may be misinterpreting the regulation\u2019s requirements. We found that CFPB had not directly assessed the effectiveness of the guidance it provided to community banks and credit unions. Until the guidance is assessed for effectiveness, CFPB may not be able to respond to the risk that small institutions have implemented TRID incorrectly. We recommended that CFPB should assess the effectiveness of TRID guidance to determine the extent to which TRID\u2019s requirements are accurately understood and take steps to address any issues as necessary. CFPB agreed with the recommendations and intends to solicit public input on how it can improve its regulatory guidance and implementation support."], "subsections": []}, {"section_title": "Financial Regulators Consider Burden When Developing Regulations, but Their Reviews under RFA Need to Be Enhanced", "paragraphs": ["One of the ways that financial regulators attempt to address the burden of regulations is during the rulemaking process. For example, staff from the Federal Reserve, FDIC, and OCC all noted that when promulgating rules, their staff seek input from institutions and others throughout the process to design requirements that achieve the goals of the regulation at the most reasonable cost and effort for regulated entities. Once a rule has been drafted, the regulators publish it in the Federal Register for public comment. The staff noted that regulators often make revisions in response to the comments received to try to reduce compliance burdens in the final regulation. Under RFA, financial regulators conduct analyses during the rulemaking process that are intended to minimize economic impact on small entities. However, we found several weaknesses with the RFA analyses, policies, and procedures of six financial regulators\u2014 Federal Reserve, OCC, FDIC, Securities and Exchange Commission (SEC), Commodity Futures Trading Commission (CFTC), and CFPB\u2014 that could undermine the goal of RFA and limit transparency and public accountability."], "subsections": [{"section_title": "Certifications Were Not Always Consistent with Office of Advocacy Guidance and Other Best Practices", "paragraphs": ["In reviewing 66 certifications by the six regulators, we found that in most (43 of 66) the regulators provided a factual basis and concluded the rule would not apply to small entities or have any economic impact. According to the regulators, these rules included activities in which small entities do not engage, pertained to the regulator\u2019s internal processes, did not create new regulatory requirements, or eliminated duplicative rules. Additionally, regulators concluded in 5 of 66 certifications that the rule would have a beneficial impact on small entities.", "Other certifications lacked information that would help explain the determination. Specifically, in 18 of 66 certifications, the regulators found the rule would have some economic impact on small entities, but concluded the impact would not be significant for a substantial number of small entities. But the factual basis provided for most of the 18 certifications (across all six regulators) lacked key components the Office of Advocacy and the Office of Management and Budget (OMB) recommended for understanding the analyses regulators used to support their conclusion. Examples include the following:", "Data sources or methodologies. In 15 of 18 certifications regulators did not describe or did not fully describe their methodology or data sources for their conclusions.", "Broader economic impacts. The certifications generally did not address broader economic impacts such as cumulative effects, competitive disadvantage, or disproportionality of effects and focused most of the analysis on specific compliance costs.", "Defining key criteria. Regulators generally did not define the criteria they used for \u201csubstantial number\u201d and \u201csignificant economic impact\u201d in their certifications.", "Limited information. Three certifications included none of the Office of Advocacy\u2019s suggested components, such as the number of affected entities, the size of the economic impacts, or the justification for the certification.", "While many of the regulators\u2019 certification determinations incorporated key components, the weaknesses and inconsistencies we found could undermine the act\u2019s goal. For example, incomplete disclosure of methodology and data sources could limit the public and affected entities\u2019 ability to offer informed comments in response to regulators\u2019 certification assessments in proposed rules."], "subsections": []}, {"section_title": "Many RFA-Required Analyses Had Weaknesses", "paragraphs": ["Our review of recent rules in which the agency performed an initial and final regulatory flexibility analysis found that the evaluation of key components\u2014potential economic effects and alternative regulatory approaches\u2014was limited in many cases, although the extent varied by regulator. RFA requires initial and final analyses to include information to assist the regulator, regulated entities, and the public in evaluating the potential impact of rules on small entities. The most important components include the assessment of a rule\u2019s potential economic effects on small entities\u2014such as compliance costs\u2014and the identification and evaluation of alternative regulatory approaches that may minimize significant economic effects while achieving statutory objectives.", "The evaluations for some rules of economic impact on small entities did not describe or estimate compliance costs. Analyses we reviewed also generally did not evaluate differences in estimated compliance costs for identified alternatives.", "Five of six regulators did not consistently disclose the data sources or methodologies used for estimating the number of subject small entities or compliance costs.", "By not fully assessing potential economic effects or alternatives, regulators may not be fully realizing the opportunity to minimize unnecessary burdens on small entities, which is the primary goal of RFA."], "subsections": []}, {"section_title": "Regulators Lacked Comprehensive Policies and Procedures for RFA Analyses", "paragraphs": ["Five of six regulators have written guidelines that restate statutory requirements for certifications and preparing regulatory flexibility analyses and provide some additional guidance for staff. However, the regulators generally have not developed comprehensive policies and procedures to assist staff in complying with RFA, which may contribute to the weaknesses we identified in some certifications and regulatory flexibility analyses. Federal internal control standards state the importance for agency management to establish through policies and procedures the actions needed to achieve objectives.", "The extent to which regulators\u2019 guidance included policies and procedures varied. But the guidance generally did not include procedures for evaluating a rule\u2019s potential economic impact on small entities; identifying and assessing regulatory alternatives that could minimize economic impact on small entities; disclosing methodology and data sources; and creating and maintaining documentation that supports findings.", "By developing policies and procedures that provide specific direction to rulemaking staff, the regulators could better ensure consistent and complete implementation of RFA requirements and more fully realize the RFA goal of appropriately considering and minimizing impacts on small entities during and after agency rulemakings.", "In our January 2018 report, we recommended that each of the regulators develop and implement specific policies and procedures for consistently complying with RFA requirements and related guidance for conducting RFA analyses. Five agencies generally agreed with this recommendation and one did not provide written comments."], "subsections": []}]}, {"section_title": "EGRPRA Reviews Resulted in Some Reduction in Burden, but the Reviews Have Limitations", "paragraphs": ["Regulators took some actions to reduce burden as part of EGRPRA reviews, but we also identified opportunities to improve analyses and reporting."], "subsections": [{"section_title": "Results of 2017 EGRPRA Review Included Some Actions to Reduce Regulatory Burden", "paragraphs": ["To conduct the most recent EGRPRA review, the Federal Reserve, FDIC, and OCC sought comments from banks and others and held public meetings to obtain views on the regulations they administer. In the report they issued in March 2017, the regulators identified six significant areas in which commenters raised concerns: (1) capital rules, (2) Call Reports, (3) appraisal requirements, (4) examination frequency, (5) Community Reinvestment Act, and (6) BSA/AML regulations. In the report, these regulators described various actions that could address some of the concerns that commenters raised including:", "On September 27, 2017, the regulators proposed several revisions to capital requirements that would apply to banks with less than $250 billion in assets and less than $10 billion in total foreign exposure. For example, the revisions simplify capital treatment for certain commercial real estate loans and would change the treatment of mortgage servicing assets.", "The regulators developed a new Call Report form for banks with assets of less than $1 billion and domestic offices only. In June 2017 and November 2017, the regulators issued additional proposed revisions, effective June 2018, to the three Call Report forms that banks are required to complete. For example, community banks would report certain assets (nonperforming loans not generating their stated interest rate) less frequently\u2014semi-annually instead of quarterly.", "The regulators proposed raising the threshold for commercial real estate loans requiring an appraisal from $250,000 to $400,000. They also recently issued guidance on how institutions could obtain waivers or otherwise expand the pool of persons eligible to prepare appraisals if suitable appraisers are unavailable.", "The three regulators also issued a final rule in 2016 making qualifying depository institutions with less than $1 billion in total assets eligible for an 18-month examination cycle rather than a 12-month cycle.", "Although NCUA is not required to participate in the EGRPRA process, the 2017 EGRPRA report also includes a section in which NCUA describes actions it has taken to address regulatory burdens on credit unions. In the report, NCUA identified five significant areas raised by commenters relating to credit union regulation, including: (1) field of membership and chartering; (2) member business lending; (3) federal credit union ownership of fixed assets; (4) expansion of national credit union share insurance coverage; and (5) expanded powers for credit unions.", "In response, NCUA took various actions. For example, NCUA modified and updated its field of credit union membership by revising the definition of a local community, rural district, and underserved area, which provided greater flexibility to federal credit unions seeking to add a rural district to their field of membership. NCUA also lessened some restrictions on member lending to small business and raised some asset thresholds for what would be defined as a small credit union so that fewer requirements would apply to these credit unions."], "subsections": []}, {"section_title": "CFPB Was Not Included in 2017 Review and Significant Mortgage Regulations Were Not Assessed", "paragraphs": ["One of the limitations in the EGRPRA process is that the statute mandating the process does not include CFPB and thus the significant mortgage-related regulations and other regulations that it administers\u2014 regulations that banks and credit unions generally must follow\u2014were not included in the most recent EGRPRA review. The depository institution regulators cannot address these mortgage regulation-related burdens because they no longer have rulemaking authority for certain consumer financial statutes.", "However, CFPB does have its own processes to assess the burden of regulations it has implemented. For example, section 1022(d) of the Dodd-Frank Wall Street Reform and Consumer Protection Act requires CFPB to conduct a one-time assessment of each significant rule it adopts under federal consumer financial law within 5 years of the rule\u2019s effective date. But CFPB staff told us that they have not yet determined whether certain other regulations that apply to banks and credit unions, such as the revisions to requirements, will be designated as significant and thus subjected to the one-time assessments.", "During 2017, CFPB launched an internal task force to coordinate and bolster its continuing efforts to identify and relieve regulatory burdens for small businesses, such as community banks, that potentially will address any regulation the agency has under its jurisdiction. However, CFPB has not provided public information on the extent to which it intends to review regulations applicable to community banks and credit unions or provided information on the timing and frequency of the reviews. In addition, it has not indicated the extent to which it will coordinate the reviews with depository institution regulators as part of EGRPRA reviews.", "Until CFPB publicly provides additional information indicating its commitment to periodically review the burden of all its regulations, community banks, credit unions, and other depository institutions may face diminished opportunities for regulatory relief.", "In our February 2018 report, we recommended that CFPB issue public information on its plans for reviewing regulations, including information on the scope of regulations, timing and frequency of reviews, and the extent to which the reviews will be coordinated with the other regulators as part of the EGRPRA reviews. CFPB agreed with the recommendation and committed to developing additional plans for reviews of key regulations and publicly releasing such information. In the interim, CFPB stated it intends to solicit public input on how it should approach reviewing regulations."], "subsections": []}, {"section_title": "Regulators Have Not Conducted or Reported Quantitative Analyses", "paragraphs": ["Another limitation in the EGRPRA process conducted by the Federal Reserve, FDIC, OCC, and NCUA was that these regulators did not conduct or report on quantitative analyses during the EGRPRA process to help them determine if changes to regulations would be warranted. Our analysis of the 2017 EGRPRA report indicated that in responses to comments in which the regulators did not take any action, the regulators generally provided only their arguments against taking actions and did not cite analysis or data to support their narrative.", "EGRPRA does not require the regulators to collect and report on any quantitative data they collected or analyzed as part of assessing the potential burden of regulations. In contrast, executive branch agencies tasked under executive orders to conduct retrospective reviews of regulations generally must collect and analyze quantitative data as part of assessing the costs and benefits of changing existing regulations. Conducting quantitative analysis for retrospective reviews could serve as a best practice for the depository institution regulators.", "By not performing and reporting quantitative analyses where appropriate in the EGRPRA review, the regulators may be missing opportunities to better assess regulatory impacts, (including identifying the need for any changes or identifying benefits) and making their analyses more transparent to stakeholders.", "In our February 2018 report, we recommended that the four depository institution regulators develop plans for their regulatory analyses describing how they will conduct and report on quantitative analysis whenever feasible to strengthen the rigor and transparency of the EGRPRA process. The regulators agreed with the recommendation. For example, the Federal Reserve plans to coordinate with FDIC and OCC to identify opportunities to conduct quantitative analyses where feasible during future EGRPRA reviews. NCUA also said it should improve its quantitative analysis."], "subsections": []}, {"section_title": "Regulators Have Not Considered the Cumulative Effects of Regulations", "paragraphs": ["An additional limitation in the EGRPRA process we identified was that the depository institution regulators had not assessed the ways in which the cumulative burden of the regulations they administer may have created overlapping or duplicative requirements. Under the current process, the regulators have responded to issues raised about individual regulations based on comments they have received, not on bodies of regulations.", "However, congressional intent in tasking regulators with EGRPRA reviews was to ensure they considered the cumulative effect of financial regulations. A 1995 Senate Committee on Banking, Housing, and Urban Affairs report stated while no one regulation can be singled out as being the most burdensome, and most have meritorious goals, the aggregate burden of banking regulations ultimately affects a bank\u2019s operations, its profitability, and the cost of credit to customers.", "In our February 2018 report, we recommended to the Federal Reserve, FDIC, NCUA, and OCC that as part of their EGRPRA review they develop plans for conducting evaluations that would identify opportunities to streamline bodies of regulation. The regulators generally agreed with the recommendation and said they would work together to identify ways and opportunities to decrease the regulatory burden created by bodies of regulation. In addition, FDIC stated it would continue to monitor the cumulative effects of regulation; for example, through a review of community and quarterly banking studies and community bank Call Report data."], "subsections": []}]}, {"section_title": "Regulators\u2019 Approach to RFA-Required Retrospective Reviews Varied, Including the Extent to Which They Developed Policies", "paragraphs": ["Financial regulators took varying approaches to performing retrospective reviews for RFA; additionally, some regulators had not yet developed policies and procedures for conducting and reporting reviews."], "subsections": [{"section_title": "Federal Banking Regulators Relied on Other Retrospective Reviews to Meet RFA Section 610 Requirements", "paragraphs": ["We assessed section 610 reviews and found that the Federal Reserve, FDIC, and OCC conducted retrospective reviews that did not fully align with RFA\u2019s requirements. Officials at each of the agencies stated that they satisfy the requirements to perform section 610 reviews through the EGRPRA review process.", "But the requirements of the EGRPRA reviews differ from those of the RFA-required section 610 reviews. For example, the EGRPRA review process relies on public comments to identify rules that may be outdated, unnecessary, or unduly burdensome, while public comments are only one component of section 610 reviews. The Office of Advocacy stated that agencies may satisfy section 610 requirements through other retrospective reviews if these other reviews meet the criteria of section 610. According to an official from the Office of Advocacy, the office has not yet made a determination on whether the EGRPRA review process satisfies those requirements.", "Although the agencies stated that they fulfill RFA requirements through EGRPRA, without confirming this with the Office of Advocacy, it is possible that they are not meeting RFA section 610 requirements and therefore may not be achieving the small-entity burden reduction that the statute seeks to ensure.", "In our January 2018 report, we recommended that the Federal Reserve, FDIC, and OCC coordinate with the Office of Advocacy to determine whether the EGRPRA review process satisfies the requirements of section 610 and, if not, what steps should be taken to align the process with section 610 requirements. The Federal Reserve and FDIC generally agreed with this recommendation, and OCC did not provide written comments."], "subsections": []}, {"section_title": "SEC Reviews Were Late and Not Fully Consistent with RFA Requirements or Office of Advocacy Guidance", "paragraphs": ["Our review of 46 SEC section 610 reviews found that they were conducted late and were not fully consistent with RFA requirements or the Office of Advocacy\u2019s guidance for such reviews. RFA requires rules to be reviewed within 10 years of their publication as final rules, but SEC conducted all but one of its reviews 12 years after the rules were published. The reviews generally lacked substantive analysis, and no rules were amended as a direct result of their section 610 review. The reviews generally provided no evidence of empirical analysis and no data to support the conclusions of the reviews, as recommended by the Office of Advocacy and OMB. In most cases, the reviews lacked a description of whether, or to what extent, the rule was affecting small entities.", "SEC does not have written policies or procedures for completing rule reviews pursuant to RFA section 610, potentially contributing to the weaknesses we identified (timing and lack of data and analysis to support findings). Therefore, in our January 2018 report, we recommended that SEC develop and implement specific policies and procedures for performing section 610 reviews. SEC generally agreed with the recommendation.", "SEC also does not publicly disclose the findings or conclusions of its section 610 reviews. Although RFA does not require that agencies publish the results of 610 reviews, the Office of Advocacy recommends that to enhance transparency, agencies should communicate with interested entities about the reviews. Executive orders also highlight public disclosure of retrospective reviews. Lack of public disclosure limits the transparency of the reviews, hindering the public\u2019s ability to hold agencies accountable for the quality and conclusions of their reviews. In our January 2018 report, we recommended that SEC publicly disclose its section 610 reviews, or summaries, with the basis for any conclusions. SEC generally agreed with the recommendation."], "subsections": []}, {"section_title": "CFTC and CFPB Plan to Develop Policies and Procedures for Future Retrospective Reviews", "paragraphs": ["CFTC and CFPB plan to put procedures in place for section 610 reviews. According to CFTC officials, the agency has not conducted any section 610 reviews in at least the last 10 years. CFPB has not yet been required to conduct any section 610 reviews. Section 610 reviews are required within 10 years of a rule\u2019s publication as a final rule; to date, none of the rules issued by CFPB, which was created in 2010, have met this deadline.", "In our January 2018 report, we recommended that CFTC and CFPB develop policies and procedures for section 610 reviews that would include documenting analyses and public reporting of results. CFTC and CFPB generally agreed with the recommendation.", "Chairman Chabot, Ranking Member Vel\u00e1zquez, and members of the Committee, this concludes my statement. I would be pleased to respond to any questions you may have."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Michael E. Clements, Director, Financial Markets and Community Investment, at (202) 512-8678 or clementsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Cody Goebel (Assistant Director), Stefanie Jonkman (Assistant Director), Katherine Carter (Analyst in Charge), Kevin Averyt, Bethany Benitez, Jeremy A. Conley, Pamela R. Davidson, Nancy Eibeck, Andrew Emmons, Courtney L. LaFountain, William V. Lamping, Marc Molino, Lauren Mosteller, Barbara Roesmann, and Jena Y. Sinkfield. Other assistance was provided by Farrah Graham and Tim Bober.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-192", "url": "https://www.gao.gov/products/GAO-18-192", "title": "Warfighter Support: An Assessment of DOD Documents Used in Previous Efforts to Rebalance to the Pacific", "published_date": "2018-05-24T00:00:00", "released_date": "2018-05-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2011, President Obama announced that the United States would turn its attention to the Asia-Pacific region and make the U.S. presence there a top priority. Rebalancing to the Pacific became strategic guidance that informed military planning. By the end of 2015, DOD published strategy documents that included references to the rebalance to the Pacific or related concepts. In February 2018, the Assistant Secretary of Defense for Asian and Pacific Security Affairs stated that while DOD continues to prioritize the Asia-Pacific region, the rebalance to the Pacific is no longer U.S. policy. DOD has published the 2018 National Defense Strategy, which establishes an objective of maintaining a favorable regional balance in the Pacific region, among other regions.", "Prior to the change in policy, House Report 114-102 included a provision for GAO to review matters related to the U.S. rebalance to the Asia-Pacific region. GAO evaluated the extent to which DOD developed strategy documents to guide the rebalance to the Pacific that included desired elements of an effective national strategy.", "GAO analyzed six DOD strategy documents that officials identified as providing guidance for the rebalance to the Pacific to determine whether, as a set, they included desired elements associated with an effective national strategy. DOD had no comments on this report."]}, {"section_title": "What GAO Found", "paragraphs": ["Department of Defense (DOD) strategy documents that collectively guided the rebalance to the Pacific included most of the desired elements of an effective national strategy. The U.S. Pacific Command (PACOM), which is responsible for the Asia-Pacific region, used DOD strategy documents to implement the President's direction to rebalance to the Pacific, which generally refocused U.S. efforts to that region. PACOM officials told GAO that there was no single rebalance-specific strategy document. Instead, officials identified a number of strategy documents published since 2012 that guided activities associated with the rebalance to the Pacific, including: Sustaining U.S. Global Leadership: Priorities for 21st Century Defense ; Quadrennial Defense Review ; National Military Strategy ; Guidance for the Employment of the Force ; Joint Strategic Capabilities Plan ; and the PACOM 2015 Theater Campaign Plan (DRAFT) .", "Based on GAO's analysis, DOD's six strategy documents that guided the rebalance to the Pacific included 24 of the 31 desired elements of an effective national strategy. However, two key elements were missing from the group of strategy documents: (1) a definition of the rebalance to the Pacific, and (2) the identification of the overall results desired, or end state, for the rebalance. DOD officials also could not identify a definition for the rebalance to the Pacific in the strategy documents or provide a definition that was used consistently across the department.", "According to a DOD official with performance management responsibilities, defining the rebalance to the Pacific and identifying the initiative's strategic objectives, or end state, were important for establishing accountability and measuring progress. For instance, a clear definition of rebalance could have helped those charged with implementation to distinguish activities essential to operationalizing the strategic guidance from activities that were peripheral to that effort. Similarly, knowing the end state could have helped management make the best use of resources, enable the assessment of progress, and facilitate the development of strategic and military objectives. In moving forward in the Asia-Pacific region, considering the identification of strategic end states as well as other missing elements could help position DOD to achieve its objectives in the region."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the fall of 2011, President Obama announced that the United States would turn its attention to the Asia-Pacific region and make the U.S. presence there a top priority. According to the President, the United States was going to play a larger and long-term role in shaping the Asia- Pacific region after spending a decade at war in Iraq and Afghanistan. The President then directed his national security team to conduct a global, strategic assessment of U.S. priorities. The team made key determinations including that a pivot toward the Asia-Pacific region would help to rebalance the projection and focus of U.S. power. Rebalancing efforts to the Pacific subsequently became defense strategic guidance that began to inform military planning. Consequently, in 2012 the commander of U.S. Pacific Command (PACOM) described the military focus of the rebalance as strengthening relationships with allies and partners; adjusting military posture and presence; and employing new concepts, capabilities and capacities. In a 2015 address, the Secretary of Defense outlined other aspects of the rebalance such as reinforcing partnerships and enhancing posture in the Asia-Pacific region. By the end of 2015, the Department of Defense (DOD) had published strategy documents that included references to the rebalance to the Pacific or related concepts. PACOM used these documents as guidance for developing the command\u2019s plans to implement the rebalance to the Pacific.", "In January 2018, DOD published the 2018 National Defense Strategy which establishes an objective of maintaining a favorable regional balance in the Pacific region. In February 2018, the Assistant Secretary of Defense for Asian and Pacific Security Affairs stated that while DOD continues to prioritize the Asia-Pacific region, the rebalance to the Pacific is no longer U.S. policy.", "Prior to the change in policy, House Report 114-102 included a provision for GAO to review matters related to the U.S. rebalance to the Asia- Pacific region. We evaluated the extent to which six DOD-developed strategy documents used to guide the previous rebalance to the Pacific effort included the desired elements of an effective national strategy. Based on interviews with DOD officials from multiple offices, we identified six key DOD strategy documents that were used for the rebalance and contained information about the rebalance, such as purpose and scope. We systematically reviewed these strategy documents to determine whether this set of strategy documents included desired elements associated with an effective national strategy. Additionally, we interviewed DOD officials from numerous organizations responsible for planning, providing guidance or implementing the rebalance to the Pacific. See appendix I for more details on our scope and methodology.", "We conducted this performance audit from July 2015 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD Strategies Inform Combatant Command Plans", "paragraphs": ["DOD, through the Secretary of Defense and the Chairman of the Joint Chiefs of Staff, develops department-wide strategic guidance based on direction from the President and issues this guidance through strategy documents. According to joint doctrine and Chairman of the Joint Chiefs of Staff guidance, combatant commanders use strategy documents as guidance for planning operations. Specifically, combatant commanders translate this guidance into their commands\u2019 campaign and contingency plans. The military services organize, train, equip, and provide forces to the combatant commanders to execute command plans. The combatant commander must make certain the combatant command can execute these plans.", "PACOM is one of six geographic Unified Combatant Commands of the U.S. Armed Forces. With an area of responsibility extending from the waters off the west coast of the United States to the western border of India, and from Antarctica to the North Pole, PACOM is the primary U.S. military authority in the Pacific. In 2016, PACOM reported that approximately 380,000 U.S. military and civilian personnel were assigned to this area. PACOM describes the 36 nations that comprise the Asia- Pacific region as home to more than 50 percent of the world\u2019s population and 3,000 different languages, several of the world\u2019s larger militaries, and five nations allied with the United States through mutual defense treaties or agreements. PACOM\u2019s commander reports to the President and the Secretary of Defense through the Chairman of the Joint Chiefs of Staff, and is supported by four service component commands: U.S. Pacific Fleet, U.S. Pacific Air Forces, U.S. Army Pacific, and U.S. Marine Forces, Pacific."], "subsections": []}, {"section_title": "DOD\u2019s Previous Rebalance to the Pacific Strategy and Current Policy", "paragraphs": ["In President Obama\u2019s speech to the Australian Parliament in November 2011, he stated that after a decade of fighting two wars, the United States was turning its attention to the vast potential of the Asia-Pacific region. The President described the U.S. as a historic Pacific power whose interests are inextricably linked with Asia\u2019s economic, security, and political order. According to a senior administration official, the United States planned to implement a comprehensive, multidimensional strategy in the Asia-Pacific region.", "PACOM used military strategy documents to implement presidential strategic direction to rebalance efforts to the Pacific. However, according to officials from the Office of the Under Secretary of Defense for Policy, the Joint Staff, and the U.S. Pacific Command there was no single rebalance-specific strategy document. Instead, these officials identified a number of strategy documents published since 2012 that guided activities associated with the rebalance to the Pacific effort. Based on our interviews with U.S. Pacific Command (PACOM) and DOD officials, we focused our review on six strategy documents, issued between 2012 and 2015, that these officials considered relevant and representative of DOD\u2019s previous strategy to implement the rebalance to the Pacific through 2016. The six documents that we reviewed are:", "Sustaining U.S. Global Leadership: Priorities for 21st Century Defense. DOD issued this document in January 2012. This publication reflected presidential strategic direction to DOD and described the key military missions for which the department would prepare. In describing the security environment, this strategic guidance stated that the United States would, of necessity, rebalance toward the Asia-Pacific region.", "Quadrennial Defense Review (QDR). According to DOD guidance, the QDR articulates a national defense strategy consistent with the broader government-wide National Security Strategy by defining force structure, modernization plans, and a budget plan allowing the military to successfully execute the full range of missions within that strategy. The 2014 QDR referred to the rebalance to the Pacific as a part of sustaining U.S. presence and posture abroad to better protect U.S. national security interests.", "National Military Strategy (NMS). The 2015 NMS described how DOD would employ military forces to protect and advance U.S. national interests. The NMS provided focus for military activities by defining a set of military objectives and concepts used by the combatant commanders and others. The 2015 NMS referenced the rebalance to the Pacific as part of a national military objective. The NMS was informed by the QDR.", "Guidance for the Employment of the Force (GEF). According to joint doctrine, the GEF provides direction to combatant commands for operational planning, force management, security cooperation, and posture planning. The GEF is the method through which the Secretary of Defense translates strategic priorities in the QDR and other strategy documents into direction for operational activities. The GEF is described in joint doctrine as an essential document for combatant command planners as it provides the strategic end states for the deliberate planning of campaign and contingency plans.", "Joint Strategic Capabilities Plan (JSCP). The JSCP is the primary vehicle through which the Chairman of the Joint Chiefs of Staff directs the preparation of joint plans. The JSCP provides military strategic and operational guidance to combatant commanders for the preparation of plans based on current military capabilities. The JSCP tasks combatant commanders to develop campaign, contingency, and posture plans and translates requirements from the GEF and other guidance into prioritized military missions, tasks, and plans. The JSCP is informed by the GEF and the NMS.", "PACOM 2015 Theater Campaign Plan (DRAFT) (TCP). Campaign plans, such as PACOM\u2019s TCP, focus on the combatant command\u2019s steady-state or daily activities and operationalize combatant command theater strategies. According to joint doctrine, joint planning draws from tasks identified in the GEF and JSCP and campaign plans should focus on the combatant command\u2019s steady-state activities. These include ongoing operations, military engagement, security cooperation, deterrence, and other shaping or preventive activities. Campaign plans provide the vehicle for linking steady-state shaping activities to the attainment of strategic and military end states.", "In January 2018, DOD announced its new 2018 National Defense Strategy that cited as the department\u2019s principal priorities the long-term strategic competition with China and Russia. The strategy also stated that concurrently the department would sustain its efforts to deter and counter rogue regimes such as North Korea and Iran, defeat terrorist threats to the United States, and consolidate gains in Iraq and Afghanistan while moving to a more resource-sustainable approach. In February 2018, the Assistant Secretary of Defense for Asian and Pacific Security Affairs notified GAO that although DOD continues to prioritize the Asia-Pacific region, the rebalance to the Pacific is no longer U.S. policy."], "subsections": []}]}, {"section_title": "DOD Strategy Documents Associated with Rebalancing to the Pacific Collectively Included Most of the Desired Elements of an Effective National Strategy", "paragraphs": ["Six DOD strategy documents that helped guide the rebalance to the Pacific collectively included most of the desired elements of an effective national strategy.", "We have previously reported that effective national strategies incorporate six characteristics, and their associated desired elements. Table 1 lists desired elements that we adapted from our prior work and tailored toward our review of the six DOD strategy documents.", "We found these six DOD strategy documents that collectively guided the rebalance to the Pacific included, to varying degrees, 24 of the 31 desired elements we determined as being the most relevant to an effective strategy for the rebalance. For example, as a set, the six strategy documents contained a detailed description of the operating environment in which activities for the rebalance were to take place and included references that described the relationship of the rebalance to the Pacific to other strategies, goals, and objectives. The strategy documents referenced their purposes and, in unclassified and general descriptions, the threats that the strategies were to address including long-range missile threats and weapons of mass destruction. Collectively, the strategy documents referred to selected types of resources needed, such as the deployment of ships and aviation assets, and who would be implementing the strategies.", "We were, however, unable to find any reference to 7 of the 31 elements in any of the six strategy documents. For example, 2 of the 7 missing elements were: Lack of a documented, consistent definition of the rebalance to the Pacific. Based on our systematic review, we found that none of DOD\u2019s six strategy documents issued from 2012 to 2015 included a definition of the rebalance to the Pacific that described the rebalance\u2019s key terms, major functions, mission areas or activities. Further, DOD officials from the Office of the Under Secretary of Defense for Policy, the Joint Staff, and the U.S. Pacific Command involved in planning and implementing the rebalance to the Pacific were unable to identify a definition for the rebalance to the Pacific in the strategy documents, and consequently could not provide a definition that was in use consistently across the department. During discussions about the absence of a definition, these PACOM officials told us that all PACOM activities were rebalance activities, even activities that were underway before the President\u2019s announcement to rebalance. Senior DOD policy officials referred us to the speeches of senior administration officials given since the President\u2019s 2011 address to derive the definition of the rebalance. However, as noted earlier, after the President\u2019s speech in 2011, there were a number of pronouncements from senior administration officials that varied over time. The lack of consistent attributes to a strategy can make it difficult for policy makers to assess its effectiveness and accountability.", "Lack of a documented end state for the rebalance to the Pacific. Based on our systematic review, we found that none of DOD\u2019s six strategy documents from 2012 to 2015 identified an end state for the rebalance to the Pacific. Identifying the end state is a desired element associated with establishing goals and objectives for effective strategies and plans. Joint doctrine also states that military planners must know where to look for the guidance to ensure that plans are consistent with national priorities and are directed toward achieving national security goals and objectives.", "A national strategy that identified the end state of the rebalance could distinguish new efforts from the longstanding U.S. military presence in the region, and the associated increase in resources to support the post-2011 rebalancing. For example, we found a lack of clarity concerning the end state for the rebalance. DOD officials from the Office of the Under Secretary of Defense for Policy, Joint Staff, and PACOM\u2014whom we interviewed because they were involved in planning and implementing the rebalance to the Pacific\u2014said that they were unaware of an end state for DOD\u2019s efforts to rebalance. The same officials told us that there was no foreseeable end state because, as long as the Asia-Pacific region was important to the U.S., the focus would remain on the region. However, officials from different military service components told us that their individual services had an end state for their service-specific activities to support the rebalance. For example, officials from U.S. Army Pacific told us that they had completed their service\u2019s rebalance. They stated that they achieved the end state with the completion of force posture changes and that some efforts supporting rebalancing had begun before rebalancing was inaugurated. In contrast, a Marine Corps official in the Pacific reported there was no end state for rebalancing. According to the official, Marine Corps activities such as posture realignments supported rebalancing, but these longstanding activities were ongoing prior to the President\u2019s announcement to rebalance.", "Moreover, we found a lack of an awareness of a command-wide end state for rebalancing and coordination among the various military service activities in support of rebalancing. It was unclear how service-defined end states could have been fully integrated or prioritized for funding without a consistent overall end state for DOD\u2019s overall effort. In such instances, a department-wide defined end state could have helped with the allocation of resources because the most important priorities would be known.", "A clear and consistent definition for rebalance and the identification of an end state, as well as the inclusion of the other 5 missing elements, could have better positioned decision makers to effectively plan, manage, and assess DOD\u2019s progress toward rebalancing efforts to the Pacific. According to DOD officials from the Office of the Under Secretary of Defense for Policy responsible for policy for the rebalance to the Pacific, the speeches by senior administration officials between 2012 and 2015 supplanted the need to identify and document a definition of the rebalance or an end state in a strategy document. However, as noted earlier, these statements included varying descriptions of the strategy and objectives over time. According to a DOD official from an office with department-wide performance management responsibilities, defining the rebalance to the Pacific and identifying the initiative\u2019s strategic objectives, or end state, were both important for establishing accountability and measuring progress. For instance, a definition could have helped those charged with implementation to distinguish activities essential to operationalizing the strategic guidance to rebalance from those activities that were routine or peripheral to that effort.", "Further, knowing the end state could have helped management make the best use of resources, enable the assessment of progress toward a particular goal, and as described in joint doctrine, facilitate the development of strategic and military objectives. In moving forward in the Asia-Pacific region, considering the identification of strategic end states (one of the desired elements of an effective national strategy that is also discussed in joint doctrine) \u2014as well as the other missing elements\u2014 could help position DOD to achieve its objectives in the region."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review. DOD had no comments.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Under Secretary of Defense for Policy; the commander of the U.S. Pacific Command; the Chairman of the Joint Chiefs of Staff; and the Secretaries of the military departments. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you have any questions about this report or need additional information, please contact me at (202) 512-5431 or RussellC@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To determine the extent to which the Department of Defense (DOD) has developed strategy documents to guide the rebalance to the Pacific that include desired elements of an effective national strategy, we conducted a search of the literature, from January 2010 to July 2015, to identify official statements on, guidance for, and studies of DOD\u2019s implementation of the rebalance to the Pacific. We reviewed department guidance, such as Chairman of the Joint Chiefs of Staff instructions and joint publications, to understand DOD\u2019s processes and procedures for developing and disseminating guidance and strategic plans. We also interviewed DOD officials from numerous organizations listed below who were involved with planning, providing guidance or implementing the rebalance to the Pacific to identify DOD\u2019s rebalance efforts and whether a strategy or strategies existed that focused on or included the rebalance. The organizations contacted included:", "Under Secretary of Defense (Comptroller) and Chief Financial Officer", "Office of the Deputy Chief Management Officer, Deputy\u2019s", "Assistant Secretary of Defense for Asian and Pacific Security Affairs", "Assistant Secretary of Defense for Logistics and Materiel Readiness", "Assistant Secretary of Defense for Strategy, Plans and Capabilities", "Director of the Office of the Secretary of Defense Cost Assessment", "U.S. Marines Corps Forces, Pacific", "U.S. Pacific Air Forces", "U.S. Transportation Command Based on these interviews and written responses to questions we submitted to the officials associated with these organizations, officials identified documentation and speeches that they indicated informed DOD organizations about implementing the rebalance. Also, based on this information, we found that there was not a single strategy or plan that provided guidance for or outlined DOD\u2019s implementation of the rebalance to the Pacific. Instead, DOD officials from multiple offices identified a number of strategy documents that guided activities associated with the rebalance to the Pacific, including government-wide documents. Based on our interviews with U.S. Pacific Command (PACOM) and DOD officials, we focused our review on the six selected strategy documents, issued between 2012 and 2015, that these officials considered relevant and representative of DOD\u2019s previous strategy to implement the rebalance to the Pacific. Those six strategy documents are described earlier in the main report.", "We reviewed and analyzed these six strategy documents to determine whether, as a set, they included the 31 desired elements of the associated key characteristics of an effective national strategy. Our prior work on effective national strategies included examples of desired elements that we adapted and tailored toward our review of DOD strategy documents. We selected 31 desired elements as most relevant to DOD\u2019s rebalance effort and for systematically reviewing DOD\u2019s strategy documents associated with the rebalance. These elements and associated key characteristics are described in table 2 below.", "To determine whether as a set these strategy documents included the desired elements of an effective national strategy, we reviewed each strategy document using a scorecard method, using the following steps:", "First, we developed scorecards with a two-level scale of \u201caddress\u201d and \u201cdid not address.\u201d We used a binary scale of \u201caddress\u201d or \u201cdid not address\u201d and scored a passage as \u201caddress\u201d if it included any part of an element description in order to provide the widest latitude in determining whether the selected passage included the specific element. Also, we used 31 desired elements from the six characteristics to make the comparison because these elements provided more specificity than the broad six characteristics.", "Second, analysts reviewed all of the selected passages from each strategy document and determined whether they were relevant to understanding the rebalance to the Pacific in order to reach agreement on which passages they would consider in the comparison to the desired elements. The readers agreed upon the inclusion and exclusion of passages before assessing whether these passages included the desired elements.", "Third, two analysts reviewed the relevant passages in each strategy document related to the rebalance and determined whether or not the passages included the element. The analysts used the scorecards to score each passage.", "Fourth, upon completion of the independent scoring process for each strategy document, the analysts compared their respective scores and reconciled any differences, thereby reaching a consensus on the final score. As needed, a third analyst facilitated reconciliations where there was a difference in the assessment reached by the individual analysts and documented the consensus results.", "Lastly, upon completion of scoring, the team compiled and summarized the results.", "To further corroborate our systematic review of the six strategy documents, we asked officials from DOD organizations responsible for the Asia-Pacific region a standard set of related questions. We asked officials these questions in order to obtain DOD\u2019s perspective regarding the applicability of using the selected desired elements and associated key characteristics in reviewing these specific DOD strategy documents.", "We conducted this performance audit from July 2015 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Guy LoFaro, (Assistant Director), Pedro Almoguera, Patricia Donahue, Richard Powelson, Paulina Reaves, Michael Shaughnessy, and Stephen Woods."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Combating Terrorism: Strategy to Counter Iran in the Western Hemisphere Has Gaps That State Department Should Address. GAO-14-834. Washington, D.C.: September 29, 2014.", "U.S. Public Diplomacy: Key Issues for Congressional Oversight. GAO-09-679SP. Washington, D.C.: May 27, 2009.", "Influenza Pandemic: Further Efforts Are Needed to Ensure Clearer Federal Leadership Roles and an Effective National Strategy. GAO-07-781. Washington, D.C.: August 14, 2007.", "Financial Literacy and Education Commission: Further Progress Needed to Ensure an Effective National Strategy. GAO-07-100. Washington, D.C.: December 4, 2006.", "Rebuilding Iraq: More Comprehensive National Strategy Needed to Help Achieve U.S. Goals. GAO-06-788. Washington, D.C.: July 11, 2006.", "Combating Terrorism: Evaluation of Selected Characteristics in National Strategies Related to Terrorism. GAO-04-408T. Washington, D.C.: February 3, 2004.", "Combating Terrorism: Observations on National Strategies Related to Terrorism. GAO-03-519T. Washington, D.C.: March 3, 2003."], "subsections": []}], "fastfact": []} {"id": "GAO-19-181", "url": "https://www.gao.gov/products/GAO-19-181", "title": "Federal Workforce: Key Talent Management Strategies for Agencies to Better Meet Their Missions", "published_date": "2019-03-28T00:00:00", "released_date": "2019-04-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Much has changed since the federal government's employment policies were designed generations ago. Without careful attention to strategic human capital management, the federal government may continue to struggle to compete for workers with the skills needed to address the nation's social, economic, and security challenges.", "GAO was asked to review issues related to the future of federal work and the workforce. This report identifies: (1) key trends affecting federal work and workers, and (2) key talent management strategies for achieving a high-performing workforce, given those trends.", "GAO analyzed data from OPM and the Bureau of Labor Statistics, and reviewed reports from GAO, OPM, and selected think tanks. GAO also held group interviews with agency Chief Human Capital Officers, and interviewed human capital experts and representatives of federal labor unions, managers, and executives. Additionally, GAO spoke with private consulting firms and foreign governments regarding human capital strategies that officials said were helpful to improving their organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal work is changing amid demographic and technological trends (see figure below).", "Given these trends, key talent management strategies can help agencies better manage the current and future workforce. These strategies are all within agencies' existing authorities:", "Align human capital strategy with current and future mission requirements. With shifting attitudes toward work, technological advances, and increased reliance on nonfederal partners, agencies need to identify the knowledge and skills necessary to respond to current and future demands. Key practices include identifying and assessing existing skills, competencies, and skills gaps.", "Acquire and assign talent. To ensure agencies have the talent capacity to address evolving mission requirements and negative perceptions of federal work (e.g., that it is too bureaucratic), agencies can cultivate a diverse talent pipeline, highlight their respective missions, recruit early in the school year, support rotations, and assign talent where needed.", "Incentivize and compensate employees. While federal agencies may struggle to offer competitive pay in certain labor markets, they can leverage existing incentives that appeal to workers' desire to set a schedule and to work in locations that provide work-life balance.", "Engage employees. Engaged employees are more productive and less likely to leave, according to the Office of Personnel Management (OPM). Agencies can better ensure their workforces are engaged by managing employee performance, involving employees in decisions, and developing employees."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has open recommendations to OPM related to key talent management strategies, including developing a core set of metrics that agencies should use to close mission-critical skills gaps. OPM agreed with most of these recommendations and has made some progress, but additional actions are needed. OPM provided technical comments, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal workforce is critical to federal agencies\u2019 ability to address the complex social, economic, and security challenges facing the country. The government\u2019s system of current employment policies was designed generations ago for a workforce and type of work that largely no longer exist. Much has changed since the Civil Service Reform Act of 1978 and the Classification Act of 1949 laid the foundation of much of today\u2019s federal personnel system. Agencies\u2019 missions have evolved and employees\u2019 expectations of work and the workplace are changing. Recent publications by the administration and others have raised concerns about whether the government\u2019s employment policies and practices are still relevant and desirable to the current and future workforce. Further, an increasingly volatile world makes understanding and responding to evolving trends and issues essential. Without careful attention to strategic human capital management, the federal government may continue to struggle to compete for high-performing workers with the skills and abilities to meet agencies\u2019 missions and respond to evolving trends.", "The federal government faces long-standing challenges in strategically managing its workforce. We first added federal strategic human capital management to our list of high-risk government programs and operations in 2001. Although Congress, the Office of Personnel Management (OPM), and individual agencies have made improvements since then, federal human capital management remains a high-risk area because mission-critical skills gaps within the federal workforce pose a high risk to the nation. Of the 34 other high-risk areas on our 2019 High-Risk List, skills gaps played a significant role in 16 of the areas, including information technology management and acquisitions, and veterans\u2019 health care.", "You asked us to review issues related to the future of federal work and the workforce. This report identifies (1) key trends affecting federal work and workers; and (2) key talent management strategies that agencies can employ to achieve a high-performing workforce, given those trends.", "To address both objectives, we reviewed literature from OPM, academic reports, and our past studies related to human capital and the future of work. We also analyzed data from OPM\u2019s Enterprise Human Resources Integration (EHRI) system. EHRI contains personnel action and onboard data for most executive branch and some legislative branch federal civilian employees. Additionally, we interviewed 22 experts in the areas of human capital, strategic foresight, and the future of work. We selected these experts using a nonprobability sample based on our literature review, suggestions from OPM officials and our own human capital experts, and relevance of their expertise to our objectives. We also selected experts to ensure our analysis included a variety of viewpoints. Appendix II lists the experts we interviewed.", "To identify key trends in the workforce and workplace, we analyzed U.S. Bureau of Labor Statistics (BLS) Current Population Survey (CPS) data, reviewed our prior work, and reviewed reports from OPM and selected think tanks and consulting firms. To identify key areas to help agencies manage the workforce, we analyzed employee responses to questions from OPM\u2019s 2017 Federal Employee Viewpoint Survey, the most recent data available at the time of our analysis. We assessed the reliability of OPM and BLS data by reviewing technical documentation and interviewing officials, among other steps. We found the data sufficiently reliable for the purposes of this report.", "To identify key talent management strategies, we interviewed human capital managers from four private organizations and officials from three foreign governments. We selected the private organizations based on the similarities of their talent pool to that of the federal government, among other factors. We selected foreign governments based on factors including whether the country recently made improvements to human capital policies or practices. To better understand the potential opportunities and challenges of applying human capital practices used by other sectors in federal agencies, we held moderated group interviews with agency Chief Human Capital Officers. We also interviewed federal employee and management groups. We selected employee groups using several factors\u2014including ensuring a broad representation of federal employees\u2014and selected a management group that represented federal managers, supervisors, and executives. We selected strategies that officials said were helpful to improving their organizations and that the federal government could feasibly implement. See appendix I for details on our methodology.", "We conducted this performance audit from April 2017 to March 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["We and others have identified challenges facing the federal human capital system\u2019s ability to recruit, retain, develop, and engage workers, both today and in the future. For example:", "Classification system. The General Schedule classification system\u2014which defines and organizes federal positions, primarily to assign rates of pay\u2014has not kept pace with the government\u2019s evolving requirements.", "Recruiting and hiring. Federal agencies need a hiring process that is applicant friendly and flexible, and meets policy requirements.", "Pay system. Employees are compensated through an outmoded system that (1) rewards length of service rather than individual performance and contributions, and (2) automatically provides across- the-board annual pay increases, even to poor performers.", "Performance management. Federal agencies have faced long- standing challenges developing modern, credible, and effective employee performance management systems and dealing with poor performers.", "Employee engagement. Agencies can improve employee engagement and performance through analysis and sharing of promising practices. Employee engagement is generally defined as the sense of purpose and commitment employees feel toward their employer and its mission.", "The administration is moving forward with broad efforts to address government-wide human capital challenges, improve government efficiency, and understand how key trends will affect the future of federal work and the workforce. For example, the President\u2019s Management Agenda\u2019s cross-agency priority goal on the 21st century workforce aims to (1) improve employee performance management and engagement, (2) train staff to develop new skills and redeploy human capital resources, and (3) enable simple and strategic hiring practices.", "In 2018, OPM issued the first Federal Workforce Priorities Report to communicate key government-wide human capital priorities, suggest strategies, and help inform agency strategic and human capital planning. The report identifies changes in the external environment that will likely affect federal human capital management, including the evolving role of workers, changes in technology, employee health, and shifting generational demographics. In addition, OPM is developing a foresight program to help federal agencies navigate emerging strategic workforce challenges and harness potential opportunities. As part of its foresight efforts, OPM has also hosted a series of symposia that provide human capital specialists insight on addressing workforce challenges of the future."], "subsections": []}, {"section_title": "Federal Work Is Changing Amid Demographic and Technological Trends", "paragraphs": ["We identified key trends in agency operations and attitudes toward work that are affecting how federal work is done and, consequently, the skills and competencies that workers need to accomplish agency missions, as illustrated by figure 1. These trends will require a federal workforce that can better adapt to and leverage constantly evolving technology and mission requirements. They will also require a federal workforce that can effectively collaborate and partner with workers both within and outside of the federal sector to achieve national policy objectives."], "subsections": [{"section_title": "Technological Advances", "paragraphs": ["Technological advances will change the way work is done. Advances in automation, artificial intelligence, robotics, and information and communication technology have the potential to accelerate changes in federal work beyond any past experience, but they also involve risks. Advances in automation and robotics are changing the way that work is done by altering the balance between what tasks are completed by humans and those completed by machines. The federal workforce will need to develop new skill sets and expertise to effectively utilize and manage these technological advances.", "In 2017, we convened a forum that highlighted several applications of artificial intelligence, many of which could affect agencies and federal work. For example, robots enabled by artificial intelligence could assist patients with medication management and mobility support in clinical settings; developments in automated vehicles could affect work related to government vehicle pools, safety, and transportation management; the use of artificial intelligence in criminal justice and cybersecurity applications could bring benefits but would need to be carefully managed with regard to privacy protection, among other concerns; and the accelerated pace of change associated with artificial intelligence may strain workforce systems\u2019 capacity to train and hire individuals with appropriate skill sets.", "Technology is also changing human capital management, according to experts we contacted. Experts stated that technology can help improve recruitment efforts, streamline hiring processes, and match employees to tasks. For example, they said that employers can develop mobile apps to make the hiring process easier to navigate and use artificial intelligence to better screen and align applicants with job positions. Experts also stated that employees will need to constantly update their digital literacy to stay current with emerging technology.", "OPM has also explored the effect of technology on the federal workforce. In February 2018, OPM reported that, in most jobs, certain activities may be automated rather than the entire occupation. OPM also reported that machine assistance may amplify the value of expertise and may increase work capacity by providing employees time to focus on more important work. Further, OPM reported that it is seeking to acquire or develop enterprise technological solutions to improve the analytic capabilities of the federal human capital community. Improved data analytics should help support more informed and evidence-based planning and decision- making.", "OPM suggested that the technological changes will require agencies to coordinate efforts to (1) fund technological experimentation and pilots; (2) promote acquisition of skills that are not replaced by technology (e.g., creativity, relationship building, and innovation); and (3) engage in strategic foresight activities. Relatedly, OPM, the Office of Management and Budget, and the Department of Defense are developing a plan to identify ways to provide employees impacted by automation with other work, and to identify skills needed in the future. The agencies\u2019 efforts are part of the cross-agency priority goal on the 21st century workforce.", "Federal work is also being affected by increased use of virtual communication, which provides flexibility in where employees can do their work. In both the workforce-at-large and the federal workforce, the percentage of employees who telework has increased. For example, OPM reported that the percent of eligible employees teleworking increased from 29 percent in 2012 to 51 percent in 2016.", "We have previously reported that the federal government has increasingly recognized telework as an important human capital strategy that can give employees more work-life balance and help agencies continue operations during emergency events. However, federal agencies also face costs associated with telework, including training staff, ensuring supervisors have the necessary skills to manage remote staff, and overseeing the telework program to ensure compliance and reduce the risk of fraud. In July 2016, we found that OPM provided resources to agencies to help them with their telework programs, but was missing other opportunities to help agencies better identify the net cost savings associated with their telework programs.", "We recommended that OPM work with the Chief Human Capital Officers Council to provide clarifying guidance on options for developing supporting data for benefits and costs associated with agency telework programs. OPM concurred with the recommendation and in October 2018 provided documentation showing it is developing draft guidance on evaluating work-life programs, including telework. To fully implement this recommendation, it will be important for OPM to finalize and provide this guidance to agencies."], "subsections": []}, {"section_title": "Increased Reliance on Nonfederal Partners", "paragraphs": ["An increased reliance on nonfederal partners to achieve policy goals will require new skills and competencies for which agencies will need to identify, recruit, and hire. Increasingly, the federal government works with state and local governments, as well as other partners, to achieve a wide range of policy goals. The federal government uses grants as a tool to achieve national priorities through nonfederal partners, including state and local governments, educational institutions, and nonprofit organizations.", "Federal grant outlays to state and local governments have generally increased as measured in constant fiscal year 2015 dollars from $230 billion in fiscal year 1980 to $624 billion in fiscal year 2015. We previously reported that a range of skills are needed to manage the various tasks associated with the grants life cycle. For example, the grants workforce needs to notify grant awardees of the general terms and conditions of the grant, including statutory and regulatory requirements.", "In support of their missions and activities, agencies also use contractors to procure a variety of services and products, including products that cannot be easily and clearly defined in advance and that are difficult to verify after delivery. In addition, agencies use contractors to provide the skills needed to help them manage complex operations. In fiscal year 2017, federal agencies obligated almost $306 billion for service contracts. Contractors can help agencies meet surge capacity needs, among other benefits. However, the Office of Federal Procurement Policy and our prior work have identified risks of overreliance on contractors and the need for increased management attention on certain types of services, such as professional and management support services.", "In addition to using grants and contractors, Congress has given broad statutory authority across the executive branch to use various open innovation strategies. Open innovation involves using various tools and approaches to harness the ideas, expertise, and resources of those outside an organization to address an issue or achieve specific goals. Our October 2016 report highlighted cases where agencies are using open innovation strategies\u2014such as crowdsourcing and prize competitions\u2014to effectively engage and collaborate with each other, and to leverage knowledge outside the federal workforce to achieve their goals.", "For example, at the time we found that every 2 years since 2009 the Federal Highway Administration had engaged a broad range of public- and private-sector stakeholders to identify and implement innovative ideas that measurably improved highway construction projects. Federal workers in charge of such open innovation initiatives will need to be able to work in collaborative, cross-cutting environments. To that end, in June 2017, we identified various government-wide and agency-level resources \u2014such as interagency communities of practice and dedicated staff positions\u2014the executive branch has put into place to support effective implementation of open innovation initiatives."], "subsections": []}, {"section_title": "Fiscal Constraints", "paragraphs": ["Increasing fiscal constraints require agencies to reevaluate and reprioritize what the federal government does, how it does business, and, as appropriate, who conducts its business. The nation is on a long-term, unsustainable fiscal path. We have previously reported that the federal government is spending far more money than it is collecting and is projected to do so going forward. Further, fiscal pressures have already begun to affect the management of the federal workforce, including decisions to hire, retain, train, contract, and collaborate. Without careful attention to strategic and workforce planning and other approaches to managing and engaging personnel, the reduced investments in human capital may have lasting, detrimental effects on the capacity of an agency\u2019s workforce to meet its mission.", "In May 2014, we identified strategies to help agencies maintain their human capital capacity while facing fiscal constraints. These strategies include strengthening coordination within the human capital community, using enterprise solutions to address shared challenges, and creating more agile talent management to address inflexibilities in the current system.", "Also, guidance from the Office of Management and Budget directs federal agencies to reconsider priorities, determine how to make trade-offs, and evaluate the potential effects of these decisions. In June 2018, we reported that as federal agencies reexamine their role in carrying out specific missions and programs, they should determine whether the federal government is best suited to provide that service or if it can be provided by some other level of government or sector more efficiently or effectively."], "subsections": []}, {"section_title": "Evolving Mission Requirements", "paragraphs": ["Evolving mission requirements challenge agencies to adapt their work and workforces as they respond to policy shifts, technology changes, and resource constraints affecting their work.", "Our previous work on the Census Bureau (Bureau) highlights this trend. The Bureau is redesigning its approach to the 2020 Census to address rising costs and declining response rates. In May 2017, we reported that the basic design of the enumeration\u2014mail out and mail back of the census questionnaire with in-person follow-up for nonrespondents\u2014has been in use since 1970. However, this traditional design is no longer capable of cost effectively counting the population, and the Bureau has fundamentally reexamined its approach for conducting the 2020 Census. For example, the Bureau is planning to offer households the option of responding to the survey through the internet.", "The Bureau is also leveraging nonfederal partners and technology to respond to evolving mission requirements. For example, the Bureau plans to enhance its work with nonfederal partners to successfully complete the enumeration, particularly for hard-to-count groups, such as minorities, renters, and young children. In July 2018, we reported that to facilitate this effort, the Bureau plans to hire nearly twice as many partnership specialists as it had planned for the 2010 Census.", "These partnership specialists will need core relationship-building skills and advanced knowledge of digital media. However, the Bureau faces a significant challenge in hiring staff with these skills because it is operating in a much tighter labor market than it did prior to the 2010 Census. Likewise, the Bureau has had difficulty filling key positions to oversee information technology contracts. In August 2018, we reported that a government program management office is managing the contractor that will integrate all of the Bureau\u2019s key systems and infrastructure for the decennial. However, in June 2018, Bureau officials reported that 33 of the office\u2019s 58 federal employee positions were vacant. These vacancies create risks for the program management office\u2019s ability to oversee contractor cost, schedule, and performance."], "subsections": []}, {"section_title": "Changing Demographics and Shifting Attitudes towards Work", "paragraphs": ["Changing demographics and shifting attitudes towards work may require new skills to manage a diverse workforce that seeks purpose, autonomy, and career mobility. We found increases in the percentage of federal employees who had a disability, identified as a minority, were veterans, or who held an advanced degree over the past 10 years (see figure 2).", "This increasing diversity should help provide agencies with the requisite talent and multidisciplinary knowledge to accomplish their missions. While the percentage of federal employees 40 years and older remained relatively flat, the federal workforce had a higher percentage of individuals who are 40 and older compared to the U.S. employed civilian labor force. The federal workforce had a higher percentage of people with a disability, who were veterans, or held an advanced degree (see figure 3).", "Agencies face a potential risk related to retirement, particularly among the Senior Executive Service (SES). Specifically, we found that retirement rates for SES employees are higher than for all employees, with 7 to 8 percent of SES retiring every year for the past 6 years (see figure 4). Cumulatively, 41 percent of the permanent SES workforce in fiscal year 2012 retired by fiscal year 2017. If turnover is not strategically managed and succession plans are not in place, gaps can develop in an agency\u2019s institutional knowledge and leadership as experienced employees retire. While retirements can aggravate the problem of skill gaps, they also present an opportunity for agencies to realign their workforce with needed skills and leadership levels to better meet existing and newly emerging mission requirements.", "Based on expert interviews, we also identified shifts in employee attitudes toward work, which present recruiting opportunities and challenges for the federal government. Experts said that employees seek meaningful work (i.e., work that can influence the greater society); autonomy within the workplace (i.e., opportunities to develop creative and innovative solutions to complex problems); control over their work environment (i.e., they want to set a schedule and to work in a location that provides work-life balance); and career mobility, including opportunities for upward mobility (i.e., promotions) and lateral mobility (i.e., opportunities to rotate to different roles or projects within the same agency, a different agency, or outside of government).", "Related to career mobility, experts said that employees are seeking greater developmental opportunities and would prefer longer-term employment where they can continue to build their skills and train. Experts noted that while employees change jobs more often than in the past, this phenomenon can be a result of employers investing less in employee development, which has led to greater turnover. OPM also recently reported that millennials are known for frequently transitioning from one job to the next.", "While federal agencies offer unique opportunities to pursue meaningful work, achieve autonomy, and have a healthy work-life balance, experts also highlighted key challenges regarding perceptions surrounding federal work from the potential applicants. These challenges include perceptions that the government is too bureaucratic, federal work lacks innovation and involves maintaining the status quo, federal work is less prestigious than the private sector, and federal workers do not get to see the immediate effect of their work. Officials from federal employee and manager groups believed that furloughs, government shutdowns, pay freezes, and negative rhetoric from elected officials have all contributed to the negative perceptions among potential applicants. For example, from December 22, 2018, to January 25, 2019, a partial government shutdown occurred as a result of a lapse in appropriations affecting some, but not all federal agencies. It was the second multiweek lapse in appropriations causing a government shutdown since 2013 and the longest shutdown in American history. Federal employees at the affected agencies did not receive a paycheck during the government shutdown. Experts we interviewed noted that the perception of job security offered by federal work is attractive to employees. However, prolonged shutdowns may alter this perception and harm the government\u2019s recruitment and retention efforts.", "Given the changing demographic composition of the federal workforce and shifting attitudes toward work, our analysis suggested that it may be important to select and train managers and supervisors who possess several leadership competencies. These competencies include fostering an inclusive workplace (valuing diversity and individual differences and leveraging these differences to achieve the agency\u2019s mission); team building (inspiring and fostering team commitment, spirit, pride, and trust); interpersonal skills (treating others with courtesy, sensitivity, and respect); and managing conflict (encouraging differing opinions to be expressed and resolving disagreements in a constructive manner). Such competencies can help managers and supervisors develop an agency culture where all employees feel valued, respected, engaged, and able to contribute toward an agency\u2019s mission."], "subsections": []}]}, {"section_title": "Key Talent Management Strategies Can Help OPM and Agencies Better Manage the Current and Future Workforce", "paragraphs": ["In light of trends discussed, we identified actionable strategies that agencies may be able to use to effectively manage the future federal workforce in key talent management areas (see table 1). While these strategies are not an exhaustive list, collectively they suggest basic steps that agencies can take within existing authorities to position themselves to meet their talent needs. Since, in some cases, agencies already use these strategies, focused attention to leadership, culture, and sound management practices can help agencies prepare for the future workforce.", "For each strategy, we highlight some of the challenges agencies face, actions OPM can take to implement open, related recommendations from our prior work, and practices that may help agencies implement the strategy. These practices are based on our review of related reports, group interviews with federal Chief Human Capital Officers (CHCO), and interviews with selected private organizations and foreign governments."], "subsections": [{"section_title": "Align Human Capital Strategy with Current and Future Mission Requirements", "paragraphs": ["Why Is Aligning Human Capital Strategies Important? Strategic workforce planning aligns an organization\u2019s human capital program with its current and emerging mission and programmatic goals, and develops long-term strategies for acquiring, developing, and retaining staff to achieve programmatic goals. This process\u2014in conjunction with identifying skills and competencies and analyzing gaps\u2014 enables the organization to be agile, resilient, and responsive to current and future demographic and technological trends, as well as other demands. These efforts can also help agencies tailor their recruiting programs.", "In our prior work, we reported that high-performing organizations define what they want to accomplish and what kind of organization they want to be. They then identify and analyze the personnel skills, competencies, numbers, and other factors needed to achieve those objectives. However, these steps are a challenge for agencies that lack the capacity for strategic workforce planning. Consequently, these agencies\u2019 human capital efforts tend to focus on support and transactional activities and compliance with rules and regulations. While these functions are important, successful strategic human capital management requires human capital professionals to integrate human capital strategies with their agency\u2019s core business practices. In addition, high-performing organizations recognize the fundamental importance of measuring both the outcomes of human capital strategies and how these outcomes have helped the organizations accomplish their missions and programmatic goals."], "subsections": [{"section_title": "Set Workforce Goals and Assess Skills and Competencies Needed to Achieve Them", "paragraphs": ["Identify existing skills and competencies. In May 2014, we reported that agencies should be aware of existing skills and competencies in their workforce to help inform workforce planning. According to the Department of the Treasury (Treasury) CHCO, establishing a skills inventory can help managers assign the right talent to the right place at the right time. For example, the CHCO told us that during the Puerto Rico debt crisis, Treasury needed to be able to identify the necessary skills to manage the crisis. The agency is now implementing an Integrated Talent Management System to facilitate workforce and succession planning as well as learning and performance management.", "In May 2014, we recommended that OPM work with the CHCO Council to review the extent to which new capabilities are needed to develop tools that help identify existing skills. OPM agreed and took a number of actions to address this and other related recommendations. For example, OPM developed an action plan template for closing skills gaps that adheres to our selected best practices for project planning. However, as of November 2018, other actions were still needed to fully address this and other related recommendations.", "Assess gaps in existing and future skills and competencies. With shifting attitudes toward work, technological advances, and increased reliance on nonfederal partners, agencies need to assess whether there are gaps in existing and future skills and competencies. We previously reported that most federal human resources (HR) systems\u2014reflecting the General Schedule classification system\u2014only identify employee skills and competencies by their occupational series, job title, and grade. This level of detail does not adequately address the multidisciplinary nature of modern work. For example, cybersecurity spans many occupational families. Similarly, with technological advances, agencies may need interdisciplinary talent such as workforce specialists in information technology. Agencies may be better able to assess gaps in such talent by defining, developing, and deploying workers based on skills and competencies, not by occupational series.", "According to the Department of Defense Civilian Human Capital Officer, agencies can assess gaps in skills and competencies through functional communities, in which experienced leaders in areas such as acquisition or financial management define, assess, and determine how to distribute skills and competencies in the workforce. She said that although her department and other agencies have made progress in closing skills gaps, only functional communities themselves can define the skills and competencies needed for current and future work. She also said that a mature functional community can help align workforce planning to agency strategic goals and objectives.", "In January 2015, we recommended that OPM work with agency CHCOs to (1) establish a schedule specifying when OPM will modify its Enterprise Human Resources Integration (EHRI) database to capture staffing data that it currently collects from agencies through its annual workforce data reporting process; and (2) bolster agencies\u2019 ability to assess workforce skills and competencies by sharing competency surveys, lessons learned, and other tools and resources. In December 2018, OPM released a memorandum outlining plans for a phased, government-wide competency assessment of program and project managers beginning in May 2019. Additionally, in March 2019, OPM reported that it had identified a data source that was more efficient and accurate in identifying staffing gaps than EHRI data. We will continue to monitor OPM\u2019s progress in implementing its planned actions.", "Monitor progress toward closing skills gaps. We previously reported that the federal government faces skills and competencies gaps in a number of agency-specific and government-wide occupations. One such occupation is in the HR profession. Skills gaps in HR occupations can hamper both strategic and transactional HR activity, exacerbate additional skill gaps, and hinder agencies\u2019 ability to accomplish their missions. For example, our December 2016 report highlighted how the Veterans Health Administration\u2019s limited HR capacity undermined its ability to improve delivery of health care services to veterans.", "Further, OPM officials said that a challenge to federal hiring efforts is high turnover among HR staff, and one CHCO said her HR staff is not up to date on hiring options. As a result, OPM officials noted that HR offices are missing specialists who understand the agencies\u2019 specific hiring needs and flexibilities.", "In January 2015, we recommended that OPM (1) work with the CHCO Council to develop a core set of metrics that all agencies should use to close mission-critical skills gaps, among other HR goals; and (2) coordinate with the interagency working group that identified the list of skills gaps to explore the feasibility of collecting necessary information during a CHCO-led review of HR goals. OPM concurred with the recommendation in 2015. In March 2019, OPM stated it had addressed the recommendation by developing a multifactor model consisting of core metrics. This model included quit rates and retirement rates. OPM said that it provides the model to agencies for identifying mission-critical occupations. OPM added that agencies should have the autonomy to determine which human capital metrics are important for achieving their missions. While this is an important step forward, to close the recommendation, OPM needs to provide evidence that agencies are using the multifactor model as a common set of metrics to close mission- critical skills gaps, regardless of other agency-specific metrics."], "subsections": []}]}, {"section_title": "Acquire and Assign Talent", "paragraphs": ["Why Is Acquiring and Assigning Talent Important? To ensure agencies have the capacity to address evolving mission requirements, agencies will need to compete with other sectors to acquire top talent, as well as have the flexibility to reassign existing talent to where they are most needed. This helps ensure the right people, with the right skills, are assigned to the right roles at the right time.", "According to OPM data, expert interviews, and our previous work, the federal government faces a range of challenges acquiring and assigning talent. These challenges include a lengthy hiring process and negative perceptions of government. In 2017, the average government-wide time- to-hire was 106 days, according to OPM. Candidates do not consider this time frame to be reasonable, according to human capital experts and federal employee and management groups. OPM\u2019s government-wide goal is 80 days.", "Further, only 42 percent of respondents to the 2017 Federal Employee Viewpoint Survey (FEVS) think their work unit can recruit the right skills. Human capital experts, CHCOs, and OPM officials reported that agencies face challenges (1) matching applicants with job positions best suited to their skills, and (2) moving existing employees with specific skills to address emerging, temporary, or permanent needs across an agency.", "In the sections below, we highlight actions OPM can take to implement open recommendations from our prior work, and practices agencies can follow to address these challenges by (1) sourcing and recruiting talent, (2) assessing and screening candidates, and (3) assigning employees where needed."], "subsections": [{"section_title": "Source and Recruit Talent", "paragraphs": ["Sourcing and recruiting is the process of attracting strong applicants who are prepared to perform successfully on the job. Some practices agencies can use to better source and recruit include cultivating a talent pipeline, highlighting agency mission, recruiting continuously, starting the hiring process early in the school year, reviewing available hiring flexibilities, and writing user-friendly vacancy announcements.", "Cultivate a diverse talent pipeline. In our prior work, we have noted the importance of active campus recruiting that goes beyond infrequent outreach to college campuses. Active campus recruiting includes developing long-term institutional relationships with faculty, administrators, and students. In addition, OPM guidance emphasizes that agencies should develop an inclusive approach to their talent acquisition strategies. This includes developing strategic partnerships with a diverse range of colleges and universities, trade schools, apprentice programs, and affinity organizations from across the country.", "Likewise, representatives of consulting firms we interviewed stated they cultivate a talent pipeline by building a brand on campus, developing relationships with college students, and recruiting on campuses for entry- level positions and internship programs. One consulting firm representative said that the firm sends \u201cbrand ambassadors\u201d to build relationships with college freshmen and sophomores, and to discuss working in the professional services industry. Another consulting firm representative said that the firm uses social media to develop relationships with students prior to a campus visit. Consulting firm representatives also noted that they expanded their talent pool by visiting technical conferences, veteran groups, and campuses with students of diverse backgrounds.", "Consulting firm representatives stated that their internship programs are among their most successful practices for cultivating a talent pipeline because the firms can offer full-time positions to rising seniors during the internship. Similarly, CHCOs and federal employee and management group representatives we interviewed noted that internships are important for establishing a pipeline for recruitment.", "Highlight agency mission. Agencies can help counter negative perceptions of federal work by promoting their missions and innovative work, according to expert and CHCO interviews. For example, the Department of Homeland Security (DHS) provides \u201cDay in the Life\u201d information on its work to promote public awareness of how its everyday tasks tie in with its mission of protecting the United States, according to the DHS CHCO. The DHS CHCO stated that promoting agency mission can be done while cultivating a talent pipeline and assessing applicants\u2019 abilities. For example, the department holds recruitment events where potential candidates can participate in law enforcement-related activities such as fitness testing. The CHCO noted that in addition to promoting homeland security careers, these events help prospective candidates determine if a position is a good fit for them.", "Recruit continuously and start the hiring process early in the school year. The ability to hire students is critical to ensuring that agencies have a range of experience levels for succession planning and a talent pipeline to meet mission requirements. One of the key challenges agencies face in recruiting students is managing the timing of recruitment. The federal fiscal year begins on October 1\u2014about when private sector firms we interviewed start recruiting on campus. Frequently, however, federal agencies have been unable to hire at this time of year because of the limitations of continuing resolutions. Yet if agencies wait to start the recruiting and hiring process until they receive funding, many graduates will have taken other job opportunities.", "Agencies can overcome these timing challenges by recruiting continuously and starting the hiring process early in the school year. To recruit continuously, CHCOs from the U.S. Departments of Agriculture and Homeland Security said they advertise funding-conditional positions throughout the year. Similarly, representatives of some consulting firms said they post positions that are contingent on funding and complete the hiring paperwork, among other requirements, for these positions before obtaining federal funding. This has helped navigate the timing of annual appropriations because these organizations can onboard candidates as soon as they receive funding.", "Representatives of one federal management group also stated that recruiting continuously and starting the hiring process earlier is a good practice even when agencies receive funding in October, since it can reduce stress from cumbersome recruiting and hiring work when a position needs to be filled.", "Strategically leverage available hiring flexibilities. CHCOs cited the complex competitive examining process as a cause of the lengthy hiring time. This has been a long-standing concern: In our 2002 report on human capital flexibilities, we noted that for many years prior, federal managers had complained that competitive examining procedures were rigid and complex.", "However, agencies can use a number of additional hiring authorities beyond competitive examining. These authorities can add flexibility to the process and CHCOs expressed a desire for more. However, we previously found that agencies relied on only a small number of available authorities. In fiscal year 2014, 20 hiring authorities were used to make around 90 percent of the new appointments, although agencies used 105 hiring authority codes in total.", "We recommended that OPM use information from its review of agencies\u2019 use of certain hiring authorities to determine whether opportunities exist to refine, consolidate, or expand agency-specific authorities, and implement changes where OPM is authorized, including seeking presidential authorization or developing legislative proposals if necessary. OPM agreed with our recommendation and has made progress in these areas, although more work is needed. As of July 2018, OPM had started a project to review hiring authority data and to create an inventory of authorities used by agencies. In its July 2018 study on excepted service hiring authorities, OPM identified possible opportunities to streamline authorities and outlined planned actions to promote a more effective and efficient hiring process. As of December 2018, OPM said that it continues to research and examine these streamlining opportunities as part of the broader initiative to modernize federal hiring practices under the President\u2019s Management Agenda. To fully implement the recommendation, OPM needs to complete these efforts and, as appropriate, develop legislative proposals in consultation with the CHCO Council.", "Write user-friendly vacancy announcements. We previously reported that some federal job announcements were unclear. This can confuse applicants and delay hiring. In July 2018, OPM officials stated that agencies can develop more effective vacancy announcements when hiring managers partner with HR staff. According to OPM, hiring managers can work with HR staff to identify the critical competencies needed in the job, develop a recruiting strategy, and ensure the job announcement accurately and clearly describes the required competencies and experience. To promote collaboration between hiring managers and HR staff, OPM is training agencies on the role of hiring managers in writing vacancy announcements, according to OPM officials.", "As we reviewed human capital practices in foreign governments, Canadian officials told us that Canada\u2019s Public Service Commission shortened job announcements and reduced the number of qualifications required to apply for most positions. Canadian officials also noted that they simplified their job application portal, which reduced the time to apply for a job."], "subsections": []}, {"section_title": "Assess and Screen Candidates", "paragraphs": ["Assessing includes developing and implementing tests, structured interviews, and other evaluations to determine whether candidates are qualified for the position and to gauge their relative levels of knowledge, skills, and abilities. Screening involves reviewing qualified candidates for potential suitability concerns and conducting background investigations. Practices for assessing and screening include using relevant assessment methods, sharing hiring lists, and improving the security clearance process.", "Use relevant assessment methods and share hiring lists. CHCOs and OPM officials stated that roadblocks to hiring the right skills include issues with assessment methods. Specifically, agencies may use methods that are less relevant for assessing the desired skills or agencies may experience issues incorporating multiple assessments in the hiring process. For example, one CHCO said that her agency uses multiple- choice questions to assess candidates, but essay questions more effectively assess the skills she seeks. OPM issued guidance to agencies on how to use additional assessment methods, including how to rank applicants.", "Additionally, federal employee and management group representatives said agencies could reduce the time of the assessment process by sharing hiring lists. The Competitive Service Act of 2015 allows agencies to share hiring lists, but agencies have only started to pilot the practice within departments, according to OPM officials. OPM and agencies discussed sharing hiring certificates with the CHCO Council, and OPM is planning virtual training sessions on this topic. However, one federal employee group representative noted that to be consistent with merit principles, agencies may need to refresh the list every 2-to-3 months to give new candidates the opportunity to enter the application pool.", "In looking at human capital practices in foreign governments, we found that Australian agencies incorporated more relevant assessment methods and shared hiring certificates. According to officials from the Australian Public Service Commission, Australian agencies previously relied on interviews as the main assessment method. However, the Australian Public Service Commission encouraged agencies to use a range of different assessment methods, such as prescreening questionnaires, video interviews, and technical multiple-choice questions. As a result, officials stated that Australian agencies interview fewer but more suitable candidates, which can save time and resources. Also, Australian agencies can hire from a list of candidates that one agency already determined to be qualified in certain skills.", "Improve the security clearance process. The security clearance process can contribute to onboarding delays, according to CHCOs. For example, at one agency, the CHCO said it takes applicants more than 400 days to receive their security clearances. Also, our previous work found that 98 percent of agencies did not meet the 60-day timeliness objectives for initial secret clearances in fiscal year 2016, an increase of 25 percentage points since fiscal year 2012.", "In January 2018, we added the security clearance process to our High- Risk List and reported a backlog of more than 700,000 background investigations as of September 2017. In December 2017, we made three recommendations to the National Background Investigations Bureau within OPM.", "These recommendations included developing a plan for reducing the security clearance backlog, increasing total investigator capacity, and implementing a comprehensive strategic workforce plan that focuses on what workforce and organizational needs and changes will enable the National Background Investigations Bureau to meet the current and future demand for its services. OPM concurred with the recommendations, and officials reported in February 2019 that the National Background Investigations Bureau had taken steps to reduce backlog of pending security clearance investigations to approximately 565,000 and increase the number of investigators to almost 8,700. The National Background Investigations Bureau has also reported publically on the security clearance background investigations, including investigator headcounts, in September 2018, and quarterly on performance.gov. While an important step, OPM needs to complete the workforce plan and identify workforce goals to fully implement the recommendation.", "The Department of Homeland Security (DHS) CHCO said DHS navigates this challenge by onboarding talented, qualified applicants as soon as possible, then, while waiting for their high-level clearance, assigning them tasks that do not require the clearances. She also said that DHS has issued more interim clearances and has redesignated some positions so they can be held by employees with a lower clearance classification."], "subsections": []}, {"section_title": "Assign Employees Where Needed", "paragraphs": ["Our previous work noted that it is important for agencies to be able to place employees where needed, especially since utilizing skills of employees already in the workforce could improve agencies\u2019 ability to meet emerging or temporary mission needs more cost-effectively than hiring employees.", "Develop a culture of agility. We previously reported that to develop a culture of agility, agencies need to be able to (1) identify the skills available in their existing workforces, and (2) move people with specific skills to address emergency, temporary, or permanent needs within and across the agencies. Agencies can develop a culture of agility to meet mission needs by supporting rotational assignments for employees. For example, the Nuclear Regulatory Commission established an oversight board when it faced a period of downsizing and could not hire externally as a result of contraction within the nuclear industry, according to the agency CHCO. This board helped ensure that employees with the required skill sets were considered first before an approval to hire would be granted. Through its active rotational program and hiring oversight, the commission met its mission amidst the downsizing, according to the agency\u2019s CHCO.", "Relatedly, Canada and two of the private government contractors we interviewed have used internal job application platforms to promote a culture of agility. Canada\u2019s internal job platform, Career Marketplace, allows all government employees to share profiles and career opportunities, particularly for short-term projects. One company\u2019s representatives said their internal job platform posts openings in different countries and industries across the company. According to these representatives, this company established a culture where supervisors understand that staff work for the entire company, not just a particular unit or program. Another company supplements its internal job platform with tools to recognize employee skills and find opportunities that best fit those skills."], "subsections": []}]}, {"section_title": "Incentivize and Compensate Employees", "paragraphs": ["Why Is Incentivizing and Compensating Employees Important? Changing mission requirements and technological trends requires the federal government to compete with other sectors for in-demand skill sets, and compensation and incentives are key determinants of where employees choose to work. While federal agencies may struggle to offer competitive compensation for highly skilled workers given fiscal constraints, leveraging existing incentives such as work-life balance programs can help agencies to better compete for top talent even in labor markets where federal pay may not be competitive.", "While federal agencies may face challenges implementing competitive compensation in certain labor markets, certain benefits and incentives other than pay can help federal agencies better compete in the labor market. However, agencies do not always promote these benefits and incentives as part of a total compensation package, in part because managers are not always aware of the importance of doing so. In the sections below, we highlight practices agencies can use to promote current benefits and incentives, and discuss our open recommendations to leverage existing pay flexibilities."], "subsections": [{"section_title": "Leverage Benefits and Incentives", "paragraphs": ["In cases where federal pay may not be competitive, certain benefits and incentives, such as work-life balance programs, tax-exempt health savings plans, and retirement savings plans, could give the government an edge to recruit and retain employees. Some practices agencies can use to leverage these benefits and incentives are as follows.", "Increase awareness of benefits and incentives, such as work-life programs. In 2017, the majority of federal employees were satisfied with compensation, and employees who participated in work-life programs were satisfied with those incentives (see table 2 and figure 5). However, OPM\u2019s 2018 Federal Work-Life Survey Governmentwide Report found that one of the most commonly reported reasons employees do not participate in work-life programs is lack of program awareness among employees and supervisors. For example, 23 percent of those who did not participate in the employee assistance program said they were unaware of the program services.", "Some agencies are addressing this issue by advertising and helping employees use available benefits, work-life balance programs, and other resources. For example, the National Science Foundation offers employees many opportunities to learn about existing benefits, according to the foundation\u2019s CHCO. These opportunities include triannual retirement seminars where employees receive personalized retirement estimates, quarterly financial planning seminars where employees receive a free 1-hour consultation, and annual benefit fairs where employees can learn about various health care providers, the work-life programs, and the employee assistance program.", "Tailor benefits and incentives to employees\u2019 needs. Our analysis of CHCO and expert interviews also found that employees may value different benefits and incentives depending on their stage in life. By better understanding the desires of the workforce at various life stages, agencies can better tailor benefits packages and incentives to their employees. For example, the Social Security Administration\u2019s CHCO said that the agency\u2019s younger workers value work-life and wellness programs, so the agency implemented a health-tracking program and a fitness discount program for all employees. CHCOs also suggested identifying and incorporating the benefits that would be most useful to various groups of employees, such as sabbaticals for midlevel employees or paid parental leave for employees starting families. One CHCO found that her cybersecurity workforce values subsidies for training and additional certifications more than bonus pay.", "Further, OPM\u2019s 2018 Federal Work-Life Survey Governmentwide Report found that the number of respondents who anticipate adult dependent care responsibilities in the next 5 years (31 percent) is double the number of number of respondents with current adult dependent care needs (15 percent). OPM officials stated in light of this change, agencies may need to provide greater workplace flexibilities and other support services to retain talent.", "Address barriers to telework. Telework can serve as an important recruitment and retention tool. According to OPM\u2019s 2018 Federal Work- Life Survey Governmentwide Report, 68 percent of employees who telework said they intended to remain at their agencies, compared to 62 percent of those who do not telework. However, our previous work and OPM\u2019s 2018 Federal Work-Life Survey Governmentwide Report found that some supervisors discourage telework despite agency participation goals and that managers may make telework decisions before taking relevant training.", "In February 2017, we recommended that OPM develop tools to help agencies assess and analyze persistent barriers to telework, including managerial resistance. While OPM disagreed with our recommendation, it took steps consistent with the recommendation. For example, in 2017, OPM administered the first government-wide work-life survey. This survey included questions about a number of work-life programs, including telework, to help identify common barriers to participation in telework, including managerial resistance. Specifically, the survey discussed supervisory perceptions of employees' reported telework participation outcomes, supervisors' confidence to effectively manage telework performance, and key drivers for telework approvals and denials. OPM then provided individualized reports on results to agencies and agency components. OPM also developed and distributed a video tutorial to help agencies analyze their results. In 2019, following receipt and review of documentation from OPM, we determined that these actions will help agencies prioritize ways to improve their telework programs. We then closed the recommendation as implemented.", "In our review of other countries\u2019 human capital practices, we found that Australia encouraged managers to support telework by passing legislation outlining standards and developing a culture that supports work-life programs. For example, Australia\u2019s Parliament passed legislation outlining standards for work-life programs, but Australian officials also stated that commitment from top management was instrumental in creating a culture that supported work-life programs, including telework. More than 80 percent of respondents to the Australian Public Service employee census reported that their supervisor actively supports work-life programs."], "subsections": []}, {"section_title": "Leverage Existing Pay Authorities", "paragraphs": ["It is the policy of Congress that pay for federal workers under the General Schedule (GS) classification system\u2014the pay system covering the majority of federal employees\u2014align with pay for comparable nonfederal workers. However, in 2012, we reported that recent studies comparing the compensation of federal employees to workers in other sectors arrived at different conclusions as to which sector had the higher pay and the size of the pay disparities, in part because each study included different sets of assumptions. When necessary, agencies can use special payment authorities strategically to help ensure pay is competitive.", "Use special payment authorities strategically. A variety of authorities can help agencies compete in the labor market for top talent, but agencies only use them for a small number of employees. In December 2017, we reported that agencies can tap an array of special payments when they need to recruit or retain experts in engineering, cybersecurity, or other in-demand fields. These payments include, for example, payments for recruitment, retention, or critical positions. We found that agencies reported that these payments were helpful, but few documented their impacts, and OPM had not assessed their effectiveness. Further, we analyzed EHRI data and found that less than 5 percent of employees received payments for recruitment or retention annually in the past 10 years.", "In December 2017, we recommended that OPM track the effectiveness of special payment authorities, provide guidance and tools to assess their effectiveness, and review and consider ways to streamline approval procedures. OPM partially concurred with the recommendation to track the effectiveness of special payment authorities, saying that agencies are in the best position to take this action. Moreover, in December 2018, OPM stated that it established a baseline to measure changes in the use of special payment authorities over time, and that it is focused on government-wide, mission-critical occupations to help identify trends where there may be recruitment and retention difficulties. OPM is also working with the CHCO Council to administer a survey to agencies to obtain input on possible improvements to special payment authorities and whether agencies have best practices to share on effective use of special payment authorities. OPM officials said that they plan to review approval procedures in 2019 for ways to streamline them; however, they have not yet provided documentation on how this and future reviews will identify ways to streamline the procedures. We will continue to monitor OPM\u2019s actions to implement this recommendation."], "subsections": []}]}, {"section_title": "Engage Employees", "paragraphs": ["Why Is Engaging Employees Important? Employee engagement\u2014 generally defined as the sense of purpose and commitment employees feel toward their employer and its mission\u2014is important because engaged employees are more innovative, more productive, more committed, more satisfied, and less likely to leave, according to OPM.", "OPM\u2019s study on engagement and our prior work found that what matters most in improving engagement levels is valuing employees by authentically focusing on their performance and career development. Specifically, our prior work found that the strongest drivers of engagement were similar across age groups and include constructive performance conversations and communication from management, career development and training, inclusion and involvement in decisions affecting employees\u2019 work, and work-life balance.", "The challenge for agencies, then, is to (1) overcome weaknesses in the performance management process, including rewarding strong performers and dealing with poor performers; (2) create support for an inclusive work environment; and (3) develop and implement strategies for prioritizing training during times of fiscal constraint. In the sections below, we highlight actions OPM can take to implement open recommendations from our prior work and practices agencies can take to improve employee engagement."], "subsections": [{"section_title": "Manage Employee Performance and Create a \u201cLine of Sight\u201d Between Individual Performance and Organizational Results", "paragraphs": ["Experts said that employees desire an environment where they can collaborate with their peers and feel a sense of comradery. In contrast, even a small number of poor performers can negatively affect employee morale and agencies\u2019 capacity to meet their mission, according to CHCOs and our previous work. In the 2017 FEVS, 64 percent of federal employee respondents agreed that their supervisor provides them with constructive suggestions to improve job performance and 31 percent agreed that steps are taken to deal with poor performers. Without effective performance management, agencies risk not only losing the skills of top talent, they also risk missing the opportunity to effectively address increasingly complex and evolving mission challenges. Agencies can make performance management more effective with the following practices.", "Improve selection and training of supervisors and managers. Agencies can improve employee engagement by having a strong management team that can provide constructive performance conversations and deal with poor performers. This can be done by selecting managers who (1) are inclined toward and interested in supervision, and (2) have the ability to coach staff and provide constructive performance feedback. One way agencies can ensure they are selecting managers who want to manage is to establish a dual career ladder structure, which allows advancement opportunities for employees who have technical skills but are not inclined to manage.", "Representatives of private consulting firms we interviewed use the dual career ladder and said it helps expand opportunities for employees to move around internally. We recommended in 2015 that OPM determine if promising practices, such as the dual career ladder structure, should be more widely used across government. In November 2018, OPM officials said that the President\u2019s Management Agenda requires agencies to ensure first-line supervisors possess critical leadership competencies within the first year of appointment, either through selection or development. We will continue to monitor OPM\u2019s actions in this area.", "Agencies can also train managers to ensure they have skills to address poor performance. In February 2015, we reported that supervisors may not possess confidence or experience in having difficult performance conversations, and they may not have skills or training on addressing poor performance. These factors point to the importance of effective selection, assessment, and development of new supervisors, as well as to the importance of providing refresher training for current supervisors.", "Link agency\u2019s mission and employees\u2019 work. We have previously reported that high-performing organizations create a \u201cline of sight\u201d between individual performance and organizational results by aligning employees\u2019 daily activities with broader results. Further, agencies can motivate and retain employees by connecting them to their agency\u2019s mission, according to human capital experts and federal employee and management group representatives we interviewed. Employee responses to FEVS indicate the federal government appears to be performing well in this area. In 2017, 84 percent of employees knew how their work related to the agency goals and priorities.", "Several private consulting firms we spoke with connect employees to their missions in various ways. One firm aligns individual performance expectations with the organization\u2019s goal of serving federal clients objectively with the highest caliber of scientific and technical excellence. According to the firm\u2019s representative, this effort has improved employee satisfaction scores. Other firms train employees on the firm\u2019s core values and its clients\u2019 missions. According to the firms\u2019 talent directors, this practice helps keep employees interested in working for the firm.", "Implement meaningful rewards programs. We have previously reported that high-performing organizations seek to create effective incentive and reward systems that clearly link employee knowledge, skills, and contributions to organizational results. However, agencies sometimes struggle to allocate limited resources between mission requirements and recognition, according to CHCOs and representatives of one federal management group. According to the representatives, some managers may not implement reward programs because they are time intensive, and managers may not understand the importance of reward programs to motivating the workforce. Among 2017 FEVS respondents, 50 percent reported that they were satisfied or greatly satisfied with the recognition received for doing a good job.", "Further, our November 2018 report highlighted challenges in recognizing employee performance. We noted that approximately one-third of 2017 FEVS respondents agreed or strongly agreed with the statement, \u201cIn my work unit, differences in performance are recognized in a meaningful way.\u201d We also found that employees in supervisory roles responded more positively to statements related to rewarding performance than other employees. For example, in 2017, an estimated 69 percent of senior leaders agreed or strongly agreed with the statement. In contrast, an estimated 48 percent of supervisors and an estimated 33 percent of nonsupervisors and team leaders agreed or strongly agreed.", "Human capital experts and federal employee and management group representatives said that recognizing employees for their contribution to achieving the agency\u2019s mission can be as strong an incentive as money. For example, according to the Social Security Administration CHCO, the agency offers a variety of awards programs. These programs include agency-wide monetary awards that are based on performance ratings, monetary awards that are not based on performance ratings, and nonmonetary awards, some of which are showcased in a virtual ceremony during Public Service Recognition Week. The Social Security Administration also incorporates office-level awards to recognize employee contributions. For example, in some offices, supervisors give \u201cLife Saver\u201d or \u201cYou Rock\u201d certificates.", "Share innovative approaches to performance. In November 2018, we found that opportunities exist to share innovative approaches to performance management. We recommended that OPM work with the CHCO Council to develop a strategic approach for identifying and sharing emerging research and innovations in performance management. Examples of innovations OPM has found include changes in performance ratings models and setting goals that are focused on growth. We also recommended that OPM develop and implement a mechanism for agencies to share promising practices, such as focusing on performance conversations and recognition to increase engagement and performance. OPM agreed with our recommendations and reported that it plans to formalize its processes for sharing emerging research and soliciting views from the CHCOs. We will monitor OPM\u2019s efforts to implement the recommendations."], "subsections": []}, {"section_title": "Involve Employees in Decisions", "paragraphs": ["Our analysis of expert interviews found that employees seek autonomy in the workplace, meaningful work, and opportunities to achieve results by developing creative and innovative solutions. Also, experts noted that in some cases, connecting employees to a sense of inclusion and meaning can compensate for the opportunity to make higher salaries in other sectors. Having an inclusive work environment is one practice that can help increase employee involvement in decisions.", "Increase support for an inclusive work environment. An increasingly diverse workforce can help provide agencies with the requisite talent and multidisciplinary knowledge to accomplish their missions. We previously reported that diversity in the workforce can help address complex challenges and foster innovation and creativity. We also reported that fostering a diverse and inclusive workplace could help organizations reduce costs by reducing turnover, increasing employee retention across demographic groups, and improving morale. To harness diverse talent, agencies need to continue using thoughtful strategies to engage employees. In 2017, almost 70 percent of FEVS respondents stated that supervisors work well with employees of different backgrounds, and about half were satisfied in other areas related to inclusiveness (see table 3).", "In January 2005, we reported that top management commitment is a fundamental element in the implementation of diversity management initiatives. We\u2019ve also reported on the importance of diversity in the Senior Executive Service (SES) corps. In January 2003, we stated that diversity can bring a wider variety of perspectives to bear on policy development and decision-making that help agencies achieve results. Other practices that can help agencies support an inclusive environment include having a diversity strategy and plan that are developed and aligned with the organization\u2019s strategic plan. Agencies should also involve employees in driving diversity throughout the organization (e.g., implementing mentoring programs or advisory groups).", "Practices implemented by the United Kingdom (UK) and Australia emphasize the importance of setting an inclusive tone from the top. For example, according to country officials, the UK and Australia designate high-level agency officials to champion a particular government-wide initiative, such as increasing diversity and inclusion, work-life balance, and well-being. In the UK, champions promote the initiatives by blogging or chairing interagency groups of senior civil servants to share best practices, among other activities.", "Agencies can promote an inclusive work environment by providing employees opportunities to share common interests and involving employees in decisions. Private consulting firms we interviewed help employees feel involved in the organization by sponsoring employee groups where employees can gather around common interests, such as community service, or skill sets, such as cybersecurity or acquisition management. One firm incorporates results of its annual employee survey into its decision-making and modified its career progression trajectory based on feedback from employee focus groups."], "subsections": []}, {"section_title": "Develop Employees", "paragraphs": ["Agencies can use career developmental opportunities, including training, details, and rotations, to (1) help the workforce develop skills to meet evolving mission requirements, (2) ensure managers are well qualified, and (3) appeal to current and future workers\u2019 desires for career mobility. Some actions OPM can implement and practices agencies can take include prioritizing training and encouraging mobility opportunities.", "Prioritize training for employees and managers. CHCOs and federal employee and management group representatives said that more can be done to prioritize training, particularly given resource constraints. Further, our past work found that diversity training can help employees develop concrete skills to assist in communicating and increasing productivity.", "However, in 2017, only 55 percent of FEVS respondents were satisfied with training.", "In 2012, we recommended that OPM include in its guidance steps and factors agencies should consider when prioritizing training. OPM partially agreed with our recommendation and has taken steps to implement it. In July 2017, OPM officials reported they were gathering information on agencies\u2019 talent development processes, tools, and procedures, and would use the information they gathered to develop criteria for ranking training. We requested an update in December 2018 and will continue to monitor OPM\u2019s actions to implement this recommendation.", "As an example of agency training efforts, the Social Security Administration has national and regional development programs that offer 12 to 18 months of training and rotations for entry-, mid-, and senior-level employees to strengthen foundational, technical, and leadership knowledge and skills, according to the agency\u2019s CHCO. For example, its Leadership Development Program assigns selected GS-9 through GS-12 employees to developmental assignments in new areas of work, and provides leadership training that broadens their perspective of the agency\u2019s mission.", "Encourage details, rotations, and other mobility opportunities. According to our group interviews with CHCOs and interviews with human capital experts and federal management groups, upward and lateral mobility opportunities are important for retaining employees. CHCOs also said that in some cases, lateral mobility opportunities such as rotations, details, and opportunities to gain experience in other sectors can help employees gain new skills more cost effectively than training, particularly for rapidly changing skill sets such as those related to the sciences. We previously reported that effective interagency rotational assignments can develop participants\u2019 collaboration skills and build interagency networks.", "Further, providing supervisory candidates with details or rotational opportunities could help them develop and demonstrate supervisory competencies.", "Regarding upward mobility, the 2017 FEVS found that only 37 percent of respondents were satisfied with opportunities to get a better job in their organization. Agencies can use details and rotations to meet employees\u2019 desire for mobility, according to our CHCO group interviews and interviews with human capital experts and federal employee and management groups. However, according to OPM data, few federal employees moved horizontally in 2017 (see table 4).", "Few employees move horizontally because managers are sometimes reluctant to lose employees, according to federal manager group representatives and our previous work. Furthermore, federal budgeting and account structures create disincentives to share resources across agencies. Additionally, barriers to rotations in other sectors may include challenges identifying willing industry partners and addressing concerns regarding conflict of interest and access to sensitive information. Meanwhile, federal employees who have left for another sector must apply competitively to return at a higher level.", "We have previously made recommendations that could help address these challenges. In 2014, we recommended that OPM review the extent to which new capabilities are needed to promote mechanisms for increasing employee mobility within an agency and government-wide. OPM agreed with the recommendation and since October 2016 has been exploring a pilot project, GovConnect, that tests models for workforce agility that includes cloud-based skill deployment across organizational components and employee-initiated innovation initiatives. In November 2018, OPM officials also stated that the President\u2019s Management Council Interagency Rotations Program offers rotational assignments across agencies. We will continue to monitor OPM\u2019s efforts in this recommendation.", "In 2015, we recommended that OPM determine if promising practices, such as providing detail opportunities or rotational assignments to managerial candidates prior to promotion, should be more widely used across government. OPM partially concurred with this recommendation and agreed to work with the CHCO Council to explore more government- wide use of rotational assignments. However, OPM noted that agencies already have authority to take these actions. As of October 2018, OPM had not provided us with information regarding how it plans to implement the recommendation.", "In looking at human capital practices in foreign governments, we found that the UK encourages rotation and promotion opportunities through its developmental programs for entry-, mid-, and senior-level employees. For example, participants in its entry-level program, called Fast Stream, are centrally employed in the UK Cabinet Office. For the first 3 to 4 years, Fast Stream participants rotate among agencies and receive technical training in a specific field, such as accounting, finance, or human capital. While evaluating Fast Stream\u2019s feasibility in the federal workforce, one federal employee group representative emphasized the need to provide career development opportunities to all employees, not just selected program participants."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Acting Director of OPM for review and comment. OPM provided technical comments, which we incorporated as appropriate. We revised the report to further emphasize how agencies can use work-life programs to recruit, retain, and engage federal employees. We also added the concept of interpersonal skills to our discussion of the leadership competencies needed to manage the future workforce. OPM\u2019s comments also included updates to prior recommendations on enterprise human capital solutions, skills gaps, telework, and special pay authorities. We incorporated these comments as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Acting Director of the Office of Personnel Management, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we identify (1) key trends affecting federal work and workers, and (2) key talent management strategies agencies can employ to achieve a high-performing federal workforce, given those trends.", "To address both objectives, we reviewed our own reports as well as those from the Office of Personnel Management (OPM), academia, think tanks, and public opinion organizations related to human capital and the future of work. We also analyzed data from OPM\u2019s Enterprise Human Resources Integration (EHRI) system. EHRI contains personnel action and onboard data for most executive branch and some legislative branch federal civilian employees. We analyzed government-wide EHRI data on demographics, including veterans status; employee movement such as details and transfers; and retirement eligibility. We analyzed 10-year trends from fiscal years 2008 to 2017, the most recent, complete fiscal year of data available at the time of our review.", "For our analysis of demographic trends, we included permanent, temporary, and term-limited employees. However, we focused on permanent employees in our analysis of personnel movement and retirement eligibility because these employees (1) comprise most of the federal workforce and (2) become eligible to retire with an annuity, for which temporary and term-limited employees are ineligible.", "To calculate the number of federal civilian employees, we included all onboard staff, regardless of their pay status. Cases with missing values on a variable were excluded from the reported statistics for that variable. To calculate eligibility for retirement within the next 5 years, we computed the date at which the employee would be eligible for voluntary retirement with an unreduced annuity, using length of service, birth date, and retirement plan coverage. Since work schedule does not affect retirement eligibility, we included permanent employees with full-time schedules and part-time, seasonal, and other schedules in these results.", "We assessed the reliability of the EHRI data through electronic testing to identify missing data, out-of-range values, and logical inconsistencies. We also reviewed our prior work assessing the reliability of these data and corresponded with OPM officials knowledgeable about the data to discuss its accuracy and the steps OPM takes to ensure reliability. On the basis of this assessment, we believe the EHRI data we used are sufficiently reliable for the purpose of describing demographic trends and workforce management challenges facing the federal government."], "subsections": [{"section_title": "Objective 1", "paragraphs": ["To identify key trends in the workforce and workplace, we analyzed data from the U.S. Bureau of Labor Statistics (BLS) Current Population Survey (CPS) and Federal Procurement Data System \u2013 Next Generation, reviewed our prior work, and reviewed reports from OPM and selected think tanks and consulting firms.", "Key trends in the workforce. To assess key trends in the workforce, we analyzed data from the CPS, a national survey designed and administered jointly by BLS and the Census Bureau. The CPS is a key source of official government statistics on employment and unemployment in the United States, and also contains data on poverty rates, earnings, and labor market demographics. We analyzed 2017 annual averages on age, racial or ethnic minority status, disability status, veteran status, and educational attainment of the U.S. civilian labor force.", "The CPS uses a probability sample conducted monthly. As with all samples, estimates produced from the CPS are subject to sampling and nonsampling error. Sampling error results from the fact that the samples are one of a large number of random samples that might have been drawn. We followed the BLS technical guidance for estimating the standard errors of annual average totals from CPS data. We used the standard errors to construct 95 percent confidence intervals for each estimate presented in this report. This is the interval that would contain the actual population value for 95 percent of the CPS samples that the BLS could have drawn. All estimates from the CPS presented in this report have a margin of error of plus or minus 4 percentage points or fewer at the 95 percent confidence level. Nonsampling error results from issues such as inability to obtain information about all people in the sample, or the inability or unwillingness of respondents to provide correct information in the self-reporting process. We assessed the reliability of CPS data by reviewing related technical documentation from the BLS website on the concepts and methodology of the CPS, and obtaining BLS feedback on our analysis. We conducted manual data testing for obvious errors and compared selected underlying data to CPS annual reports. We found the data were sufficiently reliable for the purposes of comparing characteristics of the federal workforce to those of the U.S. civilian labor force.", "Key trends in the workplace. To assess key trends in the workplace, we reviewed our prior work on human capital management and trends in government and the workforce. We also reviewed OPM reports on human capital trends and management, including the 2018 Work-Life Survey Governmentwide Report, 2018 Federal Workforce Priorities Report, and 2016 Federal Employee Benefits Survey Results. We interviewed OPM officials knowledgeable on these topics to better understand the methodology used to obtain report findings, and to understand previous and current efforts to assess federal human capital policies. We also reviewed selected reports from think tanks, public opinion organizations, and consulting firms on workplace trends. For reports used in our analysis, we corresponded with knowledgeable staff to better understand the methodologies used to obtain findings in the report and we assessed the methodologies against our own standards.", "Service contracts. To describe the size of service contract obligations in fiscal year 2017, we reviewed data from the Federal Procurement Data System \u2013 Next Generation. We found the data sufficiently reliable for this purpose based on our review of related documentation."], "subsections": []}, {"section_title": "Objective 2", "paragraphs": ["To identify key areas to help agencies manage the workforce, we analyzed employee responses to questions from OPM\u2019s 2017 Federal Employee Viewpoint Survey (FEVS) and spoke with various groups. We interviewed human capital experts, federal employee and management groups, and held moderated group interviews with agency Chief Human Capital Officers (CHCO).", "Federal Employee Viewpoint Survey. To obtain information on federal employee attitudes toward work and the workplace, we analyzed employee responses to questions from OPM\u2019s 2017 FEVS, the most recent data available at the time of our analysis. The FEVS provides a snapshot of employees\u2019 perceptions about how effectively agencies manage their workforce. The FEVS includes a core set of 84 questions.", "Agencies have the option of adding questions to the surveys sent to their employees. The 84 questions address the following areas: (1) work experience, (2) work unit, (3) agency, (4) supervisor, (5) leadership, (6) satisfaction, (7) work-life, and (8) demographics. OPM has administered the FEVS annually since 2010.", "The FEVS is based on a sample of full- and part-time, permanent, nonseasonal employees of departments and large, small, and independent agencies. The total sample size for the 2017 FEVS was 1,139,882 employees and the response rate was 45.5 percent. According to OPM, the 2017 sample size was sufficient to ensure a 95 percent chance that the true population value would be between within 1 percent of any estimated percentage for the total federal workforce. Since each sample could have provided different estimates, we express our confidence in the precision of the FEVS statement estimates using the margin of error at the 95 percent level of confidence. This margin of error is the half-width of the 95 percent confidence interval for a FEVS estimate. A 95 percent confidence interval is the interval that would contain the actual population value for 95 percent of the samples that could have been drawn.", "For our analysis, we selected FEVS questions related to work unit recruitment, satisfaction with compensation and incentives, management, employee involvement, and career opportunities. We categorized responses into three categories\u2014positive, neutral, and negative, as shown in table 5. In our findings, we included the percent of positive responses to FEVS questions. Neutral responses ranged from 6.7 to 29.3 percent, as shown in table 5 below.", "To assess the reliability of the FEVS data, we reviewed FEVS technical documentation. On the basis of these procedures, we believe the data were sufficiently reliable for our purposes.", "Interviews with experts. To identify key strategies for managing a high- performing workforce, we conducted semistructured interviews with 22 experts in the areas of human capital, strategic foresight, and the future of work. See appendix II for a list of experts interviewed. We selected these experts using a nonprobability sample based on our literature review, suggestions from OPM officials and our own human capital experts, and relevance of their expertise to our objectives. We selected experts from a range of organizations to ensure our analysis included a variety of viewpoints. During these interviews, we asked about, among other things, future trends that are likely to affect the federal workforce and innovative practices to recruit and retain a high-performing workforce.", "We analyzed the interviews using qualitative analysis software to describe employees\u2019 shifting attitudes toward work, and to categorize the practices into key strategies for managing a high-performing workforce. We corroborated these practices with federal human capital experts, CHCOs, and federal employee and management groups, and reflected their input in our report.", "Interviews with private organizations and foreign governments. To identify examples of human capital practices for managing a high- performing workforce, we conducted semistructured interviews with human capital managers from four private organizations (Noblis, Deloitte, Accenture, and NetImpact Strategies) and officials from three foreign governments (Australia, Canada, and the United Kingdom). We selected the private organizations based on (1) the similarities of their talent pool to that of the federal government, (2) accolades received for being a good place to work, and (3) size of the organization and types of services offered. We selected foreign governments based on (1) similarities to the United States in terms of percent of the labor force in civil service, and (2) the country having recently improved human capital policies or practices, or having been recognized for having human capital practices that positively affect recruitment and retention. In our report, we included examples of human capital practices that managers and officials told us were helpful to improving their organization, and that could feasibly be implemented within the federal government.", "Interviews with federal employee and management group representatives. We interviewed representatives from federal employee and management groups to assess the feasibility of applying the identified examples to the federal sector, including identifying any opportunities or challenges. We selected employee groups that represented the broadest population of blue- and white-collar federal employees from all 24 Chief Financial Officers Act agencies: the American Federation of Government Employees and the National Treasury Employees Union. We selected the Federal Managers Association due to its representation of federal managers, supervisors, and executives.", "Group Interviews with CHCOs. We also held two virtual, moderated group interviews with a nongeneralizable sample of CHCOs. We invited 23 CHCOs from the 24 Chief Financial Officers Act agencies; of those, nine were available and participated (see table 6). To ensure the questions were valid and understandable, we pretested the questions with our CHCO and Deputy CHCO. During each group interview, one of our own moderators used a standard set of discussion questions to ask participants to (1) assess the feasibility of specific examples for improving employee recruitment and retention, (2) explain challenges to implementing these examples in specific agencies, and (3) identify other agency examples. At the group interviews, at least two analysts took and reconciled their notes to summarize the results. We reviewed our summaries of the group interviews to identify key themes discussed. When highlighting examples from CHCOs, we provided summaries of the examples to the CHCOs for comment and incorporated technical edits, where appropriate. Because of the dynamics inherent in a group interview setting, we cannot be sure whether the participating CHCOs discussed the same information in the group format with other CHCOs present that they might have discussed in individual interviews without other CHCOs present.", "We conducted this performance audit from April 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Experts We Interviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Robert Goldenkoff, (202) 512-2757 or goldenkoffr@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Shannon Finnegan, Assistant Director; Shelby Kain, Analyst-in-Charge; Justine Augeri; Jehan Chase; Arpita Chattopadhyay; Ann Czapiewski; Robert Gebhart; John Hussey; Krista Loose; Meredith Moles; Rachel Stoiko; Jessica Walker, and Edith Yuh made major contributions to this report. James Ashley, Chelsa Gurkin, Elizabeth Hennemuth, and Walter Vance also contributed to the report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Best Practices and Leading Practices in Human Capital Management. https://www.gao.gov/key_issues/leading_practices_in_human_capital_ma nagement/issue_summary.", "Strategic Management of Human Capital\u2014High Risk Issue. https://www.gao.gov/key_issues/strategic_human_capital_management/i ssue_summary.", "Federal Workforce: Opportunities Exist for OPM to Further Innovation in Performance Management. GAO-19-35. Washington, D.C.: November 20, 2018.", "Federal Pay: Opportunities Exist to Enhance Strategic Use of Special Payments. GAO-18-91. Washington, D.C.: December 7, 2017.", "Federal Hiring: OPM Needs to Improve Management and Oversight of Hiring Authorities. GAO-16-521. Washington, D.C.: August 2, 2016.", "Federal Workforce: Additional Analysis and Sharing of Promising Practices Could Improve Employee Engagement and Performance. GAO-15-585. Washington, D.C.: July 14, 2015.", "Federal Workforce: Improved Supervision and Better Use of Probationary Periods Are Needed to Address Substandard Employee Performance. GAO-15-191. Washington, D.C.: February 6, 2015.", "Federal Workforce: OPM and Agencies Need to Strengthen Efforts to Identify and Close Mission-Critical Skills Gaps. GAO-15-223. Washington, D.C.: January 30, 2015.", "Human Capital: OPM Needs to Improve the Design, Management, and Oversight of the Federal Classification System. GAO-14-677. Washington, D.C.: July 31, 2014.", "Human Capital: Strategies to Help Agencies Meet Their Missions in an Era of Highly Constrained Resources. GAO-14-168. Washington, D.C.: May 7, 2014.", "Federal Workers: Results of Studies on Federal Pay Varied Due to Differing Methodologies. GAO-12-564. Washington, D.C.: June 22, 2012."], "subsections": [{"section_title": "Organizational Change and Transformation", "paragraphs": ["Government Reorganization: Key Questions to Assess Agency Reform Efforts. GAO-18-427. Washington, D.C.: June 13, 2018."], "subsections": []}]}], "fastfact": ["Technology, demographics, and attitudes toward work are evolving in the private and public sectors. But federal government employment policies were designed generations ago. As a result, the government may struggle to compete for talented workers\u2014which is one reason why federal human capital management is an issue on our High Risk list.", "We reported on talent management strategies, among other things. For example, agencies can attract and keep talented workers by", "Offering work/life balance such as flexible scheduling", "Recruiting graduating students earlier in the school year", "Making work meaningful and offering development opportunities"]} {"id": "GAO-18-491", "url": "https://www.gao.gov/products/GAO-18-491", "title": "Grants Workforce: Actions Needed to Ensure Staff Have Skills to Administer and Oversee Federal Grants", "published_date": "2018-09-20T00:00:00", "released_date": "2018-09-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2017, the federal government awarded approximately $675 billion in grants to state and local governments. GAO was asked to review the federal grants workforce training. GAO reviewed (1) OPM's, OMB's, and the CFOC's actions to address the grants workforce's training needs; (2) the extent to which grants workforce training at selected agencies is consistent with leading practices; and (3) how selected agencies monitor and oversee training of their grants workforce. GAO selected HHS, USDA, and Education and several of their sub-agencies based on their grants spending and numbers of grants management specialists. GAO reviewed OPM and OMB memorandums and guidance, compared selected agency training practices against leading training practices, and interviewed officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Offices of Personnel Management (OPM) and Management and Budget (OMB) and the Chief Financial Officers Council (CFOC) have taken some steps to help ensure the federal grants workforce receives training. For example, OMB worked with the CFOC to issue five basic grants training modules and a \u201cCareer Roadmap\u201d for grants managers; however, they did not widely publicize the resources. Many of the officials with whom GAO spoke at selected sub-agencies at the Departments of Health and Human Services (HHS), Agriculture (USDA), and Education (Education) were unfamiliar with the Career Roadmap and made limited use of the training resources. Further, OMB and CFOC do not collect detailed user data or feedback, limiting their abilities to determine the usefulness of these resources.", "GAO found that sub-agencies at HHS, USDA, and Education vary in following leading training practices for planning, designing, implementing, and evaluating their grants training programs. Additionally, HHS, USDA, and Education could not readily identify grants management specialists\u2014the 1109 job series\u2014or employees in other job series working on grants without querying each sub-agency. These agencies cannot do so because their central offices do not have a reporting mechanism tracking their sub-agencies' grants workforce. Further, agency central offices do not evaluate sub-agency grants training efforts. Without sufficient monitoring and oversight, the agencies cannot have reasonable assurance that their sub-agencies are sufficiently training their grants workforce so they have the necessary knowledge, skills, and abilities to properly manage, administer, and monitor the billions of dollars that the federal government spends on grants annually."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations including that OMB, working with the CFOC, should (1) publicize the Career Roadmap and (2) collect data metrics and user feedback on its use. HHS, USDA, and Education should establish processes to centrally monitor and evaluate their grants training, including identifying the grants workforce and ensuring consistency with leading practices. HHS and USDA concurred, Education generally concurred, and OMB partially concurred with our recommendations. OPM had no comments on the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the federal government awarded approximately $675 billion in grants to state and local governments for a wide variety of purposes, including rural development programs such as housing assistance and business development; health and social services, such as the Children\u2019s Health Insurance Program and mental health services; and education, such as hiring and training teachers and increasing student access to higher education. Federal grants play an important role in achieving national objectives and have grown considerably in value and complexity over the past three decades. Therefore, it is important that the federal workforce that manages, administers, and monitors grants has the necessary knowledge, skills, and abilities to perform these functions effectively.", "The important role that training plays in the effective management of grants can be seen, for example, in the fact that in December 2017, the Council of the Inspectors General on Integrity and Efficiency identified \u201cgrants oversight\u201d as one of six critical issues in the federal government. The Council reported that grant subject matter experts \u201cnoted that the root of many problems with grant awards was a lack of resources and training on both sides of the grant process.\u201d", "You asked us to review the training provided for the grants workforce. This report reviews (1) the actions the Office of Personnel Management (OPM), the Office of Management and Budget (OMB), and the Chief Financial Officers Council (CFOC) have taken to address the need for federal grants management training; (2) the extent to which grants workforce training at selected agencies is consistent with selected leading training practices; and (3) how selected agencies monitor and oversee training of their grants workforce. In addition, we provide information on certification standards for the grants workforce, including a comparison to the federal acquisition workforce, in appendix I.", "To address the first objective, we reviewed OPM and OMB memorandums and government-wide grants training resources. We also interviewed OPM and OMB staff responsible for strategic workforce planning and financial management, respectively, to obtain information on their roles and responsibilities for federal grants management training, among other topics. In addition, we used data from OPM\u2019s Enterprise Human Resource Integration (EHRI) system to report government-wide data on the grants management specialist 1109 job series. The 1109 job series is a classification for those federal employees whose job responsibilities primarily involve management of grants. To determine the reliability of the EHRI data, we reviewed EHRI documentation and interviews from a previous GAO engagement completed in October 2016. We found no significant changes to the EHRI data reporting process and determined the EHRI data were sufficiently reliable for the purposes of this review.", "We identified training resources developed by the agencies and requested \u201cGrants Training 101\u201d and \u201cCareer Roadmap\u201d website metrics from OMB on the total usage of these grants management resources. \u201cGrants Training 101\u201d is an introductory online course designed by OMB to provide a basic knowledge of grants and cooperative agreements and the \u201cCareer Roadmap\u201d is a resource for workforce development and career progression of the federal financial assistance management workforce. OMB provided (1) user and course completion data for Grants Training 101 between December 2015 and November 2017 and (2) the number of users and user sessions collected for the Career Roadmap Report website between September 2017 and January 2018.", "To select agencies for our review, we obtained and analyzed fiscal year 2016 spending data from USAspending.gov. We selected the Departments of Health and Human Services (HHS), Agriculture (USDA), and Education (Education) for review primarily because the total combined federal grant awards for these three agencies was 79 percent of all federal grant awards reported in fiscal year 2016. We also considered the number of 1109 job series employees in our agency selection. We selected HHS and USDA because they had the highest number of 1109 job series employees and selected Education because, while it was one of the largest grant-making agencies, it had no employees classified in the Grants Management Specialist 1109 job series.", "We also selected a total of 11 sub-agencies from HHS, USDA, and Education for our review primarily based on the size of their grant awards and the number of grants workforce employees in the 1109 and non-1109 job series.", "For HHS, we selected the Centers for Medicare and Medicaid Services, Administration for Children and Families, National Institutes of Health, and Health Resources and Services Administration. When combined, these four sub-agencies represented 97 percent of the total HHS fiscal year 2016 grant award amounts. The combined grants workforce for selected sub- agencies also represented 76 percent of the total 1109 job series and 61 percent of the total HHS grants workforce employees.", "For USDA, we selected the National Institute of Food and Agriculture, Forest Service, Rural Development, and Food and Nutrition Services. Collectively, these four sub-agencies represented 97 percent of the total USDA fiscal year 2016 grant award amounts. The combined grants workforce for selected USDA sub-agencies also represented 77 percent of the total 1109 job series and 95 percent of the total USDA grants workforce employees.", "For Education, we selected the Office of Elementary and Secondary Education, Office of Special Education and Rehabilitative Services, and Office of Postsecondary Education. Together these three sub-agencies represented 93 percent of the total Education fiscal year 2016 grant award amounts. The combined grant workforce for selected sub-agencies represented 74 percent of the total Education grants workforce employees.", "To better understand federal grants workforce training at the selected agencies and sub-agencies, we asked HHS, USDA, and Education officials for internal data on all sub-agency grant awards and the number of 1109 and non-1109 job series employees working on grants at each sub-agency. We provided each of the selected agencies and sub- agencies with the specific definition for identifying the grants workforce that was used in our 2013 report on grants management training.", "Our second and third objectives compared agencies\u2019 training practices described in agency interviews and documents against selected leading practices we identified in our prior work, including our online Best Practices and Leading Practices in Human Capital Management, our 2004 Human Capital Guide on training, and Standards for Internal Control in the Federal Government, for monitoring, evaluation, and oversight. The Human Capital Guide is organized into four components of the training and development process\u2014planning, design/development, implementation, and evaluation. We selected the practice from each component that is most relevant to grants workforce training to compare against current agency training practices. In developing the Human Capital Guide, we noted that users of this guide should keep in mind that the guide can and should be modified to fit the unique circumstances and conditions relevant to each agency.", "We conducted this performance audit from February 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Training Is Important for Effective Grants Management", "paragraphs": ["In fiscal year 2017, the federal government awarded approximately $675 billion in grants to state and local governments. As shown in figure 1, approximately 80 percent of the grant dollars awarded by the federal government in fiscal year 2017 came from the three agencies we reviewed for this report\u2014HHS, USDA, and Education.", "A range of skills are needed to manage the various tasks associated with the grants lifecycle. For example, during the award phase, grant staff at federal grant-making agencies are to send all grantees a grant award notification that provides details about the grant, including the amount of the award; and the general terms and conditions of the grant, including statutory and regulatory requirements. Figure 2 below illustrates the four distinct phases of the grants lifecycle.", "Given the billions of dollars in federal grants funding that are awarded every year, effective training could help provide grants managers with the skills and competencies they need to better manage and oversee those dollars. As one example of the importance of rigorous grants management and training, in April 2017 we found that Education grants staff inconsistently documented key required monitoring activities and, as a result, about $21 million in discretionary grants lacked the correct documentation of grantee performance. We recommended that Education establish and implement detailed written supervisory review procedures for official grant files to provide reasonable assurance that grant staff perform and document key monitoring activities. Education officials agreed with the recommendation and said they would develop a department-wide standard operating procedure (SOP) that will, among other things, provide standards for timeliness of documenting key monitoring and administrative activities and require the periodic review of grant files. Officials expect to complete the SOP by September 30, 2018.", "In 2011, OMB established the Council on Financial Assistance Reform (COFAR), an interagency group of executive branch officials with the stated aim of creating a more streamlined and accountable structure to coordinate financial assistance, including grants. In 2012 and again in fiscal years 2016 and 2017, COFAR identified the need to develop a qualified and professional workforce as one of six priorities to guide its work on grants management reform. According to OMB staff, they disbanded COFAR on June 15, 2017 as part of OMB\u2019s efforts to reduce grants-related requirements once COFAR had recommended policies and actions to effectively deliver financial assistance. COFAR\u2019s recommendations resulted in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, which is intended to improve performance, transparency, and oversight for federal awards.", "Moving forward, the responsibility of coordinating financial assistance priorities was given to the Chief Financial Officers Council (CFOC), a group of 24 agency chief and deputy chief financial officers that work together to improve financial management in the U.S. government. According to OMB staff, the controller of OMB\u2019s Office of Federal Financial Management is the chair of the CFOC. In addition, OPM is responsible for providing leadership and guidance over federal agency training to ensure the effective promotion and coordination of federal agency training programs and operations. Further, the President\u2019s Management Agenda established \u201cresults-oriented accountability for grants\u201d as a cross-agency priority goal to \u201cmaximize the value of grant funding by applying a risk-based, data-driven framework that balances compliance requirements with demonstrating successful results for the American taxpayer.\u201d"], "subsections": []}, {"section_title": "Certification Standards for the Grants Workforce", "paragraphs": ["In 2013, we examined grant workforce and training issues and found there were no specific government-wide training requirements for the federal grants workforce. As of June 2018, this continued to be the case. By contrast, there are government-wide training requirements for the acquisitions workforce intended to help ensure its quality and effectiveness. For example, OMB\u2019s Office of Federal Procurement Policy (OFPP) provides government-wide guidance on managing the acquisitions workforce. The Federal Acquisition Institute, which coordinates with the OFPP, promotes the development of the civilian acquisitions workforce. Further, OFPP has developed Federal Acquisition Certification requirements for acquisition professionals serving as contracting staff, contracting officer\u2019s representatives, and program/project managers. Notably, in fiscal year 2017, the federal government spent approximately $166 billion more on grants to state and local governments than it did on federal acquisitions. OMB staff explained that the acquisitions workforce faces more requirements because contracts have more uniform requirements and are specified in law. They stated that grants, on the other hand, are diverse and are established by individual statutes with varying conditions.", "Our work in the acquisitions area identifies the importance of providing reasonable assurance of an appropriately trained staff through certification. Certification programs are designed to ensure that individuals attain the knowledge and skills required to perform in a particular occupation or role by establishing consistent standards. For example, for the acquisition workforce, OFPP requires a minimum set of career-specific courses, along with education and experience requirements, to obtain certification. To ensure acquisition professionals remain current on acquisition policies and practices, OFPP also requires the acquisition workforce to meet continuing learning requirements. See appendix I for a comparison of training for the federal acquisition workforce versus the federal grants workforce.", "Education, HHS, and USDA delegate the decision to their various sub- agencies of whether grants employees should obtain professional grants certifications. Of the 11 sub-agencies we reviewed, 3 at HHS\u2014the Centers for Medicare and Medicaid Services Discretionary Grants Office, the Health Resources and Services Administration, and the National Institutes of Health\u2014and 2 at Education\u2014the Office of Special Education and Rehabilitative Services and the Office of Post-Secondary Education\u2014required certification of some of their grants employees. Officials at the remaining 6 sub-agencies offered certification to their grants employees on an optional basis. USDA sub-agency officials said they often recommend the certificate program to their grants employees, and Education\u2019s sub-agency officials at the Office of Elementary and Secondary Education said they nominate staff to take the grants certificate program whom they believe would benefit the office most by receiving the training.", "While COFAR officials explored the possibility of establishing certification standards for the grants workforce by September 2015, OMB staff said they determined that certification was not the most appropriate course of action for the grants workforce for several reasons including risk management and internal control concerns and the need for a variety of skills for the grants workforce. As previously mentioned, OMB disbanded COFAR in June 2017, and CFOC took over COFAR\u2019s responsibilities. When we spoke with OMB staff in the fall of 2017, they said their focus had shifted from establishing certification standards for the grants workforce to providing guidance on needed competencies and enabling the grants workforce to obtain them."], "subsections": []}]}, {"section_title": "OPM, OMB, and CFOC Have Taken Some Steps to Help Provide Grants Training but Have Opportunities for Further Improvements", "paragraphs": [], "subsections": [{"section_title": "OPM, OMB, and CFOC Developed a Grants Competency Model Among Other Steps", "paragraphs": ["OPM, in consultation with OMB and the CFOC, took several steps to ensure the federal grants management workforce has access to grants management competencies and training. For example, OPM identified grants management competencies that could be used in agency efforts for workforce planning, training and development, performance management, recruitment, and selection. After establishing grants management competencies, OPM officials told us they established the 1109 job series partly because OMB and CFOC staff requested a new grants management job series in response to the increased grant awards and staffing needs created because of the 2009 American Recovery Act. Figure 3 illustrates the timeline of the main steps taken by OPM, OMB, and CFOC over the last decade.", "In 2008, OPM initiated a government-wide study to identify critical competencies for grants management work. After the government-wide study was completed, OPM issued a memorandum to all federal agencies announcing a grants management competency model that included general competencies such as accountability, writing, and computer skills. OPM also included technical competencies such as grants management, financial analysis, and compliance. In our prior work, we found that grants management competency models can be used to establish an overall framework to guide agencies\u2019 training efforts.", "Before OPM established the 1109 job series in 2010, no other agency- specific job classification series existed for the many federal employees responsible for carrying out managerial and administrative tasks related to grants, including ensuring compliance with OMB and agency policies and procedures. In the absence of a specific job classification, we reported in 2013 that officials at selected agencies told us they had classified these employees under a variety of other job series that did not focus on grants, such as general, administrative, and subject-matter job titles.", "According to OPM officials, the agency\u2019s development of the \u201cPosition Classification Flysheet for the Grants Management Series (1109)\u201d leveraged the competencies and tasks from the Competency Model for Grants Management and input from federal agencies\u2019 subject matter experts on grants management work.The Flysheet includes a job series definition, a basic job title, general occupational information, and a link to the position classification standard. The 1109 job series manage, supervise, lead, or perform administrative business, policy, and analytical work involving the: (1) management, award, or obligation of funds for grants; (2) competitive or non-competitive evaluation of grants proposals; and/or (3) administration or termination, and/or closeout of grants and/or grants assistance and agreement awards. The work requires knowledge of laws, regulations, rules, policies, procedures, and financial methods to help ensure accountability of the grant funds.", "As of fiscal year 2016, grant-making agencies reported 2,035 federal employees in the 1109 job series, and HHS reported 38 percent of those employees (see figure 4). We used fiscal year 2016 data to determine the agency-wide numbers of 1109 job series employees because this was the most recent set of full year data available at the time of our analysis.", "The federal grants workforce also includes a wide range of employees in other non-1109 job series positions. OPM does not collect data on grants workforce employees in these other job series positions as they span a large number of different job series that can vary by agency. Non-1109 employees working on grants typically possess expert knowledge in the specific area necessary to meet a grant\u2019s goals (e.g., announcing the terms and conditions of a grant, recommending potential grantees, and monitoring grantees\u2019 progress in achieving the grants goals). Reflecting the wide variety of federal programs that grants support, these individuals typically possess expertise in a specialized program or subject.", "A number of factors affect usage of the 1109 job series within agencies. According to OMB staff, various agency employees have told them that many agency employees would rather be classified as a subject matter specialist, such as a scientist, rather than a grants management specialist whose primary tasks are grants management under the 1109 job series. In addition, OMB staff said that some agencies preferred recruiting staff using a more general non-1109 job series classification. OMB staff also said that some agencies indicated their grants workforce employees do not want to be classified as grants specialists because the other job series are more general and are a better fit in terms of the needed subject matter expert skills and duties.", "We found that one of our selected agencies, Education, does not use the 1109 job series at all because, according to Education sub-agency officials, they require grants employees to have specialized grant program content knowledge in the field of their grant program focus, such as rehabilitation, special education, behavior science, and other areas (e.g., standards and assessments, state accountability systems). The sub- agency officials said that 1109 grants management specialists would not have the specific content knowledge and experience associated with the specific educational grant programs that Education requires. We also found that over 61 percent of HHS grants workforce employees and over 90 percent of the USDA grants workforce was not part of the 1109 job series.", "OPM officials told us that, in April 2017, they started a government-wide Grants Management Post Classification Implementation Study that may change the Grants Management Classification Flysheet and revalidate the Competency Model for Grants Management Work. OPM officials developed the study after meeting with grant-making agency HHS and will include a survey of the grants management workforce government- wide. OPM officials also stated they are in the final stages of developing and clearing the government-wide survey and anticipate issuing it in the fall of 2018. They said the study will take several additional months to complete because the team must review the results of the government- wide survey and update competencies, job classifications, and compliance policy/requirements."], "subsections": []}, {"section_title": "OMB and CFOC Have Provided Some Grants Training and Guidance, but Use Has Been Limited Among Selected Agencies", "paragraphs": ["OMB\u2019s role with the grants management workforce includes issuing government-wide guidance and providing a framework that enables agencies to take actions to align their grants training with OMB\u2019s internal control standards. In this role, OMB has taken some actions to provide grants guidance for federal agencies that include the Career Roadmap Report, Career Roadmap Builder, and Grants Training 101. However, we found that almost all of the officials we interviewed at the 11 selected sub- agencies were not familiar with the Career Roadmap Report and Career Roadmap Builder. Additionally, almost all of them did not mention using Grants Training 101 as part of their grants workforce training."], "subsections": [{"section_title": "Financial Assistance Career Roadmap", "paragraphs": ["OMB, in collaboration with the CFOC, COFAR, and federal awarding agencies, developed the Financial Assistance Career Roadmap Report in June 2017. OMB staff said that the Career Roadmap Report is one vehicle used to address grants training for the federal agency grants workforce. It is a tool for federal agencies to identify and document the competencies needed for successful job performance of federal financial assistance management professionals. According to the CFOC, the competencies and related elements outlined in the Career Roadmap Report are to be used to identify and prioritize training needs for the federal financial assistance management workforce. This is an optional tool for the federal grants workforce and may be customized to reflect an organization\u2019s unique requirements and specifications. That workforce includes the grants management 1109 job series employees, as well as employees performing grants responsibilities as program, finance, and audit experts who are classified under other job series.", "During the initial development of the Career Roadmap Report, a team consisting of OMB staff and industrial and organizational psychologists collected financial assistance research and documentation from OMB, federal awarding agencies, and OPM. The team analyzed this information to identify foundational competencies and create a draft competency model which OMB reviewed. The team also facilitated two workshops with specialists on financial assistance management to gather feedback on the Career Roadmap Report. Figure 5 below shows the 14 different competencies from the Career Roadmap Report that are divided into two types of competencies: functional and leadership.", "After the report\u2019s release, CFOC developed and released an interactive version called the Career Roadmap Builder available to the public online. This version allows users to build their own customized financial assistance management Career Roadmap based on their specific mission and needs. To obtain a custom Career Roadmap Report, users complete several steps in the Career Roadmap Builder involving selection of one or more of nine functional competencies; one or more of three job levels (foundational, practitioner, or one of three proficiency levels for each functional competency (basic, intermediate, or advanced); an option to include a leadership competency; and one of three different leadership levels (entry, mid, or senior) and a leadership proficiency rating (basic, intermediate, or advanced).", "The user then receives a customized report with relevant competencies, career levels, a sample of the associated developmental experiences and recommended training courses.", "Department-level officials we spoke with at HHS, USDA, and Education were familiar with the Career Roadmap Report. However, almost all of the officials we interviewed at the 11 selected sub-agencies were not aware the Career Roadmap Report was available to them.", "All but one of the officials we spoke with at four HHS sub-agencies said they were unaware of the Career Roadmap Report and grants management competencies.", "While USDA\u2019s agency-wide Federal Financial Assistance Committee received a copy of the Career Roadmap Report in August 2017 and discussed it at their monthly meetings, almost all of the officials at the four USDA sub-agencies we reviewed said they had not received it. However, three sub-agency officials were familiar with the report because they had been involved with agency-wide efforts to provide grants management competency support and information. All other USDA sub-agency officials with whom we spoke were unfamiliar with the Career Roadmap Report or the grants workforce competencies.", "Almost all of the officials we interviewed at three Education sub- agencies were unaware of the Career Roadmap Report. However, one official from one sub-agency was familiar with the Career Roadmap Report as he had been part of the Career Roadmap Report development process.", "OMB staff stated they publicized the report by sending a \u201cController Alert\u201d on July 3, 2017 to agency chief financial officers and to members of the Financial Assistance Committee for E-Government notifying them of its availability and OMB\u2019s future plans to map it to existing training resources, place it on OPM\u2019s website, and develop an online interactive tool including position competencies. However, we found it difficult to locate the \u201cController Alert\u201d on the COFC website as it is not located on the same tab where the Career Roadmap Report is published but instead in a news section that users may not know to search. Further, OMB\u2019s \u201cController Alert\u201d states that it \u201cdoes not constitute official guidance or prescribe specific tasks for agencies beyond consideration of appropriate steps to address the issue.\u201d OMB did not issue any official government- wide memorandums to explain that it supported the Career Roadmap Report, or that the report included updated competencies for both the 1109 and non-1109 job series workforce.", "Our internal control standards state that management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. However, if all levels of an agency are not aware of government grants workforce competencies and guidance, the agency may not be able to ensure that grants workforce employees have the training resources needed to develop and maintain skills to achieve the objectives of grant awards."], "subsections": []}, {"section_title": "OMB Grants Training 101", "paragraphs": ["OMB also worked with federal grant-making agencies, COFAR, and the CFOC to establish Grants Training 101, a set of five online training modules designed to provide federal officials a basic knowledge of grants and cooperative agreements. According to OMB staff, the Grants Training 101 webpage states that the training is not designed to provide detailed administrative, accounting, and audit requirements specific to statutory provisions, agency regulation, and guidance because agencies need to have flexibility in designing grants training programs to meet those grant- specific statutory requirements. OMB staff said they designed the training modules in response to a request from the federal grants community for a government-wide grants management training resource to ensure some level of consistent training among grant-awarding agencies. In addition, OMB staff said it was optional for agencies to incorporate Grants Training 101 into established grants training and that each agency is responsible for the means by which they conduct grants management training.", "Only one of the agencies we reviewed had plans to include OMB\u2019s Grants Training 101 as part of its grant-training program. HHS officials said they are developing an internal online grants 101 course and plan to incorporate parts of OMB\u2019s Grants Training 101. However, most agency and sub-agency officials we spoke with did not use OMB\u2019s Grants Management 101 as part of their grants workforce training. OMB staff said that Grants Management 101 modules cover the grant lifecycle and the requirements of the Uniform Guidance, and are intended to complement other trainings that agencies provide to their grants managers. OMB staff said that agencies make the decision whether to use the Grants Training 101 modules and can integrate parts of the training modules into their agency- specific training requirements. For example, officials at one of the agencies\u2014Education\u2014stated they cover many of OMB\u2019s Grants Training 101 learning objectives through their cross-cutting grant training program courses as well as sub-agency specific training. Furthermore, OMB staff said that each agency would have to internally monitor grants employees\u2019 completion of the grants training modules."], "subsections": []}]}, {"section_title": "OMB and CFOC Do Not Collect Detailed User Data or Feedback to Determine Usefulness of Grants Training and Guidance", "paragraphs": ["OMB staff told us that OPM initially had the responsibility of hosting the first two modules of Grants Training 101 on the OPM website while the remaining three modules were under development. After these remaining modules were completed, all five of the modules were moved to the CFOC webpage. In addition, OPM was responsible for collecting the Grants Training 101 user and completion data. OMB provided us the Grants Training 101 data which totaled 1,277 users registered between December 2015 and November 2017; however, we found that the data were incomplete due to missing data fields.", "OMB staff stated that the Grants 101 training website was moved to the CFOC webpage so the general public can access it. The CFOC will not collect data on the access dates, the agency names, or the number of Grants Training 101 users; however, the CFOC will collect data on the number of visitors that go to the Grants Training 101 website. OMB staff also said that agencies can decide to track Grants Training 101 users internally because OMB and the CFOC will not collect specific data on users. In addition, OMB staff said OMB and CFOC have not collected any formal Grants Training 101 feedback from users and have no plans to do so. OMB reported that a total of 175 visitors went on the Career Roadmap Report website between September 2017 and January 2018.", "Our Standards for Internal Control in the Federal Government advise management to process data into quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis. It further states that management should also evaluate the processed information and revise when necessary so that it can be used to make informed decisions. In addition, our 2004 Human Capital Guide states that it is increasingly important for agencies to be able to evaluate their training and development programs to demonstrate how these efforts help develop employees and improve the agencies\u2019 performance. As part of this approach, the Human Capital Guide also states that assessing training and development efforts should consider feedback from employees.", "OMB, CFOC, and COFAR devoted time and multiple resources to developing the Career Roadmap Report to identify and document the competencies needed for successful job performance of federal financial assistance management professionals. Obtaining more detailed user information and regular feedback from federal agencies on the usefulness of the Career Roadmap Report and the online Career Roadmap Builder could help OMB and CFOC to evaluate the effectiveness of these grant training tools. In addition, obtaining user information and feedback from federal agencies on the usefulness of Grants Training 101 can also help OMB and CFOC evaluate its effectiveness."], "subsections": []}]}, {"section_title": "HHS, USDA, and Education Vary in Following Selected Leading Training Practices", "paragraphs": ["In 2004, we issued a framework of principles and key questions that federal agencies can use to ensure that their training and development investments are targeted strategically and are not wasted on efforts that are irrelevant, duplicative, or ineffective. Our framework identifies four components of the training and development process: (1) Planning, (2) Design and Development, (3) Implementation, and (4) Evaluation. Within each component, the guide identifies leading practices and questions for agencies to consider when assessing each of these four components. We compared current grants training practices at the selected agencies and sub-agencies with selected leading training practices from the guide. We found variation among sub-agencies in following those selected training practices.", "Planning: skills and competencies assessment. In our guide, we stated that effective workforce planning and training begins with a skills and competency assessment. A leading practice under this component is that agencies use an organization-wide knowledge and skills inventory and industry benchmarks to help identify performance problems in their workforces. We stated that workforce planning should entail the collection of valid and reliable data on such indicators as distribution of employees\u2019 skills and competencies.", "Officials we interviewed at all the selected sub-agencies explained that grants training needs are primarily identified by grants management supervisors or self-identified by grants workforce employees. The training needs are identified on an ad hoc basis during (1) manager evaluations or observations of employee performance, (2) annual and semiannual performance assessments, and (3) employee career individual development plans.", "When it came to implementing a more rigorous process involving a knowledge and skills inventory or the collection of valid and reliable data, we found varied use among the 3 agencies and 11 sub-agencies with only some employing such a method.", "The four HHS sub-agencies we reviewed assess new grants workforce employees\u2019 knowledge, skills, and abilities by identifying skills gaps when onboarding new grants workforce employees, through supervisor observation of employee performance, or employee feedback.", "In fiscal year 2015, USDA\u2019s Food and Nutrition Service (FNS) sub-agency started holding monthly meetings with its Regional Grants Management Division Directors to identify national training needs for its grants management staff. In fiscal year 2017, FNS also conducted a nationwide qualitative survey of its grants employees to identify training gaps and needs. The remaining three sub-agencies we reviewed informally identify skills gaps and training needs through ongoing discussions between supervisors and grants employees and during annual performance evaluations.", "Officials from Education\u2019s central Learning and Development office stated they issue a department-wide competency assessment and training needs assessment to the various department sub-agencies annually or bi-annually. Officials from Education\u2019s Office of Elementary and Secondary Education sub- agency told us they also conduct their own grants workforce learning needs assessment examining grants tasks, content knowledge, and general skills. Officials at the other two Education sub-agencies told us they assess skills gaps and training needs through ongoing discussions between supervisors and grants employees, supervisor observation of employee performance, and also during annual performance evaluations.", "Without a formal knowledge and skills inventory or collection of valid and reliable data on the grants workforce\u2019s skills and competencies, some sub-agencies may be limited in identifying performance problems, competency gaps, and training needs in their grants workforce.", "Design and development: using a mix of approaches, sources, and delivery. Design and Development involves identifying specific training and development initiatives that the agency will use, along with other strategies, to improve individual and agency performance. One of the leading practices under this component is choosing the most appropriate mix of centralized and decentralized management of training programs; internal and external training sources; and training delivery mechanisms (e.g., classroom, computer-based, on the job, etc.). All three agencies provide the majority of their grants training at the sub-agency level. In most cases, the sub-agencies use a mix of training sources and delivery methods in developing and implementing their grants training programs, including identifying training needs and training content, as detailed in appendix III.", "HHS and USDA primarily use decentralized approaches to grants training while Education uses a hybrid approach of centralized and decentralized grants training.", "Although there is no overarching grants training program across HHS, the department\u2019s central offices provide topic-specific training to Chief Grants Management Officers (CGMO) within each sub-agency on an ad hoc basis as new grant policies or requirements are developed. CGMOs then decide how to disseminate this information within their respective sub-agencies (e.g., through webinars, teleconferences, or ad hoc trainings). An HHS council comprised of CGMOs also meets on a quarterly or biannual basis to discuss new grants policy and requirements. Further, HHS\u2019s central grants offices are developing a foundational \u201cGrants 101\u201d course to help standardize a baseline of grants knowledge across all of HHS\u2019s sub-agencies, which they expect to complete by November 2018. Currently, the sub- agencies provide the majority of grants-specific training, which focuses on grants topics and mission requirements relevant to their specific areas.", "USDA\u2019s Office of Chief Financial Officer (OCFO) provides some required training courses across the agency such as suspension and debarment and federal appropriations law training; however, these trainings are not specific to just the grants workforce employees. The sub-agencies provide all grants-specific training.", "Of the three selected agencies, Education provides the most central office training. For example, Education\u2019s OCFO provides agency-wide training on discretionary and formula grants financial and budgetary courses; Learning and Development provides introductory grant courses; and Risk Management Services provides risk-based grants training covering topics including cost analysis, budgetary review, monitoring grants, and uniform guidance. Additionally, Education\u2019s sub-agencies provide mission- and program-specific grants training to augment the centrally provided trainings.", "Centralized and decentralized training approaches may present different advantages for agencies and sub-agencies. On the one hand, efficiencies may be achieved by centralizing the design and delivery of some grants training that has widespread applicability throughout the agency. Additionally, if each sub-agency is responsible for implementing its own grants training program, the potential exists for inconsistent grants workforce training across the agency. On the other hand, each sub- agency is able to tailor the training to its own needs when it manages and provides the training itself. In making this decision, it is important for agencies to carefully analyze and consider trade-offs.", "Implementation: establishing agency-level accountability. Implementation involves ensuring effective and efficient delivery of training and development opportunities in an environment that supports learning. One of the leading training practices under this component is an agency organization that is held accountable, along with the line executives, for the maximum performance of the workforce. According to our Human Capital Guide, there are different ways of ensuring accountability, including establishing clear lines of authority in agency policies, issuing agency-wide guidance to ensure consistency, and establishing a central oversight office, among others.", "We found variation among the three selected agencies in following this leading training practice with HHS and Education having some agency level of accountability but USDA having less.", "HHS\u2019 central Office of Grants Policy, Oversight, and Evaluation assigns desk officers to work with sub-agency CGMOs in helping them understand available training resources and needs. HHS also has an Executive Committee for Grants Administration Policy Council that meets quarterly to discuss regulations, policies, and grants administrative requirements. This committee is made up of CGMOs from each HHS sub-agency. HHS describes the roles of officials involved in overseeing grants management in an agency- wide grants policy manual.", "USDA has not defined roles for central offices to hold them accountable for grants training. While its central OCFO provides some guidance on federal financial assistance policies and grants terms and conditions, and ensures department-wide training requirements are met, USDA has no agency-wide grants training guidance, no agency-wide grants manual, or a central office that oversees grants training at the component level.", "Education officials stated that the agency has two agency-wide grants policy manuals and some Education offices have roles in overseeing grants training. For example, the central Learning and Development office provides some oversight of employee development, training programs, and providers. Further, Education officials stated that Risk Management Services oversees Education\u2019s licensure training program across the sub- agencies, and OCFO provides agency-wide training on financial management of grants.", "Holding a central office accountable for grants training can provide agencies with reasonable assurance that training is being delivered efficiently and effectively and that grant staff have sufficient developmental opportunities. In this way, agencies can better ensure the maximum performance of the grants workforce.", "Evaluation: using data to assess training results. Evaluation involves assessing the extent to which training and development efforts contribute to improved performance and results. A selected leading training practice under this component is the use of performance data (both qualitative and quantitative measures) to assess the results achieved through training and development efforts.", "The three agencies we reviewed primarily conduct evaluation at the sub- agency level. The sub-agencies vary as to how they carry out their evaluations and few use any quantitative performance measures to determine if training was successful.", "HHS officials stated the central offices do not measure the effectiveness of training, nor is there centralized information sharing on how well training works. Officials at the HHS sub- agencies we reviewed told us they primarily use informal feedback such as ongoing conversations between employees and supervisors after training completion and supervisor observations of employee performance to determine if grants training is successful. Officials at HHS\u2019 Health Resources and Services Administration also said they receive data regarding employee scores on required grants training courses. Some HHS sub- agencies use an external vendor for some grants training and employees complete a survey at the end of each of these courses, but HHS officials do not see those results. HHS officials rely on employee feedback after training completion to determine if external vendor training is effective.", "Officials at the USDA sub-agencies we reviewed told us they primarily use informal feedback through supervisory review of employee performance and employee individual development training plans; internal local level reviews and audits of grant processes; and some course completion surveys.", "Officials at Education\u2019s central Learning and Development office told us they conduct electronic course evaluation surveys. Officials at the Education sub-agencies we reviewed told us they primarily use informal feedback from employees, supervisor observation of an employee\u2019s progress after training, and some course evaluations.", "While informal, qualitative feedback from employees taking grants training is useful, it is not quantifiable or measurable. Using a balanced approach that reflects feedback from employees as well as organizational results is more effective in terms of evaluating the usefulness of grants training efforts.", "Many of the issues discussed above regarding following leading training practices stem from limited oversight of the sub-agencies, which we describe in the next section."], "subsections": [{"section_title": "Selected Agencies Provide Limited Monitoring and Oversight of Sub- agencies\u2019 Grants Training Efforts Selected Agencies Cannot Readily Identify All Employees Working on Grants and Provide Limited Oversight of Sub- Agencies\u2019 Grants Training Efforts", "paragraphs": ["As previously mentioned, the federal grants workforce consists of employees in the OPM Grants Management Specialist 1109 job series as well as employees in various other OPM job series (referred to as non- 1109s in this report). HHS and USDA both employ 1109s as well as non- 1109s in their respective grants workforces while Education only employs non-1109s. According to HHS, USDA, and Education officials, each sub- agency is responsible for identifying its grants workforce employees and ensuring they receive needed grants training. However, the central offices do not have a reporting mechanism tracking sub-agencies\u2019 grants workforce. After querying each sub-agency, at our request, officials from the three agencies provided us with data on 1109 and non-1109 grants personnel. As figure 6 shows, the majority of grants personnel at the three agencies we reviewed are non-1109 employees.", "Standards for Internal Control in the Federal Government state that, \u201cManagement should demonstrate commitment to recruit, develop, and retain competent individuals.\u201d Furthermore, internal controls state that \u201cmanagement evaluates competence of personnel across the entity in relation to established policies.\u201d Since the agencies we reviewed cannot readily identify their total grants workforce, they have limited ability to evaluate the competence of grants personnel across the entity to ensure they are receiving needed training.", "Since the three agencies we reviewed do not centrally monitor their sub- agencies\u2019 identification of grants employees, they cannot readily identify the agency\u2019s total grants workforce. Consequently, the selected agencies do not have reasonable assurance that all employees working on grants across their agency are receiving needed grants training and have the necessary knowledge, skills, and abilities to properly manage, administer, and monitor grants.", "Central offices at HHS, USDA, and Education provide limited oversight of the types of training sub-agencies provide to their grants workforce. Our Human Capital Guide identifies having an agency organization that is held accountable, along with the line executives, for the maximum performance of the workforce as a leading practice. Further, the guide states that the agency\u2019s training organization and line executives should work together to establish control mechanisms to ensure that agency employees successfully complete required and assigned training and development. Additionally, the guide states that agencies must assign authority and delegate responsibility to the proper personnel and establish clear accountability for maximizing workforce performance.", "However, as mentioned earlier, there is no overarching office responsible at the selected agencies for overseeing the types of grants training sub- agencies provide. Additionally, the central offices at the selected agencies do not evaluate sub-agency grants training efforts. We found variation among the 11 sub-agencies\u2019 grants training programs (as shown in appendix III), which highlights the importance of central office oversight for making sure the training variation is appropriate. As a result of these issues, the selected agencies do not have assurance that grants training provided across the various sub-agencies is sufficient in meeting the needs of the various employees working on grants.", "Since there is no overarching central office at any of the three agencies we reviewed actively being held accountable for sub-agency grants training programs, HHS, USDA, and Education cannot ensure that all of the sub-agencies working on grants are sufficiently training their grants employees. Without central agency oversight and accountability across sub-agency grants training programs, not all grants employees may be sufficiently trained on grants processes and procedures, which could affect grant oversight in terms of grants employees monitoring grants properly."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given the importance of grants as a tool to achieve federal objectives and the large outlays the federal government makes to fund them each year, it is critical that the people who manage these grants\u2014the federal grants workforce\u2014be well-trained to handle their responsibilities. To help provide training to this workforce, OPM, OMB, and CFOC created grants management competencies, a grants job series, some grants training, and a career roadmap. However, they have not widely publicized the roadmap and some sub-agencies we reviewed were unaware of it. Moreover, OMB and the CFOC are not collecting detailed data on users or feedback, which limits their ability to determine how useful these resources are to the federal grants workforce.", "The selected agencies varied in following selected leading training practices and they provided limited monitoring and oversight of their sub- agencies\u2019 grants training efforts. Without sufficient monitoring and oversight, the agencies cannot have reasonable assurance that their sub- agencies are sufficiently training their grants workforce so they have the necessary knowledge, skills, and abilities to properly manage, administer, and monitor the billions of dollars that the federal government spends on grants annually."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations, including two to OMB and one to each of the selected agencies in our review. Specifically: OMB\u2019s Office of Federal Financial Management\u2019s Controller (the CFOC chair) should ensure CFOC formally publicizes the Career Roadmap guidance among the 24 CFO agencies through memorandums, briefings, trainings, regular CFOC meetings, or technical assistance and clearly posts its \u201cController Alert\u201d on the CFOC website with the Career Roadmap Report. (Recommendation 1)", "The Director of OMB, working with CFOC, should (1) collect data metrics regularly on the Career Roadmap Builder online tool and Grants Training 101 to determine how widely the resources are being used, and (2) obtain periodic feedback from federal agencies on the usefulness of these tools and any needed improvements. (Recommendation 2)", "The Secretary of HHS should establish a process to monitor and evaluate HHS\u2019s grants training at the central office level. This process should include (1) a method for identifying all employees working on grants across the agency, and (2) oversight procedures to evaluate the sufficiency of sub-agencies\u2019 grants training efforts including the incorporation of leading practices related to assessing competencies, training approaches, accountability, and training results. (Recommendation 3)", "The Secretary of USDA should establish a process to monitor and evaluate USDA\u2019s grants training at the central office level. This process should include (1) a method for identifying all employees working on grants across the agency, and (2) oversight procedures to evaluate the sufficiency of sub-agencies\u2019 grant-training efforts including the incorporation of leading practices related to assessing competencies, training approaches, accountability, and training results. (Recommendation 4)", "The Secretary of Education should establish a process to monitor and evaluate Education\u2019s grants training at the central office level. This process should include (1) a method for identifying all employees working on grants across the agency, and (2) oversight procedures to evaluate the sufficiency of sub-agencies\u2019 grants training efforts including the incorporation of leading practices related to assessing competencies, training approaches, accountability, and training results. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to Education, HHS, OMB, OPM, and USDA for review and comment. In written comments reproduced in appendixes IV and V respectively, HHS concurred and Education generally concurred with our findings and recommendations directed at them. Both agencies described the steps they were taking to implement our recommendations. In an email, the Chief Learning Officer said that USDA concurred with our findings and recommendation. In an email, a Management Analyst said that OPM had no comments on the draft report.", "OMB staff provided us with oral comments stating that the agency partially concurred with our first two recommendations. Specifically, for our first recommendation, OMB generally agreed with our finding that the Career Roadmap guidance should be better publicized. However, OMB believes this is not its responsibility but rather the responsibility of federal agencies. OMB stated that federal agencies could incorporate a method into their improvement plans to ensure that sub-agencies are made aware of the Career Roadmap Guidance. We believe that, as the federal government\u2019s central management agency and developer of the Career Roadmap, OMB has a responsibility for ensuring that federal agencies are aware of the Career Roadmap guidance by formally publicizing it through memorandums, briefings, trainings, regular CFOC meetings, or technical assistance.", "For the portion of our first recommendation that discusses clearly posting the \u201cController Alert,\u201d OMB stated it will look at the alert\u2019s placement on the CFOC website to see if the agency can make it more prominent. We continue to believe that the \u201cController Alert\u201d should be easily accessible to anyone visiting the website and should be located on the same page as the Career Roadmap, where it would have greater visibility.", "For our second recommendation, OMB agreed that user feedback data regarding the Career Roadmap Builder and Grants Training 101 is useful. However, OMB stated that while it will continue to collect data on the number of users, it believes that federal agencies should be responsible for collecting specific, detailed user data if they are using those resources. We continue to believe that OMB and CFOC would benefit from collecting specific, detailed user data on these tools, which they devoted time and multiple resources to developing. Collecting detailed data metrics that go beyond the number of users can help OMB and CFOC to better evaluate the effectiveness of these grants training tools. Additionally, OMB stated the agency is committed to working with CFOC to review the Grants Training 101 module to determine how useful it is and if any improvements or adjustments are needed.", "All five agencies provided technical comments on the report draft, which we incorporated where appropriate.", "We are sending copies of this report to the Secretaries of Education, HHS, and USDA and to the Directors of OMB and OPM. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Comparison of Federal Acquisition Training and Grants Workforce Training", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Grants Workforce by Job Series for Health and Human Services, Agriculture, and Education as of March 2018", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Grants Training Programs at the Departments of Health and Human Services, Agriculture, and Education", "paragraphs": ["The Department of Health and Human Services (HHS). HHS is a large agency with 11 sub-agencies administering a wide variety of health and human services that takes a decentralized approach to training its grants workforce. While HHS\u2019 central Assistant Secretary for Financial Resources (ASFR) office provides grant policy and regulatory guidance updates to HHS sub-agencies, ASFR officials said they leave the decision on how to implement grants training to each of those sub-agencies. The selected sub-agencies we reviewed\u2014the Administration for Children and Families, Centers for Medicare and Medicaid Services, Health Resources and Services Administration, and National Institutes of Health\u2014all implement their own grants training programs and procedures.", "The four sub-agencies at HHS that we reviewed take different approaches in how they implement their respective grants training programs. For example, some sub-agencies require that grant personnel take required courses while others make them optional; some provide internal grants training while others also use the services of an external training vendor; and some require certification while others make it optional. Table 3 highlights some of the grants training programs\u2019 characteristics at the four HHS sub-agencies we reviewed.", "The Department of Agriculture (USDA). USDA is made up of 29 agencies and offices at more than 4,500 locations across the country and abroad. While its central Office of the Chief Financial Officer (OCFO) provides some guidance on federal financial assistance policies and grants terms and conditions, and ensures department-wide training requirements are met, it, like HHS, leaves the decision on how to implement grants training to each of its sub-agencies. The selected sub- agencies we reviewed\u2014the Food and Nutrition Service, Forest Service, National Institute of Food and Agriculture, and Rural Development\u2014all implemented their own respective grants training programs and procedures. Table 4 highlights some of the grants training programs\u2019 characteristics at the four USDA sub-agencies we reviewed.", "The Department of Education (Education). Education approaches grants training by combining both centralized and decentralized approaches for its eight principal offices that conduct grant work. Education\u2019s central OCFO offers broad financial grants training such as Oversight of Financial Management of Ed Formula/Discretionary Grants and Discretionary Grant Budget Reviews. Education\u2019s central Learning and Development office offers broad introductory grants training such as Introduction to Grants and Cooperative Agreements, Uniform Administrative Guidance, and Cost Principals. According to Education officials, Education\u2019s Risk Management Services (RMS) offers risk management-based grants training including Discretionary Grants Overview, Conducting a Cost Analysis and Budget Review, Monitoring Grants, Suspension and Debarment, and Risk Assessment and Risk Mitigation. RMS also manages Education\u2019s licensing program and oversees training for new license holders geared towards grants administration.", "In addition to these central office trainings, each Education sub-agency also provides specific training tailored for its mission as verified by the three Education sub-agencies we reviewed\u2014the Office of Special Education and Rehabilitative Services (OSERS), the Office of Elementary and Secondary Education (OESE), and the Office of Post-Secondary Education. For example, according to Education officials, OSERS trains grant staff on the Individuals with Disabilities Education Act grant application review process, and OESE recently identified a need for and developed and taught a course on improving the grantee communication process. Table 5 highlights some of the grants training programs\u2019 characteristics at the three Education sub-agencies we reviewed."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom James (Assistant Director), Jyoti Gupta (Analyst-in-Charge), Benjamin Adrian, Dawn Bidne, Jeff DeMarco, Karin Fangman, Joseph Fread, Robert Gebhart, Shirley Hwang, Serena Lo, Sharon Miller, Meredith Moles, Steven Putansu, Kayla Robinson, Robert Robinson, Cynthia Saunders, Stewart Small, and Dan Webb made key contributions to this report."], "subsections": []}]}], "fastfact": ["The federal government awards billions of dollars in grants to state and local governments each year for everything from children's health insurance to higher education.", "We looked at the training federal grants managers receive at selected agencies. We found that while agencies provided some training and the Office of Management and Budget developed some career assistance resources, none had evaluated the effectiveness of their efforts.", "We made 5 recommendations, including that:", "OMB better publicize and evaluate available career resources", "Health and Human Services, USDA, and Education take steps to better evaluate their grants training"]} {"id": "GAO-18-218", "url": "https://www.gao.gov/products/GAO-18-218", "title": "Military Housing Privatization: DOD Should Take Steps to Improve Monitoring, Reporting, and Risk Assessment", "published_date": "2018-03-13T00:00:00", "released_date": "2018-03-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 1996 Congress provided DOD with authorities enabling it to obtain private-sector financing and management to repair, renovate, construct, and operate military housing. DOD has since privatized 99 percent of its domestic housing.", "The Senate Report accompanying a bill for the National Defense Authorization Act for 2017 included a provision that GAO review privatized military housing projects and the effect of recent changes in the basic allowance for housing on long-term project sustainability. This report examines the extent to which DOD has (1) assessed and reported the financial condition of each privatized housing project; (2) assessed the effects of recent reductions in the basic allowance for housing on privatized housing; and (3) defined notification requirements for project changes and risk tolerances relative to privatized housing goals. GAO reviewed policies, project oversight reports, and financial statements, and interviewed DOD officials and privatized housing developers."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has regularly assessed the financial condition of its privatized housing projects; however, it has not used consistent measures or consistently assessed future sustainment (that is, the ability to maintain the housing in good condition), or issued required reports to Congress in a timely manner. Specifically:", "Some data used to report on privatized housing across the military services are not comparable. For example, there are inconsistencies among the projects in the measurements of current financial condition (for example, the ability to pay debts and maintain quality housing).These differences have not been identified in reports to Congress.", "The military departments vary in the extent to which they use measures of future sustainment, and information regarding the sustainment of each of the privatized housing projects has not been included in the reports to Congress.", "DOD's reporting to Congress has not been timely. DOD is statutorily required to report to Congress the financial condition of privatized housing projects on a semiannual basis, but it has not reported on any fiscal year since 2014.", "By taking steps to improve the consistency of the information provided and meet the reporting requirement, DOD would provide decision makers in Congress with useful, timely information about the financial condition of the privatized housing projects as they provide required oversight.", "DOD has not fully assessed the effects of reductions, relative to calculations of market rates for rent and utilities, in servicemembers' basic allowance for housing payments on the financial condition of its privatized housing projects. In August 2015, DOD required the military departments to review their privatized housing portfolios and outline any effects of the reductions. Each military department reported that the reductions would decrease cash flows to their long-term sustainment accounts. However, the reports did not specify the significance of the reductions on each project's future sustainment or identify specific actions to respond to shortfalls at individual projects. If DOD fully assesses the effects of the basic allowance for housing reductions on privatized housing and identifies actions to respond to any risks, DOD and Congress will be better informed to make decisions affecting the projects.", "DOD has not defined when project changes require prior notice to the Assistant Secretary of Defense for Energy, Installations, and Environment or its tolerance for risk relative to its goal of providing servicemembers with quality housing, including the risk from reduced sustainment funding. Specifically, the military departments had different understandings of when project changes, such as financial restructurings, required prior notice. Additionally, DOD has not required the military departments to define their risk tolerances\u2014the acceptable level of variation in performance relative to the objectives\u2014regarding the future sustainability of the projects. By clearly defining the conditions that require advance notification and developing risk tolerance levels, DOD would have consistent information that would improve its oversight of privatized housing and inform its response to any future sustainment challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations, including that DOD improve the consistency and timeliness of the information reported on the financial condition of its privatized housing projects, fully assess the effects of the reductions in basic allowance for housing on the projects, clarify when project changes require notice, and define tolerances for project risks. DOD concurred with each of our recommendations and identified actions it plans to take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the mid-1990s, the Department of Defense (DOD) had designated nearly two-thirds of its domestic family housing inventory as needing repair or complete replacement. At the time, DOD estimated that it would need about $20 billion in appropriated funds and up to 40 years to eliminate the poor quality housing through new construction or renovation using the traditional military construction approach. DOD became concerned that the poor quality of its housing was having a negative effect on servicemembers\u2019 quality of life and detracting from readiness by contributing to servicemembers\u2019 decisions to leave the military. To enable DOD to privatize its housing, Congress provided the department with a variety of authorities to obtain private-sector financing and management to repair, renovate, construct, and operate military housing. In more than a decade since, the military departments have worked with private-sector developers who have rebuilt and renovated the housing. These developers now operate 99 percent of domestic military family housing, as well as a limited amount of housing for unaccompanied military personnel. The developers rely on servicemembers\u2019 basic allowance for housing payments as a key revenue source for this privatized housing, but DOD began reducing these payments in 2015.", "Since 1998, we have conducted various reviews related to military housing privatization and the basic allowance for housing. In 2009, we reported, among other things, that some privatization projects with occupancy rates below 90 percent were challenged in generating enough revenue to fund construction, make debt payments, and set aside funds for future major renovations and rebuilds. We also stated that turmoil in the financial markets had reduced available construction funds, resulting in more renovations relative to new construction and reduced amenities at some projects. We recommended, among other things, that DOD include information in its reports to Congress on the effects that current financial market conditions have on housing projects. DOD agreed with our recommendations, and in its February 2010 semiannual status report to Congress included more detailed information on the financial performance of ongoing projects. In 2011, we reported that DOD uses a data-intensive process to set housing allowance rates, but that enhancements related to data collection and definitions for data collection, as well as cost estimating for budget estimates, could enhance the process. We recommended, among other things, that DOD assess the benefits and drawbacks of revising its definition of \u201cavailable\u201d housing for data collection purposes, and that it develop a communications process for installations to share information on housing tools. DOD generally concurred with our recommendations and took steps to implement them. In 2014, we reported, among other things, that the military services conducted several analyses and considered several other factors to determine whether to privatize housing for unaccompanied personnel. The Army and Navy concluded that privatization could be used under a narrow set of circumstances at specific installations, and the Air Force and Marine Corps concluded that privatization was not suitable for meeting any of their unaccompanied housing needs. We did not make any recommendations in that report.", "The Senate Armed Services Committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to review privatized military housing projects and the effect of recent changes in servicemembers\u2019 basic allowance for housing on the long-term sustainability of the projects. In this report, we examine the extent to which DOD has (1) assessed and reported the financial condition of each privatized housing project; (2) assessed the effects of recent reductions in the basic allowance for housing on privatized housing, and identified any other challenges and options to address those challenges; and (3) defined notification requirements for project changes and risk tolerances relative to privatized housing goals.", "For objective one, we reviewed DOD guidance on the oversight and management of privatized military housing and documentation used by each military department to oversee the financial condition of each of their privatized housing projects. This included documentation on each of their portfolios as a whole through portfolio-wide oversight reports, monthly and quarterly reports on each privatized housing project, and the projects\u2019 audited financial statements from fiscal years 2013 to 2016. We also reviewed DOD\u2019s annual report to Congress on privatized housing, as well as data for privatized housing projects from fiscal years 2013 through 2016. We met with officials involved in the oversight and management of privatized housing to discuss their oversight and management of the financial condition of privatized housing projects. Additionally, we examined the differences among and within the military departments in determining the financial condition of their projects. We compared the extent of DOD\u2019s actions to assess and report the financial condition of each privatized housing project with DOD\u2019s housing policy and federal internal control standards related to quality information. For this and each of our objectives, we visited a non-generalizable sample of privatized housing projects.", "For objective two, we reviewed DOD guidance on applying reductions in the basic allowance for housing to privatized military housing, as well as other documentation on DOD\u2019s reductions in basic allowance for housing payments. Specifically, we reviewed the military departments\u2019 reports on the projected effects of the reductions in basic allowance for housing on their portfolios and quarterly project oversight reports from fiscal years 2016 and 2017 to identify challenges and options to address challenges. We interviewed officials from each military department involved with privatized housing, officials at the installations in our non-generalizable sample involved in privatized housing, and officials of five leading privatized housing developers for their perspectives on challenges to their privatized housing and options to address them. We reported examples of challenges that were identified by at least two of the three military departments. Additionally, we interviewed officials at the Defense Travel Management Office for information on the basic allowance for housing calculations and military department officials for their perspectives on the reductions in the basic allowance for housing. We compared military department reports on the projected effects of the reductions in the basic allowance for housing with federal internal control standards related to risk assessment. We also reviewed policy guidance on DOD\u2019s privatized housing responsibilities to determine the level of authority needed for the options to address challenges.", "For objective three, we reviewed DOD guidance on oversight and management of privatized military housing, interviewed DOD and developer officials responsible for privatized housing, and reviewed DOD documentation. Specifically, we reviewed DOD housing policies and guidance and military department guidance on overseeing privatized housing. We also interviewed officials familiar with notification processes for changes to privatized housing projects and with approaches to managing risks to privatized housing projects, and officials in the Office of Management and Budget familiar with privatized military housing. We compared the extent to which DOD has defined notification requirements for project changes and the extent to which DOD has defined risk tolerance for privatized housing with federal internal control standards related to internal communication and risk assessment. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from December 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD Goals, Roles, and Responsibilities for the Privatized Housing Program", "paragraphs": ["DOD\u2019s policy is to ensure that eligible personnel and their families have access to affordable, quality housing facilities and services consistent with grade and dependent status, and that the housing should generally reflect contemporary community living standards. It is also DOD\u2019s policy to rely on the local private sector as the primary source of housing for servicemembers who are normally eligible to draw a housing allowance, whether unaccompanied or accompanied by family. About a third of eligible servicemembers generally live on an installation, with the rest living in the surrounding local communities.", "The Assistant Secretary of Defense for Energy, Installations, and Environment (ASD (EI&E)) is the program manager for all DOD housing, whether DOD-owned or privatized. In this capacity, the ASD (EI&E) provides guidance and general procedures related to military housing privatization. One responsibility of ASD (EI&E) is to provide required reports to Congress on privatized military housing projects. However, it is the responsibility of the military departments, rather than ASD (EI&E), to execute and manage privatized housing projects, including conducting financial management and monitoring their portfolio of projects. Each military department has issued guidance that outlines its responsibilities for privatized housing, such as key offices responsible for overseeing privatized housing projects. For each privatized military housing project, developers maintain day-to-day operational decision making and manage each project."], "subsections": []}, {"section_title": "Military Housing Privatization Authorities and Project Structures", "paragraphs": ["The military housing privatization initiative provided DOD with various authorities to obtain private-sector financing and management to repair, renovate, construct, and operate military housing. These authorities included the ability to make direct loans to and invest limited amounts of funds in projects for the construction and renovation of housing units for servicemembers and their families. The projects were generally financed through both private-sector financing and funds provided by the military departments. Specifically, projects obtained private-sector financing by obtaining bank loans and by issuing bonds, which are held by the public. In addition, the military departments provided additional financing. The Army and the Navy generally structured their privatized housing projects as limited liability companies in which the military departments formed partnerships with the developers and invested funds into the partnership. The Air Force generally provided direct loans to the developers. Because privatized housing projects involve budgetary commitments of the federal government, each project was scored at inception by the Office of Management and Budget to determine the amount of funds that needed to be budgeted for that particular project.", "The number of projects can change over time. For example, a project may be sold, and new projects can be created. As of October 2017, there were 82 privatized military housing projects, each of which can consist of one or multiple installations. The Army has 35 projects, the Navy and Marine Corps together have 15, and the Air Force has 32. Most of these are family housing projects, but the Army and Navy have created a small number of privatized housing projects for servicemembers without families (that is, unaccompanied housing).", "The military departments have flexibility in how they structure their privatized housing projects, but project structures share certain similarities. For a typical project, a military department leased land to a developer for a 50-year term and conveyed existing homes located on the leased land to the developer for the duration of the lease. The developer then became responsible for leasing renovated and newly constructed homes, giving preference to servicemembers and their families.", "Each privatized housing project is a separate and distinct entity governed by a series of legal agreements that are specific to that project. These agreements include, among others, an operating agreement, a property management agreement, and an agreement that describes the management of funds in the project, including the order in which funds are allocated within the project. However, while each project is distinct, there are some common elements in how projects invest and utilize funds. Every project takes in revenue, which consists mostly of rent payments. Projects then pay for operating expenses, including administrative costs, day-to-day maintenance, and utilities, among other things. After that, projects generally allocate funds for taxes and insurance, followed by debt payments. Figure 1 shows a typical funding structure for a privatized housing project.", "In the typical privatized housing project depicted in figure 1, once debt payments are made, funds are allocated to accounts that fund scheduled maintenance. These accounts exist to fund repair and replacement of items such as roofs, heating and cooling systems, and infrastructure. After that, funds are allocated to a series of management incentive fees, such as the property management fee. Finally, the project divides these remaining funds according to a fixed percentage between accounts that fund major renovations and rebuilds on the one hand and go the developer on the other hand. The percentages may vary, but the majority of funds go toward the accounts funding major renovations and rebuilds."], "subsections": []}, {"section_title": "Housing Allowance and Occupancy of Privatized Housing", "paragraphs": ["DOD\u2019s Defense Travel Management Office annually calculates rent and utility rates for locations across the United States based on estimates of local market conditions, which are then adjusted for an individual\u2019s pay grade and dependency status. These calculations, which can fluctuate from year to year, are then used to determine individual servicemembers\u2019 monthly basic allowance for housing payments. DOD does not require servicemembers, other than certain key personnel and junior unaccompanied personnel, to live on an installation and thus in military privatized housing. Because only about a third of eligible servicemembers generally live on an installation, the basic allowance for housing payment is designed to enable servicemembers to live off-base comparably to their civilian counterparts. Servicemembers pay their rent\u2014whether living on the installation or off\u2014with their basic allowance for housing payments. Therefore, DOD\u2019s privatized housing competes with available housing options in the local market.", "Active-duty servicemembers are given priority for privatized military housing. However, projects can advertise and lease to tenants other than active-duty servicemembers, including civilians in some cases, generally once occupancy dips below a specific level. For example, the Air Force has approved leasing to other tenants when any given project\u2019s occupancy rate falls below 98 percent."], "subsections": []}]}, {"section_title": "DOD Regularly Assesses Projects\u2019 Financial Conditions but Has Not Consistently Assessed Future Sustainment Needs or Issued Required Reports to Congress", "paragraphs": ["DOD regularly assesses the financial condition of its privatized housing projects through recurring internal reporting by the military departments on each of their projects; however, key data on current financial conditions are not mutually comparable. Moreover, the military departments vary in the extent to which they use measures of future sustainment needs and funding to assess project sustainability. In addition, DOD has not consistently issued required reports to Congress on the financial condition of privatized housing projects in a timely manner."], "subsections": [{"section_title": "The Military Departments Regularly Assess the Financial Condition of Their Privatized Housing Projects", "paragraphs": ["The military departments regularly assess the current financial condition of their privatized housing projects through internal, recurring monthly or quarterly financial reporting. DOD policy requires the military departments to manage their housing, including privatized housing, through financial management and reporting. DOD\u2019s housing manual states that because housing privatization projects create a long-term governmental interest in privatized housing, it is essential that projects be monitored attentively, and that the military departments monitor their portfolios of projects. Specifically, each military department produces\u2014based on information provided by each project\u2014or receives from each project quarterly or monthly reports detailing the financial condition of each individual privatized housing project. Each military department also produces periodic reports on the condition of its portfolio as a whole. These reports include financial measures such as revenue and operating expenses, as well as a measure of the ability to make required debt payments, referred to as debt coverage ratio or debt service coverage ratio.", "In their assessments, each military department emphasizes somewhat different measures of current financial condition, although each uses debt coverage ratio as a key measure of the current financial condition of privatized military housing projects. Specifically, in its portfolio-wide reports, the Army uses three key performance metrics to measure financial condition\u2014a measure of revenue, net operating income, and the debt coverage ratio. The Air Force also rates projects\u2019 financial condition based on three metrics, but the metrics differ from those used by the Army. The Air Force\u2019s metrics are operating expenses compared with budgets, net operating income compared with the original project plan, and debt coverage ratio. In its portfolio-wide reports, the Navy provides debt coverage ratio as its measure of current financial condition. Regardless of the different metrics used, the military departments rated almost all of the privatized housing projects as having acceptable current financial conditions. Specifically:", "Army: For the quarter ending June 30, 2017, all 34 Army projects generated enough cash to continue operations and make required debt payments, according to the Army\u2019s portfolio-wide reporting. However, the Army rated 8 family housing and 4 unaccompanied housing projects as below or well below expectations, in terms of current finances. For example, the Army rated the project at Fort Bragg, North Carolina, as being well below expectations, due to occupancy challenges resulting from off-post competition and higher- than-expected expenses.", "Navy and Marine Corps: For the 6 months ending June 30, 2017, all 16 Navy and Marine Corps projects were generating enough cash to continue operations and make required debt payments, according to the Navy\u2019s portfolio-wide reporting. However, 5 of the 16 projects were on a watch list, due to financial challenges. For example, the Marine Corps\u2019 project comprising Camp Lejeune, North Carolina; Marine Corps Air Station Cherry Point, North Carolina; and Stewart Air National Guard Base, New York was experiencing low occupancy rates due to local market competition, and as such was included on the watch list.", "Air Force: For the quarter ending June 30, 2017, the Air Force rated 27 of its 32 projects\u2019 current finances as acceptable or exceptional. However, the Air Force rated 2 of its 32 projects as unacceptable, and 3 as marginal, for current finances, according to Air Force portfolio- wide reporting. For example, the Air Force rated the Nellis Air Force Base project in Nevada as having an unacceptable current financial condition as of June 2017. In March 2017, the Office of Management and Budget approved the budgetary scoring of a financial restructuring of the project. In the restructuring, the Air Force reduced the interest rate on the government\u2019s direct loan to the project and extended the loan\u2019s maturity date, redistributed residual project cash flows, and reduced certain returns due to the developer. In another example, the Air Force rated the Air Combat Command II project, which comprises Holloman Air Force Base, New Mexico, and Davis- Monthan Air Force Base, Arizona, as having a marginal current financial condition as of June 2017. Specifically, basic allowance for housing rates for the project were only 85 percent of original expectations, and the project was unable to compensate for that shortfall by controlling expenses. The Office of Management and Budget has approved the budgetary scoring of a financial restructure of the project, including a reduction in the interest rate on the government\u2019s loan to the project and a reduction in certain returns and fees previously owed to the developer."], "subsections": []}, {"section_title": "Data on Current Financial Condition of Privatized Housing Projects Reported to the Office of the Secretary of Defense and Congress Are Not Comparable", "paragraphs": ["Based on our analysis, data on the current financial condition of privatized housing projects that have been reported by the military departments to ASD (EI&E) and Congress have not been comparable because (1) there are inconsistencies in the calculation of the reported debt coverage ratios, and (2) the data requested have not followed consistent time periods. Debt coverage ratios are a key measure used by the military departments to report on the current financial condition of privatized housing projects, and the measures are also the main financial measure for privatized housing projects that DOD has previously reported to Congress. However, we found the following inconsistencies in the debt coverage ratio data reported to ASD (EI&E):", "Adjustments made to income for the purposes of calculating debt coverage ratios affect the ratios\u2019 consistency: The expenses that are or are not included in a project\u2019s calculation of the debt coverage ratio are dictated by each project\u2019s business agreements. ASD (EI&E) defines debt coverage ratio as the project\u2019s net operating income\u2014 income remaining after all project expenses are paid, but before debt service and depreciation\u2014divided by its required debt payments. However, we found that in practice, projects make various adjustments to net operating income for the purposes of calculating debt coverage ratios. These adjustments may include adding or subtracting from net operating income any of the following: sustainment fund deposits; various types of management fees, including performance incentive fees and asset management fees; certain utility costs; and taxes. Military department officials stated that the debt coverage ratios calculated using these adjustments, while different for different projects, are accurate and appropriate. However, while the calculation methods may be sufficient for any given project, the differences in calculation methods reduce the comparability of the data.", "Different project accounting methods affect the comparability of debt coverage ratios: Some projects conduct financial accounting based on the amount of cash received or paid during the period (referred to as cash basis accounting), while other projects do so based on when revenue is earned and when expenses are incurred, regardless of when cash is received or paid (called accrual basis accounting). These accounting differences can significantly affect the debt coverage ratio. For example, a cash basis project may have cash on hand to pay its debt obligations, but not enough to cover future expenses that would have been recognized under an accrual project. The specific accounting method used reflects each project\u2019s particular business agreements, but the differences in accounting methods reduce the comparability of the debt coverage ratios across the projects.", "Moreover, as the program manager for all DOD housing, ASD (EI&E) requested debt coverage ratio data across varying time frames for required reports to Congress on privatized housing projects. Specifically, ASD (EI&E) has alternated between requesting annual average debt coverage ratio data and requesting data as of the end of the reporting period, thus reducing the comparability of the data over time. In instructions for its fiscal year 2014 data collection, the office requested the average debt coverage ratio over the full fiscal year; in instructions for its fiscal year 2015 data collection, it requested data as of the end of the reporting period; and in its fiscal year 2016 data collection, the office again requested data for the average over the full fiscal year.", "Furthermore, the instructions provided by ASD (EI&E) to the military departments for fiscal year 2015 did not specify the time period of the data to be reported. Therefore, each military department provided a different time period of data in response, further reducing the comparability of the data. Specifically, one of the military departments provided quarterly data, another military department provided data for the full year, and the other military department provided one-month data, according to military department officials.", "Using data from different time periods not only reduces their comparability, but also can produce a different outlook on a project\u2019s financial condition. For example, we found that debt coverage ratios for a single fiscal quarter can be significantly different from the ratio for the same project for the full fiscal year. In some cases, a quarterly ratio showed insufficient funds to continue operations and make required debt payments, while the full-year ratio showed sufficient funds for that purpose. Conversely, another project\u2019s ratios showed the single quarter as having sufficient funds, but the full year as having insufficient funds. ASD (EI&E) officials stated that data for previous reports were collected by different staff in that office and that the current officials were not sure why the time period for fiscal year 2015 data collection was different from that of the other two fiscal years.", "Standards for Internal Control in the Federal Government states that management should use quality information and externally communicate the necessary quality information to achieve the entity\u2019s objectives. Information, among other things, should be complete and understandable. This involves processing data into information and then evaluating the processed information so that it is quality information. The standards also state that management should obtain relevant data from reliable sources, which provide data that are reasonably free from error and faithfully represent what they purport to represent.", "However, in prior reports to Congress, ASD (EI&E) did not clarify the differences in how debt coverage ratios were calculated, resulting in information that lacked full context. Moreover, the information provided by the military departments to ASD (EI&E) and to Congress to conduct their oversight activities has not been consistent and comparable because ASD (EI&E) has not revised its guidance on privatized housing to ensure that data reported to Congress, such as data on debt coverage ratios, are consistent in terms of time periods. Officials in ASD (EI&E) acknowledged that the differences in debt coverage ratio calculation methods and project account methods can affect the comparability of the data. They also noted that in the future they plan to continue the annual time period for data collection and reporting, though they did not identify any additional steps they plan to take to ensure consistent and comparable data. Without contextual information on how the military departments calculate debt coverage ratios\u2014a key measure of the current financial condition of privatized housing projects\u2014and on the effect these differences have on comparing the data across projects, data reported to Congress may not be fully useful in supporting congressional oversight of privatized military housing. Additionally, by revising guidance to ensure that data reported to Congress are comparable (that is, across the same time frames), ASD (EI&E) will provide additional assurance that DOD and Congress will have quality information on which to base decisions regarding privatized housing projects."], "subsections": []}, {"section_title": "The Military Departments Have Varying Methods of Assessing a Project\u2019s Sustainability", "paragraphs": ["During the course of our review, we found that the military departments take different approaches in assessing a project\u2019s sustainability (that is, future sustainment needs and funding). Army officials stated that the Army validates project sustainment plans, and is developing, but has not yet implemented, a model to independently assess project sustainability. The Navy validates sustainment plans generated by the developers managing its projects. In addition to reviewing developers\u2019 sustainment plans, the Air Force conducts an independent analysis of each project\u2019s sustainment needs by conducting site tours of each project location and by using its own financial model to forecast sustainment needs, according to Air Force officials. The Air Force then compares its analysis with that of the developer. In most cases, according to Air Force officials, this comparison has shown that the Air Force\u2019s estimates of sustainment needs were greater than the developer\u2019s original estimates, which would require additional sustainment funding beyond what the developer estimated.", "Moreover, the military departments do not all use measures of future sustainment for their internal portfolio-wide reports on privatized housing projects. Specifically:", "Army: The Army does not include a measure of future sustainability among the key finance performance metrics it emphasizes in its portfolio-wide oversight reports. The Army tracks the balance of funds for long-term major renovations and rebuilds as compared with expectations, but it does not include a measure of expected future sustainment needs versus funding in its portfolio-wide reports. As of June 2017, seven Army projects had fallen below expectations in current funding levels for long-term major renovations and rebuilds, according to the Army\u2019s portfolio-wide report for the quarter ending June 2017.", "Navy: In its portfolio-wide reports, the Navy includes a measure of sustainability. Specifically, the reports show modeled surpluses or shortfalls in sustainment funding through the term of each project. As of June 30, 2017, the Navy reported five projects expecting shortfalls in sustainment funding, four of which the Navy anticipated would require project plan modifications to address the shortfalls.", "Air Force: In its portfolio-wide reporting, the Air Force has adopted measures of long-term financial condition, including measures of future sustainment funding. Specifically, the Air Force gives each project a \u201clong-term outlook\u201d rating. This rating includes measures of projected sustainment funding levels relative to projected needs, among other measures. As of June 30, 2017, the Air Force rated 6 of its 32 projects as having \u201cunacceptable\u201d long-term outlooks, and another 6 as having \u201cmarginal\u201d long-term outlooks. For example, the Air Force considered the Air Combat Command II project, which comprises Holloman Air Force Base, New Mexico, and Davis- Monthan Air Force Base, Arizona, to have severely underfunded planned maintenance funds and a projected inability to meet any future needs for major renovations and rebuilds, due to lower-than- expected basic allowance for housing levels.", "DOD guidance states that because privatization creates a long-term governmental interest in privatized housing, it is essential that projects be attentively monitored. DOD has recognized that a lack of sustainment funding can decrease the desirability of housing over time, thus reducing occupancy and further jeopardizing financial stability. However, DOD has not required the military departments to incorporate measures of future sustainment into their assessments of privatized housing projects. Measures of current financial condition, such as the ability to make debt payments, do not necessarily indicate the ability of a project to fund its sustainment accounts sufficiently to maintain housing quality in the future. A project may generate enough revenue to cover operating expenses and make required debt payments, but the level of projected funding available for planned renovations over the course of the project may still be insufficient, as shown by Navy and Air Force portfolio-wide oversight reports. The Navy and Air Force include measures of future sustainment needs and funding in their portfolio-wide oversight. While Army officials stated that the Army regularly reviews sustainment funding levels, the Army does not include forecasts of future sustainment needs and funding in its portfolio-wide assessment reports because they are not required by ASD (EI&E). Without a requirement to include sustainment measures in their oversight of privatized housing projects, military department officials may choose to review such measures or not. If ASD (EI&E) does not require the military departments to include measures of future sustainment in their assessments of privatized housing projects, the military departments may not consistently incorporate such measures into their portfolio-wide assessments, and therefore the military departments and ASD (EI&E) may not have sufficient oversight of the projects\u2019 future sustainability. ASD (EI&E) officials agreed that such a requirement would help ensure that the military departments are consistent in their oversight of future sustainment."], "subsections": []}, {"section_title": "DOD Has Not Met the Requirement for Financial Oversight Reports to Congress in a Timely Manner and Has Not Included Sustainability Information on Each Privatized Housing Project", "paragraphs": ["DOD has not consistently provided required reports to Congress in a timely manner, and as a result Congress does not have up-to-date information on the financial condition of privatized housing. Section 2884(c) of Title 10 of the United States Code requires the Secretary of Defense to report semiannually an evaluation of the status of oversight and accountability measures for military housing privatization projects, including, among other things, information about financial health and performance and the backlog of maintenance and repair. DOD provided a report covering fiscal year 2013 to Congress in November 2014, and then did not provide another report, covering fiscal year 2014, until October 2017. ASD (EI&E) officials stated that they have not provided the reports in a timely manner in recent years due to staff turnover and limited resources, as well as efforts to ensure the quality of the data included in the reports. An ASD (EI&E) official stated that DOD is planning to resume timely reporting, with a consolidated report covering fiscal years 2015 and 2016 to be submitted to Congress in the second quarter of fiscal year 2018, and a report covering fiscal year 2017 to be submitted in late fiscal year 2018.", "Furthermore, in prior reports submitted to Congress, ASD (EI&E) has not reported information on the future sustainment of each privatized housing project. The statute does not require the reporting of information on future sustainability for each project. However, ASD (EI&E) has noted that long- term sustainability has become a priority as projects have completed their initial development periods, and therefore information on future sustainment has become more critical to understanding the projects\u2019 financial health.", "Standards for Internal Control in the Federal Government states that management should use quality information and externally communicate the necessary quality information to achieve the entity\u2019s objectives. In the past, DOD has not consistently reported on the financial condition of privatized housing projects to Congress and in cases where data were reported, the department focused its reports on measures of current financial health such as debt coverage ratios, which do not provide information about the future sustainment of the projects. An ASD (EI&E) official stated that the office will streamline the report\u2019s narrative while adding additional details to figures as a means to expedite future report submission, but the official did not provide additional details of how future reports will be completed in a more timely fashion. ASD (EI&E) officials also stated that in the past they were focused on the initial implementation phases of the privatized housing projects and are now shifting to focus on sustainment, but they have not provided sustainment information on each project to Congress. ASD (EI&E) officials agreed that it would be beneficial to include information on sustainment in their reports to Congress. If DOD does not take steps to comply with statutory time frames for reporting on the financial condition of privatized housing projects moving forward, decision makers in Congress will not have up-to- date information about financial conditions of projects as they provide oversight of a program that represents a long-term commitment for the department. Furthermore, reporting financial information on the future sustainability of projects will help provide Congress a complete picture of the financial condition of each project."], "subsections": []}]}, {"section_title": "DOD Has Not Fully Assessed the Effects of the Basic Allowance for Housing Reductions but Has Identified Other Privatized Housing Challenges and Options to Address Them", "paragraphs": ["DOD has completed some analysis of the projected effects of recent reductions in the basic allowance for housing on its privatized housing portfolios, but it has not fully assessed the significance of the effects on the future sustainment of each of its privatized housing projects. Moreover, DOD has not identified a course of action to address possible shortfalls resulting from the reductions in the basic allowance for housing. The military departments have also identified a variety of other challenges that could affect the financial condition of their privatized housing projects, including reductions in assigned personnel and the higher-than-expected cost of utility infrastructure. The military departments have identified options to address potential financial challenges to their privatized housing projects, including actions to increase revenue, actions to reduce expenses, and extraordinary measures to improve project financial conditions."], "subsections": [{"section_title": "Reductions in the Basic Allowance for Housing Could Decrease Privatized Housing Projects\u2019 Revenue and Future Sustainment Funding", "paragraphs": ["According to the military departments, reductions in the basic allowance for housing relative to market rent and utility calculations by the Defense Travel Management Office\u2014a 4 percent reduction as of 2018\u2014will decrease funding for future sustainment and could affect the privatized housing projects\u2019 ability to continue operations and make required debt payments. Specifically, housing developers stated that declines in revenue have already been felt by certain projects, and that any reduction in their ability to sustain the privatized housing projects over the term of their 50-year leases will result in the degradation of the housing, leaving the homes less marketable. Unlike challenges that may affect one or a few projects, the reductions in the basic allowance for housing affect all projects, since basic allowance for housing is a basis for revenue for all of the projects.", "DOD has established that the amount charged to servicemembers for renting housing on base was equal to their basic allowance for housing rate. Thus, the privatized housing projects were developed with the assumption that they would receive full basic allowance for housing payments as rent, according to officials from each military department. However, at DOD\u2019s request, Congress included provisions in the Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015 and National Defense Authorization Act for Fiscal Year 2016 that authorized the department to reduce the housing allowance to servicemembers below the Defense Travel Management Office\u2019s typical basic allowance for housing calculations, starting with a 1 percent reduction in 2015 and reaching a 5 percent total reduction by 2019. As of 2018, the department has reduced basic allowance for housing payments by 4 percent. Because of this reduction, the revenue that projects receive from rent payments has decreased at certain projects. However, according to officials representing the military departments, the reductions in the basic allowance for housing will not be the sole reason that any project is struggling. A project may be struggling due to other challenges the military departments identified, examples of which we describe in this report, such as aging utility infrastructure. However, officials representing each military department stated that the reductions will have a compounding effect on projects that are facing other challenges."], "subsections": []}, {"section_title": "DOD Has Not Fully Assessed the Effects of the Reductions in the Basic Allowance for Housing That Began in 2015", "paragraphs": ["An August 2015 memorandum issued by ASD (EI&E) directed the military departments to complete a thorough review of their privatized housing portfolios. Additionally, the military departments were to provide a report outlining any effects of changes in the basic allowance for housing on their portfolios. However, the military departments have not fully assessed the effects of the basic allowance for housing reductions. Instead, in response to this memorandum, the military departments completed some analysis on the effects of the reductions in the basic allowance for housing and provided reports outlining the projected effects of the reductions on their privatized housing portfolios. Each military department reported that the reductions in the basic allowance for housing would decrease project revenue, and each provided estimates across multiple scenarios. Specifically:", "The Army\u2019s September 2015 report projected an average decrease in long-term sustainment accounts of $104 million per project through 2039 based on a 5 percent reduction in basic allowance for housing rates. Out of the 35 projects in the Army\u2019s privatized housing portfolio, the report looked at the 15 projects projected to lose 5 percent or more of their assigned personnel and estimated the funds available to support each project from 2015 until the end of 2039.", "The Navy\u2019s October 2015 report projected a decrease in long-term sustainment accounts across the portfolio of privatized housing projects of $2 billion based on a 5 percent reduction in basic allowance for housing rates. The report also summarized any projected effects in the first year of reductions on the debt coverage ratio and specified the calendar years when sustainment shortfalls could begin to occur per project.", "The Air Force\u2019s November 2015 report projected a decrease of $48 million per year across the portfolio based on a 5 percent reduction in basic allowance for housing rates. The report indicated that project ratings could begin to be affected in the same year as the reductions in the basic allowance for housing were implemented, and that funding for long-term sustainment would be diminished.", "However, DOD does not have the information needed to fully assess the effects of the reductions that began in 2015, because it did not direct the military departments to specify in their reports the significance of the effects of the reductions on each individual project. The August 2015 ASD (EI&E) memorandum directed the military departments to provide reports with a \u201cthorough review,\u201d but it did not specify the inclusion of information that would detail the extent of the effects on the sustainment of each individual project. As a result, the reports did not fully assess specific effects on each project to enable the identification of and response to specific risks. For example, generally, the reports did not include certain information for the full term of all projects, as detailed below: two of the reports did not include information on when deficits related to reductions in the basic allowance for housing will occur per project; two of the reports did not include information on the decrease in the sustainment accounts due to reductions in the basic allowance for housing versus the amount that the project requires for planned sustainment per project; and none of the reports included information on the likely effects of particular sustainment funding deficits (for example, how many units will forgo needed renovations or rebuilds).", "In addition, the military departments did not identify specific actions in the reports to respond to particular, identified shortfalls for individual projects resulting from reductions in the basic allowance for housing. In its August 2015 memorandum, ASD (EI&E) noted that individual projects may have different solutions to address the effect of the reductions in the basic allowance for housing. The military departments did not outline solutions for each individual project but, as requested by ASD (EI&E), proposed recommendations in their reports to mitigate the overall effects of the reductions in the basic allowance for housing by charging servicemembers the out-of-pocket rate. The out-of-pocket rate reflects a servicemember cost-sharing adjustment that would require the servicemember to pay the amount by which his or her allowance was reduced.", "However, neither DOD nor the military departments have taken action to address the reports\u2019 recommendations, nor have they determined any other courses of action for individual projects in response to the reductions in basic allowance for housing. While the Army has a policy that would allow individual projects to propose charging servicemembers the out-of-pocket amount, subject to Army approval, the policy states that the Army strongly prefers that projects not charge servicemembers. According to Army officials, none of the projects had done so as of August 2017. Further, according to privatized housing developers representing Army projects, they have not proposed charging the out-of- pocket rate because doing so could result in a reduction in occupancy at that project, as servicemembers would begin to look for other housing. Unlike the Army, the Navy and Air Force do not have a policy that would allow developers to charge the out-of-pocket amount. According to ASD (EI&E), Navy and Air Force officials stated that their lack of policy is based in large part on the fact that servicemembers from all three military departments reside at nearly every installation, and that without having written assurance that the other military departments will also charge the out-of-pocket rate, the Air Force and Navy cannot agree to do so.", "Standards for Internal Control in the Federal Government states that management should analyze the identified risks to estimate their significance, which provides a basis for responding to the risks, and design responses to the analyzed risks so that risks are within the defined risk tolerance for the defined objective. In its August 2015 memorandum, ASD (EI&E) noted that the reductions in the basic allowance for housing could create shortfalls that in turn could lower the quality of homes in privatized housing communities. However, DOD has not fully assessed the significance of this risk by considering the magnitude of impact, the likelihood of occurrence, and the nature of the risk because, generally, the reports do not include certain information for the full term of all projects, as detailed above. Specifically, DOD has not fully assessed the significance of the risk of the reductions in the basic allowance for housing by considering how the reductions will affect the quality of its housing. If DOD does not fully assess the effects of the reductions in the basic allowance for housing, DOD and Congress will not be fully informed before making decisions that could affect all of the projects. Furthermore, if DOD does not respond to the risk of reduced sustainment funds by designing specific actions, DOD and the military departments may not be well positioned to reduce any risks and meet their objective of providing quality housing for servicemembers."], "subsections": []}, {"section_title": "The Military Departments Have Identified Various Challenges to Sustaining Their Privatized Housing Projects", "paragraphs": ["The military departments have identified various challenges that could affect the financial condition and future sustainment of their privatized housing projects. Examples of these challenges include the following:", "Reductions in assigned personnel at installations have reduced occupancy rates: Information from military department officials shows that the loss of personnel assigned to an installation has reduced occupancy at some projects. Reductions in assigned personnel can occur at an installation because of large-scale troop reductions or the inactivation of units. The decrease in occupancy at some projects has led to revenue and cash flow challenges. For example, Army officials noted that the occupancy rate dropped from about 95 percent to about 70 percent at the Fort Knox project in Kentucky in 2014 when a unit was inactivated. This drop in occupancy resulted in challenges for the privatized housing project because the number and type of housing units originally built were determined on the basis of the unit\u2019s remaining at the installation.", "Aging utility infrastructure has increased sustainment costs, resulting in reduced cash flows for some projects: According to DOD and officials representing the military departments, the costs of maintaining infrastructure for utilities has reduced cash flows for some projects. In some privatized housing agreements, the military departments transferred responsibility for utility infrastructure to the projects. According to DOD and military department officials, this oversight and maintenance have been more costly than project owners had expected. Air Force officials stated that aging utility infrastructure is not something the projects are equipped to handle because there is not enough revenue in their project structures to cover the costs of maintaining the infrastructure. Air Force officials said that they noticed the challenges related to transferring utility infrastructure in the earlier projects and that they made a decision to stop transferring infrastructure to developers in later projects. Moreover, according to Air Force officials, some project owners are now asking for the military departments to take back the infrastructure. For example, the Air Force agreed to take back some of the gas and electric infrastructure at the Air Force Academy project in Colorado as part of a financial restructuring.", "Perceived disconnects between basic allowance for housing calculations and market rates: Military department officials and privatized housing developers perceive the Defense Travel Management Office\u2019s basic allowance for housing calculations as challenging because they believe that the calculations are unpredictable and do not always reflect the realities of local markets. Officials in each military department stated that the data used for the calculations sometimes do not accurately reflect the local market surrounding the project. For example, officials from the Navy\u2019s Midwest project noted that the calculation for Millington, Tennessee\u2014 an area covered by the Midwest project\u2014was higher than that for the Chicago area of the project in 2014\u2014an area that they felt should have had the higher costs of the two. Additionally, according to Army officials, basic allowance for housing rates fluctuate at certain projects from year to year and do not reflect the local market. For example, the average basic allowance for housing rate for Fort Huachuca in Arizona dropped 11 percent from 2014 to 2015, increased 4.6 percent in 2016, and dropped 9 percent in 2017. Army officials stated that these fluctuations did not match rental costs in the local market.", "Actual costs of utilities in some locations are not covered by the basic allowance for housing utility rates: Officials representing two military departments stated that the Defense Travel Management Office\u2019s basic allowance for housing calculations do not accurately reflect the actual costs of utilities. According to Army officials, the utility component of the Defense Travel Management Office\u2019s calculations does not cover the actual cost of utilities for project homes at some locations. This difference can result when the surveys for utility costs are from homes in the local community that are not comparable to those on base. For example, in Fairbanks, Alaska\u2014where the Army\u2019s Fort Wainwright/Greely project is located\u2014off-base homes get the majority of their heat from wood stoves that report no cost element to the surveys used by the Defense Travel Management Office. By underreporting or not otherwise adjusting for these costs, according to Army officials, the basic allowance for housing calculations fail to account for the funds necessary to cover the costs of traditional, metered utilities.", "Unexpected project expenses can reduce cash flows for some projects: Officials representing two military departments stated that unexpected expenses can be a challenge for some projects. These expenses can occur because of unexpected events, such as weather events, environmental damage, or unexpected litigation. For example, the Navy\u2019s Mid-Atlantic project has experienced unexpected expenses related to water intrusion and mold issues and the ensuing litigation, causing fewer funds to flow to the project\u2019s sustainment accounts. There are also expenses for snow removal, hurricanes, and flooding. Navy officials stated that they did not anticipate a lot of sustainment work in the first 5 to 10 years of the projects, but needs have arisen due to these unexpected events. Additionally, according to information from the Navy\u2019s New Orleans project in Louisiana, hurricane and tropical storm damage may drain $1.5 million to $2 million from the project\u2019s sustainment accounts every 3 to 4 years.", "Determining the amount DOD must budget for a project may affect future expansions or changes to existing projects: Military department officials also noted potential challenges with the way that the Office of Management and Budget will be scoring future projects. Scoring seeks to determine the cost that should be recognized and recorded as an obligation of DOD for budgeting purposes at the time a contract is signed. When the privatized housing initiative began, developers sought private borrowing, knowing that only the government funding would be scored because a 1997 Office of Management and Budget memorandum established that private funds for the projects would not be scored as government participation or activity. However, according to a 2005 Office of Management and Budget memorandum, as of September 30, 2010, new privatized housing projects and expansions to existing projects using the limited liability or corporation approach are subject to traditional scoring rules. These rules require projects proposing the use of a purely private entity to be scored as a private activity, and projects proposing the use of a co-owned limited liability corporation to be scored as government activity. Some military department and developer officials have expressed concern with the uncertainties surrounding future scoring. Specifically, military department officials and developers are concerned that the reversion to traditional scoring will affect any plans for obtaining mid-term loans and any potential expansions or other changes to existing projects. Office of Management and Budget officials stated that any future federal government contributions to privatized housing projects in the form of direct loans or loan guarantees will be fully scored at the value of the loan or loan guarantee."], "subsections": []}, {"section_title": "Privatized Housing Projects Have Various Options to Mitigate Financial Challenges", "paragraphs": ["Military department and developer officials have identified various options to address financial challenges such as those previously discussed in this report. These include actions to increase revenues, actions to reduce expenses, and extraordinary measures to improve project financial conditions. As the project manager, the developer may act unilaterally in some cases, and other actions may require approval from the military department, coordination with ASD (EI&E), or notification to the Office of Management and Budget. Although these actions may improve a project\u2019s financial condition, there are limitations, such as the potential to reduce tenant satisfaction and therefore occupancy levels, or costs to the government. The extent to which any of these options will be sufficient to address a particular project\u2019s financial challenges depends on the degree of the financial challenge and the effectiveness of the option. For example, a project may seek to raise revenue by advertising to tenants to increase occupancy, but the response may be insufficient. Likewise, a project may engage in a financial restructuring to return the project to a healthy financial footing, but ongoing low occupancy or unexpectedly high expenses may continue to challenge the project financially."], "subsections": [{"section_title": "Actions to Increase Revenue", "paragraphs": ["Developers and military departments cited several options for increasing project revenues, including the following examples: Renting to tenants other than active-duty servicemembers: The military departments have the option to increase project revenues by allowing projects to rent to tenants other than active-duty servicemembers. The Navy and Air Force have policies that determine the priority ordering of types of tenants to whom a project can rent. An Army official stated that the Army does not have a department policy, but allows projects to rent to tenants other than active-duty servicemembers based on project agreements. For example, a project may offer to rent to tenant groups in the following order: active-duty personnel, reserve-duty personnel, DOD civilian employees, military retirees, and general public tenants. As of June 2017, 33 of 35 Army privatized housing projects were renting to tenants other than active-duty servicemembers; 14 of 16 Navy and Marine Corps projects were renting to tenants other than active-duty servicemembers; and 28 of 32 Air Force projects were renting to tenants other than active-duty servicemembers. While renting to tenants other than active-duty servicemembers can increase revenue, the usefulness of this action is limited when a project is already operating at a high rate of occupancy or when additional demand is limited.", "Other steps to increase occupancy: Developers can take other actions to increase project occupancy, to include increased advertising, promotions, or offering rent concessions. While these actions can increase occupancy, advertising adds costs to project operations, and rent concessions lower the per-unit revenue earned for the project. Figure 2 shows an advertisement by a privatized housing project seeking tenants outside of Naval Station Norfolk in Virginia.", "Charging fees for services: Developers stated that they have considered charging fees for services that had previously been provided free of charge\u2014such as community center rentals and pet fees\u2014as another means of increasing project revenue. However, a developer\u2019s ability to charge fees varies based on project agreements and military department policies. Developers also need to consider potentially negative effects on tenant satisfaction."], "subsections": []}, {"section_title": "Actions to Reduce Expenses", "paragraphs": ["Developers and military departments cited several options for reducing project expenses, including the following examples: Reducing or eliminating services: Projects can reduce or eliminate project services as a means of reducing operating expenses. Officials have taken these steps at certain Army, Navy, and Air Force projects. For example, Navy officials told us that the developer cut portions of the landscaping program at the Navy\u2019s Midwest project in Illinois, Indiana, and Tennessee and eliminated one 24-hour service desk at the Navy\u2019s Hampton Roads Unaccompanied Housing project in Virginia in order to reduce expenses. While these actions reduce operating expenses, providing reduced or fewer services may make a project less marketable or desirable to tenants and can lead to declines in tenant satisfaction and occupancy.", "Deferring routine maintenance: In response to financial distress, projects can curtail routine maintenance to realize savings. For example, when Nellis Air Force Base in Nevada was facing cash flow challenges, officials told us that the project curtailed its preventive maintenance program that includes the inspection and repair of heating, ventilation, and air conditioning systems; water heaters; plumbing and plumbing fixtures; roofs; and carpeting. These expense-saving measures help operating costs in the near term, but deferring maintenance can reduce the quality of the housing, reduce tenant satisfaction, and increase expenses over time by reducing the effective life of the items not being maintained.", "Delaying sustainment: Another option to reduce project expenses is to delay certain sustainment actions. At the Army\u2019s Fort Knox project in Kentucky, officials stated that the sustainment plan initially included the demolition and rebuild of each unit or full renovation of historic units over the 50-year project lease; however, they no longer project that there will be funds to complete those improvements. Instead of full rebuilds, officials stated that they expect to conduct piecemeal renovations. Over time, deferred sustainment can lead to reduced housing quality, in turn reducing occupancy levels and tenant satisfaction, and thereby reducing project revenues."], "subsections": []}, {"section_title": "Extraordinary Measures", "paragraphs": ["Developers and the military departments can also take various extraordinary measures to improve the financial condition of a project. Extraordinary measures are options that can alter project agreements or project financial arrangements with the military department. These options may require approval from the military department, coordination with ASD (EI&E), or notification to the Office of Management and Budget. Examples of such actions include the following: Retaining and renting excess units: Projects can earn additional revenue by retaining and renting units that were originally slated for demolition. Some project plans included the transfer of existing housing units, deemed in excess of project needs, to the developer with the intention of demolishing them. For retaining and renting excess units to be an option, a project must have some excess units slated for demolition and sufficient demand for their rental.", "Reducing project scope: Projects may reduce the scope of planned work to reduce potential expenditures or improve the project\u2019s financial state. Reductions in scope may be in the form of the number of units to be built, renovated, or demolished. For example, following the inactivation of a brigade combat team at Fort Knox in Kentucky, the project made plans to eliminate 280 units due to changes in servicemember housing needs from when the project originally started construction.", "Deferring fees: Developers can defer project fees due to them, such as fees for construction or management services, so that more funds are available for other project needs. Developers agreed to defer fees for several Navy and Air Force projects as a means to ensure adequate funding for the completion of project construction. Projects can defer fees to meet shortfalls in project funding, but the deferral can place additional financial strain on a project, as funds later must be used to repay the deferred fees.", "Making additional investment contributions: Developers can make additional financial investments in the project to cover underfunded project expenses. For example, Air Force officials stated that developers have made additional financial investments at the Robins Air Force Base I project in Georgia to ensure that the project had sufficient funds to make debt payments. According to officials, the Air Force agreed to the additional investment contributions on the basis that they be repaid from any future excess cash flows.", "Returning assets: In some instances, project assets can cost the developer more than anticipated due to the expenses necessary to maintain the asset. To alleviate the resulting financial challenges, projects can transfer ownership of the assets back to the military departments. For example, the Air Force took back five historic units from the Robins II project in Georgia that, according to officials, were not financially viable within the project and that the Air Force wanted for purposes other than housing. When assets are returned to a military department, the military department may have to begin budgeting for their costs through its annual budgeting process.", "Transferring assets: The military department can transfer assets to a project that developers can sell to fund projects. For example, the Navy transferred land and units to the Navy\u2019s Midwest project with the intention that the developer would sell the land and units to supplement project funding. Asset sales can be unreliable funding sources if assets sell for less than the project expected.", "Financial restructurings: Military departments can seek to financially restructure projects to improve their financial condition. This process requires the military departments to renegotiate project agreements with the developer to improve financial condition. For example, the Air Force recently completed financial restructurings of the Nellis Air Force Base project in Nevada and the Air Combat Command Group II project, which comprises Davis-Monthan Air Force Base in Arizona and Holloman Air Force Base in New Mexico. Air Force and developer officials stated that the Nellis Air Force Base project began to have problems making debt payments because of declines in basic allowance for housing payments associated with falling local rental market prices. For Nellis, the Air Force and the developer negotiated a financial restructuring whereby the Air Force reduced the interest rate on the government\u2019s loan to the project and extended the loan\u2019s maturity date. The Air Force also gave the developer an additional portion of project profits. In exchange, the developer agreed to forgive an outstanding balance of payments due to them.", "An ASD (EI&E) official stated that financial restructuring agreements may require notification to the Office of Management and Budget, which scores changes to privatized military housing projects. Restructurings can provide relief to projects that are facing imminent default or longer-term sustainment funding shortfalls, but they can also add financial costs to the military department. The ability to financially restructure also may be limited by the willingness of the developer to give concessions during negotiations and the ability to obtain the approvals necessary to complete the restructure."], "subsections": []}]}]}, {"section_title": "DOD Has Not Defined When Project Changes Require Advance Notice or Defined Risk Tolerance Levels for Not Achieving Housing Goals", "paragraphs": ["DOD has not clearly defined in its policy the circumstances in which ASD (EI&E), as the DOD-wide housing program manager, should receive advance notice of changes to address financial challenges in privatized military housing projects. In addition, DOD has not defined its risk tolerance levels for achieving its goal of providing quality housing to servicemembers that reflects community living standards\u2014in particular, its tolerance for declining levels of funding for future sustainment that can pose a risk to this goal."], "subsections": [{"section_title": "The Military Departments Have Varied Understandings of When Privatized Military Housing Project Changes Require Notification", "paragraphs": ["The military departments have varied understandings of what changes to privatizing housing projects require notification to ASD (EI&E)\u2014DOD\u2019s program manager for privatized housing. Military department officials provided somewhat differing explanations when asked about the types of project changes that require notification to ASD (EI&E). Specifically:", "Army officials stated that the Army provides notice any time there is a planned use of or change to a project involving privatized military housing authorities related to government loans and loan guarantees, the leasing of housing units, or government investments in privatized housing projects, as well as any action that requires congressional notification. The Army also notifies the office if a project\u2019s number of units is expanded relative to its approved plan.", "Navy officials stated that they provide notice any time there is an action that requires congressional notification, any time there are project changes with a potential effect on military housing privatization authorities, any time new projects or project phases are considered, and any changes to a project\u2019s previously approved scope, as well as any time ASD (EI&E) requests notification.", "Air Force officials stated that notification is required when the military department makes a material change to a project that has a financial or scope effect relative to the details that were originally approved.", "Officials added that any project changes that require approval from the Office of Management and Budget would require ASD (EI&E) concurrence.", "Under current DOD housing policy, ASD (EI&E) is required to notify the Office of Management and Budget of any significant changes to privatized housing projects that may require scoring consideration. However, DOD policy does not establish the circumstances in which the military departments should notify ASD (EI&E) of significant project changes, and it does not define which project changes qualify as significant. DOD guidance requires ASD (EI&E) to provide guidance and general procedures relating to housing privatization. An ASD (EI&E) official also told us that the military departments are providing notification of project changes based on limited guidance, and that ASD (EI&E) is conducting oversight on a case-by-case basis. Moreover, Office of Management and Budget officials stated that they will analyze project changes to determine whether an action would constitute a project expansion significant enough to require scoring.", "Standards for Internal Control in the Federal Government states that management should develop policies that address the entity\u2019s objective to achieve an effective internal control system. In addition, management should obtain and internally communicate the necessary quality information to achieve the entity\u2019s objectives, while communicating quality information down and across reporting lines to enable personnel to perform key roles. Moreover, the standards state that the oversight body receives quality information that flows up from the reporting lines from management and personnel that is necessary for effective oversight of internal control. However, DOD\u2019s guidance does not clearly define the types of project changes for which ASD (EI&E) requires prior notification from the military departments, which could result in ASD (EI&E) not being notified of project changes. ASD (EI&E) has draft guidance on oversight and management of privatized military housing, which would define the circumstances under which military departments should notify ASD (EI&E) of project changes, but officials stated that they have not established a time frame for issuing this policy. An ASD (EI&E) official stated that the policy is being coordinated with the military departments, and this has resulted in delays to its issuance. Without issuing guidance to clearly define and communicate to the military departments the conditions that require notification, the military departments will not be able to consistently fulfill their responsibilities and ASD (EI&E) will not be able to completely fulfill its oversight function."], "subsections": []}, {"section_title": "DOD Has Not Defined Its Tolerance for Risk to Privatized Housing Goal", "paragraphs": ["Office of Management and Budget guidance on the preparation, submission, and execution of the federal budget suggests that public- private partnerships such as privatized military housing projects contain some elements of risk to the government. For example, the projects are frequently constructed on government land and they include government financing in the form of direct investments or direct loans. However, the military departments have not defined their risk tolerance levels for privatized housing relative to the program\u2019s objective of providing quality housing that reflects community living standards. Specifically, the Army and Navy have not identified the level of risk they are willing to accept in their ability to fund future sustainment. Army officials stated that the Army is not responsible for taking any actions to restore a project\u2019s financial condition. Navy officials stated that they do not use a risk model, and that one is not required by DOD. The Air Force has not formally defined its risk tolerance levels for future sustainment, but it has identified the circumstances in which projected sustainment funding deficits will cause it to take extraordinary measures\u2014specifically, to seek a financial restructuring of the project. For example, if future planned maintenance is funded at less than 85 percent of estimated needs within the next 5-year period, the Air Force may seek a financial restructuring, according to Air Force officials. Likewise, according to Air Force officials, if planned major renovations and rebuilding are funded at below 30 percent of estimated needs, the Air Force will seek a financial restructuring.", "Standards for Internal Control in the Federal Government states that agencies need to define risk tolerance relative to their program objectives. Risk tolerance is the acceptable level of variation in performance relative to the achievement of objectives. However, DOD has not required the military departments to define their risk tolerances regarding the future sustainability of the projects. ASD (EI&E) officials told us that they are considering establishing parameters for risk tolerance for the military departments, but have not yet done so. Officials also noted that DOD had been focused on the initial development periods of the privatized housing projects, whereas it is now shifting focus to sustainment as the projects have moved from the initial development stage. Given this focus on sustainment, if the military departments do not define their risk tolerances regarding the future sustainability of their privatized housing projects, they will lack a consistent basis on which to determine when the risks to achieving their objectives require responses, and the nature of those responses."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD\u2019s ability to maintain quality housing is critical, because housing can affect retention, readiness, and servicemembers\u2019 quality of life. Since Congress provided the department with authorities to do so, DOD has worked with private developers to improve the quality of housing available on military installations. The military departments regularly review the financial condition of their privatized housing projects, but they calculate a basic measure of current financial health\u2014the debt coverage ratio\u2014 differently among their projects, which limits the ability of ASD (EI&E), and in turn Congress, to compare project financial health based on this measure without additional information to give the data full context. DOD has also previously reported such information for differing time periods in different reports to Congress, further limiting the data\u2019s usefulness, and has not issued revised guidance on privatized housing to help ensure consistent reporting. The military departments also vary in the extent and manner in which they oversee measures of future sustainment of their privatized housing projects. DOD has not reported measures of future sustainment to Congress, or issued a report on the financial condition of privatized housing projects, since the report covering fiscal year 2014. Without consistent and up-to-date information on the financial condition of projects, DOD and Congress will not be able to conduct informed and effective oversight of the projects.", "The military departments have identified the reductions in basic allowance for housing as one of the various challenges affecting the financial condition of privatized housing projects. At the request of ASD (EI&E), the military departments have provided analysis on the effects of the reductions on their portfolios, but they have not been required to fully assess the significance of the effects of the reductions on the future sustainment of each of their projects, or identified specific actions to respond to the reductions, as detailed by federal internal control standards related to risk assessment. Without complete assessment of the risks of the reductions in the basic allowance for housing on each project, and developing any appropriate courses of action, DOD and the military departments will not be able to know when to take action to address deficits in the funding of long-term sustainment accounts that could lead to diminishment in the quality of military housing. Additionally, DOD and Congress will not be fully informed of the risks and possible effects before making decisions that affect all of the privatized housing projects\u2014such as approving any further reductions in the basic allowance for housing.", "The military departments have various options for attempting to improve the financial condition of their privatized housing projects, but some of these options require prior notice to ASD (EI&E). The absence of clearly defined requirements as to when this office should be notified of project changes to address financial challenges has led to varied understandings among the military departments about when notification should occur. Without a clear identification of when ASD (EI&E) should be notified of project changes, the military departments will not have consistent and clear guidance as to when this office needs to be informed prior to an action being taken by a military department regarding its privatized housing projects, and thus, the oversight office may not be fully informed on the projects it intends to oversee. In addition, DOD has not required the military departments to define their tolerances for risk to the goal of providing quality housing to servicemembers in line with community standards, including its ability to fund future sustainment needs. Without doing so, DOD will not have key information needed to determine when the risks to achieving their objectives require responses, or to determine the nature of the responses."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of eight recommendations to the Secretary of Defense and the Assistant Secretary of Defense for Energy, Installations, and Environment. The Secretary of Defense should ensure that: The Assistant Secretary of Defense for Energy, Installations, and Environment provides additional contextual information in future reports to Congress on privatized military housing to identify any differences in the calculation of debt coverage ratios and the effect of these differences on their comparability. (Recommendation 1)", "The Assistant Secretary of Defense for Energy, Installations, and Environment revises its existing guidance on privatized housing to ensure that financial data on privatized military housing projects reported to Congress, such as debt coverage ratios, are consistent and comparable in terms of the time periods of the data collected. (Recommendation 2)", "The Assistant Secretary of Defense for Energy, Installations, and Environment revises its guidance on privatized military housing to include a requirement that the military departments incorporate measures of future sustainment into their assessments of privatized housing projects. (Recommendation 3)", "The Assistant Secretary of Defense for Energy, Installations, and Environment takes steps to resume issuing required reports to Congress on the financial condition of privatized housing in a timely manner. (Recommendation 4)", "The Assistant Secretary of Defense for Energy, Installations, and Environment reports financial information on future sustainment of each privatized housing project in its reports to Congress. (Recommendation 5)", "The Assistant Secretary of Defense for Energy, Installations, and Environment provides guidance directing the military departments to assess the significance of the specific risks to individual privatized housing projects resulting from the reductions in the basic allowance for housing and identify courses of action to respond to any risks based on their significance. (Recommendation 6)", "The Assistant Secretary of Defense for Energy, Installations, and Environment finalizes guidance in a timely manner that clearly defines the circumstances in which the military departments should provide notification of project changes and which types of project changes require prior notification or prior approval. (Recommendation 7)", "The Assistant Secretary of Defense for Energy, Installations, and Environment revises its guidance on privatized military housing to require the military departments to define their risk tolerances regarding the future sustainability of their privatized housing projects. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to DOD and the Office of Management and Budget. We initially made our recommendations to the Assistant Secretary of Defense for Energy, Installations, and Environment. We have updated our recommendations to also include the Secretary of Defense. In written comments, DOD concurred with each of our recommendations and identified actions it plans to take to implement them. DOD\u2019s comments are reprinted in their entirety in appendix III. DOD and the Office of Management and Budget also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Office of Management and Budget. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Brian Lepore at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Senate Report 114-255 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to assess the solvency of each privatized military housing project in the United States and the effect of recent changes in basic allowance for housing on long-term project sustainability. This report examines the extent to which the Department of Defense (DOD) has (1) assessed and reported the financial condition of each privatized housing project; (2) assessed the effects of recent reductions in the basic allowance for housing on privatized housing, and identified any other challenges and options to address challenges; and (3) defined notification requirements for project changes and risk tolerances relative to privatized housing goals.", "For all objectives, we scoped our review to include all privatized housing projects in each military department. We excluded privatized temporary lodging because its financial structure is substantially different than all other privatized housing projects. We reviewed relevant policies and collected information by interviewing officials from the Office of the Secretary of Defense (the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment); the Army (Office of the Assistant Secretary of the Army for Installations, Energy, and Environment, and the Office of the Assistant Chief of Staff for Installation Management); the Navy (Office of the Deputy Assistant Secretary of the Navy for Installations and Facilities, the Commander, Navy Installations Command, and the Naval Facilities Engineering Command); the Marine Corps (Marine Corps Installations Command); and the Air Force (Office of the Deputy Assistant Secretary of the Air Force for Installations, and the Air Force Civil Engineering Center).", "Additionally, we met with the five leading developers of privatized housing projects: Balfour Beatty, Corvias, Lend Lease, Lincoln Military Housing, and Hunt Companies. We also visited a non-generalizable sample of five privatized housing projects to interview on-site military department officials and tour the housing. For this sample, we selected one or two projects from each of the military departments, emphasizing projects that had identified financial difficulties or were located in close proximity to military department oversight offices. We made site visits to the following areas and installations: Norfolk, Virginia, where we met with officials of the Naval Facilities Engineering Command and visited the Homeport Hampton Roads and Mid-Atlantic Military Family Communities privatized housing projects; San Antonio, Texas, where we met with officials at the Air Force Civil Engineer Center; Las Vegas, Nevada, where we met with officials and visited the privatized housing project at Nellis Air Force Base; Fort Knox, Kentucky, where we met with officials and visited the privatized housing project at the Army\u2019s Fort Knox; and Fort Meade, Maryland, where we met with officials and visited the privatized housing project at Fort Meade.", "To determine the extent to which DOD has assessed and reported the financial condition of each privatized housing project, we reviewed DOD guidance on the oversight and management of privatized military housing. We also reviewed documentation used by each military department to oversee the financial condition of each of their privatized housing projects, and each of their portfolios as a whole through portfolio- wide oversight reports, monthly and quarterly reports on each privatized housing project, and audited project financial statements from fiscal years 2013 to 2016. We reviewed DOD\u2019s fiscal year 2013 and 2014 annual reports to Congress on privatized housing, as well as data for privatized housing projects from fiscal years 2013 through 2016. We also met with officials involved in the oversight and management of privatized housing in the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment (ASD (EI&E)), and each of the military departments to discuss their oversight and management of the financial condition of privatized housing projects. Additionally, we requested data for each privatized housing project, including audited financial statements, and examined the differences among and within the military departments in determining the solvency of their projects. For each military department, we assessed the number of projects doing financially well and those not doing financially well through correspondence with knowledgeable officials at each military department and found those department-level numbers sufficiently reliable to report the number of projects in each financial category. We compared DOD\u2019s and the military departments\u2019 actions to assess and report on the financial condition of their privatized housing projects with DOD\u2019s housing policy and with standards for quality information in Standards for Internal Control in the Federal Government to determine whether DOD has fully assessed and reported the financial condition of each project.", "To determine the extent to which DOD has assessed the effects of recent reductions in the basic allowance for housing on privatized housing and identified any other challenges and options to address those challenges, we reviewed DOD guidance on applying reductions in basic allowance for housing to privatized military housing and other DOD documentation on the reductions in basic allowance for housing payments. Specifically, we reviewed the military departments\u2019 reports on the projected effects of the reductions in the basic allowance for housing on their portfolios and quarterly project oversight reports from fiscal years 2016 and 2017. Additionally, we interviewed officials at the Defense Travel Management Office for information on the basic allowance for housing calculations and military department officials for their perspectives on the reductions in basic allowance for housing. We compared the military department reports on the projected effects of the reductions in basic allowance for housing with standards for risk assessment in Standards for Internal Control in the Federal Government to determine whether DOD has fully assessed the effects of the reductions. We determined challenges identified by DOD and the military departments and options to address challenges through interviews with ASD (EI&E) officials, officials from each military department involved with privatized housing, and officials at select installations involved in privatized housing. We also met with officials of five leading privatized housing developers for their perspectives on challenges to their privatized housing and options to address them. Additionally, we reviewed quarterly project oversight reports to identify challenges associated with privatized housing. We reported examples of challenges that were identified by at least two of the three military departments. Additionally, we assessed the number of projects renting to tenants other than active-duty servicemembers by obtaining information from each military department and found those department-level numbers sufficiently reliable to report the number of projects that were renting to these tenants. We reviewed quarterly project oversight reports to identify the options for addressing challenges, and DOD\u2019s policy guidance on privatized housing responsibilities to determine the level of authority needed for the options.", "To determine the extent to which DOD has defined notification requirements for project changes and risk tolerances relative to privatized housing goals, we reviewed DOD guidance on oversight and management of privatized military housing, interviewed DOD and developer officials responsible for privatized housing, and reviewed DOD documentation. Specifically, we reviewed DOD housing policies and guidance, reviewed military department guidance on overseeing privatized housing, and interviewed military department officials familiar with notification processes for changes to privatized housing projects and approaches to managing risks to privatized housing projects. We also interviewed officials in the Office of Management and Budget familiar with privatized military housing. We compared DOD\u2019s policy guidance on privatized housing responsibilities with standards related to internal communication in Standards for Internal Control in the Federal Government to determine the level of notification needed. We also compared the extent to which DOD has defined risk tolerance for privatized housing with federal internal control standards related to risk assessment.", "We conducted this performance audit from December 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Complete Listing of the Department of Defense\u2019s Privatized Military Housing Projects as of October 2017", "paragraphs": ["The following is a complete listing of the Department of Defense\u2019s 82 privatized military housing projects, as of October 2017. The projects can consist of one or multiple installations."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Brian J. Lepore, (202) 512-4523 or leporeb@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kristy Williams (Assistant Director), Tracy Barnes, Ronnie Bergman, Timothy Carr, Kelly Friedman, Simon Hirschfeld, Terence Lam, Amie Lesser, Jeffrey Love, Richard Powelson, Nancy Santucci, Mike Silver, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Infrastructure: Army Has a Process to Manage Litigation Costs for the Military Housing Privatization Initiative. GAO-14-327. Washington, D.C.: April 3, 2014.", "Military Housing: Information on the Privatization of Unaccompanied Personnel Housing. GAO-14-313. Washington, D.C.: March 18, 2014.", "Military Housing: Enhancements Needed to Housing Allowance Process and Information Sharing among Services. GAO-11-462. Washington, D.C.: May 16, 2011.", "Military Housing Privatization: DOD Faces New Challenges Due to Significant Growth at Some Installations and Recent Turmoil in the Financial Markets. GAO-09-352. Washington, D.C.: May 15, 2009.", "Military Housing: Management Issues Require Attention as the Privatization Program Matures. GAO-06-438. Washington, D.C.: April 28, 2006.", "Military Housing: Further Improvement Needed in Requirements Determination and Program Review. GAO-04-556. Washington, D.C.: May 19, 2004.", "Military Housing: Better Reporting Needed on the Status of the Privatization Program and the Costs of Its Consultants. GAO-04-111. Washington, D.C.: October 9, 2003.", "Military Housing: Opportunities That Should Be Explored to Improve Housing and Reduce Costs for Unmarried Junior Servicemembers. GAO-03-602. Washington, D.C.: June 10, 2003.", "Military Housing: Management Improvements Needed as the Pace of Privatization Quickens. GAO-02-624. Washington, D.C.: June 21, 2002.", "Military Housing: DOD Needs to Address Long-Standing Requirements Determination Problems. GAO-01-889. Washington, D.C.: August 3, 2001.", "Military Housing: Continued Concerns in Implementing the Privatization Initiative. GAO/NSIAD-00-71. Washington, D.C.: March 30, 2000.", "Military Housing: Privatization Off to a Slow Start and Continued Management Attention Needed. GAO/NSIAD-98-178. Washington, D.C.: July 17, 1998."], "subsections": []}], "fastfact": []} {"id": "GAO-18-201", "url": "https://www.gao.gov/products/GAO-18-201", "title": "VA Facility Security: Policy Review and Improved Oversight Strategy Needed", "published_date": "2018-01-11T00:00:00", "released_date": "2018-01-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Veterans Health Administration (VHA is responsible for providing a safe and secure, yet welcoming environment for staff, patients, and visitors at nearly 170 medical centers. These facilities have been the target of violence, threats, and other security-related incidents. Assessing and managing risks a critical element for ensuring adequate physical security at these facilities.", "GAO was asked to review VA's physical security risk-management policies and practices. This report: (1) assesses how VA's policies for risk management reflect prevailing standards, and (2) evaluates VA's oversight of risk management at VHA medical facilities. GAO compared VA policies to ISC standards; reviewed VA documents; interviewed VA and ISC officials; and assessed risk assessment activities at nine medical centers selected based on factors such as patient and security-incident data and geographical diversity. While not generalizable, these nine locations provide illustrative examples of how VA's policies are carried out."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs' (VA) risk management policies include some but not all of the elements of standards set by the Interagency Security Committee (ISC). ISC was established via executive order to develop security standards and best practices that federal agencies are to follow when developing and conducting risk assessments. As part of this process, VA's policy identifies minimum countermeasures as called for in ISC's standards. In other areas, VA policy only partially adheres or does not adhere to ISC's standards, for example:", "Of the five factors ISC calls for when calculating a facility's security level, VA considers three but does not consider a facility's population and size.", "VA policy does not include performance measures, such as the number of countermeasures in use or the percentage of facility assessments completed; this percentage is a key element of ISC's standards for assessing the effectiveness of an agency's security programs.", "Officials at VA said that its risk management program was developed prior to the ISC standards' being issued in 2013 and that it is up to each agency to determine how to best apply the standards. Nevertheless, VA officials said they are currently reexamining their policies. Until VA reviews its policies in accordance with ISC standards, its approach to risk management may not yield the appropriate security posture needed to adequately protect its medical centers.", "VA's oversight activities for risk management do not encompass key aspects of the Standards for Internal Control in the Federal Government and Circular A-123 from the Office of Management and Budget that require agencies to conduct oversight activities to ensure the accountability and effectiveness of agency programs. VA has an oversight process to ensure that biennial assessments of individual facilities' security are completed. However, VA:", "does not review the quality of medical centers' required risk assessments,", "does not identify whether countermeasures were implemented appropriately by the medical centers, and", "does not collect system-wide data to gain an understanding of physical security issues across medical centers.", "In the absence of a comprehensive VA-wide strategy or guidance that reflects these internal control standards, individual sites have established their own approaches to carrying out VA's risk management policy. For example, the nine sites GAO reviewed conducted their security assessments differently, and none of the assessments indicated that all of the threat categories in VA's policy were reviewed. The lack of a system-wide oversight strategy means that the differences among medical center approaches, along with the security effects of those different approaches, are unknown. Accordingly, VA does not know if its medical centers are adequately protected, and it may be missing opportunities to leverage resources nationally and make better informed, proactive policy decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Department of Veterans Affairs review and revise its risk management policies to reflect prevailing standards, and develop an oversight strategy to assess the effectiveness of risk management programs at VHA facilities. VA agreed with GAO's recommendations and identified steps to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs\u2019 (VA) Veterans Health Administration (VHA) provides critical health services to approximately 9-million enrolled veterans at its nearly 170 medical centers. In recent years, however, these facilities have been the target of violence, threats, and other security-related incidents\u2014including bomb threats and violent attacks involving weapons. For example, in 2015, a psychologist was fatally shot while working at a VA medical clinic. Ensuring physical security for these medical centers can be complicated because VA has to balance safety and security with providing an open and welcoming health-care environment. Furthermore, VA serves a vulnerable population with high rates of post-traumatic stress disorder and substance abuse.", "VHA is responsible for physical security at its facilities and has issued policies and standards that the facilities must follow when assessing physical security risks. To fulfill this responsibility, VHA conducts a range of activities such as performing risk assessments, implementing countermeasures designed to minimize risks, and providing law enforcement services through VA police departments. To help agencies such as VA with their physical security, the Interagency Security Committee (ISC) issued standards for risk management of federal facilities, and agencies are supposed to follow the standards.", "You asked us to examine how VA ensures it is providing a secure environment at VHA facilities. This report: assesses the extent to which VA\u2019s policies for managing risk related to physical security reflect key elements of ISC\u2019s risk management standards, and evaluates VA\u2019s oversight of risk management for physical security at VHA\u2019s various facilities.", "To assess how VA policies for physical security-risk management reflect key elements of ISC\u2019s risk management standards, we reviewed VA\u2019s policies pertinent to its risk management process and its risk assessment methodology and compared the policies to ISC\u2019s risk management standards. This process included reviewing the Risk Management Process for Federal Facilities (ISC Standard) for assessing physical security and providing recommended countermeasures at federal facilities. To assess VA\u2019s oversight of risk management of physical security at VHA facilities, we identified and examined oversight and management mechanisms at the national, regional, and local levels, including reporting mechanisms that prioritize or track facility risks or the implementation of countermeasures at VHA facilities. We also reviewed VA\u2019s oversight activities against Standards for Internal Control in the Federal Government, because internal controls play a significant role in helping agencies achieve their mission-related responsibilities using proper oversight mechanisms. In addition, we reviewed VHA police responsibilities for physical security and law enforcement, including conducting risk assessments and identifying needed countermeasures.", "As part of our review, we selected nine VHA medical centers to include a range of patient volumes, rates of security incidents per patient, and locations, among other considerations. For each of these medical centers, we assessed the most recent physical security documents and risk reviewed the data and reporting mechanisms used to prioritize and track facility risks and the implementation of countermeasures at VHA facilities, and conducted semi-structured interviews with VA police, facility directors, and union representatives at these medical centers.", "These steps enabled us to identify: (1) the officials\u2019 approach to physical security, (2) which countermeasures were adopted, and (3) what additional countermeasures or other efforts, if any, remain to be implemented. While the results from these nine medical centers are not generalizable to all VA medical centers, they provide illustrative examples of how the department\u2019s risk assessment policies are being implemented as well as a range of perspectives on physical security activities. See appendix I for more details on our scope and methodology.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions, based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA has faced a growing demand by veterans for its health care services, due in part to both service members returning from military operations in Afghanistan and Iraq and to the growing needs of an aging veteran population. As part of providing care to millions of veterans, VA is expected to provide a safe environment not only for the veterans, but also for staff and visitors at a diverse makeup of VHA facilities.", "Although many of these facilities face similar challenges, differences in facilities may require different levels and types of security. For example, medical centers with large numbers of staff, patients, and visitors may require more resources for securing the facility compared to smaller medical centers with fewer people frequenting the facility daily. Some medical centers are located in densely populated urban areas, while others are located in non-urban areas, and their security challenges may differ. For example, facilities in urban areas may be located near busy public roads, making it more difficult to implement physical security enhancements such as barriers or setbacks from the street. Furthermore, some VHA medical centers consist of a single hospital and others may include a campus with many buildings. According to VA officials, these differences can lead to unique security challenges. Medical centers offer different types of services, which can influence the types of security required. For example, officials from multiple medical centers we reviewed told us that emergency rooms and mental health areas experience high levels of security incidents, requiring additional security measures in these areas.", "VA specifies various physical security requirements for its medical centers. These include physical access control systems, security cameras, silent alarm distress signaling, and perimeter fencing. Furthermore, each VHA facility has its own police department to help deter, detect, defend against, and respond to security threats. See appendix II for more information regarding the roles and responsibilities of VA police departments. See figure 1 for a depiction of a medical center that consists of a campus and a variety of buildings and examples of the physical security elements deployed.", "To determine the specific countermeasures needed at each facility, VA has a two-part risk management process that begins with VA police assessing a facility\u2019s security risk(s) by conducting \u201cvulnerability assessments\u201d biennially (see fig. 2). VA police at each of VHA\u2019s medical centers report the findings, including recommended countermeasures, to medical center directors. These directors are responsible for developing an action plan in response to the assessments and making decisions about if and how recommended countermeasures will be addressed.", "Across VA, numerous entities at the headquarters, regional, and local level have some role in carrying out physical security responsibilities. Figure 3 provides an overview of VA components with physical security roles and responsibilities at VHA facilities.", "At the headquarters level, VA\u2019s Office of Security and Law Enforcement (OSLE), located within VA\u2019s Office of Operations, Security, and Preparedness, develops policies and standards for assessing physical security risks and providing physical security for facilities under VA\u2019s custody and control, including VHA facilities used for providing healthcare services to veterans. VA organizes its system of care into regional networks called Veterans Integrated Service Networks (VISN). Each VISN is responsible for managing and overseeing medical centers within a defined geographic area. However, the primary operational responsibility for VA\u2019s physical security program is at the medical centers themselves, where the medical center directors at each of VHA\u2019s 170 medical centers are responsible for implementing OSLE\u2019s policies and standards and overseeing VHA police activities. Police at each facility conduct the key activities involved in this program, including conducting risk assessments and identifying needed countermeasures. Beyond risk assessment, VA police have additional responsibilities for protecting the safety of medical centers. For information about their additional responsibilities and oversight of their operations, see appendix II.", "The ISC was established via Executive Order 12977 in 1995 to enhance security at federal facilities. Its mission is to develop standards and best practices. ISC\u2019s Risk Management Process for Federal Facilities, among other things, includes standards for agencies\u2019 facility risk assessment methodologies. This process can help agencies effectively prioritize efforts to protect their facilities. ISC\u2019s process consists of six steps designed to help agencies identify the appropriate protective measures for their facilities, and to ensure their effectiveness. (see fig 4.)", "ISC\u2019s Risk Management Process is applicable to all buildings and facilities in the United States occupied by federal employees for nonmilitary activities, including special-use facilities. Agencies may customize their implementation of elements of ISC\u2019s standards, such as the countermeasures they determine are appropriate for their facilities or situations. Changes to these elements are to be made as a result of a risk-based analytical process. In December 2016, ISC issued its Agency and Facility Compliance Benchmarks to provide guidance to departments and agencies for ensuring compliance with ISC\u2019s standards."], "subsections": []}, {"section_title": "VA\u2019s Risk Management Process Partially Reflects the ISC\u2019s Standard", "paragraphs": ["VA\u2019s risk management process does not fully reflect the standards established by ISC shown in figure 4. Although structured differently, we found that VA\u2019s process includes some elements of ISC\u2019s process but is missing other elements, gaps that could result in risks\u2019 not being fully assessed and appropriate countermeasures not being identified. See figure 5.", "Determine facility security level: ISC\u2019s standard requires that facility security levels (I-V) are to be based on an equal weighting of five factors (mission criticality, symbolism, facility population, facility size, and threats) and the consideration of \u201cintangibles.\u201d According to the ISC, each of these factors is important to quantifying a facility\u2019s attractiveness as a target for adversarial acts and the severity of consequences should such an act occur.", "VA policy calls for three of the factors to be used in determining a facility\u2019s risk level, which partially reflects the ISC Standard. VA policy indicates that VA police are to identify an \u201casset risk value\u201d that reflects the expected effect a threat would have to the functioning of VHA facilities and the continued delivery of services. This score is used to calculate an \u201coverall risk value.\u201d The greater the threat a facility faces relative to its physical security posture and the greater the impact on VA operations, the higher the overall risk value. The determination of the overall risk value reflects the ISC\u2019s prescribed use of facility security levels to identify a facility\u2019s level of risk.", "VA\u2019s policy does not articulate that factors used to determine the overall risk value be equally weighted, nor does it include facility population and facility size as factors. As a result, VA may not be considering all the relevant risk factors that make a facility a more or less desirable target for threats.", "Identify the facility\u2019s baseline countermeasures: The ISC Standard calls for baseline countermeasures to vary based on facility\u2019s risk level. For example, depending on a facility\u2019s security level and the type of undesirable threat posed, the use of X-ray or magnetometers may be required to screen visitors. Alternatively, agencies are allowed to create templates by facility type. That is, an agency can identify the specific risks posed to particular facility types and customize different sets of countermeasures that can serve as the baseline for those facility types.", "VA has created templates based on facility types rather than varying its baseline countermeasures relative to a facility\u2019s risk level, which is permissible under the ISC Standard. These templates outline the specific minimum countermeasures for different types of facilities or components of VHA facilities such as medical center pharmacies. VA\u2019s minimum requirements for countermeasures in their facilities were designed to meet the needs of the medical center environment and clientele.", "Identify and assess risk: ISC has established 33 specific undesirable events that agencies are to use when assessing risks to facilities. Additionally, the ISC requires that an agency\u2019s risk assessment methodology consider three factors\u2014threat, vulnerability, and consequence\u2014in examining these events in order to be credible. Agencies may customize the threats they assess to their specific situations, after having considered the 33 undesirable events. According to ISC officials, agencies are expected to periodically review their list of undesirable events as updates to the standards occur and document determinations and justifications for excluding any undesirable event.", "VA has identified 8 categories of threats that VA police are to review as part of vulnerability assessments, which includes consideration for threat, vulnerability, and consequence. These threat categories are: 1) assault, 2) physical threats of violence, 3) illegal weapons, 4) suicidal behavior, 5) theft/vandalism, 6) explosive devices, 7) mail-borne hazards, and 8) protection of hazardous materials and narcotics. This listing reflects the ISC Standard that agencies examine risks from undesirable events.", "However, VA cannot demonstrate how its categories relate to ISC\u2019s 33 undesirable events. According to VA officials, VA originally selected its threat categories in 2001 and updated them in 2009 to the current 8 categories. They told us that officials at the time considered the ISC\u2019s full list of undesirable events and that these eight threat categories were and remain the most prevalent in the health care\u2019s operating environment that represents the majority of VHA facilities. However, officials could not provide documentation of how their eight categories related to ISC\u2019s defined undesirable events and why certain undesirable events appear to be included and others excluded within VA\u2019s policies pertaining to risk management. By not reviewing all the undesirable events identified by the ISC, VA may be overlooking some potential threats present at its facilities.", "Determine necessary countermeasures: ISC calls for agencies to determine if their baseline countermeasures or templates address a facility\u2019s established risk level following an assessment. ISC has also clarified that its standards allow for countermeasures to be customized to specific facilities and situations. For instance, if the risks from undesirable events at a specific facility are found to be higher or lower than the level of protection afforded by the baseline set of countermeasures, the baseline countermeasures can be changed (up or down) to meet the level of assessed risk.", "VA policy calls for police at each of VHA\u2019s medical centers to conduct vulnerability assessments biennially. As a part of these assessments, VA police are to recommend countermeasures that represent the best value in terms of providing protection against multiple threats given the existing level of defense or security equipment. This procedure reflects the ISC Standard that necessary countermeasures be identified at the facility level by an agency\u2019s security organization.", "However, VA policy does not require recommended countermeasures to be related to the baselines established in the templates. This policy is inconsistent with the ISC Standard, which calls for countermeasures to be increased or decreased from the baseline to meet the level of assessed risk. This policy could leave staff, patients, and visitors, as well as property vulnerable to unmitigated risks.", "Implement countermeasures or accept unmitigated risk: The ISC Standard requires agencies to document decisions, in particular, any decision to reject or defer implementation of countermeasures due to cost (or other factors). The ISC Standard also requires agencies to document the acceptance of risk in these instances and outline alternative strategies considered or implemented, and opportunities in the future to implement needed countermeasures. The ISC Standard notes, in particular, that risks accepted at the facility level may have a bearing on agency-wide risk management efforts and therefore documentation of risk acceptance shall be provided to the headquarters security office.", "As previously discussed, medical center directors are to determine if and how to implement recommended countermeasures. This reflects the ISC Standard that information from assessments be forwarded to and used by decision makers. However, VA policy does not require the documentation of risk acceptance. That is, VA has no policy requiring its officials to document the rationale for rejected or deferred countermeasures, proposed alternative mitigations, and future planning. Without such a requirement, OSLE does not have full knowledge of the extent of risk acceptance that has occurred or what alternative countermeasures have been pursued.", "Measure performance: According to the ISC Standard, agencies are to assess and document the effectiveness of their security program through performance measurement and testing. Measures should be based on agency mission goals and objectives. As examples of performance measures, the ISC Standard suggests that agencies could track the number of countermeasures in use or the percentage of facility assessments completed. Moreover, the ISC Standard states that agency- level leadership must communicate its priority and commitment to performance measurement and ensure that the physical security performance measures enhance accountability, prioritize security needs, and justify investment decisions to maximize available resources.", "VA lacks documented policies or performance measures in place for assessing the effectiveness of its security program, which does not reflect the ISC Standard. VA policy outlines that local medical-facility directors at VHA facilities shall ensure that law enforcement activities (such as vulnerability assessments) are conducted in a legally and technically correct manner, but provides no guidance to ensure uniform measures and processes are being used to assess the performance of security programs. Without a policy that establishes uniform performance measures, VA cannot evaluate the effectiveness of physical security programs being locally implemented across its facilities.", "According to VA officials, VA\u2019s risk management process was developed before the ISC\u2019s standard for risk management processes was originally issued in 2013. VA officials we spoke with said as a member of ISC they utilize it as a forum for exchanging ideas on best practices and interpreting the standards but it is then up to each agency to determine how best to apply ISC standards. VA officials said that they are currently reexamining their policies but have not reached out to the ISC for assistance. ISC officials told us they are available to act as resource for any agency requesting aid in developing or reviewing risk management processes.", "VA cannot assure that the differences between its process and the ISC Standard are inconsequential to how it identifies and manages risk at local facilities and across its real property portfolio. According to the ISC Standard, not using an appropriate risk-management process can result in facilities that may either have (1) less protection than needed resulting in inadequate security or (2) more protection than needed resulting in an unnecessary use of resources. This situation might reduce the availability of resources that could be applied elsewhere. For example, although all VHA medical centers have the same mission, variations in location and physical configuration of a facility may create unique risks or risks that are relatively higher or lower in some cases than at other VHA facilities with the same mission."], "subsections": []}, {"section_title": "VA Does Not Assess the Effectiveness of Its Risk Management Process", "paragraphs": ["Agencies are expected to manage the effectiveness of program operations in achieving their missions. A range of federal standards and guidance assist agencies improve the accountability and effectiveness of their programs by helping agencies adapt to shifting environments, evolving demands, changing risks, and new priorities. For example, in July 2016, OMB updated guidance to establish management\u2019s responsibilities for enterprise risk management (ERM). ERM is intended to yield an \u201centerprise-wide,\u201d strategically aligned portfolio view of organizational challenges that provides better insight about how to most effectively prioritize resource allocations to ensure successful mission delivery. More specifically, the guidance discusses both internal control and ERM and how these fit help together to manage agency risks. Additionally, Standards for Internal Control in the Federal Government describes internal control as a process put in place by an entity\u2019s oversight body, management, and other personnel, a process that provides reasonable assurance that objectives related to operations, compliance, and reporting will be achieved, and that serves as the first line of defense in safeguarding assets. Elements within these standards include: holding people accountable for their responsibilities, having effective operations that produce intended results in a manner that minimizes the waste of resources, and using quality information to achieve objectives.", "However, according to OSLE officials, OSLE does not assess program effectiveness, Instead, officials said that OSLE\u2019s role in overseeing VHA\u2019s risk management process is limited to reviewing the activities of each VHA medical center\u2019s police department\u2019s activities. Specifically, as it relates to the risk assessment process discussed earlier, the OSLE review focuses on whether (1) vulnerability assessments are completed within the required time frame (at least every 2 years); (2) annual physical security surveys that are used to inform the vulnerability assessments are completed and documented, and (3) intruder detection tests are completed. The OSLE inspectors may also spot-check specific areas to determine whether physical security measures that are in place meet VA\u2019s standards. The areas checked are at their discretion and not identified in policy. Findings from these inspections, including any deficiencies identified in physical security, are reported to the medical center director for action.", "According to OSLE officials, they do not have any authority to ensure deficiencies are corrected and thus generally do not follow up on the status of their findings prior to the next inspection. Although the results of these inspections are stored by OSLE, we did not find that it uses them to identify trends in security deficiencies or track medical centers\u2019 risk levels.", "OSLE does not assess the medical center\u2019s compliance with VA\u2019s overall risk management process, the extent to which recommended security measures have been implemented, or decisions not to implement security recommendations. Furthermore, OSLE does not collect data that would allow it to know what security deficiencies have been identified across all VHA facilities and the status of recommended countermeasures. Because VHA lacks an oversight strategy that includes these elements, it cannot begin to assess the effectiveness of security at its facilities.", "The lack of a system-wide oversight strategy is particularly troublesome given the authority and autonomy of medical center directors to determine the appropriate physical security measures needed for their facilities. At the nine medical centers, we found differences in how they implemented the risk management requirements and countermeasures and in how they collected security related data. Without a strategy for system-wide oversight, VA cannot ensure that local physical security-decisions are based on actual risk, are appropriate to protect the facility, and are effective, or whether the variations or the security impact of them are important.", "Implementing VA\u2019s risk management requirements: A key element of internal controls is having a process in place to hold people accountable and ensure that the agencies\u2019 policies are being implemented as intended. While OSLE\u2019s inspections assess whether the vulnerability assessments were completed, we found that they did not assess the quality of those assessments or whether they aligned with VA\u2019s policy requirements. Specifically, we found differences in how the assessments were done at the nine medical centers we reviewed and that some were not consistently reviewing the full range of threats required by VA policy. For example, none of the vulnerability assessments we reviewed included documentation that all eight of VA\u2019s threat categories were reviewed, and at three locations, no threat categories were documented as reviewed in the assessments. Additionally, in some instances, VA police assessed different threat categories than the required 8 categories. OSLE officials told us that local VHA police have the discretion to review any threats they perceive relevant to their facility; however, they reported that this should be done in addition to the eight threat categories identified in VA guidance. In a decentralized environment such as VA\u2019s, there may be greater risk that VA police will inconsistently apply VA\u2019s risk management process. Furthermore, as discussed earlier, VA has not established performance measures, in accordance with ISC standards, for its risk management process. This, according to the ISC, would help to ensure accountability, prioritize security needs, and justify investment decisions to maximize available resources.", "Implementing countermeasures: Internal controls guidance speaks to having effective operations that produce intended results in a manner that minimizes the waste of resources. ERM also speaks to the effective and efficient use of resources. We found wide variation in the progress made in implementing countermeasures across the nine locations we reviewed. This variation happens, in part, because of competing priorities and lack of dedicated physical- security budgets. As a result, medical center directors make localized decisions about where they spend their resources. The police force is responsible for identifying appropriate countermeasures, but it is then up to the medical center directors and the managers in the areas for which deficiencies have been identified to implement the corrective actions. All of the medical center directors we interviewed reported weighing decisions to fund infrastructure deficiencies affecting healthcare delivery versus funding physical security projects. For example, one acting director told us that the center needs to repair a leaking roof in its hospice care unit. The director told us that this project, which uses funding from the same pool of money as physical security projects, will be prioritized because it directly impacts the quality of patient care.", "Officials at the sites we reviewed described varying levels of commitment from medical center directors to prioritize physical security infrastructure projects. Officials at one site said that they currently have difficulty getting the resources they request to implement security countermeasures, but that the same had not been the case at previous medical centers where they worked. Specifically, one official noted that it can be difficult to convince a medical center director to fund security measures designed to protect the site from situations that have not yet occurred, such as countermeasures to improve perimeter security or increase standoff distance for critical areas, which are important parts of prevention for active-shooter type scenarios.", "One of the key countermeasures medical centers use for physical security is the police force. We noted variations in police staffing at the nine locations we studied. VA policy sets a minimum level for the number of VA police officers who must be on patrol at any given time if certain conditions are met. Some local VHA officials we spoke with said they need to staff above this level because following the minimum staffing level can be problematic when officers are needed to respond to multiple incidents at the same time, such as escorting one patient and responding to a disruptive patient in a different wing of the hospital, officials stated. Officials noted that incidents can be the driving factor for changes. One site we reviewed increased their police presence in the emergency room, in response to a stabbing incident that occurred there.", "The critical role that police play at these medical centers can be adversely affected, however, because of challenges related to recruiting and retaining law enforcement personnel. All sites we reviewed reported hiring vacancies in their departments, and multiple sites discussed challenges in maintaining any police at the recommended level at their facilities, hindering the ability of the police to respond to multiple incidents. As further described in appendix II, each VHA medical center police force is managed locally, under the control of the medical center director.", "We also found varying levels of security provided by VA medical centers for their community based outpatient clinics. VA policy does not require a permanent security presence at the community-based outpatient clinics, and medical centers may rely on local police to respond to security incidents. However, some sites we reviewed use contract guards to provide a security presence at outpatient clinic locations, and one site reported completing an effort to staff VA police officers at each of the outpatient clinics under the medical center director\u2019s authority. In the absence of system-wide oversight strategy, VA does not know if these variations in countermeasures are resulting in different levels of security, which may leave some facilities at risk and not be the most strategic use of resources at other facilities.", "Tracking security deficiencies: The availability of reliable data is essential for assessing the effectiveness of policies and programs and for allowing managers to make sound decisions. In the absence of a VHA- wide strategy and guidance about how to collect data or track deficiencies, individual sites have established their own processes for tracking the status of identified security deficiencies. For example, one of the medical centers in our review reported 15 deficiencies resulting from its assessment, whereas another medical center reported over 540 deficiencies. In reviewing the data further, we found that the numbers may be misleading as to the extent of security concerns, because of the different ways in which the findings were reported. For example, in reporting the results of inspections of information telecommunication and data closets, one location identified a recurring deficiency as one issue, where another location identified a similar deficiency in each closet they inspected resulting in over 200 identified deficiencies. A system-wide oversight strategy could help VA identify what information is needed to assess the effectiveness of its security programs and the impact of varying practices at its facilities.", "In the past, VA collected system wide information and tracked physical security across medical centers. When VA first started conducting vulnerability assessments in 2010, the assessments were done by a central team directed by OSLE, and the findings were tracked in a central database. In addition, a work group tracked how facilities were meeting VA\u2019s standards and requirements and which countermeasures were getting prioritized and implemented. However, VA officials told us that this database crashed and that the information is no longer accessible. Moreover, the central team was dissolved, and medical center directors became fully responsible for ensuring that vulnerability assessments were conducted. The collection or assessment of data also became the responsibility of local medical centers.", "Although OSLE has no current plans to re-establish a database, in 2015 the Acting Deputy Under Secretary for Health for Operations Management identified a need for information about the level of security at its facilities. He has directed VISN management to identify gaps between its facilities and VA\u2019s 2015 physical-security design standards. This effort is separate from VA\u2019s risk management process but would be expected to identify some of the same security deficiencies. VISNS are expected to use these results to develop and prioritize projects to bring facilities in line with the current VA physical security standards."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["VA faces the challenge of providing secure, open, and welcoming medical facilities while providing medical care for nearly 9-million veterans annually. Having a process that incorporates ISC standards is critical to VA and ensuring that it is positioning itself to appropriately protect its facilities. However, until VA reviews its policies against the ISC standards to explore areas where it differs from these standards, it will not be able to ensure that its approach to risk management will yield and has yielded the appropriate security posture relative to the different risks faced by its diverse set of facilities. While not currently required, collaboration with the ISC would be helpful for the VA as it reexamines its risk management process. Additionally, the decentralized nature of VA\u2019s organizational structure can help VHA tailor its programs to local situations. But without a system-wide oversight process, VA cannot assess the overall performance of its security program and whether medical centers are adequately protected. Thus, it may be missing opportunities to leverage resources nationally, or make informed, proactive policy decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to VA: The Secretary of VA should, in collaboration with ISC, review and revise VA\u2019s risk management policies for VHA facilities to ensure VA incorporates ISC standards, as appropriate. (Recommendation 1)", "The Secretary of VA should develop an oversight strategy that allows VA to assess the effectiveness of risk management programs at VHA facilities system-wide. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs (VA) and Department of Homeland Security (DHS) for comment. In written comments, which are reproduced in appendix III, VA agreed with our conclusions and concurred with our recommendations. In its comments, VA stated that it is in the process of updating its vulnerability assessment program and will work with the ISC to ensure VA is in compliance with applicable standards. VA also stated that it will work with the ISC as VA updates its risk management process to ensure it reflects the applicable standards established by the ISC. VA also intends to evaluate its current roles and responsibilities for assessing internal controls for risk management. VA estimates that it will complete these actions by January 2019. VA also provided a technical comment, which we have clarified in the report. DHS provided only technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of the Department of Veterans Affairs; the Secretary of the Department of Homeland Security; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our report were to assess (1) the extent that VA\u2019s policies for physical-security risk management reflect elements of federally established risk management standards and (2) VA\u2019s oversight of risk management of physical security at VHA facilities. To help inform our research, we reviewed reports and documentation on physical security. For example, we reviewed prior reports from GAO on the security of federal government facilities and effective program management, as well as documentation from the Department of Homeland Security\u2019s Interagency Security Committee (ISC), including physical security standards it has developed by the ISC. Our review focused on security at medical facilities under the custody control of VHA.", "To determine how VA policies for physical security risk management reflect key elements of federally established risk management standards, we assessed how VA\u2019s methodologies reflect ISC\u2019s risk management standards. This included reviewing the Risk Management Process for Federal Facilities (the ISC Standard) for assessing physical security and providing recommended countermeasures at federal facilities. We obtained and analyzed VA\u2019s facility-security policies and procedures for a risk management methodology. According to the ISC Standard, agencies\u2019 risk management methodologies should determine facility security level (FSL); identify facility\u2019s baseline countermeasure; identify and assess risk; determine necessary countermeasures; implement protective measures and/or accept risk; and To assess VA\u2019s oversight of risk management of physical security at VHA facilities, we identified and examined oversight and management mechanisms at the national, regional, and local levels, including reporting mechanisms that prioritize or track facility risks or the implementation of countermeasures at VHA facilities. We also reviewed Standards for Internal Control in the Federal Government because internal controls play a significant role in helping agencies achieve their mission related responsibilities using proper oversight mechanisms. To help determine if VA has established an environment in which it can ensure it is achieving its objectives, we reviewed agency documentation, such as vulnerability reports, police inspections, and the tracking reports related to security countermeasure recommendations at a non-generalizable sample of 9 VA medical centers. At these locations, we also conducted semi-structured interviews with facility management, VA police, and union representatives to identify the officials\u2019 approach to physical security. Our findings from our review of the selected medical centers are not generalizable to all VHA facilities, but provide insight into and illustrative examples about risk- management and oversight methodologies at selected facilities.", "We selected these sites based on a mix of criteria that included: (1) geographic location, including medical centers in various Veteran Integrated Service Networks (VISN), and in cities of different sizes; (2) patient volume, including medical centers with a mix of different levels of patient population; (3) reported security incidents, including locations with high and low levels of reported security incidents ; and (4) patient to incident ratio, including medical centers with high and low ratios of incidents per patient, among other considerations. Based on the selection criteria listed above, the team selected the following nine medical center locations for our review: 1. Bedford, MA 2. Houston, TX 3. Greater Los Angeles 4. Bay Pines, FL 5. Sheridan, WY 6. Washington, D.C. 7. Puget Sound, WA 8. Orlando, FL 9. Louisville, KY Considering the extent to which VA uses its police force in its risk management approach, we also reviewed the lines of authority and oversight for VA police personnel. For example, we identified VA\u2019s police- reporting structures and data-collecting efforts.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions, based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Overview of VA Police Departments\u2019 Roles and Responsibilities", "paragraphs": ["The Department of Veterans Affairs (VA) police consist of over 4,000 uniformed police officers in 153 police units across the nation. Each VHA medical center has, in effect, its own police force."], "subsections": [{"section_title": "Key Activities", "paragraphs": ["Aside from VA\u2019s role in assessing physical security risks, VA police\u2019s day- to-day role at VHA medical centers largely revolves around their law enforcement functions. Specifically, police officers patrol medical center campuses in an effort to deter, detect, defend, and respond to threats to patients and staff. Officers can make arrests for violations of federal law, can confiscate drugs, alcohol or other contraband, and can conduct investigations and collect basic evidence to the extent necessary to determine whether a crime has been committed. In addition, VA police officers might respond to incidents involving disruptive patient behavior\u2014 a continual concern for staff at VHA facilities, according to officials from the sites we spoke with. Staff can alert VA police to such incidents through means such as duress alarm systems at their facilities, and at some locations we spoke with, police respond as part of multi-disciplinary teams that try to de-escalate incidents involving disruptive patients. For example, police can be on the Disruptive Behavior Committees at their facilities. These multi-disciplinary committees review incidents involving disruptive patients and can suggest mitigations for future incidents including placing a \u201cflag\u201d on a patient\u2019s record. These flags alert staff to prior concerns with a patient\u2019s behavior and may include instructions for preventative measures such as a requiring the patient to check in with VA police when arriving on campus or requiring the patient to have a police escort while at the facility.", "VA police at some sites included in our review described challenges officers face when responding to incidents. For example, according to VA police officials, not all incidents involving disruptive patients constitute a violation of the law, limiting the ability of a police officer to intervene. Police officials spoke about trying to de-escalate situations first, before making arrests or physically intervening in an altercation. Furthermore, VA police officers are limited in their authority to engage in certain actions such as pursuing non-federal offenses, investigating crimes off-campus, and carrying service weapons off campus, officials told us. In addition, some VA police we spoke with stated that the Assistant U.S. Attorney\u2019s office is reluctant to prosecute veterans, so the VA police do not have much leeway or leverage in detaining, arresting or pressing charges against patients or visitors. For example, according to VA police officials from one site we spoke with, the Assistant U.S. Attorney declined to prosecute a stabbing incident. As a result the police had to work with the local police to recharge the case and go through the state court for prosecution.", "As a part of the policing role, police have various reporting responsibilities. For example, police officers are expected to report their daily operational activity into a computerized database called the VA Police System that: (1) documents all criminal activity at the medical centers, (2) records daily incident reporting at each facility in a 24-hour period, and (3) lists all individuals who come into contact with VA police. VA police chiefs at each location use this data to generate a localized Unified Crime Report (UCR) for each campus. Each police chief maintains his or her own UCR, which can include all incidents reported by officers, from petty theft to homicide. VA police are to conduct predictive analysis of crime patterns and adjust patrols or investigative activities accordingly.", "In addition to recording all activities into the database, VA police are required to report certain incidents (including incidents that are likely to result in national media or congressional attention), to the VA\u2019s Integrated Operations Center through a Serious Incident Report. Police officers are required to report serious incidents as soon as possible, but no later than 2 hours after awareness of the incident. Reportable incidents include, among others, sexual or aggravated assaults and VA police-involved shootings. The Integrated Operations Center staff provides reports and real-time information on these incidents to the Secretary and the VA administrators for their awareness; however, the staffers do not conduct their own investigations into incidents. Officials from the Office of Security and Law Enforcement told us that they have started pulling together internal, monthly rollups of law-enforcement-related serious incident reports. These reports are provided to the VA police chiefs to inform them of serious incidents and provide situational awareness on law enforcement and criminal activity happening at VHA medical centers across the nation. These reports contain law-enforcement sensitive information and are intended for internal VA police use for crime analysis specific to VA law enforcement matters affecting VA campuses and are not to be released to the public or individuals or organizations outside law enforcement."], "subsections": []}, {"section_title": "Police Oversight and Management", "paragraphs": ["The Office of Security and Law Enforcement (OSLE) develops and issues policies and procedures for physical security, law enforcement, and training activities for VA police. In addition, OSLE and VISN police chiefs share responsibility for the police inspection program described in this report. OSLE does not provide any sort of centralized command over police chiefs or officers, however. This level of oversight and management of VHA police is done through the senior leadership at each local medical center. Police chiefs set the standard- operating procedures for their departments and report to an associate or assistant medical director, who provides daily supervision and approves their performance management appraisals. Medical center directors are ultimately responsible for the hiring of VA police officers and funding their training through VA\u2019s Law Enforcement Training Center.", "If allegations of police misconduct arise, the local VA police departments, and specifically the police chiefs, are responsible for investigating these claims. According to officials we spoke with, there are multiple methods police misconduct can be reported: directly through the medical center; to the VA Inspector General complaint hotline, or, in some instances, directly to OSLE within VA\u2019s headquarters. OSLE\u2019s Criminal Investigation Division will generally investigate criminal allegations and if appropriate will refer issues to the US Attorney for action. OSLE does not have supervisory authority over the VA police departments, and so any administrative actions must be taken by the local medical center officials."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Maria Edelstein (Assistant Director); William Carpluk; Raymond Griffith; Geoffrey Hamilton; Joshua Ormond; Amy Rosewarne; Friendly Vang-Johnson; and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-250", "url": "https://www.gao.gov/products/GAO-18-250", "title": "Oil and Gas Wells: Bureau of Land Management Needs to Improve Its Data and Oversight of Its Potential Liabilities", "published_date": "2018-05-16T00:00:00", "released_date": "2018-06-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2016, private entities operated about 94,000 oil and gas wells on federal lands overseen by BLM. Once wells cease production, they can become inactive and potentially orphaned if an operator does not perform required reclamation and if an operator's bond is insufficient to cover the expenses. BLM considers oil and gas wells on federal and Indian lands and the associated leased lands as potential liabilities for the federal government because BLM may have to cover the costs of reclaiming well sites. To better manage its potential liabilities, BLM issued well and bond adequacy review policies in 2012 and 2013, respectively.", "GAO was asked to review how BLM manages its potential oil and gas well liabilities. This report examines, among other things: (1) how BLM's actual costs and potential oil and gas well liabilities have changed for fiscal years 2010 through 2017 and (2) the extent to which BLM has implemented its well and bond review policies. GAO analyzed BLM's policies and data and interviewed BLM officials and representatives from stakeholder organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis indicates that the Bureau of Land Management's (BLM) actual costs incurred and potential liabilities for reclaiming oil and gas wells have likely increased for fiscal years 2010 through 2017. However, the full extent of the increase is not known because BLM does not systematically track needed data. Based on GAO's analysis of data obtained from 13 of BLM's 33 field offices that manage oil and gas programs, the average annual reclamation cost was $267,600, an increase compared to the $171,500 annual average across all BLM offices that GAO reported in 2010. Similarly, GAO's analysis of BLM data found that the number of known orphaned wells, those that generally have no responsible or liable parties, for all field offices has increased from 144 in 2010 to 219 as of 2017. However, BLM's database that contains information on oil and gas wells on federal and Indian lands does not collect information on costs incurred or on potential liabilities that might result from an increase in the number of orphaned wells. Under federal internal control standards, management should use quality information to achieve the entity's objectives. Without systematically tracking such information, BLM does not have assurance that it has sufficient bonds or financial assurances to cover the costs of reclaiming orphaned wells.", "GAO was unable to fully assess the extent to which BLM field and state offices have implemented the agency's policies on reviewing wells and bond adequacy in part because of deficiencies in BLM's monitoring approach. For example, reports BLM headquarters used to monitor field offices' implementation of the policies have limitations. GAO identified discrepancies between the well and bond adequacy review reports that BLM state offices submitted to headquarters and the national summary consolidating states' information. Out of 10 state offices, 3 reported a different number of reviews completed in fiscal year 2016 than what BLM reported in its fiscal year 2016 national summary. Leading practices for monitoring the implementation of agency policies call for taking steps such as collecting and analyzing data on performance indicators. Without strengthening BLM's approach to monitoring, its ability to assess field offices' reviews of all inactive wells and determine the adequacy of all bonds is limited."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that BLM systematically track the agency's actual reclamation costs and potential liabilities and strengthen its approach to monitoring field offices' implementation of the well review and bond adequacy review policies. BLM agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Oil and natural gas resources on federal and Indian lands are an important source of our nation\u2019s energy supply. According to the Department of the Interior\u2019s Bureau of Land Management (BLM), in fiscal year 2015, the most recent year for which data are available, wells on federal and Indian lands were responsible for providing 11 percent of the natural gas and 7 percent of the oil used in the United States. In fiscal year 2016, private entities operated about 94,000 oil and gas wells on federal lands overseen by BLM. Once these wells cease production, they can become inactive. Inactive wells, which are non-producing wells, have the potential to create physical and environmental hazards if operators fail to reclaim the well sites, which may involve plugging the well, removing structures, and reshaping and revegetating the land around the wells (i.e., returning well sites as close to their original natural conditions as reasonably practical). For example, inactive wells that are not plugged or not properly plugged can leak methane or contaminate surface water and groundwater. BLM considers both oil and gas wells on federal and Indian lands as well as the associated leased land as potential liabilities because BLM may have to pay for reclamation if the well operator fails to do so.", "BLM regulations and federal laws contain requirements aimed at managing BLM\u2019s potential oil and gas well liabilities. For example, to help ensure that operators reclaim well sites, BLM requires operators to provide a bond before drilling operations begin. Operators are required to reclaim well sites before their bonds are released. These bonds may be surety bonds, which are third-party guarantees that operators purchase from private insurance companies, or personal bonds accompanied by a financial instrument, such as a cashier\u2019s check. Inactive wells become orphaned if an operator does not perform required reclamation and if the bond is insufficient to cover reclamation expenses and there are no other responsible or liable parties to do so. In these cases, BLM is responsible for completing the reclamation of the well site and uses appropriated funds to perform reclamation. The Energy Policy Act of 2005 (EPAct 2005) directs the Secretary of the Interior to establish a program to reclaim orphaned, abandoned, or idled oil and gas wells on federal lands. The act requires that the program identify persons providing a bond or other financial assurance and establish a means of recovering the costs of reclaiming wells.", "We have previously reported on the actual costs BLM has incurred to reclaim orphaned wells and reported on and made recommendations related to BLM\u2019s potential oil and gas well liabilities and the agency\u2019s efforts to manage these liabilities. For example, in January 2010, we documented the amount that BLM paid to reclaim orphaned wells from 1988 through 2009 ($3.8 million to reclaim 295 orphaned wells), and identified the number of orphaned wells that BLM had not yet reclaimed (144 orphaned wells). In addition, in February 2011, we found incomplete bond information in BLM\u2019s data system, as well as incomplete data on the number of well and bond adequacy reviews. We recommended that BLM develop a comprehensive strategy to better manage potential oil and gas well liabilities. BLM agreed and, partly in response to our recommendations, issued a well review policy in 2012 and a bond adequacy review policy in 2013.", "You asked us to review how BLM manages its potential oil and gas well liabilities. This report examines (1) how BLM\u2019s actual costs incurred to reclaim orphaned wells and potential oil and gas well liabilities have changed, if at all, for fiscal years 2010 through 2017 (since we last reported on these issues); (2) the extent to which BLM has implemented its 2012 well review and 2013 bond adequacy review policies; and (3) BLM officials\u2019 and stakeholders\u2019 views on what challenges, if any, BLM faces in managing its potential oil and gas well liabilities.", "To examine how BLM\u2019s actual reclamation costs incurred and potential oil and gas well liabilities have changed, we analyzed data from BLM\u2019s Automated Fluid Minerals Support System (AFMSS) on oil and gas wells on federal and Indian lands, including inactive and orphaned wells\u2014 which represent potential liabilities. AFMSS provides a snapshot of the time that the data are queried, and so AFMSS does not include historical data over time. As such, to examine the number of inactive wells on federal and Indian lands and how long these have been inactive, we combined AFMSS data with data from the Department of the Interior\u2019s Office of Natural Resources Revenue (ONRR) Oil and Gas Operations Report\u2019s (OGOR) data system. The Department of the Interior requires monthly OGORs from operators. These OGORs document and record the volume of oil and gas produced from wells on federal and Indian lands. To assess the reliability of AFMSS and OGOR data, we reviewed agency documents, met with relevant agency officials, and performed electronic testing. We found the data on the number of inactive wells and how long they have been inactive and the data for the number of wells BLM has identified as orphaned to be sufficiently reliable for our purposes.", "However, because AFMSS does not contain information on actual costs incurred to reclaim orphaned wells, we obtained documentation of the actual reclamation costs that 13 selected BLM field offices incurred for fiscal years 2010 through July 2017. To analyze these costs, we reviewed purchase orders and invoices. We also obtained documentation, including spreadsheets with estimated potential reclamation costs that these 13 offices faced as of July 2017. We compared estimated costs provided by the 13 field offices to historical actual costs and determined that overall estimated reclamation costs were sufficiently reasonable for providing a sense of the general magnitude of potential costs, though we did not assess the underlying inputs or assumptions used. We selected the 13 BLM field offices because they are responsible for about 80 percent of all oil and gas wells managed by BLM. We also interviewed officials from the 13 selected BLM field offices and the 6 BLM state offices associated with these field offices. Findings from the selected offices cannot be generalized to BLM offices we did not include in our review. We also reviewed documentation provided by BLM and compared BLM\u2019s policies and procedures on recording information on actual costs incurred to reclaim orphaned wells and potential liabilities against the information and communication standard outlined in Standards for Internal Control in the Federal Government.", "To examine the extent to which BLM has implemented its 2012 and 2013 policies for conducting well and bond adequacy reviews, we analyzed BLM\u2019s well review and bond adequacy review reports for fiscal year 2016. We also reviewed AFMSS data on wells and bonds as of October 2017. We were unable to fully assess BLM\u2019s performance against the directives in the agency\u2019s 2012 well review and 2013 bond adequacy review policies due to limited agency data and documentation. We identified data accuracy and consistency concerns with some of the data elements in the agency\u2019s well review and bond adequacy review reports as well as some AFMSS data on wells and bonds, which we discuss later in this report. In addition, we reviewed documentation from a random, non-generalizable sample of 62 well reviews and 58 bond adequacy reviews, as reported by the 13 selected BLM field offices. Information from our documentation reviews is not generalizable to all BLM field offices but provides illustrative examples of the information contained in BLM\u2019s well and bond adequacy reviews. We compared BLM\u2019s procedures detailing how offices are to count or report a well review and procedures for maintaining data quality against the control activities standard outlined in Standards for Internal Control in the Federal Government. We also compared BLM\u2019s procedures for monitoring implementation of policy directives against leading practices for monitoring agency policies.", "To examine any challenges that BLM faces in managing its potential oil and gas well liabilities, we interviewed officials from 20 BLM offices and interviewed or obtained written responses from representatives from 8 stakeholder organizations knowledgeable about BLM\u2019s oil and gas well management, including academic, environmental, industry, and state organizations. In addition, we spoke with knowledgeable officials from ONRR and the Department of the Interior\u2019s Office of Indian Energy and Economic Development, Division of Energy and Mineral Development. To identify knowledgeable stakeholders, we conducted a literature search, reviewed previous GAO reports, and obtained recommendations from BLM officials. We then used a technique in which the initial group of BLM officials and stakeholders we interviewed identified additional contacts to interview. From this list, we selected stakeholders who could provide a range of viewpoints. The views of the BLM officials, stakeholders, and other agency personnel we interviewed are not generalizable to BLM officials, similar stakeholders, and other agency personnel we did not interview. Lastly, we compared how BLM identified and managed certain inactive wells, as well as how BLM managed nationwide and statewide bonds, against the control activities standard outlined in Standards for Internal Control in the Federal Government; and BLM\u2019s resource management practices against certain requirements in EPAct 2005 and leading practices by the Project Management Institute\u2019s The Standard for Program Management. (App. I lists the BLM offices and knowledgeable stakeholders we interviewed and provides additional information on our scope and methodology).", "We conducted this performance audit from November 2016 to May 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on (1) BLM headquarters, state, and field offices; (2) the lifecycle of oil and gas wells; (3) BLM\u2019s bonding regulations; and (4) BLM\u2019s 2012 well review and 2013 bond adequacy review policies."], "subsections": [{"section_title": "BLM Headquarters, State, and Field Offices", "paragraphs": ["BLM is responsible for issuing leases for private entities to develop oil and gas resources on and under roughly 700-million acres of (1) BLM land, (2) other federal agencies\u2019 land, and (3) private land where the federal government owns the mineral rights. According to BLM, approximately 32-million acres were leased for oil and gas operations at the end of fiscal year 2015. BLM also oversees oil and gas operations on 56-million acres of Indian lands.", "BLM administers its programs through its headquarters office in Washington, D.C.; 12 state offices; 38 district offices; and 127 field offices. Of these, 10 state offices and 33 field offices manage oil and gas programs, and these are located primarily in the Mountain West, the center of much of BLM\u2019s oil and gas development. BLM headquarters develops guidance and regulations for the agency, and the state, district, and field offices manage and implement the agency\u2019s programs. Because BLM has few acres of land in the eastern half of the United States, the Eastern States State Office, in Washington, D.C., is responsible for managing land in 31 states, and the remaining state offices generally conform to the boundaries of one or more states. Figure 1 shows the boundaries of the 12 BLM state offices."], "subsections": []}, {"section_title": "Lifecycle of Oil and Gas Wells", "paragraphs": ["Once operators obtain federal oil and gas leases and drill wells, those wells can be actively producing, inactive, or reclaimed. An orphaned well is a well that BLM determined has no responsible or liable party and for which there is insufficient bond coverage for reclamation. This situation may occur, for example, when an operator has declared bankruptcy. Shut-in and temporarily abandoned wells are examples of types of inactive wells that can become orphaned. Shut-in wells are physically and mechanically capable of producing oil or gas in paying quantities or capable of service use. For example, an operator may put a well in shut- in status if it has not been connected to a sales line or the line is too far away and it is not economical to connect to at this time. Temporarily abandoned wells are another type of inactive well that is not physically or mechanically capable of producing oil or gas in paying quantities but that may have value for a future use. Figure 2 depicts the lifecycle of oil and gas wells overseen by BLM."], "subsections": []}, {"section_title": "BLM\u2019s Bonding Regulations", "paragraphs": ["The Mineral Leasing Act of 1920, as amended, requires that federal regulations ensure that an adequate bond is established before operators begin preparing land for drilling to ensure complete and timely reclamation of the land. Accordingly, BLM regulations require operators to submit a bond to ensure compliance with all of the terms and conditions of the lease, including, but not limited to paying royalties, plugging wells, and reclaiming disturbed land. BLM regulations generally require operators to have one of the following types of bond coverage: individual lease bonds, which cover all of an operator\u2019s wells under one lease, and the minimum amount is set at $10,000; statewide bonds, which cover all of an operator\u2019s leases in one state, and the minimum amount is set at $25,000; or nationwide bonds, which cover all of an operator\u2019s leases in the United States, and the minimum amount is set at $150,000.", "BLM can accept two types of bonds: surety bonds and personal bonds. A surety bond is a third-party guarantee that an operator purchases from a private insurance company approved by the Department of the Treasury. The operator is required to pay a premium to the surety company to maintain the bond. These premiums can vary depending on various factors, including the amount of the bond and the assets and financial resources of the operator. If operators fail to reclaim the land they disturb, the surety company can either pay BLM the amount of the bond to help offset reclamation costs, or in some circumstances, BLM may allow the surety company to perform the required reclamation. A personal bond must be accompanied by one of the following financial instruments: certificates of deposit issued by a financial institution whose deposits are federally insured, granting the Secretary of the Interior authority to redeem it in case of default in the performance of the terms and conditions of the lease; cashier\u2019s checks; negotiable Treasury securities, including U.S. Treasury notes or bonds, with conveyance to the Secretary of the Interior to sell the security in case of default in the performance of the lease\u2019s terms and conditions; or irrevocable letters of credit that are issued for a specific term by a financial institution whose deposits are federally insured and meet certain conditions.", "If operators fail to reclaim the land they disturb, BLM will redeem the certificate of deposit, cash the check, sell the security, or make a demand on the letter of credit to pay the reclamation costs."], "subsections": []}, {"section_title": "BLM\u2019s 2012 Well Review and 2013 Bond Adequacy Review Policies", "paragraphs": ["In response to our previous recommendations that BLM develop a comprehensive strategy to improve monitoring agency performance in conducting well reviews and bond adequacy reviews, BLM issued a 2012 well review policy and a 2013 bond adequacy review policy. These policies contain directives for conducting reviews when wells and bonds meet certain criteria. The well review policy directs: that field office officials evaluate every shut-in well at least once every 5 years; that field office officials review all wells that have been inactive for 25 years or longer and that have no anticipated beneficial use by March 29, 2013; that if field office officials determine that there are wells that are not capable of producing oil or gas in paying quantities or have no beneficial use, officials are to send the operator a written order directing the operator to demonstrate that these wells are capable of producing oil or gas in paying quantities or have a future beneficial use, or the operator is to submit plans to reclaim the wells; that each state office submit to BLM headquarters a consolidated annual report recording well reviews; and that the annual report identify the leases that were reviewed and the wells that were reviewed on each lease, and describe what follow-up action the field office official conducting the review performed.", "The bond adequacy review policy directs: that field offices perform bond adequacy reviews on all bonds at least once every 5 years or whenever a bond review is warranted; that field offices verify and tie all federal wells to their appropriate bond number and enter bond information and bond adequacy review data into AFMSS; that field offices perform adequacy reviews on all bonds using specific instructions and a worksheet that assigns points for three risk factors: (1) status of wells covered by the bond (share of inactive wells, deep wells, and wells with marginal production); (2) operator-specific compliance history; and (3) reclamation stewardship diligence; that if the field office official performing the review determines that the bond amount is insufficient, the official is to take the necessary steps to determine the appropriate bond amount and increase the bond; that if the bond being reviewed is a statewide or nationwide bond, field offices are to review the wells within their field office jurisdiction; and that each BLM state office with an oil and gas program submit a semi- annual bond adequacy review report to BLM headquarters."], "subsections": []}]}, {"section_title": "BLM\u2019s Actual Reclamation Costs and Potential Oil and Gas Well Liabilities Have Likely Increased, but the Agency Does Not Systematically Track These", "paragraphs": ["BLM\u2019s actual costs incurred to reclaim orphaned wells and potential liabilities have likely increased for fiscal years 2010 through 2017 based on our analysis of available information. Precisely how the agency\u2019s actual reclamation costs and potential liabilities have changed is unclear because BLM does not systematically track them at an agency-wide level. BLM headquarters officials we interviewed told us that they did not have any information on actual costs incurred to reclaim orphaned wells and stated that BLM\u2019s data systems were not designed to track incurred reclamation costs. In addition, AFMSS provides a snapshot of orphaned wells as identified at the time that the data are queried and does not provide data for prior time periods.", "Because BLM headquarters does not record actual reclamation costs incurred at an agency-wide level, we requested documentation for the reclamation costs incurred by 13 selected BLM field offices for fiscal years 2010 through July 2017. This documentation identified about $2.1 million in reclamation costs incurred over this period, or an average of about $267,600 per year by these 13 field offices. We estimate that total actual reclamation costs for all field offices are likely to be higher than this amount as other field offices may have also reclaimed orphaned wells during this period. In January 2010, we found that, for all field offices across the agency, BLM spent about $3.8 million from fiscal years 1988 through 2009, or an average of about $171,500 per year. Comparing the average costs incurred by the 13 selected field offices to the data we previously reported demonstrates that actual total reclamation costs incurred have likely increased since 2010.", "In addition to actual costs increasing, potential liabilities are also likely to have increased, though BLM does not systematically track information on potential liabilities that might result from an increase in the number of orphaned wells. Potential liabilities include costs that the agency may incur to reclaim wells that operators fail to reclaim. We believe these costs have also increased because the number of known orphaned wells on federal and Indian lands managed by BLM has increased. We identified changes in the number of known orphaned wells since we last reported on this matter in January 2010. In January 2010, we found that BLM had identified and was managing 144 orphaned wells. Over half of those 144 wells (75) were still identified in AFMSS as orphaned as of July 2017, and the total number of identified orphaned wells on federal lands had increased from 144 to 219. Also, BLM officials from the 13 selected field offices identified about $46.2 million in estimated potential reclamation costs associated with orphaned wells and inactive wells that officials deemed to be at risk of becoming orphaned.", "Also concerning potential liabilities, our analysis of AFMSS data and OGOR production data through September 2016 found that BLM managed about 15,600 inactive wells, of which over 1,000 were inactive for 25 years or more. In contrast, a document provided to us by BLM headquarters indicates 325 wells had been inactive for 25 years or more as of around 2017. This document summarizes data from AFMSS queries conducted by BLM field and state offices at various times from 2013 through 2014 and queries conducted at various times from 2016 through 2017. BLM officials told us that this difference could be because AFMSS reports sometimes return conflicting data since the reports draw from current and historical statuses of wells from both AFMSS and OGOR. We combined AFMSS and OGOR data to identify the number of inactive wells because although BLM records the total number of wells on federal lands over time\u2014a rough indicator of how potential reclamation costs may change\u2014the agency does not systematically record more specific types of wells that may be at higher risk of becoming orphaned, such as inactive wells or wells that have been inactive for 25 years or more.", "Moreover, we identified inconsistencies between the data and the document provided to us by BLM headquarters summarizing the data. For example, BLM\u2019s summary document did not include one state office, even though the data include that state office as having two wells that were inactive for 25 years or more in 2014. BLM\u2019s summary document states that there had been a reduction in the number of wells that were inactive for 25 years or more between the times of the two data queries. However, because BLM does not systematically track the number of inactive wells, in particular those wells that are at high risk of becoming orphaned, the agency does not know how its potential liabilities may be changing. These liabilities include wells inactive for 25 years or more.", "Although we were unable to determine the full extent of the increase in BLM\u2019s potential liabilities because BLM does not have the data needed for such an analysis, other factors also suggest such an increase. For example, there has been an increase in oil and gas development on federal lands, and therefore, there is the potential for an increase in the total number of wells on federal lands at risk of becoming orphaned and needing to be reclaimed in the future. BLM\u2019s portfolio of oil and gas wells on federal lands has changed over the years, based on overall trends in the oil and gas industry. According to AFMSS data provided by BLM, the total number of wells on federal lands that are capable of production increased along with rising oil and gas prices, from about 89,600 wells in fiscal year 2010 to peaking to about 94,800 wells in fiscal year 2014. As oil and gas prices declined starting in 2014, the total number of wells capable of production also declined to about 94,100 wells in fiscal year 2016.", "In addition, declining oil and gas prices (by nearly half from 2010 through 2017) have placed financial stress on oil and gas operators, thereby increasing bankruptcies and the risk of wells becoming orphaned. For example, coalbed methane\u2014natural gas extracted from coal beds\u2014was economical to produce when natural gas prices were higher and thousands of coalbed methane wells were drilled on federal lands. However, coalbed methane production has declined because the spread of shale gas production has driven down natural gas prices. Officials we interviewed in one BLM field office told us that the drop in natural gas prices contributed to an increasing number of bankruptcies for operators of coalbed methane wells. Our analysis of AFMSS data suggests that there were thousands of inactive coalbed methane wells as of October 2017. To the extent that market conditions remain unfavorable for coalbed methane production, BLM\u2019s potential future reclamation costs may increase if any operators of these wells go bankrupt or are otherwise unwilling or unable to pay the full costs of reclamation, leaving these wells orphaned.", "According to federal internal control standards, management should use quality information, which should be complete, to achieve the entity\u2019s objectives. However, BLM does not systematically or comprehensively track the agency\u2019s actual costs incurred to reclaim orphaned wells and the information necessary to determine potential liabilities, including indicators of potential future reclamation costs, such as the number of inactive wells, orphaned wells, and estimates of reclamation costs for orphaned wells. BLM headquarters officials said that they sometimes check AFMSS to see how many orphaned wells there are, but without doing so systematically and recording the results of these checks, it is not possible to determine how the agency has been making progress in managing the number of orphaned wells. EPAct 2005 requires that the costs of reclaiming orphaned wells be recovered from persons or entities providing a bond or other financial assurance. Without systematically and comprehensively tracking actual reclamation costs incurred and the information necessary to determine potential liabilities including the numbers of orphaned wells and inactive wells over time, BLM cannot ensure that it has sufficient bond coverage or other financial assurances to minimize the need for taxpayers to pay for the costs of reclaiming orphaned wells."], "subsections": []}, {"section_title": "The Extent to which BLM Implemented Its Well Review Policy and Bond Adequacy Review Policy Directives Is Unclear", "paragraphs": ["The extent to which BLM has implemented its well review policy and bond adequacy review policy is unclear. Specifically, we were unable to fully assess the extent to which BLM\u2019s field and state offices have implemented directives included in these policies because of inconsistent well review information, inaccurate well and bond data in AFMSS, and inadequate monitoring of well and bond policies\u2019 implementation.", "Inconsistent well review information. We were unable to fully assess the extent to which BLM implemented some directives in the well review policy because the well review information reported by field offices differed across the agency. For example, officials we interviewed at the 13 selected BLM field offices had different understandings of what specific actions constitute a well review, and therefore differed in their understanding of which wells were to be included in the annual reports for documenting well reviews. Specifically, officials from 11 out of 13 selected field offices told us that a well review consisted of actions\u2014such as reviewing a well\u2019s status, conducting a physical inspection, and providing additional notices or letters to the well operator when a well is inactive. Officials in 2 other field offices told us that while they conduct similar actions, they consider the sole action of correcting data on a well\u2019s status to constitute a well review. For example, a BLM official told us that one reported well review was conducted on a well that had been reclaimed in 1986 but that was not noted in AFMSS. The official told us that following this well review, they corrected the well status in AFMSS and noted that this well should not have been on the list of wells to review. While correcting well data helps improve the accuracy of AFMSS, when some offices count such corrections as well reviews and others do not, this variance results in inconsistent information in BLM\u2019s annual well review reports.", "Such inconsistencies in what counts as a well review may be the result of a lack of clarity in BLM\u2019s well review policy that does not specify what constitutes a well review. Unlike the bond adequacy review policy, which provides instructions to field offices on how to conduct a bond adequacy review and directs field offices to use a specific worksheet to calculate bond adequacy, the well review policy does not contain specific instructions on what actions field offices are to take to conduct a well review, such as how to count reviews or report them. A January 2018 report by the Department of the Interior\u2019s Office of Inspector General (OIG) similarly found that BLM\u2019s well review policy does not specifically outline how to conduct and document reviews of shut-in wells (shut-in wells, as noted earlier, are inactive wells that are physically and mechanically capable of producing oil or gas in paying quantities or capable of service use). Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks; such activities include appropriate documentation of internal control in management directives, administrative policies, or operating manuals. Without developing and communicating specific instructions outlining what actions constitute a well review for annual- reporting purposes, BLM cannot have reasonable assurance that its field offices are conducting and reporting on well reviews in a consistent manner.", "Inaccurate well and bond data in AFMSS. Our ability to assess the extent to which BLM implemented its well review and bond adequacy review policies was impeded by inaccuracies in certain AFMSS data. BLM officials told us that some of the data in AFMSS on wells and bonds were not reliable. For example, BLM officials told us that there may be discrepancies between the bonds listed in AFMSS and the bonds listed in the Bond and Surety System, which is BLM\u2019s official database for all oil and gas bonds. Officials told us that bonds may be missing from AFMSS because BLM field offices are responsible for manually entering the bond number from the Bond and Surety System into AFMSS.", "In addition, AFMSS data we reviewed contained other inaccuracies. Specifically, the data we reviewed contained future dates for when wells were completed, or capable of production, when some wells last changed statuses, and when some well reviews were reportedly conducted. BLM officials told us that AFMSS allows users to enter future dates, which can result in inaccurate data. Having inaccurate dates for wells\u2019 statuses and wells\u2019 reviews is problematic because it means it is not possible to assess whether reviews are being conducted as directed by BLM policy. For example, BLM\u2019s well review policy directs field offices to review each shut-in well every 5 years. BLM\u2019s performance against this directive cannot be assessed without reliable information on when wells become shut-in and when well reviews are conducted.", "In written responses to our request for information, BLM officials stated that AFMSS has some edit checks, but the accuracy of the data entered into AFMSS is dependent on field office officials responsible for data entry. BLM officials stated that AFMSS has some electronic safeguards, such as certain number fields only accepting numbers. In addition, AFMSS has dropdown menus and checkboxes to narrow the parameters of certain data being entered. However, there are no edit checks to prevent field offices from inputting future status dates. In addition, BLM\u2019s data administration and management handbook establishes that data stewards are to, among other things, establish target quality levels, data quality plans (including audits and other quality assurance steps), and certify the quality of the data. BLM officials stated that they have national level AFMSS data stewards and information-technology data stewards. However, BLM officials stated that the agency has not defined AFMSS target quality levels and did not provide any data quality plans. Officials stated that BLM headquarters conducts annual data reviews and will periodically review sample well files to detect data inconsistencies and errors. In addition, BLM officials stated that field offices are responsible for certifying the accuracy of the data they enter into AFMSS, and BLM headquarters is responsible for providing oversight. However, BLM headquarters officials did not provide documentation of any data certifications or data reviews, raising concerns over the extent of this oversight.", "Under federal standards for internal control, management should design control activities, including control activities used in information processing, to achieve objectives and respond to risks. Examples of such control activities include: conducting edit checks of data entered, accounting for transactions in numerical sequences, and comparing file totals with control accounts.", "Without taking steps to improve AFMSS data quality, such as by conducting more edit checks and having data stewards certify the quality of the data, BLM cannot have reasonable assurance that management has the accurate information it needs to track whether field offices are conducting well and bond adequacy reviews as intended.", "In its January 2018 report, the OIG found similar issues related to the accuracy of AFMSS data. Specifically, the OIG found that AFMSS data were unreliable due to inaccurate well status information. The OIG also found that BLM officials update AFMSS manually during a well review or as needed, as opposed to automating the data, meaning that information about the status of individual wells in AFMSS and data used for BLM\u2019s annual well report are not timely. The OIG recommended that BLM develop and implement a quality control process to identify inaccurate or incomplete data in AFMSS. BLM concurred with this recommendation.", "Inadequate monitoring of well and bond policies\u2019 implementation. BLM headquarters has taken some actions to monitor the implementation of its well and bond adequacy review policies across the agency, but its efforts have been limited, and the agency cannot ensure that its policy directives have been fully implemented. For example, BLM headquarters officials told us that headquarters relies on national well review and bond adequacy review reports to monitor the extent to which field offices are conducting well and bond adequacy reviews. These well and bond adequacy review reports provide some information on how BLM field offices conducted their reviews during a given year, but the reports as previously mentioned above have data limitations and do not consistently record a field office\u2019s progress in meeting the policies overall. For example, annual well review reports list the wells field offices reviewed in a given year, but do not compare this statistic to a list of the wells that each field office should have reviewed. Similarly, field offices\u2019 bond adequacy review reports list the bonds that the field offices reviewed in a given year. However, the reports do not compare the bonds reviewed to a list of bonds each field office should have reviewed.", "In addition, our analysis of 58 selected bonds reported as reviewed across the 13 selected field offices found that 4 bonds\u2014about 7 percent\u2014were not reviewed, even though field offices had reported that they had conducted the reviews. The bond adequacy review policy directs field offices to review all bonds once every 5 years or whenever a bond review is warranted. Therefore, the bond adequacy review reports on their own provide insufficient information for BLM headquarters to monitor progress about whether field offices are fully implementing the directive.", "We also identified discrepancies between the annual well review and semi-annual bond adequacy review reports that state offices submitted to BLM headquarters and the information in headquarters\u2019 national summary, which consolidates the state office information. These discrepancies limit the usefulness of the national summary for monitoring the extent to which field offices are conducting well and bond adequacy reviews as directed by the policies. For example, 3 out of 10 state offices reported a different number of bond adequacy reviews completed in their fiscal year 2016 state reports than what was reported in BLM\u2019s fiscal year 2016 national report. Similarly, 6 out of 9 state offices reported a different number of completed well reviews in their fiscal year 2016 state report than what was reported in BLM\u2019s fiscal year 2016 national report.", "Similarly, the OIG\u2019s January 2018 report found that BLM can only report its progress in reviewing wells that have been inactive for 25 years or more by using field office spreadsheets, coupled with AFMSS data. The report stated that using spreadsheets and AFMSS data have made it difficult, however, for BLM to demonstrate proper oversight. BLM\u2019s headquarters officials had to ask state office officials how many wells had been reviewed and then had to summarize those results in a spreadsheet. The OIG recommended that BLM monitor and track reviews of shut-in wells in a management system. BLM concurred and stated that AFMSS and an update to AFMSS that is under development were the appropriate databases for monitoring and tracking well reviews.", "Overall, we found that BLM\u2019s current approach to monitoring the agency\u2019s progress in implementing its well and bond adequacy review policies has been limited. We reviewed leading practices for monitoring the implementation of agency policies. These practices call for, among other things: (1) periodically collecting and analyzing data on performance indicators, (2) establishing procedures for ensuring the quality of data on performance indicators, (3) documenting that monitoring plans were executed, and (4) considering performance information in making management decisions. Without taking actions to strengthen its approach to monitoring, such as collecting and analyzing data on performance indicators and ensuring the quality of those data, BLM\u2019s ability to assess the extent to which field offices are reviewing all inactive wells and determining the adequacy of all bonds is limited."], "subsections": []}, {"section_title": "Agency Officials and Stakeholders Identified Several Challenges BLM Faces in Managing Its Potential Oil and Gas Well Liabilities", "paragraphs": ["According to BLM officials and stakeholders we interviewed, BLM faces several challenges in managing its potential liabilities. In particular, BLM officials and stakeholders told us that one challenge in managing BLM\u2019s potential liabilities was identifying and managing shut-in wells and preventing them from becoming orphaned. Another challenge identified was limited resources and competing priorities in reclaiming orphaned wells. Other challenges to managing BLM\u2019s potential liabilities include difficulties in reviewing nationwide bonds, minimum bond amounts, and operators\u2019 unresponsiveness."], "subsections": [{"section_title": "BLM Faces Challenges Identifying and Managing Shut-in Wells and Preventing Them from Becoming Orphaned", "paragraphs": ["BLM officials from 6 of the 20 BLM offices\u2014including headquarters and selected state and field offices\u2014and 2 of the 10 stakeholders told us that one of the challenges that BLM faces in managing its potential liabilities is identifying and managing shut-in wells. As previously mentioned, shut-in wells are inactive wells that are physically and mechanically capable of producing oil or gas in paying quantities or capable of service use. Since shut-in wells may become orphaned and therefore involve BLM resources to reclaim, identifying and managing them is a way for BLM to manage its potential liabilities. BLM\u2019s 2012 well review policy directs field offices to review all shut-in wells on federal and Indian lands every 5 years and to ensure that shut-in wells no longer capable of production are reclaimed. However, operators are generally not required to notify BLM when they place a well in shut-in status. As a result, officials noted that it is difficult for field offices to identify all shut-in wells in order to review them. Officials from one field office told us that identifying when a well becomes shut-in is challenging unless inspectors are able to physically find the well.", "Even when wells have been identified to BLM as shut-in, some BLM officials at selected field offices said that they have few policy tools to manage shut-in wells. In reviewing the well review policy, we found that it contains certain directives for wells that are temporarily abandoned, including that an operator is to conduct well integrity testing prior to placing a well in temporarily abandoned status and a 30-day limit for how long operators can place wells in temporarily abandoned status without receiving BLM approval. However, the policy contains no similar directives related to testing or limited time frames for placing wells in shut- in status. As a result, BLM may be unable to identify and reduce its inventory of shut-in wells, including wells that have been in shut-in status for an extended period of time.", "In its January 2018 report, the OIG similarly found that the well review policy does not provide field offices the leverage to make an operator conduct integrity testing since the policy does not have instructions on the method, frequency, and way to proceed with a notice or order. Without having these test results available to them, the report found that BLM staff cannot be certain that an inactive well is environmentally sound and capable of production. The report recommended that BLM develop and implement guidance or update the well review policy to require integrity testing on inactive wells at specific periods.", "Strengthening the identification and management of shut-in wells could be particularly helpful in managing BLM\u2019s potential liabilities because such wells have represented a large portion of orphaned wells. According to our analysis of AFMSS data, 138 of the 242 orphaned wells BLM manages were in shut-in status prior to becoming orphaned. Moreover, one of these wells had been in shut-in status since 1926. BLM\u2019s Colorado and New Mexico state offices have taken steps to address the challenges associated with shut-in wells becoming orphaned. For example, in September 2016, BLM\u2019s New Mexico state office issued a policy that directed operators to obtain BLM\u2019s approval in order to place a well in shut-in status for more than 90 days and directed the operator to conduct periodic testing to verify that wells that have been inactive for more than 12 consecutive months remain capable of production. Under federal standards for internal control, management should design control activities\u2014such as by clearly documenting internal control in management directives, administrative policies, or operating manuals\u2014to achieve objectives and respond to risks. Without providing greater specificity in current policy or new supplemental guidance to all BLM field offices on how to identify and manage shut-in wells, the agency is at an increased risk of having unidentified shut-in wells, and wells that remain in shut-in status for extended periods of time, leading to increased potential liabilities if such wells become orphaned."], "subsections": []}, {"section_title": "BLM Faces Challenges Related to Limited Resources and Competing Priorities", "paragraphs": ["BLM officials and stakeholders told us that one of the challenges BLM faces in managing its potential liabilities is limited resources, including staff and funding, and competing priorities. Specifically, officials from 14 of the 20 BLM offices and 3 of the 10 stakeholders told us that BLM field offices have limited staff and therefore prioritize other work, such as processing drilling permits, over conducting well and bond adequacy reviews, which are used to manage potential liabilities. BLM prioritizes processing drilling permits over well and bond adequacy reviews in part because the agency is required by statute to process drilling permits within 30 days of receiving a complete application. BLM headquarters officials told us that processing permits is the agency\u2019s highest priority activity and that they ask field offices for monthly progress reports with projected goals for processing permits within the next 90 days, and compare the offices\u2019 accomplishments to agency targets. BLM headquarters officials told us that prioritizing processing permits increases the workload at the national, state-office, and field-office levels.", "Officials from one BLM state office told us that other challenges to managing its potential liabilities are staffing limitations and the time it takes to conduct bond adequacy reviews. These state office officials told us that bond reviews can take a long time to complete because some bonds are associated with several hundred wells. Similarly, officials from one field office stated that conducting bond adequacy reviews was time consuming and that they had only one staff member dedicated to conducting the reviews. In 2011, we found that a lack of resources and higher agency priorities were the primary reasons for why many BLM field office officials we interviewed had not conducted well and bond adequacy reviews or did not know the number of reviews they had conducted.", "In addition, officials from 6 of the 20 BLM offices and 1 stakeholder told us that another challenge BLM faces in managing its potential liabilities is prioritizing funding to reclaim orphaned wells. For example, an official from one state office told us that securing funding to reclaim orphaned wells is a challenge because BLM does not set aside funding to pay for reclamation costs. BLM officials in one field office told us that they had not received funding from BLM headquarters specifically for reclamation in over 10 years, despite managing a growing number of orphaned wells. An official from this field office told us that without dedicated funds from BLM headquarters for this purpose, the field office was unable to reclaim the orphaned wells. In addition, officials from another field office told us that time frames for competing and awarding contracts to perform reclamation work do not coincide with securing funding from BLM headquarters, and that funding has to be obligated by the end of the fiscal year. These officials explained that in one instance, by the time they obtained funding for well reclamation, it was too late to issue a contract for the work.", "EPAct 2005 requires the establishment of a program to reclaim orphaned, abandoned, or idled oil and gas wells on federal lands. As part of this program, BLM conducts well reviews and bond adequacy reviews. As discussed above, about half of the orphaned wells BLM identified in 2009 were not reclaimed and remained orphaned in 2017, and BLM officials cited funding as the issue. The Project Management Institute, Inc. has established a standard on program management. Under the standard, program resource management planning ensures that all required resources are made available for managers to enable the delivery of benefits for a program. Resource management planning involves identifying existing resources and the need for additional resources. The program manager analyzes the availability of each resource, in terms of both capacity and capability, and determines how these resources will be allocated to avoid over-commitment or inadequate support. Such planning, through a resource management plan, forecasts the expected resources across a program to allow the program manager to identify potential resource shortfalls or conflicts over the use of scarce or constrained resources. The plan is also to describe guidelines for making program resource prioritization decisions and resolving resource conflicts.", "Based on our discussions with BLM headquarters and field office officials, BLM does not have a resource management plan. For example, when we discussed resources for reclaiming orphaned wells with BLM headquarters officials, they told us that some BLM offices obtain funding from state funds established for reclaiming orphaned wells, but not all offices have been able to access such funds. If unable to secure funding from the states, offices may request funding from BLM headquarters for reclamation, and as mentioned previously, occasionally try to use unexpended funds left at the end of a fiscal year. In its comments on the draft report, Interior noted that BLM engages in annual work planning processes designed to facilitate agency resource allocation decisions. However, BLM overall does not have information on the federal resources needed to reclaim known orphaned wells. Without developing a resource management plan addressing resources needed for conducting well and bond adequacy reviews and reclaiming orphaned wells, BLM cannot have reasonable assurance that it is achieving the program\u2019s objectives."], "subsections": []}, {"section_title": "Agency Officials and Stakeholders Identified Several Additional Challenges BLM Faces in Managing Its Potential Liabilities", "paragraphs": ["Agency officials and stakeholders cited additional challenges including BLM\u2019s ability to review nationwide bonds, minimum bond amounts, and operator unresponsiveness.", "Reviewing nationwide bonds. Officials from 10 of the 20 BLM offices told us that they encountered challenges reviewing nationwide bonds because of a lack of coordination between BLM offices. The purpose section of the bond adequacy review policy states that field offices are to review bonds to determine whether the bond amount appropriately reflects the level of potential risk posed by the operator. However, the bond adequacy review policy also states in a directive that if the bond being reviewed is a nationwide or statewide bond, field offices are only to review the wells within their field office. Officials from one field office told us that without insights into an operator\u2019s activities in the jurisdictions of other field offices, bond adequacy reviews do not cover when an operator has been cited with an Incident of Noncompliance or the number of inactive wells the operator may have in other jurisdictions. These field office officials said that it is important to communicate and coordinate with other field offices when there is a need to require an operator to secure a larger bond. For example, to require a well operator to increase the amount of its bond, BLM must show that the operator meets the point system\u2019s threshold in the bond adequacy review\u2019s calculation worksheet. Officials in one state office told us that under a nationwide or statewide bond, an operator might not reach the agency\u2019s threshold for requiring a bond increase based on an operator\u2019s activities in the jurisdiction of one field office but may meet the threshold if BLM\u2019s bond adequacy review assessed all of the operator\u2019s operations within a state or across the nation.", "Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal controls, and having the documentation appear in management directives, administrative policies, or operating manuals. While BLM has documented its policy, the purpose of the policy to ensure that the bond amount appropriately reflects the level of potential risk posed by the operator conflicts with a directive of the policy that offices are only to review wells within their own jurisdiction. Officials told us that BLM is currently revising the bond adequacy review policy. As the agency revises its bond adequacy review policy, BLM has the opportunity to ensure that bond adequacy reviews reflect the overall risk presented by operators. By having the policy ensure that the reviews of nationwide and statewide bonds account for overall operator risk, BLM can have better assurance that it will reduce the likelihood of using taxpayer funds to pay to reclaim orphaned wells.", "Minimum bond amounts. Officials from 9 of the 20 BLM offices and 1 stakeholder told us that BLM faces challenges related to federal minimum bond amounts that in their opinion are too low. For example, officials from one BLM state office expressed concerns about operators with multiple wells covered by the minimum bond amounts, which the officials believed to be inadequate to cover total potential reclamation costs. Minimum bond amounts were set in the 1950s and 1960s and have not been updated to keep up with inflation. Specifically, the $10,000 minimum for individual bonds was established in 1960, and the bond minimums for statewide bonds ($25,000) and nationwide bonds ($150,000) were established in 1951. If adjusted to 2016 dollars, these amounts would be $63,613 for an individual bond, $189,825 for a statewide bond, and $1,138,952 for a nationwide bond. According to BLM headquarters officials, the agency does not require that operators provide full liability bonds. These officials told us that they believed that most operators would not be able to remain in business if bond amounts were based on estimated total reclamation costs.", "Operators\u2019 unresponsiveness. Officials from 8 of the 20 BLM offices and 2 stakeholders told us that BLM faces challenges dealing with unresponsive operators when requiring operators to increase bond amounts or issuing Incidents of Noncompliance. For example, officials from one BLM state office told us that operators do not always respond to letters informing them of a requirement to secure an increase in their bond. Officials from another BLM state office told us that the agency can place operators on a noncompliance list prohibiting them from holding leases or conducting operations on federal lands. However, these officials also said that they have seen operators ask relatives to obtain leases in order to circumvent such prohibitions. Officials from one field office told us of one particular instance in which BLM had spent over 7 years attempting to enforce the requirements for reclamation activities. BLM had issued an Incident of Noncompliance, but the operator did not respond and instead reorganized as a separate corporate entity. Subsequently, the operator went bankrupt, requiring BLM to restart the communications process from the beginning with the newly formed entity. BLM officials told us that the agency has very little leverage when companies change their name or reorganize in an attempt to evade performing required reclamation activities. BLM headquarters officials told us that working with operators was a delicate balance, especially when oil and gas prices are down, and BLM field offices would benefit from conducting periodic operator outreach to have an open dialogue with the operators."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["BLM is responsible for overseeing oil and gas development on federal lands and for balancing the sometimes competing priorities of encouraging oil and gas development, while ensuring that when wells run dry, operators return well sites to their original natural conditions. Federal laws, regulations, and BLM\u2019s own policies call for the agency to take various actions to manage its potential oil and gas well liabilities and reclaim orphaned wells. However, BLM does not systematically or comprehensively track how much the agency has spent to reclaim orphaned wells or information, such as the number of orphaned wells and inactive wells over time, necessary to determine the agency\u2019s potential liabilities. Without systematically or comprehensively tracking information on BLM\u2019s well reclamation costs and indicators of potential future costs, its ability to monitor its progress and plan for its potential liabilities associated with orphaned wells is limited.", "In addition, implementation of BLM\u2019s well and bond adequacy review policies by the field offices is hampered by officials having different understandings of what constitutes a well review. This variance is because BLM\u2019s well review policy does not outline specific instructions on what actions field offices should take when conducting a well review. This situation results in inconsistent ways of conducting well reviews and annually reporting on them. Without developing and communicating specific instructions outlining what actions constitute a well review for annual-reporting purposes, BLM cannot have reasonable assurance that its field offices are conducting and reporting on well reviews in a consistent manner. Further, inaccuracies in certain AFMSS data, such as the dates that wells last changed statuses, raise questions about the quality of data BLM headquarters uses to determine the extent to which its offices are implementing the well review and bond adequacy review policies. BLM has not taken steps to improve AFMSS\u2019 data quality such as through the use of additional edit checks to prevent field offices from inputting erroneous data or having data stewards certify the quality of the data. Without taking such steps, BLM cannot have reasonable assurance that management has accurate information it needs to track whether field offices are conducting well and bond adequacy reviews as intended. In addition, BLM\u2019s approach to monitoring the implementation of its well and bond adequacy review policies is limited because the reports the agency uses to monitor implementation provide insufficient and at times conflicting information. Without taking actions to strengthen its approach to monitoring, such as collecting and analyzing data on performance indicators and ensuring the quality of those data, BLM\u2019s ability to assess the extent to which field offices are reviewing all inactive wells and determining the adequacy of all bonds will continue to be limited.", "BLM officials and stakeholders identified several challenges that BLM faces in managing its potential oil and gas well liabilities, including identifying and managing certain inactive wells\u2014specifically wells that are in shut-in status and that have the potential to become orphaned. This problem is because operators are generally not required to notify BLM when they place a well in shut-in status. Without providing greater specificity in current policy or supplemental guidance to all field offices, the federal government may face increased potential liabilities if shut-in wells become orphaned. In addition, BLM faces challenges related to limited resources and competing priorities, such as not setting aside funding to pay for reclaiming orphaned wells. Without developing a resource management plan addressing resources needed for conducting well and bond adequacy reviews and reclaiming orphaned wells, BLM cannot have reasonable assurance that it is achieving the program\u2019s objectives. BLM also faces challenges related to conducting nationwide and statewide bond adequacy reviews because the bond adequacy review policy overall contains conflicting information on how field offices are to review bonds\u2019 adequacy. BLM is currently revising the bond adequacy review policy and has an opportunity to ensure that the reviews of nationwide and statewide bonds reflect operators\u2019 overall risks."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following seven recommendations to BLM: The Director of BLM should systematically and comprehensively track the actual costs BLM incurs when reclaiming orphaned wells and the information, including the number of orphaned wells and inactive wells over time, necessary to determine the agency\u2019s potential liabilities. (Recommendation 1)", "The Director of BLM should develop and communicate specific instructions on what actions constitute a well review for annual-reporting purposes. (Recommendation 2)", "The Director of BLM should take steps to improve AFMSS data quality, for example, by conducting more edit checks and by having data stewards certify the quality of the data. (Recommendation 3)", "The Director of BLM should strengthen its approach to monitoring field offices\u2019 implementation of the well review and bond adequacy review policies, such as by collecting and analyzing data on performance indicators and ensuring the quality of those data. (Recommendation 4)", "The Director of BLM should provide greater specificity in current policy or supplemental guidance to all BLM field offices on how to identify and manage all shut-in wells. (Recommendation 5)", "The Director of BLM should develop a resource management plan addressing resources needed for conducting well and bond adequacy reviews and reclaiming orphaned wells. (Recommendation 6)", "The Director of BLM should, in revising the bond adequacy review policy, ensure that the reviews of nationwide and statewide bonds reflect the overall risk presented by operators. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of the Interior for review and comment. In its comments, reproduced in appendix II, Interior generally concurred with our recommendations. Interior stated that, following GAO\u2019s 2011 report on potential oil and gas well liabilities, BLM implemented comprehensive policies to better manage and minimize the risks of idle and orphaned wells on federal and Indian lands. Interior agreed that there are areas where BLM can improve the accuracy of its data and further reduce the risks associated with idle and orphaned wells.", "Interior indicated that it will update and improve its existing policies and guidance consistent with the findings and recommendations in our report.", "In response to our sixth recommendation\u2014that BLM develop a resource management plan addressing resources needed for conducting well and bond adequacy reviews and reclaiming orphaned wells\u2014Interior stated that BLM conducts annual work planning processes which facilitate decisions regarding the allocation of agency resources and requested additional information clarifying how our recommendation fits into or differs from these. We expanded our description of resource management planning and added language regarding BLM\u2019s annual work planning processes to the report. However, we were not able to review the scope or adequacy of BLM\u2019s annual work planning processes as they relate to resource planning for well and bond reviews and reclaiming orphaned wells for this report.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how BLM\u2019s actual costs incurred to reclaim orphaned wells and potential oil and gas well liabilities have changed, if at all, for fiscal years 2010 through 2017; (2) the extent to which BLM has implemented its 2012 well review and 2013 bond adequacy review policies; and (3) BLM officials\u2019 and stakeholders\u2019 views on what challenges, if any, BLM faces in managing its potential liabilities.", "To examine how BLM\u2019s actual reclamation costs incurred and potential oil and gas well liabilities have changed, we analyzed data in BLM\u2019s Automated Fluid Minerals Support System (AFMSS) on oil and gas wells on federal and Indian lands, including inactive wells\u2014which represent potential liabilities. We reviewed documentation provided by BLM and compared BLM\u2019s policies and procedures on recording information on actual costs incurred to reclaim orphaned wells and potential liabilities against the information and communication standard outlined in Standards for Internal Control in the Federal Government. We selected and interviewed officials from 13 BLM field offices because, according to fiscal year 2016 data from the Department of the Interior\u2019s Office of Natural Resources Revenue (ONRR) Oil and Gas Operations Report (OGOR) data system we analyzed, these offices were responsible for about 80 percent of all oil and gas wells managed by BLM. In addition, we interviewed officials from the 6 BLM state offices associated with the 13 selected field offices (see table 1). Findings from selected offices cannot be generalized to those we did not include in our review.", "However, because AFMSS does not contain information on actual costs incurred to reclaim orphaned wells, we obtained documentation of the actual reclamation costs that 13 selected BLM field offices incurred for fiscal years 2010 through July 2017. To analyze these costs, we reviewed purchase orders, invoices, and other documentation for actual reclamation work performed. We also obtained documentation, including spreadsheets with estimated potential reclamation costs that these 13 selected field offices faced as of July 2017. To assess the reasonableness of estimated reclamation costs, we reviewed estimates provided by officials from the selected field offices and compared those to historical actual costs that we previously reported in January 2010. We determined the overall estimated reclamation costs were sufficiently reasonable for providing a sense of the general magnitude of potential costs, though we did not assess the underlying inputs or assumptions used. The information we received is not generalizable to reclamation costs for other BLM offices that we did not review.", "We also analyzed AFMSS data on the number of wells capable of production on federal lands from fiscal years 2010 to 2016. The AFMSS database provides a snapshot of the time that the data are queried, and so does not include historical data over time. As such, to examine the number of inactive wells on federal and Indian lands and how long these have been inactive, we combined AFMSS data with data from the OGOR data system through September 2016. The Department of the Interior requires monthly OGORs from operators, which document and record the volume of oil and gas produced from wells on federal and Indian lands. From AFMSS, we identified the appropriate population of wells by selecting wells only located on federal and Indian lands, and excluded wells that were on state or private lands. Because we did not find data in AFMSS on how long a well had been in its last recorded status to be reliable, we analyzed production records from the OGOR data system. We also excluded data on wells that were in statuses in which there was no associated potential liability, such as wells pending an application for permit to drill.", "For each reporting date through September 2016, we aggregated data from multiple well completions to the 10-digit unique well identifier level. We then matched the unique well identifiers in AFMSS to those listed in the OGOR data system to enumerate inactive wells by duration of inactivity. For each reporting date, we designated wells with at least one completion showing non-zero production volumes or in drilling or monitoring status in the OGOR data system as active. We also designated a well as active at a certain date if AFMSS data indicated any of its completions were completed on that date. Otherwise we deemed wells where all completions had zero production reporting on a date as inactive for the corresponding period. In some cases, (i) no OGOR records existed with non-zero production volumes or drilling or monitoring well status and (ii) no AFMSS well completion date was provided, and so we calculated inactivity by using the earliest record date for that well in the OGOR data set. We discussed our methodology for calculating the number of wells with BLM officials. We compared the number of inactive wells from our analysis to those reported in BLM national and state reports to identify data inconsistencies. In addition, we analyzed AFMSS reports, as of July 2017, to analyze data on the number of orphaned wells. To assess the reliability of OGOR and AFMSS data, we reviewed agency documents, met with relevant agency officials, and performed electronic testing by verifying, for example, missing or out-of-range data values. We found the data for the number of inactive wells and how long they have been inactive as well as the data for the number of wells BLM has identified as orphaned to be sufficiently reliable for our purposes.", "To determine the extent to which BLM has implemented its 2012 and 2013 policies for conducting well reviews and bond adequacy reviews, we reviewed applicable laws and analyzed the well review and bond adequacy review policies. We reviewed information contained in BLM\u2019s well review and bond adequacy review reports for fiscal year 2016 as well as data generated through AFMSS on bonds and wells as of October 2017. We were unable to fully assess BLM\u2019s performance against the directives in the agency\u2019s 2012 well review and 2013 bond adequacy review policies due to limited agency data and documentation as discussed in the report. Specifically, we identified data accuracy and consistency concerns with some of the data elements in the agency\u2019s well review and bond adequacy review reports as well as some AFMSS data on wells and bonds, which we discuss in this report. We performed electronic testing by verifying out-of-range values, such as dates of well reviews conducted that were listed as being in the future. We also interviewed officials from BLM headquarters, the 13 selected field offices, and the 6 associated BLM state offices, to obtain information on the extent to which the selected offices implemented the 2012 and 2013 policy directives. We compared BLM\u2019s procedures detailing how field offices are to count or report a well review as well as procedures for maintaining data quality against the control activities standard outlined in Standards for Internal Control in the Federal Government. We also compared BLM\u2019s procedures for monitoring implementation of policy directives against leading practices for monitoring agency policies.", "We also reviewed documentation for a random, non-generalizable sample of 62 well reviews and 58 bond adequacy reviews, as reported by the 13 selected BLM field offices, for a total of 120 reviews. A GAO statistician selected a random sample of five well reviews for unique well numbers and five bond reviews of unique bond numbers that the 13 selected field offices had reviewed from the fiscal year 2016 well report and bond adequacy report. Due to variations in field offices\u2019 reporting, some well and bond reviews from prior fiscal years were also included in the random selection. The Farmington field office also did not conduct any bond adequacy reviews in fiscal year 2016, and so we included bond reviews that the field office conducted in fiscal year 2015 in the random selection. In addition, the Pinedale and Rawlins field offices had not conducted any bond adequacy reviews in fiscal year 2016. As a result, we randomly selected additional reviews from fiscal year 2015 for those field offices. The Pinedale, Rawlins, and Colorado River Valley field offices conducted less than 5 bond reviews in each office in that fiscal year, so we selected and reviewed documentation in support of only those reviews they had conducted. We assessed the documentation to determine whether or not field offices conducted reviews and complied with selected directives of the well review and bond adequacy review policies. Information from our documentation reviews is not generalizable to all BLM field offices but provides illustrative examples of the information contained in BLM well and bond adequacy reviews.", "To examine BLM officials\u2019 and stakeholders\u2019 views on what challenges, if any, BLM faces in managing its potential oil and gas well liabilities, we conducted semi-structured interviews with officials from BLM headquarters, the 13 selected BLM field offices, and the 6 BLM state offices associated with these 13 field offices. In addition, we interviewed or obtained written responses from a standard set of questions from 8 representatives of stakeholder organizations. These representatives were knowledgeable about BLM\u2019s oil and gas well management, and included academic, environmental, industry, and state organizations (see table 2). In addition, we spoke with knowledgeable officials from the Department of the Interior\u2019s Office of Natural Resources Revenue (ONRR) and the Department of the Interior\u2019s Office of Indian Energy and Economic Development, Division of Energy and Mineral Development. To identify knowledgeable stakeholders, we conducted a literature search, reviewed previous GAO reports, and obtained recommendations from BLM officials and stakeholders using a snowball technique in which an initial group of BLM officials and stakeholders we interviewed identified additional contacts to interview. From this list, we selected stakeholders who could provide a range of viewpoints. We generally asked the same questions during each interview but also discussed individual stakeholders\u2019 perspectives, as appropriate. In our interviews, we asked officials and stakeholders what challenges, if any, BLM offices face in managing their potential oil and gas well liability. We also asked what challenges, if any, BLM offices face in conducting well reviews and bond adequacy reviews. To identify the challenges identified most often in the interviews, two analysts developed categories of challenges identified by BLM offices and stakeholders, and each analyst independently determined whether each BLM office and stakeholder had identified challenges that fit into these categories. The two analysts discussed and resolved any differences in their coding. The views of the BLM officials, stakeholders, and other agency personnel we interviewed are not generalizable to BLM officials, similar stakeholders, and other agency personnel who we did not interview. Lastly, we compared how BLM identified and managed certain inactive wells, as well as how it managed nationwide and statewide bonds, against the control activities standard outlined in Standards for Internal Control in the Federal Government and BLM\u2019s resource management practices against certain requirements in the Energy Policy Act of 2005 (EPAct 2005) and leading practices by the Project Management Institute in The Standard for Program Management.", "We conducted this performance audit from November 2016 to May 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Quindi Franco (Assistant Director), Marie Bancroft (Analyst-in-Charge), Richard Burkard, John Delicath, Cindy Gilbert, Shylene Mata, Celia Mendive, Dan Royer, Barbara Timmerman, Carolyn Voltz, Jack Wang, and Jina Yu made key contributions to this report."], "subsections": []}]}], "fastfact": ["Oil and gas companies operating wells on federal and Indian lands are required to reclaim sites after wells are no longer used\u2014plug wells, remove structures, and replant. Companies provide bonds up front to cover reclamation, but if they don't reclaim the site, or if it costs more than expected, the Bureau of Land Management may be liable.", "Reclamation costs and potential liabilities likely increased since 2010, but we couldn't determine how much because BLM does not systematically track this data.", "We made 7 recommendations to help BLM better manage its risk, including improving the way it tracks reclamation costs and potential liabilities."]} {"id": "GAO-19-25", "url": "https://www.gao.gov/products/GAO-19-25", "title": "Project Management: DOE and NNSA Should Improve Their Lessons-Learned Process for Capital Asset Projects", "published_date": "2018-12-21T00:00:00", "released_date": "2018-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The MOX project, located at DOE's Savannah River Site in South Carolina and overseen by NNSA, experienced significant cost increases and schedule delays following the start of construction in 2007. After spending nearly $6 billion, NNSA terminated the project in October 2018. While DOE and NNSA have made some recent progress, they have historically struggled to complete, within their original cost and schedule estimates, other major construction projects intended to help maintain the nuclear security complex.", "GAO was asked to review issues related to oversight of the MOX project. This report examines (1) when NNSA's project management oversight processes recognized cost and schedule problems at the MOX project and the actions the agency took to address them and (2) the extent to which DOE requires that project management lessons learned from MOX and other projects be documented and shared. GAO reviewed agency documents, visited the MOX project, and interviewed DOE and NNSA officials and representatives of the MOX contractor."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy's (DOE) National Nuclear Security Administration (NNSA) has strengthened its oversight of the Mixed Oxide Fuel Fabrication Facility (MOX) project since 2011 and, as a result, began recognizing cost and schedule problems. The project, begun in 1997, was intended to dispose of large quantities of weapons-grade plutonium no longer required for national security. Prior to 2011, NNSA's project staff failed to recognize signs that the project would not be completed on time or within its approved cost. An independently conducted analysis, prepared in 2014 in response to a GAO recommendation, determined that NNSA staff did not recognize early problems because they were inexperienced in project management. To strengthen oversight, NNSA in late 2010 and 2011 began actions, such as conducting additional reviews and transferring oversight of the project to a newly established office specializing in project management. NNSA continued to identify the contractor's performance problems, such as the lack of credible, reliable cost and schedule data. These continued problems contributed to NNSA's decision to terminate the project.", "DOE requires that project staff document and share project management lessons learned on capital asset projects like the MOX project, but not all lessons are to be documented consistently or shared in a timely manner. GAO found that DOE's and NNSA's offices document project management lessons learned differently and that not all of the documented lessons learned are readily accessible to other staff. Additionally, GAO found that DOE does not require that project staff share lessons learned for capital asset projects until the start of construction, which can occur many years after the start of the project. Under key practices, such lessons should be stored in a logical, organized manner, be easily retrievable, and be submitted in a timely manner (see fig.). By developing requirements that clearly define how and where project management lessons learned should be documented and requiring that the lessons be shared in a timely manner, DOE could improve its lessons-learned process and help improve the success of future capital asset projects. Also, for capital asset projects, DOE does not require the evaluation of the results of all corrective actions to respond to lessons learned to ensure that problems are resolved, consistent with key practices. By developing requirements to evaluate the effectiveness of corrective actions, DOE could better verify whether the actions had the intended outcome."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that DOE and NNSA develop requirements for defining how and where project management lessons learned for capital asset projects should be documented and shared routinely and in a timely manner, and for evaluating the effectiveness of corrective actions taken in response to lessons learned. DOE agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Energy (DOE) and the National Nuclear Security Administration (NNSA), a separately organized agency within DOE, are spending billions of dollars on numerous construction projects that, among other things, are used to help maintain the nuclear weapons stockpile, process nuclear waste into forms suitable for long-term storage or permanent disposal, and conduct research and development in the areas of high-energy physics and nuclear physics. DOE and NNSA use the capital asset acquisition process to undertake many of these projects. The cost of these projects can vary greatly, with projects estimated to cost less than $750 million designated as nonmajor, and those estimated to cost greater than or equal to $750 million designated as major. Some of the more complex, first-of-a-kind, major nuclear construction projects can cost several billions of dollars.", "For many years, NNSA has encountered numerous cost, schedule, and technical challenges that resulted in a reassessment of alternatives and, in some cases, the cancellation of entire projects or portions thereof. NNSA terminated one such project\u2014the Mixed Oxide Fuel Fabrication Facility (MOX) project\u2014after experiencing numerous cost, schedule, and technical challenges. DOE initiated the MOX project in 1997 at its Savannah River Site in South Carolina as a key component of NNSA\u2019s strategy to dispose of large quantities of weapons-grade plutonium deemed no longer required for national security. Construction began in 2007 after DOE formally approved the project\u2019s cost estimate of $4.8 billion and estimated completion date of September 2016. Since construction began in 2007, DOE\u2019s cost estimate for the MOX project increased significantly to about $17.2 billion, and the estimated completion date for the project was extended to as late as 2048, a potential delay of nearly 32 years.", "In February 2016, DOE proposed terminating the MOX project in favor of an alternative, referred to as \u201cdilute and dispose,\u201d which was expected to be less expensive than the MOX project. Congress continued funding the MOX project. For example, the National Defense Authorization Act for Fiscal Year 2018 required DOE to proceed with MOX construction unless, among other things, the Secretary certified that the life-cycle cost of the dilute and dispose option would be less than half the life-cycle cost of the MOX project. In May 2018, the Secretary of Energy submitted the certification and reported that the life-cycle cost estimate was $19.9 billion for the dilute and dispose option compared with $49.4 billion for the MOX project. In October 2018, NNSA terminated the MOX project. At the time of its termination, NNSA had spent nearly $6 billion on the MOX project.", "Significant cost increases and schedule delays are not unique to the MOX project, as DOE and NNSA have historically struggled to complete projects within their initial cost and schedule estimates. Since 1990, we have designated DOE\u2019s management of major contracts and projects, including those executed by NNSA, as an area at high risk for fraud, waste, abuse, and mismanagement. In response, DOE and NNSA have undertaken a number of efforts to improve their management of contracts and projects, and in February 2013, we narrowed the focus of the high- risk designation to major projects within DOE\u2019s Office of Environmental Management and NNSA to acknowledge progress made in managing nonmajor projects. However, not all of the actions taken by DOE and NNSA have resulted in improved project management. As we found in April 2015, NNSA has had a long history of identifying corrective actions and declaring them successfully resolved, only to identify additional actions to address the same problems that had reemerged. The repeat nature of some of these problems and their considerable effect on the cost and schedule of DOE and NNSA projects has raised concerns that lessons from past experiences on projects are not being identified and applied to current and future projects.", "Given NNSA\u2019s shift in focus from the MOX project to the alternative dilute and dispose approach, you requested that we review issues related to DOE\u2019s and NNSA\u2019s oversight of the MOX project. This report examines (1) when NNSA\u2019s project management oversight processes recognized cost and schedule problems at the MOX project and the actions the agency took to address them and (2) the extent to which DOE requires that project management lessons learned from MOX and other projects be documented and shared.", "To examine when NNSA\u2019s project management oversight processes recognized cost and schedule problems at the MOX project and to examine what actions the agency took to address them, we reviewed DOE and NNSA documents outlining the agencies\u2019 overall direction for, and oversight of, the MOX project. In addition, we reviewed DOE\u2019s, NNSA\u2019s, and MOX Services, LLC\u2019s (MOX Services) documents, as well as independent reviews and assessments, concerning the performance and status of the MOX project, including a May 2014 report prepared for DOE that identified and analyzed the root causes behind the cost increases for the MOX project through 2012. Additionally, we interviewed officials from DOE and NNSA to discuss how and when they identified the MOX project\u2019s cost and schedule problems. We conducted a site visit at the Savannah River Site to tour the MOX project before the project was terminated and interviewed officials from NNSA\u2019s MOX Project Management Office and representatives from MOX Services. We also monitored the status of the MOX project.", "To examine the extent to which DOE requires that project management lessons learned from MOX and other projects be documented and shared, we reviewed DOE\u2019s Order 413.3B, which outlines the primary set of project management requirements governing DOE\u2019s and NNSA\u2019s capital asset projects that have a total project cost of greater than $50 million. We also reviewed documents from NNSA and DOE\u2019s Offices of Environmental Management and Science. In addition, we collected examples of capital asset project-management lessons learned from DOE and NNSA, including those from the MOX project, from a variety of sources. Further, we reviewed reports by us, the U.S. Army\u2019s Center for Army Lessons Learned, and the Project Management Institute that identify and discuss key practices for lessons learned. We then compared the project management lessons-learned requirements in DOE Order 413.3B against these key practices. We also discussed project management lessons-learned requirements and processes with officials from DOE\u2019s Offices of Environmental Management, Project Management, and Science and NNSA\u2019s Office of Acquisition and Project Management. See appendix I for additional information on our objectives, scope, and methodology.", "We conducted this performance audit from May 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section discusses (1) the history and status of the MOX project; (2) the roles of DOE, NNSA, and the contractor in managing and overseeing the MOX project; (3) project management lessons learned; and (4) DOE\u2019s and NNSA\u2019s recurring project management problems."], "subsections": [{"section_title": "History and Status of the MOX Project", "paragraphs": ["DOE began the MOX project over 20 years ago, in 1997, as part of a strategy to manage the disposition of large quantities of surplus, weapons-grade plutonium no longer needed for defense purposes. This strategy, now undertaken through NNSA\u2019s Plutonium Disposition program, originally planned to dispose of the plutonium through a dual approach\u2014(1) conversion into mixed-oxide fuel and (2) immobilization in glass or ceramic material\u2014but NNSA later cancelled the immobilization approach in favor of the approach for only mixed-oxide fuel. In 1999, DOE awarded a contract to design, construct, and operate a MOX facility to the contractor consortium of Duke, Cogema, Stone & Webster, LLC\u2014 now called MOX Services, LLC (MOX Services).", "In February 2002, NNSA reported to Congress that the construction of the MOX project would begin in fiscal year 2004, with operations set to begin in fiscal year 2007, and cost nearly $1 billion to design and construct. However, as figure 1 shows, construction of the MOX project did not begin until 2007 after DOE formally approved the project\u2019s estimated cost of about $4.8 billion and estimated completion date of September 2016.", "In December 2008, DOE approved a revised cost estimate for completing construction of the MOX project of $4.9 billion and a 1-month delay in the start of operations to October 2016. From 2009 through 2011, the estimated cost to complete construction of the MOX project remained at $4.9 billion. However, the MOX project\u2019s cost and schedule estimate changed significantly in 2012. That year, at NNSA\u2019s direction to update the estimate, the MOX contractor submitted a proposal to increase the cost of the facility to about $7.7 billion\u2014an increase of about $2.8 billion from the 2008 estimate\u2014with the start of operations delayed by about 3 years, to November 2019.", "After receiving the MOX contractor\u2019s revised estimate that indicated significant cost increases and schedule delays to the project, NNSA stated in its fiscal year 2014 budget request that pursuing the MOX approach might be unaffordable and proposed to slow down construction while the agency assessed alternative approaches for plutonium disposition. After a series of reviews, DOE ultimately concluded that pursuing an alternative disposition approach\u2014referred to as \u201cdilute and dispose\u201d\u2014could significantly reduce the life-cycle cost of the Plutonium Disposition program, compared with continuing the program using the MOX approach. Following the identification of a potentially less costly approach to plutonium disposition, in February 2016, DOE\u2019s fiscal year 2017 budget request proposed terminating the MOX project in favor of pursuing the dilute and dispose approach. Congress appropriated funding for the MOX project for fiscal years 2017 and 2018 and directed DOE to continue work on the project.", "In August 2016, DOE issued a revised cost estimate of approximately $17.2 billion to complete construction of the MOX project by 2048. In the face of this significant cost increase, the National Defense Authorization Act for Fiscal Year 2018 authorized the Secretary of Energy to terminate the MOX project if, among other things, he could certify that the remaining life-cycle cost for an alternative option for carrying out plutonium disposition would be less than approximately half of the estimated remaining life-cycle cost of carrying out the MOX project. In May 2018, DOE completed this certification and notified Congress of its intention to terminate construction of the MOX project and to instead pursue the dilute and dispose option. The Secretary of Energy reported that the life-cycle cost estimate was $19.9 billion for the dilute and dispose option compared to $49.4 billion for the MOX project. In October 2018, NNSA terminated the project. Additional information on the history and status of the MOX project is in appendix II."], "subsections": []}, {"section_title": "Roles of DOE, NNSA, and the Contractor in Managing the MOX Project", "paragraphs": ["DOE and NNSA are responsible for providing overall direction to, and oversight of, the contractor for the MOX project. The contractor, MOX Services, is responsible for the design, construction, and operation of the MOX facility.", "DOE. The Office of Project Management participates in a number of the MOX project\u2019s oversight activities. In particular, the office has led independent reviews of the MOX project to validate its cost and schedule estimates and has conducted certification and surveillance reviews of the MOX contractor\u2019s earned value management (EVM) system.", "NNSA. Subsequent to its establishment in 2000, several NNSA offices have provided overall direction to, and oversight of, the contractor for the MOX project, including the Office of Fissile Materials Disposition and the Office of Defense Nuclear Nonproliferation. In November 2011, after starting to place increased emphasis on improving its management of projects, the newly created Office of Acquisition and Project Management began providing overall direction to, and oversight of, the contractor for the MOX project. In March 2013, the Office of Acquisition and Project Management established the NNSA MOX Project Management Office at the Savannah River Site to lead the onsite project and contract management direction, administration, and oversight of the MOX project.", "MOX Services. As the contractor for the MOX project, MOX Services is responsible for designing, constructing, and operating the MOX facility. MOX Services has also subcontracted work to complete certain construction activities, such as the fabrication of specific types of equipment, including the complex gloveboxes needed for handling plutonium and the heating, ventilation, and air conditioning systems.", "Figure 2 depicts the roles of, and interrelation among and between, DOE, NNSA, and the MOX contractor in overseeing the MOX project."], "subsections": []}, {"section_title": "Project Management Lessons Learned", "paragraphs": ["According to key practices that we and others have identified for both program and project management, it is important to identify and apply lessons learned from programs, projects, and missions to limit the chance of recurrence of previous failures or difficulties. As such, the use of lessons learned\u2014such as project management lessons learned\u2014is a principal component of an organizational culture committed to continuous improvement. Lessons learned, therefore, serve to communicate knowledge more effectively and to ensure that beneficial information is factored into planning, work processes, and activities. They also provide a powerful method of sharing ideas for improving work processes, facility or equipment design and operation, quality, and cost-effectiveness. Moreover, as we and others have previously found, agencies can learn lessons from an event and make decisions about when and how to use that knowledge to change behavior. Key practices of a lessons-learned process include collecting, analyzing, saving or archiving, and sharing and disseminating information and knowledge gained on positive and negative experiences (see fig. 3)."], "subsections": []}, {"section_title": "DOE and NNSA Have Faced Recurring Project Management Problems", "paragraphs": ["For more than 2 decades, we and others have reported on the recurring nature of the problems affecting DOE\u2019s and NNSA\u2019s ability to manage contracts and projects effectively. Many of these problems have related to DOE\u2019s and NNSA\u2019s struggles with managing projects, such as the MOX project, within their initial cost and schedule estimates, including the following: In 1999, the National Academy of Science\u2019s National Research Council reported that recurring problems with project management had raised questions about the credibility of DOE\u2019s conceptual designs and cost estimates.", "In a March 2007 report, we found that 9 of 12 major projects we reviewed\u2014including the MOX project\u2014had exceeded their original cost estimates, schedule estimates, or both, principally because of ineffective project oversight and contractor management.", "In a November 2014 report, the Congressional Advisory Panel on the Governance of the Nuclear Security Enterprise (Augustine-Mies Panel) stated that NNSA\u2019s inability to estimate costs and execute projects according to plan has been a major source of dissatisfaction among the national leadership and had significantly undermined NNSA\u2019s credibility.", "Further, in April 2015, we found that NNSA has had a long history of identifying corrective actions for problems and declaring them successfully resolved, only to then identify additional actions needed to address the problems. As we found, the recurrence of such problems suggests that NNSA did not have a full understanding of the root causes of its contract- and project-management challenges. Moreover, our 2017 high-risk report found that DOE had taken several important steps that demonstrate its commitment to improving contract and project management, but that DOE\u2019s efforts had not fully addressed several areas where the department continues to have shortcomings. Areas with shortcomings include acquisition planning for major contracts and the quality of enterprise-wide cost information available to DOE managers and key stakeholders. Additional information on our prior work highlighting selected DOE and NNSA project management problems is in appendix III."], "subsections": []}]}, {"section_title": "NNSA Recognized Certain Indicators of Cost and Schedule Problems after Strengthening Its Oversight in 2010 and 2011", "paragraphs": ["Prior to 2011, NNSA project staff had failed to recognize and fully resolve certain cost and schedule problems that indicated that the MOX project would not be completed on time or within its approved cost estimates. However, after taking actions to strengthen its project management oversight in late 2010 and 2011, NNSA recognized indicators of a number of problems with the MOX project that contributed to NNSA\u2019s decision to terminate the project."], "subsections": [{"section_title": "NNSA Failed to Recognize and Fully Resolve Certain Cost and Schedule Problems Affecting the MOX Project Prior to 2011", "paragraphs": ["Prior to 2011, NNSA\u2019s staff responsible for overseeing the MOX project failed to recognize and fully resolve certain cost and schedule problems that indicated that the project would not be completed on time or within its approved cost estimates. The NNSA staff responsible for overseeing the MOX project at that time were generally inexperienced in overseeing complex nuclear construction projects. From 2007 through 2011, staff overseeing the MOX project were primarily familiar with large programmatic initiatives and operations but had little experience in managing large, complex first-of-a-kind nuclear construction projects, according to a May 2014 root cause analysis. Although information available to the NNSA staff showed that there were cost and schedule problems that indicated the increasing likelihood that the project would not be completed within its approved total cost estimate of $4.9 billion, the staff did not recognize and fully resolve four key problems.", "First, information about the contractor\u2019s use of inaccurate rates to estimate the time needed to complete certain construction activities\u2014 commonly referred to as unit rates or planned production rates\u2014indicated that the project would not be completed within its approved cost estimate. These rates are used to reflect levels of productivity during construction and to help develop projects\u2019 cost and schedule estimates, including updates to annual forecasted estimates. Following the start of construction in August 2007, the MOX contractor began to experience lower-than-estimated productivity rates for key construction activities, according to the May 2014 root cause analysis report. Despite this issue, the contractor did not incorporate more realistic assumptions regarding the unit and production rates, such as by updating the estimated costs and time needed to complete specific construction activities, when developing the contractor\u2019s annual forecasted estimates of the project\u2019s total cost for 2008 through 2011. MOX contractor representatives told us that the unit rates they used to develop cost and schedule estimates were realistic based on assumptions at that time and that DOE was involved in the development of the unit rates. In addition, the MOX contractor\u2019s representatives told us that expected improvements in unit rates did not materialize because of higher than expected levels of worker turnover.", "NNSA staff overseeing the project at that time did not recognize that the unit rates for calculating and updating unit rate estimates should be realistic and reflect levels of productivity during construction, as called for in project management principles, or resolve the issues. As a result, the staff did not take action to resolve the MOX contractor\u2019s continued use of unrealistic unit rates that did not reflect actual construction progress being made. Furthermore, NNSA staff did not recognize the extent to which decreased productivity by the contractor created future cost increases and schedule delays or resolve the issue. Consequently, from 2008 to 2011, the MOX contractor continued to use its overly optimistic and unrealistic unit rate estimates when developing its annual forecasted cost estimates.", "Second, the MOX contractor\u2019s annual forecasted estimates for the project consistently increased from 2008 through 2011, and the level of confidence in those estimates decreased, indicating that the project would not be completed within its approved cost estimate. Beginning in 2008, the MOX contractor submitted an annual update to its forecasted estimate for the project. These estimates increased each year, rising by about $140 million to $280 million annually, with the estimated total project cost increasing from about $4.1 billion in 2008 to about $4.7 billion in 2011 (an increase of about 15 percent). The MOX contractor\u2019s representatives said they attempted to mitigate the increases, such as by identifying cost savings on the project. Additionally, as the May 2014 root-cause analysis report stated, the level of confidence for completing the MOX project within the approved $4.9 billion total project cost estimate declined each year, from an 85 percent likelihood of completing the project within the estimate in 2009 to 45 percent in 2011. Both the annual increases in forecasted estimates and the annual decline in level of confidence illustrated the increasing likelihood that the MOX contractor would not complete the project for $4.9 billion.", "As a result of inexperience, the NNSA staff overseeing the project at that time did not adequately examine the potential consequences of such cost performance trends over the future schedule and through project completion or resolve the issues. As the May 2014 root-cause analysis report stated, NNSA staff did not fully recognize how the risks and challenges the MOX project faced negatively affected not only the project\u2019s performance but also its cost and schedule. For example, that report found that the staff were unable to determine that there were fundamental problems with completing the MOX project\u2019s design and with maintaining construction efficiency and progress; both of which contributed to schedule delays and cost increases. The May 2014 root- cause analysis report stated that because of inexperience in project management, NNSA staff did not direct the MOX contractor to develop a more realistic and achievable forecasted estimate for the total cost to complete the MOX project until January 2012.", "Third, information about procuring materials out of sequence and the resulting rework indicated that the project would not be completed on schedule or within its approved cost estimate. According to NNSA officials, the MOX contractor\u2019s method for measuring earned value incentivized the contractor to purchase and procure materials early and, in a number of cases, out of sequence, as this helped demonstrate progress. For example, figure 4 shows outdoor \u201claydown yards\u201d and an offsite warehouse storing large amounts of commodities, such as pipes and electrical panels, that NNSA officials said the MOX contractor procured earlier than needed. The May 2014 root-cause analysis report stated that between 2007 and 2011, the equipment and material procured out of sequence resulted in the need for rework in some cases because later design changes required changes to the equipment or the need to procure different items, leading to additional costs for the project.", "The MOX contractor\u2019s representatives told us they disagreed with NNSA\u2019s characterization that they procured material too early. According to the contractor representatives, they purchased materials in support of both the project schedule and planned construction end date of 2016, as well as to achieve the efficiencies through bulk pricing or reduced delivery charges from procuring larger quantities of items or multiple items at the same time. Additionally, the MOX contractor representatives disagreed that they structured the methods for measuring earned value performance to claim earned value in ways that did not reflect actual progress. In particular, the MOX contractor representatives said that NNSA staff were involved in the development of the original methods used for measuring earned value.", "NNSA staff did not take steps to resolve the issues with the disproportionate value earned by the MOX contractor for purchasing, procuring, and placing certain commodities until 2015 when the MOX contractor revised its methods for measuring earned value. Consequently, the reported commodity installation data based on the MOX contractor\u2019s methods for measuring claimed earned value inflated the amount of progress being made on the construction of the MOX project compared with the amount of work completed.", "Fourth, information about the use of management reserve funds early in the project indicated that the project would not be completed within its approved baseline. To address cost increases experienced early in the project, the MOX contractor began to use the project\u2019s management reserve funds. A May 2010 surveillance review of the MOX contractor\u2019s EVM system prepared for DOE by an independent contractor identified this issue and concluded that the rate at which the MOX contractor was using its management reserve indicated that it was unlikely that there would be any reserve left to address any risks that were expected to be encountered later in the project. DOE\u2019s June 2011 follow-up review of the MOX contractor\u2019s EVM system found that the MOX contractor was no longer covering cost variances by using management reserve; however, the MOX contractor\u2019s previous use of management reserve to cover cost overruns had resulted in inaccurate, inflated cost performance and understated forecasted cost estimates. The MOX contractor\u2019s representatives told us they disagreed with the premise that the management reserve was used to obscure cost performance. Moreover, they noted that NNSA\u2019s cost-accounting and management staff worked with the contractor on all EVM issues, including the use of management reserve.", "NNSA staff did not recognize and resolve issues with the contractor\u2019s use of the management reserve to mitigate cost overruns or the effect on the project\u2019s cost performance and forecasted cost estimates in part because, as the May 2014 root cause analysis report stated, the staff possessed little experience in project management. According to project management principles, management reserve should be prevented from being consumed too early so as to ensure that enough reserve remains available to address any problems that may arise late in the project. The inexperienced NNSA staff also did not recognize that certain problems were creating cost overruns because, as stated in the May 2010 surveillance review, the MOX contractor\u2019s use of the management reserve to cover such overruns hid the problems and did not alleviate their root causes. As a result of not recognizing or resolving the MOX contractor\u2019s inappropriate use of the management reserve earlier, NNSA reported inaccurate measurements of cost performance to DOE and other stakeholders."], "subsections": []}, {"section_title": "DOE\u2019s Project Management Changes Strengthened Oversight of the MOX Project", "paragraphs": ["In late 2010 and 2011, DOE began to implement actions to strengthen project management across the department, including NNSA. These actions, which agency officials said were primarily undertaken in response to project management problems we and others had identified, contributed to the steps NNSA began to take to strengthen its project management and oversight of the MOX project. Changes that strengthened NNSA\u2019s oversight of the MOX project included: (1) initiating project peer reviews and (2) making several organizational changes to improve project oversight. These changes to DOE\u2019s and NNSA\u2019s oversight of the MOX project contributed to the decision to terminate the project.", "First, in its November 2010 update to requirements for capital asset projects, DOE established a requirement to conduct peer reviews at least once a year for large or high-visibility projects with a total project cost of $100 million or greater. The update required peer reviews more frequently for complex projects or those experiencing performance challenges. According to DOE and NNSA officials, they added the requirement in response to a recommendation in our May 2008 report. According to NNSA officials, as a result of this requirement, NNSA began conducting peer reviews of the MOX project in 2011. These reviews led NNSA to identify significant cost and schedule problems at the MOX project and included a number of recommendations to improve project performance. For example, a March 2012 NNSA peer review found that the MOX project\u2019s total cost may have been understated by anywhere from $600 million to $900 million, in part because the contractor\u2019s estimated unit rates and planned production rates were not reflective of the actual performance at that time. Moreover, the peer review found that the estimated completion date of October 2016 was also at risk. As a result, the peer review team recommended, among other things, that the MOX contractor develop an update to its formal cost and schedule estimate.", "As a result of the findings and recommendations from its peer reviews, NNSA requested and the MOX contractor submitted in September 2012 a proposal that included a revised cost estimate for the MOX project of about $7.7 billion and an estimated completion date of November 2019. In response to the significant cost increases, schedule delays, and project risks captured in the MOX contractor\u2019s updated cost and schedule estimate, NNSA proposed a slowdown of MOX project construction activities in its fiscal year 2014 budget request to begin assessing alternative plutonium disposition strategies.", "Second, NNSA carried out several organizational changes starting in 2011 that led to improved oversight of the MOX project in some areas and the continued identification of cost and schedule problems. Specifically, NNSA transitioned management and oversight of the MOX project from the Office of Defense Nuclear Nonproliferation to the Office of Acquisition and Project Management, an office newly created in January 2011 to improve project oversight through the application of project management principles. In 2013, the Office of Acquisition and Project Management created the MOX Project Management Office at the Savannah River Site to provide project and contract management oversight for the MOX project.", "After establishing the MOX Project Management Office, the Office of Acquisition and Project Management sought to better address long- standing staffing challenges. For example, a May 2006 external independent review conducted for DOE found that, among other things, NNSA understaffed the oversight of the MOX project and recommended that DOE acquire sufficient personnel with the proper skills to manage and perform oversight of the project. However, NNSA did not address this issue until after the creation of the Office of Acquisition and Project Management. The Office of Acquisition and Project Management increased the number of staff with specific project management skillsets at the MOX Project Management Office from 20 for fiscal years 2010 to 2012 to 36 (18 federal employees and 18 support service contractors) for fiscal years 2016 to 2018.", "As a result of the staffing changes, the NNSA MOX Project Management Office strengthened its oversight of the MOX project, which contributed to the identification of additional problems, as described below.", "Conducted more in-depth assessments of the MOX contractor\u2019s EVM system. After initially certifying the MOX contractor\u2019s EVM system in May 2008, a May 2010 surveillance review of the MOX contractor\u2019s EVM system prepared for DOE by an independent contractor identified a number of issues. The MOX contractor addressed the issues, according to DOE\u2019s June 2011 review, resulting in the recertification of the EVM system at that time. According to NNSA officials, NNSA\u2019s MOX Project Management Office conducted more in-depth assessments of the MOX contractor\u2019s EVM system starting in 2013. These assessments led NNSA staff to identify a number of concerns with the contractor\u2019s EVM system, such as earned value data errors; overstatements of the data on the percentage of work completed in certain areas; and in one instance, about $300 million in known cost growth that was not incorporated into the MOX project\u2019s forecasted estimate of total project cost.", "According to NNSA officials, in March 2016, the NNSA federal project director requested an in-depth review of the contractor\u2019s EVM system because of the continued identification of issues with the system, and the MOX contractor not adequately addressing them. According to its October 2016 review, DOE\u2019s Office of Project Management identified significant deficiencies representing systematic and material internal control weaknesses and concluded that the MOX contractor\u2019s EVM system could not be relied upon to provide credible and reliable cost and schedule performance data for either the project\u2019s current status or its forecasted cost and schedule estimates. As a result, DOE\u2019s Office of Project Management rescinded the MOX contractor\u2019s EVM system certification because the system was no longer in compliance with the relevant standards.", "Implemented a more rigorous invoice review process. According to NNSA officials, prior to 2014, NNSA did not have a rigorous process in place to review the contractor\u2019s invoices. The officials said that NNSA staff did not review all invoices and, for the reviews that were completed, they did not always thoroughly examine the details behind the invoices, such as reviewing invoices to verify that costs were allowable under DOE regulations. The NNSA officials told us that as part of their efforts to improve oversight of the MOX contractor\u2019s invoice submissions, NNSA\u2019s MOX Project Management Office staff developed a more rigorous invoice review process that resulted in a September 2014 guide. In addition, the NNSA MOX Project Management Office assigned an additional staff member to (1) help conduct invoice reviews due to the volume of work needed to review the MOX contractor\u2019s invoices and (2) ensure that payments were made within the 14 days generally required by regulation. According to NNSA officials, as a result of the changes implemented by the office, NNSA identified a number of potentially unallowable costs ranging from less than $1,000 to more than $2 million.", "Reviewed the MOX contractor\u2019s annual incurred costs. NNSA officials said that incurred cost audits were supposed to be conducted at least annually for the MOX project and that the Defense Contract Audit Agency was supposed to conduct the audits. However, these officials explained that due to a significant backlog, the Defense Contract Audit Agency did not complete all of the required audits. In light of the Defense Contract Audit Agency\u2019s significant backlog\u2014as well as a requirement prohibiting the agency from conducting non- defense agency audits\u2014the NNSA MOX Project Management Office arranged to have a third party conduct an audit of the MOX contractor\u2019s fiscal year 2010 incurred costs. This third-party audit identified more than $30 million in potentially unallowable costs.", "The significant cost and schedule problems that NNSA staff identified after strengthening its oversight of the MOX project contributed to NNSA\u2019s decision to terminate it. Project management principles state that effective project management helps organizations to, among other things, increase the chances of success; resolve problems and issues; and identify, recover, or terminate failing projects. After NNSA\u2019s project peer reviews and the MOX contractor\u2019s proposed update to the project\u2019s cost and schedule estimate showed the significant likelihood of additional cost growth and schedule delays, NNSA proposed slowing down construction of the MOX facility in 2013 and ultimately terminated the project in October 2018."], "subsections": []}]}, {"section_title": "DOE Has Requirements for Documenting and Sharing Lessons Learned, but They Do Not Ensure Consistent or Timely Documentation or the Evaluation of Corrective Actions", "paragraphs": ["As outlined in DOE Order 413.3B, DOE requires that project management staff document and share project management lessons learned on capital asset projects like MOX but does not require that all project management lessons learned from capital asset projects be documented consistently or shared in a timely manner. Moreover, DOE Order 413.3B does not require the evaluation of the results of corrective actions taken in response to lessons learned that are identified during the course of capital asset projects such as the MOX project to ensure that the problems experienced are resolved department-wide."], "subsections": [{"section_title": "DOE\u2019s Requirements for Documenting and Sharing Lessons Learned for Capital Asset Projects", "paragraphs": ["DOE\u2019s requirements for capital asset projects, as outlined in Order 413.3B, specify that project management lessons learned should be captured\u2014that is, documented\u2014throughout the continuum of a project. According to the order, there are five critical decisions (CD) that structure the life of a project. The CDs, which are summarized in figure 5, include approving: mission need (CD-0); alternative selection and cost range (CD-1); project performance baseline (CD-2); the start of construction or execution (CD-3); and the start of operations or project completion (CD- 4). DOE Order 413.3B requires project staff to submit project management lessons learned to DOE\u2019s Office of Project Management within 90 days of two critical decision points: (1) upfront planning and design lessons learned are to be submitted within 90 days of CD-3 approval and (2) project execution and facility startup lessons learned are to be submitted within 90 days of CD-4 approval.", "DOE Order 413.3B also requires that lessons learned for capital asset projects be collected, analyzed, and disseminated by project management support offices. These offices consist of DOE or NNSA staff who provide support to federal project directors and are established exclusively to oversee and manage the activities associated with projects. Additionally, DOE Order 413.3B states that the Project Management Risk Committee should support project management activities within DOE by enabling the sharing of lessons learned on a routine basis.", "DOE and NNSA officials told us that program and project offices document and save project management lessons learned for capital asset projects in different ways. In particular, DOE and NNSA officials told us that peer reviews, which are saved in DOE\u2019s Project Assessment and Reporting System (PARS II) database, are a primary source of project management lessons learned. The officials also said that project management lessons learned are saved through monthly project reports, monthly staff meetings, Project Management Risk Committee meeting notes, and project management workshops and training courses. In addition, DOE and NNSA officials told us that some lessons learned are shared through informal person-to-person discussions that allow lessons learned to be shared among staff. Further, the officials said that they address project management problems identified in lessons learned by making changes to DOE Order 413.3B.", "In addition, while not required, DOE may capture some lessons learned for projects during the project review process. For example, DOE\u2019s standard-operating procedures for conducting external independent reviews state that the scope of such reviews can include assessing whether project teams are documenting and sharing lessons learned from their projects internally and externally. However, as noted in the standard-operating procedures, this is an example of an area that can be included as part of an external independent review, although there is no requirement to do so."], "subsections": []}, {"section_title": "DOE\u2019s Lessons-Learned Requirements for Capital Asset Projects Do Not Ensure Consistent or Timely Documentation and Sharing or the Evaluation of Corrective Actions", "paragraphs": ["DOE Order 413.3B requires project management lessons learned for capital asset projects to be documented throughout the life of a project but does not specifically require lessons learned to be documented and saved in a consistent manner or shared routinely or in a timely manner. Moreover, the order does not require all corrective actions related to these lessons learned to be evaluated for effectiveness."], "subsections": [{"section_title": "DOE Does Not Require That Lessons Learned for Capital Asset Projects Be Documented and Saved Consistently", "paragraphs": ["Although DOE and NNSA use multiple means to document and save lessons learned, we found DOE and NNSA program and project offices do not document and save such lessons consistently so that they are readily accessible by other staff. For example, NNSA uses an internal database to save project management lessons learned for its projects. However, NNSA officials told us that DOE staff outside of NNSA must request access to the database before they can read and examine the lessons learned that are documented and saved in the database. Officials from DOE\u2019s Office of Science told us that their office submits some lessons learned to the PARS II database and maintains some project management lessons-learned reports on a publicly available webpage. A senior official from DOE\u2019s Office of Environmental Management told us that some lessons learned from its projects are sent to its staff through monthly lessons-learned bulletins, but the bulletins are not entered into PARS II. In addition, DOE and NNSA officials said that project staff can enter specific lessons learned gleaned from their project in a lessons- learned repository within PARS II. For example, as of November 2017, PARS II contained 20 entries for project management lessons learned from the MOX project.", "According to key practices for lessons learned identified by us and the Center for Army Lessons Learned, a central component of a successful lessons-learned process is to ensure that lessons learned are stored in a logical, organized manner. Specifically, as we have previously found, lessons learned should be stored in a manner\u2014such as an electronic database\u2014that allows users to perform information searches using key words and functional categories. Moreover, information in the database should be updated regularly and provide a logical system for organizing information that is easily retrievable and made available to any requester. We have also found that relying on person-to-person discussions to share lessons learned can be problematic because personal networks can dissolve\u2014for example, through attrition or retirement\u2014and informal information sharing does not ensure everyone is benefiting from the lessons that are gleaned. Further, by not documenting and saving all lessons learned (e.g., those shared through person-to-person exchanges), there is also generally no way to ensure the validation of the information shared. This is not consistent with the key practice from the Center for Army Lessons Learned, which states that by documenting and saving project management lessons learned in a logical, organized manner such as an electronic database, lessons learned can be archived, managed, and made available for review by other projects and applied to them at a future date.", "Because DOE Order 413.3B does not indicate where all project management lessons learned should be documented and saved in a consistent manner, the department cannot ensure that future capital asset projects will be able to take advantage of experiences from past projects. We found that DOE and NNSA did not document all lessons learned in a consistent manner, and DOE officials acknowledged that DOE Order 413.3B does not require documenting or saving lessons learned that are presented through various formal or informal means in a common location. By developing requirements that clearly define how and where all project management lessons learned should be documented and saved to make them readily accessible across the department, such as in a database, DOE\u2014including NNSA\u2014could improve the agency\u2019s existing lessons-learned process."], "subsections": []}, {"section_title": "DOE Does Not Require That Lessons Learned for Capital Asset Projects Be Submitted and Shared Routinely or in a Timely Manner", "paragraphs": ["DOE Order 413.3B\u2019s requirements for project management lessons learned do not require that all lessons learned be shared routinely or in a timely manner. In particular, the order does not require that lessons learned be submitted and shared routinely until CD-3\u2014the start of construction. Consequently, DOE and NNSA staff are not required to submit lessons learned during the CD-0, CD-1, and CD-2 phases of a project. These earlier phases, which involve upfront planning and design for the selected project, often occur many years before the approval and start of construction. Notably, both the MOX and Uranium Processing Facility (UPF) projects took about 10 years to reach the start of construction (CD-3) and experienced cost increases and schedule delays.", "We and others have previously found that lessons learned should be submitted in a timely manner so as to ensure that key information is available to identify and address problems or incorporate successful activities as early and quickly in the process as possible. For example, we found that lessons-learned reports (i.e., reports documenting lessons- learned reviews) should be prepared promptly so that knowledgeable personnel are available to contribute to the reports, important details are recalled accurately, and there are no delays in the dissemination of lessons learned. Moreover, according to the Center for Army Lessons Learned, the guiding principle in executing a sharing strategy for lessons learned is to get the right information to the right person at the right time. Such a strategy can entail developing a process for creating timelines for sharing lessons learned that are tied to the urgency of the information and a means to disseminate that information.", "Because DOE Order 413.3B does not require lessons learned to be submitted prior to CD-3, the department is limiting its ability to promptly evaluate and address early issues with projects and apply such lessons learned to other projects department-wide. This approach could affect the successful completion of capital asset projects, particularly those that experience prolonged upfront planning and design phases similar to those the MOX and UPF projects experienced. By developing requirements for sharing project management lessons learned from early in the CD phases of projects (i.e., prior to CD-3) routinely and in a timely manner to improve the ability to identify and evaluate problematic practices and positive experiences, DOE\u2014including NNSA\u2014could help improve the success of future capital asset projects and avoid the problems encountered overseeing the MOX project."], "subsections": []}, {"section_title": "DOE Does Not Require the Evaluation of the Effectiveness of Corrective Actions Taken", "paragraphs": ["DOE Order 413.3B does not require the evaluation of the results of corrective actions taken to address project management lessons learned that are identified during the course of capital asset projects such as MOX. According to DOE guidance and statements, officials track whether lessons identified through reviews or other efforts are implemented. For example, according to DOE\u2019s standard-operating procedures for conducting external independent reviews and officials from DOE\u2019s Office of Project Management, DOE staff conducting external independent reviews of projects should assess whether project teams are reviewing and incorporating applicable lessons learned. In addition, DOE project management officials told us that peer review recommendations and the corrective actions to be taken to address them are tracked until the closure of each recommendation. However, DOE has not evaluated whether corrective actions taken have led to the resolution of the problematic practices identified in the lessons learned because DOE Order 413.3B does not require this type of evaluation.", "According to key practices for lessons learned identified by the Center for Army Lessons Learned and us, a central component of a successful lessons-learned process is to establish a means to ensure that issues are being resolved as intended. The Center for Army Lessons Learned states that while not all issues require a formal process to resolve, there should be a process in place to identify and prioritize the most important things that need to be fixed. For example, this process could entail addressing only those problems that may necessitate the need for department-wide improvements, as some issues may be narrowly focused and be specific to one project or site. The Center for Army Lessons Learned further states that an organization\u2019s ability to change behavior by implementing a lesson is ineffective unless the organization observes changes in behavior and verifies that the lesson is learned. Additionally, we have found that if agency management decides to take action to apply an identified lesson, then it should take subsequent action to observe that the change in behavior actually occurred and collect additional information to verify that the change had the desired effect.", "Although DOE Order 413.3B does not require DOE to evaluate the effectiveness of corrective actions other than those associated with peer reviews, other DOE orders and guidance require the evaluation of the effectiveness of other types of corrective actions. For example, DOE Order 226.1B requires that DOE\u2019s organizations and contractors implement oversight processes that ensure they evaluate and correct relevant quality assurance problems on a timely basis to prevent their recurrence. In addition, DOE\u2019s order and guide for implementing an effective quality assurance program highlight the importance of undertaking corrective actions to prevent the recurrence of problems, including determining the effectiveness of the corrective actions for significant problems. By developing requirements for evaluating the effectiveness of corrective actions taken in response to project management problems in capital asset projects, particularly those that necessitate the need for department-wide improvements, DOE\u2014including NNSA\u2014could verify that changes made as a result of lessons learned had the intended outcome as the agency does for contractors."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["DOE and NNSA made changes that strengthened oversight of large capital asset projects. These changes helped NNSA better identify cost and schedule problems affecting the MOX project and contributed to NNSA\u2019s decision to ultimately terminate the project.", "DOE\u2019s Order 413.3B includes certain requirements for documenting and sharing project management lessons learned. However, the requirements in DOE Order 413.3B do not fully incorporate several key practices for lessons learned. For example, the order does not require that DOE or NNSA document project management lessons learned for capital asset projects consistently or that such lessons learned are shared in a timely manner. By developing requirements that clearly define how and where all project management lessons learned should be documented and saved to make them readily accessible across the department, such as in a database, DOE\u2014including NNSA\u2014could improve the existing lessons- learned process and enable future projects across the department to take advantage of experiences from past projects.", "In addition, because DOE Order 413.3B does not require lessons learned for capital asset projects to be submitted prior to the start of construction (CD-3), the department is limiting its ability to promptly evaluate and address early issues with projects as well as applying such lessons learned to other projects department-wide. By developing requirements for sharing project management lessons learned from the beginning of a project routinely and in a timely manner to improve DOE\u2019s ability to identify and evaluate problematic practices and positive experiences, DOE\u2014including NNSA\u2014could help improve the success of future capital asset projects and avoid the problems the agency encountered on the MOX project.", "Moreover, while DOE tracks the implementation of certain project management lessons learned for capital asset projects, DOE Order 413.3B does not require that DOE\u2014including NNSA\u2014evaluate corrective actions identified outside the peer review process and taken in response to lessons identified to verify that the changes made had the desired effect. By developing requirements for evaluating the effectiveness of corrective actions taken in response to project management problems in capital asset projects, particularly those that necessitate the need for department-wide improvements, DOE could verify that changes made as a result of lessons learned had the intended outcome as the agency does for contractors."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOE:", "The Secretary of Energy, in coordination with DOE\u2019s Office of Project Management and NNSA\u2019s Office of Acquisition and Project Management, should develop requirements that clearly define how and where project management lessons learned for capital asset projects should be documented and saved to make them readily accessible across the department. (Recommendation 1)", "The Secretary of Energy, in coordination with DOE\u2019s Office of Project Management and NNSA\u2019s Office of Acquisition and Project Management, should develop requirements for sharing project management lessons learned for capital asset projects from the beginning of a project (i.e., prior to the start of construction at CD-3) routinely and in a timely manner to improve DOE\u2019s ability to identify and evaluate problematic practices and positive experiences. (Recommendation 2)", "The Secretary of Energy, in coordination with DOE\u2019s Office of Project Management and NNSA\u2019s Office of Acquisition and Project Management, should develop requirements for evaluating the effectiveness of corrective actions taken in response to project management problems for capital asset projects, with a focus on those lessons that necessitate the need for department-wide improvements. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments, Third-Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE, NNSA, and MOX Services for review and comment. In written comments, which are reproduced in full in appendix IV, DOE concurred with the report\u2019s recommendations and described actions that it intends to take in response to our recommendations.", "In response to our first recommendation, DOE intends to issue a policy memorandum by December 2019 and revise DOE Order 413.3B to identify the project management lessons learned repository and outline the kinds of information the repository will collect. In response to our second recommendation, DOE intends to issue a policy memorandum by December 2019 and revise DOE Order 413.3B to collect lessons learned as part of its peer review process. Because DOE Order 413.3B requires that peer reviews for projects of $100 million or greater be conducted once between CD-0 and CD-1, annually between CD-1 and CD-2, at least annually between CD-2 and CD-4, and more frequently for the most complex projects or those experiencing performance challenges, this action is responsive to our recommendation and should help DOE begin to identify lessons learned in a more routine and timely manner. In response to our third recommendation, DOE plans to revise the Project Management Risk Committee charter by assigning it the responsibility to qualitatively evaluate the effectiveness of corrective actions taken in response to project management lessons learned from projects with a total cost greater than $750 million having department-wide implications. We are encouraged that DOE agrees with our recommendation and view this change as a positive first step. However, this action may not fully address the recommendation. For example, the planned action states that the Project Management Risk Committee would evaluate the effectiveness of corrective actions for projects with total costs of $750 million or more, but there may be some lessons learned with applicability department-wide from projects that do not meet this cost threshold. Additionally, DOE\u2019s planned action as described in its response does not discuss who would be responsible for evaluating the effectiveness of corrective actions or a timeline for performing the assessments. The Project Management Risk Committee has typically served as a review group and has not itself performed such evaluations.", "DOE and MOX Services also provided technical comments, which we incorporated in our report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, the Administrator of NNSA, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our report examined (1) when the National Nuclear Security Administration\u2019s (NNSA) project management oversight processes recognized cost and schedule problems at the Mixed Oxide Fuel Fabrication Facility (MOX) project and the actions the agency took to address them and (2) the extent to which the Department of Energy (DOE) requires that project management lessons learned from MOX and other projects be documented and shared.", "To address both objectives, we reviewed relevant documents from DOE, NNSA, and MOX Services, LLC (MOX Services), the contractor constructing the MOX project. We reviewed past reports by GAO and the National Academy of Sciences\u2019 National Research Council to examine previously identified weaknesses in DOE project management, contractor performance, and federal oversight of individual projects, as well as DOE\u2019s efforts to make improvements. We also reviewed DOE reports focused on analyzing the root causes of contract- and project- management issues affecting DOE and NNSA and identifying potential corrective actions and other general improvements. We visited the Savannah River Site to tour the MOX project while it was under construction and interviewed officials from NNSA\u2019s MOX Project Management Office, including the federal project director, and representatives from MOX Services. We also monitored the status of the MOX project.", "To examine when NNSA\u2019s project management oversight processes recognized cost and schedule problems at the MOX project and the actions the agency took to address them, we identified and reviewed DOE and NNSA documents outlining the agencies\u2019 management and oversight roles and responsibilities and the processes the agencies used to monitor the cost and schedule of the MOX project. We also examined NNSA guidance and memorandums detailing the 2011 transition of oversight responsibilities for the construction of the MOX project from NNSA\u2019s Office of Defense Nuclear Nonproliferation to its Office of Acquisition and Project Management and the effect this change had on NNSA\u2019s efforts to oversee the project. In addition, we reviewed DOE, NNSA, and MOX Services documents, as well as independent reviews and assessments, concerning the performance and status of the MOX project. In particular, we reviewed a May 2014 report prepared for DOE that identified and analyzed the root causes behind the cost increases that affected the MOX project through 2012, after the formal approval of its cost and schedule estimates in 2007. We also reviewed surveillance reviews and a May 2013 assessment of the MOX contractor\u2019s earned value management (EVM) system, which the contractor and NNSA used to monitor project performance and status, including cost and schedule, after construction began. Moreover, we examined project cost and budget information that DOE, NNSA, MOX Services, and others developed\u2014such as the contractor\u2019s September 2012 baseline change proposal and DOE\u2019s August 2016 revised cost and schedule estimate\u2014to determine when they began to identify the MOX project\u2019s cost increases and schedule delays and why such problems might have occurred. We also reviewed reports by GAO and DOE\u2019s Office of Inspector General that identified and discussed cost and schedule problems affecting the MOX project. Additionally, we interviewed officials from DOE and NNSA to discuss how and when they identified the MOX project\u2019s cost and schedule problems.", "To examine the extent to which DOE requires that project management lessons learned from MOX and other projects be documented and shared, we reviewed DOE\u2019s Order 413.3B, which outlines the primary set of project management requirements governing DOE and NNSA capital asset projects that have a total project cost of greater than $50 million. We also reviewed DOE guidance documents, such as those related to DOE Order 413.3B, to further understand DOE\u2019s suggested approaches for meeting its existing lessons learned requirements. Similarly, we reviewed documents from NNSA and DOE\u2019s Offices of Environmental Management and Science, such as those found in business-operating procedures and standard-operating policies and procedures, to examine how those documents supplement the lessons learned requirements included in DOE Order 413.3B. In addition, we collected examples of capital asset project-management lessons learned from DOE and NNSA, including those from the MOX project, from a variety of sources, such as lessons-learned reports, project peer reviews, entries stored in DOE\u2019s Project Assessment and Reporting System (PARS II) and NNSA\u2019s internal databases, monthly lessons-learned bulletins, and presentations, among others. To better understand lessons learned and their role within project management, we reviewed reports by GAO, the U.S. Army\u2019s Center for Army Lessons Learned, and the Project Management Institute that identify and discuss key practices for lessons learned. We selected these sources because they are widely recognized for key practices on lessons learned. We then compared the project management lessons learned requirements outlined in DOE Order 413.3B against these key practices. We also discussed project management lessons learned requirements and processes with officials from DOE\u2019s Offices of Environmental Management, Project Management, and Science and NNSA\u2019s Office of Acquisition and Project Management.", "We conducted this performance audit from May 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Timeline of Selected Information and Events Pertaining to the MOX Project", "paragraphs": ["Appendix II: Timeline of Selected Information and Events Pertaining to the MOX Project Details DOE announced a plan to dispose of surplus, weapons-grade plutonium through a dual approach that would include constructing a facility for the purposes of converting the plutonium into mixed-oxide fuel for use in modified commercial reactors. The initial estimate for the MOX project\u2014that is, not an approved baseline\u2014totaled $1.4 billion, with completion of construction expected to be in September 2004.", "DOE awarded the contract for designing, constructing, and operating a MOX facility to the consortium of Duke, Cogema, Stone & Webster, LLC\u2014now MOX Services, LLC, or MOX Services. According to a December 2005 DOE Inspector General report, in 1999, an independent team reviewed the MOX contract and warned of the potential for escalating costs because the contractor had no incentives to minimize costs nor penalties for overruns or poor performance.", "DOE announced that it would construct the MOX project (as well as two other facilities) at the Savannah River Site located in Aiken, South Carolina.", "A February 2001 independent cost estimate of the MOX contractor\u2019s preliminary cost estimate for the MOX project concluded that it would cost about $2.4 billion to construct and operate it. The independent cost estimate concluded that it would cost about $1.1 billion to construct the facility.", "The National Nuclear Security Administration\u2019s (NNSA) February 2002 report to Congress on the disposition of surplus defense plutonium at the Savannah River Site concluded that the facility component of the mixed-oxide fuel option identified would cost about $2.2 billion to implement over about 20 years. According to the report, about $1 billion of these costs would be for designing and constructing the facility, with construction being completed during fiscal year 2007.", "According to DOE\u2019s fiscal year 2004 budget request, a preliminary estimate of the MOX project\u2019s total cost totaled about $1.8 billion.", "A July 2004 independent review found that the MOX project had experienced a cost increase of about 300 percent for the design and development phase compared to what was preliminarily planned for in 1999, in part to due to a number factors, including design changes and underestimates. Moreover, the report cited the MOX project as an example of a DOE project greater than $500 million that should have had an approved performance baseline many years prior given that it had reached critical decision (CD)-1 approval, or the approval of alternative selection and cost range, in 1997.", "According to a December 2005 report by DOE\u2019s Office of Inspector General, as of July 2005, NNSA\u2019s not-yet-validated estimate for the design and construction of the MOX project was about $3.5 billion ($2.8 billion for construction)."], "subsections": [{"section_title": "Phases", "paragraphs": ["Details In February 2006, DOE\u2019s fiscal year 2007 budget request reported a preliminary estimate for the MOX project totaling about $3.6 billion, but the department reiterated that the estimate would be finalized following the completion of the project\u2019s performance baseline. The request also noted that design costs for the MOX project increased from $243 million to $765 million, primarily due to the decision to fund some design work for gloveboxes and enhanced aqueous polishing during the design phase as opposed to the construction phase and increased design work to adapt the facility to handle and treat several tons of pure plutonium resulting from the cancelation of plutonium immobilization, which would have entailed incorporating plutonium into a corrosion-resistant ceramic matrix and then encasing the immobilized plutonium in glass along with highly radioactive nuclear wastes that already existed at DOE sites, thereby rendering the plutonium as inaccessible and unattractive for reuse in nuclear weapons. However, NNSA canceled this approach in 2002. A July 2006 external independent review of the MOX project\u2019s preliminary cost and schedule estimate projected the MOX project\u2019s total cost to be about $4.7 billion, with the project expected to be completed in April 2016. The review\u2019s estimated total project cost reflected an increase of $352 million over the proposed total project cost of $4.3 billion due to increases in the cost of some construction activities and contingency.", "In February 2007, DOE\u2019s fiscal year 2008 budget request reported that the revised total cost for the MOX project totaled about $4.7 billion and that the estimate was in the final stages of validation as part of the department\u2019s critical decision process. The request stated that the revised cost was a change from the prior not-yet-validated $3.6 billion estimate in DOE\u2019s fiscal year 2007 budget request, with over 50 percent of the $1.1 billion cost increase attributed to an increase in contingency funds for the project during construction and cold startup. Also in February 2007, responsibility for the MOX contract was officially transferred to the Savannah River Site Office.", "In April 2007, DOE formally approved a cost estimate, or baseline, for the MOX project of $4.8 billion and start of operations in September 2016. In August 2007, construction of the MOX project began.", "In May 2008, DOE certified the MOX contractor\u2019s earned value management (EVM) system. A July 2008 independent project review identified a number of concerns, including that only one person was dedicated to the development and upkeep of the MOX project\u2019s procurement status information and that the project\u2019s procurement strategy would require additional procurement and engineering staff to meet future demands. In December 2008, as a result of funding reductions for fiscal year 2008, DOE approved a revised cost estimate for the MOX project of $4.9 billion and a 1-month delay in the start of operations to October 2016.", "According to a July 2009 report, the MOX contractor\u2019s 2009 annual forecasted estimate for completing the MOX project totaled approximately $4.4 billion, an increase of about $283.8 million from the 2008 annual forecasted estimate.", "In May 2010, an independent review of the MOX contractor\u2019s EVM system found that the contractor\u2019s performance data could not be used to accurately assess the cost performance of the project, in part because the contractor was inappropriately using management reserve funds to cover cost overruns. The MOX contractor began to implement a number of corrective actions in response to the report\u2019s findings. According to an August 2010 report, the MOX contractor\u2019s 2010 annual forecasted estimate for completing the MOX project totaled approximately $4.6 billion, an increase of about $207.1 million from the 2009 annual forecasted estimate."], "subsections": []}, {"section_title": "Phases", "paragraphs": ["Details In February 2011, DOE\u2019s Office of Acquisition and Project Management\u2014now the Office of Project Management\u2014changed the overall status of the MOX project from green to yellow, indicating that the project was at risk of breaching its approved cost estimate (i.e., performance baseline). A May 2011 project peer review found that the MOX project faced expected cost growth and would be challenged in identifying approximately $364 million in cost savings necessary to deliver the project at its total project cost (of $4.9 billion). A June 2011 follow-on to the May 2010 independent review of the MOX contractor\u2019s EVM system found that the project was likely to exceed the total project cost by anywhere from $104 million to $699 million, with an estimated most likely cost overrun of $493 million. Nonetheless, DOE recertified the MOX contractor\u2019s EVM system after the MOX contractor completed a number of corrective actions. According to a July 2011 report, the MOX contractor\u2019s 2011 annual forecasted estimate for completing the MOX project totaled approximately $4.7 billion, an increase of about $142.4 million from the 2010 annual forecasted estimate.", "In January 2012, NNSA directed the MOX contractor to add additional scope for plutonium metal oxidation capability and to include updates to the project\u2019s current cost and schedule projections, with a baseline change proposal due by the end of May 2012. A March 2012 project review found that the MOX project\u2019s cost and schedule baselines had a very low probability of being met, and estimated that the total project cost was likely underestimated by anywhere from $600 to $900 million when compared to the project\u2019s approved total cost of $4.9 billion. The review team recommended that the project should develop an updated and more realistic baseline. Also in March 2012, DOE changed the overall status of the MOX project from yellow to red, indicating that the project was expected to breach its approved cost estimate (i.e., its performance baseline). A July 2012 project peer review found that the MOX project\u2019s likely total project cost would fall within the range of $6.9 billion to $7.3 billion as opposed to the project\u2019s approved total cost of $4.9 billion. In September 2012, the MOX contractor submitted its revised baseline change proposal to update the MOX project\u2019s cost and schedule projections, including additional scope of work that would provide the MOX project with a plutonium metal oxidation capability, referred to as direct metal oxidation. According to the contractor\u2019s proposal, it would cost about $7.4 billion to complete the MOX project without the direct metal oxidation by November 2019. The addition of the direct metal oxidation scope of work would cost an additional $262.3 million, which would be completed in June 2023 after the completion of MOX project and the start-up of operations by November 2019."], "subsections": []}, {"section_title": "Phases", "paragraphs": ["Details In April 2013, DOE\u2019s fiscal year 2014 budget request proposed a slowdown of construction of the MOX project while NNSA took steps to assess alternative plutonium disposition strategies. According to the request, NNSA cited the increase to the contractor\u2019s total estimated cost for the project and the budget environment as factors in its decision to pursue a slowdown of the MOX project while conducting an assessment of potential alternative plutonium disposition strategies. According to NNSA, a May 2013 estimate prepared by the U.S. Army Corps of Engineers estimated that, not including contractor fee, it would cost $9.4 billion to construct the MOX project by 2024 at an annual funding level of $630 million. According to NNSA, a June 2013 estimate prepared by the MOX contractor estimated that it would cost between $8.5 and $9.7 billion to construct the MOX project, with completion from 2023 to 2032 depending on whether the annual funding level totaled $350 million or $500 million. In September 2013, NNSA estimated it would cost about $10.5 billion to construct the MOX project by 2027 at an annual funding level of $500 million. According to NNSA, a November 2013 estimate prepared by the U.S. Army Corps of Engineers estimated that it would cost from $10 to $11.7 billion to construct the MOX project, with completion from 2026 to 2036 depending on whether the annual funding level totaled $350 million or $500 million.", "In March 2014, DOE\u2019s fiscal year 2015 budget request stated that ongoing analysis led to the determination that the MOX project would be significantly more expensive than anticipated and concluded that, due to cost increases, the MOX approach was not viable within available resources. The request, therefore, called for placing the facility in cold stand-by so NNSA could further study more efficient options for plutonium disposition. A May 2014 root cause analysis report found that some of the cost drivers that contributed to the MOX project\u2019s cost increases since 2007 included not having sufficiently experienced project teams in place, basing the approved cost and schedule estimates on incomplete front- end planning, not sufficiently developing designs to support the project\u2019s fast-track procurement and construction, experiencing greater than expected inefficient execution of construction activities, not implementing effective corrective actions, and not adequately applying federal oversight to identify and address project performance issues Also in May 2014, the DOE Office of Inspector General reported continuing concerns about the achievability of the estimated cost and completion date for the MOX project. The report also noted that the MOX project no longer had an approved cost and schedule estimate and in light of the project continuing to receive significant funding, recommended that the MOX contractor develop a new cost and schedule estimate. In September 2014, in light of certain insufficient project data, NNSA directed the MOX contractor to conduct a review to determine and validate the work completion status\u2014that is, state of completeness\u2014for all commodities being installed in the MOX project. In December 2014, both the Carl Levin and Howard P. McKeon National Defense Authorization Act for Fiscal Year 2015 and the Consolidated and Further Continuing Appropriations Act, 2015 directed DOE to continue construction and project or program support activities related to the MOX project. However, the National Defense Authorization Act also directed DOE to report on, among other things, alternatives to the MOX project, including cost estimates for each alternative, and how such alternatives would conform to the Plutonium Management and Disposition Agreement."], "subsections": []}, {"section_title": "Phases", "paragraphs": ["Details In February 2015, DOE\u2019s fiscal year 2016 budget request called for the continued construction of the MOX project, in part because all four congressional committees of jurisdiction directed that construction on the MOX project continue in fiscal year 2015 while NNSA conducted additional cost studies and technology alternative studies. In March 2015, NNSA\u2019s MOX Project Management Office assessed the MOX contractor\u2019s use of level of effort versus the discrete method of earned value and determined a disproportionate use of level of effort\u2014around 56 percent\u2014was masking the performance of the contractor\u2019s discrete work and therefore affecting the accurate measurement of the project\u2019s progress. In April 2015, the Aerospace Corporation completed a report on the MOX project and estimated that the MOX project\u2019s total cost would be about $21.5 billion, with projected completion in 2045 at an annual funding level of $500 million. In June 2015, the MOX contractor finished its completeness verification review and found that it had over-reported on the results of certain commodities being installed in the MOX project. As a result of this review, the MOX contractor revised the amount of earned value claimed for these commodities to address the over-reporting and provide a more realistic accounting of the selected commodities.", "In February 2016, DOE\u2019s fiscal year 2017 budget request proposed terminating the MOX project in favor of the dilute and dispose option as the path forward for the disposition of the nation\u2019s surplus, weapons-grade plutonium. According to the request, the MOX project was found to be significantly more expensive than anticipated and would require approximately $800 million to $1 billion annually for decades. A May 2016 report prepared for the MOX contractor by High Bridge Associates, Inc., estimated that completing the construction of the MOX project could cost about $5.2 billion and be completed in 10 years, with an annual funding level of about $520 million. In July 2016, the MOX contractor submitted its annual forecasted estimate for completing construction of the MOX project and estimated the total project cost to be about $10 billion, with completion in 2029, with an annual funding level of $350 million. In August 2016, DOE issued an updated performance baseline estimating that it would cost approximately $17.2 billion to complete construction of the MOX project by 2048 assuming an annual funding level of $350 million. DOE further estimated that it would cost about $14.3 billion to complete construction of the MOX project by 2035 assuming an annual funding level of $500 million. In October 2016, DOE rescinded the MOX contractor\u2019s EVM system certification of compliance in response to an August 2016 surveillance review that identified material non- compliances such as the overstatement of earned value and percentage complete."], "subsections": []}, {"section_title": "Phases", "paragraphs": ["Details A February 2017 report by the U.S. Army Corps of Engineers found that there is likely to be a substantial amount of rework at the MOX project but noted that the magnitude of the likely rework has yet to be determined. The report stated that some of the rework is attributed to design constructability issues as well as procuring, fabricating, and completing work out of sequence. In May 2017, DOE\u2019s fiscal year 2018 budget request reiterated for the second consecutive year, a plan to terminate the MOX project in favor of pursuing the dilute and dispose option for plutonium disposition. Also in May 2017, a DOE Office of Inspector General report stated that NNSA was not aware of the total cost of rework at the MOX project because the time and cost of rework were not definitively tracked prior to fiscal year 2014. In December 2017, section 3121 of the National Defense Authorization Act for Fiscal Year 2018 authorized the Secretary of Energy to terminate the MOX project if, among other things, the Secretary certified that the remaining life-cycle cost for an alternative option for carrying out plutonium disposition would be less than approximately half of the estimated remaining life-cycle cost of carrying out the plutonium disposition approach utilizing the MOX project.", "In February 2018, DOE\u2019s fiscal year 2019 budget request reiterated for the third consecutive year a plan to terminate the MOX project in favor of pursuing the dilute and dispose option for plutonium disposition. In May 2018, the Secretary of Energy waived existing requirements to continue MOX construction, but the state of South Carolina obtained an injunction in federal district court temporarily blocking the waiver in June, which NNSA subsequently appealed. In October 2018, a federal appellate court granted a stay of the federal district court\u2019s injunction that prohibited termination of the MOX contract and cessation of construction operations. NNSA subsequently issued a notice of termination to the MOX contractor."], "subsections": []}]}, {"section_title": "Appendix III: Selected GAO Recommendations from Prior Reports", "paragraphs": ["We have made numerous agency recommendations in prior reports to improve contract and project management in the Department of Energy (DOE) and the National Nuclear Security Administration (NNSA). Some reports contain recommendations for department and agency policies, and others address project management problems for specific projects or also address other agencies besides NNSA. A description of some of our key recommendations, with the status of implementation as of December 2018, is provided below in table 2. For the most up-to-date status of these agency recommendations, see our website: http://www.gao.gov."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hilary Benedict (Assistant Director), Rodney Bacigalupo, Antoinette Capaccio, Tara Congdon, Pamela Davidson, Richard P. Johnson, Eleni Orphanides, Kevin Remondini, Karen Richey, Sara Sullivan, and Tatiana Winger made key contributions to this report."], "subsections": []}]}], "fastfact": ["In 2007, the Department of Energy's nuclear security agency started building a facility to dispose of unneeded weapons-grade plutonium. After cost increases, schedule delays, and nearly $6 billion in spending, Energy cancelled the project in 2018.", "While this project was running, Energy took steps to address inexperience among its project management staff. As oversight improved, the project contractor's performance problems became clearer.", "Energy has historically struggled to complete projects\u2014in addition to this one\u2014within cost and schedule estimates. We made 3 recommendations to improve how Energy uses the lessons learned from its projects."]} {"id": "GAO-18-613T", "url": "https://www.gao.gov/products/GAO-18-613T", "title": "Critical Infrastructure Protection: Progress and Challenges in DHS's Management of Its Chemical Facility Security Program", "published_date": "2018-06-14T00:00:00", "released_date": "2018-06-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Thousands of facilities have hazardous chemicals that could be targeted or used to inflict mass casualties or harm surrounding populations in the United States. In accordance with the DHS Appropriations Act, 2007, DHS established the CFATS program in 2007 to, among other things, identify and assess the security risk posed by chemical facilities. DHS inspects high-risk facilities after it approves facility security plans to ensure that the facilities are implementing required security measures and procedures.", "This statement summarizes progress and challenges related to DHS's CFATS program management. This statement is based on prior products GAO issued from July 2012 through June 2017, along with updates conducted in June 2018 on DHS actions to address prior GAO recommendations. To conduct the prior work, GAO reviewed relevant laws, regulations, and DHS policies for administering the CFATS program, how DHS assesses risk, and data on high-risk chemical facilities. GAO also interviewed DHS officials and reviewed information on DHS actions to implement its prior recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) has made progress addressing challenges that GAO's past work identified to managing the Chemical Facility Anti-Terrorism Standards (CFATS) program. The following summarizes progress made and challenges remaining in key aspects of the program.", "Identifying high-risk chemical facilities. In July 2015, GAO reported that DHS used self-reported and unverified data to determine the risk of facilities holding toxic chemicals that could threaten surrounding communities if released. GAO recommended that DHS should better verify the accuracy of facility-reported data. DHS implemented this recommendation by revising its methodology so it now calculates the risk of toxic release, rather than relying on facilities to do so.", "Assessing risk and prioritizing facilities. In April 2013, GAO reported weaknesses in multiple aspects of DHS's risk assessment and prioritization approach. GAO made two recommendations for DHS to review and improve this process, including that DHS enhance its risk assessment approach to incorporate all of the elements of consequence, threat, and vulnerability associated with a terrorist attack involving certain chemicals. DHS launched a new risk assessment methodology in October 2016 and is currently gathering new or updated data from about 27,000 facilities to (1) determine which facilities should be categorized as high-risk because of the threat of sabotage, theft or diversion, or a toxic release and (2) assign those facilities deemed high risk to one of four risk-based tiers. GAO has ongoing work assessing these efforts and will report later this summer on the extent to which they fully address prior recommendations.", "Reviewing and approving facilities' site security plans . DHS is to review security plans and visit facilities to ensure their security measures meet DHS standards. In April 2013, GAO reported a 7 to 9 year backlog for these reviews and visits. In July 2015, GAO reported that DHS had made substantial progress in addressing the backlog\u2014estimating that it could take between 9 and 12 months for DHS to review and approve security plans for the approximately 900 remaining facilities. DHS has since taken additional action to expedite these activities and has eliminated this backlog.", "Inspecting facilities and ensuring compliance. In July 2015, GAO reported that DHS conducted compliance inspections at 83 of the 1,727 facilities with approved security plans. GAO found that nearly half of the inspected facilities were not fully compliant with their approved security plans and that DHS did not have documented procedures for managing facilities' compliance. GAO recommended that DHS document procedures for managing compliance. As a result, DHS has developed an enforcement procedure and a draft compliance inspection procedure and expects to finalize the compliance inspection procedure by the end of fiscal year 2018."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made various recommendations to strengthen DHS's management of the CFATS program, with which DHS has generally agreed. DHS has implemented or described planned actions to address most of these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our past work on the Department of Homeland Security\u2019s (DHS) efforts to manage its Chemical Facility Anti-Terrorism Standards (CFATS) program. Thousands of facilities that produce, use, or store hazardous chemicals could be of particular interest to terrorists who are intent on using toxic chemicals to inflict mass casualties in the United States. These chemicals could be released from a facility to cause harm to surrounding populations; they could be stolen and used as chemical weapons or as their precursors (the ingredients for making chemical weapons); or they could be stolen and used to build an improvised explosive device. Past incidents remind us of the danger that these chemicals pose, including the 2013 ammonium nitrate explosion at a fertilizer storage and distribution facility in West, Texas, which killed at least 14 people and damaged or destroyed at least 200 homes, and the 1995 domestic terrorist attack on the federal building in Oklahoma City, Oklahoma, where 168 people were killed using ammonium nitrate fertilizer mixed with fuel oil.", "The Department of Homeland Security Appropriations Act, 2007, required DHS to issue regulations to establish risk-based performance standards (performance standards) for securing high-risk chemical facilities. DHS subsequently established the CFATS program in 2007 to, among other things, identify high-risk chemical facilities and assess the risk posed by them; place facilities considered to be high risk into one of four risk-based tiers (with tier 1 being the highest risk tier and 4 being the lowest); assess facility security; approve security plans prepared by facilities; and inspect facilities to ensure compliance with regulatory requirements. DHS\u2019s CFATS rule established 18 performance standards that identify the areas for which a facility\u2019s security posture are to be examined, such as perimeter security, access control, and cyber security. To meet these standards, facilities are free to choose whatever security programs or processes they deem appropriate so long as DHS determines that the facilities achieve the requisite level of performance in each of the applicable areas. The Protecting and Securing Chemical Facilities from Terrorist Attacks Act of 2014 (CFATS Act of 2014) enacted in December 2014, in effect, reauthorized the CFATS program for an additional 4 years, while also imposing additional implementation requirements on DHS for the program. DHS\u2019s National Protection and Programs Directorate\u2019s Infrastructure Security Compliance Division manages the CFATS program. According to DHS, the Department received approximately $911 million for the CFATS program for the period beginning fiscal year 2007 through fiscal year 2018.", "My testimony today summarizes our past work examining DHS\u2019s management of the CFATS program, and provides updates on actions DHS has taken to address our prior recommendations. This testimony is based on our reports issued from July 2012 through June 2017. For these reports, we reviewed applicable laws and regulations, DHS policies and procedures, DHS data on tiered facilities, information on the approach DHS used to determine a facility\u2019s risk and process for reviewing security plans. We also interviewed DHS officials about facility tiering, how DHS assesses risk, and how it processes security plans. Additional details on the scope and methodology are available in our published reports. In addition, this statement contains updates as of June 2018 from DHS on actions it has taken to address the recommendations made in our prior reports. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "DHS Has Made Progress Addressing Past Challenges, But Some Actions are Still In Progress", "paragraphs": ["Our past work has identified progress and challenges in a number of areas related to DHS\u2019s management of the CFATS program including (1) the process for identifying high risk chemical facilities; (2) how it assesses risk and prioritizes facilities; (3) reviewing and approving facility security plans; (4) how it conducts facility compliance inspections; and (5) efforts to conduct stakeholder outreach and gather feedback. DHS has made a number of programmatic changes to CFATS in recent years that may also impact its progress in addressing our open recommendations; these changes are included as part of our ongoing review of the program."], "subsections": [{"section_title": "Identifying High-Risk Chemical Facilities", "paragraphs": ["In May 2014, we found that more than 1,300 facilities had reported having ammonium nitrate to DHS. However, based on our review of state data and records, there were more facilities with ammonium nitrate holdings than those that had reported to DHS under the CFATS program. Thus, we concluded that some facilities that were required to report may have failed to do so. We recommended that DHS work with other agencies, including the Environmental Protection Agency (EPA), to develop and implement methods of improving data sharing among agencies and with states as members of a Chemical Facility Safety and Security Working Group. DHS agreed with our recommendation and has since addressed it. Specifically, DHS compared DHS data with data from other federal agencies, such as EPA, as well as member states from the Chemical Facility Safety and Security Working Group to identify potentially noncompliant facilities. As a result of this effort, in July 2015, DHS officials reported that they had identified about 1,000 additional facilities that should have reported information to comply with CFATS and subsequently contacted these facilities to ensure compliance. DHS officials told us that they continue to engage with states to identify potentially non-compliant facilities. For example, as of June 2018, DHS officials stated they have received 43 lists of potentially noncompliant facilities from 34 state governments, which are in various stages of review by DHS. DHS officials also told us that they recently hired an individual to serve as the lead staff member responsible for overseeing this effort.", "DHS has also taken action to strengthen the accuracy of data it uses to identify high risk facilities. In July 2015, we found that DHS used self- reported and unverified data to determine the risk categorization for facilities that held toxic chemicals that could threaten surrounding communities if released. At the time, DHS required that facilities self- report the Distance of Concern\u2014an area in which exposure to a toxic chemical cloud could cause serious injury or fatalities from short-term exposure\u2014as part of its Top-Screen. We estimated that more than 2,700 facilities with a toxic release threat had misreported the Distance of Concern and therefore recommended that DHS (1) develop a plan to implement a new Top-Screen to address errors in the Distance of Concern submitted by facilities, and (2) identify potentially miscategorized facilities that could cause the greatest harm and verify that the Distance of Concern of these facilities report is accurate. DHS has fully addressed both of these recommendations. Specifically, DHS implemented an updated Top-Screen in October 2016 and now collects data from facilities and calculates the Distance of Concern itself, rather than relying on the facilities\u2019 calculation. In response to our second recommendation, in November 2016, DHS officials stated they completed an assessment of all Top-Screens that reported threshold quantities of toxic release chemicals of interest and identified 158 facilities with the potential to cause the greatest harm. As of May 2017, according to ISCD officials, 156 of the 158 facilities submitted updated Top-Screens and 145 of the 156 Top-Screens had undergone a quality assurance review process."], "subsections": []}, {"section_title": "Assessing Risk and Prioritizing Facilities", "paragraphs": ["DHS has also taken actions to better assess regulated facilities\u2019 risks in order to place the facilities into the appropriate risk tier. In April 2013, we reported that DHS\u2019s risk assessment approach did not consider all of the elements of threat, vulnerability, and consequence associated with a terrorist attack involving certain chemicals. Our work showed that DHS\u2019s risk assessment was based primarily on consequences from human casualties, but did not consider economic consequences, as called for by the National Infrastructure Protection Plan (NIPP) and the CFATS regulation. We also found that (1) DHS\u2019s approach was not consistent with the NIPP because it treated every facility as equally vulnerable to a terrorist attack regardless of location or on-site security and (2) DHS was not using threat data for 90 percent of the tiered facilities\u2014those tiered for the risk of theft or diversion\u2014and using 5-year-old threat data for the remaining 10 percent of those facilities that were tiered for the risks of release or sabotage. We recommended that DHS enhance its risk assessment approach to incorporate all elements of risk and conduct a peer review after doing so. DHS agreed with our recommendations and has made progress towards addressing them.", "Specifically, with regard to our recommendation that DHS enhance its risk assessment approach to incorporate all elements of risk, DHS worked with Sandia National Laboratories to develop a model to estimate the economic consequences of a chemical attack. In addition, DHS worked with Oak Ridge National Laboratory to devise a new tiering methodology, called the Second Generation Risk Engine. In so doing, DHS revised the CFATS threat, vulnerability, and consequence scoring methods to better cover the range of CFATS security issues. Additionally, with regard to our recommendation that DHS conduct a peer review after enhancing its risk assessment approach, DHS conducted peer reviews and technical reviews with government organizations and facility owners and operators, and worked with Sandia National Laboratories to verify and validate the new tiering approach. We are currently reviewing the reports and data that DHS has provided about its new tiering methodology as part of our ongoing work and will report on the results of this work later this summer.", "To further enhance its risk assessment approach, in fall 2016, DHS also revised its Chemical Security Assessment Tool (CSAT), which supports DHS efforts to gather information from facilities to assess their risk. According to DHS officials, the new tool\u2014called CSAT 2.0\u2014is intended to eliminate duplication and confusion associated with DHS\u2019s original CSAT. DHS officials told us that they have improved the tool by revising some questions in the original CSAT to make them easier to understand; eliminating some questions; and pre-populating data from one part of the tool to another so that users do not have to retype the same information multiple times. DHS officials also told us that the facilities that have used the CSAT 2.0 have provided favorable feedback that the new tool is more efficient and less burdensome than the original CSAT. Finally, DHS officials told us that as of June 2018, DHS has completed all notifications and has processed tiering results for all but 226 facilities. DHS officials stated they are currently working to identify correct points of contact to update registration information for these remaining facilities. We are currently assessing DHS\u2019s efforts to assess risk and prioritize facilities as part of our ongoing work and will report on the results of this work in our report later this summer."], "subsections": []}, {"section_title": "Reviewing and Approving Facility Site Security Plans", "paragraphs": ["DHS has also made progress reviewing and approving facility site security plans by reducing the time it takes to review these plans and eliminating the backlog of plans awaiting review. In April 2013, we reported that DHS revised its procedures for reviewing facilities\u2019 security plans to address DHS managers\u2019 concerns that the original process was slow, overly complicated, and caused bottlenecks in approving plans. We estimated that it could take DHS another 7 to 9 years to review the approximately 3,120 plans in its queue at that time. We also estimated that, given the additional time needed to do compliance inspections, the CFATS program would likely be implemented in 8 to 10 years. We did not make any recommendations for DHS to improve its procedures for reviewing facilities\u2019 security plans because DHS officials reported that they were exploring ways to expedite the process, such as reprioritizing resources and streamlining inspection requirements. In July 2015, we reported that DHS had made substantial progress in addressing the backlog\u2014estimating that it could take between 9 and 12 months for DHS to review and approve security plans for the approximately 900 remaining facilities. DHS officials attributed the increased approval rate to efficiencies in DHS\u2019s review process, updated guidance, and a new case management system. Subsequently, DHS reported in its December 2016 semi-annual report to Congress that it had eliminated its approval backlog.", "Finally, we found in our 2017review that DHS also took action to implement an Expedited Approval Program (EAP). The CFATS Act of 2014 required that DHS create the EAP as another option that tier 3 and tier 4 chemical facilities may use to develop and submit security plans to DHS. Under the program, facilities may develop a security plan based on specific standards published by DHS (as opposed to the more flexible performance standards using the standard, non-expedited process). DHS issued guidance intended to help facilities prepare and submit their EAP security plans to DHS, which includes an example that identifies prescriptive security measures that facilities are to have in place. According to committee report language, the EAP was expected to reduce the regulatory burden on smaller chemical companies, which may lack the compliance infrastructure and the resources of large chemical facilities, and help DHS to process security plans more quickly. If a tier 3 or 4 facility chooses to use the expedited option, DHS is to review the plan to determine if it is facially deficient, pursuant to the reporting requirements of the CFATS Act of 2014. If DHS approves the EAP site security plan, it is to subsequently conduct a compliance inspection.", "In 2017, we found that DHS had implemented the EAP and had reported to Congress on the program, as required by the CFATS Act of 2014. In addition, as of June 2018 according to DHS officials, only 18 of the 3,152 facilities eligible to use the EAP opted to use it. DHS officials we interviewed attributed the low participation to several possible factors including:", "DHS had implemented the expedited program after most eligible facilities already submitted standard (non-expedited) security plans to DHS; facilities may consider the expedited program\u2019s security measures to be too strict and prescriptive, not providing facilities the flexibility of the standard process; and the lack of an authorization inspection may discourage some facilities from using the expedited program because this inspection provides useful information about a facility\u2019s security.", "We also found in 2017 that recent changes made to the CFATS program could affect the future use of the expedited program. As discussed previously, DHS has revised its methodology for determining the level of each facility\u2019s security risk, which could affect a facility\u2019s eligibility to participate in the EAP. DHS continues to apply the revised methodology to facilities regulated under the CFATS program and but it is too early to assess the impact on participation in the EAP."], "subsections": []}, {"section_title": "Inspecting Facilities and Ensuring Consistent Compliance", "paragraphs": ["In our July 2015 report, we found that DHS began conducting compliance inspections in September 2013, and by April 2015, had conducted inspections of 83 of the 1,727 facilities that had approved security plans. Our analysis showed that nearly half of the facilities were not fully compliant with their approved site security plans and that DHS had not used its authority to issue penalties because DHS officials found it more productive to work with facilities to bring them in compliance. We also found that DHS did not have documented processes and procedures for managing the compliance of facilities that had not implemented planned measures by the deadlines outlined in the plans. We recommended that DHS document processes and procedures for managing compliance to provide more reasonable assurance that facilities implement planned measures and address security gaps. DHS agreed and has taken steps toward implementing this recommendation. DHS updated its CFATS Enforcement Standard Operating Procedure (SOP) and has made progress on the new CFATS Inspections SOP. Once completed these two documents collectively are expected to formally document the processes and procedures currently being used to track noncompliant facilities and ensure they implement planned measures as outlined in their approved site security plans, according to ISCD officials. DHS officials stated they expect to finalize these procedures by the end of fiscal year 2018. We are examining compliance inspections as part of our ongoing work and will report on the results of our work in our report later this summer."], "subsections": []}, {"section_title": "Stakeholder Outreach and Feedback", "paragraphs": ["In April 2013, we reported that DHS took various actions to work with facility owners and operators, including increasing the number of visits to facilities to discuss enhancing security plans, but that some trade associations had mixed views on the effectiveness of DHS\u2019s outreach. We found that DHS solicited informal feedback from facility owners and operators in its efforts to communicate and work with them, but did not have an approach for obtaining systematic feedback on its outreach activities. We recommended that DHS take action to solicit and document feedback on facility outreach consistent with DHS efforts to develop a strategic communication plan. DHS agreed and implemented this recommendation by developing a questionnaire to solicit feedback on outreach with industry stakeholders and began using the questionnaire in October 2016.", "Chairman Shimkus, Ranking Member Tonko, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact me at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals making key contributions to this work include John Mortin, Assistant Director; and Brandon Jones, Analyst-in-Charge; Michael Lennington, Ben Emmel, and Hugh Paquette.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-574", "url": "https://www.gao.gov/products/GAO-18-574", "title": "Defense Health Care: Expanded Use of Quality Measures Could Enhance Oversight of Provider Performance", "published_date": "2018-09-17T00:00:00", "released_date": "2018-09-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The National Defense Authorization Act for fiscal year 2016 contains provisions for GAO to review DOD's plans to (1) improve the experience of beneficiaries who receive care through military hospitals and clinics or from civilian providers and (2) reduce variation in the quality of care.", "In this report, GAO examines (1) measures DOD uses to assess the quality of direct and purchased care, and (2) the extent to which DOD has established performance standards related to the measures and corrective action requirements for providers who do not meet those standards.", "GAO reviewed the measures in DOD's Core Dashboard for direct care and Purchased Care Dashboard for purchased care. It also reviewed DOD documents and reports to Congress, and interviewed MHS officials, including officials from the Army, Navy, and Air Force. GAO also compared the quality measures DOD uses to those used in Medicare and by private insurers, which have been vetted by multiple stakeholders. GAO assessed DOD's use of performance standards and corrective action requirements in the context of federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Defense Authorization Act for fiscal year 2016 (NDAA 2016) directed the Department of Defense (DOD) to align its measures of health care quality used in the Military Health System (MHS) to improve beneficiary experience and reduce variation in the quality of care. GAO reviewed the quality measures DOD identified in March 2017 in response to the NDAA 2016; DOD senior leadership tracks these measures on dashboards to gauge progress on MHS strategic goals. GAO found that DOD does not use a common set of measures on its dashboards to assess the quality of care provided by either military hospitals and clinics\u2014known as direct care\u2014or networks of civilian hospitals and other providers, known as purchased care. (See figure.) As a result, DOD's senior leadership has limited information on the extent to which MHS beneficiaries receive consistently high quality care across the MHS.", "Furthermore, for both direct and purchased care, DOD uses measures on its dashboards that track a limited range of quality care areas and medical conditions compared to the measures adopted by Medicare and by private health insurers. For example, whereas civilian hospitals report to Medicare information on 11 measures of patients' self-reported experience in hospitals, Military hospitals report only 1 such measure. By using a limited range of quality measures, DOD may not detect key quality issues. Further, when selecting quality measures, the MHS does not prioritize using common measures across direct and purchased care or expanding the range of measures it uses.", "GAO also found that for direct care DOD has established performance standards and corrective action requirements for military hospitals or clinics that do not meet those standards in direct care. The performance standards indicate the level of performance providers should meet on the various quality measures DOD tracks on its dashboards, and the corrective action requirements instruct providers to take steps to improve care. However, for purchased care, DOD has not established similar performance standards for individual providers. Without consistent performance standards and corrective action requirements, DOD is limited in its ability to address variation in the quality of care delivered and help ensure that its beneficiaries receive consistent high quality care across the MHS."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The MHS should (1) prioritize, as appropriate, selecting quality measures common for both direct and purchased care that expand the range of quality areas covered by the measures and (2) establish consistent performance standards and corrective action requirements for direct and purchased care providers. DOD concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense\u2019s (DOD) Military Health System (MHS) offers a full range of health care services to over 9 million eligible beneficiaries, including active duty servicemembers and their dependents, medically- eligible National Guard and Reserve members and their dependents, and retirees and their dependents and survivors, among others. These beneficiaries may receive care from military treatment facilities (MTFs)\u2014 known as direct care\u2014or from civilian hospitals, physicians, and other clinicians participating in DOD-sponsored health plans that are administered by contractors\u2014known as purchased care. While MTFs take the lead in delivering health care to active duty servicemembers, eligible beneficiaries can receive a wide array of primary and specialty care from the MTFs, purchased care providers, or both. Overall, about 60 percent of all the health care services that beneficiaries received in 2017 were delivered through purchased care.", "In 2014, the Secretary of Defense ordered a comprehensive review of the MHS that found considerable variation in the quality of care delivered. For example, the review found that 8 of 17 MTFs with high volume surgery programs had higher than expected rates of surgical complications. Furthermore, in the case of purchased care, the review found that DOD had limited information on the quality of care delivered by those civilian providers.", "The information DOD has on the quality of care in the MHS comes from what it collects on various quality measures. In general, health care quality measures are standard, evidence based metrics\u2014such as the percentage of patients receiving a screening or the rate of hospital readmissions or surgical complications\u2014that health care systems such as the MHS use to quantify health care processes, outcomes, and other aspects of care. Health care quality measures can be linked to performance standards established for providers. For example, a quality measure may indicate the percentage of patients who receive a diabetes screening, while a related performance standard may be that providers are expected to ensure that at least a certain percentage of applicable patients receive the screening each year.", "Section 730 of the National Defense Authorization Act for Fiscal Year 2016 (NDAA 2016) directed DOD to develop plans to enhance the experience of beneficiaries receiving care under the MHS and eliminate variation in the quality of care that beneficiaries receive across direct and purchased care. The Act stipulated that DOD align the measures used to assess the quality of direct and purchased care to improve care across the MHS as a whole. In March 2017, DOD issued its response to section 730, reporting that it had established two sets of quality measures\u2014 a set of measures for direct care described as \u201ccore measures\u201d and another set of measures for purchased care. The MHS reported to Congress that the core direct care measures and purchased care measures are the key quality measures DOD\u2019s senior health care leadership use to track DOD\u2019s progress towards achieving the department\u2019s overall strategic goals of providing high quality care across the MHS as a whole. DOD reported that it aligned these quality measures across direct and purchased care where possible.", "Section 730 of the NDAA 2016 also includes a provision for us to assess the strengths and limitations of DOD\u2019s plans for achieving the Act\u2019s objectives. In this report, we examine 1. the core direct care measures and purchased care measures DOD uses to assess the quality of care in the MHS; and 2. the extent to which DOD has established performance standards related to its core direct care measures and purchased care measures and corrective action requirements for providers that do not meet these performance standards.", "To examine the core direct care measures and purchased care measures DOD uses to assess the quality of care in the MHS, we focused our review on the measures listed on the Core Dashboard and Purchased Care Dashboard, which are used in direct care and purchased care, respectively. We focused on the dashboard measures because the MHS reported to Congress that these are the measures that DOD health care leaders rely on to establish accountability throughout the MHS and identify areas where quality improvement is needed. The measures on the dashboards are periodically updated, and we examined the measures included on the dashboards as of March 31, 2018 and the extent to which the measures on one dashboard aligned with those on the other. We also examined the range of quality care areas and medical conditions assessed by the dashboard measures and compared these to the range of quality care areas and medical conditions assessed by the measures included in the Hospital Compare measure set for inpatient care and the Core Quality Measure Collaborative (CQMC) measure sets for outpatient care. Because the Hospital Compare and CQMC measures for inpatient and outpatient care have been vetted and reviewed by multiple health care stakeholders and widely adopted, we determined that they represented appropriate benchmarks for assessing the scope of the MHS\u2019s quality assessment. We also reviewed DOD documents to understand DOD senior health leadership\u2019s decisions to select and track the measures on the Core and Purchased Care Dashboards and not others. Specifically, we systematically reviewed minutes from 335 meetings of the MHS governance bodies\u2014which represent the three military services that provide health care services under the MHS (Army, Navy, and Air Force) and other components of the MHS\u2014that make final decisions on the measures to be included on the Core and Purchased Care Dashboards. We supplemented this document review with interviews of the MHS officials responsible for managing direct care as well as those responsible for overseeing the MHS\u2019s contracting of purchased care. We also interviewed representatives of the medical commands for each of the three military services to obtain their perspectives on the measures that the MHS had selected to assess the quality of care provided to their active duty members and other beneficiaries. In addition, we interviewed the Chair of the Health Care Subcommittee of the Military Coalition, a group of 32 military, veterans, and uniformed services organizations. Although not representative, this allowed us to obtain the perspectives of beneficiaries on the MHS\u2019s quality measurement efforts.", "To examine the extent to which DOD has established performance standards related to its core direct care measures and purchased care measures and corrective action requirements for providers that do not meet performance standards, we reviewed policies related to the MHS\u2019s oversight of provider performance on the measures on its Core and Purchased Care Dashboards. We also interviewed MHS officials and reviewed relevant MHS documents to determine whether the MHS sets specific performance standards for MTFs and civilian providers related to the quality measures on the Core and Purchased Care Dashboards. We also examined whether or to what extent MHS has established requirements for initiating corrective actions when providers do not meet those performance standards. The relevant documents we reviewed include the minutes of the MHS governance body meetings noted above; the MHS reports to Congress on direct and purchased care; documents related to the purchased care contracts; and reports that contractors submitted to the MHS for purchased care. Additionally, in our review of the MHS governance body meeting minutes, we examined MHS officials\u2019 decisions, their rationale, and any actions taken in response to the trends being monitored on the Core and Purchased Care Dashboard quality measures. We compared these MHS efforts to federal standards for internal control related to monitoring.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Health Care Quality Measures", "paragraphs": ["As we have previously reported in reviews of health care quality outside of the MHS, health care quality measures are standard, evidence-based metrics designed to assess the extent to which patients receive health care that increases the likelihood of desired health outcomes and are consistent with current professional knowledge. These measures may be used to assess the quality of care in various settings, including hospitals and physician offices. Health care quality measures are intended to (1) inform providers about opportunities for potential improvements in their delivery of care, (2) encourage or incentivize providers to consistently provide high quality care, and (3) inform consumers about which providers are most likely to deliver high quality care. There are broad categories of clinical quality measures that address various aspects of quality of care. See table 1 for a description of these broad categories of quality measures.", "The data used to calculate the results of health care quality measures can come from a number of different sources. Some measures often require detailed clinical information obtained from patient medical records, such as process measures that indicate whether timely and effective care was provided in a specific situation, for example, or whether stroke patients received clot-dissolving medication appropriately. Other measures are designed to use information on patient demographics and diagnoses that can be obtained from more readily accessible sources, such as claims data or other administrative data that have already been collected for other purposes such as billing. In addition, patients can be asked directly, usually through surveys, to report on their experiences receiving care."], "subsections": []}, {"section_title": "The MHS Structure and Administration of Direct and Purchased Care", "paragraphs": ["The MHS is a complex organization in which responsibility for the delivery of health care is primarily shared among the military services\u2014Army, Navy, and Air Force\u2014and the Defense Health Agency (DHA). The Army, Navy and Air Force medical commands report through their service chiefs to their respective military department Secretaries and then to the Secretary of Defense. DHA reports through the Office of the Assistant Secretary of Defense for Health Affairs and the Under Secretary of Defense for Personnel and Readiness to the Secretary of Defense. The Office of the Assistant Secretary of Defense for Health Affairs manages the Defense Health Program appropriation, which funds the medical and health care programs at the medical commands of the military services. As of fiscal year 2018, most of the MTFs, including military hospitals and clinics, were under the direction and control of the military services, which are responsible for staffing, training, and equipping those MTFs to meet mission requirements. DHA has responsibility for the managed care support contracts through which the MHS administers its purchased care, and DHA also administers several MTFs in the vicinity of Washington, DC. Figure 1 depicts the MHS organizational structure.", "Recently enacted changes will affect the administration of the MTFs in future years. Most notably, DOD will alter administration of the MTFs, shifting responsibility from the military services to DHA. Section 702 of the National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017) directed DOD to give DHA responsibility for the administration of all MTFs, including budgetary matters, information technology, and health care administration and management. In the conference report for NDAA 2017, Congress stated its intention that the creation of a single agency responsible for all MTFs would improve and sustain readiness, reduce costs, and increase efficiency. DOD has since prepared a series of implementation plans as it works to develop the specific policies and procedures to enable this change to take effect starting October 1, 2018. The most recent plan issued by DOD in June 2018 envisions a 3-year transition to be completed October 1, 2021.", "For purchased care, DOD contracts with civilian health care contractors to manage its civilian providers on a regional basis. The primary responsibilities of these managed care support contractors include the following: developing civilian provider networks, which include hospitals and ensuring adequate access to health care; referring and authorizing beneficiaries to receive health care; processing health care claims; educating providers and beneficiaries; and conducting utilization management and quality management programs.", "There have been several generations of multi-year contracts since 1996. In July 2016, DOD awarded its fourth generation of managed care support contracts to two regional contractors, and on January 1, 2018, the MHS began health care delivery under these contracts."], "subsections": []}, {"section_title": "Selection of Measures to Assess Quality of Direct and Purchased Care", "paragraphs": ["According to our review of DOD documents, the MHS uses a structured process to select the measures on its dashboards that are used to assess the quality of direct and purchased care. Specifically, DOD documents state that the core direct care measures that are on the Core Dashboard are selected through the MHS\u2019s performance management system called Partnership for Improvement (P4I), which began in 2015. The documents show that proposals for potential quality measures are developed by work groups that focus on different specialized areas, such as maternity care or mental health. These proposals are reviewed and approved by the Steering Committee for P4I, which develops the list of core quality measures for direct care. The Steering Committee then presents the list of core quality measures to a succession of governance bodies\u2014each of which incorporates representation from the three military services plus DHA\u2014for review and approval. DOD documents indicate that the MHS repeats this process annually as it decides which quality measures to add, drop, or modify for the coming fiscal year from the Core Dashboard.", "The DOD documents we reviewed lay out a parallel process that the MHS follows to select which purchased care quality measures will be tracked in the Purchased Care Dashboard. A work group that specializes on purchased care issues with representation of DHA and the three military services develops the proposed list of quality measures for the Purchased Care Dashboard. This list is then reviewed and approved by the same succession of governance bodies that decide on the Core Dashboard measures.", "Officials told us and DOD documents confirmed that the MHS and the purchased care contractors also track additional quality measures that are not included in the Core and Purchased Care Dashboards. For example, MHS clinicians who provide maternity care track a set of measures developed by the National Perinatal Information Center. Similarly, a number of military hospitals report on surgical quality measures to the National Surgical Quality Improvement Program. The MHS also conducts surveys of MHS beneficiaries from which it obtains data for patient experience measures for both direct and purchased care. Additionally, the MHS requires the managed care support contractors that administer the MHS\u2019s networks of civilian providers for purchased care to monitor several different sets of quality measures or indicators, many of which focus on patient safety. These include patient safety indicators, hospital acquired conditions, and serious reportable events. They also analyze measures selected from Hospital Compare and the Healthcare Effectiveness Data and Information Set (HEDIS), some of which correspond to measures included in the Core and Purchased Care Dashboards."], "subsections": []}, {"section_title": "The Hospital Compare and Core Quality Measures Collaborative Measure Sets Adopted by Medicare and Private Health Insurers", "paragraphs": ["While health care systems in the United States can use a variety of measures to assess the quality of care, two of the most widely adopted sets of quality measures include the Hospital Compare measure set developed by Centers for Medicare & Medicaid Services (CMS) for inpatient care and the CQMC measure sets jointly developed by CMS and major private health insurers for outpatient care. Since 2005, CMS has collected results for individual hospitals on a specific list of health care quality measures that are posted on a website known as Hospital Compare. CMS does this to make comparable information on the quality of care provided by different hospitals publicly available. Hospital Compare currently covers more than 4,000 hospitals that participate in the Medicare program. These hospitals supply data to CMS for quality measures of inpatient and emergency department care. These data reflect the care provided to all patients treated at these hospitals, not just those covered by Medicare. Each year CMS goes through a formal process, including receiving input from experts and stakeholders, to review and revise the mix of quality measures that these hospitals are expected to report. The purpose of this review, according to CMS, is to ensure that the set of measures reported on Hospital Compare provides meaningful information for quality improvement while reducing unnecessary administrative burden.", "Initiated in 2014, the CQMC is a multi-stakeholder voluntary effort focused on quality measure alignment that has developed eight sets of measures for outpatient primary and specialty care, known as the CQMC measure sets. In developing the measure sets, CMS and private health insurers negotiate sets of core measures on which they agree to focus on measuring care quality for certain conditions. Physician specialty societies, employer groups, consumer groups, and regional collaboratives also participate in the negotiations. The CQMC measure sets have been adopted by CMS for Medicare and by 15 major private health insurers for commercial health plans. Additionally, section 728 of the NDAA 2017 directs the MHS to use, to the extent appropriate, these quality measures to assess the quality of direct and purchased care. CQMC documents show that the members of the CQMC intend to continually update these core measure sets as more meaningful measures are developed over time. CMS and the private health insurers plan to expand their application of these measures incrementally, as CMS conducts its annual reviews of Medicare\u2019s quality measures and the insurers update or renew their contracts with different providers."], "subsections": []}]}, {"section_title": "The MHS Does Not Use a Common Set of Quality Measures for Direct and Purchased Care, and the Measures It Uses Assess a Limited Range of Quality Areas", "paragraphs": ["The MHS does not use a common set of measures on its Core and Purchased Care Dashboards to assess the quality of care provided through direct and purchased care. In addition, for both direct and purchased care, the MHS uses measures on its dashboards that assess a more limited range of quality care areas and medical conditions as compared to the Hospital Compare and CQMC measures adopted by Medicare and private health insurers."], "subsections": [{"section_title": "The MHS Does Not Use a Common Set of Quality Measures for Direct and Purchased Care", "paragraphs": ["Although the NDAA 2016 directed the MHS to align its quality measures for direct and purchased care, we found that as of March 31, 2018, the MHS used separate sets of measures on the Core and Purchased Care Dashboards to assess the quality of care delivered in direct and purchased care, respectively. To assess the quality of direct care, the MHS tracks 43 measures on its Core Dashboard, and to assess the quality of purchased care, the MHS tracks 18 measures on its Purchased Care Dashboard. The MHS tracks 8 measures that are the same for both dashboards, leaving 35 measures tracked only on the Core Dashboard for direct care and 10 measures tracked only on the Purchased Care Dashboard for purchased care. (See fig. 2.)", "According to MHS officials, since launching the P4I performance management system in 2015, the MHS has focused on making systematic improvements in the quality of care across the MTFs in direct care. As a result, the 43 measures they have chosen for the Core Dashboard reflect their priorities for quality improvement within direct care only. In the case of purchased care, MHS officials stated that requiring civilian providers to report on the same 43 measures that are used on the Core Dashboard for direct care would add burden, and the MHS had concerns that this would make civilian providers less likely to participate in purchased care. Instead, the MHS tracks 18 measures on the Purchased Care Dashboard that rely on information sources other than provider reporting, such as claims that the providers submit in the normal course of receiving payment for their services and surveys that the MHS conducts of its beneficiaries. MHS officials explained that they try to minimize the reporting burden for purchased care providers because for most of these civilian providers, eligible MHS beneficiaries represent only a small proportion of their patient population.", "We also found that for direct care, the MHS uses its quality measures on the Core Dashboard to assess the quality of care delivered to beneficiaries served by individual MTFs, such as hospitals or clinics. However, for purchased care, the MHS uses its quality measures on the Purchased Care Dashboard to assess the quality of care delivered to the beneficiary population served by each contractor\u2019s network as a whole\u2013 not the quality of care delivered by individual civilian hospitals, clinicians, or other providers in the network. Specifically: In direct care, the MHS uses the 43 measures on the Core Dashboard to track the quality of care delivered by individual MTFs. For example, on a measure of central line-associated bloodstream infections, the MHS tracks the incidence of such infections by individual MTF and by military service (i.e., the incidence of such infections in Army, Navy and Air Force MTFs).", "In contrast, in purchased care, the MHS assesses information on the 18 measures on the Purchased Care Dashboard for all beneficiaries in each of the networks administered by the two managed care support contractors. For example, on a measure of the percentage of beneficiaries with diabetes who have their hemoglobin level tested annually, the MHS calculates an overall rate of hemoglobin testing across all the diabetic patients that receive care in each contractor\u2019s network.", "The beneficiary population-level reporting on quality measures on the Purchased Care Dashboard reflects the nature of the MHS\u2019s relationship with its managed care support contractors for purchased care. Under the terms of the contracts that the MHS has negotiated with the contractors that administer the networks of civilian providers to care for eligible beneficiaries, the contractors bear responsibility for ensuring the quality of care delivered by those providers. While the MHS requires the managed care support contractors to monitor different sets of quality measures or indicators, such as patient safety indicators, hospital acquired conditions, and serious reportable events to identify possible cases of individual patient harm and determine appropriate interventions, the contractors report this information in annual reports to the MHS for their network as a whole, as opposed to reporting on individual providers.", "Because the MHS largely uses separate measures for direct and purchased care on its dashboards and tracks the quality of care delivered by civilian providers in purchased care in the aggregate rather than individually, the MHS lacks the information it needs to make comparable assessments of the quality of care delivered across the MHS as a whole. This, in turn, limits the MHS\u2019s ability to ensure it has the information needed to determine whether it is achieving the department\u2019s overall strategic goals of providing high quality care across the MHS as a whole and ensuring that beneficiaries receive a consistent level of high quality care regardless of whether that care is delivered in direct or purchased care. Moreover, using a different set of quality of measures on the dashboards for direct and purchased care is inconsistent with section 730 of the NDAA 2016, which directs the MHS to align its measures for direct and purchased care so it can reduce performance variation across the MHS. MHS officials acknowledge in principle the value of using aligned measures to assess quality of care in direct and purchased care, but the officials cited a range of factors that pose challenges to achieving this objective, such as the large number of civilian providers and the lack of common health information technology systems.", "Based on our review, we found that one way the MHS could have a common set of quality measures for both direct and purchased care, without increasing the reporting burden on civilian providers, would be to use, as appropriate, Hospital Compare and CQMC quality measures. Notably, the MHS states on its website that almost all of the civilian hospitals that are in the contractors\u2019 networks for purchased care already report information on the measures posted on the Hospital Compare website. As a result, there potentially would be no additional burden for these purchased care providers to report information on the Hospital Compare quality measures. Similarly, major health plans report that they have begun implementing the CQMC measure sets in their contracts with physicians, meaning that physicians participating in those plans already report information on CQMC outpatient quality measures. To the extent that those physicians are also in the MHS contractors\u2019 networks for purchased care, the information the physicians report on the CQMC measures could be used by the MHS.", "We found the MHS is already using some Hospital Compare and CQMC measures for inpatient and outpatient care. There are a total of 76 measures that Medicare and private health insurers report to Hospital Compare and a total of 60 CQMC outpatient measures. Besides the measures used in the Core and Purchased Care Dashboards, MHS also collects 24 of 76 Hospital Compare measures and 10 of the 60 CQMC outpatient measures. For the most part, these measures are not part of the direct and purchased care dashboards that MHS leadership uses to assess the performance of direct and purchased care. Furthermore, MHS officials told us that they have no specific plans to increase the number of measures that the MHS uses from Hospital Compare for inpatient care delivered in its hospitals. In the case of outpatient care, our review of DOD documents shows that the MHS plans on expanding reporting to only 5 more CQMC quality measures, in large part to minimize its reporting burden."], "subsections": []}, {"section_title": "The MHS Uses Quality Measures that Assess a Limited Range of Quality Care Areas and Medical Conditions Compared to Measures Adopted by Medicare and Private Health Insurers", "paragraphs": ["We found that the measures the MHS uses on its Core and Purchased Care Dashboards to assess the quality of direct and purchased care address only a limited range of quality areas and medical conditions when compared with the Hospital Compare and CQMC measure sets that are adopted by Medicare and private health insurers. According to the National Quality Forum, which plays a central role in developing and annually reassessing the Hospital Compare measure set and also was consulted in the development of the CQMC measure sets, the measures used to assess quality of care should comprise an appropriate mix of recognized measure types, including outcome measures, process measures, experience of care measures, and cost and structure measures. These measures should cover a broad enough range of measure types and medical conditions so that they provide an accurate overall assessment of the quality of care patients receive.", "Based on our analysis, Table 2 below shows the limited range of measures on the Core and Purchased Care dashboards used by the MHS to assess inpatient care, as compared to the range of inpatient measures that Medicare hospitals report for Hospital Compare. In general, each of the five types of measures shown in the table below addresses different aspects of health care quality in hospital settings. For direct care, the MHS uses no more than one measure on its Core Dashboard for all of these five measure types except for \u201cOutcome\u201d measures; for purchased care, the MHS does not use any inpatient care measures on its Purchased Care Dashboard.", "Similarly, based on our analysis, Table 3 below shows the limited range of measures on the Core and Purchased Care Dashboards used by the MHS to assess outpatient care, as compared to the range of outpatient measures that are part of the CQMC measure sets adopted by Medicare and private health insurers. The MHS uses measures on its dashboards that assess fewer clinical focus areas and medical conditions as compared with those measures included in the CQMC measure sets. As with hospital care, the difference is greatest with respect to purchased care.", "The limitations we found in the quality measures used by the MHS\u2014the relatively narrow range of measures as well as the relatively few measures used across direct and purchased care\u2014reflect the MHS\u2019s priorities in selecting quality measures. In short, the MHS focuses on the value and impact of implementing individual measures, but does not prioritize aligning the measures used across direct and purchased care or expanding the range of medical conditions and quality areas covered in the aggregate by the measures. The MHS\u2019s annual assessment of quality measures focuses only the Core Dashboard measures. For each Core Dashboard measure for which a change is under consideration\u2014such as dropping, modifying, or adding another quality measure to the Core Dashboard\u2014MHS officials apply a standard set of criteria involving both the feasibility of collecting the data needed for that measure and the utility of that measure for addressing a strategic priority or promoting performance improvement. When asked about the potential value of increasing the number of Hospital Compare measures, MHS officials said they need to make a value-based determination of whether the benefits of obtaining results for any given Hospital Compare measure justified the costs of collecting and transmitting the data required for that measure. In discussions about potential measures for the Purchased Care Dashboard, MHS officials also focused on the characteristics of specific measures being considered for inclusion in the dashboard.", "Because the MHS does not prioritize expanding the range of medical conditions and quality areas covered by common measures across direct and purchased care, the measures the MHS uses provide DOD\u2019s senior health care leadership with an incomplete picture of the quality of care across the MHS. As we have noted, the MHS has reported to the Congress that its DOD health care leaders rely on the Core and Purchased Care Dashboard measures to establish accountability throughout the MHS and identify areas where quality improvement is needed. However, the current approach may not lead to the selection of quality measures for the two dashboards that would enable MHS officials to identify the most critical quality of care issues in the MHS. The lack of that information, in turn, limits the ability of DOD\u2019s senior health care leadership to target their performance improvement efforts most effectively in support of DOD\u2019s overall strategic goals of providing high quality care across the MHS as a whole."], "subsections": []}]}, {"section_title": "The MHS Has Established Performance Standards and Related Corrective Action Requirements for Individual Providers in Direct Care but Not in Purchased Care", "paragraphs": ["The MHS has established performance standards in direct care related to the Core Dashboard measures and has corrective action requirements for MTFs that do not meet the standards. However, the MHS has not established performance standards related to the Purchased Care Dashboard measures for individual civilian providers in purchased care and therefore does not have related corrective action requirements for these providers."], "subsections": [{"section_title": "The MHS Has Established Direct Care Performance Standards and Related Corrective Action Requirements for Military Treatment Facilities", "paragraphs": ["As part of its P4I performance management system for direct care, the MHS has established specific performance standards that each MTF must meet in delivering quality care to MHS beneficiaries. These standards\u2014some of which are under development\u2014specify a minimum level of performance that each MTF should achieve related to the Core Dashboard quality measures tracked in direct care. For example, in the case of the HEDIS All Cause Readmission measure on the Core Dashboard, the MHS\u2019s performance standard is that MTFs should have a rate of unplanned acute readmissions within 30 days of an initial hospital admission that is as good as or better than the national 75th percentile. This performance standard is based on the readmission rates that the National Committee for Quality Assurance, the lead entity for that measure, has observed across U.S. hospitals.", "During regularly recurring governance meetings throughout the year, MHS governance bodies review how MTFs have performed relative to the performance standards for the Core Dashboard measures. Our review found that during these meetings, the governance bodies generally do not examine the circumstances of MTFs that do not perform well on the performance standards related to the Core Dashboard measures. Consequently, DOD\u2019s senior health care leadership within the governance bodies may receive limited information on the challenges faced by low-performing individual MTFs. However, during these meetings, officials from the military services and DHA highlight MTFs that are performing well on the established performance standards, and the officials share best practices and specific strategies used to achieve high performance.", "We also found that in direct care, the MHS requires MTFs that do not meet the MHS\u2019s performance standards related to its Core Dashboard measures to take corrective actions to improve the quality of care they deliver. The military services\u2014Army, Navy and Air Force\u2014and DHA have been responsible for implementing this requirement. For example, Navy officials explained that they periodically review information collected on the MHS\u2019s Core Dashboard quality measures to analyze areas where MTFs do not meet established performance standards tied to these measures and to oversee MTFs\u2019 efforts to correct these deficiencies. Officials told us that each of the services exercises its discretion to independently develop and implement the corrective actions that the service determines best address the performance issues identified through the use of the MHS\u2019s quality measures. For example, to help reduce the number of Central Line-Associated Bloodstream Infections (CLABSI), the Army began financially awarding MTFs that performed well on the CLABSI measure, whereas the Air Force developed a toolkit to help providers prevent CLABSI.", "As the MHS moves to transfer administration of the MTFs from the individual military services to DHA as directed by section 702 of the NDAA 2017, the approach for assessing performance and implementing corrective actions is likely to change. The MHS\u2019s recently issued implementation plan as of June 2018 outlines some alterations to the current performance assessment process. Specifically, MTFs will create and submit a performance plan that will be reviewed and approved by DHA. DHA will host monthly review sessions with MTFs to track performance on the plan. MTFs will be evaluated using a set of measures aligned to the Quadruple Aim that will include many but not all of the Core Dashboard measures."], "subsections": []}, {"section_title": "The MHS Has Not Established Performance Standards and Related Corrective Action Requirements for Individual Civilian Providers in Purchased Care", "paragraphs": ["The MHS has not established performance standards related to the 18 Purchased Care Dashboard measures for individual civilian hospitals, clinicians, or other providers in purchased care. Instead, the MHS has established performance standards related to the 18 Purchased Care Dashboard measures that MHS officials use to track the performance of each of the two managed care support contractors. According to MHS officials, the MHS does not require the contractors to ensure that each individual hospital, physician, or other provider in these networks meets the performance standards related to the Purchased Care Dashboard measures. For example, in the case of a measure on the use of imaging for low back pain, the MHS has set a performance standard for each managed care support contractor, one that aims at avoiding excessive imaging across the beneficiary population in the contractor\u2019s network. However, officials told us that the information that the MHS collects on the measure\u2014the number of beneficiaries in each of the contractors\u2019 networks who receive imaging services for low back pain\u2014does not indicate the extent to which each individual civilian provider in the contractor networks meets or fails to meet the performance standard. Thus, the information the MHS obtains on the quality measure and its related performance standard does not identify which hospitals, clinicians, or other providers need to improve their performance in order for all beneficiaries to receive the expected level of care quality that the performance standard represents.", "Because the MHS has not established performance standards related to the Purchased Care dashboard measures for individual civilian hospitals, clinicians, or other providers in purchased care, there are no related requirements for corrective action. Instead, the MHS requires its managed care support contractors to undertake other activities to promote improved quality of care across civilian providers in their networks. These include investigations of quality issues, focused reviews, analyses of Hospital Compare data, and value-based purchasing pilots, as discussed further below. However, our review found that these efforts are not applied comprehensively across all individual purchased care providers.", "Investigations of Quality Issues. One approach the MHS uses to promote improved quality of care across purchased care providers is to direct its managed care support contractors to investigate whether individual beneficiaries have experienced what the MHS refers to as a quality issue. Potential quality issues are defined by the MHS as any instance when there are indications that a purchased care provider has deviated from what the managed care support contractors deem acceptable standards of professional practice. The contractors can identify these potential quality issues through beneficiary complaints; analyses of patient safety indicators, hospital acquired conditions, and serious reportable events; or by the MHS or contractor staff. Once potential quality issues are identified, they are investigated by a clinician, who reviews the patient\u2019s complete medical record. Based on the clinician\u2019s review of the patient\u2019s medical records, the clinician verifies whether or not a quality issue has occurred and, if so, assigns the quality issue a severity level. To address the quality issue, the managed care support contractors may take a range of steps, including educating the provider, monitoring the provider, notifying the appropriate state or federal bodies, and removing the provider from the MHS\u2019s purchased care provider network. In practice, however, MHS officials said and documents we reviewed show that providers are rarely removed from the network. For example, MHS officials reported that one contractor estimated that one provider was removed from its network over quality issues every 1 to 2 years.", "Focused Reviews. Another way the MHS uses its managed care support contractors to promote improved quality of care across purchased care providers is through focused reviews. During these reviews, the managed care support contractors review the medical records for a selected patient population to determine the extent to which a specified quality concern is a widespread problem. For example, in 2015 one contractor reviewed the medical records of 96 beneficiaries to determine the frequency of obstetric trauma, an injury related to vaginal deliveries. If a focused review determines that there is a widespread quality problem, the contractor may implement a quality improvement initiative designed to prompt all of its network providers to address that concern, as opposed to targeting specific providers.", "Analyses of Hospital Compare Data. The MHS also requires the contractors to conduct an annual examination of the performance of hospitals in their networks on the different quality measures reported on Medicare\u2019s Hospital Compare. However, the managed care support contractors have considerable flexibility in deciding how to structure these analyses and how to follow-up on results. Consequently, the two managed care support contractors have adopted different analytical approaches to define and identify hospitals with relatively low performance. For example, the managed care support contractors chose to examine different quality measures and use different criteria to identify hospitals with relatively low performance. In their most recent annual reports issued during 2017, both managed care support contractors indicated that they were considering contacting the lower performing hospitals to prompt remedial action, but because no action had yet occurred, the reports leave open what steps were ultimately taken and how these hospitals responded. Nonetheless, these activities suggest that the managed care support contractors have the ability to use Hospital Compare to analyze and address individual provider performance on a standard set of quality measures. However, the MHS has not specified how this process should proceed, leaving it to the managed care support contractors to decide what and how much they will do in conducting these analyses of individual hospitals.", "Value-Based Purchasing Pilots. The MHS has recently begun to test different approaches to incentivize purchased care providers to deliver high quality care through several value-based purchasing pilots. For example, in February 2018 the MHS launched a maternity care pilot that pays providers more for better performance on specified quality measures. The pilot also implements a \u2018steerage model\u2019 approach that identifies higher performing providers in directories provided to patients by indicating providers as \u201cGold Stork\u201d or \u201cSilver Stork.\u201d These pilots may provide the MHS another way to influence the quality of care provided by certain subsets of its purchased care providers. MHS officials stated that although DOD has not arrived at specific goals, it plans to expand these pilots to cover around 20 to 25 percent of its purchased care services by 2020.", "The use of performance standards and corrective action requirements for individual hospitals, clinicians, or other providers who serve MHS beneficiaries is consistent with federal internal control standards for monitoring, which state that management should establish monitoring activities, evaluate the results, and remediate any deficiencies. While the MHS has established performance standards related to its Core Dashboard measures in direct care and has corrective action requirements for MTFs that do not meet those standards, it has not done so for individual civilian hospitals, clinicians, or other providers in purchased care related to its Purchased Care Dashboard measures. Additionally, if the MHS aligned quality measures on the Core and Purchased Care Dashboards at the provider level, the MHS could require its managed care support contractors to monitor the performance of individual civilian providers relative to set performance standards comparable to the ones that the MHS has established for MTFs. This approach would allow the MHS to determine the extent of performance variability, both among individual civilian providers and across MTFs and individual civilian providers. By not establishing consistent performance standards at the provider-level for direct and purchased care and requiring corrective action requirements to ensure that these standards are met by providers in both direct and purchased care, the MHS is limited in its ability to address variation in the quality of care delivered. This further limits the MHS\u2019s ability to ensure that it is achieving the department\u2019s overall strategic goals of providing high quality care across the MHS as whole and ensuring that beneficiaries receive a consistent level of high quality care regardless of whether that care is delivered in direct or purchased care."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Congress directed DOD to reduce variation in the quality of care beneficiaries receive through the MHS. DOD has taken important steps towards this goal by identifying a set of core measures that DOD senior health care leadership use to assess quality of care in direct care and another set of measures that they use to assess quality in purchased care. DOD health care leaders rely on these measures on their Core and Purchased Care Dashboards to establish accountability throughout the MHS and identify areas where quality improvement is needed. However, with few exceptions, the MHS uses different measures on its Core and Purchased Care Dashboards to assess the quality of direct and purchased care, making it difficult to determine the extent to which it is ensuring consistent quality across the MHS as a whole. Furthermore, for both direct and purchased care, the MHS uses measures on its dashboards that assess a limited range of quality areas and medical conditions when compared to the widely used quality measure sets adopted by Medicare and private insurers. Without using a broader range of available quality measures available\u2014measures that many purchased care providers already report to CMS and private health insurers\u2014DOD is missing an opportunity to better target the most critical quality of care issues in the MHS. The limitations we identified in the MHS\u2019s Core and Purchased Care Dashboard quality measures reflect the fact that in its annual measure selection process, the MHS does not prioritize aligning the quality measures across direct and purchased care and expanding the range of measures it uses across the two systems of care.", "Finally, our review shows that while DOD has established performance standards for the core measures in direct care and corrective action requirements for MTFs that do not meet these standards, DOD has not done so for individual purchased care providers. Notably, DOD does not set clear expectations that individual purchased care providers should meet the performance standards related to the quality measures on the Purchased Care Dashboard. Performance standards and related corrective action requirements are critical for holding both MTFs and individual civilian providers accountable for providing quality care. Without consistent standards and related corrective action requirements across the MHS, DOD is limited in its ability to ensure that beneficiaries consistently receive high quality care, regardless of whether they receive that care in the direct or purchased care systems."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to the Assistant Secretary of Defense for Health Affairs.", "As MHS governing bodies conduct their recurring reviews of quality measures selected for MHS\u2019s Core Dashboard and Purchased Care Dashboards, the Assistant Secretary of Defense for Health Affairs should direct those bodies to prioritize, as appropriate, the selection of measures that apply to both direct and purchased care at the provider level and that expand the range of quality measure types and medical conditions that are assessed. (Recommendation 1)", "The Assistant Secretary of Defense for Health Affairs should establish, as appropriate, performance standards related to the Purchased Care Dashboard measures that are consistent with the MHS\u2019s performance standards for direct care; ensure they are applied to individual purchased care providers; and take steps, such as amending its managed care support contracts, if necessary, to require corrective actions to be taken when providers do not meet those standards. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review, and DOD provided written comments, which are reprinted in appendix I. In its written comments, DOD concurred with both of our recommendations. With regards to the first recommendation, DOD stated that it plans to enhance the process for selecting quality measures that apply to both direct and purchased care; optimize use of data on Hospital Compare to expand the types and medical conditions evaluated; augment their governance reporting structure so that senior leadership can review quality measures included on the Core Dashboard and Purchased Care Dashboard; and implement the CQMC measure sets for outpatient care. Additionally, DOD stated that it has efforts underway to create a library of all quality measures used across direct and purchased care.", "With regards to the second recommendation, DOD acknowledged the need to strengthen accountability for meeting performance standards that apply to both direct and purchased care providers. It also agreed that measures of individual provider performance in purchased care should be augmented and consistent with measures in direct care, where possible. DOD noted, however, that because it works through managed care support contractors for purchased care, it can hold the contractors accountable for meeting performance standards but cannot currently take action against individual providers based solely on performance. Instead, DOD stated that rather than taking a corrective action approach, it plans to expand its value-based purchasing efforts and incentivize providers that meet and exceed certain quality standards. This raises concerns, as DOD\u2019s current plans to expand its value-based purchasing efforts would only be applicable for between 20 and 25 percent of the services MHS beneficiaries receive from purchased care providers by 2020, as we noted in our report. Without having all providers managed consistently and subject to prompt remediation of deficiencies, DOD is missing an opportunity to improve the quality of purchased care, and it increases the risk that not all beneficiaries will receive a consistent level of high quality care across the MHS. Acknowledging DOD\u2019s comment that it cannot currently take action against individual providers based solely on performance, we have modified our recommendation to clarify that DOD should take the steps it determines are necessary, such as amending its managed care support contracts, to institute corrective action requirements for purchased care providers.", "We are sending copies of this report to the Secretary of Defense and appropriate congressional committees. The report is also available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff has any questions regarding this report, please contact me at (202) 512-7114 or silass@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rashmi Agarwal, Assistant Director; Eric Peterson Analyst-in-Charge; Muriel Brown; Shaunessye Curry; Michael Erb; Krister Friday; Jacquelyn Hamilton; and Colbie Holderness made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Health Reform: Steps Taken to Plan the Transfer of the Administration of the Military Treatment Facilities to the Defense Health Agency, but Work Remains to Finalize the Plan. GAO-17-791R. Washington, D.C.: Sep 29, 2017.", "Health Care Quality: HHS Should Set Priorities and Comprehensively Plan Its Efforts to Better Align Health Quality Measures. GAO-17-5. Washington, D.C.: Oct 13, 2016.", "VA Health Care Quality: VA Should Improve the Information It Publicly Reports on the Quality of Care at Its Medical Facilities. GAO-17-741. Washington, D.C.: Sep 29, 2017."], "subsections": []}], "fastfact": ["DOD\u2019s Military Health System allows patients to use military or civilian health care providers. We examined the measures DOD's leadership reviews to assess providers' quality of care across its health system and found that DOD:", "is not using common measures across all providers;", "uses measures covering a limited range of medical conditions; and", "hasn\u2019t created consistent standards and requirements related to providers' performance on the measures.", "We recommended that, for all providers, DOD use common key quality measures, expand their range, and develop consistent performance standards and requirements."]} {"id": "GAO-18-48", "url": "https://www.gao.gov/products/GAO-18-48", "title": "Federal Employee Misconduct: Actions Needed to Ensure Agencies Have Tools to Effectively Address Misconduct", "published_date": "2018-07-16T00:00:00", "released_date": "2018-08-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Misconduct is generally considered an action by an employee that impedes the efficiency of the agency's service or mission. Misconduct incidents can affect other aspects of employee morale and performance and impede an agency's efforts to achieve its mission.", "GAO was asked to examine how executive branch agencies address employee misconduct. This report (1) describes the process agencies are required to follow in responding to employee misconduct; (2) identifies alternative approaches to the formal process that agencies can use and assesses what factors affect agencies' responses to misconduct; (3) describes trends in removals and other adverse actions resulting from misconduct; and (4) identifies key practices agencies can use to help them better prevent and address misconduct. To address these objectives, GAO reviewed relevant sections of title 5 of the U.S.C; analyzed MSPB and OPM data, and interviewed, among others, agency officials and subject-matter experts."]}, {"section_title": "What GAO Found", "paragraphs": ["Chapter 75 of title 5 of the U.S. Code specifies the formal legal process that most agencies must follow when taking adverse actions, i.e., suspensions, demotions, reductions in pay or grade, and removals, for acts of employee misconduct. Chapter 75 details the built-in procedural rights certain federal employees are entitled to when faced with adverse actions.", "Depending on the nature of misconduct, an agency may use utilize alternative discipline approaches traditionally used in government to correct behavior. Alternative discipline is an approach to address misconduct that is available to agencies in lieu of traditional penalties (e.g., letters of reprimand and suspensions of 14 days or less). An example is a last chance agreement, whereby an employee recognizes the agency's right to terminate him or her should another act of misconduct occur.", "Based on the data collected by the Office of Personnel Management (OPM), agencies formally discipline an estimated 17,000 employees annually under Chapter 75, or less than 1 percent of the federal workforce, for misconduct. Based on OPM data, in 2016, agencies made 10,249 suspensions, 7,411 removals, and 114 demotions for misconduct. However, because of weaknesses in OPM's data on employee misconduct, which is provided by the agencies, OPM is unable to accurately target supervisory training to address misconduct, and decision-makers do not know the full extent or nature of this misconduct.", "Key lessons learned can help agencies better prevent and respond to misconduct. For example, tables of penalties provide a list of the infractions committed most frequently by agency employees, along with a suggested range of penalties for each to ensure consistent treatment for similar offenses. However, not all agencies have a table of penalties, including OPM, nor are agencies required by statute, case law or OPM regulations. Subject-matter experts we contacted identified additional promising practices that agencies can use to respond employee misconduct. Some of these are presented below.", "Agencies are accountable for providing required training to their managers. However, agency officials and subject-matter experts we interviewed said federal managers may not address misconduct because they are unfamiliar with the disciplinary process, have inadequate training, or receive insufficient support from their human resources offices."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that OPM, working with the Chief Human Capital Officers Council, (1) take steps to improve the quality of data collected on misconduct; (2) leverage lessons learned to help agencies address misconduct; and (3) improve guidance on training supervisors and human resources staff on addressing misconduct. OPM partially concurred with two recommendations, and disagreed with the first, stating that its guidance has been successfully relied upon by agencies. GAO maintains the action is needed to help strengthen oversight."]}], "report": [{"section_title": "Letter", "paragraphs": ["An average of less than 1 percent of the federal government\u2019s 2.1 million employees are formally disciplined for misconduct annually, according to our analysis of the Office of Personnel Management\u2019s (OPM) data. While this number is relatively small, even a few cases of employee misconduct can have significant impacts on workplace morale and impede an agency\u2019s efforts to achieve its mission. Indeed, according to a 2008 study by the Merit System Protection Board (MSPB), \u201cMisconduct affects not only the employee and the supervisor; it also impacts those who interact with the employee.\u201d To that end, it is important for agencies to timely and effectively address cases of employee misconduct while simultaneously respecting employees\u2019 procedural and due process rights.", "The term \u201cemployee misconduct\u201d does not have a general definition in a statute or government-wide regulations. Agencies may elaborate on types of misconduct in handbooks and other internal guidance. However, according to OPM, there is a large body of decisional law by MSPB addressing discipline for employee misconduct in the federal government that contains definitions of various forms of misconduct, such as \u201cinsubordination,\u201d \u201cexcessive absence,\u201d and \u201cmisuse of government property,\u201d as well as instances where specific types of misconduct are referenced concerning appointment into the competitive service. According to OPM officials, the lack of a general definition of misconduct gives agencies flexibility in the manner in which they address misconduct. Ultimately, when an agency needs to take an adverse action against an employee for inappropriate workplace behavior, it must do so \u201cfor such cause as will promote the efficiency of the service\u201d as provided for in 5 U.S.C. Chapter 75. Such actions could include, but are not limited to, instances of misconduct. The efficiency of the service standard provides managers with maximum flexibility to pursue adverse actions whether the impetus was a conduct issue, a failure to perform, or something else.", "Activities that may be considered misconduct can vary from agency to agency. According to agency officials and subject-matter experts we interviewed, examples of misconduct include time and attendance infractions; physical aggression toward an employee; improper use of a government-issued credit card; misuse of government equipment (such as viewing pornography or use of public position for private gain; and behavior that affects national security.", "It should be noted that the law differentiates misconduct from substandard performance. Poor performance can generally be described as an employee\u2019s inability to carry out work responsibilities, while misconduct can be described as an employee, willfully or otherwise, violating stated policies or norms. In certain cases, however, employee performance and misconduct can overlap, combining the two issues. Sleeping on the job, for example, is both a failure to abide by norms of conduct an agency would expect of an employee on duty and a failure to perform.", "Our prior work on poor performers found that adverse actions, including suspensions, demotions, and removals, take time to resolve and because of a lack of internal support, concerns over litigation and other factors, supervisors may be hesitant to initiate required procedures outlined in the United States Code (hereinafter U.S.C.). Supervisors can address misconduct through alternative discipline approaches which can shorten the timeline and eliminate costly litigation if the employee decides to appeal an adverse action. When used under the right circumstances, alternative discipline may be more efficient and effective than traditional discipline.", "You asked us to examine the process for addressing misconduct and to identify any challenges to removing employees for misconduct. Our objectives were to (1) describe the process that agencies are required to follow in responding to employee misconduct in the federal service; (2) identify alternative approaches to the formal legal process that agencies can use to respond to misconduct, and assess what factors affect agencies\u2019 responses; (3) describe trends in removals and other adverse actions resulting from misconduct; and (4) identify key practices agencies can use to help them better prevent and address misconduct.", "To address the first objective, we reviewed relevant sections of Title 5 chapter 75 of the U.S.C. (hereinafter chapter 75) which contains the statutory process for taking such adverse actions as are necessary to promote the efficiency of the service, which would include adverse actions to address misconduct. We also reviewed OPM regulations implementing chapter 75 adverse action procedures and describing employee grievance and appeal rights. Additionally, we reviewed 5 U.S.C. \u00a7\u00a7 7701 and 7702 (hereinafter chapter 77), which contain the statutory process for adverse action appeals to the MSPB and subsequent appeals to the Equal Employment Opportunity Commission (EEOC) when the employee has alleged that an adverse action within the jurisdiction of the MSPB was taken on account of discrimination within the jurisdiction of the EEOC. To provide context for our review of Chapters 75 and 77, we interviewed current and former practitioners, subject- matter experts, and academics. We selected our subject-matter experts based on our guidance for selecting experts, including their depth of experience on this issue and their present and past employment history, the subject-matter experts\u2019 practical experience in applying and practicing administrative law related to employee misconduct, and academicians who have conducted research on employee misconduct.", "To address the second objective, we interviewed OPM and MSPB officials and reviewed MSPB documents to obtain alternative discipline approaches agencies may use to address employee misconduct. We reviewed OPM regulations and documents to determine the legal framework within which most agencies address employee misconduct in the federal service, including formal procedural and employee appeal rights. To describe and assess factors that affect an agency\u2019s response to employee misconduct, we interviewed a panel of chief human capital officers (CHCO) from selected agencies as well as current and former human capital practitioners and other individuals and organizations with expertise in working on employee misconduct issues. These interviews helped us to gain insight into the agency perspective on addressing employee misconduct.", "To address the third objective, we analyzed data from OPM\u2019s Enterprise Human Resources Integration (EHRI) database and MSPB data from fiscal years 2006 to 2016 to describe trends in misconduct-related personnel actions and determine the number of adverse actions that agencies take against employees government-wide. Some agencies are excluded from the EHRI database, such as those in the intelligence community. For this report, the term \u2018adverse action\u2019 refers to non- appealable and appealable personnel actions listed under chapter 75, which includes reductions in grade or pay, suspensions, and removals. Adverse actions can be taken for reasons that will promote the efficiency of the service. Such actions include, but are not limited to, misconduct.", "To address the fourth objective, we conducted a literature review to identify promising practices and lessons learned associated with employee misconduct in the federal sector. We interviewed officials from OPM, MSPB, the EEOC, and the Office of Special Counsel (OSC), to obtain their perspectives on responding to employee misconduct through alternative approaches. We also interviewed officials from the Environmental Protection Agency (EPA) to obtain their perspectives on recent efforts to better coordinate with EPA\u2019s Inspector General to address cases of employee misconduct. We obtained the perspectives of a panel of CHCOs from selected agencies through the CHCO Council. We also interviewed former human capital practitioners and other subject- matter experts with extensive experience working on employee misconduct issues identified through literature reviews and recommendations from other experts. For further information on our scope and methodology, see appendix I.", "We conducted this performance audit from July 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We independently assessed OPM and MSPB\u2019s data by determining data checks and quality control steps taken on entering and maintaining the data. We determined the data from both agencies to be sufficient and reliable for our purposes. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Misconduct can occur in any workplace. When employee misconduct happens, an agency may incur a number of direct and indirect costs depending on how the agency chooses to address misconduct. For the agency, direct costs can mean potentially significant time and resource investments, including investigations, adversarial relationships between management and the employee, costs to the agency as a result of the misconduct committed (e.g., time and attendance or credit card fraud), and reduced employee engagement. The subject-matter experts we interviewed told us that, based on their experiences, the time it takes to address a case of misconduct may range from a couple of weeks to years. The time range depends on whether the employee appeals their case and other factors.", "Agencies may also incur litigation expenses if an employee decides to appeal an adverse action. While there are costs to addressing misconduct, agencies also incur indirect costs when misconduct goes unaddressed in the workplace. These indirect costs include corrosive effects on other employees\u2019 morale, higher employee turnover, reduced productivity, and lower employee commitment to their work or agency. Indirect costs also include redirecting management\u2019s attention away from achieving the agency\u2019s mission.", "Employee misconduct in the federal government is regulated by a well- developed body of statutes and regulations as well as decisions from MSPB and U.S. Court of Appeals for the Federal Circuit and Supreme Court. While there is no general definition of the term \u201cemployee misconduct\u201d in a statute or government-wide regulation, Standards of Ethical Conduct are prescribed by the Office of Government Ethics at 5 CFR Part 2635 and agencies may also elaborate on types of misconduct in handbooks, tables of penalties (listings of some of the most common offenses with recommended ranges of penalties), and other internal guidance. There is a large body of law by MSPB addressing discipline for employee misconduct in the federal government that contains criteria of various forms of misconduct, such as, \u201cinsubordination,\u201d \u201cexcessive absence,\u201d and \u201cmisuse of government property.\u201d According to OPM officials, there are instances in law and regulation where types of misconduct are referenced concerning appointment into the competitive service. Chapter 73 (Suitability, Security, and Conduct) addresses certain types of misconduct of executive branch employees.", "Generally speaking, an employee\u2019s violation of an agency\u2019s regulation or policy may cause the agency to take disciplinary or corrective action. Ultimately, if an agency needs to take an adverse action for inappropriate workplace behavior, it must do so \u201cfor such cause as will promote the efficiency of the service\u201d as provided for in Title 5, Chapter 75. OPM has also prescribed some regulations on employee responsibilities and conduct. One of the nine Merit System Principles set forth by the Civil Service Reform Act of 1978 that govern the management of the federal workforce states that federal employees \u201cshould maintain high standards of integrity, conduct, and concern for the public interest.\u201d", "According to MSPB, when there is misconduct by a federal employee, management\u2019s goal should be to either persuade the employee to behave properly or to remove the employee if the conduct is serious enough. Moreover, OPM maintains that supervisors have a responsibility to set clear rules and expectations for employees in the workplace. It is imperative that federal agencies manage their workforces effectively, which includes the effective use of discipline when addressing employee misconduct. In addition, employees may be disciplined for conduct that that they knew or should have known was unacceptable. Similarly, federal executive branch employees have a responsibility to adhere to principles of ethical conduct and should avoid any actions that appear to violate the law or ethical standards.", "Overall, the objective of discipline is to deal with employees who are unwilling or unable to behave properly, and, where management deems it possible and appropriate, correct deficiencies in employee conduct. When management decides to take an action short of removal, discipline can deter misconduct and correct situations interfering with productivity. Conduct-based actions are important tools designed to aid supervisors in maintaining an efficient and orderly work environment."], "subsections": []}, {"section_title": "Agencies Must Follow Statutory and Regulatory Procedures When Taking Adverse Actions for Employee Misconduct Under Chapter 75 of Title 5", "paragraphs": ["Most agencies are required to adhere to formal, statutorily established guidelines under chapter 75 when taking adverse actions against an employee for misconduct. Chapter 75 of Title 5 includes two subsections that outline the requirements for (1) non-appealable adverse actions such as suspensions of 14 days or less or (2) appealable adverse actions such as reductions in pay or grade, suspensions of more than 14 days, and removals (see figure 1). Subchapter I actions are covered by sections 5 U.S.C. 7501-7504 (Subsection I) and are referred to as \u201cnon- appealable actions,\u201d while Subchapter II actions covered by sections 5 U.S.C. 7511-7514 are referred to as \u201cappealable actions\u201d based on whether or not they can be appealed to the MSPB.", "According to a MSPB report, through the Civil Service Reform Act of 1978 (CSRA), \u201cCongress sought to ensure that agencies could remove employees who engage in misconduct while protecting the civil service from the harmful effects of management acting for improper reasons, such as discrimination or retaliation for whistleblowing.\u201d OPM regulations specify the process agencies must pursue to take adverse actions. These regulations also specify the procedural and appeal rights to which employees facing adverse actions are entitled. According to OPM officials, agency policies usually cover lesser disciplinary actions, such as oral and written reprimands, letters of warning, and letters of counseling. Employees may grieve these actions depending on the agency\u2019s administrative or negotiated grievance processes. According to OPM, agencies may issue these actions without following the procedural requirements for adverse actions under 5 U.S.C. Chapter 75.", "The procedural rights due to employees subject to adverse actions covered by Chapter 75 are derived both from Chapter 75 and from the U.S. Constitution. In 1985, the U.S. Supreme Court held that tenured or post-probationary public employees who may be terminated only for cause have a constitutional property interest in continued employment and cannot be deprived of their jobs without due process of law. The process that was due in that case was notice of the proposed removal before it occurred and the opportunity to present reasons why the proposed action should not be taken. Chapter 75 and OPM regulations promulgated thereunder establish additional procedural requirements extending to actions other than removal that go beyond what the Due Process Clause of the U.S. Constitution would itself require under current precedent. For example, they require that employees be given advance notice of a suspension or a reduction in pay with the opportunity to respond in writing with supporting affidavits."], "subsections": [{"section_title": "Subchapter I of Chapter 75 and Corresponding Regulations Describe Procedures for a Suspension of 14 Days or Less", "paragraphs": ["An agency may take an adverse action under Subchapter I of Chapter 75 only for such cause as will promote the efficiency of the service. When proposing to suspend an employee for 14 days or less, an agency must give the employee advance written notice stating the reasons for the proposed suspension. The agency must also inform the employee of his or her right to review the material which is relied on to support the reasons for the action. The agency must give the employee a reasonable time (no less than 24 hours) to answer orally and in writing, to furnish affidavits and other documentary evidence in support of the answer, and to be represented by an attorney or other representative. Lastly, the agency is to give the employee a written decision with the specific reasons for the suspension on or before the effective date of the action.", "An employee may challenge a suspension of 14 days or less through an agency administrative grievance procedure, if applicable. If the employee is represented by a union with a collective bargaining agreement (CBA) with the agency that includes an applicable grievance procedure, the employee may challenge the suspension only under the CBA unless the employee is alleging that the suspension was discriminatory. If the employee wishes to challenge the suspension as discriminatory or retaliatory under the EEO laws, the employee may file an EEO complaint with agency followed by a request for a hearing with the EEOC. The employee may also file a complaint with the OSC and then, if necessary, an Individual Right of Action appeal with the MSPB, to assert that the suspension was in retaliation for the employee\u2019s whistleblower activity. If the employee is represented by a union that has a collective bargaining agreement with the agency that includes an applicable negotiated grievance procedure, the employee may only file a grievance under the agency\u2019s collective bargaining agreement."], "subsections": []}, {"section_title": "Subchapter II of Chapter 75 Describes Steps Agencies Must Take to Address More Significant Cases of Employee Misconduct Than Those Addressed Under Subchapter I", "paragraphs": ["Subchapter II of Chapter 75 addresses steps agencies must follow to take the four adverse actions listed below. These following actions are referred to as appealable adverse actions: suspensions longer than 14 days; reductions in pay; and removals.", "An agency may take an adverse action under Subchapter II only for such cause as will promote the efficiency of the service. Subchapter II and OPM regulations contain more extensive procedural requirements for removals, reductions in pay or grade, and suspensions of over 14 days. The employee is entitled to at least 30 days advanced written notice of the proposed action, unless there is reasonable cause to believe the employee has committed a crime for which a sentence of imprisonment may be imposed. The notice must state the reasons for the action and inform the employee of their right to review the material on which the reasons stated in the notice are based. Agencies typically provide the material supporting the proposal to the employee with the notice. The proposal is usually prepared by the employee\u2019s supervisor in consultation with human resources and, sometimes, the agency\u2019s legal staff.", "The agency must give the employee a reasonable amount\u2014no less than 7 days\u2014of official time to review the supporting material, to prepare an answer orally and in writing, and to furnish affidavits and other documentary evidence in support of the answer. According to OPM and MSPB officials, normally the agency designates an official other than the person who proposes the adverse action to review the employee\u2019s response and make the decision. The employee is entitled to be represented by an attorney or other representative, including a union steward if the employee is a bargaining unit member. The employee is entitled to a written decision on or before the effective date specifying the reasons for the decision and advising the employee of any appeal and grievance rights under 5 CFR \u00a7 752.405.", "An employee may challenge discipline under Subchapter II through an agency administrative grievance procedure, if applicable, or by filing a grievance under an applicable CBA. An employee may also appeal adverse actions covered by Subchapter II to the MSPB unless the employee first filed a grievance challenging the action under the CBA. Accordingly, a large number of MSPB decisions address the elements and relative seriousness of various kinds of misconduct.", "According to OPM, if the employee wishes to challenge an appealable adverse action under subchapter II as discriminatory or retaliatory under the EEO laws, the employee may file a \u201cmixed case\u201d EEO complaint with agency. The agency then issues a final agency decision that may be appealed to the MSPB. An employee affected by an appealable action (removal, suspension for more than 14 days, reduction in pay or grade) who believes that the action was motivated by prohibited discrimination, such as a person\u2019s race, color, religion, sex, national origin, age or disability, may also file a \u201cmixed case\u201d appeal directly with MSPB and raise the discrimination claim in that forum. The employee may seek review of MSPB\u2019s decision on the discrimination claim before the EEOC. If MSPB and EEOC disagree on the discrimination claim and MSPB does not defer to EEOC\u2019s view, then a special panel of the EEOC and MSPB will be convened to resolve the disagreement.", "When deciding an appropriate penalty for misconduct, agency officials are to make decisions on a case-by-case basis, taking into consideration all relevant circumstances. Deciding officials within the agency should consult the Douglas Factors \u201312 criteria developed by MSPB to guide such decisions (see appendix II). In the Douglas vs. Veterans Administration decision, MSPB found that a penalty will be sustained as long as \u201cmanagerial judgment has been properly exercised within tolerable limits of reasonableness.\u201d The list of Douglas Factors is not exhaustive. According to MSPB, weighing all relevant aggravating and mitigating factors and the totality of the circumstances is critical in any disciplinary case. The process agencies use to identify and address employee misconduct is illustrated in figure 2.", "Agencies may use progressive discipline to help determine which course of action to take when responding to misconduct. OPM officials define progressive discipline as the \u201cimposition of the least serious disciplinary or adverse action applicable to correct the issue or misconduct with penalties imposed at an escalating level for subsequent offenses.\u201d The Douglas factors incorporate the concept of using a lesser penalty in appropriate circumstances. For instance, if an employee commits a first offense, the agency may choose to suspend the employee for 14 days or less. After that, the employee might learn from his or her mistake or correct the action, and not commit another offense, and therefore the agency will not discipline the employee again. However, the President has now prescribed that \u201csupervisors and deciding officials should not be required to use progressive discipline\u201d, and that \u201cthe penalty for an instance of misconduct should be tailored to the facts and circumstance.\u201d This will affect how agencies will determine appropriate penalties going forward.", "Alternatively, if the employee commits the same offense a second time, the agency may choose to suspend the employee for longer, or impose stronger adverse actions, including removal. According to OPM officials, progressive discipline is not defined or required by civil service law, rules or regulations.", "Chapter 75 provides that an employee with appeal rights who wants to contest an agency decision to remove, suspend for over 14 days, or reduce in pay or grade may appeal the agency\u2019s decision with MSPB. If that employee is a member of a collective bargaining unit, the employee also has the option of pursuing a grievance under negotiated grievance procedures if the appeal has not been excluded from coverage by the collective bargaining agreement. The employee may pursue either option, but not both. The employee may seek review of an arbitrator\u2019s decision before the U.S. Court of Appeals for the Federal Circuit. If the employee is challenging an adverse action within the jurisdiction of the MSPB and also alleged unlawful discrimination before the arbitrator or was prevented from doing so by the negotiated grievance procedure, the employee may appeal the arbitrator\u2019s decision to the MSPB. In addition, the union may appeal an arbitration award concerning a suspension of 14 days or less to the Federal Labor Relations Authority (FLRA) on behalf of the employee. See figure 3 for the collective bargaining unit appeals process for major disciplinary actions.", "Employees may use several avenues if they elect to appeal adverse actions through the statutory appeals process for such actions (removal, suspension of more than 14 days, and reduction in grade or pay). If the employee believes the disciplinary action was motivated by unlawful discrimination, he or she may file a discrimination complaint with the agency or file an appeal directly with MSPB. If the employee believes the disciplinary action was taken in retaliation for whistleblowing, he or she may choose to file a whistleblower retaliation complaint before deciding to appeal to the MSPB. If the employee or agency does not agree with the decision rendered by a MSPB administrative judge (AJ), he or she may seek review before the full MSPB. See figure 4 for statutory appeals process."], "subsections": []}, {"section_title": "Initial Appeals to MSPB Take Around 100 Days to Resolve", "paragraphs": ["We analyzed MSPB\u2019s data and found initial appeals at MSPB generally take from 63 to152 days to render a decision. MSPB has a policy goal of resolving cases by an administrative judge on or before 120 days after the filing of the appeal. An employee or agency can appeal an initial MSPB decision in a process called petition for review (PFR). PFR cases are reviewed by the full MSPB, and range from an additional 99 to 251 days, based on our analysis of the MSPB\u2019s data. The time that it takes to resolve cases at MSPB is consistent for demotions, suspensions of greater than 14 days, and removals. According to MSPB officials, the system is designed to require an individual to choose a path of review to the exclusion of other paths. Depending on the claims raised, there may be multiple levels of review of a single action before multiple fora. However, there is only one hearing at the administrative level; therefore, the timeline to resolve an adverse action appeal can be longer than the initial appeal and PFR.", "According to MSPB officials, the selected CHCOs, and the subject-matter experts we interviewed, agencies most often make the following errors which may cause MSPB to reverse the adverse action decision:", "Failure to follow procedures by agency: MSPB may overturn an adverse action decision if the agency did not adhere to the processes set out in statute and regulation. This most often means that the agency did not give the employee a chance to respond to the adverse action charge or did not notify them of their rights to an attorney.", "Failure to follow procedures by deciding official: An action may be vulnerable to a modification or reversal upon appeal if the deciding official did not fulfill their role appropriately in weighing the evidence through a Douglas Factors analysis.", "Ex parte communications: A challenge may be overturned if a deciding official gave consideration to any issue not in the proposal letter.", "Incorrect labeling (or charge): Nothing in law or regulation requires an agency to attach a label to a charge of misconduct. However, if labels are used, they must be proven. An example used by MSPB provides that if an agency uses the label of \u201ctheft\u201d as its charge, then the agency must prove that the employee \u201cintended to permanently deprive the owner of possession\u201d of the item in question. Experts told us that MSPB requires agencies to prove all legal aspects of a misconduct label.", "Federal courts have held that it is impermissible to allow the official who makes the final decision in a removal proceeding to rely on aggravating factors regarding either the alleged offense or the proposed penalty that were not contained in the notice, and to which the employee did not have an opportunity to respond. MSPB is bound by this precedent."], "subsections": []}]}, {"section_title": "Alternative Disciplines Can Help Agencies in Determining the Appropriate Response to Misconduct but Several Factors Affect How Agencies Respond", "paragraphs": ["Alternative discipline is an approach to address misconduct that is available to agencies in lieu of traditional penalties (e.g., letters of reprimand and suspensions of 14 days or less). According to MSPB, agencies may choose to offer alternative discipline at any stage of the disciplinary process. OPM officials said alternative disciplines tend to be more focused on taking a corrective or remedial response rather than punitive actions against an employee. In a report on alternative discipline, MSPB states that alternative discipline can take many forms and is an effort undertaken by an employer to address employee misconduct using a method other than traditional discipline.", "As an alternative discipline approach, it is recommended by MSPB that agencies may consider entering into an agreement with an employee. In general, such an approach involves a legally binding written agreement between the employee and the agency addressing an act of misconduct. If the employee violates the agreement, the agency will proceed with additional or more serious forms of discipline, up to and including removal. MSPB also recommends that managers and human resources personnel consult with legal counsel when drafting and implementing an alternative discipline agreement that requires the employee\u2019s consent, adding that it is extremely important for agreements to meet certain legal requirements to form a valid agreement.", "We compiled a non-exhaustive list of alternative discipline based on a literature review and interviews. Subject-matter experts, including the panel of CHCOs, reviewed this list and they cited benefits and drawbacks to some of the approaches (see table 1).", "MSPB noted in its 2008 report that the specific alternative discipline approach an agency decides to use should be based on the nature and severity of the misconduct. According to OPM officials, alternative discipline approaches are not appropriate for egregious acts of misconduct or when the employee is remorseless but rather lower level offenses where an employee may show remorse for the misconduct and demonstrate that she or he can be rehabilitated. Egregious acts of misconduct may involve discrimination, reprisal or retaliation, or sexual harassment. Alternative discipline approaches are also not appropriate when the employee\u2019s continued presence in the workplace would pose a threat to the employee or others.", "On a case by case basis, an agency may decide to provide counseling or additional training as appropriate, depending on the facts and circumstances that address specific acts of minor misconduct. Additionally, agencies have flexibility in using alternative discipline as a final effort before taking formal action such as suspension or removal. However, in its 2008 report, MSPB found that managers had applied alternative discipline approaches ineffectively, resulting in further inefficiencies in the civil service. Specifically, MSPB recommended that managers and human resources personnel consult with legal counsel when drafting and implementing an alternative discipline agreement that requires the employee\u2019s consent, adding that it is extremely important for agreements to meet certain legal requirements to form a valid agreement. CHCOs and subject-matter experts said managers and supervisors should coordinate internally with human resources staff, employee relations, and legal counsel when assessing whether an alternative discipline approach would result in correcting improper behavior and ultimately improve their workforce.", "Some subject-matter experts we interviewed expressed concern that workforces would view alternative discipline measures as providing opportunities for employees to avoid accountability or encouraging similar negative behaviors from coworkers rather than penalizing the employee more stringently through a formal adverse action process. These subject- matter experts identified community service, buy-outs, involvement in process improvements, and clean-slate agreements as approaches that had this kind of effect. Additionally, some subject-matter experts told us that alternative discipline approaches such as community service and paper suspension agreements could have the unintended effect of benefiting the employee being disciplined. For example, community service may allow the employee to serve the alternative discipline during their scheduled duty time instead of performing their regularly assigned duties. This may require the employee\u2019s co-workers to take on additional work while the employee serves the alternative discipline. Additionally, while a paper suspension limits interruption to work production, it also allows the employee to work in a pay status while carrying out the suspension. According to feedback we received from the CHCOs, some of these alternative discipline approaches were used more often than others and some approaches were more effective at addressing employee misconduct. We did not evaluate how often or the extent to which any of these approaches are used at agencies, nor did we consider the propriety or legality of these approaches.", "According to the CHCOs and subject-matter experts, agency managers and supervisors may be able to effectively resolve employee misconduct cases through the use of alternative approaches, which can shorten the timeline and simplify the adverse action process in a manner that has the most potential to prevent additional harm to the workplace and avoid the potentially high costs of litigating a misconduct case."], "subsections": [{"section_title": "Several Factors Can Affect Whether and How an Agency Addresses Employee Misconduct", "paragraphs": ["Current and former agency officials and subject-matter experts we interviewed told us in interviews that several factors can affect whether and how an agency responds to misconduct. Both agency officials and subject-matter experts told us that supervisors may not report misconduct due to fear that an employee could counter with their own complaint. Several CHCOs and subject-matter experts told us that an agency\u2019s approach to dealing with misconduct can influence how first-line supervisors act. In a recently released MSPB publication that highlighted selected results of its 2016 Merit Principle survey of managers and supervisors about challenges to addressing employee misconduct, 80 percent of managers and supervisors agree to some extent or a great extent that their agency\u2019s culture poses a challenge when attempting to remove an employee for serious misconduct. Additionally, MSPB\u2019s report provided the perspectives of managers and supervisors regarding the factors that affect how agencies address misconduct, including", "77 percent of managers/supervisors agree to some extent or a great extent that they do not feel supported by their agencies\u2019 senior leadership in their actions to remove an employee for serious misconduct.", "88 percent of managers/supervisors somewhat or strongly agree that some supervisors do not manage their employees\u2019 conduct because the supervisors want to avoid conflict.", "64 percent of managers/supervisors agree to some extent or a great extent that they do not fully understand the process to remove an employee for misconduct.", "MSPB\u2019s 2016 survey findings were consistent with what agency officials and subject-matter experts told us during interviews."], "subsections": []}]}, {"section_title": "Removal Actions for Misconduct Taken Under Chapter 75 Are Relatively Rare", "paragraphs": ["Our analysis of OPM data from fiscal year 2006 to 2016 shows that, on average, agencies disciplined approximately 17,000 or less than 1 percent of the federal workforce per year under Subchapter II of Chapter 75. The number of employees who separate from the federal workforce for misconduct under alternative means, such as settlements, is not known and would not be recorded as misconduct in OPM\u2019s EHRI database, according to agency officials and experts. Many of the CHCOs and subject-matter experts we interviewed told us that while data around such cases are not collected government-wide, they believe internal resolutions using alternative approaches to address misconduct occur frequently."], "subsections": [{"section_title": "Trends in Misconduct Removals Are Associated with Fluctuations in Probationary Employee Numbers", "paragraphs": ["According to EHRI data, as the number of probationary employees fluctuated over time, the number of terminations generally followed the same trend. One of the likely reasons for this fluctuation is that probationary employees are more likely to be terminated than career employees who are no longer in a probationary status because probationary employees are not yet subject to the Chapter 75 process protection afforded career employees.", "Similar to addressing performance issues, it is generally easier to terminate employees for misconduct during the probationary period. As we previously reported, the probationary period is an important management tool to evaluate the conduct and performance of an employee and should be treated as the last step in the hiring process. According to OPM, appropriate actions taken within the probationary period are the best way to avoid long-term problems."], "subsections": []}, {"section_title": "The Most Widely Used Form of Formal Discipline for Misconduct Is Suspension; Approximately One-Fourth of Suspended Employees Have Multiple Suspensions", "paragraphs": ["Our data analysis of personnel actions against employees for misconduct shows that the most common form of discipline is suspension. In 2016, agencies made 10,249 suspensions, 7,411 removals, and 114 demotions for misconduct (the numbers refer to the number of adverse actions that agencies made in 2016, not the number of employees that received adverse actions; one employee can be suspended multiple times, and each suspension is recorded as a separate personnel action in the employee\u2019s SF-50). The data we analyzed indicated that approximately one-fourth of suspended employees have multiple suspensions. According to OPM officials, third parties such as the MSPB will review whether disciplinary actions are taken \u201conly for such cause as will promote the efficiency of the service\u201d which includes the assessment of the relevant Douglas factors.", "Figure 5 shows how many suspensions, demotions, and removals took place from fiscal years 2006 to 2016 according to EHRI data."], "subsections": []}, {"section_title": "Better Data on Employee Misconduct Could Strengthen OPM\u2019s Oversight and Provide Clarity to Agencies Regarding How to Address Misconduct", "paragraphs": ["OPM collects data on personnel actions reported by most agencies and stores this information in the EHRI database, but these data could be improved to provide OPM with better information to help agencies address misconduct. Because not all misconduct data are entered into the database, the data presented in this report do not represent the entirety of employee misconduct instances that occur in the federal government. Personnel actions in the EHRI database originate from data that agencies send to OPM through the Standard Form 50 (SF-50), a form that documents personnel actions. OPM officials told us that lesser disciplinary actions such as a letter of reprimand are not documented by an SF-50. Without maintaining comprehensive data regarding the extent and nature of misconduct in the federal government, OPM risks missing opportunities to provide agencies with guidance and other tools, such as targeted training to help agencies better address cases of misconduct. Indeed, better data could help OPM and agencies identify systemic misconduct issues, such as misuse of government property or physical aggression toward a co-worker, as well as emerging problems that benefit from early detection and/or more comprehensive approaches.", "It should be noted that for the codes that indicate performance or misconduct as the underlying cause for the adverse action, it is not possible to make a clear distinction between whether the action was specifically related to misconduct, performance, or a mix of the two. Therefore, some cases include a mix of employee poor performance and misconduct. OPM officials said they do not have a sense of how frequently agencies use these (and other non-specific) nature of action (NOA) codes for misconduct-related actions. According to OPM officials, by establishing rules in terms of improving the efficiency of the service and the types of actions that will require specific procedures, Congress provided managers with maximum flexibility to pursue adverse actions whenever it would promote the efficiency of the service, whether the underlying impetus was a conduct issue or a failure to perform.", "OPM officials told us the Guide to Processing Personnel Actions directs agencies to indicate the nature of personnel actions in the EHRI database through the NOA codes. These codes indicate the employee type, the nature of the personnel action to be recorded in EHRI, as well as the underlying cause (e.g., conduct or performance) for the personnel action. OPM performs validity checks on the NOA codes and legal authorities to assure the agencies are compliant with OPM reporting requirements. OPM also periodically reviews agencies\u2019 use of NOA codes and legal authorities in general.", "The EHRI database does not collect or store the specific type of misconduct\u2014only that the personnel action belongs in the misconduct category. Several CHCOs and subject-matter experts who we interviewed agreed this flexibility is helpful to agencies. For example, officials said that while common types of misconduct exist, such as time-and-attendance infractions, many unique types of misconduct cannot be placed into easily identifiable categories. The officials added that it would be easy for agencies to mislabel misconduct. For instance, OPM officials said that disobeying an agency\u2019s policy or rules could manifest itself in many different ways.", "Moreover, we found inconsistencies in the data OPM provided. For example, during this review, we initially used stored EHRI data from previous audits for fiscal years 2006 to 2014. We used NOA codes provided by OPM officials to analyze employee misconduct data in the executive branch. When we compared the results of our data analysis for this period to the data OPM provided for the same period, we found their data identified approximately 500 more adverse actions per year. Though we consulted with OPM, we were unable to resolve these differences. OPM officials noted that agencies submit data on a rolling basis and may later correct it, and, some SF-50 forms are filed after the fiscal year ends, so our stored data may not include these actions.", "According to OPM officials, agencies generally have day-to-day oversight for determining use of NOA codes and legal authorities. Agencies are required to report a valid NOA code and legal authorities that is found in OPM\u2019s Guide to Data Standards. Guidance to agencies for classifying misconduct into the correct nature of action codes is provided in The Guide to Processing Personnel Actions. Although OPM verifies that agencies provide valid NOA codes in their data, they assert that agencies have responsibility for determining which NOA codes to use for each personnel action based on OPM documentation.", "As we noted in a 2017 report on federal human resources data, OPM developed EHRI to (1) provide for comprehensive knowledge management and workforce analysis, forecasting, and reporting to further strategic management of human capital across the executive branch; (2) facilitate the electronic exchange of standardized human resources data within and across agencies and systems and the associated benefits and cost savings; and (3) provide unification and consistency in human capital data across the executive branch.", "An important part of OPM\u2019s role is to support federal agencies\u2019 human capital management activities, which includes ensuring that agencies have the data needed to make staffing and resource decisions to support their missions. EHRI data are essential to government-wide human resource management and evaluation of federal employment policies, practices, training, and costs. The ability to capitalize on this information is dependent, in part, on the reliability and usefulness of the collected data. According to Federal Internal Control Standards, management is to obtain relevant data from reliable internal and external sources in a timely manner based on the identified information requirements.", "More specific guidance from OPM to agencies on which NOA codes to use for misconduct cases will increase confidence in the data, without requiring practitioners to capture and tabulate the type of misconduct. More importantly, enhanced data on the extent and nature of misconduct will improve OPM\u2019s oversight ability and agencies\u2019 ability to target management training and identify specific trends in misconduct."], "subsections": []}, {"section_title": "Most MSPB Appeals Are Resolved by the Parties, Which Benefits Both the Agency and Appellant, According to Officials", "paragraphs": ["Our analysis of MSPB data found that the most frequent appeal outcome is a settlement. MSPB said settlements often benefit both the agency and the appellant because they manage risk. The officials said that when entering an adverse action appeal with MSPB, both the agency and the appellant face a risk: the agency is at risk of spending time and money for litigation only to, in some cases, have its decision overturned; the appellant is at risk of being removed from his or her position with a permanent mark on his or her record, which may make finding another job difficult. To avoid these outcomes for both parties, an agency may offer the employee a variety of settlement options to incentivize them to willingly leave. Settlement options may include, but are not limited to back-pay for the time that the employee was out of work, but still litigating the appeal; and paying the employee\u2019s attorney fees.", "OPM notes, on the other hand, that the MSPB\u2019s data might not always reflect voluntary settlements. According to OPM officials, the MSPB has a large caseload and typically strives to induce the agency to settle. OPM officials noted that the pressure to settle cases regardless of merit after the agency has made the determination that discipline is necessary and has gone through the procedure to carry it out may be one of the most significant deterrents to dealing with misconduct or performance under Chapter 75.", "Figure 6 shows the number of MSPB appeals that were filed from fiscal years 2006 to 2016 that were affirmed, reversed, settled, or dismissed.", "We also analyzed data from MSPB\u2019s database of appeals cases. MSPB hears appeals from those adverse actions that Congress made appealable under Subchapter II of chapter 75, including suspensions of greater than 14-days, demotions, and removals. These actions can be taken for performance problems as well as misconduct under Chapter 75\u2014MSPB does not differentiate between performance and misconduct in its database. Rather, the agency categorizes its cases by legal authority. Therefore, similar to OPM\u2019s EHRI data, any analysis with MSPB\u2019s data may include performance appeals as well as misconduct appeals under Chapter 75."], "subsections": []}]}, {"section_title": "Key Steps Agencies Can Take to Better Prevent and Address Employee Misconduct", "paragraphs": ["On the basis of our literature review, as well as interviews with CHCOs and subject-matter experts, we identified key promising practices and lessons learned that can help agencies better prevent and address employee misconduct. These key practices include tables of penalties, engaging employees, making full use of the probationary periods, and maintaining effective lines of communication and collaboration between the human resources office staff, line-level management, and agencies\u2019 legal counsel. Going forward, it will be important for OPM and agencies, in concert with the CHCO Council to examine each of these practices and lessons learned, refine, as appropriate, and share how best to implement these practices."], "subsections": [{"section_title": "Tables of Penalties Can Help Guide Responses to Misconduct", "paragraphs": ["We found that tables of penalties\u2014a list of recommended disciplinary actions for various types of misconduct\u2014though not required by statute, case law, or OPM regulations, nor used by all agencies, can help ensure the appropriateness and consistency of a penalty in relation to an infraction. Further, tables of penalties can help ensure the disciplinary process is aligned with merit principles because they make the process more transparent, reduce arbitrary or capricious penalties, and provide guidance to supervisors.", "According to the panel of CHCOs and the subject-matter experts we interviewed, a table of penalties may also provide information on the period over which offenses are cumulative, for purposes of assessing progressively stronger penalties. The officials described tables of penalties as a listing of common infractions committed most frequently by agency employees, along with a suggested range of penalties for first, second and third offenses; however, the range of penalties should not be too broad, and the penalties should be progressive, meaning that they increase in harshness with each subsequent offense committed by the employee. The CHCOs and subject-matter experts said a table of penalties should also provide sufficient flexibility in the penalty range (e.g., 1-day to 5-day suspensions for a first offense) to consider mitigating and aggravating factors when considering discipline for misconduct. OPM officials stated that where an agency elects to have a table of penalties, it should serve as a guide in addressing misconduct, noting that it does not serve as a substitute for management\u2019s judgment. According to OPM officials, management must take into account the applicable Douglas Factors, and must consider other appropriate circumstances not covered by the Douglas Factors. Neither OPM nor MSPB provide any written guidance to agencies in developing their tables of penalties. However, OPM officials told us their agency is available to provide assistance upon request to agencies that elect to use a table of penalties.", "Views on the usefulness of the tables of penalties were mixed among agency officials and subject-matter experts. On the one hand, some agency officials and other subject-matter experts told us the table of penalties can assist agencies in determining an appropriate penalty and ensure consistency of penalty selection from case to case. For that reason, they said the tables can also help ensure the action taken is legally defensible based on past similar cases. MSPB officials told us that they believe table of penalties, which rely on the Douglas Factors, can help human capital practitioners when making decisions about employee misconduct cases. On the other hand, several subject-matter experts and agency officials, including OPM, indicated that table of penalties tend to be too broad in the range of penalties for individual offenses, which they said ultimately limited their usefulness in the decision-making process.", "OPM officials said their agency does not use a table of penalties nor does it support encouraging agencies to establish tables of penalties. According to OPM officials, where table of penalties exist, they are established at an agency\u2019s discretion and not under OPM\u2019s auspices. OPM officials believe agencies have the ability to address misconduct appropriately without a table of penalties and with sufficient flexibility to determine the appropriate penalty for each instance of misconduct. Further, OPM officials said that agencies that adopt a table of penalties will be required to consider its table of penalties, if applicable, as part of the MSPB\u2019s Douglas Factors analysis which, in their view, imposes an additional condition on the agency\u2019s ability to defend its actions. Finally, OPM said there is no substitute for management judgment and that tables of penalties should not be applied so inflexibly as to impair consideration of other factors relevant to the individual case.", "In short, tables of penalties, if drafted at an appropriate level of detail and used in conjunction with the Douglas Factors and other case-specific forms of discretion, could provide agencies with reasonable assurance that similar cases of misconduct are addressed with similar penalties as appropriate, and can reduce the risk of inconsistently and potentially unfairly applying remedial measures."], "subsections": []}, {"section_title": "Set Clear Expectations and Engage Employees", "paragraphs": ["Agency officials and subject-matter experts told us that having effective agency policies and programs that set clear expectations around behavior and that engage employees may help reduce the number of misconduct incidents that occur. These policies and programs may also mitigate the damage when an incident does occur. Several subject-matter experts said that agencies should set formal expectations early and reinforce these expectations throughout an employee\u2019s career. To this point, as we discussed in our 2015 report on addressing substandard employee performance, when addressing misconduct agencies should help managers and supervisors take appropriate action if misconduct occurs during an employee\u2019s probationary period.", "Some subject-matter experts indicated that agencies may also consider conducting more thorough job screening and hiring processes which could help determine if the individual is a good fit for their agency. Specifically, the subject-matter experts mentioned that agencies should take a closer look at a prospective employee\u2019s work history and carefully check references. We also learned from our interviews that, as a deterrent, agencies must clearly communicate that an employee will be held accountable for any acts of misconduct.", "According to OPM, agencies can mitigate the risks of these difficulties by establishing a well-trained, experienced, and empowered employee and labor relations staff. OPM said these individuals play a crucial role in educating supervisors and managers in taking appropriate and sustainable disciplinary actions. CHCOs and subject-matter experts provided a number of key promising practices that an agency can use to mitigate and address employee misconduct, including:", "Demonstrating positive conduct at the agency\u2019s senior leadership (tone at the top): Through policies and their own individual actions, senior leaders must exhibit positive workplace behavior as an example to agency employees.", "Maintaining a good workplace atmosphere: Agencies should take steps to monitor workforce morale and initiate programs that encourage respect and community.", "Engaging employees by connecting them directly to the agency\u2019s mission: Employees should have a sense of purpose and commitment toward their employer and its mission which can lead to better organizational performance.", "Making full use of the probationary period for employees: Supervisors should use probationary periods as an opportunity to evaluate an employee\u2019s performance and conduct to determine if an appointment to the civil service should become final.", "Setting and communicating clear rules and expectations regarding employee conduct: Agencies should set expectations about appropriate conduct in the workplace and communicate consequences of inappropriate conduct at the earliest possible time after on-boarding an employee.", "Assuring that employees conform to any applicable standards of conduct: Supervisors and managers, with the support of their agencies\u2019 leadership and human resources staff, should train and monitor employee compliance with its stated conduct policies.", "Maintaining effective lines of communication and collaboration with the human resources office staff, line-level management, and agencies\u2019 legal counsel: Agencies should establish clear lines of communication across relevant offices to ensure misconduct cases are addressed effectively and consistently.", "Conducting on-going training for supervisors and holding them accountable for addressing misconduct in a timely manner when it occurs: Supervisors should be trained in identifying employee misconduct cases and knowledgeable about the process for addressing such cases."], "subsections": []}, {"section_title": "More Effective Training Could Help Supervisors Identify and Deal with Misconduct", "paragraphs": ["MSPB and OPM officials as well as subject-matter experts said human resources staff and line-level supervisors and managers would benefit from additional training in how to address employee misconduct. The subject-matter experts told us that managers do not receive sufficient training in how to identify and subsequently deal with misconduct in the workplace. Specifically, subject-matter experts told us that many supervisors and managers do not understand the requirements needed to remove an employee for misconduct, including misconceptions about the standard of proof required. Many subject-matter experts repeated observations MSPB made in its 2008 report that without sufficient training managers and supervisors may find it difficult to engage in challenging one-on-one conversations with an employee about misconduct.", "Agency officials and subject-matter experts also told us that supervisory training varies by agency. Our subject-matter experts said some agencies are more structured and provide staff with training curricula with required timetables to complete, while others rely on staff to self-guide the training they need. We found many agencies contract out specific training or provide learning opportunities to staff on their intranet sites via e-learning tools. Most subject-matter experts said that misconduct training is likely more effective when delivered in-person, due to the broad range of issues related to misconduct.", "OPM officials told us that supervisors and managers are responsible for observing and enforcing applicable laws in the federal workplace. OPM officials also indicated that training, resource allocation, skills, and knowledge all have a bearing on the administration of the disciplinary process. According to OPM, good communication and partnerships are also critical to processing a solid, sustainable response related to misconduct. OPM guidelines require that agencies provide training when employees make critical career transitions, for instance from nonsupervisory to manager or from manager to executive. Further, OPM\u2019s Supervisory and Managerial Curriculum Framework highlights human resources technical areas and leadership competencies necessary for success. The curriculum framework includes employee and labor relations with supporting learning objectives.", "OPM has specific regulatory requirements for training and development of supervisors, managers, and executives under 5 CFR \u00a7 412.202, including to provide training within 1 year of an employee\u2019s initial appointment to a supervisory position and follow up periodically, but at least once every 3 years, by providing each supervisor and manager additional training on the use of appropriate actions, options, and strategies: improve employee performance and productivity; conduct employee performance appraisals in accordance with agency appraisal systems; and identify and assist employees with unacceptable performance.", "According to 5 U.S.C. \u00a7 4103, it is the responsibility of each agency to train its employees. According to OPM officials, it is not responsible under the CSRA for providing training for the federal workforce. However, while agencies are accountable for providing required training for their supervisors, OPM has a key role in ensuring the training meets the government-wide needs of supervisors. By taking steps to help agencies improve the training they provide supervisors and managers on addressing misconduct, OPM could help those managers ensure they have the knowledge and skills to effectively deal with misconduct in the workplace. For example, OPM could consider the feasibility of developing more in-person training modules designed to provide interactive or role play scenarios around addressing employee misconduct. Furthermore, subject-matter experts said if an agency is not training new supervisors to equip them with the appropriate skills to address misconduct, there may be inconsistencies in how an agency handles misconduct across the agency. Without sufficient training, supervisors and managers may not be addressing misconduct appropriately, if at all."], "subsections": []}, {"section_title": "Internal Collaboration Can Help Agency Components Better Communicate about Misconduct Cases", "paragraphs": ["Many of the subject-matter experts we interviewed said that it is important that the primary stakeholders\u2014first-level supervisors and managers and human resources and general counsel offices\u2014collaborate on the agency\u2019s approach to dealing with misconduct.", "We found agencies vary in how collaboration takes place. For example, some subject-matter experts and CHCOs told us that an agency may choose to handle a case by having their human resources staff and management work closely together. The subject-matter experts we interviewed said this collaboration can sometimes include general counsel staff, if necessary. For example, at EPA, the human resources office collaborates with the office of general counsel and the agency\u2019s Office of Inspector General Office of Investigations (OI). EPA officials told us that their agency\u2019s human resources office, OI, general counsel, and labor relations meet bi-weekly to discuss ongoing misconduct investigations to provide a report of investigations to EPA\u2019s senior management on the facts surrounding allegations of employee misconduct.", "According to EPA, OI also provides real-time notification whenever OI receives information concerning serious misconduct, before the investigation is completed, so EPA management can take appropriate immediate mitigating steps, should it be necessary. However, OI does not have a role in determining the type of discipline, if any, to be imposed upon the employee, nor does OI have any role in helping to prevent misconduct in EPA\u2019s workplace. We did not obtain data to verify that this process has been successful, but agree that enhanced communication among key stakeholders is important to addressing misconduct."], "subsections": []}, {"section_title": "An Agency\u2019s Culture and Mission Can Impact How Agencies Approach and Respond to Misconduct", "paragraphs": ["Most of our subject-matter experts told us an agency\u2019s culture and the nature of its work play a significant role in how the agency addresses employee misconduct. For example, several subject-matter experts told us law enforcement and defense-related agencies or other particular jobs where injuries may occur or lives may be at risk often have significantly less tolerance for employee misconduct than other agencies. In addition, OPM officials said that according to MSPB past studies, if an agency views federal employee due process procedural rights as burdensome and restrictive, this may discourage supervisors from addressing misconduct as it occurs. An MSPB report addressed concerns that the culture in many federal agencies prevents them from effectively dealing with problem employees. Many of the subject-matter experts we interviewed indicated that if an agency\u2019s culture is risk averse, it may be less aggressive in pursuing adverse actions, and instead either ignore misconduct or reassign an employee without holding him or her accountable for the misconduct."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The process for dismissing an employee for misconduct can be complex and lengthy. However, many of these process challenges can be avoided or mitigated with effective performance management. Supervisors who take performance management seriously and have the necessary training and support to address misconduct can help employees either change their conduct or be subject to removal from the federal workforce.", "OPM has a role in ensuring that agencies have the tools and guidance they need to effectively address misconduct and maximize the productivity of their workforces. Though OPM already provides a variety of tools, guidance, and training to help agencies address issues related to misconduct, we found opportunities to do more to identify the nature of employee misconduct, improve training tools for managers, and make tools and guidance available for agencies when and where they need it."], "subsections": []}, {"section_title": "Recommendations for Executive Action:", "paragraphs": ["We are making the following three recommendations to the Director of OPM:", "The Director of OPM, after consultation with the CHCO Council, should explore the feasibility of improving the quality of data on employee misconduct by providing additional guidance to agencies on how to record instances of misconduct in OPM\u2019s databases. (Recommendation 1)", "The Director of OPM, after consultation with the CHCO Council, should broadly disseminate to agencies the promising practices and lessons learned, such as those described in this report, as well as work with agencies through such vehicles as the CHCO Council, to identify any additional practices. (Recommendation 2)", "The Director of OPM, after consultation with the CHCO Council, should provide guidance to agencies to enhance the training received by managers/supervisors and human capital staff to ensure that they have the guidance and technical assistance they need to effectively address misconduct and maximize the productivity of their workforces. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluations", "paragraphs": ["We provided a draft of this product to the Acting Chairman of MSPB and Acting Director of OPM for comment. The Acting Chairman of MSPB provided technical comments on the draft. We incorporated these comments, as appropriate. MSPB did not comment on the recommendations.", "OPM\u2019s Associate Director for Employee Services provided written comments on the draft, and these comments are reproduced in appendix III. In its comments, OPM noted that while we had made many of the changes OPM suggested, the changes still did not reflect all of OPM\u2019s feedback, and also contained what it believed to be inaccurate information and incomplete representations of OPM\u2019s views. To the contrary, we maintain that our report contains accurate factual information and represents the views of OPM that we collected through reviewing documents, interviewing OPM officials, and incorporating OPM\u2019s written feedback. Of our three recommendations, OPM partially concurred with two recommendations, and did not concur with one recommendation. For those recommendations OPM partially concurred with, OPM described the steps it planned to take to implement them. We stand by our recommendations which we maintain would give OPM and Congress better visibility over the extent and nature of employee misconduct in the federal government, as well as help strengthen agencies\u2019 capacity to address misconduct.", "With respect to OPM\u2019s overall comments, OPM noted that Chapter 75 is a set of procedural requirements that must be met when certain actions are contemplated that would impact an employee\u2019s pay, specifying that it was never intended to encompass or catalogue all forms of action an agency could take to address misconduct. On this issue, we agree with OPM on the purpose of Chapter 75 and noted as much in our description of the statutorily established guidelines and procedures throughout this report. OPM also noted that there is no general statutory definition of misconduct, and that managers need maximum flexibility to pursue adverse actions, whether the underlying impetus is a conduct issue, a failure to perform, or any other reasons related to federal employment. We also agree with OPM on this point, as our report makes clear that, in certain cases, employee performance and misconduct can overlap, conflating the two issues.", "As indicated in this report, OPM believes a table of penalties creates additional conditions and restrictions on an agency\u2019s ability to address misconduct and does not improve the agency\u2019s ability to address misconduct effectively. Accordingly, OPM does not require or encourage agencies to adopt tables of penalties. Our report recognizes both the pros and cons of an agency having a table of penalties and the circumstances under which they could be effective. However, we believe the use of a table of penalties ensures the appropriateness and consistency of a penalty in relation to the charge. It also ensures merit system principles guide the process by providing penalty transparency, reducing arbitrary or capricious penalties, and serve as a guide for managers and supervisors who deal with these issues.", "With respect to our recommendations, OPM did not concur with our first recommendation to explore the feasibility of improving the quality of data on employee misconduct by providing additional guidance to agencies on how to record instances of misconduct in OPM\u2019s databases. Specifically, OPM noted that the OPM Guide to Processing Personnel Actions is a thorough resource that has been and continues to be successfully relied upon by agencies to document adverse actions as expressly defined in Chapter 75. We acknowledge OPM\u2019s view that NOA codes were never intended or designed to allow reporting of adverse actions down to the degree of a particular kind of misconduct involved, but we maintain that our recommendation would increase confidence in the data on misconduct and make it more useful to OPM and agencies. Further, OPM\u2019s non-concurrence with this recommendation seems inconsistent with the Administration\u2019s own initiatives, including the May 2018 Executive Order Promoting Accountability and Streamlining Removal Procedures Consistent with Merit System Principles, which was released after OPM commented on our draft report. Specifically, the Executive Order requires all federal agencies, beginning in FY18, and for each fiscal year thereafter, to provide a report to the OPM Director containing detailed data about how it addressed issues of misconduct. For example, agencies will need to report out on (i) the number of civilian employees in a probationary period or otherwise employed for a specific term who were removed by the agency; (ii) the number of adverse personnel actions taken against civilian employees by the agency, broken down by type of adverse personnel action, including reduction in grade or pay (or equivalent), suspension, and removal; and (iii) the number of decisions on proposed removals by the agency taken under chapter 75 of title 5, United States Code, not issued within 15 business days of the end of the employee reply period.", "We maintain that enhanced data on the extent and nature of misconduct will help strengthen OPM and congressional oversight and better position agencies to address misconduct through management training and other approaches.", "OPM partially concurred with our second recommendation to broadly disseminate to agencies the promising practices and lessons learned, such as those described in this report, as well as work with agencies through such vehicles as the CHCO Council, to identify any additional practices to help agencies better address employee misconduct. Indeed, the President\u2019s Management Agenda (PMA) for 2018 states, \u201cAligning and managing the Federal workforce of the 21st Century means spreading effective practices among human resources specialists.\u201d In response to this recommendation, OPM noted that some of the key practices and lessons discussed in this report are already part of OPM\u2019s comprehensive accountability toolkit in addressing employee misconduct across the federal government and are frequently communicated through on-going educational outreach to federal agencies and available on OPM\u2019s website. Specifically, OPM said it will decide which appropriate measures it should take to obtain examples of practices agencies believe are promising and will broadly disseminate any of these practices and lessons learned as identified by OPM. We acknowledge OPM\u2019s existing efforts to develop and disseminate promising practices and lessons learned, and also maintain that OPM should also be open to considering additional practices from other sources.", "OPM also partially concurred with our third recommendation to provide guidance to agencies to enhance the training received by managers/supervisors and human capital staff to ensure that they have the guidance and technical assistance they need to effectively address misconduct and maximize the productivity of their workforces. In its response, OPM said it will continue to play its statutory role under 5 U.S.C. Chapter 41 and will support agencies on a cross-agency priority goal, which it believes could be read to encompass training, pursuant to the PMA, for example by providing guidance to agencies on training requirements for managers, supervisors and human resources staff. However, OPM notes that it is not responsible under current statute for providing training to the federal workforce. As stated in the report, while agencies are accountable for providing required training for their supervisors, OPM has a key role in ensuring the training meets the needs of supervisors. Further, OPM\u2019s position on this recommendation seems inconsistent with the Administration\u2019s own initiatives, including the May 2018 Executive Order which states that \u201cthe OPM Director and the Chief Human Capital Officers Council shall undertake a Government-wide initiative to educate Federal supervisors about holding employees accountable for unacceptable performance or misconduct under those rules,\u201d following any final rules issued pursuant to parameters set in the Order. Indeed, the PMA states, \u201cIn order to best leverage the workforce to achieve our mission efficiently and effectively, Government needs to remove employees with the worst performance and conduct violations.\u201d By taking steps to help agencies improve the training they provide supervisors and managers on addressing misconduct, OPM could help those managers ensure they have the knowledge and skills to effectively deal with misconduct in the workplace.", "OPM also provided technical comments, which we have incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Director of the Office of Personnel Management, the Chairman of the Merit Systems Protection Board, as well as to the appropriate congressional committees and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["You asked us to examine the process for addressing misconduct and to identify any challenges in removing employees for misconduct. Our objectives were to (1) describe the process that agencies are generally required to follow in responding to employee misconduct in the federal service; (2) identify alternative approaches to the formal legal process that agencies can use to respond to misconduct, and assess what factors affect agencies\u2019 responses; (3) describe trends in removals and other adverse actions resulting from misconduct; and (4) identify key steps agencies can take to help them better prevent and address misconduct.", "To describe the process that most agencies are generally required to follow in responding to employee misconduct in the federal service, we reviewed relevant sections of Title 5 Chapter 75 of the U.S.C. (herein Chapter 75) which contains the statutory process for formally disciplining employees for misconduct and performance. We also reviewed the Civil Service Reform Act and OPM regulations to describe and determine the authority agencies have to address employee misconduct in the federal service, including formal procedural and employee appeal rights. Additionally, we reviewed 5.U.S.C. \u00a7\u00a7 7701 and 7702 (herein Chapter 77), which contains the statutory process for employee appeals with the Merit Systems Protection Board (MSPB) subsequent appeals to the Equal Employment Opportunity Commission (EEOC).", "5 U.S.C. \u00a7 7701(a)-(b); 5 U.S.C. \u00a7 7702(b). counted the outcomes of the cases from 2006-2016, by year and in aggregate (e.g. out of the total number of cases, how many were reversed, upheld, mitigated, or settled). For the purpose of our analysis, we used the following nature of action (NOA) code categories in OPM\u2019s EHRI database: (1) codes directly attributed to misconduct; and (2) codes that indicate a mix of misconduct or poor performance. Based on data limitations in both databases, we did not make any evaluative assessments from our data analysis.", "To identify alternative approaches to the formal legal process, we reviewed documentation provided by the Merit System Protection Board (MSPB) on alternative discipline approaches used by agencies to address employee misconduct. We also reviewed OPM regulations and documents to determine the authority agencies have to address employee misconduct in the federal service, including formal procedural and employee appeal rights. We interviewed current and former practitioners, subject-matter experts, and academics to identify alternative approaches that they were aware of or were commonly used at agencies to address employee misconduct.", "To develop our list of alternative discipline approaches to addressing employee misconduct, we conducted a literature review and reviewed reports and documents to identify alternative discipline approaches commonly used to address employee misconduct in the federal sector. After compiling our non-exhaustive list of alternative approaches, we contacted our previously interviewed subject-matter experts and asked them to provide their final thoughts or suggestions to our alternative discipline approaches. We included those additional approaches to the list. We interviewed human capital experts from academia, unions, and former and current human resources practitioners. We also interviewed a panel of CHCOs to gain insight into the agency perspective on addressing employee misconduct. To identify CHCO members, we asked the Director of the CHCO council to select CHCOs that have knowledge and experience in addressing employee misconduct. Agency size and mission were also considered as part of the selection process to gain a range of perspectives. Our panel of CHCOs was from the Departments of Commerce, Defense, and Housing and Urban Development, the National Science Foundation, and the Nuclear Regulatory Commission. We also reviewed prior work by MSPB in developing our list of commonly used alternative discipline approaches to employee misconduct in the federal sector.", "To describe and assess the factors that can affect an agency\u2019s response to employee misconduct, we interviewed:", "OPM officials and representatives from Employee Services, Human Resources Solutions, Planning and Policy Analysis, and the Office of the Chief Information Officer", "MSPB officials from the Office of the acting Chairman & Vice Chairman, Office of Information Resources Management, and the Office of Policy & Evaluation;", "Panel of Chief Human Capital Officers (CHCO)", "National Treasury Employees Union officials;", "American Federation of Government Employees officials;", "Federal Managers Association officials; Individual members of the Federal Employees Lawyers Group;", "Partnership for Public Service officials;", "Senior Executives Association officials; and", "Selected individuals with expertise in human capital management, specifically focused on employee misconduct, from academia and the private sector.", "We selected our list of interviewees based on GAO\u2019s guidance for selecting experts, the interviewees\u2019 practical experience in applying and practicing administrative law, and for academics in their specific areas of research. To assess the factors that agencies use to deal with employee misconduct, we analyzed the interviewee responses and identified key themes that were common throughout our interviews and, we counted the frequency of those key themes.", "To describe the trends in removals and adverse actions resulting from misconduct at Chief Financial Officer (CFO) Act agencies, we analyzed OPM\u2019s Enterprise Human Resource Integration (EHRI) data from fiscal years 2006 to 2016.", "The 24 CFO Act agencies are listed at 31 U.S.C. \u00a7 901(b) and include: U.S. Departments of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, Homeland Security, Housing and Urban Development, the Interior, Justice, Labor, Transportation, the Treasury, Veterans Affairs, and State, as well as the U.S. Agency for International Development, Environmental Protection Agency, General Services Administration, National Aeronautics and Space Administration, National Science Foundation, Nuclear Regulatory Commission, Office of Personnel Management, Small Business Administration, and the Social Security Administration. These agencies account for a very high proportion of the total federal labor force.", "For reporting purposes, we only provide data on the number of adverse actions rather than use the number of employees subject to an adverse action, because one employee may be subject to more than one adverse action. This can be a result of progressive discipline or could indicate issues related to data reliability. As part of our analysis, we identified all employees subject to each type of adverse action (removal, suspension, and demotion) and quantified the number of similar adverse actions taken against the same person. 5 U.S.C. \u00a7\u00a7 7502 and 7512. probationary employees to provide some relative statistics. To show trends in misconduct removals associated with probationary employees, we identified the number of adverse actions taken against probationary employees (overall and by type of action).", "To determine the trends in employee appeals to MSPB, we analyzed MSPB\u2019s appeals data, on adverse actions taken under Chapter 75 from fiscal years 2006 to 2016. To understand what types of adverse actions are driving appeals to MSPB, we calculated the underlying adverse action for each case by fiscal year of appeal filing. To determine how appeals were resolved by MSPB, we identified the number of appeals that were settled, mitigated, dismissed, reversed, affirmed, or otherwise resolved. We calculated overall trends by fiscal year as well as trends by fiscal year for each type of underlying adverse action. To determine how long the appeals process takes, we calculated the mean time for resolution along with other statistics (minimum, maximum, 25th percentile, 75th percentile) for different types of adverse action. Additionally, because appellants can file a Petition for Review (PFR) to the larger MSPB body, we looked at the time for the initial appeal, the PFR, and the total time from filing through final decision.", "To assess the reliability of both EHRI and MSPB data, we reviewed past GAO data reliability assessments, interviewed relevant agency officials, and conducted electronic testing to evaluate the accuracy and completeness of the data used in our analyses. We determined the data used in this report to be sufficiently reliable for our purposes, subject to the constraints identified in our report.", "To identify and provide key promising practices and lessons learned at agencies from encountering and responding to employee misconduct, we conducted a literature review to identify practices and lessons learned associated with employee misconduct in the federal sector. We interviewed officials from OPM, MSPB, the Equal Employment Opportunity Commission (EEOC), and the Office of Special Counsel (OSC), to obtain their perspectives on responding to employee misconduct through alternative approaches. We interviewed officials from the Environmental Protection Agency (EPA) to obtain their perspectives on recent efforts to better coordinate with their Inspector General to address cases of employee misconduct. We also obtained the perspectives of a panel of CHCOs from selected agencies as well as former human capital practitioners and other subject-matter experts with extensive experience working on employee misconduct issues."], "subsections": []}, {"section_title": "Appendix II: Douglas Factors \u201312 Criteria Developed by the MSPB to Guide Agency Decisions on Employee Misconduct", "paragraphs": ["The Merit Systems Protection Board in its landmark decision, Douglas vs. Veterans Administration, 5 M.S.P.R. 280 (1981), established non- exclusive criteria that supervisors must consider, as appropriate, in determining an appropriate penalty to impose for an act of employee misconduct (\u201cThe Douglas Factors\u201d). The following relevant factors must be considered in determining the severity of the discipline: 1. The nature and seriousness of the offense, and its relation to the employee\u2019s duties, position, and responsibilities, including whether the offense was intentional or technical or inadvertent, or was committed maliciously or for gain, or was frequently repeated; 2. the employee\u2019s job level and type of employment, including supervisory or fiduciary role, contacts with the public, and prominence of the position; 3. the employee\u2019s past disciplinary record; 4. the employee\u2019s past work record, including length of service, performance on the job, ability to get along with fellow workers, and dependability; 5. the effect of the offense upon the employee\u2019s ability to perform at a satisfactory level and its effect upon supervisors\u2019 confidence in the employee\u2019s work ability to perform assigned duties; 6. consistency of the penalty with those imposed upon other employees for the same or similar offenses; 7. consistency of the penalty with any applicable agency table of 8. the notoriety of the offense or its impact upon the reputation of the 9. the clarity with which the employee was on notice of any rules that were violated in committing the offense, or had been warned about the conduct in question; 10. the potential for the employee\u2019s rehabilitation; 11. mitigating circumstances surrounding the offense such as unusual job tensions, personality problems, mental impairment, harassment, or bad faith, malice or provocation on the part of others involved in the matter; and 12. the adequacy and effectiveness of alternative sanctions to deter such conduct in the future by the employee or others. The list was not intended to be exhaustive."], "subsections": []}, {"section_title": "Appendix III: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": ["Robert Goldenkoff, (202) 512-2757 or goldenkoffr@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Tom Gilbert, Assistant Director, and Anthony Patterson, Analyst-in-Charge, supervised the development of this report. Isabel Band, Crystal Bernard, Jehan Chase, Sara Daleski, Shirley Jones, Serena Lo, Krista Loose, Amanda Miller, and Kayla Robinson made major contributions to all aspects of this report. Robert Gebhart and Robert Robinson provided additional assistance."], "subsections": []}]}], "fastfact": ["Employee misconduct encompasses a range of behavior, including physical aggression towards a co-worker. The number of federal employees formally disciplined for misconduct is relatively small\u2014less than 1 percent of the workforce, annually. But even a few cases can have a big impact on an agency\u2019s morale and effectiveness. So, are supervisors addressing employee misconduct?", "We found that federal agencies made 10,249 suspensions, 7,411 removals, and 114 demotions for misconduct in 2016.", "We recommended that the Office of Personnel Management improve their tools for helping agencies prevent, identify, and address misconduct."]} {"id": "GAO-17-773", "url": "https://www.gao.gov/products/GAO-17-773", "title": "Nuclear Nonproliferation: NNSA Needs to Improve Its Program Management Policy and Practices", "published_date": "2017-09-28T00:00:00", "released_date": "2017-09-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The threat posed by the proliferation of nuclear and radiological weapons remains a pressing national security challenge. DNN implements nuclear nonproliferation programs worldwide. To carry out its mission, for fiscal year 2018 DNN requested an appropriation of about $1.5 billion for its 4 major programs and their 13 subprograms.", "A House Armed Services Committee report, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for GAO to review and assess DNN's project and program management processes and systems. GAO's report examines the extent to which (1) selected DNN subprograms use program management leading practices to manage schedule and cost (2) DNN has incorporated leading practices in its revised program management policy.", "GAO selected 4 DNN subprograms to review that had defined end dates and/or work scope and that GAO had not recently examined. GAO reviewed documentation on DNN and NNSA's program management policies and practices; reviewed selected leading practices published by PMI and GAO; and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The 4 selected subprograms from the National Nuclear Security Administration's (NNSA) Office of Defense Nuclear Nonproliferation (DNN) GAO reviewed generally do not use selected program management leading practices to manage schedule and cost. According to generally recognized leading practices from the Project Management Institute (PMI) and GAO, programs should (1) establish schedules necessary to achieve the program's goal, (2) establish life-cycle cost estimates, and (3) measure performance against schedule and cost baselines. However, none of the DNN subprograms have schedule and cost estimates covering their planned life cycles and none measure performance against schedule and cost baselines. The following figure illustrates the extent to which the selected subprograms have established schedule and cost estimates compared to their planned life cycles.", "NNSA officials said that the subprograms do not have schedules and cost estimates that cover their life cycles and do not measure performance against baselines, in part, because DNN management does not require such estimates or baseline measurements.", "The lack of a requirement is consistent with the limitations in DNN's revised program management policy, which does not address leading practices on establishing schedule estimates, estimating life-cycle costs, and measuring against such baselines. According to leading practices, in developing schedule and cost estimates a program should define assumptions tailored to the program such as its life-cycle phases. Updating the DNN policy to include requirements and guidance on cost estimating and tracking performance against schedule and cost baselines could help ensure that NNSA managers and Congress have better information on how much DNN programs and subprograms may cost, the time they may need to achieve their goals, and how effectively they are being executed compared to plans."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DNN revise its program management policy to require DNN programs and subprograms to follow life-cycle program management, such as requiring life-cycle estimates and measuring against baselines. NNSA neither agreed nor disagreed with the recommendation but plans to take action to revise its policy."]}], "report": [{"section_title": "Letter", "paragraphs": ["The threat of nuclear and radiological proliferation, including the concern that non-state actors or additional countries could obtain nuclear or radiological weapons, poses one of the greatest challenges to U.S. and international security. To address this threat, the National Nuclear Security Administration (NNSA)\u2014a separately organized agency within the Department of Energy (DOE)\u2014implements nuclear nonproliferation programs worldwide under its Office of Defense Nuclear Nonproliferation (DNN). DNN\u2019s mission is to develop and implement policy and technical solutions to eliminate nuclear and radiological materials, enhance the security of nuclear material in place and during transport, and limit or prevent the spread of these materials, technology, and expertise related to nuclear and radiological weapons and programs around the world. To support this mission, for fiscal year 2018, DNN requested an appropriation of approximately $1.5 billion for its 4 major programs, which organize work under 13 subprograms, as shown in figure 1.", "In recent years, we have reported on program management challenges in DOE and NNSA, including those within DNN. For example, in November 2014, we found that DOE and NNSA programs were not required to meet any cost-estimating best practices, such as developing a life-cycle cost estimate. We recommended, among other things, that DOE revise its departmental directives that apply to programs to require that DOE, NNSA, and its contractors develop cost estimates in accordance with best practices. We also found in November 2016 that DOE had not established a department-wide policy addressing internal control standards or leading practices related to program management, and we recommended that DOE develop such a policy. DOE is in the process of taking actions to address these recommendations or has plans to do so. At the time of our November 2016 review, we also learned that DNN did not have a program management policy in effect because its 2005 policy was outdated and fell out of use around 2010.", "In February 2017, DNN approved a revised program management policy. The revised policy outlines program management processes, roles, and responsibilities for DNN programs and subprograms. The policy requires that program management functions be conducted over the next 5 fiscal years, referred to as the Future Years Nuclear Security Program (FYNSP). In addition, the policy\u2019s objectives include establishing a DNN-wide policy that incorporates leading practices for program management and that facilitates the implementation of methods for programs and subprograms to monitor, measure, analyze, and improve management processes.", "Program management involves aligning multiple components to achieve the program\u2019s goals and allows for optimized or integrated cost, schedule, and effort. The Project Management Institute (PMI) and GAO have established standards and guides that are generally recognized as leading practices for program management. When organizations apply leading program management practices they may be able to enhance their chances of achieving success across a range of programs.", "A House Armed Services Committee report, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for us to review and assess DNN\u2019s project and program management processes and systems. Our report examines the extent to which (1) selected DNN subprograms use program management leading practices to manage schedule and cost, and (2) DNN has incorporated program management leading practices in its revised program management policy.", "To conduct this work, we reviewed 4 selected DNN subprograms \u2013 the Nuclear Material Removal and Highly Enriched Uranium (HEU) Reactor Conversion subprograms, which DNN manages under its Material Management and Minimization program and the Radiological Security and International Nuclear Security subprograms, which DNN manages under its Global Material Security program. We selected these subprograms for review because they had defined start dates, end dates, and/or work scope and were not the subject of other ongoing or recently completed GAO reviews. The information we obtained from these subprograms is not generalizable, but we obtained important insights into DNN\u2019s schedule and cost management of these subprograms.", "To examine the extent to which the selected DNN subprograms use program management leading practices to manage schedule and cost, we identified selected leading practices from PMI and GAO. The selected leading practices we identified were the use of a master schedule necessary to achieve a program\u2019s goals, cost estimates that cover the full life cycle of a program, and schedule and cost baselines to measure performance. We reviewed documentation on the use of these practices by the 4 selected DNN subprograms including documentation on their schedule and cost estimates and their use of baselines, and we compared the documentation to the leading practices. We also interviewed NNSA officials who manage the selected DNN subprograms about the use of these practices.", "To examine the extent to which DNN has incorporated leading practices into its revised program management policy, we reviewed the revised DNN policy and interviewed NNSA officials about the development of the new policy. We also reviewed program management plans for the selected subprograms. We reviewed program management leading practices identified by PMI in The Standard for Program Management and by GAO in its schedule and cost guides and federal internal control standards. We compared these practices with DNN guidance and requirements contained in the revised DNN policy. During interviews with NNSA officials, we obtained their views on why specific practices were included in the revised policy and others were not.", "We conducted this performance audit from June 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Appendix I provides more detail on our scope and methodology."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DNN Selected Subprograms", "paragraphs": ["Within DNN, the work of the four selected subprograms\u2014Nuclear Material Removal, HEU Reactor Conversion, Radiological Security, and International Nuclear Security\u2014focuses on efforts to remove and dispose of excess nuclear material from civilian sites worldwide, convert civilian research reactors to the use of non-weapons-useable nuclear fuel, secure radiological materials at their source in the United States and abroad, and improve the security of weapons-useable nuclear material in key countries. The selected subprograms organize their work in programmatic areas which we refer to as components, and under each component the subprograms manage projects. Table 1 below describes the work of each subprogram and the components in which the subprogram organizes its work scope."], "subsections": []}, {"section_title": "Program Management Leading Practices Related to Schedule and Cost Management", "paragraphs": ["PMI\u2019s The Standard for Program Management and GAO\u2019s schedule and cost guides identify program management leading practices related to schedule and cost estimating and measuring performance against baselines, as follows:", "PMI guidelines. According to PMI\u2019s guidelines, programs practice life-cycle management, which involves schedule and financial management throughout the course of the program\u2019s life-cycle phases\u2014program definition, benefits delivery, and closure. In particular, PMI states that in conducting program schedule management, programs use a master schedule that integrates the schedules of program components necessary to achieve the program\u2019s goal. In program financial management, program cost estimates should be clearly defined and should consider the full life- cycle costs of the program. According to PMI, programs should also establish and measure performance against baselines for both schedule and cost.", "GAO schedule and cost guides. GAO\u2019s schedule and cost guides, which draw from federal organizations and industry, define best practices about the processes needed for the development and management of high-quality and reliable schedule and cost estimates. Similar to PMI\u2019s guidelines, according to the GAO guides, programs should establish and use an integrated master schedule, establish cost estimates that cover the full life cycle of the program, document and define assumptions tailored to the program, incorporate analysis of program risk and uncertainty in schedule and cost estimates, and manage a program\u2019s schedule and cost by measuring against a baseline."], "subsections": []}]}, {"section_title": "Selected DNN Subprograms Generally Do Not Use Selected Leading Practices to Manage Schedule and Cost", "paragraphs": ["The four DNN subprograms we chose for review generally do not use selected leading program management practices to manage schedule and cost. Specifically, at the time of our review, none of the subprograms had schedule and cost estimates that encompassed its entire life cycle, although one subprogram planned to develop such estimates for its recently-extended life cycle. In addition, none of the selected subprograms measure their overall schedule and cost performance against baseline estimates. NNSA officials said that the subprograms had not developed schedule and cost estimates that cover their life cycles and did not measure the subprograms against baselines due, in part, to uncertainty in planning scope and schedules that rely on the cooperation of other countries. DNN also does not require subprograms to have such estimates or to measure performance against schedule and cost baselines. Following these practices, however, would provide NNSA managers and other stakeholders more complete information to evaluate how much the subprograms may cost to achieve their goals, the amount of time they may need to achieve these goals, and their actual versus planned performance.", "According to leading practices, programs should (1) establish a master schedule that integrates the schedules of program components necessary to achieve the program\u2019s goal, such as specified performance to be achieved over a defined life cycle, (2) determine costs that consider the full life-cycle costs of the program, and (3) measure performance against baselines for both schedule and cost. Figure 2 illustrates the extent to which the selected subprograms have established schedule and cost estimates compared to their planned life-cycle completion dates, if any.", "The Nuclear Material Removal subprogram had schedule and cost estimates that encompassed all three of its subprogram components through the subprogram\u2019s previously planned completion date of fiscal year 2022. However, the subprogram had yet to update its schedule and cost estimate through its new planned completion date of fiscal year 2027, which was established in May 2017. The subprogram did not have readily available information on performance against its former schedule and cost estimates. Specifically:", "Schedule. As of April 2017, the subprogram\u2019s schedule, which encompassed all three subprogram components, included 52 ongoing and planned projects with estimated completion dates by the end of fiscal year 2022 for most of these projects to reach a goal to remove or disposition a total of 8,466 kilograms of nuclear material. In May 2017, the subprogram extended its life cycle from fiscal year 2022 to fiscal year 2027 but at the time of our review had yet to update its schedule of planned projects to be completed during fiscal years 2023 through 2027. According to NNSA officials, they extended the subprogram\u2019s life cycle in part because certain projects planned to be completed by fiscal year 2022 were delayed and the subprogram\u2019s work was expanded.", "Cost. The subprogram had a cost estimate for its planned work through fiscal year 2022 but at the time of our review had yet to update its cost estimate for the overall subprogram through its new planned completion date of fiscal year 2027. Specifically, as of June 2017, the subprogram had a cost estimate of about $595 million, according to our analysis of information provided by the subprogram. This estimate covered the planned work scope of all three subprogram components to be completed during fiscal year 2017 through 2022. The subprogram, however, did not have estimated costs for completing work scope planned during fiscal years 2023 through 2027. According to NNSA officials, as of June 2017, they were developing a cost estimate for the remaining years, although the officials did not specify when the cost estimate would be completed.", "Measuring performance against baselines. The subprogram did not measure its overall performance against schedule and cost baselines. NNSA reported to Congress in July 2014 that the subprogram planned to remove or disposition approximately 3,000 kilograms of nuclear material by fiscal year 2022 at an estimated cost of about $600 million. However, the subprogram did not track information on its performance against the cost estimate. According to NNSA officials, removal projects have too many uncertain costs. Instead, NNSA officials said that they update the subprogram\u2019s life- cycle cost each year as part of the annual planning for the next fiscal year\u2019s budget request. Until the subprogram develops schedule and cost estimates to support the recently revised life-cycle completion date of fiscal year 2027, it does not have the baselines it needs to measure its overall schedule and cost performance. Although the subprogram did not measure its overall performance against established schedule and cost baselines, according to monthly performance reports, the subprogram baselined and measured the schedule performance of individual removal projects by tracking the difference in number of days between forecasted project completion dates and baseline completion dates. However, the subprogram did not have information that integrated project performance information to provide an overall picture of schedule performance for the entire subprogram."], "subsections": [{"section_title": "HEU Reactor Conversion", "paragraphs": ["The HEU Reactor Conversion subprogram had schedule and cost estimates that covered the remaining work scope to complete two of three subprogram components by fiscal year 2033 but not for a third component estimated to be completed in fiscal year 2035. The subprogram also did not measure its overall performance against schedule and cost baselines. Specifically:", "Schedule. The HEU Reactor Conversion subprogram did not have a schedule for the overall subprogram through completion of its life cycle. Instead, the subprogram had a schedule for all work scope planned for the 5-year FYNSP, which included the schedule for the remaining work to complete one of the three subprogram components\u2013Molybdenum 99 (Mo99) efforts. Beyond the FYNSP planning period, the subprogram has an estimated completion date of fiscal year 2033 for a second component\u2014U.S reactor conversions\u2014 and has developed a schedule for completion of the component. For the third subprogram component\u2014international reactor conversions\u2014 the subprogram estimates a fiscal year 2035 completion date for its remaining work scope to convert or verify the shutdown of 44 international reactors, but it had not developed a complete schedule to meet that date. Specifically, the subprogram\u2019s schedule was not up- to-date for 22 of the 44 international reactors in the subprogram\u2019s planned work scope to support the estimated fiscal year 2035 completion date for these reactors. Instead, in the subprogram\u2019s schedule, these reactors had estimated completion dates by fiscal year 2030. NNSA officials explained that the schedule was not up-to- date for these reactors because the reactors are in countries where the subprogram cannot currently plan or implement the conversions due to limitations in cooperation with these countries. For example, DNN cannot plan the schedule for conversion of reactors in Russia that are in the subprogram\u2019s scope until the United States and Russia resume joint nuclear security activities that the United States discontinued following Russia\u2019s invasion of Ukraine in 2014. NNSA officials said that the 2035 date is their best judgment of the earliest date when the subprogram could complete the conversions or verify certain reactors\u2019 shutdowns based on the assumption that the United States and Russia may resume nuclear security cooperation in the 2020s. Because of the high degree of uncertainty with this date, the subprogram did not update the schedule to reflect the 2035 date, according to the officials. Appendix II provides tables that list the planned reactor and facility projects in the HEU Reactor Conversion subprogram, their locations, and estimated conversion or shutdown completion dates.", "Cost. The HEU Reactor Conversion subprogram did not have a life- cycle cost estimate for the overall subprogram, but had overall life- cycle cost estimates for two of the three subprogram components. The subprogram had cost estimates that totaled approximately $1.1 billion through fiscal year 2033 and that included the remaining estimated life-cycle costs for the subprogram\u2019s U.S. reactor conversions component and its Mo99 efforts. For the third component\u2014international reactor conversions\u2014the subprogram only estimated costs for the 5-year FYNSP, not through the estimated completion date for the component of fiscal year 2035. According to NNSA officials, developing a cost estimate that includes all remaining international reactor conversions through 2035 would be challenging because the costs for these projects are highly uncertain and vary depending on the willingness of each country to cooperate as well as the unique technical, regulatory, and other factors that vary for each reactor in each country. The subprogram, however, had established estimated life-cycle budgets for completing the conversion or verifying the shutdown of each reactor in its work scope, which could be used, along with other information, to develop a cost estimate for the subprogram component.", "Measuring performance against baselines. The subprogram did not measure overall subprogram performance against schedule and cost baselines. Specifically, as mentioned above, the subprogram did not have schedule and cost estimates for the overall subprogram that it could use to establish baselines to measure the performance of the overall subprogram. Although the subprogram had life-cycle estimates for its U.S. reactors and Mo99 components, the subprogram did not use these estimates as baselines to measure the overall subprogram components\u2019 performance. The subprogram measured schedule performance of individual projects under its three components against baselines by tracking the difference in number of days and months between forecasted project completion dates and baseline completion dates. However, it did not integrate and roll up the project information to provide an assessment of its overall schedule performance. In addition, the subprogram baselined and measured cost performance of the U.S. High Performance Research Reactor project\u2014which constitutes six of the seven reactors under its U.S. reactor conversions component\u2014by tracking changes in the project\u2019s estimated life-cycle cost. However, the subprogram did not have similar information that tracked changes in cost estimates of other projects under its three components."], "subsections": []}, {"section_title": "Radiological Security", "paragraphs": ["The Radiological Security subprogram did not have schedule and cost estimates for three components through the subprogram\u2019s planned completion date in fiscal year 2033. The subprogram also did not measure overall subprogram performance against schedule and cost baselines. Specifically:", "Schedule. The subprogram has an estimated completion date of fiscal year 2033 but did not have an overall schedule that covered its three components for meeting the 2033 date. Instead, the subprogram had a schedule that covered work to be completed under its three components during the 5-year FYNSP (fiscal years 2017 through 2021). Specifically, for two of the three subprogram components\u2014 radiological source removal and nonradioisotopic technologies\u2014the subprogram has not established specific work scope and schedules beyond fiscal year 2021 because of uncertainty about the future. For example, according to the subprogram\u2019s director, planning the adoption of nonradioisotopic technologies is uncertain because the timing of when such technologies can be adopted depends, in part, on regulations and international laws, making it challenging for the subprogram to define the scope of work. For the third subprogram component\u2014radiological source protection\u2014the subprogram has an estimated completion date of fiscal year 2033 to reach a total target to secure 4,394 buildings in its inventory of sites worldwide with high- priority radiological sources. However, the subprogram had not developed a schedule of specific projects to be completed beyond the 5-year FYNSP to meet that date and target. NNSA officials said that they are often uncertain when a project will be able to start because it depends greatly on circumstances in each country. Appendix III provides the Radiological Security subprogram\u2019s planned work scope for the radiological source protection component from fiscal years 2017 through 2033.", "Cost. The Radiological Security subprogram did not have a life-cycle cost estimate for the overall subprogram through its estimated completion date of fiscal year 2033. Specifically, the subprogram had a cost estimate of about $849 million for all three components covering the 5-year FYNSP. However, for two of the three subprogram components\u2014radiological source removal and nonradioisotopic technologies\u2014the subprogram had not developed cost estimates beyond the 5-year FYNSP because, as mentioned above, it had not developed work scope for these components in the out-years. For example, according to the subprogram\u2019s director, the subprogram\u2019s radiological source removal component depends on the voluntary participation of users of radiological sources that register their sources with the subprogram. Therefore, the subprogram cannot estimate the number of sources to be removed in out-years. For the third subprogram component\u2014radiological protection\u2014the subprogram had assumed a stable budget to complete its target to secure 4,394 buildings by fiscal year 2033. However, according to the director of the subprogram, this budget assumption was not intended to be a reliable life-cycle cost estimate.", "Measuring performance against baselines. As mentioned above, the subprogram did not have schedule and cost estimates for the overall subprogram needed to establish baselines to measure their overall performance. The subprogram, however, baselined and measured the schedule performance of individual projects under its three components by tracking the difference in number of days between forecasted project completion dates and baseline completion dates. The subprogram, however, did not integrate and roll up the project schedule performance information to provide performance information for the overall subprogram."], "subsections": []}, {"section_title": "International Nuclear Security", "paragraphs": ["The International Nuclear Security subprogram maintained schedule and cost estimates for the 5-year FYNSP (fiscal years 2017 through 2021) but did not have schedule and cost estimates for work scope in the years beyond the FYNSP. In addition, the subprogram did not measure overall performance against baselines. Specifically:", "Schedule. The International Nuclear Security subprogram had not established a life-cycle schedule for the overall subprogram or its two component efforts, as it had not identified specific work scope or end- point targets beyond fiscal year 2021 and considers its mission to be enduring (i.e. without an end-date). Instead, the subprogram had only estimated a schedule for work scope in individual countries during the 5-year FYNSP. According to the subprogram director, the subprogram is expected to operate indefinitely and continue as long as nuclear materials exist to improve security in countries possessing such materials. However, the subprogram had not planned project-specific work scope in years beyond the FYNSP because, according to the subprogram director, it is difficult to estimate the subprogram\u2019s likely level of foreign counterpart engagement in individual countries beyond 5 years.", "Cost. Because it has not identified out-year work scope, the International Nuclear Security subprogram did not have an overall life- cycle cost estimate and only had an estimate of about $530 million for the work to be completed during the 5-year FYNSP period. According to NNSA officials, they have not developed a cost estimate for work scope in the years beyond the FYNSP because assumptions about future work will likely change due to the uncertainty in relationships with partner countries.", "Measuring performance against baselines. The International Nuclear Security subprogram did not measure performance of the subprogram against schedule and cost baselines. Specifically, as mentioned above, the subprogram did not have the schedule and cost estimates for the subprogram\u2019s life cycle beyond fiscal year 2021 needed to establish baselines to measure its overall performance. In addition, the subprogram did not use its 5-year FYNSP estimates as baselines to measure performance. Instead, the subprogram updates the FYNSP estimates each year in planning the next fiscal year\u2019s budget request. Moreover, unlike the other three subprograms, the International Nuclear Security subprogram did not have project schedule baseline information that could be integrated and rolled up to provide information on the performance of the overall subprogram.", "In general, NNSA officials explained that uncertainty in planning the selected subprograms\u2019 work scope or schedules, particularly for components with projects that rely on the cooperation of foreign countries, was among the reasons they did not have schedule and cost estimates that covered the subprograms\u2019 life cycles or that went beyond the 5-year required planning period. In addition, according to these officials, DNN senior management does not require subprograms to establish schedule and cost estimates that cover the entire subprogram life cycle and to use these estimates as baselines to measure subprogram performance.", "However, uncertainty should not prevent these subprograms from establishing more complete or longer-term estimates to account for the time and resources they need to achieve their goals. As mentioned above, without such estimates, the subprograms do not have the baseline information they need to track their performance. According to leading practices, developing reliable schedule and cost estimates can be achieved by following steps that address data limitations and risks and uncertainties for a program. For example, according to the GAO schedule guide, a reliable schedule should reflect all of a program\u2019s activities and recognize that uncertainties and unknown factors in schedule estimates can stem from, among other things, data limitations. In addition, according to the GAO cost guide, the cost-estimating process involves defining and documenting assumptions that are tailored to the specific program, such as about the program\u2019s life-cycle phases, political issues, or technology development. Assumptions should be based on historical data to minimize uncertainty and risk. These same assumptions should also be used to develop the program schedule. For management to make good decisions, the program estimate must reflect the degree of uncertainty so that a level of confidence can be given about the estimate. Accordingly, because assumptions defined for a particular program\u2019s schedule and cost estimate can vary, they should always be inputs to the program\u2019s risk analyses of cost and schedule.", "Programs use different methods to quantify uncertainty and risk in developing a schedule or cost estimate. DOE\u2019s cost estimating guide describes approaches for programs to incorporate risk and uncertainty in cost estimates such as the use of lower- and upper-bound cost ranges that are developed based on risk analysis. Other NNSA programs use these approaches in developing schedule and cost estimates for highly uncertain, long-term program plans. In particular, NNSA\u2019s Office of Defense Programs develops and reports high- and low-range cost estimates for elements of NNSA\u2019s nuclear weapons modernization programs in part to account for the uncertainty in these long-term program estimates. As mentioned above, such estimates would provide NNSA managers and other stakeholders information to help evaluate resources and compare the costs and benefits of different programs and priorities. Because the selected subprograms do not measure their overall schedule and cost performance against baselines, NNSA managers, stakeholders, and Congress have incomplete information about these subprograms\u2019 actual-versus-planned schedule and cost performance over their duration and are, therefore, at risk of being unable to assess when a subprogram is likely to be completed or whether it will cost more or less than planned."], "subsections": []}]}, {"section_title": "DNN\u2019s Program Management Policy Includes Some Leading Practices, but Does Not Address Life-Cycle Schedule and Cost Management", "paragraphs": [], "subsections": [{"section_title": "DNN\u2019s Revised Policy Includes Leading Practices on Risk and Quality Management", "paragraphs": ["DNN\u2019s 2017 revised policy includes new sections that address leading practices on risk and quality management that all DNN programs and subprograms should follow. NNSA officials said they added these sections based on their review of leading practices in PMI\u2019s The Standard for Program Management and GAO\u2019s Standards for Internal Control in the Federal Government to ensure these leading practices were incorporated and required for DNN programs.", "Risk management. According to leading practices on risk management, programs should have processes to manage risks, including processes to identify, assess, and respond to risks. In the revised DNN policy, under a new section on risk management, all DNN programs and subprograms are required to prepare risk management plans to help identify, analyze, handle, and monitor risk. For example, a DNN subprogram may identify the risk of schedule slippage due to political constraints in working with foreign countries and could incorporate and monitor that risk in planning.", "Quality management. According to program management leading practices on quality management, program quality should be continuously monitored. A new DNN policy section on continual improvement requires DNN programs and subprograms to plan and implement methods, such as program evaluations and management assessments, in order to monitor and improve processes. For example, a DNN subprogram may use an independent review by the NNSA Office of Management and Budget to help improve its program management processes, such as how it tracks cost, scope, and schedule. The revised policy also outlines steps for corrective actions to be taken when noncompliance is detected. These steps range from determining the cause of noncompliance to reviewing the effectiveness of corrective actions taken.", "These new sections added requirements for DNN program management that were not previously documented. For example, in the prior policy, risk management was not a requirement for DNN programs and subprograms. In addition, NNSA officials said that they added the continual improvement section to the revised policy after reviewing PMI\u2019s practices on quality assurance, which they believed would clarify responsibilities regarding management assessments and independent reviews."], "subsections": []}, {"section_title": "The Revised DNN Policy Does Not Include Leading Practices on Life-Cycle Schedule and Cost Management", "paragraphs": ["The revised DNN policy does not address or require leading practices on life-cycle schedule and cost management for DNN programs or subprograms. Specifically, the revised policy does not outline requirements for programs or subprograms to establish life-cycle cost estimates or measure performance against schedule or cost baselines. Instead, the revised policy provides requirements on schedule and cost management limited to the NNSA budgeting process covering the 5-year FYNSP. For example, according to the revised DNN policy, programs and subprograms must conduct program management activities, such as budget formulation, in alignment with anticipated resources in the FYNSP. Additionally, the policy requires programs and subprograms to establish performance measurement data and track cost or schedule performance, but only within the FYNSP.", "According to leading practices, life-cycle management is important to program management and includes schedule and cost management activities that span the duration of the program. According to PMI, all programs, regardless of length, have life cycles; furthermore, leading practices indicate that activities related to managing the schedule, cost, and scope of a program should be conducted for the life of the program. For example, leading practices call for calculating cost estimates as close to the beginning of a work effort as possible that consider the full program life cycle, and then documenting this baseline to measure performance.", "According to NNSA officials, the revised DNN policy does not include requirements to practice life-cycle management, including life-cycle schedule and cost management, because officials determined that life- cycle management did not apply to some DNN programs that NNSA officials believe are enduring or continuous. For example, as mentioned above, the director of the International Nuclear Security subprogram said that the subprogram will phase out of certain areas or reduce engagement with certain countries in the future but that it is expected to continue as long as nuclear materials exist and will work to improve security in countries possessing such materials.", "We disagree that life-cycle program management does not apply to programs or subprograms that may have an enduring mission. Managers need to make informed decisions about whether a program is affordable within the agency\u2019s portfolio. NNSA and DNN should be able to compare DNN\u2019s various programs\u2019 requirements several years beyond its 5-year planning period. According to the GAO cost guide, in developing estimates, programs should define assumptions tailored to the program, such as assumptions about the program\u2019s life-cycle phases. For example, the International Nuclear Security subprogram could take steps to define end-point targets for when it may phase out work in certain areas or countries in the future. In addition, according to the GAO schedule guide, a comprehensive schedule should reflect all of a program\u2019s activities and recognize that uncertainties and unknown factors in schedule estimates can stem from, among other things, data limitations. Moreover, because assumptions themselves can vary, they should always be inputs to program risk analyses of cost and schedule.", "According to NNSA officials, although the revised policy does not include requirements for life-cycle cost estimating, DNN programs could address this in their individual program management plans. NNSA officials stated that these program management plans for programs and subprograms should be detailed enough to also provide information on how the program will track progress, including by identifying changes to the planned schedule.", "However, the revised DNN policy does not clearly require DNN programs or subprograms to have program management plans, nor does it specify elements of such plans. Specifically, the revised DNN policy requires each program to develop \u201cprogram management documentation\u201d that identifies program scope, schedule, and cost during the fiscal year and operating procedures for the fiscal year, but it does not outline similar requirements for the program\u2019s life cycle. In addition, the revised policy does not specify requirements or guidance, such as on cost estimation, for what programs or subprograms are to include in the program management documentation. In contrast, PMI indicates that programs should develop a program management plan that includes plans for program financial management, schedule management, and scope management for all phases of the program\u2019s life cycle. According to NNSA officials, the revised DNN policy is the only directive or documentation that spells out what is needed or required to be included in a program management plan.", "Although the revised DNN policy does not clearly require DNN programs or subprograms to have program management plans, some DNN programs have developed or are developing such plans. For example, the Global Material Security program, which oversees the Radiological Security and International Nuclear Security subprograms, issued a new program management plan in April 2017. The Global Material Security program management plan requires that each subprogram maintain a 5- year budget for the FYNSP with cost estimates, but it does not require or provide guidance on developing life-cycle schedule or cost estimates. NNSA officials said that DNN underwent a major reorganization of its programs in January 2015, and some of the new program offices are still preparing their program management plans. For example, the Material Management and Minimization program that oversees the Nuclear Material Removal and HEU Reactor Conversion subprograms is still developing its program management plan, according to NNSA officials.", "In addition, the four selected subprograms had various documented plans, but none fully addressed life-cycle schedule and cost management.", "Nuclear Material Removal. The subprogram did not have a current program management plan that had been updated since the 2015 reorganization of DNN but instead relied on an older plan that covered a different scope than the scope of the current subprogram.", "HEU Reactor Conversion. The subprogram did not have a program management plan for the overall subprogram. Instead, the subprogram had project execution plans for its U.S. reactor conversion projects and its Mo99 projects and relied on an outdated document for its international reactor conversion projects.", "Radiological Security. The subprogram had a program management plan that included requirements for the use of project life-cycle baselines and for conducting cost estimation for the 5-year FYNSP. However, the plan had no requirement for developing a cost estimate for the life cycle of the subprogram and for using such an estimate to measure performance of the overall subprogram.", "International Nuclear Security. The subprogram had a program management plan that required cost estimating for 1 fiscal year. However, the plan did not include requirements for life-cycle estimates and for using initial or updated baselines to measure performance.", "NNSA subprogram officials said that they do not have readily available life-cycle cost estimates and baseline measurement data in part because they are not asked to provide it. For example, NNSA officials from the HEU Reactor Conversion subprogram said that they did not have sufficient staff to track performance against initial baselines because it was not a priority for management, although it would be possible to do so if required. One of the stated goals of the revised DNN policy is to facilitate DNN-wide implementation of methods for programs and subprograms to monitor, measure, and improve management processes. However, because the policy does not require more complete information from DNN programs and subprograms on their cost, schedule, and performance against baselines\u2014consistent with leading practices\u2014it is not clear that this policy goal can be achieved."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["When organizations apply leading program management practices\u2014such as establishing schedules and cost estimates covering their planned life cycles and measuring performance against such baselines\u2014they may be able to enhance their chances of achieving success across a range of programs. However, the four selected DNN subprograms are generally not applying these selected leading practices for life-cycle program schedule and cost management, due in part to the uncertainty and risks in working with international partners. However, methods and approaches exist that allow programs to account for uncertainty and risk in developing schedule and cost estimates for their planned scope of work. Furthermore, while the revised DNN program management policy has incorporated some leading practices, it does not include requirements and guidance for DNN programs and subprograms to practice life-cycle schedule and cost estimating and does not require program management plans that could be the vehicle for DNN programs and subprograms to specify the use of such estimates. Updating the DNN program management policy to include requirements for DNN programs and subprograms to follow leading practices for life-cycle program management would help NNSA ensure that managers, stakeholders, and Congress have better information on how much DNN programs and subprograms may cost to achieve their goals, the amount of time they may need to achieve these goals, and how efficiently and effectively they are actually being executed compared to plans."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The NNSA Deputy Administrator for DNN should revise the DNN program management policy to require DNN programs and subprograms to follow life-cycle program management. These requirements should include development of schedule and cost estimates that cover the life cycle of DNN programs and subprograms, use of methods to account for uncertainty and risk in such estimates, use of cost and schedule baselines to measure performance over program and subprogram life cycles, and development of program management plans. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided NNSA with a draft of this report for its review and comment. In written comments, which are summarized below and reproduced in appendix IV, NNSA neither agreed nor disagreed with our recommendation to revise the DNN program management policy to require DNN programs and subprograms to follow life-cycle program management. However, NNSA stated that it plans to take action in response to the recommendation.", "In general, NNSA stated that DNN will update its program management policy to formally document current practice and clarify expectations for addressing uncertainty. Specifically, NNSA said it will update the policy to: (1) reflect that life-cycle cost and schedule management should be applied at the project or subprogram level where appropriate, considering the extent of uncertainty impacting scope, potential timelines, and executability; (2) define the methodologies to (a) account for uncertainties where applying these techniques would result in a reasonable range of estimates that would be useful for planning and scheduling purposes or (b) document risk and track actions to reduce uncertainty where applicable; (3) address expectations for assessing cost and schedule performance, commensurate with the level of certainty present at baselining; and (4) address requirements for documenting program management plans.", "Although we acknowledge NNSA\u2019s plan to update its policy, we have concerns regarding whether its proposed actions will ensure that DNN programs and subprograms effectively follow leading practices for life- cycle schedule and cost management in the future. First, we do not believe that updating the DNN program management policy to formally document current program management practice addresses our recommendation. NNSA\u2019s response suggests that its update to the policy is intended to reflect current DNN program management practices rather than signal a need for corrective action to address the DNN program management limitations we identified. Specifically, as we stated in our report, none of the four subprograms we reviewed had schedule and cost estimates that encompassed the entire life cycle, although one subprogram planned to develop such estimates for its recently-extended life cycle. In addition, NNSA\u2019s proposed update to the DNN program management policy to reflect life-cycle schedule and cost management \u201cwhere appropriate\u201d is vague, and may give programs and subprograms too much discretion to avoid the requirement. To have an effective requirement on life-cycle program management and to be responsive to our recommendation, NNSA will need to clearly define the criteria for when a program should be exempt from a requirement to follow life-cycle program management.", "Finally, the meaning of NNSA\u2019s proposed update to the policy to address expectations for assessing cost and schedule performance, commensurate with the level of certainty present at baselining is unclear. Specifically, it is unclear whether NNSA plans to require that DNN subprograms use cost and schedule baselines to measure performance, or whether it plans to exempt programs or subprograms from such practices based on unstated expectations. As we stated in our report, none of the subprograms we reviewed measured their overall schedule and cost performance against baseline estimates. To ensure that DNN subprograms take steps to measure schedule and cost performance against baselines and to be responsive to our recommendation, NNSA will need to define clear expectations for DNN programs and subprograms to follow.", "NNSA also provided general comments in its written comments regarding DNN program management.", "First, NNSA commented that DNN currently implements elements of life- cycle program management where appropriate and reasonable. However, according to NNSA, the majority of its international activities operate with an unusually high level of uncertainty regarding potential international cooperation and with limited information on international operations to understand the scope of work required to support useful planning and estimating. In NNSA\u2019s view, the high uncertainty would result in range estimates so broad as to serve no useful purpose, and there is no appreciable cost-benefit to expending resources on such calculations.", "We recognize that organizations need flexibility to determine when it is appropriate and useful to apply leading practices on life-cycle program management. However, as noted in our report, managers need to make informed decisions about whether a program is affordable within the agency\u2019s portfolio. Without more complete schedule and cost information on DNN subprograms, NNSA managers and other stakeholders have degraded information on the elements of DNN\u2019s portfolio, which may limit their ability to assess and justify the affordability of long-term plans. If NNSA believes that some of DNN\u2019s planned international work scope is too uncertain for subprograms to develop estimates of schedule and cost that cover their life cycles, then NNSA should evaluate whether it is appropriate to identify such work scope in DNN\u2019s long-term plans at all.", "Second, NNSA commented that no specific requirement exists for DNN programs and subprograms to implement life-cycle cost estimates, and that DNN complies with current requirements. NNSA also commented that the proper application of leading practices recognizes that cost- benefits, as well as the potential usefulness and reliability of estimates, are important considerations. In instances in which uncertainty is extremely high, NNSA stated that focus shifts to disclosure of risks, and the establishment and tracking of actions to reduce the level of uncertainty. According to NNSA\u2019s comments, DNN discloses risks and tracks actions to reduce the level of uncertainty extensively, and this was reflected in the most recent update to the DNN program management policy with the addition of a new section on risk management. NNSA also stated that as uncertainty is reduced, then other principles can be applied where appropriate.", "We stated in our report that no specific requirement exists for DNN programs and subprograms to implement life-cycle cost estimates. Specifically, we noted that the DNN policy required that program management functions be conducted over the 5-year FYNSP. Therefore, we agree that the DNN subprograms we chose to review complied with current requirements. However, our review was not focused on compliance with requirements but rather on the use of leading or good program management practices. We also noted that NNSA\u2019s stated objectives for the DNN policy include establishing a DNN-wide policy that incorporates leading practices for program management and that facilitates the implementation of methods for programs and subprograms to monitor, measure, analyze, and improve management processes. Leading practices on life-cycle program management are important for an organization to successfully plan the resources it needs to achieve its goals and assess its performance in doing so. DNN\u2019s revised policy did not acknowledge management of the program life-cycle as an essential program management function and did not include any requirements on leading practices on life-cycle schedule and cost management.", "We agree that risk management processes should be used to monitor risks and track actions to reduce uncertainty. As we stated in our report, the revised DNN policy included a new section on risk management under which all DNN programs and subprograms will be required to prepare risk management plans to help identify, analyze, handle, and monitor risk. However, the new section did not include criteria for DNN subprograms to follow when uncertainty related to risks being monitored is low enough to allow a subprogram to develop life-cycle schedule and cost estimates.", "We are sending copies of this report to the appropriate congressional committees, the NNSA Administrator, the NNSA Deputy Administrator for Defense Nuclear Nonproliferation, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the extent to which (1) selected subprograms within the National Nuclear Security Administration\u2019s (NNSA) Office of Defense Nuclear Nonproliferation (DNN) use program management leading practices to manage schedule and cost, and (2) DNN has incorporated program management leading practices in its revised program management policy.", "To conduct this work, we reviewed 4 selected DNN subprograms. DNN has 4 major programs that manage a total of 13 subprograms (a subprogram is a program managed as part of another program). Specifically, we selected the Nuclear Material Removal and Highly Enriched Uranium (HEU) Reactor Conversion subprograms, which DNN manages under its Material Management and Minimization program. In addition, we selected the Radiological Security and International Nuclear Security subprograms, which DNN manages under its Global Material Security program. We selected these subprograms for review because they had defined start dates, end dates, and/or work scope indicating that they had project-like aspects. These subprograms organize their work in programmatic areas which we refer to as components and under each component the subprograms manage various types of projects, such as projects to remove nuclear material from civilian sites worldwide. We also selected the 4 subprograms because they were not the subject of other ongoing or recently completed GAO reviews. The information we obtained from these subprograms is not generalizable, but we believe that we obtained important insights into DNN\u2019s cost and schedule management of these subprograms.", "To examine the extent to which the selected DNN subprograms use program management leading practices to manage cost and schedule, we identified selected leading practices by the Project Management Institute (PMI) in The Standard for Program Management and by GAO in its schedule and cost guides. The selected leading practices we identified were the use of a master schedule necessary to achieve a program\u2019s goals, cost estimates that cover the full life-cycle of a program, and schedule and cost baselines to measure performance. We collected and reviewed subprogram planning documents, monthly performance reports, and spreadsheet data on work scope, historical costs, schedules and cost estimates established by the subprograms, and their use of project baselines to measure performance. We also reviewed information the subprograms reported in NNSA\u2019s fiscal year 2017 and 2018 congressional budget justifications. We also interviewed NNSA officials and their contractors who manage the program management information system used by 3 of the 4 subprograms to manage schedule and cost information to understand its capabilities. We interviewed NNSA officials who manage the selected DNN subprograms about the use of these practices and their views on challenges or limitations in using them. We also interviewed representatives at Argonne National Laboratory and Pacific Northwest National Laboratory, which operate projects for the subprograms, to identify how projects develop schedule and cost estimates and pass information on to the subprograms.", "To assess the reliability of the schedule and cost estimates on the selected subprograms, we interviewed NNSA officials and national laboratory contractors who were knowledgeable about the process followed to develop and update the estimates and the program management information systems used to manage the schedule and cost information and generate reports. We determined that the data were sufficiently reliable for our purposes, which were to report the subprograms\u2019 estimated schedule completion dates and cost estimates, as well as report the fiscal years and subprogram components and projects covered by the subprogram schedule and cost estimates.", "To examine the extent to which DNN has incorporated leading practices into its revised program management policy, we reviewed DNN\u2019s revised program management policy approved in February 2017. We compared the revised policy to the 2005 version to identify the changes included in the revised policy. We reviewed program management leading practices by PMI in The Standard for Program Management and by GAO in its schedule and cost guides and federal internal control standards. For example, we considered the applicable leading practices on schedule and cost management identified above as well as other practices such as those on risk management, quality management, and development of program management plans. We compared these practices to DNN\u2019s requirements and guidance contained in the revised DNN policy. We interviewed NNSA officials about the development of the new policy and their views on the reasons specific leading practices were included in the revised policy and others were not, as well as challenges DNN\u2019s programs and subprograms face in managing program schedule and cost. We also reviewed program management plans for the 4 selected subprograms and the major programs under which these subprograms operate. We then interviewed NNSA officials from the selected subprograms to determine their involvement in developing the revised DNN program management policy and the status of individual program management plans that were under development at the time of our review.", "We conducted this performance audit from June 2016 to September 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Scope and Completion Dates for the Highly Enriched Uranium Reactor Conversion Subprogram", "paragraphs": ["The Office of Defense Nuclear Nonproliferation\u2019s Highly Enriched Uranium (HEU) Reactor Conversion subprogram consists of three components: (1) U.S. research reactor conversions, (2) international research reactor conversions, and (3) Molybdenum 99 (Mo99) efforts, which include international Mo99 isotope production reactor conversions and projects to establish new U.S. non-HEU Mo99 production facilities. The subprogram\u2019s current goal is to convert or verify shutdown of 156 HEU reactors and isotope production facilities and to support the establishment of a domestic, non-HEU-based Mo99 production capability. Tables 2 through 4 below list the U.S. reactor conversions, international reactor conversions or shutdowns, and Mo99 projects in the HEU Reactor Conversion subprogram\u2019s planned scope of work, for each of the subprogram\u2019s three components, as of July 2017."], "subsections": []}, {"section_title": "Appendix III: Scope and Completion Dates for the Radiological Security Subprogram\u2019s Source Protection Component", "paragraphs": ["The Office of Defense Nuclear Nonproliferation\u2019s Radiological Security subprogram\u2019s current goal for the radiological source protection component is to upgrade security in 4,394 buildings worldwide by fiscal year 2033. Table 5 shows the estimated number of buildings to be completed each year as of June 2017."], "subsections": []}, {"section_title": "Appendix IV: Comments from the National Nuclear Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Shelby S. Oakley, (202) 512-3841 or oakleys@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, William E. Hoehn (Assistant Director), Natalie M. Block, R. Scott Fletcher, Brian M. Friedman, Cindy Gilbert, Jason T. Lee, TyAnn Lee, Duc Ngo, Jeanette Soares, Sheryl Stein, and Sara Sullivan made key contributions to this report."], "subsections": []}]}], "fastfact": ["What is the U.S. government doing to keep nuclear weapons out of the wrong hands?", "The National Nuclear Security Administration implements nonproliferation programs to reduce the threat of more nations or non-state actors acquiring nuclear weapons or radiological materials for a \u201cdirty bomb.\u201d The agency requested about $1.5 billion for 2018 to fund these programs, but we found that they do not have complete schedule and cost information, limiting the ability to assess performance toward achieving their goals.", "We are making a recommendation to bring the agency's nonproliferation program management in line with leading practices."]} {"id": "GAO-18-387", "url": "https://www.gao.gov/products/GAO-18-387", "title": "Puerto Rico: Factors Contributing to the Debt Crisis and Potential Federal Actions to Address Them", "published_date": "2018-05-09T00:00:00", "released_date": "2018-05-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Puerto Rico has roughly $70 billion in outstanding debt and $50 billion in unfunded pension liabilities and since August 2015 has defaulted on over $1.5 billion in debt. The effects of Hurricanes Irma and Maria will further affect Puerto Rico's ability to repay its debt, as well as its economic condition. In response to Puerto Rico's fiscal crisis, Congress passed the Puerto Rico Oversight, Management, and Economic Security Act (PROMESA) in 2016, which included a provision for GAO to review Puerto Rico's debt.", "This report describes the factors that contributed to Puerto Rico's financial condition and levels of debt and federal actions that could address these factors. Consistent with PROMESA, GAO focused on actions that would not increase the federal deficit.", "To address these objectives, GAO reviewed documents and interviewed officials from the Puerto Rico and federal governments and conducted a review of relevant literature. GAO also interviewed former Puerto Rico officials and experts in Puerto Rico's economy, the municipal securities markets, and state and territorial budgeting, financial management, and debt practices, as well as officials from the Financial Oversight and Management Board for Puerto Rico (created by PROMESA).", "GAO is not making recommendations based on the federal actions identified because policymakers would need to consider challenges and tradeoffs related to implementation.", "The Puerto Rico government generally agreed with the factors we identified and provided additional information. GAO incorporated technical comments from SEC as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The factors that contributed to Puerto Rico's financial condition and levels of debt relate to (1) the Puerto Rico government running persistent annual deficits\u2014where expenses exceed revenues\u2014and (2) its use of debt to cope with deficits. Based on a literature review and interviews with current and former Puerto Rico officials, federal officials, and other relevant experts, GAO identified factors that contributed to Puerto Rico's persistent deficits:", "The Puerto Rico government's inadequate financial management and oversight practices. For example, the Puerto Rico government frequently overestimated the amount of revenue it would collect and Puerto Rico's agencies regularly spent more than the amounts Puerto Rico's legislature appropriated for a given fiscal year.", "Policy decisions by Puerto Rico's government. For example, Puerto Rico borrowed funds to balance budgets and insufficiently addressed public pension funding shortfalls.", "Puerto Rico's prolonged economic contraction. Examples of factors contributing to the contraction include outmigration and the resulting diminished labor force, and the high cost of importing goods and energy.", "Additional factors enabled Puerto Rico to use debt to finance its deficits, such as high demand for Puerto Rico debt. One cause of high demand was that under federal law, income from Puerto Rico bonds generally receives more favorable tax treatment than income from bonds issued by states and their localities.", "Based on an assessment of relevant literature and input from current and former Puerto Rico officials, federal officials, and other relevant experts, GAO identified three potential federal actions that may help address some of these factors. GAO also identified considerations for policymakers related to these actions.", "Modify the tax exempt status for Puerto Rico municipal debt. Making interest income from Puerto Rico bonds earned by investors residing outside of Puerto Rico subject to applicable state and local taxes could lower demand for Puerto Rico debt. However, reduced demand could hinder Puerto Rico's ability to borrow funds for capital investments or liquidity.", "Apply federal investor protection laws to Puerto Rico. Requiring Puerto Rico investment companies to disclose risks with Puerto Rico bonds and adhere to other requirements could lower demand for the bonds. However, this action could also limit Puerto Rico's ability to borrow funds.", "Modify the Securities and Exchange Commission's (SEC) authority over municipal bond disclosure requirements. SEC could be allowed to require timely disclosure of materials\u2014such as audited financial statements\u2014associated with municipal bonds. Over the past decade, Puerto Rico often failed to provide timely audited financial statements related to its municipal bonds. Timely disclosure could help investors make informed decisions about investing in municipal bonds. However, a broad requirement could place additional burdens on all U.S. municipal issuers, such as the costs of standardizing reporting."]}], "report": [{"section_title": "Letter", "paragraphs": ["Puerto Rico has roughly $70 billion in outstanding public debt and $50 billion in unfunded pension liabilities and, since August 2015, has defaulted on over $1.5 billion in debt payments. In a 2006 report, we highlighted Puerto Rico\u2019s weakening fiscal condition, noting that Puerto Rico had experienced a steady, decade-long increase in debt. In 2014, we reported that Puerto Rico had accumulated debt representing a much larger share of personal income than in any U.S. state.", "In September 2017, Hurricanes Irma and Maria made landfall on Puerto Rico. The effects of these hurricanes, which caused loss of life, significant displacements, and substantial damage in Puerto Rico, will further affect Puerto Rico\u2019s ability to repay its debt, as well as its economic condition.", "In response to Puerto Rico\u2019s long-term fiscal crisis, Congress passed and the President signed the Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) in June 2016. PROMESA established a structure for oversight of Puerto Rico\u2019s fiscal affairs and a process for Puerto Rico to restructure its debts. As required by PROMESA, in October 2017 we reported on public debt and fiscal issues in Puerto Rico and other territories. We reported that Puerto Rico\u2019s total public debt outstanding per capita had almost doubled since fiscal year 2005, and that Puerto Rico\u2019s outlook on repaying its debt depended on the outcomes of its debt restructuring process.", "PROMESA also included a provision for us to examine factors contributing to the debt crisis and federal actions for preventing a future one. This report describes (1) the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt and (2) federal actions that could address the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt. Consistent with PROMESA, we focused on actions that would not increase the federal deficit.", "To describe the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt, we collected and reviewed Puerto Rico government documents on its financial condition and on its processes for budget development and execution, debt issuance, and financial management. We also conducted a literature review and collected data from a non-generalizable sample of 20 large bond prospectuses issued by Puerto Rico agencies and public corporations between 2000 and 2017.", "To describe federal actions that could address the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt, we reviewed documents from the U.S. Department of the Treasury (Treasury) and the Securities and Exchange Commission (SEC), and our past reports on Puerto Rico, and conducted a literature review. Consistent with the provision in PROMESA that was the statutory requirement for this work, we focused on actions that were non-fiscal in nature\u2014that is, actions that would not increase the federal deficit.", "For both objectives, we also interviewed current Puerto Rico officials from several agencies\u2014the Puerto Rico Department of Treasury (known by its Spanish name Hacienda), Government Development Bank for Puerto Rico (GDB), the Puerto Rico Office of Management and Budget (Spanish acronym OGP), Fiscal Agency and Financial Advisory Authority (FAFAA), and the Puerto Rico Electric Power Authority (PREPA). We also interviewed 13 former Puerto Rico officials that held leadership positions at Hacienda, GDB, or OGP, or a combination thereof. These former officials served between 1997 and 2016 for various gubernatorial administrations associated with the two political parties in Puerto Rico that held the governorship during that period. We also interviewed officials from Treasury, SEC, the Federal Reserve Bank of New York, and the Financial Oversight and Management Board for Puerto Rico (created by PROMESA). Additionally, we conducted another 13 interviews with experts on Puerto Rico\u2019s economy, the municipal securities markets, state and territorial budgeting and debt management\u2014including credit rating agencies\u2014and with select industry groups in Puerto Rico. We selected the experts we interviewed based on their professional knowledge closely aligning with our engagement objectives, as demonstrated through published articles, congressional testimonies, and referrals from agency officials or other experts. For additional details on our scope and methodology, see appendix I.", "We conducted this performance audit from January 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Application of Federal Laws in Puerto Rico", "paragraphs": ["Puerto Rico, which has approximately 3.3 million residents according to U.S. Census Bureau (Census) estimates, is the largest and most populous territory of the United States. As a territory, Puerto Rico is subject to congressional authority, though Congress has granted it broad authority over matters of internal governance\u2014notably, by approving Puerto Rico\u2019s constitution in 1952. Individuals born in Puerto Rico are U.S. citizens and can migrate freely to the states.", "Puerto Rico and its residents are generally subject to the same federal laws as the states and their residents, except in cases where specific exemptions have been made, such as with certain federal programs. For example, Puerto Rico residents generally have full access to Social Security and unemployment insurance; however, for some programs, such as Medicaid, federal funding in Puerto Rico is restricted as compared to funding in the states.", "Residents of Puerto Rico are exempt from paying federal income tax on income from sources in Puerto Rico. Residents are required to pay federal income tax on income from sources outside of Puerto Rico. They are also required to pay federal employment taxes, such as Social Security and Medicare taxes, on their income regardless of where it was earned. Puerto Rico residents are also ineligible for certain federal tax credits.", "Corporations located in Puerto Rico are generally subject to the same federal tax laws as corporations located in a foreign country. Corporations in Puerto Rico are generally exempt from federal taxes on profits except as such profits are effectively connected to a trade or business in the states, and so long as those profits remain held outside of the states. Additionally, these corporations were subject to a withholding tax on certain investment income from the United States not connected to a trade or business. Under the 2017 Public Law 115-97, starting in 2018 U.S. corporations that are shareholders in foreign corporations, such as those organized under Puerto Rico law, generally do not owe tax on dividends received from those foreign corporations. Prior to this law, dividend payments to U.S. corporate shareholders were considered taxable interest for the U.S. parent corporation.", "Prior to 1996, a federal corporate income tax credit\u2014the possessions tax credit\u2014was available to certain U.S. corporations that located in Puerto Rico. In general, the credit equaled the full amount of federal tax liability related to an eligible corporation\u2019s income from its operations in a possession\u2014including Puerto Rico\u2014effectively making such income tax- free. In 1996, the tax credit was repealed, although corporations that were existing credit claimants were eligible to claim credits through 2005."], "subsections": []}, {"section_title": "Puerto Rico\u2019s Economy and Labor Force", "paragraphs": ["Puerto Rico\u2019s economy is in a prolonged period of economic contraction. According to data from Puerto Rico\u2019s government, Puerto Rico\u2019s economy grew in the 1990s and early 2000s. However, between 2005 and 2016\u2014 the latest year for which data were available as of March 1, 2018\u2014Puerto Rico\u2019s economy experienced year-over-year declines in real output in all but two years, as measured by real gross domestic product (GDP). From 2005 to 2016, Puerto Rico\u2019s real GDP fell by more than 9 percent (from $82.8 billion to $75.0 billion in 2005 dollars). Puerto Rico\u2019s gross national product (GNP) followed a similar pattern over the same period, declining by more than 11 percent from 2005 to 2016 (from $53.8 billion to $47.7 billion in 2005 dollars). Figure 1 shows Puerto Rico\u2019s real GDP and GNP growth rates from 1991 through 2016.", "The decline in Puerto Rico\u2019s output has, in more recent years, occurred in conjunction with a decline in Puerto Rico\u2019s population. According to Census estimates, Puerto Rico\u2019s population declined from a high of approximately 3.8 million people in 2004 to 3.3 million people in 2017, a decline of 12.8 percent. This population loss closely matched the decline in real output. From 2004 to 2016, Puerto Rico\u2019s real GNP fell by 9.5 percent, while its real GNP per capita increased by 1.6 percent over the same time period.", "In addition to Puerto Rico\u2019s declining population, the territory also has a lower share of employed persons compared to the United States as a whole. As of 2017, approximately 37 percent of Puerto Rico residents were employed compared to approximately 60 percent for the United States as a whole. Puerto Rico\u2019s employment-to-population ratio reached highs in 2005 and 2006 when it was approximately 43 percent, according to data from the Federal Reserve Bank of St. Louis. According to data from the Bureau of Labor Statistics (BLS), between 2005 and 2017, Puerto Rico\u2019s unemployment rate fluctuated between 10.2 percent and 17.0 percent, with an average of 13.1 percent. During the same period, the nationwide unemployment rate fluctuated between 4.1 percent and 10.0 percent, with an average of 6.5 percent. These factors have combined to leave Puerto Rico with a small and declining labor force. From January 2006 to December 2017\u2014the latest month for which data were available as of March 1, 2018\u2014Puerto Rico\u2019s labor force decreased from approximately 1.4 million persons to 1.1 million persons, according to data from BLS."], "subsections": []}, {"section_title": "Puerto Rico Government Financial Condition", "paragraphs": ["Puerto Rico\u2019s government has operated with a deficit\u2014where expenses exceed revenues\u2014in each fiscal year since 2002, and its deficits grew over time (see figure 2).", "Puerto Rico\u2019s governmental activities can be divided among the primary government and component units. Puerto Rico\u2019s primary government provides and funds services such as public safety, education, health care, and economic development. Puerto Rico\u2019s component units are legally separate entities for which its government is nonetheless financially accountable, and provide services such as public transportation, highways, electricity, and water.", "In fiscal year 2014, the latest for which audited financial data are available, the Puerto Rico government collected $32.5 billion in revenue, of which $19.3 billion was collected by the primary government, and $13.2 billion was collected by the component units. That year Puerto Rico\u2019s government spent $38.7 billion, of which $22.0 billion was spent directly by the primary government, while $16.7 billion was spent by the government\u2019s various component units. The Puerto Rico Electric Power Authority (PREPA), which operates the territory\u2019s electricity generation and distribution infrastructure, represented the largest component unit expenditure in fiscal year 2014. Figures 3 and 4 show a breakdown of expenses for Puerto Rico\u2019s primary government and its component units, respectively.", "Puerto Rico\u2019s government spending accounts for more than a third of the territory\u2019s GDP. In fiscal year 2014\u2014the latest year for which audited spending data were available as of March 1, 2018\u2014primary government expenditures of $22.0 billion represented 21 percent of the territory\u2019s GDP. Including component spending, total public expenditures were $38.7 billion, which represented 38 percent of the territory\u2019s GDP. By comparison, our prior work has shown that in 2014, total state and local government expenditures represented about 14 percent of GDP for the United States as a whole, excluding territories. Federal government expenditures were 20 percent of GDP for the United States as a whole in 2014."], "subsections": []}, {"section_title": "Puerto Rico Debt", "paragraphs": ["Puerto Rico\u2019s total public debt as a share of its economy has grown over time. In 2002, the value of its debt was 42 percent of the territory\u2019s GDP, and 67 percent of its GNP. Both of these ratios grew over time such that by 2014, Puerto Rico\u2019s total public debt was 66 percent of the territory\u2019s GDP and 99 percent of its GNP. Figure 5 compares Puerto Rico\u2019s total public debt to its GDP and GNP, in both aggregate and per capita.", "As of the end of fiscal year 2014, the last year for which Puerto Rico issued audited financial statements, Puerto Rico had $67.8 billion in net public debt outstanding, or $68.1 billion excluding accounting adjustments that are not attributed in the financial statements to specific agencies. Of the $68.1 billion, $40.6 billion was owed by Puerto Rico\u2019s primary government, and $27.6 billion was owed by its component units, as shown in figure 6 (these amounts do not sum to $68.1 billion because of rounding).", "The growth of Puerto Rico\u2019s total debt resulted in greater annual debt servicing obligations. In fiscal year 2002, it cost Puerto Rico $2.7 billion to service its debt, representing about 12 percent of Puerto Rico\u2019s $21.6 billion in total public revenue for that year. By fiscal year 2014, Puerto Rico\u2019s annual debt service cost rose to $5.0 billion, representing just over 15 percent of Puerto Rico\u2019s $32.5 billion in total public revenue for that year. Following years of expenditures that exceeded revenue, and a growing debt burden, in August 2015, Puerto Rico failed to make a scheduled bond payment. Since then, Puerto Rico has defaulted on over $1.5 billion in debt.", "In June 2016, Congress enacted and the President signed PROMESA in response to Puerto Rico\u2019s fiscal crisis. PROMESA established a Financial Oversight and Management Board for Puerto Rico (Oversight Board), and granted it broad powers of fiscal and budgetary control over Puerto Rico. PROMESA also established a mechanism through which the Oversight Board could petition U.S. courts on Puerto Rico\u2019s behalf to restructure debt. Under federal bankruptcy laws, Puerto Rico is otherwise prohibited from authorizing its municipalities and instrumentalities from petitioning U.S. courts to restructure debt. The Oversight Board petitioned the U.S. courts to restructure debt on behalf of Puerto Rico\u2019s Highways and Transportation Authority and the Government Employees Retirement System on May 21, 2017 and on behalf of PREPA on July 2, 2017."], "subsections": []}, {"section_title": "Pension Obligations", "paragraphs": ["In addition to its debt obligations, Puerto Rico also faces a large financial burden from its pension obligations for public employees. Puerto Rico\u2019s public pension systems had unfunded liabilities of approximately $49 billion as of the end of fiscal year 2015, the most recent year for which data are available. Unfunded pension liabilities are similar to other kinds of debt because they constitute a promise to make a future payment or provide a benefit."], "subsections": []}]}, {"section_title": "Officials and Experts Cited Various Factors as Contributing to Puerto Rico\u2019s Financial Condition and Levels of Debt Factors that Contributed to Puerto Rico\u2019s Persistent Deficits", "paragraphs": ["Based on interviews with current and former Puerto Rico officials, federal officials, and other relevant experts, as well as a review of relevant literature, the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt related to: (1) Puerto Rico\u2019s government running persistent deficits and (2) its use of debt to cope with deficits.", "As previously mentioned, Puerto Rico\u2019s government has operated with a deficit in all years since 2002, and deficits grew over time. To cope with its deficits, Puerto Rico\u2019s government issued debt to finance operations, rather than reduce its fiscal gap by cutting spending, raising taxes, or both. Through interviews with current and former Puerto Rico officials; federal officials; experts in Puerto Rico\u2019s economy, the municipal securities markets, and state and local budgeting and debt management; as well as a review of relevant literature, we identified three groups of factors that contributed to Puerto Rico\u2019s persistent deficits: (1) inadequate financial management and oversight practices, (2) policy decisions, and (3) prolonged economic contraction. Some of the factors in these groups may be interrelated."], "subsections": [{"section_title": "Factors that Enabled Puerto Rico to Use Debt to Finance Operations", "paragraphs": ["To cope with its persistent deficits, Puerto Rico issued debt to finance operations. In reviewing 20 of Puerto Rico\u2019s largest bond issuances from 2000 to 2017, totaling around $31 billion, we found that 16 were issued exclusively to repay or refinance existing debt and to fund operations. According to ratings agency officials and experts in state and local government, states rarely issue debt to fund operations, and many states prohibit this practice. According to former Puerto Rico officials and experts on Puerto Rico\u2019s economy, high demand for Puerto Rico debt and the Government Development Bank for Puerto Rico (GDB) facilitating rising debt levels enabled Puerto Rico to continue to use debt to finance operations."], "subsections": [{"section_title": "High Demand for Puerto Rico Debt", "paragraphs": ["Puerto Rico issued a relatively large amount of debt, given the size of its population. Based on an analysis of fiscal year 2014 comprehensive annual financial reports of the 50 states and Puerto Rico, Puerto Rico had the second highest amount of outstanding debt among states and territories, while its population falls between the 29th and 30th most populous states. By comparison, California, the state with the largest amount of outstanding debt, is the most populated state. Various factors drove demand for Puerto Rico municipal bonds, even as the government\u2019s financial condition deteriorated.", "Triple tax exemption: According to a former Puerto Rico official, Federal Reserve Bank of New York officials, and an expert on Puerto Rico\u2019s economy, Puerto Rico\u2019s municipal bonds were attractive to investors because interest on the bonds was not subjected to federal, state, or local taxes, regardless of where the investors resided. In contrast, investors may be required to pay state or local taxes on interest income earned from municipal securities issued by a state or municipality in which they do not reside.", "Investment grade bond ratings: Puerto Rico maintained investment grade bond ratings until February 2014, even as its financial condition was deteriorating. Credit ratings inform investment decisions by both institutional investors and broker dealers. According to a current Puerto Rico official and an expert on Puerto Rico\u2019s economy, investment grade ratings for Puerto Rico municipal bonds may have driven demand for these securities in the states. Based on interviews with ratings agency officials and a review of rating agency criteria, we found that Puerto Rico may have maintained its investment grade rating for two reasons. First, Puerto Rico could not seek debt restructuring under federal bankruptcy laws, prior to the passage of PROMESA in 2016. According to rating agency officials, bonds with assumed bankruptcy protection tend to rate higher than those without such protection. Second, legal frameworks that prioritize debt service are often viewed as positive for credit ratings, according to rating agency criteria. In the event that the Puerto Rico government does not have sufficient resources to meet appropriations for a given fiscal year, Puerto Rico\u2019s constitution requires that the government pay interest and amortization on the public debt before disbursing funds for other purposes in accordance with the order of priorities established by law. The prior Puerto Rico Governor cited this constitutional provision as providing the authority to redirect revenue streams from certain entities to the payment of general obligation debt. This redirection of revenue streams is commonly known as a clawback.", "Lack of transparency on its financial condition: Municipal market analysts told us that untimely financial information made it difficult for institutional and individual investors to assess Puerto Rico\u2019s financial condition, which may have resulted in investors not being able to fully take the investment risks into account when purchasing Puerto Rico debt. According to one report, between 2010 and 2016 municipal issuers issued their audited financial statements an average of 200 days after the end of their fiscal years. However, between fiscal years 2002 and 2014, Puerto Rico issued its statements an average of 386 days after the end of its fiscal year, according to our analysis of Puerto Rico\u2019s audited financial statements. Moreover, Puerto Rico had not issued its fiscal years 2015 and 2016 audited financial statements as of March 1, 2018, or 975 and 609 days after the end of those fiscal years, respectively.", "Estate tax structures: Puerto Rico residents had incentive to invest in municipal bonds issued in Puerto Rico over those issued in the United States because of federal and Puerto Rico estate tax structures. Current and former Puerto Rico officials told us that this incentive drove demand among Puerto Rico residents for bonds issued in Puerto Rico. For federal estate tax purposes, Puerto Rico residents are generally considered non-U.S. residents and non-citizens for all of their U.S.-based property, including investments. Estates of Puerto Rico residents are required to pay the prevailing federal estate tax\u2014 which ranges from 18 percent to 40 percent depending on the size of an estate\u2014for any U.S.-based property valued over $60,000. In contrast, prior to 2017, all Puerto Rico-based property was only subject to the Puerto Rico estate tax of 10 percent. Puerto Rico\u2019s estate tax was repealed in 2017."], "subsections": []}, {"section_title": "Puerto Rico\u2019s Government Development Bank Facilitated Rising Debt Levels", "paragraphs": ["In addition to financing from the municipal bond markets, GDB also provided an intragovernmental source of financing. Prior to April 2016, GDB acted as a fiscal agent, trustee of funds, and intergovernmental lender for the Government of Puerto Rico. GDB issued loans to Puerto Rico\u2019s government agencies and public corporations to support their operations. GDB provided loans to government entities valued at up to 60 percent of GDB\u2019s total assets, as shown in Figure 11. In general, these entities did not fulfill the terms of their borrowing agreements with GDB, while they independently accessed the municipal bond market. Additionally, according to GDB\u2019s audited financial statements, GDB did not reflect loan losses in its audited financial statements until 2014 because it presumed that Puerto Rico\u2019s legislature would repay loans through the general fund or appropriations, as generally required by the acts that approved such loans.", "Facing non-repayment of public sector loans, GDB took on debt to maintain liquidity. According to GDB documents, repayment of amounts owed to GDB was a main reason for the creation of the Puerto Rico Sales Tax Financing Corporation (COFINA), an entity backed by a new sales tax, through which Puerto Rico issued some of its debt. Though initially intended as a means to repay GDB and other debt, COFINA bonds were also used to finance operations."], "subsections": []}]}]}, {"section_title": "Actions That Could Address Factors that Contributed to Puerto Rico\u2019s Unsustainable Debt Levels", "paragraphs": ["Through our interviews and an assessment of relevant literature, we identified three potential federal actions that could help address some of the factors that contributed to unsustainable indebtedness in Puerto Rico. Consistent with the provision in PROMESA that was the statutory requirement for this work, we focused on actions that were non-fiscal in nature\u2014that is, actions that would not increase the federal deficit. There are tradeoffs for policymakers to consider when deciding whether or how to implement any policy. For each action, we describe a specific challenge as it relates to debt accumulation in Puerto Rico, identify a possible federal response to the challenge, and describe other considerations for policymakers."], "subsections": [{"section_title": "Action 1: Modify SEC\u2019s Authority over Municipal Securities Disclosure Requirements", "paragraphs": ["To help address the factors that contributed to the high demand for Puerto Rico debt relative to other municipal debt, legislative and executive branch policymakers could further ensure that municipal securities issuers provide timely, ongoing, and complete disclosure materials to bondholders and the public. Specifically, Congress could authorize SEC to establish requirements for municipal issuers on the timing, frequency, and content of initial and continuing disclosure materials."], "subsections": [{"section_title": "Challenge", "paragraphs": ["In general, the municipal securities market is less regulated and transparent than other capital markets, such as equity markets. For example, SEC\u2019s authority to directly establish or enforce initial and continuing disclosure requirements for issuers\u2014including those in Puerto Rico\u2014is limited. SEC requires that underwriters (sellers of municipal securities) reasonably determine that issuers have undertaken continuing disclosure agreements (CDA) to publicly disclose ongoing annual financial information, operating data, and notices of material events. However, federal securities laws do not provide SEC with the authority to impose penalties on municipal issuers for noncompliance with CDAs, which may limit any incentive for issuers to comply with SEC disclosure and reporting guidance. As a result, SEC has limited ability to compel issuers to provide continuing disclosure information.", "As previously discussed, the Puerto Rico government often issued its audited financial statements in an untimely manner, thus failing to meet its contractual obligations to provide continuing disclosures for securities it issued. SEC could not directly impose any consequences on Puerto Rico\u2019s government for failing to adhere to the terms of, or enforce compliance with, the CDAs. Additionally, as previously discussed, municipal market analysts told us that untimely financial information made it difficult for institutional and individual investors to assess Puerto Rico\u2019s financial condition."], "subsections": []}, {"section_title": "Addressing the Challenge", "paragraphs": ["Timely disclosure of information would help investors make informed decisions about investing in municipal securities and help protect them against fraud involving the securities. These disclosures would be made to investors at the time of purchasing securities and throughout the term of the security, including when material changes to an issuer\u2019s financial condition occur. According to SEC staff, enhanced authority could prompt more municipal issuers to disclose financial information, including audited financial statements, in a timelier manner. For example, SEC staff said that if the agency had required that issuers provide timely financial statements at the time of issuing a municipal security, this may have precluded Puerto Rico from issuing its $3.5 billion general obligation bond in 2014. However, any rulemaking SEC would or could take as a result of enhanced authority would depend on a number of factors, such as compliance with other SEC guidance and related laws."], "subsections": []}, {"section_title": "Other Considerations", "paragraphs": ["Since this action would apply to all U.S. municipal securities issuers, it has policy and implementation implications that extend well beyond Puerto Rico. For example, establishing and enforcing initial and continuing disclosure requirements for municipal securities issuers could place additional burdens on state and local issuers, and not all municipal issuers use standardized accounting and financial reporting methods. As a result, state and local governments may need to spend resources to adjust financial reporting systems to meet standardized reporting requirements. However, in a 2012 report proposing this action, SEC said it could mitigate this burden by considering content and frequency requirements that take into account, and possibly vary by, the size and nature of the municipal issuer, the frequency of issuance of securities, the type of municipal securities offered, and the amount of outstanding securities."], "subsections": []}]}, {"section_title": "Action 2: Apply Federal Investor Protection Laws to Puerto Rico", "paragraphs": ["To help address the factors that contributed to the high demand for Puerto Rico debt relative to other municipal debt, Congress could ensure that investors residing in Puerto Rico receive the same federal investor protections as investors residing in states. Specifically, Congress could subject all investment companies in Puerto Rico to the Investment Company Act of 1940, as amended (1940 Act). In recent years, the House and Senate separately have passed legislation that would achieve this action."], "subsections": [{"section_title": "Challenge", "paragraphs": ["Certain investment companies in Puerto Rico and other territories\u2014 specifically, those whose securities are sold solely to the residents of the territory in which they are located\u2014are exempt from the 1940 Act\u2019s requirements. The 1940 Act regulates investment companies, such as mutual funds that invest in securities of other issuers and issue their own securities to the investing public. It imposes several requirements on investment companies intended to protect investors. For example, it requires that investment companies register with SEC and disclose information to investors about the businesses and risks of the companies in which they invest, and the characteristics of the securities that they issue. It also restricts investment companies from engaging in certain types of transactions, such as purchasing municipal securities underwritten by affiliated companies.", "According to a former Puerto Rico official, some broker-dealers in Puerto Rico underwrote Puerto Rico municipal securities issuances and investment companies managed by affiliated companies of these underwriters purchased the securities, packaged them into funds, and marketed the funds to investors residing in Puerto Rico. This practice would be prohibited or restricted for investment companies subject to the 1940 Act, as it might result in investment companies not acting in the best interests of their investors."], "subsections": []}, {"section_title": "Addressing the Challenge", "paragraphs": ["If all Puerto Rico investment companies had been subject to the 1940 Act, they would have been prohibited or restricted from investing in Puerto Rico municipal bonds underwritten by affiliated companies. Also, these investment companies may have further disclosed the risks involved in Puerto Rico municipal bonds to Puerto Rico investors. As a result, demand for Puerto Rico municipal bonds from Puerto Rico investment companies and residents may have been lower had the 1940 Act requirements applied to all Puerto Rico investment companies, and it may have been more difficult for the Puerto Rico government to issue debt to finance deficits."], "subsections": []}, {"section_title": "Other Considerations", "paragraphs": ["SEC staff told us that industry groups had raised objections to extending the 1940 Act provisions to all investment companies in Puerto Rico. These industry groups noted that, among other things, certain investment companies would have difficulty meeting the 1940 Act\u2019s leverage and asset coverage requirements and adhering to some restrictions on affiliated transactions. However, SEC staff noted that under certain legislation that passed the House or Senate separately, as described above, Puerto Rico investment companies would have three years to come into compliance if they were newly subject to the 1940 Act. Further, under that legislation, after three years, investment companies in Puerto Rico could also request an additional three years to come into compliance. Regarding affiliated company restrictions, SEC has previously waived some requirements for investment companies if they are unable to obtain financing by selling securities to unaffiliated parties with an agreement to repurchase those securities at a higher price in the future, known as repurchase agreements. According to SEC staff, SEC would consider allowing companies in Puerto Rico to enter into reverse repurchase agreements with their affiliates if the 1940 Act applied to them."], "subsections": []}]}, {"section_title": "Action 3: Modify the Tax Exemption Status for Puerto Rico Municipal Securities", "paragraphs": ["To help address the factors that contributed to the high demand for Puerto Rico debt relative to other municipal debt, Congress could remove the triple tax exemption for Puerto Rico\u2019s municipal securities. This action would mean that interest income from Puerto Rico municipal securities earned by investors residing outside of Puerto Rico could be taxed by states and local governments, while still being exempt from federal income taxes, similar to the current tax treatment of municipal bond income in the states."], "subsections": [{"section_title": "Challenge", "paragraphs": ["As mentioned previously, former Puerto Rico officials and experts in municipal securities told us that the triple tax exemption fueled investor demand and enabled Puerto Rico to continue issuing bonds despite deteriorating financial conditions. Some of the demand for Puerto Rico municipal securities came from certain U.S. municipal bond funds. These funds concentrated their investments in one state to sell to investors within that state, but also included Puerto Rico bonds in their portfolios. Puerto Rico bond yields generally were higher than state bonds yields, according to industry experts. When added to a fund, the higher yields from Puerto Rico bonds would increase the overall return on investment yield of a fund."], "subsections": []}, {"section_title": "Addressing the Challenge", "paragraphs": ["Modifying the triple tax exemption for Puerto Rico\u2019s municipal securities might result in reduced demand for Puerto Rico\u2019s debt. In response to reduced demand for its debt, Puerto Rico\u2019s government may need to address any projected operating deficits by decreasing spending, raising revenues, or both."], "subsections": []}, {"section_title": "Other Considerations", "paragraphs": ["According to U.S. Treasury officials, this action could increase the proportionate share of investors in Puerto Rico debt that reside in Puerto Rico, because of reduced demand from investors in the states. In the event of a future debt crisis, this could result in a concentration of financial losses within Puerto Rico. Also, debt financing allows governments to make needed capital investments and provides liquidity to governments, and can be a more stable funding source to manage fiscal stress. Reduced market demand for Puerto Rico\u2019s bonds could make access to debt financing difficult, as the Puerto Rico bond market may not support the Puerto Rico government\u2019s future borrowing at reasonable interest rates, according to Treasury officials. Alternately, a variant of this action would be to retain the triple tax exemption for Puerto Rico debt only for bonds related to capital investments rather than for deficit financing, according to Treasury officials."], "subsections": []}]}, {"section_title": "Other Federal Actions Taken to Address Puerto Rico\u2019s Fiscal Condition", "paragraphs": ["Various provisions in PROMESA were intended to help Puerto Rico improve its fiscal condition. PROMESA requires that the Oversight Board certify fiscal plans for achieving fiscal responsibility and access to capital markets. The intent of the fiscal plans is to eliminate Puerto Rico\u2019s structural deficits; create independent revenue estimates for the budget process; and improve Puerto Rico\u2019s fiscal governance, accountability, and controls, among other things. From March 2017 to April 2017, the Oversight Board certified the fiscal plans the Government of Puerto Rico developed for the primary government and certain component units, such as PREPA. As a result of the effects of Hurricanes Irma and Maria, the Oversight Board requested that the Government develop updated fiscal plans. Although the Government of Puerto Rico developed and submitted updated fiscal plans, the Oversight Board did not certify them, with the exception of the plan for GDB. Instead, in April 2018, the Oversight Board certified fiscal plans it developed itself, as PROMESA allows. PROMESA also requires the Oversight Board to determine whether or not Puerto Rico\u2019s annual budgets, developed by the Governor, comply with the fiscal plans prior to being submitted to Puerto Rico\u2019s legislature for approval.", "Technical assistance is another area where the federal government has taken action to help Puerto Rico address its fiscal condition. In 2015, Congress first authorized Treasury to provide technical assistance to Puerto Rico, and has continued to reauthorize the technical assistance, most recently through September 30, 2018. For example, Treasury officials told us that they helped Puerto Rico\u2019s Planning Board develop a more accurate macroeconomic forecast, which should enable Hacienda to develop more accurate revenue estimates and receipt forecasts. Treasury officials also told us that the agency began helping Puerto Rico improve its collection of delinquent taxes\u2014for example, by helping Hacienda develop an office dealing with Puerto Rico\u2019s largest and most sophisticated taxpayers, which are often multinational corporations. With Puerto Rico focused on hurricane recovery efforts, Treasury and the Puerto Rico government are reassessing the types of assistance that Treasury might provide in the future, according to Treasury officials.", "Current and former Puerto Rico government officials and experts on Puerto Rico\u2019s economy also told us that the federal government could further help Puerto Rico address its persistent deficits through federal policy changes that are fiscal in nature. For example, it could change select federal program funding rules\u2014at a cost to the federal government\u2014such as eliminating the cap on Medicaid funding and calculating the federal matching rate similar to how the rate is calculated in the states. Likewise, the Congressional Task Force on Economic Growth in Puerto Rico (Congressional Task Force), as established by PROMESA, issued a report in December 2016 that recommended changes to federal laws and programs that would spur sustainable long- term economic growth in Puerto Rico, among other recommendations."], "subsections": []}, {"section_title": "Puerto Rico Plans to Take Actions to Address Its Fiscal Condition and Debt Levels", "paragraphs": ["In addition to federal actions that could address the factors that contributed to Puerto Rico\u2019s fiscal condition and debt levels, the Puerto Rico government plans to take various actions. For example, according to current Puerto Rico officials and the Puerto Rico government\u2019s April 2018 fiscal plan, the government is:", "Planning to implement an integrated new information technology system for financial management, to include modernized revenue management and accounting and payroll systems. Hacienda officials stated that they are in the process of developing a project schedule for this long-term effort.", "Developing a new public healthcare model in which Puerto Rico\u2019s government pays for basic services and patients pay for premium services. The government will begin implementing the new healthcare model in fiscal year 2019 and expects to achieve annual savings of $841 million by fiscal year 2023.", "Collaborating with the private sector for future infrastructure and service projects, including for reconstruction efforts related to Hurricanes Irma and Maria, which it expects will stimulate Puerto Rico\u2019s weakened economy.", "We also asked Puerto Rico officials about progress made toward addressing many of the factors we identified. However, they did not provide us this information."], "subsections": []}]}, {"section_title": "Agency Comments, Third Party Views, and Our Evaluation", "paragraphs": ["We provided a draft of this report for review to Treasury, SEC, the Federal Reserve Bank of New York, the Government of Puerto Rico, and the Oversight Board. Treasury and SEC provided technical comments, which we incorporated as appropriate. The Federal Reserve Bank of New York and the Oversight Board had no comments.", "We received written comments from the Government of Puerto Rico, which are reprinted in appendix II. In its comments, the Government of Puerto Rico generally agreed with the factors we identified that contributed to Puerto Rico\u2019s financial condition and levels of debt. It also provided additional context on Puerto Rico\u2019s accumulation of debt, such as Puerto Rico\u2019s territorial status and its effect on federal programs in Puerto Rico and outmigration.", "The Government of Puerto Rico also noted that the federal actions we identified to address factors contributing to Puerto Rico\u2019s unsustainable debt levels did not include potential actions that were fiscal in nature or that addressed Puerto Rico\u2019s long-term economic viability. As we note in the report, we excluded fiscal actions from our scope, consistent with the provision in PROMESA that was the statutory requirement for this work. We excluded potential actions that could promote economic growth in Puerto Rico because these actions would address debt levels in Puerto Rico only indirectly and because the Congressional Task Force on Economic Growth in Puerto Rico already recommended actions for fostering economic growth in Puerto Rico in its December 2016 report.", "We are sending copies of the report to the appropriate congressional committees, the Government of Puerto Rico, the Secretary of the Treasury, the Chairman of the Securities and Exchange Commission, and other interested parties. In addition, this report is available at no charge on the GAO website at http://gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or krauseh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to describe (1) the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt; and (2) federal actions that could address the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt. Consistent with the provision in the Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) that was the statutory requirement for this work, we focused on actions that would not increase the federal deficit.", "For both objectives we interviewed current Puerto Rico officials from several agencies\u2014the Puerto Rico Department of Treasury (Hacienda in Spanish), Government Development Bank for Puerto Rico (GDB), the Puerto Rico Office of Management and Budget (Spanish acronym OGP), Fiscal Agency and Financial Advisory Authority (FAFAA), and the Puerto Rico Electric Power Authority. We also interviewed 13 former Puerto Rico officials that held leadership positions at Hacienda, GDB, or OGP, or a combination thereof. These former officials served between 1997 and 2016 for various gubernatorial administrations associated with the two political parties in Puerto Rico that held the governorship during that period. We also interviewed officials from the U.S. Department of the Treasury (Treasury), the Securities and Exchange Commission (SEC), the Federal Reserve Bank of New York, and the Financial Oversight and Management Board for Puerto Rico (created by PROMESA). Additionally, we conducted another 13 interviews with experts on Puerto Rico\u2019s economy, the municipal securities markets, state and territorial budgeting and debt management\u2014including credit rating agencies\u2014and with select industry groups in Puerto Rico. We selected the experts we interviewed based on their professional knowledge closely aligning with our engagement objectives, as demonstrated through published articles, congressional testimonies, and referrals from agency officials or other experts.", "To describe the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt, we reviewed our prior work related to Puerto Rico\u2019s financial condition and levels of public debt. We also collected and analyzed additional financial data from Puerto Rico\u2019s audited financial statements for the fiscal years 2002 to 2014, the last year for which audited financial statements were available. To determine how the Puerto Rico government used bond proceeds, we reviewed a nongeneralizable sample of Puerto Rico bonds prospectuses issued between 2000 and 2017 from the Electronic Municipal Market Access database of the Municipal Securities Rulemaking Board.", "We reviewed literature\u2014including academic reports, congressional hearing transcripts, and credit rating agency reports\u2014that described Puerto Rico\u2019s economy and factors that contributed to Puerto Rico\u2019s levels of debt. We also reviewed credit rating agency reports that described Puerto Rico\u2019s municipal debt and the agencies\u2019 methodologies for rating municipal debt. We also collected and reviewed Puerto Rico government documents related to budget formulation and execution, debt issuance, and financial management. We considered factors to include, but not be limited to, macroeconomic trends, federal policies, and actions taken by Puerto Rico government officials. Our review focused largely, though not exclusively, on conditions that contributed to the debt crisis during those years for which we collected financial data on Puerto Rico, fiscal years 2002 to 2014.", "Finally, we also conducted a thematic analysis of the summaries of our interviews to identify common patterns and ideas. Although these results are not generalizable to all current and former officials and experts with this subject-matter expertise, and do not necessarily represent the views of all the individuals we interviewed, the thematic analysis provided greater insight and considerations for the factors we identified.", "To describe federal actions that could address the factors that contributed to Puerto Rico\u2019s financial condition and levels of debt, we reviewed our prior reports and documents from Treasury and SEC, conducted a literature review, and conducted various interviews. Specifically, we met with federal agencies with subject-matter expertise or whose scope of responsibilities related to these actions, as well as with current and former Puerto Rico officials and municipal securities experts. Consistent with PROMESA, we omitted from our scope: (1) actions that could increase the federal deficit (i.e., fiscal options), (2) actions that could be taken by the Puerto Rico government, (3) actions that could infringe upon Puerto Rico\u2019s sovereignty and constitutional parameters, and (4) actions that would imperil America\u2019s homeland and national security. We considered actions that could promote economic growth in Puerto Rico as outside of scope, as they could address debt levels in Puerto Rico indirectly, rather than directly, and because a study issued by the Congressional Task Force on Economic Growth in Puerto Rico already identified actions that Congress and executive agencies could take to foster economic growth in Puerto Rico. We also considered actions that could address Puerto Rico\u2019s unfunded pension liability as outside of our scope. The actions we identified may also help avert future unsustainable debt levels in other territories; however, we did not assess whether and how each action would apply to other territories.", "We conducted this performance audit from January 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Government of Puerto Rico", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jeff Arkin (Assistant Director), Amy Radovich (Analyst in Charge), Pedro Almoguera, Karen Cassidy, Daniel Mahoney, A.J. Stephens, and Justin Snover made significant contributions to this report."], "subsections": []}]}], "fastfact": ["View Spanish version of Highlights (PDF, 1 page).", "Puerto Rico has roughly $70 billion in outstanding debt, and since August 2015 has defaulted on over $1.5 billion in debt.", "One factor contributing to Puerto Rico\u2019s debt levels is the Puerto Rico government's persistent annual deficits, where expenses exceeded revenues. Puerto Rico\u2019s government has borrowed money to finance its operations, rather than cutting spending, raising taxes, or both.", "We identified various potential federal actions that could help address factors contributing to the debt crisis. These include altering the tax-exempt status of Puerto Rico municipal debt, and applying federal investor protection laws to Puerto Rico."]} {"id": "GAO-18-450", "url": "https://www.gao.gov/products/GAO-18-450", "title": "Mental Health: Federal Procedures to Oversee Protection and Advocacy Programs Could Be Further Improved", "published_date": "2018-05-24T00:00:00", "released_date": "2018-05-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["PAIMI grant awards, established by Congress in 1986 and totaling $36 million in 2016, are administered by SAMHSA to support state protection and advocacy programs. PAIMI programs protect and advocate for the rights of individuals with significant mental illness by investigating reports of incidents of abuse and neglect of such individuals in facilities such as hospitals, and in the community, among other activities.", "The 21st Century Cures Act included a provision for GAO to review the PAIMI programs and their compliance with federal statutory and regulatory requirements. This report examines (1) the outcomes reported by PAIMI programs in selected states, and (2) SAMHSA's oversight of state PAIMI programs, including their compliance with federal requirements. GAO reviewed FY 2015 and 2016 PAIMI program documentation for eight of 57 programs selected for variation in funding amount, geographic location, and other factors. GAO also reviewed relevant SAMHSA policies and procedures and assessed them against federal standards for internal control."]}, {"section_title": "What GAO Found", "paragraphs": ["The eight selected state Protection and Advocacy for Individuals with Mental Illness (PAIMI) programs GAO reviewed reported a range of positive outcomes from their work on behalf of individuals with mental illness. For example, in fiscal year (FY) 2016, the selected programs reported resolving in the individual's favor 1,772 out of 2,390 cases (74 percent) related to complaints of alleged abuse, neglect, and rights violations. The remaining cases were reported as withdrawn by the client, closed due to lack of merit, or not resolved in the individual's favor. These programs also reported concluding a variety of broader, system-level activities\u2014referred to as systemic activities\u2014intended to benefit groups of individuals with mental illness. These systemic activities resulted in, for example, changes to procedures in mental health institutions and correctional facilities.", "Source: GAO analysis of 2016 Substance Abuse and Mental Health Services Administration data. | GAO-18-450", "The Substance Abuse and Mental Health Services Administration (SAMHSA), which oversees the state PAIMI programs, has a variety of procedures in place to monitor performance and compliance. However, two areas warrant additional attention, as follows:", "SAMHSA has not consistently examined changes to performance benchmarks\u2014the goals, objectives, and targets that PAIMI programs set annually for their planned work. Programs are permitted to modify these benchmarks, and GAO found that four had done so. A new SAMHSA system implemented in 2017 could improve recording of benchmark changes, but SAMHSA lacks procedures to examine changes across years, which could help identify performance concerns.", "SAMHSA often failed to complete its periodic, in-depth reviews of programs and to provide findings of identified deficiencies to PAIMI programs on a timely basis. SAMHSA has plans to improve the efficiency of its review process. However, it is unclear the extent to which these plans will resolve the timeliness issues, which could delay resolution of any issues found in the reviews."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that SAMHSA take steps to ensure that changes to performance benchmarks are examined over time, and to ensure onsite reviews are completed\u2014and findings are provided to state programs\u2014in a timely manner. The Department of Health and Human Services concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Congress passed the Protection and Advocacy for Individuals with Mental Illness (PAIMI) Act in 1986 in response to concerns about the vulnerability of individuals with mental illness to abuse and neglect, and gaps in state systems to address such issues. The PAIMI Act established a grant program to support independent, state-level protection and advocacy systems\u2014referred to in this report as state PAIMI programs\u2014designed to safeguard the rights of individuals with mental illness at risk for abuse or neglect. To qualify for federal grant support, state PAIMI programs must have specific authority to investigate incidents of potential abuse and neglect of individuals with significant mental illness; the ability to pursue administrative, legal, and other appropriate remedies to protect these individuals; and access to records needed to pursue these investigations and remedies. In addition to investigating complaints, the PAIMI Act requires PAIMI programs to protect and advocate for the rights of individuals with significant mental illness.", "Given their authority, access rights, and presence across all states and territories, state PAIMI programs play an important role in supporting a vulnerable population of individuals with serious mental health disorders. The Substance Abuse and Mental Health Services Administration (SAMHSA), within the Department of Health and Human Services (HHS), administers and oversees the PAIMI programs. SAMHSA approves PAIMI grant applications annually and oversees program compliance with statutory and regulatory requirements, such as those regarding grievance procedures, public engagement, and appropriate use of federal funding. In fiscal year 2016, SAMHSA provided approximately $36 million in grants to 57 state-based PAIMI programs to fund these activities. While comprising a relatively small portion of SAMHSA\u2019s total budget authority for mental health programs (about $1.1 billion in fiscal year 2016) the PAIMI grant program is the only federal program supporting protection and advocacy services for individuals with significant mental illness.", "The 21st Century Cures Act of 2016 included a provision for GAO to review PAIMI program activities and their compliance with federal statutory and regulatory requirements. This report examines 1. the outcomes reported by the PAIMI programs in selected states; and 2. SAMHSA\u2019s oversight of the state PAIMI programs, including procedures for ensuring compliance with federal statutory and regulatory requirements.", "To examine the outcomes reported by PAIMI programs, we reviewed the annual program performance reports for a nongeneralizable selection of eight PAIMI programs for federal fiscal years 2015 and 2016: California, Georgia, Indiana, Louisiana, Massachusetts, Texas, Vermont, and Washington. We selected these programs based on a variety of factors such as size of the grant, number of clients served, program type (that is, whether the program was operated by the state or by a private nonprofit), and geographic region. Performance data we reviewed included both standard measures that all programs are required to report, such as the number of abuse or neglect complaints addressed, as well as specific measures reporting progress toward goals selected by each program. To assess the reliability of the program performance data, we reviewed related documentation, interviewed SAMHSA officials, and assessed the data for obvious errors. We determined that the performance data for the eight selected programs were sufficiently reliable for our reporting purposes. We also reviewed SAMHSA documentation of program performance for fiscal years 2011 and 2012 and an evaluation of the PAIMI programs commissioned by the agency and published in 2011. In addition, we interviewed state PAIMI program staff for four of the eight programs to obtain in-depth examples of program activities. We also interviewed members of two state PAIMI program advisory councils about their roles and their perspective about the state PAIMI programs. To obtain additional perspectives about the state PAIMI programs, we interviewed members of two national-level mental health organizations and two state-level mental health organizations.", "To assess SAMHSA oversight of the state PAIMI programs, we examined agency policies and procedures related to review and monitoring activities conducted by the agency, including checklists or guidelines for conducting annual reviews of program applications and program performance data and periodic onsite monitoring reviews. We assessed these policies and procedures against relevant statutory and regulatory program requirements and federal internal control standards on monitoring and the design of control activities. In addition, we developed and completed a data collection instrument that allowed us to systematically examine SAMHSA\u2019s documentation of its review of annual program applications and program performance data for fiscal years 2015 and 2016. We completed the instrument for the eight selected PAIMI programs, plus an additional two programs\u2014Oklahoma and Puerto Rico\u2014selected because the programs had been placed on \u201crestricted status,\u201d which triggers enhanced oversight. Furthermore, we reviewed the monitoring reports for nine PAIMI programs (Idaho, Illinois, Maryland, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, and Washington) for which SAMHSA conducted an onsite review in fiscal years 2015 or 2016. We supplemented our review of documentation with interviews with SAMHSA officials, staff from six PAIMI programs, and staff from the association representing PAIMI programs, the National Disability Rights Network (NDRN).", "We conducted this performance audit from July 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Mental health disorders affect millions of adults and children in the United States and can range in severity. In 2016, an estimated 4.2 percent of the adult population\u2014more than 10.4 million individuals\u2014were considered to have a serious mental illness based on federal survey data. Individuals with mental illness may reside and receive care in a variety of settings, including inpatient institutional settings, such as public or private hospitals, other residential treatment facilities, or community-based settings. When originally established under the PAIMI Act, state PAIMI programs were required to investigate reports of potential abuse and neglect of individuals with significant mental illness residing in institutional facilities and to protect and advocate the rights of these individuals. Examples of institutional facilities covered under the PAIMI Act include hospitals, nursing homes, and correctional facilities. In 2000, the PAIMI Act was amended to allow certain PAIMI programs to also assist eligible individuals who live in community settings, including their own homes, although programs must still prioritize services for eligible individuals residing in institutional settings. For example, state PAIMI programs assist individuals with abuse, neglect, and rights violation cases in school settings."], "subsections": [{"section_title": "Key State PAIMI Program Requirements and Activities", "paragraphs": ["State PAIMI programs are administered by either state agencies or non- profit organizations that have been designated by the governor of each state to operate a protection and advocacy system. The state PAIMI programs are allotted federal grants through a formula that is based equally on (1) the population in each state, and (2) the population in each state weighted by its relative per capita income. In 2016, state PAIMI program grants ranged from $229,300 to $3,133,536. (See appendix I for allotment by program.) To receive a PAIMI grant, each protection and advocacy organization must submit an annual application, and the PAIMI programs they operate must meet applicable statutory and regulatory requirements. (See table 1.)", "Approved state PAIMI programs use their grants to protect and advocate for individual clients, such as investigating specific complaints. They may also conduct broader system-level protection and advocacy activities, such as facility monitoring, intended to benefit larger groups of individuals with significant mental illness. These systemic activities, as we refer to them in this report, include efforts to drive changes in policies and practices of the state\u2019s mental health agency, treatment facilities, and other systems, such as school systems, that impact people with significant mental illness. (See table 2.)", "Each state PAIMI program, with input from the advisory council and governing authority, sets priority goals and short-term, measurable objectives and targets annually as performance benchmarks for the work it plans to conduct. Programs can also revise these benchmarks during the year to align with changing needs. For example, the types of individual cases programs accept and work on may depend on the types of complaints that are received, which may vary over time."], "subsections": []}, {"section_title": "SAMHSA Oversight of State PAIMI Programs", "paragraphs": ["SAMHSA administers the PAIMI grants and is responsible for oversight and monitoring of the state PAIMI programs. To oversee the state PAIMI programs, SAMHSA conducts both ongoing reviews of the annual application and performance information submitted by the programs, and periodic, in-depth reviews:", "Ongoing monitoring activities. PAIMI grant applications are effective for 4-year periods, but programs submit additional grant applications annually to update certain information, such as the program budget and goals. SAMHSA awards PAIMI grants based on criteria such as whether the grantee submitted a statement of annual program priorities, including quantifiable targets and measurable outcomes. In addition to the application, programs must submit key data annually in a program performance report. The performance report must describe a program\u2019s individual and systemic activities, accomplishments, and expenditures during the most recent fiscal year and must include a section prepared by the advisory council. The performance report requires programs to report on both standard measures required of all programs and on progress towards the program-specific priority goals, objectives, and targets. SAMHSA reviews information submitted by the programs annually through grants applications and performance reports, including completing a review checklist and following up with programs with questions.", "Periodic monitoring. SAMHSA conducts four to five onsite monitoring reviews of state PAIMI programs each year, which officials told us means a given program would be reviewed approximately every 10 years. Programs are reviewed on a rotating basis, but some may be reviewed more frequently if concerns have been identified, according to officials. The onsite monitoring process, which includes an onsite visit and review of program documentation, is intended to monitor program compliance and provide guidance on improving program effectiveness. SAMHSA has procedures for the scope and time frame of the reviews."], "subsections": []}]}, {"section_title": "Selected State PAIMI Programs Reported Achievements in Ending and Preventing Abuse, Neglect, and Rights Violations of Those with Significant Mental Illness", "paragraphs": ["The eight selected state PAIMI programs reported favorably resolving a majority of individuals\u2019 cases related to alleged abuse, neglect, or rights violations. In addition, these selected programs reported concluding a variety of systemic activities, with a significant focus on monitoring and addressing issues of abuse or neglect at facilities. Through their work with individuals and completion of systemic activities, the selected programs reported meeting a majority of their priority goals and objectives."], "subsections": [{"section_title": "Outcomes of Individual Cases", "paragraphs": ["Selected programs reported favorably resolving about 74 percent of individual cases related to alleged abuse, neglect, or rights violations in fiscal year 2016, on average (see table 3). The remaining 26 percent of cases were reported as withdrawn by the client, closed due to lack of merit, or were not resolved in the individual\u2019s favor. Across the programs there was variation in the percentage of cases resolved favorably, with two of the selected programs reporting half, or less than half, of their cases resolved favorably, and one program reporting nearly 100 percent of cases closed favorably. SAMHSA officials and NDRN staff cited a number of factors that could contribute to the variation, including complexity of the complaint, variation in the programs\u2019 criteria for accepting cases, program resources, or characteristics of the court or state mental health system. For example, SAMHSA officials told us that possible explanations for variation could include a program accepting particularly challenging cases, or a program obtaining additional funding from other nonfederal grants that could provide greater legal staff support in addressing complaints.", "All eight selected programs reported closing cases in each of the three categories of complaints: abuse, neglect, and rights violations during fiscal year 2016. Five of the eight programs reported that a majority of their cases were related to complaints about rights violations, which occurred in both facility- and community-based settings (see fig. 1).", "These complaints included denials of legal assistance or privacy rights, employment discrimination, or\u2014the most frequently reported case complaint\u2014failure to provide special education consistent with state requirements. Issues of abuse and neglect of individuals with mental illness were also common. The most frequent complaint reported by the eight selected programs related to neglect was a lack of discharge planning for release from a facility, and for alleged abuse, it was failure to provide appropriate mental health treatment.", "Program staff reported examples of how state PAIMI programs resolved cases related to abuse, neglect, and rights violations for individuals in institutions and the community:", "Program staff in California described a rights violation case of a young girl with a mental health disability who was eligible for special education services, but the district placed her in a restricted, segregated school setting where she was restrained multiple times. The program staff negotiated her move to a general education campus with classroom behavior support. The PAIMI program monitored her transition, including ensuring her inclusion in school activities, academic remediation, and social skill development.", "Program staff in Georgia reported that they were contacted by a woman in a hospital who was overmedicated such that they could not initially understand what she was saying. The staff worked with her hospital treatment team to adjust her medication and the woman became more articulate. In working to address her overmedication, the staff further discovered there were not appropriate discharge plans for her and so they worked to ensure that she was discharged into an appropriate facility.", "To address individual cases, selected programs reported using a variety of strategies, ranging from administrative actions to legal remedies. Programs reported that the most frequently utilized strategy (used 62 percent of the time in fiscal year 2016) was \u201cshort-term assistance\u201d\u2014 time-limited advice or counseling, such as assisting a client with preparing a letter or making a phone call to resolve an issue. Selected programs reported using legal remedies about 5 percent of the time in fiscal year 2016."], "subsections": []}, {"section_title": "Outcomes of Systemic Activities", "paragraphs": ["The eight selected programs conducted a range of systemic activities, and reported successfully concluding a total of 367 of these activities in fiscal year 2016 (see figure 2).", "Facility monitoring was reported as the most frequent systemic activity in fiscal year 2016, comprising about 71 percent of the total systemic activities concluded by the selected programs. The selected programs described a range of activities involving facility monitoring. For example, California reported that the program had an effort focused on monitoring the conditions at selected county jail systems and juvenile halls. As part of that work, the program reported that it released five public reports and worked with counties on policy improvements, such as reducing the use of pepper spray on youth. Another program, Louisiana, reported that staff used to conduct regular monitoring visits to a state\u2019s psychiatric hospital and addressed patient complaints that they heard during these visits. However, with limited resources and other emerging urgent issues at other facilities, the program decided to cease the regular monitoring and now conducts as-needed visits to the hospital in response to specific complaints from the patients or staff.", "In addition to facility monitoring activities, other systemic activities conducted varied across the selected programs, reflecting differences in their resources and priorities. Some systemic activities\u2014such as class action litigation\u2014take significant time and resources to undertake, and program staff may consider various factors before beginning one. For example, program staff from Indiana told us the program filed a lawsuit alleging restrictive housing of prisoners with significant mental illness that involved 4 years of negotiations. In addition, program staff from Vermont told us after engaging in successful litigation against hospitals that helped reduce unnecessary force, isolation, and coercion tactics, the program re- prioritized and focused on other issues, such as helping individuals integrate into the community from facilities. However, the program recently noticed an increase in force, isolation, and coercion tactics and predicted another shift in focus to once more address those issues."], "subsections": []}, {"section_title": "Performance on Program Priority Goals", "paragraphs": ["Through their efforts to resolve individual cases and systemic activities, selected programs reported largely meeting the performance benchmarks\u2014priority goals, objectives, and targets\u2014they determine for themselves. For example, the Georgia program reported that to meet its fiscal year 2016 priority goal of protecting individuals with psychiatric disabilities in Georgia from abuse and neglect, its objective was to investigate and advocate to address allegations of abuse and neglect, including suspicious or unexplained deaths and inappropriate treatment or medication issues for people with psychiatric disabilities. The measurable target for this objective was to conduct 50 such investigations. In its performance report for the fiscal year, the program reported that it had completed 51 investigations of allegations of extensive abuse and neglect during the performance year. Overall, the selected programs reported meeting more than 95 percent of their priority goals in fiscal year 2016. While selected programs varied in their priority goals, all had a goal that focused on protecting individuals from abuse, neglect, and rights violations. (See Appendix II for more information about the types of priority goals set by the selected programs.) When objectives were not met, the programs reported, for instance, focusing on other priorities or that an activity was still ongoing and could not be included as part of their performance for the year.", "Although the eight selected PAIMI programs reported that they largely met their goals, they also reported several overarching challenges to their efforts to do so, such as limited resources, lack of access authority, or delays in access (e.g., to documents, records, or institutions). For instance, the selected programs collectively reported that 617 PAIMI- eligible clients were not served within 30 days due to insufficient funding in fiscal year 2016. Additionally, five selected programs reported delays in access to records. For example, Vermont program staff reported delays in receiving records related to the status of prisoner grievances or medical records, and Texas program staff reported delays and use of significant attorney resources to address facilities that challenge their ability to access records or premises."], "subsections": []}]}, {"section_title": "SAMHSA Has Controls in Place to Oversee Program Compliance with PAIMI Requirements, but Oversight of Program Effectiveness Is More Limited", "paragraphs": [], "subsections": [{"section_title": "SAMHSA Has Controls in Place to Monitor Compliance with Program Requirements", "paragraphs": ["SAMHSA has controls in place for monitoring the PAIMI programs\u2019 compliance with statutory and regulatory requirements through its ongoing and periodic in-depth monitoring activities. We found evidence that SAMHSA had identified and resolved a variety of compliance issues through these activities."], "subsections": [{"section_title": "Ongoing Monitoring", "paragraphs": ["On an annual basis, SAMHSA monitors compliance with statutory and regulatory program requirements by reviewing information reported by the programs through the application and program performance report. (See table 4.) SAMHSA\u2019s project officers review and approve the applications and performance reports submitted by the state PAIMI programs using a checklist developed by the agency that prompts them to record specific information, such as whether there are vacant advisory council seats. Not all areas of compliance are covered by the checklist; however, SAMHSA officials told us that the entire application and performance report are reviewed, and that a project officer\u2019s approval signature on a checklist indicates that potential issues observed during a review have been resolved satisfactorily.", "In our review of fiscal year 2015 and 2016 documentation, we found evidence that the application and performance report review process helped identify and resolve a range of potential compliance issues. For example, SAMHSA followed up with one program in which the advisory council had failed to meet the threshold of 60 percent of its membership being individuals who have received or are receiving mental health services, or are family members of such individuals. Failing to meet this threshold could raise concerns about whether a program is sufficiently engaging individuals and family members affected by mental illness as required by regulation. In this instance, SAMHSA requested a plan of action to recruit and maintain members to meet the threshold, which the program provided along with updated information that they had successfully recruited an additional member that put the council make-up over the threshold. In another example, SAMHSA followed up with one program that had reported not meeting 3 of 6 objectives and requested a plan of action for reducing the number of unmet objectives. The program subsequently provided information that it had incorrectly categorized some objectives they had met as \u201cnot met.\u201d (See table 5.)", "In addition to the annual application and performance report reviews, SAMHSA officials told us that they use monthly conversations with other federal agencies, referred to as federal partners, to help them identify potential compliance issues. These federal partners oversee federal grants for other populations of people with disabilities made to the protection and advocacy systems that administer the PAIMI program. SAMHSA officials told us that coordination with these federal partners helped identify risks in at least two of our selected programs, Puerto Rico and Oklahoma. For example, one of the federal partners conducted an onsite monitoring visit to Puerto Rico and found several issues with its protection and advocacy system, such as inadequately trained staff and conflicts of interest arising from a lack of independence from the governor\u2019s office. Puerto Rico\u2019s protection and advocacy system failed to develop an adequate corrective action plan to address the federal partner\u2019s findings, leading the federal partner to place the system in restricted\u2014that is, high-risk\u2014status. According to SAMHSA officials, these actions led them to more closely monitor Puerto Rico\u2019s PAIMI program, resulting in the identification of the protection and advocacy system\u2019s failure to comply sufficiently with PAIMI program requirements. For example, SAMHSA found that Puerto Rico\u2019s PAIMI program did not have the capacity to protect and advocate for individuals with mental illness, as required by statute, because they had an insufficient number of attorneys. Furthermore, the federal partner that originally placed Puerto Rico\u2019s protection and advocacy system in restricted status requested that SAMHSA do so as well. As a result, SAMHSA also placed the Puerto Rico PAIMI program in restricted status."], "subsections": []}, {"section_title": "Periodic Onsite Monitoring Reviews", "paragraphs": ["In addition to its ongoing monitoring, SAMHSA has procedures to oversee state PAIMI program compliance during its periodic onsite monitoring reviews. When SAMHSA conducts an onsite monitoring review, its procedures specify that officials are to interview program staff, governing board members, and advisory council members; as well as review a sample of case record files and other documentation of program activities. The state PAIMI program is also to submit a detailed set of documentation to support the program\u2019s compliance with statutory and regulatory requirements. Agency officials are to review this information and report back to the programs on any compliance issues or recommendations to improve program processes.", "In our review of fiscal year 2015 and 2016 documentation for the nine onsite monitoring reviews SAMHSA conducted, we found evidence that this process helped identify and resolve a range of potential compliance issues. For example, SAMHSA found that one program\u2019s bylaws could be misinterpreted to permit lobbying for legislation for PAIMI-eligible individuals using PAIMI funding, when federal law prohibits grants programs from using federal funds to engage in such activity. As a result, the program\u2019s governing board reviewed and modified the bylaws to clearly indicate that PAIMI funds are not to be used for lobbying.", "As another example, SAMHSA found that one program did not have sufficient documentation to support that the advisory council chair was an individual who had received or was receiving mental health services, or a family member of such an individual, as required by regulations. As a result, the program revised its practice to include having the advisory council chair verify in writing that he or she meets the criteria for serving in the position. (See table 6.)"], "subsections": []}]}, {"section_title": "SAMHSA Has Not Consistently Examined Changes to Program Benchmarks or Completed and Provided Onsite Review Findings in a Timely Manner", "paragraphs": ["We identified two weaknesses that could be limiting SAMHSA\u2019s oversight of program effectiveness. First, SAMHSA\u2019s PAIMI program monitoring did not consistently record changes to program priority goals, objectives, and targets\u2014collectively, \u201cbenchmarks\u201d\u2014made during a performance year, and the agency did not have procedures for examining such changes over time. Second, the agency did not provide timely information to programs on identified deficiencies from onsite monitoring. As of March 2018, SAMHSA was in the process of implementing new processes for its oversight of state PAIMI programs that officials believe will streamline the agency\u2019s monitoring activities. However, these changes may not fully address the weaknesses we identified."], "subsections": [{"section_title": "Inconsistent Recording of Changes to Performance Benchmarks and Lack of Procedures for Examining Changes across Years", "paragraphs": ["We found that SAMHSA did not always record changes programs made to their performance benchmarks and did not have procedures for examining benchmark changes over time. According to federal internal control standards, an agency should evaluate the results of its monitoring\u2014in this case, the information collected regarding benchmark modifications\u2014to determine program performance.", "In our review of SAMHSA\u2019s oversight of 10 programs for fiscal years 2015 and 2016, we found that SAMHSA did not consistently record program modifications to performance benchmarks. Specifically, we found that four programs appeared to have modified their performance benchmarks during the year\u2014in some cases upward when results exceeded original targets, and in other cases downward when results were lower than original targets. However, these changes were not recorded by SAMHSA reviewers in the review checklists. For instance, one program revised 17 of its 21 targets to closely match the program\u2019s actual results, but these changes were not recorded in the area of the review checklist that prompts the project officer to note if such changes were made.", "According to SAMHSA officials, in fiscal year 2017, SAMHSA transitioned from paper forms to a web-based system for submission and review of applications and performance reports. Officials told us that under the new system, programs will be required to consult with SAMHSA officials about and submit modifications to performance benchmarks through the system. The system will record and display both the original priority goals, objectives, and targets as approved at the time of the application, as well as any modifications a program submits throughout the year. The system will also record that information over time, providing the ability to review and track program modifications to benchmarks over multiple years.", "SAMHSA\u2019s new system should improve recording of benchmark changes, however, SAMHSA lacks procedures for examining such changes across years to assess whether the changes could indicate larger performance issues. SAMHSA officials acknowledged that they did not have specific procedures in place directing project officers to examine changes to performance benchmarks across multiple years, but said that other relevant procedures were in place. For example, officials noted that programs are not able to modify benchmarks without approval by SAMHSA project officers. However, without implementing procedures aimed specifically at examining trends in benchmark modifications across years, SAMHSA lacks assurances that its project officers will consistently examine whether a particular program is regularly making changes to benchmarks that may be indicative of a potential performance problem, such as revising its targets downwards over multiple years."], "subsections": []}, {"section_title": "Failure to Provide Timely Information on Identified Deficiencies", "paragraphs": ["We found that SAMHSA generally failed to meet its timelines for producing and providing onsite monitoring review reports to the state PAIMI programs under review during fiscal years 2015 and 2016. This inability to produce and provide onsite monitoring reports to PAIMI programs in a timely manner is inconsistent with SAMHSA\u2019s internal requirements and with federal internal control standards regarding evaluating issues and remediating deficiencies on a timely basis.", "Specifically, for onsite monitoring reviews, SAMHSA\u2019s procedures specify the agency is to provide an initial report to the reviewed program within 150 days of the onsite visit. However, for eight of the nine monitoring review reports we reviewed for fiscal years 2015 and 2016, SAMHSA provided the report more than a year after the visit. One program that had just received its report at the time of our review told us that it was difficult to plan the necessary changes to its work without an official report with findings and recommendations to help guide them in restructuring their operations. Program staff said they had moved ahead and made some changes but were uncertain whether those changes would be deemed sufficient because of the lack of feedback from the agency.", "SAMHSA officials told us that they may have missed some deadlines as a result of competing priorities and restricted resources\u2014for example, recently only two of four PAIMI project officer positions have been occupied. Officials reported that the agency was taking steps to streamline the process to make it more efficient and to bring on more staff resources. The officials said that in 2018 SAMHSA planned to shift responsibility for the project officers\u2019 portion of the onsite reviews to a dedicated onsite monitor, which they hoped would expedite the review process. In addition, the agency had taken steps to streamline its onsite monitoring review process, such as by revising and standardizing its reporting template.", "There are uncertainties with regard to how effective these changes will be in increasing timeliness. For example, the planned efficiencies target some, but not all, of the key components of the reviews. In particular, SAMHSA officials told us that these review process changes do not pertain to the portion of the onsite review that focuses on state PAIMI program compliance with applicable fiscal requirements. Officials noted that the SAMHSA office that conducts the fiscal portion of the review has had staff shortages for the past 16 months and is not able to operate within normal time frames for completing this portion of the report. Without meeting its deadlines for completing its review and providing timely, detailed information and feedback to PAIMI programs, SAMHSA cannot ensure that identified issues are resolved in a timely manner, thus potentially endangering the effectiveness of the programs."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Individuals with mental illness can face abuse, neglect, and rights violations in both institutional and community treatment settings, including their own homes. The protection and advocacy services provided by state PAIMI programs play an important role in reducing these serious issues for this vulnerable population. Therefore, it is important to monitor how effective the programs are in addressing such issues. SAMHSA has a number of procedures in place to monitor program compliance with statutory and regulatory requirements, which enable the agency to identify and resolve potential issues with program compliance, and it is taking steps to streamline and improve its compliance oversight. At the same time, the agency\u2019s processes for oversight of program effectiveness could be improved, such as by examining trends in mid-performance changes programs make to their priority goals, objectives, and targets across multiple years. Without such monitoring, SAMHSA may not recognize a pattern of changes that signal larger concerns about that program\u2019s effectiveness. Finally, SAMHSA has not been timely in completing its onsite monitoring reviews or providing the results of these reviews to the programs. Although SAMHSA has plans to make reviews more efficient and to add resources, it is unclear to what extent these steps will resolve the lack of timeliness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to SAMHSA: The Assistant Secretary for Mental Health and Substance Use should establish procedures to better ensure that mid-performance changes to program priority goals, objectives, and targets are examined across multiple years. (Recommendation 1)", "The Assistant Secretary for Mental Health and Substance Use should take steps, including the steps it has planned, to ensure onsite reviews are completed and findings are provided to programs on a timely basis. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment. In its written comments, HHS concurred with both of our recommendations and indicated that it will examine ways to implement them. HHS\u2019s comments are reprinted in appendix III. HHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at iritanik@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Protection and Advocacy for Individuals with Mental Illness (PAIMI) Grants by Program, Fiscal Year 2016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Selected State PAIMI Program Priority Goal Categories in Fiscal Year 2016", "paragraphs": ["State Protection and Advocacy for Individuals with Mental Illness (PAIMI) programs determine their priority goals each fiscal year to prioritize the work they hope to accomplish. Our analysis of the priority goals reported in the annual program performance reports by eight selected state PAIMI programs found that all programs had at least one priority goal focused on Protection and Civil Rights in fiscal year 2016 (see fig. 3). Access/Discrimination was the next most frequently set priority goal category\u2014with seven of the eight programs establishing these goals. We also reviewed program goal categories from fiscal year 2015 and identified few significant differences between 2015 and 2016.", "Eight priority goal categories emerged from our analysis:", "Access/Discrimination: This category refers to issues broadly related to access to services or benefits, and reduction of discrimination, e.g., advocating for access to legal services or elimination of barriers to housing, employment, and education services.", "Community Integration: This category refers to issues of integrating the individual into community facilities or ensuring they can be independent outside of a facility.", "Education: This category refers to specific issues related to access or equality in education services.", "Employment: This category refers to specific issues related to access to employment.", "Health Care Services: This category refers to specific issues related to access to health care services within the community or state.", "Housing: This category refers to specific issues related to access to housing.", "Information/Outreach: This category refers to activities related to distributing publications or performing outreach to individuals.", "Protection and Civil Rights: This category refers to issues broadly related to rights violations and protection from restraint, seclusion, or other abuse or neglect."], "subsections": []}, {"section_title": "Appendix III: Agency Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Susan Barnidge, Assistant Director; Hannah Marston Minter, Analyst-in-Charge; Joanna Wu Gerhardt; and Emily Beller Holland made key contributions to this report. Also contributing were Jennie Apter, Muriel Brown, and Emily Wilson."], "subsections": []}]}], "fastfact": ["Individuals with mental illness are a vulnerable population. To investigate potential abuse or neglect, the Department of Health and Human Services provides grants for state-based Protection and Advocacy for Individuals with Mental Illness programs. In 2016, it gave $36 million to 57 programs.", "We found that the programs reported a range of positive outcomes, including a high percentage of cases resolved in the individual's favor.", "We also identified needed improvements to HHS's oversight procedures, including a need to track long-term performance changes and be more timely in completing program reviews, and recommended HHS address these gaps."]} {"id": "GAO-18-637", "url": "https://www.gao.gov/products/GAO-18-637", "title": "Low-Income Housing Tax Credit: Improved Data and Oversight Would Strengthen Cost Assessment and Fraud Risk Management", "published_date": "2018-09-18T00:00:00", "released_date": "2018-09-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["LIHTCs encourage private investment in low-income rental housing and have financed about 50,000 housing units annually since 2010.The LIHTC program is administered by IRS and credit allocating agencies (state or local housing finance agencies). The program has come under increased scrutiny following reports of high or fraudulent development costs for certain LIHTC projects. GAO was asked to review the cost-efficiency and effectiveness of the LIHTC program.", "This report examines (1) development costs for selected LIHTC projects and factors affecting costs, (2) allocating agencies' oversight of costs, and (3) factors limiting assessment of costs. GAO compiled and analyzed a database of costs and characteristics for 1,849 projects completed in 2011\u20132015 (the most recent data available when compiled) from 12 allocating agencies. The agencies span five regions and accounted for about half of the LIHTCs available for award in 2015. GAO also reviewed the most recent allocating plans and related documents for 57 allocating agencies and reviewed federal requirements."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified wide variation in development costs and several cost drivers for Low-Income Housing Tax Credit (LIHTC) projects completed in 2011\u20132015. Across 12 selected allocating agencies, median per-unit costs for new construction projects ranged from about $126,000 (Texas) to about $326,000 (California). Within individual allocating agencies, the variation in per-unit cost between the least and most expensive project ranged from as little as $104,000 per unit (Georgia) to as much as $606,000 per unit (California). After controlling for other characteristics, GAO estimates that", "larger projects (more than 100 units) cost about $85,000 less per unit than smaller projects (fewer than 37 units), consistent with economies of scale.", "Allocating agencies use measures such as cost and fee limits to oversee LIHTC development costs, but few agencies have requirements to help guard against misrepresentation of contractor costs (a known fraud risk). LIHTC program policies, while requiring high-level cost certifications from developers, do not directly address this risk because the certifications aggregate costs from multiple contractors. Some allocating agencies require detailed cost certifications from contractors, but many do not. Because the Internal Revenue Service (IRS) does not require such certifications for LIHTC projects, the vulnerability of the LIHTC program to this fraud risk is heightened.", "Weaknesses in data quality and federal oversight constrain assessment of LIHTC development costs and the efficiency and effectiveness of the program. GAO found", "inconsistencies in the types, definitions, and formats of cost-related variables 12 selected agencies collected.", "allocating agencies did not capture the full extent of a key indirect cost\u2014a fee paid to syndicators acting as intermediaries between project developers and investors that IRS requires be collected.", "IRS does not require allocating agencies to collect and report cost-related data that would facilitate programwide assessment of development costs. Further, Congress has not designated any federal entity to maintain and analyze LIHTC cost data.", "Even without a designated federal entity, opportunities exist to advance oversight of development costs. In particular, greater standardization of cost data would lay a foundation for allocating agencies to enhance evaluation of cost drivers and cost-management practices."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider designating a federal agency to maintain and analyze LIHTC cost data. GAO also makes three recommendations to IRS to enhance collection and verification of cost data. IRS disagreed with the recommendations and said it lacked certain data collection authorities. GAO maintains the recommendations would strengthen program oversight and integrity and modified one of them to allow IRS greater flexibility in promoting data standards."]}], "report": [{"section_title": "Letter", "paragraphs": ["Low-Income Housing Tax Credits (LIHTC) are the largest source of federal assistance for developing affordable rental housing and represented an estimated $8.4 billion in foregone revenue in 2017. The program encourages private investment in low-income housing through tax credits, but the cost of this housing has come under increased scrutiny following reports of high or fraudulent development costs in certain LIHTC projects. In addition, analysis of trends and variation in LIHTC development costs and of federal and state efforts to oversee these costs has been limited to date.", "The LIHTC program, established under the Tax Reform Act of 1986, has financed approximately 50,000 housing units annually since 2010. The program is jointly administered by the Internal Revenue Service (IRS) within the Department of the Treasury (Treasury) and by credit allocating agencies, typically state housing finance agencies established to meet affordable housing needs of their residents.", "You requested we review the cost-efficiency and effectiveness of the LIHTC program. This report analyzes (1) development costs for LIHTC projects completed in 2011\u20132015 in selected locations and factors affecting these costs, (2) steps allocating agencies have taken to oversee LIHTC development costs, and (3) factors limiting assessment of LIHTC development costs.", "To analyze development costs for LIHTC projects, we created and analyzed a database of costs and characteristics for 1,849 projects that submitted final cost certifications (which detail a project\u2019s total costs, including the costs used in calculating credit awards) to 12 selected allocating agencies in 2011\u20132015. The 12 allocating agencies accounted for 50 percent of the total 2015 credit ceiling amount and spanned the five major geographic regions. Although the database we created includes nearly all projects completed by the 12 allocating agencies in 2011\u20132015, it is not generalizable to all allocating agencies. To describe costs and characteristics of LIHTC projects, we calculated summary statistics (distributions and medians) for key elements in our database, and compared results across the 12 agencies. We also developed a regression model to estimate relationships between development costs and relevant project and location characteristics. We interviewed officials from the 12 agencies, selected industry groups, and selected researchers to discuss our data collection and analysis. To assess the reliability of the project data, we tested the data for missing values, outliers, and obvious errors and interviewed allocating agency officials about interpretations of various data fields, among other things. We concluded the data were sufficiently reliable for purposes of comparing LIHTC development costs within and across allocating agencies and for examining development cost drivers and trends.", "To analyze steps allocating agencies took to oversee LIHTC development costs, we reviewed the 2017 (or most recent as of August 2017) Qualified Allocation Plans (QAP) and related documents for 57 allocating agencies to identify cost-management and cost-verification approaches (policies and practices to limit development costs and fees and confirm the accuracy of project costs). We interviewed IRS and Treasury officials for information and perspectives on LIHTC cost-verification requirements and Department of Housing and Urban Development (HUD) officials to identify development cost-verification practices of other federal housing programs. We also interviewed officials from the 12 selected allocating agencies, representatives from two national accounting firms with expertise in LIHTC, and the National Council of State Housing Agencies (NCSHA) about cost management and the cost-certification process.", "To analyze factors limiting assessment of LIHTC development costs, we assessed the data we collected from the 12 allocating agencies. We identified and documented the consistency in cost-related variables agencies collected and how they defined variables. We documented the formats in which agencies provided and maintained the data we requested and steps we took to standardize and combine data. We reviewed Section 42 of the Internal Revenue Code (Section 42) and related regulations to ascertain requirements for reporting development costs and other information to allocating agencies and IRS. We also interviewed IRS and Treasury officials about these requirements. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from May 2015 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Credit Allocation and Cost Oversight", "paragraphs": ["Each state receives an annual LIHTC allocation. Allocating agencies then evaluate developers\u2019 proposals to use tax credits to help develop new or rehabilitate existing housing against their QAPs. The QAPs identify agencies\u2019 priority housing needs and contain selection criteria for awarding credits. In addition to meeting criteria outlined in a QAP, projects awarded tax credits must remain affordable to qualifying households for at least 30 years.", "The amount of LIHTCs allocating agencies award to a project is primarily based on the project\u2019s eligible basis. The agencies should allocate no more credits than they deem necessary to ensure the project\u2019s financial feasibility through the 10-year credit period. To determine financial feasibility, Section 42 requires allocating agencies to consider the reasonableness of developmental and operating costs, any proceeds or receipts expected to be generated through the tax benefit, and the percentage of credit amounts used for project costs other than the cost of intermediaries such as syndicators (discussed later in this section). Section 42 also requires allocating agencies to evaluate available private financing and other federal, state, and local funding a developer plans to use and adjust the award accordingly.", "Allocating agencies must review costs to determine the credit amount at three points in time: application (when the proposal is submitted), allocation (when the agency commits to providing credits to a specific project), and placed in service (when the project is ready for occupancy under state and local laws). When a project is placed in service, the developer must submit a final cost certification to the allocating agency. This certification details a project\u2019s total costs and eligible basis. In general, the cost certification must be accompanied by an unqualified audit report from a certified public accountant, conducted in accordance with generally accepted auditing standards. An agency\u2019s QAP (or related documents) may outline policies and procedures for reviewing costs."], "subsections": []}, {"section_title": "Investors and Project Financing", "paragraphs": ["Once a project is awarded tax credits, developers often attempt to obtain funding for the project by attracting investors willing to contribute equity financing. Developers typically sell an ownership interest in their LIHTC projects in exchange for equity from investors (a process commonly referred to as selling tax credits). The equity contributions (or investments) reduce debt burden on LIHTC projects, making it possible for project owners to offer lower, more affordable rents. Generally, investors buy an ownership interest in a LIHTC partnership (commonly referred to as buying tax credits) to lower their tax liability.", "Investors in LIHTC projects may invest directly or through intermediaries known as syndicators. Direct investors are typically larger institutional investors, such as banks that have the internal capacity to fund and manage the acquisition, underwriting, and management of the underlying development project. Under the direct investment model, an investor owns a \u201climited\u201d partner interest in the partnership owning the underlying property, with the developer typically assuming the \u201cgeneral\u201d partner interest (see fig. 1).", "Alternatively, investors may invest in a fund organized and managed by a syndicator. The syndicator-managed funds are limited partnerships in which investors own the limited partner interest in the fund (upper-tier partnership), with the fund in turn owning the limited partner interest in various property partnerships (lower-tier partnership). The money investors pay for a partnership interest in the fund is paid to associated LIHTC projects as equity financing. Syndicators manage two types of funds: proprietary (or single-investor) funds and multi-investor funds (see fig. 2). In both cases, the syndicator originates potential investments, performs underwriting, and presents the potential investments to investors.", "Syndicators receive a fee from investors\u2014typically a percentage of the gross equity raised\u2014for their services in establishing, originating, underwriting, and closing on projects for investment funds. This fee is often referred to as an \u201cacquisition fee\u201d or an \u201cupper-tier syndication fee.\u201d The syndicator also may charge a fee to each project partnership in a fund for project-specific legal and accounting costs. This fee is often referred to as a \u201clower-tier syndication fee.\u201d", "LIHTC projects typically do not produce income through rents for investors. Rather, investors use the credits to offset their income tax liabilities over the 10-year credit period. As a result, for a LIHTC investment to be financially beneficial to an investor, the present value of 10 years of LIHTCs and any related benefits, such as taxable losses and depreciation, generally must exceed the amount the investor contributes in equity. This consideration, in part, drives the price investors are willing to pay for tax credits. Under normal economic conditions, equity pricing per tax credit has ranged from the $0.80s to mid-$0.90s per $1.00 of tax credit.", "Projects often require financing in addition to investors\u2019 equity contributions to cover development costs. This gap may be filled by federal, state, local, and private sources\u2014for example, certain HUD grants and loans, state tax credits modeled after the federal program, and mortgage loans without government guarantees. A developer also may defer its developer fee to cover all or a portion of a funding gap."], "subsections": []}, {"section_title": "Program Oversight", "paragraphs": ["IRS and allocating agencies jointly administer the LIHTC program, with other entities providing additional types of oversight, as follows.", "IRS administration of the LIHTC program includes developing and publishing regulations and guidance, enforcing taxpayer compliance, and overseeing allocating agencies\u2019 monitoring of taxpayer compliance. The IRS Office of Chief Counsel, with assistance from Treasury\u2019s Office of Tax Policy, develops and publishes regulations and guidance based on requirements in Section 42. In general, IRS collects and reviews information necessary for tax administration, including data on LIHTCs awarded and other information necessary to check the amount claimed on tax returns. According to IRS officials, IRS also regularly communicates with allocating agencies and stakeholders about LIHTC compliance issues and best practices at industry meetings and conferences.", "IRS relies on allocating agencies to administer and oversee the LIHTC program in states. In addition to awarding credits to qualified projects, allocating agencies are responsible for monitoring LIHTC properties for compliance with program requirements (for example, rent ceilings, tenant income, and habitability). Noncompliance with LIHTC requirements may result in IRS denying claims for the credit in the current year or recapturing (taking back) credits claimed in prior years.", "Investors and syndicators also monitor projects by performing due diligence in relation to their viability and eligibility for tax credits, in part to ensure they receive the expected tax credits.", "Although not an administering agency, HUD plays a role in collecting data on the program. Specifically, the agency has to collect information on LIHTC tenant characteristics, as mandated in the Housing and Economic Recovery Act of 2008. Since 1996, HUD voluntarily has collected LIHTC project-level data because of the importance of the credits as a source of funding for low-income housing. HUD also has a role in designating difficult development areas and qualified census tracts.", "In addition, NCSHA has identified recommended practices to allocating agencies for administering the LIHTC program, including oversight of QAPs and cost verification."], "subsections": []}]}, {"section_title": "LIHTC Project Costs Varied Widely, and Scale, Location, and Tenant Characteristics Explained Some Differences", "paragraphs": [], "subsections": [{"section_title": "Median Cost of LIHTC Projects Was About $200,000 Per Unit, and the Range and Composition of Costs Varied by Construction Type", "paragraphs": ["The median per-unit cost of the LIHTC projects completed in our 12 selected allocating agency jurisdictions in 2011\u20132015 was $204,000. The median per-unit cost of new construction projects was about $50,000 higher than for rehabilitation projects ($218,000 compared to about $169,000). For new construction projects, the median per-unit cost was about $38,000 higher in urban areas than in nonurban areas (about $230,000 compared to $192,000). For rehabilitation projects, the median per-unit cost was about $72,000 higher in urban areas than in nonurban areas (about $196,000 compared to $124,000). The development costs we report may be somewhat understated, because the documentation we obtained from allocating agencies did not consistently include the value of all costs\u2014for example, donated land\u2014 which we discuss later in this report.", "As shown in figure 3, the median per-unit LIHTC equity investment was about $147,000 for new construction projects (about 67 percent of the total development cost) and $103,000 for rehabilitation projects (about 61 percent of the total development cost). Other funding sources, such as private loans or state and local programs, made up for differences between project costs and equity investments. We estimated equity investments for the selected projects based on their LIHTC allocations and the reported prices investors paid for the credits. The median credit price increased from about $0.80 in 2011 to about $0.93 in 2015.", "Although rehabilitation projects generally had lower per-unit costs than new construction, both types of projects had similar proportions of hard and soft costs (see fig. 4). Hard costs (which include land, existing structures, and construction) were roughly 70 percent of new construction and rehabilitation project costs. Costs for acquisition of existing structures were proportionally higher and construction costs proportionally lower for rehabilitation projects than for new construction. Land costs were close in proportion. Soft costs (which include contractor fees, architect and engineer fees, developer fees, and other soft costs such as construction loan financing) were proportionally similar for new construction and rehabilitation projects\u2014roughly 30 percent."], "subsections": []}, {"section_title": "Project Cost Trends Differed by Construction Type and Are Difficult to Compare to Market-Rate Projects", "paragraphs": ["In nominal terms, the median per-unit cost of new construction projects increased by about 13 percent during 2011\u20132015, and the median per- unit cost of rehabilitation projects decreased by about 21 percent. After accounting for inflation, the median per-unit cost for new construction projects increased by about 7 percent (from about $208,000 to $222,000 in 2015 dollars), while the median per-unit cost for rehabilitation projects decreased by about 26 percent (from about $207,000 to $153,000 in 2015 dollars). However, this analysis does not account for changes in the composition of projects that were built (such as size or location). In addition, the overall trends were substantially affected by certain allocating agencies.", "For example, California accounted for about 24 percent of the new construction projects in our sample. During 2011\u20132015, the median per-unit cost of California\u2019s new construction projects increased by about 11 percent (about 18 percent in nominal terms), while the median per-unit cost of all other new construction projects in our sample decreased by about 4 percent (in nominal terms, increased by about 2 percent).", "Additionally, New York City accounted for about 19 percent of the rehabilitation projects in our sample, and the median per-unit cost of its projects declined by about 33 percent (about 32 percent in nominal terms) in 2011\u20132012. During this same period, the median per-unit cost of all other rehabilitation projects increased by about 13 percent (about 15 percent in nominal terms) but did not show a clear trend in 2011\u20132015.", "To provide some context for the project costs and trends discussed above, we compared the annual rates of change for median new construction costs\u2014generally site work, construction materials and labor, and contractor fees\u2014to the annual rates of change in a Bureau of Labor Statistics index for construction costs that tracks price changes for various types of new construction.", "The median per-unit construction cost of the LIHTC projects (unadjusted for inflation) and the index both increased over the analysis period\u2014by 11 percent and 10 percent, respectively. However, while the index consistently increased annually by an average of about 2 percent, the magnitude and direction of changes for the LIHTC projects varied, increasing by as much as about 8 percent in 2013\u20132014 and decreasing by about 5 percent in 2014\u20132015.", "Figure 6 shows the annual median per-unit construction costs for new construction LIHTC projects and a projected trend if they had increased at the rate of the Bureau of Labor Statistics index beginning in 2011. These results suggest that factors besides the price of construction inputs (such as material, labor, and contractor fees) drove changes in the median cost of LIHTC projects completed during 2011\u20132015. Project locations and characteristics varied each year, and a number of these factors were associated with per-unit costs, as discussed later.", "To provide context for our cost analysis, we also examined the feasibility of comparing LIHTC development costs to development costs for market- rate projects. However, we were unable to obtain data on market-rate developments from industry groups we contacted that represented developers and lenders, or from researchers who had conducted similar studies. Additionally, allocating agencies did not consistently maintain key project data\u2014such as gross square footage, number of stories, or construction wages\u2014needed to benchmark LIHTC project costs using a construction cost estimation tool. We discuss these and other data challenges in greater detail later in this report.", "Nonetheless, several factors provide possible explanations for why construction costs, developer fees, and other soft costs may differ between LIHTC and market-rate projects:", "Durability. LIHTC project developers may have incentive to use more durable (and potentially more expensive) construction components than they might for market-rate developments. They may seek to limit replacement costs before the end of the 15-year compliance period\u2014 after which they may seek additional LIHTCs for rehabilitation or convert units to market-rate. As revenue from tenant rents is generally lower for LIHTC projects than for market-rate projects, and because investors prefer not to refinance during the 15-year compliance period and lower their returns, LIHTC project owners are more limited in their ability to recapitalize aging projects. On the other hand, market forces may encourage market-rate developers to provide higher-grade finishes and amenities than LIHTC developers in some markets.", "Agency and local requirements. Allocating agencies can use QAP minimum standards and scoring incentives to influence the types of projects developers propose and build. Although these preferences can help achieve a variety of policy priorities, some can increase costs. For example, QAPs may provide developers with incentives to pursue historic preservation projects or require them to add on-site commercial space or amenities such as community rooms. Green building and energy-efficiency standards are also common QAP incentives that can increase development costs, although they may offset some future operating costs through lower utility expenses. Some QAPs also may incentivize urban infill projects on sites that require extensive demolition or environmental remediation, which add to costs.", "Profit motive. LIHTC projects may be less attractive financially for developers than market-rate projects because they yield lower profits from rental income. Accordingly, allocating agencies allow a developer fee, for which tax credit equity generally pays. For the projects in our sample, developer fees represented about 11 percent of development costs at the median. In comparison, market-rate developers are generally compensated through rental income or from the sale of their developments.", "Other soft costs. LIHTC projects may have higher soft costs (other than developer fees) compared to market-rate and other types of affordable developments for a number of reasons, including the following:", "Financing projects through LIHTC equity is a complex process that can result in higher legal, accounting, and syndication fees and can also require developers to hire outside consultants and develop sophisticated internal capacity.", "LIHTC developers also generally rely on multiple public and private funding sources in addition to tax credit equity to fully finance projects. For example, projects in California used about six funding sources in addition to LIHTC equity, on average. These additional sources can increase legal, accounting, and other fees due to the costs associated with seeking additional sources, writing applications, and complying with further appraisal, audit, and regulatory requirements. Securing additional funding sources also can delay the development process, which may increase land holding and interest expenses."], "subsections": []}, {"section_title": "LIHTC Project Costs Varied across Selected Allocating Agencies", "paragraphs": ["As shown in figure 7, the median per-unit cost of new construction projects across the 12 selected allocating agencies ranged from a low of about $126,000 in Texas to a high of $326,000 in California. The median per-unit cost was less than $200,000 for 4 of the 12 allocating agencies (Arizona, Georgia, Ohio, and Texas); from $200,000 to $300,000 for 6 of the 12 allocating agencies (Florida, Illinois, New York, New York City, Pennsylvania, and Washington); and greater than $300,000 for 2 of the 12 agencies (Chicago and California).", "Median per-unit costs for rehabilitation projects were lower and varied less than those for new construction projects, ranging from a low of about $107,000 in Illinois to a high of about $258,000 in both Chicago and New York. In all selected allocating agencies, the median per-unit cost for rehabilitation projects was lower than for new construction projects. For example, the median in California was about $184,000, compared to about $326,000 for new construction. For additional details on the cost of rehabilitation projects, see appendix III.", "As also shown in figure 7, within individual allocating agencies, the cost difference between the least and most expensive project was as little as $104,000 per unit (Georgia) and as much as $606,000 per unit (California). Project costs tended to be clustered around the median for each allocating agency, but were still widely distributed between the 25th and 75th percentiles for some allocating agencies. For example, the difference between the 25th and 75th percentiles was more than $75,000 in half of the locations we reviewed (California, Chicago, Illinois, New York, New York City, and Pennsylvania).", "Although projects costs were among the highest for the Chicago and New York City allocating agencies, they were within the range of costs for five other cities that had comparable population and density and were in the jurisdictions of other allocating agencies within our sample (see fig. 8).", "Hard costs as a proportion of total development costs varied among the selected allocating agencies. Agencies\u2019 hard costs ranged from about 66\u2013 76 percent for new construction projects completed in 2011\u20132015, with soft costs accounting for the remainder (see fig. 9). The proportions of hard and soft costs were generally similar across higher- and lower-cost locations. For example, California had the highest median per-unit cost among selected allocating agencies, but had hard and soft costs (about 67 and 33 percent) proportionally similar to those in Texas (about 68 and 32 percent) and Georgia (about 69 and 31 percent), where median per- unit costs were among the lowest.", "In relation to hard costs, median per-unit construction costs were highest in Chicago, where construction costs constituted about 72 percent of total development costs (but were about 63 percent elsewhere, on average). In comparison, construction costs in California were just 56 percent of total development costs due to higher land costs (about 12 percent of total development costs, but about 5 percent elsewhere, on average).", "For soft costs, developer fees and other soft costs (such as construction loan interest and permit fees) varied more widely across the allocating agencies than architect and engineer fees and contractor fees. Developer fees ranged from about 6 percent of development costs in Chicago to about 13 percent of development costs in Florida. Other soft costs similarly ranged from about 7 percent of development costs in Pennsylvania to about 14 percent of development costs in California. In comparison, architect and engineer fees ranged from about 3 percent to 5 percent of development costs, and contractor fees ranged from about 5 percent to 9 percent of development costs."], "subsections": []}, {"section_title": "Scale, Location, and Other Characteristics of LIHTC Projects Explained Some Cost Differences", "paragraphs": ["By design, the LIHTC program gives allocating agencies flexibility to address local housing needs and agency priorities through their award processes. As a result, the characteristics of each agency\u2019s LIHTC projects generally can be expected to reflect the real estate conditions, built environment, and populations of the areas they serve. For example, in locations with less density and inexpensive land, low-rise multibuilding developments may be more cost-effective, while in locations with higher density and expensive land, taller single-building developments may be more cost-effective. Therefore, it is important to consider the cost reasonableness of LIHTC developments within the context of local conditions.", "As previously noted, we developed a regression model to examine the relationship between the cost of developing LIHTC projects and various building, location, and other variables. Our model results indicate that a number of key characteristics were associated with significant increases or decreases in the per-unit costs of LIHTC projects that received tax credit awards from our selected allocating agencies. Differences in the prevalence of these characteristics among the allocating agencies help explain the cost variation among and within them. While our results indicate that these characteristics may have directly or indirectly affected per-unit cost, their specific effects varied by allocating agency, suggesting that our estimates are sensitive to the particular conditions of the locations we sampled.", "First, construction type (new construction or rehabilitation) and scale (number of units and unit size, measured by number of bedrooms)\u2014were associated with cost, controlling for other characteristics.", "Construction type. We previously noted that the median per-unit cost for new construction was about $50,000 higher than the per-unit cost for rehabilitation projects, but after controlling for other characteristics, we estimated this difference to be $39,000. New construction projects were more costly than rehabilitation projects because they had higher construction costs (primarily site work, materials, and labor). For perspective, $39,000 represents about 19 percent of the median per-unit cost ($204,000) of projects in our sample.", "Number of units. In general, we found that per-unit costs decreased as the number of units in a project increased, consistent with economies of scale in construction. Specifically, we estimated that the per-unit cost of projects with more than 100 units was about $85,000 less than projects with fewer than 37 units (see fig. 10). In addition, we estimated that the per-unit cost of projects with 37\u201350 or 51\u2013100 units was about $31,000 or $56,000 lower, respectively, than projects with fewer than 37 units.", "However, due to data limitations, our analysis does not account for building type\u2014for example high-rise or low-rise structures\u2014that may have affected per-unit cost. To account for some variation in building type, we compared projects with one or more larger buildings (60 or more units) to projects with more typical building designs. We found that the per-unit cost of projects with larger buildings\u2014which were also taller on average\u2014was about $15,000 more (about 7 percent of the median per- unit cost). This difference may be attributable to specific design requirements of larger and taller structures, such as construction materials and sprinkler systems.", "Unit size (number of bedrooms). As would be expected when comparing costs on a per-unit basis, we estimated that projects with larger units had higher per-unit costs. We estimated that the per-unit cost decreased by about $2,000 (or about 1 percent of the median per-unit cost) as the number of units with fewer than two bedrooms increased by10 percent. Conversely, the per-unit cost increased by about $3,000 as the number of units with more than two bedrooms increased by 10 percent.", "Second, we also found that the types of organizations that developed LIHTC projects and the tenants they targeted were associated with per- unit cost, after controlling for other characteristics.", "Tenant type. We estimated that the per-unit cost of projects targeted to seniors was about $7,000 lower than nonsenior projects (or about 3 percent of the median per-unit cost). Compared to nonsenior projects, units in senior projects generally had less residential square footage (for which we did not control), which may help explain their lower per-unit costs.", "Target income level. We also estimated that the per-unit costs of projects targeted to predominantly low-income tenants was about $11,000 more than for mixed-income projects (or about 5 percent of the median per-unit cost). Mixed-income projects might be expected to have higher costs as they generate more rent revenue to support higher development costs. But, because LIHTC allocations are calculated based on the ratio of low-income units to total units, predominantly low-income projects receive proportionally more LIHTC equity, which may allow them to support higher development costs. For example, we estimated that projects targeted towards predominantly low-income tenants generated LIHTC equity equal to about 67 percent of development cost, whereas mixed-income project generated LIHTC equity equal to about 50 percent of development cost.", "Nonprofit participation. Section 42 requires a portion of each state\u2019s tax credit allocation to be set aside for projects involving a qualified nonprofit organization. We estimated that the per-unit cost of these projects was about $15,000 more than projects not in the set-aside (or about 7 percent of the median per-unit cost). Other studies of the LIHTC program have suggested potential explanations for this result. For example, nonprofit organizations may focus more on populations that are more costly to serve, such as special-needs tenants who may require additional or enhanced facilities. Additionally, nonprofit developers may have higher costs because they are often smaller, produce fewer projects, and may need to spend more time and resources on activities such as fundraising and market research, compared to their for-profit counterparts.", "Third, controlling for other characteristics, we found that a number of geographic and economic variables were associated with cost differences.", "Location. We estimated that urban locations were associated with a per- unit cost about $13,000 higher than for suburban locations (or about 6 percent of the median per-unit cost), and that per-unit costs in rural areas were not statistically different from suburban areas. Consistent with this estimate, the data in our sample show that per-unit land and construction costs were greater in urban areas than in nonurban areas.", "In addition, urban projects were more likely to include parking structures, which we found were associated with a per-unit cost increase of about $56,000 in California and Arizona (or about 27 percent of the median per- unit cost), where parking structure data were available. Among these projects, about 98 percent of projects with parking structures were in urban areas.", "Urban projects were also located in closer proximity to transit, which we found increased per-unit construction costs. In an alternative specification of our model limited to projects near fixed-guideway transit stations, we estimated that the per-unit construction costs of projects that were 0.5 miles or less from a transit station\u2014known as transit-oriented developments\u2014were about $17,000 more than projects that were between 0.5 miles and 1.0 miles from a transit station.", "Local housing market and economy. As discussed previously, difficult development areas are those with high construction, land, and utility costs relative to area median gross income; qualified census tracts are areas with higher rates of low-income households or poverty rates. We did not find that projects in these areas were associated with cost differences compared to projects outside these areas.", "However, we found cost differences among projects in difficult development areas and qualified census tracts when we estimated alternative specifications of our model that excluded some geographic, economic, and local housing market variables that may be associated with the areas and tracts. For example, using a model specification that excluded local property values, we estimated that difficult development areas were associated with about a $9,000 increase in per-unit costs. In a separate estimation that excluded poverty rates and some other economic and geographic variables, we estimated that projects in qualified census tracts were associated with a per-unit cost increase of about $18,000 (or about 9 percent of the median per-unit cost). In both cases, the project characteristics of interest (difficult development area or qualified census tract) are likely associated with the excluded variables mentioned, as difficult development areas are characterized by high land costs and qualified census tracts are characterized by high poverty rates, among other factors. In the absence of the excluded geographic or local housing market variables, the estimated influence of these project characteristics is more pronounced.", "Finally, we found that the presence of federal funding sources in addition to LIHTC were associated with cost differences, after controlling for other characteristics.", "American Recovery and Reinvestment Act funding. We estimated that projects that received funding through either of two LIHTC programs (Tax Credit Assistance Program or Section 1602 Program) under the American Recovery and Reinvestment Act of 2009 (ARRA) were associated with a decrease of about $13,000 in per-unit costs (or about 6 percent of the median per-unit cost). Projects received ARRA funds during a period of economic recovery, and the relative scarcity of private funds may have motivated developers to pursue less costly projects. Because about 91 percent of projects that received ARRA funds were completed in 2011\u2013 2012, we restricted our ARRA estimate to projects completed in that period.", "We estimated that soft costs were about $4,000 per unit lower for ARRA projects than for non-ARRA projects. Soft costs, which we previously mentioned were about one-third of total development costs, may have been lower for ARRA projects because proportionately fewer of these projects used tax credit equity to fund development costs. For example, about 30 percent of these projects received ARRA funds entirely in lieu of tax credits. As a result, ARRA projects may have had lower or no tax credit partnership and syndication costs. However, we did not estimate a significant difference in construction costs between ARRA and non-ARRA projects.", "Rural Development funding. Projects that received at least one Rural Development loan or grant, from the Department of Agriculture, were associated with about a $32,000 decrease in per-unit cost (or about 16 percent of the median per-unit cost). However, projects that received these loans or grants may have had unique characteristics that affected cost. According to an allocating agency official from California\u2014where about 19 percent of the projects we reviewed used at least one Rural Development loan or grant\u2014projects that received these funds may have had lower total development costs because high-cost projects were not financially feasible in some rural areas due to lower rents and less local public funding. In addition, projects to house seasonal farm workers that receive funding from Rural Development\u2019s Section 514/516 Farm Labor Housing programs may lack some amenities\u2014such as in-unit kitchens and bathrooms\u2014that increase costs and are more common in other LIHTC projects. Furthermore, private loans guaranteed through Rural Development\u2019s Section 538 Guaranteed Rural Rental Housing Program are subject to per-unit limits, which may have hindered the feasibility of higher-cost projects.", "Other federal funding. We also estimated that projects that received HOPE VI funds were associated with about an $18,000 increase in per- unit costs (or about 9 percent of the median per-unit cost).", "However, the cost increase that we estimated may not have fully captured all additional costs associated with these projects. Several of the 23 HOPE VI projects included in our sample were phases of larger HOPE VI Revitalization Grant projects and may have included only the project costs associated with a smaller portion of a multibuilding development. In addition, some predevelopment expenses associated with the overall grant project, such as the demolition of existing structures and tenant relocation, may not have been included in the cost certifications we reviewed.", "In contrast to the HOPE VI projects we reviewed, we did not find that projects that received Community Development Block Grant (CDBG) or HOME Investment Partnerships Program (HOME) funds had statistically different per-unit total development costs. However, like HOPE VI projects, CDBG and HOME projects were associated with increases in per-unit construction costs (about $15,000 or $6,000, respectively). The presence of HOME funds also was associated with an increase in per-unit soft costs (about $2,000), while CDBG or HOPE VI funds were not strongly associated with differences in per-unit soft costs.", "While these sources were associated with cost differences, controlling for other characteristics, the association may not be entirely causal. The use of CDBG, HOME, and HOPE VI funds may have directly increased construction costs, as fund usage can trigger federal prevailing wage requirements. On the other hand, CDBG and HOME funding (for example) may have been used in addition to LIHTC equity to fill funding gaps for projects with particularly high costs.", "Finally, to examine the relationship our model characteristics had on the per-unit cost of low- and high-cost projects, we compared the characteristics of new construction projects below the 25th percentile for per-unit cost against those above the 75th percentile.", "As shown in table 1, projects below the 25th percentile generally had a higher proportion of characteristics that were associated with decreases in per-unit cost. These projects were larger, had smaller units, were more often targeted toward seniors, and were located in rural areas. In comparison, projects above the 75th percentile generally had a higher proportion of characteristics associated with increases in per-unit cost (or less of a decrease). These projects were smaller, had larger units, were more often located in urban areas, and were built in more expensive real estate markets, as the following examples illustrate.", "About 70 percent of the projects below the 25th percentile had either 51\u2013100 units or more than 100 units\u2014which we found were associated with lower per-unit cost\u2014compared to just 46 percent of the projects above the 75th percentile.", "About 40 percent of the projects below the 25th percentile were senior projects\u2014which we also found were associated with lower per-unit costs\u2014compared to 18 percent for projects above the 75th percentile.", "About 88 percent of the projects above the 75th percentile were in urban areas\u2014which we found were associated with higher per-unit costs\u2014compared to 71 percent of the projects below the 25th percentile."], "subsections": []}]}, {"section_title": "Allocating Agencies Took Steps to Manage and Verify Development Costs, but LIHTC Policies Do Not Require Detailed Cost Information", "paragraphs": ["Allocating agencies used approaches that include cost and fee limits and cost-based scoring criteria to manage project-development costs. A few agencies adopted additional measures such as detailed contractor certifications at project completion to help guard against a risk of fraud involving misrepresentation of contractor costs, but LIHTC policies do not require these enhancements."], "subsections": [{"section_title": "The 57 Allocating Agencies Managed Development Costs through Approaches That Included Cost and Credit Limits, Fee Limits, and Scoring Criteria", "paragraphs": ["As shown in table 2, the eligibility requirements and scoring systems that the 57 allocating agencies used to evaluate credit applications generally included approaches that seek to limit development costs or incentivize lower costs. For information on the approaches each of the agencies used, and in what combination, see appendix VI.", "The types and number of cost-management approaches employed by each agency varied, as illustrated in table 3. More than one-third of the agencies used all four types of cost-management approaches we identified (one or more cost limits, credit allocation limits, fee limits, and cost-based scoring criteria). In contrast, a few agencies used just one type of approach. The number of approaches used by an agency is not necessarily indicative of the effectiveness of its cost management.", "Additionally, the way that agencies implemented each type of approach varied.", "The cost-management approaches agencies identified in their QAPs and related documents were as follows.", "Cost limits. More than two-thirds of the allocating agencies (39 of 57) set limits on the total development cost for each project or set limits on the total eligible basis (or both). Total development cost is the overall cost to develop a project, whereas eligible basis typically includes costs associated with acquisition, construction and rehabilitation, and most soft costs, but excludes costs associated with land, permanent financing, and tax credit syndication. For information on cost limits for each of the 57 agencies, see appendix VI, table 32.", "Thirty-three agencies set limits on the total development cost for each project. For example, Illinois limited total costs by bedroom type, number of units, and location, based on the agency\u2019s analysis of historical cost data.", "Ten agencies set cost limits on a project\u2019s eligible basis, and their approaches to these limits varied. For example, two agencies adopted universal eligible basis limits of $250,000 per unit (Pennsylvania) and $300,000 per unit (New York City), whereas most others had multiple limits based on project characteristics such as type (new construction or rehabilitation), number of bedrooms, and location.", "Six agencies, including Georgia, applied cost limits from a HUD program that insures mortgages for rental housing for moderate- income families. According to Georgia officials, adopting the HUD limits was more cost-effective than developing cost limits based on a market analysis.", "Credit allocation limits. About two-thirds (34) of the allocating agencies had limits on the amount of LIHTCs available, generally per project or per developer, and the limits varied by type and amount. For information on credit allocation limits for each of the 57 agencies, see appendix VI, table 33.", "Twenty-nine agencies had allocation limits per project, which included dollar limits (from $500,000 to $2.5 million) and percentage limits (from 10 percent to 60 percent of an agency\u2019s total available credits per project), and two of these agencies also had a per-unit limit. For example, Illinois limited credits per project to the lesser of $1.5 million or 28,500 credits per unit. California limited credits per project to $2.5 million, and Washington limited credits to 10 percent of the agency\u2019s total available credits.", "Fourteen agencies had credit limits per developer or for the number of projects a developer can sponsor in a given year. One of these agencies also had a per-unit limit. The developer credit limits included dollar limits (from about $1.2 million to $3 million per developer) and percentage limits (from 10 percent to 25 percent of the agency\u2019s total available credits). For example, Pennsylvania limited credits to $1.2 million per developer, and Washington limited developers to 15 percent of the agency\u2019s total LIHTCs and two projects per application round. Another agency limited the number of projects (two) a developer can sponsor in a given year.", "Fee limits. Fifty-one agencies limited developer fees and 47 also limited contractor fees. The agencies\u2019 approaches to developer and contractor fee limits varied. As for other limits, 14 agencies limited fees for other project team members such as architects. For information on fee limits for each of the 57 agencies, see appendix VI, table 34.", "Twenty-seven agencies had a flat limit on developer fees based on a percentage of the total development cost (typically 15 percent, although percentages ranged from 8 percent to 20 percent), while two others had dollar caps ($13,000 and $18,000 per unit).", "Twenty-one agencies set tiered limits for developer fees based on the number of units in or cost of the project. For example, Arizona and Texas based their two- and three-tiered limits on the number of units in a project. Chicago and Illinois had tiered percentage limits based on a project\u2019s development costs.", "Twenty-five agencies had separate developer fee limits for acquisition costs, ranging from 4 percent to 15 percent, or tiered limits based on development costs.", "Fourteen agencies set dollar caps on the total fees developers could receive per project, ranging from $1 million to $3.75 million.", "Twenty-seven agencies also limited fees earned by related-party developers and contractors. For example, Pennsylvania set a related-party developer fee limit (12 percent) lower than its developer fee limit (15 percent). Illinois required related-party developers to reduce their fees by their related general contractor\u2019s profit.", "Cost-based scoring criteria. A large majority (51) of the allocating agencies used a competitive scoring process that incorporated one or more cost-based criteria to award LIHTCs. For information on cost-based scoring criteria for each of the 57 agencies, see appendix VI, table 35.", "Twenty-four agencies awarded points to projects with costs under an agency\u2019s limits. For example, Washington awarded points to projects for which the developer fee was below the agency\u2019s limit of 15 percent.", "Eighteen agencies awarded points to projects with comparatively lower costs. For example, New York City awarded points to projects with costs below the median total development cost of all submitted applications.", "Eleven agencies awarded points to applications for credit efficiency, which many of the agencies measured by the dollar amount of credits requested relative to the number of units proposed. For example, Ohio awarded a sliding scale of points to projects based on the ratio of the credits requested to the proposed number of units, with lower ratios (representing greater credit efficiency) earning more points.", "Three agencies\u2019 competitive scoring criteria included penalties for developers with poor past cost performance. For example, they awarded negative points to developers that exceeded cost limits or provided incomplete cost information for previous projects.", "In addition, 35 agencies included a cost-based criterion in their application scoring tiebreakers. For example, Arizona included a credit efficiency criterion as a tiebreaker.", "Other cost-related approaches (12 selected agencies). Through our interviews and review of documentation, we also identified several other steps that our 12 selected allocating agencies took to manage LIHTC project costs at application and during construction.", "Officials from two agencies (Georgia and Ohio) told us that their cost- reasonableness reviews included identifying high-cost outliers. For example, Ohio replaced its total development cost limit with a process for identifying and removing from consideration projects with the highest total development costs compared with other competing applications.", "Chicago and Florida officials said they required or encouraged a bid process for selecting contractors or subcontractors. Florida officials told us that competitive selection of subcontractors, rather than using related-party subcontractors, provided cost transparency and could lead to lower costs.", "Similarly, New York City officials told us that nearly all the agency\u2019s LIHTC projects received funds from a city subsidy loan program that can require competitive selection of contractors, and the agency reviewed each contractor bid for cost reasonableness.", "Illinois required third-party cost reviews of some projects as part of its cost-reasonableness review. Projects with related parties and all rehabilitation projects had to provide a construction cost breakdown completed by an independent third party. Additionally, Georgia\u2019s QAP provided discretion to the agency to require a third-party cost review as needed.", "According to officials from 11 of the 12 agencies, policies they used to discourage cost increases during construction included restrictions on change orders, such as by requiring agency approval and documenting a project\u2019s cost increases (8 agencies); requiring developers or general contractors to pay for cost increases using contingency funds, profits, or other sources of funding (10 agencies); and penalizing developers for cost increases in future application rounds (5 agencies).", "Nine of the 12 selected agencies conducted site inspections directly or by a third party to monitor construction progress, ranging from one visit to biweekly site visits. For example, New York officials said they conducted regular and unannounced site visits. Officials from the other 3 agencies said they did not conduct site visits and relied on other public funding partners, private lenders, developers, and syndicators to monitor projects during construction and in some cases, provide monitoring reports for the agency\u2019s review.", "Although officials from many of the selected allocating agencies acknowledged the importance of managing LIHTC development costs, for the most part agencies have not determined the specific cost effects of their approaches. A June 2016 report by Enterprise Community Partners recognized the complexity of assessing the cost implications of individual agency actions, while also noting that the wide range of agency approaches represented an opportunity for experimentation, innovation, and sharing of leading practices. The report recommended that as agencies establish goals and make changes to QAPs, they should regularly evaluate cost trends and outcomes. But as discussed later in the report, limitations in the cost-related data allocating agencies collect and the format in which they maintain them have hampered such evaluation."], "subsections": []}, {"section_title": "Some Allocating Agencies Have Enhanced Cost- Verification Requirements to Manage a Fraud Risk, but LIHTC Policies Do Not Require It", "paragraphs": ["While a few allocating agencies have implemented additional cost- certification controls\u2014such as contractor-level certifications\u2014to help address the risk of fraud involving misrepresentation of contractor costs, there are no LIHTC requirements to do so. Rather, allocating agencies oversee costs at project completion by reviewing final developer cost certifications. LIHTC regulations require developers of projects with more than 10 units to submit a cost certification, which includes total project costs and eligible basis, to the allocating agency and for the certification to be audited by a certified public accountant. As illustrated in figure 11, developer cost certifications do not break out specific contractor costs; rather, they aggregate contractor costs into several broad categories.", "While the extent of fraud in the LIHTC program is not known, federal legal actions involving LIHTC projects in Florida highlight the risk of unscrupulous developers, contractors, and subcontractors inflating costs and obtaining excess program resources for personal financial gain. For example, according to the Department of Justice\u2019s U.S. Attorney\u2019s Office for the Southern District of Florida:", "Several developers and contractors conspired in a contract inflation scheme affecting numerous LIHTC projects. The scheme involved submitting fraudulently inflated cost information to the allocating agency, resulting in $36 million in excess LIHTCs and federal grants. Seven individuals pled guilty and received sentences that included forfeiture of fraudulently obtained funds and for three individuals, prison time.", "In another scheme affecting four LIHTC projects, developers working with a related-party contractor and subcontractor submitted fraudulently inflated cost information to the allocating agency. Under a prosecution agreement, the subcontractor has paid $5.2 million in forfeiture and fines.", "But only a limited number of allocating agencies\u20145 of the 12 we selected and at least 4 of the remaining 45 agencies\u2014have additional cost- certification controls to help address the risk of fraud involving misrepresentation of contractor costs. These controls are outlined in the agencies\u2019 QAPs. Agencies outside of the 12 we selected for more detailed review could have requirements beyond what appears in their QAPs. However, two national accounting firms with LIHTC practices confirmed that, as of early 2018, a limited number of allocating agencies had implemented controls to address the risk of fraud involving misrepresentation of contractor costs.", "Of the 12 selected agencies, 4 required general contractor cost certifications, which provide information that can be used to corroborate costs listed in developer cost certifications (see fig. 12). More specifically, Florida and Ohio required general contractor cost certifications for all projects, and Arizona and Georgia required cost certifications only from related-party general contractors.", "In addition, California required auditors performing developer cost certifications for projects with related parties to audit to the level of the subcontractor. According to one national accounting firm, this may involve examining source documents from subcontractors (such as invoices, fee agreements, contracts, or deeds) to verify consistency with construction line items in the developer cost certification.", "Among the 45 remaining agencies, Delaware, Kentucky, Michigan, and Missouri had QAPs that required general contractor cost certifications for all projects. None of the 45 agencies\u2019 QAPs cited a requirement for cost certifications for related-party general contractors.", "Officials from a few of the 12 selected agencies and a LIHTC accounting firm told us that unrelated parties also may present a fraud risk. The LIHTC development community is small in some markets, and unrelated developers and contractors may work together repeatedly. These relationships may pose risks similar to related-party relationships by increasing opportunities to collude in misrepresenting costs.", "Requiring information beyond the developer cost certification provides greater cost transparency, which may help to deter or detect misrepresentation of costs. Federal LIHTC regulations do not require developers to provide contractor- or subcontractor-level cost information to LIHTC allocating agencies, or for auditors to verify the consistency of these costs with the developer cost certification. As a result, the regulations do not fully address the risk of fraud involving misrepresentation of contractor costs.", "Federal internal control standards state that management should consider the potential for fraud when identifying, analyzing, and responding to risks. IRS and Treasury officials told us they have not considered implementing changes to the cost-certification requirement and that neither allocating agencies nor industry groups had suggested to them that the existing regulation needed clarification. They suggested that allocating agencies could enhance the requirement at their discretion.", "In contrast, NCSHA revised its recommended practices for allocating agencies in 2017, advising that agencies should require additional cost certification due diligence for all housing credit developments. According to NCSHA, this additional due diligence may include audits of general contractors\u2014alone or with an additional review of a sampling of subcontractor invoices\u2014to verify consistency with the developer cost certification. However, NCSHA\u2019s recommended practices are voluntary and it remains to be seen how many agencies implement these enhanced measures and in what form.", "Moreover, NCSHA, a national accounting firm, some developers, and several of the selected allocating agencies told us that additional cost- certification requirements can provide more detailed cost information and help deter fraud by providing more cost transparency to allocating agencies and auditors. Two of these allocating agencies estimated that requiring general contractor cost certifications could increase project costs by about $5,000\u2013$15,000. NCSHA and two other selected agencies noted that additional cost certification requirements would not significantly increase project costs.", "Under the existing federal cost certification requirement\u2014which stops at the developer level\u2014the vulnerability of the LIHTC program to a known fraud risk is heightened, particularly in states in which allocating agencies have not implemented additional cost certification measures."], "subsections": []}]}, {"section_title": "Weaknesses in Data Quality and Federal Oversight Constrain Assessment of LIHTC Costs", "paragraphs": [], "subsections": [{"section_title": "Data Limitations Hinder Detailed Evaluation of LIHTC Development Costs", "paragraphs": ["Data limitations, including inconsistencies among allocating agencies in the collection, definition, and format of key variables, constrain analysis and oversight of LIHTC development costs. While we were able to provide a cost analysis earlier in this report, our analysis was limited to those variables we were able to consistently collect and that were similarly defined across the selected allocating agencies.", "LIHTC regulations require developers to submit cost certifications to allocating agencies and the agencies to evaluate all sources and uses of funds for each project. However, IRS does not specifically require allocating agencies to collect and report cost-related data that would facilitate programwide assessment of development costs. IRS officials said that doing so would be inconsistent with their authority and role, which is focused on taxpayer compliance rather than program evaluation. As a result, allocating agencies have flexibility in what cost-related data to collect, how to maintain these data, and how to define variables for purposes of program evaluation.", "Our tax expenditure evaluation guide suggests federal agencies assess (determine and define) what data are needed to evaluate tax expenditures. Without standardized, accessible data on LIHTC development costs, federal agencies and credit allocating agencies cannot rigorously assess the factors that drive costs, the reasonableness of costs, and the efficiency of LIHTCs in producing affordable housing. Currently, no standards exist for collecting and maintaining data related to LIHTC project costs."], "subsections": [{"section_title": "Agencies Inconsistently Collected or Defined Key Variables", "paragraphs": ["In conducting our evaluation of LIHTC development costs, we aimed to collect data that would allow us to assess costs associated with federal preferences for LIHTC developments outlined in Section 42; assess costs associated with certain allocating agency preferences, which we identified through a literature review and interviews with selected industry groups; and compare LIHTC development costs to market-rate development costs, a potentially useful step in assessing the reasonableness of project costs as required under Section 42.", "Comprehensive information about project costs and characteristics is needed to conduct such an evaluation. However, inconsistencies in allocating agencies\u2019 collection or definition of certain variables complicated our efforts to estimate statistical associations with costs, as follows.", "Developer characteristics. Allocating agencies did not maintain information on developers in a manner that readily permitted classification by for-profit or nonprofit status. We estimated the association between nonprofit status and development costs based on projects that received credits under nonprofit set-asides. A limitation of this approach is that it does not account for projects with nonprofit developers that received credits apart from the set-asides. For example, almost 80 percent of Washington\u2019s projects in our sample had a nonprofit developer, but only 32 percent received credits under the nonprofit set-aside.", "Additionally, allocating agencies maintained tax identification numbers that would allow them to assess the influence of developer experience or incumbency\u2014that is, how frequently a developer is awarded credits\u2014on costs. But this information was not part of our data set, and we found that alternative variables (such as developer name) were unreliable for purposes of conducting a similar analysis.", "Tenant type. Allocating agencies identified and defined tenant types differently, partly as a result of their specific QAP priorities. For example, New York defined 39 distinct tenant types and Texas defined 2 (family and elderly). Consequently, we could not standardize tenant types across agencies and estimate associations with development costs, other than for projects targeted to seniors, a population for which there is a specific federal definition.", "Energy efficiency. Among our 12 selected allocating agencies, only California, Florida, and Texas collected information needed to assess the influence of energy-efficiency features on project-development costs. This information generally took the form of whether a project received a Leadership in Energy and Environmental Design (LEED) certification, a component of which is energy efficiency.", "Payment of prevailing wages. Some states also may require the payment of prevailing wages (generally, the hourly wage and benefits paid to the majority of workers in a particular area). In addition, certain federal funding sources commonly used as gap financing in LIHTC projects require the payment of prevailing wages. However, the agencies in our sample did not consistently capture information on whether projects paid these wages.", "Proximity to transit or other amenities. Most of the selected allocating agencies required or awarded points to projects located near certain amenities such as grocery stores, hospitals, or public transit. However, none maintained readily accessible data indicating which completed projects had this characteristic. Therefore, to estimate statistical associations between a development\u2019s proximity to transit and development costs, we merged project address information with federal and local transit data. We were not able to estimate associations between other amenities and development costs.", "Square footage. Four of the 12 selected allocating agencies independently determined, or provided us with information we could use to calculate, the gross square footage of projects. Construction cost per gross square foot is a commonly used measure in the construction industry and useful for comparing LIHTC project costs to construction industry benchmarks. Additionally, because it encompasses the entire size of the structure, this measure relates project cost to project scale more precisely than other common measures, such as cost per unit and cost per residential square foot.", "Building type. The selected allocating agencies varied in how they defined and classified building types\u2014such as single-family, multifamily, high-rise, mid-rise, or low-rise. As previously discussed, we classified projects generally based on the number of units and number of buildings they contained because data inconsistencies precluded more precise classifications.", "Number of residential and nonresidential buildings. All of the selected allocating agencies collected data on the number of residential buildings in each project, but only five collected data on the number of nonresidential buildings. As with gross square footage, this information would allow cost assessments based on a project\u2019s entire physical footprint. Additionally, this information would allow agencies to refine per- unit cost measures by subtracting the cost of nonresidential spaces (for example, community or other common areas) from per-unit cost totals.", "Primary construction materials. The project documents we reviewed from the selected allocating agencies generally did not include data on the primary construction materials (for example, steel, concrete, brick, or wood). Including this information in data maintained on completed projects would help better explain cost variances between otherwise similar projects (for example, a 3-story building constructed with brick versus a 3-story building constructed with wood). This information is similarly useful for comparing LIHTC project costs to construction industry benchmarks.", "Number of stories per building. A few agencies, including Arizona, California, and Texas, collected data on the number of stories per building in each of their projects. As previously discussed, development costs may increase for taller structures due to design requirements. As a result, data on the number of stories would facilitate cost comparisons across similar structures and assessment of costs against construction industry benchmarks.", "Total syndication expenses. As discussed later in this report, none of the selected allocating agencies collected information on total tax credit syndication expenses. This information is necessary for understanding the cost of developing affordable-housing projects with LIHTCs."], "subsections": []}, {"section_title": "Agencies Maintained Data in Different Formats", "paragraphs": ["We also found that the 12 allocating agencies maintained cost-related LIHTC data in a variety of formats, ranging from paper records or electronic files for individual projects to electronic spreadsheets with information on multiple projects, as shown in the following examples.", "Illinois provided us with scanned copies of paper applications and cost certifications for each project.", "California provided us with a mix of scanned copies of paper and electronic applications and cost certifications for individual projects.", "Ohio provided us with a consolidated (or single) electronic spreadsheet containing line-item costs for all projects.", "This variation made it difficult to efficiently collect the data and put them in a format suitable for analyzing cost trends and drivers. To create a data set suitable for analysis, we manually entered data for 1,356 projects with paper files and consolidated data from spreadsheets using statistical software for 493 projects.", "Agencies did not collect data using standardized cost categories for analysis. As a result, we met with individual allocating agency officials to define each variable and ensure that we consistently categorized data across the agencies. Some examples of differences in how the data were defined include the following:", "New York City did not separate construction-related fees from construction costs. As a result, we were not able to compare construction costs for projects in New York City to construction costs for projects from the other 11 allocating agencies.", "Some allocating agencies\u2014for example New York\u2014did not include a line item for syndication expenses on their cost certifications. On cost certifications without a syndication line item, developers generally are expected to report those costs on the legal or partnership line item. As a result, we were unable to report information on syndication expenses incurred at the project level.", "Similarly, some allocating agencies\u2019 cost certifications combined line- item costs that others did not. For example, 11 of the selected allocating agencies required developers to separately report general contractor overhead, profit, and general requirements, while 1 (New York City) generally required developers to combine the three costs under one line item. As a result, we had to create broad cost categories and were not able to assess costs at the line-item level."], "subsections": []}, {"section_title": "Ways in Which Standardized Data Can Facilitate Agencies\u2019 Cost Assessments", "paragraphs": ["Few of the selected allocating agencies comprehensively or systematically evaluated data to determine the effect of their policies, including their cost-management approaches, on project development costs. Our analysis in the previous sections of this report highlighted ways in which allocating agencies can use and benefit from standardized data, including for project cost assessments.", "Individual allocating agencies could use data to more effectively identify cost drivers and trends over time. We have discussed how certain project characteristics were associated with higher and lower per-unit development costs. Our analysis illustrates how agency priorities and practices may influence costs, as shown in the following examples.", "Texas had the lowest median per-unit development costs among the selected agencies and tended to award credits to large garden-style apartments (low, clustered buildings).", "Georgia also had comparatively lower development costs. The agency funded the highest percentage of senior projects among the selected states (48 percent) and also funded the lowest percentage of urban projects (55 percent).", "Washington had among the lowest soft costs as a percentage of total development costs. Agency officials told us they used a consolidated application for awarding public funds\u2014including LIHTCs, state tax credits, and HOME funds\u2014that streamlines the application process for developers and reviewers and helps reduce soft costs.", "California had the highest land costs and soft costs among the selected agencies. The agency prioritized funding projects in job centers (urban areas) and completed projects used six funding sources in addition to tax credit equity, on average.", "Chicago had the highest construction costs as a percentage of development costs among the 12 selected agencies, and did not have a cap on development costs or eligible basis.", "Florida had the highest developer fees among the selected agencies.", "Our analysis showed the median developer fee in Florida was about $2.1 million for projects completed in 2011\u20132015; the next highest median fee was about $1.5 million (in New York and Texas). The agency\u2019s 2017 QAP set developer fees generally at 16 percent of development costs, one of the highest rates among the selected agencies.", "In turn, agencies that have identified their cost drivers and trends could look to the experience of other agencies for examples of relevant ways to contain costs. For example, agencies with comparatively high costs\u2014 either overall or in particular cost categories\u2014might benefit from considering the cost-management approaches of agencies with lower costs."], "subsections": []}]}, {"section_title": "Complete Data on Total Tax Credit Syndication Expenses Are Lacking", "paragraphs": ["Syndication expenses represent a significant cost of producing affordable housing with LIHTCs, but complete data on syndication partnerships generally were lacking. As shown in figure 13, syndication expenses include expenses at the upper-tier and lower-tier partnerships of a LIHTC deal. Investors pay for upper-tier expenses in the form of a syndication fee, similar to a load fee paid to a mutual fund manager. The fee covers expenses related to establishing, originating, underwriting, and closing on projects for the investment fund and is paid out of the equity investors contribute to the partnership. As a result, the fee facilitates equity investment in a fund\u2019s LIHTC projects, while also reducing the amount of the equity investment available to each project. At the lower-tier partnership level, a project developer may pay a fee to the syndicator for project-specific legal and accounting expenses. The lower-tier syndication fee is typically less than the upper-tier fee.", "In a February 2017 report on the role of LIHTC syndicators, we cited an industry stakeholder\u2019s estimate that upper-tier syndication fees for LIHTC funds were 2\u20135 percent of equity. According to a 2018 report by a national accounting firm, upper-tier syndication fees ranged from 5\u20138 percent of equity for multi-investor funds closed in recent years. For perspective, 2\u20138 percent of a $7.6 million investment (the estimated median amount for our 12-agency project sample) is $152,000\u2013$608,000. The accounting firm report also noted that the market for acquiring projects and attracting investor capital is highly competitive. As a result, syndicators may reduce or defer their fees to attract projects and investor capital.", "IRS regulations require project developers to report syndication expenses on their final cost certifications. IRS officials told us that the regulations require the reporting of all syndication expenses, including upper-tier and lower-tier fees, on the cost certification. They said the regulation helps to ensure that allocating agencies have complete information to assess the financial feasibility of projects, as required under Section 42. Additionally, written guidance for IRS examiners states that syndication costs need to be accounted for, although they are not includable in eligible basis (allowable costs for calculating tax credit awards), to ensure they have not been accumulated with other costs for a line item on the certification.", "However, our 12 selected allocating agencies did not require developers to report upper-tier syndication expenses on final cost certifications and generally did not have data on these expenses. Allocating agency officials told us that developers generally report costs directly attributable to the project (including lower-tier syndication expenses) on the cost certifications.", "In explaining their practices, allocating agency officials said they did not consider upper-tier syndication expenses to be project costs because they are not directly incurred by the developer. Some of the officials noted that developers select investors based on the net equity (gross equity minus upper-tier expenses) or net price offered in exchange for the tax credits, and therefore may not be aware of the fees investors pay syndicators. Additionally, accounting firm officials said that if upper-tier expenses were included on the cost certification, they would not be able to access or verify documentation from the upper-tier partnership when auditing cost certifications because the upper- and lower-tier partnerships are separate legal entities.", "Outside of the cost-certification process, some of the selected allocating agencies said they receive investor letters or other documentation from syndicators that disclose upper-tier syndication expenses. These letters typically state the gross and net equity amounts attributable to each project, or a gross and net credit price offered in exchange for a developer\u2019s credits. Some of the letters we reviewed also detailed the syndicator\u2019s services and related expenses in addition to gross and net equity amounts or credit prices (for example, amounts for investor fees, organizational and offering expenses, acquisition expenses, and reserves and working capital). These examples suggest that information on upper- tier syndication expenses is available and allocable to specific projects.", "The gap between IRS\u2019s expectations and allocating agencies\u2019 practices developed, in part, because IRS has not clearly communicated expectations to allocating agencies about reporting of upper-tier syndication expenses. None of the documents IRS pointed to\u2014the regulations, Technical Advice Memorandum, or Revenue Ruling previously cited\u2014draw a clear distinction between upper- and lower-tier expenses, leaving the requirement open to interpretation. The documents also do not address issues that developers, allocating agencies, and auditing firms may have in obtaining and reviewing upper-tier fees.", "Federal internal control standards state that management should externally communicate\u2014to contractors and regulators, among others\u2014 the necessary quality information to achieve the entity\u2019s objectives. Without clear communication to allocating agencies on how to report syndication costs, IRS lacks assurance that the cost-certification requirement provides the level of financial transparency and accountability it expects.", "More complete collection of data on syndication expenses also would help answer key questions in our 2013 tax expenditures evaluation guide, which provides a framework for evaluating the effectiveness of tax expenditures. Examples of questions relevant to syndication expenses include the following:", "What are the costs of the resources used to generate the tax expenditure\u2019s benefits? The costs of using syndicators cannot be known without disclosure of the upper-tier expenses for which LIHTC investors pay from their equity contributions.", "Who actually benefits from the tax expenditure? Disclosure of the fees syndicators receive would aid assessment of the benefits received by syndicators in relation to benefits received by other LIHTC program participants.", "The ability to answer these questions more fully would help Congress assess the costs, benefits, and efficiency of the LIHTC program relative to affordable housing programs that use delivery mechanisms other than tax expenditures."], "subsections": []}, {"section_title": "No Federal Agency Monitors and Assesses LIHTC Development Costs", "paragraphs": ["No federal agency monitors or assesses LIHTC development costs, which are key to evaluating the efficiency and effectiveness of the tax credit program. In a July 2015 report on federal oversight of LIHTC, we found that although IRS is the only federal agency responsible for overseeing the LIHTC program, it does not assess the performance of the program. IRS officials said the agency\u2019s role is focused on ensuring taxpayer compliance and that the agency generally does not have the authority or funding to assess the performance of tax expenditures, including LIHTC.", "Unlike for the LIHTC program, Treasury collects and reports data on the New Markets Tax Credit program, for which Treasury has a more direct administrative role. The Community Development Financial Institutions Fund within Treasury uses its Awards Management Information System and its Community Investment Impact System to collect and report detailed information on New Markets Tax Credit projects, including certain cost and project characteristics data. Treasury produces annual research reports and periodic research briefs using these data.", "Consistent with a recommendation in our July 2015 report, IRS and Treasury officials said HUD may be better equipped to determine what data should be collected to assess LIHTC performance. Although HUD is the government\u2019s lead housing agency, it currently plays a limited role in collecting and reporting data for the LIHTC program. Specifically, HUD collects and periodically reports information on LIHTC tenant characteristics as mandated by the Housing and Economic Recovery Act of 2008. In addition, since 1996, HUD voluntarily has collected LIHTC project-level data in its LIHTC database. While HUD may have the technological capacity to collect and maintain additional LIHTC data, absent additional authority, the agency does not have access to IRS taxpayer (developers and allocating agencies) data, including cost data. If HUD or another agency were given authority to collect and report on these data, it likely would need additional budgetary resources to carry out this function.", "Our tax expenditure evaluation guide outlines information Congress could consider when determining which federal agencies should manage the evaluation of tax expenditures. The guide cites statutory requirements that set the expectation that agencies should consider tax expenditures in measuring and communicating progress in achieving their missions and goals. It also states that for tax expenditures without logical connections to program agencies, Treasury may be the most appropriate agency to conduct an evaluation. Historically, IRS and Treasury (the agencies with the authority to oversee the LIHTC program) have devoted few resources to that task. And although HUD has a logical connection to LIHTC as the lead federal housing agency, it does not have oversight authority, access to key data, or existing resources to carry out additional data collection for and assessments of the LIHTC program. Without federal monitoring and assessment of LIHTC development costs, federal agencies and Congress do not have information to assess the tax credit\u2019s efficiency and effectiveness."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The LIHTC program plays an important role in addressing the housing needs of low-income renters, but some LIHTC projects have been scrutinized for high or fraudulent development costs. Our analysis provides a broad perspective on development costs across a range of allocating agencies and illustrates the types of insights than can be gained from standardized data on project costs and characteristics. These include identification of cost drivers and trends that may help target cost-management efforts.", "However, our work also identified shortcomings in program data and administration that hamper oversight and are inconsistent with federal evaluation criteria and internal control standards.", "Although the LIHTC program represents the largest source of federal assistance for developing affordable housing, Congress has not specifically designated an agency to evaluate the program\u2019s performance. Without a designated entity for collecting, maintaining, and assessing data on LIHTC project costs, federal agencies and Congress lack information needed to oversee billions of dollars in tax expenditures.", "The current IRS cost-certification requirement for LIHTC projects is limited to aggregated developer costs and does not directly address a known fraud risk. General contractor cost certifications required by some allocating agencies may help deter fraud by providing information that can be used to corroborate developer cost certifications. But because IRS does not require general contractor cost certifications for LIHTC projects, the LIHTC program may be vulnerable to fraud involving misrepresentation of costs.", "The lack of standards for collecting and maintaining data related to LIHTC project costs has resulted in inconsistent data quality and formats among allocating agencies. In the absence of a federal agency designated to collect data and assess program performance, greater standardization of cost data by allocating agencies would lay a foundation for deeper analysis of cost drivers and cost-management practices by allocating agencies and industry stakeholders. This analysis could be used to help increase the efficiency of the LIHTC program.", "IRS has not clearly communicated how allocating agencies should collect and review syndication expenses\u2014particularly, upper-tier fees\u2014to meet a regulatory requirement. As a result, information on a significant program cost is not transparent or available to conduct the types of financial assessments IRS expects allocating agencies to perform."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider designating an agency to regularly collect and maintain specified cost-related data from credit allocating agencies and periodically assess and report on LIHTC project development costs. (Matter for Congressional Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations to IRS: IRS\u2019s Associate Chief Counsel, in consultation with Treasury\u2019s Assistant Secretary for Tax Policy, should require general contractor cost certifications for LIHTC projects to verify consistency with the developer cost certification. (Recommendation 1)", "To help allocating agencies analyze development cost trends and drivers and make comparisons to other agencies, IRS's Commissioner of the Small Business/Self-Employed Division should encourage allocating agencies and other LIHTC stakeholders to collaborate on the development of more standardized cost data, considering information in this report about variation in data elements, definitions, and formats. (Recommendation 2)", "IRS\u2019s Associate Chief Counsel, in consultation with Treasury\u2019s Assistant Secretary for Tax Policy, should communicate to credit allocating agencies how to collect information on and review LIHTC syndication expenses, including upper-tier partnership expenses. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency and Third- Party Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to IRS, Treasury, and HUD for their review and comment. IRS provided written comments that are reprinted in appendix VII. Treasury and HUD did not provide comments. We also provided a draft to NCHSA for its review and comment. NCSHA provided written comments that are reprinted in appendix VIII.", "IRS disagreed with our recommendation to require general contractor cost certifications for LIHTC projects. IRS said it was not clear whether the recommendation would uncover and deter misrepresentation of contractor costs. We maintain that requiring general contractor cost certifications would help address this fraud risk by providing greater cost transparency to allocating agencies and auditors. Our report notes that a number of allocating agencies already have similar controls and that the Florida agency began requiring general contractor cost certifications in response to fraudulent contract-inflation schemes that were the subject of federal legal actions. Furthermore, NCSHA\u2019s recommended practices advise allocating agencies to implement additional cost certification due diligence for all LIHTC projects. We believe that general contractor cost certifications should be required to help ensure the efficient and effective use of federal resources programwide.", "IRS disagreed with the recommendation in our draft report to collaborate with LIHTC stakeholders to develop a framework for the collection of cost- related data. The purpose of this recommendation was to promote creation of more standardized data to help allocating agencies analyze cost trends and drivers and make comparisons to other agencies. IRS said that in the absence of specific authorization, it collects data only to the extent necessary for tax administration, and that collecting LIHTC cost data is not necessary for that purpose. IRS added that without statutory authorization or a tax administration need, any data collection would be a misuse of IRS resources. In response, we modified the recommendation in our final report to give IRS greater flexibility in promoting standardization of LIHTC cost data in ways consistent with its authority. For example, IRS could encourage development of more standardized data in its communications with LIHTC allocating agencies and stakeholders at industry meetings and conferences. Our report recognizes that IRS has not had a role in assessing the performance of tax expenditures. For this reason, our report also states Congress should consider designating an agency to regularly collect and maintain specified cost-related data from allocating agencies and assess and report on LIHTC project-development costs.", "Finally, IRS disagreed with our recommendation to communicate to allocating agencies how to collect and review information on LIHTC syndication expenses, including upper-tier partnership expenses. IRS said that existing regulations require agencies to collect and evaluate all sources and uses of project funds and that this covers syndication expenses, including upper-tier partnership expenses. IRS said to the extent that we were recommending that it revise regulations, the agency did not necessarily have the authority to mandate how allocating agencies collect syndication expense data. IRS\u2019s response suggests the reporting requirements are clear. However, as stated in our report, the 12 allocating agencies we reviewed and other LIHTC stakeholders did not share IRS\u2019s understanding of the requirement. Consequently, the allocating agencies did not require developers to report upper-tier syndication expenses and generally did not have data on the expenses. In its comments on our report, NCSHA also expressed surprise at IRS\u2019s explanation (see discussion below and app. VII). Finally, our report does not state that IRS should revise its regulations. Rather, it recommends that IRS communicate its requirement to allocating agencies. The wording of our recommendation provides IRS the flexibility to communicate the requirement in whatever way it deems appropriate. As a result, we made no changes to the recommendation.", "In its comments, NCSHA expressed concerns about our recommendation and matter for congressional consideration about collecting and analyzing LIHTC cost data. NCSHA questioned the cost-effectiveness of requiring consistent data across states and did not believe that cross-state comparisons were critical for evaluating LIHTC. For example, NCSHA said the utility of comparing Hawaii costs to Arkansas costs was not clear. NCSHA also noted LIHTC was designed to give allocating agencies flexibility, including in program design and data collection. We maintain consistent data are important for program management and oversight. While cost drivers in states differ, our report notes that at least one allocating agency has funded a study to compare development costs with neighboring states. While we understand the LIHTC program gives states flexibilities, a more standardized approach to data collection would not restrict allocating agency funding decisions or prevent agencies from collecting data they consider important. Furthermore, consistent data collection would facilitate state and federal evaluations of the cost- effectiveness of a multibillion dollar tax expenditure. NCSHA also expressed concern that Congress might require the data collection but not appropriate funds to implement the mandate. Our report acknowledges that if Congress were to grant an agency the authority to collect and report on LIHTC cost data, that agency likely would need additional budgetary resources to carry out this function.", "Regarding our recommendation on general contractor cost certifications, NCSHA noted that more allocating agencies were likely to adopt NCSHA\u2019s recommended practices and require or encourage such certifications. However, allocating agencies voluntarily adopt recommended practices, and some agencies may view a general contractor cost certification as unnecessary. NCSHA added that instances of fraud were rare in the 30-year history of LIHTC, and affected agencies had responded in each known instance. We noted in our report that under the existing federal cost certification requirement\u2014which stops at the developer level\u2014the vulnerability of the LIHTC program to misrepresentation of general contractor costs is heightened. And while known instances of fraud schemes (such as the Florida examples cited in our report) may be limited, the true extent of fraud in the program is unknown. Federal internal control standards state that management should consider the potential for fraud when identifying, analyzing, and responding to risks. Requiring general contractor cost certifications for all LIHTC projects could help address this known fraud risk and further strengthen the integrity of the program.", "Regarding our recommendation on syndication expenses, NCSHA was surprised IRS officials told us LIHTC regulations require reporting of all syndication expenses (including upper-tier expenses) on the project cost certification. NCSHA said it long understood that the cost certification must include only costs paid by the project partnership for the individual property (the developer) and that IRS never communicated otherwise. NCSHA also identified some potential difficulties with collecting and reporting information on upper-tier syndication fees. While our report discusses some similar concerns, it also provides examples of at least two allocating agencies that collect such information. NCSHA\u2019s response further supports our finding of a gap between IRS expectations and allocating agency practices for reporting syndication expenses and underscores the need for IRS to more clearly communicate its expectations on how to collect and review this information.", "Finally, NCSHA said findings from its recently commissioned study of LIHTC development costs, which had not been released as of August 2018, were generally consistent with cost analyses in our report. NCSHA said its study and other information suggest LIHTC development costs generally were consistent with overall apartment development costs and grew at a similar or slower rate. We believe broad comparisons between LIHTC and non-LIHTC development costs should be viewed with caution. As our report notes, numerous limitations in available LIHTC cost data (among other factors) make it difficult to produce methodologically sound comparisons. If implemented, our recommendations to improve collection and analysis of LIHTC data could help overcome some of these difficulties.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Treasury, the Secretary of Housing and Urban Development, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to analyze (1) development costs for Low-Income Housing Tax Credit (LIHTC) projects completed in 2011\u2013 2015 in selected locations and factors affecting these costs, (2) steps allocating agencies have taken to oversee LIHTC development costs, and (3) factors limiting assessment of LIHTC development costs.", "We selected 12 credit allocating agencies (representing 10 states and 2 cities) as the focus for key parts of our analysis discussed in more detail later in this appendix:", "Arizona Department of Housing", "California Tax Credit Allocation Committee", "Chicago Department of Planning and Development", "Florida Housing Finance Corporation", "Georgia Department of Community Affairs", "New York City Department of Housing Preservation and Development", "New York State Division of Housing and Community Renewal", "Ohio Housing Finance Agency", "Pennsylvania Housing Finance Agency", "Texas Department of Housing and Community Affairs", "Washington State Housing Finance Commission To select these agencies, we ranked all states in order of their credit ceiling amount for 2015 and selected the two highest-ranking states in each of five geographic regions (West, Southwest, Midwest, Southeast, and Northeast). We then selected for review the 12 allocating agencies within those 10 states that administered 9 percent LIHTCs. These allocating agencies accounted for 50 percent of the total 9 percent credit ceiling amount in 2015.", "To obtain general information for all of our objectives, we interviewed officials from the 12 selected allocating agencies, the Department of Housing and Urban Development (HUD), Department of the Treasury (Treasury), and Internal Revenue Service (IRS). We also interviewed representatives from 10 groups representing allocating agencies, developers, investors, syndicators, and other LIHTC interests, including Affordable Housing Investors Council; Affordable Housing Tax Credit Coalition; Recap Real Estate Advisors; Housing Partnership Network; Enterprise Community Partners; Mortgage Bankers Association; National Association of Home Builders; National Association of State and Local Equity Funds; National Council of State Housing Agencies (NCSHA); and Stewards of Affordable Housing for the Future. Additionally, we interviewed representatives of two national accounting firms\u2014 CohnReznick LLP and Novogradac & Company LLP\u2014that have LIHTC practices and have conducted research on the LIHTC program."], "subsections": [{"section_title": "Data Used in Our Analysis of Costs and Characteristics", "paragraphs": ["To analyze the development costs of LIHTC projects completed in 2011\u2013 2015 in selected locations and characteristics associated with project costs, we created and analyzed a database of costs and characteristics for the 1,849 LIHTC projects that submitted final cost certifications to the 12 selected allocating agencies in that period and for which the cost certification was available."], "subsections": [{"section_title": "Collecting LIHTC Project Data", "paragraphs": ["We first requested relevant documentation and data from the selected allocating agencies. Specifically, we requested the final cost certification for all projects that received 9 percent LIHTCs and were submitted in 2011\u20132015. We also included projects for which the selected allocating agencies initially reserved a tax credit allocation but exchanged the allocation for American Recovery and Reinvestment Act of 2009 funds.", "In addition to cost certifications, we also requested documentation and data that described project characteristics associated with project costs. We determined relevant characteristics to collect through a review of existing housing-agency-sponsored literature on LIHTC project costs. We identified existing literature through a literature search, and we confirmed the completeness of the literature with selected industry groups. The project characteristics we collected from the selected allocating agencies included the following:", "Address (street, city, state, and zip code)", "Construction type (new construction or rehabilitation)", "Income limits for low-income units", "Number of buildings (residential and non-residential)", "Number of units (low-income, market-rate, and employee-occupied)", "Square footage (gross and residential)", "Structural features (the presence of an elevator, green building certifications, and parking structures)", "Net tax credit price", "Tenant type (senior or nonsenior)", "Unit sizes (number of bedrooms)", "Year of completion (year final cost certification signed)", "We used manual data entry and a statistical program to input the project costs and characteristics into individual databases we created for each selected allocating agency. We verified the accuracy of the manual data entries by having a second analyst review the entries of the first analyst. Additionally, a second analyst reviewed the statistical programs we created and a sample of the databases they created to verify their accuracy. After compiling the 12 databases, we compared our list of projects against HUD\u2019s LIHTC database to verify the completeness of our sample. For projects that we determined had been omitted, we requested their documentation and data from the relevant allocating agency, which we then manually entered into our databases and verified in the manner previously described."], "subsections": []}, {"section_title": "Consolidating LIHTC Project Data", "paragraphs": ["To perform analyses across all sampled projects, we consolidated the 12 allocating agency databases into one sample-level database. We first interviewed each of the selected allocating agencies to define data elements\u2014including how to treat missing data\u2014and determine the comparability of the data they provided. We also requested additional documentation and data, such as missing project addresses and data elements we identified after our initial data request. Additionally, we interviewed a national accounting firm that specializes in LIHTC cost certifications to further define cost data and learn more about their comparability across allocating agencies.", "We then categorized project costs into aggregated categories. Line items in cost certifications were not comparable across all selected allocating agencies due to differences in how data were reported. For example, market study costs were listed separately on some cost certifications but aggregated with appraisal costs on others. To improve the comparability of cost data across allocating agencies, we developed and implemented a plan to categorize and consolidate cost data using a statistical program. We developed the plan by reviewing the overlap between the line-item costs we collected. We also reviewed a study of multiple allocating agencies that was conducted by an accounting firm specializing in LIHTC cost certifications and which used a similar methodology to consolidate costs. Based on our plan, we categorized costs into three hard-cost and four soft-cost categories:", "Construction: Costs related to the direct physical development of the project site and structures. These include change orders; construction trade material and labor (such as electrical, masonry, or roofing); contingencies; demolition; environmental remediation; furniture, fixtures, and equipment; landscaping and fencing; off- site and on-site improvements; other property assets (such as maintenance, office, or playground equipment); prevailing wages; site security (if listed separately from contractor fees); tenant relocation; and utilities during construction.", "Existing structures: The purchased or appraised value of acquired structures.", "Land: The purchased or appraised value of acquired or leased land.", "Architect and engineer fees: Fees for architectural design and supervision and engineer services.", "Contractor fees: Contractor general requirements, overhead, and profit.", "Developer fees: Developer overhead and profit.", "Other soft costs: Costs related to financing, tax credit partnership and syndication, predevelopment, professional services, and other indirect construction activities, as shown in the following examples. These include accounting; agency fees (such as application, reservation, allocation, extension, compliance monitoring, and waivers fees); appraisals; broker fees and closing costs; capital needs assessments; certifications; construction-management fees; project supervision or monitoring; consultant fees; credit reports; environmental reports (such as asbestos and lead-paint tests); green building and energy efficiency design services; impact and utility connection fees; inspections; insurance (such as builders risk, general liability, hazard, and title insurance); surveys; legal fees; loan fees and interest (such as for predevelopment loans, construction loans, bridge loans, and permanent loans); market studies; payment or performance bonds; permits and other local fees; real estate taxes (during construction); soil borings and tests; and title searches and recording.", "We also collected each project\u2019s total development cost and eligible basis from the cost certification. To isolate development costs, we subtracted from each project\u2019s total development cost all costs associated with prefunded reserves and postconstruction activities, such as marketing and rent-up period operating expenses.", "We also developed and implemented a plan to consolidate project characteristics data into the sample-level database using a statistical program. We interviewed officials and reviewed documentation from selected allocating agencies about data definitions to determine the comparability of the characteristics data we collected. We then recoded comparable data elements using a standard coding system across all 12 allocating agencies. We conducted verification checks on the programs we created and the final database.", "To assess the reliability of the project data, we tested each data field for missing values, obvious errors, and outliers\u2014for example, whether per- unit costs were more than two standard deviations from an allocating agency\u2019s average. We communicated some outliers and inconsistencies to relevant allocating agency officials and made corrections to the database as necessary. We concluded that the data were sufficiently reliable for purposes of comparing LIHTC development costs within and across allocating agencies and for examining development cost drivers and trends. As an additional test, we compared summary statistics from applicable data elements in our database to comparable data elements in HUD\u2019s LIHTC database. We found that our data elements did not differ in significant ways from HUD\u2019s."], "subsections": []}, {"section_title": "Incorporating Location Data from Secondary Sources", "paragraphs": ["We then merged several additional location characteristics into our database from federal and public statistical sources. We first validated project addresses and then used them to determine the census tract for each project. We then used census tracts to incorporate data from the American Community Survey, including census tract size and population (which we used to calculate population density), median home value, poverty rate, and unemployment rate.", "Using the census tract, we also identified the Rural-Urban Commuting Area codes classification for each project, which we recoded to categorize each project as rural, suburban, or urban. We also identified whether each project was located in a qualified census tract or difficult development area using the 2017 HUD lists. Lastly, we used geographic information system software and the Department of Transportation\u2019s Fixed-Guideway Transit Network database to identify the distance from each project to the nearest transit station (train and bus rapid transit stations).", "Before conducting our analyses, we prepared data analysis plans and interviewed selected representatives from industry groups and researchers to inform our efforts. We also clarified data interpretations and limitations with officials from the selected allocating agencies on an as-needed basis."], "subsections": []}]}, {"section_title": "Costs and Characteristics of LIHTC Projects", "paragraphs": ["To describe the costs and characteristics of LIHTC projects, we calculated and compared summary statistics for relevant database elements. To account for inflation, we converted all costs to 2015 dollars using the calendar-year, chain-weighted Gross Domestic Product price index. We also normalized costs by dividing the total development cost by the number of units. We then calculated and compared summary statistics for key categories, such as the number and median per-unit cost of new construction projects, and subcategories, such as the number and median per-unit cost of new construction projects in urban areas. We also repeated these analyses for each selected allocating agency.", "To compare the cost of Chicago\u2019s and New York City\u2019s projects to other urban locations, we calculated and compared their median per-unit costs to costs in five other cities within our 12-agency sample that had comparable populations and densities. Using 2010 Census data, we selected the five densest cities (people per square mile) with populations of 300,000 or more, population densities of 5,000 or more people per square mile, and 10 or more new construction projects completed in 2010\u20132015. They were Los Angeles, Miami, Philadelphia, San Francisco, and Seattle. To identify all projects within the five selected cities, we matched the three-digit zip code prefixes associated with their U.S Postal Service area (known as a sectional center facility) to the zip codes for sampled projects.", "To determine the composition of project costs in terms of hard and soft costs, we compared the sum of all hard costs and the sum of all soft costs to the sum of all total development costs by construction type. Hard costs included existing structures, land, and construction costs; soft costs included architect and engineer fees, contractor fees, developer fees, and other costs. We also compared the cost categories (such as construction costs) using the same approach as for hard and soft costs. We then repeated these steps for each selected allocating agency.", "We also reviewed how LIHTC equity investments differed by construction type. We first calculated the equity investment for each project by multiplying the LIHTC allocation by the net credit price (both adjusted to 2015 dollars). We then calculated and compared the median per-unit equity investment and the percentage of the median per-unit total development cost that it comprised for new construction and rehabilitation projects.", "To determine how total development costs changed over time, we calculated and compared the median per-unit cost for each year by construction type. We then repeated these steps for each allocating agency to determine how their costs changed over time. We also repeated the sample-level analysis over time excluding California\u2019s projects from the new construction pool and New York City\u2019s projects from the rehabilitation pool because, in both cases, their costs were among the highest, changed sharply in some years, and represented roughly one-fifth of all new construction and rehabilitation projects, respectively.", "To determine how LIHTC construction costs changed over time relative to a federal index of construction costs, we calculated and compared the annual rates of change in the median per-unit cost of construction and contractor fees for sampled new construction projects to the rates of change in the annual averages for the Bureau of Labor Statistics\u2019 Producer Price Index by Commodity for Final Demand: Construction. This index tracks monthly price changes for construction materials, labor, equipment, and contractor fees. To account for the delay between when construction costs were incurred and projects completed, we compared the annual rates of change for the LIHTC projects to the annual rates of change in the average index value from the prior year. We also used the prior-year rate of change to generate a projection of LIHTC construction costs to determine how the sample trend differed from the index trend. For example, we calculated the projected cost in 2012 by inflating the actual cost in 2011 by the change in the average index value in 2010\u2013 2011.", "To determine the association between the project characteristics we collected and per-unit development cost, we developed a statistical model and used ordinary least squares regression to estimate the controlled effect of specified characteristics on per-unit cost. For more detail on our statistical model and results, see appendix II. To further describe how project characteristics may have influenced costs, we calculated and compared summary statistics for the model characteristics among new construction projects below the 25th percentile or above the 75th percentile for per-unit cost within each allocating agency."], "subsections": []}, {"section_title": "Steps Taken to Assess Allocating Agencies\u2019 Oversight of LIHTC Development Costs", "paragraphs": ["To analyze steps allocating agencies have taken to oversee LIHTC development costs, we reviewed the Qualified Allocation Plans (QAP) and related documents (for example, policy manuals) for all 57 allocating agencies as of 2017. These agencies included all 50 states, the District of Columbia, the 4 U.S. territories that received a LIHTC allocation in 2017 (Guam, Northern Mariana Islands, Puerto Rico, and U.S. Virgin Islands), and the Cities of Chicago and New York. We conducted a structured analysis of the QAPs and related documents to gather information about agencies\u2019 policies and practices for managing and verifying project-development costs. We defined \u201ccost management\u201d as practices allocating agencies used to contain or limit development costs and fees, such as cost limits, credit allocation limits, fee limits, and cost- based scoring criteria. We defined \u201ccost verification\u201d as practices the agencies used to confirm the accuracy of project costs following construction\u2014that is, whether the amount paid equaled the amount billed.", "To obtain supplementary information on allocating agency approaches to cost management, we interviewed officials and reviewed additional documentation from the 12 selected allocating agencies, identified previously. Through this work, we identified a number of other steps those agencies took to limit LIHTC development costs. While the results of our supplementary work cannot be generalized to all allocating agencies, they provide additional insight into the cost-management approaches and cost-verification requirements of a diverse group of allocating agencies. For further context on cost-management approaches, we reviewed GAO and industry reports that analyzed allocating agency QAPs from prior years.", "We also interviewed federal officials to obtain information about relevant LIHTC requirements and cost-management practices used in other federal programs that support development of affordable multifamily housing. Specifically, we spoke with IRS and Treasury officials about LIHTC cost-verification requirements and the approaches of allocating agencies to cost management. In addition, we interviewed HUD officials to identify cost-verification practices used in the HOME Investment Partnerships Program and the Federal Housing Administration\u2019s Multifamily Mortgage Insurance programs. To obtain additional information about allocating agency practices and the cost-certification process, we interviewed representatives of NCSHA, CohnReznick LLP, and Novogradac & Company LLP."], "subsections": []}, {"section_title": "Steps Taken to Evaluate Factors Limiting Assessment of LIHTC Development Costs", "paragraphs": ["To analyze factors limiting assessment of LIHTC development costs, we assessed the data we collected from the 12 allocating agencies. We identified and documented the consistency in cost-related variables agencies collected in several key documents and data sources, and how they defined the variables. We documented the formats in which agencies provided and maintained the data we requested and steps we took to standardize and combine data. We compared the variables the agencies collected against federal tax credit allocation priorities outlined in Section 42 of the Internal Revenue Code (Section 42), as well as certain allocating agency priorities. In addition, we reviewed an off-the- shelf software package for cost-estimation to determine what project characteristics were required to calculate estimates with the software, and evaluated the extent to which the selected agencies collected these characteristics.", "We also reviewed Section 42 and related regulations to ascertain requirements for reporting syndication expenses to allocating agencies and IRS, and interviewed IRS and Treasury officials about these requirements. We interviewed the selected allocating agencies about their practices for collecting and reviewing syndication expense information. We also interviewed CohnReznick LLP and Novogradac & Company LLP about the different fees syndicators charge to investors and developers, and the extent to which these fees are reported to allocating agencies. Finally, we reviewed our prior work on federal oversight of the LIHTC and other tax credit programs.", "We conducted this performance audit from May 2015 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Description of Our Statistical Model to Examine Factors Associated with Development Costs for Low-Income Housing Tax Credit Projects", "paragraphs": ["This appendix provides an overview of our statistical analysis of factors associated with the cost of producing affordable rental housing supported by the Low-Income Housing Tax Credit (LIHTC). We developed a regression model that explains the costs based on a number of project characteristics and other factors. As described in appendix I, we developed a data set based primarily on information from 12 selected allocating agencies. The data set contains detailed information on 1,849 LIHTC projects with final cost certifications signed in 2011\u20132015 and provides broad geographic coverage, including urban, suburban, and rural locations. whether a project was located in a qualified census tract or a difficult development area.", "We augmented these data with information from the American Community Survey and from USDA to enable us to control for certain neighborhood characteristics that may be associated with the cost of developing and constructing LIHTC projects."], "subsections": [{"section_title": "Key Characteristics of the Projects", "paragraphs": ["Table 4 below provides an overview of project costs and some key attributes of projects in our sample and highlights the variation across the allocating agencies. The average total cost per unit in our data set is about $220,000 (in 2015 dollars). The average total cost per unit was greater than $300,000 in California and Chicago and less than $150,000 in Georgia and Texas. Construction costs were greater than or approaching $200,000 in Chicago and New York City and less than $100,000 in Georgia and Texas. Project scale varied across the agencies, reflecting differences in built environments, property costs, and other factors and averaged 66 units and 7.5 buildings.", "The cost of land and existing structures can be a large component of project development costs. Land costs can scale with project size (an apartment complex of 12 buildings could require twice as much land as a complex of 6 buildings) as well as with underlying market land values. The median land value across all projects was about $400,000, and was more than $1,000,000 in California and Florida. But the median land cost in New York City was about $1, suggesting that land and structures were donated. Given the market values of New York City real estate, total development costs for some New York City projects are likely to be understated when compared to projects in other jurisdictions."], "subsections": []}, {"section_title": "Variable Definitions", "paragraphs": [], "subsections": [{"section_title": "Variables Describing Project Characteristics", "paragraphs": ["The data set includes detailed information on program characteristics (discussed previously) that we used to define explanatory variables. We included the size of projects as defined by total units and placed them in four size categories (fewer than 37 units, 37\u201350 units, 51\u2013100 units, and more than 100 units).", "To develop a project-type categorization, we incorporated information on the number of residential buildings. Projects can come in many combinations of building count and building size (number of units). For instance, a 60-unit project could be a single 60-unit building, 10 6-unit buildings, or 30 2-unit buildings. We distinguished projects in which the average building size had at least 60 units (\u201clarger buildings\u201d category) and projects with at least 20 buildings (\u201cmany buildings\u201d category). We placed all remaining projects in a large residual category. This category is somewhat independent of size and primarily is meant to distinguish among types of projects that might require specialized construction or project-management skills.", "We also created variables to provide information on the distribution of units by number of bedrooms within each project. Bigger units, those with more bedrooms, are more costly to build. We created three unit size categories: 0-1 bedroom, 2 bedrooms, and 3 or more bedrooms. We defined the values as shares of total units in the category. For example, if a given project had 80 units, 20 of which had 1 bedroom, 40 of which had 2 bedrooms, and 20 of which had 3 bedrooms, the values for these variables would be 0.25, 0.5, and 0.25 respectively. The values sum to 1 across the categories.", "We used binary variables to indicate if projects were new construction or rehabilitation. New construction is generally thought to be more expensive than rehabilitation on average, given site work and possible demolition requirements. We also developed variables to indicate if a project was targeted to seniors and if it served low-income tenants exclusively or a mix of low-income and other tenants.", "We used two variables (yes or no binaries) to indicate if a project was in a qualified census tract or difficult development area. Within the LIHTC program, the size of the credit awarded for a given project may be increased if the project is located in such areas.", "We also used information on other project characteristics that would affect costs, which we obtained for some, but not all, allocating agencies. For instance, for two agencies we could indicate that the project included parking structures (as opposed to a surface parking lot or stand-alone garage or carports), and for three agencies, that projects were built according to Leadership in Energy and Environmental Design (LEED) standards."], "subsections": []}, {"section_title": "Variables Describing Project Financial Support and Developer Type", "paragraphs": [], "subsections": []}, {"section_title": "Variables from Other Sources to Control for Neighborhood and Geography", "paragraphs": ["A broad set of factors related to local conditions, as well as conditions such as whether project locations are rural or urban, likely influence the costs of developing and building projects. Thus, we also used codes developed by USDA (the Rural-Urban Commuting Area codes) to place each project into rural, suburban, or urban categories. because a given dollar amount of rent represents access to different housing quality in different places. That is, neighborhoods in which rents are high or low may share common characteristics across the country.", "We also used a series of allocating agency dummy variables and a series of project year dummy variables to control for otherwise unmeasured factors that may be common across projects or conditions in each agency jurisdiction or year, respectively."], "subsections": []}, {"section_title": "Information on Omitted Categories for Categorical Variables", "paragraphs": ["Many of the explanatory variables in the model are categorical variables, and thus the coefficient estimates presented in the tables in this appendix need to be interpreted in terms of differences from an omitted category. The omitted categories are for project scale, projects with fewer than 37 units; for project type, all projects in which there are fewer than 60 units per building and fewer than 20 residential buildings; for unit size, the 2-bedroom group; for age of housing stock, median year built between 1945 and 1994; for contract rent, neighborhoods in which the median contract rent is between the 25th percentile and median values of the state-wide contract rent; and for geographic area, suburban.", "Some allocating agencies did not have complete information about whether other program funding, such as funding from Rural Development or ARRA programs, were used for projects. Conceptually, these variables are yes or no binaries. One approach is to add an \u201cunknown\u201d category in addition to the usual yes or no binary. That is, the categorization becomes \u201cknown yes,\u201d \u201cknown no,\u201d and \u201cunknown.\u201d An alternative approach is to treat missing information as the absence of the characteristic of interest. Using the three-category approach generally yielded virtually identical results to the alternative in which \u201cmissing\u201d information was treated as the absence of the characteristic.", "In general, we used a traditional binary structure. In one case, we kept the three-category structure. Specifically, we created a measure across agencies as to whether projects were targeted solely to low-income tenants or to a mix of low-income and other tenants. In many cases and across many agencies, we were not able to reliably make this determination using information in the data set. For estimation purposes, we included the unknown and known low-income category binary variables and omitted the known mixed-income category. The interpretation of the known low-income category is still the difference from the known mixed-income category. Other variables are binary, indicating the presence of the characteristic (such as if the project used a Rural Development loan or not, or was in a qualified census tract or not)."], "subsections": []}]}, {"section_title": "Regression Strategy", "paragraphs": ["Following Cummings and DiPasquale, we estimated a regression model to explain total development costs per unit\u2014and alternatively, measures of construction costs and soft costs separately\u2014as depending on these project and neighborhood characteristics. We developed a base case model including the variables discussed previously and estimated this model using all 1,849 observations. The pooled sample, because it provides a broad range of conditions and policy responses, can permit a similarly broad view of the influences on LIHTC project costs.", "At the same time, we wanted to have some idea about how sensitive broad, overall results were to the influence of conditions and policy responses of particular jurisdictions. (We would expect housing market conditions and housing policy responses to differ across agencies.) Thus, we also present the same model estimated on three different subsamples in which the projects of particular allocating agencies were excluded. The pooled sample and subsample results are shown in table 5 later in this appendix.", "Specifically, we present results on samples excluding projects in California, New York City, and Texas in turn.", "California had the highest average total cost, highest (observed) land costs, and biggest program in terms of allocation of tax credits and units placed in service.", "New York City is a completely urban jurisdiction. About 75 percent of its projects were rehabilitation projects (compared to about one-third for the entire sample). More than half of its projects were in neighborhoods in which the median year housing stock was built was 1945 or before (compared to about 15 percent for the entire sample).", "Texas had the lowest total cost and lowest construction costs and soft costs per unit, with many large, multibuilding projects that may be impractical in some other contexts. It was second to California in allocation of tax credits and units built.", "Housing conditions in the three jurisdictions and policy options favored by these jurisdictions may not represent conditions and policy options easily available or desirable in other jurisdictions.", "We also present estimates explaining construction costs per unit and soft costs per unit as alternatives to total costs. The construction cost measure includes costs for site and structure work and fees paid to the building contractor. We defined a broad soft cost measure to include predevelopment costs, financing costs, legal fees, architect and engineer fees, developer fees, and project-level partnership and syndication fees. Some factors may be more associated with the construction-cost component and less associated with the soft cost project-development component, or vice versa. These results are shown in table 6."], "subsections": [{"section_title": "Sensitivity Analysis", "paragraphs": ["We also present results using the pooled sample set for three variations of the base specification. The first variation omitted the property value variable. Property values vary within states and metropolitan areas, as well as across the states. We examined the extent the presence of this control affected the influence of other factors. The second variation omitted variables related to neighborhood characteristics. The third variation omitted the variables related to other types of housing support (for example, HOME funds). These results are shown in table 7. received final cost certifications in 2011 and 2012. In table 9 we present results concerning possible cost-related features (parking structures, LEED certification, and developer type) for specific agencies and a subset of projects.", "We addressed whether our estimates were sensitive to the possibility that observed values for total cost might be artificially low when land or structures were acquired at very low or zero cost. We restricted projects to those in which land and structure costs accounted for at least 1 percent of total development costs and estimated our model on this subsample using both total costs and construction costs as dependent variables. We present our results in table 10.", "We examined whether the results were sensitive to the form in which some credits were granted in New York City. That is, credits awarded in New York City to many single-building projects appeared to be part of larger neighborhood clusters under common development. In an alternative version, we aggregate project-level information to the level of multibuilding project clusters. We present the results in table 11.", "Finally, we looked at whether proximity to transit affected project costs. Some allocating agencies may offer incentives for transit-oriented developments\u2014or projects within certain proximity to public transit. These areas may have higher land and construction costs due to higher density and demand within urban environments. Using projects within 2 miles of a transit station and various distance ranges, we estimated the association with per-unit total and construction costs. We present the results in table 12."], "subsections": []}, {"section_title": "Regression Specification", "paragraphs": ["We used ordinary least squares estimation with heteroscedasticity consistent standard errors. This model allowed us to make statements concerning the association of explanatory factors on project costs, given that other explanatory factors were held constant. As is the case in such models, we generally only can discuss associations between explanatory factors and the cost measure to be explained, and not causality. For example, the use of other sources of government funding may have directly increased construction costs, as fund usage can trigger federal prevailing wage requirements. On the other hand, these other funding sources may have been used in addition to LIHTC equity to fill funding gaps for projects with particularly high costs. Additionally, econometric estimates can be sensitive to model specification, variable definitions, and the omission of variables (for example, due to unavailable data) relevant to the outcome of interest.", "Because the data used to estimate the model include only LIHTC projects that were placed in service, we cannot make statements about how the costs of developing these projects may compare to other potential LIHTC projects or to projects developed and financed by the private sector. It is probably true that allocating agencies could have selected lower-cost (or higher-cost) projects compared to those actually selected, but whether or not this counterfactual housing would have better served the low-income population is a different question."], "subsections": []}]}, {"section_title": "Estimation Results", "paragraphs": ["Our results are presented in tables 5 through 12. Our estimates include allocating agency and project year dummy variables, which are not presented in the tables. The allocating agency dummy variables are agency-specific intercept shifts, given the estimation of common slopes, and largely pick up unexplained deviations from the pooled average costs. The project year dummy variables were estimated to be small and only rarely statistically significant. We also estimated a version in which each agency and project year combination had its own intercept shift, but these results were quite similar. The dependent variable in most cases is total development cost per unit, adjusted for inflation."], "subsections": [{"section_title": "Base Case Results and Sensitivity to Included Allocating Agencies", "paragraphs": ["level. Without California in the sample, per-units costs in the \u201cmany buildings\u201d projects indicator were estimated to be more than $10,000 higher than more typical projects, controlling for other characteristics. This amount was estimated to be much smaller and statistically insignificant with California observations. The share of 3-bedroom units was associated with higher cost per unit and was not particularly sensitive to the sample, although the degree to which a higher share of smaller units led to reduced cost per unit was less clear. Costs to develop senior projects were modestly lower, but estimates and statistical significance were sensitive to the agencies included.", "Projects targeted exclusively to low-income households (most projects) were estimated to be more costly to develop than mixed-income projects. These results were quite sensitive to the presence of projects approved by the New York City allocating agency. More than 40 percent of the mixed-income projects in the entire sample were in New York City. Many of New York City\u2019s mixed-income projects had donated land and might not be comparable from a cost perspective to mixed-income projects in other locations. When we excluded New York City projects, our estimates showed no statistically significant difference in per unit costs for low- and mixed-income projects.", "Notably, Rural Development loans were associated with sizeable effects on costs (costs were lower). This may be partly due to the types of projects supported by Rural Development loans, such as farm labor housing (which may lack some amenities that can increase costs) and program limits on costs per unit. Projects supported by HOME and CDBG funds were estimated to be more costly to develop, although these differences were not generally statistically significant. The effect of HOPE VI financial support was estimated to be large and statistically significant, but only about 1 percent of projects in the sample were supported with this program. The projects that received financial support from this source might be idiosyncratic, or could include other unobserved characteristics that influence costs. For example, tenant relocation requirements for HOPE VI projects may have contributed to the higher per-unit costs. $15,000. Projects in neighborhoods with low rents (relative to the state distribution) were estimated to be less costly, typically in the range of $20,000\u2013$30,000 per unit. Costs in neighborhoods with higher rents were estimated to be modestly higher, but rarely significant. Older neighborhoods were associated with higher costs per unit, while newer neighborhoods were associated with lower costs per unit, as compared to projects in neighborhoods in which the median year built was between 1945 and 1994 (and controlling for other characteristics). In the pooled sample, estimated magnitudes were about $18,000 higher in older neighborhoods and about $17,000 lower in newer neighborhoods."], "subsections": []}, {"section_title": "Examining Construction and Soft Cost Components", "paragraphs": ["Table 6 shows that many of the same factors affected total costs, construction costs, and soft costs similarly. For instance, all costs scaled with project size and new construction, and many of the neighborhood effects remained significant. A higher share of 3-bedroom units was associated with higher costs in all cost categories. \u201cLarger buildings\u201d projects had higher total costs and construction costs, but modestly negative and insignificant soft costs. The latter result is consistent with the idea that soft costs scale with the number of units, but not with the size or number of buildings in a project.", "Projects with Rural Development loans were associated with lower construction and soft costs. For construction costs, the result is consistent with the loans being able to be used for projects characterized by lower- than-average costs of construction. Soft costs may be affected more directly to the extent that Rural Development loans provide a key source of funding that may reduce the difficulty of other project financing efforts. The HOME indicator was associated with modestly significant higher construction and soft costs. Slightly more than one-third of projects across all allocating agencies received HOME funds.", "Finally, the lower costs associated with senior projects were more statistically significant for soft costs than total costs or construction costs."], "subsections": []}, {"section_title": "Sensitivity to Specification", "paragraphs": ["In table 7, we present model variations that exclude, in turn, particular portions of the base case explanation. Other remaining factors, including those associated with the LIHTC program, may be sensitive to the omitted factors. For instance, the estimated effect of a Rural Development loan may be sensitive to the presence of a rural control variable, or the estimated effect of a location in a qualified census tract may be sensitive to other indicators of neighborhood characteristics.", "Because the value of land influences the total cost of housing development, we first excluded the home value variable (a measure of variation in property values within and across allocating agency jurisdictions). Estimates of the effect of other neighborhood measures, such as housing stock age and rent quartiles, changed in the absence of the property value measure. The age of housing stock variables were highly significant with and without the inclusion of the property value measure. In the model with the property value measure included, the difference between the estimated cost in an older neighborhood and the estimated cost in a newer neighborhood is about $35,000. That is, the estimated cost in an older neighborhood was about $18,000 more and the estimated cost in a newer neighborhood was about $17,000 less than the estimated cost in in a neighborhood in which the median year built was between 1945 and 1994. In the model with the property value measure excluded, this difference increased to about $50,000, which may reflect the underlying correlation of age of neighborhood and property value that we observe in our data set. For projects in locations in the upper half of the state contract rent distribution, the estimate became much larger and statistically significant at the 1 percent level. poverty rate measure became much smaller, decreasing from about 390 to about 125, and insignificant. In the sample, the 25th percentile poverty rate was about 14 percent, and the 75th percentile value about 37 percent. In the base case, an increase of 23 percentage points represented an increase in total costs per unit of about $9,000, but in the specification without the measure of property value the estimate was about $2,900 (controlling for other characteristics in both specifications). The overall fit, expressed as adjusted R-squared, was reduced from 0.648 to 0.618 in the absence of the property value measure.", "Compared to the base case, most results were not particularly sensitive to the absence of the neighborhood variables (housing stock age, rent quartiles, and poverty rate). However, the qualified census tract variable became larger (from about $7,000 to about $18,000) and statistically significant in the absence of the neighborhood variables. The property value effect also became somewhat larger, suggesting that costs increased by about $41,000 per unit, compared to $33,000 in the base case, given a change in property value from the first to the third quartile and controlling for other characteristics. The overall fit worsened from 0.648 to 0.627.", "The omission of the other housing program support variables had very little effect, which is not that surprising given the lack of large effects other than the presence of Rural Development loans. The overall fit, expressed as adjusted R-squared, was reduced from 0.648 to 0.641."], "subsections": []}, {"section_title": "Examining Effects of the American Recovery and Reinvestment Act of 2009", "paragraphs": ["Activities funded through nonrefundable tax credits require the entities claiming the credit to have (or expect to have) sufficient federal income tax liability to make the credit desirable. During the 2007\u20132009 recession, some investors in tax credit-related activities saw reductions in their tax liability. ARRA created the possibility that low-income housing projects could be supported by federal grants that allocating agencies would allocate in much the same manner as they allocated tax credits.", "Of all LIHTC projects receiving some ARRA support, more than 90 percent had final costs certified in 2011 and 2012. Thus, we examined the effects of ARRA, expressed as a binary indicator of participation, using the same model but with projects restricted to those that were certified in 2011 and 2012. That is, we believe this was the time period for which ARRA was likely to be most relevant and thus any effects likely to be most pronounced. About one-half of the projects in our data for project years 2011 and 2012 received some ARRA support.", "We present results for total costs, construction costs, and soft costs separately, the motivation being that grant funding may reduce the costs of project finance and syndication relative to the traditional credit-based context (see table 8). Construction costs might be expected to be less directly affected by a change in the project finance regime.", "In general, the overall results are similar to those presented in table 6. The ARRA indicator is negative and significant in the total and soft cost versions, and negative but insignificant in the construction cost context. The ARRA coefficient was estimated to reduce soft costs by a little more than $4,000 per unit, holding other factors constant. For context, the average soft cost per unit during this time period was about $53,000."], "subsections": []}, {"section_title": "Examining Effects of Variables Not Available for All Allocating Agencies", "paragraphs": ["nonprofit developers do not expect to earn a return on investment, so they may be able to develop projects at lower cost. Nonprofit and for- profit developers also may select different kinds of projects, so it is possible that nonprofit developers more often pick projects that are more costly in observable and unobservable characteristics.", "Table 9 provides the results of total cost models estimated using the relevant allocating agency subsamples. In both the parking structure and LEED models, we included categories for missing information. The omitted category is the known absence of parking or LEED construction, respectively. Both of these subsamples were heavily weighted by California projects.", "The estimated effect of parking structures was quite large and statistically significant at the 1 percent level. Regardless of the true magnitude of the effect, projects in which parking structures were included clearly were likely to cost more. It is unlikely that all projects envision tenants with cars. For those that do, a surface parking option often may be feasible, but when it is not, project costs will be larger.", "LEED certification was associated with costs of about $19,000 more per unit than other projects, holding other factors constant. LEED projects represent about 18 percent of projects in which LEED status was clearly known. Most LEED projects were new construction, and only about 5 percent of the rehabilitation projects with known LEED status were built to LEED standards.", "Nonprofit set-aside provisions were associated with an increase in total cost per unit of about $15,000, controlling for other characteristics. Nonprofit set-aside projects had different characteristics from those of projects developed without nonprofit set-asides. For instance, nonprofit set-aside projects typically were smaller, more likely to be in older neighborhoods, less likely to be in low-rent neighborhoods, and less likely to receive Rural Development loans\u2014characteristics we estimated to be associated with increases in total cost per unit. When we estimated the model shown in table 9, but without the set-aside indicator, and multiplied the coefficients by mean values of the explanatory variables calculated separately for each group, we calculated that per-unit costs for projects developed without the set-aside are about $220,000 and the estimated cost for projects developed with the set-aside are about $250,000. As shown in table 9, the fact that we estimated an increase in total cost per unit even while controlling for other factors suggests that unobserved factors may be important. For instance, as mentioned in the body of this report, nonprofit organizations may focus more on populations that are more costly to serve, such as special-needs tenants who may require additional or enhanced facilities."], "subsections": []}, {"section_title": "Examining Effects of Donated Land or Property", "paragraphs": ["estimations, the fits improved, providing some evidence that the excluded observations introduced some noise to the estimation.", "In table 11, we examined the effect of aggregating certain projects in New York City. In principle, observations in a regression should be independent from one another. When individual building-level observations appear to be parts of larger projects under common development, this condition is violated. In New York City, it appears that separate tax credit allocations were made to single-building projects in close proximity to other tax credit projects awarded to the same developers at the same time or in consecutive years. For example, three buildings being renovated by the same developer in the same relatively small area could be considered as three separate one-building projects or one three-building project. Clustering the single-building projects as one project for the model made very little difference in the estimates, but led to modest improvements in the overall fit of the model and reduced the number of observations because of the aggregation of projects.", "We also examined the association between LIHTC costs and the proximity of projects to public transit. Some allocating agencies offered incentives for the production of transit-oriented LIHTC developments\u2014 projects within 0.5 mile of a transit station. Research generally describes transit-oriented developments as compact, mixed-use, walkable neighborhoods located near transit facilities. These types of developments are intended to advance other policy goals, such as furthering opportunities for employment.", "We used the Department of Transportation\u2019s Fixed-Guideway Transit Network database to identify the distance from each project to the nearest transit station (train and bus rapid transit). For this model specification, we restricted our estimates to projects within 2 miles of a transit station because not all transit agencies reported station locations to the Department of Transportation database\u2014making our transit distance variable quite large for some projects. As shown in table 12, while we did not find that projects within 0.5 mile of a transit station had significantly different costs than those between 0.5 and 1 mile (the omitted category), we did find that per-unit construction costs were about $17,000 greater for transit-oriented developments, controlling for other characteristics.", "Finally, table 13 presents the mean values for our full project sample and base case model."], "subsections": []}]}]}, {"section_title": "Appendix III: Development Costs for LIHTC Projects Completed in 2011\u20132015, for 12 Allocating Agencies", "paragraphs": ["This appendix provides data on the development costs of Low-Income Housing Tax Credit (LIHTC) projects completed in 2011\u20132015 that received tax credits from 12 selected allocating agencies. Figure 14 shows how median per-unit costs for new construction and rehabilitation projects changed over that period for each allocating agency. Table 14 (new construction projects) and table 15 (rehabilitation projects) break down the median per-unit costs into hard and soft costs and their component parts. Tables 16 and 17 provide data on alternative cost measures\u2014cost per-bedroom and per-square foot\u2014although this information was not available for all 12 allocating agencies. All the cost data in this appendix are presented in 2015 dollars. For additional information on the cost categories we describe, see appendix I.", "Projects Completed in 2011\u20132015, for 12 2011 (dollars)", "2012 (dollars)", "2013 (dollars)", "2014 (dollars)", "2015 (dollars)"], "subsections": [{"section_title": "Two Studies Identifying Associations between Project Characteristics and Per-Unit Cost California", "paragraphs": ["Two of the five studies we reviewed used statistical models to identify the association between project characteristics and per-unit cost.", "The authors of a 2014 study sponsored by several California agencies found that the median per-unit cost (excluding land costs) of 400 new construction projects approved for 4 percent or 9 percent LIHTCs in 2001\u20132011 was $276,000. Using a regression analysis to control for multiple characteristics, they found a variety of characteristics were associated with differences in per-unit costs.", "Similar to our results, the authors found that per-unit costs decreased as the number of units increased or as the unit size decreased.", "Projects with buildings that had four or more stories were also about 10 percent more expensive per-unit. The authors found higher land costs tended to indirectly increase construction costs, because developers responded by building taller and more often included structured parking\u2014another cost driver.", "Also similar to our results, they estimated that senior projects were less costly than projects targeted to families (by about 18 percent), and projects from nonprofit developers were more expensive than projects from for-profit developers (by about 9 percent).", "The authors of the California study also reviewed characteristics that we did not. For example, they found that projects with a higher degree of construction quality, durability, and energy efficiency had higher costs. Local factors, such as design review and approval requirements, also added to per-unit total cost.", "While data limitations prevented the authors from comparing the cost of LIHTC projects to market-rate developments in a conclusive way, they found that the per-unit construction costs of LIHTC projects in their sample were within the 50th and 75th percentile of estimated costs for market-rate projects with similar height, area, location, and wages."], "subsections": [{"section_title": "Washington", "paragraphs": ["The authors of a 2009 study sponsored by the Washington State Department of Commerce reviewed 65 affordable multifamily housing projects, including 41 LIHTC projects that received funding from the state\u2019s Housing Trust Fund in 2003\u20132009. The average per-unit cost of new construction projects was about $177,000. Similar to our results, about 62 percent of the cost was attributed to construction.", "Using a regression analysis to control for multiple characteristics, the authors found that projects financed with LIHTCs tended to be larger and more expensive than affordable non-LIHTC projects.", "Architect fees were most strongly associated with per-unit costs, because architect fees may have approximated the complexity of the projects\u2019 designs.", "Similar to our results, they found higher costs among urban projects relative to rural ones.", "In contrast to our results, the authors did not find that per-unit costs decreased as the number of units increased. Rather, for new construction LIHTC projects in urban areas, per-unit construction costs increased as the number of units increased. According to the authors, the cost increases may have been due to amenities associated with larger urban projects, such as structured parking.", "The authors also noted several characteristics that were not associated with per-unit costs, including the presence of a special needs population or the developer type."], "subsections": []}]}, {"section_title": "Three Studies Comparing Cost Differences", "paragraphs": ["The remaining three studies we reviewed compared cost differences among groups, typically by comparing averages between exclusive categories (for example, senior and nonsenior projects). But they did not statistically control for characteristics that may have differed among projects."], "subsections": [{"section_title": "Colorado", "paragraphs": ["The authors of a 2016 study sponsored by the Colorado Housing and Finance Authority analyzed 247 LIHTC projects that applied for 4 percent or 9 percent LIHTCs in Colorado in 2011\u20132016. They found the average per-unit cost of new construction projects increased by about 32 percent during this period to about $258,000 in 2016. The authors noted that the increase may have stemmed from the decreasing size of projects in Colorado and the increasing cost of construction.", "The authors studied the characteristics of the highest- and lowest-cost projects and stated that only two characteristics (project size and year of application) were consistently different between the groups. For projects that received 9 percent credits, characteristics such as location, developer type, and tenant types did not consistently differ between the highest- and lowest-cost projects.", "The authors also conducted 25 interviews with architects, consultants, developers, and general contractors, who stated that the most significant contributor to cost increases was higher labor costs due in part to shortages among skilled laborers and federal prevailing wage requirements. In addition, developers stated that while affordable housing developers were more focused on the long-term durability of their projects than market-rate developers, hard costs were generally similar between affordable and market-rate projects. However, soft costs tended to be higher as a result of legal fees associated with LIHTC syndication."], "subsections": []}, {"section_title": "New Mexico (and Other States)", "paragraphs": ["The authors of a 2014 study sponsored by the New Mexico Housing Mortgage Finance Agency reviewed cost drivers across 259 new construction projects that received 9 percent LIHTCs in 2006\u20132013 from multiple allocating agencies\u2014Arizona, Colorado, Nevada, New Mexico, Texas, and Utah. The authors found the average per-unit cost (including reserves) ranged from about $124,000 in Texas to about $199,000 in Colorado. In New Mexico, average per-unit costs generally decreased in 2007\u20132010 and then increased thereafter through 2013. Similar to our results, the authors found that hard and soft costs comprised about 65 and 35 percent of project costs, respectively, among the states.", "Although the authors of the New Mexico study did not use a statistical analysis that would have controlled for multiple differences among project characteristics, the authors reported differences in construction costs among several groups.", "Similar to our results, the authors found slightly lower per-unit construction costs among senior projects compared to nonsenior projects, and that the largest projects (60 units or more) were generally less costly than the smallest projects (30 units or fewer).", "In contrast to our results, they noted higher per-unit construction costs among rural projects compared to urban projects.", "Also in contrast to our findings, the authors did not find a difference in the per-unit construction costs of nonprofit and for-profit developers."], "subsections": []}, {"section_title": "Minnesota", "paragraphs": ["In a 2013 study, a research intern working for the Minnesota Housing Finance Agency reviewed the costs of 412 affordable housing projects that applied for agency financing in 2003\u20132012, including 216 LIHTC projects, to determine the extent to which costs changed in response to cost containment strategies. The author found that the average per-unit cost of new construction LIHTC projects in the Minneapolis-St. Paul metropolitan area was about $237,000.", "Similar to our results and those of the other studies we reviewed, the author estimated that construction costs comprised about 61 percent of LIHTC project costs.", "Also similar to our findings, the author found that the per-unit cost of all affordable new construction projects generally increased during the sample period while the per-unit cost of rehabilitation projects generally decreased.", "For LIHTC projects specifically, the per-unit cost decreased by about 8 percent compared to about an 18 percent decrease among non- LIHTC affordable projects in 2003\u20132012. The author noted that these decreases are important as they coincided with an increased focus by the housing agency on characteristics expected to have increased costs, such as green building standards.", "The author also noted that the housing agency previously found\u2014in a separate study using its predictive cost model\u2014that construction costs for the agency\u2019s affordable housing projects were about 12 percent higher than estimates for similar market-rate projects in the same geographical area."], "subsections": []}]}]}, {"section_title": "Appendix VI: Cost-Management Approaches for Each Allocating Agency, as of 2017", "paragraphs": ["This appendix provides information on cost-management approaches of allocating agencies, based on our review of qualified allocation plans (QAP) and related documents for 57 agencies as of 2017. The agencies were located in all 50 states, the District of Columbia, the 4 U.S. territories that received a Low-Income Housing Tax Credit (LIHTC) allocation in 2017 (Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands), and two suballocating agencies (Chicago and New York City). See table 29 for the name and location of each agency.", "We identified four main approaches that agencies used to manage project-development costs: cost limits, credit allocation limits, fee limits, and cost-based scoring criteria. Agencies implemented these approaches in various ways, as shown in table 30.", "In addition, the types and number of cost-management approaches employed by each agency varied, as shown in table 31. The quantity of approaches used by an agency is not necessarily indicative of the quality or effectiveness of an agency\u2019s cost management, which we were unable to measure."], "subsections": [{"section_title": "Cost limits", "paragraphs": ["\u25cf - - - - \u25cf \u25cf \u25cf - - \u25cf \u25cf - - - - - \u25cf \u25cf \u25cf \u25cf \u25cf - \u25cf - - - \u25cf - \u25cf - \u25cf - - \u25cf \u25cf - \u25cf \u25cf - \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf \u25cf - \u25cf \u25cf \u25cf \u25cf \u25cf The extent of each agency\u2019s practices for each type of cost-management approach also varied, as shown in tables 32\u201335."], "subsections": []}, {"section_title": "Total development cost limits", "paragraphs": [], "subsections": []}, {"section_title": "Fee", "paragraphs": [], "subsections": []}, {"section_title": "Fee", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix VII: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the National Council of State Housing Agencies", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Steve Westley (Assistant Director), Cory Marzullo (Analyst in Charge), Stephen Brown, Heather Chartier, Farrah Graham, Brandon Kruse, John McGrail, John Mingus, Marc Molino, Ed Nannenhorn, Daniel Newman, and Barbara Roesmann made key contributions to this report."], "subsections": []}]}], "fastfact": ["Developers can apply for federal Low-Income Housing Tax Credits to help them build affordable housing projects. The amount of credit depends largely on project costs.", "Project costs we looked at varied widely (shown below), and federal oversight of costs is limited. Federal and state agencies could use data on variables that affect cost\u2014such as square footage and building type\u2014to better monitor the tax credit. State agencies that administer the credit aren't required to report the kind of detailed cost data that could reduce fraud risks.", "We recommended ways to make better data available to the government and improve oversight of the credit."]} {"id": "GAO-18-469T", "url": "https://www.gao.gov/products/GAO-18-469T", "title": "Immigration Courts: Observations on Restructuring Options and Actions Needed to Address Long-Standing Management Challenges", "published_date": "2018-04-18T00:00:00", "released_date": "2018-04-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOJ's EOIR is responsible for conducting immigration court proceedings, appellate reviews, and administrative hearings to fairly, expeditiously, and uniformly administer and interpret U.S. immigration laws and regulations.", "This statement addresses (1) scenarios that experts and stakeholders have proposed for restructuring EOIR's immigration court system and the reasons they offered for or against these proposals; and (2) how EOIR manages and oversees the immigration courts, including hiring and performance assessment, among other things.", "This statement is based on a report GAO issued in June 2017, with selected updates conducted through April 2018 to obtain information from EOIR on actions it has taken to address the report's recommendations. GAO's report incorporated information obtained by reviewing EOIR documentation, analyzing EOIR data, and interviewing agency officials and immigration court experts and stakeholders. For the selected updates, GAO reviewed EOIR documentation."]}, {"section_title": "What GAO Found", "paragraphs": ["In June 2017, GAO reported that some immigration court experts and stakeholders have recommended restructuring the Executive Office for Immigration Review's (EOIR) administrative review and appeals functions within the immigration court system\u2014immigration courts and Board of Immigration Appeals\u2014to improve its effectiveness and efficiency. The 10 experts and stakeholders GAO interviewed stated that they generally supported one of the following scenarios for restructuring the immigration court system, all of which would require a statutory change to implement:", "a court system outside of the executive branch to replace EOIR's immigration court system, including both trial and appellate tribunals;", "a new, independent administrative agency within the executive branch to carry out EOIR's quasi-judicial functions with both trial-level immigration judges and an appellate level review board; or", "a hybrid approach, placing trial-level immigration judges in an independent administrative agency within the executive branch, and an appellate-level tribunal outside of the executive branch.", "Six of the 10 experts and stakeholders GAO interviewed supported restructuring the immigration court system into a court independent of the executive branch. Experts and stakeholders offered several reasons for each of the proposed scenarios, such as potentially improving workforce professionalism and credibility. They also provided reasons against restructuring options, including that restructuring may not resolve existing management challenges, such as difficulties related to hiring immigration judges.", "GAO also reported in June 2017 that EOIR could take several actions to address management challenges. EOIR has since taken some steps to address these challenges, but additional actions are needed. For example, GAO found that EOIR did not have efficient practices for hiring immigration judges, which contributed to judges being staffed below authorized levels. EOIR hiring data showed that on average from February 2014 through August 2016, EOIR took more than 21 months to hire an immigration judge. GAO recommended that EOIR assess the immigration judge hiring process to identify opportunities for efficiency. As of January 2018, EOIR had increased the number of its judges but remained below its authorized level for fiscal year 2017. Hiring additional judges is a positive step; however, to fully address GAO's recommendation, EOIR needs to assess its hiring process to identify opportunities for efficiency.", "In June 2017, GAO also reported on ways EOIR could enhance its video teleconferencing (VTC) program, through which judges conduct hearings by VTC. GAO found that EOIR had not, in accordance with best practices, established a mechanism to solicit feedback and comments about VTC from those who use it regularly to assess whether it meets user needs. GAO recommended EOIR develop and implement such a mechanism. EOIR concurred and implemented this recommendation in December 2017 by establishing a mechanism on its public website to solicit feedback from respondents regarding their satisfaction with VTC hearings. This effort should help EOIR ensure VTC hearings it conducts meet all user needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its June 2017 report GAO made 11 recommendations to improve EOIR's hiring process and performance assessment, among other things. EOIR generally concurred with the recommendations, has implemented 1, and reported actions planned or underway to address the remaining 10."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our work on expert and stakeholder proposals for restructuring the immigration court system and management challenges facing the Department of Justice\u2019s (DOJ) Executive Office for Immigration Review (EOIR). As you know, EOIR is responsible for conducting immigration court proceedings, appellate reviews, and administrative hearings to fairly, expeditiously, and uniformly administer and interpret U.S. immigration laws and regulations. Each year, the Department of Homeland Security (DHS) initiates hundreds of thousands of cases with the U.S. immigration court system to decide whether respondents\u2014foreign nationals charged on statutory grounds of inadmissibility or deportability\u2014are removable as charged; and, if so, should be ordered removed from the United States or granted any requested relief or protection from removal and permitted to lawfully remain in the country.", "A significant and growing case backlog\u2014the number of cases pending at the start of each fiscal year\u2014before the immigration courts has been the subject of attention by Congress, immigration court experts and stakeholders, and others. In June 2017, we reported that the immigration courts\u2019 case backlog more than doubled from fiscal years 2006 through 2015, reaching a backlog of about 437,000 cases pending in 2015. Further, our analysis showed that initial case completion time increased more than fivefold over this 10-year period. For example, the median number of days to complete a removal case, which comprised 97 percent of EOIR\u2019s caseload for this time period, increased by 700 percent from 42 days in fiscal year 2006 to 336 days in fiscal year 2015. Since we completed our work, DOJ has indicated that the case backlog remains a challenge. For example, a December 2017 memorandum from the Attorney General indicated that there were well above a half million cases pending before the immigration courts.", "To address the case backlog and other challenges, various organizations, such as the American Bar Association, have recommended, among other things, management improvements; incremental reform of the immigration courts within the existing EOIR structure; and major structural changes, such as creating an immigration court system independent of any executive branch department or agency. Experts and stakeholders, such as individuals affiliated with professional legal organizations and former EOIR immigration judges, have also proposed changing the immigration court system\u2019s structure, organizational location among the three branches of government, and aspects of its operations.", "EOIR\u2019s quasi-judicial functions are carried out by the immigration court system, which includes 58 immigration courts located nationwide that are overseen by the Office of the Chief Immigration Judge, whose immigration judges preside over removal proceedings to determine respondents\u2019 removability and eligibility for any relief being sought, and the Board of Immigration Appeals (BIA), whose members hear and issue decisions regarding appeals of immigration judges\u2019 decisions and certain DHS decisions. Additionally, the Office of the Chief Administrative Hearing Officer adjudicates immigration-related employment and document fraud cases.", "In June 2017, we reported on, among other things, (1) scenarios that experts and stakeholders have proposed for restructuring EOIR\u2019s immigration court system and the reasons they offered for or against these proposals; and (2) how EOIR manages and oversees immigration court operations, including workforce planning, hiring, performance assessment, and technology utilization. This statement summarizes information on immigration court restructuring and EOIR\u2019s management of the immigration courts from that report as well as actions EOIR has taken, as of April 2018, to address resulting recommendations for addressing management challenges.", "For the June 2017 report, we identified scenarios that experts and stakeholders have proposed for restructuring the immigration court system and their reasons for or against these proposals. To identify these scenarios, we reviewed publications and interviewed individuals affiliated with eight entities and two former immigration judges, all selected based on their expertise in immigration court issues. In selecting these 10 experts and stakeholders, we considered, among other things, their depth of experience with the immigration court system and the relevance of their published work to immigration court restructuring. We also considered input from our identified experts and stakeholders, as well as EOIR, on any additional experts or stakeholders we should interview. To ensure a diversity of perspectives regarding proposed scenarios for restructuring the immigration court system, we selected experts and stakeholders from a variety of organizations, including federal agencies, immigration lawyer and respondent advocacy groups and individuals, and the immigration judges\u2019 union.", "To assess EOIR\u2019s workforce planning, hiring, performance assessment, and technology utilization, we analyzed relevant documentation, such as contracts for workforce planning services; EOIR data on, among other things, immigration judge hiring; and interviewed EOIR and DHS officials from headquarters and six immigration courts. More detailed information on our objectives, scope, and methodology is contained in our June 2017 report. Additionally, after the issuance of our report through April 2018 we obtained and analyzed information and documentation on actions EOIR has taken to address our recommendations. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Experts and Stakeholders Have Proposed Restructuring EOIR\u2019s Immigration Court System", "paragraphs": ["As we reported in June 2017, some immigration court experts and stakeholders have recommended restructuring EOIR\u2019s administrative review and appeals functions within the immigration court system\u2014 immigration courts and BIA\u2014and the Office of the Chief Administrative Hearing Officer, to improve the effectiveness and efficiency of the system or, among other things, increase the perceived independence of the system and professionalism and credibility of the workforce.", "We found that the 10 experts and stakeholders we interviewed generally supported one of the following scenarios for restructuring the immigration court system, all of which would require a statutory change to implement: a court system independent (i.e., outside) of the executive branch to replace EOIR\u2019s immigration court system, including both trial and appellate tribunals; a new, independent administrative agency within the executive branch to carry out EOIR\u2019s quasi-judicial functions with both trial-level immigration judges and an appellate level review board; or a hybrid approach, placing trial-level immigration judges in an independent administrative agency within the executive branch, and an appellate-level tribunal outside of the executive branch.", "Six of the 10 experts and stakeholders we interviewed supported restructuring the immigration court system into a court independent of the executive branch. Two of the experts and stakeholders we contacted supported a new independent administrative agency within the executive branch. One of the experts and stakeholders supported the hybrid scenario, placing trial-level immigration judges in an independent, administrative agency within the executive branch, and an appellate-level tribunal outside of the executive branch.", "As we reported in June 2017, experts and stakeholders offered several reasons for each of the proposed scenarios, such as potentially increasing judicial autonomy over courtrooms and dockets; as well as provided reasons against restructuring options, such as that restructuring may not resolve existing management challenges. These reasons for and against each of the scenarios are summarized in table 1 and discussed further below. We are not taking a position on any of these restructuring proposals, or on any of the reasons offered for or against them. We present the information we obtained from the experts and stakeholders to inform policymakers about proposals that have been put forth regarding restructuring the immigration court system.", "We found in our June 2017 report that experts and stakeholders we interviewed cited several reasons for the proposed restructuring scenarios, as described in table 1 and below.", "Independence: Six of the 10 experts and stakeholders we interviewed stated that establishing a court system independent (i.e., outside) of the executive branch could increase the perceived independence of the system. For example, 1 of the 10 experts and stakeholders we interviewed explained that the public\u2019s perception of the immigration court system\u2019s independence might improve with a restructuring that removes the quasi-judicial functions of the immigration courts and the BIA from DOJ, because DOJ is also responsible for representing the government in appeals to the U.S. Circuit Courts of Appeals by individuals seeking review of final orders of removal. Another 1 of the 10 experts and stakeholders we interviewed explained that under the existing immigration court system, respondents may perceive, due to the number of immigration judges who are former DHS attorneys and the co-location of some immigration courts with DHS U.S. Immigration and Customs Enforcement\u2019s Office of the Principal Legal Advisor offices, that immigration judges and DHS attorneys are working together. Two of the 10 experts and stakeholders we interviewed also proposed that an immigration court system independent of the executive branch would be less susceptible to political pressures within the executive branch. Experts and stakeholders cited similar independence-related reasons for supporting the administrative agency and hybrid scenarios.", "Judicial autonomy: Four of the 10 experts and stakeholders we interviewed stated that a court system independent of the executive branch might give immigration judges and BIA members more judicial autonomy over their courtrooms and dockets. For example, 1 of the 10 experts and stakeholders we interviewed stated that immigration judges in an independent court system would be able to file complaints against private bar attorneys directly with the state bar authority instead of filing the complaint with DOJ first, as required for immigration judges acting in their official capacity. EOIR officials explained that while immigration judges cannot directly file a complaint with the state bar authority, EOIR\u2019s Disciplinary Counsel, which is charged with investigating these complaints, can file a complaint with the state bar on behalf of the immigration judge.", "Workforce professionalism or credibility: Experts and stakeholders also stated reasons why a court system independent of the executive branch might also improve the professionalism or credibility of the immigration court system\u2019s workforce. For example, 1 of the 10 experts and stakeholders we interviewed explained that if the judge career path was improved under a restructuring such that immigration judges were able to advance to more prestigious judgeships, this could assist in attracting candidates to the immigration bench. Regarding the hybrid scenario, 1 of the 10 experts and stakeholders we interviewed noted that this proposal may attract a more diverse and balanced pool of candidates for immigration judge positions.", "Organizational capacity or accountability: Experts and stakeholders who supported a court system independent of the executive branch also cited enhanced organizational capacity or accountability as a reason for adopting this scenario. One of the 10 experts and stakeholders we interviewed explained that this type of restructuring may allow the immigration court system to improve its organizational capacity by changing the way it staffs its managerial and supervisory positions. For example, this individual explained that instead of placing immigration judges in managerial positions, EOIR could, as an independent court system, more easily attract and fill managerial positions with individuals who have experience in court management and public administration instead of placing immigration judges in these positions. Similarly, this same individual also noted that if the restructured immigration court system was placed within the purview of the Administrative Office of the U.S. Courts, which provides a wide range of support services to the federal judiciary (including administrative, technological and legal services), it could use its expertise in court management to assist with managing the system.", "In terms of enhancing organizational accountability, 1 of the 10 experts and stakeholders we interviewed explained that an independent court system could also increase the transparency of the performance evaluation system for immigration judges by incorporating feedback from court stakeholders, such as DHS and private bar attorneys, on the judges\u2019 performance as well as increasing the transparency of the process for making complaints against immigration judges. According to this individual, the complaint process for other federal judges is more transparent and the judges are given an opportunity to address the complaint and appeal any decisions that resulted from the complaint.", "We also found in our June 2017 report that the experts and stakeholders we interviewed cited several reasons against the proposed restructuring scenarios, as described in table 1 and below.", "Appointment of immigration judges: Two of the 10 experts and stakeholders we interviewed noted that requiring the presidential nomination and Senate confirmation of immigration judges under an independent court system could further complicate and delay the hiring of new judges by making the appointment of additional judges more dependent on external parties.", "Administrative challenges: Two of the 10 experts and stakeholders we interviewed stated that it may be difficult to establish and administer a court system independent of the executive branch. Specifically, these experts and stakeholders expressed concern that the Administrative Office of the U.S. Courts may be reluctant to assume the vast responsibility of administering a newly created court system. Regarding administrative challenges associated with the establishment of an independent administrative agency, 1 of the 10 experts and stakeholders we interviewed explained that this scenario might be overly complicated to implement since EOIR would need to develop its own administrative functions outside of DOJ. According to another 1 of the 10 experts and stakeholders we interviewed, creating a hybrid court system may further complicate the administration of the immigration court system and potentially result in difficulties for respondents.", "Procurement of resources: Five of the 10 experts and stakeholders we interviewed expressed the concern that a restructured immigration court system, regardless of the scenario, would not be able to procure sufficient resources outside of DOJ. For example, 1 of the 10 experts and stakeholders noted that a restructured independent court or administrative agency might have less leverage outside of DOJ to compete for resources.", "Trial level disconnection from the appellate level: One of the 10 experts and stakeholders we interviewed stated that if the hybrid scenario were to be adopted, the trial level may become more disconnected from the appellate level, due to the placement of the immigration courts within the executive branch and the appellate body outside of the executive branch.", "Resolution of existing management challenges or case backlog: Two of the 10 experts and stakeholders we contacted stated that a court system independent of the executive branch may not address the immigration courts\u2019 management challenges, such as the case backlog. For example, 1 of the 10 experts and stakeholders stated that the immigration court system would likely have a large caseload regardless of how it is structured."], "subsections": []}, {"section_title": "EOIR Has Initiated Actions to Improve Its Management of the Immigration Courts, but Additional Steps Are Needed to Address Long- Standing Challenges", "paragraphs": ["We also reported in June 2017 that EOIR could take several actions to address long-standing management and operational challenges and reduce the case backlog. In particular, we identified challenges related to, and made 11 recommendations to improve, EOIR\u2019s workforce planning, hiring, performance assessment, and technology utilization. EOIR generally concurred with our recommendations, and, has initiated actions to address them. Overall, EOIR has fully implemented 1 recommendation but needs to take additional steps to fully implement the remaining 10 recommendations to help strengthen the agency\u2019s management and help reduce the case backlog.", "Workforce Planning. In June 2017, we reported that EOIR could help address its case backlog and staffing challenges, such as by hiring more immigration judges to meet its authorized number of judges and through better workforce planning and hiring practices. During the course of our review we found that EOIR estimated staffing needs using an informal approach that did not account for long-term staffing needs, reflect EOIR\u2019s performance goals, or account for differences in the complexity of court cases. For example, in developing its staffing estimate, EOIR did not calculate staffing needs beyond the next fiscal year or take into account resources needed to achieve the agency\u2019s case completion goals.", "Furthermore, we found that, according to EOIR data, approximately 39 percent of all immigration judges were eligible to retire as of June 2017, but EOIR had not systematically accounted for these impending retirements in its staffing estimate.", "At the time of our review, EOIR had begun to take steps to account for long-term staffing needs, such as by initiating a workforce planning report and a study on the time it takes court staff to complete key activities. However, we found that these efforts did not align with key principles of strategic workforce planning that would help EOIR better address current and future staffing needs. EOIR officials also stated that the agency had begun to develop a strategic plan for fiscal years 2018 through 2023 that could address its human capital needs. We recommended that EOIR develop and implement a strategic workforce plan that addresses key principles of strategic workforce planning.", "EOIR agreed with our recommendation. In February 2018, EOIR officials told us that they had established a committee and working group to examine the agency\u2019s workforce needs and would include workforce planning as a key component in EOIR\u2019s forthcoming strategic plan. Specifically, EOIR officials stated that the agency had established the Immigration Court Staffing Committee in April 2017 to examine how to best leverage its existing judicial and court staff workload model to address its short- and long-term staffing needs, assess the critical skills and competencies needed to achieve future programmatic results, and develop strategies to address human capital gaps, among other things. In February 2018, EOIR officials stated that the agency replaced this committee, which had completed its work, with a smaller working group of human resource employees charged with addressing the agency\u2019s strategic workforce planning. Additionally, EOIR officials stated that the agency was developing a strategic plan that includes human capital planning as a critical component, which will be used to guide workforce planning for the agency. These are positive steps, but to fully address our recommendation, EOIR needs to continue to develop, and then implement a strategic workforce plan that: (1) addresses the agency\u2019s short- and long-term staffing needs; (2) identifies the critical skills and competencies needed to achieve future programmatic results; and (3) includes strategies to address human capital gaps. Once this strategic workforce plan is completed, EOIR needs to monitor and evaluate the agency\u2019s progress toward its human capital goals.", "Hiring. Additionally, in our June 2017 report, we found that EOIR did not have efficient practices for hiring new immigration judges, which has contributed to immigration judges being staffed below authorized levels and to staffing shortfalls. For example, in fiscal year 2016, EOIR was allocated 374 immigration judge positions and had 289 judges on board at the end of the fiscal year. EOIR officials attributed these gaps to delays in the hiring process. Our analysis of EOIR hiring data supported their conclusion. Specifically, we found that from February 2014 through August 2016, EOIR took an average of 647 days to hire an immigration judge\u2014more than 21 months. As a result, we recommended that EOIR (1) assess the immigration judge hiring process to identify opportunities for efficiency; (2) use the assessment results to develop a hiring strategy that targets short- and long-term human capital needs; and (3) implement any corrective actions related to the hiring process resulting from this assessment.", "In response to our report, EOIR stated that it concurred with our recommendation and was implementing a new hiring plan as announced by the Attorney General in April 2017 intended to streamline hiring. Among other things, EOIR stated that the new hiring plan sets clear deadlines for assessing applicants moving through different stages of the process and for making decisions on advancing applicants to the next stage, and allows for temporary appointments for selected judges pending full background investigations. In February 2018, EOIR indicated to us that it had begun to use the process outlined in its hiring plan to fill judge vacancies. The Attorney General also announced in April 2017 that the agency would commit to hire an additional 50 judges in 2018 and 75 additional judges in 2019. In January 2018, EOIR officials told us that the agency had a total of 330 immigration judges, an increase of 41 judges since September 2016. Hiring these additional judges is a positive step; however, EOIR remains below its fiscal year 2017 authorized level of 384 immigration judges based on funding provided in fiscal years 2016 and 2017. Additionally, the Consolidated Appropriations Act, 2018 provided funding for EOIR to hire at least 100 additional immigration judge teams, including judges and supporting staff, with a goal of fielding 484 immigration judge teams nationwide by 2019. To fully address our recommendation, EOIR will need to continue to improve its hiring process by (1) assessing the prior hiring process to identify opportunities for efficiency; (2) developing a hiring strategy targeting short- and long-term human capital needs; and (3) implementing corrective actions in response to the results of its assessment of the hiring process.", "Performance Assessment. Regarding EOIR\u2019s performance assessment, we reported in June 2017 that EOIR had previously established performance monitoring activities and measures to assess aspects of the immigration courts, but it had eliminated several of these performance assessment mechanisms. EOIR also had goals for some cases it adjudicated, such as respondents in detention, but no longer had goals for most cases, including some cases it had prioritized for adjudication. For example, we found that EOIR did not have performance measures or goals for completing cases in which the respondent is not detained (non- detained cases), which comprised 83 percent of immigration courts\u2019 total caseload from fiscal year 2010 through fiscal year 2015. To help EOIR more effectively monitor its performance and fully evaluate whether the immigration courts are achieving EOIR\u2019s mission, we recommended that EOIR establish and monitor comprehensive case completion goals, including a goal for completing non-detained cases not captured by performance measures, and goals for cases it considers a priority.", "EOIR agreed with this recommendation and has taken steps to address it. For example, EOIR issued guidance in January 2018 to all immigration court staff that established the agency\u2019s goals for each immigration court in adjudicating cases. In particular, EOIR identified in this guidance a case completion goal for non-detained cases: courts must complete 85 percent of all non-detained removal cases that do not qualify as a \u201cstatus case\u201d within 1 year of filing of the Notice to Appear (NTA) in court, reopening or recalendaring of the case, remand from the Board of Immigration Appeals, or notification of release from custody. According to this guidance, EOIR has also retained case completion goals for other categories it considers a priority, such as cases in which the respondent is detained and credible fear reviews. In its January 2018 guidance, EOIR stated that it will track these measures and the courts\u2019 performance in meeting them as well as regularly auditing these measures. To fully address this recommendation, EOIR needs to monitor courts\u2019 performance in meeting these goals.", "In June 2017, we also reported that EOIR collected information on the extent and reasons why immigration judges issue continuances\u2014 temporary adjournments of case proceedings until a different day or time\u2014but did not systematically assess these data to identify and address potential operational challenges affecting the immigration courts or areas where immigration judges could benefit from additional guidance or training. An immigration judge may continue a case for good cause shown, such as to allow respondents to obtain legal representation or DHS to complete required background investigations and security checks. Our analysis of continuance records from fiscal year 2006 through fiscal year 2015 showed that the use of continuances had grown over time. Specifically, all types of continuances increased by 23 percent from fiscal year 2006 through fiscal year 2015 and operational continuances, such as those caused by a lack of foreign language interpretation or a video-teleconference (VTC) malfunction, increased by 33 percent over this same time period. We recommended that EOIR systematically analyze immigration court continuance data to identify and address any operational challenges faced by courts or areas for additional guidance or training.", "EOIR agreed with this recommendation and, in July 2017, issued updated guidance for immigration judges on fair and efficient docket management relating to the use of continuances. For instance, according to this guidance, judges must annotate the case worksheet on disposition of the case with a continuance code describing the reason for the continuance and court staff must ensure that each continuance code is accurately entered into the agency\u2019s case management system for all cases. EOIR also issued guidance in October 2017 updating case continuance codes and their definitions to assist immigration judges in recording this information on the case worksheet. These are positive steps, and analyzing the use of continuances on a systematic basis would give EOIR greater insight into more widespread operational issues that the courts may be facing. To fully address our recommendation, EOIR will need to systematically analyze immigration court continuance data to identify and address any operational challenges faced by courts or areas for additional guidance or training.", "We also reported in June 2017 that EOIR could improve the reliability of its case management data and reports on case completion times by ensuring that court staff accurately record NTAs in a timely manner. We found that EOIR did not have guidance or data integrity efforts to ensure the timely and accurate recording of NTAs in its case management system, and that at least 16 percent of NTA dates were unreliable. EOIR uses NTA dates to calculate case completion times, which are used to assess court performance. The agency reports this information publicly in DOJ\u2019s Annual Performance Report. We concluded that improving the reliability of NTA data would allow EOIR to provide more accurate information on case completion times to Congress and the public. We recommended that EOIR update its policies and procedures to promote the timely and accurate recording of NTAs. In response to our report, EOIR stated that it partially concurred with our recommendation and stated that it would continue to monitor the timeliness and accuracy of NTA recording, and implement corrective actions as needed. In January 2018, as part of its policy on case completion goals, EOIR also created a goal that 100 percent of all electronic and paper records be accurate and complete. This goal is a positive step, and updating policies and procedures to remind staff about the importance of timely and accurate recording of all NTAs would provide EOIR greater assurance that this goal could be consistently met. To fully address our recommendation, EOIR will need to update its policies and procedures to ensure the timely and accurate recording of NTAs.", "Technology Utilization. We also made several recommendations to EOIR in our June 2017 report to improve its technology utilization, including the agency\u2019s oversight of the ongoing development of a comprehensive electronic-filing (e-filing) capability\u2014a means of transmitting documents and other information to immigration courts through an electronic medium, rather than on paper. EOIR identified the implementation of an e-filing system as a goal in 2001, but has not, as of April 2018, fully implemented this system. In 2001, EOIR issued an executive staff briefing for an e-filing system that stated that only through a fully electronic case management and filing system would the agency be able to accomplish its goals. This briefing also cited several benefits of an e-filing system, including, among other things, reducing the data- entry, filing, and other administrative tasks associated with processing paper case files; and improving communication with external court stakeholders, such as respondents and attorneys, providing the ability to file court documents from private home and office computers. As we reported in June 2017, EOIR initiated a comprehensive e-filing effort in 2016\u2014the EOIR Court and Appeals System (ECAS)\u2014for which EOIR had documented policies and procedures governing how its primary ECAS oversight body\u2014the ECAS Executive Committee\u2014would oversee ECAS through the development of a proposed ECAS solution. However, we found that EOIR had not yet designated an entity to oversee ECAS after selection of a proposed solution during critical stages of its development and implementation.", "In our June 2017 report, we recommended that in order to help ensure EOIR meets its cost and schedule expectations for ECAS, the agency identify and establish the appropriate entity to oversee ECAS through full implementation. EOIR concurred and stated that it had selected and convened the EOIR Investment Review Board to serve as the ECAS oversight body with the Office of Information Technology directly responsible for the management of the ECAS program. EOIR officials told us in February 2018 that the board convened in October 2017 and January 2018 to discuss, among other things, the ECAS program. However, as we reported in June 2017, EOIR officials previously told us that the EOIR Investment Review Board was never intended to oversee ECAS implementation due to the detailed nature of this system\u2019s implementation. EOIR has recently provided us with documentation related to its oversight of ECAS, which we are reviewing to help determine the extent to which EOIR has met the intent of our recommendation. Additionally, we recommended in June 2017 EOIR develop and implement a plan that is consistent with best practices for overseeing ECAS to better position the agency to identify and address any risks and implement ECAS in accordance with its cost, schedule, and operational expectations. As of April 2018, EOIR has not indicated that it has developed such a plan.", "In June 2017 we also reported on ways EOIR could enhance its VTC program. EOIR is authorized by statute to hold immigration removal proceedings through VTC. According to EOIR officials, EOIR largely uses VTC for hearings for detained individuals, including both master calendar and individual merits hearings. We reported in June 2017 that officials from all six of the immigration courts we visited identified challenges related to VTC hearings, including difficulties maintaining connectivity, hearing respondents, exchanging paper documents, conducting accurate foreign language interpretation, and assessing the demeanor and credibility of respondents and witnesses. We further found that EOIR had not, in accordance with best practices, (1) evaluated its VTC program to ensure that it is outcome-neutral, or (2) established a mechanism to solicit feedback and comments about VTC from those who use it regularly to assess whether it meets user needs.", "Therefore, we recommended that EOIR take three actions to provide further assurances that its use of VTC in immigration hearings is outcome-neutral, including that it collect more complete and reliable data related to its VTC use (e.g., the number of hearings it conducts by VTC) and use the data to assess any effects of VTC on immigration hearings. EOIR partially concurred with these actions and has since taken some steps to implement these recommendations, such as piloting a project to collect data on respondent appeals related to the use of VTC in their cases. Additionally, EOIR officials told us in August 2017 that the agency is studying how to collect more complete and reliable data on the number and type of hearings it conducts through VTC and use these and other data to assess any effects of VTC on immigration hearings.", "We also recommended that EOIR develop and implement a mechanism to solicit and monitor feedback from respondents regarding their satisfaction and experiences with VTC hearings. EOIR concurred and implemented this recommendation in December 2017 by establishing a mechanism on its public website to solicit open-ended feedback from respondents regarding their satisfaction with VTC hearings, including the audio and visual quality of the hearing. According to EOIR officials, a group of individuals within EOIR\u2019s Office of the Chief Immigration Judge is responsible for monitoring and addressing feedback received through this portal. These efforts should help EOIR ensure VTC hearings it conducts meet all user needs and identify and address technical issues with VTC hearings.", "Chairman Cornyn and Ranking Member Durbin, this completes my prepared statement. I would be happy to respond to any questions you or the members of the committee may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Rebecca Gambler at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Taylor Matheson (Assistant Director), Kathleen Donovan, Sasan J. \u201cJon\u201d Najmi, Robin Nye, and Erin O\u2019Brien.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-283", "url": "https://www.gao.gov/products/GAO-18-283", "title": "Military Recruiting: Army National Guard Has Implemented Internal Controls for Soldier Incentives but Needs to Better Plan to Maintain the Integrity of Those Controls", "published_date": "2018-02-16T00:00:00", "released_date": "2018-02-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["ARNG provides trained and equipped units ready to defend life and property in the 54 states, territories, and the District of Columbia. In 2011, the Army Audit Agency reported weaknesses in internal controls over soldier incentive payments in the California ARNG that led to some improper payments. DOD initially took actions to recoup some of these payments, but the National Defense Authorization Act for Fiscal Year 2017 allowed for the waiver or other forgiveness of debt.", "The National Defense Authorization Act for Fiscal Year 2017 included a provision for GAO to assess policies and procedures for minimizing and waiving the recoupment of improper payments. This report (1) evaluates the extent to which ARNG has implemented and planned to adjust the internal controls for its Selected Reserve Incentive Program to prevent improper payments and (2) describes which DOD organizations have the authority to waive ARNG incentive debts and steps taken to improve waiver documentation. GAO conducted site visits to six states based on the value of their incentive programs, reviewed documentation used to manage incentive programs, examined incentive debt waiver cases, and interviewed DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In response to the over $22 million in improper payments the California Army National Guard (ARNG) made in cash bonuses and other soldier incentives from 2004 through 2010, ARNG officials implemented some internal controls to prevent future improper incentive payments. These internal controls include automated and manual checks of soldier incentive contracts to verify soldiers' eligibility for incentive payments. For example, ARNG implemented automated rules in its Guard Incentive Management System\u2014an online system that tracks incentive contracts\u2014to monitor a soldier's eligibility for an incentive by comparing the data received from multiple personnel systems against the soldier's contract. If any issues are found, the Guard Incentive Management System will flag the incentive case for review by state ARNG officials and will stop future payments until the issue is resolved.", "While these internal controls have improved accountability over soldier incentive payments, ARNG is still in the process of completing further actions. For example, in April 2017, ARNG issued the fiscal year 2017 Selected Reserve Incentive Program policy. However, ARNG did not incorporate changes as a result of this policy into the Guard Incentive Management System to ensure that the automated checks captured these policy changes\u2014including one that affects approximately 8,000 solider incentive contracts, according to ARNG officials. ARNG officials told us that they had not updated the Guard Incentive Management System with this policy because of technical challenges resulting from a transition in vendors for the Reserve Component Manpower System\u2014an information system that houses the Guard Incentive Management System. ARNG officials also told us that they plan to update the Guard Incentive Management System to include the 2017 policy in February 2018.", "GAO also found that ARNG had not developed and implemented a plan for future significant changes that could affect its internal controls over soldier incentive payments. These changes include, for example, the end of the current vendor contract in 2020 to support the Reserve Component Manpower System and the Army National Guard's migration to the Integrated Personnel and Pay System \u2013 Army that is scheduled to occur in 2018. Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to significant changes that could affect an internal control system. Specifically, because conditions affecting an organization and its environment continually change, management needs to anticipate and plan for significant changes by using a forward-looking process to prepare for those changes. Without taking action to plan for such changes, ARNG puts itself at risk of making improper payments in the future.", "The Defense Finance and Accounting Service and the Defense Office of Hearings and Appeals review and adjudicate requests for waivers of incentive debt. DOD has taken two steps to improve the availability of documentation needed to adjudicate waiver cases. First, DOD has clarified the policy in its Financial Management Regulation on the documentation soldiers are required to provide. Second, officials review documentation in the Guard Incentive Management System before validating an incentive payment, which may reduce delays associated with missing documentation when processing waiver requests."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that ARNG develop and implement a plan that identifies, analyzes, and responds to significant changes that could affect internal controls for its Selected Reserve Incentive Program. ARNG concurred with the recommendation and has identified planned actions to address the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Army National Guard (ARNG) provides trained and equipped units ready to defend life and property in the United States, including serving key roles in responding to natural disasters and protecting the homeland. Additionally, ARNG assists in bolstering the nation\u2019s active-duty military forces in times of need. ARNG is authorized to have an end strength of 343,500 in fiscal year 2018. In order to recruit and retain personnel to reach this end strength, ARNG contracts with current and prospective soldiers to provide enlistment, re-enlistment, and other financial incentives for specified terms of service in certain occupational specialties. In order to receive these incentives, soldiers must fulfill the obligations specified in their contracts. In fiscal year 2016, ARNG disbursed more than $185 million to soldiers for these incentives.", "Following a 2011 report by the Army Audit Agency detailing weaknesses in internal controls over incentive payments\u2014including fraud\u2014in the California ARNG, the National Guard Bureau (NGB) conducted a review of all payments to California ARNG soldiers under its Selected Reserve Incentive Program, which provides cash bonuses and other payments, during fiscal years 2004 through 2010. California ARNG officials had identified more than $22 million in improper incentive payments during that time period. While the Department of Defense (DOD) initially took actions to recoup some of these payments, subsequent guidance from the Office of the Secretary of Defense in October 2016 and the National Defense Authorization Act for Fiscal Year 2017 allowed for the waiver or other forgiveness of debt for most of the affected California ARNG soldiers.", "The National Defense Authorization Act for Fiscal Year 2017 included a provision for us to assess policies and procedures for identifying and minimizing improper payments and requests to waive the recoupment of improper payments. This report (1) evaluates the extent to which ARNG has implemented and planned to adjust the internal controls for its Selected Reserve Incentive Program to prevent improper payments and (2) describes which DOD organizations have the authority to waive ARNG soldiers\u2019 incentive debt and any steps DOD has taken to improve the availability of documentation to adjudicate waiver cases.", "For objective one, we reviewed applicable DOD guidance on the use of incentive programs and compared this guidance with our observations of how this guidance was implemented in six selected states. We selected a nonprobability sample of six states based on the value of the incentives their respective programs awarded in fiscal year 2016 and the number of soldier contracts ARNG was considering for termination (termination being a necessary step before beginning recoupments). The six states we selected were California, Delaware, Illinois, Nebraska, Nevada, and Virginia. We conducted site visits to each of our six selected states to catalogue their procedures related to incentive payments. Specifically, we conducted interviews with state incentive managers to discuss their procedures for managing incentive payments, and we observed incentive managers performing these procedures in information systems such as the Guard Incentive Management System, among others. We also discussed challenges they experienced using these systems. Although the findings from our site visits to these six selected states are not generalizable to all states and territories, they provide important insights into how the incentive process is managed across a range of states.", "Because ARNG serves as the focal point for processing all incentive cases, we also conducted interviews with ARNG officials to discuss their roles in managing incentive payments, and we observed their use of the Guard Incentive Management System. We discussed challenges they experienced using the system. Based on these discussions, we performed additional work to identify the steps that NGB was taking to address these challenges. This work included reviewing documents associated with the Reserve Component Manpower System and its associated modules, such as the Guard Incentive Management System; interviewing vendors that were awarded the contracts to manage the Reserve Component Manpower System; and interviewing NGB officials to discuss their roles in managing contracts associated with the Reserve Component Manpower System and the ARNG Incentive Support Team. We compared our observations against federal internal control standards related to risk assessment.", "For objective two, we reviewed applicable DOD guidance on the roles and responsibilities of the organizations that participate in the process\u2014 the Defense Finance and Accounting Service and the Defense Office of Hearings and Appeals. We interviewed officials at these organizations to better understand the source of delays in adjudicating waivers, which they identified as a lack of documentation. Based on these interviews, we collected and examined ARNG Selected Reserve Incentive Program recoupment waiver cases that were adjudicated by the Defense Office of Hearings and Appeals in calendar years 2014 through 2016 to identify the frequency with which documentation was missing. During site visits to our selected states, we also interviewed ARNG officials to determine the processes designated for generating and maintaining documentation.", "We conducted this performance audit from January 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["ARNG is one of two reserve components of the Department of the Army; it has units located in each of the 54 states, territories, and the District of Columbia. The Secretary of the Army is responsible for creating overarching policy and guidance for all of the components of the Army, including ARNG. The Chief of NGB, among other responsibilities, acts as the official channel of communication between the Department of the Army and the 54 states, territories, and the District of Columbia in which ARNG has personnel assigned and is responsible for ensuring that ARNG personnel are accessible, capable, and trained to protect the homeland and to provide combat resources to the Army."], "subsections": [{"section_title": "The Selected Reserve Incentive Program", "paragraphs": ["During fiscal years 2010 through 2016, ARNG disbursed more than $1.8 billion in financial incentives to bolster its recruiting and retention efforts. The ARNG program, called the Selected Reserve Incentive Program, includes cash bonuses and other payments. The ARNG regulation for Selected Reserve Incentive Programs includes over a dozen sub- categories of cash bonuses, such as those for newly enlisted soldiers, active duty soldiers who join ARNG, and soldiers who re-enlist or extend with ARNG. In addition to cash bonuses, ARNG makes incentive payments as part of the Student Loan Repayment Program. Under this type of incentive, ARNG disburses incentive payments directly to a third party lender.", "The Director of ARNG is responsible for determining the overall policy for the Selected Reserve Incentive Program and issued the regulation that governs incentive procedures and eligibility criteria for soldiers entering into an incentive agreement. On a periodic basis, ARNG updates the policy for a specific fiscal year through a policy or an education and incentive operational message. These updates, which are intended to help ARNG meet its readiness requirements, can provide instructions on the value and frequency of incentives, as well as directing the targeting of incentives to address a particular skill or unit need. The updates can also direct changes to eligibility requirements in order to enable a soldier to receive an incentive.", "Each of the 54 states, territories, and the District of Columbia has a state incentive manager in ARNG who provides oversight for authorization, verification, validation, establishment, monitoring, and termination of all incentive payments, including recoupment of incentives. State incentive managers work with recruiting and retention personnel to assist in the use of bonuses. For example, state incentive managers can ensure that the contracts used by recruiting and retention personnel comply with ARNG policy. Additionally, each ARNG unit has personnel who track information on soldier performance, such as attendance, physical fitness, and training. To manage these activities, ARNG uses the Reserve Component Manpower System\u2014 an information system that houses manpower readiness data and includes approximately 40 subsystems."], "subsections": []}, {"section_title": "Improper Payments in the California ARNG", "paragraphs": ["A 2008 California National Guard audit revealed that Selected Reserve Incentive Program incentives, including student loan repayments, were being improperly paid to numerous California ARNG soldiers and that some of these cases were results of fraud. In subsequent audits of California ARNG, 17,485 soldiers were identified as having received a bonus or student loan repayment in the period of 2004 through 2010 that was potentially improper and subject to recoupment. By the end of 2016, several follow-on reviews had identified improper incentive payments to more than 1,400 soldiers.", "These investigations and audits determined that ARNG lacked internal controls over its incentive process. For example, the state incentive manager could authorize and approve an incentive and then forward the payment request to the state\u2019s U.S. Property and Fiscal Office, the office responsible for authorizing payment. To improve the process, in 2010 ARNG established a contract for an Incentive Support Team to, among other things, review soldier incentives. In 2011, ARNG developed a module within the Reserve Component Manpower System called the Guard Incentive Management System. The Guard Incentive Management System was designed to aid in managing the incentive process across all states by providing an online system to track, monitor, and prioritize all incentive cases. The Guard Incentive Management System was also intended to increase oversight through automated notifications and reporting features and to add a budget control mechanism for NGB and the states, among other things. In 2012, ARNG began a phased implementation of the Guard Incentive Management System in each state and territory. ARNG subsequently expanded the Guard Incentive Management System to include the Student Loan Repayment Program."], "subsections": []}, {"section_title": "Process Before NGB Establishes a Debt", "paragraphs": ["NGB goes through a process before it establishes and collects on a debt. State incentive managers are responsible for ensuring that soldiers receiving incentive payments are satisfying contractual requirements. If the state incentive manager determines that the soldier has violated the contract tied to the incentive payment, the state incentive manager sends a certified letter to the soldier that (1) states the reason the payment may potentially be determined to be improper and (2) lists the steps that the soldier can take to adjudicate the issue. ARNG officials informed us that, if the soldier does not respond to the letter within 45 days, a debt is established in Defense Finance and Accounting Service systems. In response, the soldier may provide documents to address the issue or, should documents already exist, may request that NGB make an exception to policy\u2014a determination by NGB that the circumstances of a soldier\u2019s case merit allowing the soldier to retain the incentive payment. Incentive managers in some states told us that they will assist soldiers in requesting an exception to policy and will sometimes request these exceptions on their behalf in the case of events\u2014such as a reorganization of a state\u2019s ARNG units\u2014that could result in a large number of soldiers not meeting the terms of their incentive contracts. If these steps do not resolve the issue, the soldier can seek recourse through the Army Board for the Correction of Military Records. Once these options are exhausted, the debt is established in Defense Finance and Accounting Service systems."], "subsections": []}]}, {"section_title": "ARNG Has Implemented Internal Controls to Prevent Improper Payments but Has Not Planned for Future Significant Changes That Could Affect Its Internal Controls ARNG Has Implemented Internal Controls to Prevent Improper Incentive Payments", "paragraphs": ["ARNG has implemented internal controls, including automated and manual reviews, to prevent improper incentive payments, and it also reviews its incentive programs on a periodic basis. First, ARNG has implemented the Guard Incentive Management System and expanded its use over time to oversee its incentive contracts through automation. In 2012, ARNG began using the Guard Incentive Management System to manage the life cycles of contracts between ARNG and soldiers for incentives and education entitlements, including those for the Selected Reserve Incentive Program. When a soldier signs a contract with a recruiter or retention officer, the Guard Incentive Management System alerts the state incentive manager that an incentive is ready for review. ARNG has also implemented automated rules in the Guard Incentive Management System\u2014known as monitor rules\u2014that continuously monitor a soldier\u2019s eligibility for an incentive. The system does this by comparing the data it receives from multiple personnel systems against the soldier\u2019s contract. If any issues are found, the Guard Incentive Management System will flag the incentive case for review by the state incentive manager and will stop future payments until the issue is resolved. In California, for example, we observed an incentive manager reviewing a case that had been flagged for violating a monitor rule because the soldier was no longer in the unit stipulated in the incentive contract. The incentive manager told us that the soldier was informed of the situation and that corrective action would be required before any additional payments could be made. If a soldier is deemed ineligible or loses eligibility at any time during this process, the state incentive manager will stop payments and review the case to determine whether the contract needs to be terminated.", "State incentive managers are also required to verify certain eligibility criteria and personnel documents manually in the Guard Incentive Management System. State incentive managers use checklists to review a soldier\u2019s incentive contract and unit orders to determine eligibility. The Selected Reserve Incentive Program requires that incentive contracts of more than three years be paid out in installments. State incentive managers or their designees are required to manually review each incentive contract before making an anniversary payment. During our site visits, we observed state incentive managers using the Guard Incentive Management System to review whether a soldier was eligible to receive a payment. For example, in Nebraska we observed an incentive manager using the Guard Incentive Management System to verify a soldier\u2019s contract period, unit assignment, and physical fitness test scores, among other items, to confirm the soldier\u2019s eligibility to receive a payment. In Illinois, we observed an incentive manager using the Guard Incentive Management System to verify a soldier\u2019s identity, unit transfer orders, and an eligible student loan before approving a student loan repayment for further review at the national level. We also observed an incentive manager in Illinois reviewing a soldier\u2019s incentive contract, which was being terminated because the soldier had failed to attend required drills. ARNG personnel in each of the states we visited told us that the Guard Incentive Management System provides a strong barrier against soldiers receiving improper payments. The Guard Incentive Management System also tracks and records each user\u2019s actions on each incentive case to provide an audit trail, which we observed in multiple states.", "In addition to reviews conducted at the state level, ARNG conducts another review of incentive payments using the Guard Incentive Management System. Once a contract has been reviewed at the state level, state incentive managers forward it to the ARNG Incentive Support Team for another review. The ARNG Incentive Support Team has provided assistance to all 54 states, territories, and the District of Columbia, by conducting reviews of 100 percent of incentive payments and terminations, among other things. After the ARNG Incentive Support Team\u2019s review, ARNG officials perform a final review of an incentive payment before it is certified. Specifically, ARNG officials review a random sample of 10 percent of contracts from a batch of incentive payments that the Guard Incentive Management System generates. ARNG officials told us that if 25 percent or more of this 10 percent sample is rejected because it contains errors, all of the contracts in the batch are returned to the ARNG Incentive Support Team or their respective states for additional review. If less than 25 percent are rejected, the individual contracts with errors are returned to the ARNG Incentive Support Team or their respective states for additional review. The remainder of the batch passes ARNG review, and the Guard Incentive Management System generates payment files electronically and transfers them to the Defense Finance and Accounting Service, which disburses funds to the soldiers, as shown in figure 1.", "Second, ARNG conducts periodic reviews of its incentive program. Specifically, National Guard Regulation 600-7, Selected Reserve Incentive Program\u2014issued in August 2014\u2014classifies incentive programs as a high-risk function that should be evaluated every year to mitigate risks, and that management controls must be evaluated at least once every five years. Each of the six states we visited had either conducted an internal review of its incentive program since 2016 or told us that it had plans to conduct one within the next year. For example, ARNG officials in Nevada had evaluated and certified the internal controls of their incentive program in 2017, and ARNG officials in Delaware told us that they plan to request an external evaluation of their incentive program in 2018."], "subsections": [{"section_title": "ARNG Has Taken Steps to Address Some Weaknesses Affecting Its Internal Controls but Has Not Planned for Future Significant Changes", "paragraphs": ["ARNG took steps to address some identified weaknesses to its internal controls for managing soldier incentive contracts, but has not developed and implemented a plan for future significant changes that could affect its internal controls. For example, in October 2015, a previous contract to support the ARNG Incentive Support Team expired, and performance of the follow-on contract was delayed for approximately two years\u2014until September 2017\u2014by actions related to two GAO bid protests. From October 2015 to January 2016, ARNG used a 3-month bridge contract with the previous contractor to provide support and enable the ARNG Incentive Support Team to continue to perform 100 percent reviews. However, in January 2016, the ARNG Incentive Support Team stopped conducting 100 percent reviews of incentive contracts. At that time, according to ARNG officials, ARNG increased their review of incentive contracts from 10 percent to 30 percent to help mitigate the loss of the 100 percent review that the ARNG Incentive Support Team had previously provided. On September 30, 2017, the current contract for the ARNG Incentive Support Team was awarded and according to ARNG officials, the ARNG Incentive Support Team reinstated 100 percent reviews of soldier incentive contracts on December 8, 2017. ARNG also adjusted their review of soldier incentive contracts from 30 percent back to 10 percent.", "As another example, in April 2017, ARNG issued the fiscal year 2017 Selected Reserve Incentive Program policy. Among other things, the policy changed the eligibility requirement for receiving an incentive payment based on soldier performance on the Army Physical Fitness Test. Under the previous policy, soldiers who failed two consecutive fitness tests would be ineligible to receive an incentive. The fiscal year 2017 policy changed this requirement to two failures during the lifetime of a soldier\u2019s incentive contract, which could be up to six years. According to ARNG officials, approximately 8,000 incentive contracts are affected by this requirement. NGB requires the vendor managing the Reserve Component Manpower System, which includes the Guard Incentive Management System, to update the system with any policy changes. However, ARNG officials told us that they had not updated the Guard Incentive Management System with the fiscal year 2017 policy. Therefore, the system\u2019s automated reviews are unable to check for this eligibility requirement.", "Additionally, according to ARNG officials, ARNG did not publish official guidance regarding this discrepancy. Instead, ARNG informally discussed with state incentive managers that the fiscal year 2018 policy, once issued, would eliminate this requirement. ARNG officials told us that a separate transition of vendors for the Reserve Component Manpower System that began in 2016 had delayed their ability to update the Guard Incentive Management System with the fiscal year 2017 policy. ARNG had not anticipated that the vendor would be unable to update the Guard Incentive Management System as a result of technical challenges following the transition. ARNG officials also told us that they are currently developing the fiscal year 2018 policy and would update the Guard Incentive Management System with this policy when it is ready. On December 6, 2017, we provided our observations to ARNG on the inability of the Guard Incentive Management System to perform automated monitoring on these 8,000 incentive contracts. According to ARNG officials, on December 7, 2017, they submitted a formal change request to the vendor to incorporate this rule in the Guard Incentive Management System, and they expect the rule to be incorporated in February 2018.", "ARNG has also taken steps to address unforeseen technical issues that have affected its incentive program. For example, ARNG officials told us that they have implemented several recommendations that were made as part of the Army\u2019s administrative investigation of the transition in vendors managing the Reserve Component Manpower System, of which the Guard Incentive Management System is a component. The investigation determined that ARNG was not positioned to provide sufficient technical oversight of the transition, and in September 2016, the investigation\u2019s report recommended that ARNG, among other things, assign a highly skilled Information Technology subject matter expert to provide oversight of all government and contractor activities related to the Reserve Component Manpower System. ARNG officials also told us they had since assigned this expert and had implemented other recommendations from the investigation, but were not tracking progress on those recommendations. Additionally, ARNG officials told us that, as of October 2017, they were in the process of revising their performance work statement for the current vendor. These revisions may include, among other things, providing other types of technical support and reducing the amount of time that the system would be unavailable to ARNG and others. Finally, ARNG officials told us that they plan to use an existing Information Technology steering committee to provide oversight for the Reserve Component Manpower System; however, these same officials told us that the steering committee had not met from May 2017 through October 2017.", "While ARNG has taken steps to remedy some technical issues and weaknesses in its internal controls, it has not demonstrated that it has learned from its past experiences by planning for significant changes to its incentive program that could affect its internal controls, such as its information systems not functioning correctly or data related to incentive contracts not being readily updated or available for an extended period of time. These changes include, for example, the next vendor transition for the Reserve Component Manpower System, which is expected to be re- competed in 2020. Additionally, as ARNG continues deployment of the Integrated Personnel and Pay System \u2013 Army in 2018, it is anticipated that aspects of the Reserve Component Manpower System will change. Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to significant changes that could affect the entity\u2019s internal control system. Because conditions affecting the entity and its environment continually change, management can anticipate and plan for significant changes by using a forward-looking process to prepare for change. Planning for significant changes\u2014 including those cited earlier\u2014requires time and coordination in advance of the changes occurring. However, ARNG officials have been unable to demonstrate their planning efforts to identify, analyze, and respond to any significant changes to ARNG\u2019s internal controls that may arise if, for example, the contract is awarded to a new vendor or as the Reserve Component Manpower System fully interfaces with the Integrated Personnel and Pay System \u2013 Army. Without taking action to plan for potentially significant changes to its internal controls for the Reserve Component Manpower System, ARNG is at risk of not being prepared for these changes that could contribute to the potential for making improper payments."], "subsections": []}]}, {"section_title": "DOD Components Have the Authority to Waive Soldier Incentive Debt, and DOD Has Improved the Availability of Documentation to Adjudicate Waiver Cases Two DOD Components Have the Authority to Waive ARNG Soldier Incentive Debts for Military Pay and Allowances", "paragraphs": ["The Defense Finance and Accounting Service (DFAS) and the Defense Office of Hearings and Appeals (DOHA) have the authority to waive erroneous incentive debts for ARNG soldiers. DFAS is a DOD component that maintains records of soldiers\u2019 debts and has the authority to waive established debts of $10,000 or less. DOHA, another DOD component, adjudicates waivers for debts of more than $10,000. For established debts, DFAS will notify the soldier that a debt exists and will be collected. In response, the soldier can submit a request to DFAS to waive the debt. DFAS has the statutory authority to waive debts incurred as a result of erroneous payments of up to $10,000 to members of the armed services, including ARNG soldiers. If DFAS denies all or part of the waiver request, it informs the waiver applicant of the right to file an appeal of the denial to DOHA within 30 days. Soldiers can file for a waiver of indebtedness from DFAS for a period of up to 5 years from the date an erroneous payment is discovered. DFAS may not consider waiver applications that it receives after that 5-year period.", "DOHA has the authority to review waiver cases forwarded by DFAS and to adjudicate appeals from soldiers whose waiver applications have been denied. According to DOHA officials, they review only cases in which (1) the payment has been identified as erroneous, (2) a collection action has been started, and (3) the soldier has been given rights under the Fair Debt Collection Practices Act. DOHA officials told us that they do not have authority over the establishment or collection of a debt or the authority to conduct a hearing for a soldier contesting the validity of a debt. However, DOHA officials told us that they will verify the correctness of the debt before adjudicating a waiver case and may request information from DFAS\u2014such as documentation\u2014including enlistment contracts, payment vouchers, and leave and earnings statements. Additionally, DOHA officials told us that they do not have the authority to adjudicate debts for payments made under the Student Loan Repayment Program\u2014one type of payment under the Selected Reserve Incentive Program\u2014because of their determination that their authority to waive debts for erroneously paid \u201cpay and allowances\u201d as defined in 32 U.S.C. \u00a7 716 and 10 U.S.C. \u00a7 2774(a) does not apply to payments to lenders for educational expenses. Those cases are reviewed and adjudicated at the discretion of the Secretary of the Army. If DOHA denies a soldier\u2019s waiver application, the soldier may request that DOHA reconsider its decision, which DOHA officials told us is accomplished by an appeals panel of three DOHA attorneys. The decision of this panel is final and ends the waiver of indebtedness adjudication process, as depicted in figure 2."], "subsections": [{"section_title": "DOD Has Improved the Availability of Documentation to Adjudicate Waiver Cases", "paragraphs": ["DOD has improved the availability of the documentation that is used to adjudicate waiver cases for soldiers\u2019 debts. DOHA officials told us that adjudication was sometimes delayed because case files lacked documentation. As part of our review of DOHA waiver case files, we found several examples of ARNG cases involving Selected Reserve Incentive Program debts that had been adjudicated between January 2014 and December 2016, in which DOHA adjudicators had to acquire missing information, including documentation, from external sources before adjudicating the case. For example, in one case from Alabama that was adjudicated in 2014, it was 83 days before DOHA officials received the documentation they needed. DOHA officials told us this information included the soldier\u2019s bonus agreement, leave and earnings statements, and transfer orders. In another case from California that was adjudicated in 2016, it took adjudicators 74 days to obtain additional information. DOHA officials told us this information included payment vouchers.", "DOD\u2019s use of the Guard Incentive Management System has facilitated the availability of documentation needed to adjudicate waiver cases. For example, the system stores incentive payment and eligibility documentation, which may help to reduce delays in the adjudication of waivers associated with missing documentation. Before making an incentive payment, state incentive managers are required to inspect case documentation in the Guard Incentive Management System to validate the payment. During our site visits to selected states, we observed state incentive managers using the Guard Incentive Management System to review documents, such as re-enlistment contracts and unit orders. In several cases, we observed state incentive managers identifying errors in documents, and we observed their ability to correct these documents. For example, in Nebraska we observed a case in which a soldier\u2019s military occupational specialty code in the Guard Incentive Management System was not in line with what was in the incentive contract, because the unit had been reorganized. We then observed a state incentive manager confirming the soldier\u2019s transfer orders and uploading this documentation into the Guard Incentive Management System. Our observations are not generalizable across all states or for all contracts, but they suggest that documentation required to adjudicate waiver cases is now more readily available and will continue to be in the future.", "DOD also updated its Financial Management Regulation to improve the availability of documentation. DOHA officials told us that DOD had updated the Financial Management Regulation in January 2016. Specifically, Volume 16, Chapter 4, Section 040403 of the DOD Financial Management Regulation instructs applicants to include in their waiver requests (1) copies of all supporting documentation, (2) copies of leave and earnings statements, (3) copies of notifications of personnel actions, and (4) any statements from the applicant in support of the waiver application. DOHA officials stated that this revision should reduce documentation-related delays during their review of future waiver submissions. Additionally, DOHA officials told us that they have taken steps to train DFAS personnel, who are responsible for reviewing waiver applications, in an effort to reduce delays."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["ARNG has made progress in improving its internal controls since widespread improper payments were identified in California in 2008. By using the Guard Incentive Management System and requiring multiple levels of review before incentives are paid, ARNG may have reduced the likelihood of future widespread improper payments similar to what occurred in California. However, it is important for ARNG to be forward looking in preserving the integrity of its internal controls. ARNG has faced challenges during the transition between vendors managing the system that resulted in the weakening of internal controls, including those built into the Guard Incentive Management System. To its credit, ARNG has taken mitigating actions to prevent improper payments while attempting to address those issues. These challenges, and the need for mitigating actions, could have been prevented if ARNG had identified and prepared in advance for challenges potentially resulting from the vendor transition. If ARNG does not proactively identify, analyze, and plan to respond to significant changes that could affect the internal controls to its incentive program, there is an increased risk that additional weaknesses to its internal controls could emerge and result in an increased likelihood of improper payments."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["We are making one recommendation to ARNG: The Director of the Army National Guard should develop and implement a plan to identify, analyze, and address any significant changes that could affect internal controls for its Guard Incentive Management System. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to ARNG for comment. In its comments, reproduced in appendix I, ARNG concurred with our recommendation and stated that they initiated a project to improve internal control measures as significant changes are made to the Guard Incentive Management System to align the system with policy. ARNG also stated that the project would look at the time required to adjust incentives to effect change within the organization and achieve its strength goals. ARNG expects the project to be completed in August 2018. We believe this action would meet the intent of our recommendation.", "We are sending copies of this report to the Secretary of Defense, the Chief of the National Guard Bureau, and the Director of the Army National Guard. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9971 or kirschbaumj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Army National Guard", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tina Won Sherman (Assistant Director), David Blanding Jr., Vincent Buquicchio, Wesley Collins, Joanne Landesman, Amie Lesser, Jim Melton, and Paul Seely made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-32", "url": "https://www.gao.gov/products/GAO-18-32", "title": "Newborn Health: Federal Action Needed to Address Neonatal Abstinence Syndrome", "published_date": "2017-10-04T00:00:00", "released_date": "2017-10-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["As the opioid crisis has increased in recent years, so has the number of pregnant women who use opioids, which can result in NAS. A recent peer-reviewed study found that cases of NAS have grown nearly five-fold between 2000 and 2012 and that most infants with NAS are covered under Medicaid.", "The Comprehensive Addiction and Recovery Act of 2016 includes a provision for GAO to examine NAS in the United States and related treatment services covered under Medicaid. This report 1) describes the hospital and non-hospital settings for treating infants with NAS and how Medicaid pays for services, 2) describes recommended practices and challenges for addressing NAS, and 3) examines HHS's strategy for addressing NAS.", "GAO reviewed HHS documentation and interviewed HHS officials. GAO also conducted site visits to four states\u2014Kentucky, Vermont, West Virginia, and Wisconsin\u2014selected based on several factors, including incidence rates of NAS and geographic variation. GAO interviewed stakeholders from 32 organizations, including health care providers and state officials in the selected states."]}, {"section_title": "What GAO Found", "paragraphs": ["The prenatal use of opioids or other drugs can produce a withdrawal condition in newborns known as neonatal abstinence syndrome (NAS). Health care providers, state officials, and other stakeholders told GAO that most infants with NAS are treated in the hospital\u2014such as in a neonatal intensive care unit\u2014though some may be referred to a non-hospital setting\u2014such as a neonatal withdrawal center with nursery rooms\u2014to complete their treatment. The table below provides more information on settings for treating infants with NAS and on how Medicaid pays for services in these settings.", "According to stakeholders GAO interviewed and literature reviewed, there are several recommended practices and challenges associated with addressing NAS. The most frequently recommended practices included prioritizing non-pharmacologic treatment to infants\u2014treatment that does not involve medications\u2014such as allowing the mother to reside with the infant during treatment; educating mothers and health care providers on treatment of NAS, among other things; and using a protocol in the hospital or non-hospital setting for screening and treating infants with NAS. The most frequently cited challenges included the maternal use of multiple drugs\u2014or polysubstance use\u2014as it can exacerbate NAS symptoms; stigma faced by pregnant women who use opioids; hospital staff burden and limited physical capacity to care for infants with NAS; limited coordination of care for mothers and infants with NAS; and gaps in research and data on NAS, such as research on the long-term effects of the condition.", "In May 2017, the Department of Health and Human Services (HHS) published a strategy document that makes key recommendations to address NAS. The Strategy recommends, for example, that health care providers receive continuing education on managing and treating infants with NAS and promote non-pharmacologic treatment. According to HHS officials, these recommendations will inform planning and policy across the department. However, HHS has yet to determine how and when the recommendations will be implemented, including establishing priorities; the roles and responsibilities of other federal, state, and public stakeholders; implementation timeframes; and methods for assessing progress. HHS officials told GAO that they expect to develop an implementation plan sometime in 2017 but had no timeline for doing so. Without a plan that clearly specifies how HHS will implement the Strategy and assess its progress, the department increases the risk that its recommendations for addressing NAS will not be implemented."]}, {"section_title": "What GAO Recommends", "paragraphs": ["HHS should expeditiously develop a plan for implementing the recommendations included in its strategy related to addressing NAS. HHS concurred that it should expeditiously address NAS, but noted implementation of the strategy is contingent on funding."]}], "report": [{"section_title": "Letter", "paragraphs": ["Opioid misuse, including the use of heroin and misuse of opioids prescribed for pain management, has been recognized by the federal government, states, researchers, and others as a growing crisis in the United States. As opioid misuse has increased in recent years, so has the number of pregnant women who use opioids. The prenatal use of opioids by pregnant women\u2014including opioid misuse, use of opioids prescribed for pain management, and use of certain medications given to treat opioid addiction\u2014can produce a withdrawal condition in newborn infants known as neonatal abstinence syndrome (NAS). NAS symptoms range from excessive crying and irritability to difficulties with breathing and feeding. NAS is a rapidly increasing public health problem, with the incidence of NAS in the United States growing nearly five-fold between 2000 and 2012. Specifically, cases of NAS increased from a rate of 1.2 per 1,000 hospital births per year in 2000 to 5.8 per 1,000 hospital births per year in 2012, reaching a total of 21,732 infants diagnosed with NAS. A 2015 study noted that by 2012 one infant was born about every 25 minutes with NAS.", "While experts consider NAS to be an expected and treatable result of prenatal opioid exposure, infants with NAS require specialized care that typically results in longer and more complicated and costly hospital stays. More than eighty percent of the NAS cases identified in the 2015 study were paid for by Medicaid, the federal-state program that finances health care coverage for low-income and medically needy populations, including children and aged or disabled adults.", "Due to the growing opioid epidemic and its deleterious effects, including the effects on infants, Congress has held hearings and passed legislation aimed at addressing various aspects of this epidemic. For example, the Protecting Our Infants Act of 2015 directed the Department of Health and Human Services (HHS) to conduct a study and develop recommendations for preventing and treating prenatal opioid use disorders, including NAS. This law also required HHS to review its planning and coordination related to NAS and to develop a strategy to address gaps in research and gaps, overlap, and duplication among federal programs to address NAS. We have previously reported that HHS has nine agencies involved with addressing NAS and has a council dedicated to coordinating activities across the department to address NAS.", "The Comprehensive Addiction and Recovery Act of 2016 (CARA) included a provision for GAO to examine NAS in the United States and the treatment services for the condition covered under Medicaid in hospital settings as well as any non-hospital settings. The act required us to report within a year after passage, and to meet this mandated date, we briefed your staff on our preliminary findings in July 2017. This report includes information shared during that briefing and 1. describes the hospital settings for treating infants with NAS and how Medicaid pays for services in these hospital settings; 2. describes the non-hospital settings for treating infants with NAS and how Medicaid pays for services in these non-hospital settings; 3. describes the recommended practices and challenges for addressing 4. examines HHS\u2019s strategy for addressing NAS.", "To address our first three audit objectives describing care settings for treating infants with NAS, Medicaid payment for NAS treatment, and the recommended practices and challenges for addressing NAS, we did the following:", "We selected 32 stakeholders based on their relevant experience to cover a range of perspectives on NAS. This included stakeholders from site visits we conducted in four states\u2014Kentucky, Vermont, West Virginia, and Wisconsin. We selected these states because they met the following criteria: (1) high incidence rate of NAS as of 2013; (2) variation in United States geographic regions with high rates of NAS as of 2012; (3) more than 40 percent of births in the state were financed by Medicaid in 2016; and (4) the state has a perinatal quality collaborative\u2014a state or multi-state network of teams working to improve health outcomes for mothers and infants\u2014with work related to NAS. The stakeholders we selected within these states consisted of four state agencies, including Medicaid officials; officials from the perinatal collaborative that work on NAS in each state; officials from one residential treatment facility in each state that provides prenatal and postpartum care to mothers; and hospital providers, including physicians or nurses, from eight hospitals (two hospitals in each state). We also selected 12 additional stakeholders outside of these four states, including health care providers or administrators in four non-hospital settings across the United States; officials from five medical specialty societies, such as the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists; and three experts, such as the authors of studies we identified.", "We interviewed each of these 32 stakeholders and requested information from stakeholders about treating infants with NAS, including the utilization of available hospital and non-hospital care settings and associated costs of treatment services. For example, we requested protocols for screening and treating infants with NAS from hospital and non-hospital care settings. We reviewed available protocols provided by hospitals and a non-hospital care setting. We also reviewed available information reported by state officials, hospital and non-hospital providers, and state perinatal collaboratives on the utilization of hospital and non-hospital care settings, the facility\u2019s cost of treating NAS in hospital and non-hospital settings, length of stay for treating infants with NAS, or the amount of Medicaid payments for treating infants with NAS. We discussed the information provided by stakeholders and examined the information for obvious errors. The information obtained from these stakeholders is not generalizable to other states or other hospital and non-hospital settings. In addition, in some cases, stakeholders collected information differently, including information on Medicaid payments; as a result, the information reported by stakeholders is not directly comparable.", "We conducted a literature review to identify relevant peer-reviewed articles published between January 2013 and December 2016. As a result, we identified and reviewed 40 relevant studies. We examined the methodologies for each of these studies and determined that the studies were sufficiently reliable for our audit objectives.", "We interviewed officials from HHS, including those from the Centers for Medicare & Medicaid Services (CMS) and HHS\u2019s Behavioral Health Coordinating Council\u2014which includes officials from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Indian Health Service, the Centers for Disease Control and Prevention (CDC), and the Food and Drug Administration, among others\u2014concerning NAS treatment services, settings of care, Medicaid payment, and recommended practices and challenges related to addressing NAS.", "We conducted a web-based survey administered to Child Welfare Directors in fifty states and the District of Columbia and included in the survey questions about whether Child Welfare Directors had received federal or state guidance related to NAS. All 51 respondents completed the survey for a response rate of 100 percent.", "To examine our last audit objective on HHS\u2019s strategy related to addressing NAS, we interviewed agency officials and reviewed documents on the department\u2019s efforts to develop a strategy. Specifically, we interviewed relevant officials from CMS and HHS\u2019s Behavioral Health Coordinating Council concerning their efforts to develop a strategy related to addressing NAS. In reviewing relevant HHS documents, we focused on HHS\u2019s Protecting Our Infants Act Report to Congress, which includes a strategy to address identified gaps, challenges, and recommendations related to NAS and prenatal opioid use. In addition, we reviewed the relevant standards for internal control in the federal government and the relevant criteria from GAO\u2019s body of work on effectively managing performance under the Government Performance and Results Act (GPRA) of 1993 and the GPRA Modernization Act of 2010. See appendix I for further details of our methodology related to these objectives.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "NAS and Prenatal Opioid Use", "paragraphs": ["NAS is a withdrawal condition within infants that can result from the prenatal use of opioids by pregnant women. Prenatal opioid use occurs when a woman, during the course of her pregnancy, uses an opioid- based medication or substance. Prenatal opioid use can take various forms, including (1) the use of prescriptions for pain management, such as fentanyl and oxycodone; (2) medication-assisted treatment for opioid addiction, such as methadone and buprenorphine; (3) prescription drug misuse or use disorder (such as using an opioid without a prescription, using a different dosage than prescribed, or continuing to use an opioid when it is no longer needed for pain); and (4) illicit opioid use, such as heroin use. These types of prenatal opioid use are not mutually exclusive. A 2014 study found that almost 22 percent of pregnant Medicaid beneficiaries filled a prescription for an opioid during their pregnancy. Medication-assisted treatment\u2014an approach that combines the use of certain medications and behavioral therapy\u2014is generally considered by HHS and medical specialty societies to be the standard of care for treating pregnant women with opioid use disorders, depending on the individual and her circumstances. SAMHSA and several medical specialty societies, including the American College of Obstetricians and Gynecologists and the American Society of Addiction Medicine, have noted that providing medication-assisted treatment during pregnancy prevents complications associated with illicit opioid use, encourages prenatal care, and reduces the risk of obstetric complications. Further, women may use multiple substances in addition to opioids during pregnancy\u2014known as maternal polysubstance use\u2014such as tobacco, alcohol, or anti-depressants, among others.", "GAO reported in 2015 that the gaps in efforts to address prenatal opioid use and NAS most commonly cited by federal agency officials and experts were related to the treatment of prenatal opioid use and NAS. Agency officials and experts said that there has not been adequate research comparing different types of treatment approaches and that research is needed on how best to treat a pregnant woman with an opioid use disorder so that the treatment is most effective for the woman while offering minimal risk to the fetus. See GAO-15-203. For more information on factors that can affect access to medication- assisted treatment, see GAO, Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access, GAO-16-833 (Washington, D.C.: Sept. 2016). respiratory distress.", "There is currently no national standard of care for screening or treating NAS. There have been a few scoring tools developed to screen the infant to determine the appropriate course of treatment. Health care providers predominantly diagnose NAS using the Finnegan Neonatal Abstinence Scoring Tool, which calculates a score based on a variety of central nervous, metabolic, respiratory, and gastro-intestinal symptoms that might be observed. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend that infants with NAS should not be initially treated with medication, known as pharmacologic treatment. Instead, these organizations recommend starting with non-pharmacologic treatment, which includes placing the infant in a dark and quiet environment, swaddling, breastfeeding, rooming-in with the mother, and providing high-calorie nutrition, among other things. For example, rooming-in\u2014allowing the mother to reside with the infant during the infant\u2019s treatment\u2014may have benefits, such as helping to develop a bond between the mother and infant and to reduce the severity of the infant\u2019s NAS symptoms. Pharmacologic treatment, such as using methadone or morphine, may be necessary only for the relief of moderate to severe signs of NAS. See figure 1 for more information on non-pharmacologic and pharmacologic treatment."], "subsections": []}, {"section_title": "Federal Resources on NAS and Prenatal Opioid Use", "paragraphs": ["HHS has published several guidance and educational resources related to NAS and prenatal opioid use. These documents serve as tools to help stakeholders, including state entities and health care providers, who work with this population. For example, SAMHSA published a clinical report for health care providers in 2016 that provides recommendations to help them when making decisions regarding the evaluation, care, and treatment of women with opioid use disorders and infants with NAS. As of July 2017, SAMHSA is in the process of producing a clinical guide based on this report and expects to publish an updated report later this year. In another example, SAMHSA published a guidance document in 2016 that aims to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants. Among other things, the document includes strategies and guidance to promote care coordination among stakeholders, including child welfare agencies and medical professionals, when treating infants with NAS. (See app. II for a list of federal educational resources related to NAS and prenatal opioid use published by HHS.)"], "subsections": []}, {"section_title": "Medicaid Program Overview", "paragraphs": ["As we previously noted, more than 80 percent of NAS cases are paid for by Medicaid, which is a federal-state health care program that finances health care coverage for low-income and medically needy populations, including children and aged or disabled adults. States administer their Medicaid programs within broad federal requirements and according to a state plan approved by CMS, the federal agency within HHS that oversees Medicaid. The Medicaid program allows states to design and implement their programs within certain federal parameters, resulting in more than 50 distinct state-based programs. For example, states generally determine the type and scope of services to cover, set payment rates that different health care providers will receive for various covered services, and pay these providers for claims submitted for services rendered. In addition, states vary in the extent to which they enroll beneficiaries in managed care versus delivering care through the more traditional fee-for-service model. Under a managed care delivery model, states typically contract with managed care plans to provide a specific set of Medicaid-covered services to beneficiaries and pay them a set amount per beneficiary\u2014referred to as capitation payments\u2014to provide those services. Under fee-for-service, Medicaid pays health care providers a fee for each service provided to a Medicaid beneficiary. Medicaid\u2019s Early and Periodic Screening, Diagnostic, and Treatment benefit, which states are required to provide, covers comprehensive health screenings, preventive health services, and all medically necessary treatment and services\u2014for Medicaid eligible-children under the age of 21\u2014to correct or ameliorate health conditions discovered through screenings."], "subsections": []}]}, {"section_title": "Most Infants with NAS Complete Treatment in Various Hospital Settings, and in Selected States Medicaid Pays for Services Using Bundled Payments", "paragraphs": [], "subsections": [{"section_title": "Hospital Settings for Treating Infants with NAS", "paragraphs": ["According to the literature we reviewed, most infants with NAS in the United States are treated in a hospital setting, often in the neonatal intensive care unit (NICU), which has a relatively high daily cost of care. Stakeholders we interviewed told us that these infants may also be treated in other hospital settings. According to state and perinatal collaborative officials in the four selected states we reviewed, infants diagnosed with NAS begin\u2014and most complete\u2014treatment for the condition in various hospital settings which provide different levels of care: a well newborn nursery (level I), special care nursery (level II), or NICU (level III or IV). For example, according to these officials, most infants with NAS in Vermont are treated in well newborn nurseries, while most infants with NAS in Kentucky and Wisconsin are treated in NICUs. West Virginia perinatal collaborative officials told us that about a third of infants with NAS are treated in well newborn nurseries, while two-thirds receive treatment in either a special care nursery or NICU. According to perinatal collaborative officials and hospital providers in the four selected states, the severity of the infant\u2019s NAS symptoms or the hospital\u2019s capability to treat NAS can determine whether the infant receives care in a nursery or NICU.", "Health care providers in the four selected states described the general clinical approach for treating infants with NAS. According to these providers, they generally start with non-pharmacologic treatment\u2014for example, swaddling or placing the infant in a quiet, dark room. Health care providers may continue to monitor and assess the severity of the infant\u2019s NAS symptoms using one of the available scoring tools for NAS. If the infant\u2019s symptoms meet or exceed a certain threshold, these providers may initiate pharmacologic treatment by administering morphine or methadone, for example.", "Some perinatal collaborative officials that we interviewed in the four selected states told us that not all hospitals may have the capability to provide pharmacologic treatment. For example, these officials told us that level I hospitals\u2014hospitals with only well newborn nurseries\u2014in Kentucky and Wisconsin may not provide pharmacologic treatment to infants with NAS because these hospitals may not have the staff expertise to administer the needed medication and monitor the infants who receive it. Instead, these hospitals may transfer infants with NAS who require pharmacologic treatment to hospitals with higher levels of care, such as those with a NICU. Table 1 provides information on the eight selected hospitals in our review that provide NAS services.", "According to a 2015 study we reviewed, nationwide, infants with NAS who require pharmacologic treatment generally have longer average hospital stays (23 days) compared with infants with NAS who do not require such medication (17 days). Health care providers from our selected hospitals also indicated a similar trend\u2014the average length of hospital stay in calendar year 2016 for infants with NAS who received pharmacologic treatment ranged from 7 to 30 days, while the stays for infants who did not require such medication ranged from 3 to 7 days."], "subsections": []}, {"section_title": "Medicaid Payments for NAS Treatment Services Provided in Hospital Settings", "paragraphs": ["Medicaid generally pays for NAS treatment services in our four selected states using a diagnosis-related group (DRG) based payment system, in which hospitals receive a fixed amount for a bundle of services. In general, the DRG-based system used in Medicaid pays for the medical services necessary for treating infants with NAS, such as medication, bed space, and nursing staff, according to CMS officials. CMS officials said that the DRG-based system generally does not pay for professional services, such as physician visits; instead, these services are typically paid under a fee-for-service payment schedule, in which states or contracted managed care plans pay health care providers directly for their services.", "Officials in our selected states said information on total Medicaid payments for hospital-based NAS services was not readily available. Several DRGs are typically used to bill Medicaid for services provided to infants. However, these codes alone cannot provide an accurate estimate of Medicaid payments for NAS treatment services because the codes are not used exclusively for NAS. For example, according to some health care providers we interviewed, two DRG codes that may be used to bill Medicaid and other payers for NAS treatment services are 791 (prematurity with major problems) and 793 (full term neonate with major problems). However, these codes could be used to bill for over 2,000 diagnoses\u2014for example, pneumonia or measles. One state official said that while they could provide us with information on Medicaid payments for these infants, they could not parse out the costs by diagnosis codes, such as those related to NAS. Thus, estimates of total Medicaid payments based only on DRG codes likely overstate the amount paid for NAS hospital-based services.", "Officials from two of the four selected states told us that their state has a public health surveillance system that tracks the incidence of infants diagnosed with NAS; however, the surveillance systems do not capture financial information, including Medicaid payments for NAS. At our request, one of the states cross-referenced their surveillance and Medicaid data and estimated that in 2016, their state Medicaid program spent over $22 million to treat 1,565 infants with NAS.", "While selected states generally could not provide information on total Medicaid payments for infants with NAS, some hospitals in our selected states were able to generate this information at our request using diagnosis codes that they identified as related to NAS from hospital claims data. Six of our selected eight hospitals reported that in calendar year 2016, the average Medicaid payment for treating infants with NAS ranged from about $1,500 to about $20,200 per infant per stay. The wide range in Medicaid payment averages may be because the averages included both infants who did and did not require pharmacologic treatment and because these hospitals treated infants in various settings, such as a nursery or a NICU. The literature we reviewed also had limited information on Medicaid payments for NAS treatment services provided in hospitals. A recent study reported that from 2009 through 2012\u2014the most recent data available at the time of the study\u2014Medicaid payments to hospitals for NAS treatment services increased from about $564 million to $1.2 billion nationwide."], "subsections": []}]}, {"section_title": "Some Infants with NAS May Complete Treatment in Non- Hospital Settings Available in Certain States, and in These States Medicaid Pays for a Subset of Services", "paragraphs": [], "subsections": [{"section_title": "Non-Hospital Settings for Treating Infants with NAS", "paragraphs": ["While most infants with NAS typically complete treatment in a hospital setting, stakeholders told us that some of these infants may be transferred to a non-hospital setting to complete pharmacologic treatment and continue non-pharmacologic treatment. HHS officials told us that there is not a comprehensive list of facilities that may treat infants with NAS outside of the hospital. Based on information from the stakeholders we interviewed and the literature we reviewed, we identified two types of non-hospital settings available in certain states that treat infants with NAS: (1) outpatient clinics and programs and (2) neonatal withdrawal centers. For the purposes of this report, we defined neonatal withdrawal centers as facilities that can treat infants who are prenatally exposed to drugs, including infants with NAS, within the facility.", "Outpatient clinics and programs to treat NAS Through stakeholder interviews and the literature we reviewed, we identified examples of outpatient clinics and programs in certain states where infants with NAS can continue pharmacologic treatment after their discharge from the hospital. For example, some stakeholders we interviewed told us about a Neonatal Medical Follow-Up Clinic in Vermont used to follow-up with infants with NAS who have been discharged from the hospital and are being weaned off methadone on an outpatient basis. Hospital providers train the infant\u2019s family on how to administer the infant\u2019s medication at home and provide a referral to the clinic. After hospital discharge, the infant and family have follow-up visits in the clinic every 1 to 2 weeks, during which the family discusses with health care providers the weaning schedule and demonstrate how they administer the infant\u2019s medication. Health care providers told us that they also encourage the family to continue providing non-pharmacologic treatment to the infant. After weaning is complete, the infant continues to follow-up at the clinic every 1 to 2 months until the infant reaches 12 to 18 months of age.", "Literature we reviewed indicated that other outpatient treatment clinics or programs such as the one in Vermont have been established or considered in other states. Specifically, four studies we reviewed described instances in which infants began their treatment in the hospital but completed their treatment through a dedicated outpatient program in Florida, Ohio, and Pennsylvania. Each study noted that the inpatient-to- outpatient approach can result in a shorter hospital length of stay. For example, one 2015 study found that infants who began treatment in a hospital and completed their treatment in an outpatient setting stayed in the hospital an average of 11 days, compared to infants who completed treatment in the hospital, where the stays averaged about 25 days. However, the studies also noted that the inpatient-to-outpatient approach resulted in a longer overall treatment duration across the two settings.", "Neonatal withdrawal centers to treat NAS Some stakeholders we interviewed, including health care providers, described examples of neonatal withdrawal centers in two states, where infants with NAS can continue pharmacologic treatment after their discharge from the hospital. Health care providers in these facilities told us that in Washington and West Virginia, some infants with NAS who began treatment in a hospital may be referred to these facilities, where they reside until they complete treatment and are discharged from the facility. These providers explained that in these facilities, the infants are placed in nursery rooms, where health care providers can monitor them and administer and adjust their medication as needed. In addition, nursing staff or other caregivers are responsible for providing continuous non-pharmacologic treatment, and mothers are encouraged to visit and continue this care. For example, health care providers told us that in Washington, two to three infants may share a nursery room where trained caregivers provide them with non-pharmacologic treatment. In West Virginia, health care providers said infants are typically placed in individual nursery rooms where nurses provide them with non- pharmacologic treatment. The rooms in the West Virginia facility are also equipped with a rocking chair to encourage mothers to visit and provide this care as well. Health care providers told us that the facility currently offers one nursery room equipped with a bed to help prepare mothers on what to expect after discharge; they also said that they encourage mothers to spend the night prior to the infant\u2019s discharge from the facility. (See text box below).", "Treating infants with neonatal abstinence syndrome (NAS) in a neonatal withdrawal center One health care provider from a neonatal withdrawal center told us that the practice of rooming-in helps to facilitate the bond between the mother and infant. He also said that rooming-in allows health care providers to model care for the mothers and for mothers to learn how to care for their infants with NAS. Health care providers told us that the facility currently offers one nursery room equipped with a bed to help prepare mothers on what to expect after discharge and that they encourage mothers to spend the night prior to the infant\u2019s discharge from the facility. One health care provider told us that one mother, after staying overnight with her infant, realized that she was not prepared to take care of her infant and consequently gave up custody of the infant. Because of rooming-in, health care providers were able to ensure that the infant was safe because the mother came to this realization at the facility, rather than alone at home. Although the lack of physical space at the facility currently makes it difficult to accommodate rooming-in for the entire course of the infant\u2019s treatment, these providers noted the importance of this practice and that they are committed to parental involvement when treating infants with NAS at their facility.", "Figure 2 depicts nursery rooms in the neonatal withdrawal center in West Virginia. Efforts are also underway to open a neonatal withdrawal center in Arizona and Ohio, according to stakeholders we interviewed.", "Stakeholders we interviewed and the literature we reviewed suggest some limitations as well as benefits of treating infants with NAS in non- hospital settings, including factors to consider in these settings.", "Health care providers from one of the hospitals we visited in Vermont told us that their hospital is the only one in the state that allows infants with NAS to complete pharmacologic treatment through the Vermont outpatient clinic because they have established the necessary infrastructure to ensure families\u2019 compliance and safe practices at home. These providers said that they worked with one local pharmacy to ensure proper dispensing of the medication. Additionally, these providers measured the amount of medication left over at each follow- up visit with the families.", "Some state and perinatal collaborative officials told us that neonatal withdrawal centers may not be the best environment to treat infants with NAS because these settings may limit a mother\u2019s access to her infant, since she may not always be allowed to reside with the infant. Such limits, according to officials, do not facilitate bonding between mother and infant.", "Another state perinatal collaborative official, as well as health care providers and staff, told us that neonatal withdrawal centers may be better for treating infants with NAS because the environment is quieter and less stimulating than hospital settings, such as NICUs.", "Several studies we reviewed also emphasized that the inpatient-to- outpatient approach requires ongoing coordination, communication, and commitment from multidisciplinary providers, as well as the families. These studies highlighted instances in which these approaches reduced the length of the infants\u2019 stay in a hospital, though the studies emphasized that more work needs to be done to determine whether these are the optimal approaches for infants with NAS, as well as the potential long-term benefits of such approaches."], "subsections": []}, {"section_title": "Medicaid Payments for NAS Treatment Services Provided in Non-Hospital Settings", "paragraphs": ["Medicaid pays for NAS treatment services provided in the non-hospital settings we identified in certain states, according to CMS officials and other stakeholders we spoke with, but generally pays for these services separately, in contrast with the single bundled payment paid to hospitals. State officials and health care providers in the non-hospital settings we examined described various ways in which Medicaid covered services they provided to treat infants with NAS. For example:", "Outpatient follow-up clinic in Vermont. State officials and staff at this facility told us that the Vermont Medicaid program pays for an infant\u2019s outpatient physician visits using a fee-for-service payment schedule. They added that the Vermont Medicaid program also pays for the infant\u2019s medication used in pharmacologic treatment and explained that the pharmacy that dispenses the medication bills Medicaid for these services.", "Neonatal withdrawal center in Washington. Health care providers at this facility told us that the Washington Medicaid program or their contracted managed care plans pay for physician visits using a fee- for-service payment schedule, noting that the facility decided to stop billing Medicaid for medical supplies because of the low reimbursement. Additionally, these providers suggested that because the facility does not meet the Medicaid standards required for receiving payment for hospital inpatient, nursing, or other covered facility services, the facility is ineligible to receive Medicaid payment for the costs of room and board. These providers said that they receive funding for the cost of these services through state appropriations, foster care payments, city contracts, grants, and private donations.", "Neonatal withdrawal center in West Virginia. State officials and health care providers at this facility told us that West Virginia pays for NAS services through two mechanisms, depending on whether the infant is in foster care. Specifically, if the infant is in foster care, the facility receives a bundled payment from the state Medicaid program and the Bureau of Children and Families. However, if the infant is not in foster care, the state Medicaid program pays for physician visits using a fee-for-service schedule. Additionally, the facility can receive payment under a per diem rate that is negotiated with state Medicaid managed care plans. The health care providers said that they also receive funding through grants and private donations to help cover the costs of NAS services.", "Stakeholders we interviewed and literature we reviewed suggest that the costs of treating infants with NAS in non-hospital settings were lower than treating them in hospital settings. However, supporting data and research of the costs in different settings are anecdotal or otherwise limited. For example:", "Health care providers from the neonatal withdrawal center in Washington told us that their facility could treat infants at a lower average cost per day than could hospitals\u2014at about $700 per infant per day compared to an average cost of about $1,500-2,500 per infant per day in a hospital. These providers said that this cost savings is in part due to their limited staffing of nurses and their ability to leverage specially trained caregivers to provide infants with non-pharmacologic treatment and hands-on care, such as feeding and bathing. These providers also said they use volunteers to help with household duties, such as laundry and replenishing supplies.", "A health care provider from the neonatal withdrawal center in West Virginia conducted a study that found that the average daily charges per infant were about $400 in their facility, compared to about $2,600 in a special care nursery and $4,000 in a NICU.", "Two studies we reviewed found that inpatient-to-outpatient treatment approaches reduced hospital costs for NAS treatment; however, these studies were not generalizable and did not account for the duration of treatment across the two settings. Specifically, one study found that an inpatient-to-outpatient treatment approach reduced hospital length of stay by 55 percent\u2014estimated to save hospitals $396 million annually\u2014compared with treatment provided solely in a hospital. The second study found that infants who received care for NAS through an inpatient-to-outpatient treatment approach had an average length of stay of 13 days and cost about $14,000, while an inpatient- only approach had an average length of stay of 25 days and cost about $28,000."], "subsections": []}]}, {"section_title": "Recommended Practices for Addressing NAS Include Prioritizing Non-Pharmacologic Treatment, While Challenges Include Maternal Use of Multiple Substances", "paragraphs": [], "subsections": [{"section_title": "Recommended Practices for Addressing NAS Include Prioritizing Non- Pharmacologic Treatment, Educating Mothers, and Addressing Stigma", "paragraphs": ["The 32 stakeholders we interviewed and the literature we reviewed identified several recommended practices for addressing NAS\u2014that is, treating women with opioid use disorders during pregnancy or treating infants diagnosed with NAS after birth. The most frequently recommended practices were (1) prioritizing non-pharmacologic treatment, such as allowing the mother to reside with the infant during treatment, to facilitate the mother-infant bond; (2) educating mothers on prenatal care, treatment for NAS, and available resources for after an infant\u2019s discharge; (3) educating health care providers on the stigma faced by women who use opioids during pregnancy and on how to screen for and treat NAS; and (4) using a protocol in a hospital or non-hospital setting for screening and treating infants with NAS. These recommended practices are described in more detail below.", "Volunteer programs to provide non- pharmacologic treatment for neonatal abstinence syndrome (NAS) Some stakeholders told us that some hospitals have established volunteer cuddler programs that train volunteers to help provide some of these non-pharmacologic treatments\u2014-namely, swaddling, feeding, soothing, and coddling infants. However, health care providers at some facilities noted that volunteers are not necessarily available during late shifts. indicated that non-pharmacologic treatment may (1) facilitate the mother- infant bond, (2) reduce the severity of NAS symptoms, (3) reduce the need for pharmacologic treatment, and (4) reduce the length of an infant\u2019s hospital stay. For example, two of the articles we reviewed noted that rooming-in has been shown to help decrease the need for pharmacologic treatment, the number of admissions to the NICU, and the length of an infant\u2019s hospital stay. Additionally, 17 of the stakeholders we interviewed and nine articles we reviewed recommended that mothers be allowed to breastfeed while their infants are treated for NAS, as it helps to build a bond between the mother and infant. Most of these articles also noted that breastfeeding has been shown to reduce the severity of NAS.", "Educating mothers on prenatal care, treatment for NAS, and resources for after an infant\u2019s hospital discharge. Most stakeholders we interviewed and several of the literature articles we reviewed recommended providing comprehensive, ongoing education to mothers on prenatal care and treatment for NAS and on the resources that are available after an infant\u2019s discharge. (See text box below). The stakeholders and literature indicated that this education may (1) facilitate a non-combative relationship between the mother and health care providers; (2) help to reassure and support the mother, who may feel responsible for the infant\u2019s suffering, in addition to facilitating treatment of NAS; and (3) help the mother understand her infant\u2019s behavior and develop greater confidence in her parenting skills. For example, one article noted that an infant\u2019s withdrawal behavior, such as fisting, back arching, and jaw clenching, may be misinterpreted by the mother as dislike of touch, and that educating mothers on these behaviors can help alleviate feelings of guilt.", "Education for mothers on prenatal care, treatment for neonatal abstinence syndrome (NAS), and resources for after an infant\u2019s hospital discharge", "Explaining to the mother during the prenatal period what she can expect when the infant is born to help ensure she understands the effects of and treatment for NAS; Informing the mother about non-pharmacologic treatment techniques that can help reduce the severity of the infant\u2019s NAS symptoms;", "Modeling good parenting skills, such as demonstrating how to comfort an infant who may be crying inconsolably for hours because of withdrawal; and Informing the mother about contraception for preventing future pregnancies.", "Educating health care providers on the stigma faced by women who use opioids during pregnancy, and how to screen for and treat NAS. Most stakeholders we interviewed and several of the literature articles we reviewed recommended educating health care providers, including providers who are not addiction specialists, on both the stigma faced by women who use opioids during pregnancy as well as on how to screen for and treat infants with NAS. The stakeholders and literature indicated that this education may: (1) improve care so that mothers with opioid use disorders feel more comfortable seeking and obtaining prenatal care, (2) help health care providers know how to recognize NAS symptoms to help ensure infants receive appropriate treatment, and (3) allow for more consistency among these providers in NAS screening and treatment. For example, 26 stakeholders told us that educating health care providers about stigma is important because provider attitudes affect how and if pregnant women obtain prenatal care and treatment for their opioid use disorders, which can affect the severity of NAS. Additionally, several articles we reviewed noted the importance of educating and training clinicians on how to administer the screening tools used to identify infants with NAS, which helps ensure infants are identified and receive optimal care.", "Using a protocol for screening and treating infants with NAS. While there is no single national standard of care for screening and treating NAS, most stakeholders we interviewed and several of the literature articles we reviewed recommended that hospital and non-hospital settings use a protocol to screen for and treat infants with NAS. The stakeholders and literature indicated that having a protocol can help: (1) identify infants at risk for NAS, (2) ensure that care is provided consistently, and (3) reduce the length of stay for infants receiving pharmacologic treatment. For example, the stakeholders we interviewed explained that a standard protocol also helps health care providers understand the tools used to assess the severity of NAS; know the types of medication used in treatment, including amounts and duration; and learn how to wean the infant off these medications. Similarly, one article we reviewed noted that infants who were treated at facilities that adopted standard treatment protocols experienced shorter durations of pharmacologic treatment compared with infants who were treated at facilities that did not use a standard protocol."], "subsections": []}, {"section_title": "Challenges Faced by Health Care Providers in Addressing NAS Include Maternal Use of Multiple Substances and Stigma Faced by Women Who Use Opioids", "paragraphs": ["Stakeholders we interviewed and literature we reviewed identified several challenges health care providers face in their efforts to address NAS. The most frequently cited challenges included (1) the use of multiple substances by pregnant women, which can exacerbate NAS; (2) the stigma faced by women who use opioids during pregnancy, which may affect whether they seek prenatal care to address NAS, among other things; (3) hospital staff burden and limited physical capacity to care for infants with NAS; (4) limited coordination of care for mothers and infants with NAS; and (5) gaps in research and data on NAS. These challenges are described in more detail below.", "The use of multiple substances by pregnant women, which can exacerbate NAS. Most stakeholders we interviewed and some of the literature we reviewed noted that the use of multiple substances by pregnant women, including opioids\u2014referred to as maternal polysubstance use\u2014can be a challenge, and some stated that the use of these substances can exacerbate NAS symptoms. According to the stakeholders, the substances can include methamphetamines, nicotine, alcohol, cocaine, marijuana, benzodiazepines, and Gabapentin. The stakeholders and literature indicated that maternal polysubstance use can lead to multiple conditions in the infant\u2014such as prematurity or Hepatitis C\u2014that can exacerbate NAS symptoms and prolong the length of an infant\u2019s hospital stay. For example, one expert noted that many women with opioid use disorders are also heavy cigarette smokers, and the nicotine typically exacerbates NAS withdrawal symptoms. Additionally, officials from a hospital and non-hospital setting we visited told us that they had developed a separate protocol for treating infants exposed to multiple substances that includes the use of several medications to address the more severe NAS withdrawal symptoms.", "Stigma faced by women who use opioids which may affect whether they seek prenatal care to mitigate the severity of NAS, among other things. Most stakeholders we interviewed and several of the literature articles we reviewed noted that the stigma faced by pregnant women with opioid use disorders is a challenge in addressing NAS. The stakeholders and literature indicated that stigma may: (1) prevent pregnant women from seeking substance use treatment or prenatal care; (2) prevent them from disclosing their drug use to health care providers during pregnancy; or (3) cause the women to fear punitive effects, such as losing custody of their children, being detained, or losing their jobs. For example, officials from one perinatal quality collaborative told us that these women may fail to seek care because of stigma, which can ultimately make it more difficult for health care providers to build relationships with these women and identify infants at risk for NAS.", "Hospital staff burden and limited physical capacity to care for infants with NAS. According to most stakeholders we interviewed and some literature we reviewed, staff burden and a limited physical capacity at facilities can pose challenges for addressing NAS. The stakeholders and literature indicated that there is increased burden on staff to care for these infants because they require frequent, personal attention. For example, the stakeholders explained that a hospital may have to increase the number of nurses on duty in order to provide the care the infants need. Health care providers at one hospital said that nurses still struggle to care for infants with NAS, even with additional staff, because these infants are overstimulated, cry, and do not eat or sleep well. As a result, they require much time and one-on-one attention\u2014including cuddling\u2014 from nurses. With respect to physical capacity, some stakeholders told us that limited physical capacity can make it difficult to (1) find space in the facility where the infants can be protected from high levels of stimulation and (2) facilitate the mother-infant bond. For example, some stakeholders told us that hospitals may not have a dedicated space for rooming-in, making it more difficult to facilitate bonding between mothers and infants.", "Limited coordination of care for mothers and infants with NAS. Most stakeholders we interviewed explained that the lack of coordination among health care providers and others for the mother and infant with NAS during the prenatal period, after the infant is born, and following the infant\u2019s discharge can be a challenge. This coordination includes organizing patient care activities and sharing information among health care providers, social workers, and all other participants concerned with the mother and infant\u2019s care. The stakeholders indicated that this lack of coordination can make it difficult for families to get the resources or support they need. (See text box below). For example, some stakeholders told us that women may miss health care visits because of a lack of access to enabling services such as transportation or child care.", "Limited coordination of care for mothers and infants with neonatal abstinence syndrome (NAS) One expert told us that there is a disproportionate number of infants with NAS born in rural areas. Infants in these areas may be discharged from the hospital without many follow-up services, such as transportation and care coordination.", "Gaps in research and data on NAS. Some stakeholders we interviewed noted that gaps in research and data on NAS make it challenging to conduct research on the affected population and fully understand the magnitude of the problem. The stakeholders indicated that there are gaps in adequate research and data on (1) the different types of treatment approaches for NAS; (2) the extent and effects of maternal polysubstance use among pregnant women; (3) the long-term effects of prenatal drug exposure, including the effects seen in childhood and adolescence; and (4) the efforts to ensure more consistent provider diagnosis and screening, such as through an improved screening tool. For example, the stakeholders told us that gaps in research and data may contribute to a lack of a national standard of care for screening and treating infants with NAS. According to some stakeholders, this may result in missed opportunities for identifying and treating infants with NAS. Some stakeholders also told us that because of gaps in research on the long- term effects of prenatal drug exposure, there is limited information on the types of services that infants with NAS may need in early childhood. Additionally, some stakeholders noted they found that because NAS was not consistently diagnosed and coded in medical records using diagnosis codes, the condition may be under-reported, and researchers may be limited in their ability to track these infants."], "subsections": []}]}, {"section_title": "HHS\u2019s Strategy Includes Recommendations Related to Addressing NAS but Lacks Priorities, Timeframes, and Responsibilities for Implementing the Recommendations", "paragraphs": ["In May 2017, HHS published the Protecting Our Infants Act: Report to Congress, which\u2014among other things\u2014presents a strategy that identifies key recommendations related to addressing NAS. Specifically, HHS\u2019s strategy\u2014known as the Protecting Our Infants Act: Final Strategy\u2014made 39 recommendations related to the prevention, treatment, and related services for NAS and prenatal opioid use. Of the 39 recommendations HHS made in its report, we found that 28 of them directly relate to the recommended practices or challenges that we describe above. For example, the Strategy recommends the following: promoting non-pharmacologic treatment, such as rooming-in; providing continuing medical education to health care providers for managing and treating infants with NAS, such as on NAS treatment protocols; conducting research on the long-term effects of prenatal drug exposure so that appropriate services can be developed for infants with NAS; and establishing clear definitions of NAS and standardizing the use of diagnosis codes to collect more meaningful and actionable data on NAS.", "According to the Strategy, the recommendations will be used to inform planning and policy across HHS. However, HHS does not include any information in the Strategy on how the department and other stakeholders will implement the recommendations. Specifically, HHS does not include in its Strategy the following: the explicit priorities among the numerous recommendations and associated efforts the department has initiated related to NAS; timeframes for partial or full implementation of these recommendations; clear roles and responsibilities for the recommendations, such as the extent to which HHS will need to rely on the medical community and federal and public stakeholders for implementation; and the methods that will be used to assess the department\u2019s progress in implementing any of these recommendations.", "HHS officials told us that they expect to develop a separate plan to guide implementation of the recommendations and that efforts to develop this plan were likely to begin in July 2017. However, as of September 2017, HHS could not provide any documentation that it had started to develop this implementation plan or establish a timeline for completing the plan; nor was HHS able to provide any information on what the plan may include. Having such a plan in place is important to ensure priorities are known and responsibilities are clear so that agencies and stakeholders can take appropriate action. Federal internal control standards call for agencies to have defined objectives clearly as part of their objective- setting process and to assign roles and responsibilities for achieving these objectives. Objectives defined in specific and measurable terms allow for the assessment of performance toward achieving objectives. Furthermore, leading principles on sound planning we have identified in our prior work call for developing robust plans to achieve agency goals. Until HHS finalizes an implementation plan that includes specific priorities, timeframes, responsibilities, and methods for evaluating progress, it is at risk of not being able to provide reasonable assurance that it can successfully implement these recommendations in a timely manner and assess the effectiveness of its efforts."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The rising opioid crisis has caused a significant increase in the number of infants born and diagnosed with NAS, a condition that affects infants and their families, hospitals, and other health care providers who are treating them. The increase in infants born with NAS also increases medical and other treatment costs experienced by the federal government and states. HHS recently published a strategy with key recommendations that have the potential to address some of the challenges related to treating NAS. However, HHS lacks a sound plan for implementing these recommendations. The absence of such planning raises questions about whether and when HHS will be able to implement these recommendations in a timely manner and be able to assess its progress."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of HHS should expeditiously develop a plan\u2014that includes priorities, timeframes, clear roles and responsibilities, and methods for assessing progress\u2014to effectively implement the NAS-related recommendations identified in the Protecting Our Infants Act: Final Strategy. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review, and HHS provided written comments, which are reprinted in appendix III. HHS also provided technical comments, which we incorporated as appropriate. In its written comments, HHS concurred with our recommendation to expeditiously take steps to address NAS and re-stated that its Strategy will be used to inform planning and policy across HHS. Specifically, HHS said that as part of its broader initiative to address the opioid crisis, the department will develop and implement a plan\u2014that will include priorities, timeframes, roles and responsibilities, and methods for assessing progress\u2014to address as appropriate and possible, the NAS-related recommendations in its Strategy. HHS also stated that full implementation would be contingent on funding, though it provided no information on how much funding was needed or how the funding would be used. Developing a plan to guide implementation can help the department determine what resources, if any, are needed to implement the recommendations in its Strategy.", "We are sending copies of this report to the appropriate congressional addressees, the Secretary of Health and Human Services, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at iritanik@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Detailed Scope and Methodology", "paragraphs": ["To address our first three audit objectives to describe care settings for treating infants with neonatal abstinence syndrome (NAS), Medicaid payment for NAS treatment, and the recommended practices and challenges for addressing NAS, we selected 32 stakeholders based on their relevant experience to cover a range of perspectives on NAS. Specifically, these stakeholders included those from site visits we conducted to four states\u2014Kentucky, Vermont, West Virginia, and Wisconsin. We selected these states because they met the following criteria: 1. the state had one of the top 10 highest incidence rates of NAS, according to data from the Centers for Disease Control and Prevention (CDC) for 2013, the most recent year of publicly available data; 2. the state provided variation in United States geographic regions with high rates of NAS, as of 2012; 3. more than 40 percent of births in the state were financed by Medicaid, according to a 2016 Kaiser Family Foundation Medicaid Budget Survey; and 4. the state has a perinatal quality collaborative\u2014a state or multi-state network of teams working to improve health outcomes for mothers and infants\u2014with work related to NAS, which we identified through the American College of Obstetricians and Gynecologists.", "As part of these site visits, we interviewed (1) officials from each of the four states, including Medicaid officials, Maternal and Child Health Directors, and Women\u2019s Services Coordinators; (2) representatives from the four state perinatal collaboratives; (3) health care providers (including physicians or nurses) from eight hospitals of varying levels of care (two hospitals in each state), which were selected based on recommendations from the state perinatal collaboratives because of the hospitals\u2019 experience treating NAS; and (4) officials from a residential treatment facility in each of the four states that provide prenatal and postpartum care to mothers, which were also selected based on recommendations from the state perinatal collaboratives regarding the facilities\u2019 experience with pregnant women with opioid use disorders and their infants with NAS.", "In addition to our site visits, we selected 12 additional stakeholders that included health care providers or administrators in non-hospital settings across the United States; officials from medical specialty societies; and experts. Specifically, we spoke with (1) health care providers (including physicians or nurses) or administrators from four non-hospital settings in Arizona, Ohio, Washington, and West Virginia, which were selected based on recommendations from stakeholders we interviewed and on the availability of such settings and their experience treating NAS; (2) health care providers from five medical specialty societies, including the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the American Society of Addiction Medicine, MedNAX (a network of physicians that specialize in neonatal care, including NAS treatment), and the National Association of Neonatal Nurses; and (3) three experts, including the authors of published literature we reviewed.", "We interviewed each of these 32 stakeholders and requested information from stakeholders about treating infants with NAS, including the utilization of available hospital and non-hospital care settings and associated costs of treatment services. For example, we requested protocols for screening and treating infants with NAS from hospital and non-hospital care settings. We reviewed available protocols provided by hospitals and a non-hospital care setting. We also reviewed available information reported by state officials, hospital and non-hospital providers, and state perinatal collaboratives on the utilization of hospital and non-hospital care settings, the facilities\u2019 cost of treating NAS in hospital and non-hospital settings, the lengths of stay for treating infants with NAS, or the amount of Medicaid payments for treating infants with NAS. We discussed the information provided by stakeholders and examined the information for obvious errors. The information obtained from these stakeholders is not generalizable to other states or other hospital and non-hospital settings. In addition, in some cases, stakeholders used different methods to collect the information they reported, including information on Medicaid payments; as a result, the information reported by stakeholders is not directly comparable.", "Additionally, we interviewed officials from HHS, including those from the Centers for Medicare & Medicaid Services (CMS) and HHS\u2019s Behavioral Health Coordinating Council\u2014which includes officials from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Indian Health Service, the Centers for Disease Control and Prevention (CDC), and the Food and Drug Administration, among others\u2014concerning NAS treatment services, settings of care, Medicaid payment, and recommended practices and challenges related to addressing NAS.", "We also conducted a comprehensive literature review to identify relevant studies on NAS published in peer-reviewed journals from January 2013 to December 2016. We searched more than 40 databases for research published in relevant peer-reviewed journals, including BIOSIS Previews\u00ae, Embase\u00ae, Gale Group Health Periodicals Database, MEDLINE\u00ae, and New England Journal of Medicine. Key search terms included \u201cneonatal abstinence syndrome,\u201d \u201cneonatal opioid withdrawal syndrome,\u201d and \u201cnewborn infants.\u201d After excluding duplicates, we identified and reviewed 325 abstracts. For those abstracts we found relevant, we obtained and reviewed the full study and selected 40 that were relevant to (1) hospital and non-hospital settings and related treatment services for infants with NAS; (2) the costs associated with treating infants with NAS, including Medicaid payments for services in these care settings; or (3) recommended practices and challenges for addressing NAS. We examined the methodologies for each of these studies and interviewed some of their authors. We determined that the studies were sufficiently reliable for our audit objectives. For a complete list of the studies we reviewed, see below.", "To examine our last audit objective on HHS\u2019s strategy related to addressing NAS, we interviewed agency officials and reviewed agency documents on the agency\u2019s efforts to develop a strategy. Specifically, we interviewed relevant officials from CMS and HHS\u2019s Behavioral Health Coordinating Council concerning their efforts to develop a strategy related to addressing NAS. In reviewing relevant HHS documents, we focused on HHS\u2019s Protecting Our Infants Act Report to Congress, which includes a strategy to address identified gaps, challenges, and recommendations related to NAS and prenatal opioid use. In addition, we reviewed the relevant standards for internal control in the federal government and the relevant criteria from GAO\u2019s body of work on effectively managing performance under the Government Performance and Results Act (GPRA) of 1993 and the GPRA Modernization Act of 2010."], "subsections": [{"section_title": "Studies GAO Reviewed", "paragraphs": ["Allocco, E., M. Melker, F. Rojas-Miguez, C. Bradley, K. A. Hahn, and E. M. Wachman. \u201cComparison of Neonatal Abstinence Syndrome Manifestations in Preterm Versus Term Opioid-Exposed Infants.\u201d Advances in Neonatal Care, vol. 16, no.5 (2016).", "Artigas, V. \u201cManagement of Neonatal Abstinence Syndrome in the Newborn Nursery.\u201d Nursing for Women\u2019s Health, vol. 18, issue 6 (Dec. 2014/Jan. 2015).", "Asti, L., J. S. Magers, E. Keels, J. Wispe, and R. E. McLead. \u201cA Quality Improvement Project to Reduce Length of Stay for Neonatal Abstinence Syndrome.\u201d Pediatrics, vol. 135, no. 6 (2015).", "Busch, D. W. \u201cClinical management of the Breast-Feeding Mother-Infant Dyad in Recovery from Opioid Dependence.\u201d Journal of Addictions Nursery, vol. 27, no. 2 (2016).", "Casper, T. and M. Arbour. \u201cEvidence-Based Nurse-Driven Interventions for the Care of Newborns with Neonatal Abstinence Syndrome.\u201d Advances in Neonatal Care, vol. 14, no. 6 (2014).", "Chau, K. T., J. Nguyen, B. Miladinovic, C. M. Lilly, T. L. Ashmeade, and M. Balakrishnan. \u201cOutpatient Management of Neonatal Abstinence Syndrome: A Quality Improvement Project.\u201d The Joint Commission Journal on Quality and Patient Safety, vol. 42, no. 11 (2016).", "Cirillo, C. and K. Francis. \u201cDoes Breast Milk Affect Neonatal Abstinence Syndrome Severity, the Need for Pharmacologic Therapy, and Length of Stay for Infants of Mothers on Opioid Maintenance Therapy During Pregnancy?\u201d Advances in Neonatal Care, vol. 16, no.5 (2016).", "Clark, L. and A. Rohan. \u201cIdentifying and Assessing the Substance- Exposed Infant.\u201d MCN in Advance (2015).", "Demirci, J. R., D. L. Bogen, and Y. Klionsky. \u201cBreastfeeding and Methadone Therapy: The Maternal Experience.\u201d Substance Abuse, vol. 36, no. 2 (2015).", "Edwards, L. and L. F. Brown. \u201cNonpharmacologic Management of Neonatal Abstinence Syndrome: An Integrative Review.\u201d Neonatal Network, vol. 35, no. 5 (2016).", "Gregory, K. E. \u201cCaring for the Infant with neonatal Abstinence Syndrome in a Community-Based Setting.\u201d The Journal of Perinatal & Neonatal Nursing, (2014).", "Grim, K., T. E. Harrison, and R. T. Wilder. \u201cManagement of Neonatal Abstinence Syndrome from Opioids.\u201d Clinics in Perinatology, (2013).", "Hahn, J., A. Lengerich, R. Byrd, R. Stoltz, J. Hench, S. Byrd, and C. Ford. \u201cNeonatal Abstinence Syndrome: The Experience of Infant Massage.\u201d Creative Nursing, vol. 22, issue 1 (2016).", "Hall, E. S., S. L. Wexelblatt, M. Crowley, J. L. Grow, L. R. Jasin, M. A. Klebanoff, R. E. McClead, J. Meinzen-Derr, V. K. Mohan, H. Stein, and M. C. Walsh. \u201cA Multicenter Cohort Study of Treatments and Hospital Outcomes in Neonatal Abstinence Syndrome.\u201d Pediatrics, vol. 134, no. 2 (2014).", "Hall, E. S., S. L. Wexelblatt, M. Crowley, J. L. Grow, L. R. Jasin, M. A. Klebanoff, R. E. McClead, J. Meinzen-Derr, V. k. Mohan, H. Stein, and M. C. Walsh. \u201cImplementation of a Neonatal Abstinence Syndrome Weaning Protocol: A Multicenter Cohort Study.\u201d Pediatrics, vol. 136, no. 4 (2015).", "Holmes, A. V., E. C. Atwood, B. Whalen, J. Beliveau, J. D. Jarvis, J. C. Matulis, and S. L. Ralston. \u201cRooming-In to Treat Neonatal Abstinence Syndrome: Improved Family-Centered Care at Lower Cost.\u201d Pediatrics, vol. 137, no. 6 (2016).", "Jones, H. E., K. Deppen, M. L. Hudak, L. Leffert, C. McClelland, L. Sahin, J. Starer, M. Terplan, J. M. Throrp Jr., J. Walsh, and A. A. Creanga. \u201cClinical Care for Opioid-Using Pregnant and Postpartum Women: The Role of Obstetric Providers.\u201d American Journal of Obstetrics & Gynecology, vol. 210, issue 4 (2014).", "Jones, H.E., C. Seashore, E. Johnson, E. Horton, K.E. O\u2019Grady, K. Andringa, M. R. Grossman, B. Whalen, and A.V. Holmes. \u201cBrief Report: Psychometric Assessment of the Neonatal Abstinence Scoring System and the MOTHER NAS Scale.\u201d American Journal on Addictions, (2016).", "Kraft, W.K., M. W. Stover, and J. M. Davis. \u201cNeonatal Abstinence Syndrome: Pharmacologic Strategies for the Mother and Infant.\u201d Seminars in Perinatology, vol. 40, issue 3 (2016).", "Krans, E. E., G. Cochran, and D. L. Bogen. \u201cCaring for Opioid Dependent Pregnant Women: Prenatal and Postpartum Care Considerations.\u201d Clinical Obstetrics and Gynecology, vol. 58, no. 2 (2015).", "Lee, J., S. Hulman, M. Musci Jr., and E. Stang. \u201cNeonatal Abstinence Syndrome: Influence of a Combined Inpatient/Outpatient Methadone Treatment Regimen on the Average Length of Stay of a Medicaid NICU Population.\u201d Population Health Management, vol. 18, no.5 (2015).", "MacMullen, N. J., L. A. Dulski, and P. Blobaum. \u201cEvidence-Based Interventions for Neonatal Abstinence Syndrome.\u201d Pediatric Nursing, vol. 40, no. 4 (2014).", "Maguire, D. J., \u201cMothers on Methadone: Care in the NICU.\u201d Neonatal Network, vol. 32, no. 6 (2013).", "Marcellus, L. \u201cSupporting Women with Substance Use Issues: Trauma- Informed Care as a Foundation for Practice in the NICU.\u201d Neonatal Network, vol. 33, no.6 (2014).", "McKeever, A. E., S. Spaeth-Brayton, and S. Sheerin. \u201cThe Role of Nurses in Comprehensive Care Management of Pregnant Women with Drug Addiction.\u201d Nursing for Women\u2019s Health, vol. 18, no.4 (2014).", "Meyer, M. and J. Phillips. \u201cCaring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas.\u201d Preventive Medicine, vol. 80 (2015).", "Newnam, K. M. \u201cThe Right Tool at the Right Time: Examining the Evidence Surrounding Measurement of Neonatal Abstinence Syndrome.\u201d Advances in Neonatal Care, vol. 14, no.3 (2014).", "Orlando, S. \u201cAn Overview of Clinical Tools Used to Assess Neonatal Abstinence Syndrome.\u201d Journal of Perinatal and Neonatal Nursing, vol. 28, no.3 (2014).", "Patrick, S.W., M.M. Davis, C.U. Lehman, and W.O. Cooper. \u201cIncreasing Incidence and Geographic Distribution of Neonatal Abstinence Syndrome: United States 2009 to 2012.\u201d Journal of Perinatology, vol. 35 (2015).", "Patrick, S.W., H.C. Kaplan, M. Passarella, M.M. Davis, and S.A. Lorch. \u201cVariation in Treatment of Neonatal Abstinence Syndrome in U.S. Children\u2019s Hospitals, 2004-2011.\u201d Journal of Perinatology, vol. 34, no. 11 (2014).", "Patrick, S.W., J. Dudley, P.R. Martin, F.E. Harrell, M.D. Warren, K.E. Hartmann, E.W. Ely, C.G. Grijalva, and W.O. Cooper. \u201cPrescription Opioid Epidemic and Infant Outcomes.\u201d Pediatrics, vol. 135, no.5 (2015).", "Patrick, S.W., R. E. Schumacher, J. D. Horbar, M. E. Buus-Frank, E. M. Edwards, K. A. Morrow, K. R. Ferrelli, A. P. Picarillo, M. Gupta, and R. F. Soll. \u201cImproving Care for Neonatal Abstinence Syndrome.\u201d Pediatrics, vol. 137, no. 5 (2016).", "Reece-Stremtan, S., and K. A. Marinelli. \u201cABM Clinical Protocol #21: Guidelines for Breastfeeding and the Drug-Dependent Woman, Revised 2015.\u201d Breastfeeding Medicine, vol. 10, no.3 (2015).", "Shaw, M. R., C. Lederhos, M. Haberman, D. Howell, S. Fleming, and J. Roll. \u201cNurses Perceptions of Caring for Childbearing Women Who Misuse Opioids.\u201d The American Journal of Maternal-Child Nursing, vol. 41, no. 1 (2016).", "Sublett, J. \u201cNeonatal Abstinence Syndrome: Therapeutic Interventions.\u201d The American Journal of Maternal-Child Nursing, vol. 38, no. 2 (2013).", "Sutter, M. B., L. Leeman, and A. Hsi. \u201cNeonatal Opioid Withdrawal Syndrome.\u201d Obstetrics and Gynecology Clinics of North America, vol. 41, issue 2 (2014).", "Teague, A. H., A. J. Jnah, and D. Newberry. \u201cIntraprofessional Excellence in Nursing: Collaborative Strategies for Neonatal Abstinence Syndrome.\u201d Neonatal Network, vol. 34, no.6 (2015).", "Terplan, M., A. Kennedy-Hendricks, and M. S. Chisolm. \u201cPrenatal Substance Use: Exploring Assumptions of Maternal Unfitness.\u201d Substance Abuse: Research and Treatment (2015).", "Tolia, V. N., S. W. Patrick, M. M. Bennett, K. Murthy, J. Sousa, P. B. Smith, R. H. Clark, and A. R. Spitzer. \u201cIncreasing Incidence of the Neonatal Abstinence Syndrome in U.S. Neonatal ICUs.\u201d The New England Journal of Medicine, vol. 372, no. 22 (2015).", "Wiles, J. R., B. Isemann, L. P. Ward, A. A. Vinks, and H. Akinbi. \u201cCurrent Management of Neonatal Abstinence Syndrome Secondary to Intrauterine Opioid Exposure.\u201d Journal of Pediatrics, vol. 165, no. 3 (2014)."], "subsections": []}]}, {"section_title": "Appendix II: Department of Health and Human Services\u2019 Resources Related to Neonatal Abstinence Syndrome and Prenatal Opioid Use", "paragraphs": ["The Department of Health and Human Services (HHS) has published several guidance and educational resources related to neonatal abstinence syndrome and prenatal opioid use. According to HHS, these documents serve as tools to help stakeholders, including state entities and health care providers, and policymakers. Examples of these resources are listed below.", "Centers for Disease Control and Prevention (CDC), Pregnancy and Opioid Medications Factsheet, accessed June 8, 2017, https://www.cdc.gov/drugoverdose/pdf/pregnancy_opioid_pain_factsheet- a.pdf.", "CDC Public Health Grand Rounds, Primary Prevention and Public Strategies to Prevent Neonatal Abstinence Syndrome (Atlanta, GA: CDC, last updated August 18, 2016), accessed July 19, 2017, https://www.cdc.gov/cdcgrandrounds/archives/2016/August2016.htm.", "CDC, Treating for Two: Safer Medication Use in Pregnancy Initiative (Atlanta, GA: CDC, last updated May 5, 2016), accessed June 8, 2017, https://www.cdc.gov/pregnancy/meds/treatingfortwo.", "Department of Health and Human Services, Opioids: The Prescription Drug & Heroin Overdose Epidemic (Washington, D.C., last reviewed March 24, 2016), accessed June 8, 2017, https://www.hhs.gov/opioids/index.html.", "Department of Health and Human Services, National Center for Substance Abuse and Child Welfare, Resources & Topics on Neonatal Abstinence Syndrome, accessed June 8, 2017, https://www.ncsacw.samhsa.gov/resources/opioid-use-disorders-and-me dication-assisted-treatment/neonatal-abstinence-syndrome.aspx.", "Jean Y. Ko. et al., \u201cCDC Grand Rounds: Public Health Strategies to Prevent Neonatal Abstinence Syndrome,\u201d Morbidity and Mortality Weekly Report (Centers for Disease Control and Prevention, March 10, 2017), accessed June 8, 2017, https://www.cdc.gov/mmwr/volumes/66/wr/mm6609a2.htm.", "National Institute on Drug Abuse, Principles of Substance Abuse Prevention for Early Childhood: A Research Based Guide (last updated March 2016), accessed June 8, 2017, https://www.drugabuse.gov/publications/principles-substance-abuse-prev ention-early-childhood/principles-substance-abuse-prevention-early-child hood.", "National Institute on Drug Abuse, Substance Use in Women (last updated September 2016), accessed June 8, 2017, https://www.drugabuse.gov/publications/research-reports/substance-use-i n-women/summary.", "Reddy, Uma M. J. M. Davis, Z. Ren, and M. F. Greene, \u201cOpioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes: Executive Summary of a Joint Workshop.\u201d Obstetrics and Gynecology, vol. 130, issue 1 (July 2017).", "Substance Abuse and Mental Health Services Administration, A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders. HHS Publications No. (SMA) 16-4978. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2016.", "Substance Abuse and Mental Health Services Administration, \u201cAdvancing the Care of Pregnant and Parenting Women With Opioid Use Disorder and Their Infants: A Foundation for Clinical Guidance,\u201d Rockville, MD: Substance Abuse and Mental Health Services Administration, 2016.", "Substance Abuse and Mental Health Services Administration, \u201cMethadone Treatment for Pregnant Women.\u201d HHS Publication No. (SMA) 14-4124 (Rockville, MD: Substance Abuse and Mental Health Services Administration, revised 2014)."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Rashmi Agarwal, Assistant Director; Amy Leone, Analyst-in-Charge; Melissa Duong; Krister Friday; Jacquelyn Hamilton; Giao N. Nguyen; and Laurie Pachter made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Drug Control Policy: Information on Status of Federal Efforts and Key Issues for Preventing Illicit Drug Use. GAO-17-766T. Washington, D.C.: July 26, 2017.", "Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014. GAO-17-529. Washington, D.C.: July 21, 2017.", "VA Health Care: Actions Needed to Ensure Medical Facility Controlled Substance Inspection Programs Meet Agency Requirements. GAO-17-242. Washington, D.C.: February 15, 2017.", "Highlights of a Forum: Preventing Illicit Drug Use. GAO-17-146SP. Washington, D.C.: November 14, 2016.", "Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access. GAO-16-833. Washington, D.C.: September 27, 2016.", "Drug Enforcement Administration: Additional Actions Needed to Address Prior GAO Recommendations. GAO-16-737T. Washington, D.C.: June 22, 2016.", "Office of National Drug Control Policy: Progress toward Some National Drug Control Strategy Goals, but None Have Been Fully Achieved. GAO-16-660T. Washington, D.C.: May 17, 2016.", "Veterans Justice Outreach Program: VA Could Improve Management by Establishing Performance Measures and Fully Assessing Risks. GAO-16-393. Washington, D.C.: April 28, 2016.", "State Marijuana Legalization: DOJ Should Document Its Approach to Monitoring the Effects of Legalization. GAO-16-1. Washington, D.C.: December 30, 2015.", "Prescription Drugs: More DEA Information about Registrants\u2019 Controlled Substances Roles Could Improve Their Understanding and Help Ensure Access. GAO-15-471. Washington, D.C.: June 25, 2015.", "Mental Health: Better Documentation Needed to Oversee Substance Abuse and Mental Health Services Administration Grantees. GAO-15-405. Washington, D.C.: May 12, 2015.", "Prenatal Drug Use and Newborn Health: Federal Efforts Need Better Planning and Coordination. GAO-15-203. Washington, D.C.: February 10, 2015.", "Medicare Program Integrity: CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse. GAO-15-66. Washington, D.C.: October 24, 2014.", "Office of National Drug Control Policy: Office Could Better Identify Opportunities to Increase Program Coordination. GAO-13-333. Washington D.C.: March 26, 2013.", "Child Welfare: States Use Flexible Federal Funds, But Struggle to Meet Service Needs. GAO-13-170. Washington, D.C.: January 30, 2013."], "subsections": []}], "fastfact": ["The rising opioid epidemic has contributed to an increase in the number of babies born with neonatal abstinence syndrome\u2014a withdrawal condition with symptoms including excessive crying and difficulty breathing.", "The Department of Health and Human Services identified key recommendations to help guide its efforts to prevent and treat this syndrome\u2014such as providing medical education to healthcare providers on how to treat these infants. However, we found that it is unclear how the department will implement these recommendations, if at all.", "We recommended that HHS develop a plan to implement these recommendations."]} {"id": "GAO-18-172", "url": "https://www.gao.gov/products/GAO-18-172", "title": "Transportation Security Administration: After Oversight Lapses, Compliance with Policy Governing Special Authority Has Been Strengthened", "published_date": "2017-12-21T00:00:00", "released_date": "2017-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TSA is responsible for securing the nation's transportation systems and uses security technologies to screen airline passengers and their luggage to prevent prohibited items from being carried on commercial aircraft. TSA has special authority for using OTAs, which are not subject to certain federal contract laws and requirements. OTAs provide flexibility to help meet mission needs, but potentially carry the risk of reduced accountability and transparency.", "GAO was asked to examine TSA's use of OTAs. This report addresses: (1) the extent and purposes of TSA's use of OTAs, and (2) how TSA ensures prices are reasonable and how it oversees OTAs.", "To address TSA's use of OTAs, GAO analyzed data on OTA awards and obligations from the Federal Procurement Data System-Next Generation from fiscal years 2012 to 2016 (the most recent years for which data were available). GAO determined that data were sufficiently reliable to report on TSA's minimum use of OTAs. To examine how TSA prices and oversees OTAs, GAO selected a nongeneralizable sample of 29 OTAs from the 8 TSA programs that awarded them based on program size and OTA value. GAO reviewed relevant documentation, and interviewed contracting and program officials."]}, {"section_title": "What GAO Found", "paragraphs": ["During fiscal years 2012 through 2016, the Transportation Security Administration (TSA) awarded at least 1,039 other transaction agreements (OTA) and obligated at least $1.4 billion on them. These agreements, which are neither traditional contracts nor grants, were primarily used to reimburse airports and law enforcement agencies for the costs associated with TSA security programs. For example,", "TSA awarded at least 109 OTAs and obligated at least $783 million from fiscal years 2012 through 2016 to reimburse airports for the allowable design and construction costs associated with installing, updating, or replacing checked baggage screening systems.", "TSA also used OTAs for intelligence analysis and to offset the costs of providing canines for explosives detection, among other things.", "TSA Used Other Transaction Agreements to Reimburse Airports for Design and Construction Costs Associated with Checked Baggage Screening Systems", "For the selected 29 OTAs GAO reviewed, GAO found that the methods TSA used to determine price reasonableness varied depending on the complexity of the requirement. For example,", "For complex design and construction projects, TSA compared independent government cost estimates with contractor bids. Certified program managers monitored project schedule and scope through site visits and status reports.", "In contrast, TSA independently verified the rates set by the local power authority when reimbursing some airports for electricity costs to operate TSA screening equipment.", "GAO also found that TSA has taken action to address prior lapses in oversight, resulting in improved compliance. In 2015, TSA identified significant gaps in OTA file documentation and data reported in the Federal Procurement Data System-Next Generation. TSA took action to address these deficiencies by (1) updating its policy, (2) requiring additional training for contracting officers, (3) instituting monthly data verification, and (4) monitoring compliance through quarterly reviews. GAO's analysis confirmed that the quality of the data had improved between fiscal year 2012 and 2016. Moreover, the 29 OTAs generally met key requirements of TSA's policy that GAO identified."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Transportation Security Administration (TSA) is responsible for securing the nation\u2019s transportation systems while facilitating the movement of passengers and commerce using security-related technologies. To fulfill this mission, TSA must ensure that all airline passengers and their carry-on and checked baggage are screened to deter, detect, and prevent the carriage of prohibited and other dangerous items, such as explosives, on board commercial aircraft. As one of the largest components of the Department of Homeland Security, TSA obligated more than $1.4 billion through instruments called other transaction agreements (OTA) from fiscal years 2012 to 2016. Congress granted TSA other transaction authority in 2001, allowing it to enter into agreements other than standard government contracts or other traditional mechanisms. OTAs entered into under this authority are generally not subject to certain federal laws and regulations related to federal contracts such as the Federal Acquisition Regulation (FAR), allowing TSA to customize them to help meet project requirements and mission needs. As we and others have previously reported, the use of OTAs provides flexibility but carries the risk of reduced accountability and transparency, in part because such agreements are exempt from the FAR and the related controls and oversight mechanisms that apply to contracts.", "You asked us to review TSA\u2019s use of OTAs. This report addresses (1) the extent and purposes of TSA\u2019s use of OTAs and (2) how TSA ensures prices are reasonable and how it oversees OTAs.", "To address the extent to which TSA uses OTAs, we analyzed data from the Federal Procurement Data System-Next Generation (FPDS-NG) on obligations through contracts and OTAs from fiscal year 2012 to 2016. We assessed the reliability of the OTA data in FPDS-NG by performing electronic testing and comparing it to data from TSA\u2019s financial management and accounting systems. We found that over this timeframe the data in all three systems were incomplete and we therefore excluded OTAs that did not match in two or more systems. As a result of this step, we determined that the data were sufficiently reliable to report on TSA\u2019s minimum use of OTAs; however, we were not able to independently verify TSA\u2019s total OTA obligations during this timeframe.", "To address the purposes of TSA\u2019s use of OTAs and how TSA prices and oversees them, we reviewed relevant TSA policy and guidance and selected a nongeneralizable sample of 29 OTAs from the eight TSA programs that awarded them from fiscal year 2012 to 2016. Table 1 shows a breakdown by TSA program of the OTAs we reviewed.", "The number of OTAs we reviewed varied by program based on total obligations through the programs, OTA values, and the extent to which OTAs awarded under a program were similar. For example, we reviewed a larger percentage of OTAs awarded by the Electronic Baggage Screening Program and Advanced Surveillance Program because these programs accounted for about 79 percent of TSA\u2019s overall obligations through OTAs from fiscal year 2012 to 2016. By contrast, we reviewed a smaller percentage of OTAs from the Law Enforcement Officer Reimbursement Program, National Explosives Detection Canine Team Program, and Checkpoint Janitorial and Utilities Program because OTAs under these programs were generally for a similar purpose. We reviewed all of the OTAs awarded by the Office of Security Policy and Industry Engagement and the Office of Global Strategies because each of the OTAs awarded by these offices was unique. For each OTA, we requested information from TSA on the total period of performance, including unexercised options and obligations as of the end of fiscal year 2017. We also reviewed file documents including the determination and findings, business clearance memoranda, and acquisition plans as applicable and interviewed contracting and program officials. Our review focused on five key areas: rationale for using an OTA instead of a traditional contract, method of selecting OTA recipients, OTA type, determination of price reasonableness, and contracting officer\u2019s representative (COR) monitoring. We also reviewed COR files for a sample of OTAs awarded by the top three programs that awarded cost reimbursable OTAs and one that awarded fixed-price OTAs to provide greater insight into monitoring methods. In addition, we reviewed TSA OTA compliance reviews from fiscal years 2015 and 2016 and interviewed officials responsible for OTA policy and oversight. Appendix I summarizes information on the 8 programs and 29 OTAs in our review based on documentation provided by TSA.", "We conducted this performance audit from October 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Following the terrorist attacks of September 11, 2001, Congress passed the Aviation and Transportation Security Act which created TSA as the federal agency responsible for security in all modes of transportation, including civil aviation. Among its responsibilities, TSA must generally ensure that all passengers and property are screened before being transported on a commercial passenger aircraft. This statute also provided TSA the authority to enter into OTAs. TSA defines an OTA as a set of legally enforceable promises between TSA and another party that is other than a procurement contract, grant, cooperative agreement, lease, or loan.", "Every agency has inherent authority to enter into contracts to procure goods or services for its own use; however, agencies must receive specific authority to award OTAs. Under these authorities, agencies may develop agreements that do not follow a standard format or include terms and conditions that are typically required when using traditional mechanisms such as FAR-based contracts. Agreements entered into using other transaction authority are not generally subject to certain statutory and regulatory requirements related to government contracting such as the FAR and the terms and conditions of each individual OTA may be tailored to meet the specific situation. For example, OTAs may be fixed-price, cost-reimbursable, or provide that each party bear the costs of their participation. In addition, the length of an OTA is negotiable, with some agreements lasting a few days and others for years.", "As we reported in 2016, Congress has granted other transaction authority to 11 federal agencies. The statutory authorities for most agencies, however, include some limitations on the use of the agreements, although the extent and type of limitations vary. We found that most of the 11 agencies used OTAs for two purposes: (1) research, development, and demonstration; and (2) prototype development. Three agencies\u2014the Federal Aviation Administration, TSA, and the National Aeronautics and Space Administration\u2014used OTAs for different activities, such as airport security and education and outreach. Only a few agencies, including TSA and the National Aeronautics and Space Administration, have unrestricted authority to award OTAs. We also found that 9 of the 11 agencies had fewer than 90 active OTAs per fiscal year, but that, in contrast, TSA and the National Aeronautics and Space Administration had hundreds, and thousands, respectively."], "subsections": [{"section_title": "TSA\u2019s OTA Policy", "paragraphs": ["TSA\u2019s Office of Contracting and Procurement established policy and procedures for the use, award, and oversight of OTAs in 2011. Prior to 2011, TSA had no governing policy for OTAs. According to TSA\u2019s policy, which has been revised several times since its inception, OTAs are best suited for situations where: an entity is not a traditional contracting partner, for example, airlines, airport authorities, trade associations, quasi-governmental entities, or research and development organizations; there are cost sharing mechanisms that require the recipient to contribute to the overall cost of the effort; or the recipient must recoup all costs through third-party user-fees.", "Further, the policy states that OTAs may not be used when the principal purpose of the agreement is to acquire (by purchase, lease, or barter) property or services for the direct benefit or use of the United States government. Table 2 identifies some of the key provisions of TSA\u2019s OTA policy.", "This framework for awarding and overseeing OTAs is similar to those for contracts. Further, according to TSA\u2019s OTA policy, contracting officers who award OTAs must be certified at Federal Acquisition Certification in Contracting Level III and demonstrate possession of a level of experience, responsibility, business acumen, and judgment that enables them to operate in the relatively unstructured business environment of the OTA."], "subsections": []}]}, {"section_title": "TSA Obligates Millions Annually through OTAs, Primarily to Reimburse for Costs Associated with TSA Security Programs", "paragraphs": ["From fiscal years 2012 through 2016, TSA reported obligating millions annually through OTAs, which amounted to at least $1.4 billion, or about 13 percent of its overall obligations during this time. Five TSA reimbursement programs used OTAs to partially or fully reimburse airports and law enforcement agencies for the allowable costs associated with TSA security programs such as the design and construction of checked baggage inline systems. These five reimbursement programs accounted for about 99 percent of the $1.1 billion that TSA obligated on OTAs that were awarded during this period. The remaining three non- reimbursement programs accounted for a small amount of obligations and awarded a low number of OTAs for services including intelligence analysis and the development of aviation standards."], "subsections": [{"section_title": "TSA Obligates Millions Annually through OTAs", "paragraphs": ["From fiscal year 2012 to 2016, TSA reported obligating millions annually through OTAs, amounting to at least $1.4 billion, or about 13 percent of its overall obligations through contracts and OTAs. Annual OTA obligations remained fairly stable over this period, except for fiscal year 2013 when obligations spiked and then sharply declined in fiscal year 2014. This spike was driven in large part by the Electronic Baggage Screening Program, which obligated $519 million on 54 OTAs in fiscal year 2013 but obligated only $4 million on one OTA in fiscal year 2014. See table 3 for TSA\u2019s obligations on contracts and OTAs."], "subsections": []}, {"section_title": "TSA Primarily Uses OTAs to Reimburse Airports and Law Enforcement Agencies for the Costs Associated with Security Programs", "paragraphs": ["From fiscal year 2012 to 2016 eight TSA programs used OTAs to meet a variety of mission requirements. Five reimbursement programs used OTAs to partially or fully reimburse airports and law enforcement agencies for the allowable costs associated with TSA security programs. This accounted for about 99 percent of all OTA awards and obligations from fiscal year 2012 to 2016. The remaining three non-reimbursement programs accounted for a small amount of obligations and awarded a low number of OTAs for services including intelligence analysis and the development of aviation standards. See table 4 for the number of OTA awards and obligations by program. For more information on the programs and OTAs we reviewed, see appendix I.", "The five reimbursement programs awarded numerous OTAs to different airports and law enforcement agencies for similar requirements. These programs each used a class determination and findings that describes the general requirement and other parameters such as a range of possible award amounts or periods of performance. TSA has an OTA template with standard provisions. Terms tailored to the specific airport or law enforcement agency are then provided in the individual OTAs. The following examples illustrate some of the ways TSA has used OTAs to reimburse airports and law enforcement agencies for the costs associated with TSA security programs.", "The Electronic Baggage Screening Program is an acquisition program that tests, procures, deploys, and maintains checked baggage screening equipment at federalized airports. TSA uses FAR-based contracts to buy things like explosives detection machines and engineering support services. TSA uses OTAs to reimburse airports for the allowable design and construction costs associated with facility modifications needed for installing, updating, or replacing in-line checked baggage screening systems. These systems use conveyor belts to route checked luggage through an explosives detection machine which captures an image of the checked bag to determine if the bag contains any type of threat item including explosives. Agreements generally range in value from $50,000 to $150 million, and the anticipated period of performance can range from 6 months to 3 years, depending on the size and complexity of the project. In one example, TSA entered into an OTA to reimburse the City of Cleveland about $24 million for work at Cleveland Hopkins International Airport for installation of explosive detection systems within the checked baggage screening area.", "The Law Enforcement Officer Reimbursement Program provides partial salary reimbursement to approximately 325 airports to offset the costs of carrying out aviation law enforcement responsibilities in support of passenger screening activities. Reimbursement is based on an established \u201cnot-to-exceed\u201d hourly rate or the actual cost per hour, whichever is lower. Agreements range in value depending on the airport category, the number of checkpoints and law enforcement officers, hours of operation, and availability of funds. The period of performance for these agreements is generally 3 to 5 years. For example, TSA entered into an agreement with the Dallas/Fort Worth International Airport Board that lasted from October 2012 to March 2016 to reimburse the airport about $5.5 million.", "While the five reimbursement programs awarded numerous OTAs for the same purpose to different airports and law enforcement agencies, the remaining three non-reimbursement programs awarded few OTAs and their use was more varied. Specifically, the Office of Security Policy and Industry Engagement, the Office of Law Enforcement/Federal Air Marshal Service, and the Office of Global Strategies used OTAs for a range of services including intelligence analysis and the development of aviation standards. For example:", "The Office of Security Policy and Industry Engagement is responsible for developing security policies to reduce the risk of catastrophic terrorist attacks. From fiscal year 2012 to 2016, the office awarded four OTAs. These included two awards to the American Public Transportation Association to meet ongoing requirements for intelligence gathering, public transit information sharing and analysis, and the development of mass transit and passenger rail security practices.", "The Office of Law Enforcement/Federal Air Marshal Service awarded 13 OTAs to pay for parking for federal air marshals and authorized Law Enforcement Office employees at airports including John F. Kennedy International and Washington Dulles International. However, in September 2016, TSA competitively awarded a contract to manage parking expenses at numerous airports. According to officials, parking requirements for the Office of Law Enforcement/Federal Air Marshal Service will be met through the contract and as a result, existing OTAs for this requirement are being phased out.", "Other than the parking OTAs, TSA officials noted that the requirements for the seven remaining programs that used OTAs from fiscal year 2012 to 2016 are ongoing and that TSA will continue to use OTAs for the same purposes in fiscal year 2017 and beyond, contingent on available funding. They also noted that they do not anticipate any new uses of OTAs."], "subsections": []}]}, {"section_title": "Methods to Price and Monitor Selected OTAs Reviewed Varied, and TSA Has Taken Action to Strengthen Oversight", "paragraphs": ["Our review of 29 OTAs awarded by 8 TSA programs from fiscal years 2012 through 2016 found that the methods used to determine price reasonableness and monitor these OTAs varied based on the complexity of the requirement. Further, for the key areas we reviewed, the OTAs generally met the requirements of TSA\u2019s policy. Nonetheless, TSA\u2019s own 2015 internal compliance review found significant gaps in OTA documentation and reporting. In response to these deficiencies, TSA has taken action to strengthen oversight and compliance with its policy."], "subsections": [{"section_title": "Methods to Determine Price Reasonableness and Monitor OTAs Varied by Program", "paragraphs": ["TSA\u2019s OTA policy requires contracting officers to determine that the price negotiated under the OTA is reasonable and to appoint a COR to provide monitoring and a range of administration tasks to ensure that requirements are satisfactorily delivered. For the 29 OTAs we reviewed, we found that the methods used to determine price reasonableness and provide monitoring varied based on the complexity of the requirement.", "Approaches to determining price reasonableness ranged from instances where TSA extensively evaluated proposed costs to more straightforward analysis. For OTAs awarded by the Electronic Baggage Screening Program where the requirements for infrastructure design and construction can be complex, the program produces an independent government cost estimate based on design drawings and specifications from the airports which are required to follow TSA\u2019s detailed guidance. The program compares the estimate with the airport authority\u2019s independent bid for the design and construction. Any discrepancies are noted in the technical evaluation, which the contracting officer reviews and documents in the business clearance memorandum. For example, in fiscal year 2016, TSA awarded an OTA for $23 million to the City of Chicago for the recapitalization of the checked baggage resolution area at O\u2019Hare International Airport. Certain proposed costs in the contractor\u2019s bid were higher than TSA\u2019s independent government cost estimate. The contracting officer performed an evaluation of the costs and determined that they were reasonable and that the difference was, in part, the result of the airport having greater familiarity with the existing conditions at the site than TSA\u2019s cost estimators.", "By contrast, some programs took a more straightforward approach to determining price reasonableness, including cases where the costs were predetermined or not negotiable. For example, the Checkpoint Janitorial and Utilities Program used OTAs as a vehicle for reimbursing airport authorities for the costs of electricity to operate TSA screening equipment and for janitorial services in checkpoint areas. TSA had independently verified electricity prices set by the local power authority. Prices for janitorial services were verified based on the airport\u2019s competitively- awarded janitorial contracts. In one case, TSA entered into an OTA to reimburse the Massachusetts Port Authority for $678,000 for one year. TSA performed price analysis on historical data from agreements dating back to 2008 and reviewed changes to the checkpoint square footage and changes in electrical consumption based on use of new TSA equipment. The airport authority provided documentation verifying electrical rates set by the local power authority that TSA\u2019s contracting officer used to determine fair and reasonable pricing. Janitorial costs were based on TSA\u2019s pro-rated share of the airport\u2019s competitively-awarded janitorial contract and considered to be fair and reasonable based on adequate competition in the commercial market-place. TSA verified the rates each year prior to executing options.", "COR monitoring similarly varied depending on the complexity of the requirement. For the more complex design and construction projects under the Electronic Baggage Screening Program, COR monitoring was more rigorous than for programs with less complex requirements. According to 2016 guidance, the COR is the primary interface between TSA and the airport and is responsible for performing stakeholder coordination functions. During the design phase, the COR is to review the airport\u2019s design documentation to ensure compliance with TSA\u2019s guidelines and standards in collaboration with TSA subject matter experts. During the construction phase, the COR is responsible for performing ongoing oversight including reviewing invoices prior to payment. For an OTA awarded to the Miami Dade Aviation Department the COR reviews monthly milestone progress status reports as well as weekly status reports prepared by TSA\u2019s site integration contractor highlighting work completed, ongoing activities, and program risks. A contracting official noted that schedule slippage is a big risk for cost reimbursement projects which is mitigated by COR oversight, as well as the ongoing oversight of the site leads. A contracting official also noted that most CORs for these OTAs have DHS certification for program and project management providing them with greater technical and administrative expertise to monitor more complex projects.", "In one instance on another project with complex requirements under the Advanced Surveillance Program, project monitoring resulted in TSA and the airport working together to contain costs when a project did not go as expected. In fiscal year 2012, TSA awarded an OTA for $7.2 million to the Port Authority of New York and New Jersey for the design, installation and maintenance of a security system, including closed-circuit television cameras and associated software, at John F. Kennedy International Airport. In fiscal year 2013, TSA modified the OTA to add more cameras, thereby increasing the cost of the project to $21 million. However, during installation, the Port Authority experienced several unforeseen issues with the project, including reduced work hours available for unionized labor and asbestos abatement costs. As a result, the Port Authority reassessed its original cost estimate and determined that it was not sustainable. In fiscal year 2017, TSA and the Port Authority agreed to decrease the scope of the project from 751 cameras to 389 cameras to stay within the original $21 million estimate."], "subsections": []}, {"section_title": "TSA Found Improved Compliance in Its Reviews of OTAs after Taking Action to Address Lapses in Oversight", "paragraphs": ["Starting in fiscal year 2015, four years after it issued its 2011 OTA policy, TSA began to include OTAs in its contract compliance review program. Compliance reviews are conducted quarterly based on a selection of contracts and OTAs awarded in the previous quarter and intended to improve contracting operations, ensure compliance with applicable standards and policies, and identify best practices. Based on the number of findings identified in its review of six OTA actions included in a 2015 quarterly review, TSA commissioned an OTA-specific compliance review in June 2015. The OTA-specific review covered 30 actions with a total value of about $82 million and identified significant gaps in documentation and reporting. For example, 18 of 27 OTAs awarded after TSA\u2019s 2011 policy was issued did not include a determination and findings approving the action. As noted above, this is a key document that describes the rationale for using an OTA instead of a traditional contract and the determination of price reasonableness. The review also found that 18 of 30 files did not document the assignment of a COR to perform oversight and that 20 of 30 FPDS-NG records were incorrect.", "In response to the findings of the OTA-specific compliance review, TSA implemented a number of actions and has subsequently found improvement in OTAs meeting documentation and reporting requirements. We found that TSA revised the OTA policy to clarify requirements and increased training for contracting officers with OTA warrants. Specifically, to obtain the OTA warrant, contracting officers must complete webinar training and 3 days of classroom training. To maintain the warrant, contracting officers must retake the webinar training every two years. According to TSA contracting officials, all of the 56 contracting officers had completed the new training requirements as of May 2017. In addition, TSA has continued to include OTAs in its quarterly compliance review process. Based on our analysis of TSA\u2019s fiscal year 2016 compliance reviews, we found that TSA reviewed 16 OTAs with a total value of $62 million. In those reviews, 12 of the 16 findings were determined to be low risk. For example, several of the files did not include documentation of COR certification. The remaining four OTAs had findings that were determined to be medium risk. This includes, for example, one case where the OTA period of performance started 5 months before the OTA was signed. None of the OTAs, however, was missing a determination and findings and three had missing or incorrect FPDS-NG entries. Officials noted that their efforts to increase training, oversight, and enforcement of OTA policies and procedures have resulted in increased awareness of reporting requirements and greater compliance.", "In addition, TSA also recently increased oversight of the COR program to support efficient OTA and contract oversight and administration. A TSA official responsible for the COR program reported that in fiscal year 2017, TSA began to conduct quarterly compliance reviews of the COR program to ensure greater consistency in oversight practices across the agency. According to COR compliance review guidance issued in 2016, the reviews are intended to highlight positive practices, effective management techniques, and identify areas of improvements.", "Our analysis of data in FPDS-NG showed that issues with incomplete data have been corrected over time, in part due to increased oversight. We compared data reported in TSA\u2019s financial management and accounting systems with data reported in FPDS-NG and found that the percentage of new OTAs reported in FPDS-NG increased from 37 percent in 2012 to 95 percent in 2016. TSA\u2019s policy requires that OTAs be reported in the OTA module within FPDS-NG. The awarding contracting officer has responsibility for accurately entering OTA information, including the value of the award and the period of performance. TSA contracting officials attributed gaps in data in part to the fact that the process for entering OTA data into FPDS-NG is manual, whereas FPDS- NG automatically pulls data for contracts from TSA\u2019s contract writing system. According to officials, OTAs are excluded from the contract writing system due to system limitations and this additional step increases the chance that a contracting officer may forget to enter the data into FPDS-NG or enter it into the system incorrectly. TSA officials noted that they have taken steps to improve the accuracy of the data reported in FPDS-NG by reviewing and verifying entries on a monthly basis in accordance with TSA\u2019s policy.", "Our review of 29 OTAs also demonstrated that the OTAs generally met the requirements for the key areas of TSA policy that we reviewed. For example, TSA\u2019s policy states that if the OTA will be awarded without competition, the determination and findings must include a discussion of the method for selecting the OTA recipient. None of the OTAs we reviewed was competed because TSA determined that competition was not applicable due to the nature of the requirements. Nonetheless, all the determination and findings included a discussion of the method for selecting OTA recipients, a process that varied by program. For example, the Law Enforcement Officer Reimbursement Program posts a solicitation and selects eligible applicants based on review criteria. By contrast, the Advanced Surveillance Program prioritizes projects using a risk-based matrix that assesses threats, vulnerabilities, and consequences populated with data from 449 airports.", "Despite improvements, TSA officials acknowledged the need for continued vigilance based on several issues we identified. For example, TSA entered into a \u201cno funding\u201d OTA in 2013 with Signature Flight Support, a commercial fixed-base operator at Ronald Reagan Washington National Airport. A fixed-base operator is an organization granted the right by an airport to provide aeronautical services such as fueling, hangaring, tie-down and parking, aircraft rental, aircraft maintenance, flight instruction, and similar services. Under the agreement, Signature Flight Support collects and remits special security screening and threat assessment fees from airline operators on behalf of TSA, fees that are required due to the airport\u2019s location within a flight restricted zone and special flight rules area. TSA does not obligate funds through the OTA, which primarily establishes the responsibilities and procedures for the fee collection and remittal. Our review found that TSA did not take any action to extend or renew the agreement after it expired in December 2014. However, TSA program officials told us that Signature Flight Support continued to provide the service although an agreement was not in place. When we brought this issue to TSA\u2019s attention, officials agreed the OTA period of performance should have been extended each year. Officials told us that as of October 2017 they anticipate awarding a new OTA for this requirement in the second quarter of fiscal year 2018, more than three years after the OTA expired. In addition to the steps TSA has taken to improve OTA oversight, such as revising its OTA policy and increasing training requirements, TSA officials told us that they will continue to conduct quarterly compliance reviews and monthly data verification in accordance with their policy."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Homeland Security for comment. The Department provided only technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Senate Committee on Homeland Security and Governmental Affairs and the Secretary of the Department of Homeland Security. The report is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or woodsw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Summary of Key Areas for the Other Transaction Agreements GAO Reviewed", "paragraphs": [], "subsections": [{"section_title": "Electronic Baggage Screening Program", "paragraphs": ["Purpose: Reimburses airports for the allowable costs related to various airport checked baggage screening projects including the design and construction of checked baggage inline systems and the recapitalization of existing inline systems. Agreements generally range in value from $50,000 to $150 million, and the anticipated period of performance can range from 6 months to 3 years, depending on the size of airport and complexity of the project.", "TSA rationale for using Other Transaction Agreement (OTA): Airports are owned and operated either by city or county municipalities, airport boards or trusts, or, in some cases as not-for-profit entities. Given that the program requires modifications to airport terminals that are owned by an entity other than the federal government, it is more practical for the airport to oversee and monitor the construction or modifications required for their facilities.", "Method of selecting OTA recipient: Airports submit applications through the airport\u2019s Federal Security Director\u2014a TSA employee responsible for security operations at federalized airports\u2014including a description of the requirement, schematic design, budgetary cost estimate, and data relating to number of bags processed and airlines served. TSA prioritizes applications using a risk-based model and by considering several factors such as the cost share the airport is willing to assume and the readiness of the airport to begin the project.", "OTA type: Partial cost share/reimbursement. Depending on the airport\u2019s size, TSA will reimburse 90 or 95 percent of the allowable, allocable and reasonable cost of certain projects. In other types of projects, TSA provides 100 percent reimbursement\u2014for example, for existing systems requiring the correction of security or safety deficiencies.", "Method of determining price reasonableness: TSA produces an independent government cost estimate based on design drawings and specifications received from the airport and approved by TSA. The estimate is developed using industry standards and is used for evaluating total project cost. When bids are received from the airport, TSA compares the bid amount with the estimate. TSA may conduct further analysis and discussion to ensure that the estimate correctly reflects the scope included in the bid documents.", "Contracting Officer\u2019s Representative (COR) monitoring: The COR is the primary interface between TSA and the airport and is responsible for performing stakeholder coordination functions. During the design phase, the COR is to review the airport\u2019s design documentation to ensure compliance with TSAs guidelines and standards in collaboration with TSA subject matter experts. During the construction phase, the COR is to monitor project schedule and scope through processes such as weekly and monthly reporting.", "Purpose: Provides partial reimbursement to approximately 325 airports to offset the allowable costs of carrying out aviation law enforcement responsibilities in support of passenger screening activities.", "TSA rationale for using OTA: Participants are not traditional contracting partners; most participants must contribute to the cost of providing law enforcement officer support at the checkpoints; and the agreements do not acquire property or services for the direct benefit or use of the government.", "Method of selecting OTA recipient: The program posts a solicitation to FedBizOpps.gov with eligibility requirements, application process, review criteria, and selection process. Airports as well as state, local, or other public institutions/organizations responsible for commercial airport operations that have incurred law enforcement service costs due to TSA security mandates are eligible. The Federal Security Director\u2014a TSA employee responsible for security operations at federalized airports\u2014 along with the Law Enforcement Officer Program Office, Office of Chief Counsel, and the contracting officer, participate in selecting eligible applicants.", "OTA type: Partial cost reimbursement.", "Method of determining price reasonableness: OTAs are negotiated to provide reimbursement for law enforcement officer support at an established \u201cnot-to-exceed\u201d hourly rate or the actual cost per hour, whichever is lower. The amount of partial reimbursement is based on airport category, the number of checkpoints, hours of operation, and availability of funds.", "COR monitoring: CORs provide technical direction and day-to-day oversight of the program, work with the airport Federal Security Director to make sure that requirements are being satisfied, and approve invoices prior to payment.", "Purpose: Provides reimbursement for the allowable costs incurred to design, install, or expand surveillance systems to meet the required views of the local TSA. Project costs generally range from $200,000 to $21 million with an anticipated period of performance ranging from 6 months to 3 years depending on the complexity of the system and facility size.", "TSA rationale for using OTA: The primary beneficiary of the surveillance equipment is the facility that will take ownership of the system and be solely responsible for its operation. The use of an OTA provides for the facility to manage and perform the work but allows TSA oversight and control over the expenditure of TSA funds. TSA will not benefit directly from the purchase, installation, and operation of the system, so a traditional contract would not be appropriate.", "Method of selecting OTA recipient: The program prioritizes projects based on a risk-based matrix that assesses threats, vulnerabilities, and consequences based on data from 449 airports. Airports must be willing to complete the project within the required timeframe.", "OTA type: Cost reimbursement.", "Method of determining price reasonableness: The program uses a pre-award systems engineering process which culminates in a project evaluation and plan, a comprehensive surveillance assessment of TSA managed areas, and an independent government cost estimate. TSA reviews the cost elements to, for example, validate labor categories, labor hours, materials, and other direct costs based on industry standards and comparison with other projects. The program also uses market research and historical data to inform price analysis.", "COR monitoring: The COR works with project coordinators to monitor OTA performance and maintains direct contact with the transportation facility and the local TSA representatives. The COR reviews invoices to ensure that the transportation facility (via its contractor) has met all acceptance criteria prior to approval and payment of each invoice. Upon completion of installation and testing, TSA obtains an acceptance report to be signed by the transportation facility authority and major stakeholders including facility representatives, and the responsible TSA Federal Security Director, contracting officer, and COR.", "Purpose: Provides partial reimbursement to airports, mass transit systems, and state and local law enforcement participants for the allowable costs incurred associated with the operation of the authorized canine teams and explosives storage magazines. Allowable costs that will be reimbursed include handlers' salaries and care for the canines. In turn, the local jurisdiction agrees to a set of responsibilities including using TSA trained canine teams at least 80 percent of their on-duty time in the transportation environment and to maintain a minimum of three certified teams available for around-the-clock incident response. The program reimburses participants up to $50,500 per canine team for allowable costs incurred. The period of performance for these OTAs is up to 5 years.", "TSA rationale for using OTA: A standard procurement contract is not suitable because the airports, mass transit, and maritime facilities are not owned by TSA, but by airport authorities, and state and local agencies. These entities have the responsibility for the control and oversight of security operations at a specific location, either by having their own law enforcement officers, or using the state or local law enforcement officers. Since TSA does not own the airport or have primary law enforcement responsibility and only provides participants partial reimbursement for the operating costs of the teams, an OTA is warranted.", "Method of selecting OTA recipient: Transportation authorities and/or local law enforcement entities submit a written request outlining their desire to join the program in which they outline the need for the canine teams within their respective transportation system/s. TSA selects recipients based on a review of the transportation system\u2019s risk profile and the program\u2019s available team openings.", "OTA type: Partial cost reimbursement.", "Method of determining price reasonableness: The $50,500 per team stipend only covers a portion of the cost to the participant. There are instances after award that require an additional price reasonableness determination, such as when a participant requests reimbursement for a supply or service that is either unknown to the program or inconsistent with program historical prices for the given supply/service. If the program determines that the item is allocable the program will determine whether it was procured competitively and any facts that may support it being higher than historical prices paid. If the item was not procured competitively, the program will look at current price lists and catalogs for a same or similar item and consult program subject matter experts on their personal knowledge of the item(s) being purchased.", "COR monitoring: The program assigns a Field Canine Coordinator who is responsible for overseeing the participant\u2019s compliance with the agreement through periodic reporting and assessments. Reimbursement is to be made upon receipt and review of summited expenses by the COR and contracting officer.", "Purpose: The Checkpoint Janitorial and Utilities program uses OTAs to define the terms and conditions for TSA\u2019s use of checkpoint space in mandated non-leased space at airports and to provide a vehicle for reimbursing the cost of electrical consumption and janitorial services.", "TSA rationale for using OTA: A procurement contract is not suitable since the airport is a governmental entity, not a commercial vendor. Additionally, airports often contract directly with a utility provider or janitorial company.", "Method of selecting OTA recipient: Airports request reimbursement for utility costs and janitorial services in mandated non-leased space at TSA security checkpoints. TSA Federal Security Directors who are responsible for security operations at federalized airports confirm the need for reimbursing the cost of utilities and janitorial services at the checkpoint space. These OTAs are not available for competition as the only available source is the airport authority.", "OTA type: Cost reimbursement.", "Method of determining price reasonableness: TSA reimburses airports at cost for the costs of electrical consumption by TSA screening equipment located in the checkpoint space based on a cost allocation methodology. TSA reimburses airports for its pro-rata share of the airports janitorial costs per square foot also based on a cost allocation methodology. In the files we reviewed, prices were considered to be fair and reasonable based on documentation verifying the rates set by the local power authority. Costs were considered to be fair and reasonable based on the airports\u2019 competitively-awarded janitorial contracts and rates established by the local utility authority.", "COR monitoring: Provides technical direction, contractor oversight, and certification of payments.", "Purpose: The office has an ongoing requirement for intelligence gathering, public transit information sharing and analysis, and development of mass transit and passenger rail recommended security practices.", "TSA rationale for using OTA: The American Public Transportation Association is a not-for-profit trade association which therefore may not currently have the experience, knowledge, or past performance to support a FAR type contract.", "Method of selecting OTA recipient: Through market research, TSA determined that the American Public Transportation Association was uniquely capable of meeting requirements.", "OTA type: Fixed price.", "Method of determining price reasonableness: In 2014, price was determined to be fair and reasonable based primarily on historical data and prices consistent with the preceding interagency agreement and the office\u2019s independent government cost estimate. In 2016, the program updated the independent government cost estimate based on a quote from the American Public Transportation Association which provided for greater clarity, insight, and definition to the actual costs. Additional market research is planned to determine the best way to fulfill this requirement in the future.", "COR monitoring: The COR developed a contract management plan which identifies a detailed list of work products and delivery schedule. The expected deliverables are also detailed in the OTA statement of work. Responsibilities of the contractor include developing and managing a project plan; updating the plan as the project evolves; reporting project progress and status via monthly reports; and, participating in TSA- scheduled conference calls, if necessary, to review project progress, identify and discuss issues, and discuss corrective action.", "Purpose: The Surface Division of the Office of Security Policy and Industry Engagement has a need to maintain railroad police personnel involvement and a liaison relationship with the FBI\u2019s National Joint Terrorism Task Force. The requirement entails the direct employment of intelligence gathering focused on preventing terrorist acts affecting the nation\u2019s passenger and freight-rail infrastructure to facilitate the continuity of communications, liaison, intelligence analysis and information sharing among federal, state, local and railroad industry police/security agencies.", "TSA rationale for using OTA: A procurement contract is not suitable for this requirement, as the purpose of the action is to not acquire property or services for the direct benefit or use of the United States government. Rather, the requirement entails the direct employment of intelligence gathering focused on preventing terrorist acts affecting the nation\u2019s passenger and freight-rail infrastructure.", "Method of selecting OTA recipient: Since 2003, the Association of American Railroads has provided the TSA with a railroad police officer charged with collecting and analyzing intelligence information. Market research reveals the Association of American Railroads to be one of two major railway representation groups in the U.S. counting among its membership the seven largest freight and passenger rail carriers in North America. A follow-on agreement with the Association of American Railroads maintains an uninterrupted flow of the critical intelligence necessary in monitoring the safety and security of the nation\u2019s railway infrastructure.", "OTA type: Fixed price.", "Method of determining price reasonableness: The program developed an independent government cost estimate based on prices paid under a previous agreement which allows for an inflationary cost adjustment of 3 percent per year and determined the annual funding cost to be fair and reasonable in meeting this requirement.", "COR monitoring: The COR is responsible for the technical administration and liaison of the agreement and is to review and certify invoices for completeness and accuracy before approving them for payment. As authorized by the FBI, the assigned railroad police officer is to provide a monthly written report that summarizes the activities and accomplishments related to the tasks outlined in the agreement.", "Purpose: Ronald Reagan Washington National Airport is located within the Flight Restricted Zone and Special Flight Rules Area. As such, the Office of Security Policy and Industry Engagement developed a security program for approved general aviation aircraft operators which requires stringent security measures including requirements for background checks, physical screening of passengers and baggage. Aircraft operators are responsible for reimbursing TSA for the cost of the security screening. TSA requires the use of the airport facility to perform the screening function and a mechanism for the collection of security screening and threat assessment fees from aircraft operators and remittance of those fees to TSA.", "TSA rationale for using OTA: A procurement contract is not suitable for this requirement because TSA is not acquiring, purchasing, or leasing any product or service. The OTA primarily establishes the responsibilities of the parties and the fee collection and remittal procedures.", "Method of selecting OTA recipient: TSA determined that Signature Flight Support, as the sole commercial fixed base operator granted the right to operate at Reagan National Airport to provide aeronautical services such as fueling, hangaring, parking, aircraft rental, aircraft maintenance, flight instruction, and similar services\u2014is therefore the only entity capable of providing the facilities and services required to implement this program.", "OTA type: No funding.", "Method of determining price reasonableness: Not applicable.", "COR monitoring: The COR is responsible for providing technical direction and administration.", "Purpose: The Office of Global Strategies is directed to encourage the development of civil aviation security, and is authorized to furnish to international organizations certain technical expertise and assistance. The office awarded an OTA to the International Civil Aviation Organization\u2014a specialized agency of the United Nations committed to preventing and deterring unlawful interference with international civil aviation\u2014to cover the salaries and benefits for three TSA employees assigned to the organization as senior security advisors. TSA actively participates in the organization\u2019s Aviation Security Panel of Experts, which is responsible for promulgating international security standards.", "TSA rationale for using OTA: An OTA is best suited for this requirement since the International Civil Aviation Organization is a United Nations specialized agency and TSA is not acquiring any property or services for the direct benefit or use of the United States government.", "Method of selecting OTA recipient: There are no known alternative sources.", "OTA type: Fixed price.", "Method of determining a fair and reasonable price: Both the Program Office and the Contracting Officer solely relied upon historical salaries as previously used with the International Civil Aviation Organization.", "COR monitoring: The COR reviews and the contracting officer approves all invoices prior to payment.", "Purpose: TSA has a requirement to obtain parking spaces/permits for Federal Air Marshals during their mission flights for various airports.", "TSA rationale for using OTA: A procurement contract is not suitable for this requirement as airport parking is not considered a commercial item/service to the public; it is only available to business partners. An OTA allows TSA to participate in an airport\u2019s business partner category. Further OTAs provide a practical vehicle because the airport authority is considered a U.S. state government entity.", "Method of selecting OTA recipient: TSA conducted market research which found that an OTA with the airport provides a significant cost savings to the government compared with other alternatives. TSA compared the costs of parking as a business partner with the cost of parking at the typical rates at the airport.", "OTA type: Fixed price.", "Method of determining a fair and reasonable price: TSA prepared an independent government cost estimate based upon commercial market pricing for airport parking.", "COR monitoring: TSA will pay the airport the variable fixed rate on a monthly basis. All costs will be invoiced based on actual costs incurred, but not to exceed the OTA amount. To receive payment from TSA, the airport submits one-page invoice to include the quantity used, unit price, and extended prices of the monthly deliverable. The invoice will be reviewed and approved by the COR and contracting officer prior to payment.", "Purpose: TSA has a need for parking for authorized Office of Law Enforcement Employees at Washington Dulles International Airport.", "TSA rationale for using OTA: Need for parking can be met more economically with mechanism to directly reimburse Metropolitan Washington Airports Authority.", "Method of selecting OTA recipient: TSA conducted market research which found that an OTA with the Metropolitan Washington Area Airport authority provides a significant cost savings to the government compared with other alternatives.", "OTA type: Fixed price.", "Method of determining a fair and reasonable price: TSA conducted price analysis and found that other available lots are all more expensive, farther away from the airport, and lack the capacity to service 400 people.", "COR monitoring: Perform surveillance to assure performance and compliance with the terms and conditions of the agreement. Certify invoices to the contracting officer for payment."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tatiana Winger (Assistant Director), Angie Nichols-Friedman (Analyst in Charge), Peter Anderson, Lorraine Ettaro, Julia Kennon, Carol Petersen, Lindsay Taylor, Westley Tsou, Alyssa Weir, and Robin Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["TSA is responsible for securing the nation's transportation systems. To carry out this mission, Congress gave it special authority to use \"other transaction agreements.\" These agreements are not subject to federal contract laws, so they are more flexible than traditional contracts or grants. However, they also carry the risk of reduced accountability and transparency.", "We found that TSA awarded 1,039 of these agreements between 2012-2016\u2014largely for reimbursing airports for installing, updating, or replacing checked baggage screening systems. We also found that TSA has improved how it oversees these agreements."]} {"id": "GAO-18-184T", "url": "https://www.gao.gov/products/GAO-18-184T", "title": "Low-Dose Radiation: Interagency Collaboration on Planning Research Could Improve Information on Health Effects", "published_date": "2017-11-01T00:00:00", "released_date": "2017-11-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's September 2017 report, entitled Low-Dose Radiation: Interagency Collaboration on Planning Research Could Improve Information on Health Effects ( GAO-17-546 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE), Nuclear Regulatory Commission (NRC), Environmental Protection Agency (EPA), and Food and Drug Administration generally used the advice of scientific advisory bodies to develop and apply radiation protection requirements and guidance for workers and the public in the radiation exposure settings that GAO reviewed. These settings were: (1) the operation and decommissioning of nuclear power plants; (2) the cleanup of sites with radiological contamination; (3) the use of medical equipment that produces radiation; and (4) accidental or terrorism-related exposure to radiation. Specifically, the agencies relied on the advice of three scientific advisory bodies that supported the use of a model that assumes the risk of cancer increases with every incremental radiation exposure. Accordingly, the agencies have set regulatory dose limits and issued guidance to confine exposure to levels that reduce the risk of cancer, while recognizing that scientific uncertainties occur in estimating cancer risks from low-dose radiation. For example, NRC requires nuclear power plants to consider measures for limiting workers' exposure below NRC's regulatory dose limit, such as by using robots for maintenance work in radiation areas.", "GAO identified seven federal agencies that funded research on low-dose radiation's health effects. In fiscal years 2012 to 2016, DOE, NRC, EPA, and four other federal agencies obligated about $210 million for such research . Although the agencies have collaborated on individual projects on radiation's health effects, they have not established a collaborative mechanism to set research priorities. GAO's previous work has shown that federal agencies can use such mechanisms to implement interagency collaboration to develop and coordinate sound science policies. In the past, DOE took a leading role in this area because DOE provided stable funding and advocated for greater coordination on research on low-dose radiation's health effects. However, since fiscal year 2012, DOE has phased out funding for one of its main research programs in this area. This has created a void in coordination efforts among federal agencies, and no other agency has stepped forward to fill this void. Because of DOE's prior experience as a leader in this area of research and its research responsibility under the Atomic Energy Act of 1954, it could play an important role in helping federal agencies establish a coordinating mechanism for low-dose radiation research.", "Dollars are in millions and have not been adjusted for inflation", "Source: GAO analysis of agency data. | GAO-17-546"]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss federal agencies\u2019 requirements and guidance for protecting workers and the public from the harmful effects of ionizing radiation and agencies\u2019 support for research on the health effects of radiation at low doses. Radiation comes from natural sources as well medical, commercial, and industrial activities. It has beneficial uses, such as treating cancer, but a large amount of exposure can cause sickness or even death within days, according to the Environmental Protection Agency (EPA). In contrast, low levels of exposure are not known to cause acute health effects but may increase a person\u2019s risk of developing cancer.", "To protect against cancer and other harmful effects associated with exposure to radiation, EPA, the Nuclear Regulatory Commission (NRC), and other federal agencies have established requirements and issued guidance that apply to a wide range of settings in which such exposure can occur. For example, these requirements include limits on occupational dose, such as for workers in nuclear power plants, and limits on the dose that a facility, such as an industrial site with radiological contamination, can cause to members of the public.", "The Department of Energy (DOE) and other federal agencies have also funded research to determine the health effects of exposure to low levels of radiation. However, uncertainties remain about these effects, as DOE\u2019s Biological and Environmental Research Advisory Committee recognized in 2016, when it issued a report stating that further research on the cancer risk from low-dose radiation could decrease uncertainty in cancer risk estimates.", "My statement today summarizes our September 2017 report on low-dose radiation, which examined (1) how selected federal agencies have developed and applied radiation protection requirements and guidance for workers and the public and (2) the extent to which federal agencies have funded and collaborated on research on the health effects of low-dose radiation. For our report, we reviewed agency documentation and interviewed agency officials on the development of their radiation protection requirements and guidance. In particular, we identified four federal agencies\u2014EPA, NRC, DOE, and the Food and Drug Administration (FDA) within the Department of Health and Human Services (HHS)\u2014that have developed requirements or guidance for four settings in which radiation exposure can occur: operation and decommissioning of nuclear power plants, cleanup of sites with radiological contamination, use of medical equipment that produces radiation, and accidental or terrorism-related exposure to radiation. Findings from our reviews of these four agencies in the four settings we selected cannot be generalized to all agencies and settings in which radiation exposure can occur but provide illustrative examples. We also collected and examined data on support for low-dose radiation research from seven federal agencies that fund this research\u2014the Centers for Disease Control and Prevention (CDC) within HHS, the Department of Defense (DOD), DOE, EPA, the National Aeronautics and Space Administration (NASA), the National Institutes of Health (NIH) within HHS, and NRC. In particular, we requested these seven agencies to provide data on obligations for low-dose radiation research for fiscal years 2012 through 2016 and information on the type of research funded.", "More detailed information on the scope and methodology of our work can be found in our September 2017 report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives.", "In summary, we found that EPA, NRC, DOE, and FDA have generally used the advice of scientific advisory bodies to develop and apply radiation protection requirements and guidance for workers and the public for the four radiation settings in our review. Specifically, the agencies relied on the advice of three scientific advisory bodies that supported the use of the linear no-threshold model for such requirements and guidance. This model assumes that the risk of cancer increases with every incremental increase in radiation exposure. Accordingly, the agencies have set regulatory dose limits and issued guidance to confine exposure to levels that reduce the risk of cancer, while recognizing that scientific uncertainties occur in estimating cancer risks from low-dose radiation.", "We also found that, for fiscal years 2012 through 2016, seven federal agencies\u2014CDC, DOD, DOE, EPA, NASA, NIH, and NRC\u2014obligated about $210 million for research on the health effects of low-dose radiation, but annual funding decreased by 48 percent. During the period we reviewed, the seven federal agencies that funded this research collaborated on particular projects, but they did not use a collaborative mechanism to address overall research priorities, such as research needs that advisory bodies identified regarding health effects of low-dose radiation. In the past, DOE provided leadership in this area and advocated for greater coordination on research on low-dose radiation\u2019s health effects. However, since fiscal year 2012, its leadership role and funding have decreased because it has phased out funding for its main research program in this area, and no other agency stepped forward to fill this role. We recommended that DOE lead development of a mechanism for interagency collaboration on research on low-dose radiation\u2019s health effects. DOE disagreed with our recommendation, stating that agencies set their own research priorities. We continue to believe that DOE is in the best position to lead such an effort."], "subsections": [{"section_title": "Background", "paragraphs": ["According to NRC\u2019s website, the higher the radiation dose, the sooner the effects of radiation will appear, and the higher the probability of death. Radiation doses such as those received by survivors of the atomic bombs in Japan can cause cancers such as leukemia and colon cancer and, if levels are high enough, acute radiation syndrome. The symptoms of this syndrome range from nausea, fatigue, and vomiting to death within days or weeks. In contrast, the effects of low-dose radiation are more difficult to detect. In particular, below about 100 millisieverts (mSv) (10 rem)\u2014the level below which the National Academies of Sciences, Engineering, and Medicine\u2019s (National Academies) 2006 report on radiation and human health considered radiation to be low dose\u2014data do not definitively establish the dose-response relationship between cancer and radiation exposure."], "subsections": []}, {"section_title": "Selected Agencies Generally Used Advice from Scientific Advisory Bodies to Develop and Apply Radiation-Protection Requirements and Guidance", "paragraphs": ["In developing and applying radiation protection requirements and guidance for workers and the public\u2014specifically, limits on dose or increased health risk and guidance levels on exposure\u2014EPA, NRC, DOE, and FDA have generally taken the advice of scientific advisory bodies. In particular, they have relied on the advice of the International Commission on Radiological Protection, the National Council on Radiation Protection and Measurements, and the National Academies\u2019 Nuclear and Radiation Studies Board. This advice includes the use of the linear no-threshold model, which assumes that the risk of cancer increases with every incremental increase in radiation exposure. For example, the National Academies published a report in 2006 stating that the balance of evidence from various types of studies tends to favor a simple proportionate relationship between radiation at low doses and cancer risk. According to the National Academies, the availability of new and more extensive data since the publication of its previous report in 1990 strengthened confidence in the 2006 report\u2019s estimates of cancer risk.", "The advisory bodies have recognized challenges in accurately estimating cancer risks from very low doses of radiation exposure when using the linear no-threshold model. For example, much of the data on health effects of radiation exposure come from non-U.S. populations, such as Japanese atomic bomb survivors. These individuals received a large exposure to radiation over a short period of time (an acute exposure), and there is uncertainty about the extent to which the health effects for these populations can be extrapolated to a U.S. population that is regularly (chronically) exposed to low-dose radiation.", "Nevertheless, NRC officials told us that, in the absence of convincing evidence that there is a dose threshold below which low levels of radiation are beneficial or not harmful, NRC will continue to follow the recommendations of scientific advisory bodies to use the linear no- threshold model. Similarly, officials from EPA told us that they would consider changing the use of the linear no-threshold model as the basis of their requirements and guidance only if there were a strong recommendation from scientific advisory bodies on radiation protection as well as an endorsement of the change by the National Academies.", "Under this model, federal regulations set dose limits for radiation exposure that are below the level in the National Academies\u2019 2006 report on radiation and human health for defining low-dose radiation. For example, NRC\u2019s annual dose limit for members of the public (excluding natural, or background, sources of radiation) from operation of nuclear power plants is a hundredth of the level the National Academies considers low dose. NRC based the dose limit on an advisory body recommendation that the cancer risk to the general public from exposure to radiation should be comparable to the public\u2019s risk from everyday activities, such as taking public transportation.", "The low-dose radiation limits and guidance that federal agencies have developed and applied vary depending on the settings in which exposure can occur. For example, NRC has established limits on occupational dose that apply to nuclear power-plant workers; these limits are higher than NRC\u2019s annual dose limit for members of the public but are still below the level the National Academies considers low dose. In keeping with advisory body recommendations, NRC also applies the principle that doses should be kept as low as reasonably achievable (ALARA). NRC defines ALARA to mean making every reasonable effort to maintain exposures to radiation as far below dose limits as is practical. At a nuclear power plant we visited as part of our work, representatives told us that under their ALARA plan, the plant set its own dose limit for workers at 40 percent of the NRC\u2019s regulatory limit. Moreover, officials at the plant told us that they have been able to keep exposures below the plant\u2019s own limit by continuously seeking opportunities to reduce unnecessary worker exposure to radiation, such as using robots to perform maintenance work in radiation areas.", "In contrast to radiation exposure received from nuclear power plants, FDA officials stated that the agency regulates the maximum radiation output of medical equipment, instead of setting limits on the total amount of radiation exposure to patients. According to FDA officials, FDA does not generally have the authority to regulate the total amount of radiation exposure a patient receives from medical imaging equipment. However, in keeping with the principle that radiation exposure should be kept as low as reasonably achievable, FDA encourages voluntary measures by health care providers, such as to investigate and determine whether it is possible to reduce radiation exposure to patients from the use of medical- imaging equipment."], "subsections": []}, {"section_title": "Seven Agencies Have Funded Research on the Health Effects of Low-Dose Radiation but Have Not Collaborated on Overall Research Priorities", "paragraphs": ["From fiscal year 2012 through fiscal year 2016, seven federal agencies obligated $209.6 million for research on the health effects of low-dose radiation, but they did not use a collaborative mechanism to address overall research priorities in this area. DOE and NIH accounted for most of the funding, with DOE obligating $116.3 million and NIH obligating $88.6 million, or about 56 percent and 42 percent of the total, respectively. The five other agencies\u2014NRC, NASA, DOD, EPA, and CDC\u2014obligated the remaining $4.7 million, or about 2 percent of the total.", "DOE has two offices that have funded research on the health effects of low-dose radiation\u2014the Office of Science and the Office of Environment, Health, Safety and Security\u2014according to funding information DOE provided. The Office of Science established the Low Dose Radiation Research Program in 1998 and funded it through fiscal year 2016. A primary focus of this program was radiobiological research, which examines molecular and cellular responses to radiation exposure. According to DOE\u2019s website for the program, the program provided data and information about the low-dose range of exposure, producing 737 peer-reviewed publications as of March 2012. The Office of Environment, Health, Safety and Security provided funding for epidemiological studies, including studies involving Japanese atomic bomb survivors.", "NIH has funded and conducted both epidemiological and radiobiological studies on low-dose radiation, according to NIH officials. The officials stated that the studies are conducted through the National Cancer Institute\u2019s internal research program for radiation epidemiology, as well as through NIH\u2019s research programs for external funding of investigator- initiated research. Other institutes of NIH, including the National Institute of Environmental Health Sciences, also fund research related to the health effects of radiation exposure as part of NIH\u2019s overall mission to fund medical research.", "Among the other agencies that provided some funding to low-dose radiation studies, several provided funding to the Epidemiological Study of One Million U.S. Radiation Workers and Veterans (Million Person Study)\u2014an ongoing study headed by the National Council on Radiation Protection and Measurements. DOE also provided funding for this study.", "In fiscal years 2012 through 2016, the seven agencies who provided funding for research on health effects of low-dose radiation collectively decreased their annual funding obligations in this area by 48 percent, from $57.9 million in fiscal year 2012 to $30.4 million in fiscal year 2016. DOE accounted for a large portion of this overall decrease in annual funding. Specifically, over this 5-year period, DOE reduced its annual funding obligations for this area of research by 45 percent\u2014from $32.6 million in fiscal year 2012 to $18.0 million in fiscal year 2016. According to DOE, the decrease was primarily due to DOE\u2019s reduction in funding for its Low Dose Radiation Research Program. According to DOE officials, decreases in funding for the program reflected a shift toward bioenergy and environmental research. Similarly, over the 5-year period, NIH\u2019s funding for low-dose radiation research decreased by 48 percent\u2014from $23.1 million in fiscal year 2012 to $12.0 million in fiscal year 2016. NIH officials explained that funding levels for a particular disease or research area can fluctuate depending on several factors, including the number and quality of research proposals submitted and the outcome of NIH\u2019s peer reviews of the proposals, as well as the overall research budget.", "The seven agencies that funded research on health effects of low-dose radiation for fiscal years 2012 through 2016 collaborated on particular research projects through various mechanisms, including joint funding of individual projects, but they did not use a collaborative mechanism to address overall research priorities. As previously noted, the 2016 report of DOE\u2019s Biological and Environmental Research Advisory Committee provided information about research needs in low-dose radiation and found that further research could decrease uncertainty in predicting cancer risk from low-dose radiation. The report stated that other agencies\u2014including NRC, NIH, EPA, DOD, and NASA\u2014could benefit from the reduction in uncertainty that could be obtained by this research.", "In our September 2017 report, we recommended that the Secretary of Energy lead the development of a mechanism for interagency collaboration to determine roles and responsibilities for addressing priorities related to research on the health effects of low-dose radiation. We made this recommendation because our previous work has shown that collaborative mechanisms can serve multiple purposes, such as leading interagency efforts to develop and coordinate sound science and technology policies across the federal government. Although collaborative mechanisms differ in complexity and scope, they all benefit from certain key features, such as leadership.", "We directed this recommendation to DOE for several reasons. In the past, DOE took a leading role in advocating for greater communication and coordination between the fields of radiation biology and epidemiology. In addition, DOE is the federal agency that currently has primary responsibility under the Atomic Energy Act of 1954 for research related to the protection of health during activities that can result in exposure to radiation. DOE is well positioned to lead an effort to ensure that federal agencies have a mechanism for interagency collaboration to address overall research priorities related to low-dose radiation health effects because of the agency\u2019s past experience as a leader in this area of research. Such an effort could help DOE and the collaborating agencies determine roles and responsibilities, including leadership when addressing shared research priorities.", "DOE did not agree with our recommendation. In particular, DOE stated that EPA and NRC also have legal mandates to research low-dose radiation exposure and that these agencies establish their research priorities in accordance with their respective budget authorities and recommendations from independent advisory bodies. DOE stated that as a result, it would not be appropriate for DOE to lead the development of a mechanism for interagency collaboration.", "We believe that DOE\u2019s concerns stem from a misinterpretation of our recommendation, and we made several changes to our report and our recommendation to clarify DOE\u2019s role. We noted that we did not recommend that a mechanism for interagency collaboration serve as a replacement for agencies\u2019 legal mandates, budget authorities, and recommendations from independent advisory bodies. Instead, this mechanism would help agencies address shared research priorities. In making our recommendation, we did not specify the coordinating mechanism that agencies should use and instead left it to DOE to lead the development of an appropriate mechanism. We continue to believe that an interagency coordination mechanism for low-dose research is needed and that DOE is in the best position to lead agencies in developing the most appropriate mechanism.", "Chairman Weber, Ranking Member Veasey, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact John Neumann at (202) 512-3841 or neumannj@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to the report on which this testimony is based include Allen Chan, Kendall Childers, Joseph Cook, Richard Johnson, Cynthia Norris, Josie Ostrander, Amber Sinclair, and Jack Wang.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Federal agencies have established requirements to protect workers and the public against cancer and other harmful effects associated with low doses of radiation exposure. We testified that federal agencies have generally used the advice of scientific advisory bodies to develop and apply these requirements.", "Additionally, for fiscal years 2012 through 2016, the Department of Energy and other federal agencies obligated about $210 million for research on the health effects of radiation. In the report on which this testimony is based, we recommended that Energy lead efforts to enhance interagency collaboration on this research."]} {"id": "GAO-18-411", "url": "https://www.gao.gov/products/GAO-18-411", "title": "Oil and Gas Lease Management: BLM Could Improve Oversight of Lease Suspensions with Better Data and Monitoring Procedures", "published_date": "2018-06-04T00:00:00", "released_date": "2018-06-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Oil and gas leases on federal lands generate billions of dollars in rents and royalty payments for the federal government each year, but these revenues can be reduced if leases are suspended (i.e., placed on hold). Questions have been raised about whether some suspensions, particularly those in effect for more than 10 years, may hinder oil and gas production or adversely affect the use of federal lands for other purposes, such as recreation.", "GAO was asked to review oil and gas lease suspensions on federal lands managed by BLM. This report examines, among other things, (1) the extent of and reasons for such suspensions and (2) the approach BLM uses to monitor the status of lease suspensions. GAO analyzed all data on suspensions in a BLM database and the official lease files for a nongeneralizable sample of 48 leases recorded as suspended in, Montana and Wyoming, which GAO selected based in part on the large number of suspensions these states had. GAO also reviewed BLM documents and interviewed BLM officials."]}, {"section_title": "What GAO Found", "paragraphs": ["According to data at the end of fiscal year 2016 from the Bureau of Land Management (BLM), a small portion of oil and gas leases were suspended for various lengths of time (as shown below), but the reasons for the suspensions were difficult to determine. During a suspension, the government generally does not collect revenues from the lease. Determining the reasons for suspensions is difficult, in part because BLM does not require the inclusion of this information in its database. To obtain this information, BLM officials would have to review the official lease files, of which many are in hard copy. Under Standards for Internal Control in the Federal Government , management should use quality information to achieve the entity's objectives. BLM field officials GAO interviewed said that additional, more detailed information in the database on reasons for suspensions would be helpful in tracking lease suspensions. By including a data field in the database to record the reasons for suspensions, BLM could better ensure that federal lands are not being inappropriately kept from development\u2014potentially foregoing revenue\u2014or from other valuable uses of public lands.", "The approach BLM uses to monitor lease suspensions does not ensure consistent and effective oversight because BLM does not have procedures in place for monitoring. BLM state offices generally delegate responsibility for monitoring lease suspensions to their field offices. Officials from 12 selected field offices in two states with relatively large numbers of lease suspensions reported various frequencies in their monitoring of suspensions, ranging from every few months to rarely or not at all. In the absence of BLM monitoring procedures, field officials have discretion in how and when to monitor. By developing procedures for monitoring lease suspensions, including when to conduct monitoring efforts, BLM could better ensure that lease suspensions in effect are warranted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["To better ensure that federal lands are not being inappropriately kept from development, GAO is making four recommendations, including that BLM record the reasons for lease suspensions in its database and develop procedures for monitoring suspensions. Interior concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Oil and gas leases on onshore federal lands managed by the Department of the Interior\u2019s Bureau of Land Management (BLM) generate billions of dollars in rents and royalty payments for the federal government each year. According to BLM\u2019s database for mineral and land use\u2014the Legacy Rehost 2000 System (LR2000)\u2014approximately 41,000 oil and gas leases cover 28 million subsurface acres. Under the terms of these leases, operators have 10 years to begin drilling for oil and gas unless BLM suspends their leases. BLM may suspend leases, for example, when an environmental review is necessary to avoid harm to endangered species on the leased lands or during periods of extraordinary weather conditions, such as hurricanes or other natural catastrophes. Suspensions typically remain in effect until the conditions that led to the suspensions no longer apply. There is no limit on how long a lease can be suspended. During a suspension of operations and production, the government does not collect rents or royalty payments and the time remaining to begin drilling is reserved so that the operator is not penalized for the time the lease is in suspension.", "BLM is responsible for implementing the Federal Land Policy and Management Act of 1976, as amended, which directs Interior to manage federal lands for multiple uses, such as recreation and resource extraction, while also taking any action required to prevent \u201cunnecessary or undue degradation\u201d of these lands. Members of Congress and others have raised questions about whether some suspensions, particularly those that have been in effect for more than 10 years, may hinder oil and gas production or adversely affect the use of federal lands for other purposes, such as recreation.", "You asked us to review oil and gas lease suspensions on lands that BLM manages. This report examines (1) the process BLM uses to determine whether to suspend oil and gas leases; (2) the extent of oil and gas lease suspensions and the reasons for the suspensions of selected leases; and (3) the approach that BLM uses to monitor the status of lease suspensions and the extent to which this approach provides for oversight of such lease suspensions.", "To examine the process BLM uses to determine whether to suspend oil and gas leases, we reviewed applicable laws, agency documents, and the criteria used by BLM officials when considering lease suspensions. We also interviewed BLM officials about how they use these criteria. To examine the extent of oil and gas lease suspensions and the reasons for the suspensions, we analyzed data on all lease suspensions recorded in BLM\u2019s LR2000 database as of September 30, 2016. We took a number of steps to assess the reliability of these data\u2014such as checking the extent to which the data were complete and within expected ranges and interviewing BLM officials about how the data were collected\u2014and determined that the data were sufficiently reliable to give a high-level summary of suspension information, such as the number of leases in suspension and the lengths of the suspensions (see app. I for additional detail).", "We also analyzed information contained in the official lease files, maintained by BLM state offices, for a nongeneralizable sample of leases in suspension in Montana and Wyoming to identify the reasons behind the suspensions as well as to assess their status. We chose these states because they were among the states with the largest numbers of recorded lease suspensions. We also selected Montana because their files were electronically maintained and easily accessible and Wyoming because it had some leases recorded as suspended for the longest period of time of any state as of September 30, 2016. We selected 48 suspended leases in these two states and limited the extent to which we selected multiple leases that were suspended at the same time for the same reason. For Montana leases, we found that there were only 12 suspension dates. Therefore, we randomly selected a single lease from each date. For Wyoming, we selected leases based on a combination of suspension date, similarity of lease numbers, and field office of jurisdiction. In addition, to review suspensions that had been in effect for a relatively long period of time, we selected suspensions that had been in effect for 20 or more years. The results of our review of selected leases are not generalizable to other BLM leases in suspension but provide examples of the types of reasons given for suspensions.", "To verify the status of each selected lease, we compared information in LR2000 and the official lease file with information in the Office of Natural Resources Revenue\u2019s database. We also interviewed officials from the BLM state and field offices in our sample about specific lease files to learn more about the status of specific lease suspensions and the reasons why these suspensions were still in effect. We compared how BLM maintains and verifies its lease suspension information with Standards for Internal Control in the Federal Government for information and communication. To examine the approach BLM uses to monitor the status of lease suspensions and the extent to which this approach provides for oversight of such lease suspensions, we reviewed agency databases and documents, including information in LR2000 and selected lease files from the Montana and Wyoming state offices. These two state offices comprised a total of 12 field offices that were responsible for monitoring the 48 suspended leases in our sample. We also interviewed BLM officials from BLM headquarters and those state and field offices to learn about how, if at all, they monitor lease suspensions or oversee such monitoring. We compared their actions with agency guidance, federal regulations, and federal standards for internal control for control activities.", "We conducted this performance audit from September 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on oil and gas leasing and development on federally managed lands, lease revenues, lease suspensions, and BLM\u2019s LR2000 database."], "subsections": [{"section_title": "Oil and Gas Leasing and Development on Federally Managed Lands", "paragraphs": ["BLM is responsible for managing approximately 700 million acres of subsurface mineral estate throughout the country, including the acreage it leases to operators for oil and gas development. At the end of fiscal year 2016, about 41,000 oil and gas leases accounted for approximately 28.2 million acres in 32 states, according to BLM data (see app. II for additional details).", "The Federal Land Policy and Management Act of 1976, as amended, requires the Secretary of the Interior to develop land use plans for public lands. These plans identify federal lands and mineral resources that will be available for oil and gas leasing and development and other activities. The act requires the plans to be revised as appropriate, and BLM generally evaluates plans for potential revisions at least every 5 years.", "As part of developing or revising land use plans, BLM is required under the National Environmental Policy Act of 1969, as amended, to evaluate likely environmental effects of any decisions in the plan, such as selecting areas for oil and gas development. Generally, Interior prepares an environmental impact statement\u2014a detailed statement of the likely environmental effects of the proposed action\u2014in preparing land use plans. BLM officials said the agency uses the land use plans and environmental impact statements to (1) help develop \u201creasonably foreseeable development scenarios\u201d to estimate outcomes, such as the number of wells and likely surface disturbance that may occur under the land use plan; (2) identify lands open and closed to leasing; (3) identify resource-protection measures, such as lease stipulations and environmental best management practices; and (4) establish monitoring protocols. With a completed land use plan and its associated environmental impact statement, BLM can offer for lease the mineral rights identified in the plan.", "The parcels of land that BLM offers for potential leasing and development are nominated by industry and the public or identified by BLM. BLM offers leases through a competitive bidding process and requires a uniform national minimum bid of $2 per acre, due as a one-time payment when a bidder is awarded the lease. If BLM receives any bids on an offered lease, the lease is awarded to the bidder with the highest bid. Since 1992, BLM has offered leases with a 10-year primary term\u2014the initial period of time prescribed in a lease to begin oil and gas development. Operators generally begin oil and gas exploration on leased lands by analyzing available geologic and seismic information and other testing to determine if economically viable oil and gas reservoirs exist. If the findings are positive, the operators may begin efforts to prepare for development, such as completing the environmental studies required to apply for permits to begin lease development activities. For example, operators holding leases for oil and gas development must submit a drilling permit application to BLM and obtain approval before preparing the land and drilling new oil or gas wells. After receiving a permit application, BLM generally communicates with operators until they provide all of the required documents, including necessary environmental information or studies. The Energy Policy Act of 2005 requires BLM to approve or defer permit applications within 30 days of submission by the operator. After such applications are approved, operators may begin development activities, including building roads to the well site, constructing platforms, drilling wells, and constructing additional pipeline transportation necessary to transport the oil and gas to market.", "BLM has the authority to inspect federal oil and gas sites, including well pads and production facilities, under the Federal Oil and Gas Royalty Management Act of 1982, as amended. According to the agency\u2019s handbook for its inspection and enforcement program, BLM must ensure that oil and gas operations on federal lands are prudently conducted in a manner that ensures protection of the surface and subsurface environment."], "subsections": []}, {"section_title": "Lease Revenues", "paragraphs": ["For issued leases, the operator pays a fixed amount of rent each year until the lease begins producing or expires. Under the Mineral Leasing Act of 1920, as amended, once a federal lease begins producing, the operator pays royalties on the oil and gas it produces in lieu of paying rent. The act sets the royalty rate for competitive leases at not less than 12.5 percent of the amount or value of production. A producing lease remains in effect so long as the operator continues to produce oil and gas in paying quantities.", "The Office of Natural Resources Revenue, within Interior, is responsible for managing and collecting revenues from operators that produce or extract resources from federal leases. In fiscal year 2016, approximately 164 million barrels of oil and 3.25 trillion cubic feet of gas were produced on federal lands, according to agency data. According to Office of Natural Resources Revenue data, in fiscal year 2016, the federal government collected approximately $1.6 billion in gross revenue from the production of these resources on federal land. The majority of this revenue\u2014nearly $1.5 billion, or 91 percent\u2014came from royalties. The remaining revenue came from bids made on new leases\u2014more than $120 million\u2014and rent for existing leases\u2014more than $20 million."], "subsections": []}, {"section_title": "Lease Suspensions", "paragraphs": ["According to agency guidance, specifically the Suspensions of Operations and/or Production Manual, BLM generally uses two types of suspensions for oil and gas leases: (1) suspension of operations or (2) suspension of operations and production. A suspension of operations halts the operations associated with a particular lease, such as drilling or developing a well pad and roads. A suspension of operations and production\u2014the most common type of suspension, according to BLM officials\u2014is broader because it halts both operations and any production of oil and gas. BLM\u2019s guidance also states that a suspension of operations may be granted in cases in which the operator is prevented from operating or producing on the lease for reasons beyond the operator\u2019s control, and a suspension of operations and production may be granted only in the interest of the conservation of natural resources. During either type of suspension, the time remaining in the primary term of the lease is reserved until the suspension is terminated, so that the operator is not penalized for the time the lease is in suspension.", "According to BLM officials, lease suspensions typically are initiated by the operator but may also be initiated by BLM. BLM guidance states that before an operator can request a suspension, the operator must first demonstrate being hampered in performing some operation or activity on the lease. The operator must submit thorough documentation of the reason for requesting a suspension and should include evidence that activity has been attempted on the lease, such as filing an application for a drilling permit, and that the activity has been prevented by actions beyond the operator\u2019s control. For BLM\u2019s part, according to BLM\u2019s guidance, requests filed less than 30 days prior to the expiration of the lease are considered late and should normally be denied. If a request is filed in a timely manner, BLM is to assess the request and, if the reasons for the request are acceptable and justify a suspension, BLM should approve the request, according to BLM guidance. The state director at each BLM state office is responsible for reviewing and approving requests for lease suspensions; however, BLM\u2019s guidance encourages the delegation of this responsibility to the field manager at the field office with jurisdiction over the lease. According to BLM officials, BLM state offices generally delegate responsibility for monitoring lease suspensions to their field offices."], "subsections": []}, {"section_title": "BLM\u2019s LR2000 Database and Other Interior Databases", "paragraphs": ["According to BLM officials, LR2000 is a national database that provides internal and external users with access to, among other things, land and mineral use authorizations for oil, gas, and other mineral development; land titles; and other data extracted from case files that support BLM land, mineral, and resources programs. LR2000 contains information on approximately 6 million land and mineral case files. BLM designed the database for use by the oil and gas industry, mining industry, land and mineral title companies, utilities, state and local governments, interest groups, and members of the public that need access to BLM land and mineral case files.", "The agency has conducted a series of reviews of LR2000 over the last 5 years in an attempt to improve the accuracy of the data in the system, according to BLM officials we interviewed. In particular, the officials informed us that they created a tool, known as Data Flux, to improve the accuracy of the data, and that the tool has helped identify numerous data errors. BLM officials told us that each spring a report is generated using Data Flux that highlights the errors found in LR2000, and BLM state offices are responsible for taking action to address the identified errors for their respective states. These officials also told us that BLM plans to either significantly update or replace LR2000 but has not set a definitive date for doing so.", "Interior and BLM manage several other databases that contain information about the development and production of oil and gas on federal lands. In prior work, we found weaknesses in how Interior tracks and uses some information in its data systems. Specifically, in July 2010, we reported that BLM\u2019s publicly available data related to protests, or challenges, to lease sales were incomplete or inconsistent, and we recommended that Interior determine and implement an agency-wide approach for collecting protest information that is complete, consistent, and available to the public. BLM agreed with the recommendation and issued guidance to standardize data collection. In addition, we found in July 2016 that Interior could improve the data it collects to help track progress toward its goal of reducing methane emissions from oil and gas operations. We made four recommendations to improve BLM\u2019s reporting of emissions data. The agency generally concurred with all of the recommendations and has implemented two of them. Further, in April 2017, we found that BLM field offices had not effectively used data collected during environmental inspections, which could have enhanced BLM\u2019s ability to assess and mitigate environmental impacts. We recommended that BLM develop guidance and consistently track inspections data, among other things. BLM generally concurred with these recommendations."], "subsections": []}]}, {"section_title": "BLM Uses a Multistep Process in Determining Whether to Suspend Leases", "paragraphs": ["BLM uses a multistep process to determine whether to suspend oil and gas leases, and this process, according to BLM guidance and officials, typically begins with an operator submitting a suspension request to the appropriate BLM field office. Once the request is received, the cognizant BLM field official\u2014usually a petroleum engineer at the field office\u2014 reviews it for completeness and whether the reasons cited meet the suspension criteria established in federal regulations and BLM\u2019s Suspensions of Operations and/or Production Manual. These criteria require that lease suspensions be approved only in the interest of the conservation of natural resources or for circumstances beyond the operator\u2019s control. Officials we interviewed stated that field officials generally have broad discretion in how to apply suspension criteria when considering a request. See figure 1, below, for examples of circumstances for which suspensions can be issued.", "According to BLM officials, if the field office recommends approving the operator\u2019s request for suspension, the field office is to forward the request to the appropriate BLM state office for final review, as shown in figure 2 below. In cases in which the state office agrees with the field office\u2019s recommendation, the state office is to issue a decision letter to the operator noting the changes to the terms and conditions of the lease. A copy of the letter is also to be sent to the Office of Natural Resources Revenue, if necessary, requesting deferment of rent and royalty payments while the lease is suspended.", "Conversely, if the field office recommends that the suspension request be denied, the field office is to inform the operator in writing, BLM officials said. According to agency guidance, the operator can appeal the field office\u2019s recommendation to the state office director within 20 days after receiving the notification. The state director then has 10 days to render a decision. If the state director denies the request for suspension, the operator can challenge the decision at the Interior Board of Land Appeals. After the board\u2019s decision, the operator may make additional appeals in federal court. In cases in which a decision is overturned, the state office is to issue a decision letter to the operator that highlights changes in the lease\u2019s terms and conditions. The state office is to record the new terms and conditions in LR2000, notify the Office of Natural Resources Revenue of any rental or royalty payments that are to be deferred, and update the official lease file in the state office. Other affected parties (i.e. any party who is adversely affected by a decision) can also appeal a suspension decision, according to BLM officials.", "Agency officials stated that BLM field offices are primarily responsible for monitoring the status of lease suspensions they issue to ensure that the conditions for granting the suspension still exist. If the conditions have changed, the field office is to recommend that the lease suspension be terminated and notify the operator. The state office is to terminate the suspension and send a letter to the operator with the updated lease terms and conditions, which should extend the original lease expiration date to reflect the length of the suspension. BLM guidance states that the state office also is to send a copy of the suspension termination letter to the Office of Natural Resources Revenue to alert that office that any rental and royalty payments on hold for the lease should resume. The state office is then responsible for updating LR2000 and the official lease file regarding any new lease terms and conditions, according to BLM officials."], "subsections": []}, {"section_title": "A Small Portion of BLM\u2019s Oil and Gas Leases Were Recorded as Suspended, but Reasons for Suspensions Were Difficult to Determine", "paragraphs": ["A small portion of BLM\u2019s oil and gas leases were suspended as of the end of fiscal year 2016, according to the agency\u2019s LR2000 data, but the reasons for the suspensions were difficult to determine. These data indicated that as of September 2016, about 2,750 of BLM\u2019s approximately 41,000 oil and gas leases were suspended in various locations for various lengths of time. LR2000 did not always contain the reasons for suspensions, which required us to take additional steps to identify the reasons."], "subsections": [{"section_title": "As of September 2016, about 2,750 Oil and Gas Leases Were Recorded as Suspended and Varied in Their Location and Length of Suspension", "paragraphs": ["According to LR2000 data, approximately 2,750 oil and gas leases were suspended at the end of fiscal year 2016. Our analysis of these data showed that the lease suspensions spanned 16 states and accounted for about 3.4 million acres of federally managed land. The data also showed that most of the suspensions were in five Mountain West states: Colorado, Montana, New Mexico, Utah, and Wyoming. These five states accounted for more than 2,350 of the approximately 2,750 recorded lease suspensions and encompassed more than 2.9 million acres of federally managed land (see app. II for additional details). Figure 3, below, provides information on the location of oil and gas leases and recorded suspensions across the United States.", "Our analysis of LR2000 data showed that, of the approximately 2,750 recorded lease suspensions, about 630 had been in place for less than 3 years, about 1,150 had been in place for 3 years to less than 10 years, about 190 had been in place for 10 years to less than 20 years, about 130 had been in place for 20 years to less than 30 years, and about 650 had been in place for 30 years or more.", "See figure 4 and appendix III for additional details."], "subsections": []}, {"section_title": "Reasons for Suspensions Were Not Always Recorded in BLM\u2019s Database and Required Reviews of Official Lease Files to Identify", "paragraphs": ["BLM\u2019s database, LR2000, did not always contain information on the reasons for oil and gas lease suspensions. BLM officials said that while LR2000 does not have a field to specifically capture the reason for a suspension, and inclusion of this information is not mandatory, the general remarks field could be used for this purpose.", "Because we found this remarks field was rarely used to capture the reason for suspensions, we reviewed the official lease files for a sample of 48 leases in Montana and Wyoming that were suspended as of September 30, 2016, and we interviewed field office staff for clarification. The reasons for suspensions in this sample generally fell into four broad categories: environmental reviews, delays in reviewing applications for permits to drill, logistical conflicts, and other reasons.", "Our review of the official lease files for our sample found the following reasons cited for suspensions:", "Sixteen leases were suspended for large-scale environmental concerns, such as wilderness or wildlife protection areas or environmental reviews that affected large parcels of land. These 16 suspensions had been in effect for approximately 6 years to 38 years. One of these leases was suspended because of a court order that also resulted in suspension of 422 other leases; the leases suspended as a result of this court order accounted for most of the suspensions that had been in place for more than 30 years.", "Fourteen leases were suspended because BLM required additional time to complete its review of the operator\u2019s drilling permit application. These 14 suspensions had been in effect for approximately 1 year to 13 years. Seven of these 14 suspensions were issued because BLM needed additional time to review the environmental assessments submitted with the drilling permit applications.", "Eight leases were suspended because they faced logistical conflicts with other surface development, such as mining activities occurring on the lease or adjacent lands. These suspensions had been in effect for approximately 4 years to 25 years.", "Five leases were suspended for other, short-term reasons, such as weather-related issues or economic conditions, but were recorded in LR2000 as suspended for approximately 22 years to 74 years.", "We were unable to determine the reasons why the 5 remaining leases were suspended. These leases were recorded as suspended for approximately 28 to 82 years. The agency was unable to provide lease files for 1 of the leases. Field officials said that some of these suspensions may have been issued at the state level, and the officials had no additional information on them.", "According to Standards for Internal Control in the Federal Government, management should use quality information to achieve the entity\u2019s objectives; quality information may be defined as appropriate, current, complete, accurate, accessible, and provided on a timely basis. BLM does not have quality information on the reasons for suspensions, in part because such reasons are not routinely included in LR2000, and there is no specific data field for them. To obtain this information, BLM officials would have to review the official lease files, as we did, and most of the files were available only in hard copy in BLM state offices. Therefore, the information is not readily accessible across the agency. Field officials we interviewed from one field office said that additional information on reasons for suspension in the database would be helpful in monitoring lease suspensions and in communicating with others, such as management or the public, about suspensions. BLM headquarters officials said they are planning to update or replace LR2000. By including a data field in the update or replacement for LR2000 to record the reasons for suspensions, BLM could better ensure that federal lands are not being inappropriately kept from development\u2014potentially foregoing revenue\u2014or from valuable uses of public lands."], "subsections": []}]}, {"section_title": "BLM Relies on an Informal Monitoring Approach That May Not Provide for Consistent and Effective Oversight of Lease Suspensions", "paragraphs": ["BLM uses an informal approach to monitor lease suspensions and does not have procedures in place for monitoring suspensions, which may not ensure consistent and effective oversight. We also found that BLM\u2019s state offices do not always maintain current information on lease suspensions in the official lease files or LR2000, and BLM headquarters and state officials told us they generally do not oversee the monitoring of lease suspensions."], "subsections": [{"section_title": "Monitoring Varies Among Field Offices, and BLM Does Not Have Procedures for How to Conduct It", "paragraphs": ["Field offices vary in how they monitor lease suspensions, and BLM does not have official agency procedures in place for monitoring, relying instead on an informal approach. We found that the field offices we reviewed differed in the frequency of their monitoring activities for lease suspensions. According to officials we interviewed from these offices:", "8 field offices monitor with varying frequency, depending on the", "3 field offices monitor rarely.", "Officials who monitored with varying frequency said that the frequency depends in part on the nature of the suspension. For instance, they said suspensions that involve seasonal protection of wildlife habitat, which can last for several months, typically require relatively little monitoring because the time frames for these suspensions are more clearly defined. In contrast, suspensions involving environmental reviews often require more frequent monitoring because the time frames associated with these suspensions are less definitive and can range from several months to several years. Several of these officials said that their offices have established prompts to alert staff when to conduct monitoring activities. For example, an official from 1 field office told us the office\u2019s staff use handwritten notes to track their lease suspensions. An official from another field office informed us that their office uses an electronic calendar feature to alert staff when to monitor, and several other field office officials reported that they rely on various spreadsheets and emails to remind them when to monitor. Officials from 1 field office also stated that their office uses an estimated end date for every suspension\u2014that is, the date the suspension is expected to terminate\u2014to prompt them to review the current conditions to ensure that the suspension is still warranted.", "Officials who monitored with varying frequency also said that the frequency depends on the availability of staff for monitoring. These officials said they generally rely on petroleum engineers in their respective offices to monitor lease suspensions because these individuals are normally the most familiar with leases. However, some officials added that staffing limitations, particularly a shortage in petroleum engineers, have hindered their ability to monitor lease suspensions in a timely manner. Several of the field officials we interviewed noted that, in recent years, they have had to rely on other staff or petroleum engineers who were on loan from other field offices because their offices did not have a petroleum engineer on staff. According to two field officials we interviewed, while assistance from other field offices is needed and appreciated, there is invariably a lack of consistency in the knowledge that engineers from other offices have about the lease sites involved. Field officials also said that there have been instances in which petroleum engineers left the agency for the private sector, resulting in a loss of institutional knowledge about certain leases, possibly contributing to lapses in follow-up on particular leases. Officials from offices that rarely or never conduct monitoring also cited problems with staff availability. We reported on human capital challenges at BLM, specifically in hiring and retaining petroleum engineers, in March 2010. We also noted BLM\u2019s human capital constraints in our High-Risk Series update report in February 2011, and we reported on human capital issues at BLM in January 2014 and September 2016. In several of these reports, we recommended that BLM take a number of actions, including using existing authorities and incentives to improve staff retention. BLM generally agreed with these recommendations and has taken action on some, but not all, of these recommendations.", "Nonetheless, the extent of variability we found, including 3 field offices that monitor rarely or not at all, indicates that allowing individual field offices to determine when to monitor suspensions may not ensure that monitoring takes place. Under Standards for Internal Control in the Federal Government, management should design control activities, such as procedures, to ensure the objectives of the program are achieved. The Office of Management and Budget has also acknowledged the importance of internal guidance documents to channel the discretion of employees, increase efficiency, and enhance the fair treatment of similarly situated parties. Some field officials we interviewed said that procedures to help guide them on monitoring could be beneficial and provide a level of consistency. By developing procedures for monitoring lease suspensions, including when to conduct monitoring efforts, BLM could promote more consistent monitoring to better ensure that lease suspensions in effect are warranted."], "subsections": []}, {"section_title": "BLM State Offices and Headquarters Generally Do Not Oversee Field Office Monitoring of Lease Suspensions and Do Not Always Have Current or Complete Information on Suspensions", "paragraphs": ["Officials from BLM\u2019s state offices told us that they do not oversee field office monitoring of suspensions, and we found that they did not always have current or complete information on suspensions. We found that more than three-quarters of the official lease files in BLM state offices we reviewed contained outdated documentation regarding the status of lease suspensions. Specifically, files for 37 of the 48 lease suspensions we reviewed did not contain updated information on whether the lease suspension had been monitored or reviewed since the suspension was initially issued. For example, we reviewed a lease file for a suspension issued in 1949 for economic reasons, but the file only contained information on the suspension issuance and not whether monitoring occurred to assess the economic conditions associated with the lease. Additionally, we discovered that some official lease files were not complete and did not have certain required information, such as letters issuing the suspension. For example, three of the lease files we reviewed were missing required information. We could not verify the reasons these leases were suspended, their current status, or any information concerning monitoring efforts associated with them. Field officials we interviewed did not have any information on these suspensions and said that they may have been initiated by the state office more than 30 years ago. However, BLM state officials were unable to confirm or deny this. For another lease, there was no lease file. Officials in BLM headquarters and state offices said that there is no requirement for them to oversee the field offices\u2019 monitoring activities. However, they said that performing such oversight could help to ensure effective and consistent monitoring of lease suspensions.", "We also identified some instances in LR2000 where data on suspensions were not up to date. Specifically, 7 of the 48 leases we reviewed were recorded in LR2000 as suspended, but information we received from agency officials indicated that the suspensions were no longer warranted. We later confirmed with state and field officials that none of the 7 suspensions remained in effect. Five of these 7 leases were recorded as being in suspension for 22 years or more for what appeared to be short- term reasons, such as weather-related issues or economic conditions. One Wyoming suspension, for instance, was granted in 1990 because of low oil prices at the time, which made repairing wells uneconomical. While this lease was still recorded as suspended in LR2000 as of September 2016, a termination letter in the lease file indicated that the suspension was terminated in 1991. In another example, a lease was listed in the official lease file as suspended for 3 years because of delays in processing a drilling permit application. When we followed up with field officials about the lease, they informed us that the suspension should have been terminated years ago; however, we found no termination letter in the official lease file maintained by the state office. Field officials speculated that the letter may not have been sent because the case manager had retired and no one in the field office knew to follow up on the lease. Because field officials informed us that these leases were no longer suspended, we confirmed with officials from Interior\u2019s Office of Natural Resources Revenue that payments were being appropriately collected for these 7 leases.", "Moreover, these data are not available in a standardized report that could be used to help oversee monitoring, such as a report showing the average length or frequency of suspensions. BLM produces standardized reports from LR2000 for other aspects of oil and gas leases, such as when leases have been issued or are set to expire. BLM officials said that a standardized report for lease suspensions could assist headquarters and state officials in conducting oversight of field offices\u2019 monitoring efforts.", "Standards for Internal Control in the Federal Government state that management should design control activities, such as conducting top- level reviews of actual performance, to ensure the objectives of the program are being achieved. By requiring that management, particularly cognizant headquarters and state office officials, conduct top-level reviews of field offices\u2019 monitoring efforts, as well as top-level reviews of official lease files and databases, BLM could better ensure that lease suspensions in effect continue to be warranted and that information on suspensions is current and complete. Additionally, federal standards for internal control state that management should design control activities, such as developing mechanisms that enforce management\u2019s directives, to achieve the entity\u2019s objectives and address related risks. By developing mechanisms, such as summary reports on lease suspensions, as BLM updates or replaces LR2000, BLM could assist cognizant officials in headquarters and state offices with their oversight of monitoring."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The ability of federal agencies to manage their programs effectively depends in part on the information systems the agencies use and the quality of the data within these systems. Over the past several years, BLM has worked to improve the quality of the data in LR2000, including data related to oil and gas lease suspensions. These efforts have helped to improve the accuracy of certain data, but they do not address some constraints of LR2000. In particular, LR2000 does not contain a data field for recording the reasons for suspensions. BLM officials told us that they will upgrade or replace LR2000 in the near future. By including a data field in the update or replacement for LR2000 to record the reasons for suspensions, BLM could better ensure that federal lands are not being inappropriately kept from development\u2014potentially foregoing revenue\u2014 or from other valuable uses of public lands.", "BLM\u2019s ability to effectively manage the program also depends on the establishment of effective internal controls. To date, BLM has not developed procedures for monitoring lease suspensions. By developing procedures for monitoring lease suspensions, including when to conduct monitoring efforts, BLM could promote more consistent monitoring to better ensure that lease suspensions in effect are warranted. Additionally, BLM does not conduct top-level reviews to oversee field offices\u2019 monitoring efforts, and we found instances in which BLM\u2019s information on suspensions was outdated or incomplete. By requiring that management, particularly cognizant headquarters and state office officials, conduct reviews of field offices\u2019 monitoring efforts, as well as official lease files and databases, BLM could better ensure that information on suspensions is current and complete. Finally, BLM does not have mechanisms to provide officials with some key information relevant for oversight, such as when suspensions were last reviewed or the average length and frequency of suspensions. By developing mechanisms, such as summary reports on lease suspensions, as BLM updates or replaces LR2000, BLM could assist cognizant officials in headquarters and state offices with their oversight of monitoring."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to BLM: As BLM updates or replaces its database, the Director of BLM should include a data field to record the reasons for suspensions. (Recommendation 1)", "The Director of BLM should develop official agency procedures for monitoring oil and gas lease suspensions, including when to conduct monitoring activities. (Recommendation 2)", "The Director of BLM should require cognizant officials in headquarters and state offices to conduct top-level reviews of field offices\u2019 monitoring of oil and gas lease suspensions, as well as of official lease files and databases to ensure they are current and complete. (Recommendation 3)", "As BLM updates or replaces LR2000, the Director of BLM should ensure the development of mechanisms, such as standardized summary reports on lease suspensions, to assist cognizant officials in headquarters and state offices with oversight of field offices\u2019 monitoring efforts. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Interior for review and comment. In its comments, reproduced in appendix IV, Interior generally agreed with our findings and recommendations. Interior also outlined plans for addressing the recommendations.", "Regarding our first recommendation, Interior stated that it agrees that any future database used to track information on oil and gas lease suspensions should include a data field to more explicitly record the reasons for suspensions.", "Interior also stated that it will develop standardized procedures for monitoring oil and gas lease suspensions, consistent with our second recommendation. These procedures will be instituted agency-wide, according to Interior, and agency policy and handbooks will be updated as needed to implement the procedures.", "With respect to our third recommendation, Interior stated that it will provide updated guidance and online training to assist the state and field offices in managing, monitoring, and reviewing lease suspensions. These actions are positive steps and may address our recommendation depending on their implementation.", "Finally, consistent with our fourth recommendation, Interior stated that any future update to or replacement of LR2000 database will include the capability to create standardized reports for oil and gas lease suspensions.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the process the Bureau of Land Management (BLM) uses to determine whether to suspend oil and gas leases; (2) the extent of oil and gas lease suspensions and the reasons for the suspensions of selected leases; and (3) the approach that BLM uses to monitor the status of lease suspensions and the extent to which this approach allows for oversight of such lease suspensions.", "To examine the process BLM uses to determine whether to suspend oil and gas leases, we reviewed applicable laws, agency documents, and the criteria BLM uses when considering lease suspensions. Specifically, we reviewed BLM\u2019s statutory requirements for granting a lease suspension. We also reviewed BLM\u2019s guidance for reviewing suspension requests\u2014Suspensions of Operations and/or Production Manual\u2013\u2013which outlines the process and criteria BLM uses to approve or deny a lease suspension request as well as the process for appealing a suspension decision. We interviewed BLM officials at headquarters, as well as state and field offices responsible for leases in our review, about how they apply these criteria when assessing suspension requests. We also interviewed representatives from the Interior Board of Land Appeals about suspension decisions that are appealed to the board, how these appeals are handled, board decisions that are subsequently appealed, and the process involved with those appeals.", "To examine the extent of oil and gas lease suspensions and the reasons for the suspensions of selected leases, we analyzed data on lease suspensions from BLM\u2019s Legacy Rehost 2000 System (LR2000) database as of September 30, 2016. We took a number of steps to assess the reliability of suspension data and related fields in LR2000. Specifically, we performed electronic tests to check the extent to which data were complete and within expected ranges. Testing included comparison of data extractions prepared by BLM officials for us against data we downloaded directly from LR2000. We also interviewed BLM officials responsible for managing the system about how data are collected and entered into the system as well as the steps the officials take to help ensure that the data are accurate and complete. We also clarified discrepancies regarding lease suspension data with these officials when necessary. We determined the data were sufficiently reliable to give a high-level summary on suspensions, including information on the number and location of leases, the number in suspension, and suspension length.", "LR2000 contains information on activities related to an oil and gas lease\u2019s status, among other things. For each lease, we identified the latest record, if any, for actions in fiscal year 2016 and earlier that indicate suspension initiation or termination. We determined that a lease was in suspension if the most recent action related to a suspension indicated that the suspension was initiated. We determined the length of suspension based on the date of that initiation record. We then determined distributions of the numbers of leases recorded as still in suspension in each state as of the end of fiscal year 2016.", "We also reviewed the official lease files, maintained by BLM state offices, for a nongeneralizable sample of leases recorded as suspended as of September 30, 2016, in Montana and Wyoming to assess their status and the reasons behind the suspensions. We chose these two states because they were among the states with the largest numbers of suspended leases. Montana\u2019s official lease files were electronically maintained and easily accessible, while Wyoming, which had leases recorded as suspended for the longest period of time as of September 30, 2016, maintained hard copy official lease files. Montana and Wyoming collectively represent about 50 percent of all oil and gas leases recorded as suspended. We used the following approaches to select a sample of 48 suspended leases in these states and limited the extent to which we selected multiple leases that were suspended at the same time for the same reason.", "For Montana leases, we found that only 12 suspension initiation dates were recorded for the leases in suspension as of the end of fiscal year 2016. We therefore randomly selected for review a single lease from those suspended on each of these dates. For Wyoming, the suspension initiation dates were much more dispersed, so we identified groups of 15 or more leases based on a combination of suspension date, similarity of lease numbers, and the field office of jurisdiction. From these groups, we selected 19 suspended leases\u2014each lease was the lease with largest acreage from each field office within its group. There were a number of leases that did not fit into these groups because there were fewer than 15 suspensions on a given date with similar lease numbers, so we selected a single lease file with the largest acreage from each year that was at least 20 years old. This allowed us to review suspensions that have been in effect for a relatively long period of time. This approach resulted in our selection of an additional 17 suspended leases in Wyoming. While our review of suspended lease files is not generalizable to other BLM lease suspensions, our findings provide examples of types of reasons that are cited for lease suspensions.", "To verify the status of each selected lease, we compared information in LR2000 and the official lease file to information in the Offices of Natural Resources Revenue\u2019s database. The Office of Natural Resources Revenue, within the Department of the Interior, is responsible for collecting rental and royalty payments associated with oil and gas leases. We also interviewed the BLM state and field office officials responsible for the specific lease files we reviewed to obtain additional information about the status of certain lease suspensions and the reasons these suspensions remained in effect. We compared how BLM maintains and verifies its lease suspension information with Standards for Internal Control in the Federal Government for information and communication.", "To examine the approach BLM uses to monitor the status of lease suspensions and the extent to which the approach provides for oversight, we reviewed agency data, guidance and requirements, and official lease documents. In particular, we reviewed monitoring information in LR2000, BLM\u2019s Suspensions of Operations and/or Production Manual, and monitoring information in the official lease files for our sample of 48 leases recorded as being in suspension as of September 30, 2016. We also interviewed officials from BLM headquarters, as well as BLM\u2019s state offices in Montana and Wyoming and the field offices responsible for the 48 selected leases in our review\u2014a total of 12 field offices, 2 from Montana and 10 from Wyoming. We interviewed officials from 11 field offices about the approaches they used to monitor lease suspensions, including the frequency of monitoring and the staff involved. We also interviewed officials at headquarters and state offices to examine the extent to which these approaches provided for oversight of lease suspensions. We compared BLM\u2019s actions and documentation with agency guidance, federal regulations, and federal standards for internal control for control activities.", "We conducted this performance audit from September 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Bureau of Land Management Oil and Gas Leases, Suspensions, and Acreage, as of September 30, 2016", "paragraphs": [], "subsections": [{"section_title": "Number of leases 242", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: Bureau of Land Management Oil and Gas Leases Recorded as in Suspension", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Dan Haas (Assistant Director), Karla Springer (Assistant Director), John C. Johnson (Analyst-in-Charge), Richard Burkard, Cindy Gilbert, John W. Hocker, Cynthia Norris, Daniel Purdy, Stuart Ryba, Sara Sullivan, Kiki Theodoropoulos, Barbara Timmerman, Jack Wang, and Khristi Wilkins made key contributions to this report."], "subsections": []}]}], "fastfact": ["Oil and gas leases on federal land generate billions of dollars in revenues to the government. Lease holders typically have 10 years to begin drilling for oil and gas. However, the clock is stopped (sometimes for decades) and payments can be halted if the Bureau of Land Management suspends the lease\u2014for example, due to permit issues or environmental reviews.", "We looked at a sample of lease suspensions and found that BLM doesn't consistently monitor them or track the reasons for suspensions in their database. We recommended that BLM develop a procedure to monitor lease suspensions, and that it track the reasons for suspensions in its database."]} {"id": "GAO-19-212", "url": "https://www.gao.gov/products/GAO-19-212", "title": "Contractor Business Systems: DOD Needs Better Information to Monitor and Assess Review Process", "published_date": "2019-02-07T00:00:00", "released_date": "2019-02-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Contractor business systems produce critical data that contracting officers use to help negotiate and manage defense contracts. These systems and their related internal controls act as important safeguards against fraud, waste, and abuse of federal funding. Federal and defense acquisition regulations and DOD policies require that DOD take steps to review the adequacy of certain business systems, but GAO and other oversight entities have raised questions about the sufficiency and consistency of DOD's review process.", "The National Defense Authorization Act for Fiscal Year 2018 contained a provision for GAO to evaluate how DOD implemented legislation intended to improve its business system review process. Among other things, this report examines (1) the changes DOD made to its review process and (2) the extent to which DOD is ensuring timely business system reviews.", "GAO analyzed DOD acquisition regulations, policies, and procedures for conducting contractor business system reviews and analyzed data on reviews conducted between fiscal years 2013 and 2018."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2011, the Department of Defense (DOD) has implemented several changes to its processes for reviewing contractor business systems\u2014which include systems such as accounting, estimating, and purchasing. Among other changes, DOD", "clarified the roles and responsibilities of the Defense Contract Management Agency (DCMA) and the Defense Contract Audit Agency (DCAA)\u2014the two agencies that are responsible for conducting the reviews;", "clarified timeframes for business system reviews and established criteria for business systems; and", "withheld payments from contractors that were found to have significant deficiencies in their business systems.", "DOD does not have a mechanism to monitor and ensure that these reviews are being conducted in a timely manner. For its part, DCAA has conducted few business system audits since 2013, as it focused its efforts on other types of audits. DCAA plans to significantly increase the number of business system audits over the next 4 years, but its success in doing so depends on its ability to shift resources from other audits; to use public accounting firms to conduct other, non-business system audits; and DCAA staff's ability to execute new audit plans in a timely manner.", "DCMA relies on the three offices responsible for conducting DCMA-led reviews to manage the reviews, but DCMA does not formally monitor whether these reviews are being conducted consistent with policy nor does it monitor DCAA's efforts to complete the audits for which it is responsible. DCMA is ultimately responsible for approving a contractor's business systems. DCMA currently lacks a mechanism based on relevant and reliable information, such as the number of reviews that are outstanding and the resources available to conduct such reviews, to ensure reviews are being completed in a timely fashion. Such information could help inform more strategic oversight on whether the current review process is achieving its intended results, or whether additional changes to the timing of or criteria for conducting reviews are needed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DCMA, in collaboration with DCAA, develop a mechanism to monitor and ensure contractor business system reviews are conducted in a timely fashion. DOD concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Contractor business systems, which include a contractor\u2019s accounting, estimating, and property management systems, produce critical data that Department of Defense (DOD) contracting officers use to help negotiate and manage hundreds of billions of contract dollars each year. These business systems and their related internal controls act as the first line of defense against fraud, waste, and abuse of federal funding. For example, an approved accounting system can help prevent contractors from overcharging or mischarging federal contracts. Federal and defense acquisition regulations and DOD policy require DOD to take steps to review the adequacy of these business systems and to ensure that contractors correct identified deficiencies. These reviews and audits are conducted primarily by two defense agencies: the Defense Contract Management Agency (DCMA) and the Defense Contract Audit Agency (DCAA). DCMA generally has responsibility for approving contractors\u2019 business systems; DCMA and DCAA have specific responsibilities for reviewing these systems.", "In 2009, the Commission on Wartime Contracting and GAO highlighted significant concerns about how DOD was conducting CBS reviews at that time. Congress later enacted Section 893 of the National Defense Authorization Act (NDAA) for Fiscal Year 2011. This provision mandated that DOD develop a program to improve contractor business systems. Subsequently, Section 893 of the NDAA for Fiscal Year 2017 amended the earlier provision to 1) define \u201ccovered\u201d contractors generally as those with government contracts subject to cost accounting standards that account for more than 1 percent of the company\u2019s total gross revenue and 2) allow contractors to use registered public accounting firms to review their systems in place of DOD\u2019s review.", "Section 890 of the NDAA for Fiscal Year 2018 contained a provision for GAO to evaluate the implementation and effectiveness of these changes to the contractor business system (CBS) review process. This report (1) describes the changes DOD made to its CBS review process; (2) examines the extent to which DOD is ensuring CBS reviews are being conducted in a timely fashion; and (3) describes the steps DOD has taken to implement selected provisions of Section 893 of the NDAA for fiscal year 2017.", "To determine what changes DOD made to its CBS review process, we reviewed Section 893 of the NDAA for Fiscal Year 2011, applicable Federal Acquisition Regulation (FAR) and Defense Federal Acquisition Regulation Supplement (DFARS) sections and clauses, and relevant DCMA and DCAA policies, instructions, and memoranda. We compared current steps in the CBS review process to those used by DCMA and DCAA prior to the Fiscal Year 2011 NDAA to gain a better understanding of the changes made and discussed those changes with DCMA and DCAA officials. We also analyzed DCMA and DCAA data to determine the number of business systems reviewed by either agency from fiscal years 2015 through 2017\u2014the last three fiscal years for which we could obtain data for all CBS systems. To determine the reliability of these data, we interviewed appropriate DCMA and DCAA officials and collected information on the steps taken by their agencies to ensure data reliability. Based on these steps, we determined the data were sufficiently reliable for the purposes of reporting the number of systems reviewed and how many deficiencies were found.", "To further our understanding of how changes to the CBS review process were implemented and to gain insight into the effect they had on contractors and program offices, we selected a nongeneralizable sample of six defense contractors based on such factors as the amount of DOD contract obligations awarded to the contractor in fiscal year 2017; the contractor\u2019s size (i.e., large or small); and whether one or more of the contractor\u2019s business systems were disapproved as reported in DOD\u2019s Contract Business Analysis Repository (CBAR) as of November 2017. To better understand the process of identifying and resolving system deficiencies, we selected five contractors that had at least one business system that had been found to be materially deficient and one contractor that had not had any material deficiencies identified. We interviewed representatives from each of the six contractors as well as DCMA officials responsible for approving the contractor\u2019s business systems. Finally, we interviewed contracting officers from military department buying commands to determine how these officials mitigate risk when awarding contracts or overseeing contractors with business system deficiencies. When available, we collected and analyzed contract file documentation describing how business system deficiencies affected contract awards.", "To determine the extent to which DCMA and DCAA are ensuring CBS reviews are being conducted in a timely fashion, we reviewed DCMA and DCAA policies, instructions, and memoranda to identify the offices and individuals responsible for providing management oversight, conducting CBS audits and reviews, and approving contractor business systems. We interviewed DCMA and DCAA officials and collected relevant data, such as DCAA\u2019s planned audits for fiscal years 2019 through 2022, to understand their approach to prioritizing reviews and the challenges, if any, in completing the reviews in a timely fashion.", "To determine the extent to which DOD has implemented changes to its CBS review process in response to the NDAA for Fiscal Year 2017, we interviewed DOD Defense Pricing and Contracting (DPC) officials responsible for drafting the proposed regulations. We also interviewed DCMA and DCAA policy officials, contractors, and program offices to obtain their perspectives on the potential benefits and challenges associated with these changes. We reviewed selected contractors\u2019 annual U.S. Securities and Exchange Commission filings to gauge what effect, if any, the amended statutory definition of what is considered a covered contractor may have on these contractors. The 20 contractors we reviewed represented 86 percent of obligations in fiscal year 2016 on contracts that were identified in the Federal Procurement Data System- Next Generation as covered by cost accounting standards.", "We conducted this performance audit from September 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal acquisition regulations require certain contractors who do business with the government to maintain acceptable business systems that reduce risk to the government and taxpayer. Contractors may have up to six major business systems that require review. DOD\u2019s acquisition regulation establishes criteria for each of the six types of contractor business systems, which are implemented by the inclusion of certain contract clauses. Where a contract includes these clauses, the contractor\u2019s business systems generally must meet the criteria. Factors such as the type of contract and the dollar value determine whether the clauses are included in a contract (see table 1).", "In certain cases, the absence of an adequate system may preclude the government from using a particular contract type or may require additional oversight or analysis. For example, the FAR states that:", "A cost-reimbursement contract may be used only when, among other things, contractors\u2019 accounting systems are adequate for determining costs applicable to the contracts or orders; an adequate accounting system is also required for the use of progress payments.", "Without an approved purchasing system, contractors may require additional oversight of their subcontracting decisions.", "Significant deficiencies with contractors\u2019 estimating systems shall be considered during negotiation. Alternatively, an adequate estimating system may reduce the scope of reviews to be performed on individual proposals, expedite the negotiation process, and increase the reliability of proposals.", "DCMA and DCAA are responsible for providing contracting and audit support to the military departments and are responsible for conducting business system reviews, along with a host of other responsibilities (see table 2).", "Under DCMA\u2019s November 2013 instruction, the final determination of adequacy for all of the contractor business systems resides with the DCMA administrative contracting officers (ACO). An ACO may have responsibility for all or a portion of a single large business or may be responsible for a number of smaller contractors within a particular region. To help inform their system determinations, an ACO can request that either DCMA or DCAA conduct business system reviews or audits when needed. Among other responsibilities, ACOs are responsible for taking actions to impose consequences when contractors do not comply with business system standards."], "subsections": [{"section_title": "Prior Reports by GAO, Other Accountability Organizations, and Legislative Actions", "paragraphs": ["Throughout the last 10 years, GAO and other accountability organizations have reported on challenges DOD faces when conducting CBS reviews or other critical contracting audits, such as incurred cost audits. Over this time Congress has also taken actions through various NDAAs to initiate changes to the CBS review process.", "In 2009, the Commission on Wartime Contracting and GAO highlighted significant concerns about how DOD was conducting CBS reviews at that time. For example:", "The Commission reported that billions of dollars in contingency- contract costs in Iraq and Afghanistan could not be verified by government auditors and that inadequate internal controls over contractor business systems hampered the government\u2019s insight into cost errors and material misstatements. The report highlighted instances where DCMA and DCAA came to different conclusions when reviewing the same contracts and had inadequate resources to complete business system reviews. It also stated that DCMA was not aggressive in motivating contractors to improve their business systems because it accepted corrective action plans as sufficient progress to address deficiencies. The commission made recommendations to address each of these issues.", "We found issues with independence of auditors, sufficiency of evidence, and incomplete reporting of DCAA\u2019s findings. As result, we made 17 recommendations to DOD to help improve the quality of DCAA\u2019s audits, most of which the agency has implemented.", "Since then, subsequent GAO and DOD Inspector General (IG) reports have pointed to other issues with the CBS review process and DCAA\u2019s incurred cost audit process. Namely, In November 2011, we found that DCAA could not complete the number of CBS reviews needed to be consistent with its guidelines because it was focused on higher priority areas\u2014such as incurred cost audits\u2014and, as a result, DCMA contracting officers maintained systems\u2019 determinations as adequate even though the systems had not been audited by DCAA in a number of years. Among our recommendations, we proposed that DCMA and DCAA identify options, such as hiring external auditors, to assist in the conduct of CBS reviews until DCAA could adequately fulfill those responsibilities with its own workforce. In July 2014, DOD published a proposal to change the DFARS to allow public accounting firms to perform reviews of accounting, estimating, and material management and accounting systems. According to DPC officials, however, the department\u2019s IG raised concerns about consistency between the proposed change and statutory and regulatory requirements for IG oversight of outside audit services. Further, the private sector expressed concerns that CBS audit criteria did not align with generally accepted accounting principles used in the private sector. As result of these challenges, DOD did not implement the proposed regulation change.", "In December 2012, we found that DCAA\u2019s backlog of incomplete incurred cost audits was a contributing factor in DOD\u2019s inability to close out contracts in a timely manner. To address this backlog, DCAA began implementing a new, risk-based approach that was expected to shift DCAA\u2019s resources to focus on incurred cost audits involving high-dollar value and high risk proposals.", "In October 2015, the DOD IG found that DCMA contracting officers did not always comply with requirements to report business system deficiencies and found instances where CBS determinations based on DCAA-led reviews were not reported within required timeframes. The IG concluded that this likely caused delays in correcting significant business system deficiencies and lengthened the time the government was unable to rely on data generated by those business systems.", "In September 2017, we found that despite efforts by DCAA to reduce the backlog of incurred cost proposals awaiting audit, the agency was not able to meet its goals to eliminate the backlog by fiscal year 2016 and that it was unlikely to meet a revised goal of fiscal year 2018. We recommended that DCAA assess and implement options for reducing the length of time to begin incurred cost audits and establish related performance measures. DCAA concurred with these recommendations and took actions to reduce the time it takes to begin audits.", "Most recently, in a January 2018 report, the Advisory Panel on Streamlining and Codifying Acquisition Regulations\u2014commonly referred to as the Section 809 panel after the legislative provision that created it\u2014 reiterated the importance of business system internal controls. Noting that DOD\u2019s CBS reviews are untimely and inconsistent, the Panel made several recommendations that seek to complete reviews, especially for accounting systems, in a more timely way. Among these recommendations are the use of public accounting firms to supplement the DOD audit workforce, a change to accounting system review standards and criteria, and the development of new guidance for the conduct of business system reviews.", "During the past 10 years, Congress also enacted three provisions related to improving how DOD conducts business system reviews and incurred cost audits. Specifically,", "Section 893 of the NDAA for Fiscal Year 2011 directed the Secretary of Defense to initiate a program to improve contractor business systems so that the systems provide timely and reliable information. The NDAA required that this program, among other things, establish requirements for each system and a process for identifying significant deficiencies within systems. It also required that DOD identify those officials responsible for approval and disapproval of a system, and that approval or disapproval of a system would be based on whether the system has a significant deficiency. Further, the law authorized DOD to withhold up to 10 percent of contract progress payments, interim payments, and performance-based payments from certain contracts when systems are disapproved based on a significant deficiency. Contractors that require review\u2014or \u201ccovered contractors\u201d\u2014were defined as those subject to the cost accounting standards.", "Section 893 of the NDAA for Fiscal Year 2017 amended the fiscal year 2011 NDAA provisions by (1) revising the definition of a \u201ccovered contractor\u201d to generally mean those with government contracts subject to the cost accounting standards accounting for more than 1 percent of the contractor\u2019s total gross revenue and (2) allowing public accounting firms to conduct contractor business system assessments.", "Section 803 of the NDAA for Fiscal Year 2018 required DOD to be compliant with certain standards of risk and materiality in the performance of incurred cost audits for its contracts. It also required that DOD use public accounting firms to, among other things, perform a sufficient number of incurred cost audits to eliminate the incurred cost audit backlog by October 1, 2020 and to allow DCAA to allocate resources to higher-risk and more complicated audits.", "Figure 1 below summarizes these reports and congressional actions related to contractor business system activities over the last decade."], "subsections": []}]}, {"section_title": "DOD Revised Its Policies and Procedures Related to the Contractor Business System Review Process", "paragraphs": ["Since 2011, DOD has taken actions to (1) clarify the roles and responsibilities of DCMA and DCAA in conducting CBS reviews and consolidate the number of reviews to be performed; (2) clarify how often DOD should conduct CBS reviews; (3) establish what criteria are used to evaluate a contractor\u2019s business system; (4) establish timeframes by which ACOs are to make a determination on the adequacy of the contractors\u2019 business systems; and (5) implement the use of payment withholds for contractors that are found to have significant deficiencies in their contractor business systems. DCMA and DCAA officials noted that these changes were implemented primarily to address the 2011 statutory provisions. Our review of six selected contractors\u2019 business system reviews found that the whole process from the review or audit, to the follow up and resolution, can be lengthy. In three out of six selected cases we reviewed, it took 4 or more years for a contractor\u2019s system to be approved."], "subsections": [{"section_title": "DOD Clarified DCMA and DCAA\u2019s Roles and Responsibilities and Consolidated the Number of Business System Reviews", "paragraphs": ["Prior to 2011, DCAA conducted a series of 10 internal control audits on a cyclical basis, while DCMA performed more targeted testing on three systems. During that time, both DCMA and DCAA could review a contractor\u2019s purchasing or earned value management (EVM) system but would evaluate different aspects of each system. As a result, DCMA and DCAA reviewers could issue deficiency reports based on their separate reviews of the same contractor business systems for the consideration of ACOs. As reported in August 2009 by the Commission on Wartime Contracting, these overlapping reviews led to instances where DCMA and DCAA came to different conclusions about the adequacy of the same business system.", "To address this issue and clarify roles and responsibilities, in November 2013 DCMA established policies that guide oversight and implementation of the CBS review process, to include approval responsibilities and procedures for the conduct and reporting of reviews. DCMA has separate instructions for each type of contractor business system with the exception of accounting. These separate instructions provide more details about appropriate stakeholders for specific reviews, noting particular functional experts such as offices within DCMA or DCAA that are to lead the conduct of the reviews. DCAA issued a separate memorandum in April 2012 that details changes made to accounting system reviews as a result of changes from the NDAA for fiscal year 2011.", "Under these revised processes, DCMA now has responsibility for reviewing three contractor business systems and DCAA is responsible for the other three. In all cases, the DCMA ACO makes the final determination on whether a system is approved or disapproved. Further, the revised process consolidated the number of audits that DCAA conducts on the adequacy of the contractor\u2019s accounting system from five separate audits to one comprehensive system audit. According to DCAA, this consolidation was based on a comprehensive reassessment of the processes for assessing accounting systems and combined elements from previous internal control reviews. Figure 2 shows DCMA and DCAA responsibilities before and after the changes implemented from the NDAA for Fiscal Year 2011."], "subsections": []}, {"section_title": "Revised Process Clarified Specific Timeframes for How Often DOD Should Conduct Business System Reviews", "paragraphs": ["The revised DCMA instructions and related DCAA memorandums for the CBS review process also clarified timeframes for how often a contractor\u2019s business system must be reviewed. Generally, each system should be reviewed every 3 years unless the ACO makes a determination that a review is not necessary based on a risk assessment or other factors (see table 3)."], "subsections": []}, {"section_title": "DFARS Revisions Established Specific Criteria for Business Systems", "paragraphs": ["DOD also revised the DFARS in 2012 to provide definitions for acceptable contractor business systems and established individual DFARS clauses that define the criteria for each of the six business systems. As appropriate, these clauses are included in contracts and generally require the contractor to maintain adequate business systems, allow for the government to withhold payments when systems are found to have significant deficiencies, and list the criteria that the systems must meet. The number of criteria varies by system. For example, the DFARS clause for accounting systems includes 18 criteria used to evaluate system features such as proper segregation of direct and indirect costs, timekeeping, and exclusion of unallowable costs. For EVM systems, a contractor\u2019s system must comply with private, institutional standards and includes procedures that generate timely, reliable, and verifiable reports.", "To test how DCAA-led audits were being implemented under these new criteria, DCAA began a pilot program in 2014 comprised of a team of dedicated auditors to conduct CBS reviews who, in turn, were to recommend changes in audit plans and other practices. DCAA initially focused on material management and accounting systems audits, then moved to estimating systems, and finally accounting systems. As result of this pilot, DCAA issued new audit guidance for all three systems in 2018, with the latest guidance for accounting system audits issued in October 2018. DCAA officials told us that they are implementing lessons learned from the pilot program and developing training on how to conduct the revised audit plans."], "subsections": []}, {"section_title": "DCMA Established Timeframes for ACOs to Make Adequacy Determinations", "paragraphs": ["The revised DCMA instructions provide timeframes for ACOs to communicate their initial and final determinations to contractors (see textbox) and define the responsibilities of DCMA management and ACOs for confirming significant deficiencies and resolving disagreements between functional specialists and the ACO.", "Revised Contractor Business System Review Process Timeframes According to the revised contractor business system review process, when significant deficiencies are found: Administrative Contracting Officers (ACO) have 10 days to communicate an initial determination of business system compliance to the contractor under review. The contractor is requested to respond to the letter within 30 days after that to respond to the letter communicating whether or not it concurs with the determination. The ACO issues a final determination 30 days after receipt of the contractor\u2019s response.", "According to Defense Contract Management Agency (DCMA) officials, data for fiscal year 2017 indicated that 80 percent of final determination letters were issued within this required timeframes.", "In instances where deficiencies are found, these findings are reviewed by a panel within DCMA to help ensure standards are consistently applied. When there is disagreement between the ACO and functional specialist concerning the nature or severity of deficiencies found, a DCMA board of review may be requested by the ACO to resolve differences and produce a final determination. According to DCMA officials responsible for maintaining business system review policies, differences between functional specialists and contracting officers are generally resolved without the need for a board discussion. These officials said that only a few board discussions have been convened since implementation of the new review structure."], "subsections": []}, {"section_title": "Mandatory Payment Withholds Drive Timely Contractor Response to Significant Deficiencies", "paragraphs": ["Section 893 of the NDAA for Fiscal Year 2011 generally established that DOD be allowed to withhold payments under certain contracts when DOD disapproves one or more of a covered contractor\u2019s business systems. DCMA officials previously had the latitude to withhold a portion of the payments owed to contractors as result of deficiencies identified in their reviews, but were not required to do so. From 2011 through 2013, DOD revised the DFARS and related agency instructions to generally require that ACOs apply a 2 to 5 percent contract payment withholding for a single deficient system and a maximum of a 10 percent withhold when multiple systems are found to have significant deficiencies. ACOs are authorized to reduce the amount being withheld after the ACO determines that the contractor has submitted an adequate corrective action plan and began its implementation.", "Our review of DCMA and DCAA information indicates that for all the CBS reviews conducted between fiscal years 2015 and 2017, DCMA and DCAA often identified significant deficiencies in three business systems. These were the cost estimating, material management and accounting, and purchasing systems. For example, DCAA identified a significant deficiency in nine of the 12 material management and accounting systems reviewed, while DCMA identified significant deficiencies in 260 of the 330 purchasing systems reviewed (see table 4).", "Because DCMA and DCAA officials do not maintain historical data on payment withholdings, it is not possible to determine the number of payment withholdings that were implemented over these years as a result of these significant deficiencies. The system used to track the status of systems and payment withholdings, CBAR, is updated by ACOs as corrective actions are completed and payment withholdings are removed, and thus shows only a snapshot in time. Our review of CBAR data from July 2018 found that DOD was withholding payments from 11 contractors with a total collective value of approximately $238 million at that time. One third of these payment withholdings were associated with significant deficiencies found in contractors\u2019 estimating systems. DCMA and DCAA officials we spoke with noted that the withhold provision has led to contractors\u2019 increased response to deficiencies, but they did not have data to determine the extent to which contractors\u2019 responsiveness has increased. Some contractors we spoke with stated that because deficiencies will affect the company\u2019s cash flow, senior management and board members have become more engaged in matters of business system compliance."], "subsections": []}, {"section_title": "CBS Review and Corrective Action Process Can Be Lengthy", "paragraphs": ["Our review of six selected contractors\u2019 business system reviews illustrates the challenges in identifying and resolving deficiencies in a timely manner. Overall, our review of these six cases found that it took from 15 months to 5 years or more to resolve deficiencies initially identified by DCAA or DCMA. Factors contributing to the time it took to resolve these issues included contractors submitting inadequate corrective action plans, DCMA or DCAA identifying additional deficiencies in subsequent reviews or audits, and the use of different auditors to conduct the reviews.", "While the selected cases are not generalizable to all CBS reviews, they do highlight issues that can arise during the process. For example: In one case it took almost 4 years to resolve deficiencies identified in a contractor\u2019s accounting system. In this case, DCAA issued an audit report in July 2014 that found seven significant deficiencies including inadequate monitoring and adjusting of rates the contractor was billing the government. DCMA subsequently issued an initial determination 7 days later disapproving the system, citing three of the seven deficiencies identified by DCAA. In August 2014, the contractor responded by providing a corrective action plan for the three deficiencies DCMA cited. DCMA sent a second determination letter the next month citing two additional deficiencies identified by DCAA. In October, the assigned ACO for the contractor left and new staff was assigned to the review. Ten days later, the contractor submitted a second corrective action plan to address the two deficiencies identified. Disagreement between the ACO and DCAA on the inclusion of the two remaining deficiencies identified by DCAA for the accounting system resulted in a need to convene a board of review by DCMA. The board decided that the two deficiencies would be included in the final determination. This, in turn, delayed issuance of a final determination until mid-December 2014. According to contractor representatives, over the next 3 years, they submitted various corrective action plans that DCMA determined were inadequate to address the deficiencies. Each time, the ACO requested additional information and follow-up DCAA audits to help assess the adequacy of the contractor\u2019s corrective action plans. Eventually the contractor\u2019s accounting system was approved in June 2018.", "In another case, a contractor\u2019s estimating system has been disapproved for over 5 years. In June 2013, DCAA identified four significant deficiencies in the contractor\u2019s system, including inadequate support for commerciality determinations. As a result, following a final determination of inadequacy, DCMA implemented a payment withhold of 5 percent. In response, the contractor submitted a corrective action plan in September 2013 addressing the deficiencies that was accepted by DCMA and the withhold was reduced to 2 percent. In a follow-up review in July 2014, DCAA identified two new deficiencies, which the contractor corrected. In March 2015 DCAA reviewed the contractor\u2019s forward pricing rate proposal and identified 11 new deficiencies in the estimating system. By August 2015, the contractor had corrected the new deficiencies but the system remained disapproved because the previous four deficiencies remained uncorrected. Finally, in September 2016, DCAA canceled its audit of the estimating system because these four deficiencies remained. According to officials, the contractor was not ready for re-evaluation. At the time of this review the system remains disapproved.", "In another case, a contractor\u2019s property management system was disapproved for more than 4 years. In November 2013, DCMA reviewed the contractor\u2019s property management system and, according to officials, identified nine significant deficiencies, including those related to missing records and supporting documentation for all contracts. DCMA issued an initial determination of disapproval. DCMA officials stated that they did not receive an adequate response from the contractor for nearly 7 months, and in June 2014, DCMA issued a final determination of system disapproval. The contractor subsequently submitted a corrective action plan in August to address the deficiencies. A DCMA official stated that they re-analyzed the system in November 2014 and found one outstanding issue. According to the official, the DCMA property administrator in charge of the review elevated the issue to the assigned ACO, but received no response. According to contractor representatives, they requested a follow-up review from the DCMA ACO several times from August 2014 to June 2015 but did not receive a response until after June 2015. According to a DCMA official, this was due to resource issues as the review went dormant because the new ACO assigned to the contractor went overseas. The system was reviewed again in November 2017 and the contractor\u2019s system was approved in January 2018.", "In another case, an audit of a contractor\u2019s estimating system took DCAA 2 years to complete. The DCAA audit began in November 2014. According to contractor representatives, they were initially told that the review would take 9 to 12 months, but a number of different DCAA auditors were assigned to the review over time and each identified different findings which led to a prolonged process. DCMA approved the contractor\u2019s estimating system in December 2016.", "In another case, a contractor\u2019s estimating system was disapproved for 15 months. In June 2016 DCMA disapproved a contractor\u2019s estimating system due to three significant deficiencies, including one related to performing adequate price and cost analysis on subcontractor proposals. According to contractor representatives, they submitted a corrective action plan, but after submitting the plan DCAA performed an audit of the contractor\u2019s forward pricing rates and identified additional deficiencies. In December 2016 DCMA officials determined that the corrective action plan the contractor provided was not sufficient. DCMA subsequently approved the contractor\u2019s estimating system in September 2017.", "DCMA and DCAA officials believe the cases we analyzed were not representative of the length of time needed to complete the CBS review process, but could not provide data to support their views because DCMA and DCAA do not track data on the length of time it takes to complete the entire CBS review process (i.e., from the start of an audit or review to the resolution of system deficiencies and final determination). Our review of selected cases was not intended to be projectable to all reviews and audits conducted by DCMA and DCAA, but rather to be illustrative of the challenges that may be encountered during the review process.", "From the perspective of program and contracting officers, the status of a contractor\u2019s business system may have an impact on both contract award decisions and contract monitoring, but officials stated that they can mitigate the risks associated with a disapproved system. For example, Army and Air Force program officials noted that a contractor leading certain weapon system development and logistics efforts had a deficient cost estimating system. According to the contracting officials, as the government could not rely on the contractor\u2019s proposed costs to use a fixed-price contract, they awarded a fixed-price incentive contract for the program to better monitor the contractor\u2019s cost reporting compared to under a fixed-price contract."], "subsections": []}]}, {"section_title": "DOD Does Not Have a Mechanism to Monitor and Ensure That Contractor Business System Reviews and Audits Are Conducted in a Timely Manner", "paragraphs": ["DCMA and DCAA do not have a mechanism to monitor and ensure that CBS reviews and audits are conducted in a timely manner. DCAA\u2019s data show that it conducted few business system audits in the past 6 years, due, in part, to the need for it to reduce its backlog on completing incurred cost audits. Looking to the future, DCAA has developed plans for the number of CBS audits it intends to perform over the next 3 years and expects that it will be caught up in conducting the audits for which it is responsible by fiscal year 2022. Successfully executing its plan is dependent on several factors, including the ability to shift resources from conducting incurred cost audits to business systems audits, the use of public accounting firms to perform a portion of the incurred cost audits, and the ability of DCAA auditors to use new audit plans and complete the required audits in a timely manner. For its part, DCMA relies on the offices that perform the reviews of the three systems to maintain the information on the reviews completed and to plan for future reviews, but DCMA headquarters does not centrally track its reviews or whether audits conducted by DCAA are being completed within the timeframes described in policy."], "subsections": [{"section_title": "DCAA Plans to Address Previous Shortfalls in Conducting CBS Audits Are Dependent on Several Factors", "paragraphs": ["DCAA officials acknowledged they have not been able to conduct audits of contractor business systems within the timeframes outlined in DCMA instructions. DCAA officials attributed their inability to do so to the need to conduct higher priority audits\u2014such as incurred cost audits\u2014and staffing constraints. For example, in fiscal year 2017, DCAA initially proposed to perform a total of 76 CBS audits for the three business systems in its purview. However, DCAA completed only nine audits after assessing available resources. Further, DCAA estimates that in fiscal year 2017 it spent approximately 44 percent of its resources addressing incurred cost audits, and 17 percent on other audits such as forward pricing rate agreements. In contrast, only 6 percent of its resources were devoted to business system audits and related activities.", "Recognizing that it cannot perform all of the required CBS audits in a timely fashion to meet current DCMA policy requirements, DCAA officials told us they focus their audits on business systems they identify as high- risk. To do so, DCAA officials consider factors such as the contractor\u2019s current system status, the contractor size in terms of dollars on contract, the amount of cost-type contracts, organizational changes, audit requests by a DOD contracting officer or an ACO, and the types of deficiencies identified and its impact on cost and schedule. DCAA headquarters officials assess the candidates at an annual DCAA planning meeting to determine which audits can be performed given the level of resources available. DCAA officials told us, however, that the current policy requirement\u2014which generally requires review of the systems every three years\u2014would require DCAA to dedicate substantial resources to CBS audits to maintain currency. As of November 2018, DCAA identified 285 systems that require an audit. DCAA officials stated that a risk based approach to reviewing these systems would provide more value than a routine 3 year cycle. DCAA officials stated they are willing to work with others within DOD to develop risk factors that can be used to determine when a business system needs a review.", "To better assess and plan future workload, DCAA issued a memorandum in January 2017 to introduce a strategic workload resource initiative that will project workload and resource availability in the out-years. Under this process, DCAA field management teams provide information on workload projections in March, and DCAA executive level officials make workload planning recommendations in June that result in an agency-wide plan. DCAA officials noted, however, that the projection for the second year is less accurate, and as a result, the further out year projections are reviewed every six months with adjustments made as needed. DCAA officials also told us that the planning process is currently being expanded to allow the agency to plan three years out. DCAA officials stated that the fiscal year 2021 plans will be tentatively approved by the end of January 2019 and fiscal year 2022 plans will be approved by June 2019.", "Based on these planning efforts, DCAA plans to conduct a total of 285 CBS audits from fiscal years 2019 through 2022, including 50 audits in fiscal year 2019 and 104 in fiscal year 2020. It also plans to shift some of the hours previously devoted to incurred cost audits to CBS audits (see figure 3).", "Our analysis indicates that successfully executing this plan is dependent on several factors, including the ability to shift resources from conducting incurred cost audits to business systems audits, the use of public accounting firms to perform a portion of the incurred cost audits, and the ability of DCAA auditors to use new audit plans and complete the required audits in a timely manner.", "First, the plan is contingent upon DCAA being able to successfully shift resources from incurred cost audits to CBS audits. According to DCAA data, DCAA plans to shift more than 378,000 hours from incurred cost audits to CBS audits between fiscal years 2018 and 2020. DCAA officials noted, however, that although they have made significant progress in addressing incurred cost audits, the fiscal year 2018 NDAA requires DCAA to have all incurred cost audits performed within 12 months. DCAA officials noted that this means it will have to continue to spend significant resources on incurred cost audits in fiscal year 2019 to meet this legislative requirement.", "Second, DCAA officials stated that these estimates include the resources that are expected to become available to perform CBS audits as DCAA starts using public accounting firms to perform incurred cost audits. In its October 2018 report to Congress on the progress made to implement Section 803 of the Fiscal Year 2018 NDAA, DCAA estimated that public accounting firms would be able to perform 100 incurred cost audits per year for 2019 and 2020, which would then increase to 200 each year for 2021 through 2025. DCAA further projected, for example, that about 147,500 hours would become available in 2020 based on the proposed plan to use public accounting firms. DCAA officials told us they are in the process of developing a solicitation to contract for these services, which they anticipate releasing in the spring of 2019.", "Lastly, these plans assume that each audit conducted by DCAA can be completed within an average number of hours based on the experiences of the team that developed the revised audit plans released in 2018. DCAA officials noted that these hours assume that DCAA audit teams will experience some challenges conducting the initial set of audits, but will be able to conduct them in fewer hours as they gain more experience in implementing the new audit plans. DCAA officials told us that, if successful, this plan will enable it to be caught up on CBS reviews by 2022."], "subsections": []}, {"section_title": "DCMA Headquarters Makes Limited Use of Data Collected by Functional Offices to Assess the CBS Review Process and does not Monitor DCAA\u2019s Progress In Completing Its Audits", "paragraphs": ["For the DCMA-led reviews, DCMA relies on its functional offices that perform reviews of their respective systems to monitor the status of CBS reviews, but does not use the information to ensure that all three reviews are conducted within the timeframes established under DCMA\u2019s instructions. The three DCMA functional offices use spreadsheets to manually track reviews their office has completed, and track data on when the next review should be scheduled. Each functional office plans and tracks this data individually. For example,", "The property management functional office identifies the number of contractor property systems requiring review on a monthly basis, and tracks its progress in completing these reviews. In fiscal year 2018, this functional office completed over 95 percent of the 850 property system reviews required.", "The EVM system functional office identifies the number of reviews that should be conducted annually. In fiscal year 2018, the office reported completion of 92 percent of the 125 required EVM system reviews.", "The purchasing functional office uses a rolling process to determine which systems require a review. To do this, the ACO performs a required risk assessment every 3 years to identify whether a full business system review is required and then the purchasing functional office develops a prioritization plan for the systems flagged for review. The exact number of reviews conducted in a single year is dependent upon the risk assessments; however, an official from the purchasing system functional office estimated that their office is staffed to complete approximately 125 reviews per year. The official also noted that they do track to ensure all systems are reviewed in the required timeframes.", "Officials from the functional offices described to us what information they provide to senior leadership, but DCMA headquarters does not collect or use this information to oversee the CBS review process. For example, a supervisor from the property management functional office told us that the office reports monthly to their supervisors on the status of their reviews and whether they are on schedule, which also serves as a method for requesting additional resources if necessary. EVM system functional officials told us they report the number of planned and completed reviews to a DCMA internal website for senior leadership to review, but did not know what senior leadership does with this information. Purchasing officials said their office provides monthly reports on the status of reviews for specific large contractors, and weekly reports of the number of reviews completed to the agency director and component heads. DCMA headquarters officials stated that they informally share information with ACOs in a variety of ways, including quarterly meetings, but headquarters officials could not provide documentation on how this information is used to monitor and assess whether CBS reviews were being conducted in accordance with the policy timeframes.", "Further, DCMA officials indicated that they do not formally monitor DCAA\u2019s efforts to complete the audits for which DCAA is responsible. Despite being the agency responsible for issuing the instructions and whose ACOs are responsible for making final determinations of business system compliance, DCMA officials indicated that it is not their responsibility to monitor or assess DCAA\u2019s efforts to complete the reviews in DCAA\u2019s area of responsibility. DCMA and DCAA officials stated, however, that they recently began to hold quarterly meetings, during which time they can discuss CBS issues, including potential revisions to the criteria and timeframes for conducting CBS reviews. But it is uncertain what outcomes will come from this or the extent to which this will contribute to improved management of CBS reviews.", "According to federal standards for internal controls, an agency should use quality information to help ensure that it achieves its objectives. These internal controls also state that monitoring activities should be conducted to ensure that agency objectives are being met. Developing a mechanism to track and monitor the number of CBS reviews that are outstanding, the risk level assigned to those systems and the resources available to conduct such reviews, would help DCMA and DCAA better manage the CBS review process to ensure that contractor systems that are reviewed and approved in a timely fashion."], "subsections": []}]}, {"section_title": "DOD Has Not Yet Implemented Recent Legislative Provisions to Change the Definition of a Covered Contractor or to Enable the Use of Public Accounting Firms", "paragraphs": ["Section 893 of the Fiscal Year 2017 NDAA amended the CBS provisions of the Fiscal Year 2011 NDAA by revising the statutory definition of a covered contractor and by allowing contractors to use registered public accounting firms to review their business systems in place of DOD\u2019s review. As of November 2018, DOD had not yet proposed regulations to implement these legislative changes, and therefore we were unable to fully evaluate the potential effects of these provisions. The Fiscal Year 2017 NDAA did not provide a specific timeframe for DOD to revise its regulations, but the Director of the Defense Acquisition Regulation Council\u2014who is responsible for promulgating proposed and final rule changes to the DFARS\u2014 tasked her staff to draft a proposed rule by March 2017. This deadline was subsequently extended to January 23, 2019. In November 2018, Defense Pricing and Contracting (DPC) officials told us that they now expect to issue the proposed rule for public comment in the third or fourth quarter of fiscal year 2019. DPC officials attributed this delay, in part, to a recent executive order that calls for the reduction and control of regulatory costs, as well as the complexity of having public accounting firms perform CBS reviews.", "Section 893 of the Fiscal Year 2017 NDAA changed the definition of covered contractors\u2014those contractors that may require CBS reviews\u2014 from contractors subject to cost accounting standards to generally only those with contracts subject to cost accounting standards that account for more than 1 percent of their gross revenue. DPC officials stated that DOD may require contractors to self-report on their revenue levels to determine whether the contractor\u2019s systems require review. DPC officials told us, however, that they had not yet considered certain aspects of how contractors may calculate revenues. For example, DPC officials had not yet decided whether revenue should be determined based on specific business segments, or whether it should include international sales revenue. These officials also had not yet decided how many years of revenue should be included in the analysis. Further, DPC officials could not yet estimate the potential effect of implementing this provision on contractors. Based on our analysis of publicly available contractor financial data for the 20 contractors that we reviewed, the lowest percentage of total revenue derived from government contracts was 10 percent.", "Section 893 of the 2017 NDAA also authorized the use of registered public accounting firms to assess compliance with DOD\u2019s CBS requirements. Under this provision, if a registered public accounting firm certifies that a contractor\u2019s business system meets DOD\u2019s requirements, it would eliminate the need for further review by DOD. Some government acquisition officials we spoke with expressed concerns that would need to be addressed to effectively implement the legislation, including:", "Ensuring that public accounting firms have sufficient understanding of the processes or regulations to conduct the audits and provide conclusions that DOD could rely upon.", "Encouraging DCMA and DCAA functional experts and auditors to accept public accounting firms\u2019 findings rather than conduct additional reviews and audits on their own, which would undermine the ability to save both government and contractor resources.", "Determining the potential for the cost of public accounting firm reviews being passed on to the government through the contracts of the businesses under review.", "The DPC official responsible for implementing this provision stated that they are aware of these concerns. He also stated that, as a first step in implementation, his office has requested that DCMA and DCAA review the criteria and audit plans used by their staff and identify areas where these criteria and plans could be adjusted to make them more consistent with criteria that public accounting firms use in the private sector."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["By clarifying DCMA and DCAA\u2019s roles and responsibilities as well as the timeframes for conducting the audits, DOD has improved the CBS review process. But there are still issues that need to be addressed. DCAA acknowledges it is well behind in its efforts to complete the three CBS audits for which it is responsible but believes that it can be caught up by the end of fiscal year 2022 if significantly more resources are available. In addition, DCMA does not monitor progress of either its functional offices or of DCAA against the policies that the six systems each be reviewed generally every 3 years. This is because DOD currently lacks a mechanism based on relevant and reliable information, such as the number of CBS reviews that are outstanding, the risk level assigned to those systems, and the resources available to conduct such reviews, to ensure CBS reviews are being completed in a timely fashion. Such information could help inform more strategic oversight to determine whether the current CBS review process is achieving intended results, or whether additional changes to the timing of or criteria for conducting CBS reviews are needed. As the agency that is responsible for issuing the overarching policies that govern CBS reviews and is ultimately responsible for approving contractor business systems, DCMA is in the best position to lead the effort to develop this mechanism. As each agency is responsible for executing its mission and managing its resources, however, this effort should be conducted in collaboration with DCAA."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Director, DCMA, in collaboration with the Director, DCAA, develop a mechanism to monitor and assess whether contractor business systems reviews are being completed in a timely manner. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["DOD agreed with the recommendation. In an email, a DPC official stated that DCMA and DCAA are collaborating to determine the best way to implement the recommendation. DOD\u2019s comments are reprinted in Appendix I.", "We are sending copies of this report to the appropriate congressional committees; the Acting Secretary of Defense; the Under Secretary of Defense for Acquisition and Sustainment; the Under Secretary of Defense \u2013 Comptroller; the Director, DCMA; the Director, DCAA; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or by e-mail at dinapolit@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report were Tatiana Winger (Assistant Director), Emily Bond, Matthew T. Crosby, Suellen Foth, Sameena Ismailjee, Jean McSween, Ramzi Nemo, Miranda Riemer, Christy Smith, Roxanna Sun, Tom Twambly, and Jacqueline Wade."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}], "fastfact": ["The Department of Defense uses data from contractors' business systems\u2014e.g., accounting or purchasing systems\u2014to guard against fraud, waste, and abuse in DOD contracts. For example, reviewing data from a contractor's accounting system can help keep the contractor from overcharging.", "DOD must review contractors' business systems to ensure that the data from them can be used. We've previously found that it was years behind on some of these reviews.", "DOD has an ambitious plan to catch up on these reviews in 3 years, but has no way to measure its progress. We recommended that DOD monitor and assess whether it's completing these reviews as planned."]} {"id": "GAO-19-44", "url": "https://www.gao.gov/products/GAO-19-44", "title": "Treasury Judgment Fund: Transparency and Reliability Needed in Reporting Fund Balances and Activities", "published_date": "2018-12-07T00:00:00", "released_date": "2018-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Treasury Judgment Fund, managed by Fiscal Service, annually pays billions of dollars of claims on behalf of federal agencies. Transparent and reliable information is important for Congress to provide effective oversight of the Judgment Fund. In May 2017, the Committee requested that Treasury provide (1) Schedules of the Judgment Fund for fiscal years 2010 to 2016 prepared in accordance with U.S. GAAP, including appropriate disclosures to answer nine questions, and (2) information on processes and procedures used when paying claims.", "GAO was asked to review the information that Treasury provided to the Committee. This report (1) evaluates the extent to which the Treasury-prepared information responds to the Committee's request and reconciles to financial information included in annual, audited financial reports and other reports and (2) describes Fiscal Service's documented procedures and related control activities for processing agency claims. To address these objectives, GAO compared the information provided by Treasury to other Treasury reports, conducted interviews with agency officials, and reviewed documented procedures for processing claims."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of the Treasury (Treasury) did not provide the House Committee on the Judiciary (Committee) with the information the Committee requested on the Treasury Judgment Fund. Specifically, Treasury did not provide the Committee the Schedules of the Judgment Fund Non-Entity Assets, Non-Entity Costs, and Custodial Revenues that were prepared in accordance with U.S. generally accepted accounting principles (U.S. GAAP). Treasury also did not include appropriate note disclosures or Management's Discussion and Analysis, as requested by the Committee. Rather, Treasury provided nine exhibits containing selected Judgment Fund information to answer nine questions included in the Committee's request.", "In addition, GAO identified numerous differences between amounts included in Treasury's exhibits and its annual Judgment Fund transparency reports to Congress and certain audited financial reports. GAO requested explanations for these differences, and Treasury provided explanations for some of them. Subsequently, Treasury officials discovered and explained that the exhibits were created in a faulty manner, resulting in an increased risk that they may contain unreliable information. Treasury officials stated that rather than expending resources to further explain differences and reconcile the exhibits with the other information, Bureau of the Fiscal Service (Fiscal Service) staff planned to submit new exhibits to the Committee; however, they did not provide a date by which they would do so.", "GAO found that Treasury did not take appropriate steps consistent with its existing guidance for disseminating information to the public, such as performing appropriate reviews of information in the exhibits prior to providing them to the Committee, to ensure the quality and responsiveness of the information provided. The lack of reliable information on the Judgment Fund impairs the Committee's ability to provide effective oversight, including considering whether enacting new legislation would benefit the American people by ensuring better management of the Judgment Fund.", "Fiscal Service has policies and procedures to help ensure that it only certifies payments for awards, judgments, and compromise settlements (claims) from the Judgment Fund that meet the following four tests: (1) claims are final, (2) claims are monetary, (3) one of the authorities specified in the Judgment Fund statute permits payment, and (4) payment is not legally available from any other source of funds (e.g., claims are only paid from the Judgment Fund when payment is not otherwise provided for in a specific appropriation or by another statutory provision)."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Fiscal Service take steps to ensure that information provided to Congress undergoes a documented review to ensure the quality and responsiveness of the information provided. Fiscal Service did not concur or nonconcur with the recommendation but agreed with GAO concerns regarding the reliability of information provided to the Committee."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Treasury Judgment Fund, managed by the U.S. Department of the Treasury\u2019s (Treasury) Bureau of the Fiscal Service (Fiscal Service), annually pays billions of dollars for eligible judicially or administratively ordered monetary awards, judgments, and compromise settlements against the U.S. government (collectively referred to in this report as claims) on behalf of federal agencies. Transparent and reliable information concerning these payments and other financial activities is important in order for Congress to provide effective oversight of the Judgment Fund. The Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues, which were prepared and audited until fiscal year 2013, included Judgment Fund balances and activities along with other Treasury-managed accounts. Subsequently, the Judgment Fund balances and activities have been subjected to audit through the annual audit of Treasury\u2019s department-wide financial statements.", "In May 2017, the House Committee on the Judiciary (Committee) requested that Treasury provide the Committee with (1) Schedules of the Judgment Fund Non-Entity Assets, Non-Entity Costs, and Custodial Revenues, prepared in accordance with U.S. generally accepted accounting principles (U.S. GAAP), for fiscal years 2010 through 2016; (2) appropriate disclosures in the notes to the Schedules or Management\u2019s Discussion and Analysis (MD&A) of sufficient detail to answer nine specific questions regarding annual payments made by the Judgment Fund and related costs and other information; and (3) information about the processes and procedures used when paying Judgment Fund claims. Upon receipt of Treasury\u2019s response to this request, you asked GAO to review the information Treasury provided to the Committee and to describe the procedures and controls that Fiscal Service follows when processing agency requests for payments from the Judgment Fund. This report (1) evaluates the extent to which the Treasury-prepared information responds to the Committee\u2019s request for information about the Judgment Fund balances and activities and reconciles to financial information included in annual, audited financial reports and other selected reports and (2) describes Fiscal Service\u2019s documented procedures and related control activities for processing agency requests for payments from the Judgment Fund, including how Fiscal Service ensures that appropriate agency officials approve claims, and what reviews are required, if any, to ensure receipt of required documentation.", "To determine the extent to which the Treasury-prepared information responded to the Committee\u2019s request for information about the Judgment Fund balances and activities, we compared the information that Treasury provided to the Committee with the Committee\u2019s request to Treasury. For each item requested by the Committee, we reviewed the information provided by Treasury and determined the extent to which it was responsive to the request.", "To determine the extent to which the Treasury-prepared exhibits reconciled to information included in annual, audited financial reports and other selected reports, we compared, and identified any differences between, the Treasury-prepared exhibits with information included in Treasury\u2019s (1) unaudited Judgment Fund transparency reports to Congress (transparency reports) for fiscal years 2010 through 2016; (2) audited Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues (Schedules) for fiscal years 2010 through 2013; and (3) audited department-wide financial statements (Financial Statements) for fiscal years 2010 through 2016. We determined the information contained in these reports to be sufficiently reliable for the purpose of our reporting objective. In addition, we interviewed Fiscal Service staff to obtain explanations for and reconcile differences that we identified.", "To describe Fiscal Service\u2019s documented procedures and related control activities for processing agency requests for payments from the Judgment Fund, we reviewed Treasury\u2019s standard operating procedures and external user manuals for the Judgment Fund Internet Claims System (JFICS), the application Fiscal Service uses to process claims, and observed Fiscal Service staff entering and reviewing Judgment Fund claims in JFICS. In addition, we obtained and reviewed selected independent public accountant (IPA) audit documentation related to the Judgment Fund supporting the IPA\u2019s fiscal year 2017 audit of Treasury\u2019s Financial Statements. Additional details about our scope and methodology are discussed in appendix I.", "We conducted this performance audit from February 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Judgment Fund is a permanent, indefinite appropriation, statutorily created in 1956, available to pay many types of eligible monetary claims that may be judicially or administratively ordered against the U.S. government. The Judgment Fund is also available to pay interest and costs on claims in certain circumstances. Administration of the Judgment Fund has changed substantially since its inception, with varying degrees of control and oversight by Congress, GAO, and Treasury. Originally, the Judgment Fund was limited to paying judgments of less than $100,000, as certified by the Comptroller General and entered by the U.S. Court of Claims (the predecessor to the current U.S. Court of Federal Claims) or a U.S. District Court, as well as authorized interest and costs. In the 1960s, new laws extended the Judgment Fund\u2019s availability to awards and compromise settlements. In the next decade, the Supplemental Appropriations Act, 1977, eliminated the Judgment Fund\u2019s $100,000 payment ceiling, resulting in no upper limit on the amount that could be paid from the Judgment Fund on any particular claim. The General Accounting Office Act of 1996 transferred certification of payments from the Judgment Fund from GAO to Treasury. Since 1996, Treasury has managed the Judgment Fund, including certifying payments. Treasury established Fiscal Service in October 2012, and delegated key Judgment Fund functions to that bureau.", "Fiscal Service is responsible for, among other things, providing central payment services to federal agencies. Fiscal Service is the primary disburser of payments to individuals and businesses on behalf of federal agencies, including benefit payments made by the U.S. Social Security Administration and the U.S. Department of Veterans Affairs, federal income tax refund payments, and payments to businesses for goods and services provided to the federal government. Annually, Fiscal Service disburses more than a billion payments, with an associated total dollar value of more than $2.4 trillion.", "Administering the Judgment Fund is among the services that Fiscal Service provides. A federal agency may request payment of a claim from the Fund on its behalf only in instances where funds are not legally available to pay the claim from the agency\u2019s own appropriations or other funding source. Amounts paid from the Fund vary from year to year. Treasury reported that the Fund paid about $3 billion and $4 billion for administrative and litigative claims in fiscal years 2015 and 2016, respectively.", "Fiscal Service carries out its mission through direct support from its three divisions. The primary focus of the Judgment Fund Branch is to receive and process claims for Judgment Fund payments. As shown in figure 1, the Judgment Fund Branch operates within Fiscal Service\u2019s Financial Services and Operations Division.", "Fiscal Service only certifies payments of claims from the Judgment Fund when the following four tests have been met: (1) claims are final, (2) claims are monetary, (3) one of the authorities specified in the Judgment Fund statute permits payment, and (4) payment is not legally available from any other source of funds (e.g., claims are only paid from the Judgment Fund when payment is not otherwise provided for in a specific appropriation or by another statutory provision). Generally, federal agencies are not required to reimburse the Judgment Fund. Two exceptions are Judgment Fund payments made pursuant to (1) the Contract Disputes Act of 1978 (CDA) and (2) the Notification and Federal Employee Antidiscrimination and Retaliation Act of 2002 (No FEAR Act).", "Currently, Treasury produces, and posts on its website, a voluminous spreadsheet\u2014referred to as the Judgment Fund Transparency Report to Congress\u2014when Congress requests it, but is not otherwise required to do so. The spreadsheets are data extracts from JFICS that provide information on the types and amounts of claims and the agencies for which the payments were made. Members of Congress introduced legislative proposals in the recent past related to the Judgment Fund. For example, in the 115th Congress, a bill entitled the Judgment Fund Transparency Act of 2017 (H.R. 1096), as reported (amended) by the Committee on the Judiciary on October 16, 2017, would amend the Judgment Fund statute to require Treasury to post on its website information related to claims on the Judgment Fund."], "subsections": []}, {"section_title": "Treasury-Provided Information Was Not Fully Responsive and Not Fully Reconciled", "paragraphs": ["In response to the Committee\u2019s request for Schedules of the Judgment Fund Non-Entity Assets, Non-Entity Costs, and Custodial Revenues prepared in accordance with U.S. GAAP and related information, Treasury provided to the Committee nine \u201cexhibits\u201d that contained selected information on Judgment Fund payments and other related information to answer nine questions in the Committee\u2019s request. We reviewed the Treasury-provided information and found that it did not provide the Schedules of Judgment Fund Non-Entity Assets, Non-Entity Costs, and Custodial Revenues for fiscal years 2010 through 2016, prepared in accordance with U.S. GAAP, and appropriate note disclosures or MD&A to the Committee, as requested.", "In addition, we identified numerous differences between amounts included in the exhibits provided to the Committee and those reported in Treasury\u2019s (1) unaudited transparency reports, (2) audited Schedules, or (3) audited Financial Statements. For example, we identified differences between administrative and litigative payments for fiscal years 2010 through 2016 reported on Exhibits 1 and 2 - Judgment Fund Administrative and Litigative Payments by Defendant Agency and Fiscal Year and those reported in Treasury\u2019s (1) unaudited transparency reports, (2) audited Schedules, and (3) audited Financial Statements, for all years presented (as shown in tables 1, 2, and 3).", "Further, we identified numerous differences between financial and nonfinancial information in Treasury\u2019s exhibits and comparable information contained only in the transparency reports. For example, the Committee asked Treasury to disclose the amount of Judgment Fund payments for attorneys\u2019 fees pursuant to the Equal Access to Justice Act (EAJA) for fiscal years 2010 through 2016. In response, Treasury provided Exhibit 8 - Amounts Paid from the Judgment Fund for EAJA Claims by Fiscal Year. We compared total payments for each fiscal year reported in Exhibit 8 with those reported in the transparency reports for the same years and identified differences in payments for principal, attorneys\u2019 fees, and costs, as shown in table 4.", "We provided Treasury the results of our comparisons and requested explanations for the differences we identified, and Treasury provided explanations for some of them. Subsequently, Treasury officials informed us that they discovered that the exhibits were created in a faulty manner, and rather than expending resources to reconcile and explain the numerous differences we identified, they indicated that Fiscal Service staff would submit new exhibits to the Committee; however, they did not provide a date by which they would do so.", "Judgment Fund Branch staff further explained that the Committee\u2019s request was a unique request for information that could not be fulfilled with existing standard reports and queries. To respond to the request, Fiscal Service created ad hoc queries of the JFICS database using different instructions for extracting data for the exhibits than those used for creating the transparency reports. The Judgment Fund Branch relied on these ad hoc queries, primarily from JFICS, to prepare the exhibits answering the nine questions included in the Committee\u2019s request. However, according to Judgment Fund Branch officials, the Judgment Fund Branch does not prepare financial statements, such as the Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues. Rather, its primary focus is receiving and processing claims for Judgment Fund payments. In addition, these officials told us that they could not confirm whether the Judgment Fund Branch worked with the Fiscal Accounting Branch to respond to the Committee\u2019s request or prepare the exhibits provided to the Committee.", "Treasury\u2019s policy is to ensure and maximize the quality, objectivity, utility, and integrity of the information that it disseminates to the public. This policy directs Treasury bureaus and departmental offices to develop standards for information quality and ensure that the standards are used when disseminating information. The policy also directs that such information be accurate, clear, complete, and unbiased. In addition, policy guidelines specifically state that in situations where public access to data and methods will not occur, especially rigorous checks to analytic results should be applied and documented. According to Fiscal Service officials, this policy applies strictly to information disseminated to the public, and the related procedures in the policy do not apply to information transmitted to federal entities, including Congress. Fiscal Service officials did not provide evidence of a similar policy or procedures for ensuring the quality of the information disseminated to Congress and other federal entities. Fiscal Service officials also did not provide us with documentation indicating that any checks or reviews were performed on the exhibits\u2014in a manner consistent with Treasury\u2019s written policy and review procedures for disseminating information to the public\u2014before Treasury provided them to the Committee.", "As a result, the exhibits that Treasury provided to the Committee were not responsive to the Committee\u2019s request and are at increased risk that they may contain unreliable information. Accordingly, the Committee lacks important, reliable information needed to effectively oversee Judgment Fund activities, including considering whether enacting new legislation would benefit the American people by ensuring better management of the Judgment Fund."], "subsections": []}, {"section_title": "Treasury Has Documented Procedures and Control Activities for Processing Payments", "paragraphs": ["According to Fiscal Service\u2019s documented policies and procedures, payments from the Judgment Fund may be made only upon certification by Fiscal Service. An important step in the claims payment certification process is for the Fiscal Service claims analyst and claims reviewer to confirm that an agency\u2019s claim for payment from the Judgment Fund is not otherwise provided for by another source of funds. This confirmation is necessary to make sure that the Judgment Fund is not used for payments that should be paid directly by the involved agency or another funding source. Another important step in the claims payment certification process is to confirm that the claim is final, meaning that the applicable federal officials have fully resolved the claim\u2019s underlying dispute and the only outstanding issue is payment of the claim. Additionally, Fiscal Service calculates the amount of any interest that may be authorized and initiates action under federal debt collection law to offset any known indebtedness to the United States by the claimant. In the actual \u201ccertification\u201d step, Fiscal Service does not review or evaluate the merits of the underlying claim.", "Payments made by the Treasury Judgment Fund on behalf of agencies are initiated upon the receipt of claim requests that agencies submit to Fiscal Service. These requests must be submitted online through JFICS or by sending completed payment request forms to the Judgment Fund Branch via fax or mail.", "Claims submitted through JFICS must be accompanied by a FS Form 197, Voucher for Payment, page 2, signed by the claimant, and either a (1) settlement agreement or (2) court order. Claims submitted via fax or mail must contain a (1) FS Form 194, Judgment Fund Transmittal Form; (2) FS Form 196, Judgment Fund Award Data Sheet; and (3) FS Form 197, Voucher for Payment, page 1, and a document that authorizes payment.", "Upon receipt of mailed or faxed forms, Fiscal Service staff manually enter the data from the submitted forms into JFICS. Fiscal Service staff review the forms for completeness and ensure that each FS Form 194 has been signed by the agency authorizing official. Fiscal Service relies on this signature and the presence of a U.S. government email address on the FS Form 194 as its primary controls for ensuring that a mailed or faxed claim has been authorized by the agency. Fiscal Service also relies on this signature to confirm that the claim is appropriate and is eligible to be paid from the Judgment Fund. For claims entered directly in JFICS by an agency, the agency authorizing official must click on \u201cI agree\u201d on the JFICS certification page to affirm that the claim is authorized by the agency and appropriate for payment from the Judgment Fund. (See fig. 2 for a depiction of the Judgment Fund claims process.)", "Depending on the claim amount, Fiscal Service staff perform a minimum of two levels of review on Judgment Fund claims, whether the claims are received by fax or mail or directly entered into the JFICS system by agencies. First, the claims analyst reviews the claim to ensure that the agency has provided all of the information necessary to process it. Once the claims analyst determines that all of the information has been provided, the claim is forwarded electronically to the claims reviewer. The claims reviewer performs a secondary review to determine if all the information required has been provided, as well as to ensure that the claims analyst entered the mailed or faxed information into JFICS correctly. Claims for less than $1 million do not require further review and are submitted to the Treasury Disbursing Office for payment. Claims for $1 million or more are subject to management review, and claims for $50 million or more are sent to the Fiscal Service Office of Chief Counsel for review."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["In connection with its oversight efforts, the Committee requested certain information from Treasury about Judgment Fund financial balances, activities, and other information. However, the information that Treasury provided to the Committee in response to this request did not include Judgment Fund Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues prepared in accordance with U.S. GAAP, including appropriate note disclosures and MD&A, as requested. Further, Treasury officials stated that the exhibits provided to the Committee were created in a faulty manner, resulting in an increased risk that they may contain unreliable information. Although Treasury directs its bureaus and offices to take steps to ensure the quality of information disseminated to the public, Fiscal Service did not take appropriate steps to ensure that the information it provided to the Committee was responsive and complete. Without sufficient financial and other information, the Committee\u2019s ability to effectively oversee Judgment Fund activities, including considering whether enacting new legislation would benefit the American people by ensuring better management of the Judgment Fund, may be hampered."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to Treasury: The Commissioner of the Bureau of the Fiscal Service should take steps to ensure that information provided to Congress undergoes a documented review to ensure the quality and responsiveness of the information provided. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Treasury for review and comment. In written comments, reproduced in appendix IV, Fiscal Service did not concur or nonconcur with our recommendation, but stated that it agreed with our concerns regarding the reliability of information contained in the exhibits provided to the Committee and that a new set of data has been compiled and undergone a documented review to ensure its reliability. We are encouraged by the steps being taken to ensure the reliability of this information, but it is unclear to what extent steps have been, or will be, taken to ensure the quality and responsiveness of other information that may be provided to Congress in the future. We believe that such steps are necessary to help ensure that the Committee has sufficient financial and other information to effectively oversee Judgment Fund activities.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Treasury, the Inspector General of the Department of the Treasury, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9816 or rasconap@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our audit were to (1) evaluate the extent to which the information the U.S. Department of the Treasury (Treasury) provided to the House Committee on the Judiciary (Committee) responds to the Committee\u2019s May 2017 request for information about Judgment Fund balances and activities and reconciles to financial information included in annual, audited financial reports and other selected reports and (2) describe the Bureau of the Fiscal Service\u2019s (Fiscal Service) documented procedures and related control activities for processing agency requests for payments from the Judgment Fund, including how Fiscal Service ensures that appropriate agency official approve claims and what reviews are required, if any, to ensure receipt of required documentation.", "To determine the extent to which the Treasury-prepared information responds to the Committee\u2019s request for information about the Judgment Fund balances and activities, we compared the information provided by Treasury to the Committee with the Committee\u2019s request letter to Treasury. For each item requested by the Committee, we reviewed the information provided by Treasury and determined whether it was responsive to the request.", "To determine the extent to which the Treasury-prepared exhibits reconcile to information included in annual, audited financial statements and other reports, we compared, and identified any differences between, the Treasury-prepared exhibits and certain information included in the following Treasury reports: unaudited Judgment Fund transparency reports to Congress for fiscal years 2010 through 2016; audited Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues for fiscal years 2010 through 2013; and audited department-wide Financial Statements for fiscal years 2010 through 2016.", "To determine the reliability of the financial information contained in the unaudited transparency reports, we reviewed relevant documentation, interviewed knowledgeable agency officials, and conducted basic testing of the data. Based on these efforts, we concluded that the data were sufficiently reliable for the purpose of our reporting objective. In addition, we interviewed Fiscal Service staff to obtain (1) explanations for and reconcile differences we identified based on our comparisons and (2) Treasury\u2019s related policies for reviewing information provided to Congress to ensure its quality and responsiveness. Further, because the Treasury Office of Inspector General (OIG) is currently conducting an audit that includes the Treasury Judgment Fund, we communicated with the OIG staff regarding the OIG\u2019s current audit to ensure no duplication in our audit work.", "To describe Fiscal Service\u2019s documented procedures and related control activities for processing agency requests for payments from the Judgment Fund, we reviewed Treasury\u2019s standard operating procedures and external user manuals for the application Fiscal Service uses to process claims (the Judgment Fund Internet Claims System (JFICS)). We also observed Fiscal Service staff entering and reviewing Judgment Fund claims in JFICS. In addition, we obtained and reviewed selected independent public accountant (IPA) audit documentation related to processing Judgment Fund claims supporting the IPA\u2019s fiscal year 2017 audit of Treasury\u2019s department-wide financial statements."], "subsections": []}, {"section_title": "Appendix II: Differences GAO Identified between Treasury-Prepared Exhibits and Other Treasury-Issued Reports", "paragraphs": ["The U.S. Department of the Treasury (Treasury) provided the House Committee on the Judiciary (Committee) nine exhibits in response to nine questions included in the Committee\u2019s request. Information included in these exhibits and differences we identified based on comparisons of this information with information included in certain Treasury annual audited financial reports and other reports is summarized below.", "Exhibits 1 and 2 - Judgment Fund Administrative and Litigative Payments by Defendant Agency and Fiscal Year shows, by agency and type of payment, the amounts paid from the Judgment Fund on behalf of federal agencies. We compared information in these exhibits with Treasury\u2019s (1) unaudited Judgment Fund transparency reports to Congress for fiscal years 2010 through 2016; (2) audited Schedules of Non-Entity Assets, Non-Entity Costs, and Custodial Revenues (Schedules) for fiscal years 2010 through 2013; and (3) audited department-wide financial statements (Financial Statements) for fiscal years 2010 through 2016 (see tables 5, 6, and 7).", "Exhibit 3 - Judgment Fund Collections from Federal Agencies by Fiscal Year presents, by Treasury account symbol, recoveries and reimbursements from federal agencies. Exhibit 4 - Judgment Fund Accounts Receivable from Federal Agencies by Fiscal Year presents, by Treasury account symbol, amounts due from federal agencies for payments made on their behalf. We compared information in Exhibit 3 with the Schedules and information in Exhibit 4 with the Schedules and the Financial Statements for all available fiscal years. Information contained in Exhibits 3 and 4 were not payment related (these exhibits were receipts from agencies and accounts receivable owed by agencies) and therefore could not be traced to the transparency reports. The differences identified based on our comparisons of Exhibit 3 to the Schedules and Exhibit 4 to the Financial Statements are shown in tables 8 and 9, respectively.", "Exhibit 5 - Judgment Fund Costs Paid by Citation Code and Fiscal Year shows, by fiscal year, amounts paid for each type of citation code. We identified differences in each fiscal year between the total amounts paid as presented in Exhibit 5 and the total amounts contained in the transparency reports (see table 10).", "Exhibit 6 - Top 25 Attorney Law Firms that Received Payments from the Judgment Fund by Fiscal Year presents, by attorney and law firm, amounts paid for each of the 7 years. Because Treasury has identified this exhibit as containing personally identifiable information protected by the Privacy Act of 1974, we do not present information from Exhibit 6.", "Exhibit 7 - EAJA Payments to Plaintiffs\u2019 Counsel in Decending Order shows, by attorney and law firm, amounts paid to each related to Equal Access to Justice Act (EAJA) claims. When we compared the exhibit to the transparency reports, we identified differences in the total amounts for all fiscal years (see table 11).", "Exhibit 8 - Amounts Paid from the Judgment Fund for EAJA Claims by Fiscal Year shows, by cost citation code, amounts paid for principal, attorneys\u2019 fees, costs, and interest for each fiscal year. When we compared Exhibit 8 to the transparency reports, we identified differences in the amounts reported for principal, attorney\u2019s fees, and costs for most fiscal years (see table 12).", "Exhibit 9 - Major Recipients of Judgment Fund Payments by Fiscal Year presents amounts paid to major recipients (top 25) of payments from the Judgment Fund. Because Treasury has identified this exhibit as containing personally identifiable information protected by the Privacy Act of 1974, information about Exhibit 9 is not presented."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Heather I. Keister (Assistant Director), Anthony Clark, Patrick Frey, Lauren S. Fassler, Nadine Ferreira, Valerie Freeman, James Kernen, Ned Malone, Lisa Motley, and Taya R. Tasse made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-449", "url": "https://www.gao.gov/products/GAO-18-449", "title": "Counterterrorism: DOD Should Fully Address Security Assistance Planning Elements in Global Train and Equip Project Proposals", "published_date": "2018-05-30T00:00:00", "released_date": "2018-05-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States has undertaken several efforts, including DOD's Global Train and Equip program, to help foreign partners strengthen their security capacity. Presidential Policy Directive 23 states that agencies should target security assistance where it can be effective and highlights the importance of addressing several planning elements in project proposals. DOD develops proposals, using guidance implementing the directive, and selects projects with the Department of State.", "The fiscal year 2015 National Defense Authorization Act included a provision for GAO to review the Global Train and Equip program. In this report, GAO examines (1) the status of funding DOD allocated for Global Train and Equip projects in fiscal years 2009 through 2017, (2) the extent to which DOD addressed key security assistance planning elements in project proposals in fiscal years 2016 and 2017, and (3) DOD's reporting on the achievement of Global Train and Equip project objectives and any factors affecting its ability to achieve those objectives. GAO analyzed agency data and program documents and interviewed DOD and State Department officials in Washington, D.C., and at selected combatant commands and embassies."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) obligated $3.7 billion of $4.1 billion allocated for the Global Train and Equip program in fiscal years 2009 through 2017 to build partner nations' capacity to counter terrorism. DOD increased allocations for the program in 2016, responding to an influx of funding from appropriations to the Counterterrorism Partnerships Fund. As of December 2017, DOD had disbursed about $2.5 billion of the obligated funds.", "Global Train and Equip project proposals for fiscal years 2016 and 2017 consistently addressed only one of four elements of security assistance planning outlined in Presidential Policy Directive 23 . GAO found all 72 proposals in those years included the first element, project objectives. From 2016 to 2017, the percentage of proposals addressing the second element\u2014absorptive capacity\u2014rose from 32 percent to 84 percent. Most 2016 and 2017 proposals included the third element, baseline assessments, but less than three-quarters included complete sustainment plans, the fourth element. DOD guidance for 2016 and 2017 did not include instructions for addressing project sustainment when sustainment was not anticipated, though the 2017 guidance included instructions for addressing the other three planning elements. According to DOD officials, they have developed an informal quality review process to better ensure that 2018 project proposals address all four planning elements. However, DOD has not formalized this informal process as written policy. Standards for Internal Control in the Federal Government calls for documenting internal control activities and policies. Formalizing the proposal review process would help DOD provide consistent oversight of project development and ensure access to complete information about each planning element, including sustainment needs. Such information is critical in helping decision makers ensure efficient use of funding to build partners' capacity.", "DOD reporting for 2016 and 2017 indicates progress in building partner capacity to combat terrorism and conduct stability operations as well as factors affecting the progress achieved. According to DOD documents, partner nation recipient units' overall capabilities were greater after implementation of 8 of 21 Global Train and Equip projects, and some of the remaining 13 projects produced some positive results. DOD documents and officials also identified factors\u2014such as equipment suitability and procurement issues\u2014that may have limited the achievement of project objectives."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends DOD (1) update project proposal guidance to include instructions for documenting sustainment planning and (2) formalize as written policy its informal process for ensuring Global Train and Equip project proposals fully document the four required planning elements. DOD agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Transnational terrorist groups, such as the Islamic State of Iraq and Syria, continue to threaten the national security of the United States and its partners. The United States has long recognized that the diversity and complexity of threats to our national security require a collaborative approach, both within the U.S. government and among allies, partners, and multilateral organizations. A goal of U.S. security assistance policy is to help partner nations build sustainable capacity to address challenges such as transnational threats. Programs to build foreign partner capacity can help partners to confront extremists before such threats require U.S. military intervention or to work alongside U.S. forces to confront terrorist threats. The United States has undertaken several efforts, including the Department of Defense\u2019s (DOD) Global Train and Equip program, to build the capacity of its foreign partners to counter terrorism.", "The Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act (NDAA) for fiscal year 2015 included a provision for GAO to conduct biennial audits of programs conducted pursuant to 10 U.S.C. \u00a7 2282 for the Global Train and Equip program. In April 2016, we issued our first report addressing this provision. In this report, we examine (1) the status of funding that DOD allocated for Global Train and Equip projects in fiscal years 2009 through 2017, (2) the extent to which DOD addressed security assistance planning elements in project proposals in fiscal years 2016 and 2017, and (3) DOD\u2019s reporting on the achievement of Global Train and Equip project objectives and any factors affecting its ability to achieve those objectives.", "To examine the status of funds allocated, obligated, and disbursed for Global Train and Equip projects in 2009 through 2017, we analyzed program funding data. To determine the extent to which DOD addressed key elements of security sector assistance in project proposals in 2016 and 2017, we reviewed Presidential Policy Directive 23: Security Sector Assistance and DOD guidance, which identify four planning elements to be considered for security assistance programs. We then analyzed the content of agency-approved 2016 and 2017 project proposals, as well as congressional notifications developed subsequent to agency approval of the proposals, to determine the extent to which those documents include information about the four planning elements. To examine the results that DOD has reported related to project objectives, we analyzed DOD assessment reports for 2016 and 2017. Specifically, we compared baseline assessments of recipient unit capability and performance levels when the projects were proposed with assessments of the recipient unit\u2019s capability and performance levels after program assistance was delivered. We also reviewed the 2016 and 2017 assessment reports to identify factors affecting the extent to which project objectives were achieved.", "To address multiple objectives, we discussed the project proposal process and key elements of project planning, documentation, and assessment with officials from DOD and the Department of State (State); relevant geographic combatant commands; and U.S. embassies in Jordan, Niger, and Uganda. We selected these countries on the basis of their having received a higher proportion of DOD\u2019s allocations for the Global Train and Equip program in fiscal years 2016 and 2017; we also considered factors such as embassy officials\u2019 project assessment experience and the countries\u2019 regional geographic distribution. To assess the reliability of the data we obtained, we took steps such as comparing funding data with previously published information and interviewing cognizant agency officials about funding data and project assessments; we determined that all of the data were sufficiently reliable for the purpose of our review. We relied on DOD\u2019s assessment reports and did not systematically validate the assessment results. For more details of our scope and methodology, see appendix I.", "We conducted this performance audit from July 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Global Train and Equip Authority to Build Foreign Partner Capacity", "paragraphs": ["DOD has used the Global Train and Equip program to provide training, equipment, and small-scale military construction activities intended to build the capacity of partner nations\u2019 military forces to conduct counterterrorism operations. The program was originally authorized under Section 1206 of the 2006 NDAA and has been amended several times. The 2015 NDAA permanently authorized the Secretary of Defense, with concurrence of the Secretary of State, to conduct programs to (1) build the capacity of a foreign country\u2019s national military forces to conduct counterterrorism operations or participate in, or support, ongoing allied or coalition military or stability operations that benefit the national security interests of the United States; (2) build the capacity of a foreign country\u2019s national maritime or border security forces to conduct counterterrorism operations; and (3) build the capacity of a foreign country\u2019s national-level security forces that have among their functional responsibilities a counterterrorism mission in order for such forces to conduct counterterrorism operations. The fiscal year 2017 NDAA repealed Section 2282 of Title 10 of the U.S. Code and created Section 333 of the same title (Section 333). Section 333 authorized DOD to continue providing training and equipment to the national security forces of foreign countries for the purpose of building the capacity of such forces to conduct counterterrorism operations, among other things. The fiscal year 2017 NDAA also contained several administrative and organizational instructions for the management and oversight of DOD security cooperation policy.", "According to DOD, counterterrorism and stability operations assistance generally consist of security capability projects that fortify a partner nation\u2019s land, sea, or air capability. Projects often provide equipment or training intended to build partner communications, intelligence, surveillance, and reconnaissance capabilities. Figure 1 shows an example of a UH-60 helicopter\u2014a type of equipment that has been provided through Global Train and Equip projects."], "subsections": []}, {"section_title": "U.S. Security Assistance Policy", "paragraphs": ["Presidential Policy Directive 23, published in April 2013, was aimed at strengthening the ability of the United States to help allied and partner nations build their own security capacity. The directive states that U.S. agencies should target security sector assistance where it can be effective. The directive identifies principal goals of, and guidelines for, security sector assistance that highlight the importance of including the following four planning elements in project design and execution: identifying objectives that address partner nation needs; considering partner nations\u2019 capacity to absorb U.S. assistance; integrating assessment, monitoring, and evaluation to provide policymakers, program managers, and implementers with information and evidence necessary to make effective decisions and maximize program outcomes; and anticipating sustainment needs."], "subsections": []}, {"section_title": "Global Train and Equip Program Management and Project Planning", "paragraphs": ["During the reporting period covered by this review, DOD\u2019s Office of the Assistant Secretary of Defense for Special Operations/Low-Intensity Conflict was responsible for providing policy guidance and oversight of the Global Train and Equip program. The office coordinated with State\u2019s Bureau of Political-Military Affairs and other stakeholders in an interagency process to solicit project proposals annually, in accordance with guidance that DOD revises each year to reflect lessons learned, congressional concerns, and other considerations. DOD 2016 and 2017 guidance implements Presidential Policy Directive 23, requiring that project proposals for the Global Train and Equip program address the four planning elements highlighted in the directive.", "Figure 2 illustrates the conceptual framework of the project proposal, approval, and implementation processes in 2016 and 2017. According to DOD officials, various elements of the proposal development, review, selection, and notification process occurred simultaneously, as proposal submission and review occurred on a rolling basis and agency-approved projects were notified to Congress in multiple groups throughout each fiscal year.", "As figure 2 shows, DOD instituted some changes to the proposal development and approval process for projects notified to Congress in 2017. According to DOD officials, for 2017, geographic combatant commands and embassy staff first submitted high-level concepts for review rather than fully drafted project proposals. These concepts were intended to provide information on project objectives for an interagency working group\u2019s review and approval before further resources were committed to developing full proposals. DOD officials told us that the 2017 process remains in place for 2018 and 2019 projects. DOD officials said that in prior years, including 2016, geographic combatant commands and embassy staff were required to draft full proposals without confirmation that DOD and State would approve the proposals for notification to Congress.", "In 2016 and 2017, DOD and State officials reviewed proposals\u2014 approved by the geographic combatant command and ambassador or chief of mission\u2014and selected projects to recommend to the Secretaries of Defense and State. Following approval by the Secretary of Defense, with concurrence from the Secretary of State, DOD prepared and submitted congressional notifications for each project it intended to fund through the program. These notifications summarized project information such as the project\u2019s objectives, the partner nation\u2019s absorptive capacity, the baseline assessment of the recipient unit\u2019s capabilities, and arrangements for the project\u2019s sustainment. Congressional notifications were submitted for each project to the appropriate committees at least 15 days before activities were initiated. According to DOD, project implementation did not begin immediately after the 15-day notification period if congressional staff requested additional time for briefings and for DOD to ensure that the congressional committees agreed with the proposed activities. After congressional notification, DOD\u2019s Defense Security Cooperation Agency assumed responsibility for overseeing the obligation of funds for training and equipment procurement before the end of the relevant fiscal year, while officials from the security cooperation office at U.S. embassies were responsible for coordinating in-country project implementation. DOD planned to conduct assessments of selected projects 12 to 18 months after delivering major project components, to evaluate the extent to which U.S. assistance has contributed to building recipient unit capabilities and the extent to which the partner nation applied its capabilities consistent with the project\u2019s intent."], "subsections": []}]}, {"section_title": "DOD Has Obligated the Majority of Over $4 Billion Allocated for Global Train and Equip Projects since 2009 and Disbursed About Two-Thirds of Obligated Funds", "paragraphs": ["Of the $4.1 billion allocated for Global Train and Equip projects in 2009 through 2017, DOD has obligated approximately $3.7 billion and disbursed $2.5 billion. Table 1 details Global Train and Equip program funding, by fiscal year of appropriation, in 2009 through 2017. As table 1 shows, DOD reported no unobligated balances as of December 2017.", "Figure 3 details Global Train and Equip allocations in 2009 through 2017, according to the fiscal year in which DOD allocated the funds. As figure 3 shows, allocations averaged about $276 million in 2009 through 2014 and about $827 million in 2015 through 2017. DOD\u2019s allocations for Global Train and Equip activities increased from $675 million in 2015 to about $1.2 billion in 2016 because of an influx of funding from the Counterterrorism Partnerships Fund, which was created in 2015 and authorized to fund Global Train and Equip projects. In addition, in 2015, DOD allocated funds from the European Reassurance Initiative, which also was created that year and authorized to fund Global Train and Equip projects. DOD\u2019s allocations for Global Train and Equip activities for 2017 totaled $635 million.", "DOD concentrated allocations of Global and Train Equip funding in 2016 and 2017 on projects for Jordan and Lebanon, which received a combined total of $856 million, or 47 percent of total allocations during that period (see fig. 4). In 2016, allocations for projects in Jordan and Lebanon amounted to about $579 million\u2014nearly 50 percent of approximately $1.2 billion in total allocations that year. In 2017, allocations for projects in those countries amounted to about $279 million\u201444 percent of $635 million in total allocations. For more information about allocations for specific Global Train and Equip projects in 2016 and 2017, see appendix II."], "subsections": []}, {"section_title": "DOD Consistently Addressed Only One of Four Planning Elements in 2016 and 2017 Proposals but Reported Efforts to Ensure Inclusion of All Elements in 2018", "paragraphs": ["DOD\u2019s 2016 and 2017 proposals for Global Train and Equip projects consistently addressed only one of the four security assistance planning elements called for by DOD guidance, but agency officials reported implementing an informal process to improve coverage of these planning elements in 2018 proposals. DOD\u2019s 2016 and 2017 guidance for Global Train and Equip project proposals called for proposal packages to address (1) project objectives, (2) partner nation absorptive capacity, (3) baseline assessments of partner nation capabilities, and (4) project sustainment needs. All 72 proposal packages we reviewed for 2016 and 2017 included project objectives. Slightly more than 30 percent of proposal packages in 2016 and over 80 percent in 2017 included information about partner nations\u2019 absorptive capacity, compared with 19 percent in 2015 (see fig. 5). More than 90 percent of 2016 and 2017 proposal packages included baseline assessments, in contrast to 63 percent in 2015. However, less than three-quarters of proposal packages in 2016 and 2017 included complete sustainment plans, with the percentage that did so declining from 73 percent in 2016 to 68 percent in 2017. Although DOD\u2019s 2016 and 2017 guidance called for proposals to address sustainment planning, it did not provide instructions for doing so when sustainment was not anticipated. According to DOD officials, the department has hired additional staff and developed an informal quality review process to better ensure that proposal packages include all key elements but, as of February 2018, had not documented this process as written policy. Standards for Internal Control in the Federal Government calls for documenting internal control activities aimed at ensuring effective use of resources and documenting in policies an organization\u2019s internal control responsibilities. More complete information about each of the four planning elements\u2014including sustainment costs, even when negligible\u2014would improve DOD\u2019s ability to plan and allocate funding for the program, while formalizing the quality review process would also enable DOD to provide greater consistency in its oversight of project development."], "subsections": [{"section_title": "Project Proposals in 2016 and 2017 Consistently Addressed Only Project Objectives but Improved Coverage of Absorptive Capacity and Baseline Assessments", "paragraphs": [], "subsections": [{"section_title": "All 2016 and 2017 Project Proposals Included Information about Project Objectives", "paragraphs": ["We found that DOD included information that addressed project objectives in all 72 proposals for Global Train and Equip projects in 2016 and 2017. We previously reported that all 2015 proposals for the program addressed project objectives. DOD\u2019s guidance notes that it is important for geographic combatant commands and chiefs of mission to produce proposals that include a clear narrative about how the proposed capability-building effort will fit into the theater campaign plans and integrated country strategies and advance U.S. interests. DOD officials from one geographic combatant command noted that 2017 Global Train and Equip project objectives were initially developed at the country level by the Security Cooperation Office and other embassy personnel and were based on theater campaign plans. Each proposal we reviewed from 2016 and 2017 outlined the objectives for the project. For example, one proposal stated that the training and equipment outlined in the proposal would enhance the partner nation\u2019s armed forces\u2019 ability to effectively conduct border security, counterincursion, and other night operations."], "subsections": []}, {"section_title": "Less Than Half of 2016 Project Proposals Included Information about Absorptive Capacity, but Most 2017 Proposals Addressed This Element", "paragraphs": ["DOD improved its efforts to include information about partner nations\u2019 absorptive capacity in Global Train and Equip project proposals in 2016 and 2017. Thirty-two percent (13 of 41) of 2016 proposals and 84 percent (26 of 31) of 2017 proposals addressed this planning element. We previously reported that less than 20 percent (10 of 54) of 2015 proposals addressed absorptive capacity. Before 2017, DOD guidance called for project proposals to address absorptive capacity, but the project proposal template did not include a required field for it. However, DOD updated its proposal template in 2017 to include a required field for analyzing and assessing the partner nation\u2019s security forces\u2019 current capability and current performance level in employing the proposed counterterrorism capabilities while serving in the desired counterterrorism role. According to DOD officials, they updated the proposal template to better identify problems with absorptive capacity because of its importance and because it is an area of high congressional interest.", "DOD assessments of partner nations\u2019 absorptive capacity noted a range of abilities to absorb assistance. For example, DOD assessed one country as having the capacity to immediately employ new equipment once training was completed and assessed another country\u2019s ability to absorb training and equipment as average, noting that previous training had resulted in continuous improvements. DOD officials acknowledged that assessing absorptive capacity has been a consistent challenge. One senior official also noted that pressing national security goals, such as quickly developing the capabilities of strategic partners for ongoing operations, required the U.S. government to assume some risk by supporting a project without fully assessing or documenting a partner nation\u2019s absorptive capacity."], "subsections": []}, {"section_title": "Most Project Proposals Included Baseline Assessments in 2016 and 2017", "paragraphs": ["We found that 92 percent (66 of 72) of 2016 and 2017 Global Train and Equip proposal packages included baseline assessments, compared with 63 percent (34 of 54) of 2015 proposal packages. DOD\u2019s assessment framework is based on a dual-purpose document that includes portions for assessing the recipient unit\u2019s capabilities at baseline\u2014that is, before a project begins\u2014and after project delivery and implementation. DOD\u2019s 2016 and 2017 program guidance states that a baseline assessment of recipient unit capabilities should be completed prior to submission of each proposal. According to DOD officials, baseline assessments are the primary mechanisms to identify and document the recipient unit\u2019s capabilities at the time the project is proposed and its needs to improve its capabilities to meet its mission. The baseline assessments are intended to be submitted with project proposals and later used for project outcome assessments by assessment teams, policy officials, embassy staff, and other stakeholders."], "subsections": []}, {"section_title": "Less Than Three-Quarters of Proposals Included Complete Sustainment Plans in 2016 and 2017", "paragraphs": ["Less than three-quarters of Global Train and Equip proposals included complete sustainment plans in 2016 and 2017, and the percentage of proposals with complete plans declined from 2016 to 2017. While 73 percent (30 of 41) fully addressed this planning element in 2016, 68 percent (21 of 31) fully addressed it in 2017. We previously reported that 76 percent of 2015 proposals included complete sustainment plans. According to DOD\u2019s Global Train and Equip guidance for 2016 and 2017, complete sustainment plans include three elements: (1) an identification of funding sources for project sustainment, (2) an estimate of the annual sustainment costs, and (3) an assessment of the sustainment capability of the partner nation. Most 2016 and 2017 proposals included information about sustainment funding sources and the partner nation\u2019s sustainment capability. However, the percentage of proposals that estimated annual sustainment costs varied: 85 percent of proposals estimated sustainment costs in 2016 and 71 percent of proposals estimated such costs in 2017.", "DOD officials told us that sustainment costs may not have been documented in some cases if sustainment was not expected to be a significant factor in the proposed project. For example, officials explained that some projects provided assistance, such as ammunition and training, that is expendable and does not require sustainment. Officials also noted that other projects provided assistance that may not have been intended to be sustained. For instance, long-term sustainment would be unnecessary for a project with a discrete objective, such as providing equipment to allow for closer coordination with U.S. and North Atlantic Treaty Organization forces in support of the International Security Assistance Force\u2013Afghanistan. Nevertheless, DOD officials said that when project sustainment is not anticipated, proposals for the projects should explain why sustainment costs are not included.", "DOD\u2019s 2015 guidance for Global Train and Equip proposals included instructions for addressing sustainment planning when sustainment is not anticipated; however, the guidance for 2016 and 2017 did not include these instructions. Standards for Internal Control in the Federal Government states that internal control activities aimed at ensuring effective use of resources should be clearly documented and that documentation should be readily available for examination. Updating the guidance for Global Train and Equip proposals to include instructions addressing sustainment planning when sustainment is not anticipated would help ensure decision makers\u2019 access to complete information on annual sustainment costs, including costs expected to be negligible."], "subsections": []}]}, {"section_title": "DOD Recently Implemented an Informal Process to Ensure Proposals Address All Four Planning Elements but Has Not Formalized the Process as Policy", "paragraphs": ["To improve management of the Global Train and Equip program, DOD officials told us that they developed an informal quality review process designed to ensure that proposals in 2018 and subsequent years address required elements. According to DOD officials, this informal process includes the following steps: Interagency \u201cred teams\u201d evaluate each proposal line by line to verify that the proposal is complete.", "Proposals with missing elements are returned to the drafters for revision and reevaluation.", "After proposals clear interagency review, senior DOD officials also review the proposals for completeness before approving them.", "According to DOD officials, the department is developing this process as part of its review and approval of proposals under the new Section 333 authority to build partner capacity and is in the process of hiring staff to support this effort. For example, in February 2018, DOD officials said they had created a position for a full-time contractor who will be based at headquarters and charged with verifying that proposal packages include all required security assistance planning elements. DOD officials told us in February 2018 that they were also soliciting feedback on the process from relevant stakeholders. However, according to the officials, DOD had not yet determined whether to formalize the proposal review process as written policy. According to Standards for Internal Control in the Federal Government, management should document in policies the internal control responsibilities of an organization. Formalizing as written policy its informal process to ensure that proposals address all four required planning elements would enable DOD to provide consistent oversight of Global Train and Equip project development and ensure decision makers have access to complete information about each element. Such information would, in turn, help DOD and State decision makers to ensure the efficient use of funding under the new Section 333 authority."], "subsections": []}]}, {"section_title": "DOD Reported Progress in Achieving Project Objectives, Factors Limiting Progress, and Efforts to Improve Assessments", "paragraphs": ["DOD reporting on the achievement of Global Train and Equip project objectives in 2016 and 2017 indicated progress in building partner capacity to combat terrorism and conduct stability operations as well as factors that affected the progress achieved. According to DOD assessment reports and supporting documents, partner nation recipient units\u2019 overall capabilities were greater after implementation of 8 of 21 Global Train and Equip projects, and some of the remaining 13 projects produced some positive results. (See app. III for the number of assessment reports conducted between 2006 and 2015 out of the total number of projects implemented in those years.) DOD documents and officials also identified several factors\u2014including proposal design weaknesses, equipment suitability and procurement issues, partner nation shortfalls, and workforce management challenges\u2014that may have affected the extent to which DOD was able to achieve project objectives. DOD officials described several changes they are making to improve assessments of Global Train and Equip projects."], "subsections": [{"section_title": "Reports on Projects Assessed in 2016 and 2017 Indicate Some Progress in Building Partner Capacity", "paragraphs": ["DOD assessment reports for 2016 and 2017, which included baseline and post-implementation assessments of recipient units\u2019 capabilities for 21 Global Train and Equip projects, indicated some progress in building partner capacity. For 8 of the 21 projects, the recipient units\u2019 capability levels were assessed as having increased by at least one rating level after the project\u2019s implementation (see fig. 6).", "Although the recipient units for the remaining 13 projects were assessed as showing no change in capability levels, the assessment reports for some of these projects described some positive project outcomes. For example, one 2017 assessment report of a project initiated in 2015 found that, while the recipient unit had not yet been integrated into the special operations force (a stated goal of the project), the project had resulted in some increased capacity for the recipient unit. Specifically, the assessment found that the project increased the recipient unit\u2019s capability to support counterterrorism operations while also enhancing command and control capabilities and interoperability. Further, the 2016 assessment report for several related projects in one country found that, although the recipient unit had not increased its overall capability level, the equipment provided by the Global Train and Equip projects had assisted the recipient unit in executing its border security mission. Additionally, the 2016 assessment report for a 2010 project found that, whereas the recipient unit\u2019s overall capability level had not changed, the unit\u2019s abilities to conduct internal defense operations throughout the country had increased as a result of Global Train and Equip assistance.", "To conduct the assessments, DOD uses a standard framework for evaluating the capabilities and performance of each recipient unit before and after a project has been implemented. For the baseline assessments, DOD rates the recipient unit\u2019s level of capability and performance on a 5- point scale; 1 is defined as the ability to perform some basic tasks to at least a low standard of performance and 5 is defined as the ability to perform most of the advanced tasks for the unit\u2019s missions and to operate almost continuously throughout its assigned area of operations. After project implementation, DOD uses the same 5-point scale to identify any changes in the recipient unit\u2019s level of capability and performance since receiving the assistance. As we have previously reported, these ratings do not represent only the effect of the provision of training and equipment on the recipient unit\u2019s capability and performance, as other factors may contribute to changes in performance level."], "subsections": []}, {"section_title": "DOD Reports and Officials Described Several Factors That Can Limit Achievement of Global Train and Equip Objectives", "paragraphs": ["DOD\u2019s assessment reports and supporting documents, as well as agency officials we interviewed, described several factors that can affect the extent to which DOD is able to achieve Global Train and Equip project objectives. These factors\u2014project design weaknesses, equipment suitability and procurement issues, partner nation shortfalls, and workforce management challenges\u2014are consistent with the challenges noted in our April 2016 report.", "Project design weaknesses. According to DOD assessment reports, project designs that did not adequately reflect a partner nation\u2019s ability to contribute resources to a project or sufficiently address recipient unit needs and capabilities challenged the achievement of project objectives. For example, DOD\u2019s 2016 assessment of several projects in one partner nation indicated that small-scale construction projects often present problems in achieving objectives. According to the assessment, these problems are largely due to the limited number and capability of construction firms willing to bid on work in remote locations and a dollar ceiling for small-scale projects ($750,000) that often cannot cover all expenses at such sites. The assessment found that relying on a partner nation to provide the additional funds frequently results in the construction not being completed. In addition, DOD\u2019s 2016 assessment report indicated a problem with the adequacy of an airplane spare-parts package provided in some Global Train and Equip projects. The assessment found that the Cessna Caravan spare parts, intended to cover 2 years of maintenance, proved insufficient for high-speed combat flight operations. (See fig. 7 for an example of a Cessna Caravan at a partner nation airbase.) The report also noted that this problem had been identified in other Global Train and Equip projects that included spare-parts packages for Cessna Caravans. The report indicated that the equipment manufacturers determine the package contents without regard to the unique operational and environmental conditions in the receiving partner nation.", "Equipment suitability and procurement issues. A lack of suitability of equipment provided by Global Train and Equip projects, as well as problems with procuring the equipment, can make it difficult to achieve desired capability-building objectives. For example, a 2017 assessment report of a 2015 project found that size distributions for body armor and helmets were not aligned with the general size requirements\u2014an issue that had been identified in other countries receiving Global Train and Equip assistance. Additionally, the assessment noted that consideration was not given to providing body armor with built-in buoyancy for personnel operating in a maritime environment. Further, the assessment noted that bright orange life jackets were provided as tactical equipment, when a subdued color would have been more appropriate. Moreover, the 2016 assessment report found that equipment procurement issues in a 2012 project caused maintenance problems for the partner country. According to the report, the U.S. Army did not have an existing contract to obtain diesel vehicles from the manufacturer specified in the project proposal and congressional notification and therefore used an existing contract to obtain vehicles from a different manufacturer. The assessment observed that, while delivery of available vehicles provides some value, in this case it created maintenance problems for the partner nation because there was no dealership in the country to provide repairs and spare parts for the vehicles. The assessment found that in such situations it may be best to delay fulfillment until a contract is available to procure vehicles from the specified manufacturer.", "Partner nation shortfalls. Shortfalls of partner nations, including not using assistance for the envisioned purposes, inability to maintain and sustain equipment, and difficulty in manning and training recipient units, can negatively affect the achievement of project objectives. For example, the 2016 assessment report for a 2015 project found that, although the recipient unit was able to plan and execute more complex operations to combat regional threats, such as Boko Haram, in a professional manner, the assessment team received no evidence that the unit had played more than a minor role in counter\u2013Boko Haram operations. In a separate review of a partner nation\u2019s Global Train and Equip projects, the 2016 assessment found that the recipient unit had difficulties in maintaining weapons in a fully mission- capable status. The assessment found that a number of the unit\u2019s small arms were old and many had warped barrels, making them much less accurate. A 2017 assessment of a 2013 project found that the recipient unit suffered from shortages of junior noncommissioned officers and officers. The unit was also found to have few soldiers in specialty jobs who had received school training. The assessment report acknowledged that certain conditions in the partner nation, such as low levels of education, presented a multitude of problems in ensuring the development and maintenance of national security forces capable of working with, and integrating, a range of modern combat systems.", "Workforce management challenges. DOD officials indicated that workforce challenges, particularly related to turnover and staffing levels, can inhibit effective project design, program implementation, and oversight. DOD officials acknowledged that staff turnover, an issue that we previously identified, remains a challenge. According to the officials, there is a high degree of institutionalized turnover, particularly among security cooperation officers, at U.S. embassies and to some extent within the geographic combatant commands. As a result, the officials overseeing project implementation may not have been responsible for project development and are less likely to understand the capabilities of the intended recipient units or the capability gaps that could be addressed by equipment and training. DOD officials also told us that they have been challenged to meet programmatic demands with current staffing levels, particularly given the influx of funds appropriated for the Counterterrorism Partnerships Fund in 2015. DOD officials said that the volume of Global Train and Equip projects expanded with the large increase in funding in 2015 and 2016, which stressed the foreign military sales system as well as geographic combatant commands\u2019 ability to plan for, and manage, the program with existing resources. For example, DOD officials said that teams of three staff at geographic combatant commands were managing over three times more funding than in prior years. As a result, staff were unable to maintain consistent levels of due diligence on issues such as ensuring that proposal packages addressed absorptive capacity and sustainment planning. According to DOD officials, negative effects of this inconsistent due diligence included the arrival of equipment not suitable for operations and overestimation of one partner nation\u2019s absorptive capacity, necessitating unplanned training and resulting in project delays. DOD officials said that they are now in the process of acquiring additional staffing to address capacity constraints."], "subsections": []}, {"section_title": "DOD Officials Described Several Ongoing Changes to Improve Assessments", "paragraphs": ["DOD officials told us that they are in the process of evaluating the effectiveness of the assessment process conducted in 2016 and 2017 and described a variety of changes that they are making to improve assessments of Global Train and Equip projects. DOD officials acknowledged that baseline and post-implementation assessments, as well as monitoring activities, had been conducted inconsistently in prior years, including for the projects developed and implemented in 2016 and 2017. DOD officials said that staffing constraints were a contributing factor. In March 2017, we also identified some weaknesses in the design of evaluations for Global Train and Equip projects and recommended that DOD develop a plan for improving the quality of these evaluations.", "While prior laws required DOD to conduct assessments and evaluate the program\u2019s effectiveness, the fiscal year 2017 NDAA requires that DOD maintain a program of assessment, monitoring, and evaluation in support of the agency\u2019s security cooperation programs and activities. Given the requirements for an assessment, monitoring, and evaluation program, and recognizing the importance of improving the assessment processes, DOD officials said they are developing an enhanced assessment process that includes increased staffing dedicated to monitoring and evaluation. For example, DOD officials said that they had hired several full-time contractors to perform key tasks related to monitoring and evaluation. According to the officials, several full-time contractor positions will be located in the various geographic combatant command locations, with responsibilities to develop baseline assessments in coordination with the geographic combatant commands and oversee the quality and completeness of those assessments; write performance indicators and performance plans into every Global Train and Equip project proposal; conduct monitoring and provide reports to the geographic combatant command and to the Defense Security Cooperation Agency on the status of project objectives and performance indicators; and conduct annual, independent evaluations to assess a few Global Train and Equip projects in detail.", "In addition, DOD officials stated that they had hired a full-time contractor who will be based at headquarters and provide further support for each geographic combatant command and who will be charged with documenting that baseline assessments were completed and conducting quality reviews of assessment-related documents."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Global Train and Equip program is a critical tool for building partner capacity to counter terrorism worldwide, and allocations for the program totaled more than $4.1 billion in 2009 through 2017. DOD has established an interagency process to develop and select Global Train and Equip projects that takes into account four required security assistance planning elements. However, although DOD consistently addressed project objectives in its 2016 and 2017 project proposals, DOD did not consistently address the other three planning elements. In addition, DOD guidance no longer includes instructions for addressing one of these elements, sustainment planning, in proposals for projects for which DOD does not intend or anticipate sustainment. Updating its guidance to include such instructions would help ensure decision makers\u2019 access to complete information on annual sustainment costs, even costs anticipated to be negligible. Moreover, although officials reported having recently developed an informal quality review process designed to ensure that proposal packages address all required planning elements, DOD has not formalized this process as written policy. Formalizing the process would enhance DOD\u2019s ability to provide consistent oversight of project development and to ensure that decision makers have access to complete information about each planning element for proposed projects. This information would, in turn, help DOD and State decision makers ensure the efficient use of funding under the new Section 333 authority to build partner capacity."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Director of the Defense Security Cooperation Agency should update guidance for project proposal packages to require an explanation when sustainment plans are not documented for projects for which sustainment is not intended or anticipated. (Recommendation 1)", "The Director of the Defense Security Cooperation Agency should formalize as written policy its informal process for ensuring that project proposal packages fully address and document all four required security assistance planning elements. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD and State for comment. In its comments, DOD concurred with our recommendations and noted that the Defense Security Cooperation Agency will seek to update guidance for project proposal packages. DOD\u2019s comments are reproduced in appendix IV. State did not provide comments.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Defense and State, and the Director of the Defense Security Cooperation Agency. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-5130 or mazanecb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act (NDAA) for Fiscal Year 2015 contains a provision for GAO to conduct biennial audits of such program or programs conducted or supported pursuant to 10 U.S.C. \u00a7 2282 during the preceding 2 fiscal years. This report examines (1) the status of funding that the Department of Defense (DOD) allocated for Global Train and Equip projects in 2009 through 2017; (2) the extent to which DOD addressed security assistance planning elements in project proposals in 2016 and 2017; and, (3) DOD\u2019s reporting on the achievement of Global Train and Equip project objectives and any factors affecting its ability to achieve those objectives.", "To address these objectives, we analyzed funding data, program guidelines, project proposal documents, and congressional notifications. We discussed the funding data, project proposal process and key elements of project planning, documentation, and assessment with officials from DOD and the Department of State (State); geographic combatant commands in whose areas of responsibility partner nations received 2016 or 2017 assistance\u2014the U.S. Africa Command, the U.S. Central Command, and the European Central Command; and the U.S. embassies in Jordan, Niger, and Uganda. We selected these countries on the basis of their having received a higher proportion of DOD\u2019s allocations for the Global Train and Equip program in fiscal years 2016 and 2017; we also considered factors such as the number of project assessments conducted in each country, the maturity of projects, embassy officials\u2019 project assessment experience, and the countries\u2019 geographic distribution.", "To identify the status of funding that DOD allocated for Global Train and Equip projects in fiscal years 2009 through 2017, we assessed funding data for 2009 through 2017. DOD provided data on allocations, amounts reallocated, unobligated balances, unliquidated obligations, and disbursements of funds for program activities according to the fiscal year when the funds were appropriated. We analyzed these data to determine the extent to which funds had been allocated, obligated, and disbursed. DOD also provided data on project funding by year of allocation. We used these data to report allocations for Global Train and Equip projects by fiscal year and recipient country. We assessed the reliability of these data by interviewing cognizant agency officials and comparing the data with previously published data. We determined that the data were sufficiently reliable for our purposes.", "To assess the extent to which DOD addressed key elements of security sector assistance for projects it planned to implement in 2016 and 2017, we analyzed agency documents and interviewed agency officials. We reviewed Presidential Policy Directive 23 on Security Sector Assistance, which identified four key elements to be considered for security sector assistance programs: (1) project objectives that address partner needs, (2) the absorptive capacity of the recipient unit, (3) the baseline capabilities of the recipient unit, and (4) the arrangements for the sustainment of the project. We also reviewed DOD guidance, which requires these elements to be considered in project proposal development. To determine the extent to which DOD addressed these elements in project proposals, we analyzed the content of agency- approved project proposals in 2016 and 2017. Two reviewers independently analyzed 41 proposal packages for 2016 and 31 proposal packages for 2017. The reviewers resolved any disagreements through discussion of the information used to make their independent determinations. We also interviewed State and DOD officials who develop and review proposals, discussing (1) how they use information in the project proposal packages to consider planning elements and (2) other factors they may consider in developing and reviewing proposals.", "Further, we reviewed congressional notifications DOD developed subsequent to agency approval of Global Train and Equip project to determine the extent to which those documents included information about the four planning elements. With respect to our reporting on support for information about baseline assessments, congressional notifications lay out a standardized assessment framework to be used to assess the effects of projects. This framework includes a baseline assessment that DOD requires to be completed for inclusion in project proposal packages. DOD provided baseline assessments for 38 of 41 project proposals notified to Congress in 2016 and 30 of 31 project proposals notified to Congress in 2017. To evaluate the completeness of the required baseline assessment sections, we compared these 38 baseline assessment documents included in 2016 project proposal packages and 30 baseline assessment documents in 2017 project proposal packages with DOD internal guidance. To assess the completeness of sustainment plans, we used DOD\u2019s Global Train and Equip guidance for 2016 and 2017, which defined complete sustainment plans to include three elements: (1) an identification of funding sources for project sustainment, (2) an estimate of the annual sustainment costs, and (3) an assessment of the sustainment capability of the partner nation.", "To examine DOD reporting on the achievement of project objectives in 2016 and 2017, we reviewed agency documents and interviewed agency officials. In particular, we analyzed DOD\u2019s annual project assessment reports and supporting documents for 2016 and 2017 as well as the assessment framework handbook. DOD submitted an annual assessment report to Congress in 2016 but was not required to submit an annual assessment report in 2017. As a result, DOD prepared country-level assessments in 2017 but did not compile them and submit them to Congress as it did in 2016. To examine the extent to which DOD\u2019s assessments and supporting documents indicated progress in building partner capacity, we compared baseline assessments of recipient unit capability and performance levels, conducted when projects were proposed, with post-implementation assessments of recipient unit capability levels, conducted after the delivery of program assistance. DOD uses a standard framework for evaluating the capabilities and performance of each recipient unit. Baseline assessments rate the recipient unit\u2019s level of capability and performance before project implementation on a 5-point scale, with 1 defined as the ability to perform some basic tasks to at least a low standard of performance and 5 defined as the ability to perform most of the advanced tasks for the unit\u2019s missions and to operate almost continuously throughout its assigned area of operations. After project implementation, project assessments and supporting documents use the same 5-point scale to rate any changes (positive or negative) in the recipient unit\u2019s level of capability and performance. DOD\u2019s 2016 assessment report and 2017 country-level assessment reports included information on 84 Global Train and Equip projects; of these, 21 projects included both a baseline and a post- implementation assessment of the recipient unit. We relied on DOD\u2019s assessment reports and did not systematically validate the assessment results because it was beyond the scope of this engagement to assess the reliability of the assessments. However, for the purposes of this analysis, we met with DOD and contracted officials responsible for conducting and reviewing project assessments to gather information about their processes for assessing recipient unit capabilities. In addition, we reviewed DOD\u2019s project assessment guidance and their template for conducting project assessments, which was consistently used in the assessments we reviewed.", "Finally, to examine DOD reporting on factors affecting the achievement of project objectives, we reviewed the assessment reports and interviewed DOD officials responsible for implementing the program, including officials from DOD\u2019s policy guidance and oversight office and its geographic combatant commands; officials at embassies in the three selected countries; and officials at State\u2019s Bureau of Political-Military Affairs. We also considered the factors that we identified as affecting the achievement of project objectives for our 2016 report that considered 2015 project proposals. On the basis of our review of DOD\u2019s assessments and supporting documents and our interviews with agency officials, we grouped the key factors they identified into four categories: (1) proposal design weaknesses, (2) equipment suitability and procurement issues, (3) partner nation shortfalls, and (4) workforce management challenges.", "We conducted this performance audit from July 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Allocations for Global Train and Equip Projects in Fiscal Years 2016 and 2017", "paragraphs": ["Table 2 shows the total amount of funding DOD allocated for Global Train and Equip projects in 2016 and 2017 combined."], "subsections": []}, {"section_title": "Appendix III: Global Train and Equip Projects and Allocations Included in DOD\u2019s 2012- 2017 Assessment Reports", "paragraphs": ["As figure 8 shows, in 2012 through 2017, the Department of Defense (DOD) prepared assessment reports for 31 percent of the projects (82 of 262 projects) it had implemented in 2006 through 2015. These 82 projects account for 28 percent of the nearly $3 billion DOD allocated for the program in those fiscal years. The Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015 required DOD to assess the results of the Global Train and Equip program; however, DOD was not required to assess a specific number or percentage of projects in each fiscal year."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Drew Lindsey (Assistant Director), Jon Fremont (Analyst-In-Charge), Emily Desai, Reid Lowe, Martin de Alteriis, and Ashley Alley made key contributions to this report. In addition, Chris Keblitis provided technical assistance."], "subsections": []}]}], "fastfact": ["Providing training and equipment to the nation's foreign partners is one of the Department of Defense's approaches to fighting terrorism.", "We reviewed the Global Train and Equip program and found that DOD allocated $4.1 billion for the program in fiscal years 2009 through 2017.", "In addition, we looked at how thoroughly proposals for Global Train and Equip projects addressed security assistance planning requirements. We recommended improving guidance and formalizing a quality review process for proposals. This can help decision-makers ensure that program funding is used efficiently."]} {"id": "GAO-18-425", "url": "https://www.gao.gov/products/GAO-18-425", "title": "High School Sports: Many Schools Encouraged Equal Opportunities, but Education Could Further Help Athletics Administrators under Title IX", "published_date": "2018-05-10T00:00:00", "released_date": "2018-06-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Research has found that sports participation yields many benefits for youth. Girls' participation in sports has increased dramatically since the passage of Title IX in 1972, but is still lower than for boys. Further, investigations by OCR, which enforces and implements Title IX, have highlighted instances of disparities in the resources provided to girls' and boys' teams.", "GAO was asked to review how public high schools encourage equal athletic opportunities. This report examines (1) measures public high schools and athletics administrators have taken to encourage equal athletic opportunities for boys and girls, and (2) factors that affect boys' and girls' participation levels in public high school sports programs. GAO conducted a nationally generalizable probability survey of athletics administrators at 784 public high schools. GAO interviewed nine subject matter specialists selected to provide a range of perspectives. GAO also reviewed relevant federal laws, regulations, and guidance and interviewed OCR officials."]}, {"section_title": "What GAO Found", "paragraphs": ["According to GAO's nationally generalizable survey of athletics administrators, public high schools recently took various measures to encourage equal opportunities for boys and girls in sports. For example, a majority assessed resources such as equipment, travel opportunities, and facilities that they provided to girls' and boys' teams and some schools took steps to gauge student interest in specific sports as a means of encouraging equal opportunities, according to GAO's survey. Education's Office for Civil Rights (OCR) guidance indicates that Title IX coordinators\u2014which school districts are required to designate and make visible per regulations for Title IX of the 1972 Education Amendments (Title IX)\u2014should work closely with athletics administrators to determine whether action is needed to address any underrepresentation, or to otherwise encourage equal athletic opportunities. However, GAO estimates that 51 percent of athletics administrators either were unaware of or unsupported by their Title IX coordinator, according to the survey (see figure). These findings raise questions as to whether Title IX coordinators are familiar with and using Education's guidance. Officials from an association for Title IX coordinators said this lack of communication with athletics administrators may be related to some Title IX coordinators' limited understanding of Title IX and athletics. OCR officials said that they did not know the extent to which Title IX coordinators are working with their athletics administrators to encourage equal athletic opportunities because Education generally does not collect this information. Better information on Title IX coordinators could help Education support school districts' efforts to encourage equal sports opportunities for girls and boys.", "The factors that most affect boys' and girls' participation in public high school sports are the number of, and interest in, participation opportunities offered, according to GAO's survey and interviews with nine subject matter specialists. Though the survey provided no clear consensus on factors that discourage students from participating in sports, athletics administrators most often perceived students' competing responsibilities as discouraging participation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that OCR determine the extent of K-12 Title IX coordinators' knowledge and use of tools in its existing guidance and use this information in its efforts to encourage them to work with athletics administrators to help ensure equal athletic opportunities. Education partially concurred, stating it would consider GAO's recommendation in its complaint investigations, technical assistance activities, and communication practice reviews."]}], "report": [{"section_title": "Letter", "paragraphs": ["We have previously reported that sports participation yields many benefits for youth, ranging from positive health outcomes to improved academic achievement to increased self-esteem, and schools are uniquely positioned to provide students with opportunities to participate in sports. We have also reported that girls began playing high school sports in large numbers only after the passage of Title IX of the 1972 Education Amendments (Title IX), which prohibits discrimination on the basis of sex in any education programs and activities by recipients of federal financial assistance. However, girls\u2019 sports participation remains lower than boys\u2019 participation. Further, the Department of Education (Education) has found instances of disparities or potential disparities in the benefits and services provided to girls\u2019 and boys\u2019 teams, including equipment, facilities, and schedules for practices and games.", "You asked us to examine how public high schools encourage equal athletic opportunities for members of both sexes. This report examines (1) what measures public high schools and athletics administrators have taken to encourage equal athletic opportunities for boys and girls, and (2) what factors affect boys\u2019 and girls\u2019 participation levels in public high school sports programs.", "To examine both of these questions, we conducted a nationally generalizable web-based survey of athletics administrators in a stratified, random sample of 784 U.S. public high schools. The survey asked about factors that encourage or discourage boys\u2019 and girls\u2019 participation in interscholastic sports (team-based organized sports activities that offer competition among schools), activities schools conduct related to encouraging equal opportunities in these sports, and challenges they encounter in doing so. The survey, which we administered from June through early September 2017, had a weighted response rate of 42 percent, and the results are generalizable. To obtain additional context and illustrative examples to supplement our survey data, we conducted follow-up interviews with eight athletics administrator respondents, who were selected for variation in their survey responses, such as the extent to which they conducted activities to encourage equal opportunities, and their schools\u2019 characteristics, such as locale type (urban, suburban, or rural). We also interviewed subject matter specialists at nine organizations, including national associations of athletics and Title IX administrators (whose membership includes Title IX coordinators); organizations that advocate for sports and gender equity issues; and research centers that study these issues. We selected individuals and organizations to interview to represent a range of perspectives on these issues. We also reviewed federal laws, regulations, and guidance, and interviewed officials at Education\u2019s Office for Civil Rights (OCR). Our analysis should not be used to make conclusions about legal compliance with Title IX requirements or the presence or absence of discrimination in public high school interscholastic sports programs.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Research has found that girls\u2019 participation in sports has increased dramatically since the passage of Title IX. However, research has also found that progress toward equal sports participation between boys and girls has slowed since 2000, and a participation gap remains between the sexes. We previously reported that federal data from school year 2013- 14 showed that national girls\u2019 participation rates in public high school interscholastic sports remained nearly 10 percentage points lower than boys\u2019 rates. The same data showed that at nearly half of schools, girls\u2019 share of sports participation was less than their share of enrollment by 5 percentage points or more."], "subsections": [{"section_title": "Education\u2019s Role", "paragraphs": ["Within Education, OCR enforces and implements Title IX, which applies at all educational levels, including colleges, universities, and public school districts, with limited exceptions. OCR\u2019s most recent annual report describes its mission as ensuring equal access to education and promoting educational excellence throughout the nation through vigorous enforcement of civil rights laws. OCR\u2019s core activities include responding to civil rights complaints filed by the public and conducting agency-initiated investigations to enforce federal civil rights laws; providing technical assistance to help institutions achieve compliance with the civil rights laws that OCR enforces; and issuing regulations and policy guidance to ensure equal access to educational opportunity. OCR also conducts the Civil Rights Data Collection (CRDC), which collects key information related to civil rights from public elementary and secondary schools and school districts, including information on interscholastic sports and teams offered for boys and girls and their participation.", "With respect to athletics, Education\u2019s Title IX regulations require schools that offer sports teams to provide equal opportunities for members of both sexes. The regulations, along with OCR guidance, specify key elements OCR considers, among other things, in determining whether schools are offering equal opportunities (see fig. 1). OCR uses the number of participants on a school\u2019s sports teams as a proxy for participation opportunities when determining whether those opportunities are proportionate for boys and girls.", "Recipients of federal education funds, such as public school districts, bear the responsibility for complying with Title IX. Districts are required to designate an employee to coordinate efforts under Title IX, and to make this Title IX coordinator visible. In 2014, we recommended OCR clarify and disseminate information on the roles and responsibilities of these Title IX coordinators. In response, during fiscal year 2015, OCR issued several pieces of Title IX guidance, including a Dear Colleague letter delineating the specific requirements and duties of coordinators, in addition to a letter to coordinators and a Title IX resource guide, which includes guidance on monitoring compliance in athletics. This guide states that the Title IX coordinator should work closely with many different members of the school community, including athletics administrators. Regarding athletics, it recommends tools that Title IX coordinators can use to encourage equal opportunities in athletics, which include evaluating whether there is unmet interest in a particular sport and comparing expenditures on boys\u2019 and girls\u2019 sports teams as an indicator of benefits provided to those teams."], "subsections": []}]}, {"section_title": "Athletics Administrators Reported Schools Took Some Steps to Encourage Equal Opportunities, but About Half Did Not Receive Title IX Coordinator Support", "paragraphs": [], "subsections": [{"section_title": "To Encourage Equal Opportunities, the Majority of Athletics Administrators Reported That Their Schools Assessed Resources Provided to Boys\u2019 and Girls\u2019 Teams", "paragraphs": ["The majority of public high schools assessed some aspects of their sports programs over the past 2 years to encourage equal opportunities for boys\u2019 and girls\u2019 sports teams, according to our nationally generalizable survey of athletics administrators. Specifically, the estimated percentage of schools assessing key athletic resources provided to these teams ranged from 63 percent of schools assessing travel opportunities to 76 percent assessing uniforms (see fig. 2).", "In our interviews with eight athletics administrators, we heard a variety of approaches to assessing these resources. For example, when scheduling practice times and competitions, five athletics administrators said that they scheduled a boys\u2019 competition only if they could also schedule a girls\u2019 competition. Four athletics administrators described watching practices, inspecting equipment to identify when it needed replacement, or replacing equipment as their coaches requested it. Four athletics administrators said that coaches can sometimes influence the distribution of resources. For instance, one athletics administrator noted that in the past, his school had unequal facilities for boys\u2019 baseball and girls\u2019 softball, stemming in part from the boys\u2019 baseball coach being a stronger advocate for his team. However, these athletics administrators generally described working with the coaches to ensure that resource allocation did not create inequalities.", "Most schools reported using a mix of public and private funds to support their athletic programs. An estimated 75 percent of public high schools received public funding (state or local) for their sports programs; for some individual sports or school athletics programs, public funding may be the primary funding source. We estimate that about 52 percent of schools that received public funding monitored or directed its use to help encourage equal resources for boys\u2019 and girls\u2019 teams. OCR\u2019s Title IX Resource Guide encourages Title IX coordinators to periodically review expenditures on male and female athletic teams as part of their review of resources. At four schools, athletics administrators told us that they paid attention to the actual resources girls and boys received rather than focusing on expenditures, and three of these administrators explained there could be valid reasons for spending differences. For example, one athletics director said that both boys\u2019 and girls\u2019 hockey teams at his school participated in annual tournaments, but the girls preferred a tournament that did not require a hotel stay, so it was less expensive.", "In addition, we estimate that about 81 percent of public high schools had at least one booster club and, according to our survey, an estimated 51 percent of these schools monitored or directed the club to encourage equal opportunities. Among the eight athletics administrators we interviewed, relationships with booster clubs varied. For instance, some issued booster club guidelines and approved their purchases in advance, while others had no oversight of booster club expenditures. For example, one athletics administrator told us that he provides booster club presidents with written guidelines and approves purchases to make sure they do not create a Title IX compliance issue. Another athletics administrator\u2019s school had recently undergone negotiations to obtain access to booster club expenditure records for the first time so that they could regularly review those expenditures. OCR has stated in compliance decisions, and OCR officials confirmed to us in interviews, that it considers resources provided through the use of private funds, including booster funding, in assessing whether schools are providing equivalent resources to teams of each sex. An official from a national association representing athletics administrators stated that administrators who take the association\u2019s Title IX trainings are often surprised to learn they should monitor or direct booster club spending to help ensure equal opportunities."], "subsections": []}, {"section_title": "Some Athletics Administrators Reported That Their Schools Used Surveys and Other Tools to Gauge Student Sports Interests, Which Can Help Encourage Equal Opportunities", "paragraphs": ["In addition to assessing the various school and booster club resources provided to boys\u2019 and girls\u2019 teams, some schools recently took steps to gauge student interest in specific sports as a means of encouraging equal opportunities, according to our survey. For example, we estimate that 40 percent of schools surveyed students about their sports interests over the last 2 school years and 25 percent added or changed their sports offerings based on requests from the underrepresented sex in their school\u2019s sports program (see fig. 3).", "An estimated 31 percent of schools had not recently used any of these tools, or did not know if they had used the tools, to gauge student interest. And, according to our analysis of Education\u2019s data, 60 percent of schools had one sex underrepresented by more than 5 percent in their sports programs in school year 2013-14.", "OCR guidance states that where one sex is underrepresented in sports, schools can demonstrate they are providing equal participation opportunities by using multiple indicators to identify, among other things, whether the sports currently offered meet student interest. OCR guidance also states that in its investigations the agency determines on a case-by-case basis whether sports participation numbers at a school are disproportionate, and whether the school is taking sufficient steps to accommodate the athletic interests and abilities of both girls and boys. In addition, OCR guidance describes tools that schools and school districts can use to assess for themselves whether action is needed to address any underrepresentation, or to otherwise encourage equal athletic opportunities. According to the guidance, these efforts should be led by the school district\u2019s Title IX coordinator."], "subsections": []}, {"section_title": "About Half of Athletics Administrators Were Either Unaware of or Unsupported by Their District Title IX Coordinator", "paragraphs": ["About 51 percent of athletics administrators were either not aware of or not supported by their Title IX coordinator, according to our survey. Specifically, we estimate that 40 percent of athletics administrators\u2013 serving about 6,110 schools and 5 million students\u2013were unaware of a Title IX coordinator in their school district and that an additional 12 percent were aware of their Title IX coordinator but received little to no support from them (see fig. 4). We also found that almost all of the athletics administrators who were not aware of having a Title IX coordinator were in a district that had, in fact, designated one. Specifically, when we matched athletic administrators\u2019 survey responses with OCR\u2019s data and extrapolated to the population overall, we estimated that 99 percent of the athletics administrators who were not aware of a Title IX coordinator in their district were in a school district that had listed a coordinator in school year 2013-14. Further, an estimated 26 percent of athletics administrators wanted additional guidance or assistance related to encouraging equal opportunities for boys and girls, according to our survey.", "Given the significant number of athletics administrators who reported being unaware of or unsupported by their Title IX coordinators, our survey results raise questions as to whether Title IX coordinators\u2014whom school districts must designate and make visible in accordance with Title IX regulations\u2014are familiar with and using OCR\u2019s guidance on their role and responsibilities. This guidance states that the Title IX coordinator should support and work closely with members of the school community, including athletics administrators, to ensure compliance with Title IX. When asked about these survey results, officials from an association for Title IX coordinators and for other related administrators told us that they were not surprised that a number of athletics administrators were not aware of or supported by their Title IX coordinator, because the results are consistent with what they hear when interacting with their members across the country. Based on these interactions, these association officials said they have observed that there is often a separation between athletics and other school departments, and that Title IX coordinators without an athletics background may be reluctant to engage in oversight of that department.", "Based on their experiences providing training to Title IX coordinators, these association officials also said that Title IX coordinators\u2019 familiarity with Title IX requirements has improved somewhat since the release of OCR\u2019s 2015 guidance delineating their role and responsibilities, but their familiarity with these requirements is still generally low, particularly with respect to athletics. In these officials\u2019 opinion, this lack of understanding is due in part to the complex and wide-ranging nature of Title IX and to the lack of resources for training in many school districts. These and other subject matter specialists we interviewed said that other potential factors contributing to athletics administrators\u2019 lack of awareness of their Title IX coordinator included high turnover among athletics administrators and myriad responsibilities of staff in both roles. When Title IX coordinators do not work closely with athletics administrators, as OCR guidance suggests they do, they may miss opportunities to make those administrators aware of tools the guidance recommends that could help advance equal opportunities. In addition, OCR guidance recognizes that the most serious Title IX violations tend to occur in districts without a supportive Title IX coordinator.", "OCR officials said that they had learned from their complaint investigations and compliance reviews that some athletics administrators were not working with their districts\u2019 Title IX coordinators. However, these officials said they did not know the extent to which Title IX coordinators themselves were aware of and using the tools recommended in their guidance because, outside of these enforcement activities, OCR generally does not collect information on Title IX coordinators\u2019 knowledge of or activities related to the guidance. Standards for internal control in the federal government state that agencies should both obtain quality information from and communicate quality information to external parties to help achieve the agency\u2019s objectives and address risks. In OCR\u2019s case, its objectives include ensuring schools actively encourage equal opportunities for boys and girls as articulated in Education\u2019s Title IX regulations and OCR guidance, and risks include violations of Title IX that have not resulted in formal complaints. Absent better information on Title IX coordinators\u2019 awareness and use of Title IX guidance, OCR may not have a complete picture of school districts\u2019 ongoing efforts to encourage equal opportunities, challenges they encounter in doing so, and successful strategies that might be shared with a broader audience. Collecting and analyzing this information could enable OCR to target its communication to Title IX coordinators, and further encourage them to work with athletics administrators on ensuring equal athletic opportunities."], "subsections": []}]}, {"section_title": "Available Opportunities Helped Drive Public High School Sports Participation Levels, but Family Resources and Other Factors Could Limit Participation", "paragraphs": [], "subsections": [{"section_title": "The Number of and Interest in Opportunities Offered by Schools Encouraged Higher Participation Levels", "paragraphs": ["The number of participation opportunities schools offered, as well as student interest in those opportunities and in working with specific coaches at the school, were top factors that encouraged interscholastic sports participation among public high school students, according to our survey of public high school athletics administrators. We estimate that over 70 percent of athletics administrators viewed the number of interscholastic athletic participation opportunities at their school as encouraging boys and girls to participate in high school sports (see fig. 5).", "Our 2017 report on high school sports access and participation found that in school year 2013-14, public high schools overall offered the same number of sports and teams for boys and girls. Of the nine subject matter specialists we interviewed for this report, six described specific knowledge of factors that encourage or discourage participation in high school sports. All six of these subject matter specialists agreed that opportunity is an important factor affecting student participation, especially for girls; several specialists also said that the continued participation gap shows that girls do not have access to an equal number of roster spots on teams as boys. For example, one researcher, as well as a representative of a national association of athletics administrators, suggested that one reason the gap between boys and girls persists is that schools do not offer girls\u2019 sports with roster sizes equivalent to popular boys\u2019 sports, such as football. One of the eight athletics administrators said that this was the case at her school, noting that none of her girls\u2019 teams came close to the size of the football teams. The gap may be particularly acute for minority girls, according to one subject matter specialist. Our 2017 report on public high school sports access and participation found that, for both boys and girls, fewer students attended high minority and high poverty schools that offered sports, compared to students at other schools, and these schools had lower participation rates when they did offer sports.", "We estimate that over 75 percent of athletics administrators viewed the level of student interest in the sports offered by their school as encouraging participation in their school\u2019s teams. Several subject matter specialists agreed that offering sports that align with students\u2019 specific interests is an important aspect of providing meaningful opportunities, but a few also noted that some schools fail to consider which sports most interest their female students.", "We estimate that 70 percent or more of athletics administrators viewed student interest in working with certain coaches as a factor that encouraged participation at their school. As explained by one researcher, coaching quality plays a large role in encouraging high school sports participation and a good coach can pull students into a sport and keep them participating. Alternatively, another researcher noted that less qualified or inexperienced coaches depress participation. These views are consistent with our work, in which we reported that the quality of coaching is a key factor in maximizing the positive effects of sports participation on students\u2019 personal development.", "In addition, research shows that the state of athletic facilities can also affect a student\u2019s choice to participate in high school sports, and a few athletics administrators and subject matter specialists we interviewed also cited this as a factor. For example, one study found that proximity to sports facilities was a factor predicting children\u2019s participation in team sports. Another study found that student participation in interscholastic sports is higher at schools with more sports facilities compared with schools that have few sports facilities. A few of the subject matter specialists and one athletics administrator made similar observations about the relationship between facilities, participation, and inequity. For example, the athletics administrator said that at his high school, baseball and softball participation has decreased because their athletic facilities are located off campus, requiring additional travel for both students and parents for practices and games. Additionally, representatives from two advocacy groups noted that parents may have concerns related to school sports facilities, particularly for the safety of their daughters. For example, one said that some schools have girls\u2019 teams practice in off-campus facilities, sometimes in unsafe neighborhoods, without offering transportation. The other said parents may be concerned when fields are insufficiently lit or their daughters come home late from practices."], "subsections": []}, {"section_title": "Factors Related to Family and Community Resources and Cultural Expectations May Discourage Participation in Sports", "paragraphs": ["We found no clear consensus in our survey of athletics administrators regarding factors that tend to discourage students from participating in sports, and the eight athletic administrators we interviewed had mixed views on the subject. That said, the most frequently mentioned factors that were perceived to discourage participation (representing an estimated 15-35 percent of athletic administrators) were (1) competing responsibilities, (2) lack of access to athletic feeder programs, (3) the perceived benefits of joining club teams, and (4) participation costs to the student.", "Competing responsibilities. Over one-quarter of athletics administrators cited students\u2019 competing responsibilities as discouraging participation in public high school sports. This could include a range of responsibilities, including schoolwork, other school activities, and family obligations. Among the athletic administrators we interviewed, one noted that many students at his magnet school were more focused on academics than athletics. A few cited examples of competing responsibilities that were tied to family resources. For example, two said that many of their students have jobs and family responsibilities that prevent them from participating in sports. One of these administrators said that his school\u2019s student population largely comes from lower-income families, and many are juggling jobs; in response, the school changed practice schedules to better match students\u2019 availability, which has made it easier for more students to participate.", "Lack of access to athletic feeder programs. Some athletics administrators also mentioned a lack of access to athletic feeder programs\u2014club or community-based youth sports programs that train younger children before they enter high school\u2014as discouraging participation in sports at their public high schools. In addition, a few of the eight athletics administrators we interviewed saw this lack of access as being closely related to community or family resources. Two of these administrators, who worked in lower-income schools, reported that younger children in their area have very little access to community or club sports and that students who do not have previous exposure to sports may lack the skills to participate at the high school level. One of these administrators also said that having more community youth sports might increase student interest in playing at the high school level. A third athletics administrator said that feeder programs help drive participation in high school sports. In his school\u2019s competitive environment, students trying out for sports for the first time when they get to high school are, in most cases, likely to be cut from the team. He added that he has found that family income is a major contributing factor to children\u2019s ability to begin training early, which puts lower income students at a disadvantage. His point was echoed in one research study that found that as family income increases, boys and girls tend to enter organized sports at a younger age.", "Perceived benefits of joining club teams. Athletics administrators also mentioned the presence of club teams that students may choose over school teams as discouraging participation in public high school teams. This may be particularly true for higher-income students, as competitive travel and club teams\u2014which parents and students may see as offering higher-caliber coaching, more specialized training, and greater opportunities to compete against elite athletes\u2014can be quite expensive. Several subject matter specialists we interviewed cited this as an issue that affects high school sports participation. Further, a few of the high school athletics administrators we interviewed observed decreased student participation at their schools due to the presence of club teams. One athletics administrator from the Southwest explained that participation is weaker for his school\u2019s Olympic sports, such as swimming, due to competition from club sports. He noted that at his high school, this phenomenon makes it more difficult to recruit other students because the school teams become less competitive. Another athletics administrator from the Midwest explained that at his high school, the presence of club sports disproportionally depressed girls\u2019 participation in high school sports. In particular, he said the popularity of club girls\u2019 volleyball in the winter reduced participation in his girls\u2019 basketball teams.", "Participation costs. The cost to students of participating in athletics was also mentioned by some athletics administrators as discouraging participation in public high school teams. The subject matter specialists and athletics administrators we interviewed had mixed views on the effect of costs on student participation. Among the subject matter specialists, two said that the increasing prevalence of fees in high school sports programs is threatening participation by lower-income students. One athletics administrator agreed, saying that in the past he has dissuaded his school district from charging participation fees for this reason. Another said that his school does not charge fees, but students could still be discouraged by the fundraising required for \u201cextras\u201d such as team t-shirts. In contrast, one subject matter specialist said that it is typically higher-income schools that charge students fees to participate in sports, and therefore fees do not generally affect students in lower-income schools.", "In addition to the four most commonly cited barriers from our survey, several research studies noted that cultural expectations around family responsibilities and gender roles may also discourage some student groups more than others. For example, one study found that Hispanic girls quit sports to take care of younger siblings at higher rates than their white peers. This and another study noted that students from recent immigrant families may also be discouraged from participating in sports because of different cultural expectations around prioritizing sports, and girls may be additionally affected by expectations around gender roles. For example, it found that immigrant parents are more likely than non- immigrant parents to believe that boys are more interested in sports than girls, and that 75 percent of immigrant sons were involved with organized or team sports compared with 43 percent of immigrant daughters. Similarly, a study of sports involvement among East African immigrant girls found that those the researchers interviewed face social barriers to participation, such as peer criticism, parents\u2019 fears of interactions with male athletes, and lack of parental support.", "Several of the subject matter specialists and athletics administrators with whom we spoke made similar observations around cultural expectations. One suggested that differences in sports participation among immigrant communities may stem from the opportunities to play sports in the family\u2019s country of origin, noting that the United States is unique in tying sports teams to its academic institutions. Officials from two advocacy organizations, one of which advocates for the Hispanic community, noted that some Hispanic families expect daughters to come home after school to help care for their siblings. This can interfere with participating in after-school activities. In addition, one athletics administrator we interviewed, whose school serves a predominantly Hispanic community, commented that his coaches have seen girls from this community quit sports teams on several occasions due to family responsibilities. One of the advocacy organization officials added that schools wanting to improve participation among Hispanic girls should, for example, consider more creative scheduling to allow these students to attend practices."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While sports participation for girls has risen dramatically over the last 45 years, a significant gap still remains between boys and girls in public high school sports. Our findings suggest that the reasons for this gap are varied and complex, and according to our survey, at many schools, athletics administrators are not aware of or do not receive support from their Title IX coordinator. OCR\u2019s guidance suggests that uninvolved Title IX coordinators are associated with serious Title IX violations, but OCR does not collect information about coordinators\u2019 level of involvement with districts and schools outside of its complaint investigations and compliance reviews. Better information about Title IX coordinators\u2019 awareness and use of OCR\u2019s guidance could help OCR support schools\u2019 and districts\u2019 efforts to provide equal opportunities in their sports programs."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Department of Education\u2019s Assistant Secretary for Civil Rights should determine the extent to which Title IX coordinators at the K-12 level are aware of and using the tools recommended in OCR\u2019s existing guidance and any barriers preventing their use of this guidance, and use this information in OCR\u2019s efforts to encourage them to work with athletics administrators on ensuring equal athletic opportunities. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for review and comment. Education provided written comments that are reproduced in appendix III, as well as technical comments that we incorporated, as appropriate.", "In its written comments, Education stated that it partially concurs with our recommendation that OCR determine the extent of K-12 Title IX coordinators\u2019 knowledge and use of tools in its existing guidance and use this information in its efforts to encourage them to work with athletics administrators to help ensure equal athletic opportunities. Specifically, Education stated that when OCR conducts investigations in response to complaints it would look for opportunities to examine whether K-12 Title IX coordinators were aware of, and using, the tools in OCR\u2019s guidance. Education also said that when OCR engages in technical assistance activities, it will encourage Title IX coordinators to work with athletics administrators to encourage equal opportunities. Education also said that it will consider our recommendation during its frequent reviews of the agency\u2019s communications practices.", "We agree that these are important first steps in helping ensure that Title IX coordinators are working with athletics administrators and otherwise fulfilling their responsibilities to encourage equal opportunities. However, given our finding that about half of public high school athletics administrators were unaware of or unsupported by their Title IX coordinator, we continue to believe the systemic approach we recommend is necessary. The activities that OCR described in its response are predicated on a complaint being filed or technical assistance being requested. This narrow approach means that OCR will likely not learn the full extent to which K-12 Title IX coordinators are unaware of or not using the tools in OCR\u2019s guidance. It also means that its reviews of the agency\u2019s communication practices may be hampered by incomplete information on how best to encourage Title IX coordinators to use these tools and work with athletics administrators to ensure equal opportunities.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Education, and other interested parties. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff should have any questions about this report, please contact me at 617-788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["The objectives of this study were to examine: (1) what measures public high schools and athletics administrators have taken to encourage equal athletic opportunities for boys and girls, and (2) what factors affect boys\u2019 and girls\u2019 participation levels in public high school sports programs. To address these objectives, we used a variety of methods, including a web- based survey of public high school athletics administrators; follow-up interviews with eight survey respondents; reviews of federal law, regulations, and guidance; and interviews with federal officials at the Department of Education (Education) and with subject matter specialists."], "subsections": [{"section_title": "Web-based Survey of Public High School Athletics Administrators", "paragraphs": ["To obtain school-level perspectives on factors that affect boys\u2019 and girls\u2019 participation levels in public high school sports programs and approaches schools and athletics administrators have used to encourage equal athletic opportunities, we designed and administered a survey to athletics administrators at a generalizable, stratified random sample of public high schools in the United States. The survey included questions about what sports and levels of competition the school offered for each sex, how many boys and girls participated in sports in school year 2015-16, and factors that encourage and discourage girls\u2019 and boys\u2019 sports participation at the school. The survey also included a variety of questions related to the school\u2019s and athletics administrator\u2019s activities to encourage equal opportunities in the prior 2 years, challenges they faced in encouraging equal opportunities, sources of guidance on Title IX, booster club structures and oversight, and data they maintained on funding and expenditures. In addition, it included a question on whether, to the athletics administrator\u2019s knowledge, their school district had a Title IX coordinator.", "Our population of interest for the survey was athletics administrators at public high schools. In terms of the schools, we defined our target population as public schools offering at least one high school level grade (9, 10, 11, or 12) that appeared in both Education\u2019s Common Core of Data (CCD) and Civil Rights Data Collection (CRDC) for the 2013-14 school year, were located in the 50 states and the District of Columbia, and indicated in the CRDC that they offered interscholastic sports. We excluded schools that were listed as closed or not operational according to the school year 2015-16 CCD, as well as single-sex schools and schools located in U.S. territories. We also obtained the most current school contact information from the school year 2015-16 CCD.", "We originally selected a stratified random sample of 813 from a population of 15,330 schools in our sampling frame. However, we ultimately excluded 26 schools from our original population and sample because they had closed, did not serve high school grades, or did not offer interscholastic sports, and thus were not considered eligible for our survey. In addition, we found schools in the population and sample that shared sports programs and athletics administrators, effectively reducing the population by 10 schools and the sample by 3 schools for purposes of our survey. This resulted in a sample of 784 schools from the eligible population of 15,294.", "We stratified this sample based on school type (charter or traditional), concentration of minority students (low = 0-25 percent, mid = 26-74 percent, high = 75-100 percent), locale type (urban, suburban, or rural), and participation rates of male and female students in school year 2013- 14. This created 24 strata as noted in table 1. For the participation rate strata, we calculated each school\u2019s male and female students\u2019 participation rates using data from the school year 2013-14 CRDC. Participation rates were defined as the number of sports participants of that gender divided by the number of enrolled students of that gender, and these rates were then compared to determine which gender had higher participation: females or males. We placed schools with equal participation rates for males and females into the \u201cFemales\u201d participation category because, given the overall higher participation rates for boys, schools with both equal participation rates and higher rates for girls are rarer.", "We chose these strata to ensure schools with the stratum characteristics were included in the sample. The total sample size of n=813 was inflated for an expected 60 percent response rate, and we distributed the sample across the strata for workload and analysis considerations. The sample size in table 1 optimizes for some groups, while controlling the distribution across the 24 strata. Specifically, we calculated the Neyman optimal sample size that resulted in an overall 5 percent margin of error for an attribute estimate. We allocated samples across strata to achieve precision goals at two levels: overall population percentage estimates with margins of errors within plus or minus 5 percentage points, and subpopulation percentage estimates (i.e. school type, minority level, locale, or participation group) with margins of errors within plus or minus 10 percentage points, both at the 95 percent confidence level. Additionally, we ensured a minimum sample of 10 schools in every stratum.", "Based solely on the constraint of an overall margin of error within plus or minus 5 percentage points, some reporting groups were expected to have margins of errors that were less than 10 percentage points without the need of additional explicit constraints. For other reporting groups, we implemented constraints so that the designed margin of error was within plus or minus 10 percentage points. Specifically, we included the following constraints for margins of error of attribute estimates with 95 percent confidence intervals within each reporting group, for a realized response rate of 60 percent: margins of error within plus or minus 5 percentage points overall, within plus or minus 10 percentage points for urban schools, within plus or minus 10 percentage points for high minority schools, within plus or minus 10 percentage points for charter schools.", "Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we expressed our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Unless otherwise noted, all percentage estimates in this report have confidence intervals within plus or minus 7.7 percentage points. For other estimates, the confidence intervals or margins of error are presented along with the estimates themselves.", "We took several steps to minimize non-sampling error. We used several methods to identify the names and email addresses of the athletics administrators for our selected sample of schools. In some states, the high school associations had directories we used to obtain this information. For those that did not, we searched the school\u2019s website or called the school or district. We administered the survey from June through early September 2017. To obtain the maximum number of responses to our survey, we sent e-mails to the principals of the schools in the sample prior to the survey\u2019s launch, asking them to support and encourage their athletics administrator to complete the survey. We also worked with the National Federation of State High School Associations to have the state associations e-mail their members and encourage them to participate in the survey. Finally, we sent direct reminder emails to nonrespondents and contacted nonrespondents over the telephone.", "We took additional steps to minimize non-sampling errors, including pretesting draft instruments and using a web-based administration system. During survey development, we met with officials from national groups representing high school activities associations and athletics administrators and held discussion groups with nine athletics administrators to explore the feasibility of responding to the survey questions. We then pretested the draft instrument from April through May 2017 with five athletics administrators in public high schools that were diverse across a range of characteristics, such as region, school type and locale, and minority enrollment. In the pretests, we asked about the clarity of the questions and the flow and layout of the survey. A survey specialist independent of the project team within GAO also reviewed a draft of the questionnaire prior to its administration. Based on feedback from the pretests and the independent review, we made revisions to the survey instrument. To further minimize non-sampling errors, we used a web- based survey, which allowed respondents to enter their responses directly into an electronic instrument. Using this method automatically created a record for each respondent in a data file and eliminated the errors associated with a manual data entry process.", "Despite these efforts, like most surveys, our survey had nonresponse. Specifically, the weighted response rate was 42 percent. Survey nonresponse raises the possibility that those athletics administrators who did respond to the survey may not be representative of the intended population, due to nonresponse bias. We carried out a nonresponse bias analysis and identified three potential factors that may have been related to athletics administrators\u2019 propensity to respond: school concentration of minority students, school size, and region. In order to adjust for the potential nonresponse bias, we adjust the sampling weight with a nonresponse adjustment to form a final weight. Data analyzed using the final, nonresponse-adjusted sampling weight is assumed to be missing at random, given the nonresponse adjustments, and therefore unbiased for the intended population. We used response propensity weighting class adjustments based on a model that included the variables identified in the nonresponse bias analysis. We conducted our analysis using survey software that accounted for the sample design and weighting."], "subsections": []}, {"section_title": "Survey Follow-Up Interviews", "paragraphs": ["To gain further insights into factors that encourage or discourage participation in sports, schools\u2019 efforts to encourage equal opportunities, and the role of the Title IX coordinator, we conducted follow-up interviews with 8 athletics administrators, chosen from the 105 who had responded to our survey as of late August and indicated that they were willing to participate in a follow-up discussion on their responses. Specifically, we selected respondents to obtain diversity in their responses to a few key survey questions, as well as certain characteristics of their schools. In making our selections, we considered their responses to survey questions on: their awareness of their Title IX Coordinator, activities their schools conducted within the last two years to encourage equal opportunities for boys and girls in sports, and whether the school maintains expenditure data on sports and their willingness to share these data.", "We identified school characteristics with the data sources used to create our survey sampling frame. The characteristics we considered to further narrow our selection were: school type (charter or traditional), school locale (urban, suburban, or rural), concentration of minority students (low-, mid-, or high-minority).", "Additionally, we reviewed open-ended responses in the survey to determine if there were answers that necessitated additional discussion or clarification (see table 2).", "In our interviews with the athletics administrator at each school, which we conducted by phone, we asked officials to describe their relationship with their Title IX coordinator, familiarity with Title IX requirements overall, and their familiarity with state and local guidance, specifically. We also asked them to describe their efforts to encourage equal opportunities in sports and the nature of challenges they have faced in doing so. In addition, we asked them about funding sources and their use of expenditure data, the role of booster clubs, and the role of outside funding. For each school where the athletics administrator reported that they had expenditure data, we requested a copy of these data. We obtained expenditure data from three schools. In some cases we obtained additional documentation such as booster club guidelines, processes for adding school sports, and participation data. Because we selected the schools for follow-up interviews judgmentally and only conducted eight interviews we cannot generalize our findings about their policies, practices, and challenges."], "subsections": []}, {"section_title": "Review of Law, Regulations, and Guidance and Interviews with Education Officials", "paragraphs": ["To understand the requirements for providing equal athletic opportunities in public high schools and how Education\u2019s Office for Civil Rights (OCR) monitors and supports public school districts in meeting these requirements, we reviewed Title IX of the 1972 Education Amendments (Title IX), Education\u2019s Title IX regulations, and related guidance documents. We also interviewed OCR and other Education officials.", "In addition, we reviewed selected research studies that provided context and insight into factors affecting high school sports participation."], "subsections": []}, {"section_title": "Interviews with Subject Matter Specialists", "paragraphs": ["To obtain additional context and insights, we selected and interviewed subject matter specialists, including researchers and officials from advocacy groups and associations. We selected these subject specialists so that, together with the athletics administrators we surveyed and interviewed, they would provide a variety of perspectives on factors that affect boys\u2019 and girls\u2019 participation in high school sports and approaches schools use to encourage equal athletic opportunities. The researchers and officials we interviewed were located at: the Institute for Research on Women and Gender and the Sport, Health, and Activity Research and Policy Center at the University of Michigan, the Tucker Center for Research on Girls and Women in Sport at the University of Minnesota, the Department of Recreation, Sport and Tourism at the University of Illinois,", "National Women\u2019s Law Center,", "Women\u2019s Sports Foundation,", "National Interscholastic Athletics Administrators Association", "National Federation of State High School Associations, and", "Association of Title IX Administrators.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Survey of Public High School Athletics Administrators", "paragraphs": [], "subsections": [{"section_title": "The questions we asked in our survey of public high school athletics administers, as well as definitions used, are shown below. The blanks in the survey were filled in with the name of each athletics administrator\u2019s school. Some questions were only asked if the athletics administrator responded a certain way to a prior question.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the individual named above, Bill MacBlane (Assistant Director), Lauren Gilbertson and Jamila Jones Kennedy (Analysts-in- Charge), Christina S. Cantor, MacKenzie Cooper, Jill Lacey, Benjamin Sinoff, Andrew Stavisky, Sonya Vartivarian, and Khristi Wilkins made key contributions to this report. Also contributing to this report were James Bennett, Deborah Bland, Barbara Bovbjerg, Randy De Leon, Holly Dye, David Forgosh, Amy MacDonald, and Sheila R. McCoy."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["K-12 Education: High School Sports Access and Participation. GAO-17-754R. Washington, D.C.: September 14, 2017.", "Child Welfare: Federal Agencies Can Better Support State Efforts to Prevent and Respond to Sexual Abuse by School Personnel. GAO-14-42. Washington, D.C.: January 27, 2014.", "K-12 Education: School-Based Physical Education and Sports Programs. GAO-12-350. Washington, D.C.: February 29, 2012."], "subsections": []}], "fastfact": []} {"id": "GAO-18-419", "url": "https://www.gao.gov/products/GAO-18-419", "title": "2016 Presidential Campaign: Actions Needed to Address U.S. Secret Service Overpayments for Travel Costs", "published_date": "2018-05-30T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Secret Service incurs millions of dollars in travel expenses to provide security during the fast-paced operational tempo of a presidential campaign. In connection with the 2016 presidential campaign, the Secret Service provided protection for four presidential candidates, two vice presidential candidates, and six of the candidates' family members.", "GAO was asked to review the Secret Service's travel-related expenses for the 2016 presidential campaign. This report examines (1) how much the Secret Service incurred in travel-related expenses, and (2) the extent to which travel-related payments and reimbursements were made in accordance with laws, regulations, and policies. GAO analyzed Secret Service data to determine the travel expenses incurred by the agency for the 2016 presidential campaign. GAO also randomly selected 40 overnight trips to assess the Secret Service's compliance with provisions of its lodging policies and the Federal Travel Regulation. GAO analyzed the Secret Service's payments to campaign committees to determine whether committees were reimbursed the correct amounts for charter flights."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Secret Service's (Secret Service) travel expenses during the 2016 presidential campaign totaled approximately $58 million. Of the $58 million, $17.1 million was for reimbursements to the four campaign committees for chartered aircraft flights. In the case of campaign travel, Secret Service special agents often fly with protected individuals on aircraft chartered by the campaign committees. The Secret Service reimburses the campaign committees for the number of seats occupied by special agents on board each charter flight.", "For the 40 overnight trips GAO reviewed, the Secret Service generally followed its policies and regulations for lodging payments. However, GAO found that the agency overpaid the campaign committees at least an estimated $3.9 million when reimbursing them for special agents' seats on charter flights. Since at least 1977, the Secret Service's policy has been to pay the lower of two fares when reimbursing campaign committees for special agents' travel on chartered aircraft flights. Specifically, the Secret Service is to pay the lower of the following two fares: the lowest commercially available first-class airfare, or the pro rata fare\u2014the cost of the agent's seat on the charter flight calculated by taking the total cost of the charter divided by the number of passengers on board. However, during the 2016 presidential campaign, Secret Service officials misinterpreted a Federal Election Commission regulation, and as a result, did not conduct the comparison. Instead, the Secret Service solely paid the pro rata fare to the campaign committees. Eight months before the end of the 2016 presidential campaign, Secret Service officials determined the interpretation was erroneous, but did not ensure the agency reverted to its long standing policy. During these 8 months, 66 percent of all campaign-related flights with special agents on board were taken.", "Federal agencies are generally required to collect on debts that have been determined by an appropriate official of the federal government to be owed to the United States. Debts include overpayments. Pursuing debt collection, however, will require the Secret Service to calculate the specific amount it overpaid to the campaign committees and determine how to proceed with seeking repayment from the various committees, as appropriate."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that the Secret Service should (1) calculate its overpayments to the campaign committees for special agents' seats on chartered aircraft flights, and (2) determine how it should proceed with respect to collecting on identified debts. The Department of Homeland Security concurred with the recommendations and identified actions underway to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Secret Service (Secret Service), a component within the Department of Homeland Security (DHS), incurs millions of dollars in travel expenses to provide protection during the fast-paced operational tempo of a presidential campaign. The Secret Service is authorized to protect major presidential and vice presidential candidates, and within 120 days of a general presidential election, their spouses. In addition, protection is provided for children or others not specifically identified in statute when directed by the President. Accompanying each protected individual, among others, are special agents who provide 24/7 protection, and advance teams who provide site security. Secret Service special agents often fly with protected individuals on aircraft chartered by the campaign committees and the agency reimburses the committees for the number of seats occupied by special agents on board each charter flight. Candidates often visit multiple cities per day and multiple states per week, and the necessary Secret Service protective assets must always arrive and deploy before each visit.", "You requested that we review the Secret Service\u2019s travel expenses during the 2016 presidential campaign. Specifically, this report addresses the following questions: (1) How much did the Secret Service incur in transportation, lodging, and other travel-related expenses when providing protection during the 2016 presidential campaign? (2) To what extent did the Secret Service reasonably assure that payments and reimbursements for travel-related protection expenses were made in accordance with applicable laws, regulations, and policies during the 2016 presidential campaign?", "To determine how much the Secret Service incurred in travel-related expenses, we obtained expense data from the Secret Service for the 2016 presidential campaign. Specifically, we reviewed expenses for the 12 protected individuals associated with campaign committees for the following Presidential candidates: Senator Bernie Sanders, Dr. Benjamin Carson, Mr. Donald Trump, and Secretary of State Hillary Clinton. We analyzed the travel expenses incurred by the Secret Service for each of the protected individuals (a total of 12) to determine the total expenses for each campaign committee and for the 2016 presidential campaign as a whole. Additionally, we determined the amount of the total travel-related expenses that were reimbursed to the campaign committees for special agents\u2019 seats on aircraft chartered by the committees. We determined that the expense data were sufficiently reliable after, among other things, discussing with Secret Service officials how the data are entered and maintained in the agency\u2019s financial systems, reviewing the data for obvious errors and anomalies, and comparing the reimbursement data to data campaign committees reported to the Federal Election Commission (FEC).", "To determine the extent to which the Secret Service\u2019s payments and reimbursements for travel-related protection expenses were made in accordance with applicable laws, regulations, and policies, we analyzed the Secret Service\u2019s lodging payments and charter aircraft reimbursements to the campaign committees. Of the 962 overnight trips taken during the 2016 presidential campaign, we randomly selected 40\u2014 10 for each of the 4 presidential candidates\u2014to assess the Secret Service\u2019s compliance with its internal lodging policy and select provisions of the Federal Travel Regulation (FTR). Although the results of our analysis are not generalizable to all overnight trips taken during the 2016 presidential campaign, it provided us insight to the Secret Service\u2019s compliance with select provisions of its lodging policy and the FTR. With regard to whether the Secret Service reimbursed the four campaign committees the correct amounts for special agents\u2019 seats on campaign chartered aircraft, we compared the Secret Service\u2019s payments to the committees to the agency\u2019s charter aircraft reimbursement policy. To estimate whether and, if so, by how much the Secret Service incorrectly paid the campaign committees for special agents\u2019 seats on chartered aircraft flights, we selected a generalizable stratified random sample of 650 flight segments from the 2,318 flight segments taken from November 1, 2015 through the end of the 2016 presidential campaign that had an identifiable airport.", "To determine whether the Secret Service followed its policy with regard to accepting and reviewing chartered aircraft invoices submitted by the campaign committees, we compared the agency\u2019s policy requirements to all 76 invoices submitted by the four campaign committees. Further, we used the Standards for Internal Control in the Federal Government to assess whether the Secret Service\u2019s requirements for chartered aircraft invoices, and the review of the invoices, are specific enough to help ensure that the Secret Service is making correct reimbursements for chartered aircraft flights. Additional details regarding our scope and methodology are provided in appendixes I and II.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Authorization of Secret Service Protection during Presidential Campaigns", "paragraphs": ["During the 2016 presidential campaign, a Secret Service detail was to be activated once a candidate for the Office of the President or Vice President requested protection, met the requirements for major candidate status (e.g., entered at least 10 state primaries), and received authorization by the Secretary of Homeland Security after consultation with an advisory committee. Under the direction of the Secretary of Homeland Security, the Secret Service is authorized to provide protection for spouses of major presidential and vice presidential candidates within 120 days of the general presidential election. There is no statute that addresses the protection of candidates\u2019 children during the campaign. During the 2016 presidential campaign, the Secret Service provided protection for certain children of candidates at the request of the President. According to Secret Service officials, the Secret Service has historically provided protection for individuals not specifically identified in statute when directed by the President. In connection with the 2016 presidential campaign, the Secret Service provided protection for 12 individuals\u20144 presidential candidates, 2 vice presidential candidates, and 6 of the candidates\u2019 family members. Figure 1 below shows the dates of protection through Election Day, November 8, 2016."], "subsections": []}, {"section_title": "Role of the Secret Service in Providing Presidential Campaign Protection", "paragraphs": ["Secret Service protective operations have evolved over the years. Originally, protection involved special agents serving as bodyguards. Protection now includes not only special agents in close proximity to the protected individual, but also advance security surveys of locations to be visited, coordination with state and local law enforcement entities, and analysis of present and future threats. Site surveys and threat assessments help the Secret Service determine the resources and assets needed to accompany each candidate and other individuals protected during the presidential campaign. These resources and assets, among other things, generally include: special agents who provide 24/7 protection while on detail; advance teams who provide site security;", "Explosive Ordnance Disposal and other technical support personnel (e.g., counter-surveillance and counter sniper personnel); magnetometer screening capabilities; and protective intelligence personnel who investigate threats."], "subsections": []}, {"section_title": "Travel Laws and Regulations", "paragraphs": ["Federal law provides for agencies to pay for or reimburse transportation and lodging expenses for their employees when they are traveling on official business. It further directs the General Services Administration (GSA) to issue regulations governing this travel. The FTR issued by GSA is applicable to Secret Service special agents\u2019 transportation and use of hotel rooms when traveling during presidential campaigns to protect candidates and their family members.", "Transportation. According to the FTR, coach-class service is to be utilized unless an agency determines that an exception is warranted. For example, an exception may be granted to allow a special agent to use business class accommodations when the protected individual is doing the same and security demands warrant it. In the case of presidential campaign travel, the Secret Service may also accompany protected individuals aboard chartered aircraft. The Secret Service reimburses campaign committees for the seats occupied by its special agents. In 1977, we were asked to review the Secret Service\u2019s reimbursement method, and in that decision stated that GAO did not object to the method used by the Secret Service as long as it was used consistently and the amount reimbursed did not exceed the first-class airfare.", "Lodging and other use of hotel rooms. The Secret Service utilizes hotel rooms for various purposes when protecting a candidate. The purpose of the room dictates the authority the Secret Service relies on to authorize payment and the related requirements. Hotel rooms used exclusively for special agent overnight sleeping facilities are governed by the FTR. The FTR allows agencies to pay for lodging based on per diem allowances set by GSA for the applicable location and date or the actual expenses of the travel. Actual expense allowance, which can be in excess of the per diem rate, is permitted for a variety of reasons, such as costs escalating due to special events (e.g., sporting events or disasters) or because of mission requirements. However, the maximum amount that an employee may be reimbursed under the actual expense allowance method is limited to 300 percent of the applicable per diem rate.", "The Secret Service also utilizes hotel rooms for operational purposes. For example, the Secret Service may use a room as a command center or reserve rooms adjacent to the protected individual to better secure the individual. In addition, to meet operational security demands, the Secret Service may require a certain number of special agents to stay in the particular hotel that the protected individual is staying and within certain proximity to the individual. The legal authorities the Secret Service relies on to pay for these kinds of rooms do not limit how much the agency can pay."], "subsections": []}]}, {"section_title": "Secret Service\u2019s 2016 Presidential Campaign Travel Expenses Totaled Approximately $58 Million, Including $17.1 Million in Reimbursements to the Campaign Committees", "paragraphs": ["The Secret Service\u2019s travel expenses for the 12 individuals protected during the 2016 presidential campaign totaled approximately $58 million, according to our analysis of Secret Service data. Travel expenses included airfare, vehicle rentals, hotel rooms, meals and incidental expenses, and baggage charges for special agents accompanying protected individuals. The $58 million in travel expenses was used by the Secret Service to support 3,236 travel stops made by the 12 protected individuals throughout the presidential campaign. The breakdown of these expenses and number of travel stops by campaign committee and protected individual are shown in figure 2 below.", "Of the $58 million the Secret Service incurred in 2016 presidential campaign travel expenses, $17.1 million was for reimbursements to the 4 campaign committees for 2,548 chartered aircraft flights. In the case of campaign travel, Secret Service special agents often fly with protected individuals on aircraft chartered by the campaign committees. The Secret Service reimburses the campaign committees for the number of seats occupied by special agents on board each charter flight. Figure 3 below shows the amount and number of flights for which the Secret Service reimbursed each of the campaign committees."], "subsections": []}, {"section_title": "Secret Service Did Not Always Follow its Travel Policies, Resulting in Overpayments of at Least an Estimated $3.9 Million", "paragraphs": [], "subsections": [{"section_title": "Secret Service Generally Followed its Policies and Applicable Regulations for Lodging Payments during the 2016 Presidential Campaign for the Trips Reviewed", "paragraphs": ["We reviewed special agents\u2019 lodging expenses while accompanying individuals protected during the 2016 presidential campaign on 40 randomly selected overnight trips. Our review found that (1) for most trips\u201430 of 40\u2014the documented hotel expenses were within GSA per diem lodging rates, (2) the Secret Service generally followed its policy of requiring a lodging variance (i.e., waiver) for any hotel rooms exceeding the GSA lodging rate for that location, and (3) the Secret Service did not exceed the maximum amount allowed for lodging for these trips.", "The Secret Service required field offices responsible for booking hotel rooms to request and submit a waiver for any room that may exceed the designated GSA lodging rate by any amount. Our review of the receipts for hotel room expenses incurred by the Secret Service found that each trip involved multiple special agents staying in multiple rooms. Specifically, of the 40 trips we reviewed, 30 included hotel rooms that were within GSA lodging rates and 9 included hotel stays exceeding the GSA lodging rate. The Secret Service was unable to locate a hotel bill for 1 trip and we therefore were unable to determine the rate paid for that trip.", "In accordance with Secret Service policy, special agents submitted waivers to the agency\u2019s Logistics Resource Center (LRC) for all 9 hotel stays exceeding the GSA lodging rate. According to LRC officials, before approving a waiver, they generally wanted to know how many alternative hotels were contacted, whether any hotels were available at or below the GSA lodging rate, and whether staying at a hotel at or below the GSA lodging rate would incur additional expenses that would negate the savings. For example, if a rental vehicle would be required, use and parking of the vehicle may have resulted in total costs that exceeded the price of the more expensive hotel. According to LRC officials, in order to spend travel money judiciously, some special agents stayed at hotels nearby the protected individual\u2019s hotel that had rates at or closer to the GSA lodging rate.", "Under the FTR\u2019s actual expense reimbursement method, agencies may pay up to 300 percent of the applicable total GSA per diem allowance\u2014 the GSA established rates for (1) lodging and (2) meals and incidental expenses\u2014for an employee\u2019s daily expenses. However, the agency is to subtract any allowance granted for meals and incidental expenses from the total, with the remainder being available for lodging. DHS and Secret Service policy, however, restricts the 300 percent actual expense allowance for lodging to 300 percent of the GSA lodging rate only. Consistent with DHS and Secret Service policy, none of the hotel rates paid exclusively for lodging in the 40 trips we reviewed exceeded the applicable GSA lodging rate by more than 300 percent. As a result, we determined that the Secret Service\u2019s expenditures for lodging for the trips we reviewed were consistent with its policies and applicable regulations."], "subsections": []}, {"section_title": "Secret Service Did Not Follow its Policies for Chartered Aircraft Flights and Did Not Thoroughly Review Invoices Prior to Payment", "paragraphs": [], "subsections": [{"section_title": "Secret Service Overpaid the Campaign Committees an Estimated $3.9 Million or More for Chartered Aircraft Flights", "paragraphs": ["As discussed earlier, as part of their mission to protect presidential candidates, Secret Service special agents frequently accompany candidates on chartered aircraft provided by the presidential campaigns. The Secret Service is to later reimburse the candidate\u2019s campaign committee for the cost of having special agents fly on those planes. The Secret Service\u2019s policy for determining the amount to reimburse has been used since at least 1977. Under this policy, the Secret Service is to pay the lower of two applicable fares when reimbursing the campaign committees for special agents\u2019 travel on chartered aircraft flights. Specifically, according to the policy the Secret Service is to compare the lowest commercially available first-class airfare for a flight segment (one airport to another airport) to the pro rata fare of the charter (total charter cost divided by the number of passengers). The Secret Service is then to reimburse the campaign committee for the lower of the two fares. The following text box includes an example of the pro rata fare calculation.", "In July 2015, an attorney from the law firm representing the Hillary for America Committee sent Secret Service Financial Management Division (FMD) officials an e-mail stating that in their view, the reimbursements for special agents\u2019 seats should be the pro rata fare based on an FEC regulation. In response, in August 2015, the Secret Service\u2019s Office of the Chief Counsel made a decision to agree with the interpretation of this law firm. As a result, the Secret Service ceased to adhere to its longstanding reimbursement policy and agency officials were directed to use the pro rata calculation method for reimbursing all campaigns for agent airfares. Consequently, the Secret Service did not conduct the comparison between first-class and pro rata fares during the 2016 presidential campaign. Instead, the Secret Service solely paid the pro rata fare to the campaign committees.", "In March 2016, in response to a congressional inquiry about presidential campaign charter flight reimbursements, the Office of the Chief Counsel determined that its August 2015 decision was a mistake. Specifically, the Office recognized that the FEC regulation at issue did not apply to the Secret Service\u2019s use of chartered aircraft. According to the Office of the Chief Counsel, they notified an official in the Office of Protective Operations, which collects submissions for reimbursements from the protected individual or the related campaign committee. However, the Office of the Chief Counsel did not notify LRC, which is to obtain the first- class airfares for comparison from the Secret Service\u2019s travel agency. Further, the Office of the Chief Counsel was uncertain but believed FMD, which issues payments for the flights, was notified. FMD officials told us that they were not notified. As a result, the Secret Service continued to reimburse the campaign committees the pro rata fares for the remainder of the 2016 political campaign (i.e., through mid-November 2016).", "Despite being aware of the error for eight months before the end of the 2016 presidential campaign that the pro rata fare should be compared to the lowest available first-class airfare, the Office of the Chief Counsel did not ensure the agency reverted to its long standing policy. During this 8 month period, the Secret Service accompanied protected individuals on 1,671 (66 percent) of the 2,548 total campaign-related flight segments. As a result of solely reimbursing the pro rata fare instead of reimbursing the lower of the pro rata fare versus the lowest commercially available first- class airfare, we estimate based on our sample of 650 flight segments that the Secret Service overpaid the 4 campaign committees at least $3.9 million for special agents\u2019 seats on chartered aircraft.", "Federal agencies are generally required to try to collect on debts\u2014 including overpayments\u2014they determine are owed to them. A federal debt or claim is any amount of funds that has been determined by an appropriate official of the federal government to be owed to the United States. It includes, without limitation, overpayments. Under the federal debt collection authorities as provided in 31 U.S.C. chapter 37, federal agencies are required to try to collect on claims arising out of their activities. However, they have the authority to compromise (i.e., accept less than full value) claims, or suspend or end collection, such as when the cost of collecting the claim is likely to be more than the amount recovered.", "In response to our finding that the Secret Service had overpaid for travel on chartered aircraft, Secret Service officials told us in February 2018 that they planned to take action to determine the overpayment amounts and seek refunds from the campaign committees. In light of the problems we discuss in appendix II regarding information on aircraft flights provided by the campaign committees and available historical data on airfares, Secret Service officials told us they were attempting to calculate the overpayments and would weigh the feasibility and costs of collecting refunds. However, as of April 2018, the Secret Service lacked specific plans, timeframes, and milestones for calculating the amounts of overpayments to the campaign committees and making key decisions on how and the extent to which the Secret Service will proceed with collections. Making such determinations can help ensure the Secret Service is complying with applicable federal law and recovering funds that could be used to support its protective operations or deposited into the general fund of the United States Treasury as appropriate."], "subsections": []}, {"section_title": "Secret Service Did Not Adhere to Its Directive on Policy Revisions", "paragraphs": ["According to Secret Service officials, the decision to change the reimbursement calculation method in August 2015 was inconsistent with the Secret Service\u2019s directive on policy revisions. Specifically, the Secret Service\u2019s directive on policy revisions states that the \u201cresponsible office\u201d\u2014FMD in this case\u2014is accountable for ensuring policies are current and accurate. In addition, this office is to review, research, and revise the policy, if such a revision is deemed necessary. Further, all significantly affected offices and divisions of the Secret Service, including members of the Secret Service\u2019s Executive Resources Board, are to be provided the opportunity to read and comment on the changes, among other required actions. See figure 4 for a summary of key steps in the Secret Service\u2019s policy creation, revision, and issuance process.", "According to Secret Service officials, however, the process outlined in the directive on policy revisions was not followed in August 2015. As a result, the decision to change the reimbursement calculation method was not fully vetted or reviewed by all members of the Secret Service\u2019s Executive Resource Board as would be required under the directive on policy revisions. According to agency officials and confirmed in communications we reviewed, the Office of the Chief Counsel misinterpreted the regulation and directed that the erroneous interpretation be followed. The official leading FMD at the time, who was in the role on a temporary basis, adhered to the Office of the Chief Counsel\u2019s interpretation of the regulation because the matter was legal in nature. Agency officials further added that the increased operational tempo (i.e., heavy workload) at the time may have resulted in a failure to adhere to the Secret Service\u2019s directive on policy revisions.", "An important role within the Secret Service\u2019s policy creation and revision process is the directives control point. The directives control point is to help develop and implement policy that is clear, enforceable, and effective. In addition, the directives control point provides guidance for filing, structuring, and organizing policy instruments. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Control activities are the policies, procedures, techniques, and mechanisms that enforce management\u2019s directives to achieve the entity\u2019s objectives and address related risks. Secret Service officials stated that the agency could better ensure that its existing directive for policy revisions is followed by requiring that its directives control point be notified of any legal advice or direction proposed by the Office of the Chief Counsel that could modify or amend agency policy. By requiring\u2014in policy and practice\u2014that the Secret Service\u2019s directives control point be notified when the Office of the Chief Counsel provides advice to offices that is likely to result in policy changes, the Secret Service could better ensure that operational changes inconsistent with existing policy are not made without the full consideration of all affected parties. Moreover, it could reduce errors and the potential for unnecessary costs associated with decisions that do not go through the required review process."], "subsections": []}, {"section_title": "Secret Service Did Not Ensure the Accuracy of Charter Flight Invoices Prior to Reimbursing Campaign Committees", "paragraphs": ["Secret Service policy requires that protected individuals\u2014and by extension their campaign committees\u2014seeking reimbursement for special agents on chartered aircraft flights to submit an invoice with the following information: (1) Name, address, and bank account information for the protected individual. (3) Date(s) of charter. (4) Itinerary by flight segment (the three letter airport code should be provided for the departure and arrival airports for each segment). (5) Total aircraft cost per flight segment. (6) Total number of passengers for each flight segment (to include seats occupied by the Secret Service). (7) Total number of seats occupied by the Secret Service for each flight segment.", "The policy also requires that if an invoice is incomplete or inaccurate that it should be returned to the protected individual within seven days of receipt for completion or correction.", "We found that 20 of the 76 invoices submitted to the Secret Service during the 2016 presidential campaign had incomplete or inaccurate information, and therefore should have been returned to the protected individual, or the related campaign committee. The 76 invoices included 2,548 flight segments. Information for 558 (22 percent) of the flight segments was incomplete or inaccurate. However, the Secret Service did not return any invoices to the four candidates or their campaign committees during the 2016 presidential campaign, according to Secret Service officials. Specifically, we found the following instances of incomplete and inaccurate information in the charter flight invoices provided by the campaign committees on behalf of protected individuals to the Secret Service:", "Airport Code: The Hillary for America Committee submitted two invoices containing two flight segments missing an airport code. The Carson America Committee submitted one invoice that did not clearly show the destination airport for seven flight segments and one invoice with three flight segments missing an airport code. The Donald J. Trump for President Committee submitted 12 invoices for then- candidate Trump with 336 flight segments missing an airport code. Only a city name with multiple possible airports was listed, leaving it unclear which airport was used. For example, in several instances \u201cNew York, NY\u201d was listed, which could be LaGuardia Airport or JFK International Airport.", "Total Cost or Passengers: The Donald J. Trump for President Committee submitted 4 invoices for flights taken by Vice Presidential Candidate Mike Pence with 210 flight segments which did not include the total cost or the total number of passengers for each flight segment. The total cost and number of passengers are necessary to verify the pro rata cost of the flight segment.", "Double Billing: The Donald J. Trump for President Committee double-billed the Secret Service for three flight segments taken on March 1, 2016 resulting in a cumulative overpayment of approximately $21,000 by the Secret Service for these segments.", "Other Errors: The invoices for the Hillary for America Committee had 1 (less than 1 percent) of 1,317 flight segments with a mathematical error; the Donald J. Trump for President Committee had errors on 16 (2 percent) of 965 flight segments; and the Bernie 2016 Committee had errors on 29 (18 percent) of 159 flight segments. These 46 flight segments with mathematical errors resulted in a net Secret Service underpayment to the campaign committees of approximately $63,000.", "According to Secret Service officials, although these errors were made by the campaign committees, Secret Service officials failed to detect the errors. Per the Secret Service\u2019s reimbursement policy, it is the responsibility of the special agents overseeing the protected individual\u2019s travel to review the invoices to ensure they include the required information and the provided information is accurate. The policy further states that absent complete and accurate information, the invoices are to be rejected for correction prior to reimbursement. Based on our review of the invoices, the special agents verified the dates of the flights and number of special agents on board the flight segments included in the invoices, but did not, for example, reject invoices that did not contain the three letter airport code or total number of passengers. According to Secret Service officials, the incomplete invoices should have been rejected, but were not because of the operational tempo associated with the presidential campaign. As discussed earlier, operational tempo was also a rationale provided by Secret Service officials for why they did not adhere to the directive on policy revisions. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives, such as compliance with policies. In addition, the standards suggest that agency management should evaluate excessive pressure on personnel and help personnel fulfill their assigned duties. To help ensure that the Secret Service is adhering to its travel policies, the Secret Service may need to assess its existing control activities and determine how they can be enhanced to address the fast- paced operational tempo of presidential campaigns.", "Further, according to FMD officials, when invoices marked certified reached FMD for payment, it was assumed by FMD that the invoices had been certified as complete and accurate, as indicated by the signature of a special agent or an authorized certifying officer. Secret Service policy does not assign responsibility for verifying the accuracy of the pro rata fare and checking that flight segments have not already been billed. Additionally, for three of the four campaign committees, the Secret Service had no assurance when paying the pro rata fare that it was being charged its share correctly since it did not receive copies of the charter companies\u2019 invoices. Specifically, the Secret Service relied on invoices created by the campaign committees for reimbursement purposes without supporting receipts, invoices, or other documentation to verify the charges against. According to Secret Service officials, only the Hillary for America Committee forwarded copies of invoices from the charter companies it used, allowing the Secret Service to verify the accuracy of the amounts billed. The Secret Service policy on reimbursement of chartered aircraft flights does not require that copies of charter company invoices or receipts be forwarded by the protected individual or their campaign committee.", "Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Such activities include proper execution of transactions (e.g., assuring that only valid transactions are entered into) and controls over information processing (e.g., comparing charter flight invoices to the amounts billed to the Secret Service by the campaign committees). Secret Service officials agreed that the accuracy of flight segment details and costs should be verified prior to reimbursing for charter flights. In addition, they further agreed that responsibility for verifying the accuracy of the pro rata fare and checking that flight segments have not already been billed should be assigned. They also agreed that the Secret Service should require the charter companies\u2019 invoices to verify that the campaign committees are correctly charging the Secret Service for its share of the total flight cost.", "Without updating its charter aircraft reimbursement policy, the Secret Service does not have reasonable assurance that correct payments will be made. These changes include: (1) assigning responsibility for verifying that all calculations done by the campaign committees on behalf of the protected individual are accurate, (2) requiring a secondary review process to confirm the accuracy of charter flight costs prior to making payment, and (3) requiring that copies of charter companies\u2019 invoices be provided to ensure that the reported pro rata costs are accurate prior to reimbursement. In response to our finding, in February 2018 the Secret Service began drafting an initial version of proposed policy changes, consistent with its directive on revising policy. Specifically, Secret Service officials started initial policy research and began reviewing and drafting the policy, consistent with step two of their policy revision process (see figure 4). However, several additional steps remain to be completed before the planned changes are implemented. Until the Secret Service completes all the necessary steps to update its charter aircraft reimbursement policy, it remains at risk for making incorrect payments."], "subsections": []}, {"section_title": "Current Policy Does Not Ensure Correct Reimbursements for Chartered Aircraft Flights", "paragraphs": ["Secret Service\u2019s charter aircraft reimbursement policy does not specify whether its travel agency is to include taxes when identifying the lowest available first-class airfare. As discussed earlier, Secret Service is to pay the lower of two applicable fares (lowest available first-class fare, and the pro rata fare) when reimbursing the campaign committees for special agents\u2019 travel on chartered aircraft flights. The Secret Service obtains the lowest available first-class airfare from its travel agency. LRC officials initially told us that the Secret Service\u2019s travel agency had been including taxes in the lowest available first-class airfare. However, after inquiring with the travel agency, an LRC official learned that taxes had not been included. After further discussion with us, Secret Service officials told us that taxes should be included.", "Including taxes can make the difference between a first-class airfare being less or more expensive than the pro rata fare for a charter flight, therefore dictating which fare the Secret Service should reimburse the protected individual and campaign committee. For example, if a pro rata fare costs $1,000, and the lowest available first-class airfare (without taxes) is $950, then the lower fare is the first-class airfare. However, if the lowest available first-class airfare (with taxes) is $1,050, then the lower fare is the pro rata fare.", "The Secret Service\u2019s policy on reimbursement of special agents\u2019 seats on chartered aircraft also lacks important details to ensure that its travel agency can accurately identify the lowest available first-class airfares and make accurate reimbursements. The policy requires the protected individual to provide the Secret Service the 3-letter airport code for the departure and arrival airports for each flight segment for which it is seeking reimbursement. However, it does not specify that the 3-letter airport code needs to be the International Air Transport Association (IATA) code and not the Federal Aviation Administration (FAA) code. Airports in different countries can have the same IATA and FAA codes. Providing the FAA code can result in the Secret Service\u2019s travel agency identifying the wrong airport when determining the lowest first-class airfare for a travel segment since the travel agency searches IATA codes. For example, when we asked the Secret Service\u2019s travel agency to research the lowest available first-class airfare for campaign travel segments based on the reported destination codes in campaign committee invoices the travel agency identified \u201cSGJ\u201d as Sagarai, Papua New Guinea based on the IATA code. However, SGJ is the FAA code for the Northeast Florida Regional Airport. Similarly, another reported destination code in a campaign committee\u2019s invoice, LOM, is the FAA code for Wings Field Airport, Pennsylvania and is also the IATA code for Lagos de Moreno, Colombia. Since the travel agency searches on the basis of IATA codes, using FAA codes that are designated as foreign destinations in the IATA system can result in confusion for the travel agency when identifying the lowest available first-class airfare for a flight segment.", "Secret Service officials told us that they had not considered specifying whether the lowest first-class airfares should include taxes since the Secret Service had been using the same representative at its travel agency since 1986 to identify the lowest available first class fare. They said they assumed that their representative knew the policy through practice. Also, Secret Service officials told us that they were not aware of the difference between IATA and FAA codes. Secret Service officials agreed that the reimbursement policy should be revised to make it clear that taxes are to be included when the Service\u2019s travel agency identifies the lowest available first-class airfare when determining the correct reimbursement amount, and that protected individuals are to provide the IATA code for airports.", "Standards for Internal Control in the Federal Government states that management should internally and externally communicate the necessary information to achieve the entity\u2019s objectives and that effective information and communication are vital for an entity to achieve its objectives. The Secret Service could better ensure that its travel agency is able to identify the lowest commercially available first-class airfare for comparison to the pro rata fare by updating its charter aircraft reimbursement policy to specify that (1) taxes are to be included in the lowest commercially available first-class airfare, and (2) protected individuals\u2019 invoices include the IATA airport codes for arrival and departure airports. In response to our finding, in February 2018 the Secret Service started to draft an initial version of proposed changes to its charter aircraft reimbursement policy, consistent with its directive on revising policy. Secret Service officials were in the process of conducting initial policy research, reviewing, and drafting the policy, consistent with step two of their policy revision process (see figure 4). However, the Secret Service needs to complete several additional steps before the planned changes go into effect. Until then, the Secret Service remains at risk of not correctly identifying the lowest applicable airfare."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The Secret Service plays a vital role in protecting our nation\u2019s leaders, including presidential and vice presidential candidates, and their family members. During the 2016 presidential campaign, for the trips we reviewed, the Secret Service generally followed its internal policies and federal regulations governing payment for lodging costs incurred while protecting candidates. However, due to an erroneous legal decision in August 2015, the Secret Service did not follow its reimbursement policy for chartered aircraft during the campaign. By not adhering to its policy, the Secret Service overpaid campaign committees at least an estimated $3.9 million dollars for charter flights. Until the Secret Service determines the amounts owed and how it will proceed with seeking repayment from the various campaign committees, these funds will not be recovered by the federal government.", "Further, in making the erroneous legal decision in August 2015, the Secret Service did not adhere to its directive on policy revisions. The decision to effectively change a policy was not fully vetted, reviewed, or communicated in accordance with the directive. This was largely due to the lack of a requirement to notify the directive control point when legal decisions are made that can result in policy changes. This could result in similar policy changes not being reviewed in the future.", "Finally, presidential campaigns create a fast-paced operational tempo at the Secret Service, and according to agency officials, this tempo contributed to their failure to comply with travel policies during the 2016 presidential campaign. Until Secret Service evaluates the pressure caused by this tempo and implements appropriate mechanisms, it cannot ensure that agency officials responsible for travel reimbursements are complying with policy during presidential campaigns. In addition, Secret Service\u2019s charter aircraft reimbursement policy does not assign primary and secondary reviews of invoices provided by campaign committees. The policy also does not require that campaign committees and the agency\u2019s travel agency provide all the information necessary to verify the accuracy of the invoices. Without these requirements, Secret Service may continue to reimburse campaign committees incorrect amounts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to the Director of the Secret Service.", "Consistent with the federal debt collection authorities as provided in 31 U.S.C. chapter 37, the Director should complete the process of calculating the amounts of its overpayments to the campaign committees for special agents\u2019 seats on chartered aircraft during the 2016 presidential campaign, and determine how it should proceed with respect to collecting on identified debts. (Recommendation 1)", "To help ensure that the agency\u2019s existing directive on policy revisions is followed, the Director should require in policy and practice that the directives control point be notified when the Office of the Chief Counsel provides advice to offices that is likely to result in policy changes. (Recommendation 2)", "The Director should assess its existing control activities and implement appropriate mechanisms to help ensure compliance with the agency\u2019s travel cost policies during presidential campaigns. (Recommendation 3)", "The Director should update the charter aircraft reimbursement policy to assign the offices responsible for verifying that all calculations done by the campaign committees are accurate, and require a secondary review process prior to making payment. (Recommendation 4)", "The Director should update the charter aircraft reimbursement policy to specify that protected individuals are to provide IATA codes and copies of the charter companies\u2019 invoices, and that the Secret Service\u2019s travel agency is to provide lowest available first-class airfares that include taxes. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to DHS, GSA, and FEC.", "DHS provided written comments, which are reproduced in appendix III. In its comments, DHS concurred with our recommendations. DHS also stated it had taken or planned to take actions to address all five of our recommendations. In addition, after we provided this report to DHS for comment, Secret Service provided us documentation, including a revised travel policy, highlighting actions they have taken to address our recommendations. We will review the documentation and take steps to close the recommendations in the future, as appropriate.", "DHS and FEC provided technical comments, which we incorporated as appropriate. GSA and FEC did not provide written comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 1 day from the report date. At that time, we will send copies to the Secretary of Homeland Security, Administrator of the General Services Administration, and Staff Director of the Federal Election Commission. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9627 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report addresses the U.S. Secret Service\u2019s (Secret Service) 2016 presidential campaign travel expenses and payment of those expenses. Specifically, our objectives were to examine the following questions: (1) How much did the Secret Service incur in transportation, lodging, and other travel-related expenses when providing protection during the 2016 presidential campaign? (2) To what extent did the Secret Service reasonably assure that payments and reimbursements for travel-related protection expenses were made in accordance with applicable laws, regulations, and policies during the 2016 presidential campaign?", "To determine how much the Secret Service incurred in travel-related expenses, we obtained expense data from the Secret Service for each of the individuals protected for the 2016 presidential campaign. In total, the Secret Service protected 12 individuals associated with 4 campaign committees (see table 1 below).", "We analyzed the travel expenses for each of these protected individuals to determine the total travel expenses incurred by the Secret Service for each campaign committee and for the 2016 presidential campaign as a whole. Travel expenses include those captured by the Secret Service under object class 21\u2014travel and transportation of persons. Object class 21 expenses include airfare, vehicle rentals, hotel rooms, meals and incidental expenses, and baggage charges for special agents accompanying protected individuals. Additionally, we determined the amount of the total travel-related expenses that were reimbursements to the campaign committees\u2014all of which were for special agents\u2019 seats on campaign chartered aircraft.", "To assess the reliability of the Secret Service\u2019s expense data, we discussed with the Secret Service officials how the data are entered and maintained in the Secret Service\u2019s official financial system of record\u2014 Travel Manager, Oracle, PRISM, Sunflower system\u2014which is used to track operating and travel expenses, among other things. We also reviewed the data for any obvious errors and anomalies. We compared the data to the invoices the Secret Service received from the campaign committees seeking reimbursements in order to verify the amounts the campaigns were reimbursed. Further, we compared the Secret Service\u2019s reimbursement data to data the campaign committees reported to the Federal Election Commission (FEC) on payments they received from the Secret Service. As a result, we determined that the expense data were sufficiently reliable for reporting the Secret Service\u2019s total travel expenses, expenses broken out by campaign committee and protected individual, and the portion of expenses that were reimbursements to the committees.", "To determine the number of travel stops made by the campaign committees for which the Secret Service provided protection, we used data from the Secret Service\u2019s Agent Manpower Protection System. To assess the reliability of these data, we reviewed responses provided by the Secret Service on how the data are entered and maintained in the system. We further matched a sample of the travel stops data to hotel bills for those stops. As a result, we determined that the data on travel stops were sufficiently reliable for reporting the total number of travel stops made during the campaign and number of stops per campaign committee.", "To determine whether the campaign committees charged the Secret Service appropriate rates for the use of candidate-owned assets, we tried to identify whether any portion of the Secret Service\u2019s reimbursements to the campaign committees were for the use of candidate-owned assets. Candidates flew on various types of charter aircraft, including jets and helicopters. Pursuant to law and FEC regulations, campaign committees must report and maintain certain information regarding the use of these aircraft. However, this information was not sufficient for us to determine whether aircraft for which the Secret Service provided reimbursement were owned by candidates. Further, the Secret Service does not collect information about a campaign\u2019s use of candidate-owned assets, including aircraft. We contacted all four campaign committees using various methods, including email, phone, and in-person visits to identify reimbursements received for candidate-owned assets, but none of the committees responded to our questions. As a result, we were unable to determine whether any portion of the Secret Service\u2019s reimbursements were for the use of candidate-owned assets.", "To determine the extent to which the Secret Service\u2019s payments and reimbursements for travel-related protection expenses were made in accordance with applicable laws, regulations, and policies, we analyzed the Secret Service\u2019s lodging payments and charter aircraft reimbursements. Of the 962 overnight trips taken during the 2016 presidential campaign, we randomly selected 40\u201410 for each of the presidential candidates\u2014to assess the Secret Service\u2019s compliance with (1) its internal policy requiring a waiver when a hotel room exceeds the General Services Administration (GSA) per diem rate by any amount, and (2) provisions of Federal Travel Regulation (FTR) that limit hotel spending to 300 percent of the GSA rate. To determine the GSA per diem lodging rate, we reviewed the GSA rates applicable on the date of the hotel stay and for that location. If the amount of the room exceeded the GSA rate we identified whether the Secret Service had a waiver for the trip and also checked whether the amount paid exceeded the maximum amount available for lodging under Department of Homeland Security (DHS) and Secret Service policy and under the FTR. The time and effort associated with collecting trip bills from many field offices were primary considerations in determining the number of candidates\u2019 trips to review. The Secret Service\u2019s retention of hotel bills is decentralized; that is, the field office responsible for the geographic area where the protective operation occurs retains hard copies of the bills. Although the results of our analysis are not generalizable to all overnight trips taken during the 2016 presidential campaign, it provided us insight to the Secret Service\u2019s compliance with its lodging policy and the FTR.", "With regard to whether the Secret Service reimbursed the four campaign committees the correct amounts for special agent travel on campaign chartered aircraft, we compared the Secret Service\u2019s payments to the committees to our estimate of what the Secret Service would have paid had its own charter aircraft reimbursement policy been followed. We determined the Secret Service did not use the correct reimbursement method throughout the 2016 presidential campaign. To determine whether the Secret Service followed its directive on the review and approval of policy changes, we compared the steps required to effect a change in policy to the steps taken by the Secret Service when its reimbursement method was altered.", "To estimate whether and, if so, by how much the Secret Service overpaid the campaign committees for special agents\u2019 seats on chartered aircraft flights based on the reimbursement policy change mentioned above, we selected a generalizable stratified random sample of 650 flight segments from the 2,318 flight segments taken from November 1, 2015 through the end of the 2016 presidential campaign that had an identifiable airport. Appendix II provides further technical details on the statistical methods we used. To determine whether the Secret Service should try to collect on the overpayments to the campaign committees, we reviewed relevant federal authorities, including 31 U.S.C. chapter 37.", "To determine whether the Secret Service followed its policy with regard to accepting and reviewing chartered aircraft invoices, we compared all 76 invoices submitted by the four campaign committees to the agency\u2019s policy requirements for invoice completeness and accuracy. Further, we used Standards for Internal Control in the Federal Government to assess whether the Secret Service\u2019s requirements for charter aircraft invoices, and the review of the invoices, are specific enough to help ensure that the Secret Service is making correct reimbursements for charter aircraft flights.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Analysis of a Stratified Random Sample of Flight Segments for GAO\u2019s Overpayment Analysis", "paragraphs": ["To estimate whether and, if so, by how much the U.S. Secret Service (Secret Service) overpaid the campaign committees for special agents\u2019 seats on chartered aircraft flights, we selected a generalizable stratified random sample of flight segments from campaign invoices sent to the Secret Service. Specifically, we selected 650 flight segments from the 2,318 flight segments taken from November 1, 2015 through the end of the 2016 presidential campaign that had an identifiable airport. We stratified the population of 2,318 flight segments into 11 mutually exclusive strata by campaign (Trump, Clinton, Sanders, and Carson) and three size categories based on the number of special agents that indicated being on board a flight. We chose to stratify based on the number of special agents on board to minimize the variance of the total cost within each stratum in an attempt to gain statistical efficiency in the sample design.", "The sample size of 650 flight segments was based primarily on available resources to have the Secret Service\u2019s travel agency extract cost data from the airfare database. We allocated the sample of 650 flight segments to the 11 strata using proportional allocation within each campaign. We then adjusted the allocation in each stratum in an attempt to match a Neyman allocation method that would minimize the variance of an estimate of total cost. We randomly selected the allocated sample size of flight segments within each of the 11 strata.", "For each of the 650 flight segments selected in the sample, we obtained two measures of the lowest first-class airfare from the Secret Service\u2019s travel agency, one with fees and taxes and one without (base fare). This was due to some confusion at the Secret Service about whether taxes and fees should be included when determining the lowest first-class airfare. We then compared these first-class airfares to the individual fare (i.e., the pro rata fare) paid by the Secret Service to the campaign committees. We classified a flight segment as overpaid if the lowest first-class airfare was less than the pro rata fare paid by the Secret Service. To determine the total amount of overpayment per flight segment, we multiplied the difference between the pro rata fare paid by the agency and the lowest first-class airfare by the number of Secret Service special agents on board the flight. We assigned flight segments that were classified as not overpaid a total overpaid value of zero.", "From our sample of 650 flight segments, we identified 295 flights for which the Secret Service overpaid a total of about $1.5 million. To estimate the proportion of overpaid flight segments and the total amount overpaid by the Secret Service for all 2,318 flight segments in the population from which we sampled, we weighted the sample results by the inverse of the probability of selection based on the stratified sample design. We used estimation methods appropriate for a stratified random sample design and generated 95 percent confidence intervals for each estimate. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. As a result, we are 95 percent confident that each of the confidence intervals in this report will include the true values in the study population. The weighted percentage estimates of the full population from our sample have margins of error at the 95 percent confidence level of plus or minus 4 percentage points or fewer and the estimate of the total amount overpaid by the Secret Service has a relative error of plus or minus 12 percent of the estimate or less.", "Based on these results, we estimate that total overpayments in the population of 2,318 flight segments from November 1, 2015 through the end of the campaign would be at least $3.9 million. We estimate that the Secret Service overpaid invoices for about 49 percent (+/- 4 percentage points) of the flight segments. The estimated $3.9 million represents the lower bound of the 95 percent confidence interval of the estimated total dollar amount overpaid based on our sample. The lower bound represents relative error of about 12 percent."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Joseph P. Cruz (Assistant Director), Lisa Canini, Jeffrey Fiore, Chad Johnson, Janet Temko-Blinder, and Jonathan Tumin made key contributions to this report. Also contributing to this report were David Alexander, Jim Ashley, Dominick Dale, Eric Hauswirth, John Mingus, and Carol Petersen."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-483", "url": "https://www.gao.gov/products/GAO-18-483", "title": "Puerto Rico: Limited Federal Data Hinder Analysis of Economic Condition and DOL's 2016 Overtime Rule", "published_date": "2018-06-29T00:00:00", "released_date": "2018-06-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Puerto Rico, the largest and most populous territory of the United States, is subject to congressional authority, although it has broad authority over matters of internal governance. After it defaulted on over $1.5 billion in public debt since 2015, Congress passed PROMESA to establish federal oversight of fiscal affairs. This debt crisis coincided with DOL finalizing the 2016 Overtime Rule, which was invalidated in federal court and is being appealed. PROMESA included a provision for GAO to assess the rule's impact on Puerto Rico and examine its economic condition.", "This report (1) examines the economic conditions in Puerto Rico as of the end of 2016, and (2) assesses the potential effects of applying the 2016 Overtime Rule to Puerto Rico. GAO analyzed 1990-2016 economic data and replicated DOL's impact analysis of the 2016 Overtime Rule using 2015 ACS data, the same year used by DOL in its analysis. GAO also reviewed federal laws, regulations, court documents, agency guidance, and criteria related to the federal overtime rule; facilitated group discussions with employers in Puerto Rico from industries most likely to be impacted by the rule; and interviewed relevant stakeholders and labor groups."]}, {"section_title": "What GAO Found", "paragraphs": ["Unreliable economic and limited labor data make conditions in Puerto Rico difficult to evaluate.", "Puerto Rico Planning Board data show that from 2005 to 2016 Puerto Rico's gross domestic product (GDP), a principal economic indicator, decreased by over 9 percent, after adjusting for inflation, and the devastation brought by Hurricane Maria in 2017 has worsened economic conditions. While the overall downward trend is reliable, GAO found that the Planning Board uses outdated methods to calculate GDP, which results in unreliable data from year to year and can make it difficult for policymakers to fully analyze specific economic needs and develop long-range plans. The Bureau of Economic Analysis (BEA), within the U.S. Department of Commerce (Commerce), does not calculate GDP for Puerto Rico, as it does for the other U.S. territories. For 6 years, BEA has provided technical support to the Planning Board to update its methods and Planning Board officials described plans to do so, but its methods remain outdated. A 2016 Congressional Task Force recommended that BEA calculate Puerto Rico's GDP, and BEA considers it a long-term goal; however, BEA has not taken steps to do so.", "Further, Puert Rico has limited labor statistics because it is not included in the Current Population Survey (CPS), which is produced by Commerce's Census Bureau (Census) and Department of Labor's (DOL) Bureau of Labor Statistics (BLS). CPS provides detailed information about employment, such as hours of work and earnings. The Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) suggested that Census conduct a study to determine the feasibility of expanding data collection to include Puerto Rico. Census officials said that they estimated the cost of such a study but have not yet conducted it. Census officials also cited concerns with data collection burdens. However, without CPS data on Puerto Rico, policymakers are limited in estimating the full economic impact of different policy changes. For example, DOL did not have the data needed to include Puerto Rico in its assessment of the economic impact of DOL's 2016 Overtime Rule. Conducting such a study would help policymakers consider the tradeoffs of including Puerto Rico in the CPS.", "GAO used a different dataset\u2014American Community Survey (ACS)\u2014to assess the potential effects of applying the 2016 Overtime Rule, which would have increased the salary level threshold from $23,660 to $47,476 at which executive, administrative, and professional workers would not be eligible for overtime pay. GAO estimated that about 47,250 of 1.06 million workers in Puerto Rico would be affected\u2014that is, they would become eligible for overtime pay. In response to a salary level threshold increase, employers from selected industries in Puerto Rico told GAO that they might increase certain workers' salaries, but cut overtime hours for other workers, and adjust the number of staff. An economist and a labor group official said that employers could respond by adjusting the number of staff or their hours, but the impacts to employers may be limited and the workforce could benefit. In 2017, a federal district court invalidated the 2016 Overtime Rule and the overtime salary threshold remains at $23,660, but that decision is currently on appeal."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that BEA include Puerto Rico in its reporting on GDP and that Census and BLS study the feasibility of including Puerto Rico in the CPS. Commerce agreed with our recommendations and DOL did not have any comments on the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Puerto Rico\u2014the largest and most populous territory of the United States\u2014has a relationship with the federal government that is in some ways similar to the states and in other ways distinct. As a territory, Puerto Rico is subject to congressional authority, although it has been granted broad authority over matters of internal governance. However, since 2015, Puerto Rico has defaulted on over $1.5 billion in debt payments. In June 2016, the Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) was enacted. The law established a structure for oversight of Puerto Rico\u2019s fiscal affairs and a process for the territory to restructure its debts. Puerto Rico\u2019s fiscal decline coincided with the Department of Labor\u2019s (DOL) publication of a final rule that increased the salary threshold for overtime pay among executive, administrative, or professional (EAP) employees in the states and Puerto Rico.", "PROMESA included a provision for GAO to conduct an assessment and issue a report to examine the economic conditions of Puerto Rico as well as the impact of applying the regulation to Puerto Rico. Prior to its effective date, during the course of our work, the Federal District Court of the Eastern District of Texas found the rule to be unlawful. This report (1) examines the economic conditions in Puerto Rico as of the end of 2016, and (2) assesses the potential effects of applying the 2016 Overtime Rule to Puerto Rico.", "To address our objectives, we collected data from fiscal years 1990 through 2016, the most recent data available, on Puerto Rico\u2019s gross domestic product (GDP) from the Puerto Rico Planning Board. We also collected monthly data from 2016 and 2017 on the flow of passengers on one-way flights to and from Puerto Rico from the Bureau of Transportation Statistics (BTS). Additionally, we collected data on individual earnings from the 2015 5-year American Community Survey (ACS) because DOL used 2015 data in its analysis of the impact of the 2016 Overtime Rule on the states. We assessed the reliability of the ACS data by reviewing data documentation and interviewing officials at the Department of Commerce\u2019s Census Bureau (Census) who use and maintain the dataset. We determined that the data from these sources were reliable for the purposes of our report.", "For both objectives, we also reviewed relevant federal laws, regulations, court documents, and agency guidance related to the 2016 Overtime Rule. In addition, we reviewed federal laws and regulations related to labor in Puerto Rico, as well as agency guidance related to statistical measures for Puerto Rico. We also reviewed federal internal control standards related to management\u2019s use of quality information to achieve objectives. We interviewed DOL and Department of Commerce officials at the national level and Puerto Rican government officials. We also interviewed representatives of national and Puerto Rican employer and labor organizations and conducted 10 facilitated group discussions in Puerto Rico with employers in the restaurant, hotel, hospital, manufacturing, and professional service industries. These are some of the industries that employ the largest number of people in Puerto Rico and are among the most likely to be impacted by any changes to the overtime regulations. We interviewed several economists, identified from prior work and interviews with agency officials, industry groups, and labor groups as having expertise relating to the 2016 Overtime Rule or the Puerto Rico economy, regarding the economic conditions of Puerto Rico and the potential economic impacts of the 2016 Overtime Rule.", "To examine Puerto Rico\u2019s economic condition, we reviewed related GAO reports concerning Puerto Rico and its economy. To assesses the potential effects of applying the 2016 Overtime Rule to Puerto Rico, we used a methodology similar to the one used by DOL in its final economic impact analysis of the 2016 Overtime Rule in the United States. Specifically, DOL estimated the number of people who would be directly affected by the rule because their salary level would make them no longer exempt from overtime pay. However, while DOL used Census\u2019s Current Population Survey (CPS) data, which does not include Puerto Rico, we used ACS data, which does. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from September 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Puerto Rico\u2019s Territorial Status and Residents\u2019 Status", "paragraphs": ["Puerto Rico is the most populous U.S. territory with approximately 3.3 million residents. Puerto Rico and its residents are generally subject to the same federal laws as the states and their residents, except in cases where specific exemptions have been made, such as with certain federal programs. Individuals born in Puerto Rico are U.S. citizens and can migrate freely to the states."], "subsections": []}, {"section_title": "Hurricane Maria", "paragraphs": ["On September 20, 2017, Hurricane Maria, a category 4 storm, devastated Puerto Rico and left nearly all its residents without potable running water and electricity. In addition, the existing infrastructure for cellular and wireless service was rendered virtually useless, hampering communication. Four months after Hurricane Maria, more than a third of Puerto Rico\u2019s energy customers remained without power. The lack of power and communication impeded residents\u2019 ability to return to work. According to the Federal Emergency Management Agency (FEMA), rebuilding will take years."], "subsections": []}, {"section_title": "Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA)", "paragraphs": ["PROMESA established a Financial Oversight and Management Board for Puerto Rico (Oversight Board), and granted it broad powers of fiscal and budgetary control over Puerto Rico. The Oversight Board is comprised of seven members appointed by the President of the United States from a list of recommendations from House and Senate Leadership and one ex- officio member designated by the Governor of Puerto Rico. PROMESA also established a mechanism through which the Oversight Board could petition U.S. courts on Puerto Rico\u2019s behalf to restructure debt."], "subsections": []}, {"section_title": "Government Assessment of Puerto Rico\u2019s Economic Condition", "paragraphs": ["Under Puerto Rico law, the Puerto Rico Planning Board (Planning Board) has the legal responsibility of developing an economic outlook and a detailed analysis of the economy, including gross domestic product (GDP), and producing an annual Economic Report to the governor and to the legislature. The Planning Board Chairperson releases GDP measures only after approval from the governor\u2019s office, according to Planning Board officials.", "The Department of Commerce\u2019s Bureau of Economic Analysis (BEA) produces economic accounts statistics that enable government and business decision-makers, researchers, and the American public to follow and understand the performance of the nation\u2019s economy. To do this, BEA collects source data, conducts research and analysis, develops and implements estimation methodologies, and disseminates statistics to the public. BEA calculates GDP for the United States, including for the territories of American Samoa, Guam, the U.S. Virgin Islands and the Commonwealth of the Northern Mariana Islands. Since 2009 the Department of the Interior\u2019s Office of Insular Affairs has reimbursed BEA for estimating and publishing GDP for these territories. This office carries out the administrative responsibilities of the Secretary of the Interior and the Assistant Secretary for Insular Areas by coordinating federal policy for these territories, but does not for Puerto Rico.", "Census in cooperation with the Department of Labor\u2019s Bureau of Labor Statistics (BLS) produces the Current Population Survey (CPS), which provides statistics on work, earnings, and education. CPS is one of the oldest, largest, and most well-recognized surveys in the United States, according to Census. In addition to being the primary source of monthly labor force statistics, the CPS is used to collect data for a variety of other studies that provide information on economic and social well-being factors. The CPS does not collect or report data for Puerto Rico or any of the other U.S. territories.", "Census also produces the American Community Survey (ACS). It is an ongoing survey that provides national information on a yearly basis that includes information for the States, as well as for Puerto Rico. The ACS includes data on jobs and occupations, educational attainment, veterans, whether people own or rent their homes, and other topics. Information from the survey generates data that help determine how more than $675 billion in federal and state funds are distributed each year."], "subsections": []}, {"section_title": "Federal Labor Laws", "paragraphs": ["DOL\u2019s Wage and Hour Division (WHD) administers the wage, hour, and child labor provisions of the Fair Labor Standards Act of 1938 (as amended) that sets the minimum wage and overtime pay standards applicable to most U.S. workers. The Fair Labor Standards Act (FLSA) requires employers to compensate employees who are covered by the act and not specifically exempt from its provisions, at least federal minimum wage (currently $7.25 per hour) and with premium pay (at one- and-one-half the regular rate) for overtime hours worked in excess of 40 hours in a workweek. There are a number of exemptions from the requirements of the FLSA. For example, employees working in a \u201cbona fide executive, administrative, or professional capacity\u201d (EAP) are not entitled to premium pay for overtime.", "The FLSA was enacted to address problems associated with substandard working conditions by, in part, establishing a floor on wages and a ceiling on hours, beyond which the employer is required to pay extra wages. With a requirement for overtime pay, employers would either have to hire more workers or assume extra wage costs in order to achieve the same amount of work. Employees would be assured additional pay to compensate them for the burden of a workweek in excess of 40 hours. The Minimum Wage Study Commission of 1981 justified the EAP exemption in part because these employees are associated with higher base pay, higher promotion potential, and greater job security than most of the U.S. labor force.", "For employers and employees, the practical effects of the exempt employee classification can be important. An exempt employee may be required to work as many hours as it takes to complete a task. Although this may be more than 40 hours per week, the employee will not be entitled to overtime pay. Thus, an exempt financial manager may be required to work 60 hours a week and be paid a set weekly salary. On the other hand, a nonexempt bookkeeper may be required to work 60 hours per week, but must be paid for 20 hours of overtime, in addition to a set weekly salary.", "The FLSA authorizes DOL to define EAP exemptions. Balancing the competing interests of expanding exemptions and restricting them, DOL regulations establish specific tests that must be met before an employee may be classified as an EAP and exempt from overtime. In general, there are three tests:", "Salary Basis Test. The employee must be paid on a salary basis, rather than an hourly basis. This means that the employee must be paid at least the guaranteed amount, regardless of the number of hours actually worked and the quality or quantity of worked performed.", "Salary Level Test. The employee must meet a minimum salary level that indicates managerial or professional status.", "Duties Test. The employee must have duties and responsibilities associated with an exempt EAP position.", "In 2003, DOL reviewed the regulations for EAP exemptions in response to a GAO recommendation. Based on its review, in 2004 DOL increased the minimum \u201csalary level\u201d threshold for an employee to be exempt from receiving overtime pay to $23,660. In May 2016, DOL again updated minimum the salary level threshold for EAP employees to be exempt from receiving overtime pay to $47,476 in the 2016 Overtime Rule (see fig. 1)."], "subsections": []}, {"section_title": "Status of the 2016 Overtime Rule", "paragraphs": ["In July 2015, DOL proposed updating the overtime regulations relating to the EAP exemption, and published a notice of proposed rulemaking. After receiving approximately 294,000 comments, the Secretary of Labor published the final rule on May 23, 2016 (2016 Overtime Rule). The major changes included increasing the salary level threshold from $455 per week ($23,660 annually) to $913 per week ($47,476 annually) and providing an automatic update to the salary level every 3 years. DOL estimated that about 4.2 million EAP employees in the states would become newly entitled to overtime pay under the revised salary level threshold. At the time of publication, the 2016 Overtime Rule would have applied to Puerto Rico; however, on June 30, 2016, prior to the rule\u2019s effective date of December 1, 2016, PROMESA was enacted which, in part, delayed the applicability of this rule to Puerto Rico.", "Prior to the 2016 Overtime Rule going into effect, several states and various business groups challenged the rule in the Federal District Court of the Eastern District of Texas. On November 22, 2016, this court issued a nationwide preliminary injunction preventing DOL from implementing and enforcing the 2016 Overtime Rule for the duration of the case. In the interim, the 2004 Overtime Rule salary level threshold for EAP employees of $23,660 remained in effect. In July 2017, DOL published a Request for Information to gather additional information to begin the rulemaking process to replace and update the overtime regulations. In August 2017, the district court determined that the 2016 Overtime Rule was unlawful and ordered it invalidated. In October 2017, DOL filed a motion to appeal that ruling with the Fifth Circuit Court of Appeals. In November 2017, DOL filed a motion to stay the appeal pending the outcome of its rulemaking, and the Fifth Circuit granted this motion. DOL\u2019s comment period for the Request for Information ended on September 25, 2017, and the agency currently is reviewing submissions. DOL plans to publish a Notice of Proposed Rulemaking on the salary level threshold for EAP employees in October 2018. Meanwhile, the 2004 Overtime Rule continues to remain in effect as of today, while the appeal and rulemaking are pending."], "subsections": []}, {"section_title": "Puerto Rico\u2019s Labor Laws", "paragraphs": ["In addition to FLSA, workers and employers in Puerto Rico may be subject to various other federal, Puerto Rican, and local labor laws or regulations depending on eligibility, exemptions, and other limitations. In some cases, including sick leave, vacation leave, mandatory meal period, weekly day of rest, and maternity leave, these laws may be more generous to workers than federal law, according to Puerto Rico Department of Labor officials.", "Sick leave. Non-exempt employees in Puerto Rico are entitled to accrue at least 1 day of paid sick leave after working at least 130 hours per month.", "Vacation leave. Non-exempt employees in Puerto Rico are entitled to accrue paid vacation after working at least 130 hours per month. Non- exempt employees hired before January 26, 2017, are entitled to a minimum monthly vacation leave accrual rate of one-and-a-quarter days. Non-exempt employees hired on or after January 26, 2017, are entitled to a minimum monthly vacation leave accrual rate of a half- day during the first year of service; three-quarters of a day after the first year of service up to the fifth year of service; 1 day after the fifth year of service up to the fifteenth year of service; and one-and-a- quarter days after the fifteenth year of service. However, in the case of Puerto Rico resident employers who have less than 12 employees, the minimum monthly vacation leave accrual rate is a half-day.", "Mandatory meal period. Non-exempt employees in Puerto Rico are entitled to a mandatory meal period between the third and sixth consecutive hour of work. In general, any employer that employs or allows an employee to work during the meal period is required to pay said period or fraction thereof at a pay rate equal to twice or one and one-half times the regular pay rate, as applicable.", "Weekly day of rest. Non-exempt employees in Puerto Rico are entitled to a mandatory weekly day of rest for every six consecutive days of work. Work performed during the day of rest is considered overtime and requires extraordinary compensation, regardless of the total number of hours that the non-exempt employee worked in the preceding 6 days.", "Maternity leave. Pregnant women in Puerto Rico are entitled to paid maternity leave 4 weeks before and 4 weeks after childbirth. Working mothers may opt to take only 1 week of pre-natal leave and extend post-natal leave up to 7 weeks. Women who adopt a child 5 years old or younger are entitled to 8 weeks of maternity leave."], "subsections": []}, {"section_title": "Possessions Tax Credit", "paragraphs": ["The Tax Reform Act of 1976 created the possessions tax credit to assist Puerto Rico and other insular areas in obtaining employment-producing investments. The credit effectively reduced federal taxes on income earned by qualifying U.S. corporations from operations in U.S. insular areas. However, the credit was repealed in 1996, but existing claimants were allowed to continue to use the credit during a 10-year phaseout period ending in 2006. In 2006, we reported that U.S. corporations claiming the credit dominated Puerto Rico\u2019s manufacturing sector in the late 1990s and that after the tax credit began to phase out in 1996, the activities of these corporations decreased significantly."], "subsections": []}]}, {"section_title": "Unreliable Economic Data Make Conditions in Puerto Rico Difficult to Evaluate", "paragraphs": [], "subsections": [{"section_title": "Prior to Hurricane Maria, Puerto Rico Had Already Experienced Prolonged Economic Decline", "paragraphs": [], "subsections": [{"section_title": "Overall Economic Decline", "paragraphs": ["Puerto Rico Planning Board (Planning Board) data show that Puerto Rico has been in an economic decline for more than a decade. From 2005 to 2016, Puerto Rico\u2019s GDP decreased by over 9 percent, after adjusting for inflation. Beginning in 2006, Puerto Rico\u2019s economy experienced declines in real output in 9 of the next 11 years, as measured by real GDP (see fig. 2). While we have concerns about the precision of the Planning Board\u2019s real GDP measure from year to year, as discussed later, we are confident in the downward direction of growth.", "Puerto Rico officials described the economic contraction as a downward spiral, where negative economic growth spurred outmigration by skilled workers, leading to decreased tax revenue and thereby increasing public debt per capita. This, in turn, they said decreases new investment and the cycle repeats.", "Five Main Factors that Contributed to Puerto Rico\u2019s Economic Condition In May 2018, GAO reported on five main factors it identified through discussions with officials and experts and a review of literature. The factors were: Outmigration and diminished labor force. Some experts tied Puerto Rico\u2019s negative economic growth to a steady decline in its population and labor force since 2005. According to Census data, Puerto Rico\u2019s aging population means there are proportionally fewer individuals of working age. Regulatory challenges of doing business in Puerto Rico. Some experts cited the high cost to businesses of complying with Puerto Rico\u2019s regulations, such as the permitting process for new businesses, and federal laws, such as the minimum wage law. High cost of importing goods and energy. Many of the goods used by businesses in Puerto Rico must be imported, significantly increasing their costs and in turn the cost of doing business. Petroleum, the main source of electronical energy generation, is a good whose high cost was particularly consequential to Puerto Rico\u2019s economic struggles, according to Puerto Rico government officials, experts, and a literature reviews. Phaseout of the possessions tax credit. The loss of the tax credit was been cited by some as a potential cause of Puerto Rico\u2019s economic decline since 2006; however, there was no consensus as to the magnitude. Banking and housing struggles. Puerto Rico\u2019s banks have struggled and several have closed. Puerto Rico\u2019s housing prices peaked in 2009, but fell 25 percent by January 2017, according to Federal Housing Finance Agency data.", "In our May 2018 report examining the Puerto Rico debt crises, we spoke with officials and experts, and conducted a literature review, and identified five main factors contributing to Puerto Rico\u2019s current economic condition: outmigration and a diminished labor force; regulatory challenges of doing business in Puerto Rico; the high cost of importing goods and energy; the phaseout of the possessions tax credit; and banking and housing struggles (see sidebar)."], "subsections": []}, {"section_title": "Hurricane Maria\u2019s Economic Impact", "paragraphs": ["Puerto Rico was already experiencing a long economic contraction when Hurricane Maria made landfall in September 2017. Previous U.S. natural disasters, such as Hurricane Katrina in the Gulf Coast, have had significant adverse impacts on the economies of the affected regions, including significant outmigration. Immediately following Hurricane Katrina, the Gulf Coast experienced a number of challenges to its economy including a rise in unemployment; an increase in outmigration and decrease in housing units; a decline in state tax revenue; and a decline in imports and exports. Puerto Rico may experience similar challenges. For example, a February 2018 Federal Reserve Bank of New York press briefing on the impact of Hurricanes Maria and Irma characterized the 4 percent local job losses in Puerto Rico as substantial. Further, the briefing indicated that the true economic cost may be understated because some workers who are still employed likely suffered a drop in income, there may be unmeasured effects on the informal economy, and the value people place on quality of life issues are not measured.", "The substantial damage to the territory also accelerated outmigration and will likely worsen its economic condition. A January 2018 report from the Puerto Rico government identified the 2017 hurricanes as having a significant impact on the economy and projected that the population will decline by 10 percent over the next 2 years and could decline by nearly 20 percent over the next 5 years as people leave the island due to poor economic conditions. Initial data from the U.S. Bureau of Transportation Statistics show that 92,284 more people flew out of Puerto Rico with one- way tickets than flew into Puerto Rico in October 2017, the first full month after Hurricane Maria. That number represents a 255 percent increase over similar statistics in August 2017 and a 1,195 percent increase over October 2016 (see fig. 3). By December 2017, 17,281 more people flew out of Puerto Rico with one-way tickets than flew into Puerto Rico. This is 149 percent increase over similar statistics for December 2016. While the extent to which citizens of Puerto Rico may return to the territory is unclear, the initial outmigration could prolong negative economic growth."], "subsections": []}]}, {"section_title": "Methods Currently Used To Measure Puerto Rico\u2019s Economy Are Outdated and Lead to Unreliable Measures", "paragraphs": [], "subsections": [{"section_title": "Measuring GDP in Puerto Rico", "paragraphs": ["Outdated methods for measuring GDP make it difficult for the Puerto Rico government to fully analyze specific economic needs and develop long- range plans. There is no federal statistical measure of Puerto Rico\u2019s GDP. The U.S. Census\u2019 Economic Census of Island Areas provides some limited insights into Puerto Rico\u2019s economic performance by industry, including revenue, payroll, employee count, and inventories. The Economic Census of Island Areas is updated every 5 years, but does not include total GDP. Instead, each year, BEA calculates GDP for four other territories and is reimbursed by the Department of the Interior\u2019s Office of Insular Affairs for the estimation and publication of this information.", "In contrast, Puerto Rico\u2019s Planning Board calculates GDP, but its methods are outdated and therefore unreliable, as they do not provide a precise measure of economic activity. Specifically, a 2011 White House Task Force Report examining Puerto Rico\u2019s economic challenges found the Planning Board\u2019s methods were outdated because they did not follow the same standards used for the rest of the United States. The Task Force also found that the methodology was not in line with modern statistical techniques, resulting in a less precise measure of Puerto Rico\u2019s economic activity. Accurately calculating GDP is necessary to adequately measure total output of goods and services in Puerto Rico. GDP is also useful in measuring productivity and conducting monetary policy, and may be used to develop and apply appropriate policies for promoting economic growth. For example, a reliable and timely measure of GDP helps government officials calculate more accurate projections of tax revenue.", "The Planning Board\u2019s method for calculating GDP does not effectively adjust for inflation because, the methodology uses a fixed-weighted index method that assumes the structure of the economy\u2014what is being produced and prices of what is being produced relative to each other\u2014is roughly constant over time. Further, the Planning Board is using this method to report inflation adjusted GDP based on the prices in a 1978 \u201cmarket basket\u201d\u2014a fixed set of goods and services that people buy for day-to-day living. The Planning Board then uses 1954 as the reference year in its inflation adjustment to report GDP based on the price of goods and services. Consequently, the Planning Board\u2019s real GDP measure may not be accurately adjusted to reflect current purchasing patterns and inflation in the prices of purchased products.", "BEA provides Puerto Rico\u2019s Planning Board with some support in its calculation of GDP, but does not verify the accuracy of the calculation. In response to the 2011 White House Task Force findings, BEA began providing technical assistance and support to the Planning Board in updating its methods to adjust GDP for inflation and developed a report with recommendations for updating economic accounts. BEA found that the Planning Board\u2019s methods did not comply with the internationally agreed upon standards for compiling measures of economic activity. Officials said that BEA was helping the Planning Board update its methods; however, a change in the level of communication slowed the update from 2013 through 2014. As a result, the Planning Board continued to use the same outdated methods.", "In January 2017, the Planning Board and BEA signed an agreement to modernize Puerto Rico\u2019s economic accounts and align them with international guidelines. The agreement also tasked the Planning Board with providing deliverables in regular intervals beginning in spring 2017, including publication of alternative estimates of GDP that implement steps towards modernization. BEA officials told us that they are providing support to the Planning Board, and Planning Board officials told us they are working on updating the methodology. However, as of March 2018, the Planning Board had not yet produced all of the agreement deliverables, including publication of alternative GDP estimates.", "Given the impact of Hurricane Maria, it may be challenging for Puerto Rico to modernize its GDP measures. Planning Board officials told us in August 2017 that they were working to update their GDP methodology, so that it is similar to the one used by BEA, and that they would be updating to a 2007 \u201cmarket basket.\u201d Board officials said the new GDP figures were expected to be completed in December 2017. Their release was delayed in the aftermath of Hurricane Maria, but officials said they now expect to release GDP measures using the new methodology in summer 2018. Officials added that they plan to continue publishing GDP measures using the old methodology along with the new one for trend comparisons. The Planning Board and BEA estimated the cost to the Puerto Rico government to modernize its GDP measure is $2 million \u2014 including staff time and computing infrastructure.", "A 2016 bi-partisan Congressional Task Force on Economic Growth in Puerto Rico (2016 Congressional Task Force) recommended BEA calculate GDP for Puerto Rico as it does for the states and other territories, and BEA\u2019s long-term goals include this objective. Further, in February 2018, the Financial Oversight and Management Board for Puerto Rico recommended that the Governor of Puerto Rico support efforts to implement the Congressional Task Force recommendation. BEA officials told us one of the agency\u2019s long-term goals is calculating GDP for Puerto Rico and they have discussed including Puerto Rico in its reporting of GDP. Officials noted that including Puerto Rico in GDP reporting would require additional funds similar to reimbursements it received for the other four territories\u2019 calculations.", "BEA\u2019s mission is to promote a better understanding of the entire U.S. economy by providing the most timely, relevant, and accurate economic accounts data in an objective and cost-effective manner. BEA has provided technical assistance and support for 6 years; however the Planning Board has not yet modernized its methods to report a reliable GDP measure, and BEA has not included Puerto Rico in its reporting efforts. Federal standards for internal control state that management should use quality information to achieve the entity\u2019s objectives. The lack of a federal GDP measure for Puerto Rico makes it difficult to make reasoned policy recommendations, adds uncertainty around issues affecting Puerto Rico\u2019s economy, and makes it more difficult to identify fiscal and economic recovery plan priorities. Without modernized GDP methods, it remains difficult to compare Puerto Rico\u2019s GDP with the rest of the United States and the other four territories for which BEA calculates GDP. Finally, without such a measure of GDP, federal policy makers and private investors must rely on various and sometimes unreliable data sources to try to establish common facts about Puerto Rico\u2019s economic condition\u2014an impediment in reaching consensus, engaging in meaningful policy discourse, and investment."], "subsections": []}, {"section_title": "U.S. Government Labor Statistics for Puerto Rico", "paragraphs": ["Federal labor statistics for Puerto Rico are incomplete because the Current Population Survey (CPS) does not include Puerto Rico and four other U.S. territories, and the American Community Survey (ACS) primarily provides data on population and housing, rather than labor. PROMESA recognized this and recommended that Census consider the feasibility of including Puerto Rico, and the other territories in the CPS. Specifically, PROMESA suggested that Census conduct a study to determine the feasibility of expanding data collection to include Puerto Rico and the other four U.S. territories in the CPS and if necessary, request the funding required to conduct this feasibility study as part of its budget submission to Congress for fiscal year 2018. Census officials told us they estimate a feasibility study including all of the U.S. territories will cost $1.1 million in fiscal year 2018, but did not request funding. The 2016 Congressional Task Force also recommended that BLS and Census take reasonable steps to include the territories.", "Federal standards for internal control state that management should use quality information to achieve the entity\u2019s objectives. CPS data are intended to provide a comprehensive body of labor data that can be used to keep the nation informed about the economic and social well-being of its people, but Census and BLS are unable to report on the economic and social well-being of a segment of the nation and its people. Census officials told us they are concerned about unduly burdening Puerto Rico citizens with data collection efforts that would provide state level estimates. However, Census has not studied the feasibility of including Puerto Rico in the CPS, which would inform officials\u2019 decision on whether to include Puerto Rico and the other territories in the CPS. By conducting such a study, Census would better understand the tradeoffs of including or continuing to omit Puerto Rico from CPS, including the extent to which it can be considered in public policy decisions, such as the 2016 Overtime Rule."], "subsections": []}]}]}, {"section_title": "Increasing the Overtime Threshold Would Affect a Small Percentage of Workers in Puerto Rico and Could Affect Employment Conditions", "paragraphs": [], "subsections": [{"section_title": "The 2016 Overtime Threshold Increase Would Likely Affect Less Than 5 Percent of the Workforce in Puerto Rico", "paragraphs": ["Our estimates suggest that a larger percentage (about 4.5 percent) of Puerto Rico\u2019s total workforce would have been affected by the Overtime Rule than the states (about 2.6 percent), based on our analysis of ACS data and DOL\u2019s analysis of CPS data. Specifically, DOL\u2019s analysis estimated that of 159.9 million wage and salary workers in the states, about 4.2 million (or about 2.6 percent) might be directly affected by the 2016 Overtime Rule. In our analysis of the Overtime Rule for Puerto Rico, we estimated that about 47,250 (about 4.5 percent) of 1.06 million wage and salary workers in Puerto Rico would have been directly affected (see fig. 4).", "The lack of data from CPS on Puerto Rico and the effects of Hurricane Maria hinder our ability to fully assess the potential effect of the 2016 Overtime Rule on Puerto Rico. Instead, we used data from the 2015 5- year ACS to estimate the impact of the Overtime Rule on Puerto Rico. The ACS employment data lack multiple variables available in the CPS; hence, we were limited in what we could estimate. For example, DOL\u2019s estimate for the states included the wealth transfer from employers to employees, which is important for understanding the economic effects of the 2016 Overtime Rule. We do not provide similar insights because of the difference in variables in the ACS and CPS. (See table 2 in appendix I for the differences between our analysis and that of DOL.) Additionally, DOL estimated the effect the Overtime Rule would have on the probability that a worker had multiple jobs, but the limitations of the data we used kept us from performing this analysis.", "Our analysis estimates that the impact of the 2016 Overtime Rule in Puerto Rico would have been largely concentrated in four industries: education and health services, wholesale and retail trade, public administration, and financial activities. We estimated that in these four industries about 76 percent (about 36,000) of our approximate 47,250 total workers would have been directly affected (see table 1). The largest directly affected industry, education and health services, makes up about 43 percent (about 20,000) of this total."], "subsections": []}, {"section_title": "Raising the Overtime Threshold Could Increase Wages for Some, but Reduce Overall Hours and Employment in Certain Industries", "paragraphs": ["Depending on how employers respond to an increase in the overtime threshold, the effect of amending the overtime regulations could vary across employees. Similar to employers in the states, employers in Puerto Rico could respond to changes in the overtime regulations based on the current employee\u2019s salary and work schedule by: 1) making no changes, 2) paying overtime, 3) raising salaries, or 4) adjusting hours worked (see fig. 5). In its analysis of the impact of the 2016 Overtime Rule in the states, DOL estimated the largest impact would be an aggregate transfer of income from employers to employees, which would be seen as a positive for some employees (e.g., increased pay, fewer hours for same pay, or new hires) and a negative for others (e.g., employers in our facilitated discussion groups said they would have layoffs, move employees from salaried to hourly, or lower benefit amounts).", "While we were unable to conduct a full impact analysis identical to DOL\u2019s because of data limitations, we held facilitated discussion groups, to gain insight into how employers would have responded if the 2016 Overtime Rule was implemented in Puerto Rico. Views reported by participants in these groups may not be representative of all Puerto Rico employers, but they provide illustrative examples of the types of steps employers might have taken if the 2016 Overtime Rule were implemented. Employers in 2 of our 10 discussion groups said they would make staff adjustments by increasing the salary of some employees while, in some cases, minimizing the role of others. However, employers in 9 of our 10 of our discussion groups said they might also need to convert the remaining employees to part-time or hourly work, reduce their hours, or lay them off. \u201cWe have 125 exempt employees. The rule change would impact our labor costs a lot. We would need to minimize employees/hours to reduce the labor costs. We may adjust our contribution to medical plans to make up for the increased labor costs.\u201d \u201cWith the new rule, half would need to be paid overtime or increase salary. This would leave us not enough flexibility to cover the hours or operation.\u201d \u201cWe have a total of 850 employees. About 8 would be affected by the change. Of those 8, 3 we would boost their salary; the others will be switched to hourly. This may affect their benefits.\u201d", "Through these facilitated discussion groups, we also learned that employer responses to the 2016 Overtime Rule may differ by industry. Employers in 3 of 10 industry discussion groups said they would be able to absorb some of the higher costs associated with an increase in the Overtime Rule threshold. For example, some manufacturers told us it would not be difficult for their businesses to absorb these additional costs, particularly if the salary threshold was at a somewhat lower level. Similarly, some hotel employers told us they would be able to absorb costs associated with the change across their many hotel locations, but others said they may not be able to assimilate the threshold increase. Hospital employers who participated in our facilitated discussion groups told us they have lower margins and face threats of closure even without the threshold increase. Some restaurant and hotel employers who participated in our facilitated discussion groups said they may be unable to pass associated increased labor costs to consumers; some would have to require exempt workers to work longer hours and reduce the number of full time employees or hours (see sidebar).", "Employers could respond by adjusting staff if the 2016 Overtime Rule goes into effect, but the impacts to employers may be limited and the workforce could benefit from the 2016 Overtime Rule change according to our interviews with 1 economist and 1 labor group official. One economist suggested that instead of having two employees who work 60 hours each, an employer might hire a third employee so that each works 40 hours. Additionally, this economist said an increase to the threshold would not be as burdensome to business, because employee wages have risen above the current overtime salary threshold. One labor group representative suggested that the 2016 Overtime Rule would have a minimal impact because very few workers in Puerto Rico earn enough to meet the 2004 salary threshold. Further, one economist said that under the current threshold, workers work excessive hours and do not have the same bargaining power. An increased overtime threshold would improve these dire working conditions. Specifically, this economist said that implementing the 2016 Overtime Rule would encourage firms to hire more workers, provide employees with more bargaining power, and help prevent worker exploitation.", "One economist said implementing the 2016 Overtime Rule only in the states could increase the wage differential between Puerto Rico and in turn increase outmigration from Puerto Rico. One member of the Puerto Rico Economic Administration said that if Puerto Rico were to have a lower threshold than the U.S. mainland the effects might be worse than those caused by the increased labor costs of implementing the higher threshold. Another economist said that while hours may be adjusted or layoffs may occur immediately following implementation of the Overtime Rule, these impacts would not be a major concern within 3 to 4 years."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Puerto Rico has long been experiencing severe economic challenges and its default on over a billion dollars of debt payments since 2015 has focused the need for attention to this territory. As Puerto Rico officials were in the process of taking action to update their methodology for reporting inflation-adjusted GDP, Hurricane Maria exacerbated the territory\u2019s economic challenges. FEMA estimates that it may take years for Puerto Rico to recover. The lack of accurate economic and comprehensive labor data hinders policymaking, including a determination of the potential impact of changes to the overtime regulations. To help address Puerto Rico\u2019s economic challenges now and in the future, the federal government and investors need updated and reliable data. Going forward, having BEA include Puerto Rico in its calculation of GDP would provide federal and local authorities, as well as businesses and investors, with reliable data on Puerto Rico\u2019s economic condition that can be directly compared with the United States and other territories. BEA\u2019s long-term goals include measuring Puerto Rico\u2019s GDP, but having reliable data now would help address significant economic challenges in the short term. Likewise, studying whether including Puerto Rico in the Current Population Survey is feasible would allow DOL and other policymakers to be better positioned to fully consider the cost of including the territory against the implications of exclusion."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations, including two to Commerce and one to DOL. Specifically: The Secretary of Commerce should ensure that the Bureau of Economic Analysis includes Puerto Rico in its reporting on gross domestic product, as it does for four other U.S. territories. (Recommendation 1)", "The Secretary of Commerce, in cooperation with DOL\u2019s Bureau of Labor Statistics, should conduct a study on the feasibility of including Puerto Rico in its reporting of the Current Population Survey. (Recommendation 2)", "The Secretary of Labor, in cooperation with the Commerce\u2019s Census Bureau, should conduct a study on the feasibility of including Puerto Rico in its reporting of the Current Population Survey. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to the Government of Puerto Rico, the Department of Commerce (Commerce), and the Department of Labor (DOL) for review and comment. In written comments that are reproduced in appendix IV, Commerce agreed with the recommendations made to it. In an email, DOL\u2019s Deputy Assistant Secretary for Policy stated that the agency did not have any comments on the report. In addition, Commerce and the Government of Puerto Rico provided technical comments, which we incorporated into the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Government of Puerto Rico, the Secretary of the Department of Commerce, the Secretary of the Department of Labor, and other interested parties. In addition, this report is available at no charge on the GAO website at http://gao.gov.", "If you or your staff have any questions about this report, please contact Cindy Brown Barnes at (202) 512-7215 or Oliver Richard at (202) 512- 8424.You may also reach us by e-mail at brownbarnesc@gao.gov or richardo@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our review addressed: (1) the economic conditions in Puerto Rico as of the end of 2016; and (2) the potential effects of implementing the 2016 Overtime Rule on Puerto Rico\u2019s economy.", "To evaluate the current economic conditions in Puerto Rico quantitatively, we analyzed (1) data from the Puerto Rico Planning Board\u2019s (Planning Board) Statistical Appendix for the Governor that includes data on Puerto Rico\u2019s gross domestic product (GDP) from 1990 through 2016 and (2) passenger data for Puerto Rican airports for years 2016 and 2017 from the Bureau of Transportation Statistics (BTS).", "To analyze the real GDP of Puerto Rico from 1990 through 2016 and Puerto Rico GDP by industry for 2016, we relied on data from the Planning Board\u2019s Statistical Appendix for the Governor. We interviewed Planning Board officials responsible for producing the annual GDP estimates to understand how the data were prepared and any limitations to the data, and concluded that the while we have concerns over the precision of real GDP data, they were sufficiently reliable for our purposes of determining the direction of growth.", "To analyze the flow of passengers through Puerto Rican airports before and after Hurricane Maria, we relied on the BTS\u2019 monthly passenger data for 2016 and 2017 as accessed through Diio Mi: Market Intelligence for the Aviation Industry. Diio Mi is a private contractor that provides online access to U.S. airline financial, operation, and passenger data. We reviewed the relevant documentation of the dataset and previous GAO reports and found the dataset sufficiently reliable for our purposes.", "To assess the potential effects of the 2016 Overtime Rule on Puerto Rico quantitatively, we analyzed and reported data from the American Community Survey (ACS) for calendar year 2015, because DOL used 2015 data in its impact analysis of the Overtime Rule on the states. The ACS is a national survey designed and administered by the Census Bureau (Census), and it contains data on individual earnings. Since 2005, the ACS has also included the Puerto Rico Community Survey (PRCS) which extends the survey through Puerto Rico. Our data set selection process included interviews with current and former agency officials as well as review of dataset documentation such as data handbooks, data dictionaries, and guidance on the different versions of data available. The ACS is conducted annually with estimates based on 1-year and 5-year data with benefits and drawbacks for each version. The 1-year ACS is updated the earliest and gives the most current data; however, according to Census\u2019 guidance on the different ACS samples, it also contains the smallest sample size and is more appropriate for analyzing large populations than small ones. The 5-year ACS is the most reliable data, according to Census\u2019 ACS guidance, as it includes the largest population size, which can be used to analyze small populations; however, the 5- year ACS is the least current version of the data. Additionally, while the 2015 5-year ACS data were not the most recent available, we used them because the Department of Labor (DOL) used 2015 data in its impact analysis of the 2016 Overtime Rule for the states. Based on these benefits and limitations, we chose to use the 2015 ACS 5-year estimates. Estimates produced from ACS data are subject to sampling error. For all of our estimates we weighted observations based on the individual weight. We compared our estimates of values derived from our weighting procedures to those published by the DOL and found them to be consistent. In addition to estimates, we generated standard errors or the margin of error for the 95 percent confidence interval, and report them with estimates in figures and tables. Based on our data checks, reviews of documentation and interviews with agency officials, we found the ACS data to be sufficiently reliable for our purposes.", "In addition to the quantitative data collected, we reviewed relevant federal laws, regulations, court documents, agency guidance, and internal controls related to the 2016 Overtime Rule, labor in Puerto Rico, and federal statistical measures for Puerto Rico. Additionally, we reviewed previous GAO reports on Puerto Rico and its economy. We interviewed DOL and Commerce officials at the national level. We interviewed Puerto Rican government officials to better understand current economic conditions and the statistical measure used to reflect the economic conditions. We interviewed representatives of national and Puerto Rican employer and labor organizations to gain their perspectives on the impact of the 2016 Overtime Rule and the condition of the economy. We conducted 10 facilitated group discussions with Puerto Rican employers in the manufacturing, restaurant, hotel, hospital, and professional services industries. These are some of the industries that employ the largest number of people in Puerto Rico and are among the most likely to be impacted by the 2016 Overtime Rule. Employers were selected to represent both large and small business perspectives in each industry. Views reported by participants in these groups are not representative of those of all Puerto Rico employers and for that reason are not generalizable. We also interviewed four economists, identified from prior work and interviews with agency officials, industry groups, and labor groups as having expertise relating to the 2016 Overtime Rule or the Puerto Rico economy, regarding the economic conditions of Puerto Rico and the potential economic impacts of the 2016 Overtime Rule."], "subsections": [{"section_title": "Analysis of American Community Survey Data", "paragraphs": ["For our analysis of the effects of the 2016 Overtime Rule on Puerto Rico, we mirrored the analysis conducted by DOL for the impacts of the rule on the United States. While the methodologies are similar, the DOL analysis used the Current Population Survey (CPS) data that do not include Puerto Rico. The ACS data we use serves a similar role; however, we made a few adjustments to the analysis in light of available data. Specifically, in the ACS, there is no variable identifying whether the individual works an hourly job. In order to simulate the removal of hourly workers from the sample, we randomly assign hourly worker designation to the same proportion of the population that are classified as hourly workers in DOL\u2019s analysis (41.01 percent). A few assumptions are associated with this manipulation: 1) We are assuming that the proportion of the population that works an hourly job in Puerto Rico is similar to that of the 50 states, and 2) when we perform industry and region analyses, we assume the same hourly worker proportion across all industries and regions. Additionally, in its final rule, DOL analyzes the impact of the 2016 Overtime Rule on individual worker\u2019s propensity to work multiple jobs; the ACS does not identify workers employed in multiple jobs and we could not perform this analysis. Also, the CPS data contain several variables on the number of hours worked that allowed DOL to analyze who likely works overtime on a regular basis. While the ACS includes a variable indicating the usual number of hours worked per week over the past year, we found it does not capture the schedule fluctuations as accurately as the CPS variables. As such, we do not calculate the dollar amount transfers from employers to employees and dead weight losses, or the loss in economic efficiency from the rule that DOL shows in its analyses. To the extent possible, we used DOL\u2019s methodology to determine the potential effect of the 2016 Overtime Rule in Puerto Rico. However, due to data limitations there were some ways in which our approach differed from the approach used by DOL.", "In DOL\u2019s analysis, the sample includes only the workers covered by its regulation. We adapt the sample to match the DOL\u2019s analysis as follows: 1) remove military personnel, unpaid volunteers, self-employed individuals, clergy and other religious workers, and federal employees, 2) remove blue-collar workers and workers paid hourly; and 3) remove workers who are categorized under occupation and industry codes that are generally exempt under other exemptions.", "For consistency, our analysis makes the same adjustments to our sample that DOL makes in its analysis. Since we use the 2015, 5-year ACS data, we first put all wages into 2015 levels using ACS defined variables. Next, we inflate from 2015 to 2017 levels using the calendar year consumer price index (CPI-U). Just as in DOL\u2019s analysis, we do not know whether any specific worker satisfies the duties test of the 2016 Overtime Rule, so we follow the same steps DOL took in its final rule. These steps include using DOL\u2019s probabilities that specific job codes meet the duties test and assigning the probability to individual workers using the gamma distribution with the shape parameter alpha was set to the squared quotient of the sample mean divided by the sample standard deviation, and the scale parameter beta was set to the sample variance divided by the sample mean. Additionally, DOL explicitly removes certain industries and occupations from the sample and we follow its methodology exactly to remove these. Finally, to estimate the population that would have been affected by the 2016 Overtime Rule, we limit the sample to only those above the 2004 overtime salary threshold ($23,660) and below the 2016 salary threshold ($47,476) just as DOL did in its analysis.", "DOL\u2019s estimates for industries and regions use different groupings than those provided in the ACS; however, since the ACS variables use the same coding but, a finer level, we can recreate the variables used in DOL\u2019s analysis. For example, we used Census guidance on converting 2012 industry codes to create a major industry variable from the ACS industry codes. Similarly, to compare our estimates to DOL estimates by region, we take the ACS data, which is reported state-by-state, and put it into larger regions, such as \u201cNortheast.\u201d", "We conducted this performance audit from September 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Effects of Implementing Alternative Overtime Rule Thresholds on Puerto Rico", "paragraphs": ["Table 3 shows how different populations of workers would be affected by applying alternative overtime thresholds in Puerto Rico. For our analysis, in order to more closely replicate Department of Labor\u2019s (DOL) design, we use the same alternative salary thresholds DOL analyzed in its final rule, which are defined as follows:", "Alternative 1: Inflate the 2004 Level - takes the 2004 overtime threshold and inflates it to fiscal year 2015 dollars using the consumer price index. This method leads to an overtime threshold of $570 per week or $29,640 per year.", "Alternative 2: 2004 Methodology - uses the 2004 final rule and updates it with data from the third quarter of 2015. This method leads to an overtime threshold of $596 per week or $31,015 per year.", "Alternative 3: Kantor Long Test - is based on a 1958 Report and Recommendations on Proposed Revision of Regulations, Part 541, by Harry S. Kantor. This methodology uses data collected on actual salaries paid to executive, administrative, or professional (EAP) employees grouped by geographic region, industry group, number of employees, and city size. DOL then used the long-duties test such that no more than about 10 percent of exempt EAP employees in the lowest-wage region, lowest-wage industry, smallest establishment group, or smallest city group will fail to meet the test. This method leads to a threshold of $684 per week or $35,568 per year.", "Alternative 4: 40th Percentile of Full-time Salaried Workers (Nationally) - takes all full-time salaried workers in the United States and calculates the 40th percentile of their wages. This method leads to a threshold of $972 per week or $50,544 per year.", "Alternative 5: Kantor Short Test - is also based on the Kantor method described in the third alternative, but uses the methodology associated with the short-duties test instead of the long-duties test. To do this, DOL took the $684 per week of the Kantor Long Test and inflated it by the average percent wage difference between the long and short test from 1949 through 1975 (149 percent). Multiplying $684 per week by 149 percent yields a Kantor Short Test threshold of $1,019 per week or $52,984 per year.", "Alternative 6: Inflate 1975 Short Test Level - takes the 1975 short- duties test salary level and inflates it to fiscal year 2015 dollars. This leads to a threshold level of $1,100 per week or $57,205 per year."], "subsections": []}, {"section_title": "Appendix III: Data Checks for American Community Survey", "paragraphs": ["The following tables show how the Department of Labor\u2019s (DOL) analysis of the 2016 Overtime Rule in the United States using the analysis of Current Population Survey (CPS) data compares to our analysis using the American Community Survey (ACS) data. This analysis was conducted to support using ACS data as an alternative to CPS data. The methodologies used in our analysis and the DOL analysis are similar, but some adjustments were made to our analysis to attempt to replicate the DOL\u2019s analysis of CPS data because variables were missing from the ACS data. Between the slightly different methodologies and different data sets, we expect the estimates to be of similar magnitudes, but not necessarily identical. The results indicate that our adjustments to the methodology and use of a different data yield similar results and add validity to our estimates for Puerto Rico."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "GAO Acknowledgments", "paragraphs": ["In addition to those named above, Kimberley Granger and Seyda Wentworth, Assistant Directors; Amber Yancey-Carroll, Analyst-in- Charge; Pedro Almoguera and Michael Naretta made key contributions to this report. Also contributing to this report were Jeffrey Arkin, David Blanding, David Chrisinger, Sarah Gilliland, Robin Marion, Jonathan S. McMurray, Sheila R. McCoy, Thomas Moscovitch, Dominic Nadarski, Mimi Nguyen, Karissa Robie, Benjamin Sinoff, Almeta Spencer, Amy Sweet, Anjali Tekchandani, Rosemary Torres Lerma, and Kathleen van Gelder."], "subsections": []}]}], "fastfact": ["View Spanish version of Highlights (PDF, 1 page).", "After Puerto Rico defaulted on $1.5 billion in debt payments, Congress established federal oversight of the U.S. territory's fiscal affairs. This debt crisis coincided with a new Labor Department rule that made more people eligible for overtime pay. A federal court invalidated the rule and that decision has been appealed.", "We found:", "Puerto Rico's GDP has been trending down since 2000", "There is limited federal data on its economy", "The 2016 Overtime Rule would have affected about 4.5% of its workforce, but limited data hindered full analysis", "We recommended that agencies work to include Puerto Rico in more federal economic and labor data reporting."]} {"id": "GAO-17-798T", "url": "https://www.gao.gov/products/GAO-17-798T", "title": "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet", "published_date": "2017-09-07T00:00:00", "released_date": "2017-09-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since January 2017, the Navy has suffered four significant mishaps at sea that resulted in serious damage to its ships and the loss of 17 sailors. Three of these incidents involved ships homeported in Japan. In response to these incidents, the Chief of Naval Operations ordered an operational pause for all fleets worldwide, and the Vice Chief of Naval Operations directed a comprehensive review of surface fleet operations, stating that these tragic incidents are not limited occurrences but part of a disturbing trend in mishaps involving U.S. ships.", "This statement provides information on the effects of homeporting ships overseas, reducing crew size on ships, and not completing maintenance on time on the readiness of the Navy and summarizes GAO recommendations to address the Navy's maintenance, training, and other challenges.", "In preparing this statement, GAO relied on previously published work since 2015 related to the readiness of ships homeported overseas, sailor training and workload issues, maintenance challenges, and other issues; GAO updated this information, as appropriate, based on Navy data."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work shows that the Navy has increased deployment lengths, shortened training periods, and reduced or deferred maintenance to meet high operational demands, which has resulted in declining ship conditions and a worsening trend in overall readiness. The Navy has stated that high demand for presence has put pressure on a fleet that is stretched thin across the globe. Some of the concerns that GAO has highlighted include:", "Degraded readiness of ships homeported overseas : Since 2006, the Navy has doubled the number of ships based overseas. Overseas basing provides additional forward presence and rapid crisis response, but GAO found in May 2015 that there were no dedicated training periods built into the operational schedules of the cruisers and destroyers based in Japan. As a result, the crews of these ships did not have all of their needed training and certifications. Based on updated data, GAO found that, as of June 2017, 37 percent of the warfare certifications for cruiser and destroyer crews based in Japan\u2014including certifications for seamanship\u2014had expired. This represents more than a fivefold increase in the percentage of expired warfare certifications for these ships since GAO's May 2015 report. The Navy has made plans to revise operational schedules to provide dedicated training time for overseas-based ships, but this schedule has not yet been implemented.", "Crew size reductions contribute to sailor overwork and safety risks: GAO found in May 2017 that reductions to crew sizes the Navy made in the early 2000s were not analytically supported and may now be creating safety risks. The Navy has reversed some of those changes but continues to use a workweek standard that does not reflect the actual time sailors spend working and does not account for in-port workload\u2014both of which have contributed to some sailors working over 100 hours a week.", "Inability to complete maintenance on time: Navy recovery from persistently low readiness levels is premised on adherence to maintenance schedules. However, in May 2016, GAO found that the Navy was having difficulty completing maintenance on time. Based on updated data, GAO found that, in fiscal years 2011 through 2016, maintenance overruns on 107 of 169 surface ships (63 percent) resulted in 6,603 lost operational days (i.e., the ships were not available for training and operations).", "Looking to the future, the Navy wants to grow its fleet by as much as 30 percent but continues to face challenges with manning, training, and maintaining its existing fleet. These readiness problems need to be addressed and will require the Navy to implement GAO's recommendations\u2014particularly in the areas of assessing the risks associated with overseas basing, reassessing sailor workload and the factors used to size ship crews, and applying sound planning and sustained management attention to its readiness rebuilding efforts. In addition, continued congressional oversight will be needed to ensure that the Navy demonstrates progress in addressing its maintenance, training, and other challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made 11 recommendations in prior work cited in this statement. The Department of Defense generally concurred with all of them but has implemented only 1. Continued attention is needed to ensure that these recommendations are addressed, such as the Navy assessing the risks associated with overseas basing and reassessing sailor workload and factors used in its manpower requirements process."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today to discuss issues related to Navy readiness in the wake of four significant mishaps at sea thus far in 2017. The most recent of these occurred in August when an Arleigh Burke class destroyer\u2014the USS John S. McCain (DDG 56)\u2014collided with an oil tanker while underway near Singapore. This collision resulted in serious damage to the ship, the loss of 10 sailors, and injury to five more. It was the second collision involving the loss of life for Navy ships underway in the last three months and the fourth significant at sea mishap in the past year. In response to these incidents, the Chief of Naval Operations ordered an operational pause for all fleets worldwide, and the Vice Chief of Naval Operations directed a comprehensive review of surface fleet operations, stating that these tragic incidents are not limited occurrences but part of a disturbing trend of mishaps involving U.S. warships.", "While we await the Navy\u2019s official findings on this matter, you asked us to testify today on findings from our recent Navy readiness reviews. Before we begin, however, it is important to set the context for the challenges the Navy faces. In June 2017, we issued a report highlighting five key mission challenges facing the Department of Defense (DOD). In that report, we noted that the United States faces an extremely challenging national security environment at the same time that it is grappling with addressing an unsustainable fiscal situation in which DOD accounts for approximately half of the federal government\u2019s discretionary spending. Within this environment, DOD is working to both rebuild the readiness of its forces and modernize to meet future threats while facing constrained budgets. Each of the military services today are generally smaller and less combat ready than they have been in many years, and each military service has been forced to cut critical needs in areas such as training, maintenance, and modernization due to budgetary constraints. Put simply, our work has shown that readiness challenges persist across a number of areas including, but not limited to, the Navy.", "This statement provides information on Navy readiness, including the effects of homeporting ships overseas, reducing crew size on ships, and not completing maintenance on time, and summarizes GAO recommendations to address the Navy\u2019s challenges. This statement is based on our body of work issued between 2015 and 2017 examining the readiness of ships homeported overseas, sailor training and workload issues, maintenance challenges, and other readiness issues. To perform our prior work, we analyzed Navy readiness, training, and maintenance data, and interviewed cognizant Navy officials involved in fleet operations. The reports cited throughout this statement contain more details on the scope of the work and the methodology used to carry it out. This statement also includes updates to information as of August 2017, as appropriate, based on Navy documentation and discussions with Navy officials.", "The work on which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since January 2017, the Navy has suffered four significant mishaps at sea that have resulted in serious damage to Navy ships and the loss of 17 sailors (see figure 1). Three of the four at sea mishaps that have occurred\u2014two collisions and one grounding\u2014have involved ships homeported overseas in Yokosuka, Japan. Appendix II provides a summary of major mishaps for Navy ships at sea in fiscal years 2009 through 2017.", "The Navy currently has 277 ships, a 17 percent reduction from the 333 ships it had in 1998. Over the past two decades, as the number of Navy ships has decreased, the number of ships deployed overseas has remained roughly constant at about 100 ships; consequently, each ship is being deployed more to maintain the same level of presence. We reported in September 2016 that the Navy, along with the other military services, had been reporting persistently low readiness levels. The Navy attributes these, in part, to the increased deployment lengths needed to meet the continuing high demand for its aircraft carriers, cruisers, destroyers, and amphibious ships. For example, the deployment lengths for carrier strike groups had increased from an average of 6.4 months during the period of 2008 through 2011 to a less sustainable 9 months for three carrier strike groups that were deployed in 2015. In 2016, the Navy extended the deployments of the Harry S Truman and Theodore Roosevelt Carrier Strike Groups to 8 and 8.5 months, respectively. In addition, the Navy has had to shorten, eliminate, or defer training and maintenance periods to support these high deployment rates. These decisions have resulted in declining ship conditions across the fleet and have increased the amount of time required for the shipyards to complete maintenance on these ships. Lengthened maintenance periods, in turn, compress the time that ships are available for training and operations."], "subsections": []}, {"section_title": "Ships Homeported Overseas Provide Increased Forward Presence but Train Less, Defer More Maintenance, Degrade Faster, and Cost More to Operate", "paragraphs": ["As we previously reported, to help meet the operational demands using its existing inventory of ships, the Navy has assigned more of its surface combatants and amphibious ships to overseas homeports. Since 2006, the Navy has doubled the percentage of the fleet assigned to overseas homeports. In 2006, 20 ships were homeported overseas (7 percent of the fleet); today, 40 ships are homeported overseas (14 percent of the fleet) in Japan, Spain, Bahrain, and Italy; and an additional destroyer will be homeported in Yokosuka, Japan in 2018 (see figure 2).", "According to the Navy, homeporting ships overseas is an efficient method for providing forward presence and rapid crisis response. Our prior work confirms that having ships homeported overseas provides additional presence, but it comes at a cost. For example, we found in May 2015 that homeporting ships overseas results in higher operations and support costs than homeporting ships in the United States. In addition, the operational schedules the Navy uses for overseas-homeported ships limit dedicated training and maintenance periods, resulting in difficulty keeping crews fully trained and ships maintained. In fact, the primary reason that Navy ships homeported overseas provide more deployed time than ships homeported in the United States is that the Navy reduces their training and maintenance periods in order to maximize their operational availability. Ships homeported overseas do not operate within the traditional fleet response plan cycles that apply to U.S.-based ships. Since the ships are in permanent deployment status during their time homeported overseas, they do not have designated ramp-up and ramp- down maintenance and training periods built into their operational schedules (see figure 3). Navy officials told us that because the Navy expects these ships to be operationally available for the maximum amount of time, their intermediate and depot-level maintenance are executed through more frequent, shorter maintenance periods or deferred until after they return to a U.S. homeport\u2014generally after 7 to 10 years overseas.", "In May 2015, we also found that high operational tempo for ships homeported overseas limits the time for crew training when compared with training time for ships homeported in the United States. Navy officials told us that U.S.-based crews are completely qualified and certified prior to deploying from their U.S. homeports, with few exceptions. In contrast, the high operational tempo of ships homeported overseas had resulted in what Navy personnel called a \u201ctrain on the margins\u201d approach, a shorthand way to say there was no dedicated training time set aside for the ships so crews trained while underway or in the limited time between underway periods. We found that, at the time of our 2015 review, there were no dedicated training periods built into the operational schedules of the cruisers, destroyers, and amphibious ships homeported in Yokosuka and Sasebo, Japan. As a result, these crews did not have all of their needed training and certifications. We recommended that the Navy develop and implement a sustainable operational schedule for all ships homeported overseas. DOD concurred with this recommendation and reported in 2015 that it had developed revised operational schedules for all ships homeported overseas. However, when we contacted DOD to obtain updated information for this testimony, U.S. Pacific Fleet officials stated that the revised operational schedules for the cruisers and destroyers homeported in Japan were still under review and had not been employed. As of June 2017, 37 percent of the warfare certifications for cruiser and destroyer crews homeported in Japan had expired, and over two-thirds of the expired certifications\u2014including mobility-seamanship and air warfare\u2014had been expired for 5 months or more. This represents more than a fivefold increase in the percentage of expired warfare certifications for these ships since our May 2015 report. The Navy\u2019s Surface Force Readiness Manual states that the high operational tempo and frequent tasking of ships homeported overseas requires that these ships always be prepared to execute complex operations and notes that this demand for continuous readiness also means that ships homeported overseas should maintain maximum training, material condition, and manning readiness.", "With respect to the material condition of the ships, we found in May 2015 that casualty reports\u2014incidents of degraded or out-of-service equipment\u2014nearly doubled over the 2009 through 2014 time frame, and the condition of overseas-homeported ships decreased even faster than that of U.S.-based ships (see figure 4). The Navy uses casualty reports to provide information on the material condition of ships in order to determine current readiness. For example, casualty report data provide information on equipment or systems that are degraded or out of service, the lack of which will affect a ship\u2019s ability to support required mission areas. In 2015, Navy officials acknowledged an increasing number of casualty reports on Navy ships and a worsening trend in material ship condition. They stated that equipment casualties require unscheduled maintenance and have a negative effect on fleet operations, because there is an associated capability or capacity loss.", "In our May 2015 report, we recommended that the Navy develop a comprehensive assessment of the long-term costs and risks to its fleet associated with the Navy\u2019s increasing reliance on overseas homeporting to meet presence requirements; make any necessary adjustments to its overseas presence based on this assessment; and reassess these risks when making future overseas homeporting decisions. DOD concurred with this recommendation, but, as of August 2017, it has not conducted an assessment, even though it has continued to increase the number of ships homeported overseas."], "subsections": []}, {"section_title": "Size and Composition of Ship Crews May Contribute to Sailor Overwork and Create Readiness and Safety Risks", "paragraphs": ["In the early 2000s, the Navy made several changes to its process for determining the size and composition of ship crews that may contribute to sailor overwork and create readiness and safety risks. These changes were intended to drive down crew sizes in order to save on personnel costs. However, as we reported in May 2017, these changes were not substantiated with analysis and may be creating readiness and safety risks. With fewer sailors operating and maintaining surface ships, the material condition of the ships declined, and we found that this decline ultimately contributed to an increase in operating and support costs that outweighed any savings on personnel (see figure 5). The Navy eventually reassessed and reversed some of the changes it had made during this period\u2014known as \u201coptimal manning\u201d\u2014but it continued to use a workweek standard that does not reflect the actual time sailors spend working and does not account for in-port workload\u2014both of which may be leading to sailors being overworked. Additionally, we found that heavy workload does not end after ships return to port. Crews typically operate with fewer sailors while in port, so those crew members remaining must cover the workload of multiple sailors, causing additional strain and potential overwork.", "In 2014, the Navy conducted a study of the standard workweek and identified significant issues that could negatively affect a crew\u2019s capabilities to accomplish tasks and maintain the material readiness of ships, as well as crew safety issues that might result if crews slept less to accommodate workload that was not accounted for. The Navy study found that sailors were on duty 108 hours a week, exceeding their weekly on-duty allocation of 81 hours. This on-duty time included 90 hours of productive work\u201420 hours per week more than the 70 hours that are allotted in the standard workweek. This, in turn, reduced the time available for rest and resulted in sailors spending less time sleeping than was allotted, a situation that the study noted could encourage a poor safety culture. Moving forward, the Navy will likely face manning challenges, especially given its current difficulty in filling authorized positions, as it seeks to increase the size of its fleet by as much as 30 percent over its current size. Navy officials stated that even with manpower requirements that accurately capture all workload, the Navy will be challenged to fund these positions and fill them with adequately trained sailors at current personnel levels. Figure 6 shows the Navy\u2019s projected end strength and fleet size.", "In our May 2017 report, we found that the Navy\u2019s guidance does not require that the factors it uses to calculate manpower requirements be reassessed periodically or when conditions change, to ensure that these factors remain valid and that crews are appropriately sized. We made several recommendations to address this issue, including that the Navy should (1) reassess the standard workweek, (2) require examination of in- port workload, (3) develop criteria to reassess the factors used in its manpower requirements process, and (4) update its ship manpower requirements. DOD concurred with our recommendations, stating that it is committed to ensuring that the Navy\u2019s manpower requirements are current and analytically based and will meet the needs of the existing and future surface fleet. As of August 2017, DOD had not yet taken any actions to implement these recommendations. We believe that, until the Navy makes the needed changes, its ships may not have the right number and skill mix of sailors to maintain readiness and prevent overworking its sailors."], "subsections": []}, {"section_title": "The Navy\u2019s Inability to Complete Ship Maintenance on Time Hampers Its Efforts to Rebuild Readiness", "paragraphs": ["To address its persistently low readiness levels, the Navy began implementing a revised operational schedule in November 2014, which it referred to as the optimized fleet response plan. This plan seeks to maximize the employability of the existing fleet while preserving adequate time for maintenance and training, providing continuity in ship leadership and carrier strike group assignments, and restoring operational and personnel tempos to acceptable levels. The Navy\u2019s implementation of the optimized fleet response plan\u2014and readiness recovery more broadly\u2014is premised on adherence to deployment, training, and maintenance schedules.", "However, in May 2016, we found that the Navy was having difficulty in implementing its new schedule as intended. Both the public and private shipyards were having difficulty completing maintenance on time, owing primarily to the poor condition of the ships after more than a decade of heavy use, deferred maintenance, and the Navy\u2019s inability to accurately predict how much maintenance they would need. We reported that in 2011 through 2014 only 28 percent of scheduled maintenance for surface combatants was completed on time and just 11 percent was completed on time for aircraft carriers. We updated these data for the purposes of this testimony to include maintenance availabilities completed through the end of fiscal year 2016 and found continued difficulty completing maintenance on time for key portions of the Navy fleet (see figure 7):", "Aircraft Carriers (CVNs): In fiscal years 2011 through 2016, maintenance overruns on 18 of 21 (86 percent) aircraft carriers resulted in a total of 1,103 lost operational days\u2014days that ships were not available for operations\u2014the equivalent of losing the use of 0.5 aircraft carriers each year.", "Surface Combatants (DDGs and CGs): In fiscal years 2011 through 2016, maintenance overruns on 107 of 169 (63 percent) surface combatants resulted in a total of 6,603 lost operational days\u2014the equivalent of losing the use of 3.0 surface combatants each year.", "Submarines (SSNs, SSBNs, and SSGNs): In fiscal years 2011 through 2016, maintenance overruns on 39 of 47 (83 percent) submarines resulted in a total of 6,220 lost operational days\u2014the equivalent of losing the use of 2.8 submarines each year.", "Navy officials are aware of the challenges faced by both the public and private shipyards and have taken steps to address the risks these pose to maintenance schedules, including hiring additional shipyard workers and improving their maintenance planning processes. However, Navy officials have told us that it will take time for these changes to bring about a positive effect. For example, as of May 2016, data on the public shipyards\u2019 workforce showed that 32 percent of all employees had fewer than 5 years of experience. According to Navy officials, this workforce inexperience negatively affects the productivity of the shipyards, and it will take several years for them to attain full productivity."], "subsections": []}, {"section_title": "Navy Readiness Rebuilding is Part of a Broader DOD Effort", "paragraphs": ["In September 2016, we found that although DOD has stated that readiness rebuilding is a priority, implementation and oversight of department-wide readiness rebuilding efforts did not fully include key elements of sound planning, and the lack of these elements puts the overall rebuilding efforts at risk. The Navy states that its overall goal for readiness recovery is to reach a predictable and sustainable level of global presence and surge capacity from year to year. The Navy identified carrier strike groups and amphibious ready groups as key force elements in its plan for readiness recovery and had set 2020 for reaching a predictable and sustainable level of global presence and surge capacity by implementing the optimized fleet response plan. However, we found in 2016 that the Navy faced significant challenges, such as delays in completing maintenance and emerging demands, in achieving its readiness recovery goals for carrier strike groups and amphibious ready groups, and projections show that the Navy will not meet its time frames for achieving readiness recovery.", "As a result, we recommended that DOD and the services establish comprehensive readiness goals, strategies for implementing them, and associated metrics that can be used to evaluate whether readiness recovery efforts are achieving intended outcomes. DOD generally concurred with our recommendations and, in November 2016, issued limited guidance to the military services on rebuilding readiness; it has also started to design a framework to guide the military services in achieving readiness recovery but has not yet implemented our recommendations. The Navy has since extended its time frame for readiness recovery to at least 2021, but it still has not developed specific benchmarks or interim goals for tracking and reporting on readiness recovery. Navy officials cited several challenges to rebuilding readiness, chief among them the continued high demand for its forces, the unpredictability of funding, and the current difficulty with beginning and completing ship maintenance on time.", "In January 2017, the President directed the Secretary of Defense to conduct a readiness review and identify actions that can be implemented in fiscal year 2017 to improve readiness. DOD and Navy officials told us that, as part of this readiness review, the Navy prioritized immediate readiness gaps and shortfalls. These officials added that this review would guide the Navy\u2019s investment decisions in future budget cycles, with the intention to rebuild readiness and prepare the force for future conflicts. However, high demand for naval presence will continue to put pressure on a fleet that is already stretched thin across the globe. Looking to the future, the Navy has plans to grow its fleet by as much as 30 percent, but it has not yet shown the ability to adequately man, maintain, and operate the current fleet. These readiness problems need to be addressed and will require the Navy to implement our recommendations\u2014particularly in the areas of assessing the risks associated with overseas basing, reassessing sailor workload and the factors used to size ship crews, and applying sound planning and sustained management attention to its readiness rebuilding efforts. In addition, continued congressional oversight will be needed to ensure that the Navy demonstrates progress in addressing its maintenance, training, and other challenges.", "Chairmen Wilson and Wittman, Ranking Members Bordallo and Courtney, and Members of the Subcommittees, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff have questions about this testimony, please contact John Pendleton, Director, Defense Capabilities and Management at (202) 512-3489 or pendletonj@gao.gov.", "Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Suzanne Wren, Assistant Director; Steven Banovac, Chris Cronin, Kerri Eisenbach, Joanne Landesman, Amie Lesser, Tobin McMurdie, Shari Nikoo, Cody Raysinger, Michael Silver, Grant Sutton, and Chris Watson."], "subsections": []}]}, {"section_title": "Appendix I: Implementation Status of Prior GAO Recommendations Cited in this Testimony", "paragraphs": ["Over the past three years, we issued several reports related to Navy readiness cited in this statement. Table 1 summarizes the status of recommendations made in these reports, which contained a total of 11 recommendations. The Department of Defense generally concurred with all of these recommendations but has implemented only one of them to date. For each of the reports, the specific recommendations and their implementation status are summarized in tables 2 through 4."], "subsections": []}, {"section_title": "Appendix II: Summary of Major Mishaps for Navy Ships at Sea for Fiscal Years 2009 Through 2017, as of August 2017", "paragraphs": ["The Navy defines a class A mishap as one that results in $2 million or more in damages to government or other property, or a mishap that resulted in a fatality or permanent total disability. We analyzed data compiled by the Naval Safety Center for fiscal years 2009 through 2017 to provide a summary of major Navy mishaps at sea (see table 5)."], "subsections": []}, {"section_title": "Appendix III: Related GAO Products", "paragraphs": ["Report numbers with a C or RC suffix are Classified. Classified reports are available to personnel with the proper clearances and need to know, upon request.", "Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Military Readiness: Coastal Riverine Force Challenges. GAO-17-462C. Washington, D.C.: June 13, 2017. (SECRET)", "Navy Force Structure: Actions Needed to Ensure Proper Size and Composition of Ship Crews. GAO-17-413. Washington, D.C.: May 18, 2017.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: September 7, 2016.", "Navy and Marine Corps: Services Face Challenges to Rebuilding Readiness. GAO-16-481RC. Washington, D.C.: May 25, 2016. (SECRET//NOFORN)", "Military Readiness: Progress and Challenges in Implementing the Navy\u2019s Optimized Fleet Response Plan. GAO-16-466R. Washington, D.C.: May 2, 2016.", "Navy Force Structure: Sustainable Plan and Comprehensive Assessment Needed to Mitigate Long-Term Risks to Ships Assigned to Overseas Homeports. GAO-15-329. Washington, D.C.: May 29, 2015.", "Military Readiness: Navy Needs to Assess Risks to Its Strategy to Improve Ship Readiness. GAO-12-887. Washington, D.C.: September 21, 2012.", "Force Structure: Improved Cost Information and Analysis Needed to Guide Overseas Military Posture Decisions. GAO-12-711. Washington, D.C.: June 6, 2012.", "Military Readiness: Navy Needs to Reassess Its Metrics and Assumptions for Ship Crewing Requirements and Training. GAO-10-592. Washington, D.C.: June 9, 2010.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-19-126", "url": "https://www.gao.gov/products/GAO-19-126", "title": "Modernizing the Nuclear Security Enterprise: NNSA Is Taking Action to Manage Increased Workload at Kansas City National Security Campus", "published_date": "2019-04-12T00:00:00", "released_date": "2019-04-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Modernization of the nation's nuclear stockpile depends on timely procurement and production of nonnuclear parts and components. Such parts and components make up over 80 percent of the items in a nuclear weapon. The Kansas City site procures or produces most of these parts, under NNSA oversight. In fiscal year 2012, the site completed construction of a modern production facility. The new facility was expected to accommodate rising future workload demands, based on the forecasts that were current in 2012, according to Kansas City site contractor representatives.", "The Senate committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to review the Kansas City site's staffing plans and capabilities to meet national security requirements. This report examines (1) workload forecasts for the site since 2012, and (2) management challenges the site has identified for achieving the forecasted workload, and actions the site has taken to mitigate these challenges.", "GAO reviewed NNSA and contractor documents from 2012 through 2018 relevant to workload changes, and associated workload capacity, including information on infrastructure, equipment, and business processes\u2014as well as personnel data. GAO also interviewed NNSA program and field officials and contractor representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["Workload forecasts have significantly changed at the National Nuclear Security Administration's (NNSA) primary site for procuring or producing nonnuclear parts and components of nuclear weapons since the site's modern production facility was built in 2012. Specifically, workload projections made by the contractor operating the site, known as the Kansas City National Security Campus (Kansas City site), has increased significantly from forecasts used in planning the site's new production facility. More recent forecasts show that to meet workload requirements, production and administrative staff will need to almost double by 2020 compared to 2014 levels. For example, workload to modernize the B61-12 and W88 weapons systems will double during fiscal years 2020 through 2022.", "According to NNSA officials and contractor staff, the site has identified and begun to mitigate management challenges to meeting future workload, including:", "Ensuring sufficient production and office space. Because the current space is not sufficient for the increase in projected workload, the site is leasing additional space until long-term solutions, currently in planning, can be implemented.", "Updating production equipment. To update aging production equipment, the site is developing a 10-year equipment strategy, among other things.", "Retaining and recruiting a sufficient workforce. The site has offered rewards and benefits to retain existing staff, about a third of whom are eligible to retire. It is also recruiting skilled new staff in tight labor markets and seeking to expedite security clearances for them.", "Ensuring adequate external supplier capacity. The site procures about 65 percent of its nonnuclear components from external suppliers. The site is assessing capacity and risk of existing suppliers and developing new ones.", "Current mitigation efforts should help the site meet currently planned increased workload and capacity demands, according to contractor and NNSA analyses. However, the February 2018 Nuclear Posture Review\u2014conducted by the Department of Defense under the direction of the President to determine the role of nuclear weapons in the nation's security strategy\u2014may change requirements and add to the site's workload in ways not yet fully known because studies and plans in response to the review are not fully complete."]}], "report": [{"section_title": "Letter", "paragraphs": ["Modernization of our nation\u2019s nuclear stockpile depends on the timely procurement and production of nonnuclear parts and components, which make up over 80 percent of the parts and components that compose a typical nuclear weapon. Delays in or disruption to procurement or production of these parts and components could jeopardize the nation\u2019s ability to accomplish nuclear weapons modernization goals in a timely manner. Most of these parts and components are procured or produced by the contractor operating the Kansas City National Security Campus (Kansas City site). This site operates under the direction and oversight of the National Nuclear Security Administration (NNSA)\u2014a separately organized agency within the Department of Energy (DOE). Honeywell Federal Management and Technologies, LLC, has managed and operated the site since 2000. The most recent management and operating contract for this site began in July 2015. Nonnuclear parts and components that the site provides\u2014through procurement or production\u2014for NNSA include fasteners, electrical interconnects, machined parts, electronic microcircuits, polymers, plastics, foams, and other engineered materials. The Kansas City site is also responsible for quality assurance for all the parts and components it provides.", "In November 2012, the site completed construction of a more modern, leased production facility. The new facility was expected to accommodate increasing future workload demands, based on the forecasts that were current in 2012, according to Kansas City site contractor representatives and NNSA documents. According to these representatives, the workload of the Kansas City site has increased and is currently at the highest level since the end of the Cold War. According to NNSA reports and officials, NNSA will continue to modernize most of the nuclear weapons systems in the U.S. stockpile in the coming years, and some refurbishment efforts currently planned were not reflected in 2012 workload demand forecasts. In addition, the February 2018 Nuclear Posture Review contains policy direction that could further increase the Kansas City site\u2019s workload if eventually implemented.", "We and others have made recommendations to NNSA aimed at improving modernization planning in light of increasing workload. For example, in 2017 we found that the next decade is particularly challenging for NNSA\u2019s nuclear modernization efforts because the agency needs to ensure sufficient production capacity to execute life extension programs (LEP), along with major construction projects and programs to modernize its uranium and plutonium capabilities. We further found that NNSA\u2019s modernization budget estimates for fiscal years 2022 through 2026 may exceed the funding levels programmed for modernization in future budgets, raising affordability concerns, and we recommended that NNSA include an assessment of the affordability of its modernization programs in future versions of its annual plan on stockpile stewardship. Although NNSA did not explicitly agree or disagree with the recommendation, we continue to believe it is valid and are monitoring any actions NNSA takes that may the address the recommendation. In addition, a congressional advisory panel examining the governance of the nuclear security enterprise recommended that NNSA take action to stabilize long-term workload across NNSA\u2019s nuclear security enterprise sites, including its Kansas City site, to better support its weapons modernization efforts.", "The Senate committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to review the Kansas City site\u2019s staffing plans and capabilities to meet national security requirements. This report examines (1) workload forecasts for the Kansas City site since 2012, and (2) management challenges the Kansas City site has identified for achieving the forecasted workload and actions the site has taken to mitigate these challenges.", "To address these objectives, we visited the site and obtained and reviewed workload planning documents, such as NNSA contractor planning charts and graphs showing workload forecast information for future years through 2036. We also interviewed officials from NNSA\u2019s headquarters offices and its Kansas City field office\u2014co-located with the management and operating contractor\u2014as well as contractor representatives at the site. To examine workload forecasts for the Kansas City site since 2012\u2014the year construction was completed for the modern production facility\u2014we obtained information on the Kansas City site workload as full production commences for upcoming modernization efforts, especially the B61-12 gravity bomb LEP and W88 submarine launched ballistic missile Alteration (Alt) 370 work. We also examined steps the Kansas City site has taken to forecast workload demand from 2012 through 2018.", "To examine management challenges the Kansas City site had identified at the time of our review in 2018 for achieving the forecasted workload, and any actions the site has taken to mitigate these challenges, we interviewed NNSA officials and contractor representatives. We then reviewed relevant documentation and data, available at the time of our review in 2018, on the nature of the challenges and any mitigation steps to determine if the Kansas City site is addressing previously identified challenges. Among other things, we reviewed Kansas City site capacity analyses; personnel data regarding worker attrition, aging, retention, and hiring; information on worker clearances; analyses of information on the capacity of external suppliers; and lessons learned from recently completed work on the LEP for the W76-1 submarine-launched ballistic missile warhead. We obtained information on actions the Kansas City site has taken over the past several years, particularly from 2012\u2014when the new modern production facility was built\u2014through 2018, regarding infrastructure, business processes, staffing, and other areas to manage current workload demands. To corroborate information provided by the Kansas City site on management challenges and associated mitigation action(s), we interviewed additional NNSA headquarters officials; reviewed alternative documentation or analyses; and obtained examples of the specific action(s) being taken, when available. See appendix I for more details regarding our objectives, scope, and methodology and for specific examples of steps we took to corroborate the information obtained from the Kansas City site.", "We conducted this performance audit from November 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes the (1) Kansas City site\u2019s role in providing nonnuclear parts and components, and (2) current and planned nuclear weapons stockpile life extension and alteration efforts that drive workload."], "subsections": [{"section_title": "Kansas City Site\u2019s Role in Providing Nonnuclear Parts and Components", "paragraphs": ["The Kansas City site is NNSA\u2019s primary site for procuring or producing nonnuclear parts and components, providing over 80 percent of the parts and components that compose a typical nuclear weapon. The Kansas City site interacts with a number of other NNSA sites that comprise the nuclear security enterprise to support the nuclear weapons stockpile. For example, NNSA\u2019s design laboratories develop precise parts or component specifications or requirements to which production sites, such as the Kansas City site, must conform in procuring or producing these items for use in the nation\u2019s nuclear weapon stockpile. Figure 1 depicts how sites in the nuclear security enterprise interact with each other to design, produce, procure, and assemble nonnuclear components.", "Components procured or produced by the Kansas City site range from simple items such as nuts and bolts to more complex components such as radars, arming and firing mechanisms, and critical nuclear safety devices meant to prevent accidental detonation. The site delivers approximately 100,000 parts annually, according to our previous report. According to Kansas City site contractor documents, the primary mission of the site is keeping the nation\u2019s nuclear stockpile safe, secure, and reliable by delivering mission-critical mechanical, electrical, and engineered material components and services.", "NNSA and the Department of Defense (DOD) jointly manage LEPs and Alts under a multi-step process known as the phase 6.X process (see fig. 2). Phase 6.4 of this process, or the production engineering phase, involves activities to adapt designs for production and prepare production facilities, including the Kansas City site. For example, according to a senior NNSA official, activities to adapt designs could include updating product specifications to make parts easier to produce, changing or refining tester limits, and substituting among commercial off-the-shelf parts. The B61-12 LEP and W88 Alt 370 are currently in phase 6.4 (production engineering) of this process and are approaching production. Other LEP efforts are in earlier phases."], "subsections": []}, {"section_title": "Current and Planned Nuclear Weapons Stockpile Life Extension and Alteration Efforts", "paragraphs": ["NNSA describes its plans to meet nuclear weapons stockpile life extension and alteration goals in two key documents that also describe NNSA\u2019s operations and budget estimates for implementing these plans. These documents, which NNSA updates annually, constitute NNSA\u2019s nuclear security budget materials. First, the Stockpile Stewardship and Management Plan is NNSA\u2019s formal means of communicating to Congress information on modernization and operations plans and budget estimates over the following 25 years. Second, NNSA\u2019s annual justification of the President\u2019s budget provides program information and budget estimates for the following 5 years. This 5-year plan is called the Future-Years Nuclear Security Program (FYNSP), and the budget estimates in this plan reflect amounts approved by the Office of Management and Budget. These estimates align with those presented for the first 5 years included in the Stockpile Stewardship and Management Plan.", "According to the Fiscal Year 2018 Stockpile Stewardship and Management Plan, NNSA and its nuclear security enterprise are conducting a substantial level of activity to ensure the continued credibility of the nation\u2019s nuclear weapons stockpile. Specifically, in fiscal year 2018 NNSA was executing three nuclear weapons LEPs and one major Alt, which are described in table 1.", "In addition, the 2018 Nuclear Posture Review calls for NNSA to resume a program to replace the W78 warhead in fiscal year 2019; produce a low- yield submarine launched ballistic missile warhead, known as the W76-2; and consider options for providing a nuclear warhead for a potential sea- launched cruise missile. According to NNSA officials and contractor representatives, NNSA developed an early production planning roadmap for implementing the Nuclear Posture Review in late 2018. The conference report accompanying DOE\u2019s fiscal year 2019 appropriations act directed the agency to spend a specified amount on the W78 warhead replacement and W76-2 efforts."], "subsections": []}]}, {"section_title": "Projected Workload for the Kansas City Site Has Increased Significantly from 2012 Forecasts", "paragraphs": ["Projected workload for the Kansas City site has increased significantly, based on NNSA\u2019s stockpile plan changes from 2012\u2014when the new modern facility was built\u2014to the 2018 stockpile plan update. A comparison between the 2012 and 2018 plans shows that the start of full production for the B61-12 LEP and the W88 Alt were delayed by approximately 2 years, and their completions were delayed by 3 years from initial schedule estimates in 2012. The 2018 plan also accelerates production of the W80-4 LEP by approximately 5 years. Figure 3 below shows the change in the full production timelines for key weapons systems.", "Using an enterprise risk management approach, the Kansas City site determined that this change in production schedule represented a significant challenge that needed to be better understood and regularly monitored. NNSA contractor representatives at the Kansas City site developed a strategy for analyzing workload to better understand the enterprise risk and ensure the site\u2019s ability to provide an adequate supply of nonnuclear components under variable requirements scenarios. Specifically, in 2015, the Kansas City site increased the frequency of using its \u201cwhat-if\u201d approach that models standard production work and allows for an in-depth review of labor, equipment, and material capacity information, according to contractor representatives at the Kansas City site. This analytic capability is intended to help ensure that the site contractor can accurately predict future workload demand across multiple scenarios representing different production requirements. Contractor representatives update the model every quarter to reflect the current hardware schedules; testing requirements; and nuclear weapon scope, production quantities, and schedules. These representatives use the model to develop hourly staffing, equipment, and other capacity-related forecasts and plans. For example, contractor representatives evaluate capital equipment capacity quarterly for multiple programs, with a primary focus on equipment that is at or above a two-shift capacity. However, according to these representatives, this approach has not been in place long enough to allow comparison of historical data with forecasts from the model to assess their accuracy.", "According to site contractor documents and representatives, forecasting data from the what-if models project that, under the 2018 plans, the full- time equivalent workload for production of nonnuclear parts and components will continue to increase annually through 2020.", "Specifically, the number of production and administrative staff at the time of the relocation to the new facility in 2014 was almost 2,500, based on needs at that time. However, the fiscal year 2018 updates, based on \u201cwhat-if\u201d capacity analyses, now show that the headcount will need to almost double, growing to more than 4,900 administrative and production staff by 2020. For example, according to 2018 \u201cwhat-if\u201d capacity analyses prepared by site contractor representatives, personnel dedicated exclusively to two efforts\u2014the B61-12 LEP and W88 Alt 370\u2014will double from 251 full-time equivalents needed in fiscal year 2018 to over 500 during fiscal years 2020 through 2022, as shown in figure 4.", "Full-time equivalent reflects the total number of regular straight-time hours (i.e., excluding overtime or holiday hours) worked by employees divided by the number of compensable hours applicable to each fiscal year. Annual leave, sick leave, and compensatory time off and other approved leave categories are considered to be \u201chours worked\u201d for purposes of defining full-time equivalent employment. In this figure, the full-time equivalents reflect workload forecasts for hourly production staff only for the B61-12 LEP and W88 Alt 370."], "subsections": []}, {"section_title": "Kansas City Site Has Identified and Begun to Mitigate Several Management Challenges Related to Forecasted Workload, Which May Further Increase", "paragraphs": ["NNSA officials and contractor representatives at the Kansas City site have identified and begun to mitigate several management challenges to meeting the forecasted workload for known future production requirements, but they face uncertainties about future workload demands. Specifically, current mitigation efforts should help the site meet currently forecasted increased workload and capacity demands, according to NNSA analysis and consistent with the program plan included in the Fiscal Year 2018 Stockpile Stewardship and Management Plan. However, the February 2018 Nuclear Posture Review, the results of which were not fully reflected in the Fiscal Year 2018 Stockpile Stewardship and Management Plan, may change requirements and add to the site\u2019s workload because it calls for additional weapons efforts."], "subsections": [{"section_title": "Current Efforts to Mitigate Identified Challenges Should Support Meeting Forecasted Future Workload Increases at the Kansas City Site", "paragraphs": ["Kansas City site contractor representatives have identified management challenges that could affect the site\u2019s ability to meet forecasted future workload increases based on 2018 analyses and its Enterprise Risk Management process, and NNSA officials agreed with the challenges the contractor representatives identified. These management challenges include ensuring that the site has (1) sufficient production and administrative office space, (2) up-to-date production equipment, (3) a sufficient workforce with necessary security clearances, (4) capable and reliable external suppliers, and (5) complete weapons designs early enough in development to minimize production changes and delays. The Kansas City site has identified strategies to mitigate the effects of each of these management challenges and has begun taking steps to implement these strategies.", "NNSA\u2019s Enterprise Modeling and Analysis Consortium NNSA\u2019s Enterprise Modeling and Analysis Consortium is composed of NNSA site representatives and program representatives from NNSA\u2019s Defense Programs offices and is a principal source for NNSA model- informed analytics for decisions about stockpile stewardship program management, policy, and implementation. The consortium conducts modeling based on common data sets and assumptions of current and planned stockpile plans, design alternatives, commodity requirements, and nuclear security enterprise capacity. One of the consortium\u2019s projects includes analyzing the nuclear security enterprise\u2019s capacity to execute the nuclear weapon production program of record to identify any important issues or bottlenecks within or between sites.", "NNSA analysis concludes that current mitigation efforts initiated at the Kansas City site should support currently planned increased workload and an increased capacity to achieve the 2018 workload forecast. Specifically, according to analyses conducted by NNSA\u2019s Enterprise Modeling and Analysis Consortium, the Kansas City site\u2019s operations will be stressed above current capacity for multiple consecutive years in the future, and current mitigation efforts should reduce risk associated with the elevated workload. In addition, NNSA Kansas City Field Office and headquarters officials said that they have high confidence in the ability of the Kansas City site to forecast and manage infrastructure and staffing needs at the site to support currently planned nuclear weapon stockpile life extension needs over the coming decades. In particular, NNSA\u2019s recent annual performance evaluation reports\u2014which document the contractor\u2019s overall performance for a fiscal year\u2014show that the Kansas City site contractor has delivered the vast majority of hardware on time, within budget, and in a safe and secure environment."], "subsections": [{"section_title": "Production and Administrative Office Space", "paragraphs": ["Kansas City site officials indicated that ensuring adequate production and administrative office space at the site is a management challenge because the current facility is too small to accommodate future workload. Specifically, forecasted workload demand has grown significantly since the modern facility was built in 2012. The new facility, which accommodates both production and administrative staff, replaced a deteriorating World War II-era facility that was much larger and had significant maintenance and operations costs, according to site contractor representatives. For example, according to NNSA documents, the move reduced the footprint of the site\u2019s production activities from about 3 million square feet to 1 million square feet. According to site contractor representatives, the modern facility was designed to be more flexible in accommodating changes in the production line. For example, equipment can more easily be removed or installed at any location in the facility, to accommodate increased workload, because there is ready access to electrical, ventilation, or other necessary hookups and connections. Figure 5 shows a photo of the new facility.", "The Kansas City site has identified that it needs an additional 250,000 square feet of production space in 2019 and ultimately a total of an additional 400,000 square feet to support the forecasted workload and associated staff increase. To mitigate the challenge of insufficient production and administrative space to support the forecasted increase in production staff, Kansas City site officials told us they are pursuing multiple short- and long-term strategies.", "With respect to production space, under the short-term plan the Kansas City site is pursuing a temporary lease of commercial space to allow for the offsite storage of unclassified materials that are currently at the production facility. According to site contractor representatives, this new lease would free up production space at the main site. Further, the site submitted a request to NNSA for leasing an additional 250,000 feet of production space\u2014an increase of almost 30 percent over current production space in the modern facility. Kansas City site contractor representatives stated that the cost of this lease will be based on competitive offers, and they expect the lease to be awarded by summer 2019.", "With respect to administrative office space, the site has leased more than 150,000 square feet of space since 2014 for the short term at a cost of more than $3.5 million per year.", "Under the long-term plan, expected to take a minimum of 5 years to implement, the site will complete an analysis of alternatives and submit a combined office and production space expansion project plan to NNSA, which will determine final costs and timelines. Currently, the mission need statement for the project indicates the need for over 400,000 square feet of additional production and administrative space to accommodate the planned increased workload for known production and supporting administrative requirements\u2014an increase of roughly 50 percent over current leased production space. According to Kansas City site contractor representatives, at this early stage, costs would be based on the current Kansas City site lease of $43 per square foot, or roughly $17 million per year. This long-term plan would include space for approximately 1,200 administrative personnel. Kansas City site contractor representatives told us in September 2018 that, depending on the selected long-term solution, the short-term leases for administrative space could either be terminated or modified into long- term arrangements.", "In 2017, we reported in our high risk list update that federal agencies have not demonstrated that they have the capacity to reduce their reliance on costly leases, particularly high-value leases\u2014defined as $2.85 million and above per year in lease costs\u2014where owning properties would be less costly in the long run. In particular, we reported that the General Services Administration had not implemented our 2013 recommendation to develop a strategy to increase ownership of investments for a prioritized list of high-value leases where ownership would be less expensive in the long run. The Kansas City site\u2019s plans for significantly expanding its production and office space underscores the challenges that exist in meeting these space needs while at the same time limiting overall reliance on costly leases."], "subsections": []}, {"section_title": "Production Equipment", "paragraphs": ["NNSA and its contractor at the Kansas City site have identified challenges in ensuring that the plant has up-to-date production equipment. Recapitalizing equipment was not a significant part of the move to the new modern production facility, according to site contractor representatives. Information from NNSA\u2019s Master Asset Plan 2017, for example, states that most of the equipment used for producing nonnuclear parts and components at the Kansas City site is nearing or past the end of its useable life\u2014defined as 15 years. Specifically, as shown in figure 6 below, 39 percent of the equipment at the Kansas City site is from 6 to 15 years old, and 27 percent is 16 years old or more, according to the plan. Much of the oldest equipment is located in functional areas used for machining, refurbishment, and dismantlement operations, or for production functions using rubber and plastics. The oldest piece of equipment still maintained is more than 60 years old.", "In addition to age-related challenges, officials at the Kansas City site identified equipment challenges regarding capacity, based on an equipment workload forecast analysis performed in 2015. For example, according to this forecast, starting late in calendar year 2019, demand for vibration- and shaker-test equipment will become consistently greater than existing capacity, requiring additional equipment.", "To address these challenges, Kansas City site contractor representatives stated that they evaluate equipment needs across the facility at least annually, based on production and maintenance schedules. The representatives then develop a master list of equipment requests\u2014 weighted for risk, age and condition of existing equipment, and whether an external supplier can provide the functional need, among other factors\u2014and ranked according to current and future business needs, according to these officials and contractor representatives. NNSA officials at the Kansas City site and senior contractor representatives then review the master list to determine priorities for equipment purchases. Site contractor representatives are developing a 10-year equipment strategy, expected to be completed in December 2019, to sharpen focus on the future needs of the production facility to support capacity and capability, according to NNSA officials at the Kansas City site.", "Budgets for equipment procurements at the Kansas City site vary from year to year and are subject to change. According to Kansas City site contractor representatives, the site is regularly adjusting and communicating its equipment needs to reflect the results of equipment evaluations to ensure that the funding NNSA will request for equipment procurement is adequate. For example, according to Kansas City site contractor representatives, the site originally received $4.5 million in fiscal year 2018 to fund planned equipment procurements and received an additional $13.4 million from NNSA in April 2018 to move fiscal year 2019 work scope into fiscal year 2018. The remaining funding available is $11.6 million, which covers the remaining fiscal year 2019 work scope. Site plans for fiscal year 2018 specifically included capital equipment replacement and upgrades needed for parts assembly, electronics and fabrication, and non-destructive testing of nonnuclear parts and components.", "For fiscal year 2019, planned procurements include equipment for testing of parts and components, rubber- and plastics-related production, precision milling, machining and welding, paint and heat treatment, fabrication, and chemical processing. NNSA officials at the Kansas City site stated that planned budgets for fiscal years 2019 through 2023\u2014 which currently include $8 million in equipment procurements and $2 million for area modifications for each of the 5 years\u2014are subject to adjustment based on ongoing evaluation of site equipment needs. These estimates could change, depending on the outcome of the 10-year equipment strategy, according to NNSA Kansas City site officials and contractor representatives.", "In addition to new equipment procurements, the Kansas City site has developed other mitigation plans also focused on equipment capacity risks. For example, these plans include options such as better allocating equal workload amongst similar equipment, and additional batching of material, according to Kansas City site officials. The batching of material processed by a certain set of equipment increases efficiencies because it consolidates material into larger portions, which minimizes inefficiencies associated with starting and stopping the equipment multiple times, according to NNSA contractor representatives."], "subsections": []}, {"section_title": "Workforce", "paragraphs": ["Kansas City site officials and contractor representatives have identified three management challenges in ensuring the site can achieve a sufficient contractor workforce to meet forecasted future workload: (1) retention of existing staff, (2) recruiting skilled staff in a competitive job market, and (3) obtaining security clearances for new staff in a timely manner. To address these challenges, the site has been taking actions to retain existing staff, hiring and recruiting hundreds of new staff, and working to speed the security clearance process, according to site contractor representatives.", "Kansas City site contractor representatives said that retaining existing staff is challenging because the majority of the workforce falls into either of two categories: (1) recent, younger hires who have a high attrition rate, or (2) staff eligible to retire. More than half (53 percent) of all staff have 5 years or less of service working at the site (see fig. 7).", "In addition, approximately 32 percent of the Kansas City site\u2019s contractor staff are eligible to retire. Figure 8 shows the distribution of staff by age at the Kansas City site, with the highest number in their late 50s and the next highest number in their late 20s.", "According to Kansas City contractor representatives and NNSA documents, site strategies for retaining newly hired and retirement-eligible staff include improvements in rewards and recognition programs, along with an emphasis on pay for performance. Contractor representatives also noted that the site offers telecommuting from a home office for those approved, flexible work hours\u2014such as working 9-hour days to allow for a day off every 2 weeks\u2014and flexible work options, including part-time employment.", "To better retain retirement-eligible staff the site has also created talking points to better prepare managers to discuss retirement and delayed retirement, covering topics such as the potential for reduced hours or returning to work after retirement, consistent with certain restrictions and policies. Because of these steps, according to Kansas City contractor representatives, many retirement-eligible staff are electing to continue to work; projected retirements are less than 20 percent of those eligible for retirement, based on actual retirement data for years 2013 to 2017. For example, although an employee may be eligible to retire at age 55 with at least 25 years of service, contractor representatives we interviewed noted that most retirements on average are at age 62 with 30 years of service.", "Kansas City site contractor representatives we interviewed have identified a management challenge in recruitment because of a gap between the critical technical skills needed at the site and those available in the local labor market. In particular, they cited high demand for skilled labor in the Kansas City area and low unemployment in the labor market at 4 percent, which can make it difficult to fill positions. Contractors at the site said that filling skilled positions can take an average of 58 days and that certain positions, such as electrical engineers and toolmakers, are particularly difficult to fill.", "Kansas City site contractors noted that they have taken actions to mitigate this challenge. These actions, which contractor site representatives have characterized as largely successful, include participation in and development of university relations programs, involvement in research and development partnerships and consortiums, recruitment from area trade schools and technical schools, and expanding the market area in which the site searches for recruits. For example, contractors noted the site\u2019s participation in a service academy career conference in San Diego, California, in August 2018. They also said they are considering ways to recruit skilled positions that are in high demand, such as toolmakers, by offering to cover relocation expenses for newly hired workers. They further noted that the site maintains an internship program and has plans to double the number of interns, from 35 in 2018 to 71 in 2019, as a strategy to increase talent in critical areas.", "According to Kansas City site contractor representatives, the site increased the total number of contractor staff by about 65 percent in a 4- year period, from 2,492 in August 2014 to 4,134 in August 2018, and is expected to continue to increase to nearly 5,000 staff by August 2019. Figure 9 shows the change in number of Kansas City site staff during the last fiscal year for which data are complete, and the reasons for the changes, as reported to us by site contractor representatives. To meet forecasted workload increases, the site plans to continue to increase staff in each year through 2020, with the numbers of planned annual hires ranging from 800 to more than 1,000 staff, according to site contractor representatives.", "Obtaining Timely Security Clearances for New Staff Kansas City site officials identified a challenge in obtaining appropriate, high-level security clearances for new staff on a timely basis. Contractor representatives we interviewed noted that 100 percent of staff who directly contribute to the design, disposition, fabrication, inspection, scheduling, and protection of products and services related to nuclear weapons require a Q clearance. They further noted that the large majority of support functions also require a Q clearance. As we reported in March 2018, the National Background Investigation Bureau had a backlog of more than 700,000 investigations as of February 2018. As we reported, this backlog was caused in part by two 2015 breaches of Office of Personnel Management personnel records. We designated the government-wide personnel security clearance process as a high-risk area in January 2018.", "Of this national backlog, 3,609 were investigations of Q applicants. As of April 2018, over 790 Kansas City site personnel were awaiting Q clearances, according to Kansas City site contractor representatives. According to these representatives, historically, the Bureau took 80 days, on average, to investigate most Q applicants prior to the 2015 breaches; however, as of February 2018, the Bureau took 316 days, on average, to do so. According to Kansas City site contractor representatives, the Bureau is not projecting normal operations until late 2019 or early 2020. From fiscal year 2017 through March 2018, 778 Q clearances were granted for the Kansas City site, with an average of 335 days at the Bureau and another 27 days at NNSA to make a final determination. According to site contractor representatives, these long wait times may contribute to less than full employee utilization at the site. For example, they noted that fully cleared staff are able to perform roughly 38 percent more productive work than uncleared staff, and that difference amounts to approximately 695 direct labor hours of productive work per person in a year.", "The Kansas City site is taking steps to mitigate the challenges associated with the Bureau\u2019s backlog. For example, the site is hiring hourly production factory staff well in advance of the full production schedule for the B61-12 and W88 Alt 370 weapons systems in fiscal year 2019, in part to ensure these staff will be cleared in time to meet workload demands, according to site contractor representatives. Site contractor representatives told us that they have also worked to expedite the issuance of clearances by working with local Office of Personnel Management officials on interviews for clearance cases. In addition, the site has worked to ensure that new staff can be trained and productive while awaiting clearances. Specifically, according to contractor representatives, the site has established segregated training space for uncleared workers; created security plans and escorting practices that allow uncleared staff supervised access into secure areas to perform unclassified work, where possible; and temporarily converted some production space into areas where uncleared staff can perform unclassified hand assembly work.", "In addition, the Kansas City site has requested 339 interim Q clearances, 267 of which had been approved, as of January 2018. DOE\u2019s order that establishes requirements for processing and granting security clearances allows for interim security clearances to be issued under exceptional circumstances and when such action is clearly consistent with agency and national interests. DOE considers interim clearances to be temporary measures pending completion of the investigation, which must be in process when the interim clearance is granted. As of September 2018, less than 1 percent of interim clearances approved for the Kansas City site had been cancelled once full investigations were completed, according to site contractor representatives."], "subsections": []}, {"section_title": "External Suppliers", "paragraphs": ["Kansas City site contractor representatives identified challenges regarding the site\u2019s monitoring and management of external suppliers\u2019 capacity and skills, and other challenges\u2014such as ensuring that suppliers are willing to establish long-term partnerships with the Kansas City site\u2014 that could affect supply chain risk. Since the site procures about 65 percent of its nonnuclear components from external suppliers, these management challenges are highly important, according to site contractor representatives. For example, disruption to the established supply chain due to insufficient capacity, skills, or a supplier\u2019s decision not to do business with the Kansas City site can result in production delays. According to Kansas City site contractor representatives, delays in such instances are possible because site contractor representatives would need to take additional time to either replace the lost supplier or develop its own production line to produce the parts in-house at the Kansas City site.", "To help mitigate challenges regarding the site\u2019s overall monitoring and management of suppliers\u2019 capacity, skills, and other risks, the Kansas City contractor representatives said that they developed two key analytic tools. These tools are a Supplier Capacity Analysis Tool, developed in 2018, and a Supplier Overall Risk Tool, which has been evolving since 2015, according to these representatives. According to Kansas City site officials, contractor representatives use these analytical tools to evaluate over 230 suppliers on a quarterly basis and to evaluate the top 39 suppliers monthly. The evaluations assess factors such as operational performance and financial health, whether a supplier is the sole commodity supplier, and a supplier\u2019s willingness to partner with the site.", "To help mitigate supplier capacity risks, the site develops plans, using information from the supplier evaluations, to ensure sufficient external supplier capacity, according to Kansas City site contractor representatives. For example, Kansas City site contractor representatives used the supplier capacity analysis tool to identify capacity gaps for at- risk commodities, including machine parts, and to develop gap-closure plans, according to these contractor representatives. As a result of these plans, contractor representatives certified two new suppliers and entered into agreements with several other suppliers to provide reserve capacity. In addition, NNSA\u2019s Enterprise Modeling and Analysis Consortium conducted alternate analysis on the Kansas City site\u2019s workload capacity that corroborated the Kansas City site\u2019s conclusion that mitigation steps being taken at the Kansas City site, including ensuring adequate external supplier capacity, should address increased workload concerns.", "To help mitigate risks regarding suppliers\u2019 skills in working with the Kansas City site, site contractor representatives also said that the site has taken steps to help train new suppliers. For example, site contractor representatives perform multiple on-site training exercises within the first 6 months of new supplier relationships. These exercises educate the suppliers on purchase order requirements, terms, drawing definitions, and quality expectations using a documented, comprehensive, nine-step process, according to site contractor representatives.", "To help mitigate risks regarding suppliers\u2019 willingness to establish long- term partnerships with the Kansas City site, site contractor representatives told us that they have begun taking steps to encourage and foster long-term partnerships with suppliers. According to these representatives and a study NNSA conducted of lessons learned from an essentially complete warhead life extension program, facilitating effective supply chains for the nuclear enterprise requires enduring business relationships with suppliers of commercial off-the-shelf components. Because specifications for weapons components and materials are exacting and quantities required are frequently low, many potential suppliers are reluctant to expose themselves to the risk of production for a niche market, according to Kansas City site officials and contractor representatives. To mitigate reluctance to partner with the Kansas City site, contractor representatives stated that the site has developed points of contact with each supplier. These points of contact work toward establishing and maintaining a collaborative partnership in which production forecasts are routinely shared and performance metrics are discussed to foster continuous improvement when needed.", "In addition, Kansas City site contractor representatives stated that the site is taking steps to develop relationships with other sites to address site- wide challenges regarding supplier evaluations, which can contribute to risks such as lower efficiency and effectiveness and higher costs. The site is taking this action in response to a July 2018 DOE Office of Inspector General (OIG) report that identified the potential duplication of supplier evaluations among NNSA sites, including the Kansas City site, resulting in lower efficiency and effectiveness, and higher costs. The OIG report noted that the need to minimize duplication of efforts will become even more important when considering the additional demands on production related to upcoming weapon refurbishment efforts, which are expected to increase the number of supplier quality auditors needed by the Kansas City site. The OIG recommended that to maximize efficiencies and effectiveness, NNSA should work with contractors, including the Kansas City site, to assess ways to improve the efficiency of supply chain management activities, among other things.", "Steps the Kansas City site has taken in response to this OIG report include establishing a point of contact with Sandia National Laboratories, which is leading an overarching effort across the nuclear security enterprise to address duplication concerns, according to site contractor representatives. In addition, a December 2018 report to the President by DOD, in consultation with other agencies, identified supply chain risks in the government\u2019s manufacturing and defense industrial base, including at DOE and NNSA sites, and recommended that DOE establish an Industrial Base Analysis and Sustainment program to address risks within the energy and nuclear sectors. According to NNSA officials at the Kansas City site, they are still determining how it will respond to this recommendation."], "subsections": []}, {"section_title": "Weapons Design Changes", "paragraphs": ["With increasing concurrency of production forecasted, Kansas City contractor representatives have identified challenges regarding their need to minimize weapons design changes during production, which in the past contributed to cost increases and schedule delays for the W76-1 life extension. According to Kansas City contractor representatives and NNSA officials, at least two general weapons design issues can contribute to overall schedule pressure at the Kansas City site. For example, delays due to design changes intended to make parts easier to produce can exacerbate schedule delays by compressing the overall weapons refurbishment schedule. In addition, design changes are undertaken for other reasons, such as in response to weapons testing results.", "First, according to NNSA\u2019s B61-12 program manager, even though both design laboratories and production site team members advocate for the design changes that make parts easier to produce, the enterprise-wide impact of these changes late in the design process may, as site contractor representatives noted, impact the LEP\u2019s schedule and may require more resources and plant/vendor capacity to meet the schedule. According to this official, given the resource demands of simultaneously occurring major weapons refurbishments, such as the B61-12 and W88 Alt 370, schedule impacts can be magnified and have caused justifiable concern with leadership at NNSA, the design laboratories, and the Kansas City site.", "Second, Kansas City site officials expressed concern that some component design requirements continue to change late in the production development phase, sometimes because of test results, which creates tension between improving the design and stabilizing production requirements and processes in preparation for full-scale production. Kansas City site officials stated that such design changes pose an ongoing management challenge. Specifically, time lost because of design delays in the earlier stages of weapons\u2019 design and development often needs to be recovered later, during time allotted for production, to meet established delivery schedules, according to Kansas City site officials. Such delays have triggered the need for schedule recovery plans at the Kansas City site in the past.", "In response to the concerns, NNSA has led several mitigation steps to address schedule risk as both the B61-12 and W88 Alt 370 enter the final stages before full production begins, according to NNSA\u2019s B61-12 program manager. For example, NNSA revised its baseline change process for the B61-12 and W88 Alt 370 to require all changes, including production-related changes, to be reviewed, according to NNSA\u2019s B61-12 program manager. Specifically, NNSA implemented a change management board with several tiers for review and approval of proposed design changes based on the type of change, and potential impact to program milestones, cost, and risk. Varying levels of required review and approval, depending on the change, can include NNSA production and design agency officials, senior site managers, B61-12 or W88 Alt 370 project officers, or other senior managers at DOD and NNSA. The intent, according to this official, is to screen all the changes and determine if they are really needed and when, and if site-wide resources and schedules can support the changes.", "In addition, Kansas City site contractor representatives said that they have developed management strategies to help mitigate production- related impacts of design changes, such as adding work shifts to increase production output. For example, an August 2017 analysis by Kansas City site contractor representatives shows the use of three shifts\u2014both partial and full shifts\u2014to meet workload demand in multiple functional areas, including production of cables, high voltage assembly, encapsulation and welding, arming and firing mechanisms, machining, and environmental and pressure laboratories. Using additional shifts can help the Kansas City site recover from schedule delays that might result from late design changes, according to site contractor representatives. Moreover, lessons learned from the W76-1 LEP\u2014which will complete production in 2019\u2014 are helping to improve coordination between production sites and design agencies, specifically through increased coordination earlier in the weapon development process, according to Kansas City site contractor representatives."], "subsections": []}]}, {"section_title": "Further Changes to Stockpile Requirements Are Anticipated, Which May Affect Existing Workload Plans at the Kansas City Site", "paragraphs": ["While current efforts to mitigate the challenges Kansas City site contractor representatives have identified are expected to help address the site\u2019s anticipated future workload, as discussed previously, this workload could further increase if certain 2018 Nuclear Posture Review policy statements, based on nuclear weapons stockpile studies now underway in response to the review, result in changes to production requirements. For example, the Nuclear Posture Review called for modifying existing sea-launched ballistic missile warheads to provide a low-yield option; advancing a program to replace the W78 Intercontinental Ballistic Missile warhead by 1 year; the study of a sea-launched, nuclear-armed cruise missile; and sustaining the B83 strategic nuclear bomb past its currently planned retirement date. NNSA and DOD are developing studies and implementation plans for the 2018 Nuclear Posture Review, but it is too soon to know to what extent these studies and plans may affect the Kansas City site. One early indication of how implementing the 2018 Nuclear Posture Review may affect the Kansas City site is that, according to the Fiscal Year 2019 Stockpile Stewardship and Management Plan, concurrent production of the W80-4 LEP and the W78 replacement LEP is now expected to extend into the 2030s. In addition, the 2019 plan anticipates that alts may be needed to sustain the B83, if the weapon system remains in the stockpile for long enough.", "We concluded in an April 2017 report that the new Nuclear Posture Review comes during a particularly challenging decade for NNSA\u2019s nuclear modernization efforts, as the agency plans to simultaneously execute at least four nuclear LEPs along with major construction projects, such as efforts to modernize NNSA\u2019s uranium and plutonium capabilities. We further concluded that NNSA\u2019s modernization budget estimates for fiscal years 2022 through 2026, which reflected past program plans, may exceed the funding levels programmed for modernization in future budgets, raising affordability concerns. Moreover, we concluded that NNSA had not addressed a projected \u201cbow wave\u201d of future funding needs\u2014that is, an impending and significant increase in requirements for additional funds\u2014or the mismatch between potential funding needs and potential funding available even before the Nuclear Posture Review was completed. We recommended that NNSA include an assessment of affordability of NNSA\u2019s portfolio of modernization programs in future versions of the Stockpile Stewardship and Management Plan\u2014for example, by presenting options NNSA could consider to bring its estimates of modernization funding needs into alignment with potential future budgets. NNSA did not explicitly agree or disagree with our recommendation, but we will continue to monitor any action NNSA takes in response to the recommendation.", "In addition to addressing affordability concerns, NNSA has been advised to stabilize long-term workload at operating sites. A congressional advisory panel examining the governance of the nuclear security enterprise issued a report in November 2014 recommending, among other things, actions intended to stabilize long-term workload at operating sites. In particular, it recommended that NNSA, working with DOD, create a long-term operating plan to support the nation\u2019s warhead modernization strategy; it further specified that this plan should be designed to create a relatively stable, long-term workload. The panel\u2019s report stated that a stable baseline of design, engineering, and production is needed to make effective use of the available capabilities in the weapons complex, provide the basis for sizing and modernization of the weapons complex, and identify potentially conflicting demands on available capabilities. While NNSA has taken some actions in response to this recommendation, an expert panel concluded in March 2018 that NNSA\u2019s overall response had been inadequate and called for NNSA to develop, among other things, an integrated strategic plan for the entire nuclear security enterprise. The panel concluded that, given NNSA\u2019s expected increase in workload across the nuclear weapons complex, and the new 2018 Nuclear Posture Review uncertainties, NNSA\u2019s ongoing implementation of this and other recommendations made by the Panel over the next several years will take on additional importance."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to NNSA for its review and comment. NNSA provided technical comments, which we incorporated into this report, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of the National Nuclear Security Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Senate committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to review the Kansas City site\u2019s staffing plans and capabilities to meet national security requirements. Our report examines (1) workload forecasts for the Kansas City site since 2012, and (2) management challenges the Kansas City site has identified for achieving the forecasted workload and actions the site has taken to mitigate these challenges.", "To examine workload forecasts for the Kansas City site since 2012, we visited the site, obtained and reviewed workload documents, and interviewed officials from the National Nuclear Security Administration\u2019s (NNSA) Kansas City site office and headquarters offices, and NNSA contractor representatives at the site. In particular, we obtained information on the Kansas City site forecasted workload based on fiscal years 2012 and 2018 Stockpile Stewardship and Management Plans (SSMP), comparing full production schedules, including upcoming B61-12 Life Extension Program (LEP) and W88 Alteration (Alt) 370 work. Because the design and capacity of the modern production facility, completed in 2012, was based largely on the 2012 SSMP and previous plans, we used this as the baseline plan. We then compared nuclear weapons systems LEP and Alt schedules in the 2012 SSMP with the 2018 SSMP because Kansas City contractor representatives told us that plans and associated workload had changed significantly by 2018. In addition, we reviewed Kansas City contractor information provided by the \u201cwhat-if\u201d capacity analyses tool, including graphs and charts depicting workload for each weapons system undergoing LEPs or Alts. Whenever possible, we validated or corroborated contractor-forecasted data on workload and facility capacity by reviewing other sources such as NNSA\u2019s Enterprise Modeling and Analysis Consortium analysis and conclusions and SSMP information.", "To examine management challenges the Kansas City site has identified for achieving the forecasted workload, and any actions the site has taken to mitigate these challenges, we visited the Kansas City site, obtained and reviewed documentation, and interviewed NNSA and contractor officials who identified management challenges in five areas: ensuring that the site has (1) sufficient production and administrative office space, (2) up-to-date production equipment, (3) a sufficient workforce, (4) capable and reliable external suppliers, and (5) complete weapons designs early enough in development to minimize production changes and delays. We selected these five areas for review based on NNSA officials\u2019 and contractor representatives\u2019 identification of such challenges as being the most significant at the Kansas City site.", "To corroborate information on management challenges and associated mitigation action(s) provided by the Kansas City site, we conducted interviews with additional sources, reviewed alternative documentation or analyses, and obtained examples of the specific action(s) being taken, when available. For example, regarding the first management challenge of ensuring adequate production and administrative office space, we reviewed Kansas City site information, including information on space in the modern facility, the mission needs statement for expanding the site\u2019s space, and NNSA budget justifications for fiscal years 2018 and 2019. We also obtained information on short- and long-term plans for meeting forecasted workload demands.", "Regarding the second management challenge\u2014ensuring it has up-to- date production equipment\u2014we reviewed Kansas City site information and information from an alternative source. Specifically, we reviewed NNSA\u2019s 2017 Master Asset Plan, which provided additional information and alternate analyses concerning the age of the Kansas City site\u2019s production equipment. Regarding the third management challenge\u2014 ensuring a sufficient, capable, and security-cleared workforce\u2014we reviewed both site-level information and information from other sources, including from NNSA and the Department of Energy (DOE). For example, we reviewed NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship and Management Plan, which also includes workforce information and analyses. In addition, we asked the Kansas City site contractor representatives and NNSA officials for additional clarification and detail concerning the management challenges and mitigation actions, as well as specific examples to support their statements. For issues related to the clearance process, we contacted DOE officials to obtain information on DOE supplemental guidance for interim clearance mitigation steps. To confirm the accuracy of staffing-related information provided by Kansas City site contractor representatives, we obtained information from these representatives on how the site performed certain calculations, such as determining the change in number of Kansas City site staff; number of Kansas City site staff, by years of service; and distribution of Kansas City staff, by age. We reviewed the various formulas Kansas City contractor representatives used in preparing its analyses in order to understand the logic used in making these determinations. Furthermore, we validated that these calculations were accurate by independently performing the calculations to see if our results matched the site\u2019s results.", "For information concerning the fourth management challenge\u2014ensuring capable and reliable external suppliers\u2014we interviewed a senior NNSA headquarters official overseeing NNSA\u2019s Enterprise Modeling and Analysis Consortium, which conducted alternate analyses on the Kansas City site\u2019s workload capacity, equipment, and workforce. The Consortium corroborated the Kansas City site\u2019s conclusion\u2014that mitigation steps being taken at the Kansas City site should address increased workload concerns. Regarding the fifth and last management challenge\u2014ensuring complete weapons designs early in development to ensure that production changes and delays are kept to a minimum\u2014we reviewed the W76 lessons learned report, which also describes design completion issues affecting the Kansas City site. In addition, we interviewed NNSA\u2019s B61 program manager to obtain additional perspective on design-related challenges facing upcoming B61-12 refurbishments.", "We conducted this performance audit from November 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Allison B. Bawden, (202) 512-3841 or bawdena@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Jonathan Gill (Assistant Director), Christopher Pacheco (Analyst in Charge), and Sophia Payind made significant contributions to this report. Also contributing to this report were Elizabeth Dretsch, R. Scott Fletcher, Thomas Gilbert, Richard Johnson, Cynthia Norris, Jeanette Soares, and Sara Sullivan."], "subsections": []}]}], "fastfact": ["In the United States, nuclear weapons contain over 80 percent non-nuclear parts. Most of these parts are procured or produced by the National Nuclear Security Administration's site in Kansas City. This site constructed a new facility in FY 2012.", "However, we found that workload projections have increased significantly from forecasts used to plan this facility\u2014for instance, production and administrative staff will need to almost double by 2020 to meet workload demands. NNSA expects to meet future workload demands through actions such as hiring staff and leasing an additional 250,000 square feet of production space in 2019."]} {"id": "GAO-18-294", "url": "https://www.gao.gov/products/GAO-18-294", "title": "Elections: Observations on Voting Equipment Use and Replacement", "published_date": "2018-04-11T00:00:00", "released_date": "2018-04-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Much of the voting equipment acquired with federal funds after the enactment of the Help America Vote Act in 2002 may now be reaching the end of its life span, and some states and local election jurisdictions\u2014which number about 10,300 and generally have responsibility for conducting federal elections\u2014have or are considering whether to replace their equipment. GAO was asked to examine voting equipment use and replacement.", "This report addresses (1) the types of voting equipment jurisdictions used for the 2016 general election and their perspectives on the equipment; (2) factors considered when deciding whether to replace equipment and replacement approaches in selected jurisdictions; and (3) stakeholder perspectives on how federal voting system guidelines affect replacing and developing equipment.", "GAO surveyed officials from a nationwide generalizable sample of 800 local jurisdictions (68 percent weighted response rate) and all 50 states and the District of Columbia (46 responded) to obtain information on voting equipment use and replacement. GAO also interviewed officials from (1) five jurisdictions, selected based on population size and type of voting equipment used, among other things, to illustrate equipment replacement approaches; and (2) seven voting system vendors, selected based on prevalence of jurisdictions' use of equipment, type of equipment manufactured, and systems certified, to obtain views on federal voting system guidelines. These interviews are not generalizable, but provide insights into jurisdictions' and vendors' experiences."]}, {"section_title": "What GAO Found", "paragraphs": ["Local election jurisdictions primarily used optical scan and direct recording electronic (DRE), also known as touch screen, equipment during the 2016 general election and were generally satisfied with voting equipment performance. Specifically, on the basis of GAO's nationwide generalizable survey of local election jurisdictions, GAO estimated that jurisdictions with 63 percent (from 54 to 72 percent) of the population nationwide used optical or digital scan equipment as their predominant voting equipment during the election, while jurisdictions with 32 percent (from 23 to 41 percent) of the population nationwide used DREs. In addition, the survey results indicated that accurate vote counting and efficiency of operation were top benefits experienced by jurisdictions for both types of equipment, and storage and transportation costs were a top challenge. Further, GAO estimated that jurisdictions with 93 percent (from 88 to 96 percent) of the population nationwide did not experience equipment errors or malfunctions on a very or somewhat common basis and jurisdictions with 96 percent (from 94 to 98 percent) of the population were very or generally satisfied with the performance of their equipment during the 2016 general election.", "GAO identified four key factors that jurisdictions and states consider when deciding whether to replace voting equipment\u2014(1) need for equipment to meet federal, state, and local voting system standards and requirements; (2) cost to acquire new equipment and availability of funding; (3) ability to maintain equipment and receive timely vendor support; and (4) overall performance and features of equipment. When replacing equipment, the five jurisdictions GAO selected for interviews used varying approaches based on their specific needs and resources. For example, Los Angeles County, California, which has a large and diverse electorate, is self-designing its own voting equipment and, according to officials, has incorporated a user-centered approach that prioritizes the needs and expectations of its voters. Lafayette County, Florida, which has a small population, joined a consortium of other small counties to help obtain funding and pool purchasing power to replace its equipment.", "The state election officials we surveyed and the seven selected voting system vendors we interviewed, among other stakeholders, had varying perspectives on how the current voluntary federal voting system guidelines affected the replacement and development of voting equipment. These guidelines can be used to test and certify equipment to verify that it meets baseline functionality, accessibility, and security requirements. The stakeholders we surveyed or interviewed generally indicated that the guidelines and their associated testing processes provide helpful guidance for equipment developers, cost savings for states that do not have to duplicate federal testing, and assurance that certified equipment meets certain requirements. However, some of these stakeholders stated that aspects of the guidelines could discourage the development of innovative equipment and limit the choices of voting equipment on the market. The Election Assistance Commission (EAC), which is responsible for developing the federal guidelines, is updating them with stakeholder input and plans to issue a new version in late summer 2018.", "GAO incorporated technical comments provided by the EAC and election officials from the selected local jurisdictions and their respective states as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The voting equipment that is used to cast and count the ballots of millions of voters nationwide is essential to our nation\u2019s electoral process. Challenges experienced during the 2000 presidential election with the effectiveness and accuracy of some voting equipment for casting and counting votes raised questions about existing voting equipment and highlighted the need to replace aging equipment. To help address some of the issues identified in the 2000 election, the Help America Vote Act (HAVA) was enacted in 2002 and authorized over $3 billion in federal funding over several fiscal years to assist state and local governments in making improvements in election administration, such as replacing aging voting equipment. Further, to help promote effective state and local administration of federal elections, HAVA established the Election Assistance Commission (EAC) as an independent federal commission and, among other things, directed the Commission to develop voluntary voting system guidelines against which voting equipment can be tested and certified. According to HAVA, participation in the EAC testing and certification program is optional but states may, by law or practice, require some participation in this program, such as by formally adopting the voluntary guidelines and making these guidelines mandatory in their jurisdictions or requiring equipment to be tested by a federally accredited laboratory. If vendors choose to have their voting equipment tested and certified against the voluntary guidelines, their equipment must meet the guidelines\u2019 requirements in order to receive federal certification.", "After the enactment of HAVA and the subsequent distribution of federal funds to replace voting systems, many local election jurisdictions and states acquired new voting equipment. Many states also incorporated the use of the EAC\u2019s voluntary voting system guidelines or its testing and certification program into their own state-level requirements for approving the use of equipment. However, studies have reported that much of the voting equipment that was procured by state and local election administrators with federal funds more than 10 years ago is now at or approaching the end of its designed service life. Some state and local election officials have noted that the use of aging equipment can potentially affect how efficiently and accurately elections are carried out and can require administrators to devote increasingly more resources and effort to keep the equipment operational. Some states and local election jurisdictions are considering whether they need to replace their voting equipment and others have recently replaced their equipment or are in the process of doing so.", "The process for replacing voting equipment exists within an administrative and regulatory framework in which the authority to regulate and carry out elections is shared by federal, state, and local officials. For example, states are responsible for administering elections; however, the local election jurisdictions within each state are largely responsible for managing, planning, and conducting elections, with about 10,300 local election jurisdictions nationwide performing these duties. With respect to voting equipment, this decentralization of the responsibility for administering elections has led to the use of a diverse variety of equipment, as well as different processes and approaches for carrying out the responsibilities related to the selection, funding, implementation, and maintenance of the equipment.", "Since 2001, GAO has issued a number of reports on various aspects of the election process describing the types of voting equipment used in federal elections, how the performance of the equipment is measured, and the federal voting system certification process, among other issues. Given the potential challenges that can result from the use of aging voting equipment, you asked us to obtain and examine information about the voting equipment being used across the country, plans by states and local election officials to replace voting equipment, and the EAC\u2019s efforts to update the voluntary voting system guidelines, among other things. This report addresses the following questions: 1. What types of voting equipment did local election jurisdictions use for the 2016 general election, and what are jurisdiction perspectives on equipment use and performance? 2. What factors are considered when deciding whether to replace voting equipment and what approaches have selected jurisdictions taken to replace their equipment? 3. What are selected stakeholders\u2019 perspectives on how federal voting system guidelines affect the replacement and development of voting equipment, and what actions has the EAC taken to update the guidelines?", "To address our first objective, we conducted a web-based survey of officials from a stratified random sample of 800 local election jurisdictions nationwide. In total, we received 564 completed questionnaires for a weighted response rate of 68 percent. In stratifying our nationwide sample, we used a two-level stratified sampling method in which the sample units, or jurisdictions, were broken out into rural and non-rural strata. We surveyed the officials about the types of voting equipment they used, various characteristics of the equipment used, their perspectives on the benefits and challenges they experienced while using the equipment, and how satisfied they were with its performance during the election. Unless noted otherwise, the point estimates we report are national-level point estimates representing the experiences, views, and opinions of all local election jurisdictions nationwide with populations greater than 2,500. We also provide some point estimates for jurisdiction population subgroups, such as large jurisdictions (greater than 100,000 persons), medium jurisdictions (25,001 to 100,000 persons), and small jurisdictions (2,501 to 25,000 persons), and jurisdictions that used a particular type of voting equipment, in cases where statistically significant differences exist between the subgroups that may be of interest. The jurisdictions we surveyed were selected with probability proportionate to population size, so rather than expressing the point estimates in terms of the percentage of jurisdictions nationwide that had a specified characteristic, we express the point estimates for the survey responses in terms of the percentage of the population nationwide that resides within jurisdictions that had a specified characteristic. Similarly, in instances where we report point estimates for jurisdiction subgroups, we express the point estimate in terms of the percentage of the population that resides within jurisdictions of that respective subgroup that had a specified characteristic.", "To address our second objective, we used our local election jurisdiction survey described above to obtain information from jurisdictions about the factors they consider when determining whether to replace their voting equipment. In addition to the local election jurisdiction survey, we also conducted a web-based survey of the state-level election offices in the 50 states and the District of Columbia about issues pertaining to the states\u2019 roles in selecting and acquiring voting equipment, including the factors considered when determining whether to replace voting equipment. We obtained responses from 46 of these offices, while 5 did not respond (a 90 percent response rate). For additional perspectives and context on the factors considered when replacing voting equipment, we also reviewed reports and studies about voting equipment and elections and interviewed nine selected election subject matter experts, including representatives from nongovernmental research and other organizations involved in the field of election administration and voting equipment. We selected these subject matter experts based on our review of reports and studies related to voting equipment and their expertise and work in this area. Further, we interviewed election officials from five local jurisdictions\u2014Los Angeles County, California; Travis County, Texas; Anne Arundel County, Maryland; Lafayette County, Florida; and Beaver County, Utah\u2014that replaced their voting equipment between 2012 and 2016 or plan to replace their equipment in time for the 2020 general election to learn about the approaches and practices they used and obtain their perspectives on the replacement process. We selected these jurisdictions to obtain variation in, to the extent possible, population size, type of voting equipment replaced and selected, state involvement in selecting and funding voting equipment, and particular practices used to replace equipment (e.g., self-designing equipment, leasing equipment), among other factors. For each jurisdiction, we interviewed\u2014on site or by phone\u2014local election officials, state election officials in the jurisdiction\u2019s state, and individuals who have served as poll workers at the jurisdiction\u2019s polling locations if applicable. While these five jurisdictions are not representative of all local election jurisdictions nationwide that replaced or plan to replace their voting equipment, they provide examples of various approaches for replacing voting equipment and perspectives on key issues related to replacing equipment. We corroborated various information we obtained through these interviews by reviewing relevant state statutes and documentation that these jurisdictions provided to us, such as postelection reports, voting system studies, expenditure summaries, and solicitations for vendor proposals to provide voting equipment and services.", "To address our third objective, we used responses to our survey of state election officials and interviews with seven selected voting system vendors and the nine selected subject matter experts mentioned above to obtain perspectives on how federal voting system guidelines and their associated testing and certification processes affect the replacement and development of voting equipment. We selected the seven vendors based on the prevalence of jurisdictions\u2019 use of their equipment, type of voting equipment manufactured, and systems certified, among other criteria. The perspectives of the seven voting system vendors and nine subject matter experts are not generalizable but provide examples of views on the federal guidelines and their associated testing and certification processes from a range of stakeholders. We also reviewed EAC and National Institute of Standards and Technology (NIST) documents on actions taken to update the guidelines and interviewed officials from the EAC and NIST and the seven voting system vendors about their involvement in and perspectives on these actions. See appendix I for additional information on our scope and methodology.", "We conducted this performance audit from June 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of Election Administration", "paragraphs": ["In the United States, election authority is shared by federal, state, and local officials, and election administration is highly decentralized and varies among state and local jurisdictions. Congressional authority to regulate elections derives from various constitutional sources, depending upon the type of election. Federal election laws have been enacted that include provisions pertaining to voter registration, protecting the voting rights of certain minority groups, and other areas of the elections process. States regulate various election activities, including some requirements related to these federal laws, but generally delegate election administration responsibilities to local jurisdictions."], "subsections": [{"section_title": "Federal Roles and Responsibilities", "paragraphs": ["Congress has passed legislation in major functional areas of the voting process. For example, HAVA includes a number of provisions related to voting equipment and other election administration activities, including, for instance, requiring at least one voting system equipped for persons with disabilities at each polling place in federal elections. After HAVA was enacted, Congress appropriated more than $3 billion for the EAC to distribute to states to make election administration improvements, such as the replacement of punch card and mechanical lever voting equipment.", "In addition to HAVA, federal laws have been enacted in other areas of the voting process. For example, the Voting Rights Act of 1965, as amended, contains, among other requirements, provisions designed to protect the voting rights of U.S. citizens of certain ethnic groups whose command of the English language may be limited. In accordance with the act, covered states and jurisdictions must provide written materials\u2014such as ballots or registration forms\u2014in the language of certain \u201clanguage minority groups\u201d in addition to English, as well as other assistance, such as bilingual poll workers."], "subsections": []}, {"section_title": "State and Local Roles and Responsibilities", "paragraphs": ["The responsibility for the administration of elections resides at the state and local levels. States regulate various election activities, such as absentee and early voting requirements and Election Day procedures, but generally delegate election administration responsibilities to local jurisdictions. Some states have mandated statewide election administration guidelines and procedures that foster uniformity in the ways local jurisdictions conduct elections, including the types of voting equipment used. Other states have guidelines that generally permit local election jurisdictions considerable autonomy and discretion in the way they run elections. Although some states bear some election costs, including those associated with voting equipment, local jurisdictions generally pay for most aspects of election administration. Unless states require otherwise, local jurisdictions generally have discretion over activities such as training election officials and, in most states, over the selection and purchase of voting technology. Among other things, local election officials register eligible voters; design ballots; educate voters on how to use voting technology; provide information on the candidates and ballot measures; arrange for polling places; recruit, train, organize, and mobilize poll workers; prepare and test voting equipment for use; and count ballots."], "subsections": []}]}, {"section_title": "The Voting Process", "paragraphs": [], "subsections": [{"section_title": "Voting before Election Day", "paragraphs": ["States have established alternatives for voters to cast a ballot other than at the polls on Election Day, including absentee voting and early voting. All states and the District of Columbia have provisions allowing voters to cast their ballots before Election Day by voting absentee, with variations on who may vote absentee, whether the voter needs to provide an excuse for requesting an absentee ballot, and the time frames for applying for and submitting absentee ballots. Some states also permit registered voters to apply for an absentee ballot on a permanent basis so that those voters automatically receive an absentee ballot in the mail prior to every election without providing an excuse or reason for voting absentee. In addition to absentee voting, some states allow early in- person voting. In general, early voting allows voters from any precinct in the jurisdiction to cast their vote in person without providing an excuse, before Election Day either at one specific location or at one of several locations. Further, three states and a number of local election jurisdictions in other states conduct vote-by-mail elections, wherein ballots are automatically sent to every eligible voter."], "subsections": []}, {"section_title": "In-Person Voting on Election Day", "paragraphs": ["For in-person voting on Election Day, election authorities subdivide local election jurisdictions into precincts. Voters generally cast their ballots at the polling places for the precincts to which they are assigned by election authorities. In addition, some states provide jurisdictions the discretion to allow voters to cast their ballots at vote centers, which are polling places at which any registered voter in the local election jurisdiction may vote on Election Day, regardless of the precinct in which the voter resides.", "Within the polling place, poll workers check in voters and determine their eligibility to vote by verifying their registration using voter lists or poll books\u2014a list of individuals eligible to vote within the voting precinct or local jurisdiction. After checking the voters in, poll workers direct them to a voting booth to mark their electronic or paper ballots, and then voters submit the ballots for counting. The manner in which votes are cast and counted can vary depending on the voting method and technology employed by the jurisdiction."], "subsections": []}, {"section_title": "Postelection Activities", "paragraphs": ["Following the close of the polls on Election Day, election officials and poll workers complete steps such as securing equipment and ballots, transferring paper ballots or electronic records of vote counts to a central location for counting, and determining the outcome of the election. Votes counted include those cast on Election Day, absentee ballots, early votes (where applicable), and valid provisional ballots. While preliminary results are available usually by the evening of Election Day, the certified results are generally not available until a later date."], "subsections": []}]}, {"section_title": "EAC Voluntary Voting System Guidelines and Testing and Certification Program", "paragraphs": [], "subsections": [{"section_title": "Overview of Voluntary Guidelines and Testing and Certification Program", "paragraphs": ["The EAC has responsibility for developing the voluntary voting system guidelines and overseeing the testing and certification of voting systems based on these guidelines. The EAC works in conjunction with NIST and the Technical Guidelines Development Committee (TGDC) to develop the voluntary guidelines. According to the EAC, these guidelines are a set of specifications and requirements against which voting systems, including hardware and software, can be tested to receive a certification from the EAC. According to NIST, the guidelines are intended to ensure that federal testing provides assurance to state and local election officials that the voting systems meet a defined set of requirements. The EAC testing and certification program verifies that voting systems comply with basic functionality, accessibility, and security capabilities established by the voluntary guidelines. Typically, voting system vendors submit their systems to the EAC for testing and certification and the systems are evaluated by EAC-accredited voting system test laboratories against the guidelines. These laboratories make recommendations regarding certification to the EAC. According to the EAC, an EAC-certified voting system means that the voting system has been tested by a federally accredited test laboratory and complies with the guidelines."], "subsections": []}, {"section_title": "Establishment of Federal Voting System Guidelines and Updates", "paragraphs": ["According to the EAC, prior to its establishment and the creation of its voluntary voting system guidelines, the first set of federal voluntary Voting System Standards were adopted in 1990 by the Federal Election Commission. The National Association of State Election Directors voluntarily assumed the role of accrediting voting system test laboratories and certifying voting systems to the federal standards. In 2002, the Federal Election Commission adopted a new version of the federal standards.", "After the EAC\u2019s creation, in 2005, the EAC developed and adopted the third iteration of federal standards, in accordance with HAVA, and the standards were renamed the Voluntary Voting System Guidelines (VVSG). This third iteration of federal voting system guidelines was referred to as the 2005 VVSG or VVSG 1.0, as it is called today. According to the EAC, VVSG 1.0 increased security requirements for voting systems and were intended to expand access, including opportunities to vote privately and independently, for individuals with disabilities. In 2006, the National Association of State Election Directors terminated its voting system testing program and subsequently, in 2007, the EAC launched its own testing and certification program. In March 2015, a fourth iteration of the voluntary guidelines was adopted by the EAC, referred to as VVSG 1.1. According to the EAC, VVSG 1.1 clarified the guidelines to improve testability by testing laboratories, among other updates, and focused on areas that could be improved without requiring significant changes to the testing and certification process. In January 2016, the EAC adopted an implementation plan for VVSG 1.1 whereby all new voting systems being tested for certification would be required to be tested against the VVSG 1.1 beginning on July 6, 2017. As of November 2017, no voting systems have been certified using VVSG 1.1.", "The EAC, NIST, and TGDC are in the process of developing the next iteration of the voluntary guidelines (known as VVSG 2.0), and these guidelines are expected to be issued in late summer 2018. Typically, a lag exists between when guidelines are issued and when they are used for testing and certification. EAC officials stated that it has generally taken about 18 months before the guidelines are ready for use for testing voting systems. This is due in part to the need for the voting system test laboratories to be reaccredited to test to the new voluntary guidelines by the EAC. According to EAC officials, after the guidelines are approved for use, it typically takes 2 to 4 years before voting system vendors can develop voting systems that are ready for testing and certification."], "subsections": []}, {"section_title": "States\u2019 Participation in the EAC Testing and Certification Program", "paragraphs": ["Participation in the EAC testing and certification program is voluntary. Each state determines its own standards for voting systems in statute or administrative regulation, which can be based on the voluntary guidelines established by the EAC. Specifically, most states require some level of participation in the EAC testing and certification program as mandated by their state laws or regulations. As of December 2017, 13 states require federal certification of their voting systems, 24 states and the District of Columbia require testing by a federally accredited laboratory or require testing to federal voting system standards, and 13 states have no federal requirements. Some states have their own voting system standards and conduct their own testing and certification to these standards, either in addition to or as an alternative to the federal voluntary guidelines. Vendors that want to supply their voting systems to local jurisdictions and states must comply with state requirements. See appendix II for federal certification and testing requirements by state, including the associated statutes and regulations we reviewed."], "subsections": []}]}]}, {"section_title": "Local Election Jurisdictions Primarily Used Two Types of Voting Equipment, Monitored Such Equipment, and Were Generally Satisfied with Equipment Performance", "paragraphs": [], "subsections": [{"section_title": "Local Election Jurisdictions Primarily Used Optical/Digital Scan and Direct Recording Electronic Equipment during the 2016 General Election", "paragraphs": ["According to our analysis of the predominant type of equipment used to process the largest number of ballots during the 2016 general election, jurisdictions using optical/digital scan equipment represented the largest estimated share of the population nationwide, followed by jurisdictions using direct recording electronic (DRE) equipment. Specifically, on the basis of our local election jurisdiction survey, we estimate that jurisdictions with about 63 percent of the population nationwide used optical/digital scan equipment as their predominant voting equipment during the election, while jurisdictions with an estimated 32 percent of the population nationwide used DREs. Jurisdictions with less than 1 percent of the population nationwide used paper hand-counted ballots. See figure 1.", "Within the optical/digital scan equipment category, the most widely used model of optical/digital scan equipment was the precinct count optical/digital scan, with jurisdictions having an estimated 46 percent of the population nationwide using it as their predominant voting equipment. Figure 2 shows the predominant types of voting equipment that were used by jurisdictions during the 2016 general election, broken out by model of equipment used.", "While many jurisdictions predominantly used one type of voting equipment, some reported using multiple types. Jurisdictions may choose to use more than one type of equipment as a means to process different types of ballots such as absentee or provisional or to provide accessibility options for voters with disabilities. Overall, we estimate that jurisdictions with about 59 percent of the population nationwide used only one type of equipment during the 2016 general election, while jurisdictions with about 37 percent of the population nationwide used multiple types of equipment during the election. Jurisdictions that used two types of equipment are estimated to have about 30 percent of the population nationwide, while those that used more than two types of voting equipment had approximately 6 percent of the population nationwide. See figure 3 for the types of voting equipment used."], "subsections": []}, {"section_title": "Local Election Jurisdictions Monitored Equipment Performance in Various Ways", "paragraphs": ["According to results from our survey of local election jurisdictions, jurisdictions monitored the performance of their voting equipment during the 2016 general election through a variety of methods, such as equipment testing, performance measurement and tracking of malfunctions, and postelection audits and recounts. Such monitoring can provide information to jurisdictions about how their equipment is functioning and help ensure the accuracy of the outcomes of elections and address any identified issues or problems."], "subsections": [{"section_title": "Testing of Voting Equipment", "paragraphs": ["Results from our survey of local election jurisdictions indicate that the extent to which jurisdictions tested their voting equipment varied by test type. Key types of voting equipment testing include acceptance testing, logic and accuracy testing, and parallel testing. Acceptance testing verifies that new equipment or any equipment that has been outside election administrators\u2019 control (e.g., for repair) conforms to the purchase agreements and is identical to equipment that was tested and certified by state or federal testing organizations. According to our local jurisdiction survey results, jurisdictions with an estimated 49 percent of the population nationwide conduct acceptance testing of their equipment. Logic and accuracy (also known as functional or readiness) testing is performed in advance of an election to determine whether voting equipment will function properly, such as displaying the correct ballot, collecting votes, and tabulating results. Parallel testing is performed on Election Day by running test votes cast with known results, then comparing the actual and expected results. Of these two types of testing, according to our local jurisdiction survey results, logic and accuracy testing was the most widely performed type of testing as jurisdictions with 99 percent of the population nationwide conducted such testing for the 2016 general election. Jurisdictions with an estimated 37 percent of the population nationwide conducted parallel testing."], "subsections": []}, {"section_title": "Performance Measures and Reported Errors and Malfunctions", "paragraphs": ["According to our local jurisdiction survey results, jurisdictions monitored the performance of their predominant voting equipment during the 2016 general election using a variety of measures. Accuracy of the equipment in counting votes was tracked, measured, or assessed by jurisdictions having an estimated 87 percent of the population nationwide. Another widely monitored aspect of voting equipment performance was the accuracy of the equipment in recording voter selections before counting\u2014 jurisdictions with 78 percent of the population nationwide tracked, measured, or assessed that aspect. Overvotes and undervotes were also widely used measures, with jurisdictions having about 63 and 64 percent of the population nationwide, respectively, tracking, measuring, or assessing those measures.", "According to the results of our local jurisdiction survey, most jurisdictions did not experience extensive or widespread errors or malfunctions with their equipment during the 2016 general election. We estimate that jurisdictions with 93 percent of the population did not experience equipment errors or malfunctions on a \u201csomewhat\u201d or \u201cvery\u201d common basis during the election. Of those that did experience equipment errors or malfunctions of some type on a \u201csomewhat\u201d or \u201cvery\u201d common basis, the error or malfunction most frequently encountered was jams or misfeeds. We estimate that this error or malfunction was experienced on a \u201cvery common\u201d basis by jurisdictions with about 1 percent of the population nationwide and on a \u201csomewhat common\u201d basis by jurisdictions with about 3 percent of the population nationwide. The next most frequent error or malfunction experienced as a \u201cvery\u201d or \u201csomewhat\u201d common occurrence was that equipment response was sluggish or slower than acceptable, which was experienced by jurisdictions with an estimated 3 percent of the population nationwide."], "subsections": []}, {"section_title": "Postelection Audits and Recounts", "paragraphs": ["State and local election officials also determined how their voting equipment performed and verified election results by conducting postelection audits and recounts. According to 35 out of 46 respondents to our state survey, the state election agency or local election jurisdictions in their states conducted postelection audits or targeted recounts of results from the 2016 general election. On the basis of our local jurisdiction survey, we estimate that jurisdictions with approximately 45 percent of the population nationwide conducted postelection audits or targeted recounts. Among jurisdictions of different size, large jurisdictions had a higher estimated share of their population within jurisdictions that conducted postelection audits or recounts than did medium or small jurisdictions. Specifically, jurisdictions with 82 percent of the population within large jurisdictions conducted postelection audits or recounts. In contrast, an estimated 55 percent and 37 percent of the population within medium and small jurisdictions, respectively, was represented by jurisdictions that conducted postelection audits or recounts."], "subsections": []}]}, {"section_title": "Local Election Jurisdictions Experienced Various Benefits and Challenges with Voting Equipment and Were Generally Satisfied or Very Satisfied with Equipment Performance Benefits and Challenges of Predominant Equipment Used", "paragraphs": ["According to the results of our local election jurisdiction survey, jurisdictions using the two main types of voting equipment (DRE or optical/digital scan) experienced mostly similar benefits as a result of using their respective type of predominant equipment. Table 1 shows the top benefits experienced by jurisdictions according to the type of predominant voting equipment used.", "In addition to the benefits mentioned above, jurisdictions experienced other benefits associated with using their respective type of predominant voting equipment. For example, jurisdictions that had an estimated half or more of the population within jurisdictions using each of the different types of voting equipment also experienced the following benefits from using their equipment: Jurisdictions predominantly using DREs: accessibility for individuals with disabilities or impairments, timely election night reporting, ease of presenting lengthy ballots in a clear and understandable way, protection and preservation of votes cast against potential non- cybersecurity related threats, and customer support and problem resolution assistance from vendor.", "Jurisdictions predominantly using optical/digital scan equipment: timely election night reporting, ease of troubleshooting or resolving equipment malfunctions during Election Day, preventing or alerting voters of any overvotes or undervotes before ballot is cast, ability to facilitate a postelection audit, security of equipment against outside electronic hacking or intrusion, and ease of conducting routine maintenance.", "Jurisdictions also experienced challenges while using their predominant voting equipment, although to a lesser extent overall than they experienced benefits. Table 2 shows the top challenges experienced by jurisdictions according to the type of predominant voting equipment used.", "The next most frequently experienced challenges by jurisdictions were the following (estimates with the values for the 95 percent confidence intervals are shown in parentheses): Jurisdictions predominantly using DREs: cost to maintain voting equipment (an estimated 12 percent; 6, 19); cost to operate voting equipment (8 percent; 3, 14); and ease of conducting routine maintenance (7 percent; 2, 14).", "Jurisdictions predominantly using optical/digital scan equipment: cost to operate voting equipment (an estimated 11 percent; 7, 15); preventing or alerting voters of any overvotes or undervotes before ballot is cast (9 percent; 2, 23), and ease of connectivity with other election administration systems (e.g., voter registration, election night reporting) (9 percent; 2, 23)."], "subsections": [{"section_title": "Satisfaction with Predominant Voting Equipment", "paragraphs": ["On the basis of our local election jurisdiction survey, we estimate that jurisdictions with approximately 96 percent of the population nationwide were very satisfied or generally satisfied with the performance of their predominant voting equipment during the 2016 general election. Specifically, we estimate that jurisdictions with approximately 70 percent of the population nationwide were very satisfied with their voting equipment\u2019s performance and 26 percent were generally satisfied (see fig. 4). Jurisdictions with about 2 percent of the population nationwide were generally dissatisfied or very dissatisfied with the performance of their predominant voting equipment.", "When comparing satisfaction with the performance of their predominant voting equipment used in the 2016 general election against the performance of their predominant equipment used in the 2012 general election, we estimate that jurisdictions with 67 percent of the population nationwide were just as satisfied with their equipment\u2019s performance in 2016 as in 2012, while 16 percent reported they were more satisfied (see fig. 5). Among jurisdictions that used different predominant types of equipment, jurisdictions that predominantly used optical/digital scan equipment that were more satisfied with their equipment\u2019s performance in 2016 had a larger estimated share of their population (20 percent) compared to jurisdictions that predominantly used DRE equipment (4 percent)."], "subsections": []}]}]}, {"section_title": "Local Election Jurisdictions and States Consider Multiple Factors and Selected Jurisdictions Have Varying Approaches When Replacing Voting Equipment", "paragraphs": [], "subsections": [{"section_title": "Local Election Jurisdictions and States Consider Multiple Factors When Deciding Whether to Replace Voting Equipment", "paragraphs": ["On the basis of our review of literature and studies, interviews with election subject matter experts, and analysis of our local election jurisdiction and state surveys, we identified four key factors and related issue areas within them that jurisdictions and states consider when deciding whether to replace voting equipment. After considering the factors, jurisdictions may decide to replace their equipment or continue using their existing equipment. The four key factors we identified are: (1) the need for voting equipment to meet federal, state, and local voting system standards and requirements; (2) the cost to acquire new equipment and availability of funding; (3) the ability to maintain equipment and receive timely vendor support; and (4) the overall performance and features of voting equipment. In our local election jurisdiction and state surveys, we asked election officials to rate issue areas related to each of these factors as to how important they were when determining whether to replace voting equipment and then rank the issue areas in terms of which were \u201cmost important\u201d in making the determination. Analysis of the results of our surveys indicates that the 24 issue areas within the four factors vary in their relative importance to jurisdictions and states when determining whether to replace voting equipment."], "subsections": [{"section_title": "Need for Voting Equipment to Meet Federal, State, and Local Voting System Standards and Requirements", "paragraphs": ["The need for voting equipment to meet applicable federal, state, and local voting system standards and requirements is a factor considered by local election jurisdictions and states when determining whether to replace equipment. At the federal level, HAVA generally requires that voting equipment be accessible to individuals with disabilities. As discussed earlier, HAVA also established the EAC which developed and maintains the voluntary guidelines that voting equipment can be tested against to receive federal certification. In turn, many states have established requirements that voting equipment be federally certified or meet some or all of the standards established by the federal guidelines. According to election subject matter experts we spoke with, in addition to federal requirements and standards, some states have imposed additional requirements that voting equipment must meet or satisfy such as having the capability to present all ballot issues and candidates on one page or presenting ballots in multiple languages, for example.", "We identified four issue areas related to this factor. Figure 6 shows the importance local jurisdictions and state election officials attributed to the various issue areas within this factor when determining whether to replace voting equipment. For example, the need for equipment to meet state and local requirements and standards was considered \u201cvery important\u201d by jurisdictions with 87 percent of the population nationwide and as one of the three \u201cmost important\u201d issue areas overall by jurisdictions with 36 percent of the population nationwide. Among the states, this issue area was considered as \u201cvery important\u201d by 18 out of the 25 states that indicated having a role in determining whether to replace voting equipment and as one of the three \u201cmost important\u201d issue areas overall by 7 out of the 25 states.", "According to election subject matter experts we spoke with, the costs to acquire new equipment and the availability of funding to pay those costs is a key factor that jurisdictions and states consider when determining whether to replace voting equipment. Acquiring new voting equipment involves a variety of costs and expenses. For example, in addition to the cost of the equipment itself, there can be other associated costs, such as training for poll workers and elections staff on the new equipment and voter outreach and education about the change in equipment, that may be incurred as existing equipment is replaced. These related acquisition and transition costs and expenses are incurred by the jurisdictions and states, which in turn must obtain or allocate resources to cover those costs.", "We identified four issue areas related to this factor. Figure 7 shows the importance local jurisdictions and state election officials attributed to these issue areas when determining whether to replace voting equipment. For example, the availability of state and local funds was considered \u201cvery important\u201d by jurisdictions with 62 percent of the population nationwide and as one of the three \u201cmost important\u201d issue areas overall by jurisdictions with 18 percent of the population nationwide. Among the states, this issue area was considered as \u201cvery important\u201d by 20 out of the 25 states that indicated having a role in determining whether to replace voting equipment and as one of the three \u201cmost important\u201d issue areas overall by 9 out of the 25 states.", "Given the importance of funding for the acquisition of new voting equipment and the assistance federal HAVA grants have previously provided, we asked states and jurisdictions additional questions in our surveys about their funding practices and the extent to which they have HAVA grant funds remaining to acquire voting equipment. The results from our surveys provided the following additional information about these issues:", "Use of local and state funding sources for acquisition of new voting equipment: On the basis of our local election jurisdiction survey, we estimate that, among various potential funding sources, jurisdictions with 79 percent of the population nationwide obtain funds to acquire new voting equipment through local general funds or budgets as a direct appropriation. Additionally, we estimate that jurisdictions with 43 percent of the population nationwide use state financial assistance or cost sharing as a source of funds for new equipment. According to the results from our state survey, states have different levels of involvement in providing funds for the acquisition of voting equipment. Over half (24) of the 46 states that responded to our survey indicated that they do not provide any financial assistance or cost sharing to local jurisdictions for equipment acquisition, while 11 indicated that they cover all acquisition costs. Eight states indicated that their state provides some financial assistance or cost sharing with local jurisdictions for equipment acquisition, while 2 states indicated a different type of involvement in funding the acquisition of voting equipment, such as covering only the costs of acquiring accessible voting equipment.", "Availability of HAVA funds: On the basis of our local jurisdiction survey, we estimate that jurisdictions with 10 percent of the population nationwide had HAVA funds remaining to apply toward the acquisition of new voting equipment, with jurisdictions representing 6 percent of the population only having enough HAVA funds to acquire a portion of the equipment needed. Additionally, we estimate that jurisdictions with 42 percent of the population nationwide had no HAVA funds remaining while jurisdictions with 46 percent of the population did not know whether they had any HAVA funds remaining.", "Impact of lack of HAVA funds: Among jurisdictions that did not have any HAVA funds remaining or only enough to buy a portion of the equipment needed, jurisdictions with an estimated 36 percent of the population indicated that the lack of HAVA funds had affected their decisions regarding the replacement of voting equipment. Further, jurisdictions with an estimated 57 percent of the population in this subgroup (of jurisdictions that indicated that the lack of HAVA funds affected their replacement decisions) delayed the replacement of voting equipment while jurisdictions with 25 percent of the population in this subgroup were not able to acquire the equipment that would best meet their needs."], "subsections": []}, {"section_title": "Ability to Maintain Equipment and Receive Timely Vendor Support", "paragraphs": ["The ability of local election jurisdictions and states to maintain voting equipment and receive timely vendor support is a factor considered when determining whether to replace equipment, particularly as the equipment ages. Election subject matter experts we spoke with noted the importance of access to replacement parts for existing voting equipment as something jurisdictions and states may consider when determining whether to replace equipment. Without adequate access to replacement parts and technical service, either from vendors or supplied by in-house expertise, it can be difficult for jurisdictions and states to maintain their current equipment at a satisfactory level.", "We identified five issue areas related to this factor. Figure 8 shows the importance local jurisdictions and state election officials attributed to these issue areas when determining whether to replace voting equipment. For example, the sufficiency of vendor support and problem resolution was considered \u201cvery important\u201d by jurisdictions with 81 percent of the population nationwide and as one of the three \u201cmost important\u201d issue areas overall by jurisdictions with 7 percent of the population nationwide. Among the states, this issue area was considered as \u201cvery important\u201d by 15 out of the 25 states that indicated having a role in determining whether to replace voting equipment but no state considered it as one of the three \u201cmost important\u201d issue areas overall.", "The overall performance and features, both of the existing voting equipment and of potential replacement equipment, is also a factor considered by local election jurisdictions and states when determining whether to replace voting equipment. For example, jurisdictions and states may consider the age of their current equipment and how well it is performing, as well as how its performance compares to that of new equipment available for acquisition. In addition, according to elections literature we reviewed and election subject matter experts we spoke with, jurisdictions and states may also take into account specific features new voting equipment can provide that might better meet their needs. The desired features may vary from jurisdiction to jurisdiction depending on specific needs and circumstances, but such features may include an enhanced ability to process a high volume of absentee ballots, capability to present ballots in multiple languages, or ease for poll workers to set up and for voters to use, for example.", "We identified 11 issue areas related to this factor. Figure 9 shows the importance local jurisdictions and state election officials attributed to these issue areas when determining whether to replace voting equipment. For example, the overall performance of the voting equipment was considered \u201cvery important\u201d by jurisdictions with 83 percent of the population nationwide and as one of the three \u201cmost important\u201d issue areas overall by jurisdictions with 20 percent of the population nationwide. Among the states, this issue area was considered as \u201cvery important\u201d by 18 out of the 25 states that indicated having a role in determining whether to replace voting equipment while 4 out of the 25 states considered it as one of the three \u201cmost important\u201d issue areas overall.", "Given the potential challenges local election officials have identified with using aging or outdated equipment, in our local election jurisdiction survey we asked jurisdictions when they first used their predominant voting equipment. Based on their responses, we estimate that jurisdictions with over half of the population nationwide used predominant voting equipment in the 2016 general election that was first deployed between 2002 and 2006 (see fig. 10) Jurisdictions with the next largest estimated share of the population (28 percent) used equipment that was first deployed between 2012 and 2016."], "subsections": []}]}, {"section_title": "Approaches to Replacing Voting Equipment Varied across Selected Jurisdictions", "paragraphs": ["The five local election jurisdictions we selected to include in our review either replaced their voting equipment between 2012 and 2016 or plan to replace their equipment in time for the 2020 general election. We selected these jurisdictions to obtain variation in, to the extent possible, population of jurisdiction, type of voting equipment replaced and selected, and state involvement in selecting and funding voting equipment replacement, among other factors. Table 3 summarizes information related to voting equipment replacement across the five selected jurisdictions.", "These jurisdictions illustrate varying approaches that localities have used or are using to replace their voting equipment based on their specific needs, circumstances, and resources. For example,", "Los Angeles County, California. The county has a large and diverse electorate and is in the process of self-designing its own voting system, which is expected to consist of ballot marking devices that produce paper ballots to be tallied on central count digital scanners. County officials stated that the current design concept for the new equipment is intended to provide greater flexibility in administering elections, provide a more user-friendly and accessible voting experience, enhance accuracy and auditability, and could potentially lower costs for system upgrades if developed as planned. For example, according to officials, the ballot marking device is intended to provide the ease of use of a touch screen interface, which would incorporate features such as scrolling and tapping that are familiar to voters who use mobile devices, and will include a headset, tactile keypad, and other devices for voters with disabilities. It would also allow the county to have ballots with multiple formats and a large number of races.", "The county\u2019s process for developing and deploying its new voting equipment began in 2009 and has five phases\u2014(1) public opinion and stakeholder baseline research, (2) establishment of voting system guiding principles, (3) system design and engineering, (4) manufacturing and certification, and (5) phased implementation. According to officials, the county has taken a user-centered approach to the design of the new voting equipment that prioritizes the specific needs and expectations of the voters. The county is currently in the manufacturing and certification phase and reported that about $19 million has been expended to develop the new voting equipment as of December 31, 2017. County officials told us they plan to retain ownership of the intellectual property rights of the new voting equipment so that the system remains publicly owned and not proprietary like traditional vendor equipment. The county plans to pilot the new equipment in some early voting locations in 2019 and fully roll it out in 2020.", "Travis County, Texas. The county began its efforts to design its own voting equipment based in part on findings and recommendations from an election study group it convened in 2009. In 2012, it developed a concept for a DRE with a voter-verified paper audit trail that centered on system security, auditability, and the use of commercial off-the-shelf technology. In September 2017, the county announced that it had decided to no longer pursue building the voting equipment because the proposals it received from vendors and other organizations for developing key components of the equipment were not sufficient to build a complete voting system, among other reasons. According to county officials, the county plans to acquire either DREs or ballot marking devices with precinct count digital scanners from a voting system vendor with the goal that whatever equipment it acquires incorporates some of the key features it had intended for its self-designed equipment. For example, officials stated that the new equipment must produce printed paper records that can be tallied and connected with electronic voting records through an automated process and allow for third party verification of results and better postelection audits. They noted that they are prepared to work with vendors to customize existing equipment to meet the county\u2019s requirements if needed. County officials estimate that the new equipment will cost about $16 million and stated that acquisition will be funded through local bonds. The county issued a request for proposals for the equipment in November 2017 and plans to have it in place for the 2020 election.", "Anne Arundel County, Maryland. In 2016, the county replaced its DREs with a system in which voters manually mark paper ballots and insert them into precinct count digital scanners which then count them. Maryland requires the use of uniform voting equipment in polling places statewide and the state and counties each pay 50 percent of the costs of acquiring equipment. In 2007, Maryland enacted a law that prohibited the use of a voting system unless the State Board of Elections (SBE) determined that the system provides a voter-verifiable paper record, thereby requiring the state\u2019s DREs to be replaced. According to Maryland SBE officials, state law specifically required the purchase of precinct count scanners so the board did not consider other types of voting equipment.", "The SBE issued a request for proposals for the new voting equipment in July 2014 and four vendors responded. The board formed an evaluation committee to analyze the technical and financial details of the proposals, and according to officials, the committee hosted a public demonstration to collect feedback on the equipment under consideration and worked with the University of Baltimore to perform usability and accessibility testing on the equipment. The SBE decided to lease rather than purchase the equipment for a number of reasons. For example, officials said that leasing provided increased flexibility to update or replace equipment more frequently and had lower upfront costs. According to SBE officials, the current payment to the vendor for leasing the digital scan equipment statewide is approximately $1.1 million per quarter. SBE and Anne Arundel County officials stated that deployment of the new equipment in the 2016 general election went smoothly with no significant challenges. The state contracted with a third party vendor to conduct a postelection audit of the 2016 general election by using independent software to tally all digital ballot images. The audit confirmed the accuracy of the election results. According to SBE officials, the new equipment\u2019s ability to capture and store digital images of the ballots made this type of audit possible. Anne Arundel County officials stated that the ability to conduct such an audit is one of the main benefits of the new equipment.", "Lafayette County, Florida. Lafayette County has a small population and, in 2016, replaced its precinct count optical scan equipment with precinct count digital scan equipment. The county formed a consortium with 11 other counties in the state to help acquire its new equipment. According to the county\u2019s Supervisor of Elections, having the consortium approach state officials as a group helped secure HAVA funds to help the counties purchase the voting equipment. In addition, he stated that being a part of the consortium helped the counties negotiate a lower price for their equipment than what they could have obtained individually because they pooled their purchases and acquired a higher volume of machines. According to the Supervisor of Elections, the consortium decided to purchase precinct count digital scanners from the same vendor the counties had used before because county staff were familiar with the vendor and equipment, among other reasons. He stated that the total cost to purchase Lafayette County\u2019s new voting equipment was about $70,000.", "The Supervisor of Elections said that the digital scanners have features that were an improvement over the county\u2019s previous optical scan equipment. For example, he told us that the new scanners have more robust security features, such as locking panels, seals, and a requirement for a passcode to access the system. He also noted that the scanners digitally capture and store ballot images. The Supervisor of Elections and the two poll workers we interviewed stated that deployment of the new voting equipment went smoothly and the county did not experience any challenges because the new and previous equipment are both precinct count scanning systems. According to the Supervisor of Elections, a postelection audit that was conducted, in which the county manually tallied ballots from a randomly selected race and precinct, found that the results were accurate.", "Beaver County, Utah. Beaver County has a small population and previously used DREs with a voter-verified paper audit trail. In 2014, Beaver County began conducting vote-by-mail elections and replaced its DREs with central count digital scan equipment to support this change. County officials said that, in 2014, they verbally requested proposals for the new equipment from their current vendor and an elections services company that the county had employed in 2012 to provide training, systems testing, and other support for elections. According to the Deputy Clerk, the county requested proposals from these two entities because county officials were familiar with them and were not aware of other vendors that might submit proposals. Officials stated that the county received a proposal from the elections services company, and selected the company because it was the only bid received and the equipment the company sold met the county\u2019s needs and was federally certified. The county reported that the cost to purchase the equipment was about $46,000. Officials said that they are very satisfied with the performance of the new voting equipment. They noted that conducting vote-by-mail elections and using central count scanners allow them to administer elections from one location on Election Day, which requires less time and resources than having to manage multiple polling places. Officials also stated that the new digital scanners are able to count a high volume of ballots in a short period of time. According to officials, the county conducted two postelection audits for the 2016 general election\u2014one required by the state and another that the county initiated. They reported that both audits validated the election results.", "See appendix V for additional details about voting equipment replacement in our five selected jurisdictions, including the factors that influenced their decisions to replace voting equipment; selection, acquisition, and implementation of their equipment; and perspectives on the process."], "subsections": []}]}, {"section_title": "Stakeholders Have Varying Views on How the Voting System Guidelines Affect Equipment Replacement and Development, and the EAC is Updating the Guidelines with Stakeholder Input", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Provided Varying Perspectives on How the Current Voluntary Guidelines and Testing and Certification Processes Affect Replacing and Developing Voting Equipment", "paragraphs": ["On the basis of our survey of state election officials and interviews with officials from selected voting system vendors and subject matter experts\u2014representatives from nongovernmental research and other organizations involved in the field of election administration\u2014we found that these stakeholders have varying perspectives on how the current Voluntary Voting System Guidelines (VVSG 1.0 and VVSG 1.1) and their associated testing and certification processes facilitated or posed challenges to the replacement and development of voting equipment. The states we surveyed and the other selected stakeholders we interviewed primarily had experience with VVSG 1.0. As discussed earlier, the VVSG 1.1 were issued in March 2015, but due to the time it generally takes to implement updates to new guidelines, including developing testing programs, among other things, no systems had been certified under this version of the guidelines as of November 2017. One vendor\u2019s system underwent partial testing using VVSG 1.1 but the vendor withdrew the system before the testing was completed."], "subsections": [{"section_title": "Perspectives on How the Voluntary Guidelines Facilitate Replacing and Developing Voting Equipment", "paragraphs": ["States and selected vendors and subject matter experts provided varying perspectives on how aspects of the current voluntary voting system guidelines and their associated testing and certification processes facilitate the replacement and development of voting equipment. Generally, stakeholders indicated that the guidelines and processes provide assurance that new equipment meets certain requirements, provide guidance for equipment developers, provide a model for state standards, and provide cost savings for states that do not have to duplicate federal testing. For example, 15 of the 26 state survey respondents said the guidelines provide assurance that new voting equipment meets baseline requirements related to security, functionality, usability, accessibility, and privacy. One of these 15 state respondents noted that if the EAC certified voting equipment against the federal guidelines, he believes it meets the highest election standards and also meets requirements set by his state. Another of these 15 state respondents noted that voting equipment that has been tested using the federal guidelines and certified by the EAC will have a higher level of reliability than equipment that has not met these guidelines or been certified by the EAC.", "Subject matter experts from one nongovernmental organization noted that states that establish their own voting system standards often use the federal guidelines as a base to help develop their standards because the federal guidelines have comprehensive requirements and are well vetted. Experts from another nongovernmental organization said that the guidelines establish a standard for voting equipment features and performance, which may help small jurisdictions that want to acquire new voting equipment but may not have the expertise to independently evaluate the equipment. Further, officials from most of the vendors we interviewed agreed that the federal standards serve as effective baseline requirements. For example, officials from five of the seven vendors we interviewed said that when they are developing voting systems, the federal guidelines help them define the baseline standards that their systems should meet, and five of the nine subject matter experts said the federal guidelines provide baseline requirements.", "Further, 4 of the 26 state survey respondents indicated that the current voluntary guidelines help reduce the costs and resources needed for states to test and approve new voting equipment. For example, one of the 4 state respondents reported that states do not have to rely on their own voting system testing laboratories for all aspects of the testing and certification of new voting equipment to meet state requirements because most of the testing and certification relevant to state requirements has already been done by EAC-accredited testing laboratories and the EAC. The official noted that this allows the states to do less testing, which could save them money."], "subsections": []}, {"section_title": "Perspectives on How the Voluntary Guidelines Pose Challenges to Replacing and Developing Voting Equipment", "paragraphs": ["The states we surveyed and selected vendors and subject matter experts we interviewed also reported that aspects of the current voluntary voting system guidelines and their associated testing and certification processes could pose challenges to the replacement and development of voting equipment in a number of ways. Specifically, some stakeholders indicated that aspects of the guidelines and processes could discourage innovation in equipment development, could limit the choices of voting equipment on the market because the testing and certification processes take too long, and could be costly for states and vendors. For example, officials representing three of the seven vendors we interviewed said the current federal guidelines may discourage innovation for new voting equipment because they are too specific or overly prescriptive. Officials from one of these three vendors said the current guidelines require a specific oval size on the ballots, prescribing how tall and wide the oval should be. Instead of such requirements, the officials said they would like the guidelines to be more performance-based and state, for example, that voters should be able to successfully mark a ballot a specified percentage of the time. Further, officials from another vendor said that the current guidelines are generally written for the purpose of testing and certifying end-to-end voting systems rather than system components such as ballot marking devices, which are generally developed by smaller vendors. As a result, according to this vendor, smaller vendors may face challenges getting new technology certified and into the market. EAC officials stated that they recognize that the current guidelines should be more flexible because specificity may limit innovation and they believe the updates to the VVSG 2.0 should help address this issue.", "In addition, some stakeholders said they believed that the voluntary guidelines and associated testing and certification processes take too long, and thus limit the choices of voting equipment on the market and make it difficult to make improvements to existing equipment. For example, officials from 8 of the 27 state survey respondents and three subject matter experts said the guidelines and their respective processes limit the number of voting systems that are available for acquisition. Three of the 8 states and three subject matter experts said, in their view, the EAC testing and certification process takes too long. In addition, according to one subject matter expert, if a jurisdiction wants to make changes to its existing voting equipment, such as incorporating new software, it can be a difficult and lengthy process to certify the modified equipment, and in some cases the entire system must be recertified. Also, an official from one vendor said that the federal certification processes are complicated, onerous, and time-consuming and they discourage vendors from making modifications to their voting systems even though the modifications might improve the systems. EAC officials said they have heard from stakeholders that the certification process takes too long but stated that this perception was more accurate in the years immediately following the EAC\u2019s issuance of the VVSG 1.0 in 2005. They said that if voting equipment has been modified and is ready for testing and there are no significant problems encountered during the testing, certifying modifications should take a few weeks to a few months to complete and full system testing and certification of new systems should take about 6 to 9 months.", "Further, officials from 4 of the 27 states that responded to our survey said the EAC testing and certification process can be costly. One state election official said that the cost of certification may discourage vendors from developing new systems and pursuing EAC certification for their systems, which could limit their ability to sell or supply their systems to state and local election jurisdictions. In addition, this state election official noted that costly federal certification of voting systems has limited the voting equipment choices for election officials. Further, officials from one vendor said that they submitted a new voting system for EAC testing and certification and spent over $12 million before they learned that there were significant issues with getting their system certified. According to EAC officials, this was an uncommon occurrence that resulted from the vendor submitting a system that needed additional work and was not ready for certification. The vendor decided to withdraw its system from the testing and certification process."], "subsections": []}]}, {"section_title": "The EAC Is Updating the Voluntary Voting System Guidelines with Stakeholder Input and Plans to Issue the New Version in 2018", "paragraphs": ["Shortly after the adoption of VVSG 1.1 in March 2015, the EAC, in conjunction with NIST and the TGDC, began work to develop the next iteration of the guidelines, VVSG 2.0, and anticipates issuing the new version in late summer 2018. The EAC, NIST, and the TGDC have taken actions to develop VVSG 2.0 that may address some of the issues with the earlier iterations of the guidelines that were raised by stakeholders. For example, they have established goals to guide the VVSG 2.0 development process, established working groups to inform the guidelines, and developed VVSG 2.0 high-level principles and guidelines."], "subsections": [{"section_title": "Establishment of Voluntary Voting System Guidelines Development Goals and Working Groups", "paragraphs": ["According to the EAC and NIST, in August 2014, the Future VVSG Working Group, which consisted of officials from state and local election offices, technical experts in such areas as security and disability, and voting system vendors, among others, began work which culminated in the creation of 12 goals to guide the development efforts for the voluntary guidelines. One goal, for example, states that the guidelines\u2019 requirements should be performance based and technology neutral. The goal statement further elaborates that the guidelines should be free from detailed descriptions of any technology, and that the guidelines should be functional in nature so that they can more easily be redefined as technology changes. Another development goal states that the voluntary guidelines and its testing and certification processes should not impose unanticipated cost burdens onto organizations. These goals are designed to address some of the issues with the current voluntary guidelines identified by the stakeholders we interviewed as posing challenges to the replacement and development of voting systems, such as discouraging innovation because they are too specific and discouraging vendors and other voting system developers from pursuing EAC certification for their systems because the process is potentially costly.", "After the 12 goals for the voluntary guidelines were developed, the EAC and NIST established a new process for developing the next guidelines that is intended to allow for broader and more transparent stakeholder involvement than prior guidelines\u2019 development efforts. This new process brings stakeholders together through a working group structure to develop the guidelines. According to the EAC, the previous process did not fully allow for stakeholder input or effectively leverage stakeholder expertise in developing the guidelines because comments on the guidelines were solicited from the Standards Board and external stakeholders after most of the work had been done.", "In 2015, the EAC and NIST established seven working groups to obtain feedback and input from stakeholders early in the voluntary guidelines development process. According to the EAC and NIST, the four constituency and three election cycle working groups were created as a public/private partnership to inform the development of the guidelines and are composed of state and local election officials, representatives from the federal and private sectors, members of standards bodies, EAC committee members, academic researchers, and other interested parties.", "The working groups are led by EAC and NIST staff, and have more than 600 participants across the seven groups. EAC and NIST officials stated that they have informed election officials and other stakeholders about opportunities to participate on these working groups to share their ideas. The four constituency working groups represent areas related to human factors (accessibility and usability), cybersecurity, interoperability, and testing and are charged with developing guidance or other deliverables related to these four areas. For example, one objective for the human factors working group is to identify gaps or issues with current accessibility and usability requirements for voting. The election cycle working groups\u2014focused on pre-election, election, and postelection activities\u2014develop process models related to election activities. For example, an objective for the election working group is to identify the necessary functionality of election systems needed to administer early voting and Election Day activities. The work by these seven working groups will help inform the development of the voluntary guidelines\u2019 requirements. Table 4 shows the seven working groups and their respective responsibilities.", "Some of the stakeholders we interviewed participate in these working groups. For example, officials from six of the seven voting system vendors we contacted said they have a representative on one or more of the constituency working groups. Generally, these six vendors said the working groups are a positive feature of the voluntary guidelines\u2019 development process. For example, officials from one vendor said they have been encouraged by the amount of collaboration on the working groups, and officials from another vendor said it is beneficial that vendors are part of the working groups because they bring experience and expertise with designing and developing various types of voting systems."], "subsections": []}, {"section_title": "Development of the VVSG 2.0 High-Level Principles and Guidelines", "paragraphs": ["In August 2017, the TGDC adopted high-level principles and supporting guidelines for the VVSG 2.0. These principles and guidelines are intended to provide system design goals and broad descriptions of the functions that make up a voting system, in contrast to the VVSG 1.1 which focused more on device- or system-specific requirements. The VVSG 2.0 will be supplemented by requirements consisting of technical details voting system vendors can use to design devices that meet the new guidelines. The supplemental requirements will also detail test assertions for how the accredited test laboratories will validate that a system complies with the requirements. One of the VVSG 2.0 principles, for example, is that ballots and vote selections should be presented in a clear, understandable way so that they can be marked, verified, and cast by all voters. The corresponding guidelines for this principle focus on ballots being perceivable, operable, and understandable. For example, the guideline for perceivable ballots notes that default voting system settings for displaying ballots should work for the widest range of voters and allow voters to adjust settings and preferences to meet their needs.", "Another VVSG 2.0 principle is that the voting system should be designed to support interoperability, including having voting devices that can interface with each other. The corresponding guidelines for this principle include using standard data formats and commercial off-the-shelf devices if they meet applicable requirements. According to NIST officials, one goal of the interoperability working group is to develop guidance that will enable election equipment and interfacing software to interoperate more easily and \u201cspeak the same language.\u201d NIST officials stated that this goal is intended to allow vendors to build and certify system components instead of a full voting system. These principles are designed to help address some of the issues reported by stakeholders, such as the impact of prescriptive requirements for ballot designs on vendor innovation and the challenges encountered with component certification under the current voluntary guidelines.", "Further, officials from the EAC told us that one key change with the VVSG 2.0 is that the EAC commissioners no longer have to approve changes to the supplemental requirements and test assertions, which will instead be vetted by the EAC\u2019s Board of Advisors and Standards Board. EAC officials noted that this allows for greater flexibility to make improvements to the requirements and testing process, including making changes in response to technological advancements. Additionally, depending on the situation, the new voluntary guidelines are intended to allow for more streamlined testing and certification processes. For example, EAC officials said that under the new guidelines, if there are modifications that have been made to a voting system that has already been certified, the changes can be tested without having the entire voting system go back through the testing and certification process."], "subsections": []}, {"section_title": "Next Steps in Developing the VVSG 2.0", "paragraphs": ["According to EAC officials, the next steps in the VVSG 2.0 development process are to share the high-level principles and guidelines with the EAC\u2019s Board of Advisors and Standards Board for further vetting, provide the public the opportunity to comment on them, and provide them to the EAC commissioners for approval. Specifically, before final adoption of the guidelines, both boards are to review and submit comments and recommendations regarding the guidelines to the commissioners. EAC officials anticipate that the EAC boards will likely review and pass resolutions in support of the principles and guidelines in April 2018. Following the board reviews, there will be a 90-day period for public comment on the VVSG 2.0, as required by HAVA. The EAC hopes that the time it typically takes to respond to public comments will be shorter than for prior voluntary guidelines, due to the extensive feedback and comments received and considered by the working groups during the development phase. EAC officials anticipate that the EAC commissioners will vote on the VVSG 2.0 principles and guidelines in August or September 2018, and the VVSG 2.0 will be issued after they are approved. According to EAC and NIST officials, the working groups have begun developing the supplemental requirements for the new guidelines. They said that the requirements are expected to be drafted by the summer of 2018 and test assertions for most voting systems are expected to be developed by the summer of 2019.", "EAC officials noted that it will likely take 12 to 24 months after the EAC commissioners approve the new guidelines before they are ready for use. EAC officials plan to submit to the EAC commissioners a range of recommended dates to consider for implementation. They added that in developing these dates, including when vendors will be required to test new equipment against the updated guidelines, they must consider various factors such as the time voting equipment vendors will need to build their new equipment to VVSG 2.0, and reaccreditation of voting system test laboratories to ensure they can test to VVSG 2.0. Because of the lag between when the guidelines will be issued and when they will be used for testing and certification, EAC officials stated that it is unlikely that systems will be certified in time to be ready for use in the 2020 election. However, these officials noted that they are available to meet with vendors that would like to start developing equipment based on the new guidelines."], "subsections": []}]}]}, {"section_title": "Agency and Third- Party Comments", "paragraphs": ["We provided a draft of this report to the EAC, NIST, and election offices in the five local election jurisdictions that we selected and their respective states for review and comment. The EAC, two jurisdictions, and two states provided technical comments, which we incorporated in the report as appropriate. NIST, three jurisdictions, and three states indicated that they had no comments in e-mails received from March 1 through March 23, 2018.", "We are sending copies of this report to the EAC, NIST, election offices in the five selected local jurisdictions and their respective states that participated in our research, appropriate congressional committees and members, and other interested parties. In addition, this report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions, please contact Rebecca Gambler at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses the following questions: 1. What types of voting equipment did local election jurisdictions use for the 2016 general election, and what are jurisdiction perspectives on equipment use and performance? 2. What factors are considered when deciding whether to replace voting equipment and what approaches have selected jurisdictions taken to replace their equipment? 3. What are selected stakeholders\u2019 perspectives on how federal voting system guidelines affect the replacement and development of voting equipment, and what actions has the Election Assistance Commission (EAC) taken to update the guidelines?"], "subsections": [{"section_title": "Objective 1", "paragraphs": ["For our first objective, we conducted a web-based survey of officials from a stratified random sample of 800 local election jurisdictions nationwide to obtain information from the jurisdictions on the voting equipment used during the 2016 general election and perspectives on equipment use and performance. In total, we received 564 completed questionnaires for a weighted response rate of 68 percent. We surveyed the officials about the types of voting equipment they used, various characteristics of the equipment used, their perspectives on the benefits and challenges they experienced while using the equipment, and how satisfied they were with its performance during the election.", "Overall, there are 10,340 local election jurisdictions nationwide that are responsible for conducting elections. States can be divided into two groups according to how they delegate election responsibilities to the local election jurisdictions. One group is composed of 41 states that delegate election responsibilities primarily to counties. We also included the District of Columbia in this group of states. However, even within this group there are some exceptions to how election responsibilities are delegated. For example, there are no counties in Alaska, so the state groups all of its Boroughs and Census Areas into four election regions; and 6 states\u2014Illinois, Maryland, Missouri, Nevada, New York, and Virginia\u2014delegate responsibilities to some cities independently from counties. The group of 41 states and the District of Columbia contains about one-fourth of the local election jurisdictions nationwide. The other group is composed of 9 states that delegate election responsibilities to subcounty governmental units, known by the U.S. Census Bureau as Minor Civil Divisions (MCD). This group of states contains about three- fourths of the local election jurisdictions nationwide. The categorization of the 50 states and the District of Columbia by how election responsibilities are organized is as follows (states in bold delegate election responsibilities to some cities independently from counties):", "County-level states: Alabama, Alaska (four election regions), Arizona, Arkansas, California, Colorado, Delaware, the District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, and Wyoming", "MCD\u2013level states: Connecticut, Maine, Massachusetts, Michigan, Minnesota, New Hampshire, Rhode Island, Vermont, and Wisconsin While 27 percent of election jurisdictions nationwide are in states that delegate election responsibilities primarily to counties, according to the 2010 Census, 89 percent of the U.S. population lived in these states. The U.S. population distribution between the two state groups is shown in table 5.", "The sampling unit for our survey was the geographically distinct local election jurisdiction at the county, city, or MCD level of local government (or, in Alaska, the election region). We constructed our nationwide sample frame of all local election jurisdictions using 2010 decennial Census data and information on local jurisdictions from state election office websites. Census population data were available for all counties, county equivalents, and MCDs.", "To obtain a representative sample that included a mix of both rural and non-rural jurisdictions, we used a two-level stratified sampling method in which the sample units, or jurisdictions, were broken out into rural and non-rural strata. To do this, we used the U.S. Department of Agriculture\u2019s Economic Research Service\u2019s Rural-Urban Continuum Code (RUCC) system which classifies counties into a nine-category continuum based on their characteristics and location relative to metropolitan areas. The RUCC continuum coding scheme is shown in table 6.", "To assign a continuum code to each local election jurisdiction, we matched the RUCC county code to each county in the population frame. Cities that are independent local election jurisdictions and spread geographically across one or more counties received the lowest numbered code among the counties which contain them (i.e., most urban). For independent cities that administer their own elections but are contained geographically within a single county, the city received the code assigned to the county. Where necessary, the parent state\u2019s 2010 decennial Census report was checked to make sure all counties that included part of the independent city were identified. MCDs in New England and the Midwest received the code of the parent county that contained them. For our sampling purposes, the rural stratum was defined as all local election jurisdictions with an RUCC code of 7, 8, or 9. The non-rural stratum was defined as all local election jurisdictions with a code of 1, 2, 3, 4, 5, or 6. Of the 10,340 local election jurisdictions nationwide, 70 percent were classified as non-rural while 30 percent were classified as rural.", "We selected a two-level stratified sample of 800 local election jurisdictions. Using the RUCC codes, we allocated 600 sampling units, or jurisdictions, to the non-rural stratum and 200 to the rural stratum. To obtain a sample that also reflected the population distribution across jurisdictions nationwide, we used the population of the local election jurisdiction as the measure of unit size and selected the sample units within each stratum with probability proportionate to population of the local election jurisdiction, without replacement. We used jurisdiction population size, rather than the number of eligible or registered voters, because these Census data were readily available for all counties and MCDs nationwide. Because the sample was selected with probability proportionate to population size, any jurisdiction (county or MCD) with more than about 225,000 people was selected with certainty. Table 7 shows the breakout of jurisdictions by population size, the total population within each size grouping, and the number of jurisdictions sampled.", "After selecting the units to be included in our survey sample, we obtained contact information for the chief election official within the jurisdictions selected. To do this, we first collected contact information for local election jurisdictions from state election office websites and other publicly available sources. We then called the jurisdiction offices directly to confirm the accuracy of the information and the appropriate official and e- mail address to which the survey URL and the respondent\u2019s login information for the questionnaire should be sent. We launched our web- based local election jurisdiction survey on March 27, 2017, and made it available to respondents to complete online through July 14, 2017. Log in information to the survey was e-mailed to the chief election official of each sampled jurisdiction. Between April 4, 2017, and July 10, 2017, we conducted follow-up with nonrespondents by phone and e-mail. During this follow-up, we learned that some MCDs in Minnesota contract with their respective counties to carry out election administration responsibilities, including those concerning the use of voting equipment. In these cases, we reassigned and sent the questionnaire for the particular MCD to the appropriate county election official for completion. Finally, we adjusted the sampling weights to compensate for nonresponse using weighting classes within each stratum that were based upon population size of the jurisdictions.", "All sample surveys are subject to sampling error\u2014that is, the extent to which the survey results differ from what would have been obtained if the whole population had been observed. Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. As each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. As a result, we are 95 percent confident that each of the confidence intervals based on our web-based survey includes the true values in the sample population.", "In addition to the reported sampling errors, the practical difficulties of conducting any survey may introduce other types of errors, commonly referred to as nonsampling errors. For example, differences in how a particular question is interpreted, the sources of information available to respondents, or the types of people who do not respond can introduce unwanted variability into the survey results. We took numerous steps in questionnaire development, data collection, and the editing and analysis of the survey data to minimize nonsampling errors. For example, to inform the development of our questionnaire, we reviewed existing reports and studies about voting equipment and elections, such as those by various national public policy research organizations and professional associations of state and local officials involved in election administration, as well as previous GAO surveys and work related to this issue area. In addition, we interviewed election subject matter experts and representatives from organizations in the field of election administration and voting equipment to obtain their views and perspectives on potential issues and subject areas to consider covering in our questionnaire. We also pretested the draft questionnaire by telephone with officials in 4 local election jurisdictions (3 counties and 1 MCD) of various sizes in 4 states and had the draft questionnaire reviewed by two election experts. We used these pretests and reviews to further refine our questions, develop new questions, clarify any ambiguous portions of the questionnaire, and identify any potentially biased questions, and made revisions, as necessary. Further, during our analysis of the responses, we found that due to a higher level of nonresponse by very small jurisdictions of 2,500 persons or less, some national-level estimates that included responses from jurisdictions of all sizes had wider than desired confidence intervals. To improve the precision of these national-level estimates, we subsequently excluded the very small jurisdictions of 2,500 persons or less from our analysis. Computer analyses were conducted to identify any inconsistencies in response patterns or other indications of questionnaire response errors. All computer syntax was peer reviewed and verified by separate programmers to ensure that the syntax had been written and executed correctly.", "Unless noted otherwise, the point estimates we report are national-level point estimates representing the experiences, views, and opinions of all local election jurisdictions nationwide with populations greater than 2,500. We also provide some point estimates for jurisdiction population subgroups, such as large jurisdictions (greater than 100,000 persons), medium jurisdictions (25,001 to 100,000 persons), and small jurisdictions (2,501 to 25,000 persons), and jurisdictions that used a particular type of voting equipment, in cases where statistically significant differences exist between the subgroups that may be of interest. The jurisdictions we surveyed were selected with probability proportionate to population size, so rather than expressing the point estimates in terms of the percentage of jurisdictions nationwide that had a specified characteristic, we express the point estimates for the survey responses in terms of the percentage of the population nationwide that resides within jurisdictions that had a specified characteristic. Similarly, in instances where we report point estimates for jurisdiction subgroups, we express the point estimate in terms of the percentage of the population that resides within jurisdictions of that respective subgroup that had a specified characteristic."], "subsections": []}, {"section_title": "Objective 2", "paragraphs": ["For our second objective, we used our local election jurisdiction survey as described above to obtain information from jurisdictions about the factors they consider when determining whether to replace their voting equipment. In addition to the local election jurisdiction survey, we also conducted a web-based survey of the state-level election offices in the 50 states and the District of Columbia about issues pertaining to the states\u2019 role in selecting and acquiring voting equipment, including the factors considered when determining whether to replace voting equipment. In total, we obtained 46 responses (a 90 percent response rate). We took the same steps to develop the state questionnaire as we did in developing the local election jurisdiction questionnaire described above. We conducted pretests of our draft state questionnaire by telephone with election officials of 4 states with varying election system characteristics such as type of voting equipment used, population size, use of federal voting equipment certification processes, and age of equipment, among other characteristics. We also had the draft questionnaire reviewed by two election experts. We used these pretests and reviews to help further refine our questions, develop new questions, clarify any ambiguous portions of the survey, and identify any potentially biased questions, and made revisions, as necessary.", "Prior to fielding our state survey, we contacted the secretaries of state or other responsible state-level officials, as well as officials from the District of Columbia, to confirm the contact information for the director of elections or comparable official for their respective state. We launched our web-based state survey on April 6, 2017, and made it available to respondents to complete online through May 19, 2017. Log-in information to the survey was e-mailed to directors of elections or comparable officials. Between April 12, 2017, and May 16, 2017, we conducted follow- up with nonrespondents by phone and e-mail. The total number of responses to individual questions may be fewer than 46, depending upon how many respondents were eligible or chose to respond to a particular question. For example, survey respondents who indicated that their state did not have a role in determining whether to replace voting equipment were directed to skip all subsequent questions related to the factors considered when determining whether to replace equipment.", "Because this survey was not a sample survey, there are no sampling errors. However, the practical difficulties of conducting any survey may introduce nonsampling errors. For example, differences in how a particular question is interpreted, the sources of information available to respondents, or the types of people who do not respond can introduce unwanted variability into the survey results. We included steps in both the data collection and data analysis stages for the purpose of minimizing such nonsampling errors. For example, we examined the survey results and performed computer analyses to identify inconsistencies and other indications of error. Where these occurred, survey respondents were contacted to provide clarification and the response was modified to reflect the revised information. A second, independent analyst checked the accuracy of all computer analyses. The scope of this work did not include verifying states\u2019 survey responses with local election officials.", "For additional perspectives and context on the factors considered by jurisdictions and states when replacing voting equipment, we also used our reviews of existing reports and studies about voting equipment and elections and interviews with election subject matter experts, including representatives from nongovernmental research and other organizations involved in the field of election administration and voting equipment. For our review of existing reports and studies, we reviewed literature covering the period from 2005 through 2017 including general news, trade and industry articles, association and nonprofit publications, and government reports related to voting system technology, specifically on the replacement and development of voting systems and voting system standards or guidelines. For our interviews, we identified and selected nine subject matter experts based on our review of reports and studies on voting equipment, their expertise and work in this area, and recommendations from these and other researchers. These subject matter experts represented the following organizations: (1) Brennan Center for Justice, (2) National Conference of State Legislatures, (3) National Association of Secretaries of State, (4) National Association of Counties, (5) National Association of State Election Directors, (6) Verified Voting, (7) Kennesaw State University Center for Election Systems, (8) Center for Election Innovation and Research, and (9) Election Data Services, Inc. The information we obtained from these experts cannot be generalized; however, these experts provided additional perspectives and information on the factors considered by jurisdictions and states when replacing voting equipment.", "In addition, we interviewed election officials from five local jurisdictions\u2014 Los Angeles County, California; Travis County, Texas; Anne Arundel County, Maryland; Lafayette County, Florida; and Beaver County, Utah\u2014 that replaced their voting equipment between 2012 and 2016 or plan to replace their equipment in time for the 2020 general election to learn about the approaches and practices they used and obtain their perspectives on the replacement process. We selected these jurisdictions to reflect variation in, to the extent possible, population of jurisdiction, type of voting equipment replaced and selected, state involvement in selecting and funding voting equipment, and particular practices used to replace equipment (e.g., self-designing equipment, leasing equipment), among other factors. For each jurisdiction, we interviewed\u2014on site or by phone\u2014local election officials, state election officials in the jurisdiction\u2019s state, and individuals who have served as poll workers at the jurisdiction\u2019s polling locations if applicable. While these five jurisdictions are not representative of all local election jurisdictions nationwide that replaced or plan to replace their voting equipment, they provide examples of various approaches for replacing voting equipment and perspectives on key issues with replacing equipment. We corroborated various information we obtained through these interviews by reviewing relevant state statutes and documentation that these jurisdictions provided to us, such as postelection reports, voting system studies, expenditure summaries, and solicitations for vendor proposals to provide voting equipment and services."], "subsections": []}, {"section_title": "Objective 3", "paragraphs": ["To address objective 3, we used responses to our survey of state election officials and interviews with seven selected voting system vendors, the nine selected subject matter experts mentioned above, and officials from the EAC and National Institute of Standards and Technology (NIST) to obtain perspectives on how federal voting system guidelines and their associated testing and certification processes affect the replacement and development of voting equipment. We obtained perspectives on the most recent federal voluntary voting system guidelines (Voluntary Voting System Guidelines, versions 1.0 and 1.1) because they are currently being used to federally test and certify voting systems. We selected the seven voting system vendors based on the prevalence of jurisdictions\u2019 use of their equipment, and to obtain variation in the type of voting system manufactured, such as optical scanners and direct recording electronic voting equipment, and whether systems were federally certified, under test to be certified, or not certified. We also wanted to include a company that plans to enter the voting system market and potentially submit its product for federal certification. Based on these criteria, we selected the following voting equipment vendors\u2014Dominion Voting Systems, DFM Associates, Election Systems and Software, Everyone Counts, Hart InterCivic, Open Source Election Technology Institute, and Unisyn Voting Solutions.", "To determine the actions taken or planned by the EAC to update the federal voluntary voting system guidelines, we reviewed EAC and NIST documents and interviewed officials from the EAC and NIST about these actions. We also interviewed the seven selected voting system vendors about their involvement, if any, in updating the guidelines and their perspectives on these actions.", "The perspectives of the seven voting system vendors and nine subject matter experts are not generalizable but provide examples of views on the federal guidelines and their associated testing and certification processes from a range of stakeholders.", "We conducted this performance audit from June 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Categories of State Requirements for Federal Certification and Testing of Voting Systems", "paragraphs": ["We reviewed state statutes and regulations as of December 2017 regarding the testing and certification of voting systems to describe the extent to which state laws and regulations reference federal voting system certification or testing standards and the extent to which states require the use of these standards. As shown in table 8 below, we grouped the state laws into three categories for the purposes of this report: (1) requires full federal certification; (2) requires testing by a federally accredited laboratory and/or testing to federal voting system standards; and (3) no federal requirements. Category 2 includes states that use some aspect of the federal testing and certification program but do not require full certification. A number of states in this category require both testing by a federally accredited laboratory and testing to federal standards, but we included in this category states that had either requirement in state law or regulation. Category 3 includes some states that utilize the federal certification or testing standards to some extent but that do not require certification or testing to meet federal standards by law or regulation. We then sent our categorization to state officials in the 50 states and the District of Columbia and incorporated changes that we received from those officials."], "subsections": []}, {"section_title": "Appendix III: Results of GAO\u2019s Survey of Local Election Jurisdictions on Voting Equipment", "paragraphs": ["To determine the types of voting equipment local election jurisdictions used for the 2016 general election, jurisdiction perspectives on equipment use and performance, and the factors jurisdictions consider when deciding whether to replace voting equipment, we conducted a web- based survey of officials from a stratified random sample of 800 local election jurisdictions nationwide. In total, we received 564 completed questionnaires for a weighted response rate of 68 percent. The questions we asked in our survey are shown below. Our survey was composed of closed- and open-ended questions. In this appendix, we include all survey questions and results of responses to the closed-ended questions; we do not provide information on responses provided to open- ended questions.", "The tables below represent the estimated percentages of the jurisdictions\u2019 responses to the closed-ended questions. The estimates we report are rounded to the nearest percentage point and are national-level point estimates representing the experiences, views, and opinions of all local election jurisdictions nationwide with populations greater than 2,500. Because our estimates are from a generalizable sample, we express our confidence in the precision of our particular estimates as 95 percent confidence intervals which are also provided in the tables. As the jurisdictions we surveyed were selected with probability proportionate to population size, rather than expressing the point estimates in terms of the percentage of jurisdictions nationwide that had a specified characteristic, we express the point estimates for the survey responses in terms of the percentage of the population nationwide that resides within jurisdictions that had a specified characteristic. For a more detailed discussion of our survey methodology, see appendix I."], "subsections": [{"section_title": "Survey Contact", "paragraphs": ["Question 1 (open-ended question): What is the name, title, telephone number, and e-mail address of the primary person completing this questionnaire so that we may contact someone if we need to clarify any responses?"], "subsections": []}, {"section_title": "Use of Commercial Off-the-Shelf (COTS) Components", "paragraphs": ["The Election Assistance Commission\u2019s (EAC) Voluntary Voting System Guidelines, Version 1.1, defines commercial off-the-shelf (COTS) products as software, firmware, devices, or components that are used in the United States by many different people or organizations for many different applications other than certified voting systems and are incorporated into the voting system with no manufacturer- or application- specific modification. Examples of COTS components include hardware that can be purchased commercially (e.g., tablet devices, scanners, printers, memory cards or chips, etc.) and integrated as part of voting equipment. The next series of questions asks about your jurisdiction\u2019s integration of COTS components into voting equipment that was acquired from a vendor or self-designed by your jurisdiction. For the purpose of questions 30-36 (the next 7 questions), the term \u201cvoting equipment\u201d refers only to the equipment your jurisdiction used to cast and count votes."], "subsections": []}, {"section_title": "Additional Comments", "paragraphs": ["Question 58 (open-ended question): If you have any additional comments concerning any of the topics covered in this questionnaire, please use the space below."], "subsections": []}]}, {"section_title": "Appendix IV: Results of GAO\u2019s Survey of States on Voting Equipment", "paragraphs": ["To obtain information on the types of voting equipment used in the 2016 general election and the factors states consider when deciding whether to replace voting equipment, we conducted a web-based survey of state- level election offices in the 50 states and the District of Columbia. The questions we asked in our survey of state election offices are shown below. Our survey was composed of closed- and open-ended questions. In this appendix, we include all survey questions and results of responses to the closed-ended questions; we do not provide information on responses provided to open-ended questions that required manually entered text responses. The tables below represent the frequencies of state responses to the questions. We received surveys from 46 states (a 90 percent response rate), while 5 states did not respond. However, the total number of responses to individual questions may be fewer than 46, depending upon how many states were eligible or chose to respond to a particular question. For a more detailed discussion of our survey methodology, see appendix I."], "subsections": [{"section_title": "Survey Contact", "paragraphs": ["Question 1 (open-ended question): What is the name, title, telephone number, and e-mail address of the primary person completing this questionnaire so that we may contact someone if we need to clarify any responses?"], "subsections": []}, {"section_title": "Additional Comments", "paragraphs": ["Question 46 (open-ended question): If you have any additional comments concerning any of the topics covered in this questionnaire, please use the space below."], "subsections": []}]}, {"section_title": "Appendix V: Approaches to Voting Equipment Replacement in Selected Local Election Jurisdictions", "paragraphs": ["The five local election jurisdictions we selected to include in our review\u2014 Los Angeles County, California; Travis County, Texas; Anne Arundel County, Maryland; Lafayette County, Florida; and Beaver County, Utah\u2014 used varying approaches in replacing their voting equipment. Election officials in these jurisdictions and in their respective state election offices provided a range of perspectives on their experiences and the replacement process."], "subsections": [{"section_title": "Los Angeles County, California", "paragraphs": ["Los Angeles County is the most populous local election jurisdiction in the nation. It currently uses hand-marked paper ballots that are tallied using central count optical scan equipment, which has been in place since 2003. Prior to 2003 and dating back to 1968, these same ballots were used for its punch card voting system. The county is in the process of self-designing its own voting system, which is expected to consist of electronic ballot marking devices (BMDs) that produce paper ballots to be tallied on central count digital scanners, and plans to fully implement it in 2020."], "subsections": [{"section_title": "Key Factors That Influenced the County\u2019s Decision to Replace Its Voting Equipment", "paragraphs": ["According to county officials, the overall performance and features of the county\u2019s voting equipment and the need for the equipment to meet potential state and local requirements were among the key factors that influenced the county\u2019s decision to begin the process of replacing its optical scan system. County election officials stated that while the county\u2019s current voting equipment is reliable, accurate, and familiar to voters, the design and the age of the equipment do not offer the technical and functional flexibility necessary to continue to accommodate potential state regulatory changes and the growing and increasingly diverse county electorate. For example, officials stated that the current equipment may not be able to effectively accommodate state mandates that may require changes to ballot formats or length. Specifically, officials said that state legislation enacted in 2015 requires many cities within Los Angeles County to consolidate their elections with the county\u2019s by 2022, and as a result, the number of races and measures on the ballot may exceed the 12-page capacity that the current equipment can accommodate. They also noted that the technical limitations of the equipment present challenges to providing voters with greater voting options, such as early voting or the use of vote centers on Election Day, and features that enhance accessibility and ease of use."], "subsections": []}, {"section_title": "Planned New Voting Equipment and In-Person Voting Process", "paragraphs": ["The county has developed a design concept and specifications for its new voting equipment and is in the process of soliciting and selecting vendors to manufacture it. It has acquired several functional prototypes of the current design for the new equipment and has outlined the planned in- person voting process using this equipment, as shown in figure 11. According to county officials, the equipment specifications and in-person voting process have not been finalized and continue to be refined.", "County officials stated that the current design concept for the new equipment is intended to provide greater flexibility in administering elections, provide a more user-friendly and accessible voting experience, enhance accuracy and auditability, and could potentially lower costs for system upgrades if developed as planned:", "Greater flexibility for administering elections. According to county election officials, the new equipment is designed to provide more flexibility for administering elections and to respond to changing legislative provisions on conducting elections. For example, the California Voter\u2019s Choice Act, which was enacted in September 2016, generally authorizes Los Angeles County to conduct vote center elections beginning in 2020 if certain conditions are met. Officials stated that the proposed new equipment is expected to facilitate the use of vote centers because it would have the capability to electronically retrieve a voter\u2019s ballot regardless of the precinct in which the voter is registered. They also noted that the BMD would allow the county to have ballots with multiple formats and a large number of races.", "A more user-friendly and accessible voting experience. County election officials stated that the BMD is intended to provide the ease of use of a touch screen interface, which would incorporate features such as scrolling and tapping that are familiar to voters who use mobile devices. The BMD would also allow voters to select from English or the 11 other languages the county plans to support and is designed to include accessibility devices, such as a headset and tactile keypad for voters with vision impairments and other disabilities. Voters would be able to make their selections and cast their paper ballot without having to handle the ballot. Officials stated that these features are expected to allow voters with special needs to use the same equipment as all other voters and cast their votes independently and privately. The county\u2019s proposed design also includes an interactive sample ballot which voters can access from their computers or mobile devices to pre-mark their vote selections, convert to a Quick Response (QR) code, and then scan into the voting equipment to populate their ballots. Officials stated that this feature may help reduce lines by decreasing the time it takes for voters to mark their ballots once they reach the BMD.", "Enhance accuracy and auditability. The new voting equipment is designed to record vote selections on paper in human readable text. County officials stated that this is expected to more clearly capture voter intent than manually marked ballots, reduce the time and resources needed by county staff to interpret voters\u2019 intent, and increase the accuracy of election results and public trust in the voting process. Officials stated that the new equipment is also expected to improve the county\u2019s auditing capabilities. For example, the digital scanner is designed to allow the county to efficiently audit the results of individual races and measures, including conducting risk-limiting audits in which a specified number of ballots cast for a particular race are reviewed to confirm the election result for that race. According to officials, the county\u2019s current equipment tallies ballots by precinct and does not keep an electronic record of the specific votes cast on individual ballots. As such, it provides the capability of auditing the results by precinct but not individual races at the ballot level.", "Easier and less costly upgrades. According to county officials, the design of the voting equipment is intended to be modular so that key components can be replaced individually. Officials stated that this is intended to allow the county to more easily update equipment and incorporate technological advances because it will be able to swap out components if more affordable, better technology becomes available on the market. Officials said that the cost of replacing equipment parts is expected to be lower than with traditional voting systems."], "subsections": []}, {"section_title": "Process for Developing the New Voting Equipment", "paragraphs": ["Los Angeles County\u2019s Voting Systems Assessment Project (VSAP) was established by the Registrar-Recorder/County Clerk in 2009 to help guide the development and acquisition of the county\u2019s new voting equipment. According to county election officials, the VSAP has taken a user- centered approach to the design of the new voting equipment that prioritizes the specific needs and expectations of the voters and incorporates the requirements of county election administrators. Officials also stated that they sought to have a transparent design process that included voter input and participation to help promote public confidence in the new voting equipment. The project has five phases\u2014(1) public opinion and stakeholder baseline research, (2) establishment of voting system guiding principles, (3) system design and engineering, (4) manufacturing and certification, and (5) phased implementation. The county is currently in the manufacturing and certification phase. Officials reported that about $19 million has been expended to develop the new voting equipment as of December 31, 2017. Officials also stated that after the new system is certified, an additional $49 million in state funds from the Voting Modernization Bond Act of 2002 will be available to the county. Table 108 describes the VSAP phases, their associated expenditures and funding sources, and examples of key actions taken or planned in each phase.", "County officials told us they plan to retain ownership of the intellectual property rights of the new voting equipment so that the system remains publicly owned and not proprietary like traditional vendor equipment. The county also plans to use an open source technology framework wherein the source code for the system software is available for review and use by other election jurisdictions and entities by license. According to county election officials, this will allow other jurisdictions to, for example, have similar systems manufactured for their use. Officials stated that having the county own the system design on behalf of the public and using an open source software model are expected to provide greater flexibility for any jurisdictions using the software to cost-effectively make modifications to the equipment and adapt it to their varying needs and requirements. For example, jurisdictions would no longer be limited to relying on a single manufacturer if they would like to make an enhancement to the equipment or replace parts.", "Officials noted that there is currently no licensing model or institutional framework in use for a publicly owned elections system. However, they stated that open source technology solutions in other industries have been successfully implemented and administered, and the county\u2019s new system software could potentially be licensed and administered in a similar manner. In addition, county officials stated that they have outlined a clear business plan in the Request for Proposal (RFP) and during various information sessions with vendors which officials believe will help incentivize them to participate in building the system without potentially owning the equipment or its intellectual property rights. Specifically, officials noted that vendors would primarily receive revenue from the services they would provide, such as building the equipment and software platform and providing ongoing maintenance and support, rather than from selling the equipment itself.", "County officials stated that implementing the new voting equipment and moving to vote center elections in 2020 are changes to administering elections for the county that will require a substantial educational and informational effort. Officials noted that they have involved numerous stakeholders throughout the VSAP process to help effectively prepare for these changes and plan to allocate resources to educate voters and train poll workers. Some of these efforts are already underway. For example, the county has posted information and videos on the planned new voting equipment and process on the VSAP website and has been using the BMD prototype for public demonstrations and internal training on the new voting process."], "subsections": []}]}, {"section_title": "Travis County, Texas", "paragraphs": ["Travis County currently uses direct recording electronic (DRE) equipment without a voter-verified paper audit trail (VVPAT), which has been in place since 2001. The county also has conducted vote center elections since 2011. Starting in 2009, the county took steps to design and build its own equipment, including developing a concept for a DRE with a VVPAT that centered on system security and auditability. In September 2017, the county decided to no longer pursue building the voting equipment and plans to purchase equipment from a vendor. The county plans to have the new equipment in place for the 2020 election."], "subsections": [{"section_title": "Key Factors That Influenced the County\u2019s Decision to Replace Its Voting Equipment", "paragraphs": ["According to county officials, the overall performance and features of the county\u2019s voting equipment was the primary reason for deciding to begin the process of replacing its DREs. In 2009, the Travis County Clerk convened an Election Study Group to assess the county\u2019s current equipment and make recommendations for future equipment. This group was composed of 45 members representing election officials and workers, advocacy organizations, voters with disabilities, computer security experts, academics, and other segments of the community. According to the report that the group issued, most members expressed confidence in the way Travis County conducted elections and in the accuracy of its current equipment. However, they also expressed concerns over the equipment\u2019s age and the lack of a paper trail, which they said decreased voter trust in the system and increased the risk of election equipment tampering. The group noted that the Travis County Clerk\u2019s Office\u2019s use of safeguards and security and testing procedures beyond those required by law helped minimize the risk of tampering. The report recommended that the county move toward using equipment that offers an electronic count and paper record as soon as an alternative that met the county\u2019s requirements became available."], "subsections": []}, {"section_title": "Selection and Acquisition of New Voting Equipment", "paragraphs": [], "subsections": [{"section_title": "Development of Self-Designed Voting Equipment", "paragraphs": ["The Election Study Group outlined 19 key requirements that Travis County\u2019s new equipment should meet. The requirements included, for example, producing a paper voting record that can be verified by the voter and be used to independently, transparently, and efficiently reconcile an electronic tally in an audit or recount; allowing voters with special needs to vote using the same equipment as other voters; enabling early voting and the use of vote centers; and having reasonable purchase, operational, and system upgrade costs. The group found that no equipment on the market in 2009 met the needs of the county and, as a result, the county began exploring options to design its own equipment. Officials stated that this effort was also intended to provide an alternative to the current vendor model that could reduce maintenance costs and annual licensing fees that are incurred with proprietary systems.", "In 2012, the county Clerk convened a group of election administrators, usability experts, and academic experts in computer science and statistics, and through a series of discussion sessions, developed the concept for the county\u2019s new system, which they named STAR (Secure, Transparent, Auditable, and Reliable) Vote. STAR-Vote was designed to be centered around a DRE that produces verifiable and auditable paper records. At the polling place, voters would make their selections on a DRE device with a commercial off-the-shelf (COTS) tablet, which would also be equipped with an auditory interface for visually impaired voters and other features to assist individuals with special needs. The voters\u2019 selections would be encrypted and stored on the internally networked DRE devices, and voters would also receive a printed paper record with their choices. After reviewing the paper record and confirming their selections, voters would feed the paper record into a ballot box scanner to cast their vote. Once the polls closed, the devices storing the votes would be transported to receiving stations, where voting data are transmitted for electronic tabulation. The paper records would be available for audit or recount purposes.", "In addition, county officials stated that the equipment\u2019s proposed encryption technology was designed to potentially allow for the following features without revealing any individual\u2019s vote:", "Voters would receive a receipt that was attached to their paper records at the polling place and could go online after Election Day and use a code on the receipt to verify that their ballots had been cast and counted.", "Third parties, such as the League of Women Voters or political parties, could access encrypted voting data to verify that the results the county had reported matched vote totals they had independently derived from the data.", "The county could conduct risk-limiting audits to verify the consistency between the electronic and printed vote records and test the accuracy of the reported election outcomes. Audits could be conducted on individual ballots or races if needed.", "In June 2015, the county issued a Request for Information for STAR-Vote to solicit input on the design, development, implementation, and maintenance of the equipment. Based on information gathered from the request, it issued an RFP in October 2016 to solicit proposals from voting system vendors and others for the development and implementation of key components of the equipment for in-person voting. The county also issued a Statement of Intent for the equipment to inform interested parties of the county\u2019s planned approach for the long-term management and support of STAR-Vote. According to these documents, the county planned to own the intellectual property rights for the equipment and provide open source software for its system to the elections community under a licensing agreement, which would allow other jurisdictions to use similar equipment. The Statement of Intent described the formation of a nonprofit organization to manage and support STAR-Vote and sought $25 million in funding from interested parties to complete the development of the open source software components, support the organization\u2019s operating budget for the first 5 years, and provide a cash reserve. The county planned to use these funding commitments and local budget appropriations to develop, build, and deploy the equipment.", "In September 2017, the county announced that it had decided to no longer pursue developing and building STAR-Vote. The county stated that it received 12 proposals in response to the RFP but they were not sufficient to build a complete voting system. According to county officials, none of the proposals included the election management system for the equipment that would handle ballot definition and the tallying of results, among other related tasks. In addition, officials stated that they received limited responses to their solicitation for financial commitments in the Statement of Intent and thus lacked the necessary funding to develop and build the equipment. Officials noted that the open source software platform they had envisioned was seen by voting equipment vendors as a low-revenue business model in the current elections marketplace. They added that potential participants in a STAR-Vote entity may not have had a clear concept of how its business model might work, which they said was perhaps due to the county\u2019s more limited focus on this aspect when they were initially designing the system. Given these obstacles and the age of the county\u2019s current equipment, the county decided that it needed to move toward acquiring more immediately deliverable voting equipment through a voting system vendor."], "subsections": []}, {"section_title": "Selection and Acquisition of New Voting Equipment from a Vendor", "paragraphs": ["The county has incorporated some of the features of STAR-Vote into its requirements for new voting equipment. According to county officials, the county plans to acquire either DREs or ballot marking devices with precinct count digital scanners because, in their view, they are accurate (e.g., prevent voter errors, such as overvotes or stray marks on the ballot, and minimize questions about voter intent), allow individuals with disabilities to vote on the same equipment as other voters, support vote center elections, and offer fast reporting of election results. The county also plans to require that its next voting equipment have the following features:", "A voter-verified, paper list of choices for recount purposes. County officials stated that the equipment must produce printed paper records that can be tallied and connected with electronic voting records through an automated process. This electronic connectivity would allow paper-ballot recounts to be conducted on individual races.", "Security features that include support for third party verification of results and better postelection audits. According to county officials, the equipment they acquire must allow for third parties to independently verify reported election results and must support risk- limiting audits.", "Officials stated that they believe there is or will be equipment on the market in the near future that could support these features. They noted that they are also prepared to work with vendors to customize existing equipment to meet the county\u2019s requirements if needed, acknowledging that such additions may increase expenses or require additional time to recertify parts of the voting system. County officials estimate that the new equipment will cost about $16 million and stated that acquisition will be funded through local bonds.", "County officials said they would like to have the new equipment in place for the 2020 election, which would require them to start deploying it no later than May 2019. The county issued an RFP for the system in November 2017, and officials stated that they plan to assemble a group of stakeholders similar to those who participated in the 2009 Election Study Group, as well as the individuals who designed STAR-Vote, to help evaluate the proposals received. Officials noted that their current equipment is functioning and robust, but that the new equipment must be deployed before the current equipment begins to degrade. In addition, they stated that the May 2019 implementation date is the latest possible date in order to allow sufficient time to educate voters and train county staff and election judges on the new equipment before using it in the 2020 election."], "subsections": []}]}]}, {"section_title": "Anne Arundel County, Maryland", "paragraphs": ["Anne Arundel County had used DREs without a VVPAT since 2004 and replaced its equipment in 2016 with a system in which voters manually mark paper ballots and insert them into precinct count digital scanners which then count them. Maryland requires the use of uniform voting equipment in polling places statewide and the state and counties each pay 50 percent of the costs of acquiring equipment. In our state survey, Maryland officials reported that the state determines when voting equipment is to be acquired and selects the type and model of voting equipment that local jurisdictions use."], "subsections": [{"section_title": "Key Factors That Influenced Maryland\u2019s Decision to Replace Its Voting Equipment", "paragraphs": ["According to the Maryland State Board of Elections (SBE) and Anne Arundel County Board of Elections officials, the need for voting equipment to meet state requirements, the overall performance and features of the equipment, and the ability to maintain the equipment were among the key factors that influenced the state\u2019s decision to replace its equipment.", "Specifically, in 2007, Maryland enacted a law that prohibited the use of a voting system unless the SBE determined that the system provides a voter-verifiable paper record, thereby requiring the state\u2019s DREs to be replaced. SBE officials said that the passage of the new law was driven primarily by a push from voting advocates to move to new equipment that used paper ballots and provided a verifiable paper trail. Although the law was enacted in 2007, state funding for the new equipment was not available until 2014 due to budgetary constraints.", "While the change in state law was the main reason for replacing its voting equipment, both SBE and Anne Arundel County officials noted that the state\u2019s previous DRE equipment was nearing the end of its life cycle and various problems had begun to occur more frequently. For example, SBE officials said that nonresponsive touch screens and battery unit failures became more common with the equipment used in the state. In addition, Anne Arundel County officials stated that while their equipment generally performed satisfactorily, some of the touch screens had begun to degrade and develop calibration issues, which resulted in the appearance of incorrectly recording voters\u2019 selections. In addition, county officials said that the equipment could no longer support certain software or security updates, and replacement parts were challenging to acquire."], "subsections": []}, {"section_title": "Selection and Acquisition of New Voting Equipment", "paragraphs": ["According to SBE officials, state law specifically required the purchase of precinct count scanners so the board did not consider other types of voting equipment. The SBE issued an RFP in July 2014 and four voting system vendors submitted proposals. The SBE formed an evaluation committee to analyze the technical and financial details of the proposals. According to SBE officials, the committee\u2019s members included a state official with expertise on voting systems, a county election director, a county technical specialist, and election experts and researchers, among others. Anne Arundel County election officials stated that the SBE also established various subcommittees to solicit input from county officials as the state made its selection. They said that relevant local elections staff members were involved in the selection process and that in their view, the process had worked well.", "According to SBE officials, in addition to assessing the vendors\u2019 proposals, the evaluation committee worked with the University of Baltimore to perform usability and accessibility testing on the equipment under consideration. The committee also hosted a public demonstration to collect feedback on such areas as ease of use and confidence that votes were accurately cast. Officials stated that after conducting its assessment of the equipment, the committee presented its findings to the SBE, and in October 2014, the board selected the voting equipment to be acquired based on the committee\u2019s recommendation.", "Maryland requires equipment to be certified by the EAC and the SBE before use in the state. The selected equipment had been certified by the EAC in July 2014 and was certified by the SBE in December 2014. As part of the certification process, the SBE tested the equipment to ensure that it met requirements in the Maryland elections code, including simulating primary and general elections using ballots typically used by jurisdictions in the state, and reviewed the findings from the public demonstration and usability testing performed during the selection process.", "The SBE decided to lease rather than purchase the equipment for a number of reasons. Specifically, SBE officials said that leasing provided increased flexibility to update or replace equipment more frequently and had lower upfront costs. In addition, the state did not want to buy new equipment until the implementation of updated federal guidelines. Under the current contract to lease the digital scan equipment, payments are made to the vendor on a quarterly basis. According to SBE officials, the current payment to the vendor for leasing the digital scan equipment statewide is approximately $1.1 million per quarter.", "SBE officials said that the process to acquire new equipment is inherently challenging, but in their view, the process generally went well. Knowing what type of equipment the state needed to acquire simplified the process and reduced the number of proposals that officials needed to review. Nevertheless, they noted that the process took more of their time and resources than they had anticipated, which presented challenges because the state was holding elections during the same time period it was selecting and acquiring the equipment. However, the SBE met its goal of implementing the new equipment by 2016."], "subsections": []}, {"section_title": "Deployment of New Voting Equipment", "paragraphs": ["SBE and Anne Arundel County officials stated that deployment of the new equipment in the 2016 general election went smoothly with no significant challenges. The officials said they took a number of steps to help ensure a successful rollout. For example, SBE officials said that they established a strong project management team and hired contractors to assist with tracking progress toward key deadlines; drafting policies, procedures, and training manuals; and testing equipment and sending it to the counties. Anne Arundel County officials said that they hired about 40 temporary staff to assist with deploying the new equipment and other tasks during the general election. In addition, they stated that the county conducted extensive election judge training and held mock elections using the new equipment. The officials noted that with the new paper-based system, the county needed to recruit and train more election judges compared to past elections to hand out ballots, show voters how to operate the equipment, and handle provisional voting. The two election judges we interviewed stated that the training they received was very comprehensive and effectively prepared them for Election Day.", "Both SBE and Anne Arundel County officials stated that additional voter education efforts would have been beneficial. According to SBE officials, the SBE had developed plans for a statewide multimedia effort to educate voters on the new equipment but did not receive funding to implement it. A scaled down effort was carried out instead, which included demonstrating voting equipment at meetings and fairs around the state, producing local media news stories, and posting a video on the SBE\u2019s website on how to use the new equipment. SBE and Anne Arundel County officials stated that the more limited voter education efforts might have contributed to longer lines on Election Day in some polling places because many voters were unfamiliar with the equipment and some had questions or needed assistance with using it. However, these officials noted that voter wait times were not a widespread or significant issue during the general election. The two election judges we interviewed stated that some voters needed help inserting their ballots into the scanner, but observed that voters generally appeared to find the new equipment easy to use. They also noted that some voters commented that paper ballots provided them with reassurance with regards to the security of their vote.", "SBE and Anne Arundel County officials said that the equipment itself performed satisfactorily in the 2016 general election with only minor problems. For example, state officials said that the scanners jammed occasionally, but this was easily resolved by elections personnel. In addition, most polling locations in the state were allocated only one scanner, so some jurisdictions with two-page ballots, such as Anne Arundel County, experienced lines because of the length of time it took for voters to scan their ballots. Anne Arundel County officials plan to analyze voter registration data to help determine the number of scanners needed at each polling place and share the information with the SBE to help inform allocations for future elections. More generally, SBE officials noted that the new system has less equipment to manage\u2014about 2,600 digital scan units compared to the approximately 18,000 DRE units used statewide in prior elections\u2014so there is less pre-election testing and postelection maintenance that has to be done, saving time and labor for the state and counties.", "The state contracted with a third party vendor to conduct a postelection audit of the 2016 general election by using independent software to tally all digital ballot images. The audit confirmed the accuracy of the election results. According to SBE officials, the new equipment\u2019s ability to capture and store digital images of the ballots made this type of audit possible. Anne Arundel County officials stated that the ability to conduct such an audit is one of the main benefits of the new equipment."], "subsections": []}]}, {"section_title": "Lafayette County, Florida", "paragraphs": ["Lafayette County has a small population and, in 2016, replaced its precinct count optical scan equipment with precinct count digital scan equipment. The county formed a consortium with other counties in the state to help acquire its new equipment."], "subsections": [{"section_title": "Key Factors That Influenced the County\u2019s Decision to Replace Its Voting Equipment", "paragraphs": ["According to the county\u2019s Supervisor of Elections, the cost to acquire new equipment and availability of funding and the need to meet state requirements were among the key factors that influenced the county\u2019s decision to replace its voting equipment. He stated that Lafayette County\u2019s optical scanners were approximately 15 years old but were generally in good condition and performed satisfactorily in prior elections. County officials had planned to replace the county\u2019s aging voting equipment by 2018 or 2020, but decided to replace it in 2016 because of the opportunity to join a consortium of counties that formed to acquire new equipment, which the Supervisor stated helped secure funding for and lower the costs of purchasing the equipment.", "In addition, the Supervisor of Elections said that, to comply with state law, the county needed to acquire a paper ballot system with a BMD to replace the DRE it had used for voters with disabilities. Specifically, as of July 2008, Florida law required all voting in the state to be done using mark-sense paper ballots, which are generally counted using optical or digital scanners, except for voting by individuals with disabilities. Current state law requires jurisdictions to use these paper ballots for accessible voting by 2020. As such, according to the Supervisor of Elections, part of the impetus for acquiring new voting equipment was to replace the county\u2019s DRE to meet the 2020 deadline in the law."], "subsections": []}, {"section_title": "Selection and Acquisition of New Voting Equipment", "paragraphs": ["The Supervisor of Elections stated that Lafayette County is a small county and does not have much purchasing power. He said that Lafayette County and other small counties in the state formed a consortium to lobby the state for assistance and to leverage their collective purchasing power. The 12-county consortium was established in a 2015 meeting that was attended by county election officials, the Florida Deputy Secretary of State, and the vendor that supplied the counties\u2019 previous voting system. According to the Lafayette County Supervisor of Elections, the consortium decided to purchase precinct count digital scanners from the same vendor the counties had used before because county staff were familiar with the vendor and equipment, and the cost for the equipment was lower than similar equipment from another vendor that some counties in the consortium had considered. In addition, the Supervisor of Elections stated that the digital scanners have features that were an improvement over the county\u2019s previous optical scan equipment. For example, he stated that the new scanners have more robust security features, such as locking panels, seals, and a requirement for a passcode to access the system. He also noted that the scanners have touch screens that flip up and are back-lit, which are easier for voters and poll workers to read and more clearly identify overvotes. Further, he stated the scanners digitally capture and store ballot images. The two Lafayette County poll workers we interviewed confirmed that the new equipment more clearly identified overvotes for them and for voters than did the previous equipment.", "According to the county\u2019s Supervisor of Elections, having the consortium approach state officials as a group helped secure HAVA funds to help the counties purchase the voting equipment. In addition, he stated that being a part of the consortium helped the counties negotiate a lower price for their equipment than what they could have obtained individually because they pooled their purchases and acquired a higher volume of machines. While the consortium negotiated as a unit, each county has an individual contract with the vendor. The Supervisor of Elections stated that the total cost to purchase Lafayette County\u2019s new voting equipment\u2014which included seven digital scanners, seven BMDs for voters with disabilities, and various system components\u2014was about $70,000. The equipment was acquired primarily with HAVA funds, although he noted that the county allocated about $12,000 in local funds to purchase three additional BMDs. A memorandum of agreement for funding and purchasing the equipment was signed by Lafayette County and the state in November 2015 and, according to the Supervisor of Elections, the equipment was acquired in late 2015 and first used in the March 2016 primary election."], "subsections": []}, {"section_title": "Deployment of New Voting Equipment", "paragraphs": ["The Supervisor of Elections and the two poll workers we interviewed stated that deployment of the new voting equipment went smoothly and the county did not experience any challenges because the new and previous equipment are both precinct count scanning systems. The Supervisor noted that the voting process remained the same for the voter, so extensive voter education efforts were not needed. He stated that Lafayette County did not experience any equipment malfunctions during the November 2016 general election, and a postelection audit that was conducted, in which the county manually tallied ballots from a randomly selected race and precinct, found that the results were accurate."], "subsections": []}]}, {"section_title": "Beaver County, Utah", "paragraphs": ["Beaver County has a small population and previously used DREs with a VVPAT. In 2014, Beaver County began conducting vote-by-mail elections and replaced its DREs with central count digital scan equipment to support this change."], "subsections": [{"section_title": "Key Factors That Influenced the County\u2019s Decision to Replace Its Voting Equipment", "paragraphs": ["According to Beaver County officials, the overall performance and features of the equipment and the ability to maintain the equipment were among the key factors in their decision to replace the county\u2019s equipment. Officials stated that the county had been using DREs since 2005 and that by 2013, they had come to the conclusion that the equipment was not very efficient or user-friendly for administering elections. For example, the Deputy Clerk stated that it was time consuming to both set up the equipment and tally the votes, which required collecting and uploading the memory component from each of the DREs. She also noted that the operating software for the equipment\u2019s election management system had become out-of-date and did not have a user-friendly interface. According to the Deputy Clerk, this made it difficult for staff to navigate without detailed training, which was time consuming and costly. In addition, county election officials said that they were unsure about future maintenance and system upgrade costs and decided it would be more cost-effective to spend funds on purchasing new voting equipment rather than on upgrades to equipment with which they were not very satisfied.", "In 2013, the county decided to begin conducting vote-by-mail elections the following year and to acquire new equipment to support this change. According to county officials, this decision was due to the performance of their DREs and a desire to reduce costs and increase the efficiency of administering elections, among other reasons. Officials said that because the county was moving to vote-by-mail elections and DREs would no longer be needed for each precinct, the county would instead acquire central count scanners designed to count the mail-in ballots it would receive at the county elections office."], "subsections": []}, {"section_title": "Selection and Acquisition of New Voting Equipment", "paragraphs": ["According to Beaver County officials, the main individuals involved in the process to select and acquire the county\u2019s new voting system included the current Beaver County Clerk, Deputy Clerk, a county information technology official, and the previous county clerk, among others. When the county started the process in 2013, the state had not initiated any efforts to help local jurisdictions acquire new equipment. As such, both Utah and Beaver County election officials said that the state was aware of the county\u2019s decision to replace its equipment but was not involved in the selection and acquisition process.", "County officials stated that they wanted to acquire central count scanners to support conducting vote-by-mail elections and a BMD for in-person voting at the elections office for individuals with disabilities. Officials said that, in 2014, they verbally requested proposals from their current vendor and an elections services company that the county had employed in 2012 to provide training, systems testing, and other support for elections. According to the Deputy Clerk, the county requested proposals from these two entities because county officials were familiar with them and were not aware of other vendors that might submit proposals. Officials said that the county received a proposal from the elections services company, and selected the company because it was the only bid received and the equipment the company sold met the county\u2019s needs and was federally certified. They stated that one of the challenges they experienced as a small county looking to purchase equipment was that vendors were not actively marketing to them. In addition, the Deputy Clerk noted that she had limited elections and information technology experience when the county started the selection process. However, she said that the election services company was familiar with Utah\u2019s elections code and federal voting system requirements, helped negotiate with the vendor to acquire the new equipment, and educated county staff on the equipment.", "Beaver County reported that the cost to purchase the equipment\u2014two central count digital scanners, a BMD, and associated system components\u2014was about $46,000. Local funds were used to purchase the scanners and HAVA funds were used to purchase the BMD. According to Beaver County officials, county commissioners approved the procurement of the equipment in spring 2014 and it was first used in the June 2014 primary elections."], "subsections": []}, {"section_title": "Deployment of New Voting Equipment", "paragraphs": ["Beaver County officials stated that they deployed the new equipment in 2014 because it was more manageable to conduct such a transition during a non-presidential election year. They noted that they needed to educate the public about both voting by mail and the new voting equipment. Officials stated that the county used local newspaper ads, social media posts, and direct mailings to provide information on these changes. Officials also posted information on the county\u2019s website and allowed people to observe logic and accuracy testing of the equipment. They noted that educating the public on the new voting method and equipment in smaller elections during 2014 and 2015 helped voters become more comfortable with what to expect for the presidential election in 2016.", "County officials said that they are very satisfied with the performance of the new voting equipment. They noted that conducting vote-by-mail elections and using central count scanners allow them to administer elections from one location on Election Day, which requires less time and resources than having to manage multiple polling places. Officials also stated that the new digital scanners are able to count a high volume of ballots in a short period of time. They said that, for the November 2016 general election, the vote tallying was completed within an hour of the polls closing, which allowed the county to report results quickly. However, one challenge they experienced was that the new equipment\u2019s data format for election night reporting of results to the state was not compatible with the state\u2019s reporting system. To address this issue, county officials reformatted the data to produce a report that could be uploaded into the state\u2019s system, but cautioned that this may not be feasible for larger jurisdictions.", "According to officials, the county conducted two postelection audits for the 2016 general election\u2014one required by the state and another that the county initiated. For the state audit, the county hand counted 1 percent of total ballots from a randomized list. In addition, the county conducted its own audit by running all ballots on its other digital scanner to compare results. According to officials, both audits validated the election results."], "subsections": []}]}]}, {"section_title": "Appendix VI: GAO Contact and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom Jessor (Assistant Director), David Alexander, Carl Barden, Chuck Bausell, Brett Fallavollita, Sally Gilley, Christopher Hatscher, Eric Hauswirth, Richard Hung, Jill Lacey, Serena Lo, Jan Montgomery, Heidi Nielson, Shannin O\u2019Neill, Claire Peachey, Jeff Tessin, and Johanna Wong made significant contributions to this report.", "We gratefully acknowledge the substantial time and cooperation of the state and local election officials, and stakeholders and experts whom we interviewed."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-297", "url": "https://www.gao.gov/products/GAO-18-297", "title": "Homeownership: Information on Mortgage Options and Effects on Accelerating Home Equity Building", "published_date": "2018-03-15T00:00:00", "released_date": "2018-03-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government has a number of programs to help increase access to affordable homeownership for first-time buyers and lower-income households, including programs that provide guarantees for certain types of mortgages and funding that can be used for down-payment assistance. Generally, homeowners can build home equity by making payments on a mortgage to reduce the outstanding principal (assuming home value does not depreciate). Recently, there has been interest in mortgage products that accelerate home equity building.", "GAO was asked to explore options for building equity through homeownership. This report discusses (1) how federal homeownership assistance programs affect home equity building; and (2) options, including private-sector mortgage products, through which borrowers can accelerate home equity building and the trade-offs of these options for both borrowers and lenders.", "GAO analyzed relevant laws and program guidance of federal homeownership assistance programs. GAO attended housing conferences and interviewed relevant federal and state agency officials, academics, and industry stakeholders, including mortgage insurers and lenders, to identify existing and proposed accelerated equity-building products and mechanisms and to better understand the benefits and trade-offs of accelerated equity building. GAO also developed examples of mortgage scenarios to illustrate the trade-offs of accelerated equity building. Federal agencies provided technical comments, which were incorporated where appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal homeownership assistance programs generally are not designed to accelerate equity building (home equity is the difference between the value of a home and the amount owed on a mortgage). For example, programs that offer grants for down-payment assistance can provide a one-time boost to home equity. However, these programs are not specifically designed to accelerate equity building\u2014that is, increasing the pace of paying off principal more quickly than would be the case with a 30-year fixed-rate mortgage. Instead, the focus of federal programs is on providing affordable access to homeownership, including through grants, loans, and mortgage insurance or guarantees. For instance, federal mortgage insurance programs help provide market liquidity by protecting lenders from losses, in turn increasing access to credit and homeownership, and ultimately, the opportunity for equity building for home buyers.", "Borrowers have options to accelerate equity building that include obtaining shorter-term mortgages, making more frequent or additional payments, or choosing a mortgage product designed to accelerate equity building. For example, a mortgage product introduced by private lenders in 2014\u2014the Wealth Building Home Loan (WBHL)\u2014has features designed to accelerate equity building, including shorter terms (15 or 20 years) and the option to buy down the interest rate. The product also allows for no down payment. However, these products have trade-offs, including the following:", "Shorter-term loans build home equity (in terms of principal reduction) at a faster rate, but require higher monthly payments (see fig.). Payments for a 15-year fixed-rate mortgage can be more than 40 percent higher than for a 30-year fixed-rate mortgage.", "Higher payments may make mortgages less affordable or limit access for lower-income borrowers. For example, higher payments may result in a higher debt-to-income ratio for some home buyers, which may prevent them from qualifying for a mortgage unless they buy a less expensive home.", "In contrast, all else equal, loans with a shorter term generally have reduced credit risk\u2014the likelihood of a home buyer defaulting on a mortgage\u2014for lenders.", "Note: Monthly mortgage payments do not include property tax or any type of insurance. Interest rates used are generally consistent with market rates in September and October 2017."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government has a number of programs to help increase access to affordable homeownership for first-time buyers and lower- income households, including programs that provide guarantees for certain types of mortgages and funding that can be used for down- payment assistance. Homeownership has long been perceived to provide a number of financial and nonfinancial benefits. For example, homeownership can build wealth through the accumulation and appreciation of home equity\u2014the difference between the value of a home and the amount owed on the mortgage. Home equity can serve as a financial cushion in times of hardship or financial emergencies, especially among lower-income households for whom housing generally constitutes a larger percentage of assets than for higher-income households.", "According to the U.S. Census Bureau, the homeownership rate was about 64 percent at the end of the third quarter 2017, and according to the Board of Governors of the Federal Reserve (Federal Reserve), the total outstanding mortgage debt in the same period was $10.5 trillion. In addition, more than 21 percent of homeowners had less than 20 percent equity in their homes (see app. II for more information). According to our analysis, for a borrower who bought a home with a 30-year fixed-rate mortgage and a small down payment, it could take more than 8 years in the current interest rate environment to achieve 20 percent equity in the home (assuming the home\u2019s value remained unchanged from loan origination). Homeownership can build wealth, but it also entails risks (such as depreciating home values) and costs (such as for maintenance, taxes, and insurance). Recently there has been some interest in mortgage products designed to accelerate equity building\u2014that is, products that increase the ongoing pace of paying off the loan principal compared to a traditional 30-year fixed-rate mortgage\u2014and improve access to homeownership.", "You asked us to explore options for building equity through homeownership. This report describes (1) how federal homeownership assistance programs affect home equity building, and (2) options, including private-sector mortgage products, through which borrowers can accelerate home equity building and the trade-offs of these options for both borrowers and lenders. You also asked us to include regional data on equity building, which is included in an appendix to this report.", "To address these objectives, we reviewed relevant literature, including prior GAO reports on housing assistance and homeownership, housing finance, and mortgage reforms. We interviewed officials with knowledge of federal homeownership assistance programs from the Department of Housing and Urban Development (HUD), Federal Housing Finance Agency (FHFA), Department of Agriculture (USDA), Department of Veterans Affairs (VA), Fannie Mae, Freddie Mac, Federal Home Loan Banks (FHLBanks), and state housing finance agencies. We attended housing conferences and met with housing experts and stakeholders from academia, housing advocacy organizations, and industry, including mortgage lenders and insurers, selected because they made proposals to increase homeownership or build home equity faster, wrote on homeownership issues, were recommended by government officials, or were involved in providing mortgage products designed to accelerate equity building. From interviews with industry stakeholders and housing conferences we attended, we were able to identify and review information on two private-sector mortgage products\u2014one existing and one proposed\u2014designed to accelerate home equity building. We used examples from those products to illustrate effects and trade-offs on home equity of select scenarios. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Home Equity Building", "paragraphs": ["A homeowner can build home equity immediately by making a down payment on their home, assuming the down payment is not financed separately as a loan. Throughout the life of a mortgage, homeowners can continue to build equity (1) by making regular mortgage payments to reduce the principal amount outstanding, (2) by making additional payments to further reduce the principal amount outstanding, and (3) through appreciation in their home\u2019s value. Additionally, the components of a mortgage (discussed below) may affect the pace of home equity building.", "Throughout this report, for the purposes of illustrating home equity building, we assumed that a home\u2019s value remained unchanged from the time of the loan origination. However, home values are highly contingent on market conditions and other factors that are beyond a homeowner\u2019s control. For example, although homes can appreciate in value, homes also can depreciate in value, which can have a negative effect on homeowners\u2019 equity. Homeowners also could lose money on their home if they sold it shortly after purchasing because principal reduction in the initial years of a mortgage is relatively small and the benefit of any home value appreciation would be limited. Additionally, selling a home incurs transaction costs, such as realtor commissions. To avoid losing money on a home sale, homeowners would need to sell their home at an amount higher than their purchase price plus transactions costs. For example, if a homeowner buys a home for $250,000 (all fees included) and plans to sell it 3 years later, assuming transaction costs of 10 percent (or $25,000), the homeowner would have to sell the home for at least $275,000 to break even, meaning an annual appreciation in home value of more than 3 percent. If the home\u2019s value did not appreciate at that rate, or depreciated, the homeowner would lose money on the sale."], "subsections": []}, {"section_title": "Mortgage Loan Components", "paragraphs": ["The majority of American families achieve homeownership by taking out a loan\u2014a mortgage\u2014to cover at least some of the purchase price. The primary components of a mortgage loan are the following:", "Term (duration). The most common term is 30 years. According to the Urban Institute, the 30-year fixed-rate mortgage represented approximately 90 percent of the fixed-rate purchase mortgages (that is, not for refinancing an existing mortgage) originated every month from January 2010 through July 2017, and 15-year fixed-rate purchase mortgages represented about 6 percent.", "Down payment. Most mortgage lenders require borrowers to make a down payment (of 3 percent or more of the purchase price, depending on the mortgage) that is applied to the purchase price of the home. A down payment also helps a borrower build home equity, assuming the down payment is not financed as a separate loan.", "Interest rate. Lenders charge borrowers a percentage of the mortgage amount, in exchange for providing funds to buy a home. An interest rate can be fixed or adjustable for the life of the mortgage (adjustable-rate mortgage or ARM). Because a fixed-rate mortgage\u2019s interest rate does not change regardless of prevailing rates, a borrower\u2019s payments for principal and interest remain the same for the life of the mortgage. In contrast, an adjustable-rate mortgage\u2019s interest rate, for which the initial interest is generally lower than for a fixed-rate mortgage, will adjust at agreed-upon intervals. As a result, adjustable-rate mortgage payments can increase or decrease depending on the changes in interest rates and terms of the loan.", "Payment frequency and amount. Payments are generally made on a monthly basis. Fixed- and adjustable-rate mortgages generally have fully amortizing payment schedules\u2014that is, the regularly scheduled payments will fully pay down the principal and interest over the life of the mortgage, with the amounts allocated to reducing principal and interest changing over time (see fig. 1)."], "subsections": []}, {"section_title": "The Federal Role in Mortgage Markets", "paragraphs": ["The U.S. markets for single-family housing finance include a primary market, in which lenders make (originate) or refinance mortgage loans, and a secondary market, in which mortgage loans are purchased from lenders and packaged into securities\u2014known as mortgage-backed securities\u2014that are sold to investors. The federal government participates in the primary and secondary mortgage markets.", "In the primary market, federal agencies provide homeownership assistance programs and products intended for increasing access to and affordability of homeownership. Relevant federal agencies and a government-sponsored enterprise that provide homeownership assistance and their primary housing-related policy goals include the following:", "Department of Housing and Urban Development provides housing assistance to low-and moderate-income families and promotes urban development.", "Federal Housing Administration (FHA) seeks to broaden homeownership, strengthen the mortgage marketplace, and increase access to credit by providing mortgage insurance.", "Public and Indian Housing helps ensure safe, decent, and affordable housing through programs such as housing choice vouchers.", "Community Planning and Development seeks to develop viable communities and provide decent housing and a suitable living environment through block grant assistance.", "Department of Veterans Affairs assists service members, veterans, and eligible surviving spouses of veterans to become homeowners through guaranteeing and issuing (in limited circumstances) mortgages for home purchases.", "Rural Housing Service (RHS), which is an agency within USDA, insures and guarantees housing loans for home purchases, repair, and rental housing development.", "Federal Home Loan Banks help provide liquidity to each bank\u2019s member financial institutions to support housing finance and community investment. FHLBank members include commercial banks, thrifts, and credit unions. FHLBanks provide 10 percent of their earnings for affordable housing programs, including grants for affordable housing for households with incomes at or below 80 percent of the area median.", "Federal homeownership assistance programs can be categorized in terms of the products or services they offer or the mechanisms they use. The categories include mortgage guarantees and insurance, down- payment assistance, vouchers, and direct loans (discussed in more detail later in this report). In addition to these categories of homeownership assistance, tax expenditures, such as exclusions, exemptions, deductions (including the mortgage interest deduction), credits, deferrals, and preferential rates, can promote homeownership. For example, homeowners can take advantage of tax deductions (by choosing to itemize deductions on their tax returns) to help lower their taxable income. Taxpayers who itemize deductions may deduct qualified interest they pay on their mortgage. Taxable income may be reduced by the amount of interest paid on first and second mortgages of up to $750,000 for homes purchased generally after December 15, 2017. Additionally, taxpayers generally may deduct up to $10,000 for state and local taxes, including property taxes paid by homeowners on their homes.", "Participation in the secondary mortgage market occurs through the following entities:", "Fannie Mae and Freddie Mac. Fannie Mae and Freddie Mac are government-sponsored enterprises (enterprises)\u2014congressionally chartered, for-profit, shareholder-owned companies. They are the two largest participants operating in the secondary mortgage market. Generally, Fannie Mae and Freddie Mac purchase mortgage loans that meet certain criteria for size, features, and underwriting standards\u2014known as conforming loans\u2014from lenders. In purchasing loans, the enterprises provide market liquidity, so lenders can provide more loans to borrowers.", "Ginnie Mae. Ginnie Mae is a wholly-owned government corporation.", "Ginnie Mae guarantees the timely payment of principal and interest on mortgage-backed securities supported by pools of loans backed by government-insured mortgages, including mortgages insured by FHA, VA, and USDA."], "subsections": []}, {"section_title": "Mortgage-Related Regulations", "paragraphs": ["In a process called underwriting, mortgage lenders evaluate the creditworthiness of potential borrowers in making mortgage loans, among other things. Amid concerns that risky mortgage products and poor underwriting standards contributed to the recent housing crisis, Congress included mortgage reform provisions in the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act). The Dodd-Frank Act generally requires lenders to determine consumers\u2019 ability to repay home mortgage loans before extending credit and provides a presumption of compliance with the ability-to-repay requirement for qualified mortgages.", "The ability-to-repay regulations set forth lenders\u2019 responsibilities to determine a borrower\u2019s ability to repay a residential mortgage loan, and special payment calculation rules apply for loans with balloon payments, interest only payments, or negative amortization. The regulations require lenders to make a reasonable and good faith determination of a consumer\u2019s reasonable ability to repay a loan. The regulations establish a safe harbor and a presumption of compliance with the ability-to-repay rule for certain qualified mortgage loans (QM). The rule generally prohibits loans with negative amortization, interest-only payments, or balloon payments from being qualified mortgages, and limits the points and fees a lender may charge borrowers on a qualified loan. The regulations establish general underwriting criteria for qualified mortgages. For example, under QM requirements borrowers generally cannot exceed a maximum monthly debt-to-income ratio of 43 percent, unless the loan is eligible for sale to an enterprise. If a mortgage loan meets the requirements of a QM loan, it is eligible for the safe harbor and the lender is deemed to have complied with the ability-to-pay requirement unless the loan is a higher priced mortgage loan. A higher priced mortgage loan that otherwise meets the definition of a QM is presumed to have complied with the ability-to-pay requirements, but the presumption can be rebutted if the consumer proves that the lender did not make a good faith and reasonable determination of the consumer\u2019s ability to repay.", "Additionally, federal mortgage insurance is included in the determination of whether an FHA-insured loan is a higher priced mortgage loan."], "subsections": []}]}, {"section_title": "Federal Homeownership Assistance Programs Can Have Equity- Building Effects, but Are Not Specifically Designed to Accelerate Equity Building", "paragraphs": ["Existing federal homeownership assistance programs use features and mechanisms that can have equity-building effects, but the programs are not specifically designed to accelerate equity building. The programs can assist homeowners to build equity over time by providing access to homeownership, but the programs do not have an explicit focus on accelerating the ongoing pace of paying down the loan principal faster than a 30-year fixed-rate mortgage. Rather, the overall focus of the programs is on providing affordable access to homeownership, according to officials of relevant agencies and entities and based on their mission goals. For example, the goal of FHA\u2019s mortgage insurance program is to facilitate access to affordable mortgages for home buyers who might not be well-served by the private market. FHA implements this goal by providing insurance to lenders to facilitate access to mortgage financing for lower-income home buyers.", "See table 1 for examples of federal homeownership assistance programs, by major program types and potential for affecting equity building, either at a point in time or throughout the life of a mortgage."], "subsections": [{"section_title": "Federal Mortgage Insurance and Loan Guarantees Increase Market Liquidity", "paragraphs": ["Federal mortgage insurance and guarantee programs increase market liquidity, which ultimately expands access to homeownership. The federal government commits to pay part or all of a loan\u2019s outstanding principal and interest loss to a lender or other mortgage holder if the borrower defaults. Because they obtain insurance or a guarantee against the possibility of loss from borrower default, lenders are more willing to provide loans to borrowers who might not otherwise be served by the private market, allowing more homeowners\u2014particularly lower-income borrowers\u2014an opportunity to build home equity.", "FHA offers mortgage insurance and RHS and VA provide loan guarantees. For example, FHA will insure loans with a down payment as low as 3.5 percent from most borrowers, and conventional mortgages will allow down payments as low as 3 percent. FHA-insured loans also have more lenient credit requirements that particularly benefit minority households and first-time home buyers who might otherwise find it difficult or more expensive to take out a mortgage. Among federal mortgage insurance programs, FHA has the highest volume of mortgages insured."], "subsections": []}, {"section_title": "Federal Down-Payment Assistance Programs Can Have Equity-Building Effects", "paragraphs": ["Federal and federally mandated programs that provide funding for grants and loans for down-payment assistance can have equity-building effects. Although accelerated equity building is not the policy goal of these programs, down-payment assistance can lower the barrier to homeownership for some lower-income home buyers so that the equity-building effects of homeownership can accrue. Examples of programs include the following:", "HUD\u2019s HOME Investment Partnership Program is a block grant program that provides funding to states and localities to be used exclusively for affordable housing activities to benefit low-income households. Funds can be used for down-payment assistance for eligible low-income home buyers. According to HUD data, more than 75 percent of low-income home buyers who have received assistance from the HOME program have used HOME funds for purchasing a home (which includes down-payment assistance) since the program\u2019s inception in 1992, directly contributing to homeowner equity building.", "HUD\u2019s Community Development Block Grant (CDBG) program also provides funding to eligible states and localities for community and economic development efforts, including housing assistance. Eligible uses of home-buyer assistance include grants for down payments and closing costs. In fiscal year 2016, CDBG funds provided direct housing assistance for down payment and closing costs to 2,483 households.", "FHLBanks contribute funding to the Affordable Housing Program (AHP), which can provide grants for down-payment assistance through either the AHP competitive or set-aside program. Member financial institutions of the FHLBanks can apply for the set-aside funds and then distribute the funds as grants to eligible households. Set-aside grants may be no greater than $15,000 per household, and at least one-third of the FHLBanks\u2019 annual set-aside allocation must be used for eligible first-time home buyers. According to FHFA, the FHLBanks funded about $77 million for down-payment or closing-cost assistance in 2016 (almost 90 percent of total set-aside program funding). The down-payment assistance grants have an immediate equity-building effect.", "RHS and HUD administer self-help grant programs that provide opportunities for very-low and low-income home buyers to purchase subsidized homes: Program participants help construct homes in exchange for subsidies, including down-payment assistance. RHS officials told us that the home buyer\u2019s labor serves as a down payment for the home, providing the home buyer with equity at the time of purchase. RHS\u2019s program also includes a subsidized interest rate determined by the home buyer\u2019s income, as well as a 33-year mortgage duration that can be extended up to 38 years, to reduce the monthly mortgage payment and make the loan as affordable as possible.", "HUD officials raised concerns about the extent to which down-payment assistance promotes home equity building. For example, some mortgages with down-payment assistance can be associated with higher delinquency rates. Specifically, HUD officials pointed to data indicating that FHA has experienced higher loan delinquency rates for loans with down-payment assistance. As with any homeownership-assistance programs or mortgages, the potential for home equity building requires a homeowner to sustain and pay down the mortgage.", "In addition to down-payment assistance, HOME, CDBG, and AHP funds can be used for buying down the mortgage interest rate. Interest-rate buy-downs have accelerated equity-building effects throughout the life of the mortgage because a higher proportion of monthly mortgage payments are applied to the mortgage principal. However, agency and enterprise officials and housing experts with whom we spoke said the down payment is the biggest barrier to homeownership, and in the current environment of low interest rates, buy-downs of interest rates are not common.", "In addition to federal programs, some state housing finance agencies also provide down-payment assistance grants and loans that have accelerated equity-building effects. For example, the Minnesota Housing Finance Agency provides a monthly payment loan (in addition to the mortgage) of up to $12,000 to be used for down payments or closing costs. The monthly payment loan has an interest rate equal to the rate on the borrower\u2019s first mortgage, and the loan can be paid back over a 10-year period. According to Minnesota Housing Finance Agency officials, by making payments directly on the monthly payment loan, the borrower is effectively accelerating equity building on that part of the home purchase because of the shorter term compared to a 30-year mortgage."], "subsections": []}, {"section_title": "Federal Voucher Program Can Facilitate Equity Building", "paragraphs": ["HUD\u2019s Housing Choice Voucher Program provides assistance in helping a homeowner pay for monthly mortgage and other homeownership expenses, which facilitate homeownership and equity building. Vouchers are administered locally by public housing agencies, but not all public housing agencies participate in the program. A home buyer would have to apply for a housing choice voucher with a participating public housing agency to use the funding for a mortgage instead of rent. First- time homeowners who meet income limits and receive homeownership counseling can qualify for the program. The payment assistance generally continues as long as the family resides in the home, and the maximum term for the assistance is 15 years if the home purchase is financed with a mortgage longer than 20 years. According to HUD, about 11,000 homeowners were receiving assistance from the Homeownership Voucher Program as of September 2017, about 0.5 percent of all vouchers."], "subsections": []}, {"section_title": "Federal Direct Loans Can Provide Access to Homeownership", "paragraphs": ["RHS and VA both offer direct loans for home purchases to eligible borrowers who may otherwise be unable to obtain financing in the private marketplace, providing access to homeownership and equity building. RHS offers direct loans to borrowers in rural areas with incomes of generally not more than 80 percent of the area median income. Loan funds can be used to build, repair, renovate, or relocate a home, or to purchase and prepare sites, including providing water and sewage facilities. RHS provided 7,089 direct loans for single-family homes in fiscal year 2016.", "VA provides direct home loans to eligible Native American veterans to finance the purchase, construction, or improvement of homes on federal trust land, or to refinance a prior direct loan to reduce the interest rate. According to VA, 13 direct loans were provided to Native Americans in fiscal year 2016."], "subsections": []}]}, {"section_title": "Options and Mechanisms That Accelerate Equity Building Present Trade-offs for Homeowners and Lenders", "paragraphs": ["Borrowers have options to accelerate equity building that include obtaining shorter-term mortgages, making more frequent or additional payments, or choosing a mortgage product available in the private mortgage market designed to accelerate equity building. These options accelerate equity building by affecting the key components of a mortgage\u2014term (duration), down payment, interest rate, or payment frequency or amount. The advantages of building equity faster can include using home equity as a financial cushion in emergencies, like unexpected medical expenses. However, there are trade-offs to these options, such as higher monthly payments for shorter-term mortgages. Additionally, stakeholders identified key trade-offs and considerations in introducing new products and mechanisms for accelerating home equity building that could affect the success of the products or mechanisms."], "subsections": [{"section_title": "Home buyers and Homeowners May Take Actions on Their Own to Accelerate Equity Building", "paragraphs": ["Home buyers and homeowners may take actions on their own to accelerate home equity building. For example, home buyers can choose a 15- or 20-year mortgage rather than a 30-year mortgage. The shorter- term product will increase the relative pace of equity building. In July 2017, almost 6 percent of all new purchase mortgage originations were for 15-year fixed-rate mortgages, according to the Urban Institute. However, shorter-term loans may present trade-offs for borrowers, which we discuss later in the report.", "Homeowners also can make extra mortgage payments to further reduce the principal balance, which can accelerate equity building and shorten the mortgage term. For example, according to our analysis, a homeowner making an extra monthly payment of $100 on a 30-year fixed-rate mortgage for $225,000 would accelerate equity building and reduce the mortgage duration by more than 4 years (see fig. 2). Homeowners generally have the flexibility to make extra payments at their discretion and could discontinue the extra payments at any time if they need the funding for other priorities.", "Homeowners also can refinance their mortgage to take advantage of lower interest rates, shorter mortgage terms or both. Lower-interest and shorter-term loans can help build equity faster. About 27 percent of mortgage refinances were for 15-year fixed-rate mortgages in October 2017, according to enterprise data reported by FHFA. However, refinancing (similar to purchase loans) incurs transaction costs (see table 2). A lender may offer low- or no-cost refinancing, but likely would charge a higher interest rate in exchange for lowering or eliminating fees. Additionally, other payments might be required at closing (which would be out-of-pocket expenses unless they were financed), including upcoming mortgage insurance and property taxes.", "Also, homeowners who refinance to take advantage of lower interest rates could extend their mortgage term or choose to cash out some of the existing home equity, thereby eliminating the potential for accelerated equity-building effects in refinancing. See figure 3 for a comparison of how different refinancing options can affect home equity building."], "subsections": []}, {"section_title": "A Recently Introduced Mortgage Product Accelerates Equity Building through Shorter Terms and Lower Interest Rates", "paragraphs": ["The Wealth Building Home Loan (WBHL) is a relatively new private- sector mortgage product that incorporates a number of features specifically designed to accelerate equity building (see fig. 4). The WBHL, which has been offered commercially on a limited basis for about 3 years, has shorter mortgage terms (15 or 20 years), can have a fixed or adjustable rate, and allows the interest rate to be bought down. A lower interest rate would allocate a greater portion of each monthly payment to reduce mortgage principal and also reduce the amount of the monthly payments.", "Moreover, the WBHL allows for no down payment (including allowing the financing of closing costs). The no down-payment feature is designed to facilitate access to homeownership. According to lenders we spoke with who offer WBHLs, allowing for no down payment is the key feature that distinguishes the WBHLs from standard 15- or 20-year mortgage loans available in the private-sector mortgage marketplace. Consistent with what we heard from lenders, officials from Fannie Mae and Freddie Mac told us loans that do not require a down payment generally are not available in the private-sector mortgage marketplace. Additionally, because of the low or no down-payment features, lenders we spoke with who offer WBHLs typically require private mortgage insurance, which is provided by a major mortgage insurer.", "As shown in figure 4, the monthly mortgage payments of a WBHL can increase substantially, compared with the payments of a 30-year fixed- rate mortgage.", "Some lenders we interviewed offer WBHLs with the option to buy down the interest rate, and some require a minimum buy-down.", "One lender requires borrowers to pay 2 points (or 2 percent of the mortgage loan amount), which buys down one-half of a percentage point of the interest rate.", "Another lender offers a 15-year loan with an option to pay 3 points to buy down the interest rate to 1.75 percent for the first 7 years. Rates increase to 5 percent for the remaining 8 years. The lender also offers a 20-year loan with the option to pay 2 points to buy down the interest rate to 2.99 percent for the first 7 years. Rates increase to 5.25 percent for the remaining 13 years.", "Although the option to buy down the interest rate has been advanced as a feature that accelerates equity building, some lenders we interviewed said that borrowers tend to pay the minimum required points only, because borrowers generally prefer to pay as little cash as possible at loan origination. Additionally, some lenders and other stakeholders have said that, in a low interest-rate environment, the incentive for borrowers to buy down the mortgage interest rate is greatly reduced."], "subsections": []}, {"section_title": "A Proposed Mortgage Product May Accelerate Equity Building through an Equity Savings Account", "paragraphs": ["Another mortgage product that we identified during our review\u2014the Fixed-Payment Cost-of-Funds Index (Fixed-COFI) Mortgage\u2014has been proposed by two economists, but has not yet been offered by private- sector lenders. This type of mortgage is intended to provide another option for consumers that encourages equity building and limits exposure for borrowers and lenders to interest rate fluctuations. The Fixed-COFI would allow borrowers with little or no money down to obtain an adjustable-rate mortgage that features a fixed monthly mortgage payment and an equity savings account. Funds in the equity savings account could be used to pay down the mortgage principal, thereby accelerating home equity building. According to the economists of this proposed product, the low to no down-payment feature may help individuals with little to no savings access homeownership, particularly those who live in high-cost areas where the rent payment is comparable to a mortgage.", "In addition to the borrower\u2019s fixed monthly payments, the Fixed-COFI mortgage also would determine how the borrower\u2019s fixed payments would be allocated, including to the equity savings account. The borrower\u2019s fixed monthly payment would be fully amortizing and be calculated based on prevailing rates for a 30-year fixed-rate mortgage at the time of loan origination. But the interest portion of the payment due to the lender would be separately calculated each month, based on a rate derived from COFI plus a gross margin to account for lenders\u2019 costs and insurance risk premiums. Each month, the difference between the borrower\u2019s fixed payment and interest due the lender based on the COFI rate plus a gross margin would determine if any funds from the borrower\u2019s payment would be added to the equity savings account.", "The funds allocated to the equity savings account are designed to be used to pay down the principal. However, the ways in which the home equity funds could be used to pay down mortgage principal depend on the terms of each loan. If the home equity account were depleted, lenders might cover any payment shortfalls and seek insurance reimbursements. In addition, the accelerated equity-building effect of the Fixed-COFI mortgage product would rely on the historical difference between the COFI rate and 30-year fixed rate (see fig. 5). If the difference between the rates narrowed, the savings allocated to the equity savings account would lessen, and equity-building effects would be reduced. That is, in months in which the COFI rate plus the gross margin was lower than the 30-year fixed rate used to calculate the monthly payments, the difference between the COFI-based and fixed amounts would be deposited into a home equity savings account. In months in which the fixed payment would not cover the interest payment (because the COFI rate plus the gross margin is higher than the 30-year fixed rate used to calculate the fixed monthly payment), funds could be withdrawn from the equity savings account to cover any shortfall. If the equity savings account had a zero balance, the lender could seek an insurance payout.", "According to the economists, some details of the Fixed-COFI contract can be modified for different rules concerning refinancing and savings. For example, a borrower and a lender can agree to how and when funds in the home equity savings account could be applied to pay down the mortgage principal. However, the Fixed-COFI mortgage contract would place limits on a borrower\u2019s options to refinance\u2014for instance, only in the case of the loss of a job\u2014because it is designed to protect borrowers and lenders from fluctuations in interest rates.", "If interest rates drop significantly, benefits from the rate decrease for a borrower with a Fixed-COFI mortgage would be limited as compared with the benefits of a borrower with a 30-year fixed-rate mortgage who refinances. For example, the additional savings from lower interest rates for the borrower with a Fixed-COFI mortgage could only be used to pay down the mortgage principal. In contrast, although refinancing has costs, borrowers with a traditional 30-year fixed-rate mortgage would be able to refinance to take advantage of the lower rate and reduce their monthly payment. They could use the resulting difference in monthly payments from the new, refinanced loan to pay down mortgage principal, build up savings, or for any other purposes."], "subsections": []}, {"section_title": "Advantages of Accelerated Home Equity Building Include a Financial Safeguard", "paragraphs": ["For some homeowners, building home equity faster can provide financial benefits. Home equity can serve as a financial asset to fund retirement, education expenses, or absorb financial emergencies like the loss of a job. All else being equal, having more home equity also can help sustain homeownership through a downturn in the housing market. For example, default rates are generally higher for loans with higher loan-to-value (LTV) ratios.", "Although some accelerated equity-building options are designed to be originated with high LTV ratios (in some cases exceeding 100 percent), the accelerated equity-building effect can lower the LTV ratio at a faster pace than for a 30-year fixed-rate mortgage. As shown in figure 6, according to our analysis, LTV ratios can converge after about 5 years for a 15-year fixed-rate mortgage with a high LTV and a 30-year fixed-rate mortgage with a higher down payment. More specifically, in about 5 years a 15-year fixed-rate loan with an LTV ratio of 103 percent at origination will reach the same LTV ratio as a 30-year fixed-rate loan with an LTV ratio of 80 percent at origination. Borrowers under both mortgage scenarios would have accrued close to 30 percent equity in about 5 years, assuming no change in the home\u2019s value.", "Lenders and proponents of accelerated equity building with whom we spoke said that having substantial equity in a home provides more options for remediation in the event the homeowner encounters difficulties making mortgage payments. For instance, a lender with whom we spoke said that having more equity in a home provides a borrower with a better opportunity to refinance to get a better interest rate and also extend their loan term, both of which would lower their monthly payment. Two lenders with whom we spoke also said that accelerated equity-building options can provide financial discipline and serve as a forced savings mechanism by, for example, paying additional principal on the mortgage. In addition, proponents of accelerated equity building have suggested that homeowners with more equity at stake may have more incentive to stay in their home because they have more invested in the home.", "In addition to building equity, borrowers with shorter-term mortgages or those opting to make extra payments on 30-year mortgages would reduce overall loan expenditures\u2014relative to the interest they would pay on a 30- year loan (see fig. 7). However, the overall higher mortgage payments can make these options less affordable for lower-income borrowers or limit financial flexibility, as discussed below."], "subsections": []}, {"section_title": "Trade-offs for Home Buyers and Homeowners Include Limited Access to Shorter-Term Loans and Reduced Affordability", "paragraphs": [], "subsections": [{"section_title": "Limited Access", "paragraphs": ["Accelerated equity-building products, such as a 15-year fixed-rate mortgage or a WBHL, may not be accessible for all borrowers, partly due to tighter credit requirements. Officials from a state housing finance agency told us that minimum credit score requirements for some WBHLs limit access for borrowers with lower credit scores, which includes many lower-income borrowers. For example, a private mortgage insurer for WBHLs requires a minimum credit score of 680, compared with the minimum for the state housing finance agency of 640 for 30-year fixed- rate mortgages. The average score for WBHLs insured by the private mortgage insurer is 749.", "Moreover, requirements for a minimum debt-to-income ratio may also limit lower-income borrowers\u2019 ability to access WBHLs or 15-year fixed- rate loans. According to a private mortgage insurer, the average income of borrowers for WBHLs it insures is 177 percent of county median income. As mentioned previously, the QM rule generally requires home buyers to have a debt-to-income ratio of 43 percent or less. As we previously reported, although QM regulations are not expected to significantly affect the overall mortgage market, some researchers have estimated that QM regulations could adversely affect certain lower- income home buyers, particularly those living in high-cost areas. The higher monthly payments of shorter-term loans can result in debt-to- income ratios significantly above the 43 percent limit, as illustrated in table 3.", "In areas where housing costs are high, research suggests that lower- income home buyers are more likely to have high debt-to-income ratios. Higher monthly payments for accelerated equity-building mortgages could make some of these borrowers ineligible for those types of loans, or essentially limit those borrowers to significantly smaller loans, as discussed in the following section."], "subsections": []}, {"section_title": "Reduced Affordability and Financial Flexibility", "paragraphs": ["The biggest barrier to homeownership is affordability, which includes having enough savings for a down payment as well as sufficient monthly income to sustain a mortgage, according to agency officials and stakeholders with whom we spoke. For example, 53 percent of adults were unable to save any money in 2016 and 13 percent of adults had difficulty paying their bills at least once in 2016 because of income volatility, according to the Federal Reserve. For the same loan amount, the monthly payments of a 15-year mortgage can be more than 40 percent greater than the monthly payments of a 30-year mortgage, depending upon the current market interest rates. The higher monthly payments may make shorter-term loans unaffordable for many low- income home buyers or leave borrowers with less discretionary income to cover other obligations, including paying off higher-interest debt, putting some of them at greater risk of defaulting on monthly mortgage payments.", "The higher monthly payments of shorter-term loans thus reduce homeowners\u2019 financial flexibility. In contrast, experts and stakeholders highlighted the greater flexibility a 30-year mortgage affords homeowners, including for situations where individuals may experience instability or fluctuations in their income. For example, though some home buyers may have adequate income over the course of a year to afford monthly mortgage payments, fluctuations in monthly income can affect a homeowner\u2019s ability to sustain a higher monthly mortgage payment. However, a 30-year fixed-rate mortgage may enable a homeowner to make additional payments to build equity faster and still maintain a lower monthly payment than a 15-year mortgage. As shown in the scenario in figure 7 above, a homeowner could pay off a 30-year mortgage in 15 years by making additional monthly payments."], "subsections": []}, {"section_title": "Reduced Home Purchasing Power", "paragraphs": ["The higher monthly payment required of a shorter-term mortgage can reduce a home buyer\u2019s purchasing power. As seen in table 4, a longer- term mortgage allows for a substantially higher home purchase price for the same monthly payment for principal and interest.", "Borrowers are likely to qualify for smaller loan amounts for shorter-term mortgages because of the effect of the higher monthly payments (of shorter-term mortgages) on their debt-to-income ratio. Some proponents of accelerated equity-building loans advertise that the monthly payment amounts of shorter-term and 30-year fixed-rate mortgages are comparable, with minimal loss in purchasing power. This might be the case if the loan amount for the shorter-term mortgage were less than the loan for the 30-year fixed-rate mortgage, as illustrated in table 4. However, determining loss of purchasing power based on the monthly payments of two mortgages with different loan amounts may not provide an equivalent comparison."], "subsections": []}, {"section_title": "Potential Lower Lifetime Wealth", "paragraphs": ["Shorter-term mortgages can reduce lifetime wealth. This is because the difference between the higher monthly payments and the monthly payments of a 30-year mortgage could have been invested elsewhere to produce a higher return\u2014assuming an individual has the financial knowledge and discipline to invest the funds. The higher required monthly payments of a 15-year mortgage can ensure a larger investment in home equity. However, some research suggests that, depending on market conditions and the risk appetite of a homeowner, purchasing a house with a 30-year fixed-rate mortgage can provide a higher lifetime return on investment compared to a 15-year fixed-rate mortgage because the difference between the monthly payments can be invested at a rate of return that likely would be higher than the difference in mortgage interest rates between 30- and 15-year mortgages.", "In addition, homeownership may not always be the most effective means of building household wealth. For example, in some circumstances individuals may achieve greater household wealth through renting rather than buying a home. Individuals for whom rental payments would be less than mortgage payments for a comparable home can invest the difference and build greater wealth\u2014if the return on their investment exceeded the return associated with the appreciation of the value of a home. However, factors such as an individual\u2019s financial literacy and risk tolerance, and overall market conditions can affect the success of any investment strategy, including investing in a home or in any alternatives."], "subsections": []}]}, {"section_title": "Trade-offs for Lenders Include Market Uncertainty", "paragraphs": ["For lenders, shorter-term mortgages generally reduce credit risk\u2014the likelihood of loss with default\u2014compared with longer-term loans. In addition, lenders with whom we spoke said that borrowers choosing shorter-term loans (such as WBHLs) generally have good credit and high incomes, further reducing credit and default risk. However, market uncertainties related to the lack of a secondary market and performance data could limit lenders\u2019 willingness to offer accelerated equity-building products."], "subsections": [{"section_title": "Lack of a Secondary Market", "paragraphs": ["Products like WBHLs are not currently eligible for purchase by Fannie Mae and Freddie Mac. According to Fannie Mae and Freddie Mac, WBHLs are not currently traded in the secondary mortgage market because of factors such as the low volume of transactions and the high LTV ratio.", "Lenders with whom we spoke who offer WBHLs generally have been holding the loans in their own portfolio, which can expose them to credit risk and interest-rate risk. Some of the lenders told us they only offer adjustable-rate WBHLs, to reduce interest-rate risk. But homeowners could experience a rate shock when the interest rate adjusts. For example, according to our analysis, if a WBHL for $250,000 adjusted the interest rate after 7 years, the monthly payment could increase by more than $200 (13 percent). The rate adjustment also might increase credit risk for lenders, because some borrowers then might be less able to sustain the monthly payments.", "Some lenders may be unwilling to take on these risks, which could limit the availability of accelerated equity-building mortgages in the market. However, lenders with whom we spoke have been exploring options to sell loans that have \u201cseasoned\u201d\u2014for example, after the LTV ratio of the loan reached 97 percent\u2014on the secondary market."], "subsections": []}, {"section_title": "Risk Premium", "paragraphs": ["Mortgages with LTV ratios of 96.5 percent or more (those that have 3.5 percent or less in down payment) also would be ineligible for some federal guarantee programs. Generally, high-LTV loans have a greater risk of default, and lenders with whom we spoke who offer WBHLs all require private mortgage insurance for those loans. Lenders and private mortgage insurers may price WBHLs at a premium\u2014for example, through higher fees, interest rates, or insurance premiums\u2014to account for the risk, which may add to the costs of monthly payments and make these mortgages less affordable for some borrowers."], "subsections": []}, {"section_title": "Lack of Performance Data", "paragraphs": ["Because WBHLs are new (introduced in 2014) to the marketplace, there are not enough data on loan performance to adequately assess payment delinquency and default risk. The number of lenders currently offering WBHLs is limited. According to the American Enterprise Institute, about $100 million of WBHLs have been originated since 2014. Mortgage insurers with whom we spoke provided a similar estimate.", "Lenders told us that the performance of their WBHLs is strong but may not offer a meaningful indicator of future performance if the loans were to become more widely available (because WBHLs currently tend to attract less-risky borrowers). According to lenders and housing experts with whom we spoke, performance data on similar loans, such as fixed-rate 15-year mortgages, cannot be readily used to project performance for WBHLs because WBHLS are not strictly comparable (they have higher LTV ratios)."], "subsections": []}]}, {"section_title": "Other Trade-offs Include Limited Promotion and Adoption Due to Product Complexity", "paragraphs": ["Stakeholders, including agency officials, also identified key trade-offs and considerations in introducing new products and mechanisms to accelerate equity building, such as how product complexity and reduced market liquidity could affect the success and the costs to borrowers of the products or mechanisms. These trade-offs and considerations apply to proposed products such as the Fixed-COFI as well as to actions or mechanisms for accelerating equity building, such as making mortgage payments on a biweekly basis and paying off a percentage of the loan principal in a shorter term (such as financing 20 percent of the principal in 5 years).", "Some stakeholders said that new products that have unfamiliar or complex features, such as the Fixed-COFI mortgage\u2019s underlying adjustable rate and equity savings account, could be difficult for lenders, borrowers, and investors to understand, which could limit the promotion and adoption of such products. In addition, administering new products or mechanisms to accelerate equity building could have additional complications, such as how to schedule and credit biweekly payments. For example, lenders or servicers may not have a structure in place to properly credit additional payments on a biweekly basis and may hold the extra payment until the end of the month, negating the accelerated equity- building effect of the extra payment. Moreover, a few stakeholders said that lenders or servicers may charge additional fees for processing biweekly mortgage payments.", "Stakeholders and agency officials also noted that any new mortgage product would not (at least initially) be eligible for securitizing and trading in the secondary market. As a result, a new product would not be as liquid as current products securitized and sold in the secondary market by Fannie Mae or Freddie Mac, such as 30-year fixed-rate mortgages. Because of the lack of market liquidity for new products, lenders may charge a premium, making the products less affordable for lower-income borrowers."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HUD, FHFA\u2014and FHFA also provided copies to Fannie Mae and Freddie Mac, FHLBanks, Agriculture, and VA for their review and comment. HUD, FHFA, FHLBanks, and Agriculture provided technical comments on the report draft, which we incorporated where appropriate.", "We are sending copies of this report to appropriate congressional committees, the Secretary of HUD, the Director of FHFA\u2014who provided copies to the President and Chief Executive Officer of Fannie Mae and the Chief Executive Officer of Freddie Mac, the President of the FHLBank of Des Moines (coordinating for the FHLBanks), the Secretary of Agriculture, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or GarciaDiazD@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report describes (1) how federal homeownership assistance programs affect home equity building, and (2) options, including private- sector mortgage products, through which borrowers can accelerate home equity building and the trade-offs of these options for both borrowers and lenders. We define accelerated equity building as any mortgage product or feature that accelerates the pace of principal reduction on a mortgage debt, relative to a 30-year fixed-rate mortgage. We used the 30-year fixed-rate mortgage as our point of comparison because it is the most common type of mortgage product and represents the market standard.", "To describe how federal homeownership assistance programs affect home equity building, we reviewed relevant federal statutes, regulations, and agency program policies and guides and other resources to identify relevant homeownership assistance programs from the Departments of Housing and Urban Development (HUD), Veterans Affairs (VA), and Agriculture (USDA); and Fannie Mae, Freddie Mac, and the Federal Home Loan Banks (collectively, the enterprises). We reviewed prior GAO reports on federal homeownership assistance programs and the U.S. housing finance system. We also reviewed relevant academic papers and literature discussing homeownership and equity building.", "We interviewed agency and enterprise officials to discuss the relevant homeownership assistance programs and policy goals, including the extent to which products or mechanisms used in the programs affect or accelerate home equity building, and the role of the secondary mortgage market in providing market liquidity for new mortgage products. In addition to federal agencies and the enterprises, we interviewed officials from two state housing finance agencies. Some stakeholders we interviewed recommended the two state housing agencies because the agencies likely placed a greater focus on accelerating home equity building.", "To describe the options (or mortgage products) borrowers have to accelerate home equity building, including any trade-offs, we used databases such as ProQuest and searched for and reviewed papers and literature published from 2007 to 2017 by individuals who discussed options to accelerate home equity building. We also attended two housing conferences and met with housing experts and stakeholders from academia, housing advocacy organizations, and industry, including mortgage lenders and insurers, selected because they made proposals to increase homeownership or build home equity faster, wrote on homeownership issues, were recommended by government officials, or were involved in providing mortgage products designed to accelerate equity building. From interviews with industry stakeholders and housing conferences we attended, we identified two products: (1) the Wealth Building Home Loan (WBHL), which has been introduced in the marketplace, and (2) the Fixed-Payment Cost-of-Funds Index (COFI) Mortgage, which has been proposed but is not currently offered by any lenders.", "We reviewed and analyzed relevant academic papers and literature on the advantages and trade-offs of options to accelerate equity building. We also conducted interviews with academics, experts, industry stakeholders (including mortgage lenders and insurers), and organizations to discuss advantages and trade-offs of accelerated equity-building products, and the role of the secondary market in providing market liquidity for new mortgage products. We selected academics, experts, and industry stakeholders and organizations who proposed accelerated equity-building mortgage products, had written on homeownership and wealth building issues, or whom officials of federal agencies and the enterprises or our other interviewees recommended. We also attended housing conferences, which provided additional suggestions for publications to review and academics and stakeholders to interview.", "Furthermore, to illustrate methods to accelerate home equity building and compare the effects of different mortgage products on home equity building, we developed hypothetical mortgage scenarios. For the mortgage scenarios, we used Excel\u2019s payment function to calculate the amortization schedule of the mortgages in our hypothetical scenarios. The payment function is a standard formula that calculates monthly payment schedules based on inputting interest rate, number of payment periods over the life of a mortgage, and the present value of the mortgage. The scenarios we developed were only several possible scenarios out of the many that we could have chosen. We identified specific mortgage features in papers and literature by individuals who proposed mortgage products designed to accelerate home equity building. For illustration purposes, we used an average of the monthly interest rates published in Freddie Mac\u2019s Primary Mortgage Market Survey for September and October 2017, as well as current market rates advertised by private mortgage lenders, to inform our selection of interest rates for our scenarios.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: CoreLogic Home Equity Data, by State", "paragraphs": ["This appendix provides regional data on equity building that we obtained from CoreLogic. CoreLogic is a publicly traded company that provides data, analytics, technology, and services related to the mortgage industry, among other things. The data in figure 8 show the percentage of homeowners in each state who have 20 percent equity or less in their homes. The level of home equity can be affected by a number of factors, including the age of the loan, the amount of principal paid down, and home market values. We did not assess the reliability of CoreLogic\u2019s data."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Andrew Pauline (Assistant Director), Kun-Fang Lee (Analyst in Charge), Steve Brown, Raheem Hanifa, Jeff Harner, Jill Lacey, Barbara Roesmann, Jessica Sandler, MaryLynn Sergent, Jena Sinkfield, Anne Stevens, and Jim Vitarello made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-229", "url": "https://www.gao.gov/products/GAO-18-229", "title": "Federal Law Enforcement: DHS and DOJ Are Working to Enhance Responses to Incidents Involving Individuals with Mental Illness", "published_date": "2018-02-08T00:00:00", "released_date": "2018-02-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Law enforcement encounters with individuals with mental illness may require special training and skills and can sometimes involve volatile situations, risking tragic injuries or even death.", "The 21st Century Cures Act includes a provision for GAO to review the practices that federal first responders, tactical units, and corrections officers (for the purposes of this study, \u201claw enforcement officers and agents\u201d) are trained to use in responding to incidents involving individuals with mental illness. This report addresses (1) challenges that federal law enforcement officers and agents face; (2) applicable training, policies, and guidance; and (3) existing leading practices, relevant tools, and efforts to leverage information.", "GAO selected the five DHS and five DOJ law enforcement components (e.g., Secret Service, Federal Bureau of Investigation) that represent the largest concentration of law enforcement officers within the two departments. GAO reviewed the training, policies, and guidance in place, as well as efforts to enhance them, and discussed these matters with knowledgeable officials. In addition, GAO held discussion groups with a nongeneralizable sample of law enforcement officers and agents, selected through component contacts, to discuss their perspectives. GAO also reviewed studies on law enforcement responses to individuals with mental illness to help identify leading practices and tools and interviewed stakeholders, selected through a structured process, to obtain their perspectives."]}, {"section_title": "What GAO Found", "paragraphs": ["Law enforcement officers and agents from the Departments of Homeland Security (DHS) and Justice (DOJ) cited a number of challenges in our discussion groups related to their response to incidents involving individuals with a mental illness.", "All of the federal law enforcement components in GAO's review either offer, receive, or are developing some form of training to their law enforcement officers and agents that addresses responding to incidents involving individuals with a mental illness. Further, all components have relevant policies or guidance in place, and all are undertaking efforts to enhance their practices in accordance with departmental guidance. Since DHS and DOJ components have varying missions and operational needs and interact with the public in different capacities, the nature and scope of training, as well as the number and duration of courses offered in response to individuals with mental illness varies; however, they generally include elements focusing on de-escalation and communication. In addition, DHS and DOJ both have efforts underway to have components review their training and policies under departmental guidance and plan to begin implementing any changes by 2018.", "Stakeholders cited leading practices and tools for effective law enforcement responses, and DHS and DOJ components have generally leveraged information from other knowledgeable parties. For example, the Crisis Intervention Team approach involves training selected law enforcement officers on mental health topics and dispatching those officers on mental-health related calls. While models like this are typically used by state and local law enforcement agencies, their benefits could be considered in other settings such as federal law enforcement. DHS and DOJ officials are also using collaborative mechanisms within their departments, such as conference calls and working groups with officials, that have helped them leverage information from knowledgeable parties. In addition, DOJ's Bureau of Justice Assistance (BJA), which supports programs and initiatives in the areas of law enforcement, among other activities, has developed and makes publicly available resources such as its Police-Mental Health Collaboration Toolkit. BJA also is working to stand up a national training and technical assistance center to improve law enforcement responses to people with mental illness. While aimed at state, local, and tribal law enforcement, a BJA official also acknowledged that the center could serve as an additional resource for federal law enforcement agencies to consult as they review relevant trainings, policies, and guidance on this topic."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the International Association of Chiefs of Police (IACP), law enforcement officers nationwide are increasingly called upon to respond to and intervene on behalf of people affected by mental illness. Based on estimates from the Substance Abuse and Mental Health Services Administration\u2014an agency within the Department of Health and Human Services\u201444.7 million adults in the United States had a mental illness in 2016. Since law enforcement officers can encounter individuals affected by mental illness in the course of their duties, the nature of their interaction has become an issue of national concern. In particular, research has demonstrated that such encounters: may require special training and skills to address; may depend on the availability of community and mental health resources for a positive outcome; are often time-consuming and difficult for law enforcement officers to typically involve repeat contacts with individuals who have unmet mental health needs; and can involve volatile situations, risking tragic injuries or even death.", "Such concerns and potential safety issues underscore the importance of developing tailored approaches, training, and policies to help guide police departments and law enforcement officials.", "To date, most efforts to promote such training or policies have been focused on state and local law enforcement agencies, such as police departments. While federal law enforcement agencies typically do not serve as first responders to emergency calls, they do interact with the public in the course of their duties and can encounter individuals with mental illness. At the federal level, the Department of Homeland Security (DHS) and Department of Justice (DOJ) are responsible for enforcing many laws regarding the safety and security of the United States, and these two departments house the majority of federal law enforcement officers nationwide.", "The 21st Century Cures Act includes a provision for us to review, among other things, practices that federal first responders, tactical units, and corrections officers are trained to use in responding to incidents involving individuals with mental illness. This report addresses the following key questions: (1) What challenges, if any, do federal law enforcement officers and agents at selected DHS and DOJ components face when responding to incidents involving individuals with mental illness? (2) What type of training, policies, and guidance, if any, are in place at selected DHS and DOJ components to prepare federal law enforcement officers and agents for responding to incidents involving individuals with mental illness? (3) What leading practices or tools have relevant stakeholders cited for effective responses to incidents involving individuals with mental illness, and how have DHS and DOJ components leveraged information from other knowledgeable parties?", "We focused our review on the training, policies, and guidance put forth by the DHS and DOJ components listed in table 1 below because they comprise nearly all of the federal law enforcement officers in these departments.", "To identify the challenges that federal law enforcement officers and agents at our selected DOJ and DHS components face when responding to incidents involving individuals with mental illness, we held discussion groups with six to eleven agents or officers within each selected component to ask about their experiences. We worked with officials at each component to identify officers and agents with varied tenures and experiences. We then summarized the information collected from the discussion groups and identified common themes across the selected components. We worked closely with the departments to organize these discussion groups; however, these officers\u2019 and agents\u2019 perspectives cannot be generalized to their entire components or to all federal law enforcement components. Nevertheless, their views provided valuable insights into the challenges they face on the job.", "To identify the training, policies, and guidance in place, we reviewed documents from each of our selected law enforcement components, when available, and conducted interviews with officials at the selected components responsible for the development or delivery of training or policies. We also reviewed fiscal year 2018 budget justifications for each of our selected components to identify changes in staffing levels or training plans that may be related to officers\u2019 and agents\u2019 response to incidents involving individuals with mental illness. In addition, since section 504 of the Rehabilitation Act of 1973, as amended (section 504) prohibits discrimination on the basis of disability, which includes mental illness, in federally funded and federally conducted programs and activities, we took steps to understand the section\u2019s applicability to federal law enforcement operations. Specifically, we reviewed departmental guidance related to section 504 and reviewed the selected components\u2019 documentation of efforts to review their training, policies, and procedures in accordance with that guidance. We also interviewed department and component officials familiar with the review efforts.", "To identify leading practices stakeholders cited for effective law enforcement responses to incidents involving individuals with mental illness, we used a multi-stage process. We first conducted a search of databases and organizational websites to identify published work related to law enforcement responses to individuals with mental illness that had been published on or after January 1, 2007. We then narrowed our search and reviewed only literature review articles, meta-analyses, and summary papers published by academics, think tanks and advocacy groups, or government agencies to identify any potential leading practices. Through our review, we identified two potentially leading practices in the field of law enforcement responses to incidents involving individuals with mental illness.", "Next, we identified potential stakeholders through a search of literature review articles, meta-analyses, and organizational websites related to law enforcement responses to incidents involving individuals with mental illness. Through our review of these documents and websites, we selected six stakeholders in the field of law enforcement-mental health to solicit their opinions on leading practices. These stakeholders consisted of four organizations and two independent researchers who have either published research or implemented programs, among other criteria, related to law enforcement responses to incidents involving individuals with mental illness. Specifically, we asked stakeholders to validate that the two practices that we had initially identified were in fact leading practices, and to provide any additional leading practices.", "To determine if DOJ and DHS components leverage information from other knowledgeable parties, we conducted interviews with or gathered written information from agency officials from the selected components who are responsible for training and policy development. Further details about our scope and methodology can be found in Appendix I.", "We conducted this performance audit from February 2017 through February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform an audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Law Enforcement Interaction with Individuals with Mental Illness", "paragraphs": ["Since the 1960s, the percentage of individuals with mental illness being treated in a hospitalized setting has decreased dramatically in an effort to move care away from institutional settings into a wider range of community-based treatment. This process, known as \u201cdeinstitutionalization,\u201d has been driven in part by limited funding available for mental health services, changes in treatment philosophy, and medical advancements. According to a 2015 Federal Bureau of Investigation (FBI) publication, one result from this shift is that local police departments have had to meet the growing needs of individuals suffering mental health emergencies (e.g., a schizophrenic episode), and are often the first source of assistance in helping to arrange treatment for these individuals.", "Similarly, the IACP reports that police officers often have to \u201cmanage situations that result from a history of mental health policy and legislative decisions made by federal and state governments.\u201d According to the IACP, law enforcement officers\u2014generally local police\u2014may then find themselves serving in a role similar to that of a social worker in attempting to locate treatment services for such individuals. The IACP also reports that such increasing interactions may result in individuals with mental illness being arrested and placed in jail, rather than receiving treatment from mental health facilities. This can result in a cycle of arrest, imprisonment, and recidivism for such individuals. In addition, interactions between law enforcement officers and individuals with mental illness have the potential to escalate into violence.", "In recent years, a number of professional organizations and advocacy groups such as IACP, the Police Executive Research Forum (PERF), the National Alliance on Mental Illness, and Council of State Governments Justice Center (CSG JC) have researched and advocated for different approaches that may reduce the likelihood of violent encounters or help officers connect the individuals they encounter with proper treatment services. In addition, DOJ\u2019s Bureau of Justice Assistance (BJA), within its Office of Justice Programs, has created a compendium of existing information and research in the field of state and local law enforcement responses to individuals with mental illness.", "Federal law enforcement officers and agents may interact with individuals displaying signs of mental illness in a number of different types of incidents while performing their various missions, such as protecting federal property or officials or when apprehending subjects of an investigation. Figure 1 provides one example of a possible incident an officer or agent might experience and the response options available. Generally, when federal officers and agents encounter individuals displaying signs of mental illness\u2014and there is no evidence of a federal crime\u2014they may refer them to local law enforcement or health care providers to assess their mental health and determine whether they need further health care. If local providers determine that such care is needed, it is generally provided through a voluntary or involuntary commitment to a local mental health services provider. One exception to this is for correctional officers and other staff within BOP, as these staff interact with individuals with a diagnosed mental illness as part of their daily duties in ensuring a secure prison environment. BOP pre- designates all inmates entering its institutions and assigns initial mental health and medical screen assignments. Throughout an inmate\u2019s incarceration, BOP\u2019s psychologists, psychiatrists, and qualified mid-level practitioners can determine a new mental health care level following a review of records and a face-to-face clinical interview."], "subsections": []}, {"section_title": "Relevant Legislation and Departmental Efforts", "paragraphs": ["Under section 504 of the Rehabilitation Act of 1973, as amended, discrimination on the basis of disability in federally funded and federally conducted programs and activities is prohibited. A person with a disability includes anyone who has a physical or mental impairment that substantially limits one or more major life activities, has a record of such impairment, or is regarded as having such an impairment.", "DHS and DOJ both currently have efforts underway, in various stages of development, to have their components review their existing policies, guidance, and training in response to departmental guidance on addressing individuals with disabilities and obligations under section 504. Pursuant to departmental guidance, after completing their reviews, components are to determine areas that could be enhanced. Within DHS, components have been asked to report on the status of their efforts to DHS\u2019 Office for Civil Rights and Civil Liberties (CRCL). Within DOJ, the Office of the Deputy Attorney General (ODAG) is overseeing components\u2019 efforts.", "In addition, the 21st Century Cures Act requires the Attorney General to provide direction and guidance for the following by December 13, 2017: \u201cPrograms that offer specialized and comprehensive training, in procedures to identify and appropriately respond to incidents in which the unique needs of individuals who have a mental illness are involved, to first responders and tactical units of\u2014(A) Federal law enforcement agencies; and (B) other Federal criminal justice agencies, such as and the Administrative Office of the United States Courts, and other agencies that the Attorney General determines appropriate.\u201d \u201cThe establishment of, or improvement of existing, computerized information systems to provide timely information to employees of Federal law enforcement agencies, and Federal criminal justice agencies to improve the response of such employees to situations involving individuals who have a mental illness.\u201d"], "subsections": []}]}, {"section_title": "Discussion Groups Identified Several Challenges that Officers and Agents Encounter When Responding to Incidents Involving Individuals with Mental Illness", "paragraphs": ["According to the DHS and DOJ law enforcement officers and agents we interviewed, they are not positioned to diagnose any specific mental health condition that an individual might have, as they are not trained mental health professionals. However, responding to incidents involving individuals with mental illness can be challenging for multiple reasons, including determining whether the person is suffering from a mental illness or from another issue, such as drug addiction, and communicating with the person, for example, when a person may be suffering from delusions. These officers and agents face these challenges while also being responsible for ensuring their own safety and that of others in the area. Some of the common challenges officers and agents identified during our discussion groups follow.", "Identifying Whether an Individual Has a Mental Illness Some officers and agents in our group discussions stated that when encountering individuals displaying erratic behavior (e.g., rapid or nonsensical speech, paranoid or delusional statements), it can be difficult to determine if that behavior is attributable to a mental illness or the influence of drugs. Specifically, Border Patrol agents\u2014who are broadly responsible for preventing the illegal entry or exit of people and goods at places other than ports of entry\u2014stated that determining whether someone has a mental illness or is experiencing other issues is challenging and may be complicated by language barriers. Border Patrol agents may at times encounter large groups of people attempting to cross the border at one time and thus have limited time to make that determination. ATF officers\u2014who may encounter individuals with a mental illness who are targets of an investigation\u2014commented that incidents may involve an individual who could suffer a mental illness (treated or untreated), or be under the influence of alcohol or drugs. Unless the individual discloses his or her condition, or family or friends are there to explain the condition, officers would not know the cause of the individual\u2019s behavior. They explained that if mental health information about a suspect is known in advance of an operation, officers can adjust their approach; however, they told us that most of the time they do not know if someone has a mental health condition and how it might present itself.", "Similarly, an FBI police officer\u2014who may encounter individuals displaying signs of mental illness if those individuals enter an FBI office\u2014told us that it can be challenging to deal with an individual who is acting erratically, not knowing precisely whether the behavior is attributable to a mental illness, and there may be limited time available to address an individual posing a safety risk. BOP corrections officers also echoed this challenge. They said that despite having back-up mental health staff on call, their initial reaction to an inmate exhibiting some type of erratic behavior has to be fairly quick to secure the safety of the staff and other inmates. Officers and agents across components and departments made clear that they are not mental health professionals or psychologists and, as such, are charged with responding to the behaviors that are exhibited to secure the scene.", "Communicating with Individuals with a Mental Illness Some of the officers and agents in our discussion groups stated that communicating effectively with someone exhibiting signs of a mental illness and understanding what he or she may be going through or how he or she sees reality can be challenging. One officer told us that trying to make individuals who may have a mental illness understand that their reality is not everyone else\u2019s reality is particularly challenging. This was very difficult, for example, for Secret Service Uniformed Division officers who explained that they encounter individuals when providing security along the White House fence and for FPS officers, who often encounter individuals displaying signs of mental illness near or in federal buildings that they are assigned to protect. As the Secret Service officers explained, even if individuals exhibit delusional behavior, so long as they have not broken any laws, then they are free to be near protected federal venues and the officers are limited in any actions they can take.", "One officer, discussing the challenges in speaking with someone with a mental illness who may be experiencing delusions, stated that the person is \u201cwholeheartedly convinced that what he or she perceives is the true reality.\u201d", "Officers and agents who we met with in CBP reported that they rely on common sense to dictate appropriate action and use reasonable efforts to protect themselves and others. They noted that additional training on communicating effectively with individuals suffering from mental illness could be beneficial.", "The challenges noted above in identifying causes of erratic behavior or effectively communicating with individuals with a mental illness can make it difficult for officers to resolve a tense situation or apprehend an individual (if necessary) as securely or peacefully as possible. For example, Border Patrol agents stated that ensuring that such encounters are resolved safely for the individuals involved and other members of the public is their biggest challenge. It might require removing someone in distress from a group of individuals that he or she may be traveling with or keeping him or her calm. When someone is in an extreme state of panic, emotional distress, or anger, officers try to remove the person from the group to prevent a potential incident from escalating quickly.", "Operating with Limited Access to Mental Health Resources Officers and agents also stated that a limited number of mental health professionals available within their components or through local agencies can pose a challenge in helping persons with mental illness receive necessary treatment. As such, they must rely on state and local entities in the area (e.g., law enforcement, hospitals) to provide assistance for individuals. Federal Air Marshals\u2014who provide protection at airports and other transportation modes\u2014we spoke with explained that since they do not have holding facilities to secure individuals with mental illness, they are reliant on local law enforcement and mental health professionals to manage an incident. Officers and agents highlighted the importance of maintaining close relationships with state and local partners and added that trained mental health professionals provide an excellent resource.", "In addition, officers and agents in some discussion groups noted there may be training offered by state or local agencies related to understanding and responding to individuals with mental illness that could be leveraged by federal agencies. Officers and agents reported, however, that it can be difficult for the components to find the time and resources to send officers to the trainings. According to USMS officers\u2014 who provide security at federal courthouses and oversee transport of federal prisoners\u2014this is particularly challenging in small offices where there may be very few staff.", "Frequently Encountering the Same Individuals Another common challenge noted in discussion groups was that officers and agents repeatedly encounter the same individuals with mental illness. Officers and agents explained that they can sometimes apprehend individuals who are creating a disturbance, but these individuals often cannot be charged with a federal crime. As such, following the apprehension, the officers and agents release these individuals to local or state authorities who may transport them to local providers for a mental health evaluation. Typically, if the local providers determine a commitment is necessary, they will hold these individuals at a hospital or clinic for up to 72 hours. According to the officers and agents in our discussion groups, many of these individuals return after they are released and the officers and agents encounter them time and again, with very little that they can do to provide these individuals with assistance. According to the officers and agents, incidents involving frequent encounters with the same individuals can take time away from performing other important activities.", "Secret Service Uniformed Division officers told us they repeatedly encounter the same individuals with mental illness and know some of these individuals very well. For example, Secret Service officers stated that when performing their duties in patrolling the grounds of the White House, they have had frequent encounters with a woman who believes she has family members living in the White House. The officers have turned her away from the scene on multiple occasions, but she continues to return."], "subsections": []}, {"section_title": "Components Have Some Type of Training, Policies, and Guidance Related to Mental Illness, and Reviews to Enhance Practices are Underway", "paragraphs": [], "subsections": [{"section_title": "DHS and DOJ Components Offer, Receive, or Are Developing Some Type of Training Related to Mental Illness", "paragraphs": ["All of the law enforcement components in our scope offer training directly, receive training through FLETC, or are developing some training on responding to incidents involving individuals with mental illness. Agency and FLETC training includes courses on communication, de-escalation, and suicide prevention (related to federal inmates). Since these components have varying missions and operational needs and interact with the public in different capacities, the nature and scope of this training, as well as the number of courses and the duration of courses offered varies. For example, BOP\u2019s staff\u2014including food service workers and nurses, as well as correctional officers\u2014have daily contact with inmates with mental illness and can act as \u201cfirst responders\u201d when situations merit. According to BOP officials, training is offered to all staff in all of its institutions on mental health and working with the mentally ill, along with courses on communication, de-escalation, suicide prevention, and use of force. As another example, ATF\u2019s agents told us they have less routine contact with individuals with mental illness, but ATF offers a course to its agents on de-escalation concepts and tactics, which addresses responding to incidents involving individuals with mental illness, as well as crisis intervention training to its cadre of crisis negotiators. Further, some of the components\u2019 training is mandatory and offered annually through class instruction or online portals. These courses may be offered to new hires or available to tenured officers. In addition, some components\u2019 training courses are delivered as stand-alone sessions, while others may be modules within a larger course exploring other law enforcement topics.", "Three DHS operational components in our scope, in addition to FLETC, offered some type of training specifically for their officers and agents.", "Another one (TSA) has training in development as of October 2017, on topics related to responding to incidents involving individuals with mental illness.", "FLETC explained that it provides basic training to all DHS law enforcement officers through one of three basic program categories\u2014 Center Basic, Center Integrated Basic, and Agency Specific Basic\u2014which vary in length. Two Center Basic training programs include a 2-hour module titled Managing Abnormal Behavior, which covers how to identify common signs of mental disorders (among other things) and how to handle people exhibiting abnormal behavior. Specifically, this module examines basic human behavior that may be classified as abnormal, differentiates between mental disorders, and also covers physical and organic causes that may be related to abnormal behavior with the appropriate officer responses. In addition, FLETC informed us that it has developed scenario-based training in these programs, allowing the officers or agents to develop decision-making skills in situations involving people exhibiting abnormal behavior. See appendix II for more information on FLETC\u2019s training programs.", "U.S. Secret Service Training We observed Secret Service training on Protective Intelligence Questioning for First Line Officers, which is offered to Uniformed Division Officers. The course instructor played the role of three different individuals with schizophrenia, bipolar disorder, and sociopathic personality disorder and trained agents on interacting and interviewing subjects who attempt to breach the White House fence.", "In addition to this module provided to all DHS agents and officers, the components in our review also offer or are preparing component-specific training courses. Table 2 lists illustrative examples of DHS training.", "In addition, TSA has developed a mandatory course entitled Awareness Training on Mental Health Conditions to be delivered in the classroom and through scenarios and exercises during fiscal year 2018. This course is designed to introduce Federal Air Marshals to the fundamentals of predominant mental disorders, such as schizophrenia or psychosis.", "All of the DOJ components in our review provide some type of training to their officers on topics related to responding to incidents involving individuals with mental illness\u2014as illustrated in Table 3."], "subsections": []}, {"section_title": "DHS and DOJ Components Have Existing Policies or Guidance That Addresses Responding to Individuals with Mental Illness", "paragraphs": ["The law enforcement components within our scope at DHS and DOJ have policies or guidance in place that addresses responding to incidents involving individuals with mental illness. Some components\u2019 policies or guidance specifically addresses mental illness, while others touch on the issue as part of larger policies on other topics (such as use of force)\u2014as illustrated in Table 4."], "subsections": []}, {"section_title": "All DHS and DOJ Components Are Reviewing Policies, Guidance, and Training to Align with Departmental Guidance", "paragraphs": ["DHS Efforts to Review Policies, Guidance, and Training DHS has guidance in place to help ensure that its components have policies and training that ensure their alignment with section 504 of the Rehabilitation Act. In 2013 and 2015, respectively, DHS issued a directive and implementing instruction to its components intended to strengthen compliance with section 504. These documents required DHS components to conduct a self-evaluation and prepare a component plan identifying any policies or practices that may result in a qualified individual with a disability being excluded from participation in, or being denied the benefits of, a program or activity.", "Department of Homeland Security (DHS) Component Self-Evaluation Tool The self-evaluation tool that DHS\u2019s Office of Civil Rights and Civil Liberties developed requires components to\u2014among other things\u2014describe whether there is an established policy ensuring equal treatment for individuals with disabilities, how the component\u2019s personnel and procedures ensure that individuals with disabilities are treated in a nondiscriminatory manner, and the component\u2019s process for providing auxiliary aids and services to ensure effective communication. The tool also provides examples of interactions in the areas of customer service, security, and custody activities that would likely be compliant, or possibly noncompliant, with section 504 of the Rehabilitation Act.", "In 2016, DHS\u2019s CRCL office issued guidance and a self-evaluation tool to DHS components on the steps to take in performing the self-evaluation of their facilities, programs, policies, and practices (to include training). The guidance also addresses the development and execution of the components\u2019 plans intended to remedy any areas deemed insufficient in permitting individuals with disabilities\u2014including mental illness\u2014to participate fully in the components\u2019 programs and activities.", "Disability Access Coordinators, who are representatives from each component charged with overseeing their components\u2019 responses to DHS Rehabilitation Act guidance, are leading the components\u2019 efforts in conducting the self-evaluations. CRCL set a deadline for components to submit all self-evaluations to CRCL for review by the end of August 2017. As of September 2017, all five components had submitted self- evaluations. CRCL officials explained that as they review self- evaluations, they are looking to see if policies or training for law enforcement officers\u2019 and agents\u2019 responses to individuals with mental illness have been identified or otherwise addressed. If not, the officials indicated that they will request the components identify and address this topic in their plans for aligning with Rehabilitation Act guidance. The remaining steps in CRCL\u2019s effort to review and comment on component plans as of September follow:", "December 31, 2017: CRCL provides comments to components on the content of their self-evaluations.", "February 28, 2018: the components develop and submit their draft plans for aligning with the Rehabilitation Act guidance.", "April 30, 2018: CRCL reviews and provides comments on the components\u2019 draft plans.", "May 31, 2018: the components address CRCL\u2019s comments and submit their final plans for alignment with Rehabilitation Act guidance for approval.", "DOJ Efforts to Review Policies, Guidance, and Training DOJ has directed components to review and implement guidance on addressing individuals with disabilities\u2014including mental illness\u2014and obligations under section 504. Specifically, in January 2017, DOJ\u2019s then- Deputy Attorney General issued a memo with attached guidance directing components to review their policies and training and, where necessary, modify or develop policies and training to implement legal requirements and principles related to section 504. This guidance identified, among other things, DOJ\u2019s law enforcement components\u2019 legal obligations under section 504 as well as the policies and procedures that components must have so that officers and agents can anticipate and plan for encounters with members of the public with disabilities. For example, the guidance states that law enforcement components must train officers and agents on different types of commonly encountered disabilities; how to identify, without medical or psychological training, analysis, or diagnosis, common characteristics and behaviors most often associated with disabilities; and appropriate responses to the challenges that an encounter with a member of the public with a disability may present. Training for officers and agents in effective communication with members of the public with a mental illness is explicitly referenced in the guidance as well.", "To date, officials from DOJ\u2019s Office of the Deputy Attorney General (ODAG)\u2014who are overseeing the components\u2019 efforts\u2014have maintained communication with the components to confirm that they have begun reviewing their policies and training to identify any deficiencies or necessary enhancements pursuant to the January 2017 guidance. During the course of our review and in part due to our inquiries, in the fall of 2017, ODAG notified the components that they should complete their reviews by December 2017. ODAG also notified the components that they should begin implementing any new policies or training identified by September 2018.", "In addition, a provision of the 21st Century Cures Act\u2014section 14025\u2014 requires DOJ to provide direction and guidance to federal law enforcement agencies and federal criminal justice agencies on training programs and improved technologies related to responding to individuals with mental illness, by December 13, 2017. ODAG officials told us that the January 2017 guidance addresses the requirement to provide direction and guidance on training for the DOJ components, but acknowledged that it does not respond to all of the requirements for the Attorney General under section 14025 of the 21st Century Cures Act. In particular, section 14025 requires the Attorney General to provide direction and guidance to federal law enforcement agencies and federal criminal justice agencies beyond DOJ in the areas of specialized and comprehensive training programs to identify and respond to individuals with mental illness. Section 14025 also calls for direction and guidance on the establishment and improvement of computerized information systems to provide timely information related to situations involving individuals with mental illness.", "As a result of our questions about whether such efforts would be developed, on December 7, 2017, DOJ sent a letter from the Principal Deputy Assistant Attorney General for the Office of Justice Programs to federal law enforcement partners outlining resources available for federal law enforcement when considering training or procedures appropriate for their missions. Specifically, DOJ sent the letter to executive officers within DOJ, DHS, the Administrative Office of the United States Courts, and other executive departments that DOJ deemed appropriate. Some examples of resources that the letter highlights include (1) the Police- Mental Health Collaboration Toolkit, which provides resources to assist law enforcement agencies in partnering with mental health providers (and is discussed later in this report) and (2) a forthcoming \u201croadmap\u201d planned for release in 2018 that the Office of Justice Programs and BJA are developing that will help law enforcement agencies as they plan for engagement with mental health entities."], "subsections": []}]}, {"section_title": "Stakeholders Cited Leading Practices and Tools for Effective Law Enforcement Responses, and Components Have Generally Leveraged Information from Other Knowledgeable Parties", "paragraphs": [], "subsections": [{"section_title": "Two Leading Practices and Four Tools Can Enhance Officer Responses to Individuals with Mental Illness", "paragraphs": ["Of the six stakeholders in the field of law enforcement-mental health we interviewed, all six considered the Crisis Intervention Team Model to be a leading practice and five considered the Co-responder Model to be a leading practice\u2014see Figure 2. These practices are typically implemented at local and state law enforcement agencies. Nevertheless, certain aspects and associated benefits could be considered in other settings, such as federal law enforcement operations.", "In addition, stakeholders cited four key tools that may assist law enforcement agencies in responding to individuals with mental illness. These tools can include training guides, summary reports, or model policies, among other things, as shown in table 5."], "subsections": []}, {"section_title": "Components Have Generally Leveraged Information from Other Knowledgeable Parties, and BJA Is Standing Up a Training and Technical Assistance Center", "paragraphs": ["DHS and DOJ law enforcement components generally leveraged information from knowledgeable parties within their departments on efforts to respond to incidents involving individuals with mental illness. To enhance information sharing among DHS components, CRCL has implemented an interagency collaboration mechanism. Specifically, CRCL officials reported that since June 2016 they have led monthly coordination conference calls with component Disability Access Coordinators to collaborate on their respective efforts to complete their self-evaluations. According to the Disability Access Coordinators, these sessions have provided a forum to share ideas and lessons learned across the DHS components. In addition, according to CRCL officials, once their office receives the components\u2019 self-evaluations and plans, it aims to disseminate information on lessons learned and effective practices to all the components.", "Coordination efforts to leverage information also exist within DOJ. Specifically, through the efforts to review policies and training under the January 2017 guidance and provisions of the 21st Century Cures Act discussed earlier, DOJ\u2019s components have reported taking efforts to collaborate with one another and share information on training, best practices and lessons learned. For example, officials from ATF reported holding meetings with other components to discuss their efforts to implement the January 2017 guidance.", "Additionally, BJA officials told us they took part in the ODAG\u2019s working group in early 2016 when the then-Deputy Attorney General\u2019s January 2017 guidance was in development. Along with BJA, this ODAG working group included DOJ\u2019s law enforcement components and other offices within the department. The working group provided a forum to advise ODAG in developing the January 2017 guidance and discuss issues surrounding disabilities, which involved responses to individuals with mental illness. BJA officials told us that they provided to components a compendium of all its resources available to assist law enforcement\u2019s response to incidents involving individuals with mental illness. BJA officials said they later took the most promising of these and folded them into its Police-Mental Health Collaboration Toolkit. Further, BJA officials told us that they make all of the resources it develops, including the Toolkit, publicly available on the BJA website. According to the officials, these resources are available for all law enforcement agencies, including federal entities, to review and consider implementing as they deem appropriate.", "In addition to these online resources, which facilitate information sharing, BJA is also planning to release a national CIT curriculum in 2018 that will serve as a resource that can be tailored to reflect mental health training and collaboration under development or underway at the local level. The Office of Justice Programs is supporting a partnership between the IACP and a research organization to deliver the curriculum to law enforcement agencies. In addition, BJA\u2014as one of DOJ\u2019s grant-making entities\u2014is standing up the National Training and Technical Assistance Center to Improve Law Enforcement Responses to Individuals with Mental Health Disorders and Intellectual and Developmental Disabilities. BJA officials reported that in September 2017, BJA selected the awardee to design and operate the center. Once the center is operational, it will benefit state, local, and tribal law enforcement entities. In addition, BJA envisions that the center will facilitate better collaboration between law enforcement agencies and their mental health partners. A BJA official also acknowledged that the center could serve as an additional resource for federal law enforcement agencies to consult as they review their trainings, policies, and guidance relevant to responding to incidents involving individuals with mental illness."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ and DHS for their review and comment. The departments did not provide us with formal written comments, but did provide technical comments, which we incorporated as appropriate.", "We are also sending this report to the appropriate congressional committees and members. In addition, this report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions, please contact Diana Maurer at (202) 512-8777 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made significant contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report addresses the following key questions: (1) What challenges, if any, do federal law enforcement officers at selected Department of Homeland Security (DHS) and Department of Justice (DOJ) components face when responding to incidents involving individuals with mental illness? (2) What type of training, policies, and guidance, if any, are in place at selected DHS and DOJ components to prepare federal law enforcement officers for responding to incidents involving individuals with mental illness? (3) What leading practices or tools have relevant stakeholders cited for effective responses to incidents involving individuals with mental illness, and how have DHS and DOJ components leveraged information from other knowledgeable parties?", "We focused our review on the training, policies, and guidance put forth by the DHS and DOJ components listed in table 6 below because they comprise nearly all of the federal law enforcement officers in these agencies.", "To identify challenges that federal law enforcement officers and agents at our selected DHS and DOJ components face when responding to incidents involving individuals with mental illness, we held discussion groups of six to eleven agents or officers within each component in our scope. We worked with officials at each component to identify officers and agents with varied tenures and experiences. We held semi-structured in- person and telephone discussion groups using a script and set of questions. Discussion groups are not designed to provide generalizable or statistically reliable results; they are instead intended to generate in- depth information about the reasons for the discussion group participants\u2019 attitudes on specific topics and to offer insight into their concerns. During the discussion groups, we asked officers and agents what challenges they face when responding to incidents involving individuals with mental illness, among other topics. We moderated each discussion to keep participants focused on the specified issues within discussion time frames. Participants identified challenges when we explicitly asked them to do so, or during the course of the discussion. We took detailed notes on each discussion and documented the perspectives participants raised in each discussion group. We then summarized the information collected and identified common themes. Because our questions were open-ended and designed to allow participants to discuss any challenges they may have experienced, we cannot determine whether the absence of a particular concern or challenge by a group of officers or agents is an indication that they did not experience the concern or that they did not raise it when asked broadly about the topic.", "While these participants\u2019 perspectives cannot be generalized to their entire component or all law enforcement components, their views provided insights into the challenges federal law enforcement officers and agents face when responding to incidents involving individuals with mental illness. We have relied on the observations gathered during these discussion groups to answer this reporting objective as the officers and agents are uniquely positioned to speak to their experiences, and any challenges they face, responding to incidents involving individuals with mental illness.", "To identify the training, policies, and guidance in place, we reviewed documents from each of our selected law enforcement components, when available, to examine their nature and scope. We further reviewed information on the duration, requirements, and delivery mechanism of the training. We then summarized and verified this training information with each component through email documentation. For the policies, we reviewed the documentation to determine whether it was specific to responding to incidents involving individuals with mental illness or whether mental illness was contained within a larger directive. We also reviewed 2018 budget justification documents for each component in order to identify changes in staffing levels or training plans that might be related to officers\u2019 and agents\u2019 response to incidents involving individuals with mental illness. We also interviewed officials responsible for the development or delivery of training, policies, or guidance from the components in our scope to gather additional information that could help prepare federal law enforcement officers and agents to respond to incidents involving individuals with mental illness. In addition, since section 504 of the Rehabilitation Act of 1973, as amended, prohibits discrimination on the basis of disability, which includes mental illness, in federally funded and federally conducted programs and activities, we took steps to understand the section\u2019s applicability to federal law enforcement operations. Specifically, we reviewed departmental guidance related to section 504 and reviewed the selected components\u2019 documentation of efforts to review their training, policies, and procedures in accordance with that guidance. We also interviewed officials from the departmental offices overseeing these component efforts\u2014DHS\u2019s Office of Civil Rights and Civil Liberties (CRCL) and DOJ\u2019s Office of the Deputy Attorney General (ODAG).", "To identify leading practices or tools stakeholders cited for effective law enforcement responses to incidents involving individuals with mental illness, we used a multi-stage process Specifically, we: 1. conducted a search of databases, such as ProQuest and Scopus, and organizational websites, such as those from the Council of State Governments, Justice Center (CSG JC) and Police Executive Research Forum (PERF), to identify published work related to law enforcement responses to individuals with mental illness that had been published on or after January 1, 2007 (the last 10 years). 2. reviewed the 96 published research papers and articles that our initial search yielded and then refined our selection criteria to include only those that were literature reviews, meta-analyses, or summary papers published by academics, think tanks and advocacy groups, or government agencies. We reviewed summary articles rather than all the primary research articles to balance breadth, depth, and efficiency. After refining our search, there were 16 documents that met our selection criteria. 3. reviewed the 16 to identify any potential leading practices. We determined that a practice was potentially leading if it was found in at least one of the remaining 16 articles and was a law enforcement \u2013 mental health program. Using these criteria, we identified two potential leading practices. 4. asked individual and organizational stakeholders to validate whether these were leading practices and to identify any additional leading practices that we might have missed. In order for us to consider an independent researcher as a stakeholder, the individual needed to have (a) authored or co-authored at least 2 of the 16 documents that met our search criteria as outlined earlier and (b) been recommended by another stakeholder. These criteria yielded two independent researchers from whom to solicit views. In order for us to consider an organization as a stakeholder, the organizations needed to have either (a) conducted research on law enforcement responses to individuals with mental illness; (b) administered law enforcement- mental health collaborative programs; or (c) launched a national campaign on law enforcement responses to individuals with mental illness. After reviewing the websites of organizations that potentially met these criteria, we selected four organizations from which to solicit views. In addition, we selected individuals within the organizations as knowledgeable stakeholders if they were either (1) recommended by another stakeholder; or (2) managed a law enforcement-mental health program or national campaign. As a result of these steps, we identified and interviewed six stakeholders (two independent researchers and four organizations) to gather their broad views of the dynamic between law enforcement and individuals with mental illness; to obtain their observations of any practices or tools, such as training guides or reports that have been used to enhance officer response; and to provide feedback on leading practices. The six selected stakeholders were: Amy Watson, Ph.D.: Professor at the Jane Addams College of Social Work, University of Illinois at Chicago.", "Melissa Reuland, M.S.: Research Fellow at the Police Foundation and Senior Research Program Manager at Johns Hopkins School of Medicine, Department of Psychiatry.", "Council of State Governments, Justice Center (CSG JC): a national nonprofit organization that serves policymakers at the local, state, and federal levels from all branches of government. It aims to provide practical, nonpartisan advice and consensus- driven strategies, informed by available evidence, to increase public safety and strengthen communities.", "International Association of Chiefs of Police (IACP): a professional association for law enforcement, representing more than 30,000 members in more than 150 countries. IACP aims to advance the law enforcement profession through advocacy, outreach, education, and programs.", "National Alliance on Mental Illness: a national grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.", "Police Executive Research Forum (PERF): an independent research organization that seeks to identify best practices on issues such as reducing police use of force; developing community and problem-oriented policing; and evaluating crime reduction strategies.", "After reaching out to each researcher and organization, we then sent a follow up written request to each of them to attempt to achieve consensus on whether or not the two practices we identified through our search\u2014the Crisis Intervention Team (CIT) Model and the Co-responder Model\u2014 should be considered leading. We also took note of any tools they mentioned and probed further to understand their origins and intent. We confirmed with all six of the selected stakeholders that the CIT Model met our definition of leading practice and confirmed with five out of the six stakeholders that the Co-responder Model met our definition. Some stakeholders also identified other practices as leading; however, none of those practices had at least two other stakeholders confirm it as a leading practice.", "In addition, to determine how DOJ and DHS components leverage information from other knowledgeable parties, such as experts, associations, or colleagues in other components, we reviewed relevant documentation on these efforts, as available. We also interviewed agency officials from the components in our scope who are responsible for the development or delivery of training or policies.", "We conducted this performance audit from February 2017 through February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform an audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Description of the Federal Law Enforcement Training Centers (FLETC) Basic Training Programs", "paragraphs": ["FLETC provides basic training to all Department of Homeland Security (DHS) law enforcement officers through one of three basic program categories, which vary in length, described as follows:", "Center Basic is a FLETC training program category in which personnel from various agencies are provided with the critical competencies of a specific job, job series, or a group of closely related job series. FLETC provides all instruction. Training is offered in three basic training programs: Criminal Investigator Training Program, Uniformed Police Training Program and the Land Management Police Training Program.", "Center Integrated Basic is a FLETC training program category that provides entry-level law enforcement officers or direct law enforcement support personnel from a single partner organization with the core competencies of a specific job series or a group of closely related job series. FLETC provides all common and basic core foundational instruction (i.e., firearms, physical techniques, etc.). This category of training includes eight specific programs.", "Agency-Specific Basic is a training program category designed to provide entry-level law enforcement officers or direct law enforcement support personnel with instruction necessary to meet a single agency\u2019s mission-specific basic training needs. Generally, Agency- Specific Basic courses precede or follow a Center Basic training program, with partner organizations providing the majority of the instruction. Agency-Specific Basic covers an additional 59 training programs."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Joy A. Booth (Assistant Director) and Adam Couvillion (Analyst-in-Charge) managed this assignment. Kisha Clark, Eric Hauswirth, Gina Hoover, Susan Hsu, Candace Silva- Martin, Michael Silver, Janet Temko-Blinder, and Adam Vogt made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-58", "url": "https://www.gao.gov/products/GAO-19-58", "title": "Cloud Computing: Agencies Have Increased Usage and Realized Benefits, but Cost and Savings Data Need to Be Better Tracked", "published_date": "2019-04-04T00:00:00", "released_date": "2019-05-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Cloud computing enables on-demand access to shared computing resources providing services more quickly and at a lower cost than having agencies maintain these resources themselves. In 2012, OMB began requiring agencies to assess all IT investments for cloud services.", "GAO was asked to review agencies' reported use of cloud services. This report discusses selected agencies' progress in implementing cloud services, the extent to which those agencies increased cloud service spending and achieved savings or cost avoidances, and examples of agency-reported cloud investments with notable benefits. GAO selected 16 agencies to review based on their fiscal year 2017 IT budgets and analyzed their use of cloud services, associated spending and savings data, and guidance for assessing investments for these services. GAO interviewed agency officials in charge of cloud services and reviewed pertinent documents to identify acquisitions with notable benefits. GAO also interviewed OMB staff about their agency's role in federal cloud computing and related OMB guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["The 16 agencies GAO reviewed made progress in implementing cloud computing services (cloud services)\u2014namely, they established assessment guidance, performed assessments, and implemented these services\u2014but the extent of their progress varied. To encourage cloud service acquisition, the Office of Management and Budget (OMB) began requiring agencies to assess all information technology (IT) investments for cloud services. However, only 10 of the 16 agencies reviewed had established assessment guidance. In addition, while the agencies assessed the majority of their planned fiscal year 2019 IT investments for cloud services, 12 agencies had not completed an assessment of 10 or more investments. Nevertheless, 10 of the agencies reported increasing their use of cloud services between fiscal years 2016 through 2019 (see figure). Six agencies noted that inconsistent reporting of cloud investments and investment consolidation impacted their reported percentage.", "Further, the 16 agencies reported that they had increased their cloud service spending since 2015 and 13 of the 16 agencies had saved $291 million to date from these services. However, these agencies identified issues in tracking and reporting cloud spending and savings data, including not having consistent processes in place to do so. Agencies also noted that OMB guidance did not require them to explicitly report savings from cloud implementations and, therefore, they had to specifically collect this data to meet GAO's request. As a result of these identified issues, it is likely that agency-reported cloud spending and savings figures were underreported.", "Officials from 15 of the 16 agencies reported that they had identified significant benefits from acquiring cloud services, including improved customer service and the acquisition of more cost-effective options for managing IT services. In addition, these agencies identified nine cloud investments that, among other things, enhanced the availability of weather-related information, facilitated collaboration and information sharing among federal, state, and local agencies related to homeland security, and provided benefits information to veterans, as examples of systems that realized these benefits. One agency reported that it had not realized benefits because it did not have any completed migration efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making one recommendation to OMB on cloud savings reporting, and 34 recommendations to the 16 agencies on cloud assessments and savings. Fourteen agencies agreed with all recommendations, OMB and one agency neither agreed nor disagreed, and one (Defense) agreed with one recommendation but not the other. GAO continues to believe its recommendation to the department is appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Over the past 2 decades, the federal government\u2019s increasing demand for information technology (IT) has led to a dramatic rise in operational costs to develop, implement, and maintain its computer systems and services. Furthermore, while federal agencies\u2019 IT use provides essential services affecting the health, economy, and defense of the nation, this use has also led to a reliance on custom IT systems that can be costly to maintain. Accordingly, as a result of these costs, the federal government invests approximately $90 billion annually in IT.", "As part of a comprehensive effort to transform IT within the federal government, in 2010, the Office of Management and Budget (OMB) began requiring agencies to shift their IT services to a cloud computing option when feasible. As defined by the National Institute of Standards and Technology (NIST), cloud computing is a means for enabling on- demand access to shared pools of configurable computing resources (e.g., networks, servers, storage applications, and services) that can be rapidly provisioned and released. This approach offers federal agencies a means to buy services more quickly and possibly at a lower cost than building, operating, and maintaining these computing resources themselves.", "To encourage federal agencies to begin taking advantage of cloud computing services (cloud services), in February 2011, OMB issued a Cloud First policy that required each agency\u2019s chief information officer (CIO) to implement a cloud service whenever there was a secure, reliable, cost-effective option. Since 2012, we have issued several reports on agencies\u2019 use of cloud services, as detailed later in this report.", "You asked us to conduct a further review of agencies\u2019 reported use of cloud services. Specifically, our objectives were to: (1) evaluate selected agencies\u2019 progress in implementing cloud services, (2) review the extent to which selected agencies have increased spending on cloud services and achieved cost savings or avoidances, and (3) describe examples of cloud investments with significant or notable benefits that have been identified by selected agencies.", "To address these objectives, we selected a sample of agencies based on the size of their total IT budget for fiscal year 2017. Specifically, we categorized each of the 24 Chief Financial Officers Act agencies by the size of its IT budget: large (more than $3 billion), medium ($1 billion to $3 billion), and small (less than $1 billion), as reported on OMB\u2019s IT Dashboard for 2017. We then selected up to six agencies with the largest budgets from each budget category.", "Using these criteria, we selected 16 agencies, including 7 agencies from our prior work on cloud services conducted in 2012 and 2014. These agencies were the Department of Agriculture (Agriculture), Department of Commerce (Commerce), Department of Defense (Defense), Department of Education (Education), Department of Energy (Energy), Department of Health and Human Services (HHS), Department of Homeland Security (DHS), Department of Justice (Justice), Department of Labor (Labor), Department of State (State), Department of Transportation (Transportation), Department of the Treasury (Treasury), Department of Veterans Affairs (VA), General Services Administration (GSA), Small Business Administration (SBA), and Social Security Administration (SSA).", "For our first objective, we obtained and analyzed IT Dashboard data related to the 16 selected agencies\u2019 use of cloud services for fiscal years 2016 through 2018 and projected use in 2019. We chose to begin with fiscal year 2016 because we had previously reported on federal agencies\u2019 use of cloud services through fiscal year 2014 and fiscal year 2015 data was not available. We reviewed agency responses that were submitted for fiscal years 2016 through 2019 as part of the annual budget submission process in order to determine whether a specific investment was using cloud services.", "To ensure the accuracy and completeness of the selected agencies\u2019 data on the use of cloud services, we downloaded data from the IT Dashboard on October 3, 2017, March 7, 2018, and October 9, 2018. We took this step because agencies may update their data on a quarterly basis throughout the fiscal year. In addition, we presented the results of our analysis to officials in charge of cloud services within the Office of the CIO at each selected agency. We asked these officials to verify the completeness and accuracy of this data and provide any updates as appropriate. Officials at all 16 agencies confirmed the total number of investments using cloud services for fiscal years 2016 through 2018 and their projected use for fiscal year 2019. Based on these steps, we determined that these data were sufficiently reliable to report on agencies\u2019 progress in using cloud services.", "In addition, we compared each selected agency\u2019s cloud guidance to OMB\u2019s Cloud First guidance and interviewed officials in charge of cloud services within the Office of the CIO at each agency regarding their cloud data and guidance. We also interviewed OMB staff in the Office of E- Government and Information Technology regarding its guidance.", "For our second objective, we obtained and analyzed IT Dashboard data related to the 16 agencies\u2019 spending on cloud services for fiscal years 2015 through 2018. We chose to begin with fiscal year 2015 because we had previously reported on federal agencies\u2019 spending on cloud services through fiscal year 2014. In order to determine actual cloud spending costs for each fiscal year, we used agency spending data reported each subsequent fiscal year (from fiscal years 2017 through 2018), as of October 5, 2018.", "We also administered a data collection instrument to obtain and analyze spending and savings by the 16 selected agencies for fiscal years 2014 through 2018, as well as future planned costs. We requested that these agencies provide spending and savings data broken down by investment, as OMB only requires federal agencies to report total spending by cloud deployment model on the IT Dashboard, and agencies were not required to identify whether any reported savings were cloud-related.", "We took steps to help ensure the reliability of the data we collected. First, to minimize errors that might occur from respondents interpreting our instrument differently from our intended purpose, we reviewed the data collection instrument with agency officials who would be completing the instrument during meetings in October and November 2017. Second, we reviewed the completed spreadsheets to identify missing data or other errors, and consulted with a GAO data quality expert about these issues as appropriate. We also reviewed the associated notes regarding agencies\u2019 qualifications of the provided data and followed up with agency officials to clarify the responses as appropriate.", "Lastly, we presented the results of our analysis of IT Dashboard data and the data obtained from the data collection instrument to each of the selected agencies between June and August 2018. We asked the agencies to verify the completeness and accuracy of these data and provide any updates as appropriate. Each of the selected agencies provided updated information related to our data collection instrument, which we incorporated as appropriate. Based on the measures we took to ensure the reliability of the data reported by the agencies to us and on the IT Dashboard, we determined that the data were sufficiently reliable for the purpose of this report.", "For the third objective, we obtained and reviewed available documentation discussing examples of cloud computing investments identified by the selected agencies as having produced significant or notable benefits and key practices that helped ensure the effort was successful, and interviewed officials from the Office of CIO or other components in charge of cloud services regarding these benefits. As part of this work, we asked officials within the Office of the CIO at each selected agency to identify up to three examples of investments that benefited from the acquisition of cloud services.", "Fifteen of the sixteen agencies in our review identified at least one example, while one agency\u2014HHS\u2014reported that it did not have any examples of cloud investments that had produced significant or notable benefits because it did not have any completed migration efforts. Because of the open-ended nature of the 15 agencies\u2019 responses to our questions, we conducted a content analysis of the information we received in order to identify and summarize the benefits and key practices that were identified by the 15 agencies. In addition, to select systems or investments to profile, we reviewed the 34 examples provided by the 15 agencies and narrowed the list to 11 examples. In doing so, we sought to have a mix of systems that provided mission critical services to the agency or the public, illustrated a range of cloud computing benefits, and included detailed information on the benefits achieved from using cloud services.", "In technical comments received on a draft of this report, two agencies provided new information regarding the use of cloud services for their systems that were profiled in appendix VI of the draft report. Based on the additional information provided by the two agencies, we determined there was no longer sufficient detail regarding what benefits were realized for these systems. Therefore, we removed the two agencies\u2019 profiled examples from the report in order to be consistent with our methodology for reporting examples of systems that had realized benefits from the acquisition of cloud services. We then notified both agencies of this decision. Further details on our objectives, scope, and methodology are included in appendix I.", "We conducted this performance audit from September 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Investments in federal IT have the potential to make agencies more efficient in fulfilling their missions by reducing costs and improving operational efficiencies. Each year, the federal government invests approximately $90 billion in IT, with about 75 percent reportedly spent on operating and maintaining existing systems. However, as we have previously testified, federal IT investments have too frequently failed or incurred cost overruns and schedule slippages while contributing little to mission-related outcomes. As a result, the federal government has spent billions of dollars on failed and poorly performing IT investments. These investments have often suffered from ineffective management of project planning, requirements definition, and program oversight and governance tasks.", "Accordingly, in February 2015, we added improving the management of IT acquisitions and operations to our high-risk list\u2014a list of agencies and program areas that have a higher potential for fraud, waste, abuse, and mismanagement, or are in need of transformation. In introducing this high risk area, we specifically noted that agencies spend a significant portion of their budgets on the operations and maintenance of IT systems and need to effectively manage these investments in order to ensure they continue to meet agencies\u2019 needs and deliver value. We issued an update to our high-risk report in February 2017 and noted that, while progress has been made in addressing the IT acquisitions and operations high-risk area, significant work remains to be completed, including establishing action plans to modernize or replace obsolete investments.", "In addition, over the last 3 decades, Congress has enacted several laws to assist agencies and the federal government in managing IT investments. For example, Congress enacted the Clinger-Cohen Act of 1996 to assist agencies in managing their investments. This act requires OMB to establish processes to analyze, track, and evaluate the risks and results of major capital investments in information systems made by federal agencies and report to Congress on the net program performance benefits achieved as a result of these investments.", "Further, in December 2014, Congress enacted Federal Information Technology Acquisition Reform provisions (commonly referred to as FITARA) as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015. The act requires OMB, among other things, to develop standardized performance metrics, including for cost savings and cost avoidances, and to submit quarterly reports to Congress on cost savings and reductions in duplicative information technology investments.", "More recently, recognizing the challenges in modernizing government IT systems, in December 2017, Congress enacted the Modernizing Government Technology Act as part of the National Defense Authorization Act for Fiscal Year 2018. This law authorizes all covered agencies to establish an IT system modernization and working capital fund to, among other things, transition legacy systems to commercial cloud computing and other innovative commercial platforms and technologies using agency reprogrammed funds. The act also establishes a Technology Modernization Fund administered by the Administrator of General Services, in consultation with the CIO Council, which will provide funds to federal agencies for modernization efforts.", "As of March 2019, the board that oversees the Technology Modernization Fund had awarded $60.87 million to four projects that plan to migrate or deploy systems to cloud services. Specifically,", "GSA\u2019s project, which received an award of $20.65 million, is intended to expedite the completion of a new software as a service solution for the agency\u2019s payroll and work schedule and leave management within 2 years.", "The Department of Housing and Urban Development\u2019s project, which received an award of $20 million, is expected to accelerate the migration of five of the agency\u2019s most critical business systems from an on-premise mainframe database to the cloud within the next 2 years.", "Energy\u2019s project, which received an award of $15.2 million, is intended to help the agency move 45 separate on-premise email systems to the cloud within the next 3 years.", "Agriculture\u2019s project, which received an award of $5 million, is intended to help the agency migrate 10 applications to a shared services cloud platform model."], "subsections": [{"section_title": "Overview of Cloud Services", "paragraphs": ["One approach to improving the government\u2019s management of IT services is through cloud computing. As mentioned previously, cloud computing is a means for enabling on-demand access to shared pools of configurable computing resources (e.g., networks, servers, storage applications, and services) that can be rapidly provisioned. More specifically, purchasing IT services through a cloud service provider enables agencies to avoid paying for all the computing resources that would typically be needed to provide such services. This approach offers federal agencies a means to buy services more quickly and possibly at a lower cost than building, operating, and maintaining these computing resources themselves.", "According to NIST, cloud computing offers federal agencies a number of benefits:", "On-demand self-service. Agencies can, as needed, provision computing capabilities, such as server time and network storage, from the service provider automatically and without human interaction.", "Broad network access. Agencies can access needed capabilities over the network through workstations, laptops, or other mobile devices.", "Resource pooling. Agencies can use pooled resources from the cloud provider, including storage, processing, memory, and network bandwidth.", "Rapid elasticity. Agencies can provision the resources that are allocated to match what actual resources are needed according to demand. This is done by scaling resources up or down by adding or removing processing or memory capacity, or both, according to demand.", "Measured service. Agencies can pay for services based on usage.", "This allows agencies to monitor, control, and generate reports, providing greater transparency into the agency\u2019s use of cloud services.", "As noted in NIST guidance, cloud service providers have established three types of service models that are offered to consumers: Infrastructure as a service. The service provider delivers and manages the basic computing infrastructure of servers, software, storage, and network equipment. The consumer provides the operating system, programming tools and services, and applications.", "Platform as a service. The service provider delivers and manages the infrastructure, operating system and programming tools and services, which the consumer can use to create applications.", "Software as a service. The service provider delivers one or more applications and all the resources (operating system and programming tools) and underlying infrastructure to run them for use on demand.", "NIST has also defined four types of cloud deployment models, including:", "Private cloud. Service is set up specifically for one organization, although there may be multiple customers within that organization and the cloud may exist on or off the customer\u2019s premises.", "Community cloud. Service is set up for organizations with similar requirements. The cloud may be managed by the organizations or a third party and may exist on or off the organization\u2019s premises.", "Public cloud. Service is available to the general public and is owned and operated by the service provider.", "Hybrid cloud. Service is a composite of two or more of the three deployment models (private, community, or public) that are bound together by technology that enables data and application portability.", "According to NIST guidance, these deployment models impact the number of consumers and the nature of other consumers\u2019 data that may be present in the cloud environment. A public cloud should not allow a consumer to know or control other consumers of a cloud service provider\u2019s environment. However, a private cloud can allow for ultimate control in selecting who has access to a cloud environment. Community clouds and hybrid clouds allow for a mixed degree of control and knowledge of other consumers. Additionally, the cost for cloud services typically increases as control over other consumers and knowledge of these consumers increase."], "subsections": []}, {"section_title": "OMB and Past and Current Administrations Have Undertaken Efforts to Increase Use of Cloud Services", "paragraphs": ["In December 2010, OMB made cloud computing an integral part of its 25 Point Implementation Plan to Reform Federal Information Technology Management. The plan called for the development of a government- wide strategy to hasten the adoption of cloud services. To accelerate the shift, OMB required agencies to identify three systems to migrate to cloud services, create a project plan for migration, and migrate all three systems by June 2012.", "In February 2011, OMB issued the Federal Cloud Computing Strategy, as called for in its 25-point plan. The strategy provided definitions of cloud services; benefits of cloud services, such as accelerating data center consolidations; a decision framework for migrating services to a cloud environment; case studies to support agencies\u2019 migration to cloud services; and roles and responsibilities for federal agencies. For example, the strategy states that NIST\u2019s role is to lead and collaborate with federal, state, and local government agency CIOs, private sector experts, and international bodies to identify standards and guidance and prioritize the adoption of cloud services.", "Subsequently, in December 2011, OMB established the Federal Risk and Authorization Management Program (FedRAMP), a government-wide program to provide joint authorizations and continuous security monitoring services for cloud services for all federal agencies. GSA initiated FedRAMP operations, which the agency referred to as initial operational capabilities, in June 2012.", "In 2012, OMB began requiring agencies to evaluate each investment, or components or systems within the investment, for cloud services, regardless of the overall life-cycle stage of the investment. Agencies were required to report the status of each investment\u2019s evaluation as part of the annual budget submission, as noted in OMB\u2019s annual capital planning guidance. Specifically, OMB required agencies to select an option regarding whether they had evaluated a cloud alternative and chosen a cloud alternative with a particular cloud deployment model or indicate that they had not yet evaluated the investment for cloud services. Starting in fiscal year 2018, OMB revised the options that agencies were to select from and required agencies to select an option regarding whether the investment, or a portion of the investment, was leveraging cloud computing, or indicate that cloud computing had not been considered for the investment.", "In 2012, OMB began requiring agencies to report associated cloud spending, as called for in its annual capital planning guidance. For fiscal years 2015 through 2018, OMB\u2019s capital planning guidance required agencies to report their total cloud spending at the agency level based on the cloud deployment model, rather than by individual investment.", "Starting in fiscal year 2019, OMB will require agencies to report total cloud spending by investment and use the Technology Business Management Framework. The Framework provides a cost taxonomy for agencies to use to manage the cost, quality, and value of their IT services. Specifically, agencies will be required to use a standard set of cost categories to group IT spending, including cloud-related spending. This new model is intended to increase the granularity in reporting of agency IT budget and spending data.", "In addition, in May 2017, the administration established the American Technology Council to help transform and modernize federal IT and how the government uses and delivers digital services. The President is the chairman of this council, and the Federal CIO and the United States Digital Service Administrator are among its members.", "Subsequently, in December 2017, the American Technology Council issued a Report to the President on Federal IT Modernization and made eight cloud computing-related recommendations that are relevant to the focus of our review. For example, the report recommended that OMB issue two data calls to agencies in order to: (1) obtain a list of agency in- progress and pending projects for cloud migration; and (2) have agencies identify systems that have not yet migrated due to perceived or encountered difficulties. Based on the information provided, OMB would then assist agencies in making transition plans and work to remove obstacles in order to accelerate cloud adoption. In addition, the report recommended that OMB take action to update its guidance related to cloud computing and revise the Federal Cloud Computing Strategy that was previously issued in 2011.", "According to staff in OMB\u2019s Office of E-Government and Information Technology, OMB has taken action to address these recommendations. For example, the staff reported that the two data calls were issued in December 2017 and staff are currently reviewing the information provided by agencies in response. In addition, OMB issued its draft strategy revision, the 2018 Federal Cloud Computing Strategy, for comment on September 24, 2018. This proposed Cloud Smart policy outlines a strategy for agencies to adopt cloud solutions that streamline transformation and embrace modern capabilities.", "According to the draft strategy, Cloud Smart focuses on equipping agencies with the tools needed to make informative technology decisions in accordance with their mission needs. In addition, the draft strategy indicates that OMB intends to leverage private-sector solutions to provide the best services to the American people. The strategy also notes that the CIO Council and Chief Financial Officer Council are to work with OMB, GSA, DHS, and other federal entities to develop a work plan of actions and targeted policy updates that are to be delivered over the next 18 months. For more information about the current status of each of these eight cloud recommendations, as reported by OMB, please see appendix II."], "subsections": []}, {"section_title": "Prior GAO Reports on Efforts to Implement Cloud Services", "paragraphs": ["During the past several years, we reported on federal agencies\u2019 efforts to implement cloud services, and on the progress that oversight agencies have made to help federal agencies in those efforts. For example, in July 2012, we reported that the seven federal agencies we reviewed had made progress in meeting OMB\u2019s requirement to implement three cloud services by June 2012. Specifically, the seven agencies had implemented 21 cloud services and spent a total of $307 million for cloud computing in fiscal year 2012\u2014about 1 percent of their total IT budgets. In addition, while all seven agencies had submitted plans to OMB for implementing cloud solutions, all but one plan were missing key required elements. We made 14 recommendations to the seven agencies to develop planning information, such as estimated costs and legacy IT systems\u2019 retirement plans for existing and planned services. The agencies generally agreed with, and implemented, 13 out of 14 of our recommendations.", "In September 2014, we reviewed the efforts of the same seven federal agencies again and found that each of them had implemented additional cloud services subsequent to our July 2012 report. In particular, the total number of cloud services implemented by the seven agencies had increased by 80 services, from 21 to 101. The seven agencies\u2019 reported spending on cloud services had also increased by $222 million, from $307 million in 2012 to $529 million in 2014. However, this relatively small increase in cloud spending was attributed, in part, to the fact that these agencies had not considered cloud services for 67 percent of their investments. Accordingly, we recommended that the seven agencies assess their IT investments for suitability for cloud services. The agencies generally agreed with our recommendations and 6 of the agencies (Agriculture, DHS, GSA, HHS, SBA, and State) implemented all of our recommendations.", "Further, in April 2016, we identified 10 key practices that federal and private-sector guidance noted should be included in service-level agreements in a contract when acquiring IT services though a cloud services provider. However, our review of five agencies\u2019 (Defense, DHS, HHS, Treasury, and VA) cloud service contracts found that not all 10 key practices were included in these contracts. We therefore made recommendations to OMB to include all 10 key practices in future guidance to agencies. We also recommended that the five agencies incorporate these key practices as their contract and service level agreements expire. The agencies generally agreed with our recommendations and, to date, Defense and DHS have taken action to implement the recommendations.", "More recently, in April 2017, we highlighted the results of a forum, convened by the Comptroller General on September 14, 2016, to explore challenges and opportunities for CIOs to improve federal IT acquisitions and operations\u2014with the goal of better informing policymakers and government leadership. Thirteen current and former federal agency CIOs, members of Congress, and private-sector IT executives who participated in the forum noted challenges with agency operations that could be addressed by migrating more services to the cloud. In their view, this approach would offer agencies a means to buy the services faster and possibly at a lower cost than through the traditional methods of building and maintaining systems.", "In addition, forum participants noted the importance of federal agencies\u2019 IT procurement offices and processes evolving to align with new technologies, as agencies are not always set up to take advantage of cloud services. Lastly, forum participants said that, as the federal government is expected to increase its purchase of IT as a service with the move toward cloud computing, more oversight is needed to ensure that appropriate contracts are in place and appropriate oversight of performance occurs."], "subsections": []}]}, {"section_title": "Most of the Selected Agencies Reported Making Progress in Implementing Cloud Services", "paragraphs": ["The16 selected agencies reported making progress in implementing cloud services\u2014namely, they established guidance for assessing investments for cloud services, performed those assessments, and implemented cloud services for their investments. However, the extent of these agencies\u2019 progress varied. Specifically, 10 of the 16 agencies established guidance for assessing all new and existing investments for cloud services, while six agencies did not. In addition, while these agencies had assessed the majority of their investments for cloud services planned for fiscal year 2019, 12 agencies had not completed an assessment of 10 or more IT investments for cloud services. Lastly, 10 of the agencies reported a percentage increase in the use of cloud services from fiscal year 2016 through fiscal year 2019, while two agencies reported no percentage change and four agencies reported a decrease during this 4-year period."], "subsections": [{"section_title": "About Two-thirds of the Selected Agencies Had Established Guidance for Assessing Investments for Cloud Services Suitability", "paragraphs": ["OMB\u2019s Cloud First policy, issued in February 2011, requires each agency\u2019s CIO to implement a cloud service whenever there is a secure, reliable, cost-effective option to do so. Further, subsequent OMB capital planning guidance, issued in 2014, requires agencies to evaluate each investment, or components or systems within the investment, for cloud services, regardless of the overall life-cycle stage of the investment.", "While OMB\u2019s guidance is not specific on how agencies should conduct these evaluations, GAO\u2019s Information Technology Investment Management framework notes that organizations should have documented policies and procedures for the management oversight of IT investments, including the selection of investments and the evaluation of information technologies that have the potential to improve the organization\u2019s business.", "Ten of the 16 agencies we reviewed had established guidance in accordance with OMB\u2019s requirement to assess new and existing IT investments for suitability for cloud services, as of August 2018. In particular, all 10 agencies\u2019 guidance required assessments of cloud service suitability for both new and existing IT investments.", "However, the remaining six agencies did not have such comprehensive guidance in place. Rather, the guidance either required assessments of new or existing systems for cloud services but not both, or the guidance had not yet been established. Specifically, Labor\u2019s and SSA\u2019s guidance required assessments of new investments for cloud services but did not address assessments of existing investments. In addition, Energy\u2019s guidance required assessments of existing systems but not new acquisitions. Further, three agencies (Education, HHS, and Transportation) had not established guidance for assessing investments for cloud services.", "The results of our analysis of agencies\u2019 guidance on assessing IT investments for cloud services are shown in figure 1.", "Agency officials in the Office of the CIO at the six agencies provided a variety of reasons for why they did not have guidance for assessing all investments for cloud services. Specifically, Labor officials reported that they had not included legacy applications in their guidance because not all applications should or could be migrated to the cloud. In addition, SSA officials reported that they were planning to assess all existing systems for cloud services, but had not determined a time frame for this review. Further, Energy officials reported that, while the agency was following OMB\u2019s Cloud First policy, it would need to establish guidance for assessing new investments for cloud services; however, a date for doing so had not been determined.", "Transportation officials reported that they believed their guidance on managing cloud computing efforts was consistent with OMB\u2019s Cloud First policy and stated that they had no plans to develop additional guidance. However, our review of the agency\u2019s guidance found that it did not include any information regarding the assessment of investments for cloud services. Instead, the guidance only required that investments intending to use cloud services provide procurement and other cost information as part of the business case and use specified language in contracts with cloud service providers. Therefore, we believe that the guidance is not consistent with OMB\u2019s guidance requiring agencies to assess investments for cloud services.", "Education officials reported that they were in the process of finalizing a policy and hoped to have it completed by the end of the year. In addition, HHS officials reported that they had explored developing some guidance regarding cloud services, but had not established any plans to do so.", "As previously discussed, assessing all new and existing IT investments to determine whether they are suitable for cloud services is an important component of OMB\u2019s Cloud First policy. Until the six identified agencies update or establish guidance for assessing both new and existing investments for cloud services, they will not be positioned to ensure adequate implementation of OMB\u2019s Cloud First policy. Further, these agencies increase the risk that they will not be able to take advantage of cloud services to improve operational efficiencies and minimize costs."], "subsections": []}, {"section_title": "Selected Agencies Assessed the Majority of Their IT Investments for Cloud Services", "paragraphs": ["As noted previously, OMB\u2019s fiscal year 2016 IT capital planning guidance requires agencies to evaluate each investment for cloud services and report the status of this evaluation as part of the annual budget submission. Specifically, agencies were to respond to a question regarding whether they had selected cloud services for the investment, or components or systems within the investment, or, for example, report that the investment had not yet been assessed for cloud services. OMB publicly reports agencies\u2019 responses to this question on the IT Dashboard.", "As of October 9, 2018, the 16 agencies in our review reported on the IT Dashboard that they had completed cloud assessments for 84 percent of their IT investments (5,180 out of a total of 6,157) planned for fiscal year 2019. Of these, two agencies (GSA and State) had completed an assessment of all investments. However, 12 agencies had not completed an assessment of 10 or more IT investments for cloud services.", "Table 1 lists the number of IT investments at the 16 selected agencies for fiscal year 2019 that had been assessed for cloud services. The table also shows the number and percentage of investments that remained to be assessed.", "Officials in the Office of the CIO at the 12 agencies provided a variety of reasons for why they had not assessed all investments for cloud services. For example, Agriculture officials reported that 21 of their 53 investments did not need assessments because the investments were not suitable for cloud services. The officials said they intended to update the IT Dashboard to reflect this change. Further, these officials stated that they planned to assess the remaining 32 investments by April 30, 2019.", "Defense officials reported that the agency was in the process of adjusting its cloud strategy that was issued in January 2018 and intends to address investments that have not yet been evaluated. However, the officials stated that they had not established time frames for the evaluations. In addition, DHS officials reported that they were in the process of implementing their guidance and putting in place a new process for identifying planned acquisitions based on the phase in the acquisition life cycle. However, the officials had not identified a time frame for when the new process would be finalized or when all assessments of the investments would be completed.", "Justice officials reported that, as they began the budget process, the agency planned to look at performing additional assessments of investments for cloud services. However, the officials provided no time frames for when these assessments would be completed. In addition, SSA officials stated that the agency planned to perform an assessment of current investments for cloud services. However, the officials reported that they had not established a time frame for completing these assessments.", "Further, Treasury officials reported that, while the agency had established a process for assessing investments for cloud services, it did not set specific dates for when the assessments were to be conducted. These officials reported that they only conducted a cloud assessment if the agency determined that it would replace, redevelop, or retire an investment. However, Treasury\u2019s guidance is not consistent with OMB\u2019s requirement that agencies conduct an annual assessment of all investments, regardless of the overall life-cycle stage of the investment.", "Many of the 16 agencies in our review have made progress in implementing cloud services by establishing guidance for assessing investments for cloud services and performing assessments. Even agencies that lacked formal guidance for performing an assessment have made progress in increasing the use of cloud services when the assessment was completed. Nevertheless, 12 agencies still need to assess a large number of their investments. Until these agencies assess their investments that have yet to be evaluated for cloud services, they may not know which investments are likely candidates for migration to cloud services. Moreover, these agencies will not be positioned to take advantage of operational efficiencies, cost savings, and other benefits from the use of cloud services."], "subsections": []}, {"section_title": "Selected Agencies Have Increased Their Use of Cloud Services", "paragraphs": ["As of October 9, 2018, the 16 agencies in our review reported on the IT Dashboard that 11 percent of their IT investments were projected to use cloud services for fiscal year 2019\u2014an increase of 3 percentage points from fiscal year 2016 to fiscal year 2019. In addition, 13 out of the 16 agencies reported that they planned to increase their use of cloud services, in some cases, by as much as 20 percentage points or more, between fiscal years 2018 and 2019.", "Table 2 lists the percentage of the selected agency IT investments that used cloud services for fiscal years 2016 through 2018 and are projected for 2019. (For additional details on the number of cloud investments and the total investments reported by each of the selected agencies for fiscal years 2016 through 2019, see appendix III.)", "In addition, while the majority of agencies made progress in implementing cloud services between fiscal years 2016 and 2019, the extent of agencies\u2019 progress varied. Specifically, 10 of the 16 agencies reported an increase in the use of cloud services, with the percentage of increase varying from up to 10 percentage points to 20 or more percentage points.", "For the remaining six agencies, two reported no change in the percentage of investments using cloud services and four reported a decrease in the overall percentage of cloud usage. Figure 2 shows the breakdown in the range of percentage point changes in the use of cloud services for agency investments for fiscal years 2016 through 2019, as reported on the IT Dashboard.", "Officials in the Offices of the CIO, and Office of Information Technology, at the six agencies that reported no change or a decrease in their cloud investment percentages during this 4-year period provided a variety of reasons for why this was the case, or had no comments regarding the lack of change in their cloud investment percentages. Specifically, Energy officials reported that the agency had not shown an increase in the percentage of its cloud investments due to an IT portfolio optimization effort designed to consolidate the agency\u2019s cloud investments. According to the officials, this optimization effort was designed to reduce the total number of these investments during the 4-year period. As a result, this optimization effort affected the overall percentage of cloud investments. As for Labor, its officials did not offer any comments regarding the lack of an increase in cloud use during this period.", "In addition, Defense, DHS, and Education officials reported that staff in their agencies had inconsistently applied the definition of cloud computing, which had led to differences in identifying and reporting the number of cloud investments within their agencies during this period. Further, DHS officials noted that the ongoing addition, combination, completion, and cancellation of investments had contributed to the fluctuation in the number of cloud investments within their agency. Finally, VA officials reported that their cloud identification processes were maturing during this period and, as such, had resulted in different cloud investment counts.", "Some of the inconsistencies reported by agencies regarding the types of investments that they identified as being cloud investments may also be a result of OMB\u2019s changes to its guidance during this 4-year period. Specifically, OMB changed how agencies were required to report their use of cloud services in fiscal year 2018, and revised the options that agencies were to select from in order to identify and report the use of cloud services for each investment.", "Going forward, several agencies reported that they intended to continue making progress in their implementation of cloud services beyond fiscal year 2019. For example:", "Education officials reported that the agency expected to increase cloud use significantly in 2019 and beyond due to an IT services contract award that is to support the migration of the agency\u2019s primary hosting infrastructure to the cloud.", "DHS officials reported that the agency had set aggressive goals for acquiring cloud services. Toward this end, the agency had initiated a cloud steering group and created a team with staff from all components. In addition, the officials reported that they planned to consolidate space in one data center and eliminate another data center, which would allow the agency to accelerate its migration to the cloud.", "Justice officials reported that they expected to increase spending on cloud services as the agency completed ongoing initiatives in 2019. In addition, the officials reported that they anticipated migrating the majority of the agency\u2019s unclassified data to the cloud in the next few years.", "VA officials reported that the agency planned to migrate at least 350 applications to the cloud by 2024.", "Agencies\u2019 efforts to acquire additional cloud services and take advantage of improved efficiencies and cost savings should help to further improve their management of IT acquisitions and operations."], "subsections": []}]}, {"section_title": "Agencies Have Increased Spending and Realized Savings from Using Cloud Services, but Spending and Savings Figures Are Underreported", "paragraphs": ["The 16 agencies in our review made progress in implementing cloud services. Specifically, the 16 agencies reported that their spending on cloud investments had increased by over $1 billion between fiscal years 2015 and 2018 for investments with total life-cycle costs of $1 million or more. Nevertheless, the agencies reported that factors such as inconsistent tracking of spending data, along with confusion in interpreting OMB guidance, impacted the accuracy of their reported cloud spending data. In addition, 13 of the 16 agencies provided savings data indicating that they had saved hundreds of millions of dollars on cloud services, but agencies reported that they had problems with tracking this data. Further, six agencies reported that they had reinvested cloud savings into other IT modernization efforts or other improvements to IT services."], "subsections": [{"section_title": "Selected Agencies Are Spending More on Cloud Services, but Do Not Have Complete Spending Data", "paragraphs": ["OMB requires agencies to report spending on cloud services. Specifically, OMB\u2019s annual capital planning guidance for fiscal years 2015 through 2018 required agencies to report their total cloud spending on the IT Dashboard, although it did not require the information to be reported by investment.", "While the selected agencies\u2019 reporting on the IT Dashboard indicated that their percentage of total spending on cloud services generally remained constant during fiscal years 2015 through 2017. Specifically, the 16 agencies reported on the IT Dashboard that approximately 3 percent of their total IT spending each fiscal year during this period was spent on cloud services. For fiscal year 2018, agency-reported cloud spending through March 2018 was at 2 percent. Table 3 identifies the percentage of the selected agency spending on cloud services for fiscal years 2015 through 2018, as reported on the IT Dashboard. (For additional details on total agency cloud spending and total IT spending reported by each of the selected agencies for fiscal years 2015 through 2018, see appendix IV.)", "However, the breakdown in spending by investment for cloud services with $1 million or more in life-cycle costs that the 16 agencies provided to us, showed that their spending on cloud investments had increased during fiscal years 2015 through 2018, and beyond (agencies generally submitted data on planned spending for one or more fiscal years beyond 2018). Specifically, the agencies\u2019 provided data showed that total cloud spending for these investments was approximately $1.38 billion in fiscal year 2017\u2014an increase of over $1 billion since fiscal year 2015. In addition, the 16 agencies\u2019 data indicated that they plan to spend over $3.2 billion on cloud services in fiscal year 2018 and beyond for these investments.", "Table 4 summarizes the information provided to us on a breakdown of the 16 selected agencies\u2019 total spending for investments with $1 million or more in life-cycle costs for cloud services, from fiscal years 2015 through 2018 and beyond through fiscal year 2024, that was submitted to us. (For a list of the investments that have spent $1 million or more in life-cycle costs for cloud services, provided by each of the 16 selected agencies for fiscal year 2018, see appendix V.)", "Officials in the Office of the CIO at all of the agencies in our review identified three factors that could affect the completeness of the cloud spending data provided to us and on the IT Dashboard: (1) spending data were not consistently tracked; (2) different methods were used to calculate cloud spending costs; and (3) interpreting changes in OMB and related guidance created confusion regarding what spending data should be tracked.", "Spending data were not consistently tracked. Defense officials reported, for example, that the agency had only begun tracking cloud spending in fiscal year 2016 and, therefore, spending data were not available for fiscal year 2015. In addition, VA officials reported that they were in the process of maturing their tracking of cloud spending data and, therefore, the agency did not have spending data available for the majority of their investments prior to fiscal year 2019. Further, Justice officials reported that the agency had been challenged to track cloud costs because the costs are based on fluctuating usage, rather than a flat rate.", "Different methods were used to calculate cloud spending costs.", "Some agencies reported that the data they provided to us included costs for items such as power usage and staff full-time equivalents, while other agencies told us that they only provided contract costs. In addition, some agency officials noted that they included in the provided spending figure, the additional costs for migrating the application to cloud services, while other officials said that these costs had not been included in their spending totals.", "Interpreting changes in OMB and related guidance created confusion regarding what spending data should be tracked. Agencies noted that OMB made changes to its guidance since 2015, including clarifications to the definition of cloud computing, changes to the definition and scope of cloud services and cloud spending, and changes to the guidance regarding what applicable costs should be included in spending totals\u2014all of which created confusion regarding what investments and what costs should be tracked for cloud services. Defense officials also reported that the agency misinterpreted the NIST definition of cloud computing, and, as a result, Defense misreported that certain IT investments were using cloud services, when these investments were not using these services. Defense officials reported that the agency had corrected this issue but it affected the total cloud spending reported during this period and led to the decrease in spending noted.", "Based on our review of these factors reported by the 16 selected agencies, we identified issues with the completeness of the reported cloud spending data. Specifically, these factors increase the likelihood that all costs associated with spending on cloud services may have been incompletely captured by the 16 selected agencies in our review. As a result, agencies\u2019 reported total cloud spending on the IT Dashboard and the data provided to us is likely underreported.", "Staff in OMB\u2019s Office of E-Government and Information Technology stated that agencies have previously reported challenges in breaking out cloud costs, particularly when the cloud acquisition is part of a larger contract. Given these challenges, the staff acknowledged that agency- reported cloud spending data are underreported and stated that the IT Dashboard reflects only a fraction of actual federal spending on cloud services. However, the staff stated that OMB\u2019s changes to its guidance, beginning in fiscal year 2019, should help to improve the reporting of cloud spending data. Specifically, beginning in fiscal year 2019, agencies will be required to report total cloud costs by investment, per OMB\u2019s IT capital planning guidance, and use the Technology Business Management framework.", "Having complete data on spending for cloud services is critical in order to ensure that agencies can provide effective management and oversight of their cloud use, and that OMB and lawmakers can hold CIOs accountable for the performance of these cloud investments. The changes to OMB\u2019s guidance for fiscal year 2019 provide a key improvement for ensuring that agencies establish more consistent processes for reporting on cloud- spending and should help agencies improve the completeness of the cloud-spending data that they report to OMB."], "subsections": []}, {"section_title": "Selected Agencies Report Saving Approximately $291 Million from the Use of Cloud Services but Acknowledge Data Are Incomplete", "paragraphs": ["Since 2013, OMB has required agencies to report quarterly on their total savings and cost avoidances from implementing OMB\u2019s IT reform initiatives, including savings realized from the migration to cloud services. Specifically, agencies are required to report actual and planned savings from implementing these initiatives in a quarterly submission and identify which implementation of an OMB initiative resulted in the reported savings. Despite this, in the reporting mechanism, agencies can only associate specific savings with certain OMB initiatives, a list that does not include the migration to cloud services. Standards for Internal Control in the Federal Government emphasizes that management should track the actual performance of key initiatives in order to ensure that these activities are meeting plans, goals, and objectives, and in doing so, management should use quality information.", "Thirteen of the 16 agencies in our review provided savings data to us for at least one cloud investment with life-cycle costs of $1 million or more for cloud services during fiscal years 2014 through 2018. In total, the 13 agencies\u2019 provided data showed that they had accrued approximately $291 million in savings or cost avoidances using cloud services since 2014. In addition, the agencies\u2019 data indicated that they planned to save at least $150 million in fiscal year 2018 and beyond (agencies generally submitted data on planned savings for one or more fiscal years beyond 2018).", "However, agency officials from the 13 agencies stated that, while they were able to provide some savings data, these data are only tracked on an ad hoc basis for certain cloud investments. In addition, officials from three agencies (Defense, State, and SSA) stated that they could not provide savings data for any of their cloud investments. As a result, the 16 agencies were unable to provide savings or avoidance data for 411 out of 488 investments (84 percent) that we reviewed.", "Table 5 shows, for the selected agencies in our review, the breakdown in total agency savings and cost avoidances for fiscal years 2014 through 2018 and beyond for investments with $1 million or more in life-cycle costs for cloud services.", "Officials in the Office of the CIO at the 16 agencies identified three factors that impacted their efforts to provide data on savings or cost avoidances for cloud computing investments: (1) savings data were not systematically tracked or were hard to track; (2) deploying or migrating systems to the cloud had resulted in no cost savings; and (3) OMB does not require agencies to identify savings associated with cloud services as part of reported savings.", "Savings data were not systematically tracked or were hard to track. Defense, Treasury, and VA officials reported that their investment management systems did not have the capability to track cloud savings or avoidance data. In addition, GSA officials reported that, while their system had the capability to track cost savings data, the agency did not capture and track realized cloud savings in a consistent format. GSA officials stated that they were in the process of implementing the Technology Business Management Framework, which they expected would improve the collection of these data. However, the officials did not identify a time frame for when this framework was to be implemented.", "Education officials reported that the agency did not provide cost savings data for those investments where cost savings targets had not been established or anticipated. SBA officials reported that investments with two cloud providers had only been recently made so the agency could not yet make a reasonable assessment of savings. Further, Agriculture officials reported that the agency had a hard time tracking the savings from certain investments because the process for formulating the overall agency budget was different than the process for determining savings from cloud implementation.", "State officials reported that they were in the process of developing the capability to collect and track savings data from using cloud services but did not have any reliable data to provide during our review. In addition, Energy officials reported that their agency intended to establish review processes in the coming year to ensure that costs, cost savings, and cost avoidances were tracked for all cloud investments. As part of this process, the agency intended to work closely with its components to ensure that there was a consistent application of definitions for cloud spending and savings. However, the officials did not identify a specific time frame for when the agency expected the new process to be completed.", "Lastly, HHS officials reported that the agency did not expect to track cost savings beyond the FITARA requirements. FITARA requires the reporting of savings associated with two OMB initiatives\u2014data center consolidation and PortfolioStat. However, per M-13-09, OMB requires agencies to report savings associated with all of its initiatives. As such, HHS\u2019s tracking of savings is not consistent with OMB\u2019s guidance.", "Deploying or migrating systems to the cloud resulted in no cost savings. Treasury officials reported that their agency had not realized any cost savings from the migration of certain investments because the acquisition of cloud services either had allowed the agency to purchase additional capabilities that the previous system did not have, or the agency had continued to operate the previous system at the same time as the new cloud system for a period of time. In addition, Commerce officials reported that their agency had not realized any cost savings for some investments because acquiring cloud services required that new business and performance requirements be put in place, which resulted in no overall savings for these investments. Further, DHS and SSA officials reported that a number of their investments were new applications that were developed and deployed in the cloud. As such, there were no costs from a prior system that could be compared with the costs to maintain the new system using cloud services; thus, there were no associated cost savings or avoidances.", "OMB does not require agencies to identify savings associated with cloud services as part of reported savings. Officials from Agriculture, Justice and Transportation noted that, while OMB requires agencies to report savings, current reporting instructions do not specifically require the identification and reporting of cloud savings as a separate category of cost savings and avoidance. In this regard, OMB\u2019s guidance requires agencies to identify which OMB initiative resulted in the reported savings, but the available options for agencies to choose from do not include cloud services. Accordingly, officials from these agencies stated that they either reached out to their components to try and collect this information or had to review their investments to determine whether there were any cloud savings, to be able to provide this information to us.", "Based on our review of the factors that impacted the selected agencies\u2019 efforts to provide savings data, we identified issues with the completeness of the savings data. Specifically, challenges identified by the selected agencies in systematically tracking savings data, and the lack of a specific OMB requirement to report savings associated with cloud services, increase the likelihood that all savings associated with cloud services may have been incompletely captured by the agencies that provided these data. As a result, agencies\u2019 reported cloud savings data on the IT Dashboard and the data provided to us is likely underreported.", "Staff in the Office of E-Government and Information Technology stated that, while agencies are required to report total savings related to OMB initiatives, the format is left to agency discretion. In addition, OMB staff confirmed that agencies do not have to specifically identify savings related to cloud computing unless they choose to do so. OMB staff further said that they do not require a specific format for reporting savings in order to minimize the burden on agencies in reporting this information.", "While OMB\u2019s effort to minimize the reporting burden on agencies is appropriate, the lack of an explicit requirement to identify reported savings associated with cloud services has contributed to agencies not consistently tracking these savings. In addition, while OMB has taken steps to ensure more accuracy and granularity in agency reporting of cloud investment spending data in fiscal year 2019, there has not been a corresponding effort to ensure better reporting of cloud savings data. As a result, OMB and Congress may not have sufficient data to see the results of key initiatives, like Cloud Smart, and understand whether agencies are achieving savings using cloud services.", "Since 2013, OMB has required agencies to report on the savings resulting from implementation of its key IT reform initiatives. Although OMB does not provide the means for agencies to explicitly identify cloud- related savings, it is nevertheless important for agencies to take steps to fully track savings and cost avoidances from cloud computing acquisitions in order to ensure effective oversight and management of these initiatives. However, until OMB establishes a specific cloud savings reporting requirement, and until these agencies establish a consistent and repeatable mechanism to track these savings and cost avoidances, the agencies may lack sufficient information on the results of cloud acquisitions to date and the data necessary to make decisions regarding future cloud acquisitions."], "subsections": []}, {"section_title": "Agencies Reported Reinvesting Cloud Implementation Savings into IT Modernization or Other Improvement Efforts", "paragraphs": ["In 2017, Congress enacted what is known as the Modernizing Government Technology Act, which authorized covered agencies to establish an IT system modernization and working capital fund. This fund was to be used to, among other things, transition legacy IT systems to commercial cloud computing and other innovative commercial platforms and technologies using agency reprogrammed funds or amounts made available to the IT working capital fund through discretionary appropriations.", "Regardless of the extent of agencies\u2019 processes for tracking savings obtained from using cloud services, officials in the Office of the CIO at six agencies in our review (Education, GSA, Labor, SBA, SSA, and Treasury) reported that they have reinvested these savings into other IT modernization efforts or other improvements to IT services. For example:", "Education officials reported that $498,000 in fiscal year 2018 cloud savings was used to modernize the agency\u2019s network infrastructure in order to provide increased multipath bandwidth and software that automatically routes traffic if network issues occur.", "GSA officials reported that the agency used the savings from replacing the agency\u2019s legacy on-premises email program with a cloud-based email system to implement a modern enterprise collaboration platform, email, and document storage system. According to the officials, the move to the cloud helped improve the agency\u2019s flexibility (the new system is accessible from any device, at any time, and from any location), productivity, and cost-effectiveness. As part of this effort, the officials reported that the savings were managed using the agency\u2019s working capital fund.", "Labor officials reported that their agency is using savings and cost avoidances to partially fund an initiative to consolidate cloud services within the agency in order to provide future secure cloud services and establish an enterprise contract vehicle to obtain cloud services. The officials noted that this investment is intended to allow the agency\u2019s components to leverage a cloud authority to operate, obtain competitive pricing for, and establish communications to cloud service providers. In addition, Labor officials reported that the agency has established a working capital fund that is to be used to manage the savings from cloud and shared services.", "SBA\u2019s CIO reported that the agency reinvested $7.8 million in savings from efforts to consolidate data centers to the cloud toward the implementation of other enterprise-wide modernization efforts. In addition, the agency had used the savings for the deployment and migration of additional applications to cloud services. Specifically, the CIO reported that the savings were used to design and architect cloud services, roll out the agency\u2019s update of key operating system and office applications, decommission obsolete data center assets, reduce overlapping technologies, and enhance security and compliance capabilities with new enterprise tools and network monitoring. In addition, the CIO stated that, by using the savings from the data center consolidation, SBA has been able to undertake all of the agency\u2019s cloud modernization efforts with no additional budgeted funding.", "We have previously reported that significant work remains to ensure that agencies improve their management of IT acquisitions and operations, including modernizing or replacing obsolete IT investments. It is encouraging that several agencies have reinvested savings from cloud initiatives into other IT modernization efforts and, in some cases, have taken advantage of working capital funds authorized by Congress to do so. Having complete information on the savings or avoidances that result from cloud initiatives and using those savings to further IT modernization efforts is critical to ensuring the transformation of IT services across the federal government in the future."], "subsections": []}]}, {"section_title": "Selected Agencies Have Realized Benefits from Cloud Services", "paragraphs": ["Officials from 15 of the 16 agencies in our review reported that they had realized several significant benefits from the adoption of cloud services, ranging from improvements in the delivery of IT services to increasing the efficiency of operations and systems. In addition, the 15 agencies noted that certain key practices enabled them to realize these benefits through the successful implementation of cloud services. These practices included establishing new governance planning activities and policies, reorganizing the management of agency IT resources, and having executive leadership involved to help drive acquisition efforts."], "subsections": [{"section_title": "Cloud Services Aid with IT Efficiency, Cost Savings, and System Modernization", "paragraphs": ["Officials in charge of cloud services at 15 of the 16 agencies in our review reported that they had identified five significant or notable benefits as a result of acquiring cloud services. Specifically, the 13 agencies reported that they had improved customer experiences through better design and performance of business systems and customer websites. In addition, all 15 agencies reported that they were able to procure more flexible and scalable IT resources, and reduce the cost of provisioning infrastructure and managing services. Table 6 lists the five significant or notable benefits reported by the 15 agencies and the number of agencies that reported each benefit. The discussion that follows the table provides examples of each of the five agency-reported benefits from the acquisition of cloud services.", "Officials in the Office of the CIO at the 15 agencies reported that acquiring cloud services had allowed them to procure IT resources that were more flexible and scalable than the prior legacy infrastructure. For example, officials in Labor\u2019s Office of the CIO reported that they had acquired cloud services to address seasonal demands for system processing. By eliminating the need to purchase additional servers and other equipment that would go unused during the rest of the year, Labor officials reported that cloud services allow the agency to scale resources up during these periods of increased processing and then scale the resources back down when the excess capacity is no longer needed.", "In addition, officials in DHS\u2019s Office of the CIO reported that, in 2012, they had acquired software as a service for the agency\u2019s virtual desktop solution. This new service provided six agency components access to virtual secure desktop operating systems and applications. By eliminating the need for users to be physically present in a specified location in order to perform work activities, DHS officials reported that cloud services had improved the ability to quickly respond to the agency\u2019s mission needs and provided teleworking capabilities. In addition, the officials reported that the solution streamlined the process of provisioning network access between agency components and other external agencies."], "subsections": [{"section_title": "Acquiring Cloud Services Helped Agencies Reduce the Cost of IT Services", "paragraphs": ["Officials in the Office of the CIO at the 15 agencies reported that acquiring cloud services had allowed them to procure more cost-effective options for provisioning IT infrastructure and managing IT services. For example, officials in Education\u2019s Office of the CIO reported that, by migrating the Institute of Education Sciences\u2019 data center to the cloud in 2014, the agency had saved approximately $3.3 million in cost avoidances annually for the last 3 years from not having to pay prior data center hosting charges. In addition, Education officials reported that the agency had saved $11.6 million between fiscal years 2013 and 2018 by eliminating contractor website hosting.", "In addition, officials in Energy\u2019s Office of the CIO reported that the agency saved $900,000 in fiscal years 2013 to 2014 by transitioning to a cloud- based platform for managing IT services, such as asset management. Acquiring the software and platform as a service reduced or eliminated the costs of administering the agency\u2019s on-premise legacy infrastructure and associated software licensing fees."], "subsections": []}, {"section_title": "Using Cloud Services Increased the Efficiency of Agency Operations and Systems", "paragraphs": ["Officials in the 15 agencies\u2019 Offices of the CIO reported that acquiring cloud services had allowed them to streamline or improve systems and automate business processes and other functions. For example, officials in State\u2019s Office of the CIO reported that the agency had previously relied on paper-based and manual processes for completing employee requests for, among other things, leave, training, personal identification cards, and other general services. By acquiring software and platform as a service, State implemented an electronic application that replaced over 800 paper forms used to make these requests, without the time and cost of developing an application themselves. As a result, the officials reported that they estimate the application has saved more than 50,000 hours of staff time since its deployment by streamlining the request process, automatically populating common data fields, and improving support options.", "In addition, officials in Treasury\u2019s Community Development Financial Institutions Fund reported that their office acquired software as a service, which will enable them to reduce the number of legacy systems related to awards management from 17 to 2. These legacy systems had required staff to enter the same data in different systems and manually complete certification work tasks. By automating many of the manual review and compliance processes, the officials reported that the office saved approximately 650 staff hours in 2017."], "subsections": []}, {"section_title": "Cloud Services Helped Agencies Enhance Their Customer Service", "paragraphs": ["Officials in the Office of the CIO at 13 agencies reported that acquiring cloud services had allowed their agencies to improve system design and usability, which helped to enhance their customer service. For example, VA officials reported that they had deployed a website in the cloud, Access to Care, which included detailed data on the wait times and quality-care metrics at local hospitals. Doing so enabled veterans to be able to make better decisions about their health care options. By acquiring cloud services, VA officials reported that they had developed and deployed the new Access to Care website in approximately 30 days, incorporating information from 130 components of VA\u2019s electronic health records system that were previously available on disparate legacy websites into one website. Further, the officials reported that the new website increased the transparency of health care information for the veteran community, empowered veterans, and promoted competition for health care services.", "In addition, a Defense official from the Army\u2019s Total Ammunition Management Information System reported that the office had acquired infrastructure as a service in order to improve the processing and reporting of ammunition requests that the Army receives from users worldwide. Defense staff reported that, previously, they had received complaints from customers regarding system pauses and delays when entering requests for ammunition and generating reports due to legacy infrastructure. Defense officials stated that using infrastructure as a service improved system processing and reporting times\u2014from minutes to seconds\u2014by providing scalable technology resources that can meet worldwide performance demands. As a result, customers can more quickly enter their orders into the system."], "subsections": []}, {"section_title": "Acquiring Cloud Services Strengthened Mission Assurance", "paragraphs": ["Officials in the Office of the CIO at nine agencies reported that acquiring cloud services had allowed them to achieve greater levels of mission assurance by streamlining security resources and improving backup capabilities that were not available previously. For example, officials at Defense\u2019s North American Aerospace Defense Command and U.S. Northern Command reported that they had acquired cloud services for the Situational Awareness Geospatial Enterprise system in order to improve mission assurance and address Defense cybersecurity requirements.", "According to the officials, cloud services improved mission assurance by allowing them to more quickly correct problems such as malware and the loss of network connectivity in order to ensure the near continuous availability of data from different access points. In addition, the system required extensive storage and backup capabilities due to the need to ensure the system\u2019s data were available continuously from different access points. The officials reported that the acquisition of cloud services has reduced the costs required to maintain continuous backup and storage capabilities. They added that the system also complies with Defense requirements that investments use an approved cloud service provider. In addition, the officials said acquiring cloud services has provided the capability to scale resources, as needed, to meet demands during special events, such as the State of the Union address and the World Series, which require additional security.", "Further, Federal Transit Administration officials reported that migrating two systems to the cloud had allowed the agency to enhance system security by managing access to the systems through a single portal rather than managing access to each system individually. As a result, the officials reported that they were able to shift some responsibilities of systems security management to the cloud vendor, which reduced the number of security risks and consolidated the number of security tools used. Further, according to the officials, an additional benefit is that users are required to only remember a single password rather than different passwords required for the multiple systems.", "Separately, from information provided by the 15 selected agencies, we identified nine cloud computing investments that illustrate the variety of examples of benefits that had been realized by these agencies from the acquisition of cloud services. Table 7 identifies these investments and additional details regarding the nature and sources of the benefits achieved from them are profiled in appendix VI."], "subsections": []}]}, {"section_title": "Selected Agencies Identified Key Practices That Enabled Cloud Services", "paragraphs": ["In addition to the examples of significant benefits reported from acquiring cloud services, officials at the 15 agencies reported that six key practices had enabled them to realize these benefits through the successful implementation of cloud services. For example, 12 agencies reported that they implemented new governance planning activities, policies, or processes in order to help ensure that cloud acquisition efforts were managed enterprisewide. In addition, 12 agencies reported that they had reorganized the management of agency IT resources to help increase operational efficiency. Further, six agencies reported that having executive leadership involved in driving the acquisition or sponsoring efforts to use cloud services was critical for the successful adoption of cloud services across the agency. Table 8 lists these key practices and the number of agencies that reported each key practice, ranked by the number of agencies reporting the practice.", "In addition, many of these six key practice areas identified by agencies are consistent with requirements outlined in FITARA and recommendations from our prior work made to agencies to address longstanding issues with the management of IT acquisitions and operations. Specifically, we previously have noted the importance of strengthening the authority of CIOs, improving the portfolio review process and the transparency of major investment data, ensuring the use of incremental development methodologies, and updating human capital plans."], "subsections": [{"section_title": "Selected Agencies Implemented New Policies and Processes to Guide Governance of Cloud Acquisition", "paragraphs": ["Officials in the Office of the CIO at 12 agencies reported that they had implemented new governance activities or drafted new policies and processes to help ensure the successful implementation of cloud services. For example, SSA officials reported that they had drafted several new policies to simplify the management of cloud resources and provide better oversight for new cloud service acquisitions. Specifically, the officials reported that the new policies established a request-and- approval governance process to address which staff can initiate cloud solutions and what types of projects can receive funding.", "In addition, Energy officials reported that they had formalized policies and governance processes on how to perform cloud migrations, including establishing a documented, repeatable process to help offices migrate to cloud services more efficiently. Further, Treasury officials reported that they had focused on strengthening cloud-governance activities, including planning and identifying requirements, because changes to enterprise cloud systems may impact multiple programs. As a result, these officials reported that they had implemented a cross-cutting steering committee to help better plan and assess the impact of changes to enterprise cloud systems that support multiple programs."], "subsections": []}, {"section_title": "Selected Agencies Modified Procurement and Contract Oversight Practices to Strengthen Cloud Acquisition Processes", "paragraphs": ["Officials in the Office of the CIO at 12 agencies reported that they had modified their procurement and contract oversight practices in order to accommodate the differences in how cloud services are acquired from traditional acquisitions. For example, Commerce officials emphasized the importance of developing standardized requirements to ensure that when bureaus award contracts, they use standardized language. The officials stated that these requirements help to ensure that contracts with cloud service providers are comprehensive, legally adequate, and include specific details regarding all of the activities the agency will need the contractor to perform.", "In addition, officials of the U.S. Trustee Program at Justice reported that they had used existing project and financial management resources to monitor the use of cloud services and associated spending to help control costs and ensure the accuracy of cloud vendor charges. For example, the officials reported that the program used the cloud vendor\u2019s administrative and business intelligence tools to create reports to verify cloud charges. Also, Labor officials reported that they had worked with the agency\u2019s acquisition team to ensure the agency is only billed for its actual cloud usage. This required the agency to transition from a fixed-price contract model to a time and materials-based contract model, which included a clause that limited the maximum costs the agency would have to pay for cloud services."], "subsections": []}, {"section_title": "Selected Agencies Addressed Changes in Workforce Needs for Managing Cloud Services", "paragraphs": ["Officials in the Office of the CIO at 12 agencies reported that they had taken several steps to address changes in workforce needs for managing cloud services. Specifically, these officials reported that they had conducted inventories of staff skills, transitioned staff into new roles, and ensured that staff acquired training. For example, VA officials reported that they had conducted a staff skills inventory to identify future IT workforce training needs and transition staff from managing legacy technologies to managing cloud services. In addition, Energy officials reported that they were preparing staff to transition from managing data center resources to managing the agency\u2019s service level agreements with cloud providers. The officials reported that moving to cloud services allowed staff to spend more time improving existing applications and identifying other efforts to innovate IT services rather than managing on- premise infrastructure. Further, a Defense official lead for cloud computing in the Navy\u2019s Office of the CIO reported that the Navy had developed an enterprise cloud working group consisting of key members from major offices and security groups to help determine the appropriate training and certification needs for staff and to conduct training seminars. In addition, SBA officials said that the agency took advantage of a contract option offered by the cloud vendor to acquire free cloud classes and training, thereby avoiding the need to spend approximately $380,000 on training."], "subsections": []}, {"section_title": "Selected Agencies Reorganized the Management of IT Resources to Increase Operational Efficiency", "paragraphs": ["Office of the CIO officials at 12 agencies reported that acquiring cloud services had led them to change how they organized and managed the agency\u2019s IT resources. For example, GSA officials reported that they had transitioned from letting individual components within the agency acquire their own application to using an enterprise approach in which software as a service applications are acquired and made available to the entire agency. As a result, the officials reported that this approach allows the agency to further optimize their software purchases and improve their monitoring and tracking of software application usage enterprise-wide.", "In addition, officials at the Agricultural Research Service reported that acquiring software as a service had promoted opportunities to share customizations of the acquired software between Agriculture\u2019s components rather than having each component develop a separate customization. Specifically, these officials reported that they were able to take a software feature developed by another Agriculture component and implement it for their customer service portal, rather than having to develop it themselves.", "Lastly, Education officials reported that they were in the process of beginning an assessment to consolidate the agency\u2019s existing cloud services across federal and commercial environments. The officials said that they hoped to reduce the number of commercial cloud providers used from twenty-five to eight, and to consolidate two of the agency\u2019s cloud environments into a single environment within the next 3 years."], "subsections": []}, {"section_title": "Selected Agencies Streamlined Cloud Services to Address Security Needs in a More Efficient Manner", "paragraphs": ["Office of the CIO officials at eight agencies reported that they were able to streamline the management of IT security by leveraging cloud services. For example, SBA officials reported that they used security tools from their cloud vendor in order to meet DHS\u2019s requirements for continuous diagnostics and mitigation and improve the agency\u2019s security posture. The officials reported that they had performed a requirements analysis and found that, compared to acquiring costly hardware solutions to manage this capability internally, their existing cloud vendor provided security capabilities that actually exceeded DHS\u2019s recommended continuous diagnostics and mitigation requirements. As a result, SBA adopted the cloud vendor\u2019s security tools and avoided $300,000 in initial hardware purchases, as well as subsequent hardware technology refreshes every 3 years.", "In addition, GSA officials reported that choosing a FedRAMP-approved cloud service provider had expedited the agency\u2019s adoption of cloud services. Specifically, the agency did not have to visit and review each vendor\u2019s facility as part of the vendor approval process, which shortened the time frame needed to approve a system for use. The officials also reported that using cloud services streamlined the deployment process for new systems because using a cloud platform that had previously been granted the authority to operate allowed the agency to avoid undertaking a separate authorization process, which saved time and resources."], "subsections": []}, {"section_title": "Selected Agencies Engaged Executive Leadership Support during Cloud Acquisition to Help Ensure Successful Implementation", "paragraphs": ["Officials in the Office of the CIO at six agencies reported that having executive leadership involved in driving acquisitions or sponsoring efforts to use cloud services was critical to the successful adoption of cloud services across the agency. For example, SBA officials reported that their agency CIO\u2019s commitment to acquiring cloud services and the deputy CIO\u2019s attendance at daily cloud meetings were critical for the successful adoption of cloud services at the agency. Similarly, Energy officials reported that the agency had established a team with representatives from offices of the CIO, chief financial officer, and chief acquisition officer, to coordinate IT expenditures, including cloud investments, across the agency.", "Further, Defense officials from the U.S. Transportation Command reported that establishing a cloud center of excellence team that reported directly to the Commander of U.S. Transportation Command had empowered the team to engage directly with users to help break down barriers that might impact the migration to cloud services. In addition, the officials said that the team helped streamline the processes\u2014specifically, the design, contracting, funding, transition planning, and implementation processes\u2014necessary for the successful migration of all of the command\u2019s systems to the cloud."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Since 2011, when OMB began requiring agencies to adopt a Cloud First strategy, agencies have made progress in implementing cloud services and, in doing so, have saved hundreds of millions of dollars and realized notable benefits. However, six agencies still lack guidance for assessing IT investments for cloud services and 12 agencies still have not performed assessments for a number of their IT investments. In addition, all of the agencies in our review do not have sufficient mechanisms or approaches to track and report the savings data associated with these cloud initiatives.", "Although agencies have reported spending $1 billion or more on cloud services in just the past 2 years, and identified hundreds of millions of dollars in related savings, these figures are not consistently reported. To its credit, beginning in fiscal year 2019, OMB will require more accuracy and granularity in how agencies report cloud investment spending data. However, there has not been a corresponding effort to improve the reporting of cloud savings data. An important aspect to the success of key OMB cloud initiatives, like Cloud Smart and the associated drive for greater agency adoption of cloud services, will be the ability for key stakeholders to access complete information on the savings that agencies are achieving under these efforts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 35 recommendations\u20141 recommendation to OMB and 34 recommendations to the 16 agencies in our review.", "The Director of the Office of Management and Budget should require agencies to explicitly report, at least on a quarterly basis, the savings and cost avoidance associated with cloud computing investments. (Recommendation 1)", "The Secretary of Agriculture should ensure that the CIO of Agriculture completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 2)", "The Secretary of Agriculture should ensure that the CIO of Agriculture establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 3)", "The Secretary of Commerce should ensure that the CIO of Commerce establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 4)", "The Secretary of Defense should ensure that the CIO of Defense completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 5)", "The Secretary of Defense should ensure that the CIO of Defense establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 6)", "The Secretary of Education should ensure that the CIO of Education establishes guidance on assessing new and existing IT investments for suitability for cloud computing services, in accordance with OMB guidance. (Recommendation 7)", "The Secretary of Education should ensure that the CIO of Education completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 8)", "The Secretary of Education should ensure that the CIO of Education establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 9)", "The Secretary of Energy should ensure that the CIO of Energy updates the agency\u2019s guidance on assessing IT investments for suitability for cloud computing services to include a requirement to assess new acquisitions for these services. (Recommendation 10)", "The Secretary of Energy should ensure that the CIO of Energy completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 11)", "The Secretary of Energy should ensure that the CIO of Energy establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 12)", "The Secretary of Health and Human Services should ensure that the CIO of HHS establishes guidance on assessing new and existing IT investments for suitability for cloud computing services, in accordance with OMB guidance. (Recommendation 13)", "The Secretary of Health and Human Services should ensure that the CIO of HHS completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 14)", "The Secretary of Health and Human Services should ensure that the CIO of HHS establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 15)", "The Secretary of Homeland Security should ensure that the CIO of DHS completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 16)", "The Secretary of Homeland Security should ensure that the CIO of DHS establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 17)", "The Attorney General of the United States should ensure that the CIO of Justice completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 18)", "The Attorney General of the United States should ensure that the CIO of Justice establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 19)", "The Secretary of Labor should ensure that the CIO of Labor updates the agency\u2019s guidance on assessing IT investments for suitability for cloud computing services to include a requirement to assess existing investments for these services. (Recommendation 20)", "The Secretary of Labor should ensure that the CIO of Labor completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 21)", "The Secretary of Labor should ensure that the CIO of Labor establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 22)", "The Secretary of State should ensure that the CIO of State establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 23)", "The Secretary of the Treasury should ensure that the CIO of Treasury completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 24)", "The Secretary of the Treasury should ensure that the CIO of Treasury establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 25)", "The Secretary of Transportation should ensure that the CIO of Transportation establishes guidance on assessing new and existing IT investments for suitability for cloud computing services. (Recommendation 26)", "The Secretary of Transportation should ensure that the CIO of Transportation completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 27)", "The Secretary of Transportation should ensure that the CIO of Transportation establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 28)", "The Secretary of Veterans Affairs should ensure that the CIO of VA completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 29)", "The Secretary of Veterans Affairs should ensure that the CIO of VA establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 30)", "The Administrator of General Services should ensure that the CIO of GSA establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 31)", "The Administrator of the Small Business Administration should ensure that the CIO of SBA establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 32)", "The Commissioner of the Social Security Administration should ensure that the CIO of SSA updates the agency\u2019s guidance on assessing IT investments for suitability for cloud computing services to include a requirement to assess existing investments for these services. (Recommendation 33)", "The Commissioner of the Social Security Administration should ensure that the CIO of SSA completes an assessment of all IT investments for suitability for migration to a cloud computing service, in accordance with OMB guidance. (Recommendation 34)", "The Commissioner of the Social Security Administration should ensure that the CIO of SSA establishes a consistent and repeatable mechanism to track savings and cost avoidances from the migration and deployment of cloud services. (Recommendation 35)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OMB and the 16 agencies for their review and comment. In response, 14 agencies provided comments stating that they agreed with our recommendations; one agency stated that it agreed with one recommendation but disagreed with another; and two agencies did not state whether they agreed or disagreed with the recommendations. In addition, multiple agencies provided technical comments, which we incorporated into the report, as appropriate.", "The following 14 agencies agreed with our recommendations: In written comments from Commerce, Education, Energy, HHS, DHS, State, Transportation, VA, and GSA, these agencies stated that they agreed with the recommendations directed to them. In addition, each of the agencies indicated that it planned, or already had begun taking actions, to address the recommendations. The agencies\u2019 comments are reprinted in appendixes VII through XV, respectively.", "In emails received from Agriculture\u2019s Director of Strategic Planning, Policy, Egovernment and Audits in the Office of the CIO on February 11, 2019, and from Justice\u2019s Audit Liaison Specialist in the Internal Review and Evaluation Office on February 15, 2019, both of these departments stated that they agreed with our recommendations.", "In written comments from Labor, the department stated that it agreed with our recommendations. The department also described actions taken to address our recommendation that it update its guidance on assessing IT investments for suitability for cloud computing services to include a requirement to assess existing investments for these services. Specifically, Labor stated that it had taken steps to ensure that its agencies included an assessment of cloud computing suitability as they moved forward with their investments and that this process had been integrated into Labor\u2019s budget process. We followed up with the department and obtained a copy of Labor\u2019s guidance.", "However, in examining this guidance, we found it to be the same as what Labor had previously provided to us during the course of our audit. Further, as we mentioned earlier regarding our analysis of the department\u2019s guidance for assessing investments for suitability for cloud services, Labor had required existing investments that were already using cloud services to migrate to the department\u2019s new consolidated cloud environment; however, it did not require existing systems not using cloud services to be assessed for these services. Without receiving any additional information from the department that supported its actions to address our recommendation prior to this report\u2019s issuance, we believe our recommendation to Labor is still appropriate. The department\u2019s comments are reprinted in appendix XVI.", "In written comments from SBA, the agency agreed with our recommendation. Also, in additional comments sent by a GAO liaison in the Office of Congressional and Legislative Affairs via email on March 11, 2019, SBA provided updated information regarding the benefits that the agency had realized from using cloud services for its system that was profiled in appendix VI of the draft report. Specifically, SBA officials in charge of the system provided a revised list of realized benefits from the cloud services. However, the officials did not provide any supporting documentation regarding the revised benefits; therefore, we were not able to validate the revised list of benefits prior to the issuance of this report. As a result, we removed the profile from the report in order to be consistent with our methodology for reporting examples of systems that had realized benefits from the acquisition of cloud services, and notified SBA of this decision. SBA\u2019s comments are reprinted in appendix XVII.", "I) Application and Service Migration to DOL Cloud, version 1.5 (March 2018). report. However, during further discussion with SSA officials in charge of the system on January 17, 2019, the officials confirmed that the agency had not yet identified all of the potential benefits related to the use of cloud services as a result of a change in their vendor solution. Thus, we removed the profile from our report in order to be consistent with our methodology for reporting examples of systems that had realized benefits from the acquisition of cloud services, and notified SSA of this decision. SSA\u2019s comments are reprinted in appendix XVIII.", "One agency agreed with one recommendation and disagreed with a second recommendation:", "Defense provided written comments in which it agreed with our recommendation to complete an assessment of all IT investments for suitability for migration to a cloud computing service. However, the agency did not agree with our recommendation that it establish a mechanism to track savings and cost avoidances from the migration and deployment of cloud services. Specifically, Defense stated that it did not agree with our recommendation because there was no standard, consistent way to capture such savings or cost avoidance. The department stated that it would work with OMB on whether or how to collect such information, and, if practical, report such information in accordance with OMB guidance.", "However, as we noted in our report, for the past 6 years, OMB has required agencies to report on savings and cost avoidances from implementing IT reform initiatives, including savings realized from the migration to cloud services. Tracking savings and cost avoidances for cloud initiatives is important in order to ensure that Defense is effectively managing and overseeing its cloud initiatives. In addition, it is essential that OMB and Congress have sufficient data to see the results of Defense\u2019s cloud initiatives and understand whether the department is achieving savings using cloud services. Consequently, we believe our recommendation to track savings and cost avoidances from the migration and deployment of cloud services is still warranted. The department\u2019s comments are reprinted in appendix XIX.", "Finally, we received comments via email from Treasury\u2019s Supervisory IT Specialist in the Office of the CIO on February 22, 2019, and OMB\u2019s Liaison to GAO on February 25, 2019. In these comments these two agencies did not state whether they agreed or disagreed with the recommendations that we directed to them.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Director of the Office of Management and Budget, the Secretaries and agency heads of the departments and agencies in this report, and other interested parties. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix XX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives for this engagement were to (1) evaluate selected agencies\u2019 progress in implementing cloud services, (2) review the extent to which selected agencies have increased spending on cloud services and achieved cost savings or avoidances, and (3) describe examples of cloud investments with significant or notable benefits that have been identified by selected agencies.", "For this review, we selected a sample of agencies based on the size of their total information technology (IT) budget for fiscal year 2017. Specifically, we categorized each of the 24 Chief Financial Officers Act agencies by the size of its IT budget: large (more than $3 billion), medium ($1 billion to $3 billion), and small (less than $1 billion), as reported on the Office of Management and Budget\u2019s (OMB) IT Dashboard These agencies were the Department of Agriculture (Agriculture), Department of Commerce (Commerce), Department of Defense (Defense), Department of Education (Education), Department of Energy (Energy), Department of Health and Human Services (HHS), Department of Homeland Security (DHS), Department of Justice (Justice), Department of Labor (Labor), Department of State (State), Department of Transportation (Transportation), Department of the Treasury (Treasury), Department of Veterans Affairs (VA), General Services Administration (GSA), Small Business Administration (SBA), and Social Security Administration (SSA).", "OMB, IT Dashboard, 2017 (https://itdashboard.gov).", "To address the first objective, we obtained and analyzed IT Dashboard data related to the 16 selected agencies\u2019 use of cloud services for fiscal years 2016 through 2018, and their projected use in 2019. We chose to begin with fiscal year 2016 because we had previously reported on federal agencies\u2019 use of cloud services through fiscal year 2014 and fiscal year 2015 data was not available. Specifically, the Dashboard includes agency responses to a cloud-related question from OMB\u2019s capital planning guidance. The question asks whether a cloud alternative was evaluated for the investment, or components or systems within the investment. We reviewed agency responses that were submitted for fiscal years 2016 through 2019 as part of the annual budget submission process in order to determine whether a specific investment was using cloud services.", "During this 4-year period, OMB made changes to the options that agencies were required to choose from which indicated whether an investment was using cloud services. For OMB\u2019s capital planning guidance for fiscal years 2016 and 2017, we selected responses that indicated that the agency \u201chad evaluated a cloud alternative and chose a cloud alternative\u201d with a particular cloud deployment model. In addition, for OMB\u2019s capital planning guidance for fiscal years 2018 and 2019, we selected responses that indicated the \u201cinvestment or a portion of the investment is leveraging cloud computing\u201d. We then determined the total number of investments using cloud services and calculated the percentage of investments using these services based on the total number of reported investments by each agency for each fiscal year.", "To ensure the accuracy and completeness of the selected agencies\u2019 data on the use of cloud services, we downloaded this data from the IT Dashboard on October 3, 2017, March 7, 2018, and October 9, 2018. We took this step because agencies may update their data on a quarterly basis throughout the fiscal year. In addition, we presented the results of our analysis to officials in charge of cloud services within the Office of the Chief Information Officer (CIO) at each selected agency. We asked these officials to verify the completeness and accuracy of this data and provide any updates as appropriate. Officials at all 16 agencies confirmed the total number of investments using cloud services for fiscal years 2016 through 2018 and their projected use for fiscal year 2019. Based on these steps, we determined that these data were sufficiently reliable to report on agencies\u2019 progress in using cloud services.", "In addition, we compared each selected agency\u2019s cloud guidance to OMB\u2019s Cloud First guidance. We interviewed Office of the CIO officials in charge of cloud services at each agency regarding their guidance. In addition, we interviewed OMB staff from the Office of E-Government and Information Technology regarding its guidance. Because of the wide variety of responses and documents we received from the agencies related to their guidance for assessing investments for cloud computing services, we conducted a content analysis of the information in order to determine compliance with OMB\u2019s guidance. In doing so, team members individually reviewed agencies\u2019 responses and documents and assigned them to various categories and subcategories. Team members then compared their categorization schemes, discussed the differences, and reached agreement on the final characterization of compliance with OMB guidance. In cases where agencies provided multiple policies or documents, we followed up to clarify which portions were considered by the agency to support the requirement to assess all investments for cloud services.", "In analyzing whether the agencies\u2019 guidance on assessing investments for cloud services met OMB criteria, we assessed whether the guidance clearly identified a requirement for evaluating both new and existing investments for cloud services. Agencies found to not have guidance which clearly defined the assessment process were evaluated as such for one of two reasons: either the agency\u2019s formal guidance did not completely address our assessment criteria or the agency\u2019s guidance had not yet been established or finalized.", "In analyzing whether agencies had met OMB\u2019s requirement to evaluate each investment for cloud services, we assessed the number of investments that had completed assessments based on the fiscal year 2019 budget submission. Agencies found not to have met the requirement were evaluated as such if the agency had 10 or more investments that had not yet been evaluated for cloud services. We set this threshold based on a reasonable interpretation of the intent of OMB\u2019s guidance requiring assessments of all investments.", "For our second objective, we obtained and analyzed IT Dashboard data related to the 16 agencies\u2019 spending on cloud services for fiscal years 2015 through 2018. We chose to begin with fiscal year 2015 because we had previously reported on federal agencies\u2019 spending on cloud services through fiscal year 2014. Agencies report actual spending costs by fiscal year on the IT Dashboard as part of the next fiscal year reporting. To determine actual cloud spending costs for each fiscal year, we used agency spending data reported each subsequent fiscal year (from fiscal years 2017 through 2018) as of October 5, 2018.", "In addition, we administered a data collection instrument to each of the 16 agencies to obtain and analyze spending and savings data by the 16 selected agencies for fiscal years 2014 through 2018 and plans for future planned costs. We requested that these agencies provide spending and savings data broken down by investment, as OMB only requires federal agencies to report total spending by cloud deployment model on the IT Dashboard, and agencies were not required to identify whether any reported savings were cloud-related. This instrument was administered from November 2017 to January 2018.", "In the data collection instrument, we asked the selected agencies to complete information on each of their cloud investments, including the title of the application or system leveraging cloud, the cloud deployment and service models, and the associated cloud spending and net cloud savings or avoidances from fiscal year 2014 through fiscal year 2018 and beyond, as agencies generally submitted data on planned spending for one or more fiscal years beyond 2018. Due to the varied scale of cloud implementation efforts ongoing at these agencies, we asked agencies to only provide all applications, systems, or investments leveraging cloud with total life-cycle costs of $1 million or more. We also asked agencies to provide spending and savings or cost avoidances figures in whole numbers in order to avoid errors in rounding numbers when we calculated the reported figures in millions.", "We took the following steps to help ensure the reliability of the data we collected. First, to minimize errors that might occur from respondents interpreting our instrument differently from our intended purpose, we reviewed the data collection instrument with agency officials who would be completing the instrument during meetings in October and November 2017. Second, we reviewed the completed spreadsheets to identify missing data or other errors, and consulted with our data quality expert about these issues as appropriate.", "All agencies completed the data collection instrument by May 2018. For those agencies that provided rounded (rather than exact) spending or savings figures, we recalculated the data into whole numbers and confirmed our calculations with the agencies. In addition, one agency broke down its savings data into savings and cost avoidances; we combined these reported figures for each investment and, after consultation with a GAO data subject matter expert, confirmed with all the other agencies in our review that their information on savings also included cost avoidances.", "We also reviewed the associated notes regarding agencies\u2019 qualifications of the provided data and followed up with agency officials to clarify the responses as appropriate. These notes included information on whether certain spending or savings data were unavailable, whether certain costs were excluded from the spending information provided to us or whether there were other qualifications of the provided data.", "Lastly, we presented the results of our analysis of IT Dashboard data and the data obtained from the data collection instrument to each of the selected agencies between June and August 2018. We asked the agencies to verify the completeness and accuracy of these data and provide any updates as appropriate. All 16 agencies provided updated information regarding the list of investments using cloud services with life- cycle costs of $1 million or more and six agencies (Agriculture, Commerce, Justice, Transportation, Treasury, and VA) provided updated information related to spending and savings for these investments, which we have incorporated as appropriate. Based on the measures we took to ensure the reliability of the data provided by the agencies and reported on the IT Dashboard, we determined that the data were sufficiently reliable for the purpose of this report.", "For the third objective, we obtained and reviewed available documentation discussing examples of cloud computing investments reported by the selected agencies as having produced notable benefits and key practices that ensure the effort was successful. We also interviewed officials from the Office of the CIO and other components in charge of cloud services regarding these benefits.", "In order to develop our list of questions for these meetings, we first conducted research to identify the range of benefits that could be achieved from acquiring cloud services. We reviewed OMB, GSA, and CIO Council cloud guidance; our prior work; and key leading cloud practices from GSA\u2019s Federal Cloud Computing Center of Excellence. Based on this work, we developed a list of seven key areas of benefits: (1) improving efficiency and operations; (2) promoting agility and responsiveness; (3) achieving business growth; (4) reducing cost; (5) meeting regulatory requirements; (6) enhancing customer experience; and (7) ensuring mission outcomes. During meetings with agency officials in the Office of the CIO and other components in charge of cloud services, we asked officials whether they had identified any significant or notable benefits in these seven areas. As these seven areas might not represent all potential benefits, we also asked officials to describe any additional benefits not included in these areas.", "In addition, as part of these meetings, we asked officials from the Office of the CIO at each selected agency to identify up to three examples of investments that benefited from the acquisition of cloud services. We asked agencies to exclude examples of email deployments to the cloud to ensure a wider variety of examples of investments with benefits. Fifteen of the 16 agencies in our review identified at least one or more examples of cloud investments that had produced significant or notable benefits, while one agency\u2014HHS\u2014reported that it did not have any such examples because it did not have any completed migration efforts. Because of the open-ended nature of the 15 agencies\u2019 responses to our questions, we conducted a content analysis of the information we received in order to identify and summarize the benefits and key practices that were identified by the 15 agencies. We reviewed the benefits and key practices reported by the agencies and grouped them using the seven key benefit areas that our prior research had identified. We discussed the groupings of the reported benefits, and reached agreement on these categories. We grouped the benefit categories together based on commonalities such as purpose, impact, and capabilities, and summarized the benefits reported. Based on discussion, we confirmed a list of benefits and key practices and totaled the number of agencies that reported each of these.", "In addition, to select systems or investments to profile, we reviewed the 34 examples provided by the 15 agencies and narrowed the list to 11 examples. We selected these examples using the following factors: the type of system, whether the system supported the mission or business operations of the agency or component, and the availability of information related to the benefits achieved from acquiring cloud services. In doing so, we sought to have a mix of systems that provided mission critical services to the agency or the public, illustrated a range of cloud computing benefits, and included detailed information on the benefits achieved from using cloud services.", "In technical comments received on a draft of this report, two agencies provided new information regarding the use of cloud services for their systems that were profiled in appendix VI of the draft report. Based on the additional information provided by the two agencies, we determined there was no longer sufficient detail regarding what benefits were realized for these systems. Therefore, we removed the two agencies\u2019 profiled examples from the report in order to be consistent with our methodology for reporting examples of systems that had realized benefits from the acquisition of cloud services. We then notified both agencies of this decision.", "We conducted this performance audit from September 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Status of Cloud-related Recommendations in the 2017 American Technology Council Report", "paragraphs": ["In May 2017, the Administration established the American Technology Council to help transform and modernize federal IT and how the government uses and delivers digital services. Subsequently, in December 2017, the American Technology Council issued a Report to the President on Federal IT Modernization and made eight cloud computing- related recommendations that are relevant to the focus of our review. Table 9 outlines the cloud-related recommendations contained in the report and the current status of these recommendations as of July 2018, according to Office of Management and Budget (OMB) staff from the Office of E-Government and Information Technology."], "subsections": []}, {"section_title": "Appendix III: Selected Agency Cloud Investments for Fiscal Years 2016 through 2019", "paragraphs": ["The Office of Management and Budget (OMB) requires federal agencies to evaluate each investment, or components or systems within the investment, for cloud services, regardless of the overall life cycle stage of the investment. Agencies are required to report the status of each investment\u2019s evaluation as part of the annual budget submission, as noted in OMB\u2019s annual capital planning guidance. Table 10 lists the total number of investments using cloud services and the total number of all IT investments for fiscal years 2016 through 2019 for 16 selected agencies, as reported on the IT Dashboard as of October 9, 2018."], "subsections": []}, {"section_title": "Appendix IV: Selected Agency Cloud Spending for Fiscal Years 2015 through 2018", "paragraphs": ["The Office of Management and Budget (OMB) requires federal agencies to report total cloud spending based on the cloud deployment model as part of the annual budget submission, as noted in OMB\u2019s annual capital planning guidance for fiscal years 2015 through 2018. Table 11 lists the total agency-reported cloud spending and total IT spending for fiscal years 2015 through 2018 for the 16 agencies in our review, as reported on the IT Dashboard as of October 5, 2018."], "subsections": []}, {"section_title": "Appendix V: Description of Cloud Computing Investments Provided by Selected Agencies for Fiscal Year 2018", "paragraphs": ["Sixteen selected agencies provided us with information on their investments related to spending on cloud services of at least $1 million or more in life-cycle costs. Table 12 identifies the investments for fiscal year 2018 that these agencies submitted to GAO as of October 2018. This list includes the name of the investment, the cloud deployment model, and the cloud service model."], "subsections": []}, {"section_title": "Appendix VI: Profiles of Selected Cloud Computing Acquisitions", "paragraphs": ["The following nine cloud investment profiles illustrate the variety of benefits that the selected agencies in our review had realized from the acquisition of cloud services. These profiles describe the cloud investment, costs, key benefits, and the savings or avoidances associated with implementation of cloud services. In addition, the profiles detail how, among other things, the acquisition of cloud services enabled the agency to overcome previous challenges with legacy systems and acquire more cost-effective, efficient, and responsive IT resources in order to meet mission needs."], "subsections": [{"section_title": "Treasury\u2019s Cloud Acquisition Supports Enterprise Resource Planning", "paragraphs": ["Each year, the Department of the Treasury\u2019s (Treasury) Bureau of Engraving and Printing prints billions of dollars\u2014referred to as Federal Reserve notes\u2014for delivery to the Federal Reserve System. According to the Chief of the Bureau of Engraving and Printing\u2019s Office of Enterprise Solutions, in October 2012, the bureau\u2019s CIO deployed an enterprise resource planning system to the cloud to improve efficiency and operations, and enhance the availability, security, and performance of its systems that manage the daily business activities of the bureau.", "Previously, the bureau had used 16 separate IT legacy systems that were facing technological obsolescence and required heavy customization using old programming languages. Officials in the bureau reported that they spent time updating and maintaining the hardware and software for these systems to minimize downtime that led to the need for staff to work overtime and decreased customer satisfaction with the system. In addition, the legacy systems were not integrated and certain tasks were performed manually, including data entry, aggregation, and product quality checks. Further, the legacy systems lacked robust data validation features; thus, database administrators had to spend time making corrections to data submitted by users.", "By moving to the cloud, the bureau replaced the 16 systems with software as a service that required no customization. As a result, officials in the bureau reported that the bureau was able to significantly improve its operations and decision making. Further, officials stated that the bureau\u2019s use of software as a service enabled it to procure cloud services which helped to ensure that the new system had increased availability, performance, and security to prevent delays and downtime in operations.", "The bureau also implemented features to improve data entry to reduce user errors. Figure 3 provides a summary of Treasury\u2019s cloud acquisition.", "Acquiring software as a service improved operations and production decisions. According to Bureau of Engraving and Printing officials, by consolidating the bureau\u2019s 16 legacy systems with a single system in the cloud, the bureau made significant improvements to its operations through automation, improved data quality, and increased availability, performance, and security. Specifically, acquiring software as a service enabled the bureau to purchase capabilities that its previous systems did not have. By doing so, this eliminated some manual data entry and improved the bureau\u2019s ability to, among other things, automate production decisions which allowed users to focus on more critical tasks.", "For example, bureau staff reported that now they enter data from monthly Federal Reserve Bank orders into the Manufacturing Support Suite to determine the denominations and quantities of currency to produce, along with what banks will receive it. In addition, the new system uses current production times and data to determine when to replenish existing inventory and supplies, such as ink and paper, in order to prevent operational delays and downtime. Furthermore, staff stated that they now make compliance decisions using automated alerts and triggers, which help to prevent the release of products that do not meet bureau standards.", "According to bureau officials, the bureau has also improved data quality and reduced the amount of time that database administrators have to spend correcting errors. For example, when users enter data into the system, real-time data validation checks prevent common errors and prompt users to make corrections before submission. In addition, staff stated that the bureau implemented bureau-specific data checks, including which accounts could be associated with item categories and cost centers, which has reduced user errors and improved the reliability of the data.", "Finally, the bureau has improved system availability, security, and performance by acquiring software as a service. For example, bureau officials stated that they selected a FedRAMP-approved provider and established service level agreements with the provider to help ensure system availability, security, and performance, including disaster recovery capabilities that were not available for the legacy systems. In addition, bureau staff said that they no longer need to update and maintain IT software and hardware, which has saved time and resources, and decreased system downtime."], "subsections": []}, {"section_title": "Transportation\u2019s Cloud Acquisition Stores Public Transit Data", "paragraphs": ["The Department of Transportation\u2019s (Transportation) Federal Transit Administration provides financial and technical assistance to local public transit systems, including buses, subways, light rail, commuter rail, trolleys and ferries. According to the Federal Transit Administration IT Director, in October 2014, the National Transit Database was migrated to the cloud in order to improve customer experience, mission assurance, agility and responsiveness. Previously, the legacy database had several challenges, including the use of obsolete technology, poor usability, and problems with data accuracy. In addition, developing new functionality for the legacy system was a lengthy process, which decreased the ability of developers to respond to other user needs.", "By transitioning to the cloud, the Federal Transit Administration established a centralized access portal for users, which consolidated systems, eliminating the need to remember multiple passwords for external users, and added a single sign on feature for internal users. Staff in the Federal Transit Administration also reported that they improved the database\u2019s user interface by implementing improved system validation functionality for transit data. In addition, the cloud provided software developers with tools to develop functionality quicker to help improve the database\u2019s responsiveness to user needs. Figure 4 provides a summary of Transportation\u2019s cloud acquisition.", "Automating validation features improved customer experience. According to Federal Transit Administration officials, by moving to the cloud, developers established automated validation features which use historical data to identify outliers and prevent potential user data entry errors. Officials reported that analysts previously performed manual data validation to ensure the accuracy of customer-entered data. The new cloud version of the National Transit Database uses historical data to identify errors and leverages cross-form data validation for the current reporting year, which has reduced the time it takes to validate the data.", "Faster development methods improved the responsiveness to user needs. According to Federal Transit Administration officials, with the deployment to the cloud, the agency adopted faster development processes, which led to more frequent releases of functionality. For example, the database\u2019s developers regularly receive requests from transit customers for enhancements that would traditionally take longer to implement in the prior legacy environment. By leveraging the cloud framework and improved Agile development procedures, officials reported that developers can now engage users earlier to make adjustments based on their feedback, thereby focusing more directly on meeting business needs."], "subsections": []}, {"section_title": "GSA\u2019s Cloud Acquisition Enhances Federal Data Analytics", "paragraphs": ["The General Services Administration (GSA) helps federal agencies build and acquire office space, products and other workspace services, and oversees the preservation of historic federal properties. According to GSA\u2019s Chief Data Officer, in 2015, GSA began developing an enterprise platform pilot program, Data to Decisions, in order to improve the agility, responsiveness, efficiency, and operations of the agency\u2019s data analytics capabilities. Previously, GSA\u2019s data analytics operations had redundancy and overlap, including similar contracts and data sources, negatively affecting data sharing efforts across the agency.", "Subsequently, in October 2015, GSA\u2019s CIO, Chief Data Officer, and Chief Technology Officer moved the program to the cloud while consolidating existing contracts to create a centralized web portal. GSA officials reported that the new portal provides new data analytics capabilities for staff to use in generating analyses to advise decision makers at the agency and across other federal agencies, while also saving staff time in producing these analyses. For example, the centralized web portal allows the agency\u2019s 400 data practitioners to, among other things, build data models, understand business operations through analytics and visualizations, and publish dashboards and reporting. Figure 5 provides a summary of GSA\u2019s cloud acquisition.", "Providing analytical capabilities and tools to the federal government improved the management of resources. According to GSA officials in the Office of the CIO, cloud deployment has enabled the sharing of data and other analytical tools across the federal government to help agencies better manage their resources and create efficiencies in data management. For example, previously, agencies did not have access to detailed data regarding agency-owned and GSA-managed property in their asset portfolios. By moving to the cloud, GSA officials reported that they developed two tools called the Real Property Management Tool and the Asset Consolidation Tool. These tools were deployed to between 30 and 40 federal agencies, which enabled these agencies to identify potential opportunities to consolidate their building properties or co-locate office spaces to help save resources. Specifically, the tools provided dashboards that showed expiring leases and occupancy agreements, as well as excess and underutilized space. Further, the program provided data to federal agencies that were not previously available. By doing so, officials said that smaller agencies did not have to invest in their own data analytics capabilities or acquire additional staff resources for data analytics.", "Flexible and scalable technology addressed an increased demand for data services. According to GSA officials in the Office of the CIO, as the program has expanded its data analytics capabilities, program usage has grown over time. In particular, in 2018, of the program\u2019s 7,200 users, more than 80 percent were from federal agencies other than GSA. Cloud deployment has allowed GSA to easily scale resources to manage changes in user traffic and enabled agency personnel to focus on the mission rather than managing a data center to respond to these changes in demand. For example, in 2017, GSA officials said that they sent out a notice to approximately 1 million federal employees who had completed its annual tenant satisfaction survey notifying them that the survey\u2019s results were available. As a result, several thousand users tried to access the report on the program\u2019s portal, affecting the program\u2019s operations. Officials said that the agency was able to scale up the portal\u2019s resources and capabilities to handle the demand and then scale the resources back once user traffic returned to normal levels."], "subsections": []}, {"section_title": "VA\u2019s Cloud Acquisition Improves Veteran Benefits and Services", "paragraphs": ["The Department of Veterans Affairs (VA), among other duties, administers a variety of benefits and services that provide financial and other forms of assistance to veterans, their dependents, and survivors. According to the Deputy Assistant Secretary for Enterprise Program Management, in March 2016, the VA CIO deployed the Vets.gov web portal to the cloud in order to improve veterans\u2019 customer experience and scale resources to meet demand. Previously, VA officials reported that they had experienced challenges with its legacy websites. Specifically, the websites were not designed using federal government web standards, including browser compatibility and accommodations for the needs of individuals with disabilities. In addition, the websites required users to remember several sets of login information to access many features on approximately 500 websites.", "By moving to the cloud, VA officials stated that the agency has been able to better address veterans\u2019 needs by consolidating access to over 500 of the agency\u2019s websites for benefits and services. The new easier, mobile- friendly web portal requires only one login for all 500 websites, and incorporates features for users with disabilities, such as blind veterans.", "Further, the program was able to scale up the portal\u2019s resources to meet the increased demand for online benefits and services, while adopting a design approach that better incorporated the needs of veterans and delivered functionality more quickly. In November 2018, the Vets.gov cloud platform became the building block for the agency\u2019s new homepage at VA.gov. Figure 6 provides a summary of VA\u2019s cloud acquisition.", "Consolidating website access to benefits and services and incorporating veterans\u2019 feedback improved customer service to veterans and reduced costs. According to VA officials in the Office of the CIO, by moving to the cloud, VA has worked to improve veterans\u2019 access to benefits and services through its websites in several key areas. For example, Vets.gov is intended to be mobile-friendly and work on any computing device with a compliant web browser, avoiding the need to install separate software to apply for benefits. In addition, officials stated that the agency intends the portal to be easier for veterans to search for services. For instance, VA had previously developed an application to help veterans schedule medical appointments but VA officials reported that veterans could not easily locate the application after searching across multiple VA websites.", "In addition, VA officials stated that the agency was also able to reduce costs because, in moving to the cloud, Vets.gov cost the agency 85 percent less than it would have cost to build a traditionally hosted service with the same features. VA also retired a legacy application, which saved an estimated $1 million in annual contract costs.", "Scalable technology and a faster veteran-centered development approach increased agility and responsiveness. According to VA officials in the Office of the CIO, moving to the cloud allowed VA to acquire more flexible and scalable technologies in order to scale resources up and down to meet demand, while incorporating a faster, more user-friendly design approach. For example, after its launch, officials said that Vets.gov received a spike in the number of veterans that chose to submit online applications for healthcare, which the agency was able to handle by scaling up resources to meet the spike in demand.", "In addition, VA officials reported that the agency adopted a design approach in the cloud that, among other things, allowed it to adopt Agile methods to more quickly deliver releases. For example, based on feedback, VA incorporated mobile friendly design features\u201440 percent of Vets.gov users access benefits and services through a mobile device. Officials said that the agency has made efforts to focus on the needs of veterans first by using an iterative design approach that incorporates user feedback into the design process so that no features in the portal are deployed without a final usability test with a veteran. VA officials also reported that using the cloud has allowed the agency to deploy new features as soon as they are ready, in small incremental daily releases. Further, the officials noted that VA developers have worked with veterans on the portal\u2019s healthcare claims status tracker. Specifically, veterans can access the status of their healthcare claims that may be experiencing a backlog in processing, along with an estimated decision date. Lastly, officials reported that by incorporating an online application, Vets.gov reduced the number of paper-based healthcare applications submitted by veterans. In fiscal year 2018, users submitted over 750,000 digital forms for benefits through Vets.gov."], "subsections": []}, {"section_title": "Justice\u2019s Cloud Acquisition Hosts Data Center", "paragraphs": ["The Department of Justice\u2019s (Justice) U.S. Trustee Program (USTP) is responsible for overseeing the administration of bankruptcy cases and private trustees within the United States. According to USTP\u2019s Chief Technology Officer, in June 2016, executives in the Program, including the CIO, decided to migrate USTP\u2019s operations to the cloud to meet regulatory requirements, reduce costs, and improve agility, efficiency, and responsiveness. Officials said that their office had conducted an evaluation and determined that, in order to fulfill OMB\u2019s mandate to consolidate agency data centers, USTP would have to spend at least $1 million for an on-premise consolidation. Officials reported that USTP also faced challenges with having adequate backup capabilities and implementing new technological solutions due to its legacy computing environment and the time it took to purchase and install new hardware and software. Subsequently, in March 2017, the Program moved its operations to the cloud and avoided the cost of consolidating its data centers. In addition, officials in USTP said that the move to the cloud helped them address backup issues, and speed up the development and testing of new applications. Figure 7 provides a summary of Justice\u2019s cloud acquisition.", "Avoiding an on-premise data center consolidation and streamlining IT operations reduced costs. According to USTP officials, by moving to the cloud, their office avoided at least $1 million in costs, while resolving internal performance issues, and streamlining the management of its contracts. Specifically, officials said that USTP shut down 1 of its 2 data centers and reduced its server inventory from 140 to 75 and the number of vendors from 21 to 9. In addition, the office eliminated an estimated 50- 70 monthly IT staff hours dedicated to resolving backup issues.", "Flexible technology resources sped up the development of functionality. According to USTP officials, acquisitions of new technology previously took several months because of the time needed to estimate requirements and wait for officials to purchase and install hardware and software. By moving to the cloud, USTP officials stated that the intention is to be able to develop and test new applications faster, and determine their viability, with minimal time and costs. Specifically, officials reported that they have set up a cloud test lab to better understand system requirements by scaling up and down resources as needed and experimenting with new capabilities. In addition, while USTP\u2019s legacy monitoring solution required consulting assistance and took months to implement, officials noted that they were able to set up a similar solution in the cloud within 1 week."], "subsections": []}, {"section_title": "DHS\u2019s Cloud Acquisition Supports Information Sharing and Collaboration", "paragraphs": ["The Department of Homeland Security (DHS) collaborates with a variety of agencies and organizations to share information related to homeland security. According to the program\u2019s Service Operations Manager, DHS\u2019s CIO migrated the Homeland Security Information Network to the cloud in July 2017 in order to improve the system\u2019s availability and operational efficiency, while reducing costs. Officials stated that, previously, the agency had faced challenges in ensuring the system\u2019s redundancy and deploying new network enhancements quickly. This was due to the costs and time frames associated with acquiring new infrastructure and maintaining and upgrading current infrastructure. In addition, the agency was not able to quickly develop and deploy new capabilities to meet user needs.", "By moving to the cloud, officials stated that the agency was able to implement a disaster response capability and improve the system\u2019s operational efficiency, while also establishing more efficient environments for software development and testing. In addition, the agency was able to shut down an existing data center, which achieved cost savings of at least 30 percent from hosting the network in the data center. Figure 8 provides a summary of DHS\u2019s cloud acquisition.", "Acquiring infrastructure as a service improved system availability and operational efficiency. According to DHS officials in the Office of the CIO, migrating to the cloud has improved the system\u2019s availability and operational efficiency, which cost less money than the prior hosting solution. For example, acquiring infrastructure as a service provided increased redundancy over the old solution and has helped to ensure the network remains continuously available for daily operations and emergency response. The officials stated that, previously, the agency had not been able to implement a disaster recovery capability because it would cost over $1.5 million to build and maintain a second active network environment. Moving to the cloud enabled the agency to implement this capability for significantly less cost.", "In addition, officials in the CIO\u2019s office said that the acquisition of infrastructure as a service has enabled the agency to improve the operational efficiency of the system. For example, network managers can easily stand up new virtual hardware, networking, and storage capabilities, or make changes to existing infrastructure, in less than a day. Officials said that, previously, it used to take staff several months to make these changes manually. This allows network managers to respond very rapidly to changes in user demand, particularly if there are emergencies or natural disasters, and then scale down resources during non-use periods. For example, officials said that managers scaled up resources to support first responders from federal, state, and local governments to share weather, response and recovery information during Hurricanes Harvey, Irma, and Jose, and the West Coast wildfires. In addition, the officials noted that network managers now have access to the latest virtual hardware and the agency does not have to pay for hardware refreshments.", "Flexible technology resources strengthened the development of functionality. According to DHS officials in the Office of the CIO, moving to the cloud enabled the agency to very inexpensively build multiple environments in the system for software development, testing, and production, which has improved the development and deployment of new services. Software developers now have consistent and standardized environments, which helps to reduce the risk of errors and security vulnerabilities, as well as configuration issues. DHS officials stated that all of these issues would previously require staff time and funding to resolve. The developers can also now use automation tools to deploy new code from development into production more quickly to help meet user needs for new functionality. In addition, officials noted that cloud providers are constantly adding new services that users can leverage to do their work more efficiently, without the time and cost of the agency having to develop or procure this capability separately."], "subsections": []}, {"section_title": "Agriculture\u2019s Cloud Acquisition Improves Enterprise Content and Electronic Records Management", "paragraphs": ["The Department of Agriculture\u2019s (Agriculture) U.S. Forest Service manages 193 million acres of federal land in order to sustain the health, diversity, and productivity of the nation\u2019s forests and grasslands for present and future generations. According to the Acting Assistant Forest Service CIO for Natural Resources and Environment, in August 2017, the Forest Service began deploying a new enterprise content management and electronic records management system, called Pinyon, to the cloud to help improve operations and the management of electronic records. The move also addressed federal requirements related to electronic records management. Officials stated that, previously, the Forest Service relied on a shared storage drive for enterprise content management. Officials reported that this drive was highly proprietary, slow, unreliable, and a security vulnerability because it could not be easily maintained. In addition, officials reported that the shared storage drive was on the verge of failure because the vendor no longer supported and upgraded the system.", "By acquiring two software as a service solutions for enterprise content and electronic records management, officials said that the Forest Service was able to quickly deploy a new system with only some limited software customization for the integration of the two solutions. The Forest Service completed this in two phases; officials deployed the enterprise content management solution in August 2017 and the electronic records management solution began deployment in August 2018. Officials reported that they plan to fully deploy the system by December 2018. Figure 9 provides a summary of Agriculture\u2019s cloud acquisition.", "Acquisition of software as a service improved operations. According to Forest Service officials in the Office of the CIO, by acquiring software as a service, the Forest Service was able to implement new enterprise content management capabilities and collaboration tools quickly without the costs and risks associated with software development. Officials said that, previously, users did not have capabilities for managing their own content such as setting permissions, granting access privileges to documents, or easily managing different document versions. In addition, officials noted that users relied heavily on email to collaborate on daily work activities as other collaboration tools were not available. By acquiring software as a service, officials said that the Forest Service was able to quickly implement enhanced workflow and document management capabilities and add new tools for collaboration, which has increased staff productivity. Furthermore, acquiring software as a service allowed the Forest Service to integrate their new system with Agriculture\u2019s electronic authentication system, which the agency could not previously accomplish with the legacy system. By integrating these systems, Forest Service officials said that the agency has increased the accessibility of the Forest Service\u2019s information by allowing staff to securely access files regardless of physical location.", "Going forward, officials in the Forest Service said that they are exploring other features and capabilities offered by the cloud vendor to help better meet mission needs. For example, the Forest Service regularly collaborates with a variety of other agencies, state and local governments, educational institutions and other organizations on issues related to managing federal lands and responding to natural disasters, such as wildfires. Officials noted that the Forest Service hopes to use shared virtual workspaces and other collaboration tools to engage these partners.", "In addition, by acquiring software as a service, Forest Service officials said that they have ensured that there is a system in place that the vendor will automatically upgrade with new enhancements, capabilities, and the latest technology. For example, in order to meet new federal cybersecurity requirements, Forest Service officials said that they have been able to work with the cloud vendor to ensure the vendor incorporates software changes to meet these requirements.", "Flexible and scalable technology enhanced the management and storage of electronic records. According to Forest Service officials in the Office of the CIO, by moving to the cloud, the Forest Service was able to acquire new storage capabilities that are easily scalable as its volume of electronic records grows over time. Officials said that, previously, the Forest Service used both paper-based records and a shared storage drive for storing work documents and other operational records. Paper- based records were stored in file cabinets and warehouses while the shared storage drive maintained approximately 320 million files and 250 terabytes of data. In addition, the agency previously used tape backups for the shared storage drive. By moving to the cloud, officials in the Forest Service said that they gained unlimited storage and electronic backup capabilities. Further, Forest Service officials said the new system is intended to be able to easily scale up storage resources as needed for the digitization of its paper-based records and handle the future volumes of electronic records.", "In addition, by acquiring software as a service, officials in the CIO\u2019s office reported that the Forest Service was able to meet the federal requirement for electronic records management more than a year before the December 2019 deadline, which the prior shared drive could not meet."], "subsections": []}, {"section_title": "Commerce\u2019s Cloud Acquisition Enhances Access to Weather Data", "paragraphs": ["The Department of Commerce\u2019s (Commerce) National Oceanic and Atmospheric Administration works to understand and predict changes in climate, weather, oceans, and coasts, and shares that knowledge and information with others. According to Commerce\u2019s Acting Chief Information Officer, in September 2017, the National Oceanic and Atmospheric Administration\u2019s CIO and National Weather Service leadership decided to deploy its public weather websites to the cloud in order to improve the agility and responsiveness of these websites in a cost-effective manner. Officials stated that, previously, in 2016, as a result of Hurricane Matthew, hundreds of millions of web requests led to failures with the program\u2019s on-premise infrastructure, causing websites to become unavailable to the public for a period of time. Subsequently, in September 2017, prior to the landfall of Hurricane Irma, officials stated that the agency launched its weather cloud content delivery network. This new network is intended to ensure the availability of weather-related information, while avoiding the additional expenses for infrastructure that would likely go unused during normal business operations. Figure 10 provides a summary of Commerce\u2019s cloud acquisition.", "Increased service availability ensured the public\u2019s timely access to extreme weather-related information. According to National Oceanic and Atmospheric Administration officials, the deployment of the weather cloud content delivery network in September 2017 helped websites handle the web requests for data on Hurricanes Irma and Maria by scaling up the resources needed to handle the increased requests. Normally, the weather websites receive approximately 26 million daily web requests from the public. However, officials noted that the number of requests increases dramatically during adverse weather events, such as hurricanes. For example, officials said that in August 2017, the websites began experiencing delays because of the high volume of hurricane- related requests from Hurricane Harvey\u2014including approximately 218 million web requests on August 31, 2017 alone. After deployment to the cloud in September 2017, officials reported that over the course of two days, the weather cloud content delivery network successfully scaled up its resources and handled approximately two billion web requests received through the administration websites.", "On-demand capabilities decreased costs. According to National Oceanic and Atmospheric Administration officials, by acquiring software as a service, it avoided the cost of expanding existing on-premise infrastructure to handle sudden surges in demand that only last a short period of time, as well as associated maintenance costs. Officials said that the program can now scale up the resources supporting the weather cloud content delivery network whenever it anticipates an adverse weather event that would lead to greater demand for website information."], "subsections": []}, {"section_title": "Defense\u2019s Cloud Acquisition Enhances Transportation Command Systems", "paragraphs": ["The Department of Defense\u2019s (Defense) U.S. Transportation Command (USTRANSCOM) provides common user and commercial air, land, and sea transportation, as well as terminal management and air refueling, in support of the military\u2019s deployment, employment, sustainment, and re- deployment efforts. USTRANSCOM\u2019s Chief of Cyber Operations and Readiness Division reported that in January 2017, the USTRANSCOM Commander made the decision to migrate all of the command\u2019s systems to the cloud in order to improve mission assurance, agility, responsiveness, efficiency, and operations. Officials reported that, previously, the command had experienced a massive power outage affecting the availability of approximately 25 legacy systems that lacked the capability to quickly recover from network failures. In addition, officials noted that the command\u2019s system, used to manage world-wide moves of Defense personnel property, was not user-friendly, and was difficult to maintain because the agency built the system using waterfall software development methods. Lastly, officials said that the command had largely relied on manual reporting activities that took numerous staff hours to produce to make financial, operational, planning, and support decisions.", "By beginning to transition to the cloud in January 2018, USTRANSCOM officials said that the command is in the process of ensuring its systems are secure and continuously available, and is developing capabilities to improve the usability of its legacy systems. In addition, officials reported that the command is streamlining its tracking and reporting mechanisms to allow users to automatically generate key reports, which will give decision makers access to more current and accurate information to help improve program operations. USTRANSCOM officials said that executive sponsorship is absolutely critical for migrating to the cloud to overcome culture change by bringing together people throughout the enterprise. In addition, the command\u2019s cloud center of excellence team facilitates the command\u2019s adoption of cloud by, among other things, training users and addressing governance issues. Figure 11 provides a summary of Defense\u2019s cloud acquisition.", "Incorporating automated recovery from network failures and streamlining security increased mission assurance. According to USTRANSCOM officials, by moving the command\u2019s network to the cloud, the command has been able to design and build its new network with higher levels of availability. For example, officials said that if a network segment becomes unavailable, the cloud technology has the capability to automatically reroute traffic to help reduce the amount of delay that users experience. In addition, officials reported that developers have been working to automate several hundred security checks that are part of Defense\u2019s security technical implementation guides by implementing a repeatable, automated process instead of doing manual checks. Officials noted that, previously, manually checking of the status of configurations would take hundreds of man hours to complete. Eventually, the command anticipates that automation will save these hours of manual checks. The command plans to implement the new capability in May 2019.", "Replacing a legacy system with a cloud-based system developed using Agile software development methodologies will enhance the shipment of personnel property. According to USTRANSCOM officials, moving to the cloud has assisted the command by replacing the legacy system that manages moves of Defense personnel property, like household goods, with a mobile prototype built in the cloud. Officials reported that the legacy system currently uses a variety of commercial products that are difficult to maintain and do not efficiently address the command\u2019s complex business processes for personnel property moves, all of which affects the usability of the system. Currently, the command is using Agile software development methodologies to reengineer its business processes to develop a solution that is mobile and user-friendly. The new mobile prototype is intended to allow personnel to request access in order to manage the moves of certain household goods. Officials reported that the command initially planned to deploy the prototype in June 2018 but deployment was delayed and a new date had not yet been identified.", "Automating reporting and tracking mechanisms will help eliminate manual processes. According to USTRANSCOM officials, the command is in the process of automating its processes for reporting and tracking cargo shipments utilizing cloud technologies. Currently, the command employs manual processes to track and monitor a variety of its cargo shipments. For example, officials reported that five analysts typically spend one day compiling a status report that details delays with food shipments for Defense military exercises and operations. In addition, analysts currently have to query up to 11 Defense and commercial carrier systems to compile a report on high-priority shipments across the combatant commands. Officials noted that these analysts often experience delays getting access to timely information and must also resolve conflicting information in various transportation systems. However, with the transition to cloud services, officials in USTRANSCOM reported that analysts will have the capability to automatically generate reports based on defined criteria, such as shipment method or destination, and use data feeds that officials can continuously update. By developing phase one of the system in the cloud in fiscal year 2018, officials reported that they will be able to monitor delays in a shipment and immediately take action to change the mode of transportation or source shipments from alternate suppliers. The command plans to release the full operational capability in fiscal year 2020, which, officials noted, will give authorized users near real-time access to shipment information, including estimates of whether a shipment will arrive on time."], "subsections": []}]}, {"section_title": "Appendix VII: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XV: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVI: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVIII: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIX: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following staff made key contributions to this report: Dave Powner (Director), Dave Hinchman (Assistant Director), Chris Businsky, Nancy Glover, Valerie Hopkins (Analyst-in-Charge), Sandra Kerr, James MacAulay, Jamelyn Payan, and Priscilla Smith."], "subsections": []}]}], "fastfact": ["Each year, federal agencies spend $90 billion on IT. Cloud computing services\u2014on-demand access to shared resources such as networks, servers, and data storage\u2014can help agencies deliver better IT services for less money.", "For example, the Department of Homeland Security migrated its network for information sharing and collaboration to the cloud, ensuring it remains continuously available for law enforcement and emergency response.", "However, agencies don't consistently track cloud-related savings, making it hard for them to make informed decisions on whether to use cloud services. We recommended that agencies improve their savings tracking."]} {"id": "GAO-18-278", "url": "https://www.gao.gov/products/GAO-18-278", "title": "Department of Energy: New Process to Review Financial Assistance for Research Projects Created Uncertainty", "published_date": "2018-02-28T00:00:00", "released_date": "2018-02-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["ARPA-E provides funding for research to overcome long-term and high-risk technological barriers in developing energy technologies. Since 2009, ARPA-E has awarded approximately $1.3 billion to universities, public and private companies, and national laboratories to fund energy research projects. Starting in May 2017, DOE began reviewing its financial assistance department-wide, including ARPA-E's, to determine if it met the administration's priorities.", "GAO was asked to examine this review process as it pertained to ARPA-E. This report describes (1) how DOE implemented the financial assistance review process; and (2) the perspectives of ARPA-E selectees on the impacts of the review process.", "GAO reviewed documents and interviewed officials at ARPA-E and DOE's Office of Management, which coordinated the review. GAO also interviewed a nonprobability sample of 10 of the 68 ARPA-E award selectees whose financial assistance was evaluated under the review. GAO identified selectees to interview based on representation across ARPA-E's recipient types, including universities, private companies, and national laboratories, among other criteria. While the views of selectees GAO interviewed cannot be generalized to all affected ARPA-E selectees, they provide illustrative examples of the effects of DOE's review."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE) developed and implemented a new process to review its financial assistance to ensure that all new work funded by the department\u2014including by DOE's Advanced Research Projects Agency-Energy (ARPA-E)\u2014was consistent with the current administration's priorities. The review process covered funding opportunity announcements as well as certain other types of financial assistance. New awards were delayed until the review of the underlying financial assistance opportunity was completed. DOE reviewed and approved ARPA-E's financial assistance on a rolling basis from May through September 2017, and nearly all ARPA-E financial assistance was approved. DOE Office of Management officials met with ARPA-E officials on several occasions to discuss their review of ARPA-E financial assistance. DOE officials GAO interviewed said they wanted to complete the review as quickly as possible to minimize effects on DOE programs. GAO determined that the delay was not reportable under the Impoundment Control Act. The Impoundment Control Act requires the President to notify Congress if an agency wants to withhold the obligation of funds. GAO has separately informed Congress of an impoundment of $91 million in funds that were not allocated to any financial assistance awards, and was not related to DOE's review process.", "According to the 10 ARPA-E project selectees GAO interviewed, DOE's financial assistance review process created uncertainty, which led to a variety of project impacts. The impacts most commonly cited by selectees included potentially delayed project timelines, as well as difficulties in staffing their project teams, among other impacts as shown below.", "DOE officials GAO interviewed said that they are reviewing DOE financial assistance in fiscal year 2018. DOE officials said that a key benefit of the fiscal year 2017 review process was an opportunity to better identify and coordinate future financial assistance department-wide on crosscutting issues. However, DOE plans to review fiscal year 2018 financial assistance prior to issuing funding opportunity announcements to the public, and thus before any recipients apply or are selected. As a result, DOE officials said, the uncertainty that ARPA-E selectees experienced during the fiscal year 2017 review process should be reduced."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations. DOE provided technical comments, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2007, the Advanced Research Projects Agency-Energy (ARPA-E) was established within the Department of Energy (DOE) to overcome the long- term and high-risk technological barriers to developing energy technologies, such as advanced biofuel crops and improved batteries for plug-in hybrid vehicles, among others. As specified in statute, ARPA-E\u2019s program goals are to enhance the nation\u2019s economic and energy security through technological development and ensure that the United States maintains a technological lead in developing and deploying advanced energy technologies. From the time ARPA-E first received an appropriation in the American Recovery and Reinvestment Act of 2009, through December 2015, ARPA-E awarded approximately $1.3 billion to universities, public and private companies, and national laboratories for projects intended to make transformational\u2014rather than incremental\u2014 advances to a variety of energy technologies.", "Typically, ARPA-E develops funding opportunity announcements to address an identified energy technology gap. After publishing a funding opportunity announcement, ARPA-E follows a multi-stage application review and award funding process that involves the selection of applicants and an award negotiation period, among other steps. Beginning in May 2017, DOE\u2019s Chief of Staff initiated a review of all financial assistance for new work across the department, including ARPA- E, to determine whether the financial assistance aligned with the new administration\u2019s priorities. The review was coordinated and facilitated by DOE\u2019s Office of Management. As part of the review process, DOE delayed new award agreements, as well as other types of financial assistance for new work until the review of the underlying financial assistance opportunity was completed. While the review took place, concerns were raised about the impact that the suspension might have on the continued viability of research projects conducted by selected ARPA- E applicants\u2014referred to in this report as ARPA-E selectees\u2014as well as applicants for other DOE financial assistance.", "You asked us to examine issues related to DOE\u2019s financial assistance review process, specifically as it pertained to ARPA-E. This report describes (1) how DOE implemented the financial assistance review process; and (2) the perspectives of selected ARPA-E selectees regarding the impacts of this review process.", "To describe how DOE implemented its financial assistance review process, we interviewed ARPA-E and DOE Office of Management officials to obtain their views on the implementation of the review process. We also examined documentation provided by these offices about DOE\u2019s financial assistance review process and, more broadly, the ARPA-E financial assistance process. Additionally, we analyzed ARPA-E data to describe the timeline of DOE\u2019s review of ARPA-E financial assistance and the amount of funding approved over the course of the review process. We discussed how the data were compiled with DOE officials and found that the data were sufficiently reliable for our purposes.", "To ascertain ARPA-E selectees\u2019 perspectives on the impacts of DOE\u2019s financial assistance review process on their projects, we conducted interviews using a standard set of questions with a nonprobability sample of 10 of the 68 ARPA-E selectees whose financial assistance was evaluated under the review to obtain information on how they were affected by the review, among other related topics. To identify selectees for these interviews, we requested that ARPA-E provide us with a list of projects that had received funds from or had been selected for award negotiation from ARPA-E and whose financial assistance had been evaluated by the review process, which included both competitively selected awards and determinations of noncompetitive financial assistance. We chose selectees to interview based on a variety of characteristics, including (1) whether they were a university, a private business, or a national laboratory; (2) whether the project was competitively selected from a new funding announcement or was new work funded on a noncompetitive basis; and (3) whether the project was under review at the time of the interview, or its review had already been completed. Wherever possible, we tried to choose selectees whose work was funded under different ARPA-E funding opportunity announcements. Because the ARPA-E selectees we chose to interview were based on a nonprobability sample, the views we obtained are not generalizable to all ARPA-E selectees affected by the review process. However, they provide illustrative examples of the effects of DOE\u2019s financial assistance review.", "We conducted this performance audit from May 2017 to February 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["ARPA-E\u2019s typical funding announcement and award selection process begins with the agency hiring a program director responsible for identifying a gap in energy technology research and developing a program to fill that gap. ARPA-E is required by statute to achieve its goals through energy technology projects that, among other things, accelerate transformational technological advances in areas that industry on its own is not likely to undertake because of technical and financial uncertainty, while also ensuring that its activities are coordinated with, and do not duplicate the efforts of, programs and laboratories within DOE and other relevant research agencies. ARPA-E\u2019s efforts to identify existing energy technology research gaps and to design a program to address those gaps involve research; consultation with scientific experts, including a workshop with outside experts; and internal discussions within ARPA-E. From this process, program directors develop funding opportunity announcements that describe the technical requirements specific to each program\u2019s technology area that applicants have to meet, as well as the four standard criteria that ARPA-E uses to guide its merit selection process. Following the issuance of a funding opportunity announcement, ARPA-E employs the following multi-stage process to merit review applications, make funding award decisions, and monitor projects:", "Concept paper. Applicants initially submit a 4- to 7-page abstract of their projects. Scientific experts from government, industry, and academia serve as reviewers.", "Full application. After reviewing concept papers, ARPA-E encourages some applicants to submit full applications. Full applications are generally quite extensive, requesting information on the technical and financial aspects of the proposed project, among other things. ARPA-E officials we interviewed noted that these applications are frequently more than 100 pages and can take 30 to 45 days for the applicant to develop. Full applications are reviewed against the selection criteria by leading scientific experts in the relevant field and assigned numerical scores.", "Reply to reviewer comments. After reviewing a full application, reviewers provide comments and questions to the applicants, who then have the opportunity to respond.", "Selection. A three- to four-person panel, chaired by the relevant ARPA-E program director, considers the reviewers\u2019 comments and numerical scores and recommends applications for an award. The final decisions on which applicants to select for award negotiations are made by the selecting official, usually the Director of ARPA-E.", "Award negotiations. Once selections are made, ARPA-E program directors work closely with selectees to negotiate the terms and conditions of their award. These negotiations include, among other things, developing a project plan with technical milestones that are to be met during the 2 to 3 years that the award is being funded, a budget and management plan, and an intellectual property and data management plan. Funds are awarded once negotiations regarding the terms and conditions of the award are concluded. ARPA-E seeks to complete negotiations regarding the terms and conditions of an award within approximately 100 days of sending a letter notifying an applicant that they have been selected for award negotiations.", "Selectees may be allowed to begin spending money to start work on their projects up to 90 days prior to the completion of award negotiations. However, these expenditures are made with the risk that applicants may not be reimbursed if award negotiations are unsuccessful and ARPA-E does not fund the award.", "Monitoring. ARPA-E monitors and supports the projects it funds through quarterly reviews and site visits. At any point during the award, ARPA-E may decide whether to continue or terminate the project based on whether agreed-upon project milestones are being met."], "subsections": []}, {"section_title": "DOE Developed and Implemented a New Process to Assess the Department\u2019s Financial Assistance against the Administration\u2019s Priorities", "paragraphs": ["In 2017, DOE developed and implemented a new review process to assess DOE financial assistance for new work against the current administration\u2019s priorities, including financial assistance for which ARPA- E had already made award selections. DOE reviewed and approved ARPA-E\u2019s opportunities for financial assistance on a rolling basis from May to September 2017, and nearly all were approved to proceed.", "The formal review of DOE financial assistance officially began on May 4, 2017, when DOE\u2019s Chief of Staff issued a memorandum stating that funding opportunity announcements and determinations of non- competitive financial assistance would be reviewed to ensure consistency with the administration\u2019s priorities. According to the memorandum, DOE agencies that award financial assistance\u2014referred to in this report as funding organizations\u2014were to provide information about each competitively selected funding announcement and determination of non- competitive financial assistance by May 15, 2017. This information included, for example, a brief description of the financial assistance, the number and amount of planned awards, and the technology readiness level of the projects being funded. DOE Office of Management officials told us that the agency\u2019s financial assistance review lasted through September 2017, as some DOE organizations continued to submit new financial assistance for review, but that the review was largely completed by August 10, 2017. However, while the formal review of DOE financial assistance began in May, award negotiations for ARPA-E-funded projects were suspended nearly 1 month earlier. Specifically, according to ARPA- E officials, DOE\u2019s Deputy Chief of Staff verbally directed ARPA-E on April 6, 2017 to stop all ongoing award negotiations. Figure 1 shows the timeline of DOE\u2019s review of ARPA-E financial assistance.", "Pursuant to the DOE Chief of Staff\u2019s May 4th memorandum, ARPA-E and other DOE funding organizations submitted the requested information to the DOE review team, which was coordinated and facilitated by the Director of DOE\u2019s Office of Management. Other members of the financial assistance review team included DOE\u2019s acting Chief Financial Officer; deputy assistant secretaries, chiefs of staff, and senior advisors at several DOE funding organizations; and members of the department\u2019s congressional affairs and public affairs staff.", "According to DOE Office of Management officials we interviewed, the review team assessed the department\u2019s financial assistance against five criteria:", "Whether the financial assistance was statutorily mandated;", "Whether the financial assistance was described in congressional", "Whether the financial assistance was consistent with administration priorities, as identified in budget documents and other statements from the President and Secretary of Energy, among other things;", "What technology readiness level the financial assistance was intended to fund; and", "Whether the technology encompassed by the project was already being funded by the private sector or others.", "DOE Office of Management officials stated that the review team did not use the above criteria to assign quantitative scores to evaluate the department\u2019s financial assistance; instead, the team collaboratively discussed each opportunity for assistance. In most cases, the review team was able to reach consensus on whether the financial assistance aligned with the administration\u2019s priorities. DOE Office of Management officials also noted that they met with ARPA-E leadership to obtain additional information about ARPA-E financial assistance on three occasions during the course of the review. ARPA-E officials said that, in addition to those three meetings, they provided written information to address questions received from the review team and to provide additional context regarding ARPA-E financial assistance.", "In total, DOE\u2019s review team assessed 6 ARPA-E fiscal year 2017 or prior- year funding opportunity announcements for which applicants had been selected for award negotiation, 7 fiscal year 2017 announcements in the earlier stages of the merit review and selection process, 2 fiscal year 2017 announcements that had not yet been released, and 17 opportunities for financial assistance where ARPA-E funded renewals or new work under a determination of noncompetitive financial assistance. According to DOE Office of Management officials, the review team worked as quickly as possible to review all of DOE\u2019s financial assistance to minimize potential disruptions for recipients and DOE\u2019s funding organizations. Once the review team approved an opportunity for financial assistance, DOE funding organizations were allowed to resume work, DOE Office of Management officials told us. Figure 2 shows the total cumulative funds for ARPA-E financial assistance approved by the review committee at various stages in the review. For example, as shown in Figure 2, the review team approved roughly $158.3 million (55.6 percent) of ARPA-E\u2019s proposed financial assistance on May 18, 2017, 3 days after the deadline for DOE funding organizations to submit information to the review team. The remaining proposed financial assistance was approved in several stages from June through August 2017. As of August 25, 2017, all of ARPA-E\u2019s competitively selected funding opportunity announcements, renewals, and determinations for noncompetitive financial assistance, where selectees had been selected for negotiation, were approved by the review team, representing roughly $265 million, or 93.1 percent, of all ARPA-E funding reviewed by the team.", "DOE Office of Management officials also stated that the financial assistance review team made a decision early in the course of the review to honor all existing DOE commitments to fund new work. These officials said that this extended to commitments made to entities that had been selected for award negotiations, even though the department does not officially commit to providing funds until such negotiations are completed and the award is finalized. However, according to ARPA-E selectees we interviewed, this message was generally not communicated to them, which led to uncertainty about whether their projects would be funded. In contrast, the review team recommended that the DOE Chief of Staff cancel ARPA-E\u2019s Facsimile Appearance to Create Energy Savings funding announcement, which had accepted full applications but had not selected any applicants for award negotiation. This opportunity would have funded the development of advanced information technology that could allow for three-dimensional digital representation of a person in a room nearly indistinguishable from the person being there in real life, which might allow for increased telecommuting. DOE Office of Management officials told us that the review team reached this recommendation in part because this technology was already being funded by the private sector. As of November 2017, DOE Office of Management officials said the review team had cancelled 3 other DOE funding announcements as a result of the review.", "According to information we collected, DOE\u2019s review of ARPA-E financial assistance, as part of the DOE-wide review process, did not require the President to send a special message under the Impoundment Control Act. Specifically, the delay in obligating ARPA-E funds for financial assistance examined through DOE\u2019s review process was for programmatic reasons. DOE officials explained that the purpose of the review was to ensure that the agency\u2019s financial assistance aligned with the priorities of the current administration."], "subsections": []}, {"section_title": "DOE\u2019s Financial Assistance Review Created Uncertainty for ARPA-E Selectees, Which Led to Delayed Project Timelines and Staffing Difficulties, among Other Impacts", "paragraphs": ["According to the 10 ARPA-E selectees we interviewed, DOE\u2019s financial assistance review process created uncertainty, which led to a variety of impacts\u2014the most frequently cited of which were potentially delayed project timelines and difficulties staffing project teams. Selectees told us that they received little communication from ARPA-E during the review process, and they indicated that additional information about review timelines and potential effects on their awards would have helped them manage some of the uncertainty they experienced during the review process. DOE Office of Management officials said the fiscal year 2017 review process helped to better identify and coordinate future financial assistance department-wide on crosscutting issues. DOE is conducting the fiscal year 2018 review process prior to publicly issuing funding announcements. As a result, DOE Office of Management officials said, the delays and uncertainty that selectees experienced in fiscal year 2017 should be reduced.", "In our structured interviews with ARPA-E selectees, the most frequently cited impact of the uncertainty caused by DOE\u2019s financial assistance review was the potential need to delay project timelines. All of the ARPA- E selectees we interviewed told us that they might need to extend their project timelines because of uncertainty caused by DOE\u2019s review. Four of these selectees noted that the delay caused by DOE\u2019s review could cause additional, cascading delays in their timelines. For example, 1 selectee we interviewed said that it would need to re-issue a hiring announcement it had publicized prior to the review because the review prevented it from hiring someone. In addition, the selectee would need to resubmit the hiring announcement to the university and state human resources departments for approval, which could take months to process. Another selectee said that it missed 2 months of a 3-month planting season because it could not start project work, and had the delay lasted any longer, the selectee would have missed an entire year of data collection on the project.", "Selectees also cited challenges to staffing project teams as a result of the uncertainty caused by the review. Selectees stated that delays caused by the review affected their ability to hire team members they had planned to hire based on their original schedule, as potential members moved on to other projects or took different jobs. For example, 9 selectees told us that they delayed hiring new project team members while DOE\u2019s review was occurring. Four selectees we interviewed said that they had difficulty retaining staff during the review process. For example, 1 selectee had to lay off 2 of the company\u2019s 15 staff members because of the delay in receiving funding, and several other staff members left voluntarily. Furthermore, the selectee said laying off these staff members resulted in an increase in the company\u2019s unemployment taxes, which was expensive for a small-sized company. Four other selectees that we interviewed said they had to assign existing project team members to other funded work or general activities because they could not begin work on their ARPA-E project until they received funding.", "Selectees we interviewed cited additional impacts associated with the uncertainty caused by DOE\u2019s financial assistance review. These impacts included:", "Delaying equipment purchases. Four selectees reported that they had to delay purchasing important equipment needed to execute their project. One selectee noted that the delay caused by the review was long enough that price quotes it had received from equipment sellers expired, and that prices could increase in later quotes.", "Changes to project scope. Two selectees told us that they might need to limit the planned scope of their projects to be able to complete them in the proposed timeline. For example, 1 selectee said its project involves helping to scale up three to four different technologies a year, which it might not be able to do if it has to adhere to its initial timeframes.", "Loss of advantage against potential competitors. Four of the selectees we interviewed said that the delay may have caused their technology to fall behind their potential competitors in some way. For example, 1 selectee noted that it was working in a competitive environment for its technology, with ongoing efforts in multiple countries, and reported that its project might have fallen behind others\u2019 efforts as a result of delays associated with DOE\u2019s review. However, 4 other selectees said that the review was not likely to cause any loss of competitiveness.", "Impacts on external project partners. Three selectees noted that DOE\u2019s review caused uncertainty for partners on their projects, including partners that provide external funding. For example, 1 selectee told us that private investors in its technology area are most active in the fall and that its project team might not be able to seek a second round of funding if it could not demonstrate the necessary technical results of the project by then.", "Impacts on pre-award spending reimbursements. One selectee reported that it had to cease certain pre-award spending. The selectee said that it spent roughly $10,000 on equipment and 150 hours of labor prior to DOE\u2019s financial assistance review, but it could not submit invoices for these expenditures to ARPA-E while the review was ongoing and would not be able to if its project was ultimately not approved. Furthermore, the selectee said that even if the award was approved, the delay might result in expenditures falling outside the 90-day window of allowable pre-award expenditures, which would require obtaining approval from ARPA-E to be reimbursed.", "Selectees we interviewed also stated that they received little communication from ARPA-E during the review, which contributed to the uncertainty about the status of their projects. Specifically, 6 of the selectees said that they would have liked additional information from ARPA-E on a variety of topics related to the review. For example, 4 selectees said they would have liked additional information about the review timeline and when it was planned to be completed. One of these selectees told us that a written document from ARPA-E indicating a rough time frame and next steps would have helped facilitate better planning for their project team. Two selectees we interviewed wanted additional information about whether they could renegotiate their timelines once the review was completed. Three selectees told us that they would have liked additional information about whether the review would cause them to lose their funding. ARPA-E officials we interviewed told us that they made three separate requests to DOE\u2019s Deputy Chief of Staff to learn what they could communicate to selectees about the April 6, 2017, verbal order and the review process. ARPA-E officials told us that they were directed by the Deputy Chief of Staff not to communicate with selectees about the verbal order until receiving guidance from his office. ARPA-E developed proposed language to share with selectees but did not receive approval from the Deputy Chief of Staff to distribute it. DOE Office of Management officials we interviewed told us that they did not issue guidance to ARPA- E or other DOE funding organizations about how the organizations should communicate with selectees during the review.", "In contrast to its fiscal year 2017 review, DOE began its 2018 financial assistance review in August 2017, prior to publicly issuing funding announcements. On August 10, 2017, DOE\u2019s Office of Management sent an email to DOE funding organizations directing them to submit descriptions of their proposed financial assistance by September 8, 2017. Because the review will occur prior to publicly issuing funding opportunity announcements, and thus before any recipients apply or are selected, DOE Office of Management officials said the delays and uncertainty that selectees experienced in fiscal year 2017 should be reduced.", "DOE Office of Management officials told us that\u2014aside from changing the timing of its 2018 financial assistance review\u2014the review team\u2019s membership and evaluation criteria will be largely the same as for the fiscal year 2017 review. The officials said that they discussed the review process with senior leaders in DOE\u2019s funding organizations to help ensure that they understood the priorities, expectations, and steps of the review process. The officials also told us that the review team developed additional guidance to clarify certain issues that arose during the fiscal year 2017 review. This additional guidance included:", "On August 17, 2017, funding organization managers were informed that continuation awards\u2014those where the activity is presently being funded\u2014would be exempt from submission to the review team and can continue to move forward.", "On August 29, 2017, funding organizations were informed that they should identify financial assistance that falls under one of seven crosscutting research issue areas. According to DOE Office of Management officials we interviewed, a key benefit of the fiscal year 2017 review process was that the review team noticed that DOE had several funding announcements at multiple funding organizations related to these areas. DOE\u2019s funding organizations may be able to coordinate to issue a consolidated funding announcement in these crosscutting research issue areas, to ensure efforts are complementary and not duplicative. Furthermore, DOE Office of Management officials we interviewed said that knowing which funding organizations are funding work in these areas will support DOE meetings on crosscutting issues."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to the Secretary of Energy. DOE provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Chris Murray (Assistant Director), Perry Lusk (Analyst-in-Charge), Antoinette C. Capaccio, John Delicath, Justin Fisher, Kimberly McGatlin, Dan Royer, Tind Shepper Ryen, Lauren G. Sherman, and McKenna Storey made key contributions to the report."], "subsections": []}]}], "fastfact": ["Since 2009, DOE's Advanced Research Projects Agency-Energy (ARPA-E) has awarded about $1.3 billion to universities, companies, and national laboratories to fund energy research.", "In May 2017, DOE began a review of all its new financial assistance awards\u2014including those from ARPA-E. During the review, DOE delayed new ARPA-E awards and provided limited information to those who had been selected but were still negotiating the terms of their awards.", "While nearly all ARPA-E financial assistance was eventually approved, the delay created uncertainty for 10 project teams we interviewed, which affected their project timelines and hiring."]} {"id": "GAO-18-675T", "url": "https://www.gao.gov/products/GAO-18-675T", "title": "Strategic Petroleum Reserve: Observations on the Emergency Stockpile", "published_date": "2018-07-24T00:00:00", "released_date": "2018-07-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Over 4 decades ago, Congress authorized the SPR\u2014the world's largest government-owned stockpile of emergency crude oil\u2014to reduce the impact of disruptions in supplies of petroleum products. Since 2015, Congress has also mandated sales of SPR oil to fund the modernization of SPR facilities and other national priorities. DOE manages the SPR, whose storage and related infrastructure is aging, and has plans to modernize its facilities. As a member of the International Energy Agency, the United States is obligated to maintain reserves equivalent to at least 90 days of the previous year's net imports (imports minus exports). As of March 2018, the SPR held about 665 million barrels of crude oil, about 138 days of net imports.", "This testimony highlights GAO's May 2018 report on the SPR, including the extent to which (1) DOE has identified the optimal size of the SPR, and (2) DOE's plans for modernizing the SPR take into account the effects of congressionally mandated crude oil sales. GAO reviewed DOE's documents and studies and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE) has not identified the optimal size of the Strategic Petroleum Reserve (SPR). In 2016, DOE completed a long-term strategic review of the SPR after its last comprehensive examination was conducted in 2005. The 2016 review examined the benefits of several SPR sizes, but it did not identify an optimal size and was limited in several ways. In particular, in the review, DOE did not fully consider recent and expected future changes in market conditions, such as the implications of projected fluctuations in net imports or the role of the private sector in responding to supply disruptions. These changes have contributed to SPR and private reserves reaching historically high levels on a net imports basis. These changes are expected to continue to evolve, and according to government projections, the United States will become a net exporter in the late 2020s before again becoming a net importer between 2040 and 2050. GAO has found that agencies should reexamine their programs if conditions change. GAO recommended that DOE supplement its 2016 review by conducting an additional analysis, and take actions to ensure the agency periodically conducts a strategic review of the SPR. DOE generally agreed with these recommendations.", "DOE has taken steps to account for congressionally mandated sales of SPR crude oil in its $1.4 billion modernization plans for SPR's infrastructure and facilities. However, DOE's current plans, developed in 2016, are based on information largely developed prior to recent congressionally mandated sales of an additional 117 million barrels of oil. According to DOE officials, the agency began a study in March 2018 to assess the effects of these sales on the SPR's modernization. However, GAO reported that this study was not examining a full range of options for handling any excess SPR assets that may be created by currently mandated sales or any additional sales that may be mandated in the future, inconsistent with an agency order on real property asset management that calls for identifying excess assets. For example, according to officials, DOE does not currently have the authority to lease unused storage capacity to the private sector, and DOE was not planning to examine this option. If authorized, leasing unused SPR storage capacity could generate revenues that could help offset the costs of modernization. GAO recommended that DOE should consider a full range of options for handling potentially excess assets and, if needed, request congressional authority for the disposition of these assets. DOE agreed with this recommendation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made four recommendations, including that DOE (1) supplement the 2016 review by conducting an additional analysis, (2) ensure it periodically reexamines the SPR, and (3) consider a full range of options for handling potentially excess assets. DOE partially agreed with the first recommendation and agreed with the other two recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent report on the Department of Energy\u2019s (DOE) Strategic Petroleum Reserve (SPR). More than 4 decades ago, Congress authorized the creation of the SPR\u2014currently the world\u2019s largest government-owned stockpile of emergency crude oil\u2014to reduce the impact of disruptions in supplies of petroleum products. DOE manages the SPR. As of March 2018, the SPR held 665.5 million barrels of crude oil, worth about $42 billion. In the decades since its creation, the structure of the SPR generally has not changed\u2014it has always held crude oil in salt caverns along the Gulf Coast\u2014though markets for crude oil and petroleum products\u2014products such as gasoline and diesel that are refined from crude oil for final consumption\u2014have changed in important ways.", "Throughout most of the SPR\u2019s history, domestic crude oil production was generally in decline, while consumption of petroleum products was generally increasing, causing the United States to rely increasingly on imported crude oil and petroleum products. However, the SPR now operates in a context of increasing U.S. crude oil production (the United States is now one of the world\u2019s largest crude oil producers), relatively stable consumption, and shrinking net crude oil and petroleum product imports. Moreover, whereas the Arab oil embargo of 1973 to1974 led to shortages and long lines at gas pumps around the country, prices now change to accommodate supply and demand, so that physical crude oil shortages are less of a concern than they were in the 1970s when the SPR was created.", "The SPR also helps the United States meet its obligations as a member of the International Energy Agency (IEA)\u2014an international energy forum of 30 member countries established in 1974 to help members respond collectively to major energy supply disruptions. To become a member of the IEA, a country must have, among other things, crude oil or petroleum product reserves equivalent to 90 days of the previous year\u2019s net imports, and measures in place to ensure that it is able to contribute its share of a collective action initiated in response to a significant global oil supply disruption. As of March 2018, according to IEA data, the SPR held the equivalent of 138 days of net imports. The IEA counts both public and private reserves toward meeting the 90-day reserve obligation, although the United States has recently met this obligation solely through publicly owned reserves in the SPR, as shown in figure 1.", "Since 2015, six laws mandated sales of crude oil from the SPR to fund the modernization of SPR facilities and other national priorities. Total planned sales are projected to reduce the amount of crude oil held in the SPR from 665.5 million barrels in March 2018 to 405 million barrels by the end of fiscal year 2027. These sales have an estimated value of almost $16 billion, according to Congressional Budget Office documents. Of the total estimated value, sales of up to $2 billion were specifically authorized for the SPR\u2019s modernization program. The SPR\u2019s infrastructure of facilities, pipelines, pumps, and other equipment is aging and much of it needs replacement, according to DOE documents. Since 2014, DOE has developed plans for modernizing the SPR to address these needs, among other things.", "My testimony today discusses findings from our May 2018 report on the SPR and focuses on (1) how the United States and other IEA members meet their IEA obligations, (2) the extent to which DOE has identified the optimal size and the potential need for additional petroleum product reserves for the SPR, and (3) the extent to which DOE\u2019s plans for modernizing the SPR take into account the effects of current and potential future congressionally mandated oil sales.", "To conduct this work, we reviewed documents, reports, and studies that we identified through DOE officials, recommendations from experts and stakeholders, and sources referenced in DOE publications as well as our prior work on the SPR. We also interviewed DOE officials and representatives of energy consulting groups and a state agency, among others. Our May 2018 report includes a detailed discussion of the objectives, scope, and methodology used to conduct this work. We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Unlike the United States, Most IEA Members Rely on Private Reserves to Meet Reserve Obligations and Hold Significant Proportions of Their Reserves as Petroleum Products", "paragraphs": ["As we found in our May 2018 report, in terms of how they meet their IEA 90-day reserve obligations, most other IEA members differ from the United States in two basic ways. First, as of December 2017, most other IEA members rely at least in part on private rather than public reserves to meet their obligations. As of December 2017, 18 of the 25 IEA members that met their 90-day reserve obligation and had a formal process for holding and releasing reserves relied entirely or in part on private reserves to meet their obligations. Specifically, based on IEA data as of December 2017, these 18 countries met their 90-day reserve obligations through private reserves and either had no public reserves or had public reserves of less than 90 days. Unlike the 18 countries that rely at least in part on private reserves, as of December 2017, the United States and 6 other IEA members met the 90-day reserve obligation exclusively through public reserves. The second way other IEA members differ from the United States is that most hold at least a third of their reserves as petroleum products, according to a 2014 IEA report. Holding petroleum products can be advantageous during certain disruptions because such reserves can be directly distributed to consumers, whereas crude oil must first be refined and turned into products, adding response time. In contrast, more than 99 percent of the SPR (665.5 million barrels as of March 2018) is held as crude oil. Because of the large U.S. refining sector, crude oil from the SPR can be domestically refined into petroleum products to meet demand."], "subsections": []}, {"section_title": "DOE Has Not Identified the Optimal Size for the SPR or the Potential Need for Regional Product Reserves", "paragraphs": ["As we found in our May 2018 report, DOE has not identified the optimal size or the potential need for additional petroleum product reserves for the SPR. In 2016, DOE completed a long-term strategic review of the SPR after its last comprehensive examination had been conducted in 2005. The 2016 review examined the expected benefits of several SPR sizes, but it did not identify an optimal size and was limited in several ways. In particular, in the review, DOE did not fully consider recent and expected future changes in market conditions, such as the implications of projected fluctuations in net imports or the role of the private sector in responding to supply disruptions. Recent changes have contributed to SPR and private reserves reaching historically high levels on a net imports basis. These changes are expected to continue to evolve\u2014 according to government projections, the United States will become a net exporter in the late 2020s before again becoming a net importer between 2040 and 2050. In February 2005, we found that agencies should reexamine their programs if conditions change. Without addressing the limitations of its 2016 review and periodically performing reexaminations in the future, DOE cannot be assured that the SPR will be sized appropriately into the future. In May 2018, we recommended that DOE (1) supplement its 2016 review by conducting an additional analysis that takes into account, among other things, the costs and benefits of a wide range of different SPR sizes and (2) take actions to ensure that it periodically conducts and provides to Congress a strategic review of the SPR. DOE partially agreed with the first recommendation and stated that it will conduct an additional analysis to assess the purpose, goals, and objectives of the SPR, taking into account private sector response, oil market projections, and any other relevant factors, that will lead to an evaluation of possible optimal sizes of the SPR in the future. DOE agreed with the second recommendation.", "DOE has also not fully identified whether additional regional petroleum product reserves should be part of the SPR. The Quadrennial Energy Review of 2015 recommended that DOE analyze the need for additional or expanded regional product reserves by undertaking updated cost- benefit analyses for all of the regions of the United States that have been identified as vulnerable to fuel supply disruptions. In response, DOE studied the costs and benefits of regional petroleum product reserves in the West Coast and Southeast Coast, though it did not finalize or publicly release these studies. Nevertheless, the draft studies concluded that a product reserve in the Southeast would provide significant net economic benefits to the region and the United States, particularly in the event of a major hurricane, while further analyses are needed to determine the potential benefits of a reserve on the West Coast. According to DOE officials, the agency has no plans to conduct additional studies. Without completing studies on the costs and benefits of regional petroleum product reserves, DOE cannot ensure that it and Congress have the information they need to make decisions about whether additional regional product reserves are needed. In our May 2018 report, we recommended that DOE conduct or complete such studies. DOE disagreed with this recommendation, though we continue to believe that conducting these analyses will provide Congress with needed information."], "subsections": []}, {"section_title": "DOE Has Taken Steps to Update Its Modernization Plans but Is Hindered by Uncertainty Regarding the SPR\u2019s Long-term Size", "paragraphs": ["As we found in our May 2018 report, DOE has taken steps to account for the effects of congressionally mandated oil sales in its plans for modernizing the SPR, though DOE\u2019s current plans, developed in 2016, are based on information largely developed prior to recent congressionally mandated sales of an additional 117 million barrels of oil. According to DOE documents, the SPR modernization program is focused on a life extension project to modernize aging infrastructure to ensure that the SPR will be able to meet its mission requirements for the next several decades. The project\u2019s scope of work has undergone several revisions since its inception in response to changing conditions and requirements, according to the agency. DOE has estimated that the SPR\u2019s modernization will cost up to $1.4 billion, and according to officials, the agency had spent $22 million as of the end of February 2018. According to DOE officials, in March 2018, DOE commenced a study\u2014 the SPR post-sale configuration study targeted for completion in October 2018\u2014to examine potential future reserve configurations and to account for the effects of congressionally mandated sales on the reserve and its modernization. Information from the study will inform DOE\u2019s updates to the SPR\u2019s modernization plans, according to DOE officials.", "Although the SPR had a design capacity to hold 713.5 million barrels of oil, in January 2017, the SPR held 695 million barrels. As shown in figure 2, congressionally mandated sales will cause excess storage capacity to grow to 308 million barrels or more by the end of fiscal year 2027\u2014 meaning that about 43 percent of the SPR\u2019s total design capacity to store oil would be unused.", "In its ongoing SPR post-sale configuration study, DOE plans to explore some options to use potentially excess SPR assets, such as spare storage capacity. In withdrawing oil to meet congressionally mandated oil sales currently in place (290 million barrels through fiscal year 2027), DOE could close at least one SPR site based on our analysis of projected excess storage capacity. For example, if DOE were to close the smallest SPR site, Bayou Choctaw in Louisiana, the agency could also explore selling the connected pipeline and marine terminal, which are currently being leased to a private company. DOE could also consider leasing excess storage capacity to other countries so that they could store oil at the SPR. DOE had not entered into any such leases with other countries and had not considered such leases as of May 2018 because, according to DOE, the SPR has historically lacked capacity to store additional oil. DOE had not proposed any of these options or explored the revenue the agency could generate by selling or leasing these assets. However, according to DOE officials, the agency will examine the feasibility of such options in the ongoing SPR post-sale configuration study.", "In the course of our work, we also identified other options for handling potentially excess SPR assets that DOE was not planning on examining as of May 2018, largely because DOE did not have the authority to pursue them, according to agency officials. First, DOE could explore leasing storage capacity to private industry. U.S. oil production has generally increased over the last decade. As a result, the private sector may want to lease excess SPR capacity, which may be cheaper than above-ground storage, according to a representative of a private company we interviewed. Fees for doing so could help defray SPR storage or maintenance costs. However, agency officials told us that the Energy Policy and Conservation Act gave DOE authority to lease underutilized storage to other countries but not to the private sector. Second, if Congress determines that the SPR holds oil in excess of that needed domestically, DOE could explore selling contingent contracts for the excess oil rather than selling the oil outright. Australian and New Zealand officials told us that such contracts would help their countries meet their IEA 90-day reserve obligations.", "Australian officials told us that they have discussed this option with DOE. Currently the United States and Australia have agreed, through an arrangement, to allow Australia to contract for petroleum stocks located in the United States and controlled by commercial entities. While the arrangement does not cover government-owned oil in the SPR, if it did, based on our analysis, DOE could generate up to approximately $15 million if Australia purchased the maximum allowable amount of oil specified in an arrangement through contracts for excess SPR oil in 2018. However, although the Energy Policy and Conservation Act allows DOE to lease underutilized storage to other countries, DOE lacks the authority to sell contracts for the oil and does not plan to seek this authority, according to DOE officials. DOE officials told us that they did not plan to examine these options.", "According to DOE\u2019s real property asset management order, the agency is to identify real property assets that are no longer needed to meet the program\u2019s mission needs and that may be candidates for reuse or disposal. Once identified, the agency is to undertake certain actions, including determining whether to dispose of these assets by sale or lease. As part of its SPR post-sale configuration study, DOE plans to determine whether it is appropriate to close SPR facilities, and the relative benefit of any closures would be informed by potential lease revenues from maintaining sites so they could be leased, according to agency officials. However, as mentioned previously, we identified other options for handling potentially excess SPR assets that DOE was not planning to examine in its study. Although DOE does not currently have the authority to implement these options, according to officials, examining their potential use, including possible revenue enhancement, could inform Congress as it examines whether it should grant such authority. Without examining a full range of options in the SPR post-sale configuration study, DOE risks missing beneficial ways to modernize the SPR while saving taxpayer resources. In May 2018, we recommended that in completing its ongoing SPR post-sale configuration study, DOE should consider a full range of options for handling potentially excess assets and, if needed, request congressional authority for the disposition of these assets. DOE agreed with this recommendation.", "Finally, as DOE takes steps to plan for the SPR\u2019s modernization, ongoing uncertainty regarding the SPR\u2019s long-term size and configuration have complicated DOE\u2019s efforts. Congress has generally set the SPR\u2019s size by mandating purchases or sales of oil. DOE officials told us they do not know whether Congress will mandate additional sales over the next 10 years or whether other changes may be required to the configuration of the reserve. Any additional congressionally mandated sales would require DOE to again revisit its modernization plans and assessments of the potential uses of any excess SPR assets. Oil market projections also have implications for the future of the SPR. The United States is projected to become a net exporter by the late 2020s and would then no longer have a 90-day reserve obligation, but it is projected to return to being a net importer between 2040 and 2050. These projected fluctuations could affect the desired size of the SPR in the future. Such uncertainties create risks for DOE\u2019s modernization plans, as DOE may end up spending funds on facilities that later turn out to be unnecessary should Congress ultimately decide on a larger- or smaller-sized SPR than DOE anticipates. In May 2018, we suggested that Congress may wish to consider setting a long-range target for the size and configuration of the SPR that takes into account projections for future oil production, oil consumption, the efficacy of the existing SPR to respond to domestic supply disruptions, and U.S. IEA obligations.", "In conclusion, we found that given the constrained budget environment and the evolving nature of energy markets and their vulnerabilities, it is important that DOE endeavor to ensure that the SPR is an efficient and effective use of federal resources.", "Chairman Upton, Ranking Member Rush, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact Frank Rusco, Director, Natural Resources and Environment, at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this testimony included Quindi Franco (Assistant Director), Nkenge Gibson (Analyst-in- Charge), Philip Farah, Ellen Fried, Cindy Gilbert, Gregory Marchand, Celia Mendive, Patricia Moye, Camille Pease, Oliver Richard, Dan Royer, Rachel Stoiko, and Marie Suding.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Strategic Petroleum Reserve, managed by the Department of Energy, is the nation's stockpile of emergency oil stored in salt caverns along the Gulf Coast.", "This testimony covers our May 2018 report, which found that DOE may need less of the reserve's storage space by 2027, after congressionally mandated oil sales.", "While DOE planned to explore some options for the excess capacity\u2014i.e., closing sites or leasing them to other countries\u2014we identified other options. For example, DOE could consider leasing storage facilities to private industry.", "In the report, we recommended that DOE examine a full range of options, among other things."]} {"id": "GAO-18-233", "url": "https://www.gao.gov/products/GAO-18-233", "title": "Emergency Management: Federal Agencies Could Improve Dissemination of Resources to Colleges", "published_date": "2018-01-23T00:00:00", "released_date": "2018-02-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Colleges and other postsecondary schools must plan for various potential emergencies, ranging from natural disasters to violence. A number of federal agencies, including DHS, DOJ, and Education, offer resources to support these efforts. GAO was asked to review colleges' awareness of these resources.", "This report examines how (1) selected colleges prepare for emergencies, and (2) federal agencies support college emergency preparedness efforts, including the extent to which selected colleges reported awareness of federal resources.", "To answer these questions, GAO interviewed officials from a non-generalizable sample of 18 colleges selected for diversity in size, type, and location. GAO also interviewed officials from three states (Colorado, Kansas, and Virginia) in which some of these schools operated. The states were selected to represent varied approaches to supporting colleges' emergency preparedness efforts. GAO also reviewed federal emergency preparedness resources, agency written responses, applicable federal laws, and federal internal control standards, and interviewed federal officials and representatives from several associations recommended by agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Emergency managers at 18 colleges across the country told GAO that their efforts to prepare for emergencies involved working with the campus community to develop, communicate, and practice plans, as well as working with state and local partners. Campus community members who are involved often include personnel from offices such as public safety, student affairs, or facilities. Officials at all 18 colleges reported developing emergency plans addressing a range of potential events\u2014an approach consistent with federal emergency management principles. To publicize plans, officials often reported using websites, text messages, or presentations to the campus community. Colleges also reported practicing plans through drills. College officials noted that buy-in from the college president and other top campus leaders was critical to their efforts; several officials reported struggling to obtain such support. Most officials also said they coordinate with local or state partners such as police and relied on these partners for advice or to obtain emergency preparedness resources.", "The Departments of Homeland Security (DHS), Justice (DOJ), and Education (Education) offer a variety of emergency preparedness resources to colleges (see figure). However, officials GAO interviewed at 18 colleges described mixed awareness of federal resources, especially those specifically tailored to colleges, despite federal efforts to publicize these resources in a variety of ways. Federal officials and other stakeholders acknowledged this mixed awareness and identified potential causes, such as college emergency managers having networks comprised of local officials who are more likely to know about federal resources for local agencies versus those for colleges, or some college officials devoting limited time to researching federal resources for various reasons.", "DHS, DOJ, and Education all publicize their resources through electronic mailing lists, websites, or other methods, but GAO identified missed opportunities in their dissemination approaches. For example, the electronic mailing list for one key resource may reach the approximately 1,000 officials from colleges subscribed, but may miss at least 3,000 additional schools. GAO also found two federal agency websites that did not include key resources from other federal agencies. Federal internal control standards state that agencies should consider the most appropriate methods for communicating with their external audiences. By identifying opportunities to improve dissemination, federal agencies may increase their ability to effectively communicate important information to colleges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DHS, DOJ, and Education work together to identify opportunities to more effectively publicize emergency preparedness resources to colleges. All three agencies concurred with the recommendations or described actions to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Colleges and other postsecondary schools must plan for a variety of potential emergencies. Recent events such as Hurricanes Harvey and Irma, active shooters, and violent rallies, underscore the importance of such preparations. Preparedness efforts involve developing plans and systems to prevent certain manmade events from occurring, protecting members of the campus community when natural or manmade emergencies do occur and minimizing the impact of such events, as well as ensuring the community\u2019s safety and maintaining or restoring operations in an event\u2019s aftermath. Adequately preparing and responding to emergencies can be complicated by the diverse needs of campus facilities that range from classrooms and dormitories to sports venues, laboratories, and medical buildings.", "College emergency preparedness efforts may be influenced by requirements of and resources from local, state, and federal agencies. At the federal level, three agencies\u2014the Departments of Homeland Security (DHS), Justice (DOJ), and Education (Education)\u2014play a key part in providing emergency preparedness resources to colleges. Education also oversees compliance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act), which includes requirements related to emergency preparedness and notification. You asked us to explore colleges\u2019 emergency preparedness efforts, as well as their awareness of related federal resources.", "This report examines how: 1) selected colleges prepare for emergencies, and 2) federal agencies support colleges\u2019 emergency preparedness efforts, including the extent to which selected colleges report awareness of federal resources.", "To obtain information about how selected colleges plan and prepare for emergencies, we conducted semi-structured interviews with officials at a nongeneralizable sample of 18 colleges. Prior to these interviews, we sent the 18 schools a pre-interview questionnaire to gather details on their emergency preparedness efforts and their awareness of available federal resources. In our interviews we asked follow-up questions, as appropriate, about their responses. In selecting these schools, we considered diversity in sector (public and private), size, 2-year and 4-year degree offerings, residential and non-residential campuses, and population density (i.e., rural versus urban). To obtain additional information about how colleges prepare for emergencies, we reviewed documents and interviewed officials from three states (Colorado, Kansas, and Virginia) in which some of these schools operated. The states were selected for their varied approaches to supporting college emergency preparedness. We also interviewed representatives from several college emergency preparedness associations that support colleges\u2019 emergency preparedness efforts and which were identified by federal agency officials. To obtain information about federal resources for college emergency preparedness, we reviewed federal resources and interviewed officials from DHS, DOJ, and Education. We also asked officials from these agencies to provide written descriptions of the resources they offer to colleges regarding emergency preparedness. We focused on these three agencies based on their central role in developing the 2013 Guide for Developing High-Quality Emergency Operations Plans for Institutions of Higher Education (an interagency effort) and our subsequent interviews and document review. We also asked officials at our 18 selected colleges about their awareness of federal resources. We reviewed relevant federal laws, regulations, and agency guidance and compared federal efforts to internal control standards for the federal government.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Colleges are a unique and diverse sector, varying from small, private schools in rural environments to large public schools in major cities. As of the 2015-2016 school year (the most recent available data), there were approximately 4,000 degree-granting colleges in the United States. In addition to educating students in classrooms, many colleges also manage a number of related business operations, such as dormitories, scientific research facilities, hospitals, performing arts centers, athletic venues, child care facilities, transportation systems, and agricultural facilities. These various roles and responsibilities increase the complexity of emergency preparedness efforts.", "DHS has developed a national approach to emergency preparedness by setting a national preparedness goal and outlining activities for achieving it. This approach is designed to apply across all levels of government and sectors of the economy\u2014including colleges, as well as local, state, and federal governments\u2014and to prioritize collaboration among these entities. The National Preparedness Goal identifies activities to prevent, protect against, mitigate, respond to, and recover from threats and hazards and recognizes that preparedness is a shared responsibility of the whole community. The National Incident Management System (NIMS), which was developed by DHS\u2019 Federal Emergency Management Agency (FEMA), operationalizes the goal by providing a guide with advice for government and nongovernmental entities for managing emergencies, including identifying a common vocabulary and processes for responding to emergencies. For example, NIMS establishes a standardized approach for communicating information during emergencies and outlines a leadership structure for managing emergencies, called an \u201cIncident Command System,\u201d so that the various entities responding to an emergency can operate seamlessly.", "DHS, DOJ, and Education all develop and disseminate emergency preparedness resources in line with their respective missions. Other agencies, such as the Department of Health and Human Services and the National Weather Service, also produce information that can help with colleges\u2019 emergency preparedness efforts."], "subsections": []}, {"section_title": "Selected Colleges Prepare for Emergencies by Involving the Campus Community, Developing and Publicizing Plans, and Partnering with Local and State Agencies", "paragraphs": [], "subsections": [{"section_title": "Selected Colleges Varied in Organizational Structures for Emergency Preparedness and Involvement of Campus Community", "paragraphs": ["College offices responsible for emergency preparedness efforts and the number of staff assigned to such efforts varied among the 18 selected colleges we interviewed and generally received some input from other members of the campus community. According to guidance for emergency planning from DHS\u2019 Federal Emergency Management Agency (FEMA), emergency preparedness staff are generally responsible for tasks such as developing emergency plans, communicating and updating those plans, and taking a lead role during an actual event. College officials we spoke with said that their schools generally designated a lead office for emergency preparedness efforts. This lead office ranged from a dedicated emergency preparedness office at some colleges to offices that had non-emergency preparedness responsibilities as well, such as offices of public safety, student affairs, or facilities. About half of the officials responsible for emergency preparedness efforts at the 18 selected colleges we interviewed also spent time on other types of responsibilities that were not specific to emergency preparedness, such as health and safety issues. State agency officials and representatives from a college emergency preparedness association we spoke with also noted that emergency managers at colleges often \u201cwear many hats,\u201d or have limited time to devote to emergency planning, which makes their jobs more difficult. College officials often said balancing competing priorities was challenging. For example, an official at one college told us that if his school had more staff it could expand outreach efforts to students and faculty and design specific actions for a wider range of emergencies.", "In addition to having a lead office, most of the 18 colleges reported convening advisory committees or teams from the campus community to help develop or revise emergency preparedness plans. For example, one official at a large public university with over 36,000 students told us emergency plans are reviewed by an emergency response committee comprised of representatives from the business office, student housing, faculty, and the provost, among others. An official from another college reported that, while some campus community members played a less active part in developing the emergency plan, they were still responsible for understanding their roles and responsibilities in the event of an emergency. According to FEMA\u2019s guidance for emergency plans, there are benefits to using a team approach. For example, the campus community is more likely to follow a plan if members have been involved in developing it because of a sense of shared ownership (see text box.)", "Two College Emergency Managers\u2019 Descriptions of Emergency Preparedness Efforts On the day a campus police officer was shot and killed, several of the members of the campus leadership, including myself (the emergency manager) and chief of police, were off campus. Fortunately, many people on campus have been trained to manage a significant event because college leadership had placed a strong emphasis on emergency preparedness, including succession planning. When something occurs it is important to have a team that has practiced together and can provide leadership even if some key individuals are not on campus at the time.", "Hurricane Irma was 340 miles across, wider than the states of Florida and Georgia in some places. We were on the \u201cdirty side\u201d of the hurricane, just to the east of the eye. We were relieved that the damage on our campuses was not worse. Because of our actions before the storm\u2014such as removing loose items like traffic cones and signage and tying down large equipment\u2014 we minimized the damage."], "subsections": []}, {"section_title": "Selected Colleges Reported Preparing for a Range of Emergencies and Varied in How They Communicated and Practiced their Plans", "paragraphs": ["College officials we interviewed described preparations for a range of emergencies and used a variety of tools to communicate and practice their plans (see text box). Officials we interviewed at all 18 colleges said their school developed \u201call hazards\u201d emergency plans, which means the plans are designed to address a range of emergencies while prioritizing those that are most likely to affect their campus. This \u201call hazards\u201d approach is supported by federal emergency preparedness principles as outlined in NIMS. Most college officials we spoke with said they prioritize at least one type of natural disaster that could occur in their geographical area, as well as manmade threats like active shooters. Most of the college officials reported talking with state or local partners or using some type of risk assessment tool or similar analysis to prioritize specific types of emergencies. College officials sometimes described this process as prioritizing emergencies that either occur more frequently, or are likely to have a significant effect on the college if they were to occur. For example, several officials at selected colleges said their schools prioritized active shooter events\u2014even though they occur relatively rarely\u2014because of incidents at other colleges or the potential effects on the community if such an event were to occur. A college\u2019s specific characteristics can also inform its emergency plan. For example, officials from two colleges said their schools serve as research institutions and may need to take extra steps to secure scientific infrastructure in an emergency. Two officials described emergency preparedness efforts related to the physical location of their campus, such as bordering a body of water or being adjacent to an airport.", "Two College Emergency Managers\u2019 Descriptions of Responding to Emergencies We knew that the hurricane was likely to hit other parts of our state badly, but we were not overly concerned that the hurricane would hit us directly. I came to work that morning and there were 20 buses on campus by our football field. We are an evacuation center but someone had forgotten to tell us that they were sending us 1,100 evacuees. Where were we going to put 1,100 people? These are the types of events that you plan for and hopefully you never have to implement those plans, but that day we had to do it. It took us about 4 or 5 hours between the time the buses showed up to when we had prepared the gymnasium with cots that were provided by the American Red Cross and food for the evacuees. The evacuees were here for 3 days. Our administrative staff slept on cots in our offices so that we were on campus the whole time the evacuees were here.", "Prior to the rally, we set up cameras in the area and arranged for additional security through mutual aid agreements with other police departments. We also convened in a nearby meeting room to monitor the situation. The situation turned violent very suddenly. At first, a couple hundred students and other individuals were in the area peacefully. Then a more rowdy group convened and within 15 minutes of their arrival, bottles were flying through the air and windows were being broken. I looked down for just a moment, then looked up again and a generator was on fire. We tried very hard to continue with the event because we believe in free speech, but safety became a concern and we had to cancel. It was very stressful and hard to watch. We were worried about the safety of our students.", "College officials we interviewed also outlined a variety of methods to communicate with the community in the event of an emergency and to conduct emergency drills.", "Officials we interviewed at the 18 selected colleges most commonly described using college websites, text messages, or mass email alerts to communicate emergency preparedness information to the campus community (see text box). Officials at several colleges also said they developed more detailed applications that students and faculty could download to their electronic devices for up-to-date emergency preparedness information.", "Two College Emergency Managers\u2019 Descriptions of Emergency Communications Within minutes of the shooting, an alert was sent utilizing multiple channels including texts, email, message boards, web, desktop and voice messages. This serves two functions; it provides redundancy of delivery and also considers the different information receiving preferences of the community. Emergency messages, at a minimum, provide what happened, where it happened, and what action needs to be taken. Updates are sent when there is new information. It is recommended that during an emergency you communicate at least every 30 minutes. It is also important to ensure that correct up to date information is available, since inaccurate rumors can spread quickly through social media.", "Twitter helped us amplify our messages. We wrote these messages quickly, while doing many other things, so that the community could have information as soon as possible including about areas to avoid for safety reasons. After the fact, the messages also provided a time- stamped record of the events and the campus response to those events.", "About half of the colleges also told us that they offer training to communicate emergency preparedness information to specific groups such as students, faculty, and administrators. For example, an official at one college told us the college has targeted outreach to faculty by developing specific trainings that cover specific issues, such as what to do when classes are disrupted or a building is no longer accessible, for example, as the result of a weather event. Officials from several colleges also said they communicate emergency preparedness information during new student orientation. Several college officials acknowledged that engaging students can be challenging, and some officials said they address this challenge by making presentations or printed and online materials as engaging as possible.", "Emergency Preparedness Drills and Exercises College officials we interviewed also said their colleges practice and test emergency preparedness plans by conducting drills and exercises at least once a year. Most officials from the 18 selected colleges said they conducted evacuation drills, such as fire drills; a few officials said they conducted more time-intensive activities such as \u201ctabletop exercises\u201d (i.e., sessions in which officials meet to discuss their roles during a specific type of emergency). For example, a large public college conducted a tabletop exercise to simulate a hypothetical weather event that damaged a dormitory. One official at a large university also described how the college uses emergency preparedness principles to manage non- emergency events such as sports events in order to practice their plans.", "College emergency managers said that buy-in from a college\u2019s top leadership was very important for promoting emergency preparedness efforts and increasing campus involvement. For example, one official described top leadership buy-in as the \u201cguiding light\u201d for the campus community. Another official said the president of his college made it mandatory for all executive staff to attend emergency preparedness trainings, which demonstrated his commitment to emergency planning and preparedness. When such support is lacking, officials said it is often difficult to engage students and faculty. For example, one college official told us that his college\u2019s previous president viewed emergency preparedness as bothersome and a burden. The lack of support limited the type of drills that could be conducted on campus, the official said. Another official at a private 4-year school explained that his college could not participate in the \u201cThe Great ShakeOut\u201d program because the drill fell outside of the allowable hours when drills were permitted to occur to avoid any conflicts with classroom instruction time."], "subsections": []}, {"section_title": "Selected Colleges Often Coordinated with Local Partners or State Agencies", "paragraphs": ["Officials at most of the 18 selected colleges stated that they relied on either their local or state partners, or both, for advice, questions, or to obtain resources for emergency preparedness. These partners were also the first responders for colleges experiencing emergencies and may include local and state police and fire departments, hospitals, and emergency management offices. Coordinating with partners is a key component of the federal emergency preparedness principles, as outlined in the National Preparedness Goal and NIMS.", "Most of the officials we spoke with at our selected colleges said they work with partners in their local community, such as police, fire, and emergency management departments or local public health agencies, in preparing for emergencies. For example, one official at a large public university described a mutual aid agreement with its local emergency management department, which allows his school access to the county\u2019s radio communication system in the event of an emergency. The specific nature of local partnerships often varied based on factors such as the size of the college and the surrounding community. For example, we heard from some state, college, and association representatives that some smaller colleges did not have very extensive police or security departments, and therefore, relied heavily on local police departments when emergencies occurred. While coordination often involved planning for how a community could help a college in the event of an emergency, college and emergency preparedness association officials also described instances in which large universities in small towns had more emergency preparedness resources than the town and were therefore the ones offering help. For example, one large university in a part of the country prone to tornadoes offers shelter to town residents and employs emergency response coordinators to help individuals quickly find shelter.", "Officials also said interpersonal relationships play a big part in deciding to whom they reach out. Most of the college officials with whom we spoke highlighted the importance of their interpersonal relationships with local and/or state law enforcement or emergency management officials and in some cases, attributed these relationships to having previously worked in local or state law enforcement or emergency management. For example, one college official told us that his former role as a local police chief has made it easy to identify and maintain contacts with local police, fire, and emergency medical services and to include them in all campus drills and exercises.", "College officials also described partnering with state agencies to develop their emergency plan and identify roles in the event of an emergency, adhere to state requirements, or obtain resources (see text box). Officials at about half of the 18 selected colleges described working with state law enforcement entities to, for example, obtain information about emerging threats, or involve state officials in drills and exercises to practice their colleges\u2019 emergency plans. About half of the college officials also described cases in which they were required by state law or regulation to complete certain college-specific emergency preparedness activities, such as developing an emergency operations plan, although officials from a college emergency preparedness association noted that state requirements related to college emergency preparedness vary widely. In addition to describing requirements from state emergency management agencies, officials from several public colleges described emergency preparedness requirements from the head office of their state\u2019s college system. Other officials said that their state did not have any requirements specific to emergency preparedness at colleges.", "States sometimes also provided resources for colleges\u2019 preparedness efforts. Officials at most of the 18 colleges we contacted said that they received some state written guidance, training, or technical assistance that was either specifically tailored to colleges, or was designed for various entities including colleges. For example, Colorado has an online school safety center that disseminates emergency preparedness resources and offers technical assistance. An official from the Kansas Board of Regents told us the Board\u2019s staff helps to facilitate a new emergency preparedness community of practice led by colleges, and an official from the state\u2019s Division of Emergency Management said they hold general emergency preparedness trainings in which colleges may participate.", "In addition to supports from local and state government, officials at most of the selected colleges reported that they received support or assistance from college emergency preparedness associations. For example, these associations host conferences and conduct studies on emergency preparedness.", "Three College Emergency Managers\u2019 Descriptions of Working with Community Partners Informal networks were essential. People who know each other will help each other. I have a friend in the state police department and requested his assistance with security for the evacuation center. The state police provided approximately 10 troopers to assist the campus police officers. Some evacuees brought their pets with them, so the county office of emergency management activated its animal shelter resources and positioned an animal shelter on campus. Someone brought a 4-foot iguana. What do you do with an iguana?", "The group that was being destructive moved back and forth between campus and the city, so we communicated and coordinated a lot with community partners. We work together on a daily basis, so the communication that night was seamless. We also had a member of the local police department in our emergency management headquarters during the event, which was very helpful.", "In the days leading up to Hurricane Irma, statewide briefings were held twice a day with a variety of emergency personnel in the room, including local police and fire chiefs, mayors, power companies, communications personnel, and the state emergency management department. Everyone had already discussed how we would work together in the event of an emergency, so the conversation focused on coordinating specific actions. For example, we are a state system of technical colleges with many tractor-trailer drivers on campus. We were asked to deploy those drivers to deliver supplies to various state and FEMA locations around the state.", "In addition to managing emergencies for the college, I am also the mayor of one of the local towns and those responsibilities dovetail nicely. Responding to emergencies never becomes second nature, but it\u2019s nice to know that when something natural or manmade strikes, there are systems, people, and assets in place. One of the reasons that the system works so well now is because frameworks like NIMS were put in place after Hurricane Katrina."], "subsections": []}]}, {"section_title": "Several Federal Agencies Offer Emergency Preparedness Resources Although Selected Colleges Reported Mixed Awareness", "paragraphs": [], "subsections": [{"section_title": "Federal Agencies Provide Guidance, Training, Technical Assistance, and Other Resources to Help Colleges Prepare for Emergencies", "paragraphs": ["Various sub-agencies within DHS, DOJ, and Education are involved in developing and providing emergency preparedness resources for colleges (see fig. 1).", "These three agencies use a variety of methods to provide resources, such as written guidance, webinars, and individual technical assistance (see fig. 2). The content of these resources ranges from general emergency management information to guidance specifically tailored to schools (see text box). Agency officials we interviewed said federal agencies have specific areas of expertise as it relates to college emergency preparedness. For example, DHS\u2019 FEMA provides broad emergency preparedness information and tools and DOJ approaches emergency preparedness through a law enforcement and public safety perspective. Education\u2019s role includes the work of its Federal Student Aid office, which approaches emergency preparedness by issuing relevant guidance, providing technical assistance, and enforcing compliance with the Clery Act.", "Federal officials noted that colleges can have differing needs when it comes to emergency preparedness, based on their size, funding, and current threats. As a result, agency officials said they strive to provide tailored resources when possible. For example, DHS officials said that the Campus Resilience Program is building a website portal that will include a menu of FEMA resources tailored to colleges\u2019 needs, including a downloadable self-assessment of risk and vulnerability. This new program is meant to expand on a similar pilot program that operated from 2013 to 2016; officials expect it to be accessible to schools midway through fiscal year 2018. Education and DOJ officials said that college officials have recently been requesting information and assistance with demonstrations and large events on campus. Specifically, the DOJ-funded National Center for Campus Public Safety (NCCPS) publicized a \u201cFor Official Use Only\u201d report on maintaining safety and order on campuses during protests and demonstrations, which was produced by DHS and DOJ. According to NCCPS tracking records, 325 colleges and other parties requested this guidance from January through August 2017. Additionally, agencies have developed resources based on current events, including webinars in response to a series of severe hurricanes in fall 2017.", "Examples of Federal Resources for Colleges\u2019 Emergency Preparedness Efforts", "National Incident Management System: The Department of Homeland Security\u2019s (DHS) Federal Emergency Management Agency (FEMA) provides general emergency management resources through its National Incident Management System (NIMS) and Incident Command System (ICS). FEMA officials have also helped produce some college-specific resources within NIMS and ICS, such as a guide for NIMS implementation for colleges, and courses tailored to college officials, including a course titled \u201cMulti-Hazard Emergency Management for Higher Education.\u201d", "National Center for Campus Public Safety (NCCPS): Funded by the Department of Justice (DOJ), NCCPS maintains a website with a library of resources and training for colleges, and distributes a weekly electronic newsletter to officials who request to be on the distribution list. NCCPS also staffs research associates who answer email requests from college officials.", "Readiness and Emergency Management for Schools (REMS)", "Technical Assistance Center: Administered by the Department of Education (Education), the center includes a community of practice, and links to federal resources and training. The REMS Center addresses emergency preparedness for both K-12 schools and colleges; according to officials, the center devotes approximately 20 percent of its resources to emergency preparedness for colleges.", "2013 Guide for Developing High-Quality Emergency Operations Plans for Institutions of Higher Education: Developed by Education, DOJ, DHS, and other agencies, this is an overall guide for colleges as they develop their emergency plans.", "Assistance related to Clery Act components on emergency preparedness: Offices within Education provide guidance (such as the Handbook for Campus Safety and Security Reporting) and assistance with calls to the Campus Safety and Security Help Desk.", "Examples of Federal Resources for Colleges\u2019 Emergency Preparedness Efforts", "Campus Resilience Program: As part of this program, the Office of Academic Engagement, within DHS, leads the National Seminar and Tabletop Exercise Series for Institutions of Higher Education, a series of campus-based events where college officials discuss their roles during a simulated emergency situation. DHS officials collaborate with officials from DOJ and other agencies to conduct these events. In 2016, the tabletop exercise focused on responding to campus violence.", "Campus Liaison Program: Federal Bureau of Investigation (FBI)", "Campus Liaison Agents, comprised of both Special Agents and Task Force Officers on the Joint Terrorism Task Forces in FBI field offices, provide information, training, exercises, and response capabilities to campus public safety officials.", "Research and reports on manmade threats: Agencies have published reports on manmade threats applicable to higher education settings, such as the 2010 report \u201cCampus Attacks: Targeted Violence Affecting Institutions of Higher Education,\u201d which was a collaborative among the FBI, Education, and Secret Service.", "Most of the federal agency officials we interviewed said they were generally aware of resources produced by other federal agencies and reported that collaboration is based on relationships formed through prior collaborative efforts, such as the White House-initiated effort to produce emergency preparedness guidance for colleges in 2013. For example, Education officials described being contacted by their colleagues at other agencies with questions or requests, and DHS and DOJ officials said they frequently cross-promote each other\u2019s resources. Further, various agencies have advisory boards and committees to inform their agency- specific initiatives, such as the DHS Homeland Security Academic Advisory Council, which includes officials from other agencies. However, some agency officials shared potential issues with information sharing. For example, one official said he continues to encounter federal offices that have emergency preparedness resources of which he was unaware, indicating there are continued opportunities for increased collaboration.", "There is currently no systemic way for federal agencies to share information about resources for college emergency preparedness. Federal officials have established an interagency working group, \u201cFederal Partners in School Emergency Management and Preparedness\u201d that currently focuses on resources for K-12 schools, and Education officials said it plans to expand its focus to include colleges, perhaps by fall 2018. Most federal agency officials we spoke with said having an interagency working group focused on colleges would be useful, for example, to ensure that officials are aware of all available resources across the federal government."], "subsections": []}, {"section_title": "Selected Colleges and Stakeholders Cited Schools\u2019 Mixed Awareness of Federal Resources Despite Agency Efforts to Publicize Them", "paragraphs": ["Officials from the selected 18 colleges cited mixed levels of awareness regarding federal resources on emergency preparedness developed specifically for them. For example, officials at all 18 colleges said they were aware of FEMA resources focused on general emergency preparedness, such as NIMS. However, we found that college emergency managers were less frequently aware of college-specific resources produced or funded by Education, DOJ, and others. Specifically, college emergency managers at almost half of the selected schools said that they were unaware of each of the following key resources: the 2013 Guide for Developing High-Quality Emergency Operations Plans, the NCCPS website, or Education\u2019s Readiness and Emergency Management for Schools (REMS) Technical Assistance Center website. In addition, the college officials with whom we spoke sometimes requested the federal government develop specific resources without realizing these resources already exist. For example, one college official described wanting resources on how to manage active shooter and weather-related emergencies, although several agencies currently fund or provide such resources. Additionally, another college official who generally accessed federal resources through DHS suggested that the agency develop tailored guidance for colleges beyond NIMS, without realizing that a NIMS guide for colleges exists on Education\u2019s REMS website.", "Federal officials and representatives from college emergency preparedness associations have also observed gaps in awareness of federal resources among college officials and have acknowledged it as a challenge. For example, one agency official said that every time she goes to a conference, she finds more college officials who have not heard of key federal resources, signaling a continued need for more outreach. A needs assessment funded by DOJ also found that awareness of federal resources may be an issue. Further, NCCPS staff conducted a survey among colleges to assess the level of engagement these schools have with entities such as FBI Campus Liaison Agents, and told us they found about half of colleges\u2014especially private colleges\u2014are unaware of the federal entities included in the survey.", "This limited awareness among some schools is occurring despite federal agencies\u2019 efforts to disseminate resources and engage with the higher education community. Agencies publicize resources through electronic mailing lists (i.e., listservs), social media, conferences, websites, direct outreach, and college emergency preparedness associations. For example, Education\u2019s Office of Safe and Healthy Students, which publishes its resources on its REMS website, publicizes these resources through social media. DHS publicizes its Campus Resilience Program at conferences. Other agency officials we spoke with said they also use conferences as opportunities to increase school officials\u2019 awareness of federal resources, and they partner with college emergency preparedness associations to publicize their resources. NCCPS includes information on various resources in its weekly e-newsletter. Additionally, following up on the results of the NCCPS survey on colleges\u2019 engagement with FBI Campus Liaison Agents discussed above, NCCPS staff have discussed the results with the FBI Program Manager of the Campus Liaison Program so the FBI can improve engagement with colleges.", "Officials from colleges, college emergency preparedness associations, and federal agencies we interviewed identified several factors, such as colleges\u2019 staffing resources dedicated to emergency preparedness and the nature of the professional networks used by their emergency managers, that may lead officials to be less familiar with college-specific federal resources on emergency preparedness:", "Without full-time emergency preparedness staff, colleges, particularly small colleges, must prioritize the most urgent tasks, and thus, officials reported not having enough time to research available federal resources. Representatives from college emergency preparedness associations also said that, in their experience, larger schools were more likely to be aware of federal resources than private and smaller colleges.", "College emergency managers we spoke with often have backgrounds in local or state emergency preparedness or law enforcement or have networks comprised of local or state officials. These managers often said they learned about federal resources through their more general local and state emergency preparedness networks. As a result, they were more frequently aware of general FEMA resources applicable to these localities versus resources specifically designed for colleges. In particular, college officials we contacted were more likely to report seeking information from DHS than from Education or DOJ.", "Some college officials may be uninterested in learning about additional resources provided by the federal government, especially if they receive resources from states, localities, or college emergency preparedness associations or potentially in cases where campus leadership does not prioritize emergency preparedness.", "While agency officials and representatives from college emergency preparedness associations said that federal agencies have made strides in publicizing their resources to a population of college officials that can be challenging to reach, and expressed desire to increase awareness, we identified potential gaps or missed opportunities in their dissemination approaches, including:", "Agencies commonly publicize new resources through their existing listservs and social media accounts. While these dissemination strategies are effective for alerting colleges already connected to federal agencies, they are less likely to reach additional colleges not already subscribed to these distribution lists. For example, a REMS official reported that the REMS listserv includes approximately 1,000 officials from colleges and related associations. Given that approximately 4,000 colleges were operating in the 2015-2016 school year, according to Education data, most colleges do not receive these electronic communications. In addition, DHS officials told us that one of their college emergency preparedness distribution lists includes representatives from college emergency preparedness associations and state college and university systems, but is not designed to include individual colleges unless they request to be included.", "Agencies also often publicize their efforts at conferences, but these conferences may miss some colleges, especially some smaller colleges with fewer resources with which to send college officials, according to several agency and college emergency preparedness association officials. As a result, colleges that can afford to send officials to these conferences may already be more informed than colleges not in attendance.", "In reviewing various federal websites, we found some lists of resources that did not include key federal resources, or included web links that directed visitors to other agencies\u2019 resources that were out of date. For example, one federal website included a list of resources related to emergency planning for colleges, but did not list the NCCPS website among these resources, even though it is a key resource focused on the topic. Another federal website for college emergency preparedness did not include a link to Education\u2019s REMS website, which was specifically developed for school emergency preparedness. Further, this same resource included a link to another Education webpage that was empty of content and had not been updated since 2015. When federal emergency preparedness websites are out of date or incomplete, federal agencies miss opportunities to provide accurate, up-to-date information about their resources and initiatives and those of their partner agencies, and may contribute to colleges\u2019 gaps in awareness about these resources.", "We heard from several college officials that they would like direct outreach from the federal government. Agencies do not generally distribute information directly to all colleges, especially those not previously signed up for listservs or other distribution services. However, Education has email contact information for the official at every college who reports campus crime statistics to the agency, which may be a natural entry point for federal agencies to disseminate information on emergency preparedness to all colleges.", "As discussed above, agency officials do not have a systematic method for notifying each other about their resources for colleges. This could limit officials\u2019 ability to cross-publicize each other\u2019s resources; an important activity given that some colleges we contacted only seek information from one agency or website and were unaware of resources from others.", "According to federal standards for internal control, in communicating information to achieve their objectives, agencies should consider appropriate methods of communication with their external audience (in this case, college emergency managers). Relatedly, these standards also state that agencies should communicate with each other on necessary information for achieving their objectives. Limited awareness of federal resources may result in colleges unnecessarily focusing their limited time and resources on developing strategies or information that federal agencies have already addressed, or advancing preparedness efforts that are not fully informed by federal agencies\u2019 expertise."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Emergency preparedness is a vital and challenging task for the higher education community. Various sub-agencies within three key federal agencies\u2014DHS, DOJ, and Education\u2014provide a number of resources for colleges, but over the course of our review, we found that colleges were sometimes unaware of key federal resources that could assist them in meeting their important emergency preparedness needs. The breadth of many colleges\u2019 responsibilities beyond education\u2014such as housing students, running research facilities, and operating hospitals\u2014increases their exposure to risks. Being underprepared in the face of an emergency could dramatically increase both human and economic consequences, not only for the colleges themselves, but also for the larger communities to which they are connected.", "Emergency preparedness is a shared responsibility and colleges bear some responsibility for learning about federal resources that can assist them in protecting their students and staff. However, striking an appropriate balance between meeting colleges\u2019 main mission\u2014educating students\u2014and other equally important responsibilities, such as emergency preparedness, can be difficult, especially given resource constraints. While federal agencies also face resource constraints, supporting the safety of college community members is an important part of the missions of DHS, DOJ, and Education. These agencies have developed a variety of resources intended to support colleges in their emergency preparedness efforts, but colleges are not always aware of these resources. This problem is exacerbated by federal agencies\u2019 choice of dissemination methods, which could miss a large portion of college emergency managers, and because federal agencies have missed opportunities to cross-promote each other\u2019s resources. Unless federal agencies address these issues, they will continue to miss opportunities to more effectively communicate important information to colleges, particularly those that may be harder to reach, such as smaller schools. The planned interagency working group on emergency preparedness for colleges may offer an opportunity to systematically explore areas in which communication and connection between colleges and federal agencies can be improved, while leveraging and improving existing agency relationships."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making a total of three recommendations\u2014one to each of the three agencies in our review\u2014to improve awareness of federal resources for emergency preparedness among colleges. Specifically: The Secretary of Education, in collaboration with other agencies through the planned interagency working group or another mechanism, should identify further opportunities to more effectively publicize resources to reach additional colleges. (Recommendation 1)", "The Secretary of Homeland Security, in collaboration with other agencies, through the planned interagency working group or another mechanism, should identify further opportunities to more effectively publicize resources to reach additional colleges. (Recommendation 2)", "The Attorney General, in collaboration with other agencies through the planned interagency working group or another mechanism, should identify further opportunities to more effectively publicize resources to reach additional colleges. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education, DHS, and DOJ for each agency\u2019s review and comment. All three agencies agreed with our recommendations or described steps they would take to implement them. Education\u2019s written comments are reproduced in appendix I and DHS\u2019 written comments are reproduced in appendix II. DOJ did not provide written comments. DHS and DOJ provided technical comments. We incorporated changes based on their comments into the report, as appropriate.", "Education stated that the agency is always interested in increasing utilization by colleges of the emergency management resources that the Department and other federal agencies develop. It also stated that the planned interagency working group would be a very appropriate and effective vehicle for increasing utilization of these resources, and that it will consider that group or other mechanisms to identify further opportunities to publicize resources to colleges.", "DHS concurred with our recommendation to the agency and said that it would continue to collaborate with its partners to further publicize resources available to colleges. It also highlighted several of the Department\u2019s current and planned resources for its related Campus Resilience Program.", "DOJ did not provide written comments, but stated that it agreed with our recommendation to the agency. Officials stated that they would outline steps for addressing the recommendation in future communications.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Attorney General of the United States, the Secretary of Education, and the Secretary of Homeland Security. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Janet Mascia (Assistant Director), Barbara Steel-Lowney (Analyst-in-Charge), Shilpa Grover, and Vernette Shaw made key contributions to this report. Also contributing to this report were: Susan Aschoff, Rachael Chamberlin, Jessica Moscovitch, Jessica Orr, Mimi Nguyen, Deborah Bland, Benjamin Sinoff, Sheila McCoy, Jean McSween, Lori Rectanus, and Sarah Veale."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-559", "url": "https://www.gao.gov/products/GAO-18-559", "title": "Data Protection: Actions Taken by Equifax and Federal Agencies in Response to the 2017 Breach", "published_date": "2018-08-30T00:00:00", "released_date": "2018-09-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CRAs such as Equifax assemble information about consumers to produce credit reports and may provide other services, such as identity verification to federal agencies and other organizations. Data breaches at Equifax and other large organizations have highlighted the need to better protect sensitive personal information.", "GAO was asked to report on the major breach that occurred at Equifax in 2017. This report (1) summarizes the events regarding the breach and the steps taken by Equifax to assess, respond to, and recover from the incident and (2) describes actions by federal agencies to respond to the breach. To do so, GAO reviewed documents from Equifax and its cybersecurity consultant related to the breach and visited the Equifax data center in Alpharetta, Georgia, to interview officials and observe physical security measures. GAO also reviewed relevant public statements filed by Equifax. Further, GAO analyzed documents from the IRS, SSA, and USPS, which are Equifax's largest federal customers for identity-proofing services, and interviewed federal officials related to their oversight activities and response to the breach."]}, {"section_title": "What GAO Found", "paragraphs": ["In July 2017, Equifax system administrators discovered that attackers had gained unauthorized access via the Internet to the online dispute portal that maintained documents used to resolve consumer disputes (see fig.). The Equifax breach resulted in the attackers accessing personal information of at least 145.5 million individuals. Equifax's investigation of the breach identified four major factors including identification, detection, segmenting of access to databases, and data governance that allowed the attacker to successfully gain access to its network and extract information from databases containing personally identifiable information. Equifax reported that it took steps to mitigate these factors and attempted to identify and notify individuals whose information was accessed. The company's public filings since the breach occurred reiterate that the company took steps to improve security and notify affected individuals.", "The Internal Revenue Service (IRS), Social Security Administration (SSA), and U.S. Postal Service (USPS)\u2014three of the major federal customer agencies that use Equifax's identity verification services\u2014conducted assessments of the company's security controls, which identified a number of lower-level technical concerns that Equifax was directed to address. The agencies also made adjustments to their contracts with Equifax, such as modifying notification requirements for future data breaches. In the case of IRS, one of its contracts with Equifax was terminated. The Department of Homeland Security offered assistance in responding to the breach; however, Equifax reportedly declined the assistance because it had already retained professional services from an external cybersecurity consultant. In addition, the Bureau of Consumer Financial Protection and the Federal Trade Commission, which have regulatory and enforcement authority over consumer reporting agencies (CRAs) such as Equifax, initiated an investigation into the breach and Equifax's response in September 2017. The investigation is ongoing."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report. GAO plans to issue separate reports on federal oversight of CRAs and consumer rights regarding the protection of personally identifiable information collected by such entities. A number of federal agencies and Equifax provided technical comments which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Recent data breaches at federal agencies, retailers, hospitals, insurance companies, consumer reporting agencies (CRA), and other large organizations have resulted in the potential compromise of millions of Americans\u2019 personally identifiable information (PII), which could lead to identity theft and other serious consequences. Such incidents highlight the importance of ensuring the security and privacy of PII collected and maintained by those entities.", "As one example, the breach of an Equifax online dispute portal from May to July 2017 resulted in the compromise of records containing the PII of at least 145.5 million consumers in the U.S. and nearly 1 million consumers outside of the U.S. Among others, the customers of Equifax\u2019s services include federal agencies, such as the Internal Revenue Service (IRS); Social Security Administration (SSA); and U.S. Postal Service (USPS). In addition, the Bureau of Consumer Financial Protection (BCFP) and Federal Trade Commission (FTC) have roles in providing oversight of Equifax and other CRAs.", "You requested that we review aspects of the 2017 Equifax breach and the federal response. Our specific objectives were to (1) summarize the events regarding the 2017 Equifax breach and the steps taken by the company to assess, respond to, and recover from the incident and (2) describe the actions that federal customers and oversight agencies took in response to the breach.", "To address the first objective, we analyzed documentation generated by Equifax and its cybersecurity consultant in response to the breach, such as the report summarizing the results of the consultant\u2019s forensic analysis of Equifax systems. In addition, we conducted a site visit at the Equifax data center in Alpharetta, Georgia, where we interviewed relevant company officials and observed the organization\u2019s physical security measures. We did not independently verify or assess Equifax\u2019s security controls or the steps the company took to address factors related to the breach. We also reviewed Equifax\u2019s relevant public filings it provided to the public and shareholders, which included information about the data breach and the company\u2019s efforts for remediation.", "For the second objective, we analyzed documentation that described key actions taken by federal customers and oversight agencies following the breach. This included documentation that discussed the responses to the breach by IRS, SSA, and USPS, as key federal customers of Equifax. In addition, we analyzed documentation related to the oversight of Equifax (and other CRAs) by BCFP and FTC. We also conducted interviews with officials of these selected customer and oversight agencies to further understand the actions they took. Appendix I discusses our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from November 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["A consumer reporting agency is a person or entity that assembles or evaluates consumer credit information or other consumer information for the purpose of furnishing consumer reports to others. This includes companies that compile and store electronic files of consumer information, which they then sell to other businesses and organizations that use the information to assess or evaluate creditworthiness.", "Furnishing of information by creditors and others to CRAs is voluntary, as federal law generally does not require such reporting, and information compiled on individual consumers can vary among the CRAs. A lender uses the information provided to determine whether to offer credit to an individual, the rate of interest to be assigned to the loan, and other terms of the contract. In addition, a growing number of entities use information provided by CRAs to help make decisions about individuals\u2019 credit worthiness when determining eligibility for insurance, housing, or employment, among other things. Information from CRAs can also be used for other purposes, such as to identify potential customers with specific characteristics for new credit card accounts.", "CRAs may provide a variety of verification services to government and private sector organizations. For example, Equifax provides income and employment verification services using information collected from employers.", "Equifax, TransUnion, and Experian\u2014the three major CRAs\u2014also leverage information they collect from organizations, such as financial institutions, utilities, cell phone service providers, public records, and government sources, to offer identity verification services. Other entities, including federal agencies, use identity verification when they enroll new applicants for benefits and services. In addition, the IRS uses identity verification to ensure that individuals who want to access prior year tax returns are the legitimate filers of those returns.", "With regard to identity verification, CRAs typically use information they collect to generate questions that federal agencies and other entities can use to test applicants\u2019 knowledge of information in their credit file. These questions and answers are typically the basis for identity proofing\u2014the process of comparing evidence from an individual with a trusted source of data to verify that the individual is who they claim to be. The evidence generally consists of information or documentation that only the legitimate individual should know or have access to. For example, a driver\u2019s license, passport, knowledge of recent financial transactions, and biometric information are all considered relatively strong evidence that the individual is who they say they are."], "subsections": [{"section_title": "A Data Breach Can Have Harmful Results", "paragraphs": ["Although there is no commonly agreed-upon definition, the term \u201cdata breach\u201d generally refers to an unauthorized or unintentional exposure, disclosure, or loss of an organization\u2019s sensitive information. This information can include PII, such as Social Security numbers, or financial information, such as credit card numbers.", "A data breach can occur under many circumstances and for many reasons. It can be inadvertent, such as from the loss of an electronic device, or deliberate, such as from the theft of a device. A breach can also occur as a result of a cyber-based attack by a malicious individual or group, agency insiders, foreign nation, terrorist, or other adversary. Data breaches have occurred at all types of organizations, including private, nonprofit, and federal and state entities.", "The loss or unauthorized disclosure of information in a data breach can lead to serious consequences and can result in substantial harm to individuals, private sector organizations, and the federal government. Examples of harmful results include: loss or theft of resources, including money and intellectual property, and identity theft; inappropriate access to and disclosure, modification, or destruction of sensitive information; harm to national security; use of computer services for unauthorized purposes or to launch an attack on other computer systems; damage to networks and equipment; loss of privacy, emotional distress, or reputational harm; loss of public confidence; and high costs to remediate the effects of the breach."], "subsections": []}, {"section_title": "Attackers Use a Variety of Tools and Techniques", "paragraphs": ["Cyber criminals seeking access to sensitive information, such as PII, typically use a variety of readily available software tools to carry out attacks. These tools can be used to intercept and capture data as they are transmitted, exploit known vulnerabilities in commercially available software, and facilitate e-mail phishing techniques for gaining unauthorized access to systems and information.", "Attackers often use similar techniques and tools, making it difficult to distinguish one attacker from another. When custom-built tools are used, an attacker may rely on unique methods or display other telltale signs that can be used for identification; such tools are usually used when a target\u2019s defenses justify them. Off-the-shelf tools are usually enough to conduct a successful attack that allows an attacker to steal data, bring systems down, or gain further access to systems and resources.", "Attackers often begin with network-scanning programs, which are used to map the layout of a targeted network and determine the location of data repositories that may contain information of interest. Some scanners are designed to scan only a single networked computer, extracting as much data about that system as possible. Others can scan Internet addresses across the web to identify potential targets by determining whether they are using a version of software that is vulnerable to an attack.", "Once a target has been identified, the attacker will generally attempt to gain access to the system or network without leaving any indication of who they are or from where they launched their attack. This is commonly accomplished using tools that mask the attacker\u2019s origin by using the Internet address of another computer from another location. While an investigator can sometimes use forensic tools to trace the original Internet address, often this leads to misleading information.", "Attackers use additional tools and techniques to gain unauthorized access to systems and data on the target network and to transfer stolen data back to the attacker\u2019s own computer system. One such technique is to leverage the access rights gained on the originally compromised system to get further access into other servers on the network. To do this, an attacker can use standard, off-the-shelf tools for navigating systems and managing information that blend in with normal network activity. For example, encryption can be used to hide the transfer of sensitive information from one server to another or out of the network entirely. This enables the attacker to continue probing for more repositories of information and stealing copies of that information without being detected by the targeted network\u2019s system administrators."], "subsections": []}, {"section_title": "Federal Agencies Oversee CRA Activities, Including Protection of Personally Identifiable Information", "paragraphs": ["CRAs have been subject to federal regulation since the passage of the Fair Credit Reporting Act in 1970. Currently, FTC and BCFP are the two federal agencies with primary oversight responsibilities for CRAs. FTC was given responsibility for administratively enforcing CRAs\u2019 compliance with the Fair Credit Reporting Act at the time of enactment. As part of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd- Frank Act), BCFP was given authority to enforce a number of federal consumer financial laws, including the Fair Credit Reporting Act. BCFP also has begun exercising supervisory authority over certain larger participants in the credit reporting market."], "subsections": [{"section_title": "FTC Has Enforcement Authority over CRAs", "paragraphs": ["FTC has authority, subject to certain exceptions, to investigate any organization that maintains consumer data and to bring enforcement actions for violations of laws that concern the protection of consumer information. FTC also exercises enforcement authority over CRAs through the Gramm-Leach-Bliley Act and the related \u201cSafeguards\u201d and \u201cPrivacy Rules.\u201d", "The Fair Credit Reporting Act promotes the accuracy, fairness, and privacy of information collected or used to help make decisions about individuals\u2019 eligibility for credit, insurance, employment, housing, or other benefits. CRAs that compile credit histories and other personal information into consumer reports must adhere to the act\u2019s provisions for ensuring the accuracy and permissible uses of such information.", "The Gramm-Leach-Bliley Act requires that federal financial regulators and FTC establish standards and protections to ensure the security and confidentiality of customer information. These standards and protections must be implemented by companies of all sizes that are engaged in financial activities, including Equifax and all other CRAs. Further, the act requires financial institutions to protect the security of customers\u2019 personal information.", "As part of its implementation of the Gramm-Leach-Bliley Act, FTC issued the \u201cSafeguards Rule\u201d, which requires financial institutions develop, implement, and maintain a comprehensive information security program to keep information about a customer of a financial institution secure and confidential. In addition to developing their own safeguards, companies covered by the rule are responsible for requiring their affiliates and service providers to implement and maintain safeguards to protect customer information in their care.", "In determining whether it should take enforcement action against a company for a violation of data security provisions, FTC considers a number of factors, including whether a company\u2019s data security measures are commensurate with the company\u2019s size. FTC does not have supervisory authority to examine CRAs for compliance with the Federal Trade Commission Act; therefore, the agency typically must rely on its enforcement authority after an incident has occurred.", "Finally, FTC enforces Section 5 of the Federal Trade Commission Act, which prohibits \u201cunfair or deceptive acts or practices in or affecting commerce.\u201d FTC officials told us that failing to properly protect consumer data can be considered an unfair or deceptive act or practice."], "subsections": []}, {"section_title": "BCFP Has Enforcement and Supervisory Authorities over CRAs", "paragraphs": ["In 2010, the Dodd-Frank Act gave BCFP enforcement authority over all CRAs and certain other persons for violations of most provisions of the Fair Credit Reporting Act; certain provisions of the Gramm-Leach-Bliley Act; and for unfair, deceptive, or abusive acts or practices under sections 1031 and 1036 of the Dodd-Frank Act. BCFP has taken enforcement actions against CRAs for violations of the Fair Credit Reporting Act and for deceptive practices.", "In 2012, BCFP also extended its supervisory authority to include larger CRAs\u2014that is, those with more than $7 million in annual receipts from consumer reporting activities. BCFP staff review certain of these larger CRAs on an ongoing basis, and BCFP staff said that their recent examinations of CRAs have focused on compliance with Fair Credit Reporting Act requirements related to accuracy and resolving consumer disputes. BCFP has also examined CRAs subject to the BCFP\u2019s supervisory authority for compliance with other Fair Credit Reporting Act requirements, including those related to ensuring the accuracy of information in consumer reports, furnishing information only to those with a permissible purpose, and compliance with the consumer dispute process.", "BCFP also has supervisory authority over some aspects of the Gramm- Leach-Bliley Act. For example, BCFP examines larger CRAs for whether they restrict the sharing and disclosure of nonpublic personal information to third parties. BCFP does not have supervisory or enforcement authority over the \u201cSafeguards Rule\u201d enacted by FTC as part of the agency\u2019s implementation of the Gramm-Leach-Bliley Act.", "Finally, BCFP has authority to examine larger CRAs for any unfair, deceptive, or abusive acts or practices and to bring enforcement actions against CRAs of all sizes for such acts or practices. According to BCFP staff, in some cases, a CRA could commit an unfair, deceptive, or abusive act or practice or violation of other applicable law in connection with its data security practices."], "subsections": []}]}, {"section_title": "GAO Has Previously Reported on Data Protection Issues", "paragraphs": ["We have previously made recommendations to agencies regarding the protection of PII, and proposed Matters for Congressional Consideration in areas where laws could be enhanced. For example, in our recent report on data oversight at the Centers for Medicare and Medicaid Services (CMS), we recommended that the agency ensure that all third parties that receive CMS data have clear requirements for the protection of that data, that CMS properly oversee the implementation of those requirements, and that the agency ensure identified issues are remediated. Additionally, our recent report on the oversight of students\u2019 PII at the Department of Education included seven recommendations for better protection of student PII and for improving department policies to meet federal privacy guidelines. All of these recommendations currently remain open while the agencies take actions to address them.", "In addition to recommendations for agencies, we have proposed two Matters for Congressional Consideration related to data protection. In 2008, we reported that the Privacy Act and E-Government Act of 2002 may not adequately ensure that consumers are notified in the event of a breach by federal agencies and that existing laws could better ensure that consumers are aware of what PII federal agencies collect and how they use it. Based on this finding, we suggested that Congress consider amending applicable laws to ensure that all PII collected by federal agencies is protected and that its use is limited to the stated purpose of the collection.", "With regard to data collected by private entities, in 2013, we reported that existing federal laws provide consumers with only limited protection for data that is collected and used for marketing purposes. Consequently, we asked Congress to consider strengthening the current consumer privacy framework to reflect the effects of changes in technology and the marketplace while also ensuring that any limitations on data collection and sharing do not unduly inhibit the economic and other benefits to industry and consumers that data sharing can accord."], "subsections": []}]}, {"section_title": "Attackers Exploited Vulnerabilities That Equifax Subsequently Reported Taking Actions to Address", "paragraphs": ["In March 2017, unidentified individuals discovered the presence of a known vulnerability in software running on Equifax\u2019s online dispute portal that could be used to obtain access to the system. In May of that year, attackers exploited the vulnerability and began to extract data containing PII from Equifax\u2019s information systems. According to Equifax, the attackers used a number of techniques to disguise their exploit of the Equifax systems and the database queries they conducted. On July 29, 2017, Equifax discovered the breach and reported that it took actions to address the factors that allowed the attackers to successfully gain access to its network. Further, the company reported that it took steps to identify, notify, and provide support to individuals who were potentially impacted by the breach."], "subsections": [{"section_title": "Attackers Identified and Exploited Vulnerabilities to Steal Data", "paragraphs": ["Equifax has stated that, on March 10, 2017, unidentified individuals scanned the company\u2019s systems to determine if the systems were susceptible to a specific vulnerability that the United States Computer Emergency Readiness Team had publicly identified just 2 days earlier. The vulnerability involved the Apache Struts Web Framework and would allow an attacker to execute commands on affected systems.", "Equifax officials stated that, as a result of this scanning, the unidentified individuals discovered a server housing Equifax\u2019s online dispute portal that was running a version of the software that contained the vulnerability. Using software they obtained from an unknown source and that was designed to exploit the vulnerability, the unidentified individuals subsequently gained unauthorized access to the Equifax portal and confirmed that they could run commands. No data was taken at this time.", "According to Equifax officials, beginning on May 13, 2017, in a separate incident following the initial unauthorized access, attackers gained access to the online dispute portal and used a number of techniques to disguise their activity. For example, the attackers leveraged existing encrypted communication channels connected to the online dispute portal to send queries and commands to other systems and to retrieve the PII residing on the systems. The use of encryption allowed the attackers to blend in their malicious actions with regular activity on the Equifax network and, thus, secretly maintain a presence on that network as they launched further attacks without being detected by Equifax\u2019s scanning software.", "Equifax officials added that, after gaining the ability to issue system-level commands on the online dispute portal that was originally compromised, the attackers issued queries to other databases to search for sensitive data. This search led to a data repository containing PII, as well as unencrypted usernames and passwords that could provide the attackers access to several other Equifax databases. According to Equifax\u2019s interim Chief Security Officer, the attackers were able to leverage these credentials to expand their access beyond the 3 databases associated with the online dispute portal, to include an additional 48 unrelated databases.", "After reviewing system log files that recorded the attackers\u2019 actions, Equifax officials determined that the attackers then ran a series of queries in an effort to try to extract PII from the databases they had located. Altogether, the attackers ran approximately 9,000 queries, a portion of which successfully returned data containing PII. As before, Equifax officials stated that the attackers were able to disguise their presence by blending in with regular activity on the network.", "After successfully extracting PII from Equifax databases, the attackers removed the data in small increments, using standard encrypted web protocols to disguise the exchanges as normal network traffic. The attack lasted for about 76 days before it was discovered. Figure 1 depicts an analysis of how the attackers gained access into Equifax\u2019s systems and exploited vulnerabilities."], "subsections": []}, {"section_title": "After Becoming Aware of the Attack, Equifax Took Steps to Block the Attackers", "paragraphs": ["Equifax\u2019s assessment of the data breach began with actions it took to identify that it was being attacked as well as subsequent actions to block the intrusion. Equifax officials stated that, on July 29, 2017\u2014 approximately 2.5 months after the attackers began extracting sensitive information on May 13, 2017\u2014security personnel conducting routine checks of the operating status and configuration of IT systems detected the intrusion on the online dispute portal.", "As reported by Equifax, a network administrator conducting routine checks of the operating status and configuration of IT systems discovered that a misconfigured piece of equipment allowed attackers to communicate with compromised servers and steal data without detection. Specifically, while Equifax had installed a device to inspect network traffic for evidence of malicious activity, a misconfiguration allowed encrypted traffic to pass through the network without being inspected. According to Equifax officials, the misconfiguration was due to an expired digital certificate. The certificate had expired about 10 months before the breach occurred, meaning that encrypted traffic was not being inspected throughout that period. As a result, during that period, the attacker was able to run commands and remove stolen data over an encrypted connection without detection.", "Equifax officials stated that, after the misconfiguration was corrected by updating the expired digital certificate and the inspection of network traffic had restarted, the administrator recognized signs of an intrusion, such as system commands being executed in ways that were not part of normal operations. Equifax then blocked several Internet addresses from which the requests were being executed to try to stop the attack.", "Equifax reported that, on July 30, 2017, after its information security department observed additional suspicious activity continuing to occur, the online dispute portal was taken offline. The next day, the Chief Security Officer, in coordination with internal stakeholders, informed the Chief Executive Officer of the attack on the portal."], "subsections": []}, {"section_title": "Equifax Identified Several Factors That the Attacker Exploited During the Breach", "paragraphs": ["To further assess the scope of the breach and identify its causes, Equifax began an investigation to identify the vulnerabilities that had been exploited to steal PII from its systems. Concurrent with this effort, company officials stated that they also began examining the data repositories that had been accessed to try to determine how much data had been taken and how many individuals were potentially impacted. According to Equifax officials, the investigation took place between August 2 and October 2, 2017, with the help of an external cybersecurity consultant.", "Equifax officials stated that the company\u2019s investigation was facilitated by the use of electronic logs that had not been damaged or erased by the attackers on the affected systems. These logs recorded commands that were issued by the attackers throughout the attack, such as commands to retrieve or display the contents of data repositories. By examining the logs, Equifax worked to reconstruct the sequence of specific actions that the attackers had taken and, consequently, determine what specific data had been compromised. In addition to initiating its internal investigation, on August 2, 2017, the company notified the Federal Bureau of Investigation of the breach.", "Based on its cybersecurity consultant\u2019s analysis and recommendations following the breach, Equifax determined that several major factors had facilitated the attackers\u2019 ability to successfully gain access to its network and extract information from databases containing PII. Specifically, Equifax officials told us that key factors that led to the breach were in the areas of identification, detection, segmentation, and data governance: Identification. According to Equifax officials, the Apache Struts vulnerability was not properly identified as being present on the online dispute portal when patches for the vulnerability were being installed throughout the company. After receiving a notice of the vulnerability from the United States Computer Emergency Readiness Team in March 2017, Equifax officials stated that they circulated the notice among their systems administrators. However, the recipient list for the notice was out-of-date and, as a result, the notice was not received by the individuals who would have been responsible for installing the necessary patch. In addition, Equifax officials stated that although the company scanned the network a week after the Apache Struts vulnerability was identified, the scan did not detect the vulnerability on the online dispute portal.", "Detection. As reported by Equifax officials, an expired digital certificate contributed to the attackers\u2019 ability to communicate with compromised servers and steal data without detection. Specifically, while Equifax had installed a tool to inspect network traffic for evidence of malicious activity, the expired certificate prevented that tool from performing its intended function of detecting malicious traffic.", "The certificate had expired before May 2017, meaning that traffic was not being inspected throughout the breach.", "Segmentation. Because individual databases were not isolated or \u201csegmented\u201d from each other, the attackers were able to access additional databases beyond the ones related to the online dispute portal, according to Equifax officials. The lack of segmentation allowed the attackers to gain access to additional databases containing PII, and, in addition to an expired certificate, allowed the attackers to successfully remove large amounts of PII without triggering an alarm.", "Data Governance. Data governance includes setting limits on access to sensitive information, including credentials such as usernames and passwords. According to Equifax officials, the attackers gained access to a database that contained unencrypted credentials for accessing additional databases, such as usernames and passwords. This enabled the intruders to run queries on those additional databases.", "In addition to these four broad categories, Equifax officials noted one other factor that also facilitated the breach. Specifically, the lack of restrictions on the frequency of database queries allowed the attackers to execute approximately 9,000 such queries\u2014many more than would be needed for normal operations."], "subsections": []}, {"section_title": "Equifax Reported Taking Steps to Strengthen its Cybersecurity Controls", "paragraphs": ["According to Equifax\u2019s public filings, including its annual 10-K filing submitted to the Securities and Exchange Commission in March 2018 and its notice of 2018 annual meeting and proxy statement, following the 2017 incident, Equifax undertook a variety of remediation efforts to address the factors identified in their investigation. Equifax officials responsible for coordinating the response to the incident stated that, once the company identified how the attackers were able to gain unauthorized access to company systems and remove sensitive data, it took measures to address the internal factors that led to the breach. The measures were intended to better protect the company\u2019s infrastructure from future disruptions, compromises, or failures. We did not independently assess Equifax\u2019s efforts to address the identified factors.", "Specifically, Equifax officials stated that system-level remediation measures were implemented to address the factors that led to the breach. For example, to work toward addressing concerns about identifying vulnerable servers, Equifax reportedly is implementing a new management process to identify and patch software vulnerabilities and confirm that vulnerabilities have been addressed. Also, to help ensure that detection of malicious activity is not hindered in the future, Equifax officials said they have developed new policies to protect data and applications and implemented new tools for continuous monitoring of network traffic. Further, in an effort to improve segmentation between devices that do not need to communicate, Equifax officials stated that they have implemented additional controls to monitor communications at the external boundary of the company\u2019s networks and added restrictions on traffic between internal servers. Finally, to help address data governance issues, the officials said they were implementing a new security controls framework and tighter controls for accessing specific systems, applications, and networks.", "In addition to these measures, Equifax stated that they implemented a new endpoint security tool to detect misconfigurations, evaluate potential indications of compromise, and automatically notify system administrators of identified vulnerabilities. Further, Equifax officials reported that the company has implemented a new governance structure to regularly communicate risk awareness to Equifax\u2019s board of directors and senior management. The new structure requires the company\u2019s Chief Information Security Officer to report directly to the Chief Executive Officer. Officials said this should allow for greater visibility of cybersecurity risks at top management levels."], "subsections": []}, {"section_title": "Equifax Reported Taking Steps to Identify Affected Individuals", "paragraphs": ["Following the shutdown of its online dispute portal, Equifax took steps to identify what data had been lost and the number of individuals affected so that it could fulfill its responsibility to notify affected individuals. To develop its estimate of the number of individuals affected by the data breach, Equifax stated that it recreated the attackers\u2019 database queries on a separate system that could run the queries at high speed, allowing Equifax to generate its estimate in a relatively short period of time. Equifax staff then worked to reconstruct queries against the data tables to identify which queries had successfully extracted data and which individuals were associated with that data.", "However, as is commonly experienced with large breaches, Equifax faced challenges in determining exactly how many individuals were affected. According to Equifax officials, much of the stolen data consisted of incomplete records without full sets of identifying information. Some data sets included information that could be matched to more than one known individual. Subsequently, Equifax officials stated that they compared these data sets with information in the company\u2019s internal databases that were not impacted by the data breach to make matches with known identities.", "For example, Equifax took partial records that did not include all fields and ran an analysis to determine whether Social Security numbers and names included in the records could be matched with those in Equifax\u2019s core credit reporting databases. In addition, Equifax performed analyses to remove duplicates and to determine whether a person could be linked to incomplete records based on Social Security numbers. After Equifax completed its initial analysis of the datasets, it estimated that approximately 143 million U.S. consumers had been affected by the breach.", "Moreover, Equifax\u2019s initial analysis, reported on September 7, 2017, indicated that multiple types of PII had been compromised, including individuals\u2019 names, Social Security numbers, birth dates, addresses, and driver\u2019s license numbers. Because many of the records were incomplete, not all of the types of PII had been compromised for all affected individuals.", "In addition, Equifax determined that credit card numbers for approximately 209,000 consumers and certain dispute documents, which had included PII for approximately 182,000 consumers, had been accessed. These documents contained PII associated with specific items from dispute cases that were submitted to Equifax as evidence supporting disputes they filed about the accuracy of their credit reports, such as utility bills.", "Equifax made two revisions over time to its estimate of affected individuals. First, in late September 2017, Equifax determined that it had incorrectly concluded that one of the attackers\u2019 queries had not returned any data. After additional analysis, including a determination that the query had, in fact, allowed the attackers to access PII from approximately 2.5 million additional U.S. consumers, Equifax revised the number of affected individuals from 143 million to 145.5 million on October 2, 2017.", "Second, on March 1, 2018, Equifax stated that it had identified approximately 2.4 million U.S. consumers whose names and partial driver\u2019s license information were stolen. The newly identified individuals were based on names and partial driver\u2019s license information contained in a data table that Equifax had not previously identified as including individuals compromised in the breach. According to Equifax officials, Equifax\u2019s original investigation had not identified these individuals because their names and partial driver\u2019s license information were not stolen together with their Social Security numbers.", "To identify as many potentially affected individuals as possible, Equifax contracted with a third-party data source that had access to a driver\u2019s license database and mapped the partial driver\u2019s licenses to an Equifax database containing Social Security numbers. According to Equifax officials, some of the individuals within this group of 2.4 million were already included in the previous total of 145.5 million affected individuals, while others were not. As of August 2018, Equifax had not determined exactly how many of the 2.4 million individuals were included in the previous total of 145.5 million."], "subsections": []}, {"section_title": "Equifax Notified Affected Individuals and Offered Monitoring Services", "paragraphs": ["On September 7, 2017, after Equifax had determined the extent of the breach and developed a remediation plan for potentially impacted consumers, the company provided written notification to all U.S. state attorneys general regarding the approximate number of potentially affected residents in each state and its plans for consumer remediation. The notification included steps individuals could take to determine if they were affected by the breach and to help protect against misuse of their personal information. The company also issued a press release to the public providing information about the breach and the types of PII that had been compromised.", "Further, the press release issued on September 7, 2017, stated that the company had set up a dedicated website to help individuals determine if their information might have been stolen in the breach. In addition, Equifax improved the search tool it had developed to help U.S. consumers determine if they were impacted and expanded its call center operations. However, the website experienced several technical issues, including excessive downtime and inaccurate data. Equifax officials acknowledged these shortcomings and said they took measures to address them, including improving the stability of the website and accuracy of the information it provided.", "Additionally, Equifax reported that it would provide several services to all U.S. consumers, regardless of whether their information had been compromised, free of charge for one year. Those services included credit monitoring, individual copies of Equifax credit reports, notification of changes to credit reports, a credit \u201clock\u201d allowing individuals to prevent third-parties from accessing their Equifax credit report, identity theft insurance covering certain expenses related to the process of recovering from identity theft, and a Social Security number monitoring service that would scan suspicious websites for an individual\u2019s Social Security number.", "These services were offered to consumers from September 7, 2017, until January 31, 2018, when Equifax announced a new service called \u201cLock & Alert.\u201d This new service allows consumers to use their smartphone or computer to lock and unlock their Equifax credit report. Equifax announced that it was making this service available to all consumers at no cost."], "subsections": []}]}, {"section_title": "Federal Agencies Took a Variety of Actions in Response to the Equifax Breach", "paragraphs": ["After Equifax announced the data breach, federal customer agencies took a variety of actions based on their responsibilities and how the breach affected their operations. Specifically, the agencies that were customers of the company\u2019s services conducted independent assessments of the company\u2019s security controls, revised their own identity proofing processes, and made changes to their contracts with Equifax, among other activities. Equifax did not ask the Department of Homeland Security (DHS), which is the central agency that responds to cyber incidents across the federal government, to assist in responding to the breach. Nevertheless, the department took the step of reminding federal agencies of the importance of correcting the software vulnerability that led to the breach. In addition, the oversight agencies, BCFP and FTC, began taking actions to investigate the breach and inform the public."], "subsections": [{"section_title": "Major Federal Customers of Equifax Took Steps to Ensure Their Activities Were Not Adversely Affected by the Breach", "paragraphs": ["IRS, SSA, and USPS\u2014large agencies that were major customers of Equifax at the time of the breach\u2014assessed the potential impact of the breach to their own operations as well as to the operations of their consumers. For example, these agencies assessed the technical impact of the breach on their own systems that rely on Equifax services to determine whether the breach could have compromised the integrity of their identity proofing processes. While there was no breach of agency systems or information, they also sought to determine which of their customers were directly affected by the breach, recognizing that those individuals could be at heightened risk of identity fraud. Information security officials we spoke to at IRS, SSA, USPS, and DHS expressed concern about how the breached data could be used to compromise sensitive information or fraudulently procure government services, even from agencies that are not direct customers of Equifax.", "Representatives of IRS, SSA, and USPS noted that they responded to the breach independently of other agencies, because they said it was unclear whether any single federal agency had responsibility for coordinating government actions in response to a breach of this type in the private sector. According to the three agencies, their actions included the following: Identified affected individuals. Due to concerns about the potential for fraud using the stolen data, IRS and SSA both obtained from Equifax a list of the individuals affected by the Equifax breach. The agencies then used these lists to identify which of their own customers were affected and to look for potential instances of identity fraud affecting those customers.", "Performed independent assessments of Equifax security controls. According to information security officials at IRS, SSA, and USPS, the agencies independently conducted site visits at Equifax\u2019s data center in Alpharetta, Georgia, where they reviewed the company\u2019s security controls. According to SSA officials, their agency\u2019s review assessed compliance with the baseline set of controls required by the National Institute of Standards and Technology for systems determined to pose a moderate level of risk. SSA officials stated that they shared the results of their assessment with IRS, the Office of Management and Budget, House Ways and Means Social Security Subcommittee, and the Senate Committee on Finance. USPS officials said they reviewed both physical security and cybersecurity controls at Equifax\u2019s data centers in Alpharetta, Georgia and St. Louis, Missouri locations. IRS officials said they also conducted a security assessment at Equifax\u2019s Alpharetta data center, as well as a separate review of physical security and cybersecurity controls at the company\u2019s St. Louis, Missouri site. The officials of all three agencies said that their reviews did not uncover any major new problems, but did identify a number of lower-level technical concerns that they required Equifax to address.", "Modified contracts with Equifax. IRS and SSA made changes to contracts they had with Equifax to require prompt notification of any future breach, among other things. According to officials from both agencies, Equifax did not directly notify major federal customers of the 2017 breach prior to its public announcement because its contracts with these agencies required notification only of breaches directly involving the systems that provided services to the federal government. SSA officials stated that it was important to update the agency\u2019s contract to require Equifax to promptly notify SSA of any data breach, regardless of which of the company\u2019s systems it may affect. IRS officials stated that a similar change was made to their contract with Equifax for credit reporting services. The contract change also required the company to notify IRS within one hour after a breach is discovered, rather than within the previous time frame of 24 hours. In addition, according to the officials, cybersecurity language in the IRS\u2019s contract was modified to ensure better implementation and oversight of technical security controls.", "Communicated with the public and affected individuals. IRS made public announcements about the impact of the breach, noting that the agency did not expect the breach to have any impact on taxpayers\u2019 ability to securely file tax returns. SSA issued a public blog post reminding consumers about steps they could take to protect their Social Security numbers.", "Made changes to agency identity-proofing procedures. Following its assessment, IRS updated its internal cybersecurity contractor requirements and controls related to incident handling. Further, upon completing its assessment, USPS initiated discussions with the National Institute of Standards and Technology to determine risks associated with the knowledge-based verification questions it had been using with Equifax\u2019s identity-proofing service. USPS subsequently changed its process, removing certain knowledge- based verification questions and adding a procedure whereby customers receive a code in the mail that they can use to verify their mailing addresses.", "Canceled a short-term contract with Equifax. Before the Equifax breach, Equifax was the incumbent contractor at IRS for taxpayer identity and verification services. In June 2017, prior to the discovery of the breach, IRS began a new acquisition for these services by issuing a request for quotations to three CRA vendors (including Equifax and Experian) holding contracts under the federal supply schedule. IRS selected Experian as offering the lowest-priced, technically acceptable quotation, for issuance of a fixed-price task order and establishment of a blanket purchase agreement. Equifax filed a bid protest on July 5, 2017 with GAO challenging the IRS\u2019s evaluation of Experian\u2019s quotation. As described elsewhere in this report, Equifax discovered the breach on July 29 and, after investigating it, announced the breach on September 7. On September 29, during GAO\u2019s consideration of the protest, IRS awarded Equifax a short-term, sole-source contract for $7.25 million to cover its need for the identity and verification services during the time frame needed to resolve the protest. IRS considered these services \u201ccritical\u201d that \u201ccannot lapse.\u201d However, following the completion of its breach-related security assessments, IRS issued Equifax a stop-work order to suspend its performance under the short- term, sole-source order. GAO denied Equifax\u2019s protest on October 16, 2017 and IRS proceeded with the task order issued to Experian for the taxpayer identity and verification services."], "subsections": []}, {"section_title": "DHS Offered Breach Response Services to Equifax", "paragraphs": ["In its role as the center for federal information security incident prevention and response, DHS offers services to assist federal agencies in preparing for potential cyber incidents, maintaining awareness of the current threat environment, and dealing with ongoing breaches. Under a Presidential directive, DHS is also responsible for assisting public- and private- sector critical infrastructure owners and operators in preparing for, preventing, protecting against, mitigating, responding to, and recovering from a cyber incident.", "In September 2017, shortly after the Equifax breach was publicly announced, DHS contacted the company to offer its professional services related to forensic analysis and breach response. However, according to officials at both organizations, Equifax notified DHS officials that the company had already retained professional services from a private cybersecurity consultant and, thus, declined assistance from DHS."], "subsections": []}, {"section_title": "Oversight Agencies Opened Investigations and Provided Information and General Advice to Consumers", "paragraphs": ["According to Equifax officials, the company informed regulators about the data breach on September 7, 2017\u2014when the general public was notified. FTC announced that it was investigating the Equifax breach, and Equifax stated in its annual report that several governmental agencies, including FTC and BCFP, were continuing to investigate events related to the breach.", "BCFP staff told us that, immediately following notification of the breach, they participated in conference calls with Equifax to learn more about the breach. According to the officials, their calls with Equifax focused on ensuring consumers were provided with accurate information about the breach and what they could do to protect themselves. Equifax officials told us that they also informed FTC, the Securities and Exchange Commission, various states\u2019 attorneys\u2019 general, and the Financial Services Information Sharing and Analysis Center, that it had suffered a breach.", "Shortly after Equifax\u2019s public announcement of the breach, BCFP released a blog post on the top 10 ways that consumers could protect themselves in the wake of the breach. Suggestions included regularly reviewing credit reports, checking credit card statements, and changing passwords for all financial accounts. In addition, BCFP posted on its website actions consumers could take to protect themselves against fraud or identity theft, including freezing credit and placing fraud alerts.", "BCFP staff told us that, while the agency posts information to its website, it does not provide individual legal assistance to consumers. Nevertheless, the staff said that consumers can file a complaint with BCFP if they are experiencing issues related to a CRA. BCFP staff added that they received a large volume of consumer complaints following the Equifax breach. BCFP staff said they use such complaints as one factor to prioritize future supervisory examinations, as well as investigations and enforcement actions.", "In October 2017, BCFP also began conducting targeted data security and cybersecurity examinations. Specifically, in addition to assessing whether the CRAs\u2019 data security practices and policies constitute violations of federal consumer financial law, BCFP began assessing risks to consumers posed by potential cybersecurity lapses and to markets for consumer financial products and services. BCFP staff said that whether BCFP continues to conduct CRA cybersecurity examinations will depend on whether they identify the issue as a priority through future examination prioritization processes.", "Similarly, FTC released a statement to consumers with information about the breach, such as when it occurred and the types of data compromised. The statement also included guidance on steps consumers could take to help protect their information from being misused. For example, FTC encouraged individuals to visit Equifax\u2019s website to find out whether their information may have been exposed, provided links to obtain a free credit report, and offered other information about credit freezes and fraud alerts.", "On June 25, 2018, eight state banking regulators issued a consent order requiring Equifax to address various data security issues. The order included several areas of concern, including general information security, internal audits, and board and management oversight. More specifically, the order required Equifax, the board, or its audit committee to, among other things: provide a written risk assessment that identifies foreseeable threats and vulnerabilities to the confidentiality of PII; establish a formal and documented internal audit program that is capable of effectively evaluating information technology controls; improve the oversight of its information security program; improve oversight and documentation of its critical vendors; improve standards and controls for supporting the patch management function; and enhance oversight of IT operations as it relates to disaster recovery and business continuity functions.", "Under the consent order, Equifax was required to submit a list of all remediation projects planned, in process, or implemented to the state regulatory agencies by July 31, 2018."], "subsections": []}]}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a draft of this report to BCFP, DHS, FTC, IRS, SSA, USPS, and Equifax for comment. SSA and USPS provided written responses expressing appreciation for the opportunity to review the draft report. The SSA and USPS responses are reprinted in appendices II and III, respectively. In addition, BCFP, DHS, FTC, IRS, SSA, USPS, and Equifax provided technical comments orally and via email, which we have incorporated, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 29 days from the report date. At that time, we will send copies to the appropriate congressional committees, Equifax, and to the Acting Director of the Bureau of Consumer Financial Protection; the Chairman of the Federal Trade Commission; the Secretary of the Department of Homeland Security; the Commissioners of the Internal Revenue Service and Social Security Administration; and the Postmaster General of the United States. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.We are sending copies of this report to In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Nick Marinos at (202) 512-9342 or marinosn@gao.gov, or Michael Clements at (202) 512-8678 or clementsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) summarize the events regarding the 2017 Equifax breach and the steps taken by the company to assess, respond to, and recover from the incident and (2) describe the actions that federal customers and oversight agencies took in response to the breach.", "To address the first objective, we obtained and assessed documentation generated in response to the breach. Specifically, we analyzed the results of security assessments conducted by Equifax and its cybersecurity consultant following the breach, which included information about how the attacker gained access to Equifax\u2019s systems and the specific vulnerabilities that were exploited. This documentation included the report summarizing the results of the consultant\u2019s forensic analysis of Equifax systems and the consultant\u2019s recommendations to Equifax to address the factors that led to the breach. We also reviewed Equifax\u2019s relevant public filings to the Securities and Exchange Commission and statements it provided to the public and shareholders, which included information about the data breach and the company\u2019s efforts for remediation.", "Further, we conducted a site visit to the Equifax data center in Alpharetta, Georgia, to interview knowledgeable officials, such as the interim Chief Security Officer and other officials knowledgeable about how Equifax stores and processes data, and observed physical security measures. In addition, to clarify details of the breach and the steps that Equifax took, we interviewed officials at Equifax who were responsible for coordinating reviews conducted following the breach. Specifically, we interviewed the interim Chief Security Officer and government relations employees, who were responsible for coordinating Equifax\u2019s interaction with federal agencies in response to the incident.", "We did not independently assess Equifax\u2019s information security controls or the steps the company took to address identified factors that contributed to the ineffective implementation of those controls. Specifically, the scope of our report was to report on actions taken by Equifax and agencies in response to the breach. Consequently, the information in this report is based on public filings and announcements as well as information provided to us by the company. We did not reach conclusions regarding the adequacy or efficacy of Equifax\u2019s security measures.", "To address the second objective, we selected three major federal agencies, Internal Revenue Service (IRS), Social Security Administration (SSA), and United States Postal Service (USPS), which were Equifax\u2019s largest federal customers at the time of the breach. We initially identified these customer agencies by reviewing public reports following the breach that identified federal agencies that were major Equifax customers at the time. We also interviewed Equifax officials responsible for managing government accounts to confirm that these three agencies were the only large-scale federal customer agencies that interacted with Equifax following the breach. Other federal agencies also have contracts with Equifax for a variety of services; we did not conduct audit work for this engagement at any other agencies because we narrowed our selection criteria to the largest federal agencies that used Equifax\u2019s services to conduct their identity-proofing processes.", "Subsequently, we analyzed documentation from IRS, SSA, and USPS to describe the relevant actions these agencies took in response to the breach, as well as documentation regarding oversight by BCFP and FTC, which are the federal agencies with primary oversight responsibilities over CRAs. Specifically, we reviewed relevant laws and BCFP guidance on data security examinations. In addition, we spoke with BCFP and FTC officials about their actions in response to the data breach and reviewed their websites for information provided to consumers.", "We also selected and reviewed contracts between Equifax and each of the three selected agencies\u2014IRS, SSA, and USPS\u2014to determine what changes were made to services, such as identity-proofing solutions, provided by Equifax to federal agencies as a result of the breach. The contracts we reviewed were the ones identified by IRS, SSA, and USPS as contracts with Equifax for credit reporting or identity-proofing services.", "Further, we conducted interviews with agency officials at BCFP, FTC, DHS, IRS, SSA, and USPS to determine what actions customer and oversight agencies took in response to the breach. The officials we interviewed were responsible for conducting their agencies\u2019 security assessment of Equifax at the time of the data breach. These included officials at each agency that had a role in responding to the Equifax breach, such as investigators at the oversight agencies and information security officials at the federal customer agencies.", "To address both objectives, and to identify how federal requirements apply to credit reporting agencies, we analyzed relevant federal laws to determine the responsibilities of agencies and their contractors. Specifically, we reviewed the following laws:", "Dodd-Frank Wall Street Reform and Consumer Protection Act;", "Fair Credit Reporting Act;", "Privacy Act of 1974; and", "E-Government Act of 2002.", "We conducted this performance audit from November 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the United States Postal Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, John de Ferrari and John Forrester (assistant directors); Tina Torabi (analyst-in-charge); Bethany Benitez, Chris Businsky, Kavita Daitnarayan, Nancy Glover, Andrea Harvey, Thomas Johnson, David Plocher, Tovah Rom, Rachel Siegel, and Winnie Tsen made key contributions to this report."], "subsections": []}]}], "fastfact": ["Hackers stole the personal data of nearly 150 million people from Equifax databases in 2017.", "How did Equifax, a consumer reporting agency, respond to that event? Equifax said that it investigated factors that led to the breach and tried to identify and notify people whose personal information was compromised.", "In addition, three federal agencies that use Equifax services made their own security assessments and modified contracts with Equifax. Moreover, other federal agencies that oversee consumer reporting agencies started investigating Equifax and gave further advice to consumers on how to protect themselves against security breaches."]} {"id": "GAO-19-147T", "url": "https://www.gao.gov/products/GAO-19-147T", "title": "Coast Guard Acquisitions: Lessons Learned to Inform Coast Guard and NOAA Shipbuilding Efforts", "published_date": "2018-10-11T00:00:00", "released_date": "2018-10-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Both the Coast Guard\u2014a component of the Department of Homeland Security (DHS)\u2014and the Department of Commerce's National Oceanic and Atmospheric Administration (NOAA) are investing significant resources to recapitalize their aging fleets of ships. Ensuring that the Coast Guard and NOAA maintain their ships and address potential capability gaps is vital for protecting national security and scientific interests.", "This statement summarizes lessons that GAO has identified from its prior reviews of Coast Guard and Navy acquisitions, which can be applied to the Coast Guard's and NOAA's shipbuilding efforts. Specifically, this testimony provides information on, among other things, (1) long-term strategic planning for acquisitions, (2) the need for a sound business case, and (3) the leveraging of the Navy's acquisition resources and shipbuilding expertise. In its prior work, GAO reviewed Coast Guard and Navy programs and interviewed officials. For this testimony, GAO obtained publicly available information on NOAA's ship acquisition efforts."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has found that acquisition programs can benefit from long-term strategic planning that identifies how tradeoff decisions would affect the future of the acquisition portfolio. In July 2018, GAO found the Coast Guard continues to manage its acquisitions through its annual budget process and the 5-year Capital Investment Plan. As a result of this planning process, the Coast Guard has continued to defer planned acquisitions to future years and left a number of operational capability gaps unaddressed. Incorporating the use of a long-term strategic plan and additional tradeoff discussion into the Capital Investment Plan could lead to more informed choices before irreversible commitments are made.", "GAO's prior work has also found that acquisition programs should start with solid business cases before setting program baselines and committing resources. At the heart of a business case is a knowledge-based approach\u2014successful shipbuilding programs build on attaining critical levels of knowledge at key points in the shipbuilding process before significant investments are made (see figure).", "In September 2018, GAO found the Coast Guard did not have this type of sound business case when it established the program baselines for its polar icebreaker program in March 2018 due to risks in technology, design, cost, and schedule. For example, the Coast Guard's planned delivery dates were not informed by a realistic assessment of shipbuilding activities, but rather were primarily driven by the potential gap in icebreaking capabilities once the Coast Guard's only operating heavy polar icebreaker reaches the end of its service life.", "Agencies have partnered with the Navy to take advantage of its resources and shipbuilding expertise, including the Coast Guard when acquiring the polar icebreakers. For example, in September 2018, GAO found that the Coast Guard and the Navy had established an integrated program office and a ship design team. These teams provided input to Navy cost estimators, who developed the polar icebreaker program's cost estimate."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has previously recommended that the Coast Guard develop a 20-year fleet modernization plan, reflect acquisition trade-off decisions in its annual Capital Investment Plans, and address risks to establish a sound business case for its polar icebreakers acquisition. DHS concurred with these recommendations and is taking steps to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss key lessons and insights we have identified from our prior work in Coast Guard and Navy acquisitions that may be useful in informing the Coast Guard\u2019s and the National Oceanic and Atmospheric Administration\u2019s (NOAA) current efforts to recapitalize their aging fleets of ships. The Coast Guard\u2019s multi-billion dollar ship acquisition portfolio includes the National Security Cutters, Offshore Patrol Cutters, Fast Response Cutters, and heavy polar icebreakers, which collectively perform critical missions such as search and rescue, law enforcement, and icebreaking. NOAA\u2019s research and survey ships comprise the largest fleet of federal research ships in the United States. Ensuring that the Coast Guard and NOAA maintain their ship fleets and address potential capability gaps is vital for protecting national security and scientific interests.", "My statement today provides information on: (1) long-term strategic planning for acquisitions (2) the need for a sound business case when acquiring new ships (3) leveraging of the Navy\u2019s acquisition expertise and resources and (4) considerations when selecting contracting mechanisms. This statement is based on our extensive body of work examining the Coast Guard\u2019s and Navy\u2019s acquisition efforts, including our September 2018 report on the Coast Guard\u2019s polar icebreaker acquisition and July 2018 report on Coast Guard recapitalization. For the reports cited in this statement, among other methodologies, we analyzed Coast Guard and Navy guidance, data, and documentation, and interviewed Coast Guard and Navy officials. Detailed information on our scope and methodology can be found in the reports cited in this statement. In addition to our prior work, for this statement we obtained publicly available information from NOAA regarding its ship acquisition and recapitalization efforts; we did not assess its efforts.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Long-Term Strategic Planning in Acquisitions Enables Better Tradeoff Decisions", "paragraphs": ["Key elements of strategic planning include establishing long-term goals and strategies for how those goals are to be achieved. Specifically for managing Coast Guard acquisitions, we have noted that a long-term plan that includes acquisition implications would enable tradeoffs to be addressed in advance, which leads to better informed choices and makes debate possible before irreversible commitments are made to individual programs. Without this type of plan, decision makers do not have the information they need to better understand and address an agency\u2019s long-term outlook. Similarly, according to the Office of Management and Budget\u2019s capital planning guidance referenced by the Coast Guard\u2019s Major Systems Acquisition Manual, each agency is encouraged to have a plan that justifies its long-term capital asset decisions. This plan should include, among other things, (1) an analysis of the portfolio of assets already owned by the agency and in procurement, (2) the performance gap and capability necessary to bridge the old and new assets, and (3) justification for new acquisitions proposed for funding.", "In June 2014, we found that the Coast Guard\u2014a component within the Department of Homeland Security (DHS)\u2014did not have a long-term fleet modernization plan that identified all acquisitions needed to meet mission needs over the next two decades within available resources. Without such a plan, the Coast Guard repeatedly delayed and reduced its capabilities through its annual budget process and did not know the extent to which it could meet mission needs and achieve desired results. We recommended that the Coast Guard develop a 20-year fleet modernization plan that identifies all acquisitions needed to maintain the current level of service and the fiscal resources necessary to build the identified assets. DHS agreed with our recommendation but it has not yet approved a 20-year plan.", "Further, in July 2018, we found the Coast Guard continues to manage its acquisitions through its annual budget process and the 5-year Capital Investment Plan, which is congressionally mandated and submitted to Congress annually. Coast Guard officials told us the Capital Investment Plan reflects the highest priorities of the department and that trade-off decisions are made as part of the annual budget process. However, the effects of these trade-off decisions, such as which acquisitions would take on more risk so others can be prioritized and adequately funded, are not communicated in the Capital Investment Plan to key decision makers. Over the years, this approach has left the Coast Guard with a bow wave of near-term unfunded acquisitions, negatively affecting recapitalization efforts, and limiting the effectiveness of long-term planning. As a result of this planning process, the Coast Guard has continued to defer planned acquisitions to future years and left a number of operational capability gaps unaddressed that could affect future operations. We recommended that the annual Capital Investment Plans reflect acquisition trade-off decisions and their effects. DHS concurred with this recommendation and plans to include additional information in future Capital Investment Plans to address how trade-off decisions could affect other major acquisition programs. According to Coast Guard officials, the Coast Guard plans to implement this recommendation by March 2020.", "Examples of other fleet modernization plans include the Navy\u2019s annual naval vessel construction plan (also known as the Navy\u2019s long range shipbuilding plan), which reflects the quantity and categories of assets that the Navy needs to buy as well as the total number of assets in operation for each year. While we found in March 2006 that the Navy faced challenges associated with its long range shipbuilding plan, we also observed that such a plan is beneficial in that it lays out a strategic approach for decision making. In October 2016, NOAA\u2014which is within the Department of Commerce\u2014approved a fleet plan that is intended to identify an integrated strategy for long-term recapitalization, including acquisition of up to eight new ships. In March 2017, NOAA indicated that long-term recapitalization of the NOAA fleet requires an annual, stable funding profile on the order of its fiscal year 2016 appropriations\u2014about $80 million. NOAA noted that it will continue to proceed on schedule, as laid out in its fleet plan, or make adjustments based on available funding."], "subsections": []}, {"section_title": "Successful Acquisition Programs Begin with Sound Business Cases", "paragraphs": ["Our prior work has repeatedly found that successful acquisition programs start with solid, executable business cases before setting program baselines and committing resources. A sound business case requires balance between the concept selected to satisfy operator requirements and the resources\u2014design knowledge, technologies, funding, and time\u2014 needed to transform the concept into a product, such as a ship. At the heart of a business case is a knowledge-based approach\u2014we have found that successful shipbuilding programs build on attaining critical levels of knowledge at key points in the shipbuilding process before significant investments are made (see figure 1).", "We have previously found that key enablers of a good business case include firm, feasible requirements; plans for a stable design; mature technologies; reliable cost estimates; and realistic schedule targets. Without a sound business case, acquisition programs are at risk of experiencing cost growth, schedule delays, and reduced capabilities.", "In September 2018, we found the Coast Guard did not have this type of sound business case when it established the cost, schedule, and performance baselines for its polar icebreaker program in March 2018. This was primarily due to risks in four key areas:", "Technology. The Coast Guard intends to use proven technologies for the program, but did not conduct a technology readiness assessment to determine the maturity of key technologies\u2014which include the integrated power plant and azimuthing propulsors\u2014 prior to setting baselines. As a result, the Coast Guard does not have full insight into whether these technologies, which we believe are critical technologies and merit such an assessment, are mature. Without a technology readiness assessment, the Coast Guard is potentially underrepresenting technical risk and increasing design risk.", "Cost. The cost estimate that informed the program\u2019s $9.8 billion cost baseline\u2014which includes lifecycle costs for the acquisition, operations, and maintenance of three polar icebreakers\u2014substantially met our best practices for being comprehensive, well-documented, and accurate, but only partially met best practices for being credible. The cost estimate did not quantify the range of possible costs over the entire life of the program, such as the period of operations and support. As a result, the cost estimate was not fully reliable and may underestimate the total funding needed for the program.", "Schedule. The Coast Guard\u2019s planned delivery dates of 2023, 2025, and 2026 for the three ships were not informed by a realistic assessment of shipbuilding activities, but rather were primarily driven by the potential gap in icebreaking capabilities once the Coast Guard\u2019s only operating heavy polar icebreaker\u2014the Polar Star\u2014 reaches the end of its service life (see figure 2).", "The Polar Star\u2019s service life is estimated to end between fiscal years 2020 and 2023. This creates a potential heavy polar icebreaker capability gap of about 3 years, if the Polar Star\u2019s service life were to end in 2020 and the lead polar icebreaker were to be delivered by the end of fiscal year 2023 as planned. If the lead ship is delivered later than planned in this scenario, the potential gap could be more than 3 years. The Coast Guard is planning to recapitalize the Polar Star\u2019s key systems starting in 2020 to extend the service life of the ship until the planned delivery of the second polar icebreaker (see figure 3).", "Further, our analysis of selected lead ships for other shipbuilding programs found the icebreaker program\u2019s estimated construction time of 3 years is optimistic. An unrealistic schedule puts the Coast Guard is at risk of not delivering the icebreakers when promised and the potential gap in icebreaking capabilities could widen.", "Design. The Coast Guard set program baselines before conducting a preliminary design review\u2014a systems engineering event that is intended to verify that the contractor\u2019s design meets the requirement of the ship specifications and is producible\u2014which puts the program at risk of having an unstable design, thereby increasing the program\u2019s cost and schedule risks. Although the Coast Guard set the program baselines prior to gaining knowledge on the feasibility of the selected shipbuilder\u2019s design, it has expressed a commitment to having a stable design prior to the start of lead ship construction. This is consistent with shipbuilding best practices we identified in 2009.", "To address these four areas and other risks, we made six recommendations to DHS, Coast Guard, and the Navy in our September 2018 report. DHS concurred with all six recommendations and identified actions it planned to take to address them.", "In its October 2016 fleet plan, NOAA indicated the need to construct up to eight new ships by 2028 to maintain its capabilities for at-sea requirements. Ensuring a sound business case for each acquisition will be important as NOAA moves forward."], "subsections": []}, {"section_title": "Leveraging Navy\u2019s Shipbuilding Experience May Create Efficiencies", "paragraphs": ["Given the Navy\u2019s experience in shipbuilding, agencies have partnered with the Navy to take advantage of its expertise. For example, in April and September 2018, we found examples of how the Coast Guard had leveraged the Navy\u2019s resources and acquisition approaches when acquiring the polar icebreakers, including:", "Establishing an integrated program office and potentially using funding from both organizations. In 2016, in response to a congressional report, the Navy and the Coast Guard established an integrated program office to acquire the icebreakers for Coast Guard operations. This relationship was officially memorialized through three memorandums in 2017.", "Given potential plans to fund the polar icebreaker program with both Navy and Coast Guard appropriations, the Navy and the Coast Guard had a memorandum of agreement with a budgeting and financial management appendix. In September 2018, however, we found that the Coast Guard and the Navy interpreted the meaning of \u201ccost overruns\u201d differently in the context of their agreement. We also found that the agreement itself did not address how the Coast Guard and the Navy plan to handle any cost growth stemming from changes to the scope, terms, and conditions of the detail design and construction contract. We recommended that the Coast Guard, in collaboration with the Navy, revise the agreement to clarify and document how cost growth in the polar icebreaker program, including changes in scope, will be addressed between the two organizations. The Coast Guard concurred with this recommendation and plans to update the agreement by March 2019.", "Establishing an integrated ship design team. The ship design team includes Coast Guard and Navy technical experts who develop ship specifications based on the polar icebreaker program\u2019s operational requirements document. The ship design team is under the supervision of a Coast Guard ship design manager, who provides all technical oversight for development of the polar icebreaker\u2019s design.", "Leveraging Navy cost estimating and contracting functions. With input from the integrated program office and ship design team, Navy cost estimators developed the polar icebreaker program\u2019s cost estimate, which informed the program\u2019s cost baselines and affordability constraints. In addition, the Navy plans to award the polar icebreaker\u2019s detail design and construction contract under the Navy\u2019s contracting authority and use a tailored DHS acquisition process.", "Supplementing the DHS acquisition process with the Navy\u2019s gate review process. Coast Guard and Navy agreed to manage the polar icebreaker program using a tailored acquisition approach that supplements DHS acquisition decision event reviews with additional \u201cgate\u201d reviews that were adopted from Navy\u2019s acquisition processes. The gate reviews allow both Coast Guard and Navy leadership to review and approve key documents before proceeding to the acquisition decision events. Each acquisition decision event is also overseen by acquisition oversight board with members from both the Coast Guard and the Navy (see figure 4).", "By collaborating with the Navy, the Coast Guard is leveraging the Navy\u2019s experience in ship design, cost estimating, contracting, and other shipbuilding processes. This partnership may allow the Coast Guard to more efficiently manage the polar icebreaker program.", "In March 2017, NOAA indicated that it had partnered with the Navy through an interagency agreement to leverage the Navy\u2019s acquisition expertise for Auxiliary General Purpose Oceanographic Research Vessels, which will be the basis for a new class of NOAA ships. In April 2018, the Navy released the request for proposal for the preliminary contract design of this new class of ships."], "subsections": []}, {"section_title": "Estimated Savings and Requirements Stability Should be Considered When Selecting Contracting Mechanisms", "paragraphs": ["When acquiring multiple quantities of a product, agencies generally have several options for contracting mechanisms. Annual contracting, which can be considered the typical method, refers to awarding a contract for one year\u2019s worth of requirements. Annual contracting allows for the use of options for subsequent requirements. Options give the agency the unilateral right to purchase additional supplies or services called for by the contract, or to extend the term of the contract. Besides annual contracting with options, agencies may also be able to choose among other contracting mechanisms\u2014multiyear contracting and \u201cblock buy\u201d contracting, which are discussed in more detail below."], "subsections": [{"section_title": "Multiyear Contracting Requirements and Considerations", "paragraphs": ["Multiyear contracting allows agencies to acquire known requirements for up to 5 years under a single contract award, even though the total funds ultimately to be obligated may not be available at the time of contract award. Before DOD and Coast Guard can enter into a multiyear contract, certain criteria must be met. Table 1 provides some of the multiyear contracting requirements for DOD and the Coast Guard.", "Multiyear contracts are expected to achieve lower unit costs compared to annual contracts through one or more of the following sources: (1) purchase of parts and materials in economic order quantities, (2) improved production processes and efficiencies, (3) better utilized industrial facilities, (4) limited engineering changes due to design stability during the multiyear period, and (5) cost avoidance by reducing the burden of placing and administering annual contracts. Multiyear procurement also offers opportunities to enhance the industrial base by providing contractors a longer and more stable time horizon for planning and investing in production and by attracting subcontractors, vendors, and suppliers. However, multiyear procurement entails certain risks that must be balanced against the potential benefits, such as the increased costs to the government should the multiyear contract be changed or canceled and decreased annual budget flexibility for the program and across an agency\u2019s portfolio of acquisitions.", "In February 2008, we found that it is difficult to precisely determine the impact of multiyear contracting on procurement costs. For example, for three multiyear procurements (Air Force\u2019s C-17A Globemaster transport, the Navy\u2019s F/A-18E/F Super Hornet fighter, and the Army\u2019s Apache Longbow helicopter), we identified unit cost growth ranging from 10 to 30 percent compared to original estimates, due to changes in labor and material costs, requirements and funding, and other factors. In some cases, actual costs for the multiyear procurement were higher than original estimates for annual contracts. We noted that we could not determine how cost growth affected the level of savings achieved, if any, because we did not know how an alternative series of annual contracts would have fared. Although programs using annual contracts also have unit cost growth, it is arguably more problematic when using multiyear contracting because of the up-front investments and the government\u2019s exposure to risk over multiple years."], "subsections": []}, {"section_title": "Block Buy Contracting Considerations", "paragraphs": ["Block buy contracting generally refers to special legislative authority that agencies seek on an acquisition-by-acquisition basis to purchase more than one year\u2019s worth of requirements, such as purchasing supplies in economic order quantities. Unlike multiyear contracting, block buy contracting does not have permanent statutory criteria and, therefore, can be used in different ways.", "We have previously analyzed several cases where block buy contracts were considered or used and have not found evidence of savings. For example: In September 2018, we found that for the polar icebreaker program, the Navy gave offerors an opportunity to provide the estimated savings that the government could achieve if it were to take a \u201cblock buy\u201d approach in purchasing the ships or purchasing supplies in economic order quantities. The Navy told us that they did not receive any formal responses from industry on potential savings from block buys or economic order quantities.", "In April 2017, we found that the Navy\u2019s Littoral Combat Ship contracts\u2019 block buy approach could affect Congress\u2019s funding flexibility. Specifically, the block buy contracts provided that a failure to fully fund a purchase in a given year would make the contract subject to renegotiation, which provides a disincentive to the Navy or Congress to take any action that might disrupt the program because of the potential for the government to have to pay more for ships.", "In February 2005, we found that the Navy believed that a block-buy contract contributed to increased material costs for the Virginia class submarine. Under this block-buy contract, subcontracts for submarine materials were for single ships spread over several years. According to the Navy, this type of acquisition approach did not take advantage of bulk-buy savings and incurred the risk that funding will not be available in time to order the material when needed.", "Based on our prior work, it is important for agencies to consider multiple factors such as estimated savings, the stability of the requirements, quantities required, and potential contract terms and conditions before committing to a contracting mechanism approach.", "In conclusion, as the Coast Guard and NOAA continue investing taxpayer dollars to modernize their fleets, they could benefit from the lessons learned from prior recapitalization and acquisition efforts. It is important for agencies to develop strategic and comprehensive approaches for managing their respective portfolios so that future requirements and capability gaps can be addressed in a timely manner. For each acquisition within their portfolios, agencies should ensure that they have established a sound business case before committing significant resources. Additionally, leveraging the Navy\u2019s resources and expertise in shipbuilding, such as by establishing integrated teams, could be beneficial by helping agencies be more efficient. Finally, when it comes to contracting mechanisms, factors such as estimated savings and program risks should be assessed before committing to a particular approach.", "Chairman Sullivan, Ranking Member Baldwin, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Marie A. Mak, (202) 512-4841 or makm@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony include Rick Cederholm, Assistant Director; Peter Anderson; Laurier Fish; Kurt Gurka; Claire Li; and Roxanna Sun.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Coast Guard and National Oceanic and Atmospheric Administration (NOAA) collectively spend billions of dollars to replace aging ships that conduct search and rescue, icebreaking, and research missions.", "We testified on how lessons learned from our extensive work on ship acquisitions could be used to inform how the Coast Guard and NOAA buy ships. These include:", "developing a long-term strategic plan", "establishing a sound business case before committing resources", "partnering with the Navy to use some of its shipbuilding resources and experience", "estimating the costs and risks of different contracting approaches before committing to one"]} {"id": "GAO-18-208", "url": "https://www.gao.gov/products/GAO-18-208", "title": "VA Health IT Modernization: Historical Perspective on Prior Contracts and Update on Plans for New Initiative", "published_date": "2018-01-18T00:00:00", "released_date": "2018-01-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA operates the largest health care delivery system in America and VistA is essential to helping deliver the health care services and ensure the quality of health care received by the nation's veterans and their dependents. The system has been in operation for more than 30 years, is costly to maintain, and does not readily support VA's need to electronically exchange health records with the Department of Defense and private health care providers. VA has pursued initiatives to modernize VistA, using government contractors to support its efforts. In June 2017, VA announced a new effort to purchase a commercial solution to replace VistA.", "GAO was requested to review VA's prior and current efforts to modernize VistA. This review determined (1) VA's efforts to modernize VistA, including key contractors, contract costs, and expected contractor activities and (2) VA's current plans for modernizing VistA and the progress that has been achieved to date. To conduct its study, GAO reviewed VA documentation and its prior work and requested and obtained data on contracts, related obligations, and expected contractor activities for previous efforts. GAO also obtained documentation on plans for VA's current modernization efforts and progress made on the efforts, and interviewed VA officials.", "GAO has made recommendations to VA aimed at improving its prior modernization efforts. The department concurred with the recommendations and generally took responsive actions. GAO is making no recommendations at this time. VA provided technical comments on this report, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) has, since 2001, pursued four separate initiatives to modernize its health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA). These efforts\u2014HealtheVet, the integrated Electronic Health Record (iEHR), VistA Evolution, and the Electronic Health Record Modernization (EHRM)\u2014reflect varying approaches that the department has considered to achieve a modernized health system over the course of nearly two decades (see figure). This latest effort, the EHRM program, is to include the adoption of the same commercial electronic health record system that the Department of Defense is in the process of acquiring.", "VA obligated about $1.1 billion to 138 different contractors that worked on iEHR and VistA Evolution (the two efforts for which VA could provide contract data) during fiscal years 2011 through 2016. Funding for the 34 contractors that worked on both efforts totaled about $793 million of the $1.1 billion obligated for contracts on the two initiatives. The top 15 of the contractors that worked on the two efforts (key contractors) accounted for approximately $741 million\u2014$411 million for the development of new system capabilities, $256 million for project management activities, and $74 million for operations and maintenance for iEHR and VistA Evolution.", "VA has begun planning for the transition from VistA Evolution to EHRM. However, the department is still early in its efforts and has begun developing plans that are intended to guide the new EHRM program. According to the EHRM Executive Director, the department intends to complete development of its plans for EHRM within 90 days after awarding the contract for its new system, which is planned to occur in early 2018. VA has also begun to staff the EHRM program's leadership positions. The department's dedication to completing and effectively executing the planning activities that it has identified will be essential to helping minimize program risks and expeditiously guide this latest electronic health record modernization initiative to a successful outcome\u2014which VA, for almost two decades, has been unable to achieve."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) operates the largest health care delivery system in the United States, providing health care to almost 7 million veterans and their families at more than 1,500 medical facilities. The department\u2019s health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA)\u2014is essential to VA\u2019s ability to deliver health care. However, this system has been in operation for more than 30 years, is costly to maintain, and does not readily support VA\u2019s need to electronically exchange health records with other organizations, such as the Department of Defense (DOD) and private health care providers. Accordingly, the department has undertaken various efforts to modernize the system, using government contractors to do so.", "In 2008, and again in 2014, we reported on significant challenges in VA\u2019s efforts to modernize VistA. Given these longstanding challenges, you asked us to provide information on the department\u2019s VistA modernization efforts. Our specific objectives were to (1) identify the efforts that VA has undertaken to modernize VistA, including key contractors, contract costs, and expected contractor activities and (2) determine the department\u2019s current plans for, and progress to date, in modernizing VistA.", "To address our first objective, we reviewed VA documentation, including the department\u2019s budget submissions and other information compiled during prior GAO work that examined the department\u2019s initiatives to modernize VistA. We also obtained documentation from the Veterans Health Administration (VHA), the major component within the department tasked with delivering health care services, and VA\u2019s Office of Information and Technology (OI&T), which oversees the department\u2019s information technology (IT) acquisitions and operations. This documentation described contracts, related obligations, and expected contractor activities for the department\u2019s VistA modernization efforts, from fiscal years 2011 through 2016\u2014the time period for which data were available.", "In compiling contract data, we included data on awards of new contracts; modifications to previously awarded contracts; and the issuance of task orders on indefinite delivery, indefinite quantity contracts. VA was unable to provide data on VistA modernization contracts prior to fiscal year 2011 because the department\u2019s records retention policy does not require it to maintain such data. In addition, we did not request contract data subsequent to fiscal year 2016 because that is the last fiscal year for which data for a full year was available at the time that we were performing our analysis. We analyzed the available data to determine the number of contractors working on the modernization efforts and the amounts of funding that were obligated to the contracts.", "To determine the key contractors, we first identified all of the contractors that worked on both modernization efforts for which we received data. We then ranked the identified contractors according to the total reported dollars obligated for contracts that each contractor had been awarded. We designated the top 15 ranked contractors, in terms of dollars obligated, as key contractors. These 15 key contractors received contracts that accounted for about two-thirds of the funds obligated to VistA modernization contracts from fiscal years 2011 through 2016. We subsequently analyzed the information that VA provided on the work tasks to be performed by these key contractors to identify obligations made for contracts to provide different types of work, including development, project management, and operations and maintenance.", "We assessed the reliability of the contract data we received by reviewing it for missing elements and outliers. We met with officials responsible for VistA-related contracting to address questions about any missing data and outliers, as well as to obtain additional information about how the data were developed. We supplemented the data by using additional information received from VA and the Federal Procurement Data System. We determined that the data were sufficiently reliable for the purposes of our reporting objective.", "To determine current plans for modernizing VistA, we reviewed available documentation, which included draft program schedules, organization charts, congressional testimonies of the VA Secretary, a White House press conference transcript, departmental press releases, and the department\u2019s justification for awarding a non-competitive contract for a commercial off-the-shelf (COTS) electronic health record system. To determine the progress achieved on the current efforts, we obtained and reviewed documentation, such as draft schedules and organization charts, and met with senior VA officials to obtain updated information on the efforts. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA is responsible for providing a variety of services to veterans and their families (i.e., spouses and children), including health care, disability compensation, and vocational rehabilitation. Within the department, VHA oversees the delivery of health care services, including primary care, specialized care, and related medical and social support at its more than 1500 medical facilities located throughout the country. As of fiscal year 2016, about 9 million veterans were enrolled in the VA health care system, with almost 7 million patients receiving services at its medical facilities each year."], "subsections": [{"section_title": "Overview of VistA", "paragraphs": ["VHA relies on VistA\u2014its health information system\u2014to assist in the daily operations of providing health care to patients. VistA began operation in 1983 as the Decentralized Hospital Computer Program. In 1996, the department changed the name of the system to the Veterans Health Information Systems and Technology Architecture\u2014VistA.", "The system is comprised of more than 200 different software applications, including 17 pharmacy applications; 11 laboratory applications; 10 eligibility, enrollment, and registration applications; and 12 financial management applications. Most VistA applications are based on an architecture that links servers and personal computer workstations at VA facilities. VistA also has interfaces with applications within other VA systems, as well as selected systems of other federal agencies (e.g., DOD health information systems used to treat injured service members) and private care providers and pharmacies.", "VistA was developed based on the collaboration of staff in the VA medical facilities and VHA IT personnel, with the intention of providing a system that would meet the clinicians\u2019 needs. Specifically, clinicians and IT personnel in the various medical facilities collaborated to define the system\u2019s requirements and, in certain cases, carried out its development and implementation. In this regard, staff at a medical center could develop and implement applications at the local level to facilitate the potentially different functions at each location. This approach has resulted in about 130 different instances, or variations, of the system being used throughout the department\u2019s medical facilities.", "VA has made numerous enhancements to the functionality of VistA since 1983. A significant example is the release in 1996 of the Computerized Patient Record System (CPRS), a graphical user interface that enabled the department to provide an individual electronic health record for each VA patient. Specifically, CPRS enables clinicians to enter, review, and continuously update information connected with a patient. Among other things, clinicians can order lab tests, medications, diets, radiology tests, and procedures; record a patient\u2019s allergies or adverse reactions to medications; request and track consults; enter progress notes, diagnoses, and treatments for each encounter; and enter discharge summaries.", "Another example of the enhancements made to VistA was the department\u2019s implementation of an imaging capability (VistA Imaging) at all of the medical facilities. This capability enabled multimedia data, such as radiology images, to be linked to a patient\u2019s electronic medical record.", "VistA contains a comprehensive, integrated, electronic health record for each patient that is viewable by all of the department\u2019s clinicians at all of its medical facilities, thus eliminating the need for paper medical records. This capability has been key to the department\u2019s efforts over the last 20 years to share electronic medical records with DOD, and with its work to achieve interoperability, which enables different information systems or components to exchange information and to use the information that has been exchanged.", "Nevertheless, even with the enhancements and modifications made to VistA over time, the system is more than 30 years old and has become increasingly difficult and costly to maintain. One reason VistA is difficult and costly to maintain is that the system is programmed in the MUMPS programming language, a language for which there is a continually dwindling supply of qualified software developers, according to the department.", "In 2015, an independent assessment of health IT at VA, conducted by the MITRE Corporation, raised questions regarding the lack of any clear advances made during the past decade with VistA and the increasing amount of time needed for VA to release new capabilities. The study also noted that the standards and terminology used by VistA do not enable interoperability across the multiple systems within VA, or between the department and non-VA facilities, including private sector providers and DOD. Given the concerns identified, the study recommended that VA assess the cost versus benefits of various alternatives for delivering modernized capabilities, such as COTS electronic health record systems, open source systems, and the continued development of VistA."], "subsections": []}]}, {"section_title": "VA Has Pursued Four VistA Modernization Initiatives Since 2001, with Over a Billion Dollars Obligated for Contractors\u2019 Activities During Fiscal Years 2011 through 2016", "paragraphs": ["Since 2001, VA has pursued four efforts to modernize VistA. These efforts\u2014HealtheVet, the integrated Electronic Health Record (iEHR), VistA Evolution, and the Electronic Health Record Modernization (EHRM)\u2014reflect varying approaches that the department has considered to achieve a modernized health care system over the course of nearly two decades. The modernization efforts are described as follows.", "In 2001, VA undertook its first VistA modernization project, the HealtheVet initiative, with the goals of standardizing the department\u2019s health care system and eliminating the approximately 130 different systems used by its field locations at that time. HealtheVet was scheduled to be fully implemented by 2018 at a total estimated development and deployment cost of about $11 billion. As part of the effort, the department had planned to develop or enhance specific areas of system functionality through six projects, which were to be completed between 2006 and 2012. Specifically, these projects were to provide capabilities to support VA\u2019s Health Data Repository and Patient Financial Services System, as well as the Laboratory, Pharmacy, Imaging, and Scheduling functions.", "In June 2008, we reported that the department had made progress on the HealtheVet initiative, but noted issues with project planning and governance. In June 2009, the Secretary of Veterans Affairs announced that VA would stop financing failed projects and improve the management of its IT development projects. Subsequently in August 2010, the department reported that it had terminated the HealtheVet initiative.", "In February 2011, VA began its second VistA modernization initiative, the iEHR program, in conjunction with DOD. The program was intended to replace the two separate electronic health record systems used by the two departments with a single, shared system. In addition, because both departments would be using the same system, this approach was expected to largely sidestep the challenges that had been encountered in trying to achieve interoperability between their two separate systems.", "Initial plans called for the development of a single, joint iEHR system consisting of 54 clinical capabilities to be delivered in six increments between 2014 and 2017. Among the agreed-upon capabilities to be delivered were those supporting laboratory, anatomic pathology, pharmacy, and immunizations. According to VA and DOD, the single system had an estimated life cycle cost of $29 billion through the end of fiscal year 2029.", "However, in February 2013, the Secretaries of VA and DOD announced that they would not continue with their joint development of a single electronic health record system. This decision resulted from an assessment of the iEHR program that the secretaries had requested in December 2012 because of their concerns about the program facing challenges in meeting deadlines, costing too much, and taking too long to deliver capabilities. In 2013, the departments abandoned their plan to develop the integrated system and stated that they would again pursue separate modernization efforts.", "In December 2013, VA initiated its VistA Evolution program as a joint effort of VHA and OI&T that was to be completed by the end of fiscal year 2018. The program was to be comprised of a collection of projects and efforts focused on improving the efficiency and quality of veterans\u2019 health care by modernizing the department\u2019s health information systems, increasing the department\u2019s data exchange and interoperability with DOD and private sector health care partners, and reducing the time it takes to deploy new health information management capabilities. Further, the program was intended to result in lower costs for system upgrades, maintenance, and sustainment. According to the department\u2019s March 2017 cost estimate, VistA Evolution was to have a life cycle cost of about $4 billion through fiscal year 2028.", "Since initiating VistA Evolution in December 2013, VA has completed a number of key activities that were called for in its plans. For example, the department delivered capabilities, such as the ability for health providers to have an integrated, real-time view of electronic health record data through the Joint Legacy Viewer, as well as the ability for health care providers to view sensitive DOD notes and highlight abnormal test results for patients. VA also initiated work to standardize VistA across the 130 VA facilities and released enhancements to its legacy scheduling, pharmacy, and immunization systems. In addition, the department released the enterprise Health Management Platform, which is a web- based user interface that assembles patient clinical data from all VistA instances and DOD.", "Although VistA Evolution is ongoing, VA is currently in the process of revising its plan for the program as a result of the department recently announcing its pursuit of a fourth VistA modernization program (discussed below). For example, the department determined that it would no longer pursue additional development or deployment of the enterprise Health Management Platform\u2014a major VistA Evolution component\u2014 because the new modernization program is envisioned to provide similar capabilities.", "In June 2017, the VA Secretary announced a significant shift in the department\u2019s approach to modernizing VistA. Specifically, rather than continue to use VistA, the Secretary stated that the department plans to acquire the same electronic health record system that DOD is implementing. In this regard, DOD has contracted with the Cerner Corporation to provide a new integrated electronic health record system. According to the Secretary, VA has chosen to acquire this same product because it would allow all of VA\u2019s and DOD\u2019s patient data to reside in one system, thus enabling seamless care between the department and DOD without the manual and electronic exchange and reconciliation of data between two separate systems.", "According to the VA Secretary, this fourth VistA modernization initiative is intended to minimize customization and system differences that currently exist within the department\u2019s medical facilities, and ensure the consistency of processes and practices within VA and DOD. When fully operational, the system is intended to be the single source for patients to access their medical history and for clinicians to use that history in real time at any VA or DOD medical facility, which may result in improved health care outcomes. According to VA\u2019s Chief Technology Officer, Cerner is expected to provide integration, configuration, testing, deployment, hosting, organizational change management, training, sustainment, and licenses necessary to deploy the system in a manner that meets the department\u2019s needs.", "To expedite the acquisition, in June 2017, the Secretary signed a \u201cDetermination and Findings,\u201d for a public interest exception to the requirement for full and open competition, and authorized VA to issue a solicitation directly to the Cerner Corporation. According to the Secretary, VA expects to award a contract to Cerner in early 2018, and deployment of the new system is anticipated to begin 18 months after the contract has been signed.", "VA\u2019s Executive Director for the Electronic Health Records Modernization System stated that the department intends to deploy the new system incrementally to its medical facilities. Each facility is expected to continue using VistA until the new system has been deployed at that location. VA expects that the new system will be implemented at all VA medical facilities within 7 to 8 years after the first deployment.", "Figure 1 shows a timeline of the four efforts that VA has pursued to modernize VistA since 2001."], "subsections": [{"section_title": "VA Obligated About $1.1 Billion for VistA Modernization Contracts from 2011 through 2016", "paragraphs": ["For iEHR and VistA Evolution, the two modernization initiatives for which VA could provide contract data, VA obligated approximately $1.1 billion for contracts with 138 different contractors during fiscal years 2011 through 2016. Specifically, the department obligated approximately $224 million and $880 million, respectively, for contracts associated with these efforts. Of the 138 contractors, 34 performed work supporting both, iEHR and VistA Evolution. The remaining 104 contractors worked exclusively on either iEHR or VistA Evolution.", "Funding for the 34 contractors that worked on both iEHR and VistA Evolution totaled about $793 million of the $1.1 billion obligated for contracts on the two initiatives. Obligations for contracts awarded to the top 15 of these 34 contractors (which we designated as key contractors) accounted for about $741 million (about 67 percent) of the total obligated for contracts on the two initiatives. The remaining 123 contractors were obligated about $364 million for their contracts.", "The 15 key contractors were obligated about $564 million and $177 million for VistA Evolution and iEHR contracts, respectively. Table 1 identifies the key contractors and their obligated dollar totals for the two efforts.", "Additionally, we determined that, of the $741 million obligated to the key contractors, $411 million (about 55 percent) was obligated for contracts supporting the development of new system capabilities, $256 million (about 35 percent) was obligated for contracts supporting project management activities, and $74 million (about 10 percent) was obligated for contracts supporting operations and maintenance for iEHR and VistA Evolution. VA obligated funds to all 15 of the key contractors for system development, 13 of the key contractors for project management, and 12 of the key contractors for operations and maintenance. Figure 2 shows the amounts obligated for each of these areas.", "Further, based on the key contractors\u2019 documentation for the iEHR program, VA obligated $102 million for development, $65 million for project management, and $10 million for operations and maintenance. For the VistA Evolution Program, VA obligated $309 million for development, $191 million for project management, and $64 million for operations and maintenance. Figure 3 shows the amounts obligated for contracts on the VistA Evolution and iEHR programs for development, project management, and operations and maintenance.", "In addition, table 2 shows the amounts that each of the 15 key contractors were obligated for the three types of contract activities performed on iEHR and VistA Evolution."], "subsections": []}]}, {"section_title": "VA Recently Announced a New VistA Modernization Initiative; Development of Plans Is in Progress", "paragraphs": ["Industry best practices and IT project management principles stress the importance of sound planning for system modernization projects. These plans should identify key aspects of a project, such as the scope, responsible organizations, costs, schedules, and risks. Additionally, planning should begin early in the project\u2019s life cycle and be updated as the project progresses.", "Since the VA Secretary announced that the department would acquire the same electronic health record system as DOD, VA has begun planning for the transition from VistA Evolution to EHRM. However, the department is still early in its efforts, pending the contract award. In this regard, the department has begun developing plans that are intended to guide the new EHRM program. For example, the department has developed a preliminary description of the organizations that are to be responsible for governing the EHRM program. Further, the VA Secretary announced in congressional testimony in November 2017 that the Executive Director for the Electronic Health Records Modernization System will report directly to the department\u2019s Deputy Secretary. In addition, the department has developed a preliminary timeline for deploying its new electronic health record system to VA\u2019s medical facilities, and a 90-day schedule that depicts key program activities. The department also has begun documenting the EHRM program risks.", "Beyond the aforementioned planning activities undertaken thus far, the Executive Director stated that the department intends to complete a full suite of planning and acquisition management documents to guide the program, including a life cycle cost estimate and an integrated master schedule to establish key milestones over the life of the project. To this end, the Executive Director told us that VA has awarded program management contracts to support the development of these plans to MITRE Corporation and Booz Allen Hamilton.", "According to the Executive Director, VA also has begun reviewing the VistA Evolution Roadmap, which is the key plan that the department has used to guide VistA Evolution since 2014. This review is expected to result in an updated plan that is to prioritize any remaining VistA enhancements needed to support the transition from VistA Evolution to the new system. According to the Executive Director, the department intends to complete the development of its plans for EHRM within 90 days after award of the Cerner contract, which is anticipated to occur in early 2018.", "Further, beyond the development of plans, VA has begun to staff an organizational structure for the modernization initiative, with the Under Secretary of Health and the Assistant Secretary for Information and Technology (VA\u2019s Chief Information Officer) designated as executive sponsors. It has also appointed a Chief Technology Officer from OI&T, and a Chief Medical Officer from VHA, both of whom are to report to the Executive Director.", "VA\u2019s efforts to develop plans for EHRM and to staff an organization to manage the program encompass key aspects of project planning that are important to ensuring effective management of the department\u2019s latest modernization initiative. However, the department remains early in its modernization planning efforts, many of which are dependent on the system acquisition contract award, which has not yet occurred. The department\u2019s continued dedication to completing and effectively executing the planning activities that it has identified will be essential to helping minimize program risks and guide this latest electronic health record modernization initiative to a successful outcome\u2014one which VA, for almost two decades, has been unable to achieve."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to VA for comment. Via email, a liaison in VA\u2019s Office of Congressional and Legislative Affairs stated that the department appreciated the opportunity to comment on the draft report and provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, the Under Secretary for Health, the Chief Information Officer, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives for this study were to (1) identify the efforts that the Department of veterans Affairs (VA) has undertaken to modernize VistA, including key contractors, contract costs, and expected contractor activities and (2) to determine the department\u2019s current plans for, and progress to date, in modernizing VistA.", "To address the first objective, we reviewed VA\u2019s prior budget submissions, in addition to VistA Evolution planning documentation, such as the VistA 4 Product Roadmap, VistA 4 Life Cycle Cost Estimate, VistA Evolution Integrated Master Plan, and VistA Evolution Business Case. We also reviewed meeting minutes for the VistA modernization projects and prior GAO work on efforts to modernize VistA.", "To determine the contractors, costs, and expected contractor activities for these efforts, we requested data from VA\u2019s Office of Information and Technology (OI&T) and the Veterans Health Administration (VHA) on all contracts, related obligations, and expected activities for the HealtheVet program for fiscal years 2001 through 2010; the integrated Electronic Health Record (iEHR) program for fiscal years 2011 through 2013; and the VistA Evolution program for fiscal years 2014 through 2016. Neither OI&T nor VHA was able to provide contract data related to the HealtheVet program. The department stated that it could not verify any HealtheVet contractors receiving payments because the time frame for the effort falls outside the record retention required by regulations. According to the Federal Acquisition Regulation, government agencies are required to retain contract records for 6 years after the final payment.", "VA provided contract data for the iEHR and VistA Evolution programs, which included contractor names, obligated amounts of funding, and descriptions of the work that the contractors were to perform. OI&T provided such data for fiscal years 2011 through 2016 and VHA provided data for fiscal years 2012 through 2016. VHA program officials told us that they were unable to provide contract data prior to 2012. In addition, we did not request contract data subsequent to fiscal year 2016 because that is the last fiscal year for which data for a full year were available at the time that we performed our analysis.", "We assessed the reliability of the contract data we received by reviewing it for missing elements and outliers. We then met with officials responsible for VistA-related contracting to address questions about any missing data and outliers, as well as to obtain additional information about how the data were developed. Further, we supplemented the data by using additional information received from VA and the Federal Procurement Data System. We determined that the data were sufficiently reliable for the purposes of our reporting objective.", "To determine the key contractors, we first identified all of the contractors that worked on both the iEHR and VistA Evolution modernization efforts. We subsequently ranked the contractors according to the total dollars obligated for contracts that each contractor had been awarded. Further, we designated the top 15 ranked contractors, in terms of dollars obligated, as key contractors. These 15 key contractors received contracts that accounted for about two-thirds of the funds obligated to VistA modernization contracts from fiscal year 2011 through 2016. We then analyzed the information provided from VA on the work to be performed by these key contractors to identify obligations made for contracts to provide different types of work supporting the two modernization initiatives, including systems development, project management, and operations and maintenance. We then calculated the funds that were obligated to each of the key contractors for the types of work performed.", "To determine current plans for modernizing VistA, we reviewed draft program schedules, organization charts, Congressional testimonies of the VA Secretary, a White House press conference transcript, departmental press releases, and the department\u2019s justification for awarding a non- competitive contract for a commercial off-the-shelf electronic health record system. To determine the progress achieved on the current efforts, we obtained documentation, such as draft schedules and organization charts, and met with program officials in VA\u2019s Electronic Health Record Modernization program office to obtain updated information on the efforts.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["David A. Powner, (202) 512-9286 or pownerd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mark Bird (assistant director), Eric Trout (analyst in charge), Chris Businsky, Vern Cumarasegaran, Nancy Glover, Paris Hawkins, Jacqueline Mai, Jennifer Stavros-Turner, Christy Tyson, and Charles Youman made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-618", "url": "https://www.gao.gov/products/GAO-18-618", "title": "Central American Police Training: State and USAID Should Ensure Human Rights Content Is Included as Appropriate, and State Should Improve Data", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Several U.S. agencies train police in the Northern Triangle countries of El Salvador, Guatemala, and Honduras, where corruption and human rights abuses have traditionally plagued civilian police forces. State, the primary agency responsible for foreign police assistance, allocated about $37 million to train police in these countries from appropriations for fiscal years 2014 through 2017. Although it is not a focus of their efforts, DOD and USAID also train police in the Northern Triangle.", "Senate Report 115-125 includes a provision for GAO to report on various aspects of U.S. police training efforts in the Northern Triangle. In this report, GAO examines, among other objectives, the extent to which U.S. agencies have (1) established objectives for and delivered training to professionalize police, including promoting respect for human rights, and (2) collected data related to police training indicators. GAO analyzed agency data and project documents, including for 22 State and USAID-funded projects implemented during fiscal years 2014 through 2017 that agencies identified as including assistance for police. GAO also conducted fieldwork in El Salvador and interviewed agency officials in Honduras; Guatemala; and Washington, D.C., who oversee and conduct police training."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies have established objectives and delivered training to professionalize police in Central America's Northern Triangle but have not consistently done so to promote police respect for human rights. U.S. strategies include objectives to professionalize police, and the Departments of State (State) and Defense (DOD) and U.S. Agency for International Development (USAID) have delivered related training (see figure). These strategies also highlight the importance of police respect for human rights, but agencies have few objectives or other control mechanisms to ensure police receive related training. For instance, none of the 14 State projects and 2 of the 8 USAID projects that GAO reviewed had such objectives. Officials said this is because objectives were designed to be broader in focus. DOD also does not have objectives but has other control mechanisms to ensure its training includes human rights content. Federal standards for internal control call for managers to establish control mechanisms consistent with priorities. Without them, it may be difficult for State and USAID to ensure that training supports agencies' goals to promote police respect for human rights.", "DOD, State, and USAID collect information on police training, but State lacks readily available, reliable data on the number of police trained\u2014a key indicator in the U.S. Strategy for Central America . State's data are not readily available because, according to officials, the process to track training is decentralized and data are not consolidated. Further, GAO found State's fiscal year 2017 police training data to be unreliable because, among other reasons, the data did not include training delivered by some implementers. Officials noted that State did not have sufficient internal control mechanisms and staff in place to collect data as it expanded police training in the Northern Triangle. Without such data, State cannot accurately assess its efforts in Central America."]}, {"section_title": "What GAO Recommends", "paragraphs": ["To improve oversight of police training in the Northern Triangle, State and USAID should design control mechanisms to ensure human rights content is included as appropriate, and State should improve police training data. State and USAID concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The three Central American countries constituting the region\u2019s \u201cNorthern Triangle\u201d\u2014El Salvador, Guatemala, and Honduras\u2014face widespread insecurity and violence, with homicide rates among the highest in the world. The police forces in these countries are challenged by corruption, inadequate resources, insufficient training, and a lack of public trust, according to U.S. Department of State (State) documents. Supporting the efforts of the Northern Triangle governments to professionalize and reform police forces is a focus of U.S. policy in the Western Hemisphere. The White House\u2019s U.S. Strategy for Central America aims to improve governance and security in the region and emphasizes that security assistance should address corruption, promote governmental transparency, and protect human rights. In support of this strategy, the United States has devoted significant resources to train police units in the Northern Triangle. For example, State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL) and the U.S. Agency for International Development (USAID) reported having allocated at least $37 million and $11 million, respectively, to train police in El Salvador, Guatemala, and Honduras from appropriations for fiscal years 2014 through 2017.", "Congress has clearly articulated the importance of respect for human rights in U.S. assistance to partner nations\u2019 security forces, and in Senate Report 115-125, accompanying the National Defense Authorization Act for Fiscal Year 2018, the Committee on Armed Services included a provision for us to report on various aspects of U.S. police training efforts in El Salvador, Honduras, and Guatemala. In this report, we examine, for the Northern Triangle, (1) the extent to which U.S. agencies have established objectives for and delivered training to professionalize police, including promoting respect for human rights; (2) the extent to which agencies have collected data related to police training indicators; and (3) the actions U.S. agencies have planned and undertaken to support the ability of partner nations to sustain police training.", "To address these objectives, we reviewed government-wide and agency strategies, guidance documents, project work plans, and reports from State, the Department of Defense (DOD), and USAID. We focused on State and USAID because officials identified them as the primary funders of police training in El Salvador, Guatemala, and Honduras. While DOD primarily provides assistance to foreign military entities, we included DOD in our analysis because some of the training funded by the agency includes police participants. We included police training implemented by the Departments of Justice (DOJ) and Homeland Security (DHS) when their training efforts were funded by State, DOD, and USAID, but not separate efforts funded by DOJ and DHS. In addition to reviewing documents, we conducted fieldwork in El Salvador and interviewed agency officials in Honduras; Guatemala; and Washington, D.C., who oversee and conduct police training.", "To determine the extent to which U.S. agencies have established objectives for and delivered training to professionalize police, including promoting respect for human rights, we reviewed agency documents and assessed them against federal standards for internal control, which state that management should set objectives or other control mechanisms to meet an entity\u2019s mission, strategic plan, and goals. Our analysis included U.S. global, regional, and country-specific strategic documents such as government-wide Integrated Country Strategies and DOD country security assistance plans for El Salvador, Guatemala, and Honduras. We also reviewed documents from State, USAID, and DOD about police assistance efforts implemented during fiscal years 2014 through 2017 that included assistance for police in El Salvador, Guatemala, and Honduras. Specifically, we reviewed 22 projects\u201414 funded by State and 8 funded by USAID\u2014that the agencies identified as including assistance for police. For each of these 22 police assistance projects, we analyzed project documents\u2014work plans or reports\u2014to identify objectives or other internal control mechanisms related to police professionalization, including promoting respect for human rights, using definitions determined through our analysis and discussions with agency officials. Two analysts independently reviewed the project documents and discussed and resolved any disagreements in their initial determinations about the extent to which project documents included relevant objectives or other internal control mechanisms.", "With respect to reporting on the extent to which training incorporated content to professionalize police, including promoting respect for human rights, we analyzed documents on police training, such as training agendas and course catalogs, and discussed training content with officials at implementing agencies. To analyze the content of training courses, we defined training to promote respect for human rights as training specifically addressing \u201chuman rights\u201d or elements of human rights as defined in agency documents, such as the proper use of force and minority rights, and in the United Nations Universal Declaration of Human Rights.", "To determine the extent to which agencies have collected data on police training indicators, we analyzed agency documents to identify indicators related to police training and assessed related data against federal internal control standards, which call for agencies to have readily available, reliable data to track progress toward goals. We identified, and agency officials confirmed, one relevant indicator in the U.S. Strategy for Central America: the \u201cnumber and percentage of civilian police trained by INL.\u201d That strategy assigns State responsibility for tracking that indicator. We asked State to provide us with information related to the indicator and compared State\u2019s data with training information from implementing agencies to determine the extent to which State\u2019s data were reliable and readily available. We assessed State\u2019s data on how many police were trained by comparing similar data from different sources; reviewing agency information regarding underlying data systems; and interviewing cognizant agency officials. We found that the data on police trained through INL\u2019s International Law Enforcement Academies program (hereafter referred to as ILEA) were sufficiently reliable for reporting on the number of police trained. However, overall, we found that State does not have readily available, reliable data on the total number of police trained, which we report as a finding.", "To determine the actions U.S. agencies have planned and undertaken to support the ability of partner nations to sustain police training, we spoke with agency officials about related activities and analyzed project planning documents and reporting related to police assistance. Using this information, we determined the types of actions U.S. agencies had planned or undertaken and discussed these categories with agency officials to confirm that the categories accurately reflected agency actions. For more detail on our scope and methodology, see appendix I.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to State and USAID, the Northern Triangle countries of El Salvador, Guatemala, and Honduras (see fig. 1) have a history of police corruption and gross violations of human rights. For example, State\u2019s Guatemala 2016 Human Rights Report describes human rights abuses by the police, including arbitrary and unlawful killings, abuse, and mistreatment. Agencies also described a number of factors that challenge police forces in the Northern Triangle, including a culture of impunity and limited partner nation capacity to address these challenges.", "Many U.S. agencies implement assistance to civilian police in El Salvador, Guatemala, and Honduras, with State\u2019s INL being the primary source of funding. Federal law generally prohibits the use of foreign assistance funds for police training, but Congress provided several exceptions including for training in internationally recognized standards of human rights, the rule of law, anti-corruption, and the promotion of civilian police roles that support democracy. Accordingly, as part of USAID\u2019s broader security sector reform assistance efforts, the agency provides some police training, which often includes training on community policing practices. DOD generally is not authorized to train civilian police and focuses on building the capacity of its military and other national security counterparts. However, under its authority to build the capacity of foreign security forces for various purposes, DOD has provided a limited amount of training for civilian police and military units that provide civilian security in El Salvador, Guatemala, and Honduras. For example, several U.S. agencies, including DOD, have delivered training to the Joint Group Cuscatl\u00e1n in El Salvador, an interagency task force that includes police; and to the Special Response Intelligence and Security Group in Honduras (commonly called TIGRES, its acronym in Spanish), which, according to State, is an elite, vetted unit within the Honduran National Police, specializing in high-risk tactics.", "State, USAID, and DOD deliver training in a variety of ways, including through the agencies\u2019 own subject matter experts, interagency agreements with other U.S. agencies, and contracts with nongovernment implementing partners. For example, USAID has contracts and cooperative agreements with corporations, universities, and nongovernmental organizations to implement assistance projects that include training of police in El Salvador, Guatemala, and Honduras. State\u2019s INL uses contracts to procure the services of nongovernment implementing partners and interagency agreements to partner with several other U.S. government agencies and components, including DHS and DOJ, to implement police assistance and training. State\u2019s ILEA program also funds a network of police training academies, including one located in San Salvador, El Salvador (see fig. 2)."], "subsections": []}, {"section_title": "Agencies Have Established Objectives and Delivered Training to Professionalize Police but Have Not Consistently Done So Related to Respect for Human Rights Agencies Have Established Training Objectives to Professionalize Police and Have Delivered Such Training", "paragraphs": ["Global, regional, and country-specific strategies outlining U.S. policy in El Salvador, Guatemala, and Honduras all include objectives to professionalize police. For example, the 2017 National Security Strategy of the United States of America includes an objective to support local efforts to professionalize police in the Western Hemisphere. The U.S. Strategy for Central America\u2014a primary document outlining U.S. policy in El Salvador, Guatemala, and Honduras\u2014also includes an objective specifically to \u201cprofessionalize civilian police.\u201d In addition, government- wide Integrated Country Strategies outlining U.S. goals for fiscal year 2014 through 2017 efforts in El Salvador, Guatemala, and Honduras include police professionalization objectives. For example, the Integrated Country Strategy for Guatemala for fiscal years 2016 and 2017 includes an objective to strengthen professionalism through training for law enforcement.", "Consistent with these objectives, DOD, State, and USAID have planned and delivered training aimed at professionalizing police in El Salvador, Guatemala, and Honduras. First, while DOD\u2019s primary responsibility is to train its military counterparts, DOD country campaign plans for each of the three Northern Triangle countries include tasks related to professionalizing security forces, which would pertain to police they may train. For example, the plan for Guatemala for fiscal years 2016 and 2017 includes conducting professional development courses to improve skills to enhance partner nation security forces. During fiscal years 2014 through 2017, DOD delivered training to security forces, including a limited number of police participants, and officials told us that all DOD training delivered to security forces was intended to professionalize those forces.", "Second, our analysis of project documents associated with 22 State and USAID police assistance efforts in El Salvador, Guatemala, and Honduras implemented during fiscal years 2014 through 2017 found that 21 of the projects included objectives to professionalize police. For example, agreements between the DHS\u2019s U.S. Customs and Border Protection and State\u2019s INL for each of the three Northern Triangle countries have an objective to assist in the development of professional border security through police training. Similarly, USAID officials noted the police training incorporated in their broader assistance efforts consistently includes elements to professionalize those forces, and we found examples of such training incorporated in documents for each of the 8 USAID projects we reviewed.", "In line with these objectives, State and USAID implementing partners delivered training to professionalize police from all three Northern Triangle countries. For example, DOJ\u2019s Drug Enforcement Administration delivered tactical training on the use of firearms to police in El Salvador (see fig. 3)."], "subsections": [{"section_title": "Agencies Have Established Few Police Training Objectives to Promote Respect for Human Rights and Vary in the Extent to Which They Have Delivered Such Training", "paragraphs": ["Agencies have established few objectives to provide human rights training to police in El Salvador, Guatemala, and Honduras either in government-wide strategies for the countries or in police assistance project work plans. Federal standards for internal control state that management should set objectives or other internal control mechanisms to meet an entity\u2019s mission, strategic plan, and goals. In the case of police training, global, regional, and country-specific strategies note the importance of a professional police force that respects human rights, and some cite risks associated with police forces lacking these attributes. For example, U.S. national security strategies associated with fiscal years 2014 through 2017 state that respect for human rights is an important aspect of U.S. national security strategy. At the regional level, the U.S. Strategy for Central America states that all security cooperation will emphasize respect for human rights. Further, the government-wide Integrated Country Strategies for El Salvador, Guatemala, and Honduras for fiscal years 2014 through 2017 emphasize the importance of promoting respect for human rights. Despite the consistent, government- wide emphasis on the importance of promoting respect for human rights, government-wide strategies and police assistance project documents include few objectives specifically to provide human rights training to police in El Salvador, Guatemala, and Honduras.", "First, government-wide country strategies contain few objectives to provide human rights training to police. Of the three current government- wide Integrated Country Strategies for El Salvador, Guatemala, and Honduras, only the document for El Salvador contains an objective to provide human rights training to police (see table 1).", "Officials from INL, the State bureau responsible for achieving the human rights police training objective for El Salvador, noted that efforts related to this objective have focused on institutionalizing human rights training through the country\u2019s police academy. State officials did not know why the strategy for Honduras for fiscal years 2016 and 2017 lacked such an objective while the strategy for fiscal years 2014 through 2016 included one. Similarly, officials did not know if the officials who drafted the Integrated Country Strategy for Guatemala for fiscal years 2016 and 2017 had considered including an objective to train police in human rights.", "Second, police assistance project documents also vary in the extent to which they include objectives or other internal control mechanisms to ensure human rights content is incorporated in police training. Further, agencies also vary in the extent to which they included respect for human rights in police training delivered during fiscal years 2014 through 2017."], "subsections": [{"section_title": "Department of Defense (DOD)", "paragraphs": ["DOD has not established specific objectives to train police on human rights, but internal control mechanisms, such as written policies, have helped ensure that training DOD delivers to police consistently incorporates content on respect for human rights, according to agency officials. As mentioned previously, DOD primarily provides training for partner nation militaries and national security forces and does not have strategic objectives specific to training civilian police. Nonetheless, the U.S. Southern Command (SOUTHCOM)\u2014whose area of responsibility includes El Salvador, Guatemala, and Honduras\u2014uses a written policy to require that all SOUTHCOM-sponsored operational and intelligence training provided to security forces contain a human rights component.", "Further, in fiscal year 2017, DOD\u2019s Global Train and Equip Program consolidated some types of assistance DOD had previously used to provide training for foreign security forces in El Salvador, Guatemala, and Honduras. The legal authority for this program requires that projects executed under the authority include elements that promote observance of and respect for the law of armed conflict, human rights and fundamental freedoms, the rule of law, and civilian control of the military.", "DOD officials explained that based on these requirements, human rights training was either imbedded in or provided as a component of all DOD training delivered to security forces, which they stated generally focused on operational or tactical topics. We reviewed agendas for training that DOD officials identified as having included police participants, and found such content. For example, the agenda for a 4.5-day training on the legal aspects of combatting terrorism delivered by DOD\u2019s Defense Institute of International Legal Studies to Salvadoran security force participants, among whom were 12 civilian police, included at least 5 hours of training on human rights topics such as international law and the proper use of force."], "subsections": []}, {"section_title": "U.S. Agency for International Development (USAID)", "paragraphs": ["While USAID has established few specific objectives or other internal control mechanisms to include human rights content in police training, according to USAID officials, training delivered to police in El Salvador, Guatemala, and Honduras during fiscal years 2014 through 2017 included content on respect for human rights. Our analysis of project documents related to the eight USAID projects that officials identified as including police assistance in fiscal years 2014 through 2017 found that two projects included objectives to provide police training specifically on human rights. For example, the USAID-funded Rights and Dignity Project for El Salvador included an objective to provide human rights training to several security sector entities, including the country\u2019s national police. For a third project, USAID used an internal control mechanism to ensure human rights related content was included in police training. In this instance, the terms and conditions of USAID\u2019s cooperative agreement included technical direction to the implementer that substantive instruction should address issues of gender-based violence, a human rights concern pertinent in the recipient countries. The remaining five USAID projects included no objectives or other internal control mechanisms to ensure that human rights content was incorporated. USAID officials explained that project documents did not include specific objectives to provide police training on respect for human rights because USAID projects generally have broader goals that are not specific to training police.", "Despite having few specific objectives or other internal control mechanisms intended to ensure that police training includes human rights content, USAID officials told us that USAID-funded police training delivered in fiscal years 2014 through 2017 consistently included such content. For example, according to these officials, training on community policing constituted a significant portion of police-related assistance in El Salvador, Guatemala, and Honduras, and USAID\u2019s civilian policing policy guidance identifies respect for human rights as a core component of its community policing curriculum. Further, USAID officials posted in El Salvador, Guatemala, and Honduras, noted that police training delivered in each country incorporated human rights precepts. For example, in Honduras, USAID officials said the agency\u2019s efforts included training police on human rights issues specifically to improve police engagement with vulnerable populations such as women and members of the lesbian, gay, bisexual, and transgender community.", "In addition to the information provided by USAID officials we spoke with, we reviewed reports from USAID\u2019s implementing partners that contained information about police training delivered in fiscal years 2014 through 2017, some of which noted content related to human rights. For example, one implementing partner reported on providing training that included content on human rights, ethics, and the proper use of force. USAID officials told us that the decision to include training on respect for human rights is based on a series of factors, including USAID staff discretion, and noted that an internal control mechanism would help ensure that officials consistently consider the extent to which content related to respect for human rights would be appropriate to include in police training."], "subsections": []}, {"section_title": "Department of State (State)", "paragraphs": ["State has not established specific objectives or other internal control mechanisms to ensure police training incorporates content promoting respect for human rights. We reviewed documents related to 14 INL- funded projects for El Salvador, Guatemala, and Honduras that officials identified as including assistance for police and that were implemented in fiscal years 2014 through 2017. None of the project documents we reviewed for the 14 INL-funded projects included police training objectives or other internal control mechanisms related to human rights. Officials explained that they do not have specific objectives to provide training on respect for human rights because they have designed objectives with a broader focus, such as to reduce insecurity and corruption. However, they agreed that establishing internal control mechanisms specific to human rights could help ensure training includes such content as appropriate.", "Although State has not established objectives or other internal control mechanisms to ensure that human rights content is included in police training, State officials told us that some INL-funded police training includes such content. For example, the ILEA program offers training that includes human rights content, such as its Human Rights course. However, ILEA and other INL-funded training implementers also offer training of a technical nature, such as first responder training and crime scene management, which may not warrant inclusion of human rights content. Officials also explained that because training content is developed and maintained by INL\u2019s implementing partners, INL could not readily provide detailed information on the content of the training delivered to police. These officials said that the implementing partners, such as ILEA and other U.S. agencies, could provide more specific information on the content of INL-funded training.", "Our analysis of ILEA training delivered to police from El Salvador, Guatemala, and Honduras during fiscal years 2015 through 2017 found that 84 of 189 courses (or 44 percent) focused on or included content related to human rights. For example, the ILEA Human Rights course included content on fundamental human rights and relevant issues and challenges in participants\u2019 countries. The ILEA Human Trafficking and Child Exploitation course included human rights content related to minority rights and vulnerable populations. Officials explained that some training, such as courses on crime scene management and other courses on topics of a technical nature, may not warrant the inclusion of content related to human rights.", "Absent objectives from State to deliver training to promote respect for human rights, officials from 10 key DHS and DOJ offices that implement INL-funded police training noted various extents to which respect for human rights is included in police training they deliver. For example, officials from DOJ\u2019s Bureau of Alcohol, Tobacco, Firearms, and Explosives noted that they have delivered training on topics such as post- blast investigations and the eTrace firearms tracing system that does not warrant the inclusion of content related to respect for human rights. Officials from DHS\u2019s U.S. Customs and Border Protection noted that police training they deliver, such as on conducting highway checkpoints, does not specifically address respect for human rights but contains best practices grounded in respect for human rights. Officials from 1 of the 10 offices we contacted\u2014DOJ\u2019s International Criminal Investigative Training Assistance Program\u2014noted that all INL-funded police training that it delivered included a human rights component.", "While there is no requirement that all State- and USAID-funded police training include human rights content, these agencies consistently emphasize the importance of building police and other security forces that respect human rights. By establishing specific objectives in government- wide strategies or project-specific work plans or other internal control mechanisms, such as written policies, State and USAID could help ensure that police training incorporates human rights content, or continues to do so, as appropriate. Further, without such objectives or internal control mechanisms, it may be difficult for these agencies to account for the extent to which implementing partners include human rights content or to assess progress being made with respect to partner nation police forces\u2019 respect for human rights\u2014a key goal of U.S. strategy in Central America."], "subsections": []}]}]}, {"section_title": "Agencies Collect Some Information on the Number of Police Trained, but State Lacks Readily Available, Reliable Data on This Indicator", "paragraphs": [], "subsections": [{"section_title": "DOD and USAID Have Collected Some Information on the Number of Police Trained", "paragraphs": ["While DOD and USAID training for recipients in the Northern Triangle may include police participants, police training is not a primary element of DOD and USAID assistance in El Salvador, Guatemala, and Honduras. Neither agency collects data in relation to a specific indicator on police training. Nonetheless, both agencies gather some information regarding civilian police they have trained.", "DOD\u2019s primary security assistance objectives in El Salvador, Guatemala, and Honduras pertain to partner nation militaries; thus the agency does not collect data in relation to specific police training indicators. Nevertheless, information on training participants from civilian institutions such as police forces is available, according to DOD officials. For example, DOD officials identified civilian police participants from El Salvador and Guatemala who participated in DOD\u2019s Defense Institute of International Legal Studies training events during fiscal year 2013. Further, the Foreign Military Training report tracks DOD training and includes participants\u2019 units, which can be used to identify police and other civilian trainees. For instance, the report for fiscal years 2014 and 2015 identifies a 3-month counterdrug course delivered in fiscal year 2014 to 200 members of the elite Honduran police unit, the TIGRES. DOD also included police participants in courses primarily attended by military officials. For example, the report for fiscal years 2016 and 2017 indicated 3 members of the Salvadoran National Police attended a fiscal year 2016 course titled \u201cCountering Transnational Threats in the Americas,\u201d along with at least 20 military officials.", "USAID\u2019s assistance in El Salvador, Guatemala, and Honduras consists of broader security sector reform efforts that include, but do not focus on, police training. Hence, USAID does not have indicators to specifically track police training. Consequently, officials explained that the level of detail that implementing partners reported on police training would vary project by project and would most likely be found in project-level reporting submitted by implementing partners. We reviewed quarterly and annual reports for USAID projects we included in our analysis and found examples of various levels of detail regarding the number of police trained. For example: In reporting on efforts to improve security in Honduras by increasing the capacity of community members and police, the implementing partner of USAID\u2019s Convive! project noted that they had delivered training on community policing to 447 officers from April 2016 to June 2017.", "The implementing partner of USAID\u2019s Security and Justice Sector Reform project in Guatemala reported holding workshops to build investigators\u2019 capacity to gather information, write reports, and plan operations in a way that respects human rights, but the implementing partners\u2019 reports did not specify the number of participants in those workshops.", "USAID\u2019s implementing partner for its Justice Sector Strengthening project in El Salvador submitted a report on activities during October through December 2017 noting that they had (1) trained 150 officers in the fundamentals of community policing and (2) supported workshops on human rights, ethics, and the proper use of force for 113 officers."], "subsections": []}, {"section_title": "State Lacks Readily Available, Reliable Data on the Total Number of Police Trained", "paragraphs": ["State is responsible for tracking progress toward a key indicator related to training police in El Salvador, Guatemala, and Honduras. Objective 3.1 of the U.S. Strategy for Central America is to \u201cProfessionalize Civilian Police,\u201d and a related indicator is the \u201cnumber and percentage of civilian police trained by INL.\u201d However, INL officials in Washington, D.C., told us that while they collect data for certain types of police training, such as training provided through the ILEA program, they do not have reliable information readily available on the total number of police trained through INL-funded projects.", "INL collects some information on the number of police trained through efforts that it funds. For instance, officials from INL\u2019s ILEA program were readily able to provide us with data showing that the program had provided 252 training courses to more than 1,600 police participants from El Salvador, Guatemala, and Honduras during fiscal years 2014 through 2017 (see table 2).", "In response to our request for information about INL\u2019s fiscal year 2014 through 2017 police training efforts delivered through implementing partners other than ILEA, INL officials told us that they did not have readily available data on the number of police trained in El Salvador, Guatemala, and Honduras. They noted that they could ask INL staff at the U.S. embassies in those countries to manually compile data related to fiscal year 2017 training events, but that it would take officials months to produce similar data for prior fiscal years.", "After we narrowed our data request to fiscal year 2017 training events only, data we received in April 2018 from the embassies indicated that about 8,400 police\u2014about 3,000 from El Salvador, 4,600 from Guatemala, and 800 from Honduras\u2014received training from ILEA, the Colombian National Police Training program, U.S. agency trainers, and other INL-funded implementing partners. However, our analysis found that the data State provided were unreliable in that they did not include training delivered by some implementing partners or align with other training data provided to us by implementing partners. For example:", "First, fiscal year 2017 data from INL in El Salvador included INL- funded training delivered by Colombian police and two nongovernment implementing partners but no training delivered by U.S. government implementing partners. However, State and DOJ officials in Washington, D.C., told us that DOJ\u2019s Drug Enforcement Administration and Federal Bureau of Investigation had delivered INL-funded courses to Salvadoran police during fiscal year 2017.", "Second, INL officials at the U.S. embassy in Guatemala told us that the training data they provided excluded training delivered by DOJ\u2019s Federal Bureau of Investigation and the Miami-Dade Police Department. These officials assured us that more complete data associated with additional police training activities did exist, but they stated that they did not include these data because doing so would have required them to collect and compile data from several different sources\u2014a difficult and time-consuming effort.", "Third, data from INL officials at the U.S. embassy in Honduras were similarly unreliable in that they did not align with training data we collected from implementing partners. For example, embassy data indicated there were 6 police participants of a training provided by DOJ\u2019s Drug Enforcement Administration in Honduras, but DOJ reported that 34 Honduran police participated in the same training.", "Fourth, data from all three embassies included information about ILEA training that did not align with the data we received directly from the ILEA program. Officials from the U.S. embassy in Guatemala acknowledged that the ILEA data they had provided to us were likely unreliable. Officials from the ILEA program noted that they provide data on the number of police trained directly to headquarters INL officials who may have a need for such information.", "INL officials at the U.S. embassies in the Northern Triangle agreed the fiscal year 2017 data they provided to us may be unreliable in that the data are incomplete and may be inconsistent with data available from implementing partners. Despite acknowledging the information they provided had problems with reliability, INL officials told us that they would use a similar process to compile data for reporting progress related to the U.S. Strategy for Central America indicator on the number and percentage of civilian police trained by INL.", "In May 2018, State and USAID issued the first report to Congress on results of that strategy, which included data on the number of civilian police from El Salvador, Guatemala, and Honduras that INL trained during fiscal year 2017. Although INL officials told us that they used the same process to provide data to us in April 2018 and to compile data for the May 2018 report, we found the two sets of data differed. INL officials explained that these discrepancies were because State included training delivered to additional types of police and by more training implementers in its May 2018 report than they included in the data provided to us in April 2018. Despite identifying reasons for these discrepancies, INL officials acknowledged their data collection process is decentralized and agreed that improvements could be made in the availability and reliability of the data on the number of police trained. Moreover, INL noted challenges collecting these data. Specifically: INL officials from U.S. embassies in the Northern Triangle responsible for collecting police training data noted that a large number of implementing partners deliver training, which makes collecting data more difficult. These officials told us they are beginning to use a smaller number of institutions, such as local police academies, where implementing partners deliver INL- funded training. Officials believe this change has helped improve the reliability of their data on police training because a greater portion of the training is delivered through a small number of institutions, making it easier for implementing partners to track participation. However, the officials also noted that processes such as reviewing travel orders to find U.S. trainers who had visited the country and requesting data from individual implementing partners are still routinely employed to compile training data when such data are requested.", "INL officials in Washington, D.C., where police training data are aggregated for reporting purposes, told us that it is difficult to compile reliable information in a timely manner. This is because embassies use unique processes and systems to collect information on police training events and the data collected are not systematically consolidated within the individual embassies or centrally at INL headquarters. Further, they explained that following the establishment of the U.S. Strategy for Central America State received increased funding for police training efforts, particularly in fiscal year 2016. Although they used some of these funds to provide more training, they told us that INL was not fully prepared to implement proper internal control mechanisms to help ensure the collection of reliable data. According to these officials, this shortcoming was exacerbated by a worldwide hiring freeze for State that precluded INL from employing additional staff at the affected embassies to assist with data collection and analysis.", "INL officials stated that they recognize that effective data collection is a necessary element of high quality monitoring and evaluation. For that reason, in September 2017, the INL office for Western Hemisphere Programs contracted a private firm to conduct data collection and develop a data management system for INL efforts throughout the hemisphere, including those related to police training. INL officials told us they intend to extend the contract for the optional second year and are considering the potential need to procure additional contractor services to continue the effort after that. INL officials said that the contractors have made some progress toward the goals set forth in the contract but acknowledged that it is early in the process and that data reliability challenges remain. For example, according to agency officials, in June 2018, contractors were still developing a broad set of indicators related to INL efforts in the Western Hemisphere and had begun the process of collecting data related to some of them in June 2018. Further, the contractors reported that as of March 2018 they had yet to build a data management system or produce training materials and reporting templates for data collection.", "Readily available and reliable data allow managers to make informed decisions and evaluate an entity\u2019s performance. Without such information, INL cannot accurately assess the number of police trained in the Northern Triangle\u2014a key indicator in the U.S. Strategy for Central America. Further, it may be difficult to fully assess the extent to which training is having the desired effect."], "subsections": []}]}, {"section_title": "Agencies Have Planned and Undertaken Various Actions to Support the Ability of Partner Nations to Sustain Police Training, Including for Human Rights", "paragraphs": ["State, USAID, and DOD have established plans and taken action to support the ability of partner nations to sustain police training, including training on promoting respect for human rights. INL\u2019s Sustainability Guide defines sustainability as the ability of host-country partners and beneficiaries to take complete responsibility for the foreign assistance programming, and maintain or improve program outcomes and impacts beyond the life of the program and U.S. government funding.", "Government-wide and funding agency guidance discusses the importance of sustainability for police assistance. According to Presidential Policy Directive 23 on Security Sector Assistance, a principal goal is to help partner nations build sustainable capacity to address common security challenges. Guidance from agencies that fund police training\u2014including State, USAID, and DOD\u2014also stresses the importance of sustainability in assistance for police. For example, State\u2019s INL Guide to Police Assistance notes that police assistance projects should emphasize sustainable, institutional capacity building to achieve maximum effect. In line with such guidance, country-level and agency strategic and project documents have established objectives related to sustaining police training. For example, the Integrated Country Strategy for Guatemala for fiscal years 2014 through 2016 has an objective to assist the government in establishing, training, and maintaining anti-gang investigative units. Agency police training project documents also address sustainability. For example, the interagency agreement between INL and DHS\u2019s U.S. Customs and Border Protection to enhance border security and build capacity in Honduras aims to create a trained law enforcement unit that is sustained by local resources.", "To enhance the sustainability of police training programs, agency officials identified various activities they undertake, including the following:", "Training-the-trainer. State\u2019s INL Guide to Police Assistance states that train-the-trainer models can create a sustainable training program, and officials from multiple agencies told us that they use train-the-trainer programs to sustain police training. For example, the INL-funded Gang Resistance Education and Training program is a regional training program that trains police officers to teach children and young adults to resist the pressures to join gangs or engage in other risky behaviors. According to INL, this police training program has certified over 1,171 regional police officers as teachers and taught more than 211,000 at-risk youth in Central America.", "Developing policy or guidance. Officials from USAID stated that helping partner nations develop policy or guidance for law enforcement can help strengthen institutions and make police training more sustainable. For example, a USAID project in El Salvador supported the development of a new use-of-force policy that was adopted by the national police. Further, USAID supported the dissemination of the new policy by distributing 10,000 copies, training police instructors who subsequently taught the policy to other officers, and holding workshops on human rights, ethics, and the proper use of force.", "Supporting police academies. The ability of partner nations to incorporate and institutionalize training in their own police academies is among the most significant determinants of sustainability, according to U.S. officials from several agencies. For example, State officials said they try to incorporate curriculum from U.S. training into the law enforcement academies\u2019 training curriculum in partner nations. They said doing so has a more lasting effect than individual training events and leads to the host government paying for the training going forward. In El Salvador, USAID developed community policing training in conjunction with the civilian national police that, according to officials, is now administered to every new police officer in the country at the country\u2019s National Academy of Public Security (see fig. 4). At the same institution, INL supported the development of online training that includes a human rights component. According to INL officials, the Salvadoran police were planning to make the online training a yearly continuing education requirement for the entire police force.", "Continuing engagement. Officials from various agencies told us that continuing engagement with participants helps sustain police training, whether through additional training, on-the-job mentorship, or service requirements for receiving training. For example, the ILEA academy in San Salvador provides a list of alumni to the U.S. Embassy San Salvador and encourages implementing partners to follow up with these alumni, according to officials. The San Salvador academy also plans to develop an online alumni portal for engaging with past participants in order to sustain training.", "Building relationships. Building relationships\u2014both within and across countries\u2014between partners\u2019 law enforcement agencies and rule of law institutions can help sustain police training, according to officials from multiple agencies. For example, in 2013, DOD\u2019s Defense Institute of International Legal Studies conducted border security training in El Salvador that included military, police, and civilian officials. The training focused on improving El Salvador\u2019s interagency cooperation and enhancing respect for human rights. To build and sustain relationships across countries, DOJ\u2019s Federal Bureau of Investigation holds an annual training conference that brings together vetted police units from various partner nations, according to officials.", "Developing civil society. Officials from both State and USAID told us that police reform efforts are more sustainable if there are parallel civil society organizations that can advocate for accountability from police and other law enforcement institutions. USAID works with civil society and community organizations to track police abuses, including human rights violations. Officials said that external monitoring can promote the transparency, accountability, and effectiveness of the police. For example, USAID\u2019s Justice, Human Rights, and Security Strengthening project in Honduras seeks to build the capacity of civil society organizations to advocate for vulnerable groups and victims of human rights abuses."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Civilian police forces that protect human rights are essential to functioning democracies, and U.S. agencies recognize that it is important to include respect for human rights in training provided to partner nation security forces, including police. The need to bolster respect for human rights among security forces is specifically emphasized in assistance strategies for El Salvador, Guatemala, and Honduras\u2014three countries with notable histories of human rights violations by security forces, according to State and USAID. However, unlike DOD, which has written policies requiring the inclusion of human rights content in its training, State and USAID have few such formal mechanisms to ensure human rights content is appropriately included. Creating internal control mechanisms, such as objectives or directives to training implementing partners, would help ensure that State- and USAID-funded police training is consistent with U.S. government and agency priorities in including content related to respect for human rights as appropriate. Such control mechanisms would also enable the agencies to better account for implementing partners\u2019 related activities. In addition, State lacks a standardized process to readily compile reliable data on the total number of police trained through INL-funded programs in the Northern Triangle countries. Without such data, State cannot reliably report on progress toward the U.S. Strategy for Central America and thus cannot accurately assess the efficacy of such training. Addressing these two gaps\u2014establishing internal control mechanisms related to human rights training content and improving police training data\u2014would better position State to assess the outcomes of such training, the results of which could inform future funding and sustainment decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations, including two to State and one to USAID: The Secretary of State should ensure that the Bureau of International Narcotics and Law Enforcement Affairs (INL) designs internal control mechanisms to ensure human rights content is included in INL-funded police training for El Salvador, Guatemala, and Honduras as appropriate. (Recommendation 1)", "The Secretary of State should ensure that the Bureau of International Narcotics and Law Enforcement Affairs (INL) develops and implements a process to collect more reliable data on the number of police trained through INL-funded efforts in El Salvador, Guatemala, and Honduras. (Recommendation 2)", "The Administrator of USAID should design internal control mechanisms to ensure human rights content continues to be included in USAID-funded police training for El Salvador, Guatemala, and Honduras as appropriate. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product, which included three recommendations, to DHS, DOD, DOJ, State, and USAID for comment. State provided written comments, which we have reprinted in appendix II, concurring with our two recommendations to the agency. In response to the first recommendation, State noted that INL intends to amend templates for relevant implementing documents to address human rights as appropriate. In response to the second recommendation, State commented that, partly in response to our report, INL is developing specific indicators related to INL-funded police training. USAID also provided written comments, which we have reprinted in appendix III, concurring with our recommendation, and detailed two related policy revisions it intends to implement in response. State, DHS, and DOD provided technical comments, which we incorporated as appropriate. DOJ reviewed the report but did not provide comments.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Defense, Homeland Security, Justice, and State; and the USAID Administrator. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7141 or GroverJ@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["Senate Report 115-125 accompanying the National Defense Authorization Act for Fiscal Year 2018 includes a provision for us to report on various aspects of U.S. police training efforts in El Salvador, Honduras, and Guatemala. In this report, we examine, for the Northern Triangle, (1) the extent to which U.S. agencies have established objectives for and delivered training to professionalize police, including promoting respect for human rights; (2) the extent to which agencies have collected data related to police training indicators; and (3) the actions U.S. agencies have planned and undertaken to support the ability of partner nations to sustain police training.", "To address these objectives, we reviewed government-wide and agency strategies, guidance documents, project documents such as work plans, and reports from the U.S. Departments of State (State) and Defense (DOD), and the U.S. Agency for International Development (USAID). We focused on State and USAID because officials identified them as the primary funders of police training in El Salvador, Guatemala, and Honduras. While DOD primarily provides assistance to military and other national security entities, we included DOD in our analysis because some of the training funded by the agency includes police participants. We included police training implemented by the Departments of Justice (DOJ) and Homeland Security (DHS) when their training efforts were funded by State, DOD, and USAID, but not separate efforts funded by DOJ and DHS. In addition to reviewing documents, we conducted fieldwork in El Salvador and interviewed agency officials in Honduras; Guatemala; and Washington, D.C., who oversee and conduct police training.", "To determine the extent to which U.S. agencies have established objectives for and delivered training to professionalize police, including promoting respect for human rights, we reviewed agency documents and assessed them against federal standards for internal control, which state that management should set objectives or other control mechanisms to meet an entity\u2019s mission, strategic plan, and goals. Our analysis included U.S. global, regional, and country-specific strategies such as government- wide Integrated Country Strategies and DOD country security assistance plans for El Salvador, Guatemala, and Honduras. Officials from DOD, State, and USAID told us that all agency-funded classroom training delivered to police in El Salvador, Guatemala, and Honduras is done to professionalize those forces, of which training to promote respect for human rights may be one element. We also reviewed documents from DOD, USAID, and State about police assistance efforts implemented during fiscal years 2014 through 2017 that agencies identified as projects that included assistance for police in El Salvador, Guatemala, and Honduras. Specifically, we reviewed 22 projects\u201414 funded by State and 8 funded by USAID\u2014that the agencies identified as including assistance for police. The projects and documents we identified for each agency are as follows:", "We reviewed DOD strategic plans covering assistance for El Salvador, Guatemala, and Honduras during fiscal years 2014 through 2017 and found that they did not contain objectives to specifically train police. DOD officials confirmed that security assistance they provide is focused on military recipients and that they had no projects to specifically provide assistance to civilian police. Thus, we determined that no DOD projects would be included in our review of project documents to identify objectives related to training to professionalize police.", "USAID provided a list of USAID-funded efforts in El Salvador, Guatemala, and Honduras implemented during fiscal years 2014 through 2017. Among the projects were eight with funds used for police training, which we included in our review. USAID provided work plans for six of the eight projects. For the remaining two projects, USAID did not identify similar project work plans, so we identified alternative documents to use for our analysis. For one of them, we used a progress report submitted to USAID by the contractor that included a project work plan specifically for fiscal year 2016. For the other, we used a final evaluation report that included the objectives of the project.", "State identified efforts funded by its Bureau of International Narcotics and Law Enforcement Affairs (INL) in El Salvador, Guatemala, and Honduras implemented during fiscal years 2014 through 2017. Because INL assistance generally includes police among target recipients of assistance, we requested project documents for all of the efforts State identified. We worked with State officials to identify project documents that included work plans or other summaries that identified objectives for these State- funded efforts. Ultimately, State provided documents for 19 projects. Based on our review of those documents, we determined 5 of the projects should not be included in our review for one or more of the following reasons: They (a) were not implemented during fiscal years 2014 through 2017, (b) did not provide assistance to police, or (c) did not have sufficient documentation provided by State to conduct our analysis. Among State efforts excluded from our scope due to insufficient documentation is State-funded training provided through the Colombian National Police. For the 14 projects that we included in our scope, we used documents such as work plans for our analysis of objectives.", "For each of the 22 USAID and State police assistance projects we reviewed, we analyzed related project documents, such as work plans or reports, to identify objectives or other internal control mechanisms related to police professionalization, including promoting respect for human rights. To do so, we assessed these documents using definitions we developed based on our analysis and discussions with agency officials, as follows:", "We defined \u201cpolice\u201d as civilian\u2014not military\u2014police, as well as other civilian law, customs, and maritime forces.", "We defined \u201ctraining\u201d as classroom-style training and workshops, not including mentoring or technical assistance.", "We defined \u201cobjective\u201d as any statement containing the words goal, objective, aim, intent, we will, or other statements with actionable items aimed at reaching an end state.", "We defined \u201cprofessionalize\u201d in line with agency officials\u2019 descriptions of the term, using related words such as professionalism, professional competence, or capacity building.", "We defined \u201cpromotion of respect for human rights\u201d to specifically include the phrase human rights or elements of human rights as defined in agency documents, such as the proper use of force and minority rights, and the United Nations Universal Declaration of Human Rights.", "The project documents for the 22 projects in our scope were independently reviewed by two analysts. The analysts discussed and resolved any disagreements in their initial determinations about the extent to which project documents included relevant objectives or other internal control mechanisms.", "With respect to our reporting on the extent to which training incorporated content to professionalize police, agencies lack a formal definition of what types of training constitute police professionalism. To better understand what types of training we should consider to be training to professionalize police, we interviewed officials at U.S. agencies that fund and execute police training in El Salvador, Guatemala, and Honduras. Officials at agencies that fund and implement such training consistently described all training delivered to police to be training intended to professionalize recipients. Thus, for the purpose of this report, we defined training to professionalize police as all training provided to police and determined that all three agencies had delivered such training.", "With respect to reporting on the extent to which training incorporated content related to human rights, we spoke with implementing partner officials and analyzed documents on police training, such as training agendas and course catalogs. To determine the extent to which training delivered by State\u2019s International Law Enforcement Academies program (hereafter referred to as ILEA) incorporated content related to human rights, we requested data from the program on the courses it provided to participants from El Salvador, Guatemala, and Honduras during fiscal years 2014 through 2017. We then analyzed the descriptions in fiscal years 2015, 2016, and 2017 course catalogs and embassy cables related to 189 training courses the ILEA program reported to have delivered to participants from El Salvador, Guatemala, and Honduras during fiscal years 2015 through 2017. For our analysis, we defined training to promote respect for human rights as training specifically addressing human rights or elements of human rights as defined in agency documents, such as the proper use of force and minority rights, and the United Nations Universal Declaration of Human Rights. If such human rights content was specified in the title or description of the course, we determined that the course included content related to human rights.", "To determine the extent to which agencies have collected data on police training indicators, we analyzed agency documents to identify indicators related to police training and assessed related data against federal internal control standards, which call for agencies to have readily available, reliable data to track progress toward goals. Specifically, we analyzed regional and country-specific strategies and the project documents described above to identify indicators directly related to objectives to provide police training. We identified, and agency officials confirmed, one key indicator in the U.S. Strategy for Central America for which State is responsible for collecting police training data. Specifically, objective 3.1 of the strategy is to \u201cProfessionalize Civilian Police,\u201d and a related indicator is the \u201cnumber and percentage of civilian police trained by INL.\u201d That national strategy assigns State responsibility for tracking that indicator. We asked State to provide us with fiscal year 2014 through 2017 information related to the indicator.", "To assess the reliability of the data on participants of ILEA training events, we reviewed documents and interviewed cognizant officials about the ILEA Global Network, the program\u2019s online system used to record all courses and participants receiving training provided by ILEA. For example, we determined that the ILEA program has (1) established and documented a process\u2014described with clear steps in a user guide\u2014to input accurate data and (2) periodically reviews the quality of that data. We determined that the data on ILEA training participation are sufficiently reliable for reporting on the number of police trained.", "Beyond the ILEA data, INL initially responded to our data request by explaining the difficulties in providing the requested information and suggesting they could provide a more limited set of data. We modified our request to include only fiscal year 2017 data, which were compiled separately for El Salvador, Guatemala, and Honduras by the responsible INL staff at the U.S. embassy in each country. We then interviewed cognizant officials and compared the data State provided in April 2018 with information that (a) we received from implementing partners, including U.S. agencies, and (b) was reported in State\u2019s May 2018 progress report on results of the U.S. Strategy for Central America. We determined that State does not have readily available, reliable data on the total number of police trained, which we report as a finding.", "To determine actions U.S. agencies have planned and undertaken to support the ability of partner nations to sustain police training, including training to promote respect for human rights, we spoke with agency officials about related activities and analyzed project planning documents and reporting related to police assistance. Using this information, we determined the types of actions U.S. agencies had planned or undertaken and discussed these categories with agency officials to confirm that the categories accurately reflected agency actions.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Jennifer Grover, (202) 512-7141 or GroverJ@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Biza Repko (Assistant Director), Drew Lindsey (Assistant Director), Kathryn Bolduc (Analyst-in-Charge), Ashley Alley, David Dayton, Martin de Alteriis, Gretta Goodwin, Dawn Locke, Stevenson Ramsey, James Reynolds, Cary Russell, and Brian Wanlass made key contributions to this report. Neil Doherty also provided technical assistance."], "subsections": []}]}], "fastfact": ["The Department of State, the U.S. Agency for International Development, and the Department of Defense train police forces in some Central American countries where corruption and human rights abuses have traditionally plagued civilian police forces.", "We found that the agencies' training programs are intended to professionalize police and highlight the importance of police respect for human rights. However, State and USAID have few controls in place to ensure that the delivered training includes human rights information.", "We made recommendations to address this and other issues we found in our review of Central American police training."]} {"id": "GAO-19-90", "url": "https://www.gao.gov/products/GAO-19-90", "title": "Energy Employees Compensation: Labor Could Better Assist Claimants through Clearer Communication", "published_date": "2018-11-07T00:00:00", "released_date": "2018-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["For decades, Energy, its predecessor agencies, and contractors employed thousands of employees in hazardous work in nuclear weapons production, exposing many employees to toxic substances. The Energy Employees Occupational Illness Compensation Program, administered by DOL, provides compensation for illnesses linked to exposures. Since 2004, DOL has provided about $4.4 billion to eligible employees and their survivors.", "GAO was asked to review aspects of the claims process for contracted employees. GAO examined (1) the number and outcome of compensation claims for illnesses resulting from exposure to toxins that DOL has reopened since 2012, and (2) the Advisory Board's advice to DOL on the scientific soundness of its database on toxins and illnesses, and DOL's responses. GAO analyzed DOL claims data for 2012\u2014when a new data system was introduced\u2014 through 2017 and assessed their reliability. GAO reviewed relevant federal laws and DOL procedures, and Advisory Board documents and interviewed DOL officials, Advisory Board members, experts, and a claimant advocate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Labor (DOL), from 2012 through 2017, reopened more than 7,000 compensation claims by contracted workers with illnesses resulting from exposure to toxins at Department of Energy (Energy) worksites. Of these reopened claims, 69 percent were approved for compensation (see figure). Claims can be reopened for various reasons, including new information on toxic substances and associated illnesses or new evidence provided by a claimant. According to DOL's Office of the Ombudsman officials, some claims may have been denied as a result of claimants not understanding the evidence required to support their claim. Moreover, the Ombudsman's two most recent reports in 2015 and 2016 found DOL's letters to claimants requesting additional evidence or informing them of the final decision did not clearly explain the specific evidence needed or why previously submitted evidence was deemed insufficient. GAO's previous work also found deficiencies in the quality of a sample of DOL's written communication with claimants. DOL has provided training to claims examiners on how to write clearly in correspondence and plans to assess the training. The assessment is an opportunity for DOL to better understand why some claimants remain confused about needed evidence and could help DOL target its training resources more effectively.", "The Advisory Board on Toxic Substances and Worker Health (Advisory Board) recommended in 2016 and 2018 that DOL incorporate additional sources of information on toxic substances and associated illnesses into the database it uses to help determine eligibility for claims compensation. While DOL noted that certain additional data sources might be useful, it has not added all of the recommended data sources. The Advisory Board was created to provide technical advice to DOL on its database, among other things."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOL ensure any assessment of its staff training efforts considers claimants' challenges with understanding DOL's communications on evidence for claims. DOL neither agreed nor disagreed with the recommendation except to note that it plans to focus its training on such topics as quality of written communications and assess its training efforts."]}], "report": [{"section_title": "Letter", "paragraphs": ["For many decades, and as recently as the 1960s, the Department of Energy (Energy), its predecessor agencies, and its contractors have employed thousands of individuals in secretive and potentially dangerous work associated with nuclear weapons production. Many workers were unknowingly exposed to toxic substances, including radioactive and hazardous materials, and subsequently developed serious illnesses. To provide compensation to these workers, the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA) was enacted. The Department of Labor\u2019s (DOL) Division of Energy Employees Occupational Illness Compensation, within the Office of Workers\u2019 Compensation Programs, has primary responsibility for administering Parts B and E of this legislation, as amended, with assistance from several other federal agencies. The Part E program, which is the focus of this review, provides financial compensation to employees of Energy contractors and subcontractors, as well as their survivors, for wage loss, impairments, and medical expenses resulting from work-related illnesses linked to exposure to toxic substances. Since the creation of Part E in 2004, over 135,000 claims have been filed and DOL has paid about $4.4 billion on over 54,000 claims.", "Contracted workers who believe they may have been exposed to a toxic substance related to their employment at an Energy worksite and have become ill may submit a claim and supporting documentation, thereby initiating an adjudication process resulting in the claim\u2019s approval or denial. However, even after this decision has been reached, a claimant may request that DOL reopen his or her claim under Part E, if the claimant can submit new evidence or identify a change in a relevant program policy. For example, new evidence can emerge related to a claimant\u2019s exposure to a toxic substance, or to the relationship of a particular toxic substance to a particular illness. If a claim is reopened, the available evidence is reviewed through the adjudication process and results in an approval or denial of the reopened claim. Little is known about the outcomes of reopened claims.", "To assist the claims adjudication process, DOL has developed an online database, known as the Site Exposure Matrices (SEM), which is used as one of several resources in adjudicating claims. The SEM is a repository of information on worksites, toxic substances, and associated illnesses. The SEM has come under scrutiny by claimant advocates and others concerned about its role in supporting claims adjudication. In addition, we have previously reported on concerns about the scientific soundness of the SEM\u2019s data linking toxic substances with occupational illnesses. In 2010, we suggested Congress consider establishing an independent board to review and report on the scientific soundness of the SEM. Federal law established the Advisory Board on Toxic Substances and Worker Health (Advisory Board) in 2014.", "You asked us to review aspects of Part E claims for contracted Energy workers and their survivors. In this review, we examined: 1. How many compensation claims for illnesses resulting from exposure to toxins did DOL reopen and what was their final outcome? 2. To what extent has an advisory board on toxic substances and worker health reviewed and advised DOL on the scientific soundness of DOL\u2019s database on toxins and their potential links to occupational diseases, and how has DOL responded?", "There is no generally accepted definition of the term \u201cscientific soundness.\u201d For the purposes of this review, we define scientific soundness in terms of the quality of the evidence on the health effects of specified toxic substances, as determined by a systematic and independent process to review and validate that evidence. We arrived at this definition after consulting members of the Advisory Board and officials of the National Academies of Sciences, Engineering, and Medicine who reviewed the SEM. Additionally, we consulted with DOL officials, who agreed that scientific soundness is related to the information in the SEM on linkages between toxins and illnesses.", "To answer our research questions, we reviewed DOL guidance and procedures, including relevant bulletins and circulars, and the Federal EEOICPA Procedure Manual. We also reviewed an internal DOL analysis of reopened claims conducted in 2017; annual reports of the Office of the Ombudsman; an independent review of the SEM conducted by the Institute of Medicine in 2013; and the charter, minutes, and related documents of the Advisory Board from April 2016 to January 2018. We reviewed all recommendations of the Advisory Board and DOL\u2019s responses to those recommendations. We also reviewed federal laws, regulations, and executive orders. In addition, we interviewed officials from DOL and the Office of the Ombudsman, an office within DOL that compiles and reports on claimants\u2019 concerns; officials of the National Academies of Sciences, Engineering, and Medicine; members of the Advisory Board on Toxic Substances and Worker Health (Advisory Board); and a claimant advocate.", "To identify reopened Part E claims and their outcomes, we analyzed DOL program data for calendar years 2012 through 2017. We selected data beginning in 2012 to avoid any potential irregularities resulting from a transition to a new data system in 2012. Because a claim may be reopened at any time after it has been adjudicated with no limit to the number of reopenings, we reviewed the most recently reopened claims and their outcomes after reopening. To assess the outcomes of these claims, using data that DOL provided, we examined both the initial decision and subsequent final decision following reopening. We assessed the reliability of the program data by (1) reviewing existing information about the data and the system that produced them, and (2) interviewing agency officials knowledgeable about the data. We determined the data to be sufficiently reliable for the purposes of this report. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["EEOICPA, as amended, generally provides compensation to employees of Energy under Part B, and under Part E, to its contractors, involved in the production of U.S. nuclear weapons and who developed illnesses related to their exposure to radiation and other toxins at Energy facilities. During and shortly after World War II, the United States sponsored the development, production, and testing of nuclear weapons. It used a network of facilities which eventually expanded into a complex of as many as 365 industrial sites and research laboratories throughout the country that employed more than 600,000 workers. Some of the production sites were owned by Energy or its predecessor agencies, and in many instances contractors managed operations at the facilities. Workers used manufacturing processes that involved handling dangerous materials and were often provided inadequate protection from exposure, although protective measures have increased over time. Because of national security concerns, they also worked under great secrecy, were unknowingly exposed to toxic materials, and often given minimal information about the materials they handled and the potential health consequences of exposure to them. In some cases, the extent of the potential negative effects of the toxins may not have been fully understood at the time of workers\u2019 exposure.", "EEOICPA, as amended, consists of two compensation programs, Part B and Part E. The Part B program generally provides for $150,000 to eligible current or former employees or their survivors, as well as coverage of future medical expenses associated with certain radiogenic cancer, chronic beryllium disease, and chronic silicosis. Part E provides compensation to current or former contractors, subcontractors, or eligible survivors of up to $250,000 for wage loss and impairment, as well as coverage of medical expenses. Under certain circumstances, eligible claimants may receive compensation under both Part B and Part E."], "subsections": [{"section_title": "Claims Adjudication and Reopening Claims", "paragraphs": ["Under Part E, a contracted Energy employee or survivor can file a compensation claim, typically with a DOL district office (see fig. 1). Once a claim is filed, a DOL claims examiner develops the claim and ultimately recommends its approval or denial. To recommend an approval, the claims examiner must determine that the claimant was a current or former employee of an Energy contractor at a given Energy facility and that they were exposed to a toxic substance at that facility. Additionally, the examiner must find that it is at least as likely as not that the exposure was a significant factor in aggravating, contributing to, or causing a covered illness, and that the exposure was related to employment at an Energy facility. One of the resources used by the claims examiner is the Site Exposure Matrices (SEM), an online database of information on worksites, toxic substances, and associated illnesses. If the claims examiner determines that a claim meets all conditions, he or she recommends that DOL\u2019s Final Adjudication Branch approve the claim. The Final Adjudication Branch then reviews the recommendation and issues a final decision. If the claimant provides new evidence before a final decision is reached, the Final Adjudication Branch may return the claim to the district office for additional development or issue a reversal. DOL provides some assistance to claimants as claims are adjudicated, such as assistance that may be required to develop facts pertinent to the claim, customer service activities, and information available in hard copy and on DOL\u2019s website. However, it is generally the claimant\u2019s responsibility to establish entitlement to compensation under the law.", "If a claim is denied, claimants are informed of several options, one of which is requesting that DOL reopen the claim. Claims can be reopened any time after the Final Adjudication Branch has issued a final decision, either as a result of a claimant request or agency action (see fig. 2). There is no limit to the number of times a claimant may request a reopening, though the claimant must either submit new evidence or identify a change in a relevant program policy when submitting such a request. Reasons for reopening can include an update to the SEM, new medical evidence, or new evidence of covered employment, among others. Moreover, a claimant may request reopening for each of multiple illnesses or conditions. When a claimant requests a reopening, DOL will review the request and either grant or deny the reopening, depending on DOL\u2019s assessment as to whether there is sufficient evidence to warrant reopening. When a reopening request is granted, DOL vacates the previous final decision and submits the claim for readjudication.", "In addition, DOL may also reopen groups of related claims. When DOL announces new evidence linking toxins to illnesses, it can also announce plans to reopen groups of claims potentially affected by the new evidence. In these instances, DOL announces the criteria for reopening, which may involve specific substances or worksites, and provides reopening instructions for claims examiners. For example, Circular 15-04, issued in 2014 (now superseded) informed claims examiners that the substance trichloroethylene had been linked to kidney cancer and that previously denied Part E kidney cancer claims could be reopened. DOL officials previously told us that such steps are limited to instances in which a relatively large number of claims are potentially affected."], "subsections": []}, {"section_title": "Site Exposure Matrices (SEM)", "paragraphs": ["DOL claims examiners use the SEM to help determine workers\u2019 eligibility for Part E compensation. DOL created this web-based database which organizes and communicates information on the toxic substances workers were potentially exposed to at specific Energy worksites, certain buildings at the worksites, and while doing specific jobs at the worksites. As of May 2018, the SEM included information on 16,461 toxic substances and 129 former and current sites. It also cross-references the toxic substances with diseases for which there is an established link. In general, the SEM contains only causal links that are based on epidemiological studies, and for which there is medical and scientific consensus. The SEM provides a basis for exposure information, but is not the sole source of information considered by claims examiners during adjudication (see fig. 3).", "The SEM is publically available online and continually updated as new exposure data are obtained. According to a 2016 DOL document, there have been at least 656 revisions to the SEM since 2013. New links are primarily drawn from a database of hazardous toxins and associated diseases\u2014known as Haz-Map\u2014formerly maintained by the National Library of Medicine. According to DOL officials, as new links are added to Haz-Map, they are also added to the SEM.", "In 2010, we reported that DOL\u2019s efforts to update the SEM were not subjected to independent outside review to provide assurance that the SEM is comprehensive and scientifically sound. In 2013, the Institute of Medicine evaluated the scientific rigor of the SEM in response to a request from DOL. Its report noted that some examples of causal links to diseases were missing from the SEM and questioned the SEM\u2019s exclusive dependence on Haz-Map as its source for disease and causal information. The report also identified Haz-Map\u2019s lack of peer review as a key limitation. Specifically, the report noted that Haz-Map lacked adequate oversight or content review by external, independent experts; relied heavily on sources that were not peer-reviewed, such as textbooks; and included references that were not easily accessible and were difficult to check, making quality assurance and technical review difficult. In addition, the report suggested that other sources be considered for inclusion in the SEM."], "subsections": []}, {"section_title": "Advisory Board on Toxic Substances and Worker Health", "paragraphs": ["By law, the Advisory Board is tasked with providing specific categories of technical advice to the Secretary of Labor regarding Part E of EEOICPA. These categories are: (1) the SEM; (2) medical guidance for claims examiners on weighing the medical evidence of claimants; (3) evidentiary requirements for certain claims related to lung disease; and (4) the work of certain experts, namely, industrial hygienists and consulting physicians and their reports. The Advisory Board has subcommittees aligned with these categories (see fig. 4).", "The Advisory Board charter provides for 12 to15 members and for 2-year terms for these members. Furthermore, applicable provisions of the Federal Advisory Committee Act\u2019s implementing regulations require that Advisory Board membership be fairly balanced. Accordingly, its members have included representatives of the medical, scientific, and claimant communities. The Advisory Board is authorized until 2024."], "subsections": []}, {"section_title": "Office of the Ombudsman for EEOICPA", "paragraphs": ["The Office of the Ombudsman for EEOICPA is an independent office within DOL. It was established by the National Defense Authorization Act of 2005, to provide information to address the concerns of claimants and potential claimants relating to EEOICPA, among other responsibilities. The Office of the Ombudsman submits an annual report to Congress that summarizes the number and types of complaints, grievances, and requests for assistance that it has received during the year. The report also includes an assessment of the most common difficulties encountered by claimants and potential claimants each year. The Secretary of Labor is required to provide a written response and must agree or disagree with specific issues raised in the report. In addition, the Office of the Ombudsman hosts and attends outreach events to assist claimants. The Office of the Ombudsman may not make decisions on claims nor act as an advocate for claimants."], "subsections": []}]}, {"section_title": "DOL Reopened Thousands of Claims Since 2012 and Approved Almost 70 Percent, but Some Claimants Faced Evidentiary Challenges", "paragraphs": [], "subsections": [{"section_title": "DOL Reopened More Than 7,000 Claims by Contracted Employees for Exposure to Toxins at Energy Worksites and Approved Most", "paragraphs": ["Based on the most recently reopened claims from calendar years 2012 through 2017, DOL reopened more than 7,000 claims filed by contracted Energy employees. DOL subsequently approved compensation for 69 percent. The remaining claims were denied (13 percent), still awaiting a final decision (2 percent), closed (2 percent), deferred (less than 1 percent) or had some other outcome (15 percent). (See fig. 5). Claims with other outcomes refer to claims for which at least one claimed illness was approved while the others were denied or deferred.", "Among those more than 7,000 claims, DOL initiated most of the reopenings (80 percent) itself, with fewer reopenings initiated by claimants. Regardless of a claim\u2019s previous status of approved or denied, outcomes after reopening varied by who initiated the reopening. A higher percentage of reopenings initiated by DOL were approved (73 percent, or 4,236 of 5,831 claims) than reopenings initiated by claimants (53 percent, or 758 of 1,432 claims). (See table 1.)", "Officials at DOL and the Office of the Ombudsman said that DOL-initiated reopenings are more likely to be approved because, in deciding to reopen claims, DOL had already determined there was sufficient evidence to warrant reopening. In addition, DOL-initiated reopenings primarily involve large groups of claims, according to DOL officials. They said that many DOL-initiated reopenings are triggered by the establishment of cohorts of claims for radiation-related cancer or by DOL bulletins or circulars about new evidence linking toxins and specific illnesses at Energy worksites. (For a list of DOL bulletins and circulars associated with reopenings, see app. II.) In these situations, DOL officials said claims examiners manually review all previously denied claims that could be affected.", "Of the more than 7,000 reopened claims for contracted Energy employees from 2012 through 2017, more than 6,000 had been previously denied versus receiving another outcome. When reopened, whether initiated by DOL or claimants, most (70 percent, or 4,307) were approved (see table 2). In addition, as with all claims, a higher percentage of previously denied claims were approved (75 percent) if reopened at DOL\u2019s initiative compared to those reopened at claimants\u2019 initiative (52 percent)."], "subsections": []}, {"section_title": "Reasons Reopened Claims Were Denied Included Missing Linkage between Toxin and Illness and Insufficient Medical Evidence", "paragraphs": ["DOL officials provided data showing that most of the claims reopened from 2012 through 2017 that were subsequently denied compensation had common reasons, including insufficient medical evidence, ineligible survivors, or maximum benefits already met (see table 3)."], "subsections": []}, {"section_title": "Some Claimants Faced Challenges in Understanding What Evidence Was Required to Reopen Their Claim", "paragraphs": ["According to Office of the Ombudsman officials, some claims may have been denied as a result of claimants not understanding the evidence required for a reopening. These officials also said that claimants experience ongoing challenges at different stages of the adjudication process, including reopening, with regard to evidence required to support their claim. In the 2015 Annual Report to Congress, the Ombudsman noted claimants\u2019 concerns about the reopening process. In particular, the Ombudsman found that DOL\u2019s written communication with claimants requesting additional evidence or informing them of the final decision did not clearly explain what specific evidence was needed or why previously submitted evidence was deemed insufficient. In its 2016 annual report, while the Office of the Ombudsman acknowledged DOL\u2019s efforts to ensure that decisions on claims are adequately reasoned and documented, and found that some recently issued decisions show improvement, it also found some variation in decision quality among claims examiners. Furthermore, consistent with its 2015 report, it also found that some claimants encounter challenges during the reopening process with written communication that is not clear on the evidence needed to reopen a claim. Our prior work also found deficiencies in the quality of a sample of DOL\u2019s written communication with claimants and recommended that all claimant correspondence for Recommended and Final Decisions receive supervisory review. In that report, we noted that DOL\u2019s own monitoring also indicated that some of the letters were not always clear about the evidence needed. Moreover, a recent review by DOL\u2019s Office of the Solicitor of 77 denied reopening requests found shortcomings in the quality of some decision letters. These included the lack of a clear explanation for the denial, discussion of medical evidence submitted by the claimant, and discussion of why evidence submitted by the claimant was considered insufficient to warrant a reopening. Office of the Ombudsman officials told us that some claimants resubmit the same evidence they provided previously. This is due, in part, to claims examiners not acknowledging that they received and reviewed evidence when it was initially submitted, or to decision letters not explaining why the evidence submitted was not sufficient, according to Ombudsman officials. Consequently, claimants do not know what specific additional evidence may be needed and their claims may not be reopened and/or approved for compensation, these officials said. Failure to establish causation between exposure and illness and insufficient medical evidence are the two most common reasons why claimant-initiated reopenings are denied.", "In its written response to the 2015 report by the Office of the Ombudsman, DOL stated it was undertaking a review of its website and printed material to improve communication with claimants. DOL also stated that in 2015 it began providing training to claims examiners to improve the quality of written letters to claimants, including better explanation of what additional evidence would be needed to reopen a claim. DOL stated that improved communication would address claimants\u2019 confusion and would allow staff to serve claimants on specific issues.", "As of July 2018, DOL officials said they have taken a number of steps to assist claimants and improve communication with them. For example, DOL conducts workshops for claimants\u2019 Authorized Representatives covering such topics as the evidence needed to support a claim and how to request a reopening. DOL officials also said, in 2016, program officials visited all district offices to provide training on topics such as writing effective letters using reader-friendly language. Officials said that they continually review printed material and are currently updating the website to provide more concise information on the claims process, including how to request reopening of a claim.", "In addition, DOL officials stated that they recently hired a training analyst to update claimant resources posted to the website and to develop additional training for claims examiners. Officials said that the analyst will also develop a methodology for assessing the effectiveness of the training. Assessing the effectiveness of training represents an opportunity for DOL to address claimants\u2019 concerns about the clarity of written correspondence they receive on claim evidence. According to Standards for Internal Control in the Federal Government, management should conduct ongoing monitoring and externally communicate the necessary quality information to achieve the entity\u2019s objectives. These standards also require management to periodically evaluate its methods of communication so that it has the appropriate tools to communicate quality information. In addition, the EEOICPA Procedure Manual states that claims examiners must ensure that written decisions are clear, concise, and well-written with language that clearly communicates the necessary information. An assessment of DOL\u2019s training which considers claimant concerns could help DOL better understand why some claimants remain confused about the reopening process and do not submit evidence key to supporting their claim. Until then, the agency will be unable to determine whether its training has resulted in improving communication with claimants and to target future training resources effectively."], "subsections": []}]}, {"section_title": "DOL Has Not Fully Implemented Advisory Board Recommendation to Enhance Database Used to Support Claims", "paragraphs": ["The Advisory Board in 2016 and 2018 recommended DOL incorporate additional, peer-reviewed data sources on the links between toxic substances and illnesses catalogued in the SEM, but while DOL previously agreed that doing so would be useful, it has not yet added all the sources recommended by the Advisory Board. According to Advisory Board members, incorporating these additional sources would enhance the SEM by making it more comprehensive and scientifically sound.", "The Advisory Board\u2019s work on the SEM began at its first meeting in April 2016 with the creation of a subcommittee on the SEM (see fig. 6). The subcommittee reviewed the scientific soundness of the SEM and in October 2016 the Advisory Board provided one of two related recommendations to DOL that addressed the scientific soundness of the SEM\u2019s data on toxic substances and diseases.", "At its October 2016 meeting, the Advisory Board recommended DOL incorporate 13 additional information sources created by other agencies or entities into the SEM. This recommendation was consistent with the Institute of Medicine\u2019s recommendation to DOL in its 2013 report on the SEM. In September 2017, DOL responded to this recommendation, noting that certain additional sources identified by the Institute of Medicine might be useful. In its response, DOL asked the Advisory Board to narrow its list of 13 databases to those that would be most relevant, noting that DOL found that some of these sources were not relevant to occupational exposure, were redundant, or contradicted other sources. DOL also requested the Advisory Board\u2019s advice on how the recommended sources could be used in the SEM. In January 2018, the Advisory Board made its second recommendation regarding the scientific soundness of the SEM\u2019s data on toxic substances and specific diseases by identifying three priority information sources from the 13 originally recommended in October 2016 (see table 4). According to DOL, the Haz- Map has included one of these three sources\u2014the monographs on human carcinogens of the International Agency for Research on Cancer\u2014since the Haz-Map was first published in 2002, and included in the SEM since approximately 2006. According to DOL, the International Agency for Research on Cancer is recognized as the world\u2019s most authoritative resource for information on human carcinogens and an important source of information for populating health effect data in SEM, given its assembled expertise and the scientific veracity of its publications. Its incorporation in the SEM has prompted reopenings of affected claims. DOL officials said Advisory Board members may have been unaware of this earlier incorporation of data in the SEM. In its response to DOL, however, the Advisory Board stated that it continued to believe that incorporation of all of the information sources originally recommended by the Institute of Medicine would be useful.", "The Advisory Board\u2019s recommendations on incorporating additional peer- reviewed information sources in the SEM were consistent with the earlier report of the Institute of Medicine, which found that these additional data sources generally follow a systematic methodology, reflect peer review, provide more information on linkages between toxic substances and specific diseases, and could enhance the scientific soundness of the SEM.", "The three information sources that the Advisory Board recommended for inclusion in the SEM in January 2018 provide information on toxic substances and their health effects, and all are peer-reviewed. The Environmental Protection Agency\u2019s Integrated Risk Information System contains information on 511 chemicals and provides fundamental scientific information used to develop human health risk assessments. The National Toxicology Program\u2019s Report on Carcinogens currently lists 248 substances, agents, and mixtures that are known or reasonably anticipated to cause cancer in humans. The International Agency for Research on Cancer, part of the World Health Organization, is considered the authoritative source for information on cancer, according to officials of the National Academies of Sciences, Engineering, and Medicine.", "In August 2018, DOL responded to the Advisory Board\u2019s recommendation regarding these three potential additional data sources. DOL\u2019s response noted that it uses relevant data from the International Agency for Research on Cancer in claims adjudication, including updates to these data. Regarding the other two data sources, however, DOL declined the recommendation. While noting that these two sources include voluminous and complex data, DOL also noted that the Advisory Board did not offer its own analyses of either the credibility or the scientific reliability of the materials in these databases, and DOL did not think it appropriate to add the databases\u2019 information on health effects to the SEM in the absence of any rigorous and comprehensive investigations by the Advisory Board. DOL\u2019s response also noted that it would consider additional input should the Advisory Board be in a position to offer more specific guidance regarding the content of data sources that would be applicable and appropriate to the administration of the program."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Contracted Energy employees who carried out the nation\u2019s nuclear weapons production were often unaware of the extreme personal hazards they faced while serving their nation and learned of the risk only when they were later stricken by illness caused by exposure to toxins. It is imperative their claims for compensation be given the attention and care needed to fairly administer this compensation program. The most scientifically up-to-date information should be used to determine the health effects of various toxic substances, and claimants should be assisted in their efforts to meet statutory requirements for claims. Despite DOL efforts to improve the quality of written communication to claimants, some claimants continue to be confused about the evidence needed to successfully reopen and support their claim. DOL letters that clearly communicate what evidence is needed to support a claim could provide claimants with the opportunity to better understand the reopening process while minimizing the frustration of having their claim repeatedly denied and assuring a fair consideration of such claims."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making one recommendation: The Secretary of Labor, in conducting any assessment of its staff training designed to improve clarity of communication with claimants, should ensure that the assessment considers claimants\u2019 challenges with understanding DOL\u2019s written communications on the evidence needed to successfully reopen or otherwise support a claim."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Department of Labor (DOL) for comment. In its comments, reproduced in appendix III, DOL neither agreed nor disagreed with our recommendation to ensure that the assessment of staff training considers claimants\u2019 challenges regarding the evidence needed to successfully reopen or otherwise support a claim. However, DOL acknowledged that it plans to focus its staff training efforts on a variety of needed training topics, including improving the quality of written communications. DOL further noted that its recently hired training analyst will be responsible for, among other things, designing assessment measures to gauge the quality of training and the effect it has improving the overall quality of claim outcomes. We continue to encourage DOL to design its assessment so that it considers claimants\u2019 challenges in understanding the evidence needed.", "DOL also provided technical comments, which we incorporated as appropriate. In addition, we provided relevant report sections to the Office of the Ombudsman, members of the Subcommittee on the Site Exposure Matrices of the Advisory Board on Toxic Substances and Worker Health, and officials of the National Academies of Sciences, Engineering, and Medicine for their technical comments and incorporated them, as appropriate.", "As agreed with your office, unless you publicly announce its contents earlier, we plan no further distribution of this report until 30 days from its issue date. At that time, we will send copies of this report to the appropriate congressional committees; the Secretary of Labor; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or gurkinc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We examined (1) the number of compensation claims for illnesses resulting from exposure to toxins that were reopened by the Department of Labor (DOL) and their final outcome; (2) the extent to which an advisory board on toxic substances and worker health reviewed and advised DOL on the scientific soundness of DOL\u2019s database on toxins and their potential links to occupational diseases, and DOL\u2019s response.", "To address our objectives, we: 1. Reviewed relevant federal laws, regulations and guidance; 2. Requested summary data from 2012 to 2017 from DOL related to the reopening process, including claims assessed for reopening, claims actually reopened, and outcomes for reopened claims and, for claims denied after being reopened, the reasons for denial; 3. Reviewed DOL program documents; 4. Reviewed recommendations of the Advisory Board on Toxic Substances and Worker Health (Advisory Board) submitted to DOL from October 2016 to January 2018, and DOL\u2019s responses to those recommendations, as well as Advisory Board minutes and other documentation; 5. Interviewed DOL officials; members of the Advisory Board on Toxic Substances and Worker Health; officials of the National Academies of Sciences, Engineering, and Medicine; and a representative of an advocacy group.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives.", "Review of Federal Laws, Regulations, and Guidance We reviewed relevant federal laws, including the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), the National Defense Authorization Act of 2015, National Defense Authorization Act for Fiscal Year 2005, and the Federal Advisory Committee Act, as well as relevant federal regulations. In addition, we reviewed relevant guidance, including the Federal Energy Employees Occupational Illness Compensation Program Act Procedure Manual, as well as relevant Energy Employees Occupational Illness Compensation Program Act Bulletins and Circulars.", "Analysis of DOL Data on Reopened Claims and Subsequent Decisions To address our first objective, we obtained and analyzed data from DOL\u2019s Energy Compensation System from January 1, 2012 through December 31, 2017. We selected 2012 as the first year of our review period because the program transitioned to a new data system that year, and 2017 as the last year to obtain the most recent data available at the time of our review. We obtained and analyzed data for the following types of claims:", "Claims reviewed for reopening. We analyzed the data DOL provided on claims that it reviewed for reopening, that is, claimant requests for reopening (claimant-initiated reopenings), and claims identified by DOL for potential reopening (DOL-initiated reopenings). The total claims DOL reviewed for reopening was 10,652.", "All claims actually reopened: We obtained the aggregate number of all claims that were reopened. These claims totaled 8,234. We also obtained data for each individual claim, including reopening request date, reopening request type, reopening date, original final decision type, and outcome type. The reopening request type indicates whether the claim was claimant- or agency-initiated. The original final decision type refers to the final decision when the claim was originally adjudicated. The outcome type refers to the subsequent final decision following reopening.", "Most recently reopened claims: As we did for all reopened claims, we obtained aggregate data on all the most recently reopened claims. These claims totaled 7,263. By using the most recently reopened claims, we were able to examine one claim for each claimant, to provide a consistent unit of analysis, given that claimants can have multiple claims at one time, and there is no limit on the number of times they can request reopening of their claims. We also obtained data on each individual claim that included the same categories as those listed above for all reopened claims.", "We assessed the reliability of the data obtained by (1) reviewing existing information about the data and the system that produced them, and (2) interviewing agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for purposes of providing information on the number of claims for illnesses resulting from exposure to toxins that DOL reopened since 2012 and the outcome. However, there was one limitation to the data obtained: according to DOL officials, the Energy Compensation System does not allow a particular final decision to be linked to a particular reopened claim, given that claims may be reopened multiple times and may be filed for multiple conditions. As a result, DOL officials queried the system to match the final decision issued most recently after the reopening as the basis of the provided data. DOL officials explained that the data system\u2019s codes used to record final decisions do not reflect the full complexity of a case, and reflect the fact that claims may be filed for multiple conditions. To illustrate this, figure 7 depicts a hypothetical example of a claimant requesting reopening of claims for three conditions (emphysema, hearing loss, and bladder cancer) that had been denied previously. The code assigned to the final decision, although appropriate, does not reflect the full complexity of the claims\u2019 history. In the example below, given that there were three initial reopening requests for different conditions, a new reopening request for one of these conditions (hearing loss), and two subsequent final decisions, it is unclear from the coding in DOL\u2019s system which final decision corresponds to which reopening request.", "We reviewed DOL summary tables on claims data to analyze the most recently reopened claims from January 1, 2012 through December 31, 2017. To assess the outcomes of these claims, we examined both the initial and subsequent final decisions. We first grouped DOL final decisions into categories (see table 4). We decided to develop an \u201cOther\u201d category so that claims with both approvals and denials would be grouped together. Claimants can have multiple medical conditions and when they receive a final decision, some medical conditions may be approved while others are denied. Claims with such mixed outcomes are coded in the Energy Compensation System as \u201cApproved and Denied Only\u201d or \u201cApproved, Denied and Deferred Only.\u201d The code \u201cApproved, Denied and Deferred Only\u201d refers to claims where a final decision has been rendered on claims for some illnesses\u2014approving at least one and denying at least one\u2014while a decision for at least one other claimed illness is deferred for further development until it is ready for a final decision. We then analyzed the initial and the subsequent final decisions.", "To address our first objective, we reviewed certain program documents. Specifically, we reviewed selected Accountability Reviews, which are conducted by the Division of Energy Employees Occupational Illness Compensation to monitor the quality of claims adjudication. According to program officials, these reviews serve as a quality control tool and regularly examine whether decisions on claims were supported as well as issues such as payment accuracy. They may also occasionally include other issues, including issues related to the reopening process. In addition, we reviewed a review of reopening requests that were denied conducted by the DOL Office of the Solicitor in 2017.", "Additionally, we reviewed information related to reopened claims in the annual reports of the Office of the Ombudsman for calendar years 2012 through 2015, and DOL\u2019s responses to the reports for calendar years 2013 through 2015.", "Review of Advisory Board Recommendations, DOL Responses, and Other Documents To address our second objective, we reviewed all recommendations that the Advisory Board made to DOL about the Energy Employees Occupational Illness Compensation Program Act of 2000, in order to identify those recommendations related to the scientific soundness of the Site Exposure Matrices (SEM), and DOL\u2019s responses to these recommendations. Specifically, we reviewed the eight recommendations made by the Advisory Board in October 2016, and DOL\u2019s response in November 2017; the three recommendations made by the Advisory Board in June 2017, and DOL\u2019s response in March 2018; the seven overarching recommendations made by the Advisory Board in April 2017, and DOL\u2019s response in September 2017; and the ten recommendations made by the Advisory Board in January 2018, all of which referred back to previous recommendations, in some cases revising the previous recommendation. We also reviewed DOL\u2019s responses to these recommendations in August 2018. In addition, we reviewed the Advisory Board\u2019s charter and minutes from selected meetings of the full Advisory Board and from the Subcommittee on the Site Exposure Matrices.", "In addition, in order to understand the Advisory Board\u2019s recommendations about the Site Exposure Matrices, we reviewed a report on the scientific rigor of the SEM, Review of the Department of Labor\u2019s Site Exposure Matrix Database (Washington, D.C.: The National Academies Press, 2013). DOL asked the Institute of Medicine to review the SEM database and its underlying source of toxic substance\u2013occupational disease links. To review the SEM, the Institute of Medicine formed an ad hoc committee of experts in occupational medicine, toxicology, epidemiology, industrial hygiene, public health, and biostatistics, who conducted an 18-month study to review the scientific rigor of the SEM.", "To address both objectives, we interviewed DOL officials and others with relevant knowledge or experience of the Energy Employees Occupational Illness Compensation Program Act of 2000. Specifically, we interviewed officials of DOL\u2019s Division of Energy Employees Occupational Illness Compensation about topics including the reopening process, how data about reopened claims are stored in the information system, reviews of specific reopened claims, and DOL\u2019s response to recommendations of the Advisory Board. We also interviewed officials of DOL\u2019s Office of the Ombudsman for EEOICPA about topics such as claimants\u2019 concerns about the reopening process and about the SEM.", "In addition, we interviewed officials of the National Academies of Sciences, Engineering, and Medicine, who facilitated the work of the committee that produced the report, Review of the Department of Labor\u2019s Site Exposure Matrix. We asked the officials about topics such as the process used to recruit experts for the review, the report\u2019s methodology, the report\u2019s approach to scientific rigor, and the report\u2019s recommendations.", "Additionally, we interviewed members of the Advisory Board on Toxic Substances and Worker Health\u2019s Subcommittee on the Site Exposure Matrices, who represent the medical, scientific, and claimant communities. We asked the Advisory Board members about topics such as their review of the SEM and the priorities, if any, that they considered in doing so; their approach to scientific rigor and scientific soundness; and their recommendations to DOL. Finally, we interviewed a representative of the Alliance of Nuclear Workers Advocacy Groups about topics that included the challenges, if any, that claimants experience regarding reopened claims and use of the SEM, and the Advisory Board\u2019s recommendations to DOL."], "subsections": []}, {"section_title": "Appendix II: List of Department of Labor Bulletins and Circulars About Reopenings of Energy Employees Part E Claims", "paragraphs": ["Energy Employees Occupational Illness Compensation Program Act Bulletins Associated with Part E Reopenings 1. Department of Labor, EEOICPA Bulletin 12-01, Chronic Lymphocytic Leukemia (CLL) as Radiogenic Cancer under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), March 7, 2012. 2. Department of Labor, EEOICPA Bulletin 13-02, Systematic Review of Denied Part E Cases, February 21, 2013. 3. Department of Labor, EEOICPA Bulletin 16-01, Criteria for Establishing Causation for Asthma Claims Under Part E of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), s, October 26, 2015. 4. Department of Labor, EEOICPA Bulletin 16-02, Presumptions Available for Accepting Chronic Obstructive Pulmonary Disease (COPD) Under Part E of the Energy Employees Occupational Illness Compensation Program Act, December 28, 2015. 5. Department of Labor, EEOICPA Bulletin 16-03, Instructions for Use of the Direct Disease Linked Work Processes (DDLWP) in the Site Exposure Matrices (SEM) under Part E of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), July 11, 2016.", "Energy Employees Occupational Illness Compensation Program Act Circulars Associated with Part E Reopenings 1. Department of Labor, EEOICPA Circular 13-06, Review of Denied Bladder Cancer Cases under Part E. (Superseded by Procedure Manual Chapter 15), February 21, 2013. 2. Department of Labor, EEOICPA Circular 13-12, Review of Denied Ovarian Cancer Cases under Part E. (Superseded by Procedure Manual Chapter 15), August 29, 2013. 3. Department of Labor, EEOICPA Circular 15-04, Review of Cases Involving Exposure to TCE and the Development of Kidney Cancer. (Superseded by Procedure Manual Chapter 15), November 1, 2014. 4. Department of Labor, EEOICPA Circular 15-05, Occupational Exposure Guidance Relating to Asbestos. (Superseded by Procedure Manual Chapter 15), December 17, 2014. 5. Department of Labor, EEOICPA Circular 17-04, Rescind Post 1995 Toxic Exposure Guidance, February 2, 2017. 6. Department of Labor, EEOICPA Circular 18-01, Idiopathic Disease Diagnosis, December 6, 2017."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Meeta Engle (Assistant Director), Chris Morehouse (Analyst-In-Charge), and LaToya King made key contributions to this report. Also contributing to this report were Susan Aschoff, James Bennett, Joseph Cook, Sheila R. McCoy, Jean McSween, Alex Galuten, David Perkins, Tim Persons, Benjamin Sinoff, Almeta Spencer, and Jerome Sandau."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Energy Employees Compensation: DOL Generally Followed Its Procedures to Process Claims but Could Strengthen Some Internal Controls. GAO-16-74. Washington, D.C.: March 10, 2016.", "Energy Employees Compensation: Additional Independent Oversight and Transparency Would Improve Program\u2019s Credibility. GAO-10-302. Washington, D.C.: March 22, 2010.", "Energy Employees Compensation: Actions to Promote Contract Oversight, Transparency of Labor\u2019s Involvement, and Independence of Advisory Board Could Strengthen Program. GAO-08-4. Washington, D.C.: October 26, 2007.", "Energy Employees Compensation: Adjustments Made to Contracted Review Process, But Additional Oversight and Planning Would Aid the Advisory Board in Meeting Its Statutory Responsibilities. GAO-06-177. Washington, D.C.: February 10, 2006."], "subsections": []}], "fastfact": ["For decades, many government and contract workers building nuclear weapons were exposed to toxic substances. Since 2004, a Department of Labor program has provided $4.4 billion in compensation to those claiming exposure-related illnesses.", "Earlier we found Labor's explanations of claim denials and the evidence needed to support a claim could be unclear. This could make it harder to refile denied claims.", "This report found Labor ultimately approved many denied claims. From 2012 through 2017, it reopened 7,000 claims and approved 69% of them.", "We recommended better training for claim reviewers on communicating what is needed to reopen a claim."]} {"id": "GAO-18-642T", "url": "https://www.gao.gov/products/GAO-18-642T", "title": "Bank Secrecy Act: Further Actions Needed to Address Domestic and International Derisking Concerns", "published_date": "2018-06-26T00:00:00", "released_date": "2018-06-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In recent years, some Southwest border residents and businesses reported difficulty accessing banking services, including experiencing bank account terminations and bank branch closings in the region. In addition, the World Bank and others have reported that some money transmitters have been losing access to banking services with depository institutions.", "This statement is based on findings from GAO's February 2018 report on access to banking services along the Southwest border ( GAO-18-263 ) and March 2018 report on the effects of derisking on remittance flows to fragile countries ( GAO-18-313 ). GAO discusses (1) the extent to which banks are terminating accounts and closing branches in the Southwest border region, (2) the extent to which money transmitters serving selected fragile countries are facing banking access challenges, and (3) actions relevant U.S. agencies have taken to respond to these challenges. For those reports, GAO surveyed more than 400 banks, developed an econometric model on the drivers of branch closures, and conducted case studies on four countries to assess the effects of derisking on remittances flows."]}, {"section_title": "What GAO Found", "paragraphs": ["\u201cDerisking\u201d is the practice of depository institutions limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering or other criminal activity such as financing to terrorist groups. In its February 2018 report, GAO found that money laundering risk is high in the Southwest border region because of the high volume of cash transactions, the number of cross-border transactions, and foreign account holders. According to GAO's nationally representative survey of banks, an estimated 80 percent (+/- 11) of Southwest border banks limited or did not offer accounts to customers that are considered high risk for money laundering because the customers drew heightened Bank Secrecy Act/anti-money laundering (BSA/AML) oversight\u2014behavior that could indicate derisking. Nationally, GAO's econometric analysis suggested that counties that were urban, younger, had higher income, or had higher money laundering-related risk were more likely to lose branches.", "In March 2018, GAO found that money transmitters (businesses that facilitate global money transfers) serving Haiti, Liberia, Nepal, and especially Somalia\u2014 countries it identified as fragile\u2014all reported losing bank accounts or having restrictions placed on them during the last 10 years. As a result, 9 of the 12 money transmitters GAO interviewed, including all 4 that served Somalia, reported using channels outside the banking system (hereafter referred to as nonbanking channels), such as transporting cash to transfer funds, and that this increased their operational costs and exposure to risks. Furthermore, some banks GAO interviewed reported that they closed the accounts of money transmitters because of the high cost of due diligence actions they considered necessary to minimize the risk of fines under BSA/AML regulations. Department of the Treasury (Treasury) officials noted that despite information that some money transmitters have lost bank accounts, Treasury saw no evidence that the volume of remittances was falling or that costs of sending remittances were rising.", "To address concerns about derisking, Treasury and federal banking regulators (the Board of Governors of the Federal Reserve System, the Office of the Comptroller of the Currency, and the Federal Deposit Insurance Corporation), have taken actions including issuing guidance to banks and conducting some evaluations to assess the extent to which derisking is occurring. While agencies were engaged in BSA/AML regulatory reviews, these were limited in scope and had not evaluated how regulatory concerns may influence banks to engage in derisking or to close branches. Without assessing the full range of BSA/AML factors that may be influencing banks to derisk or close branches, Treasury, the federal banking regulators, and Congress do not have the information needed to determine if BSA/AML regulations and their implementation can be made more effective or less burdensome. Moreover, in March 2018 GAO reported that Treasury could not assess the effects of money transmitters' loss of banking access on remittance flows because existing data did not allow Treasury to identify remittances transferred through banking and nonbanking channels. Nonbanking channels are generally less transparent than banking channels and thus more susceptible to the risk of money laundering and terrorism financing."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made five recommendations in the two reports: to Treasury and the federal banking regulators to conduct a retrospective review of BSA/AML regulations and their implementation, and to Treasury to assess shifts in remittance flows to nonbanking channels. Banking regulators agreed with the recommendations. GAO requested comments from Treasury, but none were provided."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent work on derisking and how it may be affecting the availability of banking services to customers in the Southwest border region and money transmitters who transmit money to fragile countries. Derisking is the practice of depository institutions limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering or other criminal activity such as financing to terrorist groups. Money laundering and terrorist financing pose threats to national security and the integrity of the financial system and the Bank Secrecy Act (BSA) is an important tool in federal law enforcement efforts to detect and deter the use of financial institutions for such criminal activity. The BSA and its implementing regulations generally require financial institutions, including banks and money transmitters, to collect and retain various records of customer transactions, verify customers\u2019 identities, maintain anti-money laundering (AML) programs, and report suspicious transactions.", "However, in recent years, some Southwest border residents and businesses reported difficulty accessing banking services, including experiencing bank account terminations and bank branch closures in the region. In addition, the World Bank and others have reported that some money transmitters have been losing access to banking services with depository institutions. Some have attributed these challenges to derisking.", "My remarks today are based on our February 2018 report on derisking along the Southwest border and our March 2018 report on remittances to fragile countries. My statement will focus on the extent to which (1) banks are terminating accounts and closing branches in the Southwest border region and their reasons for any terminations and closures, (2) money transmitters are facing banking access challenges in remitting funds from the United States to selected fragile countries, and (3) relevant U.S. agencies have taken action to assess and respond to concerns about derisking and loss of banking access.", "For the report on derisking in the Southwest border region, we analyzed data on Suspicious Activity Reports (SAR) and Currency Transaction Reports (CTR) as well as data on national and Southwest border region branch closures. We combined the data on branch closures with demographic, economic, and money laundering-related risk data and conducted an econometric analysis designed to examine the potential drivers of branch closures. Despite the robustness of our results and our efforts to control for relevant factors, our results are subject to a number of caveats associated with this type of empirical work and as such we interpret these results with some degree of caution. We also reviewed agency documentation and guidance to banks related to derisking and documentation on BSA/AML retrospective reviews that the Department of the Treasury\u2019s (Treasury) Financial Crimes Enforcement Network (FinCEN) and the federal banking regulators\u2014 the Board of Governors of the Federal Reserve System (Federal Reserve), Federal Deposit Insurance Corporation (FDIC), and the Office of the Comptroller of the Currency (OCC)\u2014have conducted. Finally, we interviewed representatives from 19 Southwest border banks, a variety of banking industry groups and trade associations, and officials from FinCEN and the federal banking regulators.", "For the report on remittances to fragile countries, we identified four case- study countries: Haiti, Liberia, Nepal, and Somalia. We interviewed 12 out of 18 money transmitters that the World Bank identified as accounting for at least 80 percent of the market transfers from the United States to each of our case-study countries. We also interviewed officials from the federal banking regulators, Treasury, and eight extra-large banks. The results of our interviews are not generalizable. In addition, we analyzed available data on remittances sent through banks as well as cash declarations at U.S. ports of exit.", "For both reports, we administered a web-based survey to a nationally representative sample of 406 banks in the United States, including 115 Southwest border banks. Additional details on our scope and methodology are available in our published reports.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "BSA/AML Regulation and Enforcement for Banks and Money Transmitters", "paragraphs": ["The BSA established reporting, recordkeeping, and other AML requirements for financial institutions. Regulation under and enforcement of BSA involves several federal agencies. FinCEN is responsible for administering the BSA and has authority for enforcing compliance with its requirements and implementing regulations, including through civil money penalties. FinCEN issues regulations under BSA and delegated BSA/AML examination authority for banks to the federal banking regulators. The federal banking regulators have issued their own BSA regulations that require banks to establish and maintain a BSA/AML compliance program. The federal banking regulators may take enforcement actions for violations of BSA/AML requirements. They may also assess civil money penalties against financial institutions and individuals independently, or concurrently with FinCEN.", "Both federal and state agencies oversee money transmitters. FinCEN has delegated examination authority for BSA compliance for money transmitters to the Internal Revenue Service (IRS). Money transmitters must register with FinCEN and provide information on their structure and ownership. According to Treasury, in all states except one, money transmitters are required to obtain licenses from states in which they are incorporated or conducting business.", "All banks and money transmitters are required to establish an AML compliance program that includes policies, procedures, and processes which, at a minimum, must provide for (1) a system of internal controls to ensure ongoing compliance, (2) a designated individual or individuals responsible for managing BSA compliance (BSA compliance officer), (3) training for appropriate personnel, and (4) independent testing for BSA/AML compliance. Additionally, as of May 11, 2018, banks and certain other financial institutions are required to implement appropriate risk-based procedures for conducting ongoing customer due diligence. Banks must also have policies and procedures for opening accounts and verifying the identity of each customer and monitoring transactions and reporting suspicious activity. Finally, banks and money transmitters must comply with certain reporting requirements, including the following:", "CTR: A bank must electronically file a CTR for each transaction in currency\u2014such as a deposit or withdrawal\u2014of more than $10,000", "SAR: Banks are required to electronically file a SAR when a transaction involves or aggregates at least $5,000 in funds or other assets, and the institution knows, suspects, or has reason to suspect that the transaction meets certain criteria qualifying as suspicious."], "subsections": []}, {"section_title": "Remittance Transfer Methods", "paragraphs": ["Remittances can be sent through money transmitters and banks, among other organizations. International remittances through money transmitters and banks may include cash-to-cash money transfers, international wire transfers, some prepaid money card transfers, and automated clearinghouse transactions. If a remittance sender\u2019s bank does not have a direct relationship with the remittance recipient\u2019s bank, the bank-to-bank transfer scenario becomes more complicated. In such cases, one or more financial institutions may rely upon correspondent banking relationships to complete the transaction. A typical remittance sent through a bank may be in the thousands of dollars, while the typical remittance sent by money transmitters is usually in the hundreds of dollars.", "Historically, many consumers have chosen to send remittances through money transmitters due to convenience, cost, familiarity, or tradition. Money transmitters typically work through agents\u2014separate business entities generally authorized to, among other things, send and receive money transfers. Money transmitters generally operate through their own retail storefronts, or through grocery stores, financial services outlets, convenience stores, and other retailers that serve as agents. Figure 1 shows one type of common money transmitter transaction known as cash-to-cash transfer."], "subsections": []}, {"section_title": "Remittances to Case Study Countries", "paragraphs": ["Remittances from the United States are an important source of funds for our case-study countries\u2014Haiti, Liberia, Nepal, and Somalia. The Organisation for Economic Co-operation and Development identified these countries as fragile states because of weak capacity to carry out basic governance functions, among other things, and their vulnerability to internal and external shocks such as economic crises or natural disasters."], "subsections": []}]}, {"section_title": "Risks Related to Money Laundering Appeared to Be a Factor in Reduced Access to Banking Services for Southwest Border Customers", "paragraphs": ["In our February 2018 report, we found that money laundering risk is high in the Southwest border region because of the high volume of cash transactions, the number of cross-border transactions, and foreign account holders. Our nationally representative survey found that many Southwest border banks may be engaging in derisking. Nationally, our econometric analysis suggested that counties that were urban, younger, had higher income, or had higher money laundering-related risk were more likely to lose branches. Money laundering-related risks were likely to have been relatively more important drivers of branch closures in the Southwest border region."], "subsections": [{"section_title": "Southwest Border Banks Reported Heightened BSA/AML Compliance Risks and Challenges Due to Volume of High-Risk Customers", "paragraphs": ["In February 2018, we reported that money laundering risk is high in the Southwest border region because of the high volume of cash transactions, the number of cross-border transactions, and foreign account holders, according to bank representatives, federal banking regulators, and others we spoke with. Cash transactions increase the BSA/AML compliance risk for banks because the greater anonymity associated with using cash results in greater risk for money laundering or terrorist financing. Our review of data on banks\u2019 CTR filings confirmed that bank branches that operate in Southwest border region counties handled more large cash transactions than bank branches elsewhere. Specifically, in 2016, bank branches in Southwest border region counties filed nearly 30 percent more CTRs, on average, than bank branches in comparable counties elsewhere in their same state, and about 60 percent more than those in other high-risk counties outside the region. Similar differences occurred in 2014 and 2015.", "We also reported that cross-border transactions are at a higher risk for money laundering because international transfers can present an attractive method to disguise the source of funds derived from illegal activity. Southwest border banks cited foreign account holders as another type of high-risk customer for money laundering and terrorist financing. These types of customers are prevalent in the Southwest border region, examiners said, and can create challenges for banks to verify and authenticate their identification, source of funds, and source of wealth.", "The volume of high-risk customers and cross-border transactions can lead to more intensive account monitoring and investigation of suspicious transactions, Southwest border bank representatives said. Performing effective due diligence and complying with customer identification requirements for higher-risk customers and transactions can be more challenging because banks might need specialized processes for higher- risk customers and transactions than for those that are lower risk. Southwest border bank representatives we spoke with said addressing these compliance challenges can also require more resources for monitoring high-risk customers and investigating suspicious transactions. For example, in 2016, bank branches in the Southwest border region counties filed three times as many SARs, on average, as bank branches operating in other counties within Southwest border states and about 2.5 times as many SARs, on average, as bank branches in other high-risk financial crime or drug trafficking counties in nonborder states. These differences in SAR filings showed a similar pattern in 2014 and 2015."], "subsections": []}, {"section_title": "Some Account Terminations and Limitations Were Consistent with BSA/AML Purposes", "paragraphs": ["In February 2018, we found that most Southwest border banks reported terminating accounts for reasons related to BSA/AML risk. Based on our survey results, from January 1, 2014, through December 31, 2016, we estimated that almost 80 percent of Southwest border banks had terminated personal or business accounts for reasons related to BSA/AML risk. The most common reasons related to BSA/AML risk Southwest border banks reported for terminating accounts were the filing of SARs associated with the accounts, the failure of the customer to respond adequately to requests for information as part of customer due diligence processes, and the reputational risk associated with the customer type (an estimated 93 percent, 80 percent, and 68 percent, respectively). Of the high-risk businesses for money laundering and terrorist financing that we identified in our survey, cash-intensive small businesses (for example, retail stores, restaurants, and used car dealers) were the most common type of business accounts that Southwest border banks reported terminating accounts for reasons related to BSA/AML risk.", "Over 70 percent of Southwest border banks reported terminating these accounts.", "A majority of Southwest border banks and banks that did not operate in the Southwest border region (non-Southwest border banks) reported limiting or not offering accounts to certain types of businesses considered high risk for money laundering and terrorist financing, particularly money services businesses and foreign businesses. The most common reason (cited by 88 percent of Southwest border banks) for limiting, or not offering, an account to these types of businesses was that the business type fell outside of the bank\u2019s risk tolerance\u2014the acceptable level of risk an organization is willing to accept around specific objectives. Similarly, 69 percent of Southwest border banks cited the inability to manage the BSA/AML risk associated with the customer (for example, because of resource constraints) as a factor for limiting, or not offering, accounts. Similarly, the most common reason that non-Southwest border banks reported limiting, or not offering accounts, to certain types of businesses considered high risk for money laundering and terrorist financing was that the customer type fell outside of the bank\u2019s risk tolerance."], "subsections": []}, {"section_title": "Other Account Terminations and Limitations Raised Concerns about Derisking", "paragraphs": ["Further, in February 2018 we found that the second most common reason\u2014cited by 80 percent of Southwest border banks\u2014for limiting, or not offering, accounts to certain types of businesses considered high risk for money laundering and terrorist financing, was that the customer type drew heightened BSA/AML regulatory oversight\u2014behavior that could indicate derisking. For example, representatives from one Southwest border bank explained that they no longer offer accounts to money services businesses because they want to be viewed from a good standpoint with their regulator. They added that banking for these types of customers is very high risk for the bank with very little reward. Another bank that operates in the Southwest border region explained that rather than being able to focus on their own BSA/AML risk assessment and the performance of accounts, they feel pressured to make arbitrary decisions to close accounts based on specific concerns of their examiners.", "Several Southwest border bank representatives also described how recent BSA/AML law enforcement and regulatory enforcement actions have caused them to become more conservative in the types of businesses for which they offer accounts. In addition, while banks may terminate accounts because of SAR filings as a method to manage money laundering and terrorist financing risk and to comply with BSA/AML requirements, some of these terminations may be related to derisking. For example, some Southwest border bank representatives we spoke with for our Southwest border report, as well as other banks and credit unions we spoke with in a February 2009 review, told us that they have filed SARs to avoid potential criticism during examinations, not because they thought the observed activity was suspicious. Non- Southwest border banks also commonly cited the inability to manage risk associated with the customer type and heightened regulatory oversight as reasons for limiting, or not offering, accounts."], "subsections": []}, {"section_title": "Southwest Border Bank Branch Closures Have Been Concentrated in a Small Number of Communities", "paragraphs": ["Counties in the Southwest border region have been losing bank branches since 2012, similar to national and regional trends, as well as trends in other high-risk financial crime or drug trafficking counties that are outside the region. In February 2018, we found that most of the 32 counties (18 counties or nearly 60 percent) comprising the Southwest border region did not lose bank branches from 2013 through 2016, but 5 counties lost 10 percent or more of their branches over this time period (see top panel of fig. 2). Those 5 counties are Cochise, Santa Cruz, and Yuma, Arizona; Imperial, California; and Luna, New Mexico.", "Within those counties we identified as having the largest percentage loss of branches, sometimes those losses were concentrated in smaller communities within the county (see bottom panel of fig. 2). For example, Calexico in Imperial County, California, lost 5 of its 6 branches from 2013 through 2016. In Santa Cruz County in Arizona, one zip code in Nogales accounted for all of the branch losses in the county from 2013 through 2016, losing 3 of its 9 branches. More generally, branch losses varied substantially across different zip codes in a county (see for example bottom panel of fig. 2). In other instances, counties that lost a relatively small share of their branches contained communities that lost a more substantial share\u2014for example San Ysidro in San Diego County lost 5 of its 12 branches (about 42 percent) while the county as a whole lost only 5 percent of its branches from 2013 through 2016.", "Based on our analysis, counties losing branches in the Southwest border region tended to have substantially higher SAR filings, on average, than Southwest border region counties that did not lose branches. That is, counties that lost branches from 2013 through 2016 had about 600 SAR filings per billion dollars in deposits, on average, and counties that did not lose branches had about 60 SAR filings per billion dollars in deposits, on average (see fig. 3)."], "subsections": []}, {"section_title": "Empirical Evidence Suggested Demographic and Money Laundering- Related Risk Factors Are Drivers of Branch Closures", "paragraphs": ["The econometric models we developed and estimated for our February 2018 report generally found that demographic and money laundering- related risk factors were important predictors of national bank branch closures. In general, our results suggested that counties were more likely to lose branches, all else equal, if they were (1) urban, had a higher per capita personal income, and had a younger population (proportion under 45); or (2) designated as a HIFCA or HIDTA county, or had higher SAR filings. We termed the latter three characteristics (HIFCA, HIDTA, and SAR filings) \u201cmoney laundering-related risk factors.\u201d", "Our results were consistent with those demographic characteristics associated with the adoption of mobile banking. As such, our results were consistent with the hypothesis that mobile banking is among the factors leading some banks to close branches. The most urban counties were about 22 percentage points more likely to lose one or more branches over the next year than the most rural counties. A county with 70 percent of the population under 45 was about 9 percentage points more likely to lose one or more branches over the next year than a county with half the population under 45. A county with per capita income of $50,000 was about 7 percentage points more likely to lose one or more branches over the next year than a county with per capita income of $20,000.", "Money laundering-related characteristics of a county were also important predictors of branch closures in our models. HIDTA counties were about 11 percentage points more likely to lose one or more branches over the next year than non-HIDTA counties (the effect in HIFCA counties is less significant statistically and smaller in magnitude). A county with 200 SARs filed per billion dollars in bank deposits was about 8 percentage points more likely to lose one or more bank branches over the next year than a county where no bank branch had filed a SAR.", "Money laundering-related risk factors were likely to have been relatively more important drivers of branch closures in the Southwest border region because it had much higher SAR filings and a larger share of counties designated as HIDTAs than the rest of the country. More generally, given the characteristics of Southwest border counties and the rest of the United States, our models suggested that while demographic factors have been important drivers of branch closures in the United States overall, risks associated with money laundering were likely to have been relatively more important in the Southwest border region.", "Southwest border bank representatives we interviewed told us they considered a range of factors when deciding whether or not to close a branch. Nearly half of the Southwest border bank representatives we spoke with (4 of 10), mentioned that BSA/AML compliance costs could be among the factors considered in determining whether or not to close a branch."], "subsections": []}]}, {"section_title": "Money Transmitters Serving Selected Fragile Countries Noted Loss of Banking Access, Although Treasury Saw No Reduction in Remittance Flows", "paragraphs": ["In March 2018, we found that money transmitters serving Haiti, Liberia, Nepal, and especially Somalia reported losing bank accounts or having restrictions placed on them, which some banks confirmed. As a result, some money transmitters relied on nonbanking channels, such as cash couriers, to transfer remittances. All of the 12 money transmitters we interviewed at the time reported losing some banking relationships in the last 10 years. Some money transmitters, including all 4 that served Somalia, said they relied on nonbanking channels, such as moving cash, to transfer funds, which increased their operational costs and exposure to risks. Further, in our interviews some banks reported that they had closed the accounts of money transmitters because of the high cost of due diligence actions they considered necessary to minimize the risk of fines under BSA/AML regulations. Treasury officials noted that despite information that some money transmitters have lost banking accounts, Treasury saw no evidence that the volume of remittances was falling or that costs of sending remittances were rising."], "subsections": [{"section_title": "All Money Transmitters We Interviewed Reported They Lost Bank Accounts, Which for Many Resulted in Higher Costs and a Shift to Nonbanking Channels", "paragraphs": ["All 12 money transmitters we interviewed for our March 2018 report stated that they or their agents had lost accounts with banks during the last 10 years. All 4 Somali money transmitters and many agents of the 2 Haitian money transmitters we spoke with reported they had lost some bank accounts, and 2 of the 4 Somali money transmitters reported losing all bank accounts. Additionally, all 4 large money transmitters that process transfers globally (including to our case-study countries of Haiti, Liberia, and Nepal) also reported that their agents had lost accounts. Almost all of the money transmitters said they also faced difficulties in getting new accounts. While some money transmitters said the banks that closed their accounts did not provide a reason, in other cases, money transmitters said the banks told them that they had received pressure from regulators to terminate money transmitter accounts.", "As a result of losing access to bank accounts, several money transmitters, including all of the Somali money transmitters, reported that they were using nonbanking channels to transfer funds. In some cases the money transmitter was forced to conduct operations in cash, which increased the risk of theft and forfeitures and led to increased risk for agents and couriers. Nine of the money transmitters that we interviewed reported they rely on couriers or armored trucks to transport cash domestically (to the money transmitter\u2019s main offices or bank) or, in the case of Somalia, internationally. Money transmitters reported they use cash couriers either because the money transmitter or their agents had lost bank accounts or because it was cheaper to use armored trucks than banks to move funds.", "Money transmitters we interviewed reported increased costs associated with moving cash and bank fees. Two of the money transmitters we spoke to stated that they did not have options other than to pay any fees the bank required due to the difficulty in finding new bank accounts. Money transmitters with access to bank accounts reported that bank charges for services had in some cases doubled or tripled, or were so high that it was less expensive to use a cash courier. For example, some money transmitters stated that their banks charged a monthly fee for compliance-related costs that ranged from $100 a month to several thousand dollars a month."], "subsections": []}, {"section_title": "Some Banks Reported Closing or Denying Accounts for Money Transmitters, Citing Insufficient Profit to Offset Risks and Costs", "paragraphs": ["Most of the banks we interviewed for our March 2018 report expressed concerns about account holders who are money transmitters because they tended to be low-profit, high-risk clients. Most of the banks we interviewed that serve money transmitters stated that BSA/AML compliance costs have significantly increased in the last 10 years because they had to hire additional staff and upgrade information systems to conduct electronic monitoring of all transactions processed through their system. Some banks indicated in our survey and interviews that the revenue from money transmitter accounts was at times not sufficient to offset the costs of BSA/AML compliance, leading to terminations and restrictions on money transmitter accounts. A few banks we interviewed stated that they do not allow money transmitters to open accounts because of the BSA/AML compliance resources they require.", "Banks also expressed concerns over the adequacy of money transmitters\u2019 ability to conduct due diligence on the money transmitter\u2019s customers. A few banks we interviewed expressed concern that they would be held responsible if, despite the bank carrying out due diligence, authorities detected an illicit transaction had been processed through the bank on behalf of a money transmitter."], "subsections": []}, {"section_title": "Treasury Officials Said Remittance Flows to Fragile Countries Have Not Declined; Remittance Senders Reported No Major Difficulties", "paragraphs": ["In our March 2018 report, we found that Treasury officials reported remittances continue to flow to fragile countries even though money transmitters faced challenges. Through engagement with money transmitters and banks, Treasury found some evidence of money transmitter bank account closures. However, according to Treasury officials, World Bank estimates of remittance flows show that the volume of international transfers from the United States has continued to increase. At the same time, World Bank data indicate that the global average cost of sending remittances has continued to decrease. Citing these trends, and anecdotal evidence from Treasury\u2019s engagement with banks, the officials stated that there were no clear systemic impacts on the flow of remittances from closures of money transmitter bank accounts and correspondent banking relations.", "Treasury officials acknowledged that such closures can be a significant challenge for money transmitters that serve certain regions or countries, including Somalia. Further, Treasury officials said they were aware that some Somali money transmitters resorted to nonbanking channels by carrying cash overseas. They noted that although physically moving cash is risky, it is not unlawful. Additionally, Treasury officials stated that the use of cash couriers to remit funds had not been a concern for regulators because this practice had not increased the remittance fees that money transmitters charge their consumers.", "Remittance senders in the United States who remit to our case-study countries reported that they frequently used money transmitters and had not encountered major difficulties in sending remittances. Senders told us that they generally preferred using money transmitters over other methods because money transmitters were cheaper than banks and were quicker in delivering the funds than other methods. In addition, money transmitters were often more accessible for recipients collecting the remittances because the money transmitters had more locations than banks in recipient countries. However, some remittance senders told us that they were unable to send large amounts of money through money transmitters."], "subsections": []}]}, {"section_title": "Regulators Have Not Evaluated All Factors Influencing Banks to Derisk and Treasury Lacks Data Needed to Assess Possible Effects on Remittance Flows", "paragraphs": ["In February 2018 we reported that to address concerns about derisking, FinCEN and the federal banking regulators had taken actions including issuing guidance to banks and conducting some evaluations to assess the extent to which derisking is occurring. However, the actions regulators had taken to address concerns raised in their BSA/AML regulatory reviews were limited in scope (for example, they focused primarily on the burden resulting from the filing of CTRs and SARs) and had not evaluated all factors that may influence banks to derisk or close branches. Moreover, in March 2018 we found that Treasury could not assess the effects of money transmitters\u2019 loss of banking access on remittance flows because existing data did not allow Treasury to identify remittances transferred through banking and nonbanking channels."], "subsections": [{"section_title": "Regulators Issued Guidance and Took Some Actions Related to Derisking", "paragraphs": ["In February 2018, we reported that FinCEN and the federal banking regulators responded to concerns about derisking on a national level by issuing guidance to banks and conducting some evaluations within their agencies to understand the extent to which derisking is occurring. The guidance issued by regulators was aimed at clarifying BSA/AML regulatory expectations and discouraging banks from terminating accounts without evaluating risk presented by individual customers or banks\u2019 abilities to manage risks. The guidance generally encouraged banks to use a risk-based approach to evaluate individual customer risks and not to eliminate entire categories of customers. Some of the guidance issued by regulators attempted to clarify their expectations specifically for banks\u2019 offering of services to money services businesses, including money transmitters. For example, in March 2005, the federal banking regulators and FinCEN issued a joint statement on providing banking services to money services businesses to clarify the BSA requirements and supervisory expectations as applied to accounts opened or maintained for this type of customer. The statement acknowledged that money services businesses were losing access to banking services as a result of concerns about regulatory scrutiny, the risks presented by these types of accounts, and the costs and burdens associated with maintaining such accounts.", "The agencies issuing these guidance documents told us they took some steps to assess the effect of their guidance on bank behavior. For example, Treasury officials said that Treasury periodically engaged with banks and money transmitters on an ad hoc basis to learn their views and gain insight into their concerns. According to Federal Reserve officials, anecdotal information suggested that some money transmitters lost bank accounts after FinCEN and federal banking agencies issued the joint guidance in 2005, and that outcome was contrary to the regulators\u2019 intent. To address concerns about the guidance, according to these officials, Treasury held several public discussions on money transmitter account terminations.", "In addition to issuing guidance, FDIC and OCC took some steps aimed at trying to determine why banks may be terminating accounts because of perceived regulatory concerns. For example, in January 2015, FDIC issued a memorandum to examiners establishing a policy that examiners document and report instances in which they recommend or require banks to terminate accounts during examinations. From January 2015 through December 2017, FDIC officials stated that examiners had not documented any recommendations or requirements for account terminations. In 2016, OCC reviewed how the institutions it supervises develop and implement policies and procedures for evaluating customer risks as part of their BSA/AML programs and for making risk-based determinations to close customer accounts. OCC focused its review on certain large banks\u2019 evaluation of risk for foreign correspondent bank accounts. This effort resulted in OCC issuing guidance to banks on periodic evaluation of the risks of foreign correspondent accounts. The federal banking regulators also met with residents and businesses in the Southwest border region to discuss concerns about derisking in the region.", "Treasury and the federal banking regulators also participated in a number of international activities related to concerns about the decline in the number of correspondent banking and money services business accounts. For example, FDIC, OCC, and the Federal Reserve participate in the Basel Committee on Banking Supervision\u2019s Anti-Money Laundering/Counter Financing of Terrorism Experts Group. Recent efforts of the group involved revising guidelines to update and clarify correspondent banking expectations. Treasury leads the U.S. engagement with the Financial Action Task Force\u2014an intergovernmental body that sets standards for combating money laundering, financing of terrorism, and other related threats to the integrity of the international financial system\u2014which has issued guidance on correspondent banking and money services businesses."], "subsections": []}, {"section_title": "BSA/AML Regulatory Reviews Had Not Evaluated All Factors Influencing Banks to Derisk and Close Branches", "paragraphs": ["Executive orders encourage and legislation requires FinCEN and the federal banking regulators to review existing regulations to determine whether they should be retained, amended, or rescinded, among other things. Retrospective reviews of existing rules help agencies evaluate how existing regulations are working in practice. Recent presidents have directed agencies to evaluate or reconsider existing regulations. In addition to the executive orders, the Economic Growth and Regulatory Paperwork Reduction Act (EGRPRA) requires federal banking regulators to review the regulations they prescribe not less than once every 10 years and request comments to identify outdated, unnecessary, or unduly burdensome statutory or regulatory requirements.", "In February 2018, we reported that FinCEN and the federal banking regulators had all participated in retrospective reviews of different parts of the BSA/AML regulations. For example, FinCEN officials told us that they review each new or significantly amended regulation to assess its clarity and effectiveness within 18 months of its effective date. As part of fulfilling their requirements under EGRPRA, the federal banking regulators\u2014 through the Federal Financial Institutions Examination Council (FFIEC)\u2014 have also participated in retrospective reviews of BSA/AML regulations.", "As part of the 2017 EGRPRA review, FFIEC received several public comments on BSA/AML requirements, including increasing the threshold for filing CTRs, the SAR threshold, and the overall increasing cost and burden of BSA compliance. FinCEN officials and the federal banking regulators stated that the agencies are working to address the BSA- related EGRPRA comments\u2014particularly those related to CTR and SAR filing requirements\u2014through the BSA Advisory Group (BSAAG).", "However, the actions FinCEN and the federal banking regulators took related to derisking were not aimed at addressing and, if possible ameliorating, the full range of factors that influence banks to engage in derisking, in particular banks\u2019 regulatory concerns and BSA/AML compliance efforts. Further, the actions regulators took to address concerns raised in BSA/AML retrospective reviews focused primarily on the burden resulting from the filing of CTRs and SARs, but these actions did not evaluate how regulatory concerns may influence banks to engage in derisking or close branches. Federal internal control standards call for agencies to analyze and respond to risks to achieving their objectives. Further, guidance implementing executive orders states that agencies should consider conducting retrospective reviews on rules that unanticipated circumstances have overtaken. In February 2018, we concluded that without assessing the full range of BSA/AML factors that may be influencing banks to derisk or close branches, FinCEN, the federal banking regulators, and Congress would not have the information they need to determine if adjustments are needed to ensure that the BSA/AML regulations and their implementation are achieving their regulatory objectives in the most effective and least burdensome way."], "subsections": []}, {"section_title": "U.S. Data on Remittances Did Not Allow Treasury to Assess the Effects of Money Transmitters\u2019 Loss of Banking Access on Remittance Flows to Fragile Countries", "paragraphs": ["In March 2018, we found that Treasury could not assess the effects of money transmitters\u2019 loss of banking access on remittance flows because existing data did not allow Treasury to identify remittances transferred through banking and non-banking channels.", "Recent efforts to collect international remittance data from banks and credit unions did not include transfers these institutions make on behalf of money transmitters. Since these data collection efforts are designed to protect U.S. consumers, the remittance data that banks and credit unions report are limited to remittances individual consumers send directly through these institutions. Additionally, as of the first quarter of 2018, about half the states (24) adopted reports to collect remittance data from money transmitters and of these, 12 states had made it mandatory to report remittance data by destination country. However, these data do not distinguish money transmitters\u2019 use of banking and nonbanking channels to transfer funds.", "Finally, we found that while Treasury has a long-standing effort to collect information on travelers transporting cash from U.S. ports of exit, this information did not identify cash transported for remittances. We concluded that without information on remittances sent through banking and nonbanking channels, Treasury could not assess the effects of money transmitter and foreign bank account closures on remittances, especially shifts in remittance transfers from banking to nonbanking channels for fragile countries. Nonbanking channels are generally less transparent than banking channels and thus more susceptible to the risk of money laundering and other illicit financial transactions. Additionally, while risks associated with shifts of remittances to nonbanking channels may vary by country, these risks are likely greater for fragile countries, such as Somalia, where the United States has concerns about terrorism financing."], "subsections": []}]}, {"section_title": "Conclusions and Recommendations for Executive Action", "paragraphs": ["The collective findings from our work indicate that BSA/AML regulatory concerns have played a role in banks\u2019 decisions to terminate and limit accounts and close branches. However, the actions taken to address derisking by the federal banking regulators and FinCEN and the retrospective reviews conducted on BSA/AML regulations had not fully considered or addressed these effects. As a result, in our February 2018 report, we recommended that FinCEN and the three banking regulators in our review\u2014FDIC, the Federal Reserve, and OCC\u2014 jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks, focusing on how banks\u2019 regulatory concerns may be influencing their willingness to provide services. In their written responses, the Federal Reserve, FDIC, and OCC agreed to leverage ongoing interagency work reviewing BSA/AML regulations and their implementation for banks to address our recommendation. GAO requested comments from Treasury, but none were provided.", "A lack of data on remittances sent through banking and nonbanking channels limits the ability of Treasury to assess the effects of money transmitter and foreign bank account closures on remittances, in particular shifts of remittances to non-banking channels for fragile countries. Therefore, in the March 2018 report we recommended that Treasury assess the extent to which shifts in remittance flows from banking to non-banking channels for fragile countries may affect Treasury\u2019s ability to monitor for money laundering and terrorist financing and, if necessary, should identify corrective actions. GAO requested comments from Treasury, but none were provided.", "Chairman Luetkemeyer, Ranking Member Clay, and members of the Subcommittee, this concludes my statement. I would be pleased to respond to any questions you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about the issues related to access to banking services along the Southwest border in this testimony or the related report, please contact Michael E. Clements, Director, Financial Markets and Community Investment, at (202) 512-8678 or clementsm@gao.gov. For questions about the issues related to remittance flows to fragile nations in this testimony or related report, please contact Thomas Melito, Managing Director, International Affairs and Trade, at (202) 512-9601, or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Lawrance Evans, Jr. (Managing Director), Stefanie Jonkman (Assistant Director), Mona Sehgal (Assistant Director), Christine McGinty (Analyst in Charge), Kyerion Printup, Madeline Messick, and David Dayton. Other staff who made key contributions to the reports cited in the testimony are identified in the source products.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["We testified that 80 percent of Southwest border banks limited or did not offer services to customers that are considered high risk for money laundering. Banks may choose to limit services because they must conduct extra account monitoring of these customers to comply with Bank Secrecy Act/anti-money laundering oversight. Money transmitters serving Haiti, Liberia, Nepal, and Somalia also reported losing bank accounts for this reason.", "We've recommended in our reports that federal regulators review the Bank Secrecy Act, and that Treasury Department assess the risks from money transmitters switching to non-banking channels to send funds."]} {"id": "GAO-18-436T", "url": "https://www.gao.gov/products/GAO-18-436T", "title": "Federal Regulations: Opportunities to Improve the Effectiveness and Transparency of Regulatory and Guidance Practices", "published_date": "2018-03-14T00:00:00", "released_date": "2018-03-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress has often asked GAO to evaluate the implementation of procedural and analytical requirements that apply to agencies' rulemaking and guidance processes. The importance of improving the transparency of those processes, including providing public participation and sufficient oversight, is a common theme throughout GAO's body of work on federal regulation.", "Based on GAO's prior work, this testimony addresses: (1) the extent to which USDA, Education, HHS, and DOL adhered to OMB requirements and internal controls when developing regulatory guidance, and (2) agencies' compliance with the CRA for regulations promulgated during presidential transitions."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies GAO reviewed\u2014Departments of Agriculture (USDA), Education (Education), Health and Human Services (HHS), and Labor (DOL) did not consistently adhere to Office of Management and Budget (OMB) requirements and internal controls when developing regulatory guidance, as GAO reported in 2015. Unlike regulations, regulatory guidance is not generally legally binding and is subject to different requirements for regulatory oversight. Agencies weighed various factors when they determined whether to issue guidance. The agencies GAO reviewed issued different amounts of guidance for various purposes, such as explaining plans for implementing regulations. Agencies found few of their guidance documents to be \u201csignificant,\u201d guidance with a broad and substantial impact on regulated entities. USDA and Education had written procedures for the approval of significant guidance as directed by OMB; DOL's procedures needed updating and to be distributed to appropriate agency officials; HHS did not have any. GAO found that USDA, Education, and DOL consistently applied OMB's requirements for public feedback and access, for example public access to guidance through websites, while HHS did not. Agencies can better ensure consistent application of review processes and public access to significant guidance through better adherence to OMB requirements. GAO also found opportunities for agencies to improve adherence to internal controls for guidance that did not meet OMB's definition of \u201csignificant.\u201d For example, most subagencies GAO reviewed did not have written procedures for the production of guidance and about half did not regularly evaluate whether issued guidance was effective and up-to-date. Adherence to these internal controls could promote quality and consistency in guidance development processes.", "GAO found that agencies did not consistently comply with the Congressional Review Act (CRA) for regulations promulgated during the 120-day presidential transition periods (September 23 through January 20), as defined by the Presidential Transitions Improvements Act of 2015. GAO reported that during the transition from the end of one presidential administration to the next, the Clinton, Bush, and Obama administrations published on average roughly 2.5 times more economically significant regulations during transition periods than during nontransition periods; increases are typical during transition periods. For these regulations, agencies more frequently provided advanced notice to the public, thus providing the public opportunities to influence the development of these transition period regulations before they were finalized. In their published regulations, agencies generally reported complying with four of five procedural requirements for promulgating regulations during both transition and nontransition periods. Agencies are required to 1) assess the impact of regulations on small entities, 2) minimize the burden that information collections impose on the public, 3) assess the costs and benefits of regulations that include federal mandates, and 4) for certain agencies, obtain direct input from small entities during rulemaking. Also, a fifth requirement, agencies must comply with CRA, which provides Congress an opportunity to review and possibly disapprove regulations before they take effect. Agencies less often complied with CRA, during both transition and nontransition periods. The most common deficiency was agencies' failure to provide Congress the required time to review regulations, which GAO has also identified as a deficiency in previous work."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In the April 2015 report on regulatory guidance, GAO made eleven recommendations to USDA, Education, HHS, and DOL to ensure adherence to OMB requirements and applicable elements of internal controls. Three of these recommendations to HHS remain open: 1) to develop written procedures for the approval of significant guidance, 2) strengthen application of internal controls over guidance processes, and 3) improve its website.", "In the March 2018 report on rulemaking at the end of presidents' terms, GAO recommended OMB, as part of its regulatory review process, identify economically significant regulations at risk of not complying with the CRA and work with agencies to ensure compliance. OMB staff did not agree or disagree with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss federal regulatory and guidance practices, focusing, at your request, on our 2015 report on guidance processes at select agencies, and our recently released report on rulemaking at the end of presidents\u2019 terms.", "Agencies use federal regulations and guidance to achieve national goals, such as improving the economy and protecting the health and safety of the public. Congress has often asked us to evaluate the implementation of procedural and analytical requirements that apply to agencies\u2019 rulemaking and guidance processes. The importance of improving the transparency of those processes is a common theme throughout our body of work on federal regulation. Based on our work, this testimony discusses: (1) the extent to which the Departments of Agriculture (USDA), Education (Education), Health and Human Services (HHS), and Labor (DOL) adhered to Office of Management and Budget (OMB) requirements and internal controls when developing regulatory guidance and (2) agencies\u2019 compliance with the Congressional Review Act (CRA) for regulations promulgated during presidential transitions. We consistently found opportunities to improve the transparency and effectiveness of regulatory and guidance practices.", "My statement is based on work that we have issued on regulatory and guidance processes prepared at the request of Congress. We made 12 recommendations to agencies on the topics that I plan to address today, eight of which have been implemented to date. We conducted our work for these reports in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. A more detailed discussion of prior reports\u2019 objectives, scope, and methodology, including our assessment of data reliability, is available in the reports cited in the related products list at the end of this statement."], "subsections": [{"section_title": "Agencies Can Better Ensure Effectiveness of Guidance through Consistent Adherence with OMB Requirements and Internal Controls", "paragraphs": ["First, I will discuss our 2015 report on guidance processes at USDA, Education, HHS, and DOL, specifically (1) how these agencies decide whether to issue regulations or guidance and (2) the extent to which they adhere to OMB requirements and internal controls when developing guidance.", "Agency guidance documents, even though they are not generally legally binding as regulations or statutes are, can have a significant effect, both because of their volume and because of their potential to prompt changes in the behavior of regulated parties and the general public. Guidance generally serves different purposes than those of regulations. Agencies also issue regulatory guidance that sets forth a policy on a statutory, regulatory, or technical issue, or an interpretation of a statutory or regulatory issue\u2014as illustrated in figure 1 below. The processes by which agencies issue guidance and regulations are governed by statutes, executive orders, and agencies\u2019 policies and procedures, with the aim of greater transparency and public participation, enhanced oversight, and reduced regulatory burdens."], "subsections": [{"section_title": "Agencies Weighed Various Factors When Deciding Whether to Issue Regulations or Guidance", "paragraphs": ["Agency officials considered a number of factors before deciding whether to issue guidance or undertake rulemaking. Among these factors at the four agencies included in our analysis, a key criterion was whether officials intended for the document to be binding (in which case they issued a regulation). OMB\u2019s Office of Information and Regulatory Affairs (OIRA) staff concurred that agencies understood what types of direction to regulated entities must go through the regulatory process. Officials from all four agencies also told us that they understood when guidance was inappropriate and when regulation was necessary. They said that they consulted with legal counsel when deciding whether to initiate rulemaking or issue guidance.", "For example, HHS\u2019s Administration for Community Living officials told us that they considered a number of factors, including whether the instructions to be disseminated were enforceable or merely good practice. Specifically, when Administration for Community Living officials noticed that states were applying issued guidance related to technical assistance and compliance for the state long-term care ombudsman program differently, they decided it would be best to clarify program actions through a regulation. Officials believed that a regulation would ensure consistent application of program requirements and allow them to enforce those actions. They issued the proposed rule in June 2013 and the final rule in February 2015. In another example, officials at USDA\u2019s Food and Nutrition Service told us that the decision to issue guidance or undertake rulemaking depended on (1) the extent to which the proposed document was anticipated to affect stakeholders and the public, and (2) what the subagency was trying to accomplish with the issued document.", "The agencies used guidance for multiple purposes and differed in the amount of guidance they issued. The purposes of guidance included explaining or interpreting regulations, clarifying policies in response to questions or compliance findings, disseminating suggested practices or leadership priorities, and providing grant administration information. Guidance documents provide agencies valuable flexibility to help regulated agencies comply with agency regulations, and address new issues and circumstances more quickly than may be possible using rulemaking.", "Guidance documents that meet OMB\u2019s definition of \u201csignificant\u201d are subject to the regulatory practices and requirements established by OMB. OMB defines a significant guidance document as guidance with a broad and substantial impact on regulated entities. An economically significant guidance document is a significant guidance document that may reasonably be anticipated to lead to an annual effect on the economy of $100 million or more, among other factors. Guidance that does not fall under the definition of \u201csignificant\u201d is not subject to the OMB Bulletin, and those guidance procedures are left to agency discretion. The four agencies we reviewed considered few of their guidance documents to be significant. As of February 2015, agencies listed the following numbers of significant guidance documents on their websites: Education, 139; DOL, 36; and USDA, 34. We were unable to determine the number of significant guidance documents issued by HHS. All four agencies told us that they did not issue any economically significant guidance. OIRA staff told us they accepted departments\u2019 determinations of which types of guidance meet the definition of significant guidance. Agencies also varied in the amount of guidance they issued, ranging from 10 to more than 100 documents issued in a single year.", "Agency officials said that mission or the types of programs administered can affect the number of guidance documents issued. For example, officials from DOL\u2019s Bureau of Labor Statistics told us they rarely issue guidance\u2014about 10 routine administrative memorandums each year related to the operation of two cooperative agreement statistical programs. In contrast, DOL\u2019s Occupational Safety and Health Administration officials told us they have regularly issued guidance to assist with regulatory compliance, and could easily produce 100 new or updated products each year to provide guidance to regulated entities."], "subsections": []}, {"section_title": "Agencies Should Increase Adherence with OMB Requirements and Internal Controls", "paragraphs": ["We found opportunities for agencies to improve regulatory guidance processes by strengthening compliance with OMB requirements for significant guidance and the use of management controls for producing their guidance documents. In 2015, we made 11 recommendations to USDA, HHS, DOL and Education to better ensure the adherence to OMB requirements for approval and public access of regulatory guidance, to strengthen the use of internal controls in guidance processes, and to improve the usability of websites with online guidance, three of which remain open. USDA, DOL and Education have addressed recommendations concerning strengthening the application of management controls\u2014internal controls\u2014and improving their websites to ensure the public can easily find, access, and comment on online guidance. These recommendations for HHS remain open as well as an additional recommendation concerning developing written procedures for agency approval of written guidance. These actions would help to ensure appropriate review and use of these documents, and both could also facilitate opportunities for affected parties and stakeholders to provide feedback on those documents."], "subsections": [{"section_title": "Adherence to OMB Requirements for Significant Guidance", "paragraphs": ["We found that agencies did not always adhere to OMB requirements for significant guidance. The OMB Final Bulletin for Agency Good Guidance Practices establishes standard elements that must be included in significant guidance documents and directs agencies to (1) develop written procedures for the approval of significant guidance, (2) maintain a website to assist the public in locating significant guidance documents, and (3) provide a means for the public to submit comments on significant guidance through their websites. Education and USDA had written procedures for the approval of significant guidance as directed by OMB. While DOL had written approval procedures, they were not available to the appropriate officials, and DOL officials noted that they required updating. HHS did not have any written procedures. We found that Education, USDA, and DOL consistently applied OMB\u2019s public access and feedback requirements for significant guidance, while HHS did not.", "We also found opportunities for agencies to improve access to their guidance. In April 2015, we found that subagencies used different strategies to disseminate guidance and all relied primarily on posting the guidance on their websites. USDA, DOL, and Education posted their significant guidance on a departmental website as directed by OMB; at that time HHS did not, but has since posted such a page on its website in response to our recommendation. On their websites, agencies used several approaches \u2014including organizing guidance by audience or topic and highlighting new or outdated guidance\u2014to facilitate access. However, we identified factors that hindered online access, including long lists of guidance and documents dispersed among multiple web pages.", "Opportunities also exist for agencies to use the web metrics they already collect to improve how guidance can be accessed. All agencies and their subagencies that we studied collected web metrics, and many used them to evaluate online guidance dissemination. However, many of these subagencies did not use metrics to improve how they disseminated guidance through their websites. Beyond their websites, subagencies found other ways to disseminate and obtain feedback on issued guidance, including focus groups, surveys, and direct feedback from the public at conferences, webinars, and from monitoring visits."], "subsections": []}, {"section_title": "Application of Internal Controls for Guidance Processes", "paragraphs": ["For guidance that does not meet OMB\u2019s definition of significant, we found opportunities for agencies to improve guidance development, review, evaluation, and dissemination processes by strengthening their adherence to internal controls. Wider adoption of these practices could better ensure that agencies have internal controls in place to promote quality and consistency of their guidance development processes, and to ensure that guidance policies, processes, and practices achieve desired results, and prevent and detect errors. We recommended that agencies strengthen their application of internal controls to guidance practices by adopting practices, such as:", "Determining Appropriate Level of Review to Manage Risk: Most subagencies in our study managed risk by determining appropriate levels of review. Agencies face multiple risks when going through the guidance production process, such as legal challenges that issued guidance is asserting binding requirements without having gone through the rulemaking process. Agencies can manage risk by involving agency management in decisions to initiate guidance, prioritize among proposed guidance, and determine the appropriate level of review prior to issuance.", "Maintaining Written Policies and Procedures for the Production of Nonsignificant Guidance: Most subagencies we reviewed did not have written procedures for the production of non-significant guidance. Written procedures for guidance initiation, development, and review help ensure that actions are taken to address risks and enforce management\u2019s directives when an agency is developing regulatory guidance. Documented procedures are an important internal control activity to help ensure that officials understand how to adequately review guidance before issuance.", "Ensuring Communication during the Guidance Development and Review Process: Most subagencies we reviewed had methods to ensure communication during the guidance development and review process. Communication procedures provide an opportunity for subagencies to get feedback from agency management, other federal agencies, and the public before the guidance issues. For example, officials told us that they conferred with other affected subagencies or federal departments to ensure consistency of their guidance during the development of guidance.", "Regularly Evaluating Whether Issued Guidance is Effective and Up to Date: Almost half of the subagencies we reviewed regularly evaluated whether issued guidance was effective and up-to-date. Agencies benefit from procedures to continually reassess and improve guidance processes. Without a regular review of issued guidance, agencies can miss the opportunity to revisit whether current guidance could be improved and thereby provide better assistance to regulated entities and grantees."], "subsections": []}]}]}, {"section_title": "Compliance with the Congressional Review Act Could Be Strengthened", "paragraphs": ["Prior studies have indicated that agencies typically issue a larger number of regulations during the transition from the end of one presidential administration to the beginning of the next administration, relative to comparable periods earlier in the administration, a phenomenon often referred to as \u201cmidnight rulemaking.\u201d The Edward \u201cTed\u201d Kaufman and Michael Leavitt Presidential Transitions Improvements Act of 2015 included a provision requiring us to review final significant regulations promulgated by executive departments during the 120-day presidential transition periods (September 23 through January 20) at the end of Presidents Clinton, Bush, and Obama\u2019s administrations and compare them to each other and to regulations issued during the same 120-day period in nontransition years since 1996. Among other objectives, we assessed the extent to which there was variation in (1) the number of regulations and their characteristics, such as the types of rulemaking procedures agencies used; and (2) agencies\u2019 reported compliance with procedural requirements for promulgating the regulations, such as requirements in the Congressional Review Act (CRA). CRA was enacted to better ensure that Congress has an opportunity to review and possibly disapprove regulations, in certain cases, before they take effect."], "subsections": [{"section_title": "Agencies Published More Economically Significant and Significant Final Regulations and Provided More Opportunity for Public Participation", "paragraphs": ["During the transition periods at the end of each of the three administrations we reviewed, agencies published more economically significant and significant final regulations relative to comparable time periods earlier in each administration (see figures 2 and 3). In particular, the Clinton, Bush, and Obama administrations published on average roughly 2.5 times more economically significant regulations during transition periods than during nontransition periods. But agencies more often, relative to nontransition periods, provided the public an opportunity to influence the development of the transition-period regulations by providing advanced notice of their issuance in the Unified Agenda, and opportunities to comment on proposed regulations before they were finalized."], "subsections": []}, {"section_title": "Some Regulations Did Not Comply with the Congressional Review Act", "paragraphs": ["In their published regulations, agencies generally reported complying with four of five procedural requirements for promulgating regulations during both transition and nontransition periods\u2013the Regulatory Flexibility Act (RFA), the Small Business Regulatory Enforcement Fairness Act (SBREFA), the Paperwork Reduction Act (PRA), and the Unfunded Mandates Reform Act of 1995 (UMRA). These laws require agencies to consider the impact of regulations on small entities, impose additional requirements on the Environmental Protection Agency and the Occupational Safety and Health Administration to obtain input from small entities for rulemaking efforts that are expected to have a significant economic impact on a substantial number of small entities, require all agencies to minimize the burden on the public of information collections, and require agencies to prepare an assessment of the anticipated costs and benefits for any regulation that includes a federal mandate requiring nonfederal parties to expend resources without being provided funding to cover the costs, respectively. Agencies reported complying for nearly all economically significant regulations and the majority of significant regulations with these four laws. Agencies less often complied with one or more CRA requirements. Over 25 percent of economically significant regulations did not comply with the CRA (see figure 4). We estimated that 15 percent of significant regulations published across all periods reviewed failed to meet at least one of the CRA requirements we reviewed.", "The most common CRA deficiency for economically significant regulations was agencies\u2019 failure to provide Congress the required time to review and possibly disapprove regulations, which we had also identified as a deficiency in previous work. Among the most active regulatory agencies for economically significant regulations, the Departments of Health and Human Services and Transportation had higher rates of noncompliance than the government-wide percentages for both the transition and nontransition periods we reviewed. However, noncompliance was not limited to these two agencies; 17 of the 23 agencies that published economically significant regulations during the periods we reviewed had at least one noncompliant regulation.", "Though agencies are responsible for complying with CRA, OMB is responsible under Executive Order 12866 for oversight of agencies\u2019 rulemaking, consistent with law, and reviews regulations before publication, which provides an opportunity to identify and help agencies avoid potential noncompliance. Economically significant regulations for which OMB completed its review within 3 months before the planned effective date were at high risk of not complying with CRA, thus increasing the risk that agencies would not provide Congress with the required time for its reviews. We recommended that OMB, as part of its regulatory review process, identify economically significant regulations at potential risk of not complying with CRA and work with agencies to ensure compliance. OMB staff did not take a position agreeing or disagreeing with the recommendation.", "One of the common themes in our work over several decades is the need for transparency of the regulatory review process and opportunities for increasing public participation and congressional oversight. The potential effects of guidance underscore the need for consistent and well- understood processes for the development, review, dissemination, and evaluation of guidance. Further, we found that while there were increased opportunities for public participation for regulations promulgated at the end of Presidents\u2019 terms, there are increasing instances of noncompliance with delay requirements under the Congressional Review Act. Ensuring that agencies consistently provide Congress with the required time to review, and possibly disapprove regulations, is important throughout a President\u2019s term, and particularly following a presidential transition when Congress typically has a larger number of regulations to potentially review. Improvements made in transparency of the rulemaking process benefit not only the public, but congressional oversight.", "Chairman Gowdy, Ranking Member Cummings, and Members of the Committee, this concludes my prepared statement. Once again, I appreciate the opportunity to testify on these important issues. I would be pleased to address any questions you or other members of the Committee might have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact me at (202) 512-2660 or nguyentt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony were Tim Bober, Tara Carter, Colleen Corcoran, Robert Cramer, Alix Edwards, Shirley A. Jones, Heather Krause, Barbara Lancaster, Michael O\u2019Neill, and Andrew J. Stephens."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Federal Rulemaking: OMB Should Work with Agencies to Improve Congressional Review Act Compliance during and at the End of Presidents\u2019 Terms. GAO-18-183. March, 13, 2018.", "Regulatory Guidance Processes: Treasury and OMB Need to Reevaluate Long-standing Exemptions of Tax Regulations and Guidance. GAO-16-720. September 6, 2016.", "Regulatory Guidance Processes: Selected Departments Could Strengthen Internal Control and Dissemination Practices. GAO-15-368. April 16, 2015.", "Regulatory Guidance Processes: Agencies Could Benefit from Stronger Internal Control Practices. GAO-15-834T. September 23, 2015.", "Federal Rulemaking: Agencies Could Take Additional Steps to Respond to Public Comments. GAO-13-21. December 20, 2012.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["Federal regulations are legally binding, while guidance documents typically are not. Nonetheless, guidance can show an agency's interpretation of regulations and drive its actions.", "This testimony shares findings from 2 reports, including:", "Selected agencies generally followed guidance development standards but could improve their processes and how they disseminate guidance online", "Agencies were less likely to comply with the Congressional Review Act for regulations promulgated during presidential transitions, also called \"midnight rulemaking\"", "We found opportunities to make regulatory and guidance practices more transparent and effective."]} {"id": "GAO-18-310", "url": "https://www.gao.gov/products/GAO-18-310", "title": "Rail Transit: Federal Transit Administration Can Strengthen Safety Oversight by Improving Guidance to States", "published_date": "2018-03-20T00:00:00", "released_date": "2018-04-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2012 and 2015, DOT was provided with additional authority to oversee the safety of rail transit. Within DOT, FTA is now implementing this authority. The DOT's Office of Inspector General has reported, though, that FTA faces challenges in carrying out its enhanced safety oversight. FRA, also in DOT, has long carried out safety oversight of freight, intercity passenger, and commuter railroads.", "GAO was asked to review various rail safety and oversight issues, including the differences between FRA's and FTA's rail safety oversight programs. This report examines (1) key characteristics of FRA's and FTA's rail safety oversight programs and (2) strengths and limitations of FRA's and FTA's rail safety oversight programs. GAO assessed FRA's and FTA's information about rail safety oversight activities against guidance from the Office of Management and Budget, leading practices developed by the transit industry, and federal standards for internal control. GAO also interviewed stakeholders, including rail operators chosen based on mode, size, and location."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Transportation's (DOT) Federal Railroad Administration (FRA) and Federal Transit Administration (FTA) carry out different approaches to rail safety oversight. FRA has a more centralized safety oversight program for railroads, while FTA's program for oversight of rail transit safety largely relies on state safety agencies to monitor and enforce rail transit safety, as established in federal statute. Key characteristics of both programs include: (1) safety regulations, (2) inspections and other oversight activities, and (3) enforcement mechanisms to ensure that safety deficiencies are addressed (see figure).", "There are strengths and limitations to FRA's and FTA's approaches to their safety oversight missions, including how the two agencies develop safety regulations, conduct inspections, and carry out enforcement. The National Transportation Safety Board has reported, and stakeholders GAO spoke with generally agreed, that strengths of FRA's rail safety oversight program include its safety regulations, its risk-based inspection program, and its enforcement authorities. FRA also has potential limitations in its oversight framework, though, such as difficulty evaluating the effectiveness of its enforcement mechanisms. FTA has made some progress implementing changes to the rail transit safety program. However, FTA has not provided all the necessary guidance and support to states' safety agencies to ensure they develop appropriate and effective rail transit safety inspection programs. In particular, FTA has not provided states with guidance on how to develop and implement risk-based inspection programs. Though FTA has said that it will develop such guidance, it does not have a plan or timeline to do so. Without guidance from FTA on how to develop and carry out risk-based inspections, state safety agencies may not allocate their limited resources efficiently, and important safety issues may go undetected. In addition, FTA has not developed a process or methodology to evaluate whether state safety agency enforcement authorities and practices are effective. Without clear evidence that state safety agencies' enforcement is effective, states and FTA may not be able to compel rail transit operators to remedy safety deficiencies. As a result, deficiencies may remain for long periods, potentially contributing to safety incidents."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FTA (1) create a plan, with timeline, for developing risk-based inspection guidance for state safety agencies, and (2) develop and communicate a method for how FTA will monitor whether state safety agencies' enforcement practices are effective. DOT agreed with our recommendations. DOT, NTSB, and WMATA provided technical comments that we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Until recent years, safety oversight of public transportation systems has been largely the responsibility of state entities. In 2012, the Moving Ahead for Progress in the 21st Century Act (MAP-21) provided the United States Department of Transportation (DOT) with additional authority and responsibilities to oversee the safety of the nation\u2019s rail public transportation systems. Within DOT, the Federal Transit Administration (FTA) is now implementing this authority. In 2015, the Fixing America\u2019s Surface Transportation Act (FAST Act) further enhanced federal safety oversight authority by, among other things, explicitly allowing FTA to assume direct safety oversight of a state\u2019s rail transit systems. While federal oversight authority of rail transit safety has recently been expanded, the Federal Railroad Administration (FRA), also in DOT, has long carried out safety oversight of freight, intercity passenger, and commuter railroads in the U.S. that operate on what is known as the general railroad system of transportation (general system).", "Following high-profile accidents on the Washington Metropolitan Area Transit Authority (WMATA) Metrorail system in June 2009 and January 2015, FTA assumed temporary direct oversight of WMATA\u2019s rail system in October 2015. As a result of its review of a January 2015 WMATA Metrorail accident, the National Transportation Safety Board (NTSB) recommended in that same year that DOT seek legal authority for FRA to assume safety oversight over WMATA\u2019s rail system. According to NTSB, which is an independent federal agency that seeks to advance transportation safety primarily through accident investigations, FRA is better suited to providing safety oversight for WMATA\u2019s rail system because FRA has uniform safety regulations, an experienced inspection staff, and the ability to assess civil penalties for safety violations. DOT disagreed with NTSB that the most urgent and effective solution was to transfer safety oversight of WMATA\u2019s rail system to FRA. The DOT Office of Inspector General (OIG) also issued a report in 2016 about FTA\u2019s challenges in carrying out its enhanced safety oversight, including challenges addressing its safety oversight personnel and resource needs and establishing robust safety performance criteria and enforceable standards. We have also reported that FRA has faced its own challenges in recent years, such as ensuring that it has enough inspectors for its safety oversight workload.", "In light of these issues and NTSB\u2019s recommendation, you asked us to review various safety and oversight issues at WMATA Metrorail and FTA, as well as differences between FRA\u2019s and FTA\u2019s rail safety oversight programs. In consultation with your office and to assist efforts to ensure effective rail transit safety oversight of WMATA and other rail transit providers, we focused this review on examining (1) key characteristics of FRA\u2019s and FTA\u2019s rail safety oversight programs and (2) strengths and limitations of FRA\u2019s and FTA\u2019s rail safety oversight programs.", "In addressing the research objectives, we focused on three characteristics of DOT\u2019s rail safety oversight, as implemented by FRA and FTA: (1) developing safety regulations, (2) conducting inspections and oversight, and (3) using enforcement mechanisms. We focused on these aspects of rail safety oversight because they are the areas highlighted by NTSB as strengths of FRA\u2019s safety oversight program.", "To address our research objectives, we gathered information about FRA\u2019s and FTA\u2019s rail safety oversight activities and assessed it against guidance and leading practices. We reviewed recent statutes that establish DOT\u2019s rail safety oversight authority as well as applicable implementing regulations. We also reviewed FRA\u2019s and FTA\u2019s documentation regarding safety oversight policies and practices. We also interviewed officials from FRA and FTA about their rail safety oversight activities. We assessed the information on safety regulations gathered from agency documents and interviews against official federal government guidance, issued by the Office of Management and Budget (OMB), about the development of federal regulations. We also assessed the information gathered from agency documents and interviews about inspections against leading practices developed by the Organisation for Economic Co-operation and Development (OECD) and the Transportation Research Board\u2019s Transit Cooperative Research Program (TCRP). For the OECD, which has played a leading role in the international community to promote regulatory reform and the implementation of sound regulatory practices, we identified reports specifically about regulatory enforcement and inspections. For the TCRP, which serves as one of the principal means by which the transit industry can develop innovative near-term solutions, we identified the reports specifically about rail safety and rail oversight. We also assessed the information gathered from agency documents and interviews about inspections and enforcement against federal internal control standards about risk assessments as well as agency information and communication.", "To further examine FRA and FTA rail safety oversight activities, we identified and summarized the strengths and limitations of FRA\u2019s and FTA\u2019s current safety oversight programs as identified in past studies. Specifically, we assessed the findings from our past work as well as from DOT OIG and NTSB reports.", "To further examine FRA\u2019s safety oversight activities specifically, we assessed the statistical model used as part of FRA\u2019s National Inspection Plan. The National Inspection Plan uses safety risk information, including as part of a quantitative model, to help target FRA inspection resources to areas of higher risk. We assessed the model based on FRA documentation and interviews with FRA officials as well as findings from our previous work.", "Finally, we interviewed a variety of stakeholders, including rail operators and organizations, about the strengths and limitations of FRA\u2019s and FTA\u2019s rail safety oversight activities. Specifically, we interviewed railroad officials from Amtrak, BNSF Railway, Long Island Rail Road, Metro-North Commuter Railroad, New Jersey Transit, Port Authority Trans Hudson, and Union Pacific Railroad. We also interviewed rail transit officials from Dallas Area Rapid Transit, Los Angeles County Metropolitan Transportation Authority, New York City Transit, San Francisco Municipal Railway, and WMATA. We selected these railroads and rail transit operators based on their modes of operation, systems\u2019 size and age, and geographic location. Though we believe these railroads and rail transit operators provided relevant and diverse perspectives on rail safety oversight, the information gathered from these entities is not generalizable to all rail operators. To further understand and assess rail transit safety oversight specifically, we also interviewed officials from state safety agencies that oversee the rail transit operators interviewed. Finally, we interviewed officials from stakeholder organizations, including the Association of American Railroads, American Association of State Highway and Transportation Officials, American Federation of Labor and Congress of Industrial Organizations, American Public Transportation Association, and National Association of Railroad Passengers.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In the United States, both FRA and FTA regulate rail transportation safety. FRA oversees safety of railroads operating on what is known as the general system, a network of standard gage track over which goods may be transported and passengers may travel. This system includes freight railroads, which typically own their own tracks and locomotives, transporting products among states and regions. FRA also oversees safety of intercity passenger and commuter railroads that operate over tracks owned by freight railroads and other entities. FTA oversees safety of rail transit systems that typically serve individual metropolitan areas, using track not shared with freight and other passenger trains. Rail transit includes a variety of modes, such as heavy and light rail, streetcars, automated guideways, cable cars, and others."], "subsections": [{"section_title": "Rail Transit", "paragraphs": ["Rail transit is an important component of the nation\u2019s transportation network, particularly in large metropolitan areas. Rail transit systems provided over 4.4 billion passenger trips in 2016. \u201cHeavy rail\u201d systems in large cities account for much of the total rail transit activity, including 88 percent of passenger trips in 2016. According to FTA, 61 rail transit systems within 28 states, the District of Columbia, and Puerto Rico are subject to safety oversight by one of the 31 agencies in FTA\u2019s state safety oversight program (see fig. 1).", "The states have long played a central role in conducting safety oversight of rail transit systems. The Intermodal Surface Transportation Efficiency Act of 1991 required, among other things, that states with rail transit operators designate an agency to oversee the safety of those systems, known as a state safety oversight agency. In overseeing state safety agencies, FTA designed the program as one in which FTA, states, and rail transit operators collaborate to ensure the safety and security of rail transit systems.", "However, limitations have been identified in the state safety oversight program. In 2006, we reported on some state safety agency challenges in overseeing rail transit safety. Specifically, we found many of the state safety agencies lacked enough qualified staff and adequate levels of training to meet their responsibilities. In a 2009 hearing before the Subcommittee on Highways and Transit of the House Committee on Transportation and Infrastructure, then Secretary Ray LaHood of the Department of Transportation discussed some of the weaknesses under the current state safety oversight program and introduced a public transportation safety legislative proposal. In 2010, various bills were introduced in both houses of Congress that would have provided FTA with various enforcement mechanisms and with the authority to issue safety regulations. Additionally, the bills would have required the Secretary to establish a federal certification program for employees and contractors who carry out a state public transportation safety program. In the 112th Congress, the Senate amended a House bill to include a public transportation safety provision, which eventually became section 20021 of MAP-21, the federal public transportation safety program.", "MAP-21 enhanced FTA\u2019s authority to oversee the safety of rail transit, potentially addressing some of the weaknesses identified by various stakeholders. Specifically, MAP-21 established a comprehensive Public Transportation Safety Program, which continues to rely on state safety agencies to monitor rail transit systems\u2019 safety operations. MAP-21 required that, within 3 years of the effective date of a final state safety oversight program rule, each eligible state have in place a state safety oversight program certified by FTA. An eligible state must, among other things, establish a state safety agency and determine, in consultation with FTA, an appropriate staffing level for this state agency that is commensurate with the number, size, and complexity of the rail transit systems within the state. Additionally, a state safety agency must be financially and legally independent from any rail transit system it oversees and have investigative and enforcement authority with respect to the safety for its rail transit systems, among other things. Each eligible state has until April 15, 2019, to receive FTA approval of its state safety oversight program, or else FTA will be prohibited from obligating certain federal financial assistance to any entity in the state that is otherwise eligible to receive that federal financial assistance. After that approval, state safety agencies will be evaluated for continued compliance with FTA regulations a minimum of once every 3 years through a triennial review process. According to FTA, these requirements represent a dramatic increase in federal expectations for state safety oversight and for the rail transit industry. MAP-21 also established a state safety oversight grant program, offering federal funding to states for their state safety activities. FTA\u2019s Office of Transit Safety and Oversight administers the state safety oversight program."], "subsections": []}, {"section_title": "Railroads", "paragraphs": ["Freight and passenger railroads have played a transformational role in the development of America and continue to be an important part of the economy. The general railroad system consists of a vast network of operations (see fig. 2). The $60 billion freight rail industry is operated by seven Class I, and hundreds of smaller, railroads. In addition, about 40 railroads move passengers, which carry greater than 670 million passengers per year.", "The federal government has long provided regulatory oversight of railroad safety, both passenger and freight, that operate on the general system. The Interstate Commerce Commission, the first federal regulatory commission in U.S. history, was established in 1887 to regulate interstate commerce by rail. The Commission\u2019s safety functions were transferred to FRA, which was created by the Department of Transportation Act in 1966. In its role as federal regulator and overseer of railroad safety, FRA prescribes and enforces railroad safety regulations and conducts research and development in support of improved railroad safety and rail transportation policy. FRA utilizes safety inspectors and specialists, primarily covering five safety disciplines, to review and enforce compliance with these regulations. FRA\u2019s safety disciplines are track, signal, and train control; motive power and equipment; operating practices; and hazardous materials. Following several fatal rail accidents between 2002 and 2008, the Rail Safety Improvement Act of 2008 was enacted, the first authorization of FRA\u2019s safety programs since 1994. This act directed FRA to, among other things, issue new safety regulations for different aspects of railroad safety, such as hours of service requirements for passenger railroad workers, positive train control implementation, track inspection rules, and safety at highway-rail grade crossings. FRA\u2019s Office of Railroad Safety administers the agency\u2019s safety program."], "subsections": []}, {"section_title": "Rail Accidents and Incidents", "paragraphs": ["Rail transportation is a relatively safe way to transport people and products though serious incidents continue to occur on railroads and rail transit. According to an analysis of DOT\u2019s Bureau of Transportation Statistics data by the American Public Transportation Association, travel by rail transit is far safer than automobile travel. From 2000-2014, for instance, there were 6.53 and 0.33 fatalities per billion passenger-miles traveled in cars or light trucks and rail transit, respectively. Within rail travel, the fatality rates on both railroads and rail transit operators have remained similar in recent years. Further, the rate of accidents and incidents\u2014including collisions and derailments\u2014also do not appear to differ substantially between railroads and rail transit in recent years. Nevertheless, serious incidents continue to occur on railroads and rail transit, posing safety risks to passengers, railroad employees, and the public. For example, in June 2009, two WMATA trains collided, resulting in 52 injuries and 9 deaths. A smoke incident on WMATA\u2019s Metrorail system in January 2015 also resulted in the death of 1 person and injured over 90. In a 10-month period from May 2013 to March 2014, the Metro- North commuter railroad, which serves New York and Connecticut, was involved in five accidents that resulted in the death of 6 people and 126 injured. In June 2016, two BNSF Railway freight trains collided near Panhandle, Texas, resulting in the death of three crew members. Incidents such as these have prompted investigations into both the causes and contributing factors of the specific accidents as well as broader rail safety oversight."], "subsections": []}]}, {"section_title": "FRA Has a Centralized Safety Oversight Framework While FTA Is Implementing a State- Based Approach", "paragraphs": ["FRA has a more centralized safety oversight program for railroads, while FTA is implementing changes to the rail transit oversight program, established in federal statute, which relies on states to monitor and enforce safety. Key characteristics of both programs include: (1) the establishment of safety regulations, (2) inspections and other oversight activities, such as audits and investigations, based on those regulations, and (3) enforcement mechanisms to ensure that safety deficiencies are addressed (see fig. 3)."], "subsections": [{"section_title": "Safety Regulations", "paragraphs": ["FRA has developed extensive railroad safety regulations over decades. FRA\u2019s railroad safety regulations include requirements governing track design and inspection, grade crossings, signal and train control, mechanical equipment including locomotives, and railroad-operating practices including worker protection rules. For example, FRA\u2019s regulations for track and equipment include detailed, prescriptive minimum requirements, such as formulas that determine the maximum allowable speeds on curved track. Many of FRA\u2019s rail safety regulations establish minimum safety requirements, though railroads can apply for waivers.", "As FRA updates its safety regulations, it has proposed more performance-based regulations in recent years. Many of FRA\u2019s current safety regulations specify the behavior or manner of compliance that railroads must adopt, such as inspecting each locomotive at least every 92 days. Performance-based regulations, however, specify a desired outcome rather than a behavior or manner of compliance. For example, FRA\u2019s recent rulemaking to amend its passenger equipment safety regulations proposes performance-based crashworthiness and occupant protection requirements, rather than explicit targets or tolerances. According to FRA, establishing performance requirements in these areas would allow a more open rail market that incorporates recent technologies.", "FTA is currently assessing the need for rail transit safety regulations, having been provided the authority to issue safety regulations in 2012. Since MAP-21 was enacted, FTA has finalized regulations implementing the public transportation safety program authorized by statute. These include regulations that establish rules for FTA\u2019s administration of a comprehensive safety program to improve rail transit safety as well as updated regulations governing state safety oversight of rail transit. In addition to its public transportation safety program regulations, FTA also has regulations governing its drug and alcohol testing program. MAP-21 also authorized FTA, for the first time, to issue rail transit safety regulations, which would establish minimum safety performance requirements for rail transit operators, as part of its requirement to develop a National Public Transportation Safety Plan. FTA initiated a regulatory development effort after the passage of MAP-21, which included a compilation and evaluation of existing transit safety standards, guidance, and best practices from the federal government, states, industry, and other sources. After the evaluation, FTA issued a report that concluded there was limited documentation or evidence of the effectiveness of these existing rail transit safety standards. The report included recommendations that are intended to enable FTA to undertake further data-driven, risk-based analysis of rail transit safety performance and the applicability and effectiveness of the identified safety standards. FTA is also currently analyzing specific focus areas to determine any areas that should be addressed by federal safety regulations. For example, FTA is studying the need for regulations related to rail transit vehicle crashworthiness.", "Since no federal rail transit safety regulations that establish minimum safety performance requirements for rail transit operators currently exist, rail transit operators are subject to different safety standards, depending largely on what voluntary standards they have chosen to adopt, according to American Public Transportation Association officials we spoke with. The American Public Transportation Association, for instance, has issued a variety of rail transit safety standards, addressing various aspects of the industry including operations, training, and inspections. In addition, states vary in the extent to which they have regulations for rail transit operators. For example, officials from the California Public Utilities Commission noted that it has issued a variety of safety regulations applicable to rail transit operators within the state of California to improve safety of rail operations.", "Both FRA and FTA have mechanisms to gather the input of stakeholders\u2014including rail operators, labor unions, industry associations, and others\u2014when considering development of safety regulations. In developing most of its safety regulations, FRA seeks input from stakeholders through its Railroad Safety Advisory Committee. In 1996, FRA established this committee to develop new regulations through a collaborative process, with the rail community working together to create mutually satisfactory solutions to safety issues. FTA is collaborating with stakeholders as it assesses the need for rail transit safety regulations. More specifically, FTA\u2019s research partner, the Center for Urban Transportation Research, established a working group to collaborate with industry stakeholders to inform the safety regulations development process. FTA also solicited comments from industry stakeholders on its compilation of existing rail transit safety standards. More broadly, FTA also has a Transit Advisory Committee for Safety, which provides information, advice, and recommendations to FTA on safety matters."], "subsections": []}, {"section_title": "Oversight Activities", "paragraphs": ["FRA fulfills its mission, in part, through safety compliance audits and inspections, and investigations. FRA ensures compliance with its safety regulations through inspections, using a staff of railroad safety experts, inspectors, and other professionals assigned to eight regional offices across the nation. For example, to determine a railroad\u2019s compliance with FRA safety regulations, inspectors examine track, equipment, signal devices, employee actions, and procedures and review maintenance and accident records. Additionally, 31 states have rail safety programs that partner with FRA. Under this approach, FRA enters into agreements with states to allow state inspectors to participate in investigative and surveillance activities concerning federal railroad safety laws. State inspectors who participate in this program submit inspection reports to FRA. More broadly, FRA\u2019s inspections are guided by a risk-based model. Under this approach, FRA focuses its inspections on locations that, according to the data-driven model, are likely to have safety problems. Like other operating administrations within DOT, FRA has relatively few resources for overseeing railroads, compared with the size of the general system. The risk-based model is designed to help FRA target the greatest safety risks. FRA has begun utilizing automated inspections as well. In particular, according to FRA, new imaging technologies have the potential to better inspect track for cracks in the rail that could lead to breakage as well as measure the track\u2019s geometry to ensure that rails are positioned to meet standards. To further promote safety in railroad operations, FRA conducts accident investigations. Separate from investigations conducted by NTSB, FRA investigates select railroad accidents to determine root causation, and any contributing factors, so that railroad properties can implement corrective actions to prevent similar incidents in the future.", "Resources for railroad safety oversight activities have increased in recent years. FRA was appropriated about $218 million in fiscal year 2017, an increase over the approximately $187 million it received in fiscal year 2015, for safety and operations, which funds FRA\u2019s personnel, including inspectors, and safety programs. According to FRA, Congress provided FRA with increased funding in recent years for the purpose of increasing staffing related to specific safety issues, such as trespasser prevention and passenger rail safety. As part of this effort, FRA has hired additional inspectors, going from 347 inspectors in fiscal year 2013 to over 360 currently, out of the nearly 930 total full-time equivalent staff. FRA officials told us, as we have reported in the past, that it can be difficult to recruit, train, and certify qualified inspectors in a timely manner, especially in certain areas of expertise. Further, according to FRA, its inspectors have the ability to inspect less than 1 percent of the general system annually.", "Though FTA now has more robust inspection authorities, states will continue to conduct front-line rail transit safety oversight activities. MAP- 21 provided FTA with new authorities to inspect, audit, and investigate practices at rail transit agencies, including safety practices, while also preserving the role of state safety agencies to monitor rail transit systems\u2019 safety operations. According to FTA officials, any federal inspections of rail transit operators are intended to supplement a state safety agency\u2019s oversight activities, except where FTA assumes temporary, direct oversight of a rail transit system from an inadequate state safety agency. FTA officials told us that establishing a nationwide safety inspection program at the federal level is inconsistent with the statutory framework of the state safety oversight program and with congressional intent, which contemplates preserving the primary role of state safety agencies in providing direct safety oversight of rail transit systems. The officials also noted that the state-based approach to rail transit safety oversight is valuable because states are generally closer to, and more familiar with, rail transit operators. To date, FTA has utilized its new inspection authorities only on WMATA\u2019s rail system. As part of oversight activities, some state safety agencies have conducted inspections of the rail transit systems they oversee, though they were not required to do so, according to FTA officials we spoke with. To strengthen states\u2019 abilities to conduct oversight activities, FTA has recommended that state safety agencies develop risk-based inspection programs. Further, to ensure the independence of state safety agencies, these agencies cannot receive funding from the rail transit entities they oversee.", "Resources for FTA\u2019s rail transit safety oversight administrative expenses have remained relatively stable in recent years, though more are needed, according to FTA. Since fiscal year 2012, FTA\u2019s appropriations for administrative expenses, which funds FTA personnel and support activities including the Office of Transit Safety and Oversight, has increased $14 million, to about $113 million in fiscal year 2017, according to FTA. However, for several years, FTA has averaged about 508 total full-time equivalent staff agency-wide, and a little over 30 safety staff in the Office of Transit Safety and Oversight. According to FTA, the Office of Transit Safety and Oversight has been under-resourced since it was established in response to new safety authority provided in MAP-21. For fiscal year 2018, FTA requested in their submission for the President\u2019s Budget proposal funding to hire up to an additional 20 positions for various lines of safety work.", "FRA\u2019s and FTA\u2019s oversight activities also include regular audits of, and communication with, the rail operators under their oversight. Given finite resources and large rail networks, FRA and FTA audit rail operators\u2019 own inspections rather than conducting comprehensive federal inspections. More specifically, FRA inspectors, and state safety agencies in FTA\u2019s oversight program, regularly examine records of rail operators\u2019 internal inspections to identify safety deficiencies. Officials from FRA, FTA, and five rail stakeholders we spoke with told us that FRA and FTA rail safety oversight programs also rely on collaboration and communication between rail operators and regulators to ensure safety. For example, regular meetings between FRA and railroad staff to discuss safety trends and industry developments are important to ensuring safety, according to officials we spoke with from FRA and the railroads. FRA specialists and inspectors participate, with representatives of railroad labor and management, in the implementation of voluntary safety programs. For example, FRA sponsors the Confidential Close Call Reporting System, a voluntary, confidential program allowing railroads and their employees to report accident and incident \u201cclose calls.\u201d According to FRA officials, voluntary programs such as this increase industry awareness of railroad safety and engagement with it. FTA also collaborates with state safety agencies as rail transit safety issues arise, according to FTA officials, using federal oversight and enforcement authorities as a \u201cback-stop\u201d against the oversight of state safety agencies. Additionally, according to officials we spoke with from FTA and two rail transit operators, state safety agency staff meet with rail transit operators regularly, using knowledge of local operating conditions to help ensure safety."], "subsections": []}, {"section_title": "Enforcement Mechanisms", "paragraphs": ["FRA uses a variety of tools, including civil penalties, to resolve safety issues. While some safety issues are resolved informally through discussion and collaboration between FRA and railroads, as noted above, some defects identified during inspections are classified as violations and subject to financial penalties. More specifically, when railroads do not resolve issues in a timely manner or identified defects are serious, FRA has the authority to cite violations and assess civil penalties, against either railroads or individuals. Further, as authorized by law, FRA negotiates settlements with railroads and other entities subject to its safety jurisdiction to resolve claims for civil penalties. In fiscal year 2016, FRA assessed over $11.8 million in civil penalties against railroads.", "According to FRA, fiscal year 2016 was the second year in a row that it took steps to increase penalty amounts paid by railroads, as part of a continued effort to increase consequences for violations that negatively affect safety.", "To ensure the safety of rail transit systems, states will continue to be the primary enforcers of safety requirements, according to FTA officials, though FTA now has more enforcement tools. MAP-21 preserved the role of state safety agencies as the primary enforcement body for rail transit. FTA has now required that state safety agencies have enforcement authorities sufficient to compel action from rail transit entities to address safety deficiencies. Though no specific authorities are required, FTA has suggested that a variety of mechanisms could be appropriate, such as the ability to remove deficient equipment from service or assess fines. According to FTA, this requirement is designed to overcome a long- standing vulnerability in state safety oversight, which allowed safety deficiencies to remain for long periods of time. MAP-21 and the FAST Act also provided FTA with more options for enforcement when rail transit operators are found to be out of compliance with safety requirements. In particular, FTA can withhold federal funding for rail transit operators or direct a rail transit operator to use federal funding for a specific purpose. Additionally, after FTA assumes temporary direct oversight of an inadequate state safety agency, FTA can withhold federal funds from the state until the state safety oversight program has been certified. To date, FTA has utilized this authority only with the states responsible for safety oversight of WMATA\u2019s rail system. In February 2017, FTA announced that it would withhold 5 percent of fiscal year 2017 urbanized area formula funds from Maryland, Virginia, and the District of Columbia until a new state safety oversight program is certified for WMATA\u2019s rail system. This action built upon FTA\u2019s determination that WMATA\u2019s state safety agency was ineffective at \u201cproviding adequate oversight consistent with prevention of substantial risk of death or personal injury.\u201d", "FRA and FTA also have the authority to directly intervene in rail operations. In particular, both FRA and FTA can suspend the service of rail operators in response to certain safety concerns. Additionally, FTA can assume direct safety oversight of a rail transit operator if FTA determines the state safety oversight program is not adequate, among other things. In response to safety incidents on WMATA\u2019s rail system, FTA assumed temporary and direct safety oversight of WMATA in October 2015, as previously noted."], "subsections": []}]}, {"section_title": "FRA\u2019s and FTA\u2019s Approaches to Rail Safety Oversight Have Strengths and Limitations, and FTA Can Improve Implementation of Its New Authorities", "paragraphs": ["FRA and FTA\u2019s approaches to their rail safety oversight missions each have strengths and limitations, including how the agencies develop safety regulations, conduct inspections, and carry out enforcement. Compared to FRA\u2019s long-standing role in providing safety oversight over railroads, FTA is in the process of implementing significant changes to its program for rail transit safety oversight after being granted new authorities in MAP- 21 and the FAST Act. With respect to regulations, FRA\u2019s extensive and well-established safety regulations are a strength. FTA has made some progress toward developing appropriate safety regulations, such as identifying subjects for potential regulatory action. With respect to inspections, FRA\u2019s use of a risk-based approach to distributing inspection resources is a strength. FTA has sought to address previously identified deficiencies in state safety oversight by recommending that state safety agencies develop risk-based inspection programs. FTA, though, has not provided states guidance for these efforts. With respect to enforcement, FRA\u2019s use of its enforcement authorities is a strength. FTA is also implementing new statutory requirements that state safety agencies have enforcement authorities but does not have a process or methodology to evaluate the effectiveness of these enforcement practices."], "subsections": [{"section_title": "Regulations: FRA and FTA Are Working to Improve Rail Safety Oversight by Considering Performance- based Regulations", "paragraphs": ["Extensive and well-established safety regulations are a strength of FRA\u2019s safety oversight program based on studies we reviewed and discussions with rail operators and stakeholder organizations. According to NTSB, FRA\u2019s railroad safety regulations are an important and effective part of its oversight program. Our previous work reported that according to stakeholders, the Railroad Safety Advisory Committee provides a collaborative environment where stakeholders in the rail community work with FRA to identify issues and proposals for safety standards and regulations that improved the quality of railroads\u2019 safety initiatives and fostered a greater level of compliance with safety regulations. This is consistent with views of stakeholders we spoke with, who characterized FRA\u2019s safety regulations as a strength. An industry association told us that FRA\u2019s regulations promote safety by helping to ensure that no operator falls below a minimum threshold for safe operations, while a rail operator told us that federal regulations help to standardize the operating environment and prevent a patchwork of various state regulations. Four stakeholders also characterized the Railroad Safety Advisory Committee, which plays a large role in crafting FRA\u2019s railroad safety regulations, as effective and inclusive.", "However, based on studies we reviewed and discussions with rail operators\u2019 and stakeholders\u2019 organizations, FRA faces limitations in its efforts to regulate safety across railroad systems that differ from one another and sometimes change more quickly than the federal regulatory process. Five railroad operators and an industry association told us that some of FRA\u2019s safety regulations do not account for differences in railroads or innovation in safety practices, with three railroad operators stating that this approach requires the extensive use of waivers for particular regulations. Further, two railroad operators and a rail transit operator we spoke with stated that additional federal regulations are needed to provide minimum baseline requirements in specific areas of railroad safety such as medical fitness for duty. In 2014, NTSB also found that FRA needs to do more to regulate particular safety issues including medical fitness for duty and signal protection.", "FRA officials acknowledged that time and resources are two of the primary challenges that the agency faces when developing safety regulations but also noted additional ways in which the agency can require railroads to adopt safety practices. FRA officials described the process of creating or significantly amending a regulation as involving years of work, even before the agency commences with the process of drafting a rule. The officials also noted that the agency has additional tools to compel railroads to adopt safety practices. For example, FRA officials discussed the use of compliance agreements, in which railroads can have fines reduced in exchange for adopting safety measures that go beyond what FRA regulations require.", "FRA officials are considering the use of performance-based regulations as they update their safety regulations. As noted above, FRA\u2019s proposed regulations regarding passenger equipment safety incorporates performance -based safety requirements, rather than explicit safety targets or tolerances. FRA has promulgated performance-based regulations about the implementation of positive train control, a communications-based system designed to prevent certain types of train accidents, as well as system safety programs that set general safety parameters and thresholds by which successful performance is governed.", "FRA\u2019s consideration of performance-based regulations is in line with federal guidance. OMB\u2019s Circular A-4 states that performance standards \u201care generally superior to engineering or design standards because performance standards give the regulated parties the flexibility to achieve regulatory objectives in the most cost-effective way.\u201d Additionally, under Executive Order 12866, agencies should (to the extent permitted by law and where applicable) identify and assess alternative forms of regulation and specify performance objectives, rather than specifying the behavior or manner of compliance that regulated entities must adopt.", "However, as the language of OMB\u2019s Circular A-4 and Executive Order 12866 suggest that performance-based regulations are not always feasible, studies of performance-based regulations find that as with any other form of regulation, performance-based standards have trade-offs. FRA officials told us that under certain circumstances, performance- based regulations are appropriate for issues regarding design, maintenance, operation, and technology-driven safety requirements. FRA officials we spoke with did not think performance-based standards are appropriate for areas that require standardization. One example is track safety standards, where the need for different operators to use the same equipment precludes a performance-based approach that allows railroads to meet requirements through different means. FRA officials added that a key aspect of the success of performance-based regulations concerns how railroads demonstrate compliance. This concern is consistent with other studies of performance-based regulations, which find that these regulations are most appropriate when regulators have capacity to measure and monitor performance.", "Though FTA has made progress assessing the state of rail transit safety standards, a limitation of FTA\u2019s rail transit safety oversight program is the lack of federal rail transit safety regulations, which may contribute to inconsistent safety practices across the rail transit industry, according to studies we reviewed and discussions with rail operators and stakeholder organizations. NTSB reported that the structure of FTA\u2019s oversight process leads to inconsistent practices, inadequate standards, and marginal effectiveness. In addition, a 2016 DOT OIG report found that because FTA\u2019s safety standards are voluntary, they are unenforceable. In 2012, FTA gained the authority to issue safety regulations, though it has not done so yet, and NTSB and other stakeholders we spoke with indicated that the lack of such federal safety regulations is a weakness in federal rail transit safety oversight. Despite differences across rail transit systems, there is value in establishing federal rail transit safety regulations, according to stakeholders from all categories of those we interviewed, including a state safety agency, three rail transit operators, a railroad operator, and two industry associations. Some stakeholders identified specific areas that would benefit from federal rail transit regulations. For example, two rail transit agencies called for federal regulations to address operator fatigue. Some of these officials stated that federal rail transit safety regulations could help ensure safety by establishing clear and consistent minimum standards. Officials from a rail transit entity and an industry association stated that voluntary standards are not enough to ensure that transit entities will adopt appropriate safety measures.", "According to our analysis, a past study, and stakeholders we spoke with, FTA\u2019s ability to develop and implement performance-based regulations is limited by its lack of capacity to collect and analyze rail safety performance data. In 2017, DOT OIG found that data limitations of FTA\u2019s National Transit Database results in limited safety performance criteria in FTA\u2019s National Public Transportation Safety Plan. Further, two rail transit entities as well as a state safety agency we spoke with stated that they face challenges in analyzing data due to either the size of their systems or their capacity. FTA officials told us that they need more data to inform their decisions regarding whether to establish rail transit safety regulations, and also added that a limitation to their ongoing assessment of potential areas for rail transit safety regulation is the concern about public disclosure of safety data provided to FTA and its potential use in private litigation. According to FTA officials, they need more information to do a comprehensive evaluation of efficacy of current safety standards and practices. As required by the FAST Act, FTA has entered into an agreement with the National Academies of Sciences, Engineering, and Medicine, to conduct a study to evaluate whether it is in the public interest to withhold from federal or state court proceedings any information collected by DOT through its public transportation safety program oversight activities. The National Academies of Sciences is expected to complete this study in 2018.", "FTA is taking positive steps toward developing safety regulations that may address inconsistent safety practices across rail transit operators. FTA officials stated that the agency is considering issuing rail transit safety regulations and also employs additional tools to compel rail transit entities to adopt safety measures. As noted above, FTA is currently studying whether federal regulations are appropriate for specific areas of rail transit safety. Executive Order 12866 and OMB\u2019s Circular A-4 direct federal agencies to consider performance-based regulations when developing regulations. Further, as the Transportation Research Board recently reported, any decision to use performance-based regulations \u201cmust take into account the regulator\u2019s own ability to enforce and motivate compliance (through methods such as auditing and field inspections) as well as the capacity of regulated entities to meet their obligations.\u201d FTA officials noted that they are actively engaged with members of the Transportation Research Board in reviewing and discussing these recent findings related to safety regulations for high-hazards industries. In January 2017, FTA issued its National Public Transportation Safety Plan, which FTA officials noted is one component of their transit safety standard development program. According to FTA officials, the plan identifies a list of issue areas that the agency is currently studying to determine whether national regulations are needed. FTA officials also stated that the plan includes \u201cvoluntary standards,\u201d which are intended to put the industry \u201con notice\u201d that federal safety regulations may be proposed in those areas. FTA officials stated that they view the National Public Transportation Safety Plan as iterative and more easily updated compared with official regulations. Additional tools that FTA officials stated the agency employs in its approach to safety oversight include general directives as well as the requirements associated with FTA grants."], "subsections": []}, {"section_title": "Inspections: FRA Utilizes a Risk-Based Model, While FTA Oversees the Development of State Safety Agencies\u2019 New Programs", "paragraphs": ["Based on our assessment and studies we reviewed, a strength of FRA\u2019s safety oversight program is its risk-based approach to distributing inspection resources, which may serve as an example for FTA and state safety agencies. According to NTSB, FRA\u2019s qualified inspectors are a strength of its oversight program. To help target these inspectors to the areas of highest risk, FRA developed the National Inspection Plan, which includes a quantitative model for allocating inspection resources in a way that tries to minimize railroad accidents. This model utilizes data including: (1) accident and incident data that railroads are required to report, (2) data from FRA inspection activity, and (3) information on railroad activities such as train miles and other data. Based on our assessment of FRA\u2019s model, we believe that it can be an appropriate and useful tool for directing its inspection resources based on risk because it relies on statistical methods commonly used to predict the risk of a violation for regulated entities. While we did not review FRA\u2019s entire modeling process, nor did we validate the results it generates, we do believe that FRA\u2019s approach to using these statistical models as a key part of its inspection program is appropriate.", "However, a potential limitation of FRA\u2019s inspection program is the flexibility granted to individual inspectors and whether the manner and extent to which inspectors implement this discretion may be inconsistent with the risk-based National Inspection Plan. FRA\u2019s National Inspection Plan provides guidance for inspectors about how much time they should spend inspecting individual railroads. According to FRA officials, FRA inspectors have considerable flexibility to deviate from the National Inspection Plan based on their judgment regarding where to more effectively use their resources. FRA officials stated that situations arise that call for deviations in planned inspections. For example, a particular railroad may experience a serious accident and therefore require more oversight from FRA. According to FRA officials, regional offices make these decisions based on their understanding of emerging issues. Inspectors are expected to know their region and decide which locations to go to, and are in part evaluated based on these decisions. When a region\u2019s record of total inspection time spent on a particular railroad differs from the National Inspection Plan by more than 5 percent, the region\u2019s leadership submits an explanation to FRA\u2019s Office of Railroad Safety. This practice, if not monitored, could allow inspectors to deviate from the data-driven model results in ways that undermine the goal of the National Inspection Plan to deploy FRA\u2019s limited resources efficiently and based on risk. However, FRA officials told us that flexibility for individual inspectors is important, and that FRA is continuously monitoring the model\u2019s performance and making changes as appropriate. Further, OECD\u2019s Best Practice Principles for Regulatory Policy note that it is important to ensure \u201cthat sufficient flexibility is left to enforcement and inspection officials to adapt their response in proportion to the facts on the ground.\u201d", "A strength of FTA\u2019s approach to rail transit safety oversight is that it is working to overcome weaknesses in state oversight of rail transit identified in our prior work and stakeholders we spoke with. For example, FTA has noted that in the past some state safety agencies lacked sufficient oversight authorities. To now be certified by FTA, state safety agencies must demonstrate that they have authority to review, approve and oversee the implementation of rail transit operator\u2019s safety plans. Additionally, we have found, and FTA has also noted, that some state safety agencies would benefit from more training and additional staff. To now be certified by FTA, state safety agencies must be capable of directly hiring and developing staff and contract support, as well as have a training plan for certain staff.", "Though FTA is seeking to implement stronger safety oversight activities, a limitation of its program is that state safety agencies have not received the guidance and support necessary to develop effective inspection programs. FTA does not currently plan to conduct widespread inspections itself and recommends that state safety agencies develop risk-based inspection programs. According to FTA, states have discretion to establish their inspection programs in accordance with their program standards, and are not required to actually conduct inspections as the method of verifying rail transit operators\u2019 compliance with safety rules. However, direct observation, audits, and performance indicator tracking are useful methods for an oversight agency in assessing a regulated entity\u2019s safety culture. Officials we spoke with from selected state safety agencies say that they have received little guidance from FTA on what their risk-based inspection programs should look like. In the materials FTA provided to states, it said that it intends to provide guidance to states on risk-based inspections but did not provide us with a plan or timeline for doing so.", "Without guidance from FTA, state safety agencies may not develop effective risk-based inspection programs and thus not use their resources efficiently. Effective risk-based inspection programs are particularly important given state safety agencies\u2019 limited resources. We have reported in the past that some state safety agencies lack sufficient resources, including training and staff. Officials from two rail transit operators and all four industry associations we spoke with stated that state safety agencies continue to have limited resources and capacity. Several state safety agencies we spoke with rely on contractors or employees with other responsibilities besides oversight of rail transit to meet their increased oversight responsibilities and achieve certification from FTA.", "Federal standards for internal control as well as leading practices for regulatory inspections state that agency objectives, including those related to inspections and enforcement, should be clearly communicated.", "Specifically, federal standards for internal control require that management communicate the necessary quality information to achieve the agency\u2019s objectives. Additionally, the OECD\u2019s Best Practice Principles for Regulatory Policy recommends that governments ensure clarity of rules and processes for enforcement and inspections and clearly articulate rights and obligations of officials. According to OECD, the frequency of inspections and the resources employed should be proportional to the level of risk."], "subsections": []}, {"section_title": "Enforcement: FRA Utilizes Various Mechanisms; FTA Has No Process or Methodology to Assess the Effectiveness of State Safety Agency Enforcement", "paragraphs": ["A strength of FRA\u2019s safety oversight program is that the agency has and utilizes clear enforcement authority, according to NTSB and stakeholders we spoke with. As previously discussed, FRA has several enforcement tools available when inspectors find that railroads are noncompliant with applicable regulations, including civil penalties, individual liability, compliance orders, and emergency orders. According to NTSB, this array of specific enforcement tools helps ensure safety deficiencies are addressed by railroads. FRA officials also told us that the process of adjudicating civil penalties provides a forum for FRA and railroad officials to meet to discuss safety issues. Four rail operators also told us that FRA\u2019s authority to issue civil penalties is necessary to ensure railroads\u2019 compliance with regulations.", "However, a potential limitation of FRA\u2019s approach to enforcement is that it is difficult to quantify the effectiveness of FRA\u2019s civil penalties. FRA has reported that it cannot determine whether observable safety improvements are directly attributable to discrete civil penalties or whether the amount of civil penalties has any effect on safety. We have reported in the past about the challenges of determining the effect of penalties on compliance in tax policy, though we also noted that, despite these challenges, some analyses likely would be useful for better understanding the effect of penalties on compliance. FRA also reported, though, that according to the judgments of its inspectors, issuing civil penalties yields observable improvements in safety practices and compliance with the law. Further, according to FRA, though it does not quantify the impact of civil penalties, FRA monitors railroad responses to its enforcement activity and adjusts its oversight as necessary. More broadly, civil penalties are not meant, by themselves, to ensure railroad safety. Instead, FRA reported that it uses its entire regulatory regime as a whole to try and ensure safety. FRA officials also noted that the agency has additional tools, apart from civil penalties, to compel railroads to adopt safety practices.", "A strength of FTA\u2019s rail transit safety oversight is that it seeks to improve historically weak state safety agency enforcement authorities, as described in our previous report as well stakeholders we spoke with. FTA requires state safety agencies to adopt enforcement authorities that are sufficient to enable states to compel action from rail transit agencies to address identified deficiencies. FTA has also communicated to states that it is focusing its evaluation of each state\u2019s enforcement authorities in two major areas: ensuring that the state can carry out its primary responsibility for rail transit safety in response to (1) an imminent threat to public safety on the rail transit system and (2) a lack of action or non- compliance from the rail transit operator in carrying out certain safety plans. FTA has provided states with examples of the enforcement authorities and policies state safety agencies could establish to address these specific concerns. Authorities to address imminent safety threats may include the authority to suspend rail transit agencies\u2019 operations, inspect and remove deficient equipment or system infrastructure from service, or issue an order requiring the rail transit agency to correct an unsafe condition prior to placing equipment or infrastructure back into passenger service. FTA has also provided state safety agencies with examples of authorities to address a lack of action or cooperation by the rail transit operator, including the authority to withhold or redirect funds, levy civil or criminal fines or penalties, and a formal citation or ticketing program.", "Though federal law requires that state safety agencies have enforcement authorities over the safety of the rail transit entities they oversee, a limitation of FTA\u2019s approach is that FTA has not developed a method to evaluate the effectiveness of states\u2019 enforcement practices. Certified state safety agencies will be evaluated for continued compliance with FTA regulations every 3 years. This triennial review process (for rail transit safety) seeks to ensure that states are effectively carrying out their responsibilities. While FTA officials told us that they will evaluate state safety agencies\u2019 enforcement during the triennial reviews, FTA has not developed a process or methodology to evaluate whether state enforcement authorities and practices as a whole are effective. Without a method for determining the effectiveness of state safety agencies\u2019 enforcement, FTA may not have the information needed to identify ineffective safety enforcement. As a result, deficiencies may remain for long periods of time, potentially contributing to safety incidents.", "Federal standards for internal control maintain that agency managers should perform a range of practices that would facilitate the establishment of a system to monitor the effectiveness of agency activities, which in the context of FTA\u2019s mission includes the effectiveness of its rail transit safety oversight. Agency managers should define objectives clearly to enable the identification of risks, establish activities to monitor performance measures and indicators, and externally communicate the necessary quality information to achieve the entity\u2019s objectives. Internal control standards further stipulate that agency managers should perform monitoring activities regarding their internal control system and evaluate the results. To do so, federal standards for internal control state that agency managers should monitor ongoing operations and effectiveness, evaluate the results of this monitoring, and identify any changes that need to be made to achieve improvement in agency operations.", "The effectiveness of state safety agency enforcement is especially important because questions have been raised about the efficacy of FTA\u2019s own enforcement mechanisms, including its ability to withhold funds from and assume direct control over safety oversight for a rail transit entity. Rail transit operators and industry association representatives we spoke with stated that FTA\u2019s authority to withhold funding from states is overly punitive, and two stakeholders said the FTA needs more precise tools. Officials from an industry association added that withholding funds can be counterproductive, as most state safety agencies are already underfunded and understaffed. FTA officials pointed to examples in which the agency successfully supported state safety agencies in compelling action from rail transit agencies as evidence that the state safety oversight model, in which FTA backs up state safety agencies, is effective. Additionally, officials from numerous state safety agencies and others questioned whether FTA has the capacity to effectively assume direct safety oversight of rail transit operators. FTA has not assumed direct safety oversight of any rail transit operators outside of WMATA, and FTA officials noted that they intend to continue supporting state safety agencies in their oversight wherever possible."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The approaches to rail safety oversight utilized by FRA and FTA each have strengths and limitations. However, FTA\u2019s program is currently in transition as the agency implements new authorities and responsibilities provided in federal law. Though FTA has made progress by evaluating existing rail transit safety standards and providing some guidance to states as part of the certification process, limitations in FTA\u2019s approach may still hinder the success of the state-based rail transit safety oversight program. Given the looming 2019 deadline for state safety oversight programs to achieve FTA certification, FTA can improve its efforts to implement its new rail transit safety oversight program. In particular, without guidance from FTA on how to develop and carry out risk-based inspection programs, state safety agencies may not use limited resources efficiently, risking that important safety issues will go undetected. Further, without a method for how it will monitor the effectiveness of states safety agencies\u2019 enforcement, FTA will lack the information needed to identify ineffective state enforcement, which risks allowing safety deficiencies to remain for long periods of time. By providing this additional guidance and direction to the state safety agencies, FTA would help ensure that states are able to effectively identify and resolve rail transit safety issues."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following two recommendations to FTA:", "The Office of Transit Safety and Oversight should create a plan, with a timeline, for developing guidance for state safety agencies about how to develop and implement a risk-based inspection program. (Recommendation 1)", "The Office of Transit Safety and Oversight should develop and communicate a method for how it will monitor the effectiveness of the enforcement authorities and practices of state safety agencies. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft copy of this report to DOT, NTSB, and WMATA for review and comment.", "In written comments, reproduced in appendix I, DOT agreed with both our recommendations. DOT also provided technical comments, which we incorporated as appropriate.", "In e-mails, NTSB and WMATA provided technical comments, which we incorporated as appropriate. NTSB noted that we do not discuss the role of system safety initiatives, such as safety management systems, in the FRA and FTA rail safety oversight programs. We agree with NTSB that system safety concepts are increasingly influencing the FRA and FTA approaches to rail safety oversight but, as NTSB also noted, both FRA and FTA lack finalized regulations codifying their approaches to system safety initiatives. Because the extent of rail entities\u2019 implementation of these initiatives varies and is not complete we did not include an assessment of the strengths and limitations of those initiatives in our scope.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Transportation, Chairman of NTSB, General Manager of WMATA, and the appropriate congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Individuals who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Steve Cohen (Assistant Director); Kyle Browning (Analyst in Charge); Melissa Bodeau; Lacey Coppage; Serena Lo; Sean Miskell; and Josh Ormond made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-219", "url": "https://www.gao.gov/products/GAO-18-219", "title": "Inter-American Organizations: U.S. Agencies Support Oversight Mechanisms but Could Enhance Their Monitoring of U.S. Assistance Agreements", "published_date": "2017-12-29T00:00:00", "released_date": "2018-01-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States is a member of the OAS, PAHO, IICA, and PAIGH, which promote democracy, health care, agricultural development, and scientific exchange.", "GAO was asked to review U.S. assistance to these four organizations. In this report, GAO (1) assesses the extent to which the organizations' strategic goals align with those of U.S. agencies; (2) examines how the organizations oversee the use of their funds and the extent to which U.S. agencies have supported those efforts; (3) assesses the extent to which U.S. agencies included key monitoring provisions as part of assistance agreements; and (4) assesses the extent to which U.S. agencies had documentation of monitoring activities, including those called for by these provisions. GAO analyzed documents and interviewed officials from State, USAID, HHS, USDA, and the organizations. GAO also analyzed a nongeneralizable sample of 12 of the 60 assistance agreements that were awarded by State, USAID, HHS, and USDA to OAS, PAHO, and IICA and were active during calendar years 2014 through 2016. For each agency, GAO selected three agreements with the lowest, median, and highest dollar value."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that strategic goals of the Organization of American States (OAS), the Pan American Health Organization (PAHO), the Inter-American Institute for Cooperation on Agriculture (IICA), and the Pan-American Institute of Geography and History (PAIGH) are predominantly aligned with the strategic goals of the Department of State (State), the U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and the U.S. Department of Agriculture (USDA). For example, IICA's strategic goals of a productive agricultural sector, enhancing agricultural development, and food security are aligned with USDA's foreign assistance goals. State, USAID, HHS, and USDA fund activities in the form of assistance agreements (e.g., grants and cooperative agreements) with OAS, PAHO, and IICA, which in 2016 totaled $32 million. According to agency officials, the agencies employ mechanisms to ensure that these agreements align with U.S. strategic goals.", "OAS, PAHO, IICA, and PAIGH have established mechanisms for overseeing their use of funds, such as external auditors, internal audit boards, and anti-fraud and ethics policies. State and USDA have directly supported these mechanisms. For example, State engaged in the selection process for OAS's Inspector General.", "GAO's review of 12 selected assistance agreements found that USDA included no financial or performance monitoring provisions in one of its agreements and that State did not include two key monitoring provisions in one of its agreements, called for by applicable guidance. GAO found that the remaining 10 agreements it reviewed contained all key monitoring provisions and that State has since taken corrective action.", "GAO found that U.S. agencies did not have full documentation of 18 of the 42 monitoring activities required by the 12 assistance agreements GAO reviewed (see table). For example, USDA did not have full documentation, such as for financial reports, of any of its 10 required monitoring activities and USDA officials did not explain their lack of documentation. USAID officials explained that their lack of full documentation was due, in part, to grant officers not always following their document management policies. State and HHS have since taken corrective action. If an agency does not have full documentation of monitoring activities, it may lack information needed to make appropriate budgetary and programmatic decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that (1) USDA ensure inclusion of all monitoring provisions as part of agreements and (2) USAID and USDA ensure full documentation of monitoring activities. USDA and USAID concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States is a member of the Organization of American States (OAS), the Pan American Health Organization (PAHO), the Inter- American Institute for Cooperation on Agriculture (IICA), and the Pan- American Institute of Geography and History (PAIGH). OAS, PAHO, IICA, and PAIGH work to, among other things, promote democracy, security, health care, agricultural development, and scientific exchange. The United States engages with other countries in the region through its membership in these inter-American organizations to promote U.S. interests in the Western Hemisphere.", "The Department of State (State) provides the United States\u2019 assessed contributions to these four organizations\u2019 regular budgets. State, the U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and the U.S. Department of Agriculture (USDA) also provide project-specific voluntary contributions to the OAS, PAHO, and IICA through grants and cooperative agreements (referred to hereafter as assistance agreements or simply agreements). For calendar year 2016, the United States\u2019 assessed contributions to these four organizations totaled over $130 million, and voluntary contributions to the OAS, PAHO, and IICA totaled $32 million. Together, the four organizations oversaw over $358 million in total member-state contributions for calendar year 2016.", "We were requested to review several issues related to U.S. support for these four inter-American organizations. In this report, we (1) assess the extent to which the organizations\u2019 strategic goals align with those of U.S. agencies; (2) examine how the organizations oversee the use of their funds and the extent to which U.S. agencies have supported those efforts; (3) assess the extent to which U.S. agencies included key monitoring provisions as part of their assistance agreements; and (4) assess the extent to which U.S. agencies had documentation of monitoring activities, including those called for by these provisions.", "To address our first objective, we compared the strategic goals articulated by the four organizations against the U.S. strategic goals for foreign assistance in the region. We also reviewed relevant U.S. agency documentation of efforts to ensure goal alignment. To address our second objective, we reviewed the organizations\u2019 internal control documentation and interviewed officials from State, USAID, HHS, and USDA and from the four organizations. To address the third and fourth objectives, we identified 60 active assistance agreements that these agencies awarded to OAS, PAHO, and IICA during calendar years 2014 through 2016 and selected a nongeneralizable sample of 12 agreements, three each from HHS, State, USAID, and USDA. We selected the three agreements from each agency based on the lowest, median, and highest dollar value. For the third objective, we then assessed whether the agencies\u2019 agreements included key monitoring provisions implementing applicable agency guidance. We identified key monitoring provisions for agencies to include as part of their agreements as provisions which ensure oversight over the use of funds, such as financial and progress reports. For the fourth objective, we assessed the extent to which the agencies had documentation of required monitoring activities. We examined documentation of activities called for by assistance agreements. We also interviewed officials from the four U.S. agencies. See appendix I for details on our scope and methodology.", "We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Inter-American Organizations", "paragraphs": ["The U.S. government engages with the governments of other countries in the Western Hemisphere through various inter-American organizations including the OAS, PAHO, IICA, and PAIGH. According to State, the OAS is the primary inter-American political forum through which the United States engages with other countries in the Western Hemisphere to promote democracy, human rights, security, and development. PAHO serves as the Regional Office for the Americas of the World Health Organization, the United Nations agency on health. IICA supports agricultural development and rural well-being through technical cooperation and the execution of agricultural projects throughout the hemisphere. PAIGH specializes in regional cartography, geography, history, and geophysics and has facilitated the settlement of regional border disputes. According to U.S. agency officials, the organizations\u2019 regional knowledge and technical expertise make them effective implementing partners for projects serving U.S. national interests and priorities throughout the hemisphere."], "subsections": []}, {"section_title": "U.S. Contributions to Inter- American Organizations", "paragraphs": ["Member states collectively finance these organizations by providing assessed and voluntary contributions (see table 1).", "For each organization, its member states\u2019 assessed contributions are intended to finance the organization\u2019s regular budgets, which generally cover the organization\u2019s day-to-day operating expenses, such as facilities and salaries. Member states also finance certain OAS, PAHO, and IICA activities and projects through voluntary contributions. According to U.S. officials, the United States provides voluntary contributions to the OAS, PAHO, and IICA primarily through assistance agreements for specific projects from State, USAID, HHS, and USDA."], "subsections": []}, {"section_title": "Organizations\u2019 Oversight of Their Funds", "paragraphs": ["The Institute of Internal Auditors (IIA) provides the framework for international organizations to oversee funds such as the assessed contributions provided by member states to OAS, PAHO, IICA, and PAIGH. The institute\u2019s authoritative guidance, International Standards for the Professional Practice of Internal Auditing, includes mandatory performance standards that describe the nature of internal audit activities and provide criteria for evaluating these activities. Organizations are required to subscribe to these IIA standards, according to PAIGH officials and OAS, PAHO, and IICA documents."], "subsections": []}, {"section_title": "U.S. Agencies Oversee the Execution of Their Assistance Agreements", "paragraphs": ["Assistance agreements are a critical tool the U.S. government uses to achieve important national objectives. As we have previously reported, effective oversight and internal control are important to provide reasonable assurance to federal managers and taxpayers that assistance agreements are awarded properly, recipients are eligible, and federal funds are used as intended and in accordance with applicable laws and regulations. State, USAID, HHS, and USDA oversee funds provided to OAS, PAHO, and IICA through assistance agreements using monitoring activities such as financial and performance reports. Within each of these agencies, various bureaus and offices are responsible for awarding and managing assistance agreements to these inter-American organizations, including State\u2019s Office of Weapons Removal and Abatement in the Bureau of Political-Military Affairs, USAID\u2019s Office of U.S. Foreign Disaster Assistance, HHS\u2019s Centers for Disease Control and Prevention and its Food and Drug Administration, and USDA\u2019s Animal and Plant Health Inspection Service. The documentation of these monitoring activities as called for by federal standards for internal control enables the agencies to determine the effectiveness of the agreement activity."], "subsections": []}]}, {"section_title": "The Strategic Goals of the Four Inter- American Organizations Are Predominantly Aligned with U.S. Agencies\u2019 Strategic Goals", "paragraphs": ["We found that the strategic goals of the four inter-American organizations are predominantly aligned with the high-level strategic goals for the Western Hemisphere documented by State, USAID, HHS, and USDA. According to officials, the agencies all consider U.S. strategic goals when deciding which projects to fund at OAS, PAHO, and IICA. State, USAID, HHS, and USDA have goals for foreign assistance to the Western Hemisphere, as shown in table 2. For example, four of the five goals in State and USAID\u2019s Joint Strategy correspond with goals at the OAS, IICA, and PAIGH. U.S. agencies, on an ongoing basis, evaluate each inter- American organization to ensure U.S. and organization goals are aligned.", "Officials from all four agencies provided examples of how they help to ensure alignment of U.S. strategic goals when funding projects at OAS, PAHO, and IICA.", "State: According to State officials, State created an Annual Performance and Budget Review process in 2014 specifically to review entities, such as the OAS, that receive voluntary contributions funded through the International Organization and Programs account. This process examines performance of State-funded activities relative to those activities from the previous year and the extent to which the activities advance U.S. priorities and objectives. State officials further noted that the Annual Performance and Budget Review helps inform State\u2019s decision-making on what to include in the following year\u2019s budget request. For example, during the 2016 review for the OAS Development Assistance Program, State reported the program\u2019s significant activities, funds expended, and achievements such as training government officials on successful small business policies in the United States.", "USAID: According to USAID officials, USAID\u2019s project design and approval policies and procedures ensure that all USAID-funded activities are linked to applicable U.S. and USAID strategies. USAID\u2019s agency guidance requires, at a minimum, that each project or activity must be formally approved in writing by the relevant Mission Director or Principal Officer for a given program. Officials stated that this approval memo and supporting documentation address a number of planning considerations, including how the proposed activity aligns with broader strategies. Furthermore, officials stated that USAID\u2019s lawyers review project approval documentation prior to final approval and verify that the activity complies with all applicable statutes, regulations, and policies.", "HHS: According to HHS officials, HHS engages with PAHO on its Biennial Work Plans, which are operational planning instruments that PAHO uses to identify activities that it can implement within each of its member states. HHS officials noted that they use PAHO\u2019s Biennial Work Plan to strengthen U.S. approaches on issues of common concern and to advance U.S. priorities within the region. According to HHS officials, proposals for technical cooperation projects are required to correspond to one of the technical priorities in PAHO\u2019s strategic plan for 2014\u20132019 and to be aligned with the HHS global strategy and U.S. priorities.", "USDA: USDA officials said that they compare the U.S. strategic goals with IICA\u2019s goals and objectives when they formulate project proposals with IICA to ensure that the projects are aligned with U.S. priorities for the region. Additionally, USDA officials told us that USDA helped shape and influence IICA\u2019s recent 10-year strategic plan, ensuring that IICA\u2019s strategic objectives were closely aligned with U.S. strategic goals."], "subsections": []}, {"section_title": "OAS, PAHO, IICA, and PAIGH Have Established Oversight Mechanisms", "paragraphs": ["OAS, PAHO, IICA, and PAIGH have established mechanisms for overseeing their use of assessed and voluntary contributions, such as external auditors and internal audit boards as required by IIA standards. State and USDA have directly supported these oversight mechanisms."], "subsections": [{"section_title": "The Four Organizations Have Oversight Mechanisms as Required by the IIA", "paragraphs": ["OAS, PAHO, IICA, and PAIGH have oversight mechanisms, as shown in table 3. The four organizations follow the internal control standards of the IIA, codified in the International Standards for the Professional Practice of Internal Auditing, according to PAIGH officials and OAS, PAHO, and IICA documents. All four organizations have internal and external auditors, as required by these standards. Furthermore, OAS, PAHO, and IICA have additional oversight mechanisms, such as anti-fraud policies and program evaluation processes. The officials we interviewed from State, USAID, HHS, and USDA expressed confidence in the four organizations\u2019 management of their assessed and voluntary contributions.", "All four organizations document the status of their financial and internal control activities in audit reports posted on their public websites. For example, the OAS Office of the Inspector General\u2019s April 2017 Annual Report included an update on its five ongoing audits and investigations. The report also outlined progress made against prior recommendations."], "subsections": []}, {"section_title": "U.S. Agencies Support Oversight Mechanisms at OAS, PAHO, and IICA", "paragraphs": ["U.S. agency officials support budget and administrative subcommittees in three of the four organizations and promote the participation of U.S. experts on independent audit committees, as shown in table 4. For example, according to officials, State plays a significant role in promoting policies on oversight and accountability at the four organizations through formal engagement in deliberations and decision-making of each organization\u2019s governing body and through informal engagement with other member states and the secretariat by recommending best practices in governance, management, and oversight. State and USDA are also directly involved in implementing some of the additional oversight mechanisms at the organizations. For example, a USDA official serves as a member of IICA\u2019s Audit Review Committee. Additionally, an IICA official told us the United States was involved in defining IICA\u2019s Convention and Rules of Procedure for its governing bodies, which established the requirement for internal and external auditing.", "According to State officials, the United States led efforts to strengthen oversight at several of the organizations under review in recent years, such as advocating for the creation of an ethics officer position at PAHO, proposing language to strengthen the authority and independence of the OAS\u2019s Office of the Inspector General, and encouraging the creation of audit committees at both organizations. In addition, State has played a lead role in supporting the ongoing reform of the OAS administration, which includes improved oversight and accountability, according to officials from the OAS and the U.S. Mission to the OAS."], "subsections": []}]}, {"section_title": "Two of Four U.S. Agencies Did Not Include All Key Monitoring Provisions in the Agreements We Reviewed", "paragraphs": ["We reviewed 12 selected assistance agreements that the four U.S. agencies awarded to OAS, PAHO, and IICA that were active during calendar years 2014 through 2016, and found that two agencies did not consistently include all key monitoring provisions in their agreements. While HHS and USAID implemented applicable guidance by including all key monitoring provisions in their agreements, USDA and State did not do so. USDA and State agency officials did not explain why USDA and State did not include these monitoring provisions in their agreements. However, State has since taken corrective action to ensure that they are included in future agreements, according to State officials."], "subsections": [{"section_title": "Agency Guidance Calls for Agencies to Conduct Monitoring Activities; Internal Control Standards State That Agencies Should Document These Requirements with Provisions in the Agreements", "paragraphs": ["Applicable agency guidance calls for agencies to conduct monitoring activities as part of their oversight of their agreements. Each of the four agencies has established agency-specific guidance that outlines the monitoring activities for assistance agreements. In some cases, the agency-specific guidance may mandate additional monitoring activities beyond those called for in applicable federal regulations, such as risk assessments. For example, State\u2019s guidance calls for the creation of a monitoring plan. Federal standards for internal control require that agencies include in agreements all key provisions delineating the parties\u2019 responsibilities. For the 12 agreements we reviewed, the number of total key monitoring provisions per agreement varied\u2014including within one agency\u2014depending on when the agency issued and updated its guidance relative to when the agreements were approved.", "Federal standards for internal control call for agencies to document internal controls, transactions, and significant events. Specifically, internal control standards state that agency management should include internal control activities (e.g., monitoring activities) in policies or directives for transactions such as assistance agreements."], "subsections": []}, {"section_title": "HHS and USAID Included All Key Monitoring Provisions in Their Assistance Agreements, but USDA and State Did Not", "paragraphs": ["For the 12 assistance agreements we reviewed, USDA and State did not include provisions implementing 6 of the 55 total (11 percent) applicable monitoring activities required by applicable guidance to carry out required monitoring activities (see table 5). State took corrective action in 2015 by issuing a standard operating procedure.", "USDA: USDA did not include 4 of the 13 key monitoring provisions implementing the applicable guidance for the three USDA agreements we reviewed (see table 6). Two of the agreements and supporting documentation each included all four key applicable monitoring provisions. However, Agreement 2 in the table did not include 4 of the 5 monitoring provisions in the agreement or work plan, which documents the monitoring provisions. The agreement partially included performance goals, because it included objectives for the agreement\u2019s activities, but did not include time frames to complete all of the activities. The USDA grant official did not explain why the work plan did not adhere to applicable federal regulations when it was drafted and approved.", "State: State did not include 2 of the 21 key monitoring provisions implementing the applicable guidance for the three State agreements we reviewed (see table 7). Two of the agreements and supporting documentation we reviewed included the 7 monitoring provisions implementing the requirements in the applicable agency guidance. However, one agreement awarded in 2012 did not include 2 of the provisions: a risk assessment and a monitoring plan. That office that awarded this agreement took corrective action in 2015 by issuing a standard operating procedure requiring that risk assessments and monitoring plans accompany its grants and cooperative agreements.", "USAID: USAID included both key monitoring provisions implementing the applicable guidance for the three USAID agreements we reviewed (see table 8). USAID\u2019s Automated Directives System 308, Standard Provisions for Cost-Type Awards to Public International Organizations contains two key monitoring provisions for agreements. USAID incorporated the monitoring provisions nearly verbatim into the agreements we reviewed, using templates from this guidance for required terms and conditions.", "HHS: HHS included the 15 monitoring provisions implementing the applicable guidance for the three HHS agreements we reviewed (see table 9)."], "subsections": []}]}, {"section_title": "None of the U.S. Agencies Had Full Documentation of Monitoring Activities Called for by All of Their Assistance Agreements That We Reviewed", "paragraphs": ["None of the agencies provided us with full documentation to demonstrate their adherence to the required monitoring activities called for in all of their agreements that we reviewed, including the previously mentioned key monitoring provisions that we reviewed. State and HHS have taken corrective actions to address the gaps we found in documentation for the agreements we reviewed. Agency officials told us that they use these monitoring documents, such as financial and progress reports, to inform future budgetary and programmatic decisions. Therefore, they may lack information needed to make such decisions if they do not have access to complete monitoring documentation."], "subsections": [{"section_title": "Assistance Agreements Include Requirements for Monitoring Activities; Internal Control Standards Say Agencies Should Document These Activities", "paragraphs": ["According to federal standards for internal control, each agency is to include key monitoring provisions as part of its agreements. In the individual assistance agreements, the agencies specify the requirements to fulfill these activities, such as requiring financial reports on a quarterly basis or including specific information in performance reports. Grants officers at times, if they deem it necessary or appropriate, include additional monitoring provisions requiring activities beyond those required by the applicable guidance, such as site visits.", "Federal standards for internal control call for agency management to design monitoring activities, such as financial and performance reporting, so that all transactions are completely and accurately recorded.", "Recording these activities maintains their relevance and value to management in controlling operations and making decisions. Without access to complete monitoring documentation, the agencies risk weakening the effectiveness of these controls."], "subsections": []}, {"section_title": "U.S. Agencies Did Not Have Full Documentation of Monitoring Activities for Most of the Agreements We Reviewed", "paragraphs": ["None of the four U.S. agencies had full documentation of all of the monitoring activities required by their agreements we reviewed (see table 10). The agencies did not have full documentation of monitoring activities for 9 of the 12 agreements we reviewed. For the 42 monitoring activities identified across all of the individual agreements, the four agencies did not have full documentation of 18 of the activities (43 percent). However, State took corrective action in May 2017 to address its gaps in documentation, and according to HHS officials, the Food and Drug Administration addressed its gap in documentation by implementing its agreement monitoring program in fiscal year 2018.", "USDA did not have full documentation of any of the 10 monitoring activities we identified (see table 11). USDA demonstrated that it had partially documented 2 of the 10 monitoring activities (20 percent) by providing us with some, but not all, quarterly performance reports. For one of the agreements, USDA had no documentation of the monitoring activities for that agreement. For its other two agreements, USDA did not have full documentation of the required monitoring activities. USDA officials did not explain why they did not have full documentation. Without full documentation of the required monitoring activities, USDA may not have the information it needs to make appropriate budgetary and programmatic decisions.", "USAID did not have full documentation of 2 of the 11 total monitoring activities (18 percent) we identified across the three agreements we reviewed (see table 12). USAID had partial documentation of those 2 monitoring activities. For example, USAID provided us with some, but not all, records such as financial reports required by the terms of the monitoring activities in the agreements.", "According to USAID officials, the agencies\u2019 lack of complete monitoring documentation was in part due to agency officials not following some of their agency\u2019s requirements for managing agreement documents, such as placing all documents in a shared document management system. For example, for one of the agreements we reviewed, USAID officials stated that they stored some agreement documentation electronically\u2014such as modifications, correspondence with the agreement recipient, and quarterly financial reports\u2014but primarily maintained paper files.", "USAID officials told us they use the monitoring documents of these agreements, such as financial and progress reports, to inform future budgetary and programmatic decisions. For example, according to USAID officials, USAID uses monitoring documents to identify and address potential project delays or other \u201cred flags.\u201d For one of the agreements we reviewed, USAID officials stated these monitoring reports also assist them in determining whether to award additional funds and establish new indicators in subsequent agreements. Without full documentation of the required monitoring activities, USAID may not have the information it needs to make appropriate budgetary and programmatic decisions."], "subsections": [{"section_title": "State", "paragraphs": ["State did not have full documentation for 5 of the 16 monitoring activities (31 percent) we identified across the three agreements we reviewed (see table 13). However, State had partial documentation of 4 of those 5 monitoring activities. For example, State had some, but not all, records such as standard reporting metrics, required by the terms of the monitoring activities in one of the agreements. State did not have documentation of one of the monitoring activities (site visits).", "According to State officials, the agency\u2019s lack of complete monitoring documentation was in part due to agency officials not following some of the agency\u2019s requirements for managing agreement documents, such as placing all documents in a shared document management system. For example, according to State officials, for one of the agreements we reviewed, the grants officer mistakenly had saved site visit reports and similar documents to personal folders because the officer did not know how to use State\u2019s grant document storage system. As a result, neither the current grants officer nor other State officials could retrieve these documents.", "In May 2017, after awarding the agreements we reviewed, State took corrective action by issuing the Federal Assistance Directive to establish internal guidance, policies, and procedures for all domestic and overseas grant-making bureaus, offices, and posts within the department when administering federal financial assistance. The directive notes that State implemented a grant management system for domestic and overseas grants to resolve its \u201csignificant deficiency in the management of Federal financial assistance.\u201d In addition, the directive indicates that officials from State\u2019s Bureau of Administration, Office of the Procurement Executive, Federal Assistance Division will evaluate compliance with risk assessment requirements and review documentation for selected agreements each fiscal year. One of the stated purposes of these reviews is to mitigate risk by strengthening management and oversight of awards, including grants. According to a State Office of Inspector General report, State should complete the full deployment of this system for overseas grants in fiscal year 2019.", "HHS did not have full documentation of 1 of the 5 applicable monitoring activities (20 percent) we identified across the three agreements we reviewed (see table 14). HHS had partial documentation of the semiannual progress report activity for one of its agreements, required by the terms of its agreement. HHS officials did not explain why they did not have full documentation for this monitoring activity. HHS had full documentation of all applicable monitoring activities for the other two agreements we reviewed.", "According to agency officials, the Food and Drug Administration, which administered one of the HHS agreements we reviewed, has taken corrective action to evaluate its agreement documentation and address deficiencies. According to HHS officials, the Food and Drug Administration developed a pilot program intended to provide an additional layer of oversight to ensure adherence to the terms of each agreement. Under the pilot, officials said, a grant monitoring specialist reviews the agreement documentation and monitoring reports to identify agreements that need additional assistance. According to HHS officials, the Food and Drug Administration implemented this program in fiscal year 2018 and will eventually include all Food and Drug Administration agreements."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["U.S. assistance agreements for projects with inter-American organizations further U.S. strategic goals in the Western Hemisphere, but State, HHS, USAID, and USDA did not consistently include all key monitoring provisions as part of their assistance agreements or demonstrate that they had full documentation of monitoring activities for the agreements we reviewed. Of these four agencies, USAID and USDA have not taken corrective actions. Monitoring the implementation of U.S. assistance agreements and fully documenting the results of such monitoring are key management controls to help ensure that U.S. agreement recipients use federal funds appropriately and effectively. The agencies risk weakening the effectiveness of these controls by not including all key monitoring provisions called for by applicable agency guidance. Further, if the agencies do not have full documentation of the agreements\u2019 required monitoring activities, they may not be able to effectively manage federally funded projects that support U.S. strategic goals. In addition, agencies may not have all the information they need to make budgetary and programmatic decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations: one to USAID and two to USDA.", "The USAID Administrator should ensure that USAID officials have full documentation of required monitoring activities in agreements with inter- American organizations. (Recommendation 1)", "The Secretary of Agriculture should ensure that USDA includes all key monitoring provisions specified by applicable guidance as part of agreements with inter-American organizations. (Recommendation 2)", "The Secretary of Agriculture should ensure that USDA officials have full documentation of required monitoring activities in agreements with inter- American organizations. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for comment to State, USAID, HHS, and USDA. USDA concurred with our recommendations in an e-mail. In its written comments, reproduced in appendix IV, USAID stated that it has policies, procedures, and training in place for the officials who manage these agreements. In response to our recommendations, USAID stated that it will issue an agency notice to remind all such officials of these responsibilities, including the requirement to maintain complete files for each agreement.", "State and HHS did not provide formal comments. They did provide technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of State, the Administrator of the U.S. Agency for International Development, the Secretary of Health and Human Services, and the Secretary of Agriculture. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-9601, or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Congressional requesters asked us to review several issues related to the Organization of American States (OAS), the Pan American Health Organization (PAHO), the Inter-American Institute for Cooperation on Agriculture (IICA), and the Pan-American Institute of Geography and History (PAIGH). In this report, we (1) assess the extent to which the organizations\u2019 strategic goals align with those of U.S. agencies; (2) examine how the organizations oversee the use of their funds and the extent to which U.S. agencies have supported those efforts; (3) assess the extent to which U.S. agencies included key monitoring provisions as part of their assistance agreements; and (4) assess the extent to which U.S. agencies had documentation of monitoring activities, including those called for by these provisions.", "To address the first objective, we gathered documentation and interviewed officials from the four U.S. agencies and the four organizations to determine the U.S. strategic goals for foreign assistance to the Western Hemisphere and the goals of the four organizations. According to Department of State (State) and U.S. Agency for International Development (USAID) officials, the strategic document that underpins their foreign assistance priorities for the region is The Department of State\u2019s Bureau of Western Hemisphere Affairs\u2019 and USAID\u2019s Bureau for Latin American and Caribbean Affairs\u2019 Joint Regional Strategy. Department of Health and Human Services (HHS) officials said that HHS\u2019s relevant strategic document is The Global Strategy of the U.S. Department of Health and Human Services. U.S. Department of Agriculture\u2019s (USDA) strategic goals for foreign assistance, according to officials, are outlined in the United States Department of Agriculture Strategic Plan FY2015\u20132018. The OAS outlined its strategic goals in the Comprehensive Strategic Plan of the Organization, adopted on October 31, 2016. PAHO\u2019s goals are laid out in Strategic Plan of the Pan American Health Organization 2014\u20132019. IICA\u2019s strategic document is the IICA 2010\u20132020 Strategic Plan, which took effect in October 2010. PAIGH\u2019s strategic document is the Declaration and Guide for the Pan American Agenda 2010-2020. We compared the strategic goals articulated by the four organizations against U.S. strategic goals to assess the extent to which the organizations\u2019 goals contribute to U.S. interests in the region. We then interviewed officials from the four agencies and reviewed relevant documentation on efforts they undertake to ensure that U.S.-funded activities align with U.S. strategic goals.", "To address the second objective, we reviewed documentation of the organizations\u2019 internal control mechanisms and confirmed our findings with the organizations. We identified mechanisms to include policies, directives, rules, practices, and organizational structures that can have an oversight role in the use of the organizations\u2019 funds. We also interviewed officials from State, USAID, HHS, and USDA to discuss their support of these mechanisms.", "To address the third objective, we identified 60 active assistance agreements that these agencies oversaw with OAS, PAHO, and IICA during calendar years 2014 through 2016 and selected a nongeneralizable sample of 12 agreements, three each from State, USAID, HHS, and USDA. To determine which agreements we would review for each agency, we selected the three agreements with the lowest, median, and highest dollar value. If any of an agency\u2019s agreements supported the same country or activity or were for one-time projects such as seminars, we selected the next appropriate agreement based on dollar value.", "For these selected agreements, we then identified the applicable agency guidance for monitoring activities in the agreements, which we define as all documents related to each agreement provided to us by the agencies, such as monitoring reports. The number of key monitoring provisions varied\u2014even within each agency\u2014depending on when agency guidance was issued and updated relative to when the agreements were approved. USDA did not have applicable internal agency-specific guidance for monitoring of assistance agreements at the time it awarded the agreements we reviewed; thus, with USDA\u2019s input, we used the applicable sections of the Code of Federal Regulations, which together have five key monitoring provisions for agreements. However, USDA approved two of the agreements in 2012 and the third agreement in 2016, and this third agreement was subject to an amended version of the Code of Federal Regulations, which added an additional provision for performance goals. State\u2019s four applicable grants policy directives have seven key monitoring provisions for agreements that were applicable at the time the agreements we reviewed were approved. USAID\u2019s Standard Provisions for Cost-Type Awards to Public International Organizations (PIOs): A Mandatory Reference to ADS Chapter 308 has two key monitoring provisions for agreements: audits and records, and the organization\u2019s adherence to their rules. HHS\u2019s grants policy has five key monitoring provisions for grant documentation.", "We identified key monitoring provisions for agencies to include as part of agreements to ensure oversight of the use of funds, such as financial and progress reports. For the 12 agreements in our sample, we analyzed the assistance agreements from the four agencies, and then determined the extent to which the agencies\u2019 agreements included key monitoring provisions implementing monitoring activities called for by applicable agency guidance. We did not include subsequent amendments to these 12 agreements in our review of key monitoring provisions. We interviewed officials from State, USAID, HHS, and USDA (1) to confirm we were applying the appropriate federal or agency guidance and (2) to discuss instances in which the agreements did not include key monitoring provisions.", "To address the fourth objective, we reviewed the 12 selected assistance agreements and guidance to identify specific required monitoring activities, such as financial and program reports, site visits, and other forms of oversight. The agreements specify the requirements for these activities such as requiring financial reports on a quarterly basis. For these 12 agreements, we reviewed all the documentation provided to us by the agencies, then determined the extent to which the agencies had full documentation of key monitoring activities as specified in the assistance agreements, including those called for by key monitoring provisions, as well as those called for by guidance when the monitoring provisions were absent. We did not include subsequent amendments to these 12 agreements in our review of monitoring activities. We interviewed officials from State, USAID, HHS, and USDA to discuss instances in which the agency did not have full documentation of key monitoring activities. We also discussed how State, USAID, and HHS agency officials manage their agreement documentation and use the information in the agreements\u2019 required monitoring documentation.", "We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Financial Oversight Mechanisms of Four Inter-American Organizations", "paragraphs": ["The Organization of American States (OAS), Pan American Health Organization (PAHO), the Inter-American Institute for Cooperation on Agriculture (IICA), and the Pan-American Institute on Geography and History (PAIGH) have established mechanisms for overseeing their use of funds. Tables 15\u201318 show the mechanisms (oversight policies and oversight committees and organizations) for each of these inter-American organizations, as confirmed by the organizations\u2019 officials."], "subsections": []}, {"section_title": "Appendix III: Key Monitoring Provisions Implementing Federal Regulations or Agency Guidance", "paragraphs": ["To oversee the execution of their agreements, the Department of State (State), the U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and U.S. Department of Agriculture (USDA) are to conduct monitoring activities called for by applicable federal regulations or agency guidance and document these provisions in assistance agreements as called for by federal standards for internal control. We identified key monitoring provisions implementing the applicable agency guidance for State, USAID, HHS, and the applicable regulations for USDA, as shown in table 19. For both the agency guidance and the federal regulations, those listed are the ones that were in effect when the agreements in our sample were approved. Some of the agency guidance and regulations have since been amended or superseded."], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Pierre Toureille (Assistant Director), Julia Jebo Grant (Analyst-in-Charge), Leslie Stubbs, and Paul Sturm, Alana Miller, and Shirley Min made key contributions to this report. In addition, David Dayton, Martin de Alteriis, Neil Doherty, Jeff Isaacs, and Alex Welsh provided technical assistance."], "subsections": []}]}], "fastfact": ["The United States belongs to several organizations that promote health care, democracy, and other causes in the Americas. For example, the Organization of American States is investigating actions of the Venezuelan government against its citizens, and the Pan American Health Organization is fighting malaria in Haiti and elsewhere. U.S. assessed and voluntary contributions to four of these organizations totaled over $160 million in 2016.", "We found that agencies' agreements with the organizations further U.S. strategic goals. However, we made recommendations for agencies to improve their oversight of financial and performance monitoring."]} {"id": "GAO-18-300", "url": "https://www.gao.gov/products/GAO-18-300", "title": "New Trauma Care System: DOD Should Fully Incorporate Leading Practices into Its Planning for Effective Implementation", "published_date": "2018-03-19T00:00:00", "released_date": "2018-03-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Traumatic injury is a major cause of death and disability in the military, but improved trauma care has the potential to improve these outcomes. DOD has worked to improve trauma care over time, such as by establishing a Joint Trauma System Defense Center of Excellence to examine trauma care and share best practices.", "To improve trauma care across DOD, the NDAA for Fiscal Year 2017 directed DOD to establish a new JTS within DOD's Defense Health Agency. The NDAA requires that the new JTS include four specified elements, and also required DOD to submit to Congress an implementation plan that included the four elements. The NDAA also included a provision for GAO to review DOD's planning for the new JTS.", "GAO assessed whether the implementation plan includes the four required elements and the extent to which DOD's planning efforts to date reflect leading practices from prior GAO work, such as identifying goals and strategies to achieve those goals. To conduct its work, GAO assessed DOD's implementation plan and other supplemental planning documents identified by DOD, and interviewed DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Joint Trauma System (JTS) implementation plan submitted to Congress by the Department of Defense (DOD) in August 2017 includes a description of the four elements required by the National Defense Authorization Act (NDAA) and an overview of implementation activities. For example, it indicates how the Army's current JTS Defense Center of Excellence will become part of DOD's new JTS.", "However, the plan and other supplemental planning documents prepared to date do not fully incorporate leading practices for planning as identified by prior GAO work. GAO has previously found that implementation plans incorporating these leading practices\u2014goals, strategies to achieve goals, risks that can affect goals, and plans to assess progress toward goals\u2014help ensure organizations achieve their objectives. For each of the four required elements, GAO found that these leading practices either were partially incorporated or had not been incorporated:", "Element 1\u2014Serve as the reference body for all trauma care provided across the military health system. DOD documents include specific goals, such as consolidating data from multiple trauma registries. They also include some strategies to achieve the goals, such as identifying lead offices and time frames to complete specific actions. However, the documents provide limited details on actions DOD plans to take, and do not indicate how DOD plans to address risks or assess its progress.", "Element 2\u2014Establish standards of care for trauma care services. DOD documents include a goal to develop, publish, and assess clinical practice guidelines that serve as standards of trauma care. These documents also describe how the new JTS will continue to produce, update, and monitor adherence to the guidelines. However, they do not fully indicate plans to address risks, such as ensuring effective dissemination.", "Element 3\u2014Coordinate the translation of research from DOD centers of excellence into standards of clinical trauma care. DOD planning documents do not incorporate any leading practices for this element. DOD officials told GAO that clinical standards incorporate relevant research and that officials responsible for trauma care standards routinely interact with officials responsible for research. Officials expect this practice to continue under the new JTS.", "Element 4\u2014Coordinate the incorporation of lessons learned from trauma education and training partnerships into clinical practice. DOD planning documents do not incorporate any leading practices for this element. According to officials, DOD must first establish a separate directorate responsible for partnerships with civilian trauma centers before determining how to incorporate lessons from partnerships into the new JTS.", "According to DOD, the JTS implementation plan is a general overview of implementation activities, and planning efforts are ongoing. By not fully incorporating leading practices in its planning documents, DOD may be missing opportunities to ensure that the JTS is effectively implemented, to provide more effective trauma care across the military, and to help reduce trauma-related deaths and disabilities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD incorporate leading practices in its planning to guide implementation efforts. DOD agreed with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Traumatic injury is a major cause of death and disability within the military, but more effective trauma care has the potential to increase survivability and reduce disabilities after injuries. For example, Department of Defense (DOD) researchers found that approximately 24 percent of all servicemembers who died in combat from 2001-2011 could have survived if improved and more timely medical care were made available. Over the last two decades, DOD has worked to improve the care it provides to servicemembers and others, with a goal of reducing deaths and disabilities caused by trauma. Previous efforts included the establishment of a Joint Trauma System, a Defense Center of Excellence (JTS DCOE) within the U.S. Army, which has been responsible for providing organized and coordinated capability for injury prevention, care, and rehabilitation support of DOD trauma initiatives across the Military Health System. A 2016 report by the National Academies of Sciences, Engineering, and Medicine noted widespread improvements over time in both military and civilian trauma care, but also acknowledged inconsistencies in care that continue to result in preventable injuries and deaths.", "To improve trauma-related care across DOD, the National Defense Authorization Act (NDAA) directed DOD to set up a new joint trauma system (JTS) within its Defense Health Agency (DHA) that includes required elements such as serving as a reference body for trauma care provided across the military health system, and establishing standards of trauma care at military medical treatment facilities. The NDAA also required DOD to submit an implementation plan for this effort and included a provision for us to review this plan. In this report, we examine the extent to which DOD\u2019s planning efforts include the required elements and incorporate leading practices for implementation planning identified in our prior work.", "To do our work we reviewed DOD\u2019s August 2017 implementation plan and interviewed DOD officials about the existing JTS DCOE and the plans and status of implementing each of the required elements. Additionally, we reviewed and assessed the implementation plan and supplemental planning documents identified by DOD against leading practices for planning identified in our prior work. Specifically, we identified four leading practices that agencies may include when planning for program implementation: (1) goals for the program, (2) strategies to achieve goals, (3) risks that can affect goals, and (4) plans to assess progress toward goals. We also used Standards for Internal Control in the Federal Government to assess DOD\u2019s efforts. (See table 1 for more detail on these leading practices.) We then determined whether DOD\u2019s planning documents for each of the four elements required by the NDAA fully incorporated, partially incorporated, or did not incorporate the leading practices for planning.", "We conducted this performance audit from June 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "U.S. Army\u2019s Joint Trauma System Defense Center of Excellence", "paragraphs": ["Since the mid-2000s, DOD and the military health system have worked to decrease trauma-related morbidity and mortality by improving trauma care in DOD\u2019s military treatment facilities and by conducting research on providing trauma care. As part of these efforts, the Army established the JTS DCOE, which serves to provide advice on trauma care across the military.", "The JTS DCOE performs several functions to improve trauma care, including overseeing the DOD Trauma Registry (DODTR)\u2014a database that captures trauma data from the time servicemembers are injured on the battlefield to when they are treated by providers in the United States. The JTS DCOE uses DODTR data to conduct performance improvement activities and to identify gaps in medical capabilities to direct ongoing and future combat casualty care research, trauma skills training, and combat casualty care. The JTS DCOE also provides data from the registry to collaborating military and civilian personnel conducting medical research. managing the development, monitoring, and review of Clinical Practice Guidelines (CPGs). These guidelines, developed by subject matter experts using data from DOD\u2019s trauma registry, are created to inform medical professionals of best practices based on medical evidence, with a goal of minimizing inappropriate variation in medical practice and improving care for trauma injuries, specifically when military servicemembers are deployed. The development of CPGs is an ongoing process that takes place during times of war and peace, according to DOD officials. developing and providing training curriculum for first responders to trauma-related injuries. The JTS DCOE seeks to identify lessons learned from trauma care that can be used as part of this training, to help improve the medical readiness of trauma care providers."], "subsections": []}, {"section_title": "NDAA Requirement for a New DOD Joint Trauma System", "paragraphs": ["To create a formalized, consistent trauma system across DOD, the NDAA required that a new JTS be operated under the direction of DHA. DHA officials expect to begin initial operation of the new JTS in July 2018. Additionally, DOD plans to realign the existing JTS DCOE and its current functions under DHA. Section 707 (a)(2) of the NDAA required DOD to submit an implementation plan to Congress for the new JTS in June 2017, 180 days after the NDAA was enacted. The NDAA also includes a provision for us to review DOD\u2019s plan within 180 days after DOD submitted it to Congress, and for DOD to implement the new JTS 90 days after we submit our review. The NDAA required that the new JTS and DOD\u2019s implementation plan include the following four elements: 1. serve as the reference body for all trauma care provided across the 2. establish standards of care for trauma services provided at military 3. coordinate the translation of research from DOD\u2019s centers of excellence into standards of clinical trauma care, and 4. coordinate the incorporation of lessons learned from trauma education and training partnerships pursuant to section 708 of the NDAA into clinical practice."], "subsections": []}]}, {"section_title": "DOD\u2019s Joint Trauma System Implementation Plan Includes the Four Elements Required by the NDAA, but Does Not Yet Fully Incorporate Leading Practices for Planning", "paragraphs": ["The implementation plan submitted by DOD to Congress on August 7, 2017 includes a description of the four elements required by the NDAA. It also provides an overview of the implementation activities, including realigning the U.S. Army\u2019s current Joint Trauma System Defense Center of Excellence to become part of the new system within DHA.", "Although the implementation plan includes the four required elements, neither it nor DOD\u2019s supplemental planning documents prepared to date fully incorporate leading practices, which we have previously identified. These leading practices, such as the establishment of goals and the identification of strategies to achieve those goals, play an important role in enabling an organization to achieve its objectives. We found that DOD\u2019s planning documents, prepared to date, incorporate only some of the leading practices. (See table 2).", "DOD officials acknowledged that the agency\u2019s plans are presently incomplete because this process is ongoing. They stated that DOD is continuing to plan for implementing all four elements of the JTS\u2014 including efforts to incorporate leading practices. DOD\u2019s planning documents that have been prepared to date and our assessment of each of the four elements are described below."], "subsections": [{"section_title": "Element One\u2014Serve as a Reference Body for Trauma Care", "paragraphs": ["DOD\u2019s planning documents incorporate goals associated with this element, but only include partial information about the strategies, associated risks, and plans to assess progress. Without including more complete information about plans to serve as a reference body for trauma care, it is unclear how well prepared DOD is to implement this element.", "Goals: According to a planning document, DOD has two goals for JTS to serve as a reference body: 1) consolidating disparate trauma registries into the DODTR. According to DOD officials, there are currently about 70 disparate registries, some of which collect trauma-related information for various entities across DOD. 2) developing a common trauma lexicon\u2014a dictionary of common trauma care terminology to assist in the assessment of trauma-related injury data.", "Strategies: In addition to defining goals, the documents also include some strategies to achieve those goals, such as specific actions that DOD plans to take and target dates for accomplishing these actions. For example, the documents outline plans to take action to define key terms such as \u201cpreventable death,\u201d \u201cnon- survivable injury,\u201d \u201cpotentially survivable injury,\u201d and others by a target date of July 2018. The documents also identify DHA as the lead office within DOD that is responsible for executing and achieving this action.", "The planning documents do not yet fully reflect the strategies needed to accomplish these goals. For example, although the documents discuss actions and milestones associated with goals for this element, they do not yet provide complete information on the resources and costs needed for implementation. The documents state that DHA will conduct an organizational analysis to determine what organizational structure, staffing needs, and other resources are needed for implementation at a later date. They also state that funding levels for DHA\u2019s operation of the DODTR will be based on the existing JTS DCOE funding levels. However, another planning document indicates that the infrastructure for the DODTR\u2019s existing host network\u2014operated by the United States Army Institute of Surgical Research\u2014would be insufficient to support the planned JTS and DODTR expansion, and that integrating even a single additional registry or component of a registry into the DODTR would require an adjustment to the funding for the system. Given that the planned activities for the new JTS would require an expansion beyond the scope of the current JTS DCOE responsibilities and activities, additional planning for equipment and network support costs may be necessary to ensure that the new JTS has sufficient resources to meet its goals.", "Risks: The planning documents identify risks that could affect the JTS\u2019s ability to serve as a trauma reference body, but the documents do not yet specify how DOD plans to assess or respond to these risks. For example, although one of the planning documents identifies potential shortfalls in the DODTR host network\u2019s ability to support an increased number of users\u2014which are expected as the various disparate registries are consolidated\u2014none of the documents yet address the estimated impact of this risk on DOD\u2019s goals or how it plans to respond to the risk. Not planning for assessing and responding to risks could increase the likelihood that they become problematic, and negatively affect DOD\u2019s goal for the JTS.", "Plans to Assess Progress: The planning documents do not yet fully indicate how DOD plans to assess progress made towards the goals for consolidating registries or developing a lexicon of common trauma terms, as would be consistent with leading practices. The documents include a description of a baseline for performance related to DOD\u2019s goal to develop a lexicon of common trauma terms, but they do not yet include plans to monitor the progress made towards this goal or to assess the results of monitoring. Additionally, the documents do not yet establish a performance baseline, a system to monitor progress, or a plan to assess the results of monitoring for DOD\u2019s other goal for this element\u2014to consolidate registries into the DODTR. Without a fully-developed system for assessing the implementation\u2019s progress\u2014practices which are consistent with federal internal control standards for risk assessment\u2014DOD may be unable to determine progress toward the goals it has identified for this element."], "subsections": []}, {"section_title": "Element Two\u2014Establish Standards of Trauma Care for Military Services", "paragraphs": ["DOD\u2019s planning documents incorporate goals and plans to assess progress, but do not yet fully incorporate leading practices related to strategies and risks.", "Goals: According to the documents, DOD\u2019s goal for this element is twofold: 1) to develop, publish, and assess standards of care in DOD\u2019s CPGs. 2) to determine if the CPG development process can be improved. DOD publishes CPGs to provide trauma care providers with recommended practices for the provision of care, based on available evidence. According to DOD documents, the CPGs minimize variations from evidence- based best practices, which help to save lives.", "Strategies: DOD\u2019s planning documents describe how the new JTS will continue to produce, update, and monitor adherence to CPGs and designates JTS as the office that is primarily responsible for leading these efforts. Although DOD\u2019s planning documents include information needed for the JTS to establish standards of care through CPGs, they do not yet fully reflect the strategies necessary to achieve DOD\u2019s goal. DOD officials indicated that the new JTS will develop, publish, and assess CPGs using the same process used by the existing JTS DCOE. DOD officials told us that CPGs are currently reviewed on an annual basis and updated once every two years, on average. According to DOD officials, this frequency exceeds standards established by leading civilian organizations. Once updated, officials disseminate CPGs by posting them on a website, sharing them with DOD officials responsible for training trauma care providers, and discussing them at weekly conference calls on combat casualty care. Officials also told us that the existing JTS lacks authority to require that trauma care providers adhere to recommendations made in CPGs. In addition, DOD\u2019s planning documents acknowledge that the existing process lacks sufficient mechanisms to ensure timely updates and effective dissemination, but do not yet indicate what plans are needed to make improvements in these areas. Without additional planning to improve mechanisms for CPG development and dissemination, DOD faces uncertainty regarding the new JTS\u2019s ability to ensure that the CPGs it produces are up to date and effectively disseminated to military trauma care providers, which may ultimately impact the trauma care that it provides.", "Risks: The planning documents identify risks associated with the development and dissemination of trauma care CPGs, such as an inconsistent process for dissemination. However, they do not yet include information on determining the potential effects of these risks, nor do they include how DOD expects to respond, which are both leading practices for risk assessment and are consistent with federal internal control standards. Without additional planning, DOD may not be fully prepared to address risks related to updating and disseminating CPGs.", "Plans to Assess Progress: The planning documents include detailed information about how DOD uses performance measures for each CPG to assess progress in provider adherence to trauma care standards. The documents also establish a baseline for provider performance, a system for ongoing performance monitoring, and a process for evaluating the results of monitoring\u2014performance measurement activities that can help the department track progress towards the goal it has established for this element."], "subsections": []}, {"section_title": "Element Three\u2014 Coordinate the Translation of Research into Trauma Care Standards", "paragraphs": ["One of the planning documents provides a general overview of how DOD plans to coordinate the translation of research from its centers of excellence\u2014including the JTS DCOE and other trauma care centers of excellence\u2014into trauma care standards, but the planning documents have yet to incorporate any of the four leading practices, including goals, strategies, risks, or plans to assess progress. According to DOD officials, the current JTS DCOE routinely translates research into trauma care standards by creating and updating these standards to incorporate the findings and results of relevant research. DOD officials also told us the current JTS DCOE routinely interacts with the various DOD organizations responsible for trauma-related research, such as by holding weekly discussions on trauma care issues. Officials stated that they do not expect these interactions to change as the JTS DCOE transitions to the new JTS. However, the planning documents do not yet provide any detail about how these interactions will inform clinical standards. Without including detailed information in the planning documents on how DOD expects to coordinate the translation of research into trauma care standards, it is unclear whether the JTS will be fully prepared to ensure that clinical standards are up-to-date and based on the most relevant evidence from research. This is critical to ensuring the effectiveness of the trauma care provided."], "subsections": []}, {"section_title": "Element Four\u2014 Incorporate Lessons Learned from Trauma Education and Training Partnerships", "paragraphs": ["The planning documents for this element do not yet incorporate any of the four leading practices, including goals, strategies to achieve goals, risks, or plans to assess progress. Officials indicated that planning for the implementation of this element will be incomplete until DOD establishes the new Joint Trauma Education and Training Directorate responsible for establishing these partnerships. Section 708 of the NDAA states that DOD may enter into partnerships with civilian trauma centers to provide trauma care providers with maximum and continuous exposure to a high volume of critically injured patients. According to DOD officials, planning for incorporating lessons learned will begin after the directorate reaches initial operating capacity, which they anticipate in 2018. DOD officials also told us that the JTS will collaborate with the directorate for trauma education and training partnerships, once it is established, to plan the translation of relevant lessons learned into clinical practice. Because planning for this element is still incomplete, it is unclear whether DOD will be prepared to use information from these clinical partnerships to improve the effectiveness of the trauma care it provides to injured service members."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In an effort to reduce preventable deaths and disabilities due to trauma, and as required by the NDAA, DOD is planning for the implementation of its new JTS. Specifically, the department has submitted its implementation plan to Congress as required and has developed other supplemental planning documents that describe how it plans to address the four required elements of the new system. Incorporating these elements is a critical step for DOD as it works to improve trauma care consistently across the military health system. Although the NDAA requires that DOD begin implementation in 2018, DOD\u2019s planning is ongoing, and its planning documents do not fully incorporate leading practices that can help ensure the success of its efforts. As it moves forward, DOD has the opportunity to update its efforts and planning documents to fully incorporate these leading practices. By not doing so, DOD may be missing an opportunity to ensure that its efforts to implement a new JTS are effective and to help reduce trauma-related deaths and injuries across the military."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["To fully implement the four required elements of the new Joint Trauma System, the Director of the Defense Health Agency should fully incorporate leading practices\u2014including establishing goals, planning strategies to achieve goals, identifying and addressing risks, and assessing progress\u2014in its planning to guide implementation efforts. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD provided written comments, which are reprinted in appendix I, and technical comments, which we incorporated as appropriate. In its written comments, DOD concurred with our recommendation to fully incorporate leading practices in its planning to guide JTS implementation efforts. DOD\u2019s written comments also referred to technical concerns regarding the timeliness of its updates to clinical practice guidelines. Specifically, the comments indicate that DOD updates these guidelines more frequently than standards established by leading civilian organizations. Our report includes a description of DOD\u2019s processes for developing and updating these guidelines, including the frequency of the updates, and we added a statement regarding DOD officials\u2019 comparison of this frequency to civilian standards.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Will Simerl (Assistant Director), Carolyn Garvey (Analyst-in-Charge), Sarah Sheehan, Jennie Apter, and Jacquelyn Hamilton made key contributions to this report."], "subsections": []}]}], "fastfact": ["DOD researchers found that about 24% of military servicemembers who died in combat from 2001-2011 could have survived if better and more timely trauma care had been available.", "To help reduce preventable deaths and disabilities, DOD is planning for a new trauma care system. However, we found that DOD's planning documents do not fully incorporate certain practices, like clear goals and strategies, that could help the department more effectively implement its new system.", "We recommended that DOD fully incorporate leading practices into its ongoing planning to help ensure the success of its efforts to improve trauma care."]} {"id": "GAO-18-54", "url": "https://www.gao.gov/products/GAO-18-54", "title": "Agricultural Promotion Programs: USDA Could Build on Existing Efforts to Further Strengthen Its Oversight", "published_date": "2017-11-21T00:00:00", "released_date": "2017-11-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["\u201cGot milk?\u201d and \u201cPork: The Other White Meat\u201d are examples of advertising campaigns undertaken by 2 of the 22 federal agricultural research and promotion programs, commonly known as commodity check-off programs. These programs, funded by a fraction of the sale of each unit of a commodity, are led by boards consisting of industry members appointed by the Secretary of Agriculture. The programs conduct research and promotion activities to strengthen a commodity's position in the market. In 2016, check-off funds totaled over $885 million. By law, funds cannot be used for lobbying or disparaging other commodities, among other things. AMS has primary responsibility for overseeing the check-off programs.", "GAO was asked to review AMS's oversight of the check-off programs. This report examines (1) the extent to which AMS has addressed previously identified weaknesses in its oversight and (2) how the effectiveness of the programs has been evaluated and what the results have indicated. GAO selected a sample of 8 such programs\u2014selected, in part, based on total funds collected\u2014and reviewed laws, regulations, and agency guidance. GAO interviewed agency officials, check-off board executives, and economists."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Department of Agriculture's (USDA) Agricultural Marketing Service (AMS) has improved its oversight of check-off programs since USDA's Office of Inspector General (OIG) made recommendations in a 2012 report. In response to two OIG recommendations, AMS developed and implemented standard operating procedures, which outline specific oversight responsibilities of AMS, and began to conduct internal reviews of its oversight functions. However, GAO found that AMS does not consistently review subcontracts\u2014a legal agreement between a contractor and third party\u2014or ensure that certain documents are shared with stakeholders on program websites.", "Subcontracts. Under AMS's 2015 guidelines for check-off programs, which cover broad oversight activities, staff are to review a sample of subcontracts during agency reviews of program operations. However, AMS did not revise its standard operating procedures to match its guidelines with this responsibility, and GAO found that AMS reviewed subcontracts for only one check-off program in its sample of eight. Without revising the standard operating procedures to include a review of subcontracts, AMS's ability to prevent misuse of funds is impaired.", "Transparency. According to leading business principles, transparency is central to stakeholders' access to regular, reliable, and comparable information. However, GAO found that four of the eight check-off programs reviewed posted all key documents, such as budget summaries and evaluations of effectiveness, to program websites. GAO found that AMS's guidelines state that budget summaries should be posted on program websites, while the other key documents are to be available on the website or otherwise made available to stakeholders. Agency officials said that boards would supply documentation if contacted by a stakeholder. Industry representatives GAO interviewed said that transparency of how funds are used and the effectiveness of programs are important to their members. Without including in its guidelines and standard operating procedures that all key documents should be posted on a check-off program's website, AMS may miss an opportunity to ensure that stakeholders have access to information on program operations and effectiveness.", "Independent economic evaluations of the effectiveness of check-off programs, required by law to be conducted every 5 years, have generally shown positive financial benefits. For the eight evaluations GAO reviewed, benefits ranged from an average of $2.14 to $17.40 for every dollar invested in the programs. However, the evaluations varied in the methods used and had certain methodological limitations. For example, some evaluations did not account for the effects of promotion from competing commodities, which could overstate the programs' benefits. AMS's standard operating procedures state that the agency should review the evaluations to ensure that there is a credible methodology, among other things; however, AMS did not consistently document reviews of the evaluations or have criteria by which to review the evaluations. Without developing criteria to assess the methodology and results of evaluations, the agency's assessments of independent economic evaluations may be inconsistent across check-off programs and misleading to stakeholders."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that USDA revise its standard operating procedures to include the review of subcontracts, include key documents on check-off program websites, and develop criteria to assess evaluations. USDA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["\u201cGot milk?\u201d \u201cPork: The Other White Meat\u201d. \u201cThe Incredible, Edible Egg\u201d. These are three examples of advertising campaigns for agricultural commodities undertaken through research and promotion programs, commonly known as commodity check-off programs. At present, there are 22 commodity check-off programs authorized by the Secretary of Agriculture through orders issued after public notice and comment. The Secretary issues these orders under the authority provided in legislation addressing specific agricultural commodities or under general authority provided in the Commodity Promotion, Research and Information Act of 1996. As stated in the general act, these programs were formed to strengthen a commodity\u2019s position in the marketplace through the development and implementation of promotion, research, and information programs. The U.S. Department of Agriculture\u2019s (USDA) Agricultural Marketing Service (AMS) has primary oversight responsibility for ensuring that check-off boards comply with legislative and regulatory requirements.", "The term check-off refers to the way the research and promotion programs are funded\u2014an assessment is paid by producers, handlers, processors, importers, or others in the marketing chain for each unit of a commodity sold, produced, or imported. The programs are principally funded by this assessment and do not receive federal appropriations. In 2016, program assessments totaled over $885 million for these federally authorized check-off programs.", "Each check-off program is operated by a board, such as the American Egg Board or the Cattlemen\u2019s Beef Board, whose members, for the most part, are appointed by the Secretary of Agriculture from nominations submitted by industry. Check-off board staff are primarily responsible for the operations of the board and interacts daily with AMS representatives.", "The check-off boards conduct activities to increase overall demand for the commodities; expand markets in the United States and abroad; and expand the commodities\u2019 uses through research, promotion, and consumer and industry information.", "Among other things, check-off boards are explicitly prohibited from (1) engaging in any action that could be a conflict of interest; (2) using assessed funds to influence any legislation or governmental action or policy; and (3) promoting any advertising that may be false, misleading, or disparaging to another agricultural commodity. AMS has primary oversight responsibility for ensuring that the boards follow these prohibitions and abstain from these activities. In 2012, USDA\u2019s Office of Inspector General (OIG) found that AMS needed to improve certain areas of its oversight of check-off board operations.", "You asked us to review AMS\u2019s oversight of check-off programs. This report examines (1) the extent to which AMS has taken steps to address previously identified weaknesses in its oversight of check-off programs and (2) how, if at all, the effectiveness of the check-off programs has been evaluated and what the results of those evaluations have indicated.", "To perform this work, we reviewed statutes and regulations related to check-off programs. In addition, we reviewed AMS guidance for check-off programs, including the programs\u2019 guidelines and standard operating procedures. We also reviewed OIG reports on check-off program oversight. For each of the objectives, we selected a nonprobability sample of 8 of the 22 check-off programs. We selected these programs to get a range of information based on the following criteria: (1) AMS commodity area, (2) amount of total assessments collected, and (3) whether each program was created under its own stand-alone legislation or the Commodity Promotion, Research and Information Act of 1996. We interviewed senior agency officials from each of the four AMS commodity areas in which the 8 programs reside as well as the marketing specialists who oversee the 8 programs. We also interviewed executives from the check-off boards of the 8 programs in our sample. In addition, we interviewed representatives from five industry organizations to discuss information that they receive related to check-off programs and their organizations\u2019 views on any evaluations of check-off program effectiveness. We selected organizations with members who pay check- off program assessments and who have an understanding of the check- off programs based on information found on the organization websites.", "To determine AMS\u2019s oversight activities, we reviewed relevant laws, regulations, and agency guidance. Among the statutes we reviewed were the Commodity Promotion, Research and Information Act of 1996 and the various laws establishing other check-off programs along with the regulations pertaining to the sample of 8 check-off programs. We compiled a list of AMS\u2019s oversight activities, and obtained documentation from AMS for the 8 programs in our sample for fiscal years 2014 and 2015 to demonstrate whether those oversight activities were completed. Using this documentation, a first GAO reviewer determined whether the oversight activities were completed. A second reviewer then made his or her own determination as to whether the activities were completed. The first and second reviewers subsequently met to reconcile any differences. Once the reviews were complete, we shared our findings with marketing specialists from each of the 8 check-off programs in our sample. We held meetings with the marketing specialists and the AMS directors in each of the four commodity areas in which the 8 programs reside to discuss the various oversight activities and how AMS conducts those activities.", "To address the effectiveness of check-off program evaluations and their results, a GAO economist assessed the most recent independent economic evaluations of effectiveness for the 8 check-off programs in our sample using GAO\u2019s guidance for assessing economic analyses. This included an assessment of the (1) objective and scope, (2) alternatives, (3) analyses of effects, (4) sensitivity analyses, and (5) documentation. A second GAO economist then reviewed this assessment. This assessment was used to determine the various methodologies used in the check-off program evaluations, the soundness of those methods, and any limitations. In addition to reviewing the evaluations, we also spoke with the economists who conducted independent evaluations of effectiveness for our sample of 8 check-off programs to learn about their methods as well as any challenges they may have faced in conducting the evaluations. We also interviewed three additional economists who did not conduct evaluations of the 8 check-off programs we assessed to get the views of external experts. We selected these economists because they had previously published journal articles on evaluating check-off programs. Finally, we reviewed literature on conducting evaluations of the effectiveness of check-off programs.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Check-off programs are designed to expand the market for a given agricultural commodity, such as eggs, pork, or highbush blueberries, through generic promotion, research, and consumer and industry information. A check-off program is meant to expand the demand for a commodity rather than for any particular brand or producer. Although some state, regional, and local check-off programs that have existed for over 70 years may be voluntary, federal programs are mandatory. Many commodity groups prefer mandatory programs to address the free rider problem\u2014that is, producers, handlers, processors, importers, or others in the marketing chain who do not pay into a check-off program but benefit economically from voluntary programs that others have funded.", "After Congress authorized the Cotton Research and Promotion Act of 1966, the first federally mandated agricultural check-off program and board\u2014for cotton\u2014was created. Over the next three decades, Congress authorized the creation of an additional 11 commodity programs and their respective boards. The 12 programs and boards created under the authority of individual stand-alone legislation adhere to the specific requirements as set forth in their respective authorizing legislation. The passage of the Commodity Promotion, Research and Information Act of 1996 (generic legislation) gave USDA the authority to establish additional commodity check-off programs and boards. Since then, 10 additional boards were created based on this generic legislation. Those boards are subject to the requirements set forth in the generic legislation. (See table 1 for the year established and authorizing legislation for all 22 check-off programs.)", "To create a check-off program, industry groups first identify the need for such a program and then negotiate among themselves to agree on a basic program framework. The framework includes the rate of assessment and the various program activities to be undertaken, such as promotion, advertising, research, and providing information to consumers and industry. Additionally, each industry proposes regulations to USDA for the structure of the board that will carry out these activities. Because each industry has unique characteristics, a different board structure is appropriate for each check-off program. The boards vary in size, geographic representation, and types of individuals who are board members\u2014that is, producers, processors, handlers, importers, public representatives, or others in the marketing chain. USDA, in consultation with the industry, then develops regulations to define how the program will be operated, how the funds will be collected, and how compliance with the authorizing legislation will be maintained, among other things. The check-off programs must be approved by a majority of producers\u2014 and in some cases processors, importers, and handler\u2014subject to the assessments. To gain approval, a referendum must be held either before check-off program operations begin within some specified time after assessments are first collected, depending on the authorizing legislation.", "To fund a check-off program, producers, handlers, processors, importers, or others in the marketing chain are assessed for each unit of the commodity sold, produced, or imported. For example, for each 30-dozen cases of eggs sold, a producer is assessed $0.10. These funds go to the American Egg Board. The boards are to use assessments for the research, promotion, and consumer and industry information activities as well as for reimbursing AMS for its oversight costs. In 2016, total assessments collected for the 22 check-off programs ranged from $0.6 million for the popcorn check-off program to $332.1 million for the dairy check-off program (see table 2)."], "subsections": [{"section_title": "AMS\u2019s Oversight and Past Recommendations", "paragraphs": ["To facilitate oversight, AMS breaks the 22 check-off programs into four of the agency\u2019s commodity areas: (1) Cotton and Tobacco\u2014the cotton check-off program; (2) Dairy\u2014the dairy and fluid milk check-off programs; (3) Livestock, Poultry, and Seed\u2014the beef, egg, lamb, pork, sorghum, and soybean check-off programs; and (4) Specialty Crops\u2014the Christmas tree, Hass avocado, highbush blueberry, honey, mango, mushroom, paper and packaging, peanut, popcorn, potato, processed raspberries, softwood lumber, and watermelon programs. AMS has a functional committee for the check-off programs, which comprises a chair and the deputy administrators from the four AMS commodity areas and meets quarterly. The functional committee reports to the AMS Associate Administrator and was established to increase coordination and promote best practices and consistency across the 22 check-off programs. Additionally, the four commodity area directors and other senior agency officials meet weekly to discuss any issues that have arisen and to discuss any necessary policy changes.", "AMS marketing specialists are responsible for the day-to-day oversight of the check-off boards and for ensuring that board decisions and operations are carried out in accordance with applicable legislation and regulations. Each check-off program has a designated AMS marketing specialist serving as the primary overseer of all check-off program activities. (Fig. 1 shows AMS\u2019s oversight structure for the check-off programs.) As part of their oversight duties, marketing specialists review and approve board budgets, contracts, promotional activities, board policies, and bylaws, among other activities. Every 3 years, marketing specialists also are to conduct management reviews that assess each of the 22 check-off boards\u2019 internal controls intended to determine whether there is reasonable assurance that the boards are in compliance with statutes, regulations, and the board\u2019s and AMS\u2019s policies and procedures. AMS management reviews are to include reviews of check registers, contract and subcontract samples, assessments collected, and travel reimbursements, among other items.", "AMS\u2019s Guidelines for AMS Oversight of Commodity Research and Promotion Programs, most recently updated in September 2015, is designed to facilitate the application of legislative and regulatory provisions of the check-off programs and promote consistency in AMS\u2019s oversight of the 22 check-off programs. These guidelines, which pertain to AMS as well as board members and board staff, are not intended to cover the daily responsibilities of board operations or AMS\u2019s oversight. Instead, the guidelines provide broad information on AMS\u2019s expectations for how boards should operate and how AMS will oversee the programs in activities such as budget approval, contracts, financial accountability, referendum, and investments, among other items.", "In March 2012, USDA OIG released a report on AMS\u2019s oversight of check-off programs. The work was initiated by the OIG after a 2010 investigative report, conducted at the request of the AMS Administrator, identified the possibility of weak oversight controls over the check-off boards. The 2012 report included two recommendations for AMS to develop and implement (1) standard operating procedures that provide detailed instructions for performing oversight activities to address all areas listed in the agency\u2019s guidelines and (2) guidance for conducting periodic internal reviews of program area operations to ensure the enforcement of AMS\u2019s guidelines. AMS agreed with the two recommendations and planned to implement them with a variety of actions, as discussed below."], "subsections": []}]}, {"section_title": "AMS Has Improved Its Oversight of Check-off Programs, but Some Oversight Activities Are Not Consistent across Programs", "paragraphs": ["AMS has responded to recommendations for improving oversight made in the OIG\u2019s 2012 report, particularly by developing and implementing standard operating procedures and conducting internal reviews of AMS check-off program oversight. However, AMS does not provide consistent oversight across check-off programs in some areas; specifically, it does not routinely review check-off program subcontracts during its management reviews, conduct follow-up on management review recommendations, ensure that financial assurances are included in annual audits, or ensure that check-off boards share information with assessment payers on program websites. In conducting their oversight of the check-off programs, senior agency officials and marketing specialists said they face challenges because of increased use of social media, the absence of an information system for tracking approvals, and complex Freedom of Information Act (FOIA) requests for some programs, which may delay the completion of some oversight priorities."], "subsections": [{"section_title": "AMS Has Made Improvements in Response to Recommendations Made by USDA\u2019s OIG", "paragraphs": ["The OIG\u2019s 2012 report included two recommendations that AMS has since implemented: to develop and implement (1) standard operating procedures and (2) guidance for conducting periodic internal reviews of its oversight activities. In August 2013, AMS developed and implemented its standard operating procedures, which provide marketing specialists with more detailed guidance on the various oversight activities that are outlined in the agency\u2019s program guidelines. The standard operating procedures cover a range of oversight activities, including budget review, contract review, advertising and promotional materials review, and financial and internal control oversight. Included in the more detailed guidance are various checklists that marketing specialists can use to itemize the requirements that boards must meet in a variety of areas. For example, the budget review checklist includes a list designed to ensure that budgets conform to law and contain, among other items, accurate sums and categories, as well as clearly listed administrative expenses. According to senior agency officials and marketing specialists, the standard operating procedures have assisted AMS in providing consistency across the 22 commodity check-off programs, have helped ensure that oversight responsibilities are carried out, and have provided documentation of specific duties for new marketing specialists.", "In response to the OIG\u2019s second recommendation, AMS has developed and implemented guidance for conducting internal reviews of its oversight of check-off programs. Internal reviews are conducted by AMS\u2019s Management and Analysis Program group to evaluate whether the AMS commodity areas that oversee check-off programs employ controls that provide reasonable assurance that the check-off programs are meeting legislative and regulatory requirements. According to an AMS directive, internal reviews of each of the four AMS commodity areas are to be conducted on a rotating basis. An AMS internal review of the Cotton commodity area was completed in November 2014, an internal review of the Specialty Crops commodity area was completed in September 2015, and an internal review of the Dairy commodity area was competed in May 2017. According to officials in the Management and Analysis Program, the Livestock, Poultry, and Seed commodity area internal review began in May 2017. The Cotton internal review found the program to provide reasonable assurance that the boards were complying with legislative requirements and that the oversight controls were adequate and functioning as intended. The Specialty Crop internal review found that the commodity area was fulfilling its oversight responsibilities but also found opportunities to strengthen control practices, including ensuring consistent and timely application in its use of checklists and tracking management reviews to ensure that they are completed and issued in a timely manner. As a result, the Specialty Crop commodity area implemented changes to its use of checklists and agreed to complete management reviews in a timely manner. The Dairy internal review found opportunities to strengthen oversight, primarily with regard to management reviews and recordkeeping. As a result, according to senior agency officials, the Dairy commodity area has implemented changes to its management review and recordkeeping processes."], "subsections": []}, {"section_title": "AMS Does Not Provide Consistent Oversight across Check-off Programs in Some Areas", "paragraphs": ["We identified four areas in which AMS does not provide consistency in its oversight across its check-off programs: (1) review of subcontracts, (2) follow-up on recommendations made to check-off boards, (3) ensuring that independent financial audits contain statements of assurance, and (4) ensuring that information is available on program websites for assessment payers (i.e., transparency).", "Subcontracts. The 2012 OIG report found that AMS did not recognize in its guidelines for check-off programs that its oversight role extended to monitoring subcontracts. Following the release of the OIG report, AMS updated the guidelines to respond to the OIG finding. Under the 2015 AMS guidelines, marketing specialists are to review a sample of subcontractor expenses during their management reviews. However, we found that AMS did not similarly update its standard operating procedures for the check-off programs and that these reviews are not being done consistently across programs.", "We found that the marketing specialist for one of the eight programs we reviewed chose a sample of subcontracts for the management review and documented this selection in the management review report. Marketing specialists for three of the programs said they reviewed subcontracts only if the sample of primary contracts that were part of the management review included subcontracts. Marketing specialists for the other four programs said they did not review subcontracts. Two marketing specialists we interviewed said they do not select a sample of subcontracts because check-off boards are responsible for overseeing and monitoring subcontracts. Senior agency officials and marketing specialists also noted that they review and approve all promotional materials regardless of whether any material is from a contract or subcontract. Senior agency officials also said that the contracting process differs among the various check-off boards and may cause confusion about what is considered a subcontract for purposes of a management review. For example, the cotton board contracts with Cotton Inc. to carry out the program\u2019s research and promotion activities; Cotton Inc. may, in turn, contract with entities to carry out those research and promotion activities\u2014considered a cotton board subcontract. This is in contrast to processes of other boards, such as the honey board, which can directly contract with entities to carry out research and promotion activities; those contractors may, in turn, subcontract duties. In addition, the potential exists for subcontract costs to total hundreds of thousands of dollars. A 2010 OIG investigative review found that a subcontractor of one check-off board used subcontracts to pay employees unauthorized bonuses of about $302,000. Without revising its standard operating procedures for check-off programs to recognize that each management review is to include a sample of subcontracts for review, AMS\u2019s ability to prevent misuse of subcontract funds is impaired.", "Recommendation follow-up. Under AMS\u2019s guidelines and standard operating procedures, marketing specialists are to ensure that corrective actions are taken by the boards in a timely manner if a matter is recommended in the management review, conducted every 3 years. For example, the standard operating procedures state that the board has 30 calendar days from the receipt of the management review report to respond to the findings by formal letter and that follow-up should include appropriate documentation of the corrective actions taken. The 2012 OIG report found that there was little consistency among AMS commodity areas regarding the reporting of management review results and follow- up procedures. Four of the check-off programs we reviewed obtained written confirmation from boards about how they intended to address issues identified during management reviews consistent with the standard operating procedures; three others did not obtain written confirmation, but said they obtain any check-off board plans for remediation via less formal means, such as via e-mails or during board meetings. The management review for the eighth program did not contain any recommendations.", "According to marketing specialists we interviewed, the follow-up process to ensure that boards have taken corrective actions is also informal\u2014a specialist learns how management review recommendations have been implemented by attending board and committee meetings. Senior agency officials verified that AMS has no mechanism for tracking follow- up with check-off boards to ensure that they have taken corrective actions. Under federal internal control standards, management should remediate identified internal control deficiencies on a timely basis and, with oversight from the oversight body, monitor the status of remediation efforts so that they are completed on a timely basis. Without establishing a mechanism for documenting and tracking follow-up with check-off boards on the implementation of management review recommendations, AMS has no assurance that it is consistently monitoring the status of corrective actions. Senior agency officials said that having a formal method to track and follow up on management review recommendations would allow them to identify trends, best practices, and similar emerging issues among the check-off programs.", "Independent financial audits. Each year, each check-off board is required by law to hire an independent audit firm to conduct an audit of the board\u2019s financial statements in accordance with generally accepted government auditing standards. This audit helps to ensure compliance with legislative, regulatory, and policy directives. AMS guidelines direct marketing specialists to review the annual financial audits to determine whether the auditor identified any misuse of board funds and if the audit adequately addressed whether (1) funds were discovered to be used for influencing government policy or action, (2) the board adhered to the AMS investment policy, (3) internal controls over funds met auditing standards, (4) funds were used only for projects and other expenses authorized in a budget approved by USDA, and (5) funds were used in accordance with AMS guidelines. The standard operating procedures state that AMS is to ensure that audits contain these five statements of assurance, and they state that the audit firm is to express an opinion on the financial statements of the board and include a report on internal controls and compliance with applicable laws and regulations.", "The 2012 OIG report found that none of the independent audit reports included the five statements of assurance for the 18 check-off boards reviewed. In our sample, audit reports for four of the eight programs included the five statements of assurance. For two of the programs in our sample, the engagement letters, which document the agreed-upon terms of the audit, contained all five assurances, but the audit reports did not contain the five assurances. For the remaining two programs in our sample, neither the engagement letters nor the audit reports contained all five assurances, but senior agency officials said that the AMS marketing specialists for those two programs ensured that these assurances were adequately addressed during pre- and post-audit meetings. According to marketing specialists we interviewed for those two programs, audits following government auditing standards incorporate the requirements and are fulfilled by a general statement that boards were in compliance with laws and regulations. However, the 2012 OIG report found that an independent auditor did not include the specific assurances because the auditor was not asked to perform such work and only minimal adjustments would be needed to provide for those assurances. Without ensuring that its annual independent financial audits include the five statements of assurance as outlined in the standard operating procedures, AMS will have less certainty that check-off funds are not subject to waste, fraud, or mismanagement.", "Transparency. According to the Business Roundtable and the Organisation for Economic Cooperation and Development\u2019s principles of corporate governance, a strong disclosure regime that promotes transparency is central to stakeholders being able to access regular, reliable, and comparable information. As check-off programs use assessment money collected from stakeholders of the commodity being promoted, AMS\u2019s guidelines state that both transparency and oversight of the check-off funds are critical. Moreover, AMS\u2019s guidelines state that annual budget summaries should be posted on the check-off board\u2019s website and that three additional documents are either to be on the website or otherwise made available: (1) the bylaws and policy statements, (2) annual reports, and (3) the independent economic evaluation of effectiveness. Four of the eight check-off programs in our sample posted all four documents on the programs\u2019 websites. All eight check-off programs posted their annual reports online. Four of the check- off programs, however, did not post to their websites at least one of the remaining documents\u2014the budget summary, bylaws, or independent economic evaluation. Marketing specialists we interviewed said that boards would supply information not included on the websites if an assessment payer requested such information, which is consistent with AMS guidelines. Board executives we interviewed from those programs that do not post all four documents on their websites also said that they would supply the information to assessment payers if contacted. Senior AMS officials also said that there are stakeholders who may not have computers or access to the Internet and may therefore request information via postal mail.", "Industry organization representatives we interviewed said that transparency of how funds are used and the effectiveness of the programs are important to their members. One industry organization representative we interviewed said that, although some stakeholders may not use the Internet, posting information on how assessments are being used, such as the information provided in annual reports, is useful for stakeholders and builds trust among check-off boards and stakeholders. Posting information on the boards\u2019 websites could convey information to stakeholders who have access to the Internet at a low cost. Without including in the guidelines and standard operating procedures that all four key check-off board documents (i.e., bylaws and policy statements, annual reports, and independent evaluations of economic effectiveness) should be posted on a check-off program\u2019s website, AMS may be missing an opportunity to ensure that some assessment payers have access to information on program operations and effectiveness."], "subsections": []}, {"section_title": "AMS Officials Identified Challenges in Their Efforts to Oversee Check-off Programs", "paragraphs": ["AMS officials identified ongoing challenges in check-off program oversight. In particular, AMS marketing specialists and senior agency officials identified three challenges: (1) the increase in some check-off boards\u2019 use of social media, (2) the absence of an information system to track approvals, and (3) complex and time-consuming FOIA requests for some programs. Because of competing priorities, some oversight duties may be delayed as a result.", "Increase in boards\u2019 social media efforts. According to marketing specialists, four of the eight check-off programs have seen a significant increase in the boards\u2019 use of social media, which has been a challenge in terms of both workload and the need for additional AMS guidance because the specialists must approve the social media content. Marketing specialists for the other four programs said that the check-off programs they oversee have not yet increased their social media presence enough to make it a challenge for workload. Senior agency officials and marketing specialists agreed that oversight of the check-off programs requires a significant amount of time and effort that has been made more complicated since some check-off programs began using social media. For example, a marketing specialist for one check-off program approved over 3,000 items, including social media for promotional and research materials, in a 6-month period. According to this marketing specialist, depending on the complexity of the item needing approval, there could have been dozens of communications between the specialist and the check-off board staff. In addition, marketing specialists and senior agency officials said that because social media is constantly evolving, AMS has needed to reevaluate its guidance to boards for social media. The senior agency officials acknowledged that the duties of marketing specialists are demanding and that they are working to find ways to provide support to marketing specialists. Senior agency officials said that this is challenging because the boards must reimburse AMS for oversight costs, so any additional personnel would be paid for through check-off assessments. Also, AMS established a social media committee made up of marketing specialists who have drafted social media guidance for the boards to follow.", "Technology. Tracking the numerous promotional and research approvals can be a challenge for some AMS marketing specialists because of the absence of an information system to track approvals. According to two marketing specialists, during busy times, they may be handling more than 20 requests for approvals a day. While marketing specialists for two of the check-off programs we reviewed said that the use of approval tracking software, paid for by the respective check-off boards, has made their oversight function more efficient, other marketing specialists said that they must rely on e-mail messages to organize the status of approvals. Marketing specialists who have tracking software said that they can quickly see the status of any approval at any given time; further, check-off board staff can also use the software to prioritize approvals. One marketing specialist said that, although she had developed a system for organizing e-mails, a tracking system used by both AMS and the board would ensure that oversight activities would not be delayed and could expedite the approval process. Senior agency officials said that it would be helpful if each marketing specialist had this software but that the check-off boards would need to pay for this expense.", "FOIA requests. Responding to complex FOIA requests about check-off programs has been a challenge, according to senior agency officials, marketing specialists, and board executives of four of the eight programs we reviewed. Some requests do not take many resources to fulfill, but others take significant time and money. For example, to respond to a FOIA request, board staff and marketing specialists must identify pertinent documents; review them to ensure that there is no proprietary or sensitive information; and, as needed, involve the board\u2019s legal counsel or third-party businesses. According to senior agency officials, in one case, a FOIA request resulted in the check-off board and AMS providing approximately 10,000 documents to the requester. AMS estimates that in fiscal year 2016, for the Livestock, Poultry, and Seed commodity area programs, it cost the agency about $182,000 and more than 2,700 hours to fulfill FOIA requests. For the same period for the Dairy commodity area programs, AMS estimates that it cost over $365,000 and about 6,600 hours to fulfill FOIA requests. Because AMS is reimbursed for its oversight costs, the funds to cover FOIA-related costs come directly from check-off assessments. These cost estimates do not include check-off board staff resources utilized to fulfill FOIA requests. Senior agency officials said that there are legal constraints on the types of individuals and organizations that they can request cover fees associated with document retrieval under FOIA."], "subsections": []}]}, {"section_title": "Check-off Evaluations Generally Indicate Positive Returns but Vary in How They Are Conducted and Reviewed", "paragraphs": ["Independent economic evaluations of the effectiveness of check-off programs, conducted at least every 5 years, have generally shown a positive benefit to those who pay assessments. The evaluations we reviewed varied both in the methods used to conduct the analysis and how information was reported and revealed certain methodological limitations. According to senior agency officials as well as the economists who conducted the evaluations, the variations are in part due to the differences in check-off board resources. We found that AMS does not consistently document its review of independent economic evaluations and has no criteria established for determining what makes for a credible methodology and results."], "subsections": [{"section_title": "Evaluations of Check-off Programs Were Conducted Every 5 Years and Show a Range of Positive Benefits for Assessment Payers", "paragraphs": ["The Federal Agriculture Improvement and Reform Act of 1996 requires check-off boards to (1) fund independent economic evaluations of the effectiveness of their promotion activities every 5 years, (2) submit the evaluation to USDA, and (3) make the results available to the public. Check-off boards, through a request for proposals process, contract for independent economic evaluation to determine the effectiveness of promotion activities. The law does not specify how an independent economic evaluation should be completed, and AMS does not offer any guidance on the methodologies to use, the types of information to include, or how the results of such an evaluation are to be presented. AMS guidelines, which are available to the check-off boards, state that evaluations: (1) have a credible methodology, (2) articulate shareholder returns, and (3) present the results in a non-technical manner.", "The eight independent economic evaluations of check-off programs we reviewed focused on benefit-cost ratios (BCR) and returns on investment (ROI). While BCRs and ROIs are slightly different, they both measure the financial gain or loss generated from the costs of implementing a program. In both cases, economists use economic, industry-specific models to determine the benefits or economic gains from the check-off programs by isolating the impacts of program promotion dollars from other variables, such as competing products or changes in consumer income. For example, some models include the effects of changes in the prices of substitute food products, which may affect the demand for commodities. The model used in the evaluation for the beef check-off program, for instance, includes prices for both chicken and pork, as an increase in the price of chicken or pork could lead to an increase in the consumer demand for beef, regardless of check-off program activities. Other variables that may affect demand include changes in (1) consumer buying habits, (2) consumer income, and (3) government policy. These variables can either increase or decrease the demand for commodities despite the activities of check-off programs. Evaluation models may also include variables that affect the supply of a commodity, such as increased prices that send signals to farmers to increase production. Although it is difficult to capture, some commodity evaluation models also model increases in yields and acreage to determine how much the agricultural research portion of a check-off program affects the supply of the commodity. Increased supply as a result of agricultural research expenditures can also increase producer benefits and economic gains, but according to the sorghum and cotton evaluations, many of these gains cannot be immediately or directly measured.", "For the eight check-off programs we reviewed, the BCRs and ROIs ranged from 2.14 to 17.40. In other words, for every dollar invested in the check-off programs, the programs returned from $2.14 to $17.40 in revenue to assessment payers (see table 3). However, it is important to note that the results of the independent economic evaluations should not be compared across check-off programs because of differing methodologies, differing data, and differing demands for the products, according to economists we interviewed. Economists we interviewed and literature we reviewed suggested that although the results of an independent economic evaluation may appear large, the amount invested in promotion activities is small compared to the total value of industry sales. Therefore, the overall impact of promotion activities on the market may be small.", "Program referenda largely show that most assessment payers approve of check-off programs, but not all types of assessment payers may feel that they share equally in the benefits that are found through the independent economic evaluations, according to economists we interviewed. The studies we reviewed report either average or marginal measures of effectiveness, such as a BCR. Some economists we interviewed, both those who have conducted the evaluations we reviewed and those who did not, said that these types of studies do not address the level of ROIs across the distribution of check-off program payers or how much more larger-sized assessment payers receive in returns from their investment in the check-off program as compared to smaller-sized ones. This view was confirmed by representatives we interviewed from some of the industry organizations, who indicated that their members would prefer to better understand what they receive for their investment at the farm level. In addition, one economist we interviewed said that assessment payers may be skeptical of the results of independent economic evaluations of program effectiveness because while the costs are tangible, the benefits of the programs are not. That is, the producers cannot see what portion of their revenues is directly attributable to check-off program activities."], "subsections": []}, {"section_title": "Evaluations Vary in How They Are Conducted and Reveal Certain Methodological Limitations", "paragraphs": ["The independent economic evaluations we reviewed were conducted using different methodologies and reported different information. According to senior agency officials, evaluations likely vary because legislation does not include any details on how evaluations should be completed and the amount of resources that each check-off board has available to devote to evaluations varies. Nearly all of the economists we interviewed said that it would be useful to have minimum standards for information that should be included in the evaluations. Some independent economic evaluations used different types of models and data to estimate the benefits and costs to assessment payers. For example, for the egg and honey check-off commodity models, the evaluation used two separate types of methodologies to estimate increases in demand because of the programs\u2019 promotional activities. Some other independent economic evaluations in our sample, such as for cotton and fluid milk, used multi-market models that incorporated components for substitute products, the foreign sector, and the government sector. Some independent economic evaluations, such as the beef evaluation, measured a marginal BCR and others measured an average benefit-cost ratio. The cotton and sorghum evaluations performed an analysis of how increases in yields, acreage, and production because of the research portion of the check-off programs affected the supply of the commodities. The independent economic evaluations also examined different time periods in their analyses, depending on the available data (see table 3). For example, the egg evaluation covered the period of 2007 through 2010, and the fluid milk evaluation covered 1995 through 2012.", "In addition to having different methodologies to calculate benefits and costs, information and analyses included in the independent economic evaluation reports also varied among the eight programs we reviewed.", "For example, the beef check-off evaluation includes a section on the optimal allocation of funds to domestic activities of the program, which is not included in any other report. Seven of the eight evaluation reports had a conclusions section. One of the evaluation reports included a recommendations section, while others did not. Although the law does not specify information required to be included in the independent economic evaluations, representatives from one industry organization we interviewed said that having the information in a consistent format could help ensure that stakeholders could compare information from one evaluation to the next for a given check-off program.", "The independent economic evaluations provided useful information to key stakeholders and the general public, but we found that they also included a number of caveats and limitations. Some of these limitations resulted from the nature of a commodity or program itself and others from the modeling procedures used. According to economists we interviewed and senior agency officials, the law is not prescriptive about how evaluations are to be conducted, and the boards differ in the amount of resources available to devote to the evaluations. If, for example, a board has limited resources available for an evaluation, there may not be funds available to purchase a certain set of data. For the sample of eight evaluations we reviewed, these limitations included the following:", "Data limitations: A number of the independent economic evaluations had data limitations. For example, one independent economic evaluation (highbush blueberry check-off program) lacked either wholesale or retail price data for its demand model, and another (sorghum check-off program) lacked program data as it had only been in existence for 5 years when the evaluation was performed. All of the economists we interviewed who had completed the eight evaluations we reviewed said that data are a challenge when conducting the evaluations either because such data do not exist or the check-off boards do not have the resources to buy the data.", "Not discounting the BCR to present value: The cotton check-off evaluation was the only one in our sample with a methodology that discounted the BCR to present value to account for the time value of money. Discounting a program\u2019s benefits and costs to present value transforms gains and losses occurring in different time periods to a common unit of measurement.", "Not accounting for spillover effects: Some independent economic evaluations did not include the spillover effects\u2014the cross- commodity impact of promotion\u2014on related markets, though some, such as the cotton evaluation, did account for spillover effects on competing commodities. If spillover effects pertain to a commodity, failure to account for these effects could overstate the benefits of a program and cause an upward bias in computing the BCR.", "Not adjusting models for structural changes: Some independent economic evaluations did not adjust models for structural changes in the industry over time. While some independent economic evaluations we reviewed, such as those for the honey and beef check-off programs, did use data or methods that accounted for changes in market structure over time, others did not. For example, for the pork check-off program, some hog farms have specialized in a single phase of production, and have encountered substantial gains in productivity because of technology over the past several decades, but the independent economic evaluation did not reflect this. Failure to correct for such structural change, if applicable to a commodity, can lead to incorrect modeling and misleading policy implications.", "AMS\u2019s standard operating procedures acknowledge that each check-off program varies in size and scope; therefore, the amount of resources each program can devote to an independent economic evaluation varies. Smaller programs may have independent economic evaluations that reflect the realities of program scope, financial capability, and data availability. Our discussions with the economists who conducted the evaluations that we reviewed confirmed that this is the case. They said that the smaller programs are able to devote fewer resources to independent economic evaluations; therefore, the economist conducting an evaluation may not be able to complete all of the analysis that could be completed for a larger program that is able to pay for more complex analysis. According to senior agency officials, in some instances, a broader evaluation is not necessary because of the emphasis and goals of the program. In addition, the resources a board is able to devote may vary from evaluation to evaluation. For example, one economist said that he worked with a board that wanted a more comprehensive evaluation than was previously done. The new evaluation model included additional data over a longer period of time, which ultimately led to an increased ROI."], "subsections": []}, {"section_title": "AMS Does Not Consistently Document Reviews of Check-off Evaluations", "paragraphs": ["In addition to ensuring that independent economic evaluations are conducted every 5 years and encouraging boards to make them available to assessment payers, AMS\u2019s standard operating procedures state that marketing specialists should ensure that independent economic evaluations (1) have a credible methodology and results, (2) articulate shareholder benefits, and (3) present results in a non-technical manner. To verify that these three directives are met, the standard operating procedures state that marketing specialists may consult with agency economists. They are directed to document verification in writing. Outside of any agency review, there is no requirement that independent economic evaluations be peer reviewed. A National Academies report states that peer review is characterized, in part, as being a documented, critical review of assumptions, calculations, and methodology, performed by a person with technical expertise in the subject matter to be reviewed who is independent and external of the work being reviewed. The report further states that the peer, to the extent possible, should have sufficient freedom from funding considerations to ensure that the work is impartially reviewed. According to senior agency officials, AMS economists meet this definition; and their review of the independent economic evaluations can be considered peer review. Officials said that the economists on staff critically review the evaluations; they all have PhDs in economics and are independent as they do not work directly with the check-off programs except for reviewing the evaluations.", "Three of the four AMS commodity areas\u2014Cotton and Tobacco, Dairy, and Specialty Crops\u2014utilized an AMS economist to review the independent economic evaluations and document that review. Senior agency officials said that the Livestock, Poultry, and Seed commodity area has an AMS economist review the independent economic evaluations but does not document that review. According to senior agency officials, the Livestock, Poultry, and Seed commodity area has relied on informal reviews of the evaluations by an economist, which are orally presented to the director of the commodity area. Further, the economists who completed the eight independent economic evaluations we reviewed indicated that although their preference is to have the evaluations peer reviewed, this is not always possible because of time constraints and other priorities. One economist said that the board he worked with included a contractual requirement that the independent economic evaluation be peer reviewed.", "Because the Livestock, Poultry, and Seed commodity area does not document its reviews of independent economic evaluations, only four of the eight check-off programs in our sample had documented reviews of the evaluations. All four of the documented reviews ensured that the independent economic evaluations had a credible methodology and results and articulated shareholder benefits, as stated in the standard operating procedures. However, only two of these four check-off programs included in their documented review whether results were presented in a non-technical manner, as also stated in the standard operating procedures. Further, the internal reviews did not use standard criteria to determine whether the independent economic evaluations had a credible methodology or results, which is important because, as noted earlier, the evaluations we reviewed varied in their methodology and we found that they had certain limitations.", "Although check-off programs are not subject to the guidelines in the Office of Management and Budget\u2019s Circular A-94, the circular provides general guidance for conducting analyses to help federal agencies efficiently allocate resources through well-informed decision making. For example, Office of Management and Budget Circular A-94 establishes key elements of an economic analysis, including (1) a statement of the objective and scope of the analysis, (2) an identification of alternatives, (3) an analysis of the economic effects, (4) a sensitivity analysis, and (5) adequate documentation and transparency. Conducting and documenting reviews of independent economic evaluations using criteria can be useful. For example, in 2014, a senior agency official found several inconsistencies in a check-off program independent economic evaluation. The senior agency official assigned an AMS economist and marketing specialist to work with the evaluator to revise econometric models to more accurately capture the activities of the check-off program. According to the official, if the independent economic evaluation had not been reviewed, benefits of the program would have been understated and would have misled those paying into the check-off program. Without developing criteria by which AMS can assess the methodology and results of independent evaluations and document those assessments to ensure that the standard operating procedures are met, the agency\u2019s assessments of independent economic evaluations may be inconsistent across check-off programs and misleading to agency officials, check-off boards, and assessment payers."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["AMS oversees commodity check-off programs that conduct research and promotion activities to strengthen 22 commodities\u2019 position in the marketplace. The agency has taken steps to improve oversight activities based on recommendations in USDA OIG\u2019s 2012 report, but it continues to face challenges in other oversight activities. For example, AMS has not consistently reviewed subcontracts during its management reviews. Without revising its standard operating procedures for check-off programs to recognize that management reviews should include a sample of subcontracts for review, AMS\u2019s ability to prevent misuse of subcontract funds is impaired.", "In addition, AMS has not consistently followed up on recommendations made to check-off boards, although its guidelines and standard operating procedures state that marketing specialists are to ensure that corrective actions are taken by the boards in a timely manner if a matter is recommended in a management review. Without establishing a mechanism for documenting and tracking follow-up with checkoff boards on the implementation of management review recommendations, AMS has no assurance that it is consistently monitoring the status of corrective actions. Moreover, AMS has not ensured that independent financial audits contain statements of assurance as called for in the agency\u2019s program guidelines or standard operating procedures. Without ensuring that its annual independent financial audits include the five statements of assurance outlined in the standard operating procedures, AMS will have less certainty that check-off funds are not subject to waste, fraud, or mismanagement.", "Further, although principles of corporate governance state the importance of transparency for stakeholders, AMS has not ensured that certain information, such as budget summaries and program evaluations, are presented on check-off program websites and has not included in its guidelines or standard operating procedures that certain information should be included on program websites, although the agency\u2019s program guidelines recognize that transparency of check-off funds is critical. Without including in the guidelines and standard operating procedures that key check-off board documents are to be posted on the check-off program\u2019s website, AMS may miss the opportunity to ensure that some assessment payers have access to information on program operations and effectiveness.", "Finally, check-off boards are meeting legislative deadlines by completing independent economic evaluations of effectiveness every 5 years; however, the evaluations vary and have certain methodological limitations. Without developing criteria by which AMS can assess whether evaluations have a credible methodology and results and documenting those assessments, the assessments may be inconsistent across check- off programs and misleading to agency officials, check-off boards, and assessment payers."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to the Administrator of the Agricultural Marketing Service: The Administrator of AMS should revise the standard operating procedures for AMS\u2019s check-off programs to state that management reviews include a sample of subcontracts for review. (Recommendation 1)", "The Administrator of AMS should establish a mechanism for documenting and tracking follow-up with check-off boards on the implementation of management review recommendations. (Recommendation 2)", "The Administrator of AMS should ensure that annual independent audits include the five statements of assurance as outlined in the standard operating procedures. (Recommendation 3)", "The Administrator of AMS should include in the guidelines and standard operating procedures that key check-off board documents, such as bylaws and policy statements, annual reports, and independent evaluations of economic effectiveness are posted on the check-off programs\u2019 websites. (Recommendation 4)", "The Administrator of AMS should develop criteria by which to assess the methodology and results of independent evaluations and document those reviews to ensure that the standard operating procedures are met. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to USDA. An auditor with AMS\u2019s Management and Analysis Program responded via e- mail on October 24, 2017, that the agency generally agreed with our findings and recommendations.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or morriss@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, key contributors to this report included Thomas M. Cook (Assistant Director), Rose Almoguera, Kevin S. Bray, Barbara El Osta, Cindy Gilbert, Holly Halifax, Khali Hampton, Dan Royer, Holly Sasso, Sheryl Stein, and Kiki Theodoropoulos."], "subsections": []}]}], "fastfact": ["Remember \"Got Milk?\"", "Those ads are sponsored by 1 of 22 industry-led research and promotion programs funded by producers of commodities like dairy or pork and such ads are overseen by USDA. These \"check-off\" programs have restrictions on their activities, such as being prohibited from promoting false advertising.", "We reviewed USDA's process for overseeing program activities and financial controls. We made 5 recommendations, including that it consistently review subcontracts to prevent misuse of funds, and ensure documents are on program websites to promote transparency and ensure stakeholders have access to information on program operations."]} {"id": "GAO-18-22", "url": "https://www.gao.gov/products/GAO-18-22", "title": "Federal Regulations: Key Considerations for Agency Design and Enforcement Decisions", "published_date": "2017-10-19T00:00:00", "released_date": "2017-11-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Within the limits of their statutory authority, agencies may design their regulations in different ways to achieve intended policy outcomes. Agencies also decide how they will promote compliance with their regulations and ensure that regulated entities are informed of regulatory requirements.", "GAO was asked to review how agencies make regulatory design and enforcement decisions. This report describes how selected agencies report (1) making decisions on regulatory designs among available options, (2) making decisions to designate resources among available compliance and enforcement activities, and (3) evaluating those decisions, and also identifies (4) key considerations for decision makers related to regulatory design and enforcement. To describe how agencies make and evaluate these decisions, GAO reviewed regulatory processes and spoke with officials at six executive departments\u2014the Departments of Agriculture (USDA), Commerce, Health and Human Services (HHS), Labor (Labor), and Transportation and the Environmental Protection Agency (EPA)\u2014based on volume of significant rulemaking, and 13 subcomponents within those departments. To identify key considerations for regulatory decision makers, GAO reviewed existing criteria, including statutory and Executive requirements, conducted a literature review, and obtained input on identified considerations with subject matter specialists.", "GAO is not making any recommendations in this report. USDA, HHS, Labor, and the EPA provided technical comments that were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies have multiple available regulatory designs. Selected agency processes for choosing among them are informed by statutory and Executive requirements, regulatory objectives, and statutory discretion. Officials reported a preference for \u201cperformance\u201d designs that establish an outcome but allow flexibility in how to achieve it, but stated that in some cases their objectives could require use of more prescriptive \u201cdesign-based\u201d regulations that specify a certain required technology or action. Officials at all selected agencies stated that they discuss potential regulatory designs internally, but some agency processes also included practices such as documentation of identified design options and assessments of the options' risks and enforcement implications.", "Selected agencies used multiple tools and approaches for allocating resources to elicit compliance. Agencies generally have flexibility to use a mix of tools, including providing compliance assistance to help regulated entities understand requirements, and monitoring and enforcement through inspections. Selected agency processes to allocate compliance resources vary, and agencies reported using collected data to target enforcement resources to address risks.", "Selected agencies supplemented feedback on effectiveness of their regulatory design and enforcement approaches with evaluations, which agency officials said could prompt changes. When agencies identify noncompliance, selected agencies may update their regulation or their compliance strategy.", "GAO identified key considerations to strengthen agency decisions related to regulatory design and enforcement (see figure). These build on current directives, academic research, and the experiences of selected agencies and are intended to serve as a resource for decision makers in designing\u2014or redesigning\u2014their regulations and determining how best to elicit compliance."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal regulations are one of the many tools that agencies use to achieve national goals, such as improving the economy and protecting the health and safety of the public and the environment. Within the limits of their statutory requirements and authority, agencies may design regulations in different ways to achieve intended policy outcomes. These regulatory designs range from designs that generally provide regulated entities with greater flexibility and options for compliance (\u201cperformance\u201d regulations) to prescriptive designs that specify a certain technology or action regulated entities must adopt (\u201cdesign-based\u201d regulations). Each regulatory design has its advantages and disadvantages. For example, a regulation that provides flexibility on how to comply may leave regulated entities with less certainty on whether they are in compliance.", "Agencies also decide how they will promote compliance with their regulations and deter noncompliance. Within available resources, agencies must tailor these efforts to encourage voluntary compliance and to inform regulated entities of regulatory requirements. While regulations can generate substantial benefits to society, they also have costs, and thus decisions agencies make about their regulatory designs and the way that they enforce those regulations are important. The Office of Management and Budget (OMB) estimated annual benefits from major federal regulations issued in fiscal years 2005 through 2015 to be from $208 billion to $672 billion, and estimated annual costs from $57 billion to $85 billion.", "You asked us to review how agencies make key decisions related to regulatory design, compliance and enforcement, and updating of regulations. This report describes how selected agencies report (1) making decisions on regulatory designs among available options, (2) making decisions to designate resources among available compliance and enforcement activities, and (3) evaluating those decisions, and also identifies (4) key considerations for decision makers related to regulatory design and enforcement.", "To describe agency experiences and decisions regarding regulatory design and compliance and how they evaluate those decisions, we reviewed regulatory processes at six departments\u2014the United States Departments of Agriculture (USDA), Commerce (Commerce), Health and Human Services (HHS), Labor (Labor), and Transportation (DOT), and the Environmental Protection Agency (EPA)\u2014and 13 subcomponents within those departments. To illustrate a wide range of regulatory designs and resulting compliance activities, we selected the six executive branch departments (excluding the Department of Defense) that promulgated the most significant regulations between September 1, 2011, and August 31, 2016.", "We used reginfo.gov data to identify the number of significant regulations. We assessed the reliability of those data by reviewing relevant documentation, interviewing knowledgeable agency officials, and electronically and manually testing the data for missing values, outliers, and invalid values, and we found the data to be sufficiently reliable for the purpose of identifying selected departments. The experiences of these selected executive branch departments are illustrative and nongeneralizable.", "From these departments, we selected subcomponents for nongeneralizable case studies based on (1) information provided by department officials engaged in regulatory activities on their subcomponents\u2019 use of regulatory designs and on subcomponents that had amended or changed their regulatory design or compliance strategies or used compliance activities other than traditional compliance assistance and enforcement and (2) a review of past Inspector General (IG) and our own work on types of regulatory designs and compliance strategies. We excluded independent regulatory agencies in our scope as they are not subject to directives from OMB. In reviewing enforcement strategies used by agencies, we did not review federal regulatory programs for which enforcement has been delegated to states or localities. See table 1 below for our selected departments and subcomponents.", "To illustrate how our selected agencies make decisions regarding regulatory design and compliance and how they evaluate those decisions, we reviewed agency written procedures and interviewed department and subcomponent officials on their practices for making these decisions. We analyzed information from those documents and interviews to identify and confirm common patterns as well as differences across selected agencies. These experiences illustrate how the selected agencies currently make these decisions, the outcomes of those decision-making processes, and their evaluation practices.", "To identify key considerations for decision makers related to regulatory design and enforcement, we reviewed existing criteria, including statutory and Executive requirements as well as resources for managers, and conducted a literature review to ensure that our considerations incorporated applicable academic and government research and findings. These considerations were also refined by the current practices and approaches of the selected agencies we reviewed. We obtained input on these considerations with subject matter specialists selected based on the results of our literature review and with officials from our selected agencies. Appendix I contains more information on our objectives, scope, and methodology.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Statutory and Executive requirements assert broad principles and require agencies to consider alternative ways of regulating and preferred regulatory designs, such as performance standards rather than means- based design standards. Further, these requirements and directives urge agencies to consider alternative approaches to eliciting compliance, such as alternative reporting methods or delaying compliance dates.", "The Regulatory Flexibility Act (RFA) requires federal agencies to examine the impact of proposed, final, and existing rules on small businesses, small organizations, and small governmental jurisdictions, and to solicit the ideas and comments of such entities for this purpose. Among other requirements, the RFA requires that agencies consider regulatory alternatives that accomplish the stated objectives of a proposed rule while minimizing any significant impact on small entities. However, the RFA does not mandate any particular outcome in rulemaking.", "Executive Order 12866 (E.O. 12866), issued in 1993, promotes a regulatory philosophy and set of principles that, to the extent permitted by law and where applicable, encourages agencies to assess costs and benefits of their proposed and final regulations. It also directs agencies to consider available regulatory alternatives in all regulations, including the alternative of not regulating, and generally select those alternatives that maximize net benefits, to the extent permitted by statute. Alternatives to direct regulation include providing economic incentives to encourage the desired behavior (such as user fees or marketable permits) or providing information upon which choices can be made by the public. If an agency determines that direct regulation is necessary, the Executive Order directs the agency, to the extent feasible, to specify performance objectives, rather than specifying the behavior or manner of compliance that regulated entities must adopt. Subsequent executive orders across administrations have reaffirmed this philosophy and these principles.", "Circular A-4, issued by OMB in 2003, provides guidance and best practices to federal agencies for determining the potential effects of new regulations. A-4 directs agencies to consider a number of regulatory alternatives, including market-oriented approaches rather than direct controls, performance standards rather than design standards, informational measures, and different compliance dates and enforcement methods, among others.", "The RFA, specific statutes, and multiple executive orders have also emphasized the importance of regulatory lookbacks, also referred to as retrospective reviews, in which agencies evaluate how existing regulations work in practice:", "Statutory requirements: The RFA\u2019s Section 610 requires agencies to review all regulations that have or will have a significant impact on small entities within 10 years of the publication of the rule to determine whether such rules should be continued without change, or should be amended or rescinded, consistent with the stated objectives of applicable statutes, to minimize impacts on small entities. Congress also established other requirements for agencies to review the effects of regulations issued under specific statutes, such as the Clean Air Act.", "Executive Order 13771, issued in January 2017, requires executive agencies to identify at least two existing regulations to be repealed whenever they publicly propose or otherwise promulgate a new regulation, unless prohibited by law. Agencies must also annually provide their best approximation of the total costs or savings associated with each new regulation or repealed regulation to OMB. Finally, the order requires that the total incremental cost of all new regulations, including the savings for regulations that have been repealed, be no greater than zero for fiscal year 2017, unless otherwise required by law or consistent with advice provided in writing by the OMB Director.", "Executive Order 13777, issued in February 2017, requires agencies to designate an agency official as its Regulatory Reform Officer. Regulatory Reform Officers oversee the implementation of regulatory reform initiatives to ensure that agencies effectively carry out regulatory reforms, consistent with applicable law. Agencies must also establish Regulatory Reform Task Forces to evaluate existing regulations and make recommendations regarding their repeal, replacement, or modification, consistent with applicable law."], "subsections": []}, {"section_title": "Selected Agencies Reported Using Statutory and Executive Requirements and Regulatory Objectives in Their Decision- Making Processes", "paragraphs": [], "subsections": [{"section_title": "Agencies Have Multiple Regulatory Design Options Available to Achieve Their Objectives Depending on Statutory Discretion", "paragraphs": ["When agencies determine that they may need to regulate, they generally have multiple regulatory designs available to achieve their objectives. Agencies are directed by statute and Executive requirements to assess alternatives to regulatory action\u2014including not issuing new regulations\u2014 and different ways of regulating. Available regulatory designs range from prescriptive regulations that specify the adoption of a certain technology or action to designs that generally provide regulated entities with more discretion and options for compliance, and in some instances hybrid designs that incorporate both prescriptive and less prescriptive elements. Alternatives to prescriptive regulations provide regulated entities with greater flexibility. For example, performance-based regulations require a certain outcome but allow regulated entities discretion to determine how they will achieve that outcome, while market-based regulations use tradeable permits or fees to influence behavior.", "Table 2 highlights the regulatory designs identified through our literature review and corroborated by subject matter specialists and agency officials. The table includes selected examples of applicable regulations implemented by our case study agency subcomponents.", "Statutes give agencies varying degrees of discretion to consider multiple designs as they develop regulations to meet their objectives. In some instances, Congress directs agencies by statute to implement specific regulatory designs. For example, the Occupational Safety and Health Act directs the Occupational Safety and Health Administration (OSHA), when promulgating a standard, to either (1) adopt existing scientific and industry consensus standards for workplace health and safety, or (2) explain why the standard adopted by the agency better protects workers than the national consensus standard. In addition, requirements dealing with exposures to toxic materials must be formulated in the terms of \u201cobjective criteria and the performance desired\u201d whenever practicable. The Clean Air Act provides EPA\u2019s Office of Air and Radiation (OAR) with varying degrees of discretion to consider different regulatory designs when developing its regulatory programs. For example, the Clean Air Act gave the office broad authority to establish a tradable emissions allowance system\u2014commonly referred to as cap and trade\u2014with a market-based design for its Acid Rain Program, but to promulgate specific prescriptive regulations for the National Emission Standards for Hazardous Pollutants program."], "subsections": []}, {"section_title": "Selected Agencies Stated a Preference for Less Prescriptive Designs to Achieve Regulatory Objectives", "paragraphs": ["Officials at selected agencies reported a general preference for less prescriptive regulations in accordance with E.O. 12866, Circular A-4, and other Executive requirements, which encourage agencies to consider less prescriptive regulatory design options for achieving their objectives. For example, DOT officials told us that, when choosing among regulatory design options, they prefer performance-based regulations over means- based regulations. Officials from DOT\u2019s Pipeline and Hazardous Materials Safety Administration (PHMSA) told us that performance-based regulations\u2014as implemented for classifying and packaging hazardous material\u2014allow them to accommodate innovations among regulated entities, adapt to technological advances, and promote the competitiveness of U.S. firms in global markets without having to subsequently revise the regulations.", "The following examples illustrate how some selected subcomponents have (1) encouraged the development of less prescriptive design options for new regulatory programs, and (2) updated or replaced existing regulations to incorporate more flexible designs.", "Developing trainings to encourage less prescriptive designs: Two selected subcomponents produced training materials to promote the consideration of all options for designing effective regulation, including less prescriptive regulations where appropriate. EPA\u2019s Office of Enforcement and Compliance Assurance developed a workbook and supplemental training course that present principles and tools to help rule drafters consider the relative effectiveness of different designs for achieving regulatory objectives, including how the degree of prescriptiveness can either promote or hinder compliance. The Federal Aviation Administration\u2019s (FAA) \u201cPerformance-Based Regulations Training\u201d course uses real world examples and team exercises to teach rule drafters (1) the concepts that inform performance-based designs, (2) the relationship between prescriptive and less prescriptive regulatory approaches, and (3) considerations for developing and assessing performance-based regulations.", "Updating or replacing existing regulations to incorporate flexible designs: FAA\u2019s 2016 airworthiness standards for small airplanes replaced some prescriptive design requirements with more flexible performance-based standards. Agency officials told us that they expect the new regulation will improve safety and cost-effectiveness (such as by reducing compliance costs) while facilitating future technological innovations. Animal and Plant Health Inspection Service (APHIS) officials told us that increased international demand for cattle exports put pressure on their inspection infrastructure and prompted them to replace their formerly prescriptive standards with performance-based regulations that officials described as more flexible and easier to adapt to changing circumstances. Food Safety and Inspection Service (FSIS) officials told us that their Hazardous Analysis and Critical Control Points (HACCP) Rule represented a shift from FSIS\u2019s traditional means-based regulations (which mandated specific food production standards) to a mixed performance- and management-based regulatory program (which monitors food safety plans and production outcomes)."], "subsections": []}, {"section_title": "Agencies Reported that Regulatory Objectives May Require Prescriptive Designs or Use of Multiple Designs", "paragraphs": ["Despite a general preference for less prescriptive designs among selected agencies, officials from nine selected subcomponents told us that their regulatory objectives sometimes required a prescriptive regulation or that in some instances regulated entities expressed a preference for prescriptiveness.", "Mine Safety and Health Administration (MSHA) officials told us that their regulations were often necessarily prescriptive to implement and enforce the mine health and safety standards required by statute. For example, based on data from the National Institute for Occupational Safety and Health, MSHA determined that requiring more frequent respirable dust sampling for mining occupations known to have high dust levels and requiring the use of certain monitoring devices to measure respirable coal dust exposure are necessary to limit exposure to respirable coal mine dust and thus reduce occupational lung diseases.", "Bureau of Industry and Security (BIS) officials told us that their export licensing regulations are necessarily prescriptive to narrowly target specific items as unacceptable for export due to national security or commercial sanctions against certain countries.", "Food and Drug Administration (FDA) officials told us that, while they try to achieve a balance between prescriptive and less prescriptive regulatory designs, in some instances prescriptive regulations are the only means of ensuring public health and safety.", "Officials from EPA\u2019s Office of Chemical Safety and Pollution Prevention (OCSPP) told us that, when given non-prescriptive regulatory options, small businesses generally prefer prescriptive regulations with clear compliance requirements to minimize uncertainty.", "An EPA OAR official told us that, during the update of a recent regulation on refrigerants, the agency considered including a provision allowing operators of pollutant-emitting facilities the option to either (1) set a corporate-wide budget for leaks covering all facilities, or (2) comply with a prescriptive regulation for individual appliances susceptible to leakage. Based on feedback from regulated entities and EPA enforcement officials, who voiced a need for predictability and ease of monitoring, EPA officials said that they ultimately chose to promulgate the more prescriptive regulation instead of the more flexible, but challenging to implement, corporate-wide approach.", "Ten selected subcomponents incorporated multiple design elements into their regulations\u2014what we refer to as hybrid designs\u2014that offer more flexibility or, conversely, more clarity to meet the needs of different regulated entities.", "PHMSA officials told us that their special permits programs for hazardous materials and pipelines allow regulated entities the flexibility to determine their own means of satisfying transportation safety requirements if they achieve the same level of safety prescribed by regulation.", "FAA officials told us that most of their safety standards are necessarily prescriptive to ensure clarity and uniformity. However, they said that they often encourage the use of multiple designs in their rulemakings that allow for both performance-based and means-based regulations\u2014as with the 2016 airworthiness standards for small airplanes.", "OSHA officials told us that they provide employers with multiple options for achieving regulatory compliance that incorporate both prescriptive and less prescriptive design elements. For example, OSHA\u2019s health standards regulating crystalline silica exposure among construction site workers provides employers both a performance- based option (which allows regulated entities discretion in determining how to meet permissible exposure limits), and a means-based option (in which regulated entities implement specified exposure mitigation measures for designated tasks).", "FDA and FSIS have both implemented voluntary programs to promote the adoption of practices among regulated entities that align with the agencies\u2019 regulatory objectives. FSIS encourages regulated food facilities to develop voluntary food defense plans as a means of mitigating potential health hazards and strengthening food safety. FDA officials told us they issued voluntary food labeling standards for raw fruits and vegetables to assist in establishing an industry standard, and achieved 80 percent compliance among regulated entities."], "subsections": []}, {"section_title": "Selected Agency Processes Included Practices for Considering and Assessing Regulatory Design Options", "paragraphs": ["All selected agencies told us their processes for drafting regulations incorporated internal discussions to consider available regulatory design options. For example, Employee Benefits Security Administration (EBSA) officials told us that the agency\u2019s process encourages rule drafters to solicit input from internal and external stakeholders to inform the consideration of all possible regulatory design options available to achieve statutory objectives. BIS officials told us that proposals for broadly applicable regulations\u2014including available design options\u2014are discussed and vetted with multiple stakeholders, including (1) BIS subcomponent officials, (2) Office of General Counsel staff, (3) agency engineers, and (4) external technical advisory committees.", "However, some selected subcomponents\u2019 processes for drafting proposed regulations also included documentation of identified design options for achieving objectives and assessments of risk or enforcement and compliance implications of identified design options. These practices for identifying and assessing regulatory designs are described in the following examples.", "Documenting the assessment of design options for achieving regulatory objectives: EPA uses an Analytical Blueprint to identify the range of regulatory design options considered throughout the Action Development Process (ADP)\u2014the agency\u2019s process for developing and responding to public comments on new regulatory proposals. FSIS officials told us that rule drafters develop an \u201coptions paper\u201d to identify and assess alternative approaches to achieving regulatory objectives based on multiple inputs, including (1) data analyses, (2) subject matter expertise, and (3) stakeholder feedback. FAA officials told us that rule-drafting groups discuss regulatory design options when developing a Rulemaking Action Plan and present these alternatives in briefing documents to the principal agency managers, referred to as \u201cprincipals briefs.\u201d FDA officials told us that rule-drafting groups generally develop a concept paper or other summary document to determine the optimal means of achieving a regulatory goal, including considerations of multiple design options.", "Assessing the risk associated with identified regulatory design options: Three selected subcomponents incorporated assessments of risk into their rule-drafting procedures. DOT\u2019s Rulemaking Requirements direct agency officials to \u201cconsider, to the extent reasonable, the degree and nature of the risks posed [by agency action]\u201d and \u201chow the agency action will reduce risks to public health, safety, and the environment\u201d per Executive Order 12866. EPA\u2019s ADP specifies that Analytic Blueprints identify, assess, and discuss the risk management implications of proposed regulatory design options. USDA\u2019s Regulatory Decisionmaking Requirements direct rule drafters to conduct a comparison of risks for regulatory design options and provide a description of the level of uncertainty and unknowns associated with each design.", "Assessing the enforcement and compliance implications of identified regulatory design options: An official from FSIS told us that representatives from its Office of Field Operations or Office of Investigation, Enforcement, and Audit often participate in rule-drafting groups to provide an enforcement perspective. A BIS official told us that rule drafters solicit informal feedback from enforcement officials to ensure the practicability of regulatory standards during both the development of prospective regulations and the initial implementation of new regulations.", "EPA\u2019s procedures require that enforcement officials participate in EPA\u2019s ADP rule-drafting groups for rules involving \u201cprecedent-setting policy implications\u201d and \u201cextensive cross-agency participation,\u201d and EPA officials told us that enforcement officials also are often involved in the drafting of other rules. Further, EPA Office of Enforcement and Compliance Assistance\u2019s training and guidance materials encourage rule drafters to incorporate compliance principles\u2014such as clarity, consistency, and transparency\u2014into their decision making and consider how regulatory design choices can influence later compliance and need for enforcement.", "Considering compliance and enforcement implications while making regulatory design decisions is important because agency officials stated that different design choices have implications for future compliance and enforcement resources. For example, PHMSA officials told us they create an implementation plan for any proposed regulation with an expected impact on enforcement resources. Officials from OSHA and EPA Office of Land and Emergency Management (OLEM) told us that management-based regulations\u2014 such as OSHA\u2019s Process Safety Management requirements for oil refineries and chemical facilities and OLEM\u2019s Risk Management Program for facilities that use hazardous chemical substances\u2014can be resource-intensive to enforce because of the greater technical expertise needed to review highly individual and technical plans among heterogeneous regulated entities to ensure compliance. An EPA OAR official told us that the design of its cap-and-trade system\u2014 tradeable allowances that require regulated entities to monitor and report their emissions to EPA\u2014limits the need for enforcement resources to only those entities that do not comply with monitoring, reporting, and allowance-holding requirements."], "subsections": []}]}, {"section_title": "Selected Agencies Reported Using Multiple Tools and Approaches for Allocating Resources to Elicit Compliance", "paragraphs": [], "subsections": [{"section_title": "To Elicit Compliance, Agencies Generally Have Flexibility to Use a Mix of Available Tools", "paragraphs": ["When regulations are promulgated, agency officials must determine how they will promote compliance with their regulations and deter noncompliance. Agencies generally have the flexibility to tailor their compliance and enforcement strategies to encourage voluntary compliance and inform regulated entities of regulatory requirements. Agency officials decide on the appropriate mix of compliance assistance together with monitoring and enforcement efforts to achieve regulatory outcomes.", "Based on our review of relevant academic literature, there are multiple tools available to agencies to elicit compliance, although agencies traditionally use two tools to achieve their objectives. The first, compliance assistance, helps regulated entities understand and meet regulatory requirements. For example, an agency may consider providing assistance through educational materials and outreach to promote compliance among regulated entities. The second, the use of monitoring, enforcement, and data reporting, ensures that regulations are followed and deters noncompliance. Agencies may also supplement these traditional approaches with options that provide more accommodating and flexible opportunities to promote compliance among regulated entities, such as developing cooperative programs or providing onsite consultation services. Table 3 identifies some of the options by which agency officials may accomplish their regulatory goals.", "As described in table 3, agencies use compliance assistance tools, such as education and consultation, to ensure that regulated entities understand regulatory requirements and provide examples of how to comply. One way that agencies do this is by providing regulatory guidance to regulated entities in the forms of Frequently Asked Questions, tools, or factsheets. We reported in 2015 that agencies used a wide variety of guidance to interpret new regulations and clarify policies in response to questions or compliance findings. However, we have also recommended that selected agencies could further help regulated entities comply, and agencies have implemented those recommendations by offering further clarifications and guidance. The selected subcomponents that we reviewed employed a variety of compliance assistance activities. For example:", "FSIS provides compliance guidance and makes training materials available to its regulated entities, such as meat, poultry, and egg product plants, and maintains help desks to provide technical assistance to its regulated community.", "BIS holds domestic and international seminars, provides online and in-person trainings, responds to inquiries submitted online, issues industry advisory opinions, and works with other federal agencies to provide immediate error alerts to filers using their Automated Export System.", "FDA provides web-based, in-person, and telephone education and outreach; hosts webinars, public meetings, and stakeholder meetings; and posts training videos and blogs. For example, the agency established a central source of information for questions related to its 2011 Food Safety Modernization Act rules, programs, and implementation strategies.", "Regulatory agencies also engage in enforcement activities such as inspections, monitoring reported data, and issuing fines when noncompliance is identified. The selected agencies we reviewed reported using criteria such as data, compliance history, and trends in noncompliance to identify risks and more efficiently target enforcement activities. For example:", "OSHA conducts two types of inspections\u2014\u201cun-programmed\u201d and \u201cprogrammed\u201d\u2014to target resources for the 8 million workplaces it regulates. Un-programmed inspections respond to specific complaints or injuries, while programmed inspections target resources towards specific high-risk industries and employers.", "FSIS officials analyze noncompliance trends for its food safety process control regulations at meat, poultry, and egg processing facilities and send inspection officials \u201cearly warning\u201d alerts when the establishments they inspect reach certain noncompliance rates.", "APHIS\u2019s Animal Care program uses its Risk Based Inspection System to conduct more frequent and in-depth inspections at facilities with a higher risk of animal welfare concerns, and fewer at those that are consistently compliant. The system uses criteria, such as past compliance history and the seriousness of documented noncompliance, to determine minimum inspection frequencies for licensed and registered facilities.", "The selected agencies also reported supplementing traditional compliance assistance and enforcement approaches with other tools, including:", "Cooperative programs: OSHA uses multiple cooperative programs to recognize employers who have introduced health and safety initiatives at their worksites that exceed requirements. OSHA\u2019s Voluntary Protection Program rewards employers that exceed worker safety requirements through an exemption from routine inspections while they maintain their status in the program. Participating employers are reevaluated every 3 to 5 years. OSHA uses its Challenge Program to partner successful employers as mentors for employers who are attempting to improve their safety and health programs. The Centers for Medicare and Medicaid Services\u2019 (CMS) Skilled Nursing Home Facilities Value Based Purchasing Program is authorized to use incentive payments to recognize nursing homes that exceed minimum standards of quality.", "Onsite consultation services: OSHA works with state governments to provide onsite consultation services to small- and medium-sized businesses. These consultations assist employers to identify potential hazards and improve their injury and illness prevention programs. MSHA offers compliance assistance and outreach through \u201cwalk and talks\u201d during which MSHA inspectors and education outreach staff provide mine operators and miners with information on hazardous tasks and conditions, as well as offer best practices to prevent accidents, injuries, and fatalities.", "Voluntary disclosures: FAA implements a number of voluntary reporting programs. For example, its Flight Operational Quality Assurance program allows commercial airlines and their employees to anonymously report incident information. The agency then uses this information to monitor trends and target resources. BIS encourages parties who believe they may have violated its export regulation to self-disclose. Officials then review the disclosure to determine if a violation has occurred and to identify the appropriate corrective action. BIS views a self-disclosure as an indicator of a party\u2019s intent to comply with its requirements. EBSA\u2019s Voluntary Fiduciary Correction Program and Delinquent Filer Voluntary Correction Program encourage voluntary compliance by allowing plans and plan fiduciaries to self-correct certain violations and by offering relief from higher civil penalty assessments.", "Third-party certification: EPA OCSPP\u2019s formaldehyde emissions rules require foreign and domestic wood mills to receive a third party certification that certain wood products meet defined standards. EPA must approve the third parties that certify the products."], "subsections": []}, {"section_title": "Selected Agencies Reported Considering Multiple Factors and Take Different Approaches to Allocating Resources to a Mix of Compliance and Enforcement Tools", "paragraphs": ["Agencies generally have flexibility in making decisions on and allocating resources for a mix of compliance assistance and enforcement strategies. However, some selected agencies reported that statutory requirements, programmatic constraints, and changing priorities affected how they allocated resources for compliance and enforcement activities. For example:", "MSHA must prioritize available resources to fund inspections because they are required by law to inspect every underground mine four times a year and every surface mine twice each year. Once those resources have been allocated for inspection, any additional resources may then be used for compliance related activities.", "FSIS\u2019 allocation of resources is similarly constrained because it is statutorily required to be present at every meat, poultry, and egg product facility whose product enters into commerce in order for the facility to operate.", "APHIS is programmatically constrained in allocating resources between enforcement and compliance assistance because another federal department enforces some of their promulgated regulations, and thus determines compliance resources and approaches. The agency\u2019s Agricultural Quarantine Inspection program inspection activities are performed by Customs and Border Protection within the Department of Homeland Security.", "The type and behavior of regulated entities also affects selected agency decisions on strategies to achieve compliance. The characteristics of regulated entities\u2014such as the hetero- and homogeneity of the regulated community and frequency of interaction with agency officials\u2014may inform agency compliance assistance and enforcement resource decisions. Some of the selected agencies described frequent interaction with regulated entities that were homogeneous or easily identified. As a result, officials said it is easier for their agencies to ensure that regulated entities are aware of applicable requirements, and that there may be less need to invest in compliance assistance. For example, the operators of the pipelines PHMSA regulates are a small and well known community. Similarly, FSIS inspectors must be present at each meat, poultry, or egg products facility, at frequencies determined by the type of operation being conducted, for it to function. MSHA inspects a fixed number of mines, and its inspectors are often onsite; however, MSHA officials stated that some mines are better at complying with health and safety standards than other mines.", "In contrast, large and heterogeneous communities present different needs and considerations that may inform agencies\u2019 compliance assistance and enforcement resource decisions. When regulated entities are less likely to engage with inspectors or other federal officials, agencies\u2019 decisions on allocating resources to ensure all regulated entities understand requirements and to elicit voluntary compliance are important. As previously discussed, OSHA regulates and monitors a large and diverse community of regulated entities. EBSA monitors approximately 685,000 private retirement plans and 2.2 million health plans, and similar numbers of other welfare benefit plans. CMS regulates more than 15,000 large and small nursing home facilities across the country. In contrast to its pipeline-related regulations, PHMSA also regulates a broad spectrum of transportation operators and hazardous materials, requiring a different approach to disseminating information and providing outreach.", "At the selected agencies we reviewed, agency officials told us that the main objective of their regulatory enforcement efforts is to achieve compliance with regulatory requirements. The selected agencies we reviewed took different approaches to achieve compliance, and used compliance and enforcement tools to escalate pressure to get regulated entities to comply. For example, FDA officials told us that when the agency identifies noncompliance, it may not immediately sanction a regulated entity. Rather, the agency may begin with a meeting or call with the regulated entity to address the noncompliance, and gradually implement more serious regulatory compliance measures (such as a negative inspection report or warning letter) or even seek an injunction from the relevant court(s) if it cannot resolve the noncompliance.", "APHIS also uses a range of compliance assistance activities to promote compliance and reserves its enforcement authority for the most serious situations and noncompliance. For example, APHIS officials told us it offers facilities struggling to maintain compliance the opportunity to work with trained compliance specialists to develop options and plans to promote future compliance. PHMSA officials told us the agency uses the Systems Integrity Safety Program as a non-adversarial tool that provides compliance assistance to regulated entities not currently in compliance. They said that the agency generally will not initiate enforcement actions against regulated entities enrolled in this program, but will pursue them if there are violations that PHMSA believes to be willful, and where a safety violation presents an imminent hazard.", "Despite a common objective to elicit compliance, selected agency approaches to resource allocations for compliance and enforcement differ. While some agencies consider allocations for compliance and enforcement to implement each individual regulation, others allocate resources across regulations and regulatory programs. For example, Labor allocates compliance assistance and enforcement resources for individual regulations depending on multiple factors, such as the nature of the regulation and underlying subject matter. In contrast, EPA allocates resources across regulations, programs, and regions. Its Office of Enforcement and Compliance Assurance works with each regional office to allocate enforcement and compliance assistance resources for the various programs across EPA.", "In addition, certain agencies we reviewed distinguish between compliance assistance and enforcement activities, while others view these activities as a joint effort. For example, EBSA allocates its resources between benefits advisors, who provide compliance assistance, and their enforcement staff. Conversely, OSHA inspectors provide compliance assistance to regulated entities in addition to their enforcement roles, supplementing onsite outreach and education provided by compliance assistance specialists located in regional offices.", "To appropriately allocate their enforcement and compliance resources, selected agencies we reviewed also collect and review data to identify noncompliance trends. For example:", "OSHA uses collected data to identify national and local special emphasis programs to highlight specific workplace health and safety issues as the focus of targeted outreach and enforcement efforts.", "EBSA\u2019s national office annually establishes enforcement priorities\u2014 and shifts resources to respond with new emphases\u2014through its guidance outlined in its Enforcement Program Operating Plan. In preparing this guidance, EBSA assesses current enforcement activities, identifies recent enforcement trends, analyzes available information regarding industry activities and areas of noncompliance, and reviews current policy considerations to identify possible areas of potential risk within the employee benefit plan industry.", "EPA officials told us they use their National Enforcement Initiatives to prioritize resources to compliance concerns that are particularly entrenched or problematic. Further, EPA initiated its Next Generation Compliance (NextGen) strategy to structure regulations and permits with new monitoring and information technology, expanded transparency, and innovative enforcement activities. NextGen was designed to increase transparency and real time information made possible by electronic reporting and advanced monitoring, and allows the agency and its stakeholders the opportunity to experiment with innovative approaches. Furthermore, EPA stated that it and its stakeholders are better able to identify and solve environmental issues, and address large regulated communities with approaches that go beyond traditional single facility inspections and enforcement."], "subsections": []}, {"section_title": "Selected Agencies Have Made Efforts to Make Compliance Data Transparent and Accessible", "paragraphs": ["Transparency and availability of data are important to promoting compliance and achieving regulatory objectives. The selected agencies that we reviewed have made efforts to make compliance and enforcement information more transparent and accessible to the public, including:", "All the Labor subcomponents we reviewed made efforts to make data and information more publically accessible. MSHA developed online compliance tools that allow the public to monitor a mine\u2019s compliance with key safety and health standards by providing a broad range of mine safety and health data, including information about mine inspections, accidents, injuries, illnesses, violations, employment, production totals, and air sampling. One of these tools is the \u201cRules to Live By Calculator,\u201d which focuses on the 49 safety standards most often associated with fatal mining accidents and serious injuries.", "EPA\u2019s Enforcement and Compliance History Online (ECHO) database provides integrated compliance and enforcement data for over 800,000 regulated facilities on air emissions, surface water discharges, hazardous waste, and drinking water systems. The database includes EPA, state, local, and tribal environmental agency compliance and enforcement records that are reported into national databases. ECHO also incorporates EPA environmental data sets to provide additional context for analyses.", "CMS created a \u201cNursing Home Compare\u201d website to assist consumers in comparing information about nursing homes. The website contains detailed information on the quality of care and staffing information for more than 15,000 Medicare- and Medicaid- participating nursing homes including a five-star scale of quality ratings of overall and individual performance on health inspections, quality measures, and hours of care provided per resident by staff performing nursing care tasks."], "subsections": []}]}, {"section_title": "Selected Agencies Reported They Evaluated Regulatory Decisions by Collecting Feedback, and Responses to Identified Noncompliance Varied", "paragraphs": [], "subsections": [{"section_title": "Selected Agencies Supplement Feedback on Effectiveness of Regulatory Design and Enforcement Approaches with Evaluations", "paragraphs": ["While agency officials receive feedback on their regulations during rulemaking, they also have opportunities to receive feedback during implementation of the regulation and as part of later retrospective review efforts. In 2007 and 2014, we reported on retrospective reviews of individual regulations, which agencies use to evaluate how existing regulations work in practice. As mentioned previously, two executive orders issued in 2017 also emphasize the importance of retrospective review, and officials from two agencies told us that they are currently examining their regulatory evaluation processes in response to these directives. To supplement retrospective review efforts, officials told us that they collect feedback from both internal and external stakeholders on the effectiveness of their regulatory design and enforcement decisions. This feedback may occur during rulemaking or during implementation, and might prompt changes. For example:", "EPA officials told us they provide opportunities for regulated entities to give feedback, and that they may reconvene the initial Regulatory Working Group for a rule if they heard complaints or concerns.", "At DOT, FAA officials told us they collect feedback about potential needs to update or change rules through requests for exemptions and through their various advisory committees. According to PHMSA officials, advisory committee inputs or petitions are two ways they evaluate the success of their regulations.", "MSHA officials told us that in response to comments received during rulemaking, they changed their rule on proximity detection systems for continuous mining machines, which protects miners from being struck by such machines. MSHA initially proposed specifying certain requirements for a technology but used a performance-based approach in its final rule. This experience subsequently informed MSHA\u2019s proposed design for its new rule for proximity detection systems for mobile machines, in which the agency proposed a performance standard from the outset of the rulemaking.", "A BIS enforcement official told us that his office requested a revision to an existing regulation that was difficult to enforce because it did not provide clear requirements for how companies could determine when a government-identified \u201cred flag\u201d\u2014a party on BIS\u2019 Unverified List\u2014 could be resolved. BIS received similar feedback from advisory committees and revised the regulation for clarity.", "According to APHIS officials, they evaluate the effectiveness of their compliance and enforcement activities by tracking compliance rates under the Animal Welfare Act and through feedback from their regulated entities. USDA officials also stated that interactions with inspectors and listening sessions provide the department\u2019s agencies with feedback.", "Selected agency officials cited concerns about changing the design of established regulatory programs and the resources required for the rulemaking process. Two of our selected agencies mitigated these concerns by piloting new regulatory designs. USDA implemented an ongoing project\u2014the HACCP Inspection Models Project\u2014to assess the viability of applying potential performance-based regulations to ensure food safety at hog and poultry processing facilities. After assessing inspection findings for the poultry pilot project and in response to public comments on the program, they ultimately determined that the regulation should be broadened to additional facilities. FAA used feedback from pilot studies, in which more than 30 public-use airports participated, to inform a proposed rule for Airport Safety Management Systems.", "Agencies also typically have flexibility to continue to change and adjust their compliance and enforcement strategies in response to feedback and evaluation without going through the rulemaking process to amend a final regulation. As previously mentioned, agencies assess the effectiveness of their enforcement and compliance efforts by collecting data to target their enforcement efforts. In addition, selected agencies identified evaluations of their enforcement and compliance efforts, including:", "DOL\u2019s Chief Evaluation Office officials told us they work with Labor components to (1) develop and implement research studies, (2) address how collected information is used to assess effectiveness, and (3) support data analysis to inform management decision making. For example, the office worked with OSHA to pilot changes to issuing and following up citations to increase employer responsiveness. The study, which began in 2015, found that employers who were part of the new citation process, which included elements such as a handout during inspections, postcard reminders, and a follow-up call, were 3.9 percentage points more likely to engage with OSHA.", "EPA\u2019s Office of Enforcement and Compliance Assistance wrote a guide for EPA managers and staff on their integrated strategic approach to effectively eliciting compliance, focusing on compliance assistance, incentives, monitoring, enforcement, and other tools. EPA has also conducted research on what makes a regulation more likely to be complied with and identified principles and tools to aid in writing more effective regulations. For example, EPA directs rule drafters to use clear and objective regulatory requirements and applicability criteria, to structure regulations to make compliance easier than noncompliance, and to leverage regulated entities and/or third parties to assess compliance and prevent noncompliance. It also encourages agency officials to leverage accountability and transparency through e-reporting to government and public access to data on websites.", "According to PHMSA officials, they developed formal enforcement goals, strategies, and metrics after reviewing leading practices for enforcement, including reviewing the compliance strategies at other DOT subcomponents. They analyzed data to identify commonalities between violations that are causal to incidents, as well as those that increased the severity of incidents. They also reviewed enforcement data to identify guidance that needs to be improved, provide feedback to inspectors, and ultimately provide ideas for improved rulemaking and regulatory design."], "subsections": []}, {"section_title": "Selected Agency Responses to Continued Widespread Noncompliance Varied", "paragraphs": ["Selected agencies responded differently when they identified continued widespread noncompliance through their evaluations or monitoring of compliance data. Some agencies told us they view a record of noncompliance as a fault in the regulation and may update their regulatory design, while others may change compliance strategies. FSIS officials told us they use enforcement data to analyze the effectiveness of their regulations, and may make changes to their regulations based on trends in noncompliance. According to PHMSA officials, they analyze enforcement data in several ways, including identifying regulations with the highest rates of noncompliance to understand weaknesses in individual regulations.", "MSHA officials told us that when an Inspector General audit found that its enforcement actions were not strong enough for repeat violators, the agency updated its Pattern of Violations regulation to better attain compliance. Conversely, OSHA officials told us that they view persistent noncompliance or workplace injuries and illness as indicating a need to revisit and readdress how compliance assistance is being provided and enforcement applied, rather than as a reason to adjust the regulation. EPA officials told us that they will update an existing regulation to solve an ongoing compliance problem only as a last resort due to the large resource investment required and disruption to regulated entities to adapt to changes in regulatory design."], "subsections": []}]}, {"section_title": "Key Considerations Could Strengthen Agency Regulatory Design and Enforcement Decisions", "paragraphs": ["We built upon current statutory and executive requirements and selected agencies\u2019 current practices to identify key considerations to strengthen agency processes for regulatory design and enforcement decisions. As agency officials craft regulations, they are guided by high-level statutory requirements, economic principles in executive orders, and OMB directives and resources. In accordance with those directives, our selected agencies have implemented varied practices to facilitate their regulatory design and enforcement decisions. Based on our review of those directives and the selected agencies\u2019 processes, as well as academic and practitioner research, past IG work and our own past work, and existing criteria and resources for federal managers, we identified key considerations for regulatory design and compliance to aid decision makers in designing\u2014or redesigning\u2014their regulations and determining how best to elicit compliance.", "The following key considerations for regulatory design and compliance in figure 1 are intended to serve as a resource to supplement existing directives and guidance. We identified these considerations to bridge the gap between high-level directives and current agency practices. These considerations can provide criteria for decision makers to identify, assess, and evaluate options for achieving their regulatory objectives. Further, we have offered elements for each consideration as concrete questions that agencies can ask themselves as they design their regulatory approaches to elicit compliance within statutory authority and available resources. Not all considerations are applicable in every instance. We recognize there are tradeoffs inherent in any choice, but we believe that these key considerations can strengthen agency decision making, resulting in more informed designs, plans for evaluations, and ongoing changes to compliance and enforcement approaches.", "We provided a draft of this report to the Secretaries of Agriculture, Commerce, Health and Human Services, Labor, and Transportation, the Administrator of the Environmental Protection Agency and the Director of the Office of Management and Budget for comment. The Departments of Agriculture, Health and Human Services, and Labor and the Environmental Protection Agency provided technical comments that were incorporated as appropriate. The Departments of Commerce and Transportation and the Office of Management and Budget did not provide comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretaries of Agriculture, Commerce, Health and Human Services, Labor, and Transportation; the Administrator of the Environmental Protection Agency; the Director of the Office of Management and Budget; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or krauseh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["You asked us to review how agencies make key decisions related to regulatory design, compliance and enforcement, and updating of regulations. This report describes how selected agencies report (1) making decisions on regulatory designs among available options, (2) making decisions to designate resources among available compliance and enforcement activities, and (3) evaluating those decisions, and also identifies (4) key considerations for decision makers related to regulatory design and enforcement.", "To describe agency experiences and decisions regarding regulatory design and compliance and how they evaluate those decisions, we reviewed regulatory processes at 6 departments and 13 subcomponents within those departments. To illustrate a wide range of regulatory designs and resulting compliance activities, we selected the six executive branch departments\u2014excluding the Department of Defense\u2014that promulgated the most significant regulations between September 1, 2011 and August 31, 2016. These departments were the United States Departments of Agriculture (USDA), Commerce (Commerce), Health and Human Services (HHS), Labor (Labor), and Transportation (DOT), and the Environmental Protection Agency (EPA). Among other inputs, the selected departments were also among those that most often promulgated regulations that were anticipated to affect small entities (such as small businesses, nonprofits, and governments) during the same time period. We used reginfo.gov to identify the number of significant regulations. We assessed the reliability of those data by reviewing relevant documentation, interviewing knowledgeable agency officials, and electronically and manually testing the data for missing values, outliers, and invalid values, and we found the data to be sufficiently reliable for the purpose of identifying selected departments. The experiences of these selected executive branch departments are illustrative and nongeneralizable.", "From these departments, we selected subcomponents for nongeneralizable case studies. These subcomponents were selected based on information provided by department officials engaged in regulatory activities on their departmental subcomponents\u2019 use of a variety of regulatory designs and any experience making changes to their regulatory design or compliance strategies based on new information (such as evaluations) or new circumstances (such as evolving technologies or changes in agency resources for compliance). We also asked department officials about subcomponents\u2019 use of compliance activities other than traditional compliance assistance and enforcement. To further inform our selection of subcomponents, we reviewed past Inspector General and our own work on types of regulatory designs and compliance strategies. We did not include independent regulatory agencies in our scope as they are not subject to directives from the Office of Management and Budget\u2019s (OMB) Office of Information and Regulatory Affairs. Furthermore, many independent agencies promulgate and administrate financial regulations, which present different considerations and have been the focus of other work we performed. In reviewing enforcement strategies used by agencies, we did not review federal regulatory programs for which enforcement has been delegated to states or localities.", "To illustrate how our selected agencies make decisions regarding regulatory design and compliance and how they evaluate those decisions, we reviewed agency written procedures and interviewed department and subcomponent officials on their practices for making these decisions. To develop themes and examples from our documentary and testimonial evidence, we analyzed information from relevant documents and interviews to identify and confirm common patterns as well as differences across selected agencies. These experiences illustrate how the selected agencies currently make these decisions, the outcomes of those decision- making processes, and their evaluation practices.", "To identify key considerations for decision makers related to regulatory design and enforcement, we reviewed existing criteria documents, including (1) elements of the Regulatory Flexibility Act; (2) applicable executive orders and guidance such as Executive Order 12866 and OMB Circulars A-4, A-11, and A-123; and (3) resources for federal managers, and leading practices we had previously reported on for enterprise risk management.", "To ensure that our considerations incorporated applicable academic and government research and findings we conducted a literature review. Our literature review incorporated searches of several academic, literature, and government sources\u2014including bibliographic databases such as ProQuest, Scopus, Academic OneFile, Public Affairs Information Service, and LexisNexis\u2014for articles or studies published from January 2011 through August 2016. The team searched for articles using several combinations of relevant key words such as: \u201cregulatory design,\u201d \u201cregulatory structure,\u201d \u201cregulatory compliance,\u201d and \u201cregulatory enforcement.\u201d We then identified the articles that were relevant to our objectives based on the independent review of two team analysts. In addition, we searched our own and selected federal Inspector General websites for any reports relevant to our objectives. These searches were not meant to be a comprehensive search of all available literature on the topic, but rather conducted to identify relevant work to inform our identification of key regulatory design and enforcement considerations for decision makers.", "We developed a data collection instrument for each of the academic and government literature search sources and our own reports. To analyze and summarize the results of the academic literature search, two analysts independently reviewed each relevant record in the search results to document information that was relevant to our objectives and to identify key themes to inform our key considerations. We reviewed all relevant articles and reports and summarized information in the data collection instrument that related to the following topics: regulatory design; regulatory design principles; enforcement and compliance; enforcement and compliance principles; regulatory or subject matter area; and general observations that were relevant to the engagement\u2019s objectives. In addition, we reviewed the annotated citations and references in selected articles to identify additional articles to include in the literature review and ensure that we were not omitting key literature related to regulatory design and enforcement.", "After applying identified criteria\u2014including key practices and elements of those practices\u2014to decision making about regulatory design and compliance, we obtained input on those considerations with officials from our selected agencies and with subject matter specialists. We initially selected and interviewed relevant specialists based on the results of our literature review (i.e., the authors of relevant articles or books included in our review). Based on suggestions from those individuals, we expanded our list of specialists and conducted a second round of interviews, ultimately speaking with 14 specialists. These considerations were also refined by the current practices and approaches of the selected agencies we reviewed.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Heather Krause at (202) 512-6806 or krauseh@gao.gov."], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Tim Bober, Assistant Director, Alexandra Edwards, Danny Berg, and Travis Hill. In addition, John Hussey, Timothy Guinane, Andrea Levine, Kayla Robinson, Robert Robinson, and Cynthia Saunders provided key assistance."], "subsections": []}]}], "fastfact": ["Federal agencies can design their regulations in many ways. For example, some regulatory designs establish an outcome but allow flexibility in how to achieve it, while others are more prescriptive and require certain technologies or actions.", "We looked at how some agencies choose among the regulatory designs and compliance and enforcement tools available to them, and how they evaluate those choices. We also identified key considerations and questions that can help decision makers identify, assess, and evaluate options when designing federal regulations and encouraging compliance."]} {"id": "GAO-19-47", "url": "https://www.gao.gov/products/GAO-19-47", "title": "Renewable Fuel Standard: Information on Likely Program Effects on Gasoline Prices and Greenhouse Gas Emissions", "published_date": "2019-05-03T00:00:00", "released_date": "2019-06-03T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress established the RFS in 2005 and expanded it 2 years later. The RFS generally mandates that transportation fuels\u2014typically gasoline and diesel\u2014sold in the United States contain increasing amounts of biofuels. In addition, the RFS is designed to reduce greenhouse gas emissions by replacing petroleum-based fuels with biofuels expected to have lower associated greenhouse gas emissions. The most common biofuel currently produced in the United States is corn-starch ethanol, distilled from the sugars in corn. EPA uses RINs associated with biofuels blended with petroleum-based fuels to regulate compliance with the program.", "In 2014, GAO found that refiners' costs for complying with the RFS had increased, and in 2016, GAO found that greenhouse gas emissions are unlikely to be reduced to the extent anticipated because production of advanced biofuels\u2014which reduce greenhouse gas emissions more than corn-starch ethanol\u2014has not kept pace with the yearly increases or the target of 21 billion gallons by 2022 called for by the statute. GAO was asked to review additional issues related to the effects of the RFS.", "This report examines what is known about (1) the effect the RFS has had to date on retail gasoline prices in the United States and (2) the RFS's effect on greenhouse gas emissions and whether the RFS will meet its goals for reducing those emissions. The report also provides information about RINs.", "To address the likely effects of the RFS on gasoline prices, GAO reviewed studies and interviewed experts and industry stakeholders, and conducted a statistical analysis of state ethanol mandates that were similar to the mandates of the RFS. GAO selected the experts based on their published work and recognition in the professional community. GAO selected stakeholders representing a range of perspectives, including stakeholders from the renewable fuels, petroleum, and agricultural industries, as well as from environmental groups.", "Because the RFS was implemented on a nationwide basis at the same time that other factors, such as the global price of crude oil and domestic demand for retail gasoline, were affecting retail gasoline prices across the nation, it is not possible to directly isolate and measure the effect the RFS had on gasoline prices nationwide given data available to GAO. Instead GAO developed and extensively tested an econometric model that estimated the effects on retail gasoline prices of state ethanol mandates. These state mandates are similar to the RFS but were put in place voluntarily by states before the RFS led to widespread ethanol blending in every state. This model estimated how ethanol mandates affected gasoline prices in these five states. These estimates suggest the RFS likely had effects in states that did not have state-wide mandates. These states incrementally blended ethanol because of the increasing volumes of ethanol required to be blended nationally by the RFS.", "Regarding the RFS's effect on greenhouse gas emissions, GAO interviewed 13 experts in government and academia. GAO selected these experts based on their published work, prior GAO work, and recommendations from other experts.", "During the course of the work, GAO gathered information on the topic of RINs through interviews, a review of relevant literature, and prior GAO work.", "GAO makes no recommendations in this report. In commenting on a draft of this report, USDA disagreed with GAO's finding that the RFS has had a limited effect on greenhouse gas emissions, citing research on the effects of ethanol on reducing emissions generally. GAO reported on the specific effects of the RFS on emissions. USDA also criticized GAO's methodology using experts' views. GAO employed that method to reach consensus among those with a range of perspectives. DOE and EPA did not comment on the draft report."]}, {"section_title": "What GAO Found", "paragraphs": ["Effect on prices. Evidence from studies, interviews with experts, and GAO's analysis suggest that the nationwide Renewable Fuel Standard (RFS) was likely associated with modest gasoline price increases outside of the Midwest and that these price increases may have diminished over time. Variations in these gasoline price effects likely depended, in part, on state-by-state variation in the costs to transport and store ethanol. For example, the Midwest was already producing and blending ethanol when the RFS came into effect, so that region had lower transportation costs and had already invested in necessary storage infrastructure. Other regions began blending ethanol later to meet the RFS's requirements, thereby incurring new transportation and storage infrastructure costs that resulted in gasoline prices that were several cents per gallon higher than they otherwise would have been.", "In addition, experts told GAO that the RFS caused an initial increase in refining investment costs that, over the long term, reduced refining costs for gasoline. Specifically, once all locations had made the infrastructure investments and most gasoline blendstock produced was consistent with blending ethanol then there would be two continuing effects: (1) the transportation and blending costs of ethanol, which would tend to push retail prices higher and depend on the distance traveled and the modes of transport, and (2) the lower cost of producing lower octane blendstock. The former effect might dominate for locations far from the production source of ethanol and for which more costly modes of transport were used, while the lower blendstock costs might dominate for locations close to the production source of ethanol and/or those that have low transportation costs.", "GAO's analysis of the effect that state ethanol mandates had on gasoline prices also showed gasoline price effects that differed in the Midwest and elsewhere. Specifically, during the period GAO studied, when the ethanol mandates in Minnesota and Missouri were in effect, all else remaining equal, retail gasoline prices were lower by about 8 and 5 cents per gallon in these states, respectively, than they would have been without the mandates. In contrast, when the ethanol mandates in Hawaii, Oregon, and Washington were in effect, GAO's model showed that retail gasoline prices were higher by about 8, 2, and 6 cents per gallon, respectively, than they would have been without the ethanol mandates. These results suggest that the RFS likely had gasoline price effects in other states that did not have state-wide ethanol mandates but that incrementally began blending ethanol as a result of increasing RFS requirements that by around 2010 had led to almost all gasoline sold in the United States being blended with 10 percent ethanol.", "Effect on greenhouse gas emissions. Most of the experts GAO interviewed generally agreed that, to date, the RFS has likely had a limited effect, if any, on greenhouse gas emissions. According to the experts and GAO's prior work, the effect has likely been limited for reasons including: (1) the reliance of the RFS to date on conventional corn-starch ethanol, which has a smaller potential to reduce greenhouse gas emissions compared with advanced biofuels, and (2) that most corn-starch ethanol has been produced in plants exempt from emissions reduction requirements, likely limiting reductions early on when plants were less efficient than they are today.", "Further, the RFS is unlikely to meet the greenhouse gas emissions reduction goals envisioned for the program through 2022. Specifically, GAO reported in November 2016 that advanced biofuels, which achieve greater greenhouse gas reductions than conventional corn-starch ethanol, have been uneconomical to produce at the volumes required by the RFS statute so the Environmental Protection Agency (EPA) has waived most of these requirements (see figure).", "Renewable identification numbers. EPA uses renewable identification numbers (RINs) to regulate industry compliance with RFS requirements for blending biofuels into the nation's transportation fuel supply. In GAO's March 2014 report on petroleum refining, GAO noted that the RFS had increased compliance costs for the domestic petroleum refining industry or individual refiners. GAO reported that corn-based ethanol RIN prices had been low\u2014from 1 to 5 cents per gallon from 2006 through much of 2012\u2014but in 2013, RIN prices increased to over $1.40 per gallon in July before declining to about 20 cents per gallon as of mid-November 2013. Since the March 2014 report, corn-ethanol RIN prices have experienced more periods of volatility. Most experts and stakeholders GAO interviewed recently stated that RINs had either a small effect on prices or no effect on prices, though a few disagreed. Finally, GAO's past work, as well as EPA analysis, has identified several issues of concern with RINs, including possible fraud in the market and concerns about the effect on small refiners, price volatility, and the point of obligation."]}], "report": [{"section_title": "Letter", "paragraphs": ["As part of U.S. efforts to increase energy independence and security and increase the production of clean, renewable fuels, Congress enacted the Renewable Fuel Standard (RFS) as part of the Energy Policy Act of 2005 and 2 years later expanded it in the Energy Independence and Security Act of 2007 (EISA). The RFS generally mandates that transportation fuels\u2014typically gasoline and diesel\u2014sold in the United States contain annually increasing amounts of biofuels\u2014fuels produced from renewable sources such as agriculture, rather than through geological processes, such as those involved in forming petroleum. The most common biofuel currently produced in the United States is corn-starch ethanol, which is distilled from the sugars in corn. The Environmental Protection Agency (EPA), which is responsible for implementing the RFS, defines the goals of the RFS as to (1) expand the nation\u2019s biofuel sector while reducing reliance on imported oil and (2) reduce greenhouse gas emissions.", "The initial RFS required that a minimum of 4 billion gallons of biofuels be blended into gasoline in 2006, rising to 7.5 billion gallons by 2012. EISA expanded both the amounts of biofuels to be blended into gasoline and the length of time during which those amounts are to increase, establishing target volumes that rise from 9 billion gallons in 2008 to 36 billion gallons in 2022. In March 2014, we reported that domestic consumption of petroleum products had fallen from 2005 through 2012, resulting in a smaller domestic market for refined petroleum products and an increased cost of RFS compliance for some refiners. In 2016, we reported that the reductions in greenhouse gas emissions envisioned for the program are unlikely to occur because production of advanced biofuels\u2014which have a greater impact than corn-starch ethanol on greenhouse gas emissions\u2014has not kept pace with statutory requirements.", "EPA regulates compliance with the RFS using a tradable credit system. Companies in the United States that refine or import transportation fuel must submit credits\u2014called renewable identification numbers (RINs)\u2014to EPA that equal the number of gallons of biofuel that the RFS requires them to blend with the petroleum-based fuel. RINs may be used by the company that generates them, may be sold to other companies, or retained for future use.", "You asked us to review additional issues related to the effects of the RFS. This report examines what is known about (1) the effect that the RFS has had to date on retail gasoline prices in the United States and (2) the effect that the RFS has had on greenhouse gas emissions, including whether the RFS is expected to meet its goals for reducing those emissions. In addition, we are providing information about RINs.", "To address our objectives, we reviewed relevant studies and conducted semistructured interviews with 18 experts we identified through snowball sampling based on expert referrals. Specifically, we identified experts through a review of selected studies, references within the studies to other relevant articles, prior GAO work that included discussions with a panel convened by the National Academy of Sciences, and recommendations from other experts identified through the studies. Because so little empirical work has been conducted on the relationship between prices and the RFS, especially work of a retrospective nature, we selected some experts specifically because of the relevance of their published work. We also selected experts who are recognized as experts in the professional community or among their peers. In addition, we selected individuals who have expertise or have published work relevant to lifecycle assessment of greenhouse gas emissions of various biofuels, or who have published work relevant to the effect of the RFS on greenhouse gas emissions or biofuel production and use. Finally, to obtain views from experts representing a range of perspectives, we selected experts who represented various disciplines, including economics, engineering, and physical sciences. Of the 18 experts we interviewed, 7 discussed the effect that the RFS has had on retail gasoline prices and 13 discussed the effect that the RFS has had on greenhouse gas emissions, including 2 who also discussed the effect on retail gasoline prices. The specific areas of expertise varied among the experts we interviewed, so not all of the experts commented on all of our interview topics. Appendix I includes the list of experts we interviewed and identifies which experts we interviewed about which topics.", "We also interviewed representatives from various industry stakeholders who have been affected by the RFS to obtain their views about how the RFS has affected gasoline prices and greenhouse gas emissions. We reviewed much of the literature on this subject, and used the literature, along with referrals from other experts and recommendations from the National Academy of Sciences for prior GAO work to identify stakeholders to interview. We also employed snowball sampling by asking the officials we interviewed to recommend others who have knowledge about the effect of the RFS on gasoline prices and greenhouse gas emissions. Industry stakeholders were selected based on the relevance of their mission to biofuels and to the RFS. In considering industry stakeholders, we selected those that would allow us to obtain a wide range of perspectives on these issues. For example, we selected industry stakeholders that represent the renewable fuels industry as well as those that represent the petroleum industry. We also selected industry stakeholders that represent the farmers who grow the agricultural products frequently used for biofuels, and we selected those whose primary focus is on the environment. The views of these stakeholders are not generalizable to those we did not interview. A list of industry stakeholders whose representatives we interviewed can be found in appendix II.", "Because the RFS was implemented on a nationwide basis at the same time that other factors, such as the global price of crude oil and domestic demand for retail gasoline, were affecting retail gasoline prices across the nation, it is not possible to directly isolate and measure the effect the RFS had on gasoline prices nationwide given data available to us. Instead we developed and extensively tested an econometric model that estimated the effects on retail gasoline prices of state ethanol mandates that are similar to the RFS but that states voluntarily put in place before the RFS targets led to widespread ethanol blending in every state. This model enabled us to estimate how ethanol mandates affected gasoline prices in these five states, and these estimates allow us to infer the effects that the RFS had in other states that did not have state-wide mandates but that were incrementally forced to blend ethanol based on RFS requirements. Specifically, the state-level analysis allowed us to isolate the effect of ethanol mandates on retail gasoline prices in five states\u2014Hawaii, Minnesota, Missouri, Oregon, and Washington\u2014by using other states to control for other factors that influenced retail gasoline prices over time. These state mandates were put into effect by 2008, at which time the RFS was requiring relatively low levels of ethanol blending. In doing this analysis, we used all the states identified as having met the criteria of having state-wide ethanol blending mandates put into effect no later than 2008. Therefore, these state mandates likely accelerated ethanol blending in those states during our study period. We conducted a regression analysis using monthly average after-tax retail gasoline prices from 49 states and the District of Columbia for 2001 through 2010.", "Our model required data on retail gasoline prices and biofuel policies, as well as on other factors that might have affected gasoline prices, so that we could control for these factors and isolate the effects of the state ethanol mandates. We obtained the gasoline price data from the Oil Price Information Service, a leading provider of retail fuel prices. We also collected data from government agencies, including the Department of Energy\u2019s Energy Information Administration, the Department of Transportation\u2019s Federal Highway Administration, and the Nebraska Energy Office.", "To assess the reliability of the data, we interviewed officials who maintain the data, reviewed related academic studies, and tested the data for missing or erroneous values. We found the data to be sufficiently reliable for the purposes of our reporting objectives. We focused our analysis on regular-grade gasoline, as it represented more than 80 percent of gasoline sales in 2017. Appendix III provides a technical discussion of our econometric model. We compared our results to expert views and related peer-reviewed studies examining the effects of ethanol blending on fuel prices. Also, to obtain additional information about the effect of the RFS on gasoline prices, we interviewed officials from the Department of Agriculture, the Department of Energy, and EPA; relevant experts as described above; and relevant industry stakeholders as described above.", "To examine the effect of the RFS on greenhouse gas emissions, we interviewed officials from the Department of Agriculture, the Department of Energy, and EPA and asked them about the effect of the RFS on emissions. We also interviewed relevant experts and industry stakeholder representatives as described above about the effect of the RFS on greenhouse gas emissions. The expert pool included researchers who were well equipped to speak both to the impacts of RFS on corn prices and agricultural commodities as well as how this then impacts land use change and greenhouse gas emissions. This is because the RFS\u2019 effect on gasoline prices and the effect on greenhouse gas emissions are not distinct issues. In addition, during our interviews with experts, some referred us to specific studies to illustrate a point, and we reference some of these studies. We reviewed the methodology of those that we reference and found them to be sufficiently sound.", "In the course of conducting our work to examine the effect that the RFS has had to date on retail gasoline prices in the United States and greenhouse gas emissions, we also collected information on the topic of RINs. We gathered this information through interviews and a review of relevant literature, and we supplemented it with information from our previous work. We summarized how RINs are used to show compliance with the RFS, historical RIN prices, how RINs affect retail fuel prices, and steps EPA has taken to improve the functioning of the RIN market.", "We conducted this performance audit from January 2017 to May 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "RFS Greenhouse Gas Emissions Goals and Requirements", "paragraphs": ["EPA states that one goal of the RFS is to reduce greenhouse gas emissions. Specifically, the RFS is designed to reduce these emissions by increasingly replacing petroleum-based fuels with biofuels that have lower associated greenhouse gas emissions released throughout their lifecycle. Some of these greenhouse gas emissions are directly released at each stage of a fuel\u2019s lifecycle, which, for biofuels, includes the emissions associated with growing the feedstock, transporting it, converting it to a biofuel, distributing the biofuel, and burning it in an engine. Other emissions are released indirectly through broad economic changes associated with increased biofuel use, such as changes in land use.", "The lifecycle greenhouse gas emissions from biofuels cannot be directly measured, so they are estimated using mathematical models that account for greenhouse gas emissions at each stage of the lifecycle. These models\u2014in particular, Argonne National Laboratory\u2019s Greenhouse Gases, Regulated Emissions, and Energy Use in Transportation model\u2014have been used by researchers for nearly 30 years. However, the complexity of estimating the lifecycle emissions associated with biofuels and the sensitivity of the models to assumptions limit the precision of the modeled results.", "The RFS established statutory greenhouse gas reduction requirements for specific types of biofuels. These types can be grouped into two broad categories\u2014conventional biofuels and advanced biofuels\u2014defined by the amount of reduction they are required by statute to achieve in lifecycle greenhouse gas emissions relative to the 2005 emissions baseline for gasoline or diesel.", "Conventional. Conventional biofuels from new facilities must achieve greenhouse gas emissions at least 20 percent lower than traditional petroleum-based fuels, which include gasoline and diesel. The dominant conventional biofuel produced to date is corn-starch ethanol.", "Advanced. Advanced biofuels must achieve lifecycle greenhouse gas emissions at least 50 percent lower than traditional petroleum-based fuels. Advanced biofuels may include a number of fuels, including fuels made from algae or sugar cane, but the category excludes ethanol derived from corn starch. This category includes the following subcategories:", "Biomass-based diesel: biodiesel or renewable diesel that has lifecycle greenhouse gas emissions at least 50 percent lower than traditional petroleum-based diesel fuels.", "Cellulosic: renewable fuel derived from any cellulose, hemicellulose, or lignin that is derived from renewable biomass and has lifecycle greenhouse gas emissions at least 60 percent lower than traditional petroleum-based fuels."], "subsections": []}, {"section_title": "Types and Volumes of Biofuels to Be Blended under the RFS", "paragraphs": ["The RFS established statutory requirements for the amount of biofuels that must be blended into gasoline. These amounts increase from 9 billion gallons in 2008 to 36 billion gallons in 2022. The RFS sets statutory volume requirements for each type of biofuel based on the categories described above, but EPA can waive those requirements and establish its own, if warranted. From 2010 through 2013, EPA used its waiver authority each year to reduce the volume requirement for cellulosic biofuel while keeping the total volume requirement for all biofuels at the statutory level. Starting in 2014, EPA set lower volume requirements for all advanced biofuels and lower total biofuel blending requirements. EPA cited, among other things, inadequate domestic supply as a reason for the waivers. Since 2014, the gap between RFS requirements for advanced biofuels and EPA requirements after waivers were issued has increased. Figure 1 compares RFS statutory volumes for various types of biofuels with volumes that EPA established using the waiver authority.", "In 2018, the biofuel used most often to comply with the RFS has been conventional ethanol derived from corn starch. As we reported in 2016, production of cellulosic and other advanced biofuels has not progressed as initially expected under the RFS. Although, as we reported, advanced biofuels are technologically well understood, current production is far below the volume needed to meet the statutory targets for these fuels. For example, the cellulosic biofuel blended into transportation fuel in 2015 was less than 5 percent of the statutory target of 3 billion gallons. Given current production levels, most experts we interviewed told us that advanced biofuel production cannot achieve the statutory targets of 21 billion gallons by 2022.", "The shortfall of advanced biofuels is the result of high production costs, despite years of federal and private research and development (R&D) efforts. The federal government has supported R&D related to advanced biofuels through direct research and grants in recent years, with the focus of this R&D shifting away from cellulosic ethanol, an advanced biofuel that is not fully compatible with current vehicle engines and fuel distribution infrastructure, and toward other biofuels that are compatible with this infrastructure."], "subsections": []}, {"section_title": "Ethanol as a Fuel Additive", "paragraphs": ["Even before the establishment of the RFS, ethanol was used as an additive in gasoline. It serves as an oxygenate, to prevent air pollution from carbon monoxide and ozone; as an octane booster, to prevent early ignition, or \u201cengine knock;\u201d and as an extender of gasoline stocks. In purer forms, it can also be used as an alternative to gasoline in automobiles specially designed for its use. Approximately 99 percent of blended gasoline consumed in the United States is \u201cE10\u201d\u2014a blend of gasoline with up to 10 percent ethanol.", "The use of ethanol as an oxygenate is linked to the demise of a petroleum derivative known as methyl tertiary butyl ether, or MTBE. MTBE had been used as an octane booster since the late 1970s, and was used in later years to fulfill the oxygenate requirements set by Congress in the 1990 Clean Air Act amendments. According to a report by the Congressional Research Service, MTBE contaminated drinking water, and about half of the states passed legislation to ban or restrict its use. Although MTBE was not restricted by federal law, gasoline refiners sought a substitute because of concerns over potential liability. To replace MTBE, refiners switched to ethanol.", "Congressional Research Service, MTBE in Gasoline: Clean Air and Drinking Water Issues (updated Apr. 14, 2006)."], "subsections": []}, {"section_title": "State Ethanol Mandates", "paragraphs": ["Five states passed and put into effect ethanol mandates similar to the RFS\u2014Hawaii, Minnesota, Missouri, Oregon, and Washington. In Minnesota, Missouri, and Oregon these mandates required 10 percent of blended gasoline to be ethanol, while Washington required 2 percent ethanol in gasoline and Hawaii required that 85 percent of fuel sold in the state must contain 10 percent ethanol. Minnesota was the first to put an ethanol mandate into effect\u2014in May 2003. Hawaii followed with an effective date of April 2006. The Missouri, Oregon, and Washington mandates were put into effect in 2008. Louisiana, Montana, and Pennsylvania also passed laws requiring ethanol blending mandates, but these mandates have not gone into effect because in-state ethanol production volumes have not reached levels required to trigger them."], "subsections": []}, {"section_title": "Tax Credits", "paragraphs": ["The federal government has supported the development of a domestic biofuels industry not only through the RFS but also through tax credits. The Energy Tax Act of 1978, among other things, provided tax incentives designed to stimulate the production of ethanol for blending with gasoline. These blending incentives were restructured as part of the Volumetric Ethanol Excise Tax Credit (VEETC) in 2004. In 2009, we found that the VEETC and the RFS may have been duplicative with respect to their effects on ethanol consumption. We and others found that the VEETC was no longer stimulating additional ethanol consumption. The blending incentives in the VEETC expired in December 2011.", "There are also federal tax incentives to promote the production and use of advanced biofuels. These include the Biodiesel Income Tax Credit, which provides a $1 per-gallon tax credit for producers of certain forms of biodiesel or renewable diesel. Separately, the Second Generation Biofuel Producer Tax Credit provided advanced biofuel producers a tax credit of up to $1.01 per gallon of advanced biofuel produced and used domestically."], "subsections": []}]}, {"section_title": "Available Evidence and Analysis Indicate That the RFS Was Likely Associated with Modest Gasoline Price Increases outside the Midwest and Modest Decreases within the Midwest", "paragraphs": ["Evidence from studies, interviews with experts, and our analysis suggest that the nationwide RFS was likely associated with modest price increases outside of the Midwest. Likely variations in these gasoline price effects depended, in part, on state-by-state variation in the costs to transport and store ethanol. For example, the Midwest was already producing and blending ethanol, so it had lower transportation costs and had already built necessary storage infrastructure. Other regions began blending ethanol later as rising volumes of ethanol required under the RFS forced more ethanol into the system and as states began blending ethanol. These states incurred new transportation and storage infrastructure costs, which likely resulted in higher gasoline prices compared to those in the Midwest states or states that had not yet begun to blend ethanol. Overall, it is likely that as the expanded blending requirements of the RFS caused non-Midwestern states and localities to begin blending ethanol, these states and localities experienced increased gasoline prices of a few cents per gallon compared to what they otherwise would have been."], "subsections": [{"section_title": "Experts, Stakeholders, and Studies Indicate that the RFS Likely Caused Changes in Retail Gasoline Prices that Varied by Region", "paragraphs": ["According to the experts we interviewed as well as the studies we reviewed, the RFS likely caused small changes in retail gasoline prices that varied by region. The experts, stakeholders, and studies identified two main ways in which the RFS may have affected prices. Specifically, the RFS may have (1) increased transportation and storage costs in regions outside the Midwest, and, (2) caused an initial increase in refining investment costs that over the long term reduced refining costs for gasoline."], "subsections": [{"section_title": "Transportation and Storage Costs", "paragraphs": ["The RFS may have affected retail gasoline prices by increasing transportation costs in certain regions. Retail gasoline consists of two components\u2014ethanol and blendstock, which is the petroleum-based gasoline that ethanol is blended with to make retail gasoline. Currently, blendstock and ethanol are typically transported in different ways. Blendstock can be shipped via pipeline, which is the most cost-efficient method of transporting fuel. However, ethanol is more corrosive and cannot be shipped in pipelines currently used for blendstock; as a result, it must be transported using costlier methods, such as rail, barge, and tanker truck.", "Ethanol is produced primarily in the Midwest, where most corn is produced. According to the studies we reviewed, this means that Midwest gasoline retailers, being closer to the supply of ethanol, may have been able to charge consumers lower prices for retail gasoline relative to non- Midwest gasoline retailers because of their lower transportation costs for ethanol. Similarly, higher transportation costs outside of the Midwest may have resulted in higher prices of retail gasoline in those regions. Figure 2 illustrates U.S. ethanol production in 2005, before the RFS became effective.", "In addition, the RFS may also have affected retail gasoline prices by increasing storage costs in certain regions. Because ethanol is more corrosive than blendstock, it must be stored differently. According to one study we reviewed, ethanol was being blended into gasoline in many locations in the Midwest prior to the establishment of the RFS. As a result, the Midwest already had the infrastructure needed to store ethanol. According to another study, in some places outside of the Midwest ethanol was typically not being blended into gasoline prior to the establishment of the RFS, and therefore costly infrastructure changes, such as installing different seals and gaskets in tanks, were needed so that retailers could store blended gasoline. For example, the California Energy Commission estimated the costs of such infrastructure changes to be approximately $60 million in California. Unlike transportation costs, the costs of infrastructure changes were incurred just once, according to industry stakeholders we interviewed; therefore the effect of such costs on retail prices would be expected to have diminished over time."], "subsections": []}, {"section_title": "Production Costs", "paragraphs": ["The cost of producing retail gasoline depends in part on the costs of its two components. The RFS may have affected the costs of blendstock and ethanol in various ways, and according to the experts we interviewed, past GAO work, and the studies we reviewed, these costs may have contributed to changes in gasoline prices.", "Blendstock. The RFS may have initially increased both refiners\u2019 costs to produce blendstock compatible with ethanol blending and the costs of shipping and storing such blendstock; however, these costs may have decreased over time. More specifically, the RFS may have initially increased refiners\u2019 costs because refiners had to change their configuration to produce a lower octane blendstock to accommodate ethanol blending. Many experts we interviewed stated that producing blendstock with a lower octane level required costly changes to refinery infrastructure and processes. However, according to these experts and stakeholders, since ethanol is relatively high in octane, blending ethanol into retail gasoline allows refiners to produce blendstock with a lower octane level. As a result, according to many of the experts we interviewed, after the initial investment by refineries to switch to the lower octane blendstock, refiners could produce that blendstock at lower cost. This would have led to higher initial costs but lower long-term costs once infrastructure costs had been capitalized.", "The higher initial cost is consistent with our past work in which we noted that shipping more types of blendstocks\u2014the result of a proliferation of blendstocks adopted by states and localities to meet Clean Air Act standards\u2014increases the costs of shipping and storing blendstocks at terminals for distribution to retail sellers. As a result, according to one expert familiar with our past work, as ethanol blending spread further and further away from the production center in the Midwest states, there were more types of blendstocks in the pipeline and storage terminals, which would have increased costs. This expert said that over the longer run and once ethanol blending had expanded to encompass the majority of gasoline sold in the United States, this effect would have disappeared because virtually all the blendstock flowing through the pipeline and storage system would be compatible with blending ethanol.", "Ethanol. It is unclear whether the RFS increased or decreased the cost of ethanol. One source we reviewed indicated that the RFS may have increased the cost of ethanol by increasing demand for corn, which would drive up the price of corn. On the other hand, one expert we spoke to stated that the RFS may have decreased the cost of ethanol in the long term by providing incentives for producers to invest in more efficient ethanol production processes, which would lower production costs over time.", "However, it is unclear what the longer-term effects of ethanol blending on gasoline prices have been. We believe this is because once all locations had made the infrastructure investments and most gasoline blendstock produced was consistent with blending ethanol then there would be two continuing effects: (1) the transportation and blending costs of ethanol, which would tend to push retail prices higher and depend on the distance traveled and the modes of transport, and (2) the lower cost of producing lower octane blendstock. The former effect might dominate for locations far from the production source of ethanol and for which more costly modes of transport were used while the lower blendstock costs might dominate for locations close to the production source of ethanol, those that have low transportation costs, or both. However, the data available to us do not allow us to test this long-term effect."], "subsections": []}]}, {"section_title": "Our Analysis of State Ethanol Mandates Also Found Gasoline Price Decreases in the Midwest and Increases Elsewhere", "paragraphs": ["We studied the effects of ethanol blending mandates in the five states that had such mandates prior to and including 2008; these mandates are similar to but preceded the RFS ethanol blending mandates on retail gasoline prices. We found that these state mandates were associated with gasoline price decreases in the two Midwestern states we evaluated and price increases in three non-Midwestern states. Specifically, during the period we studied, when the ethanol mandates in Minnesota and Missouri were in effect, our model estimates that, all else remaining equal, retail gasoline prices were lower by approximately 8 and 5 cents per gallon in these states, respectively, than they would have been without the mandates. By contrast, when the ethanol mandates in Hawaii, Oregon, and Washington were in effect, our model estimates that, all else remaining equal, retail gasoline prices were higher by approximately 8, 2, and 6 cents per gallon in these states, respectively, than they would have been without the mandates. These results are consistent with what other studies and experts found about the effects of blending ethanol with gasoline.", "Our model provides an indicator of the types of effects that the RFS likely had on retail gasoline prices as the increasing ethanol blending targets of the RFS began to push ethanol into more gasoline markets. Specifically, we can infer from the model that the RFS was associated with a modest gasoline price decrease in Midwest states. According to one expert familiar with our analysis and with the blendstock pipeline and storage system, expanding the volumes of lower octane feedstocks to the Midwest states would have the effect of reducing refining production costs because refiners serving the Midwest could do larger runs of lower octane blendstock and therefore benefit from economies of scale in refining runs. In addition, this would also have the effect of reducing pipeline and storage costs for blendstocks because larger volumes of lower octane blendstock could be shipped northward from the refining center in the Gulf of Mexico states to the Midwest. Larger volumes of uniform blendstock during pipeline shipping reduce costs compared to smaller shipments because different blendstocks intermix at the point they interface in a pipeline, and these mixed blendstocks either have to be downgraded and sold for less or pulled out entirely and re-refined to meet existing fuel standards. Conversely, we can infer from the model that the RFS was associated with modest gasoline price increases in states further from the Midwest producers as increasing ethanol targets caused those states to begin blending ethanol for the first time and for which more refining capacity had to convert to produce lower octane feedstock and ship it to more locations, thereby initially raising refining, pipeline, and storage costs as discussed previously in this report.", "The results of our analysis are also generally consistent with other work that examined the effects of different state ethanol-blending requirements on gasoline prices. For example, some states and localities started blending ethanol before the RFS made it effectively mandatory when these states and localities banned MTBE, an additive that increased the oxygen content of the fuel. When MTBE was banned, ethanol was typically added in its place. The one peer-reviewed study we identified that estimated the effects of the MTBE ban on gasoline prices found that in locations required to blend ethanol because of state MTBE bans, retail gasoline prices increased by 3 to 6 cents per gallon in non-Midwestern states, with larger price increases during times of high ethanol prices relative to crude oil prices. This study also found that retail gasoline prices in the Midwest may not have changed.", "While our own analysis, other studies we reviewed, and experts we spoke to cannot estimate precise price effects of the RFS on retail gasoline, we believe that collectively the evidence points to likely effects that varied by geographic region and that as RFS blending requirements rose and more and more non-Midwestern states and localities adopted ethanol blending, it is likely they saw modest increases in retail gasoline prices on the order of several cents per gallon. Conversely, as more and more states and localities blended ethanol and more refiners began producing larger runs of lower octane blendstock, the costs of acquiring this blendstock likely fell, and because Midwestern states had very low transportation costs for ethanol, their gasoline prices likely fell."], "subsections": []}]}, {"section_title": "The RFS Has Likely Had a Limited Effect on Greenhouse Gas Emissions to Date and Is Unlikely to Meet Its Future Greenhouse Gas Emissions Reduction Goals", "paragraphs": ["Most of the experts we interviewed generally agreed that to date the RFS has likely had a limited effect, if any, on greenhouse gas emissions. Further, the RFS is unlikely to meet the greenhouse gas emissions reduction goals envisioned for the program through 2022. Regarding the RFS and greenhouse gas emissions to date, experts noted that the effect has been difficult to assess precisely and we found disagreement among some experts about whether the effect has been positive or negative. However, most experts agreed that the effect\u2014whether an increase or decrease\u2014has likely been limited. Regarding meeting RFS greenhouse gas emission reduction goals through 2022, as we reported previously, although advanced biofuels, such as cellulosic ethanol, achieve greater greenhouse gas reductions than conventional biofuels, such as corn- starch ethanol, the latter are likely to continue to account for most of the biofuel blended into domestic transportation fuels under the RFS because they are economical to produce while most advanced biofuels are not."], "subsections": [{"section_title": "The Experts We Spoke with Generally Believe the Effect of the RFS on Greenhouse Gas Emissions Has Likely Been Limited to Date", "paragraphs": ["Of the 13 experts we interviewed, 10 generally agreed that the RFS has likely had a limited effect, if any, on greenhouse gas emissions to date. However, these experts said that the effect is difficult to assess precisely, and they disagreed on whether the limited effect has been positive or negative. Specifically, the experts commenting on the topic were roughly evenly split between increases or decreases in greenhouse gas emissions, with some saying there were negligible effects. Experts we interviewed said that the effect that the RFS has had on greenhouse gas emissions is difficult to assess precisely because it involves complex factors that are challenging to quantify, including the lifecycle emissions associated with biofuel use.", "The RFS\u2019s reliance on corn-starch ethanol to fill biofuel mandates has limited the ability of the RFS to reduce greenhouse gas emissions. Specifically, as we reported in November 2016, most of the biofuel blended to date has been conventional corn-starch ethanol, which has a smaller potential to achieve greenhouse gas reductions compared with advanced biofuels. Because of this, several experts we interviewed for the November 2016 report raised concerns about the extent to which the RFS has achieved its design of reducing greenhouse gas emissions.", "Furthermore, because the RFS has not been responsible for all of the ethanol used in the United States since the program took effect, not all greenhouse gas reductions associated with ethanol use have been the result of the RFS. More specifically, most experts agreed that ethanol use was historically driven, in part, by favorable market conditions and other policies, including state biofuel mandates, ethanol tax credits, and the phaseout of MTBE as an oxygenate for gasoline. Most experts we interviewed said they believed that the RFS had some effect on biofuel production by creating a guaranteed market for biofuels. Although experts\u2019 views differed on the amount of ethanol that would have been produced without the RFS, most of them said that ethanol production capacity would likely be lower today if the RFS had not helped to establish markets. For example, four experts and one industry stakeholder representative that we interviewed hypothesized that if the RFS were repealed, refiners would continue to blend ethanol into fuel, although two experts and one stakeholder representative acknowledged that less ethanol would probably be blended without the RFS. In contrast, one expert indicated that the RFS provides a safety net for the ethanol industry but that this safety net may not be needed anymore.", "In addition, according to EPA officials, the vast majority of the corn-starch ethanol used to date has been produced by so-called grandfathered plants\u2014plants in operation or under construction before a certain date\u2014 that have been exempt from RFS emissions reductions requirements. The grandfathered plants have likely limited the ability of the RFS to achieve greenhouse gas emissions reductions, but this effect has likely changed over time. Early on, when a higher percentage of grandfathered ethanol plants used coal as an energy source and had older technologies, EPA estimates indicated that ethanol from such plants produced more greenhouse gas emissions than petroleum-based gasoline. However, most of the experts we interviewed told us that over time grandfathered plants have upgraded technology to remain economically competitive and have converted to natural gas as an energy source, resulting in industry- wide efficiency improvements that reduce greenhouse gas emissions. These experts indicated that such upgraded plants do not likely have significantly different emissions than the newer plants subject to RFS emissions reductions requirements. Little quantitative information is available to compare the difference between greenhouse gas emissions associated with grandfathered plants and those associated newer plants.", "Finally, experts we interviewed disagreed on whether ethanol produced today generally complies with the RFS statutory requirement to reduce lifecycle greenhouse gas emissions by 20 percent relative to those of petroleum-based gasoline, which affects the extent to which the RFS has influenced greenhouse gas emissions. Of the 11 experts commenting on the topic, approximately half said that ethanol produced today likely met the 20 percent RFS greenhouse gas reduction requirement. Most of these experts pointed to recent lifecycle analysis studies. Recent studies have found that, relative to petroleum-based gasoline, corn-starch ethanol could reduce lifecycle emissions by 19 to 48 percent. While there are limitations and uncertainty associated with all lifecycle analyses, most experts we interviewed said that the models used for lifecycle analyses have improved over time and can provide reasonably accurate estimates of certain components of direct lifecycle greenhouse gas emissions, such as emissions associated with the energy used for farming and for producing the biofuel in a plant.", "Of the roughly half of experts who said that corn-starch ethanol likely does not meet the RFS greenhouse gas reduction requirements, almost all pointed to the potential for indirect emissions associated with biofuel production and use. Indirect emissions are complex to estimate and a source of uncertainty in lifecycle estimates, but including them could offset emissions reductions. These indirect emissions can be produced as the result of broad economic changes associated with increased biofuel use, including the following: Indirect land use change. Indirect land use change occurs when using agricultural land to grow biofuel feedstocks causes the conversion of previously nonagricultural lands in the United States and elsewhere in the world to maintain world agricultural production of food, feed, and fiber.", "Fuel market effects. Though difficult to quantify, expanded biofuel use may lead to an unintended increase in the global use of transportation fuel and more greenhouse gas emissions, according to most of the experts saying that corn-starch ethanol does not meet greenhouse gas reduction requirements. For example, increasing biofuel use in one part of the world could increase the relative supply of petroleum in other parts of the world, thereby lowering petroleum prices and increasing use of petroleum products there."], "subsections": []}, {"section_title": "We Previously Reported That Limited Production of Advanced Biofuels Makes the RFS Unlikely to Meet Its Greenhouse Gas Reduction Goals", "paragraphs": ["In November 2016 we reported that, with the exception of biomass-based diesel, production of advanced biofuels was far below the volume needed to meet the statutory targets for these fuels (see fig. 3). For example, we reported that the cellulosic biofuel blended into transportation fuel in 2015 was less than 5 percent of the statutory target of 3 billion gallons. We found in another November 2016 report that the shortfall was the result of high production costs, despite years of federal and private R&D efforts. With regard to future advanced biofuel production, most experts we interviewed for the November 2016 report told us that such production cannot achieve the statutory targets of 21 billion gallons by 2022 because the investments and development required to make these fuels more cost-effective, even in the longer run, were unlikely in the investment climate at the time. Factors affecting this included the magnitude of investment and the expected long time frames required to make advanced biofuels cost competitive with petroleum-based fuels. Because the bulk of greenhouse gas emissions reductions were to come from such advanced biofuels, the expected emissions reductions have also not occurred."], "subsections": []}]}, {"section_title": "Historical Prices of RINs, Concerns regarding Their Effects on Fuel Prices, and EPA\u2019s Actions to Mitigate These Concerns", "paragraphs": ["As mentioned previously, EPA uses RINs to regulate compliance with the RFS. Refiners or importers of transportation fuel in the United States are known as \u201cobligated parties\u201d and must submit RINs to EPA. The number of RINs that an obligated party must submit to EPA is proportional to the volume of gasoline and diesel fuel that it produces or imports and depends on the volumes of biofuel that must be blended with transportation fuels during the following calendar year as set by EPA. In accordance with EPA guidelines, a biofuel producer or importer assigns a unique RIN to a gallon of biofuel at the point of production or importation. When biofuels change ownership (e.g., are sold by a producer to a blender), the RINs generally transfer with the fuels.", "When a gallon of biofuel is blended or supplied for retail sale, the RIN is separated from the fuel and may be used by the obligated party to demonstrate compliance with the RFS or may be traded, sold, or held for use in the following year. Some vertically integrated refiners own blending operations, so they generate RINs that they can use to demonstrate compliance because they also blend their own fuel. Other refiners do not blend their own fuel and must purchase RINs to demonstrate compliance. The latter are called merchant refiners. Since biofuels supply and demand can vary over time and across regions, a market has developed for trading RINs. If a supplier has already met its required share and has supplied surplus biofuels for a particular biofuel category, it can sell the extra RINs to another entity or it can hold on to the RINs for future use. An obligated party that faces a RIN deficit can purchase RINs to meet its obligation."], "subsections": [{"section_title": "Historical RIN Prices", "paragraphs": ["In our March 2014 report on petroleum refining, we noted that the RFS had increased compliance costs for the domestic petroleum refining industry or individual refiners. We reported that, according to the U.S. Energy Information Administration, corn-based ethanol RIN prices were low\u2014from 1 to 5 cents per gallon from 2006 through much of 2012\u2014 because it was generally economical to blend up to or above the level that the RFS required. However, in 2013, prices for these RINs increased to over $1.40 per gallon in July before declining to about 20 cents per gallon as of mid-November.", "Several stakeholders told us at the time that this increase in RIN prices was primarily due to RFS requirements exceeding the capability of the transportation fuel infrastructure to distribute and the fleet of vehicles to use biofuels, a situation referred to as the blend wall. EPA officials told us at the time that high corn prices, which made ethanol more expensive relative to gasoline, also contributed to higher RIN prices during this period. A refiner we spoke with at the time attributed the decline in RIN prices in the second half of 2013 to EPA\u2019s statements expressing its desire to address the blend wall. In our report, we noted that while the RFS applies to all refiners in the same way, the effect of the rise in RIN prices may depend on each refiner\u2019s situation. Figure 4 shows historical RIN prices for conventional, advanced, and biodiesel RINs.", "Since our March 2014 report, corn-starch ethanol RIN prices have experienced periods of volatility. One expert stated that this is because ethanol prices have become tied with biodiesel prices since the RFS has required levels above the 10 percent blend wall. EPA officials agreed that once the 10 percent blend wall was reached, ethanol RIN prices have often risen to the price of biodiesel RIN prices. More specifically, biodiesel RIN prices are strongly affected by expectations about whether the biodiesel tax credit will be allowed to expire, which has often happened. In fact, EPA has at times explicitly taken the existence of the biodiesel tax credit into account when making rulings related to the RFS. As a result, both biodiesel RIN prices and ethanol RIN prices experience volatility. In general, ethanol RIN prices have closely tracked biodiesel RIN prices for the last 5 years.", "As we noted in our March 2014 report on petroleum refining, prices for RINs reflect several factors, including the cost of renewable fuels compared with the petroleum fuels they displace and the stringency of annual blending requirements. One expert we spoke with during the course of the audit work for this report stated that uncertainty about the future of the RFS has also affected RIN prices."], "subsections": []}, {"section_title": "Effect of RINs on Retail Fuel Prices", "paragraphs": ["Three experts and three industry stakeholders we interviewed spoke directly about the effect of RINs on retail fuel prices. All three experts stated that if RINs have any effect on prices it is small, while two of those experts also asserted that it was possible that RINs had no effect on prices at all. These experts argued that in a perfectly competitive fuel market, the blendstock refiners increase the price of blendstock because they know that they will need to pay for the RINs. At the same time, the retail gasoline blenders are able to save costs related to ethanol because of the value they receive for selling the RINs. In practice, according to experts, the market may not be perfectly competitive, so it is possible that RINs add from 1 to 10 cents to the retail price of gasoline in some parts of the country. One industry stakeholder also expressed the opinion that RINs would have little to no effect on retail gasoline prices, citing the same argument.", "Two industry stakeholders indicated that RINs would increase retail gasoline prices, although they did not specify by how much. These stakeholders argued that RINs represent the cost of producing retail gasoline; because ethanol has historically had a higher cost per mile than gasoline (though not per gallon), the RINs would represent this increased cost and would be reflected in retail gasoline prices. An EPA analysis found that RIN prices did not have a significant impact on retail fuel prices and concluded that any expected impact would be very small. For retail gasoline, EPA made the same argument as experts and stakeholders cited above."], "subsections": []}, {"section_title": "Problems Identified with the RIN Market and Steps Taken by EPA to Address These Problems", "paragraphs": ["Although oil refineries and importers are the entities that are obligated to demonstrate compliance with the RFS, not all of them produce blended fuels. Thus, these entities cannot earn RINs themselves and need to purchase them on the RIN market. Our past work, as well as EPA analysis, has identified several issues of concern with RINs, including possible fraud in the market and concerns about the effect on small refiners, price volatility, and the point of obligation.", "Fraudulent RINs. As we reported in our November 2016 report on the RFS, some experts we spoke with at the time identified reducing RIN fraud and price volatility as a federal action that could incrementally encourage investment in advanced biofuels. Specifically, these experts said that a lack of transparency in the RIN trading market has led to an increased risk of fraud and increased volatility of RIN prices. Because RINs are essentially numbers in a computerized account, there have been opportunities for fraud, such as double counting RINs or generating RINs for biofuels that do not exist. For example, in our March 2014 report on petroleum refining we reported that EPA had issued several notices of violation alleging that five companies generated invalid RINs without producing qualifying renewable fuels. EPA officials told us that, since that time, EPA has made additional notices of violation, although many pertain to actions taken prior to March 2014.", "Since the start of the RFS, EPA has alleged that approximately 382,524,480 RINs are invalid. Furthermore, obligated parties that inadvertently purchase fraudulent RINs lose the money spent to purchase them, must purchase additional RINs to meet their obligations, and face additional costs. This has a disproportionate effect on small refiners, according to our November 2016 report. Whereas large obligated parties\u2014in particular, vertically integrated refiners that typically own blending operations\u2014can generate RINs by blending fuel, small refiners do not blend fuel, must purchase their RINs on the market to meet their obligations, and are therefore more likely to be adversely affected by fraudulent RINs.", "To address concerns over these issues, EPA established an in-house trading system called the EPA Moderated Transaction System (EMTS). EPA officials believe that this system provides significant capabilities over prior reporting tools used to implement the RFS, allowing enforcement to more quickly identify potential RFS violations versus entry errors that were common with pre-EMTS RFS reporting. EPA officials also informed us of a voluntary quality assurance program intended to provide obligated parties a program to ensure that RINs entering commerce are valid. However, EPA has maintained that verifying the authenticity of RINs is the duty of obligated parties.", "Distribution of compliance costs. In our March 2014 report on petroleum refining, we reported that, according to EPA, refiners experience the same compliance costs regardless of whether they are vertically integrated refiners or merchant refiners that purchase RINs for compliance. However, we also reported that the views of several stakeholders differed from EPA\u2019s. In that regard, in a 2011 study, the Department of Energy reported that the degree to which a small refiner can actively blend refinery production with biofuels could contribute greatly to the economic hardship incurred from complying with the RFS. We noted that, while the RFS applies to all refiners in the same way, effects of rising or falling RIN prices may vary depending on each refiner\u2019s situation. According to several stakeholders we interviewed at the time, RFS compliance had been most difficult for merchant refiners, because they did not blend their own fuel and had to purchase RINs from others, increasing their costs of compliance.", "Price volatility. Similarly, according to the experts we interviewed for our November 2016 report on the RFS, price volatility in RIN markets had adversely affected small refiners in particular and led to uncertainty among investors. While most RINs are bought and sold through private contracts registered with the EMTS, as we mentioned previously, RINs are also traded in markets. Some experts that we interviewed for the November 2016 report told us that price volatility may have been due, in part, to nonobligated parties speculating in these markets. Such price fluctuations introduced uncertainty for small refiners about the costs of compliance with the RFS because they had to purchase their RINs on the market.", "Placement of the point of obligation. In our November 2016 report on the RFS, we reported that according to some experts, blenders should be the obligated parties instead of importers and refiners. According to some of these experts, when EPA designed the RFS, it placed the obligation for compliance on the relatively small number of refiners and importers rather than on the relatively large number of downstream blenders in order to minimize the number of obligated parties to be regulated and make the program easier to administer.", "However, these experts told us that obligating refiners and importers has not worked to incentivize investors to expand infrastructure to accommodate higher ethanol blends. One expert we spoke with stated that because blenders are either retailers or sell to retailers, blenders would be better situated to pass RIN savings along to consumers. This in turn might encourage demand for higher ethanol blends and incentivize infrastructure expansion. Some experts told us at the time that EPA should make RIN market trading more open and transparent like other commodity markets, which could reduce the potential for fraudulent RIN activities and reduce RIN price volatility.", "EPA has taken some actions to address these issues. Specifically, EPA officials we interviewed for this report told us that EPA publishes a variety of aggregated information on its website each month to promote market transparency, including RIN generation and use, available RINs, RIN prices and trade volumes, RIN holdings, and small refinery exemption information. According to these officials, EPA also requires all RIN trades to be entered into EMTS from both the buy and sell sides, and only finalizes a transaction in the system if the buy and sell sides match. EPA officials said that transparency of aggregated RIN data helps the market function more efficiently and minimizes price volatility; however, they acknowledged that many factors contribute to RIN prices and RIN price changes, and it is impossible to attribute such changes to any single factor. Furthermore, according to EPA officials, the memorandum of understanding on RIN market manipulation that EPA has entered into with the Commodity Futures Trading Commission will also help make RIN markets more open and transparent. Finally, EPA officials stated that in response to a recent White House direction, EPA is currently drafting a regulatory proposal to implement market reforms and additional transparency measures to prevent price manipulation in the RIN market.", "According to EPA officials we interviewed for this report, EPA received several petitions requesting that it consider changing the point of obligation from refiners and fuel importers to fuel blenders. In November 2017, EPA denied the petitioners\u2019 request. In the denial, EPA said that it does not expect a benefit of increased use of biofuels as a result of changing the point of obligation. Furthermore, it is EPA\u2019s position that changing the point of obligation could increase the complexity of the RFS program and would likely disrupt both the RFS program and the fuels market.", "By law, small refineries were exempted from the RFS through compliance year 2010, and 24 small refineries were granted an exemption for compliance years 2011 and 2012. Beginning with the 2013 compliance year, small refineries have been able to petition EPA annually for an exemption from their RFS obligations. EPA states on its website that EPA may grant the extension of the exemption if EPA determines that the small refinery has demonstrated disproportionate economic hardship. According to EPA officials, the statute directs EPA to consult with the Department of Energy, and to consider the department\u2019s Small Refinery Study and \u201cother economic factors\u201d in evaluating small refinery exemption petitions. EPA conducts its review of small refinery petitions on a case-by- case basis and applies these statutory criteria to its evaluations.", "According to EPA\u2019s website, EPA\u2019s decision to grant an exemption has the effect of exempting the gasoline and diesel produced at a refinery from the percentage standards, and the exempted refinery is not subject to the requirements of an obligated party for fuel produced during the compliance year for which the exemption has been granted. For the first few years, EPA data show that EPA granted roughly half of petitions; however, starting in compliance year 2016, the number of exemptions granted increased significantly. In compliance year 2016, EPA received 20 petitions and granted 19, with the final petition still pending. In compliance year 2017, EPA received 37 petitions and granted 29, with 1 declared ineligible or withdrawn and the remaining 7 still pending. The data show that this increase in granted exemptions correlates to an increase in estimated exempted volumes of gasoline and diesel, with the exempted amounts increasing from 3.07 billion gallons in compliance year 2015 (equivalent to an estimated 290 million RINs) to 13.62 billion gallons in compliance year 2017 (equivalent to an estimated 1,460 million RINs). To put these volumes into context, EPA data show that the total renewable volume obligation for compliance year 2015 was 17.53 billion gallons and for compliance year 2017 it was 18.91 billion gallons."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Agriculture and Energy, and to the Environmental Protection Agency, for review and comment. USDA, DOE, and EPA provided technical comments, which we incorporated where appropriate. USDA also provided written comments, which are reproduced in appendix IV. In summary, USDA expressed concerns in three areas.", "First, USDA disagreed with GAO\u2019s conclusion that the RFS has had a limited effect, if any, on reducing greenhouse gas emissions. USDA asserts that scientific research shows significant effects on greenhouse gas emissions from blending ethanol into the nation\u2019s fuel supply, based on the greenhouse gas benefits of ethanol produced using current technologies relative to gasoline. The objective of our work was to address the effect to date on greenhouse gas emissions that has been specifically attributable to the RFS, not whether blending ethanol into the nation\u2019s fuel supply has effects on greenhouse gas emissions. We report that the RFS is not the only reason that ethanol is used in the fuel supply, and that ethanol would have been produced and used in the United States, even without the RFS. For example, as we noted in the report, ethanol blended into gasoline provides benefits as an oxygenate, to prevent air pollution from carbon monoxide and ozone; as an octane booster, to prevent early ignition, or \u201cengine knock;\u201d and as an extender of gasoline stocks. As a result, not all greenhouse gas reductions associated with ethanol use have been the result of the RFS. Drawing conclusions about the broader impact of ethanol on emissions generally was not our objective and is not appropriate for a report examining the impact of the RFS.", "Second, USDA criticized our methodology, which reported experts\u2019 views on the effect of the RFS on greenhouse gas emissions. USDA stated that this methodology, by design, could not arrive at a consensus and did not synthesize the latest research. We chose our methodology, which relied on expert views supplemented by relevant reported research, because of its ability to yield more extensive, informative, and supportable answers to our objective than a narrower literature review, as suggested by USDA. More specifically, we reviewed much of the literature on this subject, and used the literature, along with referrals from other experts and recommendations from the National Academy of Sciences for prior GAO work, to assist in selecting experts whose expertise included knowledge of the relevant and most recent research on the issue. We selected respected experts representing all perspectives to span the disciplines required to answer our objective and to guard against drawing biased conclusions. Those experts were aware of all research, even that with conclusions contrary to their own. The studies that USDA cites do not represent a wide range of perspectives; they represent the views of a few studies focused specifically on the lifecycle emissions of ethanol. In addition, as we indicate, the perspectives we obtained from industry stakeholders were not used to support our findings on the effects of the RFS on greenhouse gas emissions, as USDA implies. Rather, stakeholders\u2019 views were used to inform some of our examples and corroborate some aspects of the experts\u2019 views\u2014we attribute information to the stakeholders in these instances. The consensus we found among experts representing diverse perspectives was that the RFS has likely had a limited effect on greenhouse gas emissions to date and that the program is unlikely to meet its future greenhouse gas emissions reduction goals.", "Third, USDA commented that our conclusion that the RFS likely had modest impacts on gasoline prices should be augmented by a discussion of the volatility of gasoline prices. USDA\u2019s comments appear to imply that the changes in prices we found are even smaller or less impactful on consumers because overall gasoline prices are themselves volatile. This is not an accurate interpretation of what we found. For example, increased prices in non-Midwest states represent additional expenditures on gasoline and consequent reductions in other household spending. Because a discussion of historic gasoline price volatility does not have bearing on the effect of the RFS on prices, we are not including it.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretaries of Agriculture and Energy; the Administrator of the Environmental Protection Agency; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Lists of Experts GAO Interviewed", "paragraphs": ["To determine what is known about the effect that the Renewable Fuel Standard (RFS) has had to date on 1) retail gasoline prices in the United States and 2) greenhouse gas emissions, we conducted semistructured interviews with 18 experts with expertise on these topics. Of the 18 experts we interviewed, 7 discussed the effect that the RFS has had on retail gasoline prices. Thirteen discussed the effect that the RFS has had on greenhouse gas emissions, though one expert declined to be identified. Two of the experts commented on the effect of the RFS on both prices and emissions. The specific areas of expertise varied among the experts we interviewed, so not all of the experts commented on all of our interview topics. The experts we interviewed for each topic are listed below."], "subsections": [{"section_title": "Experts Interviewed about the Effect of the RFS on Retail Gasoline Prices", "paragraphs": [], "subsections": []}, {"section_title": "Experts Interviewed about the Effect of the RFS on Greenhouse Gas Emissions", "paragraphs": ["Dr. Antonio Bento, University of Southern California Dr. John M. DeCicco, University of Michigan Dr. Jason Hill, University of Minnesota Dr. Stephen Kaffka, University of California, Davis Dr. Madhu Khanna, University of Illinois Dr. Lee Lynd, Dartmouth College Dr. Steve McGovern, PetroTech Consultants, LLC Dr. John Miranowski, Iowa State University Dr. GianCarlo Moschini, Iowa State University Dr. Richard Plevin, University of California, Berkeley Dr. Wallace E. Tyner, Purdue University Dr. Michael Wang, Argonne National Laboratory One expert we interviewed declined to be identified."], "subsections": []}]}, {"section_title": "Appendix II: List of Industry Stakeholders Whose Representatives GAO Interviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Technical Discussion of Econometric Model Estimating Effects of Ethanol Mandates on Retail Gasoline Prices", "paragraphs": ["This appendix describes the econometric model we developed to estimate the effect of the state ethanol mandates on retail gasoline prices, provides the results, and discusses limitations."], "subsections": [{"section_title": "Econometric Model", "paragraphs": ["In order to develop evidence of the likely effects of the Renewable Fuel Standard (RFS) on the incremental adoption of ethanol blending by states as RFS targets grew, we developed an econometric model to analyze the effect state ethanol mandates on retail gasoline prices. Specifically, we analyzed how state policies mandating certain levels of ethanol blending in retail gasoline affected retail gasoline prices in those states.", "We obtained retail gasoline price data from the Oil Price Information Service. The data identified the simple average price across each state for each grade of fuel\u2014regular grade gasoline, midgrade gasoline, premium gasoline, and diesel. There also exist local fuel specifications, on top of state policies. Price data are only available at the state level, and we are not able to identify directly the effect of local fuel policies on prices. We therefore included controls that represent the percentage of retail stations in the state that are affected by the local specifications.", "To reduce distortion from dissimilar regulations and outliers, we did not include prices (1) from the state of California and (2) for products other than regular-grade gasoline. Therefore, the data we used for our analysis comprised prices collected from 49 states and the District of Columbia for the period of 2001 through 2010, for a total of 6,000 observations.", "Over the period 2001 through 2010, retail gasoline prices are highly correlated across states over time. Specifically, to illustrate, we ran a simple regression model of retail gasoline prices on year-month (fixed- effect) controls. The results show that over 90 percent of the variation in retail gasoline prices over time across states is explained by these simple year-month controls. This suggests nationwide factors explain much of the variation in retail gasoline prices across states over time. The available data are not sufficiently rich to allow us to reliably disentangle the separate effects on retail gasoline prices of various nationwide factors, such as, perhaps, changes in crude oil prices, demand for gasoline, and the roll-out of the RFS. Hence, below, we examine instead the (incremental) effect on state-level retail gasoline prices of state ethanol mandates that are effective at a time when the RFS was requiring relatively low levels of ethanol blending nationwide."], "subsections": [{"section_title": "Dependent Variable", "paragraphs": ["Our dependent variable in the model was the monthly average after-tax retail price in dollars per gallon of regular-grade gasoline."], "subsections": []}, {"section_title": "Explanatory Variables", "paragraphs": ["Our model included a variety of explanatory variables, including state ethanol mandates, other state and local ethanol policies and fuel specifications, and the Petroleum Administration for Defense District (PADD)-level gasoline inventory-sales ratios and refinery capacity utilization rates.", "State ethanol mandates. The variables of interest in the model were indicators for state ethanol mandates; the state ethanol mandate indicator variables take the value of one for any month in which that state has an effective ethanol mandate and take a value of zero otherwise. The mandates ranged in the percentage of ethanol they required to be blended into gasoline, from approximately 10 percent in Minnesota, Missouri, and Oregon to 2 percent in Washington, with Hawaii having a unique requirement that 85 percent of fuel sold in the state must contain 10 percent ethanol.", "Other state ethanol policies. We used as controls indicators for several other state ethanol policies to shed light on how these policies may have affected retail gasoline prices. Specifically, we controlled for state fleet requirements to use ethanol; direct ethanol incentives that reduce the cost of ethanol per gallon of fuel, such as tax credits or rebates; ethanol production incentives; and ethanol consumption incentives. Production incentives included financial incentives to produce ethanol, such as grants or payments to build or operate an ethanol plant or to grow ethanol feedstock. Consumption incentives included financial incentives to sell or use ethanol, such as grants or tax incentives to upgrade fueling infrastructure to sell ethanol or a tax credit to stations selling ethanol. We also controlled for state methyl tertiary butyl ether (MTBE) bans, as ethanol was the primary substitute that could be used in place of MTBE.", "Local-level fuel specification requirements. We controlled for local- level fuel specification requirements, such as the gasoline type, RVP levels, and oxygenated fuel requirements.", "Volume of inventory of gasoline relative to the volume of sales of gasoline. We used as a control the ratio of finished motor gasoline stocks to the sales of motor gasoline. This variable indicates when supply is high relative to demand and vice versa.", "Refinery capacity utilization rate. We controlled for refinery operable utilization rate, which represents the utilization of crude oil distillation units. This variable represents the balance between supply volume and costs of production. Both this variable and the inventory- sales ratio have been found to be endogenous in past work.", "State gas taxes. We control for the level of state gas taxes using data from the Department of Transportation\u2019s Federal Highway Administration.", "Fixed effects. We used a set of indicator variables to account for fixed effects associated with time and individual states. Specifically, we used a set of state fixed effects to account for persistent differences between states, such as transportation costs of fuels to that state. Each model also included year-month fixed effects\u2014one for each month in the data\u2014to control for nationwide events, as well as state-calendar month fixed effects to allow seasonality to vary by state."], "subsections": []}, {"section_title": "The Model", "paragraphs": ["Our model can be written as follows: \ud835\udc66\ud835\udc66\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60= \ud835\udefd\ud835\udefd0 \ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc66\ud835\udc66 \ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52\ud835\udc52 +(\ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc45\ud835\udc45\ud835\udc46\ud835\udc46\ud835\udc38\ud835\udc38\ud835\udc60\ud835\udc60\u00d7\ud835\udc52\ud835\udc52\ud835\udc45\ud835\udc45\u210e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc52\ud835\udc52\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc45\ud835\udc45\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc45\ud835\udc45\ud835\udc52\ud835\udc52\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60)\u2032\ud835\udefd\ud835\udefd1 \u2032 \ud835\udefd\ud835\udefd3+\ud835\udefc\ud835\udefc\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60+ \ud835\udefe\ud835\udefe\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 \ud835\udc66\ud835\udc66\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is the dependent variable in our model; namely, the average after-tax price per gallon of regular grade gasoline at state \ud835\udc52\ud835\udc52 in month \ud835\udc4e\ud835\udc4e and year \ud835\udc45\ud835\udc45.", "\ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc45\ud835\udc45\ud835\udc46\ud835\udc46\ud835\udc38\ud835\udc38\ud835\udc60\ud835\udc60\u00d7\ud835\udc52\ud835\udc52\ud835\udc45\ud835\udc45\u210e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc52\ud835\udc52\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc45\ud835\udc45\ud835\udc52\ud835\udc52\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a vector of interaction terms, where \ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc46\ud835\udc45\ud835\udc45\ud835\udc46\ud835\udc46\ud835\udc38\ud835\udc38\ud835\udc60\ud835\udc60 is a vector of dummies for each state with a mandate\u2014Hawaii, Minnesota, Missouri, Oregon, or Washington\u2014and \ud835\udc52\ud835\udc52\ud835\udc45\ud835\udc45\u210e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc52\ud835\udc52\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc4e\ud835\udc45\ud835\udc45\ud835\udc52\ud835\udc52\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 an indicator that is equal to 1 for all months that an ethanol mandate is effective for that state, and zero otherwise.", "\ud835\udc39\ud835\udc39\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\u00d7\ud835\udc39\ud835\udc39\ud835\udc39\ud835\udc39\ud835\udc38\ud835\udc38\ud835\udc39\ud835\udc39\ud835\udc45\ud835\udc45\ud835\udc38\ud835\udc38\ud835\udc39\ud835\udc39\ud835\udc46\ud835\udc46\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a vector of interaction terms where \ud835\udc39\ud835\udc39\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc45\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a measure of the proportion of gas stations in a state likely affected by various fuel regulations in a given year, and \ud835\udc39\ud835\udc39\ud835\udc39\ud835\udc39\ud835\udc38\ud835\udc38\ud835\udc39\ud835\udc39\ud835\udc45\ud835\udc45\ud835\udc38\ud835\udc38\ud835\udc39\ud835\udc39\ud835\udc46\ud835\udc46\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a", "\ud835\udc4b\ud835\udc4b\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a vector of remaining control variables, including state \ud835\udefc\ud835\udefc\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a set of state-calendar month fixed effects to account for \ud835\udefe\ud835\udefe\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is a set of month-year fixed effects to account for time-varying vector of indicator variables equal to one in those months that a state is subject to fuel regulations related to RVP levels, boutique fuels, reformulated gasoline, and oxygenated fuel. gasoline tax in cents per gallon, inventory sales-ratio, refinery utilization rate, and indicator variables for other state ethanol policies, including effective MTBE bans, fleet requirements, direct incentives, production incentives, and consumption incentives. permanent differences in a state\u2019s average gasoline prices across months. factors affecting average gasoline prices for all states, such as fluctuations in crude oil prices. \ud835\udf00\ud835\udf00\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60\ud835\udc60 is an error term that is clustered by state.", "Our model assumes that after controlling for time-variant factors, the timing of state ethanol mandates going into effect is not correlated with unobserved time-variant factors that affect gasoline prices. When this assumption is satisfied, then our model may estimate the effect of state mandates on gasoline prices. Since ethanol mandates go into effect at different times\u2014in 2003 (Minnesota), 2006 (Hawaii), and 2008 (Missouri, Oregon, Washington)\u2014our quasi-experiment introduces variation in ethanol mandates across time and across states. We are able to address many concerns about omitted variable bias by including detailed state- calendar month fixed effects and month-year fixed effects."], "subsections": []}, {"section_title": "Results", "paragraphs": ["We estimate that all else remaining equal, when the ethanol mandates in the Midwestern states of Minnesota and Missouri were in effect, retail gasoline prices in those states were lower by approximately 8 and 5 cents, respectively, than they would have been without the mandates. We also estimate that all else remaining equal, when the ethanol mandates in Hawaii, Oregon, and Washington were in effect, retail gasoline prices in those states were higher by approximately 8, 2, and 6, cents, respectively, than they would have been without the mandates.", "The variables used in the model to control for effects other than ethanol mandates had the expected directional effect on price or else were not significant (using a 5 percent significance level). Our controls for the boutique fuel blends and the state gasoline taxes were significant and positive, suggesting that states with more stringent fuel specifications and higher gasoline taxes have a higher after-tax gasoline price. The estimated effect for refinery utilization rate is negative and statistically significant, suggesting that fuel prices decrease with refinery utilization rates because higher supply decreases prices. Although we might expect that fuel prices would decrease with the inventory/sales ratio because this indicates that supply is high relative to demand, it is also possible that when inventories are below a critical threshold, prices will rise regardless of how high inventories are relative to sales, as has been seen in prior work, so the positive coefficient in our model has precedent.", "See Kendix and Walls, \u201cOil industry consolidation and refined product prices: Evidence from US wholesale gasoline terminals\u201d Energy Policy, vol. 38 (2010), pp. 3498-3507.", "Estimated coefficient -0.0071 (0.011) -0.0027 (0.015) -0.0034 (0.012) 0.0072 (0.015) (0.0085)", "Percentage of gasoline stations in the state selling fuel with less than 9 lbs. Reid vapor pressure (RVP)", "0.070 (0.11)", "Percentage of gasoline stations in the state selling fuel with at least 9 lbs. RVP (0.040)", "Percentage of gasoline stations in the state selling boutique fuel 0.14*** (0.037)", "Percentage of gasoline stations in the state selling reformulated gasoline (0.45)", "Percentage of gasoline stations in the state selling oxygenated fuel 0.0029 (0.018) 0.0028 (0.092) (0.00050) 1.87*** (0.11)", "Legend: * = parameter estimate significance less than 10 percent; ** = parameter estimate significance less than 5 percent; *** = parameter estimate significance less than 1 percent.", "We tested alternate specifications, such as the following: Including different subsets of the explanatory control variables in the model.", "Treating the inventory/sales ratio and the refinery utilization rate as endogenous.", "Using pre-tax prices by subtracting state gasoline taxes from after-tax prices rather than including taxes as a control variable.", "Our results, including the magnitude and directional impact of the various state ethanol mandates, were not meaningfully affected across such specification tests."], "subsections": []}]}, {"section_title": "Limitations", "paragraphs": ["Our analysis had a number of limitations as listed below.", "We did not directly estimate the effect of the RFS on prices. The policy was nationwide and there are no reliable state-level data with which to measure state-level ethanol gasoline blend rates as the RFS was implemented over time. However, there is no reason to believe that other states that incrementally adopted the blending of ethanol as a result of increasing RFS targets would have experienced different effects.", "There may be some endogeneity in the timing of the adoption of the ethanol mandates. These policies are likely easier to pass through state legislatures when corn or ethanol prices are lower than oil or gasoline prices or when gasoline prices are high, but given that the effective dates are usually several years after the laws are enacted, this actual effective timing should be exogenous.", "We believe the state-level ethanol regulation data are comprehensive, but some regulations may not appear in the data. In our analysis, we include controls for ethanol mandates as well as several other types of ethanol incentives and fuel specification requirements. These variables control for the effects of related ethanol policies as well as variations in the cost of producing retail gasoline. We are certain that all state ethanol mandates were included in the model. However, our model may not perfectly control for all other regulations that could affect retail gasoline prices.", "Some control variables were not available at the state or monthly level. For example, some controls, such as the refinery capacity utilization rate, were available at the regional level only, so we had to parse out the regionally aggregated observations accordingly.", "As in any model, there is the possibility of misspecification or bias. Inappropriate assumptions about the functional form of the model, failure to deal with endogenous variables, or exclusion of relevant variables could also cause our estimated effects to deviate from the true effects. Some amount of this bias is present in almost all regression results, although the amount may not be very large."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karla Springer (Assistant Director), Stuart Ryba (Analyst in Charge), Luqman Abdullah, Benjamin Adrian, Jaci Evans, Ellen Fried, William Gerard, Cindy Gilbert, Anne Hobson, Jordan Kudrna, Joe Maher, Caroline Prado, Oliver Richard, Rachel Rhodes, Dan Royer, Barbara Timmerman, and William D. Walls made key contributions to this report."], "subsections": []}]}], "fastfact": ["We reviewed the effects of the Renewable Fuel Standard, which requires biofuels to be blended into U.S. transportation fuels in increasing volumes.", "The standard was associated with modest gas price increases in areas outside of the Midwest. Most corn ethanol\u2014the most common U.S. biofuel\u2014is produced in the Midwest, so other regions had to pay for shipping and storage.", "The standard was intended to reduce greenhouse gas emissions, but has had little effect to date. It will likely not meet the emissions goals set for it through 2022, largely because advanced biofuels\u2014which reduce emissions more effectively\u2014haven't been produced as expected."]} {"id": "GAO-18-692T", "url": "https://www.gao.gov/products/GAO-18-692T", "title": "Positive Train Control: Most Railroads Expect to Request an Extension, and Substantial Work Remains Beyond 2018", "published_date": "2018-09-13T00:00:00", "released_date": "2018-09-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Forty railroads including Amtrak, commuter, and freight railroads are currently required by statute to implement PTC, a communications-based system designed to slow or stop a train that is not being operated safely. PTC must be interoperable, meaning trains can operate seamlessly on the same PTC-equipped track, including \u201ctenants\u201d that operate on track owned by another \u201chost\u201d railroad. Although the deadline for PTC implementation is December 31, 2018, railroads may receive a maximum 2-year extension to December 31, 2020, if they meet certain statutory criteria.", "GAO was asked to review railroads' PTC implementation progress. This statement discusses (1) railroads' implementation progress and FRA's steps to assist them and (2) how railroads and FRA plan to approach the 2018 and 2020 deadlines. GAO analyzed railroads' most recent quarterly reports covering activities through June 30, 2018; sent a brief questionnaire to all 40 railroads; and interviewed officials from FRA and 16 railroads, selected in part based on those identified as at-risk by FRA."]}, {"section_title": "What GAO Found", "paragraphs": ["As of June 30, 2018, many railroads remained in the early stages of positive train control (PTC) implementation\u2014including equipment installation and early field testing. About half of the 40 railroads implementing PTC reported that they are still installing equipment, though many are nearing completion. However, with the exception of the largest freight railroads\u2014known as Class I\u2014and Amtrak, most railroads reported less progress in later implementation stages, especially revenue service demonstration (RSD), an advanced form of field testing that is required to fully implement PTC. Of the 28 commuter railroads required to implement PTC, 19 reported initiating field testing, but only 8 reported initiating RSD. The Federal Railroad Administration (FRA) recently clarified the criteria railroads must meet to qualify for a 2-year extension past the December 31, 2018, PTC implementation deadline. To receive an extension, railroads must meet 6 statutory criteria. For the sixth criterion, commuter and smaller freight railroads are authorized to either initiate RSD on at least one track segment or use FRA-approved substitute criteria. FRA clarified these and other requirements at three PTC symposiums hosted for railroads in summer 2018. For example, FRA officials said that for railroads eligible to use substitute criteria, initiating field testing instead of RSD was one approach that could potentially receive FRA's approval. FRA's actions are consistent with GAO's March 2018 recommendation that the agency communicate to the railroads the requirements and process for an extension.", "Most railroads anticipate needing an extension, leaving substantial work for both railroads and FRA to complete before the end of 2020. Thirty-two of 40 railroads reported to GAO that they, or the railroad which owns the track on which they operate, will apply for an extension. Sixteen commuter and smaller freight railroads reported planning to apply for an extension using substitute criteria, and of these, 12 intend to apply for substitute criteria based on early testing such as field testing. Though substitute criteria are authorized in law, this approach defers time-intensive RSD testing into 2019 and beyond. In addition, railroads expressed concerns with the time and effort involved with interoperability testing\u2014a key remaining hurdle for railroads such as Class I railroads that are further along with implementation. Further, railroads expressed concern that FRA's workload will markedly increase as railroads submit requests for extension approvals. FRA has acknowledged concerns about the pending surge of submissions and has taken recent steps to help manage the forthcoming influx of documentation, such as reallocating resources. Nonetheless, given that as of early September 2018, only 1 railroad\u2014a Class I railroad\u2014had applied for an extension, it remains unclear how many extension requests FRA will receive or what FRA's enforcement strategy will be for noncompliance with the statute, such as for railroads that fail to apply for an extension by the deadline. In addition, challenges related to PTC implementation and FRA's resources raise questions as to the extent FRA and the railroad industry are poised for full PTC implementation by December 31, 2020."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In March 2018, GAO recommended FRA take steps to systematically communicate extension information to railroads and to use a risk-based approach to prioritize agency resources and workload. FRA has taken some steps to address these recommendations, such as recently communicating and clarifying extension requirements to all railroads during three symposiums, and GAO will continue to monitor FRA's progress."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our work in reviewing railroads\u2019 and the Federal Railroad Administration\u2019s (FRA) efforts to implement positive train control (PTC). In September 2008\u201410 years ago this month\u2014a commuter train and freight train collided in the Chatsworth neighborhood of Los Angeles, California, resulting in 25 deaths and over 100 injuries. In the wake of this accident, legislation was enacted requiring certain railroads to implement PTC\u2014a communications-based system designed to slow or stop a train that is not being operated safely. Forty railroads are required to implement PTC. These railroads include 28 commuter railroads and Amtrak, which collectively provide over 500 million passenger trips annually. Railroads that play a key role in our nation\u2019s freight network must also implement PTC, including the 7 largest Class I and 4 Class II and III freight railroads.", "As we have previously reported, PTC implementation is a complex and lengthy process, which touches almost every part of major rail lines and almost every aspect of railroads\u2019 train operations. Each implementing railroad must install more than 20 major components that will ultimately communicate trains\u2019 locations, movements, and speed, and then slow or stop a train that is not being operated safely. Full implementation of PTC involves a number of steps, including but not limited to: planning and system development, equipment installation, testing, system certification, and achieving interoperability. Since U.S. railroads often operate some or all of their trains as \u201ctenants\u201d on the track of another railroad, known as the \u201chost,\u201d interoperability is intended to enable trains that operate on the same track to be governed by the PTC system and to move seamlessly across track owned by different railroads.", "When PTC implementation was mandated in 2008, the deadline for railroads\u2019 implementation was December 31, 2015. We reported in September 2015 that nearly all railroads did not expect to meet this deadline. In October 2015, Congress extended the deadline to December 31, 2018, and established criteria that would enable FRA, the agency responsible for overseeing PTC implementation, to grant railroads meeting certain requirements an alternative schedule up to year-end 2020. Throughout this statement we refer to the alternative schedule as the \u201cextension.\u201d My testimony today includes work conducted at the request of Chairman Denham and Ranking Member Capuano as well as Chairman Bill Shuster and Ranking Member Peter DeFazio of the House Committee on Transportation and Infrastructure. Specifically, my testimony discusses the efforts of FRA and railroads to implement PTC as the December 31, 2018, deadline approaches and since we last testified on PTC in March 2018. My statement today will address (1) railroads\u2019 implementation progress and the steps that FRA has taken to assist them and (2) how railroads and FRA plan to approach PTC implementation to meet the December 2018 and December 2020 deadlines.", "To describe railroads\u2019 progress, we analyzed the most recent available quarterly PTC implementation reports that railroads submitted to FRA, reports that reflected the progress as of June 30, 2018. We analyzed the reports to determine the extent that each railroad has installed PTC hardware and initiated testing. Based on our review of these data for anomalies, outliers, or missing information and our previous assessment of such quarterly reports for our March 2018 testimony, we determined that these data were sufficiently reliable for our purposes of describing railroads\u2019 progress in PTC implementation. To describe railroads\u2019 and FRA\u2019s progress and approaches, we interviewed representatives from 16 passenger and freight railroads, including the 12 railroads (11 commuters and 1 Class III) that FRA identified in June 2018 as at risk of not having implemented PTC or qualifying for an extension by December 31, 2018.", "The remaining 4 railroads we interviewed were: Amtrak; 2 Class I freight railroads, which were selected based on their relationships with tenant railroads and substantial progress toward PTC implementation; and a commuter railroad that received approval from FRA in March 2018 for an exception from PTC system implementation. To describe how railroads and FRA plan to approach PTC implementation for the December 2018 and 2020 deadlines, we sent 41 railroads a semi-structured questionnaire. The questions we asked were based on the data collection efforts from our March 2018 testimony. We analyzed railroads\u2019 responses and summarized their plans and challenges into common categories. To determine the stage of PTC implementation railroads expected to reach by December 31, 2018, we considered railroads\u2019 responses to our questionnaire, information provided in interviews, and documents submitted to FRA regarding railroads\u2019 planned implementation approaches, among other information. To describe railroads\u2019 progress and FRA\u2019s actions to assist railroads, we interviewed the industry associations for commuter (American Public Transportation Association) and freight (Association of American Railroads) railroads, and two PTC vendors. We also reviewed applicable laws and FRA regulations, presentations, reports, and guidance and interviewed FRA officials.", "We conducted this performance audit from June 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["PTC systems are required by law to prevent certain types of accidents or incidents. In particular, a PTC system must be designed to prevent train- to-train collisions, derailments due to excessive speed, incursions into work zone limits, and the movement of a train through a switch left in the wrong position. While railroads may implement any PTC system that meets these requirements, the majority of the railroads are implementing one of four types of systems. PTC\u2019s intended safety benefits can be fully achieved nationwide when all required railroads have successfully installed PTC components, tested that these components work together and the systems function as designed, and are interoperable with other host and tenant railroads\u2019 PTC systems that share track. Interoperability means the locomotives of any host railroad and tenant railroad operating over the same track segment will communicate with and respond to the PTC system, allowing uninterrupted movements over property boundaries. Interoperability is critical to PTC functioning properly given the complexity of the rail network in the United States. In much of the country, Class I railroads function as hosts for Amtrak and commuter railroads. For example, one of the seven major Class I railroads reports that 24 tenant railroads operate over its PTC-equipped tracks, including freight, Amtrak, and commuter railroads. A notable exception to this is the Northeast Corridor, which runs from Washington, D.C., to Boston, Massachusetts, which Amtrak predominantly owns and over which 6 freight and 7 commuter railroads operate as tenants.", "PTC implementation involves multiple stages to achieve full implementation, including planning and system development, equipment installation and testing, system certification, and full deployment, including interoperability. Each railroad must develop an FRA-approved PTC implementation plan that includes project schedules and milestones for certain activities, such as equipment installation. The equipment installation stage involves many components, including communication systems; hardware on locomotives and along the side of the track (called \u201cwayside equipment\u201d); and software in centralized office locations as well as onboard the train and along the track. Railroads are required to report quarterly and annually to FRA on the railroad\u2019s PTC implementation status relative to the implementation plan. A railroad can also revise its implementation plan to reflect changes to the project, which then must be reviewed and approved by FRA.", "In addition, railroads must demonstrate that the PTC system is deployed safely and meets functional requirements through multiple stages of testing. Before initiating testing on the general rail system, railroads must submit a formal test request for FRA approval that includes, among other things, the specific test procedures, dates and locations for testing, and the effect the tests will have on current operations. The multiple stages of PTC testing include:", "Laboratory testing: locomotive and wayside equipment testing in a lab environment to verify that individual components function as designed.", "Field testing: includes several different tests of individual components and the overall system, such as testing of each locomotive to verify that it meets functional requirements and field integration testing\u2014a key implementation milestone to verify that each PTC component is integrated and functioning safely as designed.", "Revenue service demonstration (RSD): an advanced form of field testing in which the railroad operates PTC-equipped trains in regular service under specific conditions. RSD is intended to validate the performance of the PTC system as a whole and to test the system under normal, real-world operations.", "Interoperability testing: host and tenant railroads that operate on the same track must work together to test interoperability to ensure each railroad can operate seamlessly across property boundaries. Almost all of the 40 railroads currently required to implement PTC must demonstrate interoperability with at least one other railroad\u2019s PTC system.", "Using results from field and RSD testing, combined with other information, host railroads must then submit a safety plan to FRA for approval. We have previously reported that these safety plans are about 5,000 pages in length. Once FRA approves a safety plan, the railroad receives PTC system certification, which is required for full implementation, and is then authorized to operate the PTC system in revenue service. According to FRA officials, the FRA may impose conditions to the PTC safety plan approval as necessary to ensure safety, resulting in a conditional certification.", "Railroads may receive a maximum 2-year extension from FRA past the December 31, 2018, deadline if they meet six criteria set forth in statute. Specifically, railroads must demonstrate, to the satisfaction of FRA, that they have: (1) installed all PTC system hardware consistent with the total amounts identified in the railroad\u2019s implementation plan; (2) acquired all necessary spectrum consistent with the implementation plan; (3) completed required employee training; (4) included in a revised implementation plan an alternative schedule and sequence for implementing the PTC system as soon as practicable but no later than December 31, 2020; (5) certified to FRA that they will be in full compliance with PTC statutory requirements by the date provided in the alternative schedule and sequence; and (6) for Class I railroads and Amtrak, initiated RSD or implemented a PTC system on more than 50 percent of the track they own or control that is required to have PTC. For commuter and Class II and III railroads, the sixth statutory criterion is to have either initiated RSD on at least one territory required to have operations governed by a PTC system or \u201cmet any other criteria established by the Secretary,\u201d which FRA refers to as \u201csubstitute\u201d criteria.", "FRA is responsible for overseeing railroads\u2019 implementation of PTC, and the agency monitors progress and provides direct assistance to railroads implementing PTC. For example, FRA officials provide technical assistance to railroads, address questions, and review railroad-submitted documentation. FRA has a national PTC director, designated PTC specialists in the eight FRA regions, and a few additional engineers and test monitors responsible for overseeing technical and engineering aspects of implementation and reviewing railroad submissions and requests. In anticipation of the upcoming implementation deadline, in May 2017, FRA began to send notification letters to railroads it determined were at risk of both not meeting the December 31, 2018, implementation deadline and not completing the requirements necessary to qualify for an extension. FRA identified \u201cat-risk\u201d railroads by comparing a railroad\u2019s hardware installation status to the total hardware required for PTC implementation, according to the railroad\u2019s implementation plan. FRA has increased the \u201cat-risk\u201d threshold percentage over time as the deadline approaches. See table 1.", "FRA has additional oversight tools, which include use of its general civil penalty enforcement authority for failure to meet certain statutory PTC requirements. FRA has used this authority in 2017 and 2018 to assess civil penalties against railroads that failed to comply with the equipment installation milestones, the spectrum acquisition milestones, or both, that the railroads had established in their implementation plans for the end of 2016 and 2017.", "As part of our body of work on PTC, we found that railroads face numerous PTC implementation challenges and made recommendations to FRA to improve its oversight of implementation. Specifically, in 2013 and 2015 we found that many railroads were struggling to make progress due to a number of complex and interrelated challenges, such as developing system components and identifying and correcting issues discovered during testing. Most recently, we found in March 2018 that FRA had not systematically communicated information or used a risk- based approach to help railroads prepare for the 2018 deadline or to qualify for an extension. We also found that many railroads were concerned about FRA\u2019s ability to review submitted documentation in a timely manner, particularly given the length of some required documentation such as safety plans and FRA\u2019s limited resources for document review. In March 2018, we recommended FRA identify and adopt a method for systematically communicating information to railroads and use a risk-based approach to prioritize its resources and workload. FRA agreed with our recommendations."], "subsections": [{"section_title": "Many Railroads Remain in Early Stages of PTC Implementation and FRA Has Clarified Extension Requirements Railroads Continue to Install and to Test PTC Systems, and Report Previously Identified Implementation Challenges", "paragraphs": ["As of June 30, 2018, many railroads reported that they remain in the equipment installation and field-testing stages, which are early stages of PTC implementation. However, since we last testified in March 2018, railroads have made progress on equipment installation. Based on our analysis of the 40 railroads\u2019 reported status as of June 30, 2018, about half of the railroads have completed equipment installation, and many others are nearing completion of this stage. Specifically, three-quarters of the 40 railroads reported being more than 90 percent complete with locomotive equipment installation. Similarly, nearly three-quarters of railroads that must install wayside equipment reported being more than 90 percent complete. The remaining one-quarter of railroads are among those designated by FRA as at-risk of both not meeting the end of 2018 implementation deadline and not completing the requirements necessary to qualify for an extension. Specifically, in August 2018, FRA identified 9 railroads\u2014all commuter railroads\u2014as at-risk, fewer than the 12 railroads FRA had previously designated as at risk in its June 2018 letters to railroads.", "Since we last testified, most commuter railroads reported slow progress with testing, especially with RSD, while Class I railroads and Amtrak have reached later stages of testing. Notably, all 7 Class I freight railroads and Amtrak reported having initiated field testing and entering RSD as of June 30, 2018. We reported in 2013 and 2015 that Class I railroads and Amtrak have been conducting PTC implementation activities for longer than commuter railroads, which has likely factored into their advanced progress. However, commuter railroads and Class II/III railroads have progressed more slowly. For example:", "Laboratory and initial field testing: 19 of 28 commuter railroads reported having initiated this testing as of June 30, 2018, 6 more commuter railroads than the 13 we previously reported as having initiated field testing as of September 30, 2017. Additionally, 2 of 4 Class II/III railroads reported having initiated testing as of June 30, 2018.", "RSD testing: 8 of 28 commuter railroads reported initiating RSD testing as of June 30, 2018, 2 more commuter railroads than the 6 we previously reported as having entered RSD testing as of September 30, 2017. No Class II/III railroads reported having initiated RSD. As noted earlier, unless a commuter or Class II/III railroad receives approval for using substitute criteria, the railroad must initiate RSD, a final stage of PTC testing, on at least one territory by December 31, 2018, to qualify for an extension.", "Railroad representatives reported that they continue to face many of the same challenges we have previously identified. For example, in response to our questionnaire to all 40 railroads implementing PTC, 14 reported challenges with PTC vendors and contractors, which we originally reported on in 2015. One railroad noted that, because its contractor manages PTC projects across the country with the same deadline and requirements, it can be difficult for all railroads to get the resources they need from their contractor. We previously reported that there are a limited number of vendors available to design PTC systems, provide software and hardware, and conduct testing. For example, we reported in 2015 that, according to railroad industry representatives, there were two vendors for the onboard train management computer and three vendors for the wayside equipment. Likewise, we previously reported that railroads face software challenges, and noted that railroads had concerns with the number of defects identified during software testing, since these take time to address. In response to our questionnaire, 11 railroads reported encountering challenges related to maturity of the PTC software systems, such as working through software bugs or defects during testing."], "subsections": []}, {"section_title": "FRA Has Recently Clarified Extension Requirements", "paragraphs": ["In June, July, and August 2018, FRA held three PTC symposiums that were attended by representatives from all 40 railroads and that focused on the extension process and substitute criteria, PTC testing, and safety plans, respectively. FRA\u2019s June 2018 symposium covered information consistent with our March 2018 recommendation that the agency adopt a method for systematically communicating information related to the requirements and process for an extension to railroads. Specifically, FRA presented information on the procedures for requesting and obtaining FRA\u2019s approval for an extension to implement PTC beyond the December 2018 deadline including FRA\u2019s review process. FRA also clarified that for railroads eligible to use substitute criteria, initiating field testing was one approach that could potentially qualify as substitute criteria, rather than initiating RSD.", "Representatives we interviewed from the railroads that participated in the symposiums found them to be helpful and some railroads reported that the information presented led them to adjust their approach to meeting the December 2018 deadline. For example, one railroad representative we spoke to said that until the symposium, he was unaware that using field testing as substitute criteria was a potential option. Some railroads we met with also told us they are re-evaluating what activities and documentation need to be revised and submitted to FRA before the December 2018 deadline based on the information presented at the symposiums. For example, representatives from one railroad we met with said that FRA officials encouraged them to update their PTC implementation plan right away with current equipment installation totals, to ensure consistency across all required documentation by the end of 2018. A couple of railroads noted that the information presented at the symposiums clarified many questions and would have been beneficial to know a year or two earlier in the implementation process.", "In addition, in recent months FRA has continued to provide assistance to railroads and has taken a series of steps to better prepare railroads for the 2018 deadline. These steps include meeting regularly with individual railroads and developing approaches intended to help many railroads meet the requirements necessary for a deadline extension. For example, representatives from one commuter railroad said agency officials have been willing to share lessons learned, clarify requirements, and review draft documentation to provide informal feedback."], "subsections": []}]}, {"section_title": "Railroads and FRA Are Working toward Extensions, Leaving Substantial Work to Be Completed Beyond 2018", "paragraphs": [], "subsections": [{"section_title": "Most Railroads Anticipate Needing an Extension, and Many Plan to Start RSD Testing Beyond 2018", "paragraphs": ["More than three-quarters of railroads (32 of 40) reported to us that they plan to apply for an extension. However, FRA officials noted that with the exception of possibly one or two railroads, they anticipate that all railroads will likely need an extension. As of September 2018, most railroads have not submitted their request for an extension. A railroad must demonstrate that it has met all of the criteria to qualify before it may formally request an extension, and as previously discussed, many railroads remain in the early stages of PTC implementation. Of the eight railroads that anticipate reaching full implementation by December 31, 2018, five have conditionally certified safety plans; one has submitted its safety plan for review; one plans to submit its safety plan to FRA in fall 2018 for certification; and one did not specify when it would submit its safety plan for certification.", "Of the 32 railroads that intend to apply for an extension, half reported that they plan to use substitute criteria to qualify, including 12 commuter and 4 Class II and III railroads. Moreover, three-quarters of the commuter and Class II and III railroads that plan to use substitute criteria (12 of 16) intend to apply to use their initiation of field testing or lab testing as substitute criteria. Figure 1 depicts the stage of PTC implementation railroads at least expect to reach by December 31, 2018, to be in compliance, based on railroads\u2019 responses to our July-August 2018 questionnaire.", "Although FRA has recently made clear that it is authorized to grant extensions based on initiating field testing or other FRA-approved substitute criteria, this approach defers time-intensive RSD testing into 2019 and beyond. In March 2018, we testified FRA officials told us that moving from the start of field testing to the start of RSD can take between 1 and 3 years, and has averaged about 2 years for those railroads that have completed that stage. We also testified that FRA officials believe that most railroads underestimate the amount of time needed for testing. FRA officials told us that they do not consider railroads that are approved for an extension under substitute criteria to be necessarily at a higher-risk of not completing PTC implementation by 2020. However, in light of these time estimates and the unknown challenges that railroads may face during testing, railroads that are in the early field-testing stage moving into 2019 could face challenges completing PTC implementation by the extended December 2020 deadline.", "Railroads further behind in PTC implementation may need to apply for an extension due to factors such as compressed implementation schedules, as well as the time needed for FRA approvals. For example, representatives from one commuter railroad said they hope to reach RSD before the December 31, 2018, deadline, but that it would be difficult to meet the extension requirements, apply for, and receive an extension given the volume of paperwork FRA will be receiving at the end of the year. Instead, the railroad plans to submit an extension request using substitute criteria consisting of field testing in order to be in compliance at the end of the year. Such an approach involves first applying for and receiving approval for substitute criteria and then formally requesting an extension and submitting supporting documentation to FRA before the end of the year. Entering RSD prior to the deadline could be difficult given that FRA officials told us they have advised railroads to allow at least a month for FRA\u2019s review of test requests, which must be approved prior to initiating field testing and RSD.", "Additionally, for some railroads further along in PTC implementation, particularly Class I freight railroads, interoperability is a key remaining hurdle for full implementation by the end of 2018, and railroads expect this challenge to persist in the future. The two Class I railroads we interviewed noted that ensuring all tenant railroads are PTC-equipped, tested, and interoperable is a primary reason the railroads plan to request an extension. One of these host railroads also reported that it has little ability to influence its tenants\u2019 progress with PTC implementation. Across all 40 railroads, 8 reported current or anticipated challenges working with tenant or host railroads, or both, to plan and conduct testing to ensure interoperability. Moreover, given that few railroads have reached the interoperability testing stage, the challenges railroads may face in this stage remain unclear. For example, some railroads we interviewed noted it is unknown how much time and effort will be required to work through interoperability issues during testing to ensure the system\u2019s reliability. One railroad association stated that interoperability is, and will continue to be, a substantial challenge for metropolitan areas with dense and complex rail networks with several host-tenant relationships. For example, according to one commuter railroad, 14 different freight and commuter railroads will need to interoperate in the Chicago area."], "subsections": []}, {"section_title": "FRA\u2019s Substantial Workload Remains a Concern", "paragraphs": ["FRA\u2019s already substantial workload is expected to increase as railroads continue to submit documentation necessary for extensions and continue PTC implementation activities. FRA is focused on ensuring railroads are in compliance through the December 2018 deadline\u2014whether via an extension or by completing implementation. While FRA officials report that they anticipate almost all railroads will likely request an extension, only one\u2014a Class I railroad\u2014had submitted an application for an extension as of early September 2018. FRA will need to review and approve all related documentation associated with each extension request and make a determination within 90 days, meaning if a railroad were to submit its extension request on December 31, 2018, FRA would have until the end of March 2019 to approve or deny the railroad\u2019s extension request. In addition to extension requests and supporting documentation, many railroads will also be submitting to FRA: requests for substitute criteria, test requests to initiate field testing or RSD, revisions to PTC implementation plans, and PTC safety plans.", "To help manage the forthcoming influx of documentation, FRA officials have offered to review draft documentation, such as substitute criteria requests and test requests, and have advised railroads to take FRA\u2019s review times into account prior to submitting required documentation. FRA officials told us that in trying to manage their workload, they initially told railroads they did not have time to review draft submittals. However, they found that taking the time to conduct draft reviews ultimately led to higher quality formal submittals and accelerated the overall review process. In addition, FRA officials said that their goal is to not delay any railroad that is ready to move into testing, and that they advised railroads to build 30\u201345 days for test request reviews into their project schedules.", "Despite these efforts, railroads remain concerned about the agency\u2019s ability to manage the PTC workload in the coming months and beyond 2018. For example, 9 of the 40 railroads identified FRA\u2019s resources and review times as a challenge leading up to the December 2018 deadline. Based on similar concerns, in March 2018, we recommended FRA develop an approach to prioritize the allocation of resources to address areas of greatest risk as railroads work to complete PTC implementation. FRA has acknowledged the railroads\u2019 concern given the surge of submissions requiring FRA approval in 2018 and has reported the agency is reallocating existing expertise and expanding the PTC workforce through training, expanding contracts with existing support contractors, and initiating one additional contract to provide technical support. For example, FRA officials told us that they reallocated resources to shift PTC Specialists\u2019 responsibilities to focus exclusively on testing-related activities because their involvement is critical for the testing stage.", "Although FRA has taken steps to provide key extension information to railroads and help ensure railroads\u2019 compliance with PTC deadlines, uncertainty remains, particularly in regard to FRA\u2019s enforcement strategy if railroads are noncompliant with the statute, such as if railroads were to fail to apply for an extension by the deadline. Representatives from all railroads implementing PTC we met with told us that FRA\u2019s planned enforcement approach for any railroad that fails to meet the requirements for an extension beyond 2018 is unclear. FRA officials told us they have shared the range of applicable civil penalties with railroads for years, but that any policy decisions about how potential fines will be levied for non- compliant railroads is a policy decision that has not yet been made. In addition, it is also unclear how the agency would approach enforcement for railroads that have a host or tenant operating on their tracks that has not completed implementation or met the requirements necessary for an extension. FRA officials said that the goal of enforcement is to help bring all railroads into compliance and that they would have to look at the specific circumstances for any host-tenant issues before assessing a fine.", "In conclusion, almost all railroads will likely request an extension beyond 2018, which will require FRA approval and, for many railroads, substitute criteria requests that may result in approximately a third of railroads remaining in the early stages of PTC implementation at the start of 2019. However, given that almost no railroads have submitted extension requests, it is unlikely we will know how many railroads will be granted an extension by the December 31, 2018 deadline. Although FRA has reported taking some actions in response to our March 2018 recommendation that they better prioritize resources, FRA resources and review times remain a significant concern. These issues, combined with the ongoing implementation, testing, and interoperability challenges that a number of railroads reported to us, raise questions as to the extent FRA and the railroad industry are poised for full PTC implementation by December 31, 2020.", "Chairman Denham, Ranking Member Capuano, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Susan Fleming, Director, Physical Infrastructure at (202) 512- 2834 or FlemingS@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Susan Zimmerman (Assistant Director); Katherine Blair; Greg Hanna; Delwen Jones; Emily Larson; Joanie Lofgren; SaraAnn Moessbauer; Maria Wallace; and Crystal Wesco.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Forty railroads, including Amtrak, commuter, and freight railroads, are required to implement positive train control (PTC)\u2014a communications-based system designed to slow or stop a train that is not being operated safely. Although the deadline for PTC implementation is December 31, 2018, railroads that meet certain criteria may receive a maximum 2-year extension.", "We testified that, as of June 30, 2018, many railroads remain in the early stages of PTC implementation, such as equipment installation and early testing. Most railroads anticipate needing an extension.", "[This text was updated for clarification.]"]} {"id": "GAO-18-538", "url": "https://www.gao.gov/products/GAO-18-538", "title": "Critical Infrastructure Protection: DHS Should Take Actions to Measure Reduction in Chemical Facility Vulnerability and Share Information with First Responders", "published_date": "2018-08-08T00:00:00", "released_date": "2018-08-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Facilities that produce, use, or store hazardous chemicals could be targeted or used by terrorists to inflict mass casualties, damage, and fear. DHS established the CFATS program to assess the risk posed by these facilities and inspect them to ensure compliance with DHS standards. DHS places high-risk facilities in risk-based tiers and is to conduct inspections after it approves their security plans. Under the CFATS Act of 2014, authorization for the CFATS program expires in January 2019.", "GAO assessed the extent to which DHS has (1) enhanced the process for identifying high-risk facilities and assigning them to tiers, (2) conducted facility inspections and measured facility security, and (3) ensured that information is shared with emergency responders to prepare them for incidents at high-risk facilities. GAO reviewed DHS reports and data on compliance inspections and interviewed DHS officials. GAO also obtained non-generalizable information from 11 trade associations representing chemical facilities regarding DHS outreach and from 15 emergency planning committees about their awareness of CFATS and the chemicals it covers."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2013, the Department of Homeland Security (DHS) has strengthened its processes for identifying high-risk chemical facilities and assigning them to tiers under its Chemical Facility Anti-Terrorism Standards (CFATS) program. Among other things, DHS implemented a quality assurance review process to verify the accuracy of facility self-reported information used to identify high-risk facilities. DHS also revised its risk assessment methodology\u2014used to assess whether chemical facilities are high-risk and, if so, assign them to a risk-based tier\u2014by incorporating changes to address prior GAO recommendations and most of the findings of a DHS-commissioned peer review. For example, the updated methodology incorporates revisions to the threat, vulnerability, and consequence scoring methods to better cover the full range of security issues regulated by CFATS. As of February 2018, a total of 29,195 facilities\u2014including all 26,828 facilities previously assessed and 2,367 facilities new to the program\u2014were assessed using DHS's revised methodology. DHS designated 3,500 of these facilities as high-risk and subject to further requirements.", "DHS has also made substantial progress conducting and completing compliance inspections and has begun to take action to measure facility security but does not evaluate vulnerability reduction resulting from the CFATS compliance inspection process. In 2013, GAO found that the backlog of chemical facility security plans awaiting review affected DHS's ability to conduct compliance inspections, which are performed after security plans are approved. Since then DHS has made progress and increased the number of completed compliance inspections. As of May 2018, DHS had conducted 3,553 compliance inspections. DHS has also begun to update its performance measure for the CFATS program to evaluate security measures implemented both when a facility submits its initial security plan and again when DHS approves its final security plan. However, GAO found that DHS's new performance measure methodology does not measure reduction in vulnerability at a facility resulting from the implementation and verification of planned security measures during the compliance inspection process. Doing so would provide DHS an opportunity to begin assessing how vulnerability is reduced\u2014and by extension, risk lowered\u2014not only for individual high-risk facilities but for the CFATS program as a whole.", "DHS shares some CFATS information, but first responders and emergency planners may not have all of the information they need to minimize the risk of injury or death when responding to incidents at high-risk facilities. Facilities are currently required to report some chemical inventory information, but GAO found that over 200 CFATS chemicals may not be covered by these requirements. To improve access to information, DHS developed a secure interface called the Infrastructure Protection (IP) Gateway that provides access to CFATS facility-specific information that may be missing from required reporting. However, GAO found that the IP Gateway is not widely used at the local level. In addition, officials from 13 of the 15 Local Emergency Planning Committees\u2014consisting of first responders and covering 373 CFATS high-risk facilities\u2014told GAO they did not have access to CFATS data in the IP Gateway. By encouraging wider use of the IP Gateway, DHS would have greater assurance that first responders have information about high-risk facilities and the specific chemicals they possess."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DHS take actions to (1) measure reduction in vulnerability of high-risk facilities and use that data to assess program performance; and (2) encourage access to and wider use of the IP Gateway among first responders and emergency planners. DHS concurred with both recommendations and outlined efforts underway or planned."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thousands of facilities that produce, use, or store hazardous chemicals could be targeted or used by terrorists to inflict mass casualties, damage, and fear. These chemicals could be released from a facility to cause harm to surrounding populations; they could be stolen and used as chemical weapons or as their precursors (the ingredients for making chemical weapons); or they could be stolen and used to build an improvised explosive device. Past incidents demonstrate the danger these chemicals pose, including the 2013 ammonium nitrate explosion at a fertilizer storage and distribution facility in West, Texas, which killed 15 people and caused major damage to or destroyed 193 homes, and more recent high- profile international incidents such as attacks using chlorine in Syria.", "Pursuant to the Department of Homeland Security (DHS) Appropriations Act, 2007, DHS established the Chemical Facility Anti-Terrorism Standards (CFATS) program to, among other things, identify high-risk chemical facilities and assess the risk posed by each; place facilities identified as high-risk into one of four risk-based tiers; and assess, approve, and inspect facility security measures to ensure compliance with regulatory requirements. The Protecting and Securing Chemical Facilities from Terrorist Attacks Act of 2014 (CFATS Act of 2014), enacted in December 2014, in effect, reauthorized the CFATS program for an additional 4 years while also imposing additional implementation requirements on DHS for the program. DHS\u2019s National Protection and Programs Directorate\u2019s Infrastructure Security Compliance Division (ISCD) is responsible for managing the CFATS program.", "We previously reported on various aspects of the CFATS program and identified challenges DHS was experiencing in implementing and managing the program. We made a number of recommendations to strengthen the program to include, among other things, that DHS verify that certain data reported by facilities are accurate, enhance its risk assessment approach to incorporate all elements of risk, conduct a peer review of the program to validate and verify DHS\u2019s risk assessment approach, document processes and procedures for managing compliance with site security plans, and update the performance measure for the program. DHS agreed with our recommendations and has either fully implemented them or taken action to begin addressing them.", "Although there have been program improvements in recent years, questions remain about the progress DHS has made implementing changes to the program and the extent to which CFATS is ensuring that the highest-risk chemical facilities are more secure as a result. Given that the authorization for the CFATS program expires in January 2019, you requested that we assess the progress DHS has made implementing and managing the CFATS program\u2014both within the context of our prior work and with regard to other areas\u2014to inform legislative efforts related to reauthorization of the program. This report discusses the extent to which the CFATS program has taken action to (1) enhance the process for identifying high-risk chemical facilities and assigning them to risk-based tiers, (2) conduct chemical facility inspections and implement an approach to measure facility security, and (3) ensure that information is shared with first responders and emergency planners to prepare them for incidents at high-risk chemical facilities.", "To address our first objective, we reviewed our prior work and analyzed documentation and data describing ISCD\u2019s efforts to assess, update, and implement the program\u2019s risk assessment methodology since we first evaluated it in fiscal year 2013. Specifically, we analyzed ISCD documents describing the web-based tools used to collect security information from facilities, and policies and procedures for reviewing and validating the accuracy of this information. We also reviewed relevant technical reports, plans, and assessments\u2014including the findings and recommendations of an ISCD-commissioned peer review and DHS actions taken in response\u2014describing changes made to ISCD\u2019s risk assessment methodology. In addition, we obtained data describing the status of ISCD\u2019s efforts to reassess chemical facilities identified as high- risk and assign them a risk-based tier using the revised risk assessment methodology. We assessed the reliability of ISCD data by reviewing relevant documentation and interviewing knowledgeable officials about system controls. We concluded that these data were sufficiently reliable for the purposes of this report. We also interviewed ISCD officials to confirm our understanding of the documents and data provided, and actions ISCD has taken to enhance the process for identifying high-risk chemical facilities and assigning them risk-based tiers.", "To address our second objective, we focused on actions DHS has taken to ensure compliance with the CFATS regulation since we first examined this area in 2015. We reviewed laws and regulations applicable to how DHS is to ensure compliance with the CFATS regulation and analyzed ISCD documents and data on the implementation status of the program\u2019s compliance inspection process. To examine the program\u2019s compliance inspection process, we analyzed procedures and guidance\u2014such as ISCD\u2019s Standard Operating Procedure and Inspection Handbook for CFATS facility inspections, compliance inspection training documents, and CFATS Risk-Based Performance Standards Guidance. We also obtained data on the numbers of completed compliance inspections per year and the extent to which these inspections resulted in a corrective action. We assessed the reliability of ISCD compliance inspection data by reviewing relevant documentation and interviewing knowledgeable officials and concluded that these data were sufficiently reliable for the purposes of this report. We also interviewed ISCD officials to confirm our understanding of the changes made to the inspection process since fiscal year 2015. In addition, we conducted two site visits to observe scheduled compliance inspections at facility locations in Delaware and Maryland. While information obtained from these inspections cannot be generalized to all inspections, it provides insight and context on how ISCD officials implement compliance inspection procedures and guidance. Lastly, we contacted officials representing 15 trade associations with members that include a wide range of CFATS-regulated chemical facilities and who participated in the Chemical Sector Coordinating Council. For the 11 trade associations that responded, we conducted semistructured interviews to obtain their perspectives on DHS\u2019s actions to communicate lessons learned to CFATS facilities on methods to reduce risk and the compliance inspection process. The information obtained from these 11 trade associations is not generalizable to the universe of chemical facilities covered by CFATS; however, it does provide insights into DHS\u2019s efforts to perform outreach and seek feedback on implementation of the CFATS program.", "To determine actions taken to measure chemical facility security, we reviewed the CFATS regulation and analyzed ISCD reports and information describing efforts to update the performance measure for the CFATS program since we first evaluated it in fiscal year 2015. We interviewed ISCD officials to confirm our understanding of the changes made to revise the methodology of the performance measure and compared this new approach with criteria in the National Infrastructure Protection Plan (NIPP) for evaluating the effectiveness of risk management efforts by, among other things, collecting performance data to assess progress in achieving identified outputs and outcomes.", "To address our third objective, we reviewed laws, regulations, and other authorities applicable to how and to what extent DHS is to share CFATS data with first responders and emergency planners. We reviewed DHS documentation and interviewed officials to confirm our understanding of the types of information, methods used, and extent to which the program shares CFATS-specific information with first responders and emergency planners and compared DHS\u2019s approach with criteria in the NIPP on how agencies should share actionable and relevant information across the critical infrastructure community to build awareness and enable risk- informed decision making. To determine what information first responders and emergency planners may use to prepare for and respond to emergencies at chemical facilities and the extent to which they are aware of CFATS facilities in their jurisdictions, we conducted semistructured interviews with officials representing a nonrandom sample of 15 Local Emergency Planning Committees (LEPCs). We selected our sample of LEPCs\u2014whose jurisdictions include 373 high-risk chemical facilities regulated by the CFATS program\u2014to represent a range in the geographic location and numbers of CFATS facilities covered by each. The information obtained from these interviews is not generalizable nor reflects the opinions of all first responders and emergency planners; however, it does provide insights into common themes and illustrative examples across our sample on the topics and issues discussed.", "We also analyzed the list of chemicals, quantities, and concentrations regulated by the CFATS program and the chemical inventory reporting requirements outlined in the Emergency Planning and Community Right- to-Know Act of 1986 (EPCRA) to determine the extent to which there may be differences in the chemicals covered and reported by facilities subject to CFATS and EPCRA requirements. Using the results of this analysis, we selected a generalizable random sample of 347 high-risk CFATS facilities and analyzed ISCD data on their chemical holdings to determine the extent to which there may be differences in the chemicals and quantities covered by CFATS and EPCRA and what facilities may be required to report. We assessed the reliability of ISCD data by reviewing relevant documentation and interviewing knowledgeable officials and concluded that these data were sufficiently reliable for the purposes of this report.", "We conducted this performance audit from July 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DHS\u2019s National Protection and Programs Directorate leads the country\u2019s effort to protect and enhance the resilience of the nation\u2019s physical and cyber infrastructure. The directorate includes the Office of Infrastructure Protection, which leads the coordinated national effort to reduce risk to U.S. critical infrastructure posed by acts of terrorism. Within the Office of Infrastructure Protection, ISCD leads the nation\u2019s effort to secure high-risk chemical facilities and prevent the use of certain chemicals in a terrorist act on the homeland; ISCD also is responsible for implementing and managing the CFATS program.", "The CFATS program is intended to ensure the security of the nation\u2019s chemical infrastructure by identifying high-risk chemical facilities, assessing the risk posed by them, and requiring the implementation of measures to protect them. Section 550 of the DHS Appropriations Act, 2007, required DHS to issue regulations establishing risk-based performance standards for chemical facilities that, as determined by DHS, present high levels of risk, to include vulnerability assessments and the development and implementation of site security plans for such facilities. DHS published the CFATS interim final rule in April 2007 and Appendix A to the rule, published in November 2007, lists 322 chemicals of interest and the screening threshold quantities for each. According to DHS, subject to certain statutory exclusions, all facilities that manufacture, store, ship, or otherwise use chemicals of interest above certain threshold quantities and concentrations are subject to CFATS reporting requirements. However, only those facilities subsequently determined to present a high level of security risk are subject to the more substantive requirements of the CFATS regulation as described below."], "subsections": [{"section_title": "The CFATS Regulation and Process", "paragraphs": ["The CFATS regulation outlines a specific process for how ISCD is to administer the CFATS program. A chemical facility that possesses any of 322 chemicals of interest in quantities that meet or exceed a threshold quantity and concentration is required to complete what is called a Top- Screen survey using ISCD\u2019s Chemical Security Assessment Tool (CSAT) system. CSAT is a web-based application through which owners and operators of chemical facilities provide self-reported information about the facility. The Top-Screen is an on-line survey whereby the facility is to provide DHS various data, including the name and location of the facility and the chemicals, quantities, and storage conditions at the site.", "ISCD uses a risk-based approach to evaluate chemical facilities of interest that are required to report under CFATS and determine whether these facilities are high-risk and therefore subject to further requirements under the regulation. More specifically, ISCD\u2019s risk assessment methodology calculates risk scores\u2014based on facility-supplied information in the Top-Screen survey, among other sources, and taking into account vulnerability, potential consequences, and threat of a terrorist attack\u2014and uses these scores to determine which facilities are high-risk. Those facilities deemed high-risk are then placed into one of four risk- based tiers (Tier 1 through Tier 4). Tier 1 represents the highest risk. A facility not designated as high-risk is not subject to additional requirements under the CFATS regulation.", "If ISCD determines that a facility is high-risk (Tier 1\u20134), the facility must then complete and submit to ISCD a Security Vulnerability Assessment and one of two types of security plans\u2014a Site Security Plan or an Alternative Security Program\u2014which describes the existing and planned security measures to be implemented in order to be in compliance with the applicable risk-based performance standards. Facilities determined to be Tier 3 or 4 also have an option to submit an expedited security plan under the CFATS Expedited Approval Program. To meet risk-based performance standards, covered facilities may choose the security programs or processes they deem appropriate so long as ISCD determines that the facilities achieve the requisite level of performance on each of the applicable areas in their existing and agreed-upon planned measures. Prior to approving a facility\u2019s security plan, ISCD inspectors conduct an authorization inspection at the facility to verify and validate that the content listed in their plan is accurate and complete; that existing and planned equipment, processes, and procedures are appropriate and sufficient to meet the established requirements of the risk-based performance standards; and to assist the facility in resolving any potential gaps identified. After the facility\u2019s security plan is approved, the facility enters into the CFATS compliance cycle, which includes regular and recurring compliance inspections.", "ISCD inspectors conduct compliance inspections to ensure the existing and planned security measures identified in a facility\u2019s approved security plan continue to be implemented fully; the equipment, processes, and procedures described in the security plan are appropriate and sufficient to meet the established performance standards; and the required corrective actions have been implemented and are sustainable. This compliance inspection includes a verification of other data provided to ISCD, including the Top-Screen. If, through a compliance inspection, ISCD determines a facility has not fully implemented security measures as outlined in its approved security plan, ISCD is to provide the facility with written notification that clearly identifies the deficiencies in the plan and will work with the facility toward achieving full compliance or, if warranted, take enforcement action. Figure 1 illustrates the CFATS regulatory process."], "subsections": []}]}, {"section_title": "ISCD Has Strengthened Its Processes for Identifying High-Risk Chemical Facilities", "paragraphs": [], "subsections": [{"section_title": "ISCD Implemented Processes to Verify Self- Reported Information from Chemical Facilities", "paragraphs": ["In response to our prior recommendations, ISCD has taken action to strengthen its processes for verifying the accuracy of data it uses to identify high-risk chemical facilities. In July 2015, we found that ISCD used self-reported and unverified data to determine the risk categorization for facilities that held toxic chemicals that could threaten surrounding communities if released. At the time, ISCD required that facilities self- report the Distance of Concern\u2014an area in which exposure to a toxic chemical cloud could cause serious injury or fatalities from short-term exposure\u2014as part of its Top-Screen methodology. In our report, we estimated that more than 2,700 facilities with a toxic release threat misreported the Distance of Concern and recommended that ISCD (1) develop a plan to implement a new Top-Screen to address errors in the Distance of Concern submitted by facilities, and (2) identify potentially miscategorized facilities that could cause the greatest harm and verify that the Distance of Concern these facilities reported is accurate.", "ISCD has addressed both of these recommendations. In response to the first recommendation, ISCD implemented an updated Top-Screen survey in October 2016 and now collects data from facilities and conducts more accurate modeling to determine the actual area of impact (formerly called the Distance of Concern), rather than relying on the facilities\u2019 calculation. In response to the second recommendation, ISCD officials reported in November 2016 that they reassessed all facility Top-Screens that reported threshold quantities of chemicals posing a toxic release threat, and identified 158 facilities with the potential to cause the greatest harm. In April 2018, ISCD officials reported that all of these facilities have since been reassessed using updated Top-Screen information and, where appropriate, assigned a risk tier.", "In addition, in October 2016, ISCD implemented a quality assurance review process whereby ISCD officials manually check and verify the accuracy of facility self-reported Top-Screen information used in identifying potential high-risk facilities. The objective of ISCD\u2019s review process is to evaluate the information provided by a chemical facility in order to recommend approval or rejection of a submitted Top-Screen for accuracy prior to issuing a letter notifying the facility of its risk tier designation. According to ISCD, all Top-Screens undergo a quality assurance review with two exceptions: (1) a facility that registers through CSAT for the first time and submits a Top-Screen identifying zero chemicals of interest on site and which does not identify an exclusion; or (2) a facility that possessed a chemical of interest in the past but subsequently submits a follow-up Top-Screen for redetermination identifying they no longer possess the chemical of interest and after ISCD validates the removal of the chemical of interest. When a Top-Screen submission is rejected, ISCD sends a letter notifying the facility of the rejection and requesting that a revised Top-Screen be submitted. In addition, according to ISCD, they contact facilities prior to a Top-Screen rejection to ensure the facility understands the required updates and to discuss the potential reporting error. As of February 2018, a total of 1,956 Top-Screen submissions (across 1,799 unique facilities) were rejected as part of this quality assurance review process since implementing the updated Top-Screen survey in October 2016, according to ISCD data. According to ISCD, the majority of these Top-Screens were rejected due to common reporting errors, such as misreporting the flammability hazard rating for a chemical of interest subject to a release security issue or not reporting transportation packaging when a chemical of interest is identified as being subject to a theft or diversion security issue."], "subsections": []}, {"section_title": "ISCD Has Nearly Completed Applying Its Revised Risk Assessment Methodology for Designating High-Risk Chemical Facilities", "paragraphs": ["ISCD Revised Its Risk Assessment Methodology to More Accurately Identify and Assign Tiers to High-Risk Chemical Facilities Since we last evaluated it in 2013, ISCD took action to enhance the CFATS program\u2019s risk assessment methodology\u2014used to determine whether covered chemical facilities are high-risk and, if so, assign them a risk-based tier\u2014by incorporating changes to address prior GAO recommendations, as well as the findings of an ISCD-commissioned peer review conducted in 2013, among other efforts. In April 2013, we found that DHS\u2019s risk assessment approach did not consider all of the elements of threat, vulnerability, and consequence associated with a terrorist attack involving certain chemicals. Our work showed that DHS\u2019s CFATS risk assessment methodology was based primarily on consequences from human casualties, but did not consider economic consequences, as called for by the NIPP and the CFATS regulation. We also found that DHS\u2019s approach was not consistent with the NIPP because it treated every facility as equally vulnerable to a terrorist attack regardless of location or on-site security. In addition, DHS was not using threat data for 90 percent of the tiered facilities\u2014those tiered for the risk of theft or diversion\u2014and using 5-year-old threat data for the remaining 10 percent of those facilities that were tiered for the risks of release or sabotage. We recommended that ISCD (1) review and improve its risk assessment approach to fully address each of the elements of threat, vulnerability, and consequence, and (2) conduct an independent peer review after enhancements to the risk assessment approach were complete.", "Partly in response to our findings and recommendations, from 2013 through 2016, ISCD conducted a multiyear effort to review and improve the CFATS program\u2019s risk assessment approach and tiering methodology with the primary goal of improving the identification and appropriate tiering of high-risk chemical facilities. Among these efforts was an ISCD- commissioned peer review of the CFATS tiering methodology conducted in 2013 by the Homeland Security Studies and Analysis Institute (HSSAI). HSSAI\u2019s final report summarized the findings of the peer review and included a list of 44 recommendations for ISCD to implement in its efforts to improve and revise the CFATS risk assessment and tiering methodology. ISCD undertook a risk assessment improvement project to implement most of the recommendations described in the 2013 HSSAI final report; these efforts included, for example, convening advisory board meetings with experts drawn from across industry, academia, and government to review and make additional recommendations on the proposed improvements to the CFATS risk assessment methodology and associated tools and processes.", "The result of these efforts is an updated, \u201csecond generation\u201d risk assessment approach and tiering methodology that addresses both of our prior recommendations and almost all of the recommendations described in the 2013 HSSAI final report. Specifically, with regard to our recommendation that DHS enhance its risk assessment approach to incorporate all elements of risk, ISCD worked with Sandia National Laboratories to develop and evaluate a model to estimate the economic consequences of a chemical attack. In addition, among other enhancements, the updated risk assessment methodology incorporates revisions to the threat, vulnerability, and consequence scoring methods to better cover the full range of chemical security issues regulated by the CFATS program. Additionally, with regard to our recommendation that DHS conduct a peer review after enhancing its risk assessment approach, DHS conducted peer reviews and technical reviews with government organizations and facility owners and operators, and worked with Sandia National Laboratories to verify and validate the CFATS program\u2019s revised risk assessment methodology which was completed in January 2017. In addition, as of May 2018, ISCD has considered, implemented, or is in the process of implementing updates that address 39 of the 44 recommendations in the HSSAI peer review of the original CFATS risk assessment methodology. According to ISCD, DHS must undertake a rulemaking to update the CFATS regulation and to obtain public comment on any proposed changes to implement the remaining recommendations. These relate to possible changes in how or to what extent the CFATS program regulates the treatment of certain chemicals of interest, chemical weapons and their precursors, and other fuels or fuel mixtures.", "Implementation of the Revised Risk Assessment Methodology Is Nearly Complete Beginning in October 2016, ISCD notified chemical facilities that were not new to the CFATS program\u2014that is, all facilities that had previously submitted a Top-Screen and had reported chemicals of interest above the threshold quantity and concentration on their most recent Top-Screen\u2014to submit a revised Top-Screen in CSAT 2.0 so that they may be re- assessed using ISCD\u2019s revised risk assessment methodology. As of February 2018, a total of 29,195 chemical facilities were assessed using ISCD\u2019s revised risk assessment methodology, with 3,500 (or 12 percent) of these facilities designated as high-risk (i.e., assigned to tiers 1 through 4). The total of 29,195 chemical facilities includes 26,828 facilities that were previously assessed using the original risk assessment methodology and an additional 2,367 facilities new to the CFATS program, as shown in figure 2.", "Of the 3,500 tiered facilities, 265 were new to the CFATS program; 889 were not new to the program, but were previously not tiered and were reassessed as high-risk and assigned a tier; and 1,345 were previously tiered but were reassigned to a different tier. Also, 430 facilities that were previously tiered were no longer tiered. As of May 2018, ISCD had pending risk assessments for an additional 241 chemical facilities that were not new to the CFATS program but were not previously tiered. ISCD officials did not provide an estimated target completion date for these pending risk assessments, noting that completing the assessments is highly dependent on the facilities providing the necessary Top-Screen information.", "According to ISCD, there are four main drivers of the changes in facility tiering that resulted from implementing the second-generation risk assessment methodology: facilities placed in a lower tier due to implementation of revised consequence scoring methods that more accurately account for the impact of quantities of the chemicals subject to theft/diversion security issues; facilities placed in a higher or lower tier for chemicals of interest due to improvements to the distribution of population in consequence modeling for chemicals subject to release-toxic and release- flammable security issues; increases in the number of facilities tiered for select chemical weapon precursors due to the implementation of revised consequence scoring methods that more accurately account for the impact of certain chemicals of interest; and changes in tiering due to newly reported increases, decreases, and modifications of chemical holdings."], "subsections": []}, {"section_title": "ISCD Has Made Progress Conducting Compliance Inspections but Does Not Measure Reduction in Facility Vulnerability ISCD Has Increased the Number of Completed Compliance Inspections and Issued Two Corrective Actions for Noncompliance with Security Plans", "paragraphs": ["Since 2013, ISCD has reduced its backlog of unapproved site security plans and increased the number of conducted compliance inspections. As discussed earlier, in order to approve a facility\u2019s site security plan, ISCD inspectors conduct an authorization inspection at the facility to verify and validate that the content listed in their plan is accurate and complete; that existing and planned equipment, processes, and procedures are appropriate and sufficient to meet the established requirements of the risk-based performance standards; and to assist the facility in resolving any potential gaps identified. After the facility\u2019s security plan is approved, the facility enters into the CFATS compliance cycle and is subject to a compliance inspection. In 2013, we calculated that it could take from 7 to 9 years to review and approve the approximately 3,120 site security plans submitted by facilities that had been designated as high-risk but that ISCD had not yet begun to review. In 2015, we found that ISCD had made improvements to its processes for reviewing and approving site security plans and substantially reduced the time needed to approve remaining site plans to between 9 and 12 months.", "Our analysis of ISCD data since our 2015 report showed that ISCD has made substantial progress conducting and completing compliance inspections. Specifically, our analysis showed that ISCD has increased the number of compliance inspections completed per year since ISCD began conducting compliance inspections in 2013. For the 2,466 high-risk facilities with an approved site security plan as of May 2018, ISCD had conducted 3,553 compliance inspections. Table 1 shows the number of conducted compliance inspections from fiscal year 2014 to May 2018.", "ISCD officials project they will conduct fewer compliance inspections in fiscal year 2018 than in fiscal year 2017 due to two reasons. First, ISCD officials stated the program made progress resolving the backlog of facilities that required compliance inspections in fiscal years 2016 and 2017 when it conducted over 2,600 compliance inspections. Second, ISCD officials stated that the program\u2019s revised risk assessment approach and continued outreach efforts have resulted in an increase in the number of identified facilities with chemicals of interest. As a result, ISCD officials stated they project an increased number of authorization inspections and fewer compliance inspections in fiscal year 2018 and 2019 as new facilities enter the program.", "ISCD increased the number of compliance inspections conducted from fiscal years 2014 to 2017 and less than 1 percent of compliance inspections during this period resulted in a determination that a facility was not in compliance. During a compliance inspection, if an inspector finds that a facility is noncompliant with its security plan, the CFATS regulation authorizes ISCD to take enforcement action, such as issuing an order for corrective action to the facility. Of the 3,553 compliance inspections ISCD conducted between fiscal year 2014 and May 2018, ISCD issued two corrective actions\u2014both to Tier 4 facilities\u2014because these facilities were not in compliance with their approved site security plan.", "Specifically, during the compliance inspection of one facility, which was determined to be high-risk based on both the release and theft/diversion security issues, ISCD found that the facility\u2019s site security plan did not identify several existing or planned measures to secure the facility\u2019s chemicals of interest. For example, the facility\u2019s site security plan did not identify measures to monitor restricted areas or potentially critical targets within the facility against a theft or release attack. In addition, while the facility\u2019s site security plan identified a chain link fence and an alarm on a gate to a secure cage that houses the chemicals of interest, ISCD inspectors found no evidence of either. During the compliance inspection of the second facility, which was determined to be high-risk based on the theft and diversion security issue, ISCD inspectors were unable to verify if the facility\u2019s intrusion detection system was properly functioning and that an individual not employed by the facility may have had access to the facility\u2019s chemicals of interest without a proper background check. Both of these facilities took actions to implement the measures identified in their site security plan and were later found to be in compliance with their site security plans. ISCD officials attribute the low number of corrective actions the program has issued to the program\u2019s collaborative approach of working with facilities to ensure compliance. For example, of the two facilities ISCD found to be in noncompliance, ISCD conducted a compliance assistance visit with both facilities to provide assistance. In addition to compliance assistance visits, ISCD officials stated that the program has other collaborative tools, such as the CFATS Help Desk, to help ensure facility compliance."], "subsections": []}, {"section_title": "ISCD Continues to Implement Changes to Compliance Inspections and Improve Efficiency", "paragraphs": ["ISCD continues to implement changes that are intended to enhance compliance inspections. For example, ISCD officials stated the program continues to conduct preinspection phone calls with facilities to help them prepare for compliance inspections. In addition, ISCD officials stated they developed and provided supplemental guidance in fiscal year 2017 on steps ISCD inspectors need to take during a compliance inspection. ISCD\u2019s supplemental guidance includes, among other things, best practices and lessons learned for conducting inspections and reporting items identified by the inspections. ISCD officials stated they plan to incorporate this supplemental guidance into their compliance inspection standard operating procedures in the third quarter of fiscal year 2018 and to update their compliance inspection handbook in the fourth quarter of 2018.", "In addition to updating its guidance for inspectors, ISCD has taken steps to improve the efficiency of compliance inspections. For example, ISCD continues its outreach efforts to chemical facilities on the inspection process. As part of these efforts, ISCD published guidance for facilities on steps to take to prepare for the compliance inspection, including information on the appropriate personnel and documentation that should be made available during the inspection. Finally, ISCD increased the number of compliance assistance visits with facilities to better prepare them for inspections. Representatives from 9 of the 11 industry associations we spoke with told us that ISCD\u2019s communication with facilities had improved the efficiency of compliance inspections and increased the ability of facilities to comply with the risk-based performance standards.", "We accompanied inspectors on two separate compliance inspections to observe how the inspections were carried out and how inspectors used the risk-based performance standards to determine compliance. For example, during the compliance inspection of a facility identified as high- risk based on the theft and diversion security issue, we observed facility personnel and ISCD inspectors discussing the preinspection phone call ISCD had conducted to assist the facility in preparation for their compliance inspection. This discussion included confirmation that the facility communicated with the local fire and police departments and had requested their presence at the inspection. In addition, we observed the inspectors analyzing the facility\u2019s emergency response plan to determine whether the facility\u2019s plans were consistent with the applicable risk-based performance standards. We also observed the inspectors subsequently interviewing local fire and police department officials that were present during the inspection to validate statements made by the facility and to confirm that both entities received the facility\u2019s emergency plan. We accompanied the inspectors and facility personnel on a tour of the facility where inspectors observed existing measures the facility used to protect the chemicals of interest, including the facility\u2019s fencing barrier. We also observed inspectors testing security measures, including the facility\u2019s access controls put in place to prevent unauthorized personnel gaining access to the chemicals of interest.", "At the other compliance inspection we observed, the facility personnel and ISCD inspectors confirmed a preinspection phone call to prepare the facility for the inspection. This phone call included a discussion of the appropriate training records and contract documentation that inspectors needed to confirm compliance with the applicable risk-based performance standard. During the inspection, we observed that the facility made this documentation and the appropriate personnel available to answer ISCD inspector questions on the security training the facility held during the prior year. We also observed inspectors verifying that existing measures, such as the facility\u2019s fence barrier, were still present and not compromised with breaches. In addition, we observed the inspectors testing key cards to the building that housed the chemicals of interest to ensure the cards prevented unauthorized access. Finally, we observed inspectors requesting a demonstration of how the facility\u2019s chemicals of interest are delivered to the facility and what controls were in place to monitor third-party contractors during delivery of chemicals of interest.", "We also discussed the compliance inspection process with representatives from trade associations that represent facilities covered by CFATS and considered high-risk. Representatives from 7 of the 11 trade associations that we spoke with stated that ISCD\u2019s implemented changes have improved the compliance inspection process since the program\u2019s inception. Specifically, representatives from three trade associations stated that ISCD inspectors\u2019 efforts to increase communication with facilities, including preinspection phone calls and compliance assistance visits, have increased the ability of facilities to ensure they are compliant with their approved site security plan. However, representatives from 3 of the 11 trade associations we spoke with also noted some issues with the compliance inspection process. Specifically, officials from these 3 associations stated that ISCD inspectors inconsistently apply the risk-based performance standards relative to the measures the facilities implemented. Some of this inconsistency may be due, in part, to the flexibility inherent in the risk- based performance standards which give facilities the discretion or latitude to tailor security based on conditions and circumstances. For example, the amount and type of chemicals of interest may vary by facility, so some facilities may require additional security measures be put in place to ensure protection of these chemicals. In addition, facilities vary by geographic location, which may affect the measures the facility needs to implement to protect the chemicals of interest from potential theft or diversion.", "DHS officials stated that they believe any perceived inconsistency is due to the flexibility in application of the risk-based performance standards and the variety of facility conditions that contribute to the appropriateness of different security measures. Officials explained that, for example, inspectors would likely recommend that a large campus-type facility not invest in a perimeter fence line but instead utilize asset-based barriers to satisfy the performance standards. Officials noted that facilities can choose to employ security measures which best fit their specific situation and can request that inspectors provide multiple options for their consideration."], "subsections": []}, {"section_title": "DHS\u2019s Methodology for Measuring Changes in Facility Site Security Does Not Reflect Reduction in Vulnerability", "paragraphs": ["ISCD developed its performance measure methodology for the CFATS program in order to evaluate security changes made by high-risk chemical facilities, but the methodology does not measure the program\u2019s impact on reducing a facility\u2019s vulnerability to an attack. In 2015 we found that while ISCD\u2019s performance measure for the CFATS program was intended to reflect security measures implemented by facilities and the overall impact of the CFATS regulation on facility security, the metric did not solely capture security measures that are implemented by facilities and verified by ISCD. We recommended that DHS develop a performance measure that includes only planned security measures that have been implemented and verified. In response to our finding and recommendation, ISCD\u2019s performance measure requires that ISCD officials verify that planned measures have been implemented in accordance with the approved site security plan (or alternative security program) by compliance inspection or other means before inclusion in the performance measure calculation.", "ISCD has since decided to develop a new methodology and performance measure for the CFATS program. In 2016, ISCD began development of an approach called the guidepost-based site security plan scoring methodology. ISCD officials stated they plan to use the methodology to evaluate the security measures a facility implemented from initial state\u2014 when a facility submits its initial site security plan\u2014to the facility\u2019s approved security plan, according to ISCD officials. Officials stated that once implemented, the methodology\u2019s resulting performance measure will be maintained internally and, if approved, may be used to satisfy the program\u2019s reporting requirements consistent with the Government Performance and Results Act (GPRA) and included in DHS\u2019s Annual Performance Report.", "The methodology organizes a facility\u2019s security measures based on five guideposts. Using the five guideposts as a framework, the security measures a facility reports in its site security plan are evaluated by ISCD under the applicable guidepost to determine the level of security performance. For example, the plan contains a question on whether a facility has a perimeter fence barrier and if so, what type, such as a chain link fence, metal fence, or vinyl fence. ISCD uses the facility\u2019s responses to assign a numerical value that indicates the level of security performance for the type of fence a facility uses as a perimeter barrier. The scores of the five guideposts are then aggregated and the resulting score represents the site security plan score for a facility. Officials stated that a facility\u2019s site security plan score is developed when the facility submits its initial site security plan and again when ISCD approves its site security plan and the facility has completed the CFATS inspection process.", "ISCD officials stated the purpose of the methodology is to measure the increase in security attributed to the CFATS program and stated that the methodology is not intended to measure risk reduction. As a result, the methodology and resulting performance metric do not reflect the program\u2019s impact on reducing a facility\u2019s vulnerability to an attack. While ISCD officials stated the program is exploring how to use the site security plan scores of a facility, this methodological approach may provide ISCD an opportunity to begin assessing how vulnerability is reduced and, by extension, risk is lowered, not only for individual facilities but for the program as a whole. The NIPP calls for evaluating the effectiveness of risk management efforts by collecting performance data to assess progress in achieving identified outputs and outcomes. The purpose of the CFATS program is to ensure facilities have security measures in place to reduce the risks associated with certain hazardous chemicals and to prevent these chemicals from being exploited in a terrorist attack. A measure that reflects risk reduction may include how the CFATS inspection process measures the reduction of one element of risk\u2014 vulnerability\u2014of high-risk facilities to a terrorist attack. ISCD officials stated that challenges exist with incorporating vulnerability into the measure\u2019s methodology, such as how to accurately measure a facility\u2019s vulnerability to an attack before the facility started the CFATS inspection process.", "We recognize challenges ISCD might face in incorporating vulnerability into its scoring methodology. In our prior work, we acknowledged that assessing the benefits of a program\u2014such as reducing a high-risk facility\u2019s vulnerability to an attack\u2014is inherently challenging because it is often difficult to isolate the impact of an individual program on behavior that may be affected by multiple other factors. However, ISCD could take steps to evaluate vulnerability reduction resulting from the CFATS compliance inspection process. For example, because facilities conduct their own vulnerability assessments when developing their site security plan for submission to ISCD, ISCD could establish a vulnerability baseline score when it evaluates a facility\u2019s security measures during its initial review of the facility\u2019s plan. ISCD could then use this baseline score as the starting point for assessing any reduction in vulnerability that ISCD can document that has occurred as a result of security measures implemented by the facility during the compliance inspection process. As the CFATS program continues to mature and ISCD begins its efforts to assign scores to facility site security plans, incorporating assessments of reductions in vulnerability at individual facilities and across the spectrum of CFATS facilities as a whole would enable ISCD to better measure the impact of the CFATS compliance inspection process on reducing risk and increasing security nationwide."], "subsections": []}]}, {"section_title": "First Responders and Emergency Planners May Not Have Information Needed to Respond to Incidents at High-Risk Chemical Facilities", "paragraphs": ["We found over 200 chemicals covered by CFATS that may not be included in the chemical inventory information that officials told us they rely on to prepare for and respond to incidents at chemical facilities. ISCD shares some CFATS information with state and local officials, including access to CFATS facility-specific data via a secure portal; however, this portal is not widely used at the local level by first responders and emergency planners."], "subsections": [{"section_title": "First Responders and Emergency Planners May Not Have Sufficient Information to Prepare for and Respond to Incidents at High-Risk Chemical Facilities", "paragraphs": ["First responders and emergency planners may not have the necessary information to prepare for and respond to incidents at high-risk chemical facilities regulated by the CFATS program. As mentioned earlier, on April 17, 2013, about 30 tons of ammonium nitrate fertilizer\u2014containing a CFATS chemical of interest\u2014detonated during a fire at a fertilizer storage and distribution facility in West, Texas killing 15 people, including 12 first responders, and injuring more than 260 others. This event, among others, prompted the President to issue Executive Order 13650 to improve chemical facility safety and security in coordination with owners and operators. The Executive Order established a Chemical Facility Safety and Security Working Group and included directives for the working group to, among other things, improve operational coordination with state, local, and tribal partners. The working group created a federal plan of action consisting of actions to improve the safety and security of chemical facilities.", "One key element of this plan focused on the Emergency Planning and Community Right-to-Know Act of 1986 (EPCRA), which was intended to encourage and support emergency planning efforts at the state and local levels. In accordance with EPCRA, state and local entities, such as Local Emergency Planning Committees (LEPCs)\u2014consisting of representatives including local officials and planners, facility owners and operators, first responders, and health and hospital personnel, among others\u2014were created. These LEPCs were designed to (1) prepare for and mitigate the effects of a chemical incident and (2) ensure that information on chemical risks in the community is provided to first responders and the public. The working group acknowledged there was a need to share data with representatives of these state and local entities to enable them to identify gaps and inconsistencies in their existing information that could reveal previously unknown risks in their communities. For facilities subject to EPCRA requirements, this data is to include, among other things, information about chemicals stored or used at the facility for which facilities are required to submit an emergency and hazardous chemical inventory form to these state and local entities. The working group\u2019s federal plan also included a DHS commitment to share certain CFATS data elements with first responders, state agencies and LEPCs to help communities identify and prioritize risks and develop a contingency plan to address those risks while acknowledging that access to certain sensitive portions of CFATS data will remain restricted to officials with a \u201cneed-to-know\u201d so as to appropriately balance security risks.", "In our interviews with 15 LEPCs\u2014whose jurisdictions include 373 high- risk chemical facilities regulated by the CFATS program\u2014we found that officials rely on information reported on EPCRA chemical inventory forms to prepare for and respond to incidents at CFATS facilities. These officials may not have sufficient information to respond to emergencies at CFATS facilities because EPCRA reporting requirements may not cover some of the chemicals covered under the CFATS program. Specifically, we analyzed the chemicals covered by both CFATS and EPCRA\u2019s reporting requirements and found there are over 200 CFATS chemicals of interest that, depending upon state reporting guidelines, may not be covered by EPCRA reporting requirements. Several of these chemicals may require specific response techniques to minimize the risk of injury or death to first responders and the surrounding community. For example, in the event of fire, aluminum powder, a chemical not subject to EPCRA reporting requirements but regulated under CFATS, produces flammable gases when in contact with water and requires responders to instead use a dry chemical or sand to extinguish the fire. Based on our analysis of tiered CFATS facilities, we estimate that about 32 percent of these high- risk facilities possess at least one chemical that may not be covered by EPCRA reporting requirements.", "In addition, we found these LEPCs may lack information on the CFATS facilities in their jurisdictions. Specifically, officials representing 11 of the 15 LEPCS we interviewed said they were not aware of which facilities in their jurisdiction were regulated by the CFATS program. Of these 11 LEPCs, officials from 8 LEPCs stated it would be very helpful or critical to know this information and officials from 2 LEPCs stated it would be somewhat helpful. According to these officials, this information would assist LEPCs, some of which have hundreds of facilities in their jurisdiction, to prioritize the most significant facilities for additional planning or scheduling of drills and exercises. Additionally, officials representing 5 LEPCs stated they were not aware of the differences between CFATS chemicals of interest and those chemicals subject to EPCRA reporting requirements. These LEPC officials stated that, among other things, it is critical to have a comprehensive understanding of all chemicals at a facility and that this information is very important for emergency responders to be aware of when responding to an incident."], "subsections": []}, {"section_title": "ISCD Could Take Additional Action to Share Information about High- Risk Facilities with First Responders and Emergency Planners", "paragraphs": ["Consistent with the CFATS Act of 2014, ISCD is to play a role in ensuring that first responders and emergency planners are properly prepared for and provided with the situational awareness needed to respond to security incidents at high-risk chemical facilities. While the CFATS Act of 2014 does not specifically require that information be shared directly with first responders, ISCD has taken steps to share CFATS information with state and local officials to help ensure that first responders are prepared to respond to such security incidents. These steps include, among other things, ensuring that facilities are developing and exercising an emergency plan to respond to security incidents internally and with assistance of local law enforcement and first responders. Planning and training are important to ensure that facility personnel, onsite security, law enforcement, and first responders are ready to respond to external and internal security incidents. Additionally, these planning activities and relationships with first responders can assist in reducing the impact of these incidents. According to ISCD officials, to verify compliance with this requirement, ISCD inspectors validate facility outreach to first responders, such as local law enforcement and fire departments, through review of facility documentation, including emails with first responders, records of drills, and logs of meetings and tours, or through direct contact with the local first responders by the inspection team.", "In addition, the Executive Order 13650 working group sought to, among other things, strengthen community planning and preparedness and ensure that first responders and emergency planners are aware of the risks associated with hazardous chemicals in their communities. Included was a goal to increase information-sharing with communities that are near chemical facilities. In a May 2014 report, this working group identified certain information, including the name and quantity of chemicals at a facility, as the most helpful to first responders and emergency planners. This information is intended to enable emergency planners to conduct an analysis to identify gaps and inconsistencies in their existing information that could reveal previously unknown risks in their communities.", "ISCD has taken action to ensure first responders and emergency planners have access to CFATS data. For example, in response to Executive Order 13650, ISCD shares CFATS data through the Infrastructure Protection (IP) Gateway. This online portal contains critical infrastructure data and analytic tools, including data on covered CFATS facilities, for use by federal officials, state, local, tribal, and territorial officials, and emergency response personnel. CFATS data available in the IP Gateway includes, among other things, facility name, location, risk tier, and chemicals on-site and is accessible to authorized federal and other state, local, tribal, and territorial officials and responders with an established need-to-know. The IP Gateway provides these officials and responders access to CFATS facility-specific information that may be unreported on EPCRA chemical inventory forms. This CFATS facility-specific information can help ensure these groups are properly prepared to respond to incidents at high-risk chemical facilities in their jurisdictions.", "While the IP Gateway is a mechanism for sharing names and quantities of chemicals at CFATS high-risk facilities with first responders and emergency planners, we found it is not widely used by officials at the local level. ISCD told us that in May 2018 they published three revised fact sheets and included information on the IP Gateway in presentation materials that officials told us was intended to increase promotion and use of the IP Gateway. However, according to DHS, there are 14 accounts categorized at the local level whose access to the IP Gateway layer includes the names and quantities of chemicals at CFATS facilities. A local account indicates the individual with access is a county- or city- level employee or contractor. Additionally, while not generalizable to all LEPCs, officials representing 7 of the 15 LEPCs we interviewed were not aware of the IP Gateway and officials representing 13 of the 15 LEPCs stated that they do not have access to CFATS information within the IP Gateway. Of the 13 officials that reported they did not have access, 11 said that it would be helpful or critical to have access for several reasons. Specifically, officials representing these LEPCs stated that this information would assist them to better prepare and respond to incidents and help emergency planners prioritize the most critical sites among the thousands of facilities that they oversee.", "According to DHS officials, their outreach plan, developed in March 2015, specifically addresses regular engagement with LEPCs, among other groups. However, these officials acknowledged that information may not be reaching some state and local officials due to a number of factors, including the large number of LEPCs and first responders across the country, and changes in the level of LEPC activity and personnel over time. While we recognize these challenges, providing first responders and emergency planners access to CFATS facility-specific information, including the name and quantity of chemicals at a facility, can help ensure these groups are properly prepared to respond to incidents at high-risk chemical facilities in their jurisdictions. The NIPP states that agencies should share actionable and relevant information across the critical infrastructure community\u2014including first responders and emergency planners\u2014to build awareness and enable risk-informed decision making as these stakeholders are crucial consumers of risk information. Additionally, the 2015 Emergency Services Sector-Specific Plan, an Annex to the 2013 NIPP, further calls for engaging with local emergency planning organizations, such as LEPCs, to enhance information-sharing and analytical capabilities for incident planning, management, and mitigation between stakeholders. The IP Gateway is one way through which ISCD can share CFATS facility-specific information, including the name and quantity of chemicals at high-risk facilities with first responders and emergency planners. As discussed earlier, although ISCD is not required to share CFATS facility-specific information directly with first responders, this information is critical to prepare for and respond to incidents at high-risk chemical facilities and to protect them and their communities from injury or death. By exploring ways to improve information-sharing of CFATS facility-specific data, such as promoting wider use of the IP Gateway among first responders and emergency planners, DHS will have greater assurances that the emergency response community has access to timely information about high-risk chemical facilities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DHS, through ISCD, has made improvements to the CFATS program. ISCD has taken action to strengthen its processes for verifying the accuracy of data it uses to identify high-risk chemical facilities, revised its risk assessment methodology to more accurately identify and assign high-risk chemical facilities to tiers, and has nearly completed its efforts to apply this new methodology to facilities covered by CFATS. Furthermore, ISCD has conducted an increased number of compliance inspections and continues to make changes to improve the efficiency of the inspection process. While ISCD has developed a new methodology and performance measure for the CFATS program in order to evaluate security changes made by high-risk chemical facilities, we found that the methodology and metric do not reflect the program\u2019s impact on reducing a facility\u2019s vulnerability to an attack. ISCD may have an opportunity to explore how reductions in vulnerability at individual facilities resulting from the CFATS compliance inspection process could be used to develop an overall measure of the performance of the CFATS program in reducing risk and increasing security nationwide. Such a measure would be consistent with the NIPP, which calls for evaluating the effectiveness of risk management efforts by collecting performance data to assess progress in achieving identified outputs and outcomes. Moving forward, ISCD could also take additional actions to ensure information about high- risk chemical facilities is shared with first responders and emergency planners. During our review, we found that local emergency responders may not have the information they need to adequately respond to incidents at CFATS facilities; a situation that could expose them and their communities to potentially life-threatening situations. While the IP Gateway is a mechanism for sharing names and quantities of chemicals at high-risk facilities with first responders and emergency planners, we found it is not widely used by officials at the local level. The NIPP states that agencies should share actionable and relevant information across the critical infrastructure community\u2014including first responders and emergency planners\u2014to build awareness and enable risk-informed decision making, as these stakeholders are crucial consumers of risk information. By improving information-sharing with first responders and emergency planners, such as promoting access to and wider use of the IP Gateway, DHS will have greater assurances that the emergency response community has access to timely information about high-risk chemical facilities that could help protect them from serious injury or death."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DHS: The Director of ISCD should incorporate vulnerability into the CFATS site security scoring methodology to help measure the reduction in the vulnerability of high-risk facilities to a terrorist attack, and use that data in assessing the CFATS program\u2019s performance in lowering risk and enhancing national security. (Recommendation 1)", "The Assistant Secretary for Infrastructure Protection, in coordination with the Director of ISCD, should take actions to encourage access to and wider use of the IP Gateway and explore other opportunities to improve information-sharing with first responders and emergency planners. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided written comments, which are reproduced in full in appendix I, and technical comments, which we incorporated as appropriate. In its comments, DHS concurred with both recommendations and outlined efforts underway or planned to address them.", "Regarding the first recommendation that ISCD should incorporate vulnerability into the CFATS site security scoring methodology to help measure the reduction in the vulnerability of high-risk facilities and use that data to further assess the CFATS program\u2019s performance in lowering risk and enhancing national security, DHS concurred but noted that developing a system that could numerically evaluate vulnerabilities will be challenging. DHS stated that implementing the recommendation would likely require, among other things, revising the regulatory language describing CFATS vulnerability assessments and updating tools used to gather them, potentially creating a significant burden on both industry and government. DHS added that its new proposed performance metric, described earlier in this report, demonstrates the enhancement to national security resulting from the CFATS program and, by extension, the program\u2019s impact on vulnerability and overall risk.", "As stated earlier, we recognize challenges ISCD might face in incorporating vulnerability into its scoring methodology. In our prior work, we acknowledged that assessing the benefits of a program\u2014such as reducing a high-risk facility\u2019s vulnerability to an attack\u2014is inherently challenging because it is often difficult to isolate the impact of an individual program on behavior that may be affected by multiple other factors. However, in order to fully implement this recommendation, ISCD needs to consider steps it can take to evaluate vulnerability reduction resulting from the CFATS compliance inspection process without revisions to the regulation or by creating a significant burden on both industry and government. We noted, for example, that ISCD could establish a vulnerability baseline score when it evaluates a facility\u2019s security measures during its initial review of the facility\u2019s site security plan. ISCD could then use this baseline score as the starting point for assessing any reduction in vulnerability that ISCD can document that has occurred as a result of security measures implemented by the facility during the compliance inspection process. As the CFATS program continues to mature and ISCD begins its efforts to assign scores to facility site security plans, incorporating assessments of reductions in vulnerability at individual facilities and across the spectrum of CFATS facilities as a whole would enable ISCD to better measure the impact of the CFATS compliance inspection process on reducing risk and increasing security nationwide.", "Regarding the second recommendation that the Office of Infrastructure Protection and ISCD take actions to encourage access to and wider use of the IP Gateway and explore other opportunities to improve information- sharing with first responders and emergency planners, DHS stated that it has various outreach activities underway, among other information- sharing efforts, to either directly share or ensure that high-risk chemical facilities are sharing CFATS information with first responders and emergency planners. DHS added that, to continue these efforts and to encourage better utilization of the IP Gateway, it will ensure contact is made with LEPCs representing the top 25 percent of CFATS high-risk chemical facilities no later than the end of the second quarter of fiscal year 2019. While the outreach and information-sharing efforts DHS described are a step in the right direction, in order to fully implement this recommendation it is critical that the intent of any actions taken is to ensure that all first responders and emergency planners with a need-to- know are provided with timely access to CFATS facility-specific information in their jurisdictions. This information should include the name and quantity of chemicals at a facility so as to help these groups be properly prepared to respond to incidents at high-risk chemical facilities and to minimize the risk of injury or death to first responders and the surrounding community. Furthermore, it is important that these actions are focused on ensuring that this CFATS facility-specific information is shared with first responders and emergency planners representing the entirety of CFATS facilities determined to be high-risk, not just those that represent the top 25 percent of CFATS high-risk facilities.", "We are sending copies of this report to the Secretary of Homeland Security, the Under Secretary for the National Protection Programs Directorate, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (404) 679-1875 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, John Mortin (Assistant Director), Hugh Paquette (Analyst in Charge), Chuck Bausell, Kristen Farole, Michele Fejfar, Brandon Jones, Tom Lombardi, Mike Moran, Rebecca Parkhurst, and Claire Peachey made significant contributions to this report."], "subsections": []}]}], "fastfact": ["Facilities that handle hazardous chemicals could be targets for terrorists\u2014e.g., these chemicals could be stolen and used to build explosive devices. The Department of Homeland Security inspects such facilities to ensure they comply with security standards. DHS also shares information about these facilities with local officials so that first responders are prepared for potential security incidents.", "However, we found that first responders may not have all the information they need to safely respond to incidents at these facilities. We recommended, among other things, that DHS provide first responders with better access to this information."]} {"id": "GAO-17-805T", "url": "https://www.gao.gov/products/GAO-17-805T", "title": "Telecommunications: Additional Action Needed to Mitigate Significant Risks in FCC's Lifeline Program", "published_date": "2017-09-14T00:00:00", "released_date": "2017-09-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Created in the mid-1980s, FCC's Lifeline program provides discounts to eligible low-income households for home or wireless telephone and, as of December 2016, broadband service. Lifeline reimburses telephone companies that offer discounts through the USF, which in turn is generally supported by consumers by means of a fee charged on their telephone bills.", "This testimony is based on GAO's May 2017 report and discusses steps FCC has taken to measure Lifeline's performance in meeting goals; steps FCC and USAC have taken to enhance controls over finances, subscribers, and providers; and any weaknesses that might remain.", "For the May 2017 report, GAO analyzed documents and interviewed officials from FCC and USAC. GAO also analyzed subscriber data from 2014 and performed undercover tests to identify potential improper payment vulnerabilities. The results of this analysis and testing are illustrative, not generalizable."]}, {"section_title": "What GAO Found", "paragraphs": ["In its May 2017 report GAO found the Federal Communications Commission (FCC) has not evaluated the Lifeline program's (Lifeline) performance in meeting its goals of increasing telephone and broadband subscribership among low-income households by providing financial support, but it has recently taken steps to begin to do so. FCC does not know how many of the 12.3 million households receiving Lifeline as of December 2016 also have non-Lifeline phone service, or whether participants are using Lifeline as a secondary phone service. FCC revamped Lifeline in March 2016 to focus on broadband adoption; however, broadband adoption rates have steadily increased for the low-income population absent a Lifeline subsidy for broadband. Without an evaluation, which GAO recommended in March 2015, FCC is limited in its ability to demonstrate whether Lifeline is efficiently and effectively meeting its program goals. In a March 2016 Order, FCC announced plans for an independent third party to evaluate Lifeline design, function, and administration by December 2020.", "FCC and the Universal Service Administrative Company (USAC)\u2014the not-for-profit organization that administers the Lifeline program\u2014have taken some steps to enhance controls over finances and subscriber enrollment. For example, FCC and USAC established some financial and management controls regarding billing, collection, and disbursement of funds for Lifeline. To enhance the program's ability to detect and prevent ineligible subscribers from enrolling, FCC oversaw completion in 2014 of an enrollment database and, in June 2015, FCC adopted a rule requiring Lifeline providers to retain eligibility documentation used to qualify consumers for Lifeline support to improve the auditability and enforcement of FCC rules.", "Nevertheless, in its May 2017 report, GAO found weaknesses in several areas. For example, Lifeline's structure relies on over 2,000 Eligible Telecommunication Carriers that are Lifeline providers to implement key program functions, such as verifying subscriber eligibility. This complex internal control environment is susceptible to risk of fraud, waste, and abuse as companies may have financial incentives to enroll as many customers as possible. On the basis of its matching of subscriber to benefit data, GAO was unable to confirm whether about 1.2 million individuals of the 3.5 million it reviewed, or 36 percent, participated in a qualifying benefit program, such as Medicaid, as stated on their Lifeline enrollment application. FCC's 2016 Order calls for the creation of a third-party national eligibility verifier by the end of 2019 to determine subscriber eligibility. Further, FCC maintains the Universal Service Fund (USF)\u2014with net assets of $9 billion, as of September 2016\u2014outside the Department of the Treasury in a private bank account. In 2005, GAO recommended that FCC reconsider this arrangement given that the USF consists of federal funds. In addition to addressing any risks associated with having the funds outside the Treasury, FCC identified potential benefits of moving the funds. For example, by having the funds in the Treasury, USAC would have better tools for fiscal management of the funds. In March 2017, FCC developed a preliminary plan to move the USF to the Treasury. Until FCC finalizes and implements its plan and actually moves the USF funds, the risks that FCC identified will persist and the benefits of having the funds in the Treasury will not be realized."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its May 2017 report, GAO made seven recommendations, including that FCC ensure plans to transfer the USF from the private bank to the Treasury are finalized and implemented expeditiously. FCC generally agreed with all the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Federal Communications Commission\u2019s (FCC) oversight of the Lifeline program (Lifeline). Over the past two decades, telecommunications carriers and their customers have paid over $100 billion to support the federal policy of \u201cuniversal service.\u201d Universal service is the principle that all Americans should have access to communications services. FCC carries out this policy through four programs, including Lifeline. Lifeline was created in the mid-1980s to promote telephone subscribership among low-income households. In the mid-2000s, such service came to include wireless communications, and, in December 2016, FCC also began including broadband service. Average Lifeline enrollment as of the fourth quarter of calendar year 2016 was approximately 12.3 million subscribers.", "To participate in Lifeline, households must either have an income that is at or below 135 percent of the Federal Poverty Guidelines or participate in one of several qualifying assistance programs, such as Medicaid or the Supplemental Nutrition Assistance Program (SNAP). After subscribers are enrolled in Lifeline, they receive a monthly benefit on home or wireless phone and broadband service. The Lifeline benefit can lower or eliminate the cost of a subscriber\u2019s monthly phone or Internet bill.", "By statute, every telecommunications carrier providing interstate telecommunications services\u2014including Lifeline providers\u2014must contribute to federal universal service unless exempted by FCC. Contributions are deposited into the Universal Service Fund (USF). Although not required to do so, carriers typically pass on the cost of USF fees as a separate line item to their customers\u2019 phone bills. A not-for- profit, private corporation designated by FCC as the administrator of universal service programs, the Universal Service Administrative Company (USAC) pays Lifeline providers a subsidy from the USF for each subscriber to offset forgone revenues. From calendar year 1998 through 2016, USAC had disbursed approximately $20.2 billion to Lifeline providers.", "In May 2017, we published a report on FCC\u2019s oversight of Lifeline that identified steps FCC has taken in the last few years to enhance the integrity of the program and stated the weaknesses that remained. We also made seven recommendations to improve FCC\u2019s oversight of the program, which the agency agreed to implement.", "My statement today discusses key findings from our May 2017 report, as well as steps FCC has taken and the related recommendations we made. Specifically, this testimony discusses (1) the extent to which Lifeline demonstrates effective performance towards program goals; (2) steps FCC and USAC have taken to improve financial controls in place for Lifeline and the USF, and any remaining weaknesses that might exist; (3) steps FCC and USAC have taken to improve subscriber eligibility verification, and any remaining weaknesses that might exist; and (4) steps FCC and USAC have taken to improve oversight of Lifeline providers, and any remaining weaknesses that might exist.", "For our May 2017 report, we reviewed documents and interviewed multiple stakeholders associated with Lifeline, including FCC, FCC\u2019s Office of Inspector General (OIG), and USAC, among others. We also examined USAC financial data, including USF bank account statements and payment data, and interviewed USF account managers at the bank that holds USF funding. Further, we reviewed internal financial controls established by FCC and USAC and performed data matching and analysis to identify potential improper payments using Lifeline\u2019s enrollment data from the National Lifeline Accountability Database (NLAD) and relevant beneficiary databases. The results of the data analysis are illustrative rather than generalizable. We also performed undercover work to test the vulnerability for improper payments of funds disbursed to both subscribers and Lifeline providers. For example, we submitted 21 Lifeline applications using false information and fabricated supporting documents to determine whether we could obtain Lifeline benefits. These undercover tests were for illustrative purposes to highlight any potential internal control vulnerabilities and are not generalizable to the broader universe of subscribers and providers. Additional information on our scope and methodology is available in our May 2017 report. Our audit work was performed in accordance with generally accepted government auditing standards, and our related investigative work was done in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "FCC Has Not Evaluated Lifeline\u2019s Performance in Meeting Program Goals but Has Taken Recent Steps toward Evaluation", "paragraphs": ["FCC has not evaluated Lifeline\u2019s performance in meeting program goals but, as we found in May 2017, has taken recent steps toward evaluation. According to GAO\u2019s Cost Estimating and Assessment Guide, to use public funds effectively the government must meet the demands of today\u2019s changing world by employing effective management practices and processes, including the measurement of government program performance. In the past, FCC has called for program evaluations to review the administration of universal service generally, including Lifeline, but has not completed such evaluations. For example, FCC specified that it would review USAC 1 year after USAC was appointed as the permanent administrator to determine whether the universal service programs were being administered effectively. This review, which was planned to have been completed by 1999, was never done. In 2005, FCC awarded a contract to the National Academy of Public Administration to study the administration of the USF programs generally, examine the tradeoffs of continuing with the current structure, and identify ways to improve the oversight and operation of universal service programs. However, we reported in May 2017 that FCC officials stated FCC subsequently terminated the contract and the study was not conducted.", "In March 2015, we found that FCC had not evaluated Lifeline\u2019s effectiveness in achieving its performance goals of ensuring the availability of voice service for low-income Americans, while minimizing the burden on those who contribute to the USF. We recommended, and FCC agreed, to conduct a program evaluation to determine the extent to which Lifeline is efficiently and effectively reaching its performance goals.", "Our May 2017 report raised additional questions about Lifeline\u2019s effectiveness in meeting its program goals. For example, we reported that:", "FCC did not know how many of the 12.3 million households receiving Lifeline as of December 2016 also have non-Lifeline phone service (for which they pay out of pocket) along with their Lifeline benefit. Without knowing whether participants are using Lifeline as a primary or secondary phone service, we concluded that it is difficult for FCC to determine whether it is achieving the program\u2019s goal of increasing telephone subscribership among low-income consumers while minimizing the USF contribution burden.", "FCC revamped Lifeline in March 2016 to focus on broadband adoption and generally phase out phone service, in part because FCC recognized that most eligible consumers have phones without Lifeline and to also close the \u201cdigital divide\u201d of broadband adoption between low-income households and the rest of the country. However, broadband adoption rates have steadily increased for the low-income population absent a Lifeline subsidy for broadband. We found that at least two companies operating in a total of at least 21 states had begun offering in-home non-Lifeline broadband wireline support for less than $10 per month to individuals that participate in public- assistance programs, such as SNAP or public housing. The offered rate of these providers\u2019 own low-income broadband service of $10 per month was less expensive than FCC\u2019s broadband reasonable- comparability cost benchmark of approximately $55 per month, which Lifeline subscribers would be paying for a similar level of service.", "Our May 2017 report also found that FCC has recently taken some steps toward evaluating Lifeline\u2019s performance in meeting program goals. Specifically, in the 2016 Lifeline Modernization Order, FCC instructed USAC to hire an outside, independent, third-party evaluator to complete a program evaluation of Lifeline\u2019s design, function, and administration. The order stipulated the outside evaluator must complete the evaluation and USAC must submit the findings to FCC by December 2020. As FCC expects Lifeline enrollment to increase as the program is expanded to include broadband service, this expansion could carry with it increased risks for fraud, waste, and abuse, as was the case with past expansions of the program. Completing the program evaluation as planned, and as we recommended in 2015, would help FCC determine whether Lifeline is meeting its stated goals of increasing telephone and broadband subscribership among low-income consumers, while minimizing the burden on those who contribute to the USF."], "subsections": []}, {"section_title": "Financial Controls Exist, with Others Planned, for the Lifeline Program, but Weaknesses Remain", "paragraphs": ["In our May 2017 report we found that FCC and USAC have established financial controls for Lifeline, including obtaining and reviewing information about billing, collecting, and disbursing funds. They have also developed plans to establish other controls, such as establishing a national eligibility verifier (National Verifier) for Lifeline providers to determine the eligibility of applicants seeking Lifeline service. However, as discussed in our May 2017 report, we found that weaknesses remain, including the lack of requirements to effectively control program expenditures above approved levels, concerns about the transparency of fees on customers\u2019 telephone bills, and a lack of FCC guidance that could result in Lifeline and other providers paying inconsistent USF contributions. To address these concerns, we recommended the Chairman of FCC (1) require Commissioners to review and approve, as appropriate, spending above the budget in a timely manner; (2) require a review of customer bills as part of the contribution audit to include an assessment of whether the charges, including USF fees, meet FCC Truth-in-billing rules with regard to labeling, so customer bills are transparent, and appropriately labeled and described, to help consumers detect and prevent unauthorized changes; and (3) respond to USAC requests for guidance and address pending requests concerning USF contribution requirements to ensure the contribution factor is based on complete information and that USF pass-through charges are equitable. FCC generally agreed with those recommendations.", "In addition, we found that USAC\u2019s banking practices for the USF result in oversight and accountability risks that FCC has plans to mitigate. Specifically, FCC maintains USF funds\u2014whose net assets as of September 2016 exceeded $9 billion\u2014outside of the U.S. Treasury pursuant to Office of Management and Budget (OMB) advice provided in April 2000. OMB had concluded that the USF does not constitute public money subject to the Miscellaneous Receipts Statute, 31 U.S.C. \u00a7 3302, a statute that requires that money received for the use of the United States be deposited in the Treasury unless otherwise authorized by law. As such, USF balances are held in a private bank account. However, subsequent to this OMB advice, in February 2005 we reported that FCC should reconsider this determination in light of the status of universal service monies as federal funds.", "As discussed in our May report, according to correspondence we received from the FCC Chairman\u2019s Senior Legal Counsel, as of March 2017, FCC had decided to move the funds to the Treasury. FCC identified potential benefits of moving the funds to the Treasury. For example, FCC explained that having the funds in the Treasury would provide USAC with better tools for fiscal management of the funds, including access to real- time data and more accurate and transparent data. According to FCC, until the USF is moved into the Treasury, there are also some oversight risks associated with holding the fund in a private account. For example, the contract governing the account does not provide FCC with authority to direct bank activities with respect to the funds in the event USAC ceases to be administrator of the USF. After we raised this matter with FCC officials during the course of our review, beginning in November 2016, FCC sought to amend the contract between USAC and the bank to enable the bank to act on FCC instructions independently of USAC in the event USAC ceases to be the administrator. However, as of May 2017, the amended contract had not yet been signed.", "While FCC has put in place a preliminary plan to move the USF funds to the Treasury, as well as plans to amend the existing contract with the bank as an interim measure, several years have passed since this issue was brought to FCC\u2019s attention without corrective actions being implemented. Further, under FCC\u2019s preliminary plan, it would not be until next year, at the earliest, that the funds would be moved to the Treasury. In May 2017, while reviewing a draft of this report, a senior FCC official informed us that FCC experienced some challenges associated with moving the funds to the Treasury, such as coordinating across the various entities involved, which raised some questions as to when and perhaps whether the funds would be moved. Until FCC finalizes and implements its plan and moves the USF funds, the risks that FCC identified will persist and the benefits of having the funds in the Treasury will not be realized. As a result, in our May 2017 report, we recommended that the Chairman of FCC take action to ensure that the preliminary plans to transfer the USF funds from the private bank to the Treasury are finalized and implemented as expeditiously as possible. FCC agreed with this recommendation."], "subsections": []}, {"section_title": "FCC and USAC Have Implemented Some Controls to Improve Subscriber Eligibility Verification, but Weaknesses Remain", "paragraphs": ["FCC and USAC have implemented controls to improve subscriber eligibility verification, such as implementing the NLAD database in 2014, which helps carriers identify and resolve duplicate claims for Lifeline- supported services. However, as discussed in our May 2017 report, our analysis of data from 2014, as well as our undercover attempts to obtain Lifeline service, revealed significant weaknesses in subscriber eligibility verification. Lifeline providers are generally responsible for verifying the eligibility of potential subscribers, but we found that their ability to do so is hindered by a lack of access to, or awareness of, state eligibility databases that can be used to confirm eligibility prior to enrollment. For example, not all states have databases that Lifeline providers can use to confirm eligibility and some providers with whom we spoke were unaware of databases that were potentially available to them. These challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers. Additionally, since USAC was not maintaining and providing information to providers about these databases, we recommended they maintain and disseminate an updated list of state eligibility databases available to Lifeline providers that includes the qualifying programs those databases access to confirm eligibility, to help ensure Lifeline providers are aware of state eligibility databases and USAC audits of Lifeline providers can verify that available state databases are being utilized to verify subscriber eligibility. FCC agreed with the recommendation.", "For our May 2017 report, to identify Lifeline subscribers who were potentially ineligible to participate in the program, we tested the eligibility of subscribers who claimed participation in Medicaid, SNAP, and Supplemental Security Income (SSI) using NLAD data as of November 2014. We focused our analysis on these three programs because FCC reported in 2012 that these were the three qualifying programs through which most subscribers qualify for Lifeline. We compared approximately 3.4 million subscribers who, according to information entered in NLAD, were eligible for Lifeline due to enrollment in one of these three programs to eligibility data for these programs.", "On the basis of our analysis of NLAD and public-assistance data, we could not confirm that a substantial portion of selected Lifeline beneficiaries were enrolled in the Medicaid, SNAP, and SSI programs, even though, according to the data, they qualified for Lifeline by stating on their applications that they participated in one of these programs. In total, we were unable to confirm whether 1,234,929 subscribers out of the 3,474,672 who we reviewed, or about 36 percent, participated in the qualifying benefit programs they stated on their Lifeline enrollment applications or were recorded as such by Lifeline providers.", "If providers claimed and received reimbursement for each of the 1.2 million subscribers, then the subsidy amount associated with these individuals equals $11.4 million per month, or $137 million annually, at the current subsidy rate of $9.25 per subscriber. Because Lifeline disbursements are based on providers\u2019 reimbursement claims, not the number of subscribers a provider has in NLAD, our analysis of NLAD data could not confirm actual disbursements associated with these individuals. Given that our review was limited to those enrolled in SNAP or Medicaid in selected case-study states, and SSI in states that participated in NLAD at the time of our analysis, our data results are likely understated compared to the entire population of Lifeline subscribers. These results indicate that potential improper payments have occurred and have gone undetected. We plan to refer potentially ineligible subscribers identified through our analysis for appropriate action as warranted.", "Our undercover testing, as discussed in our May 2017 report, also found that Lifeline may be vulnerable to ineligible subscribers obtaining service and the testing found examples of Lifeline providers being nonresponsive, or providing inaccurate information. To conduct our 21 tests, we contacted 19 separate providers to apply for Lifeline service. We applied using documentation fictitiously stating that we were enrolled in an eligible public-assistance program or met the Lifeline income requirements. We were approved to receive Lifeline services by 12 of the 19 Lifeline providers using fictitious eligibility documentation. We also experienced instances during our undercover tests where our calls to providers were disconnected, and where Lifeline provider representatives transmitted erroneous information, or were unable to provide assistance on questions about the status of our application. For example, one Lifeline provider told us that our application was not accepted by the company because our signature had eraser marks; however our application had been submitted via an electronic form on the provider\u2019s website and was not physically signed. While our tests are illustrative and not representative of all Lifeline providers or applications submitted, these results suggest that Lifeline providers do not always properly verify eligibility and that applicants may potentially encounter similar difficulties when applying for Lifeline benefits. As described above, these challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers."], "subsections": []}, {"section_title": "FCC and USAC Have Taken Some Steps to Improve Oversight of Lifeline Providers, but Remaining Gaps Could Allow Noncompliance with Program Rules", "paragraphs": ["FCC and USAC have implemented some mechanisms to enhance oversight of Lifeline providers, as discussed in our May 2017 report, but we found that remaining gaps could allow noncompliance with program rules. For example, in July 2014, FCC took additional measures to combat fraud, waste, and abuse by creating a strike force to investigate violations of USF program rules and laws. According to FCC, the creation of the strike force is part of the agency\u2019s commitment to stopping fraud, waste, and abuse and policing the integrity of USF programs and funds. Similarly, in June 2015, FCC adopted a rule requiring Lifeline providers to retain eligibility documentation used to qualify consumers for Lifeline support to improve the auditability and enforcement of FCC rules.", "However, we found FCC and USAC have limited oversight of Lifeline provider operations and the internal controls used to manage those operations. The current structure of the program relied throughout 2015 and 2016 on over 2,000 Eligible Telecommunication Carriers (ETC) to provide Lifeline service to eligible beneficiaries. These companies are relied on to not only provide telephone service, but also to create Lifeline applications, train employees and subcontractors, and make eligibility determinations for millions of applicants. USAC\u2019s reliance on Lifeline providers to determine eligibility and subsequently submit accurate and factual invoices is a significant risk for allowing potentially improper payments to occur, and under current reporting guidelines these occurrences would likely go undetected and unreported. Federal internal control standards state that management retains responsibility for the performance and processes assigned to service organizations performing operational functions. Consistent with internal control standards, FCC and USAC would need to understand the extent to which a sample of these internal controls are designed and implemented effectively to ensure these controls are sufficient to address program risks and achieve the program\u2019s objectives.", "We identified key Lifeline functions for which FCC and USAC had limited visibility. For example, we found instances of Lifeline providers utilizing domestic or foreign-operated call centers for Lifeline enrollment. When we asked FCC officials about Lifeline providers that outsource program functions to call centers, including those overseas, they told us that such information is not tracked by FCC or USAC. With no visibility over these call centers, FCC and USAC do not have a way to verify whether such call centers comply with Lifeline rules. FCC and USAC have limited knowledge about potentially adverse incentives that providers might offer employees to enroll subscribers. For example, some Lifeline providers pay commissions to third-party agents to enroll subscribers, creating a financial incentive to enroll as many subscribers as possible. Companies responsible for distributing Lifeline phones and service that use incentives for employees to enroll subscribers for monetary benefit increase the possibility of fictitious or ineligible individuals being enrolled into Lifeline. Highlighting the extent of the potential risk for companies, in April 2016 FCC announced approximately $51 million in proposed fines against one Lifeline provider, due to, among other things, its sales agents purposely enrolling tens of thousands of ineligible and duplicate subscribers in Lifeline using shared or improper eligibility documentation.", "To test internal controls over employees associated with Lifeline for our May 2017 report, we sought employment with a company that enrolls individuals to Lifeline. We were hired by a company and were allowed to enroll individuals in Lifeline without ever meeting any company representatives, conducting an employment interview, or completing a background check. After we were hired, we completed two fictitious Lifeline applications as an employee of the company, successfully enrolled both of these fictitious subscribers into Lifeline using fabricated eligibility documentation, and received compensation for these enrollments. The results of these tests are illustrative and cannot be generalized to any other Lifeline provider. We plan to refer this company for appropriate action as warranted. As stated above, these challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers. In addition, in May 2017, we made two recommendations to help address control weaknesses and related program-integrity risks. Specifically, we recommended that FCC establish time frames to evaluate compliance plans and develop instructions with criteria for FCC reviewers how to evaluate these plans to meet Lifeline\u2019s program goals. We also recommended that FCC develop an enforcement strategy that details what violations lead to penalties and apply this as consistently as possible to all Lifeline providers to ensure consistent enforcement of program violations. FCC generally agreed with these recommendations.", "In conclusion, Lifeline\u2019s large and diffuse administrative structure creates a complex internal control environment susceptible to significant risk of fraud, waste, and abuse. FCC\u2019s and USAC\u2019s limited oversight of important aspects of program operations further complicates the control environment\u2014heightening program risk. We are encouraged by FCC\u2019s recent steps to address weaknesses we identified, such as the 2016 order establishing a National Verifier, which, if implemented as planned, could further help to address weaknesses in the eligibility-determination process. We also plan to monitor the implementation status of the recommendations we made in May 2017.", "Chairman Johnson, Ranking Member McCaskill, and Members of the Committee, this concludes my prepared remarks. I would be happy to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information regarding this testimony, please contact Seto J. Bagdoyan at (202) 512-6722 or bagdoyans@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony are Dave Bruno (Assistant Director), Scott Clayton (Analyst-in-Charge), and Daniel Silva.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-107", "url": "https://www.gao.gov/products/GAO-19-107", "title": "Department of Energy Contracting: Actions Needed to Strengthen Subcontract Oversight", "published_date": "2019-03-12T00:00:00", "released_date": "2019-03-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOE, including NNSA, is the largest federal civilian contracting agency, spending about 90 percent of its appropriations on contracts with companies, universities, and others for federal research and development, engineering, and production. DOE headquarters and local offices oversee contractors\u2019 activities, including their management of subcontracts.", "GAO was asked to review contracting at DOE, including the use of subcontractors. This report examines, for fiscal year 2016, (1) the parties that participated in DOE\u2019s largest prime contracts and the extent to which they subcontracted their work; (2) the extent to which DOE ensured that those contractors audited subcontractors\u2019 costs, as required; and (3) the extent to which DOE ensured that contractors met other subcontract oversight requirements. GAO reviewed DOE\u2019s fiscal year 2016 data and documents, analyzed regulations, and interviewed federal officials and contractor representatives for DOE\u2019s 24 largest fiscal year 2016 prime contracts."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal year 2016, 28 entities participated in the Department of Energy\u2019s (DOE) and its National Nuclear Security Administration\u2019s (NNSA) 24 largest prime contracts, which totaled $23.6 billion of DOE\u2019s fiscal year 2016 obligations. The contractors awarded about $6.9 billion (nearly 30 percent) of those obligations to thousands of subcontractors. Further, multiple companies, universities, and other entities can join together to bid on a contract (i.e., become a \u201cparty to\u201d a contract). GAO\u2019s review of data about these contracts and subcontracts identified complex ownership relationships among the contractors and subcontractors. For example, GAO found that almost all of the 28 parties to the prime contracts in its review were also subcontractors to some prime contracts, holding a total of nearly 3,000 subcontracts with fiscal year 2016 obligations totaling about $927 million (see figure). GAO found that it can be difficult to track changes in the ownership of parties to the contracts and to understand the relationships between parties.", "DOE and NNSA did not always ensure that contractors audited subcontractors\u2019 incurred costs as required in their contracts. GAO\u2019s review of 43 incurred-cost assessment and audit reports identified more than $3.4 billion in subcontract costs incurred over a 10-year period that had not been audited as required, and some subcontracts remained unaudited or unassessed for more than 6 years. Completing audits in a timely manner is important because of a 6-year statute of limitations to recover unallowable costs that could be identified through such audits. DOE headquarters has not issued procedures or guidance that requires local offices to monitor contractors to ensure that required subcontract audits are completed in a timely manner, consistent with federal standards for internal control. Without such procedures or guidance, unallowable costs may go unidentified beyond the 6-year limitation period of the Contract Disputes Act, preventing DOE from recovering those costs.", "DOE and NNSA perform several reviews to ensure that contractors meet other subcontract oversight requirements. For example, DOE\u2019s local offices review proposed subcontracts to ensure they are awarded consistent with policies related to potential conflicts of interest. However, local officials do not independently review information on subcontractor ownership because doing so is not required, although such information could alert officials to potential conflicts of interest. By requiring contracting officers to independently review subcontractor ownership information, DOE and NNSA would have better assurance that contractors are adequately identifying and mitigating organizational conflicts of interest."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that DOE develop procedures that require local offices to monitor contractors to ensure timely completion of required subcontract audits, and require local DOE officials to independently review subcontractor ownership information to identify potential conflicts of interest. DOE partially concurred with five of GAO\u2019s six recommendations but did not agree to independently review subcontractor ownership information. GAO maintains that the recommended actions are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Energy (DOE) is the largest civilian contracting agency in the federal government. DOE spends approximately 90 percent of its annual appropriations\u2014which in fiscal year 2018 totaled about $30 billion\u2014on contracts to manage and operate its scientific laboratories, engineering and production facilities, and environmental restoration sites, or to construct facilities. We first designated aspects of DOE\u2019s contract management as a high-risk area for the government in 1990 because DOE\u2019s record of inadequate management and oversight of contractors left the department vulnerable to fraud, waste, abuse, and mismanagement. Additionally, in its fiscal year 2018 identification of management challenges, DOE\u2019s Office of Inspector General (OIG) added subcontract management as a component of its previously identified management challenges for DOE contract oversight, in part because the OIG\u2019s investigative work and referrals to the OIG hotline identified continued vulnerabilities from inadequate oversight of subcontracts.", "Several recent high-profile incidents have involved fraudulent activity by subcontractors at DOE. In the case of one prime contract, a contractor entered into a subcontract worth hundreds of millions of dollars with a subsidiary of a company that was a party to the prime contract. From March 2010 through February 2012, an employee of the company allegedly drafted false statements to DOE regarding rates charged by the subsidiary, as well as the company\u2019s anticipated profit in providing the subcontracted services. The employee allegedly received illegal kickback payments from the company to improperly obtain or reward favorable treatment in connection with the subcontract or prime contract. In August 2018, the Department of Justice announced that the employee had agreed to pay a settlement and to cooperate with the ongoing Department of Justice investigation. In the case of another prime contract, from June 2011 through July 2013, a subcontractor channeled payments to the son of the president of a contractor through an elaborate system of false invoices and cash payments while failing to identify the potential conflict of interest to the contractor. In January 2018, the subcontractor was sentenced to serve just over 12 months in prison for conspiring to defraud the Internal Revenue Service and DOE.", "DOE oversees its contractors\u2019 activities, including their management of subcontracts, through headquarters offices and local federal field and site offices (local offices) collocated at each contractor\u2019s location. At the headquarters level, DOE\u2019s Office of Acquisition Management is responsible for (1) establishing procurement-related policies and guidance for the department and (2) managing DOE\u2019s acquisition system. In fulfilling these responsibilities, the Office of Acquisition Management develops, issues, maintains, and interprets acquisition regulations, policies, and guidance; provides assistance and oversight for DOE acquisition activities exclusive of the National Nuclear Security Administration (NNSA)\u2014a separately organized agency within DOE\u2014 and provides operational acquisition services to DOE headquarters and staff organizations, among other responsibilities. The key official responsible for setting direction and policy for DOE is the Director of the Office of Acquisition Management.", "NNSA\u2019s Office of Acquisition and Project Management focuses on construction project delivery and prime contract oversight. Its objective is to ensure that NNSA implements DOE\u2019s acquisition and project management policies and regulations as well as NNSA\u2019s own supplemental directives and procedures. The key official responsible for setting direction and policy for NNSA is the Associate Administrator for Acquisition and Project Management. Contracting officers at DOE\u2019s and NNSA\u2019s local offices oversee contractors and seek to ensure, among other things, that prime contract awards are appropriate, that all requirements of law and regulation are met prior to executing a prime contract action, and that both DOE and the contractor comply with the terms of the prime contract. Throughout this report, references to DOE include both DOE and NNSA. When practices differ, we may separately discuss NNSA.", "Prime contracts can be held by a single entity, such as a company or university, or by multiple entities that have combined to form a limited liability corporation (LLC) or other type of business combination. The entities that are parties to these prime contracts can change during the life of the prime contract due to changes in ownership, such as mergers or acquisitions.", "DOE\u2019s oversight of contractors is subject to the Federal Acquisition Regulation (FAR), the Department of Energy Acquisition Regulation (DEAR), and other internal DOE directives. Furthermore, provisions of individual prime contracts may contain additional oversight requirements, such as requirements to audit subcontractor costs. Additional requirements are intended to, among other things, provide reasonable assurance that the contractor is using efficient methods and effective cost controls, ensure that the contractor\u2019s accounting and purchasing systems are operating as intended, and that the contractor is following policies and procedures.", "You requested that we review aspects of contracting at DOE, including oversight of subcontracting. This report examines, for fiscal year 2016, (1) the parties that participated in DOE\u2019s largest prime contracts, the extent to which they subcontracted their work, and the parties and other entities that participated in those subcontracts; (2) the extent to which DOE ensured that those contractors audited subcontractors\u2019 incurred costs, as required; and (3) the extent to which DOE ensured that those contractors met other requirements for subcontract oversight.", "To identify the parties that participated in DOE\u2019s largest prime contracts, the extent to which they subcontracted their work, and the parties and other entities that participated in those subcontracts during fiscal year 2016, we reviewed a list of all DOE prime contracts active in that year provided by DOE headquarters officials. That list included information about contract type, total contract value, fiscal year 2016 obligations, and DOE\u2019s local offices responsible for overseeing the contractors. We selected fiscal year 2016 for review because it was the most recent fiscal year for which complete data were available at the start of our review. Based on our review of data on more than 5,400 contracts that comprised the $28.2 billion in DOE\u2019s total contract obligations for fiscal year 2016, we selected all prime contracts for which DOE obligated at least $300 million in fiscal year 2016. The selection consisted of 24 prime contracts that, in total, represented approximately $23.6 billion, or about 84 percent, of DOE\u2019s fiscal year 2016 contract obligations.", "To identify the parties to DOE\u2019s largest prime contracts, we reviewed documents and statements provided by the DOE local offices about each of the prime contracts in our selection. In some cases, we determined this information was outdated; however, for purposes of this report, we are providing the information that DOE provided to us. To identify the subcontractors to the contracts in the selection, we requested and reviewed information from the contractors on their subcontracts valued at $10,000 or more that were active in fiscal year 2016. To assess the reliability of the data, we took several steps, including reviewing information from each of the contractors about the systems used to capture the data, and we determined that the data were sufficiently reliable to use in analyses of subcontract information from these contractors. We analyzed data about the amount of fiscal year 2016 funds obligated to the subcontracts, the number of subcontracts, the type of subcontracts, and the names of the parties and other entities that were awarded subcontracts. We summarized the results of these analyses and identified cases in which a party to a prime contract was also a subcontractor. We developed shortened versions of the parties\u2019 names and compared these shortened names to prime contracts and subcontracts to identify cases in which a party to the prime contract was also a subcontractor. This provided us with a conservative estimate of the number of parties to both prime contracts and subcontracts in fiscal year 2016; however, this analysis would not identify any cases in which a party to a prime contract used a different name when party to a subcontract.", "To examine the extent to which DOE ensured that contractors in our selection audited subcontractors\u2019 incurred costs and met other requirements for subcontract oversight, we reviewed the FAR, DEAR, DOE policies and guidance, the prime contracts, and Performance Evaluation and Measurement Plans for the contractors to identify and understand DOE and prime contract requirements and guidance for subcontract oversight. Based on our analysis, we confirmed that the contractors in our sample were all required to audit subcontractors\u2019 incurred costs and determined that other requirements for oversight of the relevant subcontractors generally fell into two broad categories: (1) the review and approval of contractor business systems, including the accounting and purchasing systems; and (2) DOE\u2019s approval of subcontracts through consent reviews, which are intended to assess the contractors\u2019 adherence to subcontracting requirements and provide assurance against conflicts of interest. We collected documentation from DOE officials and contractor representatives on DOE\u2019s oversight of the contractor\u2019s management of subcontracts, including the two most recent incurred cost audits for each of the contractors, peer reviews of the contractors, and other external audits and assessments of the contractors. We also interviewed officials from DOE\u2019s local offices responsible for oversight of the contractors in our selection, including DOE contracting officers, and contractors\u2019 representatives. See appendix I for more information about our scope and methodology.", "We conducted this performance audit from May 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section discusses DOE\u2019s use of management and operating (M&O) and non-M&O contracts, DOE\u2019s contracting structure, and federal and DOE requirements for oversight of contractors\u2019 subcontract management."], "subsections": [{"section_title": "DOE\u2019s Use of M&O and Non-M&O Contracts", "paragraphs": ["Since World War II, DOE and its predecessor agencies have depended on the expertise of private firms, universities, and others to carry out federal research and development work and to manage and operate government-owned facilities. DOE relies on contracts to accomplish most of its work. DOE mainly uses M&O contracts, which are agreements under which the government contracts for the operation, maintenance, or support, on its behalf, of a government-owned or government-controlled research, development, special production, or testing establishment wholly or principally devoted to one or more of the major programs of the contracting federal agency.", "DOE and other agencies with sufficient statutory authority and the need for contracts to manage and operate their facilities may use the M&O form of contract; however, according to DOE, it is the only agency using such contracts. According to the DOE Acquisition Guide, DOE generally requires that the M&O contractors be subsidiaries of their corporate parents, dedicated to performance at the specific location, and supported by performance guarantees from their corporate parents. According to DOE officials, in fiscal year 2016, DOE obligated nearly $21 billion on 22 M&O prime contracts\u2014about three-quarters of its total contract obligations for that year.", "DOE also used non-M&O contracts for some contracts that were active in fiscal year 2016. For example, DOE used non-M&O contracts for the Mixed Oxide Fuel Fabrication Facility (MOX) construction project at the Savannah River Site in South Carolina, for construction and cleanup at the Hanford Site in Washington State, and for cleanup at the Oak Ridge Reservation in Tennessee. Figure 1 shows the site or project, and contract type, for the 24 largest DOE prime contracts as of fiscal year 2016, in our selection.", "DOE uses a variety of contract types for its M&O and non-M&O contracts, including cost-reimbursement contracts, time-and-materials contracts, and fixed-price contracts. Under cost-reimbursement contracts, the government reimburses a contractor for allowable costs incurred, to the extent prescribed by the contract. Cost-reimbursement contracts are considered high risk for the government because the government agrees to reimburse the contractors allowable costs, regardless of whether the work is completed. The DEAR states that cost-reimbursement plus award fee contracts are generally the appropriate contract type for M&O contracts, but agencies can choose among a number of different contract types for M&O contracts. A time-and-materials contract provides for acquiring supplies or services on the basis of direct labor hours at specified fixed hourly rates that include wages, overhead, general and administrative expenses, profit, and actual cost for materials. According to DOE\u2019s General Guide to Contract Types for Requirements Officials, this type of contract can fulfill a special need that no other contract type can serve, but it places a heavy burden on technical personnel to perform surveillance to preclude inefficiency or waste, and there is no positive profit incentive for a contractor to control costs. Under fixed-price contracts, the government and contractor agree on a firm pricing arrangement that is subject to adjustment only according to the terms of the contract, and the contractor generally must deliver the product or service for that price."], "subsections": []}, {"section_title": "DOE Contracting Structure", "paragraphs": ["A contractor, for purposes of this report, is a party that has signed a contract with DOE (known as a prime contract), while a subcontractor is a party that has signed a contract with a DOE contractor (or another subcontractor). For example, a contractor may enter into a subcontract to obtain access to a specific set of skills or services that it may not possess, such as construction expertise, equipment services, or technology support. According to the FAR and the DEAR, contractors may subcontract with affiliates or parties to their prime contract under certain circumstances. Subcontracts with M&O contractor affiliates for performance of contract work itself\u2014as distinguished from the purchase of supplies and services needed in connection with the performance of work\u2014require DOE authorization and may involve an adjustment of the contractor\u2019s fee. If the contractor seeks authorization to have some part of the contract work performed by a party to the contract, and the party\u2019s performance of the work was a factor in the negotiated fee, DOE would normally require (1) that the party perform such work without fee or profit; or (2) an equitable downward adjustment to the M&O contractor\u2019s fee, if any."], "subsections": []}, {"section_title": "Requirements for DOE\u2019s Oversight of Contractors\u2019 Subcontract Management", "paragraphs": ["DOE\u2019s oversight of contractors\u2019 subcontract management generally falls into three broad categories: (1) reviewing subcontract costs, including conducting certain subcontract audits, to ensure that subcontract costs are appropriately charged to prime contracts; (2) reviewing and approving contractor business systems, including contractor accounting and purchasing systems, to ensure validity of data and sufficiency of subcontract oversight policies and procedures; and (3) performing subcontract consent reviews to consider, among other things, whether the contractor is complying with contract provisions and assuring against conflicts of interest, such as close working relationships or ownership affiliations between the contractor and subcontractor, which may preclude free competition or result in higher prices."], "subsections": [{"section_title": "Audits and Cost Oversight", "paragraphs": ["The DOE OIG and other federal agencies or external audit organizations conduct periodic incurred cost audits and assessments of DOE\u2019s prime contracts. The purpose of incurred cost audits is to determine whether such incurred costs are reasonable; applicable to the contract; determined under generally accepted accounting principles and cost accounting standards applicable in the circumstances; and not prohibited by the contract, statute, or regulation.", "For its M&O contracts, the contractors\u2019 own internal audit staff performs incurred cost audits under a process known as the \u201ccooperative audit strategy.\u201d Under this strategy, each M&O contractor\u2019s internal audit organization is responsible for performing periodic operational and financial audits, assessing the adequacy of management control systems, and conducting an audit of its own incurred cost statements. Each year, the DOE OIG performs an assessment of incurred costs for the 10 M&O contractors that incurred and claimed the most costs that year, according to the DOE OIG\u2019s audit manual. For the remaining M&O contractors, the OIG performs assessments based on risk. These assessments do not follow standards for independent third-party audits; rather, they follow standards for review-level engagements, which are substantially narrower in scope than an audit. These assessments consist of determining whether the contractor\u2019s internal audits complied with professional standards and could be relied upon; the contractor conducted or arranged for audits of its subcontractors when costs incurred were a factor in determining the amount payable to a subcontractor; and the contractor adequately resolved any questioned costs and internal control weaknesses affecting allowable costs that had been identified in prior reports and reviews.", "For non-M&O prime contracts, DOE has generally relied on the Defense Contract Audit Agency (DCAA), an independent third party, to audit contractors\u2019 incurred costs that they invoiced to DOE. However, resource issues at DCAA have delayed audits and led to a backlog of prime contract audits. Further, the National Defense Authorization Act for Fiscal Year 2016 prohibited DCAA from providing nondefense audit support until DCAA addressed its backlog of incurred cost audits at the Department of Defense. To try to address its audit backlog that accumulated as a result of DCAA\u2019s delays, DOE has used independent public accounting firms, expanded internal audit functions, and relied more heavily on invoice reviews and OIG audits and assessments. However, in February 2015, DOE\u2019s OIG reported that at the time of that report, these methods were not completely effective and did not meet audit standards in some cases. DCAA has since resumed performing audits for civilian agencies. However, while DCAA has made some progress in reducing its backlog of audits, it did not meet its initial goal of eliminating the backlog by fiscal year 2016, and as we found in September 2017, DCAA officials stated that they were unlikely to meet the agency\u2019s revised goal by the end of fiscal year 2018.", "According to the DEAR, each of DOE\u2019s M&O contracts should include a clause that requires the contractor to conduct or arrange for audits of its subcontractors\u2019 incurred costs when costs incurred are a factor in determining the amount payable to the subcontractor to ensure that subcontract costs are allowable. This subcontract audit requirement includes cost-reimbursement and time-and-materials type subcontracts. This requirement is also included in some of DOE\u2019s large non-M&O contracts, including the seven non-M&O prime contracts in our selection. According to DOE headquarters officials, they included this requirement in the non-M&O contracts because of the large dollar amount of the prime contracts. The DOE OIG, DCAA, or other entities generally include information about the status of required subcontract audits in their audits and assessments of the prime contracts.", "In March 2017, we found that DOE generally completed audits or assessments of contractors\u2019 incurred costs after DOE had reimbursed the contractors for the costs for DOE\u2019s M&O and non-M&O contracts, including those contractors\u2019 subcontract costs. If, as a result of these audits or assessments, DOE detects fraud or other improper payments\u2014 such as reimbursements for costs determined to be unallowable under the contract\u2014DOE will question these costs and work with the contractor to resolve them. Sometimes, this can result in DOE recovering funds."], "subsections": []}, {"section_title": "Contractor Business System Reviews", "paragraphs": ["DOE\u2019s oversight of business systems includes oversight of accounting systems and purchasing systems. With regard to accounting systems, under the FAR, agency contracting officers are required to obtain information concerning the adequacy of the contractors\u2019 accounting systems prior to determining whether a prospective contractor is responsible with respect to the contract. Under the FAR, the adequacy and suitability of these systems affects the quality and validity of the contractor data, including subcontract data, on which the government relies to oversee the contractors\u2019 performance. DOE grants approval of the accounting system through headquarters-level reviews, local office reviews, or external audits of the system.", "With regard to purchasing systems, under the FAR, DOE should review and approve contractors\u2019 purchasing systems, including their procurement policies and procedures. If the contractor does not have an approved purchasing system, the contracting officer is required to approve all cost-reimbursement, time-and-materials, and labor-hour subcontracts (among other types) above the simplified acquisition threshold. According to DOE headquarters officials, an approved purchasing system signifies that the contractor\u2019s purchasing policies and practices are efficient and provide adequate protection of the government\u2019s interests, including the contractor\u2019s ability to award some subcontracts without the need to seek review and consent by the local DOE contracting officers. Local contracting officials use a formal contractor purchasing system review or a combination of other monitoring techniques to grant or extend approval of the contractor\u2019s purchasing system."], "subsections": []}, {"section_title": "Subcontract Consent Reviews", "paragraphs": ["DOE monitors contractors\u2019 compliance with subcontracting requirements primarily by providing consent to the contractors to award certain subcontracts. DOE determines the subcontracts that require consent prior to award with criteria the agency develops for each prime contract, such as subcontract dollar value and type of contract. Under the FAR, agencies should consider whether a proposed subcontract is appropriate to the risks involved and consistent with current policy when conducting a consent review. DOE officials told us that they generally use these reviews to ensure that the contractor\u2019s accounting and purchasing systems are continuing to operate as intended and that the contractor is following its policies and procedures, including policies to safeguard against conflicts of interest, such as issues precipitated by shared ownership interests. Under the FAR, where consent is required, the consenting official must give particularly careful and thorough consideration to potential conflicts of interest, such as where close working relationships or ownership affiliations between the contractor and subcontractor may preclude free competition or result in higher prices. For subcontracts that are subject to a consent review, the contractor submits a package of information to the local DOE contracting officer. The contracting officer either provides consent or raises issues that the contractor must address before awarding the subcontract. According to DOE documents we reviewed, the package typically includes summary information such as: what the contractor is buying, the type of contract to be used (i.e., cost-reimbursement, fixed-price), who the subcontract will be awarded to, a general description of the scope of work, a summary of the basis for making the award, documentation that shows the contractor conducted a cost and price analysis prior to award and that the contractor adhered to its internal policies and procedures, and conflict of interest determinations and mitigations."], "subsections": []}]}]}, {"section_title": "Eleven Entities Participated in Multiple DOE Prime Contracts, with Complex Ownership Relationships among the Contractors and Subcontractors", "paragraphs": ["In fiscal year 2016, 28 entities were party to DOE\u2019s 24 largest prime contracts. Specifically, DOE awarded 15 prime contracts to contractors composed of groups of two to five entities and awarded the remaining nine of the 24 prime contracts in our selection to contractors composed of a single entity. Our review found that 11 of the 28 participating entities were parties to multiple prime contracts. The prime contracts in which these 11 entities participated represented about 69 percent, or $19.3 billion, of DOE\u2019s total prime contract obligations in fiscal year 2016. Figure 2 shows the relationships among the 11 entities that are parties to multiple prime contracts included in our selection. For example, Battelle Memorial Institute and Bechtel National, Inc. each were party to six prime contracts, based on ownership information DOE provided.", "It can be difficult to track changes in the ownership of entities that are parties to the prime contracts to understand the entities\u2019 relationships, if any. Our review found that changes in ownership of the parties to six of the 24 prime contracts in our selection occurred prior to fiscal year 2016 but were not reflected in the information DOE provided to us. Therefore, our analyses do not reflect the modified ownership information. The fact that one entity could be party to multiple prime contracts and could acquire other entities that are parties to prime contracts complicated our ability to understand the relationships among them.", "AECOM\u2014which was identified as a party to three prime contracts in our selection\u2014acquired URS Corporation in 2014, and URS had previously acquired Washington Group International in 2007. This resulted in AECOM becoming a party to the Lawrence Livermore National Security, LLC; Washington River Protection Solutions, LLC; Los Alamos National Security, LLC; and Battelle Energy Alliance, LLC, prime contracts, making AECOM a party to seven of the contracts in our selection. However, the documents DOE provided show it as a party to three of the contracts in our selection.", "Our review of contractor Lawrence Livermore National Security, LLC\u2019s website showed that BWX Technologies, Inc. split from the Babcock and Wilcox Company in 2015 and replaced it as a party to the contract, making BWX Technologies party to four of the prime contracts in our selection rather than the three reported in DOE\u2019s documents. These changes in ownership occurred prior to fiscal year 2016, the time period we reviewed, but the changes were not reflected in the ownership information DOE provided to us for these prime contracts.", "Such acquisitions can also complicate DOE\u2019s review of contract proposals. For example, in August 2016, NNSA awarded the contract for the management and operation of the Nevada National Security Site to Nevada Site Science Support and Technologies Corporation. The contractor identified itself as a wholly owned subsidiary of Lockheed Martin. However, after awarding the contract, the NNSA contracting officer was notified that the awardee had been acquired in its entirety by Leidos Innovations Corporation prior to the award. According to NNSA, the request for proposals required offerors to disclose ownership changes that occur during the proposal process, but NNSA was not notified about the ownership change until after the proposal had been awarded. Once the Nevada Site Science Support and Technologies Corporation\u2019s ownership changed from Lockheed Martin to Leidos, its proposal was not compliant with the requirements and NNSA rescinded the award.", "The 24 contractors in our selection reported obligating funds to more than 169,000 subcontracts to about 23,000 different entities in fiscal year 2016. Contractors subcontracted more than $6.9 billion, an amount equivalent to nearly 30 percent of DOE\u2019s obligations to its prime contracts in fiscal year 2016. The extent to which contractors obligated funds to subcontracts in fiscal year 2016 varied widely, from 13 percent of prime contract obligations to 83 percent, as shown in table 1.", "The contractors in our selection reported that they awarded about 54 percent, or about $3.7 billion, of their subcontract obligations in fiscal year 2016 as fixed-price contracts and 46 percent, or about $3.2 billion, as cost-reimbursement contracts, cost-reimbursement contracts with no fee earned, or time-and-materials contracts. See figure 3 for the distribution of subcontract obligations by type.", "We found that in fiscal year 2016, at least 24 of the 28 entities that were parties to the prime contracts were also subcontractors to the prime contracts in our selection. Specifically, these 24 entities held nearly 3,000 subcontracts with fiscal year 2016 subcontract obligations totaling about $927 million. Table 2 shows the parties to prime contracts that also held subcontracts in fiscal year 2016.", "Further, we found that, in some cases, entities held subcontracts on the specific prime contracts to which they were a party. As discussed previously, subcontracting to an entity that is also a party to the prime contract is allowable under the FAR and DOE regulations. Figure 4 shows the 15 contractors that obligated funds in fiscal year 2016 to subcontracts with parties to their prime contracts. For example, UT Battelle, LLC\u2014the contractor for the Oak Ridge National Laboratory prime contract in fiscal year 2016\u2014had 416 active subcontracts with two parties to that prime contract (University of Tennessee and Battelle Memorial Institute). UT Battelle, LLC obligated more than $34 million for subcontracts to these two entities in fiscal year 2016. In another example, Savannah River Remediation, LLC, the liquid waste contractor for the Savannah River Site, had 30 active subcontracts with three parties to that prime contract (AECOM, Inc.; Bechtel National, Inc.; and CH2M Hill Constructors, Inc.). The contractor obligated about $12 million for subcontracts to these three entities in fiscal year 2016. For more information about the relationships among DOE\u2019s prime contracts, parties to the prime contracts, and subcontractors, see an interactive graphic at https://www.gao.gov/products/GAO-19-107."], "subsections": []}, {"section_title": "DOE Did Not Always Ensure That Contractors Conducted Required Subcontract Audits, and Some Unallowable Subcontract Costs May Be Unrecoverable Because Audits Are Not Timely", "paragraphs": ["Each of the 24 prime contracts in our selection required contractors to conduct or arrange for audits of their subcontractors\u2019 incurred costs for certain subcontract types, including cost-reimbursement and time-and- materials contracts, among others. Contracting officers at DOE\u2019s local offices are responsible for overseeing contractors and for ensuring, among other things, that both DOE and the contractor comply with the terms of the prime contract. However, officials from DOE\u2019s local offices have not always ensured that contractors completed the required subcontract audits.", "DOE relies on the contractors\u2019 subcontract audits to identify unallowable subcontract costs. As previously discussed, the DOE OIG, DCAA, or third parties complete incurred cost audits or assessments of DOE\u2019s prime contracts, which generally report on the extent to which the contractor has completed required audits of subcontract costs. We requested the reports for the two most recent incurred cost audits or assessments that the DOE OIG or third parties conducted, as of February 2018, for the prime contracts in our selection to determine whether contractors had conducted required subcontract audits for the period covered by the reports. In response to our request, the 24 contractors provided a total of 43 reports, 11 of which were audit reports and 32 of which were assessment reports:", "Twenty contractors provided both requested reports.", "Three contractors provided only one report each that had been completed.", "One contractor did not provide the two requested reports because of pending litigation.", "Of the 43 incurred cost assessment and audit reports we reviewed, 21 reports indicated that contractors had not audited more than $3.4 billion in costs incurred by subcontractors over the 10-year period covered by the reports. These reports documented various reasons that the subcontracts had not been audited, including that a contractor did not appropriately recognize that time-and-materials subcontracts needed to be audited, or that a contractor relied on internal controls or a non-audit procedure to meet subcontract audit requirements. For example, an April 2013 assessment by the DOE OIG found that subcontractor costs of more than $12 million incurred over a 4-year period for two multi-year time-and-materials contracts had not been audited by the contractor, as required by its prime contract, because the local DOE office did not submit a request to DCAA to perform the audits due to the DCAA backlog. In another example, a March 2014 DOE OIG assessment found that a contractor did not conduct required audits of $155 million in subcontract costs incurred during 1 fiscal year because the contractor believed its internal controls met the intent of the requirement to conduct the subcontract audits.", "Some audit or assessment reports we reviewed included some questioned subcontract costs. For example, in an assessment for fiscal year 2013, the DOE OIG reported that an M&O contractor\u2019s internal audit department performed audits of 78 subcontracts for 30 different subcontractors and questioned nearly $900,000 in subcontractor costs incurred from fiscal year 2009 through fiscal year 2013. As of June 2016, most of the questioned amount had been resolved, and the remaining amount\u2014about $7,900\u2014was deemed unallowable and applied against an invoice from the contractor. In another assessment of an M&O contractor for fiscal year 2013, the DOE OIG questioned subcontract costs identified by the contractor of more than $725,000, with about $8,000 ultimately deemed unallowable. We have previously found that DOE sometimes negotiates questioned costs with its contractors to settle on an amount\u2014potentially lower than the amount initially questioned\u2014 ultimately deemed unallowable. Although the amounts of unallowable costs in these examples are small, DOE does not know the full extent of unallowable subcontractor costs that it has reimbursed because required subcontract audits were not always conducted.", "For some contractors, the issue of unaudited subcontract costs is long- standing and extensive. For example, DOE documents show that, at the time of our review, one contractor had never completed an adequate audit of its subcontractors\u2019 incurred costs over the 16 years of the prime contract period, although its prime contract with DOE requires such audits. In June 2016, the contractor placed the value of its unaudited subcontracts at more than $1.3 billion. This amount included some subcontracts that were closed without being audited, meaning the work had been completed and the final costs under the prime contract had been paid. DOE has been working with the contractor since 2013 to implement corrective actions to resolve the issue; in October 2018, DOE officials told us they reached an agreement with the contractor to complete current audits and address the backlog.", "We identified three key differences in how contractors and DOE\u2019s headquarters and local office officials interpreted the subcontract audit requirements included in the prime contracts we reviewed that contributed to DOE not always ensuring that contractors audited their subcontractors\u2019 incurred costs. Specifically:", "Extent of subcontracts that must be audited. We identified differing interpretations of whether the prime contract required contractors to audit all cost-reimbursement and time-and-materials contracts. Specifically, some contractors told us that they had developed risk- based approaches to selecting subcontracts for audit based on thresholds, such as the amount of the subcontract. However, using such a strategy could exclude significant subcontract costs from audit. For example, according to an April 2012 DOE OIG audit, one contractor increased its subcontract audit threshold from $1 million to $15 million in annual incurred costs, thereby excluding from audit nearly $343 million in subcontract costs incurred during fiscal years 2008 and 2009. In its report, the DOE OIG questioned whether the contractor\u2019s subcontract audit strategy provided sufficient audit coverage to ensure that DOE did not pay unallowable costs. In that case, the DOE OIG found that the audit strategy, which was supposed to be based on DCAA requirements, did not meet a key DCAA requirement to audit incurred costs of at least one-third of all subcontracts under $15 million at least once every 3 years.", "Definition of an audit. Some contractors used invoice reviews in place of audits to meet the requirement. As discussed previously, DOE documents showed that one contractor had never completed an adequate audit of its subcontractors\u2019 incurred costs over the 16 years of the contract. According to contractor representatives, the term \u201caudit\u201d was not defined in their contract, and therefore they performed detailed subcontractor invoice reviews instead of conducting subcontract audits to meet the requirement. DOE found that these invoice reviews did not meet generally accepted government auditing standards.", "Responsibility for arranging for audits if DCAA is unable to conduct audits. Some contractor representatives we interviewed reported that their subcontracts remained unaudited as a result of the DCAA backlog. Representatives from one contractor told us that they believed that they were not responsible to conduct the audits if DCAA was unable to do so, and another said that they tried to engage a third-party auditor to conduct the audits themselves, but their subcontractor would not allow the third-party auditor to access their records despite specific language establishing the contractor\u2019s responsibilities for audits.", "Differences in the interpretation of the subcontract audit requirements have continued to occur because DOE has not clearly defined\u2014in guidance or other documents\u2014how these contract requirements should be met, which could eliminate confusion about which subcontracts should be audited, how an audit is defined, and how to meet subcontract audit requirements if DCAA is unable to conduct the audit. Federal internal control standards state that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives so that external parties can help the entity achieve its objectives and address related risks. Until DOE clearly defines how contractors should meet subcontract audit requirements, contractors may not perform subcontract audits as intended and unallowable costs may not be identified or recouped.", "In addition, we found that audits or assessments of a contractor are usually not conducted immediately after the fiscal year in which funds are spent, partly because of the availability of DCAA staff or third-party auditors to complete the work. Our review of the 43 audit and assessment reports identified reports covering 7 fiscal years that were audited or assessed 6 or more years after the fiscal year in which the costs were incurred; more than $557 million in subcontract costs in those fiscal years had not been audited as required by the prime contracts. The Contract Disputes Act of 1978 imposes a 6-year statute of limitations for the government to seek recovery of unallowable costs that could be identified through subcontract audits, so it is important for audits to be completed in a timely manner.", "We also found that local offices\u2019 efforts to monitor contractors\u2019 completion of subcontract audits have not ensured that contractors have completed required subcontract audits and that those audits are completed in a timely manner. Officials from the local offices said their approaches for overseeing whether contractors performed required subcontract audits included reviewing and approving the contractors\u2019 internal audit plans, reviewing monthly or quarterly reports from the contractors\u2019 internal audit departments, or reviewing the contractors\u2019 internal audits and reviews of subcontractors\u2019 costs. Additionally, several DOE officials from the local offices said they relied on the DOE OIG and external auditors\u2019 assessments and audits of the contractor to monitor the status of subcontract audits, even though these assessments and audits may be infrequent.", "Federal internal control standards state that management should implement control activities through policies, such as by documenting such policies in the appropriate level of detail, to allow management to effectively monitor the control activity. These standards state that policies may be further defined through procedures, including the timing of when a control activity occurs, to help personnel implement the control activities for their assigned responsibilities. However, we found that DOE headquarters has not issued documented procedures or guidance that requires local offices to monitor the contractors\u2019 progress in completing the required audits or to specify the time period during which an audit must be completed. Without such procedures or guidance, unallowable costs may go unidentified beyond the 6-year period set by the Contract Disputes Act, preventing DOE from identifying and recovering unallowable costs."], "subsections": []}, {"section_title": "DOE Did Not Always Ensure That Contractors Met Other Subcontract Oversight Requirements and Does Not Assess Subcontractor Management in Performance Evaluations", "paragraphs": ["In addition to ensuring that contractors conduct required audits of subcontract costs, DOE must meet other requirements to ensure its contractors are effectively overseeing subcontracts, specifically by approving contractors\u2019 accounting and purchasing systems and performing consent reviews to monitor subcontracting actions. With respect to approval of contractors\u2019 accounting and purchasing systems, DOE generally ensures that reviews and approvals of these systems occur, but the frequency of some accounting system reviews varies. With respect to performance of consent reviews to monitor subcontracting actions, most subcontracts are not reviewed by DOE, and we found that while DOE\u2019s local officials could independently review available information on ownership to assist them with their assessment of contractors\u2019 identification of potential conflicts of interest in the consent review process, they generally do not. Further, DOE\u2019s thresholds for conducting consent reviews are inconsistent and there is no requirement to reevaluate the thresholds. In addition, DOE\u2019s annual contractor performance evaluations do not explicitly measure its contractors\u2019 performance in managing or overseeing subcontracts."], "subsections": [{"section_title": "DOE Generally Approves Contractors\u2019 Accounting Systems, but the Frequency of Some Reviews Varies", "paragraphs": ["Under the FAR, federal agencies are to determine the adequacy and suitability of contractors\u2019 accounting systems. The adequacy and suitability of these accounting systems affects the quality and validity of the contractor and subcontractor data upon which the government must rely for its management and oversight of the contractor and contract performance. DOE local contracting officers responsible for the prime contracts in our selection stated that they rely on contractor accounting system approvals to help them determine the contractor\u2019s suitability to appropriately place and manage subcontracts. The FAR provides that the contractor\u2019s accounting system should be adequate during the entire period of contract performance, but does not specify a minimum frequency for performing accounting system reviews.", "According to interviews with local DOE officials and our review of documentation they provided, DOE may grant accounting system approval through headquarters-level reviews, local office reviews, or external audits of the accounting system. Headquarters-level reviews occur at a level above the local office, such as through NNSA\u2019s Office of Management and Budget. In addition, the contracting officers or other subject matter experts at DOE\u2019s local offices can conduct the reviews of the accounting systems themselves or employ an external audit organization, such as DCAA, to conduct the reviews. DOE conducted at least one review of the accounting systems used for each of the 24 prime contracts in our selection: eight accounting systems were reviewed through headquarters-level organization reviews, nine were reviewed by local offices, and seven were reviewed through external audits. DOE headquarters officials said that no method for review is considered more rigorous or preferred over another, and it is left to the discretion of the contracting officers at DOE\u2019s local offices to determine which method to use.", "According to our review of documents from DOE\u2019s local offices and interviews with DOE officials from the local offices, 22 of the 24 prime contracts in our selection had approved accounting systems in fiscal year 2016. Contracting officers from the local DOE offices responsible for oversight of the two prime contracts for which there was no approved accounting system for fiscal year 2016 told us that they maintained oversight of the contractors\u2019 accounting systems through mechanisms other than the traditional review and approval process. Specifically:", "Local DOE officials responsible for oversight of one prime contract, which was awarded in December 2000, told us that they did not have to review or approve the contractor\u2019s accounting system at the local level after the contract was awarded because the contractor\u2019s corporate office was required to have an approved accounting system to enter into its contract with DOE. The officials were not sure whether an approval of the corporate accounting system had been performed since 2000, but DCAA was scheduled to perform a review of the system in late 2018. In a 2017 letter to the DOE local office, DCAA stated that its review of the accounting system was delayed due to staffing issues, and it was the agency\u2019s opinion that the contractor\u2019s internal audits and reviews demonstrated that the contractor was adhering to the criteria of an adequate accounting system.", "A local official responsible for oversight of another prime contract stated that they had not approved the contractor\u2019s accounting system because it was adopted from the site\u2019s former contractor. The officials told us the former contractor\u2019s accounting system had already been approved and no additional review or approval was necessary. Officials at DOE headquarters agreed that the use or transfer of an existing DOE-approved accounting system satisfies the review requirement. According to the officials responsible for overseeing this prime contract, the local office annually reviews and approves the contractor\u2019s Financial Management System Plan, which would identify any major planned enhancements and upgrades to the current financial management systems and subsystems, including the accounting system.", "In addition to differences in how accounting system approvals were conducted, local DOE officials said there are differences in the frequency of the contractor accounting system reviews and approvals across local offices. Some accounting systems are approved only at the time the prime contract is awarded, while others are approved annually, on a 3- year cycle, or only if there are major changes to the accounting system. DOE headquarters officials we interviewed said that the frequency of reviews and approvals was determined on a contract-by-contract basis, and for the prime contracts for which the accounting system was approved at the time of contract award, the officials were unaware of what might necessitate an additional review. Figure 5 shows the frequency of accounting system approvals for the 24 prime contracts in our selection as of fiscal year 2016.", "The DOE Acquisition Guide states that the creation and maintenance of rigorous business, financial, and accounting systems by the contractor is crucial to ensuring the integrity and reliability of the cost data used by DOE officials. Further, the FAR provides that the contractor\u2019s accounting system should be adequate during the entire period of contractor performance. In addition, DOE headquarters officials said that periodic reviews and approvals of the accounting systems are important to ensuring these requirements are met. However, there is wide variation in the frequency of these reviews, in part because DOE has not reviewed the differences in the frequency of its accounting system approvals and whether the basis for these differences is appropriate.", "Prime contracts can last for decades, so many years may pass without further review of the adequacy of the accounting systems. For example, local officials responsible for overseeing a prime contract with an accounting system that was approved at the time the contract was awarded said that the approval occurred 12 years ago, and they had questions about the adequacy of the system.", "DOE officials said that they do not have guidance to help contracting officers at local offices determine the appropriate frequency for reviewing accounting systems\u2019 adequacy. Instead, local DOE contracting officers that oversee each prime contract have discretion to determine the manner and frequency of reviews based on their knowledge of the contractor. Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, including by clearly documenting internal control in management directives, administrative policies, or operating manuals. When reviews are infrequent, or it is unclear when a review should be conducted, subsequent changes to the accounting system may not be promptly evaluated and DOE may not have adequate assurance that contractors\u2019 accounting systems can be relied upon. By reviewing the differences in the frequency of its accounting system reviews and approvals and developing guidance that provides criteria to determine the appropriate frequency of such reviews, DOE could better ensure that adequate accounting systems are in place during the entire period of the contract."], "subsections": []}, {"section_title": "DOE Generally Reviews and Approves Contractors\u2019 Purchasing Systems and Plans More Consistent Reviews Going Forward", "paragraphs": ["Under the FAR, the federal agency should maintain a sufficient level of surveillance to ensure that the contractor is effectively managing its purchasing program. Each of the contractors for the 24 prime contracts in our selection had an approved purchasing system in fiscal year 2016. If a local DOE contracting officer determines that a contractor does not have an approved purchasing system, under the FAR, the office should review and decide whether to approve (i.e. consent to) all cost- reimbursement type subcontracts and unpriced actions for fixed-price subcontracts that exceed the simplified acquisition threshold of $150,000 prior to award. Under the FAR, the contractor is to continue to seek approval for every proposed subcontract that meets these criteria until the issues with the purchasing system that led to the withdrawal of approval are resolved and the system is again approved. Our review of subcontract information provided by DOE\u2019s contractors indicates that, without an approved purchasing system, more than 6,600 of the subcontracts that were active in fiscal year 2016 would have required review and approval prior to award, according to the existing simplified acquisition threshold.", "According to DOE officials at local offices and headquarters, DOE contracting officers may use a formal contractor purchasing system review or a combination of surveillance and other monitoring techniques to grant or extend approval of a contractor\u2019s purchasing system. DOE headquarters officials told us that the variation in the source and method of purchasing system reviews is intentional to allow the local offices to meet the requirement in a way that works best for their location and contractor, and that the most important aspect of the purchasing system review is the ongoing surveillance of the system.", "Contracting officers from DOE\u2019s local offices told us they had approved the purchasing system for each of the 24 prime contracts in our selection in a variety of ways:", "Seven local offices approved contractors\u2019 purchasing systems based on the local contracting officer\u2019s knowledge of the contractor\u2019s work;", "Six local offices relied on the results of a peer review program;", "Five local offices considered the results from a combination of internal and external audits and reviews (including peer reviews);", "Four local offices performed a formal purchasing system review but did not provide specifics as to the source of information, such as internal or external audits or peer reviews; and", "Two local offices relied on the results of external audits.", "One of the contractors in our selection of 24 prime contracts, Bechtel National, Inc., had a DOE-approved purchasing system for the construction of the Hanford Waste Treatment and Immobilization Plant at the Hanford Site in Washington State, which was subsequently withdrawn for a 3-month period in 2018. Specifically, in fiscal year 2018, the Defense Contract Management Agency (DCMA) performed a review of the contractor\u2019s corporate purchasing system and identified a number of significant deficiencies\u2014such as inadequate advance notice of subcontract awards, missing subcontractor disbarment disclosures, and general documentation issues with the contractor\u2019s procurement files\u2014 that resulted in Bechtel National, Inc.\u2019s corporate purchasing system being disapproved until the identified deficiencies could be resolved. DOE officials said they lifted the restrictions on the contractor in October 2018 following DCMA\u2019s validation that Bechtel National, Inc. implemented the required updates to its purchasing system and procedures.", "In June 2018, DOE headquarters officials told us they encouraged the local offices to focus on the use of a peer review program to review and approve purchasing systems. NNSA officials further explained that they expected the peer reviews would encourage contractors to remain diligent in the administration of their systems. As a part of this new approach, DOE headquarters officials told us that local officials will be required to assess the need for a purchasing system review every 3 years, and if the local office did not conduct a review, then a peer review would be required at least every 6 years.", "According to DOE\u2019s November 2018 updated peer review handbook and officials responsible for the handbook, the peer review program is DOE\u2019s preferred method for conducting purchasing system reviews and is now mandatory for DOE\u2019s M&O contracts at least every 6 years and for non- M&O contracts, with a contract length of 5 years or less, at the 3-year mark. NNSA headquarters officials stated that they expect all of their local offices to use the peer review program to assess contractors\u2019 purchasing systems going forward, regardless of the type of contract. According to documents provided by DOE headquarters and local offices, as of July 2018, contractors for 18 of the 24 prime contracts in our selection participated in the peer review program, and six did not participate, including two NNSA contractors. Figure 6 shows the date of the most recent peer review for the 24 prime contracts in our selection, as of July 2018."], "subsections": []}, {"section_title": "DOE Uses Consent Reviews to Monitor Some Contractors\u2019 Subcontract Actions but Does Not Independently Assess Potential Conflicts of Interest", "paragraphs": ["According to contracting officers and headquarters officials we interviewed, DOE\u2019s local offices use subcontract consent reviews to monitor contractors\u2019 compliance with subcontracting requirements. In addition, local officials told us that they use these reviews to review and assess any reported potential conflicts of interest on the part of the contractor and subcontractors. However, we found that local DOE officials generally do not request additional information on ownership to independently ensure contractors are mitigating these conflicts, nor do they routinely make use of various databases available to government employees that report ownership information for many government contractors. In addition, local offices conduct a limited number of consent reviews for subcontracts, based on a dollar threshold that varies among local offices, which makes it difficult for DOE to ensure that local offices have sufficient visibility into contractors\u2019 subcontracting actions."], "subsections": [{"section_title": "DOE Uses Consent Reviews to Monitor Contractor Compliance with Subcontracting Requirements", "paragraphs": ["According to local DOE officials we interviewed, subcontract consent reviews are the primary control method used to monitor contractors\u2019 compliance with subcontracting requirements. Under the FAR, in conducting a consent review, agencies should consider whether a proposed subcontract is appropriate to the risks involved and consistent with current policy. Specifically, local DOE officials told us that they use the consent reviews to monitor contractors\u2019 accounting and purchasing systems between formal reviews of these systems; as well as to monitor their compliance with policies and procedures for subcontracting, including ensuring that subcontracts are awarded competitively, are of appropriate types, and that the contractor adheres to requirements to safeguard against conflicts of interest.", "According to officials we interviewed, local DOE contracting officers often receive a notice from the contractor of its intention to solicit subcontracted work and, if the proposed subcontract value exceeds an agreed-upon dollar threshold, contracting officers typically will review a consent package from the contractor before the final award of the subcontract. The contractor is to obtain DOE\u2019s consent to the proposed action before proceeding.", "NNSA\u2019s local offices have a standard consent checklist that directs the contracting officer to consider certain factors before granting consent for the contractor to issue a particular subcontract. These factors include the contractor\u2019s past performance, whether the solicitation for subcontracted work was appropriately competed, the type of subcontract selected, and whether the proposed prices are reasonable for the intended work, among other things. In comparison, individual DOE local offices generally use consent checklists they develop. These checklists have similar review topics to the NNSA checklist, but the specific items and formats vary.", "According to DOE officials we interviewed, subcontract consent reviews are DOE\u2019s only opportunity to review subcontract pricing and to ensure best value for the government before the contractor awards the subcontract. Furthermore, because fixed-price subcontracts do not have the same audit requirements as cost-reimbursement subcontracts, these consent reviews may be the only opportunity for DOE to review the cost and pricing of fixed-price subcontracts to be awarded by the contractor. As mentioned previously, the contractors for the 24 prime contracts in our selection awarded 54 percent of their fiscal year 2016 subcontract obligations as fixed-price subcontracts, and these contracts may be awarded to parties to the prime contract, subject to certain conditions.", "DOE contracting officials we interviewed noted a number of ways in which consent reviews have helped them oversee contractors\u2019 compliance with subcontracting requirements. For example, an official described one case in which the contractor was proposing a cost-reimbursement subcontract for items that could have been purchased more favorably under a fixed- price contract. The consent package did not support why the contractor chose the more costly contract type, so the contracting officer denied consent and asked the contractor to review and reissue the solicitation. In another example, the contractor had to renegotiate a subcontract before award, after the contracting officer identified inherent safety concerns in the description of the proposed work upon review of the consent package."], "subsections": []}, {"section_title": "DOE Uses Consent Reviews to Ensure Contractors Mitigate Potential Conflicts of Interest Contractors Identify, but DOE Does Not Independently Assess Ownership Conflicts", "paragraphs": ["DOE requires certain provisions to be included in the prime contracts that require both DOE and the contractor to safeguard against personal and organizational conflicts of interest. Among other things, these contract provisions include requirements from the FAR that prohibit former officials of a federal agency from accepting compensation from a contractor within a year of awarding a contract to that contractor; prohibit contractors from soliciting, accepting, or attempting to accept any kickbacks; and generally prohibit federal agencies from subcontracting with debarred entities. All of the local DOE officials we interviewed said they rely on the contractor to identify and mitigate potential conflicts by including these requirements in contract clauses in their subcontracts and in the contractor\u2019s internal policies and procedures. Headquarters and local DOE officials said they rely on the consent review process to ensure that contractors are following these policies and procedures, and that contractors identify and mitigate subcontract ownership conflicts, such as those that may occur in connection with subcontracts to related parties.", "If the contractor has identified a conflict of interest in connection with a proposed subcontract, the consent package checklists we reviewed request the contractor to also include in the package either a simple conflict of interest disclosure statement, which would include steps the contractor claims to have taken to mitigate the conflict, or a conflict of interest analysis conducted by the contractor. In both cases, the contracting officer is expected to check that the information is included in the package, but no additional action or assessment by local DOE contracting officers is required. Local DOE officials performing consent reviews told us that subcontracting with related parties is their main concern when assessing conflicts of interest; however, they generally did not independently assess information on subcontractor ownership during their reviews, beyond the information that the contractor reported. Information on subcontractor ownership could alert local contracting officers to potential conflicts of interest, such as preferential treatment in the awarding of subcontracts to parties of the prime contract, and could help DOE to determine if the mitigation plan included in the consent package is adequate to address the potential conflict of interest. However, local DOE officials told us that they generally do not request or review subcontractor ownership information in available databases when reviewing proposed subcontracts because there is no requirement to do so. (See appendix III for a description of data systems available to DOE officials that may contain relevant ownership information about existing contractors or entities.)", "Local DOE officials told us they have identified instances, through their consent reviews, in which the contractors\u2019 reporting of potential conflicts of interest was inadequate. For example, DOE officials reviewing consent packages at a local office noticed that a number of subcontracts were awarded to a single company. The officials subsequently determined that the contractor\u2019s former president was currently sitting on the board of the subcontracting company, but the contractor had not disclosed this information during the consent review process. According to DOE officials, this case is currently under review.", "In addition, according to a Department of Justice press release, an employee of one contractor created an entity and then, on behalf of the contractor, ensured that a multimillion-dollar subcontract was awarded to the new entity, and this employee received payments under the subcontract from May 2011 to April 2016. The subcontractor did not disclose this conflict of interest while working for the contractor.", "As previously discussed, contractor ownership can be complicated, with complex relationships between and among entities. Further, contractor ownership may change over time through various mergers and acquisitions. These relationships and changes can make it difficult for DOE to monitor contractors\u2019 ownership, such as in the previously discussed example in which an awardee did not notify NNSA of an ownership change prior to contract award as required by the request for proposals. In this case, NNSA would have been unable to identify or mitigate potential conflicts of interest in connection with the owner, had the contracting officer not been notified separately of the change in ownership.", "Nevertheless, according to officials from DOE\u2019s local offices, because DOE is not a party to the subcontracts, agency officials generally do not maintain or request subcontractor ownership information beyond the information that contractors provide during consent reviews. Although DOE has the right to access information about the subcontractors\u2019 costs and performance\u2014through contract clauses that generally allow DOE to request and review information relevant to costs and performance under the prime contract, including the costs and performance of subcontractors as well as through multiple databases available to government employees\u2014officials stated there is no requirement for contracting officers to request or search such information during reviews. According to DOE headquarters officials, depending on the type of prime contract, the government may request direct access to subcontractor records as required. For example, DOE officials from one local office told us that they have access to the contractor\u2019s subcontract information through a direct link to the contractor\u2019s internal restricted network, but they do not routinely access the network to review ownership information. Like data available through other databases, these internal data maintained by the contractors have the potential to be useful to local officials during consent reviews for identifying the risks imposed by potential conflicts of interest between parties to the prime contract and potential subcontractors.", "Federal internal control standards state that management should identify, analyze, and respond to risks related to achieving the defined objectives, such as analyzing identified risks to estimate their significance, which provides a basis for responding to the risks. As noted above, local officials said that their main concern when assessing conflicts of interest is the contractor subcontracting with related parties. However, local DOE officials told us that they generally do not request or review subcontractor ownership information because there is no requirement to do so. By requiring contracting officers to independently review subcontractor ownership information as part of consent reviews and assess potential conflicts of interest, DOE would have better assurance that contractors are adequately identifying and mitigating organizational conflicts of interest."], "subsections": []}, {"section_title": "DOE Does Not Periodically Reevaluate Consent Thresholds to Ensure Sufficient Visibility into Contractors\u2019 Subcontracting Actions", "paragraphs": ["Although consent reviews have the potential to provide contracting officers with important information on the contractor\u2019s compliance with requirements, the number of reviews conducted by local offices each year varies due to different thresholds at each location. DOE headquarters and local officials told us the numbers of consent reviews conducted by local offices are based on dollar-amount thresholds or other criteria established by the local DOE offices, and these criteria vary among DOE locations. According to DOE officials, consent review thresholds vary for a number of different reasons. For example, a senior agency official and some local DOE officials said that small staff sizes and other oversight responsibilities may limit the number of consent reviews that contracting officers conduct. DOE guidance recommends that when establishing the threshold for consent reviews, the contracting officer should aim to review enough subcontracts annually to provide the local office with sufficient visibility into subcontracting actions without being overly burdensome on either the contractor or the federal staff.", "The consent review thresholds for the 24 prime contracts in our selection varied widely, and contracting officers performed few reviews for some prime contracts. For example, as shown in table 3, one local office set its subcontract consent threshold at $250,000, which led the local contracting officer to review about 175 consent packages in a year, and another set the threshold at $25 million, which led the local office to review 1 consent package in a year. Local DOE officials told us that most subcontracts are not subject to consent reviews because they fall below the consent threshold. One of the prime contracts with a $25 million consent threshold is held by Bechtel National, Inc., the contractor constructing the Hanford Waste Treatment and Immobilization Plant. As previously discussed, Bechtel National, Inc.\u2019s purchasing system was disapproved for a 3-month period in fiscal year 2018 and, during that time, the contracting officer was required to review and consent to all subcontracts above $250,000. A DOE official told us that the local office reviewed 48 subcontract consent packages during this time period, and the office would not have reviewed any if the purchasing system had not been disapproved.", "In some cases, DOE contracting officers have adjusted the consent review thresholds during the contract period based on concerns they have identified with subcontracts that the contractor awarded. For example, one local office had concerns that the subcontractor was not disclosing potential conflicts of interest to the contractor and, therefore, the contractor did not mitigate these conflicts of interest. As a result, the contracting officers reduced the consent threshold to increase the number of consent packages they reviewed until they could be certain the contractor was managing subcontracting risks adequately. According to the local DOE officials, part of the reason they did not identify the deficiencies sooner was that high thresholds resulted in the local officials conducting few consent reviews. In another example, a DOE contracting officer from a different local office lowered the consent review threshold in 2017 due to documentation issues\u2014such as files with inadequate documentation to explain or justify proposed prices\u2014as well as the contractor not sending a subcontract to the local office for approval, as required. Local DOE officials told us they requested a peer review of the contractor to see if this was a systemic issue, and they reduced the consent threshold to send a message to the contractor that DOE expected the contractor to improve its subcontracting practices.", "For more than half of the contracts in our selection, thresholds for required consent reviews have not been reevaluated since the contracts were awarded because, according to DOE officials, there has not been a requirement to do so. Federal internal control standards state that management should design control activities to achieve objectives and respond to risks. As discussed in the examples above, without an appropriate number of subcontract reviews, deficiencies, such as inadequate documentation, have persisted. By requiring contracting officers to periodically reevaluate the thresholds for consent reviews, DOE may be able to better ensure that local offices have sufficient visibility into contractors\u2019 subcontracting actions to ensure that proposed subcontracts are appropriate to the risks involved and consistent with current policy and sound business judgment.", "After we provided our preliminary results from our review of the consent review process to DOE headquarters officials, the officials told us they planned to reevaluate consent thresholds as part of the peer review process described above, with respect to purchasing system reviews. NNSA headquarters officials stated that they would implement a similar change to its process, based on DOE\u2019s guidance, once DOE implements its changes in the November 2018 update. However, we reviewed the November 2018 update and found that it did not include a requirement to reevaluate consent thresholds as part of the peer review process."], "subsections": []}]}, {"section_title": "DOE Does Not Explicitly Evaluate Its Contractors\u2019 Performance on Subcontract Management", "paragraphs": ["According to local DOE officials and documents provided, DOE develops Performance Evaluation and Measurement Plans at the beginning of each fiscal year to establish expectations for contractor performance and to describe how the local office will evaluate the contractors\u2019 performance against those expectations. According to DOE guidance, the plans provide a standard to assess whether the contractors are meeting the mission requirements and performance expectations for goals stipulated within the contracts. In addition, according to DOE guidance, the plans should describe the incentives available, such as award fees, and the methodology for determining the amount of incentives earned by the contractor for the year, based on the evaluation of the contractor\u2019s performance. In general, Performance Evaluation and Measurement Plans we reviewed included goals and performance criteria. Goals are the broad, high-level categories and benchmarks that local DOE officials use to assess the contractor\u2019s annual performance and reflect what local officials consider most important in the contractor\u2019s performance. Performance criteria, also included in the plans we reviewed, refer to the elements officials should consider when reviewing to determine whether the contractor has met the goals. Not all performance criteria need to be met for a contractor to show adequate performance toward a goal.", "None of the fiscal year 2016 Performance Evaluation and Measurement Plans for the 24 prime contracts we reviewed included goals explicitly related to subcontractor management, and only 3 of the 24 plans included performance criteria that were related to the contractor\u2019s management of subcontractors. According to DOE officials, there is no requirement to include specific goals or performance criteria related to subcontractor management in these plans because the contractor is responsible for completing the scope of work in the prime contract, regardless of whether it was performed by the contractor or a subcontractor. The fiscal year 2016 Performance Evaluation and Measurement Plans we reviewed for 18 of the 24 prime contracts in our selection included a goal for effective and efficient business operations, which includes the contractor\u2019s accounting and purchasing systems. DOE headquarters officials stated that they would expect any subcontract management issues that affected the scope, schedule, or cost of the contract to be identified and addressed within this goal. However, of the three plans that included performance criteria on subcontract management, none of the criteria were included under the business operations goal, as DOE officials said they would have expected. Rather, these performance criteria were included under goals such as \u201cproject performance and technical issue resolution\u201d or a \u201cspecial emphasis area.\u201d", "The fiscal year 2016 Performance Evaluation and Measurement Plans we reviewed did not reflect the expectations DOE headquarters officials described to us that subcontract management would be reflected in the business operations goal of contractor evaluations, and the plans do not acknowledge the importance of subcontract management and oversight, particularly in light of the high percentage of contract obligations\u2014 frequently for cost-reimbursement contracts\u2014that subcontractors ultimately execute. As we mentioned above, contractors in our selection subcontracted out nearly 30 percent of their fiscal year 2016 obligated funds, making subcontract management a key part of the contractors\u2019 work.", "According to DOE guidance, DOE should use performance-based management as a strategic contract management tool to plan for, manage, and evaluate contractor performance under the prime contract and to align performance with costs. A March 2018 study of NNSA\u2019s M&O contractors and a February 2019 GAO report on DOE performance measures found that performance evaluations tend to be subjective and do not focus on potentially important areas, such as the contractors\u2019 cost performance. The Deputy Secretary of Energy also issued a statement in September 2018 noting the importance of properly incentivizing performance as part of contract management to ensure that the most important performance measures are identified and that incentives are appropriately aligned to those measures. However, the plans we reviewed do not reflect the importance of subcontract management because there is no requirement to include assessments of the contractors\u2019 management of its subcontractors in the plans. By requiring that explicit performance criteria that assess the contractors\u2019 management of subcontractors be included as part of the annual Performance Evaluation and Measurement Plans, DOE would have more reasonable assurance that the agency is emphasizing the importance of subcontract management and providing contractors an additional incentive to properly manage their subcontractors."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Contracting officers at DOE\u2019s local offices are responsible for, among other things, ensuring that contractors complete required subcontract audits. DOE\u2019s headquarters and local offices have taken some steps to ensure that contractors comply with their subcontracting requirements. However, differences in how contractors, local DOE offices, and DOE headquarters offices interpret subcontract audit requirements and perform subcontract audits persist because DOE has not clearly defined\u2014in guidance or other documents\u2014how these requirements should be met. Until DOE clarifies which subcontracts should be audited, how an audit is defined, and how to meet subcontract audit requirements if DCAA is unable to conduct the audit, contractors may not perform subcontract audits as intended and unallowable costs may not be identified or recouped. Additionally, DOE\u2019s local offices did not always ensure that contractors audited their subcontractors\u2019 incurred costs for cost- reimbursement and time-and-materials subcontracts as required because DOE headquarters has not issued documented procedures or guidance that requires local offices to monitor contractors\u2019 progress in completing the required subcontract audits in a timely manner. Without such procedures or guidance, unallowable costs may go unidentified beyond the 6-year limitation period of the Contract Disputes Act, preventing DOE from recovering those costs.", "In addition, the timing of contractor accounting system reviews differs among DOE\u2019s local offices. DOE has not reviewed the differences in the frequency of the reviews and whether the basis for these differences is appropriate, nor provided guidance that includes criteria to determine the frequency of reviews. By reviewing the differences in the frequency of its accounting system reviews and approvals and developing guidance that includes criteria to determine the appropriate frequency of such reviews, DOE acquisition officials could better ensure that adequate accounting systems are in place during the entire period of the contract.", "DOE uses consent reviews to ensure that other subcontracting requirements are met, including that subcontracts are appropriate to the risks involved and that there are appropriate safeguards related to personal and organizational conflicts of interest. Nevertheless, DOE generally does not independently request or review subcontractor ownership information or assess potential conflicts of interest related to ownership between contractors and subcontractors as part of their consent reviews\u2014beyond information disclosed by the contractor\u2014 because there is no requirement to do so. Recent criminal investigations into conflicts of interest, local offices\u2019 own findings of unreported conflicts, and the complex ownership relationships among contractors and subcontractors that we identified emphasize the need for oversight in this area. By establishing such a requirement, DOE would have better assurance that contractors are adequately identifying and mitigating conflicts of interest.", "DOE\u2019s local offices set thresholds to determine which subcontracts to review. The thresholds often are set at the beginning of the contract and are not reevaluated because there is no requirement to do so. We observed a small number of instances in which DOE local offices decreased thresholds after identifying concerns during consent reviews. We were encouraged that DOE intended to incorporate evaluation of consent review thresholds in their peer review process as part of their planned update to their guidance, but upon subsequent review, the guidance did not contain the requirement. By requiring local offices to periodically reevaluate consent review thresholds, DOE and NNSA acquisition officials may be able to better ensure that local offices have sufficient visibility into contractors\u2019 subcontracting actions to ensure that proposed subcontracts are appropriate and consistent with current policy.", "Finally, DOE uses Performance Evaluation and Measurement Plans to establish expectations for contractor performance, including performance criteria, used to evaluate contractor performance. However, few of the plans we reviewed included explicit goals or performance criteria related to subcontract management because there is no requirement to do so. By requiring inclusion of explicit performance criteria for assessing the contractors\u2019 management of subcontractors in these plans, DOE and NNSA acquisition officials would have more reasonable assurance that the agency is emphasizing the importance of subcontract management and providing contractors an additional incentive to properly manage their subcontractors."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to DOE: The Director of the DOE Office of Acquisition Management should clearly define\u2014in guidance or other documents\u2014which subcontracts should be audited, how an audit is defined, and how to meet subcontract audit requirements if DCAA is unable to conduct the audit.(Recommendation 1)", "The Director of the DOE Office of Acquisition Management should develop documented procedures or guidance that requires DOE\u2019s local offices to monitor the contractors\u2019 progress in completing required subcontract audits in a manner that ensures unallowable costs can be recovered within the 6-year limitation period in the Contract Disputes Act. (Recommendation 2)", "The Director of the DOE Office of Acquisition Management should review the differences in the frequency of DOE\u2019s accounting system reviews and approvals and develop guidance that includes criteria to determine the appropriate frequency of such reviews for prime contracts. (Recommendation 3)", "The Director of the DOE Office of Acquisition Management should require local officials to independently review subcontractor ownership information as part of DOE consent reviews and assess potential conflicts of interest to ensure contractors are mitigating them. (Recommendation 4)", "The Director of the DOE Office of Acquisition Management should require local offices to periodically reevaluate consent review thresholds. (Recommendation 5)", "The Director of the DOE Office of Acquisition Management should require contracting officers to include assessments of the contractors\u2019 management of subcontractors as part of annual Performance Evaluation and Measurement Plans, as appropriate. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE for comment. In our draft report, we made twelve recommendations\u2014each of our six current recommendations was made to both DOE and NNSA. In response to DOE\u2019s comments, we consolidated our original twelve recommendations into six recommendations addressed to DOE. We did so with the understanding that NNSA follows DOE guidance and would develop supplemental guidance, as needed, to implement these recommendations. With regard to the remaining six current recommendations, DOE partially concurred with five of the recommendations and did not concur with one of the recommendations. DOE\u2019s written response is reproduced in appendix IV. In addition, DOE provided technical comments which we incorporated as appropriate.", "DOE did not concur with our fourth recommendation to require local officials to independently review subcontract ownership information as part of DOE consent reviews and assess potential conflicts of interest to ensure contractors are mitigating them. In response to the recommendation, DOE said that it plans to issue guidance emphasizing the importance of contracting officers\u2019 reviewing contractors\u2019 disclosure and mitigation of issues created by potential conflicts of interest or ownership affiliations between contractors and subcontractors, and NNSA plans to evaluate the need for additional action upon issuance of the guidance. DOE officials said they rely on the consent review process to ensure that contractors identify and mitigate subcontract ownership conflicts as required, such as those that may occur in connection with subcontracts to related parties. Local DOE officials told us they have identified instances, through their consent reviews, in which the contractors\u2019 reporting of potential conflicts of interest was inadequate. Furthermore, we have identified several recent high-profile incidents that have involved fraudulent activity by subcontractors related to conflicts of interest that were not disclosed to DOE. DOE officials\u2014including those in local offices\u2014have access to several databases and other sources of information that would allow them to independently verify ownership information that could allow the local offices to identify potential conflicts of interest that were not disclosed. We continue to believe that requiring local officials to independently review subcontractor ownership information as part of consent reviews and assess potential conflicts of interest could provide DOE with greater assurance that the contractors are identifying and mitigating conflicts of interest.", "In response to our other five recommendations, DOE stated that it partially concurred with each. For each recommendation, DOE said that it would review existing regulations, procedures, guidance, or contract provisions and assess the need for supplemental guidance. We believe that DOE\u2019s plans to further examine the issues raised in our report is a positive step toward resolving the issues; however, we believe that the actions called for in our recommendations remain valid and that DOE could more efficiently resolve the issues by proceeding to implement those actions.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, the Administrator of the National Nuclear Security Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To address our objectives, we reviewed relevant laws, regulations, and guidance, including the Federal Acquisition Regulation (FAR); the Department of Energy Acquisition Regulation (DEAR); Department of Energy (DOE) policies and guidance on contract management and subcontract oversight; and individual prime contracts to identify requirements that explicitly apply to subcontracting, including DOE\u2019s roles and responsibilities and requirements for the contractor. We also reviewed relevant documentation and interviewed officials from DOE and the National Nuclear Security Administration (NNSA), as well as representatives of DOE\u2019s largest prime contracts and officials from the local DOE offices that oversee these prime contracts.", "To identify the entities that participated in DOE\u2019s largest prime contracts, the extent to which they subcontracted their work, and the entities that participated in those subcontracts during fiscal year 2016, we reviewed a list of all DOE prime contracts active in that year provided by DOE headquarters officials. That list included information about prime contract type, total prime contract value, fiscal year 2016 obligations, and DOE\u2019s local offices responsible for overseeing the contractors. We selected fiscal year 2016 for review because it was the most recent fiscal year for which complete data were available at the start of our review. DOE\u2019s total prime contract obligations for fiscal year 2016 were $28.2 billion. We determined that an appropriate threshold for establishing our selection would be all single prime contracts for which DOE obligated at least $300 million (about 1% of all contract obligations) in fiscal year 2016, and this resulted in a list of 24 prime contracts that represented about $23.6 billion in obligations, or about 84 percent of DOE\u2019s fiscal year 2016 prime contract obligations. The resulting selection of 24 prime contracts consisted of both management and operating (M&O) and non-M&O prime contracts from the three major program offices within DOE: NNSA, Office of Science, and Office of Environmental Management. We took several steps to determine the reliability of the prime contract data provided by DOE, including interviewing agency officials and reviewing individual prime contract documents, as well as verifying, through contractor and local office interviews, the amount of funds obligated to the prime contract in fiscal year 2016. We determined that the data provided by DOE on the prime contracts, in terms of prime contract obligations in fiscal year 2016, were sufficiently reliable for identifying DOE\u2019s largest prime contracts.", "To identify the parties to DOE\u2019s largest prime contracts, we reviewed documents and statements the DOE local offices provided about the parties to each of the 24 prime contracts in our selection. For consistency, we used only the information local DOE officials provided about prime contract ownership, either from their direct statements or from the prime contract documents they provided as our source for the information, although we observed that in some cases more recent ownership information was available through the contractors\u2019 websites. In addition to the documents and statements officials from DOE\u2019s local offices provided, we also reviewed contractors\u2019 websites and information from the parties\u2019 websites about acquisitions and mergers to better understand the complicated relationships among all of the contractors and the parties to the prime contracts. Because of changes in entity ownership or the structure of these prime contracts, more entities than we identified in our analysis may be parties to these prime contracts.", "To identify the subcontractors to the 24 prime contracts in our selection, we requested and reviewed data from the 24 contractors about their active subcontracts in fiscal year 2016. Each contractor provided data on their subcontracts that were $10,000 or more and that were active in fiscal year 2016, including: the subcontractor\u2019s name, Dun & Bradstreet\u2019s Data Universal Numbering System (DUNS) number, location of subcontractor\u2019s office, total award amount, total obligated amount for fiscal year 2016, type of subcontract, contract award date, and contract term. There were some cases in which the contractors did not provide all of the requested subcontract data, or the data provided were not clear, such as the meaning of the type of subcontract. To resolve these issues, we conducted contractor-specific follow-up requests to either collect the missing information, identify the reasons that information was not available, or to clarify data they provided. We were able to collect missing information and clarify the data with two exceptions. First, many contractors did not have DUNS numbers for all of their subcontractors and therefore we did not use this identifier in our analyses. Second, contractor Brookhaven Science Associates, LLC did not track the obligated dollar amount for fiscal year 2016 for its active subcontracts. As a result, we were not able to include it in our analysis of the dollar amount of subcontracted funds, and we indicated that this analysis was therefore based on 23 of the 24 prime contracts in our selection.", "We took several steps to determine the reliability of the subcontract data provided by the contractors, including requesting and reviewing information from each of the contractors about the systems used to capture the data, and we determined that the information was sufficiently reliable to use in analyses of subcontract information from these 24 contractors in fiscal year 2016. We identified the amount of funds subcontracted, the number of subcontracts, and the number of unique entities subcontracted to during fiscal year 2016. We also identified the amount subcontracted for each contractor by type of subcontract, as defined in the FAR: (1) fixed-price; (2) cost-reimbursement; (3) cost- reimbursement, no-fee; and (4) time-and-materials. In addition, we used the names of the subcontractors to identify any cases in which a party to the prime contract was also a subcontractor to any of the prime contracts in our selection. We used shortened versions of the parties\u2019 names to perform the matching between parties to the prime contract and subcontractors. For example, the party to the Battelle Energy Alliance, LLC prime contract\u2014Battelle Memorial Institute\u2014was shortened to \u201cBattelle,\u201d and we included any subcontract that included the word \u201cBattelle\u201d in its name in our match list. This allowed us to identify a conservative estimate of the number of parties who were also subcontractors in fiscal year 2016. However, this analysis would not have identified any cases in which the subcontractor was a party to the prime contract but had a different name.", "To develop graphical representations of (1) figure 2, Entities That Were Party to More than One of the 24 Largest Department of Energy Prime Contracts, Fiscal Year 2016 (which explores ownership relationships between parties and prime contracts) and (2) figure 4, Selected Department of Energy Contractors That Awarded Subcontracts to Parties to Their Prime Contract, Fiscal Year 2016 (which explores contracting relationships between prime contracts and subcontractors that were also parties), we performed the name-matching exercise described in the previous paragraph to first structure the data and then develop graphical prototypes using the UCINet network analysis tool, including its NetDraw graphics tool, which were then further refined for GAO publication. For each of the static representations, the graphics juxtaposed two sets of entities in columnar format: (1) for the party-prime contract graphic, we arrayed parties to two or more prime contracts in the first column of entities and the prime contracts in which these parties had ownership in a second column, and (2) for the prime contract-party as subcontractor representation, we arrayed the prime contracts in the first column and the subcontractors who were also parties to their prime contract in the second column. Lines between parties and prime contracts in the first graphic represented the presence of an ownership relationship. The parties were sized according to the number of contracts that the entity was a party to, and the contracts were sized according to the number of parties to that contract. Lines between prime contracts and parties as subcontractors in the second graphic represented the value of subcontracts between the two, with the lines taking on one of four weights corresponding to dollar value ranges.", "To examine the extent to which DOE ensured that the 24 contractors in our selection audited subcontractors\u2019 incurred costs and met other requirements for subcontract oversight, we developed a structured interview and a request for data and documents, which we administered to representatives of the 24 prime contracts in our selection and to DOE officials at local offices who were responsible for the oversight of the contractors. To develop the list of requested documents and structured interview questions, we reviewed the FAR, DEAR, DOE policies and guidance, and individual prime contracts to identify both DOE\u2019s roles and responsibilities and requirements for the contractor regarding subcontracting. From these sources, we confirmed that the review of subcontract costs, including subcontract audits and DOE access to subcontractor records, was a key requirement and identified two other broad categories that covered the requirements we identified for DOE and the contractor related to subcontracting: (1) the review and approval of contractor business systems, including the accounting and purchasing systems; and (2) DOE\u2019s approval of subcontracts through consent reviews, which are intended to assess the contractors\u2019 adherence to subcontracting requirements and provide assurance against conflicts of interest, including personal and organizational conflicts, and issues with kickbacks, foreign influence, and disbarment.", "We designed the structured interview questions and document requests to identify how DOE officials met subcontract oversight requirements. We pretested the structured interview questions and document requests at three of DOE\u2019s local offices that included both M&O and non-M&O prime contracts from three major program offices\u2014the Hanford Site in Washington State, Lawrence Livermore National Laboratory, and Pacific Northwest National Laboratory\u2014and made changes to the request for documents and the interview guide as appropriate. We then conducted the structured interviews with DOE\u2019s local officials responsible for oversight of the 24 contractors in our selection, including contracting officers, and with representatives from the 24 contractors during February, March, and April 2018. We also collected documents that addressed DOE\u2019s oversight of the contractors\u2019 management of subcontracts, including, as of February 2018, the two most recent incurred cost audits or assessments of the prime contract\u2014which spanned the 10-year period from 2007 to 2016\u2014the contract management plans, annual contractor performance reviews, peer reviews, and information about the subcontractors and entities that were parties to the prime contracts. We conducted a content analysis of DOE and contractor officials\u2019 responses provided through the structured interview process and on the data and documentation we received, and we summarized the extent to which DOE ensures that contractors were auditing subcontractors\u2019 incurred costs and meeting other requirements for subcontract oversight.", "We conducted this performance audit from May 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: The Department of Energy\u2019s 24 Largest Prime Contracts in Fiscal Year 2016", "paragraphs": ["Table 4 provides information on the Department of Energy\u2019s (DOE) 24 largest prime contracts in fiscal year 2016, including the name of the site or project, the name of the contractor, entities that were party to the prime contract, and the amount obligated on the contract in fiscal year 2016. Local DOE officials provided information on parties to the prime contract, either from direct statements or from the prime contract documents. We used information DOE provided as our source for the information in the table, although we observed that in some cases more recent information was available through the contractors\u2019 websites or other sources."], "subsections": []}, {"section_title": "Appendix III: Summary of Key Data Systems Used to Collect Data on Department of Energy Contractors", "paragraphs": ["There are several key federal data systems that include information on Department of Energy (DOE) contractors. Additionally, DOE has internal systems that include information on contractors. These data systems are available to federal employees and can be used to differing extents to identify information about contractor ownership."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Hilary Benedict (Assistant Director), Kathy Pedalino (Analyst in Charge), Caitlin Dardenne, and Jeffrey (Chris) Wickham made key contributions to this report. Also contributing to this report were Enyinnaya David Aja, David Dornisch, Farrah Graham, Richard P. Johnson, Cynthia Norris, Dan Royer, and Tatiana Winger."], "subsections": []}]}], "fastfact": ["Almost the entire $30 billion Department of Energy budget goes to contracts, most of which have subcontracts.", "What sort of scrutiny do these subcontracts get?", "In a 10-year look back, we found more than $3.4 billion in subcontract costs that had not been audited as required\u2014some of which was already past the 6-year statute of limitations to recover unallowable costs.", "Yet Energy has not clarified which subcontracts should be audited and what an audit should entail.", "We made 6 recommendations to address these and other issues we found with Energy's subcontract oversight."]} {"id": "GAO-19-123", "url": "https://www.gao.gov/products/GAO-19-123", "title": "Superfund: EPA Should Improve the Reliability of Data on National Priorities List Sites Affecting Indian Tribes", "published_date": "2019-01-23T00:00:00", "released_date": "2019-02-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Superfund is EPA's principal program to address sites with hazardous substances, and some of the most seriously contaminated of these sites are listed on the NPL. Many of these sites can affect Indian tribes or their land. EPA has a policy to consult with tribes when EPA actions or decisions may affect tribal interests, including on cleanup of NPL sites that are on tribal property or that affect tribes.", "GAO was asked to analyze NPL sites that are on tribal property or that affect tribes and EPA's consultation with tribes at these sites. This report: (1) examines the extent to which EPA has reliable data identifying NPL sites that are located on tribal property or that affect tribes, (2) examines the extent to which EPA has reliable data on the agency's consultation with tribes regarding NPL sites, and (3) describes the actions EPA has taken to address the unique needs of tribes when making decisions about cleanup actions at Superfund sites. GAO reviewed laws and policies, assessed EPA data on NPL sites, and interviewed EPA and tribal officials about cleanup actions and consultations at six non-generalizable NPL sites selected in part for their geographic diversity."]}, {"section_title": "What GAO Found", "paragraphs": ["The Environmental Protection Agency (EPA) does not have reliable data identifying National Priorities List (NPL) sites that are located on tribal property or that affect tribes. Specifically, EPA collects data on whether sites are on tribal property or have Native American Interest (a data variable indicating sites where tribal members or tribal land would be directly affected by the release of hazardous substances), as well as which tribes are associated with NPL sites. However, EPA's data are not always accurate or complete for a number of reasons. For example, EPA can have difficulty identifying some tribal property boundaries, and NPL site boundaries may evolve as the site is investigated and remediated. EPA does not have a regular review process for its data on whether an NPL site is on tribal property. In addition, EPA's guidance for determining whether a site has Native American Interest is unclear, and regions may not interpret it consistently. Without improving its review process and clarifying its guidance, EPA will not have reasonable assurance that its data on tribes that are affected by NPL sites are accurate or complete.", "EPA consults with tribes when actions at an NPL site may affect tribal interests, but the agency does not have reliable data on its consultations with tribes. Data from EPA's system for tracking consultation did not include documentation of some consultations that GAO confirmed had occurred. One possible reason that EPA data are incomplete is that the agency's policy is unclear on which interactions are considered consultation and are therefore to be documented in EPA's system of record, which is not consistent with federal standards for internal control. EPA's policy provides a broad definition of consultation and specifies which staff are responsible for determining when consultation may be appropriate. However, the policy does not provide further guidance on the circumstances under which consultation should be considered. For example, it does not specify any specific points in the hazardous substance cleanup process at which consultation should be considered or provide further detail on which tribal interests should be considered when determining if tribal interests on NPL sites are affected. Without clarifying guidance to clearly define circumstances under which consultation with tribes should be considered, EPA cannot have reasonable assurance that it is applying its consultation policy consistently.", "EPA has taken various actions to address the unique needs of tribes when making decisions about cleanup actions. These actions include minimizing tribal members' exposure to contaminants because of tribal lifestyle (e.g., greater consumption of local fish and game) and limiting potential damage to culturally important sites. For example, EPA officials said that at one site, they altered the design and route of the roads used to remove contaminated materials to minimize the impact of cleanup activities' on cultural resources. EPA also published a memorandum in 2017 with recommendations on considering tribes' traditional ecological knowledge in the cleanup process if tribes offer it."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to EPA, including that it take actions to improve the data it collects and to clearly define circumstances under which consultation with tribes should be considered. EPA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Releases of hazardous substances into the environment can create significant risks to human health and the environment, and Indian tribes can face unique challenges associated with exposure to such substances. According to the Environmental Protection Agency (EPA), more than 300,000 Indians\u2014roughly 12 percent of the approximate total Indian population of the United States\u2014live within 3 miles of a site that has released or may release a hazardous substance. For example, in upstate New York, elevated levels of polychlorinated biphenyls, which were released into the St. Lawrence and Grasse Rivers by an aluminum manufacturing facility and an aluminum die casting plant, have posed a threat to the health and traditional cultural practices of members of the Saint Regis Mohawk Tribe since at least 1954, according to officials from the tribe. According to these officials, fish consumption restrictions associated with the contamination in the St. Lawrence and Grasse Rivers disrupted the tribe\u2019s subsistence lifestyle and the role that fishing plays in tribal members\u2019 lives. In addition, in 2014, we reported that for more than 30 years, the Navajo people have lived with the environmental and health effects of uranium contamination resulting from the extraction of millions of tons of uranium ore from mines on the Navajo reservation to support the development of the U.S. nuclear weapons stockpile.", "The federal government\u2019s principal program to address sites with hazardous substances\u2014the Superfund program\u2014was established by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 and is administered by EPA. EPA assesses contaminated sites using a Hazard Ranking System that considers several factors, such as exposure pathways, to determine a site\u2019s relative threat to human health or the environment. Sites with sufficiently high scores under this system are eligible to be proposed for listing on the National Priorities List (NPL), which includes some of the most seriously contaminated sites that EPA identifies for long-term cleanup. After a site is listed on the NPL, or a release or threatened release of a hazardous substance is identified, EPA or a potentially responsible party can begin the multi-phase remedial cleanup process, which we refer to as cleanup actions. Potentially responsible parties are liable for conducting or paying for the cleanup of hazardous substances.", "In certain circumstances involving Superfund sites, EPA is required or directed to consult with federally recognized Indian tribes. Specifically, for Superfund sites on land where a tribe has jurisdiction, CERCLA requires EPA to give tribes \u201csubstantially the same treatment as a state\u201d for, among other things, consultation on remedial actions. In addition, in 2011, EPA issued a general, agency-wide policy for consultation and coordination with tribes when EPA actions and decisions may affect tribal interests. The policy outlines a four-phase consultation process that includes EPA notifying tribes sufficiently early in the process to allow for meaningful input by tribes and providing formal, written feedback explaining how EPA considered tribes\u2019 input in its final action.", "You asked us to examine Superfund sites that are located on tribal property or that affect tribes, and EPA\u2019s consultation with tribes regarding cleanup actions at these sites. This report (1) examines the extent to which EPA has reliable data identifying NPL sites that are located on tribal property or that affect tribes, (2) examines the extent to which EPA has reliable data on the agency\u2019s consultation with tribes regarding NPL sites, and (3) describes what actions, if any, EPA has taken to address the unique needs of tribes when making decisions about cleanup actions at NPL sites.", "To examine the extent to which EPA has reliable data identifying NPL sites that are located on tribal property or that affect tribes, we obtained EPA data on NPL sites currently proposed, final, or deleted, that (1) EPA data indicate are associated with Indian tribes, (2) the agency has determined to have Native American Interest (NAI), and (3) EPA officials told us may be within 10 miles of tribal property. We limited our review to NPL remedial cleanup sites\u2014proposed, final, and deleted\u2014because they represent sites with the highest national priority due to the significance of releases, or threatened releases, of hazardous substances. To assess the reliability of EPA\u2019s data, we worked with officials from EPA headquarters and each of its 10 regional offices to perform data quality checks and identify any errors or omissions. We also interviewed EPA officials about selected sites of interest that, according to EPA, may be located within 1 mile of tribal property, but that EPA had not identified as having NAI. Additionally, we reviewed documents and interviewed officials from EPA headquarters and regional offices to better understand the agency\u2019s management and use of the database of record for collecting and maintaining data on all Superfund sites, the Superfund Enterprise Management System (SEMS). We worked with agency officials to correct errors in order for us to report on the number of NPL sites known to be on tribal property or that affect tribes as of December 2017, and we identified 87 sites of the total 1,785 NPL sites that were proposed, final, or deleted at that time. In addition, in their comments on a draft of this report, the Confederated Salish and Kootenai Tribes of the Flathead Reservation identified an additional site that was not included in EPA\u2019s data, bringing the total to 88 NPL sites known to be on tribal property or affect tribes. We recognize there may be additional sites that may be of interest to tribes; however, we determined that the data were sufficiently reliable for the purpose of providing information on NPL sites known to affect tribes or to be located on tribal property. Appendix I provides information on and cleanup status for these 88 sites.", "To examine whether EPA has reliable data regarding its consultation with tribes about NPL sites, we reviewed data from EPA\u2019s Tribal Consultation Opportunity Tracking System (TCOTS) regarding consultations that had taken place since 2011 and related agency documentation, interviewed knowledgeable agency officials, and compared TCOTS data with other data EPA provided on tribal consultation in support of our first objective. We worked with agency officials to correct errors and omissions to reach a final set of data that were sufficiently reliable to report, as of May 2018. These data provide the total number of consultations that EPA officials have had with tribes regarding NPL site cleanup decisions since 2011. We also interviewed EPA headquarters and regional officials to obtain their perspectives on how and when EPA consults with tribes.", "In addition, using the number of NPL sites known to be on tribal property or affecting tribes that we developed for objective one, we selected a nonprobability sample of six final or proposed NPL sites to use as case studies. We selected these sites to reflect different EPA regions, listings on the NPL before and after EPA\u2019s 2011 consultation and coordination policy went into effect, and sites that have had at least two assessments or inspections performed, according to EPA data. While we selected six NPL sites EPA has identified as affecting tribes or located on tribal property, our interviews with tribal and EPA officials covered a broader spectrum of sites and included officials\u2019 views regarding any Superfund program activities in which they had been involved. For each case study, we requested information about EPA\u2019s consultation with tribes as well as any documentation that demonstrated whether and how EPA took into account unique tribal needs associated with the site when making cleanup decisions. We also interviewed officials from the tribe or tribes involved with the cleanup at each of our six selected NPL sites, as well as EPA regional officials for the region in which the site is located. We analyzed EPA and tribal officials\u2019 experiences with consultation and coordination at the six selected NPL sites based on EPA\u2019s consultation policy.", "To describe what actions EPA has taken to address the unique needs of tribes when making cleanup decisions, we interviewed EPA officials from the regional offices associated with the six selected NPL sites. We also interviewed officials from the tribe or tribes with interests at each of the selected sites in our review. Our interviews with EPA and tribal officials covered a broader spectrum of sites and included officials\u2019 views about other Superfund activities in which they had been involved. Appendix II provides a more detailed description of the objectives, scope, and methodology for this report. Appendix III provides additional information about our six selected case study sites and the EPA regions in which they are located.", "We conducted this performance audit from May 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section presents information on the Superfund program and the stages of the cleanup process, the relationship between federally recognized tribes and the federal government, the laws and policies that govern EPA\u2019s consultation with federally recognized tribes regarding Superfund cleanup actions, and EPA\u2019s administration of the Superfund program."], "subsections": [{"section_title": "The Superfund Program and Remedial Cleanup Process", "paragraphs": ["CERCLA established the Superfund program to clean up contaminated sites to protect human health and the environment from the effects of hazardous substances. Under CERCLA, potentially responsible parties are liable for conducting or paying for the cleanup of hazardous substances at contaminated sites. Under the Superfund program, EPA and potentially responsible parties can undertake two types of cleanup actions: removal actions and remedial actions. Removal actions are usually short-term cleanups for sites that pose immediate threats to human health or the environment. Remedial actions are generally long- term cleanups\u2014consisting of one or more remedial action projects\u2014that aim to permanently and significantly reduce contamination; these actions can take a considerable amount of time and money, depending on the nature of the contamination and other site-specific factors.", "The Superfund process begins with the discovery of a potentially hazardous site or notifications to EPA regarding the possible release of hazardous substances that may threaten human health or the environment. EPA delineates the Superfund remedial cleanup process in nine phases: 1. Preliminary Assessment and Site Investigation. EPA\u2019s regional offices may discover sites with releases of hazardous substances or potential for releases of hazardous substances, or such sites may come to EPA\u2019s attention through notifications\u2014either reports from state agencies or citizens. As part of this first phase of the process, EPA\u2019s regional offices use a screening system called the Hazard Ranking System to guide decision making and, as needed, to numerically assess the site\u2019s relative potential to pose a threat to human health or the environment. 2. NPL Site Listing Process. EPA may propose sites that score at or above an established level for listing on the NPL. EPA regions submit sites to EPA headquarters for possible listing on the NPL based on a variety of factors, including the availability of alternative state or federal programs that may be used to clean up the site. Sites that EPA proposes to list on the NPL are published in the Federal Register. After a period of public comment, EPA reviews the comments and makes final decisions on whether to list the sites on the NPL. 3. Remedial Investigation and Feasibility Study. EPA or a potentially responsible party will generally begin the remedial cleanup process for an NPL site by conducting a two-part study of the site: (1) a remedial investigation to characterize site conditions and assess the risks to human health and the environment, among other actions and (2) a feasibility study to evaluate various options to address the problems identified through the remedial investigation. 4. Record of Decision. At the culmination of the remedial investigation and feasibility study, EPA issues a record of decision that identifies EPA\u2019s selected remedy for addressing the contamination. A record of decision typically lays out the planned cleanup activities for each operable unit of the site. 5. Remedial Design and Remedial Action. EPA or a potentially responsible party plans the implementation of the selected remedy during the remedial design phase, and then, in the remedial action phase, EPA or a potentially responsible party carries out one or more remedial action projects. 6. Construction Completion. EPA generally considers the construction to be complete for a site when all physical construction at a site is complete, including actions to address all immediate threats and to bring all long-term threats under control. 7. Post-Construction Completion. The potentially responsible party or the state generally conducts operation and maintenance to maintain the remedy, such as operating a groundwater extraction and treatment system. EPA generally performs reviews of the remedy at least every five years to evaluate whether it continues to protect human health and the environment. 8. NPL Deletion. EPA may delete a site, or part of a site, from the NPL when the agency and the relevant state authority determine that no further site response is needed. 9. Site Reuse and Redevelopment. EPA works with communities to ensure that site cleanups are consistent with the site\u2019s future use and to make sure sites or portions of sites are used safely."], "subsections": []}, {"section_title": "Relationship between Federally Recognized Tribes and the Federal Government", "paragraphs": ["The federal government recognizes Indian tribes as distinct, independent political communities that possess certain powers of self-government and sovereignty. As of January 9, 2019, there were 573 federally recognized Indian tribes. The federal government has a government-to-government relationship with Indian tribes, so EPA works directly with tribes. The federal government also has a trust responsibility to Indian tribes and their members based on treaties, federal laws, and court decisions. In addition, treaties between tribes and the federal government may reserve rights to a tribe that could be affected by a proposed EPA action. For example, an NPL site may contaminate fish or wildlife that a tribe has a treaty right to fish or hunt. EPA guidance notes that certain types of EPA actions, namely those that are focused on a specific geographic area, are more likely than others to have potential implications for treaty-protected natural resources."], "subsections": []}, {"section_title": "Laws and Policies Governing EPA Consultation with Tribes Regarding Superfund Cleanup Actions", "paragraphs": ["CERCLA includes a requirement for EPA to consult with Indian tribes in certain circumstances regarding cleanup actions at Superfund sites. Specifically, under CERCLA, EPA is required to treat tribes substantially the same as states with regard to consultation on remedial actions on lands for which an Indian tribe has jurisdiction, among other things. In addition to this CERCLA requirement, the following government-wide and agency policies apply when EPA consults with tribes regarding cleanup actions at Superfund sites:", "Executive Order 13175 (2000). Directs agencies to have an accountable process to ensure meaningful and timely input by tribal officials in the development of regulatory policies that have tribal implications.", "EPA policies and guidance", "EPA Policy for the Administration of Environmental Programs on Indian Reservations (1984). Sets forth principles to guide EPA in dealing with tribal governments and responding to the problems of environmental management on reservations in order to protect human health and the environment.", "EPA Policy on Consultation and Coordination with Indian Tribes (2011). Provides a general, agency-wide policy for consultation and coordination with tribes in cases in which EPA actions and decisions may affect tribal interests. EPA developed this policy in response to Executive Order 13175 and a 2009 presidential memorandum on tribal consultation. The policy notes that EPA submits annual progress reports to the Office of Management and Budget (OMB) on the status of its consultation actions pursuant to this 2009 presidential memorandum. This policy provides guiding principles for consultation, outlines a four- phase process for conducting consultation, and establishes the roles and responsibilities for specific EPA officials. Some EPA regional offices have their own specific guidance for consulting with tribes that include the elements of EPA\u2019s agency-wide consultation policy, but may include more specific guidelines. For example, Region 2\u2019s consultation guidance includes a list of specific subjects to include in notification letters to tribes.", "EPA Policy on Environmental Justice for Working with Federally Recognized Tribes and Indigenous Peoples (2014). Affirms EPA\u2019s commitment to provide federally recognized tribes and indigenous peoples in the United States fair treatment and meaningful involvement in EPA decisions that may affect their health or environment.", "EPA Guidance for Discussing Tribal Treaty Rights (2016). The guidance states that it is intended to enhance EPA\u2019s consultations in situations where tribal treaty rights may be affected by a proposed EPA action.", "EPA Memorandum on Considering Traditional Ecological Knowledge During the Cleanup Process (2017). Provides direction to improve the Superfund decision-making process to ensure EPA considers a tribe\u2019s traditional ecological knowledge when tribes willingly provide such information.", "EPA Memorandum on Consideration of Tribal Treaty Rights and Traditional Ecological Knowledge in the Superfund Remedial Program (2017). Provides recommendations for regional Superfund Remedial Program staff to consider when (1) evaluating tribal treaty rights and treaty-protected resources in program implementation and (2) considering traditional ecological knowledge during the cleanup process when the information is freely provided by the tribe or tribes with interests at the site."], "subsections": []}, {"section_title": "EPA\u2019s Administration of the Superfund Program", "paragraphs": ["EPA\u2019s 10 regional offices are responsible for carrying out many of the implementation and management responsibilities for NPL sites, and are guided by the Superfund Program Implementation Manual, as well as CERCLA, CERCLA\u2019s implementing regulations, supplementary guidance, and agency policy. The Superfund Program Implementation Manual states that its purpose is to provide overarching program management priorities, procedures, and practices for EPA\u2019s Superfund remedial and removal programs, providing a link between EPA\u2019s strategic plan and Superfund program internal processes, among other things. Further, the manual includes definitions for Superfund program accomplishments and outlines processes for planning and tracking accomplishments through milestones, including site-wide milestones specific to how the agency manages the release of hazardous substances (e.g., human exposure under control).", "Using its SEMS and TCOTS data systems, EPA tracks NPL sites that are on tribal property or that affect federally recognized Indian tribes, as well as the agency\u2019s efforts to consult with Indian tribes regarding cleanup decisions at NPL sites. SEMS is EPA\u2019s primary database to track Superfund program accomplishments and milestones and to answer Superfund-related questions from Congress, federal and state agencies, and the public. SEMS is EPA\u2019s primary system for Superfund data collection, reporting, and tracking and serves as the Superfund program\u2019s data management system for accomplishment planning and tracking. According to the Superfund Program Implementation Manual, EPA regional staff are to input data into SEMS regarding planned or actual accomplishments, and EPA headquarters staff are to use SEMS data as the basis for tracking, managing, and reporting on the performance of the Superfund program.", "SEMS is the system of record for NPL site data, including information on tribes that have an interest in the site. We looked at three of the variables SEMS uses for tracking sites that are located on tribal property or that affect tribes:", "On tribal property. This variable indicates whether the release of hazardous materials is on Indian country and any other land owned by an Indian tribe or an Alaska Native entity.", "NAI. This variable identifies sites that may be of interest to one or more Native American entities whose members or land would be directly affected by the release of hazardous materials.", "Associated tribe. This variable identifies the specific Indian entity or entities associated with a site with NAI.", "TCOTS tracks information about potential future tribal consultation opportunities and serves as a repository for consultation-related documents for active consultations for all EPA programs, including Superfund. EPA uses TCOTS to (1) track current and forecasted consultation, (2) publicize current EPA consultation opportunities for tribal governments, and (3) provide reports to OMB, as called for in the 2009 presidential memorandum on tribal consultation."], "subsections": []}]}, {"section_title": "EPA Does Not Have Reliable Data Identifying NPL Sites Located on Tribal Property or That Affect Tribes EPA Data Identifying NPL Sites Located on Tribal Property Are Not Accurate", "paragraphs": ["EPA data identifying NPL sites that are located on tribal property or that affect tribes are not reliable. Specifically, EPA data identifying sites that are on tribal property, sites that have NAI, and the tribes that have interest in NAI sites are not accurate or complete based on our reviews of agency data and interviews with EPA officials.", "EPA data identifying NPL sites that are on tribal property are not accurate. EPA headquarters officials told us that the SEMS data variable for identifying sites \u201con tribal property\u201d may not always accurately identify whether NPL sites are located on tribal property. Because EPA officials told us that the agency\u2019s data regarding NPL sites on tribal property may not be accurate and provided explanations for why these data are unreliable, we did not evaluate these data to determine the total number of inaccuracies.", "EPA officials we interviewed provided a number of reasons why the agency\u2019s data regarding NPL sites located on tribal property may not be accurate:", "First, EPA officials told us that some site location information was inaccurately transposed during maintenance of the former database of record used prior to adopting SEMS, and that these errors, in some cases, carried over to SEMS. According to these officials, the transposed information resulted in some sites appearing in the incorrect geographic hemisphere (i.e., sites located in the western hemisphere appeared to be located in the eastern hemisphere in the incorrectly transposed data). These officials told us that they have worked over the past year to correct these errors and to verify the accuracy of site coordinates.", "Second, EPA officials told us that accurately documenting which sites are on tribal property can be complicated due to difficulties identifying tribal property boundaries and evolving site boundaries. For example, tribal property boundaries may be difficult to establish without reviewing land titles and other documents. Further, EPA officials told us they use the best available data to identify tribal property but there are limitations in that data. In addition, EPA officials we interviewed told us that site boundaries can be difficult to define or change over time. For example, an agency official told us NPL sites may not have clearly delineated boundaries until after the remedial investigation is complete and the full extent of contamination has been determined. Further, the official said that site boundaries may change during the cleanup process or during post-cleanup reviews if EPA discovers new or more widespread contamination. According to EPA headquarters officials, EPA regional officials are responsible for tracking changes to site boundaries in their respective regions, but specific information on the location of site boundaries is not documented in SEMS. Additionally, for one site\u2014the Tar Creek site in Oklahoma (Region 6)\u2014EPA\u2019s publicly-available information states that there are no clear site boundaries. One EPA regional official we interviewed told us that he was not aware of guidance for regions regarding changing tribal property information in circumstances in which site boundaries change to include land that is tribal property. Additionally, EPA officials told us that regional offices may be inconsistent in how they determine site boundaries. EPA released recommended practices for collecting geospatial data for Superfund sites in 2017 that included guidance for determining and documenting NPL site boundaries. Further, in May 2018, EPA provided national standards intended to provide a uniform method for collecting, documenting, and managing geospatial information for Superfund sites, including information identifying site boundaries.", "Third, EPA headquarters officials stated that EPA checks the accuracy of these data infrequently. Headquarters officials told us there are several standardized automated reports that officials at the headquarters and regional levels can use to review SEMS data and identify quality issues, including quality issues in the variables for NAI and the associated tribes. However, these reports do not contain the on tribal property variable, and SEMS currently does not have the ability to run automated checks of site proximity to tribal property based on location data. Officials told us that they review the on tribal property data periodically outside of these reports; however, EPA currently lacks a regular review process for these data.", "Under federal standards for internal control, management should use quality information to achieve the entity\u2019s objectives. Quality information is appropriate, current, complete, accurate, accessible, and provided on a timely basis. In addition, under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by conducting reviews at the functional or activity level. According to EPA officials, data identifying NPL sites that are on tribal property may not be accurate for a number of reasons. Because SEMS automated reports do not contain the on tribal property variable, EPA regions cannot regularly conduct quality reviews of information in SEMS on tribal property using those reports. Without a regular review process to ensure the quality of SEMS data identifying sites on tribal property and the ability to use automated reports to check the accuracy of on tribal property data in SEMS, EPA does not have reasonable assurance that regional officials have accurately identified sites on tribal property."], "subsections": [{"section_title": "EPA Data Identifying Sites as Having NAI Are Not Accurate or Complete", "paragraphs": ["EPA data identifying which sites have NAI are inaccurate and incomplete, based on our reviews of the data. We found three types of errors in these data. First, we found that SEMS did not include some sites with known tribal interest as having NAI. Second, we found some sites that EPA identified in SEMS as having NAI when there was no tribal interest. Third, we found that EPA regional officials inconsistently used the NAI variable in SEMS when there was no longer tribal interest in a site.", "SEMS does not include some NPL sites with known tribal interests as having NAI. We found nine sites with tribal interest that EPA did not identify as having NAI in SEMS. For six of these sites, EPA regional officials told us that they knew the sites were of interest to one or more tribes, even though they were not identified as having NAI in SEMS. For example, we found that EPA Region 10 had invited the Cow Creek Band of Umpqua Tribe of Indians to consult regarding the Black Butte Mine site, but the site was not identified as having NAI in SEMS. For two additional sites, following our request to review the SEMS data, officials from Region 4 contacted tribal officials in their region to inquire about their potential interest in NPL sites and found that the Eastern Band of Cherokee Indians had interest in two sites in North Carolina not previously identified as having NAI: Barber Orchard and Benefield Industries. EPA designated both sites as ready for their intended use\u2014meaning that construction of the remedy had been completed\u2014in 2011 and 2014, respectively. For the remaining site, EPA officials in Region 5 stated that they learned of tribal interest in the Petoskey Manufacturing Company Groundwater site when the Little Traverse Bay Bands of Odawa Indians contacted them in December 2017, after coverage of the site\u2019s contamination hazards on the local news.", "SEMS incorrectly includes some sites as having NAI when no tribal interest exists. When responding to our request to verify the accuracy of data in SEMS, EPA regional officials identified 10 sites that were incorrectly included in SEMS as having NAI when there was no actual tribal interest. For example, officials from Region 4 stated that they removed the NAI designation from three sites because the sites are situated more than 100 miles from the nearest federally recognized tribe\u2019s property and the officials were not aware of any tribal interest in the sites. Similarly, EPA regional officials determined that two other sites\u2014Eielson Air Force Base in Region 10 and Seneca Army Depot in Region 2\u2014were incorrectly identified as having NAI. These officials told us that these sites should not have been designated as NAI because no tribes had expressed interest in either site.", "EPA inconsistently identified sites with prior NAI in SEMS. We found that EPA regional officials inconsistently used the NAI variable in SEMS when tribes were no longer interested in a site. For example, Region 2 officials stated that they maintained the NAI designation for the Hooker Hyde Park site in order to preserve the historical record after EPA identified that the Seneca Nation of Indians no longer had an interest in the site. Conversely, Region 8 officials indicated that they removed the NAI designation for the Arsenic Trioxide site when it was determined that the relevant tribe no longer had interest in the site.", "Based on our review of EPA guidance and data provided by EPA officials, we identified several possible reasons that the agency\u2019s data for identifying tribal interests are not accurate or complete. One possible reason that NAI data in EPA\u2019s SEMS may be inaccurate and incomplete is because EPA\u2019s guidance for making NAI determinations is unclear, resulting in EPA regional officials inconsistently determining and documenting sites with NAI. EPA\u2019s Superfund Program Implementation Manual, which provides guidance to EPA regional officials for identifying sites as having NAI, contains one sentence regarding how EPA regional officials are to determine when to designate a site as having NAI. The manual states that EPA regional officials should designate NAI in SEMS when a site \u201cmay be of interest to tribes whose members or land are directly affected\u201d by the release of hazardous materials from the site, but the manual does not specify criteria EPA regional officials should consider for determining what constitutes NAI. For example, the manual does not specify whether ancestral lands, areas where tribes have treaty rights, or areas otherwise of interest to a tribe but that are not tribal property should be considered in making this determination. It also does not specify what types of tribal interests to consider. However, officials from tribes we interviewed for our case studies told us that tribal interests in NPL sites may be related to a variety of factors, including contamination potentially affecting tribal members living in or around the contaminated area or land where the tribe has treaty hunting or fishing rights. Furthermore, EPA\u2019s Superfund Program Implementation Manual does not specify whether officials should remove the NAI designation if officials determine tribes no longer have interest in a site. In the case of the Petoskey Manufacturing Company Groundwater site in Michigan, EPA Region 5 officials we interviewed told us that they were uncertain as to whether they should identify the site as having NAI, because they were unsure if the level of the tribe\u2019s interest was significant enough.", "EPA officials we interviewed provided additional reasons for the lack of accuracy and completeness in the agency\u2019s data regarding sites with NAI. EPA headquarters officials told us they periodically, but infrequently, review SEMS data on Superfund sites identified as having NAI. In addition, EPA officials told us that, in some cases, they did not identify sites as having NAI where there was tribal interest or incorrectly identified sites as having NAI when no tribal interests were involved due to errors. Additionally, some regional officials expressed that identifying NAI can be complicated by the fact that tribes may have interest in sites not located near their current property due to historical interest or treaty rights.", "Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. Although EPA has documented guidance, it is not clear about how EPA officials should make determinations about designating sites as having NAI. Without clear guidance to regional offices on how to determine whether sites have NAI\u2014including criteria to assist regions in determining when a site should be designated as having NAI in the SEMS database and how, if at all, to adjust the NAI data for sites that no longer have tribal interest\u2014EPA does not have reasonable assurance that its data on tribes that may be affected by hazardous releases at NPL sites are accurate or complete."], "subsections": []}, {"section_title": "EPA Data on Tribes with Interest in Sites That Have NAI Are Not Accurate or Complete", "paragraphs": ["EPA data do not accurately or completely identify the tribes that have interest in the sites that EPA identified as having NAI. Specifically, through reviewing EPA\u2019s data with officials in each region, we found examples of sites that EPA indicated as having NAI but that (1) did not identify any tribes with an interest in the sites, (2) did not identify all tribes with an interest in the sites, and (3) incorrectly identified tribes associated with a site.", "SEMS does not include tribes for all sites. We found eight sites with NAI for which EPA did not identify an interested tribe in SEMS. For these eight sites, EPA officials added the tribes\u2019 names prior to sending us the data.", "SEMS does not include all tribes that have an interest in some sites. We identified eight sites for which EPA did not identify in SEMS all the tribes that had interest in the site. For example, for the Smurfit Stone Mill Frenchtown site in Missoula, Montana, EPA data listed the Confederated Salish and Kootenai Tribes of the Flathead Reservation as having an interest in the site. However, after speaking with EPA Region 8 officials, we learned that the Kalispel Indian Community of the Kalispel Reservation also has an interest in the site but could not be included in SEMS because the tribe resides in the state of Washington, and the site is located in Montana. In providing technical comments on a draft of this report, EPA identified a ninth site, the St. Louis River site, for which an additional tribe should be added to the data in SEMS.", "SEMS incorrectly identified an interested tribe associated with one site determined to have NAI. For the Velsicol Chemical Corporation site in Michigan, EPA identified in SEMS the interested tribe as the Sault Ste. Marie Tribe of Chippewa Indians, when the actual interested tribe was the Saginaw Chippewa Indian Tribe of Michigan. Additionally, in providing technical comments on a draft of our report, EPA also made corrections to the tribes originally listed for the Tar Lake site and clarified the tribe originally listed for the St. Louis River site.", "EPA officials we interviewed told us that a possible reason for the inaccuracies in the data regarding the tribe or tribes interested in NPL sites that have NAI is that, until recently, regional officials could not enter the names of additional tribes to a SEMS site record that was created in the agency\u2019s previous database of record. In addition, officials from two EPA regions told us that they could not record tribes as having an interest in a site when the tribe is headquartered in a state other than the state address on file for the site. EPA headquarters officials told us they submitted a request in August of 2017 to have the issue resolved and that, as of April 2018, the issue had been corrected and that regions can now add additional tribes, or tribes from other states outside of the state where the site is headquartered. Officials told us that prior to the correction in SEMS, officials at the headquarters level could manually enter data to record the names of additional tribes with NAI in a site or identify tribes interested in a site that reside in states other than the state in which the site is located."], "subsections": []}]}, {"section_title": "EPA Does Not Have Reliable Data about the Agency\u2019s Consultation with Tribes Regarding NPL Sites", "paragraphs": ["EPA does not have reliable data on the agency\u2019s consultation with tribes regarding NPL sites. Additionally, based on our analysis of EPA data and related documentation, as well as discussions with officials from EPA and Indian tribes, we found that EPA officials more frequently coordinated informally with tribes than conducted consultation."], "subsections": [{"section_title": "EPA Does Not Have Reliable Data on Consultation with Tribes Regarding NPL Sites", "paragraphs": ["EPA does not have reliable data on the NPL sites at which it has conducted tribal consultation. According to data in TCOTS, consultation had occurred or was projected to occur at 18 sites since EPA\u2019s consultation and coordination policy went into effect in 2011. However, TCOTS data are incomplete and did not include records for 7 NPL sites where, based on our interviews with EPA regional officials and a review of agency documents, we determined that consultation had occurred since 2011.", "One possible reason that EPA data on consultation with tribes are incomplete is that the agency\u2019s guidance regarding what constitutes consultation, and therefore is to be recorded in TCOTS, is unclear. EPA officials told us they consider consultation a specific, formal interaction that involves government-to-government interaction between tribal governments and senior EPA officials, such as Regional Administrators, and generally happens at major decision points or at the request of a tribe. Several EPA officials we interviewed clarified that the majority of day-to-day interaction with tribes do not require consultation and are less formal coordination efforts. EPA\u2019s 2011 consultation policy provides a broad definition of consultation and makes specified program and regional officials responsible for determining when consultation may be appropriate, but the policy does not provide specific criteria for regions to use to determine if consultation with a tribe should be considered. The policy initially states that it is EPA\u2019s policy to \u201cconsult on a government-to- government basis with federally recognized tribal governments when EPA actions or decisions may affect tribal interests.\u201d According to the policy, the broad scope of consultation contemplated by the policy creates \u201ca large number of actions that may be appropriate for consultation.\u201d To provide \u201ca general framework from which to begin the determination of whether any particular action or decision is appropriate for consultation,\u201d the policy provides a list of general EPA activity categories, including Superfund response actions. However, the policy does not provide any further guidance on the circumstances under which consultation should be considered. For example, it does not specify any particular points in the Superfund process at which consultation should be considered or any further detail on what tribal interests should be considered when determining if tribal interests are affected.", "Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. Although EPA has documented guidance about consulting with tribes, it does not provide clear direction to regions about the circumstances under which the agency should consider consulting with tribes during the Superfund process. Without clarifying guidance on tribal consultation to clearly identify the circumstances under which the agency should consider consulting with tribes, EPA does not have reasonable assurance that regions are applying the consultation policy consistently and uniformly.", "In addition, EPA regional officials do not consistently document invitations to consult with tribes in TCOTS, which could result in incomplete or inaccurate data on EPA consultation with tribes. EPA headquarters officials told us that invitations to consult should be entered in TCOTS, because the database has a specific field for this information. Officials we interviewed from EPA Regions 6 and 10, the two regional offices that combined manage nearly half of Superfund sites that EPA identified as having NAI, told us that they do not document all invitations to consult in TCOTS. Specifically, an official we interviewed from Region 6 told us that consultation invitations that were not made in writing are generally not entered into TCOTS, and an official from Region 10 told us that officials in the region would not document invitations to consult that did not lead to actual consultation. In providing technical comments on our draft report, EPA noted that Region 10 now documents all invitations to consult with tribes in the TCOTS database.", "Although EPA headquarters officials told us that invitations to consult should be entered in TCOTS, agency guidance does not direct officials to do so. EPA has developed guidance on key points in the Superfund process at which regional officials should document consultation if it occurs, but this guidance does not direct regional officials to document invitations to consult in TCOTS. Moreover, officials we interviewed from 6 of EPA\u2019s 10 regional offices were unaware of this guidance. An EPA headquarters official we interviewed told us that EPA regional officials may be unaware of this guidance because EPA has not conducted annual training regarding documenting tribal consultation and has decided to offer the training on an as-needed basis. This guidance identifies five decision points in the Superfund process at which EPA regional officials should, at a minimum, document any associated consultation with tribes in TCOTS, outlined in figure 1 below.", "Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control in management directives, administrative policies, or operating manuals. By developing or revising guidance to clearly direct regional officials to document all invitations to consult with tribes in the TCOTS database and providing the guidance to those officials, EPA would have greater assurance that its regional offices are accurately and consistently documenting invitations to consult and that the data that EPA provides to OMB regarding agency consultations with tribes are accurate and complete."], "subsections": []}, {"section_title": "Consultation Is Relatively Infrequent Compared to Coordination", "paragraphs": ["Based on our analysis of EPA data and documentation, as well as interviews with EPA and tribal officials, we found that EPA more frequently coordinated informally with tribes regarding cleanup decisions at NPL sites than conducted consultation with tribes. Consultation between EPA and tribes, as defined in EPA\u2019s 2011 tribal consultation policy, is relatively infrequent compared to less-formal coordination efforts. For example, officials from the Kalispel Indian Community told us that consultation is reserved for instances in which regular communication and coordination is not working. Additionally, EPA officials in Region 8 told us that most of their day-to-day interactions with tribes are considered coordination, and that consultation only occurs at key decision points in the Superfund process. Most EPA regional officials we interviewed as part of our case studies stated that consultation was relatively infrequent. At the same time, these officials stated that they frequently coordinate with tribes during the Superfund cleanup process. Additionally, EPA\u2019s policy says that tribal officials may request consultation with the agency.", "Tribal officials we interviewed as part of our case studies expressed varying levels of satisfaction with EPA\u2019s coordination and consultation efforts, as well as with EPA\u2019s cleanup decisions overall. In the case of the General Motors Central Foundry site in Massena, New York, officials we interviewed from the Saint Regis Mohawk Tribe told us that they were dissatisfied with the consultation and the remedy at the General Motors Central Foundry site. Specifically, tribal officials stated that they were dissatisfied with EPA\u2019s decision to install a permanent cap over an industrial landfill at the site, rather than removing all of the waste, to address the contamination at the site. Officials from the tribe told us that they felt EPA was disregarding the tribe\u2019s health and safety concerns at the site. EPA acknowledged in its amended record of decision for the site that the tribe only partially agreed with the remedy; however, EPA notes that they took some steps to revise the remedy to address the tribe\u2019s concerns. For example, the amended record of decision was created in part, due to tribal opposition, and includes a contingency remedy that expands the scope of the amended decision to include removal of contaminated soil located on the tribe\u2019s property rather than on-site treatment. In other cases, officials of some tribes told us that the working relationship with their local EPA region was good and that coordination had been effective. For example, officials from the Pueblo of Laguna reported that communication and coordination with EPA region 6 regarding the cleanup of the Jackpile-Paguate Superfund site in Laguna Pueblo, New Mexico, was effective, and that the EPA remedial project manager for the site had been responsive to the tribe\u2019s needs."], "subsections": []}]}, {"section_title": "EPA Has Taken Various Actions to Address Unique Tribal Needs When Making NPL Site Cleanup Decisions", "paragraphs": ["EPA has taken various actions to address the unique needs of tribes when making cleanup decisions at NPL sites. These actions include efforts to minimize tribal members\u2019 exposure to contaminants and limit potential damage to tribal archeological sites. For example:", "EPA Regions 1 and 10 took steps to protect tribal cultural resources at NPL sites. EPA officials we interviewed from Region 1 told us that at one site, regional officials rerouted and improved roads used to remove contaminated materials to minimize the impact of cleanup activities\u2019 on historically significant cultural resources. In addition, EPA officials we interviewed from Region 10 told us that they coordinated with tribal cultural resource program officials to ensure that tribal officials were present during excavation work at the Midnite Mine site in Wellpinit, Washington, to observe and ensure that EPA was taking appropriate measures to protect sites that are culturally important to the tribe.", "EPA Region 2 officials revised risk assessments at an NPL site. Because of concerns about the potential health impacts to the Saint Regis Mohawk Tribe, EPA Region 2 officials revised the risk assessment for a site with polychlorinated biphenyl contamination to more accurately reflect the typical exposure of tribal members. EPA\u2019s revised hazard exposure assessment for the General Motors Central Foundry site assumed a higher rate of exposure to contaminants for tribal members, given that they, on average, live on the reservation longer than an adult non-tribal member may live in the same place for most of his or her life. Specifically, EPA\u2019s exposure estimate was based on an exposure duration of 64 years for an adult tribal member and an exposure duration of 30 years for adult non-tribal member.", "EPA Region 9 incorporated tribal information into risk assessments for some NPL sites. EPA officials we interviewed from EPA\u2019s Region 9 office told us about several sites where they had considered tribal members\u2019 heightened exposure to contamination. For example, at one site, officials told us they worked closely with tribal officials to gather data on tribal members\u2019 uses of vegetation and tribal game consumption. These EPA officials stated that they used these data to develop risk assessment plans that were sensitive to unique tribal needs.", "EPA officials we interviewed also provided examples of the use of traditional ecological knowledge at some NPL sites. Traditional ecological knowledge sometimes represents unique tribal needs. For example, EPA officials we interviewed described instances in which a tribe provided EPA with selected information about their traditional hunting sites and their traditional use of plants, and EPA was able to use this information when developing risk assessments and standards for safe consumption of fish and wildlife. For example, officials in EPA Region 9 told us that a tribe shared information with them about how tribal members hold reeds in their mouths as part of traditional basket making practices. These officials reported that after learning of the tribe\u2019s use of such reeds, the agency considered this information when determining how to evaluate contamination in the area where the reeds grow. EPA and tribal officials told us that, for confidentiality reasons, some tribes may be reluctant to share some traditional ecological knowledge; however, headquarters and EPA regional officials told us that this was relatively infrequent and that, in these situations, EPA was able to work with the tribe to find ways to use more general information to inform decisions regarding Superfund cleanups."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["EPA has policies and procedures for consulting with tribes when its actions and decisions at NPL Superfund sites may affect tribal interests. To carry out these policies and procedures, EPA must be able to identify when its actions and decisions may affect a tribe. The agency has developed two systems\u2014SEMS and TCOTS\u2014that it uses to identify and track sites that are on tribal property or that affect tribes, and the agency\u2019s efforts to consult with affected tribes, respectively. However, based on our analysis of some of the data in these systems, these data are not reliable. Data on sites that are on tribal property are not accurate, and there is no regular, standardized review process officials can use to review the quality of these data. Without developing such a review process, EPA will not have reasonable assurance that regional officials have accurately identified the sites that are on tribal property. Additionally, data on sites that have NAI are not accurate or complete due, in part, to unclear guidance for how regions should determine whether a site has NAI.", "Clarifying guidance to regional offices on how to determine whether sites have NAI can help provide EPA reasonable assurance that its data on tribes that are directly affected by hazardous releases at NPL sites are accurate and complete. Moreover, we found that the data tracking consultation with tribes at NPL sites were unreliable, and may not contain all invitations to consult. Clarifying guidance to clearly identify the circumstances under which the agency should consider consulting with tribes could improve the quality of EPA\u2019s data on consultation, and could help ensure EPA regions are applying the consultation policy consistently and uniformly. In addition, explicitly directing regional officials to document all invitations to consult with tribes, regardless of whether further consultation results after the invitation, would provide EPA greater assurance that its regional offices are accurately and consistently documenting invitations to consult, and that the data that EPA provides to OMB regarding tribal consultations are accurate and complete."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to EPA: The Director of EPA\u2019s Office of Superfund Remediation and Technology Innovation should develop a regular review process to ensure the quality of SEMS data identifying NPL sites on tribal property and revise automated reports used to check the accuracy of SEMS data to include on tribal property data. (Recommendation 1)", "The Assistant Administrator of EPA\u2019s Office of Land and Emergency Management should clarify guidance to regional offices on how to determine whether sites have NAI, including by adding criteria for when a site should be designated as having NAI in the SEMS database and how, if at all, to adjust SEMS data if a tribe is no longer interested in a site. (Recommendation 2)", "The Director of EPA\u2019s Office of Superfund Remediation and Technology Innovation should clarify agency guidance regarding tribal consultation for the Superfund program to clearly identify the circumstances under which the agency should consider consulting with tribes. (Recommendation 3)", "The Assistant Administrator of EPA\u2019s Office of International and Tribal Affairs should develop or revise existing guidance to clearly direct regional officials to document all invitations to consult with tribes in the TCOTS database and provide the guidance to those officials. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Third-Party Views", "paragraphs": ["We provided a copy of this report to EPA, the Confederated Salish and Kootenai Tribes of the Flathead Reservation, the Kalispel Indian Community of the Kalispel Reservation, the Little Traverse Bay Bands of Odawa Indians, the Mashpee Wampanoag Tribe, the Pueblo of Laguna, the Saint Regis Mohawk Tribe, the Spokane Tribe of the Spokane Reservation, and the Wampanoag Tribe of Gay Head (Aquinnah) for review and comment. EPA generally agreed with our recommendations, and their comments are reproduced in appendix IV. EPA also provided technical comments, which we incorporated as appropriate. The Confederated Salish and Kootenai Tribes of the Flathead Reservation and the Pueblo of Laguna also provided written comments (reproduced in appendixes V and VI) and technical comments, which we incorporated as appropriate. The Kalispel Indian Community of the Kalispel Reservation, the Little Traverse Bay Bands of Odawa Indians, the Mashpee Wampanoag Tribe, the Saint Regis Mohawk Tribe, the Spokane Tribe of the Spokane Reservation, and the Wampanoag Tribe of Gay Head (Aquinnah) did not comment on our report.", "EPA concurred with our recommendation to develop a regular review process to ensure the quality of SEMS data identifying NPL sites on tribal property and revise automated reports used to check the accuracy of these data. EPA stated that during the course of our work on this report, SEMS tribal data was reviewed for quality control and corrections were made to the existing data. In addition, EPA\u2019s Office of Superfund Remediation and Technology Innovation plans to create a schedule to review tribal data in SEMS and disseminate tribal data to Superfund regional coordinators annually for their quality assurance review starting in March 2019.", "EPA generally agreed with our recommendation to clarify guidance to regional offices on how to determine whether sites have NAI, including by adding criteria for when a site should be designated as having NAI in SEMS and how, if at all, to adjust SEMS data if a tribe is no longer interested in a site. EPA noted that there are a variety of circumstances under which a tribe may have interest in a site, and the agency plans to identify relevant criteria in the Superfund Program Implementation Manual that may be used to support the decision of whether or not to apply the NAI indicator. Additionally, the agency plans to create a headquarters and regional workgroup to review and update tribal data collected in SEMS. The workgroup will provide guidance to clarify the NAI determination, including identifying criteria for designating a site NAI, and identifying a process to update SEMS when a tribe is no longer interested in a site, as needed. EPA plans to complete this no later than October 2019.", "EPA concurred with our recommendation to clarify agency guidance regarding tribal consultation on Superfund sites to clearly identify the circumstances under which the agency should consider consulting tribes. In its letter, EPA pointed out that our original recommendation did not specify that the recommendation was about guidance regarding tribal consultation on Superfund sites, so we adjusted the language of the recommendation accordingly. EPA plans to issue a memo to the regions that clarifies circumstances under which regions may consider tribal consultation for the Superfund program no later than March 2020.", "EPA concurred with our recommendation that it should develop or revise existing guidance to clearly direct regional officials to document all invitations to consult with tribes in the TCOTS database and provide the guidance to those officials. EPA is planning four actions to respond to this recommendation: (1) issuing a memorandum from the Office of International and Tribal Affairs to EPA Regional Administrators on the importance of following EPA\u2019s Tribal Consultation and Coordination Policy and documenting consultation actions into TCOTS, estimated to occur in January 2019; (2) issuing a monthly TCOTS report to Deputy Assistant Administrators and Regional Assistant Administrators on the status of consultations recorded in TCOTS, starting in January 2019; (3) initiating trainings specifically targeted to EPA's Regional Superfund staff on when and how to document consultation actions in TCOTS, estimated to begin in February or March 2019; and (4) conducting training on tribal consultation topics, with a specific emphasis on entering consultation information into TCOTS, beginning in March or April 2019.", "In their comments on our report, the Confederated Salish and Kootenai Tribes of the Flathead Reservation noted that our report is thorough and provides valuable insight into EPA\u2019s policies and procedures for tribal consultation at NPL sites. The tribe provided some additional detail on the Smurfit Stone Mill Frenchtown case study which we incorporated as appropriate. The tribe also noted that they had interest in a site not identified by EPA as having NAI, the Anaconda Aluminum Co. Columbia Falls Reduction Plant site. In response, we added this site to our list of NPL sites known to be on or affecting tribal land, shown in appendix I.", "The Pueblo of Laguna commented that while the scope of the report was limited, the Pueblo appreciated GAO\u2019s efforts to study EPA\u2019s tribal consultation practices. The Pueblo emphasized their belief that EPA\u2019s duty to consult with tribes should be an active one, not a passive one, and presented three associated comments. First, the Pueblo believes EPA should affirmatively consider offering consultation at each stage of the Superfund process beginning with preliminary investigation and site assessment. Second, the Pueblo believes EPA should continue to contact potentially interested tribes throughout the life of an NPL site, even if the tribe had not expressed interest at a previous stage of the process to ensure that newly interested tribes are identified. Finally, the Pueblo believes EPA should document all offers to consult, including ones made orally. The Pueblo provided comments and edits on the Jackpile-Paguate Mine case study in their letter, which we incorporated. The Pueblo also provided technical comments on the report, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Administrator of the Environmental Protection Agency, the Chairman of the Confederated Salish and Kootenai Tribes of the Flathead Reservation, the Chairman of the Kalispel Indian Community of the Kalispel Reservation, the Chairman of the Little Traverse Bay Bands of Odawa Indians, the Chairman of the Mashpee Wampanoag Tribe, the Governor of the Pueblo of Laguna, the Chiefs of the Saint Regis Mohawk Tribe, the Chairwoman of the Spokane Tribe of the Spokane Reservation, the Chairwoman of the Wampanoag Tribe of Gay Head (Aquinnah), and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to the report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Site-wide Cleanup Status of National Priorities List Sites with Known Native American Interest", "paragraphs": ["This appendix provides information on the site-wide cleanup status of National Priorities List (NPL) sites with known Native American Interest (NAI), as of December 2017. We worked with the Environmental Protection Agency (EPA) to correct inaccuracies in the Superfund Enterprise Management System (SEMS) data identifying sites as having NAI, and we identified 87 NPL sites\u201474 sites on the NPL, 8 deleted from the NPL, and 5 proposed for addition\u2014known to have NAI. In addition, in providing technical comments on the draft of this report, the Confederated Salish and Kootenai Tribes of the Flathead Reservation identified one additional site, bringing the total to 88 NPL sites known to have NAI. Of these 88 sites known to have NAI out of the total 1,785 NPL sites that were proposed, final, or deleted as of December 2017, many have reached site-wide milestones that EPA uses to track the cleanup status of NPL sites. EPA measures four site-wide milestones, including one that measures the progress in the Superfund process and three that describe the management of the release, such as human exposure under control: 1. Construction completion. Indicates that the physical construction of the remedy EPA has selected to address the contamination is complete. 2. Human exposure under control. Measures the incremental progress EPA achieved in controlling unacceptable exposures to people at a site. A site may achieve this measure by reducing the level of contamination, preventing people from contacting the contaminants in-place, or controlling activities near the site (e.g., by reducing the potential frequency or duration of exposure of people to contaminants). 3. Groundwater migration under control. Assesses whether groundwater contamination is below protective, risk-based levels or, if not, whether the migration of contaminated groundwater is stabilized and there is not unacceptable discharge to surface water and monitoring will be conducted to confirm that affected groundwater remains in the original area of contamination. EPA only uses this in sites with known past or present groundwater contamination. 4. Site-Wide Ready for Anticipated Use. All cleanup goals that may affect current and reasonably anticipated future land uses of the site have been achieved, so that there are no unacceptable risks and all institutional or other controls have been put in place.", "Table 1 below shows the site-wide cleanup status, according to EPA, of the 83 sites on or deleted from the NPL with known NAI. This table provides data on site-wide milestones obtained from EPA\u2019s SEMS database, as well as a brief overview of each site using information from publicly available EPA documents, the EPA website, and additional information provided by EPA officials. Table 2 below lists the 5 sites with known NAI that EPA has proposed for the NPL.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Salt Chuck Mine site is an inactive former gold, silver, copper, and palladium mine on Prince of Wales Island in southeast Alaska. Operations at the site were suspended in 1941. The site includes abandoned mine workings and mine mill equipment. Contaminants include polychlorinated biphenyls (PCBs), copper, lead, and arsenic. In 2011, EPA started a remedial investigation of the upland and adjacent marine areas to evaluate potential risk to human health and the environment. The investigation was completed in March 2018, and EPA determined that there are currently no unacceptable human health risks identified for the site and that ecological risks are limited to copper in marine sediment in areas used for tailings disposal.", "The Tucson International Airport Area site comprises a 10-square-mile area in and next to Tucson, Arizona. The site includes the Tucson International Airport, portions of the Tohono O'Odham Indian Reservation, residential areas of Tucson and South Tucson, and the Air Force Plant #44 Raytheon Missile Systems Company. Former aircraft and electronics manufacturing activities, fire drill training activities, and unlined landfills have contaminated groundwater and soil with volatile organic compounds, metals and PCBs. Remedial activities include: groundwater pumping and treatment, soil removal, and soil vapor extraction. Groundwater cleanup actions, operation and maintenance activities, and site monitoring are ongoing. As of July 2018, EPA reports that water treatment systems have significantly reduced the groundwater plume size and chemical concentrations in groundwater.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 4,400-acre Iron Mountain Mine site near Redding, California produced iron, silver, gold, copper, zinc and pyrite. Though mining operations were discontinued, underground mine workings, waste rock dumps, piles of mine tailings, and an open mine pit remain at the site. Much of the acidic mine drainage is channeled into the Spring Creek Reservoir. About 70,000 people use surface water within 3 miles of the mine as their source of drinking water. The installation and operation of a full- scale neutralization system, capping of areas of the mine, and the construction and operation of a retention reservoir to collect contaminated runoff for treatment have significantly reduced acid and metal contamination in surface water at the site. Site investigations and cleanup are ongoing.", "The 3.2-acre Celtor Chemical Works site, located on the Hoopa Valley Indian Reservation, is the location of a former ore concentrating facility that processed sulfide ore. Wastes from the operations and processed ore generated acidic runoff and elevated metal concentrations in the soils throughout the site. The Trinity River flows along the site boundary and is the only local fish source for the Hoopa Indians. Cleanup included off- site disposal of contaminated materials; backfilling and contouring land; and revegetation and diversion of springs away from contaminated areas. After cleanup, EPA took the site off the NPL in 2003. According to EPA officials, in 2016, additional waste was discovered at the site, resulting in additional remedial investigation to determine the nature and extent of contamination.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Leviathan Mine is an abandoned open-pit mine near Markleeville, California, on the eastern slope of the Sierra Nevada Mountains at an elevation of 7,000 feet. The site is drained by Leviathan and Aspen Creeks, which are tributaries to the East Fork of the Carson River, a major western Nevada water supply source. The mine operated intermittently between 1863 and 1962. In the early days of mining, copper sulfate was mined from the property and utilized for processing silver ore at the Comstock Mines in Virginia City, Nevada. According to EPA officials, mine operations were originally underground, but surface mining of sulfur ore began in the 1950s. These officials told us that, mining operations disturbed and exposed existing mineral-rich rock and soil, which produced residual mine waste rock. Surface runoff from snowmelt and precipitation become contaminated by contact with the mineral-rich rock and associated waste rock. Officials told us that water capture and treatment plants at the site have improved the quality of downstream surface water and watershed health. These officials also noted that site assessment and cleanup is ongoing. The 150-acre Sulphur Bank Mercury Mine site near Clearlake Oaks, California, is an abandoned open pit mercury mine located on the shoreline of Clear Lake. This mine operated intermittently between 1865 and 1957 and mined sulphur and mercury. Former mining activities at the site contaminated soils, sediment, and surface water with mercury and arsenic. Approximately 2 million cubic yards of mine wastes and tailings remain on the mine site. Mercury contaminates lake sediment and is bio-concentrated in the food web of Clear Lake. The levels of mercury in fish from the lake led the State to issue an advisory to limit consumption of local fish. Clear Lake is also a drinking water source for 4,700 people. Cleanup has included erosion control, soil removal from residential yards, and surface water diversion. After immediate actions to protect human health and the environment, site investigations and long- term cleanup planning are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Bonita Peak Mining District site consists of 48 historic mines or mining-related sources of contamination in unincorporated parts of Colorado. Historic mining operations have contaminated soil, groundwater, and surface water with heavy metals. Additionally, ongoing releases of metal-contaminated water and sediment are occurring within the Mineral Creek, Cement Creek, and Upper Animas River drainages in San Juan County, Colorado. EPA and other stakeholders conducted a remedial investigation and feasibility study in 2017. Ongoing cleanup activity includes an interim water treatment plant to treat acid mine drainage and management of non-hazardous sludge. EPA plans to use the remedial investigation to determine further cleanup options at the site.", "The 890-square-mile Idaho National Engineering Laboratory site is located near Idaho Falls, Idaho. The site consists of a number of major facilities that contribute contaminants to and draw water from the Snake River Plain Aquifer. One of these facilities is a National Reactor Testing Station built by the Atomic Energy Commission in 1949 to build, test, and operate various nuclear reactors, fuel processing plants, and support facilities. Site activities also led to the discharge of liquid wastes to several unlined ponds and an earthen ditch. The site includes contaminated soil, sludge, and groundwater that contain hazardous chemicals, heavy metals, and radioactive constituents. The site is divided into several cleanup areas to better address site cleanup. Remedy construction has been completed in several of these areas, and remedial design and construction are underway at the remaining areas.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Also known as the Coeur d\u2019Alene Basin Cleanup, the Bunker Hill Mining and Metallurgical Complex site is located in northern Idaho and eastern Washington, in one of the largest historical mining districts in the world. The site spans 1,500 square miles and includes 166 miles of rivers. Mining operations began in the area in 1883 and continue today. Historical mining and milling methods led to disposal of tailings in rivers and streams, which resulted in the spread of contaminants throughout the floodplain of the South Fork Coeur d\u2019Alene River. Smelter operations also resulted in emissions and piles of waste rock. Soil, sediment, groundwater, and surface water are contaminated with heavy metals such as lead, which pose serious risks to people and the environment. Since 1983, EPA and its partners have made progress in cleaning up contamination, including cleaning some mine and mill sites, and establishing waste repositories to securely contain contaminated soil to reduce impacts to people and the environment. Site remediation is ongoing. The 2,530-acre Eastern Michaud Flats Contamination site near Pocatello, Idaho, consists of two phosphate ore processing facilities that began operations in the 1940s. One facility continues to produce solid and liquid fertilizers using phosphate ore, sulfur, air, and natural gas. The other produced elemental phosphorus for use in a variety of products from cleaning compounds to foods. Cleanup at this facility is largely located within Fort Hall Indian Reservation boundaries. Operations at both plants contaminated groundwater and soil with metals including arsenic, lead, and cadmium. Cleanup includes capping contaminated soils, extraction and containment of contaminated groundwater, and groundwater monitoring. Site cleanup began in 2010 and is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Cherokee County Superfund site is a former mining area in southeast Kansas covering about 115 square miles. It is part of a larger regional mining area known as the Tri-State Mining District, where more than 100 years of mining for lead and zinc created piles of mine tailings covering more than 4,000 acres. The mine tailings contaminated groundwater with lead, zinc, and cadmium. Millions of cubic yards of mine tailings are present at the surface, in addition to impacted soils, surface water, sediment, and groundwater. Several cleanup activities have been completed and others are underway. Site- wide, nearly 3 million cubic yards of mining wastes have been remediated on nearly 2,000 acres, more than 700 residential yards have been remediated, and more than 500 homes have been supplied with a clean, permanent source of drinking water. Otis Air National Guard Base and Camp Edwards together form Joint Base Cape Cod, a 22,000-acre property used for military training activities since 1911. It is the sole source aquifer for 200,000 year-round and 500,000 seasonal residents of Cape Cod. Parts of the aquifer have been contaminated by fuel spills, training activities, waste disposal, and other past activities at the base. Cleanup of a portion of the site is managed by the U.S. Air Force, which is addressing the sources of and groundwater contamination primarily on Otis Air National Guard under the authority of Superfund. Contaminated areas were the result of chemical and fuel spills, fire training activities, landfills, and drainage structures. Since 1984, when contaminants were first detected in monitoring wells, numerous investigations and cleanups have been undertaken and completed. Currently, nine groundwater plumes are undergoing extraction and treatment. The Air Force\u2019s land use control program ensures that groundwater remedies are protective until cleanup levels are met.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Creese and Cook Tannery site is located in Danvers, Massachusetts. Leather tanning operations took place on-site from about 1903 through the 1980s. Solid tanning wastes were disposed of in two landfills at the site. Liquid waste was discharged to the Crane River until 1975 and later to sewers, while sludge waste was deposited in an on-site lagoon system. Operations led to contamination of surface and subsurface soils with tannery wastes, and contaminants, particularly arsenic, exceed state health-based standards in multiple locations. In 2012 EPA conducted a removal of contaminated surface soil and disposed of this soil off- site. EPA issued a proposed cleanup plan for the site in October 2018.", "The New Bedford harbor is an 18,000-acre urban estuary with sediment highly contaminated with PCBs and heavy metals. From the 1940s until EPA banned the production of PCBs in the 1970s, two manufacturing facilities improperly disposed of industrial wastes containing PCBs, contaminating the harbor bottom for about 6 miles from the Acushnet River into Buzzards Bay. After extensive testing of water quality, harbor sediment, air quality, and locally caught fish and shellfish, EPA concluded that the PCBs in the sediment posed a serious risk to human health and the environment. EPA has placed restrictions on fishing, shellfishing and lobstering in and around the harbor. EPA has addressed approximately 450,000 cubic yards of contaminated sediment in the upper harbor as of April 2017 and plans to dredge and dispose of over 200,000 cubic yards of contamination from the lower harbor. According to EPA, the site cleanup will require an additional 5 to 7 years and significant funding to finish.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Loring Air Force Base site is located in Limestone, Maine. Loring Air Force Base was one of the first to be designed and built to accommodate high-speed aircraft, and construction ended in 1953. Activities at the site, including maintenance of jet engines, generated waste oils, recoverable fuels, spent solvents and cleaners. These wastes contaminated soil, groundwater, surface water, and sediment at a number of areas across the former base. Cleanup activities include relocation of contaminated soil, bioremediation of groundwater, and capping of disposal areas. The Air Force is leading the site cleanup until goals have been achieved. The Air Force is conducting operation and maintenance and long-term monitoring activities.", "The 25-acre Eastland Woolen Mill Superfund site is located in the Town of Corinna, Maine. Prior to closing in 1996, the mill manufactured dyed wool and blended woven fabric. The dyeing operation utilized various chemicals, including dyes and dye-aids that reportedly contained biphenyl and chlorinated benzene compounds. Liquid wastes were discharged to the ground beneath mill buildings until 1977. As a result, soil and bedrock underlying the mill were contaminated with chlorinated benzene compounds. Long-term cleanup and environmental monitoring are ongoing. In 2012, EPA completed a partial deletion action to remove 80% of the land area from NPL designation and facilitate reuse. EPA completed the second Five-Year Review in 2015.", "The Eastern Surplus site is a 5 acre area in Meddybemps, Maine. From 1946 through the early 1980s, the Eastern Surplus Company, a retailer of army surplus and salvage items, operated on the site. Facility operations contaminated soil and groundwater with hazardous chemicals, including volatile organic compounds and calcium carbide. After immediate actions to protect human health and the environment, remediation activities included excavating soils, extracting and treating contaminated groundwater, and disposing of gas cylinders. Operation and maintenance activities and monitoring are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Velsicol Chemical Corporation produced various chemical compounds and products at its 54-acre plant in St. Louis, Michigan, from 1936 through 1978. Products included the fire retardant polybrominated biphenyl and the pesticide DDT. To address contamination on-site, Velsicol agreed to construct a slurry wall around the former plant and put a clay cap over it. The Pine River, which borders the former main plant site on three sides, was significantly contaminated. In response, the state of Michigan issued a no-consumption advisory for all fish species. Over 670,000 cubic yards of DDT-contaminated sediment were removed and disposed of off-site in an approved landfill. DDT levels in fish have been reduced by more than 98 percent. In the early 2000s, studies showed the slurry wall and clay cap at the main plant site were failing to keep contamination out of the river. In response, EPA and Michigan's Department of Environmental Quality (MDEQ) launched a remedial investigation and feasibility study at the main plant site and concluded that soil and groundwater were contaminated. In June 2006, EPA selected a remedy that included a comprehensive cleanup of the main plant site and a residential soil cleanup. During the residential cleanup, EPA excavated and disposed of 50,000 tons of contaminated soil at an off-site landfill. Currently, EPA and MDEQ are completing a remedial investigation in the Pine River downstream of the former chemical plant property.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Allied Paper, Incorporated/Portage Creek/Kalamazoo River site affects Kalamazoo, Michigan, 80 miles of the Kalamazoo River (from Morrow Dam to Lake Michigan), and 3-mile stretch of Portage Creek. Paper mill properties, riverbanks and floodplains have been contaminated with PCBs. EPA has removed contaminated materials from the site, cleaned and restored 7 miles of the Kalamazoo River and banks and capped 82 acres worth of contaminated materials. In the portions of the site where cleanup has concluded, EPA conducts maintenance activities and monitors groundwater. For two areas contaminating the river that have not yet been cleaned up, EPA has decided on cleanup plans and has taken actions to prevent migration of contamination to the Kalamazoo River or Portage Creek. EPA has decided on cleanup plans for approximately a portion of the 80 mile stretch of the Kalamazoo River and Portage Creek that require remediation. The Petoskey Manufacturing Company, or PMC, contained a die casting plant from the 1940s and a painting operation from the mid- to late-1960s. Disposal of spent solvents and paint sludge onto the ground outside the PMC building contaminated soil and groundwater at the site with volatile organic compounds. Contaminated groundwater reached a nearby municipal well that provided drinking water to city residents. The city replaced the contaminated well with a new groundwater source. Currently, EPA and Michigan Department of Environmental Quality are evaluating the site for potential vapor intrusion issues into condominiums built on top of the former PMC source area.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Grand Traverse Overall Supply was a commercial laundering and dry cleaning facility opened in 1953. Activities at the site between 1955 and 1968 included construction of a dry well and seepage lagoons to collect waste. In 1977 the facility began discharging waste to the sewer. A year later, the Michigan Department of Environmental Quality discovered groundwater contaminated with volatile organic compounds such as trichloroethylene and perchloroethlyene that impacted at least 10 wells, including one that supplied water to an adjacent elementary school. Contaminated wells were abandoned and new wells drilled. Waste lagoons were drained and filled with gravel, and the contaminated soils around the dry well and on-site barrels of waste sludge were removed in the 1970s. In providing technical comments on a draft of this report, EPA officials told us that remedial actions at the site began with soil removal activities around 2009, and that a groundwater pump and treat system was installed in 2012 and improved in 2015. These officials told us the site is expected to reach cleanup goals within approximately 5 years.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Northwestern Leather Company operated a tannery on the 75-acre Cannelton Industries Incorporated site in Sault Sainte Marie, Michigan from 1900 to 1958. A portion of the site is located within the 100-year floodplain of the St. Mary's River. Waste disposal operations contaminated soils, sediment and the river with heavy metals, including chromium, lead, cadmium, arsenic and mercury. EPA\u2019s initial long-term remedy for the site included the excavation and consolidation of contaminated waste material, soils, and river sediment into an on-site landfill, collection and treatment of groundwater, groundwater monitoring, and land use restrictions for the landfilled area. In commenting on a draft of our report, EPA officials told us the remedy was amended to include excavation and removal of contaminated soil and tannery waste and other waste materials from portions of the site, Construction of these remedies took place in 1999. In 2006 and 2007, additional dredging operations removed 40,000 cubic yards of contaminated sediment, about 500,000 pounds of chromium and 25 pounds of mercury from Tannery Bay and nearby wetlands. Subsequent sampling in 2014 showed mercury or chromium in Tannery Bay and an adjacent wetland. In providing technical comments on a draft of this report, officials noted that 2016 sampling also showed mercury in Tannery Bay surface water and adjacent wetland. EPA is reviewing the current monitoring requirements and protocols, as well as the cleanup goals. The monitoring portion of the operations and maintenance plan will be revised based on EPA's findings. EPA officials told us that the agency has initiated a partial deletion of the site from the NPL to enable reuse of some remediated site areas.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 200-acre Tar Lake site in Mancelona Township, Michigan was an iron works facility from 1882 through 1945. Disposal of tar waste contaminated soil and groundwater with hazardous chemicals, including tar waste and creosote. Cleanup activities included excavation and disposal of tar and contaminated soils, and groundwater extraction and treatment. After initial cleanup, operation and maintenance activities are ongoing. EPA has conducted several 5-year reviews of the site\u2019s remedy. EPA did additional sampling at the site in 2011 and 2012 and identified the need for additional soil excavation and expansion of the groundwater treatment system. In providing technical comments on a draft of this report, EPA officials told us that additional cleanup will begin in 2020 and last several years. EPA has deleted part of the site from the NPL. The Torch Lake site is located on the Keweenaw Peninsula in Michigan. The site includes several areas ranging in size from about 10 acres to more than 200 acres. Copper mining activities in the area from the 1890s through 1969 produced mill tailings that contaminated lake sediment and the shoreline. Cleanup included covering 800 acres of slag piles and tailings with soil and vegetation, and long-term monitoring of Torch Lake. After cleanup, operation and maintenance activities are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Minnesota Chippewa Tribe, Minnesota (Grand Portage Band and Fond du Lac Band); Lac du Flambeau Band of Lake Superior Chippewa Indians; Sokaogon Chippewa Community, Wisconsin.", "The St. Louis River site is located at the west end of Duluth, Minnesota, and includes several areas of land next to the St. Louis River, several boat slips, and a wide section of the river known as Spirit Lake. The site overall has been divided into two smaller sites, both managed by the state of Minnesota. The first area, known as the St. Louis River/Interlake/Duluth Tar (SLRIDT) site includes 255 acres of land, boat launch ramps and bays of the St. Louis River. From the 1890s through 1962, a variety of industrial plants operated at the site, including a coking plant, and tar and chemical plants. The second site, U.S. Steel comprises 500 acres of land and 200 acres of the St. Louis River. The area was contaminated by a steel mill that operated on-site between 1916 and 1981. Operations at both sites contaminated soil and underwater sediment with hazardous chemicals, including solid wastes, PCB liquids and drums. The sites are currently in different phases of cleanup. Cleanup of the land portion of the SLRIDT was substantially completed by 2001, and cleanup of the contaminated sediment by 2010. However, in its most recent 5-year review, the Minnesota Pollution Control Agency noted several smaller areas of contaminated materials that will require additional cleanup. U.S. Steel conducted multiple cleanups at their site since the 1990s and many of the actions required by EPA\u2019s record of decision have been completed. However, in its most recent 5-year review, the Minnesota Pollution Control Agency concluded that while some cleaned-up areas continue to be protective of human health and the environment, some areas of the site are not protective. EPA officials also told us that the U.S. Steel site has also contaminated a part of the St. Louis River known as Spirit Lake. According to these officials, the cleanup of Spirit Lake, including associated tribal consultation, is planned through a partnership led by EPA\u2019s Great Lakes National Program Office.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Minnesota Chippewa Tribe, Minnesota (Leech Lake Band)", "The 125-acre St. Regis Paper Company site is located within the external boundaries of the Leech Lake Band of Ojibwe Indian Reservation in Cass Lake, Minnesota. The wood-treatment facility operated from the 1950s through the 1980s using creosote and pentachlorophenol (PCP). The facility\u2019s operations contaminated soil and groundwater with hazardous chemicals, including PCP, dioxin and polycyclic aromatic hydrocarbons (PAH). Remedies put in place include water treatment and soil containment. Subsequent assessment demonstrated unacceptable potential risks from groundwater and surface soil contamination. EPA proposed a cleanup plan in March 2016 to address soil contamination in residential areas. EPA has determined there are no current unacceptable human risks.", "The 300-square-mile Anaconda Company Smelter site is near Anaconda, Montana. Anaconda operated a large copper concentrating and smelting operation on the north side of Warm Springs Creek until about 1901. Around 1902, ore processing and smelting operations began at a separate facility that is included in the site. Operations at the Anaconda Smelter ceased in 1980 and the smelter facilities were dismantled soon thereafter. More than a century of milling and smelting operations resulted in high concentrations of arsenic, lead, copper, cadmium, and zinc in groundwater and surface water. Cleanup included testing and remediation of domestic wells, removal of waste from the nearby community, construction of nearly 1,000 acres of wetland, and 30,000 feet of stream restoration. Operation and maintenance activities are ongoing in areas where cleanup is complete. In other areas, cleanup is still in progress. EPA has determined that remedies that have been completed are protective of human health and the environment. Where remedies are not complete, access is controlled to prevent human exposure to waste.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Anaconda Aluminum Co. Columbia Falls Reduction Plant site is located two miles northeast of Columbia Falls in Flathead County, Montana. The site includes approximately 960 acres north of the Flathead River, a fishery that includes the federally designated, threatened bull trout and the federally sensitive westslope cutthroat trout. From 1955 through 2009, an aluminum smelting plant operated at the site, and produced significant quantities of hazardous wastes as a byproduct of the aluminum smelting process. The types of hazardous wastes produced at the site are known to contain cyanide compounds that can leach into groundwater. In 1988, EPA requested a site investigation that revealed that there were high concentrations of polycyclic aromatic hydrocarbons at the site, primarily in soils and sediments, and that there had been a release of cyanide to groundwater and surface water; both of these findings were attributed to activities at the former smelting plant. The remedial investigation and feasibility study of the site is in progress, and the results of the investigation will determine cleanup needs and identify potential cleanup options at the site. The Silver Bow Creek and Butte Area site is in Butte, Montana, and includes 26 miles of stream and streamside habitat. Since the late 1800s, mining wastes have been dumped into streams and wetlands near mining operations. These activities contaminated soil, groundwater, and surface water with heavy metals. From 1988 to 2005, EPA completed several removal actions to clean up areas around former smelter sites, mine waste dumps, railroad beds, stream banks and channels, and residential yards to address immediate human health and environmental risks. Operation and maintenance, sampling, and monitoring actions are ongoing. EPA agreed to future cleanup work at the site in January 2018, including removal of contaminated soils, removal of sediment and floodplain waste, and construction of stormwater basins and sedimentation bays.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Milltown Reservoir Sediments site near Missoula, Montana includes about 540 acres in the Clark Fork River and Blackfoot River floodplain and 120 miles of the Clark Fork River upstream of the Milltown Dam and Reservoir, which are located at the confluence of the Clark Fork and Blackfoot Rivers. From the 1860s until well into the 20th century, mineral- and arsenic-laden waste from mining activities in the region flowed into the Clark Fork River. As contaminated sediment and mine- mill waste moved downstream, about 6.6 million cubic yards of sediment accumulated behind the Milltown Dam. Mining activities and the downstream transport of mining- related wastes contaminated sediment, surface water, and groundwater with heavy metals. Remedy construction began in 2006, much of the site has been cleaned up, and remedy construction is underway to address remaining contamination. The site\u2019s long-term remedy includes construction of a bypass channel at the reservoir; removal of contaminated reservoir sediment; off-site disposal and use of contaminated sediment as vegetative cap material; removal of the Milltown Dam; continuation of a replacement water supply program and implementation of temporary groundwater controls until the Milltown aquifer recovers; and long-term monitoring of surface and groundwater. Remedy construction is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 438-acre Barber Orchard site in Haywood County, North Carolina, includes the area where Barber Apple Orchard operated from 1908 through 1988. Facility operations resulted in contaminated groundwater and soil. Contaminants include arsenic, lead, and pesticides such as DDT, aldrin, and dieldrin that can be found in groundwater or soils on residential properties built on the former orchard. EPA removed soil in contaminated areas and, in a 2011 proposed cleanup plan proposed long- term monitoring of contaminated groundwater with the expectation that soil remediation will positively affect groundwater contamination. EPA has determined that the contaminated groundwater does not currently threaten people living and working near or on the site. EPA officials told us that in 2004, the town of Waynesville extended its municipal water system throughout the Orchard, and since the completion of the soil cleanup in 2011, new homes have been constructed within the boundaries of the Orchard.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 3.5-acre Benfield Industries site in Waynesville, North Carolina, includes the area where Benfield Industries mixed and packaged materials bought in bulk for resale in smaller amounts from 1971 through 1983. The facility handled and stored paint thinners, solvents, sealants, cleaners, de-icing solutions and wood preservatives. Between 1990 and 1992, EPA conducted the remedial investigation and feasibility study using federal funding. The cleanup included excavating and washing contaminated soil, biotreating contaminated slurries, and placing the cleaned soil and slurry in excavated areas. Following soil treatment, EPA graded and planted seed. According to EPA officials, a groundwater extraction system was installed and was operated between 2001 and 2007. However, a 2007 report concluded that it was no longer an effective groundwater remedy, and that monitored natural attenuation may be a more effective remedy. Consequently, EPA shut down the system in June 2007. Agency officials told us the agency recently completed a pilot scale treatability study in which chemicals were injected into the subsurface to destroy residual wood preservatives that were adversely impacting groundwater quality. According to EPA, the agency will be using the information gained from this treatability study in the forthcoming remedial design.", "The Homestake Mining Company site in Cibola County, New Mexico includes a former uranium mill demolished from 1993 through 1995 and the impacted portions of the underlying groundwater aquifers. Uranium milling operations began at the site in 1958 under a license issued by the Atomic Energy Commission. Site operations and seepage from two tailings impoundments contaminated soil and groundwater with hazardous chemicals including uranium, selenium, radium-226, radium-228, thorium-230 and nitrate. Nearly 4.5 billion gallons of contaminated water have been removed and 540 million gallons of treated water have been injected into the aquifer. An average of 2 feet of contaminated soil was removed from the mill area and placed in the tailings impoundments. Cleanup is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 125-acre United Nuclear Corporation site near Gallup, New Mexico, includes a former uranium ore tailings disposal area and processing mill that operated from 1977 through 1982. The facility processed uranium ore using a combination of crushing, grinding and acid- leach solvent extraction methods. Milling produced acidic slurry of ground rock and fluid tailings. Disposal of about 3.5 million tons of tailings took place in on-site impoundments. Facility operations contaminated soil and groundwater. Surface reclamation stabilized the mill tailings and protected the Rio Puerco from contamination spills. However, EPA notes that groundwater treatment has been difficult due to low groundwater recharge rates and extraction wells proved to accelerate movement of contaminated water rather than contain it. Consequently, EPA installed additional extraction wells in 2010. Cleanup activities and monitoring are ongoing.", "The 70-acre Prewitt Abandoned Refinery site is located near Prewitt, New Mexico. The refinery operated between 1938 and 1957. Refinery operations contaminated soil and groundwater with hazardous chemicals including asbestos and lead. Potentially responsible parties removed the refinery and other site structures; however, scattered demolished structures, foundations and exposed fill remained on-site. The remedy for surface soil is complete. The remedy for subsurface soil and water continues to be protective in the short term; however, EPA could not determine if the remedy is protective of human health and the environment in the long term, and the agency recommends new evaluations to characterize the quantity, composition and extent of various contaminants and exposure pathways at the site. EPA further recommends the evaluation of an alternative cleanup plan to enhance protectiveness at the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 58-acre North Railroad Avenue Plume site is a contaminated groundwater plume in Espa\u00f1ola, New Mexico. The Norge Town laundromat and dry cleaning operation contaminated groundwater with tetrachloroethylene, trichloroethylene, cis-1,2- dichloroethylene and trans-1,2- dichloroethylene. The contaminated groundwater aquifer is the sole-source drinking water aquifer for the residents of City of Espanola and, the Pueblo of Santa Clara, as well as individual water supply wells near the site. The remedy consists of enhanced on-site bioremediation. The areas targeted for cleanup are the source area, soils with high contaminant levels, and contaminated shallow groundwater. EPA indicated that the remedy has reduced contamination in shallow groundwater but has not been effective in the deep aquifer; consequently, EPA initiated additional analysis in 2015.", "The Jackpile-Paguate Uranium Mine site is located on the Pueblo of Laguna, New Mexico, reservation and consists of three former leases. The former leaseholder, Anaconda Minerals Company, mined and operated a uranium mine at the site from 1952 through 1982. Out of a total of 7,868 leased acres, 2,656 acres were disturbed by mining. This disturbance originally included three open pits, 32 waste dumps and 23 sub-grade ore stockpiles, 4 topsoil stockpiles, and 66 acres of buildings and roads. Mining operations detrimentally affected surface water with hazardous chemicals in quantities sufficient to support listing onto the EPA National Priorities List for Superfund cleanup. Atlantic Richfield is currently undertaking the remedial investigation and feasibility study at the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "EPA officials told us that the Carson River Mercury site extends over more than a 130-mile length of the Carson River, beginning near Carson City, Nevada, and extending downstream to the Lahontan Valley. Contamination at the site is a legacy of the Comstock mining era of the late 1800s, when mercury was imported to the area for processing of gold and silver ore. The site includes mercury-contaminated soils at former mill sites; mercury contamination in fish and wildlife; and mercury contamination in waterways adjacent to the mill sites, including the water, sediment, and adjacent floodplain of the Carson River, Lahontan Reservoir, Carson Lake, Stillwater Wildlife Refuge, and Indian Lakes. Following excavation and removal of mercury- contaminated tailings and soils from the site to protect human health and the environment, site investigations and cleanup planning are ongoing.", "The Hooker (Hyde Park) site is located in Niagara Falls, New York. The 15-acre area was used for the disposal of about 80,000 tons of waste, some of it hazardous material, from 1953 through 1975, resulting in sediment and groundwater contamination with hazardous chemicals, including Aroclor 1248, chloroform, phenol, benzoic acid and chlorendic acid. Cleanup included establishment of a drain system around the landfill; treatment of liquids leaching from the landfill; capping of the landfill; and removal of contaminated soils and sediment. Site construction finished in 2003. EPA has determined that, since cleanup, the site no longer poses a threat to nearby residents or the environment. Long- term groundwater treatment and monitoring are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The General Motors (Central Foundry Division) site is located near Massena, New York. General Motors operated an aluminum diecasting plant on the site beginning in1959 and used PCBs in the manufacturing process through 1980. Contamination resulted from General Motors\u2019 waste disposal practices. Completed cleanup actions include the installation of a cap on an industrial landfill to prevent the surface flow of contaminants and reduce potential air exposure from contaminants; dredging of the St. Lawrence River and placement of a cap on remaining sediment; remediation of two inactive lagoons; and creation of a 150-foot landfill setback along the border with the Saint Regis Mohawk reservation. The final significant cleanup is a 10-million- gallon industrial lagoon. EPA has conducted three 5-year reviews at the site and the owner is actively marketing the property for re-use or redevelopment.", "The Peter Cooper site in Gowanda, New York, was the location of an animal glue and industrial adhesive manufacturing factory. Contamination was caused by the improper disposal of wastes derived from chrome-tanned hides. The waste material has been shown to contain elevated levels of chromium, arsenic, zinc, and several organic compounds. Remedial activity for the landfill contained more than 8 million tons of waste and included capping the landfill, putting in a gas venting system, and controlling leachate. A retaining wall prevents contaminants from reaching Cattaraugus Creek. Site investigations and cleanup are complete, and monitoring is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Onondaga Lake site includes a 4.6-square-mile lake bordering the City of Syracuse, New York, and four nearby towns and villages. The site also includes seven major and minor tributaries and upland sources of contamination from a 285-square-mile drainage basin. Onondaga Lake has been the recipient of industrial and municipal sewage discharges from the site for more than 100 years. Contaminants include chlorinated benzenes, mercury, and PCBs. Between 1998 and 2018 EPA selected cleanup remedies for several areas within the site. Cleanup activities include removing chlorobenzene from existing wells, cleaning storm drainage systems, construction of a lakeshore barrier wall, and groundwater collection and treatment systems. Site investigations and cleanup activities are ongoing in several areas of the site, including the Lower Ley Creek and Willis Avenue areas.", "The Cayuga Groundwater Contamination site covers about 4.8 square miles extending from Auburn to Union Springs, New York. The site is the former location of a facility where General Electric Company and its partners manufactured semiconductors. The site includes residential properties mixed with farmland, woodlands, and commercial areas. Contaminated groundwater at the site contains volatile organic compounds that are potentially harmful contaminants that easily evaporate in the air. EPA conducted a remedial investigation and feasibility study to determine the sources, nature, and extent of site contamination and to evaluate remedial alternatives. Remediation will depend on the characteristics identified, but will include bioremediation for the most contaminated area as well as natural processes to reduce the level of contamination to meet groundwater standards. EPA is requiring periodic collection and analyses of groundwater samples to verify that the level and extent of contaminants is declining. EPA is deferring a decision on how to clean up the groundwater in Area 3, and intends to further investigate that area prior to issuing a final cleanup decision.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Eighteen Mile Creek site consists of contaminated sediment, soil, and groundwater along approximately 15 miles of creek in Niagara County, New York. The site has a long history of industrial use dating to the 19th century. Contamination, including PCBs and heavy metals, spans two areas: Eighteen Mile Creek corridor and the creek sediment to Lake Ontario. Possible sources of the contamination include releases from hazardous waste sites, industrial or municipal wastewater discharges, and disposal practices of manufacturers around the creek. EPA has demolished five contaminated residential properties and relocated the residents, completed the remedial investigation and issued a record of decision for the creek corridor in 2017, and is currently conducting the remedial investigation in the length of the river to Lake Ontario. The approximately 145-acre Wilcox Oil Company site in Bristow, Oklahoma includes the inactive and abandoned Lorraine and Wilcox Oil Refineries, which operated from approximately 1915 through 1963. The main components of the refinery included a skimming plant, cracking unit, and redistillation battery with a vapor recovery system and continuous treating equipment. Refinery operations contaminated soil and sediment and left behind refinery waste material such as oil waste and sediment skimmed from crude oil, and potentially lead. Planning and implementation of the site\u2019s remedial investigation and feasibility study is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 200-acre Hudson Refinery site housed an oil refinery from 1922 until 1982. The site included aboveground storage tanks, wastewater treatment impoundments, separators, stained soils, a land treatment unit, and loose and friable asbestos-containing material. Refinery operations contaminated soil, groundwater, surface water, and sediment. The site\u2019s long-term remedy, selected in 2007 and amended in 2010, included removal of asbestos-containing materials, coke tar, and scrap metal; soil and waste excavation with off-site disposal; excavation, stabilization, and off-site disposal of sediment from waste ponds and sumps; treatment of surface water from ponds with contaminated sediment; groundwater monitoring; and institutional controls, among others. Cleanup construction started in early 2010 and finished in October 2010. Operation and maintenance activities and monitoring are ongoing.", "The 160-acre Oklahoma Refining Company site in Cyril, Oklahoma contained an oil refinery operated by several different owners until 1984. Site operations contaminated soil, sediment, surface water, and groundwater with PAHs, volatile organic compounds, and metals. Long- term remedies included bioremediation; stabilization; neutralization, containment, and treatment of surface water and groundwater; and on-site disposal of excavated materials in a hazardous waste landfill. Remediation was completed in 2001 on the southern part of the site. Removal of hazardous waste was completed in 2006. EPA is currently evaluating long-term cleanup activities on the northern portion of the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Tar Creek site is located in Ottawa County, Oklahoma. According to EPA, the site itself has no clearly defined boundaries, but consists of areas within Ottawa County impacted by historical mining wastes. The site is part of the larger Tri-State Mining District that consists of historical lead and zinc mining areas in northeast Oklahoma, southeast Kansas, and southwest Missouri. The site first came to the attention of the State of Oklahoma and EPA in 1979, when water began flowing to the surface near Commerce, Oklahoma from underground mine areas, through abandoned boreholes. This surface discharge flowed into Tar Creek, and soon other discharge locations were observed near Tar Creek and the abandoned mining town of Douthat and Quapaw. As a result, Tar Creek and Beaver Creek were significantly impacted. EPA has defined five areas to focus on: surface water and groundwater; waste in residential areas that causes high blood lead levels in children; chemicals found in an office and laboratory complex; piles of mine and milling waste and smelter waste; and sediment and surface waters in seven watersheds within three states and nine tribal areas. Remedial efforts include plugging abandoned wells to prevent contamination of aquifers, cleanup of public areas and residences, removal of mining chemicals, and relocating mining waste on the surface. The Quapaw Tribe has led remedial efforts on portions of tribally owned properties located within Tar Creek. Cleanup is ongoing.", "The 61-acre Tulsa Fuel And Manufacturing site in Collinsville, Oklahoma, is the location of a former zinc smelter and lead roaster that operated from 1914 through 1925. Historical operations contaminated soil, sediment, and surface water with hazardous materials including zinc and lead. EPA selected a cleanup plan for the site that included on-site consolidation and capping of soil, sediment and waste material. Construction of the remedy began in August 2014 and is now completed.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The McCormick and Baxter Creosoting Company site is a former creosote wood treating facility located on the east bank of the Willamette River in Portland, Oregon. The company was founded in 1944 and continued operations until October 1991.This site is located within the Portland Harbor Superfund site, but was not included in the January 2017 Portland Harbor record of decision. The site encompasses approximately 41 acres of land and an additional 23 acres of contaminated river sediment. Site investigations confirm releases of wood- treating chemical compounds to soils, groundwater, and sediment. Remedial investigations identified three plumes of contaminated groundwater migrating toward surface waters. Completed cleanup activities include demolition of the McCormick and Baxter plant; soil excavation, treatment, and disposal; upland soil capping; installation of a subsurface barrier wall; contaminant recovery; construction of a multi-layer sediment cap in the Willamette River; monitoring and engineering; and institutional controls. Construction of site remedies finished in September 2005.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Taylor Lumber and Treating operated a wood-treating plant at the site near Sheridan, Oregon, from about 1946 until 2001. EPA found that wood-treating chemical spills, including creosote and pentachlorophenol, contaminated soil, roadside ditches, and groundwater at the site. In response, EPA constructed an underground slurry wall as part of the remedy beneath the wood-treating area to contain and extract the most contaminated groundwater to maintain hydraulic control within the barrier wall. The final cleanup included excavation of contaminated soils from 5 upland acres and from adjacent ditches flowing to the South Yamhill River; replacement of an existing asphalt cap in the wood-treating area with a new low permeability asphalt cap overlaying the underground slurry wall; disposal of material from stockpiled soil storage cells off-site; and upgrades to the storm water conveyance systems. EPA completed final cleanup in 2008. The property is now owned and operated by a private company, which has ongoing obligations related to property use restrictions, operations, and maintenance on the property. EPA conducted its second 5-year review in 2017. The 4.2-acre Harbor Oil Incorporated site is located in Portland, Oregon, in an industrial area adjacent to Force Lake. A waste oil recycling facility currently operates on the site. Past site operations included a tank truck cleaning business, which was destroyed by a fire in 1979 that ruptured five 20,000-gallon aboveground used oil tanks. Site activities, the fire, and a large oil spill in 1974 contaminated soil, sediment and groundwater with metals, oil, pesticides, and PCBs. EPA ordered a previous operator to empty, clean, and dismantle a tank containing petroleum wastes. Remedial investigations determined that contamination does not pose an unacceptable risk to human health or the environment; therefore, no further cleanup is required.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 10-acre Gould, Incorporated site in Portland, Oregon housed a lead smelter and lead oxide production facility from 1949 until 1981. Site activities included on-site disposal of about 87,000 tons of battery casings and discharge of about 6 million gallons of acid into a nearby lake, which resulted in contaminated soils and lake sediment. EPA transferred the contaminated soils and sediment into a lined containment area at the site as part of the cleanup. EPA monitored groundwater at the site to determine if historic wastes adversely impacted shallow groundwater at the site. Based on this data, in 2000, EPA determined that no further groundwater cleanup actions were necessary. Groundwater monitoring near the containment area continues to ensure that the containment area has no adverse impact.", "The North Ridge Estates site is a residential subdivision 3 miles north of Klamath Falls, Oregon that is contaminated with asbestos as a result of the improper demolition of approximately 80 1940s-era military barracks buildings. Asbestos-containing materials and soil are being removed from the old military barracks site during three seasons of cleanup from 2016 through 2018. Additional contamination at the nearby Kingsley Firing Range, also part of the site, will be investigated and completed at a later time. According to EPA, cleanup and restoration will be completed by the end of 2018.", "The 76-acre Formosa Mine site is located on Silver Butte in Douglas County, Oregon. The site was originally mined for copper and silver from about 1910 through1937. The abandoned mine discharges millions of gallons of acid rock drainage and toxic metals into the upper reaches of Middle Creek and South Fork Middle Creek every year. These discharges have contaminated surface water, groundwater, soil, and sediment with heavy metals. EPA is currently designing the remedy for all mine-impacted material on the surface and will address risks to surface and groundwater separately. The remedy for surface contamination consists of excavating, contouring, or capping various areas to prevent leaching during precipitation events.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Portland Harbor site includes portions in the Willamette River and about 12 river miles upstream of the Willamette River in and around Portland, Oregon, that have been contaminated from decades of industrial use. Areas of the site housed manufactured gas plants, a pesticide manufacturing facility, and boat maintenance facilities, among other industrial uses. Water and sediment at the site are contaminated with many hazardous substances, including PCBs, PAHs, dioxins/furans, pesticides, and heavy metals. The harbor is an international portal for commerce, and dozens of industries within the site provide economic sustainability to the community. The Lower Willamette is also a popular area for recreation, including fishing and boating. The river provides a critical migratory corridor and rearing habitat for salmon and steelhead, including endangered runs of steelhead and chinook. The area also holds great importance to several tribes as a natural and cultural resource. EPA issued its record of decision in January 2017 and finished its baseline sampling plan in December 2017. The record of decision specifies the remedy selected, which is designed to reduce risks to human health and the environment to acceptable levels and actively remediate (using dredging, capping, enhanced natural recovery, and monitored natural recovery) on 394 acres of contaminated sediment and 23,305 lineal feet of river bank. This final remedy is estimated to cost approximately $1.05 billion and take about 13 years to complete.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Black Butte Mine site is located near Cottage Grove, Oregon. Mercury mining from the late 1880s through the late 1960s included extracting ore from the mine, crushing it on-site, roasting it in kilns to volatilize the mercury, and bottling and shipping the mercury. Mining operations, tailings piles left at the site, and erosion from Furnace Creek contaminated soil, sediment, surface water, and groundwater with mercury and other toxic metals. EPA and its contractors are working in the Furnace Creek area of the site to excavate mine tailings and contaminated soils/sediment for safe disposal in an off-site repository. Removing the mine tailings will reduce mercury leaking into Furnace Creek and reduce the potential for mercury leaching into groundwater. Site investigations for the long-term cleanup are under way.", "The Newport Naval Education/Training Center site was used by the U.S. Navy as a refueling depot from 1900 through the mid-1970s. The site encompasses 1,063 acres on the west coast of Aquidneck Island in Portsmouth, Middletown, and Newport, Rhode Island. The site includes multiple areas of contamination, including a landfill, a fire training area, a former shipyard, and five tank farms. The areas contain varying degrees of groundwater contamination. The Navy is the lead agency for site investigation and cleanup. Site cleanup has included installation of a soil cover, use of a groundwater pump and treat system, and removal of contaminated debris.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Centredale Manor Restoration Project site is located in North Providence, Rhode Island, where the main \u201csource area\u201d consists of about 9 acres down the Woonasquatucket River, south to the Lyman Mill Dam, and includes the restored Allendale Dam. The site was a chemical production and drum reconditioning facility from the 1940s to the 1970s that resulted in the release of dioxin and other contamination. Past site operations led to chemicals released directly to the ground, buried and emptied directly into the river. This resulted in contamination of soil, groundwater, surface water and sediment in the adjacent river and downstream ponds. A major fire in 1972 destroyed most structures at the site. Residential apartments were constructed at the site in the late 1970s and early 1980s and still occupy the site. To address immediate risks, EPA conducted several activities including fencing the site, capping contaminated soil, and reconstructing Allendale Dam. EPA developed the cleanup plan, with amendments, in 2012. EPA, the state of Rhode Island, and potentially responsible parties agreed in July 2018 on a plan to clean up contamination at the site. The Whitewood Creek site covers an 18-mile stretch of Whitewood Creek in Lawrence, Meade, and Butte counties in South Dakota. Since the 1870s, gold mining operations in the area included the discharge of millions of tons of mine tailings into the creek. These mine tailings settled along the Whitewood Creek floodplain, contaminating soil, groundwater, and surface water with heavy metals. EPA excavated 4,500 cubic yards of contaminated soil from residential yards, disposed of contaminated soil, and established institutional controls and surface water monitoring. EPA took the site off the Superfund program\u2019s National Priorities List in 1996 when cleanup finished and affected counties restricted future development in impacted areas. Surface water monitoring is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 360-acre Gilt Edge Mine site is located about 6.5 miles east of Lead, South Dakota. The primary mine disturbance area encompasses a former open pit and a cyanide heap-leach gold mine, as well as prior mine exploration activities from various companies. Mining and mineral processing at the site began in 1876 and early gold miners developed extensive underground workings that wind through the central portion of the site. There was also some surface mining. Historical operations at the site contaminated surface water and groundwater with acidic heavy-metal-laden water. In 1986, mine owners commenced development of a large-scale open pit, cyanide heap leach gold mine operation. In the late 1990s, site owners abandoned the site and their responsibilities to address acidic heavy-metal-laden water generated from the exposed highwalls of the three open mine pits and from the millions of cubic yards of acid-generating spent ore and waste rock. Investigation and cleanup activities at the site are ongoing. Interim remedies are currently in place for the water treatment, Lower Strawberry Creek, and Ruby Gulch Waste Rock Dump; and remedial action construction is in progress for the primary mine disturbance area.", "The Lower Duwamish Waterway site is a 5-mile segment of the Duwamish, Seattle, Washington\u2019s only river. The river flows between residential areas as well as through the industrial core of Seattle into Elliott Bay. The waterway has served as Seattle\u2019s major industrial corridor since the early 1900s, resulting in sediment contaminated with toxic chemicals from industrial practices, stormwater runoff, and wastewater. EPA has also found contamination in fish and shellfish, including PCBs, arsenic, polycyclic PAHs, dioxins, and furans. As a result, consumption of resident fish and shellfish, and contact with contaminated sediment pose a risk to human health. EPA signed the record of decision in 2014 that includes plans to clean up about 177 acres in the waterway, including dredging, capping, and natural sedimentation. By the end of 2015, 50 percent of PCB contamination in the river bottom was removed through these early action cleanups. Cleanup and monitoring activities are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 340-acre Naval Undersea Warfare Engineering Station site is located on a peninsula 15 miles west of Seattle. Site activities included torpedo maintenance, fuel storage, welding, painting, carpentry, plating, and sheet metal work. Site activities and waste disposal practices contaminated soil, sediment and groundwater with hazardous chemicals, including 1,4-Dioxane, chromium, and vinyl chloride. The site\u2019s long-term cleanup remedy included demolition of the plating shop building; removal and disposal of contaminated soil and sediment; removal of underground storage tanks; long-term monitoring of groundwater, sediment and shellfish; institutional controls; and phytoremediation to treat contaminated landfill soil. Remedy construction took place between 1995 and 2000. Site operation and maintenance activities, and site monitoring, are ongoing. Four sites on the NPL are part of the 586-square-mile Hanford Nuclear Reservation near Richland, Washington, where waste was created as a by-product of producing plutonium from 1943 through1987. The 25- square-mile Hanford 100-Area site, also referred to as the River Corridor, is focused on cleanup of contamination that originated from nine nuclear reactors. Cooling water contaminated with radioactive and hazardous chemicals was discharged into both the adjacent Columbia River and on-site infiltration cribs and trenches. Site operations also included burying contaminated solid wastes on-site. These activities contaminated soil and groundwater with radioactive constituents, heavy metals, and other hazardous chemicals. Contaminants have been addressed by demolishing buildings, removing contaminated soil, and employing pump and treat systems for contaminated groundwater, among others. EPA has selected eight interim remedies for the 100-Area and remedial investigations are under way to support selection of final cleanup remedies.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Four sites on the NPL are part of the 586-square-mile Hanford Nuclear Reservation near Richland, Washington where waste was created as a by-product of producing plutonium and other nuclear materials for nuclear weapons from 1943 through 1987. The 79-square-mile 200-Area site is located 17 miles north-northwest of Richland, Washington. The 200-Area site is located in the center portion of the Hanford site, known as the Central Plateau, and contains former chemical processing plants and waste management facilities. During processing activities, massive quantities of carbon tetrachloride were discharged into the ground. Site activities also included processing, finishing and managing nuclear materials, including plutonium. About 1 billion cubic yards of solid and diluted liquid wastes (radioactive, mixed, and hazardous substances) were disposed in trenches, ditches, and in an on-site landfill. About 1,000 facilities and structures were built to support processing activities which contaminated soil, groundwater and surface water with hazardous chemicals and radioactive constituents. Thousands of containers and drums holding radioactive waste were placed in burial grounds. Remedial investigations, removal actions, and remedy design and construction are under way for more than 800 waste areas at the site. Cleanup actions included decontamination and demolition of contaminated structures; treatment of contaminated soil; excavation and off-site disposal of drummed wastes; institutional controls; and natural attenuation of groundwater contaminants. According to EPA, a remedy for one of the large canyon-type buildings is about halfway complete and is awaiting investigation and remediation of surrounding waste sites before it can be completed.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Four sites on the NPL are part of the 586-square-mile Hanford Nuclear Reservation near Richland, Washington where waste was created as a by-product of producing plutonium and other nuclear materials for nuclear weapons from 1943 through 1987. The 56 square mile Hanford 300 Area site was home to fuel manufacturing operations at Hanford as well as experimental and laboratory facilities. The 300-Area site includes an unlined liquid disposal area north of the on-site industrial complex area, landfills, and miscellaneous disposal sites associated with operations at the industrial complex. The 300-Area site contains about 27 million cubic yards of solid and diluted liquid wastes mixed with radioactive and hazardous wastes in ponds, trenches, and landfills. The areas used for liquid discharges had no outlets; therefore, liquids percolated through the soil into the groundwater and the Columbia River. Cleanup actions completed to date include decontamination and demolition of contaminated structures; natural attenuation of groundwater contaminants; and disposal of building rubble, contaminated soil, and debris. Remedy construction has been completed in several areas of the site and remedial investigations, removal actions, and remedy design and construction are under way at the remaining areas. Four sites on the NPL are part of the 586-square-mile Hanford Nuclear Reservation near Richland, Washington where waste was created as a by-product of producing plutonium and other nuclear materials for nuclear weapons from 1943 through 1987. Waste areas in the 120-square-mile Hanford 1100-Area site include a landfill, drains, underground tanks and a sand pit where as many as 15,000 gallons of waste battery fluids may have been disposed. Past site activities and waste disposal practices contaminated soil and groundwater with heavy metals and hazardous chemicals such as PCBs and trichloroethene. Remedial activities include off-site disposal of PCB-contaminated soils, capping of the landfill, and establishing continuing institutional controls to prevent future exposure and contamination from buried asbestos.Following cleanup, EPA deleted the site from the NPL in 1996.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 300-acre Jackson Park Housing Complex site is located in eastern Kitsap County, about 2 miles northwest of Bremerton, Washington. From 1904 through 1959, the facility operated as a Navy ammunition depot and included ordnance, manufacturing, processing, and disassembly. Residual ordnance powders were disposed of by open burning. Hazardous dust deposited on floors during ordnance handling was washed into floor drains that led into Ostrich Bay. The site also included incinerators; paint, battery, and machine shops; and a boiler plant. Site activities contaminated surface water and soil with hazardous chemicals and heavy metals. The site\u2019s long-term remedy included installation of a soil and vegetation cover over contaminated soil, shoreline stabilization, implementation of a shellfish sampling program, and signs along the shoreline to notify local residents of any harvest restrictions. Site cleanup also included the removal and off-site disposal of wooden pilings from abandoned Navy structures, excavation and disposal of contaminated soil, establishment of an environmental monitoring program, and subsurface placement of oxygen-releasing chemicals. Remedy construction began in 2000 and is ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 53-acre Old Navy Dump/Manchester Laboratory site is located north of Manchester, Washington, along the western shore of Clam Bay in Puget Sound. Federal ownership of this site started in 1898 with the U.S. Army. In 1924, the entire site was transferred to the U.S. Navy. From the 1940s through the 1960s, the Navy used the site primarily for construction, repair, maintenance, and storage of submarine nets and boats, but also used the site for firefighter training and as a dump for wastes generated at the site. Former firefighter training activities contaminated soil with dioxins and petroleum hydrocarbons. The Navy also dumped demolition debris and industrial waste, including asbestos, into a former tidal lagoon, contaminating soil, sediment, seep water, and shellfish in Clam Bay with PCBs and metals. Clam Bay has been used primarily for recreational shellfishing and is a known habitat for the bald eagle and chinook salmon, a threatened species under the Endangered Species Act. In the early 1970s, EPA and the National Oceanic and Atmospheric Administration (NOAA) acquired portions of the property. The site is currently occupied by an EPA analytical laboratory and a NOAA fisheries research laboratory. The Army Corps of Engineers established in the third 5-year review in 2014 that the remedy at this site is protective of human health and the environment. Operation and maintenance activities and monitoring are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 83-acre Pacific Sound Resources site, formerly known as the Wyckoff West Seattle Wood Treating facility, is located on the south shore of Elliott Bay on Puget Sound in Seattle, Washington. A wood-treating facility operated at the site between 1909 and 1994. Wood-preserving operations used creosote, pentachlorophenol, and various metal-based solutions of copper, arsenic, and zinc. Daily operations, as well as spills, leaks and storage of treated wood products resulted in soil and groundwater contamination. Direct discharge or disposal of process wastes and waste transport were the most likely sources of contamination to marine sediment. Over half of the site is located in either intertidal or subtidal lands. Cleanup actions included the placement of subtidal and intertidal caps over the 58-acre marine sediment area, including placement of at least 5 feet of cap material in the intertidal zone; dredging and removal of contaminated sediment for off-site disposal; and removal of marine pilings for off-site disposal. Construction of long-term cleanup remedies concluded in 2005 and, following cleanup, operation and maintenance activities, including periodic groundwater monitoring, are ongoing.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Wyckoff Company / Eagle Harbor Superfund site is on the east side of Bainbridge Island in Central Puget Sound, Washington. The site was used for creosote wood treatment for more than 85 years, according to the Washington Department of Ecology. Environmental investigations revealed extensive contamination\u2014 including creosote, mercury, and other metals\u2014in soils, groundwater, and in the sediment on the bottom of Eagle Harbor. EPA reports that extensive cleanup actions have been completed at the site, including operating a groundwater extraction and treatment system since 2012, capping sediment on more than 70 acres of Eagle Harbor, and hauling away contaminated soils and debris. Further cleanup actions are needed in the soil and groundwater at the former wood treatment facility and in adjacent beach sediment. In 2016 EPA released a proposed plan for additional cleanup actions at the site and, after a public comment period, divided the work into two cleanup decisions. The first was issued in May 2018 and the second is planned for issue near the end of 2018. The 10-acre Pesticide Lab site is an active agricultural research laboratory located at the Yakima Agricultural Research Laboratory in Yakima, Washington, and has been in operation since 1961.The site is leased by the U.S. Department of Agriculture (USDA). Wastes from the formulation, mixing, and storage of pesticide were discharged into a septic tank disposal system at the site from 1965 through 1985. USDA addressed cleanup under the Resource Conservation and Recovery Act. The site has been cleaned up and is no longer a threat to human health. Long-term monitoring is not required because cleanup left no contaminants of concern on the site. EPA deleted the site from the NPL in 1993.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The 92-acre Hidden Valley Landfill site is located in Puyallup, Washington. The site contains a former landfill and gravel pit that operated from 1967 through 1985. The landfill accepted liquids, solids, industrial wastes, and heavy metal sludge. Waste disposal activities contaminated groundwater with hazardous chemicals and heavy metals. The site\u2019s long-term remedy included covering the waste with an impermeable barrier, collecting landfill gases, controlling surface water and soil erosion, and minimizing the lateral and vertical movement of contaminated groundwater. Remedy construction took place in 2000. Landfill gas and groundwater monitoring are ongoing.", "The Tulalip Landfill site, located within the boundaries of the Tulalip Indian reservation, is a former landfill located between Marysville and Everett, Washington. The site consists of a 147-acre landfill and 160 acres of wetlands. The Seattle Disposal Company operated the landfill from 1964 until 1979. The landfill received an estimated 3 million to 4 million tons of commercial and industrial waste. In 1979, landfill operators closed the landfill, added a soil cover, and constructed a perimeter barrier berm. However, insufficient grading of the soil cover resulted in poor drainage and allowed precipitation to collect and eventually infiltrate the landfill surface. As a result, the landfill contaminated groundwater, surface water and sediment with metals, pesticides, PCBs and polycyclic aromatic hydrocarbons. EPA\u2019s interim remedy for the landfill included capping the landfill and installing a landfill gas collection and treatment system, among other actions. EPA continued the interim remedy for the landfill and included institutional controls for the wetlands, such as placing and maintaining signs to warn of potential risk from harvest and consumption of resident fish and shellfish. The tribe is responsible for maintenance of the remedy, inspections, and sampling at the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Harbor Island is a 420-acre manmade island in Elliott Bay in Seattle Washington. The site includes the entire island and associated sediment. Built in the early 1900s, the island housed businesses that conduct commercial and industrial activities, including oil terminals, shipyards, rail transfer terminals, cold storage, and lumberyards. Site operations contaminated groundwater, sediment and soil with lead, PCBs, arsenic, mercury, and other contaminants. Remedial activities include removal and treatment of contaminated soil, treatment of groundwater, removal of approximately 6,000 creosote treated piles, and dredging sediment. Most portions of the site have been cleaned up and are undergoing long- term monitoring.", "The Commencement Bay, Near Shore/Tide Flats site is located in the City of Tacoma and the Town of Ruston at the southern end of Puget Sound in Washington. The site encompasses an active commercial seaport and includes 12 square miles of shallow water, shoreline, and adjacent land, most of which is highly developed and industrialized. EPA found widespread contamination of the water, sediment, and upland areas at the site and has divided the site into seven areas being managed as distinct cleanup sites. As part of this cleanup, EPA has remediated 2,436 properties with the worst contamination, restored 11 acres of shallow marine habitat, and restored 70 acres of estuarine habitat. The site\u2019s long-term remedy includes demolishing remaining buildings and structures, excavating soil and slag from the five most contaminated source areas on the site, depositing demolition debris in an on-site containment facility, and monitoring the impacts of cleanup on groundwater and off-shore marine sediment. Investigations and remedy construction are ongoing at the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Midnite Mine is an inactive former uranium mine in the Selkirk Mountains of eastern Washington. Located within the reservation of the Spokane Tribe of Indians, the mine was operated from 1955 until 1981. The site includes two open pits, backfilled pits, a number of waste rock piles, and several ore/protore stockpiles. The site contamination has resulted in elevated levels of radioactivity and heavy metals mobilized in acid mine drainage, both of which pose a potential threat to human health and the environment. The site drains to Blue Creek, which enters the Spokane Arm of Franklin D. Roosevelt Lake. Contaminated water emerging below the waste rock and ore piles is currently captured for treatment in an on-site treatment system. Cleanup includes consolidation of mine waste rock, protore, and contaminated soils; backfilling these materials in lined pits; covering these pits to prevent water infiltration; and ongoing water treatment. According to EPA, significant cleanup is planned to occur between 2017 and 2024. The 40-acre Lockheed West Seattle site is located in Elliott Bay near the mouth of the West Waterway in Seattle, Washington. The site includes about 7 acres of aquatic tidelands owned by the Port of Seattle and 33 acres of state-owned aquatic lands. Historic industrial practices at the former shipyard contaminated sediment with hazardous chemicals, including PCBs, dioxins, and furans. Industrial activities generated considerable quantities of sandblast grit and other industrial waste that discharged to sediment and accumulated beneath dry docks and shipways. The Lockheed Martin Corporation, as the potentially responsible party for the cleanup, will remove contamination from a 40-acre area in the northwest corner of the mouth of the West Waterway and north of the Port of Seattle\u2019s Terminal 5. An estimated total of 167,000 cubic yards of contaminated material will be removed over the course of the cleanup. According to EPA, the cleanup was to begin in 2018 and is anticipated to be completed in the spring of 2019.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Makah Reservation Warmhouse Beach Dump is located within the Makah Indian Reservation at the northwest tip of the Olympic Peninsula in Washington. The site includes a former open dump on top of a ridge about 3 miles northwest of Neah Bay and two streams that originate within the dump and flow to East Beach and Warmhouse Beach. Municipal and household solid and hazardous wastes were disposed of at the dump from the 1970s until 2012. Elevated levels of metals, perchlorate and PCBs have been found in soil at the dump and in the sediment of both creeks. Mussels at the beach also contain elevated concentrations of lead; however, EPA has not determined whether this is from the dump or creeks. EPA is in the remedial investigation stage of the cleanup.", "Bremerton Gas Works is a former manufactured gas plant located about a mile and a half north of downtown Bremerton, Washington. It occupies about 2.8 acres of property along the Port Washington Narrows in Puget Sound. Two species of fish that are listed as threatened under the Endangered Species Act (steelhead trout and chinook salmon) live near the site. This portion of Puget Sound is used as a sport and commercial fishery, as well as for subsistence fishing by the Suquamish Indian Tribe. EPA is in the early stages of the cleanup process, conducting the remedial investigation and feasibility study, which EPA expects to complete in spring 2019.", "The Hamilton/Labree Roads Groundwater Contamination site is located about 2 miles southwest of Chehalis, Washington. According to EPA, past site activities included spilling and dumping tetrachoroethene in Berwick Creek and burying drums and other containers of assorted hazardous chemicals on-site. The release at the site has contaminated soil, sediment, groundwater, and surface water. EPA\u2019s selected interim remedy includes rerouting Berwick Creek around contaminated areas, thermally treating tetrachoroethene-contaminated soil and sediment, and treating contaminated groundwater. Remedial design is under way.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "Penta Wood Products site is located in the town of Siren in Burnett County, Wisconsin. A wood treatment facility operated at the site from 1953 until 1992, and used pentachlorophenol (PCP) to treat wood posts and telephone poles. Facility operations contaminated soil and groundwater with PCP and arsenic. During cleanup, EPA removed about 28 storage tanks containing liquid and sludge. Also, 43,000 gallons of a PCP/oil mixture and sludge were disposed of off-site. The treatment building was demolished and contaminated soil was cleaned on-site or disposed of off-site. Cleanup was completed in 2000, and operation and maintenance activities and monitoring are ongoing. In September 2014, the State of Wisconsin took over operations and maintenance activities at the site.", "Tribe or tribes with known interest in the site (CC) (HEUC) control (GWMUC) use (SWRAU)", "The Ashland/Northern States Power Lakefront site is located on the shore of Chequamegon Bay, which is part of Lake Superior, in northern Wisconsin. The site consists of several properties, including those owned by Northern States Power Co. of Wisconsin, Canadian National Railroad and the city of Ashland. 16 acres of contaminated lake sediment just off-shore are also part of the site. The near-shore portion of the site was formed by the placement of fill consisting of sawdust, wood, and wood waste; demolition debris; and other waste materials. Contaminants including tar, oil, PAHs, volatile organic compounds, and metals have been found in sediment, groundwater, and soil. Contamination has also been found in an adjacent residential area. Because groundwater is contaminated at levels of health concern, two artesian wells have been closed as a precautionary measure. Access to a portion of the bay and shore is restricted for boats and swimmers because when sediment is agitated, oil and tar can be released causing a slick to form. Cleanup at the site is ongoing and is being overseen by the Wisconsin Department of Natural Resources and EPA. Phase 1,soil and groundwater cleanup under portions of the site was completed in 2016. This entailed removing contaminated soil, covering the area with clean material, and installing barriers to stop groundwater from migrating. Phase 2, the full-scale wet dredge in the Chequamegon Bay, was completed in 2018. EPA is conducting the first five-year review of the site.", "In providing technical comments on a draft of this report, the Confederated Salish and Kootenai Tribes of the Flathead Reservation identified this additional site."], "subsections": [{"section_title": "State ID", "paragraphs": ["Site Overview Blackbird Mine is located 25 miles west of the town of Salmon in the Salmon-Challis National Forest in east- central Idaho. Cobalt, silver, and copper ore were extracted from underground and open-pit mining operations. Contaminated soil, sediment and tailings were released from the mine site during high water flows from thunderstorms and snowmelt. Acid rock drainage and leachate from the mining tunnels, waste piles, and tailings contaminated soil, sediment, surface water, and groundwater with heavy metals such as copper, cobalt, and arsenic. Affected surface waters include Blackbird Creek, the South Fork of the Big Deer Creek, Big Deer Creek, and Panther Creek. Since 1995, cleanup actions have collected contaminated runoff water in the mine area and treated it for copper and cobalt. Cleanup actions have also stabilized waste-rock piles at the mine. Remedy construction is complete except for determining whether to divert Bucktail Creek. Post-construction monitoring of these cleanup activities is ongoing.", "Since the early 1900s, General Electric operated a large- scale industrial facility that manufactured and serviced power transformers, defense and aerospace materials, and plastics, and used numerous industrial chemicals at its Pittsfield facility. Years of PCB and industrial chemical use, and improper disposal, led to extensive contamination around Pittsfield, Massachusetts as well as down the entire length of the Housatonic River, which is approximately 150 miles from its source on the East Branch in Hinsdale, Massachusetts and flows through Connecticut into Long Island Sound. After testing groundwater, river sediment, soil, and wildlife, EPA determined that the contamination needed to be addressed and that the greatest concern in the area is the possibility of direct contact or ingestion of PCB contamination. Since 1977, there has been a ban on fishing and consumption of fish from areas of the Housatonic River. These restrictions will remain in place until PCB levels decrease. Data are collected to ensure that the current restrictions protect human health. EPA collects information regarding PCBs in fish and shellfish. In addition to PCBs, other industrial compounds present at the site pose an unacceptable risk to people and the environment.", "Site Overview The Smurfit-Stone Mill Frenchtown site is located 11 miles northwest of Missoula, Montana. The 3,200-acre site formerly housed a pulp mill that operated from 1957 through 2010. The core industrial footprint of the mill site covers about 100 acres, and there are more than 900 additional acres containing a series of unlined ponds used to store treated and untreated wastewater from the mill, as well as sludge recovered from untreated wastewater. The site also includes landfills used to dispose of solid wastes, including general mill refuse and asbestos. Various hazardous substances were used or produced on-site, including bleaching chemicals that produced dioxins and furans that may have been released into the environment. A screening investigation by EPA determined that the site\u2019s primary contamination sources include four sludge ponds, an emergency spill pond, an exposed soil pile adjacent to a landfill, a wastewater storage pond, and a soil land farming area. The results of the investigation will determine cleanup needs and identify potential cleanup options at the site.", "The Anaconda Copper Mine site covers more than 3,400 acres of the Mason Valley, near the city of Yerington, Nevada. Portions of the site are owned by a company, while other areas are public lands managed by the U.S. Bureau of Land Management. Nevada Department of Environmental Protection and EPA have conducted several emergency removal actions at the site to address immediate concerns. Remedial investigations and feasibility studies will be conducted to determine the extent of contamination and potential cleanup options for other areas at the site.", "Site Overview The Lower Fox River, located in northeastern Wisconsin, begins at the Menasha and Neenah channels leading from Lake Winnebago and flows northeast for 39 miles to where it discharges into Green Bay and Lake Michigan. The Fox River Natural Resource Damage Assessment / Polychlorinated Bisphenyls Releases site addresses releases caused by operations of several pulp and paper mills that, during the 1950s and 1960s, routinely used PCBs in their operations that resulted in contamination of the river. Samples from the site also indicate the presence of polycyclic aromatic hydrocarbons resulting from manufactured gas plant processes co-mingled or underneath the PCB contamination. Approximately 270,000 people live in the communities along the river. 2018 is the 10th year of dredging in the Lower Fox River, and EPA estimates 450,000 cubic yards of PCB- contaminated sediment will be removed before the end of the year. In addition, about 2.1 acres of sediment will be capped and 179 acres will be covered with sand. EPA plans to oversee a second 5 year review in 2019."], "subsections": []}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) examines the extent to which the U.S. Environmental Protection Agency (EPA) has reliable data identifying National Priorities List (NPL) sites that are located on tribal property or that affect tribes, (2) examines the extent to which EPA has reliable data on the agency\u2019s consultation with tribes and (3) describes what actions, if any, EPA has taken to address the unique needs of tribes when making decisions about cleanup actions at NPL sites.", "To examine the extent to which EPA has reliable data identifying NPL sites that are located on tribal property or that affect tribes, we reviewed relevant provisions of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 as amended and policies and guidance regarding EPA\u2019s identification and clean-up of NPL sites. We obtained and evaluated EPA data from the Superfund Enterprise Management System (SEMS) on proposed, final, and deleted NPL remedial sites that have tribes associated with them or that EPA has designated as having Native American Interest (NAI). We limited our review to examining proposed, final, and deleted NPL sites because they represent sites with the highest national priority due to the significance of releases, or threatened releases, of hazardous substances. EPA also indicated whether such sites may be located within 10 miles of known tribal property by comparing the sites\u2019 coordinates to the tribal geographic location as recorded in publicly available EPA data. We also obtained information about whether a site was considered a federal facility because other federal agencies may have different consultation policies than EPA. We did not determine whether EPA has information about consultation with tribes for sites considered federal facilities.", "EPA initially identified 265 NPL Superfund sites that were on tribal property, had NAI, had a tribe or tribes with potential interest in the site, or may have been within 10 miles of tribal property. We then worked with EPA headquarters officials and each regional office to perform data quality checks and identify any errors or omissions, in order to develop a revised list of a total of 87 NPL sites\u2014of which 11 were federal facilities\u2014 known to affect tribes or to be located on tribal property. As an example of the data quality checks, officials from each EPA regional office reviewed the list of sites for their respective regions and made corrections to the sites\u2019 designation as having NAI or tribes with interest in the sites. As another example, we compared data from EPA\u2019s Tribal Consultation Opportunity Tracking System (TCOTS) database with the list of sites EPA provided us and determined that a tribal consultation had occurred for a site that EPA had not identified as having NAI. We checked with officials from the appropriate EPA regional office and they told us that the site should have been designated as having NAI, so we added it to our list. We also interviewed officials from EPA\u2019s headquarters and regional offices to better understand the agency\u2019s management, use, and the reliability of these data. In providing comments on a draft of this report, the Confederated Salish and Kootenai Tribes of the Flathead Reservation identified an additional site that was not included in EPA\u2019s data, which we reviewed with EPA and added to our list of NPL sites known to be on tribal property or that affect tribes, bringing the total to 88 sites. We recognize that there may be additional sites at which there is tribal interest but determined that the data were sufficiently reliable to provide information on NPL sites known to be on tribal property or that affect tribes, and to select six sites for nongeneralizable case studies for our work. We did not select case studies from sites located on federal facilities because federal agencies may have different tribal consultation policies. For the case studies, we selected sites based on geographic diversity, and in order to represent sites that have been listed since the publication of EPA\u2019s tribal consultation policy in 2011. We also selected sites that had at least two assessments or inspections performed according to EPA data so the tribes would have sufficient information to share with us about their experiences. In one of the case studies, we had to change to a different site from the same region when the tribe associated with the site we had initially selected did not wish to participate. We chose a replacement site in the same EPA region that was at a similar point in the cleanup process as the site we originally selected.", "To examine whether EPA has reliable data regarding its consultation with tribes about NPL sites, we reviewed EPA-specific guidance that applies to tribal consultation on NPL sites. We evaluated data from EPA\u2019s TCOTS, reviewed related agency documentation, interviewed knowledgeable agency officials, and compared TCOTS data with other information EPA provided. Specifically, we compared data from TCOTS with information that officials from EPA headquarters and each EPA region provided to us regarding consultation for each of the nonfederal sites that had NAI. In order to determine the frequency with which EPA consults with tribes on cleanup actions of NPL sites, we examined and compared available data on consultation from the TCOTS system with other information provided by EPA in light of EPA\u2019s consultation guidance. We also interviewed officials from EPA and selected tribes from our six nongeneralizable case studies regarding consultation. While we selected case studies based on nonfederal NPL sites EPA has identified as being on tribal property or affecting tribes, our interviews with tribal and EPA officials covered a broader range of sites and included officials\u2019 views about any Superfund activities in which they had been involved. For each case study, we requested information documenting EPA\u2019s consultation with tribes as well as any materials that demonstrated whether and how agency decisions took into account unique tribal needs associated with the site. We also conducted semi-structured interviews with officials from the tribe or tribes involved at each of our case study sites, as well as EPA regional officials for the region in which the site is located. We visited the Jackpile-Paguate Uranium Mine site and conducted interviews with tribal officials in person. We evaluated EPA and tribal officials\u2019 experiences with consultation at our selected case study sites based on EPA\u2019s consultation policies.", "To describe what actions EPA has taken to address the unique needs of tribes when making decisions about cleanup actions at NPL sites, we interviewed EPA officials from the regional offices associated with our selected case study sites about consultation regarding our case study sites, as well as at other NPL sites that affect tribes in their region. We also conducted semi-structured interviews with tribal officials who had consulted or coordinated with EPA regarding each of the selected sites in our review. We asked the tribes to describe the effects of the site on any unique needs such as subsistence fishing and gathering, and whether EPA has explored or addressed these needs during the agency\u2019s cleanup actions.", "We conducted this performance audit from May 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Description of Case Study Sites", "paragraphs": ["To analyze examples of consultation and better understand the tribal perspective on consultation with the Environmental Protection Agency (EPA), we conducted six nongeneralizable case studies of final or proposed National Priorities List (NPL) sites with Native American Interest (NAI). We selected these case studies on the basis of geographic diversity and in order to represent sites that have been listed since the publication of EPA\u2019s tribal consultation policy in 2011. For each of these case studies, we collected documentation and interviewed the relevant tribal and EPA regional officials. Figure 2 provides an overview of these case studies."], "subsections": [{"section_title": "Case Study 1: Creese and Cook Tannery (Former)\u2014EPA Region 1", "paragraphs": [], "subsections": [{"section_title": "General Information on the Site", "paragraphs": ["According to EPA, the Creese and Cook Tannery site is located on the Crane River in Danvers, Massachusetts. According to an October 2018 proposed cleanup plan, several businesses operated at the site, including leather tanneries that operated from the late 1800s until the early 1980s and a former railroad station. Use of arsenic and chromium at tanneries resulted in these chemicals contaminating soil at the site. Other soil contaminants include dioxins, furans, and polycyclic aromatic hydrocarbons from railroad operations, combustion, and use of asphalt pavement. In the mid-1980s, the Massachusetts Department of Environmental Protection conducted an initial investigation to determine the nature and extent of contamination and evaluate the potential remedial options under state law. The department then reviewed and approved, pursuant to state law, a plan for excavation of the waste and its placement in a containment cell. EPA began investigations in 2010 and found arsenic in surface soils. As a result, in 2012 EPA removed 450 tons of contaminated soil from the site. EPA conducted six site assessments, including an archaeological assessment, and placed the site on the NPL in 2013."], "subsections": []}, {"section_title": "Site Status in Cleanup Process", "paragraphs": ["The site is in the early stages of the cleanup process. The feasibility study for the site was completed in September 2018, and EPA issued a cleanup proposal for comment in October 2018. According to information provided by EPA, the site has not yet reached any Superfund site-wide milestones because the remedial action has not begun."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["EPA officials stated that both the Mashpee Wampanoag Tribe and Wampanoag Tribe of Gay Head (Aquinnah) have expressed interest in the site due to possible adverse impacts on significant cultural resources in the contaminated area. EPA officials told us they notified both tribes of the site concurrently with notification to the Massachusetts Historical Commission in August 2014. In a consultation response form dated September 2014, the Mashpee Wampanoag Tribe indicated that the cleanup has the potential to have adverse effects on historical or cultural resources important to the tribe and requested that the tribe be notified prior to any archaeological activity on-site, and that they be provided any archaeological assessment documents."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Tribes for the Site", "paragraphs": ["The National Historic Preservation Act requires federal agencies to take into account the effects of their undertakings on historic properties, including properties to which Indian tribes attach religious and cultural significance. According to EPA Region 1 officials, they are consulting with both tribes under the act. EPA sent an archaeological survey to the tribes in June 2017. Officials from the Mashpee Wampanoag Tribe indicated that they agree with the survey\u2019s findings and required that consultation continue. EPA officials told us that the Wampanoag Tribe of Gay Head (Aquinnah) did not comment on the assessment. Both tribes have asked EPA to inform them of cleanup status for the site and share any reports."], "subsections": []}, {"section_title": "Perspectives of Tribal and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["EPA officials told us they were consulting with both tribes under section 106 of the National Historic Preservation Act. Officials also told us that EPA will negotiate a memorandum of understanding with both tribes once the final cleanup is selected, if it is determined that the selected remedy will have an adverse effect on any resources that are eligible for the National Register of Historic Places. With regard to coordination, both tribes noted that resource constraints prevent their further involvement with the site cleanup process. Officials from the Wampanoag of Gay Head (Aquinnah) tribe indicated that EPA has been available for discussions if the tribe raises an issue."], "subsections": []}]}, {"section_title": "Case Study 2: General Motors (Central Foundry Division)\u2014EPA Region 2", "paragraphs": [], "subsections": [{"section_title": "General Information on the Site", "paragraphs": ["The General Motors (Central Foundry Division) site is located on the St. Lawrence River in Massena, New York, adjacent to the Saint Regis Mohawk Tribe\u2019s reservation. According to an EPA document, General Motors operated an aluminum die casting plant on the site beginning in 1959 and used polychlorinated biphenyls (PCB) in the manufacturing process through 1980. EPA found contamination in soils and industrial lagoons on the General Motors site property, in groundwater, in the St. Lawrence and Raquette Rivers, in Turtle Cove, and in soils and sediment within the Saint Regis Mohawk reservation. After General Motors\u2019 bankruptcy, ownership of the site was transferred to a trust. This General Motors site was placed on the Superfund NPL in September 1983."], "subsections": []}, {"section_title": "Site Status in Cleanup Process", "paragraphs": ["According to information provided by EPA, the cleanup of the General Motors site is ongoing, with the last substantial cleanup of the Remedial Design and Remedial Action phase focused on a 10-million-gallon industrial lagoon. To date, contractors have dredged sediment in the St. Lawrence River, Turtle Cove, and Raquette River systems. EPA officials told us that, in addition to these dredging activities, they have completed other significant cleanup work, including installation of a groundwater collection system, installation of a multi-layer cap on the industrial landfill on-site, and demolition of the 1-million-square-foot factory building, EPA officials stated that consultation with the tribe led to excavating a portion of the industrial landfill in order to establish a 150-foot buffer between a landfill on the site and the tribe\u2019s reservation. EPA declared human exposure to contaminants at the site under control in 2008. EPA officials told us there is no requirement to consult with tribes to determine that site-wide milestones have been reached, and that the Saint Regis Mohawk Tribe was not consulted regarding the designation of human exposure under control. Tribal officials do not agree with this determination and stated that EPA has not asked the tribe for any input on this measure. EPA officials responded that while EPA did not consult with the tribe on the human exposure under control environmental indicator, they coordinated extensively with the tribe with respect to cleanup status, strategy, and site-wide milestones prior to making the designation."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["Tribal officials noted concern regarding contamination of tribal property and the effect on subsistence fishing in the St. Lawrence River and tribal member health. The Saint Regis Mohawk Tribe is concerned that PCB contamination from the site is airborne and affecting the health of tribal members. Further, the tribe is concerned that PCB accumulation in fish tissue results in fish that are unsafe to eat in the quantities typically consumed by tribal members who rely on subsistence fishing. See figure 3 below for a fish consumption advisory issued by the tribe because of PCB contamination concerns. Tribal officials also told us the tribe is concerned that PCBs may be transferred through breast milk, exposing future generations to the contamination. Tribal officials told us that tribal members also complain of a strong odor emanating from the site, and have advocated for the tribe to take a more active role in the site cleanup."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Tribe for the Site", "paragraphs": ["According to EPA, the agency sent an official consultation letter to the tribe in 2011, as directed by EPA\u2019s 2011 Policy on Consultation and Coordination with Indian Tribes. Consultations with the tribe focused on the tribal role in the cleanup process at the General Motors (Central Foundry Division) site, as well as the Alcoa Aggregation and Reynolds Metals sites, which also affect the tribe. EPA officials told us they have responded to tribal concerns, in part, by agreeing to a stricter treatment threshold for maximum allowable PCB contamination (10 parts per million instead of 500 parts per million), based on the tribe\u2019s objection to the originally-proposed plan. EPA officials also told us that they have responded to tribal concerns by adopting practices to mitigate air contamination during response activities, such as minimizing the size of excavation areas to reduce potential exposure and wetting contaminated soils before removal. EPA officials told us that coordination with the tribe began in the 1980s, and that the region coordinates extensively with the Saint Regis Mohawk Tribe. Additionally, these officials told us that, through annual meetings with tribes in the region and periodic visits to individual tribes, they coordinate with all tribes in the region, including the Saint Regis Mohawk Tribe, at least once a year. In technical comments provided in response to the draft of this report, EPA officials told us that the Saint Regis Mohawk Tribe has been treated as a support agency, equivalent to the state of New York, since 1995, and that the tribe has been asked to concur on all records of decision for the site as early as 1990, though they have not always concurred."], "subsections": []}, {"section_title": "Perspectives of Tribal and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["Tribal and EPA officials have differing perspectives on the effectiveness or utility of consultation. Saint Regis Mohawk Tribe officials noted that they have met repeatedly with EPA over the years but the consultation has felt perfunctory and like a \u201cbox checking exercise.\u201d Tribal officials stated that EPA did not consider their input as seriously as General Motors\u2019 input, and they believe that EPA is over-reliant on the initial research conducted by scientists from the company, and has not sufficiently considered updated and independent research. Saint Regis Mohawk tribal officials noted that EPA did not recognize tribal members\u2019 stronger reliance on the environment and exposure to contamination. The tribe also provided us with examples of less formal coordination with EPA, including a letter from EPA responding to tribal officials\u2019 requests for additional air monitoring at the site.", "EPA Region 2 officials stated that consultation with the Saint Regis Mohawk Tribe has become more extensive and sophisticated since the issuance of the 2011 tribal consultation policy. The region held a consultation with the tribe in 2011 to address coordination with the tribe about three Superfund sites. In a summary of that consultation, EPA noted that they will take steps to further the tribe\u2019s partnership role with respect to the three sites by providing as much time and opportunity as feasible for consultation, consistent with the mutual desire to move the cleanups forward expeditiously; continuing to share, for advance review, drafts of pertinent documents; consulting with the tribe prior to taking actions or implementing decisions that may affect the tribe\u2019s interests; inviting tribal officials to technical meetings where potentially responsible parties and other trustees are present; and informing the tribe of the results of meetings or substantive decisions with any potentially responsible party. Further, EPA officials noted that they cannot fulfill some requests made by the Saint Regis Mohawk Tribe; however, EPA officials stated that tribal activism led to a more stringent 10 parts-per- million treatment threshold for PCBs on the site, rather than the originally proposed 500 parts-per-million standard. EPA also provided documentation of less-formal coordination with the tribe, including correspondence regarding approaches to addressing the tribe\u2019s concerns of PCB air impacts during cleanup."], "subsections": []}]}, {"section_title": "Case Study 3: Petoskey Manufacturing Company (PMC) Groundwater\u2014EPA Region 5 General Information on the Site", "paragraphs": ["According to information provided by EPA, the PMC Groundwater site is located in a former industrial area on the shores of Lake Michigan\u2019s Little Traverse Bay in Petoskey, Michigan. PMC was established in 1946 as a small fabricating and painting business that later produced parts for the automotive industry until 2000. During this period PMC improperly disposed of solvents used in plant operations, contaminating groundwater and Petoskey\u2019s municipal well with volatile organic compounds and inorganic contaminants."], "subsections": [{"section_title": "Site Status in Cleanup Process", "paragraphs": ["According to EPA officials, the agency has gone through several rounds of cleanups at PMC Groundwater. EPA initially listed the PMC Groundwater site on the NPL in 1983. The City of Petoskey completed construction of a new municipal water source in 1996. EPA began cleanup in 1999 and declared the site as ready for anticipated use in 2007; the site was subsequently redeveloped with condominiums. In the site\u2019s 2014 5-year review, EPA noted that the remedies they had put in place, including excavation and off-site disposal of contaminated soil, installation and operation of a system to remove volatile organic compounds from subsurface soil, and a groundwater monitoring plan, were protective of human health and the environment in the short term, but that an effective long-term remedy would require additional steps. According to EPA officials, EPA is conducting a remedial investigation and feasibility study to determine the nature and extent of soil and groundwater contamination, which is expected to be completed in 2019. According to EPA officials, in 2016, EPA fieldwork indicated that trichloroethene concentrations exceeded acceptable levels under some condominiums\u2019 slab foundations, and in 2017, EPA conducted an emergency removal action to address the intrusion of the vapors."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["Little Traverse Bay Bands of Odawa Indians officials told us the tribe\u2019s interest in the site is due to potential exposure of tribal members and the effects on nearby surface waters. Tribal members rely on subsistence fishing in the Bear River in close proximity to the site. These officials also told us the tribe also conducts commercial fishing in Lake Michigan. Tribal members residing in Petoskey relied on the contaminated municipal well. Additionally, tribal officials told us that they want to understand the status of the site because they may be interested in future land acquisitions in the area and the U.S. Department of the Interior may not be willing to take contaminated land into trust for the tribe."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Tribe for the Site", "paragraphs": ["According to tribal officials, the tribe contacted EPA officials in 2017 when local news reported vapor intrusion issues into condominiums built on the site. Neither tribal officials nor EPA have found any indication of previous consultation or coordination for the site. Since the tribe\u2019s initial contact, EPA officials have shared relevant information and spoken with the tribe regarding the site. EPA officials told us that representatives from the tribe attended a public meeting about the site in June 2018 and that EPA is in close contact with an official from the tribe and will provide him with reports as appropriate."], "subsections": []}, {"section_title": "Perspectives of Tribal and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["According to EPA and tribal officials, EPA has not consulted with the tribe about the site. With respect to coordination, tribal officials told us that they were satisfied with EPA\u2019s response following the tribe\u2019s initial contact. EPA officials told us that the tribe is aware that consultation is available if the tribe desires it, and officials will coordinate with the tribe. EPA officials stated that the relationship with tribes in the region has evolved considerably since the 1990s and that coordination with tribes in the region has improved."], "subsections": []}]}, {"section_title": "Case Study 4: Jackpile-Paguate Uranium Mine\u2014 Region 6 General Information on the Site", "paragraphs": ["According to information provided by EPA, the Jackpile-Paguate Uranium mine is a 2,656-acre site located on the Pueblo of Laguna, New Mexico, about 40 miles west of Albuquerque. Anaconda Copper Mining and The Anaconda Company, predecessors to the Atlantic Richfield Company, moved more than 400 million tons of rock within the mine between 1952 and 1982 area in addition to 25 million tons of uranium ore off-site for additional processing. Mining operations contaminated surface water with hazardous substances. Additionally, according to a report by the U.S. Department of Health and Human Services, people living in villages near the site could be exposed to contamination through radioactive materials from the site being used in home construction, or through contact with mine contaminants suspended in air or present in dust blown or tracked from the mine. Reclamation of the mine began in 1990 and was closed out in June 1995; however, EPA was not involved in the initial reclamation prior to the site being listed on the NPL. Figure 5 is a photograph of Gavalon Mesa, one of the major mining areas at the site, and erosion typical to a previously reclaimed area."], "subsections": [{"section_title": "Site Status in Cleanup Process", "paragraphs": ["EPA listed the site on the NPL in 2013. EPA officials conducted four assessments at the site. The site is currently in its remedial investigation and feasibility study stage, and the site has not met any site-wide milestones."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["The site is located within the boundaries of the Pueblo of Laguna\u2019s reservation. Pueblo of Laguna officials stated that the site impacted the Pueblo in several ways, including radon contamination in homes due to use of contaminated mining debris in home construction, contamination of water sources, and dust from mining operations reaching homes and gardens."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Pueblo for the Site", "paragraphs": ["EPA officials stated that neither EPA nor the Pueblo of Laguna have initiated consultation for the Jackpile-Paguate Uranium Mine under the 2011 consultation policy. EPA consulted with the tribe for the site in 2009, which resulted in a memorandum of understanding (MOU) to facilitate coordination in performing removals and site assessments for the site. According to EPA officials, once the remedial investigation and feasibility study is complete, they will seek to consult with the tribe before making a decision about cleanup goals. EPA officials noted that the agency has consistently coordinated with the tribe, including regular briefings to the tribe and working closely with the tribe\u2019s Environmental and Natural Resources Department since EPA became involved at the site. In addition, the tribe is a support agency for the site\u2014which means EPA must provide the tribe substantial and meaningful involvement in the initiation, development, and selection of the remedial action at the site. The Pueblo has a Superfund support contract with EPA to facilitate its support agency work helping EPA perform oversight of the response work, and reviewing and commenting on EPA documents, according to EPA officials."], "subsections": []}, {"section_title": "Perspectives of Pueblo and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["Pueblo officials told us that they have been satisfied with the coordination for the site, and they prefer that coordination be face-to-face when possible. Officials told us that consultation requires a senior EPA official to present in person to the Pueblo Council, and all other interactions are considered coordination. According to the Pueblo, coordination with EPA has been effective, in part, because EPA acknowledges that site contamination extends beyond the mine lease boundaries.", "EPA officials told us that they are in frequent communication with the Pueblo. EPA officials noted that they hold regular briefings with tribal officials, as well as through routine electronic and phone communication. EPA officials noted that coordination with the tribe early in the Superfund cleanup process facilitates their work. For example, since the site is on tribal property, EPA worked with the Pueblo to gain site access to investigate the extent of the contamination."], "subsections": []}]}, {"section_title": "Case Study 5: Smurfit-Stone Mill Frenchtown\u2014Region 8", "paragraphs": [], "subsections": [{"section_title": "General Information on the Site", "paragraphs": ["According to information provided by EPA, the Smurfit Stone Mill- Frenchtown site is a 3,200-acre area located northwest of Missoula, Montana. The site was originally a pulp mill operated from 1957 through 2010. It includes more than 900 acres of unlined ponds that were used to store wastewater effluent from the mill, as well as sludge recovered from untreated wastewater. Contamination includes dioxins and furans produced through bleaching of pulp, as well as PCBs."], "subsections": []}, {"section_title": "Site Status in Cleanup Process", "paragraphs": ["EPA proposed to add the site to the NPL in 2013 and is evaluating public comments on the proposal before making a final decision. EPA negotiated an administrative settlement agreement and order on consent in 2015 with three potentially responsible parties to conduct a remedial investigation and feasibility study at the site. EPA officials told us that these parties have completed several site tasks contributing to the remedial investigation and feasibility study for the site."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["Both the Confederated Salish and Kootenai Tribes of the Flathead Reservation and the Kalispel Indian Community of the Kalispel Reservation (hereafter Kalispel or Kalispel Indian Community) have interest in the site. Officials from the Confederated Salish and Kootenai Tribes of the Flathead Reservation stated that their interest in the site is drawn from the Hellgate Treaty of 1855. According to these officials, the site is located on land where the tribes retain treaty hunting, fishing, and gathering rights in portions of the Clark Fork River that are potentially contaminated by the site. The two tribes are concerned about adverse health impacts on tribal members due to exposure through consumption of fish from near and downstream from the site and ensuring that tribal cultural and historical resources are protected during cleanup activities. Officials from the Kalispel Indian Community believe that contaminants from the site and throughout the watershed have reached its reservation in Northeast Washington. These contaminants may affect tribal members\u2019 nutrition and exercise of their culture. The tribe would like EPA to sample for contamination from Smurfit Stone Mill further down the Clark Fork River to the areas where the Kalispel have interest."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Tribes for the Site", "paragraphs": ["According to EPA officials, EPA has not consulted with the tribes but has coordinated with the natural resource trustees, which include the Confederated Salish and Kootenai Tribes, and told us they have also coordinated with the Kalispel Indian Community. EPA officials told us that coordination with the Kalispel Indian Community differs from coordination with the Confederated Salish and Kootenai Tribes because the Kalispel do not have treaty rights at the site. Region 8 notified the Confederated Salish and Kootenai Tribes about the site in 2014, but told us they did not send corresponding notification to the Kalispel Indian Community because they had not been identified as having tribal interest during the preliminary assessment and site investigation. EPA officials told us the reason they have not yet consulted with the tribes under the 2011 policy is that the site is still being characterized. According to officials from the Confederated Salish and Kootenai Tribes, they were first informed of the site by the Missoula County Water Quality district in 2012. Officials from this tribe told us that in December 2012, they sent a letter to the state Governor supporting NPL listing for the site, and also indicated their support of NPL listing to EPA when responding to a Federal Register notification indicating EPA\u2019s intent to add the site to the NPL. EPA officials told us that the agency wants to improve communication with the tribes by scheduling quarterly calls, site visits, and offering opportunities to review and comment on documents produced during the remedial investigation process."], "subsections": []}, {"section_title": "Perspectives of Tribal and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["Officials from the Confederated Salish and Kootenai Tribes have been dissatisfied with the extent of coordination with EPA. Specifically, they told us that EPA has not provided the tribes with sufficient information to engage in the cleanup process in a meaningful way. For example, officials stated EPA did not involve them when EPA entered into the administrative settlement agreement and order on consent to conduct the remedial investigation and feasibility study. Tribal officials told us that this experience is inconsistent with other Superfund sites where EPA has given the tribes greater opportunity for meaningful input.", "EPA officials told us they coordinated with the interested tribes through communications with the natural resources trustees in the region as a whole. EPA officials told us that they officially notified the tribes about the site after the preliminary assessment and site investigation, and that they typically do not issue a trustee notification letter or invite tribes to consult until after EPA completes a preliminary assessment. Officials told us that the Confederated Salish and Kootenai Tribes was notified at the same point as other natural resource trustees, and that this was sufficiently early to allow for meaningful input because it occurred prior to any major decisions.", "According to Kalispel tribal officials, coordination with EPA has been limited. Kalispel tribal officials told us that they have faced some difficulties coordinating with EPA about the site because they are located in EPA Region 10, while the site is managed by EPA Region 8. One tribal official we spoke with expressed that he felt EPA may be trying to exclude the Kalispel Indian Community from cleanup decisions at the site. For example, this official told us that the tribe had requested that EPA Region 8 extend their water sampling area further downstream on the Clark Fork River to determine the extent of releases from the site, but that EPA issued its sampling plan without taking the tribe\u2019s concerns into account. However, these officials told us that they are developing their relationship with EPA region 8. They also told us that coordination with EPA is valuable, and that they consider consultation as a tool to be employed when coordination is insufficient.", "Region 8 officials acknowledged the letter from the natural resource trustees requesting a stronger role in decision-making and highlighted improvements EPA has made to communication. Further, officials cited several actions to demonstrate their commitment to working with the tribes: evaluating the berms at the site, as the Confederated Salish and Kootenai Tribes requested; evaluating contamination\u2019s impact on tribal health through fish consumption patterns; and responding in writing to natural resource trustee letters. However, EPA considers the role of the Kalispel Indian Community in the cleanup to be different because that tribe does not have treaty rights within the site boundaries. EPA officials stated that they keep the tribe informed of meetings and invite them to site visits. Figure 6 shows the berms during a high-water event in 2011 and a portion of a berm indicated to be in poor condition by the work plan for the remedial investigation and feasibility study in 2017."], "subsections": []}]}, {"section_title": "Case Study 6: Midnite Mine\u2014Region 10", "paragraphs": [], "subsections": [{"section_title": "General Information on the Site", "paragraphs": ["The Midnite Mine site is a former open-pit uranium mine located in eastern Washington state on the Spokane Indian Reservation, near Wellpinit, Washington. According to information from EPA, Dawn Mining Company and Newmont USA Limited operated an open-pit uranium mine intermittently between 1955 and 1981. During mining operations, over 33 million tons of rock was blasted and excavated to access uranium ore. The waste was dumped in piles, used to fill mine pits, or spread on the surface. About 2.4 million tons of ore and near ore-grade rocks were also stockpiled at the mine in anticipation of later processing. The former mine site includes approximately 350 acres directly affected by mine operations, as well as affected groundwater, surface water, and sediment. Hazardous substances released at the site as a result of mining include numerous metals and radio-nuclides. Key contaminants of concern that EPA identified in the human health risk assessment for the site include uranium, radium, lead, and manganese."], "subsections": []}, {"section_title": "Site Status in Cleanup Process", "paragraphs": ["According to EPA, construction of the remedies is currently under way for the site. EPA listed the site on the NPL in 2000 and performed the remedial investigation and feasibility study from 1998 through 2006. In 2012, the potentially responsible parties and the United States agreed to a consent decree that required the potentially responsible parties to develop a design for and implement the remedial action at the site. No site-wide milestones have been met."], "subsections": []}, {"section_title": "Tribal Interest in the Site", "paragraphs": ["According to tribal officials, the Spokane Tribe of Indians is interested in the effect of contamination from the site on subsistence hunting and fishing, particularly elk and rainbow trout, respectively. Tribal officials stated that contamination from the mine flows into Blue Creek, which impacts the tribe\u2019s ability to conduct traditional practices such as sweat lodges. Tribal officials stated their ultimate goal would be for the site to be sufficiently clean for wildlife to safely live on the site, for fish to thrive in water adjacent to the site, and for the tribe to resume its traditional hunting and gathering activities in the area."], "subsections": []}, {"section_title": "EPA\u2019s Consultation and Coordination with the Tribe for the Site", "paragraphs": ["EPA consulted with the Spokane Tribe of Indians in June 2013 regarding a potential change to water treatment practices. Tribal officials stated the tribe is pleased that the new water treatment plant will operate year-round and will discharge treated water via a pipe into Lake Roosevelt, which is a larger body of water with less direct impact on the tribe\u2019s natural resources. In addition, tribal officials stated that EPA invited the tribe to consult at other times but the tribe did not think it was necessary."], "subsections": []}, {"section_title": "Perspectives of Tribal and EPA Officials on Consultation and Coordination for the Site", "paragraphs": ["Tribal officials told us that their coordination with EPA has resulted in more consideration of the natural resources and hopefully a fuller remediation of the site. For example, EPA applied the tribe\u2019s more stringent water quality standards to discharge from the site, which EPA supported by providing technical assistance to the tribe during the development and approval processes. Spokane tribal officials stated that during the Remedial Investigation and Feasibility Study phase, EPA\u2019s program manager offered to consult with the tribe at various points, which the tribe declined because the tribe felt they had sufficient interactions with EPA. The Superfund cleanup process has been a learning process for tribal officials but, overall, the tribe is pleased with the result and the open exchange of information with EPA.", "Speaking generally, EPA officials noted that the 2011 consultation policy has had a positive effect on the frequency of consultation with tribes in the region. The policy has led Superfund remedial project managers to more routinely invite tribes to consult."], "subsections": []}]}]}, {"section_title": "Appendix IV: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Confederated Salish and Kootenai Tribes of the Flathead Reservation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Pueblo of Laguna", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff acknowledgements", "paragraphs": ["In addition to the individual named above, Barbara Patterson (Assistant Director), Emily Norman (Analyst-in-Charge), Matthew Bond, John Delicath, Justin Fisher, Andrew Furillo, Jeanette Soares, Ruth Solomon, Sara Sullivan, and Kiki Theodoropoulos made significant contributions to this report."], "subsections": []}]}], "fastfact": ["EPA's National Priorities List sites are some of the most contaminated places in the country. They may pose unique challenges for Indian tribes. For example, toxic substances in 2 New York rivers pose a threat to one tribe\u2019s health and its subsistence lifestyle, which includes fishing.", "EPA has a policy to consult with tribes if its efforts to deal with these sites may affect them. In some cases, consultation is a legal mandate. However, we found the databases EPA uses to track sites and tribal consultations are sometimes inaccurate.", "We made 4 recommendations, including that EPA improve its data and clarify its guidance on consultations."]} {"id": "GAO-19-36", "url": "https://www.gao.gov/products/GAO-19-36", "title": "Federal Budget: Government-Wide Inventory of Accounts with Spending Authority and Permanent Appropriations, Fiscal Years 1995 to 2015", "published_date": "2018-11-29T00:00:00", "released_date": "2018-12-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress can provide budget authority to federal agencies and programs through the annual appropriations process. It can also provide budget authority through laws other than annual appropriations acts, or through permanent appropriations that permit the agency to obligate budget authority without further congressional action. Analysis of these authorities helps provide Congress with visibility into spending authority that is not considered during the annual appropriations process.", "GAO was asked to update its 1996 report that had provided an inventory of accounts with spending authority and permanent appropriations for fiscal years 1985 through 1994. This report discusses (1) federal budget accounts with spending authority and permanent appropriations, including the statutory references for the authorities, changes in the number of accounts and dollar amounts since fiscal year 1994, and other relevant information; and (2) whether the identified accounts are subject to or exempt from sequestration, or subject to any special sequestration rules or limitations. GAO also is providing an online dataset of the inventory of accounts with spending authority and permanent appropriations on GAO's public website at https://www.gao.gov/products/GAO-19-36 .", "GAO analyzed Office of Management and Budget (OMB) budget data to identify accounts with spending authority and permanent appropriations. GAO reviewed data through fiscal year 2015 because that was the most recent data available when GAO began its work. GAO reviewed agency information to confirm data and statutory authority. Agencies also reviewed and verified the final data for their accounts. For the sequestration designation, GAO analyzed OMB data for fiscal years 2013 and 2015--the most recently completed years for which sequestration occurred and OMB identified designations when GAO began its work.", "GAO provided a draft of this report and the online dataset to the Director of OMB for review and comment. OMB staff provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["A total of $3.2 trillion in spending authority and permanent appropriations was reported in fiscal year 2015; an increase of 88 percent from fiscal year 1994 adjusted for inflation in fiscal year 2015 dollars. Fiscal year 1994 was the last year included in GAO's prior work. For the purposes of this report, spending authority and permanent appropriations is budget authority provided to agencies through laws other than annual appropriations acts or available permanently by law without further legislation. These authorities include permanent appropriations, contract authority, borrowing authority, offsetting collections, and monetary credits or bartering. Permanent appropriations were the primary driver of the increase in spending authority and permanent appropriations. Offsetting collections authority--which includes certain fees, fines, and penalties--also grew. Agencies reported no use of monetary credits or bartering.", "a", "Permanent appropriations fund federal entitlement programs, such as Medicare, administered by the Department of Health and Human Services (HHS), and the Social Security Administration's (SSA) Old-Age, Survivors, and Disability Insurance program. These programs are a significant proportion of reported budget authority in GAO's inventory of accounts in fiscal year 2015. These programs continue to show spending increases largely as a result of the aging population and rising health care costs and are projected to continue to increase in the future. In fiscal year 2015, 7 of the 10 accounts reporting the largest dollar amounts of spending authority and permanent appropriations funded entitlement programs.", "Three agencies comprised three quarters of the total government-wide spending authority and permanent appropriations in fiscal year 2015.", "HHS reported the largest amount of spending authority and permanent appropriations with $979 billion, or about 30 percent--mainly from Medicare. HHS overtook SSA and reported the highest dollar amounts of permanent appropriations for the first time in fiscal year 2006.", "SSA reported $920 billion, or about 28 percent of total spending authority and permanent appropriations--mainly from its Old-Age and Survivor's Insurance program and the Disability Insurance program.", "The Department of the Treasury reported the third largest amount--$542 billion, or about 17 percent--the majority of which is for interest on debt held by the public and intragovernmental debt. This interest dropped as a percentage of permanent appropriations since fiscal year 1994, due to lower interest rates that allow the government to borrow money more cheaply. However, interest rates are predicted to rise in the long term, which would increase the net interest costs on the debt.", "The second largest reported budget authority type was offsetting collections--a total of $421 billion in fiscal year 2015, more than double the fiscal year 1994 amount, adjusted for inflation. The Postal Service reported the largest use of offsetting collections authority in fiscal year 2015 in its Postal Service Fund, which includes revenue from mail services.", "Sequestration--cancellation of budgetary resources under a presidential order--is a process established in statute which helps to enforce spending limits and thereby control the deficit. In fiscal year 2015, 57 percent of spending authority and permanent appropriations authorities were exempt from sequestration, up from 37 percent in fiscal year 1994. This means that fewer of these authorities were subject to this budgetary enforcement mechanism in fiscal year 2015."]}], "report": [{"section_title": "Letter", "paragraphs": ["Congress exercises its constitutional power, in part, by appropriating funds and prescribing the conditions governing their use. Budget authority refers to the authority provided by federal law to enter into financial obligations that result in immediate or future outlays involving government funds. Although Congress can provide budget authority to federal agencies and programs through the annual appropriations process, it also can provide budget authority to agencies and programs through laws other than annual appropriations acts, or through permanent appropriations that permit the agency to obligate budget authority without further congressional action. For the purpose of this report, we refer to the types of budget authority in these cases as spending authority and permanent appropriations. These include permanent appropriations, contract authority, borrowing authority, offsetting collections, and monetary credits or bartering. These types of budget authority provide some flexibility for agencies because they do not have to await congressional action to incur obligations and make payments. Although Congress does not review these authorities annually as part of the annual appropriations process, they are still subject to congressional oversight at any point in time. Also, Congress can place limitations on the authorities in any given year.", "You asked us to update our 1996 report on spending authority and permanent appropriations to help provide Congress with visibility into spending authorities that are not considered in the annual appropriations process. For the 1996 report, we examined federal budget accounts\u2014 that is, accounts used to record resources for obligation and outlay. This report discusses (1) federal budget accounts with spending authority and permanent appropriations, including the statutory references for the authorities, changes in the number of accounts and dollar amounts since fiscal year 1994, and other relevant information; and (2) whether the identified accounts are subject to or exempt from sequestration, or subject to any special sequestration rules or limitations. In addition to this report, we are providing an online dataset of our inventory (list) of accounts with spending authority and permanent appropriations, which can be accessed on our public website at https://www.gao.gov/products/GAO-19-36.", "For our first objective, we analyzed budget data from fiscal years 1995 through 2015. We selected these years to cover the period from our prior work, which had analyzed budget data through fiscal year 1994, through the most recent year for which data were available when we began our work, which was fiscal year 2015. To identify and analyze budget accounts that used spending authority and permanent appropriations during this time frame, we used the Office of Management and Budget\u2019s (OMB) MAX A-11 Data Entry system (MAX). We used the Program and Financing Schedule\u2019s Budgetary Resources line number descriptions in OMB Circular A-11\u2014OMB\u2019s guidance to agencies for preparing and submitting budget information\u2014to select line numbers in MAX that align with our definition of spending authority and permanent appropriations. We worked with OMB staff to ensure that the line numbers used were correct. We used our 1996 report as our initial source of data on monetary credits or bartering. Using these line numbers, we pulled the data by account and asked agencies to confirm the data and to confirm or provide statutory references for each account. We reviewed the information and, as needed, discussed the accounts with the agencies. In some cases, we compared the fiscal year 2015 data to the fiscal year 1994 data from our prior report in discussing changes over time.", "To determine whether the identified accounts are subject to or exempt from sequestration, or subject to any special rules or limitations, we used datasets provided by OMB to identify the sequestration designation for accounts in our final inventory. The data were from fiscal years 2013 and 2015, since 2013 was the most recent year for which sequestration occurred for discretionary spending and fiscal year 2015 matches the end year of our inventory data. We compared the designations with those in our 1996 report for fiscal year 1994. We then provided those data to agencies for their review. Based on reviews of the databases and discussions with OMB staff, we determined the MAX and OMB sequestration data were sufficiently reliable for the purposes of our report. For more information on our objectives, scope, and methodology, see appendix I. See appendix II for a detailed explanation of the types of budget authority included in our definition, and those authority types that do not meet our definition and therefore are excluded.", "We conducted this performance audit from March 2016 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Spending Authority and Permanent Appropriations", "paragraphs": ["\u201cBackdoor Authority\u201d or \u201cBackdoor Spending\u201d These are similar but not identical terms for spending authority and permanent appropriations. Backdoor authority and backdoor spending are colloquial phrases for budget authority that Congress has provided in laws other than appropriations acts. This includes contract authority and borrowing authority, as well as entitlement authority. Entitlement authority is a type of permanent appropriation. It refers to the authority to make payments for which budget authority is not provided in advance by appropriation acts to any person or government if, under the provisions of law containing such authority, the U.S. government is legally required to make such payments. The terms backdoor authority and backdoor spending refer to the process by which federal money \u201cgoes out the door.\u201d Annual appropriations are said to go out the \u201cfront door\u201d as the annual appropriations cycle provides a regularly- scheduled forum where Congress may exercise oversight over spending. Other appropriations are said to go out the \u201cback door\u201d as they do not go through the annual appropriations process.", "For the purposes of this report, our definition of spending authority and permanent appropriations includes the five types of budget authority described in figure 1. We are defining spending authority as budget authority made available through laws other than annual appropriation acts. Also, we are defining a permanent appropriation as budget authority to incur obligations and make payments that is available permanently by law without further legislative action. A permanent appropriation may have been made available through an annual appropriations act or through laws other than the annual appropriations acts. We are including both in our inventory based on the intent of the request for developing our inventory.", "For some accounts, Congress provides spending authority and permanent appropriations to allow agencies the flexibility to spend fee revenue without further legislative action. Specifically, Congress has authorized some agencies to establish working capital funds\u2014a type of intragovernmental revolving fund\u2014in which an agency may deposit fees from federal, and sometimes nonfederal, customers for performing administrative services, or the sale of government products, within their statutory authority. For example, in addition to appropriations and reimbursements from federal agencies, the Department of Energy (DOE) has a working capital fund with the authority to collect funds. Those collections are then made available for DOE expenses necessary for the maintenance and operation of common administrative services for economy and efficiency, such as office space and communication services. This and other working capital funds operate as a self- supporting entity conducting business-like activities for the agency.", "Spending authority and permanent appropriations may be subject to further restrictions from Congress. For example, in one or more annual appropriations acts, Congress could restrict the use of some or all of the budget authority, thereby using the annual appropriations process to control the use of spending authority and permanent appropriations. For example, the U.S. Department of Agriculture (USDA) has a permanent appropriation which states that 10 percent of all receipts from the use and occupancy of national forest system lands during each fiscal year are available for maintaining roads and trails within the national forests. In past annual appropriations acts, Congress has limited that permanent appropriation by transferring all funds made available for that fiscal year to the General Fund of the Treasury. Those funds are then unavailable for obligation unless appropriated once again."], "subsections": []}, {"section_title": "Trends in Federal Spending", "paragraphs": ["In fiscal year 2017, the federal government\u2019s total outlays were almost $4 trillion of which about $2.5 trillion was in outlays for mandatory spending. Mandatory spending, also known as direct spending, refers to budget authority provided in laws other than appropriations acts and the outlays that result from such budget authority. Medicare is an example of a program that is funded by mandatory spending. Discretionary spending, on the other hand, refers to budget authority that is provided in and controlled by appropriations acts. During the annual appropriations process, Congress may choose to appropriate the amount in the President\u2019s budget request, increase or decrease those levels, eliminate proposals, or add other programs. For example, most defense and education programs are funded with discretionary spending. As shown in figure 2, mandatory spending as a share of all federal spending grew from about 51 percent in fiscal year 1997 to about 63 percent in fiscal year 2017. Another form of federal spending is net interest, which is primarily interest paid on debt held by the public.", "While the majority of the accounts in our inventory have mandatory budget authority, not all mandatory spending fits our definition of spending authority and permanent appropriations. For example, while annually appropriated entitlement programs\u2014such as the Supplemental Nutrition Assistance Program\u2014are provided for in annual appropriations acts, they are treated as mandatory spending because the authorizing legislation entitles beneficiaries to receive payment or otherwise obligates the government to make a payment. As annually appropriated entitlements are subject to the annual appropriations process, they did not meet our definition of spending authority and permanent appropriations. Conversely, not all spending authority and permanent appropriations are mandatory spending. For example, our inventory includes permanent appropriations made available in annual appropriations acts.", "The increase in mandatory spending, and corresponding increase in spending authority and permanent appropriations, has long-term implications for the nation\u2019s fiscal outlook overall, including the growing federal debt. The growth in mandatory spending drove federal spending that outpaced revenue growth in fiscal year 2017 and, absent policy change, is projected to continue to do so in the future given the aging population and rising health care costs and their relation to large federal budget accounts funding programs, such as Social Security and Medicare."], "subsections": []}, {"section_title": "Spending Limits and Sequestration", "paragraphs": ["Sequestration\u2014cancellation of budgetary resources under a presidential order\u2014was first established in the Balanced Budget and Emergency Deficit Control Act of 1985 (BBEDCA) to control the deficit. BBEDCA, as amended, requires OMB to calculate the reduction to budgetary resources required each year to reduce the deficit by at least an additional $1.2 trillion, over a 10 year period. A percentage reduction, or sequestration rate (calculated by OMB), is applied to nonexempt (subject to sequestration) accounts to achieve the total reduction amount required for the fiscal year. The sequestration rate varies from year to year based on a formula outlined in BBEDCA. The annual reduction amount OMB calculates is split evenly between the defense and nondefense functions. The calculated amount is then allocated between discretionary appropriations and mandatory spending in each function in proportion to the share of total spending within the function.", "Prior to BBEDCA, the Congressional Budget and Impoundment Control Act of 1974 (CBA) attempted to limit the creation of new contract authority and authority to borrow. In 1990, Congress further sought to limit spending authority by establishing controls over discretionary spending and a system of controls over legislative changes in mandatory spending. The Budget Enforcement Act of 1990 (BEA) amended both CBA and BBEDCA. In addition to establishing dollar limits for total annual appropriations, BEA contained a \u201cpay-as-you-go\u201d provision requiring that any legislation that reduced taxes or expanded mandatory spending programs be offset by mandatory spending cuts or revenue increases. This provision was to be enforced through sequestration of nonexempt mandatory spending programs at the end of the congressional session. Both the discretionary limit and \u201cpay-as-you-go\u201d rules were extended through fiscal year 2002 and were not subsequently reauthorized. In 2010, the Statutory Pay-As-You-Go Act of 2010 reinstated a version of the \u201cpay-as-you-go\u201d requirement. The act provided that if the net effect of mandatory spending and revenue legislation enacted in a year increases the deficit, then a sequestration of nonexempt mandatory spending will occur to eliminate the increase.", "The Budget Control Act of 2011 (BCA) further amended BBEDCA and revived sequestration as a budgetary enforcement mechanism to reduce the deficit. BCA established the Joint Select Committee on Deficit Reduction (Joint Committee). The Joint Committee was tasked with proposing legislation to reduce the deficit. Such legislation was not proposed or enacted, which triggered the sequestration process provided in section 251A of BBEDCA, known as the Joint Committee sequestration. BBEDCA currently requires a sequestration of mandatory spending in each year through fiscal year 2027 and a reduction of discretionary spending limits in fiscal years 2020 and 2021. A sequestration of discretionary spending could still occur in any year through fiscal year 2021 if Congress and the President enact appropriations that exceed discretionary spending limits established by BBEDCA. As of September 2018, the President has ordered the sequestration of mandatory spending in each year since fiscal year 2013, and the sequestration of discretionary appropriations in fiscal year 2013."], "subsections": []}]}, {"section_title": "Reported Use of Spending Authority and Permanent Appropriations Has Increased Government-Wide, and Agencies Using the Authorities Have Changed Reported Budget Authority Amount Was Higher for Three of the Five Authority Types in Fiscal Year 2015, as Compared to Fiscal Year 1994", "paragraphs": ["The amount of spending authority and permanent appropriations reported government-wide grew 88 percent, from fiscal years 1994 through 2015 adjusted for inflation. Specifically, in fiscal year 2015, approximately $3.2 trillion was reported, compared with approximately $1.2 trillion in fiscal year 1994 ($1.7 trillion in fiscal year 2015 dollars, see figure 3).", "Although the total reported amount of spending authority and permanent appropriations increased over time, the changes for each authority type varied when comparing fiscal years 1994 to 2015 (see figure 4). Reported budget authority grew for three of the five authority types\u2014permanent appropriations, offsetting collections, and contract authority\u2014in fiscal year 2015, as compared to fiscal year 1994. For example, about $2.6 trillion permanent appropriations were reported in fiscal year 2015, up from approximately $982.5 billion in fiscal year 1994 ($1.5 trillion adjusted for inflation to 2015 dollars). Generally, the reported amount of permanent appropriations increased gradually, with the biggest growth occurring in fiscal year 2008. Borrowing authority decreased, and agencies reported no use of monetary credits or bartering at any time during fiscal years 1995 through 2015.", "Table 1 provides comparisons between reported budget authority in fiscal years 1994 and 2015 for all authority types.", "The amount of budget authority is not necessarily indicative of the prevalence of spending authority and permanent appropriations since the amount of budget authority in different accounts can vary by billions of dollars. From fiscal years 1995 through 2015, agencies had 1,089 authorities in 902 budget accounts. We previously reported on the use of 670 authorities in 540 budget accounts in fiscal year 1994. In comparing fiscal years 1994 to 2015, we found that the number of accounts with permanent appropriations and offsetting collections increased while contract and borrowing authority decreased. Figure 5 summarizes the number of accounts with each type of authority over the years.", "The overall growth in spending authority and permanent appropriations is driven primarily by permanent appropriations growth. Entitlement programs, such as Medicare and the Social Security Administration\u2019s (SSA) Old-Age and Survivors Insurance and Disability Insurance programs, are funded through permanent appropriations, and are a significant proportion of budget authority in our inventory, as discussed below. Since many spending authorities and permanent appropriations provide agencies budget authority based on program use and eligibility, demographic and program demand changes can affect the amount of budget authority. For example, since the Old-Age and Survivors Insurance and Disability Insurance programs administer benefits based on eligibility requirements and statutory formulas, the amount of budget authority used for the programs increases as more people become entitled. Higher income levels result in higher average benefit amounts and cost of living adjustments increase monthly benefit amounts for current beneficiaries.", "Other factors affected the growth in the use of spending authority and permanent appropriations to a lesser extent.", "Enactment of new authorities. From 1995 to 2015, 329 new authorities for spending authority and permanent appropriations were enacted. For example, the Housing and Economic Recovery Act of 2008 granted the Department of the Treasury (Treasury) the authority to purchase any obligations and other securities issued by government-sponsored enterprises, such as Fannie Mae. According to the act, Treasury was authorized to use this authority until December 31, 2009, with certain actions permitted after that date. This authority resulted in $200 billion in permanent appropriations reported in both fiscal years 2008 and 2009, and another $46 billion in fiscal year 2013.", "Amendment of existing authorities. Some existing authorities were amended to allow for increased use\u2014permanently or temporarily. Some authorities have amounts specified by statute\u2014such as maximum amounts the agency can use or set amounts that the agency can charge users. For these authorities, increases in the use of an authority may be attributed to enacted increases in the specified amounts. For example, the National Flood Insurance Fund reported an increase of $878 million in offsetting collections in 2012 after legislation increased the annual limitation on premium increases for certain insurance premiums.", "Increased use of spending authority and permanent appropriations, at agency\u2019s discretion. Other authorities did not experience statutory changes, but agencies increased the use of the authorities at their discretion to meet program needs. When no maximum amount is specified as a limit on the agency\u2019s authority, variation in use is due to agency discretion in response to circumstances. For example, the Federal Deposit Insurance Corporation\u2019s (FDIC) Deposit Insurance Fund account began reporting increased offsetting collections for amounts assessed against depository institutions insured by FDIC, in fiscal years 2009 and 2010. The reported collections increased to highs of $26.5 billion in fiscal year 2009 and $57.3 billion in fiscal year 2010, after reported budget authority levels of $2.2 billion in fiscal year 2006. According to an agency official and as stated in the FDIC\u2019s 2009 Annual Report, this increase primarily resulted from its adoption of the Deposit Insurance Fund Restoration Plan and the prepayment of future risk-based deposit insurance assessments by depository institutions to provide FDIC with the necessary liquidity to resolve failed depository institutions during the financial crisis. A FDIC official stated that the Deposit Insurance Fund Restoration Plan addressed the need to return the Deposit Insurance Fund to its mandated minimum reserve ratio of 1.15 percent of estimated insured deposits.", "Events other than legislative or agency actions. Programs may experience increased fee revenue, penalty payment, or use of the authority for circumstances that do not involve legislative or agency action. For example, the United States Coast Guard\u2019s Maritime Oil Spill Programs account reported $743 million in permanent appropriations in fiscal year 2010 after receiving transfers from the Oil Spill Liability Trust Fund to assist with cleanup after the 2010 Deepwater Horizon oil spill. Amounts from the Oil Spill Liability Trust Fund are available to fund federal response activities in the event of an oil spill or imminent threat of an oil spill on navigable waters of the United States. In the case of the 2010 Deepwater Horizon oil spill, the Coast Guard was authorized to obtain one or more advances from the Oil Spill Liability Trust Fund, as needed to address costs associated with federal activities in response to the oil spill, with up to a maximum of $100 million for each advance.", "As a result of the growth of spending authority and permanent appropriations from fiscal years 1994 through 2015, more budget authority is available to agencies that does not require them to await congressional action to incur obligations. For example, USDA has the authority to use its portion of the fee for Agricultural Quarantine Inspection without congressional action."], "subsections": [{"section_title": "Agencies Reporting the Largest Amount of Spending Authority and Permanent Appropriations in Fiscal Year 2015 Have Changed, as Compared to Fiscal Year 1994", "paragraphs": ["The majority of spending authority and permanent appropriations reported in fiscal year 2015 was concentrated in large agencies and budget accounts that fund entitlement programs such as Social Security and Medicare. The Department of Health and Human Services (HHS) reported the highest use of spending authority and permanent appropriations. HHS also had the most accounts in the list of top 10 accounts in fiscal year 2015. This is a change since fiscal year 1994 when SSA reported using the most spending authority and permanent appropriations. Together, in fiscal year 2015, the top three agencies\u2014 HHS, SSA, and Treasury\u2014comprised three quarters of the total government-wide spending authority and permanent appropriations (see figure 6).", "HHS reported the largest amount of spending authority and permanent appropriations in fiscal year 2015 with about $979 billion, or about 30 percent. (See appendix III for a list of budget authority use by agency for fiscal year 2015.) HHS\u2019s largest three accounts in our inventory all fund Medicare. SSA, which oversees the Old-Age and Survivors Insurance program, the Disability Insurance and Supplemental Security Income programs, as well as the Special Benefits for Certain World War II Veterans program, reported about $920 billion or about 28 percent of total spending authority and permanent appropriations. Programs administered by HHS and SSA continue to show spending increases largely as a result of the aging of the population and increasing health care costs. Treasury reported the third highest amount of spending authority and permanent appropriations, about $542 billion, the majority of which is for interest on debt held by the public and intragovernmental debt.", "These agency usage patterns are echoed when analyzing spending authority and permanent appropriations by account. The 10 largest accounts represented about 72 percent of spending authority and permanent appropriations in fiscal year 2015, as shown in table 2. All of these are permanent appropriations, except for the Postal Service\u2019s Postal Service Fund account which is an offsetting collection that includes revenue for mail services. Seven of the 10 accounts fund entitlement programs.", "Similar to the fiscal year 2015 data for all spending authority and permanent appropriations, HHS, SSA, and Treasury reported the greatest use of permanent appropriations in fiscal years 2015, 2005, and 1994 (see figure 7). HHS reported the highest dollar amount of permanent appropriations for the first time in fiscal year 2006, likely due to rising health care costs.", "Permanent Appropriations Budget authority to incur obligations and make payments that is available permanently by law without further legislative action.", "Contract authority is concentrated, with only five agencies having this authority from fiscal years 1995 through 2015. Four of these agencies used the authority, while one agency\u2014the Judicial Branch; Courts of Appeals, District Courts, and Other Judicial Services\u2014has the authority, but did not use it. The Department of Defense (DOD) and the Department of Transportation (DOT) were the two agencies that reported the largest percentages of dollar amounts of contract authority in fiscal years 1994 and 2015, as well as 2005 (see figure 8). This figure shows three of the four agencies that reported contract authority in our timeframe. One other agency, the Department of Housing and Urban Development, used contract authority in fiscal year 2007.", "Contract Authority Authority to incur obligations in advance of appropriations, including collections sufficient to liquidate the obligation or receipts. It is unfunded, and a subsequent appropriation or offsetting collection is needed to liquidate the obligations.", "From fiscal years 1994 through 2015, 15 agencies reported the use of borrowing authority of varying amounts and an additional two agencies had unused borrowing authority. Since 1995, seven accounts reported receiving new borrowing authority across five different agencies including the Department of Commerce and DOT. USDA reported the largest dollar amount of borrowing authority in most years, including fiscal years 1994, 2005, and 2015, which represented 73 percent, 82 percent, and 60 percent of each fiscal years\u2019 total borrowing authority, respectively (see figure 9).", "USDA\u2019s large share of the total borrowing authority, and most of the overall variability in our borrowing authority data throughout our timeframe, is for the Commodity Credit Corporation Fund. The fund reported about $7.8 billion or 60 percent of government-wide borrowing authority in fiscal year 2015. The Commodity Credit Corporation has authority to borrow funds to carry out its programs, which include providing income and price support to agricultural producers, payments for conservation practices on farms, assistance in the development of international agricultural markets, and international feeding programs. Some of the primary drivers of its borrowing authority variability are legislation, changes in commodity yields and price, weather disasters, and market conditions, according to a USDA official.", "The Railroad Retirement Board (RRB)\u2014which administers a retirement benefit program similar to Social Security for railroad workers and their families\u2014began reporting borrowing authority in fiscal year 1996 and reported the second largest borrowing authority amount in fiscal year 2015. The Railroad Social Security Equivalent Benefit account reported between about $3 billion and $4 billion per year through 2015. The Tennessee Valley Authority reported borrowing authority periodically during our time frame, reporting a high of $3.1 billion in fiscal year 2003. For more information on the top five accounts for the use of borrowing authority, see appendix IV. The text box below provides additional information on the Tennessee Valley Authority account and a Department of Commerce account.", "Examples of Different Accounts with and Uses of Borrowing Authority Tennessee Valley Authority, Tennessee Valley Authority Fund. The Tennessee Valley Authority is a corporate agency that provides electricity for business customers and local power companies in parts of seven southeastern states. The agency is authorized to issue and sell up to $30 billion of bonds, notes, and other debt instruments at any one time to assist in financing its power program. The proceeds from these bonds are authorized for the construction, acquisition, enlargement, improvement, or replacement of electrical power facilities and other purposes authorized by the Tennessee Valley Authority Act of 1933. Department of Commerce, Public Safety Trust Fund. The Middle Class Tax Relief and Job Creation Act of 2012 (the Act) created the First Responder Network Authority (FirstNet), an independent authority within the Department of Commerce\u2019s National Telecommunications and Information Administration (NTIA) and required it to establish a nationwide, interoperable public-safety broadband network. In order to provide initial funding for FirstNet, NTIA was authorized to borrow up to $2 billion from the Treasury to implement the program. The Act required NTIA to reimburse Treasury, without interest, from funds deposited into the Public Safety Trust Fund.47 U.S.C. \u00a7 1427.", "A couple of accounts had temporary spikes in the use of borrowing authority from fiscal years 1994 through 2015. Specifically, the Department of Labor\u2019s Unemployment Trust Fund had several years of increased use of borrowing authority, with a high of $26.2 billion in fiscal year 2010. As we have reported, the recession that occurred during 2007 through 2009 sharply increased the number and duration of claims for unemployment benefits. The National Credit Union Administration\u2019s Central Liquidity Facility, which was created to improve the general financial stability of credit unions by serving as a liquidity lender to credit unions experiencing unusual or unexpected liquidity shortfalls, reported borrowing authority for the first time in our inventory in the amount of $19.4 billion in fiscal year 2009. The Central Liquidity Facility is authorized by statute to borrow, from any source, an amount not to exceed 12 times its subscribed capital stock and surplus."], "subsections": [{"section_title": "Offsetting Collections Authority is Widespread among Agencies", "paragraphs": ["The majority of agencies had offsetting collections authority. Offsetting collections authority generally authorizes agencies to collect fines, charge fees, or charge for permits among other uses. These functions have a number of applications across the government. Since fiscal year 1995, 129 accounts received new offsetting collections authority. We did not rank the top agencies that used offsetting collections because we, and the agencies when asked, were unable to reliably subtract collections from federal sources or refunds of prior paid obligations. The text box below provides examples of accounts with offsetting collections authority.", "Examples of Different Accounts with and Uses of Offsetting Collections Department of Transportation (DOT), Motor Carrier Safety Operations and Programs. The Unified Carrier Registration Act of 2005 tasked DOT with establishing and implementing the Unified Carrier Registration System to serve as a repository of information on, and identification of, all foreign and domestic motor carriers, motor private carriers, brokers, freight forwarders, and others required to register with DOT. DOT is authorized to collect fees associated with the system, including registration and filing fees, and may use collected funds for these activities without further appropriation. Environmental Protection Agency, Damage Assessment and Restoration Revolving Fund. Under the Oil Pollution Act, responsible parties for a vessel or a facility from which oil is discharged are liable for, among other things, damages for injury to, destruction of, loss of, or loss of use of, natural resources. The Oil Pollution Act authorizes certain departments and agencies, such as the Department of the Interior, designated by executive order as a \u201ctrustee for natural resource damages\u201d to recover such damages, and retain and use the funds without further appropriation to reimburse or pay costs incurred by the trustee with respect to the damaged natural resources. For the limited purpose of the Deepwater Horizon Oil Spill, the Environmental Protection Agency was also designated a trustee. The premiums are placed into a revolving fund, which is available without further appropriation, to pay claims. Department of Defense (DOD), Working Capital Fund, Defense Wide. DOD\u2019s working capital fund is used to charge for goods and services provided to the military services and other customers. In addition to any funds appropriated to the working capital fund, the working capital fund may also collect funds from providing services or procuring supplies, or through the sale and disposal of DOD property. Funds are available without further appropriation. 33 U.S.C. \u00a7 2706(f); see also, 33 U.S.C. \u00a7 2702; 40 C.F.R. \u00a7 300.600."], "subsections": []}, {"section_title": "Six Agencies with Authority for Monetary Credits or Bartering Did Not Report Using It", "paragraphs": ["Six agencies have the authority to use monetary credits or bartering, but none of these agencies reported using this authority from fiscal years 1995 through 2015. These are the same agencies that we reported in 1996\u2014the Departments of the Interior and State, DOE, DOD, USDA, and the Tennessee Valley Authority. OMB staff said that monetary credits are used infrequently government-wide, and that agencies are not required to record this type of authority separately in the budget. When we asked, no other agencies reported having monetary credits or bartering authority. The text box below provides examples of accounts that are authorized to use monetary credits or bartering.", "Monetary Credits or Bartering Monetary credits or bartering are used by agencies having the authority to make purchases by giving the seller credits or something other than money in dollar amounts reflecting the purchase price. The holder of credits may apply them later to reduce an amount owed to the government in other transactions.", "Examples of Different Accounts with Monetary Credits or Bartering Authority Department of State, Embassy Security, Construction, and Maintenance. The Department of State is authorized to exchange property or property interest for the use of diplomatic and consular establishments in foreign countries or in the United States. The Department of State is authorized to receive payment in any form, or in kind, to cover damage to or destruction of diplomatic or consular property abroad. Department of Defense (DOD), Operations and Maintenance, Army National Guard. DOD is authorized to acquire logistic support, supplies and services for the armed forces deployed outside the United States from specified governments and international organizations. Supplies or services of equal value may be exchanged to facilitate these transactions. 10 U.S.C. \u00a7 2344; see also 10 U.S.C. \u00a7 2341."], "subsections": []}]}]}, {"section_title": "The Percentage of Spending Authority and Permanent Appropriations Authorities Subject to Sequestration in Fiscal Year 2015 Decreased Compared to Fiscal Year 1994", "paragraphs": ["The majority of spending authority and permanent appropriations authorities were exempt from sequestration in fiscal year 2015. This is a reversal from fiscal year 1994, when the majority of spending authority and permanent appropriations authorities were subject to sequestration. Congress first established exemptions to sequestration in the 1980s when BBEDCA was enacted and has amended them since then.", "To determine the requisite percentage reduction to nonexempt budgetary resources pursuant to BBEDCA, OMB must define the sequestrable base, which is the total of nonexempt budgetary resources within each function. BBEDCA directs OMB to calculate a sequestration consistent with special rules and exemptions described by law. OMB provides guidance to agencies for implementing sequestration, and is also required under BBEDCA to report to Congress its calculations and other estimates at various stages. We worked with OMB to classify by OMB\u2019s sequestration designation the agencies\u2019 spending authority and permanent appropriations authorities that were in our inventory, as shown in table 3. Each authority in our inventory is assigned a designation, which defines how the authority is treated when sequestration is in effect.", "As shown in table 4, in fiscal year 2015, 57 percent of spending authority and permanent appropriations authorities were exempt from sequestration, and therefore were not subject to this budgetary enforcement mechanism for helping to control the deficit. This is a 20 percentage point increase since fiscal year 1994. Correspondingly, the proportion of spending authority and permanent appropriations authorities that were subject to sequestration decreased 35 percentage points from fiscal year 1994 to fiscal year 2015. The proportion of authorities that was partially subject to sequestration increased from 4 percent in fiscal year 1994 to 11 percent in 2015. Designations were not available for 11 percent of the authorities in our inventory, due to methodological differences with OMB data explained in appendix I. None of the authorities in our inventory were classified as optionally sequestrable and two were classified as sequestrable/906.", "The sequestration procedures established under BBEDCA were designed to serve as a budget enforcement mechanism and thereby reduce the federal budget deficit. Under current law, sequestration applies to mandatory spending through fiscal year 2027. Our finding that the majority of the agencies\u2019 spending authority and permanent appropriations authorities in our inventory are exempt from sequestration is consistent with our prior work on mandatory sequestration. In 2016, we reported that the majority of mandatory spending authority was exempt from sequestration. Since spending authority and permanent appropriations permit agencies to obligate budget authority without further congressional action, when these authorities are exempt from sequestration, agencies can continue to use these authorities without reductions when sequestration is in effect."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report and the online dataset to the Director of OMB for review and comment. OMB staff provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to interested congressional committees, the Director of the Office of Management and Budget, the secretaries and agency heads of the departments and agencies in our review, and other interested parties. In addition, the report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Tranchau (Kris) T. Nguyen at (202) 512-6806 or nguyentt@gao.gov, or Julia C. Matta at (202) 512-4023 or mattaj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) identify and analyze federal budget accounts with spending authority and permanent appropriations, including the statutory references for the authorities, changes in the number of accounts and dollar amounts since fiscal year 1994, and other relevant information; and (2) describe whether the identified accounts are subject to or exempt from sequestration or subject to any special sequestration rules or limitations.", "This report is an update to our previous report that covered spending authority and permanent appropriations using financial data from fiscal years 1985 through 1994. For this report, we analyzed data from fiscal years 1995 through 2015, the most recent year for which data were available when we began our work. We are also providing an online dataset of our inventory of accounts with spending authority and permanent appropriations on our public website at https://www.gao.gov/products/GAO-19-36.", "For the purposes of this report, we are defining spending authority as budget authority made available through laws other than annual appropriations acts. We are defining a permanent appropriation as budget authority to incur obligations and make payments that is available permanently by law without further legislative action. A permanent appropriation may have been made available through an annual appropriations act or through laws other than the annual appropriations acts. A similar but not identical term for spending authority and permanent appropriations is \u201cbackdoor authority\u201d\u2014a colloquial phrase for budget authority that Congress provided in laws other than annual appropriations acts. This includes contract authority and borrowing authority, as well as entitlement authority and the outlays that result from that budget authority. The term \u201cspending authority and permanent appropriations\u201d indicates the authority to make obligations and expenditures without further action from Congress. For purposes of this report, spending authority and permanent appropriations include five types of budget authority: contract authority, authority to borrow, monetary credits or bartering, permanent appropriations, and offsetting collections. For more detail on the definitions and the inclusions and exclusions for our inventory of accounts and our reasoning, see appendix II."], "subsections": [{"section_title": "Data Sources", "paragraphs": ["To identify and analyze accounts that used spending authority and permanent appropriations during this time frame, we used the Office of Management and Budget\u2019s (OMB) MAX A-11 Data Entry system (MAX). MAX is a computer system used to collect and process most of the information required for preparing the President\u2019s budget for the federal government. Agencies develop their budget information and enter the data into MAX. The data undergo rigorous review by OMB. MAX contains numerous edit checks to help ensure data consistency. Thus, we found the data to be sufficiently reliable for our purposes of identifying our initial inventory of accounts.", "We used the Program and Financing Schedule\u2019s Budgetary Resources line number descriptions in OMB Circular A-11\u2014OMB\u2019s guidance to agencies for preparing and submitting budget information\u2014to select line numbers in MAX that align with our definition of spending authority and permanent appropriations.", "We reviewed each line number\u2019s description to confirm it met the definition of spending authority and permanent appropriations. We also confirmed with OMB staff our understanding of changes to the line numbers over the years, as well as our approach to implementing exclusions. MAX does not have specific line numbers for monetary credits or bartering\u2014agencies report use of monetary credits as cash equivalents in the budget. This is a broader category than just monetary credits. OMB staff said that agencies are not required to report monetary credits elsewhere. Therefore, we are unable to identify agencies\u2019 use of monetary credits in MAX data.", "The table below summarizes the line numbers we analyzed while building our inventory of accounts by authority type. To avoid double counting, we did not include lines that represent totals. For example, line 6300 was not in our scope for fiscal years 1995 through 1998 because it represented total appropriations. However, line 6300 is in our scope for years when it represented reappropriations, which is a form of permanent appropriations that would be included in our scope.", "For offsetting collections, we included line numbers labeled in MAX as discretionary or mandatory. Although discretionary spending generally refers to outlays from budget authority that is provided in and controlled by appropriations acts\u2014which would not be spending authority and permanent appropriations\u2014OMB staff said this distinction does not always apply in MAX data. This is partly because, prior to fiscal year 1999, the Program and Financing Schedule did not distinguish between mandatory and discretionary offsetting collections. Although distinct line numbers for mandatory and discretionary collections were added, the designation in MAX is not always correct, according to OMB staff.", "For fiscal years 1995 through 1998, lines 6800 to 6885 could represent discretionary or mandatory offsetting collections. Starting with fiscal year 1999, OMB reported discretionary and mandatory collections separately in the Program and Financing Schedule. Discretionary collections were reported on lines 6800 to 6885, and mandatory collections on lines 6900 to 6985. In later years, the numbers changed but the distinction between the two remained.", "If any dollar amount was reported in MAX on any of the selected lines for any year from fiscal years 1995 through 2015, we included the account in our initial inventory. Many accounts reported budget authority amounts for more than one line number. In other words, they used different types of spending authority and permanent appropriations, or had multiple uses of the same authority. To the extent possible, we implemented the exclusions described in appendix II into the data, resulting in our initial inventory of accounts.", "We compared the accounts and authorities identified in our 1996 report with our MAX data for our initial inventory of accounts. We found five accounts that were in the 1996 report but not the MAX data, which still had active budget authority reported in the fiscal years 2013, 2014, or 2015 budgets. We reviewed these for potential inclusion in our inventory and included three authorities."], "subsections": []}, {"section_title": "Data Collection and Confirmation with Agencies", "paragraphs": ["To learn more about the accounts in our initial inventory, we developed a data collection instrument (or worksheet) to send to the agencies. After our review and final agency verification, the results from the worksheets became our final inventory of accounts as shown in our online dataset. We took the following steps for collecting and reviewing agency information.", "We asked that the agencies review the data for accounts for which they have responsibility. We asked them to confirm or correct account information that we obtained from MAX and, if applicable, from the 1996 report. If information was unavailable from the 1996 report, we asked agencies to provide it. We asked agencies to review the basic account descriptors (e.g., account names and numbers), MAX line number(s), budget authority type (which we determined based on the line number description), source of offsetting collections (if applicable), and a statutory reference and enactment year for each authority.", "We used our 1996 report to identify accounts that may have authority to use monetary credits or bartering, and asked those agencies to confirm this information. We asked agencies to identify any accounts that have authority to use monetary credits or bartering, and to include the source of the monetary credits or bartered items, and identify their value in dollars.", "We asked agencies to identify any additional accounts that have spending authority and permanent appropriations that were not presented in the worksheet because they were not identified through MAX.", "We confirmed or corrected information in each agency\u2019s completed worksheet and updated our inventory accordingly. We excluded accounts from our inventory if we determined that the authority for the account did not meet the definition of spending authority and permanent appropriations. When possible, we reviewed the President\u2019s Budget Appendix to confirm corrections from the agencies. For some authorities, such as certain offsetting collections, we relied on the agency\u2019s description of whether the account included nonfederal sources to make our decision about inclusion in our inventory.", "We had discussions with agencies, as needed, to agree on the presentation of the account information and statutory references.", "As described above, to compile our inventory and provide statutory references providing the authorities, we primarily relied on the MAX database and information agencies provided to us. While we made every attempt to confirm the information provided by agencies and provided agencies opportunities to review the information on their accounts, in some cases we included authorities for which neither we nor the agency could determine a statutory reference because we could not rule out the use of spending authority and permanent appropriations. We note that authorities and the statutes providing them can change over time. Our inventory of accounts should therefore not be used as a substitute for original legal research.", "For some accounts, agencies identified errors in the MAX budget authority or other fields. We updated our inventory if the agency provided documentation, such as a SF-133, Report on Budget Execution and Budgetary Resources. We did not make changes to the budget authority classifications. For some authorities, we reported no budget authority in certain fiscal years, but MAX contained a budget authority amount. If an account had spending authority and permanent appropriations in only certain years, but reported other budget authority on the same lines that did not meet our definition, we only reported dollar amounts for the spending authority and permanent appropriations, when possible. The changes described above were only applied to our inventory data and not to the MAX database.", "From our final inventory, we selected examples of accounts to highlight in the text boxes in our report. We made these selections based on the following criteria: variety of size of agencies, the authority was used sometime from fiscal years 2013 to 2015 (with exception of monetary credit or bartering authority), different examples of how the budget authority was used, and large or easy to understand programs."], "subsections": []}, {"section_title": "Factors that Affect Our Totals for Spending Authority and Permanent Appropriations", "paragraphs": ["There are several factors that affect our reported total spending authority and permanent appropriations. In working with agencies, we were unable to parse out the amounts of budget authority that do not meet our definition. Therefore, our reported budget authority amounts likely overstate the amount of spending authority and permanent appropriations used during the time period of our analysis.", "Although some agencies informed us that certain offsetting collections contained collections from federal sources\u2014which would not be considered spending authority and permanent appropriations\u2014we could not reliably subtract the federal sources from all accounts covered in our inventory. While we excluded any account lines that the agencies reported consisted only of collections from federal sources, we did not exclude account lines for which we and the agencies could not reliably separate collections from federal sources from offsetting collections amounts that meet our definition of spending authority and permanent appropriations. As a result, our total budget authority amount for offsetting collections (and our overall totals) contains budget authority which does not meet our definition of spending authority and permanent appropriations.", "The budget authority amounts for offsetting collections may also include some amounts that consist of refunds of prior paid obligations. While we excluded any account lines that the agencies reported consisted only of refunds of prior paid obligations, we did not exclude account lines for which we and the agencies could not reliably separate refund amounts from offsetting collections amounts that meet our definition of spending authority and permanent appropriations.", "Additionally, our budget authority amounts include sequestered and rescinded amounts, which are usually negative in the MAX database. Sequestered and rescinded funds are not generally available to agencies, and therefore do not represent spending authority and permanent appropriations. Some agencies may have reported sequestered amounts in various budget authority lines in MAX, which we cannot reliably identify. Therefore to consistently include these amounts, we retained all sequestration-related lines. As a result of this inclusion, our totals are decreased by the negative sequestered amounts. Further, when budget authority amounts were totaled for each agency, some agency totals were negative. These negative values were generally small enough that they did not affect the overall percentages, so we removed them from our rankings of top agency users of permanent appropriations and borrowing authority.", "Our inventory includes authorities that may have expired or been repealed during the time period of our analysis, even if the account is still active. We also did not examine whether Congress subsequently restricted or rescinded the agency\u2019s ability to use all or a portion of its spending authority and permanent appropriations. We did not review annual appropriations acts or other legislation to identify the extent to which authorities in our inventory were restricted or rescinded."], "subsections": []}, {"section_title": "Identification of Statutes Providing the Authorities", "paragraphs": ["To note the statutes providing spending authority and permanent appropriations for the identified accounts, we used the worksheets\u2014 described above that were provided or corrected by the agencies\u2014to collect and review the statutory references and enactment years for each account and type of authority. We reported only the earliest identifiable year of enactment for the statute providing the authority. There are some instances where budget authority data are reported for years prior to the enactment year for an account\u2019s authority in our data. This may be stemming from a variety of factors, including repeal of earlier enacted authorities coupled with newly enacted authorities, and challenges identifying original enactment dates when sections of the U.S. Code were recodified. In other instances, neither we nor the agency could determine a statutory reference because of the age of the data, because the account or agency no longer exist, or other reasons. These authorities are included in our inventory because we could not rule out the use of spending authority and permanent appropriations. These accounts are categorized in our online dataset as either (1) the agency could not provide this information\u2014we identified a potentially applicable statutory reference\u2014or (2) the statutory reference could not be determined."], "subsections": []}, {"section_title": "Sequestration Designation", "paragraphs": ["To determine whether the identified accounts are subject to or exempt from sequestration, or subject to any special sequestration rules or limitations, we used datasets provided by OMB to identify the sequestration designation for accounts in our final inventory. Sequestration designations include sequestrable, partially sequestrable, exempt, optionally sequestrable, and sequestrable/906.", "OMB generates the data annually through a government-wide data collection exercise to calculate the sequestration percentage and reductions by account as part of a report required under the Joint Committee process. For authorities that did not have a sequestration designation in OMB\u2019s data but did report actual budget authority in fiscal years 2013, 2014, or 2015, we asked OMB to provide additional sequestration designation information. Authorities that OMB did not classify, or for which it could not provide additional information, have \u201cNone\u201d listed as the sequestration status in our final inventory. The primary dataset we used includes accounts with mandatory budget authority in fiscal year 2015 and the corresponding sequestration designation. However, to identify the sequestration designation for accounts in our final inventory with offsetting collections authority that OMB categorized as discretionary spending, we used the fiscal year 2013 sequestration dataset. The fiscal year 2013 dataset was the most recent available for which sequestration occurred for discretionary spending when we began our work, and we used fiscal year 2015 data to match the end year of our inventory data.", "We assessed the reliability of the sequestration datasets based on interviews with OMB staff. OMB staff told us that the data must pass a series of automated checks, and are reviewed at several points by OMB staff. Thus, we found the data to be sufficiently reliable for the purpose of identifying the sequestration status of the accounts in our final inventory. We confirmed the definition of each sequestration designation with OMB. In some cases, because of differences in the scope of the data that OMB collected for Joint Committee reports, a sequestration designation was not available. For some of those authorities, OMB provided a designation based on information collected from agencies. We compared the sequestration designation data from our 1996 report to the designations in fiscal year 2015 or 2013, as applicable to analyze changes over time."], "subsections": []}, {"section_title": "Combining Data to Develop Our Inventory Dataset", "paragraphs": ["We combined data from the worksheets confirmed by the agency into a single dataset to create our final inventory of accounts. We also added the dollar amounts from MAX to create the final dataset we used for analysis in the report. To combine our data, we had to make several decisions to help eliminate double-counting and to simplify the supplemental data that accompanies this report.", "We have provided a final inventory dataset\u2014which includes the agency accounts and related budget information, statutory references, enactment years, and sequestration designation\u2014online as a supplement to this report. Table 6 lists the variables and definitions used in our online data.", "We analyzed the final combined dataset for trends and compared it with the 1996 report. In some cases, we adjusted the fiscal year 1994 dollars for inflation. Once the inventory of accounts was finalized and we completed our review, each agency received a statement of facts to review, which summarized the final inventory information for their agency. Agencies that have examples of accounts highlighted in our report received those excerpted examples that are specific to their agencies for review and comment. We provided OMB the draft report and online data for review and comment.", "We conducted this performance audit from March 2016 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Additional Description of Spending Authority and Permanent Appropriations", "paragraphs": ["This appendix provides additional details on how we defined spending authority and permanent appropriations for the purpose of this report and how we applied the definition to decide which accounts to include or exclude from our inventory. We are defining spending authority as budget authority made available through laws other than annual appropriation acts. Also, we are defining a permanent appropriation as budget authority to incur obligations and make payments that is available permanently by law without further legislative action. A permanent appropriation may have been made available through an annual appropriations act or through laws other than the annual appropriations acts. We are including both in our inventory based on the intent of the request for developing our inventory. Spending authority and permanent appropriations permit obligation and expenditures without further action from Congress. These include permanent appropriations, contract authority, borrowing authority, offsetting collections, and monetary credits or bartering, all of which are defined in table 7.", "In building our inventory of accounts with spending authority and permanent appropriations authority, we made categorical decisions on what to include and exclude. We included authorities that met our definition of spending authority and permanent appropriations, as described above in table 7. A particular type of offsetting collections\u2014 collections from nonfederal sources that were enacted for the first time in an appropriations act\u2014does not meet our definition, but nonetheless permits obligation and expenditure without further action from Congress, and therefore falls within the purview of this request. We included these authorities in our inventory and included a variable to identify them in our online dataset. Certain types of budget authority do not meet our definition of spending authority and permanent appropriations, as described in table 8."], "subsections": []}, {"section_title": "Appendix III: Spending Authority and Permanent Appropriations Use by Agency and Authority Type, Fiscal Year 2015", "paragraphs": ["Table 9 lists total spending authority and permanent appropriations reported by agency in fiscal year 2015. We listed the 24 agencies in the Chief Financial Officers Act of 1990 as amended, Legislative Branch and Judicial Branch entities, and Executive Office of the President and other entities. We did not include monetary credits or bartering in this table given no agencies reported use of this authority in fiscal year 2015."], "subsections": []}, {"section_title": "Appendix IV: Five Largest Permanent Appropriations, Contract, and Borrowing Authority Accounts, Fiscal Year 2015", "paragraphs": ["The tables below list the accounts reporting the largest amounts of budget authority for permanent appropriations, contract authority, and borrowing authority in fiscal year 2015. We did not rank the agencies that reported the largest amounts of offsetting collections because we, and the agencies, when asked, were unable to reliably subtract collections from federal sources or refunds of prior paid obligations. Agencies did not report using monetary credits or bartering in fiscal year 2015."], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Janice Latimer (Assistant Director), Lisa Motley (Assistant General Counsel), Lindsay Swenson (Analyst-in-Charge), Michael Bechetti, Shari Brewster, Charles Culverwell, Ann Marie Cortez, Erika Huber, Susan J. Irving, John Mingus Jr., Katherine D. Morris, Cynthia Saunders, Albert Sim, and Stewart Small made key contributions to this report."], "subsections": []}]}], "fastfact": ["Not all federal funding is reviewed each year as part of the annual appropriations process. For example, Congress can make a law that allows an agency to collect fees for services, such as copyright registration fees, and use that money without further congressional action.", "This report updates our inventory of this type of federal funding and helps provide visibility into spending authority that is not from the annual appropriations process. We found $3.2 trillion in such funding from fiscal year 1995 through fiscal year 2015 (the most recent data at the start of our work). This is an increase of 88% from fiscal year 1994 (our last update)."]} {"id": "GAO-18-47", "url": "https://www.gao.gov/products/GAO-18-47", "title": "Defense Civil Support: DOD Needs to Address Cyber Incident Training Requirements", "published_date": "2017-11-30T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Presidential Policy Directive on United States Cyber Incident Coordination states that significant cyber incidents are occurring with increasing frequency impacting public and private infrastructure in the United States. Section 1648 of the National Defense Authorization Act for Fiscal Year 2016 included a provision that DOD develop a comprehensive plan for CYBERCOM to support civil authorities in responding to cyberattacks by foreign powers against the United States. Section 1648 also included a provision that GAO review DOD's plan.", "This review assesses the extent to which DOD's Section 1648 report addressed the statutorily required submission elements. To conduct this work, GAO assessed DOD's Section 1648 report against the elements outlined in the statute. GAO also discussed the Section 1648 report with DOD policy, Joint Chiefs of Staff, combatant commands, and military service officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) did not develop a comprehensive plan for U.S. Cyber Command (CYBERCOM); instead, the department submitted a report consisting of a collection of documents that fully addressed two of the six statutorily required elements; partially addressed three elements; and did not address the sixth element on DOD training activities.", "Legend:", "\u25cb Did not address: Submission does not include required element.", "GAO also found that, in addition to not addressing the training element in the report, DOD had not ensured that staff are trained as required by the Presidential Policy Directive on United States Cyber Incident Coordination or DOD's Significant Cyber Incident Coordination Procedures, which were included DOD's Section 1648 report. Taking action to improve these areas should help DOD sustain progress it has already made. With the President's decision to elevate CYBERCOM to a unified combatant command, such actions will also help as DOD continues to plan to support civil authorities in response to a cyber incident and where CYBERCOM has a significant role."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has previously recommended that DOD take actions on elements of the Section 1648 report that were partially addressed. GAO is making two new recommendations that DOD update cyber incident coordination training and maintain a list of officials trained in the National Incident Management System. DOD concurred with maintaining a list of trained officials and partially concurred on updating cyber training. GAO continues to believe the updating recommendation is warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Presidential Policy Directive on United States Cyber Incident Coordination states that significant cyber incidents are occurring with increasing frequency, impacting public and private infrastructure in the United States. The Department of Defense (DOD) recognizes that a disruptive, manipulative, or destructive cyberattack could present a significant risk to U.S. economic and national security if lives are lost; property, destroyed; policy objectives, harmed; or economic interests, affected and that the department must be prepared to support civil authorities in all domains\u2014including in cyberspace. Generally, DOD supports civil authorities through its Defense Support of Civil Authorities (DSCA) mission.", "We previously reported on DOD\u2019s preparation efforts for providing support to civil authorities in response to cyber incidents. In April 2016, we reported that DOD\u2019s guidance\u2014such as DOD Directive 3025.18, Defense Support of Civil Authorities\u2014did not clearly define the roles and responsibilities of key DOD entities for domestic cyber incidents. For example, U.S. Northern Command\u2019s (NORTHCOM) Defense Support of Civil Authorities Response concept plan states that NORTHCOM would be the supported command for a mission to support civil authorities in responding to a domestic cyber incident. However, we found that other guidance directs and DOD officials confirmed that a different command, U.S. Cyber Command (CYBERCOM), would be responsible for supporting civil authorities in the event of a domestic cyber incident. Therefore, we recommended that DOD issue or update guidance that clarifies roles and responsibilities to support civil authorities in a domestic cyber incident. DOD concurred with this recommendation.", "In September 2016, we reported that DOD did not have visibility over all National Guard units\u2019 cyber capabilities that could be used to support civil authorities in a cyber incident. We also reported that DOD had not identified and conducted a \u201ctier 1\u201d exercise\u2014an exercise involving national-level organizations, combatant commanders, and staff in highly complex environments. Therefore, we recommended that DOD maintain a database that identifies the National Guard units\u2019 cyber-related emergency response capabilities and conduct a tier 1 exercise to prepare its forces in the event of a disaster with cyber effects. DOD partially concurred with these recommendations and stated that its current mechanisms and exercises were sufficient to address the issues highlighted in the report. See appendix I for the status of DOD\u2019s implementation of these recommendations.", "Section 1648 of the National Defense Authorization Act for Fiscal Year 2016 included a provision that DOD develop a comprehensive plan for CYBERCOM to support civil authorities in responding to cyberattacks by foreign powers against the United States. Among the elements required in the plan is a description of the roles, responsibilities, and expectations of active and reserve components of the armed forces. See appendix II for the full text of the statutory reporting requirements. DOD was required to develop its plan by May 2016 (180 days after the National Defense Authorization Act was signed into law); however, the department did not complete its plan until April 2017.", "Section 1648 also included a provision that we review DOD\u2019s plan. This review assesses the extent to which DOD\u2019s Section 1648 report submission addressed the statutorily required elements. We reviewed the required elements outlined in Section 1648 of the National Defense Authorization Act for Fiscal Year 2016 and analyzed DOD\u2019s submission to determine whether it addressed those elements. Additionally, we interviewed officials from the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security\u2014specifically, the Office of the Deputy Assistant Secretary of Defense (ODASD) for Homeland Defense Integration and Defense Support of Civil Authorities (HDI/DSCA) and the ODASD for Cyber Policy, as well as other DOD components to obtain clarifying and supporting information from relevant DOD components on the process by which the department plans and prepares for a cyber incident requiring civil support. A more detailed description of our objective, scope, and methodology is provided in appendix III.", "We conducted this performance audit from May 2017 to November 2017, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Defense Support of Civil Authorities", "paragraphs": ["Under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (the Stafford Act), when state capabilities and resources are overwhelmed and the President of the United States declares an emergency or disaster, the governor of an affected state can request assistance from the federal government for major disasters or emergencies. The Stafford Act aims to provide a means of assistance by the federal government to state and local governments in responding to a presidentially declared major disaster or emergency. A governor\u2019s request for the President to declare a major disaster or emergency is required to be based on a finding that the situation is of such severity and magnitude that effective response is beyond the capabilities of the state and the affected local governments and that federal assistance is necessary. Additionally, under the Economy Act, a federal agency may request the support of another federal agency, including DOD, without a presidential declaration of a major disaster or an emergency. This act permits one federal agency to request goods and services from another federal agency provided that, among other things, the service is available and cannot be obtained more cheaply or conveniently by contract.", "In July 2016, the White House issued the Presidential Policy Directive on United States Cyber Incident Coordination (hereafter referred to as PPD- 41) to establish principles governing the federal government\u2019s response to cyber incidents involving government or private sector entities. Subsequently, in December 2016, the Department of Homeland Security issued an updated National Cyber Incident Response Plan that outlines domestic cyber-incident response coordination and execution among federal; state, territorial, and local governments; and the private sector. Overall coordination of federal incident-management activities is generally the responsibility of the Department of Homeland Security. DOD supports the lead federal agency in the federal response to a major disaster or emergency. When authorized to provide support to civil authorities for domestic emergencies, DOD may provide capabilities and resources\u2014 such as military forces (including the National Guard under Title 10 and Title 32, U.S. Code), DOD civilians, and DOD contractors\u2014through DSCA. DOD components can also provide support to civil authorities under separate authority. For example, under Executive Order 12333, the National Security Agency, as an element of the intelligence community, is authorized to provide technical assistance and cooperation to law enforcement and other civil authorities not precluded by applicable law."], "subsections": []}, {"section_title": "DOD Components with DSCA Responsibilities", "paragraphs": ["In an effort to facilitate DSCA across the nation and at all organizational levels, DOD has assigned responsibilities within the Office of the Secretary of Defense (such as the Assistant Secretary of Defense for Homeland Defense and Global Security); the Chairman of the Joint Chiefs of Staff; various combatant commanders, such as the NORTHCOM and the U.S. Pacific Command (PACOM) Commanders; and the Chief of the National Guard Bureau, among others. A combatant command is a unified or specified command with a broad continuing mission under a single commander established and designated by the President, through the Secretary of Defense and with the advice and assistance of the Chairman of the Joint Chiefs of Staff. DOD\u2019s Assistant Secretary of Defense for Homeland Defense and Global Security is the principal civilian advisor responsible for homeland defense, DSCA, and cyber for the department. This official is to develop policies, conduct analysis, provide advice, and make recommendations on homeland defense, DSCA, emergency preparedness, and cyberspace operations within the department.", "The Chairman of the Joint Chiefs of Staff advises the Secretary of Defense on the effects of requests for DSCA on national security and identifies available resources for support in response to DSCA requests. NORTHCOM and PACOM provide support to civil authorities at the federal, state, and local levels, as directed. Further, CYBERCOM synchronizes the planning for cyberspace operations in coordination with other combatant commands, the military services, and other appropriate federal agencies. In August 2017, DOD initiated the process to elevate CYBERCOM from a subunified command to a unified combatant command. According to DOD, this elevation \u201cwill help to streamline command and control of time-sensitive cyberspace operations by consolidating them under a single commander with authorities commensurate with the importance of those operations and will ensure that critical cyberspace operations are adequately funded.\u201d Additionally, a dual-status commander could serve as an intermediate link between the separate chains of command for state and federal forces and is intended to promote unity of effort between federal and state forces to facilitate a rapid response during major disasters and emergencies."], "subsections": []}]}, {"section_title": "DOD\u2019s Section 1648 Report Addressed Some of the Statutorily Required Elements", "paragraphs": ["DOD did not develop a comprehensive plan; instead, the department submitted a collection of separate documents that addressed some, but not all six statutorily required elements (hereafter referred to as DOD\u2019s Section 1648 report). Table 1 lists each of the required elements and shows our determination of the extent to which the elements were addressed in DOD\u2019s Section 1648 report.", "DOD officials agreed that their submission was not a comprehensive plan. These officials told us they developed a report that they believed would address the required elements of the legislation and articulate the department\u2019s comprehensive work to prepare for supporting civil authorities in response to a cyber incident with plans, policies, guidance, among other things. Specifically, DOD\u2019s Section 1648 report is a collection of separate documents that, according to DOD, outline core federal, state, local, and private sector roles and responsibilities; summarize plans for coordination at all levels of government and across sectors in the event of a cyber incident; and prescribe the roles and responsibilities of the active and reserve components."], "subsections": [{"section_title": "DOD\u2019s Report Fully Addressed Two of the Six Elements Required by the Statute", "paragraphs": ["As noted in the table above, DOD\u2019s Section 1648 report addressed two of the six elements required by the statute\u2013to provide (1) descriptions of the roles, responsibilities, and expectations of federal, state, and local authorities and (2) a description of legislative and administrative actions necessary to carry out its plan to support domestic cyber incident response efforts. Specifically, DOD\u2019s Section 1648 included copies of the PPD-41 and the Department of Homeland Security\u2019s National Cyber Incident Response Plan. Both of these documents provide general descriptions of the roles, responsibilities, and expectations of federal, state, and local authorities. For example, the National Cyber Incident Response Plan was developed to articulate the roles and responsibilities, capabilities, and coordinating structures that support how the nation responds to and recovers from significant cyber incidents posing risks to critical infrastructure.", "DOD\u2019s Section 1648 report also included a description of administrative actions that the department believed were necessary to carry out its plan to support domestic cyber incident response efforts. Specifically, according to the report, DOD had drafted a directive type memorandum to provide supplementary policy guidance, assign responsibilities, and detailed procedures for providing defense support for cyber incident response. This memorandum was signed and issued by DOD subsequent to the department submitting its Section 1648 report to Congress. DOD officials also acknowledged that there were incorporating cyber into all aspects of policy, doctrine, and guidance. In the report, DOD stated that the department believed current authorities were sufficient and did not recommend any legislative actions."], "subsections": []}, {"section_title": "DOD\u2019s Report Partially Addressed Three of Six Elements Required by the Statute but the Information Provided Was Incomplete", "paragraphs": ["DOD partially addressed three of the six elements required by the statute\u2014to provide (1) descriptions of the roles, responsibilities, and expectations of the active and reserve components of the armed forces; (2) the department\u2019s plans for coordination with heads of other federal agencies and state and local governments; and (3) a list of exercises previously conducted that are used in the formulation of the plan.", "DOD\u2019s Section 1648 report includes a copy of DOD Directive 3025.18, Defense Support of Civil Authorities, which establishes DSCA policy and provides guidance for the execution and oversight of DSCA, as an appendix. This directive includes a section that identifies roles and responsibilities of DOD components such as the Joint Staff, the combatant commands, and the military departments, among others.", "However, we have previously reported that DOD\u2019s guidance does not clearly define the department\u2019s roles and responsibilities. For example, we found inconsistency on which combatant command would be designated the supported command and have the primary responsibility for providing support to civil authorities during a cyber incident. Consequently, as noted in appendix I, we recommended that DOD issue or update guidance that clarifies roles and responsibilities for relevant entities and officials to support civil authorities in a domestic cyber incident. However, key DOD documents such as DOD Directive 3025.18, DOD\u2019s Section 1648 report, and the Directive Type Memorandum issued in June 2017 do not clarify roles and responsibilities of DOD components, liaisons, and personnel who DOD had previously assigned coordination roles and responsibilities for supporting civil authorities. As a result, there is still uncertainty about these roles and responsibilities within the department. For example, disagreement still exists among officials in the department regarding whether NORTHCOM and PACOM (as the geographic combatant commands) or CYBERCOM, which according to command officials maintains the department\u2019s existing inventory of cyberspace command and control capabilities, is the supported command in a cyber incident requiring civil support. DOD officials acknowledged to us that there are a number of planning and guidance documents that need to be updated to clarify roles and responsibilities. Until DOD clarifies the roles and responsibilities of its key entities for cyber incidents, as we recommended, department leaders and components will continue to experience uncertainty about the roles and responsibilities of different components and commands in providing support to civil authorities in the event of a significant cyber incident.", "In an effort to describe the department\u2019s plans for coordination with heads of other federal agencies and state and local governments, DOD\u2019s Section 1648 report provided information on the department\u2019s role in supporting a whole-of-government approach during a significant cyber incident. Specifically, DOD included copies of PPD-41, the Department of Homeland Security\u2019s National Cyber Incident Response Plan, and DOD\u2019s Department of Defense (DOD) Significant Cyber Incident Coordination Procedures. These documents recognize that the department coordinates with other federal agencies (and state and local governments, as appropriate) through the Cyber Response Group and the Cyber Unified Coordination Group that were consistent with PPD-41. According to PPD-41, the Cyber Unified Coordination Group is the primary method for coordinating between and among federal agencies responding to a significant cyber incident, as well as for integrating private sector partners into incident response efforts.", "While DOD\u2019s Section 1648 report recognizes the role and value of these two groups, these groups have limited coordination opportunities with state and local governments. For example, the Cyber Response Group is a national-level policy coordination group composed of federal department and agencies (i.e., does not include state and local governments). Also, the Cyber Unified Coordination Group is an ad-hoc group that is convened in response to a significant cyber incident and will not include state and local governments unless it is required by the scope, nature, and facts of a particular significant cyber incident.", "In addition, the report did not identify any plans for coordinating with heads of other federal agencies and state and local governments, as required by the statute. DOD guidance and joint doctrine state that, among the defense coordinating officers\u2019 multiple responsibilities, they are supposed to develop and promote relationships with federal, state, tribal, and local governmental and non-governmental organizations, and with private sector entities in the assigned Federal Emergency Management Agency (FEMA) region. However, DOD\u2019s Section 1648 report did not identify how the defense coordinating officers, their supporting elements, or other DOD components that coordinate with civil authorities\u2014including state and local governments\u2014plan to coordinate in preparation to provide support of DSCA activities.", "We are not making a recommendation on this issue because we previously recommended that DOD issue or update guidance that clarifies roles and responsibilities for DOD components\u2014such as for the defense coordinating officers and their supporting elements\u2014to support civil authorities in response to a domestic cyber incident.", "DOD\u2019s Section 1648 report also includes a list of cyber civil support exercises that DOD conducted over the last 3 years. However, this list was incomplete because DOD did not include all exercises where DOD components provided support to civil authorities in a cyber incident. For example, the report did not include NORTHCOM\u2019s 2015 exercises\u2014Vista Host and Vista Code. These two exercises examined planning assumptions, potential resource requirements, and roles and responsibilities associated with cyber-related defense support to civil authorities operations. By not including this information in this one-time report, DOD missed an opportunity to provide Congress more complete information about exercises that the department is conducting to prepare itself and commands to support civil authorities for a cyber incident within the United States.", "During our review of DOD\u2019s Section 1648 report, we also found that the department had yet to conduct a command and control (i.e., operational- level) exercise focused on providing support to civil authorities in a cyber incident\u2014a gap acknowledged by officials from NORTHCOM, PACOM, and CYBERCOM. According to these officials, the exercises identified in the Section 1648 report focused on strategic\u2013level decisions (e.g., Cyber Guard 16 Legal and Policy table top exercises) or tactical-level actions (e.g., Cyber Guard 16). CYBERCOM officials told us that they believe that Cyber Guard is a tier 1 exercise. However, a 2015 DOD Cyber Strategy implementation document stated that while Cyber Guard is a valuable \u201cwhole-of-nation\u201d scenario, its focus is much more tactical in nature and that the department needed another tier 1-level exercise. Similarly, officials from both DHS and DOD acknowledged that Cyber Guard was a tactical-level exercise.", "As previously discussed and identified in appendix I, we previously recommended that DOD conduct a tier 1 exercise to prepare its forces in the event of a disaster with cyber effects. CYBERCOM officials told us the command is currently planning an internal staff exercise to address our recommendation to exercise its forces at the operational-level of leadership. However, an internal staff exercise (i.e., an exercise that does not exercise command-and-control relationships with other combatant commanders) will not be consistent with DOD guidance that states tier 1 exercises are designed to prepare national-level organizations and combatant commanders and staff at the strategic and operational levels to integrate a diverse audience in highly complex environments. We maintain our position that Cyber Guard in its current form is not a tier 1 exercise that would enable the department to achieve its DOD Cyber Strategy goal of exercising its DSCA capabilities in support of the Department of Homeland Security (DHS) and other agencies, including state and local authorities. We continue to believe that DOD should conduct a tier 1 exercise to improve the department\u2019s planning efforts to support civil authorities in a cyber incident."], "subsections": []}, {"section_title": "DOD\u2019s Report Did Not Address One of the Elements Required by the Statute and DOD Has Not Ensured That Staff Are Trained", "paragraphs": ["DOD\u2019s Section 1648 report did not address one of the six required elements\u2014to provide a plan for internal DOD collective training activities that are integrated with exercises conducted with other agencies and state and local governments. Instead, the department provided a classified list of planned exercises for 2017 that, according to officials, have training value for cyber incident response. Officials from ODASD (HDI/ DSCA) and ODASD (Cyber Policy) told us that DOD does not train for DSCA. Rather, the department trains and exercises its forces to conduct military missions and can apply the knowledge and experience from these activities to support civil authorities when requested and approved. The officials emphasized that, while exercises generally test whether DOD forces have learned training, in the case of DSCA exercises are a key training tool.", "While exercises may have training value, DOD did not provide information on existing DSCA-related training efforts within the department\u2014such as on NORTHCOM\u2019s DSCA course offered to officials from DOD and other federal agencies. Specifically, according to NORTHCOM officials, the command\u2019s DSCA course focuses on training senior military officers, DOD civilians, and their staff to ensure DOD\u2019s readiness to support its homeland defense and civil support missions. The officials explained that this course introduces participants to national, state, local, and DOD statutes, directives, plans, command and control relationships, and capabilities with regard to disaster and emergency response. By not including this information in this one-time report, DOD missed an opportunity to provide Congress more complete information about training that the department is conducting to prepare itself and commands to support civil authorities for a cyber incident within the United States.", "In addition, during our review, we found that DOD had not met the training requirements outlined in PPD-41, which was included in DOD\u2019s Section 1648 report. Specifically, the policy directive requires federal agencies, including DOD, to update cyber incident coordination training to incorporate the tenets of PPD-41 by December 2016 and to identify and maintain a cadre of personnel qualified and trained in the National Incident Management System and unified coordination to manage and respond to a significant cyber incident. According to the PPD-41, the overarching document guiding DOD\u2019s Section 1648 report, these personnel would provide necessary expertise to support tasking and decision making by a Cyber Unified Coordination Group.", "In addition, DOD\u2019s Significant Cyber Incident Coordination Procedures require the Chairman of the Joint Chiefs of Staff, through the National Military Command Center, to maintain a list of senior DOD officials from specified organizations that could represent DOD during a Cyber Unified Coordination Group and who are trained in the National Incident Management System.", "As of August 2017, DOD officials acknowledged the department had not updated its cyber incident coordination training to incorporate the tenets of PPD-41. Joint Staff officials told us they have staff qualified and trained in the National Incident Management System; however, the officials were unable to provide us a list of senior officials from DOD organizations that could participate in a Cyber Unified Coordination Group that had been trained in the National Incident Management System.", "An official from the Office of DOD Principal Cyber Advisor acknowledged the Joint Staff is not tracking personnel who have been qualified and trained in the National Incident Management System, as required by the DOD Significant Cyber Incident Coordination Procedures. Consequently, it is unclear whether senior DOD officials who may be asked to participate in a Cyber Unified Coordination Group will be trained in the National Incident Management System. Until DOD updates its cyber incident response training and maintains a list of senior DOD officials from organizations who could represent DOD during a Cyber Unified Coordination Group and who are trained in the National Incident Management System, the department will not be in compliance with PPD- 41 and may not have the personnel with expertise to manage and respond to a significant cyber incident."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD recognizes that a disruptive, manipulative, or destructive cyberattack could present a significant risk to U.S. economic and national security and that the department must be prepared to support civil authorities in all domains\u2014including in cyberspace. While DOD addressed some of the required elements set forth in Section 1648, the report submitted does not highlight the full scope of the department\u2019s planning and preparation efforts to support civil authorities in response to a cyber incident. We are not making recommendations on these issues because we have previously made recommendations in areas where the Section 1648 report did not contain complete information. However, without complying with the training requirements outlined in PPD-41 and the DOD Significant Cyber Incident Coordination Procedures, the department cannot reasonably ensure it has the personnel with expertise to manage and respond to a significant cyber incident. Taking action to improve the areas we have highlighted should help DOD sustain the progress it has already made. With the President\u2019s decision to elevate CYBERCOM to a unified combatant command, such actions will also help as DOD continues to plan to support civil authorities in response to a cyber incident and where CYBERCOM has a significant role."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Assistant Secretary of Defense for Homeland Defense and Global Security, in coordination with the Chairman of the Joint Chiefs of Staff and other appropriate DOD components, should update the department\u2019s cyber incident coordination training to incorporate the tenets of PPD-41.", "The Chairman of the Joint Chiefs of Staff should maintain a list of senior DOD officials from organizations that could represent DOD during a Cyber Unified Coordination Group and that are trained in the National Incident Management System."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of our report to DOD for review and comment. In its written comments, DOD partially concurred with our first recommendation and concurred with the second. DOD\u2019s written comments are reprinted in their entirety in appendix IV.", "DOD partially concurred with our recommendation to update the department's cyber incident coordination training to incorporate the tenets of PPD-41. In its response, DOD acknowledged the need to continue its emphasis on cyber incident coordination training and states that the department is wholly committed to updating the appropriate training as part of its formal after action reviews during each exercise and training event. DOD stated that it prepares for cyber incidents by exercising interagency roles and responsibilities, and command and control within a cyber threat scenario. While these exercises emphasize the development of comprehensive cyber incident response plans and seek to foster cyber incident coordination, DOD did not identify any specific exercise or training event in which the department will incorporate the tenets of PPD- 41. Accordingly, we continue to believe that our recommendation is warranted. As we reported and DOD acknowledged, Cyber Guard is a tactical-level exercise that would not fully incorporate all DOD components that would participate in a unified cyber response consistent with PPD-41. DOD would meet the intent of our recommendation by conducting one or more cyber incident exercises that incorporate the tenets of PPD-41 into command and control (i.e., operational-level) relationships across all relevant commands and not just across CYBERCOM.", "DOD concurred with our recommendation that the Joint Staff maintain a list of senior DOD officials from organizations who could represent DOD during a Cyber Unified Coordination Group and who are trained in the National Incident Management System. DOD stated that the Joint Staff will ensure that senior DOD personnel are familiar with the National Incident Management System, or advised by personnel that are, prior to representing the department during a Cyber Unified Coordination Group. The department also plans to re-emphasize these efforts as part of its onboarding process for newly assigned senior leaders, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Assistant Secretary of Defense for Homeland Defense and Global Security, the Chairman of the Joint Chiefs of Staff, and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9971 or kirschbaumj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Status of Three Recommendations from Our Recent Reports on Defense Cyber Civil Support", "paragraphs": ["During our review of the Department of Defense\u2019s (DOD) Section 1648 report, we followed up on three recommendations from our recent reports that could improve the department\u2019s planning and processes for supporting civil authorities in a cyber incident. Table 2 summarizes the status of these recommendations."], "subsections": []}, {"section_title": "Appendix II: Section 1648 (a) of the National Defense Authorization Act for Fiscal Year 2016", "paragraphs": ["SEC. 1648. COMPREHENSIVE PLAN AND BIENNIAL EXERCISES ON RESPONDING TO CYBER ATTACKS. (a) COMPREHENSIVE PLAN OF DEPARTMENT OF DEFENSE TO SUPPORT CIVIL AUTHORITIES IN RESPONSE TO CYBER ATTACKS BY FOREIGN POWERS.\u2014 (1) PLAN REQUIRED.\u2014 (A) IN GENERAL.\u2014Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall develop a comprehensive plan for the United States Cyber Command to support civil authorities in responding to cyber attacks by foreign powers (as defined in section 101 of the Foreign Intelligence Surveillance Act of 1978 (50 U.S.C. 1801)) against the United States or a United States person. (B) ELEMENTS.\u2014The plan required by subparagraph (A) shall include the following: (i) A plan for internal Department of Defense collective training activities that are integrated with exercises conducted with other agencies and State and local governments. (ii) Plans for coordination with the heads of other Federal agencies and State and local governments pursuant to the exercises required under clause (i). (iii) A list of any other exercises previously conducted that are used in the formulation of the plan required by subparagraph (A), such as Operation Noble Eagle. (iv) Descriptions of the roles, responsibilities, and expectations of Federal, State, and local authorities as the Secretary understands them. (v) Descriptions of the roles, responsibilities, and expectations of the active components and reserve components of the Armed Forces. (vi) A description of such legislative and administrative action as may be necessary to carry out the plan required by subparagraph (A). (2) COMPTROLLER GENERAL OF THE UNITED STATES REVIEW OF PLAN.\u2014The Comptroller General of the United States shall review the plan developed under paragraph (1)(A)."], "subsections": []}, {"section_title": "Appendix III: Objective, Scope, and Methodology", "paragraphs": ["Our objective was to determine the extent to which the Department of Defense\u2019s (DOD) Section 1648 report submission addressed the statutorily required elements.", "To determine the extent to which DOD\u2019s Section 1648 report addressed the statutorily required elements, we analyzed the text of DOD\u2019s Section 1648 report. To conduct our analysis of DOD\u2019s Section 1648 report, two of our analysts analyzed the text of the Section 1648 report and assessed the extent to which the report addressed the six elements required by the statute. The analysts assessed each element in the report as \u201cfully addressed,\u201d \u201cpartially addressed,\u201d or \u201cnot addressed.\u201d If the Section 1648 report addressed all aspects of the required element, the analysts determined that DOD had \u201cfully addressed\u201d the element. If the report addressed some aspects of a required element, but not all, the analysts determined that DOD had \u201cpartially addressed\u201d the element. If the report did not address any aspects of a required element, the analysts determined that DOD \u201cdid not address\u201d the element. A third independent analyst reviewed the initial determinations and assessed whether they were accurate.", "For further information, we met with relevant officials from DOD components\u2014such as from the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security, including the Office of the Deputy Assistant Secretary of Defense for Homeland Defense Integration and Defense Support of Civil Authorities and the Office of the Deputy Assistant Secretary of Defense for Cyber Policy; the Joint Staff; U.S. Northern Command (NORTHCOM); U.S. Pacific Command (PACOM); U.S. Cyber Command (CYBERCOM); and the National Guard Bureau. We also interviewed Department of Homeland Security officials to obtain clarifying and supporting information on the process by which the department plans and prepares for a cyber incident requiring civil support. In the cases in which the analysts determined that the plan did not address some aspects of a required element, they discussed their preliminary analyses with officials from the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security to seek additional information. Additionally, DOD officials offered clarification regarding the Defense Support of Civil Authorities process, DOD roles and responsibilities in civil support, and information on ongoing initiatives.", "We conducted this performance audit from May 2017 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Tommy Baril (Assistant Director), Tracy Barnes, David Beardwood, Pamela Davidson, Ashley Houston, Gabrielle Matuzsan, and Spencer Tacktill made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Civil Support: DOD Needs to Identify National Guard\u2019s Cyber Capabilities and Address Challenges in Its Exercises. GAO-16-574. Washington, D.C.: September 6, 2016.", "Civil Support: DOD Needs to Clarify Its Roles and Responsibilities for Defense Support of Civil Authorities during Cyber Incidents. GAO-16-332. Washington, D.C.: April 4, 2016.", "Civil Support: DOD Is Taking Action to Strengthen Support of Civil Authorities. GAO-15-686T. Washington, D.C.: June 10, 2015.", "Homeland Defense: DOD Needs to Address Gaps in Homeland Defense and Civil Support Guidance. GAO-13-128. Washington, D.C.: October 24, 2012.", "Homeland Defense: DOD Can Enhance Efforts to Identify Capabilities to Support Civil Authorities during Disasters. GAO-10-386. Washington, D.C.: March 30, 2010.", "Homeland Defense: DOD Needs to Take Actions to Enhance Interagency Coordination for Its Homeland Defense and Civil Support Missions. GAO-10-364. Washington, D.C.: March 30, 2010."], "subsections": []}], "fastfact": []} {"id": "GAO-17-794", "url": "https://www.gao.gov/products/GAO-17-794", "title": "Aviation Security: Actions Needed to Systematically Evaluate Cost and Effectiveness Across Security Countermeasures", "published_date": "2017-09-11T00:00:00", "released_date": "2017-09-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the attacks of September 11, 2001, TSA has spent billions of dollars on aviation security programs. However, recent attacks involving aircraft and airports in other countries underscore the continued threat to aviation and the need for an effective aviation security program.", "GAO was asked to review TSA's passenger aviation security countermeasures. This report examines the extent to which TSA has (1) information on the effectiveness of selected passenger aviation security countermeasures and (2) systematically analyzed the cost and effectiveness tradeoffs among countermeasures.", "GAO reviewed TSA documentation on the effectiveness of six passenger aviation security countermeasures in fiscal year 2015\u2014the most recent year for which data were available. GAO selected these countermeasures because they involve direct interaction with passengers, their belongings, or their personal information, and are largely operated and funded by TSA. GAO also reviewed TSA documents and interviewed TSA officials regarding efforts to systematically analyze cost and effectiveness tradeoffs across countermeasures."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) has data on the effectiveness of some, but not all of its passenger aviation security countermeasures. Specifically, TSA has data on passenger prescreening, checkpoint and checked baggage screening, and explosives detection canines. Further, TSA is taking steps to improve the quality of this information. However, it does not have effectiveness data for its Behavior Detection and Analysis (BDA) program and the U.S. Federal Air Marshal Service (FAMS). For BDA\u2014a program to identify potential threats by observing passengers for behaviors indicative of stress, fear, or deception\u2014in July 2017, GAO reported that (1) TSA does not have valid evidence supporting most of its behavioral indicators, and (2) TSA should continue to limit future funding for its behavior detection activities until it can provide such evidence. For FAMS\u2014a program that deploys armed law enforcement officers on certain flights at an annual cost of about $800 million for fiscal year 2015\u2014officials reported that one of the primary security contributions is to deter attacks. However, TSA does not have information on its effectiveness in doing so, nor does it have data on the deterrent effect resulting from any of its other aviation security countermeasures. While officials stated that deterrence is difficult to measure, the Government Performance and Results Act of 1993, as updated, provides that agencies are to assess the effectiveness of their programs. Further, the Office of Management and Budget and GAO have suggested approaches for measuring deterrence. Developing such methods for TSA countermeasures, especially for an effort such as FAMS in which the primary goal is deterrence, would enable TSA to determine whether its substantial investment is yielding results.", "TSA has a tool to compare the security effectiveness of some aviation security countermeasures, but has no efforts underway to systematically evaluate potential cost and effectiveness tradeoffs across all countermeasures. In 2014, the agency developed a tool to analyze the security effectiveness of alternate combinations of some countermeasures for the purpose of informing acquisition and deployment decisions, but does not have a tool to assess such tradeoffs across the entire system of countermeasures. TSA officials explained that the aviation security system is constantly evolving, and assessing a system in flux is challenging. However, DHS policy and TSA's strategic plan call for the systematic evaluation of costs and effectiveness of TSA's chosen mix of aviation security countermeasures. Without such an analysis, TSA is not well positioned to strike an appropriate balance of costs, effectiveness, and risk.", "This is a public version of a classified report that GAO issued in August 2017. Information that TSA deemed classified or sensitive security information, such as the results of TSA's covert testing and details about TSA's screening procedures, have been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that TSA (1) explore and pursue methods to assess the deterrent effect of TSA's passenger aviation security countermeasures, with FAMS as a top priority to address, and (2) systematically evaluate the potential cost and effectiveness tradeoffs across aviation security countermeasures. DHS concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["It has been 16 years since the attacks of September 11, 2001, exposed vulnerabilities in the U.S. aviation system. Since then, the Department of Homeland Security\u2019s (DHS) Transportation Security Administration (TSA)\u2014the primary federal agency with responsibility for securing the nation\u2019s civil aviation system\u2014has spent billions of dollars on a wide range of programs designed to enhance aviation security. However, achieving TSA\u2019s stated mission to protect the nation\u2019s transportation systems remains a daunting task. Senior DHS officials have stated that terrorist organizations continue to regard civil aviation as an attractive target for attacks. Further, recent attacks involving aircraft and airports in Egypt, Somalia, Belgium, and Turkey have underscored the continued threat to aviation and the need for an effective aviation security program.", "Over the past 5 fiscal years, funding made available to TSA for aviation security has remained relatively steady\u2014ranging from a high of nearly $7.7 billion in fiscal year 2012 to a low of nearly $7.0 billion in fiscal year 2013\u2014but fiscal pressures facing the government continue. In this environment of high threat and limited resources, it is essential that TSA identify how to allocate its resources to obtain the greatest risk mitigation value for each dollar spent.", "You requested that we review what TSA knows about the costs and effectiveness of its passenger aviation security countermeasures. In this report, we examine 1. the extent that TSA has information on the effectiveness of selected passenger aviation security countermeasures, and what these data indicate, and 2. the extent that TSA has systematically analyzed the cost and effectiveness tradeoffs of alternate combinations of countermeasures within its aviation security system.", "This report also presents fiscal year 2015 cost and effectiveness information for selected aviation security countermeasures in appendixes I and II, respectively.", "This report is a public version of a classified report that we issued in August 2017. TSA deemed some of the information in our August report to be classified or sensitive security information, which must be protected from loss, compromise, or inadvertent disclosure. Therefore, this report omits classified and sensitive security information about the effectiveness of certain aviation security countermeasures and some specifics about TSA\u2019s screening procedures. Although the information provided in this report is more limited, the report addresses the same objectives as the classified report and uses the same methodology.", "To determine the extent of TSA\u2019s information on the effectiveness of its passenger aviation security countermeasures in fiscal year 2015, we reviewed past reports and findings from GAO, TSA, and DHS\u2019s Office of Inspector General (OIG) related to the effectiveness of TSA aviation security programs and evidence of steps TSA has taken to address the issues identified. We also asked TSA to provide us with their evidence of the security effectiveness of six selected aviation security countermeasures\u2014passenger prescreening (Secure Flight), checkpoint screening, checked baggage screening, explosives detection canines, the Behavior Detection and Analysis (BDA) program, and the U.S. Federal Air Marshal Service (FAMS)\u2014in detecting, disrupting, and deterring threats to the nation\u2019s aviation system. We selected these six passenger aviation security countermeasures because they involve direct interaction with passengers, their belongings, or their personal information and are largely operated and funded by TSA. We analyzed TSA\u2019s performance and testing data to determine the extent of TSA\u2019s effectiveness information for these six selected countermeasures and what these data indicate about their security effectiveness during fiscal year 2015\u2014the most recent full year for which data were available. We also reviewed TSA documents related to countermeasure effectiveness such as the results of routine TSA tests of screening technologies deployed at airports.", "To obtain TSA perspectives on the extent and reliability of TSA\u2019s effectiveness information as well as the effect of any data limitations, we also interviewed senior TSA officials in (1) the Office of Requirements and Capabilities Analysis (ORCA), which is responsible for assessing TSA\u2019s operational capability gaps and developing future requirements; (2) the Chief Performance and Enterprise Risk Office (CPER), which is responsible for the overall leadership, vision, and direction for risk management across TSA; (3) the Office of Inspections (OOI), which conducts covert testing of several aviation security countermeasures; and (4) individual program offices associated with each of the six countermeasures. We also interviewed officials with the National Center for Risk and Economic Analysis of Terrorism Events (CREATE)\u2014a DHS- funded research center\u2014to obtain their perspective on the challenges TSA faces in measuring the effectiveness of some countermeasures. We compared TSA\u2019s efforts to measure effectiveness to requirements in the Government Performance and Results Act of 1993 (GPRA), as updated by the GPRA Modernization Act of 2010, and leading practices established in GAO\u2019s prior work on using performance information to inform management decision making. We assessed the reliability of TSA\u2019s effectiveness data by (1) reviewing TSA documentation of procedures for recording effectiveness data, (2) manually testing for obvious errors and discrepancies in select results, and (3) interviewing knowledgeable TSA officials about procedures for collecting and recording these data. We discuss our findings about the reliability of these data later in this report.", "To determine the extent that TSA officials have systematically analyzed the cost and effectiveness tradeoffs of alternate combinations of countermeasures, we reviewed TSA documentation of their efforts to do so. Specifically, we reviewed technical papers on TSA\u2019s Risk and Trade Space Portfolio Analysis tool (RTSPA)\u2014a tool the agency developed to analyze security effectiveness tradeoffs among checkpoint screening and checked baggage screening countermeasures. To learn more about TSA\u2019s efforts to analyze cost and effectiveness tradeoffs, we interviewed senior ORCA officials about RTSPA, and observed a demonstration of RTSPA\u2019s analytical capabilities. We also met with senior TSA officials including the prior Chief of Staff, and officials in CPER and the Office of Finance and Administration to discuss the agency\u2019s efforts to analyze the cost and effectiveness tradeoffs of alternate combinations of countermeasures. We then compared the extent of this analysis to DHS\u2019s Policy for Integrated Risk Management memorandum, which describes how DHS components, including TSA, should use risk management to inform strategies, processes and decisions to enhance security. We also compared the extent of this analysis to TSA\u2019s strategic plan.", "The performance audit upon which this report is based was conducted from February 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We worked with DHS from July 2017 to September 2017 to prepare this unclassified version of the original classified report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["Enacted in November 2001, the Aviation and Transportation Security Act (ATSA) established TSA as the primary federal agency responsible for implementing and overseeing the security of the nation\u2019s civil aviation system. In accordance with ATSA, TSA is to ensure that all passengers and property transported by commercial passenger aircraft to, from, or within the United States are adequately screened. Among other things, TSA is responsible for ensuring that for all flights and flight segments originating in the United States, such screening takes place before boarding and is carried out by a federal government employee except as otherwise permitted in statute. Pursuant to TSA-established policies and procedures in effect at about 440 airports at which TSA performs, or oversees the performance of screening operations (i.e., TSA-regulated airports), all passengers, their accessible property, and their checked baggage are to be screened prior to entering the sterile area of the airport or boarding the aircraft. Among other things, these procedures generally provide that passengers pass through security checkpoints where their person, identification documents, and accessible property are screened by Transportation Security Officers (TSO)."], "subsections": [{"section_title": "Overview of Selected Aviation Security Countermeasures", "paragraphs": ["In this report, we examine six countermeasures specific to aviation security\u2014passenger prescreening (Secure Flight), checkpoint screening, checked baggage screening, explosives detection canines, BDA, and FAMS. An overview of these countermeasures is provided below and figure 1 depicts an illustrative example of the process by which an aviation passenger may encounter these selected countermeasures.", "Passenger Prescreening (Secure Flight): TSA uses its Secure Flight prescreening program to match passenger information against federal government watch lists and other information to assign each passenger to one of three risk categories\u2014high risk, low risk, or unknown risk\u2014that either corresponds to the level of screening they will experience at the checkpoint or may deny them an opportunity to board the aircraft. The program requires U.S.- and foreign-flagged commercial aircraft operators traveling to, from, within, or overflying the United States, as well as U.S. commercial aircraft operators with international point-to-point flights, to collect certain information from passengers\u2014such as full name, gender, and date of birth\u2014and transmit that information electronically to TSA. The Secure Flight program then identifies passengers\u2019 risk levels by matching them against federal government watch lists\u2014for example, the No Fly List, comprised of individuals who should be precluded from boarding an aircraft, and the Selectee List, comprised of individuals who should receive enhanced screening at the passenger security checkpoint. Passengers identified as matching the No Fly List, for example, are precluded from obtaining a boarding pass and proceeding through the screening checkpoint. For passengers matching the Selectee List, air carriers must mark their boarding passes accordingly so TSA can identify them for enhanced screening.", "In 2010, TSA began using risk-based criteria to create additional lists for Secure Flight screening, which are composed of high-risk passengers who may not be in the Terrorist Screening Database but whom TSA has determined should be subject to enhanced screening procedures. TSA also began conducting watch list matching against an Expanded Selectee List in order to designate more passengers who are known or suspected terrorists as selectees for enhanced screening. In addition, as part of TSA Pre\u2713\u2122\u2014a 2011 initiative to preapprove passengers for expedited screening\u2014TSA uses Secure Flight to screen passengers against several lists of preapproved low-risk travelers. Passengers determined to be eligible for TSA Pre\u2713\u2122 are identified as such on their boarding passes.", "Checkpoint Screening: TSA screens individuals and property at airport screening checkpoints to deter and prevent the carriage of any unauthorized or prohibited items on board an aircraft or into the airport sterile area. In general, passengers undergo one of three types of checkpoint screening, based on the Secure Flight determinations shown on boarding passes\u2014standard screening, enhanced screening for selectees, and expedited screening for low-risk passengers. Standard screening typically includes passing through a walk-through metal detector or advanced imaging technology (AIT) machine, which identifies objects or anomalies on the outside of the body. Passengers may also be subject to a pat down if they are screened by the AIT or walk-through metal detector and the equipment alarms. Standard screening also typically includes X-ray screening for the passenger\u2019s accessible property. During X-ray examination of the property, TSOs review the X- ray images, and if potential prohibited items are detected, the property will be manually inspected and screened with an explosives trace detection (ETD) machine to identify any traces of explosives material. Enhanced screening generally includes, in addition to the procedures applied during a typical standard screening experience, a pat-down and an explosives trace detection or physical search of the interior of the passenger\u2019s accessible property, electronics, and footwear. Expedited screening typically includes walk-through metal detector screening and X-ray screening of the passenger\u2019s accessible property, but unlike in standard screening, travelers do not have to, among other things, remove their belts, shoes, or light outerwear.", "Checked Baggage Screening: TSA inspects passengers\u2019 checked baggage to deter, detect, and prevent the transport of any unauthorized explosive, incendiary, or weapon onboard an aircraft. Checked baggage screening is accomplished through the use of explosives detection systems (EDS)\u2014which use X-rays with computed tomography technology to automatically measure the physical characteristics of objects in baggage and trigger an alarm when objects that exhibit the physical characteristics of explosives are detected\u2014and ETD machines, which use chemical analysis to manually detect traces of explosive materials\u2019 vapors and residue. At airports with EDS, EDS machines are generally employed for primary screening of checked baggage while ETD machines are used for secondary screening to help resolve questions raised by EDS screening. At airports without EDS machines, ETDs are used as the primary method for screening checked baggage.", "Explosives Detection Canines: TSA\u2019s National Explosives Detection Canine Team Program trains, deploys, and certifies explosives detection canine teams in order to deter and detect the introduction of explosive devices into U.S. transportation systems. Each canine team consists of a handler paired with a canine trained in explosives detection. The canine handlers are generally either a state or local law enforcement officer (LEO) or a TSA employee. Two types of LEO teams and two types of TSA-based teams were trained to operate in the aviation environment during fiscal year 2015. First, TSA explosives detection canine teams patrol terminals, curbside areas, and other airport environments while TSA passenger screening canine teams primarily search for explosives odor on passengers in airport terminals. Second, LEO aviation teams patrol airport terminals, curbside areas, and sterile areas while LEO multimodal teams operate in the airport environment and screen air cargo but also operate in mass transit and maritime environments.", "Behavior Detection and Analysis: TSA\u2019s BDA program employs behavior detection officers (BDO) at passenger screening checkpoints to identify potential threats by observing individuals for certain behavioral indicators\u2014behaviors indicative of stress, fear, or deception. These behavioral indicators include, for example, assessing the way an individual swallows or the degree to which an individual\u2019s eyes are open. According to TSA, these verbal and nonverbal cues and behaviors may indicate mal-intent, such as the intent to carry out a terrorist attack, and provide a means for TSA to identify passengers who may pose a risk to aviation security and refer them for additional screening. During this referral screening, if passengers exhibit additional such behaviors, or if other events occur, such as the discovery of a suspected fraudulent document, BDOs are to refer these passengers to a LEO for further investigation. In fiscal year 2015, the program deployed BDOs primarily in teams of two at passenger screening checkpoints. However, TSA officials reported that in the summer of 2016, the agency began taking steps to integrate BDOs into the TSO workforce by assigning BDOs to the travel document checker position and other positions at passenger screening checkpoints where they are able to observe and interact with passengers in the performance of their screening duties.", "U.S. Federal Air Marshal Service: FAMS deploys federal air marshals on passenger flights to detect, deter, and defeat hostile acts targeting U.S. air carriers, airports, passengers, and crews. In accordance with ATSA, as amended, TSA is authorized to deploy federal air marshals on every passenger flight of a U.S. air carrier and is required to deploy federal air marshals on every such flight determined by the Secretary of Homeland Security to present high security risks, with nonstop, long- distance flights, such as those targeted on September 11, 2001, considered a priority. One of FAMS\u2019s top priorities is to deploy air marshals on flights that have a known or suspected terrorist on board. When FAMS assigns air marshals to cover such flights, it refers to these flights as special mission coverage assignments."], "subsections": []}, {"section_title": "TSA\u2019s System of Aviation Security Countermeasures", "paragraphs": ["TSA uses a risk management strategy\u2014referred to as \u201clayers of security\u201d\u2014whereby TSA simultaneously deploys a mix of screening and other security countermeasures to deter and detect threats. TSA deploys countermeasures in varying combinations at each airport based on available resources, specific security concerns, and the airport\u2019s risk category, among other things. Since the terrorist attacks of September 11, 2001, TSA has implemented and added countermeasures, and refined security procedures in response to specific attacks or threats\u2014 such as the liquid explosives plot in 2006. Figure 2 depicts examples of this progression, illustrating the addition or enhancement of certain TSA countermeasures over the years."], "subsections": []}]}, {"section_title": "TSA Has Effectiveness Data on Some Countermeasures That Show Mixed Results, But Does Not Measure Deterrence", "paragraphs": [], "subsections": [{"section_title": "Data on the Effectiveness of Selected Countermeasures in Detecting and Disrupting Threats to Aviation Security Vary in Extent and Reliability", "paragraphs": ["TSA collected fiscal year 2015 data on the effectiveness of four of the six countermeasures we selected\u2014passenger prescreening, checkpoint screening, checked baggage screening, and explosives detection canines\u2014in detecting or disrupting threats to passenger aviation security. TSA assesses this effectiveness differently for each of these four countermeasures. For example, TSA assessed the effectiveness of its passenger prescreening countermeasure in detecting passengers that may pose a threat to aviation security by measuring the percentage of airline passenger records vetted through its Secure Flight system and the number of high-risk passengers identified. In contrast, TSA assessed the effectiveness of its canine program in detecting and disrupting potential security threats by measuring canine-handler team performance during their annual certification tests as well as covert scenario-based tests called short notice assessments (SNA).", "Some of the effectiveness data TSA has for fiscal year 2015 are of limited reliability and TSA is taking steps to improve this information. For instance, we reported in September 2016 that checkpoint and checked baggage screening effectiveness data from TSA\u2019s Aviation Screening Assessment Program (ASAP) Advantage covert tests conducted in fiscal year 2015 were not reliable. Specifically, TSA found that TSOs performed more poorly in ASAP tests conducted by an independent contractor than in the same tests conducted by local TSA personnel at the same airports. This raised questions about the validity of ASAP tests conducted by local TSA personnel and indicated that TSA\u2019s fiscal year 2015 ASAP pass rates likely showed a higher level of TSO performance in screening for prohibited items than was actually the case. In response to this issue, and to provide ongoing quality assurance for field-based covert testing results, in April 2016, TSA began deploying headquarters- based covert testing teams in both the checkpoint and checked baggage screening environments. TSA officials stated that comparing the results of field- and headquarters-based tests provides TSA with a useful indication of whether or not the field-based covert testing results are valid.", "In another example, we determined that fiscal year 2015 SNA data were not reliable for the purpose of reporting explosives detection canine teams\u2019 covert testing pass rates. Specifically, in the course of our review we found that these data included duplicate entries and errors, and TSA officials stated that the results of an unknown number of SNAs may not have been recorded. Further, we found that TSA\u2019s data collection process for SNA results that were recorded lacked procedures to ensure that manually entered data were accurate and complete. To address these data limitations, canine program officials stated that a new process was implemented in October 2016 to incorporate SNA results directly into the Canine Website System\u2014a central electronic management database for various canine program data. According to these officials, this new process will better ensure that SNA data are complete, accurate, and reliable for use by program officials and TSA leadership in evaluating the effectiveness of the program. Appendix II presents specific fiscal year 2015 effectiveness data for the four selected countermeasures for which TSA had effectiveness information.", "During fiscal year 2015, TSA did not collect data on the effectiveness of two of the six countermeasures we selected\u2014FAMS and the BDA program\u2014in detecting and disrupting threats to aviation security. For FAMS, TSA officials explained that it is very difficult to empirically measure the effectiveness of federal air marshals and the program has no efforts underway to collect such data. We discuss this issue later in this report.", "For the BDA Program, we reported in November 2013 that TSA had not demonstrated that BDOs could consistently identify the behavioral indicators and, further, that decades of peer-reviewed, published research on the complexities associated with detecting deception through human observation also called into question the scientific basis for TSA\u2019s behavior detection activities. As a result, we recommended that TSA limit future funding for the agency\u2019s behavior detection activities until TSA can provide scientifically validated evidence that demonstrates that behavioral indicators can be used to identify passengers who may pose a threat to aviation security. DHS did not concur with the recommendation but has since reduced funding for the BDA Program and taken steps to begin to assess program effectiveness. For example, in 2014 TSA revised its list of behavioral indicators and contracted for a literature review to identify additional sources of evidence supporting these indicators. However, in July 2017, we reported that in our review of all 178 sources TSA cited in support of its revised list, we found that 98 percent (175 of 178) did not provide valid evidence applicable to the specific indicators TSA identified them as supporting. Based on our findings, we continue to believe that TSA should limit future funding for the agency\u2019s behavior detection activities until TSA can provide valid evidence that demonstrates that behavioral indicators can be used to identify passengers who may pose a threat to aviation security, as we recommended in our November 2013 report.", "Table 1 identifies whether TSA has information on the effectiveness of the six selected countermeasures in detecting and disrupting threats to aviation security during fiscal year 2015, the data limitations we identified, and steps TSA officials have taken to improve this effectiveness information."], "subsections": []}, {"section_title": "TSA Effectiveness Data on Selected Countermeasures Indicate Mixed Results", "paragraphs": ["Some of TSA\u2019s fiscal year 2015 data indicate countermeasure effectiveness while other data highlight vulnerabilities in the agency\u2019s ability to detect and disrupt threats to aviation security. For example, for the passenger prescreening countermeasure, TSA officials reported that in fiscal year 2015, TSA\u2019s Secure Flight program vetted 100 percent of the more than 816 million records of passengers who flew into, out of, over, or within the United States, and on U.S.-flagged aircraft operating internationally point-to-point. In addition, for the checkpoint and checked baggage countermeasures, TSA uses Annual Proficiency Reviews (APR) to evaluate TSOs\u2019 skill in performing various checkpoint and checked baggage screening functions, such as pat downs of passengers, bag searches, and use of explosives detection equipment. In 2015, the average rate at which TSOs passed all APR component tests on the first try was nearly 95 percent.", "On the other hand, some fiscal year 2015 effectiveness data indicate vulnerabilities. For example, results from covert testing conducted by TSA\u2019s OOI during fiscal year 2015 indicate vulnerabilities in the checkpoint and checked baggage screening systems. Specific details about OOI\u2019s test results are omitted because the information is classified."], "subsections": []}, {"section_title": "TSA Does Not Measure Deterrence for Any of Its Aviation Security Countermeasures", "paragraphs": ["While TSA has methods to measure its effectiveness in detecting and disrupting threats, the agency has no such methods to measure progress toward its goal of deterring attacks on the U.S. aviation system. TSA officials have cited the deterrent effect of various countermeasures\u2014 including FAMS, canine teams, BDOs, and AIT machines\u2014but does not have information on the deterrent effect of any of these countermeasures. For example, TSA officials explained that canine teams that patrol airports\u2014searching unattended bags and unattended vehicles, among other activities\u2014provide a deterrent presence at airports, but officials noted that they do not have any data on these canines\u2019 deterrent effect. Most notably, with regard to FAMS, TSA officials explained that one of the primary security contributions and a key aspect of the FAMS\u2019s mission is to deter attacks. However, FAMS officials explained that they do not have information on FAMS\u2019s deterrent effect because it is difficult to model, measure, and quantify. TSA officials in multiple offices explained that this difficulty applies not just to FAMS, but also to other TSA countermeasures with an intended deterrent effect.", "OMB and GAO have acknowledged the difficulty in measuring the effect of deterrence programs, but have identified options to overcome these challenges. OMB guidance recognizes that programs with a deterrence or prevention focus can be difficult to measure and suggests that proxy measures that are closely tied to the outcome can be used to determine how well a deterrence process is functioning. We have similarly acknowledged such methodological challenges and identified alternate evaluation methods that could be helpful to agencies, such as using simulations. TSA could, for example, develop theoretical game scenarios and have testers simulate would-be attackers\u2019 decisions when attempting to carry out an attack on the aviation system. Officials with CREATE\u2014a DHS-funded research center\u2014told us that they have conducted some conceptual research on the value of deterrence and believe it would be possible to assess TSA\u2019s deterrent effect by, for example, allowing covert testers to choose their method of attack. Such an assessment could provide TSA with insights regarding which countermeasures a would-be attacker might choose to avoid in various scenarios.", "In a March 2016 report prepared for TSA, CREATE analyzed a prospective risk-based security initiative TSA had begun developing and highlighted the need for further research into deterrence including the need to model the economic value of deterrence. CREATE officials explained that they highlighted this issue because in a resource constrained environment, optimizing TSA\u2019s deterrent effect may be a more cost effective solution to aviation security threats than focusing solely on detection and interdiction. A senior official with CPER stated that the office believes there is value in pursuing further research regarding deterrence and noted that the office had included a request for funding to study deterrence in its fiscal year 2017 expenditure plan, but the request was on hold due to limited funding.", "In accordance with GPRA, as updated by the GPRA Modernization Act, agencies are to establish performance measures to assess progress toward goals. Measuring performance allows organizations to track the progress they are making toward their goals and gives managers critical information on which to base decisions for improving their progress. For example, they can use performance information when developing strategies, allocating resources, identifying problems, and taking corrective action.", "TSA officials told us that developing a means to assess TSA\u2019s deterrent effect would be difficult and require a multi-year effort but having such a means would be helpful. For example, TSA\u2019s prior Chief Risk Officer told us that TSA\u2019s countermeasures deter nefarious actors from attempting an attack on an aircraft, but better understanding this concept will be critical to TSA in its transition into a more holistic, system-wide approach to aviation security. Additionally, a senior ORCA official explained that a better understanding of the deterrent effect of TSA countermeasures could help TSA optimize use of its resources. For example, this official noted that there may be a point at which adding additional federal air marshals has diminishing returns in terms of deterrence and better understanding FAMS\u2019s deterrent effect could help TSA identify that point. This official further stated that developing a method to assess deterrence for this purpose would be challenging but feasible.", "In the absence of any systematic or methodological approach to assessing TSA\u2019s deterrent value, TSA officials have relied on theories of causality and limited evidence available from U.S. intelligence sources. For example, FAMS officials cited the fact that there has not been a hijacking on a U.S. carrier since 2002 as evidence of FAMS\u2019s deterrent effect, but had no specific evidence to support FAMS\u2019s contribution to this outcome. In another example, ORCA officials noted that a 2014 article in an online magazine published by al-Qaeda encouraging would-be- attackers to avoid airports with a certain countermeasure provided evidence of its deterrent value. These observations may provide limited insight into TSA\u2019s deterrent effect, but developing a method to systematically assess the deterrent effect of TSA\u2019s security efforts would better position TSA to improve progress toward its goal\u2014deterring attacks on the U.S. aviation system."], "subsections": []}]}, {"section_title": "TSA Can Compare the Effectiveness of Certain Combinations of Aviation Security Countermeasures, but Does Not Systematically Analyze Cost and Effectiveness Tradeoffs Across All Countermeasures TSA Has a Tool to Assess the Security Effectiveness of Alternate Combinations of Some Countermeasures", "paragraphs": ["In 2014, TSA\u2019s ORCA began using a Risk and Trade Space Portfolio Analysis Tool (RTSPA) to analyze the security effectiveness of alternate combinations of some aviation security countermeasures for the purpose of informing TSA acquisition and deployment decisions. RTSPA provides a means for TSA to model its security effectiveness in different scenarios. For example, the tool could be used to compare the security effectiveness of a theoretical airport screening checkpoint with canines to that of a checkpoint modeled without canines.", "According to ORCA officials, they developed RTSPA to assess security effectiveness tradeoffs among countermeasures that they believed would most benefit from the detailed quantitative analyses that the tool provides, rather than across TSA\u2019s entire system of aviation security countermeasures. Specifically, TSA officials explained that RTSPA is designed to analyze tradeoffs among checkpoint screening countermeasures\u2014including canine teams and BDOs\u2014and checked baggage screening, but was not developed to analyze tradeoffs among other countermeasures TSA deploys. For example, ORCA officials told us that the tool was not developed to analyze crew vetting or FAMS because understanding the security tradeoffs of these countermeasures, while important, does not require the use of such a resource intensive tool like RTSPA. In addition, RTSPA does not account for the full system of aviation security countermeasures, including countermeasures such as hardened cockpit doors and Federal Flight Deck Officers\u2014flight crew members authorized and trained to use firearms. ORCA officials further explained that in 2014, when initially developing the tool, they also developed comparable countermeasure cost data to allow for cost- effectiveness comparisons among countermeasures. However, ORCA officials report that they subsequently stopped analyzing cost tradeoffs because they believed other TSA offices could conduct such analysis.", "In the last two years, TSA officials have used the results of RTSPA analyses to inform some resource tradeoff decisions. For example, ORCA officials told us that in 2015, TSA leadership used the results of a RTSPA analysis when considering options for improving overall security effectiveness at airports that did not have AIT machines. Specifically, TSA used RTSPA to consider the level of risk and potential risk mitigation value of alternative security measures at these airports. TSA officials report that this RTSPA analysis contributed to TSA\u2019s decision to deploy 146 additional AIT machines to such airports. In another example, ORCA officials noted that in early 2017, they used RTSPA to analyze options for resolving checked baggage alarms, taking into consideration the relative risks of military-grade explosive materials and homemade explosive devices.", "TSA officials stated that their use of RTSPA has been limited to date because it is still a relatively new tool. However, ORCA officials told us that they expect use of the tool\u2019s analysis to grow as the agency increasingly seeks to use analytic tools to inform acquisition and deployment decisions. As such, ORCA officials plan to update RTSPA and expand its analytical capabilities."], "subsections": [{"section_title": "TSA Has Not Systematically Analyzed Potential Cost and Effectiveness Tradeoffs Across the Entire System of Aviation Security Countermeasures", "paragraphs": ["TSA does not have any efforts underway to systematically evaluate the potential cost and effectiveness tradeoffs across the full aviation security system. Although TSA\u2019s use of RTSPA to identify effectiveness tradeoffs among selected countermeasures provides some such information, the tool\u2019s analyses are limited and the tool is not designed to offer a system- wide view of effectiveness. When we asked TSA\u2019s prior Chief of Staff about any such efforts, he stated that TSA had not systematically evaluated cost and effectiveness tradeoffs because TSA\u2019s aviation security system is constantly evolving to meet emerging threats, and assessing a system in flux is challenging. However, he told us that such an analysis would be helpful.", "DHS policy and TSA\u2019s strategic plan call for the systematic evaluation of the costs and effectiveness of TSA\u2019s chosen mix of aviation security countermeasures. Specifically, DHS\u2019s 2010 Policy for Integrated Risk Management calls on components, including TSA, to evaluate the performance of risk management strategies it decides to implement. In the case of TSA, TSA\u2019s chosen mix of aviation security countermeasures represents TSA\u2019s current risk management strategy. The policy further establishes that components should develop and analyze alternative strategies to manage risks by considering the projected costs, benefits, and ramifications of each alternative. In addition, TSA\u2019s current Strategic Plan establishes the goal of increasing efficiency and operational effectiveness through disciplined processes and dynamic resource management. One of the stated outcomes associated with this goal is the ability to effectively optimize resource allocation to strike a balance of costs, benefits, and risk. In addition, it was the stated objective of ORCA\u2019s predecessor\u2014the Office of Security Capabilities (OSC)\u2014to develop and implement a comprehensive tradeoff analysis across the security system to inform investment decisions. OSC\u2019s strategic plan further states that such an analysis would include a full set of strategic choices TSA should consider when determining how to respond to a threat or making an investment decision, helping to determine which alternatives provide the greatest risk mitigation value for each dollar spent.", "A senior ORCA official explained that while there is a need for a system- wide tradeoff analyses, RTSPA alone may not be the right tool for this. This official explained that TSA may not require detailed quantitative analyses from a resource-intensive tool such as RTSPA to understand the effectiveness tradeoffs among all aviation security countermeasures, and a portfolio of tools of varying precision and depth could be used to obtain a system-wide view. This official noted that developing TSA\u2019s capability for system-wide tradeoff analysis would be challenging and require a multi-year effort. However, RTSPA could serve as a useful starting place for a more comprehensive system-wide analysis. For example, TSA could build upon ORCA\u2019s past efforts to analyze the comparative cost effectiveness of countermeasures and its experience isolating the security effectiveness contributions of individual countermeasures.", "Without a systematic analysis of the cost and effectiveness tradeoffs across aviation security countermeasures TSA is limited in its ability to achieve its stated goal of optimizing resource allocation and striking a balance of costs, effectiveness, and risk across the system. In an environment of constrained resources and continuing threats to aviation security, producing such analysis could assist TSA leadership in targeting its limited resources to achieve the greatest system-wide risk mitigation value for each dollar spent."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since the terrorist attacks of September 11, 2001, TSA has spent billions of dollars on a range of aviation security programs with the goal of detecting, disrupting, and deterring threats. However, TSA does not have a complete understanding of the contributions these programs are making to this goal. Specifically, TSA has some information on how well it can detect and disrupt threats and is taking steps to improve this information, but does not have information on its ability to deter attacks\u2014a key component of TSA\u2019s goal. For example, in fiscal year 2015, TSA spent approximately $800 million on FAMS\u2014a program with a focus on deterring attacks on aircraft\u2014yet the agency has no information on its effectiveness in doing so. While we and OMB have acknowledged the difficulty in measuring deterrence, we have also suggested options to overcome these challenges. Further, in accordance with GPRA, as updated by the GPRA Modernization Act, agencies are to assess the effectiveness of their programs and leading practices established in GAO\u2019s prior work stress the importance of agencies tracking progress toward goals. Developing a method to assess the deterrent effect of aviation security countermeasures would better position TSA to improve progress toward a key goal\u2014deterring attacks on the U.S. aviation system.", "Since September 11, 2001, TSA has added countermeasures and refined security procedures in response to specific attacks or threats, but has not systematically evaluated its chosen combination of aviation security countermeasures as called for in DHS policy and TSA\u2019s strategic plan. Specifically, TSA does not have any efforts underway to evaluate the potential cost and effectiveness tradeoffs across the full aviation security system because, according to a senior TSA official, the aviation security system is constantly evolving in response to emerging threats, and assessing a system in flux is challenging. However, it is using a model\u2014 known as RTSPA\u2014that could serve as a useful starting place for a more comprehensive system-wide analysis. Developing and implementing a means to systematically evaluate the potential cost and effectiveness tradeoffs across aviation security countermeasures would better position TSA to achieve its stated goal of optimizing resource allocation and striking a balance of costs, effectiveness, and risk. In an environment of constrained resources and continuing threats to aviation security, producing such an analysis could assist TSA leadership in targeting its limited resources to achieve the greatest system-wide risk mitigation value for each dollar spent.", "We recognize that developing these analytical methods will be a difficult undertaking that may take years to achieve. Nonetheless, as TSA improves the reliability and extent of its countermeasure effectiveness data, the agency will also improve its ability to perform system-wide cost and effectiveness tradeoff analyses. In this high threat environment, it is essential that TSA determine how to allocate its finite resources to best position the agency to detect, disrupt and deter threats to aviation security."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to TSA: 1. The Administrator of TSA should explore and pursue methods to assess the deterrent effect of TSA\u2019s passenger aviation security countermeasures; such an effort should identify FAMS\u2014a countermeasure with a focus on deterring threats\u2014as a top priority to address. (Recommendation 1) 2. The Administrator of TSA should systematically evaluate the potential cost and effectiveness tradeoffs across countermeasures, as TSA improves the reliability and extent of its information on the effectiveness of aviation security countermeasures. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. The department\u2019s letter is included in appendix III. In its comments, DHS generally concurred. DHS also provided technical comments, which we incorporated as appropriate.", "With regard to our first recommendation that TSA explore and pursue methods to assess the deterrent effect of its passenger aviation security countermeasures, DHS concurred, noting that this may require proxy or output measures and assumptions about potential adversary choices. DHS also concurred with our second recommendation that TSA systematically evaluate the potential cost and effectiveness tradeoffs across countermeasures. In its comments, DHS stated that TSA will continue efforts to improve both its analysis of information related to security effectiveness and its cost information, leading to better informed cost-benefit decisions for individual countermeasures. To address the intent of our recommendation, TSA will need to evaluate the costs and effectiveness of individual aviation security countermeasures and then use this information to systematically evaluate the potential cost and effectiveness tradeoffs across countermeasures. We will continue to monitor TSA\u2019s efforts in addressing these recommendations.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7141 or GroverJ@gao.gov. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Transportation Security Administration (TSA) Information on the Direct Costs of Selected Countermeasures", "paragraphs": ["As part of this review, we analyzed TSA\u2019s fiscal year 2015 cost data for six selected aviation security countermeasures\u2014passenger prescreening (Secure Flight), checkpoint screening, checked baggage screening, explosives detection canines, the Behavior Detection and Analysis (BDA) program, and the U.S. Federal Air Marshal Service (FAMS). We selected these six passenger aviation security countermeasures because they involved direct interaction with passengers, their belongings, or their personal information and are largely operated and funded by TSA. We determined that TSA can generally identify the fiscal year 2015 direct costs to TSA of the six passenger aviation security countermeasures that we reviewed, as shown in Table 2. TSA generally does not budget or track costs by countermeasure, but is able to identify most direct costs from their financial management system. For those passenger aviation security countermeasures that align with TSA\u2019s budget categories, such as FAMS and passenger prescreening, TSA can run a single report to obtain the direct cost information. However, for those countermeasures that do not align with TSA\u2019s budget categories, such as checkpoint screening and checked baggage screening, TSA is able to run multiple reports and use estimation based on their staffing model to estimate the direct costs."], "subsections": []}, {"section_title": "Appendix II: Fiscal Year 2015 Effectiveness Data for Selected Passenger Aviation Security Countermeasures", "paragraphs": ["The Transportation Security Administration (TSA) collected fiscal year 2015 data on the effectiveness of four of the six countermeasures we selected\u2014passenger prescreening, checkpoint screening, checked baggage screening, and explosives detection canines. These data show mixed results with some data indicating TSA countermeasure effectiveness and other data highlighting vulnerabilities. Below, we describe what TSA knows about the fiscal year 2015 effectiveness of these four countermeasures in detecting or disrupting threats to passenger aviation security."], "subsections": [{"section_title": "Overview of Passenger Prescreening", "paragraphs": ["TSA uses its Secure Flight prescreening program to match passenger information against federal government watch lists and other information to assign each passenger to one of three risk categories\u2014high risk, low risk, or unknown risk\u2014that either corresponds to the level of screening they will experience at the checkpoint or may deny them an opportunity to board the aircraft. Since TSA began implementing Secure Flight in 2009, the passenger prescreening program has changed from a program that identifies passengers as high risk solely by matching them against federal government watch lists\u2014for example, the No Fly List, comprised of individuals who should be precluded from boarding an aircraft, and the Selectee List, comprised of individuals who should receive enhanced screening at the passenger security checkpoint\u2014to one that uses additional lists and risk-based criteria to assign passengers to a risk category. Specifically, Secure Flight now identifies passengers as high risk if they are matched to watch lists of known or suspected terrorists or other lists developed using certain high-risk criteria and as low risk if they are deemed eligible for expedited screening through TSA Pre\u2713\u2122\u2014a 2011 initiative to preapprove passengers for expedited screening\u2014or through the application of low-risk rules. Secure Flight identifies passengers as unknown risk if they do not fall within the other two risk categories.", "To separate passengers into these risk categories, TSA utilizes lists in addition to the No Fly and Selectee Lists, and TSA has adapted the Secure Flight system to perform risk assessments, a system functionality that is distinct from both watch list matching and matching against lists of known travelers. At airport checkpoints, those passengers identified as high risk receive enhanced screening, passengers identified as low risk are eligible for expedited screening, and passengers identified as unknown risk generally receive standard screening. Passengers matched to the No Fly List or the Centers for Disease Control and Prevention\u2019s Do Not Board List\u2014a list which includes individuals who pose a significant health risk to other travelers and are not allowed to fly\u2014are considered highest risk, and thus are not to receive boarding passes, and should not be allowed entry into the sterile area. Figure 3 illustrates this passenger prescreening process."], "subsections": []}, {"section_title": "The Effectiveness of Passenger Prescreening in Fiscal Year 2015", "paragraphs": ["TSA officials reported that the percentage of passengers vetted and the number of high-risk passengers identified by Secure Flight demonstrate the effectiveness of this passenger prescreening program. Specifically, TSA data indicate that in fiscal year 2015, Secure Flight vetted 100 percent of the over 816 million records submitted for passengers who flew into, out of, over, or within the United States, and on U.S.-flagged aircraft operating internationally point-to-point. Of these, TSA identified 15,383 (0.002 percent of passenger records vetted) as confirmed matches to watch lists. Specifically, in fiscal year 2015, TSA identified 9,639 passengers as expanded selectees, 5,019 passengers on the Selectee List, and 725 passengers on the No Fly List.", "In September 2014, we reported that TSA collects and regularly reviews data on the number of passengers identified by the Secure Flight system as potential matches to the No Fly, Selectee, and Expanded Selectee Lists. However, we found that TSA did not measure the extent to which Secure Flight was missing passengers who were actual matches to these lists\u2014false negatives. We recommended that TSA establish such measures. In response, in August 2016, TSA contracted with a third party to conduct an independent assessment of the effectiveness of the Secure Flight automated vetting system including whether Secure Flight identifies the matches it should (i.e., how well the system minimizes false negatives). TSA officials expect this assessment to be complete at the end of calendar year 2017."], "subsections": []}, {"section_title": "Overview of Checkpoint Screening", "paragraphs": ["TSA ensures that all individuals and accessible property are screened as part of its checkpoint screening process to deter and prevent the carriage of any unauthorized explosive, incendiary, weapon, or other prohibited items on board an aircraft or into the airport sterile area\u2014in general, an area of an airport that provides passengers access to boarding aircraft and to which access is controlled through the screening of persons and property. Ordinarily, screening of accessible property at the screening checkpoint begins when an individual places accessible property on the X-ray conveyor belt or hands accessible property to a Transportation Security Officer (TSO). As shown in figure 4, TSOs then review images of the property running through the X-ray machine and look for signs of prohibited items. If a TSO identifies a potential prohibited item, the accessible property will be manually inspected and screened with an explosives trace detection (ETD) machine to identify any traces of explosives material. The passengers themselves are typically screened via a walk-through metal detector or an advanced imaging technology (AIT) machine\u2014often referred to as a full-body scanner\u2014and passengers generally have the option to request screening by a pat down if they do not wish to be screened by these technologies. Passengers will also be subject to a pat down if they are screened by a walk through metal detector or the AIT and the equipment alarms (in order to resolve the alarm).", "TSOs use several screening technologies in order to screen passengers and carry-on bags for prohibited items. For more information on the specific screening technologies deployed at the checkpoint in fiscal year 2015, see Table 3."], "subsections": []}, {"section_title": "The Effectiveness of Checkpoint Screening in Fiscal Year 2015", "paragraphs": ["In fiscal year 2015, TSA collected data on the effectiveness of checkpoint screening by testing TSOs, screening technology (e.g., the AIT and X- ray), and the checkpoint screening system as a whole (i.e., the combination of TSOs and technology)."], "subsections": [{"section_title": "Checkpoint Screening TSOs", "paragraphs": ["TSA collected fiscal year 2015 data on the effectiveness of its TSO workforce in detecting or disrupting threats to aviation security at the checkpoint in three ways: (1) annual proficiency review (APR) of TSOs, (2) threat-image projection (TIP) testing, and (3) Aviation Screening Assessment Program (ASAP) Advantage covert tests.", "Annual Proficiency Reviews. APRs evaluate TSOs\u2019 skill in performing the various checkpoint and checked baggage screening functions and all TSOs must successfully complete the required APR component tests related to their job function on an annual basis as a condition of employment with TSA in their capacity as a screener. Components of the APR focused on checkpoint screening specifically included tests that evaluate TSOs\u2019 ability to identify prohibited items on an X-ray machine and tests that evaluate whether TSOs can perform various practical skills such as pat downs, bag searches, and use of explosive trace detection technology.", "In calendar year 2015, TSA conducted roughly 150,000 APR component tests focused on checkpoint screening. Table 4 provides descriptions of these component tests.", "Threat Image Projection (TIP) Testing. TSA\u2019s TIP testing system displays fictional threat items, such as guns or explosives, onto X-ray images of actual passengers\u2019 carry-on bags to test TSOs\u2019 ability to identify prohibited items in a live operational environment. TSOs operating the X-ray machine at the checkpoint are monitored to see if they positively identify the threat image and call for the bag to be searched. TSA officials report that they use TIP images on a daily basis to monitor TSOs\u2019 ability to identify prohibited items, aid in keeping them focused and attentive, and keep their skills sharp in identifying items they do not routinely see. TSA requires airport personnel to conduct TIP tests and upload monthly results data into TSA\u2019s national database.", "In September 2016, we reported that TSA\u2019s TIP data from fiscal year 2009 through 2014 was incomplete as TSA could not provide TIP scores for every airport during this period. Specifically, during fiscal year 2013, nearly 14 percent of airports failed to report any TIP data. TSA officials also acknowledged that, in addition to the airports that did not report any TIP data for a year or more at a time, other airports may have reported only partial TIP results data during this same time frame. We recommended that TSA officials at individual airports submit complete TIP results to the TSA national database as required and, further, that TSA analyze national TIP data for trends that could inform training needs and improve future training and TSO performance assessments. TSA concurred with our recommendations and is taking steps to address them. Specifically, a new TIP Operations Directive was implemented in October 2016 to disseminate procedures for performance data collection and submission to improve TIP data. According to agency officials, the number of non-compliant airports decreased during fiscal year 2016. However, since these improvements occurred during fiscal years 2016 and 2017, fiscal year 2015 TIP data remained incomplete and unreliable for the purposes of assessing TSO\u2019s effectiveness at identifying TIP images. Therefore, we do not present fiscal year 2015 TIP test results in this report.", "Aviation Screening Assessment Program (ASAP) Advantage Testing. To measure TSO performance nationwide in fiscal year 2015, TSA used standardized ASAP covert tests conducted by local TSA testers at each airport. ASAP tests focused on checkpoint screening were designed to assess the operational effectiveness of TSOs in identifying and preventing prohibited items, such as knives, guns, or simulated improvised explosive devices, from being taken through the checkpoint by testers. In fiscal year 2015, TSA conducted 5,213 ASAP covert tests on checkpoint screening at 170 airports.", "TSA hired a contractor in fiscal year 2015 to independently conduct ASAP standard scenario tests at 40 airports to assess the validity of TSA testing results at those airports. When comparing the contractor\u2019s results to the local TSA testers\u2019 results, TSA found moderate to significant differences in the two sets of test results for most of the 40 airports. According to TSA officials, TSOs generally performed more poorly in the ASAP tests conducted by the independent contractor personnel when compared to the ASAP testing conducted by the local TSA personnel\u2014indicating that pass rates for tests conducted by local TSA personnel were likely showing a higher level of TSO performance than was actually the case. TSA officials reported that the differences in test results have led them to question the extent to which the ASAP tests accurately measure TSO performance. As a result, we do not present the fiscal year 2015 ASAP test results in this report.", "To address this validity issue, in April 2016, TSA officials reported that they began using both headquarters-based covert testing teams composed of headquarters-based TSA employees and field-based covert testing teams composed of local testers in both the checkpoint and checked baggage screening environments at all airports. Both headquarters-based and field-based teams conduct the same scenario- based covert tests that were previously conducted as part of ASAP testing. TSA officials stated that comparing the results of these separate tests has provided TSA with a way to gauge the validity of its test results."], "subsections": []}, {"section_title": "Checkpoint Screening Technology", "paragraphs": ["TSA officials reported that the effectiveness of checkpoint screening technology in fiscal year 2015 is best described by each type of machine\u2019s detection standard\u2014the specified rate of detection each technology is required to achieve in identifying explosives or prohibited items. Specific details about TSA\u2019s detection standards are omitted because the information is classified. Prior to acquiring and deploying a potential new screening technology, TSA conducts testing to evaluate whether potential technologies can effectively achieve the detection standards required by TSA, among other things.", "Once technology is deployed in the airport environment, TSA policy requires at least daily calibration testing of each individual piece of technology deployed at the checkpoint\u2014AIT machines, walk through metal detectors, ETDs, and X-ray machines, among others\u2014to ensure the technology is functioning properly and able to achieve the required detection standards. For example, each day when the screening checkpoint opens, TSOs must ensure that AIT machines successfully complete an image quality verification, a calibration test, and an operational test process before they are cleared for screening operations. TSA policy requires that TSOs record the results of these tests in logbooks and, further, that any screening equipment that does not pass daily testing be immediately taken out of service."], "subsections": []}, {"section_title": "TSA\u2019s Checkpoint Screening System as a Whole", "paragraphs": ["In fiscal year 2015, TSA collected data on the effectiveness of its checkpoint screening system as a whole\u2014including both screening technology and TSO performance\u2014through Red Team covert testing conducted by TSA\u2019s Office of Inspection (OOI). In fiscal year 2015, TSA conducted numerous Red Team covert tests on checkpoint screening at a random sample of U.S. airports. During passenger checkpoint testing, each team of inspectors carries threat items, such as simulated explosive devices, through the passenger checkpoint. If the TSO identifies the threat item during screening, the inspector identifies him or herself to the TSO and the test is considered a pass. If the TSO does not identify the threat item, the inspector proceeds to the sterile area of the airport and the test is considered a failure. According to TSA, these tests are designed to approximate techniques that terrorists may use in order to identify vulnerabilities in the people, processes, and technologies that comprise the aviation security system. In addition to OOI\u2019s Red Team testing, in fiscal year 2015 the Department of Homeland Security (DHS) Office of Inspector General (OIG) also conducted covert tests of certain TSA checkpoint operations at 8 U.S. airports that use AIT machines to screen passengers. According to the DHS OIG, the objective of the tests was to determine the effectiveness of TSA\u2019s AIT, automated target recognition software (which displays a box around anomalies on a generic outline of a body), and checkpoint screener performance in identifying and resolving anomalies and potential security threats at airport checkpoints. The results of both the OOI Red Team and the DHS OIG\u2019s covert tests are omitted because the information is classified."], "subsections": []}]}, {"section_title": "Overview of Checked Baggage Screening", "paragraphs": ["TSA inspects passengers\u2019 checked baggage to deter, detect, and prevent the transport of any unauthorized explosive, incendiary, or weapon onboard an aircraft. Checked baggage screening is accomplished through the use of explosives detection systems (EDS)\u2014which use X- rays with computed tomography technology to automatically measure the physical characteristics of objects in baggage and automatically trigger an alarm when objects that exhibit the physical characteristics of explosives are detected\u2014and explosives trace detection (ETD) machines, in which TSOs swab baggage and use chemical analysis to manually detect traces of explosive materials\u2019 vapors and residue.", "Generally, a checked baggage screening system at airports with EDS includes a three-level screening process. First, EDS machines perform automated screening. If the EDS machine determines that a checked bag requires additional screening, it sends an alarm to a TSO who performs a secondary inspection known as On-Screen Resolution by reviewing an image of the contents of the bag on a computer monitor. If the TSO cannot resolve the alarm using on-screen resolution tools and determines a physical bag search is necessary, the bag goes to the Checked Baggage Resolution Area where a TSO performs a manual inspection of the bag assisted by an ETD machine.", "At the end of fiscal year 2015, TSA had 1,717 EDS machines deployed at 263 airports. At airports without EDS, which are typically smaller airports, ETD machines are the primary method for manually screening checked baggage. At the end of fiscal year 2015, TSA had 2,291 ETD machines deployed at all 437 commercial (i.e., TSA-regulated) airports for primary or secondary screening of checked baggage.", "TSA officials estimate that 25 percent of total TSO time is spent on checked baggage screening, and in fiscal year 2015, this would be the full-time equivalent of approximately 11,000 of TSA\u2019s roughly 45,000 TSOs conducting checked baggage screening."], "subsections": []}, {"section_title": "The Effectiveness of Checked Baggage Screening in Fiscal Year 2015", "paragraphs": ["In fiscal year 2015, TSA collected data on the effectiveness of its checked baggage screening by testing screening personnel (i.e., TSOs), screening technology (EDS and ETD machines), and the checked baggage screening system as a whole (i.e., the combination of TSOs and technology)."], "subsections": [{"section_title": "Checked Baggage Screening TSOs", "paragraphs": ["In fiscal year 2015, TSA collected data on the effectiveness of its TSO workforce in detecting or disrupting threats to aviation security in the checked baggage environment through its APR evaluations and ASAP Advantage covert tests.", "Annual Proficiency Reviews (APR). As discussed above, APRs evaluate TSOs\u2019 skill in performing the various checkpoint and checked baggage screening functions. Components of the APR focused on checked baggage screening include tests that evaluate TSOs\u2019 ability to resolve EDS machine alarms using the appropriate tools and practical skills such as bag searches and the use of ETD technology.", "In calendar year 2015, TSA conducted nearly 35,000 APR component tests specific to the checked baggage screening environment. Table 5 provides descriptions of these component tests.", "Aviation Screening Assessment Program (ASAP) Advantage. In fiscal year 2015, TSA used standardized ASAP covert tests conducted by local TSA testers at each airport to measure TSO performance in both the checkpoint and checked baggage environments. Tests focused on checked baggage screening were designed to assess the operational effectiveness of TSOs in identifying and preventing a threat object concealed in a checked bag from being cleared for loading onto a passenger aircraft. In fiscal year 2015, TSA conducted 1,859 ASAP covert tests on checked baggage screening at 225 airports.", "TSA began deploying headquarters-based covert testing teams in fiscal year 2016 to provide a means to validate the results of covert tests conducted by local TSA testers for both checkpoint and checked baggage screening. However, unlike in the checkpoint environment, the contractor did not perform ASAP covert testing on checked baggage screening during fiscal year 2015. When we compared fiscal year 2016 headquarters-based and field-based pass rates for covert testing of checked baggage screening, we found discrepancies that indicate covert tests conducted by local field-based TSA testers on checked baggage may not be reliable in accurately portraying TSO performance. Additionally, TSA officials stated that they cannot be certain these data are reliable. As a result, we do not present ASAP Advantage data in this report."], "subsections": []}, {"section_title": "Checked Baggage Screening Technology and TSA\u2019s Checked Baggage Screening System as a Whole", "paragraphs": ["As with checkpoint screening technology discussed above, TSA officials reported that in fiscal year 2015, technology deployed at airports for checked baggage screening was calibrated and tested daily to ensure that it was operating as intended. According to TSA officials, these daily tests help to ensure that its screening technologies are meeting the detection standards they were designed to achieve. TSA officials reported that any equipment found not to meet required detection standards was immediately taken out of service. As described above, OOI also conducted Red Team covert testing on checked baggage screening at airports with EDS machines in fiscal year 2015. Specific details about TSA\u2019s detection standards and the results of OOI\u2019s covert tests are omitted because the information is classified."], "subsections": []}]}, {"section_title": "Explosives Detection Canines", "paragraphs": ["Through its National Explosives Detection Canine Team Program, TSA trains, deploys, and certifies explosives detection canine teams in order to deter and detect the introduction of explosive devices into U.S. transportation systems. Each canine team consists of a handler\u2014 generally either a state or local law enforcement officer (LEO) or TSA employee\u2014paired with a canine trained in explosives detection.", "As of September 2015, TSA had 692 canine teams deployed to 88 airports across the United States. These teams were composed of four types of canine teams trained to operate in the airport environment: TSA explosives detection canine (EDC) and Passenger Screening Canine (PSC) teams as well as LEO aviation and multimodal teams. Table 6 shows the number of canine teams by type deployed in the airport environment as of September 2015 and describes their roles and responsibilities."], "subsections": []}, {"section_title": "The Effectiveness of Explosives Detection Canines in Fiscal Year 2015", "paragraphs": ["In fiscal year 2015, TSA collected data on the effectiveness of its canine teams in detecting or disrupting threats to aviation security through its annual certification evaluation process and short notice assessments (SNA)\u2014covert tests conducted to assess canine teams\u2019 operational effectiveness in detecting and responding to possible explosives.", "Annual Certification Evaluations. TSA\u2019s annual evaluations assess whether canine teams meet the explosives detection certification standards established by the program. Following initial training, new canine teams must demonstrate certain critical skills in order to be certified to work in their home operating environment. After initial certification, all TSA canine teams are evaluated on an annual basis to maintain certification. Canine teams that fail their annual evaluation are decertified and limited to training and operating as a visible deterrent until they successfully complete the annual evaluation and are recertified to conduct screening.", "To achieve EDC certification, canine teams must demonstrate their ability to detect hidden explosive training aids across a specified number of areas, a certain percent of the time. After passing this conventional evaluation, PSC teams undergo further testing in different locations within the sterile area of an airport. To achieve PSC certification, canine teams must successfully identify an explosives-carrying target/decoy in a specified number of search areas.", "In fiscal year 2015, TSA conducted 673 EDC annual certification evaluations and 116 PSC evaluations. The fiscal year 2015 first-time pass rates for EDC and PSC canine teams has been designated as sensitive security information and thus cannot be included in a public report.", "Short Notice Assessments. TSA conducts covert testing of canine teams to measure their effectiveness in detecting and responding to explosives odor during normal operations. These covert tests, known as SNAs, are conducted using one of four scenarios chosen to match a canine team\u2019s primary area of operations\u2014an unattended bag, unattended vehicle, cargo screening, and passenger screening. Field Canine Coordinators\u2014TSA officials that administer SNAs\u2014are responsible for debriefing participants after the assessment, determining if corrective actions are necessary, and officially documenting outcomes.", "We assessed the reliability of SNA results in fiscal year 2015 and determined that the data were not reliable for the purpose of reporting overall pass rates. Specifically, we found duplicate entries and errors in the data. In addition, we found that fiscal year 2015 data on pass rates may be incomplete since the results of some SNAs may not have been subsequently recorded in TSA\u2019s system. Further, TSA\u2019s process of manually recording SNA results in fiscal year 2015 lacked procedures to ensure that data entered into TSA\u2019s system were accurate and complete.", "To address these data limitations, canine program officials stated that a new process was implemented in October 2016 to incorporate SNA results directly into the Canine Website System\u2014a central electronic management database for various canine program data. According to these officials, this new process will better ensure that SNA data are complete, accurate, and reliable for use by program officials and TSA leadership in evaluating the effectiveness of the program."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Maria Strudwick (Assistant Director), Chuck Bausell, Claudia Becker, Bryan Bourgault, Bruce Crise, Dominick Dale, Brianna Dieter, Michele Fejfar, Eric Hauswirth, Susan Hsu, James Kernen, and Tom Lombardi made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-189T", "url": "https://www.gao.gov/products/GAO-18-189T", "title": "VA Real Property: Realignment May Benefit from Adopting Elements of Defense Base Realignment and Closure Process, Provided Process Challenges Are Addressed", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA operates one of the largest health care systems in the United States, utilizing more than 6,000 federally owned and 1,500 leased buildings. DOD has repeatedly applied the BRAC process to reduce the amount of unneeded property that it owns and leases and to save billions of dollars that could be applied to higher priority defense needs.", "This statement is based on GAO's April 2017 report related to VA facility alignment ( GAO-17-349 ) and numerous GAO reports related to the BRAC process as summarized in a June 2011 testimony ( GAO-11-704T ) and a March 2012 testimony ( GAO-12-513T ). This statement addresses (1) the factors that affect VA's facility alignment and the extent to which VA's capital-planning process facilitates the alignment of facilities with the veterans' population, and (2) the key elements and challenges affecting DOD and the Commission in BRAC 2005. Detailed information on our scope and methodologies for this work can be found in these published products, cited throughout this testimony."]}, {"section_title": "What GAO Found", "paragraphs": ["Geographic shifts in the veterans' population, changes in health care delivery, aging infrastructure, and limited stakeholder involvement affect the Department of Veterans Affairs' (VA) efforts to align its services and real property portfolio to meet the needs of veterans. For example, a shift over time from inpatient to outpatient care will likely result in underutilized space once used for inpatient care. Further, the historic status of some VA facilities adds to the complexity of converting or disposing of them. In such instances, it is often difficult and costly for VA to modernize, renovate, and retrofit these older facilities.", "GAO reported that two of the planning processes VA uses to align its facilities\u2014VA's Strategic Capital Investment Planning (SCIP) and the VA Integrated Planning (VAIP)\u2014have limitations that undermine VA's efforts to achieve its goals. Specifically:", "VA relies on the SCIP process to plan and prioritize capital projects, but VA routinely asks its facility planners to submit their next year's planned project narratives before knowing if their previous submissions have been funded. The overlapping budget cycle, which is outside of VA's control, combined with other SCIP limitations\u2014including subjective narratives, long time frames, and restricted access to information\u2014make it difficult for VA to rely on SCIP to accurately identify the capital necessary to address its service and infrastructure gaps. VA concurred that it needs to address SCIP limitations that are within its control, as GAO recommended; VA has made some progress in implementing the recommendation has made some progress in implementing the recommendation.\\", "The VAIP process is estimated to cost $108 million and to produce market-level service delivery plans and facility master plans. However, the VAIP master plans incorrectly assume that all future growth in services will be provided directly through VA facilities without considering alternatives, such as purchasing care from the community. GAO recommended that VA consider discontinuing the VAIP facility master plans pending an assessment of their value as a facility-planning tool. VA agreed with the recommendation and is implementing it while pursuing a national realignment strategy..", "Key elements of the Department of Defense's (DOD) 2005 Base Realignment and Closure (BRAC) process could benefit VA's asset and infrastructure review. The key elements included: (1) establishing goals for the process, (2) developing criteria for evaluating closures and realignments, and (3) establishing an organizational structure to develop closure and realignment options. GAO identified key challenges that affected DOD's implementation of BRAC 2005 and the results achieved; these challenges would need to be addressed if VA is to successfully apply the process. These challenges included: (1) large, complex recommendations required sustained senior leadership's attention and a high level of coordination among many stakeholders, and (2) the large number of actions that depend on each other for successful implementation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In the April 2017 report, GAO made recommendations related to capital planning and stakeholder involvement. VA concurred with the recommendations to the extent that they were within its control and has started making improvements."]}], "report": [{"section_title": "Letter", "paragraphs": ["We are pleased to be here today to discuss our work related to the Department of Veterans Affairs\u2019 (VA) efforts to align its medical facilities and services, as well as our work on the Department of Defense\u2019s (DOD) military Base Realignment and Closure (BRAC) process. These efforts are both relevant to challenges the federal government faces in real property management.", "VA operates one of the largest health care systems in the United States, providing care to more than 8.9 million veterans each year. VA is also one of the largest federal property-holding agencies. In September 2014, VA\u2019s reported inventory included 6,091 federally owned buildings and 1,586 leased buildings. However, in recent decades, the veteran population and preferences have shifted. VA has recognized this shift and the need to modernize its aging infrastructure and align its real property assets to provide accessible, high-quality, and cost-effective services to veterans. Aligning VA facilities to improve veteran access to services integrates two of GAO\u2019s high risk areas: veterans\u2019 health care and federal real property. In 2015, GAO placed veterans\u2019 health care on its High Risk List due to persistent weaknesses and systemic problems with timeliness, cost- effectiveness, quality, and safety of the care provided to veterans. In 2003, GAO placed federal real property management\u2014including management of VA real property\u2014on its High Risk List due to long- standing challenges, such as effectively disposing of excess and underutilized federal property.", "DOD has repeatedly applied the BRAC process to reduce the amount of unneeded property that it owns and leases. DOD has undergone five BRAC rounds since 1988 as a means of reducing excess infrastructure and realigning bases to meet changing force structure needs. The most recent BRAC round in 2005 also provided opportunities for furthering transformation and fostering jointness. As a result of these rounds, DOD reported that it had reduced its domestic infrastructure and transferred hundreds of thousands of acres of unneeded property to other federal and nonfederal entities. DOD data show that the department generated an estimated $28.9 billion in net savings or cost avoidances from the prior four BRAC rounds through fiscal year 2003 and expects to save about $7 billion each year thereafter. Regarding the 2005 BRAC round, we estimated that DOD saved about $15.2 billion from fiscal years 2006 through 2011 with an annual recurring savings of $3.8 billion beginning in fiscal year 2012. These savings reflect money that could be applied to other higher priority defense needs as well as savings from what DOD estimated it would likely have spent to operate military installations had they remained open.", "Our testimony today is based on our April 2017 report examining VA\u2019s efforts to align its facilities with veterans\u2019 needs, and on numerous GAO reports related to the BRAC process as summarized in June 2011 and March 2012 testimonies. Today\u2019s testimony addresses (1) the factors that affect VA\u2019s facility alignment and the extent to which VA\u2019s capital- planning process facilitates the alignment of facilities with the veterans\u2019 population, and (2) the key elements and challenges affecting DOD and the Commission in BRAC 2005. For our April 2017 report, we reviewed VA\u2019s facility-planning documents and data and interviewed VA officials in headquarters and at seven medical facilities selected for their geographic location, veteran population, and past alignment efforts. Additional information on our scope and methodology is available in our April report. Detailed information on our scope and methodologies for our BRAC work can be found in the published products, which are cited throughout this testimony. The work on which this testimony is based was conducted in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "VA\u2019s Efforts to Align its Facilities Are Affected by Several Factors and Are Impeded by Limitations in Its Capital-planning Processes", "paragraphs": [], "subsections": [{"section_title": "Facility Alignment Is Challenged by Shifting Veterans\u2019 Populations, Evolving Care Standards, Aging Infrastructure, and Limited Stakeholder Involvement", "paragraphs": ["Geographic shifts in the veterans\u2019 population, changes in health care delivery, an aging infrastructure, and limited stakeholder involvement affect VA\u2019s efforts to align its services and real property portfolio to meet the needs of veterans. For example, there has been a shift over time from inpatient to outpatient care. This shift will likely result in underutilized space once used for inpatient care. In such instances, it is often difficult and costly for VA to modernize, renovate, and retrofit these older facilities. In June 2017, VA reported that its facility inventory includes 430 vacant or mostly vacant buildings that are, on average, more than 60 years old, and an additional 784 buildings that are underutilized.", "The historic status of some VA facilities adds to the complexity of converting or disposing of them. In 2014, VA reported holding 2,957 historic buildings, structures, or land parcels\u2014the third most in the federal government after DOD and the Department of the Interior. In some instances, it may be more expensive to renovate than to demolish and rebuild outdated facilities. In other cases, however, there may not be an option to demolish if these buildings are designated as historic. For example, planning officials at four medical facilities in our review told us that state historic preservation efforts prevented the VA from demolishing vacant buildings, even though these buildings require upkeep costs and pose potential safety hazards. (See fig. 1.)", "VA has also encountered challenges to its facility alignment efforts, in part, because it has not consistently followed best practices for effectively engaging stakeholders. VA may align its facilities to meet veterans\u2019 needs by expanding or consolidating facilities or services. Stakeholders\u2014 including veterans; local, state, and federal officials; Veterans Service Organizations; historic preservation groups; VA staff; and Congress\u2014 often view changes as working against their interests or those of their constituents, especially when services are eliminated or shifted from one location to another. We found that VA has not consistently engaged with stakeholders, and, in some cases, this inconsistency resulted in adversarial relationships that reduced VA\u2019s ability to better align facilities with the needs of the veteran population.", "In our April 2017 report, we recommended that VA improve stakeholder communication guidance and evaluate its efforts. VA agreed with our recommendations and outlined a plan to implement them."], "subsections": []}, {"section_title": "Limitations in VA\u2019s Capital- planning Processes Impede Its Alignment of Facilities SCIP Process", "paragraphs": ["Two of the planning processes VA uses to align its facilities\u2014VA\u2019s Strategic Capital Investment Planning (SCIP) and the VA Integrated Planning (VAIP)\u2014have limitations.", "VA relies on the SCIP process to plan and prioritize capital projects system-wide, but SCIP\u2019s limitations\u2014including subjective narratives, long timeframes, and restricted access to information\u2014undermine VA\u2019s ability to achieve its goals. For example, the time between when planning officials at VA medical facilities begin developing the SCIP narratives and when they are notified that a project is funded has taken between 17 and 23 months over the past 6 fiscal-year\u2019s SCIP submissions. (See fig. 2.) As such, VA routinely asks its facility planners to submit their next year\u2019s planned project narratives before knowing if their project submissions from the previous year have been funded.", "An official from the office that oversees SCIP told us that the timing of the budgeting process, which is outside VA\u2019s control, contributes to these delays. While these aspects are outside of VA\u2019s control, VA has chosen to wait about 6 to 10 months to report the results of the SCIP scoring process to the medical facilities. This situation makes it difficult for local officials to understand the likelihood that their projects will receive funding. A VA official said that for future SCIP cycles, VA plans to release the scoring results for minor construction and non-recurring maintenance projects to local officials earlier in the process. At the time of our review, however, the official did not have a time frame for when VA would do this. Although VA acknowledges many of these limitations, it has taken little action in response. Federal standards for internal control state that agencies should evaluate and determine appropriate corrective action for identified limitations on a timely basis. If VA does not address known limitations with the SCIP process, it will not have reasonable assurance that SCIP can be used to accurately identify the capital necessary to address VA\u2019s service and infrastructure gaps.", "In our April 2017 report, we recommended that VA address identified limitations to the SCIP process, including limitations to scoring and approval, and access to information. VA concurred with the recommendation to the extent the limitations were within its control. While VA has taken some actions, the recommendation remains open."], "subsections": [{"section_title": "VAIP Process", "paragraphs": ["The VAIP process produces a market-level health services delivery plan for each Veterans Integrated Service Network (VISN) and a facility master plan for each medical facility. VA has estimated the entire process to create plans for VISNs and facilities to cost $108 million when fully complete. However, the VAIP process\u2019s facility master plans assume all future growth in services will be provided directly through VA facilities. This assumption is not accurate given that (1) VA obligated about $10.1 billion to purchase care from non-VA providers in fiscal year 2015 and (2) VA can provide care directly through its medical facilities or purchase health care services from non-VA providers through both the Non-VA Medical Care Program (referred to as \u201ccare in the community\u201d by VA) and clinical contracts. The Office of Management and Budget\u2019s acquisition guidance notes that investments in major capital assets should be made only if no alternative private sector source can support the function at a lower cost.", "In our April 2017 report, we recommended that VA assess the value of the VAIP\u2019s facility master plans as a facility-planning tool, and based on conclusions from the review, to either (1) discontinue the development of VAIP\u2019s facility master plans or (2) address the limitations of VAIP\u2019s facility master plans. VA concurred with the recommendation, and in August 2017, VA noted that it has discontinued its VAIP facility master plans while VA pursues a national realignment strategy, after which it plans to adjust its future facility master plans to incorporate pertinent information, including care in the community realignment opportunities."], "subsections": []}]}]}, {"section_title": "Key Elements and Challenges Affecting DOD and the Commission in BRAC 2005", "paragraphs": [], "subsections": [{"section_title": "Key Elements That DOD Used to Develop Its 2005 BRAC Recommendations That Could Benefit VA Asset and Infrastructure Review", "paragraphs": ["As Congress evaluates proposed legislation for disposing of or realigning VA property, it may wish to consider seven elements DOD relied on as it developed its recommendations for the BRAC Commission.", "Establish goals for the process. The Secretary of Defense emphasized the importance of transforming the military to make it more efficient as part of the 2005 BRAC round. Other goals for the 2005 BRAC process included fostering jointness among the four military services, reducing excess infrastructure, and producing savings. Prior rounds focused more on reducing excess infrastructure and producing savings.", "Develop criteria for evaluating closures and realignments. DOD proposed selection criteria, which were made available for public comment via the Federal Register. Ultimately, Congress enacted the final BRAC selection criteria in law with minor modification and specified that four selection criteria, known as the \u201cmilitary value criteria,\u201d were to be given priority in developing closure and realignment recommendations. Further, Congress required that the Secretary of Defense develop and submit to Congress a force structure plan that described the estimated size of major military units needed to address probable threats to national security for the 20- year period beginning in 2005, along with a comprehensive inventory of global military installations. In authorizing the 2005 BRAC round, Congress specified that the Secretary of Defense publish a list of recommendations for the closure and realignment of military installations inside the United States based on the statutorily-required 20-year force structure plan and infrastructure inventory, and on the final selection criteria.", "Estimate costs and savings to implement closure and realignment recommendations. To address the cost and savings criteria, DOD developed and used the Cost of Base Realignment Actions (COBRA) model, a quantitative tool that DOD has used since the 1988 BRAC round to provide consistency in potential cost, savings, and return-on-investment estimates for closure and realignment options. We found the COBRA model to be a generally reasonable estimator for comparing potential costs and savings among alternatives. (See fig. 3.)", "As with any model, the quality of the output from COBRA was a direct function of the data DOD included in the model. Also, DOD\u2019s COBRA model relied to a large extent on standard factors and averages and did not represent budget quality estimates that were developed once BRAC decisions were made and detailed implementation plans were developed. Nonetheless, the financial information provided important input into the selection process as decision makers weighed the financial implications\u2014along with military value criteria and other considerations\u2014in arriving at final decisions about the suitability of various closure and realignment options.", "Establish an organizational structure. The Office of the Secretary of Defense emphasized the need for joint cross-service groups to analyze common business-oriented functions. For the 2005 BRAC round, as for the 1993 and 1995 rounds, these joint cross-service groups performed analyses and developed closure and realignment options in addition to those developed by the military departments. Our evaluation of DOD\u2019s 1995 BRAC round found that few cross- service recommendations were made, in part because of the lack of high-level leadership to encourage consolidations across the departments\u2019 functions. In the 1995 BRAC round, the joint cross- service groups submitted options through the military services for approval, but few were approved. The number of approved recommendations that the joint cross-service groups developed significantly increased in the 2005 BRAC round. This increase was, in part, because high-level leadership ensured that the options were approved not by the military departments but rather by a DOD senior- level group, known as the Infrastructure Steering Group. As shown in figure 4, the Infrastructure Steering Group was placed organizationally on par with the military departments.", "Establish a common analytical framework. To ensure that the selection criteria were consistently applied, the Office of the Secretary of Defense, the military departments, and the seven joint cross- service groups first performed a capacity analysis of facilities and functions. Before developing the candidate recommendations, DOD\u2019s capacity analysis relied on data calls to hundreds of locations to obtain certified data to assess such factors as maximum potential capacity, current capacity, current usage, and excess capacity. Then, the military departments and joint cross-service groups performed a military value analysis for the facilities and functions based on primary military value criteria, which included a facility\u2019s or function\u2019s current and future mission capabilities, physical condition, ability to accommodate future needs, and cost of operations.", "Develop BRAC oversight mechanisms to improve accountability for implementation. In the 2005 BRAC round, the Office of the Secretary of Defense for the first time required the military departments to develop business plans to better inform the Office of the Secretary of Defense of the status of implementation and financial details for each of the BRAC 2005 recommendations. These business plans included: (1) information such as a listing of all actions needed to implement each recommendation; (2) schedules for personnel relocations between installations; and (3) updated cost and savings estimates by DOD based on current information. This approach permitted senior-level intervention if warranted to ensure completion of the BRAC recommendations by the statutory completion date.", "Involve the audit community to better ensure data accuracy. The DOD Inspector General and military department audit agencies played key roles in identifying data limitations, pointing out needed corrections, and improving the accuracy of the data used in the process. In their oversight roles, the audit organizations, which had access to relevant information and officials as the process evolved, helped to improve the accuracy of the data used in the BRAC process and thus strengthened the quality and integrity of the data used to develop closure and realignment recommendations. For example, the auditors worked to ensure certified information was used for BRAC analysis and reviewed other facets of the process, including the various internal control plans, the COBRA model, and other modeling and analytical tools that were used in the development of recommendations."], "subsections": []}, {"section_title": "Key Challenges Affecting DOD and the Commission in BRAC 2005", "paragraphs": ["We identified two key challenges that affected DOD\u2019s implementation of BRAC 2005 and would need to be addressed for VA to adopt a BRAC- like process for its asset and infrastructure review.", "Some transformational-type BRAC recommendations required sustained senior leadership attention and a high level of coordination among many stakeholders to complete by the required date. Implementation of some transformational BRAC recommendations\u2014especially those where a multitude of organizations had roles to play to ensure the achievement of the goals of the recommendation\u2014illustrated the need to involve key stakeholders and effective planning. For example, the Defense Logistics Agency committed sustained high-level leadership and included relevant stakeholders to address implementation challenges faced with the potential for disruptions to depot operations during implementation of the BRAC consolidation recommendation. To implement the BRAC recommendations, the agency had to develop strategic agreements with the services that ensured that all stakeholders agreed on its plans for implementation, and had to address certain human capital and information technology challenges.", "Large number of actions and interdependent recommendations complicated the implementation process. The large number and variety of BRAC actions presented challenges during implementation. The BRAC 2005 round had more individual actions (813) than the four prior rounds combined (387). The executive staff of the Commission told us that it was more difficult to assess the costs and the amount of time for the savings to offset the implementation costs since many of the recommendations contained multiple interdependent actions, all of which needed to be reviewed. Specifically, many of the BRAC 2005 recommendations were interdependent and had to be completed in a sequential fashion within the statutory implementation period. In cases where interdependent recommendations required multiple relocations of large numbers of personnel, delays in completing one BRAC recommendation had a cascading effect on the implementation of other recommendations. Specifically, DOD had to synchronize the relocations of over 123,000 people with about $24.7 billion in new construction or renovation. Commission officials told us that in prior BRAC rounds each base was handled by a single integrated recommendation. However, in BRAC 2005, many installations were simultaneously affected by multiple interconnected BRAC recommendations. Given the complexity of interdependent recommendations, the Office of the Secretary of Defense required the military departments and defense agencies to provide periodic updates on implementation challenges and progress.", "Chairman Roe, Ranking Member Walz, and Members of the Committee, this concludes our prepared statement. We are happy to answer any questions related to our work on VA\u2019s efforts to align its medical facilities and services or on DOD\u2019s BRAC process."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact David Wise at (202) 512-2834 or wised@gao.gov regarding federal real property, or Brian Lepore at (202) 512-4523 or leporeb@gao.gov regarding the BRAC process. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Keith Cunningham, Assistant Director; Gina Hoffman, Assistant Director; Tracy Barnes; Jeff Mayhew; Kevin Newak; Richard Powelson; Malika Rice; Jodie Sandel; Eric Schwab; Amelia M. Weathers; and Crystal Wesco.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-365", "url": "https://www.gao.gov/products/GAO-18-365", "title": "Freedom of Information Act: Agencies Are Implementing Requirements but Additional Actions Are Needed", "published_date": "2018-06-25T00:00:00", "released_date": "2018-06-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FOIA requires federal agencies to provide the public with access to government records and information based on the principles of openness and accountability in government. Each year, individuals and entities file hundreds of thousands of FOIA requests. In the last 9 fiscal years, federal agencies subject to FOIA have received about 6 million requests.", "GAO was asked to review federal agencies' compliance with FOIA requirements. Our objectives, among others, were to (1) determine the extent to which agencies have implemented selected FOIA requirements; (2) describe the methods established by agencies to reduce backlogged requests and the effectiveness of those methods; and (3) identify any statutory exemptions that have been used by agencies as the basis for withholding (redacting) information from requesters.", "To do so, GAO selected 18 agencies based on their size and other factors and assessed their policies against six FOIA requirements. GAO also reviewed the agencies' backlog reduction plans and developed a catalog of statutes that agencies have used to withhold information."]}, {"section_title": "What GAO Found", "paragraphs": ["All 18 selected agencies had implemented three of six Freedom of Information Act (FOIA) requirements reviewed. Specifically, all agencies had updated response letters to inform requesters of the right to seek assistance from FOIA public liaisons, implemented request tracking systems, and provided training to FOIA personnel. For the three additional requirements, 15 agencies had provided online access to government information, such as frequently requested records, 12 agencies had designated chief FOIA officers, and 12 agencies had published and updated their FOIA regulations on time to inform the public of their operations. Until these agencies address all of the requirements, they increase the risk that the public will lack information that ensures transparency and accountability in government operations.", "The 18 selected agencies had backlogs of varying sizes, with 4 agencies having backlogs of 1,000 or more requests during fiscal years 2012 through 2016. These 4 agencies reported using best practices identified by the Department of Justice, such as routinely reviewing metrics, as well as other methods, to help reduce their backlogs. Nevertheless, these agencies' backlogs fluctuated over the 5-year period (see figure). The 4 agencies with the largest backlogs attributed challenges in reducing their backlogs to factors such as increases in the number and complexity of FOIA requests. However, these agencies lacked plans that described how they intend to implement best practices to reduce backlogs. Until agencies develop such plans, they will likely continue to struggle to reduce backlogs to a manageable level.", "Agencies used various types of statutory exemptions to withhold information when processing FOIA requests during fiscal years 2010 to 2016. The majority of these fell into the following categories: personally identifiable information, national security, law enforcement and investigations, and confidential and commercial business information."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making recommendations to 16 agencies to post records online, designate chief FOIA officers, update regulations, and develop plans to reduce backlogs. Nine agencies agreed with the recommendations, 1 both agreed and disagreed, 2 disagreed, and 4 neither agreed nor disagreed. GAO continues to believe the recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Freedom of Information Act (FOIA), which was enacted into law more than 50 years ago, requires federal agencies to provide the public with access to government records and information based on the principles of openness and accountability in government. Each year, individuals and entities file hundreds of thousands of FOIA requests for information on numerous topics that contribute to the understanding of government actions. These topics have included, among others, the disclosure of waste, fraud, and abuse; conditions such as unsafe consumer products and harmful drugs; as well as information related to the government\u2019s assistance to corporations during the U.S. financial crisis of 2008. In the last 9 fiscal years, agencies subject to FOIA have reported receiving about 6 million requests.", "Given the significance of FOIA, Congress has had a longstanding interest in the manner in which the act is being implemented, including the extent to which federal agencies respond to FOIA requests, the timeliness of the responses, and the number and nature of exemptions claimed by agencies in withholding requested information. Since 1978, we have issued a number of reports that have addressed various aspects of federal agencies\u2019 efforts to implement the act.", "At your request, we reviewed federal agencies\u2019 compliance with FOIA requirements, backlogs, use of exemptions, and FOIA requests related to the 2008 financial crisis. Our specific objectives were to (1) determine the extent to which agencies have implemented selected FOIA requirements; (2) describe the methods established by agencies to reduce backlogged requests and the effectiveness of those methods; (3) identify any statutory (b)(3) exemptions that have been used by agencies as the basis for withholding (redacting) information; and (4) determine what FOIA requests, if any, agencies received and processed that related to entities that received government assistance amounting to 50 percent or more ownership by the federal government during the 2008 financial crisis.", "To address the first and second objectives, we reviewed the FOIA-related actions of a nonprobability sample of 18 federal agencies. We identified these agencies by considering: the number of FOIA requests received, the sizes of FOIA backlogs, and the average time for processing FOIA requests for fiscal years 2012 through 2016. We also chose the agencies to represent a range of sizes (by number of employees)\u2014large (10,000 or more), medium (1,000 to 9,999), and small (999 or fewer). Table 1 lists the selected agencies by size.", "For the first objective, we reviewed six FOIA requirements outlined in the FOIA Improvement Act of 2016 and the OPEN Government Act of 2007. These specific requirements call for agencies to (1) update response letters, (2) implement tracking systems, (3) provide FOIA training, (4), provide records online, (5) designate chief FOIA officers, and (6) update and publish timely and comprehensive regulations.", "We then obtained and reviewed available documentation from the 18 selected agencies describing their decisions and actions related to the requirements. This documentation included policies pertaining to the processing and tracking of FOIA requests and appeals, the methods used to communicate with requesters, and any related training offered to personnel involved in processing FOIA requests. We compared the agencies\u2019 documentation to FOIA implementation guidance issued by the Department of Justice (Justice). We also interviewed relevant officials at each selected agency.", "In addition, we interviewed officials of the Office of Management and Budget (OMB) and Justice\u2019s Office of Information Policy (OIP) to discuss the status of efforts to develop a government-wide FOIA request portal, as required by the 2016 amendments to FOIA. We also met with members of the Chief FOIA Officers Council, as well as officials in Justice\u2019s OIP and the National Archives and Records Administration\u2019s (NARA) Office of Government Information Services (OGIS) to determine what, if any, actions these agencies have taken to assist FOIA-reporting agencies with complying with the requirements of the 2016 amendments to FOIA. The findings related to our first objective are not generalizable to the 117 FOIA reporting agencies.", "For the second objective, we first reviewed requirements for agencies to produce backlog reduction plans, as outlined in Justice\u2019s annual chief FOIA officer report guidance and OMB\u2019s Open Government Directive of 2009. We then determined whether agencies had developed such plans as required, by interviewing relevant agency personnel and reviewing existing plans. Further, we analyzed data on Justice\u2019s FOIA.gov website to identify any instances of a reported reduction in an agency\u2019s FOIA backlog when the agency had a backlog reduction plan in place.", "To assess the reliability of the data we retrieved from FOIA.gov, we interviewed knowledgeable officials in Justice\u2019s OIP and electronically tested the data for outliers, missing values, and syntactical discrepancies. We found the data to be sufficiently reliable for the purposes of reporting agencies\u2019 total FOIA requests and FOIA backlogs in fiscal years 2012 through 2016 We also compared best practices for reducing backlogs, as identified by Justice\u2019s OIP, with each agency\u2019s procedures to determine the extent to which the practices were being used. In addition, we interviewed relevant officials at each selected agency to determine the reasons for any changes in the number of backlogged requests at the agency and what actions the agency was taking to reduce its backlog or implement reduction plans. The findings from our second objective are not generalizable to the 117 FOIA reporting agencies.", "To address the third objective, determining the exemptions that have been used by agencies as the basis for withholding (redacting) information, we developed a catalog of (b)(3) statutes that agencies previously have used, or reasonably could have used, to withhold information in FOIA records under the (b)(3) exemption. To develop the catalog, we compiled a list of (b)(3) exemptions, along with the number of times each exemption was used by at least 1 of 117 agencies for which annual FOIA report data covering fiscal years 2010 through 2016 were available on Justice\u2019s FOIA.gov website. We refined our list of agencies that used (b)(3) exemptions by standardizing the statutes\u2019 citations to ensure they consistently referred to existing U.S. Code sections.", "Further, to create our catalog we (1) categorized each (b)(3) statute based on the general subject matter (2) identified the number of times each exemption was used by agencies, and (3) determined the date of the most recent legislative action for each statute to identify which statutes were subject to a 2009 amendment to the (b)(3) exemption. To assess the reliability of the data we retrieved from FOIA.gov, we electronically tested the data for outliers, missing values, and syntactical discrepancies. We also interviewed relevant agency officials at Justice to discuss their actions to ensure the consistency of the data presented in FOIA.gov on agencies\u2019 uses of FOIA (b)(3) exemptions. We found the data to be sufficiently reliable for the purposes of this objective.", "For the fourth objective, we reviewed reports that discussed entities that received Troubled Asset Relief Program (TARP) assistance during the 2008 financial crisis, such as the Department of Treasury\u2019s (Treasury) Monthly Reports to Congress (dated October 2008 and November 2014), and relevant prior GAO reports. Our work focused on identifying those entities in which Treasury held 50 percent or more of the entity\u2019s common stock and the dates during which Treasury held that stock. As a result of this review, we identified three corporations in which Treasury held 50 percent or more of the entities\u2019 common stock during certain periods between 2008 through 2014. These three corporations were the American International Group (AIG), General Motors (GM), and General Motors Acceptance Corporation (Ally). We also interviewed cognizant agency officials at the Department of the Treasury.", "In addition to Treasury, we identified three other agencies that received FOIA requests related to the identified entities\u2014the Federal Deposit Insurance Corporation (FDIC), Federal Reserve Board, and the Office of the Comptroller of Currency and reviewed their handling of FOIA requests relating to AIG, Ally, and GM during the calendar years that Treasury held 50 percent or more common stock (2008 through 2014). In this regard, we reviewed the requests to determine (1) the number of requests received, (2) the resolution of the requests, and (3) the length of time it took the agency to respond. Lastly, we interviewed relevant agency officials at each of the four selected agencies to better understand if and how FOIA requests were received and processed.", "We conducted this performance audit from January 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. A more detailed discussion of our objectives, scope, and methodology is provided in appendix I."], "subsections": [{"section_title": "Background", "paragraphs": ["The Freedom of Information Act establishes a legal right of access to government information on the basis of the principles of openness and accountability in government. Before FOIA\u2019s enactment in 1966, an individual seeking access to federal records faced the burden of establishing a \u201cneed to know\u201d before being granted the right to examine a federal record. FOIA established a \u201cright to know\u201d standard, under which an organization or person could receive access to information held by a federal agency without demonstrating a need or reason. The \u201cright to know\u201d standard shifted the burden of proof from the individual to a government agency and required the agency to provide proper justification when denying a request for access to a record.", "Any person, defined broadly to include attorneys filing on behalf of an individual, corporations, or organizations, can file a FOIA request. For example, an attorney can request labor-related workers\u2019 compensation files on behalf of his or her client, and a commercial requester, such as a data broker who files a request on behalf of another person, may request a copy of a government contract. In response, an agency is required to provide the relevant record(s) in any readily producible form or format specified by the requester, unless the record falls within a permitted exemption that provides limitations on the disclosure of information. Appendix II includes a table describing the nine specific exemptions that can be applied to withhold information that, for example, is classified, confidential commercial, privileged, privacy, or falls into one or several law enforcement categories."], "subsections": [{"section_title": "FOIA Amendments and Guidance Call for Improvements in How Agencies Process Requests", "paragraphs": ["Various amendments have been enacted and guidance issued to help improve agencies\u2019 processing of FOIA requests, including:", "The Electronic Freedom of Information Act Amendments of 1996 (e- FOIA amendments) strengthened the requirement that federal agencies respond to a request in a timely manner and reduce their backlogged requests. The amendments, among other things, made a number of procedural changes, including allowing a requester to limit the scope of a request so that it could be processed more quickly and requiring agencies to determine within 20 working days whether a request would be fulfilled. This was an increase from the previously established time frame of 10 business days.", "The amendments also authorized agencies to multi-track requests\u2014 that is, to process simple and complex requests concurrently on separate tracks to facilitate responding to a relatively simple request more quickly. In addition, the amendment encouraged online, public access to government information by requiring agencies to make specific types of records available in electronic form.", "Executive Order 13392, issued by the President in 2005, directed each agency to designate a senior official as its chief FOIA officer. This official was to be responsible for ensuring agency-wide compliance with the act by monitoring implementation throughout the agency and recommending changes in policies, practices, staffing, and funding, as needed. The chief FOIA officer was directed to review and report on the agency\u2019s performance in implementing FOIA to agency heads and to Justice in such times and formats established by the Attorney General. (These are referred to as chief FOIA officer reports.)", "The OPEN Government Act, which was enacted in 2007, made the 2005 executive order\u2019s requirement for agencies to have a chief FOIA officer a statutory requirement. It also required agencies to include additional statistics in their annual FOIA reports, such as more details on processing times and the agency\u2019s 10 oldest pending requests, appeals, and consultations.", "The FOIA Improvement Act of 2016 addressed procedural issues, including requiring that agencies: (1) make records available in an electronic format if they have been requested three or more times; (2) notify requesters that they have a maximum of 90 days to file an administrative appeal, and (3) provide dispute resolution services at various times throughout the FOIA process. This act also created more duties for chief FOIA officers, including requiring them to offer training to agency staff regarding FOIA responsibilities. The act also revised and added new obligations for OGIS, and created the Chief FOIA Officers Council to assist in compliance and efficiency. Further, the act required OMB, in consultation with Justice, to create a consolidated online FOIA request portal that allows the public to submit a request to any agency through a single website."], "subsections": []}, {"section_title": "FOIA Authorizes Agencies to Use Other Federal Statutes to Withhold Information Prohibited from Disclosure", "paragraphs": ["In responding to requests, FOIA authorizes agencies to utilize one of nine exemptions to withhold portions of records, or the entire record. Agencies may use an exemption when it has been determined that disclosure of the requested information would harm an interest related to certain protected areas. These nine exemptions (described in appendix II) can be applied by agencies to withhold various types of information, such as information concerning foreign relations, trade secrets, and matters of personal privacy.", "One such exemption, the statutory (b)(3) exemption, specifically authorizes withholding information under FOIA on the basis of a law which: requires that matters be withheld from the public in such a manner as to leave no discretion on the issue; or establishes particular criteria for withholding or refers to particular types of matters to be withheld; and if enacted after October 28, 2009, specifically refers to section 552(b)(3) of title 5, United States Code.", "To account for agencies use of the statutory (b)(3) exemptions, FOIA requires each agency to submit, in its annual report to Justice, a complete listing of all statutes that the agency relied on to withhold information under exemption (b)(3). The act also requires that the agency describe for each statute identified in its report (1) the number of occasions on which each statute was relied upon; (2) a description of whether a court has upheld the decision of the agency to withhold information under each such statute; and (3) a concise description of any information withheld.", "Further, to provide an overall summary of the statutory (b)(3) exemptions used by agencies in a fiscal year, Justice produces consolidated annual reports that list the statutes used by agencies in conjunction with (b)(3)."], "subsections": []}, {"section_title": "FOIA Request Process", "paragraphs": ["As previously noted, agencies are generally required by the e-FOIA amendments of 1996 to respond to a FOIA request within 20 working days. Once received, the request is to be processed through multiple phases, which include assigning a tracking number, searching for responsive records, and releasing the records response to the requester.", "Also, FOIA allows a requester to challenge an agency\u2019s final decision on a request through an administrative appeal or a lawsuit. Agencies generally have 20 working days to respond to an administrative appeal.", "Figure 1 provides a simplified overview of the FOIA request and appeals process.", "In a typical agency, as indicated, during the intake phase, a request is logged into the agency\u2019s FOIA tracking system, and a tracking number is assigned. The request is then reviewed by FOIA staff to determine its scope and level of complexity. The agency then sends a letter or email to the requester acknowledging receipt of the request, with a unique tracking number that the requester can use to check the status of the request.", "Next, FOIA staff (noncustodian) begin the search to retrieve the responsive records. They conduct a search if the agency\u2019s records are centralized or route the request to the appropriate program office(s), or do both, as warranted. This step may include requesting that the custodian (owner) of the record search and review paper and electronic records from multiple locations and program offices.", "Agency staff then process the responsive records, which includes determining whether a portion or all of any record should be withheld based on FOIA\u2019s exemptions. If a portion or all of any record is the responsibility of another agency, FOIA staff may consult with the other agency or may send (\u201crefer\u201d) the document(s) to that other agency for processing. After processing and redaction, a request is reviewed for errors and to ensure quality. The documents are then released to the requester, either electronically or by regular mail."], "subsections": []}, {"section_title": "FOIA Oversight and Implementation", "paragraphs": ["Responsibility for the oversight of FOIA implementation is spread across several federal offices and other entities. These include Justice\u2019s OIP, NARA\u2019s OGIS, and the Chief FOIA Officers Council. These oversight offices and the council have taken steps to assist agencies to address the FOIA provisions.", "Justice\u2019s OIP is responsible for encouraging agencies\u2019 compliance with FOIA and overseeing their implementation of the act. In this regard, the office, among other things, provides guidance, compiles information on FOIA compliance, provides FOIA training, and prepares annual summary reports on agencies\u2019 FOIA processing and litigation activities. The office also offers FOIA counseling services to government staff and the public.", "Issuing guidance. OIP has developed guidance, available on its website, to assist federal agencies by instructing them in how to ensure timely determinations on requests, expedite the processing of requests, and reduce backlogs. The guidance also informs agencies on what should be contained in their annual FOIA reports to Justice\u2019s Attorney General.", "The office also has documented ways for federal agencies to address backlog requests. In March 2009 the Attorney General issued guidance and related policies to encourage agencies to reduce their backlogs of FOIA requests. In addition, in December 2009, OMB issued a memorandum on the OPEN Government Act, which called for a reduction in backlogs and the publishing of plans to reduce backlogs. Further, in August 2014 and December 2015, OIP held best practices workshops and issued guidance to agencies on reducing FOIA backlogs and improving timeliness of agencies\u2019 responses to FOIA requests. The OIP guidance instructed agencies to obtain leadership support, routinely review FOIA processing metrics, and set up staff training on FOIA.", "Overseeing agencies\u2019 compliance. OIP collects information on compliance with the act by reviewing agencies\u2019 annual FOIA reports and chief FOIA officer reports. These reports describe the number of FOIA requests received and processed in a fiscal year, as well as the total costs associated with processing and litigating requests.", "Providing training. OIP provides a full suite of FOIA training for agency FOIA professionals. This training gives instruction on all aspects of FOIA and is designed for all levels of professionals. For example, the office offers an annual training class that provides a basic overview of the act, as well as hands-on courses about the procedural requirements involved in processing a request from start to finish. In addition, it offers a seminar outlining successful litigation strategies for attorneys who handle FOIA cases. OIP also provides agencies customized training upon request.", "Preparing annual reports. Every year, OIP prepares three major reports for the public, the President, and/or Congress. The first report, Summary of Annual FOIA Reports, is a summary of the information contained in the annual FOIA reports that are prepared by each of the federal agencies subject to the FOIA. The report also provide a statistical breakdown of the government\u2019s overall FOIA administration. The second report, Summary of Agency Chief FOIA Officer Reports, is a summary of the annual chief FOIA officer reports and an assessment of agencies\u2019 progress in administering FOIA. This report summarizes government-wide efforts to improve FOIA in five key areas of FOIA administration, and it individually scores each agency on several milestones tied to these efforts. The third report, the Justice FOIA Litigation and Compliance Report, which is directed to Congress and the President, describes Justice\u2019s efforts to oversee and encourage government-wide compliance with FOIA, and includes a list of, and information about, FOIA matters in litigation.", "NARA\u2019s OGIS was established by the OPEN Government Act of 2007 as the federal FOIA ombudsman tasked with resolving federal FOIA disputes through mediation as a nonexclusive alternative to litigation. OGIS\u2019s responsibilities include reviewing agencies\u2019 policies, procedures, and compliance with the statute; identifying methods to improve compliance; and educating its stakeholders about the FOIA process.", "The 2016 FOIA amendments required agencies to update response letters to FOIA requesters to include information concerning the roles of OGIS and agency\u2019s FOIA public liaisons. As such, OGIS and Justice worked together to develop a response letter template that includes the required language for agency letters. In addition, OGIS, charged with reviewing agency\u2019s compliance with FOIA, launched a FOIA compliance program in 2014. OGIS also developed a FOIA compliance self- assessment program, which is intended to help OGIS look for potential compliance issues across federal agencies.", "The Chief FOIA Officers Council is co-chaired by the Director of OIP and the Director of OGIS. Council members include senior representatives from OMB, OIP, and OGIS, together with the chief FOIA officers of each agency, among others. The council\u2019s FOIA-related responsibilities include: developing recommendations for increasing FOIA compliance and disseminating information about agency experiences, ideas, best practices, and innovative approaches; identifying, developing, and coordinating initiatives to increase transparency and compliance; and promoting the development and use of common performance measures for agency compliance."], "subsections": []}, {"section_title": "Selected Agencies Collect and Maintain Records That Can Be Subject to FOIA Requests", "paragraphs": ["The 18 agencies selected for our review are charged with a variety of operations that affect many aspects of federal service to the public. Thus, by the nature of their missions and operations, the agencies have responsibility for vast and varied amounts of information that can be subject to a FOIA request. For example, the Department of Homeland Security\u2019s (DHS) mission is to protect the American people and the United States homeland. As such, the department maintains information covering, among other things, immigration, border crossings, and law enforcement. As another example, the Department of the Interior\u2019s (DOI) mission includes protecting and managing the nation\u2019s natural resources and, thus, providing scientific information about those resources. Table 2 provides details on each of the 18 selected agencies\u2019 missions and the types of information they maintain.", "The 18 selected agencies reported that they received and processed more than 2 million FOIA requests from fiscal years 2012 through 2016. Over this 5-year period, the number of reported requests received fluctuated among the agencies. In this regard, some agencies saw a continual rise in the number of requests, while other agencies experienced an increase or decrease from year to year. For example, from fiscal years 2012 through 2014, DHS saw an increase in the number of requests received (from 190,589 to 291,242), but in fiscal year 2015, saw the number of requests received decrease to 281,138. Subsequently, in fiscal year 2016, the department experienced an increase to 325,780 requests received.", "In addition, from fiscal years 2012 through 2015, the reported numbers of requests processed by the selected agencies showed a relatively steady increase. However, in fiscal year 2016, the reported number of requests processed by these agencies declined. Further, figure 2 provides a comparison of the total number of requests received and processed in this 5-year period."], "subsections": []}]}, {"section_title": "Selected Agencies Implemented the Majority of FOIA Requirements Reviewed", "paragraphs": ["Among other things, the FOIA Improvement Act of 2016 and the OPEN Government Act of 2007 call for agencies to (1) update response letters, (2) implement tracking systems, (3) provide FOIA training, (4), provide records online, (5) designate chief FOIA officers, and (6) update and publish timely and comprehensive regulations. The 18 agencies that we included in our review had implemented the majority of the 6 selected FOIA requirements. Specifically,", "18 agencies updated response letters,", "16 agencies implemented tracking that was compliant with requirements for people with disabilities", "18 agencies provided FOIA training for agency staff", "15 agencies provided records online,", "13 agencies designated chief FOIA officers, and", "5 agencies published their updated FOIA regulations by the required due date, and 8 agencies did so after the due date.", "Figure 3 summarizes the extent to which the 18 agencies implemented the selected FOIA requirements.", "Beyond these selected agencies, Justice\u2019s OIP and OMB also had taken steps to develop a government-wide FOIA request portal that is intended to allow the public to submit a request to any agency from a single website."], "subsections": [{"section_title": "Selected Agencies Had Updated Their FOIA Response Letters", "paragraphs": ["The 2016 amendments to FOIA required agencies to include specific information in their responses when making their determinations on requests. If part of a request is denied, for example, agencies must inform requesters that they may seek assistance from the FOIA public liaison of the agency or OGIS, file an appeal to an adverse determination within a period of time that is not less than 90 days after the date of such adverse determination; and seek dispute resolution services from the FOIA public liaison of the agency or OGIS.", "Among the 18 selected agencies, all had updated their FOIA response letters to include this required information."], "subsections": []}, {"section_title": "All Selected Agencies Had Implemented FOIA Tracking Systems and Most Were Compliant with Requirements for People with Disabilities", "paragraphs": ["Various FOIA amendments and guidance call for agencies to use automated systems to improve the processing and management of requests. In particular, the OPEN Government Act of 2007 amended FOIA to require that federal agencies establish a system to provide individualized tracking numbers for requests that will take longer than 10 days to process and establish telephone or Internet service to allow requesters to track the status of their requests.", "Further, the President\u2019s January 2009 Freedom of Information Act memorandum instructed agencies to use modern technology to inform citizens about what is known and done by their government. In addition, FOIA processing systems, like all automated information technology systems, are to comply with the requirements of Section 508 of the Rehabilitation Act of 1973 (Rehabilitation act (as amended)). This act requires federal agencies to make their electronic information accessible to people with disabilities.", "Each of the 18 selected agencies had implemented a system that provides capabilities for tracking requests received and processed, including an individualized number for tracking the status of a request. Specifically,", "Ten agencies used commercial automated systems, (DHS, EEOC, FDIC, FTC, Justice, NARA, NASA, NTSB, Pension Benefit Guaranty Corporation, and USAID).", "Three agencies developed their own agency systems (State, DOI, and TVA).", "Five agencies used Microsoft Excel or Word to track requests (Administrative Conference of the United States, American Battle Monuments Commission, Broadcasting Board of Governors, OMB, and U.S. African Development Foundation).", "Further, all of the agencies had established telephone or Internet services to assist requesters in tracking the status of requests; and they used modern technology (e.g., mobile applications) to inform citizens about FOIA. For example, the commercial systems allow requesters to submit a request and track the status of that request online. In addition, DHS developed a mobile application that allows FOIA requesters to submit requests and check the status of existing requests.", "However, while 16 agencies FOIA tracking systems were compliant with requirements of Section 508 of the Rehabilitation Act (as amended), two agencies\u2014TVA and DOI\u2014had systems that were not compliant. According to TVA officials, the agency does not have a 508 compliance certification. DOI officials stated that its FOIA system will undergo 508 compliance testing but did provide a date for completion of the testing. Having systems that are compliant with Section 508 of the Rehabilitation Act (as amended) is essential to ensure that the department\u2019s electronic information is accessible to all individuals, including those with disabilities."], "subsections": []}, {"section_title": "Agencies\u2019 Chief FOIA Officers Have Offered FOIA Training", "paragraphs": ["The 2016 FOIA amendments require agencies\u2019 chief FOIA officers to offer training to agency staff regarding their responsibilities under FOIA. In addition, Justice\u2019s OIP has advised every agency to make such training available to all of their FOIA staff at least once each year. The office has also encouraged agencies to take advantage of FOIA training opportunities available throughout the government.", "The 18 selected agencies\u2019 chief FOIA officers offered FOIA training opportunities to staff in fiscal years 2016 and 2017. For example:", "Twelve agencies provided training that gave an introduction and overview of FOIA (the American Battle Monuments Commission, Broadcasting Board of Governors, EEOC, Justice, FDIC, FTC, NARA, Pension Benefit Guaranty Corporation, State, TVA, U.S. African Development Foundation, and USAID).", "Four agencies offered training for their agencies\u2019 online FOIA tracking and processing systems (DOI, EEOC, NTSB, and Pension Benefit Guaranty Corporation).", "Five agencies provided training on responding to, handling, and processing FOIA requests (DHS, DOI, EEOC, Justice, and State).", "Seven agencies offered training on understanding and applying the exemptions under FOIA (the Broadcasting Board of Governors, EEOC, FDIC, FTC, Justice, State, and U.S. African Development Foundation).", "Four agencies offered training on the processing of costs and fees (EEOC, Justice, NASA and TVA)."], "subsections": []}, {"section_title": "The Majority of Selected Agencies Posted Required Records Online", "paragraphs": ["Memorandums from both the President and the Attorney General in 2009 highlighted the importance of online disclosure of information and further directed agencies to make information available without a specific FOIA request. Further, FOIA required online access to government information and required agencies to make information available to the public in electronic form for four categories: agency final opinions and orders, administrative staff manuals and staff instructions that affect the frequently requested records.", "While all 18 agencies that we reviewed posted records online, only 15 of them had posted all categories of information, as required by the FOIA. Specifically, 7 agencies\u2014the American Battle Monuments Commission, the Pension Benefit Guaranty Corporation, and EEOC, FDIC, FTC, Justice, and State\u2014had, as required, made records in all four categories publicly available online. In addition, 5 agencies that were only required to publish online records in 3 categories\u2014the Administrative Conference of the United States, Broadcasting Board of Governors, DHS, OMB, and USAID\u2014 had done so. Further, 3 agencies that were only required to publish online records in two of the categories\u2014U.S. African Development Foundation, NARA, and TVA\u2014had done so. The remaining 3 agencies\u2014DOI, NASA, and NTSB\u2014had posted records online for three of four required categories.", "Regarding why the three agencies did not post all of their four required categories of online records, DOI officials stated that the agency does not make publicly available all FOIA records that have been requested three or more times, as it does not have the time to post all such records that have been requested. NASA officials explained that, while the agency issues final opinions, it does not post them online. NTSB officials said they try to post information that is frequently requested, but they do not post the information on a consistent basis.", "Making the four required categories of information available in electronic form is an important step in allowing the public to easily access to government documents. Until these agencies make all required categories of information available in electronic form, they cannot ensure that they are providing the required openness in government."], "subsections": []}, {"section_title": "Most Agencies Designated a Senior Official as a Chief FOIA Officer", "paragraphs": ["In 2005, the President issued an executive order that established the role of a chief FOIA officer. In 2007, amendments to FOIA required each agency to designate a chief FOIA officer who shall be a senior official at the assistant secretary or equivalent level.", "Of the 18 selected agencies, 13 agencies have chief FOIA officers who are senior officials at the assistant secretary or equivalent level. The assistant secretary level is comparable to senior executive level positions at levels III, IV, and V. Specifically,", "State has designated its Assistant Secretary of Administration, Bureau", "DOI and NTSB had designated their Chief Information Officers;", "Administrative Conference of the United States, Broadcasting Board of Governors, FDIC, NARA, and U.S. African Development Foundation have designated their general counsels; Justice, NASA, TVA, and USAID designated their Associate Attorney General, Associate Administrator for Communications, the Vice President for Communications, and the Assistant Administrator for the Bureau of Management, respectively; and", "DHS designated its Chief Privacy Officer.", "However, 5 agencies\u2014American Battle Monuments Commission, EEOC, Pension Benefit Guaranty Corporation, FTC, and OMB\u2014do not have chief FOIA officers who are senior officials at the assistant secretary or equivalent level. According to officials from 4 of these agencies, the agencies all have chief FOIA officers and officials believed they had designated the appropriate officials. Officials at FTC acknowledged that the chief FOIA officer position is not designated at a level equivalent to an assistant secretary but a senior position within the agency. However, while there are chief FOIA officers at these agencies, until the chief FOIA officers are designated at the Assistant Secretary or equivalent level, they will lack assurance regarding the necessary authority to make decisions about agency practices, personnel, and funding."], "subsections": []}, {"section_title": "Most Selected Agencies Updated Regulations as Required to Inform the Public of Their FOIA Operations", "paragraphs": ["FOIA requires federal agencies to publish regulations in the Federal Register that inform the public of their FOIA operations. Specifically, in 2016, FOIA was amended to require agencies to update their regulations regarding their FOIA operations. To assist agencies in meeting this requirement, OIP created a FOIA regulation template. Among other things, OIP\u2019s guidance encouraged agencies to: describe their dispute resolution process, describe their administrative appeals process for response letters of denied requests, notify requesters that they have a minimum of 90 days to file an include a description of what happens when there are unusual circumstances, as well as restriction on agencies\u2019 abilities to charge certain fees when FOIA's times limits are not met; and update the regulations in a timely manner (i.e., update regulations by 180 days after the enactment of the 2016 FOIA amendment).", "Five agencies in our review\u2014DHS, DOI, FDIC, FTC, and USAID\u2014 addressed all five requirements in updating their regulations. In addition, seven agencies addressed four of the five requirements: the Administrative Conference of the United States, EEOC, Justice, NARA, NTSB, Pension Benefit Guaranty Corporation, and TVA did not update their regulations in a timely manner.", "Further, four agencies addressed three or fewer requirements (U.S. African Development Foundation, State, NASA, and Broadcasting Board of Governors) and two agencies (American Battle Monuments Commission and OMB) did not address any of the requirements. Figure 4 indicates the extent to which the 18 agencies had addressed the five selected requirements.", "Agencies that did not address all five requirements provided several explanations as to why their regulations were not updated as required:", "American Battle Monuments Commission officials stated that while they updated their draft regulation in August 2017, it is currently unpublished due to internal reviews with the commission\u2019s General Counsel in preparation for submission to the Federal Register. No new posting date has been established. American Battle Monuments Commission last updated its regulation in February 26, 2003.", "State officials noted that their regulation was updated 2 months prior to the new regulation requirements but did not provide a specific reason for not reissuing their regulation. As such, they explained that they have a working group reviewing their regulation for updates, with no timeline identified. State last updated its regulation on April 6, 2016.", "NASA officials did not provide a reason for not updating their regulation as required. Officials did, however, state that their draft regulation is with NASA\u2019s Office of General Counsel for review. NASA last updated its regulations on August 11, 2017.", "Broadcasting Board of Governors officials did not provide a reason for not updating their regulation as required. Officials did, however, note that the agency is in the process of updating its regulation and anticipates it will complete this update by the end of 2018. The Broadcasting Board of Governors last updated its regulation on February 2, 2002.", "OMB officials did not provide a reason for not updating the agency\u2019s regulation as required. Officials did, however, state that due to a change in leadership they do not have a time frame for updating their regulation. OMB last updated its regulation on May 27, 1998.", "The chief FOIA officer at the U.S. African Development Foundation stated that, while the agency had updated and submitted its regulation to be published in December 2016, the regulation was unpublished due to an error that occurred with the acknowledgement needed to publish the regulation in the Federal Register. The regulation was subsequently published on February 3, 2017. The official further noted that when the agency responds to FOIA requests, it has not charged a fee for unusual circumstances, and, therefore, agency officials did not believe they had to disclose information regarding fees in their regulation.", "Until these six agencies publish updated regulations that address the necessary requirements, as called for in FOIA and OIP guidance, they likely will be unable to provide the public with required regulatory and procedural information to ensure transparency and accountability in the government."], "subsections": []}, {"section_title": "Justice and OMB Have Taken Steps to Develop an Online FOIA Request Portal", "paragraphs": ["The 2016 FOIA amendments required OMB to work with Justice to build a consolidated online FOIA request portal. This portal is intended to allow the public to submit a request to any agency from a single website and include other tools to improve the public\u2019s access to the benefits of FOIA. Further, the act required OMB to establish standards for interoperability between the consolidated portal and agency FOIA systems. The 2016 FOIA amendments did not provide a time frame to develop the portal and standards.", "With OMB's support, Justice has developed an online portal. In this regard, Justice\u2019s OIP officials stated that the National FOIA Portal provides the functionality required by FOIA, including the ability to make a request to any agency and the technical framework for interoperability. According to OIP officials, in partnership with OMB, OIP was able to identify a dedicated funding source to operate and maintain the portal to ensure its success in the long term, with major agencies sharing in the costs to operate, maintain, and fund any future enhancements designed to improve FOIA processes. The first iteration of the National FOIA Portal launched on Justice\u2019s FOIA.gov website on March 8, 2018."], "subsections": []}]}, {"section_title": "Agencies Have Methods to Reduce Backlogged Requests, but Their Efforts Have Shown Mixed Results", "paragraphs": ["The 18 selected agencies in our review had FOIA request backlogs of varying sizes, ranging from no backlogged requests at some agencies to 45,000 or more of requests at other agencies. Generally, the agencies with the largest backlogs had received the most requests. In an effort to aid agencies in reducing their backlogs, Justice\u2019s OIP identified key practices that agencies can use. However, while the agencies reported using these practices and other methods, few of them managed to reduce their backlogs during the period from fiscal year 2012 through 2016. In particular, of the four agencies with the largest backlogs, only one\u2014 NARA\u2014reduced its backlog. Agencies attributed their inability to decrease backlogs to the increased number and complexity of requests, among other factors. However, agencies also lack comprehensive plans to implement practices on an ongoing basis."], "subsections": [{"section_title": "Agencies Have FOIA Request Backlogs of Varying Sizes, and Most Increased from Fiscal Year 2012 through 2016", "paragraphs": ["The selected agencies in our review varied considerably in the size of their FOIA request backlogs. Specifically, from fiscal year 2012 through 2016, of the 18 selected agencies", "10 reported a backlog of 60 or fewer requests, and of these 10 agencies, 6 reported having no backlog in at least 1 year.", "4 agencies had backlog numbers between 61 and 1,000 per year; and", "4 agencies had backlogs of over 1,000 requests per year.", "The four agencies with backlogs of more than 1,000 requests for each year we examined were Justice, NARA, State and DHS. Table 3 shows the number of requests and the number of backlogged request for the 18 selected agencies during the 5-year period.", "Over the 5-year period, 14 of the 18 selected agencies experienced an increase in their backlogs in at least 1 year. By contrast, 2 agencies (Administrative Conference of the United States and the U.S. African Development Foundation) reported no backlogs, and 3 agencies (American Battle Monument Commission, NASA and NARA) reported reducing their backlogs. Further, of the 4 agencies with the largest backlogs (DHS, State, Justice, and NARA) only NARA reported a backlog lower in fiscal year 2016 than in fiscal year 2012. Figure 5 shows the trends for the 4 agencies with the largest backlogs, compared with the rest of the 18 agencies.", "In most cases, agencies with small or no backlogs (60 or fewer) also received relatively few requests. For example, the Administrative Conference of the United States and the U.S. African Development Foundation reported no backlogged requests during any year but also received fewer than 30 FOIA requests a year. The American Battle Monuments Commission also received fewer than 30 requests a year and only reported 1 backlogged request per year in 2 of the 5 years examined. However, the Pension Benefit Guaranty Corporation and FDIC received thousands of requests over the 5-year period, but maintained zero backlogs in a majority of the years examined. PBGC received a total of 19,120 requests during the 5-year period and only reported a backlog of 8 requests during 1 year, fiscal year 2013. FDIC received a total of 3,405 requests during the 5-year period and reported a backlog of 13 requests in fiscal year 2015 and 4 in fiscal year 2016.", "The four agencies with backlogs of 1,000 or more (Justice, NARA, State, and DHS) received significantly more requests each year. For example, NARA received between about 12,000 and 50,000 requests each year, while DHS received from about 190,000 to 325,000 requests. In addition, the number of requests NARA received in fiscal year 2016 was more than double the number received in fiscal year 2012. DHS received the most requests of any agency\u2014a total of 1,320,283 FOIA requests over the 5- year period."], "subsections": []}, {"section_title": "Agencies Identified a Variety of Methods to Reduce Backlogs, but Few Saw Reductions", "paragraphs": ["The Attorney General\u2019s March 2009 memorandum called on agency chief FOIA officers to review all aspects of their agencies\u2019 FOIA administration and report to Justice on steps that have been taken to improve FOIA operations and disclosure. Subsequent Justice guidance required agencies to include in their chief FOIA officer reports information on their FOIA request backlogs, including whether the agency experienced a backlog of requests; whether that backlog decreased from the previous year; and, if not, reasons the backlog did not decrease. In addition, agencies that had more than 1,000 backlogged requests in a given year were required to describe their plans to reduce their backlogs. Beginning in calendar year 2015, these agencies were to describe how they implemented their plans from the previous year and whether that resulted in a backlog reduction.", "In addition, Justice\u2019s OIP identified best practices for reducing FOIA backlogs. The office held a best practices workshop on reducing backlogs and improving timeliness. The office then issued guidance in August 2014 that highlighted key practices to improve the quality of a FOIA program. OIP identified the following methods in its best practices guidance.", "Utilize resources effectively. Agencies should allocate their resources effectively by using multi-track processing, making use of available technology, and shifting priorities and staff assignments to address needs and effectively manage workloads.", "Routinely review metrics. Agencies should regularly review their FOIA data and processes to identify challenges or barriers.", "Additionally, agencies should identify trends to effectively allocate resources, set goals for staff, and ensure needs are addressed.", "Emphasize staff training. Agencies should ensure FOIA staff are properly trained so they can process requests more effectively and with more autonomy. Training and engagement of staff can also solidify the importance of the FOIA office\u2019s mission.", "Obtain leadership support. Agencies should ensure that senior management is involved in and supports the FOIA function in order to increase awareness and accountability, as well as make it easier to obtain necessary resources or personnel.", "Agencies identified a variety of methods that they used to address their backlogs. These included both the practices identified by Justice, as well as additional methods.", "Ten agencies maintained relatively small backlogs of 60 or fewer requests and were thus not required to develop plans for reducing backlogs. However, 2 of these 10 agencies, who both received significant numbers of requests, described various methods used to maintain a small backlog:", "PBGC officials credit their success to training, not only for FOIA staff, but all Incoming personnel, while also awarding staff for going above and beyond in facilitating FOIA processing. Pension Benefit Guaranty Corporation has incorporated all the best practices identified by OIP, including senior leadership involvement that supports FOIA initiatives and program goals, routine review of metrics to optimize workflows, effective utilization of resources and staff training.", "According to FDIC officials, their overall low backlog numbers are attributed to a trained and experienced FOIA staff, senior management involvement, and coordination among FDIC divisions. However, FDIC stated the reason for the increase in backlogs in fiscal year 2015 was due to increased complexity of requests.", "The 4 agencies with backlogs greater than 60 but fewer than 1,000 (EEOC, DOI, NTSB, and USAID) reported using various methods to reduce their backlogs. However, all 4 showed an increase over the 5-year period.", "EEOC officials stated that they had adopted practices recommended by OIP, such as multi-track processing, reviewing workloads to ensure sufficient staff, and using temporary assignments to address needs. However, EEOC has seen a large increase in its backlog numbers, going from 131 in fiscal year 2012 to 792 in fiscal year 2016. EEOC attributed the rise in backlogs to an increase in requests received, loss of staff, and the complex and voluminous nature of requests.", "DOI, according to agency officials, has also tried to incorporate reduction methods and best practices, including proactively releasing information that may be of interest to the public, thus avoiding the need for a FOIA request; enhanced training for its new online FOIA tracking and processing system; improved interoffice collaboration; production of monthly reports on backlogs and of weekly charts on incoming requests, to heighten awareness among leadership; and monitoring trends. Yet DOI has seen an increase in its backlog, from 449 in fiscal year 2012 to 677 in fiscal year 2016, an increase of 51 percent. DOI attributed the increase to the loss of FOIA personnel, an increase in the complexity of requests, an increase in FOIA-related litigation, an increase in incoming requests, and the fact that staff have additional duties.", "Officials at NTSB stated that the board utilized contractors and temporary staff assignments to augment staffing and address backlogs. Despite the effort, NTSB saw a large increase in backlogs, from 62 in fiscal year 2012 to 602 in fiscal year 2016. Officials stated that the reason for the increase was an increased complexity of requests, including requests for \u201cany and all\u201d documentation related to a specific subject, often involving hundreds to thousands of pages per request.", "According to USAID officials, the agency conducts and reviews inventories of its backlog and requests to remove duplicates and closed cases; groups and classifies requests by necessary actions and responsive offices; and initiates immediate action. In addition, USAID seeks to identify tools and solutions to streamline records for review and processing. However, its backlog numbers have continually increased, from 201 in fiscal year 2012 to 318 in fiscal year 2016. USAID attributes that increase to an increase in the number of requests, the loss of FOIA staff, an increased complexity and volume of requests, competing priorities, and world events that may drive surges in requests.", "Of the four agencies with the largest backlogs, all reported taking steps that, in some cases, included best practices identified by OIP; however, only NARA successfully reduced its backlog by the end of the 5-year period.", "Justice officials noted that the department made efforts to reduce its backlog by incorporating best practices. Specifically, OIP worked with components within Justice through the Component Improvement Initiative to identify causes contributing to a backlog and assist components in finding efficiencies and overcoming challenges. The chief FOIA officer continued to provide top-level support to reduction efforts by convening the department\u2019s FOIA Council to manage overall FOIA administration. In addition, many of the components created their own reduction plans, which included hiring staff, utilizing technology, and providing more training, requester outreach, and multitrack processing.", "However, despite these efforts, the number of backlogs steadily increased during the 5-year period, from 5,196 in fiscal year 2012 to 10,644 in fiscal year 2016, an overall increase of 105 percent. Justice attributes the increase in backlogs to several challenges, including an increase in incoming requests and an increase in the complexity of those requests. Other challenges that Justice noted were staff shortages and turnover, reorganization of personnel roles, time to train incoming staff, and the ability to fill positions previously held by highly qualified professionals.", "NARA officials stated that one key step NARA took was to make corrections in its Performance Measurement and Reporting System. They noted that this system previously comingled backlogged requests with the number of pending FOIA requests, skewing the backlog numbers higher. The improvements included better accounting for pending and backlogged cases, distinguishing between simple and complex requests, and no longer counting as \u201copen\u201d cases that were closed within 20 days, but not until the beginning of the following fiscal year. In addition, officials also stated that the FOIA program offices have been successful at working with requesters to narrow the scope of requests.", "NARA also stated that it was conducting an analysis of FOIA across the agency to identify any barriers in the process. Officials also identified other methods, including using multi-track processing, shifting priorities to address needs, improved communication with agencies, proactive disclosures, and the use of mediation services.", "NARA has shown significant progress in reducing its backlog. In fiscal year 2012 it had a backlog of 7,610 requests, which spiked to 9,361 in fiscal year 2014. However, by fiscal year 2016, the number of backlogged requests had dropped to 2,932, even though the number of requests received more than doubled for that fiscal year. However, NARA did note challenges to reducing its backlog numbers, namely, the increase in the number of requests received.", "State developed and implemented a plan to reduce its backlog in fiscal year 2016. The plan incorporated two best practices by focusing on identifying the extent of the backlog problem and developing ways to address the backlog with available resources. According to State officials, the effort was dedicated to improve how FOIA data were organized and reported. Expedited and ligation cases were top priorities, whereas in other cases a \u201cfirst in, first out\u201d method was employed.", "Even with these efforts, however, State experienced a 117 percent increase in its backlog over the 5-year period. State\u2019s backlog doubled from 10,045 in fiscal year 2014 to 22,664 in fiscal year 2016. Among the challenges to managing its backlog, State reported an increase in incoming requests, a high number of litigation cases, and competing priorities. Specifically, the number of incoming requests for State increase by 51 percent during the 5-year period. State has also reported that it has allocated 80 percent of its FOIA resources to meet court-ordered productions associated with litigation cases, resulting in fewer staff to work on processing routine requests. This included, among other efforts, a significant allocation of resources in fiscal year 2015 to meet court-imposed deadlines to process emails associated with the former Secretary of State, resulting in a surge of backlogs.", "In 2017 State began an initiative to actively address its backlogs. The Secretary of State issued an agency-wide memorandum stating the department\u2019s renewed efforts by committing more resources and workforce to backlog reduction. The memo states new processes are to be implemented for both the short- and long-term, and the FOIA office has plans to work with the various bureaus to outline the tasks, resources, and workforce necessary to ensure success and compliance. With renewed leadership support, State has reported significant progress in its backlog reduction efforts.", "DHS, in its chief FOIA officer reports, reported that it implemented several plans to reduce backlogs. The DHS Privacy Office, which is responsible for oversight of the department\u2019s FOIA program, worked with components to help eliminate the backlog. The Privacy Office sent monthly emails to component FOIA officers on FOIA backlog statistics, convened management meetings, conducted oversight, and reviewed workloads. Leadership met weekly to discuss the oldest pending requests, appeals, and consultations, and determined needed steps to process those requests.", "In addition, several other DHS components implemented actions to reduce backlogs. Customs and Border Protection hired and trained additional staff, encouraged requesters to file requests online, established productivity goals, updated guidance, and utilized better technology. U.S. Citizenship and Immigration Services, National Protection and Programs Directorate, and Immigration and Customs Enforcement increased staffing or developed methods to better forecast future workloads ensure adequate staffing. Immigration and Customs Enforcement also implemented a commercial off-the-shelf web application, awarded a multimillion-dollar contract for backlog reduction, and detailed employees from various other offices to assist in the backlog reduction effort.", "Due to efforts by the Privacy Office and other components, the backlog dropped 66 percent in fiscal year 2015, decreasing to 35,374. Yet, despite the continued efforts in fiscal year 2016, the backlog numbers increased again, to 46,788. DHS attributes the increases in backlogs to several factors, including an increase in the number of requests received, increased complexity and volume of responsive records for those requests, loss of staff and active litigation with demanding production schedules.", "One reason the eight agencies with significant backlogs may be struggling to consistently reduce their backlogs is that they lack documented, comprehensive plans that would provide a more reliable, sustainable approach to addressing backlogs. In particular, they do not have documented plans that describe how they will implement best practices for reducing backlogs over time, including specifying how they will use metrics to assess the effectiveness of their backlog reduction efforts and ensure that senior leadership supports backlog reduction efforts, among other best practices identified by OIP.", "While agencies with backlogs of 1,000 or more FOIA requests are required to describe backlog reduction efforts in their chief FOIA officer reports, these consist of a high-level narrative and do not include a specific discussion of how the agencies will implement best practices over time to reduce their backlog. In addition, agencies with backlogs of fewer than 1,000 requests are not required to report on backlog reduction efforts; however, the selected agencies in our review with backlogs in the hundreds still experienced an increase over the 5-year period.", "Without a more consistent approach, agencies will continue to struggle to reduce their backlogs to a manageable level, particularly as the number and complexity of requests increase over time. As a result, their FOIA processing may not respond effectively to the needs of requesters and the public."], "subsections": []}]}, {"section_title": "Various Types of Statutory Exemptions Exist and Many Have Been Used by Agencies", "paragraphs": ["FOIA requires agencies to report annually to Justice on their use of statutory (b)(3) exemptions. This includes specifying which statutes they relied on to exempt information from disclosure and the number of times they did so. To assist agencies in asserting and accounting for their use of these statutes, Justice instructs agencies to consult a running list of all the statutes that have been found to qualify as proper (b)(3) statutes by the courts.", "However, agencies may also use a statute not included in the Justice list, because many statutes that appear to meet the requirements of (b)(3) have not been identified by a court as qualifying statutes. If the agency uses a (b)(3) statute that is not identified in the qualifying list, Justice guidance instructs the agency to include information about that statute in its annual report submission. Justice reviews the statute and provides advice to the agency, but does not make a determination on the appropriateness of using that statute under the (b)(3) exemption.", "Based on data agencies reported to Justice, during fiscal years 2010 to 2016, agencies claimed 237 statutes as the basis for withholding information. Of these statutes, 75 were included on Justice\u2019s list of qualifying statutes under the (b)(3) exemption (see appendix III for a list of these statutes). Further, we identified 140 additional statutes that were not identified in our 237 statutes claimed by agencies during fiscal years 2010 to 2016, but have similar provisions to other (b)(3) statutes authorizing an agency to withhold information from the public (see appendix IV for a list of these additional statutes).", "We found that the 237 statutes cited as the basis for (b)(3) exemptions during the period from fiscal years 2010 to 2016 fell into 8 general categories of information. These categories were (1) personally identifying information, (2) national security, (3) commercial, (4) law enforcement and investigations, (5) internal agency, (6) financial regulation, (7) international affairs, and (8) environmental. Figure 6 identifies the eight categories and the number of agency-claimed (b)(3) statutes in each of the categories.", "Of the 237 (b)(3) statutes cited by agencies, the majority\u2014178\u2014fell into 4 of the 8 categories:", "Forty-nine of these statutes related to withholding personally identifiable information including, for example, a statute related to withholding death certificate information provided to the Social Security Administration.", "Forty-five statutes related to the national security category. For example, one statute exempted files of foreign intelligence or counterintelligence operations of the National Security Agency.", "Forty-two statutes were in the law enforcement and investigations category, including a statute that exempts from disclosure information provided to Justice pursuant to civil investigative demands pertaining to antitrust investigations.", "Forty-two statutes fell into the commercial category. For example, one statute in this category related to withholding trade secrets and other confidential information related to consumer product safety.", "The remaining 59 statutes were in four categories: internal agency functions and practices, financial regulation, international affairs, and environmental. The environmental category contained the fewest number of statutes and included, for example, a statute related to withholding certain air pollution analysis information.", "As required by FOIA, agencies also reported the number of times they used each (b)(3) statute. In this regard, 33 FOIA-reporting agencies indicated that they had used 10 of the 237 (b)(3) statutes more than 200,000 times. Of these 10 most-commonly used statutes, the single most-used statute (8 U.S.C \u00a7 1202(f)) related to withholding records pertaining to the issuance or refusal of visas to enter the United States. It was used by 4 agencies over 58,000 times.", "Further, of the 10 most-commonly used statutes, the statute used by the greatest number of agencies (26 U.S.C \u00a7 6103) related to the withholding of certain tax return information; it was used by 24 FOIA-reporting agencies about 30,000 times. By contrast, some statutes were only used by a single agency. Specifically, the Department of Veterans Affairs used a statute related to withholding certain confidential veteran medical records (38 U.S.C. \u00a7 7332) more than 16,000 times. Similarly, EEOC used a statute related to employment discrimination on the basis of disability (42 U.S.C. \u00a7 12117) more than 10,000 times.", "Table 4 shows the 10 most-used statutes under the (b)(3) exemption, the agency that used each one most frequently, and the number of times they were used by that agency for the period covering fiscal years 2010 through 2016."], "subsections": [{"section_title": "The OPEN FOIA Act of 2009 Limitation on (b)(3) Exemptions Has Had an Uneven Impact on Subsequent Legislation", "paragraphs": ["The OPEN FOIA Act of 2009 amended FOIA to require that any federal statute subsequently enacted must specifically cite paragraph (b)(3) of FOIA to qualify as a (b)(3) exemption statute. Prior to 2009, a federal statute qualified as a statutory (b)(3) exemption if it (1) required that the matters be withheld from the public in such a manner as to leave no discretion on the issue, or (2) established particular criteria for withholding or referred to particular types of matters to be withheld. According to statements by the sponsor of the legislation during the Senate debate, (b)(3) statutory exemptions should be clear and unambiguous, and vigorously debated by Congress before they are enacted into law.", "In response to the amendment, in 2010, Justice released guidance to agencies stating that any statute enacted after 2009 must specifically cite to the (b)(3) exemption to qualify as a withholding statute under FOIA. Further, the guidance encouraged agencies to contact Justice with questions regarding the implementation of the amendment.", "In our review of the 237 (b)(3) statutes claimed by agencies during fiscal years 2010 through 2016, 21 of these statutes were initially enacted and 82 were amended after 2009. Of the 21 statutes initially enacted after 2009, 9 cited (b)(3). Further, of the 82 statutes amended, 9 cited (b)(3).", "While reflecting provisions of law authorizing or requiring the withholding of agency information from the public, the number of these statutes not having a reference to the (b)(3) exemption is evidence of the OPEN FOIA Act\u2019s uneven impact on the establishment of statutory FOIA exemptions."], "subsections": []}]}, {"section_title": "Agencies Received and Processed FOIA Requests for Information Related to the Trouble Asset Relief Program", "paragraphs": ["As previously noted, FOIA requires federal agencies to provide the public with access to various types of information that can contribute to the understanding of government operations. One of these areas has related to the 2008 financial crisis, in which the Emergency Economic Stabilization Act of 2008 played a significant role in stabilizing the federal financial system. The act initially authorized $700 billion to assist financial institutions and markets, businesses, and homeowners through TARP, although that authorization was later reduced to $475 billion.", "Treasury, which was given authority under the act, established the Office of Financial Stability to carry out the program\u2019s activities. These activities included injecting capital into key financial institutions, implementing programs to address problems in the securitization markets, providing assistance to the automobile industry, and offering incentives for modifying residential mortgages. In addition, federal financial regulators\u2014 FDIC, the Federal Reserve Board, and the Office of the Comptroller of the Currency\u2014each played a key role in regulating and monitoring financial institutions.", "Following the law\u2019s enactment, in certain periods from 2008 through 2014, three corporations\u2014AIG, GM, and Ally\u2014received federal financial assistance that amounted to 50 percent or more ownership by the federal government. The actions with regard to TARP subsequently led to the Treasury and the three financial regulatory agencies receiving FOIA requests for government records related to the three corporations. Specifically, the Federal Reserve Board, FDIC, the Office of the Comptroller of the Currency, and Treasury received 166 FOIA requests for information about these three corporations from September 2008 through January 2014.", "The requests asked for various agency records related to the corporations, for example, records related to Treasury\u2019s stewardship and oversight of AIG and its subsidiaries; records related to the Federal Reserve Board and Ally specific to the individual submitting the FOIA request\u2019s review; records concerning GM\u2019s contract with the Stillwater Mining Company; and all communications between the Office of the Comptroller of the Currency and AIG from June 2007 through March 2009.", "Of the 166 requests, 88 were processed as full grant, partial grant, or full denial; 34 were withdrawn by the requester; 24 were closed because the agency responded that it had no records regarding the requests; and 20 fell into other disposition categories. Table 5 summarizes the disposition/resolution of the FOIA requests that each of the four federal agencies received relating to information on AIG, GM and Ally for certain periods from September 2008 to January 2014 (the time frame for which the government held 50 percent or more of the corporations\u2019 common stock), and the type of disposition used most often to close the requests."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The 18 agencies we reviewed had fully implemented half of the six key FOIA requirements and the vast majority of agencies implemented two additional requirements. However, 5 agencies published and updated their FOIA regulations in a timely and comprehensive manner. Fully implementing FOIA requirements will better position agencies to provide the public with necessary access to government records and ensure openness in government.", "Selected agencies varied considerably in the size of their backlogs. While 10 reported a backlog of 60 or fewer requests, 4 had backlogs of over 1,000 per year. Agencies identified a variety of methods that they used to address their backlogs, including practices identified by Justice, as well as additional methods. However, the selected agencies varied in the success achieved for reducing their backlogs. This was due, in part, to a lack of plans that describes how the agencies will implement best practices for reducing backlogs over time. Until agencies develop plans to reduce backlogs, they will be limited in their ability to respond effectively to the needs of requesters and the public."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 24 recommendations to 16 agencies in our review. Specifically: The Secretary of the American Battle Monuments Commission should designate a chief FOIA officer at the assistant secretary level or equivalent. (Recommendation 1)", "The Secretary of the American Battle Monuments Commission should update and publish comprehensive FOIA regulations that include requirements established by law and Justice guidance. (Recommendation 2)", "The Chief Executive Officer and Director of the Broadcasting Board of Governors should update and publish comprehensive FOIA regulations that include requirements established by law and Justice guidance. (Recommendation 3)", "The Secretary of DHS should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 4)", "The Secretary of DOI should ensure its FOIA tracking system is compliant with Section 508 requirements. (Recommendation 5)", "The Secretary of DOI should provide frequently requested records online. (Recommendation 6)", "The Secretary of DOI should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 7)", "The Chair of EEOC should designate a chief FOIA officer at the assistant secretary level or equivalent. (Recommendation 8)", "The Chair of EEOC should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 9)", "The Chairman of the FTC should designate a chief FOIA officer at the assistant secretary level or equivalent. (Recommendation 10)", "The Attorney General of the United States should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 11)", "The Archivist of the United States should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 12)", "The Administrator of NASA should update and publish comprehensive FOIA regulations that describe dispute resolution services, and notifies requesters of the 90 days for appeals. (Recommendation 13)", "The Administrator of NASA should provide agency records of final opinions online. (Recommendation 14)", "The Chairman of NTSB should provide frequently requested records online. (Recommendation 15)", "The Chairman of NTSB should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 16)", "The Director of OMB should update and publish comprehensive FOIA regulations that include requirements established by law and Justice guidance. (Recommendation 17)", "The Director of OMB should designate a chief FOIA officer at the assistant secretary level or equivalent. (Recommendation 18)", "The Director of Pension Benefit Guaranty Corporation should designate a chief FOIA officer at the assistant secretary level or equivalent. (Recommendation 19)", "The Secretary of State should update and publish comprehensive FOIA regulations that describe dispute resolution services, and notifies requesters of the 90 days for appeals. (Recommendation 20)", "The Secretary of State should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 21)", "The President of TVA should ensure its FOIA tracking system is compliant with section 508 requirements. (Recommendation 22)", "The Administrator of USAID should take steps to develop and document a plan that fully addresses best practices with regards to reduction of backlogged FOIA requests. (Recommendation 23)", "The President of the U.S. African Development Foundation should update and publish comprehensive FOIA regulations that inform a requester of limited unusual circumstances fees. (Recommendation 24)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We requested comments on a draft of this report from the 21 agencies included in our review. Of the 16 agencies to which we made recommendations, 9 agencies agreed with all of the recommendations directed to them; 1 agency agreed with two and disagreed with one recommendation; 2 agencies disagreed with all of the recommendations; and 4 agencies did not state whether they agreed or disagreed with our recommendations. In addition, 5 agencies to which we did not make recommendations stated that they had no comments on the report. Multiple agencies also provided technical comments, which we have incorporated, as appropriate.", "The following 9 agencies agreed with our recommendations: In emails received from the American Battle Monuments Commission and the Broadcasting Board of Governors, the two agencies stated that they agreed with the recommendations in our report.", "In written comments, reprinted in appendix V, DHS stated that it concurred with our recommendations. Regarding the recommendation to designate a chief FOIA Officer, the department stated that it had delegated the full authority and responsibility of DHS\u2019s FOIA operations and programs to the chief privacy officer. The department asserted that its chief privacy officer is the equivalent of an assistant secretary, as required, because the official is appointed by the Secretary under 6 U.S.C \u00a7 142 without Senate confirmation in accordance with the Appointments Clause to the U.S. Constitution. Further, the department stated that the chief privacy officer position meets the senior executive service standard under 5 U.S.C \u00a7 3132(a)(2) and, accordingly, is comparable to a senior executive level position. Thus, the department believes it is already in compliance with the requirement to designate a chief FOIA officer at the assistant secretary level or equivalent.", "For the reasons that it cited, DHS requested that GAO consider this recommendation to be resolved and closed. Based on our analysis of the additional information that the department provided to explain the senior executive level position of the chief privacy officer, we are in agreement with DHS regarding the position\u2019s equivalency to an assistant secretary within the department. Accordingly, we have removed this recommendation from our report.", "Concerning the second recommendation, to develop and document a plan that fully addresses practices with regard to the reduction of backlogged requests, DHS stated that it plans to initiate a department- wide compliance assessment of FOIA operations to identify the components with the most significant backlog problems and the \u201croot causes\u201d for these problems. The department said it then intends to develop a proposed plan for backlog reduction.", "In written comments, reprinted in appendix VI, Justice stated that it agreed with our recommendation and will develop a plan to address its backlog of FOIA requests to the fullest extent possible. Justice added that, in fiscal year 2017, it was able to improve all of its processing times and close all 10 of the department\u2019s oldest requests, appeals, and consultations, thus, reducing the overall age of its backlog.", "In written comments, reprinted in appendix VII, NARA stated that it is currently working to develop and document a plan that is intended to fully address best practices to reduce its backlog of FOIA requests, as we recommended. The agency said it expects to complete its plan by the end of December 2018.", "In written comments, reprinted in appendix VIII, NASA said that it concurred with our two recommendations. With regard to the first recommendation, the agency stated that it is currently working to update its FOIA regulations, and that the revisions are to include the 90-day appeal rights, as well as describe requesters\u2019 rights to obtain dispute resolution services from NASA\u2019s FOIA public liaisons and OGIS.", "With regard to the second recommendation, the agency stated that it is currently working to identity subject matter areas on which the department can reach final opinions as interpreted under FOIA. The agency added that, upon identification, it will begin posting final opinions online.", "In written comments, reprinted in appendix IX, State concurred with our two recommendations and, accordingly, noted that it is currently working to update its FOIA regulations and evaluate methods to improve its backlog reduction efforts.", "In written comments, reprinted in appendix X, USAID stated that it concurred with our recommendation and will develop a formal plan that delineates currently employed best practices to reduce its FOIA backlog.", "In comments provided via email, the United States African Development Foundation\u2019s General Counsel concurred with our recommendation. The foundation stated that it will take steps to update its FOIA regulations. This is to include, informing requesters about limited unusual circumstances fees, and publishing the updated regulation in the Federal Register.", "One agency agreed with two recommendations, and disagreed with one other recommendation: In written comments, reprinted in appendix XI, DOI concurred with the recommendation to make its FOIA tracking system Section 508- compliant and stated that it is currently testing its system for compliance. The department also concurred with the recommendation that it provide frequently requested records online.", "However, the department did not concur with our recommendation to develop and document a plan that fully addresses best practices for the reduction of backlogged FOIA requests. The department stated that, in Justice\u2019s OIP guidance, the creation of a formal backlog reduction plan only applies to agencies with more than 1,000 backlogged requests in a given year. The department said that DOI did not fall into this category and, therefore, was not required to develop such a plan.", "Although DOI\u2019s existing backlog of FOA requests did not meet the threshold identified in Justice\u2019s guidance, the department, nonetheless, experienced a 51 percent increase in backlogged FOIA requests from fiscal years 2012 to 2016. Thus, having a plan and practices for reducing backlogged requests could help the department ensure that its backlog remains manageable, and that DOI is effectively positioned to respond to the needs of requesters and the public. Accordingly, we believe that our recommendation to develop a plan that addresses best practices to reduce the backlog is still warranted.", "In addition, 2 agencies disagreed with our recommendations: In written comments, reprinted in appendix XII, the Pension Benefit Guaranty Corporation disagreed with our recommendation that it designate a chief FOIA officer at the assistant secretary level or equivalent. The agency said it does not have assistant secretary positions. The agency added that it believes its current chief FOIA officer\u2019s position is equivalent to the assistant secretary level and that this official is an appropriate designee.", "We disagree that the current chief FOIA officer\u2019s position is equivalent to the assistant secretary level. However, the Pension Benefit Guaranty Corporation\u2019s General Counsel position is at a level that is equivalent to an assistant secretary. As such, assigning the position to the General Counsel could help ensure that the chief FOIA officer has the necessary authority to make decisions about agency practices, personnel, and funding. As such, we believe our recommendation is still warranted.", "In written comments, reprinted in appendix XIII, TVA disagreed with our recommendation to ensure that its FOIA tracking system is compliant with Section 508 of the Rehabilitation Act. The agency stated that, based on the January 18, 2017, revised Section 508 standards, its current FOIA tracking system meets the standard related to having a user interface, but does not meet the criteria for accessibility of electronic content. The agency added that, the current single user of its system does not require accessibility accommodations; thus, it would be an undue burden for the agency to make the system comply with the Section 508 requirements.", "While TVA\u2019s current FOIA system does not require accessibility accommodations and, in the agency\u2019s view, would be unduly burdensome to modify, as the agency undertakes further modernization of its IT systems and software, it should ensure that its FOIA system is compliant with Section 508 requirements. Accordingly, we stand by our recommendation to the agency.", "Further, 4 agencies did not state whether they agreed or disagreed with the report, although 2 of them offered other comments: In emails received from EEOC and NTSB, the agencies did not agree or disagree with the draft report. EEOC offered technical comments, which we incorporated, as appropriate, while NTSB said it had no comment.", "In written comments, reprinted in appendix XIV, FTC acknowledged that its chief FOIA officer is not at the assistant secretary level. FTC also noted that it is a small agency in which there are no position titles of assistant secretary-level or equivalent. Further, the agency stated that it believes its chief FOIA officer holds a sufficiently senior position (associate general counsel) with the necessary authority to fulfill the functions of the chief FOIA officer. Nevertheless, FTC stated that it would take our recommendation (to designate a chief FOIA officer at the assistant secretary level or equivalent) under advisement.", "Although FTC is a small agency and does not have positions at the assistant secretary level, we disagree that the current chief FOIA officer\u2019s position is sufficiently senior to fulfill the functions required of this position. However, assigning the chief FOIA officer position to the General Counsel, or an equivalent level position, could help ensure that the chief FOIA officer will have the necessary authority to make decisions about the agency\u2019s practices, personnel, and funding for the implementation of FOIA. As such, we believe our recommendation is still warranted.", "In comments provided via email from its GAO liaison, OMB stated that it does not have a position in its organization with the specific title of assistant secretary. However, the agency noted that, on March 7, 2018, the OMB Director designated the OMB General Counsel to serve as the agency\u2019s chief FOIA officer. According to OMB, the chief FOIA officer reports to the Director. Based on the documentation received, we are in agreement with OMB that the position of General Counsel is equivalent to an assistant secretary within the department. Accordingly, we consider this recommendation to be closed.", "The remaining 5 agencies to which we did not make recommendations stated that they did not have any comments on our report. These agencies were: the Administrative Conference of the United States, FDIC, the Federal Reserve Board, OCC, and Treasury.", "We are sending copies of this report to the Secretaries of the American Battle Monuments Commission, Homeland Security, Interior, State, and the Treasury; the Attorney General of the United States; the Archivist of the United States; the Comptroller of the Currency; Administrators of the National Aeronautics Space Administration and United States Agency for International Development; Board of Governors of the Federal Reserve System; Chairmen of the Administrative Conference of the United States, Equal Employment Opportunity Commission, Federal Deposit Insurance Corporation, and National Transportation Safety Board; Chief Executive Officer and Director of the Broadcasting Board of Governors; Directors of the Office of Management and Budget and Pension Benefit Guaranty Corporation; the Presidents of the Tennessee Valley Authority, and United States African Development Foundation, and the Acting General Counsel for the Federal Trade Commission. In addition, this report is available at no charge on the GAO website at http://www.gao.gov If you or your staff have questions about this report, please contact me at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix XV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine (1) determine the extent to which agencies have implemented selected Freedom of Information Act (FOIA) requirements; (2) describe the methods established by agencies to reduce backlogged requests and the effectiveness of those methods; (3) identify any statutory (b)(3) exemptions that have been used by agencies as the basis for withholding (redacting) information; and (4) determine what FOIA requests, if any, agencies received and processed that related to entities that received government assistance during the 2008 financial crisis.", "To address the first and second objectives, we selected 18 agencies to review based on the number of FOIA requests received, the sizes of FOIA backlogs, and the average time of processing FOIA requests for fiscal years 2012 through 2016. We also chose the agencies to represent a range of sizes (by number of employees)\u2014large (10,000 or more), medium (1,000 to 9,999), and small (999 or fewer). Large agencies selected were the Departments of Homeland Security, Justice, State, and the Interior; the National Aeronautics and Space Administration, and the Tennessee Valley Authority. Medium agencies were the National Archives and Records Administration, the Federal Deposit Insurance Corporation, the Equal Employment Opportunity Commission, the Broadcasting Board of Governors, the U.S. Agency for International Development, and the Federal Trade Commission. Small agencies were the National Transportation Safety Board, the American Battle Monuments Commission, the Pension Benefit Guaranty Corporation, the U.S. African Development Foundation, the Office of Management and Budget, and the Administrative Conference of the United States.", "For our first objective, to determine the extent to which agencies had implemented FOIA requirements, we examined six FOIA requirements outlined in the FOIA Improvement Act of 2016 and the OPEN Government Act of 2007. These requirements were for agencies to (1) update response letters, (2) implement tracking systems, (3) provide FOIA training, (4), provide records online, (5) designate chief FOIA officers, and (6) update and publish timely and comprehensive regulations. For these six requirements, we reviewed (1) agencies\u2019 FOIA regulations to determine if they included updates from the 2016 FOIA amendments and 2007 OPEN Government Act; and if they were updated by the required deadline; (2) agencies\u2019 FOIA systems to determine if the systems provided individualized tracking numbers for requests that will take longer than 10 days to process, if agencies\u2019 established telephone or Internet service to allow requesters to track the status of their requests; (3) if agencies\u2019 had designated a chief FOIA officer and what position they held within the agency; (4) if agencies chief FOIA officers provided annual FOIA training opportunities to agency staff; (5) if agencies had appropriately updated response letters in compliance with the 2016 FOIA amendments; and (6) if agencies were providing electronic documents publicly available online and posting frequently requested documents as required by the 2016 FOIA amendments. Since we selected a nonprobability sample of FOIA reporting agencies, the results of this analysis are not generalizable to all FOIA reporting agencies.", "In addition, we also reviewed the requirement for the development of a government-wide FOIA request portal and met with Office of Management and Budget (OMB) officials, and Department of Justice (Justice) officials in the Office of Information Policy (OIP) to the discuss the status of development. Further, we met the Chief FOIA Officers Council, OIP, and National Archives and Records Administration\u2019s (NARA) Office of Government Information Services (OGIS) to determine what, if any, actions they have taken to assist agencies with not violating the provisions of FOIA.", "For our second objective, to determine the methods established by agencies to reduce backlogged requests and the effect of those methods, we reviewed agency documentation to evaluate if the selected agencies had developed methods for reducing backlogged FOIA requests. We identified requirements for agencies to produce backlog reduction plans and determined if agencies developed such plans as required. We analyzed agencies\u2019 FOIA.gov data to determine if there was a correlation between the presence of a backlog reduction plan and a reduction in backlog numbers. We compared a set of identified best practices for reducing backlogs with agency procedures to determine the extent to which the best practices are used. In addition, we interviewed agency officials to determine the reasons for changes in agency backlog numbers and what actions they are taking to reduce backlogs or implement reduction plans. The results of this analysis are not generalizable to all FOIA reporting agencies.", "For our third objective, to identify statutory (b)(3) exemptions that have been used by agencies as the basis for withholding information, we developed a catalog of (b)(3) statutes that agencies previously have used to withhold information in FOIA records. To do that, we retrieved all data on agency use of (b)(3) statutes that were readily accessible on Justice\u2019s FOIA.gov website. The data on FOIA.gov are for fiscal years 2008 to 2016; however, Justice acknowledged that data prior to 2010 were not available on FOIA.gov for all agencies. Therefore, we reviewed data for fiscal years 2010 to 2016. In total, there were 117 distinct agencies that provided annual report data for at least 1 fiscal year, and that were represented in fiscal years 2010 through 2016. We developed a catalog by extracting information from the aggregate of agency annual FOIA reports that report, among other things, usage of (b)(3) statute, including the statute\u2019s citation and the number of times the statute was to used withhold information in a fiscal year.", "To assess the reliability of the data we retrieved from FOIA.gov, we supplemented our analysis with interviews of FOIA officials in Justice\u2019s OIP on steps they have taken to ensure the consistency of data in FOIA.gov on agencies\u2019 use of (b)(3) statutes. Our analysis did not include assessing the reliability of (b)(3) statute data submitted by agencies\u2014 Justice guidance states it is the responsibility of each agency to ensure quality data in their reports. We also electronically tested the data by identifying outliers, missing values, and syntactical discrepancies. We found the data to be sufficiently reliable for purposes of our reporting objective.", "To facilitate our analysis, we refined our catalog listing of agencies\u2019 use of (b)(3) statutes by developing a standardized statute notation assigned to each agency-used statute in our list. Specifically, our standardization of agency-used statutes consisted of removing any typographical errors, ensuring statutes were noted in a consistent U.S. Code format and referred to existing U.S. Code section, and verifying the existence of each statute through legal research, as well as standardizing any current notations of the statute such as those transferred within the U.S. Code by later legislation. If no current notation existed, then that statute was listed as is, such as \u201c15 U.S.C. \u00a7 80a-30(c)\u201d, which was used by an agency, and repealed during our review period. No replacement notation could be found.", "For some U.S. Code statutes, we standardized statutes to an entire section or subsection to reference nondisclosure provisions that contain a description of the type of information withheld by that statute. Further, for some U.S. Code statutes that agencies used as a range of statutes, such as 7 U.S.C. \u00a7\u00a7 7411-7425, we determined whether the range contained a single or multiple (b)(3) statute section(s) and developed a standardized statute for each (b)(3) section to assign the original agency statute. In some cases, where agencies used a smaller ranger of statutes, such as 21 U.S.C. \u00a7\u00a7 1903-1905, we retained the notation and assigned a standardized version of the range to the original agency-used statute range. Additionally, for some U.S. Code statutes that agencies used that contained two (b)(3) statutes, such as 26 U.S.C. \u00a7\u00a7 6103 and 6105, we developed a standardized statute for each (b)(3) section to assign the original agency statute.", "For those agency-used statutes that could not be immediately standardized or seemed to be noted in error, we either assigned that statute to a related section (or sections) containing a nondisclosure provision, retained the notation and assigned a standardized version of the statute to the original agency-used statute, or removed that statute from our catalog. For example, an agency claimed 15 U.S.C. \u00a7 7301 as a (b)(3) statue; however, the statute was a purpose section and 15 U.S.C. \u00a7 7306 was the only related nondisclosure provision in that chapter or subchapter of the Code. Therefore, \u00a7 7301 was assigned to the standardized citation \u00a7 7306. Each standardized statute was counted as one single statute, regardless of the number of sections it represented, resulting in a total of 237 statutes.", "Following our standardization exercise, we developed descriptions of each statute\u2019s subject matter. We also compared our standardized statutes list to Justice\u2019s list of qualified statutes to identify those statutes that qualified if a court has approved of the statute as being a (b)(3) statute. Next, we classified these statutes into 10 general categories based on their descriptions.", "To determine usage of (b)(3) statutes by agencies, we calculated the number of times an agency used original agency-used statutes and assigned those numbers to its associated standardized statute in our catalog. In cases where an agency appeared to cite multiple statutes, such as 26 U.S.C. \u00a7\u00a7 6103 and 6105, we counted the statutes separately if we determined they were different. For example, if an agency used 26 U.S.C. \u00a7\u00a7 6103 and 6105 500 times during fiscal years 2010 to 2016, we would assign that number to each standardized statute in our catalog to ensure that 26 U.S.C. \u00a7 6103 and 26 U.S.C. \u00a7 6105 each received 500 as the number of times used. We compiled and sorted these data to obtain information on which agencies were using the statute, which agency used it the most, and the approximate number of times the statute was used by an agency.", "To identify which statutes qualified as a (b)(3) exemption under the OPEN FOIA Act of 2009, we determined the date of the most recent legislative action for each standardized statute by identifying the dates of enactment and the most recent amendments of the statutes. We then identified those statutes enacted or amended after 2009 and we determined if they cited FOIA\u2019s paragraph (b)(3) by including a citation to 5 U.S.C. 552(b)(3) or \u201cparagraph (b)(3) of section 552 of title 5, United States Code,\u201d or a similar citation that includes a reference to paragraph (b)(3).", "To identify any additional statutes that the reviewed agencies did not claim during fiscal years 2010 to 2016, we developed another catalog of statutes that have similar provisions as other (b)(3) statutes that authorize an agency to withhold information from the public. Specifically, we utilized various sources to compile our list of statutes, including annual Justice reports on statutes determined by courts to constitute a (b)(3) statute, the National Institute of Standards and Technology\u2019s Guide for Mapping Types of Information and Information Systems to Security Categories, and two external nongovernmental organizations (American University Washington College of Law and ProPublica). In addition, we separately searched the U.S. Code for the keyword \u201c552(b)(3)\u201d using Lexis Nexis, to identify any additional statutes for our catalog. However, this additional catalog does not serve as an definitive or comprehensive list of (b)(3) statutes available for agencies to claim. Specifically, FOIA gives agencies broad discretion in deciding whether they can withhold information on the basis of a statute. For example, FOIA allows for agencies to assert a federal statute under the (b)(3) exemption if that statute establishes particular criteria or refers to particular types of matters to be withheld. Therefore, the statutes we identified may undercount the total number of exemptions available to agencies.", "For our fourth objective, to determine the number and types of FOIA requests related to private corporations that received funds under the Troubled Assess Relief program (TARP), we reviewed the Department of Treasury\u2019s (Treasury) Monthly Reports to Congress (October 2008 and November 2014) and prior GAO reports relating to TARP. We identified the corporations that received TARP funds and the federal agencies that received FOIA requests related to these corporations by reviewing Treasury\u2019s monthly reports for the time period in which Treasury held 50 percent or more common stock in corporations that were under the TARP agreement. We also reviewed prior GAO reports on TARP to verify the corporations and time period. In addition, we met with Treasury officials to verify the entities and time period.", "The three corporations that received TARP funds were American International Group, General Motors, and Ally. The agencies that received FOIA requests about these corporations were Treasury, the Federal Deposit Insurance Corporation (FDIC), the Federal Reserve Board, and the Office of the Comptroller of the Currency. We met with these agencies to identify their involvement in providing assistance to companies related to TARP.", "Next, we reviewed FOIA requests received by these four agencies during the period in which Treasury owned at least 50 percent or more common shares in the corporations. We reviewed the FOIA requests to determine the resolution of the request and the length of time it took the agency to respond. Lastly, we interviewed agency officials to better understand if and how FOIA requests were received and processed.", "We conducted this performance audit from January 2017 through June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Freedom of Information Act Exemptions", "paragraphs": ["The Freedom of Information Act (FOIA) prescribes nine specific categories of information that are exempt from disclosure. These exemptions are described in the table below."], "subsections": []}, {"section_title": "Appendix III: Catalog of (b)(3) Exemption Statutes Agencies Claimed during Fiscal Years 2010 through 2016", "paragraphs": ["Table 7 describes 237 (b)(3) exemption statutes used by FOIA reporting agencies during fiscal years 2010 through 2016 and indicates whether that statute has been found by a court to qualify as a (b)(3) exemption. Specifically, the Department of Justice, in its oversight role, identified 78 statutes that courts have ruled qualify as a (b)(3) statute. During fiscal years 2010 through 2016, when responding to FOIA requests, agencies used 75 of these statutes as the basis for withholding information."], "subsections": []}, {"section_title": "Appendix IV: Catalog of Statutes Authorizing the Withholding of Information but Not Used by Agencies under the (b)(3) Exemption during Fiscal Years 2010 through 2016", "paragraphs": ["Table 8 identifies 140 additional statutes outside of our agency used catalog that we did not identify as used by agencies during our fiscal year 2010 through 2016 review period. These statutes have similar provisions to other (b)(3) exemption statutes, authorizing an agency to withhold information from the public."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Justice", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the National Archives and Records Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Comments from the Pension Benefit Guaranty Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Tennessee Valley Authority", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the Federal Trade Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Anjalique Lawrence (assistant director), Lori Martinez (analyst in charge), Gerard Aflague, Melina Asencio, David Blanding, Kami Brown, Christopher Businsky, Caitlin Cusati, Haley Dunn, Elena Epps, Rebecca Eyler, Nancy Glover, James Andrew Howard, Saida Hussain, Robert Letzler, Lee McCracken, Carlo Mozo, Brian Palmer, David Plocher, Di\u2019Mond Spencer, Sukhjoot Singh, Henry Sutanto, and Priscilla Smith made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-358", "url": "https://www.gao.gov/products/GAO-18-358", "title": "Defense Health Care: TRICARE Select Implementation Plan Included Mandated Elements, but Access Standards Should Be Clarified", "published_date": "2018-04-13T00:00:00", "released_date": "2018-04-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD offers health care services to approximately 9.4 million eligible beneficiaries through TRICARE, DOD's regionally structured health care program. In each of its regions, DOD uses contractors to manage health care delivery through civilian provider networks, among other tasks.", "The NDAA 2017 made several changes to the TRICARE program, including the establishment of a new preferred provider network health plan option called TRICARE Select. The NDAA 2017 also required DOD to develop an implementation plan for TRICARE Select that addresses seven specific mandated elements on access to care, beneficiary complaints, and quality metrics for network providers.", "The NDAA 2017 included a provision for GAO to review the implementation plan. This report examines the extent to which DOD's implementation plan addressed the mandated elements. GAO evaluated DOD's implementation plan using leading planning practices identified in GAO's prior work and standards for internal control. GAO examined program policies, procedures, and contracts and interviewed DOD officials and TRICARE regional contractors."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) TRICARE Select Implementation Plan addressed the seven specific elements mandated by the National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017). These elements are", "Element A: ensuring that at least 85 percent of the TRICARE Select beneficiary population is covered by the network by January 1, 2018;", "Element B: ensuring access standards for health care appointments;", "Element C: establishing mechanisms for monitoring compliance with standards for access to care;", "Element D: establishing health care provider-to-beneficiary ratios;", "Element E: monitoring complaints by beneficiaries with respect to network adequacy and health care provider availability;", "Element F: establishing requirements for mechanisms to monitor the responses to complaints by beneficiaries; and", "Element G: establishing mechanisms to evaluate the quality metrics of the network providers.", "GAO also assessed the implementation plan against leading practices for sound strategic management planning and found that it incorporated many of the practices, such as establishing goals, strategies to achieve goals, and plans to assess progress. However, a few of the leading practices were only partially incorporated or not incorporated at all. For example, the implementation plan did not always fully address the leading practice that planning documents include strategies to achieve goals and plans to assess progress. DOD officials explained that some of the details of their approach to the elements had not been finalized when they were completing the implementation plan. These officials added that their approach to the implementation plan was to create a strategic overview, and that some of the details are contained in contract documents and monitored through their oversight responsibilities.", "Furthermore, GAO's assessment of the plan's elements found that the approach outlined in the implementation plan for ensuring access standards for health care appointments (Element B) is different from the approach DOD intends to use. The plan noted that DOD will use the access standards for TRICARE Prime\u2014a managed care option\u2014for TRICARE Select. However, DOD officials told GAO that the contractors are responsible for developing their own access standards, which DOD must approve. These officials added that DOD did not include information about the contractors proposing their own access standards because DOD was still developing its approach to this element when the plan was submitted. Because the implementation plan does not reflect DOD's current approach, Congress may not have the information it needs about the contractors' responsibilities for providing access to care, impeding its ability to provide oversight."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD provide written documentation of its approach for developing and approving the TRICARE Select access standards, as well as the final access standards, to Congress. DOD agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the Department of Defense (DOD) offered health care services to over 9 million beneficiaries in the United States and abroad through TRICARE, DOD\u2019s regionally structured health care program. In the past, beneficiaries had their choice of coverage among TRICARE\u2019s three basic health plan options\u2014TRICARE Prime, a managed care option; TRICARE Standard, a fee-for service option; and TRICARE Extra, a preferred provider organization option. The National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017) required DOD to terminate two of these options, TRICARE Standard and Extra, and establish a new self-managed preferred provider option called TRICARE Select no later than January 1, 2018. According to DOD, this change will modernize the TRICARE benefit\u2014specifically by introducing a progressive health plan model with enrollment requirements for beneficiaries. It is also intended to improve beneficiaries\u2019 access to care\u2014an issue we have previously reported on for beneficiaries who used the TRICARE Standard and Extra options.", "The NDAA 2017 also required DOD to develop an implementation plan for TRICARE Select that includes seven specifically defined elements on access to care, including elements related to TRICARE Select\u2019s network coverage, access standards for health care appointments, beneficiary complaints about network coverage and access, and quality metrics for providers. DOD submitted this plan to Congress on August 7, 2017. The NDAA 2017 included a provision for us to review the adequacy of the plan in addressing the mandated elements. In this report, we examine the extent to which DOD\u2019s implementation plan for TRICARE Select addressed these elements.", "To conduct this assessment, we reviewed DOD\u2019s implementation plan, TRICARE program policies and procedures, and contract documents that require specific access-related plans and data reports from the contractors. We compared this information with the plan elements mandated by the NDAA 2017, leading practices for strategic management planning identified by our prior work, and standards for internal controls in the federal government. (See app. I.) We also interviewed DOD officials, including officials from the Defense Health Agency (DHA), which oversees the TRICARE program, and the TRICARE Regional Offices, which oversee health care delivery in each TRICARE region, to understand the development and function of the plan, as well as the planned approach to addressing each element. We also interviewed representatives of the managed care support contractors, which manage health care delivery through civilian provider networks in each region, among other tasks, to understand any challenges related to implementation of the mandated elements.", "We conducted this performance audit from July 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "TRICARE Regional Structure and Contracts", "paragraphs": ["Under TRICARE, beneficiaries may obtain health care through DOD\u2019s system of military hospitals and clinics, referred to as military treatment facilities (MTF), or from civilian providers. DHA uses managed care support contractors to develop networks of civilian providers, referred to as network providers, to serve all TRICARE beneficiaries in geographic areas called Prime Service Areas. The contractors also perform other customer service functions, such as processing claims and assisting beneficiaries with finding providers. Each TRICARE region within the United States has a managed care support contractor. In July 2016, DOD awarded its fourth generation of TRICARE managed care support contracts. The new contracts reduced the number of TRICARE regions from three (North, South, and West) to two (East and West). On January 1, 2018, the TRICARE program began health care delivery under these contracts."], "subsections": []}, {"section_title": "TRICARE\u2019s Health Plan Options", "paragraphs": ["Prior to January 1, 2018, TRICARE\u2019s non-Medicare-eligible beneficiary population could obtain care through three basic health plan options\u2014 TRICARE Prime (managed care), TRICARE Standard (fee-for-service), and TRICARE Extra (preferred provider organization)\u2014that varied by enrollment requirements, choices in civilian providers, and whether there were established access standards. Beginning January 1, 2018, the TRICARE Standard and Extra options were terminated and TRICARE Select, a self-managed, preferred provider option, was established. (See table 1.)", "Beneficiaries using the TRICARE Standard and Extra options as of December 31, 2017, were automatically enrolled in TRICARE Select on January 1, 2018. Beneficiaries are allowed to change their plan at any time prior to January 1, 2019, after which they will only be able to change plans during an annual open enrollment season or within a certain time period following a qualifying life event. In August 2017, DOD estimated that over 2 million beneficiaries will be enrolled in TRICARE Select, which is approximately the same number of beneficiaries who used the TRICARE Standard option. According to DOD, approximately 66 percent of these beneficiaries resided in a Prime Service Area\u2014where networks of civilian providers have been established."], "subsections": []}, {"section_title": "TRICARE Select Implementation Plan", "paragraphs": ["In addition to establishing the TRICARE Select option and making other TRICARE program changes, the NDAA 2017 required DOD to develop an implementation plan for TRICARE Select that includes seven specific elements. These elements are, in part, intended to ensure beneficiaries\u2019 access to care under the TRICARE Select option, and they require DOD to ensure that at least 85 percent of the beneficiary population under TRICARE Select is covered by the network by January 1, 2018 (Element A); ensure access standards for appointments for health care that meet or exceed those of high-performing health care systems in the United States, as determined by the Secretary (Element B); establish mechanisms for monitoring compliance with access standards (Element C); establish health care provider-to-beneficiary ratios (Element D); monitor on a monthly basis complaints by beneficiaries with respect to network adequacy and the availability of health care providers (Element E); establish requirements for mechanisms to monitor the responses to complaints by beneficiaries (Element F); and establish mechanisms to evaluate the quality metrics of the network providers established under section 728 (of the NDAA 2017) (Element G)."], "subsections": []}]}, {"section_title": "DOD\u2019s TRICARE Select Implementation Plan Included the Mandated Elements and Addressed Most Leading Planning Practices, but Does Not Reflect Current Approach for Access Standards", "paragraphs": [], "subsections": [{"section_title": "DOD\u2019s Implementation Plan Included the Mandated Elements and Addressed Most Leading Practices for Strategic Management Planning", "paragraphs": ["The TRICARE Select implementation plan DOD submitted to Congress included the seven specific elements mandated by the NDAA 2017. Specifically, the implementation plan described the upcoming changes to the TRICARE benefit and included individual sections outlining DOD\u2019s approach for implementing each of the required elements. For example, for element A\u2014ensure that at least 85 percent of the beneficiary population under TRICARE Select is covered by the network by January 1, 2018\u2014DOD described, among other things, how the regional contractors will identify geographic areas with concentrations of TRICARE Select beneficiaries and how they will establish a sufficient provider network to serve that population.", "We also found that the implementation plan reflected most of the leading practices for sound strategic management planning as identified by our prior work. (See table 2.) These leading practices suggest that strategic planning documents include the following: (1) a mission statement, (2) goals, (3) strategies to achieve goals, (4) plans to assess progress, and (5) identification of challenges and risks. For example, DOD\u2019s implementation plan clearly articulated a mission statement, which is \u201cto ensure beneficiaries receive the right level of care, at the right time, delivered by the right provider.\u201d Additionally, for six of the mandated elements, DOD\u2019s implementation plan outlined the goal, strategies to achieve the goal, and how DOD will assess progress. (See elements A, B, C, D, E, and F in table 2.) This information is supplemented by contract documents that require specific plans and data reports from the managed care support contractors. For example, for element A\u2014ensure that at least 85 percent of the beneficiary population is covered by the network\u2014 each managed care support contractor is required to submit monthly performance reports that show that a sufficient number of providers in primary and specialty care are available to meet access requirements. While DOD\u2019s implementation plan addressed many of our leading practices, there were instances where some of the leading practices were only partially addressed or not addressed at all. For example, none of the mandated elements incorporated the leading practice related to identifying the challenges and risks that could affect the success of the element.", "Element G, Evaluation of Quality Metrics, Remains under Development We also found that the implementation plan partially addressed or did not address the leading practices related to strategies or plans to assess progress for element G\u2014establish mechanisms to evaluate the quality metrics of the network providers. The plan stated that DOD is reviewing the required set of core quality performance metrics and will implement a subset of these performance measures that can be used in future contracts. However, the plan did not include several strategic details such as (1) the process that DOD will use to determine the metrics, (2) the criteria and resources that are needed to select the subset of these performance measures, and (3) how DOD will assess progress and evaluate future metrics. DOD officials told us that a workgroup of departmental officials\u2014including those from DHA and the TRICARE Regional Offices and representatives of the military service branches\u2014 with expertise in health care quality are evaluating the metrics for inclusion in the subset of measures based on criteria such as availability of data, the size of the population affected, and resources needed; developing a work plan and time frames to analyze the metrics that are (1) already being reported, (2) not being reported but data are available, and (3) not being reported and require data solutions in order to track information; and making preliminary recommendations on which measures to adopt and which to consider for future adoption.", "DOD officials explained that some of the details of their approach to the mandated elements had not been finalized when they were completing the implementation plan, including some of the details for element G, which continues to be a work in progress. They added that they were under tight time constraints with competing priorities. They explained that they had to plan for the implementation of TRICARE Select while concurrently transitioning to new managed care support contracts, which had to be modified to incorporate this new health plan option. Therefore, while DOD officials were developing the TRICARE Select implementation plan, they had to determine the specific program requirements for this option and modify the contracts to account for these changes.", "Leading Practice on Challenges and Risks May Be Captured through Contract Oversight Mechanisms We also found that DOD\u2019s implementation plan did not address the leading practice related to recognizing the challenges or risks to success for any of the seven elements. This practice ensures that an organization considers any external factors that could significantly affect the achievement of its goal. For example, for element A\u2014ensure that at least 85 percent of the beneficiary population is covered by the network\u2014the implementation plan did not address what challenges and risks the contractors might experience in establishing this network. For example, one of the two managed care support contractors stated that it did not have data on the beneficiaries who had sought coverage under TRICARE Standard and Extra as these beneficiaries did not have to enroll in these health plan options. Thus, the contractor explained that it was difficult to establish a baseline for calculating the 85 percent network coverage required for TRICARE Select. The other managed care support contractor told us that specific challenges included negotiating provider discounts in certain areas, identifying which providers participated in the past, and balancing the composition of the network between primary and specialty care. However, DOD officials told us that they considered and planned for the challenges and risks associated with certain elements\u2014including establishing a monitoring and remediation process to help ensure contractors meet the 85 percent network coverage requirement\u2014even though this was not described in the plan.", "DOD officials explained that their approach to the implementation plan was to create a strategic overview rather than a detailed work plan. These officials also told us that details and time frames related to the mandated elements are captured in contract documents, such as those that establish the managed care support contractors\u2019 reporting and planning requirements. Although these contract documents do not specifically address challenges and risks for each element, officials stated that they have oversight mechanisms in place that allow them to address any challenges faced by these contractors, thereby mitigating any potential risks. For example, DHA officials told us that the managed care support contractors provide status updates on their network expansion progress at weekly transition meetings with DHA and at biweekly meetings with the TRICARE Regional Offices. DHA officials told us that the TRICARE contracts have specific expansion goals and deadlines, such as requiring that 50 percent of network providers are in the system 120 days prior to the start of health care delivery. Given that both TRICARE Select and the new TRICARE contracts were implemented on January 1, 2018, it is too early to determine whether this approach will be sufficient to deal with any upcoming challenges and risks."], "subsections": []}, {"section_title": "Implementation Plan Does Not Reflect Current Approach for Establishing Access Standards", "paragraphs": ["Our review of element B\u2014ensure access standards for appointments for health care that meet or exceed those of high-performing health care systems in the United States, as determined by the Secretary\u2014noted that the approach described in the implementation plan differs from the approach that DOD intends to use. The implementation plan states that the access standards for TRICARE Select will mirror those of TRICARE Prime, DOD\u2019s managed care option, and that DOD will continue to compare these standards with those of high-performing U.S. health care systems. However, DOD officials told us in interviews that the access standards for TRICARE Select will be developed by each managed care support contractor and approved by DOD. This approach is outlined in contract documents, which state that the contractors are required to develop access-to-care plans that detail how they will ensure access standards that meet or exceed those of high-performing health care systems in the United States.", "DOD officials told us that they did not intend to suggest in the plan that the TRICARE Prime access standards would be applied to TRICARE Select. Instead, these officials explained that they meant that the access standards for TRICARE Select would be evaluated with the same tools as the access standards for TRICARE Prime. DOD officials further stated that they did not include information about the managed care support contractors proposing their own access standards because they were still developing the approach to this element when the implementation plan was submitted. DOD officials told us they decided on this approach because there is no national model for preferred provider organization access standards, and therefore they did not want to be prescriptive about the access standards for this option. However, as a result of this approach, there is the potential that the managed care support contractors for the East and West regions could be using two different sets of access standards for TRICARE Select.", "Standards for internal control in the federal government state that management should externally communicate the necessary information to achieve the entity\u2019s objectives. Because the implementation plan does not reflect DOD\u2019s current approach, Congress may be lacking important information, including what responsibilities the contractors have in terms of providing access to care, impeding its ability to provide oversight."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["On January 1, 2018, DOD implemented significant changes to the TRICARE program, which provides health care to millions of beneficiaries worldwide. One of these changes is the establishment of a new preferred provider option\u2014TRICARE Select\u2014intended to modernize the TRICARE benefit and improve beneficiaries\u2019 access to care. While DOD\u2019s implementation plan for this new option addressed all of the elements that were required, time constraints along with competing priorities impeded DOD\u2019s ability to fully develop its approach for some elements, which are being addressed through other oversight efforts. Furthermore, although one of TRICARE Select\u2019s primary goals is to improve access to care, DOD\u2019s implementation plan does not reflect how access standards will be established. Without the most current information, it will be difficult for Congress to determine whether the department is achieving its mission of ensuring that beneficiaries receive the right level of care, at the right time, delivered by the right provider."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Secretary of Defense direct the Assistant Secretary of Defense (Health Affairs) to provide written documentation of DOD\u2019s approach to developing and approving the TRICARE Select access standards, as well as the final access standards, to Congress. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. In its written comments, which are reproduced in Appendix II, DOD concurred with our recommendation. DOD stated that it will provide written documentation about the TRICARE Select access standards to Congress by June 30, 2018. DOD did not provide technical comments.", "We are sending copies of this report to the Secretary of Defense and appropriate congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or at draperd@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Leading Practices for Strategic Management Planning as Identified by GAO\u2019s Prior Work", "paragraphs": ["This appendix provides additional information regarding six elements identified by our prior work as leading practices for strategic management planning to establish a comprehensive, results-oriented framework. (See table 3.)"], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Bonnie Anderson (Assistant Director), Daniel Klabunde (Analyst-in-Charge), and Karen Belli made key contributions to this report. Also contributing were Jacquelyn Hamilton and Elizabeth T. Morrison."], "subsections": []}]}], "fastfact": ["DOD offers health care services to over 9 million people through its TRICARE program. The National Defense Authorization Act of 2017 made several changes to TRICARE, including establishing a new preferred provider network option called TRICARE Select. The act also required DOD to develop an implementation plan for Select that addresses specific issues, such as access to care and beneficiary complaints.", "We found that while DOD's implementation plan addressed all required issues, it doesn't reflect DOD's current approach for establishing access standards. We recommended that DOD provide written documentation of its current approach to Congress."]} {"id": "GAO-19-115", "url": "https://www.gao.gov/products/GAO-19-115", "title": "Supplemental Nutrition Assistance Program: Disseminating Information on Successful Use of Data Analytics Could Help States Manage Fraud Risks", "published_date": "2018-10-02T00:00:00", "released_date": "2018-11-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government provided $64 billion in SNAP benefits in fiscal year 2017 to help approximately 42 million low-income individuals purchase food. SNAP is administered by FNS in partnership with states. To help reduce the risk of improper receipt or use of SNAP benefits, states use data analytics, including data matching and data mining, to identify patterns or trends indicative of potential fraud in SNAP purchases. Based on concerns about potential SNAP benefit trafficking across state lines, GAO was asked to review out-of-state transactions and states' efforts to combat such fraud.", "This report examines (1) the extent to which SNAP households in selected states made out-of-state purchases that may indicate potential fraud, (2) the advantages and challenges selected states have experienced in using data analytics to identify potential fraud, and (3) how FNS has assisted states in implementing leading practices for data analytics. GAO analyzed fiscal year 2017 data on SNAP purchases for North Dakota, Washington, and the District of Columbia, which had large percentages of non-border out-of-state purchases and interviewed FNS officials and officials in these states as well as in Massachusetts, Mississippi, New Mexico, and Wisconsin about their use of data analytics compared with leading practices."]}, {"section_title": "What GAO Found", "paragraphs": ["Supplemental Nutrition Assistance Program (SNAP) recipients are allowed to spend their benefits outside their state of residence, and GAO's analysis of fiscal year 2017 SNAP data in three selected states found that overall about 2 percent of households made purchases, both in state and out-of-state, potentially indicative of trafficking\u2014the prohibited exchange of benefits for cash or nonfood goods or services. Also, GAO found little difference in potential trafficking behaviors between households that made one or more purchases out-of-state and those that shopped only in their home state.", "Officials in all seven states GAO reviewed said they conducted data matching. Officials in five of these states stated that they use more sophisticated data analytics including data mining to help identify potential fraud (see figure). These officials cited advantages to using more sophisticated analytics to automate fraud detection and prioritize cases, allowing them to focus investigative resources on cases most likely to involve fraud. For example, officials in Mississippi reported that overpayment collections increased $2 million since the state incorporated more data techniques into its fraud detection efforts. However, officials in all seven selected states cited factors such as high cost, resource demands, data limitations and organizational support as challenges that affect their ability to use or maintain more advanced data-analytics techniques.", "The U. S. Department of Agriculture's Food and Nutrition Service (FNS) has helped some states adopt certain leading practices for data analytics, but its current outreach is limited. FNS has provided assistance to some states through pilot projects, grants, and training, but, beyond a recently issued guide, FNS has done little to disseminate information more broadly about successful efforts to adopt data analytics. FNS officials said they are in the early stages of promoting data analytics for SNAP fraud prevention and detection, and their efforts have focused on assessing the current capability of states to use data analytics and determining analytic practices that are effective. State officials GAO interviewed said that training provided was helpful but expressed concern about their access to information on successful data analytic approaches. Disseminating information to states on successful strategies could help states address challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FNS more widely disseminate information to states about successful strategies used by states to adopt data analytics. FNS agreed with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the federal government provided almost $64 billion in benefits to help approximately 42 million low-income people purchase food through the Supplemental Nutrition Assistance Program (SNAP). In recent years, the size and costs of the program have raised questions about the extent of the controls in place to combat fraud. Program officials have long-standing concerns that some recipients falsify information about their household circumstances to improperly receive benefits or misuse their benefits to solicit or obtain non-food goods, services, and cash\u2014a practice known as trafficking. For example, according to a press release from the Department of Justice, in 2018, an individual operating as a retailer in Maryland was convicted in federal district court for food stamp and wire fraud relating to the exchange of benefits for cash. The retailer redeemed over $1.5 million in SNAP benefits for transactions in which he paid recipients approximately half the value of the benefits in cash and kept the rest of the proceeds.", "The U.S. Department of Agriculture\u2019s (USDA) Food and Nutrition Service (FNS), in partnership with the states, administers SNAP. FNS and states share the role of combating fraud and abuse in the program. State agencies are directly responsible for detecting, investigating, and prosecuting recipient fraud, while FNS is responsible for providing guidance and monitoring this state activity.", "Federal law allows recipients to use their benefits at any authorized SNAP retailer nationwide, including those outside recipients\u2019 state of residence. Out-of-state purchases occur for varied reasons, such as temporary travel or employment in another state. Those who live near state borders may spend their benefits in the neighboring state if retailers are more conveniently located or food prices are lower. However, long- term out-of-state purchases, particularly in states that do not border the state where the recipient is enrolled in SNAP, may raise questions about a recipient\u2019s actual residence and how the benefits are being used.", "You asked us to examine the out-of-state use of SNAP benefits. In this report, we answer the following questions: 1. To what extent are SNAP households in selected states making out- of-state purchases that may indicate potential recipient fraud? 2. How are selected states using data analytics\u2014including analyses of out-of-state transactions\u2014to identify potential SNAP recipient fraud, and what advantages and challenges, if any, have they experienced? 3. How has FNS assisted states in implementing leading practices for data analytics?", "For all three objectives, we reviewed relevant federal laws, regulations, program guidance, and reports. For objective 1, we analyzed all out-of- state SNAP transactions for fiscal year 2017 using data provided by FNS. We selected the District of Columbia and two states\u2014North Dakota and Washington\u2014with large amounts of non-border out-of-state transactions (compared to all SNAP benefits issued in the state) for further review. For these states, we reviewed fiscal year 2017 transaction data for households that spent all their benefits in a non-border state in that year. We also analyzed all transaction data for households in these states for indicators of potential trafficking.", "For objective 2, we selected these three states as well as Massachusetts, Mississippi, New Mexico, and Wisconsin for our review. We selected these seven states to reflect a range of individual state experiences based on the percentage of non-border state transactions, receipt of related technical assistance, and FNS\u2019s reports on their capacity to conduct data analysis. We interviewed knowledgeable officials from the seven state SNAP agencies about their efforts to use data analytics to detect potential recipient fraud and the advantages and challenges states face in doing so. We obtained related documentation when possible. While information from these seven state SNAP agencies is non- generalizable, it provides illustrative examples of state agencies\u2019 efforts to use data analytics.", "For objective 3, we obtained documentation of FNS\u2019s efforts to assist states in implementing data analytics and interviewed FNS officials in headquarters and all seven regional offices as well as officials from the seven states and others representing state associations. We compared these efforts to leading practices for data analytics described in GAO\u2019s Fraud Risk Framework. We focused primarily on FNS\u2019s efforts to assist states beginning in fiscal year 2015, which follows our 2014 report on SNAP recipient fraud. Our 2014 report included recommendations for FNS in assisting states with recipient anti-fraud efforts. All of the data included in this report were assessed and determined to be sufficiently reliable for our purposes. More information on our methodology can be found in appendix I.", "We conducted this performance audit from May 2017 through October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence we obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal and State Roles in Addressing SNAP Fraud", "paragraphs": ["The goal of SNAP, formerly known as the federal Food Stamp Program, is to help low-income individuals and households obtain a more nutritious diet by supplementing their income with benefits to purchase allowed food items. The federal government pays the full cost of the benefits and shares the responsibility and costs of administering the program with the states. The overarching rules governing SNAP are set at the federal level. Accordingly, FNS is responsible for promulgating program regulations and ensuring that state officials administer the program in compliance with program rules. FNS officials in seven regional offices assist headquarters officials in this oversight work. FNS also determines which retailers are eligible to accept SNAP benefits for food purchases and investigates and resolves cases of retailer fraud. The states, or in some cases counties, administer the program by determining whether households meet the program\u2019s eligibility requirements, calculating monthly benefits for qualified households, and issuing benefits to participants on an electronic benefit transfer (EBT) card. States are also responsible for investigating possible violations by benefit recipients and pursuing and acting on those violations that are deemed intentional."], "subsections": []}, {"section_title": "Types of SNAP Fraud and State Anti-Fraud Mitigation Strategies", "paragraphs": ["Intentional program violations include acts of fraud, which involve obtaining something of value through willful misrepresentation. Eligibility fraud involves individuals making false or misleading statements in order to obtain benefits, including statements about household composition, household expenses, and income. Failing to report changes to household circumstances that may affect benefits can also result in eligibility fraud under certain circumstances. When recipients are certified for SNAP, state agencies assign them to a reporting system for notifying the state of certain changes. These changes include when they have a change of address, both in-state or out-of-state. Some systems require recipients to report within a certain period of time of the change occurring, often within 10 days. Other reporting systems\u2013 including simplified reporting \u2013 require recipients to submit reports periodically. Households subject to reporting on a periodic basis must generally submit reports not less often than once every 6 months. One type of eligibility fraud is dual participation, in which a recipient receives benefits in more than one state in the same month.", "Another type of SNAP fraud is trafficking, in which benefits are exchanged for cash or non-food goods and services. Trafficking may occur when recipients collaborate with retailers who pay cash for SNAP benefits. For example, a retailer might allow a recipient to charge $100 on his or her EBT card and then pay the recipient $50 instead of providing food. Trafficking also occurs when a recipient exchanges an EBT card and the corresponding Personal Identification Number (PIN) for cash or non-food goods or services (e.g., rent or transportation) from another individual.", "According to a September 2012 USDA Office of Inspector General (OIG) report, the magnitude of program abuse due to recipient fraud is unknown because states do not have uniform ways of compiling such data. OIG recommended that FNS determine the feasibility of creating a uniform methodology for states to calculate their recipient fraud rate. In 2014, FNS responded that it would be infeasible to implement the recommendation as it would require legislative authority mandating significant state investment of time and resources in investigating, prosecuting, and reporting fraud beyond current requirements.", "States must adhere to various federal requirements for detecting SNAP recipient fraud, conducting investigations, and providing due process prior to disqualifying recipients from participating in the program. The household is responsible for repaying ill-gotten or misused benefits. States may generally retain 35 percent of the fraudulent benefits they recover, and the rest are returned to the federal government."], "subsections": []}, {"section_title": "Data Analytics", "paragraphs": ["The use of data analytics enables the discovery and communication of meaningful patterns in data so that states can determine which potential SNAP fraud cases to review in detail. States have access to various types of data in their case management systems, including recipient-provided information and benefits data collected throughout the SNAP eligibility determination process. Other information sources available to states include transaction data collected by EBT processors, data from previous fraud investigations, and third-party data from other government agencies or commercial vendors (see fig. 1).", "Data-analytics activities can include a variety of techniques to prevent and detect fraud, including data matching and data mining. Data matching is the large scale comparison of records and files to detect errors or incorrect information. It can be used to verify information provided by recipients or detect unreported changes. Data mining is the use of automated computer algorithms to detect otherwise hidden patterns, correlations, or anomalies within large data sets indicative of potential fraud, thus assisting programs in recovering these dollars (see fig. 2).", "Federal laws and regulations require states to conduct certain data matches when an application for benefits is submitted and other times to verify an individual\u2019s reported employment and immigration status, as well as to ensure the information provided is not for an individual who is incarcerated, deceased, or disqualified from the program (see table 1).", "GAO\u2019s Fraud Risk Framework identifies the following leading practices to help managers effectively use data to mitigate the likelihood and impact of fraud (see table 2).", "While these leading practices can help managers design and implement effective data-analytic tools and techniques to prevent and detect potential fraud, as discussed in the Fraud Risk Framework, these techniques alone may not be sufficient to ensure that ineligible individuals do not fraudulently enroll in a program or receive benefits. As a result, managers may need to combine data-analytics activities with additional controls as part of their efforts to combat fraud, in a strategic, risk-based manner."], "subsections": []}]}, {"section_title": "SNAP Transaction Data from Selected States Show Relatively Few Households with Out- of-State Purchases Indicating Potential Fraud", "paragraphs": [], "subsections": [{"section_title": "Out-of-State Purchases Are Allowed by SNAP Rules and Their Dollar Value Represents a Small Percentage of Purchases", "paragraphs": ["A relatively large number of SNAP households made purchases outside their home state, as allowed under the SNAP statute, but the total dollar value of out-of-state purchases was small compared to SNAP purchases overall, according to our analysis of FNS SNAP transaction data. We identified approximately 5.5 million households that made out-of-state SNAP purchases in fiscal year 2017. In comparison, FNS reported that the monthly average number of SNAP households was approximately 21 million in fiscal year 2017. Out-of-state purchases made up approximately 3 percent of all SNAP benefits in fiscal year 2017, with a total dollar value of about $2 billion (see fig. 3).", "Out-of-state purchases may occur for different reasons, one of which may be because a recipient lives on or near a state border, and regularly shops across the state line. For example, District of Columbia recipients spent about half of their SNAP benefits out of state in fiscal year 2017. All District of Columbia residents are in close proximity to both Maryland and Virginia, which are no more than approximately 7 miles from any point in the District. In general, about a third (34 percent) of households nationwide with out-of-state purchases spent $50 or less on those purchases in fiscal year 2017. See Appendix II for a detailed listing of out- of-state purchases by state. Out-of-state purchases may also indicate potential program violations, including eligibility fraud or trafficking. However, because out-of-state purchases are permitted, analysis of additional household and transaction information is generally needed to identify potential fraud, as discussed below.", "Of out-of-state transactions, purchases in a state that did not border the recipient\u2019s home state (non-border state) made up approximately 1 percent of all SNAP benefits in fiscal year 2017, as shown in figure 3 above. There were 2.2 million SNAP households that made at least one purchase in a non-border state in fiscal year 2017, and the percent of SNAP benefits spent in a non-border state in that year ranged between approximately 0.6 percent and 1.9 percent. In fiscal year 2017, states whose SNAP recipients spent the highest percentage of their SNAP benefits in non-border states included Colorado, Hawaii, Montana, North Dakota, and Rhode Island."], "subsections": []}, {"section_title": "SNAP Purchases in Non- Border States Raise Questions of Residency for a Relatively Small Percentage of Households in Selected States", "paragraphs": ["Overall, we found that for fiscal year 2017, less than 0.5 percent of households in our three selected states spent all their SNAP benefits for the entire fiscal year in a non-border state (see table 3). Use of benefits in stores that are a long distance from a recipient\u2019s residence for extended periods of time, such as purchases exclusively in non-border states over multiple months, could be an indicator of program violations, including eligibility fraud. The total value of SNAP transactions by households in our three selected states that made all purchases in non- border states in fiscal year 2017 was approximately $1.9 million. These purchases represent about 0.1 percent of all SNAP benefits for fiscal year 2017 in the three selected states.", "When SNAP benefits are used in a non-border state over an extended period of time, this could indicate possible intentional program violations such as an unreported move and other household changes that could impact eligibility. SNAP officials we interviewed said that in some cases a recipient may delay reporting a move if they are enrolled in SNAP in a state with a lower barrier to entry to the program. At the same time, the rules around reporting a move and residency may make it difficult to determine when a recipient has violated program rules. Recipients are not required to immediately report a move in some cases due to simplified reporting rules that allow a recipient to report household changes only periodically, generally every 6 months. Also, officials we interviewed in the three selected states told us that there are no set time limits for a SNAP recipient to reside in a new state before the former state revokes the recipient\u2019s residency. For example, a recipient may be out of state for an extended period of time for personal reasons, such as helping a relative, but still intend to reside in the state where they are enrolled in SNAP. In that case, according to state officials, the recipient would not necessarily need to report a move and may not be violating program rules.", "In addition to the program violations related to an unreported move, use of SNAP benefits in a non-border state over extended periods of time could bring into question whether a recipient is also enrolled in SNAP in another state (i.e., dual participation). Also, it may indicate changes in the household that could impact eligibility, including questions about whether a recipient is earning unreported income in the state where they are using their benefits. While state SNAP agencies stated that they conduct data matching meant to detect dual participation and unreported income, states also noted challenges with these matches. State agencies told us that they use the PARIS system to detect possible dual participation, and both NDNH and the Work Number to identify recipient income. However, challenges officials cited in using these systems included lags in the data provided, and additional work required to confirm data. The use of data analytics to review recipient transaction data may help states identify suspicious household activity more easily than with data matching alone given the challenges associated with these systems. In addition, data analytics may be another tool to help states identify suspicious activities in a timely manner. Given the possibility for eligibility fraud or other program violations, we plan to refer the households that our data analysis identified as spending all benefits in a non-border state to their respective state SNAP agencies for further investigation."], "subsections": []}, {"section_title": "Selected Households\u2019 Out- of-State and In-State SNAP Purchases Had Similar Levels of Potential Trafficking", "paragraphs": ["Based on our analysis of fiscal year 2017 transaction data in the three selected states, we found that SNAP households without out-of-state purchases were generally just as likely to have made the types of purchases that may indicate trafficking of benefits as households with out- of-state purchases. Overall, we found that approximately 2 percent of all households in the three selected states, including both households that shopped out-of-state and those that shopped in state only, had a high number of purchases potentially indicative of SNAP trafficking. However, for two selected states, there was little to no difference in the percentage of households with this activity when we compared households that only shopped in their home state and households that shopped out-of-state. For one state, a greater percentage of households that shopped out-of- state had purchases indicative of SNAP trafficking, but households in this state also had different shopping patterns in general, as discussed below. In addition, for households that shopped out-of-state, few of the transactions we flagged as indicators of potential trafficking occurred outside the home state. Although we found that rates of trafficking indicators were generally similar between households that shopped out- of-state and those that only shopped in their state of residence, the analysis of transaction data for other factors may allow states to identify households at risk of trafficking and make them a higher priority for investigation. Our prior work reported on the benefits of SNAP transaction data analysis for this purpose.", "Specifically, we found that for North Dakota and Washington, households that made one or more purchases out of state had similar rates of purchases flagged for potential trafficking compared to households that shopped only in their home state. This held true both for households that only shopped in border states, as well as for households that shopped in non-border states (see table 4). For example, 1.4 percent of Washington SNAP households that only shopped in their home state had purchases resulting in 20 or more trafficking flags in fiscal year 2017, and 1.8 percent of Washington households that also shopped in border states had 20 or more trafficking flags. For Washington households that also shopped in non-border states, 1.5 percent made purchases resulting in 20 or more flags.", "Our analysis of District of Columbia households identified higher rates of potential trafficking indicators for households that shopped out-of-state, compared to the other two selected states. Specifically, 1.4 percent of District of Columbia SNAP households that only shopped in their home state had purchases resulting in 20 or more trafficking flags in fiscal year 2017, and 5.7 percent of households that also shopped in border states had 20 or more trafficking flags. For District of Columbia households that also shopped in non-border states, 8 percent made purchases resulting in 20 or more flags. However, the difference in rates for District of Columbia trafficking indicators may reflect the different shopping patterns of its households when compared to other states. As stated previously, District of Columbia households made about half of their SNAP purchases out-of- state, which is a significantly higher amount compared to any other state. And all District of Columbia households are in close proximity to the bordering states of Maryland and Virginia, approximately 7 miles or less. Also, a small percentage of District of Columbia households shopped only in their home state in fiscal year 2017\u2014approximately 7 percent of all households reviewed. In comparison, approximately 62 percent of North Dakota households, and 76 percent of Washington households made all purchases in their home state.", "For the households in North Dakota and Washington that shopped out-of- state in fiscal year 2017, we found that most transactions indicating potential trafficking occurred in the recipient\u2019s home state rather than out- of-state (see fig. 4). District of Columbia households were the exception and most transactions indicating potential trafficking occurred in the recipient\u2019s home state or in a border state. However, the pattern of trafficking flags also aligns with where District of Columbia SNAP recipients tend to shop, given that approximately half of their SNAP purchases were made in border states in fiscal year 2017.", "While we identified households in selected states with out-of-state purchases that indicated potential trafficking, identifying such households required additional data analysis of factors beyond purchase location. Analysis of additional data elements may allow states to better identify potential trafficking requiring investigation. We found out-of-state purchase information alone is of limited benefit to identify SNAP households that may be engaged in trafficking."], "subsections": []}]}, {"section_title": "Some Selected States Reported Using Data Analytics Beyond Required Data Matching and Cited Advantages As Well As Organizational and Resource Challenges", "paragraphs": [], "subsections": [{"section_title": "Selected States Reported Doing Required Data Matching, and Some Reported Conducting Additional Data Analytics", "paragraphs": ["Officials we interviewed in all seven of the states we selected for review of use of data analytics reported conducting federally required data matching to verify information provided by households when they initially apply or recertify for SNAP benefits. Federal law and regulations require states to conduct certain data matches when determining SNAP eligibility, including matches that provide information on people who may be incarcerated, deceased, or disqualified from receiving SNAP benefits due to intentional program violations. The five databases that state SNAP agencies are required to conduct matches against when determining SNAP eligibility are the Department of Health and Human Services\u2019 (HHS) National Directory of New Hires, the Social Security Administration\u2019s (SSA) Prisoner Verification System, SSA\u2019s Death Master File, U.S. Citizenship and Immigration Services\u2019 Systematic Alien Verification for Entitlements and FNS\u2019s Electronic Disqualified Recipient System (eDRS). As we previously reported, state SNAP agencies use data matching to obtain information about households\u2019 income, verify information provided by households, or identify potential discrepancies. Specifically, agencies are required to verify household data electronically by matching their data with specific government sources and have the option to match against additional data sources.", "In addition to the required data matching, officials we interviewed in all seven selected states also reported conducting other data matching with a range of internal and external data sources. These matches used information from federal, state, and commercial data sources on earned income from employment or self-employment or unearned income from other government benefit programs. According to state officials, these sources included Unemployment Insurance information from state workforce agencies, the PARIS file from HHS, and The Work Number, a commercial verification service. Other sources that could be used include Old-Age, Survivors, and Disability Insurance income information and Supplemental Security Income information from multiple data matches with the SSA. In addition to verifying applicants\u2019 initial eligibility, data matching can identify changes in key information that could affect continued eligibility.", "Beyond data matching, officials in all seven selected states said that they had access to EBT reports notifying them of suspicious transactions, although the type and frequency of use of these reports varied. For example, while some state officials said that they manually generated reports on an ad hoc basis, other state officials said that they had automated reports that they received and reviewed on a weekly or monthly basis. As we previously reported, automating data analytics tests can allow agencies to monitor large amounts of data more efficiently than with manual tests. Furthermore, officials in all seven selected states reported that they had examined out-of-state transactions to some extent. Some states had access to out-of-state reports as part of their suite of EBT reports but did not review them often, while other states automatically received alerts if households consistently used benefits out of state over a certain extended period of time, such as 70 or 90 days. For example, officials from Massachusetts told us that they flag certain transactions to help ensure recipients comply with the state\u2019s residency requirements for eligibility. Specifically, after a client spends their benefits out of state for 70 days or more, the state agency will send a letter asking the client to prove they are still a Massachusetts resident. Officials generally reported that tracking out-of-state transactions was most useful for finding potential dual participation\u2014a household receiving benefits in two or more states.", "Officials we interviewed in five of seven selected states reported conducting further, more sophisticated data analytics involving data mining\u2014the active and recurring monitoring of EBT transactions using algorithms to detect and flag transactions that indicate potential recipient fraud, often on a real-time or near real-time basis. For example, officials told us that these states\u2014the District of Columbia, Massachusetts, Mississippi, Washington, and Wisconsin\u2014examined a range of indicators of potential recipient fraud. Some of the five selected states automated their data mining to monitor data for potential fraud indicators on a continuous, real-time basis.", "In addition to data mining, some of these five states reported using other more advanced data analytics techniques, including mapping analysis and a form of predictive analysis to identify SNAP purchases that could indicate trafficking. For example, officials in the District of Columbia reported using location mapping to identify households that spent their benefits long distances from home. Officials we interviewed in Wisconsin reported developing an automated check intended to flag particular types of case characteristics indicative of potential fraud. According to the Wisconsin officials, if a particular case is flagged, a caseworker must follow up and provide extra scrutiny before the case can move forward in the eligibility process. As we previously reported, certain types of predictive data analytics can increase the effectiveness of anti-fraud programs by identifying particular types of potentially fraudulent behavior."], "subsections": []}, {"section_title": "Selected States That Reported Conducting Additional Data Analytics Also Employed More Leading Practices and Cited Advantages in Using Data Analytics", "paragraphs": ["Officials we interviewed in the five selected states that reported conducting additional data analytics\u2014the District of Columbia, Massachusetts, Mississippi, Washington, and Wisconsin\u2014 employed more of GAO\u2019s leading practices for data analytics than the two states that used data matching alone\u2014New Mexico and North Dakota.", "Organizational and leadership support. The five states with more sophisticated data analytics techniques all reported to us that they had organizational and leadership support for those activities. GAO\u2019s leading practices state that to be effective, data-analytics initiatives need support across the program and, in particular, from program managers. Officials in these states cited support from executive and legislative state leadership for the use of data analytics to combat SNAP recipient fraud. For example, officials in Wisconsin reported that the governor\u2019s office worked to centralize the agency\u2019s data- analytics activities and support infrastructure to improve business processes. Officials in Mississippi told us that the state\u2019s executive leadership fully supports the use of data to combat SNAP recipient fraud and that the state legislature in 2017 passed a law to assist in the identification of waste, fraud, and abuse.", "Pursue external data. These states also reported to us that they were able to obtain external data necessary for their data analytics activities. For example, officials in Mississippi told us that they interface with an array of data sources, including the National Accuracy Clearinghouse, the state Department of Employment Security, and the state Department of Education, among others. GAO\u2019s leading practices state that using data from other federal agencies or third-party sources can help managers identify potential instances of fraud. As we mentioned previously, the states that reported conducting additional matching beyond that required by federal law and regulation also reported using an array of federal, state, and third-party sources for these data matches.", "Consider program rules or previously encountered schemes.", "These five states also reported that they considered program rules and known or previously encountered fraud schemes to help design their data analytics practices, another of GAO\u2019s leading practices for data analytics. These leading practices note that by using information on previously encountered fraud schemes or known fraud risks, managers can identify signs of fraud (i.e., red flags) that may exist within their data. For example, two states reported that they change their data analytics techniques in response to changing patterns of fraud.", "All five selected states that reported conducting additional data analytics practices beyond data matching cited a number of associated advantages, including increased efficiency and effectiveness of their anti- fraud efforts.", "Automating fraud detection. All five states reported that data analytics provided the advantage of automating the detection of potentially fraudulent activity. For example, officials in Mississippi noted that a new investigation management system implemented in their state would use algorithms to detect potential fraud and automatically generate flags, whereas in the past they had to examine transactions manually.", "Financial savings. Four states reported that data analytics had the advantage of financial savings through the collection of overpayments and the closure of cases. For example, officials in Washington said that its data matching activities saved millions of dollars through the closure of cases. Officials in Mississippi reported that its overpayment collections increased $2 million since moving to a new investigation management system a few years ago that incorporates more data analytics techniques.", "Prioritizing and enhancing investigations. Four states reported that data analytics helped them prioritize and enhance fraud investigations. For example, officials in Washington said that they had a system in place that used an algorithm to rank each fraud referral based on a number of factors and moved higher-risk referrals to the top of the list of investigations. Officials in Wisconsin said that they combined eligibility, transaction, and retailer data and analyzed it to produce a prioritized list of individuals who appeared most likely to have trafficked at a specific retailer, allowing them to focus their investigative resources on cases most likely to be fraud.", "Preventing fraud. Finally, two states reported that data analytics had the advantage of improving the return on investment of anti-fraud activities through the prevention of fraud before it occurs. For example, officials in Wisconsin estimated that data analytics has helped them prevent a large proportion of fraud before it occurs, thereby improving the cost-benefit of their anti-fraud practices. Officials in Mississippi noted that data analytics can be an effective deterrent."], "subsections": []}, {"section_title": "Selected States Reported Organizational and Resource Challenges in Effectively Using Data Analytics", "paragraphs": ["Officials we interviewed in all seven selected states reported a range of organizational and resource challenges that either prevented them from using more advanced data analytics techniques or made their current data analytics practices difficult to implement.", "Quantifying benefits of data analytics. Officials we interviewed in two states said it was challenging to quantify the benefits of data analytics, therefore resulting in a lack of sound evidence for supporting the utility of this type of work. For example, officials in Washington reported that it was difficult to conduct a cost-benefit analysis of data analytics because of the challenge of quantifying how often fraud is prevented before it occurs. Officials in Wisconsin reported that it attempted to measure future savings from fraud prevention but that there is no guidance for how to determine these savings.", "Obtaining organizational support. Officials in two states reported that it was challenging to obtain sufficient organizational support for conducting data analytics. For example, officials in North Dakota reported that they could not say how much support exists in the state government to pursue additional resources for data analytics. Those in the District of Columbia noted that it is sometimes difficult to convince certain employees of the need for data analytics to detect fraud.", "Appearing to criminalize legitimate use. Officials in three states said that a challenge to using more advanced data analytics was that it could appear to profile recipients or make it appear to the general public and to policy-makers that certain legitimate uses of SNAP benefits, such as using benefits out-of-state, were not allowed. For example, Washington tracked the number of replacement EBT cards as a possible indicator of fraud, but officials said that there were many cases in which the client had legitimate reasons for needing a high number of replacement cards, such as mental health issues or homelessness. Washington officials further noted the challenge of using demographic data in a predictive model, reporting that it puts them at risk of profiling even though it can be helpful. For example, when they examined recipients with high balances on their EBT cards, demographic information provided an explanation. In particular, elderly individuals were being frugal with their benefits.", "Dealing with changing patterns of fraud. Officials we interviewed in three states said that a challenge to using data analytics was dealing with changing patterns of fraud. They said that the characteristics of transactions that may indicate potential fraud are constantly changing as fraudulent actors change their tactics in response to state enforcement. For example, officials in Mississippi said that recipients committing fraud might change from high-dollar to low-dollar transactions, in which case the state would need to adjust its monitoring accordingly.", "Obtaining necessary data. Officials we interviewed also reported challenges with obtaining data needed to conduct data analytics. Officials in three states said that simplified reporting presents a challenge to using data analytics to detect potential recipient fraud. Specifically, simplified reporting made it challenging to use certain information as potentially indicative of fraud because recipients are not required to report certain changes\u2014for example, a move out of state\u2014until it is time for them to recertify for benefits. In addition, officials in three states reported a challenge in verifying necessary data in order for them to be considered reliable for use. For example, Massachusetts reported that one of the biggest challenges of developing investigative leads through data analytics is that not all data are considered equally reliable. For SNAP, FNS guidance defines some data matches as \u201cverified upon receipt\u201d if the match is with a primary or original source of the data (such as information on a government benefit provided by the administering agency, such as SSA). Eligibility workers can use this information without taking additional steps to verify that the data are accurate, according to FNS guidance. In contrast, data from a secondary source, defined in the guidance as not being verified upon receipt, require additional verification before the state agency can take action on an eligibility determination.", "High costs and resource demands. Officials in six selected states cited the high costs and resource demands of using advanced data analytics techniques. For example, officials we interviewed in North Dakota, which conducted only data matching, said that they lacked the funding and staff resources to use more advanced techniques. Officials we interviewed in New Mexico noted that they lacked the staff resources to use data analytics. Officials from North Dakota said that they had the option to procure a data analytics tool, but said that the costs were prohibitively high. Officials in Wisconsin, which was employing more data analytics, said that they were not able to purchase access to a third-party data source using SNAP funding alone, and that they had to seek funding from another federal program in order to afford these efforts."], "subsections": []}]}, {"section_title": "FNS Supported Certain States in Adopting Leading Practices for Data Analytics, but Assistance and Information Sharing Has Been Limited", "paragraphs": [], "subsections": [{"section_title": "FNS Helped Some States Adopt Certain Leading Practices for Data Analytics", "paragraphs": ["FNS provided individualized assistance and training to several states across the country to build their capacity for data analytics on SNAP, consistent with several of GAO\u2019s leading practices. FNS provided assistance through grants, pilot projects, and training at conferences. The pilot projects also informed FNS\u2019s early efforts to help states improve their fraud prevention, detection, and investigation processes using data analytics. Specifically, in recent years, FNS\u2019s assistance to states has aligned with 4 of the 10 leading practices for data analytics identified by GAO in its Fraud Risk Framework."], "subsections": [{"section_title": "Ensure Employees Have Sufficient Knowledge, Skills, and Training", "paragraphs": ["In fiscal years 2014 through 2017, FNS conducted a 10-state pilot project to identify and test promising practices in state fraud prevention and detection. As part of the project, each participating state received training and technical assistance in the use of data analytics, in addition to a review of its business processes. For example, officials from Utah, who participated in the pilot, said that FNS provided training to them on mining social media data. The officials added that the timing of the training was excellent because the state was beginning to build its capability for data analytics on its own. They said that their data analytics team has incorporated what they learned during the pilot and use various data analytic techniques every month. As a result, according to officials, the state\u2019s overpayment collections increased.", "In fiscal years 2014 and 2015, FNS awarded nine Recipient Trafficking Prevention Grants and five Recipient Integrity Information Technology Grants to a total of 13 states, some of which funded training and staff to perform SNAP data analytics. For example, in fiscal year 2014, Kentucky received a grant to purchase and receive training on an analytic tool with the ability to analyze data and capture posts coming from various social media sites. In fiscal year 2015, Alaska received a grant that included 3 months of training related to the installation of the state\u2019s new fraud case management system that, among other things, would provide real-time data and automate manual processes to detect fraud and track cases. According to Alaska\u2019s grant application, this would allow the state to devote more time to investigations, prosecutions, recoupment, and analysis and increase the number of completed investigations.", "State officials we interviewed said that they also gained data analytics knowledge and skills from other states at conference workshops. For example, officials from North Dakota told us that they attended a conference presentation in which officials from another state discussed a performance measure that is designed to assess the savings associated with detecting SNAP fraud."], "subsections": []}, {"section_title": "Combine Data Across Programs Within the Agency", "paragraphs": ["FNS has provided grant funding and training to some states to help them combine data from different databases within the state to facilitate SNAP data analytics. For example, FNS\u2019s fiscal year 2015 information technology grants helped five states develop centralized data systems and consolidate data from multiple outdated systems. Nevada received a grant to fund the acquisition of a new data system that, according to its grant application, would combine the state\u2019s data on known SNAP fraud cases with transaction data and third-party data sets. The data on known fraud cases would be used to continuously refine data analyses to identify similar anomalies and patterns in the transaction data. Maine used its grant to acquire a new investigation case management system that consolidates data from multiple systems in a centralized repository. Similarly, New Jersey received a grant to acquire new computer systems that, according to its grant application, will integrate SNAP case management system data with data from several of the state\u2019s data systems, allowing investigators to perform analyses in real time. In addition to the grants, in fiscal year 2016, FNS sponsored a 5-day course on fraud detection that demonstrated how states could combine eligibility data with transaction and other data to identify potential fraud. Officials from six states participated."], "subsections": []}, {"section_title": "Pursue Access to External Data and Conduct Data Matching", "paragraphs": ["FNS has provided grants to assist some states in accessing and using external sources for data matching. For example, in fiscal year 2014, FNS provided recipient trafficking prevention grants to three states\u2014Florida, Nevada, and Ohio\u2014to update the systems that they use to match their SNAP recipients and those that have been disqualified in the state with FNS\u2019s national database of disqualified recipients. According to FNS, each grantee state planned to use the funds to link its system with FNS\u2019s database through the web rather than using a \u201cbatch\u201d processing system, which will allow them to match data on applicants at the time of application or recertification rather than at specific intervals after eligibility is determined. Florida officials mentioned in the related grant proposal that using the state\u2019s current batch processing system meant that other states did not have real-time access to information about the state\u2019s disqualified recipients, thereby potentially increasing the chance of an ineligible individual receiving benefits.", "In addition, FNS administered a grant on behalf of OMB, which funded a pilot program for five southeastern states to develop the National Accuracy Clearinghouse (NAC), a data sharing system that allows participating states to identify applicants who are receiving benefits in the partnering states in near-real time. According to one state official, a primary benefit of the NAC is that it enables each participating state to match data on individual beneficiaries across five states without having to connect to five different states\u2019 computer systems. One member of the NAC consortium from Florida said that the ability to match in near-real time is helpful because the data available in the PARIS system is older and would only identify individuals potentially receiving benefits in multiple states months after they have occurred, rather than at the time of application. As we have previously reported, data on benefit receipts is updated quarterly in PARIS."], "subsections": []}, {"section_title": "Conduct Data Mining", "paragraphs": ["FNS has funded pilot projects, training, and grants to assist some states in developing their capacity for data mining to identify potential fraud. FNS\u2019s 10-state pilot to test advanced data analytics techniques included the use of data mining, among other data analytic techniques. One of the techniques involved mining recipient transaction data for households that had shopped at disqualified retailers to develop a prioritized list of retailers and recipients to investigate. According to state officials we interviewed in Wisconsin, the technique automated a time and labor intensive process that state analysts had previously performed manually. The pilot project also used other data mining techniques to develop profiles of recipients who commit fraud. For instance, in Utah, the data analysis showed that they are more likely to have multiple replacement EBT cards and make more purchases from small stores than other recipients. At the end of the pilot, FNS sponsored a training course that included detailed instruction on data mining.", "Although past efforts by FNS have been limited to some states and encouraged some leading practices, more recently, in May 2018, FNS released a SNAP Fraud Framework that provides more comprehensive guidance to help states adopt all of GAO\u2019s 10 leading practices for data analytics. Specifically, FNS\u2019s SNAP Fraud Framework provides a collection of examples, promising practices, and procedures to help state agencies with the prevention and detection of SNAP fraud that encompass all 10 data analytics leading practices from GAO\u2019s Fraud Risk Framework. (For a comparison of the practices in the two frameworks, see appendix III.) According to FNS officials, the SNAP Fraud Framework is meant to take a holistic, integrated approach to fraud, including data analytics, but they recognize that states differ in their readiness to adopt analytics. The framework\u2019s data analytics section provides a range of approaches, examples, case studies, and methods that allow all states to begin embedding analytics into their processes. FNS officials reported that they began conducting outreach to state officials about the framework in the summer of 2018. FNS officials said that they are also considering using grant funds to assist states with the implementation of components of the framework. Furthermore, FNS officials said that some of the potential technical assistance may include showing states how to develop their own analytic tools.", "FNS has also developed a maturity assessment to evaluate each state\u2019s capacity to implement the various components of the fraud framework. It includes a state\u2019s use of data analytics for fraud detection and investigations, and its learning and development opportunities for stakeholders who use the results of data analytics, such as investigators, hearing officials, and court officials. According to FNS officials, FNS\u2019s regional offices will conduct maturity assessments as part of management reviews by the end of fiscal year 2018."], "subsections": []}]}, {"section_title": "FNS\u2019s Assistance on Developing Data Analytics Capabilities Has Reached a Limited Number of States", "paragraphs": ["Although FNS has assisted some states in developing their data analytic capabilities, the methods it has used to do so were meant to reach only a limited number of states. Specifically, much of FNS\u2019s direct assistance to states came in the form of pilot projects, competitive grants, or conferences. According to officials, FNS is in the early stages of promoting states\u2019 use of data analytics for SNAP fraud prevention and detection, and its efforts have focused on assessing the current capacity of states to use data analytics and determining analytic practices that are effective. Furthermore, FNS\u2019s efforts generally had specific end dates and did not provide ongoing assistance to reach a broader group of states and provide them with the knowledge and tools to develop and maintain their data analytics efforts. (See table 5 for more information on the reach of FNS\u2019s direct assistance efforts.)", "Although FNS provided some training on using data analytics, it was not conducted on a recurring basis, and state officials we interviewed expressed concerns about their access to information on successful data analytics approaches. Officials we interviewed in five of our seven selected states said that they attended FNS conferences that provided training in data analytics and participated in regional discussions on the topic; however, these events were provided occasionally and limited to states within the region. State officials said that participating in conferences in which they could learn from other states\u2019 experiences was particularly helpful, and they wanted more opportunities to do so. State officials also told us that it would be beneficial if FNS took a more active role in disseminating states\u2019 successful practices, particularly with regard to data analytics. Further communications about data analytics would be consistent with federal internal control standards that call for agencies to communicate necessary quality information to external parties in order to achieve the agency\u2019s objectives. Federal agencies can support external parties, such as state agencies, in achieving the federal agency\u2019s objectives by sharing information on effective practices used by the program or other external parties.", "Furthermore, officials we interviewed in selected states most frequently cited high costs and resource demands as a challenge to using advanced data analytics techniques. Although FNS has provided some financial support to state efforts, officials in two states that we reviewed told us that they were not always able to sustain efforts beyond the life of the FNS pilot or grant. For example, officials we interviewed from Wisconsin said that FNS\u2019s contractor for the 10-state pilot, in an effort separate from the contract, developed a tool that identified SNAP purchases made from disqualified SNAP retailers. Although the state officials found the tool to be highly efficient because it could sift through large amounts of data, the tool was only available to the state for a fee, which they said it could not afford. Similarly, officials from Washington told us that as part of a recipient trafficking prevention grant, the state was able to hire two investigators to detect potential SNAP fraud that may be occurring via social media. However, according to state officials, the state was unable to maintain the effort after the grant ended.", "In our prior work on establishing data analytic programs to address fraud, we noted that one way to handle resource challenges is to identify opportunities that leverage a program\u2019s existing capabilities. In September 2016, GAO convened a forum of data-analysis experts to discuss considerations for entities establishing and refining data analytics programs, during which the costs of such programs were raised. Panelists, which included officials from FNS, noted that in developing a data analytics program, an entity should consider ways of leveraging resources throughout the entity. For example, panelists suggested that an entity could improve its data analytics group by combining a data warehouse from one department with existing statistical software from another and incorporating it with its current fraud-prevention system. The forum also suggested that a data analytics group should look across the agency to find staff that may have an interest or experience in working with data. Panelists noted that such efforts may be improved by seeking staff from a diverse set of positions and perspectives, including auditors, evaluators, investigators, and attorneys.", "Similarly, some state officials we interviewed shared creative ways to leverage existing resources. For example, officials from Florida and Wisconsin stated that they were able to leverage recovered funds from other programs to purchase access to a commercial database that matches eligibility data for individuals across related programs. In Mississippi, officials said that they used SNAP transaction data to identify individuals living out of state and then determine whether those individuals were ineligible for both SNAP and other assistance programs. By combining data and analyses across two programs, the state officials said that they were able to close more cases and significantly increase cost savings.", "However, other state officials noted that leveraging resources, especially data, poses challenges that states will need to learn how to resolve. Specifically, some states reported facing problems sharing data across different systems and with restrictions on sharing sensitive personal information. For example, officials representing four states from the American Association of SNAP Directors (AASD) told us that, for states to leverage data, SNAP states\u2019 data systems need to be integrated across states. However, in their view, the cost of integration may exceed the benefits from integrating the data. In addition, state officials said that in order to leverage personal data, some states as well as programs in the same state will need to reach agreements that define how data will be extracted and used while protecting privacy. For example, a Wisconsin official told us that its data analytics group has difficulty acquiring data across programs within the state because of confidentiality and privacy rules as well as the difficulty of reaching data-sharing agreements with other programs.", "Moving forward, FNS\u2019s SNAP Fraud Framework, combined with its maturity assessment, will form the core of FNS\u2019s efforts to assist states with data analytics in a broad-based, systematic manner. According to FNS officials, the agency will be conducting outreach to states about the fraud framework and assessing both states\u2019 capacities in data analytics and barriers to gaining the necessary knowledge and tools for developing and maintaining those efforts."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To ensure that SNAP funds are used for the purposes for which they were intended, both the federal government and state agencies should have appropriate controls for detecting and addressing fraud. The use of data analytics, such as mapping and predictive analysis, may help SNAP agencies increase program integrity and improve administrative efficiency. Data mining and data matching techniques can help identify potential SNAP fraud, and predictive models can help identify characteristics of SNAP traffickers. Our use of analytics on SNAP out-of- state transaction data from three selected states identified only slight differences between those households who shopped out of state and those who did not, suggesting that analyses of other data elements that have been shown to be indicative of potential trafficking may allow states to better identify potential trafficking and, thereby, better target resources.", "Although FNS has efforts underway to promote the use of data analytics to improve SNAP fraud detection through its fraud framework and maturity assessment, officials in our selected states cited challenges with accessing and maintaining needed resources such as staff, technology, and tools. While these challenges may limit states\u2019 ability to implement data analytics, some of our selected states have successfully overcome such challenges to implement or enhance data analytics programs. For example, two states described leveraging recovered funds and reinvesting them to combat fraud. Another state leveraged transaction data across two programs, resulting in financial savings and enhanced collections, which could be reinvested to combat fraud. As FNS conducts outreach to help states implement its fraud framework and uses its maturity assessment to assess states\u2019 anti-fraud capabilities, it has an opportunity to regularly assist states with adopting advanced data analytic techniques. Based on the experiences described by state officials, finding ways that states can leverage existing resources to improve their data analytic capabilities may be an important part of any solution. In its role as the federal oversight agency, FNS is in a position to collect and widely disseminate information about those states that have built support for data analytics and leveraged existing resources to implement or expand their data analytics programs to states seeking such examples. With wider dissemination of these examples of state successes, all state SNAP agencies could be better positioned to enhance their own efforts to identify and address SNAP fraud."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["Building on ongoing efforts, the Administrator of FNS should develop and implement additional methods to widely distribute information to state agencies on an ongoing basis about successful efforts to adopt data analytics and strategies to leverage existing data, technology, and staff resources to enhance data analytics. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the U.S. Department of Agriculture for comment. In oral comments on September 14, 2018, FNS officials from SNAP\u2019s Program Accountability and Administration Division and the Deputy Associate Administrator for SNAP agreed with our recommendation. They noted that they have been moving in the general direction of this recommendation and would build on current efforts to address it but noted that state readiness and technical capabilities are limiting factors in the adoption of data analytics. FNS also provided technical comments, which were incorporated into the report as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to relevant congressional committees, the Secretary of Agriculture, the FNS Administrator, and other relevant parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at (202) 512-7215 or LarinK@gao.gov or (202) 512-6722 or BagdoyanS@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to the report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to review the following: (1) the extent to which SNAP households in selected states are making out-of-state purchases that may indicate potential recipient fraud; (2) the extent to which selected states are using data analytics\u2014including those applied to out-of-state transactions\u2014to find potential SNAP recipient fraud, and what advantages and challenges, if any, have they experienced doing so, and (3) how FNS has assisted states in implementing leading practices for data analytics for fraud detection. To address these objectives, we primarily focused on federal and state SNAP recipient anti-fraud work since the beginning of fiscal year 2015\u2014the period which follows our August 2014 report on SNAP recipient fraud. We reviewed relevant federal laws, regulations, program guidance, and reports, and we interviewed FNS officials in headquarters and all seven regional offices to address all three objectives and obtained relevant documentation.", "To assess the extent that SNAP households in selected states made out- of-state purchases that may indicate potential recipient fraud, we analyzed all out-of-state purchase data nationwide and we analyzed transaction data for SNAP households in the District of Columbia and two states\u2013North Dakota and Washington. We selected these states as they were among the top states for out-of-state spending in a non-border state in fiscal years 2015 and 2016, the two most recent years\u2019 of SNAP data available when we started this review. We obtained SNAP transaction data from FNS for all participating households in the three selected states, and analyzed fiscal year 2017 data for households that spent all their benefits in a non-border state in that year. We also analyzed fiscal year 2017 data for all households in these three states for purchases that may indicate trafficking, based on common suspicious transaction types. We tested the transaction data for ten different suspicious transaction types that have been used by FNS and state SNAP officials to identify potential trafficking. While the transactions we flagged for potential trafficking in our three selected states are generally deemed potential indicators of fraud by SNAP officials, there could also be legitimate reasons for these purchases and they do not prove trafficking. For that reason, our analysis focused on households with a greater frequency of questionable purchases in fiscal year 2017 indicating potential trafficking\u2014specifically purchases that resulted in 20 or more trafficking flags. We assessed the reliability of SNAP transaction data used in analyses through review of related documentation, interviews with knowledgeable officials, and electronic testing of the data, and found them to be sufficiently reliable for our purposes.", "To determine how selected state agencies are using data analytics to identify potential SNAP recipient fraud, we interviewed officials from seven state SNAP agencies about their efforts. We obtained related documentation when available. We selected the District of Columbia, Massachusetts, Mississippi, New Mexico, North Dakota, Washington, and Wisconsin to reflect a range of experiences based on the percentage of non-border state transactions, receipt of related technical assistance, geographic region, and FNS\u2019s reports on their capacity to conduct data analysis. We interviewed state SNAP agency officials who oversee anti- fraud practices in each of our seven selected states. During each interview, we collected information on each state\u2019s data analytics activities and whether they have implemented leading practices for data analytics from GAO\u2019s Fraud Risk Framework. We also discussed the advantages and challenges of using data analytics. While information from these seven state SNAP agencies is non-generalizable, it provided illustrative examples of agencies\u2019 efforts to use data analytics.", "To determine the degree to which FNS has assisted states in developing the use of data analytics, we reviewed grant documentation FNS awarded to states to help prevent recipient trafficking or improve technology used to improve program integrity. We also reviewed the terms of work for a contract FNS awarded to a private consulting firm to conduct a pilot project with 10 states during fiscal years 2014-2017, as well as reports delivered by the contractor detailing the results of the work. In addition, we reviewed a guide to data analytics that FNS developed for a 5-day training session in August 2016, as well as the data analytics \u201cmaturity assessment\u201d questionnaire that is intended for FNS regions to use to assess the capacity of the states. We also obtained and reviewed FNS\u2019s SNAP Fraud Framework and Supplementary Materials that was released in May 2018. After developing an inventory of how FNS has assisted states in assessing and developing its data analytic capacity, we analyzed FNS\u2019s actions with respect to GAO\u2019s set of leading practices for data analytics from GAO\u2019s Fraud Risk Framework and GAO\u2019s standards for internal control. We also analyzed FNS\u2019s SNAP Fraud Framework to assess the degree to which it addressed GAO\u2019s leading practices on how to use data analytics to detect, prevent, and investigate SNAP fraud. Unless specified, we reviewed only data analytic activities that occurred since the beginning of fiscal year 2015, which marks the end of our previous analysis of FNS\u2019 anti-fraud activities concerning the SNAP program. To obtain FNS\u2019 views, we interviewed SNAP program officials at both headquarters and at each of SNAP\u2019s seven regional offices. To obtain a broader perspective on the use of data analytics across states, we interviewed officials representing the American Association of SNAP Directors (AASD) and the United Council on Welfare Fraud (UCOWF). AASD representatives included officials from the SNAP anti-fraud units for California, New York, Tennessee, and Texas. UCOWF representatives included officials from Florida, Louisiana, and Utah. In addition, we interviewed the Deputy Executive Director of American Public Human Services Association, AASD\u2019s parent organization, and officials representing USDA\u2019s Office of Inspector General.", "We conducted this performance audit from May 2017 through October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence we obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Out-of-state SNAP Spending By State, Fiscal Year 2017", "paragraphs": ["In fiscal year 2017, the share of SNAP benefits spent out of state varied by state from approximately 1 percent to 13 percent, with most out-of- state purchases made in a border state. States whose SNAP recipients had the highest percent of out-of-state purchases included Delaware, District of Columbia, Idaho, Nebraska, New Mexico, Rhode Island, South Dakota, Tennessee, Vermont, and West Virginia. All of these states made at least 5 percent of total purchases out of state. The states with the lowest percent of out-of-state spending by SNAP recipients included Alaska, California, Florida, Hawaii, Michigan, and Texas (see fig. 5). Detailed information on out-of-state spending by SNAP recipients, by state, is also provided in table 6 below."], "subsections": []}, {"section_title": "Appendix III: Leading Practices for Data Analytics and FNS\u2019s 2018 SNAP Fraud Framework Comparison", "paragraphs": ["In May 2018, FNS released a fraud framework that provides guidance to help states adopt all of GAO\u2019s leading practices for data analytics. The table below compares guidance in FNS\u2019s SNAP Fraud Framework to the leading practices in GAO\u2019s Fraud Risk Framework."], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, the following staff members made key contributions to this report: Danielle Giese and Philip Reiff, Assistant Directors; Celina Davidson and Lara Laufer, Analysts-in- Charge; Camille A. Keith; Kelly Snow; and Daren Sweeney. Also contributing to this report were Susan Aschoff, James Bennett, Alexander Galuten, James Murphy, Almeta Spencer, and Shana Wallace."], "subsections": []}]}], "fastfact": ["The Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, helps 42 million low-income families buy food.", "States analyze data to try to spot fraudulent use of SNAP, such as when recipients sell benefits for cash or provide false information so they can collect benefits. Five of the states we examined reported using sophisticated data mining techniques to look for unusual spending patterns and flag the cases most likely to involve fraud.", "We recommended that the federal administrator of SNAP more widely distribute information to states about successful state data analysis strategies."]} {"id": "GAO-18-451T", "url": "https://www.gao.gov/products/GAO-18-451T", "title": "U.S. Patent and Trademark Office: Observations on the Covered Business Method Patent Review Program", "published_date": "2018-03-20T00:00:00", "released_date": "2018-03-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's March 2018 report, entitled U.S. Patent and Trademark Office: Assessment of the Covered Business Method Patent Review Program ( GAO-18-320 )."]}, {"section_title": "What GAO Found", "paragraphs": ["From September 2012 through September 2017, entities facing patent infringement lawsuits filed 524 petitions challenging the validity of 359 patents under the U.S. Patent and Trademark Office's (USPTO) covered business method (CBM) program, resulting in decisions against about one-third of these patents. The CBM program provides entities facing infringement lawsuits an opportunity to challenge the validity of a business method patent by demonstrating that it did not meet requirements for patentability. Business method patents focus on ways of doing business in areas such as banking or e-commerce. The rate of filing petitions over this period has fluctuated but has generally declined since 2015, and none were filed in August or September 2017.", "USPTO has taken several steps to ensure the timeliness of trial decisions, review past decisions, and engage with stakeholders to improve proceedings under the program:", "Timeliness: USPTO regularly informs relevant parties about paperwork requirements and due dates throughout trials. According to program data, as of September 2017, all 181 completed trials were completed within statutorily required time frames.", "Decision review: USPTO has taken several steps to review its decisions and has monitored the rate at which the Court of Appeals for the Federal Circuit affirms or reverses them. However, USPTO does not have guidance, such as documented procedures, for reviewing trial decisions, or the processes leading to decisions, for consistency. Without guidance, such as documented procedures, USPTO cannot fully ensure that it is meeting its objective of ensuring consistency of decisions.", "Stakeholder engagement: USPTO judges have engaged with stakeholders by participating in public roundtables and webinars, and attending judicial conferences, among other things.", "Stakeholders GAO interviewed generally agreed that the CBM program has reduced lawsuits involving business method patents in the federal courts. While many stakeholders favored maintaining aspects of the program, there was not strong consensus among stakeholders for how future trials should be designed."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent report on the Patent Trial and Appeal Board\u2019s Transitional Program for Covered Business Method Patents (CBM program).", "As you know, to promote the progress of science and the useful arts, inventors are granted exclusive rights to their inventions\u2014in the form of patents\u2014for a limited time. Patent owners can bring infringement lawsuits against anyone who uses, makes, sells, offers to sell, or imports a patented invention without authorization. By restricting competition, patents allow their owners to earn greater profits on inventions than if the inventions could be freely imitated. In the late 2000s, however, legal commentators, technology companies, and others began raising questions about whether the patent system was working well to promote innovation. By law, before granting a patent, the U.S. Patent and Trademark Office (USPTO) must determine whether a patent application meets patentability requirements for subject matter, novelty, non- obviousness, and clarity and specificity. Questions were raised about an increase in the number of patents granted that did not meet these requirements and about the increase in patent infringement litigation, especially in the software and technology sectors. As we have previously reported, patent infringement lawsuits can take years and cost several million dollars.", "In 2011, Congress passed the Leahy-Smith America Invents Act (AIA), which authorized three administrative proceedings for challenging a patent\u2019s validity, including the CBM program. A \u201ccovered\u201d business method patent is a patent that claims a method or corresponding apparatus for performing data processing or other operations used in the practice, administration, or management of a financial product or service. The CBM program provides entities facing infringement lawsuits an opportunity to challenge a patent\u2019s validity before administrative patent judges at USPTO\u2019s board. As reported by the House of Representatives Committee on the Judiciary, the program is intended to provide a more efficient and less costly alternative to district court for deciding patent validity. The CBM program began in September 2012 and is slated to sunset in September 2020.", "My testimony today summarizes the findings and recommendation from our report. Accordingly, this testimony addresses 1. the extent to which the CBM program has been used to challenge patents and the results of those challenges, 2. the extent to which USPTO ensures timeliness of trial decisions, reviews decisions for consistency, and engages with stakeholders to improve its administrative proceedings for the program, and 3. stakeholder views on the effects of the CBM program and whether it should be extended past its scheduled September 2020 sunset date.", "To conduct this work, we obtained and analyzed data on board proceedings from September 2012 through September 2017, reviewed the AIA and USPTO documents, and interviewed USPTO officials. We also assessed USPTO\u2019s efforts to review decisions for consistency against federal standards for internal control and USPTO\u2019s current strategic plan, and we interviewed a nongeneralizable sample of 38 stakeholders knowledgeable about the CBM program, who provided a broad spectrum of opinions on the CBM program. Additional information on our scope and methodology is available in our report. The work on which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "More Than 350 Patents Have Been Challenged under the CBM Program, and About One-Third of These Patents Were Ruled Unpatentable", "paragraphs": ["We found in our March 2018 report that, from September 2012 through September 2017, parties accused of patent infringement filed 524 petitions with the Patent Trial and Appeal Board challenging the validity of 359 distinct patents under the CBM program, resulting in rulings against about one-third of these patents. The average monthly number of CBM petitions fluctuated during this period and tapered off over time (see fig. 1). Specifically, during this 5-year period, an average of more than 9 petitions per month were filed under the CBM program, but this average rate declined to fewer than 5 per month in the last fiscal year, with no petitions filed in August or September 2017.", "Stakeholders we interviewed suggested several possible reasons for the decline in CBM petitions, including recent decisions from the U.S. Court of Appeals for the Federal Circuit and U.S. Supreme Court that clarified which patents are eligible for CBM review; that CBM petitioners successfully targeted the lowest-quality business method patents\u2014 patents that should not have been issued because they did not meet the patentability requirements\u2014in the early years of the program, and now those patents have been eliminated; and that owners of business method patents are more wary of asserting their intellectual property through infringement lawsuits and risking its invalidation.", "Some stakeholders expressed concern about multiple petitions being filed against the same patent. Specifically, stakeholders have suggested that petitioners are, in some cases, using the CBM program and the inter partes review program as tools to increase costs borne by patent owners, and in the case of the CBM program, as a tool to delay district court proceedings. In addition, some stakeholders asserted that this manner of use of the administrative proceedings authorized by the AIA amounts to harassment. However, our analysis of petition data showed that the vast majority of patents challenged under the CBM program were challenged once or twice. Stakeholders we interviewed outlined several reasons why petitioners may file more than one petition against a single patent. For example, the board limits the number of pages that a petitioner may use to submit prior art and arguments for invalidity and therefore some petitioners might file more than one petition so they can present all of their art and arguments at once.", "Overall, through September 2017, the Patent Trial and Appeal Board had completed reviews of 329 of the 359 patents challenged under the program, and for about one-third of these patents the board ruled at least some challenged patent claims unpatentable. Data on petition outcomes are open to different interpretations depending on how they are presented. For example, under the CBM program, board judges ruled some or all of the patent claims considered at trial unpatentable in 96.7 percent of the petitions for which they issued a final written decision from September 2012 through September 2017. On the basis of this statistic, the board could seem to invalidate the majority of the patents it reviews, as noted by some stakeholders. However, this outcome is predictable given the criteria for accepting, or instituting, a CBM trial\u2014a judge panel will institute a petition to the trial phase if it is \u201cmore likely than not\u201d that at least one of the claims challenged in a petition is unpatentable\u2014which tips outcomes for instituted petitions toward rulings of unpatentability. In addition, board judges do not issue final written decisions for all petitions that enter the trial phase because the parties often reach a settlement before the final written decision. When taking into account all of the CBM petitions that had an outcome as of September 30, 2017, board judges ruled some or all of the claims considered at trial unpatentable in 35.6 percent of the cases."], "subsections": []}, {"section_title": "The Board Met Timeliness Requirements and Took Steps to Analyze Decisions and Improve Proceedings but Does Not Have Guidance to Ensure Decision Consistency", "paragraphs": ["We found in our March 2018 report that the Patent Trial and Appeal Board has completed all trials under AIA-authorized proceedings within statutorily directed time frames, according to board data, and the board has taken steps to review issues that could affect the consistency of its trial proceedings and decisions and to engage with stakeholders to improve its proceedings. Board officials we interviewed told us the timeliness of decisions to institute a trial and of final written decisions has not been a concern in the 5 years that the board has operated. According to board officials, as of November 2017, two AIA trials\u2014one under the inter partes review program and one under the CBM program\u2014have been extended, for good cause, past the typical 1-year time limit between the institution decision and the final written decision, as allowed by statute.", "The Patent Trial and Appeal Board has decision review processes that help ensure trial decisions are reviewed as appropriate, but the board cannot ensure the consistency of its trial decisions because it does not have guidance for reviewing the decisions or the processes that lead to them. For trials still in progress, board officials told us there are several ways management gets involved in reviews\u2014including reviews of ongoing trials if and when a paneled judge raises any issue deserving of management attention. Such issues are brought to the attention of the chief judge or other members of the board\u2019s management team and are acted upon at their discretion. Board officials also told us that a separate internal review process has evolved over time, whereby a small group of board judges, in consultation with board management, seeks to ensure decision quality and consistency by reading a large number of draft AIA trial decisions and giving feedback or suggestions to authoring judges prior to issuance. In addition, the board reviews any AIA trial decisions that are appealed to the U.S. Court of Appeals for the Federal Circuit and the appeals court subsequently reverses or remands. Finally, board officials told us that the board has begun to increase the number of trial decisions considered for precedential and informative designations as part of its efforts to ensure the consistency of trial decisions.", "Taken together, the board\u2019s review processes help ensure that board trial decisions are reviewed in some manner. However, because the board does not have documented procedures for how to review decisions for consistency, the board cannot fully ensure the consistency of the decisions or the processes that lead to them. Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks. Such control activities include clearly documenting internal control in a manner that allows the documentation to be readily available for examination. The documentation may appear in management directives, administrative policies, or operating manuals. We recommended that the Director of USPTO develop guidance, such as documented procedures, for judges reviewing the Patent Trial and Appeal Board\u2019s decisions and the processes that lead to the decisions. USPTO agreed with our recommendation and stated that it has begun taking actions to address it.", "In addition, to improve various aspects of its trial proceedings, the board has taken several steps to engage with stakeholders. USPTO\u2019s strategic plan states that the board should expand outreach to stakeholders by providing opportunities for interaction and updates on board operations and other important issues. The board has done so through several types of public outreach efforts, including participating in roundtables, webinars, and judicial conferences, among other activities. The board has made several changes to policies and procedures based on stakeholder feedback gathered through these mechanisms."], "subsections": []}, {"section_title": "Stakeholders Agree the CBM Program Has Reduced Litigation, and Many See Value in Maintaining Aspects of the Program", "paragraphs": ["Stakeholders we interviewed for our March 2018 report generally agreed the CBM program has reduced litigation involving business method patents because the CBM program allows these patents to be more easily challenged than in district courts, and many stakeholders said there is value in maintaining some aspects of the program. Stakeholders told us that fewer business method patent lawsuits are filed and that existing lawsuits are often dropped after patents have been through the CBM program. However, stakeholders also noted that the Supreme Court\u2019s 2014 decision in Alice Corp. Pty. Ltd. v. CLS Bank Int\u2019l has contributed to the reduced number of business method patent lawsuits. Stakeholders told us that the CBM program has made it riskier to assert business method patents because, compared with district court, the program offers a cheaper and more efficient way for alleged infringers to challenge a patent\u2019s validity. In addition, according to stakeholders, patent owners are more focused on asserting business method patents that are higher quality and less vulnerable to challenge either under the CBM program or based on the Supreme Court\u2019s decision in Alice; these are patents that describe a technological invention that is not abstract and implemented on a generic computer.", "Stakeholders we interviewed generally agreed the effects of the CBM program on innovation and investment have been minimal or mostly positive. More specifically, stakeholders told us that the CBM program is good for overall innovation and investment in financial technologies in that the program eliminates overly broad (non-specific), low-quality patents. Stakeholders told us they believe the existence and assertion of overly broad patents is bad for innovation, in part because defending against alleged infringement is expensive and time-consuming, even under the CBM program. Assertion of overly broad, unclear, or otherwise low-quality patents acts much like a tax on investment, according to stakeholders.", "Stakeholders also told us that removing such patents from the marketplace promotes innovation because it prevents these patents from blocking new innovation. According to stakeholders, innovation is represented by the quality of the patents issued rather than the quantity. A large number of patents in a technology space, according to stakeholders, can make it difficult to innovate within that crowded space.", "Most stakeholders told us there was value in maintaining aspects of the CBM program, including the ability to challenge patents at the Patent Trial and Appeal Board on all four patentability requirements\u2014subject matter; novelty; non-obviousness; and clarity and specificity. Stakeholders we interviewed pointed to inconsistencies in how federal courts interpret subject matter eligibility and clarity requirements, in particular. Stakeholders said that the federal courts and jurors do not necessarily have the expertise to interpret requirements for subject matter eligibility and clarity, and that the technically trained Patent Trial and Appeal Board judges were better suited to make patentability determinations on these grounds.", "Stakeholders generally agreed that the ability to challenge a patent\u2019s validity on subject matter eligibility grounds remains important, although there was not broad agreement among stakeholders regarding how far that ability should extend beyond business method patents. Some stakeholders said subject matter eligibility challenges were important for a wider scope of patents than just business methods because concerns about subject matter eligibility that apply to business method patents extend to software-related patents in general. Similarly, stakeholders told us that patent clarity problems exist beyond business method patents.", "Chairman Issa, Ranking Member Johnson, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact John Neumann, Director, Natural Resources and Environment at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Rob Marek (Assistant Director), Michael Krafve, and Cynthia Norris. Additional staff who made key contributions to the report cited in this testimony are identified in the source product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Entities facing lawsuits for infringing on a certain type of patent can challenge the validity of the patent through a U.S. Patent and Trademark Office program. This can be done for a fraction of the time and money that would be spent in court.", "Under the program, the Patent Trial and Appeal Board decides whether patents are valid. In the report on which this testimony is based, we recommended that the Patent Office develop guidance for reviewing its decisions.", "The program is set to expire in September 2020, but stakeholders say it has reduced lawsuits and that aspects of the program should be included in other Patent Office programs."]} {"id": "GAO-18-102", "url": "https://www.gao.gov/products/GAO-18-102", "title": "Water and Wastewater Workforce: Recruiting Approaches Helped Industry Hire Operators, but Additional EPA Guidance Could Help Identify Future Needs", "published_date": "2018-01-26T00:00:00", "released_date": "2018-01-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Safe operation of the nation's water utilities depends on access to a qualified workforce, particularly certified water operators. Industry reports have cited high rates of retirement eligibility and raised concerns about the water industry's ability to fill job openings.", "GAO was asked to review workforce needs within the drinking water and wastewater industry. This report describes (1) what is known about workforce needs at water utilities compared with workforce needs nationwide and effects of potential unmet workforce needs on the utilities' compliance with the Safe Drinking Water Act and Clean Water Act; (2) approaches used by selected utilities to manage their workforce needs and challenges they have faced in managing those needs; and (3) ways in which federal programs can assist water utilities with workforce needs.", "GAO reviewed workforce projections, relevant laws and regulations, agency documents, and industry studies and interviewed federal, local, and industry officials. GAO also conducted semi-structured interviews with a nongeneralizable sample of 11 water utilities, selected by size, location, and indications of workforce needs."]}, {"section_title": "What GAO Found", "paragraphs": ["Projections from the Department of Labor's Bureau of Labor Statistics (BLS) suggest that workforce replacement needs for water operators are roughly similar to workforce needs nationwide across all occupations; however, little is known about the effects of any unmet needs on compliance with the Safe Drinking Water Act and the Clean Water Act. BLS has projected that 8.2 percent of existing water operators will need to be replaced annually between 2016 and 2026. Although BLS projections are intended to capture long-run trends, rather than to forecast precise outcomes in specific years, this predicted replacement rate is roughly similar to the predicted rate of 10.9 percent for all workers across the U.S. economy. Limited information is available to determine whether retirements, or other workforce needs, are affecting drinking water and wastewater utilities' ability to comply with the Safe Drinking Water and Clean Water acts. At a national level, neither the water utilities' industry associations nor the Environmental Protection Agency (EPA) has analyzed whether there is a relationship between unmet workforce needs and compliance problems. EPA relies on states to inspect utilities to ensure compliance with the acts. EPA's inspection guidance documents, for both drinking water and wastewater, advise states to examine the quality and quantity of staff operating and maintaining water utilities. However, the guidance does not advise states to examine future workforce needs. GAO has found that future workforce needs can be identified through strategic workforce planning, which involves developing long-term strategies for acquiring, developing, and retaining staff to achieve program goals. By adding questions to EPA's inspection guidance on strategic workforce planning, such as the number of positions needed in the future, EPA could help make this information available for states to assess future workforce needs. Information on future workforce needs could help states and utilities identity potential workforce issues and take action as needed.", "Representatives from 11 selected water utilities reported that by using various approaches, they were generally able to meet their current workforce needs but faced some challenges in doing so. Representatives from the selected utilities said that they recruit operators using word of mouth, websites, newspapers, and partnering with local technical schools. However, representatives from small utilities said that even with these approaches, they had difficulty hiring certified operators and instead hired and trained entry-level employees. Additionally, representatives from large utilities said they face difficulties in recruiting skilled workers, such as electricians and mechanics, part of a larger national pattern.", "Five federal agencies that GAO reviewed\u2014EPA and the Departments of Agriculture (USDA), Labor (DOL), Education, and Veterans Affairs (VA)\u2014have programs or activities that can assist utilities with their workforce needs in several ways, including through guidance, funding, and training. EPA has worked with DOL and industry groups to develop a water-sector competency model to support industry training and with VA to help place disabled veterans in water industry jobs. In addition, USDA funds personnel who travel to rural utilities to provide hands-on assistance through its Circuit Rider program. Four of five small utilities GAO interviewed said they used this program and other USDA technical assistance for training operators."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that EPA add strategic workforce planning questions, such as the positions and skills needed in the future, to its inspection guidance documents. EPA generally agreed with GAO's recommendation as it related to drinking water, but neither agreed nor disagreed regarding wastewater. GAO believes the entire recommendation should be implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["Safe operation of the nation\u2019s drinking water and wastewater utilities (water utilities) depends partly on continuous access to a qualified workforce, particularly sufficient numbers of certified water operators\u2014 workers who run the equipment and control the treatment processes for drinking water and wastewater. According to the 2016 Environmental Protection Agency (EPA) Drinking Water Action Plan, a well-trained and knowledgeable workforce that implements proper assessment and management of water utility assets is vital to providing safe drinking water and ensuring the long-term sustainability of public water systems. Yet some reports from industry groups have cited high rates of retirement eligibility and raised concerns about the potential rate of worker loss and water utilities\u2019 future ability to fill job openings.", "Staffing is largely a responsibility of the utilities themselves, but EPA and other agencies offer support for workforce development. EPA regulates drinking water and wastewater quality through the implementation of the Safe Drinking Water Act and the Clean Water Act, respectively, and both acts authorize EPA and the states to provide technical assistance to water utilities, which can be used to increase the technical knowledge and abilities of water operators. The U.S. Department of Agriculture (USDA) provides technical assistance to rural utilities through its Rural Utilities Service Water and Environmental Programs. Other federal agencies, including the Departments of Education, Labor (DOL), and Veterans Affairs (VA), have programs that offer support to employers and workers in a number of industries, and those programs are available to water utilities. DOL also measures labor market activity and working conditions in the overall U.S economy through its Bureau of Labor Statistics (BLS). BLS collects, analyzes, and disseminates economic information, including nationwide employment projections for 10 years in the future.", "You asked us to review workforce replacement needs\u2014that is, the number of job openings for which employers replace workers who leave their current occupation\u2014within the drinking water and wastewater industry. This report (1) examines what is known about workforce needs at water utilities compared with workforce needs nationwide and any effects of potential unmet workforce needs on the utilities\u2019 abilities to comply with the Safe Drinking Water Act and the Clean Water Act; (2) describes approaches selected water utilities have used to manage their workforce needs and challenges they have faced in managing those needs; and (3) describes ways key federal programs can assist water utilities with their workforce needs.", "To examine what is known about workforce needs at water utilities compared with workforce needs nationwide, we assessed and summarized data on workforce replacement rates provided by BLS and examined projected retirement rates provided by industry studies. We focused on projections of workforce turnover from 2016 to 2026 and estimates of employee retirement eligibility published from 2008 to 2016, the most recent data available to us. To assess the reliability of BLS data, we reviewed relevant documentation and information from BLS staff for the most recent data available for the two relevant BLS survey programs\u2014one that collects data on wage and salary workers in about 800 occupations and one surveying households about labor force participation\u2014and for BLS employment projections for 2016-2026. We determined that the BLS survey and projection data were sufficiently reliable for purposes of our objective. We identified a number of relevant industry studies including three surveys published by the American Water Works Association between 2015 and 2017. To assess the reliability of the industry studies, we reviewed their scope and methodology. Although the industry estimates were not generalizable, the studies were sufficiently reliable for illustrating the industry\u2019s perspectives on workforce planning.", "To examine the effects of potential unmet workforce needs on water utilities\u2019 abilities to comply with the Safe Drinking Water Act and the Clean Water Act, we selected a sample of 11 water utilities\u20146 large and 5 small\u2014based on geography, size, and indications of hiring challenges in the past. We included both large and small utilities in our selection based on our initial interviews with industry representatives that suggested that large utilities and small utilities have experienced different challenges. We asked officials of the selected utilities whether workforce challenges had affected their abilities to comply with the Safe Drinking Water Act and the Clean Water Act at their utilities and whether they anticipated effects on utility operations in the future. The information from those interviews is not generalizable to the national population of water utilities; it is intended to provide illustrative examples of difficulties selected water utilities have experienced in complying with the Safe Drinking Water Act and the Clean Water Act that they attributed to workforce challenges. We also obtained EPA data on compliance with the Safe Drinking Water Act and the Clean Water Act for the selected utilities. We have previously reviewed the quality of EPA compliance data. We determined that although the data were incomplete, they were useful to provide a rough indication of compliance; however, the violations may be underreported and, therefore, we cannot use the data to provide a precise indication of compliance.", "To describe the approaches that selected water utilities have used to manage their workforce needs and the challenges they have faced in managing those needs over the past 5 years (from 2012 to 2016), we spoke with utility officials, during the interviews described above, to learn about their hiring and retirement numbers, challenges in managing workforce needs, and approaches for hiring staff.", "To describe how key federal programs can assist water utilities with their workforce needs, we conducted background research and initial interviews with federal officials. We identified five federal agencies that conduct activities or provide funding related to the water utility workforce: EPA, USDA, Education, DOL, and VA. We interviewed officials with these agencies about current or past federal programs and policies related to water utilities\u2019 workforce needs. We did not attempt to identify all programs that can provide assistance to water utilities for workforce planning or recruitment, but we determined based on interviews at the five agencies that we had identified the programs for which providing such assistance was a primary purpose or likely use. Additionally, we interviewed representatives from the selected utilities we contacted to determine whether and how they had used various federal programs or assistance to augment other planning and recruitment strategies and what problems, if any, they had in using the programs. A more detailed description of the scope and methodology of our review is presented in appendix I.", "We conducted this performance audit from September 2016 to January 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The section presents information on (1) water utilities and water operators, (2) federal and state roles in overseeing and assisting water utilities, and (3) federal and state roles in workforce development."], "subsections": [{"section_title": "Water Utilities and Water Operators", "paragraphs": ["Water utilities provide drinking water and wastewater services, including drinking water treatment and distribution and wastewater collection, treatment, and discharge. Figure 1 shows the processes for treating and distributing drinking water and for collecting, treating, and discharging wastewater, which are overseen by water operators. Fresh water is pumped from wells, rivers, streams, or reservoirs to water treatment plants, where it is treated and distributed to customers. Wastewater travels through sewer pipes to wastewater treatment plants where it is treated and returned to streams, rivers, and oceans.", "Water utilities are organized differently depending on the city or community they serve. For example, drinking water service may be provided by one utility, and wastewater service may be provided by a separate utility, or a single utility may provide both services. Regardless of the configuration, a utility can be owned and managed by a municipality, county, independent district or authority, private company, or not-for-profit water association, among others. Utilities may serve a city and neighboring area, a county, or multiple counties. As of January 2016, there were about 52,000 drinking water and 16,000 wastewater utilities in the United States. These water utilities vary widely in the number of people they serve, but the majority of water utilities in the United States serve fewer than 10,000 people.", "Water utilities employ a broad range of workers, including water operators; engineers; customer service representatives; accountants; legal support; and skilled technical occupations, such as electricians, machinists, and instrument technicians. It is difficult to find an estimate of total workforce at water utilities, but BLS reported that as of December 2016 employment in industries related to water utilities\u2014including local government utilities (both water and energy utilities); water, sewage, and other systems; and water and sewer system construction\u2014totaled 478,700. A study commissioned by the American Water Works Association estimated that 55 percent of water utility employees are water operators; of the remainder, 20 percent work in customer service and metering, and 25 percent work in administration of various kinds. The number of water operators at individual water utilities depends partly on the size of the population the utility serves. Large utilities may have dozens of water operators supported by a staff of customer service representatives, electricians, instrument technicians, machinists, and plumbers. In contrast, utilities in rural communities may have a single water operator who is sometimes tasked with additional duties.", "Water operators at drinking water utilities run the equipment, control the processes, and monitor the plants that treat water to make it safe to drink. Water operators at wastewater utilities do similar work to remove pollutants from domestic and industrial wastewater before it is reused or released into a receiving body of water. Many duties of water operators are technical and water operators need knowledge, skills, and abilities in science, technology, engineering, and mathematics (STEM). The list of academic competencies described in the DOL Water and Wastewater Competency Model for employment in the drinking water and wastewater industry includes calculating averages, ratios, proportions, and rates; translating practical problems into useful mathematical expressions; and understanding biology, chemistry, and physics. Water operators need to be able to prepare chemicals and confirm chemical strength, adjust chemical feed rates and flows, and understand software and equipment used for industrial process control, such as supervisory control and data acquisition software and systems. (See fig. 2). Industry representatives we interviewed told us that as drinking and wastewater treatment processes become more technologically advanced, water operators increasingly will need to have more advanced technical skills.", "Water operators must meet specialized certification requirements, which are overseen by state regulators. A number of 2-year and 4-year colleges offer programs across the country that provide training for individuals seeking certification as water operators. For drinking water operators, regulations under the Safe Drinking Water Act establish minimum standards for certifications. Each state must implement a water operator certification program that meets the requirements of these guidelines or that is substantially equivalent to these guidelines. The Clean Water Act does not have similar minimum requirements for wastewater operators, and certification standards are established by the states. Accordingly, there is no single standard national certification. Even though there has been an industry effort to harmonize the certification requirements across states for both drinking water and wastewater operators, reciprocity of certification between different states remains limited."], "subsections": []}, {"section_title": "Federal and State Roles in Overseeing and Assisting Utilities", "paragraphs": ["EPA regulates water utilities under the Safe Drinking Water Act and the Clean Water Act. Under the Safe Drinking Water Act, EPA establishes and enforces standards for public water systems, including drinking water utilities, that generally limit the levels of specific contaminants in drinking water that can adversely affect public health; attaining and maintaining these levels typically requires water treatment. Under the Clean Water Act, EPA regulates discharge of pollutants from point sources such as municipal and industrial wastewater treatment plants, and stormwater discharges from industrial facilities and municipal sewer systems. EPA\u2019s Office of Enforcement and Compliance has established national enforcement goals and works with state and tribal governments and other federal agencies to enforce the nation\u2019s environmental laws, including the Safe Drinking Water Act and Clean Water Act.", "EPA authorizes most states to have primary enforcement responsibility\u2014 \u201cprimacy\u201d\u2014for the Safe Drinking Water Act, if the state meets certain requirements. Similarly, EPA authorizes most states to operate their own clean water discharge permitting program (also called primacy) in lieu of the federal program if the state program meets certain requirements. EPA regulations require states to have inspection programs for drinking water utilities\u2014called sanitary surveys\u2014to maintain their primacy. EPA regulations also require states to conduct periodic compliance inspections of wastewater utilities. These inspections support EPA\u2019s monitoring of compliance with the Safe Drinking Water Act and Clean Water Act. EPA provides states with guidance for evaluating the utilities. Inspections of drinking water utilities include eight areas of review: water sources, treatment plants, distributions systems, finished water storage, pumping facilities, monitoring plans and treatment records, management and operations, and water operator compliance with certification requirements. The inspections also function as an opportunity for state agencies to educate drinking water operators about proper monitoring and sampling procedures and to provide technical assistance. The goal of the inspections is to ensure that the utility can supply safe drinking water. For wastewater utilities, the inspections are more narrowly focused on monitoring the utilities\u2019 compliance with their Clean Water Act obligations. The goals of the wastewater utility inspections include identifying and documenting noncompliance and gathering evidence to support enforcement actions.", "States receive federal funding for infrastructure projects and technical assistance under the Clean Water Act and Safe Drinking Water Act. EPA provides annual funding to states through its Drinking Water and Clean Water State Revolving Fund programs. States use this funding to support water infrastructure projects and to provide assistance to communities. Specifically, portions of a state\u2019s annual EPA funding may be used for implementation of, among other things, capacity development and water operator certification programs. Under the Safe Drinking Water Act, states are required to implement water operator certification programs, and EPA is required to withhold 20 percent of a state\u2019s Drinking Water State Revolving Funds if the state fails to do so. Under the Clean Water Act, states may use their Clean Water State Revolving Funds to provide assistance to any qualified nonprofit entity, to provide technical assistance to owners and operators of small- and medium-sized publicly owned wastewater treatment utilities to, among other things, help them achieve compliance with the act.", "Water utilities in rural communities also receive funding and technical assistance provided by USDA\u2019s Rural Utilities Service. The Rural Utilities Service provides funding for drinking water and wastewater infrastructure projects in rural communities. The Rural Utilities Service is one of three agencies under Rural Development\u2014a USDA mission area focused on improving the economy and quality of life in rural America by providing financial programs to support essential public facilities and services such as drinking water and sewer systems, housing, health care, emergency service facilities, and electric and telephone service. The Rural Utilities Service\u2019s Water and Environmental Programs provide loans, grants, and loan guarantees for drinking water, sanitary sewer, solid waste, and storm drainage facilities in rural areas. The Rural Utilities Service also provides funding for technical assistance to rural water utilities through a contract with the National Rural Water Association and grants to other nonprofit organizations."], "subsections": []}, {"section_title": "Federal and State Roles in Workforce Development", "paragraphs": ["Workforce development in the United States is driven by a variety of private and public investments in workforce education and development. Under the Workforce Innovation and Opportunity Act, the federal government has programs, administered primarily by DOL and Education, that provide a combination of education and training services to help job seekers obtain employment. Through these programs, DOL provides grants to states to provide funding for employment and training programs. Although the public workforce system receives federal funds, states may choose to add their own funding, and most of the system\u2019s services for businesses and job seekers are delivered at the state and local levels. In implementing the Workforce Innovation and Opportunity Act, enacted in 2014, each state is to have a state-level workforce development board that develops strategies for providing outreach to individuals and employers and identifies in-demand industries.", "Helping ensure that the workforce system focuses on regional and local economies, each state is divided into one or more workforce areas, led by a local workforce development board. The local boards are responsible for, among other things, analyzing the employment needs of employers and the workforce development activities (including education and training) in the region. According to DOL, workforce boards are also responsible for determining how many American Job Centers are needed in their area, where these centers will be located, and how they will be operated. There are about 2,500 American Job Centers across the United States that offer many resources under one roof. The typical center serves individuals seeking employment. Centers also work with employers to assess hiring needs; find qualified candidates, including veterans; connect to training options for new and current employees; and provide other workforce-related assistance."], "subsections": []}]}, {"section_title": "Data Suggest Need for Water Operators Resembles Workforce Needs across All Occupations, but Little Is Known about Effects of Any Unmet Needs on Compliance", "paragraphs": ["Data available from BLS suggest that the workforce replacement needs for water operators are similar to workforce replacement needs nationwide across all occupations. However, little information is available about the current and future effects of any unmet workforce needs on utilities\u2019 abilities to comply with the Safe Drinking Water Act and Clean Water Act."], "subsections": [{"section_title": "BLS Projections Indicate That the Replacement Needs for Water Operators Resemble the National Average for All Occupations", "paragraphs": ["BLS projections suggest that the workforce replacement needs for water operators are similar to workforce replacement needs nationwide across all occupations. BLS uses survey estimates and economic models to project future employment in specific occupations; the latest such projections are for the 10-year period from 2016 through 2026. BLS intends its projections to capture the long-run trend, direction, and growth of the labor force rather than to predict precise outcomes in specific years. As of October 2017, the most recent projections indicate that the replacement needs for water operators\u2014resulting from retirement or other separations\u2014are relatively similar to the projected national annual average of replacement needs across all occupations (8.2 percent versus 10.9 percent, respectively). BLS projects that there will be an annual average of 9,200 job openings for water operators between 2016 and 2026. It also projects a slight decline in overall employment for water operators because of increasing automation at water utilities; this decline contrasts with total employment across all occupations, which is projected to increase by an annual average of 1,151,850 jobs. On average, for years during this the 10-year period, BLS projects that about 8 percent of water operator jobs will be filled by workers replacing those who are separating from the occupation, and about 92 percent will be filled by workers staying in the water operator occupation. In comparison, over the same period for workers across all occupations, a projected annual average of about 1 percent of jobs will filled because of growth, about 11 percent by workers replacing those separating from their occupation, and about 88 percent by workers staying in their occupation from the previous year. (See fig. 3.)", "BLS tracks growth and workforce replacement projections for the water operator occupation, but not for water utilities; however, the water operator position is concentrated at publicly and privately owned drinking water and wastewater utilities. BLS estimates from May 2016 (the latest data set with data by type of employer) show that about 77 percent of water operators were employed by local governments\u2014this percentage represents those employed at water utilities owned by cities and municipalities. Water, sewage, and other systems employed about another estimated 12 percent of water operators, which are primarily in privately owned drinking water and wastewater utilities. The remaining water operators (about 11 percent) were employed in state government or in various other private industries, such as waste treatment and disposal (e.g., solid waste, among other things).", "BLS data indicate that the median age of water operators in 2016 was slightly older than the national median age of the workforce across all occupations. BLS does not collect information on tenure, retirement age, or retirement eligibility of workers; however, the 2016 Current Population Survey shows that 24.7 percent of water operators were age 55 or older, compared with 22.7 percent of the total U.S. workforce. The data also show that in 2016, the median age for water operators was 46.4, compared with the median age across all occupations of 42.2.", "Industry reports from 2008 to 2010 included retirement eligibility estimates of as high as 30 to 50 percent of the water utility workforce. However, industry representatives we interviewed told us that many workers postponed retirement during the recession that began in December 2007, thus reducing the industry\u2019s hiring needs. The representatives added that retirements may increase as the overall U.S. economy continues to expand. In addition, industry representatives said that workers in the water industry tend to have a long tenure in their jobs, often working several years past the earliest age at which they meet the requirements for full retirement.", "In addition to water operators, larger water utilities employ a broad range of workers, including skilled workers, such as electricians and machinists, as described above. While BLS does not provide employment projections specific to water utilities for these occupations, it does provide national employment projections for these occupations that can be illustrative. The future demand for such workers\u2014as represented by projected job growth and occupational separations rates\u2014is shown in table 1. BLS defines the growth rate as the estimated percentage change in the projected number of jobs added or lost in a U.S. occupation or industry over a given period. The occupational separations rate is the sum of the projected percentage of workers exiting the labor force because of retirements or other reasons (\u201clabor force exit rate\u201d) and the projected percentage of workers transferring to different occupations (\u201coccupational transfer rate\u201d). Higher than average growth rates for the electrical and plumbing occupations, as well as higher occupational separations rates than the water operator occupation, suggest that the water industry will need to compete with other employers in faster-growing sectors, such as construction, for workers in these high-demand occupations."], "subsections": []}, {"section_title": "Limited Information Is Available on Unmet Workforce Needs and Their Effects on Compliance, and EPA Has Not Prompted States to Collect Information on Future Needs", "paragraphs": ["Little is known about whether unmet workforce needs are affecting water utilities\u2019 overall abilities to comply with the Safe Drinking Water Act and Clean Water Act. At a national level, neither the water utilities\u2019 industry associations nor EPA has analyzed whether there is a relationship between unmet workforce needs and compliance problems. Some water utility industry associations have analyzed projected employee retirement eligibility and employee turnover, but these studies did not analyze the potential effect of these retirements on utilities\u2019 operations. The 2010 Water Sector Workforce Sustainability Initiative study sponsored by the Water Research Foundation and the American Water Works Association provides the most recent, broad industry evaluation of workforce challenges at water utilities. That study outlined projected workforce challenges caused by impending retirements and shifting demographics in the U.S. labor market, but it did not address specific operational impacts related to those retirements. Similarly, the American Water Works Association\u2019s annual benchmarking surveys collect data on utilities\u2019 water and wastewater regulatory compliance rates; however, the association does not analyze whether there is a relationship between retirement eligibility and regulatory compliance.", "Water utilities and industry associations have some planned and ongoing work to learn more about workforce needs at water utilities. For example, representatives from one of the selected large utilities that we interviewed told us that a group of 16 large water utilities are informally working together to address workforce challenges and have proposed a major applied research project with the objectives of (1) exploring in greater depth the specific occupations, skills, and career pathways that can bridge the water sector\u2019s looming employment gap; (2) clarifying the range of water jobs available at a regional level; (3) identifying the potential pools of labor to fill these positions; and (4) exploring new development strategies to equip workers with the skills they need. Additionally, the Water Environment and Reuse Foundation is participating in an international Workforce Skills of the Future project to analyze future work scenarios and their impact on the water sector and develop recommendations for how the sector can prepare for and accommodate new capabilities and future skills in the water sector.", "The utilities we interviewed had experienced compliance problems with the Safe Drinking Water and Clean Water acts and some difficulties in hiring certified water operators and other skilled workers. In our interviews with representatives of selected water utilities, the representatives reported that they had experienced some difficulties in hiring operators but that those difficulties had not had an effect on their utilities\u2019 compliance with the Safe Drinking Water Act or Clean Water Act to date. However, the representatives from 6 of the 11 selected utilities reported that their difficulties in replacing workers had resulted in a greater use of overtime to meet workload demands.", "We reviewed EPA compliance violation data for the selected utilities and found that all of the utilities had at least one violation of either the Safe Drinking Water Act or Clean Water Act within the last 10 years; however, it was not possible to determine whether workforce challenges contributed to these violations. The violations represented a range of issues including exceeding the maximum contaminant levels in drinking water; failing to conduct regular monitoring of drinking water quality or to submit monitoring results in a timely fashion to the state agency or EPA; violating public notification requirements, which require systems to alert consumers if there is a serious problem with their drinking water; and failing to issue annual Consumer Confidence Reports. According to EPA officials, utilities may have violations for a number of reasons, including equipment breakdowns or impaired quality of source water, which makes water treatment more difficult. Because the compliance data is not specific enough to indicate the source of the problem, it was not possible for us to independently verify whether the compliance violations were linked to utilities\u2019 difficulties in replacing workers.", "EPA relies on states to inspect utilities and ensure compliance with requirements under the Safe Drinking Water and Clean Water acts. EPA\u2019s inspection guidance\u2014for both drinking water sanitary surveys and wastewater compliance inspections\u2014advises states to examine the adequacy of water utilities\u2019 workforces\u2014that is, the quality and quantity of staff operating and maintaining drinking water and wastewater facilities. EPA requires states to report some inspection information, including whether there are management issues at a utility. EPA officials told us that, on the basis of their conversations with state regulators, they believe states are collecting information about workforce adequacy during state inspections of drinking water utilities. For wastewater utilities, EPA officials stated that in the course of conducting an on-site inspection, inspectors will ask plant managers and staff questions about staffing and should note concerns in their inspection reports. EPA officials said that collecting workforce information at the state level is beneficial for the states and the drinking water utilities so that they can take steps to implement strategies to address the utilities\u2019 workforce needs. The officials said state regulators can find patterns in utilities\u2019 compliance reporting data that alert them to the likelihood that a utility is experiencing operational issues, such as losing a certified water operator. In those instances, an EPA official told us, state regulators work with the utility to help identify solutions, such as locating a nearby water operator who can contract with the utility on a part-time basis until it can hire a permanent water operator. EPA officials further stated that they believe state regulators are using the workforce information to help build capacity at drinking water utilities and prioritize training.", "However, the EPA inspection guidance that states currently use in conducting sanitary surveys for drinking water utilities and compliance inspections of wastewater utilities outlines criteria for evaluating existing workforce issues but does not address workforce issues that could affect utility operations, and potentially compliance, in the future. The guidance contains suggested assessment criteria that focus on whether there is an adequate number of qualified staff in the existing workforce to perform the work required. For example, the guidance for drinking water utilities states that the utility should have enough personnel to enable continuous operation of the treatment plant at all times and that staff should be able to perform operations and maintenance tasks regularly with little or no overtime hours. The inspection guidance does not contain similar questions that focus on whether there will be an adequate number of qualified staff in the future workforce to perform the work required. According to our December 2003 report, strategic workforce planning focuses on developing of long-term strategies for acquiring, developing, and retaining an organization\u2019s total workforce to meet the needs of the future. In that report, we stated that while agencies\u2019 approaches to workforce planning will vary, there are five key principles that strategic workforce planning should address irrespective of the context in which the planning is done. These principles include: determining the critical skills and competencies that will be needed to achieve current and future programmatic results, and developing strategies that are tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies.", "According to our interviews with selected utilities, five of the six large utilities had conducted workforce planning, while none of the small utilities had conducted such planning. By amending its inspection guidance with questions on strategic workforce planning\u2014such as any potential gaps in critical skills and strategies to address any gaps in the number of water operator positions to meet the needs of the future\u2014EPA could ensure that such information is available for states to assess future water utility workforce needs. Information on future workforce needs could help the states and water utilities identity potential workforce issues and take action as needed. According to EPA officials, they have not considered amending inspection questions but have heard that future workforce issues are a concern to the states and the industry and said that making such changes could be helpful to develop workforce strategies that address the specific needs of a state or regional area."], "subsections": []}]}, {"section_title": "Selected Utilities Managed Their Workforce Needs Using a Mix of Approaches but Reported Ongoing Challenges Hiring Water Operators and Other Skilled Workers", "paragraphs": ["Representatives from selected utilities that we interviewed reported using a mix of various approaches to meet their workforce needs. However, the selected large utilities reported ongoing hiring challenges with skilled technical workers such as machinists, electricians, and pipefitters."], "subsections": [{"section_title": "Selected Utilities Used a Mix of Approaches to Manage their Workforce Needs", "paragraphs": ["The representatives from the selected utilities reported that by using various approaches, they were generally able to hire water operators, but they faced some challenges in doing so. The number of water operator vacancies at each of the six selected large utilities in the spring of 2017, as reported by the utilities\u2019 representatives, ranged from 2 to 60, representing a range of about 2 to 15 percent of the utilities\u2019 water operator workforces. Only one of the five selected small utilities had a water operator vacancy in the spring of 2017. That utility had 1 vacancy among its workforce of 44 water operator positions. When we asked representatives of selected large utilities for their top three recruitment approaches for water operators, their responses included advertisements on their own websites, \u201cword of mouth,\u201d advertising with professional water organizations, partnering with a local technical college, and use of general-purpose websites (not owned by the utility or a professional water organization). Similarly, responses from representatives of selected small utilities included \u201cword of mouth,\u201d local newspapers, advertisements through professional water organizations, advertisements on general- purpose employment websites, and outreach to the local veterans\u2019 office.", "We also asked the representatives of the selected large and small utilities about various water operator recruitment approaches described to us by association representatives or noted in industry publications. These approaches included recruiting from other states, working with local workforce boards and American Job Centers, establishing formal apprenticeships, reaching out to recruit veterans, and partnering with local technical and postsecondary schools. The representatives of large utilities reported that they used some of the approaches to varying degrees, but none of these representatives reported using all of them. The two most commonly used approaches of the selected large utilities (4 of the 6) were a partnership with one or more local community colleges to offer water treatment education, followed by reaching out to recruit veterans (3 of the 6). Representatives of one of the large utilities said they also had a partnership with a high school. Representatives of another large utility indicated that although they had access to local trade schools, the schools did not provide good candidates for the utility\u2019s jobs.", "Representatives of one large utility said that the utility recruits out of state to find water operators with at least a minimum set of qualifications and a license because it lacks a local pool of water operators from which it can recruit. However, representatives of another large utility indicated that many water operators do not like to move from one state to another, and therefore it is difficult to recruit in other states. Representatives of the selected large utilities were divided about whether a national standard certification for water operators would help with worker availability or recruiting. For example, one utility\u2019s representatives said that a national standard certification would not help in recruitment, while representatives of another indicated that a uniform, transferable skill set, as represented by a national certification, would be helpful.", "Representatives of the five selected small utilities reported that they generally had not used the various recruiting approaches about which we inquired. For example, according to their representatives, none of the small utilities recruited out-of-state water operators, in part because they preferred to recruit locally or they would not be able to attract such water operators with the relatively low compensation they could offer. In contrast to larger utilities, representatives of four of the selected small utilities told us they did not have a partnership with a trade school or a community college to offer water treatment education for various reasons, including filling key needs elsewhere and a lack of focus on water education at the technical college."], "subsections": []}, {"section_title": "Selected Utilities Reported Ongoing Challenges Hiring Water Operators and Other Skilled Workers", "paragraphs": ["Selected utilities reported ongoing challenges hiring water operators and other skilled workers. Representatives of all six selected large utilities told us that they had attempted to hire water operators during the past 5 years and, with one exception, they described hiring water operators as \u201csomewhat difficult.\u201d Reasons they described for this difficulty included a lack of candidates with a STEM background, a distaste for shift work among younger employees, the lack of a local pool of candidates, and low pay. Representatives of three of the selected large utilities said hiring to replace departing water operators had been a problem in the past, but there was no consensus among the three on whether the problem was increasing, decreasing, or staying about the same. The utility that indicated the problem was decreasing cited two steps it had taken to address it: expanding its geographical search and improving its internal training program. Five of the selected large utilities reported that replacing retiring water operators was currently a problem, and three of them indicated that it could become one over the next 5 years for reasons such as water operators having to perform rotating shift work and fewer qualified candidates than in the past. The percentage of water operators eligible to retire over the next 5 years, compared to the total number of water operator positions in the six large utilities, ranged from a low of 100 out of 507 (about 20 percent) to 68 out of 136 (50 percent), the representatives told us.", "Representatives of selected small utilities generally reported challenges recruiting and hiring certified water operators. Representatives of four of the five selected small utilities noted that replacing retiring water operators could become a problem over the next 5 years; these representatives often cited an inability to compete with larger utilities on compensation for certified water operators, in particular. Some representatives told us that, although they would have preferred to hire certified water operators for some of their vacancies, they often decided to hire and train an entry-level person, for whom there was less competition regarding compensation. Small utilities were roughly split regarding whether retirements had increased or remained about the same. Representatives of two small utilities told us that, over the past 5 years, the number of water operators retiring each year increased, but representatives of the other three reported that the number remained about the same. Representatives of two small utilities told us they have no water operators eligible for retirement during the next 5 years, and representatives of the other three small utilities reported that the number of water operators eligible to retire compared to the total number of water operator positions was, respectively, 2 of 6, 3 of 8, and 4 of 44. A representative of only one of the five small utilities reported difficulties recruiting skilled workers in professions other than water operators, and those professions are administrative and bookkeeping.", "Skilled Technical Occupations Considerable attention has been given in recent years to the question of whether the U.S. economy has a shortage of workers in skilled technical occupations\u2014occupations that require a high level of knowledge in a technical area but do not require a 4-year college degree. The National Academies of Sciences, Engineering, and Medicine convened a committee to examine the coverage, effectiveness, flexibility, and coordination of the policies and programs that prepare Americans for skilled technical jobs. The committee organized a national symposium, held in June 2015, bringing together researchers, industry representatives, policymakers, and other stakeholders involved in technical workforce education and training. The committee\u2019s report, issued in 2017, contained many findings including: (1) the United States is experiencing, and will continue to experience, imbalances in the supply of and demand for skilled technical workers in certain occupations, industry sectors, and locations; (2) the nature of the problem differs across sectors and locations; (3) these imbalances arise from multiple sources; (4) the evidence suggests that, as a nation, the United States is not adequately developing and sustaining a workforce with the skills needed to compete in the 21st century.", "Representatives of the selected large utilities reported that, outside of water operators, the positions most difficult to fill are for other skilled workers such as machinists; electricians; pipefitters (also called \u201csteamfitters\u201d); and heating, ventilating, and air conditioning mechanics. The representatives of those utilities said that, in their experience, the number of young adults interested in the skilled technical occupations is decreasing. A representative of one small utility noted that it is difficult for trade schools and community colleges to offer courses in occupations for which student interest is declining. Because of projected reductions in the supply of such workers as the \u201cbaby boom\u201d generation continues to retire over the next decade, the drinking water and wastewater industry has been one of many that have cited the \u201cskills gap\u201d and the need for a \u201cpipeline\u201d of future workers as developing problems as they attempt to fill vacancies caused by retirements. Representatives of some of the large utilities and industry associations we interviewed said that there are difficulties in filling certain skilled worker positions, particularly when local economic factors\u2014including competition from other sectors such as construction\u2014make it difficult to hire skilled technical workers if the local economy is near or at full employment."], "subsections": []}]}, {"section_title": "Key Federal Programs Have Several Ways to Assist Utilities with Workforce Needs, and Selected Utilities Accessed Some of Those Programs", "paragraphs": ["The five federal agencies we reviewed\u2014EPA, USDA, Education, DOL, and VA\u2014have programs that can assist utilities with their workforce needs in several ways, including through guidance, funding, and training. The selected utilities that we interviewed accessed federal programs to help meet their workforce needs in some instances."], "subsections": [{"section_title": "Five Federal Agencies Have Key Programs That Can Provide Utilities with Guidance, Funding, and Training to Help Meet Workforce Needs", "paragraphs": ["Key programs in EPA, USDA, Education, DOL, and VA can assist utilities with workforce needs in the ways described below.", "EPA has several programs that can provide funding, through the states, for technical assistance to help water utilities meet their workforce needs. For example, EPA\u2019s national Training and Technical Assistance for Small Systems competitive grant provides, on average, $12 million per year to give managerial and financial training to utilities, particularly small utilities. Additionally, officials stated that between 1997 and 2012, EPA provided $134 million to help utilities train their water operator workforce and enable their water operators to gain certification through the Operator Certification Expense Reimbursement Grants program; however, this program ended in 2012. EPA\u2019s Public Water System Supervision Grant program provides grants to states for activities to implement drinking water regulations\u2014activities that have included providing technical assistance to utilities, such as training to operators to ensure they are knowledgeable about the best operation and treatment practices. In addition, states may use up to 10 percent of the funding they receive for the Drinking Water State Revolving Fund allotment for specified program management activities, including the development and implementation of water operator certification programs.", "In addition to funding technical assistance, EPA has assisted in efforts to attract new employees to the drinking water and wastewater industry. For example, in 2010 EPA partnered with the American Water Works Association and the Water Environment Federation to highlight the need for qualified professionals to enter the drinking water and wastewater industry. As part of those efforts, EPA produced a set of videos called \u201cWater You Waiting For?\u201d to encourage high school and vocational technical school students to consider employment in the industry. EPA officials also told us that based on industry requests, EPA has taken the lead in coordinating with other federal agencies to help develop a pool of potential certified water operators. EPA has also collaborated with DOL, USDA, and VA to assist drinking water and wastewater utilities in meeting their workforce replacement needs. For example, in 2009, EPA worked with DOL and industry groups to develop a competency model for the water sector, which was updated in 2016. The model defines the necessary knowledge, skills, and abilities for prospective water professionals and can be used by educational institutions and industries to encourage prospective job seekers to consider a career in the water and wastewater industry by helping job seekers develop a career pathway and associated training and career advancement strategies that meet industry skill needs. EPA has also entered into memorandums of understanding with USDA and VA, as discussed below.", "In 2011, USDA and EPA signed a memorandum of agreement to support a series of activities to help small water and wastewater systems face the challenges of aging infrastructure, increased regulatory requirements, workforce shortages, increasing costs, and declining rate bases. Part of that agreement focused on the water industry workforce. Among other things, USDA and EPA agreed to develop strategies for overcoming challenges specific to recruitment and retention of small utility water operators and to promote the use of contract water operators to fill workforce gaps in rural communities. As part of this effort, USDA and EPA also agreed to focus on the sustainability of rural utilities by coordinating activities and financial assistance resources to increase the technical, managerial, and financial capacity of rural drinking water and wastewater systems nationwide. This resulted in the development of a training workshop, the Sustainable Rural and Small Utility Management Initiative\u2014\u201dWorkshop in a Box\u201d\u2014that covers a variety of topics, including some related to evaluating workforce needs. USDA reported that in fiscal year 2016, the technical assistance providers conducted more than 100 workshops, with at least one in each of the 50 states and Puerto Rico.", "USDA\u2019s Rural Utilities Service provides technical assistance to small rural utilities through two programs: Technical Assistance and Training grants and the Circuit Rider program. The Technical Assistance and Training grants provide funds to private nonprofit organizations to help communities with water or wastewater systems by providing free technical assistance and training for rural water operators, other water utility staff and managers, and water utility board members. In fiscal year 2016, 24 nonprofit organizations received funding totaling about $20 million to provide technical assistance to rural water utilities. In addition, under the Circuit Rider program, the Rural Utilities Service contracts with the National Rural Water Association to provide staff in each of the 50 states who offer technical assistance on day-to-day operational, managerial, and financial issues. Specifically, according to the National Rural Water Association, staff known as \u201ccircuit riders\u201d work on site with rural water utility personnel to troubleshoot problems, evaluate alternative technological solutions, recommend operational improvements, assist with leak detection, respond to natural disasters and other emergencies, and provide hands-on training, among other things. In fiscal year 2016, USDA provided about $16 million for the Circuit Rider program.", "DOL provides funding to states to operate the public workforce system under the Workforce Innovation and Opportunity Act. Under this act, DOL funds American Job Centers, where potential employees can seek information on job openings. Employers, such as industries or utilities, can notify the centers of the need for applicants, and the centers can then refer potential applicants to the industry. In addition, if requested to do so by industry associations or companies, DOL can work with them to develop registered apprenticeship programs through DOL\u2019s Office of Apprenticeship. As of September 2017, 24 water utilities across the country were training new employees through registered apprenticeships that combined structured learning with on-the-job training with an assigned mentor. (See app. II for a list of apprenticeships in the water industry that are registered with DOL\u2019s Office of Apprenticeship.) In addition, the National Rural Water Association recently developed a registered apprenticeship program for rural utilities. According to DOL officials, the program began in Indiana on August 10, 2017, and as of September 7, 2017 two additional states\u2014California and Colorado\u2014were expected to join the apprenticeship program.", "In addition to funding under the Workforce Innovation and Opportunity Act, between 2011 and 2014, DOL awarded $1.9 billion in capacity- building grants to community colleges through the Trade Adjustment Assistance Community College and Career Training grant program. Grantees identified in-demand industries and sectors in their proposals and were required to partner with workforce boards. At least seven grantee colleges proposed to develop or upgrade programs of study related to water and wastewater utilities. For example, Salina Area Technical College (Kansas) developed an environmental technology associate\u2019s degree program focusing on water quality and wastewater treatment management."], "subsections": [{"section_title": "Education", "paragraphs": ["Through multiple grant programs, Education provides funding for states and community and technical colleges, including a number of community and technical colleges that offer programs to prepare individuals for careers in the drinking water and wastewater industry. Examples of such colleges include Kirkwood Community College (Iowa), Moraine Park Technical College (Wisconsin), and Bay College (Michigan). According to agency documentation, three funding mechanisms can be used to fill the training and employment needs of the water and wastewater industry:", "Funding under the Perkins Act is available for state agencies and eligible local educational agencies and postsecondary education providers.", "Funding under the Adult Education and Family Literacy Act is available to state agencies and eligible providers for, among other things, integrated education and training, which is a service approach that provides adult education and literacy activities concurrently and contextually with workforce preparation activities and workforce training for a specific occupations.", "The Rehabilitation Act of 1973 provides funding for training and job placement services for individuals with disabilities through state vocational rehabilitation agencies. According to agency documentation, from fiscal years 2013 through 2016, nationwide in this program, 40 to 50 program participants per year obtained employment as operators in the drinking water and wastewater industry. secondary and postsecondary education students who elect to enroll in career and technical education programs. The Adult Education and Family Literacy Act provides funds to states, which grant these funds to eligible providers to assist adults in, among other things, becoming literate or achieving proficiency in English, obtaining the knowledge and skills necessary for employment and self-sufficiency, and completing a secondary school education. The Rehabilitation Act of 1973 provides funding to states for vocational rehabilitation services, such as counseling, job training, and job search assistance to eligible individuals with disabilities, with emphasis on individuals with significant disabilities. These programs are delivered through American Job Centers. improve employment opportunities for veterans with disabilities. According to the memorandum of understanding, veterans represent a major recruiting opportunity for water utilities. According to the EPA and VA memorandum of understanding, prior military experience gives veterans an understanding of teamwork, discipline, and personal accountability that can make them excellent employees in these fields. In addition, many veterans already have technical skills and training that are directly transferrable to careers in the drinking water and wastewater industry. EPA also worked with VA to create Military Occupational Specialty equivalent job descriptions for water-related military jobs to show how they equate to civilian water utility jobs. Under the memorandum with EPA, VA receives referrals of open positions from the water and wastewater industry and disseminates the information to disabled veterans who are looking for jobs. According to a VA official, over the past 5 years, the VA estimated sharing nearly 5,500 water utility job leads with its 56 regional offices and the National Capital Region Benefits Office. VA tracks the number of disabled veterans who have been rehabilitated to employment, but it does not track the number of disabled veterans who take jobs at water utilities."], "subsections": []}]}, {"section_title": "Selected Water Utilities Accessed Some Federal Programs to Help Meet Workforce Needs", "paragraphs": ["Strategies under the Workforce Innovation and Opportunity Act In implementing the Workforce Innovation and Opportunity Act, states are required to incorporate specified strategies in their state plans, including the following: Career pathways strategies help job seekers obtain education and job experience leading to a career. Career pathways strategies align and integrate education, job training, counseling, and support services to help individuals obtain postsecondary education credentials and employment in in- demand occupations. Sector partnership strategies engage related groups of stakeholders (including employers) in the workforce system. Such strategies organize multiple employers and key stakeholders, such as education and training programs, in a particular industry into a working group that focuses on the shared goals and human resources needs of that industry. working with DOL to identify standard workforce competencies and working with workforce investment boards in each state to integrate and fund training initiatives for the water utility industry; and working with Education to develop training requirements for the water utility industry.", "Representatives of the American Water Works Association told us that they had not provided tools or outreach to utilities to help them act on some of these recommendations, such as working with local workforce investment boards. In our interviews with selected utilities, we heard that there is variation in whether the utilities have accessed federal programs to help meet their workforce needs."], "subsections": [{"section_title": "Programs for Rural Utilities (USDA)", "paragraphs": ["Representatives from four of the selected small utilities we interviewed said they use training programs offered by the National Rural Water Association to train the water operators they hire. A representative from one small utility stated that his utility needed the National Rural Water Association to provide ongoing training for new operators. The representative also stated that the National Rural Water Association\u2019s circuit riders helped the utility resolve problems that arose, which precluded the need for the utility to pay for expensive private services. Circuit riders can help small utilities resolve a range of problems, including assisting with leak detection and responding to natural disasters and other emergencies."], "subsections": []}, {"section_title": "American Job Centers (DOL)", "paragraphs": ["Representatives from two of the selected large utilities and two of the selected small utilities told us that they had used the American Job Centers to recruit potential workers. Representatives of those utilities described differing experiences in using their local job centers, with representatives from one large utility stating that the job center was a good resource for them while representatives from another large utility stated that they were not able find the type of candidates they wanted (such as those with a STEM background). Representatives of other selected utilities stated that they have not used the centers either because they were not familiar with the centers\u2019 services or they did not believe that using the job centers would be beneficial for them."], "subsections": []}, {"section_title": "Sector Partnership Strategy (DOL)", "paragraphs": ["Get Into Water! The Colorado Department of Labor and Employment and the Colorado Workforce Development Council jointly awarded funding to plan a sector partnership strategy for the drinking water and wastewater industry. The funding provided by Colorado was part of federal Workforce Investment Act funds provided to the state for sector partnership strategies. The initiative, called \u201cGet Into Water!\u201d involved four counties in the Denver metro region. Although the drinking water and wastewater industry was not among the top three industries in those counties, a study of the region\u2019s drinking water and wastewater utilities identified workforce challenges and opportunities in the region. The initiative, which was active between 2009 and 2011, developed entry-level training courses to introduce high school students and adults to career opportunities in the drinking water and wastewater industry. One of the programs that was developed\u2014at Emily Griffith Technical College\u2014remains active after the conclusion of the initiative.", "One of the selected large utilities that we interviewed was involved in a sector partnership strategy called \u201cGet Into Water!\u201d funded by the Colorado Department of Labor and Employment and the Colorado Workforce Development Council. The funding provided by Colorado was a part of federal Workforce Investment Act funds provided to the state for sector partnership strategies. None of the other selected large or small utilities reported taking part in a federally funded sector partnership strategy."], "subsections": []}, {"section_title": "Registered Apprenticeships (DOL)", "paragraphs": ["One of the selected large utilities we interviewed used DOL\u2019s registered apprenticeship program as a way to recruit and hire water operators. It also used the apprenticeship to cover plumbers. None of the other selected large utilities had registered apprenticeship programs for water operators. Representatives from some of the selected large utilities stated that they did not use registered apprenticeships because of the expense of meeting the apprenticeship rules\u2014particularly having to pay almost the market rate to an apprentice, who may not be fully productive for the first few years on the job. Representatives from some of the selected small utilities stated that they did not need an apprenticeship program because of their small size or lack of openings."], "subsections": []}, {"section_title": "Initiatives to Employ Veterans (VA, DOL)", "paragraphs": ["The selected utilities used various methods to recruit veterans, including working with state and local veterans offices, job fairs, and coordinating with local military installations. Four of the selected large and small utilities we interviewed sought to hire veterans, but none of them sought employees through the VA\u2019s disabled veterans program. DOL noted that American Job Centers offer additional ways to recruit and hire veterans, including the Jobs for Veterans State Grants program, which funds Disabled Veteran Outreach Program specialists and Local Veterans\u2019 Employment Representatives. Representatives from one of the large utilities stated that although it did not have a program specifically for recruiting veterans, it periodically sent its employees to talk to groups of veterans about the nature of its work and how to navigate the civil service hiring process."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Having an adequate number of trained and qualified employees, particularly water operators, is key to the safe operation of the nation\u2019s water utilities. Water utilities face an upcoming wave of retiring baby boomers, similar to other industries in the economy. Federal programs offer many resources that, if accessed, have the capability to support and supplement\u2014but not replace\u2014utilities\u2019 individual and collective efforts to recruit for difficult-to-fill positions. EPA has coordinated efforts with DOL and other federal agencies that can help utilities and industry groups identify ways for utilities to access federal programs. EPA\u2019s inspection guidance documents recognize the importance of utilities having an adequate number of capable and qualified staff, and state regulators appear to be capturing some information on utilities\u2019 existing workforce capacity and using this information to target technical assistance to utilities in need. However, EPA\u2019s inspection guidance to states does not address future workforce issues that may affect utility operations. By adding questions to its inspection guidance documents on strategic workforce planning\u2014such as the number of positions needed in the future, skills needed in the future, and any potential gaps in water operator positions\u2014EPA could help ensure this information is available for states to assess future workforce needs. Information on future workforce needs could help states and utilities identity potential workforce issues and take action as needed."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Assistant Administrator for Water should direct EPA\u2019s Office of Water to amend its Safe Drinking Water Act and Clean Water Act inspection guidance documents to add questions on strategic workforce planning topics\u2014such as the number of positions needed in the future, skills needed in the future, and any potential gaps in water operator positions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to EPA, USDA, Education, DOL, and VA for comment. Education, DOL, and VA provided technical comments, which we incorporated as appropriate. In a written response, USDA indicated that it did not have comments and generally agreed with the report findings and content.", "EPA provided written comments, reproduced in appendix III, in which it generally agreed with our findings and provided comments regarding the conclusions and recommendation. While EPA generally agreed with our findings, the agency stated that the report does not highlight some factors that differentiate water and wastewater sector workforce needs from the workforce needs of all occupations. EPA stated that, for example, the location of the drinking water system or wastewater treatment plant can significantly impact the owner\u2019s ability to recruit and retain certified operators. We examined workforce needs in terms of projected growth and occupational separations rates as reported by BLS. We did not specifically assess the impact of geographic location. However, in our discussion of responses from selected small utilities, we outline some of the particular challenges facing small water utilities, which are typically located in more rural areas. We describe, for example, that representatives of small utilities often cited an inability to compete with larger utilities on compensation for certified water operators.", "With regard to our recommendation, EPA stated that it generally agrees with the recommendation with respect to sanitary surveys of public water systems. It further stated that EPA\u2019s Office of Ground Water and Drinking Water is in the process of updating the sanitary survey guidance manual How to Conduct a Sanitary Survey of Drinking Water Systems \u2013 A Learner\u2019s Guide. EPA noted that they will add questions related to workforce needs to the \u201cUtility Management\u201d section and anticipates finalizing the update by the summer of 2018. For compliance monitoring inspections under the Clean Water Act National Pollutant Discharge Elimination System (NPDES) program, EPA did not agree or disagree with the recommendation, but stated that inspectors may be limited in the information related to workforce planning they can assess and provide because there is no corollary to the Water System Management and Operation element of sanitary surveys in the NPDES compliance inspections. EPA stated that where the agency identifies studies or documents on adequate staffing of wastewater facilities, its Office of Enforcement and Compliance Assistance will incorporate that information into its existing guidance documents for inspectors. While we recognize that the sanitary surveys and NPDES compliance inspections have different goals, as we noted in the report, inspectors currently ask plant managers and staff questions about staffing, and we believe that there is an opportunity to ask additional questions about future staffing needs. In addition, we note that EPA already highlights the need for adequate staff in its compliance inspection guidance. By amending the compliance inspection guidance to instruct inspectors to also ask about future workforce issues, EPA would be emphasizing the fact that ensuring a trained workforce and continuity of operations is important for complying with NPDES permits.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of EPA, the Secretary of Agriculture, the Secretary of Education, the Secretary of Labor, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at (202) 512-3841, gomezj@gao.gov or (202) 512-7215, brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what is known about workforce needs at water utilities compared with workforce needs nationwide and any effects of potential unmet workforce needs on the utilities\u2019 abilities to comply with the Safe Drinking Water Act and the Clean Water Act; (2) what approaches selected water utilities have used to manage their workforce needs and challenges they have faced in managing those needs; and (3) in what ways, if any, key federal programs can assist water utilities with their workforce needs.", "To examine what is known about workforce needs at water utilities compared with workforce needs nationwide, we assessed and summarized data on workforce replacement rates provided by the Department of Labor\u2019s Bureau of Labor Statistics (BLS) and examined projected retirement rates provided by industry studies. We focused on projections of workforce turnover from 2016 to 2026 and estimates of employee retirement eligibility published from 2008 to 2016, the most recent data available to us. Because BLS estimates of workforce replacement needs do not distinguish between workers who retire and workers who permanently leave an occupation for other reasons, it was not possible to isolate retirements from other separations.", "We identified two relevant BLS survey programs\u2014the Occupational Employment Statistics program (May 2016) and the Current Population Survey (2016)\u2014and one BLS projection program, the Employment Projection Program (2016-2026). To assess the reliability of BLS survey data, we reviewed relevant documentation and information from BLS staff for the most recent data available for the two relevant BLS survey programs. Through the Occupational Employment Statistics program, BLS conducts a mail survey in May and November of each year to collect data on wage and salary workers in nonfarm establishments. It uses these data to produce employment and wage estimates for about 800 occupations. BLS publishes relative standard errors to account for sampling errors in Occupational Employment Statistics survey estimates. All Occupational Employment Statistics estimates in this report are presented along with their 95 percent confidence level.", "The Current Population Survey is a monthly survey of households conducted by the U.S. Census Bureau for BLS. It is a sample survey of 60,000 eligible households representing the civilian noninstitutional population ages 16 and older in the 50 states and the District of Columbia. The basic monthly survey gathers demographic characteristics of people in each sampled household and information to determine whether they are employed, unemployed, or not in the labor force. The survey collects information on workers\u2019 occupations and ages. The Current Population Survey estimates presented in this report are subject to sampling error. To account for this error, we present all Current Population Survey estimates in this report along with their 95 percent confidence intervals. Data that would allow us to calculate true sampling errors were not specifically provided by the Current Population Survey. Instead, we followed Current Population Survey guidance to estimate sampling errors. We used generalized variance functions, parameters, and factors published by the Current Population Survey to calculate approximate standard errors and confidence intervals. As a result, the confidence intervals presented in this report provide a general order of magnitude and are approximations of the true sampling errors.", "To assess the reliability of BLS projections, we reviewed relevant documentation and information from BLS staff for the most recent projections available and reviewed the BLS employment projections in the Occupational Outlook Handbook. The Handbook includes employment projections developed by BLS\u2019 Employment Projections program; BLS develops its projections from statistical and econometric models, combined with subjective analysis, and designs these projections to provide a focused analysis of long-term trends based on a set of assumptions. The models and analyses BLS uses to develop the projections assume historical relationships and behavior will continue to hold over the projection period; however, there is inherent uncertainty about whether historical trends will continue into the future. BLS employment projections rely on assumptions about demographics, fiscal policy (including tax policies and government spending), and macroeconomic conditions over the 10-year projection period. For example, the BLS projections assume that the economy will be at full employment in the last year of the period (e.g., 2026). BLS notes, however, that fluctuations in the business cycle are not foreseeable over a decade. Therefore, BLS employment projections should be considered as likely outcomes, but subject to the accuracy of the underlying assumptions. We determined that the BLS survey and projection data were sufficiently reliable for purposes of our objective.", "To determine what data and information were available on workforce needs from industry, we reviewed reports and interviewed officials from industry associations, including the American Water Works Association, the Water Environment Federation, the National Rural Water Association, the Rural Community Assistance Partnership, the National Association of Clean Water Agencies, and the National Association of Water Companies. We identified a number of relevant industry studies, including three surveys published by the American Water Works Association between 2015 and 2017: the 2016 State of the Water Industry Report, Benchmarking Performance Indicators Water and Wastewater: 2015 Survey Data and Analyses Report, and Benchmarking Performance Indicators Water and Wastewater: 2013 Survey Data and Analyses Report. To assess the reliability of the industry studies, we reviewed their scope and methodology. We determined that although the industry estimates were not generalizable, the studies were sufficiently reliable for illustrating industry perspectives on workforce planning.", "To review the effects of potential unmet workforce needs on water utilities\u2019 abilities to comply with the Safe Drinking Water Act and the Clean Water Act, we selected a sample of 11 water utilities\u20146 large and 5 small\u2014based on geography, size, and indications of hiring challenges in the past. We included both large and small utilities in our selection based on our initial interviews with industry representatives that suggested that large utilities and small utilities experienced different challenges.", "To select the large utilities, we compiled a list of cities that were mentioned in interviews and other communications with industry groups, and in EPA documents, as experiencing difficulty replacing retiring workers or having put in place programs to train and recruit new workers. We then divided the list of cities geographically among the four Census regions\u2014West, Midwest, Northeast, and South\u2014and tallied the number of times each city was mentioned. In the West and South regions, we selected the city with the greatest number of mentions. In the Midwest and Northeast regions, each of the cities had only one mention, so we selected the largest city within each region. For each of these four cities we then identified the drinking water and wastewater utilities for the city. One of the cities had separate drinking water and wastewater utilities, while the other three cities had one utility that provided both drinking water and wastewater services. We also included the water utility for a fifth city because early in our research we conducted a site visit to that city and conducted an interview with the local water utility.", "To select the small utilities, we reached out to the National Rural Water Association and the Rural Community Assistance Partnership for suggestions on utilities to interview. The National Rural Water Association provided us with a list of 10 small water and wastewater utilities from 6 states. We divided the list of cities among the four Census regions. In the West region, one utility was recommended. For the Midwest, Northeast, and South regions, we selected utilities from cities with populations less than 10,000. In the South region, we selected a second city in order to bring the total number of small utilities up to five. One of the small utilities that we contacted was not able to participate in an interview with us but instead referred us to a nearby utility. That utility served a population less than 30,000, which for the purposes of this report we included in the category of small water utilities. Table 2 shows the locations and sizes of the 11 utilities we interviewed.", "We asked officials of the selected utilities whether workforce challenges had affected their abilities to comply with the Safe Drinking Water Act and the Clean Water Act at their utilities or whether they anticipated such effects in the future. The information from those interviews is not generalizable to the national population of water utilities; it was intended to provide illustrative examples of any difficulties water utilities were experiencing in complying with the Safe Drinking Water Act and the Clean Water Act that they attributed to workforce challenges. We also obtained EPA data on compliance with the Safe Drinking Water Act and the Clean Water Act for the selected utilities. We have previously reviewed the quality of EPA compliance data for the Safe Drinking Water Act. Specifically, we have interviewed EPA officials and reviewed EPA data reliability assessments, a 2017 OIG report on the reliability of data in EPA\u2019s Safe Drinking Water Information System (SDWIS), data verification reports, and our past reports on the reliability of the data in SDWIS. According to these recent EPA assessments, the EPA OIG report, and our January 2006 and June 2011 reports, some of the data in SDWIS are not complete. We also interviewed an EPA official and reviewed documentation on compliance data for the Clean Water Act. We determined that although the data are incomplete, they were useful to provide a rough indication of whether selected water utilities had any Safe Drinking Water Act or Clean Water Act compliance violations over the past 10 years (between 2007 and 2016).", "To describe the approaches that selected water utilities have used to manage their workforce needs and the challenges they have faced in managing those needs over the past 5 years (from 2012 through 2016), we spoke with utility officials, during the interviews described above, to learn about their hiring and retirement numbers, challenges in managing workforce needs, and approaches for hiring staff. The information from those interviews is not generalizable to the national population of water utilities; it was intended to provide illustrative examples of any difficulties water utilities were experiencing in complying with the Safe Drinking Water Act and the Clean Water Act that they attributed to workforce challenges.", "To describe how key federal programs can assist water utilities with their workforce needs, we conducted background research and initial interviews with federal officials. We identified five federal agencies that conduct activities or provide funding related to the water utility workforce: EPA, USDA, Education, DOL, and VA. We interviewed officials with these agencies about current or past federal programs and policies related to water utilities\u2019 workforce needs. We did not attempt to identify all programs that can provide assistance to water utilities for workforce planning or recruitment, but we determined based on interviews at the five federal agencies that we had identified the programs for which these activities were a primary purpose or likely use. Additionally, we interviewed representatives from the selected utilities we contacted to determine whether and how they had used various federal programs or assistance to augment other planning and recruitment strategies and what problems, if any, they had in using the programs. The information from those interviews is not generalizable to the national population of water utilities but provides illustrative examples of how, if at all, water utilities are using federal programs to help with workforce planning and recruitment.", "We conducted this performance audit from September 2016 to January 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: List of Federally Registered Apprenticeships at Drinking Water and Wastewater Utilities", "paragraphs": ["Table 3 provides a list of apprenticeships in the water industry that are registered with the Department of Labor\u2019s (DOL) Office of Apprenticeship. As of September 7, 2017, DOL reported that 24 utilities across the country were training new employees through registered apprenticeships that combined structured learning with on-the-job training with an assigned mentor."], "subsections": []}, {"section_title": "Appendix III: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Susan Iott (Assistant Director), Betty Ward-Zukerman (Assistant Director), Darnita Akers, Mark Braza, Caitlin Cusati, Alex Galuten, Tom Gilbert, Gina Hoover, Rich Johnson, Cynthia Norris, Rhiannon Patterson, Sarah Sullivan, and Paul Wright made key contributions to this report."], "subsections": []}]}], "fastfact": ["Water utilities need qualified employees to safely maintain the nation's drinking water and wastewater facilities, and some utilities are having difficulty hiring certified operators\u2014key to running the plants\u2014as well as other skilled workers. Utilities also face an upcoming wave of retiring baby boomers. Federal agencies offer utilities help addressing hiring needs.", "EPA provides guidance for state regulators and plant managers to use in evaluating utility operations. It obtains information on the current workforce, but we recommended that EPA add strategic workforce planning questions to its evaluations that would help identify future needs."]} {"id": "GAO-19-200", "url": "https://www.gao.gov/products/GAO-19-200", "title": "Employment and Training Programs: Department of Labor Should Assess Efforts to Coordinate Services Across Programs", "published_date": "2019-03-28T00:00:00", "released_date": "2019-03-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federally funded employment and training (E&T) programs help job seekers enhance their job skills, identify job opportunities, and obtain employment. In 2011, GAO identified overlap and fragmentation among E&T programs administered by nine federal agencies. The Workforce Innovation and Opportunity Act (WIOA) was enacted in 2014, in part, to improve coordination and integration among these programs.", "This report examines (1) how the number of and obligations for federal E&T programs have changed since GAO's 2011 review, (2) the extent to which E&T programs continue to provide similar services to similar populations and examples of potential effects, and (3) the extent to which agencies have taken actions to address previously identified fragmentation and overlap among E&T programs and what agencies have learned about the results. To address these objectives, GAO surveyed E&T program administrators, reviewed relevant reports and studies, and interviewed federal agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The number of federal employment and training (E&T) programs and program obligations have declined since GAO's 2011 report. In that review, GAO identified 47 E&T programs and found that 44 had overlap with at least one other program in that they provided similar services to a similar population. In fiscal year 2017, the most recent year data are available, GAO identified 43 E&T programs, or 4 fewer than in 2011 (see figure). From fiscal year 2009 to 2017, federal agencies' annual obligations for E&T programs decreased from about $20 billion to $14 billion. GAO analysis of survey data found the decrease in obligations was largely due to the expiration of funding from the American Recovery and Reinvestment Act of 2009, which had provided additional funding for selected E&T programs during and after the Great Recession.", "Survey results from federal administrators of the 43 E&T programs show that the programs continue to span nine agencies and generally overlap by providing similar services, such as employment counseling and assessment services (39 of 43) and job readiness training (38 of 43). Further, programs targeting a specific population, such as Native Americans, veterans, or youth, also provided similar services. In some cases, such overlap may be appropriate or beneficial, but it may also suggest opportunities for greater efficiency.", "Almost all (38 of 43) E&T programs reported at least one action to manage fragmentation or overlap, such as co-locating services and sharing information. However, the agencies were not able to consistently provide information on the results of these actions and few evaluations encompassed multiple programs. Among studies GAO identified, six examined more than one E&T program, but only one assessed how any coordinated activities benefited the population served. None of the six studies focused on Native Americans, youth, or refugees. The Workforce Innovation and Opportunity Act (WIOA) encourages agencies to conduct evaluations, and specifically requires the Department of Labor (DOL) to publish a 5-year plan describing certain E&T priorities, consistent with the purpose of aligning and coordinating certain programs. While DOL reported it took some steps, it continues to lack a strategic plan for E&T evaluations over a multi-year period. As a result, DOL does not know whether actions to manage overlap are successful."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOL, in consultation with other federal agencies, develop and publish a multi-year strategic plan for its evaluations of employment and training that includes assessing the completeness and results of efforts to coordinate among E&T programs. DOL agreed with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federally funded employment and training (E&T) programs help job seekers enhance their job skills, identify job opportunities, and obtain employment. Since the 1990s, GAO has periodically reported on the number of and funding for programs that are specifically designed to provide E&T services and has identified areas of fragmentation and overlap among them. The most recent report, issued in January 2011, identified 47 programs administered by nine federal agencies. We found then that these agencies obligated about $20 billion on E&T activities in fiscal year 2009, adjusting for inflation, and reported serving more than 24 million individuals.", "Since our 2011 review, the unemployment rate in the country has improved and statutory changes have been made to improve the structure of the workforce development system and coordination among workforce development programs. For example, the Workforce Innovation and Opportunity Act (WIOA) was enacted, which sought in part to improve the quality and accessibility of services that job seekers and employers receive at their local American Jobs Center, which are intended as a \u201cone-stop\u201d location for receipt of employment services. In addition, WIOA directed federal agencies to take certain actions to better align and integrate service delivery across multiple E&T programs.", "Given these recent changes, you asked us to update the status of fragmentation and overlap among federal E&T programs. This report examines (1) how the number of and obligations for federal employment and training programs have changed since our 2011 report, (2) the extent to which employment and training programs continue to provide similar services to similar populations, and examples of potential effects, and (3) the extent to which agencies have taken actions to address previously identified fragmentation and overlap among the programs and what agencies have learned about the results.", "To address all of our objectives, we identified programs specifically designed to provide E&T services based on the definition used in our 2011 review. This generally consists of programs for which objectives cited in the Catalog of Federal Domestic Assistance (CFDA) included: enhancing the specific job skills of individuals in order to increase their identifying job opportunities, and/or helping job seekers obtain employment.", "To address all three research objectives, we administered a survey to program officials that included questions to verify information listed in the CFDA on program objectives, eligibility, and beneficiary requirements. To answer our first research objective, we included questions about budgetary information and participants served. To answer our second research objective, we asked questions about services provided by each program. To answer our third research objective, we also included questions about agencies\u2019 actions to manage previously identified overlap and fragmentation. We reviewed survey responses for completeness and apparent inconsistencies and clarified information with agency officials, as needed. However, we did not review agencies\u2019 financial reporting systems or audit the figures provided to us. To address limitations this may have created, we asked agencies to identify the data source of reported budgetary information and to list any data limitations. We did not conduct a legal analysis to confirm the various characterizations of the programs in this report, such as services provided, target population, eligibility criteria, or program goals. Instead, such program information in this report is generally based on our survey results as confirmed by agency officials.", "To address the first objective, we compiled a list of E&T programs by starting with the 47 programs administered by nine federal agencies that were identified in our 2011 review. We updated that list by (1) interviewing federal agency officials; (2) searching program objectives in the CFDA to confirm that programs previously identified still met our criteria for inclusion and to identify any additional programs that met our criteria; and (3) reviewing other GAO reports published since 2011 that provided a more in-depth review of specific types of E&T programs. In any such analysis, the number of programs identified is likely to vary with the definition used, and applying any definition can require subjective judgment.", "To address our second objective, to identify areas of overlap among E&T programs, we reviewed beneficiary eligibility requirements listed in the CFDA and confirmed by agencies to categorize programs by targeted population served, and compared the categories of services the programs reported providing in our survey. We had not identified duplication in prior reports on E&T programs; we asked in our survey about programs\u2019 efforts to detect and prevent it.", "To address our second and third objectives, we also reviewed GAO reports and agency-funded studies published since 2011. We used these sources, in part, to illustrate effects of overlap and fragmentation among E&T programs and provide examples of actions agencies have taken to address our prior findings or recommendations. In addition, to address the third objective, we analyzed survey results regarding agencies\u2019 efforts to address previously identified overlap and fragmentation and to detect and prevent duplication. For selected efforts, we contacted agency and program officials regarding their knowledge of the results. We also reviewed the impact or effectiveness studies agencies performed on the programs identified for our review. For more details on our scope and methodology, see appendix I.", "We conducted this performance audit from September 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Program Fragmentation, Overlap, and Duplication", "paragraphs": ["Over the years, we have issued several reports on fragmentation, overlap, and potential for duplication among federally funded employment and training (E&T) programs and identified areas where inefficiencies might result. This report, like our prior work, uses the following definitions:", "Fragmentation refers to circumstances in which more than one federal agency (or more than one organization within an agency) is involved in the same broad area of national need and opportunities exist to improve service delivery.", "Overlap occurs when multiple agencies or programs have similar goals, engage in similar activities or strategies to achieve their goals, or target similar beneficiaries.", "Duplication occurs when two or more agencies or programs are engaged in the same activities or provide the same services to the same beneficiaries.", "During the 1990s, we issued a series of reports that documented program overlap among federally funded E&T programs and identified areas where inefficiencies might result. For example, we found that program overlap might hinder people from seeking assistance and frustrate employers and program administrators. In 2000 and 2003, we identified federally funded E&T programs for which a key program goal was providing E&T assistance. In our most recent report in 2011, we identified 47 E&T programs and found that 44 of them overlapped with at least one other program in that they provided similar services to a similar population. We also found that due to the American Recovery and Reinvestment Act of 2009 (Recovery Act), both the number of\u2014and funding for\u2014federal E&T programs had increased since our 2003 report, but little was known about the effectiveness of most programs because only five programs had conducted impact evaluations.", "Our guide on identifying and reducing fragmentation, overlap, and duplication notes that determining whether fragmentation and overlap exist among programs is a key step in identifying opportunities to improve efficiency and effectiveness of programs. In some cases, it may be appropriate or beneficial for multiple agencies and programs to be involved in the same programmatic or policy area due to the complex nature or magnitude of the federal effort. However, our guide states that it is also important to use the results of existing or new evaluations of identified programs to assess options to reduce or better manage negative effects of fragmentation, overlap, and duplication, such as inefficient use of program funds."], "subsections": []}, {"section_title": "Key Changes Since Our 2011 Review of Employment and Training Programs", "paragraphs": [], "subsections": [{"section_title": "Workforce Innovation and Opportunity Act (WIOA)", "paragraphs": ["Enacted in July 2014, WIOA repealed and replaced the Workforce Investment Act of 1998 (WIA). WIOA placed greater emphasis on aligning and integrating workforce programs, which are administered primarily by the Departments of Labor (DOL) and Education (Education), with support from the Department of Health and Human Services (HHS) and other agencies. For example, under WIOA, DOL and Education review and approve 4-year strategic plans for states\u2019 workforce development systems. WIOA also requires certain programs and encourages other programs to be available through centralized service delivery points referred to as American Job Centers. In addition, WIOA requires that DOL and Education collaborate to implement a common performance accountability system for six core programs, which presents agencies with an opportunity to align definitions, streamline performance indicators, and integrate reporting across these programs."], "subsections": []}, {"section_title": "Economic Conditions", "paragraphs": ["Since our 2011 inventory of federal E&T programs, which focused on fiscal year 2009, both the Great Recession and one-time funding made available under the Recovery Act have ended. Recovery Act funds were provided to help preserve and create jobs and promote economic recovery, among other purposes.", "With the end of the recession, the unemployment rate has substantially declined. The rate increased from 4.6 in 2007 to a peak of 9.6 in 2010 before declining to 4.4 in 2017 (see fig.1)."], "subsections": []}]}, {"section_title": "Evaluation Plans", "paragraphs": ["WIOA encourages DOL, Education, HHS, and other relevant federal agencies to conduct program research and evaluation. For example, WIOA requires DOL to publish a plan every 2 years that describes the research, studies, and multistate project priorities of DOL concerning employment and training for the following 5-year period. This includes a provision that the plan be consistent with certain purposes, including the purpose of aligning and coordinating core programs with other partner programs provided through American Job Centers.", "In addition to WIOA requirements, we have also previously reported that each federal agency should require its major program components to prepare annual and multiyear evaluation plans and to update these plans annually. The planning should take into account the need for evaluation results to inform program budgeting, reauthorization, agency strategic plans, program management, and responses to critical issues concerning program effectiveness. These plans should include an appropriate mix of short- and long-term studies to produce results for short- or long-term policy or management decisions. To the extent practical, the plans should be developed in consultation with program stakeholders. Furthermore, leading organizations, including the American Evaluation Association and the National Academy of Sciences, emphasize the need for research programs to establish specific policies and procedures to guide research activities. In addition to planning for formal evaluation, Standards for Internal Control in the Federal Government emphasize the importance of managers routinely assessing the results of their actions, for which evaluation is a potential tool."], "subsections": []}]}, {"section_title": "Since 2011, Employment and Training Services Are Delivered through Fewer Federal Programs and with Reduced Obligations", "paragraphs": [], "subsections": [{"section_title": "Number of Employment and Training Programs Declined, Due in Part to Eliminations", "paragraphs": ["The number of federal E&T programs has decreased since our last report on them in 2011. For fiscal year 2017, we identified 43 programs, four fewer than we reported in 2011. The number decreased because more programs were eliminated or defunded (6) than added (2). For example, in 2014, the Workforce Innovation and Opportunity Act (WIOA) eliminated at least four of our identified E&T programs. This included 1) DOL\u2019s Veterans\u2019 Workforce Investment Program, 2) Education\u2019s Grants to States for Workplace and Community Transition Training for Incarcerated Individuals, 3) Education\u2019s Migrant and Seasonal Farmworkers Program, and 4) Education\u2019s Projects with Industry program. In addition, Congress did not appropriate funds for Education\u2019s Tech Prep Education State Grants in fiscal year 2011 and DOL\u2019s Community Based Job Training Grants programs in fiscal year 2010, according to agencies\u2019 budget documents.", "We also identified two additional E&T programs through interviews with agency officials and a related GAO report: 1) Department of Veterans Affairs\u2019 (VA) Compensated Work Therapy, and 2) Department of Defense\u2019s (DOD) Job Training, Employment Skills Training, Apprenticeships, and Internships.", "For changes in the program list from our 2011 review to our current review, see appendix II.", "The 43 programs we identified in fiscal year 2017 are fragmented across nine federal agencies, as programs were in 2011 (see fig. 2)."], "subsections": []}, {"section_title": "Federal Obligations for Employment and Training Programs Decreased, Due in Part to the End of Recovery Act Funding", "paragraphs": ["Our survey results showed that the federal government obligated nearly $14 billion to the E&T components of its programs in fiscal year 2017, a decrease of about $5.4 billion or 30 percent, adjusting for inflation, from the amount in our 2011 review (which reported fiscal year 2009 obligations). According to our analysis of survey data, much of the decrease in E&T obligations can be explained by the expiration of Recovery Act funding. For example, two-thirds of the Recovery Act funding designated for E&T programs went to four DOL programs that received a combined $3.8 billion in Recovery Act appropriations. From fiscal year 2009 to fiscal year 2017, the combined E&T obligations for these four programs decreased by $4.7 billion, or 58 percent.", "Of the 31 E&T programs that reported E&T obligations in our survey, eight programs were responsible for more than $11 billion, or 82 percent of the total in fiscal year 2017. Their shares of 2017 E&T obligations ranged from 5 percent for DOL\u2019s Wagner-Peyser Act Employment Service to 21 percent for Education\u2019s State Vocational Rehabilitation Services Program (see fig. 3). Among these eight programs responsible for the vast majority of E&T obligations, all must be included in state plans required under WIOA, except for DOL\u2019s Job Corps, VA\u2019s Vocational Rehabilitation and Employment, and HHS\u2019 Temporary Assistance for Needy Families (TANF). In addition, all but DOL\u2019s Job Corps and VA\u2019s Vocational Rehabilitation and Employment are state-administered.", "For complete data on reported changes in E&T obligations between fiscal years 2009 and 2017, for the 29 programs that provided estimates in both years, see appendix III for numbers adjusted for inflation and appendix IV for unadjusted numbers.", "The number of people served by E&T programs also declined, from 24 million to 11 million individuals in the most recent year for which data were available, or a 56 percent decrease from the number reported in the 2011 report. Two of DOL\u2019s E&T programs\u2014the Wagner-Peyser Act Employment Service and the WIOA Adult Program\u2014accounted for the majority of this decrease, dropping by 8 million and 4 million, respectively. Participation in certain programs, for example, Wagner-Peyser Act Employment Service and WIOA Adult Program, changed markedly as the economy improved, suggesting that enrollment is highly sensitive to economic conditions. Since we last reviewed these programs in 2011, the U.S. economy has improved and the unemployment rate dropped by 53 percent (see fig. 4).", "DOL officials said these factors could have reduced the demand for certain E&T services. Unemployment is an important driver of demand for some, but not all, E&T programs. For example, demand for certain employment and training services, such as vocational rehabilitation, may be relatively insensitive to economic conditions. In addition, technology has the potential to change workforce needs in certain industries, leading to workers who need retraining. In addition, DOL officials told us that under WIOA a new definition of program participant, effective in 2016, that primarily impacted the number of participants reported for Wagner- Peyser Act Employment Service, WIOA Adult Program, and WIOA National Dislocated Worker Grants."], "subsections": []}]}, {"section_title": "Employment and Training Programs Administered by Various Agencies Generally Overlap, but Effects of Overlap May Vary", "paragraphs": ["The 43 E&T programs generally overlap in that they provide similar services to similar populations, according to our survey analysis (see table 1). In our survey, almost all of the 43 programs reported providing employment counseling and assessment services as well as job search or job placement activities (39), job readiness training (38), and job referrals (37). The least commonly provided service selected from our list of service categories\u2013high school completion or equivalency assistance\u2013was provided by over half (26) of the programs.", "Through our survey, eight of the 43 programs reported serving the general population (that is, a relatively broad target) and the remaining 35 reported serving a narrower target population, such as Native Americans (8), veterans and transitioning servicemembers (7), or youth (5)., Our survey analysis shows overlap in services exists among programs serving the general population as well as among those serving each specific target population. Specifically, a majority of programs targeting the general population, Native Americans, and youth reported providing many of the same services. For example, all of the five youth programs reported providing similar E&T services, such as employment counseling and assessment and job readiness training (see fig. 5). For more information on services provided by programs serving selected target populations, see appendix VI.", "Many of the E&T programs targeting specific populations are fragmented across multiple agencies. For example, four agencies administer the eight Native American E&T programs and three administer the seven programs for veterans (see table 2).", "Other includes older workers, women, and unemployed and underemployed residents of solid and hazardous waste-impacted neighborhoods. According to VA officials, VA\u2019s Vocational Rehabilitation and Employment program serves individuals with a service connected disability and VA\u2019s Compensated Work Therapy program serves individuals enrolled in Veterans Health Care and does not require a service connected disability.", "Overlap among program services may have benefits, but it may also suggest opportunities for coordination or efficiencies in service delivery. Overlap may be beneficial in 1) helping program participants with specific needs better access E&T services, 2) providing more tailored or intensive support services, or 3) achieving higher quality outcomes for specific populations than would be achievable from their use of a more broadly targeted program. For example:", "A 2015 study funded by DOL on services provided to veterans through the public workforce system in Texas found that veterans who received intensive services from DOL\u2019s Disabled Veterans\u2019 Outreach Program Specialist or Local Veterans\u2019 Employment Representative staff subsequently had higher earnings than veterans who did not, although these same veterans may have been eligible for similar services provided by other programs to the general population.", "A 2017 study funded by the U.S. Department of Agriculture (USDA) on its Supplemental Nutrition Assistance Program (SNAP) E&T\u2014 which helps participants who are eligible to receive nutrition assistance from the federal government better access E&T services \u2014found that program participants also received support services, such as child care vouchers and transportation assistance. Participants said these services were important to their participation in the E&T program and helped those with specific needs better access E&T services.", "However, when multiple programs overlap or are fragmented, there is also a risk that program administrators may not make efficient use of available resources if they do not coordinate their efforts. Without careful coordination, programs may not fully leverage mutual benefits or participants may find administrative requirements burdensome or redundant. For example:", "A 2018 GAO report on USDA\u2019s SNAP E&T program found that 20 states\u2019 SNAP E&T programs did not partner with workforce agencies to provide E&T services. States that do not fully leverage resources available through the workforce development system may miss opportunities to serve a greater number of SNAP E&T participants and provide a wider variety of services. GAO recommended the administrator of the Food and Nutrition Service take additional steps to assist states in leveraging available workforce development system resources.", "A 2017 study funded by DOL on American Job Centers found that customers became frustrated filling out applications in what they viewed as redundant paperwork requirements for multiple programs with varying eligibility criteria."], "subsections": []}, {"section_title": "Almost All Agencies Reported Actions to Address Program Fragmentation and Overlap, but Effectiveness of these Actions Remains Uncertain", "paragraphs": [], "subsections": [{"section_title": "Employment and Training Program Officials Reported Taking Actions to Address Fragmentation and Overlap", "paragraphs": ["In response to our survey of agency officials for the 43 E&T programs, almost all (38) reported taking at least one action to manage fragmentation, overlap, and/or potential duplication. Common actions included providing program guidance and technical assistance, coordinating participant services (e.g., co-locating services or co-enrolling participants), and effectively managing grants (see table 3).", "Our survey analysis showed that of 43 E&T programs, 31 across eight agencies reported taking at least one action to manage fragmentation. In addition, 38 programs across all nine agencies reported taking at least one action to manage overlap. For example, to address fragmentation and overlap, officials representing seven programs within DOL and Education reported in our survey that they participated in interagency workgroups to share information and to facilitate cross-agency communication to coordinate services. Likewise, VA reported that the agency and DOL updated their interagency technical assistance guide to better align the agencies\u2019 veteran E&T programs. (See table 4.)", "Program officials reported that their actions were motivated by a variety of factors, including their own assessments, legal requirements such as those in WIOA, and audit recommendations. They attributed some of their actions to their assessment of the potential for duplicative services, or to promote streamlined administration. For example: In 2014, DOL released updated guidance to administrators of its Disabled Veterans\u2019 Outreach Program to encourage coordination with its Wagner-Peyser Act Employment Service program to help ensure that the two programs were not providing similar services to veterans.", "Education reported that its data collection and reporting system integrates data from the State Vocational Rehabilitation Services Program and State Supported Employment Services Programs. Likewise, Education reported that its monitoring and technical assistance guide addresses both the State Vocational Rehabilitation Services Program and the State Supported Employment Services Program.", "In addition, DOL and other agencies reported taking actions that are either required or encouraged by federal law in order to manage fragmentation and overlap. For example:", "DOL officials reported that since WIOA was enacted in 2014, DOL, Education, and HHS have jointly issued directives and guidance to help states implement and administer WIOA, such as guidance on developing their required state strategic plans. Also under WIOA, DOL and Education have issued joint regulations and established common data definitions and joint data collection instruments to align performance reporting for WIOA six core programs.", "Agencies with E&T programs targeted toward Native Americans reported that tribes\u2019 use of authorized plans to integrate employment, training, and related services programs can help manage fragmentation and overlap. The potential scope of such plans (referred to as 477 plans), which had been originally authorized in 1992, was increased via legislation in 2017 to include programs with more purposes. With an authorized plan in place, tribes can integrate certain federal funds received by the tribe and coordinate employment, training, and related services across multiple programs that serve the tribe. In December 2018, 12 agencies signed a memorandum of agreement intended to set forth the basic functions and relationships of those agencies in the funding and oversight of tribal 477 plans and to facilitate coordination and collaboration between the agencies.", "Agencies have also taken actions to improve collaboration across multiple E&T programs based on our recommendations or on internal audits. For example: In 2011, we recommended that the Secretaries of DOL and HHS work together to develop and disseminate information that could facilitate further progress by states and localities in increasing administrative efficiencies in E&T programs, such as state initiatives to consolidate program administrative structures and state and local efforts to co- locate E&T programs at one-stop centers. In response, DOL and HHS took a number of steps, including issuing a January 2015 study focused on identifying and documenting potentially promising practices in coordinating Temporary Assistance for Needy Families (TANF) and WIA services at the state and local levels.", "In 2012, we found that the interagency handbook used by DOL and VA to coordinate E&T services for veterans did not include, for example, incorporating labor market information into rehabilitation plans. In 2015, as GAO recommended, these agencies revised the interagency handbook by outlining how VA and DOL staff should coordinate efforts to provide veterans with labor market information when developing employment and training objectives and assist them in selecting training and credentialing opportunities as a part of their rehabilitation plans.", "In 2012, EPA\u2019s Office of Inspector General conducted an audit of its Environmental Workforce Development and Job Training Cooperative Agreements program which concluded that, absent internal controls, the program was at risk for duplication with other E&T programs. To mitigate that risk, the lead program administrator now provides other federal agencies a list of program applicants to ensure that no applicant is receiving funds for the same purposes outlined in the Environmental Workforce Development and Job Training program application.", "While most programs reported taking action to manage fragmentation or overlap, officials from five programs reported in our survey that they had taken no action. Officials from four of these programs reported that no action was necessary because their program offered a unique service or served a specialized population. While we did not further review the need for coordination among these programs and others, they nonetheless reported one or more services in common with others serving the same population. In addition, while unique aspects may be protective to some extent against the risk of duplication, unique features may not necessarily reduce the risk of overlap or need for coordination. For example, DOD officials stated that apart from its Job Training, Employment Skills Training, Apprenticeships, and Internships program, they were not aware of any other federal program that allows servicemembers to participate in job training, including apprenticeships and internships, beginning up to 6 months before their service obligation is completed. DOL officials confirmed that its Transition Assistance Program does not offer job training to service members, but it does, like the DOD program, offer pre-separation employment services and counseling. VA also noted in its technical comments that servicemembers who meet Vocational Rehabilitation and Employment eligibility criteria may, with DOD permission, receive these job training services as part of their rehabilitative program and that it partners with DOD to train transitioning servicemembers as veterans\u2019 services representatives. We did not further review the need for coordination among these or other programs that reported no action, but absent a more complete evaluation, it is not possible to assess whether these programs have taken sufficient steps to address overlap. Regarding duplication, 14 programs reported no action either to detect it or to prevent it."], "subsections": []}, {"section_title": "Agencies Did Not Consistently Assess the Effectiveness of their Actions to Manage Overlap and Fragmentation", "paragraphs": ["Agencies administering E&T programs did not consistently have information on results to know how well their actions to manage program fragmentation and overlap were working. DOL officials told us that they generally had not assessed the actions they reported in our survey to manage overlap, fragmentation, and potential for duplication, but noted that the agency has begun an implementation study of WIOA that will include examining state and local efforts to increase program coordination and collaboration. DOL expects the final report will be completed in fall 2019, and agency officials said it is coordinating with other agency partners.", "Asked about efforts made by specific programs to manage overlap and fragmentation, other agency officials said they had assessed results of these efforts in some cases, but not others. For example, VA officials told us that in 2016 they started tracking referrals between its Vocational Rehabilitation and Employment Program and DOL\u2019s programs targeted to veterans to help ensure participants were obtaining labor market information from DOL programs. In contrast, in the case of integrating multiple E&T programs targeted toward Native Americans, HHS officials reported that the agency has not made specific efforts to assess the effectiveness of plans first provided for in 1992 which might reduce administrative burden by allowing tribes more flexibility to combine E&T services funded by multiple federal agencies.", "GAO\u2019s guide on fragmentation and overlap states it is important to use the results of existing or new evaluations of identified programs to assess options to reduce or better manage negative effects of fragmentation, overlap, and duplication, such as inefficient use of program funds. For example, evaluation and other periodic reviews could help identify ways to address (1) gaps in information on how multiple programs are serving the employment and training needs of specific populations, such as Native Americans, youth, and refugees, or (2) the extent to which they have implemented practices to manage unwanted effects of fragmentation and overlap and improve coordination and efficiency.", "Agencies reported completing additional impact studies since our 2011 review, but evaluations examining their programs\u2019 effects have generally been confined to a single program and/or specific target populations. Four of the nine agencies in our review reported that they had completed at least 13 impact studies since 2011 of individual programs that measured effectiveness in terms of outputs and outcomes. (See appendix VII for a list of these studies.) DOL officials told us that programs tend to be evaluated individually for their effectiveness in achieving individual goals and objectives rather than for collective effects or performance. DOL officials said that they perform some research covering multiple programs in preparation for conducting program impact or effectiveness studies, but that the related findings tend to be more descriptive in nature. They also cited plans to use common measures developed under WIOA to look at outcomes across the core programs.", "Some agencies have sponsored studies that focus on populations served by multiple programs, including customer experience with receiving services from multiple programs, and an early snapshot of the extent of state-level coordination in implementing WIOA. Specific examples of studies that reviewed issues related to implementing multiple programs include:", "A 2015 Mathematica study funded by HHS of WIOA-funded programs that included numerous efforts state level administrators could undertake to improve coordination among the programs, including exchanging more information on strategies and methods used by each program to address obstacles that impede coordination.", "A 2015 Rand Corporation study funded by DOD that examined employment support programs for reservists and recommended assessing the costs and benefits of streamlining the current program line-up to reduce any redundancies.", "A 2017 study by IMPAQ International funded by DOL that identified areas where customer service in WIOA job centers could be improved, such as streamlining enrollment and registration procedures and providing more information about the full array of services at the centers.", "However, of the six completed studies we identified that examined more than one E&T program, only one study assessed how any coordinated or integrated activities benefited the population served. We found no similar studies conducted on the effects of multiple programs targeted toward other populations, such as Native Americans, youth, or refugees. VA officials told us that it is important that reviews of E&T programs for specific population take into account the complex needs of that population to understand when there is a need for involvement of multiple programs. For example, officials said that special populations such as homeless veterans require a breadth of unique services that may not available through a single program or by programs serving the general population. Further, as programs more commonly work together, learning about the programs\u2019 collective impact may be as important as studying the programs\u2019 individual results.", "DOL officials told us that DOL, HHS, and Education tend to independently create their evaluation plans for employment and training services. After WIOA was enacted, these agencies formed the WIOA Evaluation Workgroup with the intent of establishing greater collaboration among federal agencies on E&T program evaluation. DOL E&T programs make up over a third of all federal E&T programs, and some of these programs under WIOA coordinate or align their services with programs administered by other agencies. DOL officials told us WIOA Evaluation Workgroup members interacted with staff from other agencies, such as USDA, who administered E&T programs to encourage their participation. The workgroup met for the first time in September 2017. After the initial meeting, according to DOL officials, the agencies dissolved the group because they concluded that the topic of WIOA-related evaluation could be covered through existing periodic interagency meetings. However, DOL officials told us that these efforts do not focus on evaluation across programs. In addition, the DOL agency-wide evaluation plan for fiscal year 2018\u2014issued in September 2018\u2014does not list evaluations focused primarily on cross-program coordination or collaboration, nor does it address potential overlap and fragmentation among its E&T services.", "Since 2013, DOL has not published a 5-year strategic research plan for E&T programs. In our 2011 review of DOL\u2019s research and evaluation program for its E&T programs, we recommended that DOL develop a mechanism to enhance the transparency and accountability of its E&T research by consulting other key federal agencies and involving advisory bodies or other entities outside DOL. In 2010, the Employment and Training Administration (ETA), the division with lead responsibility for DOL\u2019s E&T programs, began a series of meetings with a panel of outside experts to develop a 5-year research plan. This strategic research plan set the research agenda for E&T programs by identifying and prioritizing what research and evaluations would be initiated over the following 5 years. Before finalizing its research agenda, DOL obtained broad input from federal officials at Education and HHS and a range of other key stakeholders, such as officials in local and state government and academics from the workforce community. In May 2013, DOL submitted to Congress and posted on its website a 5-year strategic research plan for its E&T programs which covered program years 2012 to 2017.", "In contrast to the broad consultation and public exposure that characterized past strategic planning for E&T research, in recent years DOL has instead relied on an internal process to set its research and evaluation priorities for its E&T programs and publishes only an agency- wide evaluation plan that is shorter-term and developed for a different purpose. Specifically, ETA develops an annual learning agenda that officials indicated highlights its research priorities, ideas, and proposed studies. Officials stated that the E&T learning agenda is provided for consideration with other agency-wide agendas in developing an annual evaluation plan for all of DOL. While DOL\u2019s annual evaluation plan and the results of its evaluations are posted publicly through its website and submitted to the relevant congressional committees, the learning agendas, including those for E&T programs, are internal documents, and DOL does not release them to the public.", "The DOL-wide evaluation plan that is published presents neither a strategy for E&T evaluation nor plans for any evaluation to be initiated more than a year in the future. The fiscal year 2018 DOL-wide evaluation plan discusses only research to be initiated during the next year (fiscal year 2019) and lists studies that remain in progress from previous years. Rather than project longer-term research needs, the plan\u2019s main purpose, according to DOL officials, is to comply with specific appropriations language. DOL officials told us that the list of proposed studies in the learning agendas may not ultimately appear in the annual evaluation plan because they are not near-term priorities for the agency-wide plan. DOL\u2019s fiscal year 2018 agency-wide plan describes initiation of four studies\u2014two on apprenticeship, one on strategies to prevent improper unemployment insurance payments, and another on potential effects of application fees for certain ETA programs.", "WIOA requires that DOL publish a plan every 2 years that describes \u201cthe research, studies, and multistate project priorities of the Department of Labor concerning employment and training for the 5-year period following the submission of the plan.\u201d DOL officials told us that it is complying with this requirement by providing ETA\u2019s annual learning agendas to be included in DOL\u2019s overall evaluation plan. However, the resulting agency- wide plan falls short of meeting best practices for robust strategic planning. As we have previously reported, these practices include:", "Preparing annual and multiyear evaluation plans and updating these plans annually to take into account the need for evaluation results to inform program budgeting, reauthorization, agency strategic plans, program management, and responses to critical issues concerning program effectiveness.", "Including an appropriate mix of short- and long-term studies to produce results for short- or long-term policy or management decisions.", "Developing plans in consultation with program stakeholders to help agencies ensure that their efforts and resources are targeted at the highest priorities and to create a basic understanding among the stakeholders of the competing demands that confront most agencies.", "A 2010 internal DOL memo stated that such a plan can guide the development of research and evaluation projects and be a valuable tool for the broader workforce research community. Furthermore, leading organizations, including the American Evaluation Association and the National Academy of Sciences, emphasize the need for research programs to establish specific policies and procedures to guide research activities. For example, a 2016 American Evaluation Association guide stated that having annual and multi-year evaluation plans is useful in guiding program decision-making in such areas as program management and budgeting, and responding to issues concerning program effectiveness. Finally, Standards for Internal Control in the Federal Government state more broadly that program managers may need to conduct periodic assessments to evaluate the effectiveness of their actions. These may include but are not limited to formal evaluations. However, without a long-term evaluation plan developed in consultation with key stakeholders, DOL may not learn whether its actions to improve E&T program coordination and integration are working, and thus may continue undertaking activities that are not leading to desired results."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["With the enactment of WIOA in 2014, steps were taken toward aligning employment and training programs and ensuring greater cross-agency coordination. Since then, agencies and programs have reported taking a range of actions to increase coordination among E&T programs and manage fragmentation and overlap. However, without knowing whether these actions are working to improve program coordination and integration, agencies may persist in activities that are ineffective, fail to expand those that work, or ignore unintended consequences. Further, the lack of evaluation focused on program coordination has resulted in a void of information on programs\u2019 collective impact. Without strategically planning the use of evaluation resources, DOL and other agencies will not learn efficiently about whether their efforts to coordinate the programs have been successful and what impact the newly coordinated programs are having, collectively, on their shared objectives."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to DOL: The Secretary of DOL should develop and publish a multi-year strategic research plan for evaluation of its employment and training programs that includes assessing the completeness and results of efforts to coordinate among E&T programs to address overlap and fragmentation. In developing this plan, DOL should also consult with other federal agencies and key stakeholders on ways to address gaps in information on how multiple programs are serving the employment and training needs of specific populations, such as Native Americans, youth, and refugees. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Agriculture, Defense, Education, Health and Human Services, Interior, Justice, Labor, and Veterans Affairs, and to the Environmental Protection Agency.", "We received formal written comments from DOL and VA that are reproduced in appendix VIII and IX. In addition, DOL, Education, HHS, Interior, USDA and VA provided technical comments which we incorporated into the report as appropriate. EPA, DOD, and DOJ did not have any comments.", "DOL agreed with our recommendation that it develop and publish a multi- year strategic research plan for evaluation of its E&T programs consistent with the purpose of aligning and coordinating these programs. DOL stated that it actively plans and makes public the research and evaluation topics for these evaluations, but it did not identify a timeline or measures it would take to augment these basic steps.", "We recommended that DOL consult with other federal agencies and key stakeholders in developing a strategic research plan that assesses the completeness and results of efforts to coordinate among E&T programs to address overlap and fragmentation. Consultation should include ways to address gaps in information on how multiple programs are serving the employment and training needs of specific populations, such as Native Americans, youth, and refugees. DOL stated that it will consult with stakeholders regarding the employment and training needs of specific populations. VA commented that such reviews of E&T programs for specific populations should take into account the complex needs of the population being served and the breadth of needed services. We agree that any such reviews should address how the collection of programs is serving each population\u2019s needs.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This appendix discusses our scope and methodology for our three research objectives examining (1) how participation in and obligations for federal employment and training programs have changed since our 2011 report, (2) the extent to which employment and training programs continue to provide similar services to similar populations, and examples of potential effects, and (3) the extent to which agencies have taken actions to address previously identified fragmentation and overlap among the programs and lessons learned.", "The sections below discuss the methods we used to address each of the three objectives. In addition to these methods, we reviewed relevant federal guidance and other program documents; and interviewed federal agency officials at headquarters offices. The focus of this review was how employment and training services are coordinated among programs specifically designed to deliver such services. As such, our scope excluded some programs that offer or finance employment and training services, but for which this is not a program objective (for example, student loan programs, which focus primarily on enhancing access to postsecondary education). Similarly, we focused on programs that deliver direct service rather than tax expenditures, which may finance or incentivize similar services through tax benefits."], "subsections": [{"section_title": "Program Selection", "paragraphs": ["To address all of our objectives, we compiled a list of employment and training programs by starting with the 47 programs administered by nine federal agencies that were identified in our prior work. We updated the original list by asking federal agency officials to provide the current status of previously identified programs and identify any new ones that might meet our criteria. As in our 2011 review, we included programs for which objectives cited in the Catalog of Federal Domestic Assistance (CFDA) covered: enhancing the specific job skills of individuals in order to increase their identifying job opportunities, and/or helping job seekers obtain employment.", "We also searched the CFDA electronically in February 2018 to identify any additional programs that met our inclusion criteria. To conduct an electronic text search of the CFDA database, we used 12 search terms used in GAO-11-92. These included: We excluded any programs that met one or more of the following criteria:", "Program objectives do not explicitly include helping job seekers enhance their job skills, find job opportunities, or obtain employment.", "Program does not provide employment and training services itself (e.g., it provides financial support to other employment and training programs, or subsidizes the cost of employment through tax credits).", "Program is small or is a component of a larger employment and training program, such as a pilot or demonstration program.", "Programs that are economic development programs that aim to increase job opportunities but do not provide services to individuals to enhance their job skills, identify job opportunities, or find employment.", "Programs that aim to achieve broad workforce-related goals, such as increasing educational opportunities for minority individuals in particular fields or improving the status of and working conditions for wage-earning women, but do not provide employment or training services themselves.", "Education programs that fund student loans for educational expenses, initiatives for student recruitment and retention, or other student support services.", "Programs that support training for training providers, such as vocational rehabilitation specialists, or other programs that support job-specific training for individuals who are already employed.", "Two analysts independently reviewed the list of 211 programs identified in the list generated from the 2018 CFDA search against the inclusion and exclusion criteria described above. To reach concurrence on the programs list, the analysts compared their lists and reached agreement on which to include. If the analysts were undecided about including a program, another analyst was consulted.", "We also reviewed other GAO reports published since 2011 that provided a more in-depth review of employment and training programs to identify any additional programs that met our three inclusion criteria. As a result of that process, we identified three programs that met our criteria and added them to our list. It is important to note that the number of programs identified will vary with the definition used, and applying any definition can require subjective judgment.", "After evaluating all identified potential programs, we determined that 46 employment and training (E&T) programs met all criteria to be included in our audit. Once our determinations were made, we sent emails to agency liaisons asking them to confirm the list of programs to be included in and excluded from our review, and to provide the names and contact information for the officials who would be responsible for completing our planned survey. Agencies confirmed our final inclusion and exclusion decisions. After administering our survey, we excluded DOD\u2019s Troops to Teachers Program because the program generally focused on teacher quality rather than E&T services. We also excluded DOD\u2019s Hiring Heroes Program because DOD officials told us the program does not receive a specific appropriation and is a small program that is part of DOD\u2019s larger effort to encourage the employment of servicemembers and veterans. After we administered our survey, DOL officials clarified that the Women in Apprenticeship and Nontraditional Occupations (WANTO) program was not a sub-program under the Registered Apprenticeship Program, but rather a discrete program. We sent a survey to WANTO program officials. At the end of this process, we confirmed that 43 programs met our definition and should be included in our review. We generally maintained consistency with decisions made in our 2011 review."], "subsections": []}, {"section_title": "Survey", "paragraphs": ["To address all of our objectives, we administered a survey to program officials that included questions about services provided, budgetary information, and participants served. In addition, we included questions asking agency officials to confirm or correct program objectives and eligibility and beneficiary requirements listed in the CFDA. We also included questions about agencies\u2019 actions to manage overlap and fragmentation. We conducted two pretests with VA to ensure (1) our questions were clear and unambiguous, (2) terminology was used correctly, (3) the survey did not place an undue burden on agency officials, (4) the information could feasibly be obtained, and (5) the survey was comprehensive and unbiased.", "To assess the reliability of the data provided by agencies, we asked officials to identify the databases and information sources they used to respond to our survey questions and any limitations of the data they provided. We then discussed with agency officials any identified data limitations and, if unresolved issues remained, annotated the data, as appropriate. We also identified responses that appeared to be inconsistent or outliers, such as instances in which participants increased as funds declined, and submitted them to agencies for verification.", "From April to August 2018, we emailed the surveys to agency officials as an attached Microsoft Excel form that they could return electronically. All of the 45 surveys were completed and returned.", "Because this was not a sample survey, it has no sampling errors. However, the practical difficulties of conducting any survey may introduce errors, commonly referred to as nonsampling errors. For example, difficulties in interpreting a particular question, sources of information available to respondents, or entering data into a database or analyzing them can introduce unwanted variability into the survey results. We took steps in developing the surveys, collecting the data, and analyzing them to minimize such nonsampling error. For example, to minimize difficulties interpreting a particular survey question, we incorporated the suggestions from an independent reviewer to add explicit instructions for how to use the pull-down menus and consistently phrased requests for information.", "We reviewed the completed surveys and clarified information with agency officials, as needed. We further reviewed the survey to ensure the ordering of survey sections was appropriate and that the questions within each section were clearly stated and easy to comprehend. To reduce nonresponse, another source of nonsampling error, we sent out email reminder messages to encourage officials to complete the survey. In reviewing the survey data, we performed automated checks to identify inappropriate answers. We further reviewed the data for missing or ambiguous responses and followed up with agency officials when necessary to clarify their responses. On the basis of our application of recognized survey design practices and follow-up procedures, we determined that the data were of sufficient quality for our purposes.", "In terms of agency actions to manage overlap and fragmentation and to detect/prevent duplication, we followed up with select agencies to better understand what prompted the actions they took and the lessons they learned from evaluating those efforts.", "We did not conduct a legal analysis to confirm the various characterizations of the programs in this report, such as information on their budgetary obligations, services provided, target population, eligibility criteria, or program goals. Instead, all such program information in this report is based on our survey results, as confirmed by agency officials. Further, we did not review agencies\u2019 financial reporting systems or audit the figures provided to us. We reviewed fiscal year 2019 budget documents to determine if they could be used to verify data provided by the agencies, but they did not consistently contain the program-level details needed. Instead, to help mitigate reliability limitations that might have accompanied agency reports, we asked agencies to identify the data source of reported budgetary information and to list any data limitations."], "subsections": []}, {"section_title": "Overlap", "paragraphs": ["To address our second objective to identify areas of overlap among E&T programs, we reviewed information reported by federal agency officials in our survey. We used the definition of overlap established in GAO\u2019s prior work: overlap occurs when two or more programs provide at least one similar service to a similar population. After reviewing survey responses regarding the primary population groups served by the 43 programs and the services they provided, we categorized programs according to the primary population group served and identified programs within each category that provided similar services. We did not focus on the effects of potential duplication, which occurs when two or more agencies or programs are engaged in the same activities or provide the same services to the same beneficiaries. GAO has not previously identified duplication in federal E&T programs, and our objectives in this engagement focused on overlap and fragmentation previously identified in these programs.", "We categorized programs based on the type of program participant served according to program objectives and program eligibility criteria listed in the CFDA. Then, we verified these categorizations with agency officials. In categorizing programs by target population, we used the following categories: 1) general population, 2) dislocated workers or trade-impacted workers, 3) migrant and seasonal farm workers, 4) Native Americans (in this report, the term Native Americans refers to American Indians and Native Hawaiians), 5) people with physical or mental disabilities, 6) prisoners or ex-offenders, 7) refugees, 8) veterans or transitioning servicemembers, 9) youth, and 10) older workers, women, and unemployed and underemployed residents of solid and hazardous waste-impacted neighborhoods (collectively, other). We also categorized the VA\u2019s Vocational Rehabilitation and Employment program with other programs that target veterans, but noted that the program serves veterans with a service-connected disability."], "subsections": []}, {"section_title": "Review of Prior GAO Reports and Agency Funded Research", "paragraphs": ["To address our second and third objectives, we also reviewed GAO reports and agency funded research published since 2011. We used these sources, in part, to illustrate effects of overlap and fragmentation among E&T programs and provide examples of actions agencies have taken to address our prior findings or recommendations. To address our second research objective, we reviewed this literature to identify examples of documented effects of overlap and fragmentation among these programs, including positive effects (e.g., to fill a gap or complement an existing program) and negative effects (e.g., inefficient use of resources or confusion among individuals). To address our third research objective, we conducted a literature search of agency- sponsored research on E&T programs and ultimately determined that six of these studies were sufficiently rigorous and appropriately scoped to include in our review. To identify studies on coordination and collaboration of federally-funded programs, we conducted a literature search through ProQuest. Our initial search terms included \u201cfederal employment and training\u201d and \u201ccoordination\u201d or \u201ccollaboration,\u201d \u201coverlap,\u201d and \u201cfragmentation\u201d. We also reviewed these studies to assess the extent to which agencies had evaluated actions to manage overlap and fragmentation.", "In addition, our survey asked program officials about whether an impact study had been completed since 2011 to evaluate program performance with regard to E&T activities and, if so, to provide a citation for at least one of these studies. An impact study assesses the net effect of a program by comparing program outcomes with an estimate of what would have happened in the absence of the program. This type of study is conducted when external factors are known to influence the program outcomes, in order to isolate the program\u2019s contribution to the achievement of its objectives. Program officials provided 16 citations of what they believed to be impact studies. Of the 16 cited studies, we determined that 13 can accurately be described as impact studies. To make this assessment, we reviewed the methodology section of each study.", "We conducted this performance audit from September 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Update on the List of Federal Employment and Training Programs since GAO 2011 Review", "paragraphs": ["The following table is a list of federal employment and training programs using as a baseline programs identified in our most recent prior report (GAO, Multiple Employment and Training Programs: Providing Information on Colocating Services and Consolidating Administrative Structures Could Promote Efficiencies, GAO-11-92 (Washington, D.C.: Jan. 13, 2011)). We also reviewed the Catalog of Federal Domestic Assistance (CFDA) to ensure that programs met our selection criteria and to identify new programs. We did not conduct an independent legal analysis to verify the information provided about the programs described in this appendix, such as information on their status. For a description of our methodology, see appendix I."], "subsections": []}, {"section_title": "Appendix III: Change in Federal Employment and Training Program Obligations, Adjusted for Inflation in 2017 Dollars", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Change in Federal Employment and Training Obligations in Nominal Values", "paragraphs": ["Appendix IV: Change in Federal Employment and Training Obligations in Nominal Values *Program name from 2011 review was updated based on information confirmed by agency officials."], "subsections": []}, {"section_title": "Appendix V: Estimated Number of Program Participants Who Received Federal Employment and Training Services", "paragraphs": ["Appendix V: Estimated Number of Program Participants Who Received Federal Employment and Training Services *Program name from 2011 review was updated based on information confirmed by agency officials."], "subsections": []}, {"section_title": "Appendix VI: Employment and Training Services Provided by Federal Programs Serving Selected Target Populations", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Agency-Funded Studies Examining Employment and Training Programs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Betty Ward-Zukerman (Assistant Director), Sheranda Campbell (Analyst-in-Charge), Camille Henley, Joel Marus, David Perkins, and Jill Yost made key contributions to this report. Also contributing to this report were Amy Anderson, Stephen Betsock, Caitlin Croake, Alex Galuten, Kristen Jones, Benjamin Licht, Mimi Nguyen, James Bennett, David Blanding, Elizabeth Mixon, Steven Putansu, Monica Savoy, Paul Schearf, Ardith Spence, Almeta Spencer, Kathleen van Gelder, and John Yee."], "subsections": []}]}], "fastfact": ["Federal agencies administer employment and training programs to help job seekers find and get work. While we identified 47 such programs in 2011, there are 43 now. Spending for these programs has decreased as well.", "Multiple programs provide similar services, often to similar groups of people. While agencies have tried to manage this overlap by trying to coordinate their programs, they generally don't know whether their efforts are working.", "We recommended that the Department of Labor develop a strategic plan for evaluating these programs that includes assessing what federal agencies are doing to coordinate them."]} {"id": "GAO-18-19", "url": "https://www.gao.gov/products/GAO-18-19", "title": "Workplace Retirement Accounts: Better Guidance and Information Could Help Plan Participants at Home and Abroad Manage Their Retirement Savings", "published_date": "2018-01-31T00:00:00", "released_date": "2018-03-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Saving for retirement can be difficult. However, when participants lose their workplace retirement accounts when they change employers or participate in a workplace retirement plan abroad they can encounter additional challenges in securing adequate retirement savings. GAO was asked to review steps federal agencies might take to assist participants with these challenges.", "This report examines key challenges U.S. participants face with: (1) unclaimed retirement accounts in the United States, and (2) complying with U.S. tax reporting requirements on their foreign retirement savings. GAO reviewed relevant federal laws and regulations, and reviewed selected tax treaties. GAO interviewed stakeholders in the United States and in Australia, Canada, Hong Kong, Switzerland, and the United Kingdom\u2014chosen because these locations host relatively large populations of U.S. individuals and have well-developed workplace retirement systems."]}, {"section_title": "What GAO Found", "paragraphs": ["Plan participants in the United States face challenges after they change jobs, including not receiving communications from their plan sponsor and being vulnerable to unforeseen tax consequences that can result in a loss of retirement savings. GAO previously reported that when participants leave savings in a plan after separating from a job, the onus is on them to update former employers with their new address and to respond to their former employer's communications. GAO found that although an employer may incur costs searching for separated participants, there are no standard practices for the frequency or method of conducting searches. GAO reported that from 2004 through 2013, over 25 million participants in workplace plans separated from an employer and left at least one retirement account behind, despite efforts of sponsors and regulators to help participants manage their accounts. Department of Labor (DOL) officials told GAO that some sponsors do not search for participants when disclosures are returned as undeliverable. DOL has issued guidance on searching for missing participants for some plans that are terminating, but guidance does not exist on what actions DOL expects ongoing plan sponsors to take to keep track of separated participants. A key element of DOL's mission is to protect the benefits of workers and families. However, without guidance on how to search for separated participants who leave behind retirement accounts, sponsors may choose to do little more than remove unclaimed accounts from the plan when possible, and workers may never recover these savings.", "Stakeholders told GAO that U.S. individuals who participate in foreign workplace retirement plans face challenges reporting their retirement savings for tax purposes because of complex federal requirements governing the taxation of foreign retirement accounts and a lack of clear guidance on how to report these savings. For example, stakeholders told GAO it is not always clear to U.S individuals or their tax preparers how foreign workplace retirement plans should be reported to the Internal Revenue Service (IRS) and the process for determining this can be complex, time-consuming, and costly. In the absence of clear guidance on how to correctly report these savings, U.S. individuals who participate in these plans may continue to run the risk of filing incorrect returns. Further, U.S. individuals in foreign retirement plans also face problems transferring retirement savings when they switch jobs. In the United States, transfers of retirement savings from one qualified plan to another are exempt from U.S. tax. However, foreign plans are generally not tax-qualified under the Internal Revenue Code, according to IRS officials, and such transfers could have tax consequences for U.S. individuals participating in foreign retirement plans. Officials from the Department of the Treasury (Treasury) told GAO that a change to the U.S. tax code could improve the tax treatment of transfers between foreign retirement plans that Treasury has already examined. Without action to address this issue, U.S. individuals may not consolidate their foreign retirement accounts or may have to pay higher U.S. taxes on transfers than taxpayers participating in qualified plans in the United States, threatening the ability of U.S. individuals to save for retirement abroad."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends Congress consider addressing taxation issues affecting the transfer of retirement assets between plans within the same foreign country. GAO is making seven recommendations, including that DOL issue guidance to help ongoing plan sponsors search for separated participants, and that IRS issue guidance to clarify how U.S. individuals should report foreign retirement savings to the IRS. The agencies generally agreed with GAO's recommendations. IRS disagreed with two of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Saving for retirement through workplace plans can be difficult for U.S. citizens, whether they are participants in U.S workplace plans or participants in foreign workplace plans. Regardless of whether the plan is a U.S. or a foreign workplace retirement plan, participants encounter challenges that go beyond finding ways to save enough for retirement. For example, workers can accumulate multiple workplace retirement accounts as they change jobs over the course of their careers. Former employers may merge causing the retirement plan to change names and administrators, making it more difficult for plan participants to locate their original plan accounts. In the United States, plan participants are responsible for keeping track of their unclaimed accounts by continuing to communicate with their previous employers by updating contact details to receive important information about their accounts. In addition, plan sponsors also generally have a responsibility to act solely in the interest of the participants, which includes an obligation to attempt to locate separated participants in some circumstances. Despite the efforts of plan participants, plan sponsors, and regulators to manage unclaimed accounts in the U.S. workplace retirement plan system, accounts can remain unclaimed for multiple reasons, which may eventually affect the retirement security of plan participants.", "As we previously reported, other countries have made it easier for U.S. individuals who work abroad and save for retirement through workplace retirement plans to manage their accounts by providing mechanisms to track and consolidate them. However, U.S. individuals who participate in foreign workplace plans face different challenges than their counterparts in U.S. workplace retirement plans. For example, foreign plans may not be eligible for preferential tax treatment under U.S. law, and U.S. participants in those plans may be subject to additional reporting requirements. As of April 2015, the U.S. Department of State (State) estimated that 8.7 million U.S. citizens lived abroad, more than the populations of 39 individual U.S. states. Given the issues facing participants managing workplace retirement accounts in the United States and abroad, you asked us to review steps federal agencies might take to assist them. This report examines key challenges U.S. participants face 1. with unclaimed workplace retirement accounts in the United States, 2. complying with U.S. tax reporting requirements on their foreign workplace retirement savings.", "To understand the key challenges U.S. participants face with unclaimed workplace retirement accounts in the United States, we interviewed officials from the Department of Labor (DOL), the Pension Benefit Guaranty Corporation (PBGC), the Internal Revenue Service (IRS), and record keepers and third-party administrators (TPA) that provide search and other services to plan sponsors. We also reviewed relevant federal laws and regulations, as well as guidance and other related documents from DOL and IRS. We also reviewed reports from the 2013 ERISA Advisory Council on Missing or Lost Participants.", "To understand the challenges faced by U.S. individuals who participate in foreign workplace retirement plans to comply with U.S. tax reporting requirements on their foreign workplace retirement savings, we selected five international case study locations with well-developed workplace retirement systems to examine. Each of the case study locations have relatively large populations of U.S. workers and high total amounts of foreign earned income reported by U.S. taxpayers living in that location. We deliberately included case study locations with and without a bilateral tax treaty with the United States, based on Department of the Treasury (Treasury) information. Our case study locations were Australia, Canada, Hong Kong, Switzerland, and the United Kingdom. For each case study we reviewed documentation related to the tax treatment of workplace retirement accounts accumulated in that location by U.S. individuals, such as tax treaties and Intergovernmental Agreements (IGAs) related to the Foreign Account Tax Compliance Act (FATCA). We also reviewed publicly available research and reports about each case study location\u2019s retirement system, and interviewed relevant stakeholders. For each case study we interviewed government officials, plan sponsors, and service providers. Where available, we reviewed relevant data provided to us by relevant government officials. We did not conduct an independent legal analysis to verify the information provided about the laws or regulations in the locations we selected for this study. Instead, we relied on appropriate secondary sources and interviews with relevant officials to support our work. We also interviewed IRS and Treasury officials, including those in the Office of Chief Counsel, the Office of Tax Policy, the Tax Exempt and Government Entities Division, and the Taxpayer Advocate Service. We also spoke with organizations representing U.S. expatriates, foreign and domestic retirement experts, tax advisors, and tax preparers who specialize in assisting individuals with foreign income and assets when filing their U.S. tax returns. We also reviewed transcripts of testimonies the National Taxpayer Advocate gave before Congress pertaining to international tax issues and FATCA, as well as IRS and Treasury documentation on foreign workplace retirement plans and reporting foreign income and assets.", "GAO conducted this performance audit from July 2015 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that GAO plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. GAO believes that the evidence obtained provides a reasonable basis for the report\u2019s findings and conclusions based on the report\u2019s audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Employee Retirement Income Security Act of 1974 (ERISA) and the Internal Revenue Code (IRC)", "paragraphs": ["The Employee Retirement Income Security Act of 1974 (ERISA) contains various provisions intended to protect the interests of plan participants and beneficiaries in workplace retirement plans. These protections include requirements related to reporting and disclosure, participation, vesting, and benefit accrual, as well as plan funding. For example, ERISA requires plans to provide plan participants with a summary plan description, including information on their rights under ERISA, periodic benefit statements, and upon request, a copy of the annual report including a financial statement, according to DOL. ERISA sets fiduciary standards that generally require workplace retirement plan funds to be handled prudently and in the sole interest of participants. ERISA also establishes certain requirements related to plan termination. ERISA does not require employers to provide workplace retirement plans, but those that do must comply with applicable requirements and standards.", "The Internal Revenue Code (IRC) provides favorable tax treatment for workplace retirement plans that meet certain qualification requirements set out in the IRC. For example, employees are generally not taxed on contributions made on their behalf but instead are taxed on benefits received."], "subsections": []}, {"section_title": "Federal Agencies\u2019 Roles with Respect to U.S. Workplace Retirement Plans Department of Labor\u2019s Employee Benefits Security Administration (EBSA)", "paragraphs": ["Several federal agencies play a role with respect to U.S. workplace retirement plans. Responsibility for enforcing ERISA is shared by DOL, Treasury, and PBGC. Treasury, through IRS, is primarily responsible for enforcing the IRC.", "The mission of DOL\u2019s Employee Benefits Security Administration (EBSA) is to assure the security of retirement, health, and other workplace-related benefits of U.S. workers and their families. DOL administers Title I of ERISA, which includes the fiduciary standards and disclosure and reporting requirements. To carry out its responsibilities, EBSA issues regulations in these and other areas, and conducts programs and initiatives to assist and educate workers, plan sponsors, fiduciaries, and service providers on their rights and obligations under ERISA. EBSA also issues guidance and field assistance bulletins to assist plan sponsors and plan fiduciaries with managing retirement plans. For instance, in 2014, EBSA issued Field Assistance Bulletin (FAB) 2014-01 to assist fiduciaries of terminating DC plans in fulfilling their obligations under ERISA to locate missing participants and properly distribute their account balances. EBSA also maintains an outreach program employing approximately 100 benefits advisors throughout the country in 13 field offices. The program offers services to educate U.S. workers, beneficiaries, and plan sponsors about their rights and obligations under federal employee benefit laws, and helps individuals obtain retirement benefits that have been improperly denied."], "subsections": [{"section_title": "Internal Revenue Service (IRS)", "paragraphs": ["Under Title II of ERISA and subsequent amendments to the IRC, IRS issues and enforces rules that plans must meet to be qualified for preferential tax treatment. IRS also enforces certain provisions in Title I of ERISA regarding participation, vesting, benefit accrual, and minimum funding. IRS\u2019 mission is to help U.S. taxpayers understand and meet their tax responsibilities and to enforce the law with integrity and fairness. To help achieve its mission, IRS issues tax regulations and other guidance to help taxpayers comply with the IRC. IRS guidance provides detailed and technical explanations of tax laws for professional tax preparers as well as taxpayers. IRS also manages a number of initiatives, programs, and systems to enforce federal tax law and assist taxpayers that are related to our review of unclaimed retirement accounts. For example, to assist taxpayers, IRS adopted a Taxpayer Bill of Rights in 2014 to provide a better understanding of taxpayers\u2019 rights under the IRC. IRS also periodically publishes a strategic plan for a given period that outlines how it will improve service to taxpayers and enforce the law. To help ensure that taxpayers are paying the correct amount of tax due and to identify discrepancies, IRS\u2019 Automated Underreporter Program matches taxpayer income and deductions submitted on information returns by third parties against amounts reported by taxpayers on their individual income tax returns. IRS also assists taxpayers and payors with information about federal tax withholding obligations. To assist taxpayers with foreign accounts, since 2003 IRS has offered an Offshore Voluntary Disclosure Program. This program provides a way for taxpayers with previously undisclosed income and undisclosed offshore accounts that need to be reported to contact IRS and resolve their tax matters.", "IRS also assists sponsors that administer qualified retirement plans through a number of systems and programs. For example, IRS offers assistance to plan sponsors through the Employee Plans Compliance Resolution System, which helps sponsors of qualified plans remedy operational and form mistakes made in the course of administering a retirement plan and avoid plan disqualification. IRS also forwards letters to missing individuals on behalf of private individuals or government agencies for a \u201chumane purpose\u201d when there is no other way to relay the information to the individual. Between 1994 and 2012, IRS forwarded letters through a letter forwarding program on behalf of entities that control assets that may be due a taxpayer, such as from sponsors of qualified plans that are attempting to locate missing participants."], "subsections": []}, {"section_title": "Pension Benefit Guaranty Corporation (PBGC)", "paragraphs": ["Title IV of ERISA created PBGC as a U.S. government corporation to provide plan termination insurance for certain DB plans that are unable to pay promised benefits. For example, when a PBGC-insured single- employer DB plan fails, PBGC trustees the plan and pays benefits up to statutory limits. PBGC also oversees the voluntary (\u201cstandard\u201d) termination of fully funded PBGC-insured single-employer DB plans to ensure participants will receive the benefits to which they are entitled. As part of the standard termination process, PBGC\u2019s Missing Participants Program connects participants\u2014missing when the plan closes out\u2014to their retirement benefits, in part by maintaining a centralized, online database the public can use to find lost retirement benefits."], "subsections": []}, {"section_title": "Social Security Administration (SSA)", "paragraphs": ["SSA provides retirement benefits to eligible individuals under the federal Social Security Old Age and Survivors\u2019 Insurance program (Social Security). Although SSA does not oversee workplace retirement plans, SSA maintains data that are reported to IRS by plans using Form 8955- SSA on separated participants with vested but undistributed benefits. When individuals claim Social Security benefits, SSA may provide them with a \u201cPotential Private Pension Benefit Information\u201d notice that indicates they may be entitled to a retirement benefit through a past employer."], "subsections": []}]}, {"section_title": "Ongoing and Terminated Workplace Retirement Plans", "paragraphs": ["DOL reported that in 2014 there were just over 639,000 DC plans and nearly 43,500 DB plans in the United States. These plans were sponsored by individual employers (i.e., private single-employer plans) and provided benefits to nearly 118 million participants. When a qualified plan terminates\u2014whether it is a DB or DC plan\u2014federal law requires plan participants to immediately be 100 percent vested in all accrued benefits (to the extent funded in the case of a DB plan) regardless of the vesting schedule in the plan document, according to IRS. A plan sponsor is required to distribute assets from a terminated plan as soon as administratively feasible, but generally within 1 year after plan termination. For terminated DC plans, such as 401(k) plans, participants generally receive the full amount of their vested account balance upon plan termination, according to IRS."], "subsections": []}, {"section_title": "Transferring Savings of Missing Participants in U.S. Defined Contribution Retirement Plans", "paragraphs": ["When an employee separates from an employer but still has vested savings in a qualified defined contribution retirement plan, the plan can, under certain conditions and without the participant\u2019s consent, transfer accounts out of the plan\u2014commonly referred to as a \u201cforced transfer.\u201d Before the Economic Growth and Tax Relief Reconciliation Act of 2001 was enacted, ongoing DC plans could, in the absence of participant instructions, distribute balances of $5,000 or less by paying them directly to the participant, referred to as a \u201ccash-out.\u201d This law sought to protect participants\u2019 retirement savings by requiring ongoing plans that have a cash-out limit that exceeds $1,000 (up to $5,000), in the absence of participant instructions and subject to certain notice requirements, to transfer balances that exceed $1,000 (up to $5,000) to an individual retirement account (IRA), preserving their tax-preferred status.", "Terminating plans are subject to different requirements. Fiduciaries of terminating plans are obligated to search for missing participants, to notify them of the termination and pending distribution of benefits before transferring participants\u2019 unclaimed accounts to an IRA or elsewhere, according to DOL guidance. The guidance further provides that fiduciaries of terminating plans who are unable to locate missing participants may also be permitted to transfer accounts belonging to missing participants, without consent, to a federally-insured bank account or to a state\u2019s unclaimed property fund. This occurs if the plan fiduciary cannot find an IRA provider to accept a direct rollover distribution for a missing participant or otherwise determines not to roll over the distribution to an IRA, for some other compelling reason. For tax reporting purposes, transfers made to a bank or a state unclaimed property fund are generally subject to income taxation, according to the guidance. This contrasts with rollovers to IRAs in which transferred retirement savings remain tax- favored. Plan sponsors are generally required to withhold 20 percent of the account balance on transfers to a bank or state unclaimed property fund and will send the withheld amount to Treasury to be used toward any potential taxes due on the distribution."], "subsections": []}, {"section_title": "Tax Treatment of U.S. and Foreign Workplace Retirement Plans in which U.S. Individuals Participate", "paragraphs": ["In the United States, employee and employer contributions and investment earnings in a qualified retirement plan are generally not taxed as income until the employee receives the benefit. For example, employees participating in a 401(k) plan can generally elect to have their employer contribute a portion of their compensation to their account on a pretax basis. This deferred compensation (commonly referred to as a pre- tax elective contribution by IRS) is not subject to income tax withholding, and employees are not required to report it as wages on their individual U.S. tax returns at the time of the contribution. In addition, employers can provide matching or non-elective contributions to an employee\u2019s 401(k) account; these matching or non-elective contributions are generally tax- deductible by the employer and employees also are not required to report these contributions as wages on their U.S. tax returns or pay income tax on these contributions at the time the contributions are made. Distributions from a qualified DC plan in the United States made to participants, including those who have separated from their employer, may be treated differently for tax purposes, depending on the nature and timing of the distribution. For example, a direct rollover, in which money is transferred directly from one qualified workplace retirement plan or IRA to another eligible retirement plan or IRA, is not taxable at the time of the rollover but should be reported on the participant\u2019s federal tax return. By contrast, a distribution that is not rolled over is generally taxable income in the year in which it is received by the participant, according to IRS.", "Foreign workplace retirement plans are generally not tax-qualified under the IRC or covered by ERISA, according to IRS officials and tax experts with whom we spoke. They are, however, generally subject to the regulatory structure in place in the country where the retirement plan exists. Foreign workplace retirement plans that cover U.S. individuals may be subject to certain provisions of the IRC and other federal laws governing reporting and taxation of these retirement assets, as well as any applicable income tax treaties between the United States and the foreign country (see more about these treaties below). The extent to which U.S. individuals are subject to U.S. income tax on the contributions and earnings accruing in their foreign workplace retirement account depends on the specific characteristics of the plan. For example, according to tax experts with whom we spoke, many foreign workplace retirement plans qualify as employees\u2019 trusts, and the taxation of contributions and earnings from these plans are governed by section 402(b) of the IRC. According to IRS, as long as the foreign retirement plan is determined to be an employees\u2019 trust, the U.S. individual must include on their U.S. tax return contributions to the trust if the contributions are not subject to a substantial risk of forfeiture (vested). In addition, IRS officials said contributions that become vested after the year of contribution are taxable in the year of vesting, and earnings are taxable when distributed. Some foreign workplace retirement plans may include investments in a Passive Foreign Investment Company (PFIC), which, according to one tax preparer with whom we spoke, are investments in foreign mutual funds, hedge funds, or other kinds of pooled investments not incorporated in the United States. A U.S. individual who is a shareholder of a PFIC may be subject to annual reporting requirements and a high income tax rate on certain distributions.", "U.S. individuals who participate in a foreign workplace retirement plan also may be subject to income tax on any distribution they receive from their plan during the current tax year. Depending on the circumstances, U.S. individuals also may be subject to income tax on certain distributions they have not actually received, such as transfers of assets between or within foreign workplace retirement plans, if they are in \u201cconstructive receipt\u201d of (or otherwise have income inclusion with respect to) the funds. In addition, U.S. individuals who pay foreign income taxes on distributions from their foreign workplace retirement plans may be eligible to claim a foreign tax credit on their U.S. tax return."], "subsections": []}, {"section_title": "Income Tax Treaties", "paragraphs": ["U.S. Income Tax Treaties with Other Countries One objective of tax treaties is to provide taxpayers some relief from having to pay taxes in both the United States and a foreign country on the same income\u2014referred to as \u201cdouble taxation\u201d\u2014without creating opportunities for tax evasion or avoidance. Treaty provisions generally apply to both countries that have signed the treaty. A U.S. resident who receives income from a treaty country may be entitled to certain treaty benefits\u2014credits, deductions, exemptions, or reductions in the rate of tax\u2014on the taxes owed to that foreign country. Similarly, residents of the foreign country may be entitled to treaty benefits on their U.S. taxes on income from U.S. sources. However, with certain exceptions, tax treaties generally do not reduce the U.S. tax liability of U.S. residents.", "As of October 2017, the United States had a network of 57 comprehensive income tax treaties covering 66 countries, according to Treasury. U.S. individuals are subject to U.S. income tax on their worldwide income, and this could include contributions and earnings within and distributions from a foreign workplace retirement plan. However, tax treaty provisions may reduce foreign income taxes owed by U.S. individuals who receive income sourced from a treaty country; for example, through the use of credits, deductions, exemptions, or tax rate reductions. (See appendix I for more information on how IRS recommends taxpayers review tax treaties.)", "According to IRS and Treasury, almost all U.S. tax treaties also contain what is known as a \u201csaving clause,\u201d which IRS describes as a way to preserve or \u201csave\u201d the right of each country to tax its own residents (and in the case of the United States, its citizens) as if no tax treaty were in effect. As a result, these treaties do not generally reduce the U.S. income tax for U.S. individuals, unless an exception applies. In February 2016, Treasury issued a revised U.S. Model Income Tax Convention (i.e., model treaty), which is the baseline text the agency uses when it negotiates tax treaties. Depending on the outcome of the treaty negotiations, the final treaty with a particular foreign country may or may not include language from the model treaty."], "subsections": []}, {"section_title": "Reporting Foreign Accounts and Foreign Financial Assets", "paragraphs": ["According to IRS, the Foreign Account Tax Compliance Act (FATCA) and IRC section 6038D are important developments in U.S. efforts to combat tax evasion by U.S. individuals holding accounts and other financial assets offshore, which may have implications for U.S. individuals who have foreign retirement accounts. FATCA generally requires foreign financial institutions to provide information to IRS regarding foreign financial accounts held by U.S. taxpayers. IRC section 6038D generally requires U.S. individuals to report to IRS their foreign financial assets that exceed a certain threshold. Beginning in July 2014, U.S. entities were required to withhold 30 percent on certain payments to a foreign financial institution unless the institution has entered into an agreement with IRS regarding FATCA reporting or is in a jurisdiction that is treated as having an Intergovernmental Agreement (IGA) in effect. However, FATCA regulations exempt foreign financial institutions from reporting on retirement accounts that meet certain requirements. Treasury has entered into IGAs with other countries to assist with implementing FATCA that may also provide an exemption for foreign financial institutions reporting of certain retirement accounts. This exemption does not exist under IRC section 6038D, which requires individuals, including U.S. citizens, to report their foreign retirement accounts on IRS Form 8938 if they meet certain regulatory thresholds. For example, unmarried U.S. individuals living abroad must file if the total value of their specified foreign financial assets is more than $200,000 on the last day of the tax year or more than $300,000 at any time during the tax year."], "subsections": []}, {"section_title": "Estimated Number and Financial Profile of U.S. Citizens Living and Working Abroad", "paragraphs": ["The U.S. Department of State (State) estimates that as of April 2015, 8.7 million U.S. citizens lived abroad. (See appendix II for other estimates.) Income data published by IRS for 2011 suggest that a majority of U.S. taxpayers who earned income from foreign sources likely owed little federal income tax because their reported adjusted gross income was relatively low due to tax credits and exemptions available to taxpayers on foreign-earned income. IRS estimated that in 2011 over 449,000 returns were filed by taxpayers reporting foreign-earned income and just over 445,000 of these returns reported using the foreign-earned income exclusion. We previously reported that for tax year 2011, taxpayers claiming the foreign-earned income exclusion had higher average income ($163,450) than the average Form 1040 filer ($58,706), and about 45 percent of those taxpayers had an adjusted gross income of less than $10,000. These data reflect that some taxpayers were able to exclude all or most of their foreign-earned income in calculating their adjusted gross income. We also reported that taxpayers claiming the foreign- earned income exclusion had lower average U.S. tax rates than all Form 1040 filers."], "subsections": []}]}, {"section_title": "Participants Face Challenges Managing Unclaimed Retirement Accounts and Agencies Have Not Provided Sufficient Guidance and Information to Assist Them or Plan Sponsors Participants Have Challenges Managing Unclaimed Retirement Accounts", "paragraphs": ["Participants in U.S. workplace retirement plans face challenges managing unclaimed accounts accumulated over the course of their careers. We previously reported that some 401(k) plan participants find it difficult to keep track of their savings, particularly when they change jobs, because of challenges with consolidation, communication, and information. First, we found that individuals who accrue multiple accounts over the course of a career may be unable to consolidate their accounts by rolling over savings from one employer\u2019s plan to the next. Second, maintaining communication with a former employer\u2019s plan can be challenging if companies are restructured and plans are terminated or merged and renamed. Third, key information on lost accounts may be held by different plans, service providers, or government agencies, and participants may not know where to turn for assistance. As one witness testified to the ERISA Advisory Council in 2013, it is not uncommon for former employees to have difficulty locating a previous employer.", "Existing reporting and disclosure requirements directed at plan sponsors can provide participants who separate from their employer information about their accounts via multiple disclosures. However, plan sponsors have no automatic way to keep participants\u2019 contact information up to date, nor do they have ways to ensure that separated participants will respond to their communications. Many participants rarely read the notices they receive. We conducted a review of private sector pension plan notices in 2013, and found that participants were interested in information about their individual benefits, which could reasonably include information about a pending distribution of their unclaimed account. Due to the large number of participant notices, we found participants struggled with what they must or should read.", "When participant notices are ineffective, accounts can become lost or unclaimed and eventually shrink or disappear entirely, diminishing a source of income in retirement. For example, accounts with a balance of $1,000 or less can be cashed out of a plan without participant consent; account balances can be reduced by tax withholding and early distribution taxes, or conditionally forfeited by the plan sponsor until the participant emerges to make a claim. Accounts with balances under $5,000, and sometimes those with larger balances, can be forcibly transferred to an IRA, where the account balances may decrease over time as the fees outpace low investment returns, as we reported in our prior work. In 13 of the 19 forced-transfer IRA scenarios we considered in 2014, a $1,000 account balance was reduced to zero within 30 years. DOL has also uncovered tens of thousands of participants of retirement age with unclaimed accounts that remained in their plans who were not receiving the retirement income they were due."], "subsections": [{"section_title": "DOL Has Not Provided Guidance to Ongoing Plan Sponsors for Locating Missing Participants", "paragraphs": ["Although DOL has provided guidance to plan sponsors of terminated DC plans about locating missing participants and unclaimed accounts, DOL has not provided similar guidance to ongoing plans. DOL officials told us that they are conducting investigations of steps taken by ongoing plans to find missing participants under their authority to oversee compliance with ERISA\u2019s fiduciary requirement that plans be administered for the exclusive purpose of providing benefits. Plan sponsors are required to send notices to participants in a variety of circumstances, such as to obtain direction before making a distribution. However, the communication is not always successful, and may result in a mailing to an out-of-date address.", "With the absence of guidance, it is not clear to sponsors of ongoing DC plans how they should satisfy requirements to notify participants when participant addresses are out of date. Undeliverable mail is the main indicator for identifying a participant as missing, according to third-party administrators (TPA), who help manage missing participant issues for plan sponsors. However, DOL officials told us a recent pilot investigation found that some ongoing plans send notices that were returned undeliverable but then fail to follow-up with any search process. In contrast, if participants in a terminated plan do not respond to a notice, plan sponsors need to take certain steps, at a minimum, to locate the participant or a beneficiary. According to our analysis of stakeholder interviews, in some circumstances plan sponsors may be considering a participant to have been \u201cnotified,\u201d even when the mail used to notify them was returned undeliverable. Executives at one firm that conducts missing participant searches told us that for an average client, 7 to 10 percent of mail will be returned undeliverable, which means communication was unsuccessful, potentially leaving participants without notification of changes to the plan or potential distributions or transfers.", "It also is not clear how ongoing plan sponsors should arrange for paying to obtain updated addresses of participants with unclaimed accounts. Because search costs are not all paid from plan assets, finding missing participants can be an additional business expense for plan sponsors. Once an account is force-transferred out of the plan to an IRA, the account may be charged a $65 annual search fee by the IRA provider, as we reported one provider did in 2014. Plan sponsors are permitted to pay only reasonable plan administration expenses, although they may charge expenses associated with a specific participant to that participant\u2019s account. To reduce costs for its plan sponsor clients, representatives at one TPA told us that it will generally try to cash out accounts in ongoing plans under $1,000 immediately, before an address becomes obsolete.", "DOL audit findings also show that ongoing plans have challenges staying in touch with missing participants and paying them their benefits when due. DOL officials told us that in a recent DOL pilot investigation of 50 large DB plans, they found tens of thousands of separated participants who were entitled to benefits but were not receiving them. They told us that between 1 and 7 percent of all participants could be missing and not receiving letters from the plan, depending on the industry. They said their investigations found databases with missing names, addresses, and Social Security Numbers, and data they suspected were unreliable, such as participants named \u201cJane Doe\u201d or with birth dates listed as \u201c1/1/1900.\u201d", "DOL enforces the fiduciary standards of ERISA, which require plan fiduciaries to act solely in the interest of plan participants and their beneficiaries, for the exclusive purpose of providing benefits to them, among other things. After plan termination, plan fiduciaries must distribute all plan assets as soon as administratively feasible, which could create an urgent need for plan sponsors to find participants. DOL officials said that part of their enforcement role is examining how plans are maintaining good records and what plans are doing to find and communicate with participants\u2014officials are aware that additional guidance indicating what is expected of plan fiduciaries would be helpful.", "PBGC has recently published a final rule which expands its Missing Participants Program to cover most terminated DC plans, and DOL intends to revisit its guidance within that context. At that time, DOL will have an opportunity to also provide guidance to ongoing DC plan sponsors on their obligations under ERISA to prevent, search for, and pay costs associated with missing participants. By doing so, DOL can provide plan sponsors with better tools to manage unclaimed accounts and help ensure that future DOL investigations do not also uncover ongoing DC plans with substantial numbers of participants not receiving benefits to which they are entitled."], "subsections": []}, {"section_title": "IRS Has Not Issued Guidance Clarifying Tax Withholding Requirements for Cashed-Out Unclaimed Retirement Accounts", "paragraphs": ["Based in part on our discussions with IRS and our review of ERISA Advisory Council documentation, when a plan sponsor cashes out an unclaimed account and sends the money to the participant address it has on file, the address may be obsolete. As a result, the participant may not include the distribution in his or her taxable income for the year because the participant may not have received the payment from the plan sponsor or be aware of the transfer. According to an IRS publication on tax withholding for plan sponsors, a 20 percent income tax withholding generally is mandatory on amounts distributed from the plan that are not rolled over directly into another qualified plan or an IRA. However, our findings that some participants may not actually receive these distributions raise questions about whether withholding should be required in situations when it is reasonable to believe distributions will not be received by the participants.", "Misconceptions exist regarding how and when IRS will credit tax withholding toward a taxpayer\u2019s tax liability. For example, two TPAs told us they believed that IRS will credit tax withholding on cashed-out accounts to the tax liabilities of missing participants. One industry representative we interviewed in 2013 told us that he withheld taxes when he could not find a participant because he believed the withholding would cause IRS to make the participant aware of the account. According to DOL bulletins issued in 2004 and 2014, some plan sponsors were using 100 percent withholding\u2014in effect transferring the entire account to IRS\u2014 under the assumption that the withheld amounts would be matched and applied to a participant\u2019s tax liabilities. DOL bulletins clarified it was not an appropriate distribution option for plan sponsors. Table 1 shows a variety of approaches to tax withholding. However, according to IRS, none of the tax withholding strategies automatically reduces the tax liability of the account holder. IRS officials told us that the agency does not routinely credit federal tax withholding to a taxpayer\u2019s current federal tax liability unless the taxpayer has made a claim.", "Retirement accounts with small balances are most vulnerable to the tax consequences of tax withholding by plan sponsors. We previously reported that in the absence of participant instructions, accounts with a balance of $1,000 or less can be cashed out of the tax-deferred plan environment by plan fiduciaries without the separated participant\u2019s consent. From 2004 to 2013, separated participants left more than 13 million accounts of $1,000 or less in workplace retirement plans with an aggregate value of $1.2 billion, according to SSA.", "Withholding taxes on balances of $1,000 or less at the time of distribution may result in participants paying taxes twice on the account. IRS told us that missing participants generally have up to 3 years to become aware of and claim the withheld amounts for them to be credited towards their tax liability. However, missing participants who claim their account after 3 years may again pay federal income tax on the account balance, although IRS officials said they thought such a scenario would be rare. (See fig. 1).", "IRS has not issued specific guidance clarifying the withholding requirements that apply to distributions from unclaimed accounts in situations in which the participant may be unlikely to receive the distribution. By reviewing the issue of distributions to participants with unclaimed accounts, including reviewing the IRC in this context, IRS may be able to issue guidance on applicable tax withholding and other tax requirements with respect to such accounts. The Taxpayer Bill of Rights states that taxpayers are entitled to clear explanations of the tax laws in IRS publications and notices, and federal internal control standards require agencies to communicate effectively with external stakeholders to help achieve agency goals. U.S. participants already facing the challenge of finding a small account transferred without their consent may discover, when the account is located, 20 percent of their account eliminated by taxes. Without an IRS review of this issue and subsequent guidance, questions may remain about withholding from distributions in situations where the participant may be missing."], "subsections": []}, {"section_title": "Plan Sponsors Can No Longer Use IRS\u2019 Letter Forwarding Program to Locate Missing Participants", "paragraphs": ["Under IRS\u2019 letter forwarding program, between 1994 and 2012 plan sponsors could ask IRS to use IRS\u2019 most current address on file to forward a letter with information about an account to a missing plan participant. However, in 2012 IRS modified the service and no longer forwards letters on behalf of qualified retirement plan sponsors attempting to locate plan participants. According to the 2013 Report of the ERISA Advisory Council on Locating Missing and Lost Participants, the letter forwarding program was a popular alternative for plan sponsors when email and U.S. mail proved ineffective at contacting separated participants. Executives at one large record keeper told us the letter forwarding program provided very important assistance for locating missing participants, noting that few individuals are going to ignore correspondence from IRS. Although the letter forwarding program never notified the plan sponsor as to whether or not the letter reached the intended recipient, executives at one TPA characterized the program as effective. In addition, they said the fact that it was sponsored by IRS and sanctioned by DOL gave plan fiduciaries confidence that they were acting prudently.", "Missing participant search services and their value vary widely today, based on industry representatives we interviewed. For example, representatives of one search firm told us they charged $1.25 for a search. However, an executive at a TPA firm told us another firm charged $35 for a Social Security Number-based search, which reliably connected with participants. PBGC estimates the cost of a commercial locator service to be $40 per search. Industry stakeholders told us that the steps currently required by existing guidance do not provide a straightforward way to send a letter about an unclaimed account to a missing plan participant. They described benefits that only IRS can provide through this service, such as the likelihood recipients will open a letter from IRS and the confidence fiduciaries have using an IRS- sponsored program. We discussed with IRS officials the commensurate fees charged in the private sector for missing participant searches and we discussed the variety of services and associated costs currently available.", "According to OMB Circular A-123, agencies and individual federal managers must take systematic and proactive measures to develop and implement appropriate, cost-effective management controls for results- oriented management. IRS has always charged a user fee for the letter forwarding program, and the fee has not changed since 1994. IRS officials told us resource constraints led them to revise the letter forwarding program. While IRS management controls will need to ensure that a program expansion is cost-effective, by reinstating the letter forwarding program for plan participants in a cost-effective manner, IRS can help support the retirement security of separated plan participants and plan sponsor efforts to meet their obligations under the IRC and ERISA."], "subsections": []}, {"section_title": "Information Provided to U.S. Workers on Unclaimed Retirement Accounts Is Often Outdated and Incorrect", "paragraphs": ["Certain information U.S. workers receive on unclaimed workplace retirement accounts based on data reported to IRS by plan sponsors is not reliable because plan sponsors are not updating the data over time as required. SSA maintains data on vested, unpaid retirement benefits left behind in workplace retirement plans by separated participants in its pension benefit record database. The information, including the name of the plan, the value of the benefit, and the contact information of the plan administrator, is reported by plan administrators to IRS, and IRS provides it to SSA. When an individual retires and claims Social Security benefits, SSA sends the individual a Notice of Potential Private Pension Benefit Information. The notice informs the recipient that they may have an unclaimed retirement account from a former employer and suggests that they may want to make an effort to determine whether or not the benefit actually does exist. SSA mails about 90,000 notices to new Social Security claimants each month. Separated participants can often find that no benefit exists, according to DOL and SSA documentation and stakeholders we interviewed. A TPA executive also told us separated participants are not always able to determine what happened to their accounts.", "IRS and SSA have a memorandum of understanding (MOU) in place establishing their agreements for collecting and managing these data. In the MOU, IRS and SSA agree to pursue improvements to the reporting process. The MOU states that, where appropriate and consistent with IRS directives, IRS will assess penalties under the IRC on plan sponsors who fail to file Form 8955-SSA according to instructions. The agencies have also agreed to contact and receive information from filers as necessary and appropriate to follow up regarding missing, incomplete, or incorrect information requested on the form.", "According to the Form 8955-SSA instructions, plan sponsors are required to report when benefits previously reported are paid, and therefore no longer due, to plan participants. Such updates allow the pension benefit record database at SSA, used to generate the Notice of Potential Private Pension Benefit Information, to reflect the fact that those benefits are no longer due. IRS officials said the data can be inaccurate because plan sponsors are not consistently reporting distributions, resulting in erroneous records of accounts accumulating in the database (see fig. 2).", "An executive at one TPA told us that plan sponsors generally remember to put participant names on Form 8955-SSA, but often fail to take the names off after benefits are paid. According to the TPA executive, if there are 1,000 names on the list of separated participants with vested benefits in the plan, 999 will have been paid by the time they receive the notice from SSA. Nonetheless, participants will generally inquire about a benefit when they receive the SSA notice because it is from the government, and they trust the notice and think the money is there, according to one TPA with whom we spoke.", "IRS officials told us that enforceable penalties can be imposed on plan sponsors for not including all required information on the form. The IRS website lists four possible actions related to incorrectly filing Form 8955- SSA that are subject to a penalty; however, a failure to report distributions is not on the list. IRS officials said if the agency were to add the failure to report distributions to the list the penalty would likely encourage some sponsors to update the data as required.", "IRS officials told us they do not currently know which plans are not reporting distributions. The Notice of Potential Private Pension Benefit Information leaves the responsibility for determining whether a benefit exists up to the participant and the agencies do not ask the participant for the results of their inquiries. SSA includes a note at the bottom of the notice encouraging new retirees to contact DOL with complaints, but the participant is not asked to follow up with IRS or SSA to identify plans associated with inaccurate data. Having this information would help IRS select plans to audit in order to update and improve the quality of data in SSA\u2019s pension benefit record database. SSA could modify the notice participants receive to encourage them to inform IRS if they determine the information on the notice to be erroneous. DOL benefits advisers, who field calls from inquiring individuals after they receive a notice about a potential benefit that no longer exists, also have information on plans that may not be reporting distributions to separated participants on Form 8955-SSA as required. DOL officials told us they would need a formal MOU in place to facilitate such information sharing. Figure 3 illustrates these possible options for identifying plans not reporting distributions as required.", "Standards for internal control in the federal government state that agencies should communicate quality information externally so that external parties can help agencies achieve their objectives. Although IRS and SSA have agreed in the MOU to work together to promote efforts to improve internal controls, they are not collaborating to improve the likelihood that the Notice of Potential Private Pension Benefit Information will correspond to an actual benefit in the future. While IRS has authority over implementing and enforcing the Form 8955-SSA reporting requirements, IRS officials do not have access to SSA\u2019s pension benefit record database to update records. IRS officials told us at one point they discussed with SSA a possible project that would allow plan sponsors to update all the records associated with their plan at once. SSA officials told us they could collaborate with IRS to update the data in the pension benefit record database. By working together, IRS and SSA can increase the likelihood that the Notice of Potential Private Pension Benefit Information corresponds to actual workplace retirement benefits in the future."], "subsections": []}]}, {"section_title": "Complex Tax Requirements and a Lack of Guidance Can Hinder U.S. Individuals\u2019 Ability to Correctly Report Foreign Retirement Accounts", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Told GAO that U.S. Individuals Who Participate in Foreign Workplace Retirement Plans Face Multiple Challenges", "paragraphs": ["U.S. individuals who participate in foreign retirement plans can face a number of challenges with tax reporting requirements on their retirement savings. According to IRS officials and tax preparers with whom we spoke, these challenges are greater for U.S. individuals who live and work abroad full time than for corporate executives on temporary assignment in a foreign country. Individuals sent abroad for limited times by their employer often remain as participants in their employer\u2019s U.S. workplace retirement plan and do not need to participate in a foreign workplace plan. According to IRS officials and tax professionals with whom we spoke, many of these executives may have tax filing assistance made available to them by their company, further reducing their reporting burden. Individuals who work in a foreign country may be forced to participate in a mandatory foreign retirement plan, depending on the country and the rules governing residency, according to officials with whom we spoke in our case study locations. In these instances, according to IRS officials, the individuals have no choice but to comply with U.S. tax reporting rules on their foreign retirement accounts. Those who live abroad long-term due to family or personal ties naturally accumulate foreign assets and savings, such as foreign retirement accounts.", "Tax preparers in all five case study locations we reviewed, as well as IRS officials, indicated that preparing a U.S. tax return for a participant in a foreign retirement plan is more complex than preparing a comparable U.S. tax return that does not include foreign assets. We were told that attempting to categorize a foreign retirement account for tax reporting under the IRC can be challenging because such accounts may be reported as one of several different designations that may or may not be eligible for tax-deferral in the United States. This contrasts with U.S. individuals participating in U.S. retirement plans that meet the criteria for tax-qualified status under the IRC, who generally receive a Form W-2 Wage and Tax Statement that automatically deducts retirement account contributions from gross wages. In addition, participating in a foreign retirement plan can initiate a complex set of U.S. reporting requirements on retirement assets, such as participants having to report contributions and earnings or having to file additional forms and schedules for their retirement account, which is typically not required of taxpayers with U.S.- based retirement plans. IRS officials told us that the onus is on U.S. individuals who participate in foreign retirement plans to comply with these complex reporting requirements. As a result, these participants often need to turn to expert tax preparers to prepare their U.S. tax return even if they ultimately do not have to pay taxes.", "Statutory changes on reporting foreign assets have further affected U.S. individuals who participate in foreign retirement plans. Stakeholders told us that reporting requirements under the Foreign Account Tax Compliance Act (FATCA) can increase the cost of tax preparation for U.S. individuals who participate in foreign retirement plans. For example, according to IRS guidance, these participants in foreign retirement plans must gather and examine monthly retirement account statements, convert the account balance to U.S. dollars, and determine if the total value of the account at the end of the year or anytime during the year caused the individual\u2019s total asset value to exceed the reporting threshold. If the total assets meet the reporting threshold, the participant must report the value of their retirement account even if they are no longer contributing to the account. In contrast, participants in U.S. plans generally are not required to report the value of their U.S. workplace retirement accounts under FATCA or IRC section 6038D, according to IRS. We were also told of other consequences of FATCA for U.S. individuals abroad, such as a reduction in available financial services, as some banks refuse to do business with U.S. individuals because of FATCA\u2019s reporting requirements.", "Lastly, once an individual decides to change jobs in a foreign country, transferring foreign retirement savings can be difficult. For example, in several of the case study locations we reviewed foreign officials and tax preparers told us that plans automatically transfer a retirement account to a different account within the plan or to a location outside the plan when an employee separates from their employer, which can have U.S. tax implications. Stakeholders said that existing U.S. tax law does not provide these participants with tax-deferral if they transfer their foreign retirement savings from one foreign workplace retirement plan to another\u2014a benefit granted to U.S. participants in qualified U.S. retirement plans who make such transfers. This condition may act as a disincentive for U.S. individuals abroad to consolidate foreign retirement accounts and can cause challenges when individuals change jobs or are required by their retirement plan or employer to transfer their account."], "subsections": []}, {"section_title": "IRS Guidance Is Unclear Regarding How to Report Foreign Retirement Accounts", "paragraphs": ["While IRS has issued guidance providing information regarding foreign assets and pensions, IRS officials told us that the guidance is not specific on how foreign workplace retirement plans should be treated under the IRC, nor does it provide guidance for specific countries. One source of guidance is Publication 54, Tax Guide for U.S. Citizens and Resident Aliens Abroad, which discusses special tax rules for U.S. citizens and resident aliens who work abroad or who have income earned in foreign countries. Another source of guidance in the International Tax Gap Series describes how foreign pensions and annuity distributions are taxed. While both guidance sources provide taxpayers with some information on how to report foreign assets, neither describes in detail how taxpayers are to determine if their foreign workplace retirement plan is eligible for tax deferred status, or how to account for contributions, earnings, or distributions on their annual U.S. tax return, particularly whether and when contributions and earnings should be taxed as income.", "IRS also directs taxpayers to review tax treaties, if applicable, for provisions related to pensions, but IRS officials told us these treaties can vary from country to country and said that they can be difficult for non- experts to understand.", "For example, Treasury officials told GAO that the tax treaties for two of the five case study locations we selected have pension clauses and certain provisions that apply to U.S. residents of those countries saving for retirement that afford some tax protection. However, Treasury officials said that two of our other case study locations have treaties that do not provide tax protections for U.S. individuals on their foreign retirement accounts (one of our case study locations does not have an income tax treaty with the United States.) Tax preparers and IRS officials we spoke with indicated that it is difficult for U.S. individuals to know how to correctly apply tax treaty provisions to their foreign workplace retirement savings. In addition, these IRS officials and other retirement experts said a U.S. individual abroad without expertise in the IRC and tax treaties would have difficulty reporting their foreign retirement account correctly. Existing IRS guidance does not alleviate the confusion faced by U.S. individuals who participate in foreign retirement plans. Confusion regarding how to report foreign retirement accounts to IRS on a U.S. tax return or elsewhere is inconsistent with U.S. taxpayers\u2019 rights, as described in the Taxpayer Bill of Rights, to pay no more than the correct amount of tax and to know what they need to do to comply with tax laws. (Government Service and Social Security), pensions and other similar remuneration beneficially derived by a resident of a Contracting State in consideration of past employment shall be taxable only in that State. (Government Service and Social Security), annuities derived and beneficially owned by a resident of a Contracting State shall be taxable only in that State. The term \u201cannuities\u201d as used in this paragraph means a stated sum paid periodically at stated times during a specified number of years or for life, under an obligation to make the payments in return for adequate and full consideration (other than services rendered).\u201d", "Disagreement exists among the professional tax preparers with whom we spoke about the correct method for reporting foreign retirement accounts on a U.S. tax return. IRS officials told us that U.S. tax law generally does not recognize foreign retirement plans as tax-qualified and IRS does not recognize any retirement accounts outside the United States as having tax-qualified status. IRS officials we spoke to said that only plans meeting the specific requirements of 401(k) or other requirements describing retirement plan qualification may achieve tax-qualified status in the United States. As a result, according to IRS guidance, U.S. individuals participating in foreign workplace retirement plans generally cannot deduct contributions to their account from their income on their U.S. tax return. This is true even if the retirement account is considered a tax- deferred retirement account in the country where the individual works, and even if the account is similar in nature to those found in a U.S.-type retirement plan, such as a 401(k) plan. IRS officials told us that it should generally be unnecessary to file a foreign retirement account as a Passive Foreign Investment Company (PFIC) if the foreign retirement plan is covered by a tax treaty with the United States, but acknowledged that some tax advisors in foreign countries advise their U.S. clients to consider their interest in such plans as an investment in a PFIC. For example, in one of the case study locations we reviewed, a tax preparer said that he advises U.S. individuals who participate in such plans to report their foreign retirement account as a PFIC in their U.S. tax filing, and that contributions and earnings are subject to be taxed at the higher tax rate generally applicable to PFICs. Other tax preparers we spoke to in that location said that this is a matter of some discussion among tax preparers and that they reported retirement plans as an employees\u2019 trust. The National Taxpayer Advocate told us that receiving incorrect tax advice from a foreign tax preparer may not be a sufficient mitigating circumstance to avoid penalties for reporting a foreign retirement account incorrectly on a tax return. While reasonable reliance on a tax professional with respect to the details of a return is generally a mitigating circumstance for errors on a return, according to the National Taxpayer Advocate, tax preparers in other countries are usually not considered qualified preparers by IRS. U.S. taxpayers who file an incorrect tax return can lose money by accruing penalties.", "IRS officials told us that individual taxpayers are responsible for understanding their filing requirements and for determining how to correctly file their tax returns, regardless of whether they live in a foreign country or the United States. In its mission to help taxpayers meet their tax responsibilities, IRS could issue guidance concerning how U.S. individuals are to correctly report their foreign retirement assets. The Taxpayer Bill of Rights states that as part of the right to a fair and just tax system, taxpayers have a right to expect that system to consider circumstances that affect their ability to provide timely information. IRS officials told us they had been considering issuing improved guidance in some areas pertaining to the taxation of foreign retirement accounts. However, without clearer specific guidance from IRS describing how to correctly report foreign retirement assets on a U.S. tax return, U.S. individuals who participate in foreign workplace retirement plans continue to run the risk of filing incorrect returns due to confusion over how to properly classify and report their accounts. Clarifying how U.S. individuals who participate in foreign workplace retirement plans should report their retirement assets on their annual U.S. tax return will help ensure these taxpayers can meet their tax reporting obligations."], "subsections": []}, {"section_title": "Complying with Reporting Requirements Can Be Costly for U.S. Individuals Who Participate in Foreign Workplace Retirement Plans", "paragraphs": ["Federal law requires U.S. individuals to report specified foreign financial assets, including any applicable retirement and pension accounts they own, if these assets, in the aggregate, are above the regulatory threshold. Similarly, the Report of Foreign Bank and Financial Accounts (FBAR) requires information with respect to foreign accounts above a certain amount. As a result, U.S. individuals who participate in foreign retirement plans may need to hire tax preparers to prepare returns in compliance with these U.S. laws, and, according to tax preparers with whom we spoke, the cost for having a complete tax return professionally prepared for an individual holding a foreign retirement account ranges from $1,800 to as high as $16,000.", "Determining how a foreign retirement account should be reported is time consuming even for experts. Tax preparers must prepare multiple items, including the tax return itself, and additional schedules and forms pertaining to the retirement account, according to the preparers with whom we spoke. For example, Form 3520 may be required if the account is being reported as a foreign trust. In addition to preparing tax forms, one tax preparer we spoke to said that preparers may have to spend time trying to obtain other documents necessary to prepare a U.S. tax return, for example, detailed retirement account statements.", "Since the implementation of IRC section 6038D, individuals have increased exposure to penalties, and failure to report a foreign retirement account when required may bring significant financial penalties, even if no taxes were due on the retirement account in question. For example, according to the IRS website, failure to report foreign financial assets on Form 8938 as required may result in a penalty of $10,000 and an additional penalty of up to $50,000 for continued failure to report after IRS sends the individual a notification of failure to report. As a result of this reporting requirement, U.S. individuals who participate in workplace retirement plans abroad may incur substantial costs to correctly file their returns and risk diminishing their retirement security if they fail to correctly report their foreign retirement assets.", "Even in cases where the individual owes no U.S. tax, tax preparation can costs thousands of dollars. Three tax preparers and representatives of one investment firm that provides pension advice with whom we spoke noted that even if a U.S. individual who participates in a foreign workplace retirement plan did not ultimately owe any taxes, they are required to report their foreign retirement assets under both FATCA and FBAR. Tax preparers in four of our case study locations as well as in the United States mentioned FATCA\u2019s requirements as an added challenge when reporting foreign retirement accounts on U.S. tax returns. Additionally, one investment industry association representative we interviewed said that FATCA casts a wide net and that many \u201caccidental Americans\u201d and U.S. individuals abroad were challenged to comply with its requirements. Some of the tax preparers we spoke with said many individuals taking steps to come into tax compliance as a result of FATCA may happen to have U.S. citizenship but may never have lived or worked in the United States as adults.", "The National Taxpayer Advocate told us that the high cost of tax preparation amounted to an \u201cadvanced penalty\u201d for U.S. individuals who live abroad. In a written testimony to Congress in 2015, she stated that FATCA has created unique challenges for U.S. taxpayers abroad and presented evidence in Volume 1 of the Taxpayer Advocate Service Fiscal Year 2016 Objectives Report to Congress that there was little evidence that foreign filers are any more likely to be non-compliant than taxpayers in the general taxpayer population. The National Taxpayer Advocate specifically identified concerns with FATCA as an area of focus in the Fiscal Year 2016 Objectives Report to Congress, and stated that taxpayers\u2019 rights to a fair and just tax system, and to pay no more than the correct amount of tax, are being adversely affected by FATCA.", "IRS officials we spoke with indicated they are aware of the difficulties some taxpayers are experiencing with these reporting requirements, but said the agency is required to implement the law. They also said that retirement accounts are usually the primary asset for individuals abroad and that from an individual enforcement perspective, these reporting requirements help to ensure a \u201cline of sight\u201d year over year on participants\u2019 foreign pension arrangements. IRS officials expressed concern that unless U.S. individuals are required to report foreign retirement accounts via Form 8938, they will seek to avoid proper reporting on their tax returns when distributions are made.", "IRS officials told us they have had extensive conversations about providing a possible exemption from reporting requirements under IRC section 6038D for certain U.S. individuals in foreign countries. IRS decided the ability to review a taxpayer\u2019s foreign retirement data each year through filing a Form 8938 would allow regulators to evaluate whether contributions, earnings, and distributions were being identified and reported accurately. IRS officials stated that the agency\u2019s goal is to build a database with Form 8938 information on individual taxpayers with foreign assets.", "IRS officials told us that, unlike individuals, foreign financial institutions in many countries are exempt from reporting retirement accounts under FATCA. IRS officials said this is because such foreign retirement accounts are typically at low risk for tax evasion and Treasury officials told us that the exemption for foreign financial institutions was provided to reduce burden on such institutions. This sentiment was echoed by foreign government officials and retirement experts abroad, who said a retirement account is generally at low-risk for tax evasion both because governments regulate retirement accounts and individuals attempting to evade taxes through a retirement account would have to wait many years before seeing any benefit. With respect to IRC section 6038D, according to IRS officials and Form 8938 instructions, if a fair market value is not readily available for a foreign workplace DB plan, it does not have to be included in the taxpayer\u2019s calculation of the aggregate foreign assets used to determine whether the taxpayer meets the threshold to file Form 8938. If other foreign financial assets, in the aggregate, exceed the threshold, IRS officials said an individual must list their DB plan on Form 8938, but may list a zero balance if no distributions have been made. Given that IRS does not always require reporting of foreign retirement plans on Form 8938 if the plans cannot be readily valued, providing a broader exemption for other types of workplace plans or for other appropriate circumstances from the calculation of the foreign asset threshold could help ease the reporting burden on U.S. individuals. This would assist those individuals who hold most of their wealth in the form of foreign retirement savings in other types of workplace retirement plans, to avoid potentially high penalties that could diminish their retirement savings.", "IRS has not systematically analyzed data from Form 8938 on foreign retirement accounts owned by U.S. individuals. As a result, they may not have evidence showing the effect of these reporting requirements on U.S. individuals who participate in foreign workplace retirement plans, for instance, how many enforcement actions related to retirement accounts resulted from filing Form 8938. Without IRS systematically analyzing Form 8938 data on foreign retirement accounts owned by U.S. individuals, the agency will continue to lack an understanding of how these accounts change over time and if they are definitively low-risk for tax evasion. Understanding the effects of these reporting requirements can provide IRS with information to consider whether IRS could offer individuals some form of exemption from reporting on their foreign retirement accounts. Currently, there is no way for IRS to clearly distinguish different types of accounts being reported on Form 8938. To do so would require the Form 8938 to be revised in order to allow taxpayers to clearly specify that the account being reported is a foreign retirement account or pension. In addition, U.S. individuals participating in foreign workplace retirement plans, many of whom count their retirement savings as their primary financial asset, according to IRS officials, will continue to be caught up in IRS\u2019 enforcement efforts aimed at catching tax evaders. These U.S. individuals may continue to face potentially high tax preparation fees to complete the filing of Form 8938 and may be liable for penalties for failure to report foreign retirement accounts that may pose little or no risk for tax evasion."], "subsections": []}, {"section_title": "Absent Specific Treaty Provisions, Current U.S. Tax Law Does Not Exempt from Taxation Transfers in Foreign Workplace Retirement Plans", "paragraphs": ["IRS officials told us that U.S. individuals who participate in foreign workplace retirement plans may not realize that a routine transfer of their foreign retirement assets within plans or from one plan to another should be reported as a taxable event, resulting in an incorrect filing and/or potential penalties. Changing jobs and transferring, or \u201crolling over\u201d retirement savings to another qualified retirement plan is generally a tax- protected transaction for participants in U.S.-based retirement plans. However, IRS officials told us that a U.S. individual who participates in a foreign retirement plan may owe U.S. taxes for similar transfers within or between foreign workplace retirement plans. Retirement plans in some countries routinely initiate administrative transfers of a participant\u2019s retirement savings between accounts within the plan, to the employee\u2019s new plan, or to a designated institution outside the plan when the participant separates from their employer, according to officials in several of our case study locations. However, IRS officials told us the IRC does not recognize foreign retirement plans as tax-qualified plans, and because these plans are not able to meet the criteria for qualification, tax-deferred transfers or rollovers may not be possible unless a tax treaty provides otherwise. IRS generally considers routine administrative transfers of retirement assets that occur between or within foreign retirement plans to be distributions to the participant and therefore taxable income.", "According to IRS officials with whom we spoke, the transfer of retirement assets within or between plans implies that the participant has some access to and control over their retirement funds. Tax preparers and regulators in three of our case study locations told us that such transfers routinely take place (see appendix III). In these situations, IRS officials told us that deferring taxes on retirement contributions and earnings under IRC section 402(b) pertaining to foreign trusts would no longer be applicable because that section of the IRC does not cover transfers\u2014only contributions and earnings within a given foreign trust. Instead, according to IRS officials, the transfer would generally constitute a \u201cconstructive receipt of funds\u201d by the participant and would be reportable and taxable. As a result, a U.S. individual who participates in a foreign retirement plan could owe U.S. tax on the entire amount of their retirement savings when they separate from their employer and their account is transferred to another account within the plan or to a different workplace retirement plan (see fig. 4).", "Treasury officials said they have been aware of this issue for some years, having discussed it in multiple negotiations with other countries, and have taken steps to incorporate a solution in U.S. model income tax conventions dating as far back as 1996.Treasury officials told us that the 2016 U.S. Model Income Tax Convention includes a clause that would generally exempt from U.S. income tax such transfers if they qualify as tax-deferred transfers under the laws of the other country. According to Treasury officials, few of the treaties currently in force address this issue and many countries do not have tax treaties with the United States.", "2016 U. S. Model Income Tax Convention Language Would Exempt Certain Transfers of Foreign Retirement Assets from Taxation The Department of the Treasury developed the U. S. Model Income Tax Convention to be the starting point for negotiating tax treaties with other countries. Language in an actual treaty results from that negotiation and therefore may not include this language. According to Department of the Treasury officials, few treaties currently contain this language. \u201c2016 United States Model Income Tax Convention, Article 17, Paragraph 2(b) Where a citizen of the United States who is a resident of ______ is a member or beneficiary of, or participant in, a pension fund established in _____, the United States may not tax the income earned by the pension fund as income of the individual unless, and then only to the extent that, it is paid to, or for the benefit of, that individual from the pension fund (and not transferred to another pension fund established in _______ in a transfer that qualifies as a tax-deferred transfer under the laws of _______).\u201d", "IRS officials told us that if no treaty exists between the United States and the country where the U.S. individual is participating in a foreign workplace retirement plan, or the treaty does not specify how to treat these transfers, there is generally no form of transfer that will receive U.S. income tax-deferral. In these situations, IRS officials said, there is no way that the plan can structure the transfer to prevent the U.S. individual who is transferring assets within or between foreign plans from receiving a distribution and being subject to tax liability. Even in cases where a tax treaty is in place, the treaty may not provide special treatment for the transfer of retirement assets. This would be the case in at least two of the five case study locations we examined, where despite a tax treaty in place, we were unable to identify any provisions that address these types of transfers. In these cases, according to IRS, the U.S. individual must fall back on the IRC, which does not provide tax-deferral on such transfers. As a result, a U.S. individual who participates in a foreign workplace plan would lose any tax-deferrals on the transfer.", "IRS officials and tax preparers told us that the transfer issue can cause tax consequences for holders of foreign retirement assets, but one tax preparer we spoke with noted that U.S. tax laws were not written with foreign retirement plans in mind. As a result, tax preparers said it can be difficult to determine how to report foreign workplace retirement assets under the IRC, making routine administrative transactions costly for U.S. individuals who participate in these plans. They said this is because some or all of the account balance may be subject to tax and retirement account asset growth would be lower due to the loss of tax-deferral. Each time retirement assets are transferred, the transfer may be viewed as a distribution, and new contributions and growth could be subject to tax and a loss of tax-deferral. IRS officials also told us that the potential taxation of transfers between foreign plans may cause some individuals to avoid consolidating foreign retirement accounts.", "Renegotiating a tax treaty can be time consuming and, according to Treasury officials, is unlikely to happen based on one issue, such as the transfer of retirement savings abroad. Treasury officials in the Office of Tax Policy said that the agency\u2019s approach to address these transfers would be to evaluate the issue on a treaty-by-treaty basis. However, this approach may not provide relief because there is no guarantee the country negotiating a treaty with the United States will agree to include provisions for transferring retirement savings on a tax-deferred basis. In order to provide more immediate relief, these Treasury officials said Congress could pass legislation that would allow routine account transfers between two foreign workplace retirement plans in the same country to be free from U.S. tax if that country has a tax treaty with the United States. However, they cautioned that such efforts should be focused on foreign retirement plans that have already been examined by Treasury, for example, through the process of negotiating a tax treaty or as defined in FATCA IGAs, in order to avoid creating a tax evasion loophole. For example, foreign workplace retirement plans could be defined as those recognized by an existing tax treaty or other plans as deemed appropriate by Treasury\u2019s Office of Tax Policy. According to Treasury officials, transfers within or between such plans in the same country could be protected from unnecessary taxation by, for example, modifying Section 402(b) or other provisions of the IRC. Officials said that without legislation, U.S. individuals who participate in foreign workplace retirement plans must follow current law, which does not provide tax- deferral for transfers within or between foreign plans, even those that may be eligible for tax-deferred contributions and earnings in the foreign jurisdiction. However, by changing the IRC, Congress can ensure that U.S. individuals who participate in foreign workplace retirement plans can consolidate their accounts in a tax-deferred manner without being taxed on the entire balance when their account is transferred."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Plan participants in the current workplace retirement plan environment can accumulate multiple retirement accounts and possibly lose track of them over their careers. The shift to DC plans and the mobility of the American workforce have led to an increase in the number of workplace retirement accounts, with many workers having multiple accounts over the course of their careers. Yet currently, with millions of small retirement accounts left behind by participants with previous employers, plan sponsors are experiencing challenges locating missing participants. DOL has agreed to evaluate the possibility of convening a taskforce to consider the establishment of a national pension registry, in part to address the difficulty of linking missing participants to their former accounts. However, until this effort brings results or another comprehensive solution to unclaimed accounts emerges, there are a variety of improvements federal agencies may make in the short term to help eliminate the inefficiencies in the current system that may reduce participants\u2019 retirement savings. Since DOL audit findings show that ongoing plans have challenges staying in touch with missing participants, and DOL has provided guidance on missing participants for terminating DC plans, providing such guidance for ongoing DC plans will help ensure that separated participants will receive information about their benefits.", "In addition, IRS guidance on tax withholding does not address distributions of small unclaimed accounts sent to nonresponsive participants that are not always received by those participants. Some stakeholders mistakenly believe that IRS automatically credits all taxes withheld from such distributions toward taxes due. Following IRS guidance, plans generally withhold taxes on cash-outs from such accounts that the participant may not receive. By reviewing the issue of distributions made to participants who are unlikely to receive them, IRS has an opportunity to issue guidance clarifying the applicable tax withholding requirements in those situations.", "IRS also has the potential to offer a service that delivers letters that participants are likely to open, is trusted by plan fiduciaries, and can help connect missing participants with their benefits. IRS was forwarding fewer than 50 letters at a time for plan sponsors at no charge, but decided to stop forwarding letters about unclaimed accounts in 2012. IRS can consider again helping connect participants with unclaimed accounts using the letter forwarding program. Lastly, IRS and SSA can take steps to address situations in which sponsors fail to update data to reflect payment of retirement accounts, rendering the data unreliable. Under the existing agreement between IRS and SSA with respect to the Form 8955- SSA data, the agencies can take steps to ensure participants have a more reliable source of information on their benefits in the future.", "U.S. individuals who work abroad and participate in a foreign workplace retirement plan face challenges with reporting their accounts. Managing such accounts can be costly as individuals use expensive tax preparers for reporting their foreign retirement savings to IRS. These U.S. individuals are required to pay taxes on their worldwide income, but can become caught in a web of complex U.S. tax requirements governing how they report their foreign workplace retirement savings. By providing guidance on how to appropriately report foreign workplace retirement accounts, IRS can help U.S. individuals comply with these requirements and minimize their reporting burden.", "IRS can also initiate a systematic analysis of Form 8938 data on foreign retirement accounts owned by U.S. individuals. Such data would help IRS gain a better understanding of how these accounts change over time, and to determine if they pose a low-risk for tax evasion. The outcome of this analysis could allow IRS to consider offering these individuals an exemption from reporting requirements on their foreign retirement accounts, further easing the burden U.S. individuals face reporting their foreign retirement assets. Lastly, transferring accounts between foreign retirement plans can have negative tax consequences that threaten the ability of U.S. individuals abroad to save for retirement. Congress may wish to consider whether it can assist U.S. individuals who participate in foreign workplace retirement plans by permitting these individuals to transfer their retirement savings to a different account within the plan or to another foreign workplace retirement plan on a tax-deferred basis when they change jobs or separate from their foreign employer. Doing so would permit these U.S. individuals in foreign workplace retirement plans to receive the tax-deferred benefits available to other U.S. plan participants who reside in the United States and who participate in qualified retirement plans."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration.", "Congress should consider legislation modifying the Internal Revenue Code to allow routine account transfers within the same foreign workplace retirement plan or between two foreign workplace retirement plans in the same country to be free from U.S. tax in countries covered by an existing income tax treaty that provides for favorable U.S. tax treatment of foreign workplace retirement plan contributions."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making a total of seven recommendations, including one to DOL, five to IRS, and one to SSA. a. The Secretary of Labor should issue guidance on the obligations under ERISA of sponsors of ongoing plans to prevent, search for, and pay costs associated with locating missing participants. (Recommendation 1) b. The IRS Commissioner should review taxation issues relating to distributions involving incorrect participant addresses and uncashed benefit checks and clarify for the public the Internal Revenue Code\u2019s requirements in these circumstances. (Recommendation 2) c. The IRS Commissioner should consider revising the letter forwarding program in a cost-effective manner to again provide information on behalf of plan sponsors on unclaimed retirement accounts to participants. (Recommendation 3) d. The IRS Commissioner should clarify how U.S. individuals are to report their foreign retirement accounts. The clarification could include addressing how these accounts should be designated and how the taxpayer should report contributions, earnings, and distributions made from the account. (Recommendation 4) e. The IRS Commissioner should systematically analyze data reported through Form 8938 filings on foreign retirement accounts owned by U.S. individuals with the goal of developing an evidence-based understanding of how these accounts change over time and what level of risk these accounts pose for tax evasion. To assist with this analysis, IRS should consider revising Form 8938 to more clearly distinguish between retirement accounts and other types of accounts or assets being reported by taxpayers under current reporting requirements. (Recommendation 5) f. The IRS Commissioner should take steps to improve the likelihood that the Notice of Potential Private Pension Benefit Information corresponds to actual retirement benefits in the future, for example, by working with the Social Security Administration as necessary. (Recommendation 6) g. The Social Security Administration Commissioner should take steps to improve the likelihood that the Notice of Potential Private Pension Benefit Information corresponds to actual retirement benefits in the future, for example, by working with IRS as necessary. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Labor, the Department of the Treasury, the Internal Revenue Service, the Social Security Administration, the Pension Benefit Guaranty Corporation, and the U.S. Department of State. DOL, Treasury and IRS, and PBGC provided technical comments, which we have incorporated where appropriate. DOL, IRS, SSA, and PBGC also provided formal comments, which are reproduced in appendices IV, V, VI, and VII, respectively. State did not have any comments. DOL agreed with our recommendation that additional guidance may be helpful to aid plan sponsors and plan fiduciaries of ongoing plans in meeting their existing fiduciary obligations to search for missing participants and to pay benefits. SSA agreed with our recommendation to take steps to improve the likelihood that the Notice of Potential Private Pension Benefit Information corresponds to actual retirement benefits in the future, for example, by working with IRS as necessary.", "In its written comments, IRS stated that it generally agreed with the report and its findings. IRS specifically cited that the report identifies several challenges for participants to manage their retirement savings, such as updating former employers with address changes to continue receiving information about retirement plan accounts with former employers and responding to former employers regarding retirement plan accounts. IRS also stated that U.S. individuals participating in foreign retirement plans often do not know how to correctly report foreign retirement accounts and associated income due to complex federal requirements and treaty provisions governing the taxation of foreign retirement accounts. This recognition by IRS of the complex federal requirements and treaty provisions governing the taxation of foreign retirement accounts is in line with GAO\u2019s concerns about U.S. individuals with foreign workplace retirement accounts having trouble with routine account transfers within the same foreign workplace retirement plan or between two such plans in the same country. We have asked Congress to consider modifying the Internal Revenue Code to allow routine account transfers within the same foreign workplace retirement plan or between two foreign workplace retirement plans in the same country to be free from U.S. tax in countries covered by an existing income tax treaty that provides for favorable U.S. tax treatment of foreign workplace retirement plan contributions. Congress\u2019 ability to modify the Internal Revenue Code in such a way can help U.S. individuals participating in foreign workplace plans to better save for retirement by allowing them to consolidate accounts in a tax- deferred manner without being taxed on the entire balance when their account is transferred.", "IRS agreed with two of our recommendations to improve the management of retirement savings. Specifically, IRS agreed to review taxation issues relating to distributions involving incorrect participant addresses and uncashed benefit checks and to clarify for the public the Internal Revenue Code\u2019s requirements in these circumstances. We believe that IRS\u2019 consideration of this recommendation and any subsequent actions the agency takes to clarify the issue will help to address questions about tax withholding from distributions in situations where the participant may be missing or where a distribution check remains uncashed after a period of time. IRS also agreed to work to improve the likelihood that the Notice of Potential Private Pension Benefit Information corresponds to actual retirement benefits in the future, and agreed to take steps to ensure that the data reported on Form 8955-SSA are accurate and to advise plan sponsors of any changes to reporting these data. We commend IRS for recognizing the importance of addressing this issue for taxpayers and for its willingness to take steps to ensure the accuracy of data reported by plans in the United States on vested benefits belonging to separated employees.", "Lastly, IRS agreed with our recommendation to clarify how U.S. individuals are to report their foreign retirement accounts, which could include how the taxpayer should report contributions, earnings, and distributions made from the account. We encourage IRS to take the necessary steps to dispel any confusion U.S. individuals may have over how to properly classify and report their foreign retirement accounts on a U.S. tax return\u2014such clarification should help ensure that these taxpayers can meet their tax reporting obligations.", "IRS disagreed with two of our recommendations, citing the limited number of IRS staff and resources needed for the agency to implement these recommendations. First, IRS disagreed with our recommendation to consider revising the letter forwarding program in a cost-effective manner to again provide information on behalf of U.S. plan sponsors on unclaimed retirement accounts to participants. IRS commented that the IRS address of record for a participant would likely be of no greater value than addresses available through alternatives such as commercial locator services. However, our report does not cite the accuracy of IRS addresses, but rather other benefits that make a program revision worth considering, specifically the likelihood that individuals will open IRS correspondence, and the trust DOL places in the service as way for plan fiduciaries to meet their obligations. IRS also stated that the limited number of IRS staff and resources impact the feasibility of reinstating this program for plan participants. GAO continues to believe that expanding the letter forwarding program would be beneficial, and we encourage IRS to consider cost-effective ways to do so.", "IRS also disagreed with our recommendation to analyze data provided through Form 8938 filings on foreign retirement accounts owned by U.S. individuals with the goal of developing an evidence-based understanding of how these accounts change over time and what level of risk these accounts pose for tax evasion. Our recommendation further stated that IRS should consider revising Form 8938 to assist with this analysis. In its comments, IRS did not disagree with this recommendation on its merits; IRS only cited a lack of resources to implement the recommendation. Specifically, IRS noted that although the modification to the Form 8938 suggested in this recommendation may seem minor, systemically collecting and analyzing the data would require resources beyond those currently available to IRS. However, as we describe in the report, IRS indicated to us that they already collect foreign account filing data through the Form 8938 and that the current reporting requirements help the agency to \u201ckeep a line of sight\u201d on U.S. individuals\u2019 foreign pension arrangements. IRS told us that without such data being reported, U.S. individuals with foreign retirement accounts may seek to avoid proper reporting on their tax returns when distributions are made. However, without agreeing to take steps to analyze these data reported by taxpayers, the question remains why IRS continues to collect such information\u2014which we show in the report to present a substantial reporting burden on taxpayers\u2014if the agency has no plan to analyze the data in order to make an informed decision about the risk for tax evasion that such accounts present. It is also unclear to us how IRS would maintain a line of sight on foreign retirement accounts belonging to U.S. individuals without analyzing the data reported by taxpayers on such accounts. While we recognize that resource limits can impede an agency from taking on additional work and projects, we continue to believe that when staff and resources become available, IRS should modify the form and conduct a systematic analysis of these data\u2014data that current law requires taxpayers to report\u2014in order to assess the risk of tax evasion that foreign retirement accounts pose. Without such an analysis, IRS will have no basis to reach an evidence-based understanding of how these accounts change over time and what level of risk they pose for tax evasion. Further, as we have shown in the report, this reporting can be costly for U.S. individuals and could potentially lead to a decrease in their retirement savings. Without such an analysis by IRS, U.S. individuals who own foreign retirement accounts will continue to face these substantial reporting burdens without the knowledge that the data they are required to provide will be put to good use by the federal government.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Labor, Secretary of the Treasury, Commissioner of Internal Revenue, Director of the Pension Benefit Guaranty Corporation, Acting Commissioner of the Social Security Administration, the Secretary of State, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or jeszeckc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: IRS Instructions on Reviewing Tax Treaty Provisions Related to Foreign Retirement Accounts", "paragraphs": ["IRS advises U.S. taxpayers to review tax treaty provisions carefully to better understand how to report their foreign income, including the distribution of savings from foreign retirement accounts. IRS specifically advises taxpayers to read the residency article in a tax treaty to find any special rules pertaining to reporting and taxing foreign income, including distributions from foreign workplace retirement plans. When deciding whether a tax treaty applies to a taxpayer, the taxpayer should first identify their tax residency (Article 4 under most treaties). According to IRS, a taxpayer\u2019s residency determines how treaty articles on pensions and annuities will be applied and taxpayers should use the domestic laws of each country to identify residency. If, after applying the domestic law of each country, the taxpayer determines they are a resident of both countries, the tiebreaker rules of the applicable treaty are applied to determine residency based on the country in which the taxpayer has closer personal and economic relations, the country of habitual abode for the taxpayer, or the country in which the taxpayer is a national, according to IRS. If none of the above tiebreaker rules apply, the treaty generally provides that residency will be decided by the competent authorities of each country upon request by the taxpayer. Taxpayers are also advised to read all the protocols of the treaty to see if the residency rules have been amended by a later protocol. As a general rule, according to IRS, the pension/annuity articles of most tax treaties allow the country of residence (as determined by the residency article) to tax the pension distribution or annuity under its domestic laws, unless the tax treaty provides an exception to that rule. According to IRS, some treaties, for example, provide that the country of residence may not tax amounts that would not have been taxable by the other country if the individual was a resident of that country. There also may be special rules for lump-sum distributions. If the taxpayer is a U.S. citizen, IRS guidance provides that they also may need to refer to the \u201csaving clause\u201d (typically found in Article 1) for special rules that allow the United States to tax income in some cases as if the treaty had not entered into force."], "subsections": []}, {"section_title": "Appendix II: Estimated Number of U.S. Citizens Living Abroad", "paragraphs": ["Researchers and federal officials have identified a range of estimates for U.S. citizens living outside the United States. (See fig. 5).", "The U.S. Department of State (State) estimates that as of April 2015, 8.7 million U.S. citizens live abroad. Table 2 shows estimates of the number of U.S. citizens living abroad by geographic area that State\u2019s Bureau of Consular Affairs recently released to the Federal Voting Assistance Program."], "subsections": []}, {"section_title": "Appendix III: Efforts to Link Participants to Dormant or Unclaimed Retirement Accounts in Case Study Locations", "paragraphs": ["We gathered the information in this appendix for each case study location by reviewing relevant documentation, publicly available research and reports, and interviewing relevant stakeholders, including government officials, plan sponsors, and service providers. We did not conduct an independent legal analysis to verify the information provided about the laws or regulations in the locations we selected for this study. Instead, we relied on appropriate secondary sources and interviews with relevant officials to support our work. We provided this information to appropriate officials in each case study location for their confirmation.", "In the five case study locations we reviewed, participants, including U.S. individuals working in those locations, stay connected to their foreign workplace retirement savings through centralized institutions, direct contact with plans or government agencies, or through public pension registries. The low prevalence of unclaimed retirement accounts that we found in these locations is likely due, in part, to participants using these mechanisms to stay connected to their retirement savings."], "subsections": [{"section_title": "Unclaimed Retirement Accounts Are Maintained Within Centralized Institutions or a Participant\u2019s Former Employer\u2019s Plan", "paragraphs": ["In two of the five locations we reviewed, Australia and Switzerland, plans transfer dormant accounts belonging to separated employees to a centralized institution that is actively monitored by regulators. These accounts generally remain within these institutions until claims for benefits are made by the participant. For example, Swiss officials told us that in the event of a change of employment, the pension scheme (i.e., plan) of an insured person (i.e., participant) transfers the accumulated assets on behalf of that person to the pension scheme of the new employer. Vested benefits institutions are used to hold the assets when a person ceases to be subject to occupational benefits (workplace retirement) plans owing to termination of employment, e.g. in connection with a career break or being laid off. In these cases, the pension scheme mandatorily transfers the assets to a vested benefits institution. This procedure ensures that the accumulated assets remain blocked in the pension cycle until the insured person joins a new pension scheme or an insured event occurs (old age, disability, or death). Once the person recommences employment and thus becomes subject to mandatory occupational benefits plans again, the termination benefits must be transferred by the vested benefits institution to the new pension scheme. If the pension scheme member or insured person does not become re-employed, the vested benefits institution keeps the assets until an insured event occurs (retirement, disability, or death). Further, if a separated employee fails to inform their former plan that they have a new employer, the participant\u2019s former plan automatically transfers the account after 6 months and within 2 years to the Substitute Occupational Benefit Institution. This institution is a non- profit entity that the Swiss federal government commissioned in 1985; it works closely with the Swiss federal government to maintain Swiss retirement assets for participants and is charged with certain governmental responsibilities. For retirement assets transferred to the Substitute Occupational Benefit Institution, account balances are not merely preserved until claimed or transferred, but grow according to returns on Switzerland\u2019s central fund investments. Figure 6 describes how accounts of separated employees in Switzerland are transferred to designated locations when they become dormant or unclaimed.", "Swiss plans also transfer accounts belonging to separated employees to the employee\u2019s new plan once they receive instruction from the employee. This transfer along with account transfers to the Substitute Occupational Benefit Institution or a vested benefits institution, such as a bank or insurance company, contributes to the low prevalence of lost retirement accounts in Switzerland because participants do not accumulate multiple retirement accounts with different plans when changing jobs throughout their career.", "In Australia, plans (also referred to as schemes or super funds) transfer unclaimed super accounts belonging to lost members (e.g., separated employees) to a centralized government institution, the Australian Taxation Office (ATO). These accounts generally remain within the ATO until claims for benefits are made by the member. While their money is being held by the ATO it earns interest at the consumer price index rate.", "In three of the five locations GAO reviewed\u2014Canada, Hong Kong, and the UK\u2014the participant\u2019s former employer\u2019s plan maintains dormant accounts until claimed or transferred to a new plan. For example, in Hong Kong, according to its retirement schemes (plan) regulator, the Mandatory Provident Fund Schemes Authority (MPFA), whenever employees, including U.S. individuals working in Hong Kong, change to a new employer, they need to open a new Mandatory Provident Fund (MPF) \u201ccontribution account\u201d under the MPF scheme in which the new employer participates to accumulate MPF contributions in respect of the new employment. If an employee who has ceased employment with an employer does not take action to transfer the benefits accrued from the previous employment to the new \u201ccontribution account\u201d with their new employer\u2019s scheme (i.e., plan) or a \u201cpersonal account\u201d in an MPF scheme of the employee\u2019s choice, their former employer\u2019s scheme will automatically transfer their accumulated MPF benefits from the contribution account to a personal account within the original scheme for continuous investment. Government officials told us that MPF schemes keep the benefits of the scheme members (i.e., plan participants) within the scheme until the scheme member returns to make a claim or to issue instructions to transfer benefits in the account to another MPF scheme. The MPFA advises scheme members that failing to consolidate the MPF benefits accumulated from previous employments can result in accumulating multiple MPF accounts that can be difficult to manage\u2014this can result in accounts becoming lost over time. To address this challenge, the MPFA conducts regular publicity programs and publishes pamphlets reminding scheme members that when they change employers they should consolidate the benefits under the previous employment to any existing personal accounts or to the new contribution account under the MPF scheme of their new employer.", "In two of the five locations we reviewed\u2014Australia and Switzerland\u2014 plans are required to regularly report to regulators on unclaimed accounts, missing participants, and account transfers made for separated employees, including those made on behalf of U.S. individuals. For example, in Australia, plans are required to communicate information on unclaimed accounts to the ATO. Specifically, every 6 months plans are required to identify and report members who meet the definition of \u201clost\u201d and unclaimed accounts considered \u201cuncontactable or inactive\u201d to the ATO. Further, plans are also required to transfer unclaimed accounts to the ATO when certain unclaimed super money criteria are met. In Switzerland, before the end of January each year, occupational benefits institutions and institutions that manage vested benefits accounts or policies are required to report to the 2nd Pillar Central Office all persons for whom assets were held in December of the previous year.", "Plans in two of the locations we reviewed provide separated participants information on account transfers that can help them stay connected to their retirement savings. For example, in Hong Kong, MPF schemes (plans) provide a transfer statement to members once the transfer of benefits to another MPF scheme is completed. The MPF scheme that receives the transfer must, as soon as practicable after receiving the transferred benefits, provide the member written notice confirming the transfer and stating the monetary value of those benefits. In Switzerland plans must regularly contact their participants and if unable to do so, must inform the 2nd Pillar Central Office, who will try to reestablish contact between the plan and their participants."], "subsections": []}, {"section_title": "Unclaimed Retirement Accounts Are Accessed Through Contact with Government Agencies or Through Public Pension Registries", "paragraphs": ["Participants in three of the five locations we reviewed can access information on their retirement accounts by contacting a government agency. According to government and retirement plan officials in Australia, participants can access their retirement account details by logging onto the myGov platform, which is a secure way to access government online services. Participants, including U.S. individuals, who have registered online via myGov and have their personal accounts linked to ATO online services can view their retirement accounts online and can claim their money at any time. For those that choose not to register for myGov, they can use the Departing Australia Superannuation Payment online service to claim their super funds once they have departed Australia and their visa has ceased to be in effect. In Hong Kong, MPFA officials told us that scheme members seeking information on their personal accounts or on unclaimed retirement benefits with any MPF scheme (plan) can approach MPFA to request a search of the Personal Accounts Register or Unclaimed Benefits Register, respectively. The MPFA\u2019s website includes instructions for initiating these inquiries. In Switzerland, government officials told us that participants, including U.S. individuals, can directly contact the 2nd Pillar Central Office, which can locate all the institutions holding vested benefits on the participant\u2019s behalf.", "In two of the five case study locations, Australia and the UK, participants can access information on their retirement accounts by using pension registries or other government supported services. For example, in the UK, the government provides all participants, including U.S. individuals with a UK retirement account, access to the Pension Tracing Service to help them locate their lost retirement accounts. The UK government has also established other organizations and services to help participants locate their lost retirement accounts. The Pensions Advisory Service is an independent organization that is funded by the UK government. Officials told us that the service was implemented because retirement accounts and pensions in the UK had become excessively complicated. The service sometimes receives questions from participants living abroad, such as in the United States, or from U.S. individuals living in the UK. Service officials told us that it is particularly challenging for these foreign participants to know how to repatriate their retirement benefits and to locate missing retirement accounts. Government officials told us that the UK government is committed to ensuring that members of the public can access good-quality, free-to-client, impartial financial guidance and debt advice which is currently provided by three different organizations. These officials said that a bill was introduced in June 2017 that would set up a new single financial guidance body to provide guidance and information on all matters relating to occupational and personal pensions. Officials said they expect that this single financial guidance body to go live no earlier than October 2018.", "The UK government is also currently developing a new pension online tool, the Pensions Dashboard. The dashboard is being developed as a joint project between the UK government and the country\u2019s retirement industry; 17 of the UK\u2019s largest pension firms developed a prototype demonstrating that the technology for the dashboard works. The goal of the dashboard is to allow participants to log into one portal to locate all of their pension data, including information on the value and the location of different retirement savings accumulated throughout their career. Currently, a UK ID verification system is available to UK residents to review their tax bills and other financial information online, and officials are considering permitting participants to use this system with proper credentials to access the dashboard. In time, UK government officials said that the dashboard may replace the UK\u2019s Pension Tracing Service, but not for many years. Other officials added that they are uncertain whether the dashboard will include all plans. One concern is that many lost accounts may be with old defined benefit plans or small defined contribution plans that do not have online systems that can be integrated into the dashboard. As a result, some of the plans most likely to have lost participants may also be the least likely to participate in the dashboard."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Pension Benefit Guaranty Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Charles Jeszeck, (202) 512-7215 or jeszeckc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tamara Cross (Assistant Director), Ted Burik (Analyst-in-Charge), Ted Leslie, and Jessica Rider made key contributions to this report. Also contributing to this report were Susan Aschoff, James Bennett, Amy Bowser, Sherwin Chapman, Sarah Cornetto, Brian James, Kristy Kennedy, Jonathan McMurray, Sheila McCoy, Jennifer Lutzy McDonald, Dan Meyer, Mimi Nguyen, Amrita Sen, Deborah Signer, Andrew Stephens, Walter Vance, Kathleen Van Gelder, Adam Wendel, and Seyda Wentworth."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-169", "url": "https://www.gao.gov/products/GAO-18-169", "title": "Federal Health-Insurance Marketplace: Analysis of Plan Year 2015 Application, Enrollment, and Eligibility-Verification Process", "published_date": "2017-12-21T00:00:00", "released_date": "2018-01-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Patient Protection and Affordable Care Act (PPACA) offers subsidized health-care coverage for qualifying applicants. States may operate their own health-care marketplaces or rely on the FFM, maintained by CMS. In PY 2015, 37 states relied on the FFM and over 8 million plan selections were made through the FFM. PPACA represents a significant fiscal commitment for the federal government, which pays subsidies to issuers on participants' behalf.", "GAO was asked to examine enrollment into the FFM for PY 2015, the most current data available at the time of GAO's review. This report examines the extent to which indications of potentially improper or fraudulent enrollments existed in the FFM's application, enrollment, and eligibility-verification process for the 2015 enrollment period.", "GAO reviewed relevant federal statutes, regulations, and policies for PY 2015 and interviewed CMS officials. GAO analyzed eligibility and enrollment data for about 8.04 million applicants in PY 2015 to identify applicants (1) who had a citizenship, status as a national, or lawful presence inconsistency; (2) whose information did not match SSA records; or (3) who were reportedly deceased. GAO also reviewed a nongeneralizable sample of 45 applicants to more fully understand verification processes."]}, {"section_title": "What GAO Found", "paragraphs": ["A small percentage\u2014about 1 percent\u2014of plan year (PY) 2015 enrollments were potentially improper or fraudulent. These applicants had unresolved inconsistencies related to citizenship, status as a national, lawful presence, or Social Security number (SSN), or received coverage while reportedly deceased, according to GAO's analysis of federally facilitated marketplace (FFM) eligibility and enrollment data. To verify applicant information, such as citizenship, status as a national, or lawful presence, and SSNs, the FFM uses data from the Department of Homeland Security (DHS) and Social Security Administration (SSA), among other sources. When an applicant's information does not match the available data sources, the FFM generates an inconsistency, and the FFM should take steps, such as requesting applicant documentation, to resolve it. Having an SSN is not a condition of eligibility; however, unresolved inconsistencies could indicate that an enrollment is potentially improper or fraudulent. The FFM did not actively resolve SSN inconsistencies for PY 2015, but the Centers for Medicare & Medicaid Services (CMS) has since completed system upgrades and established procedures for verifying SSNs with applicant-provided documentation, according to CMS officials.", "Note: Some applicants may be included in more than one category.", "GAO found that applicants or enrollees may have received or maintained coverage with an associated subsidy after their reported death because the FFM did not always identify individuals as deceased in a timely manner, such as prior to automatic reenrollment. CMS relied on third parties, such as family members, to report the death of an enrollee to the FFM, but did not always receive adequate notification to verify the death. According to CMS officials, CMS is exploring approaches to identify enrollees who may be deceased and should therefore be unenrolled from coverage. The FFM checks applicants' information against death information from SSA before initial enrollment but does not recheck death information prior to reenrollment. According to CMS officials, the FFM does not reverify information, other than income, when automatically reenrolling applicants to help encourage individuals to maintain enrollment in coverage from one year to the next. Without rechecking SSA death information prior to automatic reenrollment, the FFM remains at risk of providing subsidized coverage to deceased individuals with related costs to the federal government."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS assess and document the feasibility of approaches to identify the deaths of individuals prior to automatic reenrollment. HHS concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Patient Protection and Affordable Care Act (PPACA), signed into law on March 23, 2010, offers subsidized health-care coverage for qualifying applicants, expands the availability of Medicaid, and provides for the establishment of health-insurance exchanges, or marketplaces, to assist consumers in comparing and selecting among insurance plans offered by participating private issuers of health-care coverage. Under PPACA, states and the District of Columbia may elect to operate their own health- care marketplaces, or may rely on the federally facilitated marketplace (FFM), known to the public as HealthCare.gov. The Centers for Medicare & Medicaid Services (CMS), a unit of the Department of Health and Human Services (HHS), is responsible for overseeing the establishment of these online marketplaces, and the agency maintains the FFM.", "Under PPACA, heath-care marketplaces are the mechanisms through which applicants enroll in qualified health plans. To help pay the cost of insurance premiums for taxpayers and their dependents, PPACA provides a premium tax credit (PTC) to individuals who meet certain income and other requirements. Individuals can have the federal government pay PTC to their issuers in advance on their behalf, known as advance premium tax credit (APTC), which lowers their monthly premium payments. APTC is based on estimates of household income. Subsidies and other costs to eligible individuals under PPACA represent a significant fiscal commitment for the federal government. As of January 2017, the Congressional Budget Office projected that the cost of coverage provisions to the federal government will increase to $51 billion for fiscal year 2017 for the FFM and state-based marketplaces. Subsidy costs are contingent on eligibility for coverage. Therefore, enrollment controls that help ensure only qualified applicants are approved for subsidized coverage are a key factor in determining federal expenditures under the act.", "To enroll in health-insurance coverage offered through a marketplace created by PPACA, individuals must complete an application and meet certain eligibility requirements. For example, an individual must be a U.S. citizen or national, or be otherwise lawfully present in the United States. The marketplaces are required by law to take several steps to verify the information in individuals\u2019 applications to determine their eligibility to enroll in coverage and, if applicable, qualify for federal subsidies. Verification steps include validating an applicant\u2019s Social Security number (SSN), if one is provided; verifying citizenship, status as a U.S. national, or lawful presence; and verifying household income and family size.", "In light of findings in our recent reports related to the FFM\u2019s application, enrollment, and eligibility-verification process, you asked that we examine PPACA enrollment into the FFM for plan year 2015 (the most current data available at the time of our review). This report examines the extent to which indications of potentially improper or fraudulent enrollments existed in the FFM\u2019s application, enrollment, and eligibility-verification process for the 2015 enrollment period.", "To identify indications of potentially improper or fraudulent enrollments in the FFM\u2019s application, enrollment, and eligibility-verification process, we reviewed relevant federal statutes, HHS regulations, and CMS policies for plan year 2015; interviewed CMS officials; and analyzed eligibility and enrollment data for about 8.04 million applicants with effectuated enrollments in plan year 2015 with an associated APTC or Cost Sharing Reduction (CSR). We focused our analyses on three areas based on the eligibility and verification requirements marketplaces must use to determine whether individuals are eligible to enroll and maintain coverage. Specifically, we identified and analyzed data for applicants receiving coverage with an associated subsidy (1) with inconsistencies related to citizenship, status as a national, or lawful presence; (2) whose information, including SSN, did not match the Social Security Administration\u2019s (SSA) records; or (3) who were reportedly deceased. For the purposes of this report, we define applicants receiving coverage with an associated subsidy as applicants receiving coverage in plan year 2015 with an associated APTC or CSR. Because APTC is based on, among other things, estimates of household income, and taxpayers must reconcile the amount of APTC paid by the federal government to issuers on their behalf with the PTC they are eligible for on their tax returns, the number of applicants receiving coverage with an associated subsidy and the amount of associated subsidies identified through our analysis may differ from the number of applicants who ultimately received subsidized coverage and the amount of subsidies paid to issuers on their behalf.", "To complete our analysis of these three areas, we compared about 8.04 million applicants that received coverage with an associated subsidy for plan year 2015 to the Department of Homeland Security\u2019s (DHS) Systematic Alien Verification for Entitlements (SAVE) system from November 15, 2014, through December 31, 2015, to identify applicants with unresolved inconsistencies related to citizenship, status as a national, or lawful presence; SSA\u2019s Enumeration Verification System (EVS) from November 16, 2016, through December 29, 2016, and SSA\u2019s Affordable Care Act (ACA) batch file output from March 2017, to identify potentially invalid personal information; and SSA\u2019s full death file from June 2016, to identify reportedly deceased individuals. For reporting purposes, we present the results of our data-matching analyses as approximate whole numbers. Additionally, we selected a nongeneralizable sample of 45 applicants from our results to more fully understand the verification and inconsistency-resolution process.", "To determine the reliability of the data used in our analysis, we performed electronic testing to determine the validity of specific data elements in the FFM and other federal data files that we used to perform our work. We also interviewed officials responsible for their respective databases, and reviewed documentation related to the databases and literature related to the quality of the data. On the basis of our own testing and our discussions with agency officials, we concluded that the data elements used for this report were sufficiently reliable for the purposes of our reporting objectives.", "As discussed above, we focused our analyses on three areas. We did not perform analyses using independent data sources to verify other types of information required for applicants to enroll in qualified health plans and qualify for subsidies, which we have discussed in previous GAO reports. Specifically, we did not perform analysis on the following: Income. Internal Revenue Service (IRS) household income information is necessary in determining subsidy amounts, but can be up to 2 years old. Due to the age of the data, there may be discrepancies between applicants\u2019 attested information and what the marketplace obtains through the federal data services hub (data hub). According to HHS regulations and CMS guidance, if electronic data are unavailable or an applicant\u2019s attestation of projected annual household income is more than 10 percent below the annual household income as computed using available data sources, the marketplace must follow inconsistency-resolution procedures. These procedures will accept differences of up to 20 percent of an applicant\u2019s attested income from what CMS is able to recalculate using supporting documentation.", "Residency. Individuals must intend to reside in the state in which they are applying for coverage and are not required to have a fixed address in the state. The marketplace can accept self-attestation unless the information provided by the applicant is not reasonably compatible with other information provided by the applicant or in the records of the marketplace. HHS has recently stated that its previous assessments of available sources did not identify any comprehensive data source for verifying residency. However, we previously reported that CMS did not document an evaluation of available external sources to determine the quality, relevance, and reliability of the data, and we recommended that it do so.", "Incarceration. Individuals must not be incarcerated (unless incarcerated while awaiting disposition of charges). We have previously reported that there are many challenges associated with using incarceration data, including the risk of false positives.", "For more detailed information on our scope and methodology, see appendix I.", "We conducted this performance audit from November 2015 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CMS operates the FFM consistent with PPACA and relevant HHS regulations. In plan year 2015, 37 states relied on the FFM. The remaining 14 states, including the District of Columbia, operated their own state-based marketplaces. According to published HHS figures, the FFM accounted for about 76 percent, or approximately 8.8 million, of plan selections made via marketplaces from November 15, 2014, through February 22, 2015. Overall, we found that about 8.04 million applicants selected a plan, effectuated enrollment, and received coverage with an associated subsidy for plan year 2015. We discuss these 8.04 million applicants later in this report. More than half of the 8.8 million plans in plan year 2015 were applicants who did not have a plan via the FFM in plan year 2014, which was the FFM\u2019s first year. Of the 8.8 million total plans, 87 percent qualified for an APTC with an average APTC of $263 per application per month.", "All marketplaces, including the FFM, are required by PPACA to verify applicant information to determine eligibility for enrollment and income- based subsidies, if applicable. Marketplaces, among other things, must check for Medicaid eligibility before determining eligibility for qualified health plans; validate an applicant\u2019s SSN, if one is provided, by comparing with SSA records; verify citizenship, status as a U.S. national, or lawful presence by comparing with SSA or DHS records, respectively; and verify household income and family size by comparing with tax-return data from the IRS, as well as data on Social Security benefits from SSA.", "If the information the applicant provided on the application does not match the information contained in the data source, or if a data source is not available to verify the information, the FFM generates an inconsistency. The FFM then sends a notification to the applicant, who generally has 90 days to present satisfactory documentary evidence to resolve the inconsistency, and grants the applicant conditional eligibility if the applicant is otherwise qualified. While waiting for supporting documentation, the FFM attempts to review and resolve the inconsistency, which can include looking for obvious errors on the application. The FFM will generally categorize inconsistencies as expired if the applicant was not able to provide the supporting documentation to resolve the inconsistency within the allotted time frame and the FFM was not able to resolve the inconsistency. Depending on the type of inconsistency and availability of data sources, an applicant with an expired inconsistency may have his or her coverage terminated, or the applicant\u2019s subsidy amount may be recalculated based on the trusted source information or eliminated. In other circumstances, the applicant\u2019s situation may change such that no additional action is required by the FFM to address the inconsistency. These inconsistencies are categorized as overcome by events (OBE) and can include situations where the application changes to a non-financial-assistance application or another inconsistency has expired. Inconsistencies that the FFM cannot resolve, expire, or categorize as OBE remain open.", "We previously made recommendations to improve the FFM\u2019s enrollment and eligibility-verification process. Specifically, in 2016, we made eight recommendations, including that CMS consider analyzing outcomes of the verification system, take steps to resolve inconsistencies related to SSNs, and conduct a risk assessment of the potential for fraud in marketplace applications. HHS concurred with our recommendations. In 2017, we made 10 recommendations to HHS involving the annual reporting of APTC improper-payments estimates, improving control activities related to eligibility determinations, and calculations of APTC based on incomes and family sizes. HHS concurred with 7 of the recommendations and neither agreed nor disagreed with the remaining 3 recommendations, which related to improving control activities for verifying identities of individuals, preventing duplicate coverage of individuals receiving minimum essential coverage through their employers, and verifying household incomes and family sizes. As of November 2017, HHS has not provided us with documentation to support the implementation of recommendations made in 2016 or 2017. As a result, the 18 recommendations remain open."], "subsections": []}, {"section_title": "Analyses Identified about 1 Percent of Enrollments during Plan Year 2015 as Potentially Improper or Fraudulent, with Challenges Remaining in the Identification and Reenrollment of Reportedly Deceased Individuals", "paragraphs": [], "subsections": [{"section_title": "About 1 Percent of Enrollments for Plan Year 2015 Were Identified as Potentially Improper or Fraudulent", "paragraphs": ["Our analysis of plan year 2015 FFM enrollment and eligibility data identified a small percentage\u2014about 1 percent\u2014of enrollments that were potentially improper or fraudulent because they had an unresolved issue related to citizenship, status as a national, or lawful presence, or to SSN, or were reportedly deceased. The presence of an unresolved data- matching inconsistency could indicate that an enrollment is potentially improper or fraudulent because an unresolved inconsistency indicates that the FFM could not verify information provided by the applicant. When a data-matching inconsistency is generated, HHS regulations require that the applicant provide supporting documentation generally within 90 days to resolve the inconsistency. If the applicant does not provide requested documentation within the time frame and the FFM cannot otherwise verify the information provided by the applicant, the inconsistency may be expired, which could lead to termination from coverage or a recalculation or elimination of subsidy amounts based on the trusted data source information, depending on the type of inconsistency. In addition, in our prior undercover work, we were able to obtain and maintain coverage for fictitious applicants by submitting fictitious or no documents to resolve a data-matching inconsistency. Our undercover work has also previously shown that the FFM did not verify the authenticity or accuracy of the documents we submitted to resolve inconsistencies. As part of our current analyses, we did not independently verify the instances where the FFM resolved inconsistencies when applicants provided the requested documentation during this engagement. However, if the FFM did not corroborate information on applicant-provided documentation with the appropriate agency, some applicants with resolved data-matching inconsistencies may have received coverage with an associated subsidy potentially improperly or fraudulently."], "subsections": [{"section_title": "Verification of Citizenship, Status as a National, or Lawful Presence Status", "paragraphs": ["Most of the about 8.04 million applicants who received coverage with an associated subsidy in plan year 2015 provided information that allowed the FFM to verify an applicant\u2019s status as a U.S. citizen or national, or lawfully present in the United States. Nevertheless, the FFM did identify some inconsistencies related to citizenship, status as a national, or lawful presence. The FFM flags applicants as having an inconsistency if they attested to being a citizen but their status as a citizen could not be verified\u2014for example, because their SSN and other information does not match SSA records\u2014or they attest to an eligible immigration status but their lawful presence could not be immediately verified. Specifically, based on our analysis of enrollment data provided by CMS, the FFM initially identified approximately 88 percent of about 8.04 million applicants as a U.S. citizen or national, or lawfully present in the United States. The FFM identified the remaining approximately 961,000 applicants (12 percent), as having inconsistencies related to citizenship, status as a national, or lawful presence.", "The FFM was able to obtain information from the DHS SAVE program to address some inconsistencies related to citizenship, status as a national, or lawful presence, but issues with applicant-provided information precluded the FFM from querying all of the inconsistencies. The FFM queried DHS SAVE records for about 242,000 of the 961,000 applicants with inconsistencies (25 percent), but we were not able to identify queries for about 719,000 (75 percent). See figure 1 below for a comparison of FFM inconsistencies related to citizenship, status as a national, or lawful presence to DHS SAVE records.", "We found that the FFM could not query these 719,000 applicants mostly because of the quality of information submitted by applicants. Specifically, many of the applicants the FFM could not query were missing information such as immigration numbers that the DHS SAVE program requires. For example, we found applicants who provided their name and date of birth but did not provide an immigration number, which prevented the FFM from using the DHS SAVE program to verify citizenship or lawful presence status. Such cases required the FFM to request supporting documentation from the applicant.", "After the initial comparison to the DHS SAVE program, the FFM attempts to resolve remaining inconsistencies by first looking for obvious errors and then by using additional documentation requested from the applicant. See figure 2 below for an overview of inconsistencies related to citizenship, status as a national, or lawful presence that remained unresolved (i.e., open), as of December 31, 2015.", "As shown in figure 2, CMS addressed some, but not all, inconsistencies. Specifically, about 43,000 inconsistencies related to citizenship, status as a national, or lawful presence (less than 1 percent of total applicants) remained in an open status as of December 31, 2015. An open status indicates that CMS was unable to resolve or obtain documentation to clarify the issues that led to the inconsistency. In some cases, an inconsistency generated late in the year may have remained open but, according to CMS officials, would have carried forward and generated a new inconsistency for plan year 2016. Inconsistencies that remained open because they were not resolved within the required time frame represent potentially improper or fraudulent applicants who retained coverage without providing sufficient supporting documentation to resolve their inconsistency. However, the number of potentially improper or fraudulent applicants may be understated since we only took into consideration those with inconsistencies in an open status and not applicants with expired inconsistencies who may have continued to receive coverage and had subsidies paid to issuers on their behalf before CMS was able to terminate their coverage and subsidies.", "To examine steps taken by the FFM when processing inconsistencies related to citizenship, status as a national or lawful presence, we selected a nongeneralizable sample of 15 of the 961,000 applicants that the FFM identified. For 13 out of the 15, the FFM verified the applicant\u2019s information through supporting documentation or DHS SAVE and resolved or expired the inconsistency in accordance with its standard operating procedures, or the FFM categorized the applicant as OBE because of an application update that made the inconsistency no longer relevant. We did note that in 2 of the 13 cases, the FFM did not perform a DHS SAVE program query to corroborate the supporting documentation. However, this was not required at the time the applicants enrolled, which was prior to June 2015 when CMS established that procedure.", "In the remaining cases, the FFM did not verify the applicants\u2019 information in plan year 2015, but the applicants received coverage beyond the 95- day inconsistency-resolution period. For example, in one case we found that the applicant obtained multiple policies for different periods during the year without ever providing sufficient information to verify his or her status as a U.S. citizen or national, or being lawfully present in the United States. As a result, the applicant was able to obtain coverage for two- thirds of the coverage year. According to CMS, this inconsistency was carried over to plan year 2016, when the inconsistency was expired and the applicant\u2019s coverage was terminated."], "subsections": []}, {"section_title": "Verification of Social Security Numbers", "paragraphs": ["Most applicants for plan year 2015 who received coverage with an associated subsidy submitted SSNs and other information that matched SSA records, and the FFM identified SSN inconsistencies for most of the applicants whose information did not match SSA records. As shown in figure 3, our analysis found that over 96 percent of applicants (7.74 million out of about 8.04 million) submitted information that was consistent with SSA records, but about 139,000 (1.7 percent of total applicants) did not. The other 166,000 applicants (2.1 percent) did not provide an SSN on their application.", "Of the approximately 139,000 applicants (1.7 percent) whose information did not match SSA records in our analysis, we found that the FFM identified an SSN inconsistency for about 109,000 (1.4 percent of total applicants). The FFM did not designate the remaining applicants whose information did not match SSA records in our analysis (about 31,000 of 139,000 applicants) as having an SSN inconsistency for plan year 2015, indicating that the FFM did not flag the applicant\u2019s information as not matching SSA records. The FFM may not have flagged an applicant\u2019s information for plan year 2015 as not matching SSA records if the applicant\u2019s information matched SSA records at the time of enrollment but the applicant later changed his or her name with SSA.", "The FFM did not address all SSN inconsistencies for plan year 2015. Specifically, about 33,000 of the 109,000 applicants for whom the FFM identified an SSN inconsistency for plan year 2015 (less than 1 percent of total applicants) had an open SSN inconsistency only (see fig. 4).", "An open SSN inconsistency may indicate a potentially improper or fraudulent enrollment because it indicates that the FFM did not verify the applicant\u2019s identity information but the applicant retained coverage. Applicants may have had open SSN inconsistencies in plan year 2015 because the FFM did not take steps to actively resolve SSN inconsistencies at that time. In some cases, an inconsistency generated late in the year may have remained open but, according to CMS officials, would have carried forward and generated a new inconsistency for plan year 2016. According to CMS officials, the FFM did not actively take steps to resolve SSN inconsistencies in plan year 2015 primarily because the FFM could not update SSNs in the data system at the time, as discussed in more detail later in this section. We previously reported that open SSN inconsistencies are indicators of potentially fraudulent applications. Specifically, we reported that we had successfully enrolled and received coverage with an associated subsidy in plan year 2015 for eight undercover identities that either did not provide an SSN or had an invalid Social Security identity. Further, HHS regulations state that the FFM must follow its standard inconsistency procedures if it is unable to validate an individual\u2019s SSN through SSA. To address this issue we recommended that CMS design and implement procedures to resolve SSN inconsistencies. In May 2017, CMS established written procedures for verifying SSNs with documents submitted by applicants, as discussed in more detail later in this report.", "The remaining applicants with an SSN inconsistency for plan year 2015 had either a resolved SSN inconsistency (14,000 applicants) or an SSN inconsistency that was expired or OBE (62,000 applicants). Although the FFM was not actively resolving SSN inconsistencies in plan year 2015, according to CMS officials, most applicants with an SSN inconsistency also had an inconsistency related to citizenship, status as a national, or lawful presence, and documentation submitted to resolve those inconsistencies may also resolve SSN inconsistencies. For example, according to CMS officials, if an applicant submitted a Social Security card to the FFM, an SSN inconsistency could be resolved based on that documentation. If an inconsistency related to citizenship, status as a national, or lawful presence expired, the FFM automatically expired the SSN inconsistency, according to CMS procedures. According to CMS officials, the FFM closed SSN inconsistencies as OBE if no action needed to be taken on the inconsistency because it was no longer relevant to the application, such as in cases where the applicant corrected his or her SSN on the application.", "To examine steps taken to verify SSNs and process SSN inconsistencies, we reviewed a nongeneralizable sample of 15 applicants of the 139,000 applicants who received coverage with an associated subsidy in plan year 2015 whose information did not match SSA records in our analysis. In 3 of the 15 cases, additional information provided by CMS indicates that the FFM verified that the SSN on the application was correct. Specifically, in two of the cases, our analysis found that the applicant\u2019s information did not match SSA records but the FFM verified the applicant\u2019s information and did not generate an SSN inconsistency. As previously discussed, the FFM may not have identified an SSN inconsistency if the applicant\u2019s information matched SSA records at the time of enrollment but the applicant later changed his or her name with SSA. In both of these cases, we found that the applicant\u2019s date of birth matched SSA records but the name did not, indicating that the applicant may have changed his or her name. In the third case, the FFM resolved the SSN inconsistency in plan year 2015 when the applicant submitted a Social Security card showing the same name and SSN as the application.", "In 5 of the 15 cases, the applicant had an SSN inconsistency in plan year 2015 that was not resolved. Specifically, in two of the five cases, the SSN inconsistency expired when an inconsistency related to citizenship, status as a national, or lawful presence was expired, in accordance with CMS procedures. In one case, the SSN inconsistency remained open because, as previously noted, the FFM did not take direct action to resolve SSN inconsistencies in plan year 2015, according to CMS officials. In two cases, the SSN inconsistency was OBE. According to CMS officials, an inconsistency status may be changed to OBE when the inconsistency no longer needs to be addressed as a result of changes to the application, such as when an applicant updates information on his or her application or the application changes to a non-financial-assistance application. CMS officials did not specify what circumstances resulted in the status of these two SSN inconsistencies being changed to OBE; however, one of the applicants had a subsequent health-insurance policy that did not provide financial assistance.", "We found that in 5 of the 15 cases, the FFM either resolved an SSN inconsistency in plan year 2015 when the applicant submitted a Social Security card or did not generate an SSN inconsistency for plan year 2015 because the applicant had provided a Social Security card in plan year 2014, but information on the applicant-provided Social Security card did not match information in CMS\u2019s data system. CMS officials did not indicate that the FFM had verified the name and SSN on the applicant- provided Social Security cards in these five cases with SSA records. The SSN on applicant-provided documentation may not have matched the SSN in CMS\u2019s data because, as discussed previously, system limitations existed prior to March 2017. Specifically, even if the FFM received a Social Security card to resolve an inconsistency, the FFM did not reflect this change in CMS\u2019s data system because the system did not have the capability to modify or update SSN information at the time, according to CMS officials. For example, if an applicant mistyped his or her SSN, the inconsistency may have been subsequently resolved if the applicant submitted a Social Security card, but CMS\u2019s data system would continue to reflect the incorrect SSN that had been originally submitted.", "Finally, we found that in 2 of the 15 cases, the FFM resolved the SSN inconsistency in plan year 2015 or the FFM did not generate an SSN inconsistency in 2015 because it resolved an SSN inconsistency in plan year 2014, but information provided by CMS did not support the resolution of the SSN inconsistency. Specifically, in one case in which the FFM resolved an SSN inconsistency for plan year 2015, we could not determine how the SSN inconsistency was resolved because, according to CMS officials, the applicant did not provide documentation of his or her SSN. In another case, the FFM automatically reenrolled an applicant for plan year 2015 without an SSN inconsistency after identifying an SSN inconsistency in plan year 2014 because, according to CMS officials, the applicant submitted a passport to resolve a citizenship inconsistency. While submission of a U.S. passport can be used to verify citizenship, CMS procedures do not permit using a passport to resolve an SSN inconsistency, and the applicant\u2019s passport did not contain an SSN. Because the applicant did not provide any other documentation to resolve the SSN inconsistency in plan year 2014 and the FFM did not generate an SSN inconsistency in plan year 2015, even though the applicant\u2019s information did not match SSA records, we could not determine whether CMS\u2019s data system reflects the correct SSN for this applicant.", "According to CMS officials, having an incorrect SSN on the application does not affect eligibility, since having an SSN is not a requirement for eligibility. However, as previously discussed, resolving data-matching inconsistencies without corroborating information with the appropriate agency puts the FFM at risk of approving potentially fraudulent or improper applications for subsidized coverage. We identified approximately $59 million in APTC for plan year 2015 associated with the applications of the 14,000 applicants who provided SSNs and other information that did not match SSA records and had a resolved SSN inconsistency. The $59 million may include APTC associated with applicants whose SSN inconsistencies were resolved without sufficient documentation, applicants who had SSN inconsistencies that were resolved based on applicant-submitted documentation that does not match the SSN in CMS\u2019s data system, and applicants whose SSN inconsistencies were resolved appropriately. We identified $112 million in APTC associated with the applications of applicants who did not have an SSN inconsistency flagged in plan year 2015, although some information did not match SSA records in our analysis. We could not associate APTC subsidies with individual applicants because applications may include more than one person.", "Further, inaccurate SSNs in CMS\u2019s system potentially impede the IRS\u2019s ability to reconcile APTC. The IRS is responsible for processing tax returns to determine the final amount of PTC to which taxpayers are entitled and for recovering APTC overpayments. To enable the IRS to reconcile APTC, PPACA requires marketplaces to report certain information on individuals with marketplace coverage, including the name, address, and taxpayer-identification number\u2014an SSN in cases where the individual has one\u2014to the IRS. The IRS compares information provided by the marketplace on the APTC paid to issuers on taxpayers\u2019 behalf to the amount for which taxpayers qualify based on actual household income and family size reported on their tax returns.", "In March 2017, system functionality upgrades were completed and deployed to enable the FFM to modify or update SSNs, according to CMS officials. In addition, as noted previously, CMS established procedures in May 2017 for verifying SSNs with documents submitted by applicants. These procedures require the FFM to take steps to update and verify SSNs by (1) obtaining documentation of the SSN or processing previously received SSN documents, (2) entering the SSN shown on documentation into CMS\u2019s data system, and (3) trying to verify the newly entered or corrected SSN with SSA records. Further, the procedures direct the FFM to escalate cases for CMS review if the SSN cannot be verified, or documentation submitted to verify the SSN matches the information originally provided by the applicant that could not be verified with SSA records, as this may indicate potential fraud. We did not independently verify that the procedures have been implemented because the changes occurred outside the scope of our review; however, if properly implemented, these changes may help reduce the risk that potentially improper or fraudulent applicants could obtain subsidized coverage by helping to ensure that SSNs are appropriately verified and corrected in CMS\u2019s data system."], "subsections": []}]}, {"section_title": "Relatively Few Reportedly Deceased Individuals Received Coverage with an Associated Subsidy, but Challenges Remain with Identifying Deceased Individuals before Automatic Reenrollment", "paragraphs": ["We found relatively few indicators that reportedly deceased individuals received coverage with an associated subsidy during plan year 2015. Specifically, we identified about 19,000 out of the approximately 7.74 million applicants who provided SSNs and other information that matched SSA records (about 0.24 percent) who received coverage with an associated subsidy on or after the date listed in the full death file as their date of death. HHS regulations state that in the case of termination of coverage due to death, the last day of enrollment in a qualified health plan through the FFM is the date of death. However, the FFM did not always terminate the enrollment of individuals through the exchange as of the date reported in the full death file as their date of death. Specifically, we found that the coverage for about 2,000 of the 19,000 reportedly deceased individuals ended on their reported date of death, but the remaining approximately 17,000 received or maintained coverage with an associated subsidy\u2014APTC or CSR, which the federal government pays to issuers on behalf of enrollees\u2014after their reported date of death (see fig. 5).", "Most insurance policies associated with reportedly deceased applicants began when they were alive and continued after their deaths, but in some cases the date of submission of the application for coverage occurred after the individual\u2019s reported date of death. Specifically, through our analysis, we found about 14,000 (82 percent) of the 17,000 policies that continued beyond the applicant\u2019s reported date of death began while the individual was alive (see fig. 6). However, the remaining policies began after the applicant\u2019s reported date of death, including about 1,000 policies (5 percent) for which the applicant reportedly died after the application was submitted but before coverage started and about 2,000 policies (13 percent) in which the applicant died before the application was submitted.", "We identified about $23.0 million in APTC\u2014which the federal government pays to issuers on behalf of enrollees\u2014after the date of death of the applicant associated with the 17,000 policies that started or continued after the applicant\u2019s reported date of death, of which about a fifth (about $4.7 million) was associated with the 2,000 policies of applicants who were reported as deceased before their application was submitted. We could not determine the portion of APTC associated with each individual on a policy or the extent to which the total APTC amount would have changed if the policy had been terminated as of the reportedly deceased individual\u2019s date of death. As previously discussed, taxpayers who choose to have APTC must reconcile the amount of APTC paid to issuers on their behalf with PTC they are eligible for on their income-tax returns. Therefore, the final PTC amount may differ from the amount of APTC paid to issuers because changes in circumstances, such as the death of an enrollee, may affect the amount of PTC for which an enrollee is eligible. We did not determine the extent to which APTC paid on behalf of reportedly deceased individuals was reconciled with PTC for which these individuals were ultimately eligible as the reconciliation process was outside the scope of our review. However, we previously found that not all individuals correctly filed their federal income-tax returns, as required, and the federal government is missing opportunities to recover overpayments of APTC as part of the reconciliation process. As a result, APTC overpayments that the federal government improperly provides to issuers on behalf of deceased enrollees may not be fully recovered through the reconciliation process.", "In the majority of cases in which the applicant reportedly died before the application was submitted (about 1,700 out of 2,000 policies), we found that the FFM had automatically submitted the application to reenroll the applicant. We reviewed five sample cases in which the date of the application submission occurred after the individual\u2019s reported date of death. For all five cases, the individual had received coverage with an associated subsidy in plan year 2014 and the FFM automatically reenrolled the individual for plan year 2015 after the reported date of death. According to additional information provided by CMS officials, the federal government paid APTC to issuers on behalf of all five of these individuals in plan year 2015 after their reported date of death.", "Deceased individuals may receive coverage with an associated subsidy beyond their reported date of death\u2014or the FFM may automatically reenroll deceased individuals after their reported date of death\u2014because the FFM does not always identify applicants as deceased after their initial enrollment in a qualified health plan. The FFM checks applicants\u2019 information against SSA\u2019s full death file to identify reportedly deceased individuals before enrolling them for coverage and subsidies. However, we previously found that the FFM does not conduct periodic checks during the year to determine whether any individuals have subsequently died. Further, according to CMS officials, the FFM does not recheck the full death file before automatically reenrolling applicants for subsequent plan years or reverify information, but rather only rechecks income, to help encourage individuals to maintain enrollment in coverage from one year to the next and align with the process for individuals with employer- sponsored health insurance. HHS regulations require marketplaces to periodically examine certain available data sources to identify changes\u2014 such as the enrollee\u2019s death\u2014to determine whether individuals receiving coverage with an associated subsidy remain eligible.", "CMS does not always identify deaths of enrollees in time to terminate enrollment through the exchange as of the date of death or to prevent automatic reenrollment, because CMS relies on third parties, such as family members, to report the death of an enrollee to the FFM. The FFM has procedures in place for individuals to report an enrollee\u2019s death in order to remove the enrollee from coverage. We reviewed a nongeneralizable sample of 15 of the 17,000 reportedly deceased individuals who received coverage with an associated subsidy after the date reported in the full death file as their date of death, including the five cases we reviewed in which the FFM automatically reenrolled the individuals after their reported date of death. In 8 of the 15 sample cases we reviewed, a family member or other individual contacted the FFM and reported the enrollee\u2019s death. In two of these cases, the individual reporting the death did not provide sufficient documentation of the death, as required by CMS. In three cases, the FFM received notification and a death certificate to verify the death, but did not terminate the policy as of the date of death. The FFM did not receive the death certificates for two of the three cases until 2016\u2014after the 2015 plan year had ended. In the other case, the deceased individual received coverage and subsidies for 3 months in 2015 after the reported date of death but the FFM did not receive the death certificate to verify the death until almost 2 months after the coverage was terminated. We could not determine the reason the individual\u2019s coverage had been terminated. According to CMS officials, in plan year 2015, the FFM received notification of policy termination and policy end dates from plan issuers but did not always receive information on the reason coverage was terminated.", "When the FFM does not receive sufficient notification of a death, the policy may be terminated by the issuer for nonpayment, according to CMS officials. According to HHS regulations, when individuals stop paying their premiums, such as in the case of death, there is a 3-month grace period, after which the individuals\u2019 policies would be terminated for failure to pay premiums retroactively to the last day of the first month of the grace period. For example, as shown in figure 7, if an individual dies on February 15 and the premium for the policy is not paid for months after the individual\u2019s death, the individual would enter a 3-month grace period covering March, April, and May. The issuer would terminate the policy for nonpayment on May 31, with a policy end date set retroactively to March 31\u2014the last day of the first month of the grace period. As a result, in cases in which the policy for a deceased individual is not paid for months occurring after the individual\u2019s date of death, the deceased individual may still receive subsidized coverage for 1 full month after the month of death.", "However, deceased individuals may receive subsidized coverage beyond the end of the first month after their date of death if the policy is not terminated by the issuer for nonpayment of premium. According to CMS officials, the plan issuer may continue to report a deceased individual as covered if the premium continues to be paid. For example, another individual may be authorized to make payments on the policy, such as a spouse who is also covered by the policy. We identified instances in which policies continued beyond the end of the first month after the date of death reported in the full death file, with some policies continuing until the end of the plan year. In 7 of our 15 sample cases\u2014including one case in which the applicant was automatically reenrolled for plan year 2015 after his reported date of death in October 2014\u2014the policy continued for more than 1 complete month in 2015 after the individual\u2019s reported date of death. In four of the seven sample cases in which coverage continued beyond the end of the first month after the individual\u2019s death, the policy also covered the deceased individual\u2019s spouse. In other instances, an individual may have set up payments covering future months prior to death. For example, in the case in which the applicant had been receiving coverage with an associated subsidy in 2014 and was then automatically reenrolled for plan year 2015 after his reported date of death in October 2014, the individual received subsidized coverage for the entirety of plan year 2015. According to CMS officials, the individual may have set up automated payments to pay the premium.", "We recommended in July 2017 that CMS assess and document the feasibility of approaches for periodically verifying individuals\u2019 continued eligibility by working with other government agencies to identify changes in life circumstances that affect APTC eligibility, such as death, that may occur during the plan year and, if appropriate, design and implement these verification processes. The agency agreed with the recommendation and stated that it was exploring approaches to identify enrollees who may be deceased and should therefore be unenrolled from coverage. Effectively addressing this recommendation is necessary to help ensure that the FFM does not provide coverage with associated subsidies to deceased individuals. However, as of September 2017, CMS officials could not confirm whether the approaches CMS was exploring would include rechecking the full death file prior to automatically reenrolling individuals. Without rechecking the full death file prior to automatic reenrollment to identify individuals who died during the plan year, the FFM remains at risk of providing coverage to deceased individuals, potentially for prolonged periods of time following their deaths, and of paying APTC to issuers on their behalf that may not be fully recovered through the reconciliation process."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Effective implementation of PPACA eligibility and enrollment provisions is a complex undertaking. As subsidies for insurance coverage through the FFM cost billions of dollars to the federal government annually, effective controls to ensure that only qualified applicants receive subsidized coverage under the act are especially important. For plan year 2015, the FFM generally verified citizenship, status as a national, or lawful presence and SSN information appropriately, with few indications that individuals received coverage with an associated subsidy fraudulently or improperly. However, in some instances, applicant-submitted documentation used to verify applicant information did not match CMS data. CMS has taken steps since 2015 to improve verification of applicant information, including taking steps to improve verification of SSNs using documentation submitted by applicants and adding capability to modify or update SSNs in its data system. These procedures and system upgrades, if properly implemented, should help improve verification of applicant SSNs that initially did not match SSA records.", "Further, while relatively few enrollees reportedly died prior to or during plan year 2015, some individuals received or maintained coverage with an associated subsidy after their reported deaths and some individuals were automatically reenrolled for the 2015 plan year after their reported death. The FFM checks the full death file prior to initial enrollment, but does not recheck the full death file to identify enrollee deaths during the plan year or prior to reenrolling individuals for the following plan year. Without processes to identify the deaths of enrollees in a timely manner, including prior to reenrollment for the following plan year, CMS is at risk of providing additional months of subsidized coverage improperly with related costs to the federal government. In 2017, we recommended that CMS assess the feasibility of approaches for periodically verifying changes, such as death, that affect eligibility for subsidies. Implementing our 2017 recommendation, and taking the additional step of assessing whether to check the full death file prior to automatically reenrolling individuals for the following plan year, could help ensure the FFM is not paying APTC on behalf of deceased individuals, especially for prolonged periods following their deaths."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["As part of its efforts to assess and document the feasibility of approaches to identify the deaths of enrollees that may occur during the plan year, the Administrator of CMS should specifically assess and document the feasibility of approaches\u2014including rechecking the full death file\u2014to identify the deaths of individuals prior to automatic reenrollment for subsequent plan years and, if appropriate, design and implement these verification processes. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to HHS for comment. In its written comments, which are reprinted in appendix II, HHS concurred with our recommendation. HHS also provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, the Administrator of CMS, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6722 or bagdoyans@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objective of this review was to examine the extent to which indications of potentially improper or fraudulent enrollments exist in the federally facilitated marketplace\u2019s (FFM) application, enrollment, and eligibility-verification process for the 2015 enrollment period.", "To identify indications of potentially improper or fraudulent enrollments in the FFM\u2019s application, enrollment, and eligibility-verification process, we reviewed relevant federal statutes, Department of Health and Human Services (HHS) regulations, and Centers for Medicare & Medicaid Services (CMS) policies for plan year 2015. We also met with CMS officials that oversee enrollment into the FFM.", "In addition, we obtained and analyzed eligibility and enrollment data for applicants enrolled from November 15, 2014, through December 31, 2015, and identified about 8.04 million applicants with an associated subsidy who effectuated enrollments in plan year 2015. For the purposes of this report, we define applicants receiving coverage with an associated subsidy as applicants receiving coverage in plan year 2015 with an associated advance premium tax credit (APTC) or Cost Sharing Reduction (CSR). The number of applicants receiving coverage with an associated subsidy and the amount of associated subsidies identified through our analysis may differ from the number of applicants who ultimately received subsidized coverage and the amount of subsidies received. In addition, we obtained and analyzed information on inconsistencies associated with these applicants as of December 31, 2015.", "We focused our analyses on three areas based on the eligibility and verification requirements the FFM must use to determine whether individuals are eligible to enroll and maintain coverage. Specifically, we identified and analyzed data for applicants receiving coverage with an associated subsidy (1) with inconsistencies related to citizenship, status as a national, or lawful presence; (2) whose information, including Social Security number (SSN), did not match the Social Security Administration\u2019s (SSA) records, and (3) who were reportedly deceased.", "Applicants who had inconsistencies related to citizenship, status as a national, or lawful presence. To review applicants with inconsistencies, we used data from the Department of Homeland Security\u2019s (DHS) Systematic Alien Verification for Entitlements (SAVE) system. Specifically, we obtained queries made by the FFM from November 15, 2014, through December 31, 2015, and compared them to approximately 961,000 applicants the FFM identified as having inconsistencies related to citizenship, status as a national, or lawful presence. For the purposes of this report, we considered applicants with open inconsistencies related to citizenship, status as a national, or lawful presence, or SSN, to be potentially improper or fraudulent. However, the number of potentially improper or fraudulent applicants may be understated since we did not take into consideration applicants with expired inconsistencies who may have continued to receive coverage and had subsidies paid to issuers on their behalf before CMS was able to terminate their coverage and subsidies.", "Applicants whose information, including SSN, did not match SSA\u2019s records. To identify applicants whose personal information\u2014 name, date of birth, or SSN\u2014did not match SSA\u2019s records, we used the SSA Enumeration Verification System (EVS) from November 16, 2016, through December 29, 2016, and SSA\u2019s Affordable Care Act (ACA) batch file from March 2017. Specifically, we processed the approximately 7.9 million applicants who provided an SSN of the about 8.04 million total applicants through SSA EVS and the SSA ACA batch file and analyzed the output codes to determine whether the information matched SSA\u2019s records. To determine whether the FFM had also identified an SSN-related inconsistency, we compared the SSA EVS analysis results to the FFM eligibility information. Although having an SSN is not a condition of eligibility, we consider applicants with open SSN inconsistencies to be potentially improper or fraudulent because open SSN inconsistencies indicate that the FFM was not able to verify the applicant\u2019s identity information, but the applicant retained coverage.", "Applicants who were reportedly deceased. To identify applicants who were reportedly deceased prior to or during plan year 2015, we compared the approximately 7.74 million applicants whose information matched SSA records of the about 8.04 million total applicants in the eligibility and enrollment data to the SSA full death file from June 2016. We matched records using the SSN, name, and date of birth. We limited our review to those applicants already verified through SSA EVS. We considered applicants to be potentially improper or fraudulent if they received or maintained coverage with an associated subsidy after the date reported in SSA\u2019s full death file as their date of death.", "To determine the reliability of the data used in our analysis, we performed electronic testing to determine the validity of specific data elements in the FFM and other federal data files that we used to perform our work. We also interviewed officials responsible for their respective databases, and reviewed documentation related to the databases and literature related to the quality of the data. On the basis of our own testing and our discussions with agency officials, we concluded that the data elements used for this report were sufficiently reliable for our purposes. For reporting purposes, we present the results of our data-matching analyses as approximate whole numbers.", "To review the results of our matches, we selected a nongeneralizable sample of 45 applicants that contained", "15 cases with inconsistencies related to citizenship, status as a national, or lawful presence;", "15 cases where the applicant SSN information did not match SSA", "15 cases where the applicant\u2019s information matched the SSA full death file.", "For all 45 cases, we requested and reviewed copies of available supporting documentation from CMS. Our review of applicant cases provides illustrative examples, and the results are not projectable to the entire population of applicants to the FFM.", "As discussed above, we focused our analyses on three areas. We did not perform analyses using independent data sources to verify other types of information required for applicants to enroll in qualified health plans and qualify for subsidies, which we have discussed in previous GAO reports. Specifically, we did not perform analysis on the following: Income. Internal Revenue Service (IRS) household income information is necessary in determining subsidy amounts, but can be up to 2 years old. Due to the age of the data, there may be discrepancies between applicants\u2019 attested information and what the marketplace obtains through the federal data services hub (data hub). According to HHS regulations and CMS guidance, if electronic data are unavailable or an applicant\u2019s attestation of projected annual household income is more than 10 percent below the annual household income as computed using available data sources, the marketplace must follow inconsistency-resolution procedures. These procedures will accept differences of up to 20 percent of an applicant\u2019s attested income from what CMS is able to recalculate using supporting documentation.", "Residency. Individuals must intend to reside in the state in which they are applying for coverage and are not required to have a fixed address in the state. The marketplace can accept self-attestation unless the information provided by the applicant is not reasonably compatible with other information provided by the applicant or in the records of the marketplace. HHS has recently stated that its previous assessments of available sources did not identify any comprehensive data source for verifying residency. However, we previously reported that CMS did not document an evaluation of available external sources to determine the quality, relevance, and reliability of the data, and recommended that it do so.", "Incarceration. Individuals must not be incarcerated (unless incarcerated while awaiting disposition of charges). We have previously reported that there are many challenges associated with using incarceration data, including the risk of false positives.", "We conducted this performance audit from November 2015 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following staff members made key contributions to this report: Philip Reiff, Assistant Director; Colin Fallon; Suellen Foth; Kristen Juskiewicz; Maria McMullen; Madeline Messick; James Murphy; Ariel Vega; Erin McLaughlin Villas; and Elizabeth Wood."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Stated Health-Insurance Marketplaces: Three States Used Varied Data Sources for Eligibility and Had Few Indications of Potentially Improper Enrollments. GAO-17-694. Washington, D.C.: September 7, 2017.", "Improper Payments: Improvements Needed in CMS and IRS Controls over Health Insurance Premium Tax Credit. GAO-17-467. Washington, D.C.: July 13, 2017.", "Patient Protection and Affordable Care Act: Results of Enrollment Testing for the 2016 Special Enrollment Period. GAO-17-78. Washington, D.C.: November 17, 2016.", "Patient Protection and Affordable Care Act: Results of Undercover Enrollment Testing for the Federal Marketplace and a Selected State Marketplace for the 2016 Coverage Year. GAO-16-784. Washington, D.C.: September 12, 2016.", "Patient Protection and Affordable Care Act: Most Enrollees Reported Satisfaction with Their Health Plans, Although Some Concerns Exist. GAO-16-761. Washington, D.C.: September 12, 2016.", "Patient Protection and Affordable Care Act: Final Results of Undercover Testing of the Federal Marketplace and Selected State Marketplaces for Coverage Year 2015. GAO-16-792. Washington, D.C.: September 9, 2016.", "Patient Protection and Affordable Care Act: CMS Should Act to Strengthen Enrollment Controls and Manage Fraud Risk. GAO-16-29. Washington, D.C.: February 23, 2016.", "Patient Protection and Affordable Care Act: Preliminary Results of Undercover Testing of the Federal Marketplace and Selected State Marketplaces for Coverage Year 2015. GAO-16-159T. Washington, D.C.: October 23, 2015.", "Patient Protection and Affordable Care Act: IRS Needs to Strengthen Oversight of Tax Provisions for Individuals. GAO-15-540. Washington, D.C.: July 29, 2015.", "Patient Protection and Affordable Care Act: Observations on 18 Undercover Tests of Enrollment Controls for Health-Care Coverage and Consumer Subsidies Provided under the Act. GAO-15-702T. Washington, D.C.: July 16, 2015.", "Patient Protection and Affordable Care Act: Status of CMS Efforts to Establish Federally Facilitated Health Insurance Exchanges. GAO-13-601. Washington, D.C.: June 19, 2013."], "subsections": []}], "fastfact": []} {"id": "GAO-18-378", "url": "https://www.gao.gov/products/GAO-18-378", "title": "DOD Health Care: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up", "published_date": "2018-04-26T00:00:00", "released_date": "2018-04-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Adverse medical events are unintended incidents that may harm a patient. Serious adverse medical events, called sentinel events, have specific follow-up requirements. The National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017) requires DHA to assume the military services' administrative responsibilities, such as adverse medical event reporting, for all MTFs beginning October 1, 2018.", "The NDAA 2017 included a provision for GAO to examine the reporting and resolving of adverse medical events in the military health system. Among other objectives, this report reviews (1) the extent to which sentinel events and RCA reports are tracked and DHA ensures it has received complete information, and (2) the extent to which DHA ensures it has received MOS reports. GAO examined relevant policies; analyzed the most current available data on sentinel events from 2013 through 2016; and interviewed officials with DHA, the military services, and four MTFs selected for variety in military service, size, and geographic location."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the process for tracking the most serious adverse medical events, called sentinel events, and their root cause analysis (RCA) reports are fragmented, impeding the Defense Health Agency's (DHA) ability to ensure that it has received complete information. Unlike other adverse medical events, sentinel events\u2014which may result in severe harm or death\u2014have additional reporting requirements that must be met within specified time frames. For example, military treatment facility (MTF) officials must develop RCA reports, which identify causal factors and corrective actions for sentinel events. However, because the database that DHA uses to collect information on adverse medical events does not currently have the capability to track this information, the military services (Army, Navy, and Air Force) and DHA each maintain their own tracking records for sentinel events and RCA reports. Due to these fragmented tracking efforts, DHA reconciles its information on sentinel events and RCA reports through monthly emails to the military services\u2014a time-consuming, inefficient process. DHA officials emphasized that this process relies on the military services' cooperation because DHA does not currently have the authority to compel their responses. Moreover, despite DHA's reconciliation efforts, GAO identified discrepancies and missing information in DHA's tracking record. As a result, DHA lacks critical information about why a sentinel event may have occurred and what actions, if any, MTFs should take to prevent similar incidents in the future. Recently, DHA replaced its previous system of emails with a new tracker tool that can be accessed on the military health system website. However, the new tracker does not allow the military services to make edits, and as a result, any corrections or additional information must be submitted to DHA via email, which may perpetuate previous inefficiencies.", "GAO found that DHA cannot ensure that it is receiving all reports on the implementation of corrective actions identified in RCA reports as required by a March 2015 memo. DHA officials stated that MTFs could meet this requirement by submitting copies of their measures of success (MOS) reports, which may be required by the Joint Commission, a hospital accrediting organization. As of September 2017, DHA had received 27 MOS reports for the 319 sentinel events that were reported in 2016. However, DHA does not know how many reports it is missing because MOS reports are not required for every sentinel event, and DHA did not began reconciling its information for these reports until January 2018, when it implemented its new tracker tool. Furthermore, GAO found that the new tracker tool documents the aggregate number of MOS reports received and does not indicate whether individual sentinel events have an MOS report, impeding DHA's ability to identify which reports are missing. This issue is compounded by the fact that the military services either track MOS reports in different ways or not at all, and military service officials said that DHA's requirement for MOS report submission is not clear. DHA officials stated that they expect to clarify this requirement in their update to the patient safety policy. Because it is unable to ensure it has received all reports on the implementation of corrective actions, DHA could be missing important information that could be used to help inform broader, system-wide patient safety improvement efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Assistant Secretary of Defense (Health Affairs) ensure DHA (1) improve tracking of sentinel events and RCA reports, and (2) clarify its requirements for submitting reports on the implementation of corrective actions and consistently track and reconcile individual reports. DOD agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["One of the key patient safety responsibilities within the Department of Defense\u2019s (DOD) Military Health System (MHS) is the reporting and tracking of adverse medical events\u2014unintended health care incidents, such as administering incorrect medication or treatment to a patient, that may or may not result in harm. DOD\u2019s Assistant Secretary of Defense for Health Affairs sets policies\u2014including patient safety policies\u2014for the MHS, and the Defense Health Agency (DHA) oversees the implementation of these policies. The military services (Army, Navy, and Air Force) and the National Capital Region (NCR) currently manage their own hospitals and clinics, referred to as military treatment facilities (MTF). In doing so, they develop policies that must align with DOD\u2019s policies, including policies for reporting adverse medical events that occur in their facilities. However, the National Defense Authorization Act for Fiscal Year 2017 (NDAA 2017) requires the transfer of administrative control of MTFs, including the reporting of adverse medical events, to DHA, beginning October 1, 2018.", "Information gleaned from the reporting and tracking of adverse medical events provides the military services, NCR, and DHA with critical information that can be used to make improvements in the way health care is delivered across the MHS. MTF officials are required to report all adverse medical events in DHA\u2019s Joint Patient Safety Reporting (JPSR) system, which captures information on the factors\u2014such as medication or equipment\u2014that may have contributed to the event. The most serious type of adverse medical event is called a sentinel event, which can result in unexpected death or serious physical or psychological harm to the patient. For every sentinel event, MTF officials are required to prepare a root cause analysis (RCA) report, which is intended to identify the factors that caused or contributed to the sentinel event, as well as corrective actions needed to prevent future incidents. For most sentinel events, an additional report\u2014a Measures of Success (MOS) report\u2014 may be required by the Joint Commission, a hospital accrediting organization that reviews sentinel events and assigns follow-up activities to accredited MTFs for these events. This MOS report includes the determination of whether the implementation of identified corrective actions was successful.", "In 2014, news articles highlighted concerns about medical errors and lapses in patient safety at MTFs, including staff\u2019s reluctance to report these errors. In August 2014, DOD released a review of the MHS that addressed patient safety, among other issues. While DOD\u2019s review found that the culture of safety within the system was comparable to that found in the civilian sector, the report made a number of recommendations that included the clarification of policy on the definitions for sentinel events to reduce variation in interpretation. In December 2017, the DOD Inspector General released a follow-up report focused on patient safety, which found that DOD had established courses of action to resolve all relevant patient safety findings identified in the 2014 review.", "The NDAA 2017 included a provision for us to examine several issues related to DOD\u2019s delivery of health care, such as reporting and resolving adverse medical events. In this report, we examine 1. the extent to which the military services\u2019 and NCR\u2019s policies align with DOD\u2019s policies for reporting adverse medical events; 2. the extent to which the military services, NCR, and DHA track sentinel events and RCA reports, and the extent to which DHA ensures it has received complete information; 3. the extent to which DHA ensures it has received MOS reports; and 4. how DHA uses information about adverse medical events to make improvements in its health care system.", "To examine the extent to which the military services and NCR have policies that align with DHA\u2019s policies for reporting adverse medical events, we reviewed and compared the military services\u2019 and NCR\u2019s policies with DHA\u2019s policies. We also reviewed relevant documents related to these policies, including updated memorandums. In addition, we interviewed officials from the military services\u2019 medical commands and NCR\u2019s medical directorate to determine how they manage patient safety efforts pertaining to reporting adverse medical events throughout their MTFs and how the future transfer of this authority to DHA may affect these efforts. We also conducted site visits to a non-generalizable sample of four MTFs\u2014Dwight. D. Eisenhower Army Medical Center (Fort Gordon, Ga.), Robert E. Bush Naval Hospital (Twentynine Palms, Calif.), Mike O\u2019Callaghan Federal Medical Center (Nellis AFB, Nev.), and Walter Reed National Military Medical Center (Bethesda, Md.)\u2014to better understand how the military services and NCR report adverse medical events in their facilities. Our site selection criteria included one MTF from each of the military services and NCR with a range of hospital sizes, geographic diversity, and numbers of reported adverse medical events. We also interviewed DHA officials, including officials from DHA\u2019s Patient Safety Program and the Patient Safety Analysis Center, and reviewed relevant documentation about their patient safety policies, their plans to update these policies, and how the future transfer of MTF administrative responsibilities to DHA will impact the reporting of adverse medical events.", "To determine the extent to which the military services, NCR, and DHA track sentinel events and RCA reports, we reviewed relevant military service, NCR, and DHA policies to identify requirements for sentinel events and RCA reports. We interviewed officials from the military services, NCR, and DHA about their tracking processes for sentinel events and RCA reports. We also interviewed officials during our site visits to the four MTFs about how they transmit information about sentinel events and their required RCA reports to their respective military service or NCR. We evaluated our findings against the GAO Fragmentation, Overlap, and Duplication: An Evaluation and Management Guide to identify any potential fragmentation.", "To determine how DHA ensures it has complete information, we reviewed relevant DHA policies, interviewed DHA officials, and obtained documents outlining DHA\u2019s monitoring process. We obtained the most current data available on reported sentinel events and RCA reports from 2013 through 2016 from tracking records maintained by each of the military services, NCR, and DHA, and we compared the data to assess DHA\u2019s monitoring efforts. We interviewed military service, NCR, and DHA officials about how these data are collected and documented, as well as the steps taken to ensure that the data are complete, and on this basis we determined that these data were sufficiently reliable for the purposes of our audit objective.", "To determine the extent to which DHA ensures that it has received MOS reports, we reviewed relevant military service, NCR, and DHA policies to identify requirements for completing and tracking these reports. We also reviewed documentation on requirements for MOS reports from the Joint Commission. We interviewed officials from the four MTFs we visited about how they transmit MOS reports to their respective military services or NCR. To determine how DHA monitors this information, we obtained data from DHA\u2019s tracking record on total MOS reports for reported sentinel events from 2016, the first full year that such reports were required to be submitted to DHA. We interviewed military service, NCR, and DHA officials about how these data are collected and documented as well as steps to ensure that these data are complete, and we determined that these data were sufficiently reliable for the purposes of our audit objective. We also assessed efforts to monitor MOS reports against federal standards for internal controls.", "To determine how DHA uses information about adverse medical events to make improvements in its health care system, we reviewed documentation on DHA\u2019s patient safety initiatives, relevant DHA publications, such as the Patient Safety Annual report, and the MHS website. We also interviewed military service, NCR, and MTF officials about the patient safety initiatives implemented by DHA, including how these initiatives are communicated to them and how the information is used to make improvements in their facilities.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Adverse Medical Events", "paragraphs": ["DHA requires the military services and NCR to categorize adverse medical events by severity, using seven categories defined by the Agency for Healthcare Research and Quality (AHRQ), ranging from unsafe condition to death. (See table 1.)", "MTF personnel must enter all adverse medical events in DHA\u2019s JPSR system, which was implemented in June 2011 in response to a statutory mandate for the MHS to establish a patient care error reporting and management system. The JPSR system is intended to provide ways to facilitate the self-reporting, collection, and aggregation of adverse medical event data across the MHS. The system includes prompts for information about factors that may have contributed to the event, such as medication or equipment, as well as the assignment of a severity category.", "From 2013 through 2016, the total number of reported adverse medical events in the JPSR system increased from over 76,000 to about 108,000. When analyzing adverse medical events, DHA groups the data into three categories\u2014near miss, no harm, and harm. The highest increase was in the near miss category (about 36,000 to 56,000) while the other two categories increased to a lesser extent. According to an internal DHA publication, a higher increase in near miss events alongside a decrease in harm and no harm events is considered a positive trend because it shows that more potential adverse medical events are being detected before they reach the patient. (See fig. 1.)"], "subsections": []}, {"section_title": "Sentinel Events", "paragraphs": ["The most severe types of adverse events are called sentinel events. In March 2015, DOD issued a memo that revised its previous definition of a sentinel event, which was an unexpected occurrence involving death or serious physical or psychological injury or risk. The revised definition states that a sentinel event is a patient safety event (not primarily related to the natural course of the patient\u2019s illness or underlying condition) that results in death, permanent harm, or severe temporary harm. The revised definition also added a list of events outlined by the Joint Commission and the National Quality Forum that go beyond those that result in unexpected death or serious physical or psychological harm to the patient. (See app. I for the revised definition of sentinel events.)", "From 2013 through 2016, DHA\u2019s data showed an increase in the total number of reported sentinel events\u2014both medical and dental\u2014from 121 to 319. Medical sentinel events approximately doubled from 101 to 206, while dental sentinel events increased more than fivefold from 20 to 113. (See fig. 2.) The sharp increase in events in 2015 may have been influenced by DHA\u2019s revised definition of sentinel events as well as the Army\u2019s inclusion of dental events that meet sentinel event criteria. A DHA internal publication also noted that a culture shift in patient safety reporting could have contributed to this increase.", "As with all adverse medical events, MTF personnel must enter sentinel events into the JPSR system; however, sentinel events have additional reporting requirements that must be met within specified time frames. For example, DHA policy requires MTF officials to report sentinel events to their respective military service or NCR within 24 hours after they become aware of the event. (See fig. 3, step 1.) MTFs also must report to and comply with sentinel event reporting requirements established by the Joint Commission. These requirements include the development and submission of an RCA report for each sentinel event to identify the causal and contributory factors associated with the event as well as the corrective actions needed to prevent future incidents. The military services and NCR submit copies of their RCA reports to DHA, which rates the corrective actions included in each RCA report as stronger, intermediate, or weaker based on an estimation of their effectiveness. (See fig. 3, step 2.) DHA uses commercial process improvement software called TapRooT to assist with the development of RCA reports, and DHA requires all MTFs to use a methodology for its RCA reports that is currently supported by this software.", "Additionally, once the Joint Commission approves an RCA report and its associated corrective action plan, it may require the preparation of an MOS report that assesses the corrective actions 4 months after an RCA report is submitted to determine whether the implementation of corrective actions and outcome measures was successful. Unlike RCA reports, these reports are only required for selected sentinel events as determined by the Joint Commission. DOD\u2019s March 2015 memo that revised the definition of sentinel events contained an additional requirement for the military services and NCR to submit copies of reports on the implementation of corrective actions to DHA. (See fig. 3, step 3.) DHA officials told us that MTFs could submit their MOS reports to meet this requirement. For this report we use the term MOS report when referring to this requirement."], "subsections": []}, {"section_title": "Transition of MTF Administrative Responsibilities to DHA", "paragraphs": ["Responsibility for the delivery of care in the MHS is shared among the Office of the Assistant Secretary of Defense (Health Affairs), DHA, the military service medical commands, and NCR\u2019s medical directorate. MTFs are currently under the direction and control of the Army Medical Command, the Navy Bureau of Medicine and Surgery, and the Air Force Major Commands. MTFs within the NCR are under the direction and control of the NCR medical directorate, which reports to DHA. (See fig. 4.)", "The NDAA 2017 included a provision that requires the Director of DHA to be responsible for the administration of every MTF beginning October 1, 2018. This responsibility includes budgetary matters, patient safety activities, information technology, and health care administration and management, among other things. As part of the patient safety activities, DHA officials will assume responsibility for adverse medical event reporting. As required, DHA submitted initial plans to Congress in both March and June 2017 about how it plans to implement its new responsibilities. In September 2017, we reported that DHA\u2019s plans summarize its new roles and responsibilities at a high level and that a significant amount of work remained to complete the implementation plan. On March 30, 2018, DOD submitted an additional implementation plan and stated that its final implementation plan will be completed by June 30, 2018."], "subsections": []}]}, {"section_title": "The Military Services\u2019 and NCR\u2019s Adverse Medical Event Policies Do Not Consistently Align with DOD\u2019s Policies, but Transition to DHA\u2019s Policies Is Planned", "paragraphs": ["Policies established by the military services and NCR for reporting adverse medical events are developed to implement DOD\u2019s policies\u2014 which tend to be broad\u2014and may include additional requirements specific to their branch of military service. However, we found that aspects of these policies do not consistently align with DOD\u2019s policies, including the definitions for adverse medical events and sentinel events, as well as requirements for entering events into the JPSR system. (See table 2.)", "Definition of adverse medical event. The Navy uses DOD\u2019s definition of an adverse medical event\u2014which includes events that may or may not result in harm to the patient. However, the Army, Air Force, and NCR defined this term more narrowly, to include only an event that causes actual harm to the patient. While the difference in these definitions could potentially result in the underreporting of events, officials from all four of the MTFs we visited told us that the discrepancy does not have much of an impact because the individuals who report these events\u2014MTF personnel\u2014are unlikely to be aware of the difference and likely follow the broader DOD definition.", "Policy on entering events in the JPSR system. Only NCR\u2019s policy states that adverse medical events should be entered into the JPSR system. However, Army, Navy, and Air Force officials as well as officials from one MTF we spoke with stated that they record all adverse medical events in the JPSR system even though their policies do not require it.", "Policy on reviewing adverse medical events. NCR and Air Force policies, which align with DOD\u2019s policy, require a review of an adverse event that is based on whether there is harm to the patient. In contrast, Army and Navy policies do not require that an adverse medical event be reviewed on the basis of whether there is harm to the patient, but they do require the event to be reviewed for the level of severity and probability of recurrence. However, Navy officials told us that reviewing an event for severity includes an assessment of harm to the patient even though this is not clearly stated in their policy. Additionally, all of the MTF officials we interviewed said that the JPSR system requires them to review an adverse medical event on the basis of whether there is harm to the patient and to assign a harm scale category.", "Memorandum that revised the definition of a sentinel event. Only the Army\u2019s draft policy aligned with DOD\u2019s March 2015 revised definition of sentinel events. However, MTF officials from the other military services and NCR told us that even though the revised definition was not in their policies, they were aware of the memo and were using this definition.", "Memorandum that requires the military services and NCR to submit copies of their reports on the implementation of corrective actions to DHA. The Army\u2019s draft policy that aligned with DOD\u2019s revised definition of sentinel events also included a section requiring the submission of these reports to DHA. The policies of the other military services and NCR do not include this requirement. However, officials from the other military services we interviewed told us that they are aware of this requirement and are submitting MOS reports to meet this requirement. NCR officials told us that they are aware of this requirement but have not begun submitting these reports.", "In March 2017, DOD\u2019s senior military medical leadership published operating principles to guide the implementation of specific MHS requirements outlined in the NDAA 2017. One of the operating principles to guide the transition of MTF administrative responsibilities to DHA requires DHA to create all health care policies for the direct care system (the MTFs) to ensure greater consistency and eliminate duplicative governance. As a result, the military services and NCR will no longer be establishing their own policies. According to DHA officials, the transition for DHA to be the single policy writer for MTFs will take time, and policies issued by the military services and NCR will remain in place until they are superseded by revised DHA policies. DHA officials are in the process of updating the department\u2019s patient safety policy through the Patient Safety Improvement Collaborative, a working group that includes patient safety representatives from all of the military services, NCR, and DHA. However, as of January 2018, DHA officials were uncertain as to when this effort would be complete."], "subsections": []}, {"section_title": "Fragmented Process for Tracking Sentinel Events and RCA Reports Impedes DHA\u2019s Ability to Ensure It Has Received Complete Information", "paragraphs": [], "subsections": [{"section_title": "Process Used by the Military Services, NCR, and DHA to Track Sentinel Events and RCA Reports Is Fragmented", "paragraphs": [], "subsections": [{"section_title": "Sentinel Event Tracking", "paragraphs": ["We found that the process used by the military services, NCR, and DHA to track sentinel events is fragmented. (See fig. 5.) Similar to all other types of adverse events, DHA requires that sentinel events be recorded in the JPSR system. However, DHA officials told us there are additional follow-up reports and associated deadlines for sentinel events that go beyond the JPSR system\u2019s current tracking capabilities, and as a result, officials from each of the military services and NCR told us they track sentinel events in their own tracking record outside of the JPSR system. Officials told us the military services and NCR receive reports about sentinel events from their MTFs via email, which are then entered in their respective internal tracking records and reported to DHA via email. DHA then enters and tracks the sentinel events in its own internal tracking record. DHA officials told us that they do not believe that all sentinel events are being entered in the JPSR system, and that the JPSR system does not currently have the capability to pull sentinel event data for tracking purposes. As a result, the same sentinel events are entered and tracked in two separate tracking records\u2014DHA\u2019s tracking record and the tracking records maintained by the military services or NCR.", "In a similarly fragmented process, MTFs email RCA reports\u2014a requirement for sentinel events\u2014separately to their respective military services or NCR, which then emails them to DHA. Although DHA requires MTFs to use a methodology currently supported by the TapRooT system to complete their RCA reports, DHA officials told us the TapRooT software is not compatible with most MTFs\u2019 computer systems, and as a result, MTFs do not share RCA reports through this system. Instead, they told us MTFs use the methodology from the TapRooT system to prepare the RCA report as a standalone document. Officials told us MTFs then email the RCA reports to their military service or NCR, which notates the RCAs in their respective internal tracking record. The military services and NCR email the RCA reports to DHA, which notates the reports in its own internal tracking record."], "subsections": []}]}, {"section_title": "Fragmented Tracking Impedes DHA\u2019s Ability to Ensure That It Has Complete Information on Sentinel Events and RCA Reports", "paragraphs": ["Because the process used by the military services, NCR, and DHA to track sentinel events and RCA reports is fragmented, DHA officials told us they must rely on their reconciliation process to ensure they have complete information. Specifically, on a monthly basis, DHA officials email separate spreadsheets of DHA\u2019s sentinel event records to each of the military services and NCR requesting confirmation of reported sentinel events and the status of overdue RCA reports, among other information. DHA officials acknowledged that their reconciliation process is inefficient and told us that their full-time employees and contractors spend an average of 80 hours per month working on it. Additionally, officials told us that sometimes information about sentinel events and RCA reports is lost or not effectively communicated due to complexities related to routing the email submissions and to turnover in the contract staff who track and reconcile this information. The cooperation of the military services and NCR is key to this process because officials told us that DHA currently has no authority to compel a response from these entities, although this may change with the transition of MTF administrative responsibilities to DHA. DHA officials told us they sometimes do not receive a response to their emails, and in these cases, DHA assumes concurrence.", "In an effort to improve the reconciliation process and compliance with RCA report submission requirements, DHA officials told us that they developed a new tool called the Comprehensive Analysis Progress Tracker for all three military services and NCR. DHA officials told us this tracker shows the full cycle of each sentinel event, including which RCAs are overdue, and is available on the MHS internal website. DHA officials told us that this tracker, launched in October 2017, replaced the previous system of separate monthly reconciliation emails with individual spreadsheets for each military service and NCR. In January 2018, DHA officials told us they began using this tracker at monthly Patient Safety Improvement Collaborative meetings and will use it during monthly check-ins with the military services and NCR to discuss delayed or missing items. However, the military services and NCR cannot directly edit the Comprehensive Analysis Progress Tracker. As a result, DHA officials told us that the military services and NCR will continue to use email to submit their sentinel events and RCA reports as well as any corrections or additional information needed for the tracker, which may perpetuate previous inefficiencies."], "subsections": []}, {"section_title": "Despite Reconciliation Efforts, DHA Does Not Have Complete Information on Sentinel Events and RCA Reports", "paragraphs": ["Despite DHA\u2019s efforts to reconcile its information on sentinel events and RCA reports, we identified discrepancies and missing information in its tracking record."], "subsections": [{"section_title": "Sentinel Event Discrepancies", "paragraphs": ["We found that the sentinel events in all of the military service and NCR tracking records matched DHA\u2019s tracking record except for those of the Navy. Specifically, DHA had a record of 19 sentinel events that the Navy did not have for 2013 through 2016. DHA officials were not sure of the reason for the discrepancy between their tracking record and the Navy\u2019s, but told us that sometimes sentinel events are reported to DHA and later determined to not be reportable, and DHA is not given the updated status of the event. Navy officials told us that although they initially reported these 19 events as sentinel, the Joint Commission informed the Navy that it did not consider these events to be sentinel after reviewing the Navy\u2019s submission. Navy officials told us that they determined these events also did not meet other sentinel event criteria per DHA\u2019s revised definition, which goes beyond the definition used by the Joint Commission. Further, Navy officials told us they informed DHA that these events had been deemed non-sentinel by the Joint Commission, and DHA\u2019s tracking record subsequently noted this. However, DHA did not remove the events from its tracking record."], "subsections": []}, {"section_title": "RCA Report Discrepancies", "paragraphs": ["We found discrepancies in the number of RCA reports when comparing DHA\u2019s internal tracking record to the military services\u2019 and NCR\u2019s internal tracking records. In some instances, we found that DHA had more RCA reports in its tracking record than the military services or NCR for reported sentinel events, and in other instances, DHA had fewer RCA reports in its tracking record than the military services or NCR:", "DHA had more RCA reports in its internal tracker than in the Army\u2019s internal tracker for 2015 (2 more) and 2016 (1 more).", "DHA had fewer RCA reports than the Air Force in 2013 (3 less), 2014 (2 less), 2015 (13 less), and 2016 (1 less).", "Additionally, DHA had fewer RCA reports for reported sentinel events for NCR in 2015 (1 less) and 2016 (18 less).", "Officials with the military services and NCR told us they did not know why there were differences between their tracking records and those of DHA. However, Army and NCR officials offered potential reasons for these differences.", "Army officials told us that they may have fewer RCA reports than DHA because they recently transitioned their sentinel event and RCA tracking record from a spreadsheet format to a database, and some reports may not have been copied into the database.", "NCR officials told us their tracking record may not match DHA\u2019s tracking record because an MTF may submit only one RCA report to DHA that covers multiple similar sentinel events, so DHA may have fewer reports documented in its internal tracking record."], "subsections": []}, {"section_title": "Missing RCA Reports", "paragraphs": ["For some reported sentinel events, we found that the required RCA reports had not been recorded in any tracking record for the Army, NCR, or DHA. (See table 3.)", "Army and NCR officials told us that they did not know why they did not have a record of an RCA report for every sentinel event in their internal tracking record. However, these officials explained that there are a number of potential reasons that RCA reports could be missing, including insufficient MTF staff to carry out these activities, and MTF officials\u2019 confusion about the revised definition of a sentinel event.", "DHA officials told us that they did not know the reasons for the discrepancies between the tracking records for the military services, NCR, and DHA or for the missing RCA reports. Specifically, DHA officials did not know whether these reports were completed but not submitted to DHA or were not completed at all. They told us that they rely on the cooperation of the military services and NCR to submit these reports and cannot enforce the requirement, although this may change with the transition of MTF administrative responsibilities to DHA. Because of these discrepancies and missing RCA reports, DHA lacks critical information about why a sentinel event may have occurred and what actions, if any, MTFs should take to prevent similar incidents in the future.", "We have previously reported that when fragmentation or overlap exists, there may be opportunities to increase efficiency. In particular, our prior work identified management approaches that may improve efficiency and effectiveness, including implementing process improvement methods and technology improvements. As MTF patient safety responsibilities are transitioned to DHA, the fragmented tracking process may hamper DHA\u2019s ability to efficiently and effectively monitor sentinel events and RCA reports, potentially leading to missed opportunities for systemic improvements."], "subsections": []}]}]}, {"section_title": "DHA\u2019s Efforts to Ensure It Receives MOS Reports Are Limited and Impeded by Inconsistent Report Tracking and Unclear Requirements about Report Submission", "paragraphs": [], "subsections": [{"section_title": "DHA\u2019s Efforts to Ensure It Receives MOS Reports Are Limited and Impeded by Inconsistent Report Tracking", "paragraphs": ["As of September 2017, DHA had received 27 MOS reports for the 319 sentinel events that were reported in 2016. However, DHA does not know how many reports it is missing because its efforts to reconcile information for these reports have been limited. Prior to January 2018, DHA did not include MOS reports as part of its reconciliation process for sentinel events and RCA reports. However, in January 2018, DHA officials told us they added MOS reports to their new monthly reconciliation process using the Comprehensive Analysis Progress Tracker. While this tracker displays the total number of MOS reports DHA has received, it does not display whether individual reported sentinel events have an associated MOS report. Without this information, DHA may be unable to identify which MOS reports are missing. DHA officials told us that they may revise the Comprehensive Analysis Progress Tracker to follow up on MOS reports associated with specific sentinel events in the future.", "DHA\u2019s efforts to identify which MOS reports are missing are further impeded by the military services\u2019 and NCR\u2019s inconsistent tracking efforts. Specifically, the military services and NCR have been tracking the submission of their MOS reports in different ways or not at all.", "Army officials had told us that the completion of MOS reports was noted in their internal tracking record for sentinel events and RCAs. Army officials subsequently told us that as of January 2018, they began tracking whether MOS reports were submitted to DHA in the notes section of their internal tracking record.", "Navy officials told us they indicated the due date of the MOS report and the date of its submission to DHA in their internal tracking record for sentinel events and RCA reports.", "Air Force officials told us they indicated in their internal tracking record for sentinel events and RCA reports the date that the MOS report was sent to DHA. However, they told us the Air Force\u2019s process for tracking and submitting MOS reports to DHA has been inconsistent, and they plan to revise it in the future.", "NCR officials told us they did not track the completion of MOS reports or their submission to DHA.", "Because of these issues, DHA may not be able to fully reconcile its information for individual MOS reports or identify the reports it is missing, impeding its ability to obtain complete information on the effectiveness of MTFs\u2019 corrective action plans. This is inconsistent with federal internal control standards, which require management to identify and respond to risks to achieve its objectives, and for management to use quality information to achieve its objectives."], "subsections": []}, {"section_title": "DOD\u2019s Requirement to Submit Reports on the Implementation of Corrective Actions Is Unclear", "paragraphs": ["The requirement in DOD\u2019s memo to submit reports on the implementation of corrective actions is unclear, which may also impact DHA\u2019s ability to ensure that it is receiving these reports for all sentinel events. DHA officials told us that MTFs could meet this requirement by submitting copies of their MOS reports. According to the Joint Commission\u2019s guidance, the Joint Commission assigns MOS reports on an ad hoc basis, depending on the sentinel event, RCA report, and corrective actions, and as a result, an MOS report is not necessarily required for each sentinel event.", "DHA officials told us that they intended to obtain a report on the implementation of corrective actions for every sentinel event, and they believed that an MOS report was required and thus would be reported for every sentinel event, similar to RCAs. However, DHA officials told us that they learned from the military services and NCR at the January 2018 Patient Safety Improvement Collaborative meeting that an MOS report was not required for every sentinel event and that DHA\u2019s requirement for submitting reports on the implementation of corrective actions was unclear. Specifically, DHA officials told us the military services and NCR told DHA that the 2015 memo did not state when the reports on the implementation of corrective actions are required by DHA. For example, the memo did not state whether DHA requires this report for a reported sentinel event and RCA when the Joint Commission does not.", "DHA\u2019s unclear requirement is inconsistent with internal control standards, which require management to review policies for continued relevance and effectiveness in achieving the entity\u2019s objectives. Under the current policy, DHA cannot be sure it is receiving all reports on the implementation of corrective actions\u2014such as MOS reports\u2014as it intended, and therefore, it may be missing important information on the effectiveness of MTFs\u2019 implementation of their corrective actions that could be used to help inform broader system-wide improvements. DHA officials told us that they expect to clarify this requirement in DHA\u2019s update to its patient safety policy."], "subsections": []}]}, {"section_title": "DHA Uses Information about Adverse Medical Events to Inform System-wide Patient Safety Improvement Initiatives", "paragraphs": ["We found that DHA has introduced several system-wide patient safety improvement initiatives informed by data on adverse medical events from the JPSR system and data on sentinel events from DHA\u2019s tracking database, including the following: DHA\u2019s Partnership for Improvement. In January 2015, DHA established an MHS-wide information technology system called the Partnership for Improvement. The Partnership for Improvement collects data from MTFs and assesses MTF performance on approximately 38 health care measures that were established by a committee of MHS officials and designed to improve readiness, population health, and quality of care as well as control costs. Three of these measures focus on patient safety\u2014central line-associated bloodstream infection, unintended retained foreign object, and wrong site surgery. To track these measures, DHA officials told us that they created an associated performance dashboard, including acceptable ranges for each measure, to provide visibility into MHS, military service-, and NCR-level performance. The dashboard is available to all MHS users on the system website and allows MTF leaders and staff to review MTF-level performance data. DHA officials conduct quarterly system-wide performance assessments on these measures. DHA officials told us they use the data on this dashboard to determine what is improving and where to make changes. Officials from each of the military services, NCR, and each of the MTFs we visited told us they are aware of the Partnership for Improvement and its associated dashboard and that they review the data to assess their performance.", "Publications on Patient Safety. DHA produces several types of publications using adverse medical event and sentinel event data that officials told us are generally distributed to MTFs through the military services and NCR, including the following.", "Patient Safety Data Snapshot. This monthly publication contains an overview of adverse medical event and sentinel event data, trends across the MHS, and short descriptions of sentinel events that have been reported in the system in the same month. Additionally, this publication may include reports of medical product deficiencies, or materials that have been determined to be or are suspected of being harmful, defective, deteriorated, or unsatisfactory because of malfunction or design.", "Annual patient safety report. This yearly publication provides a retrospective status update on MHS patient safety initiatives and in- depth adverse event and sentinel event trend analysis, system-wide and by military service. Content includes trends in adverse events reported in JPSR, sentinel events, and RCAs, including information on weaker, intermediate, and stronger corrective actions. This report also describes progress on Partnership for Improvement measures system-wide and by military service and NCR, the culture of patient safety, and collaboration across DHA, the military services, and NCR. The report also details online resources for MHS officials.", "Focused review. According to officials, focused review publications are produced three times a year, and the topics are related to adverse medical events and associated follow-up data provided to DHA as determined by data and performance trends. For example, in September 2016, the publication included an explanation of the basic components of an RCA, including their associated corrective actions and factors DHA considers when determining if they are stronger, intermediate, or weaker. This publication included 2013 through 2016 system-wide data, such as the number of RCAs submitted, the most common root cause categories, and the proportion of RCAs with stronger, weaker, or no corrective actions. The publication also included an example of a decrease in occurrences of wrong-site surgery accompanied by an improvement in RCAs with stronger corrective actions, common pitfalls in conducting high-quality RCAs, and recommendations to conduct better RCAs.", "Patient safety alerts. DHA uses these publications to inform the MHS about immediate hazards, and officials told us they produce these publications on an as-needed basis. For example, a July 2016 report was focused on unintended retained foreign objects during surgery, specifically, pieces of gloves. The publication described recent occurrences of retained pieces of gloves, glove selection best practices, tips for preventing unintended retention, and corrective actions when retention occurs.", "Global Trigger Tool. The Global Trigger Tool is a new tool for collecting adverse medical event data by selecting a sample of medical charts that was implemented MHS-wide as of September 2017. Unlike traditional methods to detect adverse events, the Global Trigger Tool does not focus on voluntary reporting and tracking of adverse medical events. Instead, a team of three reviewers managed by DHA uses the tool methodology to retrospectively examine a random selection of patient medical charts at a facility over time to identify \u201ctriggers\u201d (or clues) that may lead to an adverse medical event. The 53 triggers include events such as a patient fall or readmission to the emergency department within 48 hours of treatment. If a trigger is discovered, the medical chart is further reviewed to determine if an adverse event occurred. After the Global Trigger Tool review is complete, the contractor is able to provide facility leaders with rates of harmful adverse events per 1,000 patient days and per 100 admissions. Results from the tool are intended to aid MTFs in understanding the true frequency of harm events and in identifying systemic issues that contribute to patient safety events. All inpatient MTFs across the MHS will use the tool, and implementation began in 2017. The Global Trigger Tool has just begun to provide data to the MTFs, and DHA officials told us that 6 to 12 months of data is recommended before the tool can be used to make improvements.", "Sentinel Event and Root Cause Analysis (SERCA) tool. In October 2017, DHA released a dashboard called the SERCA tool, which DHA officials told us will allow all MTF patient safety leaders to share lessons learned in the course of sentinel event follow-up in real time. The SERCA tool displays sentinel event and RCA data from DHA\u2019s internal tracking record reported by the military services and NCR. It is intended to provide quick, online access to sentinel event trends MHS-wide and at the military service, NCR, and MTF levels. The SERCA tool is also intended to facilitate sharing of lessons learned and best practices based on sentinel events and RCAs in a single platform. DHA officials told us that individuals with access to the system will be able to see a breakdown of corrective actions submitted by other MTFs for a particular type of sentinel event and whether these corrective actions were rated as stronger, intermediate, or weaker by DHA. DHA officials told us that for now, they will allow the military services and NCR to determine who has access to the system. Officials from two military services and NCR told us that they have access to this tool and are responsible for granting access to their MTFs. One MTF we visited told us they have access to this tool. However, it is too early to evaluate how the SERCA tool will be used to make improvements."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Each year, thousands of adverse medical events are reported at MTFs. Tracking and conducting follow-up on these events is crucial for officials to learn from and prevent these events in the future. As DHA assumes administrative responsibility for all MTFs, its role in ensuring that sentinel events\u2014the most serious type of adverse medical events\u2014are reported and tracked and that required follow-up is conducted will become increasingly critical. However, the current fragmented and inconsistent tracking process across the military services and NCR has impeded the efficiency of DHA\u2019s efforts to ensure DHA has complete information about sentinel events and RCA reports. Furthermore, DHA cannot ensure that it is receiving all reports on the implementation of corrective actions, such as MOS reports, and does not know how many reports it is missing for a number of reasons, including those related to policy, tracking, and reconciliation efforts. Collectively, all of these information gaps impair DHA\u2019s ability to fully understand the types of sentinel events that are occurring in its MTFs, the corrective actions that have been implemented, and whether these actions have been effective. This information is essential to prevent adverse medical events from occurring in the future and to ensure that the care provided by MTFs is safe and effective."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Assistant Secretary of Defense (Health Affairs):", "Ensure DHA improves as appropriate the systems and processes used by the military services, NCR, and DHA to track sentinel events and RCA reports and require the military services and NCR to communicate with DHA the reasons RCA reports are not completed for reported sentinel events. (Recommendation 1)", "Ensure DHA clarifies its requirement that reports on the implementation of corrective actions, such as MOS reports, should be completed and submitted to DHA, and to work with the military services and NCR to develop a standard system to help DHA consistently track and reconcile information about individual reports. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["DOD provided written comments on a draft of this report, including technical comments, which we incorporated as appropriate. In its written comments, which are reprinted in appendix II, DOD concurred with both of our recommendations. In response to our first recommendation, DOD acknowledged that its current tracking efforts for sentinel events and RCAs are fragmented, inefficient, and unreliable. DOD stated that in the future, it envisions a single system to track and monitor sentinel events, RCAs, and corrective action implementation plan reports. A single system would eliminate the fragmentation associated with tracking these reports and the need for a cumbersome reconciliation process, potentially improving the completeness and reliability of DHA\u2019s patient safety data as well as its ability to identify and implement system-wide improvements.", "In response to our second recommendation, DOD stated that it will clarify the difference between an MOS report, which may be required by the Joint Commission, and a corrective action implementation plan report, which will always be required by DOD for reported sentinel events. DOD explained that when an MOS report is required by the Joint Commission, this report will satisfy DOD\u2019s requirement. However, when the Joint Commission does not require an MOS report for a sentinel event, DOD will require a corrective action implementation plan report. DOD stated that it expects the revised policy to be signed in late summer 2018 and in effect by October 1, 2018\u2014the date that DHA is to assume responsibility for the administration of all MTFs.", "We are sending copies of this report to the Secretary of Defense and appropriate congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or at draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Department of Defense\u2019s (DOD) Revised Definition of a Sentinel Event", "paragraphs": ["In a March 2015, the Assistant Secretary of Defense for Health Affairs issued a memorandum about improving the sentinel event and root cause analysis (RCA) reporting processes. This memorandum also revised DOD\u2019s definition of sentinel events, which previously stated that a sentinel event is an unexpected occurrence involving death or serious physical or psychological injury or risk. The revised sentinel event definition is a patient safety event (not primarily related to the natural course of the patient\u2019s illness or underlying condition) that reaches a patient and results in death, permanent harm, or severe temporary harm. This revised definition also includes additional types of events outlined by the Joint Commission and the National Quality Forum. (See table 4.)", "DOD described the following sentinel events that are outlined by the Joint Commission:", "Suicide of any patient receiving care, treatment, and services in a staffed around-the clock care setting or within 72 hours of discharge, including from the hospital\u2019s emergency department.", "Unanticipated death of a full-term infant or discharge of an infant to the wrong family.", "Abduction of any patient receiving care, treatment, and services.", "Any elopement (unauthorized departure) of a patient from a staffed around-the-clock care setting (including the emergency department), leading to death, permanent harm, or severe temporary harm to the patient.", "Destruction of red blood cells transfusion reaction involving administration of blood or blood products that have major blood group incompatibilities.", "Rape, assault (leading to death, permanent harm, or severe temporary harm), or homicide of any patient receiving care, treatment, and services while on site at the hospital.", "Invasive procedure, including surgery, on the wrong patient, at the wrong site, or that is the wrong (unintended) procedure.", "Unintended retention of a foreign object in a patient after an invasive procedure.", "Severe neonatal excess of bilirubin (bilirubin >30 milligrams/deciliter).", "Prolonged fluoroscopy with cumulative dose >1,500 rads to a single field or any delivery of radiotherapy to the wrong body region or >25 percent above the planned radiotherapy dose.", "Fire, flame, or unanticipated smoke, heat, or flashes occurring during an episode of patient care.", "Any maternal death or severe maternal or morbidity occurring during or after birth (24 hours)."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to those named above, key contributors to this report were: Bonnie Anderson, Assistant Director; Danielle Bernstein, Analyst-in- charge; Jacquelyn Hamilton; Elizabeth T. Morrison; Vikki Porter; and Helen Sauer."], "subsections": []}]}], "fastfact": ["Medical errors, system vulnerabilities, or process failures can permanently or temporarily harm\u2014or kill\u2014patients. In military health facilities, it's critical to track and analyze these \"sentinel events\" to help prevent them in the future.", "The military services and the Defense Health Agency both track such events. Agency officials told us they spend 80 hours a month reconciling their records with the military services, but in some instances, the records don't match. The agency may be missing opportunities to make military health care safer. We recommended improving the tracking of sentinel events and follow-up requirements."]} {"id": "GAO-18-471", "url": "https://www.gao.gov/products/GAO-18-471", "title": "2018 Tax Filing: IRS Managed Processing Challenges and Enhanced Its Management of Tax Law Changes", "published_date": "2018-09-10T00:00:00", "released_date": "2018-09-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["During the tax filing season, generally from January to mid-April, IRS processes over 100 million individual tax returns and provides telephone, correspondence, online, and in-person service to tens of millions of taxpayers. In 2018, IRS had to begin taking steps to implement major tax law changes passed in what is commonly referred to as the Tax Cuts and Jobs Act that affect both individuals and businesses.", "GAO was asked to review IRS's performance during the 2018 filing season and its efforts to implement the Tax Cuts and Jobs Act. GAO assessed IRS's (1) performance providing service to taxpayers and processing individual tax returns and (2) early efforts to implement the Tax Cuts and Jobs Act.", "GAO analyzed IRS documents and data and interviewed IRS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) generally improved its customer service during the 2018 filing season compared to prior years and managed multiple return processing challenges. For the third year in a row, IRS improved its telephone service by answering 80 percent of calls seeking live assistance and reducing wait times to about 5 minutes, as of the end of the 2018 filing season. This compares to 37.5 percent of calls answered with an average wait time of about 23 minutes during the 2015 filing season. Taxpayer use of online services also increased, including irs.gov and its online account tool for taxpayers to view their balances due. However, answering taxpayer correspondence remains a challenge\u2014IRS was late responding to about 37 percent of correspondence as of the end of the 2018 filing season compared to about 26 percent at the same time in 2017. In 2015, GAO recommended that the Department of the Treasury (Treasury) include timeliness in handling taxpayer correspondence as part of its performance goals, but as of June 2018 Treasury had not done so. Overall, despite multiple challenges including mid-filing season changes to tax law and a computer system failure, IRS met its processing targets for individual tax returns.", "In 2018, IRS began taking steps to implement significant tax law changes from Public Law 115-97\u2014commonly referred to by the President and many administrative documents as the Tax Cuts and Jobs Act. To implement the changes, IRS established a centralized office to coordinate implementation across IRS offices and divisions. IRS officials cited the broad scope and complexity of the changes\u2014which will require extensive changes to tax forms, publications, and computer systems\u2014along with the 1 year time frame as key implementation challenges. Although IRS has taken steps to address these challenges, such as developing a project planning tool, GAO found that the new coordination office did not initially fully include the Human Capital Office (HCO), the division responsible for managing the agency's workforce. Based on GAO's discussions with IRS officials, representatives from HCO now attend weekly coordination meetings discussing and planning the tax law changes. Involving HCO in these discussions will better position IRS to hire new employees and train them and the existing workforce. It will also help HCO better understand training requirements and staffing needs ahead of the 2019 filing season."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Because HCO is now attending the weekly meetings, GAO is not making a related recommendation. In addition, GAO believes that its 2015 recommendation to Treasury to include timeliness in handling correspondence as part of its performance goals, which Treasury neither agreed or disagreed with, is still valid. IRS generally concurred with GAO's findings but noted concerns with interpreting the percentage of correspondence considered \u201coverage\u201d (more than 45 days old). GAO clarified its report but notes that while the open inventory of overage correspondence at the end of the fiscal year is not representative of total overage items for the year, the overage rates are relatively consistent throughout the year."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Internal Revenue Service (IRS) enforces tax laws, provides service to tens of millions of taxpayers, and processes over 100 million individual tax returns during the filing season. High-quality customer service is important for taxpayers to fulfill their tax obligations accurately and timely. Meanwhile, IRS continues to face the ongoing threat of identity theft (IDT) refund fraud and other forms of noncompliance with the Internal Revenue Code. IRS estimates that at least $1.68 billion in IDT refund fraud was paid in 2016. In addition, in 2016, IRS estimated the average gross tax gap\u2014the difference between the amount that taxpayers owe and the amount they actually pay\u2014was $458 billion each year from 2008 to 2010. Of that amount, IRS estimated $406 billion will never be collected through late payments or enforcement activities\u2014this amount is the net tax gap. We have previously found that more could be done to reduce the net tax gap and help taxpayers voluntarily comply with tax requirements.", "In 2017, IRS implemented provisions of the Protecting Americans from Tax Hikes Act of 2015 (the act) to help combat fraud and other forms of noncompliance. The act allowed IRS earlier access to Wage and Tax Statement forms (W-2) that IRS uses in a process called systemic verification, which helps IRS verify return information against employer- provided information on W-2s before issuing refunds to combat fraud and noncompliance. The act also required IRS to hold a subset of returns\u2014 those that claimed the Earned Income Tax Credit (EITC) or Additional Child Tax Credit (ACTC)\u2014until February 15 to increase the number of returns that could be verified before issuing refunds. To improve fraud prevention, the act required IRS to assess and make changes to its management of individual taxpayer identification numbers (ITIN), used by taxpayers who are required to file but who are ineligible for Social Security numbers (SSN), such as certain non-U.S. citizens who have tax liabilities.", "Along with these responsibilities, during the 2018 filing season, IRS had to begin preparations for implementing significant changes to the tax law. In December 2017, Public Law 115-97\u2014commonly referred to by the President and many administrative documents as the Tax Cuts and Jobs Act\u2014was enacted. The law included significant changes to corporate and individual tax law.", "You asked us to review IRS\u2019s performance during the 2018 tax filing season. In this report, we assess (1) IRS\u2019s performance in providing customer service and processing individual income tax returns, including addressing tax law changes, detecting fraud and noncompliance, and processing ITINs, in the 2018 filing season compared to prior filing seasons, and (2) IRS\u2019s early efforts to implement the Tax Cuts and Jobs Act prior to the 2019 filing season.", "To assess IRS\u2019s performance providing customer service and processing tax returns, we reviewed IRS performance data for the 2013 through 2018 filing seasons (January through mid-April) for telephone, correspondence, online, and in-person services to identify any differences among years. We interviewed IRS officials to obtain their views on the reasons for any differences in IRS\u2019s service and processing performance. We reviewed changes in tax law resulting from the Disaster Tax Relief and Airport and Airway Extension Act of 2017, the Bipartisan Budget Act of 2018, and the Tax Cuts and Jobs Act that affected taxpayers filing during the 2018 filing season, and we assessed IRS\u2019s performance processing tax returns affected by these provisions. Regarding systemic verification (IRS\u2019s process for verifying tax return information against employer-provided W- 2 information to identify fraud and noncompliance), we reviewed IRS data and documents to compare 2017 and 2018 results, and we interviewed IRS officials about their efforts to improve and expand systemic verification\u2019s application to other areas. Regarding implementation of the ITIN provisions, we reviewed the Protecting Americans from Tax Hikes Act of 2015 and IRS policies and data on ITIN issuance, renewal, and deactivation for 2017 and 2018 to describe IRS\u2019s ITIN renewal processing. We also interviewed IRS officials about their efforts to manage ITIN renewals.", "To assess IRS\u2019s efforts to implement tax law changes, we reviewed provisions of the Tax Cuts and Jobs Act and other recently passed laws with tax law implications. We interviewed IRS officials to identify key implementation steps, including challenges and risk mitigation efforts.", "To assess the reliability of data used in this report, we reviewed IRS data to identify unexpected values, interviewed IRS officials, and assessed documentation for any data limitations, which we note, as applicable, within the report. We compared those results to our data reliability standards and determined that the data presented in this report are sufficiently reliable for our purposes.", "We conducted this performance audit from January 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "IRS Budget", "paragraphs": ["IRS\u2019s budget declined by about $658 million (5.5 percent) between fiscal years 2013 and 2018 (see fig. 1). Furthermore, full-time equivalents funded with annual appropriations declined by 10,876 (12.7 percent) between fiscal years 2013 and 2018. The President\u2019s fiscal year 2019 budget request was $11.135 billion. This amount is less than the fiscal year 2000 level for IRS, after adjusting for inflation. IRS requested an additional $397 million to cover implementation expenses for the Tax Cuts and Jobs Act over the next 2 years and received $320 million for implementation pending submission of a spend plan, which IRS provided in June 2018. IRS officials said the majority of the money would be directed toward technological updates."], "subsections": []}, {"section_title": "IRS Customer Service", "paragraphs": ["IRS uses multiple channels to provide customer service to taxpayers, as follows: Telephone service. Taxpayers can contact IRS assistors via telephone to obtain information about their accounts throughout the year or to ask basic tax law questions during the filing season. Taxpayers can also listen to recorded tax information or use automated services to obtain information on the status of refund processing as well as account information such as balances due. During fiscal years 2013 through 2017, IRS received an average of about 107 million calls from taxpayers each year, according to IRS data.", "Correspondence. Taxpayers may also use paper correspondence to communicate with IRS, which includes responding to IRS requests for information or data, providing additional information, or disputing a notice. IRS assistors respond to taxpayer inquiries on a variety of tax law and procedural questions and handle complex account adjustments, such as amended returns and duplicate filings. IRS tries to respond to paper correspondence within 45 days of receipt; otherwise, such correspondence is considered overage. In fiscal year 2017, about 35 percent of the nearly 17.5 million pieces of correspondence IRS received was overage, down from approximately 47 percent of 20.8 million pieces of correspondence in fiscal year 2013. Minimizing overage correspondence is important because delayed responses may prompt taxpayers to write again, call, or visit IRS Taxpayer Assistance Centers (TAC); each of which lead to additional costs. Additionally, IRS is required to pay interest on refunds owed to taxpayers if it did not process amended returns within 45 days.", "Online services. IRS\u2019s website is a low-cost method for providing taxpayers with basic interactive tools to check their refund status or balance due, make payments, and apply for plans to pay taxes due in scheduled payments (installment agreements). Taxpayers can use the website to print forms, publications, and instructions and can use IRS\u2019s interactive tools to get answers to tax law questions without calling or writing to IRS. IRS data show that total visits to IRS\u2019s website in fiscal year 2017 were about 500 million.", "In-person services. Face-to-face assistance remains an important part of IRS\u2019s service efforts, particularly for low-income taxpayers. Taxpayers can receive face-to-face assistance at one of about 370 IRS TACs or at thousands of sites staffed by volunteer partners during the filing season. At TACs, IRS representatives provide services including answering basic tax law questions, reviewing and adjusting taxpayer accounts, taking payments, authenticating ITIN applicants, and assisting IDT victims. Based on IRS data, nearly 3.3 million taxpayers visited an IRS TAC in fiscal year 2017. At sites staffed by volunteers, taxpayers can receive free return preparation assistance as well as financial literacy information. In fiscal year 2017, nearly 3.6 million taxpayers had their returns prepared at volunteer sites, according to IRS data."], "subsections": []}, {"section_title": "Systemic Verification", "paragraphs": ["Systemic verification is one element of IRS\u2019s Return Review Program, its primary system to detect fraud and noncompliance. The Return Review Program is a platform that runs individual tax returns through a set of rules and models to detect potential taxpayer fraud and other noncompliance. During systemic verification, IRS checks information that taxpayers report on their returns against W-2 data in order to verify wage and withholding information and identify discrepancies.", "We previously reported that the wage information that employers report on the W-2 had not been available to IRS until after it issued most refunds. In an effort to address issues such as refund fraud and improper EITC payments, Congress enacted the Protecting Americans from Tax Hikes Act of 2015, which included provisions that took effect in 2017. The act required employers to submit W-2s to the Social Security Administration (SSA) by January 31, which is about 1 to 2 months earlier than in prior years. SSA then provides W-2 data to IRS for verifying employee wage and withholding data on tax returns. The act also required IRS to hold refunds for all taxpayers claiming the EITC or ACTC until February 15. Now that IRS has earlier access to W-2 information, IRS is using it to conduct additional verification checks before issuing billions of dollars in potentially fraudulent refunds.", "IRS issues individual taxpayer identification numbers (ITIN) to certain non-U.S. citizens who have federal tax reporting or filing requirements and do not qualify for SSNs. The Protecting Americans from Tax Hikes Act required taxpayers that filed a U.S. federal tax return containing an ITIN to renew the number if the ITIN was not used on at least one tax return in the past 3 years or it was issued prior to 2013 and contained certain middle digits. IRS reported that it deactivated approximately 12.4 million ITINs in 2017 and notified affected taxpayers via mail and public notices. If affected taxpayers did not renew their ITINs either before filing or in conjunction with filing, their refunds may have been delayed."], "subsections": []}, {"section_title": "Tax Cuts and Jobs Act", "paragraphs": ["The Tax Cuts and Jobs Act made a number of significant changes to the tax law affecting both individuals and corporations. For example, for individual taxpayers, for tax years 2018 through 2025, tax rates were lowered for nearly all income levels, some deductions from taxable income were changed (personal exemptions were eliminated while the standard deduction was increased), and certain credits, such as the child tax credit, were expanded. For individuals with business income reported on their tax return (pass-through entities), effective tax rates can be reduced with a 20 percent deduction of qualified business income. For corporate filers, the tax rate was changed from a range between 15 and 35 percent to a flat rate of 21 percent, and the corporate alternative minimum tax was eliminated. IRS must take action to make the necessary changes to process tax returns in 2019 and to help taxpayers understand the new law and its effect on their tax obligations. For example, IRS has planned and begun conducting outreach to employees, employers, and industry associations encouraging employees to reassess their withholdings in light of changes the law made to deductions and credits that may affect tax liability and withholding for a large number of taxpayers."], "subsections": []}]}, {"section_title": "IRS Improved Customer Service, Managed Multiple Challenges Processing Returns, and Identified More Potential Fraud and Noncompliance Compared to Last Year", "paragraphs": [], "subsections": [{"section_title": "Customer Service Generally Improved During the 2018 Filing Season", "paragraphs": ["IRS\u2019s telephone, online, and in-person services generally improved during the 2018 filing season compared to prior years. However, timeliness in responding to written correspondence declined from last year. Our prior recommendations could help IRS better manage its correspondence performance and develop a comprehensive customer service strategy to improve its efforts."], "subsections": [{"section_title": "Telephone Service", "paragraphs": ["During the 2018 filing season, IRS slightly improved its telephone level of service\u2014the percentage of callers seeking and receiving live assistance\u2014and reduced wait times (see fig. 2). From January 1 through April 21, 2018, IRS estimated that it answered 80 percent of calls seeking live assistance, which is a slight increase from about 79 percent for the same period last year, and reduced the average caller\u2019s wait time to speak to an assistor from 6.5 to 5.1 minutes.", "This marks the third year of measured improvements since IRS reached a low of 37.5 percent level of service in 2015 with a 23.1-minute average wait time. IRS officials attributed the improvements to decreased telephone call volume and sufficient staff levels to meet the demand for service. IRS expected its level of service for the entire fiscal year 2018 to be 75 percent, which is similar to fiscal year 2017 when IRS achieved a 77.1 percent level of service.", "Total call volume to IRS taxpayer service lines has declined by about 43 percent since 2013 (see fig. 3). IRS officials attributed the decline in call volume to several factors, including targeted media campaigns to ensure taxpayers had the information they needed to prepare and file their tax returns prior to the filing season, fewer attempts by callers to re-dial multiple times after receiving busy signals or disconnects or abandoning the call after long wait times, and moving calls inquiring about balances due and installment payments to the compliance division, which, according to IRS data, accounted for approximately 2 million calls in the 2018 filing season.", "The percentage of calls that IRS assistors have answered since 2013 has generally increased, while calls answered by automated services has generally decreased. IRS officials attributed the decrease in automated calls answered to discontinuation of the e-file personal identification number (PIN) automated retrieval service in June 2016, along with a decrease in callers using the Where\u2019s My Refund automated service.", "In December 2014, we recommended that IRS systematically and periodically compare its telephone service to the best in business to identify gaps between actual and desired telephone performance. In response, IRS benchmarked its telephone service, measures, and goals to comparable agencies and companies in an internal 2016 study. IRS projected that achieving an 83 percent level of service would optimize its balance between wait-time, disconnects, and assistor availability. However, officials told us in June 2018 that they are adjusting this projection based on new services and procedures introduced since the 2016 study.", "The study also recommended exploring using new technology, including email, online chat, and telephone call-back features as well as establishing regularly scheduled follow-up benchmarking. In March 2018, IRS officials told us they are implementing some of the recommendations from the study, including requesting funding to implement a customer call- back feature. IRS is also developing new methods of monitoring and reporting service performance across telephone, online, and in-person channels to identify changes in taxpayer behavior and better adapt to their needs.", "IRS telephone performance data for 2018 were unavailable from November 2017 until March 2018. IRS officials explained that IRS was upgrading the Enterprise Telephone Data System\u2014IRS\u2019s official source for all data related to its toll-free telephone performance measures\u2014to a more current version. Before IRS completed the upgrade, the system crashed. Due to the system outage, IRS was unable to publish its reports on telephone performance. IRS officials told us that while the system remained offline, they could still monitor daily call demand and staff resources, which they used to develop an estimated level of service to monitor telephone performance. Once the system was operational, IRS recovered and validated the data, confirming that the data they used while the system was offline were sufficiently accurate.", "In addition, IRS replaced the approximately 15-year-old telephone equipment it uses for answering taxpayer calls because of ongoing failures that contributed to poor service. For example, at times the assistor could hear the customer speaking, but the customer could not hear the assistor. The new equipment will enable future service improvements such as a call-back feature so customers will not have to wait on the line for a response. IRS completed the upgrades as planned in June 2018."], "subsections": []}, {"section_title": "Correspondence", "paragraphs": ["Because the same staff answer telephone calls and respond to correspondence, IRS has continued to struggle to balance competing demands for maintaining quality telephone level of service with timely responses to written correspondence. Between October 1, 2017 and April 21, 2018, IRS received over 9 million pieces of correspondence. IRS staff focus on answering the telephones during the filing season, so they have less time to respond to correspondence, resulting in inventory and processing time increases. As it had in prior years, IRS directed staff to focus on correspondence early in December 2017 and January 2018 to reduce the inventory before the filing season. However, through April 21, 2018, the overage rate of correspondence\u2014the percentage of cases generally not processed within 45 days of receipt by IRS\u2014was 36.8 percent compared to 26.4 percent at the same time last year.", "To improve the management of taxpayer services, in 2015 we recommended that the Secretary of the Treasury update the Department of the Treasury\u2019s (Treasury) performance plan to include overage rates for handling taxpayer correspondence as a part of Treasury\u2019s performance goals. To implement this recommendation, we suggested that Treasury include this performance measure as part of a comprehensive customer service strategy. Treasury neither agreed nor disagreed with our recommendation, and as of June 2018, it had not included correspondence overage rates as a performance goal in its performance plan. We continue to believe that this recommendation is valid.", "IRS established its new online account service in November 2016 and taxpayer use of this service has increased since then. The online account service was unavailable to new users between mid-October and early December 2017 because of a security breach at Equifax, the service IRS used to verify users\u2019 identities. In September 2017, Equifax announced that criminals had exploited a vulnerability in its systems and obtained personally identifiable information on 145.5 million individuals, including names, SSNs, birth dates, addresses, and in some cases, driver\u2019s license information. IRS suspended its online account service, eventually re- activating it when it replaced Equifax\u2019s identity verification service with another provider. IRS\u2019s online account allows taxpayers to view their IRS account balance (including the amount they owe for tax, penalties, and interest), take advantage of various online payment options, and access the Get Transcript application where taxpayers can obtain copies of their prior tax returns.", "Despite these challenges, use of IRS\u2019s online account has increased since its launch. Between January 1, 2018 and April 30, 2018, total unique users of the online account reached over 1 million compared to 327,000 for the same period in 2017 when the service was newly launched. In addition, taxpayers increasingly used the online account to access payment options, including payment agreements. For example, taxpayers made four times as many payments using the online account to access Direct Pay, IRS\u2019s online payment option, between January 1 and April 30, 2018 compared to the same period last year.", "IRS experienced a separate online service disruption prior to the 2018 filing season. Tax professionals could not access e-services between September and October 2017 because of an IRS delay in a scheduled upgrade to the system and improvement to the security of the application. This service is used by tax professionals to conduct transactions, including applying for authorization as an e-file provider. As a result of this delay, tax professionals were unable to use this key service during a critical planning period prior to the filing season, shortening the amount of time available to complete the necessary actions before filing season. Despite this delay, IRS officials told us that more than 60,000 tax professionals were able to complete their transactions in preparation for the 2018 filing season.", "Finally, IRS launched a redesigned website in August 2017 to make it easier to use and find information. Website use during the 2018 filing season showed the greatest year-to-year increase over the past 5 years (see fig. 4). From January 1 through April 21, 2018, visits to irs.gov increased by about 24.2 percent compared to the same period last year (from 311.4 million to 386.9 million). During that same period, total page views increased by about 50.4 percent (from 1.27 billion to 1.91 billion).", "In-person visits to IRS\u2019s Taxpayer Assistance Centers (TAC) have declined since IRS began requiring appointments for in-person service in 2016. During the 2018 filing season (January 1 through April 21, 2018), IRS served 1 million taxpayers at the TAC locations compared to about 1.3 million during the same period in 2017. However, IRS officials reported that, between January 1 and April 30, 2018, over half of the approximately 1.6 million taxpayers requesting an appointment had their questions resolved on the telephone and did not need an appointment.", "IRS policy mandates that, under special circumstances, taxpayers who arrive at a TAC without an appointment receive service if staff members are available, even when the assistors do not have appointment openings. Officials acknowledged that not all taxpayers receive service if they walk in because there are not always assistors available. As of April 30, 2018, IRS served nearly 63,000 taxpayers during the 2018 filing season under an exception to the required appointment process. IRS officials noted that the lines at TACs have shortened in recent years, which they attribute to the appointment system and services available through the telephone. Nationwide, 5.8 percent of taxpayers waited over 30 minutes for assistance between January 1 and April 21, 2018, compared to 5.6 percent during the same period in 2017, according to IRS data. Service improved compared to the same period for 2013 to 2016 when between 27 and 33 percent of taxpayers waited over 30 minutes for assistance.", "To improve the appointment process, in 2018 IRS developed the Field Assistance Scheduling Tool, which helps IRS manage appointments at the TACs and monitor availability and demand. IRS expects to add to this tool by developing reporting capabilities for managing staff availability and appointments, including the capability to measure the time lapse between when a taxpayer calls to schedule an appointment and the actual appointment. According to IRS officials, by using the tool\u2019s current capabilities, they identified the need to recruit and train nearly 100 employees from other areas of IRS to support increased demand at 27 TAC locations near the end of the filing season.", "IRS also provided alternative options for in-person taxpayer services. In January 2017, IRS opened four co-locations with the Social Security Administration (SSA). During the 2018 filing season, 708 taxpayers received in-person service at these co-locations as of April 21, 2018. In May 2018, IRS officials said they were working to open an additional co- location with SSA. In addition, IRS added six virtual assistants\u2014kiosks that provide video calling to an IRS assistor\u2014to the 31 existing terminals across the United States."], "subsections": []}, {"section_title": "Customer Service Strategy", "paragraphs": ["We have made several recommendations for IRS to improve its customer service. In December 2012, we recommended IRS develop a strategy to improve telephone and correspondence service. While IRS has taken steps toward implementing related recommendations, including the telephone benchmarking study mentioned earlier, IRS has not completed the actions we recommended, including (1) outlining a comprehensive strategy that defines appropriate levels of correspondence service and wait time and (2) listing specific steps to manage service based on an assessment of time frames, demand, capabilities, and resources. However, IRS officials told us in June 2018 that they had begun drafting a customer service strategy that they expected to complete by September 2018. We will assess this strategy once it is issued.", "Additionally, in December 2011 and April 2013 we made recommendations that call for IRS to develop a long-term strategy for providing and improving web-based services to taxpayers. In June 2018, officials in the Office of Online Services stated that they do not have a specific strategy that outlines their long-term vision for increasing online services and web offerings. Rather, they rely on IRS\u2019s fiscal year 2018\u20132022 Strategic Plan to provide that vision. The fiscal year 2018\u2013 2022 Strategic Plan includes objectives related to expanding digital options for taxpayers and professionals to interact efficiently with IRS, and developing additional self-assistance and correction tools for enhanced online account capabilities. However, this plan is at a high level and does not include business cases for new online services that describe the potential benefits and costs of the projects, timelines and a prioritization of proposed projects. In July 2018, IRS officials provided additional documentation that we are reviewing to assess the steps being taken to develop a long-term strategy to improve web services for taxpayers."], "subsections": []}]}, {"section_title": "IRS Managed Multiple Processing Challenges During the 2018 Filing Season Including Changes in Tax Law and Issues with Hiring and Redistributing Work Responsibilities", "paragraphs": ["IRS started the filing season on January 29, 2018, approximately 1 week later than it has in recent years to ensure the security and readiness of processing systems and to assess the potential impact of recently passed tax laws on 2017 tax returns. IRS also extended the filing deadline by 1 day after a system outage occurred on tax day, April 17, 2018, that prevented IRS from processing electronically filed returns. Taxpayers were able to prepare and submit returns electronically during the day; but a flaw in the mainframe prevented data from being accepted and released for processing. IRS officials said the problem was caused by a hardware issue in a 1.5 year old mainframe subcomponent and was not related to IRS applications or any of the agency\u2019s legacy computer systems. The system failure affected a number of electronic applications, including Direct Pay and the online account service, and delayed return processing until the end of the day. IRS officials said that the agency recovered the system without data loss and worked with software companies to coordinate their transmission of returns that were held earlier in the day. These officials said the agency was able to process all returns submitted electronically by the end of the day.", "Neither the system issue nor the later start had a significant effect on returns processing during the filing season. As of April 20, 2018, IRS had processed 130.48 million returns, compared to 128.85 million by the same time last year.", "IRS experienced several additional challenges during the 2018 filing season, including multiple pieces of legislation affecting individual tax returns that passed soon before the beginning of the filing season or after it had begun, as well as issues hiring and redistributing work responsibilities in some IRS processing facilities."], "subsections": [{"section_title": "Changes in Tax Law", "paragraphs": ["Disaster relief. On September 29, 2017, Congress passed a law which provided tax relief related to retirement plan distributions and casualty losses for people affected by Hurricanes Harvey, Irma and Maria. The law allowed storm victims to deduct disaster losses on their 2017 returns or on amended 2016 returns. On February 9, 2018, Congress extended these benefits to certain taxpayers affected by wildfires in California. The President also issued major disaster declarations for many areas affected by the hurricanes and wildfires, allowing IRS to use its authority to postpone certain tax-related deadlines under the Robert T. Stafford Disaster Relief and Emergency Act. The laws also offered other forms of tax-relief\u2014such as hardship distributions from employer-sponsored retirement plans. To address issues resulting from disaster-related legal changes, IRS issued press releases and public notices informing taxpayers of tax- relief options; postponed various filing and payment deadlines for individuals and businesses affected by disasters; ensured that sites offering in-person taxpayer assistance in Puerto Rico, Florida, and Texas were open and developed special products to support these sites in dealing with affected taxpayers; and adapted procedures to accommodate disaster-relief efforts.", "IRS officials also said they corresponded with taxpayers they thought were eligible for new disaster relief benefits as a result of legal changes put in place. The officials told us that as of May 26, 2018, the agency had assisted 37,000 taxpayers seeking live telephone assistance and worked or closed 6,196 amended returns and 8,847 correspondences related to Hurricanes Harvey, Irma, and Maria.", "Tax Cuts and Jobs Act. While many of the provisions included in the Tax Cuts and Jobs Act will not affect filing until the 2019 filing season, a few changes affected filing in 2018. For example, the threshold to claim the medical expense deduction was temporarily lowered, allowing individuals to claim deductions for medical expenses totaling more than 7.5 percent of their adjusted gross income for tax years 2016 and 2017. Also, provisions similar to those described above were implemented for certain qualified federally declared disasters that occurred in 2016. The law passed shortly before the start of the filing season and IRS had to recall, revise, and re-issue more than 100 products that had already been published.", "In addition, several provisions affecting business filers presented processing challenges during the 2018 filing season. For example, IRS made changes to its forms to address fiscal year filers whose earnings will be taxed at different rates for 2017 and 2018 (referred to as blended rate) and developed forms and instructions for filers whose returns involve the foreign earnings of foreign subsidiaries of U.S. companies. Officials told us they processed returns subject to the blended rate provision manually and held returns affected by the foreign earnings provision until they completed necessary programming changes for the systems to process them in accordance with the new law. As of May 18, 2018, the agency was holding 2,265 affected individual and business returns. IRS officials said they completed the programming required to process all of these returns automatically by July 2, 2018. However, depending on when IRS completes processing these returns, it may need to pay interest on some refunds. IRS officials said they do not expect many of the held returns affected by the foreign earnings provision to claim refunds.", "Extension of expired tax provisions. On February 9, 2018, after some taxpayers had already filed their 2017 taxes, Congress extended to 2017 a number of temporary tax provisions that expired at the end of 2016. These provisions include deductions for qualified tuition and related expenses and the ability to deduct premiums for mortgage insurance as interest. Testifying before Congress, the Acting Commissioner of IRS described the extensions as a major processing challenge and said this is the only time the agency has been required to implement retroactive tax extensions after the beginning of a filing season. To address the extensions, IRS officials told us they reprogrammed systems to accept taxpayer claims related to these retroactively extended provisions; recalled, revised, and re-released more than 50 already published products; and held 5,624 individual returns while necessary programming changes were made to ensure proper processing."], "subsections": []}, {"section_title": "Issues Hiring and Redistributing Work Responsibilities", "paragraphs": ["IRS faced challenges in two of its five paper processing centers related to hiring and redistributing work responsibilities. The center in Ogden, UT experienced issues related to changes in work assigned to the site while the center in Austin, TX experienced ongoing hiring difficulties. Despite these challenges, IRS officials reported that the agency was able to meet all of its target dates for processing returns and issuing refunds.", "Ogden. To realize cost savings from the decrease in paper filing as a result of increased electronic filing, IRS began to consolidate its paper processing centers in 2018. As part of this plan, IRS moved some individual paper return processing to its facility in Ogden. This facility had not processed individual returns since 2000 and IRS officials told us that the lack of recent experience with this kind of work caused processing to fall behind targets. For example, as of March 2, 2018, Ogden had missed IRS targets for return processing time by between 14 and 15 days, depending on the form type.", "Officials told us the agency had reintroduced Ogden to the work gradually, by assigning fewer returns to the site in the first year; nevertheless, the site still experienced delays. For example, as of March 2, Ogden had processed 10.6 percent of the 202,000 returns expected, while the processing centers in Fresno, CA and Kansas City, MO had processed 98.5 percent (723,000 out of 734,000) and 98.2 percent (545,000 out of 555,000) of their expected returns respectively on the same date.", "IRS minimized the effects of these delays on overall processing by transferring returns initially sent to Ogden to the Kansas City location, which enabled IRS to meet its overall processing goals. Later in the filing season, processing at Ogden had improved, but still had not reached IRS\u2019s goal for the site. For example, as of May 11, 2018, Ogden was at approximately 73 percent of schedule, having processed 716,000 out of 977,000 scheduled returns. IRS officials said that responding to changes in work flows is a normal aspect of processing across all locations, but noted that the agency continued to monitor the situation in Ogden and learn from the experience to guide future consolidation efforts.", "Austin. This processing facility, slated for closure in 2024, also experienced processing delays. As we reported in 2017, and as IRS officials told us again this year, IRS was unable to hire enough personnel to process paper tax returns at this site, which may be due to low unemployment rates in the area. IRS officials told us Austin planned to hire 567 employees by early March to transfer data from paper returns to an electronic format, but had only been able to hire 142 people, or 25 percent of that target. IRS officials told us the position was perceived as undesirable in a low-unemployment environment. The officials said they had addressed the issue by (1) moving resources as needed within the service center and (2) transferring returns to the Kansas City facility for processing."], "subsections": []}]}, {"section_title": "IRS Identified More Potential Fraud and Noncompliance by Verifying Wage Information Than It Did at the Same Point in the 2017 Filing Season", "paragraphs": ["IRS identified more potential fraud and noncompliance through February 15, 2018, than it had by the same time last year. In its second year of receiving earlier W-2 data from SSA to match against returns, IRS identified a larger number of potentially fraudulent or noncompliant returns claiming the EITC or ACTC prior to issuing refunds\u2014340,000 compared to 162,000 at the same point in 2017. IRS also reduced the percentage of returns for which it was unable to verify wage information to 13 percent, compared to 58 percent in 2017. IRS officials told us this was, in part, a result of receiving 224 million W-2s by February 15 compared to 214 million by the same time in 2017. Having more W-2 data available earlier also allowed IRS to better target its selection of returns for review, helping to reduce taxpayer burden and IRS workload. For example, IRS had excluded 10,000 returns from review as of February 15, 2018, compared to 3,000 during the same time in 2017.", "In addition, IRS improved its ability to identify potentially false and fraudulent returns for returns with EITC or ACTC\u2014including those for which it did not have W-2 data at the time of identification\u2014by developing two new filters that automated some aspects of the manual review process used in 2017. IRS developed the new filters based on cases of confirmed fraud identified through systemic verification in 2017 and selected returns with characteristics that are more likely to be fraudulent or noncompliant. The filters select returns for review among those reporting information that does not match corresponding W-2 data and that IRS could not verify because it did not have W-2 data at the time of selection. Last year, IRS identified 12,000 cases of confirmed fraud from the 162,000 cases it selected for review. IRS officials told us that they do not have final data at this time, but that they anticipate they will confirm more cases of fraud and noncompliance in 2018 as a result of these filters.", "Returns with refunds not claiming EITC or ACTC benefits are also subject to systemic verification as well as additional fraud filters. However, for returns not claiming these benefits, IRS does not hold refunds when it is unable to verify wages reported by the taxpayer unless the returns are selected by other fraud filters for review. As we reported in January 2018, IRS cannot verify information reported for more than half of returns submitted early in the filing season prior to issuing refunds because it receives W-2 information throughout the filing season. In 2017 and 2018, IRS received and processed the majority of W-2s by mid- to late- February. In addition, IRS verified most wage information on returns submitted in mid-February as being accurate. IRS verified that accurate wage information was reported on 77 percent of returns not claiming the EITC or ACTC submitted between February 9 and 15, 2018, representing $10.91 billion in refunds.", "However, IRS does not have data available early in the filing season that would help it better identify which returns are potentially fraudulent or noncompliant. As a result, IRS issues refunds for a large percentage of returns without the EITC or ACTC that cannot be verified against W-2 data prior to February 15. For example, among 2017 returns without EITC or ACTC, IRS was unable to verify", "91 percent of returns submitted before January 25, 2018\u2014 representing $4.27 billion in refunds; and", "60 percent of returns submitted prior to February 15\u2014representing $29.27 billion in refunds.", "IRS has the authority to hold refunds for these returns (as it does for returns that do claim the EITC or ACTC) until any date deemed necessary to make inquiries, determinations, and assessments in conjunction with those determinations. However, IRS officials told us that IRS has not held those refunds because of the volume of existing cases, challenges of processing large numbers of refunds on a single day, and other costs to the agency, such as inquiries from taxpayers about their refunds.", "In January 2018, we recommended that IRS study the benefits and costs of the refund hold and consider modifying it based on the study results. For example, IRS could hold refunds for taxpayers not claiming EITC or ACTC and release the refunds once it has the W-2 data available and has verified the wage information. IRS officials reiterated that the potential of verification to detect more fraud and noncompliance is limited by delays caused by filing extensions and use of paper W-2s\u2014which are transcribed at SSA before being transmitted to IRS. For example, IRS had not received any paper W-2 data for tax year 2017 by the February 15 refund hold date. IRS is continuing to study systemic verification\u2019s potential, and is working to identify additional fraud and noncompliance by beginning to match non-wage income reported by taxpayers against data reported on Forms 1099-MISC by companies or individuals that paid the taxpayer miscellaneous income."], "subsections": []}, {"section_title": "IRS Continued to Deactivate and Renew ITINs", "paragraphs": ["The Protecting Americans from Tax Hikes Act also contained a number of provisions relating to individual taxpayer identification numbers (ITIN). The provisions required IRS to deactivate (1) all ITINs issued prior to 2013 and (2) all ITINs not used at least once during the 3 most recent consecutive tax years. As of February 26, 2018, IRS said it had deactivated 14.7 million ITINs, approximately 12.4 million of those in 2017 and an additional 2.3 million in 2018.", "Following this initial round of deactivations, ITIN renewal requests have been significantly lower than IRS anticipated. IRS expected it would receive 1.3 million renewal applications by the end of 2018 for ITINs that expired in 2017. However, by April 21, 2018, IRS had only received 23 percent (297,825 of 1.3 million) of the expected renewals.", "IRS officials said they based their renewal projections on a computation assuming that all ITINs with middle digits 78 and 79\u2014which were issued 16 or more years prior to their deactivation and were the first set of older ITINs to be deactivated\u2014would be renewed. However, the actual renewal rate in 2017 was only 60 percent for these ITINs. IRS officials said the agency used actual renewal data to revise its renewal estimate for the remaining ITINs issued prior to 2013 and containing certain middle digits that will be deactivated. Based on these new estimates, IRS will accelerate the completion date for deactivation of older ITINs."], "subsections": []}]}, {"section_title": "IRS Developed a Management Structure to Implement the Tax Cuts and Jobs Act and Address Associated Challenges and Took Steps to More Fully Involve Human Capital Decision Makers", "paragraphs": [], "subsections": [{"section_title": "IRS Developed a Management Structure to Implement the Tax Cuts and Jobs Act and Took Steps to More Fully Involve Its Human Capital Decision Makers", "paragraphs": ["To address the changes included in the Tax Cuts and Jobs Act, in January 2018 IRS established the Tax Reform Implementation Office (TRIO), a central office that coordinates implementation efforts. IRS officials said that the 2017 tax law will affect all IRS divisions and responsibilities. Each of the 119 provisions in the Tax Cuts and Jobs Act that fall under IRS responsibility has been assigned to one of IRS\u2019s four business divisions\u2014Wage and Investment, Large Business and International, Small Business/Self-Employed, and Tax-Exempt and Government Entities\u2014each of which will be responsible for planning and executing the assigned provisions. In addition to TRIO, IRS also established the Tax Reform Executive Steering Committee and the Tax Reform Implementation Council (TRIC), described below:", "Tax Reform Implementation Office (TRIO). TRIO principally consists of executive-level IRS employees and coordinates efforts by each business operating division to revise and develop forms, instructions, tools, and guidance and to execute programming changes, communications, and training initiatives required to implement the individual provisions of the Tax Cuts and Jobs Act. The office is intended to monitor the implementation action plans of each business division and ensure risks associated with implementation efforts are captured and addressed. TRIO has developed an integrated project plan to track critical implementation activities identified by the business divisions and discussed by TRIC (described below). Personnel can access the project plan and update it with accomplishments and milestones.", "Tax Reform Executive Steering Committee. TRIO reports to the Executive Steering Committee, which includes IRS\u2019s Acting Commissioner, Deputy Commissioners, Treasury officials, and heads of offices. The steering committee serves as a forum to provide leadership guidance, direction, and advice on implementation activities for the Tax Cuts and Jobs Act.", "Tax Reform Implementation Council (TRIC). TRIC consists of representatives from business divisions and functional units\u2014such as Information Technology (IT) and Communication and Liaison\u2014that are performing implementation activities. The group first met on February 8, 2018, and meets weekly to discuss activities, concerns, and needs that might involve other IRS divisions. The meetings are also a forum to discuss accomplishments and deadlines.", "Figure 5 illustrates TRIO\u2019s role in coordinating the various changes IRS expects to make.", "To implement the Tax Cuts and Jobs Act, IRS\u2019s Human Capital Office (HCO) estimated that the agency will need to hire and train staff to fill approximately 1,100 positions requiring a variety of competencies and provide additional training on tax law changes for current employees. HCO will be responsible for recruiting and hiring these new employees and ensuring they have the needed skills and HCO will play a key role in training them. It is HCO\u2019s mission to provide human capital strategies and tools for recruiting, hiring, developing, retaining, and transitioning a highly skilled and high-performing workforce to support IRS\u2019s mission. TRIO and other senior IRS officials acknowledged that HCO\u2019s role in implementing the new tax law is as valuable as other supporting stakeholders, such as IT. Nevertheless, HCO did not initially have representation in TRIC, as did IT and other essential operational support units. TRIC meetings provide a forum not only for the business operating divisions directly implementing the provisions of the Tax Cuts and Jobs Act to discuss and coordinate needs and activities, but for supporting stakeholders to understand the status of implementation efforts as well as future expectations and needs.", "HCO officials said that when the formation of TRIO was first announced, they contacted TRIO leadership to request that HCO have representation. However, they were told that the purpose of the group was to discuss the tax law itself, not hiring or other human resources matters affected by the law. In our discussions with IRS officials, they told us that HCO has an informal liaison to TRIO, participates in the executive steering committee, and has existing human resource partners in the business operating divisions, and that additional HCO representation in tax law implementation\u2014including the weekly TRIC calls\u2014was not necessary.", "However, a senior HCO official told us that it would be beneficial for HCO to participate in the weekly TRIC meetings to stay abreast of current developments and future plans and share relevant timelines and processes related to hiring and training. Participation will help HCO to manage its operations more strategically, for example, by planning for training required ahead of the 2019 filing season.", "Based on our discussions with IRS officials about HCO\u2019s role in tax law implementation, in June 2018, HCO began participating in the weekly TRIC calls. HCO\u2019s participation will likely help IRS make more informed decisions concerning implementation of major tax law changes. It will also position HCO to proactively understand human capital needs and timelines across the agency and to hire and train personnel at the appropriate times. At the same time, IRS will also be better positioned to improve its management and strategy for executing implementation plans while also fulfilling the agency\u2019s mission."], "subsections": []}, {"section_title": "IRS Identified the Scope, Nature, and Time Frame of the Tax Cuts and Jobs Act as Implementation Challenges", "paragraphs": ["IRS officials identified a number of challenges associated with implementing the Tax Cuts and Jobs Act:", "Scope of changes. To implement 119 provisions of the Tax Cuts and Jobs Act, IRS will need to (1) interpret the law; (2) create or revise nearly 500 tax forms, publications, and instructions; (3) publish guidance and additional materials; (4) reprogram 140 interrelated return processing systems; (5) hire additional staff and train its workforce to help taxpayers understand the law and how it applies to them; and (6) conduct extensive taxpayer outreach. IRS officials stated that these provisions will require extensive changes relevant to both individual and business filers and affect all areas of IRS.", "Complex and extensive nature of changes. According to IRS officials, many of the revisions are complex and interrelated and require central coordination and oversight. While IRS has to make changes to its products every year, many of the changes needed to implement the Tax Cuts and Jobs Act are more extensive than usual and affect some of the forms with which taxpayers are most familiar. For example, all Form 1040 products\u2014the forms and instructions for individual tax return filing\u2014will be changed in accordance with the law.", "One-year time frame. IRS officials told us that implementing the Tax Cuts and Jobs Act in 1 year will be challenging. Officials said the agency is using implementation of the Patient Protection and Affordable Care Act as a general guide for its current efforts, but noted this earlier legislation was less expansive. IRS was responsible for 47 provisions of the Patient Protection and Affordable Care Act and had multiple years to implement some of its provisions, including those officials identified at the time as the most challenging. Implementing individual provisions of the Tax Cuts and Jobs Act involves multiple, dependent actions. For example, IRS cannot determine the changes it will need to make to various tax forms until it has interpreted the law and cannot reprogram its return processing systems until those forms are changed.", "To complete necessary changes in time for the 2019 filing season, IRS has used overtime and compensatory hours. For example, according to IRS officials, as of May 26, 2018, IRS had used 1,749 overtime hours to make changes to forms and publications, between two and three times as many overtime hours as it did in the entirety of fiscal years 2016 or 2017. In addition, the agency delegated authority to approve requests for work to a larger group of managerial staff and temporarily reassigned existing staff to assist with time-sensitive changes to tax forms and publications. In March 2018, IRS also made a request for direct hiring authority, which would allow the agency to hire IT staff more quickly. While this authority could be helpful to fill specific positions more timely, IRS officials explained that these staff will require training on tax processing procedures. According to a senior IRS official, as of June 2018 the Office of Personnel Management had not yet authorized this request.", "IRS has taken a number of steps to implement time-sensitive provisions of the new law. IRS officials noted that while some provisions of the Tax Cuts and Jobs Act are retroactive or relevant to the 2018 filing season, most will not take effect until the 2019 filing season. As part of the planning process, IRS determined when various provisions of the law would become relevant and acted to release information on the provisions with the earliest relevance first. For example, IRS released new withholding tables and associated guidance; revised the form and online withholding calculator that taxpayers use to provide information to employers about the amount of tax that employers should withhold from their wages; and provided guidance on the transition tax on untaxed foreign earnings of foreign subsidiaries of U.S. companies, a new section of the Tax Cuts and Jobs Act that changes how business income is calculated and tax is paid for the 2018 filing season.", "IRS is continuing to revise its forms and issue guidance in advance of the 2019 filing season."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Internal Revenue Service for review and comment. IRS provided written comments, which are reproduced in appendix I. In its written comments, IRS generally concurred with our findings and noted a concern regarding interpretation of correspondence overage data. IRS said that the overage rate we report is based upon the open inventory at the end of the fiscal year. We clarified the basis of the overage rate in our report. However, we believe the total that IRS cites in its letter could also be misinterpreted in that it does not represent the total overage inventory; rather it is a total for the last week of the fiscal year. IRS tracks the overage correspondence rate on a weekly basis, which can vary somewhat during the year given fluctuations in correspondence receipts and staff availability to respond, but is relatively consistent throughout the year. Therefore, the overage rate at the end of the fiscal year provides a basis for assessing IRS\u2019s annual performance in responding to written correspondence.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Treasury, the Acting Commissioner of Internal Revenue, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or lucasjudyj@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom Gilbert (Assistant Director); Erin Saunders Rath (Analyst-in-Charge); Shea Bader; Jacqueline Chapin; Jehan Chase; Kirsten B. Lauber; Regina Morrison; Robert Robinson; and Sarah Wilson made significant contributions to this report."], "subsections": []}]}], "fastfact": ["IRS had multiple challenges during the 2018 tax filing season, yet it improved its customer service and met target dates for processing returns and issuing refunds. This happened despite a system outage on tax filing day. IRS also took steps to handle changes, such as tax rate revisions, under the 2017 Tax Cuts and Jobs Act.", "Before the 2019 filing season begins, IRS needs to reprogram its computer systems to process tax returns, revise nearly 500 forms and instructions, hire and train employees, and help taxpayers understand the changes when filing taxes in 2019. To do this, IRS set up a central office to coordinate efforts across the agency."]} {"id": "GAO-19-199", "url": "https://www.gao.gov/products/GAO-19-199", "title": "Defense Business Operations: DOD Should Take Steps to Fully Institutionalize the Chief Management Officer Position", "published_date": "2019-03-14T00:00:00", "released_date": "2019-03-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD spends billions of dollars each year to maintain key enterprise business operations intended to support the warfighter, including systems and processes related to the management of contracts, finances, the supply chain, and support infrastructure. The 2018 National Defense Strategy identified reform of DOD's business practices as one of DOD's three strategic goals. GAO has previously reported that weaknesses in these business operations have resulted in inefficiencies and billions of dollars wasted. GAO has also identified the need for a CMO with significant authority and experience to focus concerted attention on DOD's long-term business transformation efforts. Congress initially established such a position in the National Defense Authorization Act for Fiscal Year 2017.", "This report evaluates the extent to which DOD has implemented its CMO position and issued guidance to communicate within the department the authorities and responsibilities of the position. GAO analyzed the statutory authorities and responsibilities assigned to the CMO position and evaluated DOD's actions to implement them."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has taken steps to implement its Chief Management Officer (CMO) position which has been given the responsibility for managing DOD's business operations; however, unresolved issues remain for DOD to fully institutionalize the CMO's authorities and responsibilities. DOD has restructured the Office of the CMO (OCMO) to more closely align with the CMO's statutory authorities and responsibilities. Further, the OCMO is working to strengthen its data capabilities and has hired a Chief Data Officer and formed a Data Management and Analytics Steering Committee. Additionally, OCMO officials told us they are establishing cost baselines for each of DOD's major business functions.", "However, DOD has not fully addressed three key issues related to the CMO's authorities and responsibilities:", "The CMO's authority to direct the military departments on business reform issues . The law gave the CMO authority to direct the secretaries of the military departments on matters over which the CMO has responsibility. However, DOD has not determined how the CMO will exercise this authority, particularly when there is disagreement between the departments and the CMO.", "The CMO's oversight responsibilities of the Defense Agencies and DOD Field Activities (DAFAs) . The CMO is responsible for exercising authority, direction, and control over the designated DAFAs that provide shared business services\u2014those business functions, such as supply chain and logistics and human resources operations, that are provided across more than one DOD organization. However, DOD has not determined how the CMO will exercise this authority, such as which DAFAs will submit their proposed budgets for CMO review.", "Transfer of responsibilities from the Chief Information Officer to the CMO. Under the law, the CMO will exercise responsibilities relating to business systems and management that previously belonged to the Chief Information Officer. However, DOD has not determined which, if any, responsibilities will transition from the Chief Information Officer to the CMO or assessed the impact of such a transition on associated resources.", "In part because these issues remain unresolved, DOD agreed that it does not have department-wide guidance that fully and clearly articulates how the CMO's authorities and responsibilities should be operationalized. Making determinations on the three unresolved issues and issuing guidance would help ensure a shared understanding throughout the department of the CMO's role in leading DOD's enterprise-wide business reform efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that DOD should address each of the three unresolved issues that impede its progress in institutionalizing statutory authorities and responsibilities, and issue guidance, such as a chartering directive that addresses how the CMO's authorities should be operationalized. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) faces several key challenges that significantly affect its ability to accomplish its mission, including achieving greater efficiencies in defense business operations. DOD spends billions of dollars each year to maintain key business operations intended to support the warfighter, including systems and processes related to the management of contracts, finances, the supply chain, and support infrastructure. However, we have previously reported that weaknesses in these business operations result in billions of dollars being wasted, reduced efficiencies, ineffective performance, inadequate accountability, and lack of transparency. The 2018 National Defense Strategy also highlighted this issue, identifying reform of the department\u2019s business practices for greater performance and affordability as one of DOD\u2019s three strategic goals.", "Given the complexity and magnitude of the challenges facing DOD in improving its business operations, in 2005 we identified the need for a Chief Management Officer (CMO) with significant authority and experience to sustain progress on these issues. We recommended that Congress consider enacting legislation to establish a separate, full-time CMO position at DOD with significant authority and experience and a sufficient term of office to provide focused and sustained leadership over business transformation efforts. DOD first took steps to establish a CMO role in May 2007, when it designated the Deputy Secretary of Defense as the department\u2019s CMO. Subsequently, Congress included a provision in the National Defense Authorization Act (NDAA) for Fiscal Year 2008 to codify the Deputy Secretary of Defense as the DOD CMO, and to establish a new position known as the Deputy Chief Management Officer (DCMO) to assist the Deputy Secretary. In 2007, we highlighted the importance of a full-time CMO position separate and distinct from that of the Deputy Secretary to help elevate, integrate, and institutionalize responsibility for key management functions and focus concerted attention on long-term business transformation efforts.", "In 2016, Congress included a provision in the NDAA for Fiscal Year 2017 to create a CMO position effective February 1, 2018 that would be distinct from the Deputy Secretary of Defense and provided a number of key responsibilities. In December 2017, Congress repealed and replaced this provision in the NDAA for Fiscal Year 2018 and later added additional responsibilities and functions in the John S. McCain NDAA for Fiscal Year 2019. The CMO\u2019s current responsibilities are codified in section 132a of title 10, United States Code. Section 132a provides that the CMO is responsible for, among other things, managing DOD\u2019s enterprise business operations and shared services and exercising authority, direction, and control over the designated defense agencies and DOD field activities (DAFA) that provide shared business services for the department. Furthermore, in the NDAA for Fiscal Year 2018, effective on Jan. 1, 2019, the CMO exercises any responsibilities, duties and powers relating to business systems or management that are exercisable by a Chief Information Officer (CIO) for the department. In an August 2017 report to Congress, DOD announced its plans to establish a CMO position separate from the Deputy Secretary of Defense in order to improve the quality and productivity of the business operations of the department, thereby reducing the costs of those operations. The report stated that DOD would use the establishment of the CMO organization as an opportunity to renew its focus on business operations reform and to shift its business operations to enterprise services in order to reduce the cost of business operations. On February 1, 2018, the Secretary of Defense announced the establishment of a CMO position with responsibility for directing all enterprise business operations of the department and other duties as set forth in section 132a of title 10, United States Code. With the resignation of DOD\u2019s first CMO in November 2018, the DCMO assumed the role of the Acting CMO in December 2018.", "We performed our work under the authority of the Comptroller General to conduct evaluations to assist Congress with its oversight responsibilities. In this report, we evaluate the extent to which DOD has implemented its CMO position and issued guidance communicating within the department the authorities and responsibilities of the position.", "To evaluate the extent to which DOD has implemented its CMO position and issued guidance, we reviewed relevant laws, such as the NDAAs for Fiscal Years 2017 through 2019, to understand the authorities and responsibilities that Congress assigned to this position. We also reviewed DOD\u2019s August 2017 report to Congress and its April 2018 National Defense Business Operations Plan, as well as memorandums issued by the Secretary of Defense that outline the CMO\u2019s authorities and responsibilities.", "We interviewed DOD\u2019s CMO, who served from February to November 2018, as well as the current Acting CMO. Additionally, we interviewed the individuals who were chiefs of the five directorates within the Office of the CMO (OCMO) as of July 2018, in order to understand the responsibilities of these directorates. To understand how the CMO collaborates with other DOD entities to lead business operation reform and how the responsibilities of the CMO and the CIO may change, we met with the CMO, officials from the Office of the CIO, and an official from DOD\u2019s Cost Assessment and Program Evaluation (CAPE) Office. To learn how the CMO is interacting with and influencing the military departments\u2019 business operations, we met with officials from the Army, Air Force, and Navy CMO and CIO offices. More details on our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from February 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "History of the CMO Position", "paragraphs": ["DOD first took steps to establish a CMO role in May 2007, when it designated the Deputy Secretary of Defense as the department\u2019s CMO. Subsequently, Congress included a provision in the NDAA for Fiscal Year 2008 to codify the Deputy Secretary of Defense as the DOD CMO, establish a new position known as the Deputy Chief Management Officer (DCMO) to assist the Deputy Secretary, and name the Under Secretaries of the military departments as CMOs of their respective organizations. The military departments also established DCMO positions to assist the CMOs with overseeing their business operations. In addition, the NDAA for Fiscal Year 2009 required the secretary of each military department to establish an office of business transformation and develop business transformation plans, with measurable performance goals and objectives, to achieve an integrated management system for the business operations of each military department. Further, DOD\u2019s guidance states that the DOD DCMO should coordinate with the military department CMOs to identify and exchange information necessary to facilitate the execution of the Deputy Secretary of Defense\u2019s responsibilities in his role as the DOD CMO.", "In October 2008, DOD issued Department of Defense Directive 5105.82 to assign the authorities and responsibilities of the DCMO. Among other duties, the DCMO was responsible for recommending methodologies and measurement criteria to better synchronize, integrate, and coordinate the business operations of the department and advising the Secretary of Defense on performance goals and measures and assessing progress against those goals. For a full list of the DCMO authorities and responsibilities identified in DOD Directive 5105.82, see appendix II."], "subsections": []}, {"section_title": "CMO Statutory Authorities and Responsibilities", "paragraphs": ["In December 2016, Congress initially established the standalone CMO position to be effective on February 1, 2018 in section 901(c) of the NDAA for Fiscal Year 2017. In December 2017, Congress repealed and replaced this provision in the NDAA for Fiscal Year 2018 and later added additional responsibilities and functions in the John S. McCain NDAA for Fiscal Year 2019. Table 1 summarizes key CMO statutory authorities and responsibilities, and appendix II provides a more detailed comparison of these authorities and responsibilities."], "subsections": []}, {"section_title": "Key Strategies for Implementing CMO Positions", "paragraphs": ["In November 2007, we reported on key strategies for implementing CMO positions. We developed these strategies based on our work, in which we (1) gathered information on the experiences and views of officials at four organizations that rely on chief management officials and (2) convened a forum to gather insights from individuals with experience and expertise in business transformation, federal and private sector management, and change management. The forum brought together former and current government executives and officials from private business and nonprofit organizations to discuss when and how a CMO or similar position might effectively provide the continuing, focused attention essential for integrating key management functions and undertaking multiyear organizational transformations.", "Our work identified the following six key strategies:", "Define the specific roles and responsibilities of the CMO position.", "Ensure that the CMO has a high level of authority and clearly delineated reporting relationships.", "Foster good executive-level working relationships for maximum effectiveness.", "Establish integration and transformation structures and processes in addition to the CMO position.", "Promote individual accountability and performance through specific job qualifications and effective performance management.", "Provide for continuity of leadership in the CMO position."], "subsections": []}]}, {"section_title": "DOD Has Taken Some Steps to Implement the CMO Position, but Key Issues Related to Authorities and Responsibilities Remain Unresolved DOD Has Begun to Implement Its CMO Position and Restructure the OCMO, with a Focus on Data Responsibilities", "paragraphs": ["In February 2018, DOD formally established the position of the CMO and an office in support of the CMO (OCMO). In establishing the office, the Secretary of Defense stated that all resources and personnel (military, civilian, and contractor) assigned within the existing DCMO office were to transfer to the OCMO. Generally, the department has been focused on updating organizational structures and strengthening the OCMO\u2019s data capabilities, as described below."], "subsections": [{"section_title": "DOD Has Not Resolved Three Key Issues Related to the CMO\u2019s Authorities and Responsibilities", "paragraphs": ["Despite its efforts to establish and restructure the OCMO, DOD has not fully addressed three key issues related to the CMO\u2019s statutory authorities and responsibilities, including: (1) how the CMO will exercise the authority to direct the military departments; (2) how the CMO will exercise oversight of the DAFAs; and (3) which responsibilities, if any, will transfer from the CIO to the CMO."], "subsections": []}]}, {"section_title": "Unresolved Issue #1: The CMO\u2019s Authority to Direct the Military Departments on Business Reform Issues", "paragraphs": ["The Secretary of Defense has charged the CMO with leading DOD\u2019s enterprise business operations and with unifying business management efforts across the department and other responsibilities as set forth in section 132a of title 10, United States Code. Moreover, the NDAA for Fiscal Year 2019 directed the Secretary of Defense, acting through the CMO, to reform DOD\u2019s enterprise business operations across all organizations and elements of the department with respect to any activity relating to civilian resources management, logistics management, services contracting, or real estate management. Fulfilling these responsibilities depends, in part, on the CMO\u2019s visibility into the business operations of all components of the department, including the military departments, as well as the ability to identify and execute DOD-wide business reforms, including those that may affect the military departments.", "Congress addressed the issue of the CMO\u2019s relationship to the military departments in section 132a, which authorizes the CMO, subject to the authority, direction, and control of the Secretary of Defense and Deputy Secretary of Defense, to direct the secretaries of the military departments and the heads of all other elements of DOD on matters for which the CMO has responsibility under the statute. DOD leadership has provided some guidance regarding the CMO\u2019s responsibilities for efforts that are department-wide and therefore involve the military departments. For example: In a May 2017 memorandum, the Deputy Secretary of Defense directed all DOD components to conduct a thorough review of business operations throughout the department and to propose initiatives that drive increased effectiveness in pursuit of greater efficiency. The memorandum identified the DCMO as the lead for this effort and tasked the DCMO with integrating all initiatives. All responsibilities and authorities assigned to the DCMO were transferred to the CMO on February 1, 2018.", "More recently, in May 2018, DOD issued its FY 2018-FY 2020 National Defense Business Operations Plan (Plan), which states that the CMO is personally responsible for overseeing implementation of business reforms. The Plan further establishes, and gives the CMO responsibility for carrying out, a strategic objective to improve and strengthen business operations through a move to DOD-enterprise or shared services and reduce administrative and regulatory burden.", "However, DOD leadership has not determined how the CMO will exercise this authority in instances where the military departments have concerns or disagree with decisions that the CMO makes. In our discussions with the Army, Navy, and Air Force\u2019s CMO offices, officials from each military department explained that they frequently met with the CMO and were involved in discussing business operation initiatives with potential for implementation across multiple military departments. According to these officials, these discussions were collaborative and the CMO did not have to exercise his authority to direct the services. However, we found two instances in which the lack of a determination as to how the CMO is to direct the business-related activities of the military departments led to questions about the respective roles and authorities of the CMO and the military departments as they relate to business reform. In one case, officials from the military departments questioned the CMO\u2019s authority to make binding decisions; in the other, the military departments sought to pursue reform activities without CMO involvement and oversight, even though the CMO has responsibility for leading DOD\u2019s enterprise business reform efforts.", "First, officials told us that in a July 2018 meeting of the Reform Management Group (RMG) the CMO approved a decision to consolidate DOD\u2019s contract writing systems into a single system. According to OCMO officials, the effort to move to a single contract writing system would increase data visibility, lessen or eliminate redundant contracting needs, provide for greater management insight, and increase the buying power of the department. However, officials told us the military departments, which had voiced concerns about moving to one consolidated system in a previous RMG meeting, expressed reservations. Specifically, a DOD official who participated in the RMG meetings told us the military departments cited a concern about loss of individual authorities and requirements, among other issues. Several DOD officials we spoke with described the RMG meeting as the first time the question of the CMO\u2019s authority to make decisions for enterprise-wide business reform and to direct the military departments had been raised at an RMG meeting. According to officials who were present at the meeting, participants discussed whether the RMG is a voting body and what authority the CMO has to make unilateral decisions for the RMG. When we spoke with officials about this matter in January 2019, they said this question was still unresolved.", "Second, the Secretaries of the Army, Navy, and Air Force, in a December 10, 2018 memorandum to the Secretary of Defense, requested the Secretary direct the military departments to jointly review organizations, activities, processes, and procedures that might be reformed or restructured to enhance lethality and readiness or reduce cost. While the departments asked for support the Secretary deemed appropriate from the Joint Staff, the Office of the Secretary of Defense, and others, it did not request support or involvement from the CMO. Further, the memorandum stated that the military department secretaries envision a process where they would make recommendations directly to the Secretary. However, the memorandum made no mention of CMO involvement in the review, notwithstanding Congressional, Secretary of Defense, and Deputy Secretary of Defense direction that calls for the CMO to oversee DOD\u2019s business reform efforts.", "Without a determination by the Secretary or Deputy Secretary of Defense about how the CMO is to direct the business-related activities of the military departments, the CMO\u2019s ability to lead DOD\u2019s reform of its enterprise business operations and to direct the military departments may be limited, potentially leading to fragmented business reform efforts."], "subsections": []}, {"section_title": "Unresolved Issue #2: The CMO\u2019s Oversight Responsibilities for the Defense Agencies and DOD Field Activities (DAFA)", "paragraphs": ["DOD\u2019s 19 defense agencies and eight DOD field activities are intended to perform many of DOD\u2019s business operations, including consolidated supply and service functions such as human resources services, on a department-wide basis. We have previously identified numerous instances of fragmentation, overlap, and duplication and have recommended actions to increase coordination or consolidation to address related inefficiencies that affect the DAFAs. For example, in September 2018, we reported that there is fragmentation and overlap within the DAFAs that provide human resources services to other defense agencies or organizations within DOD. Our September 2018 report on the DAFAs also found that DOD does not comprehensively or routinely assess the continuing need for its DAFAs.", "GAO-18-592. DOD was statutorily required to periodically review the services and supplies each DAFA provides to ensure there is a continuing need for each, and that the provision of services and supplies by each DAFA, rather than by the military departments, is more effective, economical, or efficient (See 10 U.S.C. \u00a7 192 (c)). Since 2012, DOD has relied on existing processes, such as its annual budget process, to fulfill this review requirement. However, DOD did not provide sufficient evidence that these processes satisfy the statute. For example, while DOD reviews the DAFAs during the budget process, it does not specifically review the provision of services by the DAFAs rather than the military departments. that provide shared business services for the department, as designated by the Secretary or Deputy Secretary of Defense. In January 2018, the Deputy Secretary reported to Congress that the Secretary of Defense formally identified the Pentagon Force Protection Agency and Washington Headquarters Services (WHS) as the DAFAs that provide shared business services, and directed that they would fall under the authority, direction, and control of the CMO. However, both of these organizations had already been identified as providing shared business services and aligned under the previous DCMO. In addition, the Deputy Secretary\u2019s January 2018 report to Congress did not explain why these two DAFAs, but not others, were designated as providing shared business services.", "In the January 2018 report to Congress, the Deputy Secretary of Defense also stated that, under his direction, the DCMO and Director of CAPE were leading defense reform work that would result in recommendations on, among other things, any required organizational changes. According to DOD\u2019s report, such changes would include the designation of, and oversight arrangements for, other DAFAs providing shared business services that require CMO oversight. The recommendations were expected in late summer 2018. However, when we asked OCMO officials for a status update in November 2018, they acknowledged that they had not yet conducted the review.", "In November 2018, OCMO officials told us they had recently begun a review of the DAFAs but had not designated any additional DAFAs as providing shared business services. OCMO officials explained that the DAFAs were prioritized for review, with WHS being selected to be the first reviewed. The review will assess what role WHS performs and how efficiently it is performing that role, and will compare WHS performance to commercial benchmarks, according to OCMO officials. As of January 2019, officials said they expected to complete the review of WHS on February 16, 2019. According to officials, the next DAFAs to be reviewed will be DLA, the Defense Finance and Accounting Service, and the Defense Information Systems Agency. In addition, OCMO officials said that they plan to conduct a review of business functions performed in multiple DAFAs to identify opportunities to consolidate shared services for greater efficiency. For example, because WHS performs some human resource functions, as do certain other DAFAs, the OCMO is assessing how human resources management can be improved across the department. OCMO officials indicated they expect additional DAFAs to be identified as shared business services as a result of this review. Additionally, officials said they expect that the review will be completed in January 2020, but have not determined when or how the Secretary of Defense will designate additional DAFAs as providing shared business services. They have also not determined what those decisions would mean for the OCMO\u2019s management of its responsibility to provide direct authority, control, and direction over those DAFAs.", "In section 921 of the John S. McCain NDAA for Fiscal Year 2019, Congress also expanded and codified the CMO\u2019s authority over the DAFAs by requiring the Secretary of Defense, acting through the Under Secretary of Defense, Comptroller, to direct the head of each DAFA specified by the Secretary for the purpose of section 921, to transmit its proposed budget for enterprise business operations for a fiscal year to the CMO for review, beginning in fiscal year 2020. Section 921 further provides that the CMO shall submit a report to the Secretary containing the CMO\u2019s comments and certification of whether each proposed budget achieves a required level of efficiency and effectiveness for enterprise business operations, consistent with guidance for budget review established by the CMO. Under section 921, the Secretary of Defense has discretion to determine which DAFAs\u2019 proposed budgets are subject to CMO review. In November 2018, OCMO officials told us that the Secretary of Defense had not yet designated any DAFAs as required to submit their budgets for review. However, they stated that the OCMO is working with the DOD Comptroller to determine how the DAFA budget review will be conducted. They also said that they have hired consultants under an existing blanket purchase agreement contract to assist with developing a methodology for this review. OCMO officials told us they believed they would be ready to conduct the required review by fiscal year 2020, as required by the statute. However, it is unclear whether this review will result in a determination of which DAFAs are required to submit their proposed budgets for review.", "Until the Secretary of Defense makes a determination regarding the CMO\u2019s relationship to the DAFAs, including whether additional DAFAs should be identified as providing shared business services and which DAFAs will be required to submit their proposed budgets for CMO review, the CMO\u2019s ability to effectively oversee and streamline the DAFAs\u2019 business operations may be limited."], "subsections": []}, {"section_title": "Unresolved Issue #3: The Transfer of Responsibilities from the Chief Information Officer to the CMO", "paragraphs": ["As described in table 1 of this report, section 910 of the NDAA for Fiscal Year 2018 provided that, effective January 1, 2019, the CMO would assume certain responsibilities for business systems and management that were formerly performed by the CIO. Section 903 of the John S. McCain NDAA for Fiscal Year 2019 clarified this provision by amending the statute (10 U.S.C. \u00a7 142) which established and provides responsibilities for the DOD CIO. However, in July 2018, DOD officials told us no formal action had been taken to determine which, if any, responsibilities would transition or to assess the resource impact this would have on both offices because they had concerns about the statutory requirement and how it would affect IT management at the department. For example, CMO officials expressed the belief that all IT roles and responsibilities should be consolidated under one position. We have previously found that having department-level CIO responsibilities performed by multiple officials could make the integration of various information and technology management areas, as envisioned by law, more difficult to achieve.", "The CMO told us in July 2018 that he had begun engaging informally with Congress to discuss the department\u2019s concerns about the transition of certain responsibilities from the CIO to the CMO, and that he would engage further once the newly confirmed CIO felt prepared to join those discussions. However, in November 2018, the Acting CMO told us that the OCMO was still exploring all of the authorities that Congress had provided, and, as such, felt that further engagement with Congress was premature at this point. The Acting CMO added that she and the CIO had worked out an informal agreement regarding which areas they would each manage, but did not identify specific tasks that would transfer to the CMO or provide any details of this agreement. At the same time, OCMO officials acknowledged in November 2018 that the OCMO had not conducted an analysis to determine which responsibilities should formally transfer or what resource ramifications, if any, this transfer would have on both offices. Without an analysis to help DOD determine which duties should transfer from the CIO to the CMO, including identifying any associated resource impacts, DOD will remain reliant on this informal agreement. Such reliance could cause confusion within the department about who is responsible for key IT functions. Moreover, section 3506 of title 44, United States Code states that in similar circumstances, where a CIO is designated for DOD and for each military department, the respective duties of the CIOs shall be clearly delineated."], "subsections": [{"section_title": "DOD Lacks Guidance That Institutionalizes All of the CMO\u2019s Authorities and Responsibilities", "paragraphs": ["In part because the issues identified above have not been resolved, DOD agreed that it does not have department-wide guidance, such as a chartering directive, that fully and clearly institutionalizes the CMO position by articulating how all of the CMO\u2019s authorities and responsibilities are to be operationalized. The department has issued several documents that refer to some of the CMO\u2019s authorities and responsibilities, but these documents were issued as the CMO\u2019s role under the statute was evolving, and none of them, either individually or collectively, encompass all of the CMO\u2019s current authorities and responsibilities. For example:", "DOD Directive 5105.82 (Oct. 17, 2008) established the responsibilities and authorities of the DCMO. These responsibilities included, among others, advising the Secretary of Defense on performance goals and measures and assessing progress against those goals; and ensuring that strategic plans, performance goals, and measures were aligned with, and assured accountability to, DOD strategic goals. However, this document is now outdated\u2014for example, it assigns the DCMO responsibilities related to the Defense Business Transformation Agency, which an OCMO official agreed no longer exists. Moreover, the directive does not reflect the additional authorities and responsibilities for the CMO position that are delineated in section 132a of title 10, United States Code, as amended. Table 3 at appendix II summarizes all authorities and responsibilities included in this directive.", "Secretary of Defense Memorandum (Feb. 1, 2018) established the CMO position and outlined its authorities and responsibilities consistent with section 132a of title 10, United States Code. The authorities and responsibilities outlined in this memorandum align closely with those specified for the CMO in the statute, but the memorandum does not explain how these authorities and responsibilities are to be operationalized. For example, this memorandum does not address how the CMO will interact with other DOD organizations, such as the military departments, as DOD traditionally has done through its chartering directives. Table 4 at appendix II summarizes authorities and responsibilities included in Secretary of Defense memorandums.", "Secretary of Defense Memorandum (July 12, 2018) addressed the CMO\u2019s role in supporting the Deputy Secretary of Defense on enterprise management and performance accountability. According to this memorandum, the CMO supports the Chief Operating Officer to ensure all DOD leaders are unified and aligned across all assigned responsibilities and functions, through strong management practices, integrated processes, and best value business investments, and to support the Deputy Secretary of Defense in his capacity as the department\u2019s Chief Operating Officer. However, the CMO\u2019s responsibilities in supporting the Deputy Secretary of Defense as the Chief Operating Officer outlined in this memorandum are not specified by any other relevant guidance documents.", "CMO Action Memorandum (July 27, 2018) responded to the Secretary\u2019s February 1, 2018 memorandum and restated several of the CMO\u2019s authorities and responsibilities, consistent with 132a of title 10, United States Code, and provided information on the plans to restructure the OCMO and to establish the CMO Action Group.", "The Secretary of Defense\u2019s July 12, 2018 Memorandum directed the Deputy Secretary of Defense to provide amplifying guidance on CMO responsibilities and authorities emanating from statute as well as delegating additional discretionary authorities or responsibilities to the CMO. Issuance of this amplifying guidance would be consistent with one of the key strategies we identified for implementation of a CMO position\u2014 clearly defining roles and responsibilities of the position and communicating them throughout the organization. In November 2018, however, officials told us that they expected the CMO vacancy to delay progress on codifying any decisions on the CMO\u2019s statutory and discretionary authorities in a chartering directive. Additionally, in November 2018, a senior OCMO official stated that the office needed to complete its reorganization prior to the department issuing updated guidance.", "Until the Deputy Secretary of Defense resolves the issues previously discussed and issues guidance (such as a chartering directive) to codify the CMO\u2019s authorities and responsibilities and specify how those are to be operationalized, questions regarding the extent of the CMO\u2019s authority and responsibility are likely to persist, preventing a shared understanding across the department of the CMO\u2019s role. Further, the lack of guidance could affect the ability of the department to make progress in conducting necessary business reforms\u2014one of three key priorities identified in the 2018 National Defense Strategy."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["DOD has made progress in implementing some of the authorities and responsibilities Congress has provided the CMO. However, DOD has not resolved several key issues that limit its ability to implement all statutory authorities and responsibilities. Specifically, DOD has yet to resolve key issues, such as how the CMO will exercise authority to direct the military departments and exercise direction and control over DAFAs that provide shared business services. Additionally, without analyzing the authorities and responsibilities that will transfer from the CIO to the CMO and the resource impact, if any, those new responsibilities will have on the OCMO, DOD risks creating confusion within the department about which official is responsible for key information technology functions. While DOD has issued several documents delineating some of the CMO\u2019s authorities and responsibilities, the department does not currently have formal and current guidance, such as a DOD chartering directive, that institutionalizes all the CMO\u2019s authorities and responsibilities. Considering the evolution of the CMO\u2019s authorities and responsibilities since the position was created, guidance that fully encompasses all CMO authorities and responsibilities and explains how they are to be operationalized could help to institutionalize and sustain the position beyond the tenure of the current acting CMO."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to the Secretary of Defense: The Secretary of Defense should ensure that the Deputy Secretary of Defense makes a determination as to how the CMO is to direct the business-related activities of the military departments. (Recommendation 1)", "The Secretary of Defense should ensure that the Deputy Secretary of Defense makes a determination regarding the CMO\u2019s relationship with the DAFAs, including whether additional DAFAs should be identified as providing shared business services and which DAFAs will be required to submit their proposed budgets for enterprise business operations to the CMO for review. (Recommendation 2)", "The Secretary of Defense should ensure that the CMO and CIO conduct an analysis to determine which responsibilities should transfer from the CIO to the CMO, including identifying any associated resource impacts, and share the results of that analysis with the Congress. (Recommendation 3)", "The Secretary of Defense should ensure that the Deputy Secretary of Defense, on the basis of the determinations regarding the CMO\u2019s statutory and discretionary authorities, codify those authorities and how they are to be operationalized in formal department-wide guidance. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, which are reproduced in Appendix III, DOD concurred with our recommendations and described ongoing and planned actions to address them.", "We are sending copies of this report to the Acting Secretary and Acting Deputy Secretary of Defense, the Acting DOD Chief Management Officer, the DOD Chief Information Officer, the Director, Cost Assessment and Program Evaluation, and appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or fielde1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To examine the extent to which DOD has implemented the authorities and responsibilities of its Chief Management Officer (CMO) position and issued guidance communicating within the department the authorities and responsibilities of the position, we reviewed related laws and key documents such as memorandums issued by the Secretary of Defense that outline some of the CMO\u2019s authorities and responsibilities. To understand the authorities and responsibilities that Congress and DOD have assigned to this position, we reviewed section 901 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017, which initially created the CMO position effective February 1, 2018; section 910 of the NDAA for Fiscal Year 2018, which codified and expanded the CMO\u2019s authorities and responsibilities; and section 921 of the John S. McCain NDAA for Fiscal Year 2019, which further expanded the CMO\u2019s authorities and responsibilities. We reviewed DOD\u2019s August 2017 Report to Congress and its April 2018 National Defense Business Operations Plan. We also reviewed our November 2007 report on key strategies for implementing CMO positions.", "To understand ongoing actions to implement the authorities and responsibilities given to the CMO position, we interviewed DOD\u2019s former CMO, who served from February to November 2018, as well as the current acting CMO and the chiefs of the five directorates or their representatives within the Office of the CMO (OCMO) in July 2018, to understand the responsibilities of these directorates. We also met with the nine reform teams charged with implementing initiatives to, among other things, move DOD toward an enterprise-wide, shared-service model. Additionally, we reviewed documentation from the reform teams to understand what business operation reform initiatives the CMO has prioritized and what progress has been made to implement and monitor these initiatives. To understand key initiatives DOD is pursuing to improve its business operations and how it monitors implementation of those initiatives, we attended demonstrations of DOD\u2019s cost management framework and its reform team portal. We also met with an official from DOD\u2019s Cost Assessment and Program Evaluation (CAPE) Office to gain additional insights on oversight of the reform teams from one of the co- chairs on the Reform Management Group. Additionally, we reviewed documentation from the OCMO containing personnel numbers and funding levels to determine the level and type of resources available to the CMO to assist in carrying out his responsibilities. To understand how the CMO collaborates with other DOD entities to lead business operation reform and how the responsibilities of the CMO and Chief Information Officer (CIO) may change, we met with officials from the Office of the DOD CIO. To understand how the CMO is interacting with and influencing the military departments\u2019 business operations, we met with officials from the Army, Air Force, and Navy CMO and CIO offices.", "We performed our work under the authority of the Comptroller General to conduct evaluations to assist Congress with its oversight responsibilities. We conducted this performance audit from February 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Summary of Key Authorities and Responsibilities for the Department of Defense Chief Management Officer", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth A. Field, (202) 512-2775 or fielde1@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sally Newman (Assistant Director), Tracy Barnes, Margaret Best, Arkelga Braxton, William Carpluk, Timothy DiNapoli, Michael Holland, Chad Johnson, Kristi Karls, William Lamping, Ned Malone, Jared Sippel, Susan Tindall, Sarah Veale, and Lillian Yob made key contributions to this report."], "subsections": []}]}], "fastfact": ["We made a previous recommendation that DOD should have a chief management officer (CMO) with significant authority to help reduce inefficiencies and save billions of dollars.", "Congress established the position. However, DOD has not developed guidance that explains how the CMO's authorities and responsibilities should be put into practice. For example, it has not determined how the CMO will exercise authority when there is a disagreement with a military department on business reform issues.", "We made 4 recommendations, including that DOD decide how the CMO will direct military department business activities."]} {"id": "GAO-19-89", "url": "https://www.gao.gov/products/GAO-19-89", "title": "Depot Maintenance: DOD Has Improved the Completeness of Its Biennial Core Report", "published_date": "2018-11-14T00:00:00", "released_date": "2018-11-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD uses both military depots and contractors to maintain its complex weapon systems and equipment. Recognizing the depots' key role and the risk of overreliance on contractors, section 2464 of title 10 of the U.S. Code requires DOD to maintain a core logistics capability that is government-owned and operated, involving a combination of personnel, facilities, equipment, processes, and technology. Section 2464 requires DOD to provide a Biennial Core Report to Congress that addresses 10 reporting elements, including information on its core capability requirements and projected workload for the next fiscal year.", "Section 2464 includes a provision that GAO review DOD's Biennial Core Reports for compliance and completeness. In reviewing the 2018 Biennial Core Report, GAO assessed the extent to which DOD's report (1) addressed the 10 reporting elements required by section 2464(d), and (2) is complete. GAO reviewed and analyzed relevant legislation, DOD guidance, and the 2018 Biennial Core Report, and met with DOD and military service officials to discuss the processes used to develop the information in DOD's 2018 Biennial Core Report."]}, {"section_title": "What GAO Found", "paragraphs": ["In its 2018 Biennial Core Report, the Department of Defense (DOD) addressed 8 of 10 reporting elements. Specifically, DOD reported, by military service, its:", "depot maintenance workload required to sustain core maintenance capability requirements, based on contingency planning scenarios;", "projected fiscal year 2019 depot maintenance workloads; and", "projected fiscal year 2019 shortfalls (i.e., insufficient workload to sustain the required level of capability) and rationales and mitigations for those shortfalls.", "The Army reported a projected workload for fiscal year 2019 that would meet about 84 percent of its identified core capability\u2014a shortfall of 2.9 million direct labor hours (see figure). The Army identified numerous reasons\u2014such as newly established software depot maintenance requirements\u2014for its shortfalls. Furthermore, the Army presented mitigation plans for its shortfalls, such as moving software-related work from contractor to military sources.", "The other services did not report overall shortfalls, but some services reported shortfalls associated with specific types of work. For example, the Air Force reported a shortage associated with the repair of tactical missiles. As a mitigation plan, the Air Force stated that it plans to use workload associated with repairing strategic missiles to maintain this capability, since the electronics on the two types of missiles are very similar and require the same maintenance skill set.", "DOD did not address two required reporting elements\u2014progress in implementing mitigation plans from the 2016 biennial core report, and the degree to which projected workload reported in the 2016 biennial core report was executed. According to DOD officials, changes in its guidance and processes for developing the 2018 report resulted in the 2016 and 2018 reports not being directly comparable. However, DOD officials stated that they plan to address these two elements in the 2020 Biennial Core Report.", "DOD's 2018 Biennial Core Report is generally complete, in that it lacks obvious errors and aligns with supporting information provided by the services. DOD's concerted efforts to implement better guidance and procedures\u2014in part, according to DOD officials, by implementing GAO's prior recommendations from 2012, 2014, and 2016\u2014assisted in improving the completeness of the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) has many complex weapon systems and equipment that require regular and emergency maintenance to continue meeting national security goals. Maintaining the capability to sustain these systems and equipment is critical for DOD. DOD uses its military depots\u2014public-sector facilities that are government-owned and- operated\u2014and its personnel to sustain its complex weapon systems and equipment, both in peacetime and in support of operations. DOD also uses private-sector contractors to help sustain these systems and equipment.", "To ensure that this capability to sustain weapon systems and equipment is preserved within the government, section 2464 of title 10 of the United States Code requires DOD to maintain a core depot-level maintenance and repair capability that is government-owned and -operated. Maintaining this capability provides a ready and controlled source of technical competence and resources to enable effective and timely response to mobilizations, contingencies, or other emergencies. Additionally, DOD must assign these government-owned and -operated facilities (the depots) sufficient workload to ensure cost efficiency and technical competence during peacetime, while preserving the surge capacity and reconstitution capabilities necessary to fully support the strategic and contingency plans prepared by the Chairman of the Joint Chiefs of Staff.", "Section 2464 also requires DOD, among other things, to submit to Congress a biennial report providing information on its core depot-level maintenance and repair capability requirements and workload. Specifically, subsection (d) of section 2464 identifies 10 elements that DOD must address for each of the armed services in its biennial report concerning depot-maintenance requirements and workload. Section 2464 also requires us to review DOD\u2019s report for compliance with section 2464, and to assess the completeness of the report. DOD submitted its most recent biennial core report to Congress on May 23, 2018.", "In this report, we assessed the extent to which DOD\u2019s 2018 Biennial Core Report (1) addressed the 10 reporting elements required by section 2464(d), and (2) is complete. We provided a briefing to your staff on July 19, 2018 of our preliminary observations on the extent to which DOD addressed the 10 reporting elements required by section 2464(d). This report provides the final results of our analysis.", "For objective one, we analyzed the report, compared the content of the report with the elements required by the statute, and obtained information on the process by which DOD identified its core capability requirements and the projected workload needed to sustain its core maintenance capability for fiscal year 2019. When the report explicitly included all parts of the required reporting element, we determined that DOD \u201caddressed\u201d the element. When the report did not explicitly include any part of the element, we determined that DOD \u201cdid not address\u201d the element. If the report included some aspects of an element, but not all, then we determined that DOD \u201cpartially addressed\u201d the element. We also discussed our assessment of each element with department and military service officials to gain additional insight into their analysis and efforts to address the statutory requirements.", "For objective two, we obtained and analyzed the fiscal year 2019 data used in compiling DOD\u2019s 2018 Biennial Core Report, including core capability requirements and projected sustaining workload. We also reviewed other information, such as projected workload shortfall data (that is, the amount by which core capability requirements exceed projected workload for fiscal year 2019) and reasons for it, which the Office of the Secretary of Defense (OSD) required the military service headquarters to submit in support of the report. In order to determine whether these data and information were complete, we performed a number of data check steps to identify transposition inconsistencies or errors, and we discussed our analyses with OSD and military service officials. We also discussed the department\u2019s guidance and the processes used to collect the data for the report with department and military service officials. As in our previous reviews of DOD\u2019s biennial core reports, we did not assess the reliability of the underlying data provided by the military services for the 2018 DOD Biennial Core Report. Lastly, we reviewed DOD\u2019s actions to address our prior recommendations that were targeted at improving the completeness of DOD\u2019s biennial reports. We discuss our scope and methodology in more detail in appendix III.", "We conducted this performance audit from May 2018 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Determining and Reporting on Core Capability Requirements", "paragraphs": ["DOD Instruction 4151.20, Depot Maintenance Core Capabilities Determination Process, requires the military services to apply a methodology to determine their core capability requirements\u2014that is, to identify what core capabilities are required and what workload would be necessary to enable them to sustain these core capabilities at the depots. DOD\u2019s instruction also requires the military services to determine the estimated cost of workloads to sustain the core capability requirement.", "The instruction describes a series of mathematical computations and adjustments that the military services are required to use to compute their core capability requirements, and to identify the projected workload needed to support these requirements. Specifically, the instruction requires that the military services identify the weapon systems required to execute the Chairman of the Joint Chiefs of Staff\u2019s strategic and contingency plans, which, among other things, guide the use and employment of the military forces across all geographic regions and sustain military efforts over different durations of time. After the systems are identified, the military services compute annual depot maintenance capability requirements for peacetime, in direct labor hours, to represent the amount of time they will regularly take to execute required maintenance. A military service may adjust calculated direct labor hours to address redundant capability requirements that are so similar to one another that they share common base repair processes.", "DOD tracks core capability requirements using the following two metrics: direct labor hours, each of which represents 1 hour of effort directly allocated to a category of work; and work breakdown structure categories, which bundle types of work according to weapon systems and equipment.", "DOD uses work breakdown structure categories to organize data on its various core capability requirements and workloads, as well as to manage and report on its core capabilities. There are 10 first-level work breakdown structure categories, and these in turn are broken down into second-level subcategories, which are the major elements that make up the system or equipment in the first-level category. Figure 1 shows the 10 first-level categories of DOD\u2019s work breakdown structure. For the full work breakdown structure, see appendix IV.", "Finally, the instruction requires the military services to provide a reason for all projected shortfalls, strategies to mitigate the effects of each projected shortfall, and actions taken by the services to rectify any projected workload or capability shortfall. A projected shortfall exists if a military service does not expect to have sufficient workload to sustain the required level of capability that has been identified. For example, an armed service may have identified 10,000 direct labor hours of core capability requirements for ground vehicles, but have only 4,000 hours of projected depot maintenance work for ground vehicles\u2014resulting in a projected workload shortfall of 6,000 hours."], "subsections": []}, {"section_title": "DOD\u2019s Biennial Core Reports and Our Prior Reviews", "paragraphs": ["In 2012 DOD submitted its first biennial core report to Congress, and we found that DOD did not provide sufficient explanations when reporting on the military services\u2019 shortfalls in core capability requirements. In 2014 DOD submitted its second biennial core report to Congress, and we found that DOD did not have accurate and complete data in the report. In 2016 DOD submitted its third biennial core report to Congress, and we found (1) data errors; (2) inaccurate inter-service workload across the military services due to lack of coordination in reporting this information; (3) inconsistent calculations or display of workload shortfalls across the military services; and (4) inconsistent calculations of the estimated cost of planned workload across the military services. We made recommendations to address each issue. Further, we identified additional information that could increase the report\u2019s transparency, and we suggested that Congress consider amending section 2464 to include additional elements to increase the transparency of future biennial core reports. Consistent with our recommendations, Congress amended section 2464 and added additional reporting requirements. We discuss DOD\u2019s actions to address our specific recommendations to improve the completeness of its 2018 Biennial Core Report later in this report."], "subsections": []}]}, {"section_title": "DOD Addressed Eight of the Ten Reporting Elements and Plans to Address the Remaining Two in the 2020 Biennial Report", "paragraphs": ["In the 2018 Biennial Core Report, DOD and the military services addressed 8 of 10 required reporting elements, as shown in table 1 and discussed in more detail below. According to department officials, the department did not address two of the elements because changes to its guidance and processes for developing the 2018 report resulted in the 2016 and 2018 reports not being directly comparable. DOD officials stated that they plan to address these two elements in the 2020 Biennial Core Report."], "subsections": [{"section_title": "Military Services Identified Core Capability Requirements and Projected Workloads", "paragraphs": ["To address reporting elements 1 and 2, the military services presented their respective requirements and projected workloads in direct labor hours and associated costs, using the work breakdown structure. Table 2 shows DOD\u2019s reported direct labor hours for the depots\u2019 core requirements, as well as projected maintenance workloads and costs of workloads to sustain core requirements by military service."], "subsections": []}, {"section_title": "Military Services Identified Key Information by Work Breakdown Structure", "paragraphs": ["The military services presented core requirements and workloads, down to the second-level subcategories, to address reporting element 7. This structure represents all of the sub-specialties required to maintain core depot-level capabilities across the 10 categories of the work breakdown structure. For example, the aircraft category is broken down into 7 second-level subcategories: rotary, vertical/short take-off and landing, cargo/tanker, fighter/attack, bomber, unmanned systems, and aircraft engines.", "The Army, Navy, and Air Force also identified the items they placed into the \u201cOther\u201d category to address reporting element 9. The Marine Corps did not place any core requirements in the \u201cOther\u201d category in the 2018 Biennial Core Report and therefore was not required to address this reporting element. Specifically:", "The Army identified requirements associated with items such as air conditioners, food service hygiene equipment, chemical defense equipment, and water purification;", "The Navy identified requirements associated with specialty aircraft and aircraft components that are common across multiple platforms; and", "The Air Force identified requirements associated with specialty items such as surveillance aircraft, missile components, and communications/electronic equipment that do not fall under other distinct work breakdown structure subcategories."], "subsections": []}, {"section_title": "Military Services Identified Projected Shortfalls and Mitigation Plans", "paragraphs": ["The military services each identified projected shortfalls at the first- and second-levels of the work breakdown structure (elements 3 and 4), reasons for those shortfalls (element 3), and mitigation plans for the projected shortfalls (element 3). This includes\u2014in some cases\u2014 leveraging excess core capabilities in one workload category to mitigate projected shortfalls in another category (elements 5 and 8). Specifically: Army: The Army reported a total projected shortfall of about 2.9 million direct labor hours, as shown in table 3. It identified projected shortfalls in 5 of the 10 first-level work breakdown structure categories, and in 13 of the 33 second-level categories.", "The Army identified a number of reasons for these projected shortfalls. Army officials stated that these reasons generally contributed to shortfalls across the various work breakdown categories. They also noted the challenge of calculating shortfalls based on comparing current workloads with predicted workloads that were based on potential future Army strategies. The Army identified the following specific reasons for shortfalls:", "DOD\u2019s updated defense planning scenarios increased the Army\u2019s equipment requirements. These additional requirements resulted in a greater total core depot requirement for the Army, which in turn contributed to projected shortfalls.", "The Army noted that DOD\u2019s most recent Future Years Defense Program lacked sufficient depot maintenance funding (that is, money to pay for direct labor hours) to meet core capability requirements.", "The Army cited newly established software depot maintenance requirements as one of the reasons for its shortfall. Specifically, DOD updated requirements for reporting depot resources associated with upgrading and maintaining software in weapon systems. According to the Army\u2019s 2018 core report submission, the Army previously determined this requirement based on the number of people assigned to the Army\u2019s software sustainment activities. However, the Army revised its methodology for calculating its software sustainment workload to reflect actual workload, not just the number of people conducting the work.", "After identifying projected shortfalls, officials used that information to determine how best to close gaps and mitigate risks in future implementation. Specifically, the Army is currently working to move software-related direct labor hours from contractor to military sources, which will help the Army mitigate\u2014that is, shrink\u2014its projected shortfall by fiscal year 2020. The Army reported that it plans to mitigate many of its projected core shortfalls by using skill sets similar to those required for maintaining a core capability in repairing equipment for foreign militaries. Officials stated that the Army plans to hire and train maintenance personnel to conduct maintenance work associated with the foreign military sales program. This workload will also assist the Army in meeting its core capability requirements for Army systems, increasing the total projected workload, and decreasing estimated shortfalls. Additionally, the Army identified mitigations for specific shortfalls\u2014for example, replacing old generators with a new system by fiscal year 2025 will mitigate its shortfall in support equipment.", "Navy: The Navy reported that it did not project an overall shortfall, nor did it project any shortfalls at the first- or second-level of the work breakdown structure, and therefore it did not provide mitigation plans. Navy and OSD officials noted that the Navy and the department differ regarding the definition of software sustainment. Specifically, a Navy official stated that the service views software sustainment as an engineering function, not a depot maintenance function. This official observed that while the Navy believes software sustainment to be critical to maintaining its weapon systems, it believes that managing software sustainment as depot maintenance is not the most effective approach for the Navy. As a result, the Navy did not report any software core capability requirement or projected workload for fiscal year 2019. OSD defined software maintenance and reporting requirements in its guidance requesting data from the military services for the biennial core report. In spite of differing perspectives between OSD and the Navy, OSD accepted the Navy\u2019s core report submission, in which the Navy reported no core software maintenance capability requirements.", "Marine Corps: The Marine Corps reported that it did not project a total shortfall, but did project a shortfall of 82,971 direct labor hours in one second-level subcategory\u2014that is, construction equipment\u2014that falls in the ground vehicle first-level category. The Marine Corps identified a rationale and mitigation plan for its projected shortfall in construction equipment. The Marine Corps reported that general factors affecting maintenance workload and funding contributed to the shortfall, including: (1) After drawdowns from Iraq and Afghanistan, the Marine Corps repaired equipment to a desired level of combat effectiveness in line with current mission requirements and available resources. This led to fewer current maintenance needs and therefore reduced core maintenance workloads, creating projected shortfalls in some skill sets; and (2) The Marine Corps made changes to its force structure, which led to having more equipment in inventory, less equipment in use, and therefore less required maintenance. This created a shortfall in the skill set for construction equipment. To address this shortfall, the Marine Corps plans to use the excess workload in amphibious vehicles to mitigate the projected shortfall in construction equipment. Marine Corps officials stated that these second-level subcategories involve similar, tracked vehicles, which can be maintained using the same skill set.", "Air Force: The Air Force reported that it did not project a total shortfall, but did project shortfalls within the work breakdown structure, as shown in table 4. The Air Force identified projected overall shortfalls in 1 of the 10 first-level work breakdown structure categories, and in 7 of the 33 second-level work breakdown structure categories.", "The Air Force identified reasons and provided detailed explanations, as well as mitigation plans, for each projected shortfall. For example, it projected a shortfall in rotary workload according to Air Force officials because of staffing and supply issues with HH-60 Pave Hawk maintenance at Corpus Christi Army Depot. According to these officials, these maintenance issues have resulted in the Air Force\u2019s using more contracted depot maintenance work on the HH-60 Pave Hawk in order to meet demand. As a result of the more extensive contracting of maintenance, planned workload at Corpus Christi Army Depot has been reduced, thereby creating a projected shortfall. The Air Force, Army, and Navy formed a team to address this projected shortfall. Air Force officials stated that contracts are being reduced and that they expect to resolve the maintenance issues before the 2020 Biennial Core Report. To address its projected shortfall in tactical missiles, the Air Force plans to identify Letterkenny Army Depot as the Technology Repair Center for this requirement, as the workloads are small in volume and the Letterkenny Army Depot can meet this requirement. In addition, the Air Force projected an overage of about 176,000 direct labor hours in strategic missiles. The Air Force believes that its projected workload in strategic missiles will allow it to maintain capability to repair tactical missiles\u2014an area in which it projects a shortfall of about 42,000 direct labor hours. According to Air Force officials, the electronics on these two types of missiles are very similar and require the same skill set."], "subsections": []}, {"section_title": "DOD Did Not Address the Two Elements Concerning Progress in Implementing Mitigation Plans and Executing Reported Workloads", "paragraphs": ["DOD in the 2018 Biennial Core Report did not address progress made in implementing mitigation plans from the prior core report (element 6), nor did they address the degree to which projected workload reported in the prior core report was executed (element 10). According to Office of the Assistant Secretary of Defense for Logistics and Materiel Readiness (OASD L&MR) officials, they did not address these elements because the elements require DOD to compare information in the 2018 Biennial Core Report with information in the 2016 Biennial Core Report. Since DOD updated its guidance and processes for developing the 2018 Biennial Depot Core Report\u2014in response to new statutory requirements and our prior recommendations\u2014a meaningful comparison was not possible in the 2018 Biennial Core Report, according to OSD and military service officials. Additionally, DOD did not fully provide mitigation plans in its 2016 Biennial Core Report, as we reported in 2016. Therefore, DOD was unable to provide progress reports on 2016 mitigation plans.", "DOD officials told us that they plan to use the 2018 Biennial Core Report as a baseline for future biennial core reports, which will allow them to address elements 6 and 10. Specifically, they stated that they plan to provide progress reports on the mitigation plans they identified in the 2018 Biennial Core Report. Additionally, officials stated their intent to provide a comparison of the fiscal year 2019 projected workload reported in the 2018 Biennial Core Report with the actual workload for fiscal year 2019 contained in the 2020 Biennial Core Report."], "subsections": []}]}, {"section_title": "DOD\u2019s 2018 Biennial Core Report Is Generally Complete", "paragraphs": ["DOD\u2019s 2018 Biennial Core Report is generally complete in that it lacks any obvious errors and aligns with supporting information provided by the military services. Specifically, unlike previous biennial core reports, data submissions provided to DOD by the military services are identical to the data in the 2018 Biennial Core Report, and there are no transposition errors. Further, based on our review of the services\u2019 submissions to OSD, data and other information provided by the military services were accurately and appropriately included in DOD\u2019s 2018 Biennial Core Report. Finally, our analysis of the report and the military services\u2019 submissions did not identify errors in the summation of the data.", "DOD\u2019s focused efforts in 2017 and 2018 to develop better guidance and procedures assisted in improving the completeness of DOD\u2019s 2018 Biennial Core Report\u2014in part, according to DOD officials, due to our prior recommendations. Specifically, in 2017 the OASD L&MR began drafting new guidance to identify required depot maintenance core capabilities and the associated workloads needed to sustain those capabilities. This guidance was finalized and issued by the Office of the Under Secretary of Defense for Acquisition and Sustainment in May 2018. Officials from OASD L&MR and the military services told us that they used the methodology in this new guidance to complete the 2018 Biennial Core Report in late 2017 and early 2018.", "Officials told us that our prior recommendations, based on our reviews of the 2012, 2014, and 2016 biennial core reports, served to guide DOD\u2019s update of its guidance and procedures. The changes made by Congress to section 2464 were also incorporated into DOD\u2019s new guidance to ensure compliance with the 10 reporting elements, as we previously discussed. During the course of our review, we found that DOD had addressed all of the recommendations from our prior reports on the 2012, 2014, and 2016 Biennial Core Reports.", "First, in our review of the 2012 Biennial Core Report, we found that DOD did not include explanations for each identified projected shortfall. We recommended that DOD include in its biennial core report to Congress detailed explanations for why the military services did not have the workloads to meet core maintenance requirements for each projected shortfall identified in the report. Officials with OASD L&MR said that the May 2018 updated version of DOD Instruction 4151.20 was revised to require the submission of a detailed rationale for any and all shortfalls, and a plan to either correct or mitigate the effects of the shortfalls. The instruction states further that the detailed rationale and plan will identify the reason for the shortfall; contain a strategy to mitigate the effects of the shortfall (for example, specific transferrable workload, transfer of private- sector workload); and include actions to rectify any capability or workload shortfalls, including a description of planned capital investment, timing, and planned workarounds until the new capabilities or workloads are available. DOD\u2019s 2018 Biennial Core Report as previously discussed provided rationales for shortfalls.", "Second, in our review of the 2014 Biennial Core Report, we found that some data were incomplete. We recommended that DOD review its processes and implement needed improvements to help ensure accuracy and completeness. In response to this and our other prior recommendations, DOD updated DOD Instruction 4151.20 to include additional steps and more controls that ensure more complete and accurate data submissions. According to OSD officials, changes to the guidance included deleting data fields unrelated to core requirements; streamlining and clarifying reporting instructions; ensuring that service submissions be reviewed and approved by general, flag, or senior executive service officials; determining the weapon systems or other platforms that are in the Chairman of the Joint Chiefs of Staff strategic and contingency plans; addressing inter-service workloads; having the worksheet automatically calculate shortfalls; and defining \u201csoftware\u201d and \u201csoftware maintenance.\u201d", "Most recently, in our review of the 2016 Biennial Core Report, we found (1) data errors; (2) inconsistent capture of inter-service workloads across the military services; (3) inconsistent calculations or transpositions of projected workload shortfalls across the military services; and (4) inconsistent calculations of the estimated cost of projected workloads across the military services. We recommended that DOD update its guidance\u2014in particular DOD Instruction 4151.20\u2014to require future biennial core reports to include instructions to the reporting agencies on how to (1) report additional depot workloads performed that have not been identified as core requirements; (2) accurately capture inter-service workloads; (3) calculate projected shortfalls; and (4) estimate the cost of projected workloads. DOD took steps to address each of these issues. Specifically, DOD did the following: Issued guidance stating that the total adjusted core capability requirements and the total projected public-sector depot maintenance workloads both reflect core workloads, as well as workloads that have not been identified as sustaining core.", "Developed and provided to each of the military services a worksheet on which to submit their projected inter-service workloads. OSD also held a meeting with all of the military services to resolve any discrepancies between their respective submissions.", "Created worksheets with formulas to automatically calculate the projected shortfalls at the subcategory level of the work breakdown structure for each service.", "Issued updated guidance to indicate that the estimated costs of the projected workloads to sustain the core capability requirements were to be included. According to OSD officials, these estimates are developed in accordance with financial management regulations and then applied to the estimated core sustaining workloads for each work breakdown structure, thereby providing a common baseline and process.", "In meetings with OSD and the military services, officials offered ideas for possible changes in future reports, such as including additional information on inter-service workloads to increase congressional visibility regarding coordination on depot maintenance across the military services. Additionally, OSD officials noted that they were considering the inclusion of additional information in future reports on how costs of projected workloads are calculated. Information on this is provided in DOD Instruction 4151.20, but not in its biennial core report. According to OSD officials, the department plans to consider these and other proposed changes from the military services and other stakeholders to its biennial core reporting process and supporting guidance. Given that DOD has made considerable progress by improving both the completeness of the 2018 Biennial Core Report and its guidance on the development of the report, we are not making recommendations at this time."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD provided technical comments, which we included as appropriate.", "We are sending copies of this report to appropriate congressional committees, the Secretary of Defense, and the Secretaries of the Military Departments. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Diana Maurer at (202) 512-9627 or maurerd@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Complete Text of 10 U.S.C. \u00a7 2464(d)", "paragraphs": ["Appendix I: Complete Text of 10 U.S.C. \u00a7 2464(d) (d) Biennial core report. Not later than April 1 of each even-numbered year, the Secretary of Defense shall submit to Congress a report identifying, for each of the armed forces (except for the Coast Guard), for the fiscal year after the fiscal year during which the report is submitted, each of the following: 1. The core depot-level maintenance and repair capability requirements and sustaining workloads, organized by work breakdown structure, expressed in direct labor hours. 2. The corresponding workloads necessary to sustain core depot-level maintenance and repair capability requirements, expressed in direct labor hours and cost. 3. In any case where core depot-level maintenance and repair capability requirements exceed or are expected to exceed sustaining workloads, a detailed rationale for any and all shortfalls and a plan either to correct or mitigate the effects of the shortfalls. 4. Any workload shortfalls at any work breakdown structure category designated as a lower-level category pursuant to Department of Defense Instruction 4151.20, or any successor instruction. 5. A description of any workload executed at a category designated as a first-level category pursuant to such Instruction, or any successor instruction, that could be used to mitigate shortfalls in similar categories. 6. A description of any progress made on implementing mitigation plans developed pursuant to paragraph (3). 7. A description of core capability requirements and corresponding workloads at the first level category. 8. In the case of any shortfall that is identified, a description of the shortfall and an identification of the subcategory of the work breakdown structure in which the shortfall occurred. 9. In the case of any work breakdown structure category designated as a special interest item or other pursuant to such Instruction, or any successor instruction, an explanation for such designation. 10. Whether the core depot-level maintenance and repair capability requirements described in the report submitted under this subsection for the preceding fiscal year have been executed."], "subsections": []}, {"section_title": "Appendix II: Timeline of 10 U.S.C. \u00a7 2464 and Related GAO Reports", "paragraphs": ["In 1984 Congress passed legislation limiting the private contracting of certain core logistics functions. This law required the Department of Defense (DOD) to maintain a logistics capability to ensure a ready and controlled source of technical competence and resources. In 1988 Congress codified this law, as amended, at section 2464 of title 10 of the U.S. Code. While section 2464 has been amended multiple times since then, the requirement for DOD to maintain a core logistics capability that is government-owned and government-operated has persisted. In 2011 Congress added a requirement for DOD to provide a biennial core report. Most recently, in fiscal year 2018 Congress added additional elements that DOD is required to address in its biennial core reports. Among other things, changes to the statute are illustrated in figure 2 below."], "subsections": []}, {"section_title": "Appendix III: Scope and Methodology", "paragraphs": ["Section 2464(d) of Title 10 of the United States Code requires the Department of Defense (DOD), among other things, to submit to Congress a biennial report providing information on its core depot-level maintenance and repair capability requirements and workload. Specifically, section 2464(d) identifies 10 elements that DOD must address for each of the armed services (except for the Coast Guard) in its biennial report concerning depot-maintenance requirements and workload. Section 2464 also requires us to review DOD\u2019s report for compliance with section 2464 and assess the completeness of the report. DOD submitted its most recent biennial core report to Congress on May 23, 2018.", "To determine the extent to which the DOD 2018 Biennial Core Report complies with section 2464(d), we analyzed the text of the report and obtained supporting information on DOD\u2019s process to determine its core maintenance capability for fiscal year 2019. Two GAO analysts independently reviewed DOD\u2019s report to determine the extent to which it addressed each element required by the statute. All initial disagreements between the two GAO analysts were discussed and resolved through consensus. For the military services, when the report explicitly included all parts of the required reporting element, we determined that DOD \u201caddressed\u201d the element. When the report did not explicitly include any part of the element, we determined that DOD \u201cdid not address\u201d the element. If the report included some aspects of an element, but not all, then we determined that DOD \u201cpartially addressed\u201d the element. We compared the types of information and data provided by each of the military services with the data that the Office of the Secretary of Defense (OSD) included in the 2018 Biennial Core Report, to assess consistency. We also discussed our preliminary analyses with OSD and military service officials to gain additional insight into their analysis and efforts to address the statutory requirements.", "To assess the report\u2019s completeness, we obtained and analyzed the fiscal year 2019 data used in compiling DOD\u2019s 2018 Biennial Core Report, including core capability requirements and projected sustaining workload expressed in direct labor hours and cost and other information, such as workload shortfall explanations. We compared the reporting agencies\u2019 submissions with the reporting template in DOD Instruction 4151.20 in order to determine the extent to which the reporting agencies submitted the information required by DOD\u2019s instruction, and we identified any inconsistencies or errors. In order to determine whether these data and information were complete, we performed a number of data check steps to identify transposition inconsistencies or errors, and we discussed our analyses with OSD and military service officials. These steps included (1) reviewing each military service\u2019s submission to verify that it had consistently calculated and reported the direct labor hours identified as the total adjusted requirements and the workload needed to sustain depot maintenance core capability requirements; and (2) reconciling the information in the report against each military service\u2019s submission, for accuracy. However, as in the past reviews of DOD\u2019s biennial core reports, we did not assess the reliability of the underlying data provided by the military services for the 2018 DOD Biennial Core Report. The team also met with OSD and reporting agency officials responsible for overseeing the data collection and preparing the data submissions, to obtain clarification and understanding of the content of the submissions, as well as to discuss the department\u2019s guidance and processes used to collect the data for the report. Lastly, we reviewed DOD\u2019s actions to address our prior recommendations that were targeted at improving the completeness of DOD\u2019s biennial report.", "We conducted this performance audit from May 2018 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: Category Levels from the Department of Defense\u2019s (DOD) Depot Maintenance Core Capability Worksheet", "paragraphs": ["Appendix IV: Category Levels from the Department of Defense\u2019s (DOD) Depot Maintenance Core Capability Worksheet Work Breakdown Structure Category 1. Aircraft 1.2 Vertical/Short Takeoff and Landing 2."], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": ["Diana Maurer, (202) 512-9627 or maurerd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the named contact above, John Bumgarner, Assistant Director; Thomas Gosling, Assistant Director; Pat Donahue, Amie Lesser, Shahrzad Nikoo, Bethann E. Ritter Snyder, Walter Vance, Cheryl Weissman, and Melissa Wohlgemuth contributed to this report."], "subsections": []}]}], "fastfact": ["Defense Department personnel and contractors work in depots to keep weapons and equipment ready for use. These depots must have the ability to meet surges in demand in emergencies. They also must be able to maintain a core of capabilities without overreliance on contractors.", "DOD reports to Congress every 2 years on the status of depot capabilities, including projected shortfalls. In past reviews, we found inaccuracies and other weaknesses in the reports and made recommendations for improving them.", "We found considerable improvements in the 2018 report, which included a more complete accounting of capability gaps and the plans to fill them."]} {"id": "GAO-18-53", "url": "https://www.gao.gov/products/GAO-18-53", "title": "Housing Choice Voucher Program: Limited Indications of Potential Fraud against Participants Identified", "published_date": "2017-12-04T00:00:00", "released_date": "2017-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["With the goal of providing safe, decent, affordable housing, HUD provides rental assistance to low-income households through its HCV program, administered locally by approximately 2,200 PHAs around the country. In fiscal year 2016, the HCV program received approximately $20 billion in funding and provided rental assistance to approximately 2.4 million households. Local demand in the program may exceed voucher supply, and individuals may wait years before receiving a voucher. After receiving a voucher, participants have a limited amount of time to secure a rental. Accordingly, PHAs have issued alerts about criminals targeting program participants with fraud schemes, such as by claiming to offer admission to the program for a fee.", "This report describes (1) the types of reported fraud schemes against HCV participants, including older adults, PHAs' awareness of such schemes and their frequency, and indicators of such schemes online; and (2) HUD's and PHAs' antifraud regulations, guidance, and information related to fraud risks affecting program participants. GAO reviewed online fraud alerts and consumer complaint data from calendar years 2011 to 2016; conducted a generalizable survey of PHA officials about their awareness of fraud against participants; interviewed agency officials and experts; and conducted online covert tests of 350 rental ads and 26 commercial websites. GAO visited eight PHAs, selected based on size and location, among other factors.", "GAO is not making recommendations in this report. HUD had no comments on a draft of this report."]}, {"section_title": "What GAO Found", "paragraphs": ["Public Housing Agencies (PHA) have reported various types of fraud schemes against Housing Choice Voucher (HCV) participants, including older adults, but were aware of limited instances of such schemes. Similarly, GAO identified few potential indicators of these schemes in online covert testing of rental ads and websites. According to GAO's analysis of fraud alerts and complaint data, the type of fraud participants may encounter\u2014such as waiting-list, rental, and side-payment fraud\u2014depends on where they are in the HCV process and whether they are applicants, voucher holders, or landlords, as shown in the figure below. For example, side-payment fraud involves agreements\u2014mutual or compelled\u2014in which the voucher holder pays additional rent or other payments to the landlord for benefits, for example to secure a rental or avoid eviction.", "According to GAO's survey of PHAs representing approximately 1.9 million households, PHAs reported few incidents of the various fraud types, although side-payment fraud, a program violation, was noted most frequently. Specifically, GAO estimates that while 41 percent of PHAs were aware of instances of side-payment fraud in the prior year, most reported 2 to 5 incidents in the prior year. In addition, 3 to 10 percent of PHAs were aware of instances of the other types of fraud GAO identified. GAO's online covert testing also found few indicators of potential fraud. For example, some websites requested payment for information about the HCV application process, but none explicitly offered to do something prohibited by program rules, such as placing someone on a waiting list for a fee.", "The Department of Housing and Urban Development's (HUD) and PHAs' antifraud regulations, guidance, and information largely focus on efforts to protect the HCV program. For example, PHAs are required by HUD to inform families of program-related fraud and abuse, including the prohibition against side payments. In addition, GAO found that several PHAs voluntarily provide targeted messages to participants about fraud schemes by outside parties. Through industry associations, PHAs have mechanisms through which they share best practices that could include these and other issues."]}], "report": [{"section_title": "Letter", "paragraphs": ["With the goal of providing safe, decent, and affordable housing to low- income families, the elderly, and the disabled, the U.S. Department of Housing and Urban Development (HUD) supplements tenants\u2019 rental payments in privately owned housing chosen by tenants through its Housing Choice Voucher (HCV) program. This program is administered locally by approximately 2,200 Public Housing Agencies (PHA) around the country. In fiscal year 2016, HUD received approximately $20 billion for the HCV program, providing rental assistance to approximately 2.4 million households. Local demand in the program may exceed voucher supply, and households may be on waiting lists for years before they receive a voucher. In addition, after receiving a voucher, participants have a limited amount of time to secure a rental. PHAs and others have issued alerts about criminals targeting HCV program participants (including applicants, voucher holders, and landlords) in potentially fraudulent schemes, such as individuals who fraudulently claim to offer vouchers for a fee.", "You asked that we investigate possible fraud against HCV program participants and examine applicable federal oversight, including any preventive and educational measures taken to help identify and limit such fraudulent activity affecting HCV participants\u2014including older adults and other vulnerable populations\u2014and to provide information about fraudulent activity identified to date. In this report, we describe (1) the types of reported fraud schemes committed against HCV participants (including older adults), awareness by PHAs and other relevant organizations of fraud incidents and how often they occur, and indicators of such schemes online; and (2) antifraud regulations, guidance, and informational materials, if any, that HUD and PHAs have in place to identify and mitigate fraud against program participants.", "For our first objective, we employed a number of methodologies. Specifically, to describe the types of fraud schemes reported as being committed against HCV participants in 2016 and 2017, we searched for fraud alerts that a nongeneralizable sample of 60 PHAs publicly posted on the Internet and reviewed the 22 alerts (posted by 20 separate PHAs) that we found. We also reviewed complaints from the Federal Trade Commission\u2019s (FTC) Consumer Sentinel database for calendar years 2011 through 2016. We reviewed complaint data to identify examples of housing and HCV-specific fraud, including schemes affecting older adults. We assessed the reliability of the data by interviewing officials and reviewing related documentation, and found the data sufficiently reliable for the purposes of our reporting objectives. We also interviewed PHA officials about fraud schemes against HCV participants. Finally, we identified key academic research that classified online rental fraud, and interviewed one of the authors of the research.", "To determine awareness of incidents of fraud schemes among PHAs and other relevant organizations, we surveyed PHA officials and conducted site visits to interview PHAs and other relevant organizations and experts. In our survey of a nationally representative, random sample of executive directors of 278 PHAs, we asked about their awareness of fraud against participants, in the last year (spring 2016\u2013spring 2017), within the jurisdiction to which they provide oversight. If the executive directors responded that they were aware of these schemes, we asked that they provide information on the number of incidents, within their jurisdiction, that they were aware of in the prior year. Examples of fraud types included in the survey were promising placement or a higher place on a voucher waiting list, selling fake vouchers, theft of security deposits, requiring side payments and favors, and offering suspect credit-report services. We surveyed executive directors from all 83 PHAs that administered 5,000 or more vouchers as of the fourth quarter of 2015, and a probability sample of 195 executive directors of PHAs with 1,000 to 4,999 vouchers. The survey had a response rate of 84 percent and is generalizable to the full population of PHAs that administer at least 1,000 vouchers. In addition, we interviewed eight PHAs in total, from locations in the Midwest, Northeast, and West Coast regions of the United States. These PHAs were selected using criteria to provide a range of PHAs across geographical locations and PHA size, among other factors. Moreover, we also interviewed an HCV voucher holder about the holder\u2019s knowledge of fraud against participants. We also interviewed industry experts\u2014selected based on their expertise and experience with legal and financial issues affecting older adults and low-income individuals\u2014about fraud affecting older adults, and about identity theft affecting low-income individuals. Finally, we interviewed officials from the HUD Office of Inspector General (OIG).", "To identify indicators of fraud schemes online, we used covert testing to investigate (1) a nongeneralizable sample of 350 rental advertisements in a selection of U.S. cities across several rental websites, and (2) a nongeneralizable sample of 26 commercial websites advertising information on, or assistance with, the HCV program. For our sample of rental advertisements, we counted any communications with online advertisers as having an indicator of fraud if they contained requests such as asking for a wire transfer of a security deposit or first month rent without first offering to show the property. For commercial websites, we used multiple search terms across two search engines to produce a list of target websites. Using undercover identities, we visited each website and input any requested information, including a name and e-mail address, and made a payment if the website requested payment for a service. We also asked website operators whether they could place us on a waiting list. Because covert testing of advertisements and websites was carried out on a nongeneralizable sample, results of this effort are also nongeneralizable.", "To describe antifraud regulations, guidance, and informational materials, we reviewed relevant HUD regulations and policy documentation, as well as informational materials developed by the eight PHAs we interviewed, designed to educate HCV participants about the program. We interviewed PHA officials about the HCV program and about the information they provide to participants. We also interviewed officials from FTC, the Consumer Financial Protection Bureau, the HUD OIG, the U.S. Postal Inspection Service, and the Department of Health and Human Services about practices used by federal agencies to inform the public about fraud- related issues. For additional details on our scope and methodology, see appendix I.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work from January 2017 to July 2017 in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Background", "paragraphs": ["The HCV program, administered by HUD, subsidizes housing costs for low-income households in the private rental market. Because HUD provides HCV assistance directly to the household, participants are able to find their own housing, including single-family homes, townhouses, and apartments. If the household moves out of the unit, it can move with continued assistance to another private rental unit.", "PHAs administer the HCV program at the local level, while HUD administers funding and furnishes technical and professional assistance to PHAs in planning, developing, and managing the program. Approximately 2,200 PHAs across the country administer the voucher program on HUD\u2019s behalf, managing day-to-day operations in the HCV program, including the application and voucher distribution processes, as well as housing inspection and approval. PHAs are responsible for ensuring that rents are reasonable, determining households\u2019 eligibility, calculating and periodically redetermining households\u2019 incomes and rental payments, and making subsidy payments to landlords. In addition, PHAs perform basic program functions, such as establishing and maintaining a waiting list, processing tenant moves, conducting landlord and tenant outreach, and reporting to HUD.", "Local PHAs determine the eligibility of households, approve applications, and distribute vouchers. In general, to be eligible to participate in the HCV program, households must have very low incomes\u2014that is, incomes not exceeding 50 percent of the area median income. Moreover, at least 75 percent of new voucher program participants must have extremely low incomes, not exceeding 30 percent of the area median income. Once a household is approved by a PHA to participate in the program and finds a rental unit, that household pays 30 percent of its monthly income, after certain adjustments, toward rent. The remaining portion of the rent is paid through the HUD-subsidized voucher. PHAs can pay subsidies to cover between 90 percent and 110 percent of the fair market rent for their areas.", "The HCV application and rental process is displayed in figure 1.", "The following applies in the HCV application process:", "Households seeking to enter the HCV program may wait years for their local PHA to announce an open application period. PHAs may establish waiting lists if the number of applicants to the program exceeds available vouchers, and may close the waiting list if it contains more households than the PHA can assist in the near future. Therefore, prospective applicants in some locations can wait years for a local PHA to determine the eligibility of those already on the waiting list\u2014and provide vouchers to eligible individuals\u2014before reopening waiting lists to new applicants.", "During open application periods, applicant households may encounter processes and requirements that vary amongst PHAs. Applying for a voucher from a local PHA may take place in person or online, while PHAs may determine an applicant\u2019s priority to receive a voucher by varying methods, such as a random lottery amongst all applicants, or on a first-come-first-serve ordering of when applicants applied. Moreover, PHAs can establish local preferences for selecting applicants from their waiting lists. For example, PHAs may give preference to a household that (1) is homeless or living in substandard housing, (2) is paying more than 50 percent of its income for rent, or (3) has an older-adult household member. Regardless of methods to determine eligibility, apply for, and obtain a voucher within the HCV program, it is free to participants.", "When an open application period ends and before determining household eligibility, PHAs may initially put applicant households on a waiting list. Because the demand for vouchers may exceed the supply available to the local PHA, households that have already waited to apply to the program may also wait years to receive a determination of eligibility and receive a voucher.", "After receiving a voucher, households must find eligible private- market rental housing within a limited time frame. A PHA will make contact with and issue a voucher to a household that is determined to be eligible and is subsequently selected from the waiting list. Households receiving vouchers use them to subsidize their rents in private apartments or houses available in the rental market. Households must find housing quickly\u2014generally within 60 days\u2014 unless the PHA grants an extension. In some cases, PHAs direct voucher holders to websites dedicated to rentals in the HCV program, where private landlords list available units.", "When a voucher-holding household finds a unit that it wishes to occupy\u2014and reaches an agreement with the landlord over the lease terms\u2014the PHA inspects the dwelling and determines whether the rent requested is reasonable. To be eligible, a rental unit must meet HUD minimum housing-quality standards, and must provide an acceptable level of health and safety. After the unit is inspected and deemed eligible, the household signs a contract with HUD, and both HUD and the household sign contracts with the landlord. The contract stipulates that the PHA will make the housing-assistance payment to the landlord and the household will pay the difference between the housing-assistance payment and the rent. Landlord participation in the HCV program is free, and landlords do not pay to maintain compliance with the program. Moreover, the HCV program provides for the use of vouchers across locations. Once a household receives a voucher, it may use the voucher in any location in which a PHA administers the voucher program, as long as it remains eligible."], "subsections": []}, {"section_title": "Various Reported Fraud Schemes against Housing Choice Voucher Participants Can Occur, but PHAs Reported Limited Incidents, and GAO Covert Testing Found Limited Online Indicators of Fraud", "paragraphs": [], "subsections": [{"section_title": "Waiting-List, Rental, and Side-Payment Fraud Are among the Reported Types of Schemes That Can Affect Voucher Participants", "paragraphs": ["Reported fraud schemes against program participants\u2014including prospective applicants, individuals on waiting lists, current voucher holders, and landlords providing rental units\u2014can occur at each point in the HCV application and rental process, according to program officials and our analysis of FTC complaint data. On the basis of our reviews of fraud alerts issued by PHAs and complaints submitted to the FTC, the type of fraud that participants, including older adults, may encounter depends on where they are in the process and whether they are landlords or renters. Fraudsters perpetrate reported schemes in a variety of ways, such as through in-person impersonation of PHA staff or by manipulating telephone numbers to convince landlords to make unnecessary payments. Reported types of fraud schemes and when they could potentially occur in the HCV application and rental process are displayed in figure 2.", "As shown in figure 2, various reported fraud types can be carried out against HCV participants. While some fraud types are specific to the HCV program, participants may also be victims of general rental-housing fraud. The reported fraud types, which we identified through interviews with PHAs and others and through an analysis of PHA fraud alerts and Consumer Sentinel complaints, include the following:", "Waiting-List Placement Fraud. In online or in-person settings, fraudsters may claim they can provide a voucher, place applicants onto a waiting list, or move individuals to a higher position on the waiting list. In exchange, fraudsters may request a payment, or may request information (such as name, credit-card number, and e-mail address) that may put participants at risk of credit-card fraud or identity theft. Waiting lists maintained by PHAs may open infrequently, and program application processes and requirements vary from location to location. Reported fraud schemes may take advantage of applicant unfamiliarity with program rules, and target those seeking to enter the program or awaiting a voucher.", "Rental-Advertisement Fraud. Because they rent in the private market, voucher holders are susceptible to online rental-fraud schemes. Those who place online rental advertisements may request wire transfers from prospective renters to secure fake rentals, or steer potential renters to suspect credit-reporting services that offer commissions to the scammers or realtor services that charge users a onetime or recurring monthly fee.", "Side-Payment Fraud. Officials from PHAs and other organizations characterized side payments as two distinct activities\u2014alternatively, as landlord fraud against tenants on one hand, and mutually beneficial agreements between tenants and landlords on the other. In exchange for property rental or successful inspection, landlords or building inspectors may fraudulently request additional payments or pressure participants for other favors from voucher holders. Landlords may ask tenants for a monthly payment above the agreed rent, or may require HCV participants to pay for utilities when not required to in their rental agreement. For example, a Midwest PHA we interviewed reported being aware of coercive demands by landlords for side payments or sexual favors in exchange for a rental unit. Side payments may also be a mutual arrangement between landlord and voucher holders. For example, voucher holders may make a payment above their monthly rent\u2014in violation of program rules\u2014and in exchange the landlord agrees not to report that there are unauthorized occupants living in the unit, again in violation of program rules. A West Coast PHA we interviewed characterized most side payments it is aware of as mutual agreements of this type.", "Security-Deposit Fraud. Because they rent in the private market, voucher holders may encounter fraudsters advertising a rental and requiring a security deposit from one or several prospective renters even if there is no rental unit available or only one of the prospective renters will ultimately obtain the rental.", "Program-Compliance Fraud against Landlords. Fraudsters may take advantage of landlord unfamiliarity with HCV program rules. In calls to HCV program landlords, fraudsters mask their phone number with that of the local PHA, and direct the landlords to make a credit-card payment over the phone to purchase materials or to make a payment in order to remain in compliance with program rules."], "subsections": []}, {"section_title": "PHAs Are Aware of Limited Instances of Fraud Affecting Voucher Participants in Their Jurisdictions, with Side- Payment Fraud Reported Most Often", "paragraphs": ["An overwhelming majority of surveyed PHAs did not report awareness of any occurrences of most fraud types that could affect HCV program participants, while those that were aware of fraud against participants reported few instances, according to our survey results and interviews. We surveyed a nationally representative sample of PHAs representing approximately 1.9 million households. We inquired about incidents occurring within their area of jurisdiction from spring 2016 through spring 2017. We asked about fraudsters promising placement onto or a higher place on a waiting list, selling vouchers, stealing security deposits, or offering suspect credit-report services; voucher holders and landlords engaging in side payments; and landlords and building inspectors illegally soliciting favors. Apart from incidents of side payments (discussed in detail below), on the basis of PHA responses to our survey we estimate that between 3 and 10 percent of all PHAs with 1,000 or more vouchers were aware of any occurrences of the types of fraud schemes included in our survey (see fig. 3). Further, when PHAs were aware of such fraud schemes, most reported between 2 to 5 cases in their local area of jurisdiction from spring 2016 through spring 2017. Our other sources of evidence were consistent with our survey results. For example, we interviewed officials with two PHA associations\u2014representing approximately 1,900 total PHAs\u2014about fraud against HCV participants (other than side payments). The associations reported that they were unaware of widespread instances of these types of fraud against participants.", "PHAs were much more likely to report awareness of incidents of side payments than the other types of fraud included in our survey, according to our analysis of survey responses. As noted above, side-payment fraud involves agreements\u2014mutual or compelled\u2014in which the voucher holder pays additional rent or other payments to the landlord in return for benefits, to secure a rental, or to avoid eviction. On the basis of survey responses, we estimate that 41 percent of all PHAs with 1,000 or more vouchers were aware of incidents of side payments in the prior year, as shown in figure 3 above. Of PHAs reporting side payments, we estimate that the vast majority (93 percent) were aware of 1 to 10 instances of side payments in the prior year (spring 2016\u2013spring 2017), with most reporting between 2 and 5 incidents in the past year. Further, we estimate that 7 percent were aware of 11 or more instances in the prior year.", "Officials from all eight PHAs we interviewed similarly told us that they were aware of side payments, but some said that participants rarely report cases of side payments to them. Because violation of HVC rules could result in termination of a lease or loss of voucher for the recipient, it is possible that side payments are not always reported to PHAs. Two experts providing legal services to low-income individuals said that, in regard to fraud affecting HCV participants, landlord requests for side payments is relatively more common than other types of fraud. In addition, a current voucher holder told us about personal experiences involving requests for such payments by landlords, but also said that he or she had not experienced any other types of fraud.", "In response to our open-ended survey question on other fraud not specifically mentioned in the survey, three PHAs in two regions reported variations of a type of fraud that intends to convince landlords that they are not in compliance with HCV rules, and that they must make a payment over the phone. Although this type of fraud was not included explicitly in our survey and is therefore not included in figure 3 above, in survey comments one West Coast PHA and two PHAs in the Southeast reported instances of this type of fraud. In open-ended survey comments, a West Coast PHA reported being aware of two attempts of similar fraud, in which fraudsters called landlords and asked them to make a credit-card payment over the phone to maintain program compliance. Similarly, two southeastern PHAs also reported being aware of instances of similar fraud schemes in the last year, although neither provided the number of cases reported to them. Furthermore, another West Coast PHA that was not included in our survey issued an online alert about scammers calling landlords, masking their actual phone number with the PHA\u2019s phone number, and stating that in order for the landlord to maintain program compliance, the landlord must make a credit-card payment over the phone to purchase a program manual. In an interview, officials from this PHA reported being aware of 36 attempts of this fraud type against landlords from September 2015 to April 2017.", "According to PHA officials, fraud schemes generally have not targeted older-adult HCV participants. In survey responses, a limited number of PHAs reported fraud against older adults. For example, we estimate that of PHAs reporting awareness of side-payment schemes, very few PHAs (about 8 percent) were aware of instances in which landlords targeted older adults in side-payment requests. Moreover, an official from one PHA we interviewed stated that because older adults are likely to have advocates helping them to find housing, they are less likely than other HCV participants to be victims of fraud. Similarly, one expert providing legal services to older adults in the HCV program indicated that project- based participants\u2014who rent units only in specific buildings\u2014are more likely than HCV participants to be targets of in-person fraud because they are located in identifiable properties.", "Several PHAs issued fraud alerts about schemes against participants, but officials at PHAs we interviewed about some of the alerts told us that incidents of these fraud types were limited. Specifically:", "A Midwestern PHA issued an alert about an individual promising a voucher for a fee and meeting victims in person to receive payment. In a follow-up interview, PHA officials stated that, in total, they received five to seven reports about this fraud. Each of these cases occurred while the PHA\u2019s waiting list was open in 2015. A nearby PHA also reported that when its waiting list was open in 2011, an individual with fake PHA credentials fraudulently took payment from individuals and promised to move them to the top of the waiting list. The PHA was aware of 10 individuals who were victims of the fraud, and estimated that they each paid about $200 to the perpetrator.", "A West Coast PHA issued an alert about a website charging applicants to submit a program application. However, in an interview the PHA reported awareness of only one case over the last 3 years of fraud committed by outside parties against voucher participants.", "Although instances of fraud against HCV participants reported to PHAs appear relatively rare, participants who provide personal information to unknown individuals are still at risk for identity theft, according to some experts we interviewed. Two identity-theft experts stated that credit-card fraud is likely if individuals enter payment information in unverified sites. Furthermore, one expert stated that low-income individuals can be targets for identity theft because fraudsters can use stolen identities with low credit scores to obtain high-interest loans that they do not intend to pay off."], "subsections": []}, {"section_title": "Few Indicators of Potential Fraud Found in Online Covert Testing", "paragraphs": ["In covert testing using undercover tools and techniques, we found no indicators of fraud in rental advertisements posted online, and few indicators of fraud in commercial websites offering information to participants about the HCV program.", "Through our online covert testing, we found no indicators of potential fraud in 350 advertisements\u2014selected using a random-selection methodology\u2014posted in online marketplaces across six cities. On the basis of an academic study of online fraud schemes on rental marketplaces and information provided by PHAs, we developed a list of indicators of potential fraud. These indicators include requests for a wire transfer of security deposit or first month rent without offering to provide an in-person viewing of the property, or requesting an up-front or monthly side-payment agreement as a condition of rental. In searches of one rental website, we came across a small number of advertisements that initially appeared to contain an indicator of potential fraud\u2014specifically, links to a website for specialized realtor services; covert testing of that link did not find further indicators of potential fraud.", "None of the 26 commercial websites we covertly tested contained text explicitly stating that they would place or move someone up a waiting list for a fee. Further, in e-mail correspondence with every website, we asked whether they could help place us on a waiting list. Some website operators never replied and some stated they could not do so, with none agreeing to place us on a list. However, some websites used HUD\u2019s Equal Housing Opportunity logo, which might make them appear to be associated with official government programs, while others requested payment for suspect services and products. For example:", "One PHA fraud alert specifically named one of the websites we tested covertly, and indicated that the website fraudulently offered to submit an application for the HCV program for a onetime registration fee. Our covert testing found that this website displayed HUD\u2019s Equal Housing Opportunity logo, and charges a fee for a \u201cguide\u201d about the voucher program, but at the time of our testing the website did not offer to submit an application for a fee. Payment to the website resulted in access to a guide and online forum containing a list of open PHA waiting lists for the HCV program and links to publicly available PHA websites.", "One website we covertly tested requested payment for an e-book guide to assist with the HCV application process. We made payment but never received the e-book.", "One website subject to covert testing stated that landlords in the HCV program may deny or refuse to rent to a potential tenant based on his or her credit-report information, and referred us to a suspect website offering credit reports. The website claimed to offer a \u201cfree credit report\u201d and requested personal information including a Social Security number and credit-card number. As part of our covert testing, we provided a credit-card number. We also entered all zeroes as a Social Security number on the site, prompting the site to state that it could not provide us with a credit report, as we had not provided a valid Social Security number. Despite that fact, the site charged our credit card a recurring payment. In a phone call, a representative of the website stated that, in the terms-of-use for the website, users are informed that they must explicitly request that recurring payments be terminated or that those payments would continue."], "subsections": []}]}, {"section_title": "HUD and PHA Antifraud Efforts Focus Mainly on Fraud against the HCV Program; Some PHAs Voluntarily Provide Information about Fraud against Participants", "paragraphs": ["HUD regulations and guidance and PHA informational materials pertinent to fraud primarily focus on protecting the HCV program rather than protecting participants from fraud committed by external parties. For example, where the regulations mention fraud explicitly, it is generally in relation to mitigating program violations by owners and voucher program participants, recovering program losses from fraud, and assessing participants, applicants, and owners for participation or continued participation in the program.", "Apart from requiring that PHAs inform participants about a prohibition against side payments to landlords (a program rule violation), HUD\u2019s antifraud guidance, as outlined in the Housing Choice Voucher Program Guidebook, generally focuses on preventing fraud against the program, as opposed to fraud against participants. For example, an applicant misrepresenting income and assets to obtain an HCV voucher and a landlord bribing a PHA employee to approve substandard rental housing are types of program fraud. See figure 4 for examples of HCV program- related fraud listed in the guidebook.", "Education and outreach requirements for PHAs specified in the HCV guidebook largely focus on providing adequate public notice of waiting-list openings; an oral briefing when the PHA selects a family to participate in the program; and a written briefing packet for participants, which must include a variety of subjects related to program administration, leasing a unit, and family obligations. Consistent with the guidebook, written or online briefing materials from the eight PHAs we interviewed mention various types of program violations. All but one specifically state that side- payment agreements between landlords and tenants are prohibited, which, as discussed above, can be viewed as both fraud affecting the participant and against the program. HUD directs PHAs to inform participants that landlord\u2013participant side payments are prohibited.", "HUD provides guidance on how a PHA should handle a situation in which the landlord is collecting side payments. If the PHA finds that the landlord is collecting side payments, the PHA must notify the landlord to immediately cease collecting these payments and require repayment to the tenant of the full amount collected. The PHA must determine whether the landlord also collected side payments from other participants and follow up to require repayment. The amount can be repaid by offsetting the amount due against future housing-assistance payments. At its discretion, the PHA may terminate the housing-assistance payments contract with the landlord immediately, even if the landlord has repaid amounts due the tenant, but the PHA must cancel the contract if the landlord fails to repay.", "Although not required, several PHAs we visited or contacted voluntarily provided informational materials to program participants that included targeted messages and alerts notifying them of certain housing- assistance fraud by outside parties, such as voucher-sale fraud, or fraud involving being placed on or moved up a waiting list. For example, in program briefing documents given to participants, a northeastern PHA warns participants of housing-assistance scams, and specifically advises participants not to pay to, among other things, (1) be placed on or be moved up a waiting list or (2) receive an HCV voucher or voucher extension; a different northeastern PHA advises HCV participants not to give their voucher to anyone, including the apartment owner, agent, or property manager; and not to give any money to the apartment broker, owner, or agent until the PHA approves the selected apartment; and a West Coast PHA advises HCV applicants and participants to be aware of fraud, particularly schemes that require a payment to file an application or to move up a waiting list.", "In addition, PHAs share best practices that could include these and other issues. For example, two industry associations representing approximately 1,900 PHAs provide mechanisms for PHAs to share information and best practices about HCV administration and issues affecting HCV program participants and their communities. Both regularly hold conferences, meetings, and other events that provide a venue for members to discuss relevant issues. In addition, one of these associations has published reports on issues affecting older adults and connecting housing and community services, among other issues, while the other published a report on issues related to rental reform proposals."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to HUD, FTC, the Consumer Financial Protection Bureau, the Department of Health and Human Services, and the U.S. Postal Service. We received e-mails from HUD, the Consumer Financial Protection Bureau, and the Department of Health and Human Services in which liaisons to GAO for those agencies stated they had no comments on the report. We received technical comments from FTC and the U.S. Postal Service, which we incorporated in the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Housing and Urban Development, the Federal Trade Commission, the Director of the Consumer Financial Protection Bureau, the Secretary of Health and Human Services, and the Postmaster General of the U.S. Postal Service. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-6722 or shear@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we describe (1) the types of reported fraud schemes committed against Housing Choice Voucher (HCV) participants (including older adults), awareness by Public Housing Agencies (PHA) and other relevant organizations of fraud incidents and how often they occur, and indicators of such schemes online; and (2) antifraud regulations, guidance, and informational materials, if any, that the Department of Housing and Urban Development (HUD) and PHAs have in place to identify and mitigate fraud against program participants.", "To address our first objective we used a variety of methods (see fig. 5). Details on our use of these methodologies are described below."], "subsections": [{"section_title": "First Objective", "paragraphs": [], "subsections": [{"section_title": "Types of Reported Fraud", "paragraphs": [], "subsections": [{"section_title": "Fraud Alerts", "paragraphs": ["Some PHAs issue online alerts and post these on their websites to inform HCV applicants and participants about potential fraud schemes. We initially identified PHA fraud alerts by performing online searches about fraud in the HCV program. We then developed a structured search method for identifying additional fraud alerts. To do this, in 2016 and 2017, we searched fraud alerts issued by a nongeneralizable sample of 60 PHAs; in total, 20 PHAs published 22 alerts about fraud affecting HCV applicants and participants on their websites.", "We identified our nongeneralizable sample of 60 PHAs using 2015 fourth- quarter Picture of Subsidized Households data from HUD, which contain information on subsidized housing units by several types of programs including the HCV program. The initial population contained PHAs ordered by total number of HCV program vouchers available. We selected our sample of PHAs based on those with the most vouchers."], "subsections": []}, {"section_title": "Consumer Complaint Data", "paragraphs": ["We reviewed consumer complaint data from the Federal Trade Commission\u2019s (FTC) Consumer Sentinel database from calendar years 2011 through 2016. The date range of the data represents the most- recent years available at the time of our request. Our review of the data focused on complaints related to the HCV program and companies that offer rental housing services. We assessed the reliability of the data by interviewing officials and reviewing related documentation and found the data sufficiently reliable for the purposes of our reporting objectives.", "We developed several categories for reviewing complaints based on criteria on fraud schemes affecting HCV program applicants and participants. To develop an initial list of categories, we selected a subsample of the first entries in the data and independently created categories that could be used to categorize the complaints in the subsample. On the basis of this methodology, we identified a set of defined coding categories, which were as follows: 1. HCV-specific fraud, 2. housing-related fraud (HCV not mentioned), 3. housing-related fraud involving the purchase of foreclosed property, 4. housing-related credit-report fraud, 5. housing-related fraud requesting electronic wire transfer of funds, 6. HCV-specific complaints where fraud is not mentioned or the nature of 7. housing-related complaints where fraud is not mentioned or the nature of fraud is unclear, and 8. complaints not related to the scope of the engagement.", "We also separately coded whether the subject matter of each complaint specifically affected an older adult.", "We applied a two-person data-coding process to ensure intercategorization reliability. FTC delivered the data to us in batches organized along search terms we provided. For several of the initial batches we received, as a first step in the coding process, a coder categorized each complaint into one of the categories above, and simultaneously identified any complaints that contained relevant housing- related or HCV-related fraud types that we had not already discovered. As a second step, a reviewer assessed a nonrandomized sample of the data to determine whether coding was correct, and whether the coder had identified any previously unknown fraud types in the batch. We repeated this process for three of the five batches that we received, and reviewed over 600 total complaints. Upon finding no new fraud types in the coded data, we ceased analysis and did not code the remaining two batches we received, which we deemed to contain complaint categories unlikely to reveal new types of fraud.", "We also interviewed PHA officials from eight PHAs (selected using a methodology discussed below). Additionally, we reviewed an academic study describing fraud against prospective renters in online marketplaces, which allowed us to identify several fraud types that could be used against HCV participants searching for rental units. The study used crawling and automated interaction to identify fraud types. We interviewed an author of the study to clarify research techniques. We assessed that the individual was sufficiently independent. Our methodological specialist assessed the study, and found its conclusions to be sufficiently valid and reliable for our purposes."], "subsections": []}]}, {"section_title": "Awareness of Fraud Incidents", "paragraphs": [], "subsections": [{"section_title": "Survey", "paragraphs": ["We conducted a web-based survey with a nationally representative stratified random sample of executive directors overseeing PHAs. In the survey, we asked PHA executive directors and their staffs to provide information on known fraudulent activities by fraudsters or impersonators, fraudulent activities by landlords and building inspectors, and any other information on fraudulent activities adversely affecting HCV program applicants and participants from spring 2016 through spring 2017. We administered our survey from April to May 2017. Estimated percentages of the responses for all closed-ended questions from the survey are included in appendix II.", "We identified the population of PHA executive directors using 2015 fourth-quarter Picture of Subsidized Households data from HUD, which contain information on subsidized housing units by several types of programs including the HCV program. The Picture of Subsidized Households data also contain the percentage of households using these programs by factors such as age, income, and disability. We assessed the reliability of the data for use as our sampling frame by reviewing technical documentation, conducting electronic testing, and interviewing officials who oversee the data system; we found the data sufficiently reliable for our purposes.", "Our initial population list contained a total of 2,243 PHA executive directors, and our sample contained 278 PHA executive directors. We stratified the population by size of PHAs as follows: We drew (1) a certainty sample of 83 executive directors who oversaw at least one PHA with 5,000+ vouchers (\u201clarge\u201d PHAs) and (2) a probability sample of 195 executive directors who oversaw at least one PHA with 1,000\u20134,999 vouchers (\u201cmedium\u201d PHAs). For purposes of discussion, we refer to the experiences of PHAs in our analysis, although our sampling unit was the executive directors of the PHAs.", "To formulate our survey questionnaire on the types of fraud potentially adversely affecting HCV program applicants and participants, we conducted research on the topic of fraud by interviewing PHA officials, reviewing fraud alerts publicly posted on the Internet by large PHAs, and reviewing consumer complaint data. On the basis of the results of our research, we developed our survey questionnaire to include questions on external fraud such as (1) fraudsters or impersonators promising placement on a voucher waiting list, (2) fraud offering higher placement on voucher waiting lists, (3) fraud offering fake vouchers, (4) fraud offering suspect credit-report services, (5) landlords requiring prohibited side payments, (6) illegal solicitation of favors by landlords and building inspectors, and (7) illegal solicitation of rental-unit security deposits by landlords. We pretested our survey instrument with four PHAs located in Maryland, Michigan, Ohio, and Virginia. We revised our questionnaire language and format based on input received by officials in these four PHAs in order to improve the clarity of the questions. An independent survey specialist within GAO also reviewed a draft of the questionnaire prior to its administration; it is available in appendix II.", "We administered a web-based questionnaire accessible through a secure server. When we completed the final survey questions and format, we sent an e-mail announcement of the survey to 278 PHAs in April 2017. The PHA points of contact were notified that the questionnaire was available online and were given unique passwords and usernames. We sent follow-up e-mail messages twice in May 2017 to those who had not yet responded. We contacted remaining nonrespondents by telephone, beginning in May 2017. The questionnaire was available online until mid- May 2017.", "We obtained a weighted overall response rate of 84 percent, and the response rate by stratum was 86 percent for our first stratum (\u201clarge\u201d PHAs) and 83 percent for our second stratum (\u201cmedium\u201d PHAs). Because we followed a probability procedure on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 10 percentage points). This interval would contain the actual population value for 95 percent of the samples we could have drawn. Confidence intervals are provided along with each sample estimate in the report. All survey estimates presented in this report are generalizable to the population of large and medium PHAs, or to either the population of large PHAs or medium PHAs analyzed separately. Unless otherwise noted, estimates for the full population of large and medium PHAs have a margin of error for a 95 percent confidence interval within +/-4.5 percentage points or less. Unless otherwise noted, estimates for the medium PHAs analyzed separately have a maximum margin of error for a 95 percent confidence interval of +/-5.4 percentage points or less. Unless otherwise noted, estimates for the large PHAs analyzed separately have a maximum margin of error for a 95 percent confidence interval of +/-4.5 percentage points or less. Some questions had too few respondents to generate reliable estimates. In these cases, we report the raw frequencies of respondents to our survey.", "To minimize nonsampling errors, and to enhance data quality, we employed recognized survey design practices in the development of our survey questionnaire and in the collection, processing, and analysis of the survey data. To minimize errors arising from differences in how survey questions might be interpreted and to reduce variability in responses that should be qualitatively the same, we conducted pretesting of our survey questionnaire; see discussion on pretesting above. To reduce nonresponse, a source of nonsampling error, as mentioned above we followed up by e-mail and by telephone with PHAs who had not responded to the survey to encourage them to complete it.", "To analyze open-ended comments provided by those responding to the survey, we conducted a content analysis for the purpose of identifying fraudulent activities against HCV program participants not addressed in our survey questionnaire. We analyzed open-ended responses to identify fraud types not directly addressed in our survey. We identified two additional types of fraud. One type of fraud involved fraudsters posing as PHA officials, calling landlords to convince them to make unnecessary payments. This type of fraud against landlords is discussed in the report. The other type of fraud identified was not related to participation in the HCV program, and so is not discussed in the report."], "subsections": []}, {"section_title": "Interviews of Government Officials, Nongovernment Officials, and Others", "paragraphs": ["As part of our site visits, we interviewed officials from eight PHAs located in three U.S. regions. On the East Coast, we interviewed officials with the New York City Department of Housing Preservation and Development, the New York City Housing Authority, and New York State Homes and Community Renewal. In the Midwest, we interviewed officials with the Cuyahoga Metropolitan Housing Authority, the Detroit Housing Commission, and the Flint Housing Commission. On the West Coast, we interviewed officials with the Housing Authority of the County of San Bernardino and the Housing Authority of the City of Los Angeles. We identified our interviewee selection on the basis of ensuring geographical representation, budgetary considerations, metropolitan cities with a large population, PHAs\u2019 issuance of fraud alerts, PHA size\u2014large, medium, and small, PHA in states with a large number of older adults, and consideration for overlap of other GAO ongoing work in the area of the HCV program. Our sample of PHA interviewees is nongeneralizable. Moreover, we interviewed an HCV voucher holder about the voucher holder\u2019s knowledge of fraud against participants.", "We also interviewed government and nongovernment officials and others based on their knowledge and expertise on the topic of fraud in general; fraud education campaigns; fraud adversely affecting HCV program applicants and participants; fraud affecting older adults; or identity theft. Specifically in reference to government agencies, we interviewed officials from the U.S. Federal Trade Commission (FTC), the Consumer Financial Protection Bureau, the U.S. Postal Inspection Service, and the Department of Health and Human Services about fraud types and about practices used by federal agencies to inform the public about fraud- related issues. We also interviewed officials from the HUD Office of Inspector General (OIG) about any past or ongoing work related to the scope of our reporting objectives. For our interviewee selection, we considered recommendations from other organizations such as PHAs and legal-assistance organizations and reviewed prior GAO work on the issue of older-adult financial exploitation. We also considered organizations\u2019 characteristics in terms of fraud prevention or work performed in assisting potential fraud victims. These characteristics include whether the organization has an investigative unit that may have data on fraud schemes, posts fraud alerts on its Internet websites, has data on fraud cases, collaborates with other groups on fraud awareness, has a fraud or complaint hotline, works on fraud prevention and provides support to victims of fraud, or works with vulnerable populations including low-income individuals or the older-adult population on social or legal issues."], "subsections": []}]}, {"section_title": "Indications of Potential Fraud Online", "paragraphs": [], "subsections": [{"section_title": "Covert Testing", "paragraphs": ["On the basis of an academic study about fraud in online rental marketplaces (discussed above) and PHA-provided information, we developed a list of indicators of potential fraud that might appear in online advertisements. We used covert tools and techniques to test a nongeneralizable sample of advertisements posted on commercial websites commonly used by HCV voucher holders and landlords for rental property listings, counting advertisements as potentially fraudulent if the originator of the advertisement did any of the following:", "Requested a wire transfer of security deposit or first month\u2019s rent, or both, without offering to provide an in-person viewing of the property. For example, the person who posted the advertisement might state that the rental is available, but that the person is currently not in the country.", "Provided a link to a suspect credit-report site within the advertisement or subsequent correspondence. While requiring a credit report is a normal part of the rental process, fraudsters may post a fake rental advertisement and redirect victims to a credit-score company. If the victim pays for the credit score, the credit-score company will pay the fraudster a commission.", "Stated in correspondence that the rental unit is no longer available, but recommended a suspect site providing rental search, broker services, or monthly payments toward purchase of a foreclosed property.", "Requested an up-front or monthly side-payment agreement as a condition of rental.", "Included an e-mail address directly in the text of the ad. According to one academic expert on fraud, it was rare to see a legitimate advertisement poster embed an e-mail address in a post, because most people do not want to expose that information on the Internet.", "Advertisements or correspondence containing an indicator of fraud do not necessarily reveal the presence of a fraud scheme. For example, the presence of an e-mail address directly in the text of an advertisement may also indicate that the advertisement was posted by a realtor service.", "We selected 6 geographically diverse cities nationwide for covert testing of online rental advertisements. To generate a list of cities for possible selection, we identified cities containing the 20 PHAs with the largest number of HCV vouchers. We identified one commonly used online housing-rental marketplace for the general public and another online rental marketplace specifically dedicated to HCV rentals. We then determined the total number of advertisements available across the two rental websites in those cities. We used the following criteria to select cities for covert testing:", "From the 20 cities described above, we selected 3 cities with the most available advertisements across the two online rental marketplaces.", "From the 20 cities described above, we selected 2 cities where a nearby PHA had closed its HCV waiting lists in the last half of 2016.", "Outside of the 20 cities described above, we also selected 1 city with a large number of available advertisements where we had previously completed a site visit.", "In each metropolitan area selected for covert testing, we identified relevant online rental marketplaces operating in the area. We then used a random-selection methodology to identify advertisements for testing from amongst all current advertisements on each marketplace. In total, we responded to 350 advertisements. On sites specifically dedicated to HCV rentals, we generally sampled from among all current ads. On sites featuring a mix of private rental ads, we developed a list of search keywords and sampled only among ads that explicitly stated that they would accept an HCV voucher. By e-mail, we contacted the originator of each of the 350 advertisements we covertly tested and engaged in correspondence.", "To determine the extent of detected potential fraud in online sites, we covertly tested websites identified as offering information or assistance with the HCV program; note that this methodology is distinct from that described above to covertly test advertisements. To discover sites for investigation, we performed web searches with a variety of relevant search terms using two popular search engines. We clicked through the first few pages of each set of search results, and collected the names of commercial sites that appeared either within search results or in ads accompanying the results. Finally, we entered the address of each of the websites we found into a separate search portal. This search portal suggests possible competitor and similar websites for the target website; we added websites discovered through this method to our list of websites for investigation. In total, we tested 26 websites. If the website requested a payment of any kind, we made the payment. We also corresponded with each website, asking explicitly whether it could place us on an HCV waiting list."], "subsections": []}]}]}, {"section_title": "Second Objective", "paragraphs": ["To address our objective regarding antifraud regulations, guidance, and informational material, if any, that HUD and PHAs have in place to identify and mitigate potential fraud against program participants, we reviewed HUD regulations on the HCV Program and the Section 8 Management Assessment Program. These regulations outline the requirements for PHAs to perform education and outreach on the HCV program. We also reviewed HUD\u2019s HCV Program Guidebook. This guidebook provides direction to PHAs administering the HCV Program on informing applicants about program-related fraud.", "We also reviewed written or online briefing materials for participants developed by the eight PHAs we interviewed. These briefing materials must include a variety of subjects, related to program administration, leasing a unit, and family obligations.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work from January 2017 to July 2017 in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": []}]}, {"section_title": "Appendix II: Results of GAO\u2019s Survey of Public Housing Agencies", "paragraphs": ["To determine awareness of incidents of fraud schemes among PHAs, we conducted a web-based survey to a nationally representative sample of executive directors overseeing Public Housing Agencies (PHA) from April 2017 to May 2017. We solicited input on executive directors\u2019 familiarity with and awareness of fraud schemes against U.S. Housing and Urban Development (HUD) Housing Choice Voucher (HCV) Program applicants and participants. We distributed the survey to 278 PHAs, of which 233 (84 percent) responded. We stratified the population by size of PHA as follows: (1) a certainty sample of 83 executive directors who oversaw at least one PHA with 5,000+ vouchers (\u201clarge\u201d PHAs); and (2) a probability sample of 195 executive directors who oversaw at least one PHA with 1,000\u20134,999 vouchers (\u201cmedium\u201d PHAs). Results of our survey are generalizable to the entire population of large and medium PHAs. For a more-detailed discussion of our survey methodology, see appendix I.", "The results of our survey provide the input of PHA executive directors and their staffs at the time they completed the survey in April and May 2017. The questions we asked in our survey are presented below. Our survey comprises seven top-level, fixed-choice questions; three subquestions for each \u201cyes\u201d response to top-level questions; and one open-ended question. In this appendix, we include all survey questions, and the estimated percentages for the responses to the top-level questions. Because of the limited number of respondents answering \u201cyes\u201d to the top- level survey questions, we could not generate reliable estimates for the survey subquestions; therefore we present only raw frequency counts for all subquestions except those corresponding to survey question 5 where we present both estimated percentages and raw frequency counts for those responses.", "In our survey open-ended question, we asked PHA executive directors to provide information on fraudulent activities affecting HCV program participants other than those covered by the seven fixed-choice questions. This element was our attempt at identifying fraud types not directly addressed in our survey. While we are not providing the responses to the open-ended question, our analysis of those responses identified two additional types of fraud. One type of fraud involved fraudsters posing as PHA officials, calling landlords to convince them to make unnecessary payments. The other type of fraud identified was not related to participation in the HCV program, and so is not discussed in the report."], "subsections": [{"section_title": "Fraudulent Activities by Fraudsters or Impersonators", "paragraphs": [], "subsections": []}, {"section_title": "Fraudulent Activities by Landlords and Building Inspectors", "paragraphs": [], "subsections": [{"section_title": "Survey Question 5 Responses", "paragraphs": ["Tables 17\u201323 below present results for PHAs that responded \u201cyes\u201d to question 5. Because of the number of respondents answering \u201cyes\u201d to question 5, we were able to generate reliable estimates for question 5 subquestions and present both estimates and raw frequency counts."], "subsections": []}]}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kathy Larin (Director), Tonita Gillich (Assistant Director), Scott Hiromoto (Analyst-in-Charge), Maurice Belding, Yue Pui Chin, Colin Fallon, Dennis Fauber, Maksim Glikman, Ronald La Due Lake, Jill Lacey, Won Lee, Robert Letzler, Barbara Lewis, Olivia Lopez, Maria McMullen, Anna Maria Ortiz, Sabrina Streagle, Adam Windram, and Helina Wong made key contributions to this report.", "Also contributing were Marcus Corbin, Cory Marzullo, Wayne McElrath, Josephine Perez, Samuel Portnow, and Paul Schmidt."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-634", "url": "https://www.gao.gov/products/GAO-18-634", "title": "Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors", "published_date": "2018-08-29T00:00:00", "released_date": "2018-09-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Research has shown that hospital closures can affect rural residents' access to health care services and that certain rural residents\u2014particularly those who are elderly and low income\u2014may be especially affected by rural hospital closures.", "This report describes (1) how HHS supports and monitors rural hospitals' financial viability and rural residents' access to hospital services and (2) the number and characteristics of rural hospitals that have closed in recent years and what is known about the factors that have contributed to those closures.", "GAO reviewed documents and interviewed officials from HHS and HHS-funded research centers; analyzed data compiled by HHS and an HHS-funded research center, with a focus on 2013 through 2017\u2014the most recent year with complete data; reviewed relevant literature; and interviewed experts and stakeholders. GAO identified hospitals as rural if they met the Federal Office of Rural Health Policy's definition of rural.", "GAO provided a draft of this report to HHS for comment. The Department provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Health and Human Services (HHS) administers multiple payment policies and programs that provide financial support for rural hospitals and funds research centers to monitor closures and study access. Among the payment policies administered by HHS are special payment designations for rural hospitals in which rural hospitals that meet certain criteria receive higher reimbursements for hospital services than they otherwise would receive under Medicare's standard payment methodology. HHS-funded research centers monitor rural hospitals' profitability and other financial indicators, and study access to facilities and specific services. HHS uses the results of monitoring activities to inform future areas of research and disseminate information.", "GAO's analysis of data from HHS and an HHS-funded research center shows that 64 rural hospitals closed from 2013 through 2017. This represents approximately 3 percent of all the rural hospitals in 2013 and more than twice the number of closures of the prior 5-year period. GAO's analysis further shows that rural hospital closures disproportionately occurred in the South, among for-profit hospitals, and among hospitals that received the Medicare Dependent Hospital payment designation, one of the special Medicare payment designations for rural hospitals.", "According to literature GAO reviewed and stakeholders GAO interviewed, rural hospital closures were generally preceded and caused by financial distress. In particular, rural hospitals that closed typically had negative margins that made it difficult to cover their fixed costs. According to these sources, financial distress has been exacerbated in recent years by multiple factors, including the decrease in patients seeking inpatient care and across-the-board Medicare payment reductions. In contrast, according to the literature GAO reviewed and stakeholders GAO interviewed, rural hospitals located in states that increased Medicaid eligibility and enrollment experienced fewer closures."]}], "report": [{"section_title": "Letter", "paragraphs": ["Research has shown that hospital closures can affect rural residents\u2019 access to services. For example, a 2018 study found that, of the rural hospitals that closed from 2005 through 2017, 43 percent were more than 15 miles away from the next closest hospital. In addition, a 2016 study found that rural residents\u2014particularly those who are elderly and low- income\u2014were more likely to delay or forgo care after a rural hospital closed if they had to travel longer distances to access hospital services.", "In 1987, the Federal Office of Rural Health Policy (FORHP)\u2014an office overseen by the Department of Health and Human Services (HHS)\u2014was established to advise HHS on the effects that federal health care policies and regulations have on the financial viability of small rural hospitals and access to health care in rural areas, among other things. Both FORHP and another agency within HHS, the Centers for Medicare & Medicaid Services (CMS), administer payment policies and programs that support rural hospitals.", "To better understand and respond to challenges facing rural hospitals, you asked us to describe HHS payment policies and programs focused on ensuring rural residents have access to necessary hospital services and what is known about recent rural hospital closures. This report describes 1. How HHS supports and monitors rural hospitals\u2019 financial viability and rural residents\u2019 access to hospital services; and 2. The number and characteristics of rural hospitals that have closed in recent years and what is known about the factors that contributed to those closures.", "To identify how HHS supports and monitors rural hospitals\u2019 financial viability and rural residents\u2019 access to hospital services, we reviewed documents and interviewed officials from HHS and HHS-funded research centers, including the University of North Carolina\u2019s and the University of Iowa\u2019s rural health research centers. HHS officials identified HHS payment policies and programs that provide key support to rural hospitals, and we reviewed laws, regulations, and HHS documents related to those policies and programs.", "To identify the number and characteristics of rural hospitals that closed in recent years, we analyzed data on rural hospital closures compiled by the North Carolina rural health research center, and hospital-level data from CMS. We also used these data to analyze and compare the characteristics of all rural hospitals, as of 2013, and rural hospitals that closed during the 5-year period from calendar years 2013 through 2017\u2014 the most recent years with complete data. To assess the reliability of these data, we reviewed relevant documentation, interviewed knowledgeable officials from FORHP and the North Carolina rural health research center, and performed electronic data tests to check for missing data and consistency with other published data. We determined the data were reliable for the purposes of our report. To identify additional information on the characteristics of the rural hospitals that closed and what is known about the factors that have contributed to those closures, we conducted a literature review. We identified literature through searching several bibliographic databases, including EconLit, MEDLINE, Scopus, and Social SciSearch. We identified additional literature through, for example, citations included in the literature we reviewed. We focused our review on literature published between 2013 and 2018, but also included some earlier literature for additional contextual information. Additionally, our literature review included research based on analysis of primary data sources, systematically summarized interviews, and case studies. In total, we identified and reviewed 17 relevant publications that met our standard for methodological rigor. We reviewed the degree of rigor across these studies and interpreted their findings based on this review. We also identified 17 additional publications that discussed contextual information related to rural hospitals that closed. For additional viewpoints on the characteristics of the rural hospitals that closed and the factors that contributed to those closures, we interviewed several stakeholders and experts: officials from FORHP and CMS and representatives from the American Hospital Association, the National Advisory Committee on Rural Health & Human Services, the National Rural Health Association, and the University of North Carolina\u2019s and University of Iowa\u2019s rural health research centers.", "We conducted this performance audit from December 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Rural Hospitals and Areas", "paragraphs": ["In 2017, about 2,250 general acute care hospitals in the United States were located in areas that met FORHP\u2019s definition of rural; these rural hospitals represented approximately 48 percent of hospitals nationwide and 16 percent of inpatient beds. These hospitals were spread across the 84 percent of the United States land area that FORHP classified as rural, and served the 18 percent of the United States population that lived in these areas.", "While there are significant differences across rural areas and populations, as a whole they differ from their urban counterparts in several ways. For example, rural areas have the following characteristics:", "Higher percentage of elderly residents. In 2014, 18 percent of the population was aged 65 or older in rural counties, compared with 14 percent in urban counties.", "Higher percentage of residents with limitations in activities caused by chronic conditions. In 2010-2011, 18 percent of adults in rural counties had limitations in activities caused by chronic health conditions, compared with 13 percent in large, central urban counties.", "Lower median household income. In 2014, the median household income in rural counties was approximately $44,000, compared to $58,000 in urban counties.", "Rural areas have also experienced several changes in recent years that have exacerbated these differences. For example, according to research by the United States Department of Agriculture, rural areas have experienced the following changes:", "Decreasing population. From 2010 through 2015, the population in rural areas declined, on average, by 0.07 percent per year, while the population in urban areas increased, on average, by 0.9 percent per year.", "Slow employment growth. From 2010 through 2015, rural employment grew at 0.8 percent per year, less than half that of urban areas (1.9 percent per year)."], "subsections": []}, {"section_title": "Federal Response to Rural Hospital Closures in the 1980s", "paragraphs": ["Rural hospital closures are not a recent phenomenon. For example, we previously reported that between 1985 and 1988, 140 rural hospitals closed\u2014approximately 5 percent of the rural hospitals in 1985. The large number of closures in the 1980s was preceded by a change in how Medicare paid hospitals. Specifically, in 1983, Medicare\u2019s inpatient prospective payment system was created, whereby predetermined rates were set for each Medicare hospital discharge. The intent was to control Medicare costs by giving hospitals financial incentives to deliver services more efficiently and reduce unnecessary use of inpatient services by paying a hospital a predetermined amount. However, one consequence of the new payment system was that some small, rural hospitals experienced large Medicare losses and increased financial distress.", "Partially in response to the number of rural hospital closures, FORHP was established in 1987 to, among other things, advise the Secretary of HHS on the effects of current and proposed policies on the financial viability of small rural hospitals and on access to and quality of health care in rural areas; establish and maintain a clearinghouse for information on rural health coordinate rural health activities within HHS; and administer grants and other instruments to fund activities to improve health care in rural areas."], "subsections": []}]}, {"section_title": "HHS Administers Multiple Payment Policies and Programs That Support Rural Hospitals and Funds Research Centers to Monitor Closures and Access", "paragraphs": [], "subsections": [{"section_title": "HHS Administers Payment Polices and Programs That Provide Financial Support to Rural Hospitals, Including Medicare Rural Hospital Payment Designations", "paragraphs": ["HHS officials identified several rural-specific HHS payment policies and programs as providing key financial support to rural hospitals, and in turn, rural residents\u2019 access to hospital services. These key HHS payment policies and programs may be placed into three categories: (1) Medicare rural hospital payment designations; (2) rural grants, cooperative agreements, and contracts, and (3) new approaches in rural health care delivery and payment (see table 1).", "Medicare rural hospital payment designations. CMS administers five rural hospital payment designations, in which rural or isolated hospitals that meet specified eligibility criteria receive higher reimbursement for hospital services than they otherwise would have received under Medicare\u2019s standard payment methodology. A rural hospital may qualify as a Critical Access Hospital, Sole Community Hospital, or Medicare Dependent Hospital\u2014each of which has different eligibility criteria and payment methodologies. With the exception of Critical Access Hospitals, rural hospitals may also qualify as Low Volume Hospitals and Rural Referral Centers, in which eligible hospitals receive additional payments or exemptions. The largest of the five designations is the Critical Access Hospital program, which represented 56 percent of rural hospitals in 2017 and pays eligible small, rural hospitals based on their reported costs (instead of the standard rates under the inpatient prospective payment system). (See app. I, table 2, for a description of each of the five Medicare rural hospital payment designations.) CMS was unable to provide estimates of the additional Medicare payments rural hospitals received from each designation in 2017. According to CMS officials, CMS generally does not model the amount of additional Medicare payments resulting from rural hospital payment designations, except in years when there is a related payment policy change going through rulemaking.", "Rural grants, cooperative agreements, and contracts. FORHP administers multiple grant programs, cooperative agreements, and contracts that provide funding and technical assistance to rural hospitals. The largest of these is the Medicare Rural Hospital Flexibility grant program, in which FORHP provides funds to states to support Critical Access Hospitals to stabilize their finances, foster innovative models of care, and support other improvement activities. In 2017, 45 states received $25 million in Flex grants. FORHP officials noted that they can provide information to help states determine how to best target Flex grant funds, as there is not enough funding to financially assist all Critical Access Hospitals that are at risk of closing. (See app. I, table 3, for a description of the rural grants, and cooperative agreements and contracts identified by HHS officials.)", "New approaches in rural health care delivery and payment.", "CMS\u2019s Center for Medicare & Medicaid Innovation (Innovation Center) tests new ways to deliver and pay for health care\u2014including some focused on rural areas\u2014with the goal of reducing spending and preserving or enhancing the quality of care for beneficiaries enrolled in Medicare, Medicaid, and the Children\u2019s Health Insurance Program. As of June 2018, the largest of these rural models and demonstrations was Medicare\u2019s Accountable Care Organization Investment Model. Groups of providers in rural and underserved areas participating in this model, potentially including small hospitals, agree to be held accountable for the cost and quality of care to their Medicare patients. The model tests providing pre-paid shared savings as an incentive for providers in rural and underserved areas to form Accountable Care Organizations and for these organizations to transition to arrangements with greater accountability for financial performance. For fiscal years 2012 through 2018, $96 million had been obligated to organizations participating in the model. Forty-five Accountable Care Organizations were participating in this model as of 2018. (See app. I, table 4, for a description of the new approaches in rural health care delivery and payment identified by HHS officials.)", "In addition to the HHS payment policies and programs specifically targeting rural areas, HHS officials also identified broader payment policies and programs that they stated can provide key support to rural hospitals and rural residents\u2019 access to hospital services. These HHS payment policies and programs may be placed in four categories:", "Medicare and Medicaid base payments. These consist of the standard payments for hospitals services.", "Medicare and Medicaid uncompensated care payments. Both Medicare and Medicaid provide multiple types of additional payments to support hospitals that incur costs for services provided to uninsured and other low-income individuals for which the hospitals are not fully compensated. Medicare also provides bad debt payments to hospitals to reimburse them for a portion of Medicare\u2019s beneficiaries\u2019 unpaid deductibles and coinsurance, as long as the hospital makes a reasonable effort to collect the unpaid amounts.", "Other targeted HHS payment policies and programs. HHS administers other targeted payment policies and programs that support specific types of providers and areas, including, but not limited to, rural hospitals and areas. In particular, the Health Resources & Services Administration, an HHS agency, administers a drug discount program targeted at certain hospitals and other safety net providers. In addition, CMS administers bonus payments for certain physician services provided to Medicare beneficiaries in areas with a shortage of health professionals.", "State Innovation Models Initiative. The Center for Medicare & Medicaid Innovation\u2019s State Innovation Models aim to achieve better quality of care, lower costs, and improve health for the population of the participating states or territory. Some states\u2019 plans include testing new delivery and payment models specifically targeting rural areas."], "subsections": []}, {"section_title": "HHS Funds Research Centers That Monitor Rural Hospital Closures and Study Access", "paragraphs": ["HHS monitors rural hospitals\u2019 financial viability and rural residents\u2019 access to hospital services, primarily by funding rural health research centers that track rural hospital closures and study rural residents\u2019 access to hospital services.", "To monitor rural hospitals\u2019 financial viability, HHS funds and conducts several activities:", "Tracking rural hospital closures and monitoring profitability. The North Carolina rural health research center, a FORHP-funded rural health research center, tracks rural hospital closures and monitors rural hospitals\u2019 profitability and other financial indicators. North Carolina\u2019s researchers identify rural hospital closures through a multi- party agreement with FORHP, the American Hospital Association, and the National Rural Health Association, each of which alerts the research center once one learns about a closure. Research center staff then confirm the closure and ascertain whether the hospital converted to another facility type by searching the hospital website and calling a community leader, such as the mayor. The North Carolina rural health research center publishes a list of rural hospital closures since 2010 on its website. It also publishes reports on rural hospitals\u2019 profitability, including the extent to which profitability varies by rural hospitals\u2019 characteristics, and how rural hospitals\u2019 profitability compares to the profitability of their urban counterparts.", "Monitoring Critical Access Hospitals\u2019 financial indicators. The North Carolina rural health research center, through its role as part of the Flex Monitoring Team, develops and monitors various financial indicators for Critical Access Hospitals. Using the hospitals\u2019 Medicare cost reports, the research center currently monitors 22 financial indicators under 6 domains\u2014profitability, liquidity, capital structure, revenue, cost, and utilization. These financial indicator data are available to every Critical Access Hospital through an online tool that also helps those hospitals compare their financial performance to peer hospitals. The Flex Monitoring Team also publishes state-level summary data on Critical Access Hospitals\u2019 finances that are available on its website.", "HHS also reviews and estimates the financial effect of policy changes on rural hospitals. In particular, FORHP officials review proposed and final rules for Medicare, Medicaid, and the Affordable Care Act\u2019s health insurance exchanges to identify concerns from a rural health perspective. Drawing on the research it funds, FORHP officials may suggest policy modifications to CMS, such as exempting certain Medicare rural hospital designations from a proposed policy change. In addition to FORHP officials\u2019 review, as required by statute, CMS conducts regulatory impact assessments that estimate the effect of policy changes on payments to hospitals, including small rural hospitals, and publishes key results as part of proposed and final rules. For example, as part of the fiscal year 2018 final rule on Medicare payment for hospital inpatient services, CMS estimated that the expiration of the Medicare Dependent Hospital designation would have decreased the payments to rural hospitals with that designation by 0.9 percent, or approximately $119 million. Subsequent to the final rule, the Medicare Dependent Hospital and Low Volume Hospital designations were both extended.", "To monitor rural residents\u2019 access to hospital services, HHS relies on research conducted by the FORHP-funded research centers. Examples of recent research on rural residents\u2019 access to hospital services conducted by FORHP-funded research centers include the following:", "Research on rural residents\u2019 access to hospitals. In 2018 the North Carolina rural health research center published an analysis of populations in rural counties without access to an acute care hospital or other types of primary care facilities. North Carolina\u2019s researchers estimated that about 4.4 million rural residents currently live in a county without an acute care hospital.", "Research on access to specific hospital services. The Minnesota rural health research center conducted a body of research on declining access to obstetric services in rural counties. These researchers found that between 2004 and 2014, the percent of rural counties without hospital obstetric services increased from 45 to 54 percent, through a combination of hospital and obstetric-unit closures.", "Research on options for ensuring rural residents\u2019 access after a hospital closure. The Iowa rural health research center published a summary of currently available options for ensuring rural residents\u2019 access to hospital services after a hospital closure, and additional policy options under consideration. The National Advisory Committee on Rural Health and Human Services, a 21-member citizens\u2019 panel of nationally recognized rural health experts that advises HHS, also examined this topic, with a focus on alternative models to preserve rural residents\u2019 access to emergency care in light of the recent surge in rural hospital closures. The committee noted that payments and grants to support rural hospitals were largely effective and stabilized rural hospital financial operations until 2013, when a new wave of rural hospital closures began. The report included recommendations regarding the design of alternative models, including that HHS seek public comments on the use of a combination of geographic distance and demographic or social determinants of health when setting eligibility criteria.", "To supplement the monitoring by FORHP-funded research centers, FORHP officials also track recent rural developments and reports from rural health stakeholders. FORHP officials said this monitoring adds a qualitative component to the quantitative research conducted by research centers. In particular, these activities often provide the first notice of a rural hospital closure or pending closure, and also help track changes to the status of former hospitals over time."], "subsections": []}, {"section_title": "HHS Uses the Results of Its Monitoring Activities to Inform Future Research and Grant Awards, and Disseminates This Information", "paragraphs": ["HHS uses the results of its monitoring activities on rural hospitals\u2019 financial viability and rural residents\u2019 access to inform related research, primarily conducted by HHS-funded research centers, and to determine future areas of research. For example, the North Carolina rural health research center has used the list of rural hospital closures it compiles and its monitoring of profitability to conduct research on predictors of rural hospitals\u2019 financial distress. In addition, FORHP officials stated that, based on this monitoring, they have added topics to research centers\u2019 agendas for subsequent years to gather more information on regulatory changes identified in its review of policy changes. Each year, specific research projects for the rural health research center are selected jointly by the center directors and FORHP. Topics are selected to have a timely impact on policy debates and decisions at both federal and state levels. Examples of added topics include North Carolina\u2019s research on the financial importance of the Sole Community Hospital and Low Volume Hospital designations and Iowa\u2019s research on the engagement of rural providers in Accountable Care Organizations.", "HHS has also used the results of its monitoring activities to update the types of services offered by certain grants and create new cooperative agreements for technical assistance. Specifically, for fiscal year 2016, FORHP officials updated the list of activities that Rural Health Network Development Planning grantees can spend funds on to include implementing innovative solutions to alleviate the loss of local services and enhance access to care in communities that have or are at risk of losing their local hospital. According to FORHP officials, the addition of this activity to the scope of the grant led to 11 of the 47 applicants from fiscal years 2016 and 2017 to come from rural communities with a recent rural hospital closure or perceived risk of closure. As another example, in response to increased funding, in 2018 FORHP announced a new cooperative agreement to provide targeted in-depth assistance to vulnerable rural hospitals within communities struggling to maintain health care services. The awardee of the Vulnerable Rural Hospitals Assistance Program must work with vulnerable hospitals and their communities on ways to ensure hospitals and communities can keep needed care locally, whether it is with a more limited set of services provided by the hospital, or by exploring other mechanisms for meeting community health care needs.", "FORHP disseminates the results of this research and successful rural health grants and other projects by funding cooperative agreements to maintain clearinghouses of information about rural health issues. These clearinghouses were originally designed to efficiently disseminate research findings from rural health research centers to the public and to help rural communities identify opportunities and information to provide better healthcare to their residents. According to one of these clearinghouses, since then, the focus has grown to developing evidence- based resources on rural health to share what works in rural communities, including toolkits and case studies."], "subsections": []}]}, {"section_title": "Recent Increases in Rural Hospital Closures Have Disproportionately Occurred in the South, With Multiple Factors Likely Contributing to These Closures", "paragraphs": [], "subsections": [{"section_title": "From 2013 through 2017, More than Twice as Many Rural Hospitals Closed than in the Prior 5 Years", "paragraphs": ["Our analysis of data from the North Carolina rural health research center and CMS shows that, from 2013 through 2017, 64 of the approximately 2400 rural hospitals in the United States closed. These 64 rural hospital closures represented the following:", "More than twice the number of rural hospitals that closed during the prior 5-year period. From 2008 through 2012, 31 rural hospitals closed (see fig. 1).", "More than the share of urban hospitals that closed. The 64 rural hospital closures from 2013 through 2017\u2014approximately 3 percent of all rural hospitals in 2013\u2014exceeded the 49 urban hospital closures during the same time period\u2014approximately 2 percent of all urban hospitals in 2013.", "More than the number of rural hospitals that opened. The 42 rural hospitals closed from 2014 through 2016 exceeded the 3 rural hospitals opened during the same time period.", "Approximately half of the rural hospitals that closed from 2013 through 2017\u201447 percent\u2014ceased to provide any type of services. The remaining hospitals that closed during this period converted to other facility types, providing more limited or different services, such as urgent care, emergency care, outpatient care, or primary care."], "subsections": []}, {"section_title": "Rural Hospitals with Certain Characteristics\u2014 Including Those Located in the South\u2014Accounted for a Disproportionate Share of Closures from 2013 through 2017", "paragraphs": ["Our analysis of data from the North Carolina rural health research center and CMS shows that rural hospitals with certain characteristics\u2014including those located in the South\u2014accounted for a disproportionate share of the 64 closures that occurred from 2013 through 2017.", "Geography. Rural hospitals located in the South represented 38 percent of the rural hospitals in 2013, but accounted for 77 percent of the rural hospital closures from 2013 through 2017 (see fig. 2). Texas, one southern state, represented 7 percent of the rural hospitals in 2013, but accounted for 22 percent of the rural hospitals closures from 2013 through 2017.", "Medicare rural hospital payment designations. Medicare Dependent Hospitals \u2013 one of three Medicare rural hospital payment designations in which hospitals were eligible to receive a payment rate other than standard Medicare inpatient payment rate \u2013 were disproportionately represented among hospital closures. Specifically, Medicare Dependent Hospitals represented 9 percent of the rural hospitals in 2013, but accounted for 25 percent of the rural hospital closures from 2013 through 2017. Rural hospitals that did not receive one of these three Medicare rural hospital payment designations also represented a disproportionate share of the closures (see fig. 3). In addition, hospitals designated as Low Volume Hospitals had a disproportionate share of the rural hospital closures.", "Ownership. For-profit rural hospitals represented 11 percent of the rural hospitals in 2013, but accounted for 36 percent of the rural hospital closures from 2013 through 2017 (see fig. 4). According to literature we reviewed, hospitals with for-profit status had a higher probability of financial distress and were more likely to close. For example, a 2017 study found that for-profit hospitals were more than twice as likely to experience financial distress relative to government- owned and non-profit hospitals from 2000 through 2013.", "Bed size. Rural hospitals with between 26 and 49 inpatient beds represented 11 percent of the rural hospitals in 2013, but accounted for 23 percent of the rural hospital closures from 2013 through 2017. Critical Access Hospitals have 25 acute inpatient beds or less and make up a majority of the rural hospitals, but were less likely than other rural hospitals to close. FORHP officials identified the Critical Access Hospital payment designation \u2013 in which Medicare pays designated hospitals based on their costs \u2013 paired with the related Medicare Rural Hospital Flexibility grant program as the most effective HHS payment policy and program to support rural hospitals\u2019 financial viability and rural residents\u2019 access to hospital services."], "subsections": []}, {"section_title": "Fewer Patients Seeking Inpatient Care and Reductions in Medicare Payments Have Likely Contributed to Rural Hospital Closures", "paragraphs": ["According to literature we reviewed and stakeholders we interviewed, rural hospital closures were generally preceded and caused by financial distress. In particular, rural hospitals that closed typically had negative margins which made it difficult to cover their fixed costs. For example, one 2016 study found that rural hospitals that closed from 2010 through 2014 had a median operating margin of -7.41 percent in 2009. In contrast, rural hospitals that remained open during the same time period had a median operating margin of 2.00 percent in 2009. In addition, there is evidence that for-profit hospitals have been more sensitive to changes in profitability and more likely to experience financial distress, which could explain the disproportionate number of closures among rural hospitals with for-profit ownership type.", "The literature we reviewed and stakeholders we interviewed identified multiple factors that likely contributed to increased financial distress and closures among rural hospitals. One such factor was a decrease in patients seeking inpatient care at rural hospitals due to the following: Increased competition for the small volume of rural residents. Rural residents may choose to obtain services from other health care providers separate from the local rural hospital, for example from an increasing number of federally qualified health centers or newer hospital systems outside of the area. The competition for the small volume of rural residents between rural hospitals and other health care providers potentially increased due to the shift to paying for value instead of volume, and technology changes. This increased competition for a small volume of rural residents could explain disproportionate closures among hospitals receiving the Low Volume Hospital Medicare payment designation, hospitals that by definition have a low Medicare volume and that research has found have lower margins than other rural hospitals. In addition, representatives from the American Hospital Association told us that technological advances have allowed more services to be provided in outpatient settings. For example, changes in health care technology have expanded the provision of outpatient surgical procedures.", "Declining rural population. The years 2010 through 2016 marked the first recorded period of rural population decline. According to literature we reviewed and stakeholders we interviewed, the recent population decline in rural areas was likely associated with the recent decline in rural residents seeking inpatient services.", "Another factor highlighted by literature we reviewed and stakeholders we interviewed as contributing to rural hospitals\u2019 increased financial distress was across-the-board Medicare payment reductions. Rural hospitals are sensitive to changes to Medicare payments because, on average, Medicare accounted for approximately 46 percent of their gross patient revenues in 2016. A 2016 study found that Medicare Dependent Hospitals\u2019 operating margins decreased each year from 2012 through 2014, which could explain the disproportionate number of closures among the Medicare Dependent Hospital payment designation. The literature we reviewed and stakeholders we interviewed highlighted the recent Medicare payments cuts as contributing to rural hospital closures, which included the following:", "Reductions in nearly all Medicare reimbursements. Under sequestration \u2013 the cancellation of budgetary resources under presidential order implemented pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985, as amended \u2013 each fiscal year since 2013, nearly all Medicare\u2019s budget authority is subject to a reduction not exceeding 2 percent, which is implemented through reductions in payment amounts. According to stakeholders we interviewed, these payment reductions have contributed to negative margins for rural hospitals.", "Reductions in Medicare bad debt payments. Under the Middle Class Tax Relief and Job Creation Act of 2012, Medicare bad debt reimbursements for hospitals were reduced beginning in fiscal year 2013. According to stakeholders, Medicare bad debt cuts have been one of the most important factors contributing to the recent increase in rural hospital closures.", "The literature we reviewed and stakeholders we interviewed also identified factors that likely strengthened the financial viability of rural hospitals. Chief among these factors was the increased Medicaid eligibility and enrollment under the Patient Protection and Affordable Care Act. A 2018 study found that Medicaid expansion was associated with improved hospital financial performance and substantially lower likelihood of closure, especially in rural markets and counties with large numbers of uninsured adults before Medicaid expansion. Another 2017 study found that from 2008-2009 and 2014-2015 the drop in uninsured rates corresponded with states\u2019 decisions to expand Medicaid on or before January 1, 2014. The increase in Medicaid coverage and decline in uninsured were both largest in the small towns and rural areas of those expansion states. Additionally, our analysis of data from the North Carolina rural health research center and CMS shows that from 2013 through 2017, rural hospitals in states that had expanded Medicaid as of April 2018 were less likely to close compared with rural hospitals in states that had not expanded Medicaid (see fig. 5)."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment. The Department provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, the Administrator of Health Resources & Services Administration, the Administrator of CMS, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or cosgrovej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Rural-Specific Payment Policies and Programs That Provide Key Support to Rural Hospitals", "paragraphs": ["Officials from the Department of Health and Human Services (HHS) identified several rural-specific HHS payment policies and programs as providing key support to rural hospitals, and in turn, rural residents\u2019 access to hospital services. These key HHS payment policies and programs may be placed into three categories:", "Medicare rural hospital payment designations (table 2);", "Rural grants, cooperative agreements and contracts (table 3); and", "New approaches in rural health care delivery and payment (table 4)."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Greg Giusto (Assistant Director), Alison Binkowski (Analyst-in-Charge), George Bogart, Zhi Boon, Leia Dickerson, Krister Friday, Mike Hoffman, Peter Mann-King, Beth Morrison, Vikki Porter, Merrile Sing, and Chris Woika made key contributions to this report."], "subsections": []}]}], "fastfact": ["Has there been an increase in U.S. rural hospital closures?", "Yes. From 2013 to 2017, 64 rural hospitals closed, more than twice as many as during the previous 5-year period.", "What types of rural hospitals closed?", "Rural hospital closures disproportionately occurred in the South, among for-profit hospitals, and among Medicare Dependent Hospitals\u2014small rural hospitals with Medicare beneficiaries accounting for a certain percentage of their business.", "Why have rural hospitals closed?", "Financial distress. Multiple factors have exacerbated this, including a decrease in patients seeking inpatient care and across-the-board Medicare payment reductions."]} {"id": "GAO-19-226", "url": "https://www.gao.gov/products/GAO-19-226", "title": "Public School Choice: Limited Options Available for Many American Indian and Alaska Native Students", "published_date": "2019-01-24T00:00:00", "released_date": "2019-02-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Education refers to school choice as the opportunity for students and their families to create high-quality, personalized paths for learning that best meet the students' needs. For Indian students, school choice can be a means of accessing instructional programs that reflect and preserve their languages, cultures, and histories. For many years, studies have shown that Indian students have struggled academically and the nation's K-12 schools have not consistently provided Indian students with high-quality and culturally-relevant educational opportunities.", "GAO was asked to review K-12 school choice options for Indian students. This report examines the public school options located in areas with large Indian student populations. GAO used Education's Common Core of Data for school year 2015-16 (most recent available) to analyze public school choice in (1) school districts in which Indian students accounted for 25 percent or more of all students (i.e., high percentages of Indian students) and (2) the 100 school districts with the largest number of Indian students. GAO also interviewed federal officials, relevant stakeholder groups, and tribal leaders to better understand school choice options for Indian students."]}, {"section_title": "What GAO Found", "paragraphs": ["Few areas provide American Indian and Alaska Native students (Indian students) school choice options other than traditional public schools. According to GAO's analysis of 2015-16 Department of Education (Education) data, most of the school districts with Indian student enrollment of at least 25 percent had only traditional public schools (378 of 451 districts, or 84 percent). The remaining 73 districts had at least one choice, such as a Bureau of Indian Education, charter, magnet, or career and technical education school (see figure). Most of these 451 districts were in rural areas near tribal lands. Rural districts may offer few school choice options because, for example, they do not have enough students to justify additional schools or they may face difficulties recruiting and retaining teachers, among other challenges.", "Some of the 100 school districts with the largest number of Indian students were located in large urban areas, such as New York City, and the majority (62) offered at least one option other than a traditional public school, according to GAO's analysis. The most common option was a charter school. However, because Indian students often account for a small percentage of all students in these districts, Indian education experts GAO interviewed said that the schools are less likely to have curricula that reflect Indian students' cultural identity or provide instruction on Native languages\u2014things that tribes and experts consider crucial to strengthening, rebuilding, and sustaining Indian cultures and communities. Also, even when Indian students had more options, no consistent enrollment patterns were evident. Whether Indian students enrolled in different types of schools could be a function, in part, of differences in state school choice laws and the extent to which these schools offered curricula that reflect Indian languages, cultures, or histories, according to Indian education experts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["For many years, studies have shown that American Indian and Alaska Native students (collectively referred to as Indian students) have struggled academically, and the nation\u2019s K-12 schools have not consistently provided these students with high-quality, culturally-relevant educational opportunities to encourage their success. As a result, lower academic outcomes have consequences for Indian students\u2019 future educational and economic opportunities, and also can affect a tribe\u2019s ability to build a competitive tribal economy. The Department of Education (Education) generally refers to school choice as the opportunity for students and their families to create high-quality, personalized paths for learning that best meet the student\u2019s needs through public, private, or home-based educational programs or courses. Such opportunities can also be a means for Indian students to access instructional programs that reflect and preserve Indian languages, cultures, and histories.", "You asked us to review K-12 school choice options for Indian students. This report examines the public school choice options located in areas with large populations of Indian students.", "We focused our analyses on two subsets of public school districts with large Indian student populations that collectively represented nearly 260,000 students, or more than half of all Indian students in K-12 public schools, according to Education\u2019s Common Core of Data (CCD). The subsets are: 1. Public school districts in which Indian students accounted for 25 percent or more of all students in the district. We refer to school districts that met this threshold as having a \u201chigh percentage\u201d of Indian students. It is consistent with Education\u2019s definition of a \u201chigh- density\u201d school for Indian students which the agency uses in its National Indian Education Study. 2. The top 100 public school districts by number of Indian students enrolled. We refer to school districts that met this threshold as having the \u201clargest number\u201d of Indian students. This threshold allowed us to examine school choice in areas where many Indian students live, but may not represent a high percentage of all students (e.g., some large cities). Education has similarly reported CCD data for the 100 public school districts with the largest number of students enrolled.", "To conduct our work, we analyzed Education\u2019s national data on K-12 public schools from the CCD for school year 2015-16 (the most recent available). We analyzed data on four types of K-12 public schools: (1) traditional, (2) charter, (3) magnet, and (4) career and technical education (CTE). We added data from Bureau of Indian Education (BIE) schools to our analysis because these schools can provide an additional, unique choice for Indian students and their families in some areas. (See text box.) We also examined the options that were available based on a school district\u2019s location in an urban or rural area, and mapped the specific locations of schools within those districts. We determined these data were sufficiently reliable for the purposes of this report by reviewing documentation, conducting electronic testing, and interviewing Education officials.", "Traditional school: A public elementary or secondary school providing regular instruction and education services. Charter school: A public elementary or secondary school providing education to eligible students under a specific charter granted by the state legislature or other appropriate authority, and it is designated by such authority to be a charter school. Magnet school: A public elementary or secondary school designed to attract students of different racial or ethnic backgrounds for the purpose of reducing, preventing, or eliminating racial isolation; and/or to provide an academic or social focus on a particular theme, such as science and math, performing arts, gifted and talented, or foreign language. Career and technical education (CTE) school: A public elementary or secondary school that focuses on providing formal preparation for semiskilled, skilled, technical, or professional occupations for high school-age students who have opted to develop or expand their employment opportunities, often in lieu of preparing for college entry. Bureau of Indian Education (BIE) school: BIE oversees 185 elementary and secondary schools, which are designed to provide education to members of federally- recognized tribes who reside on or near federal Indian reservations. Unlike public schools, BIE schools receive almost all of their funding from federal sources.", "We did not consider private schools in our analysis. Education collects biennial data on private schools through its Private School Universe Survey, which we determined was a reliable dataset for describing aggregate data on the total number of Indian students that attended private schools in school year 2015-16. However, we determined the data were not sufficiently reliable to map the specific locations of private schools.", "To better understand the public school options available for Indian students, we interviewed or received input from a number of experts on Indian education. For example, we spoke with federal officials from Education, BIE, and the White House Initiative on American Indian and Alaska Native Education; received input from representatives from national organizations that advocate on behalf of Indian students and tribes, such as the National Indian Education Association, the National Advisory Council on Indian Education, and the National Congress of American Indians; and met with academic subject matter experts on Indian education. In addition to these experts, we heard from some tribal leaders about their perspectives on Indian education, school choice, and academic achievement. Appendix I contains detailed information about the scope and methodology for this report.", "We conducted this performance audit from March 2018 to January 2019 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "K-12 Public School Choice", "paragraphs": ["Public school choices typically include charter schools and magnet schools, as well as local-level options to transfer or choose among traditional public schools. CTE schools may provide an additional option for students seeking to develop or expand their employment opportunities, often in lieu of preparing for post-secondary education. Education, as well as national organizations that advocate on behalf of tribes, has noted that the flexibility associated with these options can also allow for increased tribal control and oversight of education for Indian students, and create opportunities to integrate knowledge, language, culture, and other aspects of Indian identity into the classroom, regardless of the type of school.", "Charter schools accounted for 6 percent of all public schools in school year 2015-16 (the school year with the most recent enrollment data available). As of that year, 43 states and the District of Columbia had enacted legislation to permit public charter schools, according to Education. The availability of magnet schools also differs across states and districts given that, in some cases, these schools are intended to eliminate, reduce, or prevent racial isolation in areas with substantial numbers of minority group students, according to Education\u2019s Magnet Schools Assistance Program. In school year 2015-16, magnet schools accounted for 3 percent of all public schools. CTE schools are less common, representing 1 percent of all public schools in 2015-16."], "subsections": []}, {"section_title": "Indian Student Enrollment in K-12 Schools", "paragraphs": ["Approximately 505,000 Indian students attended K-12 public schools in school year 2015-16, representing 1 percent of all public school students, according to CCD data. The majority attended traditional public schools (see fig. 1).", "In addition to the half a million Indian students attending public schools, approximately 45,000 attended BIE schools in school year 2015-16, according to BIE enrollment data. BIE administers 185 schools on or near Indian reservations in 23 states. BIE schools are predominantly in rural communities, serve mostly low-income students, and receive almost all of their funding from federal sources. Students attending BIE schools generally must be members of federally recognized tribes, or descendants of members of such tribes, and reside on or near federal reservations.", "Indian students attend public schools in settings ranging from large urban areas to remote rural areas. According to CCD data, in school year 2015- 16, 58 percent of Indian students attended public schools in rural areas, while 42 percent attended public schools in urban areas (see fig. 2)."], "subsections": []}, {"section_title": "Indian Student Academic Achievement", "paragraphs": ["Every 4 years, Education conducts the National Indian Education Study to provide in-depth information on the educational experiences and academic performance of Indian students in 4th and 8th grade. The study differentiates between public schools in which 25 percent or more of the students are Indian, public schools in which less than 25 percent of the students are Indian, and BIE schools. Data from the 2015 iteration, most recent available, showed that Indian students attending BIE schools consistently had the lowest math and reading scores in 8th grade, while Indian students attending public schools with lower percentages of Indian students consistently performed the best in these subjects (see fig. 3)."], "subsections": []}]}, {"section_title": "Few School Districts with Large American Indian and Alaska Native Student Populations Offered Public School Choice Options", "paragraphs": [], "subsections": [{"section_title": "Traditional Public Schools Were the Only Options in Most School Districts with High Percentages of American Indian and Alaska Native Students", "paragraphs": ["Few areas with high percentages of Indian students had options other than traditional public schools, according to our analysis of Education data for school year 2015-16. Of the 451 school districts with high percentages of Indian students in our analysis, 84 percent (378 districts) had only traditional public schools. The remaining 16 percent (73 districts) had at least one BIE school, charter school, magnet school, or CTE school. The most common option was a BIE school (see fig. 4). Among districts that had only traditional public schools, about three-quarters of them had more than one school. The presence of a school choice option or more than one traditional school in a given location does not mean that a given school is necessarily available to all Indian students in the area.", "This may be because of school-level factors such as enrollment caps, eligibility requirements, or grade levels offered, and environmental factors, such as limited transportation options.", "Indian students attend school in both urban and rural areas, though nearly all school districts with high percentages of Indian students were located in rural areas\u201499 percent compared to 1 percent located in urban areas. In addition, as shown in figure 5, school districts with high percentages of Indian students were generally located near tribal lands, and half of the 451 districts were located in Oklahoma. In these districts, there were a total of 119 BIE schools, 28 charter schools, 6 magnet schools, and 24 CTE schools. Most of the districts that had at least one charter, magnet, or CTE school were located in Arizona and New Mexico. See appendix II for detailed maps of the options available in school districts with high percentages of Indian students in select regions of the country.", "There are several reasons why there may be few public school options in districts with high percentages of Indian students. As previously noted, nearly all of these districts are in rural areas. Experts said there are often not enough students in rural areas to justify adding schools beyond the traditional public schools or BIE schools that already exist, and rural school districts can face challenges recruiting and retaining qualified teachers. We have also reported on how limited broadband internet access and poor road conditions on tribal lands can affect educational opportunities for Indian students in rural areas regardless of the type of school they attend."], "subsections": []}, {"section_title": "Districts with the Largest Number of American Indian and Alaska Native Students Had More Public School Options", "paragraphs": ["As previously noted, we also analyzed Education data from the 100 school districts with the largest number of Indian students. Some of these districts were located in large urban areas and a majority had at least one other option in addition to traditional public schools (see fig. 6).", "Of these 100 districts, 62 offered at least one option other than a traditional public school, with the most common option being charter schools (see fig. 7).", "With regard to the individual schools within the 100 districts with the largest number of Indian students, we found that 75 percent of the schools were concentrated in just 15 school districts. These 15 districts had the largest overall student enrollments and were in urban areas such as New York City, Los Angeles, and Albuquerque. As shown in figure 8, the majority of charter, magnet, and CTE schools were located in these 15 largest districts. In contrast, nearly all BIE schools were located in the 85 other districts. As noted previously, BIE schools are predominantly in rural areas, and serve students who reside on or near Indian reservations.", "Though school districts in urban areas offered more school choice options than school districts in non-urban areas, experts said Indian students in urban areas sometimes feel isolated in their schools and communities. They noted that Indian students often account for a small percentage of all students in large urban districts and their schools are less likely to have curricula that reflect their cultural identity or provide instruction on Native languages. In the 15 largest of the 100 districts in our analysis, Indian students represented less than 5 percent of all students in each district and in some cases represented as few as 0.2 percent. In the 46 urban school districts in the 100 districts with the largest number of Indian students, just 3 districts had an Indian student enrollment greater than 25 percent."], "subsections": []}, {"section_title": "American Indian and Alaska Native Student Enrollment in Public School Options Varied by School District", "paragraphs": ["Even when Indian students had more school choice options, there was no consistent enrollment pattern across districts with large numbers of Indian students. In about a quarter of the districts that had at least one charter school, Indian students enrolled in charter schools in similar percentages as non-Indian students. In the remaining districts, enrollment patterns varied. For example, in one school district near Boise, Idaho and another near Fairbanks, Alaska, Indian students attended charter schools at higher percentages than their peers by 60 percentage points and 6 percentage points, respectively. Whereas, in other districts, such as one district near Flagstaff, Arizona and another near Salt Lake City, Utah, Indian student enrollment in charter schools was lower than their peers by 18 percentage points and 6 percentage points, respectively.", "Similarly, Indian student enrollment in magnet schools varied across the 17 districts with those schools. In 10 of these districts, Indian students attended magnet schools at lower percentages than non-Indian students. For example, in one district near Sault Ste. Marie, Michigan and another district near Broward County, Florida, Indian student enrollment in magnet schools was lower than their peers by 12 percentage points and 3 percentage points, respectively. In the other 7 districts, Indian students attended magnet schools at higher percentages than non-Indian students. For example, in one district near Stockton, California and another near Minneapolis, Minnesota, Indian student enrollment in magnet schools was higher than their peers by 17 and 9 percentage points, respectively.", "Whether Indian students enrolled in different types of schools could be a function of local differences in school choice and could be influenced by the extent to which these schools offered curricula that reflect Indian languages, cultures, or histories. Experts with whom we spoke said that in some areas, tribes have more control over education for Indian students, which can increase the tribe\u2019s ability to influence curricula and accountability metrics to help meet Indian students\u2019 academic and non- academic needs. Experts further noted that many districts with high percentages of Indian students are located near tribal lands, which can offer Indian students living there greater access to culturally-relevant curricula and instruction in Native languages than their peers in urban locations. In 2015, the National Indian Education Study reported that in schools where Indian students represented at least one-quarter of the students, a higher percentage of Indian students reported knowledge of their heritage or reported they received instruction in Native languages compared to peers attending schools with lower percentages of Indian students. Several tribal leaders and experts in Indian education said that access to culturally-relevant curricula and language instruction is crucial to strengthening, rebuilding, and sustaining Indian cultures and communities.", "In addition, experts noted that tribes sometimes seek to operate or oversee schools for Indian youth. For example, Oklahoma allows federally recognized tribes to authorize charter schools. In other states with charter school legislation, experts told us that tribes often must work through state charter school authorizers if they wish to open charter schools. BIE officials and Indian education experts also said that areas with BIE schools offer opportunities for tribes to exercise more control over education by converting the school from BIE-operated to tribally- operated. One tribal leader said the tribe was exploring this option in order to increase the tribe\u2019s autonomy over its students\u2019 education. Education has federal-level program offices that provide support to states and school districts related to school choice generally and Indian education specifically. Education recently finalized changes to its Charter Schools Program that will give priority to grantees seeking funding opportunities that would specifically serve the educational needs of Indian students.", "Finally, some urban school districts with large numbers of Indian students have district-level offices designed to work directly with Indian students and their families and to liaise between the school district and nearby tribes. Access to these resources, among other things, may help Indian students and families select a school that will best meet the student\u2019s academic and non-academic needs, according to Indian education experts we interviewed."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Education (Education) for review and comment. We also provided a copy to the Department of the Interior\u2019s Bureau of Indian Education (BIE).", "Education\u2019s comments are reproduced in appendix III. Education also provided technical comments, which we incorporated as appropriate. In its written comments, Education suggested that, given the eligibility requirements to attend BIE schools, it is possible for Indian students to have greater access to educational choice than their non-Indian peers in some areas. This observation is consistent with the findings of our report, which showed that in school districts with high percentages of Indian students and school options, the most common option was a BIE school (see fig. 4). However, 84 percent of these districts offered only traditional public schools. Nearly all of these districts were located in rural areas and, as we reported, have few school options.", "Education expressed concern that our analysis does not appropriately reflect the full spectrum of education choice options available to Indian students, particularly private schools. They stated it would be helpful to understand how we determined that Education\u2019s Private School Universe Survey (PSS) was not reliable for the purposes of mapping specific locations of private schools. We clarified our rationale in appendix I. Specifically, according to Education\u2019s PSS survey documentation, the PSS was based on a sample of private schools, not the universe. The official in Education\u2019s National Center for Education Statistics (NCES) who is responsible for the PSS told us that the PSS sample contained only about half of the private schools in the nation, which would not allow for comprehensive mapping of private schools.", "We further explored using the broader list of private schools from which Education draws the PSS sample. The PSS documentation shows that about 30 percent of this list (more than 10,000 entities) were not private schools. We confirmed this information with the same NCES official, who explained that entities that are not private schools are filtered out through NCES\u2019s survey process. Based on our review of the PSS survey documentation and methods and our interviews with cognizant NCES officials, we determined that it would not be possible to use PSS data to comprehensively and accurately map the locations of these private schools nationally or in specific areas with large Indian student populations. However, as we indicated in the draft report on which Education commented, the PSS contains information on a large number of private schools and we determined that it can provide reliable data for some variables other than the specific locations of private schools, including the total number of students attending private schools disaggregated by race and ethnicity. As discussed, we used the PSS for such purposes in this report.", "In its comments, Education also encouraged us to further explore specific examples of school options that have a mission to address the unique educational needs of Indian students. We reviewed several relevant studies as part of our work, including some related to the sources Education suggested. However, an in-depth review of specific examples was outside the scope of our work.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Education, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the public school choice options located in areas with large populations of American Indian and Alaska Native students, collectively referred to as Indian students.", "To conduct this work, we analyzed the Department of Education\u2019s (Education) national data on K-12 public schools from the Common Core of Data (CCD) for school year 2015-16 (the most recent available). Education\u2019s National Center for Education Statistics administers the CCD survey annually to collect a range of data from all public schools and districts in the nation, including student demographics (e.g., race or ethnicity) and school characteristics (e.g., school type, such as a charter or magnet school). State educational agencies supply these data for their schools and school districts. We determined the data we analyzed were sufficiently reliable for the purposes of this report by reviewing documentation, conducting electronic testing, and interviewing officials from Education\u2019s National Center for Education Statistics.", "To inform all aspects of our work, we interviewed federal officials from Education, the Bureau of Indian Education (BIE), and the White House Initiative on American Indian and Alaska Native Education. We interviewed or received input from representatives from several organizations that represent or advocate on behalf of Indian students and tribes, such as the National Indian Education Association, the National Advisory Council on Indian Education, the National Congress of American Indians, and the Tribal Education Departments National Assembly. We also heard from some tribal leaders who provided non-generalizable perspectives on Indian education, school choice, and academic achievement. We met with academic subject matter experts, as well as other relevant nonfederal organizations, such as ExcelinEd, the National Alliance for Public Charter Schools, and the U.S. Conference of Catholic Bishops, to discuss issues related to school choice for Indian students."], "subsections": [{"section_title": "Defining Areas with Large Populations of Indian Students", "paragraphs": ["We focused our analyses on two subsets of public school districts with large Indian student populations, as follows: 1. Public school districts in which Indian students accounted for 25 percent or more of all students in the district. We refer to school districts that met this threshold as having a \u201chigh percentage\u201d of Indian students. It is consistent with Education\u2019s definition of a \u201chigh- density\u201d school for Indian students which the agency uses in its National Indian Education Study. 2. The top 100 public school districts by number of Indian students enrolled. We refer to school districts that met this threshold as having the \u201clargest number\u201d of Indian students. This threshold allowed us to examine school choice in areas where large numbers of Indian students live, but may not represent a high percentage of all students. Education has similarly reported CCD data for the 100 public school districts with the largest number of students enrolled."], "subsections": []}, {"section_title": "School Types in Our Analysis", "paragraphs": ["The CCD collects data on public school type in two ways: 1. Schools are categorized as regular public schools, special education schools, career and technical education schools, or alternative/other schools based on the school\u2019s curriculum or population served. See table 1 for definitions for each of these categories. 2. In addition to the above categories, schools can have additional statuses, which are not mutually exclusive. These statuses include magnet school, charter school, and virtual school. See table 2 for definitions for each of these school statuses.", "Because the CCD collects public school type data in two ways, we sorted schools based on the combination of school types and statuses to develop distinct categories for our analysis. Table 3 outlines the combinations of CCD school type and status, along with the corresponding category we used in our analysis. For reporting purposes, we used the term \u201ctraditional school\u201d in place of \u201cregular school\u201d to be consistent with our prior reports on K-12 education issues that analyzed the CCD and other Education datasets.", "In addition to the school types listed above, we included BIE schools in our analysis because they may provide a unique school option in some areas with large populations of Indian students. Data on the location of BIE schools were captured in the 2015-16 CCD. BIE also provided us with enrollment data for its schools, which we reviewed to determine that the presence of BIE schools did not affect our analysis of Indian student enrollment in other types of schools.", "We focused our analysis on (1) traditional public schools, (2) charter schools, (3) magnet schools, (4) career and technical education schools, and (5) BIE schools. Traditional public schools provided a baseline from which to compare other school choices in a given school district. We referred to the other four school types as \u201cschool choice options\u201d collectively. We considered a school district as having school choice options if the district included at least two schools in total, and offered at least two of the five school types in our analysis. We compared school districts with school choice options to school districts that had only traditional public schools.", "In school districts with high percentages of Indian students, there were no schools that reported having both charter and magnet school status. In the 100 school districts with the largest number of Indian students, there were 6 school districts that reported a total of 17 schools as having both charter and magnet status. This did not affect our analysis of school districts with school choice options because each of those 6 districts had at least one additional school that had only charter status and at least one additional school that had only magnet status in school year 2015-16.", "We excluded special education schools, alternative/other schools, and schools flagged as state-operated juvenile justice facilities from our data analysis because those schools limited enrollment and could not be classified as a choice. We did not consider virtual schools in our analysis because, as defined in the CCD, these schools generally do not have a physical facility, which limits the ability to ascribe a virtual school to a specific location or school district. Similar limitations would apply to studying homeschooling or non-public online educational options, which are not captured in the CCD. We also excluded schools that were reported closed, inactive, or not yet opened in 2015-16.", "As noted previously, we focused our analyses on (1) school districts with high percentages of Indian students and (2) the 100 school districts with the largest number of Indian students. In school year 2015-16, there were 453 school districts with high percentages of Indian students. However, in our analysis we found one school district with a high percentage of Indian students that did not offer any traditional, charter, magnet, career and technical education, or Bureau of Indian Education schools, and one school district that offered one magnet school, but no other schools. We excluded these two districts from our analysis because they did not offer any choice as described above. After excluding these two districts, there were 451 school districts with high percentages of Indian students in our analysis. In total, and after accounting for overlap among school districts that had both high percentages and large numbers of Indian students, our analysis included 259,033 students\u201451 percent of all Indian students attending public schools in school year 2015-16\u2014across 504 school districts.", "We did not consider private schools in our analysis. Education collects biennial data on private schools through its Private School Universe Survey (PSS), which we determined was a reliable dataset for describing aggregate data on the total number of Indian students that attended private schools in school year 2015-16. However, we determined the data were not sufficiently reliable for analysis of the specific locations of private schools. Unlike the CCD which captures data on the universe of public schools, the PSS is based on a sample of private schools, according to Education\u2019s PSS survey documentation. The official in Education\u2019s National Center for Education Statistics (NCES) who is responsible for the PSS told us that the PSS sample captured only about half of the private schools in the nation. We further explored using the broader list of private schools from which Education draws the PSS sample, however the PSS documentation showed that this list contained more than 10,000 entities\u2014or 30 percent of the entire list\u2014that were not private schools. We confirmed this information with the same NCES official. Based on our review of the PSS documentation, as well as our discussions with cognizant NCES officials, we determined that it would not be possible to use the PSS data to comprehensively and accurately map the locations of these private schools nationally or in specific areas with large Indian student populations.", "To analyze school choice options in school districts with large Indian student populations, we analyzed all relevant schools within the public school district\u2019s geographic boundary regardless of the administrative school district it was assigned to in the CCD. This allowed us to account for all public schools and BIE schools in a given area that could be an option for Indian students. It was necessary because, for example, charter schools or BIE schools are sometimes recorded in the CCD as their \u201cown district,\u201d i.e., separate from the public school district for a given area because of the local public school administrative structure.", "We further examined school choice based on a school district\u2019s location in urban and rural areas. The CCD collects location data using classifications ranging from large cities to remote rural areas. For analysis, we collapsed these classifications into two categories, consistent with Education\u2019s analyses: (1) urban areas, i.e., locations classified as cities or suburbs, and (2) rural areas, i.e., locations classified as towns or rural."], "subsections": []}]}, {"section_title": "Appendix II: Additional Maps", "paragraphs": ["This appendix contains maps of selected regions of the country to provide a more in-depth view of the school choice options available in school districts in which American Indian and Alaska Native students accounted for 25 percent or more of all students in the district."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Bill Keller (Assistant Director), David Watsula (Analyst-in-Charge), Susan Aschoff, James Bennett, Deborah Bland, Connor Kincaid, Jean McSween, John Mingus, James Rebbe, and Leanne Violette made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Private School Choice: Requirements for Students and Donors Participating in State Tax Credit Scholarship Programs. GAO-18-679. (Washington, D.C.: September 18, 2018).", "Broadband Internet: FCC\u2019s Data Overstate Access on Tribal Lands. GAO-18-630. (Washington, D.C.: September 7, 2018).", "Native American Youth: Involvement in Justice Systems and Information on Grants to Help Address Juvenile Delinquency. GAO-18-591. (Washington, D.C.: September 5, 2018).", "High Risk: Agencies Need to Continue Efforts to Address Management Weaknesses of Federal Programs Serving Indian Tribes. GAO-18-616T. (Washington, D.C.: June 13, 2018).", "Private School Choice: Federal Actions Needed to Ensure Parents are Notified about Changes in Rights for Students with Disabilities. GAO-18-94. (Washington, D.C.: November 16, 2017).", "Tribal Transportation: Better Data Could Improve Road Management and Inform Indian Student Attendance Strategies. GAO-17-423. (Washington, D.C.: May 22, 2017).", "School Choice: Private School Choice Programs Are Growing and Can Complicate Providing Certain Federally Funded Services to Eligible Students. GAO-16-712. (Washington, D.C.: August 11, 2016).", "Indian Affairs: Bureau of Indian Education Needs to Improve Oversight of School Spending. GAO-15-121. (Washington, D.C.: November 13, 2014).", "Indian Affairs: Better Management and Accountability Needed to Improve Indian Education. GAO-13-774. (Washington, D.C.: September 24, 2013)."], "subsections": []}], "fastfact": ["American Indian and Alaska Native communities are looking for high-quality educational opportunities that also reflect their languages and cultures. Different types of public schools (e.g., charter, magnet, and career and technical education schools) may provide more choices.", "We found that many Indian students have limited public school options. Most school districts with at least 25% Indian students only offered traditional public schools. Many of these districts are in rural areas, where there may not be enough total students to justify additional schools. Districts in large urban areas often had more choices."]} {"id": "GAO-18-16", "url": "https://www.gao.gov/products/GAO-18-16", "title": "Commercial Fishing Vessels: More Information Needed to Improve Classification Implementation", "published_date": "2017-12-14T00:00:00", "released_date": "2017-12-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Commercial fishing has one of the highest death rates of any industry in the United States. Fishing vessels that are at least 50 feet long and were built after 2013 are required by law to be built and maintained to rules developed by a classification society, a process known as classing. Congress created an alternative-to-class approach in 2016, allowing certain size vessels to be designed and built to equivalent standards in lieu of classing.", "The Coast Guard Authorization Act of 2015 included a provision for GAO to review the costs and benefits of classing commercial fishing vessels. This report assesses (1) known numbers and rates of commercial fishing vessel accidents, injuries, and fatalities; (2) what is known about the costs, effects, and benefits of constructing and maintaining classed vessels; and (3) how the alternative-to-class approach compares with classing. GAO collected data on vessel accidents, injuries, and fatalities; interviewed vessel owners, builders, classification societies, Coast Guard, and other agencies; and studied classing costs."]}, {"section_title": "What GAO Found", "paragraphs": ["The Coast Guard, the only military service within the Department of Homeland Security (DHS), investigated 2,101 commercial fishing vessel accidents between 2006 and 2015 that occurred in federal waters; however, because there are no reliable data on the total number of commercial fishing vessels that are actively fishing, rates of accidents, injuries, and fatalities cannot be determined. Agencies, such as the Coast Guard, keep records of accidents, but without reliable data on active vessels, trend information cannot be determined. The Coast Guard and the National Marine Fisheries Service have separate efforts to collect data that could be used to develop an estimate of active commercial fishing vessels, but each agency is taking a different approach to do so. These and other agencies agreed that it is important to calculate rates to assess commercial fishing vessel accidents, injuries, and fatalities. Establishing a mechanism\u2014such as a working group\u2014to coordinate efforts and collect reliable data on the number of active vessels and key characteristics, such as vessel age and length, would allow the agencies to do so in an efficient manner.", "While data on the costs to design, construct, and maintain classed vessels are limited, vessel owners, builders, and classification societies agree that classification increases costs and told GAO that the perceived costs of classing may affect vessel owners' decisions to purchase new vessels to avoid classification requirements. However, they also agree that classification is one of many factors that contribute to safety.", "The alternative-to-class approach is more flexible than classing\u2014for example, in its use of marine surveyors to verify vessel construction. Industry stakeholders and GAO's analysis, however, identified numerous questions and uncertainties regarding implementation of the approach, including licensing requirements for naval engineers and architects. The Coast Guard has not issued regulations or guidance to address these issues on the alternative-to-class approach due, in part, to its ongoing efforts to issue regulations to implement safety-related legislation enacted in 2010 and 2012. However, without specific written procedures\u2014either in the form of regulations or guidance\u2014the Coast Guard cannot ensure consistent implementation of the alternative-to-class approach."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Among GAO's recommendations, the Coast Guard and other agencies should form a working group to collect reliable data on the number of active fishing vessels. The Coast Guard should also issue regulations or guidance to address questions about the alternative-to-class approach. The agencies generally concurred with the recommendations, but DHS did not concur that the Coast Guard assess vessel accident rates. GAO revised this recommendation to allow the Coast Guard or another appropriate agency to do the assessment."]}], "report": [{"section_title": "Letter", "paragraphs": ["Commercial fishing has one of the highest death rates of any industry in the United States and vessel disasters are the leading cause of fatalities among fishers, according to the National Institute for Occupational Safety and Health (NIOSH). Commercial fishing is a diverse, highly fragmented industry in the United States that includes federal management of 474 fish stocks and stock complexes. The vessels used in commercial fishing\u2014including catcher, processing, and tender vessels\u2014are similarly diverse, and can vary in size, type, and style due to differences in fisheries and the regions in which the vessels operate.", "The International Maritime Organization\u2014a specialized agency of the United Nations that is responsible for regulating vessels and ships at sea\u2014establishes requirements through international conventions. Among other things, these conventions are intended to ensure maritime safety and security through, for example, the requirement for load lines, meaning where the waterline should reach when a vessel is properly loaded. International requirements also stipulate that vessels be designed, constructed, and maintained in accordance with the rules of a recognized classification society or with national standards that provide an equivalent level of safety. However, commercial fishing vessels have generally been exempted from these requirements.", "Since 1988, U.S. law has required one type of commercial fishing vessel\u2014processing vessels\u2014to be built and maintained to rules developed by a classification society, a process known as classing. In 2010 and 2012, Congress expanded classing requirements to the remaining two types of vessels\u2014catcher and fish tender vessels\u2014that are at least 50 feet long and built after July 1, 2013. Congress amended these requirements in 2016, creating an alternative-to-class approach, which allows 50-79 foot catcher or tender vessels built after February 8, 2016, to be designed and built to equivalent standards and overseen by a marine surveyor in lieu of classing.", "The Coast Guard Authorization Act of 2015 included a provision for GAO to review commercial fishing vessel safety, including the costs and benefits of classing commercial fishing vessels. This report assesses (1) what is known about the numbers and rates of commercial fishing vessel accidents, injuries, and fatalities; (2) what is known about the costs to construct and maintain classed commercial fishing vessels built since July 2013 (after expanded classification requirements took effect) and the effects of classing on vessel builders and owners; (3) the benefits associated with classing commercial fishing vessels; and (4) how the alternative-to-class approach compares with building and maintaining commercial fishing vessels to classification society standards.", "To assess what is known about the number and rates of commercial fishing vessel accidents, injuries and fatalities, we collected and analyzed data from the Coast Guard\u2019s Marine Information for Safety and Law Enforcement database on commercial fishing vessel investigations to identify the number of commercial fishing vessel accidents, injuries, and fatalities that occurred in federal waters for calendar years 2006 through 2015. To assess the reliability of the data, we reviewed relevant documentation, spoke with knowledgeable agency officials, and performed electronic testing for obvious errors in accuracy and completeness. We determined that the data were sufficiently reliable for reporting the overall number of accidents, injuries, and fatalities from 2006 through 2015. Using latitudinal and longitudinal information collected during the Coast Guard\u2019s investigation of each accident, we limited our analysis to those accidents that involved U.S. vessels and occurred between 3 nautical miles and 200 nautical miles from shore, an area generally referred to as U.S. federal waters. For 243 observations, we found errors in the longitudinal and latitudinal data and could not match these accidents to an accurate location; we excluded these observations from our analysis. We attempted to analyze the number of commercial fishing vessel accidents, injuries, and fatalities by fishery\u2014 meaning the area in which a certain type of fish (e.g., shrimp, salmon, crab) is caught\u2014but we found that the geographic area in which each accident occurred is not sufficiently reliable for determining the fishery in which a commercial fishing vessel operates.", "We requested data from the Coast Guard, NIOSH, and the National Oceanic and Atmospheric Administration\u2019s (NOAA) National Marine Fisheries Service on the population of commercial fishing vessels that actively fished over this period, but although the Coast Guard and the National Marine Fisheries Service collect data on commercial fishing vessels and fishing permits, respectively, the data are not reliable for determining the number of vessels that were actively fishing, landing, and selling their catch each year. These data reliability problems precluded us from calculating rates of accidents, injuries, or fatalities. We collected and analyzed data from NIOSH\u2019s Commercial Fishing Incident Database on commercial fishing fatalities for 2006 through 2015, and examined reports from the National Transportation Safety Board\u2019s (NTSB) investigations of commercial fishing vessel accidents over this period. We interviewed Coast Guard, NIOSH, and NTSB officials regarding the investigations and analyses they have conducted on commercial fishing vessel accidents and recommendations they have made to improve safety on board these vessels.", "To assess what is known about the costs to construct and maintain classed commercial fishing vessels built since July 2013 and the effects of classing on vessel builders and owners, we collected data on the costs associated with constructing and maintaining classed commercial fishing vessels from vessel builders and owners willing to share this information. Specifically, we analyzed (1) classification society fees quoted to two vessel builders located in the Gulf of Mexico and Pacific regions and other documentation these builders provided, including a construction bid; (2) another vessel builder\u2019s cost estimate for constructing a 90 foot long classed commercial fishing vessel to be used in the Gulf of Mexico shrimp industry; and (3) documentation provided by one vessel owner and another individual with extensive experience in the commercial fishing industry that reflected the cost differential between certain class and non- class certified equipment. The findings based on these data are not generalizable, but they do provide some insight into the additional costs associated with constructing a classed commercial fishing vessel.", "We interviewed three marine underwriters who insure commercial fishing vessels off the coast of the Gulf of Mexico, Pacific Ocean, and the Atlantic Ocean to discuss how classification affects insurance premiums. We conducted three discussion sessions with stakeholders in the commercial fishing industry and interviewed 36 commercial fishing vessel owners and/or operators, representatives from 4 commercial fishing trade organizations, 13 vessel builders, and 3 recognized classification societies in the United States, as well as marine safety experts, naval architects, and academics who study commercial fishing vessel safety.", "To assess the benefits associated with classing commercial fishing vessels, we obtained the perspectives of vessel owners and/or operators, vessel builders, commercial fishing trade organizations, and classification societies during the interviews and discussion sessions described above. We reviewed Coast Guard and NIOSH studies related to improving commercial fishing vessel safety and the benefits each found with respect to classing commercial fishing vessels or improved accident outcomes. We also collected data on the number of insurance claims submitted by commercial fishing vessel owners from 2013 through 2016 to two of the three marine underwriters we interviewed and who were willing to share this information to determine the number of hull and machinery claims and the number of protection and indemnity claims that these companies processed over the period.", "To compare the alternative-to-class approach to building and maintaining commercial fishing vessels to classification society standards, we compared the design, construction, and maintenance processes of each approach to identify similarities and differences between the two approaches. We interviewed Coast Guard officials to discuss the current policies and regulations in place to address commercial fishing vessels and how an alternative-to-class approach will be implemented. We also collected information on commercial fishing vessel classification requirements from a non-generalizable sample of four comparison countries\u2014Canada, Denmark, Spain, and the United Kingdom\u2014that are, along with the United States, members of the Organization for Economic Cooperation and Development and have fishing industries similar to those of the United States. We examined the classification requirements for commercial fishing vessels, including vessel length at which requirements apply, for the selected countries and discussed the requirements with officials from the selected countries. We present this analysis in appendix I.", "Appendix II provides additional information on our scope and methodology.", "We conducted this performance audit from June 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["There are three main types of U.S. commercial fishing vessels: catcher vessels that catch fish and deliver them to shore for processing; tender vessels that purchase and transport fish from catcher vessels and resupply fishers with food, fuel, and other necessities; and fish processing vessels that both catch and process fish at sea.", "Commercial fishing vessels are also characterized by the type of fishing gear used, such as trawl nets, seine nets, gill nets, traps and pots, dredges, and hook and line. The targeted fish species determines the type of vessel and gear that fishers use in their operations. A commercial fishing vessel may participate in multiple fisheries, using various fishing gear, as needed.", "The Magnuson-Stevens Fishery Conservation and Management Act, as amended, provides for the conservation and management of fishery resources within the federal waters of the United States. The act defines \u201ccommercial fishing\u201d to mean fishing in which the fish harvested, either in whole or in part, are intended to enter commerce or enter commerce through sale, barter, or trade. This act also created eight regional fishery management councils, which are responsible for preparing fishery management plans and setting annual catch limits for the fisheries within their areas of authority. NOAA\u2019s National Marine Fisheries Service, under authority delegated from the Secretary of Commerce, provides support for regional fishery management councils and approves and implements fishery management plans and plan amendments. Figure 1 illustrates the eight fishery management councils."], "subsections": [{"section_title": "U.S. Commercial Fishing Vessel Classification and Safety Requirements", "paragraphs": ["Under federal statute, commercial fishing vessels are categorized as uninspected vessels and the Coast Guard generally does not have the authority to inspect the vessels during construction or regular maintenance. However, the Coast Guard is authorized to inspect all other commercial vessels such as freight, offshore supply, passenger, tank, and towing vessels. Through the inspection process, the Coast Guard ensures that a vessel\u2019s structure is suitable, that equipment and accommodations are maintained in an operating condition consistent with safety of life and property conventions, and that the vessel complies with applicable marine safety laws and regulations.", "Safety issues aboard commercial fishing vessels have been a long- standing concern. Various studies identified the problems and considered possible solutions to improve commercial fishing safety, but implementing improved safety recommendations were largely left to the vessel owner\u2019s discretion. Following the loss of entire commercial fishing vessel crews during the mid-1980s, Congress passed the Commercial Fishing Industry Vessel Safety Act of 1988, which required safety improvements and examination of commercial fishing vessels for safety equipment.", "The act also instructed the Secretary of Transportation to conduct a study of the safety problems on fishing industry vessels and make recommendations on whether a vessel inspection program should be implemented. In 1991, the National Research Council conducted this study, which included a comprehensive assessment of commercial fishing vessel safety and identified a range of issues, including vessel fitness, and safety and survival equipment, among other things. The Council found that developing casualty rates was hampered by the absence of reliable data on the number of fishing vessels, vessel material condition, exposure variables, and other factors. The Council recommended a holistic approach to fishing vessel safety, including establishing vessel and equipment standards as well as the development of a database to evaluate alternatives and monitor results. The Council stressed, however, the importance of balancing the anticipated benefits of a safety program with any costs that might be imposed through implementation. The Council also noted that classification costs would be borne principally by vessel owners and that the costs could be significant for individual vessel owners.", "Congress established classification requirements to address the construction and maintenance of fish processing vessels in 1988, and applied classification requirements to all types of commercial fishing vessels more broadly in 2010 and 2012 under the Coast Guard Authorization Act of 2010 and the Coast Guard and Maritime Transportation Act of 2012. In addition to classification requirements, Congress also established other requirements to improve vessel safety. For example, commercial fishing vessels that are 79 feet or longer, built after July 1, 2013, are required to have an assigned load line. A load line indicates the point where the waterline should reach when a vessel is properly loaded. Assignment of a load line, and issuance of a load line certificate, is conditional on the structural efficiency and satisfactory stability of the vessel, and on provisions provided for protection of the vessel and crew. As part of a load line certification, a vessel\u2019s seaworthiness is assessed by evaluating a vessel\u2019s watertight integrity, stability, and loading capacity. A vessel\u2019s stability booklet, prepared as part of a stability assessment, instructs operators on how to distribute weight across a vessel to prevent capsizing under different operating conditions. Figure 2 illustrates legislation and policy that addresses commercial fishing vessel construction and maintenance from 1988 to 2016.", "Classification requirements differ by commercial fishing vessel type and length and are only applicable to vessels built after certain dates, as seen in table 1.", "To address safety on older commercial fishing vessels, the 2010 and 2012 acts also directed the Secretary of Homeland Security to develop an alternate safety compliance program for commercial fishing vessels that are at least 50 feet in length, built before July 1, 2013, and are 25 years or older. The Coast Guard drafted requirements for the program but, according to the Coast Guard, this program would have required a new rulemaking effort, and it suspended the effort in July 2016. At that time, the Coast Guard developed an Enhanced Oversight Program\u2014through policy and its existing authorities\u2014that focuses on older, non-classed commercial fishing vessels that may pose a greater risk of vessel and crew member loss. In addition, in January 2017, the Coast Guard issued a list of voluntary safety initiatives and good marine practices and encouraged vessel owners to implement these initiatives on all non- classed vessels where possible and reasonable. The Coast Guard is also currently working on aligning its existing regulations on commercial fishing vessels with the classification requirements introduced in the 2010 and 2012 acts."], "subsections": []}, {"section_title": "Vessel Classification Process and Procedures", "paragraphs": ["Through the classing process, classification societies, such as the American Bureau of Shipping (ABS), Det Norske Veritas Germanischer Lloyd (DNV GL), and RINA, address aspects of the vessel\u2019s design, structural integrity, reliability and function of major systems, and accident prevention. Classification societies (1) establish and maintain standards for the construction and classification of vessels and offshore structures; (2) supervise construction in accordance with these standards; and (3) carry out regular surveys of vessels in service to ensure the compliance with these standards. Once a vessel is \u201cclassed\u201d with a certificate indicating that it meets a minimum level of safety and quality, the vessel is subject to periodic inspection to verify that it continues to meet the applicable rules of the issuing classification society, or risks losing its classification certificate, which could prevent the vessel from operating legally. Figure 3 illustrates the classification process for vessel design, construction, and maintenance.", "Of the 39 U.S. fishing vessels classed by three societies, as shown in table 2, at least 29 are fish processing vessels.", "Although commercial fish processing vessels built or converted after July 27, 1990, are required by U.S. law to be classed, the law permits a vessel to be exempted from this and other statutory requirements under certain conditions. Few commercial fish processing vessels have an active class certificate. Older U.S. fish processing vessels\u2014most of which operate off of the coast of Alaska\u2014generally fall under the Coast Guard\u2019s Alternative Compliance and Safety Agreement Program, which is implemented pursuant to exemption authority provided under law. Under this program, vessel owners apply with the Coast Guard for an exemption from classing and load line requirements so long as the vessel meets improved safety standards provided for under the program."], "subsections": []}, {"section_title": "Federal Agencies Involved in Commercial Fishing Vessel Safety", "paragraphs": ["Several different federal agencies play a role in overseeing and promoting commercial fishing vessel safety:", "Coast Guard: The only military service within the Department of Homeland Security (DHS), search and rescue activities and marine safety activities number among the Coast Guard\u2019s primary missions. As part of the safety activities, the Coast Guard performs mandatory safety inspections, conducts accident investigations, and promotes accident prevention involving vessels at sea. In 2015, the Coast Guard also began performing mandatory examinations of safety equipment onboard commercial fishing vessels. The Coast Guard records all interactions with vessels, including commercial fishing vessel accidents, in the Marine Information for Safety and Law Enforcement database. Coast Guard regulations require vessel operators to report a marine casualty involving damage to the vessel or other property; injury or loss of life; or harm to the environment. The Coast Guard is also responsible for enforcing fishery management laws and regulations.", "National Institute for Occupational Safety and Health (NIOSH): As part of the Department of Health and Human Services\u2019 Centers for Disease Control and Prevention, NIOSH is responsible for conducting research and making recommendations for new or improved work- related safety and health standards. For example, it has recommended that all fishing vessel operators conduct monthly safety drills as required by federal regulation; heed weather forecasts and avoid fishing in severe sea conditions; and maintain watertight integrity by examining and monitoring the hulls of their vessels. NIOSH maintains a Commercial Fishing Incident Database, which mostly is comprised of data on fishing industry fatalities abstracted and coded from reports of Coast Guard investigations of marine casualties.", "National Transportation Safety Board (NTSB): NTSB investigates commercial fishing vessel accidents that involve the most significant damage and loss of life. NTSB conducts investigations (sometimes in parallel with the Coast Guard) to determine the probable cause of vessel accidents and issues safety recommendations aimed at preventing future accidents. For example, with regard to commercial fishing vessels NTSB recommends regularly conducting safety drills as well as proper training in stability and firefighting, and wearing a flotation aid at all times while working on deck.", "National Marine Fisheries Service: National Marine Fisheries Service uses fishery observers and at-sea monitors to collect data from U.S. commercial fishing vessels to monitor federal fisheries, assess fish populations, set fishing quotas, and inform fishery management practices. Under federal regulations, fishing vessels that may carry a fishery observer as part of a required or voluntary observer program generally must pass a Coast Guard commercial fishing vessel safety examination and be issued a safety decal. Further, under federal regulations, fishery conservation and management measures must, to the extent practicable, promote the safety of human life at sea, and should minimize or mitigate safety impacts where practicable."], "subsections": []}]}, {"section_title": "Number of Commercial Fishing Vessel Accidents, Injuries, and Fatalities Varied from 2006- 2015, but Rates Cannot Be Determined", "paragraphs": ["The Coast Guard investigated 2,101 commercial fishing vessel accidents between 2006 and 2015 that were identified as occurring in federal waters. While the number of accidents in 2015 was greater than the number reported in 2006, the number of injuries and fatalities declined over the same 10-year period. We could not assess the number of accidents, injuries, and fatalities by fishery due to limitations with the Coast Guard\u2019s data. In addition, we were unable to calculate the rates of commercial fishing vessel accidents, injuries, and fatalities because reliable data on certain information needed to do so\u2014including the total number of vessels that are actively fishing and the fishery or region in which the vessel operates\u2014are either not maintained or are not collected by the Coast Guard or other federal agencies."], "subsections": [{"section_title": "Number of Commercial Fishing Vessel Accidents in Federal Waters Varied from 2006-2015 and Instances of Injuries and Fatalities Have Declined", "paragraphs": ["Between 2006 and 2015, the Coast Guard investigated 2,101 commercial fishing vessel accidents that occurred in federal waters. Coast Guard data indicates that the numbers of accidents generally increased through 2013 before falling slightly over the next two years, but remains above the level experienced in 2006. Of those, the Coast Guard investigated 193 serious marine incidents\u2014those resulting in death, injury, or significant property damage, or involving environmental damage in federal waters. Figure 4 shows the number of commercial fishing vessel accidents and serious marine incidents that occurred in federal waters for 2006 through 2015.", "From 2006 through 2015, 598 of 2,101 commercial fishing vessel accidents in federal waters resulted in an injury and/or fatality. These accidents resulted in a total of 507 injuries and 182 fatalities over this period. Coast Guard data indicate that the number of injuries and fatalities have been declining since 2012, and 2015 figures are substantially below the levels reported in 2006, as seen in figure 5.", "Due to limitations with the Coast Guard\u2019s data, we were unable to portray numbers of accidents, injuries, or fatalities by fishery located in a specific geographic location. Although we identified the area in which each commercial fishing vessel accident occurred, using latitudinal and longitudinal information included in the Coast Guard\u2019s database, we could not reliably assign each accident, injury, or fatality to a fishery managed by interstate marine fisheries commissions or fishery management councils\u2014entities which manage fishery resources in state and federal waters, respectively. National Marine Fisheries Service officials stated that even though an accident that occurred in an area of federal waters that falls within a jurisdiction of a particular council, the vessel may not have been participating in a fishery managed, either solely or in part, by that council. Data on a vessel\u2019s intended fishery on the day of the accident provides accurate information on the intended area in which a vessel should be operating. Assigning a commercial fishing vessel accident to a specific fishery management council on a solely geographic basis\u2014without consideration of the vessel\u2019s targeted fishery\u2014could overestimate the prevalence of accidents in a council jurisdiction. While the Coast Guard\u2019s database includes a field for a vessel\u2019s fishery, these data were not collected for the majority of commercial fishing vessel accidents between 2006 and 2015. An official in the Coast Guard\u2019s Office of Investigations and Analysis stated that data on a vessel\u2019s fishery is not required in order to complete an accident investigation and, therefore, may not be collected.", "Federal internal control standards establish that management should obtain relevant, accurate data from reliable sources in a timely manner, and recommend that agencies\u2019 management use quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risks. The lack of complete and reliable data on the vessel\u2019s fishery in the Coast Guard\u2019s database hinders efforts to assess whether particular fisheries experience higher numbers of accidents, injuries or fatalities than others. Such information would benefit the Coast Guard\u2019s analysis of commercial fishing vessel accidents, injuries, and fatalities because information on a vessel\u2019s fishery can be used for a regional analysis of these events."], "subsections": []}, {"section_title": "Relevant Federal Agencies Do Not Collect Reliable Information on the Active Fleet to Enable Calculation of Rates", "paragraphs": ["The Coast Guard and other federal agencies do not collect data on the total number of vessels that are actively fishing\u2014those that are operating, landing, and selling catch\u2014and we found that existing data on the population of commercial fishing vessels are not sufficiently reliable to calculate rates of commercial fishing vessel accidents, injuries, and fatalities. Data on the total number of commercial fishing vessels actively catching and processing fish are necessary to determine rates\u2014the ratio of the number of accidents, injuries, and fatalities that occurred compared to the total number of active commercial fishing vessels. These rates, if based on reliable data, would establish trend information on the number of accidents involving commercial fishing vessels.", "While the Coast Guard collects some data on commercial fishing vessels that operate in federal waters\u2014including a vessel\u2019s length and construction date\u2014data on the population of the active U.S. commercial fishing vessel fleet are not reliably known. The Coast Guard\u2019s National Vessel Documentation Center maintains a registry of valid certificates of documentation\u2014that indicate that a vessel is registered with the Coast Guard and is greater than 5 net tons\u2014for commercial fishing vessels that operate in federal waters. However, even when the Coast Guard could identify the number of documented vessels, we found the data they provided were unreliable for determining the total number of commercial fishing vessels that are actively fishing. For example, a senior Coast Guard official estimated that more than 20 percent of the vessels documented in 2015 were not actively fishing and may not be operational or otherwise not in use. As part of vessel registration, the Coast Guard collects information on a vessel\u2019s length and date of construction. Other data, however, such as the fishery located in a specific geographic location in which a vessel operates, are not collected. Data on key characteristics of the total number of commercial fishing vessels actively fishing\u2014including vessel length, age, and fishery or region of operation\u2014 would provide additional information when analyzing rates of commercial fishing vessel accidents, injuries, and fatalities.", "Other federal agencies involved in the commercial fishing vessel industry also do not collect data on the total number of active U.S. commercial fishing vessels. Having a national count of federally-permitted commercial fishing vessels can be used, in part, to help determine the number of commercial fishing vessels that are actively fishing. Federal permits are required for commercial fishing vessels that fish in certain fisheries and, according to officials from the National Marine Fisheries Service, these fishing permits are issued by NOAA\u2019s regional offices and each regional office manages its own data. National Marine Fisheries Service officials stated that they are developing a national count of federally-permitted commercial fishing vessels, but a competing priority delayed this effort and noted it will recommence in the coming year. However, just because a vessel has a permit, it does not mean it is an active vessel, and additional data on vessel activity\u2014such as information from log books, fish tickets, and fishery observers\u2014is needed to identify vessels that are actively fishing.", "Similarly, a statistician from NIOSH\u2014the federal agency that maintains data on commercial fishing fatalities and is responsible for conducting research and making recommendations for the prevention of work-related injury and illness\u2014stated that he has encountered challenges estimating the total size of the active U.S. commercial fishing fleet because the majority of commercial fishing vessels are state-registered, and comprehensive data on the number of state-registered vessels are not available. Coast Guard officials acknowledged that they do not collect data on a state-registered vessel, unless the Coast Guard has been in contact with the vessel.", "Officials from the Coast Guard and the National Marine Fisheries Service agreed that it is important to calculate rates to assess the number of commercial fishing vessel accidents, injuries, and fatalities. At present, however, no particular federal agency has collected or calculated the national number of active commercial fishing vessels\u2014those that are fishing and selling their catch\u2014or the region and fishery in which these vessels operate. Once a reliable count of the number of active commercial fishing vessels is established, rates can be calculated by other characteristics such as the fishery or fisheries in which a vessel operates or vessel length. These rates would provide further insight into commercial fishing vessel accidents, injuries, and fatalities, including the percentage of vessels that are involved in an accident in a specific region or the percentage of accidents that involve vessels of a certain length such as, for example, vessels greater than 79 feet in length.", "Federal internal control standards establish that management should obtain relevant data from reliable sources in a timely manner, and recommend that agencies\u2019 management use quality information to make informed decisions. The Coast Guard and the National Marine Fisheries Service are collecting data that could be used to develop an estimate of the total number of commercial fishing vessels that are actively fishing, however, each agency is taking a different approach, in part, because they are doing so for different purposes. Specifically, the Coast Guard collects data on commercial fishing vessels and the National Marine Fisheries Service collects data on permits for federally-managed fisheries, as well as other data on fishing activities. These data can be used, in part, to help determine the number of commercial fishing vessels that are actively fishing. In addition to the Coast Guard and the National Marine Fisheries Service, an agency, such as NIOSH\u2014that is involved in commercial fishing vessel safety\u2014could benefit from information derived from these ongoing efforts. Without such information, Congress and the agencies will lack important data needed to accurately assess the factors that contribute to commercial fishing vessel accidents, injuries, and fatalities. Establishing a mechanism\u2014such as a working group\u2014to coordinate efforts and collect reliable data on the number of active vessels and key characteristics, such as vessel age and length, would allow the agencies to do so in an efficient manner."], "subsections": []}]}, {"section_title": "While Data on the Costs of Classing Are Limited, Stakeholders Believe Classing Will Increase Ownership Costs", "paragraphs": ["We were able to obtain limited data on the costs of classification because only a total of six classed vessels have been built and builders and owners were reluctant to provide data on costs which they consider to be proprietary. Classification society representatives, vessel owners, and builders we interviewed agreed, however, that constructing and maintaining classed commercial fishing vessels will increase ownership costs, due, in part, to the fees charged by classification societies, the requirement to use certified materials and equipment, and annual maintenance surveys, among other costs. Despite the uncertainty as to how much classification will increase total ownership costs, vessel builders and owners stated that the potential costs associated with classing have contributed to reduced orders for new vessels and other changes."], "subsections": [{"section_title": "Extent to Which Classing Increases Design, Construction, and Maintenance Costs Is Uncertain", "paragraphs": ["All stakeholders we interviewed\u2014classification society representatives, vessel owners, and builders\u2014stated that classing will increase ownership costs. These stakeholders identified the following additional costs associated with constructing a classed commercial fishing vessel: naval architect fees for vessel design; additional builder engineering costs associated with finalizing classed classification society review of key equipment drawings and certification of equipment manufacturing; increased builder costs to construct vessel to classification society- approved design; additional supervision and testing during vessel construction; additional classification society design reviews and surveys, as needed, during vessel design and construction; and stability assessments and load line assignment.", "However, we were able to obtain only limited data on these costs as (1) few vessels have been constructed and classed by the societies included in our review and (2) the owners/operators and builders of these classed vessels are reluctant to share the associated cost documentation, considering it proprietary. Only six vessels have been constructed and classed since July 2013, when expanded classification requirements took effect. Two of these vessels\u2014one tender and one catcher\u2014were classed because they were subject to the July 2013 expanded classification requirements; the remaining four vessels were factory processors, which have been required to meet classification society standards since July 1990. All of the classed vessels constructed since July 2013 are greater than 130 feet in length and are owned by companies that own and operate multiple fishing vessels, with the exception of the tender vessel which is 67 feet long and owned and operated by a non-profit organization.", "Commercial Fishing Vessel Vessel type: Trawler (catcher or catcher/processor) Fleet length: 40-500 feet or longer Trawlers fish for pollock, cod, sole, rockfish, shrimp, and other species by towing funnel- shaped nets behind them in which the catch is trapped by the forward movement of the boat. Depending on the desired catch, trawlers tow the nets in very shallow waters up to a depth of about 6,500 feet along the seafloor. Large, offshore factory trawlers can also process their catch on board. Freezer trawlers are outfitted with a refrigerating plant and freezing equipment.", "Two builders, located in the Gulf of Mexico and Pacific regions, provided quotes on classification society fees and a construction bid; another builder provided an estimate of the costs associated with designing and constructing a classed vessel approximately 90 feet in length. Collectively, this information indicates that the additional costs could range from approximately $300,000 to $1.2 million above the total construction cost of a vessel not built to these standards.", "In general, vessel builders, owners, naval architects, marine safety experts, academics, and other experts we spoke with provided widely varying estimates on the impact that classification may have on vessel construction costs, though many suggested a range of 10 to 30 percent. In contrast, representatives from one classification society stated that shipbuilders who currently build other ships to classification requirements have stated estimates of 2.5 to 5 percent in overall construction costs would be needed to construct a classed fishing vessel. We could not, however, independently assess the accuracy of these claims.", "With regard to classification society fees, classification society representatives stated that the fees they charge for vessel design approval and surveys conducted during the construction of a classed commercial fishing vessel vary depending on the complexity of the vessel\u2019s design, as well as the builder\u2019s level of expertise in constructing classed vessels. These fees typically account for 1.0 to 1.5 percent of the costs to design and construct a classed vessel. A builder on the West Coast provided us a quote from one of the classification societies of approximately $136,000 for design reviews and construction surveys for a $2 million, 58-foot commercial fishing vessel, or about 7 percent of the vessel\u2019s total construction costs. Another builder in the Gulf of Mexico stated that constructing a 90-foot commercial fishing vessel generally costs him approximately $2.3 million, but constructing the same vessel with classification requirements would incur approximately $195,000 in additional classification fees, about 8 percent of construction costs. A vessel owner who owns and operates two catcher vessels off the coast of Alaska and is currently constructing a 300-foot factory processing vessel estimated that classification fees for vessel design and construction would likely amount to $300,000\u2014approximately 0.4 percent\u2014of the vessel\u2019s $70 million total purchase price.", "These fees included an initial review of the vessel\u2019s design and, generally, the review of one set of drawing revisions. If a builder needs to resubmit the vessel\u2019s design to the classification society for another review, each submission could be subject to additional fees.", "Representatives from both ABS and DNV GL explained that the fees they charge do not account for additional design and oversight services that might be necessary during the construction process, especially if this is the first time that the vessel builder has constructed a classed vessel.", "Vessel owners and builders told us that other costs associated with constructing a classed commercial fishing vessel include the use of certain materials, such as steel, and key equipment, such as generators and the engine, which may be more costly to purchase from the manufacturer since the items must be certified by the classification society. As part of classing, surveyors from classification societies are required to certify the fabrication and/or assembly of certain materials and key equipment prior to installation on the vessel. For example, two individuals\u2014a vessel owner and someone with years of experience working in the commercial fishing industry\u2014provided documentation that showed that two types of class certified equipment\u2014generators and engines\u2014cost approximately 6 to 16 percent more than the same, non- certified equipment. DNV GL representatives estimated that, in total, the class-certified materials and key equipment can cost an additional $20,000-$30,000 more than the cost of non-certified equipment.", "Vessel owners we interviewed stated that they may incur additional costs to maintain a classed commercial fishing vessel over the vessel\u2019s lifetime. These costs include fees paid to classification society surveyors to conduct annual surveys\u2014required as part of regular class maintenance\u2014 as well as periodic surveys\u2014more extensive surveys generally required every 5 years\u2014on the vessels. Representatives from one classification society estimated that, depending on size, age, and condition, the fees for fishing vessel annual surveys can range between $1,500 and $5,000, while the fees for periodic surveys can range between $6,000 and $25,000. Classification society representatives stated that the high end of the fees for periodic surveys are influenced by the fact that many owners choose to perform major maintenance, upgrades, and modifications at the same time, which increases the overall survey items and, therefore, the cost. Owners we interviewed stated that in addition to these annual survey fees, they are required to pay for the surveyor\u2019s travel costs as well as any necessary repairs the surveyor identifies. Those vessel owners we interviewed estimated that the annual maintenance costs for a classed commercial fishing vessel\u2014including fees, travel costs, and repairs\u2014could range from $28,000 to as much as $150,000. For example, an invoice we received from one vessel owner totaled over $70,000. More than one-third of the total cost was due to fees for periodic, annual, and equipment surveys. The majority of the remaining costs were associated with the purchase and installation of new machinery and repairs made to the vessel, as well as travel expenses paid to the classification society.", "Vessel owners we interviewed, or received correspondence from, provided examples of potential challenges that arise when maintaining classed vessels, such as annual surveys being scheduled at a time or location that interferes with fishing operations; the unavailability of classification surveyors at a convenient location; and the time to obtain classed materials or equipment to be delivered before an emergency repair can be completed. One owner noted that he once waited 2 weeks and paid three times more to replace three square feet of classification society-certified steel. However, ABS representatives stated that vessel owners have a 6-month window to meet their annual survey requirement, and stated that ABS generally has two surveyors working in Alaska at any given time and the society is open to adding more surveyors in Alaska as needed. Similarly, DNV GL representatives stated that to mitigate the cost and time associated with surveyors\u2019 travel, the society has begun to use networked or stand-alone electronic devices to record certain non-major classing inspections.", "Several industry representatives noted that some of the additional costs associated with constructing and maintaining classed vessels may be partially offset by decreased insurance premium costs and improved vessel resale value for vessel owners. Coast Guard officials we interviewed similarly noted that classed vessels may command a higher resale price. However, marine insurance underwriters we interviewed stated that prior claim history\u2014not classification\u2014is the key factor that influences insurance premiums for commercial fishing vessels. One of the underwriters added that owners of classed commercial fishing vessels might actually pay higher insurance premiums than owners of non- classed vessels because hull and machinery claims for classed vessels would likely be more expensive to repair. With regard to whether a classed commercial fishing vessel has a higher resale value, we spoke to some vessel owners who stated that the maintenance costs associated with owning a classed vessel would actually deter them from purchasing an existing classed vessel."], "subsections": []}, {"section_title": "Commercial Fishing Stakeholders\u2019 Views on the Potential Impact of Classing", "paragraphs": ["Many of the stakeholders we spoke with told us that classing and its associated costs have and will continue to change aspects of the commercial fishing business, including profitability and construction of new vessels. Several stakeholders stated that their ability to absorb the additional costs due to classing is dependent on the relative health of the fishing businesses involved. Vessel owners we interviewed in less profitable regions and fisheries, such as the shrimp fishery in the Gulf of Mexico and the groundfish fishery in the North Atlantic, believed that their businesses will be adversely impacted by the increased construction costs associated with classing. One vessel owner, whose small-scale commercial fishing operation in the Gulf of Mexico employs approximately 40 individuals and operates 3 vessels, estimated that constructing a vessel to meet classification society standards would increase overall construction costs by 30 percent, an amount she believes that she cannot absorb as shrimp prices are sensitive to the international market.", "While vessel owners in more profitable regions and fisheries believed that their businesses could absorb the increased construction costs associated with classing, one owner whose family has fishing operations in 10 different fisheries, some of which are profitable and some that are less so, noted that the addition of a newly constructed classed vessel to his fleet\u2014which he estimated cost about 35 percent more due to classing requirements\u2014was still a sound business decision on his part since the vessel will operate in the more profitable North Pacific fishery. However, he added that his family would not incur similar costs to construct a new classed vessel to operate in the scallop industry, in which they also have business operations.", "Another issue that arose in our discussions with stakeholders was that the perception of the increased cost associated with constructing a classed commercial fishing vessel\u2014regardless of what the actual cost increase may be\u2014appears to be affecting vessel owners\u2019 decisions to purchase new vessels. Among the 13 vessel builders we interviewed, 9 builders stated that classification requirements and their perceived costs have contributed to a significant reduction in orders for new commercial fishing vessels, regardless of vessel length. One builder noted that he reduced the number of employees from nearly 100 to less than 50 workers and began constructing other vessels, such as tug boats, in addition to commercial fishing vessels to keep his remaining employees employed.", "One industry representative stated that owners, especially those with smaller operations in less profitable fisheries, may find it cost prohibitive to recapitalize their vessel or fleet. Similarly, vessel owners stated that they will likely choose to continue operating their aging vessels or choose to close their business in lieu of purchasing new classed vessels.", "Other vessel owners stated that they would either consider, or already have chosen, to purchase and update an older commercial fishing vessel instead of constructing a new classed vessel. For example, one vessel owner we interviewed, whose family has fished commercially along the Gulf of Mexico for 150 years, stated that the new classing requirements for commercial fishing vessels have resulted in several businesses rebuilding older vessels, where a new vessel is constructed around the original keel of an older vessel that is not subject to classing requirements. Another vessel owner we interviewed, whose family also has a history in commercial fishing, told us that he and other members of his family would like to build several new vessels to add to their already sizable fleet, but have decided not to do so because of the perceived costs associated with the classing process. Instead, this vessel owner commented that some members of his family recently purchased two wrecked commercial fishing vessels and intend to construct a new vessel using the wrecked vessel\u2019s 40-year-old keel.", "Industry trade representatives also voiced concerns that when owners choose to recapitalize their vessels, classing requirements could encourage owners to purchase smaller vessels to avoid classification requirements. For example, one builder we interviewed offers a design for a 45 to 49 foot crab vessel, which, because of its size, would not be subject to classification requirements. The builder explained that the vessel would be shorter than other vessels operating in the Bering Sea and could be less safe for the crew onboard in the event of an accident. Further, naval architects we interviewed stated that they know of vessel owners who have begun to seek new commercial fishing vessels less than 50 feet in length."], "subsections": []}]}, {"section_title": "Classification Can Contribute Safety Benefits, but Other Factors and Measures Also Play a Significant Role", "paragraphs": ["Federal agency officials tasked with overseeing the commercial fishing industry, as well as industry representatives, academics, builders, and owners we interviewed, agreed that classing provides some benefits and could contribute to overall vessel safety by providing independent and ongoing oversight to ensure quality and seaworthiness during the design and construction of the vessel, as well as through annual maintenance surveys. At the same time, however, vessel owners we interviewed noted that overall vessel safety can also be improved by instituting other safety measures or design approaches. As shown in figure 6, classification addresses vessel design, construction, and maintenance, but training, safety and lifesaving equipment, environmental, and other factors also contribute to commercial fishing vessel safety.", "As one industry trade representative explained, classing commercial fishing vessels is another approach for improving industry safety by ensuring key systems aboard the vessel are in good, working order, thereby potentially breaking the chain of events leading to a major catastrophe at sea, such as a vessel sinking. According to a representative for a larger commercial fishing company, vessel owners benefit from the oversight provided by classification society surveyors during the construction process. Classification society surveyors provide another set of eyes and the perspective of a third party. An owner of a large commercial fishing business stated that vessel owners who do not maintain their classed vessels, and thereby jeopardize the lives of their crew, risk losing their vessel\u2019s classification certificate, which, in turn, will prevent them from operating the vessel legally.", "Overall, commercial fishing industry representatives supported the requirement that commercial fishing vessels with factory processors onboard be classed because of the risks these vessel owners face with such a large number of factory workers\u2014who are not mariners\u2014working onboard. Most vessel owners that we interviewed or received written documentation from, however, did not support classification for smaller commercial fishing vessels\u2014especially those operated by individual owners with small crews.", "To illustrate that different factors contribute to commercial fishing vessel safety, we collected data on fishing vessel accident claims from two U.S.- based marine insurance underwriters that insure commercial fishing vessels. While our findings are not generalizable to all insurance claims made between 2013 and 2016, we found that protection and indemnity claims, which cover liability for bodily injury and third-party damage\u2014 accounted for nearly two-thirds of insurance claims for these two underwriting companies. Hull and material claims also comprised a significant number of overall insurance claims over the period. These claims can be made as a result of physical loss of or damage to the vessel, including equipment, engines, and machinery. Figure 7 shows the number and types of claims for 2013 through 2016 from two marine underwriting companies we interviewed.", "One vessel owner we interviewed stressed the importance of safety training so crew members are capable of using lifesaving equipment when it is needed. She referred us to a Coast Guard analysis of fishing vessel casualties occurring from 1992 to 2010 that found fatalities from water exposure might have been prevented if personal floatation devices or survival suits had been used. In its analysis, the Coast Guard found that 32 percent of all fatalities between 1992 and 2010 resulted from crew falling overboard, being pulled overboard by equipment, or diving from the vessel.", "Other vessel owners who operate in the Gulf of Mexico stressed several safety measures, such as: requiring vessel crew members to undergo routine drug testing; requiring vessel crew members to wear personal floatation devices when working on deck; requiring all commercial fishing vessels that use a winch to hoist catch from the ocean to install either a guard or emergency shut-off mechanism; and mandating skills-based training and testing of safety procedures for each vessel crewmember, not just the individual in charge of the vessel, as the law currently requires.", "Commercial fishing industry representatives and vessel owners we interviewed also stated that stability assessments and load line assignments\u2014which are required for fishing vessels built after July 1, 2013, that are 79 feet or longer\u2014may provide safety benefits comparable to classification. A load line indicates the point where the waterline should reach when a vessel is properly loaded. As part of a load-line certification, a vessel\u2019s seaworthiness is assessed, which involves the completion of stability documentation, providing the operator with instructions for safely loading and operating the vessel. Load line requirements cover some of the same items as classification rules, such as pre-construction review and approval of plans by the assigning authority, weathertight and watertight integrity, and periodic inspections to verify proper maintenance and ensure that modifications to the vessel do not compromise seaworthiness."], "subsections": []}, {"section_title": "Alternative-to-Class Approach Offers Benefits Relative to Classification, but Key Elements Remain Open to Interpretation", "paragraphs": ["The alternative-to-class approach provides some flexibility and potential cost savings to vessel owners compared to classification, but we did not identify a builder who has constructed a vessel using this approach. The Coast Guard has not issued regulations or guidance to clarify how the alternative-to-class approach will be implemented, which increases uncertainty on how key steps in the process should be conducted.", "The Coast Guard Authorization Act of 2015 created an alternative-to- class approach for vessels at least 50 feet and not more than 79 feet in length built after February 8, 2016. Under the alternative-to-class approach, a commercial fishing vessel is designed to standards equivalent to classification society standards. For example, the alternative-to-class approach requires a stability assessment and an assigned loading mark (or load line) certification that construction is in accordance with design, and written stability and loading instructions that are provided to the owner or operator to ensure a robust hull and weathertight and watertight integrity. As such, the structural strength of the vessel\u2019s hull, reliability and function of major systems\u2014including propulsion and steering\u2014and watertight integrity of the vessel are expected to be comparable to a classed vessel. However, the alternative- to-class approach provides some flexibility to builders and owners in how to do so, as shown in figure 8.", "The alternative-to-class approach provides additional flexibilities to builders and owners and potentially reduces compliance costs compared to classing a new vessel. Examples of the flexibilities and potential drawbacks the alternative-to-class approach offers include the following.", "It enables a marine surveyor of an organization accepted by the Secretary of Homeland Security, rather than a classification society representative, to verify that the vessel\u2019s construction meets design requirements and to conduct inspections. Coast Guard officials told us that such individuals need to be licensed by an organization, such as the Society of Accredited Marine Surveyors or the National Association of Marine Surveyors, to be deemed qualified by the Coast Guard.", "It reduces inspection requirement from annually to at least twice every 5 years, and according to Coast Guard officials, the alternative-to- class approach does not impose requirements for disassembly and inspection of propulsion machinery, generators, electrical systems, pumps, and piping.", "It requires owners to maintain records to demonstrate compliance with the alternative-to-class approach, which may be burdensome for some vessel owners.", "However, our interviews with commercial fishing stakeholders and our analysis raised several questions as to how certain aspects of the alternative-to-class approach will be implemented. For example, stakeholders raised a number of questions about state licensing requirements for naval engineers and architects, including whether licenses issued in one state would be recognized by other states. One naval engineer in the North Pacific told us that he had to secure an engineering license to do work for a client in another state, despite holding the same license in his home state. Coast Guard officials did not believe that differences in state licensing requirements should be an issue. Coast Guard officials explained that although each state may have different licensing requirements, one professional society sets the technical standards for professional engineers and that these common standards apply across all states. Despite this, it is not certain if individual states will recognize other states\u2019 engineering licenses. Table 3 highlights our analysis of the key issues raised by industry stakeholders during the course of our review.", "Although Coast Guard officials believe that the legislation clearly outlined the requirements for this approach, numerous open questions exist regarding implementation of the alternative-to-class approach, as depicted in table 3. The Coast Guard has not yet issued regulations or guidance concerning the alternative-to-class approach. Coast Guard officials noted they are still in the process of developing a final rule to implement earlier legislation, including the Coast Guard Authorization Act of 2010, as amended by the Coast Guard and Maritime Transportation Act of 2012. At the time of our review, Coast Guard officials acknowledged they were uncertain when this rule would be finalized. These officials stated that any effort to promulgate rules for the 2016 alternative-to-class approach will not start until after the final rule regarding the 2010 and 2012 acts is issued. However, Coast Guard officials noted they were considering developing a policy letter to provide some additional guidance on implementing the alternative-to-class approach, but provided no timeframe for doing so.", "The Coast Guard is responsible for implementing the alternative-to-class statute, but questions remain regarding how this implementation will be achieved. While the 2016 legislation did not require the Coast Guard to promulgate guidance or regulations for the alternative-to-class approach, regulations are one of the primary tools federal agencies use to implement law and policy. The general process by which federal agencies develop and issue regulations allows the public an opportunity to provide information to agencies on the potential effects of a rule or to suggest alternatives for agencies to consider prior to publication of the final rule. Federal internal control standards recommend that agency management communicate with both internal and external stakeholders the necessary quality information, such as regulations describing procedures to be followed to comply with the alternative-to-class legislation, to achieve objectives. Without specific written procedures\u2014either in the form of regulations or guidance\u2014the Coast Guard cannot ensure consistent implementation of the alternative-to-class approach."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Since the late 1980s, Congress had undertaken efforts to improve commercial fishing vessel safety, including establishing classification requirements for all three types of commercial fishing vessels\u2014catchers, tenders, and processors\u2014and, most recently, establishing an alternative- to-class approach as a less-prescriptive option for smaller vessels. Accurate data collected by the Coast Guard during incident investigations\u2014such as the fishery in which the vessels operate\u2014 is necessary to understand which fishing vessels are involved in accidents. In addition, reliable data on the total number of commercial fishing vessels that are actively fishing and information on key vessel characteristics\u2014including vessel age, length, and its fishery\u2014is necessary to calculate rates and establish trend information for commercial fishing vessels involved in accidents. Without such information, Congress, the Coast Guard, and other federal agencies\u2014 such as NIOSH\u2014will not be able to assess the factors that contribute to commercial fishing vessel accidents, injuries, and fatalities.", "While the costs of classification cannot be reliably measured, industry stakeholders perceive the potential costs associated with classing\u2014 regardless of what the actual costs are\u2014as impacting the commercial fishing industry, including reduced orders for new vessels, and the continued operation of aging vessels, and the loss of income for commercial fishers. The alternative-to-class approach provides greater flexibility and potential cost savings to owners of smaller commercial fishing vessels. While not required to do so, the Coast Guard has not issued guidance or promulgated regulations to clarify aspects of the alternative-to-class approach. However, the absence of timely regulations or guidance has contributed to confusion among the commercial fishing industry and increases the risk of potentially inconsistent implementation of the alternative-to-class approach."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of six recommendations, including four to the Commandant of the Coast Guard, one to the Director of NIOSH, and one to the Assistant Administrator for Fisheries for the National Marine Fisheries Service:", "The Coast Guard should ensure that the data it collects during commercial fishing vessel incident investigations, including the fishery in which the commercial fishing vessel is involved, is accurately captured. (Recommendation 1)", "The Coast Guard should form a working group with NIOSH and the National Marine Fisheries Service to determine an efficient means to establish a reliable estimate of the population of commercial fishing vessels actively fishing, landing, and selling their catch; the fishery in which a vessel operates; and key vessel characteristics including, but not limited to, vessel age and length. (Recommendation 2)", "Once reliable data are available, the Coast Guard, or another agency identified by the working group, should assess the rates of commercial fishing vessel accidents, injuries, and fatalities to determine whether certain factors\u2014including vessel length and region of operation, among other things\u2014affect these rates. (Recommendation 3)", "The Coast Guard should issue regulations or guidance to clarify and implement the alternative-to-class approach. (Recommendation 4)", "NIOSH should form a working group with the Coast Guard and the National Marine Fisheries Service to determine an efficient means to establish a reliable estimate of the population of commercial fishing vessels actively fishing, landing, and selling their catch; the fishery in which a vessel operates; and key vessel characteristics including, but not limited to, vessel age and length. (Recommendation 5)", "The National Marine Fisheries Service should form a working group with the Coast Guard and NIOSH to determine an efficient means to establish a reliable estimate of the population of commercial fishing vessels actively fishing, landing, and selling their catch; the fishery in which a vessel operates; and key vessel characteristics including, but not limited to, vessel age and length. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Response", "paragraphs": ["We provided a draft of this product to the Departments of Homeland Security; Health and Human Services; and Commerce to respond on behalf of the Coast Guard, NIOSH, and NOAA, respectively for review and comment. The Departments of Health and Human Services and Commerce concurred with the recommendation directed to their components. The Department of Homeland Security concurred with three of the four recommendations. The departments\u2019 written comments are reprinted in appendixes III-V, respectively, and summarized below. We also sent a draft of this product to NTSB for their review and comment. The departments and NTSB also provided technical comments, which we incorporated as appropriate.", "The Department of Homeland Security concurred with our recommendation to ensure that the data the Coast Guard collects during commercial fishing incident investigations, including the fishery in which the vessel is involved, is accurately captured. It noted that the Coast Guard will reemphasize the need to collect fishery data as part of its training programs and qualification requirements of its investigators. Additionally, it stated that the Coast Guard will consider adding additional data fields within its Marine Information for Safety and Law Enforcement database to improve the accuracy of the data collected.", "The Departments of Homeland Security, Health and Human Services, and Commerce concurred with our recommendations directed to them to form a working group to establish a reliable estimate of the population of commercial fishing vessels, the fishery in which the vessel operates, and key vessel characteristics. The Department of Homeland Security noted that neither the Coast Guard nor the National Marine Fisheries Service have access to data for fisheries within economic zones managed by the states. As such, the Department of Homeland Security recommended that the (1) working group be established at the regional level and (2) regional fisheries management councils coordinate with individual states to collect needed data and, in turn, provide that data to the Coast Guard and the National Marine Fisheries Service. Additionally, the Department of Health and Human Services stated that NIOSH will assist in identifying ways to establish comprehensive vessel counts, which could include engaging state agencies.", "The agencies\u2019 comments reflect the complexity of and need to capture reliable data of the size and characteristics of the commercial fishing vessel fleet. Determining the working group\u2019s membership, structure, roles and responsibilities is an essential first step to doing so. Regardless of the working group\u2019s structure, it will be important to ensure that the data collected is done in a manner that allows it to be aggregated and analyzed in various ways, including at the national level.", "The Department of Homeland Security did not concur with our recommendation that the Coast Guard assess the rates of commercial fishing vessel accidents, injuries, and fatalities to determine whether certain factors\u2014such as vessel length and region of operation\u2014affect these rates. The Coast Guard stated that it had limited resources and capabilities to conduct such assessments and noted that NIOSH studies marine incidents to identify causal factors in fishing vessel casualties, which could more effectively determine casualty rates.", "We agree that NIOSH has, and can, play an important role in identifying commercial fishing fatalities and regional risk factors, but such assessments typically focus on fatalities in specific fisheries, and generally did not consider such factors as vessel length or whether the vessel has been classed. Further, the Coast Guard is the agency responsible for developing and enforcing regulations related to commercial fishing vessel safety, including classification requirements and the alternative-to-class approach. As such, the Coast Guard\u2019s office of Investigations and Casualty Analysis leads the agency\u2019s investigation program to promote safety, protect the environment, and prevent future accidents. As part of its efforts, this office has previously analyzed data on commercial fishing vessel accidents. While we continue to believe that our recommendation is appropriately targeted to the Coast Guard, we acknowledge that the working group could determine that another appropriate agency other than the Coast Guard is better positioned to conduct this analysis. As such, we have revised our recommendation to provide more flexibility to the agencies in determining how best to meet the intent of our recommendation.", "The Department of Homeland Security concurred with our recommendation that the Coast Guard issue regulations or guidance to clarify and implement the alternative-to-class approach. It noted that the Coast Guard is in the process of developing a more formal policy on best practices and expectations of the industry and implementing guidelines consistent with the intent of the legislation, which it hopes to complete by December 31, 2018.", "We also provided a draft of this report to the three classification societies we included in our review\u2014ABS, DNV GL, and RINA\u2014for their review and comment. ABS and DNV GL provided technical comments, which we incorporated as appropriate.", "We are sending copies of the report to the appropriate congressional committees. We are also sending a copy to the Secretary of Homeland Security, the Secretary of Health and Human Services, the Chairman of the National Transportation Safety Board, the Secretary of Commerce, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "Should you or your staff have questions, please contact me at (202) 512- 4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Selected Countries Have Varying Requirements for Classing Commercial Fishing Vessels", "paragraphs": ["Other selected countries that, like the United States, are members of the Organization for Economic Cooperation and Development and have sizeable commercial fishing industries have established requirements for designing, constructing, and\u2014in some instances\u2014maintaining commercial fishing vessels to classification society standards, as described in table 4."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report evaluates the costs and benefits of classing commercial fishing vessels. Specifically, we assessed (1) what is known about the numbers and rates of commercial fishing vessel accidents, injuries, and fatalities; (2) what is known about the costs to construct and maintain classed commercial fishing vessels built since July 2013 and the effects of classing on vessel builders and owners; (3) the benefits associated with classing commercial fishing vessels; and (4) how the alternative-to- class approach compares with building and maintaining commercial fishing vessels to classification society standards.", "To assess what is known about the numbers of commercial fishing vessel accidents, injuries, and fatalities, we collected and analyzed data from the Coast Guard\u2019s Marine Information for Safety and Law Enforcement database on commercial fishing vessel investigations for calendar years 2006 through 2015 to identify the number of vessel accidents and/or injuries or fatalities. We also collected relevant Coast Guard data on enforcement actions and boardings. To assess the reliability of the data, we reviewed related documentation, spoke with knowledgeable agency officials, and performed electronic testing for obvious errors in accuracy and completeness. Using latitudinal and longitudinal information collected during the Coast Guard\u2019s investigation of each commercial fishing vessel accident, we determined where the accident occurred and limited our analysis to those accidents that involved U.S. vessels and occurred between 3 nautical miles and 200 nautical miles from shore, an area that is generally referred to as U.S. federal waters. In the instances of Texas, Puerto Rico, and the Gulf coast of Florida, we used the area between 9 nautical miles and 200 nautical miles from shore, which is consistent with federal waters for those states. We found errors in the longitudinal and latitudinal data and could not match commercial fishing vessel accidents to an accurate location for 243 observations; we excluded these observations from our analysis. Overall, we determined that the data were sufficiently reliable for reporting the overall number of accidents, injuries, and fatalities over this time period.", "We attempted to separate the data by fishery management council region and interstate marine fisheries commission\u2014regional partners of the National Oceanic and Atmospheric Administration (NOAA) that ensure sustainable fishery management throughout the United States\u2014using the longitudinal and latitudinal boundaries of each region and commission. However, we found that the geographic location in which each accident occurred is not sufficiently reliable for determining the region or fishery in which a commercial fishing vessel operates. For example, the geographic location of an accident does not necessarily signify that the commercial fishing vessel was engaged in one of the fisheries managed by the regional council. In addition, according to National Marine Fisheries Service officials, the three interstate commissions work almost entirely on issues pertaining to shared fishery resources within the boundaries of their respective states and generally do not manage fishing activity in federal waters, so we could not reasonably assign an accident in federal waters to a region managed by one of these interstate commissions.", "We also collected and analyzed data from the National Institute for Occupational Safety and Health\u2019s (NIOSH) Commercial Fishing Incident Database on commercial fishing fatalities for calendar years 2006 through 2015 to identify causes of commercial fishing vessel fatalities over this period. To assess the reliability of the data, we reviewed related documentation, spoke with knowledgeable NIOSH officials, and performed electronic testing for obvious errors in accuracy and completeness. We determined that the data were sufficiently reliable for the purposes of reporting the number of fatalities over time. We also examined reports from the National Transportation Safety Board (NTSB) investigations of commercial fishing vessel accidents for calendar years 2006 through 2015, which include some of the most serious accidents, to describe what NTSB identified as the probable causes of these accidents.", "To identify rates of commercial fishing vessel accidents over time, we requested data from the Coast Guard on the population of commercial fishing vessels that were actively catching, landing, and selling their catch. We collected Coast Guard data on the number of commercial fishing vessels from 2006 to 2015 with a valid certificate of documentation, which indicates that the vessel is registered with the Coast Guard and is greater than 5 net tons. We also contacted NIOSH and NOAA to discuss the ways, if any, that these agencies have estimated the size of the active commercial fishing vessel fleet for their studies or programs. After contacting the Coast Guard, NIOSH, and NOAA for the purpose of collecting data on the total number of active U.S. commercial fishing vessels, we determined that we could not identify sufficiently reliable data about the size of the active U.S. commercial fishing vessel fleet for 2006 through 2015 for the purposes of our analysis. These data reliability problems precluded us from calculating rates of accidents, injuries, or fatalities over this period.", "We interviewed officials from the Coast Guard, NIOSH, and NSTB regarding the investigations and analyses they have conducted on commercial fishing vessel accidents and recommendations they have made to improve safety on board these vessels. We also interviewed officials from NOAA\u2019s National Marine Fisheries Service to discuss the roles and responsibilities of the regional fishery management councils and interstate marine fisheries commissions.", "To assess what is known about the costs to construct and maintain classed commercial fishing vessels built since July 2013 and the effects of classing on vessel builders and owners, we collected data on the costs associated with constructing and maintaining classed commercial fishing vessels from vessel builders and owners willing to share this information. Specifically, we analyzed (1) classification society design review fees quoted to two vessel builders located in the Gulf of Mexico and Pacific regions and other documentation these builders provided, including a construction bid; (2) another vessel builder\u2019s cost estimate for constructing a 90 foot long classed commercial fishing vessel to be used in the Gulf of Mexico shrimp industry; and (3) documentation provided by one vessel owner and another individual with extensive experience in the commercial fishing industry including the cost of various engines and generators\u2014class and non-class certified\u2014that could be installed during the construction process. We compared the quotes for these generators and engines to determine the cost differential between class and non- class certified equipment. The findings based on these data are not generalizable, but they do provide insight into the additional costs associated with constructing a classed commercial fishing vessel.", "In addition, we conducted interviews and discussion sessions with stakeholders in the commercial fishing industry to obtain the perspectives of vessel owners and/or operators, vessel builders, and commercial fishing organizations. Specifically, we interviewed 13 vessel builders, and 36 vessel owners and/or operators from across the United States, including both those with large and small businesses. We also interviewed representatives from 4 commercial fishing trade organizations that represent fisheries in Alaska and the Bering Sea, the Gulf of Mexico, the Pacific Ocean, and the Mid and North Atlantic Ocean.", "To ensure we captured many different perspectives, we held three discussion sessions with stakeholders in the commercial fishing industry, inviting interested parties to attend, including vessel owners and builders; trade organization representatives; and naval architects, at locations across the country, including Garden Grove, California; New Orleans, Louisiana; and Seattle, Washington. In total, 39 individuals involved in the commercial fishing industry attended one or more of these discussion sessions. From the testimonial information we collected through these interviews and discussion sessions, we identified common themes, including the impact of classing on vessel builders and owners. We also interviewed representatives from the three predominant classification societies in the United States\u2014American Bureau of Shipping (ABS), Det Norske Veritas Germanischer Lloyd (DNV GL), and RINA to discuss fees they charge as part of the classification process. We interviewed three marine underwriters who insure commercial fishing vessels off the coast of the Gulf of Mexico, Pacific Ocean, and the Atlantic Ocean to discuss how classification affects insurance premiums.", "To assess the benefits associated with classing commercial fishing vessels, we obtained the perspectives of vessel owners and/or operators, vessel builders, and commercial fishing trade organizations, and classification societies during the interviews and discussion sessions described above. The information obtained from interviews and discussion sessions cannot be generalized to all vessel builders, owners, or operators; however, the information provides important insights on the experiences of these groups. We also spoke with representatives from ABS, DNV GL, and RINA, as well as marine safety experts, naval architects, academics who study commercial fishing vessel safety, and marine underwriters in fishing industries off the coast of the Gulf of Mexico, the Pacific Ocean, and the Atlantic Ocean. From these interviews and discussion sessions, we identified common themes.", "We also reviewed Coast Guard and NIOSH studies related to improving commercial fishing vessel safety and the benefits each found with respect to classing commercial fishing vessels or improved accident outcomes. We collected data on the number of insurance claims submitted by commercial fishing vessel owners from 2013 through 2016 to two of the three marine underwriting companies we interviewed\u2014who were willing to share this information\u2014to determine the number of hull and machinery claims and the number of protection and indemnity claims that these companies processed over the period. The findings based on these data are not generalizable, but they illustrate the types of insurance claims made by commercial fishing vessel owners.", "To evaluate how the alternative-to-class approach compares with building and maintaining commercial fishing vessels to classification society standards, we collected and reviewed relevant statutes, documentation of Coast Guard rulemaking efforts, regulations, policies and guidance, as well as classification society rules and standards. We compared the requirements of the alternative-to-class approach with the steps associated with classification to determine the similarities of both approaches. We interviewed cognizant officials from the Coast Guard to discuss the current policies and regulations in place to address commercial fishing vessels and how an alternative-to-class approach will be implemented. We also interviewed representatives from classification societies\u2014including DNV GL, ABS, and RINA\u2014and commercial fishing vessel owners and operators, naval architects, builders and marine underwriters to discuss both approaches. We also collected information on commercial fishing vessel classification requirements from a non- generalizable sample of comparison countries that, like the United States, are members of the Organization for Economic Cooperation and Development and have sizeable fishing industries. Specifically, we selected Canada, Denmark, Spain, and the United Kingdom, represented among countries with the largest fishing harvests over 2010-2014, according to country data reported by the United Nations\u2019 Food and Agriculture Organization. We collected and reviewed documentation of relevant requirements for the United States and each selected country and discussed the requirements with officials from the selected countries. We present this analysis in appendix I.", "We conducted this performance audit from June 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Diana Moldafsky, Assistant Director; Laura Jezewski; Pedro Almoguera; Deanna Burns; Lorraine Ettaro; Danielle Giese; Laura Greifner; Kristine Hassinger; Ramzi Nemo; LeAnna Parkey; Erin Stockdale; Robin Wilson; and Ellen Wolfe made key contributions to this report."], "subsections": []}]}], "fastfact": ["To improve safety in commercial fishing, many boats are required to be built and maintained under rules set by organizations that certify them in a process called \"classing.\" Another certification process, called \"alternative-to-class,\" was introduced in 2016.", "We examined costs and effectiveness of classing. Stakeholders agreed that classing increases costs, but there is limited data to quantify this or its effectiveness. They also said they were unclear about implementing the alternative approach.", "We recommended that the Coast Guard, with others, gather reliable data and clarify the alternative approach."]} {"id": "GAO-18-143", "url": "https://www.gao.gov/products/GAO-18-143", "title": "Disaster Recovery: Additional Actions Would Improve Data Quality and Timeliness of FEMA's Public Assistance Appeals Processing", "published_date": "2017-12-15T00:00:00", "released_date": "2018-01-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In both 2016 and 2017, 15 separate U.S. disasters resulted in losses exceeding $1 billion each. FEMA provides PA grants to state and local governments to help communities recover from such disasters. If applicants disagree with FEMA's decision on their PA grant application, they have two chances to appeal: a first-level appeal to be decided by the relevant FEMA regional office and, if denied, a second-level appeal to be decided within FEMA's Recovery Directorate. Each is subject to a 90-day statutory processing timeframe.", "GAO was asked to review FEMA's appeals process. This report examines: (1) the extent to which FEMA ensures the quality of its appeals data and what these data show about PA appeals inventory and timeliness; (2) what steps FEMA has taken to improve its management of the appeals process and what challenges, if any, remain; and (3) the extent to which FEMA developed goals and measures to assess program performance. GAO analyzed FEMA policies, procedures, and data on appeals and interviewed officials from headquarters and from regional offices with the highest number of pending appeals. GAO also spoke to state officials from the two states within each of the three regions with the highest number of pending appeals."]}, {"section_title": "What GAO Found", "paragraphs": ["Weaknesses in the quality of Federal Emergency Management Agency's (FEMA) Public Assistance (PA) appeals data limit its ability to oversee the appeals process. For example, FEMA's data are inaccurate and incomplete because regional offices do not consistently track first-level appeals and FEMA does not have processes to ensure data quality. When GAO discussed these weaknesses with FEMA officials, they acknowledged them and provided GAO with corrected data for January 2014 through July 2017. GAO's analyses of the corrected data show fluctuations in the appeal inventory from year to year depending on the number of disasters declared and delays in processing. For example, as shown in the figure, only 9 percent of first-level and 11 percent of second-level appeals were processed within the 90-day statutory timeframe.", "FEMA has taken steps to improve its management of the appeals process\u2014including issues that GAO and the Department of Homeland Security's Office of Inspector General identified in 2008 and 2011. For example, FEMA increased its appeal staffing levels and developed standard operating procedures. Despite these efforts, FEMA continued to face a number of workforce challenges that contributed to processing delays, such as staff vacancies, staff turnover, and delays in training. FEMA has not developed a workforce staffing plan to identify hiring, training, and retention needs across its headquarters and regional offices, though FEMA officials acknowledge the potential benefits of having such a plan and stated that they are focused on filling vacancies. In the absence of a workforce plan, FEMA will continue to experience workforce challenges that could further contribute to delays in processing appeals.", "FEMA has not established goals and measures for assessing first-level appeals processing performance, but has done so for second-level appeals. FEMA views establishing these first-level goals and measures as the responsibility of its regional offices. Without goals and measures, FEMA is limited in its ability to assess the efficiency and effectiveness of its overall appeals process and identify and address weaknesses that may lead to delays in making appeal decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that FEMA implement a consistent approach for tracking appeals and ensuring data quality, develop a workforce plan, and develop measurable goals for processing first-level appeals. FEMA concurred with all four recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In both 2016 and 2017, 15 separate U.S. disasters resulted in losses exceeding $1 billion each, and 2017 has tied the record pace for frequency of billion-dollar disasters occurring in the calendar year. For the communities that have been affected by these disasters, critical aspects of response and recovery, such as removing debris, and rebuilding the infrastructure of state and local schools, roads, and utilities, may take years. The damage from such disasters points to the strains on state and local resources in both response and recovery, especially in the event of back-to-back catastrophic disasters, such as those witnessed during the 2017 hurricane season.", "Each year, the federal government obligates billions of dollars through programs and activities that provide assistance to state, local, territorial, and tribal governments; individuals; and certain nonprofit organizations that have suffered injury or damages from major disasters or emergency incidents, such as hurricanes, tornados, and fires. We recently reported that, from fiscal years 2005 through 2014, the federal government obligated at least $277.6 billion in disaster assistance through a range of programs. One such program, Public Assistance (PA), provides grants to state, local, territorial, and tribal governments and certain nonprofit organizations following a disaster. Administered through the Federal Emergency Management Agency (FEMA), a component of the Department of Homeland Security (DHS), PA provides financial assistance for debris removal; emergency protective measures; and the repair, replacement, or restoration of disaster-damaged, publicly owned facilities, and the facilities of certain private nonprofit organizations. From fiscal years 2009 through 2016, FEMA obligated more than $36 billion in grants for such projects.", "As in the case of many federal grant programs, FEMA provides PA funds to a state recipient which, in turn, passes these funds along to a local entity, based on an application for assistance. Applicants who request disaster assistance through the PA program are entitled to appeal any decision regarding how FEMA determined their eligibility for PA grant funds, including obligated amounts of PA funding. FEMA can also deobligate PA funding when it finds, for example, that ineligible work was performed, incurred costs were later deemed unreasonable, or improper procurement methods were used. Applicants can also appeal decisions resulting from FEMA audits of PA projects, even after a project has been completed and closed as long as the appeal is filed in a timely manner.", "To appeal a decision, applicants are afforded two opportunities: (1) a first- level appeal to the relevant FEMA regional office to be decided by the Regional Administrator and (2) a second-level appeal to be decided at FEMA headquarters by the Assistant Administrator for the Recovery Directorate or the PA Division Director through a delegation of authority. FEMA regulations implement the statutory time frames for applicants to file an appeal, for the state to transmit the appeal to FEMA, and for FEMA to respond to the appeal.", "We and the DHS Office of the Inspector General (OIG) have identified a number of issues related to FEMA\u2019s PA program, including its PA appeals process. For example, in 2008, as part of our review of FEMA\u2019s administration of the PA program, we found that, following Hurricanes Katrina and Rita, FEMA often did not make decisions on applicant appeals within statutorily required time frames. In 2011, the DHS OIG also identified areas for improvement in the PA appeals process, including the timeliness of processing an appeal and communicating with applicants about the status of their appeals. In 2013, FEMA stood up the Public Assistance Appeals Branch (PAAB) within the Office of the Recovery Directorate in an effort to respond to these concerns, adding an auditing component to the Branch in 2014.", "You asked us to review aspects of FEMA\u2019s management of the PA appeals process. This review examines: (1) the extent to which FEMA ensures quality in its data on appeals and what FEMA data show about its appeals inventory and timeliness for appeals decisions; (2) what steps FEMA has taken to improve its management of the appeals process and what challenges, if any, remain; and (3) the extent to which FEMA has developed goals and measures to assess the PA appeal program\u2019s performance.", "To address the first objective, we obtained and analyzed data from FEMA on all first- and second-level appeals that the agency received between January 2014 and July 2017. We focused on this time frame because it contained the most complete and available data at the time of our review. We identified various discrepancies in the first-level appeal data, which we discussed with knowledgeable FEMA staff and present later in this report. In response to our discussions, FEMA provided us with corrected data to address the identified discrepancies. After obtaining the corrected data and making adjustments to our analysis based on our discussions with FEMA officials, we determined that the appeals data from FEMA were sufficiently reliable to provide information on PA appeals, including appeals inventories, outcomes, amounts in dispute, and processing times that we present in this report. We also obtained and analyzed FEMA policies and procedures related to tracking appeals data, including those related to regional offices, and evaluated them using Standards for Internal Control in the Federal Government.", "To address the first and second objectives, we also administered semistructured interviews to officials from 3 of FEMA\u2019s 10 regional offices (Regions II, IV, and VI) with the highest number of first- and second-level pending appeals. We asked these officials about their efforts to process and track appeals, what improvements had been made regarding how PA appeals are processed, as well as any challenges they have faced in processing PA appeals since 2013.To select these offices, we obtained data from FEMA on first- and second-level appeals that were pending a decision, as of October 31, 2016. Collectively, appeals from these 3 regional offices represented 69 percent of all pending first-and second- level appeals FEMA had received as of October 31, 2016. We focused on this time frame because it contained the most recent data for our selection of FEMA regional offices at the time we began our review. To obtain additional perspective on what, if any, challenges remain in FEMA\u2019s management of the appeals process, we also interviewed state emergency management officials in six states (two states in each of the corresponding 3 FEMA regional offices.) (See figure 1.)", "To additionally address the second objective, we reviewed FEMA documentation, such as standard operating procedures (SOP) and policies, directives, internal staffing requests, appeals analyst position descriptions, and other internal memoranda. We used these sources to identify what steps FEMA had taken to improve its management of the appeals process since 2013. We also used this information to supplement our understanding of the challenges FEMA, including its regional officials, raised during our interviews discussed above.", "To address the third objective, we obtained FEMA internal reports\u2014 including briefs and newsletters\u2014and performance plans to identify goals and measures FEMA had developed to assess the appeals program. We assessed that information against federal internal control standards and leading practices we have identified in our prior work for managing for results to determine the extent to which FEMA had developed goals and measures to assess program performance.", "For all three objectives, we reviewed relevant legislation and interviewed officials in PAAB and FEMA\u2019s Recovery Directorate. See appendix I for a more detailed description of our scope and methodology.", "We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FEMA\u2019s Public Assistance Process", "paragraphs": ["The Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), as amended, defines FEMA\u2019s role during disaster response and recovery. One of the principal programs that FEMA operates to fulfill its role is the PA program. PA is a complex and multistep grant program administered through a partnership between FEMA and states, which pass these funds along to eligible local grant applicants. Thus, PA entails an extensive paperwork and review process between FEMA and the state based on specific eligibility rules that outline the types of damage that can be reimbursed by the federal government and steps that federal, state, local, territorial, and tribal governments as well as certain nonprofit organizations must take in order to document eligibility. The complexity of the process led FEMA to re-engineer the PA program, which FEMA has referred to as its \u201cnew delivery model.\u201d FEMA began testing the new delivery model at select disaster locations in 2015, in preparation for implementing it nationwide for all new disasters. On September 12, 2017, FEMA announced that the new delivery model would be used in all future disasters unless determined infeasible in a particular instance.", "The process begins after FEMA determines that the applicant meets eligibility requirements. FEMA then works with the state and the applicant to develop a project worksheet describing the scope of work and estimated cost. Once FEMA and the applicant agree on the damage assessment, scope of work, and estimated costs, the PA grant obligation is determined. After FEMA approves a project, funds are obligated\u2014that is, they are made available\u2014to the state recipient, which, in turn, passes the funds along to applicants.", "Applicants may appeal project decisions if they disagree with FEMA\u2019s decisions on project eligibility, scope of damage, or cost estimates. Appealable decisions can occur at various times during the PA grant process, including during project closeout as long as they meet applicable time limits."], "subsections": []}, {"section_title": "FEMA\u2019s PA Appeals Process", "paragraphs": ["Figure 2 summarizes the first- and second-level appeals process under FEMA\u2019s PA program. The first-level appeals process begins after FEMA makes its determination on a project for PA grant assistance. Within 60 days of receiving FEMA\u2019s initial determination, the applicant must file an appeal through the state to the relevant FEMA regional office.", "The state must forward the appeal and a written recommendation to the relevant FEMA regional office within 60 days. In reviewing the first-level appeal before forwarding it to FEMA, the state has discretion to support or oppose all or part of the applicant\u2019s position in the appeal.", "Under the Stafford Act, the FEMA regional office shall render a decision within 90 days from the date it received the first-level appeal from the state. The PA appeals process can take longer if regional officials issue a request for information (RFI) to the applicant or request technical advice from subject-matter experts. According to a senior PAAB official, a regional office may issue an RFI or seek technical advice when an applicant\u2019s appeal is incomplete, lacks referenced documentation, or raises additional eligibility concerns. The regional office may issue multiple RFIs prior to rendering a final decision on an appeal. Within 90 days following the receipt of the requested additional information or following expiration of the period for providing the information, FEMA is to notify the state in writing of the disposition of the appeal.", "Regional Administrators are responsible for authorizing a final decision on a first-level appeal. A decision may result in an appeal being granted, partially granted, or denied. An appeal is considered granted when FEMA has approved the relief requested by the applicant as part of the appeal. An appeal is considered partially granted when FEMA has approved a portion of the relief requested by the applicant. An appeal is considered denied when FEMA has decided not to approve the relief requested by the applicant. If the regional office is considering denying or partially granting a first appeal, it must issue an RFI to provide applicants with a final opportunity to supplement the administrative record (i.e., the documents and materials considered in processing a first-level appeal), which closes upon issuing a first-level appeal decision. According to a senior PAAB official, this process adds additional time to first-level appeal processing, but ensures that FEMA has considered all relevant and applicable documentation. The applicant may file a second-level appeal through the state within 60 days of receiving a first-level appeal decision. The second-level appeal must explain why the applicant believes the original determination is inconsistent with law or policy and the monetary amount in dispute. The state then has 60 days to provide a written recommendation to FEMA. In reviewing the second-level appeal, just as with the first-level appeal, the state has discretion to support or oppose all or part of the applicant\u2019s position in the appeal.", "The FEMA Assistant Administrator for Recovery or the PA Division Director through a delegation of authority shall render a decision within 90 days of receipt of the second-level appeal from the state. All second-level appeal decisions are posted to FEMA\u2019s website, so applicants can review the previous decisions. As is the case with first-level appeals, the PA appeals process can take longer if PAAB officials request additional information or technical advice on an appeal. These requests must also include a date by which the information must be provided. According to a senior PAAB official, RFIs are seldom issued for second-level appeals because the administrative record is closed after a decision is rendered on a first-level appeal. Similarly, this official told us that technical advice is rarely sought for second-level appeals because such issues are typically explored during the first-level appeal process. Within 90 days following the receipt of the requested additional information or following expiration of the period for providing the information, FEMA is to notify the state in writing of the disposition of the appeal. FEMA\u2019s response to a second- level appeal is the last and final agency decision in the appeals process."], "subsections": []}, {"section_title": "Organization of FEMA\u2019s PA Appeals Program", "paragraphs": ["Located within the Recovery Directorate, PAAB maintains overall responsibility for administering and overseeing FEMA\u2019s PA appeals program. Among other things, PAAB is responsible for ensuring that all appeal decisions are issued within regulatory timelines by developing and maintaining SOPs; arranging for supplemental staff support as needed; providing regular updates for both first- and second-level appeal decisions through a range of communications; and providing training to certify PA program staff on appeals processing.", "PA program appeals staff in each of FEMA\u2019s 10 regional offices are responsible for processing first-level appeals, while PAAB staff in FEMA\u2019s Headquarters office are responsible for processing second-level appeals. Accordingly, each regional office is required to follow FEMA\u2019s Directive, Manual, and Regional SOP for processing first-level appeals, consistent with those established for second-level appeals. FEMA regional offices are also required to forward all incoming second-level appeals to PAAB. In addition, regional office staff must, within 3 business days of receiving a first-level appeal from a state, provide an electronic copy of the appeal to the PAAB via FEMA\u2019s shared workspace SharePoint site. As noted in FEMA\u2019s Recovery Directorate Appeals Manual, this step enables PAAB staff to identify and track appeals issues and trends in development across all FEMA regions.", "The roles and responsibilities for both first-and second-level appeals are defined in FEMA\u2019s SOPs. For example, certified appeals analysts are responsible for reviewing incoming appeals for completeness, researching and drafting appeal decisions, and generating RFIs. Lead appeals analysts are the first-line reviewers of appeal decisions and RFIs, and provide guidance on PA program and policy issues, coordinate appeals assignments, and review work of appeals analysts. Further, appeals coordinators are responsible for receiving incoming appeals, tracking the processing of those appeals, updating the appeal status, and processing other appeals-related correspondence and reports."], "subsections": []}, {"section_title": "Prior Reviews Examining the PA Appeals Process", "paragraphs": ["We have identified a number of issues related to FEMA\u2019s management of the PA appeals program in our prior audit work, as has DHS\u2019s OIG. In our 2008 review of FEMA\u2019s administration of the PA program following Gulf Coast Hurricanes Katrina and Rita, we identified challenges related to applicants\u2019 experience with appeal processing delays and that FEMA often did not make decisions on appeals within the 90-day statutory time frame. Other challenges identified were that FEMA did not inform some applicants of the status of their appeal, or, in some cases, assure them of the independence of the FEMA officials making appeal decisions. Specifically, some applicants perceived there to be a conflict of interest because the PA program staff responsible for reviewing appeals was the same staff that had made the PA project decision that was being appealed. We did not make recommendations to FEMA to address these challenges in our 2008 review, but rather described the challenges as part of the status of overall Gulf Coast hurricane recovery efforts.", "In 2011, DHS\u2019s OIG conducted a review of FEMA\u2019s PA appeals process and made a number of recommendations aimed at improving aspects of the process, including the timeliness of appeals processing, appeals staffing, and the accuracy of appeals data. As in our 2008 review, the OIG identified appeal processing delays occurring at both FEMA regional offices and at headquarters. For example, the report found that appeals were left open for long periods of time and that some regional offices as well as FEMA headquarters took more than 90 days to issue a decision on first- and second-level appeals. Further, the OIG review found that staffing approaches employed by individual regional offices contributed to processing delays and varying processing timeframes. For example, the management and processing of first-level appeals varied by FEMA regional office in that some regional offices assigned staff specifically to review appeals, while other offices assigned staff to appeals processing as part of their other responsibilities within the PA Program, such as determining eligibility for PA assistance. Further, second-level appeals were processed by various offices within FEMA headquarters, and FEMA had not established guidelines to complete work within a specific timeframe.", "Moreover, the OIG review found inaccuracies with FEMA\u2019s system for tracking appeal processing times for second-level appeals, resulting in unreliable information being reported to FEMA management regarding compliance with the 90-day statutory time frame. Lastly, the OIG reported that some applicants had been unable to obtain information on the status of their appeals and that FEMA did not provide meaningful feedback to resolve applicants\u2019 inquiries."], "subsections": []}]}, {"section_title": "Weaknesses Exist in FEMA\u2019s Oversight of Data Quality, but Corrected FEMA Data Showed Fluctuations in Appeal Inventory and Delays in Processing", "paragraphs": ["Our review of FEMA data that track first- and second-level appeals showed weaknesses in the agency\u2019s data quality practices that affect program oversight. For example, we found that FEMA regional offices do not track first-level appeals data consistently or update this data regularly, resulting in missing data entries. Further, we found that FEMA\u2019s appeal tracking process does not ensure data quality, limiting FEMA\u2019s ability to use the data for making decisions on and improvements to the PA appeals process. During our review, we discussed with FEMA officials the discrepancies we found with these appeals data. FEMA officials acknowledged these data quality issues and provided us with corrected data to address these discrepancies for our analysis in this report. Our analysis of the corrected FEMA data showed that, between January 2014 and July 2017, FEMA received over 1,400 first- and second-level appeals with amounts in dispute totaling about $1.5 billion. Across all years, first- level appeals accounted for the majority of appeals, though the number of appeals fluctuated widely each year. Over the same period, only a small percentage of first-and second-level appeals were processed within the 90-day statutory time frame."], "subsections": [{"section_title": "Weaknesses in FEMA\u2019s Tracking and Data Quality Practices Affect Program Oversight", "paragraphs": ["To administer and oversee the PA appeals program, FEMA collects and tracks information on first- and second-level appeals. Based on FEMA\u2019s SOP, the agency uses this information to identify trends throughout the appeals process and identify areas in need of improvement. Specifically, PAAB uses two Excel spreadsheets for collecting and analyzing first- and second-level appeals data. The spreadsheet for collecting second-level appeals data is updated and maintained by PAAB, while the spreadsheet for first-level appeals is based on input from FEMA\u2019s 10 regional offices.", "Based on our detailed review of the spreadsheets, they contain numerous data fields on the status and outcomes of first-level appeals, such as the date the regional office received the appeal, the date an RFI was issued, the date the Regional Administrator signed the decision, the amounts being disputed by the applicant, and keyword information regarding the subject of the appeal.", "PAAB requests that regional offices update appeal information in the first- level appeal spreadsheet as changes occur on an appeal. PAAB then uses this data to assess trends in regional office appeals processing, which it includes in various performance and other internal reports that are shared with FEMA management and used to monitor the program. According to PAAB officials, such information provides valuable support to PAAB as well as the PA program by sharing information about filings, progress, and PA program decision making. However, while PAAB\u2019s tracking efforts help maintain visibility over and provide some monitoring of the appeals processing, we found that data fields for first-level appeals were not consistently reported or updated and that PAAB has no processes to ensure the quality of these data. As a result, data on first- level appeals may not have the accuracy needed for effective reporting and oversight efforts."], "subsections": [{"section_title": "FEMA Regional Offices Do Not Track Appeals Information Consistently or Update First- Level Appeal Information Regularly", "paragraphs": ["Our review of first-level appeals data showed that, between January 2014 and July 2017, regional offices did not consistently report first-level appeal information for a number of the key data fields in the PAAB first- level appeal tracking spreadsheet. Specifically, we found missing entries for the majority of the spreadsheet\u2019s 50 data fields. For example, we found that about one-third of the time, regional offices had not completed the data field for amounts being disputed by the applicant for pending appeals or indicated whether or not money was in dispute in the appeal. We also found that the regional offices had generally not entered the date that the regional appeal staff had completed an initial review of the appeal\u201499 percent of entries were missing for this field. In another example, the data field that captures keywords was missing in over 33 percent of data entries. PAAB officials told us that keywords are an important tool for understanding the root causes of an appeal.", "Further, we found a number of missing data entries for key dates for one regional office in particular. Specifically, this office had not recorded entries for any of the data fields related to key dates in the appeal process, such as the date the first-level appeal was assigned to an appeals analyst, the date the appeal was reviewed by the Regional Administrator, and the date the first-level appeal decision was sent to and received by the applicant. PAAB officials told us that PAAB uses these dates to calculate appeal processing times as part of its effort to evaluate trends in appeal information and identify potential areas for improvement, including timeliness. However, officials from this regional office told us the office does not consistently update information in the PAAB first-level appeal tracking spreadsheet and does not consider it a priority. Rather, the office considers the actual processing of first-level appeals a priority.", "In addition, our analysis of first-level appeals data also showed that there was limited standardization of recording entries within fields. For example, officials in one of the three regional offices in our review told us that, in some instances, they combine first-level appeals that involve direct administrative costs and record them as a single appeal. However, the other two regional offices in our review told us they do not combine individual appeals that involve direct administrative costs. Rather, they count each as a separate appeal. The lack of standardization in the way appeals are counted could result in some types of appeals being over- or under-reported. More specifically, these inconsistencies may affect PAAB\u2019s ability to compare appeal processing capacity between regional offices and accurately report the regions\u2019 performance."], "subsections": []}, {"section_title": "FEMA\u2019s Appeal Tracking Process Does Not Ensure Data Quality", "paragraphs": ["PAAB officials acknowledged inconsistencies in first-level appeals reporting, but noted that under FEMA\u2019s SOP, the regional offices are responsible for entering first-level appeal information. According to PAAB officials, this responsibility is emphasized during training sessions with appeal staff. However, we found that FEMA has no automated data entry checks for information the regions enter into PAAB\u2019s first-level appeal tracking spreadsheet and does not monitor data fields for missing or conflicting data. Regional offices do not have a means for electronically uploading first-level appeal information to PAAB and must manually input data into the spreadsheet. PAAB\u2019s process then simply confirms receipt of the information through an email exchange with the regional office staff who manually input the information.", "PAAB officials told us that they rely on regional office appeal staff to confirm and validate the first-level appeals data that are provided to PAAB for internal reporting. However, PAAB has no independent and consistent method of verifying the accuracy of the appeals data reported to it by the regional offices. PAAB officials also noted that there is no systematic process or method to identify these errors and generate an error report.", "Moreover, another limitation that we identified in the spreadsheet used by the regional offices is that it is not clear what blank data fields represent\u2014 that is, whether data does not exist or whether data that exists were not recorded. PAAB officials acknowledged that blank data fields in the first- level appeal tracking spreadsheet created reporting challenges, such as whether the data field was not applicable to a particular appeal, the appeal staff for a particular region did not collect this information, or existing information was not recorded. We also identified a number of other data entries that were erroneously recorded as first-level appeals. Specifically, the information entered related to requests for adjustments to PA project funding and should not have been entered into the tracking spreadsheets as appeals.", "Standards for Internal Control in the Federal Government advises management to process data into quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis. Additionally, management should evaluate processed information, make revisions when necessary so that the information is quality information, and use the information to make informed decisions. By developing and implementing processes and procedures to ensure a uniform and consistent approach for tracking first-level appeals data and better integrating regional trackers with PAAB\u2019s own first-level appeals tracker, PAAB will have greater assurance that it is collecting the comprehensive and complete appeals processing performance information it needs from the regional offices. Further, by identifying data discrepancies and other anomalies in its data queries and the resulting datasets, PAAB may be able to identify overall weaknesses in its data recording process, thereby allowing it to more accurately report on first-level appeals information. Without obtaining quality appeals data, FEMA will not be able to identify existing gaps in its appeals information and address areas in need of improvement, such as meeting statutory timeframes."], "subsections": []}]}, {"section_title": "Corrected FEMA Data Showed Fluctuations in Appeal Inventory", "paragraphs": ["After we shared our concerns about the appeals data with FEMA officials, they corrected the errors in their data and provided us a corrected data set to use for our analysis in this report. Based on our analysis of this corrected data we determined that, from January 2014 to July 2017, FEMA received over 1,445 first- and second-level appeals with amounts in dispute totaling about $1.5 billion. Across all years, first-level appeals accounted for the majority of appeals, though the number of appeals fluctuated widely between years. (See figure 3.) FEMA officials told us that the number of appeals they received has varied year to year and that increases or decreases in appeals are largely a function of the number of and severity of disaster events. That is, the greater the number of disasters declared and the more extensive the damage, the greater the number of PA program grants FEMA may issue to applicants, which in turn, may affect the likelihood that an applicant will appeal a FEMA decision regarding a grant.", "FEMA issued a decision on 953 of the appeals it received between January 2014 and July 2017. As shown in table 1, another 349 appeals were pending and awaiting a decision as of July 2017. The remaining 143 appeals were withdrawn by the applicant during the appeals process.", "Our analysis of the corrected FEMA data also found that, for appeals received between January 2014 and July 2017, total first- and second- level pending and decided appeals involved amounts in dispute totaling over $1.3 billion (excluding the 143 appeals that were withdrawn by the applicant during the appeals process). As shown in figure 4, at least a third of both first-and second-level pending and decided appeals (35 percent and 44 percent, respectively) involved amounts in dispute that ranged from $1 to $99,999. Less than 10 percent of both first- and second-level pending and decided appeals (9 percent and 8 percent, respectively) did not involve monetary amounts in dispute.", "In rendering a final decision on an appeal, FEMA can grant, partially grant, or deny the appeal. Our analysis showed that FEMA granted nearly a third of the 779 first-level appeals filed, awarding applicants over $85 million. As shown in figure 5, FEMA also partially granted about 19 percent of first-level appeals filed, which involved amounts in dispute totaling over $63 million. Further, figure 5 shows that over one-third of the 174 second-level appeals were either granted or partially granted. Specifically, FEMA granted about 26 percent of second-level appeals filed, awarding over $43 million, while the agency partially granted about 7 percent of second-level appeals filed, involving amounts in dispute totaling almost $19 million."], "subsections": []}, {"section_title": "FEMA Exceeded Statutory Processing Times", "paragraphs": ["Our analysis of the corrected FEMA appeal data showed that, on average, FEMA took more than three times the 90-day statutory time frame to process an appeal, which includes rendering a decision.", "Specifically, for first- and second-level appeals that FEMA received between January 2014 and July 2017 and that FEMA decided during the same period, FEMA\u2019s average processing time was 297 days. The processing time for decided first-level appeals averaged 293 days, while the processing time for decided second-level appeals averaged 313 days. Further, as shown in figure 6, only a small percentage of decided first-and second-level appeals (9 and 11 percent, respectively) were processed within the 90-day statutory time frame.", "For pending appeals, we found that, at the time of our analysis in July 2017, FEMA had taken on average, more than three times the 90-day statutory time frame for rendering decisions. Specifically, as of July 2017, FEMA had not rendered a decision on 349 appeals, which had an average processing time of 299 days. As of July 2017, the processing time for pending first-level appeals averaged 306 days, while the processing time for pending second-level appeals averaged 267 days. Figure 7 shows the ranges of processing times as of July 2017 for both first-and second level pending appeals.", "Officials from PAAB and the three regional offices in our review acknowledged that they experienced challenges processing appeals within the 90-day statutory time frame. They told us that issuing RFIs to the applicant can contribute to lengthy processing delays. According to PAAB officials, issuing an RFI may contribute to long processing periods if the information relates to a complex appeal\u2014for example, an appeal involving multiple engineering issues. An appeal decision can also be delayed if FEMA issues an RFI because an applicant submitted incomplete documentation to support an appeal. Under FEMA regulation, these requests do not count against processing times and the 90-day time frame in which FEMA can render a decision on an appeal.", "However, our analysis of the corrected FEMA data showed that FEMA exceeded its statutory time frames even when it did not issue an RFI.", "Specifically, between January 2014 and July 2017, FEMA issued an RFI in about 59 percent\u2014or 560\u2014of the 953 first- and second-level appeals for which it rendered a decision. In 48 percent (267) of those decided appeals, FEMA had issued the RFI after the 90-day time frame had elapsed. FEMA did not issue RFIs for about 41 percent (393) of decided first- and second-level appeals. In 78 percent (305) of those appeals, FEMA\u2019s processing time still exceeded the 90-day statutory time frame.", "State emergency management officials from five of our six selected states told us that they experienced long wait times for first- and second-level appeal decisions and that FEMA rarely processed appeals within the 90- day time frame required by statute. State emergency management officials further told us that such delays adversely affect applicants, such as municipalities and localities, which may wait prolonged periods to resolve project eligibility and costs related to rebuilding efforts. Delays in FEMA\u2019s decision making may also result in additional costs to both the state and the applicant, according to these officials. For example, the state may pursue funding from an applicant if FEMA decides to deobligate funds from the applicant for PA projects that have already been completed. As discussed earlier in this report with respect to the PA process, FEMA may do this if it finds that the applicant did not meet certain PA project requirements. In these instances, the applicant may appeal FEMA\u2019s decision, but the state may need to begin administrative proceedings against the applicant to recover or offset the deobligated funds. One state emergency manager told us that some applicants withdrew their appeals because of the prolonged delays in receiving a final decision.", "According to state emergency management officials, delays in FEMA\u2019s appeal decisions can create significant challenges for local government entities, such as counties and school districts. Officials from one state provided an example of a rural school district that sought PA funding to bus displaced children who had been left homeless from damage caused by Hurricane Irene. According to relevant federal and state documents these officials provided us, these children had been moved to shelters outside of their school district and needed transportation to be able to attend school. The school district applied to FEMA for transportation costs associated with hiring an additional bus driver to bus the children to the schools in the district. FEMA denied the school district\u2019s request, based on its interpretation of the Stafford Act and the eligibility of costs related to emergency public transportation. The district subsequently filed a first-level appeal in November 2015. FEMA took over a year to issue a decision and, in December 2016, denied the district\u2019s first-level appeal. State management officials told us that incurring these unanticipated transportation costs while waiting for FEMA to decide the appeal has a major effect on the school district and the community as a whole, and can lead to the elimination of school programs or staff. The school district subsequently filed a second-level appeal in February 2017. FEMA denied the appeal in August 2017.", "State emergency management officials we interviewed provided an additional example wherein a small town had applied for PA grant funding to rebuild a retaining wall and roadway following damage caused by Hurricane Irene. According to relevant federal and state documents officials provided us, the overflowing banks of a tributary caused a retaining wall, which protected a nearby roadway, to wash away. The roadway, which provided access to residential properties near the tributary, was significantly damaged, due to the overflow. The town requested funding to repair the roadway and to replace and extend the retaining wall another 250 feet beyond the original wall in order to protect the roadway from future flood events. FEMA approved the PA funding to repair the roadway. However, FEMA denied the town\u2019s application for PA assistance to extend the wall beyond its original length. In doing so, FEMA concluded that the proposed work was ineligible for assistance because it significantly changed the retaining wall\u2019s predisaster configuration and that such a change constituted an improved project, making it ineligible under FEMA regulations and policy. The town then filed a first-level appeal in April 2014. More than 2 years later\u2014in June 2016\u2014FEMA denied the town\u2019s first-level appeal, upholding FEMA\u2019s original determination. The town subsequently filed a second-level appeal in September 2016. Over a year later, PAAB was still reviewing the appeal."], "subsections": []}]}, {"section_title": "FEMA Has Taken Steps to Improve Appeals Processing, but Faces Challenges with Its Appeals Workforce", "paragraphs": ["FEMA has taken a number of steps to improve its management of the appeals process and respond to issues raised by us and the DHS OIG related to processing delays. As we presented earlier in this report, our 2008 review, and DHS\u2019s subsequent 2011 OIG review, identified a number of organizational and procedural issues related to processing delays, staff independence, and communications with applicants. Responding to these issues, FEMA created the PAAB within the Recovery Directorate at FEMA Headquarters in late 2013, adding an auditing component to the Branch in 2014. PAAB then established a core of full-time staff at FEMA headquarters that were specifically assigned to process second-level appeals. At the same time, through the Recovery Directorate, each of FEMA\u2019s 10 regional offices was assigned full-time staff for processing first-level appeals. Prior to PAAB, second- level appeals were processed by various offices within FEMA headquarters, while the management and processing of first-level appeals varied by FEMA regional office. Some regional offices assigned staff specifically to review appeals, while other offices assigned staff to appeal processing as part of their other responsibilities within the PA Program, such as determining eligibility for PA assistance.", "In standing up PAAB, FEMA also established an SOP that describes the organizational structure of PAAB, as well as its responsibilities and the roles of its staff. The SOP also addresses procedures related to PAAB\u2019s responsibility for managing the entire PA appeals program. These responsibilities include reporting on appeal processing performance, providing training to appeals staff, and identifying PA appeal process and policy improvements. FEMA later issued a regional SOP that included procedures to help regional offices reduce the number of appeals that exceeded statutory time frames. These procedures reflected an ongoing effort to leverage internal resources when regional offices exceed processing capacity. Specifically, a regional office can submit a request to PAAB for assistance from analyst staff from other regions or from PAAB to assist with processing first-level appeals. PAAB may then temporarily assign an appeals analyst from PAAB or from another regional office to assist the regional office making the request. For example, one regional office official told us his office had requested assistance with 10 first-level appeals and PAAB was able to accommodate the request by assigning 8 of the 10 appeals to another region for processing. According to a senior PAAB official, this procedure allows FEMA to maximize use of its national appeal processing capacity. As of October 2017, PAAB had transferred 77 appeals from overwhelmed regional offices to those with capacity to process additional appeals.", "Further, FEMA procedures now require that a conflict check be performed to determine whether the analyst was involved with a PA project determination that is substantively related to the appeal. If a conflict is identified, options include disqualifying the appeals analyst from working on the appeal, or requesting the appeal be transferred to another regional office or PAAB for processing. State emergency management officials from five of the six states in our review told us that they believed that issues related to the independence of appeals staff had been addressed and were no longer an issue.", "PAAB also took steps to improve communication with applicants by creating an online second-level appeal tracking spreadsheet\u2014accessible through the Internet\u2014intended to provide applicants with information on the status of second-level appeals. The spreadsheet includes, among other things, the date the appeal was received by FEMA headquarters, the date that an RFI was sent to the applicant, whether the appeal was \u201cunder review,\u201d whether a final decision had been granted, and the date any final decision was signed.", "FEMA also took steps to increase its staffing levels. In January 2015, FEMA\u2019s Recovery Directorate completed a workforce analysis and determined that additional appeals analysts were needed to address capacity issues that were resulting in growing inventories of first-level appeals. At the time, FEMA concluded that, in addition to its 23 on-board appeals analysts, an additional 29 appeals analysts were needed to support the existing, as well as anticipated, appeal inventory increases across FEMA\u2019s 10 regional offices. The Recovery Directorate requested and was subsequently authorized the additional appeals analyst positions, which, when filled, would provide the PA appeal program with a total of 52 first-level appeals analysts. With the exception of Region I, FEMA planned to provide each of the remaining 9 regional offices with at least 1 additional appeals analyst. Regional offices with the heaviest workloads, such as Region II and Region IV, would be allocated more appeals analysts. FEMA took steps to fill these positions over the next 2 years, and by June 2017, FEMA had filled 47 of the 52 positions.", "Despite efforts to improve its management of the appeals process, FEMA faces a backlog of both first- and second-level appeals among the three selected FEMA regional offices as well as PAAB. According to officials in PAAB and the three regional offices in our review, workforce challenges contribute to delays in processing PA appeals, even with the improvements described above.", "PAAB and the three regional offices in our review identified the following workforce challenges that contributed to PA appeal processing delays.", "Staff vacancies, inexperience, and turnover: Despite FEMA\u2019s efforts to increase its appeals analyst staffing level\u2014an effort that began in 2015\u2014two of the three regional offices in our review had a number of vacancies for these positions through June 2017. PAAB and regional officials told us that such vacancies, which occurred over a prolonged period, contributed to appeal processing delays.", "FEMA data on appeals analyst staffing show that FEMA took nearly 2 years to fill the additional appeals analyst positions across its 10 regional offices. For example, in 1 of the regional offices in our review, 3 of the 8 appeals analyst positions were vacant through 2016 and were not filled until July 2017. Further, officials in this regional office told us that the current staffing level of 8 appeals analysts was inadequate to keep pace with the region\u2019s increasing appeal inventory. Similarly, 6 of PAAB\u2019s 11 appeals analyst positions were vacant from August 2015 to October 2016. By July 2017, PAAB had filled all but 2 appeals analyst positions. PAAB officials told us the appeals analyst staffing level consisting of 52 positions was a preliminary estimate and that this staffing level has not been adequate in regions with heavy workloads and appeal inventories. PAAB officials also acknowledged the potential benefits of having an appeals analyst staffing plan, but stated that they are not yet prepared to update the workforce assessment for PAAB and the regional offices, nor do they have plans to do so until full staffing is achieved. These officials also told us that they are still working to achieve the staffing levels developed in 2015 and are taking steps to address staffing challenges through more targeted hiring and use of career ladder positions.", "Further, PAAB staffing data showed that almost half of PAAB\u2019s staff had less than 1 year of experience. PAAB officials told us that prior vacancies and a large number of inexperienced staff have contributed to processing delays and second-level appeal backlogs. PAAB officials also told us that retaining trained appeals analysts has been challenging due to limited career advancement opportunities within the appeals analyst position. These officials told us that although not required, individuals who typically apply for an appeals analyst position possess a law degree, and that once hired, some of them apply for attorney positions within PAAB or in various offices within FEMA or DHS. For example, PAAB staffing data showed that within 18 months of being hired by PAAB, four PAAB appeals analysts applied for and were subsequently hired as attorney-advisors within PAAB or other FEMA departments. Then those appeals analyst positions were vacant until the next round of hiring.", "Regional officials told us it has been challenging to find qualified applicants with the specialized skillset of an analyst position. They told us that, ideally, an appeals analyst should be an expert in the PA program and possess a nuanced understanding of the legal issues associated with the program\u2019s requirements. Regional officials told us that, because of this specialized skillset, they look to recruit PA appeals analysts from other FEMA regional offices who may have an interest in relocating or are seeking a promotion. However, while recruiting appeals analysts from other regions may assist individual offices, it does not address FEMA\u2019s goal of achieving its staffing levels.", "Delays in training appeals staff: FEMA requires that PA appeals analysts undergo a certification course that includes 3 days of training on processing appeals. The appeals analyst certification course, delivered through PAAB, covers both procedural steps of processing appeals as well as the policy and legal issues raised by the PA program, and ensures that trainees can prepare a well- written appeal response. After completing the course, an analyst in training must pass a test to demonstrate proficiency in reviewing and analyzing appeals and preparing appeal decisions. To this end, the analyst must analyze a mock appeal\u2014based on facts similar to those presented in a previously decided appeal\u2014 and draft an appeal decision.", "FEMA policy states that only certified staff can serve as appeals analysts and must be recertified every 2 years. However, some appeals analysts in the regional offices in our review had not yet undergone the certification process, but were nonetheless working in an appeals analyst capacity under the supervision of certified analysts. PAAB procedures also state that a trainee analyst cannot assume work on an appeal without being supervised by a certified analyst. For example, in one regional office, four of the office\u2019s nine appeals analysts had been working in their positions for between 6 months to a year before they received appeals analyst certification training. According to regional officials, this increased the supervisory workload on the remaining five appeals analysts within the region and the lack of timely training and certification of appeals analysts affect the efficient processing of appeals and can lead to delays in FEMA issuing appeal decisions.", "Deployment of appeals staff to disaster response: According to PAAB officials, while PA appeals analysts are considered \u201cdedicated\u201d positions, these analysts can be deployed at any time to provide assistance on a disaster, such as working with grant applicants to document damages or assisting applicants in developing project proposals to request PA grants. Officials from two of the three FEMA regional offices in our review told us that these deployments contributed to processing delays because, given limited resources, assigning staff to continue work on the appeal is not always possible. In one regional office, five of the nine PA appeals analysts were deployed in late 2016 to do recovery work related to damage from Hurricane Matthew. These deployments lasted approximately 30 to 90 days and left the regional office understaffed. Further, one regional office official told us that maintaining continuity in processing an appeal can be difficult for those analysts who are deployed because they must pick up where they left off on their assigned appeals upon their return.", "A senior PAAB official told us that regional appeals analyst staff have been deployed to assist with response and recovery efforts as a result of the catastrophic damage from Hurricanes Harvey, Irma, and Maria. As a result, these analysts have not been available to process first-level appeals. This official further told us that PAAB staff, including analyst staff\u2014while not deployed\u2014have been assigned to support disaster operations. For example, one staff member was assigned to support site inspector training, while two others were assigned to stand National Response Coordination Center watch. Further, one staff member was assigned to support training and contract review functions and the remaining staff members were assigned as call takers for the PA Grants Manager and Grants Portal hotline.", "To help overcome staffing shortages, according to FEMA documents, all three regional offices in our review staffed assistance from PAAB at various times during the past 2 years. However, officials from two of the three regional offices in our review told us that, based on their experiences, requesting staff from PAAB or other offices had a number of limitations. Specifically, because the originating regional office is ultimately responsible for the appeal, its staff must continue to oversee the appeal, including such responsibilities as tracking the appeal, corresponding with the applicant and the state as needed, and reviewing and approving the appeal decision. One regional office official told us that this arrangement was not helpful and only added an additional layer of complexity that delayed processing. Another regional official told us that the quality of the borrowed staff\u2019s work was not consistent. This official further stated that, because offices are not able to select the analysts that would be assigned to work on their appeals, he was reluctant to use staff from other regional offices.", "According to leading human capital practices, the key to an agency\u2019s success in managing its programs is sustaining a workforce with the necessary knowledge, skills, and abilities to execute a range of management functions that support the agency\u2019s mission and goals. Achieving such a workforce depends on having effective human capital management through developing human capital strategies. Such strategic workforce planning includes the agency assessing current and future critical skill needs by, for example, analyzing the gaps between current skills and future needs, and developing strategies for filling the gaps identified in workforce skills or competencies. Standards for Internal Control in the Federal Government also states that agencies should continually assess their needs so that they are able to obtain a workforce that has the required knowledge, skills, and abilities to achieve their organization\u2019s goals. Further, as we have previously reported in our work on strategic workforce planning, such staffing assessments should be based on valid and reliable data.", "However, FEMA has not developed a workforce staffing plan to identify hiring, training, and retention needs of appeals staff across PAAB and the regional offices. PAAB officials told us that they are still working to achieve the staffing levels developed in 2015 and are taking steps to address staffing challenges related to retention through more targeted hiring and use of career ladder positions. In the absence of a workforce plan for the PA appeals staff, FEMA will likely continue to experience workforce challenges including vacancies in key appeals analyst positions, appeals staff turnover, training delays, and understaffing due to disaster deployment. These challenges will likely continue to contribute to delays in FEMA\u2019s processing and issuing first- and second-level PA appeals decisions."], "subsections": []}, {"section_title": "FEMA Established Goals and Measures to Assess Second- Level Appeal Processing, but Did Not Do So for First- Level Appeals", "paragraphs": ["FEMA officials have acknowledged the importance of establishing goals and measures to assess the performance of the PA appeals program. In particular, for fiscal year 2016, FEMA\u2019s Recovery Directorate established two performance goals for PAAB\u2019s processing of second-level appeals. The first goal was aimed at reducing the inventory of second-level appeals by 20 percent. The second goal was aimed at processing at least 30 percent of second-level appeals received in 2016 within 90 days of receiving the appeal, in order to comply with FEMA statutory time frames. FEMA internal documents showed that these two performance goals were intended to reduce the second-level appeal inventory, and, at the same time, promote a standard of timely second-level appeal processing for PAAB.", "According to PAAB officials, various factors beyond PAAB\u2019s control prevented PAAB from meeting these performance goals. These factors included an unanticipated surge in the number of second-level appeals in 2016, as well as increased vacancies due to staff turnover in PAAB analyst positions in 2016. Recognizing these factors, PAAB developed a revised goal that focused on the number of appeals an analyst could process per month. According to PAAB officials, focusing the revised goal on analyst production controlled for external factors that tended to affect overall processing, such as surges in appeal submissions and staff turnover. PAAB officials told us that their proposed production goal was not accepted by the Recovery Directorate for 2016, but that PAAB adopted the revised goal for individual performance plans for PAAB appeals analyst staff.", "In contrast, although first-level appeals represent the majority of FEMA\u2019s appeal inventory, FEMA has not developed goals and measures to assess the performance of first-level appeals processing across regional offices. PAAB collects various data from all 10 regional offices on first- level appeals, such as the number of first-level appeals being processed, as well as processing timeliness (i.e., appeals that exceeded time limits) and key words that can help identify various appeal subject-matter categories. PAAB then aggregates this data, which it publishes on a quarterly and weekly basis in internal reports that it shares with FEMA management. However, FEMA has not established goals to assess performance against the information that PAAB collects. According to FEMA officials, while the Recovery Directorate established goals and measures for second-level appeals, it is not responsible for developing goals and measures to assess performance within the regional offices. These officials told us further that some Regional Administrators have established goals and measures for first-level appeals within their regional offices, while others have not.", "For management to effectively monitor a program, Standards for Internal Control in the Federal Government state that it should create goals and measures to determine if a program is being implemented as intended. In addition, the quality of the program\u2019s performance should be assessed over time and monitoring efforts should be evaluated to assure they help meet goals. Further, Congress enacted the GPRA Modernization Act of 2010 (GPRAMA) to focus and sustain attention on agency performance and improvement by requiring that federal agencies establish outcome- oriented goals and measures to assess progress towards those goals. Specifically, agencies, like DHS, are required to monitor progress towards the achievement of goals, report on that progress, and address issues identified. Without consistent performance measures across FEMA regional offices to help assess progress and identify deficiencies in appeals processing, DHS and its subcomponent agencies like FEMA may have difficulty providing accurate reporting on the effectiveness of current efforts to process first-level appeals and on the factors that contribute to ongoing appeal processing delays."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Although FEMA has made efforts to improve its management of the PA appeals process, these efforts have been hampered by a number of issues including weaknesses in FEMA\u2019s appeals tracking data and its ability to ensure the quality of this data. FEMA corrected its appeals data for purposes of this report once we pointed out data discrepancies, but FEMA does not have a process to ensure data quality issues are permanently addressed. As a result, these weaknesses will persist. By implementing procedures to consistently track appeals data and ensure the quality of these data, FEMA will be in a better position to accurately report on appeal processing performance and make informed decisions about the appeals process.", "FEMA also faces a variety of workforce challenges that have contributed to appeals processing delays. These challenges include staffing vacancies, lack of experienced staff, high rates of staff turnover, delays in training appeals staff, and the deployment of appeals analysts for disaster response, all of which have contributed to processing delays. Addressing these challenges by identifying the hiring, training, and retention needs of its appeals offices through strategic workforce planning could help FEMA better position itself to reduce its appeals backlog and better respond to PA appeals.", "Further, although FEMA has established goals and measures for its second-level appeals processing, it has not done so for first-level appeals. By establishing goals and measures to assess the performance of its first-level appeals process, DHS and FEMA will be able to better evaluate the efficiency and effectiveness of its efforts to reduce the PA appeal backlog and improve appeal processing times."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to FEMA: The Assistant Administrator for Recovery should design and implement the necessary processes and procedures to ensure a uniform and consistent approach for tracking first-level appeals data to better integrate regional trackers with PAAB\u2019s own first-level appeals tracker. (Recommendation 1)", "The Assistant Administrator for Recovery should design and implement the necessary controls to ensure the quality of the first-level appeals data collected at and reported from the regional offices to PAAB. (Recommendation 2)", "The Assistant Administrator for Recovery should develop a detailed workforce plan that documents steps for hiring, training, and retaining key appeals staff. The plan should also address staff transitions resulting from deployments to disasters. (Recommendation 3)", "The Assistant Administrator for Recovery should work with Regional Administrators in all 10 regional offices, to establish and use goals and measures for processing first-level PA appeals to monitor performance and report on progress. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretary of the Department of Homeland Security and the Administrator of the Federal Emergency Management Agency for review and comment. DHS provided written comments, which are reproduced in appendix II. In its comments, DHS concurred with our recommendations and described actions planned to address them. FEMA also provided technical comments, which we incorporated as appropriate. Additionally, we provided excerpts of the draft report to state emergency management officials in the selected six states we included in our review. We incorporated their technical comments as appropriate.", "Regarding our first recommendation, that FEMA design and implement the necessary processes and procedures to ensure a uniform and consistent approach for tracking first level-appeal data, DHS stated that FEMA\u2019s PAAB will develop guides and checklists for the regions to ensure data uniformity and consistency and that PAAB will update its data review process, and develop additional content highlighting the importance of data integrity and accuracy. DHS estimated that this effort would be completed by July 31, 2018.", "Regarding our second recommendation, that FEMA design and implement the necessary controls to ensure first-level appeal data quality, DHS stated that PAAB will include content within the certified appeal analyst training highlighting the importance of data integrity and that first- level appeal data will be reviewed by PAAB on a quarterly basis. DHS estimated that this effort would be completed by February 28, 2019.", "Regarding our third recommendation, that FEMA develop a detailed workforce plan for hiring, training and retaining key appeals staff, DHS stated that by December 31, 2018, PAAB will produce a workload flow assessment on second-level appeals staffing and determine whether appeal timeliness issues still exist. If PAAB determines that significant response timeliness issues on second-level appeals still exist after most PAAB appeal analyst staff have at least one year of experience, a detailed PAAB workforce plan will be completed and finalized by December 31, 2019. PAAB will also complete an assessment of first-level appeal inventory and timeliness issues. If PAAB determines that significant regional response inventory and timeliness issues on first-level appeals still exist, FEMA will create a working group to prepare a detailed regional workforce plan. DHS estimated that this effort would be completed by December 31, 2019.", "Regarding our fourth recommendation that FEMA work with Regional Administrators to establish and use performance goals and measures for processing first-level appeals, DHS stated that PAAB has begun developing a methodology for establishing, measuring, and reporting on first-level appeals processing goals and performance progress, and that PAAB would work with the regions to complete and finalize this methodology. DHS estimated that this effort would be completed by August 31, 2018.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we are sending copies of this report to the Secretary of Homeland Security and interested congressional committees.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report reviews aspects of the Federal Emergency Management Agency\u2019s (FEMA) management of the Public Assistance (PA) appeals process. The objectives of this review were to determine: (1) the extent to which FEMA ensures quality in its data on appeals and what FEMA data show about its appeals inventory and timeliness for appeals decisions; (2) what steps FEMA has taken to improve its management of the appeals process and what challenges, if any, remain; and (3) the extent to which FEMA has developed goals and measures to assess the appeal program\u2019s performance.", "To address the first objective, we obtained and analyzed data from FEMA on all first- and second-level appeals that the agency received between January 2014 and July 2017. For first-level appeals, FEMA provided us data on appeals received between January 1, 2014, and July 12, 2017, while FEMA provided us data on second-level appeals received between January 1, 2014, and July 6, 2017. We focused on this time frame because it contained the most complete and available data on each type of appeal at the time of our review. We identified various discrepancies in the first-level appeals data, which we discussed with knowledgeable FEMA staff. Examples of these discrepancies, which we present in this report, included missing data, erroneous data entries, and inconsistent recording of data. In response to our discussions, FEMA provided us with corrected data to address the identified discrepancies. After obtaining the corrected data, we concluded the appeals data from FEMA were sufficiently reliable to provide information on PA appeals that we present in this report. We also obtained and analyzed FEMA policies and procedures related to tracking appeals data, such as FEMA\u2019s policies and procedures related to regional offices, and evaluated them using Standards for Internal Control in the Federal Government.", "We analyzed the corrected data to determine FEMA\u2019s appeal inventory\u2014 that is, the number of first-and second-level appeals that were pending and decided, including any amounts in dispute or amounts awarded, and appeal outcomes for appeals that FEMA decided. From the total number of appeals received, we excluded four second-level appeals that had been remanded or rescinded. We determined the processing times for first- and second-level decided appeals by calculating, for each appeal, the number of calendar days between the date that FEMA received the appeal and the date that FEMA rendered a decision on the appeal.", "We then calculated the average number of calendar days to determine average processing times for first- and second-level decided appeals. We determined the processing time for pending first-level appeals by calculating, for each appeal, the number of calendar days between the date FEMA received the appeal and July 12, 2017. Similarly, we determined the processing time for pending second-level appeals by calculating, for each appeal, the number of calendar days between the date FEMA received the appeal and July 6, 2017. We then calculated the average number of calendar days to determine average processing times for pending first-and second-level appeals. We compared processing times for first- and second-level appeals against FEMA\u2019s 90-day statutory time frame to determine the number of calendar days by which FEMA exceeded the time frame. We also determined the number of first- and second-level appeals in which FEMA issued an RFI and those in which FEMA did not issue an RFI. For the first- and second-level appeals in which FEMA issued an RFI, we compared the date the appeal was received to the date that FEMA issued the RFI. We used the first RFI in cases where FEMA issued multiple RFIs. We then determined whether FEMA had issued the RFI within 90 calendar days. For the first- and second-level appeals in which FEMA did not issue an RFI, we compared the date the appeal was received to the date that FEMA issued a decision. We then determined whether FEMA had issued a decision after 90 calendar days. We also obtained and analyzed FEMA policies and procedures and program directives governing appeal data collection and evaluated them against Standards for Internal Control in the Federal Government.", "To address the first and second objectives, we also administered semistructured interviews to officials from 3 of FEMA\u2019s 10 regional offices (Regions II, IV, and VI) with the highest number of first- and second-level pending appeals. We asked these officials about their efforts to process and track appeals, what improvements had been made regarding how PA appeals are processed, as well as what challenges they believed remained in processing PA appeals since 2013.To select these offices, we obtained data from FEMA on first- and second-level appeals that were pending a decision, as of October 31, 2016. Collectively, these appeals represented 69 percent of all pending first- and second-level appeals FEMA had received as of October 31, 2016. We focused on this time frame because it contained the most recent data for selecting FEMA regional offices at the time of our review. To obtain additional perspective on what, if any, challenges remain in FEMA\u2019s management of the appeals process, we also interviewed state emergency management officials in six states (two states in each of the corresponding 3 FEMA regional offices). (See table 2.)", "The information obtained from the FEMA regional offices and the state emergency management offices cannot be generalized nationwide. However, the information obtained from these officials provides insight into the issues FEMA encountered during the appeal process.", "To additionally address the second objective, we reviewed our past report and Department of Homeland Security Inspector General reports on the PA appeals program. We also reviewed FEMA documentation, such as policy directives, internal staffing requests, appeals analyst position descriptions, and other internal memoranda. We used these sources to identify what steps FEMA had taken to improve its management of the appeals process since 2013. We also used this information to supplement our understanding of the challenges the Public Assistance Appeals Board (PAAB) and regional officials raised during our interviews discussed above.", "To address the third objective, we analyzed a series of FEMA internal performance reports issued between November 29, 2013, and February 15, 2017. Developed by PAAB and provided to FEMA management on a quarterly basis, these reports included aggregate information on PA appeals inventory, such as the number of first- and second-level pending appeals, the number of appeals processed within statutory timeframes, the number of pending appeals that are beyond the statutory timeframe, and common appeal issues based on keywords entered by analysts responsible for processing appeals. We also analyzed internal documents, such as briefs and newsletters, which provided detail on specific appeal decisions as well as the status of the appeals inventory. Further, we analyzed FEMA\u2019s Strategic Plans for fiscal years 2008 to 2013 and fiscal years 2014 to 2018 to identify objectives, measures, and overall agency-wide goals. We assessed the information in these documents against leading practices in measuring agency performance and against federal standards for internal control.", "For all three objectives, we reviewed relevant legislation and FEMA standard operating procedures that govern both FEMA headquarters and regional offices. We also interviewed officials in PAAB and FEMA\u2019s Recovery Directorate."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brenda Rabinowitz (Assistant Director), Anthony Bova (Analyst-in-Charge), Joseph Fread, and Sherrice Kerns made key contributions to this report. Jehan Chase, Chris Currie, Robert Gebhart, Chris Keisling, Donna Miller, Kathleen Padulchick, Amanda Parker, Erik Shive, and Walter Vance also provided assistance."], "subsections": []}]}], "fastfact": ["In both 2016 and 2017, 15 U.S. disasters resulted in losses exceeding $1 billion each. To help recover, state and local governments may apply to FEMA for grants for debris removal, public facility repairs, and similar activities.", "Applicants have two chances to appeal grant decisions. However, we found that, from 2014 to July 2017, FEMA processed only 9% of first-level and 11% of second-level appeals within its 90-day limit.", "Although FEMA has improved management of the appeals process in the last few years, it still faces challenges. Among other things, we recommended measures to more accurately track appeals and to develop FEMA's workforce."]} {"id": "GAO-18-37", "url": "https://www.gao.gov/products/GAO-18-37", "title": "Social Security Disability: Additional Measures and Evaluation Needed to Enhance Accuracy and Consistency of Hearings Decisions", "published_date": "2017-12-07T00:00:00", "released_date": "2018-01-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Individuals who do not agree with the initial decision on a claim for Social Security disability benefits can ultimately appeal the decision by requesting a hearing before one of SSA's approximately 1,500 administrative law judges. However, the rate at which these judges have allowed benefits has varied, raising questions about the reasons for this variation. GAO was asked to review aspects of SSA's oversight of judges' decisions.", "This report examines (1) to what extent allowance rates vary across administrative law judges, and factors associated with this variation; and (2) the extent to which SSA has processes to monitor the accuracy and consistency of hearings decisions.", "GAO developed a statistical model to analyze SSA data on adult disability decisions made by administrative law judges from fiscal years 2007 through 2015, the most current data available at the time of GAO's analysis; reviewed relevant federal laws, regulations, and agency documents; and interviewed SSA officials and chief judges in SSA's 10 regions, as well as officials from organizations representing judges, disability claimants, and claimant representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["Allowance rates\u2014the rate at which Social Security Administration (SSA) administrative law judges allowed disability benefits to be paid when claimants appealed\u2014varied across judges, even after holding constant certain characteristics of claimants, judges, hearing offices, and other factors that could otherwise explain differences in allowance rates. Specifically, GAO estimated that the allowance rate could vary by as much as 46 percentage points if different judges heard a typical claim (one that was average in all other factors GAO analyzed). SSA officials said that this level of variation is not surprising, given the complexity of appeals and judicial discretion. Nonetheless, the variation declined by 5 percentage points between fiscal years 2007 and 2015 (see figure), a change officials attributed to enhanced quality assurance efforts and training for judges. GAO also identified various factors that were associated with a greater chance that a claimant would be allowed benefits. In addition to characteristics related to disability criteria, such as the claimant's impairment and age, GAO found that claimants who had representatives, such as an attorney or family member, were allowed benefits at a rate nearly 3 times higher than those without representatives. Other factors did not appear related to allowance rates, such as the percentage of backlogged claims in a hearing office.", "SSA has various reviews to monitor the accuracy and consistency of hearings decisions by administrative law judges, but some of these reviews may overlap and SSA has not systematically evaluated them. Specifically, SSA conducts five types of quality assurance reviews of hearings decisions, several of which have similar goals and may look at similar claims. SSA has not evaluated the efficiency or effectiveness of these reviews, despite spending at least $11 million on them in fiscal year 2016. Moreover, the agency has struggled to sustain all of its quality reviews due to competing priorities\u2014two of the five reviews were curtailed in 2016 because SSA reassigned staff to help expedite claims decisions. By evaluating which quality assurance reviews are most effective and efficient in improving accuracy and consistency, SSA would be better positioned to meet its goals within its resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, including that SSA systematically evaluate its quality assurance reviews and take steps to reduce or better manage any unnecessary overlap among them. SSA concurred and plans to address them through a comprehensive assessment of its oversight."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Social Security Administration (SSA) manages two disability benefit programs\u2014Disability Insurance (DI) and Supplemental Security Income (SSI)\u2014that together provide about 16 million Americans with about $200 billion in benefits annually. Overall, more than 6 percent of the U.S. working-age population receives disability benefits from one or both of these programs, although the rate varies by state (ranging from about 4 percent to more than 12 percent), according to SSA. A claimant who is dissatisfied with the initial decision on his or her application can ultimately appeal at a hearing, where an administrative law judge (ALJ) reviews the case and any new evidence submitted by the claimant. About 30 percent of the claimants who are ultimately allowed benefits are granted benefits at the hearings level or beyond.", "For more than 15 years, the number of people applying for disability benefits has generally increased, along with the number of appeals. At the same time, the percentage of appealed claims that have been allowed benefits has declined. However, these rates\u2014known as allowance rates\u2014can vary widely across judges and hearings offices, raising questions about the reasons for this variation.", "Moreover, reports of improper decisions made by certain judges and a scheme between a judge and an attorney in one state to commit fraud, have raised questions about SSA\u2019s oversight of ALJs. You asked us to examine allowance rates and SSA\u2019s oversight of ALJs. This report examines (1) the extent to which allowance rates vary across administrative law judges, and any factors that are associated with this variation, and (2) the extent to which SSA has processes to monitor the accuracy and consistency of hearings decisions.", "To address these objectives, we conducted a statistical analysis of data on adult disability decisions made by administrative law judges from fiscal years 2007 through 2015 and the factors that may be associated with variation in allowance rates. Specifically, we considered the following factors:", "Claimant characteristics relevant to the disability determination process (e.g., age and primary impairment),", "Participants in the process other than claimants (e.g., claimant representatives and medical and vocational experts), Judge characteristics (e.g., year of appointment as a judge, and any prior related SSA experience),", "SSA administrative characteristics (e.g., hearing office where the case was decided and whether the hearing was conducted by videoconference), and", "Economic characteristics (unemployment and poverty rates in the claimant\u2019s state). (Appendix I provides more detail on our statistical analysis, including a complete list of the factors we analyzed.)", "We assessed the reliability of SSA\u2019s administrative data on disability decisions and judge characteristics by (1) performing electronic testing of required data elements, (2) reviewing existing information about the data and the system that produced them, and (3) interviewing agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purposes of this report. (Appendix I describes our data in more detail.)", "We reviewed relevant federal laws, regulations, and documentation and collected testimonial evidence from SSA officials to describe and evaluate the processes SSA uses to monitor hearings decisions, detect variation, and improve accuracy. We assessed these monitoring efforts against federal internal control standards and our management and evaluation guide for assessing fragmentation, overlap, and duplication in government programs. We also reviewed SSA\u2019s annual performance plans from fiscal years 2006 through 2017 to describe the performance measures the agency has established to improve the accuracy and consistency of its hearings decisions. We evaluated the current performance measures using key attributes of performance measures identified in prior GAO work and federal internal control standards.", "We conducted this performance audit from December 2015 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Social Security Administration\u2019s (SSA) Disability Insurance (DI) and Supplemental Security Income (SSI) programs are the two largest federal programs providing cash assistance to people with disabilities.", "The DI program, established in 1956, provides monthly payments to working-age adults (and their dependents or survivors) who are unable to work due to a long-term disability.", "The SSI program, established in 1972, is a means-tested income assistance program that provides monthly payments to adults or children who are aged, blind, or have other disabilities and whose income and assets fall below a certain level.", "Individuals with low incomes and assets who also have a sufficient work history may qualify for the DI and SSI programs concurrently. In this case, the individual\u2019s SSI payment is generally offset by the amount of the DI payment.", "In fiscal year 2016, according to SSA, about 10.8 million disabled workers and their family members received about $143 billion in DI benefits, and an estimated 8.2 million individuals received almost $59 billion in SSI benefits (of those, 2.6 million received SSI in addition to DI or Old-Age and Survivors benefits)."], "subsections": [{"section_title": "Disability Criteria", "paragraphs": ["Although DI and SSI have different purposes and target populations, the disability criteria for adults are the same for both programs. To be considered eligible for either program as an adult, a person must have a medically determinable physical or mental impairment that (1) has lasted or is expected to last for at least a continuous period of 1 year or result in death, and (2) prevents them from engaging in any substantial gainful activity (SGA).", "The disability decision-making process includes five sequential steps (see fig. 1). First, SSA determines if a claimant is working and screens out (denies) claimants who earn over a specified amount. Second, SSA determines whether the claimant has an impairment severe enough to significantly limit his or her ability to do basic work activities and expected to last more than 12 months or result in death, and denies claimants who do not meet these criteria. At the third step, SSA determines whether a claimant\u2019s impairment meets or is equivalent to an impairment listed in SSA\u2019s Listings of Impairments. If a claimant \u201cmeets\u201d or \u201cequals\u201d one of the listed impairments, they are allowed benefits. If not, SSA proceeds to the last two steps and assesses whether a claimant, given their impairment, can do their past work (step four) or other work that exists in significant numbers in the national economy (step five).", "Over time, more of SSA\u2019s disability decisions have been made at the last two steps in the process, which require more judicial discretion than decisions made at steps 1 through 3, according to SSA. In 2000, 29 percent of decisions were made at steps 4 and 5, according to an SSA report. By 2014, nearly half\u201449 percent\u2014of all decisions were made at these steps."], "subsections": []}, {"section_title": "Disability Application and Appeals Process", "paragraphs": ["To apply for benefits, a claimant must file an application online, by telephone, or mail, or in person at a local Social Security office. If field office staff determine that the claimant meets the nonmedical eligibility criteria, they forward the claim to the appropriate state Disability Determination Services (DDS) office. DDS staff\u2014generally a team comprised of disability examiners and medical consultants\u2014review medical and other evidence provided by the claimant, obtaining additional evidence as needed, and make the initial disability determination. In fiscal year 2016, SSA received more than 2.5 million disability claims.", "If the claimant is not satisfied with this determination, in most states he or she may request a reconsideration of the decision within the same DDS office. If the claimant is dissatisfied with the reconsideration, he or she may request a hearing before an administrative law judge (ALJ). In one of several initiatives to improve the disability determination process, SSA has eliminated the reconsideration step of the process in 10 states, allowing the claimant to appeal the initial decision directly to an ALJ. In fiscal year 2016, claimants appealed more than 698,000 decisions to the hearings level, and SSA issued more than 637,000 dispositions (including allowances, denials, and dismissals). (See fig. 2).", "Within SSA\u2019s Office of Disability Adjudication and Review (ODAR), there are approximately 1,500 ALJs who are located in 166 hearing offices across the country, as well as at five National Hearing Centers. In general, cases are randomly assigned to ALJs within the area each hearing office serves, in the order in which the requests for a hearing are received. The ALJ reviews the claimant\u2019s file, including any additional evidence the claimant submitted after the initial determination, and generally conducts a hearing. At the hearing, the ALJ may hear testimony from the claimant, medical experts on the claimant\u2019s medical condition, and vocational experts regarding the claimant\u2019s past work and jobs currently available in significant numbers in the national economy. The majority of claimants are represented at these hearings by an attorney or nonattorney representative, such as a professional disability representative, relative, or social worker.", "If the claimant is not satisfied with the ALJ decision, he or she may request a review by SSA\u2019s Appeals Council, which is the final administrative appeal within SSA. The Appeals Council may grant, deny, or dismiss a request for review. If it agrees to review the case, the Appeals Council may uphold, modify, or reverse the ALJ\u2019s decision, or it may remand the case back to the ALJ to hold another hearing and issue a new decision. In fiscal year 2016, the Appeals Council reviewed more than 154,000 ALJ decisions and remanded 13 percent of them."], "subsections": []}, {"section_title": "Hearings Backlogs and Processing Times in Recent Years", "paragraphs": ["Hearings-level backlogs and processing times have increased between fiscal years 2010 and 2016. The number of annual requests for a hearing before an ALJ peaked in fiscal 2011, and declined in each subsequent year, through fiscal year 2016. Despite this decline, SSA has not been able to keep pace with the demand, in terms of dispositions\u2014 the number of cases the agency decided or dismissed\u2014in each of those years after 2010 (see figure 3). By the end of fiscal year 2016, SSA reported there were about 1.1 million pending cases. Average processing times for hearings-level decisions also increased during this same time period, from 426 days to 543 days.", "During these years, the number of ALJs declined, along with the number of case dispositions per month. For example, SSA reported it employed 1,356 ALJs in fiscal year 2013, and these judges had an average of 48 case dispositions per month. In fiscal year 2015, 1,265 judges had an average of 44 case dispositions per month. Also during this time period, SSA reduced its reliance on senior attorney adjudicators (SAA) to make fully-favorable, on-the-record decisions (that is, decisions in which a hearing is not necessary because the documentary evidence alone supports a decision that is fully favorable to the claimant).", "According to SSA, its backlog will be eliminated when the national average processing time for a hearing decision is 270 days. In January 2016, SSA issued a plan to achieve this goal by the end of fiscal year 2020. However, in its fiscal year 2018 performance plan, SSA set a goal for processing hearings decisions in 600 days (up from a target of 485 days in fiscal year 2010). SSA reported that the increase in average processing times is due to the increase in the number of pending cases. Since SSA generally processes cases in the order in which they are received, they focus on the oldest cases first, which increases the average processing time for closed cases."], "subsections": []}, {"section_title": "Requirements for Hiring, Overseeing, and Disciplining SSA Administrative Law Judges", "paragraphs": ["The role of ALJ was created by the Administrative Procedure Act, which was enacted in 1946 to ensure fairness and due process in federal agency proceedings involving rulemaking and adjudications. ALJs serve in a number of executive branch agencies, although SSA employs the vast majority. ALJs preside and make decisions at formal adjudicatory proceedings.", "One of the primary goals behind the creation of the ALJ position is to ensure that judges can conduct hearings free from influence or coercion from the agency. Although ALJs are hired by and serve as employees of executive branch agencies like SSA, the Office of Personnel Management (OPM) is responsible for the initial examination, certification for selection, and implementation of the three levels of basic pay of ALJs. As part of its responsibilities, OPM sets the minimum qualifications for ALJs, which are that they generally must be licensed attorneys with a minimum of 7 years of experience in litigation and/or administrative law and pass the competitive examination.", "The Administrative Procedure Act gave ALJs qualified decisional independence, with some oversight from agencies. Decisional independence means that ALJs can make decisions independently. Federal law also excludes ALJs from performance evaluations and generally requires that disciplinary actions against ALJs be for good cause established and determined by the Merit Systems Protection Board (MSPB). While ALJs have qualified decisional independence, they must follow their agency\u2019s policies and procedures when making decisions. The Administrative Procedure Act also authorized agencies to review ALJ decisions. If SSA determines that an ALJ has not followed its policies and procedures, it can issue a directive to the ALJ to comply and, if that is unsuccessful, bring a disciplinary action before the MSPB."], "subsections": []}]}, {"section_title": "Allowance Rates Vary Across Judges, Even for Typical Claims", "paragraphs": [], "subsections": [{"section_title": "Allowance Rates Have Varied Across Judges and Hearing Offices in Recent Years, Even After Holding Constant a Range of Factors Relevant to the Appeals Process", "paragraphs": ["Allowance rates varied across administrative law judges from fiscal years 2007 through 2015. We defined the \u201callowance rate\u201d for each judge as the number of claims in which a judge granted the claimant Disability Insurance (DI) and/or Supplemental Security Income (SSI) benefits divided by the total number of decisions issued by the judge (excluding claims that were dismissed). We analyzed about 3.3 million decisions made by administrative law judges on adult Social Security disability appeals over this period.", "The average allowance rate across judges fell 15 percentage points over this period\u2014from a peak of 70 percent in 2008 to 55 percent in 2015\u2014but the range in allowance rates across judges remained fairly constant (see fig. 4). Specifically, the range\u2014the difference between judges with high allowance rates (those at the 95th percentile) and judges with low allowance rates (at the 5th percentile)\u2014was 55 percentage points over this period.", "This variation in allowance rates persisted, but fell modestly over time, even when we used multivariate statistical methods to hold constant a variety of factors related to the disability appeals process. These factors included characteristics of claimants, judges, and hearing offices, as well as other factors such as the unemployment rates in a claimant\u2019s state, that could otherwise explain differences in allowance rates. Specifically, for the years 2007 through 2015 combined, our analysis estimated that the allowance rate would vary by 46 percentage points for a typical claim, depending on the judge who heard the case. For example, we estimated that the allowance rate for a typical claim heard by a judge with low allowance rates would be 42 percent, compared to 88 percent for a judge with high allowance rates. This estimated range fell from 50 percentage points in 2007 to 45 percentage points in 2015 (see fig. 5). (Appendix I describes this statistical analysis in more detail.)", "Allowance rates also varied across hearing offices during the same time period, but this variation was considerably smaller than the variation across judges in every year. The estimated range across the entire period was 19 percentage points across hearing offices (see fig. 6), compared to a 46 percentage-point estimated range across judges. Accounting for differences in allowance rates across offices ensured that the variation across judges did not reflect characteristics of their offices (such as the types or severity of disability claims received by their offices).", "SSA officials noted that the variation in allowance rates we observed across judges was not surprising, nor was the modest narrowing in this range over time. Administrative law judges usually hear complex appeals that may not be clear-cut allowances or denials. As a result, according to SSA officials, given judges\u2019 decisional independence, different judges could look at cases with similar fact patterns and circumstances and come to different conclusions. At the same time, officials also pointed to several factors potentially related to the modest narrowing in the range of allowance rates. First, they noted that SSA started conducting quality assurance reviews of a random sample of allowances in 2011\u2014 previously, such cases were not reviewed. In addition, they said that Social Security\u2019s disability programs and administrative law judges were under increased public and Congressional scrutiny following a high-profile fraud case in 2011 involving a judge and an attorney representative. Further, officials said that the expanding use of electronic case files and data analytics within SSA made it possible for the agency to enhance monitoring of decision-making and share this information with judges. Finally, while SSA cannot direct judges to decide cases in a particular way, officials suggested that some judges may have \u201cself-corrected\u201d their approach to decision-making, given all of these factors.", "Our multivariate analyses had some limitations, but it provides more information than simple comparisons in allowance rates across judges. For example, the SSA data we used for this analysis do not include a measure of the severity of a claimant\u2019s impairment or their remaining ability to work, which could help explain why one claim with a particular impairment was allowed while another was denied. The data also do not include a standardized measure for the nature of claimants\u2019 prior work (such as the skill level or extent of physical labor), which is also relevant for the disability decision. Nevertheless, our multivariate analysis enabled us to compare allowance rates across judges and hearing offices for typical claims. In addition, SSA\u2019s practice of assigning cases randomly to judges makes it more likely that the remaining variation we found across judges reflects the unique effect of having a particular judge hear a case, rather than other factors. As a result, even though we could not account for all factors that could explain differences in allowance rates, random assignment increases the chances that such factors were similar across all of the cases heard by individual judges."], "subsections": []}, {"section_title": "Numerous Factors, Particularly Those Representing SSA\u2019s Disability Criteria, Are Associated with Variation in Allowance Rates", "paragraphs": ["Although variation in allowance rates persisted across judges, even after controlling for certain factors, many of the factors we identified had meaningful associations with the chance that a claimant was allowed benefits. These factors represent criteria in SSA\u2019s disability decision- making process, such as the claimant\u2019s age, impairment, prior work, and education. We also identified factors that did not have such associations.", "Certain claimant characteristics\u2014such as older ages or certain impairments\u2014were associated with higher allowance rates.", "Age: Claimants\u2019 chances of being allowed benefits increased with age, even holding constant other factors. For example, a 55-year-old claimant was allowed benefits at a rate 4.3 times higher than a typical 35-year-old claimant. This association is consistent with Social Security\u2019s vocational guidelines, which are generally more lenient for older claimants. As part of SSA\u2019s five-step process to determine eligibility for adult disability benefits, SSA uses a set of rules to evaluate how a claimant\u2019s age, education, and work experience affect their remaining capacity for work. SSA\u2019s criteria vary across four primary age groups\u201445-49, 50-54, 55-59, and 60 and older. The criteria are less stringent for claimants in older age groups than they are for younger claimants, because the rules assume that individuals at older ages may be less able to transition to other work.", "Impairment: Certain impairments were also strongly associated with the chance of being allowed benefits (see fig. 7). For example, claimants with primary impairments recorded in SSA\u2019s data of heart failure or multiple sclerosis were allowed benefits at rates 4.2 and 5 times higher, respectively, than typical claimants with asthma. From fiscal years 2007 through 2015, the allowance rates for claimants with heart failure or multiple sclerosis were 78 and 80 percent, respectively, compared to 44 percent for asthma.", "Critical or terminal case: Claimants with critical or terminal cases were allowed benefits at a rate 1.4 times higher than a typical claimant without a critical or terminal case. Critical and terminal cases are cases that require special processing, such as a terminal illness or a veteran with a 100-percent permanent and total disability compensation rating.", "Prior work: Claimants reporting shorter work histories (4 years or less in the last 15 years before applying for disability benefits) were allowed at a rate 0.8 times as high as a typical claimant with 10 or more years of work history. As expected, given the nature of the work requirements for the DI program, the association with prior work history was stronger for that program than for the SSI program.", "College education: Claimants who reported having a college-level education or higher were approved at a slightly higher rate (1.1 times higher) than a typical claimant with a high-school education. SSA officials suggested that this association could be an indirect measure of the severity of a claimant\u2019s impairment, a factor for which we did not have data. They said that individuals with higher levels of education often have higher incomes and, therefore, may be less likely to forego their income to apply for disability benefits, were it not for the severity of their disability.", "Claim type: DI claimants were allowed at a rate 1.7 times higher than a typical SSI claimant. Across judges, the average allowance rate for DI claimants (67 percent) was higher than for SSI claimants (52 percent) from fiscal years 2007 through 2015, with the allowance rate for claimants applying concurrently for DI and SSI benefits falling in between (58 percent).", "Other Participants in the Disability Appeals Process Claimants who had appointed a representative to present their case, or had a medical expert testify at their hearing, were associated with a greater chance of being allowed benefits, but the presence of a vocational expert had the opposite association.", "Claimant representative: Similar to findings in our prior work, claimants who had a representative\u2014either an attorney or a nonattorney representative\u2014were allowed at a rate 2.9 times higher than a typical claimant with no representative. SSA officials stated that representatives may have a screening process for potential clients, and under SSA\u2019s fee structure, representatives are paid only if the claimant is awarded benefits. As a result, representatives may tend to take cases they believe will be successful. Officials also stated that a representative can help the claimant by ensuring that the medical evidence and other records are fully developed and help the claimant present their case at a hearing. From fiscal years 2007 through 2015, most claimants (77 percent) had an attorney representative, and 12 percent had a nonattorney representative.", "Expert testimony: Claimants whose hearings involved testimony from a medical expert were allowed at a rate 1.6 times higher than a typical claimant without a medical expert present. Medical experts include physicians, psychologists, and other types of medical professionals who provide impartial, expert opinion evidence for an ALJ to consider when making a decision about disability. SSA officials said that the association of medical experts with an increased chance of allowance is expected, given that judges are required to seek the testimony of a medical expert in certain cases, for example, when the judge is considering allowing benefits because the claimant\u2019s impairment may be medically equivalent to one in SSA\u2019s Listing of Impairments. In other cases, involving a medical expert is generally at the judge\u2019s discretion. From fiscal years 2007 through 2015, 12 percent of decisions involved a medical expert.", "The presence of a vocational expert had the opposite effect\u2014 claimants with a vocational expert testifying were allowed at a rate 0.8 times as high as claimants without a vocational expert testifying. Vocational experts provide objective, expert opinion evidence to the ALJ, primarily at the last two steps of the disability decision-making process where SSA considers whether claimants can do their prior work or transition to other work available in the national economy. Although involving a vocational expert is generally at a judge\u2019s discretion, SSA officials said that they were not surprised by this result, because vocational experts are usually called upon at the final two steps in the disability decision-making process. At that point, claimants had already not been allowed benefits at an earlier step because their impairment(s) did not meet or were not equivalent to an impairment in SSA\u2019s listings. From fiscal years 2007 through 2015, most hearings (85 percent) involved a vocational expert.", "Judges with certain characteristics, such as those appointed in earlier years, were associated with a greater chance of allowing benefits.", "Appointment cohort: A claimant whose claim was heard by a judge appointed between 1995 and 1999 was allowed at a rate 1.5 times higher than a typical claim heard by a judge appointed after 2010. SSA officials said that, since 2010, they have changed the way they train and mentor new judges, and introduced new tools to help provide a standardized decision-making template. As a result, SSA officials said, more recently hired ALJs may be more aware of agency policies and procedures.", "Certain characteristics of hearing offices and other factors also were associated with higher chances of allowance. For example:", "Hearing type: Claimants whose hearings were held in person were allowed at a slightly higher rate (1.1 times higher) than a typical claimant with a hearing conducted remotely using videoconference technology. This is equivalent to a 2.8 percentage-point higher probability of being allowed benefits for a claimant whose hearing was held in person, compared to an otherwise typical claimant whose hearing was conducted by videoconference. However, we did not seek to estimate the causal impact of videoconferences on allowance rates, and so did not design our analysis to account for all factors that could affect this relationship. Rather, we accounted for the use of videoconferences solely to further ensure that circumstances were similar across the judges and offices we analyzed. Expanding video service delivery is a key goal for SSA, including plans to partner with other agencies, such as the Department of Veterans Affairs, to increase the number of available video hearing sites beyond those already available at hearing offices and the five National Hearing Centers.", "Year of decision: Claimants whose appeals were decided in earlier years were associated with a greater chance of being allowed benefits. While this trend is similar to the raw change over time shown in figure 4, our multivariate analysis showed that this change held even for claimants in similar circumstances. For example, claimants who received decisions in 2007 were allowed at a rate 2.0 times higher than a typical claim in 2015. This is consistent with other studies that have found trends of lower allowance rates in recent years.", "Factors Not Associated with Differences in Allowance Rates Some factors were not meaningfully associated with allowance rates when holding other factors constant.", "Workload measures: Workload and productivity measures at the hearing office and judge level were not meaningfully associated with allowance rates. This includes the annual percentage of cases that were backlogged (that is, awaiting a judge\u2019s decision for more than 270 days) at each hearing office, as well as the annual number of dispositions (decisions plus dismissals) each judge issued. This may suggest that judges\u2019 decisions to allow or deny cases are not significantly influenced by the number of cases before them, similar to findings in prior research.", "Hearing office type: We found no meaningful differences in allowance rates between similar claims heard at one of SSA\u2019s National Hearing Centers or a traditional hearing office, after holding constant other factors (including whether the hearing was held by videoconference). SSA has five National Hearing Centers, which hear cases from across the country by videoconference in order to reduce backlogs in certain hearing offices.", "Economic characteristics: The unemployment and poverty rates in the claimant\u2019s state at the time of the ALJ decision were not associated with allowance rates. Higher unemployment rates can result in increased applications for Social Security disability benefits because workers with impairments that could qualify them for the program who experience job loss may find it more difficult to become re-employed during periods of high unemployment and apply for benefits. However, the impact on allowance rates in the research we reviewed is mixed."], "subsections": []}]}, {"section_title": "SSA\u2019s Efforts to Monitor Accuracy and Consistency of Hearings-Level Decisions Lack Performance Measures and Have Not Been Evaluated", "paragraphs": [], "subsections": [{"section_title": "SSA Has Timeliness Measures, but Lacks Public Performance Measures for Accuracy and Consistency", "paragraphs": ["SSA has employed a range of efforts to monitor the accuracy and consistency of hearings decisions, but it lacks performance measures to report publicly on these efforts. SSA\u2019s current strategic plan includes an objective to \u201cimprove the quality, consistency, and timeliness\u201d of its disability decisions; however, all of the hearings-level measures supporting this objective are related to timeliness. In a previous report, we developed nine attributes of performance goals and measures based on previously established GAO criteria, as well as relevant federal laws and performance management literature. One key attribute states that an agency\u2019s suite of performance measures should be balanced to cover various priorities. In addition, each measure should cover a priority such as quality, timeliness, and cost of service. However, because SSA\u2019s performance measures do not fully reflect its goals, the overall success of SSA\u2019s efforts in this area may be limited.", "SSA previously had performance measures related to hearings-level accuracy, which used data from ALJ peer reviews. These measures were discontinued in fiscal year 2009, when the ALJs conducting the reviews were reassigned to hearing cases. By comparison, SSA continues to have a measure for accuracy at the initial decision-making level (see table 1).", "SSA officials stated that they have no plans to add new performance measures related to the accuracy and consistency of hearings decisions to the strategic plan. They said that while they collect and monitor a wide variety of workload and performance measures for day-to-day operations, they have to select a few, representative measures that are meaningful to stakeholders and represent agency-wide efforts to achieve its goals. They stated that the current performance measures meet these requirements.", "Although SSA officials said the agency does not publicly report performance measures related to the accuracy and consistency of hearings decisions, they said that SSA uses internal performance measures related to hearings decisions. However, these internal measures to monitor quality and consistency of hearings decisions have limitations and are not shared with the public. Regional chief judges\u2014who oversee the hearing offices and judges within each of SSA\u2019s 10 regions\u2014 and others told us that they use a measure known as the \u201cagree rate\u201d to help monitor the quality of a judge\u2019s decisions. This measure is based on the number of cases that have been appealed to the Appeals Council by the claimant or representative as a request for review. The agree rate reflects the percentage of cases in which the Appeals Council\u2014the final level of appeals within SSA\u2014concluded that the ALJ\u2019s decisions were supported by substantial evidence and contained no error of law or abuse of discretion. However, the agree rate has some limitations. For example, as noted earlier, it does not reflect the accuracy of ALJ decisions that the claimant did not appeal. SSA\u2019s Office of the Inspector General (OIG) found that this measure provided information on less than one-quarter of all ALJ dispositions and it is not representative of the ALJ\u2019s entire workload because it is based only on Appeals Council reviews of appealed cases. In addition, a March 2017 SSA OIG report found that SSA has not maintained historical data on agree rates, limiting the agency\u2019s ability to analyze agree rate trends.", "SSA uses other internal measures to track consistency. For example, SSA developed an internal early monitoring system that tracks 22 metrics of ALJ performance to identify outliers. For example, three of these metrics (average number of dispositions a judge issues per day, agree rate, and allowance rate) have \u201calarm thresholds\u201d to indicate when an ALJ\u2019s metrics fall outside of a given threshold. Based on these findings, SSA may conduct a focused quality review (a type of quality assurance review) to ensure the judge\u2019s decisions complied with SSA policies, or follow up with the regional chief judge to determine if additional policy guidance or training is needed.", "Although these internal measures are helpful for management to monitor and improve accuracy and consistency, without sharing this or similar information publicly, SSA lacks accountability for improving the quality of hearings-level decisions. In addition, federal internal control standards state that management should externally communicate the necessary quality information to achieve objectives, including to external stakeholders such as Congress and the public. Further, given the persistent variation in allowance rates, SSA may be missing an opportunity to provide the public with information on the results of its efforts to improve the accuracy and consistency of disability decisions."], "subsections": []}, {"section_title": "SSA Has Efforts to Monitor and Improve Accuracy and Consistency of Hearings- Level Decisions, but Quality Reviews May Overlap and Have Not Been Systematically Evaluated", "paragraphs": ["SSA provides training and tools to all ALJs and initiates disciplinary actions where needed, as part of its efforts to monitor and improve accuracy and consistency. SSA also conducts multiple quality assurance reviews, but some of these reviews may overlap and SSA has not evaluated them.", "Training, Tools, and Policy Guidance ALJs receive ongoing training and guidance from several sources, including through judicial trainings, mentoring, and policy memorandums. In 2006, SSA implemented a three-phase training program for new ALJs, which includes training on core competencies as well as a formal mentoring program in which new ALJs are paired with experienced ALJs for regular sessions over a nine-month period. Regional managers, judges, and stakeholders we spoke with had positive feedback on the training SSA provides to judges. For example, officials from one stakeholder group told us that they believe training had created more consistency in allowance rates. SSA\u2019s chief judge also issues guidance memorandums to clarify policies related to the hearings process. For example, in July 2013, SSA issued a memorandum establishing expectations for the instructions judges provide to decision writers, who are SSA staff who prepare the draft decisions. SSA officials said that they issued the memorandum in response to an ALJ who was providing low- quality instructions to decision writers and SSA realized it had not provided formal guidance on the topic. In addition, ALJs also receive quarterly continuing education training and have a library of reference materials and on-demand video courses to use as needed.", "SSA also uses internal metrics and provides electronic tools to judges to monitor and improve accuracy and consistency. Regional chief judges regularly review management information (MI) reports and develop strategies, such as recommending training, to address identified issues. Beginning in 2011, SSA established an electronic tool called \u201cHow MI Doing?\u201d, which allows ALJs to compare their productivity and timeliness metrics to hearing office, regional, or national metrics. The tool also provides data on the agree rate for each judge as well as the hearing office, regional, and national agree rates. Using this tool, judges can also learn the reasons any prior decisions have been remanded, and access on-demand training pertaining to that reason. Regional chief judges we spoke with generally found \u201cHow MI Doing?\u201d to be a helpful tool, although SSA does not track judges\u2019 usage and has not formally evaluated its effectiveness. In addition, SSA established the electronic Bench Book (eBB), which is designed to assist users with documenting, analyzing, and making consistent and accurate decisions on hearings-level adult disability cases. However, the SSA OIG recently recommended that SSA evaluate eBB and determine whether to continue it. Regional chief judges we spoke with provided mixed feedback on the use of eBB and its usefulness for ALJs. In fiscal year 2016, nearly 500 ALJs (about one- third) used eBB. In June 2017, SSA officials said that while no formal evaluation of eBB was conducted, they recently received approval to proceed with plans to replace eBB with a similar tool as part of updates to SSA\u2019s case management system.", "SSA also addresses identified issues with the accuracy and consistency of hearings decisions by taking disciplinary actions, as needed. SSA can take non-disciplinary or disciplinary action to address performance concerns. Non-disciplinary actions include training and counseling (known as \u201ccollegial conversations\u201d). Another non-disciplinary action is a written directive, which SSA can issue to individual judges to improve performance on workload, scheduling or policy compliance. From 2007 through 2016, SSA issued about 1,330 such directives. Nearly all (95 percent) were issued to improve timeliness, while about 2 percent were issued to improve policy compliance. If an ALJ\u2019s conduct or performance does not change or becomes more egregious, SSA continues with progressive discipline including reprimand or seeking disciplinary action from the Merit Systems Protection Board, such as short- or long-term suspension or removal. From 2007 through 2016, there were 98 reprimands, 34 proposed suspensions, and 16 proposed removals, according to SSA.", "SSA conducts various quality assurance reviews to improve accuracy and consistency. SSA officials stated that the agency has been enhancing its quality review efforts since 2009. Since then, it has added five types of quality assurance reviews that are conducted by three additional offices within SSA (see fig. 8).", "SSA added quality assurance reviews for various reasons. For example, in 2009, SSA\u2019s regional staff under the Office of the Chief Administrative Law Judge began conducting regional inline quality reviews, which involve assessing the extent to which hearing office staff are processing cases and preparing them for hearings in accordance with SSA policy, as well as the policy compliance and legal sufficiency of the draft decision. SSA added this review to enhance its reviews of decisions before they are issued, in an effort to reduce remands. Also in 2009, SSA\u2019s Office of Quality Review began conducting disability case reviews to provide feedback on decision-making accuracy to ALJs. In addition, in 2010, SSA created the Division of Quality under the Appeals Council, a unit focused on conducting reviews on a regular basis of decisions that claimants did not appeal. Prior to 2010, SSA generally only reviewed decisions that claimants appealed through the Appeals Council.", "While these quality assurance reviews have somewhat different focuses\u2014for example, some assess aspects of how a case was processed while others review the accuracy of the decisions\u2014they overlap in two key ways. According to prior GAO work, overlap occurs when multiple agencies or programs have similar goals, engage in similar activities or strategies to achieve them, or target similar beneficiaries. Some of SSA\u2019s quality review efforts fit the description of overlap in that they have similar goals and review similar cases. For example:", "Similar goals: Several of the reviews have similar goals (see table 2). For example, two of the four entities conducting reviews\u2014the Appeals Council\u2019s Division of Quality and staff in SSA\u2019s 10 regional offices\u2014 both review decisions for policy compliance before those decisions go into effect (known as pre-effectuation reviews). While one review looks at the judge\u2019s decision and the other looks at the draft decision prior to the judge\u2019s review and approval, according to officials and documents we reviewed, these reviews share similar goals: to guide training and provide feedback to judges. In addition, all the reviews are designed to assess compliance with SSA policy.", "Similar cases: SSA\u2019s five quality assurance reviews look at similar cases, and could potentially include the same cases (see table 3). SSA takes some steps to prevent assessing the same claim in multiple quality assurance reviews. Officials told us that, in conducting focused quality reviews (conducted after the decision is final), they exclude cases that were reviewed in a pre-effectuation review. However, they said that the Division of Quality does not know whether cases it has selected were also subject to a regional inline quality review. They said that additional efforts to prevent multiple reviews of a case are manual in nature, and thus there is still the potential for claims to be reviewed more than once. Further, SSA officials said they did not see a need to prevent multiple reviews of a case, in particular, because some reviews are conducted before the decision is final and others are conducted after the decision is final.", "SSA officials stated that opportunities exist to improve coordination across offices conducting quality assurance reviews. We found that several offices coordinated their work in some cases. For example, SSA\u2019s Division of Quality and Office of Quality Review participate in a multi- office workgroup that addresses such issues as policy compliance across the initial and hearings levels of the disability process. In addition, they have also worked together on several studies, including a one-time quality review of 454 claims that were denied at the initial determination level, but were allowed as fully favorable at the hearings level. The Office of Quality Review also reviews the content of selected training for judges. In addition, the Division of Quality provided some initial input when the regional inline review effort was being designed. Prior GAO work has found that enhanced coordination can help to reduce overlap and improve efficiency. Effective October 1, 2017, SSA created a new deputy commissioner-level component, the Office of Analytics, Review and Oversight. This agency reorganization moved six oversight offices into the new component, including the Division of Quality and Office of Quality Review. Officials said the new component will create opportunities for improved coordination between these six offices. While this reorganization creates the opportunity for SSA to assess many of its quality assurance reviews, the regional quality review staff will not be included in the new office, and it is too early to tell how this reorganization will help manage the overlap between SSA\u2019s various quality assurance reviews.", "In addition, SSA has struggled to sustain all of its quality assurance reviews due to competing demands for the staff who perform them. For example, SSA placed regional inline quality reviews on hold in September 2016 and again in December 2016, because officials said that the agency needed staff to complete pending decisions before a change in the medical listings for mental impairments took effect in January 2017. Decisions not completed before the new listings took effect would have to be redone. Also, the Office of Quality Review curtailed its Disability Case Reviews in fiscal year 2016 to help prepare the oldest cases for hearings. As a result, only the Appeals Council\u2019s review of appealed ALJ decisions (requests for review) and the Division of Quality\u2019s quality assurance reviews were active in 2016.", "Even as SSA has added quality assurance reviews, it has not systematically evaluated the efficiency and effectiveness of all the reviews to determine the extent to which they may be overlapping or complementary. We found that reviews conducted by the four entities have resulted in similar findings, raising questions about the efficiency of these reviews. For example, during the same 3-year period (fiscal years 2013 through 2015), quality reviews conducted by all four entities found problems with judges\u2019 assessment of a claimant\u2019s ability to perform work- related tasks, known as a residual functional capacity assessment. In addition, all four entities found problems with the evaluation of medical opinion evidence.", "Moreover, SSA has not conducted a cost-benefit analysis of the five reviews. Officials said that there are no definite plans to do so, although they may consider conducting such an analysis in the future. We found that costs for the quality assurance reviews conducted in fiscal year 2015 were at least $23.7 million, and in fiscal year 2016 were at least $11.7 million (see table 4). By evaluating the quality assurance reviews to determine the extent to which each is needed to monitor and improve accuracy and consistency, SSA would be better positioned to meet its goals within its resources.", "In addition, SSA continues to develop and implement initiatives aimed at improving hearing decisions, without evaluating the potential for overlap with existing quality assurance reviews. For example, as part of its backlog reduction plan known as the Compassionate And Responsive Services (CARES) plan, SSA is using computer algorithms for natural language processing to analyze the text of disability decisions and flag potential errors. Although the agency is piloting this effort in the Appeals Council before expanding it to hearing offices, it did not conduct a cost- benefit analysis. SSA officials said that natural language processing could be used to identify cases for further review, similar to its current selective reviews, and that decision writers could use the tool to conduct their own reviews of their draft decisions. SSA officials said that they do not anticipate much overlap between the use of natural language processing and OAO\u2019s pre-effectuation reviews. However, there could be potential for overlap with regional inline reviews, which also review decisions drafted by decision writers. Federal internal control standards state that management should implement control activities through policies. Periodically reviewing policies, procedures, and related control activities for continued relevance and effectiveness in achieving objectives and addressing related risks can help agencies meet this standard."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["SSA\u2019s disability programs provide more than $200 billion in benefits for tens of millions of Americans annually, making it one of the largest components of the nation\u2019s social safety net. The hearings and appeals level of the disability decision-making process is particularly important because about one in three people receiving Social Security disability benefits are granted benefits at this level. Given the number of people and the dollars at stake, it is crucial that claimants are treated fairly and their applications are evaluated accurately and consistently across the country, at all levels of the program.", "Some of the variation in allowance rates that we found across judges may be expected, given the complexity of the cases and judges\u2019 decisional independence. However, the persistent variation we observed over time, even after accounting for various factors that could otherwise explain allowance rates, might warrant additional attention. SSA is rightly focusing on oversight of judges, but our work suggests that the agency\u2019s emphasis on timeliness over accuracy in its public metrics and the potential overlap in its quality assurance efforts may offer opportunities for improving the accuracy and consistency of hearing decisions.", "First, this amount of variation in allowance rates underscores the need for SSA to measure and hold itself accountable for accuracy and consistency. However, without sharing performance information on the accuracy and consistency of its hearings-level decisions, such as the rate at which the Appeals Council agrees with a judge\u2019s decisions, SSA may not be providing the public with adequate information on progress toward its objective to improve the quality, consistency, and timeliness of its disability decisions. Developing a set of performance measures that includes the accuracy and consistency of hearings decisions will help ensure the overall success of the program.", "Second, SSA has not systematically considered how each of its quality assurance reviews helps the agency meet its objective to improve the quality of hearings-level decisions. Although the planned consolidation of multiple oversight and quality review offices is a positive step, it will be important for SSA to consider the usefulness of the information yielded by each quality assurance effort, as well as the costs associated with conducting the effort. Evaluating the efficiency and effectiveness of quality assurance activities can help ensure that SSA is using its resources for maximum benefit toward its objective to improve the quality, consistency, and timeliness of its disability decisions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to SSA: The Commissioner of SSA should develop a set of public performance measures, to include accuracy and consistency, as well as timeliness, of administrative law judges\u2019 (ALJ) disability decisions. SSA could consider whether existing quality review or monitoring efforts could provide suitable data for such measures. (Recommendation 1)", "The Commissioner of SSA should systematically evaluate the efficiency and effectiveness of its quality assurance reviews and take steps to reduce or better manage any unnecessary overlap among them to ensure strategic use of resources. Such steps could include enhancing collaboration where reviews overlap or only conducting the reviews that are most efficient and effective in achieving agency goals for improving accuracy and consistency of ALJ disability decisions. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In commenting on a draft of this report, SSA agreed with our two recommendations to (1) establish public performance measures for the accuracy and consistency of administrative law judges\u2019 decisions, and (2) systematically evaluate its various quality assurance reviews and take steps to reduce or better manage any unnecessary overlap among them. SSA stated that it would address both recommendations as part of a comprehensive assessment and refinement of its oversight roles and processes. SSA made several other comments about one of our conclusions and our analysis of variation in administrative law judge allowance rates, which we discuss below. SSA also provided technical comments, which we incorporated into the report as appropriate.", "In its comments, SSA described its evolving oversight activities at the hearings level, including providing policy guidance and training for judges, capturing and utilizing data to gain a better understanding of trends and challenges, and implementing additional oversight review processes, all of which we discussed in our report. SSA\u2019s comments acknowledged that our report describes the steps that the agency has taken to improve oversight, but disagreed with our conclusion that SSA emphasizes timeliness over accuracy. Our final report clarifies that we came to this conclusion based on a review of the performance measures the agency shares with the public in its annual strategic plan and performance reports. As we state in the report, SSA has employed a range of efforts to monitor the accuracy and consistency of hearings decisions, but it lacks performance measures to report publicly on these efforts.", "Regarding our analysis of variation in ALJ allowance rates, SSA raised a concern about our finding (on page 26 of the final report) that claimants whose hearings were held in person were slightly more likely (by about 2.8 percentage points) to be allowed benefits than a typical claimant with a hearing held by videoconference. SSA cited its own internal analysis, which found a small (0.6 percentage-point) difference in allowance rates between in-person and videoconference hearings after controlling for a number of factors. It is not surprising, however, that our estimates are somewhat different, since SSA\u2019s internal analysis differs from ours in several ways. The primary purpose of our statistical analysis was to isolate variation in allowance rates due to the unique judge or hearing office assigned to each claim. To do this, we developed a multilevel model using 9 years of data that controls for judge, hearing office, and claimant-level factors associated with allowance rates. On the other hand, SSA\u2019s analysis was specifically designed to look at the difference in allowance rates between in-person and video hearings. SSA\u2019s analysis also covered a shorter, more recent period of time (part of fiscal year 2015, fiscal year 2016, and part of fiscal year 2017), than our study (fiscal years 2007 through 2015). Additionally, the version of the model SSA cited in its comments included hearings held in person or by videoconference only in regular hearing offices, whereas our analysis included hearings held in National Hearing Centers as well as regular hearing offices and controlled for the type of hearing office. These differences notwithstanding, we agree with SSA that the estimated model- adjusted difference in allowance rates between in-person and videoconference hearings in both GAO\u2019s and SSA\u2019s analyses could potentially be explained by unmeasurable factors.", "In addition, SSA noted that our measure of variation in judge decisions focused on allowance rates at the extremes of the distribution. Given that our charge was to explore the extent of variation in allowance rates across judges, we believe it was appropriate and important to measure the range of allowance rates between judges with high allowance rates (at the 95th percentile) and those with low allowance rates (at the 5th percentile). This would be more conservative than an approach that looks at allowance rates across all judges, including potential extreme values; and more nuanced than an approach that looks at the number of judges whose allowance rates are higher or lower than a given threshold. Further, our analysis shows that unadjusted allowance rates at the 95th percentile declined over the period of our analysis, from a high of 96 percent in fiscal year 2008 to 82 percent in fiscal year 2015. We saw a comparable decline in allowance rates after applying our multivariate model. To provide additional context, our report figures also show the middle of the distribution (the 25th and 75th percentiles), as well as the average allowance rates. We have also added information to our report further describing this middle range.", "Finally, SSA noted that our analysis was not weighted by the number of determinations a judge made, suggesting that judges who decided very few claims, for example, could affect the range in allowance rates or the trends. As we show in Appendix I, Table 7, only 2.3 percent of the judges in our study population heard fewer than 250 claims per year. This group of judges had an unadjusted allowance rate of 61.9 percent, very similar to the allowance rate among judges who heard 500-699 claims per year (61.6 percent). Furthermore, the statistical methods we used to estimate the distributions of allowance rates (multilevel models) adjust the estimates for judges with fewer claims by weighting them more heavily toward the overall approval rate. This mitigates against judges with smaller caseloads, and therefore higher sampling variation, from contributing overestimated allowance rates that might have inflated our estimated variation across judges.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Commissioner of Social Security, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or jeszeckc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to assess (1) the extent to which allowance rates vary across administrative law judges, and any factors that are associated with this variation, and (2) the extent to which the Social Security Administration (SSA) has processes to monitor the accuracy and consistency of hearings decisions.", "To answer these objectives, we reviewed SSA policies and procedures related to administrative law judge (ALJ) disability hearings and decisions; manuals and documents describing SSA\u2019s case processing systems for each level of SSA\u2019s disability decision-making process, and guidance and training provided to judges for making disability decisions. We interviewed SSA officials in several offices within the Office of Disability Adjudication and Review (ODAR), including the Office of the Chief Administrative Law Judge and the Office of Appellate Operations, as well as conducted semi-structured interviews with Regional Chief Administrative Law Judges in each of SSA\u2019s 10 regions. We also observed administrative law judge hearings in one of SSA\u2019s five National Hearing Centers, in Falls Church, Virginia, (hearings in these offices are conducted by videoconference), as well as in two of SSA\u2019s regular hearings offices, in Washington, D.C., and Seattle, Washington. The purpose of these observations was to gain a better understanding of the hearings process in practice, and to inform our scope and methodology for this study. We selected these sites, which are not generalizable to the population of all hearing offices, for a number of reasons, primarily: (1) to observe hearing offices in different geographic locations and observe both in-person and video teleconference hearings, and (2) to select sites at which a cross-section of cases with different types of disabilities and impairments were available. We attended hearings involving both adult and child claimants with a mix of physical and mental impairments.", "This appendix is divided into three parts. The first describes our data sources and analysis of allowance rates across judges and associated factors, the second describes our multivariate statistical model, and the third describes our work related to our second research objective on SSA\u2019s processes to monitor the accuracy and consistency of hearings decisions."], "subsections": [{"section_title": "Analysis of Variation in Allowance Rates across Judges and Associated Factors", "paragraphs": ["For this objective, we analyzed data from two primary sources from fiscal years 2007 through 2015: SSA\u2019s administrative data systems for the initial and hearings levels of the disability decision-making process, and the agency\u2019s personnel data system. We also obtained other SSA administrative data on staffing levels and numbers of pending cases in each hearing office. Finally, we obtained data on state poverty and unemployment rates from the U.S. Census Bureau and the Bureau of Labor Statistics, respectively."], "subsections": [{"section_title": "SSA Administrative Data Systems", "paragraphs": ["To analyze information on all adult disability decisions made by administrative law judges from fiscal years 2007 through 2015\u2014the most current data available at the time of our analysis\u2014we compiled claims data from several SSA administrative data systems. These data contained information on the outcomes of the disability decisions and the characteristics of claims associated with each decision. Specifically, the information was drawn from the following systems:", "831 File and Structured Data Repository: The 831 File pertains to the initial and reconsideration level of the disability determination process, within the state Disability Determination Services (DDS). Data on claimant characteristics we used from this system include the date of the claimant\u2019s initial application for benefits and the claimant\u2019s self-reported years of education. We also received a limited set of data captured from the claimant\u2019s disability application in SSA\u2019s electronic case folder system (Structured Data Repository), including the number of years a claimant reported being employed out of the 15 years before becoming disabled.", "Case Processing and Management System (CPMS): This system pertains to the hearings level and was our primary source of information on hearing outcomes, claim, and claimant characteristics. Specifically, this system provided information on claim type (i.e., Disability Insurance, DI; Supplemental Security Income, SSI; or concurrent claim); the outcome of the claim (i.e., dismissed, allowed, or denied) and the date the decision was made; the unique identification number of the administrative law judge (ALJ) who made the decision; whether a medical expert or vocational expert attended the hearing; whether the claimant was represented; the hearing office where the claim was decided and the type of hearing office (i.e., hearing office or National Hearing Center); the claimant\u2019s date of birth; the primary impairment at the time of the hearing level; the presence of a secondary impairment; and whether the case was classified as being a critical case\u2014that is, a case requiring special processing, such as a terminal illness.", "We used case identifiers to link the information from each of these databases that pertained to each disability decision we analyzed."], "subsections": []}, {"section_title": "Federal Personnel and Payroll System", "paragraphs": ["We obtained data from SSA\u2019s Federal Personnel and Payroll System (FPPS) database on all administrative law judges who were employed by the agency at any time during the period from January 1, 2005, through December 31, 2015. We obtained information on each judge, such as their date of appointment as an ALJ and the type of appointment (regular career appointment or non-permanent); service computation date; and prior position titles within SSA, if any."], "subsections": []}, {"section_title": "Other SSA Administrative Data", "paragraphs": ["We obtained summary-level data, as of January 2017, from SSA on staffing levels (numbers of ALJs, decision writers, and other support staff) at each hearing office for each fiscal year in our study period (fiscal years 2007 through 2015) from SSA\u2019s Payroll Operational Data Store system. We also obtained data on the numbers of cases left pending at the end of each fiscal year (including the number of cases pending for more than 270 days). SSA provided those data from a management information report that uses CPMS data."], "subsections": []}, {"section_title": "Economic Conditions Data", "paragraphs": ["We used publically available estimates of state poverty rates for each year in our analysis (calendar years 2007 through 2015) from the U.S.", "Census Bureau\u2019s American Community Survey (ACS). We considered using estimates at the county level but that approach had limitations. First, we would have been limited to using 3-year or 5-year estimates for all counties, because 1-year ACS estimates are only available for areas with populations of 65,000 or more. Second, the Census Bureau cautions against using estimates for particular time periods that do not align with the periods of its estimates. Although using state-level estimates reduced the geographic precision of the estimates, we gained precision by having annual estimates and the ability to measure potential variation in poverty rates over narrower time intervals.", "We also used publically available estimates of state unemployment rates in calendar years 2007 through 2015 from the Bureau of Labor Statistics\u2019 Local Area Unemployment Statistics data. This variable allowed us to control for labor market conditions over time."], "subsections": []}, {"section_title": "Data Reliability", "paragraphs": ["SSA constructed custom files for GAO from several SSA datasets in response to our data requests. We assessed the reliability of the data used in our analyses through electronic testing, analyzing related database documentation, examining the SAS code used by SSA to construct the custom files, and working with agency officials to reconcile discrepancies between the data and documentation that we received. We determined that the 831, Structured Data Repository, and CPMS data on ALJ decisions and claimant characteristics and the FPPS data on ALJ appointments were sufficiently reliable for the purposes of describing the extent of variation in the outcomes of ALJ decisions. We also determined that SSA\u2019s data on pending caseloads and ALJ and decision writer staffing, by year and hearing office, were sufficiently reliable for the purpose of describing hearing office characteristics. Finally, we determined that ACS data on state poverty rates and BLS data on state unemployment rates were sufficiently reliable for the purposes of describing these state economic characteristics."], "subsections": []}, {"section_title": "Scope of Analysis", "paragraphs": ["Our analyses of ALJ decisions excluded various types of decisions from the CPMS data because they were out of scope for our research objectives (e.g., child cases, non-disability cases, or cases that were decided by SSA staff who were not ALJs) or were not typically randomly assigned to judges. We selected cases that should have been assigned randomly to judges, according to SSA policy, because that random assignment made it more likely that variation in allowance rates across judges in our multivariate analysis reflects the unique causal effect of having a particular judge hear a case, rather than other factors that also vary across judges. Our exclusion criteria were similar to those used by an internal SSA study of ALJ allowance rates, conducted in 2017. We excluded cases that were:", "Dismissed. Cases can be dismissed for reasons not related to the merits of the case and that are usually beyond the ALJ\u2019s control\u2014for example, the claimant\u2019s failure to file a timely request or to appear at the scheduled hearing (without good cause), or the claimant\u2019s death before the hearing. In addition, data on key factors for these cases, such as the claimant\u2019s impairment, were missing. From fiscal years 2007 through 2015, 1,007,526 claims (16 percent of all claims) were dismissed.", "Made \u201con the record\u201d and not randomly assigned to judges. While most appeals are decided after an ALJ hearing, ALJs and senior attorney adjudicators (SAA) have the authority to issue on-the- record decisions. These are decisions where a hearing is not necessary because the documentary evidence alone supported a fully favorable decision. SSA has created screening criteria, such as the claimant\u2019s age (50 and older) and specific impairments, to help identify possible on-the-record decisions earlier in the process. ALJs and SAAs can also issue on-the-record decisions for cases involving critical need, and claimants and their representatives can request that the ALJ or SAA issue an on-the-record decision. These cases are not assigned randomly to judges. From fiscal years 2007 through 2015, 716,574 claims (11 percent of all claims) were on-the-record decisions, although SSA has issued fewer on-the-record decisions in more recent years.", "Issued for children. We excluded claimants younger than 18 at the date of the initial application. We also excluded claimants with missing or invalid age values. From fiscal years 2007 through 2015, 492,158 claims (8 percent of all claims) were for people under 18 or with missing or invalid age values. We excluded child cases from our analysis because they involve different evaluation criteria.", "Remanded back to a judge from SSA\u2019s Appeals Council (or federal court). These cases represent decisions that were corrected after an order from the Appeals Council or a federal court after the original ALJ\u2019s decision. In these cases, judges are often addressing a narrow set of issues identified in the remand order. Remanded cases are also not assigned randomly to judges, since the Appeals Council generally sends them back to the judge who originally issued the decision. However, SSA\u2019s Office of the Inspector General (OIG) in 2017 found that about half of the remanded cases in its sample were assigned to a different ALJ than the original ALJ. From fiscal years 2007 through 2015, 293,971 claims (less than 5 percent of all claims) were remands.", "Made by senior attorney adjudicators who were not administrative law judges. We excluded decisions made by SAAs. SSA implemented a program in 2007 whereby SAAs located in hearing offices across the country could issue fully favorable on-the- record decisions. According to SSA, this allowed ALJs to focus on cases that are more complex or require a hearing. From fiscal years 2007 through 2015, 227,133 claims (4 percent of all claims) were decided by SAAs.", "Appeals of continuing disability reviews (CDR). These cases represent decisions about whether or not to continue benefits for claimants who were previously found eligible for the program. As such, they involve different evaluation criteria. From fiscal years 2007 through 2015, 245,862 claims (4 percent of all claims) were appeals of CDRs.", "Non-disability cases. These cases include Social Security retirement and survivor benefit decisions. We excluded such cases because they involve different evaluation criteria from disability claims and represent a small minority of decisions at the hearings level. From fiscal years 2007 through 2015, 25,293 claims (less than 0.5 percent of all claims) were for non-disability cases.", "Decided by judges with limited experience. We excluded cases decided by judges within the first year (365 days) after their appointment as an ALJ, as calculated by the difference between their date of appointment and the date of the decision on each claim. We excluded these decisions to help ensure that variation we identified in allowance rates was not due to the judges\u2019 more limited experience deciding Social Security disability claims. From fiscal years 2007 through 2015, 574,307 claims (approximately 9 percent of all claims) were decided by judges with limited experience.", "In total, our exclusion criteria reduced the number of records analyzed by about half. Specifically, out of a universe of about 6.3 million records, our study population included about 3.3 million decisions. Nevertheless, the overall allowance rate for our study population over fiscal years 2007 through 2015 was 62 percent, very close to the overall allowance rate for the entire population of claims during this period, which was 64 percent."], "subsections": []}, {"section_title": "Calculation of Allowance Rates", "paragraphs": ["We calculated allowance rates by dividing the number of favorable decisions by the total number of decisions (both unfavorable and favorable). We calculated allowance rates for different units of analysis:", "Overall, by program type (Disability Insurance, Supplemental Security Income, and concurrent) and by year and for all years and program types pooled together,", "At the judge level, by year and for all years pooled together, and", "At the hearing office level, by year and for all years pooled together.", "When analyzing our data at the case level, we identified whether the case was favorable or unfavorable to the claimant (that is, whether the claimant was allowed benefits or not). We did not include cases that were dismissed in our study population for two reasons. First, as discussed above, these cases can be dismissed for reasons not related to the merits of the case, and without a review of the medical evidence. Second, SSA\u2019s data on dismissed cases are limited, partially because cases are dismissed without a review of medical evidence. For example, the impairment code from the hearings-level decision was missing for virtually 100 percent of dismissed cases.", "For concurrent claims\u2014those in which an individual is applying for Disability Insurance (DI) and Supplemental Security Income (SSI) benefits\u2014we considered a case an allowance if the claimant was approved for either or both programs. Our classification of allowances for concurrent cases differs from SSA\u2019s usual practice (although a 2017 internal study of ALJ allowance rates used the same method as ours). SSA officials said they usually allow the SSI decision to \u201ccontrol\u201d the overall outcome of the case. That is, SSA classifies a concurrent claim as an allowance if the SSI decision is an allowance, regardless of the outcome for the DI claim. Officials said that they chose this method primarily for convenience. This results in a different classification of some cases in which the SSI claim was denied but the DI claim was allowed. In such cases, the claimant is receiving a benefit as a result of their concurrent disability claim but would be classified in SSA\u2019s data as a denial. However, the resulting differences in the number of allowances is very small\u2014less than 4,000 claims over fiscal years 2007 through 2015\u2014 and the different definitions did not substantively affect allowance rates in any year."], "subsections": []}, {"section_title": "Random Assignment of Cases to Judges", "paragraphs": ["SSA policy states that cases are generally assigned on a \u201cfirst in, first out\u201d basis, meaning that cases are assigned to judges in the order in which they are received. Administrative law judges are assigned cases on a rotational basis, with the oldest case in the backlog given to a judge who most recently decided a case. Therefore, as noted in prior research, the initial assignment of cases to judges is random (conditional on applying at a given hearing office at a given time). Judges do not select their cases, nor are claimants able to request another judge after one is assigned. Claimants are generally assigned to hearing offices based on their ZIP code, although some claimants in hearing offices with higher numbers of pending claims may be transferred to one of SSA\u2019s five National Hearing Centers. In those cases, hearings are conducted by videoconference rather than in person, as is traditionally done in SSA\u2019s regular hearing offices. However, the claimant may opt out of a video conference hearing within 30 days of receiving a written notice acknowledging the request for a hearing.", "There are some exceptions to the \u201cfirst in, first out\u201d rule, such as cases that are likely to be dismissed or decided on the record (without a hearing) and critical cases (including terminal illness cases and veterans who have a 100-percent permanent and total disability compensation rating). However, as discussed previously, we have excluded all major categories of exceptions but critical cases from our analyses, and included a variable to identify critical cases in our analyses."], "subsections": []}, {"section_title": "Assignment of Claims to Steps in SSA\u2019s Sequential Disability Decision-Making Process", "paragraphs": ["SSA\u2019s disability decision-making process includes five sequential steps, and one part of our analysis was to determine the step at which each decision was made. In consultation with SSA officials, we used a code in CPMS\u2014called the regulation basis code\u2014to assign each claim to a particular step.", "Each claim in CPMS has between one and four regulation basis codes, depending on whether the claim was for a single program (DI or SSI), or a concurrent claim for both. We assigned each claim to one of the five steps in SSA\u2019s disability decision-making process, based on its regulation basis code. Each regulation basis code is associated with one of five steps. Therefore, if a claim had just one regulation basis code, we assigned it to the corresponding step. If a claim had more than one regulation basis code, we used a series of decision rules to select the most appropriate step. Specifically, claims for a single program have up to two regulation basis codes listed, and we used the code that matched the outcome of the case and/or the latest step. We used a similar method for concurrent claims.", "We found that approximately 19 percent of all allowances occur at step 3, when SSA determines whether a claimant\u2019s impairment meets or is equivalent to an impairment listed in SSA\u2019s Listing of Impairments. Most (80 percent) of all allowances are made at the final step (step 5), when SSA determines whether the claimant can do any work in the national economy, given the limitations of their impairment and their age, education, and work experience.", "Nearly a third (28 percent) of denials are made at step 4, where SSA determines whether the claimant can do their past work, and 62 percent of denials are made at step 5. There are some differences between DI claims and SSI claims in the distribution of allowances and denials over the five steps. SSI allowances occur at step 3 to a greater extent than DI allowances, while SSI denials occur at step 5 to a greater extent than DI denials (see table 5 below)."], "subsections": []}]}, {"section_title": "Statistical Model of Variation in Allowance Rates across Judges and Associated Factors", "paragraphs": ["We developed our multivariate statistical analyses in consultation with GAO statisticians, economists, and social scientists and SSA officials and experts. Our analysis was also informed by a comprehensive review of the literature pertaining to judicial decision-making and, in particular, adjudication for SSA\u2019s disability programs. Specifically, we reviewed more than 90 potentially relevant peer-reviewed academic journal articles, government reports, and nonprofit association and think tank white papers. We selected 39 of these studies or reports for a detailed review of the scope and methodology, key factors or variables used in any empirical analyses, and other relevant findings. We also reviewed relevant SSA Office of the Inspector General (OIG) reports and consulted with SSA and OIG officials, and reviewed prior GAO reports that modelled judicial outcomes. Our statistical model included variables that are either direct or approximate measures for: (1) claimant characteristics that represent criteria used in the disability decision-making process, (2) judge characteristics, (3) other participants in the decision-making process, (4) SSA administrative characteristics, and (5) economic characteristics of the claimant\u2019s state.", "Our analysis was purely statistical, in that we did not conduct the legal analysis needed to reach conclusions about what legal factors might have affected a judge\u2019s decision or whether the decision that was reached in any particular case was correct. Similarly, we are not making any predictions about the likely or correct outcome of future individual decisions. Each case is unique in both its facts and circumstances and must be examined on its own merits.", "We included factors that represent criteria used in decision-making process, such as the type of claim (DI, SSI, or concurrent) and the claimant\u2019s age, years of education (grouped into equivalent levels: less than high school, high school, some college, and college or higher), and primary impairment.", "We included factors related to the judge\u2019s employment as an ALJ, such as the year appointed as a judge, the type of appointment (whether they had a career or temporary, non-permanent assignment), and any prior work history at SSA (specifically, whether they were an attorney or held another position prior to being appointed as an ALJ).", "Other participants in the decision-making process", "We included factors that represent other participants in the decision- making process, such as the claimant\u2019s use of an attorney or non- attorney representative, or the testimony of a medical or vocational expert at the hearing. Our prior work has shown, for example, that claimants who were represented by an attorney or a person who is not an attorney (such as a relative or professional disability representative) were more likely to be allowed disability benefits than claimants who had no representative.", "We included factors related to SSA\u2019s administration of its disability programs, such as the hearing office in which the claim was decided, whether the claim was heard in one of 10 states that do not have a reconsideration step between the initial state-level Disability Determination Service decision and a hearing before an ALJ, and the percentage of pending cases at the hearing office that were pending for more than 270 days (SSA\u2019s definition of a \u201cbacklogged\u201d case).", "Finally, we assessed economic characteristics of the state in which the claimant resided because some prior research suggests that such factors may be associated with disability application and allowance rates. Specifically, we analyzed:", "The unemployment rate in the claimant\u2019s state as of the year of each decision in our analysis, from the Bureau of Labor Statistics\u2019 Local Area Unemployment Statistics data. We selected this factor in order to account for the labor market conditions where claimants live.", "The poverty rate in the claimant\u2019s state as of the year of each decision in our analysis, from the Census Bureau\u2019s American Community Survey (ACS)."], "subsections": [{"section_title": "Goals of Analysis", "paragraphs": ["The primary goal of our analysis was to isolate variation in allowance rates due to the unique judge or hearing office assigned to each claim by controlling for multiple factors that could otherwise affect this variation. Some variation in allowance rates across judges and hearing offices could reflect the distribution of other factors that are correlated with allowances. For example, judges who hear disability cases in regions of the country with higher obesity rates\u2014a known risk factor for disability\u2014 may appear to have higher allowance rates than those in regions with low obesity rates. Because judges\u2019 decisions to allow benefits may be related to this or other factors, simple univariate comparisons of allowance rates across judges may reflect characteristics of the cases that judges hear.", "To help isolate the potential unique effects of judges, we used multilevel, multivariate statistical models that held constant various factors that could have been associated with allowance rates. We held constant variables available in SSA and other public data sources that were relevant to the claim appeals process, in order to estimate the amount of potential residual variation across judges."], "subsections": []}, {"section_title": "Statistical Model", "paragraphs": ["The data we assembled had a multilevel structure, with applications for disability benefits clustered within the same judges and hearing offices. Judges were associated with multiple hearing offices, because judges sometimes decided cases in multiple hearing offices during the period of our analysis. For example, judges could travel to more remote sites to hear cases on a part-time basis.", "The data and outcome of interest suggested that a multilevel or mixed logistic regression model would adequately reflect the data generation process. We developed a mixed model that represented the grouping variables\u2014judge, hearing office, and primary diagnosis code\u2014with random intercepts, similar to prior research. We modeled group variation with random effects primarily for parsimony. Modeling group variation with fixed effects would have required estimating several thousand explicit parameters, one for each group level, which would have consumed many degrees of freedom. Estimating the amount of variation across groups then would have required interpreting many contrasts between pairs of fixed effect estimates. In contrast, modeling group variation using random effects allowed us to represent the variation with probability distributions and a small number of summary (hyper) parameters, such as the standard deviation of the judge random effect.", "Substantively, random effects accurately represented the SSA policy of randomly assigning judges to cases in our study population, using a \u201cfirst in, first out\u201d method. Moreover, we modeled variation across judges and hearing offices as random, which implies that we seek to make inferences about a larger, hypothetical population of judges and hearing offices that could exist if we replicated the study in the future. This seems appropriate, because the application review process could be repeated across many new judges and hearing offices in the future. We do not seek to make inferences limited to the judges and hearing offices at the particular time we assembled data.", "We held constant case, judge, and hearing office characteristics using covariates with fixed parameters. The smaller number of parameters associated with these covariates made a fixed effects approach easier to apply and interpret. We assumed that the covariate effects did not vary across groups, so that only the model\u2019s intercept varied randomly. We had no prior expectation that specific covariate effects should have varied across groups. Moreover, increasing the number of random effects would have increased the complexity of the model and could have made it hard to estimate computationally.", "We viewed the covariates primarily as controls for isolating variation across judges and offices. We did not attempt to build a comprehensive model that correctly specified how all of the covariates were causally ordered and related to each other and the probability of an allowance. As a result, our estimates of these parameters may not be consistent with those obtained from a more comprehensive modeling effort, or from analyses designed to estimate the causal effects of particular variables, such as the use of videoconferences. In the body of the report, we present alternative explanations and provide context to avoid interpreting the covariate effects as with a high degree of causal certainty. For example, we note that claims with legal representation may have higher approval rates if representatives accept claims with greater merit and, therefore, a greater chance of compensation. Below, we test alternative model specifications for covariates where the causal ordering may be ambiguous, in order to avoid biasing estimates of the judge and office parameters of primary interest.", "Certain variables and parameters were applied across multiple versions of the model (described below). Let Y denote the allowance or denial decision for claimant i at any step of the appeals process, with Y = 1 if the ALJ allowed the claim and 0 otherwise. Each model took a typical hierarchical generalized linear form for a binary outcome: The probability of allowance, \u03c0, was a function of covariate vectors measuring characteristics of claims, Xijo, characteristics of the ALJs assessing those claims, Xjo, and characteristics of the hearing offices where the decision occurred, X. Claimants were clustered in j = {1, 2, \u2026 , J} judges, and judges were clustered in o = {1, 2, \u2026, O} offices. g is the inverse logistic link function.", "We included normally distributed random effects, \u03b5(.), for each judge, office, and the claimant\u2019s primary diagnosis, indexed by diagnosis codes d = {1, \u2026 , D}. Random effects allowed the intercept for each group, \u03b1(.) = \u03b1 + \u03b5(.), to vary around the population average intercept, \u03b1, as a function of the group\u2019s variance, \u03c3(.): To make interpretation and computation easier, we classified all continuous covariates into substantively meaningful categories, and set the omitted reference categories to the sample modes. This transformation implied that the random effect variance, \u03c3(.), described variation across judges and offices for a claim that had the modal value of all other covariates in the model and sample. The reference claim remained constant across models fitted to different subsamples, in order to make inferences about a claim that was typical for the study population.", "The center of the data at the modes, \u03b1, may not necessarily correspond to an actual claim. For example, all judges do not practice at the modal hearing office, and the modal age for the study population may not be typical for claims made in the modal office. Nevertheless, rescaling facilitates estimation and interpretation of the model, because all inference can be done on \u03b1 and \u03b1(.) directly, using the random effect variance, \u03c3(.), without transformation. This allowed us to concisely describe variation in allowance rates for a hypothetical, typical claim in the joint covariate distribution.", "In the body of this report, we summarized variation across judges and offices, holding constant other covariates at their sample means, using the estimated distribution of group intercepts scaled in logits: To describe variation across groups on the probability scale, we estimated the quantiles bounding the middle 50 and 90 percent of the group density on the logit scale and then transformed them using the inverse logistic function, g. This reference case does not represent a feasible claim, because the means of the categorical covariates are just the sample proportions. However, this approach complements the centering of the sample, which allows the group variance parameters, \u03c3(.), to represent variation across groups for a feasible reference case at the sample modes."], "subsections": []}]}, {"section_title": "Covariates and Subsamples", "paragraphs": ["We fit a sequence of models using different covariates and subsamples, listed below. Fitting several models allowed us to assess how simplifying assumptions, such as ignoring the step at which ALJs made allowance decisions, affected our results. This approach also assessed the stability of estimates across multiple runs of the computational model estimation methods. We describe the substantive meaning of the covariates above, and give their exact measurement when reporting results in table 7 below.", "Model 1: Intercepts Only", "Model 2: Add Covariates (Unemployment and poverty vary at the state level, not at the office level, but we include them with the office covariates for simplicity.)", "Model 3: Claims Decided at Steps 4 or 5 We estimated Model 2 for only those claims decided at steps 4 or 5, according to each claim\u2019s Regulation Basis Code. In these last two steps of the sequential disability decision-making process, the judge determines whether claimants retain the ability to perform their past work or other work in the national economy, given the limitations of their impairment and their age, education, and work experience. SSA officials provided methods to map these codes to steps of the appeals process. Estimating the model for decisions at steps 4 or 5 allowed all parameters to vary at these steps versus all steps in the pooled sample. For example, diagnosis may be less strongly associated with allowances at step 5 than at step 3, while the claimant\u2019s age may be more strongly associated.", "Models 4-6: Stratify by Year of Decision and Claim Type To assess how the amount of variation across judges and offices has changed over time, we estimated Model 2 separately for each year of decision, claim type, and the cross-classification of these variables. Stratified models allowed all parameters to vary across claim types and years.", "Model 7: Exclude Potentially Endogenous Covariates We excluded covariates from Model 2 that may not be exogenous to the probability of approval. These include representation by an attorney or other person and the presence of a medical or vocational expert. Claims with legal representation may have higher approval rates if representatives tend to accept claims with greater merit and, therefore, a greater chance of compensation. (Representatives typically receive a share of their client\u2019s benefits as compensation.) According to SSA officials, medical and vocational experts may be more likely to testify at a hearing, depending on the judge\u2019s expected ruling on the case. Although judges generally have discretion about whether to involve medical and vocational experts, judges are required to seek the opinion of a medical expert in certain cases. For example, a judge must have a medical expert provide an opinion if the judge is considering allowing benefits because the claimant\u2019s impairment may be medically equivalent to one in SSA\u2019s Listing of Impairments. Excluding these covariates avoids potentially biasing estimates of the judge and office parameters of primary interest."], "subsections": []}, {"section_title": "Results", "paragraphs": ["We provide the estimated distributions of allowance rates across judges, hearing offices, and primary diagnoses, holding all other covariates at their means, in table 6 below. Each row in the table lists results for one specification of the model described above. We derived quantiles of the distributions across groups with the data and estimated model parameters, using the methods above. The standard deviations of the allowance rates on the logit scale are explicit parameters in the model and were directly estimated with the fixed coefficients. We used these distributions to describe variation across judges, offices, and diagnoses in the body of this report and in figures, where we interpret the results in more detail.", "Table 7 below provides estimated odds-ratios of allowances for the factors other than judge, hearing office, and diagnosis in our primary model of ALJ allowance rates (Model 2 above), along with sample distributions and raw allowance rates. We used the primary model to support our findings in the body of this report, where we interpret the results below in more detail. Our model included variables that are measures or approximate measures for (1) claimant characteristics that represent criteria used in the disability decision-making process, (2) judge characteristics, (3) other participants in the decision-making process, (4) SSA administrative characteristics, and (5) economic characteristics of the claimant\u2019s state. The interpretation of the odds ratio for a particular variable depends on whether the variable is a dummy variable or a categorical variable. For dummy variables, a statistically significant odds ratio that is greater/less than 1.00 indicates that claimants with that characteristic are more/less likely to be allowed than claimants without it. For categorical variables, a statistically significant odds ratio that is greater/less than 1.00 indicates that claimants in that category are more/less likely to be allowed than the claimants in the reference category."], "subsections": []}, {"section_title": "Evaluation of SSA\u2019s Processes to Monitor Accuracy and Consistency in Hearings Decisions", "paragraphs": ["For objective 2, we reviewed relevant federal laws, regulations, and documentation, and collected testimonial evidence from SSA officials to describe and evaluate the processes that SSA uses to monitor hearing decisions, detect variation, and improve accuracy and consistency. We interviewed SSA officials at different levels, including officials at headquarters, regional, DDS, and field office levels. We reviewed documents such as SSA\u2019s Hearings, Appeals, and Litigation Law (HALLEX) manual, policy memoranda issued by the Chief Administrative Law Judge, monitoring and quality assurance reports, user manuals and guides for electronic tools, SSA OIG reports, and descriptions of processes that are under development. We assessed these monitoring efforts against federal internal control standards and our management and evaluation guide for assessing fragmentation, overlap, and duplication in government programs. We also reviewed SSA\u2019s annual performance plans from fiscal year 2006 through fiscal year 2017 to identify performance measures the agency has established to improve the accuracy and consistency of its hearings decisions. We evaluated the current performance measures using key attributes of performance measures used in prior GAO work and federal internal control standards. In addition to interviews with agency officials, as described above, we also interviewed officials from organizations representing judges, disability claimants, and representatives to obtain their perspectives on SSA\u2019s efforts to monitor and improve accuracy and consistency."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Erin M. Godtland, Assistant Director; Rachael Chamberlin, Analyst-in-Charge; Dana Hopings, LaToya King, Stephen Komadina, Rhiannon Patterson, and Jeff Tessin made significant contributions to the report. In addition, Daniel Bertoni, Deborah Bland, David Chrisinger, Melinda Cordero, Holly Dye, Bill Egar, Alex Galuten, Benjamin Licht, Serena Lo, Mimi Nguyen, Samuel Portnow, Sheila McCoy, and Shana Wallace made valuable contributions."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-698", "url": "https://www.gao.gov/products/GAO-18-698", "title": "Whistleblower Program: IRS Needs to Improve Data Controls for Some Award Determinations", "published_date": "2018-09-28T00:00:00", "released_date": "2018-10-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Tax whistleblowers who report on the underpayment of taxes by others have helped IRS collect $3.6 billion since 2007, according to IRS. IRS pays qualifying whistleblowers between 15 and 30 percent of the proceeds it collects as a result of their information. However, until February 9, 2018, IRS did not pay whistleblowers for information that led to the collection of FBAR penalties.", "GAO was asked to review how often and to what extent whistleblower claims involve cases where FBAR penalties were also assessed. Among other objectives, this report (1) describes the extent to which FBAR penalties were included in whistleblower awards prior to the statutory change in definition of proceeds; (2) examines how IRS used whistleblower information on FBAR noncompliance, and how IRS responded to the statutory change in definition of proceeds; and (3) describes the purposes for which IRS collects and uses FBAR penalty data, and assesses controls for ensuring data reliability. GAO reviewed the files of 132 claims closed between January 1, 2012, and July 24, 2017, that likely included FBAR allegations; analyzed IRS data; reviewed relevant laws and regulations, and IRS policies, procedures and publications; and interviewed IRS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Prior to February 9, 2018, when Congress enacted a statutory change requiring the Internal Revenue Service (IRS) to include penalties for Report of Foreign Bank and Financial Accounts (FBAR) violations in calculating whistleblower awards, IRS interpreted the whistleblower law to exclude these penalties from awards. However, GAO found that some whistleblowers provided information about FBAR noncompliance to IRS. In a sample of 132 whistleblower claims closed between January 2012 and July 2017, GAO found that IRS assessed FBAR penalties in 28 cases. It is unknown whether the whistleblower's information led IRS to take action in all of these cases. These penalties totaled approximately $10.7 million. Had they been included in whistleblower awards, total awards could have increased up to $3.2 million. Over 97 percent of the FBAR penalties collected from these 28 claims came from 10 cases with willful FBAR noncompliance, for which higher penalties apply.", "IRS forwards whistleblower allegations of FBAR noncompliance to its operating divisions for further examination. However, IRS Form 11369, a key form used for making award determinations, does not require examiners to include information about the usefulness of a whistleblower's information FBAR and other non-tax issues. After Congress enacted the statutory change, IRS suspended award determinations for 1 week, but resumed the program before updating the form or its instructions, or issuing internal guidance on new information required on the Form. As of June 28, 2018, IRS had not begun updating the Form 11369 or its instructions. The lack of clear instructions on the form for examiners to include information on FBAR and other non-tax enforcement collections may result in relevant information being excluded from whistleblower award decisions.", "IRS maintains FBAR penalty data in a standalone database. It uses these data for internal and external reporting and to make management decisions. Because of the change in statute, IRS will need these data for determining whistleblower awards. GAO found that IRS does not have sufficient quality controls to ensure the reliability of FBAR penalty data. For example, IRS staff enter data into the database manually but there are no secondary checks to make sure the data entered are accurate. Without additional controls for data reliability, IRS risks making decisions, including award determinations, with incomplete or inaccurate data.", "This is a public version of a sensitive report issued in August 2018. Information on the FBAR Database that IRS deemed to be sensitive has been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends IRS update IRS Form 11369 and improve controls for the reliability of FBAR penalty data. IRS agreed with all of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Tax whistleblowers\u2014individuals who report the underpayment of taxes or the violation of tax laws by others\u2014could help the Internal Revenue Service (IRS) collect potentially billions of dollars in revenue that may otherwise go uncollected. According to IRS, whistleblower information has assisted IRS in collecting almost $3.6 billion since 2007. This information can help reduce the tax gap\u2014the difference between the amount of taxes owed by taxpayers and the amount voluntarily paid on time. The Tax Relief and Health Care Act of 2006 included an expansion of IRS\u2019s whistleblower program by establishing the IRS Whistleblower Office and requiring IRS to pay qualifying whistleblowers between 15 and 30 percent of the proceeds IRS collects as a result of the whistleblower\u2019s information.", "The Bank Secrecy Act and its implementing regulations require certain individuals with offshore bank accounts to file an annual Report of Foreign Bank and Financial Accounts (FBAR). FBARs help the government identify and prevent tax evasion, money laundering, terrorist financing, and other crimes. IRS enforces FBAR filing requirements. Individuals who fail to disclose these accounts and pay appropriate taxes on them contribute to the tax gap. If IRS identifies these unreported accounts and income, it can assess taxes, interest, and penalties. For each FBAR violation, the penalty for willful violations can be as high as the larger of $100,000 (adjusted for inflation) or half of the value of the unreported account at the time of the violation. Some estimates put the value of offshore accounts in the hundreds of billions to over a trillion dollars.", "In an August 2014 regulation, IRS interpreted the tax whistleblower law as applying only to collections made under Title 26, the U.S. Tax Code. Because penalties assessed and collected by IRS for FBAR violations are collected under Title 31, the Bank Secrecy Act, IRS did not include these penalties in whistleblower award calculations. Similarly, criminal fines, which are collected under Title 18, were excluded from whistleblower award calculations.", "Some whistleblowers have challenged these exclusions in the courts. Also, in 2015, the IRS Taxpayer Advocate Service included a legislative recommendation in its annual report that Congress amend the tax whistleblower law to specifically include FBAR penalties in proceeds. On February 9, 2018, Congress passed legislation that replaced the term \u201ccollected proceeds\u201d with the word \u201cproceeds\u201d and defined proceeds as \u201cpenalties, interest, additions to tax, and additional amounts provided under the internal revenue laws and any proceeds arising from laws for which the Internal Revenue Service is authorized to administer, enforce, or investigate, including criminal fines and civil forfeitures, and violations of reporting requirements.\u201d", "Prior to the statutory change in the definition of proceeds, you asked us to review how often and to what extent whistleblower claims involve cases where FBAR penalties were also assessed. This report (1) describes the extent to which the Whistleblower Office included FBAR penalties in whistleblower awards prior to the change in the definition of proceeds; (2) examines how IRS used whistleblower information on FBAR noncompliance and how IRS responded to the statutory change in the definition of proceeds; (3) describes the purposes for which IRS collects and uses data from the FBAR Database and assesses the controls for ensuring data reliability; and (4) summarizes what is known about the potential effect that exclusions from whistleblower awards, including FBAR penalties, may have had on whistleblowers bringing claims to IRS.", "This report is a public version of a sensitive report that we issued in August 2018. IRS deemed some of the information in our August report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about the information security safeguards of IRS\u2019s FBAR Database as well as an associated recommendation. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address our first objective, we reviewed a generalizable stratified sample of 132 whistleblower claim files closed between January 1, 2012, and July 24, 2017, (the time of our analysis) to identify how often these claims included allegations related to offshore accounts and FBAR violations and how often these claims led to IRS assessing FBAR penalties. The sample included (1) all 92 claims where the taxpayer identified by the whistleblower was also included in IRS\u2019s FBAR Database, IRS\u2019s database of FBAR enforcement actions; (2) all 10 claims that the Whistleblower Office closed as having no Title 26 collected proceeds; and (3) a sample of 30 claims randomly selected from 299 claims identified as having one or more key words indicating offshore account activity in E-TRAK, the Whistleblower Office\u2019s electronic claims management information system. We compared information gathered from our file review with data on FBAR enforcement actions from the FBAR Database. We also interviewed IRS officials.", "We assessed the reliability of the FBAR Database and E-TRAK to use limited data from these databases for our own analysis. We reviewed agency documents, electronically tested data for missing data and outliers, and interviewed IRS officials about these databases. These two databases are the only sources of data within IRS for whistleblower claims information and FBAR enforcement actions and outcomes. We used data from E-TRAK to identify whistleblower claims that were likely to involve allegations of FBAR noncompliance. We compared data from E- TRAK and the FBAR Database to identify individuals that were named by a whistleblower and also subject to FBAR enforcement actions and any related enforcement actions taken by IRS. We also reviewed data on the amount of FBAR penalties assessed, if any, to the individuals included in our sample. We discuss the limitations of these databases in this report, but concluded that the elements we used in our analyses were sufficiently reliable for our purposes.", "To address our second objective, we reviewed relevant portions of the Internal Revenue Manual (IRM) and other IRS internal guidance. We interviewed IRS Whistleblower Office and IRS operating division officials about what IRS did with information received from whistleblowers about FBAR allegations prior to the statutory change in the definition of proceeds. In addition, we reviewed the February 2018 statutory provisions concerning the definition of proceeds on which whistleblower awards are based.", "To address our third objective, we evaluated IRS\u2019s FBAR Database to identify any control deficiencies, using as criteria principles on design activities for information systems and use of quality information from Standards for Internal Control in the Federal Government; the Federal Information Security Modernization Act of 2014, and National Institute of Standards and Technology Special Publication 800-53. We electronically tested the FBAR Database for missing data, outliers, and obvious errors, and reviewed IRS documentation on the database. We also interviewed IRS officials responsible for maintaining and using the database to determine how IRS uses the data, existing controls, any known limitations of the database, and any planned changes or improvements for the database. While we determined that the data we used from the FBAR Database were sufficiently reliable for the purposes of identifying individuals also named in whistleblower claims as well as FBAR enforcement outcomes, we identified risks to the reliability of the data, as discussed later in the report.", "For our fourth objective, we interviewed a nonprobability sample of 11 attorneys from nine law firms that represent multiple clients who have submitted claims to the IRS Whistleblower Office under Section 7623(b). The views expressed in these interviews represented only those of the attorneys who participated and are not generalizable to all whistleblower attorneys or law firms. These attorneys also have a financial interest in IRS\u2019s treatment of whistleblower claims; however, interviewing these attorneys allowed us to gather broad viewpoints on how whistleblower award exclusions may affect their professional decisions and the decisions of their clients and prospective clients. We also analyzed FBAR penalty data from the FBAR Database, and tax assessment data. In addition, we interviewed IRS Whistleblower Office and operating division officials.", "The performance audit upon which this report is based was conducted from March 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with IRS from August 2018 to September 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["Since 1867, the internal revenue laws have allowed the government to pay awards to individuals who provided information that aided in detecting and punishing those guilty of violating tax laws. In 1996, Congress increased the scope of the program to also provide awards for detecting underpayments of tax. It also changed the source of awards to money IRS collects as a result of information whistleblowers provide rather than appropriated funds. The Tax Relief and Health Care Act of 2006 created a mandatory whistleblower award program which made fundamental changes to IRS\u2019s existing informant awards program. The 2006 act also established the IRS Whistleblower Office. The Whistleblower Office processes claims that allege a tax noncompliance of more than $2 million as potential 7623(b) claims. If these claims meet the requirements for an award, the whistleblower receives a mandatory award of between 15 and 30 percent of collected proceeds, with the exact percentage determined by IRS\u2019s Whistleblower Office based on the extent of the whistleblower\u2019s contributions. Claims not meeting the criteria for a 7623(b) claim are referred to as 7623(a) claims and are subject to procedural steps similar to those of 7623(b) claims. However, 7623(a) claims are neither eligible for appeals to the U.S. Tax Court nor subject to mandatory award payments.", "For claims processed as 7623(b) claims, the whistleblower claims process involves multiple steps, starting with a whistleblower\u2019s initial application and ending with a rejection, a denial, or an award payment. The process begins when a whistleblower submits a signed Form 211, Application for Award for Original Information, to the Whistleblower Office. The Initial Claim Evaluation unit, which is part of the Small Business/Self- Employed operating division, performs an administrative review of the incoming applications. The Initial Claim Evaluation unit examines the submission for completeness and logs it into E-TRAK. They may reject claims because the tax noncompliance allegation is unclear, no taxpayer is identified, or the whistleblower is ineligible for an award. Claims that are not rejected are sent to classification to determine which operating division should review the claim. Claims are then generally sent to subject matter experts in the various operating divisions\u2014usually the Small Business/Self-Employed or Large Business & International division\u2014where they are reviewed to determine whether the claims merit further consideration by the operating division, should be referred to Criminal Investigation for investigation, or should be sent back to the Whistleblower Office as denied. Claims can be denied if there is limited audit potential or if there is limited time left on the statute of limitations, among other reasons. Claims that are not denied are generally added to the operating division\u2019s inventory for potential examination. If a claim is selected for examination, the examiner completes and returns to the Whistleblower Office a Form 11369, Confidential Evaluation Report on Claim for Award, at the conclusion of the examination. The Whistleblower Office uses the information on this form when making an award determination. Figure 1 summarizes the full claim review process for 7623(b) claims.", "According to the fiscal year 2017 Whistleblower Office annual report, IRS collected $191 million in fiscal year 2017 as a result of both 7623(a) and 7623(b) whistleblower claims. IRS also paid out $34 million on 367 claims to 242 whistleblowers. The average whistleblower award for fiscal year 2017 was over $140,000. Figure 2 below shows the collection and payout amounts for fiscal years 2012 through 2017."], "subsections": [{"section_title": "Collected Proceeds", "paragraphs": ["Prior to February 9, 2018, section 7623(b) of Title 26 required the Whistleblower Office to calculate whistleblower award amounts as a percent of \u201ccollected proceeds (including penalties, interest, additions to tax, and additional amounts).\u201d On August 12, 2014, IRS issued a final rule to implement section 7623 (the whistleblower law) that clarified that certain penalties\u2014those collected under Title 31 for FBAR violations, and those collected under Title 18 for criminal and civil penalties for tax law violations\u2014do not constitute collected proceeds for calculating whistleblower awards. IRS received comments on the proposed rule contending that excluding money collected under Title 18 and Title 31 eliminates a whistleblower\u2019s incentive to provide information on violations under these titles and would reduce the number of whistleblowers willing to provide information to IRS. IRS stated in its final rule that section 7623 only authorizes awards for amounts collected under Title 26. IRS also noted that under the Victims of Crime Act, criminal fines paid for tax law violations must go into the Crime Victims Fund and are unavailable for payment to whistleblowers.", "Whistleblowers challenged IRS\u2019s definition of collected proceeds in court. In August 2016, the U.S. Tax Court issued a ruling in response to a petition filed by a married couple who, as whistleblowers, had provided information leading to a conviction related to a tax fraud scheme and then disputed the award determination made by the Whistleblower Office. The U.S. Tax Court ruled that criminal fines and civil forfeitures were collected proceeds for purposes of an award under Section 7623(b). In its ruling, the court held that \u201cthe term \u2018collected proceeds\u2019 means all proceeds collected by the Government from the taxpayer\u201d and that \u201c\u2026the term is broad and sweeping; it is not limited to amounts assessed and collected under title 26.\u201d On April 24, 2017, IRS filed an appeal of the Tax Court\u2019s decision with the U.S. Court of Appeals for the District of Columbia Circuit.", "Before the U.S. Court of Appeals made a final ruling, Congress replaced the term \u201ccollected proceeds\u201d with the term \u201cproceeds\u201d and provided a definition of \u201cproceeds\u201d on February 9, 2018, in the Bipartisan Budget Act of 2018. The act\u2019s definition of proceeds includes: (1) penalties, interest, additions to tax, and additional amounts provided under the internal revenue laws; and (2) any proceeds arising from laws for which the IRS is authorized to administer, enforce, or investigate including criminal fines and civil forfeitures, and violations of reporting requirements. This includes FBAR penalties in the definition of proceeds, as well as criminal fines and civil forfeitures. This definition of proceeds applies to cases for which a final determination for an award was not made prior to enactment. On March 26, 2018, IRS withdrew its appeal before the U.S. Court of Appeals."], "subsections": []}, {"section_title": "Reporting of Foreign Bank and Financial Accounts", "paragraphs": ["Under the Bank Secrecy Act of 1970, and in particular those sections incorporated into Title 31 of the U.S. Code, U.S. persons with a financial interest in, or signature or other authority over a bank, securities, or other financial account in a foreign country are required to keep records and file reports on transactions with foreign financial institutions. Persons with a financial interest or signature authority over one or more foreign financial accounts with a total value of more than $10,000 must file an FBAR with the Department of the Treasury (Treasury). If an FBAR is required, it must be filed each year for the previous calendar year on or before April 15 (or other date as prescribed by the IRS) to coincide with the tax filing deadline. Administration of this statute has been delegated by Treasury to the Financial Crimes Enforcement Network (FinCEN). In April 2003, FinCEN delegated its authority to IRS to enforce the FBAR requirements. These requirements include conducting examinations of FBAR compliance and taking such enforcement actions as assessing penalties, as appropriate.", "A person\u2019s civil penalty for each FBAR violation can be up to $500 for a negligent FBAR violation and up to $10,000 for non-willful violation. In addition, a person with a willful FBAR violation may be subject to a civil monetary penalty equal to the greater of $100,000 or 50 percent of the amount in the account at the time of the violation, and also be subject to possible criminal sanctions. These penalties are per person, per account, and per year. According to the Internal Revenue Manual (IRM), FBAR penalties assessed by IRS are collected and tracked separately from tax assessments."], "subsections": []}]}, {"section_title": "Prior to February 2018, IRS Did Not Consider Whistleblower Information That May Have Led to FBAR Enforcement Actions in Award Determinations Whistleblowers Likely Identified Millions in FBAR Noncompliance for Which They Were Not Awarded", "paragraphs": ["IRS assessed approximately $10.7 million in FBAR penalties to taxpayers who were identified in our sample of whistleblower claims. We reviewed 92 whistleblower claims closed between January 1, 2012, and July 24, 2017, where the identified taxpayer was also subject to an IRS FBAR examination. IRS assessed FBAR penalties in 28 of these 92 cases. In none of these instances was the FBAR penalty included in the collected proceeds used to calculate whistleblower awards. Our analysis of these 28 claims suggests that if IRS had included FBAR penalties in the awards, the whistleblowers involved could have received an additional $1.6 million to $3.2 million, assuming an award of between 15 and 30 percent.", "Examples of Whistleblower Claims A whistleblower claim may provide IRS information on the undisclosed offshore account of a single individual (such as a business partner, former spouse, or family member), while other whistleblowers, such as bank insiders, may provide IRS a list of individuals with undisclosed offshore accounts.", "The exclusion of FBAR penalties from whistleblower awards is consistent with IRS\u2019s August 2014 regulation outlining the whistleblower award process. The final regulation describes the process for determining whistleblower awards and includes a definition of collected proceeds. Specifically, the regulation defines collected proceeds as \u201climited to amounts collected under the provisions of Title 26, United States Code.\u201d This definition excluded FBAR penalties assessed under Title 31 and criminal fines assessed under Title 18. This regulation\u2019s definition of collected proceeds, however, has been superseded by the replacement of \u201ccollected proceeds\u201d with \u201cproceeds\u201d and a definition of \u201cproceeds\u201d in the Bipartisan Budget Act of 2018, effective February 9, 2018. The new law defines proceeds as including \u201cpenalties, interest, additions to tax, and additional amounts provided under the internal revenue laws and any proceeds arising from laws for which the Internal Revenue Service is authorized to administer, enforce, or investigate, including criminal fines and civil forfeitures, and violations of reporting requirements.\u201d", "While no whistleblowers were paid for any FBAR penalties collected as a result of the information they provided to the Whistleblower Office, our analysis found that IRS took FBAR enforcement actions against at least 10 taxpayers based on whistleblowers\u2019 information. Table 1 shows the FBAR enforcement outcomes for the 92 claims we reviewed.", "Of these 92 whistleblower claims we reviewed where the identified taxpayer was subject to an FBAR enforcement effort, 39 involved taxpayers accepted into IRS\u2019s Offshore Voluntary Disclosure Programs (OVDP). OVDP enables taxpayers with tax noncompliance from undisclosed offshore accounts to avoid prosecution and resolve their past noncompliance by paying limited civil penalties. As one of a number of required actions for OVDP, IRS assesses taxpayers accepted into the program a miscellaneous Title 26 offshore penalty in lieu of all other penalties for undisclosed foreign accounts, including FBAR penalties. According to IRS officials, because the OVDP penalty is a Title 26 penalty, these collections were included in collected proceeds for the purposes of whistleblower award calculations even before the new definition of proceeds took effect on February 9, 2018. The case files we reviewed included some examples of whistleblowers receiving an award based in part on the miscellaneous Title 26 OVDP penalty in addition to tax, interest, and other penalties. If the taxpayer had not participated in OVDP, the whistleblower would not have received an award on the part of the collected proceeds that came from the FBAR penalty.", "FBAR Warning Letters At the conclusion of a Report of Foreign Bank and Financial Accounts (FBAR) examination, an examiner can either assess a penalty or can use a warning letter (Letter 3800, Warning Letter Respecting Foreign Bank and Financial Accounts Report Apparent Violations) to notify taxpayers that they are not in compliance with FBAR reporting requirements. The examiner can use their discretion to issue a warning letter if they determine that the taxpayer would improve their FBAR reporting compliance in the future. A taxpayer\u2019s failure to file an FBAR after receiving a warning letter supports a determination of a willful FBAR violation.", "The new definition of proceeds establishes a policy of including FBAR penalties in whistleblower awards regardless of whether the identified taxpayer enters OVDP or is assessed an FBAR penalty as a result of an FBAR exam. It also creates consistency with the treatment of penalties assessed under the Foreign Account Tax Compliance Act (FATCA). FATCA, enacted in 2010 under Title 26, assesses penalties for failure to report foreign financial accounts and assets. Because FATCA is under Title 26, any penalties assessed stemming from a whistleblower\u2019s information were already eligible for inclusion in whistleblower awards.", "Of the total revenue collected from the 28 whistleblower claims we reviewed with an FBAR penalty assessed, more than 97 percent came from 10 cases with willful FBAR penalties. Willful FBAR penalties, which are up to 50 percent of the value of the account, represent a small portion (less than 0.1 percent) of all whistleblower claims closed in our time frame, and less than half of the 28 FBAR penalty cases we reviewed. However, we calculated that had these willful penalties been included in awards, the whistleblower awards would have increased by up to $3,145,754. In contrast, the 18 cases that had a non-willful or negligent FBAR penalty would have led to an increase in whistleblower awards of up to $78,912 based on our calculations. Table 2 shows the number of cases and total amount of FBAR penalties collected by the type of FBAR penalty.", "Whistleblowers may play an important role in bringing willfully noncompliant taxpayers to the attention of IRS. These taxpayers may be purposefully hiding their assets from IRS detection. To highlight the difference in the magnitude of FBAR penalties between willful and non- willful or negligent taxpayers, figure 3 shows the range of potential whistleblower awards had FBAR penalties been included in award determinations."], "subsections": [{"section_title": "Some Whistleblower Claims Closed between January 2012 and July 2017 Included FBAR Allegations", "paragraphs": ["There is no way to estimate how many whistleblowers would have come forward had IRS included FBAR penalties in whistleblower awards. However, we found a small number of whistleblower claims that included FBAR information anyway. To look for how often whistleblowers submitted claims with allegations of FBAR noncompliance, we identified 401 of the 10,306 IRS whistleblower claims closed between January 1, 2012, and July 24, 2017, as likely to contain allegations of FBAR noncompliance by an identified taxpayer. We identified three groups of claims as being most likely to contain allegations of FBAR noncompliance: 92 claims where the identified taxpayer was subject to an FBAR enforcement action (population discussed above); 299 claims that included key terms in E-TRAK indicating offshore assets; and 10 claims that were closed with \u201cno Title 26 collected proceeds,\u201d which could indicate FBAR noncompliance since FBAR penalties are Title 31 penalties. Since FBAR penalties were excluded from whistleblower proceeds, IRS did not track FBAR allegation data in E-TRAK. Therefore, our numbers might underrepresent the total population of claims likely to include allegations of FBAR noncompliance.", "We reviewed all 92 of the claims that included taxpayers that were also present in IRS\u2019s FBAR Database (matched claims) and found that 85 of them included allegations of FBAR noncompliance on IRS Form 211, the form used to submit a claim to the Whistleblower Office. We reviewed a random sample of 30 claims from the 299 claims we identified as being likely to include FBAR information based on key terms in the E-TRAK database (key terms claims)\u201411 of them included allegations of FBAR noncompliance. We also reviewed all 10 of the claims that were closed with \u201cno Title 26 collected proceeds\u201d and found one allegation of FBAR noncompliance. This was not unusual because IRS uses the \u201cno Title 26 collected proceeds\u201d code for closures other than those with FBAR penalties, such as claims with Title 18 criminal fines. Table 3 shows our three populations and how often we found claims with allegations of FBAR noncompliance in each.", "Based on our stratified sample of selected whistleblower claims, we estimate that at least 1.4 percent (or at least 146 claims) of all large-dollar (7623(b)) whistleblower claims closed between January 1, 2012, and July 24, 2017, involved allegations of FBAR noncompliance. Because the Whistleblower Office did not require data in E-TRAK to indicate the nature of the violation the whistleblower is reporting, the actual number of claims that include allegations of FBAR noncompliance may be higher. While our estimate represents a small proportion of all whistleblower claims, this may be because of the prior policy of excluding FBAR penalties from awards. However, the analysis suggests that despite being ineligible for award payment, some whistleblowers provided information on FBAR noncompliance to IRS that may have helped improve FBAR\u2019s effectiveness as a tool for anti-money laundering and tax enforcement. With the statutory change in award basis, IRS may see more whistleblowers come forward with better information about FBAR noncompliance, according to whistleblower attorneys we interviewed."], "subsections": []}]}, {"section_title": "IRS Historically Used FBAR Information from Whistleblower Claims for Enforcement Efforts, but the Statutory Change in Award Basis Increases the Importance of Reporting Full Information The Whistleblower Office Forwarded FBAR Information to Other IRS Divisions for Exam Purposes, Even Before FBAR Information Was Required to Be Included in Award Determinations", "paragraphs": ["Even though FBAR penalties were not considered for whistleblower awards until the February 9, 2018 legislative change, the Whistleblower Office forwarded allegations it received of FBAR noncompliance to IRS\u2019s operating divisions for further examination. Whistleblower Office officials told us that if a whistleblower provides information concerning offshore accounts held by a taxpayer, including specific allegations of FBAR noncompliance, IRS evaluates it as it does any other information. The presence of information on possible FBAR noncompliance does not change the process for evaluating the claim. Whistleblower Office instructions for the initial review of a claim specify that, if the claim merits further consideration, it will be referred to the appropriate operating division for review.", "According to officials from the Small Business/Self-Employed and Large Business & International operating divisions, during their review process information dealing with offshore accounts and possible FBAR violations is treated just as all other information provided by a whistleblower. Once a claim is referred to an operating division, it is generally reviewed by a subject matter expert who then determines whether the claim has sufficient audit potential to warrant adding it to the division\u2019s inventory of possible returns for audit. If the subject matter expert concludes that the claim does not have sufficient audit potential, or the division later decides not to proceed with an examination, the claim is returned to the Whistleblower Office. If the subject matter expert forwards a whistleblower claim for possible audit and an examination takes place, the examiners will establish an audit file for the tax examination. If evidence of FBAR noncompliance is found, a separate audit file is to be created. Most often, both files are maintained and updated by the same examiners. According to IRS officials and procedures laid out in the IRM, the outcome of the examination is based on the quality of the evidence and is not influenced by the presence of a whistleblower or the source of the information.", "Information on FBAR noncompliance developed by examiners may or may not be provided to the Whistleblower Office. At the conclusion of the examination process, the examiner provides the Whistleblower Office with a Form 11369, Confidential Evaluation Report on Claim for Award. On this form, examiners are required to answer a series of detailed questions about the whistleblower\u2019s contribution to the investigation, such as whether the whistleblower identified specific issues or provided analysis that saved IRS time and resources. According to the IRM, the purpose of the Form 11369 is to inform the Whistleblower Office of the whistleblower\u2019s contribution, if any, to an examination, investigation, or other action.", "According to the instructions on the Form 11369 as well as the IRM, the Whistleblower Office bases its award determinations in large part on the form and information provided to supplement it. There is no specific space set aside on the Form 11369 for information dealing specifically with FBAR noncompliance. In addition, there are no instructions on or accompanying the form to require examiners to provide documentation relating to FBAR noncompliance.", "Prior to the legislative change in February 2018 to include FBAR penalties in awards, the Whistleblower Office retained in its files any FBAR-related information provided by the operating division but did not use it for the award determination process. According to Whistleblower Office officials, any information about FBAR noncompliance in its claim files was there incidentally and not collected or retained for any specific tracking purposes. These officials told us, and we found in our review, that some claim files had information about FBAR violations or penalties because the operating division examiner chose to include it in the Form 11369 narrative or in supplemental information, even though the examiner was not required to do so. Because providing FBAR information with the Form 11369 was discretionary prior to the legislative change in February 2018, Whistleblower Office officials told us that if FBAR information existed in the files at the time of the interview, it may not be complete.", "While having complete information about FBAR exams on the Form 11369 was not needed when IRS did not consider FBAR noncompliance as part of award determinations, now that it is defined as such by statute, the Whistleblower Office will need such information on FBAR noncompliance on Form 11369 to properly determine whistleblower awards in accordance with the new legal requirements. As of June 28, 2018, the Whistleblower Office had not updated Form 11369 or its accompanying instructions. Whistleblower Office officials told us they were reviewing and commenting on draft guidance from the Office of Chief Counsel on how to implement the new provision but had not yet updated the Form 11369 or its instructions. IRS officials did not provide a timeline for when IRS expects to update the form.", "Because this form asks questions specific to Title 26 tax noncompliance examiners may not have clear guidance indicating that non-Title 26 issues should be included in these answers. According to the IRM, the Form 11369 should assist the Whistleblower Office in making an award determination by explaining how the whistleblower and their information assisted IRS in taking action. By not using an updated form that reflects the technical language distinguishing between tax issues and non-Title 26 issues that IRS also enforces, the Whistleblower Office may not be able to ensure the information it collects for determining whistleblower awards that includes non-Title 26 violations is complete and accurate."], "subsections": [{"section_title": "IRS Has Taken Some Steps to Communicate Change in Whistleblower Award Basis", "paragraphs": ["When enacted on February 9, 2018, the new law immediately required information concerning FBAR violations to be included in the awards determination process. Subsequently, the Whistleblower Office and IRS started to make changes to policies and procedures to ensure award determination decisions are made fairly and with full information. The day the new statutory definition became law, IRS placed a hold on whistleblower award determinations while the Whistleblower Office developed new procedures. On February 15, 2018, IRS lifted the hold, instructing Whistleblower Office analysts to check with their managers prior to making award determinations on any claims that may include non- Title 26 proceeds. However, the Whistleblower Office did not issue any additional specific guidance to Whistleblower Office staff on how to review claims for any non-Title 26 issues until April 19, 2018. According to IRS officials, the Whistleblower Office closed 2,096 whistleblower claims between the date the law changed and April 19, 2018 when IRS issued the internal guidance.", "In the April 19, 2018 policy alert, later reissued as a memo on May 8, 2018, Whistleblower Office staff were instructed to look over the Form 211 for indications of FBAR or criminal activity when reviewing a Form 11369 or making award determinations. The policy alert also instructs staff to contact the FBAR Penalty Coordinator and review Special Agent\u2019s Reports and Judgement Documents for non-Title 26 proceeds and to document the results of these reviews in E-TRAK.", "Issuing complete and final guidance will take time; however the Whistleblower Office did not issue any interim guidance to IRS units outside the Whistleblower Office for more than 2 months after the enactment of the statute redefining proceeds. On April 12, 2018, the Director of the Whistleblower Office issued a memo to the commissioners of the operating divisions and chief of the Criminal Investigation division. This memo stated that those working on whistleblower claims need to provide the Whistleblower Office with details of how whistleblower information was used in any actions taken regardless of whether they were Title 26 issues or not. The Whistleblower Office emailed a communication similar to the memo to other IRS employees working on whistleblower claims on April 18, 2018. The initial memo did not provide specific instructions as to how to provide such information, such as specifying to use Form 11369, but the email said additional guidance and training would be forthcoming. According to Whistleblower Office officials, the timing of the internal communication about the change in whistleblower award basis was because the Whistleblower Office was waiting on draft guidance from the IRS Office of Chief Counsel. The Whistleblower Office received this draft guidance on April 19, 2018.", "In late April and early May, the Whistleblower Office posted information about these changes in internal IRS media, including IRS-wide web pages and pages for individual IRS operating divisions. The Whistleblower Office specified information should be included with the Form 11369 in these later communications. However, as noted above, the Form 11369 itself and its accompanying instructions had not been updated to reflect these new requirements.", "The current regulations on whistleblower claims, issued in August 2014, exclude non-Title 26 proceeds from the basis for determining whistleblower awards. According to IRS officials, as of June 20, 2018, IRS had not yet started to take action on making the regulatory change. IRS, however, is in the process of updating the IRM, which serves as the primary guidance for IRS employees. Section 25.2.2 of the IRM, which provides procedures and instructions for the whistleblower award programs, defines collected proceeds for the purpose of awards as tax, penalties, interest, and additions to tax limited to amounts collected only under the provisions of Title 26. According to IRS officials, while IRM updates take time to complete, generally the IRM can be updated quicker than a regulation. The officials could not provide a timeline for when these changes would be complete.", "IRS can communicate to the public about statutory changes to the whistleblower program through its various external communication channels, such as its website and social media accounts. Such communications are important because whistleblowers have a limited 30- day period to appeal certain award determinations. On May 9, 2018, IRS posted an announcement about the statutory change on the Whistleblower Office page of its web site. The announcement noted the enactment of the provision redefining proceeds for the purpose of whistleblower awards and provided a link to the May 8, 2018 Whistleblower Office memorandum. This information was posted 3 months after the statutory change went into effect and a month after we notified IRS that IRS had not yet announced the change through a press release, its web site, or its Twitter account."], "subsections": []}]}, {"section_title": "IRS Uses Its FBAR Database for Internal and External Reporting but Lacks Sufficient Controls", "paragraphs": [], "subsections": [{"section_title": "IRS Uses Data from Its FBAR Database to Manage Workflow and for Internal and External Reporting", "paragraphs": ["IRS collects and maintains FBAR penalty data in a stand-alone database. According to IRS officials, they use these data to carry out IRS\u2019s delegated duties to assess and collect such penalties. For example, the data are used for sending demand notice letters to taxpayers and tracking cases referred to the Department of Justice. According to these officials, IRS also uses information on FBAR penalty assessments and payments for a variety of related purposes including reporting FBAR data to the Financial Crimes Enforcement Network (FinCEN) and for use in annual reports to Congress. IRS also uses the database for internal management. Specifically, IRS officials stated that they use reports on inventory, penalties, and appeals for decision making. Given the February 2018 legislative change to include FBAR penalties in the definition of proceeds, the Whistleblower Office will also use FBAR penalty data for calculating some whistleblower award determinations.", "While FinCEN retains the rule-making authority for FBAR and is the repository of FBAR filings, IRS assesses and collects FBAR penalties from taxpayers who violate the FBAR reporting requirements. IRS also maintains the FBAR Database. While individuals file their FBAR forms through FinCEN\u2019s online Bank Secrecy Act E-filing portal, IRS enforces these filing requirements. Following procedures laid out in the IRM, IRS examiners can access FBAR filing data from FinCEN\u2019s database during the course of a tax examination. Information on the taxpayers\u2019 FBAR filings is available to examiners through IRS\u2019s Integrated Data Retrieval System, including data from filed tax and information returns.", "Data on FBAR enforcement actions, including penalties, are only housed in the FBAR Database. The FBAR Database is a stand-alone database maintained by the FBAR team within the Small Business/Self-Employed operating division. The FBAR Database does not interface or connect with any other IRS data sources or systems. Therefore, there is currently no mechanism for any data to automatically feed into or from the FBAR Database to cross-check with taxpayer information in other databases. When examiners open an FBAR exam, the IRM directs them to report exam and exam-outcome information to the FBAR team. Examiners fax, mail, or e-mail FBAR examination and penalty assessment information to the FBAR team which then transcribes the data into the FBAR Database manually. Within IRS, only the FBAR team has access to the database. Because the stand-alone FBAR Database is the only data source within IRS that tracks FBAR penalty assessments and payments, the FBAR team is responsible for completing all data entry as well as generating and circulating reports on FBAR enforcement actions to others within IRS."], "subsections": []}, {"section_title": "IRS Has Insufficient Controls for the Reliability of FBAR Penalty Data", "paragraphs": ["We assessed the reliability of the FBAR Database for the purposes of using limited data from this database for our own analysis. We determined that the data fields we used were sufficiently reliable for our purposes. Specifically, we matched taxpayer identification numbers in the FBAR Database to those in E-TRAK and reported on enforcement outcomes, including a limited number of penalty payments, as discussed previously. These data were the only available data within IRS on FBAR penalties and enforcement actions. Even though we found the data that we used to be sufficiently reliable for our purpose of identifying penalty information and selecting a sample of claims to review further, we identified some data control deficiencies related to data input and validation. We found certain elements of the database to have limited reliability. Because FBAR penalty information will be used for whistleblower award determinations, it is important for these data to be reliable.", "A key principle of federal internal control is the use of quality information. Agencies should have controls in their information systems to ensure the validity, completeness, and accuracy of data. Further, these controls should be documented. In addition, the Federal Information Security Modernization Act of 2014 (FISMA) provides for the development and maintenance of the minimum controls required to protect federal information and information systems. Among other things, FISMA requires the National Institute of Standards and Technology (NIST) to develop standards and guidelines that include minimum information security requirements on how agencies should design, protect, and manage their respective data systems. NIST\u2019s guidance outlines appropriate data safeguards for agency data systems based on a risk- based approach. NIST guidance also states an agency\u2019s information system should have controls to check the validity of inputs. This includes checking the valid syntax of inputs to ensure they match the specified definitions for format and content. NIST guidance also recommends controls to help ensure the information system behaves predictably, even if invalid data are entered.", "While FBAR team employees transcribe data manually into the database from emails or faxed or mailed paper forms, there are no procedures for data testing or validation. For example, there is no secondary check by another individual to ensure data were entered correctly and completely. The FBAR Database procedures also lack sufficient validity checks to ensure that the data entered are accurate. There are some basic data entry checks in the database, such as limiting input to alphanumeric entries and a warning if a date is more than a year from the current date. However, these checks serve only as a reminder for the employees entering the data to verify its accuracy; these checks do not prevent erroneous data from being entered and retained. Without additional controls for accuracy and validity, IRS risks relying upon inaccurate information for some of its reporting and decision making.", "According to IRS officials, not all fields in the FBAR Database are mandatory. In addition, some fields are new as of January 2017 and, therefore, only contain data after this time. IRS officials also told us that they are aware there are some data missing in the database, such as incomplete records for some taxpayers, but they could not quantify how often this occurs. They also told us that such missing data can contribute to inaccurate reports of FBAR total assessments. For example, if a date field is left blank, certain reports that pull data based on these date fields will not pull the records with this missing field, thereby underreporting FBAR outcomes. We found 44 records with input errors in this date field. The officials stated that they make every effort to input complete data into the database, but sometimes complete information is unavailable from the exam team. Because the FBAR data lack some reliability controls, IRS may rely on insufficient or incomplete data for reporting and decision making, including amounts of whistleblower awards.", "IRS officials did not have any documentation showing why or how the database was developed in November 2003. Further, IRS officials told us the only documentation on how the database is used is the FBAR Database desk guide. The desk guide provides instructions for data input; however, this guide does not include any information to describe or define the elements in the database. Standard data element definitions are intended to ensure that all users of the system define the same data in the same way and have a common understanding of their meaning. Such documentation is important for providing clear instructions to users to know what information should be input in each variable field to ensure that the type of data in each variable field is consistent. Without it, IRS and other users of the data may not have reasonable assurance that data in the database are input as intended.", "IRS recognized the need to address the FBAR Database and established an FBAR Improvement Project Team to review the FBAR Database and records system and make recommendations for improvements. The team was established in 2016 after reviews of database-generated reports indicated missing data. The FBAR Improvement Project Team has made recommendations to improve the overall function and reliability of the dataset, including updating FBAR policies and procedures and validating data for the report to Congress. They are also exploring automating case building by pulling taxpayer data from other IRS data sources and creating a report automation tool. As of April 2018, these recommendations had not been implemented. IRS officials were reviewing the recommendations and specific plans had not been vetted by the leadership in the relevant operating divisions. IRS officials noted that because of the small size and limited use of the database, it may be a low priority for scarce information technology resources. Until IRS develops and documents improved controls for the validity, completeness, and accuracy of data in the FBAR Database, it risks using incomplete and insufficient data for decision making."], "subsections": []}, {"section_title": "Award Exclusions May Have Negatively Affected Whistleblowers\u2019 Willingness to Bring Information to IRS Selected Whistleblower Attorneys in Our Review Reported They Limited or Refused to Take on Clients Who Alleged FBAR Noncompliance When Penalties Were Excluded from Awards", "paragraphs": ["Whistleblower attorneys we spoke with referred to the former exclusion for FBAR and other non-Title 26 collections from whistleblower awards as a significant concern for them and their clients. Their concerns are important to the success of the whistleblower program because if whistleblowers are discouraged from coming forward, IRS risks losing opportunities to identify tax fraud and abuse and ultimately reduce the tax gap. This loss of help in identifying noncompliance could be significant for IRS. According to IRS, between 2007 and 2017, whistleblower information helped IRS collect $3.6 billion in tax revenue that may have otherwise gone uncollected. According to the whistleblower attorneys we spoke with, as well as information we gathered in a search of relevant literature, the estimated value of undisclosed offshore accounts may be in the tens of billions of dollars, but could be as great as hundreds of billions of dollars.", "Prior to the legislative change in the definition of collected proceeds, we interviewed 11 whistleblower attorneys from nine law firms about their experiences representing tax whistleblowers who submitted allegations of FBAR noncompliance to IRS. Several of these firms also had experience helping whistleblowers appeal IRS award determinations. Of these nine firms, eight firms\u2019 attorneys told us they had refused or limited the number of whistleblowers alleging FBAR noncompliance they were willing to take on as clients when such collections were excluded from award determinations. For example, one attorney told us that his firm would take on whistleblower clients alleging FBAR violations only if there was strong evidence of tax noncompliance. An attorney with another firm reported that the firm was willing to take on such clients but advised these clients that the inclusion of FBAR penalties in any award may have to be litigated in court at the award determination phase. Further, attorneys with three of the nine firms reported fewer whistleblowers either approaching them for representation or following through on filing a claim once informed of the exclusion of non-Title 26 collections from awards. Attorneys with eight of the nine firms also reported that the exclusion of criminal fines from collected proceeds was a potential reason for whistleblowers not coming forward.", "We spoke with attorneys at eight of the nine firms again after the passage of the statutory change in the definition of proceeds. Most said that this was a positive step for the IRS whistleblower program and expected that more whistleblowers will come forward with information on criminal and FBAR violations. Attorneys with seven of the eight firms stated they would be willing or already had started taking on clients reporting FBAR and criminal violations. However, they cited other concerns with the program that could continue to limit their willingness to represent tax whistleblowers and discourage whistleblowers. These concerns included limits on anonymity for whistleblowers appealing Whistleblower Office decisions to the Tax Court; restrictions on filing claims anonymously; delays in award payments during the lengthy appeals process; and limited communication with the Whistleblower Office during the claim review process.", "According to these attorneys, for those whistleblowers who are offered an award that excludes FBAR penalty and criminal fine collections, many choose to forgo appealing the decision because it would delay their collection of any part of the award until the appeals process was complete, which can take years. Further, the whistleblower may risk losing their anonymity in an appeal. They added that some whistleblowers risk their lives and livelihoods to come forward and that anonymity is critical to their willingness to provide information to IRS. The attorneys generally stated that these issues can discourage whistleblowers, which then can limit the whistleblower program\u2019s effectiveness."], "subsections": []}, {"section_title": "Our Analysis Found No Evidence That Presence of Whistleblower Alters the Mix of FBAR Penalty and Tax IRS Assesses", "paragraphs": ["Some of the attorneys we interviewed indicated that whistleblowers may have been further discouraged from bringing information on offshore noncompliance to IRS if they believed that IRS was purposefully trying to limit whistleblower awards by assessing higher FBAR penalties and lower taxes when a whistleblower was involved. The IRM provides IRS examiners with some level of discretion about when to assess tax and FBAR penalties, subject to the facts and circumstances of each individual case. Attorneys at seven of the nine firms we interviewed expressed concern that IRS examiners may have used this discretion to assess higher FBAR penalties and lower taxes as a way to reduce a whistleblower\u2019s potential award. However, these attorneys did not provide specific evidence of this occurring. Because of taxpayer information privacy laws, IRS limits the amount and type of information it can share with whistleblowers and their attorneys about their claims once submitted to the Whistleblower Office.", "To investigate this claim, we analyzed IRS data on taxpayers that were assessed FBAR penalties from tax years 2010 to 2015. We compared the proportion of FBAR penalties assessed to the overall tax and FBAR penalties assessed to a taxpayer for exams where a whistleblower was and was not involved. Our analysis did not find any evidence of a statistically significant difference between the taxpayers identified by a whistleblower and taxpayers with no whistleblower involved.", "The IRM lays out the steps examiners should take when determining whether FBAR penalties are warranted and how they should be assessed. These steps are independent of IRM guidance on tax examinations and assessments. IRS officials that we interviewed, including those with oversight of examiners in Small Business/Self- Employed and Large Business & International, indicated that the Title 26 tax exams and Title 31 FBAR exams are conducted independently of each other and neither influences the outcome of the other. Further, they stated that the presence of a whistleblower has no bearing on the decision of whether to assess a tax or penalty or the amount of such assessments, as previously discussed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["For the IRS whistleblower program to be successful, whistleblowers need to have confidence in the program\u2019s processes and outcomes, including paying awards when a whistleblower\u2019s information is used. Despite IRS\u2019s prior policy of not including non-Title 26 collections, we found some whistleblowers brought such information to IRS, and IRS assessed penalties on noncompliant taxpayers. However, according to whistleblower attorneys we spoke with, this policy of award exclusions may have discouraged other whistleblowers with significant information on FBAR reporting and tax noncompliance from coming forward. With the new statutory definition of proceeds enacted on February 9, 2018, that includes FBAR and other non-Title 26 collections, whistleblowers may now be more willing to submit claims.", "However, IRS has not yet fully changed some of the whistleblower program\u2019s policies and procedures to reflect that FBAR penalties, as well as criminal fines and civil forfeitures, are now included in whistleblower awards. Because the change was effective for claims that had not had a final determination made as of February 9, 2018, the Whistleblower Office taking immediate steps to ensure it had full information from other offices and divisions within IRS about claims reaching the award determination phase would have helped IRS act on these determinations. While IRS has now taken steps to communicate the need for information about non- Title 26 actions to be included with the Form 11369, updating the form itself and its instructions will help to better ensure that complete and accurate information about such actions is reflected on the form to be provided to the Whistleblower Office for inclusion in award determinations.", "The FBAR Database is the only comprehensive source of information within IRS about the FBAR penalties assessed and paid. If this database does not have the controls necessary to provide reasonable assurance that the data are reliable, accurate, and complete, there is a risk that the Whistleblower Office may make award determinations based on incorrect data."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to IRS: The Commissioner of Internal Revenue should ensure that the Director of the Whistleblower Office modifies the Form 11369 and its accompanying instructions to clarify how to document how whistleblower information was used in any IRS actions taken, regardless of whether the laws administered, examined, or enforced are outside of Title 26, such as FBAR penalties. (Recommendation 1)", "The Commissioner of Internal Revenue should ensure that the Deputy Commissioner for Services and Enforcement develops and documents improved controls for the validity, completeness, and accuracy of data on FBAR exams and enforcement actions. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the sensitive version of this report to IRS for review and comment. IRS agreed with our recommendations and provided technical comments which we incorporated as appropriate. However, IRS deemed some of the information in their original agency comment letter pertaining to the FBAR Database to be sensitive, which must be protected from public disclosure. Therefore, we have omitted the sensitive information in the comment letter, which is reproduced in part in appendix II. These omissions did not have a material effect on the substance of IRS\u2019s comments.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Commissioner of Internal Revenue. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or at mctiguej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to: (1) describe the extent to which the Internal Revenue Service\u2019s (IRS) Whistleblower Office included Report of Foreign Bank and Financial Accounts (FBAR) penalties in whistleblower awards prior to the statutory change; (2) examine how IRS used whistleblower information on FBAR noncompliance and how IRS responded to the statutory change in definition of proceeds; (3) describe the purposes for which IRS collects and uses data from the FBAR Database and assess the controls for ensuring data reliability; and (4) summarize what is known about the potential effect exclusions from collected proceeds, including FBAR penalties, may have had on whistleblowers bringing claims to IRS.", "This report is a public version of a sensitive report that we issued in August 2018. IRS deemed some of the information in our August report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information about the information security safeguards of IRS\u2019s FBAR Database as well as an associated recommendation. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address the first objective, we conducted a case file review of a generalizable stratified sample of closed 7623(b) whistleblower claims to identify how often and to what extent whistleblower claims included information about offshore accounts and FBAR violations. For this case file review, we started with the population of 10,306 7623(b) claims that had been closed by IRS between January 1, 2012 and July 24, 2017 (the time of our analysis). We identified three subpopulations of whistleblower claims from which we selected the claims we reviewed: 1. All 92 claims involving taxpayers who were identified in a whistleblower claim and who also appeared in IRS\u2019s FBAR Database as having been subject to an FBAR examination. We designated this subpopulation as \u201cMatched Claims.\u201d 2. A random sample of 30 claims from a population of 299 claims that a text search within E-TRAK had identified as likely involving noncompliance with offshore account requirements, including FBAR, and that were not included in other samples. We designated this subpopulation as \u201cKey Terms.\u201d 3. All 10 denied claims closed in E-TRAK, the IRS Whistleblower Office\u2019s claim tracking system, with the closing code \u201cDenied - No Title 26 Collected Proceeds.\u201d We designated this subpopulation as \u201cNo Title 26 Collected Proceeds.\u201d", "Table 4 shows descriptive information about each of these subpopulations.", "The purpose of our file review was to determine how often whistleblower claims in each of our different subpopulations involved offshore accounts and allegations of FBAR violations. We reviewed all claims in our first and third subpopulations; because of the larger number of claims in the second subpopulation, we selected a random sample for review.", "For the 132 whistleblower claims in our review, two reviewers coded the content of each file into different categories, including: whether the Form 211, Application for Award for Original Information, included allegations of FBAR noncompliance; whether the whistleblower received a whistleblower award; and what collections were included in collected proceeds for those paid whistleblowers. To the extent there were disagreements among the reviewers\u2019 coding for a file, a third reviewer resolved the differences. We agreed on a final coding for all of the data elements collected, recorded them in a summary document, and used these for our analysis. Because whistleblower files were not required to contain information on FBAR penalty assessments or other enforcement actions, although some of the files we reviewed did have this information, we supplemented our file review with data on FBAR enforcement actions, such as penalties and warning letters, from the FBAR Database.", "We assessed the reliability of the FBAR Database and E-TRAK database for the purposes of using limited data from these databases for our own analysis. We reviewed agency documents, electronically tested data for missing data and outliers, and interviewed IRS officials about these databases. These two databases are the only sources of data within IRS for whistleblower claims information and FBAR enforcement actions and outcomes. We compared data in both databases to identify individuals that were both named by a whistleblower and subject to an FBAR enforcement action. We used data from the FBAR Database for the purpose of identifying and summarizing FBAR enforcement actions taken by IRS, and we used data from the E-TRAK database to identify whistleblower claims that were likely to include allegations of FBAR noncompliance. IRS officials told us that the FBAR Database is the most reliable data source at IRS for individuals who were subject to such FBAR enforcement actions as penalty assessments. We discuss the limitations of these databases in this report, but we concluded that the elements we used in our analyses were sufficiently reliable for the purposes of identifying a sample of whistleblower claims likely to include allegations of FBAR noncompliance and FBAR enforcement outcomes. We also interviewed IRS officials concerning the processing of claims and the operation and maintenance of the E-TRAK and FBAR databases.", "For the second objective, we reviewed relevant portions of the Internal Revenue Manual and other IRS internal guidance and documentation and interviewed officials from IRS\u2019s Whistleblower Office and operating divisions that handle whistleblower claims about what IRS does when it receives information from whistleblowers that include allegations of FBAR noncompliance. We also reviewed the recently enacted statutory provisions concerning the definition of collected proceeds on which whistleblower awards are based. In addition we spoke to IRS Whistleblower Office officials concerning any changes IRS plans to make in its policies and procedures as a result of the statutory change.", "For our third objective, we evaluated IRS\u2019s FBAR Database to identify any control deficiencies, using as criteria Standards for Internal Control in the Federal Government, the Federal Information Security Modernization Act of 2014, and National Institute of Standards and Technology Special Publication 800-53. We electronically tested the FBAR Database for missing data, outliers, and obvious errors. We also reviewed IRS documentation on the database. In addition, we interviewed IRS officials responsible for maintaining and using the database to determine how IRS uses the data, what controls are in place, and any known limitations of the database. We also met with IRS officials and discussed the ongoing development of plans for improvement of the database.", "For our fourth objective, we interviewed a nonprobability sample of attorneys who have represented multiple whistleblowers who have submitted claims to the IRS Whistleblower Office under section 7623(b). The views expressed in these interviews represented only those of the attorneys who participated and are not generalizable to all whistleblower attorneys or law firms. These attorneys have a financial interest in IRS\u2019s treatment of whistleblower claims; however, interviewing these attorneys allowed us to gather broad viewpoints on how whistleblower award exclusions may affect their professional decisions and the decision of their clients and prospective clients. We began with whistleblower attorneys whom we previously spoke with for our 2011 and 2015 reports on the IRS Whistleblower Office and requested from those attorneys names of other attorneys currently active in the IRS whistleblower community who have represented clients who submitted allegations that included FBAR noncompliance. We individually interviewed 11 attorneys from nine firms, asking the same questions of each to obtain their perspectives on the effect the exclusion of FBAR penalties and criminal fines has on the nature and volume of whistleblower complaints and on the cases they bring forward. We also attended a regularly scheduled meeting of attorneys representing whistleblowers, including some we had spoken with and several others. Following the enactment of statutory provisions defining collected proceeds for the purpose of whistleblower awards to include FBAR penalties and other non-Title 26 collections, we contacted the 11 attorneys we had previously interviewed for their views on the effect of the new legislation, and we received written responses from 8 of them.", "For balance, we also analyzed data on FBAR penalty and tax assessments for a sample of taxpayers who were assessed an FBAR penalty in calendar years 2010 through 2015. For all taxpayers in our sample, we identified those where a whistleblower was involved in providing IRS information about the taxpayer and those where there was no whistleblower presence. We analyzed whether there was a statistically significant difference in proportion of FBAR penalty assessments compared to tax and FBAR penalty assessments based on whether a whistleblower was involved or not using a nonparametric Wilcoxon-Mann- Whitney test. This analysis did not control for other factors that could affect the results, such as the taxpayer being willfully noncompliant with FBAR reporting requirements, the total tax assessment of the taxpayer, or the total income of the taxpayer. In addition, we interviewed IRS Whistleblower Office officials and operating division officials to discuss the relative complexity of claims involving and not involving FBAR and how the exam teams use whistleblower information related to FBAR noncompliance.", "The performance audit upon which this report is based was conducted from March 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with IRS from August 2018 to September 2018 to prepare this public version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tara Carter (Assistant Director), Danielle N. Novak (Analyst-in-Charge), James Ashley, Steven J. Berke, David Blanding, Amy Bowser, Andrew Emmons, Steven Flint, and Kayla Robinson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Tax whistleblowers who report on the underpayment of taxes by others have helped IRS collect $3.6 billion since 2007. Whistleblowers can claim awards of between 15 and 30 percent of the proceeds that IRS collects as a result of their information.", "However, before 2018, IRS wasn't required to pay whistleblowers for information that led to the collection of Foreign Bank and Financial Accounts penalties. Congress began to require IRS to pay whistleblowers for this information in February 2018. However, we found that IRS\u2019s data on these penalties may not be reliable. We recommended that they improve it."]} {"id": "GAO-18-638", "url": "https://www.gao.gov/products/GAO-18-638", "title": "U.S. Postal Service: Enhancing Procedures Could Improve Product Scanning", "published_date": "2018-09-28T00:00:00", "released_date": "2018-09-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["USPS's competitive products have become increasingly important, comprising about 28 percent of USPS's total revenue. USPS scans these packages at various points throughout the postal network. When scans are inaccurate or missing, questions are raised about the veracity of USPS's data on scanning performance and can lead to customer complaints.", "GAO was asked to review USPS's scanning policies and procedures. In this report, GAO (1) describes USPS's scanning performance and (2) examines how USPS ensures accurate scanning. GAO reviewed USPS's policies and procedures and assessed them against internal control standards; interviewed officials from USPS and five high-volume mailers; and conducted site visits to six post offices in two USPS districts that represented a range of volume, number of routes, and performance."]}, {"section_title": "What GAO Found", "paragraphs": ["Mail products over which the United States Postal Service (USPS) does not exercise market dominance, such as many of its packages, are called competitive products. These items are scanned throughout the mail delivery system to track their progress (see figure). USPS data show that these products are almost always scanned. For example, USPS data showed that for the first three quarters of fiscal year 2018; all but one of USPS's 67 districts met their scanning goals. Additionally, mailers that account for a high volume of USPS's competitive products told GAO that they believed USPS was generally scanning products correctly. However, a small percentage of missed or inaccurate scans occur. For example, a report from one USPS district showed that for one week, 0.73 percent of the products delivered were missing a scan and that for the fiscal year to date almost 155,000 competitive products were missing a delivery scan.", "USPS has designed and implemented procedures and activities to help ensure accurate scanning, but some limitations could contribute to scanning errors. For example, USPS has not based its operational procedures for scanning on any internal control standards. USPS officials said the procedures were based on USPS's unique responsibilities, management experience, and sound business practices, but the officials could not identify specific standards or a framework that they followed as the basis for the procedures. USPS officials said they did not believe any internal controls standards applied to these procedures. By not basing procedures on standards, USPS may miss opportunities to improve how it achieves its mission to scan and measure the performance of competitive products. Additionally, USPS's scanning procedure documents, such as for outlining specific delivery scanning steps, are not always consistent, and USPS relies on more informal methods, such as meetings with employees to communicate changes. Thus, employees may not have accurate procedures available to them. Finally, USPS lacks procedures to help managers identify and address incorrect scans, address customer complaints or otherwise address scanning irregularities. For example, USPS's guidance for managers is limited to a list of bullet-points that do not detail the steps managers should follow to resolve scanning irregularities. In addition, this list has not been updated since 2005. Without consistent or detailed procedures, USPS's employees and managers may not scan items accurately or find information needed to resolve scanning issues\u2014a situation that could hinder USPS's ability to reduce inaccurate or missing scans for these important mail products."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that USPS: (1) identify and adopt internal control standards for its operational activities such as for scanning of competitive products; (2) improve the communication of procedures for scanning competitive products; and, (3) create procedures for supervisors on how to address inaccurate scans and resolve scanning issues. USPS agreed to explore addressing the first recommendation and agreed with the other two recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["With the growth of e-commerce, the delivery of packages has become an increasingly important part of the U.S. Postal Service\u2019s (USPS) business. Most of these packages are known as \u201ccompetitive products,\u201d for which USPS competes with other companies\u2019 delivery services on pricing and service. In fiscal year 2017, USPS delivered over 5 billion competitive products to approximately 157 million points of delivery; this business accounted for 3 percent of USPS\u2019s total mail volume but about 28 percent of its total revenue. USPS expects the continued growth in e-commerce will generate further increases in its competitive products business. USPS\u2019s latest strategic plan stated that implementing initiatives to significantly expand the competitive products business is critical to the long-term financial outlook of USPS, as it has suffered financial losses each year since 2007, in part due to declining volume in other types of mail.", "Since consumers generally expect these products to be delivered to a preferred address and within a specific timeframe, tracking these shipments has become an important aspect of USPS\u2019s ability to compete in this market. As a result, it is important for USPS to track its competitive products accurately. To do so, USPS employees and machines scan barcodes on these products at various points throughout the postal network. However, USPS\u2019s Office of Inspector General (OIG) reports and customer complaints have identified instances where the scanning was inaccurate. For example, the USPS OIG has reported that some items were scanned as delivered before they had left the post office.", "You asked that we review USPS activities used to support accurate scanning. This report (1) describes USPS\u2019s performance in the scanning of competitive products, and (2) examines whether the design of USPS\u2019s internal control activities helps ensure that competitive products are accurately scanned. Our report focused on USPS\u2019s domestic competitive products and the non-automated scanning activities that occur in its network, such as at post offices and on delivery routes.", "To describe USPS\u2019s scanning performance, we reviewed USPS statistical reports on scanning performance at the national and local level and USPS OIG reports on scanning performance. We also interviewed USPS delivery operations officials at the national level and in three postal areas and three postal districts\u2014overseeing the post offices we planned to visit\u2014about scanning goals and performance. We did not independently verify USPS\u2019s scanning performance statistics or volume information for this report. However, we reviewed relevant documentation and interviewed appropriate agency officials, and found the data sufficiently reliable for our reporting purposes. We interviewed representatives from five mailers, which we refer to as \u201cmajor mailers\u201d in this report that collectively use a high volume of USPS\u2019s competitive products in fiscal year 2017. While responses from representatives of the major mailers are not generalizable, they provide information and perspectives on USPS\u2019s scanning performance.", "To examine whether the design of USPS\u2019s internal control activities helps ensure that competitive products are accurately scanned, we reviewed USPS\u2019s policies and procedures for scanning competitive products and for the collection, storage, and reporting of scanning data. We reviewed USPS\u2019s training materials, job aids, and other relevant documentation and interviewed USPS officials to determine the key policies and procedures used to ensure that competitive products are scanned accurately. Based on USPS data on competitive products, we selected a non-generalizable sample of six post offices in two USPS districts to visit that represent a range in terms of (1) volume of competitive products, (2) number of urban and rural carrier routes, and (3) on-time delivery performance. At these site visits, we observed scanning procedures, obtained documentation, and spoke with postmasters, managers, clerks, and carriers about their scanning responsibilities and how USPS\u2019s scanning procedures for scanning competitive products were designed and implemented at the post office. We compared USPS\u2019s operational policies and procedures aimed at ensuring accurate scanning to standards on control activities and internal communications in the Committee of Sponsoring Organizations of the Treadway Commission\u2019s Internal Control-Integrated Framework (COSO Framework), which we identified as reasonable and relevant internal-control criteria standards to use in evaluating USPS\u2019s activities. The COSO Framework is recognized as a leading framework for designing, implementing, and conducting internal control and assessing the effectiveness of internal control. It provides a means to apply internal control to any type of entity and requirements for an effective system of internal control. To identify what internal-control standards to evaluate USPS against, we interviewed USPS officials about how they design, implement, and evaluate their operational internal-control activities. We also assessed two relevant sets of internal-control standards and reviewed GAO and USPS OIG reports to determine what standards have been used to evaluate other USPS\u2019s internal-control activities.", "We conducted this performance audit from September 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["USPS has a wide range of domestic competitive products that are a growing sector of its business. The volume of USPS\u2019s competitive products increased from approximately 750 million pieces in fiscal year 2008 to 4.9 billion pieces in fiscal year 2017. Revenue from these products increased from about 10 percent of all USPS mail revenues in fiscal year 2008 to about 28 percent in fiscal year 2017 (see fig. 1). USPS forecasts that continued growth in e-commerce will increase the volume of its competitive products, especially for the \u201clast-mile\u201d delivery service to consumers\u2014which involves delivery from retail locations and fulfillment centers (i.e., where online orders are processed, packaged, and shipped out to USPS for delivery) to customers. USPS reported that in fiscal year 2017, revenue from competitive products exceeded USPS\u2019s expectations by $500 million due to the growth in e-commerce and successful marketing and sales campaigns. USPS expects increased competition, though, in the first- and last-mile delivery services\u2014collection and delivery of packages\u2014from other delivery providers.", "To remain competitive in the competitive product delivery market, USPS officials have stated that information gained from scanning is leveraged to provide customers with real-time visibility for the location of a competitive product in USPS\u2019s delivery process as well as accurate estimates of the delivery time of USPS\u2019s competitive products. Further, USPS\u2019s latest strategic plan states that this information is one factor used to reduce its own costs through optimizing its network, including processing facilities, post offices, and numerous other facilities across the United States, and streamlining its operations.", "USPS delivers competitive products across the nation, which it divides into seven postal areas comprised of 67 postal districts (see fig. 2). Managers at each level\u2014postal area, postal district, and post office\u2014are responsible for overseeing and reporting on the performance of the level below them. For example, each district manager is accountable to the area vice president. Postmasters, who manage individual post offices, are accountable to district managers and also monitor the performance of employees at their post office.", "To track the movement of competitive products, USPS leverages automation (i.e., scanning by postal-processing equipment) and passive and active scan technology (i.e., scanning devices used by postal employees) to capture barcode information. In addition, when competitive products are not able to go through all the automated scans, USPS employees are to manually scan barcodes that have been placed on each item. These barcodes link the item with information in USPS\u2019s databases such as: the delivery address, the type of USPS product, and when the item was accepted by USPS. According to USPS procedures, competitive products could be scanned up to 13 times to generate visibility necessary for USPS, mailers, and customers to track their packages as they move through USPS\u2019s network (see fig. 3). For example, the first scan of the product\u2014the \u201cAcceptance\u201d scan\u2014is made when the item is dropped off at the post office or by a carrier if the product is picked up at a mailbox or customer address. The last scan\u2014the \u201cAcceptable Delivery Event\u201d scan\u2014generally means the item was successfully delivered to the addressee or that a delivery attempt was made (e.g., the product requires a signature but the recipient was not at home so another attempt will need to be made or the recipient will need to pick up the product). The interim scans reflect the product\u2019s progress through the postal network, including through mail-processing plants and equipment. The scan data are transmitted to USPS\u2019s data systems throughout the day. Scan information from these systems is available to USPS managers as well as mailers and customers who wish to track the progress of their items.", "USPS\u2019s employees use devices to scan competitive products in postal facilities and on delivery routes (see scans 1, 2, and 11\u201313 in fig. 3). Carriers usually use a handheld Mobile Delivery Device (MDD) to scan a package\u2019s barcode. MDDs contain Global Positioning System (GPS) technology and transmit package scanning data and carrier location data using a cellular network. USPS employees working inside post offices or other facilities use similar scanning devices without GPS technology, such as the handheld Intelligent Mail Device (IMD) to perform the manual scans (see fig. 4)."], "subsections": []}, {"section_title": "USPS\u2019s Competitive Products Are Almost Always Scanned Correctly, Although Some Missed and Inaccurate Scans Occur", "paragraphs": ["USPS reports we reviewed indicate that competitive products are almost always scanned and scanned correctly. USPS has an overall organizational goal of accurately scanning 100 percent of all mail pieces\u2014both competitive and other products\u2014that have a barcode. This includes scanning each competitive product at several points from acceptance, as described earlier. However, individual management employee-performance goals for scanning are set slightly lower than 100 percent, as USPS officials stated that they recognize that some scanning issues, such as for missing or damaged barcodes, may occur across post offices. According to USPS data we reviewed for the first three quarters of fiscal year 2018, all but one of USPS\u2019s 67 districts met USPS\u2019s scanning goals for all five required scans for competitive products. Additionally, in one district we visited, a USPS internal report showed that every group of post offices in the district met its scanning goal for the arrival-at-unit scan for the week, the preceding 4 weeks, and the year-to- date periods, and all but one group of post offices met their scanning goals for the acceptable delivery scan for the same measurement period.", "In addition, representatives for mailers we interviewed that use USPS\u2019s competitive products stated that they were generally satisfied with USPS\u2019s scanning performance. Representatives of all the major mailers we spoke with that rely on USPS\u2019s delivery network said they believed that USPS is generally scanning competitive products accurately, although issues still occur. Representatives of mailers told us that they receive scanning data from USPS for their items throughout the day, with some mailers receiving the data every 15 minutes, a rate that allows them to track their items through USPS. Some mailers use this information to calculate the expected time of delivery and monitor USPS\u2019s progress against their own estimates of delivery time to measure USPS\u2019s performance. Representatives for major mailers we spoke with said they also get complaints from customers if items are late, lost, or inaccurately scanned, so the customers provide another source of information on any scanning issues. Four of the five representatives for major mailers we interviewed that sent items via USPS competitive products told us that they have seen improvement in USPS\u2019s scanning performance in recent years. Additionally, all of the representatives for mailers we spoke with stated that USPS has increased the amount of scanning and the information provided from the scans in recent years.", "Although USPS has a high scanning rate, some missed and inaccurate scans for competitive products do occur, errors that could potentially affect millions of competitive products. For example, several USPS OIG reports between 2016 and 2018 found that instances of missed or inaccurate scans still occurred both nationwide and that in nine USPS districts they analyzed, were due in part, to post office personnel not always following proper scanning procedures and post office supervisors not adequately monitoring how scanning procedures were implemented. For example, the USPS OIG analyzed approximately 2 billion delivery scans over a 6-month period in 2017 and found that 1.9 million delivery scans (about 0.1 percent) occurred at the post office instead of at the delivery address and were considered improper scans. Furthermore, examples of USPS\u2019s internal reports we reviewed containing scanning performance results showed that a small percentage of competitive mail items had not been scanned. For example, one USPS internal report for a district we visited showed that for one week, USPS employees in the district missed about 0.73 percent of the expected delivery scans for competitive products. Due to USPS\u2019s large volume of competitive products, a small percentage of products not scanned can represent large numbers of items. For example, about 155,000 competitive products were missing a delivery scan in one district\u2019s 2018 year-to-date report we reviewed.", "Additionally, the representatives of mailers we interviewed also reported occasional scanning issues with USPS\u2019s competitive products. Most of the mailers\u2019 representatives stated that when they see competitive items missing scanning data, it is generally an isolated situation and USPS usually fixes the issue. According to these representatives, USPS provides them with points of contact to work with to resolve scanning issues immediately and on a regular basis. However, one major mailer\u2019s representative we spoke with stated that even though USPS\u2019s employees are generally good at scanning packages, inaccurate delivery scanning is an issue. The representative stated that about 8 to 10 percent of the company\u2019s products sent through USPS were scanned by carriers as delivered, but not at the customer\u2019s delivery address\u2014contrary to USPS\u2019s standard operating procedures for scanning. The representative stated that, although this percentage has decreased in recent years, the mailer would like to see that number decrease further because delivery to the destination address assures them that the item was left as close as possible to the customer.", "USPS is taking some steps to address missed or inaccurate scans. For example, USPS officials stated that the current electronic scanning device carried by almost all carriers on their routes does not prevent scanning a mail item as delivered to an address that is not the delivery address associated with the item\u2019s barcode information. They also stated that USPS is updating scanning devices to alert carriers when they scan items as delivered when not physically at the correct delivery address. According to USPS officials, as of May 2018, 80 percent of hand-held electronic scanning devices used by USPS carriers had this functionality and that this functionality is being fine-tuned. This capability, though, still does not preclude all scanning errors, as it only affects the final delivery scan. USPS officials also stated that employees may still encounter scanning issues, such as damaged barcodes, which could lead to missed scans."], "subsections": []}, {"section_title": "USPS Has Designed Policies and Procedures to Support Accurate Scanning of Competitive Products, but Limitations Could Contribute to Scanning Errors", "paragraphs": [], "subsections": [{"section_title": "USPS\u2019s Scanning Policies and Procedures Are Not Based on Standards for Operational Internal Controls", "paragraphs": ["USPS has not based its operational policies and procedures, such as those that support the accurate scanning of competitive products, on any standards for internal controls. USPS officials told us that they have not used any specific criteria for designing, implementing, and operating an internal control system for meeting its operational policies and internal controls, such as those that help ensure competitive products are accurately scanned. According to USPS officials, USPS does not follow the COSO Framework to design, implement or evaluate its operational internal controls as they believe that the COSO Framework standards are traditionally related to internal controls over financial reporting. In addition, USPS officials stated that USPS is not required to follow Standards for Internal Control in the Federal Government, and therefore USPS does not follow these standards as well. Instead, USPS officials stated that USPS has designed its operational policies and internal controls over the years based on its unique responsibilities, management experience, and sound business practices. However, officials could not identify any specific standards or framework they had followed.", "We have reported that standards for the design, implementation, and operation of their internal-control system provide an overall framework for establishing and maintaining an effective internal-control system\u2014which is a key factor in achieving an entity\u2019s mission. Further, internal controls help managers achieve desired results through effective stewardship of public resources. USPS has options to choose from in selecting standards for internal controls. Two widely used standards are the COSO Framework and Standards for Internal Control in the Federal Government, which was adapted for federal entities from the COSO Framework. Both standards are designed to help an entity design, implement, and maintain an effective internal-control system. Such a system should encompass all aspects of an entity\u2019s objectives, including operations, reporting, and compliance objectives, and can help an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. Non-federal entities can adopt either of these standards in their efforts to design, implement, and operate an effective internal control system.", "As stated above, we found that the COSO Framework to be a reasonable and relevant set of internal control standards to evaluate USPS\u2019s operational internal-control activities. However, we and the USPS OIG have applied both the COSO Framework and Standards for Internal Control in the Federal Government in evaluating USPS\u2019s operational internal controls in recent reports. Without standards for an effective internal-control system for its operational policies and procedures for scanning competitive products, USPS may miss opportunities to improve how it achieves its mission to deliver those important products."], "subsections": []}, {"section_title": "USPS Has Standard Operating Procedures for Scanning Competitive Products, but They May Not Guarantee Accurate Scanning", "paragraphs": ["USPS management has designed standard operating procedures to provide assurance that competitive products are scanned accurately. We found some of these procedures to be consistent with the COSO Framework, which states that an organization should deploy control activities through policies that establish what is expected and procedures that put policies into action. USPS has developed a scanning policy for its products, stating that \u201cproperly scanning all barcodes will result in World Class Visibility and be instrumental in retaining and growing our shipping business and providing valuable data to drive improved operational performance and reduce costs.\u201d USPS also has procedures that establish the responsibilities of employees for accurately scanning barcodes for competitive products at various points in the mail flow. Although USPS officials stated that employees should rely on prompts from their scanning devices to ensure scans are done correctly, USPS communicates these procedures in three main ways: documents, such as City Carrier Handbook and Rural Carrier Handbook, that outline scanning procedures and that explain carriers\u2019 duties, including scanning; job aids, such as posters showing proper scanning procedures (see fig. 5); and, standard work steps or guidance that lists procedural steps either for competitive products or for scanning mail in general (see fig. 6).", "Following these procedures is important to fulfill USPS\u2019s scanning goals. As stated above, the USPS OIG found instances of missed or inaccurate scans for competitive items in recent reports. Further, the USPS OIG also recently found that USPS employees at all 15 postal facilities it visited in the Los Angeles District did not follow correct scanning procedures for USPS\u2019s competitive Parcel Return Service product, leading to inconsistent counts for these products. Such errors can put USPS at risk of not collecting revenue for these products. The USPS OIG has made several recommendations in its recent reports to USPS management to reinforce the importance of these procedures to employees. USPS officials agreed with some of these recommendations and stated that they are taking action to address them.", "While reinforcing these procedures can be helpful, we found that USPS\u2019s scanning procedures may not provide the necessary assurance for accurate scanning because they are not consistent. For example:", "The USPS\u2019s City Carrier Handbook states that mail with a barcode should be scanned at the delivery point (or address).", "However, a standard operating procedures document for city carriers at a post office we visited stated that carriers must scan each delivery confirmation mail piece but did not specify that this scan had to be at the delivery point or address. Locally developed procedures may not be uncommon, as one district manager told us that USPS headquarters allows managers to make a certain amount of flexibility to adapt the standard operating procedures for each post office.", "The USPS document, SCANNING at a Glance: Delivering 100% Visibility, states that all mail items that require delivery scanning should be scanned at the delivery address, but this document also provides additional scanning procedures not contained in the City Carrier Handbook and other standard operating procedures documents we examined. In particular, the document contained procedures for scanning to account for mail being held for customers on vacation; scanning items correctly to account for mail not delivered to business that were closed; and for mail that was refused by the addressee.", "This inconsistency in USPS\u2019s scanning procedures has likely occurred because many of the documents have been updated at different times and have not always reflected new operations. For city carriers, the online version of the USPS\u2019s City Carrier Handbook was last updated in April 2001. USPS officials stated that the most recent update regarding scanning was issued in November 2015 via a separate Postal Bulletin. Further, a separate standard operating procedure document for city carriers at a post office we visited was dated June 2006. For rural carriers, the most recently updated scanning procedures we found was dated 2013. As a result, some of these documents are not updated with the latest information on new scanning procedures. In a related example, the USPS OIG recently found that employees at three of the six USPS facilities the USPS OIG visited did not have an adequate understanding of the procedures for processing election and political mail due, in part, to guidance that was not updated, even though the procedures were centrally documented on an internal USPS website.", "USPS officials recognized this issue and stated that these handbooks are not updated regularly as the content of the handbooks are subject to labor negotiations. Therefore, new procedures are presented to USPS employees outside of the handbooks. However, given that these efforts rely on employees to orally communicate information, having consistent documented procedures is even more important. In addition to stating that the organization should deploy control activities through policies and procedures, the COSO Framework states that senior management should communicate objectives clearly through the organization so that other management and personnel understand their individual roles in the organization. By not having consistent procedures, USPS risks not clearly communicating to its employees how they should carry out scanning procedures and therefore contributing to scanning errors. As discussed below, USPS officials told us that management updates its procedures typically through regular meetings with employees, which are documented in handouts or slides. USPS officials stated that management stresses the importance of scanning and that employees should follow the prompts on their electronic devices when scanning competitive products. However, employees can still scan competitive products as delivered even if they are not, as device prompts can be misread, misinterpreted, or ignored. Furthermore, even with current prompts, scanning errors can and do occur.", "Consistent procedures, clearly communicated to employees, have become increasingly important as USPS hires new employees to handle, in part, anticipated growth in the volume of competitive packages. For example, GAO analysis of USPS data showed that USPS\u2019s carrier workforce increased by 6.4 percent between fiscal years 2015 and 2017. The USPS OIG has found that these new employees require training and guidance to properly perform their roles and to reduce turnover."], "subsections": []}, {"section_title": "USPS Holds Regular Training and Meetings to Support Accurate Scanning", "paragraphs": ["In addition to deploying policies and procedures to achieve an organization\u2019s objectives, the COSO Framework states that an organization should internally communicate objectives and responsibilities that are necessary to support the functioning of internal controls. This process can be accomplished through training and meetings. Specifically, the COSO Framework states that training should enable individuals to develop competencies appropriate for assigned roles and responsibilities, among other things, and that active forms of communication such as face-to-face meetings are often more effective than passive forms such as broadcast e-mails and intranet postings.", "To communicate how its procedures should be correctly implemented, USPS has developed both initial and on-going training for employees. USPS officials stated that new employees are formally trained in scanning procedures when they start their employment. For example, carriers are trained how to use USPS\u2019s electronic scanning devices, when to scan competitive items, the correct codes to use for different delivery situations (i.e., signature required, vacation holds, how to code where a package was left at a delivery address). Any new procedures can be introduced through presentations given by managers during meetings, as described below. Required regular meetings may be tracked by USPS management to ensure they are completed. Some district officials we spoke with stated that they certify that their employees have received required training and send that certification to area and USPS headquarters officials. Additional training also helps USPS reinforce correct scanning procedures. When scanning procedures are not being followed or scanning goals are not met at a post office, USPS officials stated that reminders of the correct procedures designed to reinforce USPS\u2019s scanning procedures are presented to employees through presentations, posters, job aids, and additional documents such as carriers\u2019 handbooks. For example, the representative of the major mailer we spoke with that had 8 to 10 percent of competitive products not scanned to the final delivery address stated that training was needed for both new and experienced carriers to reinforce that they should scan items at the delivery address.", "To further ensure the accurate scanning of competitive products, USPS reported that it holds internal and external meetings. Specifically, these meetings are designed to:", "Reinforce procedures: Post office managers can use stand-up talks\u2014 weekly meetings between management and employees at the post office\u2014to discuss scanning issues with employees and opportunities to address those issues. For example, the postmaster at one post office we visited stated that this post office reinforces the standard work procedures designed to improve the scanning performance of employees during these meetings. Carriers and clerks can ask questions and learn why they are asked to do something or how to do a specific task, allowing for additional training and reinforcement of procedures. For example, we reviewed a handout developed by USPS headquarters to provide managers with talking points for service talks. This handout provided information on carriers delivering and scanning accurately and instructions on scanning at point of delivery on rural routes.", "Introduce new procedures: USPS officials told us that post office managers use stand-up talks to introduce new procedures and processes with carriers and clerks. For example, postmasters stated that they used these meetings to introduce and train carriers on new scanning features at the post offices. USPS district and area management develop and disseminate memos and handouts to assist managers conducting these meetings. We reviewed handouts USPS provided to managers for service talks. These handouts provided information on the rollout of some of the most recent scanning procedure changes.", "Continuously improve operations: District managers we interviewed stated that post offices with low scanning performance scores are placed on a district\u2019s list of underperforming post offices. USPS district managers we interviewed told us that they meet with these post offices to determine how each post office plans to improve its scanning performance. District management also conducts audits of underperforming post offices and post offices that are in need of improvement. Our review of one district office\u2019s service review checklist identified the key areas of audit for underperforming post offices.", "Reassess procedures: Representatives of mailers we interviewed told us that they meet with USPS representatives to discuss ways USPS can share scanning information for competitive products."], "subsections": []}, {"section_title": "USPS Generates Reports for Tracking Scanning Performance, but Reports May Not Be Used Consistently by Managers to Resolve Scanning Issues", "paragraphs": ["Given that inaccurate scans can and do occur, it is important that postal managers explore and investigate any instances of missed or inaccurate scans. To do so, USPS managers\u2014including area vice presidents, district managers, and postmasters\u2014use a variety of reports as tools to ensure that the required scans are made at the appropriate place and time, and take action to monitor the status of competitive products, track lost items, and identify scanning issues. USPS headquarters designs reports used by managers to review performance at the local level across the country. Managers at each level are responsible for overseeing and reporting on the performances of the level below them. For example, the postmaster monitors performance of employees at the post office and is accountable to the district manager. In turn, each district manager is held accountable by the area vice president.", "To monitor performance of scanning of competitive products, these managers have access to several USPS data systems to generate reports. They can use the reports to monitor scanning performance of carriers and clerks at each post office and to identify the causes of scanning issues, such as missing or incorrect scans. Managers can also use these reports to track the status of competitive products or to investigate customer complaints of lost items. Some examples of reports available to managers include the following:", "Report 1: USPS officials told us that each post office receives this report from their District Office. The report identifies competitive products that do not have all the required scans, such as scans when the item arrives at the post office or when a delivery attempt was made. For example, one district official sends postmasters weekly reports on competitive products that do not have all the required scans. The officials told us that these reports help managers investigate the cause of incorrect scans identified in the report and how to prevent future occurrences.", "Report 2: USPS officials told us that this report is generated by district managers to proactively identify scanning irregularities, such as scans that may be out of sequence or multiple competitive products that are scanned at the same time but are for different addresses. District management can query postmasters about these scans and ask them to investigate the reason for the irregularities and determine if the scan was appropriate.", "Report 3: USPS officials told us that this report is generated by postmasters to monitor scanning status and performances for each competitive product that has received an arrival scan but lacks a delivery scan. While this may indicate a problem, it could also just reflect that the final scan had not been made by the end of the day or the scan that had not been uploaded into the USPS data systems when the report was generated.", "While having these reports are helpful, their full potential to help USPS managers may be limited because USPS lacks detailed and up-to-date standard operating procedures for how managers should use these reports or conduct other activities to efficiently investigate and resolve scanning issues. USPS\u2019s Scanning Performance: Delivery Standard Operating Procedures for managers are a list of bullet points outlining managers\u2019 responsibilities to meet scanning performance target goals and not a list of detailed procedures for managers to follow, such as how to use Report 1 to identify items that do not have all the required scans. In addition, USPS officials told us that this list has not been updated since approximately October 2005. The COSO Framework states that organizations should internally communicate information, including objectives and responsibilities for internal control, necessary to support the functioning of internal control. Further, it states that a process should be in place to communicate required information to enable all personnel to understand and carry out their internal-control responsibilities.", "Absent such communication, managers may take different actions to address problems or may have difficulty knowing where to find the appropriate information to locate a missing item to resolve a customer\u2019s complaint quickly. For example, one post office manager told us that he will look at the scanning history in the USPS data systems to determine if the item received an acceptable delivery event scan or what the status of the item is on the route, while another post office manager told us he will use GPS data to see where the scans were made to determine if the item was delivered to the right address. If managers do not know where to find the appropriate information, they may spend more time investigating and be less efficient in resolving issues.", "Further, not having detailed standard operating procedures means managers may not be aware of all the reports available to them. For example, some post office managers told us that they use Report 3 while other post office managers told us that this report was not available to them. Without using Report 3, some managers told us that they look in several sources to find the same information needed to resolve the issue, such as locating a lost package. Some managers told us that USPS management discontinued the report because it was being misused by some managers. Specifically, managers told us that some managers were manually entering scanning or service-performance information retroactively to improve their performance scores. However, they told us that USPS management recently made Report 3 available to managers again but changed features to reduce any misuse.", "Additionally, USPS may miss opportunities to prevent scanning issues from happening again by not clearly communicating how managers should use the various reports to address specific scanning issues. For example, the USPS OIG recently determined that instances of missed and inaccurate scans for competitive products were a result of USPS management not adequately monitoring the implementation of those procedures. Without detailed procedures to guide managers in finding and using specific information in available reports and other tools, managers will not have consistent information to use to investigate and resolve customer complaints quickly or accurately. In addition, new managers may not know where to go for the most appropriate information and how to use this information to address some issues."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As competitive products have become essential to USPS\u2019s economic viability, it is increasingly important for USPS to accurately track them to remain competitive in this market. While USPS may be scanning most mail accurately, there continue to be instances where mail is not scanned accurately or is missing scans. Given the volume and growth in these competitive products, even a small percentage of inaccurately scanned products could be a large number of such products. Since USPS\u2019s procedures were developed absent standards for internal control, the adoption of a set of internal control standards could enhance USPS\u2019s efforts to continuously improve the design, implementation, and evaluation of its operational internal controls for scanning of competitive products. Further, since USPS\u2019s standard operating procedures for scanning are located in numerous documents and are not always consistent\u2014and given USPS\u2019s reliance on stand-up talks and meetings to keep employees current\u2014USPS employees may not always have accurate scanning procedures easily accessible to them. Having consistent standard operating procedures is increasingly important to ensure that employees are making accurate scans. Additionally, standard procedures that guide managers to investigate and resolve scanning issues would help managers more efficiently address these issues and ideally prevent these issues from happening again."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To improve USPS\u2019s competitive products scanning, we recommend that the Postmaster General take the following three actions.", "The Postmaster General should identify and adopt a set of internal control standards that can be used as the basis for operational internal-control activities, such as those for scanning competitive products. (Recommendation 1)", "The Postmaster General should improve the communication of standard operating procedures for scanning competitive products by, for example, updating or consolidating USPS documents, job aids, and standard work steps. (Recommendation 2)", "The Postmaster General should create standard operating procedures for managers on how to address inaccurate scans and use available reports to investigate and resolve scanning issues. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to USPS for its review and comment. USPS\u2019s comments are reproduced in appendix I.", "USPS stated that it cannot agree with our recommendation to identify and adopt a set of internal control standards for USPS\u2019s operational internal control activities at this time. Although USPS has adopted an internal control framework for its financial internal control activities, USPS does not know what the benefits and costs are of adopting internal control standards for its operational internal control activities. As a result, USPS agreed to conduct a cost study to determine whether to commit resources to identifying and adopting a set of internal control standards for its operational internal control activities. We are encouraged that USPS is planning to conduct such a study and anticipate that performing this study will result in the implementation of an appropriate set of internal control standards. USPS agreed with the two recommendations regarding scanning procedures and committed to completing corrective actions by November of 2018.", "In its general comments, USPS noted that our reference to the USPS OIG\u2019s report, Processing Readiness for Election and Political Mail for the 2018 Midterm Elections did not appear germane to the scanning of competitive mail. We recognize that this report was focused on a different type of mail, but as USPS noted in its letter, we use the OIG report as a related example of how USPS has taken efforts to improve the communication of its scanning procedures to employees. Therefore, we determined that our use of the report is appropriate. We have added information from the OIG report to characterize the OIG\u2019s recommendations and USPS\u2019s actions to address those recommendations.", "USPS also provided technical comments, which we incorporated as appropriate.", "We will send copies of this report to the appropriate congressional committees, the Postmaster General, the Chairman of the Postal Regulatory Commission, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff making key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the U.S. Postal Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Kyle Browning (Assistant Director); Greg Hanna (Analyst-in-Charge); Michael Hansen; Thanh Lu; John Mingus; Faye Morrison; Malika Rice; Amy Rosewarne; Crystal Wesco; Elizabeth Wood; and Matthew Zaun made key contributions to this report."], "subsections": []}]}], "fastfact": ["As e-commerce continues to grow, package delivery has become an increasingly important part of the U.S. Postal Service's revenues. USPS competes with private delivery companies for this business.", "To stay competitive, USPS tracks packages with barcode scans so it can offer customers accurate delivery estimates, real-time data, and more.", "USPS data show that almost all of these packages are scanned accurately, but some scans are missed or inaccurate. Considering the importance of this business to USPS's financial outlook, we recommended adopting standards to improve guidance and procedures related to scanning, and dealing with inaccurate scans."]} {"id": "GAO-19-7", "url": "https://www.gao.gov/products/GAO-19-7", "title": "Oil and Gas Development: Actions Needed to Improve Oversight of the Inspection and Enforcement Program", "published_date": "2019-02-14T00:00:00", "released_date": "2019-03-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["BLM has primary responsibility for managing oil and gas development on federal and Indian lands. To help ensure operator compliance with laws and regulations, BLM administers the Inspection and Enforcement program. Under the program, BLM inspects operators' drilling, production, and plugging activities and can issue various enforcement actions, such as monetary assessments, for violations. GAO was asked to examine key aspects of the Inspection and Enforcement program.", "This report (1) describes the distribution of BLM's oil and gas Inspection and Enforcement program's workload and workforce among agency field offices for the most recent 5 years for which such data were available (fiscal years 2012 through 2016) and (2) examines the extent to which BLM conducted internal control reviews in accordance with its July 2012 oversight policy for fiscal years 2013 through 2018, the most recent period for which such data were available. GAO examined BLM policies, data, and documents; interviewed BLM headquarters, state and field office officials; visited six BLM field offices selected based on their level of resource development activity; and toured oil and gas drilling, production, and plugging sites at three of these six field offices."]}, {"section_title": "What GAO Found", "paragraphs": ["Based on GAO's analysis of Bureau of Land Management (BLM) data, the distribution of BLM's oil and gas Inspection and Enforcement program's workload and workforce showed an imbalance among BLM's 33 field offices in fiscal years 2012 through 2016. GAO analyzed BLM data on the overall percentage of the workload and workforce distributed at each field office (i.e., activity level) and grouped similar activity level field offices together into highest, medium and lowest activity categories. GAO found that the program distributed the majority of its workload to 6 highest activity offices and distributed the majority of the workforce to 21 medium activity offices (see fig.). Based on GAO's review of BLM documentation and interviews with agency officials, BLM took both short- and long-term actions in fiscal years 2012 through 2016 to address this imbalance, such as temporarily re-assigning inspectors from some medium activity offices to some of the highest activity offices.", "BLM has not completed all required internal control reviews of its field offices. BLM's July 2012 oversight policy instructs its state offices to periodically conduct internal control reviews of field offices, which are to, among other things, identify staffing needs. BLM state offices completed internal control reviews at 6 of 33 field offices from 2013 through 2017, and 5 more are scheduled from 2018 through 2020. Officials from BLM state offices told GAO that some human capital and workload challenges hindered their ability to complete reviews, including long-term vacancies in some state offices positions. However, a senior BLM official said that headquarters did not consistently track and monitor the extent to which state offices completed field office internal control reviews, and headquarters officials said they were not aware that so few reviews had been completed. Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks, such as by comparing actual performance to expected results and analyzing significant differences. Identifying the reasons it did not complete internal control reviews, developing and implementing a plan to address those challenges, and monitoring state offices' progress toward completing required reviews will better position BLM to ensure that its state offices are completing all required internal control reviews as called for by its July 2012 oversight policy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to BLM, including taking actions to increase monitoring of state offices' progress toward completing internal control reviews. BLM concurred with all three recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Production of oil and gas on federal and Indian lands is an important part of the nation\u2019s energy portfolio and generates billions of dollars annually for the federal government, tribes, and individual Indian mineral owners. In fiscal year 2016, the Department of the Interior reported collecting more than $2 billion associated with onshore oil and gas development on federal and Indian lands, including royalty payments from operators for resources extracted. Interior\u2019s Bureau of Land Management (BLM) has primary responsibility for managing and overseeing oil and gas development on federal lands. BLM also plays a key role in managing oil and gas development on Indian lands. Specifically, BLM\u2019s Inspection and Enforcement program ensures production accountability (i.e., operators accurately measure and report production volume\u2014these volumes are a key input into royalty payment calculations), environmental protection, and public safety.", "Inspecting oil and gas development and production is a complicated process that requires BLM\u2019s petroleum engineer technician (PET) inspectors to conduct a variety of technically challenging inspections in geographically remote areas to interact with hundreds of different operators in the oil and gas market. At 33 BLM field offices with ongoing oil and gas development activities, the Inspection and Enforcement program employs a workforce of PET inspectors who carry out a workload that includes a range of inspections that cover a well\u2019s life cycle, from drilling and production to plugging. PET inspectors play a vital role in helping to ensure operators employ sound and prudent industrial practices at more than 140,000 oil and gas wells on federal and Indian lands. In addition, changes and innovations within the oil and gas industry can impact the bureau\u2019s PET inspector workforce and its inspection workload. In this context, BLM oversight is essential to help ensure the bureau\u2019s field offices have effective internal controls, which help BLM achieve its mission and respond to changing risks.", "Past work by us, Interior\u2019s Office of Inspector General, and others has highlighted the importance of BLM\u2019s oversight of oil and gas development on federal and Indian lands and identified a number of weaknesses. BLM has taken some actions to address these weaknesses. For example: In March 2010, we found BLM was unable to consistently meet its goals for completing production inspections. We recommended that BLM consider an alternative inspection strategy to ensure it inspects all wells within a reasonable time frame, given available resources. BLM concurred with our recommendation. In response to our recommendation, in 2011, BLM developed its risk-based production inspection strategy, which classifies wells as either high-priority or low-priority for inspections based on multiple factors.", "In December 2010, the Interior Inspector General identified weaknesses with the quality of inspections conducted by Inspection and Enforcement program personnel and made a number of recommendations. In July 2012, BLM issued a program oversight policy that, among other things, requires state offices to conduct periodic internal control reviews of the Inspection and Enforcement program at BLM field offices with ongoing oil and gas activities.", "Since 2011, we have designated Interior\u2019s management of federal oil and gas resources as a high-risk area vulnerable to fraud, waste, abuse, and mismanagement. In our February 2017 high-risk series update, we reported that Interior has taken some actions to address production verification and human capital challenges by, for example, using special, higher salary rates to hire and retain key oil and gas staff such as BLM inspectors. However, the agency\u2019s management of federal oil and gas resources remains an area vulnerable to fraud, waste, abuse, and mismanagement.", "In our 2017 high-risk series update, we added a new high-risk area on improving management of federal programs that serve tribes and their members. We reported that, among other things, Interior\u2019s Bureau of Indian Affairs mismanages Indian energy resources held in trust and thereby limits opportunities for tribes and their members to use those resources to create economic benefits and improve the well-being of their communities.", "You asked us to examine BLM\u2019s oil and gas Inspection and Enforcement program. This report (1) describes the distribution of oil and gas Inspection and Enforcement program workload and workforce among BLM\u2019s field offices for the past 5 years and (2) examines the extent to which BLM conducted internal control reviews in accordance with its July 2012 oversight policy.", "To describe the distribution of oil and gas inspection and enforcement workload and workforce among BLM\u2019s 33 field offices with ongoing oil and gas activities, we focused on the workload completed by PET inspectors, as well as workforce data on PET inspectors. PET inspectors\u2019 workload includes inspections of drilling, production, and well plugging operations, commonly referred to as \u201cdownhole\u201d inspections according to the BLM Inspection and Enforcement Program Manager. We focused on these areas because (1) BLM planning documents consistently state that downhole inspections on high-priority drilling, high-priority well plugging, and high-priority production wells are the program\u2019s top three work activities, and (2) the program allocates the majority of its total inspection work months to completing downhole inspections. We selected the past 5 years (fiscal years 2012 through 2016) for which such workload and workforce data were available during our review.", "However, due to data reliability issues associated with priority rankings (high or low) during fiscal years 2012 through 2016 for drilling, production, and plugging inspections as well as issues with the number of completed inspections\u2014the most direct measure of workload\u2014we determined that these inspection data were not sufficiently reliable for our purposes. Instead, we identified seven alternate workload measures for drilling, production, and plugging inspections, which BLM officials said would provide a representation of the size and scope of its inspection workload. In addition, we identified two workforce measures for a total of nine measures that covered fiscal years 2012 through 2016. The workload measures are: the number of wells drilled on federal and Indian lands; the number of production cases on federal and Indian lands (a case is either a lease or an agreement, can have from 1 to more than 1,000 wells, and is the unit of analysis for BLM\u2019s production inspection workload); the number of high-priority production cases on federal and Indian lands; the number of low-priority production cases on federal and Indian lands; the number of planned work months for plugging inspections on federal and Indian lands; the number of enforcement actions issued for all inspections on federal and Indian lands; and the number of major and continued noncompliance enforcement actions\u2014major incidents of noncompliance, monetary assessments, civil penalties, and operation shutdown\u2014issued for all inspections on federal and Indian lands. These types of actions generally identify (1) immediate, substantial, and adverse effects to public health and safety, the environment, production accountability, or royalty income; or (2) an operator\u2019s failure to correct an identified problem or violation by the abatement date. For example, BLM can issue monetary assessments up to $5,000 to operators who drill on federal and Indian lands without approval.", "With respect to workforce, the measures are: the number of PET inspectors \u201con board\u201d at each field office at the start of each fiscal year, and the number of PET inspection work months in each fiscal year.", "For each of the workforce and workload measures, we calculated the percentage of the nationwide total (i.e., federal plus Indian) for each field office during fiscal years 2012 through 2016. Our calculations, in general, demonstrated a pattern that showed natural break points in the data for field office activity level. Based on these natural break points, we developed and applied decision rules. Based on these rules, we categorized each field office, based on specific workload and workforce measures, as \u201chigh activity\u201d if it represented 4 percent or more of the nationwide total, \u201cmedium activity\u201d if a field office represented from 3.9 percent to 1 percent of the nationwide total, and \u201clow activity\u201d if a field office represented 1 percent or less of the nationwide total. BLM agreed with this approach for categorizing the 33 field offices based on their workload and workforce activity levels, and said it was representative of the workload and workforce. For example, we categorized the Rawlins, Wyoming, field office as medium activity for the number of wells drilled because the office was responsible for 1.8 percent of all wells drilled on federal and Indian lands from fiscal years 2012 through 2016. However, we categorized the Rawlins field office as high activity based on the number of planned work months for plugging inspections because the office represented 5.7 percent of planned work months for plugging inspections on federal and Indian lands in fiscal years 2012 through 2016.", "We then compared the distribution of field offices across the workload and workforce measures to identify the offices that most consistently fell into the high-activity, medium-activity, or low-activity category. Once again, our analysis demonstrated a pattern that showed natural break points for the data, which allowed us to develop certain decision rules. Based on these rules, we categorized a field office as an overall highest activity office if it was rated high activity in at least six of the nine workload and workforce measures and an overall lowest activity office if it was rated low activity in at least six of the nine measures. Overall medium- activity offices were those that did not fall into the overall high and overall low categories. For example, we categorized the Rawlins field office as an overall medium-activity office because it was rated as high activity for three measures and medium activity for six measures. BLM agreed with this approach for grouping the field offices into three categories based on activity.", "We obtained our workload and workforce data primarily from the annual inspection work plan BLM develops at the start of each fiscal year. The annual work plan provided data for production cases, planned work months for plugging inspections, number of onboard PET inspectors, and number of PET inspection work months. In addition, we obtained records- level data from the bureau\u2019s corporate oil and gas database for the wells drilled and enforcement actions data. We assessed the reliability of the work plan and records-level data by reviewing related documentation, interviewing knowledgeable agency officials, and conducting electronic and manual testing of the data to identify missing data or obvious errors. We found that the data related to our seven workload and two workforce measures were reliable for the purposes of our review.", "To determine the extent to which BLM conducted internal control reviews of the Inspection and Enforcement program from fiscal years 2013 through 2018 in accordance with its July 2012 oversight policy, we reviewed the oversight policy and compared its requirements to (1) the field office internal control reviews completed by state office officials and (2) federal standards for internal control, specifically the control activities standard that requires management to design control activities to achieve objectives and respond to risks. We selected this time period as it was the most recent period for which data were available.", "For both objectives and to obtain possible reasons or explanations for the data, we reviewed key BLM policy and guidance documents, including the Inspection and Enforcement Handbook and the annually issued Inspection and Enforcement Strategy and Goals. We interviewed BLM headquarters officials, BLM officials at 7 state offices, and PET inspectors at 13 BLM field offices. We selected this nongeneralizable sample to provide a range of resource development, such as the primary type of resource developed (i.e., oil or gas or both), the presence of Indian lands, and geographic variation. We also conducted site visits to six BLM field offices in New Mexico, Wyoming, and North Dakota; we selected these field offices as they have historical or current high levels of resource development activity. During those site visits, we accompanied PET inspectors on drilling, production, and plugging inspections.", "We conducted this performance audit from December 2016 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides information on BLM\u2019s mission and organizational structure, the process for overseeing the development of federal and Indian oil and gas resources, and key aspects of the Inspection and Enforcement program."], "subsections": [{"section_title": "BLM Mission and Organizational Structure", "paragraphs": ["BLM\u2019s mission is to maintain the health, diversity, and productivity of public lands for present and future generations. As part of this mission, BLM manages federal lands for multiple uses, including recreation; grazing; timber; minerals; watershed; wildlife and fish; natural scenic, scientific, and historical preservation; and the sustained yield of renewable resources. BLM manages these responsibilities through its headquarters office in Washington, D.C.; state offices; district offices; and field offices. Each level\u2019s general responsibilities include the following:", "BLM\u2019s headquarters office develops guidance and regulations.", "State and field offices manage and implement the bureau\u2019s programs. In addition to implementing programs, BLM state offices oversee field office operations. Field offices lead BLM\u2019s oversight of oil and gas development. They are located primarily in the Mountain West, where much of oil and gas development on federal and Indian lands takes place.", "Within field offices, BLM supervisory and staff PET inspectors and tribal PET inspectors (who are contracted by BLM to inspect some wells on Indian lands in accordance with BLM policies and procedures) have primary responsibility for implementing the Inspection and Enforcement Program with assistance from state office program coordinators, according to the Inspection and Enforcement Program Manager. Among other things, state office program coordinators help field offices plan and prioritize their inspection workloads in accordance with BLM policy and comply with BLM guidance and federal regulations when conducting and documenting inspections, according to BLM officials."], "subsections": []}, {"section_title": "Process for Development of Oil and Gas Resources on Federal and Indian Lands Including Key Aspects of the Inspection and Enforcement Program", "paragraphs": ["Development of oil and gas resources on federal and Indian lands is a multi-stage process. First, Interior holds auctions through which entities may secure the right to federal and Indian leases that allow them to drill for oil and gas after meeting certain conditions. Once an operator plans to drill a well on leased land, it must first secure a permit from Interior. After drilling a well, an operator installs production equipment, such as pump jacks, storage tanks, and metering equipment. This production phase continues until the well becomes inactive, and the operator may decide to plug the well, usually because the well is either depleted or no longer economically viable. After plugging the well, the operator is required to remove all production equipment and reshape and revegetate the land around the well.", "To ensure compliance with applicable laws, regulations, and other requirements, BLM\u2019s Inspection and Enforcement program verifies that the operator complies with all requirements at a well or lease site during the drilling, production, and plugging phases. Three BLM onshore orders, issued pursuant to regulation, specify requirements that operators are to follow on federal and Indian leases. Inspectors use these orders to verify compliance during inspections. Onshore Oil and Gas Order Number 3 specified requirements for the minimum standards for site security by ensuring that oil and gas produced from federal and Indian leases are properly handled to prevent theft and loss and enable accurate measurement. Onshore Oil and Gas Order Number 4 specified requirements for measurement of oil produced under the terms of federal and Indian leases or received by federal and Indian lessees as shares of oil produced on state or private lands. Onshore Oil and Gas Order Number 5 specified requirements for measurement of gas produced under the terms of federal and Indian leases or received by federal and Indian lessees as shares of gas produced on state or private lands.", "Figure 1 shows key inspection activities that occur during the drilling, production, and plugging stages of a well\u2019s life cycle."], "subsections": []}]}, {"section_title": "Our Analysis of BLM Data Shows the Distribution of BLM\u2019s Inspection and Enforcement Program\u2019s Workload and Workforce Was out of Balance in Fiscal Years 2012 through 2016", "paragraphs": ["In fiscal years 2012 through 2016, the distribution of the oil and gas Inspection and Enforcement program\u2019s workload and the workforce among the 33 BLM field offices with ongoing oil and gas development activities showed an imbalance, based on our analysis of BLM data. BLM took both short- and long-term actions in fiscal years 2012 through 2016 to address this imbalance, such as temporarily re-assigning inspectors from some medium activity offices to some of the highest activity offices. Based on our review of BLM documentation and interviews with agency officials, two key factors affected the distribution of the program\u2019s workload: (1) energy market changes (e.g., price fluctuations) and (2) BLM actions to plan and prioritize inspection workload (e.g., changing risk classification for production inspections and decreasing the number of work months for plugging inspections)."], "subsections": [{"section_title": "The Distribution of the BLM Inspection and Enforcement Program\u2019s Workload and Workforce Was Out of Balance Based on Our Analysis of BLM\u2019s Data", "paragraphs": ["From fiscal years 2012 through 2016, the distribution of the workload and workforce of BLM\u2019s oil and gas Inspection and Enforcement Program was out of balance across the 33 BLM field offices with ongoing oil and gas development activities, based on our analysis of BLM data. The majority of the workload, about 58 percent, was located at the 6 highest-activity field offices, which had 44 percent of the workforce. In contrast, the majority of the workforce, 56 percent, was located in the remaining 27 medium and lowest activity offices, which had about 42 percent of the workload. Figure 2 shows the distribution of workload and workforce across the 33 field offices. In addition, figure 3 shows a map of our categorization of BLM\u2019s 33 field offices by their workload and workforce activity level.", "From fiscal years 2012 through 2016, based on our review of BLM documentation and interviews with agency officials, BLM took both short and long-term actions to address this imbalance, such as temporarily re- assigning inspectors from some medium activity field offices to some highest activity offices. A specific example of how BLM addressed this workload and workforce imbalance on a short term basis for this period concerns two of the highest activity offices (Hobbs and Dickinson). These offices had fewer PET inspectors on board and fewer PET inspection work months than three medium-activity offices (Pinedale, Rawlins, and Vernal). To address this imbalance, BLM sent short-term \u201cstrike teams\u201d of PET inspectors to Hobbs and Dickinson on multiple occasions to help complete inspections. For example, officials from the Hobbs field office told us that in fiscal years 2012 and 2013, PET inspectors from the Farmington field office helped complete drilling and plugging inspections at Hobbs. In addition, officials from the Dickinson field office said that during fiscal years 2012, 2013, and 2014, more than 20 PET inspectors from five different states helped them inspect drilling, production, and plugging operations.", "BLM officials said there were pros and cons to the strike team approach. They said strike teams generally allow a field office to complete high- priority inspections and can provide additional training to inspectors at that office. However, agency officials said that, at times, the inspection documentation from strike team PET inspectors may not fully align with the policies and practices of the office they are assisting, which can create uncertainty about what inspection activities were completed and what the inspection found. We previously reported that strike teams increase costs and are not a sustainable solution.", "To address the workload and workforce imbalance on a long term basis, BLM allocated additional funding in fiscal years 2015 and 2016 to hire PET inspectors. The Inspection and Enforcement program manager said that these hires were targeted to address workforce needs at certain field offices. According to agency documentation, BLM allocated additional funding to hire about 20 inspectors in fiscal year 2015 and 40 inspectors in fiscal year 2016. Approximately 75 percent of these inspector positions were in three state offices: Montana (which includes the Dickinson, North Dakota field office), New Mexico (which includes the Tulsa, Oklahoma field office), and Wyoming. All six of BLM\u2019s highest activity field offices are located in these three states.", "With this additional funding in fiscal years 2015 and 2016, multiple officials from BLM field offices reported that they were generally able to hire inspectors and, as a result, the number of onboard inspectors increased. For example, the number of onboard PET inspectors in the Dickinson field office increased from 8 in fiscal year 2015 to 17 in fiscal year 2017. In the Buffalo field office, the number of onboard PET inspectors increased from 16 in fiscal year 2015 to 23 in fiscal year 2017. These officials generally cited two key reasons for being able to hire inspectors. First, BLM increased the compensation for PET inspectors through the use of special salary rates, incentive payments, and student loan repayments. We have previously reported that BLM faces challenges hiring PET inspectors because BLM competes with industry for employees, and industry offers higher salaries. Second, and as described below, industry reduced development activity (i.e., wells drilled) in fiscal years 2015 and 2016 as commodity prices decreased. Multiple BLM field office officials also told us that it is easier to hire PET inspectors when oil and gas prices are low because industry is not hiring and applicants look to BLM for job security."], "subsections": []}, {"section_title": "Two Key Factors Affected the Distribution of the Oil and Gas Inspection and Enforcement Program\u2019s Workload", "paragraphs": ["Two key factors\u2014based on our review of BLM documentation and interviews with agency officials\u2014affected the distribution of the program\u2019s workload: (1) energy market changes (e.g., price fluctuations and increased development of shale plays) and (2) BLM actions to plan and prioritize inspection workload (e.g., changing risk classification for production inspections and decreasing the number of work months for plugging inspections). As we describe below, these factors affected several aspects of the program\u2019s workload (i.e., wells drilled, production inspection cases, planned plugging work months, and enforcement actions)."], "subsections": [{"section_title": "Consistently Lower Gas Prices, Volatile Oil Prices, and Increased Development of Shale Plays Led to a Decrease in Wells Drilled, but Not Uniformly Across BLM Field Offices", "paragraphs": ["The number of wells drilled on federal and Indian lands from fiscal years 2012 through 2016 declined, according to BLM data. The decline was primarily the result of consistently lower gas prices and oil prices that dropped significantly in fiscal years 2015 and 2016 combined with technological advancements that increased the development of resources located in shale and other tight rock formations\u2014which are generally not found on federal and Indian lands. Multiple BLM officials told us that commodity prices are a key factor that impacts the number of wells drilled on federal and Indian lands. These officials told us that, in general, when commodity prices are higher, industry will drill more wells, whereas when prices are lower, fewer wells are drilled. In addition, we previously reported that the highs and lows in prices and the number of oil and gas wells drilled largely overlapped, strongly suggesting that development activities reacted quickly and proportionally to changes in the prices of oil and gas. Table 1 shows the number of wells drilled on federal and Indian lands and average monthly prices for natural gas and crude oil for the period. While there may have been some year-to-year variability between the number of wells drilled and commodity prices (see the fiscal year 2013 to 2015 prices for natural gas in table 1), operators drilled fewer wells in fiscal years 2015 and 2016, which were years of both consistently low gas prices and significant decreases in oil prices.", "With regard to natural gas prices, a Purdue University study from March 2017 found that (1) the period of consistently lower natural gas prices (i.e., the Henry Hub average monthly price per million British thermal unit was generally from $2 to $4) began around 2009, which corresponds with increased development of natural gas from shale resources, and (2) the price increase in fiscal year 2014 was related to an extreme winter cold spell. With regard to oil prices, a World Bank report from January 2018 identified multiple factors contributing to the significant price decease that occurred in fiscal years 2015 and 2016. These factors included increased oil production from U.S. shale plays\u2014sedimentary rock formations containing significant amounts of oil and natural gas\u2014 contributing to oversupply as well as lower production costs that allowed shale oil wells to be profitable at lower prices.", "From 2009 to 2016, there was also an increase in the development of oil and gas plays located in shale and other tight rock formations, brought about by advances in production technologies such as horizontal drilling and hydraulic fracturing. According to Energy Information Administration data, shale plays represented more than 90 percent of the growth in oil and gas development from 2011 to 2016. As stated above, most shale plays are not located on federal and Indian lands. However, the few BLM field offices located in shale plays where operators focus on oil development saw a smaller decrease in the number of wells drilled compared to field offices located outside of shale plays. For example, the Dickinson field office\u2014located in the Bakken shale play\u2014experienced a 15 percent decrease in the number of wells drilled from about 400 in fiscal year 2012 to about 330 in fiscal year 2016. Similarly, the Hobbs field office\u2014located in the Permian shale play\u2014experienced a 27 percent decrease from about 160 in fiscal year 2012 to about 120 in fiscal year 2016. According to BLM data, almost all producing wells in the Dickinson and Hobbs field offices are oil wells. In contrast, two field offices located outside of shale plays experienced a more significant decrease. The number of wells drilled in the Bakersfield field office (located in California) declined 90 percent from 285 wells drilled in fiscal year 2012 to 30 wells drilled in fiscal year 2016. According to BLM data, almost all of the Bakersfield field office\u2019s producing wells are oil wells. The number of wells drilled in the Vernal, field office (located in Utah) declined 95 percent from 725 wells drilled in fiscal year 2012 to 35 wells drilled in fiscal year 2016. According to BLM data, about 40 percent of the Vernal field office\u2019s producing wells are oil wells, and the remaining 60 percent are natural gas wells."], "subsections": []}, {"section_title": "BLM Changes to Risk Classification Led to Fluctuations in the Number of High Priority Production Inspection Cases", "paragraphs": ["On multiple occasions from fiscal year 2012 through fiscal year 2016, based on our review of agency documentation, BLM changed its methodology to identify and classify risk, which led to fluctuations in the number of high-priority production inspection cases in a given fiscal year. In our review, we focused on high priority production cases because, according to agency documents, inspecting such cases is one of the program\u2019s top three work priorities. Based on our review of agency documentation, BLM\u2019s risk-based strategy went through several iterations from fiscal years 2011 through 2016, and agency officials said that it was difficult to identify the specific reasons for year-to-year changes in the number of their high-priority production cases. This strategy used multiple weighted factors to develop a composite risk score to identify high- and low-priority cases. In fiscal year 2011, BLM based the composite risk score on seven weighted factors: four factors based on BLM data, and three factors based on data from Interior\u2019s Office of Natural Resources Revenue (ONRR). However, BLM officials stated that they had challenges importing ONRR data in a format compatible with the bureau\u2019s information technology system and have since stopped using the data. From fiscal year 2013 through fiscal year 2016, BLM based the composite risk score on the following four BLM-identified risk factors: (1) average monthly production, (2) number of missing oil and gas operations reports, (3) number of incidents of noncompliance, and (4) number of years since last inspection. With regard to composite risk scores, in fiscal year 2011, BLM determined that a composite risk score of 4 would be considered high risk, meaning that cases with a score of 4 or more required an inspection. For fiscal year 2013, BLM increased the composite risk score needed to be considered high risk and required an inspection with a score of 5, a change intended to reduce the number of required inspections because agency documentation stated that the workload in the preceding years was too high for some field offices. For fiscal years 2014, 2015 and 2016, BLM lowered the composite risk score to 4 again.", "BLM averaged about 2,150 high priority production cases in fiscal years 2012 through 2016, and in each of those fiscal years, the number ranged from about 1,700 to about 2,500. In addition, over 60 percent of such cases were located in the 6 highest-activity field offices we identified. Since such cases are concentrated in six field offices, seemingly minor fluctuations in the overall number of high priority production cases can have greater impacts to an individual field office\u2019s workload. For example, in fiscal year 2013, BLM identified about 2,500 high priority production cases. The Farmington field office in that year had about 170 such cases (or about 7 percent of the total) and estimated that PET inspectors needed about 12 work months to complete these inspections. In fiscal year 2015, BLM identified about 1,700 high priority production cases. The Farmington field office had about 90 such cases (or about 5 percent of the total) and estimated that PET inspectors needed about 6 work months to complete these inspections. In general, BLM officials told us that a single PET inspector is assigned about 6 inspection work months in a fiscal year once other demands on an inspector\u2019s time (i.e., sick leave, vacation, training, and the completion of other assigned non-inspection duties such as administering various safety programs) are considered. Therefore, in fiscal year 2013 the Farmington field office would have had to dedicate 2 PET inspectors (or about 10 percent of its total PET workforce) to complete only high priority production inspections, and in fiscal year 2015 the field office would have needed 1 PET inspector (or about 5 percent of its total PET workforce) to complete such inspections.", "Since BLM\u2019s risk-based strategy has gone through multiple iterations since fiscal year 2012, several BLM officials said that it was difficult to identify the specific reasons for year-to-year changes in the number of their high-priority production cases. Officials, however, said that their ability to complete more high-priority production inspections increases during times of reduced industry drilling activity. Specifically, if industry is drilling fewer new wells, BLM can apply additional resources toward inspecting currently producing wells because PET inspectors who would normally conduct drilling inspections can now be deployed to high-priority production inspections. For example, as described above, the number of wells drilled decreased during the time frame covered in our review, with the Vernal and Bakersfield field offices experiencing substantial decreases in the number of wells drilled from fiscal year 2012 to fiscal year 2016. Officials in both offices told us that when drilling activity was low, BLM redirected resources originally planned for drilling inspections to complete high-priority production inspections."], "subsections": []}, {"section_title": "BLM Reduced the Total Number of Estimated Well Plugging Inspection Work Months as Commodity Prices Stayed Low or Decreased", "paragraphs": ["According to agency data, BLM reduced the estimated number of plugging inspection work months from about 200 in fiscal year 2012 to about 155 in fiscal year 2016, or about 23 percent. Multiple agency officials told us that due to low or falling commodity prices operators plugged fewer wells from fiscal year 2012 through fiscal year 2016. As discussed above, natural gas prices were consistently low during fiscal years 2012 through 2016, while oil prices decreased significantly in fiscal years 2015 and 2016. According to multiple BLM officials, operators generally plug fewer wells during times of low or falling commodity prices because operators prefer to (1) maintain the income generated from even marginally producing wells or (2) limit the expenditures required to plug wells. In May 2018, we reported that low oil and gas prices placed financial stress on operators, increasing bankruptcies and the risk that operators would not permanently plug wells, and that BLM\u2019s actual costs and potential liabilities for reclaiming oil and gas wells likely increased for fiscal years 2010 through 2017. In addition, we reported that BLM faced challenges identifying and managing shut-in wells. For example, BLM does not have time limits for how long operators can have a well in shut- in status, which may limit the agency\u2019s ability to ensure that operators permanently plug such wells before they become orphaned.", "However, since BLM estimates the number of plugging inspection work months at the start of each fiscal year, there can be instances where actual industry activity is different than estimated. For example, BLM officials at four field offices told us that during the time frame of our review, operators in their region plugged more wells than estimated. According to agency officials, these operators plugged more wells than BLM estimated because the operators were either looking to reduce their financial liability\u2014sometimes in anticipation of selling assets\u2014or looking for work to keep crews busy. In these instances, agency officials told us that, in general, BLM re-allocated inspection work months from low- priority production inspections to these plugging inspections. According to agency officials and documentation, plugging inspections are a higher priority than production inspections for multiple reasons. First, a plugging inspection is time sensitive because it is the final stage in a well\u2019s lifecycle. In contrast, a production inspection is an ongoing operation that can be conducted at almost any time. Second, properly plugging a well is essential for long-term environmental protection. For example, wells that are not properly plugged can leak methane and contaminate surface and groundwater. As such, multiple BLM officials told us that plugging inspections are their field office\u2019s highest priority work task and they will re-allocate resources, if necessary, to complete such inspections."], "subsections": []}, {"section_title": "Higher Oil Prices in Some Years and Generally Lower Gas Prices Led to an Imbalance in the Program\u2019s Enforcement Workload at Three Field Offices", "paragraphs": ["Based on our analysis of BLM data, two key market changes created an imbalance of the program\u2019s enforcement workload: (1) increased drilling activity at two field offices located in shale formations during times of higher oil prices, and (2) bankruptcies of coalbed methane operators in one field office as gas prices decreased. Combined, the Buffalo, Carlsbad, and Dickinson field offices issued about 45 percent of all enforcement actions, 75 percent of all monetary assessments, and about 85 percent of all civil penalties (see table 2). For purposes of this review, we focused on the number and amount of monetary assessments and civil penalties because, according to agency officials and BLM documentation, these two enforcement actions are the key tools used by BLM to address instances of serious or continued operator noncompliance.", "Almost all of the monetary assessments that the Carlsbad and Dickinson field offices issued were for drilling violations\u2014either drilling without approval or failure to install a blowout preventer or other well control equipment\u2014and occurred in fiscal years 2012 through 2014, based on our review of BLM enforcement data. Federal regulations generally provide for higher monetary assessment amounts for drilling violations compared to other types of violations. Specifically, drilling violations are subject to assessments of $500 per day (up to $5,000), whereas a violation for failure to comply with a previously issued written notice for a minor violation is $250. As such, even though the Carlsbad and Dickinson field offices issued 24 percent of the number of monetary assessments, they issued about 60 percent (about $710,000) of the total amount assessed by all BLM field offices from fiscal years 2012 through 2016. In contrast, even though the Buffalo field office issued more than half of the monetary assessments, these actions accounted for 18 percent (about $220,000) of the total amount assessed because almost all of these assessments were minor violations for failure to comply (see table 3).", "From fiscal years 2012 through 2016, the Carlsbad and Dickinson field offices were responsible for about 30 percent of all wells drilled on federal and Indian lands, according to BLM data. These offices are located, respectively, in the Permian and Bakken shale plays, where almost all wells are oil wells. During fiscal years 2012 through 2014, for each of these field offices, operators drilled about 435 wells each year, and the price of oil ranged from $87 to $107 per barrel. In contrast, during fiscal years 2015 and 2016, operators drilled about 275 wells each year while the price of oil ranged from $45 to $86 per barrel. According to agency officials, during fiscal years 2012 through 2014 operators attempted to drill wells as quickly as possible in the Carlsbad and Dickinson field offices to increase production during a time of higher oil prices.", "BLM field office officials told us that when oil prices are higher, some operators have less financial incentive to follow federal requirements. In the Dickinson field office, for example, almost all monetary assessments were related to drilling without approval. Officials from that field office told us that, in general, these violations were related to operators who applied to BLM for a drilling permit, but the bureau did not approve the permit before the operator started drilling. In these instances, operators decided that the benefit of increased production at higher prices outweighed the cost of a monetary assessment, according to agency officials. BLM officials told us that for both types of drilling violations\u2014drilling without approval and failure to install well control equipment\u2014BLM issues monetary assessments immediately upon discovery due to the potential serious harmful impacts to resource development and environmental health and suspends drilling operations until the operator corrects the violation and pays the assessment. The officials said operators almost always pay these assessments in a timely manner because they wanted to complete drilling operations and start production.", "In contrast to the monetary assessments issued during times of high oil prices, the Buffalo field office issued hundreds of civil penalties totaling millions of dollars during times of lower natural gas prices as some coalbed methane operators declared bankruptcy and did not complete required reclamation activities. Specifically, the Buffalo field office issued over 75 percent of the number of civil penalties and almost the entire amount penalized during fiscal years 2012 through 2016 (see table 4).", "As we reported in May 2018, low natural gas prices placed financial stress on operators of thousands of coalbed methane wells (natural gas extracted from coal beds). In that May 2018 report, we also found that coalbed methane was economical to produce when natural gas prices were higher, and thousands of coalbed methane wells were drilled on federal lands. However, coalbed methane production has declined because the production of shale gas has kept natural gas prices low. Officials from the Buffalo field office told us that (1) low natural gas prices contributed to an increasing number of bankruptcies among coalbed methane operators, and (2) in general, these bankrupt operators stopped production activities, shut-in the wells instead of permanently plugging them, and stopped communicating with BLM.", "For these cases, Buffalo field office documentation outlines a 20-step process to identify a responsible party\u2014that is, the operator or the person(s) to whom BLM issued the lease (the lessee)\u2014to either permanently plug these wells or bring them back into production. Officials said that they repeated this 20-step process for each operator or lessee, as needed. Since one lease can have multiple lessees, the repetition of this process resulted in a very large number of enforcement actions, according to Buffalo field office officials. Under this process, BLM initially issued thousands of written notices requiring the responsible party to either \u201cplug or produce.\u201d When the responsible party did not take the specified corrective action outlined in the written notices, the field office then issued hundreds of monetary assessments for failure to comply with the written notice and again instructed the operators to \u201cplug or produce.\u201d When the responsible party failed to comply with the monetary assessments, Buffalo issued hundreds of civil penalties.", "Buffalo field office officials told us that they do not know whether the government has collected any of the issued penalties because the responsible parties did not pay the penalties to BLM in a timely manner. As such, BLM turned these outstanding penalties over to the Treasury Department for collection, a process that can take up to 2 years, according to agency documentation. Since market conditions have remained unfavorable for coalbed methane production, BLM has taken actions to permanently plug some wells. For example, according to agency officials and documents, the agency has (1) worked with some non-bankrupt lessees, including at least one major oil and gas corporation, to plug wells, (2) re-directed funding from other BLM programs to pay to plug wells and (3) contributed funding to the state of Wyoming\u2019s well plugging program. We recently reported on BLM\u2019s actual costs and potential liabilities for reclaiming oil and gas wells and have ongoing work reviewing BLM\u2019s bonding requirements, which is the primary mechanism to ensure that operators complete required reclamation activities."], "subsections": []}]}]}, {"section_title": "BLM Has Not Completed All Required Internal Control Reviews of Its Field Offices and Does Not Employ a Risk-Informed Oversight Strategy", "paragraphs": ["BLM state offices did not complete internal control reviews at 27 of 33 field offices\u2014including 5 of the 6 highest activity offices we identified. According to the July 2012 oversight policy, state offices are to periodically conduct internal control reviews of their field offices to, among other things, (1) review whether inspections and enforcement actions are accurate, complete, and conducted in accordance with policy, (2) review staffing and training needs, and (3) identify areas where program guidance can be improved. The July 2012 oversight policy also says that BLM state offices are responsible for overall programmatic oversight of field office operations. For those field offices with Inspection and Enforcement program functions, this means that state offices are responsible for ensuring that the field offices are able to meet the goals stated in the program\u2019s handbook, which include production accountability (i.e., the accurate measuring and reporting of production volumes), environmental safety, and public safety. BLM state offices completed internal control reviews at 6 of the 33 field offices from 2013 through 2017 and scheduled reviews for 5 others from 2018 through 2020, as shown in table 5.", "Officials from BLM state offices who completed internal control reviews said the benefits of these reviews included obtaining data to justify additional training or resources and providing a formal opportunity to examine key program management practices and correct identified deficiencies. For example, in September 2017, the Colorado state office completed an internal control review of a field office. Prior to this review, officials from that state office told us that they thought the field office might be understaffed based on a variety of factors, including longer than expected inspection times. BLM data showed that in fiscal year 2016 this field office estimated about 60 hours to complete a production inspection, while the other 5 Colorado field offices\u2019 average estimate was about 14 hours. The September 2017 Colorado state review identified unofficial management policies at this field office that resulted in the underutilization of PET inspectors and inflated inspection times, creating a perception of understaffing. For example, one of the field office\u2019s unofficial policies required that PET inspectors drive at least 1,000 miles a month in order to keep their government vehicle, which resulted in some inspectors taking longer routes and driving to locations beyond those required for the job. This policy contributed to artificially inflating inspection times. According to the Colorado state review, the accurate tracking of inspection times is vital for workload planning and staffing purposes. In response to these findings, the field office manager terminated the unofficial policy, and officials from the Colorado state office said they will check on the implementation of their recommendations by reviewing the inspection data. Officials from that state office are also no longer considering hiring additional PET inspectors. To ensure that the field office sustains these corrective actions, Colorado state officials told us that they perform periodic reviews of production inspection records and continue to hold progress report meetings with the field office\u2019s management team.", "Although BLM state offices completed internal control reviews at 6 of 33 field offices, the state offices did not complete reviews at 27 field offices, including 5 of the 6 highest-activity field offices we identified. Officials from BLM state offices identified some key human capital and workload reasons that hindered their ability to complete reviews, including: long-term vacancies in multiple state offices\u2019 inspection and enforcement coordinator positions, which BLM filled on a temporary basis with other agency employees; competing priorities from upper management (e.g., preparing for lease sales); and hiring and training new PET inspectors.", "For example, according to one state office inspection and enforcement coordinator, the coordinator position was filled on a temporary basis by four different BLM employees from about November 2013 to November 2015 as the agency tried to find a permanent hire. This official said that as a result of the personnel changes, the state office did not conduct field office internal control reviews as initially scheduled. In addition, another state office inspection and enforcement coordinator said that she spends a lot of her time providing instruction and on-the-job training to newly hired PET inspectors in multiple field offices that do not have a supervisory PET inspector, which limits her ability to perform field office internal control reviews.", "We also identified two shortcomings with BLM\u2019s control activities that may have limited the agency\u2019s ability to compete internal control reviews as required by the July 2012 oversight policy. First, BLM headquarters did not design appropriate types of control activities to help management fulfill its responsibilities. Specifically, the Inspection and Enforcement program manager said that BLM headquarters did not consistently track and monitor the extent to which state offices completed field office internal control reviews. This official said that headquarters tends to rely on state offices to track and monitor such reviews and that headquarters focused on higher priority work tasks, such as developing and implementing new regulations that were issued in January 2017. Within the first 3 years following the issuance of the July 2012 policy, the agency completed one internal control review each during fiscal years 2013 and 2015, although at least 12 reviews were to be completed. BLM headquarters officials we spoke with were not aware that so few reviews had been completed in fiscal years 2013 and 2015.", "Federal standards for internal control state that management should design control activities to achieve objectives and respond to risks, such as by comparing actual performance to planned or expected results and analyzing significant differences. Because it did not consistently monitor and track state office performance, BLM headquarters (1) did not know that state offices were not conducting field office internal control reviews in accordance with the July 2012 oversight policy and (2) could not analyze the reasons why actual performance did not meet expected results. Identifying the reasons it did not complete internal control reviews (e.g., human capital and workforce challenges), developing and implementing a plan to address those challenges, and monitoring state offices\u2019 progress toward completing required reviews will better position BLM to ensure that its state offices complete all required internal control reviews as called for by its July 2012 oversight policy.", "Second, the July 2012 oversight policy identifies specific areas (e.g., the accuracy and completeness of inspections and staffing and training needs) that the reviews should assess, but according to a BLM headquarters official, the agency did not provide state offices with implementation guidance or procedures. This official said that BLM did not provide guidance or procedures so that state offices would have flexibility in how they conducted such reviews. However, multiple BLM state officials told us that such guidance or procedures would provide a helpful framework for conducting these reviews. One state office inspection and enforcement coordinator told us that since she had no prior training or experience designing and implementing internal control reviews, guidance or procedures would be especially beneficial.", "Because they did not have documented implementation guidance or procedures to follow, the two state offices that completed internal control reviews developed their own procedures, which varied in design, methodology, and resources based our review of the six completed internal control reviews as well as interviews with BLM state officials. Specifically:", "One state office (1) developed its own review procedures based, in part, on existing program documentation, (2) assigned a single individual to conduct reviews because the state did not have the resources available to provide additional staff support, and (3) reviewed inspection and enforcement data contained in BLM\u2019s corporate oil and gas database as well as hard copy files, and interviewed field office PET inspectors.", "Another state office (1) developed its review procedures based on those employed during a 2011 review of the entire Inspection and Enforcement program at the suggestion of the Deputy State Director; (2) assigned review teams consisting of multiple BLM officials with different areas of expertise; and (3) reviewed database and hard copy records, interviewed both field office PET inspectors and field office management, and observed field office PET inspectors as they conducted inspection activities.", "Federal standards for internal control state that management should design control activities to achieve objectives and respond to risks, such as by clearly documenting internal control responsibilities in management directives, administrative policies, or operating manuals. BLM has a documented policy, but this policy does not clearly specify what procedures state office officials are to follow to conduct internal control reviews. Without developing and documenting procedures for implementing internal control reviews under the July 2012 oversight policy, BLM does not have assurance that state offices will review all specific areas identified in the July 2012 oversight policy in a consistent manner.", "In addition, although BLM did not have documented procedures for conducting periodic internal control reviews, the July 2012 oversight policy specified a schedule for conducting such reviews (see fig. 4). The schedule states the following:", "For state offices with four or fewer oil and gas field offices, the state office is to complete an internal control review of each field office at least once every 3 years. The state offices in this category are Alaska, California, Eastern States, Montana, Nevada, and Utah.", "For state offices with five or more oil and gas field offices, the state office is to complete an internal control review of each field office at least once every 6 years. The state offices in this category are Colorado, New Mexico, and Wyoming.", "According to the Inspection and Enforcement program manager, this schedule was based on discussions with state office inspection and enforcement coordinators to balance officials\u2019 availability to conduct internal control reviews and other responsibilities. The program manager said that BLM did not identify or consider risk when developing the schedule because the agency\u2019s primary focus was to balance the new requirement to conduct field office internal control reviews with the state office coordinators\u2019 existing workload. However, the review schedule in the July 2012 oversight policy generally requires more frequent internal control reviews of low-activity offices and less frequent reviews of high activity offices. In particular, five of the six highest activity field offices we identified in our review are in states in which there are more than five field offices. According to the policy, these highest activity offices would therefore receive an internal control review at least once every 6 years. In contrast, five of the six lowest activity field offices are in states in which the policy requires that reviews be conducted at least once every 3 years. Such a review schedule may not ensure that BLM has properly established and implemented internal control reviews at the highest activity field offices\u2014whose workforce must complete a majority of the program\u2019s workload\u2014which may inherently pose a greater risk to the program\u2019s goals of production accountability, environmental protection, and personnel safety. For example, if the six highest activity field offices have an inadequate number of PET inspectors, then there is an increased risk to BLM\u2019s production accountability goal. Specifically, if these offices do not have the human resources needed to fully inspect high-priority production cases, BLM has less assurance that operators are properly measuring and reporting production volumes, which increases the risks to the accurate collection of royalty payments. Furthermore, those field offices that experienced greater levels of drilling workload may present a higher risk to BLM\u2019s environmental protection goal. Specifically, if the six highest activity offices do not conduct accurate and complete drilling inspections, BLM has less assurance that operators are properly conducting drilling operations, which increases the risks of environmental problems, such as contamination of fresh water aquifers.", "Federal internal control standards call for entities to identify, analyze, and respond to risks related to achieving the defined objectives, such as by estimating the significance of identified risks to assess their effect on achieving defined objectives. Management estimates the significance of a risk by considering the magnitude of impact, which refers to the likely magnitude of deficiency that could result from the risk and is affected by factors such as the size of a risk\u2019s impact. Without employing a risk- informed approach to scheduling and conducting internal control reviews that takes into account the risks to the Inspection and Enforcement program, such as those inherent in field offices\u2019 workload and workforce, BLM will not have reasonable assurance that it has adequate controls in place to address the effect of the field offices that pose the greatest risk to the program. BLM officials said that assessing risk, including field offices\u2019 workload activity levels, could provide a useful metric to inform how BLM conducts and prioritizes field office internal control reviews."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["On federal and Indian lands, BLM\u2019s Inspection and Enforcement program is intended to ensure that operators developing oil and gas resources do so in a manner that protects public safety, environmental health, and royalty income. This is a complex undertaking that occurs within the oil and gas market and requires BLM\u2019s PET inspectors to conduct technically challenging drilling, production, and plugging inspections. In this context, BLM\u2019s July 2012 oversight policy calls for its state offices to conduct periodic internal control reviews of field offices. While BLM state offices completed internal control reviews at 6 field offices, they did not complete reviews at 27 field offices, including 5 of the 6 highest activity field offices we identified. In addition, because it did not consistently monitor and track state office performance, BLM headquarters (1) did not know that state offices were not conducting field office internal control reviews in accordance with the July 2012 oversight policy and (2) could not analyze the reasons why actual performance did not meet expected results. Identifying the reasons it did not complete internal control reviews (e.g., human capital and workload), developing and implementing a plan to address those challenges, and monitoring state offices\u2019 progress toward completing required reviews will better position BLM to ensure that its state offices are completing all required internal control reviews as called for by its July 2012 oversight policy.", "Additionally, although BLM\u2019s July 2012 oversight policy does identify the specific areas that internal control reviews should assess, BLM did not provide state offices with implementation guidance or procedures. Because they did not have documented implementation guidance or procedures to follow, the two state offices that completed internal control reviews developed their own procedures, which varied in design, methodology, and resources. Without developing and documenting procedures for implementing internal control reviews under the July 2012 oversight policy, BLM does not have assurance that state offices will review all specific areas identified in the July 2012 oversight policy in a consistent manner.", "Furthermore, and inconsistent with federal internal control standards, BLM\u2019s July 2012 oversight policy established a review schedule without identifying or considering risk. Without employing a risk-informed approach to scheduling and conducting internal control reviews that takes into account the risks to the Inspection and Enforcement program, such as those inherent in field offices\u2019 workload and workforce, BLM will not have reasonable assurance that it has adequate controls in place to address the effect of the field offices that pose the greatest risk to the program."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to BLM: The Director of BLM should identify the reasons internal control reviews were not completed (e.g., human capital and workforce), develop and implement a plan to address those reasons, and monitor state offices\u2019 progress toward completing required reviews. (Recommendation 1)", "The Director of BLM should develop and document procedures for implementing internal control reviews under the July 2012 oversight policy. (Recommendation 2)", "The Director of BLM should implement a risk-informed approach to scheduling and conducting internal control reviews that takes into account the risks to BLM\u2019s mission, such as those inherent in field offices\u2019 workload and workforce. (Recommendation 3)"], "subsections": [{"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Department of Interior for comment. In its comments, reproduced in appendix I, Interior concurred with our three recommendations and outlined planned actions to implement them. For example, BLM plans to issue updated guidance and procedures for conducting internal control reviews to help ensure that such reviews are completed in a timely manner using a consistent risk- based approach.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or ruscof@gaog.ov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}]}, {"section_title": "Appendix I: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Christine Kehr (Assistant Director), Patrick Bernard (Analyst-in-Charge), Tara Congdon, William Gerard, Cindy Gilbert, Jessica Lewis, Dan Royer, Kiki Theodoropoulos, Karen Villafana, and Jack Wang made key contributions to this report."], "subsections": []}]}], "fastfact": ["Private companies operate over 140,000 oil and gas wells on federal and Indian lands. The Bureau of Land Management's (BLM) inspection program ensures that these operators are complying with laws and regulations that protect public safety and the environment. Inspectors also ensure that operators are making accurate royalty payments to the federal government.", "We reviewed BLM's inspection program and found that the agency wasn't effectively allocating its workforce. BLM's 6 busiest field offices handled 58% of the inspection workload between FYs 2012-2016\u2014but had only 44% of the inspection staff. We recommended that BLM address this issue."]} {"id": "GAO-19-17", "url": "https://www.gao.gov/products/GAO-19-17", "title": "Buy American Act: Actions Needed to Improve Exception and Waiver Reporting and Selected Agency Guidance", "published_date": "2018-12-18T00:00:00", "released_date": "2018-12-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Buy American Act of 1933, as amended, is the main U.S. law promoting domestic purchasing. The Act permits agencies to buy foreign end products only under certain exceptions, such as when domestic items are not available at a reasonable cost. Further, U.S. trade agreements waive the Buy American restrictions for certain products.", "GAO was asked to review implementation of the Buy American Act. This report assesses the extent to which (1) the federal government procures foreign products through Buy American Act exceptions and waivers; and (2) selected agencies provide training and guidance to implement the Act.", "GAO reviewed laws, regulations, and policies related to the Buy American Act and analyzed data for fiscal year 2017 from FPDS-NG. GAO also analyzed a non-generalizable sample of 38 contracts from DOD, HHS, DHS, and VA\u2014the agencies with the most obligations for products in fiscal year 2017. The 38 awards selected include a mix of foreign and domestic products, as well as dollars obligated. Finally, GAO interviewed cognizant contracting and policy officials from the selected agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["According to data reported in the Federal Procurement Data System-Next Generation (FPDS-NG) in fiscal year 2017, foreign end products accounted for less than 5 percent\u2014about $7.8 billion\u2014of federal obligations for products potentially subject to the Buy American Act. Federal agencies procured foreign products using exceptions to Buy American Act requirements, as well as through waivers or when the Buy American Act did not apply, as shown in the figure.", "The amount of foreign end products purchased could be greater than reported in FPDS-NG, however, due to reporting errors and system limitations. GAO found that 6 of the 38 contracts reviewed from the Departments of Defense (DOD), Health and Human Services (HHS), Homeland Security (DHS), and Veterans Affairs (VA) inaccurately recorded waiver or exception information. FPDS-NG system limitations compound these errors because it does not fully capture Buy American Act data. Among other things, the database does not always enable agencies to report the use of exceptions or waivers on contracts for both foreign and domestic products, reducing data accuracy. The Office of Management and Budget (OMB) is considering strategies to improve Buy American Act data.", "The four agencies GAO reviewed varied in their approaches to Buy American Act training and guidance. DOD reports that it will have trained more than 18,000 personnel by the end of 2018. DHS reports training almost 1,400 people\u2014approximately 94 percent of its contracting staff\u2014as of April 2018. Some VA courses mention the Act, but none is focused specifically on implementing its requirements. HHS does not have agency-level training or guidance on the Act. GAO found that contracting officers for the contracts it reviewed face challenges implementing Buy American Act requirements. Having specific and targeted Buy American Act guidance and training can better ensure that agencies meet the Act's requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that OMB take steps to improve Buy American Act data and that HHS, DHS, and VA improve agency guidance and training on implementing the Act. All of the agencies either concurred or generally concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, the federal government obligates hundreds of billions of dollars to procure goods and services\u2014reporting $508 billion in fiscal year 2017 alone. Congress has enacted a variety of laws commonly referred to as domestic preference laws that establish preferences or requirements for federal agencies to purchase domestically produced goods, products, and materials.", "The Buy American Act, enacted during the Great Depression in 1933, is one of the most prominent domestic preference laws. The Act requires federal procurement of domestic products, but permits federal agencies to procure foreign products under certain exceptions, such as where domestic end products are not reasonably available in sufficient quantities of a satisfactory quality. The restrictions also may be waived under international trade agreements so that the goods provided by designated countries can compete on an equal footing with domestic products.", "Congress and the administration have undertaken efforts to increase opportunities for domestic manufacturers. In the current Congress, bills have been introduced related to the Buy American Act. In April 2017, the president issued an Executive Order stating that it shall be the policy of the executive branch to maximize the use of domestic goods in an effort to, among other things, stimulate economic growth and create jobs in the United States.", "You asked us to review federal agency implementation of the Buy American Act. This report assesses the extent to which (1) the federal government procures foreign products through Buy American Act exceptions and waivers; and (2) selected agencies provide training and guidance to implement the Buy American Act requirements.", "To assess the extent of the federal government\u2019s procurement of foreign end products through exceptions and waivers to the Buy American Act, we analyzed data from the Federal Procurement Data System-Next Generation (FPDS-NG) for fiscal year 2017, which represented the most recent and complete data available at the time of our review. We analyzed the fiscal year 2017 data to identify the dollars obligated. We used the categories within the FPDS-NG \u201cPlace of Manufacture\u201d and \u201cCountry of Product or Service Origin\u201d fields to determine whether agencies characterized the origin of a product as either domestic or foreign. We conducted data checks for obvious errors, such as verifying that agencies did not use exceptions that were not applicable. We also made some minor adjustments to mitigate potential data reliability issues. Based on these steps, we determined that FPDS-NG data were sufficiently reliable to allow us to calculate the approximate extent of obligations for foreign end products and the use of Buy American Act exceptions and the Trade Agreements Act waiver. Because of the reporting errors and data system limitations we identified, however, as described later in this report, we are unable to precisely determine the amount spent on foreign end products through the use of exceptions and waivers.", "We supplemented our analysis by reviewing documentation from a non- generalizable sample of 38 contracts from four selected agencies\u2014the Departments of Defense (DOD), Health and Human Services (HHS), Homeland Security (DHS), and Veterans Affairs (VA)\u2014which had the highest obligations for the types of goods that may be subject to the Buy American Act. The non-generalizable sample of 38 contracts and orders were selected from among the following contracting offices in the four agencies:", "DOD: Defense Logistics Agency, Land and Maritime", "HHS: National Institutes of Health and the Office of the Assistant Secretary for Preparedness and Response", "DHS: United States Coast Guard", "VA: Veterans Health Administration We selected these contracts to obtain a mix of awards that reported foreign product acquisitions authorized by the various Buy American exceptions or trade agreement waivers, and to ensure contracts that reported the purchase of domestic end products were also represented. We also interviewed cognizant contracting officials and analyzed contract file documentation to determine how Buy American requirements were implemented or waived.", "To assess the extent to which selected agencies provide training and guidance to implement the Buy American Act, we reviewed training materials and acquisition regulations, policies, and guidance from the four selected agencies\u2014DOD, HHS, DHS, and VA\u2014and interviewed officials responsible for acquisition policy and training. We also reviewed the Federal Acquisition Regulation (FAR), as well as relevant work from the DOD Inspector General regarding DOD\u2019s compliance with Buy American Act requirements. A more detailed description of our scope and methodology is included in appendix I.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Buy American Act of 1933 was enacted during the Great Depression when there was a need to create and preserve jobs for American workers, and it established a preference for the federal government to buy domestic end products. Many of the products the federal government buys\u2014including aircraft engines and medical supplies\u2014are end products that may be subject to the requirements of the Buy American Act. Further, the Buy American Act does not apply to products that are purchased for use outside the United States or obtained through contracts under the micro-purchase threshold, which was generally $3,500 in fiscal year 2017. end products manufactured in the United States provided that (a) the product is a commercially available off-the-shelf item; or (b) the cost of the components mined, produced, or manufactured in the United States exceeds 50 percent of the total cost of all components.", "End products that are not considered domestic under the Buy American Act are treated as foreign. This characterization is based on the origin of the end product\u2014that is, where the product is manufactured or produced\u2014and not the vendor\u2019s location. For example, a vendor located in Finland may supply end products manufactured in the United States, in which case these products would be treated as domestic products. Conversely, a vendor located in the United States may supply end products manufactured in Finland. In this case, the end products would be considered foreign."], "subsections": [{"section_title": "Buy American Act Exceptions and Waivers", "paragraphs": ["Although the Buy American Act establishes a preference for domestic end products, there are situations in which agencies can procure foreign end products through established exceptions to the Buy American requirements. In addition, under the Trade Agreements Act of 1979, the United States has waived domestic purchasing requirements\u2014including the Buy American Act\u2014for certain acquisitions of foreign end products from countries that are party to international trade agreements or are considered designated countries by the U.S. Trade Representative."], "subsections": [{"section_title": "Exceptions to the Buy American Act", "paragraphs": ["In implementing the Buy American Act, the FAR sets forth several exceptions that permit federal agencies to buy foreign end products. These include situations when a domestic end product is not produced in sufficient quantities or cases where the cost would be unreasonable to buy a domestic end product. The steps that contracting officers must take to determine or document an exception will vary depending on the circumstances of the acquisition. For example, a written determination from the Head of Contracting Activity (HCA) or a delegate may be necessary to determine non-availability in some cases. However, a written determination may not be required when an acquisition is conducted through full and open competition, is synopsized, and no domestic offer is received. Other exceptions to the Buy American Act restrictions on the purchase of foreign products, such as the exception for commercial information technology, are blanket exceptions that do not require a written determination. In addition, some agencies have specified additional considerations that must precede a determination and what level of authority is appropriate for certain determinations. The five Buy American Act exceptions that apply government-wide and the corresponding determination standards in the FAR are listed in Table 1.", "Individual federal agencies may make blanket determinations of situations in which the Act\u2019s restrictions should not apply to that agency\u2019s procurements, when it is not in the public interest to restrict the purchase of foreign end products. For example, over the years, DOD has entered into reciprocal procurement agreements with 27 foreign counterparts. DOD determined that it would be inconsistent with the public interest to apply the Buy American Act restrictions on products from these 27 qualifying countries. Thus, if an offer includes end products from a qualifying country, those products are not restricted by the Buy American Act and the acquisition of qualifying country end products does not require higher approval. This public interest exception for qualifying countries applies only to contracts awarded by DOD."], "subsections": []}, {"section_title": "Trade Agreements Act Waivers", "paragraphs": ["Federal agencies can purchase eligible foreign end products from designated countries when the Buy American Act\u2019s requirements are waived because of the terms of an international trade agreement or other criteria, such as a designation by the U.S. Trade Representative as a least developed country. In accordance with the Trade Agreements Act of 1979, the president has the authority to waive the Buy American Act. For eligible products that come from countries covered by the World Trade Organization\u2019s Government Procurement Agreement, Free Trade Agreements, and the Israeli Trade Act, the Buy American Act has been waived so that these items receive nondiscriminatory consideration and are on equal footing with domestic end products. In total, these agreements cover approximately 60 countries\u2014overlapping with all but two of the DOD qualifying countries. Appendix II highlights the overlap.", "Unlike DOD\u2019s blanket public interest exception for qualifying countries, the Buy American Act requirements are only waived under a trade agreement if the acquisition is of a certain value set by the U.S. Trade Representative. Current trade agreement thresholds, at or above which the requirements are waived, range from $25,000 for contracts for eligible products from Canada to $180,000 for the 45 other parties to the World Trade Organization\u2019s Government Procurement Agreement. Table 2 lists the parties eligible for trade agreements and the associated threshold for supply contracts.", "The FAR specifies certain conditions in which trade agreements do not apply, even if the acquisition is above the requisite threshold value set by the U.S. Trade Representative. In these cases, the Buy American Act would apply. These conditions include, but are not limited to: acquisitions that do not use full and open competition, when the limitation of competition would preclude the procedures applicable to acquisitions covered by trade agreements; certain sole-source acquisitions for commercial items using simplified acquisition procedures; acquisitions set aside for small businesses; acquisition of ammunition, arms, or war materials, or for purchases indispensable for national security or national defense purposes; and acquisitions from federal prison industries or nonprofit agencies employing people who are blind or severely disabled.", "If the contracting officer determines that a trade agreement applies to a particular acquisition, which waives the Buy American restrictions, that determination does not require additional review at a higher level. This is similar to other circumstances where Buy American Act restrictions do not apply, such as for the acquisition of products for use outside the United States or contracts valued below the micro-purchase threshold."], "subsections": []}]}, {"section_title": "Certifying Product Country of Origin", "paragraphs": ["The Buy American Act\u2019s applicability is based on the country of origin of the product being supplied, rather than the country of the vendor offering the product to the government. Vendors who propose to do business with the U.S. government are required to certify as to where their products are manufactured or produced\u2014whether in the United States or in a designated country covered by the Trade Agreements Act.", "Vendors can provide an annual certification applicable to all of their contracts through the federal government\u2019s contractor registry, known as the System for Award Management (SAM). Through SAM, a vendor identifies the country of origin for foreign products associated with a broad category of products. For example, a vendor could state that it provides aircraft components that originate in France and Mexico. Vendors also have the option not to certify the origin of their products in SAM, but instead provide information about foreign end products in their individual offers for contracts. Contracting officials include the relevant clauses in solicitations and contracts in accordance with regulation to require vendor certification. For example, the clause at FAR 52.225-2, Buy American Certificate, requires the offeror to certify that each end product is a domestic end product, or list any foreign end products and their country of origin."], "subsections": []}, {"section_title": "Federal Procurement Data System-Next Generation", "paragraphs": ["Once a contract is awarded, the awarding agency must enter certain information into FPDS-NG, a government-wide database for contract awards and obligations. The Office of Federal Procurement Policy (OFPP) within the Office of Management and Budget provides the overall direction for FPDS-NG, which is managed by the General Services Administration. FPDS-NG data can be populated through the individual systems agencies use to develop contracts. Agencies are responsible for the quality of the information transmitted to FPDS-NG, including data captured on the contract value and whether the foreign product acquisition is authorized by one of the Buy American Act exceptions or a trade agreement. This information is recorded at the contract level, or at the delivery order level for orders from indefinite delivery contracts. For certain product categories\u2014essentially those that represent end products\u2014FPDS-NG requires that contracting staff enter information in the \u201cPlace of Manufacture\u201d drop-down data field, as shown in Figure 1. This field must be populated for all reported manufactured end products, including those valued under the micro-purchase threshold, which at the time of our review was generally $3,500. Options in this field include indicating that the product is made in the United States, or that it is made outside the United States and qualifies under one of the Buy American Act exceptions, or that it is subject to the requirements of a trade agreement instead of the Buy American Act requirements.", "In 2018, FPDS-NG data on agencies\u2019 historical reporting of the use of Buy American exceptions were added to the website on which agencies post contracting opportunities (www.fbo.gov). According to OFPP, this allows vendors selling domestic products to more easily see how agencies acquire foreign goods pursuant to Buy American Act exceptions."], "subsections": []}]}, {"section_title": "Agencies Report Applying Buy American Act Exceptions and Waivers but Data Quality Issues Exist", "paragraphs": ["In fiscal year 2017, the federal government obligated approximately $7.8 billion for the acquisition of foreign end products, which accounts for less than 5 percent of total federal contract obligations for end products in that year. We observed differences in how civilian agencies and DOD apply Buy American Act exceptions and waivers. In our review of 38 contracts and orders from four agencies\u2014DOD, HHS, DHS, and VA\u2014we found 6 instances where the place of manufacture information was misreported in FPDS-NG. We further identified system limitations in how FPDS-NG captures information."], "subsections": [{"section_title": "Foreign End Products Accounted for Less Than 5 Percent of Contract Obligations for Products Potentially Subject to the Buy American Act in Fiscal Year 2017", "paragraphs": ["Based on our analysis of FPDS-NG data, almost 40 percent of federal contract obligations in fiscal year 2017\u2014totaling approximately $196 billion\u2014were for domestic and foreign end products, such as aircraft parts, that may be subject to the Buy American Act. Less than 5 percent of these obligations\u2014approximately $7.8 billion\u2014were reported as foreign end products. This is consistent with the information agencies reported in FPDS-NG in the previous 4 years, with foreign end products accounting for approximately 3 to 8 percent of goods subject to Buy American Act restrictions between fiscal years 2013 through 2016. The foreign end products in fiscal year 2017 primarily came from South Korea, the United Kingdom, Afghanistan, Canada, Mexico, and the United Arab Emirates, which together accounted for almost half of the total foreign end products reported. Appendix III shows the federal government\u2019s obligations for foreign end products from various countries for fiscal year 2017.", "The procurement of foreign end products is permitted by the flexibilities available under the Buy American Act\u2019s exceptions and waivers. Agencies also procured foreign end products through means separate from the exceptions allowed under the Buy American Act, primarily in cases where the Act would not apply.", "Agencies reported obligating more than $700 million to procure foreign end products by applying one of the five government-wide Buy American Act exceptions\u2014such as domestic non-availability or unreasonable cost\u2014in FPDS-NG for fiscal year 2017.", "Agencies reported obligating approximately $550 million to procure foreign end products as permitted by the Trade Agreements Act, which waives the Buy American Act\u2019s domestic preference requirements for US trading partners when eligible products are covered by trade agreements and are above certain dollar thresholds.", "DOD also obligated nearly $2.9 billion to procure foreign products from countries with which it has reciprocal procurement agreements, using what is referred to as the DOD qualifying country exception. This is an exercise of the authority available to agencies under the Buy American Act\u2019s public interest exception. DOD determined that it is not in the public interest to restrict the purchase of foreign end products from 27 countries. All but two of these qualifying countries are also US trading partners, so some of these awards for eligible products may be authorized by a trade agreement. However, the qualifying country exception allows DOD to procure foreign end products without regard to dollar thresholds or other trade agreement eligibility limitations.", "Agencies also procured foreign end products, such as fuel, to be used outside the United States, in which circumstance the Buy American Act\u2019s requirements do not apply. For fiscal year 2017, these obligations accounted for almost $3.7 billion\u2014about 47 percent of all dollars obligated for foreign end products, as reported in FPDS-NG.", "Figure 2 highlights fiscal year 2017 obligations, including agencies\u2019 reported spending on foreign end products under the Buy American Act exceptions and other means."], "subsections": []}, {"section_title": "DOD Buys Most Foreign End Products for Use Outside the United States while Civilian Agencies Report a Wide Array of Buy American Act Exceptions and Waivers", "paragraphs": ["DOD accounted for more than 80 percent\u2014roughly $6.4 billion\u2014of the total obligations for foreign end products in fiscal year 2017. Almost all of DOD purchases were either for use outside of the United States, so were not subject to Buy American Act restrictions, or were reported under the public interest exception for DOD qualifying countries. In contrast, civilian agencies report a more varied mix of the exceptions and waivers of the Buy American Act. The civilian agencies\u2014which are unable to apply DOD\u2019s qualifying country exception\u2014were more likely to report buying foreign end products based on trade agreements or another exception to the Buy American Act requirements. Figure 3 shows how DOD and the civilian agencies acquired foreign end products authorized by the various exceptions and waivers of the Buy American Act.", "From our review of FPDS-NG data, the civilian agencies are more likely to cite one of the five Buy American Act exceptions or a trade agreement waiver when buying foreign end products, and thus take corresponding actions to document or approve the authority cited. For example, in our review of contracts from four agencies, VA obligated $71,000 for medical imaging equipment from Canada, and had to consider whether a trade agreement waiver applied. The manufacturer was determined to be the only source available and the contracting officer determined the acquisition was authorized by a Buy American exception based on domestic non-availability, which can require additional review.", "In contrast, DOD may make a similar contract award for equipment from Canada based on the qualifying countries exception. DOD acquisitions, then, may be authorized by exceptions such as domestic non-availability when a required item does not come from a qualifying country. For example, we reviewed a $744,000 DOD award for vehicle equipment that was only available from South Africa\u2014which is not one of the DOD qualifying countries and not covered by any of the trade agreements\u2014so the acquisition was authorized by the domestic non-availability exception.", "In addition, the civilian agencies also reported buying foreign end products for use outside the United States but to a lesser extent than DOD. For example, this included one of the contracts we reviewed, an HHS award for Ebola vaccines manufactured in the Netherlands, with $44.7 million obligated in fiscal year 2017. This contract was reported as used outside the United States because it is primarily stored overseas."], "subsections": []}, {"section_title": "Coding Errors and System Limitations Highlight Data Reliability Issues", "paragraphs": ["FPDS-NG is the primary means for capturing procurement data regarding the Buy American Act, but we found that agencies may not always input reliable information on the extent to which exceptions or waivers authorized the acquisition of foreign end products. In addition, some aspects of how FPDS-NG is structured could lead to additional data reporting errors.", "In the non-generalizable sample of 38 contracts and orders we examined from DOD, HHS, DHS, and VA, we found 6 awards where information related to the Buy American Act was incorrectly reported in FPDS-NG. In three of the six contracts, agencies recorded the wrong exception or waiver, most often because of an error when reporting the place of manufacture in FPDS-NG. For example, DOD reported a $22,000 contract for vehicle equipment from South Africa as a Buy American Act exception due to unreasonable cost. But the contract file indicated that the exception that applied was domestic non-availability. DOD officials acknowledged the error and corrected it in FPDS-NG during the course of our review.", "In the three remaining contracts, agencies misreported whether an end product came from the United States or another country. For example, DHS incorrectly recorded that an $18 million contract was for aircraft accessories and other parts manufactured in the United States, even though file documentation showed the contract was for Italian-produced spare parts from the original equipment manufacturer. The Italian- produced spare parts were available from existing inventory maintained by the manufacturer and were needed immediately to meet a mandatory operational requirement. Officials from DHS acknowledged the recording oversight, attributed it to a mistake when entering information in FPDS- NG, and have since corrected the error in response to our observation.", "Additionally, FPDS-NG has system limitations that could hinder complete and accurate reporting of Buy American Act information:", "DOD Qualifying Country Exceptions and Trade Agreement Waivers. FPDS-NG requires that information on the type of Buy American Act exception or waiver applied be provided when end products are reported as foreign. But FPDS-NG does not identify errors associated with this process. For example, we reviewed an $8.3 million DHS contract for engines manufactured in Germany that was recorded as a DOD qualifying country exception in FPDS-NG, although this exception is not available to civilian agencies. Contracting officials corrected the data in FPDS-NG during the course of our review. Further, FPDS-NG does not prevent agencies from reporting trade agreement waivers when the contracts are valued below applicable thresholds or waivers do not apply, such as for small business set asides. For example, in the fiscal year 2017 data we reviewed, more than 5 percent of contract obligations reported for trade agreement waivers were for awards set-aside for small businesses, which would not be eligible under the Trade Agreements Act. OFPP officials noted that because of the various dollar thresholds applicable to different trade agreements, adding automatic thresholds in FPDS-NG to guide contracting staff in reporting an applicable trade agreement could lead to additional data errors in the procurement database.", "Awards under the Micro-purchase Threshold. Although the Buy American Act requirements do not apply to contract awards valued below the micro-purchase threshold\u2014generally $3,500 in fiscal year 2017\u2014the FPDS-NG \u2018Place of Manufacture\u2019 field does not have an option to indicate whether a contract is under the threshold. Instead, contracting officers entering information for awards under the micro- purchase amount must still state whether the product is domestic or foreign. If the product is foreign, the officials must select a Buy American Act exception authorizing the purchase, even though no exception is needed at these dollar levels. As a result, when agencies report in FPDS-NG that a Buy American Act exception or waiver applied for a procurement valued at less than $3,500, that information would not be accurate. Based on our review, this may have involved about $16 million in fiscal year 2017 obligations.", "Awards for both Foreign and Domestic Products. When reporting data for contracts that include multiple end products from both the United States and a foreign country, FPDS-NG only allows for one country of origin to be identified. Contracting officers told us that they typically will report a foreign end product in FPDS-NG when the foreign products account for the preponderance of the contract value. Thus, in cases where a contract includes foreign end products that do not account for the preponderance of the contract\u2019s value, the value of these foreign end products would not be reported in FPDS-NG. We have previously reported that FPDS-NG has similar limitations in other fields, such the type of product or service provided, which prevent contracting officers from identifying more than one condition. According to OFPP, a recent change in the FAR requiring contract reporting at the line item level should provide greater transparency of all products included in a contract.", "Buy American Act Exceptions and Waivers under Indefinite Delivery Contracts. The way FPDS-NG captures data for Buy American Act exceptions and waivers for some indefinite-delivery contracts results in inaccurate data reporting. When an indefinite- delivery contract is initially awarded, FPDS-NG functionality does not give contracting staff the option to enter information for the \u2018Place of Manufacture\u2019 field. Instead, this information is typically captured once an order is placed on the contract. In our review of FPDS-NG data across the four agencies, however, we found that in some cases obligations are reported on the initial indefinite delivery contract so the Buy American Act exceptions or waivers are not recorded. This occurred with multiple agencies, but particularly at HHS, where information for almost 28 percent of HHS obligations for end products in fiscal year 2017 was not captured in FPDS-NG because the obligations were reported in the system through the initial contracts rather than orders. As a result, the applicability of the Buy American Act for HHS contracts totaling almost $1.9 billion in fiscal year 2017 was unreported in FPDS-NG.", "DOD, DHS, and VA officials told us they identified FPDS-NG reporting as an area of concern. GAO Standards for Internal Controls in the Federal Government state that management should use quality information to support objectives, and that such data should be complete and accurate.", "In response to the 2017 Executive Order calling for federal agencies to assess their implementation of the Buy American Act requirement, OFPP officials told us they are identifying potential strategies for improving the information agencies submit to FPDS-NG. As OFPP weighs potential options for FPDS-NG reporting, implementing enhancements to reduce data entry errors and ensure that the data collected are complete and accurate would help enable the system to provide the most useful information possible. Ensuring information is correctly reported in FPDS- NG is critical because the data are used to inform procurement policy decisions and facilitate congressional oversight."], "subsections": []}]}, {"section_title": "Agency Approaches to Training and Guidance Varied and Certain Contracting Practices Highlight Buy American Act Implementation Concerns", "paragraphs": ["The four agencies we reviewed\u2014DOD, HHS, DHS, and VA\u2014took different approaches to provide training and guidance for the Buy American Act requirements. Contracting officers faced challenges when procuring products subject to the Buy American Act. For example, we found instances in which contracting officers applied a waiver or exception to contracts where the waiver did not apply and did not have complete guidance for required determinations or reviews. There also were challenges in confirming product origin information when vendors did not provide consistent information."], "subsections": [{"section_title": "Agency Approaches to Guide Implementation of Buy American Act Requirements Varied", "paragraphs": ["The four agencies we reviewed varied in the mix of training and guidance provided to aid contracting officers in implementing the requirements of the Buy American Act. Three of the four agencies\u2014DOD, DHS and VA\u2014 supplemented the federal acquisition regulation, which implements the requirements of the Buy American Act and Trade Agreements Act, with their own acquisition regulations. In addition, DHS and DOD have recently updated existing training or added new training and guidance. VA issued policy memoranda in 2017, emphasizing the importance of meeting Buy American Act requirements, but has not added training or provided specific guidance. HHS does not provide department-level training or guidance related to the Buy American Act. Most of the DHS and DOD contracting officers we spoke to reported that they had attended training and several found the guidance provided by the training to be helpful. HHS and VA contracting officials described confusion due to the lack of resources available at their respective agencies."], "subsections": [{"section_title": "DOD Updated Its Buy American Act Training in 2017", "paragraphs": ["In 2017, in response to a series of recommendations from the DOD Inspector General to re-emphasize Buy American Act training and guidance, the Defense Acquisition University introduced an updated training course that specifically focuses on the requirements and implementation of the Buy American Act. While not mandatory, a June 2017 memo notified all DOD services and the defense agencies that members of their contracting workforce should complete this training as part of their professional development. At the current pace of enrollment, DOD officials anticipate approximately 18,000 people will have taken this course by the end of September 2018, which is a seven-fold increase over previous graduation rates. Incorporated into these trainings were supplemental on-the-job tools to assist contracting officers when awarding contracts for end products subject to the Buy American Act requirements. One such tool is a flowchart outlining applicable solicitation provisions or contract clauses based upon the awarded contract\u2019s total dollar value. DOD contracting officials we interviewed from Defense Logistics Agency\u2019s (DLA) Land and Maritime division had completed the agency-level Buy American Act training and said it served as a good refresher, with some noting that most of the training they had received on the subject came when they were first hired.", "DOD provides regulations and guidance on Buy American Act requirements through both the Defense Federal Acquisition Regulation Supplement (DFARS) and the accompanying Procedures, Guidance and Information. DOD contracting officers use the provisions and clauses in DFARS to address the public interest exception for DOD qualifying countries. In addition, as a part of the updated training, the Defense Pricing and Contracting Office developed two documents to provide additional Buy American Act guidance. One outlines a step-by-step approach contracting officers can follow to determine whether the Buy American Act applies to their particular procurement and, if so, whether the use of an exception or waiver is appropriate. The second assists contracting officers with evaluating all offers\u2014foreign and domestic\u2014 when price is the determining factor.", "In addition, we found that DLA supplements the available Defense Acquisition University training and guidance with a robust level of support, including annual training and subject matter expertise. DLA contracting officers told us that while they found the updated training helpful, they also appreciated the training course internal to their agency, as it addresses the types of procurements they typically handle in their day-to- day work, such as buying spare parts. Further, DLA contracting officers noted that they use the job aid provided through the local training."], "subsections": []}, {"section_title": "DHS Added Buy American Act Training and Revised Policy", "paragraphs": ["DHS introduced training courses in 2017 that specifically focus on the requirements and implementation of the Buy American Act, including a mandatory training course for DHS contracting officers. DHS reported that 94 percent of contracting staff had taken the required course as of April 2018. DHS developed these courses in response to the 2017 Executive Order to ensure its staff was familiar with the Buy American Act requirements. Incorporated into these training courses are supplemental on-the-job tools to assist contracting officers when awarding contracts for end products subject to the Buy American Act requirements, such as a flowchart outlining applicable solicitation provisions or contract clauses based upon contract dollar value. Contracting officials generally view the training and tools they received as beneficial. For example, several DHS contracting officials we interviewed said that the agency\u2019s new course provided a helpful review on the topic, while one contracting officer specifically noted that the course materials are useful to new staff, to help them understand the Act\u2019s waivers and exceptions.", "DHS also revised its acquisition manual in December 2017 to add further detail regarding the Buy American Act requirements. Specifically, DHS updated its acquisition manual to provide contracting officers more explicit FPDS-NG reporting instructions for procurements subject to the Buy American Act, as well as discretion to purchase domestic end products at or below the micro-purchase threshold. Additional changes include increasing the documentation and level of managerial review required to use several of the exceptions to the Buy American Act. For example, prior to 2018\u2014which includes the time period in which the DHS contracts and orders we reviewed were awarded\u2014the head of individual contracting offices had the authority to approve domestic non-availability and unreasonable cost exceptions, with a notification made to the DHS Chief Procurement Officer. But under the new policy, the use of these exceptions must have the concurrence of the HCA\u2014who is responsible for contracting activities within individual DHS components\u2014and be approved by the department\u2019s Chief Procurement Officer. Table 3 outlines these changes.", "In September 2017, VA issued guidance to reinforce existing Buy American Act requirements. The policy memorandum encourages the HCAs within VA to institute reviews of awarded contracts subject to the Buy American Act to ensure compliance. As of September 2018, policy officials did not know how many HCAs had taken this step. Further, the guidance emphasizes the importance of Buy American Act training for its acquisition workforce. VA policy officials explained that the Buy American Act is introduced in several VA training courses, but the agency does not have a specific course on implementing the Buy American Act requirements or provide additional instruction or tools. During the course of our review, VA officials said that some of the HCAs had added internal training on the Buy American Act. In addition, VA contracting staff has the option of taking training offered outside the agency, such as the updated Defense Acquisition University course on the Buy American Act. This training is not required.", "Contracting officials we spoke to at VA said they struggled with the details of awarding contracts subject to Buy American Act requirements because they are not provided sufficient agency-specific training and guidance on the topic. Moreover, several contracting staff noted an increased need for training due to recent changes in VA contracting practices. Specifically, in response to a 2016 Supreme Court decision, VA has increased contracting efforts with veteran-owned small businesses through the Veterans First Contracting Program. As a result, contracting officials explained they have reduced their use of schedule contracts, in which the determinations related to the Buy American Act requirements were made with the initial awards. As one contracting officer explained, prior to this change, more than 90 percent of her division\u2019s procurements were through VA schedule contracts in which Buy American Act applicability had already been established. However, this shift in contracting practices means contracting officers will more frequently need to consider the applicability of the Buy American Act, but contracting officers have not received specific guidance or training to do so. Noting the significance of this change, one contracting officer stated she approached VA management to obtain Buy American Act training for her division, but such training was not available.", "Federal internal controls state that agencies should ensure that training is aimed at developing and retaining employee knowledge, skills, and abilities to meet changing organizational needs. In September 2018, we reported that VA was experiencing difficulties implementing multiple aspects of the Veterans First policy, and we recommended that VA provide more targeted implementation training. As VA moves forward to implement this training, incorporating the Buy American Act requirements will be important to provide greater assurance that staff has the knowledge and skills needed to navigate the changing procurement environment."], "subsections": []}, {"section_title": "HHS Does Not Provide Department-wide Buy American Act Training or Guidance", "paragraphs": ["HHS does not have agency-level Buy American training or guidance. The HHS Acquisition Regulation Supplement does not address foreign acquisitions. HHS officials told us that efforts to develop guidance that would address Buy American Act requirements are underway, but they do not know when they will be finalized and made available to contracting officers, and could not describe the extent to which they will address Buy American Act implementation. The HHS contracting officers we interviewed discussed informal Buy American Act training their divisions had developed because department-level training was not available. For example, at HHS\u2019 National Institutes of Health, a contracting official told us about a training course she recently developed because her office was taking on the administration of additional contracts for which the Buy American Act requirements would apply. Contracting officers at HHS\u2019 Office of Biomedical Advanced Research and Development Authority described informal training on the agency\u2019s contract writing system\u2014 included as part of their weekly internal staff meetings\u2014that provides additional guidance on how to appropriately complete certain data fields relevant to the Buy American Act."], "subsections": []}]}, {"section_title": "Agencies Face Challenges Applying Waivers and Exceptions Where Guidance and Training Is Incomplete or Does Not Exist", "paragraphs": ["In our analysis of 38 contracts from across the four agencies, we found that agencies faced various levels of challenge in applying the Trade Agreements Act waivers and Buy American Act exceptions to acquire foreign end products. This was particularly apparent in cases where contracting officers had to determine if a trade agreement applied or cases which required a determination that a domestic end product was not sufficiently available, in accordance with the domestic non-availability exception to the Buy American Act requirements. Contracting staff also had difficulty determining the origin of products in light of incomplete or conflicting information."], "subsections": [{"section_title": "Trade Agreements Act Incorrectly Applied", "paragraphs": ["Of the six contracts we reviewed reporting that a trade agreement applied to the foreign end products purchased, we found two cases in which this waiver did not apply to the contracts in question. The value of the contract is one determining factor for whether a trade agreement waives the Buy American Act requirements, although the FAR also states additional factors that would affect applicability under a trade agreement. The two contracts we found, both from VA, had total dollar values at award\u2014 $8,435 and $11,950, respectively\u2014that were less than any of the thresholds at which trade agreement waivers of the Buy American Act are applicable. Both contracts were for products from countries that are party to the World Trade Organization Government Procurement Agreement, so the value of the acquisition would have to be equal to or exceed $191,000\u2014the threshold that was in effect at the time of award\u2014for waivers from Buy American requirements to apply. Contracting officials in both cases were generally unaware that the applicable threshold was not met, making the trade agreement waiver inapplicable.", "Although VA has added Buy American Act guidance since these contracts were awarded early in fiscal year 2017, the information currently available does not provide sufficient detail to assist contracting officers when awarding contracts in these situations. For example, the guidance VA provided contracting officers in September 2017 does not emphasize consideration of the applicable trade agreement thresholds or include information on how contracting officers should determine the applicable waiver or exception. When contracting officers procure foreign end products, the type of waiver or exception used to support the purchase matters\u2014particularly when required additional steps and review are not completed because the wrong waiver or exception was applied. We found that the two VA contracts with foreign end products were incorrectly reported as the Trade Agreements Act waiver having applied. If one of the other Buy American Act exceptions permitting purchases of foreign end products had applied, contracting officers may have been required to obtain higher-level review or complete a written determination.", "In addition, we reviewed contracts that show some of the complexities contracting officers face beyond applying the dollar thresholds when determining if an award for foreign end products is eligible under the Trade Agreements Act waiver of the Buy American Act. Specifically, we found instances where DHS contracting officials took different approaches for non-competed awards for similar foreign-manufactured products. For example, we reviewed a non-competed $58 million DHS award for acquiring spare aircraft parts from an original equipment manufacturer located in a foreign country that is party to the World Trade Organization Government Procurement Agreement. DHS reported in FPDS-NG that the procurement was waived by the Trade Agreements Act. However, we also reviewed two other sole-source awards from DHS for similar products\u2014spare aircraft parts from two separate manufacturers in foreign countries that are also party to the World Trade Organization Government Procurement Agreement\u2014that were instead reported as subject to the Buy American Act, but excepted due to the non-availability of domestic products.", "Contracting officers may come to different conclusions for similar products, in part, because of the multiple factors that have to be considered when determining whether an acquisition is subject to the Buy American Act and whether any waivers or exceptions apply. However, available guidance does not always address these complexities. For example, agencies need to decide if other conditions, such as the procurement of products deemed indispensable for national security or national defense purposes apply to an acquisition that would make a trade agreement inapplicable. Further, if the product\u2019s country of origin is considered a designated country under the World Trade Organization Government Procurement Agreement, officials need to determine that the product is eligible under that agreement.", "DHS updated its training and guidance for the Buy American Act, which includes a job aid outlining at what dollar values solicitation provisions and contract clauses under a trade agreement waiver are applicable. However, it does not address other situations in which contracts may not be eligible under the Trade Agreements Act, such as non-eligible products or products for national defense purposes.", "For the other agencies in our review, we found that DOD\u2019s updated Buy American Act training and its acquisition supplement both address trade agreement eligibility, but HHS does not yet have Buy American guidance to address this topic. Federal internal control standards state that agencies should communicate quality information internally to achieve their objectives and that they should select the appropriate methods of communication. When written guidance is not available, agencies may miss opportunities to ensure appropriate steps are taken to meet Buy American Act requirements."], "subsections": []}, {"section_title": "Guidance for Determining Domestic Non-Availability Exceptions Incomplete", "paragraphs": ["Our review of 38 contracts also included 8 contracts for foreign end products pursuant to the domestic non-availability exception. In certain situations, such as when contracts are awarded without full and open competition, this exception requires an approved written determination. The FAR establishes requirements for domestic non-availability determinations, but agencies can delegate the level of review required or specify information to be included in the determination.", "Three of the agencies we reviewed\u2014DOD, DHS, and VA\u2014provide supplemental guidance on the process for making determinations, including who must make the determination when applying a domestic non-availability exception. However, DHS policy officials told us that when the agency uses the domestic non-availability exception for a sole-source acquisition, the written justification that the FAR requires for non- competed awards should suffice as the documentation to support the non-availability determination as well. The practice of using sole-source justifications to support Buy American determinations is not addressed in DHS guidance. According to DHS policy updated in 2018, determinations of domestic non-availability must be concurred with by the HCA and approved by the Chief Procurement Officer. Federal and DHS acquisition regulations, however, state that some justifications can be approved at a lower level. In the absence of further guidance, this difference in approval levels could result in inconsistent application within the department.", "In addition, as previously noted HHS does not yet have Buy American Act guidance so the department does not provide information on how to make determinations. According to federal internal control standards, agencies should communicate quality information internally to achieve their objectives and that they should select appropriate communication methods. When written guidance is not available, agencies may miss opportunities to ensure that contracting officers take the steps needed to meet requirements when applying a domestic non-availability exception."], "subsections": []}, {"section_title": "Inconsistent Information and Guidance Limits Efforts to Accurately Determine Product Origin", "paragraphs": ["Knowing the country of origin of the products the federal government buys is necessary to implement the Buy American Act, but contracting officers do not always have access to accurate information on originating countries. The FAR and the DFARS provide various clauses which, when incorporated into contracts, require vendors to certify that the end products they provide to the government are domestic and, if necessary, declare the foreign countries from which they provide products. Vendors frequently certify this information through the System for Award Management (SAM), the government-wide system used to collect vendors\u2019 annual representations and certifications.", "Contracting officers may rely on the information vendors provide about their product origins, but they are generally expected to take actions to verify incomplete or conflicting information when they have reason to believe that a vendor will be providing a non-compliant product. We found that SAM certifications and offers did not always include accurate information on end products from foreign countries. In 6 of the 38 contracts that we reviewed\u2014from DHS, HHS, and VA\u2014the vendors certified that they only provided domestic end products although the end products provided were foreign. In all of these cases, the contracting officers knew that the acquisitions included foreign end products. For example, we reviewed two DHS awards for spare aircraft parts from an Italian-based company, one of which was reported in FPDS-NG under the domestic non-availability exception to the Buy American Act, and the other which was incorrectly reported as being manufactured in the United States but has since been corrected. Contracting officials said they knew the parts were made in Italy based on extensive experience contracting with the company and, in part, because they had visited the production location. Contracting officials\u2014including some at HHS and VA\u2014said they use SAM as their primary source to determine whether the vendor is offering domestic end products. Others reported some awareness of the limitations of SAM certifications.", "At all four agencies, contracting officials emphasized that it is important to ask questions when end product origin information is not readily available\u2014or if there is conflicting information\u2014but agency guidance that we reviewed does not address this need or provide information on how to do so. Only the local training offered by DOD\u2019s DLA addresses other sources of information, which officials said was helpful because it is specific to the industries with which they work. Instead, some officials described how they rely on their experience to know how to verify products\u2019 origins but this can be problematic, particularly with newer staff. For example, in one contract we reviewed VA contracting officials acknowledged that a new contracting specialist at VA did not follow-up when the product origin certification was not provided and assumed all of the items procured were domestic. During the course of our review, the contracting specialist\u2019s supervisor said that she contacted the vendor and learned that some of the items provided were in fact foreign end products. The foreign products were not considered to account for the preponderance of the contract so were not reported in FPDS-NG, but the contracting officer was acting with incomplete information at the time of award.", "Further, in 4 of the 38 contracts that we reviewed, it is not clear how contracting staff took steps to obtain product origin information in situations where it was not provided in SAM. In these cases\u2014which include contracts for both domestic and foreign end products\u2014the vendors had opted not to certify their product origins in SAM, but instead said that they would provide the information with their individual proposals. However, based on the information in the contract files, the proposals did not include this information. For example:", "Three of the contracts we reviewed from HHS\u2014all reported as purchasing end items manufactured in the United States\u2014did not certify product origin in SAM. The supervising contracting officer for two of the awards explained that his contracting staff regularly check the vendor\u2019s written representations and certifications provided in the offer, because the SAM certifications are general and do not always apply to the specific equipment they buy. However, the three contract files we reviewed did not include manufacturing or origin information.", "The vendor for a DHS contract that was reported as manufactured in the United States did not certify this information in SAM. The contracting officer said that he checks SAM for product origin information, but in the documents we reviewed there is no evidence of the information in the contract file.", "Federal internal control standards state that agencies should communicate the necessary quality information needed to achieve the agency\u2019s objectives, thereby enabling personnel to address risks. Providing guidance regarding the situations in which contracting officers should verify product origin information with vendors may help agencies better meet the requirements of the Buy American Act."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Although purchases for foreign end products account for less than 5 percent of federal procurement spending in fiscal year 2017, it is important that these purchases be consistent with the domestic- purchasing restrictions in the Buy American Act. This requires that Buy American Act exceptions and trade agreement waivers be used only when applicable, and that agencies report accurate data on the extent to which they are used. However, data reporting errors by contracting staff and FPDS-NG limitations mean that data on the use of exceptions and waivers are not fully captured. The federal agencies all have responsibilities to ensure Buy American Act data are accurate and complete. The lack of good data can hinder congressional oversight of the extent to which foreign end products are procured as authorized by one of the exceptions or waivers of the Buy American Act.", "Agencies have taken varied approaches for providing information to contracting officers that navigate the complexities and nuances associated with applying the different Buy American Act exceptions or trade agreement waivers. DOD has added such detailed information through its revised training course and policy guidance. Adding these types of targeted information to address challenging areas would help contracting officers at other agencies implement the Buy American Act\u2019s domestic preferences, as well as related exceptions and waivers. Further, to accurately determine how exceptions and waivers apply requires complete product origin information. Although the responsibility to certify the origins of products supplied to the federal government rests with the contractors, contracting officers would benefit from resources that help them identify information that may be inconsistent, to ensure that accurate information is available."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations, one each to the Office of Management and Budget, DHS, VA, and HHS.", "The Director of the Office of Management and Budget should instruct the Office of Federal Procurement Policy:", "To facilitate additional training to improve the understanding of the contracting workforce regarding the Buy American Act requirements; and", "To facilitate clarifying revisions to FPDS-NG, where needed, and provide training and guidance for recording Buy American Act information in FPDS-NG to improve the accuracy of the Buy American data. (Recommendation 1)", "The Secretary of Homeland Security should clarify existing guidance in the Homeland Security Acquisition Manual or update training to help contracting officials: Identify the factors that should be considered in order to determine the applicability of the Trade Agreements Act and waiver of the Buy American Act;", "Document determinations of the use of Buy American exception for domestic non-availability and ensure the required approvals are obtained, particularly when such determinations are evidenced through justifications for other than full and open competition; and Identify sources of information available for determining product origin and the steps they should take to verify information that is inconsistent. (Recommendation 2)", "The Secretary of Veterans Affairs should clarify existing guidance, or provide training or other instruction, to help contracting officials:", "Address the applicability of the Buy American Act requirements and provide instruction on how to implement the requirements, including in any training developed to implement the Veterans First policy; Identify the factors that should be considered in order to determine the applicability of the Trade Agreements Act and waiver of the Buy American Act; and Identify sources of information available for determining products\u2019 origins and the steps they should take to verify information that is inconsistent. (Recommendation 3)", "The Secretary of Health and Human Services should provide guidance, training, or other instruction to help contracting officials: Identify the factors that should be considered in order to determine the applicability of the Trade Agreements Act and waiver of the Buy American Act;", "Document determinations of the use of Buy American exceptions for domestic non-availability and ensure the required approvals are obtained; and Identify sources of information available for determining products\u2019 origins and the steps they should take to verify information that is inconsistent. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD, HHS, DHS, VA, and the Office of Management and Budget for review and comment. DOD reviewed the report, but did not offer comments. HHS, DHS, and VA provided written responses, which are reproduced in Appendices IV, V, and VI of this report, respectively. A senior official within the Office of Federal Procurement Policy (OFPP) at the Office of Management and Budget provided a response via email. In addition, HHS, DHS, and OFPP provided technical comments, which we incorporated into the report where appropriate.", "In their responses, HHS, DHS, VA agreed, and OFPP generally agreed, with our findings and recommendations. The written response from HHS and DHS included information on the steps each agency plans to take to address the recommendations. Specifically, HHS stated that the agency will evaluate ways to provide additional training and guidance to contracting officials. DHS stated that it will provide guidance on the applicability of the Buy American Act and the Trade Agreements Act in certain situations and the documentation and approvals required when awarding non-competed contracts that require an exception. Additionally, DHS plans to update training regarding actions contracting officers should take when there are discrepancies in product origin information.", "VA concurred with our three-part recommendation and described some of the actions the agency plans to take in response. However, VA\u2019s comments do not fully address our recommendation. Specifically, we recommended that VA clarify guidance or provide training to identify factors that could help contracting officers determine the applicability of Trade Agreements Act waivers of the Buy American Act. The comments from VA, however, only restate the existing Buy American Act exceptions and make no mention of Trade Agreements Act waivers. Further, we recommended that VA identify sources of information regarding product origin and the steps to be taken to verify inconsistent product origin information. VA\u2019s response only noted that contracting officers are responsible for conducting market research and ensuring that all product origin requirements are met. VA did not outline any additional steps the agency would take to help contracting officers navigate the complexities inherent in this area. Going forward, VA will need to develop a more robust and responsive approach in order to fully implement our recommendation.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of the Departments of Defense, Health and Human Services, Homeland Security, and Veterans Affairs; the Director of the Office of Management and Budget; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or woodsw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["The objectives of this report are to assess the extent to which (1) the federal government procures foreign products through Buy American Act exceptions and waivers; and (2) selected agencies provide training and guidance to implement the Buy American Act requirements.", "To address both of these objectives, we reviewed relevant laws and policies, such as sections of the Federal Acquisition Regulation (FAR); the Buy American Act as amended; the Trade Agreements Act of 1979 as amended; federal acquisition regulation supplements from audited agencies such as the Department of Defense Federal Acquisition Regulation Supplement (DFARS); the Executive Order \u201cBuy American, Hire American\u201d of 2017; the World Trade Organization\u2019s Agreement on Government Procurement; and memorandums, policy, guidance, and instructions related to the Buy American Act.", "To assess the federal government procurement of foreign products, including those procured through citing exceptions and waivers of the Buy American Act, we analyzed data from the Federal Procurement Data System-Next Generation (FPDS-NG) for fiscal year 2017, which was the most recent and complete data available at the time of our review. We analyzed procurement data in FPDS-NG across the federal government in fields relevant to the Buy American Act\u2019s domestic preference requirements, including the product service code, country of product origin, and place of manufacture, in addition to fields such as the contract value and dollars obligated. We reviewed the place of manufacture field in particular as it contains information on how the Buy American Act applies to the contract, including whether the preponderance of the obligations is for manufactured end products and, if so, whether they are manufactured in or outside of the United States. When manufactured outside of the United States, this field also captures the reason the purchase was permissible, which we analyzed to assess the dollar obligations associated with the various Buy American exceptions or trade agreement waiver reported, as well as when products were used outside of the United States. We also analyzed data from FPDS-NG to identify the countries where foreign end products were reported to be manufactured and the associated dollars obligated in fiscal year 2017. In addition, we met with officials from the Office of Management and Budget, Office of Federal Procurement Policy to better understand ongoing reviews of the data in FPDS-NG that pertains to the Buy American Act.", "In our analysis of FPDS-NG data, we took steps to minimize issues that might affect data reliability. Specifically, we analyzed FPDS-NG data to identify potential errors and inconsistencies, such as non-eligible agencies reporting the use of exceptions for DOD qualifying countries, or reporting trade agreement waivers for contracts valued less than minimum thresholds for trade agreements. We made minor adjustments to minimize potential data reporting issues, including aggregating the exceptions reported, and where appropriate, limiting our analysis to one year of data, fiscal year 2017. Based on these steps, we determined that FPDS-NG data were sufficiently reliable to allow us to calculate the approximate extent of obligations for foreign end products and the use of the Buy American Act exceptions and the Trade Agreements Act waiver. However, we are unable to precisely determine the amount spent on foreign end products through the use of exceptions and waivers because of the reporting errors and data system limitations we identified in this report.", "Using FPDS-ND data, we identified four agencies\u2014the Departments of Defense (DOD), Health and Human Services (HHS), Homeland Security (DHS), and Veterans Affairs (VA)\u2014that had the highest fiscal year 2017 obligations in the product codes for manufactured products, which are potentially subject to the Buy American Act restrictions. In addition, to identify trends and determine if there were variations in reported obligations for foreign end products in the past, we reviewed FPDS-NG data on the Buy American exceptions and trade agreement waivers in fiscal years 2013 through 2017.", "To assess the extent to which selected agencies are providing training and guidance to implement the requirements of the Buy American Act, we reviewed training course materials and regulations, policies, and other guidance available at the four agencies in our review\u2014DOD, HHS, DHS, and VA\u2014to determine the extent to which they address the Buy American Act requirements. In addition, we reviewed training materials available to government employees through sources such as the Federal Acquisition Institute. We interviewed policy officials from the four agencies to understand how training and guidance had been implemented. We further reviewed relevant inspector general reports from the DOD Inspector General issued between 2015 and 2018, which made several recommendations to improve compliance with the Buy American Act, among other requirements.", "Within the four agencies, we selected contracting offices that reported obligating fiscal year 2017 dollars for awards with foreign end products and awards with US-manufactured end products. We specifically focused on offices that reported a sufficient amount of foreign end product obligations and a sufficient number of contract awards to allow us to select multiple contracts. We also considered offices with a variety of Buy American exceptions and waiver types reported, in order to select a mix of contracts. The contracting offices selected were as follows:", "DOD: Defense Logistics Agency, Land and Maritime", "HHS: National Institutes of Health and the HHS Office of the Assistant Secretary for Preparedness and Response", "DHS: United States Coast Guard", "VA: Veterans Health Administration From these offices, we selected a non-generalizable sample of 38 contracts and delivery orders awarded in fiscal year 2017. At each agency, we selected awards to include a mix of end items produced by domestic and foreign manufacturers and, when products were reported as foreign manufactured, a mix of the various exceptions and waivers cited. We also include awards across a range of value for dollars obligated above the micro purchase threshold\u2014ranging from approximately $5,000 to more than $100 million\u2014to ensure we reviewed awards both above and below the various thresholds at which the Trade Agreements Act waiver might apply. Additionally, our sample included awards for similar types of end products across agencies, including aircraft parts at DOD and DHS and medical supplies at HHS and VA, to compare practices in different agencies. We originally selected 40 awards for review\u201410 from each agency\u2014but removed two awards from our sample. One was an HHS award that we determined was awarded using Other Transaction Authority and was not subject to the Buy American Act. The second excluded contract was from DHS, which was modified after award to reflect that it was an information technology service rather than a product. As a service, it would not be subject to the Buy American Act.", "We reviewed the contract files for each of the 38 awards in our sample, including documentation such as the contract and task order award, solicitations, vendors\u2019 offers or response to proposals, determination and finding memos, and FPDS-NG output documents. In addition, we reviewed the certifications each vendor provided in the System for Award Management (SAM) at the time of contract award. We interviewed contracting officials responsible for each of the 38 contracts and task orders to understand how they addressed the Buy American Act requirements, including how they determined exception or waiver applicability and product origin. We also reviewed any agency-specific or local training and guidance, tools, or job aids available to assist contracting officers in implementing the Act\u2019s requirements We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on audit objectives."], "subsections": []}, {"section_title": "Appendix II: Countries with Free Trade Agreements or Reciprocal Defense Procurement Agreements with the United States", "paragraphs": ["The United States maintains trade relationships with other countries whose specific negotiated terms results in different levels and types of applicability for waivers and exceptions to the Buy American Act. Figure 4 depicts the range of relationships that the United States maintains with other nations that allow for less restrictive purchasing of foreign end products by the federal government."], "subsections": []}, {"section_title": "Appendix III: Federal Government Procurement of Foreign End Products, by Country", "paragraphs": ["The federal government purchases foreign end products from various countries. Figure 5 highlights the different amounts of contract obligations for foreign end products from these countries for fiscal year 2017. The highest category, over $500 million, includes 4 countries that account for almost 40 percent of all federal procurement of foreign end products. Countries where the federal government obligated less than $5 million for the procurement of foreign end products are not included."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Candice Wright, Assistant Director; and Jennifer Dougherty, Analyst-in-Charge, managed this review. Skip McClinton; Erin Stockdale; Adam Cowles; Stephanie Gustafson; Julia Kennon; Anne Louise Taylor; and Robin Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["The law requires federal agencies to buy domestic products. But federal agencies can buy foreign products sometimes, e.g., when domestic items are not available at a reasonable cost or when international trade agreements waive the Buy American Act restrictions.", "According to the federal procurement database, foreign products comprised less than 5% of what the government bought in fiscal year 2017. The real amount could be higher than that, in part, because of data errors. For example, some agencies had inaccurately recorded waiver information.", "We recommended ways to improve reporting and compliance with the act."]} {"id": "GAO-18-399", "url": "https://www.gao.gov/products/GAO-18-399", "title": "CIVILIAN AND CONTRACTOR WORKFORCES: DOD's Cost Comparisons Addressed Most Report Elements but Excluded Some Costs", "published_date": "2018-04-17T00:00:00", "released_date": "2018-04-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In addition to more than 2.2 million active duty and reserve personnel, DOD employs about 760,000 federal civilians and more than 560,000 contractors. In the Senate Report 114-49 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2016 included a provision for DOD to issue a report (1) assessing functions performed by federal civilian and service contractor personnel, (2) accounting for the full costs of federal civilian and service contractor personnel performing these functions, (3) comparing these costs, and (4) assessing available hiring and retention authorities for federal civilians.", "The Senate report also included a provision for GAO to assess DOD's report, which DOD submitted to Congress in April 2017. This report examines the extent to which DOD's report addressed the prescribed congressional elements.", "GAO reviewed DOD's report and compared it to the prescribed elements, examined documents relevant to DOD's cost estimating and comparison methodology, and interviewed DOD officials, including those in its Office of Cost Assessment and Program Evaluation responsible for the calculations in DOD's report."]}, {"section_title": "What GAO Found", "paragraphs": ["In response to Congressional direction, the Department of Defense (DOD) issued a report in April 2017 comparing the costs of federal civilian and service contractor personnel at select installations. The report addressed three out of four provision elements and partially addressed one, as discussed below. DOD concluded that neither federal civilians nor service contractors were predominately more or less expensive, with costs being dependent on position, location, and level of seniority. DOD noted that it used a non-probability based sample of personnel for its report, and the results are not generalizable.", "An assessment of performance of functions being performed by federal civilian and service contractor personnel at six military installations, with four being in the continental United States and two being outside the continental United States. GAO believes that DOD addressed this requirement because it developed a methodology to assess performance of functions performed by federal civilians and service contractors at 17 organizations within nine geographic regions including two locations outside the continental United States. DOD used data from the Defense Civilian Personnel Data System to identify military installations with large reported numbers of federal civilians. DOD determined that personnel need to perform at least 80 percent common tasks to be able to make a comparison.", "An accounting of the fully-burdened, or full, cost of federal civilian and service contractor personnel performing functions at the selected installations including training, benefits, reimbursable costs, and facility overhead. GAO believes that DOD partially addressed this requirement because while it calculated the labor costs of selected federal civilian and service contractor full-time equivalents performing similar functions for organizations at government-owned facilities, it excluded certain non-labor costs from its calculations.", "A comparison of the costs of performance of these functions by federal civilians and service contractor personnel at the selected installations. GAO believes that DOD addressed this requirement because it compared calculated costs for selected federal civilians and service contractors performing similar functions at selected installations and included those comparisons in its report.", "An assessment of the flexible employment authorities for the employment and retention of federal civilian employees. GAO believes that DOD addressed this requirement because it sent questionnaires to DOD hiring officials and human resource professionals to collect information on flexible employment authorities and conducted interviews with these and human resource professionals at the same 17 organizations used for the cost comparison. Based on an analysis of the information collected, DOD's report included several conclusions regarding flexible hiring authorities and made one recommendation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations; however, DOD non-concurred with GAO's assessment that DOD partially addressed the element to account for the full cost of personnel. GAO believes the assessment is correct as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) is one of the largest employers in the federal government with approximately 1.4 million active-duty servicemembers, 813,000 reserve component servicemembers, 762,000 federal civilian full-time equivalent employees, and approximately 561,000 contractor full-time equivalent personnel. In cases where federal civilians or service contractors can perform similar functions, determining whether federal civilians or service contractors are less expensive to employ is a complicated task, particularly for an organization with a complex mission and a workforce as large and diverse as DOD.", "Since January 2001, we have identified Strategic Human Capital Management as a high-risk area because skills gaps within individual federal agencies\u2014as well as across the federal workforce\u2014can lead to costly, less-efficient government. In addition, the federal government\u2019s fiscal challenges, which we reported on in January 2017 and in other products, underscore the importance of DOD employing a strategic approach to determining the appropriate mix of its military, civilian, and contracted services to perform its mission, and determining the functions that are critical for the department to achieve its missions. However, workforce cost is one of several factors such as timing, durations of tasks, productivity, economic conditions in the local labor market, and whether a function is considered inherently governmental, that influence workforce decisions.", "Senate Report 114-49, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2016, included a provision for DOD to report a comparison of the costs of functions performed by federal civilians and service contractor personnel at selected installations, among other things. Specifically, the provision included four elements for DOD to report: (1) an assessment of performance of functions being performed by federal civilians and service contractor personnel at six selected installations, (2) an accounting of the full cost of federal civilian and service contractor personnel at the selected installations, (3) a comparison of the costs of performance of these functions by federal civilians and service contractor personnel at the selected installations, and (4) an assessment of the flexible employment authorities for the employment and retention of federal civilian employees. DOD submitted its report (referred to hereafter as DOD\u2019s Cost-Comparison Report) to Congress in April 2017.", "Senate Report 114-49 also includes a provision for us to review the sufficiency of DOD\u2019s Cost-Comparison Report. This report assesses the extent to which DOD\u2019s Cost-Comparison Report addressed the four elements of the provision in Senate Report 114-49.", "To assess the extent to which DOD\u2019s Cost-Comparison Report addressed the four elements of the provision in Senate Report 114-49, we reviewed and compared DOD\u2019s Cost-Comparison Report with the four elements in Senate Report 114-49. DOD\u2019s Cost-Comparison Report was expected to be issued in February 2017 according to DOD officials. However, its issuance was delayed until April 2017. We conducted interviews with DOD\u2019s Office of Cost Assessment and Program Evaluation (CAPE) officials responsible for designing and conducting DOD\u2019s Cost- Comparison Report. These interviews included discussions regarding how CAPE officials designed their methodology and gathered and analyzed data. We discussed steps taken to ensure data reliability, but did not assess the reliability of CAPE\u2019s data. We also obtained and reviewed documents relevant to DOD\u2019s cost-comparison approach. In addition, we interviewed officials with the Office of the Under Secretary of Defense for Personnel and Readiness to discuss efforts related to identifying federal civilians and support contractors performing similar functions. We also interviewed officials within the Office of the Under Secretary of Defense-Comptroller to gain perspective on cost elements related to cost comparisons. We reviewed DOD\u2019s policies and guidance on workforce management and estimating costs. These documents include DOD Instruction 1100.22, Policy and Procedures for Determining Workforce Mix (April 12, 2010) (Change 1, Dec. 1, 2017); DOD 7000.14- R, Financial Management Regulation; and DOD Instruction 7041.04, Estimating and Comparing the Full Costs of Civilian and Active Duty Military Manpower and Contract Support (July 3, 2013). We also reviewed Office of Management and Budget Circular A-11 to determine relevant federal civilian personnel costs.", "We conducted this performance audit from January 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objective. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since 2001, DOD\u2019s total workforce has changed in size and composition. DOD\u2019s military, civilian, and contractor workforces peaked around 2011 and have since decreased in size, as shown in figure 1. Several factors have contributed to changes in the size of the workforces including varying levels of U.S. involvement in the conflicts in Iraq and Afghanistan, military to civilian and contractor conversions, contractor insourcing, and the growth in certain workforces such as acquisition and cyber.", "DOD\u2019s management of its workforce is governed by several workforce management statutes, including sections 129, 129a, and 2463 of Title 10 of the United States Code. Section 129 directs that DOD civilian personnel be managed each fiscal year on the basis of, and consistent with, total-force management policies and procedures established under section 129a, the workload required to carry out the functions and activities of the department, and the funds made available to the department each fiscal year. Section 129a directs the Secretary of Defense to establish policies and procedures for determining the most appropriate and cost-efficient mix of military, civilian, and contracted services to perform the mission of the department. Finally, Section 2463 directs the Under Secretary of Defense for Personnel and Readiness to devise and implement guidelines and procedures to ensure that consideration is given to using, on a regular basis, DOD civilian employees to perform new functions and functions performed by contractors that could be performed by DOD civilian employees.", "DOD Instruction 1100.22, Policy and Procedures for Determining Workforce Mix (April 12, 2010) (Change 1, Dec. 1, 2017) establishes policy, assigns responsibilities, and prescribes procedures for determining the appropriate workforce mix of the military, civilian, and contracted services. The instruction provides criteria for workforce-mix decisions and directs DOD components to conduct a cost comparison to determine the low-cost provider for all new or expanding mission requirements and for functions that have been contracted but could be performed by DOD civilian employees.", "In addition, over the past 10 years DOD has taken steps to better understand the costs associated with its workforces. For example, we found in September 2013 that DOD had improved its methodology for estimating and comparing the full cost of work performed by military and civilian personnel and contractor support, but the methodology continued to have certain limitations, such as the lack of guidance for certain cost elements related to overhead. We made five recommendations, including for DOD to assess the advantages and disadvantages of allowing the continued use of different cost-estimation tools across the department or directing department-wide application of one tool, and revise its guidance in accordance with the findings of its assessment. DOD implemented this recommendation but has not yet implemented the other four recommendations although it concurred or generally concurred with them."], "subsections": []}, {"section_title": "DOD\u2019s Cost- Comparison Report Addressed Most Elements in Senate Report 114-49", "paragraphs": ["DOD\u2019s Cost-Comparison Report addressed three elements and partially addressed one element concerning the accounting for the fully-burdened, or full, cost of federal civilian and service contractor personnel performing functions at the selected installations, as shown in table 1. DOD concluded that for the 21,000 federal civilians and service contractors compared, neither federal civilians nor service contractors were predominately more or less expensive, with the costs being dependent upon the function being performed, location, and level of expertise. DOD noted that the results were not generalizable across the department.", "Each of the elements and our assessment are discussed below."], "subsections": [{"section_title": "DOD Developed a Methodology to Assess Performance of Functions Being Performed by Federal Civilian and Service Contractor Personnel on Military Installations", "paragraphs": ["We believe that DOD addressed the reporting element to assess performance of functions performed by civilian and contractor personnel by developing a methodology to assess performance of functions performed by federal civilians and service contractors at organizations within nine geographic regions including two locations outside the continental United States.", "Organizations included in DOD\u2019s methodology include the following:", "Fort Belvoir Community Hospital", "Defense Threat Reduction Agency", "US Army Intelligence and Security Command", "Aviation and Missile Research, Development, and Engineering Center", "Naval Medical Center San Diego", "Space and Naval Warfare Systems Command", "Ogden Air Logistics Complex", "75th Air Base Wing", "Naval Facilities Engineering Command", "Tripler Army Medical Center DOD\u2019s methodology included the following:", "Selecting installations and organizations: DOD used data from the Defense Civilian Personnel Data System to identify military installations with large reported numbers of federal civilians. According to DOD officials, they eliminated from consideration those installations that had no reported contractors. From this subset of installations, DOD selected organizations to represent all three military departments and diverse geographical locations, to include two locations outside the continental United States.", "Assessing the functions performed by civilians and contractors to identify federal civilians and service contractors performing similar functions: DOD assessed the performance of functions at these selected locations to identify federal civilians and service contractors performing similar functions as there is no direct mapping or perfect match between existing taxonomies used to quantify federal civilian positions and contracted services. Further, DOD reported that the day-to-day functions performed by federal civilian employees do not always directly correlate to the designated occupational series or the job title for their position. For example, an individual with an occupational series assigned as an accountant may actually perform work more consistent with that of a financial analyst. According to DOD\u2019s Cost-Comparison Report, DOD did not rely on occupational series names or job titles alone to determine the actual work being performed by federal civilians. Specifically, DOD conducted site visits with each organization and relied on local managers\u2019 direct knowledge of the actual tasks that their federal civilians and service contractor personnel performed. According to DOD\u2019s Cost-Comparison Report, DOD determined that personnel need to perform at least 80 percent common tasks to be able to make a comparison. For the organizations selected, DOD compared the costs of all federal civilians and service contractors identified as performing similar functions.", "The challenges DOD identified in DOD\u2019s Cost-Comparison Report on determining the functions performed by contractor personnel are similar to those we encountered in our prior work on DOD\u2019s efforts to compile and review of an inventory of contracted services. Section 2330a of Title 10 of the U.S. Code directs the Secretary of Defense to annually prepare an inventory of activities performed during the preceding fiscal year pursuant to staff augmentation contracts. Section 2330a also directs the secretary of each military department and head of each defense agency responsible for activities in the inventory to, within 90 days after the Secretary of Defense submits the inventory, review the contracts and activities in the inventory for which that secretary or agency head is responsible, in part to identify activities that should be considered for conversion. Our prior work has identified, among other issues, that the absence of a complete and accurate inventory of contracted services hinders DOD\u2019s management of these services. According to DOD officials, the Office of the Under Secretary of Defense (Personnel and Readiness) has also recognized the challenges associated with the various taxonomies and lexicons associated with articulating the size and composition of federal civilian, military, and contracted services workforces, and has efforts underway with the goal of better aligning those to enable more holistic total force management of all sources of labor. According to DOD officials, by improving available workforce data, DOD can support better-informed leadership decisions, improve accuracy of analyses, and provide consistent explanations of the department\u2019s workforce resources. DOD officials told us that this effort has an estimated completion of December 2018."], "subsections": []}, {"section_title": "DOD Accounted for Labor Costs but Excluded Some Costs That Encompass Full Costs of Personnel", "paragraphs": ["We believe that DOD partially addressed the reporting element to account for the full cost of civilian and contractor personnel by providing an accounting of the labor costs of selected federal civilian and service contractor full-time equivalents for personnel performing similar functions at government-owned facilities during calendar year 2015, but excluding certain non-labor costs from its cost calculations. According to DOD officials, 2015 was the last year for which complete data were available."], "subsections": [{"section_title": "DOD Accounted for Federal Civilian and Contractor Labor Costs", "paragraphs": ["DOD developed a methodology for identifying labor costs associated with federal civilian and service contractor full-time equivalents during calendar year 2015 at government-owned facilities for its cost comparisons. Based on reviews of applicable guidance and consultations with the Office of the Under Secretary of Defense \u2013 Comptroller, DOD included numerous federal civilian costs collected from several sources in DOD\u2019s Cost Comparison Report, as shown in table 2.", "In addition, to assure data quality, DOD officials told us that they took steps to identify data errors in the data collected including identifying missing data fields and data entries that might indicate data errors. For example, DOD officials told us that they verified that they had pay records for every pay period in calendar year 2015 by identifying potential errors and outliers and sharing these with the Defense Finance and Accounting Service and the selected DOD organizations for review. Officials also stated that DOD sent its complete calculated data sets to each organization for review against their own pay records and that all errors were corrected or outliers were explained. Additionally, according to our analysis, DOD excluded overtime from its costs related to federal civilians in accordance with Office of Management and Budget Circular A-11. However, DOD included overtime pay in its report separately for context and noted that overtime pay is a significant part of civilian compensation for some organizations. Officials noted that those funded via a working capital fund arrangements, such as depots, use overtime to handle surges in demand throughout the year. DOD noted in its report that selected service contracts at government facilities and developed three methodologies to identify labor costs associated with service contractor full-time equivalents during calendar year 2015, as shown in table 3.", "DOD stated in its report that identifying service contractor full-time equivalents is a significant challenge because the level of detail available in each contract varied such that DOD could not employ a single methodology, and unlike federal civilian pay data, there is no centralized database on service-contractor pay. DOD reported that contracts are rarely written to address the cost-per-contractor as a full-time equivalent, and some contracts do not differentiate between labor and non-labor costs. DOD noted in its report that the negotiated price of the contract includes direct costs, including labor and non-labor costs, and indirect costs such as overhead. Further, the contract costs include service contractor profit.", "Based on our review of DOD\u2019s Cost-Comparison Report, DOD used non- excludable contract costs as a basis in two of its methodologies. These costs to DOD are associated with labor, and include pay and benefits provided to service contractor personnel, contractor profit, and overhead the contractor included in the cost of the contract. When the number of service contractor full-time equivalents and full costs for a contract was known, DOD used the first method, dividing contract costs by the number of service contractor full-time equivalents to arrive at the cost per service contractor full-time equivalent. When the number of billable hours was known, DOD used the second method, multiplying the ratio of contract costs divided by billable hours by a standard number of annual billable hours. For contracts in which the labor rate was known but costs could not be disaggregated, DOD multiplied the labor rate by a standard 1,880 annual billable hours unless a contract specified the labor rate as a number of annual billable hours. For example, Defense Logistics Agency contractor-labor rates for wage grade equivalent contractor full-time equivalents are based on 2,080 annual labor hours."], "subsections": []}, {"section_title": "DOD Excluded Certain Costs that Comprise Full Costs", "paragraphs": ["We assessed DOD\u2019s report as partially addressing the reporting element to account for the full cost of federal civilian and contractor personnel because DOD excluded certain non-labor costs from its costs calculations\u2014(1) direct non-labor costs for government owned facilities and government provided supplies, (2) indirect costs for general and administrative and overhead for civilians, and (3) costs to manage contracts\u2014from its costs calculations. Senate Report 114-49 stated that DOD is to include an accounting of the full cost of DOD federal civilian and service contractors performing similar functions, including facility overhead. DOD stated in its report that the methodology utilized to compare the costs of federal civilian and service contractor full-time equivalents was consistent with DOD Instruction (DODI) 7041.04, Estimating and Comparing the Full Costs of Civilian and Active Duty Military Manpower and Contract Support (July 3, 2013), hereafter referred to DODI 7041.04. However, DODI 7041.04 states that the full cost of personnel should include direct and indirect non-labor costs, such as those referenced previously. DOD officials stated that they considered including non-labor costs in their calculations but did not because they believe these costs would add approximately the same to both federal civilian and service contractor costs. DODI 7041.04 instructs that if a function is performed on government property, the costs of goods, services, and benefits that are common costs may be excluded provided the number of government and contactor personnel is equivalent. DODI 7041.04 further instructs that when the number of government and contractor personnel differs, adjustments must be made to the cost estimates to account for the difference in number of government and contractor personnel. While there were some instances where it was the case that DOD\u2019s cost estimates involved an equal number of civilian and contractor personnel performing functions on government property, there were many instances in where the personnel numbers differed and common costs should not have been excluded. For example, in DOD\u2019s comparisons of federal civilians and service contractors at Fort Belvoir Community Hospital, DOD conducted comparisons of 19 functions where 2 functions had equal numbers of federal civilian and service contractors and 17 functions had differing numbers of federal civilian and service contractors. In one comparison, the number of contractors was over three times the number of civilians. DOD officials also stated that they believe their methodology is in accordance with DODI 7041.04 because DODI 7041.04 states that the cost elements in the instruction can be modified or augmented in each specific case as necessary, but DOD components should be prepared to support such decisions with sufficient justification. We acknowledge that DODI 7041.04 states that the cost elements can be modified, but by excluding non-labor costs in its cost comparisons, DOD did not account for the full cost of federal civilians and service contractors as requested in the mandate."], "subsections": []}]}, {"section_title": "DOD Compared Its Calculated Costs of Performance of Selected Functions by Federal Civilians and Service Contractor Personnel at Selected Installations", "paragraphs": ["We believe that DOD addressed the reporting element to compare costs by comparing its calculated costs of selected federal civilians and service contractors performing similar functions at selected installations. DOD reported that its results represent selected personnel performing functions within selected organizations and are not generalizable across the department. DOD concluded that for the federal civilian and contractor full-time equivalents included in the study, the costs varied by organization, location, and function being performed. DOD presented comparisons of federal civilian and service contractor full-time equivalents costs and expressed these results as a cost ratio. However, it is not clear how the results would be different if all costs that encompass full costs of personnel would have been included in DOD\u2019s comparisons. See tables 4 and 5 below for examples of greater costs for the performance of functions by federal civilians or service contractors at Fort Belvoir Community Hospital in Fort Belvoir, Virginia."], "subsections": []}, {"section_title": "DOD Assessed Flexible Hiring Authorities Available for Employment and Retention of DOD Civilian Employees", "paragraphs": ["We believe that DOD addressed the reporting element by assessing the flexible employment authorities for the employment and retention of federal civilian employees at the same 17 organizations used for the cost comparison. Specifically, DOD sent questionnaires to DOD hiring officials and human resource professionals to collect information on flexible employment authorities. DOD included a broad spectrum of organizational missions in its query of management and human resource officials regarding the use and availability of flexible hiring authorities. Noting that this assessment is more subjective than the others in DOD\u2019s Cost-Comparison Report, DOD queried senior leaders, middle managers, front-line supervisors and human resource professionals regarding which authorities are being used and the effectiveness of each. According to DOD\u2019s report, in this way, DOD was able to gauge the extent to which each type of authority was used as well as the satisfaction with and effectiveness of each. DOD\u2019s Cost-Comparison Report made several conclusions regarding flexible hiring authorities and made one recommendation. The findings included that there was a variance in the authorities used between organizations, management unfamiliarity with all available authorities, and a belief among managers that expanded use of some authorities is needed to produce more quality hires. DOD\u2019s Cost- Comparison Report recommended DOD and OPM should explore opportunities to refine, consolidate, or reduce unused, inefficient, or cumbersome hiring authorities."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, DOD non-concurred with our assessment that DOD partially addressed the mandated reporting element to provide an accounting of the fully-burdened cost of federal civilian and service contractor personnel performing functions at the selected installations to include training, benefits, reimbursable costs, and facility overhead. DOD\u2019s comments are reproduced in their entirely in appendix I. DOD also provided technical comments, which we incorporated as appropriate.", "DOD stated that we presented the three reporting elements identified in the congressional mandate absent the full context and congressional intent. Specifically, DOD stated that in the congressional mandate, the list of elements to be included in the report is not a stand-alone list and DOD stated that we present the elements as a stand-alone list. DOD further stated that the list of elements in the mandate is preceded by a paragraph that we did not reproduce in our report, but which provides context and congressional intent for the reporting elements.", "We do not believe that the language omitted from our report changes the meaning of the reporting elements to be included in DOD\u2019s cost comparison report because the paragraph omitted clearly states that the purpose of the report is to provide the results of a study that includes a comparison of the fully-burdened cost of the performance of functions by DOD civilian personnel with the fully-burdened cost of the performance by DOD contractors. The paragraph preceding the reporting elements and the elements reads as follows: The committee directs the Secretary of Defense to submit to the Committees on Armed Services of the Senate and the House of Representatives, and to the Comptroller General of the United States, a report setting forth the results of a study, conducted by the Secretary for the purposes of the report, of a comparison of the fully-burdened cost of performance of functions by Department of Defense (DOD) civilian personnel with the fully-burdened cost of the performance of functions by DOD contractors by no later the February 1, 2016. The study shall include: (1) An assessment of performance of such functions at six DOD installations selected by the Secretary for purposes of the study from among DOD installations at which functions are performed by an appropriate mix of civilian personnel and contractors, with four such installations to be located in the continental United States and two such installations to be located outside the continental United States; (2) An accounting of the fully-burdened cost of DOD civilian personnel and contractors performing functions for DOD (including costs associated with training, benefits, reimbursable costs under chapter 43 of title 41, United States Code, and facility overhead) in order to permit a direct comparison between the cost of performance of functions by DOD civilian personnel and the cost of the performance of functions by contractors; (3) A comparison of the cost of performance of the full range of functions, required expertise, and managerial qualities required to adequately perform the function to be compared, including: a. Secretarial, clerical, or administrative duties, including data entry; b. Mid-level managers and other personnel possessing special expertise or professional qualifications; c. Managers and other leadership; and d. Personnel responsible for producing congressionally-directed reports.", "The committee recommends that, in conducting the study, the Secretary should take into account the policy that inherently governmental functions vital to the national security of the United States may not be performed by contractor personnel. The report required shall include an assessment of the flexible employment authorities available to the Secretary for the employment and retention of civilian employees of the DOD, including an identification of such additional flexible employment authorities as the Secretary considers appropriate to shape the civilian personnel workforce of the DOD. Not later than 120 days after receipt of such report, the Comptroller General shall submit to Congress a report that includes an assessment of the adequacy and sufficiency of the report submitted by the Secretary, including any recommendations for policy or statutory change as the Comptroller deems appropriate.", "As we reported, DOD noted in its cost comparison report that it identified labor costs used in its comparisons. However, DOD did not include direct and indirect non-labor costs and DODI 7041.04 states that the full cost of personnel should include these non-labor costs as we discussed earlier in the report. Therefore, DOD only partially addressed the reporting provision.", "In addition, DOD stated that we omit relevant language related to congressional intent for the second reporting element (i.e., an accounting of the fully-burdened cost of DOD civilian personnel and contractors). DOD stated that the text, \u201c. . . in order to permit a direct comparison between the cost of performance of functions by DOD civilian personnel and the cost of the performance of the function by contractors,\u201d conveys the congressional intent that the study is for comparison and our exclusion of the text in our restatement of the element omitted language indicating relevant Congressional intent. We do not believe that the language omitted in our report changed the meaning of the reporting element, which is that DOD was to include an accounting of the fully- burdened costs of federal civilians and service contractors in its cost comparisons.", "DOD further stated that we did not assess the second reporting element (i.e., an accounting of the fully-burdened cost of DOD civilian personnel and contractors) as it is directly stated but rather that we assessed the element by redefining it and then asserting that DOD partially addressed it. DOD noted that the direct language of the second reporting element is for DOD to include an \u201caccounting\u201d of the fully burdened cost of DOD civilian personnel and contractors. DOD asserted that we misinterpreted the meaning of \u201caccounting\u201d when we determined that DOD partially addressed the mandate because it did not \u201ccalculate\u201d certain non-labor costs. We disagree. As we discuss in our report, DOD did account for the labor costs associated with federal civilian and service contractors by gathering labor cost data from several sources, but it did not include non- labor costs in its cost calculations. In order to account for the fully burdened costs of federal civilians and service contractors, as directed to do so by the preamble to the reporting elements, as well as the second reporting element, DOD should have included all labor and non-labor costs in the cost calculations.", "DOD also stated that our assessment incorrectly implies that to \u201caccount\u201d for costs is equivalent to \u201ccalculating\u201d costs as evidenced by the following quote from our draft report, \"We acknowledge that DODI 7041.04 states that the cost elements can be modified, but by excluding non-labor costs in its cost comparisons, DOD did not account for the full cost of federal civilians and service contractors as requested in the mandate.\" DOD stated that although DOD did not \u201ccalculate\u201d some non-labor costs, they did \u201caccount\u201d for them in accordance with DODI 7041.04 and as directed in the congressional mandate. DOD asserted that in multiple places, DODI 7041.04 states that common costs \"are excluded\" and \"may be excluded\" from cost comparisons. DOD provided facility costs as an example of non-labor costs accounted for but not calculated in its cost comparisons. DOD stated that in its report, all of the civilian positions and contractor functions are performed at government-owned facilities. Thus, facility costs are common costs and may be excluded. DOD stated that their report accounted for facility costs by recognizing that such costs exist and are common costs, thus, DOD properly excluded such costs in accordance with DODI 7041.04, and their report satisfied the Congressional mandate.", "We disagree. As mentioned above, the preamble to the mandated reporting elements and the second reporting element specifically directed that DOD account for the fully-burdened cost of DOD civilian and contractor personnel. Because there are multiple costs associated with civilian and contractor personnel, calculations are necessary in order to account for the full cost of these workforces. DODI 7041.04 instructs that if a function is performed on government property, the costs of goods, services, and benefits that are common costs may be excluded provided the number of government and contactor personnel is equivalent. While there were some instances where it was the case that DOD\u2019s cost estimates involved an equal number of civilian and contractor personnel performing functions on government property, there were many instances where the personnel numbers differed and common costs should not have been excluded. For example, in DOD\u2019s comparisons of federal civilians and service contractors at Fort Belvoir Community Hospital, DOD conducted comparisons of 19 functions where 2 functions had equal numbers of federal civilian and service contractors and 17 functions had differing numbers of federal civilian and service contractors. In one comparison, the number of contractors was over three times the number of civilians. DODI 7041.04 further instructs that when the number of government and contractor personnel differs, adjustments must be made to the cost estimates to account for the difference in number of government and contractor personnel. DOD did not make these adjustments in is calculations and as result non-labor costs should not have been excluded; therefore, DOD did not account for the fully- burdened costs, as directed by Congress.", "We are sending copies of this report to the appropriate congressional committees. We are also sending copies to the Secretary of Defense, the Director of the Office of Cost assessment and Program Evaluation and other interested parties. This report will also be available at no charge on our Web site at http://www.gao.gov.", "Should you or your staff have any questions concerning this report, please contact Brenda S. Farrell at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Vincent Balloon, Assistant Director; Timothy Carr, Felicia Lopez, Clarice Ransom, Michael Silver, and Norris \u201cTraye\u201d Smith made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Department of Defense: Actions Needed to Address Five Key Mission Challenges, GAO-17-369 (Washington, D.C.: June 13, 2017)", "DOD Civilian and Contractor Workforces: Additional Cost Savings Data and Efficiencies Plan Are Needed, GAO-17-128 (Washington, D.C.: October 12, 2016)", "Federal Hiring: OPM Needs to Improve Management and Oversight of Hiring Authorities, GAO-16-521 (Washington, D.C.: August 2, 2016)", "DOD Service Acquisition: Improved Use of Available Data Needed to Better Manage and Forecast Service Contract Requirements, GAO-16-119 (Washington, D.C.: February 18, 2016)", "Civilian and Contractor Workforces: Complete Information Needed to Assess DOD\u2019s Progress for Reductions and Associated Savings, GAO-16-172 (Washington, D.C.: December 23, 2015)", "DOD Inventory of Contracted Services: Actions Needed to Help Ensure Inventory Data Are Complete and Accurate, GAO-16-46 (Washington, D.C.: November 18, 2015)", "Sequestration: Comprehensive and Updated Cost Savings Would Better Inform DOD Decision Makers if Future Civilian Furloughs Occur, GAO-14-529 (Washington, D.C.: June 17, 2014)", "Human Capital: Opportunities Exist to Further Improve DOD\u2019s Methodology for Estimating the Costs of Its Workforces, GAO-13-792 (Washington, D.C.: September 25, 2013)", "Human Capital: Additional Steps Needed to Help Determine the Right Size and Composition of DOD\u2019s Total Workforce, GAO-13-470 (Washington, D.C.: May 29, 2013)", "Defense Outsourcing: Better Data Needed to Support Overhead Rates for A-76 Studies, GAO/NSIAD-98-62 (Washington, D.C.: Feb. 27, 1998)"], "subsections": []}], "fastfact": []} {"id": "GAO-18-224", "url": "https://www.gao.gov/products/GAO-18-224", "title": "Tax Fraud and Noncompliance: IRS Can Strengthen Pre-refund Verification and Explore More Uses", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IRS continues to confront the ongoing problems of identity theft (IDT) refund fraud. The agency estimates that at least $1.68 billion was paid in IDT refund fraud in 2016. To help address this issue, consistent with GAO's prior reporting, the Protecting Americans from Tax Hikes Act of 2015 advanced the deadline for employers to file W-2s to SSA to January 31 (about 1 to 2 months earlier than in prior years). This change allows IRS more time to match wage information to tax returns through systemic verification, and identify any discrepancies before issuing refunds.", "GAO was asked to assess how well IRS implemented systemic verification. GAO assessed IRS's performance using systemic verification and the extent to which IRS analyzed the effectiveness of the refund hold on this process. GAO analyzed IRS and SSA data and documents, observed SSA's paper W-2 process, and interviewed IRS and SSA officials. GAO compared IRS actions to laws; IRS policies; and standards for internal control, fraud risk management, and program evaluation."]}, {"section_title": "What GAO Found", "paragraphs": ["Beginning in 2017, as required by law, the Internal Revenue Service (IRS) held all refunds for taxpayers claiming the Earned Income Tax Credit (EITC) or Additional Child Tax Credit (ACTC) until February 15. IRS also took actions to verify wage and other information reported on tax returns before issuing refunds, referred to as systemic verification, but several factors limited its success. IRS received over twice as many (over 214 million) Forms W-2, Wage and Tax Statement (W-2) by February 15 compared to the same time in 2016, and reported that W-2 data were responsible for improving fraud detection and reducing taxpayer burden. However, IRS was unable to verify over half of the returns it held until February 15 before issuing the refunds. For example, IRS received W-2s daily but its information technology systems processed them weekly. In response to GAO's review, IRS reported it is planning to assess options for processing W-2s daily. Also, some employers submit W-2s late, but IRS did not track the extent to which late W-2s are associated with fraud or noncompliance. Further, IRS has not assessed options for enforcing late W-2 penalties earlier. Additionally, about 9 percent (about 23 million) of W-2s were filed on paper, which IRS does not begin to receive from the Social Security Administration (SSA) until March. By law, employers who file 250 or more W-2s are required to file W-2s electronically, while those who file fewer than 250 W-2s may opt to file on paper or electronically. In August 2014, GAO suggested that Congress provide the Secretary of the Treasury with the authority to lower the electronic filing requirement from 250 W-2s to 5 to 10. This action could also have the benefit of reducing SSA's W-2 paper processing costs by $9.7 to $11.3 million per year. These issues reduce IRS's access to timely W-2 data, limiting its ability to prevent fraud and reduce noncompliance before issuing refunds.", "IRS's preliminary and final analyses of the February 15 refund hold both showed that IRS could have detected significantly more in potential fraud and noncompliance if it held all refunds until late February, when it had more W-2 data available. There are differences between these analyses. For example, the final analysis included more returns and estimated total revenue IRS could protect by extending the refund hold and expanding it to all taxpayers. In that analysis, IRS estimated that it could have protected $100 million in fraud and noncompliance had it held all taxpayer refunds until February 15\u2014$35 million more than it protected by holding refunds with EITC or ACTC. IRS further estimated that moving the refund hold to March 1 for all taxpayers could protect $895 million compared to $533 million if it only held refunds with EITC or ACTC until that date. However, GAO found limitations to IRS's analyses. For example, while IRS has plans to further explore holding refunds longer, it does not have an evaluation plan to assess the effectiveness of the refund hold on systemic verification. Also, IRS did not fully assess the benefits and costs, including taxpayer burden, of the refund hold, nor how its analysis informs its broader fraud risk management or compliance efforts. As a result, IRS does not have sufficient information to inform a decision on potential changes to the refund hold date and those subjected to it. Finally, IRS has not assessed the benefits and costs of expanding systemic verification to use for pre-refund compliance checks in other areas such as income underreporting and employment fraud. Therefore, IRS may be missing opportunities to maximize use of early W-2 data."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends IRS collect data to track late W-2 filing penalties and assess options for earlier enforcement; assess the benefits and costs of using existing authority to hold refunds longer, hold all refunds, or both, and expanding systemic verification to other areas; and take actions based on the assessments. IRS listed steps to respond to 5 of 6 recommendations, but said it could not enforce penalties earlier. GAO recognizes the challenges but clarified that assessing other options would provide benefits, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["In recent years, the Internal Revenue Service (IRS) has faced ongoing problems with fraud and noncompliance. This includes identity theft (IDT) refund fraud, which occurs when a fraudster obtains an individual\u2019s Social Security number, date of birth, or other personally identifiable information (PII), and uses it to file a fraudulent tax return seeking a refund. IRS estimates that at least $12.24 billion in IDT tax refund fraud was attempted in calendar year 2016\u2014of which it prevented at least $10.56 billion (86 percent)\u2014but at least $1.68 billion (14 percent) was paid. This represents an improvement compared to prior years. Improper payments have been another costly problem, which includes both fraudulent activity and noncompliance. IRS estimates also show that the Earned Income Tax Credit (EITC) has consistently had a high improper payment rate. For fiscal year 2017, IRS reported that total EITC payments were $68 billion, of which $16.2 billion were estimated to be improper.", "To help address these issues, IRS implemented a process to verify wage and related information on all tax returns with refunds for the 2016 filing season, referred to as systemic verification. We previously reported that the information that employers report on Form W-2, Wage and Tax Statement (W-2), had not been available to IRS until after it issued most refunds. With earlier access to W-2 data, IRS could use this information to verify taxpayers\u2019 returns and identify any discrepancies before potentially issuing billions of dollars in fraudulent refunds. Such verification could also prevent some EITC improper payments. Consistent with our prior reporting, Congress enacted the Protecting Americans from Tax Hikes Act of 2015 (the Act) in 2015, which required employers to submit W-2s to the Social Security Administration (SSA) by January 31, effective beginning in 2017.", "Compared to prior years, the new deadline is 1 month earlier if filing on paper or 2 months earlier if filing electronically. SSA then provides W-2 data to IRS for verifying employee wage and withholding data on tax returns. The Act also required IRS to hold refunds for all taxpayers claiming EITC or Additional Child Tax Credit (ACTC) until February 15. In April 2017, we testified based on our initial review that this process holds promise for combatting IDT refund fraud and reducing improper payments, but IRS faced some implementation challenges.", "You asked us to review the 2017 filing season to determine how well IRS implemented systemic verification. We assessed (1) IRS\u2019s performance in detecting fraud and noncompliance using systemic verification, and SSA\u2019s performance providing timely W-2 data to IRS; and (2) the extent to which IRS analyzed the effectiveness of the refund hold on systemic verification as well as opportunities for IRS to apply systemic verification to other efforts to detect fraud and noncompliance.", "To assess IRS\u2019s performance detecting fraud and noncompliance using systemic verification, we reviewed preliminary 2017 filing season data and analyses of systemic verification results. We also reviewed applicable laws, IRS documentation, and policies, and we interviewed IRS officials. We compared IRS\u2019s actions to IRS\u2019s Strategic Plan, which includes objectives to strengthen refund fraud prevention by using third-party data and analytics for timely, informed decision making, and to innovate technology systems to support IRS\u2019s business needs. We also compared IRS\u2019s actions to the Standards for Internal Control in the Federal Government, which call for management to design and implement internal controls within programs based on the related benefits and costs. To assess SSA\u2019s performance providing timely data to IRS, we compared IRS and SSA data to SSA\u2019s goals. We also observed paper W-2 processing and interviewed staff and managers at SSA\u2019s paper W-2 processing facility in Wilkes-Barre, Pennsylvania.", "To assess the extent to which IRS conducted analyses on the effectiveness of the refund hold and opportunities to improve systemic verification and apply it to other efforts to detect fraud and noncompliance, we assessed IRS data for 2017 and analyses of verification outcomes under different scenarios against overarching concepts and leading practices provided in our Fraud Risk and Management Framework and Program Evaluation guidance. We also determined whether IRS conducted a complete economic analysis of the effects on taxpayer burden based on interviews with IRS and Department of the Treasury (Treasury) officials, and three economic experts. We identified key elements experts reported that IRS should consider. We selected these three economists based on their expertise in the field of tax policy and refundable tax credits, and to ensure variation in perspectives on tax issues. The views of these experts are not generalizable. In addition, we interviewed IRS officials on the benefits and costs of systemic verification.", "To assess the reliability of the data we used for this report, we reviewed IRS and SSA reports on W-2 data, and IRS reports on systemic verification and its results. We also reviewed IRS reports on the performance of its fraud filters. We examined systemic verification data to identify obvious errors or outliers or potential data limitations that would affect how we use the data, and we found no such problems. We also interviewed IRS officials about their data quality procedures and the data and their limitations. We determined that the data presented in this report are sufficiently reliable for the purposes of our reporting objectives. More information on our scope and methodology can be found in appendix I.", "We conducted this performance audit from March 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "IDT Refund Fraud", "paragraphs": ["Viewed broadly, IDT refund fraud is composed of two crimes: (1) the theft or compromise of PII, and (2) the use of stolen (or otherwise compromised) PII to file a fraudulent tax return and collect a fraudulent refund. Figure 1 presents an example of how fraudsters may use stolen PII and other information, real or fictitious (e.g., sources and amounts of income), to complete and file a fraudulent tax return and successfully receive a refund. In this example, a taxpayer may alert IRS of IDT refund fraud. Alternatively, IRS can detect IDT refund fraud through its automated filters that search for specific characteristics as well as through other reviews of taxpayer returns. IRS reported that, through September 2017, the number of taxpayers reporting that they were a victim of IDT refund fraud had decreased by about 40 percent compared to the same period in 2016 (from 348,650 to 208,503). IRS officials attribute this decline to improved fraud filters."], "subsections": []}, {"section_title": "Pre-refund Compliance Checks", "paragraphs": ["We have long highlighted the importance of pre-refund compliance checks as a means to improve compliance while minimizing taxpayer burden. As we testified in 2011, pre-refund compliance checks help IRS to confirm taxpayers\u2019 identity, quickly and efficiently correct some errors with virtual certainty, and identify and audit some returns before refunds are issued. They also have the potential to deter billions of dollars in erroneous refunds, especially for refundable tax credits. These credits have complex eligibility requirements and are often overclaimed. IRS\u2019s ability to match tax returns to information provided by third parties, including from financial institutions, can help enforce compliance with the tax laws. Pre-refund checks benefit taxpayers directly when IRS identifies underclaimed benefits.", "Pre-refund compliance checks can reduce the tax gap created when taxpayers file returns that, for example, underreport their tax liability. In 2016, IRS estimated that the average annual gross tax gap was $458 billion for tax years 2008 to 2010. IRS estimated that through late payments and enforcement actions, it would collect an additional $52 billion annually for those tax years, resulting in an average net tax gap of $406 billion. Because of the importance of improving voluntary compliance and addressing the tax gap, we continued to include Enforcement of Tax Laws as a high-risk area in our 2017 High-Risk Report."], "subsections": []}, {"section_title": "Systemic Verification", "paragraphs": ["As noted previously, beginning in 2017 the Protecting Americans from Tax Hikes Act of 2015 requires employers to submit W-2s to SSA by January 31 (about 1 to 2 months earlier than in prior years, depending on the method of filing). It also requires IRS to hold refunds for all taxpayers claiming EITC or ACTC until February 15. In October 2017, IRS reported that, among the 13.4 million refunds subjected to this hold, it had completed processing 10.3 million refunds totaling $51.2 billion. Although IRS has authority to hold additional refunds until it receives more W-2 data, IRS, in consultation with Treasury, decided not to exercise this authority in 2017. IRS officials explained that they did not do more than required by the law because it would be a major shift in refund issuance causing a strain on the economy, industry partners, taxpayers, and IRS telephone and other operations. Officials said that they expect to learn from their experience during the 2017 filing season and will continue to consider changes for future filing seasons as they have for 2018. However, all returns\u2014with EITC or ACTC and without EITC or ACTC\u2014 were subject to systemic verification as well as other fraud filters.", "Systemic verification is one element of IRS\u2019s Return Review Program (RRP), its primary system to detect fraud and noncompliance. RRP is a platform that runs individual tax returns through a comprehensive set of rules and models to detect potential taxpayer fraud and other noncompliance, then selects returns for various treatment options. Systemic verification categorized taxpayer returns in one of three outcomes to detect potentially fraudulent or noncompliant returns (see figure 2): 1. Wage information verified: Income and withholding on the return matches W-2 data within the allowed threshold. 2. False or incorrect income: Information on the return is not valid when compared to W-2 data. This mismatch can include income, withholding, employer identification number, or other characteristics. 3. Unable to verify: Unable to verify income or withholding on the return because W-2 data are unavailable or the taxpayer did not report wage income but had other types of income such as Social Security or self- employment. IRS reprocessed (looped) all returns that reported wage income through RRP when new third-party data became available. For EITC or ACTC returns that IRS was required to hold until February 15, IRS had additional time to reprocess these returns before releasing the refund.", "After systemic verification is completed, IRS either continues processing the refunds for release or holds the refunds for additional review. For returns where IRS either verified or was unable to verify the wage information, the refunds were processed (beginning February 15 for returns with EITC or ACTC) unless selected by the fraud filters for review. However, IRS does not have the authority to correct a taxpayer\u2019s return based on W-2 data, so it must initiate a correspondence audit which, as we have reported, is more costly to IRS, more burdensome on the taxpayer, and more time consuming for both. Therefore, for returns with false or incorrect income, IRS froze the refund and directed it to various units for review depending on the results of systemic verification and fraud filters. For example, if IRS suspected that the return was IDT refund fraud, it directed it to the Taxpayer Protection Program to verify the taxpayer. For returns where IRS suspected potential noncompliance, it directed the return to the Integrity and Verification Operations group."], "subsections": []}]}, {"section_title": "Systemic Verification Shows Promise but Legacy Information Technology and Issues with Employer W-2 Filing Limit Its Success", "paragraphs": [], "subsections": [{"section_title": "Early W-2 Data and the Refund Hold Helped IRS Prevent Fraud and Noncompliance for a Limited Number of Tax Returns", "paragraphs": ["By mid-February 2017, 2 weeks following the new W-2 filing deadline and about when the refund hold expired, IRS had received more than twice as many (over 214 million) W-2s than SSA provided at a similar time in 2016 (see figure 3). Nevertheless, IRS did not have all W-2 data in time to conduct pre-refund checks of wages, withholding, and other information before issuing refunds, especially early in the filing season.", "Despite not having all W-2 data, IRS was able to identify and prevent some fraud and noncompliance before issuing refunds. IRS received and initially processed through systemic verification a total of about 35.1 million individual tax returns through February 14, representing nearly $200 billion in refunds.", "As shown in table 1, nearly 13.4 million (38 percent) of those returns claiming about $115 billion in refunds were filed by taxpayers who claimed EITC, ACTC, or both, and were subject to the refund hold. Using systemic verification, as of February 14, 2017, IRS determined that nearly 150,000 of these 13.4 million returns (1 percent) were potentially fraudulent because they included false or incorrect income. The returns represented approximately $800 million in refunds. IRS also verified wage and other information for approximately 4.72 million (35 percent) of those returns filed and processed through February 14, representing $73.5 billion in refunds. However, IRS was unable to verify 7.79 million (58 percent) of these returns before it released refunds because W-2 data were unavailable, as described later in this report. Finally, table 1 also notes that, as of October 2017, IRS reported that, among those returns filed and processed through February 14, 10.3 million had completed processing and $51.2 billion in refunds had been issued.", "As the February 15 refund hold expiration approached, IRS continued to reprocess (loop) returns through systemic verification as more W-2 data became available. In doing so, IRS staff identified 12,000 more returns, in addition to the 150,000 initially identified, that they suspected to be fraudulent. This brought the total number of potentially fraudulent or noncompliant returns to about 162,000 with nearly $863 million in refunds. IRS manually held these refunds and referred the suspicious returns for further screening to the Integrity and Verification Operations group. IRS later cleared approximately 150,000 (93 percent) of these returns and released about $797 million in refunds. IRS confirmed that approximately 12,000 (7 percent) of the returns that it had not cleared were fraudulent, eventually protecting $65 million, which included $51 million in EITC or ACTC claims.", "To reduce false positives (when legitimate tax returns are erroneously selected for review), an IRS working group made several changes to how IRS\u2019s fraud filters make selections based on W-2 data and other information. For 2018, IRS plans to automatically select returns that it had held manually in 2017. However, officials noted that while verifying wage information is important, the complexity of determining EITC and ACTC eligibility remains a challenge.", "We reviewed IRS\u2019s systemic verification results and found that IRS improved its selections of potentially fraudulent returns with W-2 data contributing to its fraud filters. As of February 15, returns selected for review by systemic verification comprised 14,618 (6 percent) of all paper and electronic returns selected as potential identity theft by the fraud filters. By September 15, selections from systemic verification increased to nearly 78,369 (about 10 percent) of all returns selected as potential identity theft. Moreover, we found that if more W-2 data were available earlier, IRS could have excluded more returns from review, thereby reducing or eliminating work and reducing taxpayer burden by not delaying legitimate taxpayers\u2019 returns. For example, systemic verification allowed IRS to exclude about 321,000 electronically-filed tax returns out of more than 700,000 that had been selected for review by the fraud filters."], "subsections": []}, {"section_title": "IRS\u2019s Ability to Process W-2s Was Limited by Its Information Technology Systems and Issues with Employer W-2 Filing", "paragraphs": ["We found that IRS\u2019s ability to verify information on tax returns early in the filing season was limited because of its Information Technology (IT) systems and issues with employers filing W-2s on paper or after the filing deadline.", "IT systems. IRS receives and maintains validated taxpayer data, including W-2 and 1099-MISC forms, through the Information Return Master File (IRMF) system. IRS received W-2 data from SSA daily but only loads the data onto IRMF weekly due to the legacy design of this system. This contributed to IRS\u2019s inability to verify more than half (7.79 million or 58 percent) of tax returns with EITC or ACTC claiming $38.4 billion in refunds when the February 15 refund hold expired. IRS officials stated that due to the system\u2019s legacy design, adding new or updating existing information return documents requires the agency to reload its entire file, which contains billions of information returns.", "Officials reported that this process can take up to 3 days or more to complete, depending on the file size of the incoming and existing data, and has prevented IRMF from processing and making the W-2 data available for use, as it is received from SSA. Consequently, while IRS had received a total of about 210.9 million W-2s by February 13, it received an additional 3.9 million W-2s between February 13 and 20 that IRS was unable to use in systemic verification before the February 15 refund hold expired.", "In October 2017, IRS officials told us several reasons why they were not addressing IT limitations. At that time, they said they had discussed various options to make W-2 data available faster, but they had not assessed whether IRMF processing could occur more than once weekly. Further, these officials said IRS developed a plan to modernize IRMF, which would allow for faster processing, but officials told us that this effort is on hold because of competing priorities and funding shortages. These officials also said they had not considered the potential financial benefits of either modifying existing procedures or continuing to pursue modernizing IRMF to process W-2 data more frequently for use in systemic verification.", "However, in response to our discussions, in November 2017, IRS officials reported they had started to assess the possibility of processing W-2 data on IRMF daily. Specifically, IRS is planning to assess daily processing for the months of January and February during the 2019 filing season when the number of information returns is lower and the file is less time consuming to load. They noted they would not have time to assess their options and make necessary changes to process W-2s daily for the 2018 filing season.", "As we reported in October 2017, IRS faces challenges with managing its aging legacy systems, and with establishing a process for prioritizing its modernization efforts. IRS\u2019s planned action is consistent with its strategic plan, which includes objectives to strengthen refund fraud prevention by using third-party data and analytics for timely, informed decision making, and to innovate technology systems to support IRS\u2019s business needs. It is also consistent with Standards for Internal Control in the Federal Government, which calls for management to design and implement internal controls within programs based on the related benefits and costs. By taking its planned action to assess processing W-2 data more frequently, IRS would be in a better position to make informed decisions about the future of IRMF and its modernization efforts.", "Paper W-2 processing. Of the 253 million W-2s that SSA received by December 1, 2017, about 23 million (9 percent) were paper. SSA receives and processes paper W-2s at the Wilkes-Barre Direct Operations Center (WBDOC) in Wilkes-Barre, Pennsylvania. Beginning in October or November of each year, WBDOC programs and tests its systems for transmitting transcribed paper W-2 data. The majority of W- 2s that WBDOC receives are in optical character recognition (OCR) format, which SSA can scan into its systems instead of manually entering the data. Officials stated that W-2s that are not in OCR format require more time and effort to process. This process of developing, testing, scanning, or entering data manually occurs between October and March before WBDOC begins transmitting the paper W-2 data to SSA\u2019s Baltimore facility. Beginning in March, SSA continually transmits all paper and electronic W-2 data to IRS.", "By law, employers who file 250 or more W-2s are required to file W-2s electronically, while those who file fewer than 250 W-2s may opt to file on paper or electronically. This requirement has not changed since 1989 when employers filed electronically using magnetic media or other machine-readable forms. Since then, technological advancements allow employers to file for free using SSA\u2019s website or other software packages. Consequently, even though not required, by July 28, 2017, SSA had received approximately 69 million electronically filed W-2s from about 4.4 million employers who filed fewer than 250 W-2s.", "In August 2014, we reported that lowering the electronic W-2 filing requirement would not only contribute to IRS\u2019s ability to verify employment information on tax returns, but it could reduce administrative costs for SSA. According to SSA estimates, the cost to transcribe and process a total of 24.2 million paper W-2s in 2016 was about $13.3 million, or $0.55 per paper W-2. In addition to the cost savings from lowering the electronic filing requirement, as we reported in August 2014, there would be fewer transcription errors and fewer W-2s subject to the longer paper W-2 processing time. In that report, we suggested that Congress should consider providing the Secretary of Treasury with the regulatory authority to lower the requirement for electronic filing of W-2s from 250 returns annually to between 5 to 10 returns, as appropriate. In August 2017, SSA officials estimated that SSA can save between $9.7 and $11.3 million per year if the W-2 paper filing requirement is lowered to 10 or fewer W-2s. These officials reported that this estimate is based on a projected increase of 17.6 million to 20.6 million in electronically filed W-2s and a decrease of paper W-2s by more than two-thirds.", "Late W-2 filing. IRS began publicizing the change in the W-2 deadline in June 2016. Nevertheless, about 260,000 employers missed the January 31 filing deadline, accounting for late filing of about 7.9 million W-2s in 2017. IRS officials stated that, of the 27,764 employers who had requested an extension for time to file W-2s, as discussed below, IRS approved approximately 6,500 (23.4 percent), which account for approximately 1.1 million W-2s (13.9 percent) of the 7.9 million late filed W-2s. Because IRS has not yet started to assess penalties, it does not yet know how many of these will be subjected to a penalty.", "Generally, an employer must pay a penalty for failing to file an information return timely or correctly unless an exception applies, such as being granted an extension. However, IRS has changed how it enforces late filing penalties by not mailing some proposed penalty notices to employers who fail to file W-2s timely. For example, IRS mailed all penalty notices to employers who failed to timely file in 2014. However, it did not mail all penalty notices for 2015 and 2016 to employers who failed to file W-2s timely. IRS officials told us that, due to a lack of resources to manage all the penalty cases, they began applying a risk-based selection process to prioritize compliance efforts. Moreover, officials told us they did not collect data to track how many penalty notices IRS did or did not mail for late-filed W-2s, nor the associated penalties IRS proposed to assess for 2015 and 2016.", "By law, there are some exceptions to the enforcement of penalties on those who fail to file correct information on or before the required filing date, and who fail to include all of the information required to be shown on the return, or include incorrect information, without correction. However, by not mailing all penalty notices, as it did in the past, IRS is not using a tool to collect, at the least cost, the proper amount of tax revenue, is not enhancing or promoting voluntary compliance, and it is missing an opportunity to educate and help the employer understand his or her legal obligations and rights. Additionally, without timely W-2 data to complete pre-refund checks against filed returns, IRS risks releasing fraudulent and noncompliant refunds or burdening legitimate taxpayers whose returns could be cleared with the W-2 data. IRS officials told us that they are monitoring the effect of not mailing all notices on the number of late filings. However, as of November 2017, IRS did not have plans to track and evaluate the extent to which the late W-2s are associated with fraudulent or noncompliant refunds.", "In addition, IRS does not mail penalty notices until up to a year and a half after the missed deadline. For example, IRS will not assess and mail penalty notices for the approximately 260,000 employers who filed W-2s or other information returns late in 2017 until summer 2018. In part, this is because IRS waits to compile all late-filed information returns, not just W- 2s, some of which are not due until April. Further, late-filing penalty amounts increase incrementally until August 1 for employers who file or correct information returns after the filing deadline. Finally, for 2017, IRS did not finish transcribing and processing the more than 40 million paper- filed information returns until about late September. However, IRS officials have not assessed the options for mailing penalty notices for late W-2s earlier or communicating with the employers earlier in the process. These officials told us that the penalty notice process is consistent with IRS\u2019s enforcement procedures. They further added that mailing multiple penalty notices could increase burden and cost for both the taxpayer and IRS. However, quickly responding to employers that filed late increases the potential for compliance, thereby increasing the availability of W-2 data for systemic verification to detect and prevent fraud and noncompliance. Finally, because it takes up to a year and a half for IRS to identify the late filing and mail the penalty notice, it is possible that the employer could have filed W-2s late two years in a row without IRS notifying him/her of the first late filing.", "W-2 extensions. In 2017, IRS received 27,764 employer requests for an extension of time to file W-2s, which is substantially higher compared to prior years. IRS officials attribute the increase in extension requests to the new early filing deadline. IRS also began requiring employers to provide reasonable cause and only file their requests on paper. Prior to 2017, employers could file for an automatic 30-day request for extension, electronically or on paper. Because IRS manually processed all requests to determine if the cause was reasonable, IRS did not complete its processing until November 2017. Consequently, employers would not know until after the extended deadline whether IRS granted them the extension.", "IRS officials told us that, for 2017, they notified about 10,000 employers who requested but were not granted an extension that they would not be penalized this year. Officials also notified these employers that they would be penalized next year under the same conditions. In November 2017, IRS officials said that they are reviewing the extent to which extension requests made in 2017 affected systemic verification. For 2018, IRS plans to continue requiring employers to file extension requests on paper."], "subsections": []}]}, {"section_title": "IRS\u2019s Analyses of the Refund Hold Are Limited, Hampering Their Usefulness for Decision Making and IRS Has Not Explored Additional Uses of Systemic Verification", "paragraphs": [], "subsections": [{"section_title": "IRS Completed Its Analyses of Potential Changes to the Refund Hold but Did Not Fully Assess the Benefits and Costs and Taxpayer Burden", "paragraphs": ["IRS officials examined the effectiveness of the February 15 refund hold by analyzing how systemic verification results differ under several hypothetical scenarios. For example, IRS could extend the refund hold date beyond February 15 when more W-2 data are available for systemic verification before issuing refunds. While the law states that IRS cannot release refunds with EITC or ACTC before February 15, IRS has discretion to continue to hold all refunds until it can verify W-2 data, and has the authority to expand the refund hold to all taxpayers, not just those who claimed EITC or ACTC. Further, the law does not preclude IRS from releasing refunds with EITC or ACTC on a rolling basis after February 15, or in conjunction with an extension of the refund hold.", "In October 2017, the National Taxpayer Advocate (NTA) told us that she supports potential modifications to the refund hold. In addition, in a June 2017 annual report to Congress, the NTA stated that holding the refunds for all taxpayers longer so that IRS can verify W-2 data could help IRS prevent tax refund fraud before refunds are issued. The NTA also recommended that IRS research the benefits and costs of delaying refund payments.", "During the 2017 filing season, IRS reviewed limited preliminary systemic verification data to assess potential changes to the February 15 refund hold. In October 2017, IRS completed its final analysis, which included more data on taxpayers who filed after the February 15 refund hold and estimated potential amounts of protected refunds. However, both analyses have limitations.", "We assessed IRS\u2019s preliminary analysis of the 35.7 million returns filed by all taxpayers (those who claimed EITC or ACTC and those who did not) before February 15 and which were subjected to systemic verification. IRS\u2019s analysis included actual results from systemic verification for these tax returns for each week between February 15 and March 15 after reprocessing the returns when new W-2 data became available. Our assessment of IRS\u2019s preliminary analysis showed that by both extending the refund hold date beyond February 15 and expanding the refund hold to all returns: IRS could have verified more than twice as many returns. By March 15, IRS could have verified wage information for more than twice as many returns before issuing refunds\u201430.5 million compared to 14.3 million verified by February 15. By only holding returns until February 15, IRS would be unable to verify W-2 data for 20.2 million (56 percent) tax returns, representing $66.6 billion in refunds, before releasing the refunds.", "IRS could have detected about $3 billion\u2014twice as much\u2013in potential fraud and noncompliance. If IRS had held all taxpayers\u2019 refunds until late February or early March, it could have detected about twice as much potential fraud or noncompliance before issuing refunds, as shown in figure 4, because it had more W-2 data available at that time compared to February 15. For example, if IRS held all taxpayers\u2019 refunds until March 1, it could have identified $2.87 billion compared to $1.47 billion as of February 15, about a 95 percent increase. If IRS held all taxpayers\u2019 refunds until March 8, it could have identified even more in potentially fraudulent or noncompliant refunds before issuing them ($3.18 billion compared to $1.47 billion as of February 15, an increase of about 116 percent). However, these potential fraudulent or noncompliant refunds do not represent potential refunds that IRS could protect. This is because IRS limits the number of cases it selects for review due to the large volume of work this represents and limited staff available. Further, some returns that IRS selects for review are false positives\u2014legitimate tax returns erroneously selected for review.", "Our Fraud Risk Framework provides a comprehensive set of overarching concepts of fraud risk management and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. For example, a leading practice in the Fraud Risk Framework emphasizes risk-based preventive activities for strategically managing fraud risk to help avoid a costly and inefficient \u201cpay and chase\u201d model. Additional leading practices call for federal agencies to continuously monitor and evaluate the effectiveness of preventive activities and to consider the benefits and costs of its control activities. Further, key concepts in the Fraud Risk Framework highlight the importance of measuring outcomes to adapt fraud detection and prevention activities. Additionally, we have reported that program evaluation provides agencies with objective information on program effectiveness and efficiency. Program evaluation is necessary to inform and improve IRS\u2019s fraud risk management activities.", "However, when we compared IRS\u2019s preliminary analysis to the Fraud Risk Framework and program evaluation standards, we found that it was limited in several areas: IRS has not documented an evaluation plan, goals, or strategy related to the refund hold. To ensure an evaluation\u2019s credibility, agencies should develop evaluation plans with clearly defined program goals and researchable evaluation questions. However, IRS did not have documentation detailing an evaluation plan or program goals that includes the purpose of the analysis and the research questions it is assessing. Moreover, IRS plans to continue assessing the effectiveness of the refund hold on systemic verification.", "In May 2016, we recommended that IRS develop an overall compliance strategy that includes refundable credits, such as EITC and ACTC. In February 2017, IRS reported that it is taking steps to implement this recommendation. However, it is unclear how IRS plans to incorporate the results of its analysis of systemic verification into its overall compliance and fraud risk management strategy.", "IRS did not determine how many potentially fraudulent or noncompliant refunds it issued before verifying against W-2 data. A key benefit of obtaining W-2 data early in the filing season is to verify that the information matches before issuing the refund. In its preliminary results, IRS reported the number and amount of refunds it identified as potentially fraudulent or noncompliant before issuance only for taxpayers that claimed EITC or ACTC and whose refunds IRS held until February 15. Of the 22.1 million taxpayers who filed before February 15 and did not claim these credits, IRS identified approximately 196,000 returns filed by taxpayers claiming nearly $580 million in refunds as potentially fraudulent or noncompliant. IRS did not report the number of refunds that were issued before IRS had identified them as potentially fraudulent.", "IRS has not fully assessed the burden on the taxpayers who were subjected to the refund hold date. We have reported that a key concept in tax administration is reducing unnecessary taxpayer burden, which is the direct time and money that taxpayers spend to comply with tax laws, including costs for paid tax preparation. Three economic experts we interviewed cited key factors that IRS could consider in assessing the burden to taxpayers as a result of the refund hold. For example, experts told us that IRS could examine changes in taxpayer behavior, such as waiting to file a return later, or shifting from using Free File to paid preparation that can offer refund- related financial products such as an advance on their refund. These experts also indicated that IRS could compare the amount of fraud or noncompliance that IRS prevented among taxpayers claiming EITC or ACTC against taxpayers who do not claim these credits. All experts we interviewed agreed that more than 1 year of data might be needed to assess short-term and long-term effects of the refund hold on taxpayer behavior and patterns of fraud and noncompliance.", "IRS officials told us that they have added a question to IRS\u2019s customer satisfaction survey to determine how taxpayers got their information about the refund hold. They have also indicated they are analyzing taxpayer behaviors related to the timing of filing and taxpayers\u2019 use of refund-related financial products. However, IRS has not provided us with the revised survey or its results, nor provided documentation of what is included in the analyses. IRS officials told us that they have limited resources to conduct research and have not completed the work because they are prioritizing other research efforts.", "The limitations of IRS\u2019s preliminary analysis prevent IRS from fully understanding the effectiveness of systemic verification and refund hold, and hampers IRS\u2019s broader fraud risk management and compliance efforts. IRS officials stated that they did not document an evaluation plan, include key data, determine how many refunds were issued before detecting potential fraud and noncompliance, nor assess taxpayer burden. Without a documented evaluation plan that includes key data to assess the success of preventing fraud and noncompliance before issuing refunds, IRS risks relying on insufficient information to make decisions on potential changes to the refund hold date and those subjected to it. For example, by not assessing taxpayer burden, IRS does not understand how taxpayers are affected by the current hold date or whether extending the hold or expanding it to all taxpayers would increase taxpayer burden.", "IRS completed its final analysis of the refund hold in October 2017 and provided us with a draft. Based on our initial review, IRS\u2019s findings correspond with those in the preliminary analysis discussed above in that IRS could detect much more potential fraud and noncompliance if it held refunds longer. However, there were key differences between the preliminary analysis and IRS\u2019s final analysis. First, IRS assessed two potential refund hold dates after February 15\u2014February 28 and March 1, when IRS receives the majority of W-2s. Second, IRS included all returns that would be affected by the two extended refund hold dates rather than only those that filed before February 15. Third, IRS estimated the total amount of fraud and noncompliance that it could protect under these two extended refund hold dates. Finally, IRS based its estimates on returns that had completed final processing rather than returns that had not completed processing.", "In its final analysis, IRS estimated that it could detect about $7.1 billion in potential fraud and noncompliance if it held refunds with EITC or ACTC until March 1, of which it could protect about $533 million. This is about $468 million more than what IRS protected by holding refunds with EITC or ACTC until February 15. Further, IRS estimated that it could have protected $100 million in fraud and noncompliance had it held all taxpayer refunds until February 15\u2014$35 million more than it protected with the current hold and verification process. IRS further estimated that by holding all refunds until March 1, it could protect about $895 million.", "Various factors account for the differences between what IRS could detect as potential fraud and noncompliance and what it estimated that it could protect. First, IRS limits the number of cases it selects for review due to the large volume of work required to review all returns flagged by systemic verification and other fraud filters and limited staff available. Second, some returns that IRS selects for review are false positives\u2014 legitimate tax returns erroneously selected for review\u2014so not all the returns will be confirmed as fraud or noncompliant.", "In its final analysis, IRS had not addressed the limitations noted above for the preliminary analysis. However, IRS expects to further explore the possibility of holding refunds beyond February 15. IRS also plans to complete additional analyses, including the effect of W-2 extension requests on systemic verification and taxpayers\u2019 use of refund-related financial products. As IRS continues analyzing the effectiveness of the refund hold date on systemic verification, the limitations we outlined above will continue to prevent IRS from fully understanding the effectiveness of systemic verification and refund hold, and hamper IRS\u2019s broader fraud risk management and compliance efforts."], "subsections": []}, {"section_title": "IRS Has Not Analyzed the Benefits and Costs of Additional Uses of Early W-2 Data and Systemic Verification", "paragraphs": ["As noted, the Fraud Risk Framework emphasizes the use of fraud prevention activities to help federal agencies avoid the costly and inefficient \u201cpay-and-chase\u201d model. However, IRS has not assessed the benefits and costs of additional uses of early W-2 data to prevent fraud and noncompliance before issuing refunds. For example, IRS has not determined the value of using W-2 data to address employment fraud or underreporting prior to issuing refunds. Employment fraud is a type of identity theft refund fraud that occurs when an identity thief uses a taxpayer\u2019s name and Social Security number to obtain a job and claims a refund. Underreporting occurs when a taxpayer underreports income or claims unwarranted deductions or tax credits. With its Automated Underreporter program, which is utilized after the filing season and after refunds have been issued, IRS electronically matches income information reported to IRS by third parties, such as banks and employers, against the information that taxpayers report on their tax returns.", "With earlier W-2 information, IRS can detect more possible employment fraud or underreporting before issuing refunds. For example, if IRS has two W-2s reporting wage income for a taxpayer, but that taxpayer did not report both on his or her tax return, the taxpayer may have underreported his or her income or could be a victim of employment fraud. IRS officials stated that they are not using systemic verification to review such instances before issuing a refund because it would require them to follow the deficiency process. IRS typically begins this process when it has completed all of its compliance checks later in the filing season when it has most third-party data available for verification. IRS then sends the taxpayer a notice that informs him or her that IRS has proposed an adjustment to taxes owed because the third-party data IRS received does not match what the taxpayer reported on his or her tax return. The notice also informs the taxpayer of his or her right to challenge any resultant tax increase with the U.S. Tax Court.", "IRS officials told us they do not want to issue the notice earlier because that could encourage taxpayers to file in Tax Court before IRS has completed its review. IRS officials stated that they did not see the potential benefits of taking intermediate steps before sending a notice of deficiency, such as holding the refunds and corresponding with the taxpayer to resolve the discrepancy. However, while IRS had not explored this or other potential uses of W-2 data, IRS officials acknowledged that it would be worthwhile to consider additional opportunities of earlier W-2 data.", "Earlier availability of W-2s and other information returns can help IRS identify and prevent fraud and noncompliance before issuing refunds. However, without assessing the benefits and costs, IRS does not know the extent to which it can use earlier W-2 data for other pre-refund compliance checks."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["During the 2017 filing season, IRS\u2019s ability to detect and prevent fraud and noncompliance improved because it received significantly more W-2 data earlier and utilized it to verify wage, withholding, and other information on millions of tax refunds. Based on these results, systemic verification shows promise for preventing fraudulent refunds and reducing noncompliance. Nevertheless, the agency faced challenges that limited its success in implementing systemic verification.", "Similar to taking action to assess the potential for processing more W-2s early in the filing season, IRS can take additional steps to increase the availability of more W-2 data. By not collecting data to track late W-2 filings, IRS could not measure the extent to which late W-2 filings are associated with fraud and noncompliance. Further, by not taking earlier action to improve enforcement of penalties for late W-2 filings, IRS is missing an opportunity to encourage compliance with the W-2 filing deadline and verify more wage information before releasing refunds. As a result, IRS risks releasing fraudulent and noncompliant refunds. We have also previously identified action Congress could take to increase the availability of W-2 data to IRS early in the filing season. In August 2014, we suggested that Congress provide the Secretary of the Treasury with the authority to lower the electronic filing requirement from 250 W-2s to 5 to 10 W-2s. This action would also have the benefit of reducing SSA\u2019s W- 2 paper processing costs by millions of dollars each year.", "In addition, the February 15 refund hold for EITC and ACTC claims afforded IRS an opportunity to verify return information with early W-2 data before issuing refunds. IRS took steps to collect and assess preliminary data on systemic verification and the refund hold during the filing season. In addition, IRS completed its final analysis that considers different scenarios for holding refunds longer and the potential revenue it could protect. However, IRS\u2019s efforts are not guided by an evaluation plan to assess the results of systemic verification in preventing fraud and noncompliance before issuing refunds. Developing and implementing an evaluation plan that fully assesses the benefits and costs of that hold date would help IRS determine the effectiveness of systemic verification, its fraud risks, and the effect of the refund hold on taxpayer burden. IRS would then be in a better position to modify the refund hold under its existing authority and balance detecting and preventing fraud and noncompliance with taxpayer burden. Further, it is not clear how the analysis informs IRS\u2019s broader fraud risk management efforts and other compliance strategies. Finally, with these data, IRS has the potential to improve tax enforcement in other areas such as for underreporting or employment fraud. While IRS has measures in place to address these issues after paying refunds, taking action before issuing refunds can prevent fraud and noncompliance and save IRS time and resources."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to IRS.", "The Acting Commissioner of Internal Revenue should collect data to track late W-2 filing penalty notices and the extent to which they are associated with fraud and noncompliant returns. (Recommendation 1)", "The Acting Commissioner of Internal Revenue should assess options for improving enforcement of late W-2 filing penalties, for example, by mailing notices before the next filing deadline. (Recommendation 2)", "The Acting Commissioner of Internal Revenue should develop an evaluation plan to fully assess the benefits and costs, including taxpayer burden, of modifying the February 15 refund hold, and determine how this effort informs IRS\u2019s overall compliance strategy for refundable tax credits and fraud risk management. (Recommendation 3)", "Based on the benefits and costs assessment in Recommendation 3, the Acting Commissioner of Internal Revenue should use IRS\u2019s existing authority to modify the refund hold such that it minimizes the risk of releasing fraudulent or noncompliant refunds. (Recommendation 4)", "The Acting Commissioner of Internal Revenue should assess the benefits and costs of additional uses and applications of W-2 data for pre-refund compliance checks, such as addressing underreporting, employment fraud, and other fraud or noncompliance before issuing refunds. (Recommendation 5)", "Based on the assessment in Recommendation 5, the Acting Commissioner of Internal Revenue should implement any identified changes to improve pre-refund compliance checks. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to Treasury and SSA for review and comment. IRS provided written comments, which are summarized below and reproduced in appendix II. SSA responded in writing with no comments (see appendix III). SSA and Treasury provided technical comments, which we incorporated as appropriate.", "In its written comments, IRS did not state whether it agreed or disagreed with our recommendations, but outlined planned steps to address five of the six recommendations. If implemented as planned, IRS\u2019s proposed actions for recommendations 1, 4, 5 and 6, could meet the intent of the recommendations. However, for the third recommendation to develop an evaluation plan to fully assess the costs and benefits of modifying the February 15 refund hold, it is not clear whether IRS\u2019s planned actions will fully satisfy the recommendation. IRS stated that it would assess and evaluate options for improvements to its refundable tax credits and fraud risk management strategies. However, IRS did not specify whether this evaluation would fully assess the benefits and costs, including taxpayer burden, of modifying the February 15 refund hold. As we reported, a documented evaluation plan that includes key data to assess the success of preventing fraud and noncompliance before issuing refunds will help IRS make better-informed decisions on potential changes to the refund hold date and those subjected to it. This includes, for example, assessing taxpayer burden to understand how taxpayers are affected by the current hold date and whether extending the hold or expanding it to all taxpayers would increase taxpayer burden.", "Regarding the second recommendation in our draft report to assess options for improving enforcement of late W-2 filing penalties by mailing notices before the next filing deadline, IRS stated that the timing of the receipt of a W-2 account file from SSA and the overall complexity of the process precludes notices from being issued prior to the start of the next filing season. Specifically, IRS noted that it assesses penalties on approximately 40 different types of information returns\u2014in addition to W- 2s\u2014and that the penalty calculation is complex. For W-2s, IRS explained that it receives a reconciled file from SSA in December that identifies those employers that should not be penalized. Finally, IRS noted that issuing penalty notices on a piecemeal basis would burden the taxpayer and potentially lead to erroneous notices. We recognize that there are challenges to issuing penalty notices, or other communications, before the next filing season. However, there are also benefits. As we reported, earlier communication with the employer, whether it includes a penalty assessment or not, increases the potential for compliance, helps taxpayers avoid filing late in the subsequent year, and increases the availability of W-2 data for systemic verification to detect and prevent fraud and noncompliance. However, we continue to believe that assessing the options for improving enforcement of late W-2 filing penalties, such as through earlier communication, would help IRS identify potential opportunities to encourage compliance with the W-2 filing deadline and verify more wage information before releasing refunds. We intended the recommendation to be inclusive of other options beyond mailing notices earlier. As a result, we clarified the recommendation to make mailing notices before the next filing deadline an example.", "We are sending copies of this report to the appropriate congressional committees, the Acting Commissioner of Internal Revenue, the Acting Commissioner of Social Security, the Secretary of the Treasury, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or lucasjudyj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives in this report were to assess the Internal Revenue Service\u2019s (IRS) performance in detecting fraud and noncompliance using systemic verification, and the Social Security Administration\u2019s (SSA) performance providing timely Form W-2, Wage and Tax Statement (W-2) data to IRS; and the extent to which IRS analyzed the effectiveness of the refund hold on systemic verification as well as opportunities for IRS to apply systemic verification to other efforts to detect fraud and noncompliance.", "To answer the first objective, we obtained and analyzed IRS documents and data, including documents describing the implementation of IRS\u2019s systemic verification of W-2 data and preliminary systemic verification data on the 2017 filing season, and used this information to determine how IRS used early W-2 data; reviewed the Protecting Americans from Tax Hikes Act of 2015 (the Act) and related tax laws and regulations to understand IRS\u2019s systemic verification matching W-2 data against individual income tax returns affected by the Act (taxpayers claiming the Earned Income Tax Credit (EITC) or the Additional Child Tax Credit (ACTC)), as well as other returns not affected by the Act (those not claiming EITC or ACTC), and statutory requirements for penalties, electronic filing, and authority to hold refunds; reviewed IRS laws, regulations, and policies on penalty assessments for filing W-2s late, IRS data on late W-2s for 2017, and interviewed IRS officials to understand the process for assessing penalties; interviewed officials from IRS\u2019s Wage and Investment division (which is responsible for managing filing season operations) on the challenges in implementing systemic verification, as well as planned improvements; interviewed officials from IRS\u2019s Information Technology Applications Development unit to understand the technological capabilities of IRS\u2019s Information Return Master File and related systems and identify system limitations and improvements. We compared IRS\u2019s actions to IRS\u2019s Strategic Plan, which includes objectives to strengthen refund fraud prevention by using third-party data and analytics for timely, informed decision making, and to innovate technology systems to support IRS\u2019s business needs. We also compared IRS\u2019s actions to the Standards for Internal Control in the Federal Government, which call for management to design and implement internal controls within programs based on the related benefits and costs; observed and interviewed SSA employees processing and transcribing paper W-2s at the SSA\u2019s Wilkes-Barre Direct Operations Center in Wilkes-Barre, Pennsylvania to understand how this work is performed and the time required for completing it; reviewed our prior reports, including reports on the filing season, tax credits, and identity theft, and evaluated IRS\u2019s actions to implement selected prior recommendations; and interviewed SSA managers and staff who oversee and process paper Form W-2 data and transmit the data to IRS, and obtained and analyzed SSA goals, documents, and data, including data on costs for processing paper W-2s.", "To answer the second objective, we reviewed IRS documents that included internal working group meeting minutes, planning documents, and management reports; assessed IRS\u2019s data for 2017 and its preliminary and final analyses on the systemic verification results and outcomes under different scenarios for the 2017 filing season; compared IRS\u2019s efforts to detect and prevent fraudulent and noncompliant refund payments with leading practices in our A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework) and program evaluation; interviewed officials from IRS\u2019s Wage and Investment division on the benefits and costs of systemic verification and to determine whether IRS conducted an economic analysis of the effects on taxpayers burden as a result of holding all taxpayer\u2019s refunds until February 15; interviewed three economic experts to identify factors that IRS should consider or study following implementation of the Act. We selected economists based on their expertise in the field of tax policy and refundable tax credits, and to ensure variation in perspectives on tax issues. We asked similar questions of each economist and analyzed their comments to identify commonalities. We used these interviews to identify factors that IRS should consider in evaluating the refund hold date and any potential changes to it. The views of the economic experts are not generalizable; and interviewed officials from the Department of the Treasury\u2019s (Treasury) Bureau of the Fiscal Service and Office of Tax Policy about their actions to prepare for releasing a large volume of refunds on February 15 and to determine what analyses, if any, Treasury had conducted on taxpayer burden related to the holding all taxpayer\u2019s refunds until February 15.", "To assess the reliability of the data we used for this report, we reviewed IRS and SSA reports on W-2 data and IRS reports on systemic verification and its results. We also reviewed IRS reports on the performance of its fraud filters. We examined systemic verification data to identify obvious errors or outliers and assessed potential data limitations that would affect use of the data for assessing performance. We also interviewed IRS officials about their data quality procedures and the reliability and limitations of these data. We determined that the data presented in this report are sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from March 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Joanna Stamatiades, Assistant Director; Erin Saunders Rath, Analyst-in-Charge; Jessica Ard; Mark Canter; Jacqueline Chapin; Jehan Chase; Felisa Garmon; Robert Gebhart; Tom Gilbert; Andrew Howard; Kirsten B. Lauber; Japheth McGee; Paul Middleton; Ed Nannenhorn; Sabine Paul; Bradley Roach; and Robert Robinson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Fraudsters used false identities to steal at least $1.68 billion in tax refunds in 2016.", "To help address fraud and compliance issues, Congress moved up the deadline for employers to submit W-2s and had IRS hold refunds for those claiming certain tax credits beginning in 2017. These changes gave IRS more time to work on identifying discrepancies before issuing refunds.", "We found this process helped IRS identify and prevent fraud, but IRS could do more to maximize its potential.", "We made 6 recommendations, including that IRS take steps that would allow it to review more W-2s before issuing refunds and reduce the risk of fraud and noncompliance."]} {"id": "GAO-19-75", "url": "https://www.gao.gov/products/GAO-19-75", "title": "Tribal Broadband: FCC Should Undertake Efforts to Better Promote Tribal Access to Spectrum", "published_date": "2018-11-14T00:00:00", "released_date": "2018-11-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2018, FCC estimated that 35 percent of Americans living on tribal lands lack broadband service compared to 8 percent of Americans overall. Broadband service can be delivered through wireless technologies using radio frequency spectrum. According to FCC, increasing tribal access to spectrum would help expand broadband service on tribal lands. GAO was asked to review spectrum use by tribal entities\u2014tribal governments and tribally owned telecommunications providers.", "This report examines (1) tribal entities' ability to obtain and access spectrum to provide broadband services and the reported barriers that may exist, and (2) the extent to which FCC promotes and supports tribal efforts to obtain and access spectrum. GAO interviewed 16 tribal entities that were using wireless technologies. Selected entities varied geographically, among other characteristics. GAO analyzed FCC's license and auction data as of September 2018, reviewed FCC's rulemakings on spectrum for broadband services, and interviewed other tribal and industry stakeholders and FCC officials. The information presented is not generalizable to all tribes or industry participants."]}, {"section_title": "What GAO Found", "paragraphs": ["The tribal entities GAO contacted cited various barriers to obtaining spectrum licenses in bands that can be used to provide broadband services. According to its analysis of data from the Federal Communications Commission (FCC), GAO identified 18 tribal entities that held active spectrum licenses in such bands. For example, of these 18 tribal entities, 4 obtained licenses through secondary market transactions\u2014that is, they bought or leased the license from another provider, and 2 obtained a license through an FCC spectrum auction. Licensed spectrum is generally preferred because it offers better quality of service compared to unlicensed spectrum; however, almost all of the tribal entities GAO contacted said that they are accessing unlicensed spectrum to provide Internet service. They identified barriers to obtaining licensed spectrum through auctions and secondary market transactions, barriers such as high costs and, in the case of secondary market transactions, a lack of information on who holds licenses over tribal lands. Because most spectrum allocated for commercial use has already been assigned, the secondary market is one of very few avenues available to tribal entities that would like to access licensed spectrum.", "FCC has taken steps to promote and support tribal access to spectrum. For example, FCC issued proposed rulemakings in 2011 and 2018 that sought comment on tribal-specific proposals, such as establishing tribal-licensing priorities and initiating processes to transfer unused spectrum licenses to tribal entities. However, FCC has not finalized these rules and is in the process of responding to comments to the 2018 rulemaking. Also, while FCC has made additional spectrum available for broadband use in recent years, tribal stakeholders cited limitations with the spectrum FCC has made available. For example, FCC allows broadband providers to operate in unused television broadcast bands on an unlicensed basis. While stakeholders GAO interviewed cited some advantages of these bands, such as being useful to reach remote customers, they also noted technical and cost limitations that reduced the potential to improve tribal access to spectrum. FCC stated that it is implementing spectrum initiatives and recognizes the importance of promoting a robust secondary market to improve communications throughout the United States, including tribal lands. However, GAO found that FCC has not collected data related to tribal access to spectrum, analyzed unused licensed spectrum that exists over tribal lands, or made data available to tribal entities in an accessible and easy manner that could be beneficial in their efforts to obtain spectrum licenses from other providers. By collecting data on the extent that tribal entities are obtaining and accessing spectrum, FCC could better understand tribal spectrum issues and use this information as it implements ongoing spectrum initiatives. Further, given that the secondary market is one of few ways for tribal entities to access licensed spectrum to be able to provide Internet service, FCC could promote a more robust secondary market by analyzing unused licensed spectrum over tribal lands and using that information to inform FCC's oversight of the secondary market. Additionally, by making information available on who holds spectrum licenses over tribal lands, FCC could remove a barrier tribes may face in attempting to obtain spectrum through the secondary market."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FCC should (1) collect data on tribal access to spectrum; (2) analyze unused licensed spectrum over tribal lands; and (3) make information available in a more accessible manner that would promote tribes' ability to purchase or lease spectrum licenses over their lands from other providers. FCC agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Broadband service is viewed as vital to economic growth and improved quality of life across the country. In 2018, the Federal Communications Commission (FCC) reported that an estimated 35 percent of Americans living on tribal lands lack access to broadband services, compared to 8 percent of all Americans. Furthermore, the gap in broadband access between rural areas and rural tribal lands is even larger. In particular, FCC reported in 2018 that nearly 60 percent of Americans living on rural tribal lands nationwide lack broadband access, compared to about 31 percent of rural Americans overall. We have previously reported that tribal lands can have challenging terrain and low population densities that increase the cost and reduce business incentives for high-speed Internet deployment. According to FCC, this lack of service on tribal lands could impede efforts by Indian tribes to achieve self-governance and promote economic opportunity, education, public safety, and cultural preservation. Broadband service can be delivered through wireless technologies using radio frequency spectrum. According to FCC, wireless technologies are cost-effective for some remote and sparsely populated areas compared to wireline broadband technologies, such as buried fiber optic or copper cables, which can be costly to install where there is challenging terrain.", "According to FCC\u2019s 2010 National Broadband Plan, some tribes have successfully used wireless technologies to deliver Internet access, and increasing tribal access to and use of spectrum would create additional opportunities to expand broadband service on tribal lands. Congress has delegated responsibility for regulating commercial and other nonfederal spectrum use to FCC, and as part of its responsibilities, FCC assigns spectrum licenses through auctions and other mechanisms; oversees secondary market transactions, such as leasing a spectrum license; and promulgates regulations for the use of licensed and unlicensed spectrum. FCC has asserted that its authority to regulate nonfederal spectrum use applies to the spectrum over tribal lands. In FCC\u2019s 2000 policy statement on establishing its relationship with tribes, FCC stated that it recognizes that the federal government has a fiduciary responsibility in its dealings with tribes and has a longstanding policy of promoting tribal self-sufficiency and economic development. As a result, FCC has recognized its own general responsibility to tribes.", "You asked us to review issues related to spectrum use by tribal entities\u2014 tribal governments and telecommunications providers owned by tribes. This report examines (1) tribal entities\u2019 ability to obtain and access spectrum to provide broadband services on tribal lands and the reported barriers that may exist, and (2) the extent to which FCC promotes and supports tribal efforts to obtain and access spectrum for broadband services.", "To address these objectives, we reviewed relevant statutes and regulations, FCC documents, including FCC\u2019s Statement of Policy on Establishing a Government-to-Government Relationship with Indian Tribes, the National Broadband Plan, FCC\u2019s current strategic plan, and academic and government publications identified through a literature search of spectrum-related issues on tribal lands.", "To obtain information on tribal entities\u2019 ability to obtain and access spectrum, we identified tribal entities that have applied to participate in FCC\u2019s spectrum auctions or that have obtained spectrum licenses for frequency bands that can be used for broadband services by analyzing FCC data on (1) the participants in all relevant auctions, and (2) spectrum license holders that were active as of September 6, 2018\u2014the date that FCC downloaded this data for our review. To identify tribal entities in these data, we reviewed the list of federally recognized tribes and identified search terms related to these tribes. We then identified partial matches between the identified search terms and the FCC data on auction applicants and license holders, and manually reviewed these matches based on information from interviews, Internet research, and professional judgment. Because tribal entities may have applied to participate in a spectrum auction or may hold spectrum licenses under names that did not include the search terms we identified based on the names of federally recognized tribes, there may be additional tribal entities that we did not include in our analysis. We also analyzed FCC\u2019s license data to determine how tribal entities obtained these licenses, including through an FCC auction, administrative assignment, or a secondary market transaction. To assess the reliability of FCC\u2019s data, we manually reviewed the data and interviewed FCC officials. Based on the results of our analysis, we determined the data to be reliable for our purpose to describe the extent that tribal entities have participated in auctions and obtained spectrum licenses; however, our analysis does not capture the extent that tribal entities may have obtained a license that is no longer active. In addition, we obtained stakeholder views on the barriers that tribal entities may face in obtaining spectrum licenses by interviewing 24 tribal entities, 3 tribal associations, 7 private providers that deliver Internet services over tribal lands, 3 industry associations that represent rural and urban telecommunications providers, 3 regional consortia, 3 companies that work with tribal entities, and 1 academic group. Of the 24 tribal entities we selected to interview, 16 were using wireless technologies to provide Internet service. We selected tribal entities to have variation in geographic location, level of broadband deployment, population size and density, and urban or rural distinction. We selected other stakeholders to represent a range of views and those with experience working with Indian tribes and broadband service. The views presented in our report are not generalizable to those of all stakeholders.", "To determine the extent that FCC promotes and supports tribal entities\u2019 efforts to obtain and access spectrum, we reviewed relevant FCC rulemaking proceedings. We summarized stakeholder perspectives on these rulemakings by interviewing the tribal entities, tribal associations, regional consortia, industry associations, and private providers noted above, and by reviewing public comments submitted by private providers, industry and tribal associations, and tribal governments and providers.", "We identified FCC\u2019s efforts to provide tribal entities with spectrum-related assistance and communications by interviewing FCC officials and reviewing documentation, such as presentations provided at FCC-led tribal training workshops, e-mail communications with tribal entities, and public notices related to spectrum use over tribal lands. We also interviewed FCC officials on the information that they collect, analyze, and report related to tribal use of spectrum and reviewed related documentation, including the FCC Office of Native Affairs and Policy\u2019s 2012 Annual Report and FCC\u2019s license and auction data. We compared FCC\u2019s efforts to increase tribal entities\u2019 abilities to obtain and access spectrum against recommendations made in FCC\u2019s National Broadband Plan, FCC\u2019s current strategic plan, and Standards for Internal Control in the Federal Government related to using quality information. Appendix I describes our scope and methodology in greater detail.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government has recognized 573 Indian tribes as distinct, independent political communities with certain powers of sovereignty and self-government, including some power to manage the use of their territory and resources and control economic activity within their jurisdiction. Some tribal lands include reservations\u2014land set aside by treaty or other agreement with the United States, executive order, or federal statute or administrative action for the residence or use of an Indian tribe. Some tribal lands include parcels with different ownership; for example, parcels may be held in trust by the federal government for the benefit of a tribe or an individual tribal citizen. Trust and restricted lands can affect a tribe\u2019s ability to use their land as collateral to obtain a loan. Tribal lands vary in size, demographics, and location. For example, the smallest in size are less than one square mile, and the largest, the Navajo Nation, is more than 24,000 square miles (the size of West Virginia). Tribal land locations can range from extremely remote, rural locations to urban areas. Indian tribes may form governments and subsidiaries to help manage tribal affairs including schools, housing, health, and economic enterprises.", "Internet access in the United States is generally privately financed. Broadband providers build infrastructure and sell broadband services to individual consumers. We previously reported that tribal lands can have conditions that increase the cost of broadband deployment, such as remote areas with challenging terrain, which increases construction costs, as well as relatively low population densities and incomes that make it difficult to recoup deployment costs. These conditions may make it less likely that a service provider will build or maintain a network. Some tribal governments provide Internet access to their members, through an information-technology or utility department, and others have created their own telecommunications companies to provide services. FCC has reported that in many instances, tribal governments must build and pay for their own communications infrastructure to ensure Internet access will be \u201cdelivered across Indian Country.\u201d", "The term \u201cbroadband\u201d commonly refers to Internet access that is high speed and provides an \u201calways-on\u201d connection, so users do not have to reestablish a connection each time they access the Internet. Telecommunications providers use a range of technologies to provide broadband service, including cable, fiber, satellite, and wireless. Wireless broadband connects users to the Internet using spectrum to transmit data between the customer\u2019s location and the service provider\u2019s facility, and can be transmitted using fixed wireless and mobile technologies, as shown in figure 1.", "Fixed wireless broadband technologies establish an Internet connection between fixed points, such as from a radio or antenna that may be mounted on a tower, to a stationary wireless device located at a home. This technology generally requires a direct line of sight, and can be delivered two ways: (1) as a point-to-point transmission\u2014between two fixed points\u2014or (2) as a point-to-multipoint transmission\u2014from one point to multiple users. Mobile wireless broadband technologies also establish a connection to the Internet that requires the installation of antennas, but this technology provides connectivity to customers wherever they are covered by service, including while on the move, such as with a cell phone.", "Spectrum is the resource that makes wireless broadband connections possible. Spectrum frequency bands each have different characteristics that result in different levels of ability to cover distances, penetrate physical objects, and carry large amounts of information. For example, lower frequency bands are able to transmit signals that travel greater distances, thus requiring the use of fewer antennas, and are able to penetrate solid objects. Higher frequency bands are able to transmit more data, but are more easily obstructed.", "FCC administers spectrum for nonfederal users\u2014such as state, local government, and commercial entities\u2014through a system of frequency allocation and assignment. Allocation involves segmenting the radio spectrum into bands of frequencies designated for use by particular types of radio services or classes of users, such as commercial and nonfederal broadband services. Examples of some of the frequency bands that can be used by commercial and nonfederal entities for broadband services are shown in figure 2. Appendix II presents a full list of the auctioned licensed frequency bands that FCC told us could be used to provide broadband services.", "The frequency bands that can be used for broadband services are either licensed or unlicensed. For licensed spectrum, FCC can assign licenses through auctions, in which prospective users bid for the exclusive rights to transmit on a specific frequency band within geographic areas, ensuring that interference does not occur. License holders may sell or lease their license, in whole or in part, to another provider, a process that is known as a secondary market transaction, with FCC\u2019s approval. FCC requires license holders to meet specified buildout requirements within a specified amount of time or face penalties, typically termination of all or part of the license. These buildout requirements are designed to ensure that licensees put spectrum to use within a specific period rather than let it sit idle and vary based on the type of license.", "FCC has also assigned licenses administratively in two frequency bands that can be used for broadband services. Specifically, prior to 1996 FCC assigned geographic licenses for exclusive use in the Educational Broadband Service (2496-2690 megahertz (MHz)), and from 2005 to 2015, FCC assigned non-exclusive nationwide licenses in the 3650-3700 MHz band, where use of the band may be shared by other license holders. FCC also authorizes the use of some spectrum for broadband services without a license on a non-exclusive basis. With unlicensed spectrum, an unlimited number of users can share frequencies using wireless equipment certified by FCC, such as wireless microphones, baby monitors, and garage door openers. In contrast to users of licensed spectrum, unlicensed users have no regulatory protection from interference by other licensed or unlicensed users in the bands. If multiple users are operating simultaneously on the same frequency band, the transmissions may be susceptible to interference, which reduces the quality of service.", "FCC\u2019s rulemaking process includes multiple steps as outlined by law with opportunities for the public to participate during each step. In general, FCC initiates a rulemaking in response to statutes, petitions for rulemaking, or its own initiative, and releases a Notice of Proposed Rulemaking (NPRM) to propose new rules or to change existing rules. Any interested person may submit comments as part of the public record through electronic filings and meetings with FCC officials. Following internal analysis of the public record, FCC staff may propose actions for consideration for a vote, such as adopting final rules, amending existing rules, or stating that there will be no changes. All of FCC\u2019s sitting commissioners vote on these items.", "The American Recovery and Reinvestment Act of 2009 directed FCC to develop a plan to ensure every American had access to high-speed Internet. In March 2010, an FCC task force issued the National Broadband Plan that included a centralized vision for achieving affordability and maximizing use of high-speed Internet. The plan made many recommendations to FCC, including that FCC should take into account the unique spectrum needs of tribal communities when implementing spectrum policies and evaluate its policies and rules to address obstacles to spectrum access by tribal communities. With regard to tribal lands, the plan recommended that FCC increase its commitment to government-to-government consultation with tribal leaders and consider increasing tribal representation in telecommunications planning. FCC established the Office of Native Affairs and Policy (ONAP) in July 2010 to promote the deployment and adoption of communication services and technologies to all native communities, by, among other things, ensuring consultation with tribal governments pursuant to FCC policy."], "subsections": []}, {"section_title": "Selected Tribal Entities Reported Barriers to Obtaining Licensed Spectrum", "paragraphs": [], "subsections": [{"section_title": "Few Tribal Entities Have Obtained Spectrum Licenses, Although Representatives from Selected Tribal Entities Emphasized the Importance of Licensed Spectrum", "paragraphs": ["Through our analysis of FCC license data as of September 2018, we identified 18 tribal entities that held active spectrum licenses in bands that can be used to provide broadband services. Because tribal entities may hold licenses using entity names that do not include the search terms we identified in our review of the list of tribes in the Federal Register, there may be additional tribal entities that we have not identified. We found that most of the tribal entities obtained the licenses through FCC administrative assignment rather than through an FCC spectrum auction or secondary market transaction.", "Thirteen of the tribal entities we identified in FCC\u2019s license data held administratively assigned licenses, and these licenses are subject to certain limitations and were only available to applicants for limited time periods. Eleven of these administratively assigned licenses are non- exclusive nationwide licenses in the 3.65 GHz frequency band (3550- 3700 MHz) and were available between 2005 and 2015, when FCC issued a new rule for this band and stopped accepting new applications for these licenses. Two of the tribal entities we identified held administratively assigned Educational Broadband Service licenses in the 2.5 GHz frequency band (2496-2690 MHz). These licenses allow for the transmission of educational materials by accredited educational institutions and government organizations, including tribes, engaged in formal education and require that licensees use the spectrum for educational purposes for a certain amount of time each week. Both of these tribal entities obtained these licenses after the last filing window closed in 1996 through a waiver and special temporary authority permit.", "Four tribal entities we identified in FCC\u2019s license data held a total of 13 active licenses obtained through secondary market transactions, such as leases and sales of portions of partitioned licenses. Of these 13 secondary market transactions, 2 involved nationwide providers.", "Two of the tribal entities we identified held active licenses in bands available for broadband deployment that they obtained through an FCC spectrum auction. One of these tribal entities won with a winning bid of over $800,000 in a 2015 auction, and the other won two licenses with winning bids of under $50,000 in a 2002 auction. This second tribal entity also qualified for but did not win a 2003 auction. In addition to these two tribal entities, we identified the following four tribal entities that had applied to participate in auctions with varying results but did not hold active licenses in frequency bands available for broadband deployment as of September 2018:", "Two tribal entities each won a single spectrum license. The first won its license, which has since expired, in 2000, and the second won its license, which it has since been transferred to a nationwide provider through a secondary market transaction, in 2003. The first tribal entity also applied but did not qualify to participate in a 2001 auction.", "One tribal entity qualified to participate but did not win in a 2003 auction, and another tribal entity applied but did not qualify to participate in a 2008 auction.", "In addition, representatives from 2 of the 16 tribal entities we interviewed that were using wireless technologies told us that they use licensed spectrum that is owned by a private provider through a partnership relationship. We have previously reported that some tribes have formed partnership arrangements with other entities to increase broadband access on tribal lands.", "Most (14 of 16) of the tribal entities we contacted that were using wireless technologies told us that they are accessing various unlicensed bands, such as the 2.4 GHz and 5 GHz bands, to provide service. Representatives from eight of these tribal entities reported using only unlicensed spectrum for their fixed wireless networks. Representatives from 13 tribal entities told us that unlicensed spectrum had the advantage of being free, and representatives from one tribal entity told us that the equipment needed to access these spectrum bands is less expensive than equipment for accessing other spectrum bands. Representatives from some tribal entities reported success in using unlicensed spectrum in certain circumstances. For example, one tribal entity reported using unlicensed spectrum for homes in remote areas where the only potential signal degradation is from trees as well as to set up local hot spots that can serve 5 to 10 users at a time. Another tribal entity reported using primarily unlicensed spectrum to carry signals to end users together with non-exclusive licensed spectrum (3.65 GHz band) for locations where there is congestion in the unlicensed bands.", "However, representatives from the tribal entities we contacted that were using wireless technologies emphasized the advantages of licensed spectrum and discussed their experiences with the limitations of unlicensed spectrum. As described earlier, exclusive-use spectrum licenses protect license holders from interference from other users, whereas unlicensed spectrum provides no protection against interference. Representatives from 13 of 16 tribal entities identified the fact that unlicensed spectrum is available at no cost as an advantage of this type of spectrum. However, representatives from 15 of the 16 tribal entities identified limitations associated with unlicensed spectrum, such as interference, as described in table 1.", "Tribal associations, an academic group, a tribal consortium, and FCC have all highlighted the importance of exclusive-use licensed spectrum for tribal entities. Specifically, both a tribal association and an academic group we contacted discussed interference and other challenges of unlicensed spectrum. Representatives from one tribal association pointed out that unlicensed spectrum might not be available in the future if it is allocated for other purposes. Representatives from a tribal consortium we contacted told us that they are already using all of the available unlicensed spectrum for providing Internet access and that they cannot expand service without encountering interference and capacity limitations. Lastly, ONAP reported in 2012 that unlicensed spectrum is not an option across all tribal lands and that tribal access to robust licensed spectrum is a critical need.", "Representatives from the stakeholders we interviewed told us that there are also non-technological benefits for tribal entities to obtain greater access to licensed spectrum. For example:", "Enhanced ability to deliver additional Internet service.", "Representatives from one of the tribal associations, an academic group, and six of the tribal entities said that increased access to licensed spectrum would enable them to deliver their own Internet services and bridge service gaps, thus improving Internet access to their members. For example, representatives from three of these tribal entities said that such access would enable them to deploy in areas where providers that currently hold licenses were not willing to deliver services. In addition, representatives from another tribal entity said that having access to licensed spectrum is one factor that would enable the tribe to establish its own telecommunications company.", "Ability to sell or lease spectrum for profit. Representatives from one tribal association, an academic group, and two tribal entities told us that holding spectrum licenses would enable tribal governments to sell or lease their licenses. For example, we heard from one of these tribal entities that it was able to sell portions of its license that did not cover tribal lands and to use the profits from the sale to invest in its own network infrastructure.", "Opportunities for federal funding. Access to licensed spectrum may also provide tribal entities with more opportunity to obtain federal funding, specifically through two Universal Service Fund programs\u2014 the Mobility Fund and the Tribal Mobility Fund. These programs provide funding to broadband service providers to expand service in areas where it is not available, including tribal lands. However, service providers must hold, lease, or show they have access to licensed spectrum to participate in these programs, among other requirements. For example, the National Congress of American Indians stated that two tribal entities submitted applications to participate in the Mobility Fund program but were not eligible to participate in part because they did not hold a spectrum license. Moreover, representatives from two of the tribal entities we interviewed told us that they considered applying for one of these programs but realized they were ineligible because they did not have access to licensed spectrum.", "Furthermore, representatives from one of the tribal associations, an academic group, and seven of the tribal entities told us that having access to licensed spectrum would enable tribes to exercise their rights to sovereignty and self-determination. Representatives from three of the tribal entities we contacted said that they view spectrum as a natural resource that should be managed by the tribe. FCC officials, however, told us that spectrum is not considered a reserved right under treaties with Indian tribes, as it is not explicitly stated. In addition, representatives from four of the tribal entities told us that having access to licensed spectrum would ensure that spectrum is being used in a way that aligns with tribal goals and community needs, further supporting their rights to self-determination."], "subsections": []}, {"section_title": "Representatives from Selected Tribal Entities Reported Cost and Other Barriers to Accessing Licensed Spectrum", "paragraphs": ["Representatives from the tribal entities we contacted identified several barriers to accessing licensed spectrum through spectrum auctions and secondary market transactions. Regarding spectrum auctions, representatives from tribal entities that provide wireless Internet service most frequently (13 of 16) indicated that spectrum licenses are too expensive for tribal entities. For example, over 60 percent (983 of 1,611) of the winning bids from a 2015 spectrum auction, including bids for spectrum over non-tribal lands, were over $1 million. Representatives from one tribal entity explained that auction licenses are often too expensive for tribal entities because these licenses cover large geographic areas that may include non-tribal urban areas as well as rural tribal areas. Moreover, representatives from eight tribal entities stated that they are unable to obtain financing to participate in auctions because tribal governments cannot use tribal lands as collateral to obtain loans. In addition, representatives from eight tribal entities mentioned that participating in spectrum auctions requires auction-specific expertise that tribal entities may not have.", "Tribal entities also face barriers obtaining spectrum through secondary market transactions. Most of the spectrum allocated for commercial use has already been assigned through spectrum auctions and other mechanisms to private providers, including licensees that may not be providing service on tribal lands. In a single geographic area, several frequency bands could be used to deploy broadband services, as shown in figure 2, and licenses for these various frequency bands may be held by different providers. There may be tribal areas where providers hold licenses for bands but are not using the spectrum to provide Internet access. In other tribal areas, services may be offered using one or two of the spectrum licenses with the other licenses in the area remaining fallow and inaccessible to tribal entities. All three of the tribal associations we contacted confirmed that there are unused spectrum licenses over tribal lands, and representatives from a nationwide provider indicated that they only deploy services if there is a business case to support doing so. Accordingly, the secondary market is one of few avenues available to tribal entities that would like to access licensed spectrum. However, representatives from tribal entities we contacted identified the following challenges related to participating in the secondary market:", "Lack of willing sellers. Representatives from eight of the tribal entities, one of the tribal representative groups, and an industry association we contacted indicated that spectrum license holders are often unwilling to participate in secondary market transactions, citing a variety of reasons. For example, representatives from one tribal entity stated that large carriers have no business incentive to negotiate secondary market agreements with tribal entities and that tribal entities do not have the resources to make such transactions sufficiently lucrative for license holders. Representatives from another tribal entity stated that license holders may lack knowledge about the areas covered by their licenses, including tribal areas, and therefore may be unwilling to consider secondary market transactions. Representatives from a tribal representative group told us that license holders may be unwilling to consider secondary market transactions with tribal entities because spectrum is a valuable resource that may become even more valuable over time, and a representative from an industry association indicated that transaction costs such as legal fees outweigh any potential income from such transactions. None of the private providers we contacted reported entering into a secondary market transaction with tribal entities, but one of these providers stated that it had never been approached by a tribal entity interested in a secondary market transaction and was unaware of challenges that are unique to tribal entities.", "License holders unknown. Representatives from eight of the tribal entities we contacted stated that it is difficult to determine who holds spectrum licenses. For example, two tribal entities had to hire consultants to identify who held licenses for spectrum over the tribes\u2019 lands, and another tribal entity relied on the expertise of its non-tribal partner to identify the license holders.", "Unaware of secondary market transactions. Representatives from six of the tribal entities we contacted were unaware of the possibility of accessing licensed spectrum through a secondary market transaction prior to our contacting them.", "Accordingly, secondary market transactions involving tribal entities are rare. As discussed above, our analysis of FCC license data identified four tribal entities that have successfully accessed licensed spectrum in this manner. Regarding one of these tribal entities\u2019 experiences with the secondary market, the tribal representative we contacted stated that an Indian-owned telecommunications consulting company was pivotal in identifying the license holder and facilitating the transaction and that the transaction would not have happened without the consulting company. Representatives from this company told us that they conducted an analysis to identify unused spectrum licenses over the tribe\u2019s land. The company identified three providers holding such licenses, but only one of those providers was willing to participate in a secondary market transaction. Representatives from another of the tribal entities that accessed licensed spectrum through the secondary market told us that they relied on the expertise of their non-tribal partner to facilitate these transactions."], "subsections": []}]}, {"section_title": "FCC Has Some Efforts to Enhance Tribal Access to Spectrum, but FCC Does Not Collect or Communicate Key Information to Tribal Entities", "paragraphs": [], "subsections": [{"section_title": "FCC Has Taken Steps to Promote and Support Tribal Entities\u2019 Ability to Obtain Spectrum, However These Efforts Are Not Likely to Address Tribal Spectrum Needs", "paragraphs": ["We found that FCC has taken the following actions to increase tribal access to and use of spectrum: (1) initiated proposed rulemakings on promoting tribal access to spectrum, (2) adopted rules to increase spectrum available for broadband use, and (3) conducted outreach and training for tribal entities on spectrum-related issues."], "subsections": [{"section_title": "Initiated Proposed Rulemakings on Promoting Tribal Access to Spectrum", "paragraphs": ["FCC issued two NPRMs\u2014one in March 2011 and one in May 2018\u2014that included policy options intended to enhance tribal access to spectrum. At the time of our report, FCC had not adopted new rules or taken further action on the 2011 rulemaking, and FCC had not taken further actions since the comments period ended on September 7, 2018, on the May 2018 rulemaking. According to FCC officials, the 2011 NPRM addressed several recommendations made in the National Broadband Plan to promote the greater use of spectrum over tribal lands. Among other things, the 2011 NPRM sought comments on three proposals to create new spectrum access opportunities for tribal entities (see fig. 3). FCC officials told us that they have reviewed public comments to the proposed rulemaking, but have no current plans to take further actions.", "We reviewed the public comments FCC received that pertained to the three proposals, which included comments from tribal associations, tribal governments, rural and nationwide industry associations, and tribal and private providers. Based on our analysis of the comments that included positions on the proposal for a tribal licensing priority, eight stakeholders\u2014including industry associations, private providers, and a tribal government\u2014were supportive of this proposal. However, we found that stakeholder views differed on implementing good faith negotiations and on the build-or-divest processes. In general, the tribal stakeholders indicated that they were supportive of these proposals, while the industry associations and private providers were not. In addition to reviewing the public comments, we asked representatives from the tribal and industry associations and private providers that we interviewed about their views of these proposals. Representatives from the three tribal associations and two rural industry associations were generally supportive of all three of the proposals, while representatives from one of the private providers that we interviewed told us they did not support any of the three proposals, because, for example, they said that there are more effective ways to increase broadband service over tribal lands. Representatives from another private provider said that they supported the tribal priority process but did not indicate their views on the other two proposals. Representatives from six tribal entities and a representative from a tribal consortium told us that these types of proposals would help them obtain spectrum.", "In May 2018, FCC issued an NPRM that sought comments on establishing a tribal priority window for tribal nations located in rural areas as part of a process to re-license the Educational Broadband Service spectrum band. As described above, FCC originally allocated this band to qualifying educational institutions and government organizations for the transmission of educational materials. While FCC permitted licensees to lease their excess capacity to commercial providers, FCC reported that significant portions of this band were not being used, primarily in rural areas. In an effort to make additional spectrum available for broadband use, FCC issued this NPRM seeking comments on options to promote the use of this spectrum over tribal lands. One of the options included implementing a local priority filing window so that tribal entities could get access to unassigned spectrum prior to an FCC auction. In a June 2018 order, FCC extended the comment deadline for the NPRM to August 8, 2018, partly in response to a request for a deadline extension. As a result, FCC also extended the deadline to respond to those comments to September 7, 2018. Because FCC was in the process of responding to these comments at the time of our review, we did not analyze these comments."], "subsections": []}, {"section_title": "Adopted Rules to Allocate Additional Spectrum for Broadband Use", "paragraphs": ["FCC has made additional unlicensed and licensed spectrum available for broadband use and has implemented rules that according to FCC, may make it easier for rural providers to obtain licenses. However, these efforts were not targeted to tribal entities, and according to ONAP\u2019s 2012 report, allocating additional unlicensed spectrum may not be a technically feasible solution for all tribal entities, and such spectrum may not have the necessary capacity to handle an increase in users. In addition, representatives from the tribal associations and entities we contacted told us that there are limitations to the extent that these efforts can address the spectrum needs of tribal entities. In particular, they discussed the effect of FCC\u2019s changes to the rules on the use of TV white space spectrum and the Citizens Broadband Radio Service spectrum:", "TV white space spectrum: In 2010, FCC made additional unlicensed spectrum available for broadband use by allowing providers to operate in the TV bands at locations where those frequencies were not in use, known as TV white space, but none of the tribal entities we interviewed was using this spectrum. A representative from a tribal consortium said that it used TV white space spectrum, and representatives from three of the tribal entities said that they were considering using it in the future because TV white space spectrum can better pass through some environmental barriers, such as trees, reaching more remote customers. However, representatives from five tribal entities, one tribal consortium, one academic group, and three companies that we interviewed told us about several limitations to the use of TV white space spectrum. For example: limited bandwidth capacity, which causes lower speeds, high latency, and limits the number of households that can be served; equipment needed to access TV whitespace spectrum is expensive and less available; the spectrum may not always be available; and similar to other unlicensed frequency bands, as described above, there is potential for interference and difficulty to pass through extreme terrain.", "Citizens Broadband Radio Service (CBRS) Spectrum: In 2015, FCC made additional licensed spectrum available for broadband use when it issued a new rule for the 3.65 GHz frequency band (3550-3700 MHz). However the tribal entities who held licenses in this band indicated there are limitations to their ability to use this band and their future use of this spectrum remains unknown. As described earlier, FCC had allocated non-exclusive nationwide licenses in this band. In the 2015 rule, FCC created the CBRS, increased the amount of spectrum allocated for commercial broadband use, and implemented a new licensing scheme. This three-tier priority licensing scheme for spectrum sharing included auctioning exclusive-use geographic licenses and allowing non-exclusive use of the band where a license holder is not operating, an approach that is intended to provide a low- cost entry point for users, but will have no protections from interference. Representatives from four of the five tribal entities that we contacted that held licenses in this band said that there were technical advantages to using it, such as the ability for a signal to pass through dense forests. However, representatives from two tribal entities said that the high cost of the equipment needed to access this spectrum prevented them from either using the frequency band extensively or at all. In addition, representatives from two tribal entities said that they were not sure about their ability to access this band in the future given the changes made in FCC\u2019s 2015 rulemaking. FCC\u2019s 2015 rule also created small-sized and shorter-termed licenses, which FCC stated would decrease the costs of obtaining a license and help rural providers access it. However, FCC issued an NPRM in 2017 that sought comments on suggested changes to CBRS, including increasing the geographic area covered by licenses and lengthening the license term. In October 2018, FCC adopted rules that, among other changes, increased the license area from census tracks to counties and extended the license term from 3 to 10 years, which FCC officials told us were modest changes made to accomplish FCC\u2019s goals of creating incentives for investment, including in urban and rural areas, encouraging efficient spectrum use, and promoting robust network deployments."], "subsections": []}, {"section_title": "Conducted Outreach and Training for Tribal Entities on Spectrum-Related Issues", "paragraphs": ["FCC\u2019s ONAP conducts training, consultation, and outreach to tribal entities on spectrum-related issues. For example, ONAP officials told us that they have conducted 21 training and consultation workshops for tribal entities on broadband and telecom since 2012, where spectrum has been discussed in general in the introduction and has been addressed specifically in separate sessions in some of the workshops. These officials also told us that they communicate with tribal entities prior to when FCC holds auctions or when implementing regulatory actions or policies that will affect tribal governments and spectrum over their lands. While representatives from 9 of the 16 tribal entities using wireless technologies told us that they had received some outreach on spectrum- related issues from FCC, representatives from 2 of these entities said that they had not. In addition, ONAP issued a report in 2012 to provide FCC with a review of its work with tribal governments and organizations, including information on its tribal broadband efforts, priorities, and tribal consultations. Among other things, the report included case-study information on tribal entities\u2019 efforts to access spectrum. Although the report stated that this would be the first of such annual reporting, this is the only report that ONAP has issued on tribal issues. According to ONAP officials, ONAP has not published subsequent reports because it provides FCC with information on its work with tribal governments and organizations, including spectrum-related matters, through more frequent informal briefings and regular updates."], "subsections": []}]}, {"section_title": "FCC Does Not Collect Key Information Related to Spectrum over Tribal Lands or Communicate It to Tribal Entities", "paragraphs": ["FCC has not consistently collected information related to tribal access to spectrum. For example, FCC does not collect data on whether holders of spectrum licenses or auction applicants are tribal entities even though it collects self-reported data on licensee type, such as corporation and government entity. To obtain this information, FCC could include an option for the licensee type, along with the other options, in applications for future licenses and auctions that allows an applicant to identify as a tribal government or tribally owned entity. FCC officials told us that they use information on licensee type to determine eligibility for a license. Because eligibility is not based on whether the applicant is a tribal entity, FCC officials said this information is not needed. However, without this information, FCC does not have a comprehensive understanding of the extent that tribal entities are attempting to obtain or access licensed spectrum or have been successful at obtaining and accessing it.", "Additionally, FCC does not analyze information on unused licensed spectrum that exists over tribal lands, even though FCC has information\u2014broadband availability data from providers and information on geographic areas covered by spectrum licenses\u2014that could be used for such analysis. As we described earlier, representatives from all three of the tribal associations we contacted reported that there are unused spectrum licenses over tribal lands that could present opportunities through the secondary market for tribal entities to obtain spectrum. When we asked FCC officials why they do not analyze the extent that unused spectrum licenses exists over tribal lands, they told us that the spectrum data noted above is not specific enough to allow for a license by license analysis of unused spectrum. For example, they said that broadband availability data from providers is aggregated across wide spectrum bands to minimize reporting burdens on the wireless industry, and the data are not sufficiently detailed to identify which spectrum blocks and licenses are being used in particular areas. However, FCC could use this data to conduct, at a minimum, high-level analysis that would result in useful information on the extent to which unused spectrum exists over tribal lands. In addition, FCC officials told us that they evaluate the effectiveness of FCC\u2019s secondary markets policies, which FCC views as a mechanism to promote the increased use of unused spectrum licenses, but this approach does not include an analysis of unused spectrum licenses as part of these efforts. As a result, FCC\u2019s evaluations of the secondary market may not accurately reflect how these policies affect tribal access to spectrum. Because the secondary market is one of few ways for tribal entities to access licensed spectrum, an analysis of unused licensed spectrum that exists over tribal lands would enable FCC to better promote a robust secondary market that provides additional opportunities for tribes to access spectrum.", "FCC\u2019s 2010 National Broadband Plan stated that ongoing measurement of spectrum utilization should be developed to better understand how spectrum resources are being used because some studies indicated that spectrum goes unused in many places much of the time. The plan also stated that any spectrum utilization studies that FCC conducts should identify tribal lands as distinct entities. In FCC\u2019s February 2018 strategic plan, FCC stated that it will implement ongoing initiatives that will assist in spectrum policy planning and decision making, promote a robust secondary market in spectrum, and improve communications services in all areas of the United States, including tribal areas. Additionally, Standards for Internal Control in the Federal Government state that agencies should use quality information, including information that is complete, to inform the decision-making processes.", "FCC also does not make information on spectrum-license holders available in an easy or accessible manner; such information could be beneficial to the tribes in their efforts to obtain spectrum in the secondary market. As described earlier, the secondary market is a significant mechanism for tribal entities to obtain spectrum licenses, but representatives from the tribal entities we interviewed reported challenges related to participating in the secondary market, such as not knowing whom to contact should they wish to engage in a secondary market transaction to obtain a spectrum license. In July 2014, FCC stopped updating its spectrum dashboard, which provided the public with a way to identify who holds licenses in what areas, including features that allowed users to identify spectrum allocated and assigned in tribal lands. ONAP stated in its 2012 report that this feature represented the first step for individual tribal entities to reach out to licensees and seek leasing, partnership, or other arrangements that could ultimately result in the provision of service over tribal lands. FCC officials told us that the public may view electronic records of all wireless spectrum licenses in FCC\u2019s Universal Licensing System, using a wide range of license and geographic parameters, such as licensee names, radio services, spectrum bands, and geographic locations. However, we attempted to navigate the Universal Licensing System to determine spectrum-license holders for specific tribal lands using geographic parameters, but we were unable to successfully do so because the system is so difficult to use. Furthermore, as described above, representatives from eight of the tribal entities that we contacted stated that it is difficult to determine who holds spectrum licenses. When we asked FCC officials why they do not communicate information to tribes about spectrum-related transactions over tribal lands, FCC officials also told us that they issue public notices on applications for all proposed spectrum transactions and on the winning bidders of all auctions, but they have not made it a practice to reach out directly to tribes to make them aware of when providers have obtained spectrum licenses that cover tribal lands.", "The National Broadband Plan stated that FCC should make data available that would promote a robust secondary market for spectrum licenses, such as information on how and to whom spectrum is allocated on tribal lands. Additionally, Standards for Internal Control in the Federal Government state the need for federal agencies to communicate with external entities and to enable these entities to provide quality information to the agency that will help it achieve its objectives. Tribal governments are an example of such external entities. The ability of tribal governments to make informed spectrum planning decisions and to participate in secondary market transactions is diminished without information from FCC on the spectrum transactions that occur over tribal lands. Providing this information in a manner that is accessible and easy for tribal entities to obtain could enable them to enter into leasing, partnership, or other arrangements to obtain spectrum."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Broadband service on tribal lands continues to lag behind the rest of the country, especially on rural tribal lands, which could hinder tribal efforts to promote self-governance, economic opportunity, education, public safety, and cultural preservation. FCC has reported that wireless technologies that access spectrum to deliver broadband services are cost-effective for remote and sparsely populated areas, such as tribal lands. However, FCC\u2019s efforts to promote and support tribal entities\u2019 access to spectrum have done little to increase tribal use of spectrum, as only very few tribes are accessing spectrum to be able to provide Internet service. Additionally, FCC lacks information that could help inform its decision- making processes related to spectrum policy planning, which is intended to improve communications services in all areas of the United States, including tribal lands. By collecting data on the extent that tribal entities are obtaining and accessing spectrum, FCC could better understand tribal spectrum issues and use this information as it implements ongoing spectrum initiatives. Furthermore, the secondary market is one of few ways for tribal entities to access licensed spectrum to be able to provide Internet service, and FCC has recognized the importance of promoting a robust secondary market. FCC could promote a more robust secondary market by analyzing data to better understand how much unused licensed spectrum exists over tribal lands and using that information to promulgate regulations and to evaluate how FCC policies affect tribal participation in the secondary market. Additionally, by making information on who holds spectrum licenses over tribal lands more accessible and easy to understand, FCC could remove a barrier tribes may face in attempting to obtain spectrum through the secondary market."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Chairman of FCC.", "The Chairman of FCC should collect data on the extent that tribal entities are obtaining and accessing spectrum and use this information as FCC implements ongoing spectrum initiatives. (Recommendation 1)", "The Chairman of FCC should analyze data to better understand the extent that unused spectrum licenses exist over tribal lands, such as by analyzing the data for a sample of tribal lands, and as appropriate use this information to inform its oversight of the secondary market. (Recommendation 2)", "The Chairman of FCC should make information on spectrum-license holders more accessible and easy to understand for interested parties, including tribal entities, to promote their ability to purchase or lease spectrum licenses from other providers. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FCC for comment. In its comments, reproduced in appendix III, FCC agreed with the recommendations. FCC also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Chairman of FCC, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what is known about the ability of tribal entities to obtain and access spectrum to provide broadband services on tribal lands and the reported barriers that may exist; and (2) the extent to which the Federal Communications Commission (FCC) promotes and supports tribal entities\u2019 ability to obtain and access spectrum for broadband services.", "To address both objectives, we reviewed relevant statutes and regulations and FCC documents, including FCC\u2019s Statement of Policy on Establishing a Government-to-Government Relationship with Indian Tribes, the National Broadband Plan, and FCC\u2019s current strategic plan. We interviewed FCC officials and representatives from 3 tribal associations, 7 private providers that deliver Internet services over tribal lands, 3 industry associations that represent rural and urban telecommunications providers, 3 regional consortia, 3 companies that work with tribal entities, and 1 academic group. In addition, we selected 24 tribal entities\u201413 Indian tribes and nations and 11 tribally owned providers\u2014to interview.", "To identify tribal entities that were using wireless technologies, we obtained recommendations from stakeholders, reviewed data on relevant federal grants, such as the Broadband Technology Opportunities Program, and conducted Internet research. We then selected 16 tribal entities considering (1) stakeholder suggestions, (2) population, (3) population density, and (4) urban or rural designation. We visited 7 of these tribes in Idaho, New Mexico, and Washington State. The views represented in our report are not generalizable to those of all stakeholders. See table 2 for a complete listing of the entities we interviewed. We also conducted a literature review to identify relevant academic, government, and media publications that were published between January 1, 2013, and January 11, 2018, that discuss the importance of and options to enhance tribal access to spectrum.", "To identify tribal entities that applied to participate in spectrum auctions or that held active spectrum licenses in bands that can be used to provide broadband service, we analyzed (1) FCC data on entities that applied to participate in auctions for spectrum in these bands and (2) FCC data on spectrum licenses in these bands that were active as of September 6, 2018. We also analyzed FCC license data, together with license information publicly available through FCC\u2019s Universal Licensing System, to determine whether the tribal entities that held active licenses obtained those licenses through an FCC spectrum auction, administrative assignment, or the secondary market. We then reviewed the list of federally recognized tribes in the Federal Register and identified search terms related to these tribes. For example, we identified the following search terms based on the federally recognized tribe, Yurok Tribe of the Yurok Reservation, California, \u201cReservation, Tribe, and Yurok.\u201d We then used the identified search terms to search for tribal entities in FCC\u2019s data on auction participants and spectrum license holders. We manually reviewed these matches to identify tribal entities based on information from interviews, Internet research, and professional judgment. Because tribal entities may have applied to participate in spectrum auctions or may hold spectrum licenses under names not associated with their tribes, there may be additional tribal entities that we were unable to identify. Through interviews with FCC officials and review of related documentation, we determined that the license and auction participant data are sufficiently reliable for our purpose of identifying some tribal entities that have applied to participate in a spectrum auction or held active spectrum licenses as of September 2018. However, our analysis does not capture the extent that tribal entities may have obtained a license that is no longer active. To identify tribal entities that used unlicensed spectrum to deliver unlicensed service, we interviewed the tribal entities identified above. In addition, we obtained stakeholder views on the advantages and disadvantages of using unlicensed and licensed frequency bands and any barriers that tribal entities face in obtaining spectrum licenses by interviewing the selected stakeholders noted above.", "To determine the extent to which FCC promotes and supports tribal entities\u2019 efforts to obtain and access spectrum, first, we reviewed FCC\u2019s proposals in its ongoing 2011 Notice of Proposed Rulemaking In the Matter of Improving Communications Services for Native Nations by Promoting Greater Utilization of Spectrum over Tribal Lands and its ongoing 2018 Notice of Proposed Rulemaking In the Matter of Transforming the 2.5 GHz Band. We summarized public comments submitted, as of August 2018, by private and tribal providers, rural and nationwide industry associations, tribal associations, and tribal governments on FCC\u2019s 2011 proposed rulemaking. We did not analyze comments on FCC\u2019s 2018 Notice of Proposed Rulemaking because FCC was in the process of responding to these comments at the time of our review. Second, we reviewed rules that FCC officials identified that increased the availability of unlicensed and licensed frequency bands for broadband use and that may be particularly useful for tribal entities. These rules included FCC\u2019s 2010 and 2012 rules related to TV white space spectrum and its 2015 rule and 2017 Notice of Proposed Rulemaking related to the Citizens Broadband Radio Services (CBRS) spectrum. We identified tribal entities that had been using CBRS frequency bands by reviewing FCC licensed data and TV white space frequency bands through interviews with tribal entities and regional consortia. Third, we identified FCC\u2019s outreach activities to provide tribal entities with assistance on spectrum-related issues by interviewing FCC officials and reviewing documentation on the content of FCC-led trainings and workshops, e-mail correspondences, and related publications, such as public notices. Lastly, we interviewed FCC officials on the information that they collect, analyze, and report related to tribal use of spectrum and reviewed related documentation, including FCC\u2019s Office of Native Affairs and Policy 2012 Annual Report and FCC\u2019s license and auction data. We interviewed stakeholders, as noted above, and summarized their views of FCC efforts. We also compared FCC\u2019s efforts against FCC\u2019s 2018-2022 strategic plan, recommendations made in FCC\u2019s National Broadband Plan, and Standards for Internal Control in the Federal Government related to using quality information.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Auctioned Licensed Spectrum Available for Commercial Broadband Services", "paragraphs": ["We identified the spectrum frequency bands that the Federal Communications Commission (FCC) has made available for commercial broadband services and that FCC assigns licenses through auctions. Table 3 describes these licenses, including the number and date of related auctions."], "subsections": []}, {"section_title": "Appendix III: Comments from the Federal Communications Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Mark L. Goldstein, (202) 512-2834 or goldsteinm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sally Moino (Assistant Director), Anne Dor\u00e9 (Analyst in Charge), Enyinnaya David Aja, Katherine Blair, Stephen Brown, Camilo Flores, Georgeann Higgins, John Mingus, Josh Ormond, Frank Rusco, Rebecca Rygg, Jay Spaan, Andrew Stavisky, James Sweetman, Jr., Hai Tran, and Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": ["Broadband Internet service is essential to many aspects of modern life, so it's important to make sure everyone has access. Yet tribal lands, especially in rural areas, are still underserved.", "In such areas, wireless broadband can help keep people connected. However, the Federal Communications Commission has done little to promote and support tribes' access to radio frequency spectrum that can be used for such wireless service.", "We made 3 recommendations to the FCC to help improve tribes' access."]} {"id": "GAO-18-676T", "url": "https://www.gao.gov/products/GAO-18-676T", "title": "Grants Management: Observations on Challenges and Opportunities for Reform", "published_date": "2018-07-25T00:00:00", "released_date": "2018-07-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal outlays for grants to state and local governments totaled more than $674 billion in fiscal year 2017, equivalent to 3.5 percent of the gross domestic product in that year. GAO's previous work has found that growth in both the number of grant programs and level of funding has increased the diversity of federal grants to state and local governments.", "GAO's work has also found that designing and implementing grants management policies that strike an appropriate balance between ensuring accountability for the proper use of federal funds without increasing the complexity and cost of grants administration for agencies and grantees presents a governance challenge. At the same time, several government-wide initiatives hold promise for advancing the transparency, efficiency, and effectiveness of federal grants.", "This statement is based on GAO's prior reports on federal grants management and crosscutting issues related to managing for results across the federal government issued between 2005 and 2018. It addresses: (1) GAO's observations on long-standing challenges for federal grants management, and (2) opportunities to effectively advance current grant modernization initiatives."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has identified challenges to federal grants management in its work spanning several decades. These challenges include:", "Streamlining: Grants management requirements that are duplicative, unnecessarily burdensome, and conflicting require agencies to direct resources toward meeting them and can burden recipients of federal grants. GAO has reported on initiatives to streamline these requirements and address challenges grantees encounter throughout the grants lifecycle.", "Transparency: The Digital Accountability and Transparency Act of 2014 (DATA Act) required the Office of Management and Budget, the Department of the Treasury, and other federal agencies to increase the types of information available on federal spending, including grants. GAO has reported on progress in standardizing and expanding reported data, but has found inconsistencies with the completeness and quality of the reported information.", "Collaboration and consultation: Collaboration, particularly information sharing, is an important factor in effective grants management. GAO's work on interagency grants management reform initiatives found that inadequate ongoing communication with grantees sometimes resulted in poor implementation and prioritization of initiatives.", "Duplication, overlap, and fragmentation : Agencies' grants management practices, such as requirements to avoid duplication and overlap among grants before awarding them, can help agencies achieve cost savings and result in greater efficiencies in grant programs.", "Internal controls and oversight : GAO's work has identified weaknesses in grants oversight and accountability. For example, GAO has identified opportunities for agencies to more consistently close out grants when the grantee's period of performance has ended to ensure that grantees have met all requirements and identified opportunities to redirect or return unused funds.", "Recent and proposed initiatives aimed at grants management reform present opportunities to improve the efficiency, effectiveness, and transparency of federal grants. GAO's work on federal grants management and managing for results has highlighted a number of key features for effectively implementing such crosscutting initiatives, which include: (1) establishing implementation goals and tracking progress, (2) identifying and agreeing on leadership roles and responsibilities, and (3) developing an effective communication strategy.", "Further, given the number and diversity of grantor agencies and grant programs, it is important that any grant reform initiative integrate with other government-wide reform efforts on related issues across government, such as the grants-related Cross-Agency Priority goal, implementation of the DATA Act, and initiatives related to evidence-based policy. These efforts can be effective if they complement each other rather than run the risk of operating independently and potentially duplicating effort or working at cross-purposes."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to join you today to discuss issues related to federal grants management. GAO\u2019s previous work has found that growth in both the number of grant programs and level of funding has increased the diversity of federal grants to state and local governments and complexity in federal grants management processes. At the same time, several government-wide initiatives hold great promise for advancing the transparency, efficiency, and effectiveness of federal grants. These are important and challenging issues and I am pleased to have the opportunity to share observations from our large body of work on federal grants management as well as suggestions for moving forward with grant reform initiatives.", "As we have previously reported, federal grants to state and local governments are an important tool of government. This policy tool provides funding for national priorities in many areas including health care, transportation, education, and social services. Federal outlays for grants to state and local governments totaled more than $674 billion in fiscal year 2017, equivalent to 3.5 percent of the gross domestic product (GDP) in that year. Grants vary greatly in numerous ways including size, the nature of their recipients, and the type of programs they fund. In addition, substantial variation in the way federal agencies administer these programs has further increased their complexity. This diversity and complexity contributes to the challenge of government-wide efforts to address crosscutting grants management reforms.", "Recent initiatives\u2014including the administration\u2019s establishment of the Results-Oriented Accountability for Grants Cross-Agency Priority (CAP) goal through the President\u2019s Management Agenda (PMA)\u2014present an opportunity for the federal government to help address long-standing grants management challenges. Congress has often asked us to evaluate grants management issues to inform efforts that focus on accountability, while maximizing the investment of billions of dollars in federal grant funding. Our work also reflects the intergovernmental perspectives inherent in the administration of these grants and includes insights from reviews of federal government agencies as grantors as well as the perspectives of grantees in their role as implementers of these grants.", "Drawing on our prior federal grants management work as well as our work on managing for results across the federal government, my remarks today address: (1) observations on long-standing challenges for federal grants management and (2) opportunities to effectively advance current grant modernization initiatives. My testimony is based on our prior reports and testimonies on federal grants management, fiscal controls, and grant reporting as well as crosscutting work on government performance and transparency issued between 2005 and 2018. We used multiple methodologies to develop the findings, conclusions, and recommendations for the prior products serving as the foundation for this statement. A more detailed discussion of the prior reports\u2019 objectives, scope, and methodologies, including our assessment of data reliability, is available in the reports cited throughout this statement.", "The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Observations on Grants Management Challenges", "paragraphs": [], "subsections": [{"section_title": "Streamlined Grants Management is Critical to Effective Use of Federal Funds", "paragraphs": ["Our work has shown that when grants management requirements are duplicative, unnecessarily burdensome, and conflicting, agencies must direct resources toward meeting them\u2014which can make the agency\u2019s programs and services less cost effective and increase burden for grant recipients. For example, in 2016, we reviewed administrative requirements for federal research grants. Officials from universities and stakeholder organizations we interviewed identified common factors that added to their administrative workload and costs for complying with selected requirements. These factors included: variation in agencies\u2019 implementation of requirements, pre-award requirements for applicants to develop and submit detailed documentation for grant proposals, and increased prescriptiveness of certain requirements.", "We have also reported on a number of initiatives intended to address the challenges grantees encounter throughout the grants lifecycle. These initiatives include consolidating and revising grants management circulars, simplifying the pre-award phase, promoting shared information technology solutions for grants management, and improving the timeliness of grant closeout and reducing undisbursed balances. Our work includes reviews of efforts to submit the Consolidated Federal Financial Report through a single system and to standardize notices of award to reduce reporting burden. In addition, the Digital Accountability and Transparency Act of 2014 (DATA Act) required the Office of Management and Budget (OMB) to establish a pilot program to develop recommendations for reducing reporting burden for recipients of federal awards. In 2016 and 2017, we reported on the design and implementation of the OMB pilot program, known as the Section 5 Pilot, aimed at developing recommendations for reducing reporting burden for grant recipients and contractors. We made a number of recommendations to improve the design of the Section 5 Pilot to ensure its consistency with leading practices for pilot design, which OMB has implemented. We continue to monitor implementation of the Section 5 Pilot through ongoing work and look forward to keeping the subcommittee informed about our findings."], "subsections": []}, {"section_title": "Transparency of Grant Spending Can Inform Decision Making", "paragraphs": ["To provide increased transparency to agencies, Congress, and the public, the DATA Act required OMB, the Department of the Treasury (Treasury), and other federal agencies to increase the types of information available on the more than $3.7 trillion in annual federal spending, including federal spending on grants. The law requires OMB and Treasury to establish data standards to enable the reporting and tracking of agency spending at multiple points in the spending lifecycle. Since enactment, OMB, Treasury, and federal agencies have addressed many of the policy and technical challenges presented by the act\u2019s requirements, including standardizing data elements across the federal government, linking data contained in agencies\u2019 financial and award systems, and expanding the types of data reported. However, in a 2017 report, we found inconsistencies in key award data elements and issues with the completeness and quality of the information reported. We made a number of recommendations to OMB and Treasury to clarify guidance to help agencies fully comply with DATA Act requirements and report accurate data and to disclose known data quality issues. OMB and Treasury generally agreed with our recommendations. Once the accuracy of these data are improved, federal managers should be better able to make data driven decisions to address ongoing government management challenges and improve the effectiveness and efficiency of government programs."], "subsections": []}, {"section_title": "Effective Grants Management Benefits from Collaboration and Consultation", "paragraphs": ["The process of distributing federal assistance through grants is complicated and involves many different parties\u2014both public and private\u2014with different organizational structures, sizes, and missions. A lack of collaboration among and between federal agencies, state and local governments, and nongovernmental grant participants presents a challenge to effective grants implementation. Given the complexity of managing intergovernmental grants, collaboration among the grant participants, particularly with regard to information sharing, is an important factor in effective grants management. For example, one of the lessons learned in our work on the American Recovery and Reinvestment Act of 2009 (Recovery Act) is that increased accountability requirements and aggressive timelines require coordination\u2014both vertically among levels of government and horizontally within the same level of government\u2014to share information and work toward common goals during implementation. Intra- and intergovernmental networks facilitated efforts to achieve the purposes of the act in an effort to efficiently and effectively spend the grant funds.", "Our work on interagency grants management reform initiatives also found that inadequate ongoing communication with grantees sometimes resulted in poor implementation and prioritization of initiatives. Our 2014 work on the Recovery Act illustrated how agencies can effectively approach ongoing communication. For example, the developers of Recovery.gov used input from user forums, focus groups, and usability testing with interested citizens to collect feedback and recommendations. This information then informed the development of the website from its initial stages. More recently, in our 2014 work on the DATA Act, we have noted OMB and Treasury efforts to allow the public to share their views and comment on the development of federal data standards."], "subsections": []}, {"section_title": "Identifying Fragmentation, Overlap and Duplication Could Result in Greater Efficiencies", "paragraphs": ["Our prior work has shown that numerous federal grant programs created over time without coordinated purposes and scope can result in grants management challenges. Addressing these challenges may achieve cost savings and result in greater efficiencies in grant programs. Our work has underscored the importance of identifying fragmentation, overlap, or duplication in a number of federal programs, including grants management practices. For example, in January 2017, we found that the National Park Service, Fish and Wildlife Service, Food and Nutrition Service, and Centers for Disease Control and Prevention had not established guidance and formal processes to avoid duplication and overlap among grants in their agencies before awarding grants. We recommended that these agencies do so, and they agreed. In response, these agencies have taken a number of actions to address the recommendation. For example, the Department of the Interior provided us documentation showing that the Fish and Wildlife Service now requires that discretionary grant applicants provide a statement that addresses whether there is any overlap or duplication of proposed projects or activities to be funded by the grant. The Fish and Wildlife Service also updated its guidance to grant awarding offices instructing them to perform a potential overlap and duplication review of all selected applicants prior to making grant awards."], "subsections": []}, {"section_title": "Strong Internal Controls and Oversight Facilitate Effective Use of Grant Funds", "paragraphs": ["Our prior work has shown that when awarding and managing federal grants, effective oversight and internal control is important to provide reasonable assurance to federal managers and taxpayers that grants are awarded properly, recipients are eligible, and federal grant funds are used as intended and in accordance with applicable laws and regulations. Internal control comprises the plans, methods, and procedures agencies use to be reasonably assured that their missions, goals, and objectives can be met. In numerous reviews, we and agency inspectors general identified weaknesses in agencies\u2019 internal controls for managing and overseeing grants. Specifically, we found that when such controls are weak, federal grant-making agencies face challenges in achieving grant program goals and assuring the proper and effective use of federal funds to help avoid improper payments. Our work has identified weaknesses in grants oversight and accountability issues that span the government including undisbursed grant award balances, single audit submissions that are late, and significant levels of improper payments in grant programs. Key grants management challenges related to internal controls and oversight that we have identified include:", "Timeliness of grant closeouts. Federal grant-making agencies must close out grants when the grantee\u2019s period of performance has ended in order to ensure that grantees have met all financial requirements and provide final reports as required. Closing out grants also allows agencies to identify and redirect unused funds to other projects and priorities as authorized or to return unspent balances to the Treasury. These accounts, and, in some cases, the undisbursed balances associated with them, persisted as an issue for agencies, as we reported in 2008, 2012, and 2016. In January 2016, the Grants Oversight and New Efficiency Act (GONE Act) was signed into law.", "The act, passed in part in response to our work, required government- wide reporting of undisbursed balances in expired grant accounts.", "The GONE Act requires that agencies report on the grants for which the grantee\u2019s period of performance had expired for more than 2 years, including those with undisbursed balances and with zero dollar balances remaining in the accounts. In the fall of 2017, many agencies included in their annual Agency Financial Reports an appendix providing information required by the GONE Act. For example, the Department of Health and Human Services (HHS) reported almost $2 billion in undisbursed funds remaining in 16,603 grant accounts that were two years or more past their periods of performance and 6,512 grant accounts that had no funds remaining in them. HHS grant officials told us that they intend to close as many of these grant accounts as possible during this fiscal year.", "Timely submission of single audits. As we have previously reported, one key way that federal agencies oversee nonfederal grantees is through an audit of their expenditures of federal awards, referred to as a single audit. The single audit is an audit of the award recipient\u2019s expenditure of federal awards and of its financial statements. A single audit can identify deficiencies in the award recipient\u2019s compliance with the provisions of laws, regulations, contracts, or grant agreements and in its financial management and internal control systems. Correcting such deficiencies can help reasonably assure the effective use of federal funds and reduce federal improper payments. In 2017, we reported that of the five departments we reviewed\u2014the Departments of Agriculture, Education, HHS, Housing and Urban Development, and Transportation\u2014some of the departments\u2019 subagencies did not effectively design policies and procedures to reasonably assure the timely submission of single audit reports by award recipients. In this report, we made 21 recommendations to these departments. Some action has been taken to date in response to these recommendations.", "Avoiding improper payments of federal grants. As we have previously reported, improper payments\u2014payments that should not have been made or that were made in an incorrect amount\u2014have consistently been a government-wide issue. Since fiscal year 2003\u2014 when certain agencies were required by statute to begin reporting estimated improper payments for certain programs and activities\u2014 cumulative improper payment estimates have totaled about $1.4 trillion. Our reviews of Medicaid, a joint federal-state health care program and significant source of federal grant funding to state governments, have shown that the program is particularly vulnerable to improper payments, given its size, diversity, and complexity. For example, Medicaid accounted for more than 26 percent ($36.7 billion) of the nearly $141 billion government-wide improper payment estimate in fiscal year 2017. We have also reported that federal spending for Medicaid is expected to significantly increase, so it is especially critical that appropriate measures be taken to reduce improper payments in this program."], "subsections": []}]}, {"section_title": "Opportunities to Effectively Advance Current Grants Management Initiatives", "paragraphs": ["Recent and proposed legislative- and executive-sponsored initiatives aimed at grants management reform, present opportunities to improve the efficiency, effectiveness, and transparency of federal grants. Our work on the design and implementation of merit-based grant award selection and initiatives to manage for results across the federal government has highlighted a number of key features necessary to effectively implement such crosscutting initiatives. Those features include:", "Establishing implementation goals and tracking progress. Our work highlighted the importance of establishing an implementation schedule and tracking progress toward priorities to help pinpoint performance shortfalls and suggest midcourse corrections, including any needed adjustments to future priorities and milestones.", "Identifying and agreeing on leadership roles and responsibilities. Our work has shown that when interagency councils clarify who will do what, identify how to organize their joint and individual efforts, and articulate steps for decision making, they enhance their ability to work together and achieve results.", "Developing an effective communication strategy. We reported on the importance of two-way communication that allows for feedback from relevant stakeholders. For example, our work showed that grantees felt that a lack of opportunities to provide timely feedback resulted in poor implementation and prioritization of streamlining initiatives and limited grantees\u2019 use and understanding of new functionality of electronic systems.", "In addition, given the number and diversity of grantor agencies and grantmaking programs, we believe it is important that any grant reform initiative integrate with other government-wide reform efforts on related issues. One such reform initiative is the PMA, which lays out a long-term vision for modernizing the federal government and improving the ability of agencies to achieve results. The PMA identified a set of CAP goals to target areas where multiple agencies must collaborate to effect change and report progress in a manner the public can easily track. According to the PMA, one of the goals included in the agenda\u2014the Results- Oriented Accountability for Grants CAP goal\u2014is intended to maximize the value of grant funding by applying a risk-based data-driven framework that balances compliance requirements with demonstrating successful results for taxpayers. The PMA further states that this CAP goal seeks to standardize grant reporting data and improve data collection in ways that will increase efficiency, promote evaluation, and reduce reporting burden. Effectively advancing results-oriented accountability for grants will require that implementation of this CAP goal moves forward in tandem with related efforts to implement the DATA Act and advance the use of evidence to inform grant policy, highlighted below:", "DATA Act implementation. As our work has shown, the DATA Act will continue to be a critical driver of grants management change and reform. When fully implemented, the act will improve the accountability and transparency of federal spending data by (1) establishing government-wide financial data standards so that data are comparable across agencies and (2) holding federal agencies more accountable for the quality of the information disclosed. Such increased transparency provides opportunities for improving the efficiency and effectiveness of federal spending; increasing the accessibility of data to benefit the public and the business community; and improving oversight to prevent and detect fraud, waste, and abuse of federal funds. As efforts to implement the DATA Act move forward, we will continue to monitor implementation efforts and coordinate our efforts with agency inspectors general.", "Evidence-based policy. To better integrate evidence and rigorous evaluation in budget, management, operational, and policy decisions, OMB has encouraged federal agencies to expand or improve the use of grant program designs that focus federal dollars on effective practices while encouraging innovation in service delivery. For example, OMB\u2019s efforts to foster a culture of evidence-based policy resulted in several federal agencies\u2019 implementation of tiered evidence grant programs. Under this approach, agencies establish tiers of grant funding based on the level of evidence of effectiveness provided for a grantee\u2019s service model. Agencies award smaller amounts to promising service models with a smaller evidence base, while providing larger amounts to those with more supporting evidence. In our 2016 report, we recommended that OMB establish a formal means for federal agencies to collaborate on tiered evidence grants. In response, in 2017, OMB launched the Tiered Evidence Grants Working Group to collaborate and share lessons learned, for example, on the use and dissemination of evaluation results.", "These efforts should complement each other. A lack of integration could result in duplication of effort or run the risk of working at cross-purposes. For example, the integration of the Results-Oriented Accountability for Grants CAP goal with ongoing DATA Act implementation and efforts to advance evidence-based approaches to federal grant funding and administration presents a complex governance challenge.", "In conclusion, designing and implementing grants management policies that strike an appropriate balance between ensuring accountability for the proper use of federal funds without increasing the complexity and cost of grants administration for agencies and grantees is a longstanding governance challenge. As the initiatives above demonstrate, meeting this challenge and successfully implementing grants management reforms will require intragovernmental coordination at the federal level, intergovernmental collaboration with state and local governments and other partners, and ongoing integration to ensure that grants management reforms and related DATA Act and evidence-based policy implementation efforts are complementary and do not exist in separate silos.", "We look forward to continuing our ongoing work to review implementation of the CAP goals, the DATA Act, and the infusion of evidence-based policy in federal grant programs. We also look forward to working with this and other committees as we assist Congress in identifying additional opportunities to advance grants management reform through reviews of individual grant programs and crosscutting analysis of grant implementation and grants management reform efforts.", "Chairman Palmer, Ranking Member Raskin, and members of the Subcommittee, this concludes my prepared remarks. I look forward to answering any questions you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact me at (202) 512-6806 or sagerm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony were Brenda Rabinowitz and Tom James, Assistant Directors, Alexandra Edwards, Julie Miller, Andrew J. Stephens, and Walter Vance."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["The Nation\u2019s Fiscal Health: Action Is Needed to Address the Federal Government\u2019s Fiscal Future. GAO-18-299SP. Washington, D.C.: June 21, 2018.", "Improper Payments: Actions and Guidance Could Help Address Issues and Inconsistencies in Estimation Processes. GAO-18-377. Washington, D.C.: May 31, 2018. 2018 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-18-371SP. Washington, D.C.: Apr. 26, 2018.", "DATA Act: OMB, Treasury, and Agencies Need to Improve Completeness and Accuracy of Spending Data and Disclose Limitations. GAO-18-138. Washington, D.C.: Nov. 8, 2017.", "Managing for Results: Further Progress Made in Implementing the GPRA Modernization Act, but Additional Actions Needed to Address Pressing Governance Challenges. GAO-17-775 Washington, D.C.: Sept. 29, 2017.", "Single Audits: Improvements Needed in Selected Agencies\u2019 Oversight of Federal Awards. GAO-17-159. Washington, D.C.: Feb. 16, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: Feb. 15, 2017.", "Grants Management: Selected Agencies Should Clarify Merit-Based Award Criteria and Provide Guidance for Reviewing Potentially Duplicative Awards. GAO-17-113. Washington, D.C.: Jan. 12, 2017.", "Tiered Evidence Grants: Opportunities Exist to Share Lessons from Early Implementation and Inform Future Federal Efforts. GAO-16-818. Washington, D.C.: Sept. 21, 2016.", "Federal Research Grants: Opportunities Remain for Agencies to Streamline Administrative Requirements. GAO-16-573. Washington, D.C.: June 22, 2016.", "Managing for Results: OMB Improved Implementation of Cross-Agency Priority Goals, But Could Be More Transparent about Measuring Progress. GAO-16-509. Washington, D.C.: May 20, 2016.", "DATA Act: Section 5 Pilot Design Issues Need to Be Addressed to Meet Goal of Reducing Recipient Reporting Burden. GAO-16-438. Washington, D.C.: Apr. 19, 2016.", "Grants Management: Actions Needed to Address Persistent Grant Closeout Timeliness and Undisbursed Balance Issues. GAO-16-362. Washington, D.C.: Apr. 14, 2016.", "Federal Data Transparency: Effective Implementation of the DATA Act Would Help Address Government-wide Management Challenges and Improve Oversight. GAO-15-241T. Washington, D.C.: Dec. 3, 2014.", "Managing for Results: Implementation Approaches Used to Enhance Collaboration in Interagency Groups. GAO-14-220. Washington, D.C.: Feb, 14, 2014.", "Recovery Act: Grant Implementation Experiences Offer Lessons for Accountability and Transparency. GAO-14-219. Washington, D.C.: Jan. 24, 2014.", "Grant Workforce: Agency Training Practices Should Inform Future Government-wide Efforts. GAO-13-591. Washington, D.C.: June 28, 2013).", "Grants Management: Oversight of Selected States\u2019 Disbursement of Federal Funds Addresses Timeliness and Administrative Allowances. GAO-13-392. Washington, D.C.: Apr. 16, 2013.", "Grants Management: Improved Planning, Coordination, and Communication Needed to Strengthen Reform Efforts. GAO-13-383. Washington, D.C.: May 23, 2013.", "Grants to State and Local Governments: An Overview of Federal Funding Levels and Selected Challenges. GAO-12-1016. Washington, D.C.: Sept. 25, 2012.", "Grants Management: Action Needed to Improve the Timeliness of Grant Closeouts by Federal Agencies. GAO-12-360. Washington, D.C.: Apr. 16, 2012.", "Grants Management: Attention Needed to Address Undisbursed Balances in Expired Grant Accounts. GAO-08-432. Washington, D.C: Aug. 29, 2008.", "Grants Management: Grantees\u2019 Concerns with Efforts to Streamline and Simplify Processes. GAO-06-566. Washington, D.C.: July 28, 2006.", "Grants Management: Additional Actions Needed to Streamline and Simplify Processes. GAO-05-335. Washington, D.C.: Apr. 18, 2005.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["Federal grants to state and local governments totaled over $674 billion in FY 2017. The number of grant programs across federal agencies has increased in recent years, as has the level of funding, which has led to a more complex federal grant management process.", "We testified about a number of grants management suggestions we have made in recent years, including:", "Streamlining grant requirements so that they aren't duplicative or unnecessarily burdensome", "Encouraging greater collaboration among grant participants to ensure effective grant implementation", "Increasing the completeness and quality of publicly available data on federal grant spending"]} {"id": "GAO-18-330", "url": "https://www.gao.gov/products/GAO-18-330", "title": "DOD Contracted Services: Long-Standing Issues Remain about Using Inventory for Management Decisions", "published_date": "2018-03-29T00:00:00", "released_date": "2018-03-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD obligated about $150 billion on contracted services\u2014such as information technology support and maintenance of defense facilities\u2014in fiscal year 2016. DOD has faced long-standing challenges in effectively managing its service acquisitions.", "The National Defense Authorization Act for Fiscal Year 2017 amended existing requirements for DOD to annually collect data on contracted services and to compile and review an inventory of the functions performed by contractor personnel. The Act also contained a provision for GAO to report on the status of this data collection and to assess DOD's use of the inventory. This report addresses how DOD (1) collected data to create an inventory of fiscal year 2016 contracted services and (2) used the inventory to inform workforce planning, workforce mix, and budget decisions. GAO has reported on DOD's inventory of contracted services since 2010.", "GAO reviewed OSD and the military departments' guidance, as well as the military departments' inventory submissions to OSD. GAO also analyzed contracted services data and interviewed OSD and military department officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the Department of Defense (DOD) used the same sources as it did in prior years to collect data and create an inventory of fiscal year 2016 contracted services, which is intended, in part, to help DOD make more strategic workforce decisions and better align resources. Office of the Secretary of Defense (OSD) guidance, issued in September 2017 to implement congressional direction, required the military departments to include in their submissions, at a minimum, purchases of services with a total contract value of $3 million or more, and in four services acquisition portfolio groups\u2014logistics management, equipment-related, knowledge-based, and electronics and communications.", "As permitted under OSD's inventory guidance, the military departments varied somewhat in how they reported their contracted services data to OSD. For example, the Army and Air Force included purchases both over and under $3 million and the Air Force also identified purchases by the four portfolio groups. The Navy submitted summary data of contracted services but did not provide a list of purchases in time to be included in an inventory summary for Congress. An OSD official said, however, that the information provided was sufficient to prepare the inventory summary, which OSD submitted to Congress in February 2018. The Navy subsequently provided a list of its fiscal year 2016 service purchases to OSD in March 2018.", "Military departments generally have not developed plans to use the inventory for workforce and budget decisions, as statutorily required. This is consistent with what GAO found in November 2014 and October 2016. GAO's analysis found that the military departments' guidance generally does not require using the inventory in workforce and budget decisions (see table).", "Army manpower officials told GAO that inventory information such as the number of contractor full-time equivalents and the functions performed can be used to inform workforce mix decisions. However, workforce and budget officials at the Army, Navy, and Air Force stated they make limited use of the inventory to inform decision-making, in part because by the time the inventory is available, the data reflected are often too outdated to inform strategic decisions. GAO has previously recommended ways to improve use of the inventory. In November 2014, for example, GAO found that a lack of officials at the military departments who are accountable for integrating the use of the inventory leaves the department at continued risk of not complying with the legislative requirement to use the inventory to support management decisions. This issue persists, as the military departments have not made final designations for accountable officials responsible for developing plans and enforcement mechanisms to use the inventory."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making new recommendations in this report. Seven of 18 prior GAO recommendations related to the inventory remain open, including a recommendation for DOD to identify officials at the military departments responsible for developing plans and enforcement mechanisms to use the inventory. In its comments, DOD stated it is committed to improving its inventory processes."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) is the federal government\u2019s largest purchaser of contractor-provided services, which obligated about $150 billion on contracted services in fiscal year 2016. DOD relies on contractors to provide a wide array of services, including support for management, information technology, and weapon systems. There are benefits to using contractors to perform services for the government, but the government can become overly reliant on contractors and risk contractors performing inherently governmental functions. This risk is increased for certain types of services, including program evaluation, systems engineering, and information technology support services, as the Office of Federal Procurement Policy and our prior work has found.", "Beginning in 2001, Congress enacted legislation to improve DOD\u2019s ability to manage its acquisitions of contracted services, to make more strategic decisions about the appropriate workforce mix, and to better align resource needs through the budget process to achieve that mix. As part of these efforts, section 2330a of title 10 of the U.S. Code requires DOD to conduct certain activities, including: establishing a data collection system to provide management information with regard to service purchases by the military departments and defense agencies; and annually compiling an inventory of services contracted for or on behalf of DOD during the preceding fiscal year. This inventory is intended, in part, to help provide better insight into the number of contractor full- time equivalents (FTE) providing services to the department and the functions they are performing.", "Further, this section requires the military departments and defense agencies to undertake certain actions using the inventory, including: reviewing the contracts and activities in the inventory for which the secretary or agency head is responsible to ensure that personal services contracts in the inventory are performed under applicable statutes and regulations and to identify contracted functions that DOD should consider for conversion to government performance, also known as insourcing; and developing a plan, including an enforcement mechanism and approval process, to use the inventory for strategic workforce planning, workforce mix determinations, and budget decisions.", "Section 812 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 amended these requirements by changing the scope of the data to be collected and the type of activities to be reported to Congress. Specifically, section 812 increased the minimum value of service purchases for which information is to be collected from those in excess of $150,000 to those in excess of $3 million, reduced the types of services included, and changed DOD\u2019s reporting requirements. Section 812 also contained a provision for us to report on the status of data collection and assess DOD\u2019s efforts to develop a plan and enforcement mechanism to use the inventory. This report addresses how DOD (1) collected data on its service purchases to create an inventory of fiscal year 2016 contracted services and (2) used the inventory to inform workforce planning, workforce mix, and budget decisions.", "To determine how DOD collected data to create an inventory of fiscal year 2016 contracted services (fiscal year 2016 inventory), we reviewed relevant legislation and the Office of the Secretary of Defense\u2019s (OSD) Fiscal Year 2016 Guidance Related to the Inventory and Tracking of Contracted Services (OSD\u2019s inventory guidance), issued in September 2017. We focused on the fiscal year 2016 inventory because it was the most recent inventory at the time of our review and is the inventory to which the September 2017 guidance pertains. We interviewed officials at the Under Secretary of Defense offices for Personnel and Readiness (USD(P&R)); Acquisition, Technology, and Logistics (USD(AT&L)); and the Under Secretary of Defense (Comptroller) about their roles in establishing OSD\u2019s inventory guidance for fiscal year 2016 and other aspects of the inventory process. We focused our review of the process for compiling data for the inventory on the military departments because they represented about 79 percent of overall service contract obligations in fiscal year 2016, though other DOD components, such as combatant commands and defense agencies, are also responsible for creating inventories under OSD\u2019s inventory guidance. We interviewed officials at the military departments\u2014Army, Navy, and Air Force\u2014to understand their approach to collecting contracted services data, including their use of data systems, and compiling their inventories.", "To understand the potential impact on data collection of the recent statutory changes, as implemented in OSD\u2019s inventory guidance, we reviewed and analyzed information from USD(AT&L)\u2019s Defense Procurement and Acquisition Policy (DPAP) office. Specifically, we analyzed the contracted services data from the Federal Procurement Data System-Next Generation (FPDS-NG) that DPAP posted on its website in sets showing fiscal year 2016 service purchases before and after scope changes were applied. To ascertain the reliability of the data, we replicated USD(AT&L)\u2019s process for extracting data from FPDS- NG based on officials\u2019 descriptions of that process and compared the results with the data on USD(AT&L)\u2019s website. We found minimal differences (0.4 percent or less) in the number of and amounts of fiscal year 2016 obligations for service purchases between the two data sets and determined the data were reliable for estimating the potential changes in the amount of data reported. We also reviewed the military departments\u2019 inventory submissions to OSD to determine how they incorporated key aspects of OSD\u2019s inventory guidance, such as the dollar value and types of contracts included.", "To determine how DOD used the inventory for workforce planning, workforce mix, and budget decisions, we updated the information we collected for our October 2016 report on this issue to establish the extent to which each military department\u2019s strategic workforce planning, workforce mix, and budgeting guidance and processes required or cited the use of the inventory of contracted services, as of February 2018. To do so, we interviewed and obtained information from manpower and budget officials at the military departments about the status of their efforts to develop plans and to use the inventory, confirmed whether the guidance identified in our October 2016 report remained current as of February 2018, and, as appropriate, obtained and reviewed any new or revised guidance issued after our October 2016 report. In responding to our draft report, the Navy provided additional information about its guidance in March 2018. In addition, we interviewed USD(P&R), USD(AT&L), and Comptroller officials regarding their department-wide perspectives on the utility of the inventory to inform management decisions.", "We conducted this performance audit from June 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Contracted Services Data Collection and Inventory Requirements and Process", "paragraphs": ["In part to improve the information available and management of DOD\u2019s acquisition of services, Congress enacted section 2330a of title 10 of the U.S. Code in 2001, which required the Secretary of Defense to establish a data collection system to provide management information on each purchase of services by a military department or defense agency. Congress amended section 2330a in 2008 to add a requirement for the Secretary of Defense to submit an annual inventory of the activities performed pursuant to contracts for services on behalf of DOD during the preceding fiscal year.", "The inventory is to include a number of specific data elements for each identified activity, including: the function and missions performed by the contractor; the contracting organization, the military department or defense agency administering the contract, and the organization whose requirements are being met through contractor performance of the function; the funding source for the contract by appropriation and operating agency; the fiscal year the activity first appeared on an inventory; the number of contractor employees (expressed as FTEs) for direct labor hours and associated cost data collected from contractors; a determination of whether the contract pursuant to which the activity is performed is a personal services contract; and a summary of the contracted services data required to be collected in subsection 2330a(a) of title 10 of the U.S. Code.", "The secretaries of the military departments and heads of the defense agencies are required to review the contracts and activities in the inventory for which they are responsible to ensure that personal services contracts were performed appropriately and that the activities listed do not include inherently governmental functions, among other factors. In addition, in 2011 Congress amended section 2330a to add a requirement that the secretaries of the military departments and heads of the defense agencies develop a plan, including an enforcement mechanism and approval process, to provide for the use of the inventory by the military department or defense agency to implement requirements of section 129a of title 10, U.S. Code (section 129a requires policies and procedures for determining the appropriate mix of military, civilian, and contractor personnel to perform DOD\u2019s mission); facilitate the use of the inventory for compliance with section 235 of title 10, U.S. Code (section 235 requires budget justification materials to include the amount requested for procurement of contract services and the number of full-time contractor employees projected); provide for appropriate consideration of the conversion of activities identified under section 2463 of title 10, U.S. Code (section 2463 requires procedures to ensure civilian employees are considered for performing critical functions); and ensure that the inventory is used to inform strategic workforce planning.", "In section 812 of the National Defense Authorization Act for Fiscal Year 2017, enacted in December 2016, Congress further amended section 2330a by reducing the scope of the required data collection, specifying the type of contracted services to be included in an inventory summary submitted to Congress, and calling for particular attention to the military departments\u2019 review of certain high-risk contracts (see table 1).", "To address the requirements of section 2330a of title 10, U.S. Code, DOD is to conduct several key steps for each fiscal year (see table 2).", "DOD has submitted to Congress annual, department-wide inventories for fiscal years 2008 through 2015. As shown in table 2, each inventory is required to be submitted to Congress by June 30, and is to reflect activities performed during the preceding fiscal year. DOD has not always submitted the inventory to Congress on time. For example, DOD was required to submit the fiscal year 2015 inventory to Congress on June 30, 2016, but did not do so until September 20, 2016. For the inventory of fiscal year 2016 contracted services, the department submitted its summary of the inventory to Congress in February 2018."], "subsections": []}, {"section_title": "Prior GAO Work", "paragraphs": ["Over the past 8 years, we have issued several reports on DOD\u2019s efforts to compile and review its inventory of contracted services. We have made 18 recommendations, 7 of which are still open, on a variety of issues related to the inventory. Key findings and recommendations in our prior work that pertain to this review are included below.", "In November 2014, we found the military departments generally had not developed plans to use the inventory to facilitate DOD\u2019s workforce planning, workforce mix, and budget decision-making processes, and that numerous offices were responsible for the various decision- making processes at the military departments. This, in turn, left the department at risk of not complying with legislative requirements. We recommended that secretaries of the military departments identify an accountable official within their departments with responsibility for leading and coordinating efforts across their manpower, budgeting, and acquisition functional communities, and, as appropriate, revise guidance, develop plans and enforcement mechanisms, and establish processes. DOD concurred with the recommendation, but as of January 2018, the Army and Navy still had not identified accountable officials. The Air Force has identified an interim accountable official in its Program Executive Office for Combat and Mission Support, according to an Air Force official.", "In November 2015, we found that DOD\u2019s effort to establish an office to implement and support a common, enterprise-wide contractor manpower data system had encountered a number of challenges and lacked clearly defined roles and responsibilities for the office. DOD had not outlined the relationships between the support office, military departments, and other stakeholders in exploring the longer-term solution to collect contractor manpower data and integrate inventory data within the military departments\u2019 decision-making processes. We recommended DOD clearly identify the longer-term relationships between the support office, military departments, and other stakeholders. DOD concurred and has since stood up the support office (now called the Total Force Management Support Division) and implemented the Enterprise-wide Contractor Manpower Reporting Application (ECMRA) department-wide. However, DOD has not yet fully identified longer-term relationships. By doing so, DOD would help ensure that efforts to integrate contracted services data into decision- making processes will meet user needs and expectations.", "Most recently, in October 2016, we found that DOD components (which include the military departments) continued to improve their reviews of the inventory compared to prior years, but that they may continue to underreport contractors providing services that are closely associated with inherently governmental functions. Specifically, our analysis found that in fiscal year 2014 DOD obligated about $28 billion for contracts in the product service codes that the Office of Federal Procurement Policy and GAO identified as more likely to include closely associated with inherently governmental functions. In comparison, the components identified a total of $10.8 billion in obligations or dollars invoiced for contracts that included such work. We also found that the military departments had not yet developed plans to use the inventory to inform workforce mix, strategic workforce planning, and budget decision-making. We did not make new recommendations in that report."], "subsections": []}]}, {"section_title": "DOD Collected Data for the Inventory of Fiscal Year 2016 Contracted Services Using the Same Sources as in Prior Years", "paragraphs": ["To facilitate DOD\u2019s submission of an inventory summary to Congress, OSD\u2019s inventory guidance required each military department to submit to the offices of the USD(AT&L) and USD(P&R) a list of all services provided under contract consistent with the guidance and within the scope of section 2330a of title 10, U.S. Code, as amended by section 812 of the fiscal year 2017 NDAA. The military departments collected data for the fiscal year 2016 inventory using the same data sources\u2014FPDS-NG and ECMRA\u2014as they had in prior years, though each department used slightly different processes from one another.", "OSD\u2019s inventory guidance provided for flexibility in how the military departments compiled and submitted data. For example, the guidance required that the inventory submissions include, at a minimum, all purchases of services with a total contract value of $3 million or more and in the following service acquisition portfolio groups: logistics management services; equipment-related services; knowledge-based services; and electronics and communications services. It did not, however, preclude the military departments from submitting additional information beyond the minimum threshold. In addition, under the guidance, military departments were encouraged to augment FPDS-NG data with data from ECMRA, as has been the process in the past. We analyzed the effect of the recent statutory changes, as implemented in OSD\u2019s inventory guidance, on fiscal year 2016 contracted services data reported in FPDS- NG and compiled by USD(AT&L). We found that the number of service purchases reported under the inventories across the department would be reduced to about 2 percent of the total service purchases if the components reported only the minimum information required under OSD\u2019s guidance. This approach would capture about 30 percent of the total service contract dollars.", "Officials responsible for overseeing the data collection effort within each of the three military departments stated that for fiscal year 2016 they collected data captured in FPDS-NG and ECMRA, as they have done for previous inventories. The military departments varied somewhat in how they collected and reported their data, which is permitted under OSD\u2019s guidance. The following is a description of the military departments\u2019 processes for collecting data and key aspects of their inventories:", "Army officials stated that they extracted their inventory data for fiscal year 2016 primarily from ECMRA and used FPDS-NG data to fill gaps in data not collected in ECMRA, such as data on aspects of contract competition (e.g., number of offers and small business considerations). Army officials estimated that the total invoices in ECMRA represented approximately 80 percent of contracted services obligations for fiscal year 2016. In its inventory, submitted to OSD in January 2018, the Army reported services purchased under contract actions with fiscal year 2016 invoiced amounts both above and below $3 million. The Army reported that its fiscal year 2016 inventory accounts for $31 billion in invoiced amounts and 157,000 contractor FTEs.", "Navy officials stated that they captured nearly all of their inventory data for fiscal year 2016 from FPDS-NG and combined it with ECMRA data. Navy officials estimated that approximately 75 percent of the Navy services contracts that it believed should have been reported in ECMRA were reported during fiscal year 2016. The Navy submitted summary data, including fiscal year 2016 obligations and contractor FTEs by command and in total, to OSD in December 2017. The Navy did not provide a list of its fiscal year 2016 service purchases in time to be included in the inventory summary for Congress, but a USD(AT&L) official said the information provided was sufficient to allow OSD to prepare the summary. The Navy subsequently submitted its full inventory of fiscal year 2016 contracted services to OSD in March 2018 and reported over $6.5 billion in obligations and over 45,000 contractor FTEs.", "Air Force officials stated that they drew approximately 75 percent of the data elements required for the inventory for fiscal year 2016 from FPDS-NG. Air Force officials stated that they also extracted data from the Air Force financial management system, such as total contracted dollar amounts, and manpower data from ECMRA. Air Force officials did not have an estimate of the percentage of service contracts that were reported in ECMRA in fiscal year 2016. The Air Force submitted its inventory to OSD in December 2017 and included services purchased under contract actions with fiscal year 2016 invoiced amounts or obligations both above and below $3 million. In addition, the Air Force specifically identified purchases within each of the four service acquisition portfolio groups specified in OSD\u2019s inventory guidance. The Air Force reported approximately $14.6 billion in obligations with an estimated 73,400 contractor FTEs in its fiscal year 2016 inventory.", "A USD(AT&L) official stated that he used the information provided by the military departments and defense components to help create the inventory summary required by section 812 of the fiscal year 2017 NDAA. OSD submitted this inventory summary to Congress in February 2018. This official added that OSD will discuss whether changes in its guidance for the next inventory are needed to clarify what information the military departments and defense components should submit."], "subsections": []}, {"section_title": "Military Departments Have Not Developed Statutorily Required Plans and Continue to Make Limited Use of the Inventory to Inform Management Decisions", "paragraphs": ["The military departments generally have not developed plans to use the inventory to inform management decisions as required by subsection 2330a(e) of title 10 of the U.S. Code and OSD\u2019s inventory guidance. Further, manpower and budget officials said they make limited use of the inventory to inform strategic workforce planning, workforce mix, and budget decisions. This situation is similar to what we have found in our past work. Manpower and budget officials we spoke with stated the inventory is often too outdated to inform their decision-making, though the inventory provides a single source of certain types of information that are not readily available elsewhere. This limited use may also reflect, in part, the lack of accountable officials responsible for developing plans and enforcement mechanisms to use the inventory, as we recommended in November 2014."], "subsections": [{"section_title": "Military Departments Generally Have Not Developed Plans to Use the Inventory for Decision- Making", "paragraphs": ["Subsection 2330a(e) of title 10 of the U.S. Code, DOD Instruction 5000.74, and OSD\u2019s inventory guidance direct the military departments and defense agencies to use the inventory to inform workforce and budget decisions. When we last reported on this issue in October 2016, we identified 12 guidance documents from the military departments related to strategic workforce planning, workforce mix, and budget decisions. Our current work found that 14 documents, some of which are the same as what we reported in October 2016, make up the current set of military departments\u2019 guidance in these areas. Further, we found the degree to which these guidance documents require the use of the inventory in these areas is still minimal\u20143 of the 14 documents include requirements related to the inventory (see table 3).", "Two documents, the Army\u2019s July 2009 memorandum on civilian workforce management and the Army\u2019s March 2010 concept plan guidance, require the use of the inventory for insourcing plans to convert contracted activities to performance by government personnel. Air Force Instruction 38-201 on management of manpower requirements directs the Air Force manpower division to support the review of the inventory, but does not require its use for workforce mix decisions.", "As noted previously, in November 2014 we found that no single office or individual at the military departments was responsible for leading or coordinating efforts between the various functional areas to develop a plan to use the inventory to inform management decisions. As a result we recommended that the secretaries of the military departments identify accountable officials to do so. As of January 2018, the Army and Navy still had not named accountable officials responsible for developing plans and enforcement mechanisms to use the inventory for workforce and budget decisions, according to officials at those departments. Navy officials said they have not reached agreement on the appropriate managerial level of an accountable official. According to an Air Force official, the Air Force has named an official from the Program Executive Office for Combat and Mission Support to serve on an interim basis. We continue to believe this recommendation is valid and should be fully implemented."], "subsections": []}, {"section_title": "Military Departments Make Limited Use of the Inventory for Decision- Making", "paragraphs": ["Army manpower officials we interviewed stated that the inventory provided information that was not readily available elsewhere and the information collected in the inventory process may be useful for making workforce mix decisions. For example, Army manpower officials said the inventory provides a single source for information like the number of contractor FTEs, contractor labor hours and costs, the location of work performance, and the functions performed. Army officials said they can use this information to analyze cost factors and contract expenditures and compare them to in-house costs. In addition, Army officials noted the inventory provides information to address questions from Congress, DOD, and Army leadership about the number and cost of contractors, and that it is the only source of detailed data that supports analysis of the contractor workforce mix that is statutorily required. Comptroller, Navy, and Air Force officials added that they use information from the inventory to estimate the average number of contractor FTEs that are reported in DOD\u2019s annual budget request.", "However, representatives from the workforce and budgeting offices within the military departments we interviewed also noted that the inventory has limitations that hinder its use. These officials noted that the data reflected in the inventory are often too outdated to help inform strategic decisions that are usually made at the local level\u2014such as a specific military installation\u2014based on real-time data. For example, Air Force officials said that under the program objective memorandum (POM) process, the Air Force identifies future budget requests and workforce needs 2 years before the beginning of a fiscal year, whereas the most recent inventory data available may already be 2 years old when that process starts. To illustrate the issue, the officials noted that they were already planning for the 2020 POM in early fiscal year 2018, although the fiscal year 2016 inventory was not yet available. As a result, if the Air Force were to use inventory data to plan for the 2020 POM, they would have to rely on fiscal year 2015 inventory data.", "Air Force officials also said certain types of information that are useful for strategic planning, such as planned contracts for services and the scope and duration of the existing contracts, are not captured in the inventory process. Army officials had a similar perspective and said they do not use the inventory to plan for the POM because collecting data on past contracted services is not as relevant to estimating future requirements and funding needs.", "As part of Congress\u2019s efforts to inform DOD\u2019s management of its acquisition of contracted services, it enacted the inventory legislation. We concluded in January 2011 that the real benefit of the inventory process would ultimately be measured by its ability to inform management\u2019s decision-making. As noted above, we have made recommendations to help improve this decision-making, which we continue to believe should be fully implemented. DOD officials have also identified ways in which the inventory can be useful.", "Recent legislation and our prior work in other related areas have identified additional means through which DOD can manage its acquisitions of contracted services.", "In December 2017, the National Defense Authorization Act for Fiscal Year 2018 was enacted. Section 851 requires DOD to regularly analyze past spending patterns and anticipated future requirements for its procurement of services and use these analyses to inform decisions on the award of and funding for such service contracts.", "In August 2017, we found DOD had not fully implemented three key leadership positions that were intended to enable DOD to more strategically manage service acquisitions. We recommended the USD(AT&L) reassess the roles, responsibilities, authorities, and organizational placement of key leadership positions to help foster strategic decision-making and improvements in the acquisition of services. DOD concurred with our recommendation. In December 2017, the Deputy Secretary of Defense appointed a reform leader for service contracts and category management\u2014an approach intended to manage entire categories of spending across government for commonly purchased goods and services\u2014and established related reform teams to help ensure department-wide efficiency in contract spending.", "In February 2016, we found that DOD\u2019s and Congress\u2019s insight into future spending on contracted services was limited because DOD did not identify service contract spending needs beyond the current budget year. Although program offices generally kept track of their future service contract needs and estimated costs for 5 years out, they were not required to identify planned service contract spending beyond the budget year. We recommended that the military departments revise their programming guidance to collect information on how contracted services will be used to meet requirements beyond the budget year. DOD partially concurred with our recommendation, but noted that the volatility of requirements and each budget cycle constrain the department\u2019s ability to accurately quantify service contract requirements beyond the budget year. We agreed that requirements and budgets change over time, but our work showed that the needed data already exists and is not captured in such a way to inform senior leadership on future service contract spending. We continue to believe that implementing this recommendation will assist the department in gaining better insight into contracted service requirements and enable more strategic decisions about the volume and type of services it plans to acquire."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We are not making new recommendations in this report. We provided a draft of this report to DOD for comment. In its written comments, which are reprinted in appendix I, DOD stated that it remains committed to improving its processes for collecting, analyzing, and reporting contracted services data. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; the Under Secretary of Defense for Personnel and Readiness; the Under Secretary of Defense for Acquisition and Sustainment; and the Under Secretary of Defense (Comptroller). In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Katherine Trimble (Assistant Director); Brenna Derritt (Analyst-in-Charge); Pete Anderson; Dennis Antonio; Vincent Balloon; Lorraine Ettaro; Gina Flacco; Kristine Hassinger; and Julia Kennon made significant contributions to this review."], "subsections": []}]}], "fastfact": ["DOD spends billions of dollars on contracted services for tasks such as IT support, but it has struggled for years to effectively manage the range of services DOD buys. To build a full picture of purchases and make strategic decisions about them, it's required to compile an ongoing inventory of these purchases.", "We found that DOD continues to make limited use of the inventory. We have made 18 recommendations in the past on how to improve or better use the inventory, most of which have been implemented. However, military departments generally have not developed plans to use the inventory for workforce and budget decisions."]} {"id": "GAO-18-127", "url": "https://www.gao.gov/products/GAO-18-127", "title": "Auto Recalls: NHTSA Should Take Steps to Further Improve the Usability of Its Website", "published_date": "2017-12-04T00:00:00", "released_date": "2017-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The number of vehicles affected by safety defect recalls increased sharply in recent years\u2014from nearly 13 million in 2011 to over 51 million in 2016. Once a defect is identified, auto manufacturers are required to send written notification to vehicle owners by mail. NHTSA also aims to enhance awareness of auto recalls by providing information on its website, NHTSA.gov .", "The Fixing America's Surface Transportation Act includes a provision requiring GAO to study the use of publicly available safety recall information. This report addresses: (1) how consumers and industry stakeholders use such information and (2) how easy to use do consumers find the auto recall areas of NHTSA.gov, among other objectives. To understand consumers' use of auto recall information and to test website usability, GAO conducted 12 focus groups with 94 consumers who had a recall. Focus groups were held in six locations selected for population and geographic variation. GAO identified key website usability practices and requested an evaluation by website usability professionals. GAO reviewed statutes, regulations, and NHTSA documents, and interviewed industry stakeholders\u2014including 10 manufacturers selected based on sales market share and other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["Consumers, manufacturers, and auto dealers use publicly available auto recall information differently. For example, the 94 consumers in 12 focus groups that GAO conducted used this information to decide whether to repair their vehicles. These consumers overwhelmingly cited safety risk and convenience as the two most influential factors they considered. Most consumers reported a preference for receiving recall notification by at least one electronic means, such as by e-mail or text message, in addition to mail. However, only 7 of 94 consumers reported receiving electronic notifications, suggesting a gap between the industry's auto recall notification practices and consumers' preferences. (See fig.). In response to a mandate in law, in September 2016, the National Highway Traffic Safety Administration (NHTSA) issued a proposed rule that, if finalized, would require manufacturers to notify consumers about auto recalls by electronic means in addition to mail.", "Most consumers in GAO's focus group website usability tests found the auto recall areas of NHTSA's website\u2014NHTSA.gov\u2014easy to use; however, some consumers experienced difficulties when asked to complete auto recall related tasks. For example, when consumers attempted to search for recalls affecting their specific vehicles, some found the search results confusing, leading them to question the accuracy of the results. Similarly, some consumers were hampered in searching for recalls by their vehicles' year, make, and model because the website did not always display model options using plain language. GAO found that the auto recall areas of NHTSA.gov do not always reflect federal and industry key website usability practices, and that an independent evaluation conducted by website usability professionals at GAO's request identified similar issues. NHTSA is in the process of consolidating its websites and plans to conduct a website usability study of NHTSA.gov with consumers after the consolidation is complete. However, the agency has not determined a completion date for the consolidation effort\u2014an essential step for organizations to effectively guide their information technology efforts. Without establishing a completion date and taking interim steps to improve the usability of NHTSA.gov, consumers will likely continue to experience difficulties, which may limit the effectiveness of the website's primary means of providing consumers with information about recalls affecting their vehicles."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NHTSA determine a completion date for its website consolidation effort and take interim steps to improve the usability of NHTSA.gov by addressing the website usability difficulties GAO identified. The Department of Transportation concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The number of vehicles affected by safety defect vehicle recalls (auto recalls) has increased dramatically in recent years\u2014rising from nearly 13 million in 2011 to over 51 million in 2016. This increase is driven in part by several large-scale recalls, such as the ongoing recall of 34 million vehicles with defective Takata air bag inflators that have caused at least 13 deaths and more than 220 injuries in the United States.", "Auto recalls seek to address a wide variety of safety risks, such as wiring system problems that may result in vehicle fires or windshield wiper assemblies that fail to operate properly. When safety defects are identified, auto manufacturers are required to notify consumers and remedy (repair) the problem without charge. The National Highway Traffic Safety Administration (NHTSA) monitors the percentage of defective vehicles that manufacturers ultimately remedy (completion rates). However, according to NHTSA\u2019s Strategic Plan 2016\u20132020, auto recall completion rates are unacceptably low, leaving vehicles with potentially deadly safety defects on the road. In calendar year 2014\u2014the latest year for which data are complete\u201467 percent of recalled light vehicles had been remedied. NHTSA aims to enhance the public\u2019s awareness of auto recalls and improve completion rates by, for example, providing information on its website, NHTSA.gov The Fixing America\u2019s Surface Transportation Act (FAST Act) requires GAO to study the use of publicly available safety recall information. This report addresses the following objectives: (1) How do consumers and industry stakeholders use publicly available auto recall information? (2) How easy or difficult to use do consumers find the auto recall areas of NHTSA.gov? (3) What steps, if any, has NHTSA taken to raise consumer awareness about auto recalls and how has NHTSA evaluated the effectiveness of these steps?", "For purposes of this report we define publicly available auto recall information to include information on the auto recall areas of NHTSA.gov, such as examples of notification letters that manufacturers mail to consumers. This report focuses on safety defect vehicle recalls affecting passenger vehicles that are initiated when a defect in a vehicle or vehicle equipment creates an unreasonable safety risk, as determined by NHTSA or a manufacturer.", "To inform the first two objectives, we conducted 12 focus groups with new and used vehicle owners who had experienced an auto recall in the last 24 months. Each focus group was split into two sessions: (1) a discussion session to explore participants\u2019 thoughts, experiences, and preferences about auto recall information and (2) a session to test the usability of the auto recall areas of NHTSA.gov. We conducted focus groups at six locations across the country to provide population and geographic dispersion, with each group including 7 or 8 consumers for a total of 94 participants. Half of the focus groups were comprised of consumers who had completed the repair and the remaining half included consumers who had not completed the repair. We selected focus group participants based on age, income, gender, education level, race, and ethnicity to ensure we collected a range of perspectives.", "We evaluated transcripts of each focus group session using systematic content analysis to identify how consumers used auto recall information and to evaluate how easy or difficult consumers found the auto recall areas of NHTSA.gov to use.", "We also analyzed participants\u2019 responses to the questionnaires we administered for each session to quantify responses regarding how consumers used auto recall information\u2014including how they received and preferred to receive auto recall notifications\u2014and participants\u2019 assessments of NHTSA.gov\u2019s usability while performing certain auto recall tasks on the website.", "Since we did not select a representative sample of participants, the results of our focus group analyses are not generalizable to all vehicle owners.", "To determine how industry stakeholders use auto recall information, we interviewed representatives from 10 auto manufacturers, selected based on each manufacturer\u2019s sales market share, place of ownership, and experience with auto recalls, collecting a range of perspectives on how manufacturers use auto recall information. We also interviewed four franchised dealerships and three independent auto dealerships across the country. The results of these interviews are not generalizable to all auto manufacturers and dealerships, but provide insights about how some industry stakeholders use auto recall information. To understand NHTSA\u2019s role in the auto recall process as well as that of other stakeholders, we also interviewed NHTSA program officials, industry groups, and consumer associations, among others.", "To evaluate how easy or difficult consumers find the auto recall areas of NHTSA.gov to use, we first analyzed guidance documents from NHTSA and other federal agencies to identify key website usability practices. For example, we analyzed the General Services Administration\u2019s (GSA) and the Department of Health and Human Services\u2019 Research-Based Web Design & Usability Guidelines, which includes quantified, peer-reviewed guidelines intended to help federal agencies improve the design and usability of their information-based websites. In addition, we reviewed federal standards for internal control related to communicating quality information externally. During our usability testing sessions, we asked consumers to attempt to complete auto recall tasks\u2014the primary means NHTSA.gov provides for consumers to access information about auto recalls affecting their vehicles\u2014and discuss their experiences. We then compared consumers\u2019 experiences with the usability of the website against these practices. To corroborate the results of our usability testing sessions, we also requested that five website usability professionals from GSA\u2019s Federal User Experience Community conduct an independent evaluation of the auto recall areas of NHTSA.gov.", "To determine any steps NHTSA has taken to raise consumer awareness about auto recalls and how NHTSA evaluates the effectiveness of any steps, we reviewed relevant statutes, regulations, and agency documents, such as NHTSA\u2019s strategic planning and performance reports. We reviewed performance management practices as provided in the Government Performance and Results Act of 1993 (GPRA), the GPRA Modernization Act of 2010, and standards for internal control in the federal government to identify any opportunities for improvement. We also interviewed responsible agency officials and discussed NHTSA\u2019s public awareness efforts during interviews with industry stakeholders (described above). We analyzed the results of these interviews along with the focus group discussions to identify perspectives on the effectiveness of NHTSA\u2019s public awareness steps. See appendix I for more information on our objectives, scope, and methodology, including the organizations we interviewed for this engagement.", "We conducted this performance audit from October 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Safety defect vehicle recalls (auto recalls) are initiated when a defect in a vehicle or vehicle equipment creates an unreasonable safety risk, as determined by NHTSA or a manufacturer. After a recall is initiated, manufacturers are required to provide written notification to vehicle owners via First-Class Mail within 60 days and remedy the defect. Franchised dealers\u2014which sell or lease an auto manufacturer\u2019s new vehicles\u2014perform the recall remedy.", "Before manufacturers send recall notification letters to affected vehicle owners, NHTSA reviews draft letters and envelopes to ensure they include required information about the safety defect. Required information includes, among other things, a clear description of the safety defect, an evaluation of the risk to vehicle safety, and a statement that the manufacturer will remedy the defect without charge. See appendix II for an example of a notification letter.", "The number of vehicles affected by safety defect vehicle recalls has increased dramatically since 2011 (see fig. 1). The increase reflects, in part, several large-scale recalls. For example, in 2014, General Motors initiated a recall of over 8 million vehicles with faulty ignition switches. Similarly, according to NHTSA in 2014 and 2015, some passenger vehicle manufacturers began recalling Takata air bag inflators, recalls that have grown to include approximately 34 million vehicles and 19 auto manufacturers. For the Takata recall, NHTSA issued various orders and established a Coordinated Remedy Program under which the agency oversees the supply of remedy parts and risk-based prioritization of vehicles for repair, and manages related recalls with the assistance of an Independent Monitor. The Independent Monitor assesses compliance with the applicable orders issued by NHTSA and makes recommendations aimed at enhancing the remedy program.", "According to NHTSA\u2019s Strategic Plan 2016\u20132020, this unprecedented recall activity encouraged the agency to improve its system for identifying and addressing defective vehicles. For example, the plan states that NHTSA\u2019s \u201cvision is to achieve a 100-percent completion rate for every recall by improving communication at every level, at every step of the way.\u201d Thus, according to the plan, NHTSA and the auto industry have committed to identifying and implementing effective strategies to inform consumers of safety defects and envision that their coordination will bolster recall efforts to improve completion rates.", "NHTSA reported that annual completion rates for passenger vehicle recalls have remained relatively flat, ranging from 63 to 67 percent between calendar year 2011 and calendar year 2014. See appendix III for completion rates by vehicle component and vehicle type. In part, to improve communication and encourage consumers to complete repairs, NHTSA and manufacturers provide auto recall information to the public on their websites. For example, certain motor vehicle manufacturers are required to allow consumers to search a vehicle\u2019s recall remedy status on the Internet using the vehicle identification number (VIN). NHTSA also provides publicly available auto recall information on its website, including examples of recall notification letters.", "In December 2016, NHTSA began consolidating its websites into NHTSA.gov to provide a single access point for its auto recall content. One of these websites, safercar.gov, was once NHTSA\u2019s primary method of communicating auto recall information to consumers; however, the agency is in the process of moving this information to NHTSA.gov. NHTSA\u2019s Strategic Plan 2016\u20132020 states that the agency wants NHTSA.gov to be a comprehensive user-friendly platform that serves as the premier source of vehicle safety information by, for example, improving the website\u2019s search capabilities. NHTSA also aims to encourage consumers to use its website\u2019s auto recall information through its communications program.", "NHTSA\u2019s Office of Communications and Consumer Information (OCCI) is the primary office responsible for implementing the agency\u2019s public communication efforts. OCCI intends to increase public engagement with the agency\u2019s information through its social media channels, such as Instagram, Twitter, and Facebook. The amount OCCI obligated to support the agency\u2019s auto recall efforts has increased from nearly $.5 million in fiscal year 2011 to about $2.5 million in fiscal year 2016. According to NHTSA officials, these obligations supported various efforts, including public awareness campaigns, an auto recall hotline, advertising agencies, exhibits at auto shows, and NHTSA\u2019s mobile application."], "subsections": []}, {"section_title": "Auto Recall Information Use Varies, and Most Consumers in Focus Groups Preferred Electronic Recall Notifications in Addition to Mail", "paragraphs": [], "subsections": [{"section_title": "Consumers in Our Focus Groups Primarily Considered Safety Risk and Convenience when Using Auto Recall Information to Make Repair Decisions", "paragraphs": ["As part of our focus group discussion sessions, consumers selected safety risk and convenience as the two most influential factors they considered when using auto recall information to decide whether to complete repairs.", "All factors considered: During each session, we first asked consumers to describe all the factors they considered. Across the sessions, consumers shared a wide variety of factors including availability of a loaner vehicle, time to schedule and complete the repair, safety risk, and other factors. For example, some consumers had not yet repaired their vehicles because they were \u201cjust waiting\u201d for parts to become available. Other consumers considered their previous customer service experiences at the franchised dealership or the distance they would need to travel to complete the repair. For example, one consumer at our rural focus group location told us it would take roughly 2 hours to reach the dealership\u2019s repair shop.", "Most influential factors considered: After the discussion of all factors, we then asked each consumer to select the single most influential factor they considered. Consumers in the sessions overwhelmingly selected safety risk and convenience as the two most influential factors (see table 1).", "More than half of consumers in our focus group discussion sessions selected safety risk as the most influential factor they considered when making repair decisions. They told us that their perception of the risk influenced whether or not they repaired their vehicle. For instance, some consumers stated that they completed repairs immediately, because the risks \u201csounded serious\u201d or that they considered the defect a \u201csafety concern.\u201d Conversely, some consumers said they did not complete the repairs because the defect \u201cdidn\u2019t sound very urgent.\u201d", "While each recall notification letter is required to include an evaluation of the risk to vehicle safety reasonably related to the defect, consumers in our focus group sessions shared mixed opinions about the quality and clarity of safety risk information included in the notification letter they received. For example, some consumers told us the letter\u2019s safety risk information seemed vague. For instance, one consumer told us the letter\u2019s description of the safety defect did not clearly state the chances of an increased risk of injury and so he \u201chad to figure out on his own.\u201d In addition, some consumers commented that the safety risk information could be more prominent in the notification letter, that the letter could emphasize the severity of the risk, or that the letter could describe the risk in simpler language. However, other consumers stated the notification letter they received adequately described the recall\u2019s safety risk. In June 2011, we recommended that NHTSA modify the requirements for defect notification letters to include additional information to obtain readers\u2019 attention. In 2013, NHTSA responded to our recommendation by requiring manufacturers to include the statement \u201cIMPORTANT SAFETY RECALL\u201d at the top of auto recall notification letters.", "Focus Group Participant\u2019s Comment \u201cI don't want to be without a car for half the day or stay with my kids all day.\u201d", "Consumers in our focus group discussion sessions selected convenience as the second most influential factor they considered in making repair decisions. While some consumers described the \u201chassle\u201d of the repair and being \u201ctoo busy\u201d to schedule and fix the defect, other consumers told us they repaired their vehicles more easily because, for example, they could take advantage of previously scheduled service appointments to also repair the defect. Also, some consumers in our sessions stated that the letter or notification they received could better address the inconvenience of the recall, for example by including better estimates of how long repairs might take. In addition, some consumers recommended the letter include options for scheduling needed repairs.", "As we discuss later in the report, NHTSA officials told us they continue to work with auto manufacturers to identify ways to encourage consumers to complete needed repairs, while representatives from some manufacturers we met with described specific steps they have taken to address some of the inconveniences consumers may experience in completing repairs. For example, one manufacturer facilitated a pilot program for a third-party service provider in conjunction with dealers to repair vehicles at the owner\u2019s home or place of work, while another manufacturer told us they work with individual dealers to hold events specifically for recall repairs when consumers can come in to have repairs performed after normal business hours."], "subsections": []}, {"section_title": "Industry Stakeholders\u2019 Use of Publicly Available Auto Recall Information Varies", "paragraphs": ["Industry stakeholders\u2019 use of auto recall information varies because these stakeholders play different roles in the auto recall process. Auto manufacturers are primarily responsible for providing auto recall information to the public and others, including NHTSA and auto dealers. Franchised dealers are responsible for performing the recall remedy for manufacturers and therefore use manufacturer-provided information for that purpose. Specifically, all of the franchised dealers we interviewed told us they identify recalls on new vehicles in their inventory primarily by accessing auto recall information through internal manufacturer databases. These franchised dealers may also use information from third-party providers or publicly available auto recall information on NHTSA\u2019s website to identify recalls affecting used vehicles.", "Independent dealers\u2014which are not generally authorized by manufacturers to perform recall remedies\u2014may use publicly available auto recall information to identify open recalls. Specifically, 2 of the 3 independent dealers we met with told us they use NHTSA\u2019s VIN look-up tool to search for open recalls affecting vehicles in their inventory before selling them to consumers. However, these dealers told us that the current design of the tool takes too much time to use, because it requires users to search each VIN individually. For example, one dealer told us each search took about 15 seconds to perform, resulting in significant time and cost because the dealership has tens of thousands of vehicles in its inventory. These dealers told us being able to search multiple VINs in a single search (i.e., VIN-batch search) could save them time or money.", "Representatives from the Alliance of Automobile Manufacturers stated they\u2014in coordination with other industry stakeholders\u2014are working with a third-party provider to develop a search tool that would address this concern by enabling VIN-batch searches for use by government agencies, such as state departments of motor vehicles, and commercial entities. The group anticipates the tool will be available in the first half of 2018."], "subsections": []}, {"section_title": "Most Consumers in Our Focus Groups Prefer to Receive Recall Notification by Electronic Means in Addition to Mail", "paragraphs": ["Although the vast majority of consumers who participated in our focus group discussion sessions reported a preference to receive auto recall notification by mail, most preferred to receive notifications by at least one additional electronic means such as e-mail, phone calls, and text messages. Eighty of the 94 consumers in our sessions reported a preference for receiving notification by mail, and all but 4 reported actually receiving mailed notification (see fig. 2). However, 69 of the 94 consumers in our sessions also reported a preference for receiving recall notification by electronic means, but only 7 reported actually receiving at least one type of electronic notification. This result suggests a gap between industry recall notification practices and notification preferences for most consumers in our focus groups, especially for younger consumers who were more likely to report a preference for notification by electronic means. For complete results of the questionnaire we administered to consumers for the discussion session, see appendix IV. As we discuss later in this report, in September 2016, NHTSA issued a Notice of Proposed Rulemaking (NPRM) that proposes to require auto manufacturers to notify consumers about auto recalls by electronic means in addition to First-Class Mail. NHTSA officials told us the agency is working with the administration on NHTSA\u2019s regulatory portfolio and priorities, including this rulemaking.", "Some manufacturers told us they use additional methods to reach consumers, including notifying consumers by electronic means and translating recall information into Spanish. For example, representatives from one manufacturer told us they always notify consumers by e-mail before sending out the required First-Class Mail letter notification. These representatives told us using multiple recall notification means resulted in higher recall completion rates. In addition, eight of the remaining nine manufacturers told us they use supplemental electronic means notification on a case-by-case basis\u2014generally using additional means to improve recall completion rates\u2014while four manufacturers stated they consider safety risk severity when deciding when or how to use additional notification means for individual recalls. Also, representatives from 3 of the 10 manufacturers we spoke with told us they translate the entire mailed notification letter into Spanish."], "subsections": []}]}, {"section_title": "Most Consumers in Focus Groups Found the Auto Recall Areas of NHTSA.gov Generally Easy to Use, but Some Experienced Difficulties", "paragraphs": [], "subsections": [{"section_title": "Usability Testing with Consumers Found the Auto Recall Areas of NHTSA\u2019s Website Generally Easy to Use", "paragraphs": ["In late 2016, NHTSA launched its redesigned NHTSA.gov website, including the auto recall areas consumers assessed during our testing sessions. According to responses to a questionnaire we administered during our testing sessions, 78 of the 94 consumers found the auto recall areas of NHTSA.gov either \u201csomewhat\u201d or \u201cvery easy\u201d to use (see fig. 3). See appendix V for complete participant responses to the questionnaire we administered to each consumer.", "To inform the development of the redesigned website, NHTSA worked with a contractor to conduct a usability study in 2015 to evaluate users\u2019 reactions to the agency\u2019s websites, including NHTSA.gov. According to agency officials, NHTSA implemented several changes based on the findings from the usability study, including: the creation of a dedicated \u201crecalls\u201d area of NHTSA.gov, and the ability for users to access the VIN look-up tool in three different ways\u2014on the homepage, in the \u201crecalls\u201d area, and through direct links either in a NHTSA e-mail for subscribers or from an external website.", "In addition, NHTSA officials told us that Department of Transportation (DOT) and NHTSA staff meet as needed to discuss the website and consider improvements. For example, the officials said they monitor user searches for the relevance and accuracy of results and adjust the search software to better assist users in finding auto recall information. Officials also told us the agency collects a variety of other information about how visitors use NHTSA.gov, including how visitors access the website, and makes adjustments accordingly. For instance, NHTSA incorporated responsive web design as part of the agency\u2019s ongoing consolidation effort\u2014meaning the site is optimized for viewing on desktop, tablet, and mobile devices. In addition to monitoring searches and how visitors access NHTSA.gov, NHTSA officials told us they collect and consider online survey data to make website improvements and use web-analytic software to monitor, for example, where visitors choose to exit the website. Officials stated that such monitoring activities have allowed NHTSA to identify and correct problems with NHTSA.gov.", "We did not directly evaluate the accessibility of the auto recall areas of NHTSA.gov to ensure the ability of people with physical or mental disabilities to use the website. However, NHTSA officials provided us with an overview of several steps the agency takes to ensure NHTSA.gov complies with website accessibility requirements. For example, according to officials, NHTSA subscribes to a service that provides monthly accessibility scans of the agency\u2019s websites."], "subsections": []}, {"section_title": "Consumers in Our Focus Groups Identified Opportunities to Improve the Usability of Certain Auto Recall Tasks on NHTSA\u2019s Website", "paragraphs": ["While most consumers in our usability testing sessions generally found the auto recall areas of NHTSA\u2019s website easy to use, some consumers experienced difficulties completing tasks we asked them to perform (see table 2). Specifically, during each testing session we asked participants to perform tasks using the primary means NHTSA.gov provides for consumers to access information about auto recalls affecting their vehicles: searching for auto recalls using their vehicle\u2019s VIN; searching for auto recalls using their vehicle\u2019s year, make, and model; and locating NHTSA\u2019s auto recall notification e-mail subscription service.", "In addition, an evaluation we requested to corroborate the results of our consumer usability testing, identified similar issues. As discussed below, consumers experienced these difficulties because the auto recall areas of NHTSA.gov do not always reflect federal and industry key website usability practices, which describe standards and guidelines for making websites easy to use. Following such practices can assist agencies in creating quality websites while providing the flexibility necessary to meet organizational needs. Website usability is particularly important for agencies, such as NHTSA, that are responsible for conveying safety information to the public. Federal standards for internal control state that agencies should communicate quality information externally and select appropriate methods for communicating with the public.", "While most consumers in our usability testing sessions found searching for recalls by VIN somewhat or very easy, some consumers found the search results did not provide the information they were seeking. When we asked consumers to perform VIN searches, they generally found the VIN look-up tool easy to use\u201488 of 94 consumers found searching with a VIN either somewhat or very easy. But some consumers experienced difficulties performing this task. Specifically, some consumers who had had their vehicles repaired expected to find the completed recall on the search results page. However, they were confused because the page is designed to display only open (i.e., unrepaired) recalls, not completed (i.e., repaired) recalls\u2014leading these consumers to question the accuracy of the results. In addition, the evaluation conducted by website usability professionals found that, when an error occurred during a VIN search, the error message was too difficult to locate on the search results page. The evaluation recommended the error message have greater weight and more prominence on the page.", "Federal key website usability practices state that agencies should ensure that results of user searches provide the precise information being sought, and in a format matching users\u2019 expectations. When users are confused by search results, or do not immediately find what they are searching for, they become frustrated and may abandon the search or the website entirely. Since NHTSA launched the VIN look-up tool in August 2014, the number of VIN searches performed has increased (see fig. 4). According to NHTSA officials, major increases occurred in mid-2015\u2014 when the Takata air bag inflator recalls were announced\u2014and in early 2017, when NHTSA made the VIN look-up tool search function available on NHTSA.gov and displayed it prominently on the website. Ensuring the usability of NHTSA\u2019s VIN look-up tool is particularly important because it is the only way on NHTSA.gov for a consumer to determine whether their specific vehicle has an open safety recall.", "Recall Search Using Vehicle Year, Make, and Model Some consumers\u2019 vehicle year, make, and model searches were hampered by the information required to conduct an accurate search, as the content on the website is not always in plain language. We asked consumers to perform a recall search using their vehicles\u2019 year, make, and model, and 78 of 94 consumers found the task to be either somewhat or very easy. However, some consumers found that they did not know enough information about their specific vehicles to feel confident that they were searching for the correct vehicle. For example, a year, make, and model search for a 2009 Toyota Tacoma may ask the consumer to choose among vehicle options, including \u201c2009 TOYOTA TACOMA REGULAR CAB W/SAB RWD/AWD.\u201d Acronyms such as \u201cW/SAB\u201d\u2014 which stands for \u201cwith side air bags\u201d\u2014may be confusing to consumers.", "Federal key website usability practices state that federal agencies should write website content using plain language, so website visitors can easily find and use what they need.", "Focus Group Participant\u2019s Comment \u201cI think [the Recall Notification E-mail System Sign-Up is] poorly placed. I had to scroll to find it. I had to search for it. You want at the top .\u201d", "Recall Notification E-mail System Sign-Up Some consumers suggested improvements to make the Recall Notification E-mail System Sign-Up easier to locate on the homepage. NHTSA first made its Recall Notification E-mail System Sign-Up available in March 2008. Of the 94 consumers in our testing sessions, 66 found it either \u201csomewhat\u201d or \u201cvery easy\u201d to find the Recall Notification E-mail System Sign-Up\u2014making this the least easy of the three tasks we asked consumers to perform. Specifically, several consumers said the Recall Notification E-mail System Sign-Up should include a clearer description, be easier to find, and be located at the top of the homepage (see fig. 5). These improvements are particularly important because some consumers in our focus group sessions told us that the ability to sign up for auto recall e-mail notifications was the most useful part of the auto recall areas of NHTSA.gov.", "The website evaluation conducted by website usability professionals recommended that NHTSA streamline its homepage with more of a focus on primary website tasks. The evaluation also found that users must move through too many pages to sign up for recall e-mails.", "Federal key website design and usability practices state that agencies should put important items closer to the top of the page, where users can better locate the information. Key practices also state that agencies should design their websites so users can successfully complete the most common tasks in the fewest number of steps.", "The website usability difficulties that consumers in our focus groups experienced may be due to the fact that NHTSA has not studied the website\u2019s usability since the agency redesigned NHTSA.gov in late 2016 and, therefore, may have been unaware of these difficulties prior to our review. NHTSA plans to conduct a website usability study with consumers after the consolidation effort, discussed above, is complete. However, NHTSA could not provide a general time frame for conducting the study because it has not yet determined when the consolidation effort will be complete. We have previously reported that it is essential for organizations to effectively guide their information technology efforts by establishing timelines to complete them, among other strategic planning best practices. Without establishing a completion date for its website consolidation effort, the website usability difficulties we identified may persist and limit the effectiveness of NHTSA\u2019s primary means of providing consumers with safety recall information about their vehicles on NHTSA.gov."], "subsections": []}]}, {"section_title": "NHTSA Has Initiated Activities to Raise Consumer Awareness about Recalls, but It Is Too Early to Evaluate the Agency\u2019s Efforts Public Awareness Campaign", "paragraphs": ["In January 2016, NHTSA launched a national advertising campaign encouraging consumers to check for open recalls using the agency\u2019s VIN and year, make, and model look-up tools. Through March 2017, NHTSA spent about $1 million on its Safe Cars Save Lives campaign, which sponsors advertisements on Google, Facebook, and other media platforms. For example, Google might place NHTSA\u2019s advertisement above other search results, when a consumer typed certain keywords\u2014 such as \u201crecall,\u201d \u201cairbag recalls,\u201d or \u201csafercar.gov\u201d\u2014into the search.", "NHTSA evaluated the campaign\u2019s effectiveness by monitoring website traffic performance reports to determine how frequently consumers clicked on NHTSA-sponsored advertisements and ultimately searched for open recalls using the agency\u2019s look-up tools. NHTSA also compared results across media platforms and adjusted the campaign\u2019s strategy to improve performance. For example, NHTSA optimized advertisements on mobile devices, since mobile-device users performed more recall searches than other users. According to NHTSA data, the awareness campaign resulted in consumers performing 1.1 million recall searches through March 2017\u2014a cost of about $0.90 per search. Agency data indicate that this cost generally decreased as NHTSA improved the campaign\u2019s strategy. Agency officials told us NHTSA plans to spend another approximately $1.8 million on Safe Cars Save Lives from September 2017 through September 2018 due to the campaign\u2019s effectiveness in raising the public\u2019s awareness about auto recalls."], "subsections": [{"section_title": "Pilot Program with States", "paragraphs": ["NHTSA began implementing a mandated 2-year pilot grant program intended to evaluate the feasibility and effectiveness of informing consumers about open auto recalls during state vehicle registration. In September 2016, NHTSA solicited applications to participate in the program, wherein selected states would inform consumers\u2014at no charge\u2014about open recalls using all means that permit consumers to register vehicles within the state (e.g., in person, Internet, and mail).", "According to NHTSA, only one state applied for the grant. In September 2017, NHTSA awarded the sole applicant $223,000.", "Under the program, the grantee needs to collect and report program performance data, including the extent to which open recalls have been identified and repaired. In addition, the grantee must report whether certain notification means were more effective than others and what could be done to improve the program. Upon completion of the pilot program, NHTSA is required to evaluate the extent to which open recalls identified have been remedied. Auto manufacturers we met with were generally supportive of the program. Specifically, representatives from 9 of the 10 manufacturers told us that notifying consumers about open recalls during vehicle registration can raise consumer awareness or improve recall completion rates."], "subsections": []}, {"section_title": "Proposed Rulemaking", "paragraphs": ["In September 2016, NHTSA issued a Notice of Proposed Rulemaking (NPRM), which proposes to require auto manufacturers to notify consumers about open recalls by electronic means\u2014such as e-mails, phone calls, and text messages, in addition to First-Class Mail. As we described earlier, auto manufacturers are currently required to notify consumers about safety recalls affecting their vehicles via First-Class Mail. According to NHTSA, the NPRM aims to aid in efficiently and effectively improving recall completion rates, by proposing that manufacturers provide notification using electronic means in addition to First-Class Mail.", "Consumers in our focus groups as well as auto manufacturers and consumer associations we interviewed generally supported additional notification using electronic means.", "Consumers in our focus groups: As we discussed earlier, 69 of the consumers in our focus group discussion sessions reported they would prefer to receive additional notification by at least one type of electronic means. However, only 7 consumers actually received such notifications\u2014suggesting a gap between industry notification practices and notification preferences for these consumers.", "Auto manufacturers: Representatives from 9 of 10 manufacturers we interviewed told us they generally support providing notification using electronic means. Although the NPRM proposes a broad definition of electronic means to give manufacturers flexibility to determine the most effective means, these representatives also shared implementation concerns. For example, representatives from 1 of the 9 manufacturers told us that\u2014although the company collects e- mail addresses from some customers for other purposes\u2014not all customers provide e-mail addresses, and those collected are not always accurate. As we discussed previously, most manufacturers we met with currently use supplemental electronic means notification on a case-by-case basis.", "Consumer associations: Similarly, both consumer associations we interviewed told us additional electronic notification can help reach consumers who do not complete repairs after receiving initial mailed notification.", "NHTSA\u2019s proposal would maintain manufacturer reporting requirements, though it may result in additional reporting. This additional information could help the agency evaluate the effectiveness of various means of consumer notification. We previously found that NHTSA may be able to use manufacturers\u2019 data to identify what factors make some recalls more or less successful than others. We recommended that NHTSA use the recall data it collects to analyze particular patterns or trends that may characterize successful recalls and determine whether these factors represent best practices.", "If the NPRM is finalized, manufacturers would provide NHTSA with representative copies of the newly required electronic notifications, in addition to mailed notifications, and would specify the electronic means used, such as e-mail or text message. According to NHTSA officials, this information could allow the agency to track and evaluate the effectiveness of various notification means used by manufacturers by, for example, comparing completion rates across means\u2014a key step in identifying best practices that could encourage consumers to complete repairs. However, it is too early for NHTSA to conduct such an evaluation, because the agency has not issued a final rule. NHTSA officials told us the agency is working with the administration on NHTSA\u2019s regulatory portfolio and priorities, including this rulemaking."], "subsections": []}, {"section_title": "Collaboration with Stakeholders", "paragraphs": ["NHTSA has also taken steps to collaborate with industry stakeholders and explore consumer education best practices. For example, in April 2015 NHTSA hosted a day-long workshop that brought together auto industry stakeholders to examine public education of the recall process. During the workshop, participants identified current barriers to the public\u2019s awareness of auto recalls and discussed potential solutions to address them, such as using text messages and social media to communicate with younger consumers and using different delivery methods for recall notices. Similarly, in January 2016 NHTSA and 18 auto manufacturers adopted a set of Proactive Safety Principles to explore and employ new ways to increase safety recall participation rates. For example, NHTSA and auto manufacturers agreed to share industry best practices and policies based on lessons learned from ongoing safety recalls.", "The Independent Monitor of Takata in conjunction with NHTSA has also issued a set of coordinated communications recommendations based on consumer research, best practices observed during the Takata recall, and discussions with manufacturers. For example, the recommendations encourage manufacturers to: pursue a \u201cmulti-touch\u201d communications strategy that employs non- traditional means, such as e-mail and text messages; convey risk in clear, accurate and urgent terms; and include a clear \u201ccall to action\u201d designed to facilitate prompt and efficient scheduling of repairs.", "According to NHTSA officials, the agency relies on auto manufacturers to evaluate the effectiveness of these efforts. However, agency officials told us NHTSA reviews manufacturers communication plans as part of the Takata recall\u2019s Coordinated Remedy Program and provides ongoing recommendations on manufacturers\u2019 communication language, approach, and strategies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["With the recent steep increase in safety defect vehicle recalls and continued low recall completion rates, it is vital for consumers to be able to easily access and use publicly available auto recall information.", "NHTSA has taken important steps to improve its website\u2014which provides safety recall information to consumers\u2014resulting in most consumers in our focus groups finding the website easy to use. However, the difficulties some experienced in attempting to complete essential auto recall tasks demonstrated that NHTSA.gov does not always reflect key website usability practices for website design. Although NHTSA plans to conduct a website usability study with consumers after consolidating its websites, it has not determined a completion date for this effort\u2014an essential step for organizations to effectively guide their information technology efforts. Without such a date, the website usability difficulties may persist and limit the effectiveness of NHTSA.gov in providing consumers with recall information about their vehicles. By addressing these difficulties in the interim, NHTSA can better assure that consumers obtain this information, which can be vital to their safety."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to NHTSA: The Administrator of NHTSA should determine a completion date for the agency\u2019s website consolidation effort. (Recommendation 1)", "The Administrator of NHTSA should, while the agency continues its website consolidation effort, take interim steps to improve the usability of the auto recall areas of NHTSA.gov by addressing the website usability difficulties we identified. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT for review and comment. In its written comments, reproduced in appendix VI, DOT stated that it concurred with our recommendations. The department also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to relevant congressional committees, the Secretary of Transportation, and the Administrator of NHTSA. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the use of publicly available auto recall information for safety defects affecting passenger vehicles. The report addresses the following objectives: (1) How do consumers and industry stakeholders use publicly available auto recall information? (2) How easy or difficult to use do consumers find the auto recall areas of NHTSA.gov? (3) What steps, if any, has the National Highway Traffic Safety Administration (NHTSA) taken to raise consumer awareness about auto recalls and how has NHTSA evaluated the effectiveness of these steps?", "We define publicly available auto recall information to include information on the auto recall areas of NHTSA.gov, such as examples of notification letters that manufacturers mail to consumers. This report focuses on safety defect vehicle recalls affecting passenger vehicles that are initiated when a defect in a vehicle or vehicle equipment creates an unreasonable safety risk, as determined by NHTSA or a manufacturer.", "To determine how consumers use publicly available auto recall information, we conducted and analyzed transcripts and questionnaires from 12 consumer focus groups we conducted with used and new vehicle owners who had experienced an auto recall in the last 24 months. Each focus group was split into two sessions: (1) a discussion session to explore participants\u2019 thoughts, experiences, and preferences about auto recall information and (2) a website usability testing session. Also, we administered a questionnaire as part of each of these sessions. For the discussion session, we asked consumers about the recall notification process and how they used the recall information, and for the website usability testing session, we asked consumers to fill in a questionnaire during the session itself as they assessed the usability of the auto recall areas of NHTSA\u2019s website. We conducted the 12 focus groups at six locations across the country, with each group including 7 or 8 consumers for a total of 94 participants. Half of the focus groups were comprised of consumers who had completed the repair and the remaining half included consumers who had not completed the repair.", "We selected the six focus group locations to provide population and geographic dispersion. To ensure geographic dispersion, we selected at least one location in each U.S. Census region (see table 3). To ensure population dispersion, we selected Metropolitan Statistical Areas representing a range of population sizes based on 2015 U.S. Census estimates. To ensure our selection included the perspectives of vehicle owners in geographically distant or isolated communities, we also selected a rural location, which we defined as a city or town that has a population of less than 50,000 inhabitants and is not an urbanized area contiguous and adjacent to a city or town that has a population of greater than 50,000 inhabitants.", "Using information provided by the participants, we selected focus group participants based on age, income, gender, education level, race, and ethnicity to ensure we collected a range of perspectives on auto recall information use. However, since we did not select a representative sample of participants, focus group results are not generalizable to all vehicle owners.", "During focus group discussion sessions, we asked participants to discuss factors they considered when deciding whether to repair their recalled vehicle and then to select the single most influential factor. Each of the 12 focus group sessions was audio recorded and transcriptions were created; transcripts served as the record for each group. We then evaluated those transcripts using systematic content analysis to identify the factors consumers considered when deciding whether to complete repairs and any suggested improvements to the auto recall communication process. The analysis was conducted in three steps. First, two analysts independently developed a code framework and then worked together to resolve any discrepancies. Second, each transcript was coded independently by analysts using the framework and any discrepancies were resolved by both analysts agreeing on the coding of the associated statement by a participant. Third, if needed, another analyst adjudicated any continued disagreement between coders.", "Because the transcripts did not include a unique identifier for each focus group participant, we conducted our analysis of focus group session discussions at the group level (i.e., of the 12 focus groups we conducted). We also administered and analyzed a questionnaire as part of each discussion session to quantify responses regarding consumers\u2019 use of auto recall information, including how they received and preferred to receive auto recall notifications. Our analysis of the questionnaire responses was conducted at the individual consumer level (i.e., of the 94 consumers who participated).", "These focus group sessions were structured, guided by a moderator who used a standardized list of questions to encourage participants to share their thoughts, experiences, and preferences. We also conducted two pretest focus groups at our headquarters and made some revisions to the focus group guide prior to beginning the sessions with consumers. Methodologically, focus groups are not designed to demonstrate the extent of a problem or to generalize results to a larger population or provide statistically representative samples or reliable quantitative estimates. Instead, they are intended to generate in-depth information about the reasons for the focus group participants\u2019 thoughts, experiences, and preferences on specific topics.", "The projectability of the information produced by our focus group sessions is limited. For example, the information includes only the responses from the vehicle owners from the 12 selected groups and their individual responses to questions we asked. The experiences and preferences expressed may not reflect other vehicle owners\u2019 thoughts and preferences. In addition, while the composition of the groups was designed to ensure a range of age and education levels, among the other criteria mentioned previously, the groups were not constructed using a random sampling method.", "To determine how industry stakeholders use auto recall information, we interviewed selected auto manufacturers, selected franchised and independent auto dealerships, NHTSA program officials, and other industry stakeholders. Specifically, we interviewed representatives from the following 10 auto manufacturers, selected based on each manufacturer\u2019s sales market share (small, medium, and large), place of ownership (foreign and domestic), and experience with auto recalls (lower to higher based on the average annual number of auto recall campaigns and average market share of each manufacturer from 2010 to 2014) to collect a range of perspectives on how manufacturers use auto recall information:", "Tesla Motors, Inc.", "To understand the perspective of auto dealers, we interviewed four franchised dealerships, one in each of the four U.S. Census regions where we conducted focus groups with consumers. We also interviewed three independent auto dealerships in two U.S. Census regions. The results of these interviews are not generalizable to all auto manufacturers and dealerships, but provide insights about how some industry stakeholders use auto recall information.", "We conducted interviews with NHTSA program officials to understand NHTSA\u2019s role in the auto recall process. In addition, we interviewed other stakeholders, including the Independent Monitor of Takata, which assists NHTSA in overseeing the Takata recall, as well as officials from consumer associations and other industry groups (see table 4).", "To evaluate how easy or difficult consumers find the auto recall areas of NHTSA.gov to use, we reviewed various website usability resources to understand federal and industry key website usability practices for making websites easy to use, such as focusing on design and how easily users can find information. In addition, we reviewed federal standards for internal control related to communicating quality information externally. During our usability testing sessions, we asked consumers to attempt to complete auto recall tasks\u2014the primary means NHTSA.gov provides for consumers to access information about auto recalls affecting their vehicles\u2014and discuss their experiences. We then compared consumers\u2019 experiences with the usability of the website against these practices.", "To identify key website usability practices, we analyzed guidance documents from NHTSA and other federal agencies. For example, we analyzed the General Services Administration\u2019s (GSA) and the Department of Health and Human Services\u2019 Research-Based Web Design & Usability Guidelines, which includes quantified, peer-reviewed guidelines intended to help federal agencies improve the design and usability of their information-based websites. We also analyzed GSA\u2019s Requirements for Federal Websites and Digital Services, and the U.S. Digital Services Playbook to identify key practices for making websites easy to use. Identified key practices are: (1) design and content\u2014 focusing on the layout, headers, and design; (2) navigation\u2014how easily users can find information; (3) clarity\u2014the ability to read and digest content; (4) identity and purpose\u2014whether the site clearly presents its purpose; and (5) accessibility\u2014the ability of people with physical or mental disabilities to use the site.", "To analyze the results of focus group website testing sessions, we performed a systematic content analysis of the session transcripts using the same content analysis methods described above and an analysis of the questionnaire we administered to each participant during the website usability sessions. Specifically, we analyzed the transcripts from the website usability testing sessions to account for consumers\u2019 experiences, including their initial impressions of the website and any suggested usability improvements. We also analyzed the results of the questionnaire that each participant completed where participants were asked to mark responses regarding their experience including an assessment of the usability of the auto recall areas of NHTSA.gov. Our analysis of the results from the questionnaire responses was conducted at the individual consumer level (i.e., of the 94 consumers who participated) while our analysis of focus group session discussions was conducted at the group level (i.e., of the 12 focus groups we conducted).", "To corroborate the results of usability testing sessions we conducted with the consumers in our focus groups, we requested that five website usability professionals from GSA\u2019s Federal User Experience Community conduct an independent evaluation of the auto recall areas of NHTSA.gov against federal and industry key website usability practices (described above). The website usability professionals developed a website usability evaluation form, which they used to individually evaluate the auto recall areas of NHTSA\u2019s website. The website usability professionals then met to form a consensus and provided us with one final group evaluation of the website usability of the auto recall areas of NHTSA.gov. Also, although neither our usability testing nor the website usability evaluation conducted by website usability professionals directly addressed accessibility, we interviewed responsible agency officials about how the agency assesses the accessibility of NHTSA.gov.", "We also requested and analyzed website data provided by NHTSA to understand how consumers access and use NHTSA.gov. Requested data included the number of subscribers to NHTSA\u2019s Recall Notification E-mail System Sign-up; the number of weekly vehicle identification number (VIN) searches performed on NHTSA.gov from August 2014 through May 2017; and NHTSA.gov usage data by device (i.e., usage by mobile devices, tablets, and desktop computers). We assessed the reliability of these data by reviewing any supporting documents provided by the agency and interviewing responsible NHTSA officials, and concluded the data were sufficiently reliable for our reporting purposes.", "While we did not independently review the usability of auto manufacturers\u2019 auto recall websites, we requested and reviewed the results of any audits that NHTSA performed of these websites, including whether the websites met statutory and regulatory requirements for providing auto recall information to the public. We then corroborated any audit findings by reviewing the auto recall websites of the selected auto manufacturers that we interviewed.", "To determine any steps NHTSA has taken to raise consumer awareness about auto recalls and how NHTSA evaluates the effectiveness of any steps, we reviewed relevant statutes, regulations, and proposed rules, including the Fixing America\u2019s Surface Transportation Act and a Notice of Proposed Rulemaking related to recall notification methods. We also reviewed agency and other documents that describe or evaluate NHTSA\u2019s public awareness activities. For example, we analyzed NHTSA\u2019s strategic planning documents\u2014such as NHTSA\u2019s Strategic Plan 2016\u20132020\u2014to identify ongoing public awareness activities along with their related goals, objectives, or performance metrics. Similarly, we requested and analyzed any documents NHTSA uses to evaluate the effectiveness of its public awareness activities, including performance reports for NHTSA\u2019s ongoing Safe Cars Save Lives campaign.", "To assess the reliability of data included in these performance reports\u2014 such as VIN searches performed\u2014we reviewed agency documentation and interviewed agency officials about the reliability, accuracy, and completeness of the data and determined the data were sufficiently reliable for our reporting purposes. We reviewed performance management practices as provided in the Government Performance and Results Act of 1993 (GPRA), the GPRA Modernization Act of 2010, and standards for internal control in the federal government to identify any opportunities for improvement. We also performed a literature review to identify any related published articles and research studies.", "To understand how NHTSA implements and evaluates any public awareness activities, we also interviewed responsible agency officials from NHTSA\u2019s Office of Communications and Consumer Information and other offices. In addition, we discussed NHTSA\u2019s public awareness efforts during interviews with industry stakeholders, including selected auto manufacturers, selected franchised and independent auto dealerships, and other industry stakeholders. We analyzed the results of these interviews along with the focus group discussions we conducted with consumers (discussed above) to identify perspectives on the effectiveness of NHTSA\u2019s public awareness steps.", "We conducted this performance audit from October 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Example of an Auto Manufacturer\u2019s Recall Notification Letter", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Annual Recall Completion Rates by Vehicle Component and Vehicle Type", "paragraphs": ["The National Highway Traffic Safety Administration (NHTSA) is required to conduct a biennial analysis of vehicle safety recall completion rates and submit the results of its analysis in a report to certain congressional committees. The report must include, among other things, the annual recall completion rate by vehicle type and vehicle component (such as brakes, fuel systems, and air bags) for each of the 5 years preceding the year the report is submitted. According to NHTSA\u2019s May 2017 report, completion rates for all vehicles combined ranged between 63 percent and 67 percent between calendar year 2011 and calendar year 2014 (see table 5). However, NHTSA reported wider variation when the recall completion rates are broken down by vehicle type. Similarly, the report found that completion rates for most component categories fall within a range of 60 percent to 75 percent (see table 6).", "The annual completion rate is a volume-based, weighted metric, such that the more vehicles affected by the recall, the more weight or influence it has on the computed rate."], "subsections": []}, {"section_title": "Appendix IV: Focus Group Participants\u2019 Responses to Recall Notification Questionnaire", "paragraphs": ["Focus group participants responded to a questionnaire we administered to collect information on consumers\u2019 auto recall notification preferences during our discussion sessions. Table 7 shows participants\u2019 responses to the administered questionnaire, by age group. We present these responses by age group, because consumers\u2019 notification preferences may vary according to their ages."], "subsections": []}, {"section_title": "Appendix V: Focus Group Participants\u2019 Responses to Website Usability Questionnaire", "paragraphs": ["Focus group participants responded to a questionnaire we administered to collect information on the usability of NHTSA.gov during our usability testing sessions. Table 8 shows focus group participants\u2019 responses to the administered questionnaire, by age group. We present these responses by age group, because consumers\u2019 website usability needs or preferences may vary according to their ages."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, H. Brandon Haller (Assistant Director); Katherine Blair; Jason Blake; Melissa Bodeau; Alicia Cackley; William Colwell (Analyst in Charge); Lacey Coppage; Elizabeth Dretsch; Jaci Evans; Marcia Fernandez; Sarah Kaczmarek; Malika Rice; Todd Schartung; and Andrew Stavisky made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-50", "url": "https://www.gao.gov/products/GAO-19-50", "title": "Military Personnel: DOD Needs to Improve Dental Clinic Staffing Models and Evaluate Recruitment and Retention Programs", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD has taken steps to modernize its Military Health System to ensure that it operates efficiently. For example, in September 2013, the Defense Health Agency was created, in part, to implement common clinical and business processes across the services. Essential to this effort are the services' ability to effectively staff their medical facilities, including the processes used for staffing dental clinics and the services' ability to recruit and retain military dentists.", "Senate Report 115-125 included a provision for GAO to review the services' processes for determining requirements for dentists and its programs for recruiting and retaining military dentists, among other things. GAO assessed the extent to which the services (1) use validated dental clinic staffing models that also incorporate cross-service staffing standards, and (2) have recruited and retained military dentists and measured the effectiveness of their recruitment and retention programs. GAO assessed service dental clinic models, analyzed recruitment and retention data from fiscal year 2012 through 2016, and interviewed DOD and service officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Army and the Air Force use validated staffing models for their respective dental clinics, and the Navy has developed a model that is under review. The Army and the Air Force's models are based on service-specific staffing standards. For example, the Army's model generally projects dental clinic staffing based on historical facility data and, according to officials, the Air Force model is largely a population-based model that requires one dentist for every 650 servicemembers. In contrast, in the absence of a validated model, officials stated that, the Navy uses a general ratio of one dentist for every 1,000 servicemembers to staff its dental clinics. The Navy has developed a model that is under review, and if approved, according to officials, will be subject to the Navy's validation processes.", "While the services have developed and implemented cross-service staffing standards for 42 medical specialties, according to a key official involved in developing these standards, they currently do not plan to develop a similar set of standards for dental care. Cross-service staffing standards help the services standardize clinic staffing to address the common day-to-day health needs of patients. Service officials maintain that they must operate their respective dental clinics autonomously and in a manner that best supports their service-specific needs and unique command structures. However, as oral health requirements for servicemembers are standardized across the Department of Defense (DOD), it is unclear why dental care has been excluded from the staffing standardization effort\u2014especially because the services have implemented cross-service staffing standards for 42 other medical specialties.", "The Army, the Navy, and the Air Force meet their needs for military dentists by recruiting both dental students and fully qualified dentists. The services generally met their recruitment goals for dental students between fiscal years 2012 and 2016, but faced challenges recruiting and retaining fully qualified dentists during that period. For example, the Army missed its recruitment goals for fully qualified dentists in all 5 years, the Navy missed its goals in 2 out of 5 years, and the Air Force missed its goals in 3 out of 5 years. These challenges are most pronounced for certain specialties. For example, service data indicate that the Army and the Navy were unable to recruit any oral surgeons, while the Air Force recruited 50 percent of the oral surgeons it needed. Service officials cited various reasons for not meeting recruitment goals, including the availability of more lucrative careers in the private sector and quality of life concerns associated with military service.", "The services rely on various programs, including scholarships and special pay and incentives, to attract and retain military dentists, and service officials stated that they monitor their programs by reviewing their goals, among other actions. However, GAO found that some services continue to provide incentive bonuses for positions that are overstaffed and have met or exceeded recruitment goals, but they do not know whether this is necessary because they have not evaluated the effectiveness of their programs. Without evaluating their programs, the services lack the information necessary to ensure that they are using recruitment and retention incentives effectively and efficiently for attracting and retaining dentists."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that each of the services develop cross-service staffing standards to be incorporated into their staffing models, and evaluate the effectiveness of their recruitment and retention programs. DOD did not provide comments on a draft of this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["In recent years, the Department of Defense (DOD) has taken steps to modernize its Military Health System to ensure that it operates as efficiently as possible in the delivery of health services, while fully supporting its mission and maintaining medical readiness. Key to this modernization is ensuring that the Military Health System has the right number of medical providers, including dentists, with the requisite skill set and competencies to staff its Military Treatment Facilities (MTF). Military dentists practice across all major dental specialties with the primary mission of ensuring the dental readiness of all active duty servicemembers.", "According to a February 2015 U.S. Department of Health and Human Services report, projected future nationwide shortages of dentists are anticipated through 2025 as the demand for dental care in the United States exceeds supply. Projected nationwide shortages of dentists emphasize the importance for DOD to ensure its dental clinics are adequately staffed and the services are able to recruit and retain certain dental specialists. In 2010, we found that DOD\u2019s processes for determining MTF personnel requirements could be improved, and we made recommendations aimed at enhanced collaboration across the services. Specifically, we recommended that by identifying shared medical capabilities, the services would benefit from the development of cross-service standards for determining the amount of personnel needed to meet the day-to-day health needs of the patient population. We also made recommendations aimed at ensuring the validity and verifiability of their MTF staffing models. DOD generally concurred with these recommendations and took actions to implement them. These recommendations and DOD\u2019s actions are discussed in more detail in subsequent sections of this report.", "Senate Report 115-125, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018, included a provision for us to review the services\u2019 processes for determining requirements for dentists and DOD\u2019s programs for recruiting and retaining military dentists, among other things. This report assesses the extent to which the services (1) use validated dental clinic staffing models that also incorporate cross- service staffing standards, (2) have recruited and retained military dentists, and are measuring the effectiveness of their recruitment and retention programs.", "To address our first objective, we reviewed DOD, Army, Navy, and Air Force policy and guidance for reviewing and validating workforce models. We described the processes the services use for reviewing and validating their dental clinic staffing models as it pertains to this guidance. We interviewed officials with the Army Medical Command, the Navy Bureau of Medicine and Surgery, and the Air Force Medical Service, as well as officials from each service\u2019s dental corps and other service organizations who are responsible for the development, operation, and implementation of these models. We reviewed the models and interviewed service officials to determine similarities and differences within the methodologies used in the models and processes, and assessed the extent to which the services collaborated in the development of their models and based their models on common standards.", "To address our second objective, we analyzed the extent to which the services have met their recruitment goals for military dentists during fiscal years 2012 through 2016, the most recent year for which data were available at the time of our review. We assessed the reliability of these data by obtaining and reviewing information from the services regarding the processes and internal controls that are in place to ensure the reliability and quality of the data. Based on our review, we believe these data are sufficiently reliable for the purposes of this report. Additionally, we used data from DOD\u2019s Health Manpower and Personnel Data System (HMPDS) and service-level data for fiscal years 2012 through 2016 to assess the extent to which the Army, the Navy, and the Air Force (1) have met authorized end-strengths for dentists, (2) are retaining dentists, and (3) have gaps in dental specialties. We selected this timeframe to enable us to evaluate trends over time, and fiscal year 2016 was the most recent year of HMPDS and service-level data available at the time of our review. We assessed the reliability of the HMPDS and service-level data by collecting information and interviewing officials to determine how the services and the Defense Manpower Data Center compile the data and what internal controls are in place to ensure their reliability. We found these data to be sufficiently reliable for the purposes of this report.", "Additionally, we reviewed DOD\u2019s special and incentive pay plan and other DOD policies and guidance related to DOD recruitment and retention programs. We interviewed officials and received written responses from the services regarding their identified gaps, the programs they use to address gaps in dental specialties, and any challenges they experience in recruiting and retaining dentists. We also interviewed officials with the Office of the Assistant Secretary of Defense for Health Affairs as well as each service\u2019s dental corps regarding the programs used and the measures in place to evaluate the effectiveness of any such programs. We reviewed our prior work on effective strategic workforce planning, which state agencies should periodically measure their progress toward meeting human capital goals and the extent that human capital activities contributed to achieving programmatic goals and provide information for effective oversight by identifying performance shortfalls and appropriate corrective actions. Further, we reviewed Standards for Internal Control in the Federal Government, including requirements for monitoring internal control systems and evaluating results.", "We conducted this performance audit from August 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Military Health System is responsible for, among other things, assuring the overall oral health of all uniformed DOD personnel. As part of this health system, each service\u2019s dental corps provides dental care for its servicemembers. The Army, the Navy, and the Air Force Dental Corps include approximately 3,000 active duty dentists and approximately 247 (200 in the United States) dental clinics to serve over 1.3 million servicemembers.", "Unlike their medical counterparts, the services\u2019 dental corps rarely provide beneficiary care, according to service officials. The primary role of military dentists is to ensure the oral health and readiness of servicemembers. Servicemembers\u2019 oral health is evaluated using standardized measures to determine the extent to which they are deployable. Generally, servicemembers with identified urgent, emergent, or unknown dental treatment needs are not considered to be worldwide deployable until their oral health is adequately addressed."], "subsections": [{"section_title": "Becoming a Military Dentist", "paragraphs": ["Most military dentists enter service through the Armed Forces\u2019 Health Professions Scholarship Program (AFHPSP), a scholarship program available to students enrolled in or accepted to dental school. Under the services\u2019 AFHPSP program, DOD pays for tuition, books, and fees, and provides a monthly stipend. In return, the students incur an obligation to serve 6 months of active duty service for each 6 months of benefits received, with a 2-year minimum obligation. AFHPSP dental students can pursue either a Doctor of Dental Surgery or Doctor of Dental Medicine degree to become a general dentist.", "In addition to the AFHPSP program, the services recruit fully qualified licensed dentists. For example, individuals may become military dentists through direct accessions, either by entering the service as a fully trained, licensed dentist or through the Financial Assistance Program, which provides stipends for dentists accepted or enrolled in a residency program. For additional information on these and other recruitment programs, see appendix I.", "Regardless of the recruitment program, dentists may begin to practice after obtaining a degree and completing licensure requirements. Military dentists may pursue postgraduate training through a general dentistry program, such as the Advanced Education in General Dentistry Program, a general practice residency, or a specialty dental program offered through the Uniformed Services University of the Health Sciences Postgraduate Dental College. Postgraduate dental college includes training and/or residency within a specific specialty and typically requires between 1 to 6 years of additional training. While in a postgraduate dental college program, participants incur an additional 6 months of active duty service obligation for each 6 months in training, with a minimum of 2 years active duty service obligation. However, this obligation can be served concurrently with obligations already incurred through AFHPSP if incurred through sponsored postgraduate education in a military or affiliated program. Figure 1 portrays the path to becoming a military dentist and the active duty obligation incurred for AFHPSP dental students.", "Each service takes steps to validate whether the military dentist has the appropriate professional qualifications and clinical abilities. Validation includes ensuring the dentist is credentialed and privileged to practice.", "See appendix II for more details on service processes for monitoring qualification and performance of dentists."], "subsections": []}, {"section_title": "Roles and Responsibilities for the Recruitment and Retention of Military Dentists", "paragraphs": ["The Assistant Secretary of Defense for Health Affairs (ASD(HA)) serves as the principal advisor for all DOD health policies and programs. The ASD(HA) issues DOD instructions, publications, and memorandums that implement policy approved by the Secretary of Defense or the Under Secretary of Defense for Personnel and Readiness and governs the management of DOD medical programs. The ASD(HA) also exercises authority, direction, and control over the President of the Uniformed Services University of the Health Sciences (USUHS). Further, ASD(HA) sets the special and incentive pay amounts for all military dentists. The ASD(HA) reports to the Under Secretary of Defense for Personnel and Readiness, who in turn reports to the Secretary of Defense.", "The Army, the Navy, and the Air Force medical commands and agencies report through their service chiefs to their respective military department secretaries and then to the Secretary of Defense. The Army, the Navy, and the Air Force have the authority to recruit, train, and retain dentists. Each military service has its own organizational structure and responsibilities. See figure 2.", "In September 2013, the Defense Health Agency was established to support greater integration of clinical and business processes across the Military Health System. The Defense Health Agency, among other things, manages the execution of policies issued by the ASD(HA) and manages and executes the Defense Health Program appropriation, which funds the services medical departments. By no later than September 30, 2021, the Director of the Defense Health Agency will assume responsibility for the administration of each military treatment facility, to include budgetary matters, information technology, and health care administration and management, among other things. Although military treatment facilities include dental clinics, DOD initially intended to exclude dental care (except oral and maxillofacial surgery), from the transfer to the Defense Health Agency. However, as of September 2018, DOD stated it is assessing the extent to which dental care will fall under the Defense Health Agency\u2019s administration."], "subsections": []}, {"section_title": "GAO\u2019s Prior Work on Military Treatment Facility Staffing Models and Tools", "paragraphs": ["In July 2010, we found that the services\u2019 collaborative planning efforts to determine staffing of medical personnel working in fixed military treatment facilities, including dentists, were limited, and that their staffing models and tools had not been validated and verified in all cases as DOD policy requires. Specifically, we found that some Army specialty modules contained outdated assumptions, and that only a portion of the models had been completely validated. We also found that the Navy did not have a model, but instead employed a staffing tool that used current manning as a baseline and adjusted its requirements based on emerging needs or major changes to its mission. However, the Navy\u2019s tool was not validated or verified in accordance with DOD policy. Further, we found that the Air Force may not know its true medical requirements because the model it relied on also was not validated or verified.", "We made several recommendations in our 2010 report, two of which were aimed at improving staffing of MTFs. Specifically, we recommended that the services identify common medical capabilities shared across military treatment facilities and develop and implement cross-service medical staffing standards for these capabilities as appropriate. We also recommended that each service update or develop medical personnel requirements determination tools as needed to ensure that they use validated and verifiable processes.", "The Army, the Navy, and the Air Force have implemented our recommendation related to the development and implementation of validated and verifiable tools for developing medical personnel requirements. Additionally, they identified and developed standardized cross-service staffing standards for over 40 medical specialties and incorporated them into their individual MTF staffing tools."], "subsections": []}]}, {"section_title": "Two of Three Services Use Validated Dental Clinic Staffing Models, and None of the Models Incorporate Cross- Service Standards", "paragraphs": [], "subsections": [{"section_title": "The Army and the Air Force Use Validated Dental Clinic Staffing Models, and the Navy\u2019s Proposed Model Is under Review", "paragraphs": ["The Army and the Air Force have validated the dental clinic staffing models that they use, and the Navy\u2019s draft model is under review. In the absence of a validated model, the Navy uses a general ratio to staff its dental clinics. See table 1 for a description of each of the services\u2019 methodology for staffing dental clinics.", "The Army and the Air Force models, which were developed in accordance with DOD guidance and service-specific requirements, are subject to the following validation processes:", "Army. Since 2011, the Army has used the Army Dental Clinic Model, which, according to officials, is intended to determine the minimum number of dentists necessary, by location, to ensure the medical readiness of soldiers. Army staffing models are subject to validation by the U.S. Army Manpower Analysis Agency, which validated the Army\u2019s Dental Clinic Model when it was developed in 2011. According to an Army official, the model\u2019s validation expired in 2014, and was not re-validated until May 2018 due to limited resources. Additionally, Army officials stated that the data used in the model are updated on an annual basis and that the model is subject to revalidation every 5 years.", "Air Force. Since 2014, according to Air Force officials, the Air Force has used its Dental Manpower Model to determine the minimum number of dentists required, by clinic, to ensure the medical readiness of servicemembers served by Air Force dental clinics. According to Air Force officials, the Air Force Dental Manpower Model is subject to review and validation that includes input from the Air Force Medical Service; Surgeon General\u2019s Manpower, Personnel, and Resources office; Air Force Personnel Center; and consultants. Officials told us the model is reviewed and validated annually and presented to the Dental Operations Panel and Air Force\u2019s medical service corporate structure. The model was most recently validated in April 2018.", "According to Navy Bureau of Medicine and Surgery (BUMED) officials, the Navy does not yet have a model and therefore instead uses a general ratio of one dentist for every 1,000 sailors as a baseline to initially determine the staffing requirements of its dental clinics. This ratio is adjusted based upon emerging needs or major changes to mission. In 2013, according to Navy officials, BUMED began developing a Dental Services Model that could be used to determine dental clinic staffing needs. In November 2016, BUMED internally released a draft report recommending that the dental corps approve and implement the Dental Services Model as the staffing standard for dental clinics. According to a Navy official, this report was provided to dental corps leadership for review in July 2018 and they are expected to complete their review in October 2018. According to BUMED officials, if the dental corps leadership approves the model for use as an official staffing standard, the model would be subject to official Navy validation processes which, in accordance with DOD policy, would entail verification and validation throughout the model\u2019s lifecycle. Conversely, if the dental corps decides to use the model as an informal staffing tool to supplement its current processes, a BUMED official stated that it will be subject to an ad-hoc internal review every 3 years that mirrors the Navy\u2019s review of its validation process."], "subsections": []}, {"section_title": "The Services Have Not Developed Cross-Service Staffing Standards for Dental Care", "paragraphs": ["Currently, the Army, the Navy and the Air Force each use different service-specific standards and other factors to determine the number of dentists needed at their respective dental clinics. As previously discussed, the services have developed and are in the process of implementing cross-service staffing standards\u2014that is, a standardized approach to staffing the common day-to-day health needs of the patient population\u2014for certain medical specialties. In response to DOD policy and our 2010 recommendation, the services established a working group to identify and develop common cross-service staffing standards, and in 2017, the tri-service working group established such standards for 42 different medical specialties. These standards are based on actual workload data for common capabilities within selected medical specialties and were incorporated into each service\u2019s staffing tools to provide consistent values for the minimum number of staff required to meet patient needs. However, according to an official involved in the development of the standards, the services have not collaborated to develop a plan to establish a similar set of standards for dental care.", "DOD guidance directs modeling and simulation management to develop plans and procedures and to pursue common and cross-cutting modeling tools and data across the services. Also, the ASD(HA) has supported the effort to establish consistent workload drivers across services for determining personnel requirements for MTFs.", "According to a tri-service working group co-chair, they did not develop cross-service staffing standards for dental care because at the time, the quality of available data on dental procedure frequency and duration varied across the services. The same official stated that these data have been improved, but they still do not have plans to develop cross-service staffing standards for dental care. Additionally, service officials maintained that they must operate their respective dental clinics autonomously and in a manner that best supports their service-specific needs and unique command structures. Specifically, officials from each service\u2019s dental corps stated that their primary mission is focused on the medical readiness of servicemembers and generally does not involve beneficiary care. As such, they have not collaborated on staffing efforts with the other services.", "While we recognize that each service operates under a different command structure, readiness requirements for oral health are standardized across DOD, and all servicemembers are required to meet the same level of oral health in order to be deployable. Additionally, since DOD is currently assessing whether it will consolidate the services\u2019 dental corps staff under the Defense Health Agency\u2019s administration, it remains unclear to us why dental care has been excluded from cross- service efforts to develop a common set of standards for staffing military dental clinics\u2014especially because the services have developed common staffing standards for42 other medical specialties."], "subsections": []}]}, {"section_title": "The Services Generally Have Met Goals for Recruiting Dental Students, but Not for Fully Qualified Dentists and Do Not Know the Extent to Which Certain Programs Are Effective at Helping Recruit and Retain Dentists", "paragraphs": ["The Army, the Navy, and the Air Force have generally met their recruitment goals for dental students, but generally have not met their recruitment goals for fully qualified dentists to address oral health needs of the services. Overall, we found that the services maintained their staffing levels for military dentists during fiscal years 2012 through 2016, but experienced gaps within certain specialties. Further, the services rely on various programs and special pays and incentives, to recruit and retain military dentists, but they do not know the extent to which some of these programs are effective at helping them to do so."], "subsections": [{"section_title": "The Services Generally Met Recruitment Goals for Dental Students, but Faced Challenges Recruiting Fully Qualified Dentists", "paragraphs": ["Our analysis of Army, Navy, and Air Force data found that in fiscal years 2012 through 2016, the services generally met their goals for dental students recruited through the Armed Forces Health Professions Scholarship Program (AFHPSP). From fiscal year 2012 through fiscal year 2016, the Army met 94 percent of its goals, the Navy met 100 percent of its goals, and the Air Force met 97 percent of its goals. Figure 3 shows the AFHPSP recruitment goals and achievements, by service for fiscal years 2012 through 2016.", "To address their immediate need for dental providers, the services also recruit fully qualified general dentists or specialists. However, the services have experienced challenges meeting their recruitment goals for fully qualified dentists. Figure 4 below shows the recruitment goals and achievements for fully qualified dentists from fiscal years 2012 through 2016. As shown in the figure, the Army did not meet its recruitment goals for 5 consecutive years, the Navy did not meet its goals for 2 of these 5 years, and the Air Force did not meets its goals for 3 of these 5 years.", "While the services have experienced challenges in recruiting fully qualified dentists, the challenges are most pronounced in certain specialties. For example, based on our analysis of service data from fiscal years 2012 through 2016, the Army and the Navy were unable to recruit any oral surgeons and the Air Force recruited 50 percent of the oral surgeons it needed. Service officials cited various reasons for not being able to meet their recruitment goals for certain specialties, including the availability of more lucrative careers in the private sector and quality of life concerns associated with military service, such as frequent moves. Additionally, Air Force officials stated that they are not always able to offer accession bonuses consistently, which has caused challenges in recruiting. Table 2 shows the recruitment goals and percentage achieved for fully qualified dentists, by specialty, from fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "The Services Have Maintained Overall Staffing Levels for Military Dentists, but Have Experienced Challenges Retaining Certain Specialties", "paragraphs": ["While the services maintained overall staffing levels for military dentists, they have experienced some challenges retaining certain specialties. Overall, military dentist end strengths\u2014the actual number of dentists on board at the end of the fiscal year\u2014have generally met or exceeded dental authorizations. Specifically, between fiscal years 2012 and 2016, the Army\u2019s dental authorizations were filled, on average, at about 109 percent, the Navy\u2019s at about 101 percent, and the Air Force\u2019s at about 97 percent. Further, DOD data show that average overall gain rates are equal to average overall loss rates for the services\u2019 dental corps in fiscal years 2012 through 2015 at approximately 10 percent for the Army, 9 percent for the Navy, and 11 percent for the Air Force. Additionally, according to our analysis of Army and Navy data, on average, approximately 73 percent of Army dentists continue on active duty after 5 years of service, and approximately 63 percent of Navy dentists continue on active duty after 5 years of service. According to Air Force officials, the Air Force does not routinely track data on the number of dentists that continue on active duty after 5 years of service.", "Although the services have been able to maintain their overall numbers for the total number of dentists in their respective dental corps, we found, based on the data the services provided us, that each service experienced gaps in certain dental specialties, including critically short wartime specialties. For example, all of the services experienced gaps in comprehensive dentistry from fiscal years 2012 through fiscal year 2016. In addition, for the same time period, all of the services experienced gaps in prosthodontists and oral surgeons. Officials from all three services cited family concerns, frequent moves, and competition from the private sector as reasons why these and other dentists choose to leave the military. Additionally, Army and Navy officials cited limited training and education opportunities and limited scope of practice as reasons why specialists such as oral surgeons leave the military."], "subsections": []}, {"section_title": "The Services Monitor Their Recruitment and Retention Programs, but Do Not Know Whether The Programs Are Effective", "paragraphs": ["The services rely on programs, such as AFHPSP, the Critical Wartime Skills Accession Bonus (CWSAB), and special pay and incentives, to attract and retain military dentists, but they do not know the extent to which some of these programs are effective at helping them meet their recruiting and retention goals. Our prior work on effective strategic workforce planning principles concluded that agencies should periodically measure their progress toward meeting human capital goals. These principles state that measuring the extent that human capital activities contribute to achieving programmatic goals provides information for effective oversight by identifying performance shortfalls and appropriate corrective actions. Further, according to these principles, agencies should develop use of flexibilities and other human capital strategies that can be implemented with the resources that can be reasonably expected to be available, and should consider how these strategies can be aligned to eliminate gaps. Additionally, Standards for Internal Control in the Federal Government states that management should monitor internal control systems, through ongoing monitoring and evaluations. According to these standards, evaluations should be used to provide feedback on the effectiveness of ongoing monitoring and should be used to help design systems and determine effectiveness. The standards also provide that management should determine the appropriate corrective actions to address any identified deficiencies upon completing its evaluation.", "According to Army, Navy, and Air Force officials, the services have taken various actions to monitor their recruitment and retention programs. For example, officials told us that they review recruitment goals, achievements, and retention rates; conduct workforce planning and modeling; and participate in recruitment and retention working groups. Specifically, Army officials stated that they use forecasts from a 5-year management plan to determine the Army\u2019s recruiting mission and review its continuation rates to assess retention of dentists. Navy officials told us that they review annual recruitment goals and track whether they are meeting those goals on a weekly basis. Air Force officials stated that they participate in the Medical Accessions Working Group three times per year to assess ongoing recruitment activities. While the services monitor their progress toward recruitment and retention goals, they do not know the extent to which the programs designed to help them meet their goals affect their ability to recruit and retain dentists because they have not evaluated their effectiveness.", "For example, DOD Directive 1304.21 allows the services to use accession bonuses to meet their personnel requirements and specifies that bonuses are intended to influence personnel inventories in specific situations in which less costly methods have proven inadequate or impractical. The services have the discretion to issue up to $20,000 as an accession bonus under the AFHPSP\u2014in addition to paying full tuition, education expenses, and a monthly stipend. In fiscal years 2012 through 2016, the Army and the Navy offered the accession bonus and generally met their recruitment goals\u2014an achievement that Army officials credit, in part, to their use of the incentive. Specifically, Army officials told us that prior to using the bonus in 2009, they were not meeting their recruitments goals. They also expressed concern that, if they were to discontinue use of the bonus, they would not be able to meet their current goals. Conversely, Air Force officials told us that they stopped offering the bonus in 2012 because the number of AFHPSP applicants had exceeded the number of AFHPSP positions; the Air Force has continued to meet its recruiting goals without the use of the bonus. An Air Force official acknowledged that not offering the bonus could result in their losing potential applicants to the services that do offer the bonus, but Air Force officials also recognized that money is not always a deciding factor for those who choose to serve as a dentist in the military. The uncertainty described by the Army and Air Force officials demonstrates their lack of information about what factors motivate individuals to join the military. Moreover, the differing use of the accession bonus by the two services with similar outcomes indicates that the services do not know when it is necessary to use the recruiting tool because they have not evaluated the effectiveness of this program.", "Another bonus the services can offer is the CWSAB, which ranges from $150,000 for general dentists to $300,000 for comprehensive dentists, endodontists, prosthodontists, and oral maxillofacial surgeons, to individuals entering the military as a dentist in a critically short wartime specialty. While a bonus can be offered to any dental specialty designated as a critically short wartime specialty, data that we analyzed indicate that the bonus may be disproportionately effective in recruiting for these specialties. For example, from fiscal years 2012 through 2016, the Navy used this type of bonus and was able to meet or exceeded its recruitment goals for critically short wartime specialty general dentists and staffed this specialty at between 108 and 122 percent. However, our analysis of the Navy\u2019s data also found that, even after offering this bonus, the Navy was unable to recruit any oral surgeons during the same time period. However, like with the accession bonus, service officials do not know the extent to which the CWSAB bonus is an effective recruitment incentive for some or all of the critically short wartime specialties because they have not evaluated the effectiveness of this program.", "In addition, the services offer special pay and incentives, which vary by specialty, to qualified dentists. Special pay and incentives include incentive pay, retention bonuses, and board certification pay. Each bonus and incentive, except board certification pay, requires an additional service obligation, thus creating a retention tool for the services. The services and officials from the Office of the ASD(HA) participate in the Health Professions Incentives Working Group to review recruitment and retention special pay and incentives and recommends adjustment to amounts offered as necessary. Service and officials from the Office of the ASD(HA) told us that there are no ways to evaluate the effectiveness of these incentives because they cannot account for the emotional or non- monetary decisions that contribute to whether servicemembers stay in the military, and money is not always an effective incentive for getting people to train in certain specialties or to continue their service. However, in our recent review of DOD\u2019s special pay and incentive programs in 2017, we recommended that DOD take steps to improve the effectiveness of its special pay and incentive programs. Additionally, in February 2018, through our review of gaps in DOD\u2019s physician specialties, we recommended that the services develop targeted and coordinated strategies to alleviate military physician gaps. An official from the Office of the ASD(HA) stated that they have started discussing measures with the services to evaluate the effectiveness of DOD\u2019s medical and dental recruitment and retention programs, including special pay and incentives. Additionally, Office of ASD(HA) and service officials stated that they will begin reviewing the dental special pays and incentives in fiscal year 2019. Because these reviews are in the early stages, it is too soon to know how effective they will be in evaluating pay and incentive programs.", "Although service officials also told us that they believe their recruitment and retention programs are effective because they have generally met their overall recruiting and retention goals, until the services evaluate the effectiveness of their recruitment and retention efforts, they will not have the information to know which programs are the most efficient and cost- effective."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD continues to implement several major initiatives to support the mission of its health system maintaining the medical readiness of servicemembers while operating as efficiently as possible. The dental corps plays a critical role in these efforts by ensuring the oral health and dental readiness of all servicemembers. Ensuring dental readiness requires, in part, that the services are able to staff dentists adequately and consistently across DOD\u2019s dental clinics. However, the Army, the Navy, and the Air Force have not collaborated in their approaches to staffing dental clinics, and have not developed cross-service staffing standards for dental clinic staffing. As DOD progresses in its efforts to implement efficiencies across its Medical Health System and assesses the scope of medical care to be transferred to the Defense Health Agency, it could be of benefit to the dental corps to develop cross-service standards that could result in improvements to the consistency and efficiency of dental clinic staffing.", "In addition to ensuring the appropriate number of dentists at each clinic to support the dental corps\u2019 mission, recruiting and retaining fully qualified dentists has been an ongoing challenge for the services. However, the services have not evaluated whether their existing programs have been effective at helping them recruit and retain dentists, and therefore do not know whether they are effectively targeting their resources to address the most significant recruitment and retention challenges."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of six recommendations, including two to the Army, two to the Navy, and two to the Air Force. Specifically: The Secretary of the Army should ensure that the Surgeon General of the Army Medical Command (1) collaborate with the Navy Bureau of Medicine and Surgery and the Air Force Medical Service to develop a common set of planning standards to be used to help determine dental clinic staffing needs, and (2) incorporate these standards into the Army\u2019s dental corps staffing model. (Recommendation 1)", "The Secretary of the Navy should ensure that the Surgeon General of the Navy Bureau of Medicine and Surgery (1) collaborate with the Army Medical Command and the Air Force Medical Service to develop and implement a common set of planning standards to be used to help determine dental clinic staffing needs, and (2) incorporate these standards into the Navy\u2019s dental corps staffing model. (Recommendation 2)", "The Secretary of the Air Force should ensure that the Surgeon General of the Air Force Medical Service (1) collaborate with the Army Medical Command and the Navy Bureau of Medicine and Surgery to develop and implement a common set of planning standards to be used to help determine dental clinic staffing needs, and (2) incorporate these standards into the Air Force\u2019s dental corps staffing model. (Recommendation 3)", "The Secretary of the Army should ensure that the Surgeon General of the Army Medical Command evaluates the effectiveness of its recruitment and retention programs for military dentists, including the need for and effectiveness of the recruitment and retention incentives currently offered. (Recommendation 4)", "The Secretary of the Navy should ensure that the Surgeon General of the Navy Bureau of Medicine and Surgery evaluates the effectiveness of its recruitment and retention programs for military dentists, including the need for and effectiveness of the recruitment and retention incentives currently offered. (Recommendation 5)", "The Secretary of the Air Force should ensure that the Surgeon General of the Air Force Medical Service evaluates the effectiveness of its recruitment and retention programs for military dentists, including the need for and effectiveness of the recruitment and retention incentives currently offered. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. DOD did not provide comments. DOD did provide us with technical comments, which we have incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Under Secretary of Defense for Personnel and Readiness, the Office of the Assistant Secretary of Health Affairs, the Secretaries of the Army, the Navy, the Air Force, and the President of the Uniformed Services University of the Health Sciences. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or FarrellB@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Military Dentist Accession Programs and Incentives", "paragraphs": ["In addition to the Department of Defense\u2019s (DOD) Armed Forces Health Professions Scholarship Program, DOD uses several other programs and incentives to recruit military dentists. Table 3 includes a selection of DOD\u2019s military dentist accession programs and incentives."], "subsections": []}, {"section_title": "Appendix II: The Services\u2019 Mechanisms to Monitor Qualifications and Performance of Military Dentists", "paragraphs": ["DOD policy requires that all military dentists must be credentialed and privileged to practice dentistry. Credentialing is the process of inspecting and authenticating the documentation to ensure appropriate education, training, licensure, and experience. Privileging is the corresponding process that defines the scope and limits of practice for health care professionals based on their relevant training and experience, current competence, peer recommendations, and the capabilities of the facility where they are practicing.", "According to officials, the services have developed and implemented processes to continuously monitor dentist performance in accordance with DOD policy. According to officials, the services monitor military dentist performance through On-Going Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE). The OPPE is a continuous evaluation of dentist performance that reviews six dimensions of performance: (1) patient care, (2) medical knowledge, (3) professionalism, (4) practice-based learning and improvement, (5) interpersonal and communication skills, and (6) systems-based practice. The FPPE is a process of periodic evaluation by the dental clinic of the specific competence of a dentist performing procedures and administering care. FPPEs are conducted during a dentist\u2019s initial appointment, when granting new privileges, or if a question arises about a dentist\u2019s ability to provide, safe, high quality patient care.", "In addition to the performance monitoring required by DOD, according to officials, the Army and the Air Force have instituted their own mechanisms for monitoring the quality and performance of their dentists.", "Army: According to officials, the Army monitors dental quality through its quarterly Continuous Quality Management Program. This program includes the review of data related to records audits, infection control, radiation protection, utilization management, implant reports, drug utilization reports, patient safety events, and risk management. According to officials, these reviews are intended to identify and address any errors or trends in dental care.", "Air Force: According to officials, annually, Air Force dentists must document that they have reviewed and will follow the Air Force Medical Service Dental Clinical Practice Guidelines. According to officials, this ensures that all dentists are following the same standard of care for dental treatment. Additionally, according to officials, Air Force dentists participate in a peer review process known as Clinical Performance Assessment and Improvement. According to officials, in this process, a licensed peer dentist preferably of the same specialty reviews the dentist\u2019s practice and procedures. Further, according to officials, depending on the nature of issues found during the review, corrective actions\u2014ranging from refresher courses to a loss of license and credentials\u2014may be taken."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly Mayo, Assistant Director; Nicole Collier; Alexandra Gonzalez; Amie Lesser; Tida Barakat Reveley; Rachel Stoiko; John Van Schaik; Lillian Yob; and Elisa Yoshiara made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Health Care: Additional Assessments Needed to Better Ensure an Efficient Total Workforce. GAO-18-102, Washington, D.C.: Nov. 27, 2018.", "Defense Health Care: DOD Should Demonstrate How Its Plan to Transfer the Administration of Military Treatment Facilities Will Improve Efficiency. GAO-19-53, Washington, D.C.: Oct. 30, 2018.", "Defense Health Care: Expanded Use of Quality Measures Could Enhance Oversight of Provider Performance. GAO-18-574, Washington, D.C.: Sept. 17, 2018.", "Military Personnel: Additional Actions Needed to Address Gaps in Military Physician Specialties. GAO-18-77. Washington, D.C.: Feb. 28, 2018.", "Defense Health Reform: Steps Taken to Plan the Transfer of the Administration of the Military Treatment Facilities to the Defense Health Agency, but Work Remains to Finalize the Plan, GAO-17-791R. Washington, D.C.: Sept. 29, 2017.", "Military Compensation: Additional Actions Are Needed to Better Manage Special and Incentive Pay Programs. GAO-17-39. Washington, D.C.: Feb. 3, 2017.", "Defense Health Care Reform: DOD Needs Further Analysis of the Size, Readiness, and Efficiency of the Medical Force. GAO-16-820. Washington, D.C.: Sept. 21, 2016.", "Defense Health Care: Additional Information Needed about Mental Health Provider Staffing Needs. GAO-15-184. Washington, D.C.: Jan. 30, 2015.", "Human Capital: Additional Steps Needed to Help Determine the Right Size and Composition of DOD\u2019s Total Workforce. GAO-13-470. Washington, D.C.: May 29, 2013 Defense Health Care: Actions Needed to Help Ensure Full Compliance and Complete Documentation for Physician Credentialing and Privileging. GAO-12-31. Washington, D.C.: Dec. 15, 2011.", "Military Cash Incentives: DOD Should Coordinate and Monitor Its Efforts to Achieve Cost-Effective Bonuses and Special Pays. GAO-11-631. Washington, D.C.: June 21, 2011.", "Military Personnel: Enhanced Collaboration and Process Improvements Needed for Determining Military Treatment Facility Medical Personnel Requirements. GAO-10-696. Washington, D.C.: Jul. 29, 2010.", "Military Personnel: Status of Accession, Retention, and End Strength for Military Medical Officers and Preliminary Observations Regarding Accession and Retention Challenges. GAO-09-469R. Washington, D.C.: Apr. 16, 2009.", "Military Personnel: Better Debt Management Procedures and Resolution of Stipend Recoupment Issues Are Needed for Improved Collection of Medical Education Debts, GAO-08-612R. Washington, D.C.: Apr. 1, 2008.", "Primary Care Professionals: Recent Supply Trends, Projections, and Valuation of Services. GAO-08-472T. Washington, D.C.: Feb. 12, 2008.", "Military Physicians: DOD\u2019s Medical School and Scholarship Program. GAO/HEHS-95-244. Washington, D.C.: Sept. 29, 1995.", "Defense Health Care: Military Physicians\u2019 Views on Military Medicine. GAO/HRD-90-1. Washington, D.C.: Mar. 22, 1990."], "subsections": []}], "fastfact": ["The Army, Navy, and Air Force have implemented common standards for how they determine necessary staffing levels at their health clinics for a number of medical specialties\u2014but haven\u2019t done so for their dental clinics. As a result, DOD dental clinics may not be staffed as efficiently as possible to provide dental care across the military services.", "The military services have also struggled to recruit and retain certain types of dental specialists, such as oral surgeons. We recommended that the services develop a common set of dental staffing standards and a process to evaluate recruitment and retention efforts."]} {"id": "GAO-18-325", "url": "https://www.gao.gov/products/GAO-18-325", "title": "Veterans Affairs Research: Actions Needed to Help Better Identify Agency Inventions", "published_date": "2018-04-25T00:00:00", "released_date": "2018-05-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA manages a $1.9 billion research program that has produced numerous healthcare inventions, such as the pacemaker. In 2000, VA created a program to help transfer VA inventions to the private sector so that they can be commercialized and used by veterans and the public, while VA retains ownership and collects royalties. Many of VA's 3,000 researchers also hold positions at universities, which take the lead in commercializing inventions developed by these researchers. Researchers and universities are required to disclose such inventions to VA, and universities are to report on commercialization activities according to their agreements with VA.", "GAO was asked to examine VA's ability to ensure its ownership of inventions made with VA resources. This report examines, among other things, the extent to which VA has taken steps to ensure that (1) researchers disclose inventions and (2) universities report on commercialization activities for joint inventions. GAO reviewed laws; policies; a nongeneralizable sample of university agreements based on backlogs of disclosures, among other factors; and interviews with officials and researchers from VA medical centers and their affiliated universities."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) has taken steps to educate agency researchers about its requirements to disclose inventions to VA, but officials reported that researchers have not consistently done so. VA policy requires researchers to disclose inventions to both VA and the university they work for even when they do not use VA resources. GAO found, through discussions with VA officials and researchers, that several factors contribute to researchers not consistently disclosing their inventions, including that VA researchers may have:", "disclosed inventions to their university, assuming the university would then disclose them to VA;", "not been familiar with VA's invention disclosure process, because they may not have frequently developed inventions; or", "thought that invention disclosure was unnecessary when they did not use VA resources to develop their invention.", "In 2017, VA staff visited universities and VA medical centers 26 times to meet with researchers about invention disclosure. Also, VA created an online training course to educate researchers on the need to disclose inventions, but the training is not mandatory, and about 4 percent of researchers took it. Without mandatory training to communicate invention disclosure requirements\u2014consistent with federal internal control standards for internally communicating quality information\u2014VA researchers may not be fully informed about those requirements, which can result in lost technology transfer opportunities and royalties for VA.", "VA has improved communication with universities but has not ensured that they are consistently reporting information on commercialization activities for joint inventions. VA reported that about three-quarters of VA's 79 university partners did not submit the annual reports required by VA in 2017. GAO reviewed a nongeneralizable sample of agreements VA has with universities and found that reporting requirements about timing and content of reports were unclear. Without providing a standardized method that clearly guides universities in fulfilling VA's reporting requirements, consistent with federal standards for internal control, VA cannot ensure that it has adequate information to account for its licenses and royalties."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VA (1) make training about invention disclosure mandatory and (2) provide universities with a standardized method for annual reporting. VA concurred with GAO\u2019s recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than 90 years, the Department of Veterans Affairs (VA) has managed a research program that has led to healthcare breakthroughs that improve the lives of veterans and the public. According to VA, the department has been instrumental in medical advancements such as therapies for tuberculosis following World War II, the implantable cardiac pacemaker, concepts for computerized axial tomography scans (commonly referred to as CAT scans), the first successful liver transplants, and the first powered ankle-foot prosthesis.", "In 2000, VA created a technology transfer program to help transfer the use of inventions to the private sector so that the inventions could be commercialized and used by veterans and the public at large, while VA would retain ownership and collect royalties for its inventions. Today VA oversees a research program that spends $1.9 billion annually and employs more than 3,000 researchers focused on health issues such as cancer, diabetes, traumatic brain injury, and other conditions affecting veterans. In fiscal year 2016, VA patents from such research resulted in 45 licenses providing the agency about $316,000 in royalties, according to VA officials.", "VA\u2019s research program is unique in that the majority of VA\u2019s researchers are dually appointed\u2014they work at VA and at another research institution, such as a university or medical college. VA\u2019s dually appointed researchers\u2019 inventions are subject to agreements between VA and the university and are considered joint inventions. In most cases, the affiliated university is responsible for the bulk of technology transfer activities, including filing patents, finding licensees to further develop the technology, and collecting and distributing royalties. The process, from disclosure of the invention to VA to commercialization of the invention, requires coordination between researchers and administrators at VA medical centers and staff at VA\u2019s technology transfer office, as well as between VA\u2019s technology transfer office and the affiliated universities.", "Congress has raised questions about the extent to which VA is consistently asserting ownership of inventions developed with its resources. You asked us to examine the VA technology transfer program to ensure VA was not missing opportunities to obtain rights to inventions developed using VA resources. This report examines the extent to which VA has taken steps to ensure that (1) researchers and universities disclose inventions and (2) universities have reported information to VA about commercialization activities for joint inventions.", "For both objectives, we reviewed documents provided by VA, affiliated universities, and a VA advisory committee. These included documents on the history of VA\u2019s technology transfer program; technology transfer policies and procedures; and documents outlining challenges faced in implementing the program and recent efforts to address these challenges. We also examined relevant statutes and regulations. We compared VA\u2019s procedures, policies, and internal and external communications to federal internal control standards for control activities and information and communication. We also interviewed officials from the VA technology transfer office and the VA Office of the General Counsel; officials selected through a nonprobability sample of six VA medical centers and their affiliated universities; and two of the three members of a subcommittee of the National Research Advisory Council that submitted a report to VA on the department\u2019s technology transfer program in fiscal year 2017. We conducted site visits at five of the six VA medical centers\u2014Atlanta, Georgia; Baltimore, Maryland; Palo Alto and San Francisco, California; and Salt Lake City, Utah\u2014for interviews with researchers who were inventors and with the Associate Chiefs of Staff for Research at each medical center, to whom we refer as the research administrators. We also met with officials of each of the universities affiliated with the respective medical centers\u2014Emory University; the University of Maryland at Baltimore; Stanford University; the University of California, particularly the University of California at San Francisco; and the University of Utah. In addition, we conducted telephone interviews with researchers and the research administrator at the sixth VA medical center in Cleveland, Ohio, and officials of the university affiliated with it, Case Western Reserve University. We selected the medical centers and their respective university affiliates based on high levels of license activity or backlogs of disclosures, among other factors. The results of these interviews are not generalizable to all VA medical centers and their affiliated universities but provide illustrative examples.", "The VA technology transfer program is affiliated with 79 universities and has agreements in place with all but three of these. VA began negotiating these, which we refer to as original agreements, soon after the creation of the VA technology transfer program in 2000. Beginning in fiscal year 2015, VA initiated a new type of agreement establishing new provisions for VA, which we will refer to as new agreements. We reviewed original agreements for five of the six universities in our sample. One of the universities in our sample, Emory University, did not have an agreement with VA as of January 2018. We also reviewed a nonprobability sample of an additional three original agreements with other universities based on their licensing and commercialization activities, for a total of eight original agreements. In addition to the original agreements, we also reviewed the first eight new agreements that VA negotiated with universities. In total, we reviewed 16 agreements\u2014the 8 original agreements and 8 new ones to determine whether they contained requirements for disclosure and reporting to VA.", "For objective two, we requested and reviewed annual reports from VA for the eight universities whose original technology transfer agreements we reviewed. The annual reports VA provided were those the eight universities submitted to VA in 2016 and 2017, covering technology transfer activities, for a total of 12 reports. Not every university submitted an annual report to VA for each year; instead, at least one university provided an annual report that was late from a prior year, going back as far as 2011. We reviewed at least one annual report from each of the eight universities.", "We conducted this performance audit from October 2016 to April 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Just after World War II, VA developed affiliations with medical schools to improve acute care and physical and mental rehabilitation for veterans. As part of the relationship, VA medical centers have contributed to the education of medical students and residents. Besides medical students and residents, other dual appointees\u2014clinicians and researchers\u2014spend either a full 40-hour week or a fraction of the work week at VA and other time at the affiliated university.", "On January 23, 1950, Executive Order 10,096 established that the government shall obtain the entire right, title, and interest in and to all inventions made by government employees during working hours; with a contribution by the government of facilities, equipment, materials, funds, or information, or time and services of other government employees on official duty; or which bear a direct relation to or are made as a consequence of the employee\u2019s duties. Since the early 1980s, the federal government has taken several actions related to technology transfer from federal laboratories.", "Technology transfer is the process of transferring scientific findings from one organization to another for the purpose of further development and commercialization. In this regard, federal agencies are authorized to issue licenses to outside entities granting rights to make, use, or sell government owned inventions. One of the first technology transfer laws, the Stevenson-Wydler Technology Innovation Act of 1980, articulated the need for a strong national policy supporting domestic technology transfer. The law requires federal laboratories to establish an office of research and technology applications and devote budget and personnel resources to promoting technology cooperation and the transfer of technologies to private industry and state and local governments. In addition, the act requires federal agencies that operate or direct federal laboratories to report information on technology transfer performance annually to the Office of Management and Budget, as part of their annual budget submission. Copies of those reports should be transmitted to the Secretary of Commerce who must submit a summary report to Congress and the President.", "For many years after the Stevenson-Wydler Technology Innovation Act of 1980, VA waived ownership rights to inventions generated by its researchers, leaving the responsibilities for patenting, marketing, and licensing with the inventor and the VA medical center\u2019s university partner. As a result of this practice, according to former VA officials, some VA research was not commercialized because VA did not have a technology transfer program or other means to promote commercialization.", "In 2000, VA created the VA Technology Transfer Program to facilitate the commercialization of VA inventions to benefit veterans and the American public. VA developed technology transfer agreements with universities to help facilitate technology transfer. Under the terms of the agreements, the universities can take the lead on patenting and commercialization, and VA can retain joint ownership of inventions. Among other things, the original agreements gave the universities the right of first refusal to apply for and manage patents, market the technologies, negotiate licenses, and collect royalties to be shared with VA.", "As of November 2017, the VA Technology Transfer Office, located in Washington, D.C., employed five technology transfer specialists responsible for all technology transfer activities for VA\u2019s solely owned inventions. These inventions may come from more than 3,000 VA researchers at over 100 VA medical centers, as well as from VA employees at other VA locations. In addition, the technology transfer specialists are responsible for coordinating with universities on inventions made by dually appointed researchers. According to VA officials, VA relies on affiliated universities for most of the technology transfer efforts connected with such inventions, since the universities have their own offices with expertise in technology transfer and are usually willing to take the lead.", "Under a Veterans Health Administration 2002 policy on invention disclosures, which was revised in January 2017, VA employees who invent something are directed to disclose those inventions to VA using a disclosure form and complete a certification form to certify whether VA resources were used. VA employees are to disclose inventions to VA even if they were not created with VA resources. Affiliated universities may also require dually appointed researchers to disclose inventions to the university. Under agreements between the universities and VA, universities are required to disclose a dually appointed researcher\u2019s invention to VA, as an additional assurance to aid VA in capturing relevant inventions. Similarly, VA is to notify the university when a dually appointed researcher\u2019s invention comes to its attention.", "According to VA policy, researchers\u2019 supervisors or research administrators at VA medical centers are to review the disclosure forms and send them to the VA Technology Transfer Office. The office evaluates the information and provides a recommendation to VA\u2019s General Counsel on whether VA should assert ownership. If General Counsel\u2019s review finds that VA should assert ownership, the General Counsel notifies the VA researcher\u2019s and the VA medical center\u2019s research and development office of the determination. The Technology Transfer Office then notifies the researcher\u2019s university about VA\u2019s ownership of the invention. At this point the department expects the university to include VA as an owner during the patenting process, according to VA officials. Figure 1 shows VA\u2019s process for determining ownership of inventions created by dually appointed researchers, according to VA policies.", "If the university takes the lead on an invention of a dually appointed researcher, original VA agreements require universities to provide annual reports to update VA on commercialization activities, such as progress in licensing inventions or collecting royalties from licensees. While less commonly used, alternative processes for commercialization are shown in appendix I.", "We and others have identified a number of challenges associated with technology transfer from federal research facilities. For example, we found that technology transfer is often not a priority for laboratory managers; researchers may not understand the potential commercial applicability of their innovations; or the technologies are often not developed enough for use in market-ready products and may require investment of additional time and money to develop. We also have reported that pharmaceutical inventions in particular may take a relatively long time to develop. For example, the entire discovery, development, and review process of a new drug can take up to 15 years."], "subsections": []}, {"section_title": "VA Has Taken Steps to Educate Researchers and Universities about Requirements but Could Enhance Researchers\u2019 Training", "paragraphs": [], "subsections": [{"section_title": "VA Has Taken Steps to Educate Researchers but Reported that Researchers Have Not Always Disclosed Their Inventions", "paragraphs": ["Although VA has taken steps to educate researchers about disclosure of inventions, VA officials reported that the researchers have not consistently disclosed inventions to the department because they did not always fully understand VA\u2019s disclosure policy. Officials from VA\u2019s technology transfer office told us on multiple occasions that they believed researchers did not consistently disclose inventions. For example, in December 2016, VA officials said that once the technology transfer office began sending researchers e-mail notices about the need to disclose inventions, the number of disclosures increased, which they said suggested underreporting had been occurring. In March 2017, the officials told us that many of the inventions from more than 50 researchers during a 5-year period at one university had not been disclosed until VA checked with the university and discovered the error. By November 2017, VA technology transfer officials thought disclosure had improved throughout VA, but they were still not able to describe the extent of the problem.", "The researchers we interviewed at the six medical centers in our sample generally believed that they had properly disclosed inventions. However, according to VA officials, a university official, and two VA researchers, there could be several reasons that contributed to researchers not consistently disclosing their inventions to VA, including the following:", "Researchers may have disclosed inventions to their university, assuming the university would disclose them to VA on their behalf.", "Researchers may have disclosed their inventions to the university because it was more convenient than disclosing to VA, as the university\u2019s technology transfer officials were more accessible to answer questions.", "Researchers were not familiar with VA\u2019s invention disclosure process because the process was not routine to them.", "Researchers may have believed they did not use VA resources and did not realize they were still required to disclose to VA.", "VA research administrators may not always have reminded researchers of the need to disclose inventions, as they did not consider this requirement a priority.", "VA made efforts since fiscal year 2016 to inform researchers about its disclosure policy. For example, according to VA officials, the department has increased its in-person communication with VA researchers. In the first 8 months of fiscal year 2017, VA staff made 26 visits to universities and VA medical centers to meet with researchers to encourage the disclosure of inventions. However, VA officials said participation rates among researchers at these voluntary meetings were low in some cases. At one medical center, only the research administrator and one other researcher attended the meeting, according to the administrator.", "In addition, VA established an online training program in 2017 covering the invention disclosure process, but the training is not mandatory. VA provided us with a report from October 2017 indicating that out of over 3,000 eligible researchers, 130 had taken the training (about 4 percent). One VA research administrator said that mandatory training would be helpful. Under federal internal control standards, management is to internally communicate the necessary quality information to achieve the entity\u2019s objectives, such as by communicating that information down and across reporting lines to enable personnel to perform key roles in achieving those objectives. Given that VA has not made the meetings or online training on disclosure policy mandatory, its importance may not be clear to all researchers. Also, because researchers do not make discoveries every year, and the process is not routine, taking such training once may not be sufficient to educate users. Without requiring researchers to take online training on the invention disclosure process annually, researchers may not be fully informed about the requirement to disclose inventions, which can result in lost technology transfer opportunities and lost royalties for VA if the inventions are not disclosed."], "subsections": []}, {"section_title": "VA Has Taken Steps to Make Universities Aware of VA Researchers and Disclosure Requirements", "paragraphs": ["Based on our interviews with VA and university officials in our sample, since fiscal year 2016, the department took steps to make universities aware of VA researchers and their disclosure requirements in an effort to improve university disclosures to VA. We reviewed 16 agreements between VA and affiliated universities, including the five universities with agreements in our sample, and all of the universities agreed to disclose joint inventions to the department. However, VA officials we interviewed said that universities may not always disclose all inventions to VA. Although they said they could not identify the extent of the problem, the officials highlighted one university in our sample that had not disclosed inventions to VA for at least 5 years. This university did not disclose inventions to VA, as agreed, until prompted by VA\u2019s technology transfer office late in fiscal year 2016. Responsible university officials said they had assumed the dually appointed researchers were disclosing the inventions to VA. According to VA officials, when the VA technology transfer office received a report from the university in fiscal year 2017 that covered 5 years of disclosures, VA learned it had not received 80 percent of the disclosures from that university for that period. VA officials said they had not contacted the university sooner because their technology transfer office had been understaffed until early in calendar year 2016. VA officials from the technology transfer office had not identified a similar problem of this magnitude with the other universities, including those in our sample.", "According to our interviews with VA and university officials, some of VA\u2019s university partners may not have been aware of which researchers were also VA employees because the universities\u2019 lists of VA researchers were not current and universities generally relied on the researchers to disclose whether they were VA employees. Furthermore, in some cases, the university disclosure forms did not specifically ask whether the researcher also worked at VA. For example, two of the six forms used by universities in our sample did not specifically ask the researcher to indicate whether they were VA employees. Upon recognizing some shortcomings in universities\u2019 disclosures to VA, the department provided current lists of VA researchers at affiliated VA medical centers to their respective universities in fiscal year 2017, and VA technology transfer officials said they intend to provide such updated lists to the universities semi-annually. VA officials said that universities may not be using these lists, but they will not know until time has elapsed. VA technology transfer officials said their site visits to VA medical centers\u2014they conducted 26 visits in fiscal year 2017\u2014along with other communications with their counterparts at the universities should help the disclosure process."], "subsections": []}]}, {"section_title": "VA Increased Communication with Universities about Reporting Commercialization Activities but Has Not Ensured that Such Activities Are Consistently Reported", "paragraphs": ["VA has increased communication with universities since 2016 to help ensure that universities report information about commercialization activities for joint inventions, but universities\u2019 reporting remained inconsistent as of January 2018, according to VA. Under the original agreements, such as the ones in our sample of eight agreements, universities have the exclusive right to license and commercialize joint inventions. VA\u2019s awareness of the commercialization of such inventions depends on universities providing this information through annual reports, as required by the agreements. However, according to VA officials, prior to 2011, only about 20 percent of the 79 universities with which VA has agreements submitted annual reports. According to VA officials, VA made an effort to increase annual reporting, and by 2013 it was up to 80 percent. The officials said, however, that the percentage of universities submitting annual reports dropped again after losing staff in the technology transfer office\u2014the office retained only three staff in subsequent years until fiscal year 2017 when there were 11 staff, including 5 technology transfer specialists.", "In addition, VA officials we interviewed said that there was some confusion among universities regarding when they needed to submit annual reports. For example, they said that some universities may not have understood whether they needed to provide annual reports during years when there was no new patenting or licensing activity. The officials said that this was at least part of the reason some universities did not submit annual reports. VA officials told us that they expect universities to provide annual reports even when there is no new patenting or licensing activity, and in fiscal year 2016 technology transfer officials e-mailed universities to clarify this expectation. The officials also said that in October 2016 they sent a letter to each of the 79 universities with which the department has agreements to remind universities to submit the required annual reports. Further, as stated earlier, VA staff made 26 visits to VA medical centers and universities in the first 8 months of fiscal year 2017 to discuss reporting and disclosure requirements. However, VA reported that 24 percent of the 79 affiliated universities provided annual reports in fiscal year 2017 even after VA\u2019s outreach. Because they did not always receive annual reports, VA officials said they were often not aware of a joint license until the university sent VA the first royalty check for a joint invention. VA officials said they plan to conduct audits to check the accuracy of university information.", "Beginning in fiscal year 2015, VA began creating new agreements with universities to give VA enhanced responsibility in licensing and commercialization of joint inventions. By the end of fiscal year 2017, VA had new agreements in place with 11 of the 79 universities. Based on our review of 8 of the new agreements, VA will now, for the first time, have the option to take the lead in licensing joint inventions. For inventions for which VA does not take the lead role, under the new agreements, it will have the right to review and provide input on all joint licenses. This new provision improves VA\u2019s awareness of any joint licenses created in the future. However, because original agreements did not include this provision, VA will still need to rely on accurate and updated annual reports from universities for information on licenses negotiated under those agreements.", "In addition, the new agreements do not improve or clarify language from the original agreements about what details need to be included in the annual reports. According to our analysis, these eight new agreements, similar to the original eight agreements we reviewed, do not contain details on the specific information and format in which to present the annual report. For example, both the original and four of the new agreements we reviewed require universities to provide an annual report, but four other new agreements state that the universities will provide annual reports upon request. The original agreements as well as all eight of the new agreements indicate that reports should include the status of all patent prosecution, commercial development, and licensing activity on joint inventions but do not explain whether an annual report is needed if there has been no commercialization activity. As noted above, VA officials said universities were confused about whether they were required to report to VA if they had no new activity in a given period; however, VA officials told us they still need reports in these situations.", "Furthermore, based on our analysis of 12 annual reports from eight universities, the format and content of the reports has been inconsistent. Four universities submitted reports in a spreadsheet format; two universities submitted reports in portable document format (PDF); one university submitted a report in a Word format; and one submitted five different documents, including both PDF and spreadsheet. In addition to differences in format, the annual reports differed considerably in the content they provided\u2014the more detailed annual reports included patent application numbers, patent expenses, the status of patent applications, and information about whether the patent had been licensed. In contrast, the less detailed annual reports did not provide any of this information on patents for the joint inventions. Moreover, one university only included active license agreements in its annual report, while other universities also included license agreements that were terminated. VA officials we interviewed agreed that the reports are not very detailed or standardized but said they would like to eventually standardize the annual report format and content so they can use the reports to track and audit joint inventions The differences in annual reports exist because VA has not provided the universities with a standardized method for reporting, including the format that should be used for the annual reports and the content to include in them. Under federal standards for internal control, management should design control activities to achieve objectives and respond to risks. Such control activities include providing a standardized method that guides universities in fulfilling VA\u2019s reporting requirements to ensure the objectives of the program are being achieved. Without providing a standardized method that clearly guides universities in fulfilling VA\u2019s reporting requirements for these annual reports, including their format and content, the department will not be able to ensure detailed and standardized annual reports that include details about licenses and royalties. VA officials said that they were working on a template for universities to use in reporting on commercialization activities for joint inventions. However it is not clear whether the template would inform universities of VA\u2019s requirements to submit an annual report even if they had no new commercialization activity in a given period."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["VA manages a research program unique within the federal government in that most of its researchers are dually appointed to universities, and their inventions are jointly owned by VA and the universities, which typically take the lead on commercialization activities. While VA has taken steps to educate researchers about requirements for researchers and universities to disclose inventions to VA, VA officials reported that researchers have not consistently done so, because they did not always fully understand the policy. Given that VA has not made its online training on disclosure policy mandatory, the policy\u2019s importance may not be clear to researchers. Also, because researchers do not make discoveries every year, and the process of disclosure is not routine, taking such training once may not be sufficient. Without requiring researchers to take online training on the invention disclosure process annually, researchers may not be fully informed about the requirement to disclose inventions, which can result in lost technology transfer opportunities as well as lost royalties for VA if the inventions are not disclosed.", "VA has also taken steps to improve communication with universities to increase reporting of commercialization activities, but said that such reporting by universities is inconsistent, and VA may not have adequate information to account for all of its licenses and royalties. Without providing a standardized method that clearly guides universities in fulfilling VA\u2019s reporting requirements for these annual reports, including their format and content, the department will not be able to ensure detailed and standardized annual reports."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to VA: The Under Secretary of Health should make VA\u2019s online training on invention disclosure mandatory for researchers and require that it be completed annually. (Recommendation 1)", "The Under Secretary of Health should provide a standardized method that guides universities in fulfilling VA\u2019s reporting requirements for these annual reports, including their format and content. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs for review and comment. In written comments reproduced in appendix II, VA agreed with our recommendations. Specifically, for our first recommendation, VA said it will develop a plan to ensure its researchers complete online technology transfer training on invention disclosure annually. Furthermore, the plan will contain contingencies for those who do not meet the requirements. The department expects to issue a training requirement, train staff, and also demonstrate training is done by September 2019. In addition, for our second recommendation, VA said it will develop a standardized method that guides universities in fulfilling VA\u2019s reporting requirements for the university technology transfer annual reports. VA has a target completion date of December 2018. VA also provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At this time, we will send copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to the report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Department of Veterans Affairs Commercialization Process, Revenue, and Total Joint Patents with Universities", "paragraphs": ["The process for commercializing a Department of Veterans Affairs (VA) invention can take several avenues. Generally a university takes the lead on inventions of dual appointees who work for VA and a university, and VA researchers who are not dually appointed rely on VA to patent and license their inventions. Also, VA can take the lead on joint inventions, for example, if the university is not interested in ownership. (see fig. 2).", "VA received about $316,000 in royalties from 45 licenses for its inventions in fiscal year 2016 (see table 1). VA has U.S. and foreign patents. From calendar years 2000 through November 2017, the U.S. Patent and Trademark Office has granted VA 82 patents for which VA is the sole assignee, according to VA officials. Also, table 2 shows by university the breakdown of the 206 patents for which VA shares ownership with an affiliate."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["John Neumann, (202) 512-3841 or neumannj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rob Marek (Assistant Director), Daniel Semick (Analyst in Charge), Ivelisse Aviles, Navaiyoti Barkakati, Kevin Bray, Ellen Fried, Matthew Hunter, Cynthia Saunders, Dan C. Royer, Ardith Spence, and Kiki Theodoropoulos made key contributions to this report."], "subsections": []}]}], "fastfact": ["Did you know that the Department of Veterans Affairs employed researchers who helped develop the pacemaker in 1960? Since 2000, VA research has resulted in VA-owned patents. VA can grant licenses to private sector firms to make its medical technologies commercially available while VA collects the royalties.", "To ensure this happens, VA requires its researchers and the universities that employ them to disclose their inventions.", "We found inconsistent disclosures from researchers and low turnout in VA's training on disclosures. We also found that VA\u2019s reporting requirements for universities were unclear\u2014and recommended ways to address these issues."]} {"id": "GAO-18-397T", "url": "https://www.gao.gov/products/GAO-18-397T", "title": "Border Security: Progress and Challenges with the Use of Technology, Tactical Infrastructure, and Personnel to Secure the Southwest Border", "published_date": "2018-03-15T00:00:00", "released_date": "2018-03-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DHS has employed a variety of technology, tactical infrastructure, and personnel assets to help secure the nearly 2,000 mile long southwest border. Since 2009, GAO has issued over 35 products on the progress and challenges DHS has faced in using technology, infrastructure, and other resources to secure the border. GAO has made over 50 recommendations to help improve DHS's efforts, and DHS has implemented more than half of them.", "This statement addresses (1) DHS efforts to deploy and measure the effectiveness of surveillance technologies, (2) DHS efforts to maintain and assess the effectiveness of existing tactical infrastructure and to deploy new physical barriers, and (3) staffing challenges the Border Patrol has faced. This statement is based on three GAO reports issued in 2017, selected updates conducted in 2017, and ongoing work related to DHS acquisitions and the construction of physical barriers. For ongoing work GAO analyzed DHS and CBP documents, interviewed officials within DHS, and visited border areas in California."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Border Patrol, within the Department of Homeland Security's (DHS) U.S. Customs and Border Protection (CBP), has made progress deploying surveillance technology\u2014a mix of radars, sensors, and cameras\u2014along the southwest U.S. border. As of October 2017, the Border Patrol had completed the planned deployment of select technologies to several states along the southwest border. The Border Patrol has also made progress toward assessing performance of surveillance technologies, but additional actions are needed to fully implement GAO's 2011 and 2014 recommendations in this area. For example, the Border Patrol has not yet used available data to determine the contribution of surveillance technologies to border security efforts.", "CBP spent about $2.3 billion to deploy fencing from fiscal years 2007 through 2015 and constructed 654 miles of fencing by 2015. The Border Patrol has reported that border fencing supports agents' ability to respond to illicit cross-border activities by slowing the progress of illegal entrants. GAO reported in February 2017 that CBP was taking a number of steps in sustaining tactical infrastructure\u2014such as fencing, roads, and lighting\u2014along the southwest border. However, CBP has not developed metrics that systematically use data it collects to assess the contributions of border fencing to its mission, as GAO has recommended. CBP concurred with the recommendation and plans to develop metrics by January 2019. Further, CBP established the Border Wall System Program in response to a January 2017 executive order that called for the immediate construction of a southwest border wall. This program is intended to replace and add to existing barriers along the southwest border. In April 2017, DHS leadership gave CBP approval to procure barrier prototypes, which are intended to help inform new design standards for the border wall system.", "Physical Barriers in San Diego, California, April 2016", "The Border Patrol has faced challenges in achieving a staffing level of 21,370 agents, the statutorily-established minimum from fiscal years 2011 through 2016. As of September 2017, the Border Patrol reported it had about 19,400 agents. GAO reported in November 2017 that Border Patrol officials cited staffing shortages as a challenge for optimal deployment. As a result, officials had to make decisions about how to prioritize activities for deployment given the number of agents available."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In recent reports, GAO made or reiterated recommendations for DHS to, among other things, assess the contributions of technology and fencing to border security. DHS generally agreed, and has actions planned or underway to address these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss GAO\u2019s work reviewing the Department of Homeland Security\u2019s (DHS) efforts to deploy surveillance technology, tactical infrastructure, and personnel resources to the southwest border. This area continues to be vulnerable to illegal cross- border activity. The U.S. Border Patrol reported apprehending almost 304,000 illegal entrants and making over 11,600 drug seizures along the southwest border in fiscal year 2017. In January 2017, an executive order called for, among other things, the immediate construction of a southwest border wall and the hiring of 5,000 additional Border Patrol agents, subject to available appropriations.", "The Border Patrol, within DHS\u2019s U.S. Customs and Border Protection (CBP), is the federal agency responsible for securing the national borders between U.S. ports of entry. The Border Patrol divides responsibility for southwest border security operations geographically among nine sectors, and each sector is further divided into varying numbers of stations. To respond to cross-border threats, DHS has employed a combination of key resources, including surveillance technology, tactical infrastructure (which includes fencing, roads, and lighting), and Border Patrol agents. For example, DHS has deployed a variety of land-based surveillance technologies, such as cameras and sensors, which the Border Patrol uses to assist its efforts to secure the border and to apprehend individuals attempting to cross the border illegally. In addition, CBP spent approximately $2.4 billion from fiscal years 2007 through 2015 to deploy tactical infrastructure, including about $2.3 billion on fencing, at locations along the nearly 2,000 mile long southwest border. The Border Patrol deploys agents along the immediate border and in areas up to 100 miles from the border as part of a layered approach the agency refers to as the defense in depth strategy, and the Border Patrol reported it had 16,605 agents staffed at southwest border sectors at the end of fiscal year 2017.", "Since 2009 we have issued over 35 products on the progress DHS and its components have made and challenges it faces in using surveillance technology, tactical infrastructure, personnel, and other resources to secure the southwest border. As a result of this work, we have made over 50 recommendations to help improve DHS oversight over efforts to secure the southwest border, and DHS has implemented more than half of them. My statement describes (1) DHS efforts to deploy and measure the effectiveness of surveillance technologies, (2) DHS efforts to maintain and assess the effectiveness of existing tactical infrastructure and deploy new physical barriers, and (3) staffing challenges the Border Patrol has faced.", "This statement is based on three reports we issued in 2017, and on selected updates we conducted in November and December 2017 on the Border Patrol\u2019s efforts to address some of our previous recommendations. This statement also includes preliminary observations and analyses from ongoing work related to the construction of new and replacement physical barriers along the southwest border and our fourth annual assessment of select DHS major acquisition programs. Our reports and testimonies, along with selected updates, incorporated information we obtained and analyzed from officials at various DHS components, and during site visits along the southwest border. More detailed information about our scope and methodology can be found in our published reports and testimonies. For ongoing work, we reviewed acquisition documents, such as CBP\u2019s Concept of Operations for Impedance and Denial, the Wall System Operational Requirements Document, and the Border Wall Prototype Test Plan. We also met with officials from DHS components, including CBP\u2019s Office of Facilities and Management and the Border Patrol, from September 2017 to January 2018. Further, in December 2017 we conducted a site visit to California to view existing tactical infrastructure and border wall prototypes that will inform the design of future physical barriers along the southwest border. All of our work was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "CBP Has Made Progress Deploying Surveillance Technology along the Southwest Border, but Has Not Fully Assessed Effectiveness", "paragraphs": ["On multiple occasions since 2011, we have reported on the progress the Border Patrol has made deploying technologies along the southwest border. Figure 1 shows the land-based surveillance technology systems used by the Border Patrol.", "In November 2017, we reported on the progress the Border Patrol made deploying technology along the southwest border in accordance with its 2011 Arizona Technology Plan and 2014 Southwest Border Technology Plan. For example, we reported that, according to officials, the Border Patrol had completed deployments of all planned Remote Video Surveillance Systems (RVSS), Mobile Surveillance Capability systems, and Unattended Ground Sensors, as well as 15 of 53 Integrated Fixed Tower systems to Arizona. The Border Patrol had also completed deployments of select technologies to Texas and California, including deploying 32 Mobile Surveillance Capability systems. In addition, the Border Patrol had efforts underway to deploy other technology programs, but at the time of our report, some of those programs had not yet begun deployment or were not yet under contract. For example, we reported that, according to the Border Patrol officials responsible for the RVSS program, the Border Patrol had begun planning the designs of the command and control centers and towers for the Rio Grande Valley sector in Texas. Further, we reported that the Border Patrol had not yet initiated deployments of RVSS to Texas because, according to Border Patrol officials, the program had only recently completed contract negotiations for procuring those systems. Additionally, the Border Patrol initially awarded the contract to procure and deploy Mobile Video Surveillance System units to Texas in 2014, but did not award the contract until 2015 because of bid and size protests, and the vendor that was awarded the contract did not begin work until March 2016. Our November 2017 report includes more detailed information about the deployment status of surveillance technology along the southwest border as of October 2017.", "We also reported in November 2017 that the Border Patrol had made progress identifying performance metrics for the technologies deployed along the Southwest Border, but additional actions are needed to fully implement our prior recommendations in this area. For example, in November 2011, we found that CBP did not have the information needed to fully support and implement the Arizona Technology Plan and recommended that CBP (1) determine the mission benefits to be derived from implementation of the Arizona Technology Plan and (2) develop and apply key attributes for metrics to assess program implementation. CBP concurred with our recommendations and has implemented one of them. Specifically, in March 2014, we reported that CBP had identified mission benefits of its surveillance technologies to be deployed along the southwest border, such as improved situational awareness and agent safety. However, the agency had not developed key attributes for performance metrics for all surveillance technologies to be deployed.", "Further, we reported in March 2014 that CBP did not capture complete data on the contributions of these technologies. When used in combination with other relevant performance metrics or indicators, these data could be used to better determine the impact of CBP\u2019s surveillance technologies on CBP\u2019s border security efforts and inform resource allocation decisions. Therefore, we recommended that CBP (1) require data on technology contributions to apprehensions or seizures to be tracked and recorded within its database and (2) subsequently analyze available data on apprehensions and technological assists\u2014in combination with other relevant performance metrics or indicators, as appropriate\u2014to determine the contribution of surveillance technologies. CBP concurred with our recommendations and has implemented one of them. Specifically, in June 2014, the Border Patrol issued guidance informing agents that the asset assist data field\u2014which records assisting technology or other assets (canine teams)\u2014in its database had become a mandatory data field.", "While the Border Patrol has taken action to collect data on technology, it has not taken additional steps to determine the contribution of surveillance technologies to CBP\u2019s border security efforts. In April 2017, we reported that the Border Patrol had provided us a case study that assessed technology assist data, along with other measures, to determine the contributions of surveillance technologies to its mission. We reported that this was a helpful step in developing and applying performance metrics; however, the case study was limited to one border location and the analysis was limited to select technologies. In November 2017, we reported that Border Patrol officials demonstrated the agency\u2019s new Tracking, Sign Cutting, and Modeling (TSM) system, which they said is intended to connect between agents\u2019 actions (such as identification of a subject through the use of a camera) and results (such as an apprehension) and allow for more comprehensive analysis of the contributions of surveillance technologies to the Border Patrol\u2019s mission. One official said that data from the TSM will have the potential to provide decision makers with performance indicators, such as changes in apprehensions or traffic before and after technology deployments. However, at the time of our review, TSM was still early in its use and officials confirmed that it was not yet used to support such analytic efforts. We continue to believe that it is important for the Border Patrol to assess technologies\u2019 contributions to border security and will continue to monitor the progress of the TSM and other Border Patrol efforts to meet our 2011 and 2014 recommendations."], "subsections": []}, {"section_title": "CBP Is Planning to Construct New Physical Barriers, but Has Not Yet Assessed the Impact of Existing Fencing", "paragraphs": [], "subsections": [{"section_title": "Fencing Is Intended to Assist Agents in Performing Their Duties, but Its Contributions to Border Security Operations Have Not Been Assessed", "paragraphs": ["We have reported on the significant investments CBP has made in tactical infrastructure along the southwest border. The Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), as amended, provides that the Secretary of Homeland Security shall take actions, as necessary, to install physical barriers and roads in the vicinity of the border to deter illegal crossings in areas of high illegal entry. The Secure Fence Act of 2006, in amending IIRIRA, required DHS to construct at least two layers of reinforced fencing as well as physical barriers, roads, lighting, cameras, and sensors on certain segments of the southwest border. From fiscal years 2005 through 2015, CBP increased the total miles of primary border fencing on the southwest border from 119 miles to 654 miles\u2014including 354 miles of primary pedestrian fencing and 300 miles of primary vehicle fencing. In addition, CBP has deployed additional layers of pedestrian fencing behind the primary border fencing, including 37 miles of secondary fencing. From fiscal years 2007 through 2015, CBP spent approximately $2.4 billion on tactical infrastructure on the southwestern border\u2014and about 95 percent, or around $2.3 billion, was spent on constructing pedestrian and vehicle fencing. CBP officials reported it will need to spend additional amounts to sustain these investments over their lifetimes. In 2009, CBP estimated that maintaining fencing would cost more than $1 billion over 20 years. CBP used various fencing designs to construct the 654 miles of primary pedestrian and vehicle border fencing. Figure 2 shows examples of existing pedestrian fencing deployed along the border.", "In February 2017, we reported that border fencing had benefited border security operations in various ways, according to the Border Patrol. For example, according to officials, border fencing improved agent safety, helped reduce vehicle incursions, and supported Border Patrol agents\u2019 ability to respond to illicit cross-border activities by slowing the progress of illegal entrants. However, we also found that, despite its investments over the years, CBP could not measure the contribution of fencing to border security operations along the southwest border because it had not developed metrics for this assessment. We reported that CBP collected data that could help provide insight into how border fencing contributes to border security operations. For example, we found that CBP collected data on the location of illegal entries that could provide insight into where these illegal activities occurred in relation to the location of various designs of pedestrian and vehicle fencing. We reported that CBP could potentially use these data to compare the occurrence and location of illegal entries before and after fence construction, as well as to help determine the extent to which border fencing contributes to diverting illegal entrants into more rural and remote environments, and border fencing\u2019s impact, if any, on apprehension rates over time. Therefore, we recommended in February 2017 that the Border Patrol develop metrics to assess the contributions of pedestrian and vehicle fencing to border security along the southwest border using the data the Border Patrol already collects and apply this information, as appropriate, when making investment and resource allocation decisions. The agency concurred with our recommendation. As of December 2017, officials reported that CBP plans to establish initial metrics by March 2018 and finalize them in January 2019."], "subsections": []}, {"section_title": "CBP Faces Challenges in Sustaining Tactical Infrastructure and Has Not Provided Guidance on Its Process for Identifying and Deploying Tactical Infrastructure", "paragraphs": ["In February 2017, we also reported that CBP was taking a number of steps to sustain tactical infrastructure along the southwest border; however, it continued to face certain challenges in maintaining this infrastructure. For example, CBP had funding allocated for tactical infrastructure sustainment requirements, but had not prioritized its requirements to make the best use of available funding, since CBP also required contractors to address urgent repair requirements. According to Border Patrol officials, CBP classifies breaches to fencing, grates, or gates as urgent and requiring immediate repair because breaches increase illegal entrants\u2019 ability to enter the country unimpeded. At the time of our February 2017 review, the majority of urgent tactical infrastructure repairs on the southwest border were fence breaches, according to Border Patrol officials. From fiscal years 2010 through 2015, CBP recorded a total of 9,287 breaches in pedestrian fencing, and repair costs averaged $784 per breach.", "While contractors provide routine maintenance and address urgent repairs on tactical infrastructure, certain tactical infrastructure assets used by the Border Patrol\u2014such as border fencing\u2014become degraded beyond repair and must be replaced. For example, in February 2017 we reported that CBP had provided routine maintenance and repair services to the primary legacy pedestrian fencing in Sunland Park, New Mexico. However, significant weather events had eroded the foundation of the fencing, according to the Border Patrol officials in the El Paso sector, and in 2015 CBP began to replace 1.4 miles of primary pedestrian fence in this area. We also reported on several additional CBP projects to replace degraded, legacy pedestrian fencing with more modern, bollard style fencing. For example, in fiscal year 2016, CBP began removing and replacing an estimated 7.5 miles of legacy primary pedestrian fencing with modern bollard style fencing within the Tucson sector. In addition, from fiscal years 2011 through 2016, CBP completed four fence replacement projects that replaced 14.1 miles of primary pedestrian legacy fencing in the Tucson and Yuma sectors at a total cost of approximately $68.26 million and an average cost of $4.84 million per mile of replacement fencing. We plan to provide information on additional fence replacement projects in a forthcoming report.", "In 2014, the Border Patrol began implementing the Requirements Management Process that is designed to facilitate planning for funding and deploying tactical infrastructure and other requirements, according to Border Patrol officials. At the time of our February 2017 review, Border Patrol headquarters and sector officials told us that the Border Patrol lacked adequate guidance for identifying, funding, and deploying tactical infrastructure needs as part of this process. In addition, officials reported experiencing some confusion about their roles and responsibilities in this process. We reported that developing guidance on this process would provide more reasonable assurance that the process is consistently followed across the Border Patrol. We therefore recommended that the Border Patrol develop and implement written guidance to include roles and responsibilities for the steps within its requirements process for identifying, funding, and deploying tactical infrastructure assets for border security operations. The agency concurred with this recommendation and stated that it planned to update the Requirements Management Process and, as part of that update, planned to add communication and training methods and tools to better implement the process. As of December 2017, DHS plans to complete these efforts by September 2019."], "subsections": []}, {"section_title": "CBP Has Tested Barrier Prototypes and Plans to Construct New Barriers in San Diego and Rio Grande Valley Sectors", "paragraphs": ["In response to the January 2017 Executive Order, CBP established the Border Wall System Program to replace and add to existing barriers along the southwest border. In April 2017, DHS leadership authorized CBP to procure barrier prototypes, which are intended to help refine requirements and inform new or updated design standards for the border wall system. CBP subsequently awarded eight contracts with a total value of $5 million for the construction, development, and testing of the prototypes. From October to December 2017, CBP tested eight prototypes\u2014four constructed from concrete and four from other materials\u2014and evaluated them in five areas: breachability, scalability, constructability, design, and aesthetics. CBP officials said the prototype evaluation results are expected by March 2018.", "CBP has selected the San Diego and Rio Grande Valley sectors for the first two segments of the border wall system. In the San Diego sector, CBP plans to replace 14 miles of existing primary and secondary barriers. The primary barriers will be rebuilt to existing design standards, but the secondary barriers will be rebuilt to new design standards once established. In the Rio Grande Valley sector, CBP plans to extend an existing barrier by 60 miles using existing design standards. CBP intends to prioritize construction of new or replacement physical barriers based on threat levels, land ownership, and geography, among other things. We have ongoing work reviewing the Border Wall System Program, and we plan to report on the results of that work later this year."], "subsections": []}]}, {"section_title": "The Border Patrol Has Continued to Face Staffing Challenges", "paragraphs": ["In November 2017 we reported that, in fiscal years 2011 through 2016, the Border Patrol had statutorily-established minimum staffing levels of 21,370 full-time equivalent agent positions, but the Border Patrol has faced challenges in staffing to that level. Border Patrol headquarters, with input from the sectors, determines how many authorized agent positions are allocated to each of the sectors. According to Border Patrol officials, these decisions take into account the relative needs of the sectors, based on threats, intelligence, and the flow of illegal activity. Each sector\u2019s leadership determines how many of the authorized agent positions will be allocated to each station within their sector.", "At the end of fiscal year 2017, the Border Patrol reported it had over 19,400 agents on board nationwide, and that over 16,600 of the agents were staffed to sectors along the southwest border. As mentioned earlier, the January 2017 executive order called for the hiring of 5,000 additional Border Patrol agents, subject to available appropriations, and as of November 2017 we reported that the Border Patrol planned to have 26,370 agents by the end of fiscal year 2021. The Acting Commissioner of CBP reported in a February 2017 memo to the Deputy Secretary for Homeland Security that from fiscal year 2013 to fiscal year 2016, the Border Patrol hired an average of 523 agents per year while experiencing a loss of an average of 904 agents per year. The memo cited challenges such as competing with other federal, state, and local law enforcement organizations for applicants. In particular, the memo noted that CBP faces hiring and retention challenges compared to DHS\u2019s U.S. Immigration and Customs Enforcement (which is also planning to hire additional law enforcement personnel) because CBP\u2019s hiring process requires applicants to take a polygraph examination, Border Patrol agents are deployed to less desirable duty locations, and Border Patrol agents generally receive lower compensation.", "In November 2017, we reported that the availability of agents is one key factor that affects the Border Patrol\u2019s deployment strategy. In particular, officials from all nine southwest border sectors cited current staffing levels and the availability of agents as a challenge for optimal deployment. We reported that, as of May 2017, the Border Patrol had 17,971 authorized agent positions in southwest border sectors, but only 16,522 of those positions were filled\u2014a deficit of 1,449 agents\u2014and eight of the nine southwest border sectors had fewer agents than the number of authorized positions. As a result of these staffing shortages, resources were constrained and station officials had to make decisions about how to prioritize activities for deployment given the number of agents available.", "We also reported in November 2017 that within sectors, some stations may be comparatively more understaffed than others because of recruitment and retention challenges, according to officials. Generally, sector officials said that the recruitment and retention challenges associated with particular stations were related to quality of life factors in the area near the station\u2014for example, agents may not want to live with their families in an area without a hospital, with low-performing schools, or with relatively long commutes from their homes to their duty station. This can affect retention of existing agents, but it may also affect whether a new agent accepts a position in that location. For example, officials in one sector said that new agent assignments are not based solely on agency need, but rather also take into consideration agent preferences. These officials added that there is the potential that new agents may decline offers for stations that are perceived as undesirable, or they may resign their position earlier than they otherwise would to pursue employment in a more desirable location. We have ongoing work reviewing CBP\u2019s efforts to recruit, hire, and retain its law enforcement officers, including Border Patrol agents.", "Chairwoman McSally, Ranking Member Vela, and Members of the Subcommittee, this concludes my prepared statement. I will be happy to answer any questions you may have."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact Rebecca Gambler at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony are Jeanette Henriquez (Assistant Director), Leslie Sarapu (Analyst-in- Charge), Ashley Davis, Alana Finley, Tom Lombardi, Marycella Mierez, and Claire Peachey."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Southwest Border Security: Border Patrol Is Deploying Surveillance Technologies but Needs to Improve Data Quality and Assess Effectiveness. GAO-18-119. Washington, D.C.: November 30, 2017.", "Border Patrol: Issues Related to Agent Deployment Strategy and Immigration Checkpoints. GAO-18-50. Washington, D.C.: November 8, 2017. 2017 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-17- 491SP. Washington, D.C.: April 26, 2017.", "Homeland Security Acquisitions: Earlier Requirements Definition and Clear Documentation of Key Decisions Could Facilitate Ongoing Progress. GAO-17-346SP. Washington, D.C.: April 6, 2017.", "Southwest Border Security: Additional Actions Needed to Better Assess Fencing\u2019s Contributions to Operations and Provide Guidance for Identifying Capability Gaps. GAO-17-331. Washington, D.C.: February 16, 2017.", "Southwest Border Security: Additional Actions Needed to Better Assess Fencing\u2019s Contributions to Operations and Provide Guidance for Identifying Capability Gaps. GAO-17-167SU. Washington, D.C.: December 22, 2016.", "Border Security: DHS Surveillance Technology, Unmanned Aerial Systems and Other Assets. GAO-16-671T. Washington, D.C.: May 24, 2016. 2016 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-16- 375SP. Washington, D.C.: April 13, 2016.", "Homeland Security Acquisitions: DHS Has Strengthened Management, but Execution and Affordability Concerns Endure. GAO-16-338SP. Washington, D.C.: March 31, 2016.", "Southwest Border Security: Additional Actions Needed to Assess Resource Deployment and Progress. GAO-16-465T. Washington, D.C.: March 1, 2016.", "Border Security: Progress and Challenges in DHS\u2019s Efforts to Implement and Assess Infrastructure and Technology. GAO-15-595T. Washington, D.C.: May 13, 2015.", "Homeland Security Acquisitions: Addressing Gaps in Oversight and Information is Key to Improving Program Outcomes. GAO-15-541T. Washington, D.C.: April 22, 2015.", "Homeland Security Acquisitions: Major Program Assessments Reveal Actions Needed to Improve Accountability. GAO-15-171SP. Washington, D.C.: April 22, 2015. 2015 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-15- 404SP. Washington, D.C.: April 14, 2015.", "Arizona Border Surveillance Technology Plan: Additional Actions Needed to Strengthen Management and Assess Effectiveness. GAO-14-411T. Washington, D.C.: March 12, 2014.", "Arizona Border Surveillance Technology Plan: Additional Actions Needed to Strengthen Management and Assess Effectiveness. GAO-14-368. Washington, D.C.: March 3, 2014.", "Border Security: Progress and Challenges in DHS Implementation and Assessment Efforts. GAO-13-653T. Washington, D.C.: June 27, 2013.", "Border Security: DHS\u2019s Progress and Challenges in Securing U.S. Borders. GAO-13-414T. Washington, D.C.: March 14, 2013.", "Border Patrol: Key Elements of New Strategic Plan Not Yet in Place to Inform Border Security Status and Resource Needs. GAO-13-25. Washington, D.C.: December 10, 2012.", "U.S. Customs and Border Protection\u2019s Border Security Fencing, Infrastructure and Technology Fiscal Year 2011 Expenditure Plan. GAO- 12-106R. Washington, D.C.: November 17, 2011.", "Arizona Border Surveillance Technology: More Information on Plans and Costs Is Needed before Proceeding. GAO-12-22. Washington, D.C.: November 4, 2011.", "Homeland Security: DHS Could Strengthen Acquisitions and Development of New Technologies. GAO-11-829T. Washington, D.C.: July 15, 2011.", "Border Security: DHS Progress and Challenges in Securing the U.S. Southwest and Northern Borders. GAO-11-508T. Washington, D.C.: March 30, 2011.", "Border Security Preliminary Observations on the Status of Key Southwest Border Technology Programs. GAO-11-448T. Washington, D.C.: March 15, 2011.", "Secure Border Initiative: DHS Needs to Strengthen Management and Oversight of Its Prime Contractor. GAO-11-6. Washington, D.C.: October 18, 2010.", "U.S. Customs and Border Protection\u2019s Border Security Fencing, Infrastructure and Technology Fiscal Year 2010 Expenditure Plan. GAO- 10-877R. Washington, D.C.: July 30, 2010.", "Department of Homeland Security: Assessments of Selected Complex Acquisitions, GAO-10-588SP. Washington, D.C.: June 30, 2010.", "Secure Border Initiative: DHS Needs to Reconsider Its Proposed Investment in Key Technology Program. GAO-10-340. Washington, D.C.: May, 5, 2010.", "Secure Border Initiative: DHS Has Faced Challenges Deploying Technology and Fencing Along the Southwest Border, GAO-10-651T. Washington, D.C.: May 4, 2010.", "Secure Border Initiative: Testing and Problem Resolution Challenges Put Delivery of Technology Program at Risk. GAO-10-511T. Washington, D.C.: March 18, 2010.", "Secure Border Initiative: DHS Needs to Address Testing and Performance Limitations That Place Key Technology Program at Risk. GAO-10-158. Washington, D.C.: January 29, 2010.", "Secure Border Initiative: Technology Deployment Delays Persist and the Impact of Border Fencing Has Not Been Assessed. GAO-09-1013T. Washington, D.C.: September 17, 2009.", "Secure Border Initiative: Technology Deployment Delays Persist and the Impact of Border Fencing Has Not Been Assessed. GAO-09-896. Washington, D.C.: September 9, 2009.", "Border Patrol: Checkpoints Contribute to Border Patrol\u2019s Mission, but More Consistent Data Collection and Performance Measurement Could Improve Effectiveness. GAO-09-824. Washington, D.C.: August 31, 2009.", "Customs and Border Protection\u2019s Secure Border Initiative Fiscal Year 2009 Expenditure Plan. GAO-09-274R. Washington, D.C.: April 30, 2009.", "Secure Border Initiative Fence Construction Costs. GAO-09-244R. Washington, D.C.: January 29, 2009.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-17-790T", "url": "https://www.gao.gov/products/GAO-17-790T", "title": "High Risk: Status of Prior Recommendations on Federal Management of Programs Serving Indian Tribes", "published_date": "2017-09-13T00:00:00", "released_date": "2017-09-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO's High-Risk Series identifies federal program areas needing attention from Congress and the executive branch. GAO added federal management of programs that serve Indian tribes and their members to its February 2017 biennial update of high-risk areas in response to serious problems with management and oversight by Interior and HHS.", "This testimony identifies GAO's recommendations to Interior and HHS from prior GAO reports on the federal management and oversight of Indian education, energy resources, and health care that remain unimplemented. It also examines agencies' recent actions to address the recommendations and the extent to which these actions address GAO's recommendations. To conduct this work, GAO reviewed and analyzed agency documentation on actions taken to implement the recommendations and conducted interviews with agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["As discussed in the 2017 High Risk report, GAO has identified numerous weaknesses in how the Department of the Interior (Interior) and the Department of Health and Human Services (HHS) manage programs serving Indian tribes. Specifically, these weaknesses were related to Interior's Bureau of Indian Education (BIE) and Bureau of Indian Affairs (BIA)\u2014under the Office of the Assistant Secretary-Indian Affairs (Indian Affairs)\u2014in overseeing education services and managing Indian energy resources, and HHS's Indian Health Service (IHS) in administering health care services. GAO cited nearly 40 recommendations in its 2017 High Risk report that were not implemented, and has since made an additional 12 recommendations in two new reports on BIE school safety and construction published in late May of this year. Interior and HHS have taken some steps to address these recommendations but only one has been fully implemented.", "Education. GAO has found serious weaknesses in Indian Affairs' oversight of Indian education. For example, in 2016, GAO found that the agency's lack of oversight of BIE school safety contributed to deteriorating facilities and equipment in school facilities. At one school, GAO found seven boilers that failed inspection because of safety hazards, such as elevated levels of carbon monoxide and a natural gas leak. In 2017, GAO found key weaknesses in the way Indian Affairs oversees personnel responsible for inspecting BIE school facilities for safety and manages BIE school construction projects. Of GAO's 23 recommendations on Indian education\u2014including recommendations cited in GAO's 2017 High Risk report and in two late May reports\u2014none have been fully implemented.", "Energy resource management. In three prior reports on Indian energy, GAO found that BIA inefficiently managed Indian energy resources and the development process, thereby limiting opportunities for tribes and their members to use those resources to create economic benefits and improve the well-being of their communities. GAO categorized concerns associated with BIA management of energy resources and the development process into four broad areas, including oversight of BIA activities, collaboration, and BIA workforce planning. GAO made 14 recommendations to BIA to address its management weaknesses, which were cited in the 2017 High Risk report. However, none have been fully implemented.", "Health care. GAO has found that IHS provides inadequate oversight of its federally operated health care facilities and of its Purchased/Referred Care program. For example, in 2016 and 2017, GAO found that IHS provided limited and inconsistent oversight of the timeliness and quality of care provided in its facilities and that inconsistencies in quality oversight were exacerbated by significant turnover in area leadership. GAO also found that IHS did not equitably allocate funds to meet the health care needs of Indians. Of GAO's 13 recommendations on Indian health care cited in GAO's 2017 High Risk report, one has been fully implemented."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO cited nearly 40 unimplemented recommendations in its February 2017 High Risk report on federal programs for Indian tribes in education, energy development, and health care, and added 12 recommendations in two new reports on BIE school safety and construction in late May of this year. Sustained focus by Interior and HHS in fully implementing these recommendations and continued oversight by Congress are essential to achieving progress in these areas."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the status of our recommendations to the Departments of the Interior (Interior) and Health and Human Services (HHS) on programs that serve tribes and their members. As you know, we added this area to our High Risk list in February 2017 in response to serious problems in these agencies\u2019 management and oversight of Indian education, health care programs, and energy resources, which were highlighted in various prior reports.", "In particular, we have found numerous weaknesses in how Interior\u2019s Bureau of Indian Education (BIE) and Bureau of Indian Affairs (BIA) and HHS\u2019s Indian Health Service (IHS) have administered education and health care services, which has put the health and safety of American Indians served by these programs at risk. These weaknesses included poor conditions at BIE school facilities that endangered students, and inadequate oversight of health care that hindered IHS\u2019s ability to ensure quality care to Indian communities. In addition, we have reported that BIA has mismanaged Indian energy resources and thereby limited opportunities for tribes and their members to use those resources to create economic benefits and improve the well-being of their communities. As a result of these weaknesses, we cited nearly 40 recommendations we made in prior reports in our February 2017 High Risk report that were not implemented. We also made an additional 12 recommendations in two new reports on BIE school safety and construction in late May of this year. As I will discuss, Interior and HHS have taken some steps to address these recommendations, but only one has been fully implemented.", "In 2016, Congress found in the Indian Trust Asset Reform Act that \u201cthrough treaties, statutes, and historical relations with Indian tribes, the United States has undertaken a unique trust responsibility to protect and support Indian tribes and Indians.\u201d As further stated in that act, the fiduciary responsibilities of the United States to Indians arise in part from commitments made in treaties and agreements, in exchange for which Indians surrendered claims to vast tracts of land, and this history of federal-tribal relations and understandings has benefitted the people of the United States and established \u201cenduring and enforceable ederal obligations to which the national honor has been committed.\u201d Through improvements to federal management of programs that serve tribes and their members, agencies can improve the efficiency of federal programs under which services are provided to tribes and their members. This would be consistent with the expressed view of Congress as to the federal government\u2019s trust responsibilities, and would strengthen confidence in the performance and accountability of our federal government. In light of this unique trust responsibility and concern about the federal government ineffectively administering Indian education and health care programs and mismanaging Indian energy resources, we added these programs as a high-risk area because they uniquely affect tribal nations and their members.", "The focus of our high risk issue area is on management weaknesses within federal agencies that administer programs that serve tribes and their members. However, not all federal programs are administered by federal agencies. In accordance with federal Indian policy that recognizes the right of Indian tribes to self-government and supports tribal self- determination, a number of tribes have elected to take over administration of certain federal programs and services from BIA, BIE, and IHS. Our recommendations identified in the high risk issue area do not necessarily reflect on the performance of programs administered by tribes.", "My testimony today will discuss our recommendations to Interior and HHS on these issues. We will also describe the actions that these agencies have taken to implement our recommendations, as well as our evaluation of the extent to which these actions address our recommendations.", "This testimony draws on recent updates we have received from Interior and HHS on our prior recommendations summarized in our High Risk report in February 2017 and recommendations in two reports on BIE school safety and construction published in late May of this year. To conduct our prior issued work, we reviewed relevant federal laws, regulations, and policies; reviewed and analyzed federal data; and interviewed tribal, federal, and industry officials, among others. More detailed information on our scope and methodology can be found in each of the cited reports.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions."], "subsections": [{"section_title": "Background", "paragraphs": ["In 1990, GAO began a program to report on government operations that we identified as \u201chigh risk.\u201d Since then, generally coinciding with the start of each new Congress, we have reported on the status of progress addressing previously identified high-risk areas and have updated the High-Risk List to add new high-risk areas. Our most recent high-risk update in February 2017 identified 34 high-risk areas.", "Overall, our high-risk program has served to identify and help resolve serious weaknesses in areas that involve substantial resources and provide critical services to the public. Since the program began, the federal government has taken high-risk problems seriously and has made long-needed progress toward correcting them. In a number of cases, progress has been sufficient for us to remove the high-risk designation.", "To determine which federal government programs and functions should be designated high risk, we use our guidance document, Determining Performance and Accountability Challenges and High Risks. In making this determination, we consider whether the program or function is of national significance or is key to the performance and accountability of the federal government, among other things.", "Our experience has shown that the key elements needed to make progress in high-risk areas are top-level attention by the administration and agency leaders grounded in the five criteria for removal from the High-Risk List, as well as any needed congressional action. The five criteria for removal that we identified in November 2000 are listed in table 1 below.", "In each of our high-risk updates, we have assessed agencies\u2019 progress to address the five criteria for removing a high-risk area from the list using the following definitions:", "Met. Actions have been taken that meet the criterion. There are no significant actions that need to be taken to further address this criterion.", "Partially Met. Some, but not all, actions necessary to meet the criterion have been taken.", "Not Met. Few, if any, actions towards meeting the criterion have been taken.", "Figure 1, which is based on a general example, shows a visual representation of varying degrees of progress in each of the five criteria for a high-risk area. We use this system to assess and track the progress of all agencies with areas on our High Risk list. When we rate Interior and HHS\u2019s progress on Improving Federal Management of Programs that Serve Tribes and Their Members for the first time in our 2019 High Risk report, we will provide similar information."], "subsections": []}, {"section_title": "Status of GAO\u2019s Recommendations on Indian Education", "paragraphs": ["As we have previously reported, the Office of the Assistant Secretary- Indian Affairs (Indian Affairs), through BIE, is responsible for providing quality education opportunities to Indian students and oversees 185 elementary and secondary schools that serve approximately 41,000 students on or near Indian reservations in 23 states, often in rural areas and small towns. About two-thirds of BIE schools are operated by tribes, primarily through federal grants, and about one-third are operated directly by BIE. BIE\u2019s Indian education programs originate from the federal government\u2019s trust responsibility to Indian tribes. It is the policy of the United States to fulfill this trust responsibility for educating Indian children by working with tribes to ensure that education programs are of the highest quality and, in accordance with this policy, Interior is responsible for providing children a safe and healthy environment in which to learn.", "All BIE schools\u2014both tribally- and BIE-operated\u2014receive almost all of their operational funding from federal sources\u2014namely, Interior and the Department of Education (Education)\u2014totaling about $1.2 billion in 2016. Indian Affairs considers many BIE schools to be in poor condition.", "BIE is primarily responsible for its schools\u2019 educational functions, while their administrative functions\u2014such as safety, facilities, and property management\u2014are divided mainly between two other Indian Affairs\u2019 offices: BIA and the Office of the Deputy Assistant Secretary of Management.", "As discussed below, we have made 23 recommendations to Interior on Indian education\u2014including recommendations cited in GAO\u2019s 2017 High Risk report and included in two late May reports. Interior generally agreed with our recommendations. However, none have been fully implemented."], "subsections": [{"section_title": "Indian Affairs\u2019 Management and Accountability for BIE Schools", "paragraphs": ["In our 2017 High Risk report, we cited 3 recommendations from a 2013 report on management challenges facing Indian Affairs, with which Interior agreed, and these recommendations remain unimplemented as of late August 2017. These recommendations were based on our findings of Indian Affairs\u2019 poor management and lack of accountability for BIE schools. In particular, we found that BIE did not have procedures in place specifying who should be involved in making key decisions, resulting in inaccurate guidance provided to some BIE schools about the appropriate academic assessments required by federal law. We also found that Indian Affairs had not developed a strategic plan with specific goals and measures for itself or BIE or conducted workforce analysis to ensure it has the right people in place with the right skills to effectively meet the needs of BIE schools. Further, we found that fragmented administrative services for BIE schools and a lack of clear roles for BIE and Indian Affairs\u2019 Office of the Deputy Assistant Secretary for Management contributed to delays in BIE schools acquiring needed materials, such as textbooks. As a result, we recommended that Indian Affairs develop decision-making procedures and a strategic plan for BIE and revise its workforce plan, among other areas.", "Of the 3 unimplemented recommendations we made to Interior on Indian Affairs\u2019 management and accountability for BIE schools, agency officials reported that they have taken several actions to address them, including drafting written procedures for BIE decision-making; starting to develop a strategic plan for BIE; and conducting workforce planning. Indian Affairs\u2019 actions to implement our recommendations to develop decision-making procedures and a strategic plan for BIE had not been completed as of late August. Indian Affairs officials told us they believed they had fully implemented our recommendation on strategic workforce planning. However, in reviewing their supporting documentation, we determined that their actions did not address our recommendation to ensure that the staff who are responsible for providing administrative support to BIE schools have the requisite skills and knowledge and are placed in the appropriate offices. For a full description of the agency\u2019s actions and our evaluation of these actions, see recommendations in table 2 in appendix I."], "subsections": []}, {"section_title": "Oversight of BIE School Spending", "paragraphs": ["We made 4 recommendations in a 2014 report on BIE\u2019s oversight of school spending, none of which have been implemented. These recommendations were based on our findings of key weaknesses in Indian Affairs\u2019 oversight of BIE school spending. In particular, we found that BIE lacked sufficient staff with expertise to oversee school expenditures, and as a result, these staff told us they lacked the knowledge and skills to understand the audits they needed to review. We also found that some staff did not have access to some of these audits. In addition, we found that BIE lacked written procedures and a risk-based approach to overseeing school spending\u2014both integral to federal internal control standards\u2014which resulted in schools\u2019 misuse of federal funds. For example, external auditors identified $13.8 million in unallowable spending at 24 schools. Auditors also found that one school lost about $1.7 million in federal funds that were improperly transferred to off-shore accounts. As a result, we recommended that Indian Affairs take several actions to address these oversight weaknesses, including developing written procedures and a risk-based approach to monitor school spending and a process to share relevant information, such as audit reports, with all BIE staff responsible for overseeing BIE school spending, among other areas.", "Of the 4 unimplemented recommendations we made to Interior on the oversight of BIE school spending, agency officials reported taking several actions, including providing their auditors with needed access to schools\u2019 audit reports. Officials also said they would put in place written procedures and a risk-based approach to improve the financial monitoring of BIE schools. As of late August 2017, officials had not provided us with documentation of any steps they have taken to improve oversight of school spending. For a full description of the agency\u2019s actions and our evaluation of these actions, see recommendations in table 2 in appendix I."], "subsections": []}, {"section_title": "Safety and Health at Indian School Facilities", "paragraphs": ["We made 4 recommendations in a 2016 report on the safety and health of BIE school facilities, none of which have been implemented. These recommendations were based on our findings that Indian Affairs was not annually inspecting all BIE schools, as required by Indian Affairs\u2019 policy. We also found that the agency did not have a plan to monitor safety inspections across its regions to ensure that inspection practices were consistent and supported the collection of complete and accurate inspection information. Further, we found the agency had not taken steps to assist BIE schools to build their capacity to address identified safety deficiencies. Some school officials we spoke to reported lacking staff with the knowledge and skills necessary to understand and address safety issues. Further, at one school we visited, we found seven boilers that failed inspection because of multiple high-risk safety deficiencies, including elevated levels of carbon monoxide and a natural gas leak. Four of the boilers were located in a student dormitory, and three were located in classroom buildings. All but one of the boilers were about 50 years old. Although the poor condition of the boilers posed an imminent danger to the safety of students and staff, most of them were not repaired until about 8 months after failing their inspection, prolonging safety risks to students and staff. As a result of these findings, we recommended that Indian Affairs take several actions, including developing a plan to build BIE schools\u2019 capacity to address safety hazards identified by BIA inspectors, among other areas.", "Of the 4 unimplemented recommendations we made to Interior on ensuring safety and health at BIE schools, Indian Affairs completed safety inspections at all BIE schools in 2016, among other actions. However, based on our review of the agency\u2019s actions, we determined that several steps remain for these recommendations to be fully implemented. For example, as of late August 2017 the agency had not provided us with documentation that it has developed a plan for monitoring safety inspections across its regions to ensure that inspection practices are consistent. Further, Indian Affairs did not provide documentation that it had taken any actions to develop a plan to build BIE schools\u2019 capacity to address safety and health problems identified with their facilities. For a full description of the agency\u2019s actions and our evaluation of these actions, see recommendations in table 2 in appendix I.", "We also made 6 recommendations in a May 2017 report on oversight and accountability for BIE school safety inspections, none of which have been implemented. These recommendations were based on our findings of key weaknesses in Indian Affairs\u2019 oversight of school safety inspections. In particular, we found that Interior and Indian Affairs had not taken actions to address identified weaknesses in BIA\u2019s safety program, despite internal evaluations since 2011 that consistently found it to be failing. For example, no Indian Affairs office routinely monitored the quality or timeliness of inspection reports, and BIA employees were not held accountable for late reports despite a new employee performance standard on timely report submission. We found that 28 of 50 inspection reports we reviewed were incomplete, inaccurate, or unclear, including reports in which inspectors did not include all school facilities or incorrectly gave schools a year to fix broken fire alarms instead of the required 24 hours. We concluded that unless steps are taken to address safety program weaknesses, the safety and health of BIE students and staff may be at risk. As a result, we recommended that Indian Affairs take steps to address weaknesses in BIA\u2019s safety program, including establishing processes to monitor the quality and timeliness of BIE school inspection reports, among other areas.", "Of these 6 unimplemented recommendations we made to Interior to improve its oversight of school safety inspections, Indian Affairs reported taking several actions. In particular, Indian Affairs reported that its safety office had established a procedure to monitor the timeliness of inspection report submissions to schools, and that BIA is currently developing a corrective action plan to address findings and recommendations from a 2016 Interior review of BIA\u2019s safety program. However, as of late August 2017, Indian Affairs had not provided us with any documentation on these two actions. For a full description of the agency\u2019s actions and our evaluation of these actions, see recommendations in table 2 in appendix I."], "subsections": []}, {"section_title": "Indian Affairs\u2019 Oversight of School Construction Projects", "paragraphs": ["We made 6 recommendations in a May 2017 report on school construction projects, none of which have been implemented. These recommendations were based on our findings of key weaknesses in Indian Affairs\u2019 oversight of school construction projects. In particular, we found that Indian Affairs did not have a comprehensive capital asset plan to guide the allocation of funding for school construction projects. We concluded that until Indian Affairs develops such a plan, it risks using federal funds inefficiently and not prioritizing funds to schools with the most pressing needs. Additionally, we found that Indian Affairs has not consistently used accountability measures or conducted sufficient oversight to ensure that BIE school construction projects are completed on time, within budget, and meet schools\u2019 needs. For instance, Indian Affairs has not always used accountability measures, such as warranties, to have builders replace defective parts or repair poor workmanship, and project managers do not always understand how to use accountability measures because Indian Affairs had not provided them guidance. We concluded that until Indian Affairs develops and implements guidance to ensure accountability throughout the school construction process and improves its oversight of construction projects, it will have little assurance they are completed satisfactorily and meet the needs of students and staff. As a result, we recommended that Indian Affairs take several actions, including developing a comprehensive capital asset plan and guidance on the effective use of accountability measures for managing BIE school construction projects, among other areas.", "Of these 6 unimplemented recommendations that we made to Interior to improve its oversight of BIE school construction projects, Indian Affairs reported taking several actions. For example, Indian Affairs reported that to support the effective use of accountability measures, it established new oversight mechanisms, hired staff with expertise in construction contracting, and administered training for contracting staff. As of late August 2017, however, Indian Affairs had not provided us any documentation of these steps, so we cannot verify that the actions were responsive to our recommendations. Further, Indian Affairs did not report taking any actions to develop guidance on the effective use of accountability measures, which our recommendation specifies. Indian Affairs also reported that it is currently in the process of establishing a new work group to focus on asset management and will continue working to develop a capital asset management plan. Finally, the agency reported it was planning to take several other actions to address our recommendations. For a full description of the agency\u2019s actions and our evaluation of these actions, see recommendations in table 2 in appendix I."], "subsections": []}]}, {"section_title": "Status of GAO\u2019s Recommendations on Indian Energy", "paragraphs": ["As we have previously reported, some tribes and their members hold abundant energy resources and have decided to develop these resources to meet the needs of their community, in part because energy development provides opportunities to improve poor living conditions, decrease high levels of poverty, and fund public services for tribal members. While tribes and their members determine how to use their energy resources, if the resources are held in trust or restricted status, BIA\u2014through its 12 regional offices, 85 agency offices, and other supporting offices\u2014generally must review and approve leases, permits, and other documents required for the development of these resources.", "In the past 2 years, we have reported that BIA has mismanaged Indian energy resources held in trust, thereby limiting opportunities for tribes and their members to use those resources to create economic benefits and improve the well-being of their communities. Specifically, we issued 3 reports that identified concerns associated with BIA management of energy resources and categorized those concerns into the following four areas: (1) BIA\u2019s data and technology; (2) oversight of BIA activities; (3) collaboration and communication; and (4) BIA\u2019s workforce planning.", "As discussed below, we made 14 recommendations to BIA to help address BIA management weaknesses that were cited in our 2017 High Risk report. BIA generally agreed with these recommendations. However, none have been fully implemented."], "subsections": [{"section_title": "BIA\u2019s Data and Technology", "paragraphs": ["We made 2 recommendations related to data and technology for which BIA has taken some actions and made some progress to implement. However, neither of these recommendations has been fully implemented. We made these recommendations based on our June 2015 findings that BIA did not have the necessary geographic information systems (GIS) mapping data and that BIA\u2019s federal cadastral surveys cannot be found or are outdated. According to Interior guidance, GIS mapping technology allows managers to easily identify resources available for lease and where leases are in effect. However, we found that BIA did not have the necessary GIS mapping data for identifying who owns and uses resources, such as existing leases. We also found that BIA could not verify who owned some Indian resources or identify where leases were in effect in a timely manner because, in part, federal cadastral surveys could not be found or were outdated. In addition, we found the extent of this deficiency was unknown because BIA did not maintain an inventory of Indian cadastral survey needs, as called for in Interior guidance.", "Of the 2 unimplemented recommendations to help ensure that BIA can verify ownership in a timely manner and identify resources available for development, BIA has taken several actions. Regarding GIS data, BIA officials told us that the agency has integrated and deployed data viewing and map creation capabilities into its database for recording and maintaining historical and current data on ownership and leasing of Indian land and mineral resources\u2014the Trust Asset and Accounting Management System (TAAMS)\u2014on August 31, 2017. We will work with BIA to obtain the documentation needed to determine if the deployed GIS capability has the functionality for us to consider this recommendation as fully implemented. Regarding cadastral surveys, according to a BIA official, the agency requested that each of its 12 regions review and identify historic survey requests from a data system that has not been fully maintained or consistently used since 2011 to determine if the requests are still valid. BIA officials told us the next step is to create a new database that will track cadastral survey needs and a reporting mechanism for each BIA region to use when making new survey requests. According to BIA officials, the agency anticipates the new database and reporting mechanism will be deployed by September 30, 2017. For a full description of the agency\u2019s actions and our evaluation of these actions, see table 3 in appendix II."], "subsections": []}, {"section_title": "BIA\u2019s Oversight of Its Review Process for Energy Development", "paragraphs": ["We made 5 recommendations to BIA related to its review process for energy development, none of which have been fully implemented. In June 2015 and June 2016, we found that BIA did not have a documented process or the data needed to track its review and response times throughout the development process, including the approval of leases, rights-of-way (ROW) agreements, and communitization agreements (CA). The ability to track and monitor the review of permits and applications is a best practice to improve the federal review process.", "Of the 5 unimplemented recommendations we made to help ensure that BIA fulfills its responsibilities concerning the review and approval of documents related to energy development in an efficient and transparent manner, BIA has taken some actions and identified other actions it plans to take. For example, on May 17, 2017, the Acting Assistant Secretary- Indian Affairs testified before this committee that a group of BIA subject matter experts have been working to modify TAAMS, incorporating the key identifiers and data fields needed to track and monitor review and response times for oil and gas leases and agreements. The Acting Assistant Secretary also stated that BIA is in the process of evaluating and reviewing the current realty tracking system and TAAMS to improve efficiencies and timeliness in processing workloads. BIA identified actions to track and monitor review and response times for oil and gas leases and agreements; however, BIA did not indicate whether it intends to track and monitor its review of other energy-related documents, such as ROW agreements, that must be approved before tribes can develop resources.", "In another example, on May 17, 2017, the Acting Assistant Secretary- Indian Affairs testified before this committee that a National Policy Memorandum has been developed that establishes time frames for review and approval of Indian CAs. The Acting Assistant Secretary also stated that such time frames will also be incorporated into the BIA Fluid Mineral Estate Procedural Handbook and the Onshore Energy and Mineral Lease Management Interagency Standard Operating Procedures. However, in our review of the National Policy Memorandum we did not find that it establishes time frames for review and approval of Indian CAs. In response to our request for clarification, a BIA official told us the agency is in the process of drafting suggested time frames. For a full description of the agency\u2019s actions and our evaluation of these actions, see table 3 in appendix II."], "subsections": []}, {"section_title": "BIA\u2019s Collaboration and Communication", "paragraphs": ["We made 5 recommendations related to collaboration and communication in our June 2015 and November 2016 reports. BIA has taken some actions, but the actions are generally limited in scope and none of these recommendations have been fully implemented. We found in our November 2016 report that BIA has taken steps to form an Indian Energy Service Center that is intended to, among other things, help expedite the permitting process associated with Indian energy development. However, we found several weaknesses in BIA\u2019s collaboration processes and structure. For example, in November 2016, we reported that BIA did not coordinate with other key regulatory agencies that can have a role in the development of Indian energy resources, including Interior\u2019s Fish and Wildlife Service (FWS), the Army Corps of Engineers (Corps), and the Environmental Protection Agency (EPA). As a result, the Service Center was neither established as the central point for collaborating with all federal regulatory partners generally involved in energy development, nor did it serve as a single point of contact for permitting requirements.", "In addition, BIA did not include the Department of Energy (DOE) in a participatory, advisory, or oversight role in the development of the Service Center. Further, although Interior\u2019s Office of Indian Energy and Economic Development (IEED) developed the initial concept and proposal for the Service Center and has special expertise regarding the development of Indian energy resources, BIA did not include IEED in the memorandum of understanding (MOU) establishing the Service Center. BIA also did not document the rationale for key management decisions or the alternatives considered in forming the Service Center\u2014a leading practice for effective organizational change. In addition, several tribal leaders and tribal organizations made suggestions that were not currently reflected in BIA\u2019s Service Center. Without documentation on alternatives considered, it was unclear whether these requests were appropriately considered.", "Of the 5 unimplemented recommendations to help improve efficiencies in the federal regulatory process, BIA reported that it has taken some actions. For example:", "According to a BIA official, the agency has initiated discussions with FWS, EPA, and the Corps in an effort to establish formal agreements. BIA has a target of December 31, 2017, to establish these agreements. However, in its current structure, the Service Center is not serving as a lead agency or single point of contact to coordinate and navigate the regulatory process. Without additional information, it is unclear if the formal agreements alone will allow the Service Center to serve this role. We will continue to work with BIA officials to understand how the formal agreements with other regulatory agencies will help to transform the Service Center into a central point of contact for Indian energy development.", "According to a BIA official, the agency developed and is currently reviewing an addendum to expand an existing MOU between DOE and IEED to include the Service Center. However, the existing MOU between DOE and IEED does not identify the role for these agencies as related to the Service Center. As such, the addendum, as currently described to us by a BIA official, will not fully implement our recommendation.", "On May 17, 2017, the Acting Assistant Secretary- Indian Affairs testified before this committee that Interior considers this recommendation implemented because (1) the development of the Service Center was the result of a concept paper produced by a multi- agency team and (2) a multi-agency team held a tribal listening session, received written comments, and conducted conference calls in an effort to gather input from relevant stakeholders. We do not agree that these actions meet the intent of the recommendation. BIA\u2019s actions have not resulted in documentation on the alternatives considered, whether tribal input and requests were considered, and the rationale for not incorporating key suggestions.", "In addition, in 2005, Congress provided an option for tribes to enter into a tribal energy resource agreement (TERA) with the Secretary of the Interior that allows the tribe, at its discretion, to enter into leases, business agreements, and rights-of-way agreements for energy resource development on tribal lands without review and approval by the Secretary. However, in a June 2015 report, we found that uncertainties about Interior\u2019s regulations for implementing this option have contributed to deter tribes from pursuing agreements. We recommended that Interior provide clarifying guidance. On May 17, 2017, the Acting Assistant Secretary- Indian Affairs testified before this committee that Interior is working to provide additional energy development-specific guidance on provisions of TERA regulations that tribes have identified to the department as unclear. As part of this effort, the Acting Assistant Secretary reported that IEED continues to perform training and technical assistance on the TERA regulations, and plans to issue guidance on those provisions of TERA that have been identified as unclear. As of September 6, 2017, Interior has not issued additional guidance and several Interior officials told us it is unlikely any new guidance will clarify \u201cinherently federal functions\u201d\u2014one provision of Interior\u2019s regulations tribes have identified as unclear. For a full description of the agency\u2019s actions and our evaluation of these actions, see table 3 in appendix II."], "subsections": []}, {"section_title": "BIA\u2019s Workforce Planning", "paragraphs": ["We made 2 recommendations on workforce planning to BIA in November 2016, neither of which has been fully implemented. In our November 2016 report we found BIA had high vacancy rates at some agency offices and that the agency had not conducted key workforce planning activities consistent with Office of Personnel Management standards and leading practices identified in our prior work.", "Of the 2 unimplemented recommendations to help ensure that it has a workforce with the right skills, appropriately aligned to meet the agency\u2019s goals and tribal priorities, BIA has reported several actions it plans to take. On May 17, 2017, the Acting Assistant Secretary- Indian Affairs testified before this committee that BIA is in the process of identifying and implementing a workforce plan regarding positions associated with the development of Indian energy and minerals. Specifically, the Acting Assistant Secretary stated that the Service Center will collect data directly from BIA, Bureau of Land Management (BLM), the Office of Natural Resources Revenue (ONRR), and the Office of Special Trustee (OST) employees in an effort to identify workload and necessary technical competencies. Then, the Service Center will work with partner bureaus to assess skills and competencies needed for energy and mineral workforce standards. BIA\u2019s target for completion of the activities is the end of 2017. BIA stated it is taking steps to identify workload and technical competencies, but without additional information, it is unclear if these actions will identify potential gaps in its workforce or result in the establishment of a documented process for assessing BIA\u2019s workforce composition at agency offices. For a full description of the agency\u2019s actions and our evaluation of these actions, see table 3 in appendix II."], "subsections": []}]}, {"section_title": "Status of GAO\u2019s Recommendations on Indian Health Care", "paragraphs": ["As we have previously reported, the Indian Health Service (IHS), an agency within the Department of Health and Human Services (HHS), is charged with providing health care to approximately 2.2 million Indians. IHS oversees its health care facilities through a decentralized system of area offices, which are led by area directors and located in 12 geographic areas. In fiscal year 2016, IHS allocated about $1.9 billion for health services provided by federally and tribally operated hospitals, health centers, and health stations. Federally operated facilities\u2014including 26 hospitals, 56 health centers, and 32 health stations\u2014provide mostly primary and emergency care, in addition to some ancillary or specialty services.", "When services are not available at federally operated or tribally operated facilities, IHS may, in some cases, pay for services provided through external providers through its Purchased/Referred Care (PRC) program\u2014 previously referred to as the Contract Health Services program. The PRC program is funded through annual appropriations and must operate within the limits of available appropriated funds. To be eligible for PRC services, recipients must generally meet several criteria, including being a member or descendant of a federally recognized tribe or having close social and economic ties with the tribe, and living within a designated PRC area. Although funding available for the PRC program has recently increased, we have reported that the program is unable to pay for all eligible services, and that these gaps in services sometimes delay diagnoses and treatments, which can exacerbate the severity of a patient\u2019s condition and necessitate more intensive treatment.", "As discussed below, we made 13 recommendations to IHS that were unimplemented when we issued our 2017 High Risk report, with which HHS generally agreed. One has been fully implemented."], "subsections": [{"section_title": "Estimating PRC Program Needs", "paragraphs": ["In our February 2017 High Risk report, we cited 2 recommendations from a 2011 report on the accuracy of data used for estimating PRC needs, with which HHS agreed. These recommendations remain unimplemented as of late August 2017. We based these recommendations on our finding that IHS\u2019s estimates of the extent to which unmet needs exist in the PRC program were not reliable because of deficiencies in the agency\u2019s oversight of the collection of data on deferred and denied PRC program services. As a result, we made several recommendations for IHS to develop more accurate data for making these estimates and improving agency oversight.", "Of the 2 recommendations not yet fully implemented that we made to IHS on estimating PRC program needs, HHS officials reported that updated policy and procedural guidance will be issued to all IHS sites by September 30, 2017. We will evaluate the policy and procedural guidance when it is issued. For a full description of the agency\u2019s actions and our evaluation for these unimplemented recommendations, see table 4 in appendix III."], "subsections": []}, {"section_title": "Ensuring Equitable Allocation of PRC Program Funds", "paragraphs": ["We made 3 recommendations to IHS to help make its allocation of PRC program funds more equitable, none of which have been implemented. We also raised a matter for Congress to consider requiring IHS to develop and use a new PRC funding allocation methodology. These recommendations and matter for Congress to consider were based on our findings of wide variations in PRC funding across the 12 IHS areas, that these variations were largely maintained by IHS\u2019s long-standing use of its base funding methodology, that variation in PRC funding was sometimes not related to the availability of IHS-funded hospitals, that IHS\u2019s estimate of PRC service users was imprecise, and that IHS allowed area offices to distribute program increase funds to local PRC programs using different criteria than the PRC allocation formula without informing IHS. As a result, we suggested that Congress consider requiring IHS to develop and use a new method to allocate all PRC program funds to account for variations across areas, and recommended that IHS use actual counts of PRC users and variations in levels of available hospital services in allocation formulas, and develop written policies and procedures to require area offices to notify IHS when changes are made to the allocations of funds to PRC programs.", "In response to our matter for Congress to consider, a bill that would have addressed this matter was introduced in the House and reported out of committee in 2016, but the bill did not become law. In response to our recommendations, HHS officials told us that a tribal/federal workgroup is currently discussing the PRC fund allocation issues. In July 2017, we requested additional information about the workgroup and any discussion that has occurred or decisions that have been made about PRC funding allocation since we made the recommendation 5 years ago, but as of late August 2017, we have not received any information. As the workgroup continues to discuss the PRC fund allocation issues, we will evaluate any decisions that are made to determine if they address this recommendation. For a full description of the agency\u2019s actions and our evaluation for these recommendations, see table 4 in appendix III."], "subsections": []}, {"section_title": "Revising IHS Payment Rates for Nonhospital Services", "paragraphs": ["We made 1 recommendation to IHS in a 2013 report on IHS payment rates for nonhospital services through the PRC program, which has not been fully implemented, as well as a matter for Congress to consider. The recommendation and matter for Congress to consider were based on our finding that IHS primarily paid nonhospital providers, including physicians, at their billed charges, despite an IHS policy\u2014in place since 1986\u2014that stated that area offices should attempt to negotiate with providers at rates that are no higher than Medicare rates. As a result, we suggested that Congress consider imposing a cap on payments for physician and other nonhospital services made through IHS\u2019s PRC program that is consistent with the rates paid by other federal agencies. We also recommended that IHS monitor PRC program patient access to physician and other nonhospital care in order to assess how any new payment rates may benefit or impede the availability of care.", "In response to our recommendation, HHS officials told us that the agency has developed an online PRC rates provider tracking tool that enables PRC programs to document providers that refuse to contract for their most favored customer rate or accept the Medicare-like rate. We have requested documentation of this provider tracking tool, but as of late August 2017, we have not yet received information sufficient to consider the recommendation implemented. For a full description of the agency\u2019s actions and our evaluation for these recommendations, see table 4 in appendix III."], "subsections": []}, {"section_title": "Ensuring Successful Outreach to Increase Enrollment in Expanded Coverage Options", "paragraphs": ["In our February 2017 High Risk report, we cited 1 recommendation from a 2013 report on the eligibility and enrollment of American Indians in expanded health care programs, with which HHS neither agreed nor disagreed. This recommendation remains unimplemented as of late August 2017. We reported that the expansion of Medicaid and new coverage options under the Patient Protection and Affordable Care Act (PPACA) may allow many American Indians to obtain additional health care benefits for which they were not previously eligible, resulting in IHS facilities receiving increased reimbursements from third-party payers and an increased workload for IHS facility staff responsible for processing these payments. We also found that IHS did not have an effective plan in place to ensure that a sufficient number of facility staff were prepared to assist with enrollment and to process increased third-party payments. As a result, we recommended that IHS realign its resources and personnel to increase its capacity to assist with increased enrollment and third-party billing.", "IHS has not reported taking any new action to implement the remaining recommendation. In response to our request for an update, IHS again provided a copy of a planning template it developed for facility Chief Executive Officers (CEO) that encourages them to assess the need for staffing changes in light of new and expanded coverage options available under PPACA. IHS previously explained, during the course of our review, that its planning template is a document that facility CEOs have been directed to use. We agree that developing a template to aid facilities in their planning for PPACA implementation is a good step. However, considering the large, system-wide growth in eligibility for new and expanded coverage options described in our report, we expect to see a system-wide response. Under its current approach, preparing for increased eligibility is dependent on the discretion of facility CEOs. IHS has not provided any evidence that this approach has resulted in the realignment of personnel needed to address an increased need for application assistance and third party billing. For a full description of the agency\u2019s actions and our evaluation for these recommendations, see table 4 in appendix III."], "subsections": []}, {"section_title": "Improving IHS\u2019s PRC Program", "paragraphs": ["We made 2 recommendations in a 2013 report on opportunities for IHS to improve the PRC program, neither of which has been fully implemented. Our recommendations were based on our finding that determining eligibility for PRC funding\u2014including the need to ascertain each time a referral is received whether the patient met residency requirements and the service met medical priorities\u2014is inherently complex. As a result, we recommended that IHS take steps to improve the PRC program, including separately tracking IHS referrals and self-referrals, and revising its practices to allow available funds to be used to pay for PRC program staff.", "HHS agreed with our recommendation to separately track IHS referrals and self-referrals, but not to revise its practices to allow available funds to be used to pay for PRC program staff. HHS agreed to our recommendation to proactively develop potential options to streamline program eligibility requirements. IHS has not yet fully implemented these recommendations. HHS officials told us that IHS is developing 2 new measures that will track and measure PRC authorized referrals and self- referrals to time of payment for each type of referral. We will review the proposed changes when they are available. For a full description of the agency\u2019s actions and our evaluation for these recommendations, see table 4 in appendix III."], "subsections": []}, {"section_title": "Improving IHS Oversight of Patient Wait Times", "paragraphs": ["We made 2 recommendations in a 2016 report on IHS oversight of patient wait times, one of which was implemented in August 2017. These recommendations were based on our finding that IHS had not set any agency-wide standards for patient wait times at IHS federally operated facilities. We found that, while individual facilities had taken steps to help improve patient wait times, IHS had not monitored the timeliness of patient care on an agency-wide scale. As a result, we recommended that IHS 1) develop specific agency-wide standards for patient wait times, and 2) monitor patient wait times in its federally operated facilities and ensure corrective actions are taken when standards are not met.", "In response to our first recommendation, IHS developed specific standards for patient wait times and published them to the IHS Indian Health Manual website in August 2017. As a result of this action, we consider this recommendation to be fully implemented. In response to our second recommendation, in early September 2017 HHS officials told us that data collection tools for monitoring are under development. We will review IHS\u2019s monitoring of facility performance, as well as any corrective actions, when these steps have been completed. For a full description of the agency\u2019s actions on the unimplemented recommendation and our evaluation, see table 4 in appendix III."], "subsections": []}, {"section_title": "Improving IHS Oversight of Quality of Care", "paragraphs": ["We made 2 recommendations in a 2017 report on IHS\u2019s oversight of quality of care in its federally operated facilities, neither of which has been fully implemented. These recommendations were based on our finding that IHS\u2019s oversight of the quality of care provided in its federally operated facilities has been limited and inconsistent, due in part to a lack of agency-wide quality of care standards. We found that these inconsistencies were exacerbated by significant turnover in area leadership and that the agency had not defined contingency or succession plans for the replacement of key personnel, including area directors. As a result, we recommended that IHS develop agency-wide standards for quality of care, systematically monitor facility performance in meeting these standards, enhance its adverse event reporting system, and develop contingency and succession plans for the replacement of key personnel.", "HHS agreed with our recommendations, and officials reported that the development of agency-wide measures, goals, and benchmarks are nearing completion. According to HHS, it is also developing a system- wide dashboard of performance accountability metrics for use at the enterprise, area, and facility levels. HHS officials told us that the enhancements to their adverse event reporting system are delayed because key personnel on the project became unavailable due to deployment. Finally, HHS officials told us that all IHS headquarters offices and area offices established a succession plan that identified staff and development needs to prepare for future leadership opportunities. We requested documentation of these succession plans, but as of late August 2017, we have not received any. For a full description of the agency\u2019s actions and our evaluation for these recommendations, see table 4 in appendix III.", "In conclusion, although Interior and HHS have taken some actions to address our recommendations related to federal programs serving Indian tribes, 49 recommendations discussed in this testimony have not yet been fully implemented. We plan to continue monitoring the agencies\u2019 efforts to address these unimplemented recommendations.", "In order for the Federal Management of Programs that Serve Tribes and Their Members to be removed from our High-Risk List, Interior and HHS need to show improvement on the five key elements described earlier: leadership commitment, capacity, action plan, monitoring, and demonstrated progress. These five criteria form a road map for agencies\u2019 efforts to improve and ultimately address high-risk issues.", "We look forward to continuing our work with this committee in overseeing Interior and IHS to ensure that they are operating programs for tribes in the most effective and efficient manner, consistent with the federal government\u2019s trust responsibilities, and working toward improving services for tribes and their members.", "Chairman Hoeven, Vice Chairman Udall, and Members of the Committee, this completes my prepared statement. My colleagues and I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about education issues in this testimony or the related reports, please contact Melissa Emrey-Arras at (617) 788-0534 or emreyarrasm@gao.gov. For questions about energy resource development, please contact Frank Rusco at (202) 512-3841 or ruscof@gao.gov. For questions about health care, please contact Kathleen King at (202) 512-7114 or kingk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this statement include Elizabeth Sirois (Assistant Director), Edward Bodine (Analyst-in- Charge), James Bennett, Richard Burkard, Kelly DeMots, Christine Kehr, Liam O\u2019Laughlin, William Reinsberg, James Rebbe, Jay Spaan, Ann Tynan, and Emily Wilson."], "subsections": []}]}, {"section_title": "Appendix I: Status of Unimplemented Recommendations to the Department of the Interior on Indian Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Status of Unimplemented Recommendations to the Department of the Interior on Indian Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Status of Unimplemented Recommendations to the DHHS on the Indian Health Service", "paragraphs": ["Appendix III: Status of Unimplemented Recommendations to the DHHS on the Indian Health Service This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-18-279", "url": "https://www.gao.gov/products/GAO-18-279", "title": "Combating Wildlife Trafficking: Opportunities Exist to Improve the Use of Financial Rewards", "published_date": "2018-04-23T00:00:00", "released_date": "2018-05-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Wildlife trafficking\u2014the poaching and illegal trade of plants, fish, and wildlife\u2014is a multibillion-dollar, global criminal activity that imperils thousands of species. FWS and NOAA enforce laws prohibiting wildlife trafficking that authorize the agencies to pay financial rewards for information about such illegal activities.", "GAO was asked to review FWS's and NOAA's use of financial rewards to combat wildlife trafficking. This report examines (1) laws that authorize FWS and NOAA to pay rewards for information on wildlife trafficking and the extent to which the agencies paid such rewards from fiscal years 2007 through 2017, (2) the agencies' reward policies, (3) information available to the public on rewards, and (4) the extent to which the agencies reviewed the effectiveness of their use of rewards.", "GAO reviewed laws, examined FWS and NOAA policies and public communications on rewards, analyzed agency reward data for fiscal years 2007 through 2017 and assessed their reliability, interviewed FWS and NOAA officials, and compared agency policies and public communications on rewards to federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["Multiple laws\u2014such as the Endangered Species Act and Lacey Act\u2014authorize the Departments of the Interior's U.S. Fish and Wildlife Service (FWS) and Commerce's National Oceanic and Atmospheric Administration (NOAA) to pay rewards for information on wildlife trafficking. FWS and NOAA reported paying few rewards from fiscal years 2007 through 2017. Specifically, the agencies collectively reported paying 27 rewards, totaling $205,500. Agency officials said that the information was complete to the best of their knowledge but could not sufficiently assure that this information represented all of their reward payments.", "FWS and NOAA have reward policies that outline the general process for preparing reward proposals, but FWS's policy does not specify factors for its agents to consider when developing proposed reward amounts. Some FWS agents GAO interviewed said that in developing proposals, they did not know whether their proposed reward amounts were enough, too little, or too much. By augmenting its policy to specify factors for agents to consider, FWS can better ensure that its agents have the necessary quality information to prepare proposed reward amounts, consistent with federal internal control standards.", "FWS and NOAA communicate little information to the public on rewards. For example, most agency websites did not indicate that providing information on wildlife trafficking could qualify for a reward. This is inconsistent with federal standards that call for management to communicate quality information so that external parties can help achieve agency objectives. FWS and NOAA officials said they have not communicated general reward information because of workload concerns, but they said it may be reasonable to provide more information in some instances. By developing plans to communicate more reward information to the public, the agencies can improve their chances of obtaining information on wildlife trafficking that they otherwise might not receive.", "FWS and NOAA have not reviewed the effectiveness of their use of rewards. The agencies have not done so because using rewards has generally not been a priority. FWS and NOAA officials agreed that such a review would be worthwhile but provided no plans for doing so. By reviewing the effectiveness of their use of rewards, FWS and NOAA can identify opportunities to improve the usefulness of rewards as a tool for combating wildlife trafficking."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that FWS and NOAA track reward information, FWS augment its reward policy to specify factors for agents to consider when developing proposed reward amounts, FWS and NOAA develop plans to communicate more reward information to the public, and FWS and NOAA review the effectiveness of their reward use. Both agencies concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the Department of State, wildlife trafficking\u2014the poaching and illegal trade of plants, fish, and wildlife\u2014is a growing, multibillion- dollar, transnational criminal activity that imperils the continued viability of thousands of plant and animal species worldwide, threatens global security, and harms legitimate businesses. Estimates place wildlife trafficking among the top-ranked illicit types of trade alongside trafficking in drugs, weapons, and humans; in 2016, a United Nations report estimated the illegal trade in wildlife to be worth from $7 billion to $23 billion annually. The United States is one of the world\u2019s largest trafficking markets and is increasingly becoming a source for illegal wildlife and wildlife products, according to a Department of the Interior document. It also serves as a transit point for wildlife that are illegally trafficked from their source countries to other countries for sale.", "Wildlife trafficking undermines conservation efforts and continues to push some protected and endangered species to the brink of extinction, according to Department of State documents. As we have previously found, the capture and slaughter of animals are devastating wild populations of elephants, rhinoceroses, tigers, pangolins, turtles, exotic birds, and many other species. Moreover, wildlife trafficking threatens global security by fueling corruption and violence and destabilizing communities that depend on wildlife for biodiversity and ecotourism revenues. Wildlife trafficking can also have adverse economic impacts. For example, the trafficking of illegally harvested timber can harm legitimate businesses by causing products made with legally harvested timber to be less competitive with similar products made using illegally harvested timber.", "In recent years, the federal government has emphasized strengthening law enforcement efforts to combat the escalating scope and scale of wildlife trafficking. For example, in 2014, the White House released a national strategy for combating wildlife trafficking that identified strengthening enforcement\u2014including federal interdiction and investigative efforts\u2014as one of three strategic priorities for the United States. In addition, in 2017, an executive order made it executive branch policy to strengthen enforcement of federal law to thwart the illegal smuggling and trafficking of wildlife, among other things.", "Paying rewards to people who provide critical information about illegal trafficking activities that leads to results, such as fines or criminal convictions, is one of many tools that law enforcement agents can use to help them investigate and enforce wildlife trafficking laws. Certain laws that prohibit wildlife trafficking authorize federal agencies to pay financial rewards to people who provide information on such illegal activities. For example, the Endangered Species Act and the Lacey Act authorize the Secretaries of Commerce and the Interior to pay financial rewards to people who provide information that leads to arrests, criminal convictions, civil penalties, or property forfeitures for violations of those laws. The law enforcement offices for the Department of the Interior\u2019s U.S. Fish and Wildlife Service (FWS) and the Department of Commerce\u2019s National Oceanic and Atmospheric Administration (NOAA) are responsible for enforcing certain federal laws prohibiting wildlife trafficking. Specifically, FWS generally enforces federal laws that prohibit trafficking of terrestrial wildlife, freshwater fish and other species, and birds, and NOAA generally enforces federal laws that prohibit trafficking of marine wildlife and anadromous fish.", "You asked us to review FWS\u2019s and NOAA\u2019s use of financial rewards to combat wildlife trafficking. This report examines (1) laws that authorize FWS and NOAA to pay financial rewards for information on wildlife trafficking and the extent to which these agencies paid such rewards from fiscal years 2007 through 2017, (2) the agencies\u2019 policies on financial rewards, (3) information available to the public on financial rewards, and (4) the extent to which the agencies reviewed the effectiveness of their use of financial rewards in combating wildlife trafficking.", "To identify laws that authorize FWS and NOAA to pay financial rewards for information on wildlife trafficking, we asked FWS and NOAA attorneys to compile a list of laws each of their agencies implements or enforces that prohibit wildlife trafficking and authorize the agency to pay rewards for providing information about wildlife trafficking. We then compared the list provided to the results of our search of the United States Code for such laws. To identify the extent to which FWS and NOAA have paid financial rewards for information on wildlife trafficking, we analyzed FWS and NOAA data on financial rewards the agencies reported paying from fiscal years 2007 through 2017. We took steps to assess the reliability of these data, such as interviewing agency officials knowledgeable about the data and comparing the data to case records. Specifically, FWS and NOAA officials said they track all expenditures, including reward payments, in their financial databases, but they are not able to readily identify reward payments because their financial systems do not include a unique identifier for such payments and their reward information is located in multiple databases and formats. As a result, FWS and NOAA officials said they identified the rewards they reported to us by manually reviewing their financial and law enforcement records, and officials said the information was complete to the best of their knowledge. Based on these steps, we found the data the agencies provided to be sufficiently reliable for reporting information on the rewards the agencies reported paying. However, as we discuss in the report, FWS and NOAA officials could not provide sufficient assurance that the data included all the financial rewards they had paid from fiscal years 2007 through 2017. To obtain additional detail about cases where financial rewards were paid, we reviewed a nongeneralizable sample of 10 wildlife trafficking cases. We selected these cases based on several factors, including amount of the reward payment. While the findings from our review cannot be generalized to cases we did not select and review, they illustrate how FWS and NOAA have used financial rewards in wildlife trafficking cases.", "To evaluate FWS and NOAA policies on financial rewards, information available to the public, and the extent to which FWS and NOAA reviewed the effectiveness of their use of financial rewards in combating wildlife trafficking, we reviewed relevant agency policies, publications, websites, and examples of public communications on rewards for specific cases. We also interviewed agency officials and requested any reviews the agencies conducted regarding their use of financial rewards. We compared available FWS and NOAA policies, public communications, and reviews on their use of financial rewards with federal internal control standards.", "Additionally, for all four objectives, we interviewed a nongeneralizable sample of 20 stakeholders whom we selected using factors such as the individuals\u2019 experience investigating wildlife trafficking cases or their expertise in the use of financial rewards as a law enforcement tool. Our sample included", "FWS and NOAA law enforcement agents, federal officials responsible for programs that use financial rewards to combat illegal activities in contexts outside of wildlife trafficking, academics with expertise in the use of financial rewards as a law members of the federal Advisory Council on Wildlife Trafficking, and representatives of nongovernmental organizations that investigate wildlife trafficking.", "Views from these stakeholders cannot be generalized to those whom we did not select and interview. Appendix I presents a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["As reported by the United Nations, the International Criminal Police Organization, and other organizations, wildlife trafficking networks span the globe. These organizations have attempted to measure the value of illegally traded wildlife, but available estimates are subject to uncertainty. In 2016, for example, the United Nations Environment Programme (UNEP) reported that various sources estimated the global scale of illegal wildlife trade to be from $7 billion to $23 billion annually. UNEP also estimated that the scale of wildlife crime has increased in recent years in part based on a rise in environmental crime.", "U.S. trade in wildlife and related products includes a variety of species, such as live reptiles, birds, and mammals, as well as elephant ivory, according to law enforcement reports and government and nongovernmental officials. FWS and NOAA data on wildlife products seized at U.S. ports provide examples of the diversity of illegally traded plants, fish, and wildlife imported into or exported from the United States. For example, from 2007 to 2016, the top 10 plant, fish, and wildlife shipments seized nationally by FWS were coral, crocodiles, conchs, deer, pythons, sea turtles, mollusks, ginseng, clams, and seahorses. During that time, FWS reported that more than one-third of the wildlife shipments it seized were confiscated while being imported from or exported to Mexico (14 percent), China (13 percent), or Canada (9 percent).", "FWS and NOAA law enforcement offices are responsible for enforcing certain laws and treaties prohibiting wildlife trafficking.", "FWS Office of Law Enforcement. This office enforces certain U.S. laws and regulations as well as treaties prohibiting the trafficking of terrestrial wildlife, freshwater species, and birds. Among other things, the office aims to prevent the unlawful import, export, and interstate commerce of foreign fish and wildlife, as well as to protect U.S. plants, fish, and wildlife from unlawful exploitation. As of fiscal year 2016, the office had a budget of $74.7 million and employed 205 special agents to investigate wildlife crime, including international and domestic wildlife trafficking rings. Most of these special agents report to one of eight regional offices, which receive national oversight, support, training, and policy guidance from the FWS Office of Law Enforcement headquarters. The office\u2019s headquarters houses a special investigative unit focused on conducting complex, large- scale criminal investigations of wildlife traffickers. In addition, the FWS Office of Law Enforcement has deployed special agents to serve as international attach\u00e9s at seven U.S. embassies. These attach\u00e9s provide countertrafficking expertise to embassy staff, work with host government officials to build law enforcement capacity, and contribute directly to casework or criminal investigations of wildlife traffickers.", "According to FWS data, the FWS Office of Law Enforcement opened more than 7,000 investigations on wildlife trafficking and other illegal activities in fiscal year 2016, including nearly 5,000 cases involving Endangered Species Act violations and nearly 1,500 cases involving Lacey Act violations. FWS Office of Law Enforcement investigations have disrupted wildlife trafficking operations. For example, Operation Crash\u2014an ongoing rhino horn and elephant ivory-trafficking investigation launched in 2011\u2014has led to over 30 convictions and more than $2 million in fines.", "NOAA Office of Law Enforcement. This office enforces certain U.S. laws and regulations as well as treaties prohibiting the trafficking of marine wildlife, including fish, as well as anadromous fish. Among other things, the office aims to prevent the illegal, unregulated, and unreported harvesting and trade of fish as well as the trafficking of protected marine wildlife. As of fiscal year 2016, the office had a budget of $68.6 million and employed 77 special agents to investigate wildlife crimes within its jurisdiction. These agents report to one of five regional offices, and those offices receive national oversight, support, and policy guidance from the NOAA Office of Law Enforcement headquarters.", "According to NOAA data, the NOAA Office of Law Enforcement initiated more than 5,000 investigations in fiscal year 2016. About half of those investigations involved violations of the Magnuson-Stevens Fishery Conservation and Management Act, as amended, and some of the 5,000 investigations involved violations of the Endangered Species Act or the Lacey Act. NOAA Office of Law Enforcement investigations have disrupted wildlife trafficking operations. For example, in fiscal year 2016, a NOAA Office of Law Enforcement investigation led to the conviction of a company and five individuals for illegally trafficking whale bone carvings, walrus ivory carvings, black coral carvings, and other products derived from protected species into the United States.", "The FWS and NOAA law enforcement offices collaborate with other government agencies and organizations to combat wildlife trafficking. Both agencies work with other federal, state, and tribal law enforcement officers as well as their international counterparts as needed during wildlife trafficking investigations. For example, FWS and NOAA work with U.S. Customs and Border Protection, U.S. Immigration and Customs Enforcement, and the U.S. Department of Agriculture to maintain import and export controls and interdict smuggled wildlife and related products at U.S. ports of entry. In addition, FWS and NOAA collaborate with Department of Justice prosecutors on criminal cases that result from agency investigations.", "Both agencies also collaborate with nongovernmental organizations to combat wildlife trafficking. For example, FWS and NOAA officials said that nongovernmental organizations have, in some cases, offered financial rewards (in addition to rewards offered by FWS and NOAA) for information on a wildlife crime. In addition, some nongovernmental organizations proactively provide information to FWS and NOAA on wildlife trafficking activities in the United States or foreign countries that violate U.S. laws. For example, in 2017, a nongovernmental organization created a website to collect tips on wildlife crime and to connect the sources of those tips with relevant U.S. authorities for potential financial rewards.", "FWS may pay financial rewards from moneys in two accounts.", "Law Enforcement Reward Account. FWS may pay rewards under the Endangered Species Act, the Lacey Act, and the Rhinoceros and Tiger Conservation Act from moneys in the agency\u2019s Law Enforcement Reward Account. The moneys in this account come from fines, penalties, and proceeds from forfeited property for violations of these three laws. According to FWS officials, these moneys are available until expended. These moneys can be used to (1) pay financial rewards to those who provide information that leads to an arrest, criminal conviction, civil penalty assessment, or forfeiture of property for any violation of the Endangered Species Act, the Lacey Act, or the Rhinoceros and Tiger Conservation Act or (2) provide temporary care for plants, fish, or wildlife that are the subject of a civil or criminal proceeding under the Endangered Species Act, Lacey Act, or the Rhinoceros and Tiger Conservation Act. As of the beginning of fiscal year 2017, the balance of the Law Enforcement Reward Account was about $7 million.", "Law Enforcement Special Funds Account. FWS may also pay rewards from moneys in its law enforcement office\u2019s Special Funds Account. The moneys in this account come from an annual line item appropriation and are available until expended. Since fiscal year 1988, this appropriation has provided FWS up to $400,000 each year to pay for information, rewards, or evidence concerning violations of laws FWS administers, as well as miscellaneous and emergency expenses of enforcement activity that the Secretary of the Interior authorized or approved.", "NOAA generally pays rewards from moneys available in the Fisheries Enforcement Asset Forfeiture Fund. The moneys in this account come from fines, penalties, and proceeds from forfeited property for violations of marine resource laws that NOAA enforces, including the Magnuson- Stevens Fishery Conservation and Management Act, the Endangered Species Act, and the Lacey Act. According to NOAA officials, moneys are available until expended and can be used to pay certain enforcement- related expenses, including travel expenses, equipment purchases, and the payment of financial rewards. As of the beginning of fiscal year 2017, the Fisheries Enforcement Asset Forfeiture Fund had a balance of about $18 million.", "Academic literature on the use of financial rewards to combat illegal activities and stakeholders we interviewed identified several advantages and disadvantages of using financial rewards to obtain information on wildlife trafficking. Potential advantages of using financial rewards include the following:", "Providing incentives. The potential for a financial reward can motivate people with information to come forward when they otherwise might not do so.", "Increasing public awareness. Financial rewards may bring greater public attention to the problem of wildlife trafficking, including federal efforts to combat wildlife trafficking.", "Saving resources. Using financial rewards may save agency resources by enabling agents to get information sooner and at a lower cost than they could have through their own efforts.", "Potential disadvantages of using financial rewards include the following:", "Eliciting false or unproductive leads. Financial rewards may generate false or unproductive leads.", "Affecting witness credibility. Financial rewards may lead to a source\u2019s credibility being challenged at trial by defense attorneys since sources receive compensation for the information they provide.", "Consuming resources. The potential for a financial reward may create a flood of tips that take agency time and resources to follow up on or corroborate.", "Outside of wildlife trafficking, multiple federal agencies and federal courts are authorized to pay financial rewards for information on illegal activities under certain circumstances. For example, U.S. Customs and Border Protection\u2014which controls, regulates, and facilitates the import and export of goods through U.S. ports of entry\u2014is authorized, under certain circumstances, to pay rewards for original information about violations of any laws that it enforces. The Department of State may also pay rewards under certain circumstances, including for information leading to the disruption of financial mechanisms of a transnational criminal group. Similarly, the U.S. Securities and Exchange Commission (SEC) and Internal Revenue Service (IRS) may pay rewards for information about violations of federal securities laws and the underpayment of taxes, respectively, if certain conditions are met. Federal judges may award money to persons who give information leading to convictions for violating treaties, laws, and regulations that prohibit certain pollution from ships, including oil and garbage discharges."], "subsections": []}, {"section_title": "Multiple Laws Authorize FWS and NOAA to Pay Rewards for Wildlife Trafficking Information, but the Agencies Reported Paying Few Rewards from Fiscal Years 2007 through 2017", "paragraphs": ["FWS and NOAA officials identified multiple laws, such as the Endangered Species Act and the Lacey Act, that authorize the payment of financial rewards to people who provide information on wildlife trafficking. FWS and NOAA reported paying few financial rewards under these laws from fiscal years 2007 through 2017. However, agency officials could not provide sufficient assurance that the reward information they provided to us represented all of their reward payments for this period."], "subsections": [{"section_title": "The Endangered Species Act, Lacey Act, and Other Laws Authorize the Payment of Financial Rewards", "paragraphs": ["FWS and NOAA officials identified over 10 laws prohibiting wildlife trafficking\u2014including the Endangered Species Act, Lacey Act, and Bald and Golden Eagle Protection Act\u2014that specifically authorize the payment of financial rewards in certain circumstances to people who provide information on violations of the law (see app. II for a complete list of the laws). These laws provide discretion to the agencies to choose whether to pay rewards but have varying requirements for who is eligible to receive a reward and the payment amounts. For example, the Bald and Golden Eagle Protection Act caps rewards at $2,500 for information that leads to a conviction. In contrast, the Endangered Species Act does not cap reward amounts and authorizes rewards for information that leads to a conviction as well as to an arrest, civil penalty, or forfeiture of property. Table 1 identifies the laws that FWS and NOAA officials indicated they have used to pay financial rewards for information on wildlife trafficking from fiscal years 2007 through 2017, along with information on these laws\u2019 requirements for payment of rewards."], "subsections": []}, {"section_title": "FWS and NOAA Reported Paying Few Rewards for Information on Wildlife Trafficking but Could Not Assure the Completeness of the Information", "paragraphs": ["FWS and NOAA reported paying few financial rewards for information on wildlife trafficking from fiscal years 2007 through 2017, but agency officials could not provide sufficient assurance that this information was complete. Officials from both agencies said that their agencies have not prioritized the use of rewards, and they believed that the reward information they identified\u2014such as the number, dollar amount, and year that rewards were paid\u2014appropriately captured the few reward payments they made during this time frame. Based on the agencies\u2019 reviews of their records, FWS reported paying 25 rewards for a total of $184,500 from fiscal years 2007 through 2017, and NOAA reported paying 2 rewards for a total of $21,000 during that same period (see table 2). See appendix III for additional details on the cases where financial rewards were paid.", "FWS reported paying rewards in trafficking cases involving a variety of wildlife species, such as eagles, bears, reptiles, and mollusks, across the 11-year period. FWS officials said they generally paid rewards to thank sources who proactively provided information. For example, based on our review of a reward case, FWS paid a reward in 2010 because the source provided information that was crucial in uncovering an attempt to illegally traffic leopards into the United States from South Africa. FWS would not have known about this illegal activity if the source had not come forward with the information. In several cases we reviewed, FWS officials said that the sources did not know about the possibility of receiving a reward when they contacted the agency with information.", "The two rewards NOAA reported paying from fiscal years 2007 through 2017 involved the illegal trafficking of sea scallops and a green sea turtle. NOAA officials said that in both cases they paid a reward to thank the source who proactively provided information to law enforcement agents. For example, the agent who investigated the sea scallop case reported requesting the reward because the information the source proactively provided was timely, credible, and led to the criminal conviction of several individuals.", "FWS and NOAA officials could not provide sufficient assurance that the reward information they reported to us represented all of the rewards their agencies had paid from fiscal years 2007 through 2017, but they said the information was complete to the best of their knowledge. Specifically, FWS and NOAA officials said they track all their expenditures, including reward payments, in their financial databases. However, they are not able to readily identify reward payments because their financial systems do not include a unique identifier for such payments and their reward information is located in multiple databases and formats. As a result, FWS and NOAA officials said they identified the rewards they reported to us by manually reviewing their financial and law enforcement records. In particular, FWS officials said they reviewed their paper records to identify instances when the agency paid rewards and then retrieved additional information from their financial and law enforcement databases, such as final payment amounts. NOAA officials said they identified instances when the agency paid rewards by using a combination of paper and electronic records located at NOAA\u2019s headquarters office. NOAA officials also contacted their regions to obtain additional information located at the regional offices to confirm information about the rewards NOAA had paid.", "Seventeen stakeholders we interviewed who had experience investigating wildlife trafficking or expertise in using financial rewards as a law enforcement tool said that it would be useful for FWS and NOAA to maintain comprehensive information on the rewards they paid. For example, two stakeholders said that maintaining comprehensive information and making that information available to law enforcement agents could motivate agents to make greater use of rewards as a law enforcement tool. Two other stakeholders said that maintaining information on and monitoring reward use would allow the agencies to make ongoing adjustments, such as adjusting payment amounts, to make the most effective use of rewards in combating wildlife trafficking.", "Federal internal control standards say that management should clearly document internal control and all transactions and other significant events in a manner that allows the documentation to be readily available for examination. Control activities can be implemented in either an automated or a manual manner, but automated control activities tend to be more reliable because they are less susceptible to human error and are typically more efficient.", "FWS and NOAA officials agreed that maintaining reward information so that complete information is easily retrievable may be beneficial. FWS officials said having clearly documented and readily available reward information could improve how they manage rewards and enable them to monitor and examine their use of rewards more holistically. The officials said they may analyze options for creating a single repository for reward information but did not commit to doing so. They said that creating a single repository for reward information may involve some drawbacks, such as duplicating some data entry in separate databases. Similarly, NOAA officials said having clearly documented and readily available reward information would provide agency management with easier and more consistent access to that information. As a result, they said that they are exploring modifications to their financial and law enforcement databases to better identify and track rewards. For example, NOAA officials said they may be able to create a unique identifier to flag payments that are for rewards in their financial system to enable them to identify payment amounts more easily. NOAA officials did not provide a time frame for completing modifications to their financial system. By tracking reward information so that it is clearly documented and readily available for examination, FWS and NOAA can better ensure that they have complete information on the rewards they have paid to help manage their use of rewards as a law enforcement tool."], "subsections": []}]}, {"section_title": "FWS and NOAA Have Policies for Administering Reward Payments, but FWS\u2019s Policy Does Not Specify Factors to Consider When Developing Reward Amounts", "paragraphs": ["FWS and NOAA have policies to guide their law enforcement agents on the process for preparing and submitting a request to pay a financial reward. Specifically, both agencies\u2019 policies call for agents to include a description of the case, the nature of the information that the source provided, a justification for providing a reward, and an explanation of how a proposed reward amount was developed. These policies also outline the general review and approval process, how payments are to be made upon approval of a request, and eligibility criteria to receive a reward. For example, FWS and NOAA policies prohibit paying rewards to foreign government officials as well as paying rewards to any person whose receipt of a reward would create a conflict of interest or the appearance of impropriety.", "NOAA\u2019s policy explicitly states that the NOAA Office of Law Enforcement is to use statutorily authorized rewards as a tool to obtain information from the public on resource violations and that rewards can help promote compliance with marine resource laws. NOAA\u2019s policy suggests that agents consider advertising reward offers to assist investigations, encourages press releases, and describes the process agents should follow to do so. Moreover, NOAA\u2019s policy specifies factors that agents might include in their reward requests to support the proposed reward, such as (1) the benefit to the marine resources that was furthered by the information provided; (2) the risk, if any, the individual took in collecting and providing the information; (3) the probability that the investigation would have been successfully concluded without the information provided; and (4) the relationship between any fines or other collections and the information provided.", "FWS\u2019s policy specifies that rewards may be provided in situations in which an individual furnishes essential information leading to an arrest, conviction, civil penalty, or forfeiture of property. However, it does not discuss the usefulness of financial rewards as a law enforcement tool or the types of circumstances when rewards should be used or advertised to the public. Further, FWS\u2019s policy does not communicate necessary quality information internally that agents may need when deciding to request the payment of rewards. In particular, it does not specify factors for agents to consider when developing proposed reward amounts. Instead, the policy leaves it to the discretion of field and regional agents to develop proposed reward amounts within any limitations specified in law. Some FWS agents we interviewed said that they developed proposed reward amounts on a case-by-case basis and did not know whether their proposed amounts were enough, too little, or too much. In addition, some agents said that because FWS\u2019s policy does not specify factors for agents to consider, the reward approval process is subjective and unclear and this has made it challenging for the agents to develop proposed reward amounts. For example, one agent we interviewed said he submitted a request to his supervisor to pay a $10,000 reward to a source who provided information on a major wildlife trafficker. But, for reasons unknown to the agent, his supervisor reduced the amount to $1,000. FWS headquarters officials said field agents submit reward requests to headquarters for approval, and these officials were not aware of instances of proposed reward amounts being changed or denied during the review process.", "Seven of the 20 stakeholders we interviewed suggested that FWS augment its reward policy to specify factors for agents to consider when developing proposed reward amounts. For example, helpful factors to consider when developing a proposed reward amount may include (1) the number of hours the source dedicated to the case, (2) the risk the source took in providing the information, (3) the significance of the information provided by the source, and (4) the amount of fines or other penalties collected as a result of the information. Two stakeholders expressed concern that some of FWS\u2019s reward payments were insufficient, especially when comparing the amount of time and effort or the risk a source faced in providing the information. A couple of stakeholders also said that without a policy that specifies factors for agents to consider, reward amounts may be subjective and could vary depending on which agent develops the reward proposal. Another stakeholder said that it was important to specify factors for agents to consider when developing proposed reward amounts so that the agency has a reasonable and defensible basis for the reward amounts it pays across cases.", "According to federal standards for internal control, management should internally communicate the necessary quality information to achieve an agency\u2019s objectives. For example, management communicates quality information down and across reporting lines to enable personnel to make key decisions. FWS officials said they believe that their reward policy is sound, indicating they believe that law enforcement agents have the information they need to develop proposals for reward amounts in cases where rewards are warranted. However, they also agreed that it may be helpful to review their policy but did not commit to doing so. By augmenting its policy to specify factors for agents to consider when developing proposed reward amounts, FWS can better ensure that its agents have the necessary quality information to prepare defensible reward proposals."], "subsections": []}, {"section_title": "FWS and NOAA Communicate Little Information to the Public on Financial Rewards", "paragraphs": ["Based on our review of the agencies\u2019 websites and other communications, we found that FWS and NOAA communicate little information to the public on financial rewards for reporting information on wildlife trafficking, such as the potential availability of rewards and eligibility criteria. Specifically, some FWS and NOAA law enforcement websites provided information to the public on ways to report violations of the laws that the agencies are responsible for enforcing, such as via tip lines. Some of the websites also provided examples of the types of information the public can report, such as photos or other documentation of illegal activities. However, most of the agencies\u2019 websites did not indicate that providing information on illegal activities could result in a reward. In contrast, the FWS Alaska regional office\u2019s website provided information on the potential availability of rewards and ways the public may submit information for a potential reward. For example, this website provided phone numbers and an e-mail address for the public to use when submitting information. Figure 1 shows the information available on FWS\u2019s and NOAA\u2019s national and regional websites relevant to reporting violations of the laws the agencies enforce in general and on receiving rewards in particular.", "In addition, FWS and NOAA headquarters officials said their field agents have used other means to communicate the potential availability of rewards in specific cases when the agents had no other information that could help solve those cases. For example, a FWS field official said that the agency advertised a reward offer for information on a case of bald eagle killings by distributing reward posters and posting news releases in the vicinity where the killings occurred. Similarly, NOAA officials said they have advertised reward offers through various means, including circulating reward posters in specific geographic areas after an illegal activity has occurred. Figure 2 shows a reward poster that NOAA distributed in Guam in 2017 advertising a $1,000 reward for information leading to the arrest and conviction of sea turtle poachers.", "Instead of having a plan for communicating general information to the public on rewards, FWS and NOAA grant discretion to their regional offices and law enforcement agents to determine the type and level of communication to provide, according to FWS and NOAA policies. FWS officials explained that because they typically use financial rewards to thank individuals who come forward on their own accord\u2014rather than using rewards to incentivize individuals with information to come forward\u2014they have not seen the need to communicate more information to the public on the potential availability of rewards. NOAA officials said they have targeted their communications on rewards by publicizing reward offers for specific cases where they do not have leads. They added that they want to receive quality information and already receive a substantial amount of information from sources who reach out to them proactively, so NOAA has not seen the need to communicate more information to the public on the potential availability of rewards.", "Sixteen of the 20 stakeholders we interviewed said that it would be useful for FWS and NOAA to advertise the potential availability of financial rewards. Several stakeholders said that if the public does not know about the possibility for rewards, then some people with information may not be incentivized to come forward. Two stakeholders added that agencies should carefully consider how and which reward information to communicate to the public so that people who are most likely to have information on illegal wildlife trafficking learn about the potential for rewards. For example, one stakeholder suggested advertising rewards at ports where international shipments are offloaded or placing advertisements at wildlife trafficking nodes, such as entrances to African wildlife refuges. This stakeholder suggested advertising rewards along with wildlife trafficking awareness-raising posters that nongovernment organizations place in some airports.", "In addition, 14 stakeholders suggested that it would be useful for FWS and NOAA to provide information to the public on the process for submitting information to potentially receive rewards. Several other stakeholders said that it is important for the public to understand whether they may be eligible for a reward, how to submit information, and whether or to what extent their confidentiality will be protected. Another stakeholder provided examples of how other agencies provide information about their reward programs on their websites. SEC and IRS, for instance, use their websites to communicate information to the public on the process for reporting illegal activity for financial rewards. This information includes the types of information to report, confidentiality rules, eligibility criteria, and the process for submitting information to obtain a reward. In addition, the Department of State posts instructions on its websites on how to submit information on an illegal activity and potentially receive a reward.", "Federal internal control standards say that management should externally communicate the necessary quality information to achieve an agency\u2019s objectives. For example, using appropriate methods to communicate, management communicates quality information so that external parties, such as the public, can help the agency achieve its objectives. This could include communicating information to the public on the types of information and eligibility requirements for potentially receiving rewards for reporting information on wildlife trafficking.", "FWS officials said that making more reward information available could lead to a significant increase in the amount of information the agency receives, which, in turn, could strain FWS\u2019s resources in following up on that information. However, FWS officials also agreed that it was reasonable to consider making more reward information available to relevant members of the public, particularly in targeted circumstances, but did not commit to doing so. Similarly, NOAA officials said they had some concerns about the additional resources it might take to investigate potentially unreliable or false tips that may result if they make reward information broadly available to the public, but they agreed that it would be reasonable for the agency to consider doing so. NOAA officials also said they may consider making more reward information publicly available at the conclusion of our audit but provided no plans for doing so. By determining the types of additional information to communicate to the public on rewards\u2014such as providing information on the agency\u2019s website on the potential availability of rewards\u2014and then developing and implementing plans to do so, FWS and NOAA can improve their chances of obtaining information on wildlife trafficking activities that they otherwise might not receive."], "subsections": []}, {"section_title": "FWS and NOAA Have Not Reviewed the Effectiveness of Their Use of Financial Rewards", "paragraphs": ["FWS and NOAA have not reviewed the effectiveness of their use of financial rewards or considered whether any changes might improve the usefulness of rewards as a tool for combating wildlife trafficking. FWS officials said their agency has not reviewed or considered changes to its use of rewards because the agency has not prioritized the use of rewards. NOAA officials said their agency has not focused on using rewards or identified the need to review its use of this tool, particularly in light of other, higher mission priorities.", "Nine of the 20 stakeholders we interviewed said that FWS and NOAA should review the effectiveness of their use of rewards and consider potential improvements. Several stakeholders said that it would be useful for FWS and NOAA to compare their respective approaches to those of federal agencies that use rewards in contexts outside of wildlife trafficking to identify best practices or lessons learned that might be applicable in the context of combating wildlife trafficking. For example, one stakeholder said that SEC has an effective whistleblower program and may have lessons learned that are relevant for FWS and NOAA to consider. Another stakeholder we interviewed separately indicated that in 2010, before SEC had a whistleblower program that publicized rewards and provided detailed instructions on how members of the public could report information on illegal activities, SEC received few tips. Once SEC implemented a whistleblower program that publicized rewards and provided detailed instructions on its public website, the agency\u2019s use of the program grew substantially, according to the stakeholder. Other stakeholders said it would be useful for the agencies to consider potential improvements to their use of rewards, such as making a standing reward offer for information on wildlife trafficking targeted at high-priority endangered species or particular criminal networks. Two of these stakeholders said such an offer might improve FWS\u2019s and NOAA\u2019s use of rewards by generating more tips than reward offers focused on individual cases. At the same time, they said such an offer would likely filter out some of the false or unproductive tips that the agencies might receive if they made an untargeted standing reward offer.", "Federal internal control standards state that management should design control activities to achieve objectives and respond to risks by, for example, conducting reviews at the functional or activity level by comparing actual performance to planned or expected results and analyzing significant differences. Further, under the standards, management should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving an agency\u2019s objectives or addressing related risks. FWS and NOAA officials agreed that reviewing the effectiveness of their use of rewards would be worthwhile. Specifically, FWS officials said that it would be useful to compare their approach to those of other federal agencies that use rewards in investigating crimes that involve interstate and foreign smuggling of goods. Similarly, NOAA officials said that reviewing the agency\u2019s use of financial rewards would be worthwhile but cautioned that such a review would need to be balanced against the agency\u2019s constrained resources and many mission requirements. FWS and NOAA officials said they may consider conducting such a review at the conclusion of our audit but provided no plans for doing so. By reviewing the effectiveness of their use of rewards, FWS and NOAA can identify opportunities to improve the usefulness of rewards as a tool for combating wildlife trafficking."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Wildlife trafficking is a large and growing transnational criminal activity, with global environmental, security, and economic consequences. The federal government has emphasized strengthening law enforcement efforts to combat wildlife trafficking, and using financial rewards to obtain information on illegal activities is one tool that some federal agencies have used. However, to date, FWS and NOAA have not prioritized the use of rewards and were unable to provide sufficient assurance that the 27 rewards they paid during fiscal years 2007 through 2017 represented all of the rewards they provided during that period. By tracking reward information so that it is clearly documented and readily available for examination, FWS and NOAA can better ensure that they have complete information on the rewards they have paid to help manage their use of rewards as a law enforcement tool.", "Additionally, FWS and NOAA have policies outlining the processes their law enforcement agents are to use in making reward payments, and NOAA\u2019s policy specifies factors for its agents to consider in developing proposed reward amounts, such as the risk the individual took in collecting the information. FWS\u2019s policy does not specify such factors that could inform agents in achieving the agency\u2019s objectives, which is not consistent with federal internal control standards. By augmenting its policy to specify factors for its agents to consider when developing proposed reward amounts, FWS can better ensure that its agents have the necessary quality information to prepare defensible reward proposals.", "Both agencies have also advertised the potential for rewards in specific cases when agents had no other information, but FWS and NOAA have otherwise communicated little information to the public on the potential availability of rewards. If the public does not know about the possibility of rewards, then some people with information may not be incentivized to come forward. By determining the types of additional information to communicate to the public on rewards\u2014such as providing information on the agency\u2019s website about the potential availability of rewards\u2014and then developing and implementing plans to do so, FWS and NOAA can improve their chances of obtaining information on wildlife trafficking activities that they otherwise might not receive.", "Finally, FWS and NOAA have not reviewed the effectiveness of their use of financial rewards or considered whether any changes might improve the usefulness of rewards as a law enforcement tool. By undertaking such reviews, the agencies can identify opportunities to improve the usefulness of rewards as a tool for combating wildlife trafficking."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of seven recommendations, including four to FWS and three to NOAA. Specifically:", "The Assistant Director of the FWS Office of Law Enforcement should track financial reward information so that it is clearly documented and readily available for examination. (Recommendation 1)", "The Director of the NOAA Office of Law Enforcement should track financial reward information so that it is clearly documented and readily available for examination. (Recommendation 2)", "The Assistant Director of the FWS Office of Law Enforcement should augment FWS\u2019s financial reward policy to specify factors law enforcement agents are to consider when developing proposed reward amounts. (Recommendation 3)", "The Assistant Director of the FWS Office of Law Enforcement should determine the types of additional information to communicate to the public on financial rewards and then develop and implement a plan for communicating that information. (Recommendation 4)", "The Director of the NOAA Office of Law Enforcement should determine the types of additional information to communicate to the public on financial rewards and then develop and implement a plan for communicating that information. (Recommendation 5)", "The Assistant Director of the FWS Office of Law Enforcement should review the effectiveness of the agency\u2019s use of financial rewards and implement any changes that the agency determines would improve the usefulness of financial rewards as a law enforcement tool. (Recommendation 6)", "The Director of the NOAA Office of Law Enforcement should review the effectiveness of the agency\u2019s use of financial rewards and implement any changes that the agency determines would improve the usefulness of financial rewards as a law enforcement tool. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Commerce and the Interior. The departments transmitted written comments, which are reproduced in appendixes IV and V of this report. The Department of Commerce concurred with the three recommendations directed to NOAA and stated that NOAA is developing procedures to ensure that its rewards are closely tracked, clearly documented, and better communicated. In written comments from NOAA, NOAA stated the report fairly and thoroughly reviews NOAA\u2019s use of financial rewards. NOAA outlined the steps it plans to take in response to our recommendations, including developing a procedure to track financial reward information, reviewing information currently disseminated to the public and evaluating whether additional information may be useful, and reviewing the agency\u2019s reward policy to determine whether changes are needed to enhance reward effectiveness.", "In its written comments, the Department of the Interior concurred with the four recommendations directed to FWS. Interior stated that it appreciated our review of the challenges faced by FWS\u2019s Office of Law Enforcement in combating wildlife trafficking and identifying areas where FWS and NOAA can improve the use of financial rewards as a tool for combating wildlife trafficking. Interior also provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretaries of Commerce and the Interior, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and of Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to (1) identify laws that authorize the U.S. Fish and Wildlife Service (FWS) and the National Oceanic and Atmospheric Administration (NOAA) to pay financial rewards for information on wildlife trafficking and the extent to which these agencies paid such rewards from fiscal years 2007 through 2017, (2) evaluate FWS\u2019s and NOAA\u2019s policies on financial rewards, (3) evaluate the information available to the public on financial rewards, and (4) determine the extent to which FWS and NOAA reviewed the effectiveness of their use of financial rewards in combating wildlife trafficking.", "To address these objectives, we reviewed academic literature on the use of financial rewards to combat illegal activities and United Nations Environment Programme reports on the scope and scale of wildlife trafficking. We also interviewed officials from federal agencies that play a role in combating wildlife trafficking or manage programs that pay financial rewards for information on illegal activities. Specifically, we interviewed officials from the Departments of Agriculture, Commerce, Homeland Security, the Interior, Justice, and State, as well as officials from the Internal Revenue Service, the U.S. Securities and Exchange Commission, and the U.S. Agency for International Development. In addition, we reviewed documentation that the Department of the Treasury provided on its role in paying financial rewards. We did not compare FWS\u2019s and NOAA\u2019s use of financial rewards in combating wildlife trafficking to federal agencies\u2019 use of financial rewards in other contexts because the different contexts are not directly comparable. However, we reviewed information on other federal agencies\u2019 use of financial rewards as examples of how financial rewards are used in contexts outside of wildlife trafficking. In addition, we interviewed representatives of six nongovernmental organizations that we selected based on those organizations\u2019 knowledge or experience in combating wildlife trafficking.", "Specifically, we interviewed representatives from the Elephant Action League, the Environmental Investigation Agency, the National Association of Conservation Law Enforcement Chiefs, the National Whistleblower Center, TRAFFIC, and the World Wildlife Fund.", "To identify laws that authorize FWS and NOAA to pay financial rewards for information on wildlife trafficking, we asked FWS and NOAA attorneys to compile a list of laws that each of their agencies implements or enforces that prohibit wildlife trafficking and authorize the agency to pay rewards for providing information about trafficking. We then compared that list to the results of our search of the United States Code for such laws. We also reviewed FWS and NOAA documentation for accounts where the fines, penalties, and proceeds from forfeited property that are used to pay rewards are deposited as well as the accounts where appropriations available to pay rewards were deposited. To identify the extent to which FWS and NOAA have paid financial rewards for information on wildlife trafficking, we analyzed FWS and NOAA data on financial rewards the agencies reported paying from fiscal years 2007 through 2017. The data included information on, among other things, the fiscal years in which rewards were paid, laws under which rewards were paid, types of wildlife involved in those cases, the amounts of civil penalties or criminal fines imposed in those cases, the numbers of arrests and convictions as a result of those cases, and whether reward recipients were individuals or groups and U.S. or foreign citizens.", "To assess the reliability of the data FWS and NOAA provided on financial rewards, we interviewed agency officials knowledgeable about the data and compared the data to case records the agencies provided.", "Specifically, FWS and NOAA officials said they track all expenditures, including reward payments, in their financial databases, but they are not able to readily identify reward payments because their financial systems do not include a unique identifier for such payments and their reward information is located in multiple databases and formats. As a result, FWS and NOAA officials said they identified the rewards that they reported to us by manually reviewing their financial and law enforcement records, and officials said the information was complete to the best of their knowledge. Based on these steps, we found the data that the agencies provided to us to be sufficiently reliable for reporting information on the rewards the agencies reported paying. However, as we discuss in the report, FWS and NOAA officials could not provide sufficient assurance that the data included all the financial rewards that they had paid from fiscal years 2007 through 2017.", "To obtain additional detail about cases where financial rewards were paid, we reviewed a nongeneralizable sample of 10 wildlife trafficking cases. We selected these cases based on the agency that investigated the case (to include both FWS and NOAA cases), the amount of the reward paid in the case (to reflect both low and high amounts), the year in which the reward was paid (to include rewards paid more recently), and the type of wildlife trafficked in the case (to include both fish and wildlife cases\u2014there were no plant trafficking cases to select).", "While the findings from our review cannot be generalized to cases we did not select and review, they illustrate how FWS and NOAA have used financial rewards in wildlife trafficking cases.", "To evaluate FWS and NOAA policies on financial rewards, we reviewed relevant FWS and NOAA policies and compared them to each other; interviewed FWS and NOAA officials about those policies; and compared the information in the policies with federal internal control standards on information and communication. To evaluate information available to the public on rewards, we reviewed relevant FWS and NOAA publications and examples of communications to the public on the availability of rewards in specific cases and interviewed FWS and NOAA officials. We also reviewed information available on FWS\u2019s and NOAA\u2019s national and regional websites as of December 2017 and January 2018, respectively, relevant to reporting violations of the laws that the agencies enforce in general and on receiving rewards in particular. We compared the agencies\u2019 public communications on rewards with federal internal control standards on information and communication. To evaluate the extent to which FWS and NOAA reviewed the effectiveness of their use of financial rewards in combating wildlife trafficking, we interviewed FWS and NOAA officials and requested any reviews the agencies had conducted regarding their use of financial rewards to compare with federal internal control standards on control activities. FWS and NOAA did not have any such reviews to provide.", "In addition, for all four objectives, we interviewed a nongeneralizable sample of 20 stakeholders who had experience investigating wildlife trafficking or expertise in the use of financial rewards as a law enforcement tool. To select stakeholders to interview, we first identified a list of stakeholders by reviewing (1) FWS and NOAA data on law enforcement agents with at least 5 years of experience who had investigated wildlife trafficking cases and used financial rewards, (2) Department of Justice data on federal prosecutors who had prosecuted wildlife trafficking cases since fiscal year 2014, (3) literature search results identifying academics with expertise in the use of financial rewards as a law enforcement tool and federal programs that use financial rewards to combat illegal activities in contexts outside of wildlife trafficking, (4) the biographies of members of the federal Advisory Council on Wildlife Trafficking, and (5) recommendations from stakeholders we interviewed. From this list, we then used a multistep process to select the 20 stakeholders to interview. To ensure coverage and a range of perspectives, we selected stakeholders from the following groups:", "FWS and NOAA law enforcement agents, including field and federal prosecutors responsible for prosecuting wildlife trafficking cases; federal officials responsible for programs that use financial rewards to combat illegal activities in contexts outside of wildlife trafficking; academics with expertise in the use of financial rewards as a law members of the federal Advisory Council on Wildlife Trafficking; and representatives of nongovernmental organizations that investigate wildlife trafficking.", "We conducted semistructured interviews with the 20 selected stakeholders using a standard set of questions. We asked questions about stakeholder views on the usefulness of financial rewards in combating wildlife trafficking; the strength and weaknesses of the statutory provisions that authorize federal agencies to pay financial rewards for information on wildlife trafficking; FWS\u2019s and NOAA\u2019s use of financial rewards to combat wildlife trafficking; and how, if at all, the two agencies could improve their use of financial rewards to combat wildlife trafficking. We analyzed the stakeholders\u2019 responses to our questions, grouping the responses into overall themes. We summarized the results of our analysis and then shared the summary with relevant FWS and NOAA officials to obtain their views. Views from these stakeholders cannot be generalized to those whom we did not select and interview.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Laws Implemented or Enforced by FWS and NOAA That Prohibit Wildlife Trafficking and Authorize Financial Rewards", "paragraphs": ["The Department of the Interior\u2019s U.S. Fish and Wildlife Service (FWS) and the Department of Commerce\u2019s National Oceanic and Atmospheric Administration (NOAA) implement or enforce multiple laws that specifically authorize the payment, under specified circumstances, of financial rewards to persons for information about violations of laws that prohibit wildlife trafficking. The laws that FWS officials identified are listed and summarized in table 3, and the laws that NOAA officials identified are listed and summarized in table 4.", "In addition, as noted above, the reward provisions in the Magnuson- Stevens Fishery Conservation and Management Act as amended and the Fish and Wildlife Improvement Act as amended authorize the payment of rewards for information about violations of multiple laws. Specifically, the Magnuson-Stevens Fishery Conservation and Management Act as amended authorizes the payment of rewards for information about violations of the act as well as any other marine resource law that the Secretary of Commerce enforces. Further, the Fish and Wildlife Improvement Act as amended authorizes the payment of rewards for information about violations of any law administered by NOAA\u2019s National Marine Fisheries Service relating to plants, fish, or wildlife. NOAA officials identified 14 such laws that prohibit wildlife trafficking (see table 5). If a violation of the laws listed in table 5 occurs, NOAA officials said they could use the Magnuson-Stevens Fishery Conservation and Management Act or Fish and Wildlife Improvement Act reward provision to pay a reward for information on the violation. None of the laws listed in table 5 specifically authorize the payment of financial rewards."], "subsections": []}, {"section_title": "Appendix III: FWS and NOAA Cases in Which the Agencies Reported Paying Rewards, Fiscal Years 2007 through 2017", "paragraphs": ["Table 6 provides information on U.S. Fish and Wildlife Service and National Oceanic and Atmospheric Administration cases where these agencies reported paying rewards for information on wildlife trafficking from fiscal years 2007 through 2017."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Alyssa M. Hundrup (Assistant Director), David Marroni (Analyst-in-Charge), Cindy Gilbert, Keesha Luebke, Jeanette Soares, Sheryl Stein, Sara Sullivan, and Judith Williams made key contributions to this report."], "subsections": []}]}], "fastfact": ["Wildlife trafficking is a multibillion-dollar, global criminal activity that imperils thousands of species. To help combat it, the U.S. Fish and Wildlife Service and the National Oceanic and Atmospheric Administration can offer rewards in certain circumstances for information on wildlife trafficking activities.", "We found that these agencies have not prioritized offering rewards, and they have paid few of them\u201427 rewards in 11 fiscal years, totaling about $205,000.", "We made seven recommendations to these agencies, including telling the public about the possibility of rewards and reviewing how effectively the agencies are using rewards."]} {"id": "GAO-18-593", "url": "https://www.gao.gov/products/GAO-18-593", "title": "Federal Timber Sales: Forest Service and BLM Should Review Their Regulations and Policies Related to Timber Export and Substitution", "published_date": "2018-08-15T00:00:00", "released_date": "2018-09-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, the federal government sells millions of dollars of timber from federal forests. Federal law generally prohibits the export of unprocessed logs harvested from federal lands in the western United States. It also prohibits substitution of federal logs for privately sourced timber in domestic mills when the privately sourced timber is exported without processing.", "GAO was asked to examine the issue of illegal federal timber export and substitution. This report (1) describes the extent to which the Forest Service and BLM identified violations of the timber export and substitution ban that occurred from 2007 through 2017 and the likelihood of violations and (2) examines the agencies' regulations, policies, and practices to help prevent, detect, and respond to illegal timber export and substitution.", "GAO reviewed laws, regulations, and policies regarding illegal timber export and substitution; compared agency regulations with laws, and agency policies with federal internal control standards; and interviewed agency officials and stakeholders\u2014such as trade groups and state officials\u2014 selected to provide a range of perspectives."]}, {"section_title": "What GAO Found", "paragraphs": ["The Forest Service, within the Department of Agriculture, and the Bureau of Land Management (BLM), within the Department of the Interior, found no violations of the ban on federal timber export and substitution from 2007 through 2017, according to agency documents and officials. All agency officials and stakeholders GAO interviewed said the likelihood of illegal timber export and substitution is low, citing several reasons, including economic factors associated with log markets, which have changed over the years. For example, many officials and stakeholders said the timber harvested from federal lands is smaller and of lower quality compared to what was harvested in the 1990s, making it less likely to be exported.", "The Forest Service and BLM did not issue new regulations related to illegal federal timber export and substitution, and some agency policies related to export and substitution are outdated or unclear. The agencies did not issue regulations to implement the Forest Resources Conservation and Shortage Relief Act of 1997, as required by the act. Without issuing new regulations or obtaining legislative relief from this requirement, the agencies will continue to be out of compliance with the act. The agencies have policies to help prevent, detect, and respond to illegal timber export and substitution, such as policies that require the marking of logs to identify them as coming from federal lands. However, the agencies have not reviewed their policies for continued relevance and effectiveness as called for by federal standards for internal control, and some policies are outdated or unclear. For example, Forest Service policy calls for the collection of a certification form to help determine whether timber purchasers are engaged in export or substitution, but the form expired in 1999. Also, it is unclear what BLM considers a violation of the export ban because agency policy does not define what constitutes a violation. Forest Service officials said the agency has not reviewed its policies since 1997, largely due to competing priorities, but agreed it would be beneficial to do so. BLM officials said they reviewed the agency's export regulations in 2010, but this effort did not include a review of timber export policies. By reviewing agency policies and making changes as necessary, the agencies will have better assurance that their policies are relevant and effective for addressing the risk of illegal timber export and substitution."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Forest Service and BLM issue new regulations or seek legislative relief from the requirement to do so, and review their policies for relevance and effectiveness and issue new policies as necessary. The agencies generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, the federal government sells millions of dollars of timber from federally managed forests. In fiscal year 2017, about $253 million of timber was sold from these lands, according to agency documents. Federal law generally prohibits the export of unprocessed logs\u2014that is, logs not processed into end products such as lumber\u2014harvested from federal lands in the western United States. The law also prohibits purchasers from using timber harvested from federal lands in their processing facilities while exporting nonfederal unprocessed timber that could have been used in those facilities\u2014known as substitution.", "Restrictions on federal timber export and substitution were put in place decades ago to help sustain the domestic timber-processing industry at a time when large volumes of timber were being exported from the United States. For example, the Foreign Assistance Act of 1968 restricted the volume of timber that could be harvested and exported in unprocessed form from federal lands. The Forest Resources Conservation and Shortage Relief Act of 1997 updated the export restrictions and currently governs federal log exports. The Forest Service, within the Department of Agriculture, and the Bureau of Land Management (BLM), within the Department of the Interior, implement and enforce the restrictions. We last reported on the federal timber export and substitution ban in 1998.", "You asked us to examine the issue of illegal federal timber export and substitution. This report (1) describes the extent to which the Forest Service and BLM identified violations of the timber export and substitution ban that occurred from 2007 through 2017 and the likelihood of violations, and (2) examines the agencies\u2019 regulations, policies, and practices to help prevent, detect, and respond to illegal timber export and substitution.", "To address our first objective, we requested documentation about timber export and substitution violations for calendar years 2007 through 2017 from the Forest Service and BLM. The agencies reported that they had no documentation of violations. The Forest Service provided documentation about potential violations it had investigated but not substantiated, which we reviewed. To obtain background information and corroborate agency information, we searched various databases, such as ProQuest, to identify articles on illegal timber export and substitution. Based on our review of these articles, we did not identify violations of the ban that had occurred during this time period. We performed these searches from June 2017 to August 2017.", "In addition, we interviewed Forest Service and BLM officials about the number of timber export and substitution violations or potential violations during calendar years 2007 through 2017, agency actions taken in response, and officials\u2019 views about the likelihood of illegal timber export and substitution. Specifically, we interviewed Forest Service and BLM headquarters officials, regional officials in the six Forest Service regions with forests subject to the 1997 act, and officials at one national forest in each region. We selected these forests after discussions with regional officials about the forests they viewed as having the greatest potential risk of export or substitution because of proximity to export facilities, the amount of timber sold, or other factors. We also interviewed officials from the BLM Oregon/Washington State Office and the five western Oregon BLM districts where most of BLM\u2019s timber program is concentrated. Table 1 provides a list of Forest Service and BLM offices included in our review.", "To gain a broader perspective about the likelihood of illegal timber export and substitution, we also interviewed nonfederal stakeholders, including state forestry officials, academic researchers, and representatives of trade associations representing federal timber purchasers, loggers, and mill owners. We selected these stakeholders to provide a range of perspectives on the issue of timber export and substitution. Table 2 lists the stakeholder organizations we interviewed.", "To address our second objective, we reviewed federal laws to identify relevant legal provisions regarding the prohibition on the export and substitution of unprocessed federal timber. We also reviewed agency regulations and policies related to illegal federal timber export and substitution. We interviewed agency officials described above to identify key policies and practices to help prevent, detect, and respond to illegal timber export and substitution.", "In addition, we reviewed each agency\u2019s implementation of those policies that require the agency to collect forms or conduct inspections. To determine the extent to which BLM collected required contract forms certifying that purchasers had not illegally exported or substituted federal timber, we requested contract forms for a random sample of timber sale contracts that closed in fiscal year 2017 from each of the five western Oregon BLM districts included in our review, for a total of 22 contracts. We reviewed contract forms included in each timber sale contract to determine whether each district collected and maintained the required forms. Because the Forest Service does not collect certification forms, we did not perform a similar review of Forest Service contracts.", "To determine the extent to which the agencies conducted surveillance at log export facilities, we requested agency inspection reports for surveillance conducted in 2017 for the 14 log export facilities in California, Oregon, and Washington that were identified as operational at the time of our review. Forest Service regional officials identified and provided reports for 6 facilities in California. For Oregon and Washington combined, Forest Service regional officials identified 6 log export facilities and provided reports for 1 facility. BLM officials identified and provided reports for 2 facilities in Oregon. We reviewed the inspection reports for each facility to determine the number of inspections that were conducted, and, where applicable, to determine whether the number of inspections conformed with agency policy.", "To gain a broader perspective about agency implementation of timber sale program activities, we reviewed Forest Service \u201cTimber and Log Accountability Audits\u201d\u2014internal evaluations of regional and forest-level timber sale activities. We reviewed the most recent evaluation of each of the six regions with forests subject to the federal timber export and substitution ban and the most recent evaluation of at least one national forest in five of these regions, selected as described above. We also reviewed the agencies\u2019 general timber sale administration policies to gain a better understanding of the extent to which these policies address the issue of export and substitution. We compared agency policies and practices with relevant portions of the Standards for Internal Control in the Federal Government to assess the extent to which agency policies and practices aligned with the standards.", "In addition, to address both objectives, we conducted a site visit to Coos Bay, Oregon in September 2017. We selected this location due to its proximity to a BLM field office, active logging sites on federal lands, and log export facilities. During this site visit, we met with agency officials at BLM\u2019s Coos Bay district; traveled to an active logging site where we observed a timber harvesting operation and met with logging operators; and visited a log export facility, where we observed logs being prepared for export and met with the export facility manager and a timber company official.", "We also reviewed reports and studies related to timber export and substitution, including reports from the Forest Service\u2019s Pacific Northwest Research Station, the Department of Agriculture\u2019s Foreign Agricultural Service, and Oregon State University. We reviewed these studies\u2019 methodologies, assumptions, and limitations and determined them to be sufficiently credible for our purposes.", "We conducted this performance audit from June 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes agency responsibilities, the history of the federal timber export and substitution ban, and changes to the timber economy since restrictions on timber export and substitution were first implemented."], "subsections": [{"section_title": "Federal Land Management Agency Responsibilities", "paragraphs": ["Under the National Forest Management Act and the Federal Land Policy and Management Act of 1976, respectively, the Forest Service and BLM manage federal lands under their jurisdiction for various uses such as protection of fish and wildlife habitat, recreation, mineral production, and timber harvesting. As part of the agencies\u2019 management of timber harvesting on public lands, both the Forest Service and BLM conduct timber sales. Timber sale activities include identifying the sale area, conducting the required environmental analyses, soliciting bids, preparing the timber sale contract, marking the sale boundary and the trees to be cut or left, and monitoring the harvest operations and reforestation activities. The agencies monitor harvest operations to help ensure that, for example, the trees are harvested from the agreed-upon area and the logs are hauled on the route agreed upon in the timber sale contract. The agencies have developed policies for general timber sale activities, as well as policies specific to preventing, detecting, and responding to illegal federal timber export and substitution."], "subsections": []}, {"section_title": "History of the Federal Timber Export and Substitution Ban", "paragraphs": ["Since the late 1960s, four primary laws have been enacted prohibiting federal timber export and substitution: the Foreign Assistance Act of 1968, the Interior and Related Agencies Appropriations Act of 1974, the Forest Resources Conservation and Shortage Relief Act of 1990, and the Forest Resources Conservation and Shortage Relief Act of 1997.", "In 1968, an amendment to the Foreign Assistance Act of 1968\u2014 commonly referred to as the \u201cMorse Amendment\u201d\u2014restricted the volume of timber that could be harvested and exported from federal lands in unprocessed form. This legislation was enacted after the Secretaries of Agriculture and the Interior issued joint orders calling for this restriction, deeming it necessary to maintain a viable domestic wood-processing industry. As we previously found, in the early 1960s, export of federal timber was generally not viewed as a concern, but as exports of federal, private, and other timber increased, public and private concerns grew about the effect of unrestricted log exports on the domestic wood- processing industry. For example, the percentage of timber harvested in Oregon and Washington that was exported grew from approximately 6 percent in 1965 to about 18 percent in 1972.", "In 1973, a provision was included in the Interior and Related Agencies Appropriations Act of 1974 that, in effect, prohibited the export of unprocessed timber harvested from federal lands west of the 100th meridian in the contiguous 48 states. (Figure 1 shows the location of the 100th meridian and Forest Service- and BLM-managed lands.) The 1973 provision also prohibited purchasers from using timber harvested from federal lands in their processing facilities while exporting nonfederal unprocessed timber that could have been used in those facilities, an activity referred to as substitution. The provision also stated that the limitation on export and substitution did not apply to species of timber the agencies have determined to be surplus to domestic lumber and plywood manufacturing needs.", "In 1990, the Forest Resources Conservation and Shortage Relief Act of 1990 made permanent the ban on exporting unprocessed logs from western federal lands and provided for greater restrictions on substitution. Under the 1990 act, however, it is not considered substitution if a company purchases federal timber from within a particular \u201csourcing area\u201d and exports nonfederal timber harvested from areas outside the sourcing area. For example, firms with timber operations in both Oregon and Washington could purchase federal timber from a sourcing area in eastern Oregon for manufacture while also purchasing private timber in Washington for export. The 1990 act required the Forest Service and Interior to issue, in consultation with each other, coordinated and consistent regulations implementing the act on the lands under their respective jurisdictions.", "The Forest Service issued a series of regulations to implement the 1990 act, the most comprehensive of which was issued September 8, 1995. In a provision contained in the act providing appropriations to the Forest Service for fiscal year 1996, Congress effectively suspended implementation of the 1995 regulation to allow the administration, Congress, and affected parties more time to address policy issues with respect to the 1990 act. The Forest Service\u2019s fiscal year 1997 appropriation act contained a similar provision. BLM did not issue regulations implementing the 1990 act.", "In 1997, Congress amended the 1990 act. Among other things, the Forest Resources Conservation and Shortage Relief Act of 1997 relaxed substitution restrictions in Washington State and allowed the Forest Service and BLM to reduce the penalties imposed for violating the act by taking into account \u201call relevant mitigating factors, including mistake, inadvertence, and error.\u201d The 1997 act also suspended the Forest Service\u2019s 1995 regulations implementing the 1990 act and directed the agencies to issue new coordinated and consistent regulations implementing the act by June 1998. The law requires the agencies to implement their regulations in effect prior to September 8, 1995, until new regulations are issued."], "subsections": []}, {"section_title": "Changes to the Timber Economy since the 1960s", "paragraphs": ["Since restrictions on timber export and substitution were first implemented in the late 1960s, the timber economy has continued to change. Domestically, the volume of timber harvested from Forest Service lands each year has declined from about 12.4 billion board feet in 1973 to 2.6 billion board feet in 2017. The number of domestic mills along the Pacific Coast has also decreased, mostly through mill closures. For example, from 1996 to 2016, the number of mills in Washington State declined from 186 to 88. In addition, since the 1990s, the structure of the corporate timber industry has changed. For example, many of the corporate timber companies that once owned both mills and the private lands to supply those mills have divested some or all of their private timberlands. Additionally, the value of U.S. softwood log exports has grown since 2007, with China, Japan, and Canada the three largest importers of these logs. According to information from the Foreign Agricultural Service, the value of U.S. softwood log exports grew from approximately $949 million in 2007 to approximately $1.4 billion in 2017 (in constant 2017 dollars)."], "subsections": []}]}, {"section_title": "Forest Service and BLM Found No Violations of the Export and Substitution Ban from 2007 through 2017, and Officials and Stakeholders Said the Likelihood of Violations is Low", "paragraphs": ["According to Forest Service and BLM officials, the agencies found no violations of the ban on federal timber export and substitution from 2007 through 2017. Forest Service officials described instances in which the agency responded to reports of potential violations, but the reports were not substantiated. All agency officials and stakeholders we interviewed said that the likelihood of illegal timber export and substitution is low. However, several officials acknowledged that some risk of violations exists under certain circumstances.", "From 2007 through 2017, the Forest Service and BLM found no violations of the federal timber export and substitution ban. Forest Service officials identified four instances in which the agency investigated potential violations. For example, in one instance, the Forest Service\u2019s Pacific Southwest region investigated an incident in 2017 at the Port of Richmond near Oakland, California. According to the associated investigation report, an employee at the port\u2019s export facility noticed four logs were marked as coming from a federal timber sale and reported it to the Forest Service. Forest Service law enforcement officials conducted an investigation and determined that the logs came from the Sierra National Forest and were placed at the facility in error. The purchaser subsequently delivered the logs to the intended recipient and the agency took no further action. Forest Service officials said that because the logs had not been exported, but had been placed at the facility in error with no intent to export them, the agency determined that there was no violation of the export ban. In another instance, officials from the agency\u2019s Southwestern Region said that, in 2010, they identified a case in which a purchaser cut federal logs, removed the bark, and then exported the logs to Mexico for use as telephone poles. The officials investigated to determine whether that type of exporting was legal. The Forest Service concluded that the purchaser\u2019s activities constituted processing the logs into end products and therefore the logs were being legally exported. BLM officials we interviewed did not describe any instances in which they identified, or were made aware of, potential violations.", "All Forest Service and BLM officials and stakeholders we interviewed said the likelihood of timber export and substitution violations is low due to a combination of several factors, including economic factors associated with log markets and changes in the organizational structure of timber companies. However, several officials acknowledged that some risk of violations exists under certain circumstances.", "Economic factors within log markets. Several agency officials and stakeholders said smaller trees of a lower quality are being harvested from federal lands compared to the trees harvested in the 1990s. Several of these officials and stakeholders said there is less demand and lower value in overseas markets for logs with such characteristics. A senior official from the Klamath National Forest in California, for example, said that trees harvested from the forest in the 1980s had log diameters of 35 to 42 inches, but by 2017 the diameter had decreased to 14 to 18 inches. Additionally, according to statistics from the State of California, old-growth trees\u2014generally, trees more than 150 years old\u2014represented nearly 70 percent of timber harvested in California in 1979, but by 1999 the proportion had fallen to less than 10 percent. As we have found, old-growth trees can have more attractive grain characteristics and can be used for higher- value products compared to young-growth trees, which may make the former more attractive for export. Several officials and stakeholders also said that the decrease over time in the amount of federal timber available for sale has made violations less likely. For example, Oregon Department of Forestry information shows that the volume of timber harvested on BLM-managed lands in Oregon declined from about 1.5 billion board feet in 1973 to 182 million board feet in 2016. Some of these officials and stakeholders said that federal timber is an important part of domestic sawmill operators\u2019 timber supply, and, given the reduced amount of federal timber available, sawmill operators would have little incentive to export logs because doing so would further reduce their own timber supply.", "Changes in timber company organizational structure. Several officials and stakeholders said that changes in timber company organizational structure have also made substitution less likely. Several officials and stakeholders noted that many Pacific Northwest timber companies once owned both sawmills and timberland from which they harvested timber to supply their mills. According to some officials, under those conditions, the likelihood of substitution was greater because these companies could have benefitted by exporting logs from their own lands for a high price while supplying their sawmill operation with federal timber purchased at a lower price. However, many timber companies have sold or reorganized over the past 2 decades, resulting in few companies now owning both sawmills and timberlands, according to some agency officials. In 2009, Oregon State University reported on this change, noting that \u201calmost all large, publicly traded forest product companies have shed their timber lands in the past 20 years, a reflection of global economic pressures, new tax laws, and other forces.\u201d A 2014 report from the Department of Agriculture likewise noted this change. Some agency officials said that, as a result, sawmills generally must buy all of their timber\u2014 whether privately sourced or federal\u2014on the open market, which provides less incentive for substitution than if these sawmills were using timber they already owned.", "Several officials also said, however, that some risk of violations remains, particularly under certain circumstances. For example, some Forest Service regional officials said that some national forests could be vulnerable to illegal timber export if log prices or demand for certain tree species increase in the future. Additionally, several Forest Service officials expressed concern about having sufficient staff to monitor timber sales for compliance with relevant requirements, including the ban on export and substitution, especially in light of potential increases in timber sales. In particular, officials from four of the six national forests included in our review said the Forest Service increased the volume of timber their national forest is expected to offer for sale beginning in fiscal year 2018. For example, a Boise National Forest official said the forest\u2019s timber sale target increased from 50 million board feet per year, which has been consistent over the last decade, to 74 million board feet in fiscal year 2018, with a goal of 96 million board feet per year by fiscal year 2021. According to some Forest Service officials, higher timber sale targets could reduce the ability of agency staff to carry out timber sale responsibilities, including monitoring, that help guard against illegal timber export and substitution. Several Forest Service \u201cTimber and Log Accountability Audits\u201d\u2014internal evaluations of regional and forest-level timber sale activities\u2014also noted that reduced staffing levels and experience were areas of concern in carrying out forests\u2019 timber sale programs."], "subsections": []}, {"section_title": "The Forest Service and BLM Did Not Issue New Regulations Required by Law and Some Policies are Outdated or Unclear", "paragraphs": ["The Forest Service and BLM neither issued new regulations as required by the Forest Resources Conservation and Shortage Relief Act of 1997 nor obtained legislative relief from the requirement. The agencies have policies and practices to help prevent, detect, and respond to illegal timber export and substitution. However, some policies are outdated or unclear, and the agencies have not reviewed their policies for continued relevance and effectiveness."], "subsections": [{"section_title": "The Agencies Did Not Issue New Regulations As Required by the 1997 Act", "paragraphs": ["As noted previously, in 1997, Congress amended the Forest Resources Conservation and Shortage Relief Act of 1990 to, among other things, relax substitution restrictions in Washington State. The 1997 act included other provisions such as allowing the agencies to reduce the penalties imposed for violating the ban. The act also states that the agencies \u201cshall, in consultation, each prescribe new coordinated and consistent regulations to implement the act\u201d and required the agencies to issue these regulations by June 1, 1998. The act also states that, until new regulations are issued, regulations that were in effect prior to September 8, 1995, are to remain in effect. However, because neither agency issued regulations as required by the act, their regulations currently in use do not reflect changes made by the 1997 act.", "Forest Service. The Forest Service drafted regulations to implement the 1997 act, but as of June 2018, the agency had not finalized them.", "According to Forest Service headquarters officials, the agency did not finalize the draft regulations because of competing priorities. The officials did not provide an estimate as to when the draft regulations would be made final. Because the draft regulations have not been made final, Forest Service regulations from the early 1990s remain in effect but do not reflect the changes made by the 1997 act.", "BLM. According to BLM headquarters officials, BLM began drafting regulations in 2010 to implement the 1997 act, but did not complete that effort because of insufficient resources and competing priorities. Because BLM did not issue new regulations, BLM is required by law to rely on its regulations issued prior to September 8, 1995. BLM regulations reflect timber export and substitution laws from the 1970s because BLM did not issue regulations implementing the 1990 act because of competing priorities at that time, according to officials. Consequently, BLM regulations currently in use do not reflect the changes made by the 1997 act.", "Forest Service officials said their agency did not seek legislative relief from the requirement to issue new regulations, and BLM officials said they have no record that their agency sought legislative relief but could not be certain that the agency had not done so. Without issuing new coordinated and consistent regulations as required by the 1997 act, or obtaining legislative relief, the agencies will continue to be out of compliance with this provision of the act."], "subsections": []}, {"section_title": "Some Agency Policies Related to Illegal Export and Substitution are Outdated or Unclear, and the Agencies Have Not Reviewed Their Policies for Relevance and Effectiveness", "paragraphs": ["We identified several areas in which either the Forest Service or BLM or both have policies to help prevent, detect, and respond to illegal federal timber export and substitution. For example:", "Timber sale contract provisions. Both agencies have policies that require timber sale contracts to include a statement about the prohibition on federal timber export and substitution, which can help ensure timber purchasers are aware of the prohibition. We reviewed the standard timber sale contract forms used by both agencies at the time of our review and found that the forms include provisions with this statement.", "Marking of unprocessed logs. Both agencies generally require purchasers to mark unprocessed logs originating from federal lands subject to the ban with a spot of yellow paint and an identifying mark known as a hammer brand before the logs are removed from the timber sale area. According to the agencies\u2019 policies, marking the logs is intended to help identify them as being prohibited from export. Figure 2 shows an example of marked federal logs.", "Forest Service regulations generally require that both ends of each unprocessed log be marked, but agency policy allows agency officials to waive the requirement under certain circumstances if officials determine that the risk of export or substitution is low. For example, for certain timber sales the Pacific Southwest Region does not require that logs smaller than 10 inches in diameter be painted and branded.", "BLM policy directs that one end of most unprocessed logs be painted and branded. Specifically, it calls for painting and branding one end of each log with a diameter of more than 10 inches. Likewise, when a log truck carries 10 or fewer logs (regardless of the logs\u2019 diameter), all logs on the truck are to be painted and branded. For truckloads of 11 logs or more, a minimum of 10 logs must be painted and branded on one end, regardless of the logs\u2019 diameter. BLM policy allows contracting officers to implement more stringent requirements, such as requiring purchasers to paint and brand all logs harvested on an individual timber sale regardless of size or number, but it does not allow contracting officers to waive the marking requirement.", "Penalizing violators. Both agencies have penalties for violating the export and substitution ban. Forest Service penalties are described in agency policy and in agency contract provisions, and include imposing penalties, cancelling contracts, and debarring purchasers from bidding on future Forest Service timber sales. BLM penalties are described in agency contract provisions only, and include contract cancellation and recovery of damages.", "In addition, many Forest Service and BLM officials said that general timber sale administration policies\u2014those aimed at managing timber sales generally, regardless of export issues\u2014help address the risk of illegal federal timber export and substitution. Both agencies\u2019 policies for timber sale administration include mechanisms for monitoring various activities associated with federal timber sales, including periodically inspecting timber harvest operations at active logging sites and observing log trucks carrying cut timber from logging sites to ensure they follow designated haul routes. Many officials we spoke with from both agencies said that such periodic inspections and consistent contact with logging operators help prevent and detect illegal export or substitution of federal timber.", "However, Forest Service and BLM policies related to three areas\u2014 surveillance, certification requirements, and investigating potential violations\u2014are outdated or unclear, or in some cases have not been fully implemented. The agencies also have not reviewed their policies for continued relevance and effectiveness as called for by federal internal control standards.", "Surveillance. Forest Service policy directs each Forest Service region with forests subject to the export ban to conduct surveillance and establish procedures, training, and other controls for the surveillance program in the region\u2014stating that, at a minimum, regional standards must include monthly surveillance. However, three of the six regions subject to the ban have not established surveillance procedures because, according to regional officials, they have no access to ports and therefore the policy is not relevant to them. However, Forest Service headquarters officials said the requirement is relevant to all regions having forests subject to the ban, because federal logs originating from regions without ports could be transported across regions and exported from another region. These headquarters officials said that more clarity in the agency\u2019s policy about establishing regional surveillance procedures may be helpful to the regions.", "The remaining Forest Service regions subject to the ban\u2014the Pacific Southwest, Pacific Northwest, and Northern regions, each of which contains log export facilities\u2014established procedures as called for by national policy but do not conduct surveillance on a monthly basis. The Pacific Southwest Region\u2019s procedures call for monthly surveillance of export facilities in accordance with national policy. However, the Pacific Northwest Region\u2019s procedures call for quarterly surveillance rather than monthly surveillance. The Northern Region delegates responsibility for surveillance to a national forest in the Pacific Northwest Region. We reviewed surveillance inspection reports from calendar year 2017 and found that, during that year, the Pacific Southwest Region conducted from one to nine inspections of each of the six facilities regional officials identified as exporting logs\u2014 less than the monthly surveillance called for by regional and national policy. Officials from the Pacific Northwest Region provided us calendar year 2017 surveillance information for one of the region\u2019s six facilities that exported logs that year. For that facility, Forest Service officials conducted surveillance seven times in 2017, including at least one inspection per quarter, which is in accordance with regional policy but not national policy. Officials from both regions said they view the frequency with which they conduct surveillance to be appropriate. For example, officials from the Pacific Southwest Region said that when a port is actively exporting timber, they conduct surveillance at least once per month, as required by policy. Officials from the Pacific Northwest Region said they view their frequency of surveillance to be appropriate, since they view the likelihood of export violations to be low and they have competing agency priorities.", "BLM policy does not call for surveillance of log export facilities. However, officials from BLM\u2019s Coos Bay District, which has two log export facilities, have conducted surveillance since the 1970s as a way to help detect illegal timber export, according to BLM documents and officials. Based on our review of 2017 surveillance inspection reports, BLM officials inspected one export facility twice and the other facility seven times during that year. Figure 3 shows an example of unprocessed logs at one of the export facilities in Coos Bay, Oregon.", "Some officials from both agencies said they may in some cases be unable to conduct surveillance within export facilities because they do not have clear authority to enter these facilities. BLM headquarters officials said BLM did not develop a policy calling for surveillance because the agency did not know whether it had the authority to enter log export facilities and therefore was not confident that such a policy could be carried out. Some officials from both agencies said they generally have been granted access but noted that this is subject to the willingness of the facility owners. Forest Service and BLM headquarters officials similarly said the agencies generally do not have legal authority to board ships or to inspect closed shipping containers to look for federal logs.", "Certification Requirements. Both agencies\u2019 policies direct the agencies to collect certification forms to help them determine whether timber purchasers are engaged in export or substitution. However, the agencies\u2019 forms are outdated\u2014the Forest Service\u2019s certification form expired, and some BLM forms reflect legal requirements that are no longer in effect. Nevertheless, the agencies have not updated their forms or changed their policies requiring collection of these forms.", "Forest Service policy states that \u201cPrior to award, during the life of the contract, and for a period of 3 years from the termination date, the purchaser must furnish, upon request, the volume and geographic origin of unprocessed timber from private lands that was exported or sold for export.\u201d The purchaser may submit the information on a specified Forest Service certification form or \u201cother appropriate forms.\u201d Forest Service regional officials from three of the six regions subject to the ban said they do not collect this information because the certification form, approved by the Office of Management and Budget, expired in 1999. Some Forest Service officials said updating and collecting the form could help prevent and detect illegal timber export and substitution by providing agency officials with information about purchasers\u2019 activities. One senior headquarters official, however, noted that the information provided on the form relies on the purchaser\u2019s self-certification, making it difficult for agency officials to verify.", "BLM policy requires agency staff to collect a minimum of two certification forms for each timber sale. One is to be collected before the sale is approved, to determine whether the timber sale purchaser has substituted federal timber for exported unprocessed private timber within a specified time frame. The other is to be collected after the harvest is completed and before the contract is terminated, to determine whether purchasers are exporting BLM timber. Two additional certification forms may be collected when applicable\u2014one prior to the sale and the other after the harvest is completed\u2014but are not required for all sales. We reviewed documentation from a sample of 22 BLM timber sale contracts that closed in 2017 in the five western Oregon BLM districts and found that BLM collected the required certification forms for 21 of the 22 contracts. The remaining contract file was missing a required form. BLM officials said the missing form could not be located.", "However, the two certification forms BLM can collect before approving a timber sale reflect legal requirements that are no longer in effect. According to the 1997 act, a purchaser may not purchase unprocessed federal timber if \u201csuch person has, during the preceding 24-month period, exported unprocessed timber originating from private lands.\u201d However, the two BLM certification forms instruct the purchaser to provide this information for the preceding 12-month period. Senior BLM officials acknowledged the inconsistency between these forms and the current legal requirement. They said that the 12- month time frame specified in the certification forms reflects the BLM regulations issued to implement the appropriations act export restrictions in the 1970s.", "Investigating Potential Violations. Both agencies have policies for investigating potential export violations. The Forest Service\u2019s policy for investigating export violations states that, upon finding a violation, the contracting officer should contact law enforcement and prepare a report about the violation, including any planned follow-up actions. Forest Service headquarters officials said that it is unclear whether this policy applies only in cases where export violations have been substantiated or is to be used in instances where violations are suspected but not confirmed. BLM headquarters officials said that their personnel are to use policies detailed in the agency\u2019s standard contract administration procedures, which cover all timber sale administration violations, to investigate potential and substantiated export violations. These procedures provide officials discretion in the actions they take. For example, the procedures state that \u201cmany such violations may simply be corrected with good verbal communications between the BLM and purchaser representatives. Other violations require more forceful action and complete documentation of such actions.\u201d", "The agencies differ in the extent to which they define what conduct constitutes an export violation. Forest Service policies do not define export; however, its regulations do, stating that export can occur at any of several points\u2014when a person enters into an agreement to convey logs to another country, when logs are placed in an export facility in preparation for shipment outside the United States, or when logs are placed on a ship, train, or other transport destined for a foreign country. BLM policies and regulations do not define the term export or state what constitutes an export violation. Officials from both agencies said that determining whether a violation has occurred requires judgment on the part of agency staff. For example, according to these officials, finding logs in an export facility may constitute a violation, but would require the agency to determine whether the logs were being prepared for shipment outside the United States. Officials from both agencies said they would benefit from a clear definition of export violation.", "In addition, the agencies do not have up-to-date information about sourcing areas, which is used to determine substitution violations. Under the 1997 act, manufacturers may not engage in substitution\u2014 that is, exporting timber from private lands while purchasing federal timber to supply their mills. However, it is not considered substitution if a company purchases federal timber from within a particular \u201csourcing area\u201d and exports nonfederal timber harvested from areas outside the sourcing area. Sourcing areas outside Washington State are subject to Forest Service or BLM approval, and the agencies are required by law to review them at least every 5 years. Forest Service headquarters officials said they had not reviewed sourcing areas for at least 20 years, and said that over this time, many timber companies with approved sourcing areas have gone out of business or no longer purchase national forest timber. Forest Service headquarters officials said that they did not maintain lists of sourcing areas, and none of the six Forest Service regions subject to the ban had information about sourcing areas. BLM provided us a list of sourcing areas identified by the Forest Service, but the list dates to 1992. Moreover, many Forest Service and BLM officials we interviewed said they were unfamiliar with the concept of substitution and sourcing areas. A few officials said identifying sourcing areas may no longer be relevant given the changes in the organizational structure of timber companies and the resulting lower likelihood of substitution.", "According to the Standards for Internal Control in the Federal Government, management should implement control activities through policies, including by periodically reviewing policies, procedures, and related control activities for continued relevance and effectiveness in achieving an entity\u2019s objectives or addressing related risks. Forest Service officials said the agency has not reviewed its policies specific to export and substitution since the enactment of the 1997 act, largely because of competing priorities and the officials\u2019 view that the likelihood of illegal export or substitution is low. Nevertheless, these officials agreed that it would be beneficial for the Forest Service to review and update its policies, especially in light of the significant changes to the timber economy in the past 2 decades. BLM officials said they reviewed the agency\u2019s export regulations in 2010, but this effort did not include a review of log export policies. They said they did not believe such a review would be useful until new regulations are issued, since it is important that policies conform with regulations. These officials noted that BLM\u2019s Oregon/Washington State Office updated some of its policies in 2016, but the officials did not indicate the extent to which the policies were reviewed for relevance and effectiveness\u2014and, as noted, some BLM policies appear unclear or are inconsistent with the 1997 act. By reviewing agency policies and making changes to them as necessary, in accordance with applicable regulations, the Forest Service and BLM will have better assurance that their policies are relevant and effective for addressing the risk of illegal timber export and substitution."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["For 50 years, Congress has restricted the export and substitution of federal timber from the western United States. Since the restrictions were put in place, substantial changes to the timber economy have occurred, and agency officials and stakeholders view the likelihood of illegal timber export and substitution as low. The Forest Service and BLM have various regulations, policies, and procedures to carry out the ban. However, the agencies did not issue new regulations as required by the Forest Resources Conservation and Shortage Relief Act of 1997 and have not obtained legislative relief from this requirement. As a result, the agencies are relying on regulations issued before 1995. Without issuing new coordinated and consistent regulations or obtaining legislative relief, the Forest Service and BLM will continue to be out of compliance with the regulation provisions of the 1997 act.", "Further, some agency policies are outdated or unclear. For example, Forest Service policy calls for collecting a certification form that expired in 1999, and BLM policy does not clearly define what constitutes a violation of the export ban. The Forest Service and BLM have not reviewed their policies for continued relevance and effectiveness, consistent with federal internal control standards. By reviewing agency policies and making changes to them as necessary, the Forest Service and BLM will have better assurance that their policies are relevant and effective for addressing the risk of illegal timber export and substitution."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations, including two to the Forest Service and two to the BLM:", "The Chief of the Forest Service should determine whether new regulations governing timber export and substitution are appropriate. If the agency determines new regulations are appropriate, it should issue them in accordance with the 1997 act, in consultation with BLM. Otherwise, the agency should seek legislative relief from the act\u2019s requirement. (Recommendation 1)", "The Director of the BLM should determine whether new regulations governing timber export and substitution are appropriate. If the agency determines new regulations are appropriate, it should issue them in accordance with the 1997 act, in consultation with the Forest Service. Otherwise, the agency should seek legislative relief from the act\u2019s requirement. (Recommendation 2)", "The Chief of the Forest Service should review agency policies for continued relevance and effectiveness in addressing the risk of illegal timber export and substitution, and based on that review\u2014and in accordance with applicable regulations\u2014should issue new policies as necessary. (Recommendation 3)", "The Director of the BLM should review agency policies for continued relevance and effectiveness in addressing the risk of illegal timber export and substitution, and based on that review\u2014and in accordance with applicable regulations\u2014should issue new policies as necessary. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Agriculture and the Interior. The departments provided written comments, which are reproduced in appendixes I and II of this report. The Forest Service, responding on behalf of the Department of Agriculture, stated in its written comments, and in a subsequent e-mail from the Forest Service audit liaison, that it generally concurred with our findings and recommendations. The Forest Service stated that it will coordinate with BLM to determine the next best steps in moving ahead in administering the export law.", "In its written comments, the Department of the Interior concurred with the recommendations we directed to BLM. Regarding our recommendation related to regulations, Interior stated that BLM will review its regulations to identify inconsistencies with the 1997 act, and if it determines new regulations are appropriate, will begin consultation with the Forest Service to maximize consistency between the agencies to minimize the impact to federal timber purchasers. Regarding our recommendation related to policies, Interior stated that BLM will review its export and substitution policies as well as its relevant contracts and forms for any immediate updates needed to conform with the 1997 act, and will ensure the policies are updated in conjunction with any new regulations.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretaries of Agriculture and the Interior, the Chief of the Forest Service, the Director of the BLM, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact me at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Steve Gaty (Assistant Director), Ulana M. Bihun (Analyst-In-Charge), Mark Braza, Justin Fisher, Richard P. Johnson, and Kyle Stetler made key contributions to this report. Important contributions were also made by Tara Congdon, Barb El Osta, Kimberly Gianopoulos, and Dan Royer."], "subsections": []}]}], "fastfact": ["The Forest Service and Bureau of Land Management sell millions of dollars of timber from federal forests each year. Federal law bans buyers from exporting unprocessed timber from western federal lands, along with related practices. Some agency policies to implement the ban are outdated or unclear. The agencies have also not issued required regulations.", "While the agencies found no violations of the ban in the past decade, several officials said there might be a risk of future violations if, for example, log prices go up or demand increases.", "We recommended that the agencies review their regulations and policies related to timber export."]} {"id": "GAO-18-477", "url": "https://www.gao.gov/products/GAO-18-477", "title": "Strategic Petroleum Reserve: DOE Needs to Strengthen Its Approach to Planning the Future of the Emergency Stockpile", "published_date": "2018-05-30T00:00:00", "released_date": "2018-06-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["More than 4 decades ago, Congress authorized the creation of the SPR to reduce the impact of disruptions in supplies of petroleum products. DOE manages the SPR. As a member of the International Energy Agency, the United States is obligated to maintain reserves equivalent to at least 90 days of the previous year's net imports (imports minus exports). The SPR's storage and related infrastructure is aging, and DOE has plans to modernize these facilities. Since 2015, Congress has mandated crude oil sales. As of March 2018, the SPR held about 665 million barrels of crude oil.", "GAO was asked to examine the SPR's ability to meet U.S. energy security needs. This report examines, among other things, the extent to which (1) DOE has identified the optimal size of the SPR, and (2) DOE's plans for modernizing the SPR take into account the effects of congressionally mandated crude oil sales. GAO reviewed DOE's plans and studies, and interviewed agency officials and nine experts selected based on prior work, referrals, and a literature review."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE) has not identified the optimal size of the Strategic Petroleum Reserve (SPR). In 2016, DOE completed a long-term strategic review of the SPR after its last comprehensive examination conducted in 2005. The 2016 review examined the benefits of several SPR sizes, but it did not identify an optimal size and its review was limited in several ways. In particular, DOE did not fully consider recent and expected future changes in market conditions, such as the implications of falling net imports, or the role that increased levels of private reserves (reserves held by private companies for their own purposes) may play in responding to supply disruptions. These changes have contributed to SPR and private reserves reaching historically high levels on a net imports basis (see figure). These changes are expected to continue to evolve\u2014according to government projections, the United States will become a net exporter in the late 2020s before again becoming a net importer between 2040 and 2050. GAO has found that agencies should reexamine their programs if conditions change. Without addressing the limitations of its 2016 review and periodically performing reexaminations in the future, DOE cannot be assured that the SPR will be sized appropriately into the future.", "DOE has taken steps to take into account congressionally mandated sales of SPR crude oil in its $1.4 billion modernization plans for SPR's infrastructure and facilities. The SPR is projected to hold 405 million barrels of oil by the end of fiscal year 2027. However, DOE's current plans are based on information analyzed prior to recently mandated sales. According to DOE officials, the agency began a study in March 2018 to assess the effects of these sales on the SPR's modernization. However, this study is not examining all options for handling any excess SPR assets that may be created by currently mandated sales or any additional sales that may be mandated in the future, inconsistent with an agency order on real property asset management that calls for identifying excess assets. For example, DOE does not plan to examine the potential to lease unused SPR storage capacity to the private sector because DOE is not currently authorized to enter into such leases, according to agency officials. If authorized, leasing capacity could generate revenues that could help offset the costs of modernization. By not examining a full range of options, DOE risks missing beneficial ways to modernize the SPR while saving taxpayer resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that DOE (1) supplement the 2016 review by conducting an additional analysis, (2) ensure that the agency periodically reexamines the size of the SPR, and (3) consider a full range of options for handling potentially excess assets as it conducts its study, among other things. DOE agreed with two, partially agreed with one, and disagreed with another recommendation on refined product reserve studies. GAO maintains that the recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["More than 4 decades ago, Congress authorized the creation of the Strategic Petroleum Reserve (SPR)\u2014currently the world\u2019s largest government-owned stockpile of emergency crude oil\u2014to reduce the impact of disruptions in supplies of petroleum products. The reserve is managed by the Department of Energy (DOE) and as of March 2018 held 665.5 million barrels of crude oil, worth about $42 billion. In the decades since its creation, the structure of the SPR generally has not changed\u2014it has always held crude oil in salt caverns along the Gulf Coast\u2014though markets for crude oil and petroleum products\u2014products such as gasoline and diesel that are refined from crude oil for final consumption\u2014have changed significantly. Throughout most of the SPR\u2019s history, domestic crude oil production was generally in decline while consumption of petroleum products was generally increasing, causing the United States to rely increasingly on imported crude oil and petroleum products. However, the SPR now operates in a context of increasing U.S. crude oil production (the United States is now one of the world\u2019s largest crude oil producers), relatively stable consumption, and shrinking net crude oil and petroleum product imports. Moreover, whereas the Arab oil embargo of 1973-1974 led to shortages and long lines at gas pumps around the country, prices now change to accommodate supply and demand so that physical crude oil shortages are less of a concern than they were in the 1970s when the SPR was created. Meanwhile, as we reported in 2017, the SPR has primarily been used in response to domestic supply disruptions, such as those caused by hurricanes. However, the SPR has been limited in this role because it is almost entirely composed of crude oil and not petroleum products such as gasoline. As a result, the SPR may not be effective at mitigating the effects of petroleum product disruptions such as those that have occurred when hurricanes knocked out petroleum product refineries or distribution infrastructure. Members of Congress and others have raised questions about the appropriate size of the SPR as well as the effectiveness of its current storage and delivery infrastructure in meeting the nation\u2019s evolving energy security needs.", "According to DOE\u2019s 2014-2018 strategic plan, the SPR benefits the nation by providing an insurance policy against actual and potential interruptions in crude oil or petroleum product supplies caused by international turmoil, hurricanes, accidents, or terrorist activities. Releasing SPR crude oil during a supply disruption is intended to mitigate damage to the economy by replacing disrupted crude oil supplies, thereby reducing price increases that can result in economic damage.", "In addition to helping the United States meet its domestic energy security needs, the SPR also helps the United States meet its obligations as a member of the International Energy Agency (IEA)\u2014an international energy forum of 30 member countries established in 1974 to help members respond collectively to major energy supply disruptions. Crude oil and petroleum product markets are global. Therefore, while a release of crude oil or petroleum products from any country during a supply disruption can have global benefits, the ability of any individual country to significantly affect these global markets is limited. To become a member of the IEA, a country must have, among other things, crude oil or petroleum product reserves equivalent to 90 days of the previous year\u2019s net imports and measures in place to ensure it is able to contribute its share of a collective action initiated in response to a significant global oil supply disruption. The IEA first established this 90-day minimum reserve obligation in 1974. The IEA counts both public and private reserves towards meeting the 90-day reserve obligation, although the United States has recently met this obligation solely through publicly owned reserves in the SPR.", "Since 2015, six laws required sales of crude oil from the SPR to fund the modernization of SPR facilities and other national priorities. Total planned sales are projected to reduce the SPR from 665.5 million barrels of crude oil in March 2018 to 405 million barrels by the end of fiscal year 2027. These sales have an estimated value of almost $16 billion, according to Congressional Budget Office documents. Of this estimated value, sales of up to $2 billion were specifically authorized for the SPR\u2019s modernization program. The SPR\u2019s infrastructure of facilities, pipelines, pumps, and other equipment is aging and much of it needs replacement, according to DOE documents. Since 2014, DOE has developed plans for modernizing the SPR to address these needs, among other things.", "You asked us to examine the SPR\u2019s ability to meet U.S. energy security needs and IEA obligations. This report examines (1) how the United States and other IEA members meet their IEA 90-day reserve obligation and their obligation to release those reserves in response to a supply disruption, (2) the extent to which DOE has identified the optimal size and the potential need for additional petroleum product reserves for the SPR to meet the United States\u2019 international obligations and energy security needs, and (3) the extent to which DOE\u2019s plans for modernizing the SPR take into account the effects of current and potential future congressionally mandated oil sales.", "To conduct this work, we reviewed reports and studies that we identified through DOE officials, recommendations by experts and stakeholders, and sources referenced in DOE publications. We also identified studies through searching literature databases, including ProQuest, Web of Science, and SciSearch. Our review included studies by DOE, the U.S. Energy Information Administration (EIA), and IEA. We interviewed DOE officials and reviewed our prior work on the SPR. We also interviewed nine experts and four stakeholders. We identified potential experts and stakeholders through related GAO reports, recommendations from government agency officials and other experts, and a literature review. We selected experts who represent sectors and areas of expertise including academia, government, energy economics, energy security, and energy policy. We selected stakeholders who represent a for-profit oil company, energy consulting groups, and a state agency. Generally, we asked experts and stakeholders for opinions on the size and configuration of the SPR, the SPR\u2019s mission, and other options to provide U.S. energy security. We conducted an analysis to identify areas of agreement and disagreement. Results are not generalizable but provide examples of a range of views.", "To compare how the United States and other countries meet their IEA obligations, we interviewed IEA officials about reserve systems and IEA obligations. To provide examples, we examined reserve structures in six countries\u2014Czech Republic, France, Germany, Ireland, Japan, and the United Kingdom. We selected these countries to ensure representation of the different types of reserve structures used by IEA members. We reviewed documents from each country and interviewed officials involved with the administration of their countries\u2019 reserves. Findings from these countries are not generalizable to those we did not review. To examine how the United States historically has met its IEA 90-day reserve obligation, we analyzed EIA data.", "To examine the extent to which DOE has identified the optimal size and potential need for additional petroleum product reserves for the SPR, we reviewed DOE studies and interviewed some of the authors of these studies. Specifically, we reviewed DOE\u2019s 2016 long-term strategic review of the SPR, as well as studies and analyses conducted as part of the 2016 review. We also estimated days of U.S. net import protection for 2017 and 2027 using DOE\u2019s estimates of the SPR\u2019s size, IEA data on days of net import protection, and EIA\u2019s 2017 Annual Energy Outlook forecast data on net oil imports. We compared those estimates to the IEA 90-day reserve obligation. To assess the reliability of these data, we reviewed relevant documentation, interviewed officials, and compared the data with similar data published in other sources. We determined these data to be sufficiently reliable for the purposes of our reporting objectives.", "To examine the extent to which DOE\u2019s modernization plans for the SPR have taken into account the effects of congressionally mandated oil sales, we reviewed documentation on the SPR\u2019s modernization, including plans and analysis of alternatives. We also reviewed our best practices for analysis of alternatives, when we examined DOE\u2019s analysis of alternatives for the SPR\u2019s modernization. We reviewed the Energy Policy and Conservation Act that authorizes the SPR, DOE annual reports on SPR activities, and DOE budget justifications for fiscal years 2017, 2018, and 2019. We interviewed DOE\u2019s contractor that maintains SPR sites to obtain views on any challenges in moving forward with modernization plans and meeting congressionally mandated sales. We also interviewed representatives from a private salt cavern company, government officials from two IEA member countries, and a representative from a private company that leases oil (an oil broker) to identify potential alternatives, and views on these alternatives, for using potential excess SPR assets after congressionally mandated sales. We compared DOE\u2019s plans for the SPR, including supporting documentation, to the agency\u2019s real property asset management order.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Changing Petroleum Markets", "paragraphs": ["Oil and petroleum products markets have changed substantially in the years since the establishment of the SPR. Specifically, U.S. domestic crude oil production has generally been increasing, consumption has been relatively stable, and crude oil and petroleum products markets have become increasingly global. Additionally, U.S. crude oil production is projected to rise further in the future, according to EIA and IEA projections, further reversing a decades-long decline. Recent technological improvements have made onshore production from shale formations economically viable, and domestic crude oil production began to rise in about 2008. The combination of increasing production and relatively stable consumption has resulted in declining net crude oil and petroleum products imports, from a high of about 12 million barrels per day in 2005 to fewer than 4 million barrels per day in 2017.", "Since these trends are expected to continue, the IEA and EIA both project net U.S. crude oil and petroleum products imports will decline to zero sometime in the late 2020s and the United States will become a net exporter shortly thereafter. Since the IEA 90-day reserve obligation is based on a country\u2019s net imports, there is no such obligation for net exporters; therefore, the United States would have no 90-day reserve obligation as long as it is a net exporter, though it would still be obligated to release reserves in response to supply disruptions. Over the longer term, EIA\u2019s projections show U.S. net exports peaking in 2037 and the United States again becoming a net importer between 2040 and 2050.", "At the time of the Arab oil embargo, price controls in the United States prevented the prices of oil and petroleum products from increasing as much as they otherwise might have, contributing to a physical oil shortage that caused long lines at gasoline stations throughout the United States. In addition, in the 1970s, oil prices were often set in long-term contracts, which meant that prices would not automatically rise in the face of greater scarcity. This generally reduced incentives for producers to expand production and sales as well as for consumers to reduce consumption in the face of greater scarcity caused by a supply disruption. Now that crude oil and petroleum product markets are global, the prices of these commodities are determined in the world market, primarily on the basis of supply and demand. In the absence of long-term contracted prices or price controls, scarcity from a supply disruption is generally expressed in the form of higher prices, as purchasers are free to bid as high as they are willing to pay to secure oil supply. In a global market, a large enough supply disruption anywhere in the world raises prices everywhere. This creates incentives for producers unaffected by the disruption to increase their production and release existing inventories and for consumers everywhere to reduce consumption in the ways they find most efficient and least disruptive. While it can take time for some of these actions to affect crude oil and petroleum product markets\u2014according to DOE officials, it can take approximately 6 months from when a producer drills an oil well until oil production comes on line\u2014all these actions tend to mitigate the effects of supply disruptions."], "subsections": []}, {"section_title": "Strategic Petroleum Reserve", "paragraphs": ["The Energy Policy and Conservation Act of 1975 authorized the creation of the SPR, partly in response to the Arab oil embargo of 1973-1974 that caused a shortfall in the international oil market. The purposes of the SPR are, among other things, to reduce the impact of disruptions in supplies of petroleum products and to carry out obligations of the United States under the international energy program. Specifically, the 1974 International Energy Program Agreement, a joint strategy and treaty, established the IEA to address oil security issues on an international scale. The SPR is owned by the federal government, managed by DOE\u2019s Office of Petroleum Reserves, and maintained by Fluor Federal Petroleum Operations LLC. The SPR stores crude oil in underground salt caverns along the Gulf Coast in Louisiana and Texas. The SPR currently maintains four storage sites\u2014Bayou Choctaw, Big Hill, Bryan Mound, and West Hackberry\u2014with a design capacity of 713.5 million barrels.", "Under conditions prescribed by the Energy Policy and Conservation Act, as amended, the President has discretion to authorize the release of petroleum products from the SPR to minimize significant supply disruptions. When oil is released from the SPR, it is distributed through commercial pipelines or on waterborne vessels to refineries, where it is converted into gasoline and other petroleum products, and then transported to distribution centers for sale to the public.", "According to DOE documents, well-functioning infrastructure is fundamental to the SPR\u2019s ability to maintain operational readiness and meet mission requirements. However, most of the critical infrastructure for moving SPR oil has exceeded its serviceable life, which has led to increasing maintenance costs and decreasing system reliability. Specifically, the reserve relies on a complex system of salt caverns, pipelines, wells, and pumps, with other infrastructure and equipment. Any failures, such as ruptured pipelines, could affect the readiness of a site for an oil release. According to DOE officials, a growing backlog of major maintenance needs raises concerns about the ability of the system to operate as designed. In addition, there have been equipment failures that have rendered parts of the system temporarily inoperable. For example, the SPR has experienced at least five major equipment failures since fiscal year 2013, including the Big Hill site pipe failure shown in figure 1."], "subsections": []}, {"section_title": "Regional Petroleum Product Reserves", "paragraphs": ["The United States has two regional petroleum product reserves\u2014the Northeast Home Heating Oil Reserve and the Northeast Gasoline Supply Reserve.", "The Northeast Home Heating Oil Reserve, which is not part of the SPR, holds 1 million barrels of ultra low sulfur distillate, a petroleum product essentially equivalent to diesel fuel but that is also used for heating oil. The Northeast United States is heavily dependent on the use of heating oil in winter months. The distillate is stored in leased commercial tank storage in terminals in Connecticut, Massachusetts, and New Jersey. In 2000, the President directed the creation of the reserve to hold approximately 10 days of inventory, the time required for ships to carry additional heating oil from the Gulf of Mexico to New York Harbor.", "The Northeast Gasoline Supply Reserve, a part of the SPR, holds 1 million barrels of gasoline for consumers in the northeastern United States. According to DOE\u2019s website, this region is particularly vulnerable to gasoline disruptions as a result of hurricanes and other natural events. For example, Hurricane Sandy caused widespread gasoline shortages in the region in 2012. DOE conducted a test sale of the SPR in 2014 and used a portion of the proceeds from the sale to create the reserve. The gasoline is stored in leased commercial tank storage in terminals in Maine, Massachusetts, and New Jersey."], "subsections": []}, {"section_title": "IEA Obligations", "paragraphs": ["The SPR helps the United States meet its IEA obligation to hold the equivalent of 90 days of net imports of crude oil and petroleum products. In order to meet the IEA 90-day reserve obligation, countries, including the United States, can count existing private reserves of crude oil and petroleum products in addition to public reserves (in the United States, the SPR). In most years, the United States has met its 90-day reserve obligation with a combination of SPR and private reserves. The days of import protection may vary based on actual net U.S. crude oil and petroleum products imports as well as the inventory levels of the SPR and private reserves. As discussed previously, because the IEA 90-day reserve obligation is based on a country\u2019s net imports, there is no such reserve obligation for countries that are net exporters of crude oil and petroleum products.", "The United States also relies on the SPR to meet its IEA obligation to release reserves in the event of a collective action to respond to a supply disruption. Countries contribute to an IEA collective action based on their share of IEA oil consumption, and they can meet their obligation by whatever measure they choose, including release of public or private reserves, or demand restraint. IEA collective actions are designed to mitigate the negative effects of sudden supply shortages by making additional crude oil and petroleum products available to the global market through a combination of emergency response measures, which include increasing supply and reducing demand. In the event of a global market disruption, IEA member countries can call for a collective action after reaching consensus on whether a response is needed. DOE stated that the collective action IEA obligation is more relevant to the SPR\u2019s mission of protecting the U.S. economy from severe petroleum supply interruptions than the 90-day reserve obligation. The United States has participated in each of the three IEA collective actions. In 1991, with the commencement of Operation Desert Storm, DOE released 17.3 million barrels of SPR crude oil. After Hurricane Katrina in 2005, DOE released 11 million barrels of SPR crude oil. Most recently, in June 2011, in response to crude oil supply disruptions driven by hostilities in Libya, DOE released 30.6 million barrels of crude oil from the SPR. The Libya collective action is an example of how, in practice, member countries participate according to national circumstances. After consultations with IEA member countries, all IEA member countries agreed to the Libya collective action, under which 12 of the 28 members at that time contributed to the action. In addition to the three IEA collective actions, the SPR has been used 10 times in response to U.S. domestic supply disturbances that were not IEA collective actions, most notably in response to severe weather events."], "subsections": []}]}, {"section_title": "In Contrast with the United States, Most IEA Members Rely on Private Reserves to Meet Reserve Obligations and Hold Significant Proportions of Their Reserves as Petroleum Products", "paragraphs": ["In terms of how they meet their IEA obligations, most other IEA members differ from the United States in two basic ways. Specifically, as of December 2017, most IEA members rely at least in part on private rather than public reserves to meet their obligations, and most hold significant proportions of these reserves as petroleum products rather than as crude oil.", "In December 2017, before Mexico joined the IEA in early 2018, there were 29 member countries. Of these 29 countries, 25 IEA members had two common attributes: (1) as net importers, they had a 90-day reserve obligation and met that obligation, and (2) they had formal processes for holding and releasing these reserves. As of December 2017, 18 of these 25 members relied entirely or in part on private reserves to meet their reserve obligations. Specifically, based on IEA data as of December 2017, these 18 countries met their 90-day reserve obligation through private reserves and either had no public reserves or had public reserves of less than 90 days. According to a 2014 IEA report, some of these countries require industry to hold reserves and, when needed, release them. For example, according to a 2014 IEA report and documentation provided by government officials, the United Kingdom meets its entire obligation by requiring private industry to hold reserves. In contrast, New Zealand had publicly held reserves amounting to 26 days of net imports, according to IEA data as of December 2017. According to a 2014 IEA report, New Zealand relied on industry reserves held for commercial purposes to meet the rest of its 90-day reserve obligation, although New Zealand does not formally require industry to hold reserves specifically for this purpose.", "Unlike the 18 countries that rely at least in part on private reserves, as of December 2017, the United States and 6 other IEA members met the 90- day reserve obligation exclusively through public reserves. Specifically, according to IEA data on member reserves, Estonia, Finland, Germany, Hungary, Ireland, Japan, and the United States held public reserves equal to 90 days or more of net imports. Although the United States currently meets its IEA 90-day reserve obligation solely with public reserves, for most of the SPR\u2019s existence, public reserves were insufficient to meet this obligation, so the United States also had to rely on private reserves. Specifically, according to EIA data, the United States has relied, at least in part, on private reserves together with the SPR to meet the 90-day reserve obligation with the exception of two time periods (1984-1987 and 2012-present), when the United States has relied solely on the SPR. The United States does not require industry to hold reserves for the purposes of meeting IEA obligations. Figure 2 compares the United States\u2019 reserves in days of net imports to the IEA\u2019s 90-day reserve obligation.", "According to a 2014 IEA report, most IEA members hold at least a third of their reserves as petroleum products, such as gasoline and diesel fuel, rather than as crude oil. Holding petroleum products can be advantageous during certain disruptions because such reserves can be directly distributed to consumers, whereas crude oil must first be refined and turned into products, adding response time. According to the IEA\u2019s 2014 report, Germany\u2019s stockholding agency holds 55 percent of its reserve as petroleum products. Similarly, France holds only petroleum products that are distributed geographically across the country so that the reserves can be used quickly in the event of a supply disruption. In contrast, more than 99 percent of the SPR (665.5 million barrels as of March 2018) is held as crude oil, all of which is stored at the four storage sites in Louisiana and Texas. The exception is the Northeast Gasoline Supply Reserve, which, as mentioned previously, is a 1 million barrel gasoline reserve in terminals in Maine, Massachusetts, and New Jersey that was established in 2014 after Hurricane Sandy and that is considered part of the SPR. According to DOE officials, there are several reasons the SPR holds predominantly crude oil, including that it is more costly to store petroleum products than crude oil and that the United States has the largest refining capacity of any IEA member country. Because of the large U.S. refining sector, crude oil from the SPR can be domestically refined into petroleum products to meet demand.", "Some IEA member countries store some of their reserves abroad, though the United States does not. According to a 2014 IEA report, some IEA member countries allow part of their reserves to be stored abroad to leverage spare storage capacity or more cost-effective storage by utilizing available storage space or excess private reserves in other countries. For example, approximately 30 percent of Ireland\u2019s reserves are held in other European Union countries. In some of these cases, countries use short-term contracts, also known as tickets, instead of directly acquiring and storing oil and petroleum products. For example, according to documents provided by government officials, since 1995 the United Kingdom has increased its reserves held under ticket agreements outside of the country from around 10 percent of its total reserves to more than 25 percent.", "In addition, unlike the United States, some IEA countries specify the size of their public or private reserves in terms of net imports or consumption, rather than a specific volume. In the United States, the total volume of crude oil and petroleum products held in the SPR is the result of amounts historically purchased to fill the reserve and subsequent sales as mandated by Congress or released in response to a supply disruption. According to DOE, it cannot otherwise reduce or increase volumes held in reserve without congressional action\u2014either through requirements to purchase additional oil or laws authorizing or mandating sales. On the other hand, some IEA countries have tied their reserves\u2019 volumes of crude oil and petroleum products to a metric such as days of net imports or a percent of consumption. For example, according to documentation provided by government officials, in 2015 Japan changed how it specifies its target reserves from a specified amount to days of net imports. In specifying the size of reserves in this way, the amount held is adjusted as market conditions change\u2014for example, if net imports change and require more or fewer reserves to meet the IEA 90-day reserve obligation, or when other underlying factors affecting a nation\u2019s energy security needs change."], "subsections": []}, {"section_title": "DOE Has Not Identified the Optimal Size for the SPR or the Potential Need for Regional Product Reserves", "paragraphs": ["While DOE has examined a range of sizes for the SPR, it has not identified the optimal size for the SPR to meet U.S. energy security needs and IEA obligations, and DOE\u2019s analysis of SPR sizes was limited in three ways. DOE also has not identified whether additional regional petroleum product reserves should be part of the SPR in U.S. regions identified as vulnerable to fuel supply disruptions."], "subsections": [{"section_title": "DOE Examined a Range of Sizes for the SPR but Has Not Identified the Optimal Size for SPR and the Agency\u2019s Analysis Was Limited in Three Ways", "paragraphs": ["DOE has not identified the optimal size for the SPR and though the agency examined a range of SPR sizes, its analysis was limited in at least three ways. In response to direction from Congress and recommendations from GAO and the DOE Inspector General, DOE developed and published a long-term strategic review of the SPR in August 2016. In DOE\u2019s 2016 review, the agency examined the expected economic benefits of SPR sizes ranging from 430 million to 695 million barrels of oil over a 25-year time horizon (2016 through 2040), but it did not recommend an optimal size for the reserve.", "DOE\u2019s review did not identify the optimal size for the SPR because of three limitations:", "DOE did not fully evaluate implications of market fluctuations and estimate needs. DOE did not fully evaluate the implications of falling net imports of crude oil and petroleum products with respect to meeting IEA obligations to hold the equivalent of 90 days of net imports and to respond to collective actions. As mentioned previously, the United States is expected to become a net exporter of crude oil and petroleum products by the late 2020s. Since the IEA 90-day reserve obligation is based on a country\u2019s net imports, this means that at that point the United States would not have a 90-day reserve obligation. However, even as a net exporter, the United States would still have to meet the IEA obligation to respond to a collective action. Yet, DOE\u2019s analysis did not evaluate the SPR\u2019s configuration as it relates to projected fluctuations in net imports or estimate the minimal amount of reserves needed to meet potential future collective actions. Without considering projected fluctuations in net imports or providing an analysis of how much oil is estimated to be needed to meet IEA collective actions, DOE cannot fully advise Congress on the optimal size of the SPR.", "DOE did not consider private-sector response. DOE\u2019s analyses in its 2016 review focused on the publicly held reserves in the SPR as the only means to respond to oil supply disruptions and did not consider a response from the private sector or through consumers reducing demand. According to DOE\u2019s 2016 review, the underlying analysis for the benefits of the SPR did not consider a response from the private sector for three reasons: (1) while U.S. commercial stocks could conceivably address part of a supply disruption, private industry could also hold oil inventories in a crisis instead of releasing them; (2) unlike most other IEA member countries, the United States does not require private-sector response; and (3) research on the exact nature of private-sector response during a disruption is needed. DOE officials told us the agency has not studied the extent to which SPR releases of crude oil displace what would otherwise have been private releases of inventories.", "As we reported in September 2014, changing market conditions\u2014 most importantly the significant increase in domestic production of oil\u2014have implications for the SPR\u2019s size because increased production has led to increasing private reserves. According to IEA data as of December 2017, U.S. private reserves held the equivalent of 194 days of net import protection coverage, up from about 59 days in 2006. Further, private reserves in the United States consist of both crude oil and petroleum products with more than half in the latter category. For example, as of January 2018, total private reserves of crude oil and petroleum products were about 1.215 billion barrels, of which about 420 million barrels were in the form of crude oil and 795 million barrels were petroleum products, according to the EIA. As of 2013, these private reserves were distributed across the entire country in more than 1,400 terminals, according to the EIA.", "As we reported in December 2007, international trade in oil and petroleum products has expanded significantly over the past 2 decades, making markets for gasoline and other petroleum products increasingly global in nature. In such a global oil market, higher levels of private reserves can benefit the United States and the rest of the world by helping mitigate a supply disruption. Most experts and stakeholders we interviewed generally agreed that the private sector is in a better position to respond to supply disruptions than they were when the SPR was created. With regard to demand response, DOE officials told us they do not consider this because there is no mechanism to require industry to respond to supply disruptions or consumers to reduce demand in response to a supply disruption. However, DOE has not studied how voluntary response to changes in petroleum product prices affects the need for or efficacy of strategic releases. Without conducting an analysis of how private parties respond to supply disruptions, DOE cannot advise Congress on the optimal size of the SPR because it cannot know how effective such private responses could be in mitigating supply disruptions.", "DOE did not fully examine costs of differently sized reserves.", "DOE\u2019s review of the expected economic benefits of differently sized reserves did not fully examine the corresponding costs of those sizes. According to DOE officials, there was no requirement or need to conduct a formal cost benefit analysis of the SPR because the SPR\u2019s oil acquisition and initial capital costs to create the reserve are sunk costs and the ongoing operational costs to maintain the reserve are minimal in comparison. However, this does not take into account the opportunity cost to the government that holding reserves represents; as Congress has mandated several times recently, crude oil from the reserve can be sold to fund other federal priorities. Without additional analysis, such as of the costs and benefits of SPR\u2019s size, DOE cannot fully advise Congress on the optimal size of the SPR.", "When we reviewed the SPR in 2006 and 2014, we found that DOE had not periodically re-examined the strategic reserves. In 2006, we recommended that the Secretary of Energy reexamine the appropriate size of the SPR. In its response to our recommendation, DOE stated that its reexamination had taken the form of more \u201cactionable items,\u201d including not requesting expansion funding in its 2011 budget and canceling and redirecting the prior year\u2019s expansion funding to general operations of the SPR, based on the Administration\u2019s decision that the SPR\u2019s current size at the time was adequate. Similarly, as previously mentioned, in 2014 we found that changing market conditions have implications for the size, location, and composition of the SPR, but DOE had not reexamined the SPR\u2019s size since 2005. Accordingly, we recommended that the Secretary of Energy undertake a comprehensive reexamination of the appropriate size of the SPR. In response to our recommendation, the 2014 DOE Inspector General recommendation mentioned previously, and the Bipartisan Budget Act of 2015, DOE published its 2016 review.", "As previously mentioned and reported, crude oil and petroleum markets are constantly changing, but DOE conducted its full evaluations of the SPR more than a decade apart. According to DOE officials, there is no formal policy to periodically reevaluate the SPR. We previously found that federal programs should be reexamined if there have been significant changes in the country or the world that relate to the reason for initiating the program. In that report, we found that many federal programs and policies were designed decades ago to respond to trends and challenges that existed at the time of their creation. Moreover, the Office of Management and Budget Circular A-94 for benefit-cost analysis of federal programs includes guidelines that apply to any analysis used to support government decisions to initiate, renew, or expand programs or projects that would result in a series of measurable benefits or costs extending for 3 or more years into the future. Given changing market conditions and future projections, without conducting additional analysis to supplement its 2016 review and thereafter periodically reexamining the SPR to take into account changes in market conditions and include a thorough consideration of the costs and benefits of a wide range of SPR sizes, DOE cannot provide information to Congress to inform decisions about the appropriate size of the SPR and risks holding too much or too little in the SPR to meet the United States\u2019 evolving energy security needs and IEA obligations."], "subsections": []}, {"section_title": "DOE Has Not Identified Whether Additional Regional Petroleum Product Reserves Should Be Part of the SPR", "paragraphs": ["DOE has also not fully identified whether additional regional petroleum product reserves should be part of the SPR. Because the SPR stores oil nearly exclusively along the Gulf Coast, the SPR is configured primarily to respond to global oil supply disruptions. However, as we reported in November 2017, the SPR has primarily been used in response to domestic disruptions. The SPR is limited in its ability to respond to domestic disruptions because reserves are almost entirely composed of crude oil and not refined petroleum products, which may not be effective in responding to disruptions that affect the refining sector. For example, as we reported in November 2017, Hurricanes Harvey, Irma, and Maria damaged infrastructure and property, caused the loss of life, and disrupted the operations of refineries representing at least 15 percent of the nation\u2019s refining capacity. DOE has identified regions subject to product supply vulnerabilities as shown in Figure 3.", "The Quadrennial Energy Review of 2015 recommended that the agency analyze the need for additional or expanded regional product reserves by undertaking updated cost-benefit analyses for all of the regions of the United States that have been identified as vulnerable to fuel supply disruptions. In response to this recommendation, DOE studied the costs and benefits of regional petroleum product reserves in the West Coast and Southeast Coast. According to DOE officials, weather events in the Southeast Coast are of higher probability but lower consequence, and events in the West Coast are of lower probability but higher consequence. DOE did not finalize its 2015 studies on regional petroleum product reserves and make them publicly available. However, the draft 2015 studies concluded that a product reserve in the Southeast would provide significant net economic benefits to the region and the United States, particularly in the event of a major hurricane, while further analyses are needed to determine the potential benefits of a reserve on the West Coast. A prior DOE study also suggests that petroleum product reserves merit consideration\u2014in 2011, DOE carried out a cost-benefit study of the establishment of a refined product reserve in the Southeast and estimated that such a reserve would reduce the average gasoline price rise by 50 percent to 70 percent in the weeks immediately after a hurricane landfall, resulting in consumer cost savings, according to the Quadrennial Energy Review of 2015. According to DOE officials, the agency has no plans to conduct additional studies. DOE\u2019s 2016 review of the SPR did not fully assess whether there is a need for additional regional product reserves in other U.S. regions identified as vulnerable to fuel supply disruptions, as recommended by DOE\u2019s studies and the 2015 Quadrennial Energy Review. Without completing studies on the costs and benefits of regional petroleum product reserves for all the vulnerable U.S. regions and publicly releasing the results, DOE cannot ensure that it and Congress have the information they need to make decisions about whether additional regional product reserves are needed."], "subsections": []}]}, {"section_title": "DOE Has Taken Steps to Update Its Modernization Plans, But Is Hindered by Uncertainty Regarding the SPR\u2019s Long-term Size DOE Has Taken Steps to Update Its Modernization Plans for Currently Mandated Sales", "paragraphs": ["DOE has taken steps to take into account the effects of congressionally mandated oil sales in its plans for modernizing the SPR, though DOE\u2019s current plans are based on information largely developed prior to the most recent congressionally mandated oil sales. According to DOE, the SPR modernization program is focused on a life extension project to modernize aging infrastructure to ensure the SPR will be able to meet its mission requirements for the next several decades. The project\u2019s scope of work has undergone several revisions since its inception in response to changing conditions and requirements, according to the agency. DOE has estimated the total cost for the SPR\u2019s modernization at up to $1.4 billion. DOE raised about $323 million for modernization through the sale of SPR oil in fiscal year 2017, and the Consolidated Appropriations Act of 2018 provided that DOE is to draw down and sell an amount of crude oil not to exceed $350 million for modernization in fiscal year 2018. As of the end of February 2018, DOE has spent $22 million on modernization efforts and the additional funds will allow DOE to continue moving forward with the project, according to agency officials. According to DOE\u2019s modernization plans, the first major construction is scheduled for fiscal year 2019. However, these plans are largely based on information DOE analyzed before recent congressionally mandated sales of an additional 117 million barrels of oil.", "Since the most recent mandated sales, DOE has taken steps to update its modernization plans and has changed its assumptions for SPR\u2019s modernization. For example, DOE now assumes that the reserve will hold about 405 million barrels of oil and that one of the four SPR sites may close after congressionally mandated sales are completed at the end of fiscal year 2027, according to agency officials. However, DOE has not fully updated the SPR\u2019s modernization plans based on these assumptions. According to DOE officials, in March 2018, DOE commenced a study\u2014the SPR post-sale configuration study\u2014to examine potential future reserve configurations. This study is to take into account the effects of congressionally mandated sales on the reserve and its modernization, and is targeted for completion in October 2018, according to agency officials. Information from the study will inform DOE\u2019s updates to the SPR\u2019s modernization plans, according to DOE officials.", "As part of its post-sale configuration study, DOE plans to examine how the agency may handle the potentially excess SPR facilities created by the mandated sales. In January 2017, the SPR had a design capacity to hold 713.5 million barrels of oil and actually held 695 million barrels. As shown in figure 4, without action by DOE to reduce the SPR\u2019s design capacity or otherwise use SPR facilities, congressionally mandated sales will cause excess storage capacity to grow to 308 million barrels or more by the end of fiscal year 2027\u2014meaning that about 43 percent of the SPR\u2019s total design capacity to store oil would be unused.", "DOE plans to explore some options to use these potentially excess SPR assets in its ongoing post-sale configuration study. In withdrawing oil to meet congressionally mandated oil sales currently in place (290 million barrels through fiscal year 2027), DOE could close at least one SPR site based on our analysis of projected excess storage capacity. For example, if DOE were to close the smallest SPR site, Bayou Choctaw, the agency could also explore selling the connected pipeline and marine terminal, which are currently being leased to a private company. DOE could also consider leasing excess storage capacity to other countries so that they could store oil at the SPR. DOE has not entered into any such leases with other countries and has not considered such leases because, according to DOE, the SPR has historically lacked capacity to store additional oil. DOE has not proposed any of these options or explored the revenue the agency could generate by selling or leasing these assets. According to DOE officials, the agency will examine the feasibility of such options in the ongoing SPR post-sale configuration study."], "subsections": [{"section_title": "Uncertainty Has Hampered DOE\u2019s Efforts to Account for Potential Future Mandated Sales", "paragraphs": ["As DOE takes steps to plan for the SPR\u2019s modernization, ongoing uncertainty regarding the SPR\u2019s long-term size and configuration have complicated DOE\u2019s efforts. According to DOE officials, this uncertainty makes it extremely difficult to effectively perform any mid-to long-range planning efforts for the SPR\u2019s modernization project, including the execution of major maintenance projects. Congress has generally set the SPR\u2019s size by mandating purchases or sales of oil, and has established and amended the minimum size of the SPR as it pertains to the release of oil for emergency protection. Since 2015, Congress has, across six pieces of legislation, mandated 290 million barrels in additional oil sales. However, DOE developed its modernization plans in 2016. DOE officials told us they do not know whether additional sales will be mandated over the next 10 years or whether other changes may be required to the configuration of the reserve. Any additional congressionally mandated sales or direction to pursue additional petroleum product reserves would require DOE to again revisit its modernization plans and assessments of the potential uses of any excess SPR assets. Oil market projections also have implications for the future of the SPR. Under current projections, the United States may fluctuate between being a net importer and net exporter over the next several decades. Specifically, the United States is projected to become a net exporter by the late 2020s and would then no longer have a 90-day reserve obligation, but it is projected to return to being a net importer between 2040 and 2050. These projected fluctuations could affect the desired size of the SPR in the future. This uncertainty creates risks for DOE\u2019s modernization plans, as DOE may end up spending funds on facilities that later turn out to be unnecessary should Congress ultimately decide on a larger- or smaller-sized SPR than DOE anticipates.", "Having a long-term target for the size and configuration of reserves helps other IEA member countries manage their reserves. For example, as previously discussed, unlike the United States, some other IEA members have specified in dynamic terms the amount of reserves to be held, such as days of net import protection or days of consumption, rather than specifying a specific static volume amount. Under such approaches, the amount held varies over time as entities managing the reserve acquire or sell reserves in order to meet the target. Setting a long-term target for the size and configuration of the SPR\u2014taking into account projections for oil production, consumption, and IEA obligations\u2014could better position DOE to ensure that funds spent on the SPR\u2019s modernization do not modernize a system that is no longer needed and that DOE is able to adequately plan for potentially excess SPR assets.", "In the course of our work, we also identified other options for handling potentially excess SPR assets that DOE is not planning on examining, largely because DOE does not currently have the authority to pursue them, according to agency officials. First, DOE could explore leasing storage capacity to private industry. U.S. oil production has generally increased over the last decade. As a result, the private sector may want to lease excess SPR capacity, which may be cheaper than above-ground storage, according to a representative of a private company we spoke with. Fees for doing so could help defray public reserve storage costs. However, officials told us that the Energy Policy and Conservation Act gives DOE authority to lease underutilized storage to other countries, but not to the private sector. Second, if Congress determines that the SPR holds oil in excess of that needed domestically, DOE could explore selling contracts or tickets for the excess oil rather than selling the oil outright. Australian and New Zealand officials told us that if DOE were to sell tickets for SPR oil, tickets would help these countries meet their IEA 90- day reserve obligations. Australian officials told us they have discussed this option with DOE. Currently the United States and Australia have agreed, through an arrangement, to allow Australia to contract for petroleum stocks located in the United States and controlled by commercial entities. According to DOE officials, the arrangement would permit Australia to receive credit from the IEA for tickets it purchases from the U.S. private sector. While the arrangement does not cover government-owned oil in the SPR, if it did, based on our analysis, DOE could generate up to approximately $15 million annually if Australia purchased the maximum allowable amount of oil specified in an arrangement through tickets for excess SPR oil. However, although the Energy Policy and Conservation Act allows DOE to lease underutilized storage to other countries, DOE lacks the authority to sell tickets and does not plan to seek this authority, according to DOE officials. DOE officials told us that they do not plan to examine these options.", "According to DOE\u2019s real property asset management order, the agency is to identify real property assets that are no longer needed to meet the program\u2019s mission needs and that may be candidates for reuse or disposal. Once identified, the agency is to undertake certain actions, including determining whether to dispose of these assets by sale or lease. As part of its SPR post-sale configuration study, DOE plans to determine whether it is appropriate to close SPR facilities, and the relative benefit of any closures would be informed by potential lease revenues from maintaining sites so they could be leased, according to officials. However, without examining a full range of options in the post-sale configuration study, DOE risks missing beneficial ways to modernize the SPR while saving taxpayer resources."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given changing crude oil and petroleum product market conditions and the constrained budget environment, it is important that DOE ensures the SPR is effective at meeting U.S. energy security needs and IEA obligations while being managed and maintained in an efficient manner. In response to congressional direction and recommendations from GAO and DOE Inspector General, DOE conducted a long-term strategic review of the SPR in 2016 after its last comprehensive examination in 2005. In its review, DOE did not determine an optimal size for the SPR, and its analysis was limited in several ways. In particular, DOE did not fully consider recent and expected future changes in crude oil and petroleum market conditions such as the implications of projected fluctuations in U.S. net imports or the role that increased levels of private reserves could play in responding to supply disruptions. DOE also did not perform a full cost-benefit analysis of holding different volumes of reserves. Without supplementing its 2016 strategic review by conducting additional analysis, and periodically conducting such analyses going forward, DOE cannot provide information to Congress to inform decisions about the appropriate amounts of crude oil and petroleum products to hold in the SPR and risks holding too much or too little in the SPR to meet the United States\u2019 energy security needs and international obligations. Such information is needed on a timely basis, to reflect the pace of change in oil and petroleum markets and other relevant factors that affect the optimal size of the SPR.", "Though the SPR has primarily been used in response to domestic supply disruptions, such as hurricanes, the reserve is limited in this role because it is almost entirely composed of crude oil, and not petroleum products. In this regard, the Quadrennial Energy Review of 2015 recommended that DOE analyze the need for additional regional product reserves for U.S. regions that have been identified as vulnerable to fuel supply disruptions. DOE has not identified whether additional regional product reserves should be part of the SPR or completed studies of all vulnerable U.S. regions, and it has no plans to do so, according to DOE officials. Without conducting or completing studies for all the vulnerable U.S. regions and releasing the results, DOE cannot ensure it and Congress have the information they need to make decisions about potential additional regional product reserves.", "In the face of declining net U.S. imports, Congress has taken repeated steps to reduce the size of the reserve. Given that net imports are projected to continue to decline through the late 2020s and fluctuate in the future, there may be additional congressionally mandated SPR oil sales. This has created long-term uncertainty regarding the future size and configuration of the SPR. Congress could address this uncertainty by identifying a long-term target for the size of the SPR\u2014either by volume or in terms tied to factors, such as consumption or net import protection, that affect the country\u2019s energy security needs and IEA obligations. Setting such a long-term target could better position DOE to ensure the efficiency and efficacy of federal funds spent on the reserve.", "DOE has recently begun to study the potential effects of congressionally mandated sales on its modernization plans. As part of its SPR post-sale configuration study, DOE plans to determine whether it is appropriate to close SPR facilities, and the relative benefit of any closures would be informed by potential lease revenues from maintaining sites so they could be leased, according to officials. However, we identified other options for handling potentially excess SPR assets that DOE is not planning to examine in its study, inconsistent with the agency\u2019s order on real property asset management. Although DOE does not currently have the authority to implement these options, according to officials, examining their potential use, including possible revenue enhancement, could inform Congress as it examines whether it should grant such authority. Without examining a full range of options in the post-sale configuration study for handling potentially excess SPR assets, DOE risks missing beneficial ways to modernize the SPR while saving taxpayer resources."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration: Congress may wish to consider setting a long-range target for the size and configuration of the SPR that takes into account projections for future oil production, oil consumption, the efficacy of the existing SPR to respond to domestic supply disruptions, and U.S. IEA obligations. (Matter 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to DOE: The Secretary of Energy should supplement the agency\u2019s 2016 long-term strategic review by conducting an additional analysis that takes into account private-sector response, oil market projections, and costs and benefits of a wide range of different SPR sizes. (Recommendation 1)", "The Secretary of Energy should take actions to ensure that the agency periodically conducts and provides to Congress a strategic review of the SPR that, among other things, takes into account changes in crude oil and petroleum product market conditions and contains additional analysis, such as the costs and benefits of a wide range of different SPR sizes. (Recommendation 2)", "The Secretary of Energy should conduct or complete studies on the costs and benefits of regional petroleum product reserves for all U.S. regions that have been identified as vulnerable to fuel supply disruptions, and the Secretary should report the results to Congress. (Recommendation 3)", "The Secretary of Energy, in completing DOE\u2019s ongoing study on the effects of congressionally mandated sales, should consider a full range of options for handling potentially excess assets and, if needed, request congressional authority for the disposition of these assets. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE for review and comment. DOE provided written comments, which are reproduced in appendix I. Of the four recommendations, DOE agreed with two, partially agreed with one, and disagreed with one.", "Regarding our recommendation that DOE supplement its 2016 long- term strategic review with an additional analysis that takes into account private sector response, oil market projections, and costs and benefits of a wide range of different SPR sizes, the agency partially agreed with the recommendation. DOE agreed to conduct an additional analysis to assess the purpose, goals, and objectives of the SPR, taking into account private sector response, oil market projections, and any other relevant factors, that will lead to an evaluation of possible optimal sizes of the SPR in the future. In response to taking into account the costs and benefits of a wide range of different SPR sizes, DOE stated that the agency determined the projected benefits of a wide range of different SPR sizes ranging from 430 million barrels of oil to 695 million barrels of oil in its 2016 review. However, the minimum SPR size considered by DOE is greater than the projected SPR size after congressionally mandated sales have occurred. Further, the SPR size after congressionally mandated sales is projected to be far in excess of the IEA obligation to hold a minimum of 90 days of net imports. DOE must also consider the minimum size needed to meet its IEA obligations in the event of a collective action. In conducting additional analysis, DOE should consider a smaller lower bound, in line with congressionally mandated sales, for the size of the SPR, and more fully consider the size needed to meet the IEA 90-day net import and collective action obligations.", "Regarding our recommendation that DOE conduct periodic reviews of the SPR, the agency agreed with the recommendation. DOE stated that a 5-year time interval between reviews would strike an appropriate balance between the need to periodically conduct a strategic assessment and evaluation of the SPR and the limitations on resources to plan and conduct such a review.", "Regarding our recommendation that DOE conduct or complete studies on the costs and benefits of regional petroleum product reserves, the agency disagreed. DOE stated that it is the agency's position that government owned and operated regional petroleum product reserves are an inefficient and expensive solution to respond to regional fuel supply disruptions. DOE further stated, based on studies done in 2015 that DOE officials told us were pre-decisional and therefore could not be reported, that there are additional concerns associated with government-owned and operated regional refined petroleum product reserves, including little to no storage capacity for lease in commercial terminals and high costs for government owned and operated regional product reserves. However, these same studies took these concerns into account, and concluded that a product reserve in the Southeast would provide significant net economic benefits (benefits minus costs) to the region and the United States in the event of a major hurricane. These studies also concluded that additional analyses are required to inform decisions regarding the potential benefits of a similar reserve on the West Coast. Further, the Quadrennial Energy Review of 2015 recommended that similar analyses be completed for other areas deemed by DOE to be vulnerable to fuel supply disruptions. Therefore, we continue to believe that conducting these analyses, as recommended in the Quadrennial Energy Review of 2015, will provide Congress with information needed to make decisions about regional product reserves.", "Regarding our recommendation that DOE consider a full range of options for handling potentially excess assets, DOE agreed with the recommendation. DOE stated that in its ongoing study, the agency will include an assessment of disposition options for any potential excess or underutilized SPR assets, to include the need for new legislative authority, as necessary, for the disposition of assets. DOE expects this study to be completed in October 2018.", "DOE also provided technical comments, which we incorporated, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Quindi Franco (Assistant Director), Nkenge Gibson (Analyst-in-Charge), Philip Farah, Ellen Fried, Cindy Gilbert, Greg Marchand, Celia Mendive, Patricia Moye, Camille Pease, Oliver Richard, Dan Royer, Rachel Stoiko, and Marie Suding made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Strategic Petroleum Reserve, managed by the Department of Energy, exists to minimize the effects of disruptions in the supply of petroleum products. As of March 2018, it held about 665 million barrels of crude oil.", "How big should the reserve be? A review by the Department didn't determine an optimal size and did not fully consider factors including", "Changes in current and future market conditions, such as increasing U.S. crude oil production", "The role of reserves held by private companies", "We recommended that the Department periodically reexamine the size of the reserve, among other things."]} {"id": "GAO-18-338", "url": "https://www.gao.gov/products/GAO-18-338", "title": "Bureau of Engraving and Printing: Options for and Costs of a Future Currency Production Facility", "published_date": "2018-04-05T00:00:00", "released_date": "2018-05-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["BEP, within Treasury, designs and produces U.S. currency notes at BEP's facilities in Washington, D.C., and Fort Worth, Texas. The Federal Reserve pays for BEP's operational expenses, including currency production. BEP is requesting legal authority to purchase land and construct a new production facility in the D.C. area. BEP officials told GAO that, if it does not receive the necessary legal authority for a new production facility, it will renovate the D.C. facility.", "GAO was asked to review BEP's facility planning process. This report: (1) describes the results of facility studies that BEP has funded and factors that led BEP to propose a new production facility, (2) examines the extent to which BEP's actions align with leading capital planning and cost estimating practices, and (3) describes other factors that could affect total federal costs of BEP's actions.", "GAO analyzed BEP documents and data from 2010-2017 on currency note production, visited both BEP production facilities, assessed BEP's actions against leading capital planning and cost estimating practices, and interviewed officials from BEP, GSA, the Federal Reserve, and Treasury.", "GAO provided the draft report to BEP, GSA, the Federal Reserve, and Treasury for review. BEP coordinated with Treasury in its comments. In the comments, reproduced in Appendix I, BEP emphasized the factors that led BEP to determine that a new facility is the preferred alternative. BEP and the Federal Reserve also provided technical comments, which we incorporated as appropriate. GSA did not provide comments."]}, {"section_title": "What GAO Found", "paragraphs": ["The Bureau of Engraving and Printing's (BEP) studies and research determined that a new production facility would be less expensive and better address BEP's need for secure, efficient, and flexible currency production than a renovation of its Washington, D.C. facility. According to 2017 cost estimates, BEP's preferred option\u2014a new production facility in the Washington, D.C., area and some renovated administrative space in its current D.C. facility\u2014would cost approximately $1.4 billion, while a renovation of its current facility for both production and administrative functions would cost approximately $2.0 billion. A new facility similar to BEP's Texas facility could have a secure perimeter that meets federal building security standards. Such a perimeter is not possible with the current facility. A new facility could also house production on a single production floor to allow for a more efficient production process.", "BEP generally followed leading capital-planning practices, and its 2017 cost estimate of a new production facility partially met the characteristics of a reliable cost estimate. BEP's capital planning followed leading practices, for example, by including a needs assessment, a link to BEP's strategic plan, and a long-term capital plan. BEP's cost estimate partially followed leading practices, for example, by including most life-cycle cost components and documentation of the data used for the estimate. However, it did not include sufficient sensitivity analyses, which identify a range of costs-based on varying assumptions. BEP officials stated that they plan to follow the updated GSA guidance that includes GAO's cost-estimating leading practices when updating this early stage estimate.", "The ability to sell or repurpose any part of the current D.C. facility could affect the total federal costs of BEP's actions. According to officials from the Department of the Treasury (Treasury) and the General Services Administration (GSA), there could be savings if Treasury could consolidate staff or operations into the vacated facility. There could also be savings if the unneeded facility could be sold to a private buyer. However there would be costs to prepare the facility for use by other entities or if the unneeded facility does not sell. Agency officials said that it is too early to determine specific costs and savings."]}], "report": [{"section_title": "Letter", "paragraphs": ["For over 150 years, the Bureau of Engraving and Printing (BEP) within the U.S. Department of the Treasury (Treasury) has been responsible for designing and producing U.S. currency notes. BEP prints the notes for the Federal Reserve System (Federal Reserve), which is BEP\u2019s primary client. BEP reported that in fiscal year 2018, it plans to produce 7.4 billion notes worth about $233 billion at its facilities in Washington, D.C., and Fort Worth, Texas. The D.C. facility is over 100 years old, and currency production primarily takes place on different floors in one of its two multi-wing, multi-level buildings. The Fort Worth facility is less than 30 years old and includes a large, one-level open space for producing currency.", "BEP has explored renovating the D.C. facility or replacing it with a new facility in the D.C. area to bring its currency production up to 21st -century production standards. BEP has proposed building a new currency production facility in the D.C. area and repurposing one of its current D.C. buildings for administrative functions. According to Treasury officials, while BEP has the legal authority to use its revolving fund to renovate an existing facility, it does not have legal authority to purchase land and construct a new facility, nor the authority to use the revolving fund to pay for such a project. As a result, BEP is seeking the necessary legal authority to purchase land and construct a new building in the D.C. area, as part of the fiscal year 2018 President\u2019s budget proposal. BEP officials have stated that if BEP does not receive this legal authority and funding, it will begin a renovation of the current D.C. facility. According to BEP, it would be designed to address the facility\u2019s deficiencies and to accommodate new, larger printing equipment that BEP anticipates needing over the next few years for security features being developed for new currency notes.", "You asked us to review BEP\u2019s proposal to build a new production facility in the Washington, D.C., area. This report: describes the results of the facility studies that BEP has funded and factors that led BEP to propose a new production building; examines the extent to which BEP\u2019s actions align with leading capital- planning and cost-estimating practices; and describes other factors that could affect total federal costs if BEP were to construct a new production facility or renovate its existing D.C. facility.", "To describe the results of the facility studies that BEP has funded and the factors BEP considered in proposing a new currency production facility, we reviewed studies and cost estimates BEP undertook between 2010 and 2017, its strategic plans, and pertinent BEP operations and production data. Specifically, we reviewed workers\u2019 compensation claims and manufacturing costs from fiscal years 2013 through 2016. We also reviewed employee staffing levels as of September 2017. While we did not independently assess the validity of these data, we reviewed the data for outliers and obvious errors. We found the data to be sufficiently reliable for our purposes. We conducted a literature review of research on currency demand. We reviewed the President\u2019s 2017 and 2018 budget proposals as well as relevant statutes and regulations. We visited BEP\u2019s facilities in Washington, D.C., and Fort Worth, Texas, to examine the production process at both facilities. We interviewed officials from BEP, the Federal Reserve, and Treasury. We also interviewed officials from the General Services Administration (GSA), which is responsible for helping federal agencies acquire and dispose of office space, among other things.", "To determine the extent to which BEP\u2019s actions aligned with leading capital-planning and cost-estimating practices, we first identified leading capital-planning and cost-estimating practices from a variety of federal sources. In particular, we reviewed the leading capital investment decision-making practices identified by GAO and OMB in their respective guides, as well as leading cost-estimating practices identified in GAO\u2019s Cost Estimating and Assessment Guide. We focused on the capital- planning processes that would be most applicable to BEP, which has limited real property. The applicable processes include: conducting an assessment of current and future needs; evaluating alternatives to determine how to best bridge performance strategically linking capital investments to a strategic-planning process; and documenting the agency\u2019s goals and objectives, among other things, in a long-term capital plan.", "We compared these leading practices against actions BEP took since 2010 that led BEP to conclude that the agency would be best served by a new production facility. Specifically, we reviewed BEP\u2019s 2010 and 2013 feasibility studies, BEP and Treasury strategic and long-term capital plans, and other relevant documents. Regarding cost estimating, we focused on four broad characteristics of high quality, reliable cost estimates identified in the Cost Estimating and Assessment Guide. These characteristics include that the estimates are comprehensive, well- documented, accurate, and credible. We compared BEP\u2019s 2017 estimate for the cost of BEP\u2019s proposal for a new facility to these practices because it was BEP\u2019s most recent cost estimate for constructing a new facility. As part of our work, we reviewed the cost information that BEP used to develop its 2017 cost estimate and interviewed senior BEP officials on the estimates.", "To describe other factors that could affect the overall cost to the federal government if BEP were to construct a new production facility or renovate its existing D.C. facility, we reviewed BEP studies and discussed potential uses of BEP\u2019s current buildings with BEP, Treasury, and GSA officials. We reviewed GSA documentation and previous GAO work on the building disposal process, and interviewed officials at BEP, Treasury, and GSA on their plans for the use of each BEP building depending on the selected alternative.", "We conducted this performance audit from April 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["BEP produces notes at the request of the Federal Reserve. Each year, the Federal Reserve determines how many currency notes are needed to meet the demand for currency. Federal Reserve and BEP officials then agree on a payment amount for note production, including costs associated with maintaining BEP\u2019s facilities. The Federal Reserve\u2019s payments are deposited into BEP\u2019s revolving fund; the revolving fund is used for BEP\u2019s operational expenses, including note production. According to Treasury officials, the revolving fund can pay for renovations and retrofitting of a production facility, but not for land purchase or new building construction. In 2016, the Federal Reserve paid around $660 million for note production.", "In order to cover all expenses associated with the Federal Reserve\u2019s needs, including currency production, the Federal Reserve generates income primarily from the interest on their holdings of U.S. government securities, agency mortgage-backed securities, and agency debt acquired through open market operations. The Federal Reserve is required to transfer any surplus funds over $7.5 billion to the General Fund of the U.S. Treasury. Increases or decreases in operating costs or BEP\u2019s currency production could affect these surpluses and subsequent transfers to the General Fund. Historically, the Federal Reserve has had significant surpluses. In 2016, the Federal Reserve transferred $92 billion to the General Fund.", "BEP\u2019s Washington, D.C., facility consists of a 104-year old, multi-story, multi-wing Main Building and an 80-year old multi-story, multi-wing Annex Building (see fig. 1). The Main Building is the primary production building, and the Annex Building is used primarily for administrative functions. Both buildings qualify for historic designation and thus any alterations would be subject to certain requirements under the National Historic Preservation Act of 1966, as amended. In addition to these buildings, BEP leases a warehouse in Landover, Maryland, to store production supplies in part because the two Washington, D.C., buildings do not have the necessary infrastructure to accommodate shipments carried by large commercial trucks.", "BEP\u2019s Fort Worth facility was built in order to ensure reliable currency production in the event of any disruption of operations at the D.C. facility. BEP was able to obtain donated land and a building in Fort Worth and therefore did not need to purchase land or construct a new facility. Specifically, in 1986, BEP accepted a proposal from the City of Fort Worth that included 100 acres of donated land and a donated building shell to be built to BEP\u2019s specifications. BEP then used its revolving fund to pay for the building\u2019s interior retrofitting, including a central energy plant and installation of currency presses. The Fort Worth facility began producing notes in December 1990 and was intended to produce around 25 percent of U.S. notes. According to BEP officials, as a result of increased demand for U.S. notes and production limitations associated with the D.C. facility, the Fort Worth facility has produced an increasingly large share of notes. In fiscal year 2016 the Fort Worth facility produced nearly 60 percent of notes, while the D.C. facility produced the remaining 40 percent."], "subsections": []}, {"section_title": "BEP\u2019s Proposal for a New Production Facility Considered Project Costs and Feasibility, Security, Efficiency, Safety, and Future Flexibility BEP Studies from 2010 to 2017 Determined the Cost and Feasibility of Multiple Alternatives", "paragraphs": ["From 2010 through 2017, BEP contracted for various studies to investigate alternatives, costs, potential sites, and program requirements to ensure future currency production in the D.C. area (see table 1 for details of the studies). In BEP\u2019s 2013 study and since then, the agency has focused on three alternatives: \u201cRenovation\u201d\u2014a major renovation of the current facility \u201cNew build\u201d\u2014a new building in a different location that would house currency production and all administrative functions \u201cHybrid\u201d\u2014a new building in a different location that would house currency production, but having administrative functions in one of its current buildings According to BEP officials, the cost estimates in the 2013 study were an important factor in their preference for a new facility instead of a renovation.", "The 2013 study concluded that BEP should pursue the new build alternative because it was estimated to be the least costly option, could be completed in the shortest time frame, and promised the greatest efficiencies. The study found that the renovation alternative would be the most costly option and take the longest time to complete because it would require BEP to produce currency at its current location while it was being renovated. BEP officials told us this would require moving production equipment from the Main Building to the Annex during the renovation and back to the Main Building once it was renovated. According to GSA officials, renovations are often more costly than new construction. According to Federal Reserve officials, moving large, complex printing presses and machines from one building to another and then back again significantly expands the renovation\u2019s timeframe, as time would be needed to test the machines to get them back into specification. The Federal Reserve further noted that some modern presses will not fit into the Main Building without significant structural alterations, which would add cost and time to a renovation.", "Following the release of the 2013 study, BEP proposed to the Secretary of Treasury, with the support of Treasury officials, that Treasury and BEP pursue the hybrid alternative as their first choice (see table 2 for details on BEP\u2019s proposal). BEP officials told us that they, along with Treasury, selected the hybrid alternative even though the hybrid was more expensive than the new build alternative. According to BEP officials, the cost difference between the hybrid and new build was outweighed by the value of maintaining administrative functions in Washington, D.C., to facilitate the day-to-day decision-making process among BEP, Treasury, and Federal Reserve officials. According to Treasury officials, the ability for other Treasury employees to co-locate in the Main Building after the repurposing is completed would also provide long-term cost benefits to Treasury because Treasury could save on expensive lease agreements in downtown Washington, D.C. Further, Treasury officials noted that it is important that the Treasury Department maintain the Main Building as an asset because of its location and history, and Treasury officials prefer that BEP maintain some functions in the building. The 2017 study provided cost estimates of BEP\u2019s and Treasury\u2019s preferred hybrid option, as well as the renovation option that BEP officials said they would pursue if BEP does not receive the necessary legal authority to construct a new facility. The study estimated that the hybrid option would cost approximately $1.389 billion and that the renovation option would cost approximately $1.957 billion.", "Federal Reserve officials told us they concur with the 2013 study that a new facility is warranted, that a renovation of the existing facility would be more costly than a new facility, and a renovation would not provide the same degree of efficiency. Federal Reserve officials said that they prefer the new build alternative because the 2013 study identified this alternative as the least expensive option, and would provide a modern, efficient manufacturing process. These officials also told us that, whatever alternative BEP pursues, the Federal Reserve will be financially responsible \u2014whether it is for a new building, a renovated building, or the continuation of the currency production process in the D.C. facility.", "BEP officials stated that they support a new building over a renovation because the new build would both be less expensive and have greater benefits than a renovation. Furthermore, BEP officials told us that while they prefer to remain in the D.C. area, they would approve of the construction of a new facility in a different location if necessary. However, BEP officials also told us that if BEP does not get the legal authority necessary to use its revolving fund to purchase land and build a new facility in 2018, BEP will pursue a renovation of the existing D.C. facility beginning at the end of 2018."], "subsections": [{"section_title": "BEP Considered Other Factors in Deciding to Propose a New Production Facility", "paragraphs": [], "subsections": [{"section_title": "Security", "paragraphs": ["As a federal facility, BEP must meet physical security standards established by the Interagency Security Committee (ISC). According to an assessment conducted by BEP\u2019s Office of Security, the D.C. facility does not meet many of the necessary requirements for a facility of its security level. While certain security improvements, such as blast resistant windows or vehicle barriers, could be installed if the facility is renovated, other standards could only be addressed with a new facility. Specifically, the current buildings are located in an urban center surrounded by buildings (see fig. 1 above). As a result, according to the assessment, the facility does not have a secure perimeter because it lacks the required setback between the building and any point where an unscreened vehicle can travel or park. BEP officials said that even after a renovation, the facility would continue to have inadequate setback distance. According to the assessment, the facility\u2019s designation as a historic building also limits BEP\u2019s ability to make changes to the current facility to meet the necessary level of protection. For example, the facility\u2019s placement on the historic registry limits BEP\u2019s ability to make certain structural changes that could mitigate the building\u2019s chances of progressively collapsing in the event of certain types of destructive attacks or actions. BEP\u2019s Office of Security attributed certain security deficiencies to the facility\u2019s limited setback distance and the buildings\u2019 structure, and determined that the D.C. facility is at relatively high risk to threats such as an externally-placed portable explosive device."], "subsections": []}, {"section_title": "Efficiency", "paragraphs": ["BEP aims to provide quality banknotes in an efficient, cost effective manner. However, BEP officials concluded that the layout of the D.C. facility makes production less efficient than the Fort Worth facility. According to BEP production data, from 2013 to 2016, manufacturing costs were higher at the D.C. facility for all comparable denominations. For example, in 2016, production costs of $1 and $20 notes were 23 percent and 7 percent higher, respectively, at the D.C. facility compared to the Fort Worth facility. Additionally, the D.C. facility employs more manufacturing personnel than Fort Worth, even though it produces fewer notes (see table 3). BEP officials attributed the difference in the costs to the D.C. facility\u2019s multi-floor, multi-wing production layout. Specifically, in D.C., after notes are printed on one side, they are moved to another floor to dry for at least 72 hours, brought back to the original floor to be printed on the opposite side, and again moved to the other floor to dry. In Fort Worth, because the production occurs in one large room on one floor, these processes occur in adjacent spaces on the same floor. As a result, according to BEP, notes travel more than twice as far during production in the D.C. facility.", "According to BEP, Treasury, and Federal Reserve officials, a new production facility would offer greater efficiency gains than a renovated facility. According to BEP officials, maintaining production on one floor in an open space improves production efficiency. They added that a renovation of the D.C. facility could include tearing down some walls and raising ceilings, steps that could improve some production processes. However, they also noted that because the D.C. facility qualifies for a historic designation, according to BEP officials, a renovation could not alter the building\u2019s shape. As a result, production would still occur on multiple levels and in separate wings if the facility were renovated. We have reported in the past that agencies faced challenges in rehabilitating and modernizing historic buildings for contemporary use because of their age, specific design characteristics, and their particular historical features."], "subsections": []}, {"section_title": "Safety", "paragraphs": ["According to its Strategic Plan, BEP is committed to providing a safe and positive work environment for its employees. However, BEP officials said that manufacturing employees at the D.C. facility face greater injury risk than at the Fort Worth facility. According to BEP workers\u2019 compensation claim data, approved workers\u2019 compensation claims at the D.C. facility accounted for approximately 67 percent of BEP\u2019s approved claims from fiscal year 2013 through fiscal year 2016, or 200 of 297 approved claims. BEP officials attributed the higher number of workers\u2019 compensation claims in the D.C. facility to the relatively high number of employees needed to produce fewer notes (see table 3) and the increased opportunity for employee injury because production material must be transported farther and between floors. BEP officials estimated that approximately 65 to 70 percent of all worker injuries are related to materials handling.", "BEP officials noted that there is an estimated $196-million deferred- maintenance backlog at the D.C. facility. This backlog includes maintenance to the facility\u2019s electrical and architectural systems. Even if BEP had taken care of these maintenance issues in the past, it would not negate the need for a renovation or a new facility. BEP officials noted that a renovation would reduce some safety concerns, such as upgrading the facility\u2019s electrical systems and adding more fire-rated exits as required by Occupational Safety and Health Administration regulations; however, a renovation would not be able to address the multi-floor production process that BEP officials attributed to employee injuries."], "subsections": []}, {"section_title": "Flexibility", "paragraphs": ["According to BEP officials, it is important for BEP to maintain flexible currency production to respond to production needs that may change over time. Specifically, BEP officials said that a production facility should have the ability to adapt to changes in production equipment. Both BEP and Federal Reserve officials told us that the new equipment likely will be larger than current machinery. According to a representative from a leading currency printing equipment manufacturer from which BEP buys its printing equipment, future equipment is unlikely to decrease in size. BEP officials said that, while the D.C. facility could be renovated to accommodate larger equipment, it would not be possible to replicate the large, open production floor of the Fort Worth facility, which allows for simple installation of equipment. BEP officials told us that, unlike the current D.C. facility, a new production facility would be able to easily accommodate the printing equipment necessary for security features that BEP is currently developing for the next currency redesign.", "Flexibility is also an important factor when considering the future demand for currency. The demand for currency fluctuates, and recent changes in how the public makes purchases could affect the demand for currency. Some observers have noted that the increased use of new payment technologies\u2014such as online banking and phone applications\u2014as well as the rise in online purchases may lead to a substantially reduced demand for currency. In a few countries, such as Sweden, noncash transactions have become common and the demand for currency has fallen substantially.", "In the United States, there are several indications that currency demand will not substantially decline within the next decade. For example, the yearly number of U.S. currency notes in circulation increased by 43 percent from 2008 to 2016. In addition, the number of ATMs in the United States continues to grow, and a 2016 Federal Reserve study of consumer payment choice found that cash still accounted for 32 percent of all transactions, and more than 50 percent of transactions under $25. This continued strength in the demand of cash has several sources. Cash can be seen as a hedge against uncertainties, such as natural disasters or political or economic turmoil, and also has advantages related to privacy, anonymity, and personal data security. Moreover, according to the Federal Deposit Insurance Corporation, approximately 25 percent of U.S. households have limited access to the products and services of the banking industry, and therefore, these \u201cunbanked\u201d and \u201cunderbanked\u201d populations, who may not have many alternative means of payment, rely largely on cash.", "Federal Reserve and Treasury officials we spoke with do not believe that the use of cash in the U.S. will decline in any significant way over the next decade. In particular, the Federal Reserve predicts a continued rise in demand for cash over the next 10 years, despite the increased availability of noncash payment options, indicating that a new or renovated facility will still be required for currency production. According to BEP officials, a new production facility would better manage the ebbs and flows in the future demand for currency than a renovation of the current facility. Specifically, should production demand increase, a new production facility could be designed to easily scale to meet new production requirements. Conversely, should the demand for currency decline in the coming years or substantially decline in the future, unused space in a new facility could be partitioned off and be used for other purposes or by another Treasury agency."], "subsections": []}]}]}, {"section_title": "BEP Generally Followed Leading Capital-Planning Practices, and Its 2017 Cost Estimate Partially Met the Characteristics of a Reliable Cost Estimate", "paragraphs": [], "subsections": [{"section_title": "BEP Generally Followed Applicable Leading Capital-Planning Practices", "paragraphs": ["Capital investments in infrastructure can require significant resources to construct, operate, and maintain over the course of their life-cycle. Leading capital-planning practices can help agencies determine the resources needed to meet their mission, goals, and objectives and how to efficiently and effectively satisfy those needs throughout the capital decision-making process. As shown in table 4, we found that BEP\u2019s capital investment decision-making process that resulted in its decision to pursue a new currency-production facility (as part of the previously described hybrid option) followed three applicable capital-planning leading practices and substantially followed the fourth.", "Needs assessment: BEP followed this leading practice, which calls for comprehensively assessing the resources needed as a basis for investment decisions. BEP conducted a facility condition assessment in 2004 that contributed to BEP\u2019s effort to seek a new production facility, resulting in the studies from 2010-2017 discussed above. The assessment identified the current condition of the facility and the facility\u2019s capabilities, including production inefficiencies that led BEP to begin a multi-year effort to determine its immediate and future infrastructure needs. BEP also determined in 2004 that the agency had almost $200 million in deferred maintenance needs. BEP officials told us that they consulted with Federal Reserve officials and concluded that it would not be prudent to spend substantial funds to address this deferred maintenance. For example, officials determined that it would not be prudent to replace the heating and plumbing systems while pursuing a new production facility. As a result, BEP deferred some maintenance items, such as replacing heating systems, which would not compromise safety and production. However, BEP officials said that they prioritized and maintained critical items, such as its cleaning and recycling systems, and implemented energy conservation initiatives to help reduce costs. As of October 2017, BEP\u2019s deferred maintenance backlog was about $196 million.", "Alternatives evaluation: BEP substantially followed this leading practice, which calls for a determination of how best to bridge performance gaps by identifying and evaluating alternative approaches. As noted above, BEP first considered multiple alternatives on how to achieve its mission to efficiently produce banknotes. Further, BEP considered different methods to fund and obtain land and a shell for a new production facility (see table 5). To evaluate alternatives for the location of a new facility, a contractor identified, in 2015, potential construction sites in the D.C. area and compared each site to a set of criteria. However, BEP officials told us that they discounted locations outside the metropolitan D.C. area because they believed it would be costly to relocate employees or hire and train new manufacturing personnel to replace employees who do not relocate. BEP officials said that the few employees who relocated from the D.C. facility to the Fort Worth facility when it first opened were paid $50,000 each for their move. Based on these factors, BEP focused on a D.C-area location and did not conduct an analysis of the financial implications of building a new facility outside the D.C. area, where construction or other costs could be less expensive.", "Strategic linkage: BEP followed this leading practice, which stresses the importance of linking plans for capital asset investments both to an organization\u2019s overall mission and to its strategic goals. In the 2014-2018 Strategic Plan, BEP noted that it would seek approval to proceed with the 2013 study\u2019s recommendation to construct a new production facility. According to the strategic plan, a new production facility would help achieve BEP\u2019s long-articulated strategic goal of being a printer of world- class currency notes, providing its customers and the public with superior products through excellence in manufacturing and technological innovation. Furthermore, Treasury concurred with BEP\u2019s assessment and added its request for legal authority to purchase land and build a new facility in the fiscal year 2018 President\u2019s Budget proposal.", "Long-term capital plan: BEP followed this leading practice, which calls for a capital plan that documents an agency\u2019s decisions and describes its mission, planning process, and risk management, among other things. BEP completed all of the key activities associated with this practice. For example, in its fiscal year 2018 capital investment plan, BEP lays out the purpose, goals, and benefits of a new currency production facility. It also notes the implications of exposing currency production to vulnerabilities relating to potential facility systems failures and inefficiencies."], "subsections": []}, {"section_title": "BEP\u2019s 2017 Cost Estimate Partially Met the Four Characteristics of a High- Quality, Reliable Estimate", "paragraphs": ["A reliable cost estimate\u2014a summation of individual cost elements\u2014is critical to support the capital planning process by providing the basis for informed investment decision-making, realistic budget formulation and program resourcing, and accountability for results. BEP\u2019s 2017 cost estimate includes a contractor-developed estimate of the cost for the construction of a new production plant and the repurposing of the Main Building for BEP\u2019s administrative offices (the hybrid alternative) and a BEP-developed estimate of additional project costs, such as additional production equipment and real estate acquisition. We found this estimate partially met the four characteristics of a high-quality, reliable cost estimate (see table 6). In developing this estimate, BEP relied on GSA guidance that was available at the time. That guidance did not refer to leading practices for cost estimates that are identified in GAO\u2019s Cost Guide. GSA has recently updated its guidance to refer to the leading practices in GAO\u2019s Cost Guide, and BEP officials told us that they will follow this updated GSA guidance when developing any future cost estimates.", "Comprehensive: BEP\u2019s 2017 cost estimate substantially met the comprehensive characteristic. For example, the estimate included most life-cycle cost components, defined the program and its current schedule and included a consistent work breakdown structure. However, the estimate did not include operating and sustainment costs or information regarding the ground rules and assumptions used to develop the costs.", "Well documented: BEP\u2019s 2017 cost estimate partially met the well- documented characteristic. For example, the estimate documented the source data and the technical assumptions used for the construction costs, which were reviewed by GSA and BEP personnel. However, documentation for the contractor\u2019s estimate and its sources for the factors used in the estimate did not include details to enable an outside cost analyst to replicate the work. According to BEP officials, the cost data are the contractor\u2019s proprietary data. BEP officials also told us that sources for the factors used were based on subject matter expert opinion.", "Accurate: BEP\u2019s cost estimate partially met the accurate characteristic. While we found minor rounding errors and no errors in the model build-up calculations and did not find any calculation or adjustment errors in the estimate, the estimate nonetheless did not provide information regarding the bias of the costs and the appropriateness of the estimating technique used. However, BEP did follow industry standards to develop contingency costs for a pre-design estimate for a program that has not yet been authorized. We also found that $515 million of the internal estimate (37 percent of the program\u2019s total cost estimate) was based on undocumented subject matter opinion or escalated incorrectly from the 2013 study estimate. Further, BEP\u2019s estimate did not use the same construction year mid-point as its contractor for the inflation assumptions. According to BEP officials, that lack is because BEP\u2019s costs were projected based upon the contractor\u2019s estimate of fiscal year 2022, while the production equipment was escalated to fiscal year 2021 because this is the projected year for purchasing equipment. The officials also acknowledged that this rationale, however, was not documented in the cost estimate. BEP clarified that the estimates did not explicitly state a confidence level because the estimate is in the pre-planning stage. They added that it is common in the design and construction industry that contingencies are applied to the estimate based on the completeness of design, and as the design progresses, these contingencies are reduced as more becomes known about the project. As there have not been actual costs yet, variances between planned and actual costs have not been documented, explained, and reviewed.", "Credible: BEP\u2019s 2017 cost estimate partially met the credible characteristic. For example, BEP provided documentation showing that both BEP and GSA reviewed the contractor\u2019s construction estimate and its technical assumptions. However, the estimate did not include a sensitivity analysis for the construction costs, a risk and uncertainty analysis, or cross-checks to see whether similar results could be obtained. A cross-check could include an independent cost estimate conducted by an outside group to determine whether other estimating methods would produce similar results, but BEP officials told us that no independent cost estimate was developed because this was too early in the project to do such a comparison and that the construction estimate was developed in response to a government contract statement of work to prepare a preliminary budget forecast for BEP. Rather, BEP relied on what it characterized as an extensive review by BEP management and GSA officials."], "subsections": []}]}, {"section_title": "Ability to Sell or Repurpose Potentially Vacant Space Could Affect the Total Cost to the Federal Government", "paragraphs": ["The alternative that BEP pursues could have a financial effect on the federal government and ultimately taxpayers. Below, we discuss potential costs and potential savings associated with the disposition of the three buildings under the different scenarios based on our review of BEP documents and interviews with Treasury and GSA officials (see fig. 2). For example, Treasury, which has custody and control over the Main Building and the Annex, could experience costs if it needs to spend money to upgrade these buildings, but could also experience savings if it can repurpose the buildings or consolidate its employees into fewer buildings. GSA, which serves as the federal government\u2019s primary real property and disposal agent, could incur costs for the marketing and disposal process, but could create savings for the government if it could repurpose or sell any vacated buildings. Proceeds from sales of Treasury- controlled facilities would benefit the federal government.", "While it is possible to identify some potential costs and benefits, it is too early to determine which costs or benefits may be realized or to attempt to quantify them. GSA and Treasury officials told us that the actions of other agencies or interested third parties (e.g., those potentially interested in purchasing the Annex) would affect the costs and cost-savings of any alternative. In addition, there are factors outside of the government\u2019s control, such as timing and market conditions, that could affect costs and cost-savings. For example, changes in the Washington, D.C., real estate market could affect the opportunity to sell the Annex. Based on interviews with officials at GSA, Treasury, the Federal Reserve, and BEP, we have identified the following potential costs and savings for each building.", "Potential costs and savings associated with the Main Building: Both BEP and Treasury officials told us that the Main Building will remain under Treasury\u2019s custody and control, regardless of which alternative BEP undertakes.", "Renovation: BEP would use its revolving fund to replace existing heating/cooling systems and windows in the Main Building with higher efficiency ones. Ideally, there would be some long-term cost savings because the new systems would be less costly to operate. However, BEP officials told us that a renovation may be more expensive than currently estimated because the Main Building is over 100 years old and there could be unforeseen expenses depending on what is found once walls and ceilings are removed.", "New build: Treasury would likely pay to renovate the Main Building once BEP vacates it because the Main building would remain under Treasury\u2019s custody and control. The cost of this renovation could be partially offset by savings associated with co-locating other Treasury offices in the Main Building after the renovation is complete. For example, Treasury bureaus currently have 15 leased facilities with about 1.9-million square feet in the downtown D.C. area. The annual cost of these facilities is $91.7 million. While, not all of the employees currently in leased space could move into a renovated Main Building, the Main Building\u2019s 530,000 square feet could provide opportunities to reduce leasing costs. However, because these potential renovations and staff moves are not likely to occur for several years, Treasury officials told us that they are not able to determine either the costs or benefits of moving Treasury staff to the Main Building.", "Hybrid: BEP\u2019s revolving fund would pay for the renovation of one- third of the Main Building that would serve as BEP\u2019s administrative office and a future visitors\u2019 center. This step would leave the remaining two-thirds to be renovated to a \u201cwarm lit shell\u201d to allow others to occupy the building. At this time, Treasury does not know what entity or account would pay for the renovation of the remaining two-thirds because, according to Treasury officials, they have not determined what the use of the balance of the Main Building would be, including what entity would fund any modifications needed for new occupants. If Treasury decided to use the Main Building for its own staff, then Treasury could fund the cost to convert to offices for other Treasury agencies. Under this scenario, there is both a cost to Treasury to renovate the space it plans to use as well as a savings in having Treasury staff vacate other leased space and move to a Treasury-controlled building.", "Potential costs and savings associated with Treasury\u2019s Annex: The Annex could either remain for BEP\u2019s administrative offices or could be declared excess and transferred to GSA for disposal.", "Renovation: BEP\u2019s revolving fund would cover the cost of renovating the entire Annex as a \u201cwarm lit shell\u201d and a more extensive renovation of the portion of the Annex that BEP would use first as temporary space for its currency printing equipment and then permanently for its administrative office. According to BEP officials, the Annex would be renovated to accommodate currency-printing lines that would be relocated from the Main Building in order for the Main Building to be renovated. Once the Main Building is renovated, the Annex would then be renovated to become administrative space for BEP. This process could be quite costly and take more time as the Annex would be renovated twice for different purposes. However, if the unused part of the Annex could be used by Treasury for other Treasury offices, there could be some cost savings to Treasury. According to BEP officials, while BEP would use its revolving fund to renovate the Annex to a \u201cwarm lit shell,\u201d the agency that ultimately occupies the unused space would be responsible for the costs associated with repurposing that space for its own purposes.", "New build and Hybrid: BEP\u2019s revolving fund would pay for any necessary environmental clean-up needed in order for the Annex to be declared as excess and transferred to GSA for disposal. GSA, as part of its mission, would incur costs such as marketing, conducting the disposition process, and concluding the property transfer. GSA\u2019s disposal process can result in the building being transferred for use by another Federal agency, being sold to a local or state government via a negotiated sale, being conveyed to a public entity or eligible non- profit for public uses (e.g. homeless use), or being sold to a private party via a public sale. As the Annex is centrally located in Washington, D.C., the building could be attractive to potential developers. GSA recently sold another federal building near the Annex for over $30 million. GSA officials believe that there would be significant market interest in the Annex due to the Annex\u2019s location and recent private development in the area. Treasury and GSA officials stated that proceeds from the sale of the Annex would be deposited into the Land and Water Conservation Fund to benefit the federal government.", "On the other hand, there is no guarantee that GSA would be able to sell the Annex: our previous work found that the most frequent method of disposal for federal buildings from fiscal years 2011 through 2015 was demolition (57 percent) rather than sale (14 percent). Federal buildings identified for disposal may not be suitable for sale for reasons such as their age, location, and condition, factors that often make demolition the preferred disposal method. The unique configuration of the Annex with its five wings, its age and condition, and historic-designation eligibility could deter some potential buyers. The future demand for the building, interest from private-sector buyers, and the general economic and real estate market are uncertain and can change quickly. If the Annex is not sold and remains on the government\u2019s real property inventory, generally BEP or Treasury would be responsible for any annual maintenance costs for the building. Alternatively, the unsold Annex could be donated to a state or local government that would then be responsible for maintenance costs.", "Potential costs and savings associated with the leased warehouse: The warehouse is a GSA-leased property.", "Renovation: BEP would continue its annual leasing of the warehouse, which would still be needed to accommodate large trucks that cannot access the D.C. facility. The current lease costs approximately $3.4 million each year, and BEP recovers about $500,000 per year of these costs by permitting other Treasury components to use the building through interagency agreements.", "New build and Hybrid: If BEP discontinued its lease after a new facility is completed, it would save approximately $2.9 million per year. If BEP ended its lease prior to the end of the lease term, GSA would need to find another entity to occupy the warehouse for the remainder of the lease term."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided copies of the draft report to the BEP, GSA, the Federal Reserve, and Treasury for review and comment. BEP coordinated with Treasury in providing comments. In these comments, reproduced in Appendix I, BEP emphasized the factors that led BEP to determine that a new facility is the preferred alternative for its currency production process and acknowledged our findings on those factors. BEP and the Federal Reserve also provided technical comments, which we incorporated as appropriate. GSA did not provide comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Director of the Bureau of Engraving and Printing, the Secretary of the Treasury, the Chair of the Federal Reserve Board, and the Administrator of the General Services Administration. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or RectanusL@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, John W. Shumann (Assistant Director); Martha Chow (Analyst in Charge); Amy Abramowitz; Lacey Coppage; Delwen Jones; Jennifer Leotta; Josh Ormond; and Tomas Wind made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Bureau of Engraving and Printing produces U.S. currency in Washington, D.C., and Fort Worth, Texas. It wants to build a new production facility in the D.C. area, which it estimates would cost $1.4 billion. This facility would include a secure perimeter and meet new security standards, something the current D.C. facility cannot do.", "If the Bureau can't build a new facility, it plans to renovate the D.C. facility, which it estimates would cost $2 billion.", "We found the Bureau's planning efforts generally followed leading practices and included some sound cost estimating practices. However, the overall cost to the government is unknown."]} {"id": "GAO-18-210", "url": "https://www.gao.gov/products/GAO-18-210", "title": "Electronic Health Information: CMS Oversight of Medicare Beneficiary Data Security Needs Improvement", "published_date": "2018-03-06T00:00:00", "released_date": "2018-04-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Recent data breaches have highlighted the importance of ensuring the security of health information, including Medicare beneficiary data. Such data are created, stored, and used by a wide variety of entities, such as health care providers, insurance companies, financial institutions, researchers, and others.", "GAO was asked to conduct a study of CMS efforts to protect Medicare beneficiary data accessed by external entities. GAO's objectives were to (1) identify the major external entities that collect, store, and process Medicare fee-for-service beneficiary data; (2) determine whether requirements for the protection of Medicare beneficiary data align with federal guidance; and (3) assess CMS oversight of the implementation of those requirements. GAO analyzed information about how external entities access data, reviewed CMS documentation on who they share data with, compared federal standards with CMS security requirements for external entities, and analyzed results of independent security reviews. GAO also interviewed CMS officials about their oversight activities."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare and Medicaid Services (CMS) shares Medicare beneficiary data with three major types of external entities: (1) Medicare Administrative Contractors (MAC) that perform processing and distribution functions that support the payment of Medicare benefits; (2) research organizations (researchers) that use Medicare beneficiary data to study how health care services are provided to beneficiaries; and (3) qualified public or private entities that use claims data to evaluate the performance of Medicare service providers and equipment suppliers.", "CMS has developed requirements for implementing security controls that align with federal guidance for two of the three types of external entities that access Medicare beneficiary data. While CMS has developed guidance for MACs and qualified entities, it has not developed equivalent guidance for researchers. Researchers must adhere to broad governmentwide standards, but are not given guidance on which specific controls to implement. According to CMS, the lack of specific guidance gives the researchers more flexibility to independently assess their security risks and determine which controls are appropriate to implement; however, without providing comprehensive, risk-based security guidance to researchers, CMS increases the risk that external entities possessing agency data may not have applied security controls that meet CMS standards.", "Additionally, CMS has established an oversight program for the security of MAC data, but has not established a corresponding program to oversee security implementation by researchers and qualified entities. Without effective oversight measures in place for researchers and qualified entities, CMS cannot fully ensure that the security of Medicare beneficiary data is being adequately protected. Regarding MACs, although they are subject to two types of independent annual assessments, which have regularly identified weaknesses in their implementation of security controls, the weaknesses that have been assessed as low-risk have not been consistently tracked in the CMS finding tracking system. Without more consistent tracking of these low-risk weaknesses, it may be difficult for CMS to determine if all weaknesses are being addressed in a timely manner. Examples of categories of recurring weaknesses that have been identified during annual assessments are listed in the table."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS develop additional guidance for researchers on implementing security controls required by CMS, consistently track results of independent assessments, and provide oversight of researchers and qualified entities. CMS concurred with GAO's three recommendations and described actions it has planned or taken to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Recent data breaches at hospitals, insurance companies, and other entities in the health care industry have highlighted the importance of ensuring the security of health information, including personally identifiable information (PII), about Medicare beneficiaries. The Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS) is the agency responsible for overseeing the Medicare program, which covers nearly 58 million aged and disabled Americans, who represent approximately 18 percent of the total U.S. population. Federal program spending for Medicare benefits totaled approximately $696 billion for fiscal year 2016.", "Medicare beneficiary data are created, stored, and used by a wide variety of entities, such as health care providers, insurance companies, financial institutions, academic researchers, and other federal/state agencies for a wide variety of purposes. These include researching and monitoring the efficacy of health care treatments, payments, and analyzing the cost of health care treatments. The extent of beneficiary data that is collected and maintained by CMS and its partners makes the data especially useful for these and other purposes. However, the distributed nature of Medicare systems and networks, along with the fact that so many entities external to CMS are connected to them, increases the potential that unauthorized individuals could gain access to these systems and the extensive amount of Medicare beneficiary data they contain.", "You requested that we conduct a study of current CMS efforts to protect Medicare fee-for-service beneficiary data. Our objectives were to (1) identify the major entities that collect, store, and process Medicare beneficiary data and that connect with CMS systems and networks; (2) determine whether requirements for the protection of Medicare beneficiary data align with federal guidance; and (3) assess the programs CMS has in place to oversee the implementation of security protections for Medicare beneficiary data.", "To address our first objective, we analyzed prior GAO reports and CMS documentation, such as CMS data maps and system documentation. Additionally, we interviewed CMS officials to identify major external entities with which CMS shares Medicare beneficiary data and how those entities access that data. We analyzed the information from CMS to describe the type of Medicare data each major external entity has access to and the purpose for which such access is provided. Further, we analyzed the agency agreement template between CMS and major external entities to describe the processes for managing and monitoring the sharing of beneficiary data.", "For our second objective, we reviewed relevant information security and privacy laws and National Institute of Standards and Technology (NIST) standards and guidance to identify federal requirements for implementing security and privacy. We compared the NIST standards and guidance with requirements established by CMS for entities that access Medicare fee-for-service beneficiary data to identify any inconsistencies. Additionally, we analyzed key documentation, such as information security contract clauses for each of the MACs and the standard data use agreement form used for all individuals and organizations that are either qualified entities or researchers, to determine how fully they reflect federal requirements.", "Regarding our third objective, we analyzed results from information security assessments performed by CMS and conducted interviews with CMS officials responsible for overseeing the security of Medicare fee-for- service beneficiary data provided to external entities. Specifically, we analyzed the information security assessments for contractor systems handling Medicare fee-for-service beneficiary data to determine the nature and extent of reported findings, the disposition of assessment recommendations, and whether assessment results were being addressed in a timely fashion. Appendix I discusses our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Information security is a critical consideration for any organization that depends on information systems and computer networks to carry out its mission or business, and is especially important for government agencies, where maintaining the public\u2019s trust is essential. Concerns about cyber threats to government systems and networks are well-founded, due to the dramatic increase in reports of security incidents, the ease of obtaining and using hacking tools, and advances in the sophistication and effectiveness of cyberattack technology, among other reasons. Without proper safeguards, systems are vulnerable to individuals and groups with malicious intent who can intrude and use their access to obtain or manipulate sensitive information, commit fraud, disrupt operations, or launch attacks against other computer systems and networks.", "We and federal inspectors general have reported extensively on information security deficiencies that place federal agencies at risk of disruption, fraud, or inappropriate disclosure of sensitive information. Accordingly, since 1997, we have designated federal information security as a government-wide high-risk area. This area was expanded to include the protection of critical cyber infrastructure in 2003 and protecting the privacy of personally identifiable information in 2015."], "subsections": [{"section_title": "Federal Law Establishes Security Requirements to Protect Federal Information and Systems", "paragraphs": ["The Federal Information Security Modernization Act of 2014 (FISMA) is intended to provide a comprehensive framework for ensuring the effectiveness of security controls over information resources that support federal operations and assets as well as the effective oversight of information security risks. FISMA assigns responsibility to the head of each agency to provide information security protections commensurate with the risk and magnitude of the harm resulting from unauthorized access, use, disclosure, disruption, modification, or destruction of information systems used or operated by an agency or on behalf of an agency. The law also delegates to the agency\u2019s Chief Information Officer (or comparable official) the authority to ensure compliance with FISMA requirements.", "FISMA requires each agency to develop, document, and implement an agency-wide information security program to provide risk-based protections for the information and information systems that support the operations and assets of the agency, including those provided or managed by another entity. Such a program includes assessing risk; developing and implementing cost-effective security plans, policies, and procedures; developing plans for providing adequate information security for networks, facilities, and systems; providing security awareness and specialized training; testing and evaluating the effectiveness of controls; planning, implementing, evaluating, and documenting remedial actions to address information security deficiencies; developing and implementing procedures for detecting, reporting, and responding to security incidents; and ensuring continuity of operations. In addition, FISMA requires agencies to comply with NIST standards."], "subsections": []}, {"section_title": "Office of Management and Budget Provides Guidance to Agencies on Implementing FISMA", "paragraphs": ["In accordance with FISMA, the Office of Management and Budget (OMB) is responsible for the oversight of agencies\u2019 information security policies and practices. OMB establishes requirements for federal information security programs and assigns agency responsibilities to fulfill the requirements of statutes such as FISMA. OMB requires agencies to oversee the implementation of security and privacy controls by contractors that collect, use, process, store, maintain, and disseminate federal information on behalf of a federal agency. For specific technical direction, OMB requires agencies to implement standards and guidelines established by NIST."], "subsections": []}, {"section_title": "NIST\u2019s Framework for Critical Infrastructure Cybersecurity Establishes a Baseline for Protecting Critical Information Assets", "paragraphs": ["NIST has issued a suite of information security standards and guidelines, including Recommended Security Controls for Federal Information Systems and Organizations and the Framework for Improving Critical Infrastructure Cybersecurity. These documents collectively provide comprehensive guidance on developing and implementing information security programs to agencies and entities that perform work on their behalf.", "The framework serves as a baseline for protecting critical information assets. In response to Executive Order 13636, NIST issued the framework in February 2014. It is intended to help organizations apply the principles and best practices of risk management to improve the security and resilience of critical infrastructure. The framework outlines a risk- based approach to managing cybersecurity that is composed of three major parts: a framework core, profile, and implementation tiers.", "The framework core includes a list of functions, categories, subcategories, and informative references that describe specific cybersecurity activities identified as being in common across all critical infrastructure sectors. Additionally, the framework contains implementation tiers that provide context on how an organization views cybersecurity risk and the processes in place to manage that risk. Further, the framework provides guidance on documenting individual organizational profiles that describe how the functions, categories, and subcategories align with the business requirements, risk tolerance, and resources of the organization. According to NIST, the framework core represents a common set of activities for managing cybersecurity risk. The framework also states that, while it is not exhaustive, it is extensible, allowing organizations, sectors, and other entities to use subcategories and informative references that are cost-effective and efficient and that enable them to manage their cybersecurity risk. Table 1 lists the five functions and 22 categories of the framework core.", "Subsequent to the issuance of the Cybersecurity Framework, a May 2017 executive order required agencies to use the framework to manage cybersecurity risks. It outlined actions to enhance cybersecurity across federal agencies and critical infrastructure to improve the nation\u2019s cyber posture and capabilities against cybersecurity threats to digital and physical security. In addition, the order directed agencies to develop plans to implement the framework within 90 days. The order required agencies to include in their plans: the status of planning, organizing, and submitting IT budget materials, as directed in the Fiscal Year 2018 IT Budget Capital Planning Guidance, that are aligned with the framework, the proposed internal management of cybersecurity risk using the updated metrics aligned to the framework, a timeline to map existing and planned capabilities with the framework the proposed use of the terminology and concepts in the framework to organize and communicate cybersecurity activities and outcomes."], "subsections": []}]}, {"section_title": "CMS Shares Medicare Fee-for- Service Beneficiary Data with Three Major Types of External Entities", "paragraphs": ["CMS shares Medicare beneficiary data with three major types of external entities: (1) Medicare Administrative Contractors (MACs), the contractors that provide the core processing and distribution functions that support the payment of Medicare Part A, Part B, and Durable Medical Equipment (DME) beneficiary claims on behalf of CMS, (2) research organizations (researchers), academic and non-profit entities that use Medicare beneficiary data to assist CMS in monitoring, managing, and improving Medicare programs or the services provided to beneficiaries, and (3) qualified public or private entities that use claims data on behalf of CMS to evaluate the performance of Medicare service providers and equipment suppliers."], "subsections": [{"section_title": "Medicare Administrative Contractors Access Fee- for-Service Beneficiary Data to Process Claims", "paragraphs": ["MACs process more than 1.2 billion claims for Medicare Fee-for-Service beneficiaries annually. To do so, they interact with more than 1.5 million health care providers enrolled in the Medicare Fee-for-Service program. In addition to claims processing, some of the specific functions that the MACs perform include customer service for beneficiaries and providers, financial and debt management, audit and appeals functions, and medical reviews.", "Each MAC contract covers a specific geographic area and a specific type of processing\u2014either (1) Medicare Parts A and B claims or (2) DME claims for beneficiaries. Some MACs may hold multiple contracts and, thus, process multiple types of claims. In total, a network of eight MACs covers 16 multi-state jurisdictions, serving as the primary operational connection between the Medicare Fee-for-Service program and health care providers enrolled in the program. The geographic jurisdictions of the MACs that support Parts A and B and DME beneficiary claims are shown in figures 1 and 2, respectively.", "In order to collect, store, and process information needed to process claims and make benefits payments on behalf of CMS, MACs connect directly to CMS systems. Specifically, MACs connect to CMS\u2019s Virtual Data Centers (VDCs) through its CMSNet telecommunications network.", "MACs process Medicare Fee-for-Service claims, which include beneficiaries\u2019 PII and protected health information, through the VDCs. The VDCs consists of two large datacenters that are operated and managed by CMS that collectively serve as a platform for Medicare claims processing software systems. MACs use a combination of four CMS systems that operate within the VDCs to process claims. These systems and their functions are described in table 2.", "Health care providers submit Medicare fee-for-service claims to the MACs. The claims are reviewed to check if the claim is in a valid format, if the requestor is valid, and whether it is a duplicate. In addition, MACs process claims in the Fiscal Intermediary Shared Systems, Multi-Carrier System, VIPS Medicare System, and Common Working File. Processing includes adjudicating claims, checking whether the services are covered by Medicare, and determining the price that should be paid to the provider for the service.", "The links between external entities and CMS systems can take several different paths. Figure 3 shows how these entities are connected to CMS systems in order to obtain and use Medicare beneficiary data."], "subsections": []}, {"section_title": "Researchers Access Fee- for-Service Beneficiary Data to Assist CMS in Monitoring, Managing, and Improving Medicare Programs and Services", "paragraphs": ["Researchers use Medicare beneficiary data to study how healthcare services are provided to beneficiaries. Examples of research entities include universities and colleges, non-profit research institutes, and policy research organizations. CMS offers researchers a broad range of data on the Medicare program to support research on current and future spending, past and present enrollment, and claims, which can benefit the public through improved delivery of healthcare services. Research performed using this data may also assist CMS in monitoring, managing, and improving Medicare programs and services to beneficiaries.", "To obtain Medicare data from CMS, researchers must apply for access to a specific dataset, such as the Carrier file which includes claims for services provided by physicians and other non-institutional providers. In the application, the researcher provides information explaining how the data are to be used and stored, and CMS reviews and approves (or denies) the application. The researcher then enters a data use agreement with CMS for access to specific sets of Medicare beneficiary data, which are to be used only for stated research objectives. The data use agreement specifies which beneficiary data can be accessed, for what purpose, the duration of access, and data protection and confidentiality requirements. Unless the agreement authorizes the release of the data in accordance with CMS policy, it is not to be released by the researcher. As of October 2017, 195 research entities had received Medicare data.", "Researchers access Medicare beneficiary data in one of two ways. To gain access from their computers, they connect to CMS\u2019s Chronic Conditions Warehouse/Virtual Research Data Center (CCW/VRDC) through a CMS-provided secure network connection. Within the CCW/VRDC, researchers are given access to an individually tailored computing environment containing only copies of the specific sets of beneficiary data they have been authorized to use. Researchers can then conduct their analysis on the data using software tools provided by CMS within this secure environment.", "Researchers can also access data by having it shipped to them in encrypted form through the U.S. mail. Once it has been received, researchers decrypt the data and load it into their own information systems for analysis. The data use agreements specify requirements for protecting beneficiary data obtained in this fashion."], "subsections": []}, {"section_title": "Qualified Entities Access Medicare Fee-for-Service Beneficiary Data to Evaluate the Performance of Service Providers and Equipment Suppliers", "paragraphs": ["Qualified entities use CMS claims data to assess the effectiveness of Medicare service providers and equipment suppliers. The Medicare Data Sharing for Performance Measurement Program, originally established to comply with the Patient Protection and Affordable Care Act, requires qualified entities to combine the Medicare data with claims data from sources other than Medicare to produce and publicly disseminate CMS- approved reports on provider and supplier performance with regard to measures of quality, efficiency, effectiveness, and resource use.", "Like researchers, after they have been approved to access data by CMS, qualified entities must enter into a data use agreement with CMS. The agreement specifies which beneficiary data can be accessed, for what purpose, the duration of access, and data protection and confidentiality requirements. A separate agreement is required for each qualified entity\u2019s activity. The Medicare beneficiary data to be accessed are encrypted and can either be shipped to the qualified entity on an external hard drive or saved within the CCW/VRDC to be accessed through a Secure File Transfer System connection. Once it has received the electronic files, the qualified entity decrypts the files and analyzes the data on its own system(s).", "As of October 2017, ten organizations had received Medicare data as a qualified entity. Each entity is responsible for analyzing and reporting on provider performance for one or more specific geographic area."], "subsections": []}]}, {"section_title": "CMS Established Information Security Requirements that Align with Federal Guidance for Some, but Not All, External Entities", "paragraphs": ["CMS has developed requirements for implementing security controls that align with federal guidance for two of the three types of external entities that access Medicare Fee-for-Service data. Specifically, adherence to the requirements, which CMS defined using a risk-based process, is mandatory for MACs and qualified entities. However, CMS does not consider the requirements to be applicable to researchers because they are not CMS contractors. Without providing comprehensive, risk-based requirements for implementing security controls to all external entities that have access to Medicare beneficiary data, CMS increases the risk that external entities possessing CMS data may not have applied security controls that meet CMS standards."], "subsections": [{"section_title": "CMS Requirements for MACs and Qualified Entities Reflect a Risk- Based Assessment and Generally Align with the NIST Cybersecurity Framework", "paragraphs": ["To assist agencies in the selection of appropriate security controls, NIST developed the Cybersecurity Framework, which specifies controls that support the core security functions of identifying, detecting, preventing, responding to, and recovering from security incidents. Further, to ensure that controls are selected that achieve the security goals of the organization, NIST recommends that organizations use risk-based methods to tailor the selection of controls within this framework for implementation. According to NIST risk management guidance, the tailoring process includes identifying a baseline of security controls, assigning specific values to organization-defined security control parameters, such as password complexity, and supplementing baselines with additional controls and control enhancements.", "Once an agency has assessed security risks and identified appropriate controls to mitigate them, NIST recommends that the agency establish specific requirements for implementing those controls to ensure consistency both internally and externally to the agency. This is important in meeting the requirements of FISMA, which requires that a federal agency\u2019s security efforts include information and systems provided or managed by another agency, contractor, or other source. Additionally, the Cybersecurity Framework recommends that contracts or other formal agreements abide by NIST guidance to provide a means to ensure privacy and security controls; it also states that contractors are to protect PII in the same manner as their customers.", "CMS developed minimum security requirements based on applicable federal guidance, for its own internal systems and for the systems operated by its contractors, such as MACs and qualified entities. These requirements are documented primarily in CMS\u2019s Acceptable Risk Safeguards (ARS).", "CMS designed the ARS as a tailored selection of NIST controls reflecting FISMA requirements as well as the agency\u2019s own policies, procedures, and guidance; other federal and non-federal guidance; and industry leading practices. According to the agency, the requirements in the ARS are intended to ensure that systems meet a minimum level of information security and privacy assurance and reflect the agency\u2019s information systems security policy. CMS requires all employees, contractors, sub- contractors, and their respective facilities supporting agency business missions and performing work on behalf of the agency to observe this policy.", "Because MACs are CMS contractors, the agency requires them to align their security practices with the ARS as well as with broader federal guidance, including NIST\u2019s catalog of recommended security controls, its minimum security standard for federal information systems, and OMB\u2019s guidance on information management. Additionally, as part of the Qualified Entity Certification Program and consistent with NIST guidance, CMS requirements state that systems used by qualified entities to process Medicare beneficiary data have been assessed at a moderate impact level and accordingly are held to the ARS implementation guidance using the minimum controls specified for moderate risk systems.", "According to agency officials responsible for developing and maintaining the ARS, CMS used a risk-based process to select security controls to include in the requirements, thus ensuring that the ARS appropriately reflected agency needs and priorities. The process began with a review of baseline control requirements outlined in NIST guidance to ensure that all of those controls were reflected in the requirements. Then, the agency reviewed the rest of the NIST information security controls that were not included in the baseline and determined whether to include them in the ARS as \u201coptional\u201d controls. For example, the officials stated that certain controls appeared to apply primarily to national security systems and would not be needed for CMS applications. In all, the agency decided not to include 13 of the 165 controls specified in the NIST Cybersecurity Framework, none of which were designated by NIST as mandatory baseline controls.", "By undertaking this process of assessing the risk associated with each of the information security controls, the agency helped to ensure that its ARS reflects security requirements that are necessary and appropriate for its own systems and for systems operated by contractors on its behalf. A complete description of the NIST Cybersecurity Framework controls and how the ARS aligns with them can be found in appendix II."], "subsections": []}, {"section_title": "CMS Does Not Provide Security Guidance for Researchers", "paragraphs": ["While CMS requires MACs and qualified entities to implement security controls consistent with NIST guidance and provides additional guidance to ensure that those controls are consistent with CMS standards, it does not provide supplemental guidance tailored for researchers. Specifically, as part of its data use agreements with researchers, CMS includes a broad requirement to implement security and privacy protections that are consistent with NIST and OMB guidance. However, the agency has not provided risk-based guidance defining the minimum acceptable security controls that researchers should implement to protect Medicare beneficiary data. Nor has CMS provided guidance to researchers on how to select and implement specific security controls.", "According to CMS officials who oversee researcher access to CMS data, all researchers are required to prepare data management plans that outline their planned safeguards for protecting Medicare beneficiary data in their custody. In determining what controls to implement, however, they have only broad federal guidance, such as NIST\u2019s catalog of controls, to use as a reference. The officials stated that CMS has not developed specific requirements based on an assessment of the risks associated with researcher functions that would define a minimum set of required safeguards. This is in contrast with the MACs and qualified entities, which have specific requirements based on the ARS that they are to implement to adequately protect data received from CMS.", "The lack of specific requirements does not affect all data that researchers access on behalf of CMS. In many cases, researchers access and process Medicare beneficiary data on systems operated by CMS and are not responsible for implementing the security controls for those systems. In such cases, the researchers access beneficiary data within a virtualized environment, called the CCW/VRDC, which allows CMS to monitor data retrieval and use.", "However, in other cases, CMS provides beneficiary data to researchers on external hard drives or other physical media that are outside of the Chronic Conditions Warehouse. In those cases, researchers receive Medicare beneficiary data that they transfer to and process on their own systems. These systems are secured according to individual researchers\u2019 own policies and procedures, which may or may not be consistent with CMS requirements applied to other entities.", "CMS requirements tailored specifically for researchers could address topics such as password complexity, patch management, and encryption of sensitive data, all of which otherwise may be implemented inconsistently by different researchers. According to CMS officials responsible for overseeing researcher access to data, CMS does not require researchers to adhere to its Information Systems Security and Privacy Policy or to implement the controls specified in the ARS because researchers are not agency contractors. The CMS officials said it was not necessary for the agency to set specific security requirements for entities that do not have a contractual relationship with the agency. Additionally, these officials stated that they believe the lack of specific guidance gives the researchers more flexibility to independently assess their security risks and determine which controls to implement based on that assessment.", "However, by not providing guidance to researchers that includes security implementation requirements tailored to CMS-authorized uses of Medicare data, CMS cannot ensure that researchers implement security measures that are commensurate with the sensitivity of the data that is provided to them. As a result, there is an increased risk that sensitive PII and protected health information may be at risk of compromise."], "subsections": []}]}, {"section_title": "CMS Has Not Consistently Overseen the Implementation of Security Controls by External Entities", "paragraphs": ["CMS has established a program to oversee the MACs\u2019 implementation of security and privacy protections over Medicare beneficiary data, but it does not consistently track low-risk weaknesses in the CMS FISMA Controls Tracking System. MACs are subject to two types of independent annual assessments that regularly identify weaknesses in their implementation of security controls. The assessments have identified several recurring categories of weaknesses; however, the agency does not track low-risk weaknesses that could be related to these recurring categories. Additionally, CMS has not established a corresponding program for overseeing the implementation of security controls by researchers and qualified entities. Without more consistently tracking identified issues at MACs and establishing effective oversight measures for researchers and qualified entities, CMS cannot fully ensure that the security of Medicare beneficiary data is being adequately protected."], "subsections": [{"section_title": "CMS Has Overseen Independent Assessments at the MACs, but Has Not Consistently Tracked Issues Identified by Those Assessments", "paragraphs": ["Requirements for agencies to oversee the implementation of security protections are established in law and federal guidance. For example, the NIST Cybersecurity Framework specifies that organizations should assess security controls to determine the extent to which the controls are implemented correctly, operating as intended, and producing the desired outcome. The framework states that, as part of the process for conducting security control assessments, organizations should track and monitor weaknesses and develop remedial actions. Further, according to the framework, the security assessment process is intended to provide feedback to organizations that can use the information to make risk- based adjustments to protections for their systems and networks.", "In addition, both FISMA and the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 set specific requirements for CMS oversight of the implementation of information security controls by the MACs. FISMA requires an annual independent evaluation of an agency\u2019s information systems, including those provided or managed by contractors, to ensure compliance with NIST requirements. Further, OMB\u2019s FISMA guidance specifies regular testing of all security controls with an agency-determined, risk-based subset to be tested annually. The MMA likewise requires the MACs to undergo an independent evaluation of their information security program on an annual basis. Specifically, an independent assessor is to annually test an appropriate subset of a contractor\u2019s systems and assess compliance with federal requirements for information security policies, procedures, standards, and guidelines, as defined by OMB."], "subsections": [{"section_title": "MACs Undergo Two Types of Annual Assessments", "paragraphs": ["In order to meet the requirements of the MMA and FISMA, CMS established two separate annual information security assessment processes for the MACs. Specifically, to comply with MMA, CMS has overseen independent annual evaluations of these contractors since the law was enacted in 2003. CMS selected an independent assessor to perform all of the MMA assessments. The assessor first reviews documentation of the implementation of security controls by the contractor and then reviews technical security controls onsite at each MAC. In 2010, CMS expanded the MMA assessments into more technical areas and has included penetration testing as part of the assessments.", "In addition, agency officials that oversee the MMA assessments stated that CMS reviews contractor policies and procedures for configuration management twice a year and conducts an on-site review of the implementation of selected technical controls every June. In 2016, the independent assessor performed tests in nine categories of security controls at eight MAC datacenters. In total, these assessments reported 168 weaknesses, of which 53 were categorized as high or moderate risk and 115 were low-risk.", "Further, to comply with FISMA requirements that all controls are tested regularly, CMS requires MACs to test one-third of their system security controls annually. CMS determines the control families to be tested in any given year and rotates the selection each year so that all controls are tested by the end of the 3-year testing cycle. For the 2016 FISMA assessment, CMS selected 121 security requirements within 8 control families.", "The independent assessor is responsible for assessing the security controls and making recommendations on how to correct weaknesses and address identified vulnerabilities. To determine compliance with CMS requirements, controls are assessed against the minimum security requirements defined in the CMS ARS.", "According to CMS officials from the Medicare Contractor Management Group, the two annual assessment processes together ensure that sufficient testing is being conducted each year. For example, in any given year, the MMA assessments may cover different security controls than the FISMA assessments. In addition, the FISMA assessors may identify outstanding recommendations that were made from the prior year\u2019s MMA assessment and provide a status update on progress made to address open recommendations."], "subsections": []}]}, {"section_title": "Corrective Actions and Milestones Have Not Always Been Tracked Consistently", "paragraphs": ["Tracking and remediation are key parts of an organization\u2019s security program that help to ensure that identified issues are addressed promptly and effectively. CMS requires the MACs to develop corrective action plans to remediate most of the weaknesses identified by the MMA and FISMA assessments. CMS requires that these weaknesses, along with plans of action and milestones for correcting them, be captured and tracked in its CMS FISMA Controls Tracking System, which is an agency- wide system for tracking the remediation of identified weaknesses. The tracking system maintains the certification and accreditation documents for all MAC systems and manages plans of action and milestones, their remediation activities, and completion. CMS monitors the disposition of all issues captured in the CMS FISMA Controls Tracking System, which helps to ensure that the MACs take steps to address weaknesses within required time frames.", "However, because CMS does not routinely track low-risk weaknesses, it may not be ensuring that all weaknesses consistently receive appropriate management attention and timely remediation. Specifically, with regard to the MMA assessments, CMS requires MACs to develop a corrective action plan to remediate only high and medium-risk weaknesses, which are tracked using plans of action and milestones. CMS does not require the tracking of low-risk weaknesses, which are shown in the assessment reports as recommended improvements rather than weaknesses in need of correction. In certain cases, MMA assessments have classified weaknesses as low-risk, and they have not been tracked in the CMS FISMA Controls Tracking System, even though similar weaknesses were classified by other assessments as medium- or high-risk, and were tracked. In contrast to the MMA assessments, CMS requires that MACs track all weaknesses identified in FISMA assessments in the CMS FISMA Controls Tracking System.", "Examples of inconsistently classified weaknesses reported in the 2016 MMA assessments include (1) maintaining complete and up-to-date inventories of information system components and (2) ensuring that protections against malicious software are installed and kept up-to-date. Of the six assessments that reported that MACs did not have a complete and accurate listing of systems and devices supporting Medicare claims processing, three classified this weakness as medium-risk and created a plan of action and milestones, while the other three assessed a low-risk level and did not create a plan of action and milestones. Similarly, eight assessments reported that MACs either did not have malicious software protections installed or they were not up-to-date. Of these eight, CMS officials stated that three were classified as medium-risk and were tracked by CMS, while the other five were assigned a low-risk level and not tracked.", "The inventory and malicious software protection weaknesses that were tracked inconsistently are related to categories of weaknesses that have posed recurring challenges for the MACs in recent years. Since 2009, both the MMA and FISMA assessments have reported incomplete implementation of several types of high-risk security requirements across all the MACs. The weaknesses identified during these assessments\u2014 which generally involved configuration management, system security plans, and system inventories\u2014have yet to be fully resolved. Table 3 describes these key categories of weaknesses.", "According to CMS officials, weaknesses identified in the annual MMA assessments may be ranked at different risk levels because the specific circumstances of each finding can vary. However, documentation of the specific weaknesses identified in the 2016 MMA assessment reports does not make clear why findings that are characterized in similar terms or have the same name may have been assigned different risk levels.", "CMS officials who oversee the information security testing at MACs stated that they are aware of the recurring areas of weaknesses identified in the annual assessments and have been taking actions to address them. For example, in 2009, CMS began requiring MACs to submit evidence that their configuration management programs complied with CMS requirements. According to the officials, since this program has been put into place, configuration management processes at the MACs have become more consistent and more thoroughly documented.", "Nevertheless, the 2016 FISMA assessments concluded that a MAC\u2019s system security plan did not include procedures for testing changes made to their production environments, and the MAC was not tracking changes made to the production environments. According to the CMS officials, the fact that recurring issues such as these have not yet been fully resolved may be due to the root causes of the deficiencies not yet being addressed.", "Without more consistent tracking of identified issues through plans of action and milestones, it may be difficult for CMS to fully determine the extent to which security weaknesses identified during assessments of the MACs are remediated. Weaknesses that appear to be low-risk may be indicators of more significant underlying issues and, thus, may not be receiving appropriate management attention or prompt remediation, unnecessarily exposing Medicare beneficiary data to security risks."], "subsections": []}, {"section_title": "CMS Does Not Have Effective Oversight Processes and Procedures for Researchers and Qualified Entities", "paragraphs": ["While CMS has established assessment programs for MACs, the agency has much more limited security oversight mechanisms in place to ensure that qualified entities and researchers with access to Medicare beneficiary data implement appropriate security controls. CMS oversight processes and procedures for qualified entities and researchers consists primarily of reviewing the data protections that researchers and qualified entities describe in the data management plans they submit when requesting access to Medicare beneficiary data.", "According to CMS officials who review these plans, they may ask follow- up questions to obtain more information or make recommendations on how to better implement security safeguards in accordance with CMS requirements. However, no further reviews are conducted for any qualified entities or researchers. For example, CMS does not conduct on- site reviews of the implementation of security controls and does not collect or review evidence of whether the controls have been appropriately implemented. Further, it does not conduct or require any independent testing of security controls.", "As an additional check for qualified entities, instead of assessing their security controls, CMS assesses their responses to questions relating to 213 moderate-level data security controls from 26 control families set forth in the ARS. However, once the initial document review has been completed, CMS does not perform any in-person or document reviews of security controls that are in place unless the qualified entity reports a major change in its data security environment after initial approval.", "According to officials of the Office of Enterprise Data Analytics, which is responsible for overseeing access to Medicare data by researchers and qualified entities, CMS has, in the past, conducted remote and on-site reviews as a pilot project. These reviews examined selected researchers\u2019 security controls, based on factors such as the use of data described in the researchers\u2019 data management plans. According to these officials, the pilot project is no longer being conducted because funding for the program has stopped.", "The need to ensure that these entities have effectively implemented information security controls is demonstrated by data breaches that these organizations have reported. Of the 195 research entities that CMS has data use agreements with, six have suffered data breaches involving the loss of over 500 records containing PII covered under the Health Insurance Portability and Accountability Act of 1996, which they reported to the HHS Office of Civil Rights. These breaches included Internet-based intrusions into researcher systems as well as other IT- related incidents.", "According to CMS officials who oversee access to Medicare data for researchers and qualified entities, the data use agreement requires organizations to report any breach of PII or personal health information from the CMS data files to the agency. These officials also stated that the six organizations did not report any breaches to CMS and that they were unaware that the organizations had reported compromises. The officials noted that if the breaches did not involve PII or personal health information from CMS data files provided under a data use agreement, the organizations were not required to report this information to CMS. Further, these officials stated that the agency is currently revising its data management plan to include a requirement for organizations to fully disclose all breaches to the agency, which may impact whether or not to grant access to Medicare data for organizations that were breached.", "Given that, in the past, researchers\u2019 systems have been successfully attacked, effective implementation of security controls is critical to reducing threats of compromise. However, without more robust oversight processes and procedures, CMS cannot determine whether qualified entities or researchers have implemented security controls appropriately and, thus, cannot ensure that the risks associated with their use of Medicare beneficiary data have been adequately mitigated."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["CMS shares Medicare beneficiary data with external entities primarily for processing Medicare claims, supporting medical research, and evaluating the performance of Medicare service and equipment providers. CMS has set basic requirements for protecting the security of Medicare beneficiary data that it shares with MACs, qualified entities, and researchers. However, CMS has not required the documentation of low-risk weaknesses in the CMS FISMA Controls Tracking system so that CMS can track the MACs\u2019 remediation of weaknesses that have been identified in recurring annual assessments. In addition, MACs and qualified entities are given guidance that generally aligns with federal guidance and is based on an assessment of risks specific to CMS to ensure that appropriate controls have been included. However, CMS has not provided guidance to researchers on how to select and implement specific security controls. Until CMS provides more comprehensive, risk- based guidance on implementing security controls to all of its external partners, there is an increased risk that researchers will not fully implement appropriate protections for Medicare beneficiary data.", "CMS has developed and implemented an oversight program for the MACs\u2019 implementation of security controls based on two types of annual independent assessments, which together help ensure that sufficient testing is being conducted each year. However, CMS has not ensured that the MACs track and remediate identified weaknesses consistently, including weaknesses that have been identified in recurring annual assessments. Further, CMS has not established an oversight program for qualified entities and researchers to assess whether they are implementing security controls as they are required. Without more effective oversight programs in place, CMS lacks full assurance that external entities are appropriately implementing security protections for Medicare beneficiary data."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making three recommendations to the Administrator of the Centers for Medicare and Medicaid Services:", "Develop and distribute guidance for researchers defining minimum security controls and implementation guidance for those controls that is consistent with NIST guidance. (Recommendation 1)", "Develop processes and procedures to ensure that findings from all MAC assessments are classified consistently and tracked appropriately. (Recommendation 2)", "Develop processes and procedures to ensure that qualified entities and researchers have implemented information security controls effectively throughout their agreements with CMS. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We received written comments on a draft of this report from HHS. In the comments (reprinted in appendix III), the department concurred with our three recommendations and discussed actions that the department has planned or taken. If fully and effectively implemented, the intended actions should help HHS to address weaknesses in processes and procedures for ensuring the protection of Medicare beneficiary data used by the department\u2019s contractors. The department also provided technical comments, which we have incorporated in the report, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9342 or marinosn@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) identify the major entities that collect, store, and process Medicare beneficiary data and that connect with Centers for Medicare and Medicaid Services (CMS) systems and networks; (2) determine whether requirements for the protection of Medicare beneficiary data align with federal guidance; and (3) assess the programs CMS has in place to oversee the implementation of security protections for Medicare beneficiary data.", "To address our first objective, we analyzed prior GAO reports and CMS documentation, such as CMS data maps and system documentation. Additionally, we conducted interviews with agency officials to identify major external entities that access Medicare beneficiary data, including with Medicare Administrative Contractors (MAC) and researchers. We analyzed the information obtained from CMS to describe the type of Medicare data each entity has access to and purposes for which such access is provided. Further, we analyzed agency agreements with external entities to describe external uses for the data CMS collects and distributes.", "Regarding our second objective, we analyzed CMS guidance, specifically its Acceptable Risk Safeguards (ARS), to determine baseline requirements for the protection of Medicare beneficiary data that have been established by CMS. To assess the completeness of this guidance, we compared the ARS to the National Institute of Standards and Technology\u2019s (NIST) Cybersecurity Framework\u2019s controls included in the \u201cidentify,\u201d \u201cprotect,\u201d \u201cdetect,\u201d and \u201crespond\u201d categories. We did not include the \u201crecover\u201d category because it is more focused on data recovery than on the identification, protection, and detection capabilities necessary to prevent incidents. We compared the controls referenced by NIST to the controls that were documented in the ARS to identify controls that had not been included. We also interviewed CMS officials responsible for developing the ARS to determine the process that the agency uses to select controls.", "Additionally, to determine how CMS required external entities to implement security measures, we reviewed formal agreements that were entered into with those organizations. For the MACs, we analyzed contracts to determine CMS security requirements. For researchers and qualified entities, we reviewed the data use agreement templates to determine what requirements CMS specified for selecting and implementing security measures.", "To address our third objective, we analyzed system assessments performed by CMS and conducted interviews with CMS officials responsible for overseeing the security of Medicare beneficiary data provided to external entities. Specifically, we analyzed information security assessments to determine the nature and extent of reported findings, the disposition of assessment recommendations, and whether assessment results were being addressed in a timely fashion over the span of time that they have been conducted.", "For the MACs, we reviewed assessments performed in accordance with the Federal Information Security Management Act and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. For researchers and qualified entities, we obtained information from CMS about ongoing and previously performed assessment programs. Through interviews with relevant CMS officials, we obtained and analyzed information about the findings that were not resolved in a timely fashion and about the constraints that prevented the ongoing assessment of researchers and qualified entities.", "We conducted this performance audit from October 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Analysis of CMS Acceptable Risk Safeguards", "paragraphs": ["We compared the Centers for Medicaid and Medicare Services (CMS) Acceptable Risk Safeguards (ARS) with the National Institute of Standards and Technology (NIST) Cybersecurity Framework to determine the extent to which the ARS aligns with the framework. To do this, we compared the controls noted as informative references by the framework to the controls documented in the ARS. We did not assess the \u201cRecover\u201d category because it is more focused on data recovery than on the identification, protection, and detection capabilities necessary to prevent incidents."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, John De Ferrari (assistant director); Thomas Johnson (analyst-in-charge); Chris Businsky, Kavita Daitnarayan, Nancy Glover, Charles Hubbard III, Monica Perez-Nelson, and Richard Sayoc made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-29", "url": "https://www.gao.gov/products/GAO-19-29", "title": "Defense Nuclear Enterprise: DOD Continues to Address Challenges but Needs to Better Define Roles and Responsibilities and Approaches to Collaboration", "published_date": "2018-11-01T00:00:00", "released_date": "2018-11-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2014, the Secretary of Defense directed two reviews of DOD's nuclear enterprise. These reviews identified problems with leadership, organization, investment, morale, policy, and procedures, as well as other shortcomings that adversely affected the nuclear deterrence mission. The reviews also made recommendations to address these problems. In 2015, DOD conducted a review focused on NC3 systems, which resulted in additional recommendations.", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for GAO to review DOD's processes for addressing these recommendations. This report addresses the extent to which DOD and the military services have (1) made progress in the implementation, tracking, and evaluation\u2014including identifying and documenting risk\u2014of the recommendations of the 2014 nuclear enterprise reviews and the 2015 NC3 report and (2) improved oversight of the defense nuclear enterprise and managed roles, responsibilities, and collaboration among various organizations. GAO reviewed relevant documents and interviewed agency officials from DOD and the military services."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has made progress in implementing the recommendations from the 2014 nuclear enterprise reviews and a 2015 nuclear command, control, and communications (NC3) review and has improved its tracking and evaluation of this progress. For example, since GAO last reported\u2014in October 2017\u2014an additional 74 of the 247 sub-recommendations from the 2014 reviews have been closed; 96 remain open. In January 2018, in response to a GAO recommendation, the Office of Cost Assessment and Program Evaluation (CAPE) issued guidance to aid the military services in identifying, assessing, and documenting risks associated with the 2014 recommendations, such as unintended consequences from their implementation. The guidance calls on them to update their risk assessments periodically as new data become available. The Air Force and Navy have begun to provide risk information in CAPE's and their own tracking tools. In July 2018, in response to a GAO recommendation, DOD's Chief Information Officer issued guidance to improve tracking and evaluation of progress in implementing the 2015 recommendations.", "DOD and the military services have taken steps to improve oversight of the nuclear enterprise in response to the 2014 reviews but lack clear roles and responsibilities and methods for collaboration. The Secretary of Defense created the Nuclear Deterrent Enterprise Review Group (NDERG) in 2014 to ensure the long-term health of the nuclear enterprise by addressing resourcing, personnel, organizational, and enterprise policy issues. However, DOD guidance has not clearly defined roles and responsibilities for the NDERG or provided methods for the NDERG to communicate and collaborate with other nuclear oversight organizations, including those shown in the figure. Nor has NC3 oversight guidance been updated to reflect changes in roles and responsibilities and to include methods for communication and collaboration among NC3 oversight groups. In the absence of defined roles and responsibilities for the NDERG and NC3 oversight bodies and methods for how the NDERG and NC3 oversight groups are to communicate and collaborate, senior leaders may not be in a position to effectively manage resourcing and risk across the department."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes four recommendations for DOD to clarify roles, responsibilities, and methods of communication and collaboration for both the NDERG and NC3 oversight bodies. DOD concurred with all four recommendations and provided information about planned actions to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2014, as a response to incidents involving the nation\u2019s nuclear forces and their senior leadership, the Secretary of Defense directed an internal review and an independent review of the Department of Defense (DOD) nuclear enterprise. Together, the two reports and a memorandum from the U.S. Strategic Command Commander with additional areas for improvement (hereafter referred to collectively as the 2014 nuclear enterprise reviews) identified problems with leadership, organization, investment, morale, policy, and procedures, as well as other shortcomings that adversely affected the nuclear deterrence mission. In 2015, DOD conducted a review focused on nuclear command, control, and communications (NC3) systems, which resulted in a report (hereafter referred to as the 2015 NC3 report) with recommendations to address diffused responsibility, accountability, and authority for the NC3 enterprise; ineffective life-cycle management programs; and a lack of institutional training and personnel management programs.", "The National Defense Authorization Act (NDAA) for Fiscal Year 2017 includes a provision for us to review\u2014during each of fiscal years 2017 through 2021\u2014DOD\u2019s processes for addressing the recommendations of the nuclear enterprise reviews. We are also to review DOD\u2019s process for implementing recommendations from other assessments of the nuclear enterprise, including the 2015 NC3 report, and to provide a briefing to the congressional defense committees on the results of our review. In July 2016, we reported that the process DOD had developed for tracking the 2014 review recommendations generally appeared consistent with relevant criteria from Standards for Internal Control in the Federal Government\u2014including using and effectively communicating quality information and performing monitoring activities. In October 2017, we recommended that the Office of Cost Assessment and Program Evaluation (CAPE) develop additional guidance on the identification of risks and the documentation of these risks in DOD\u2019s centralized tracking tool for the recommendations of the 2014 nuclear enterprise reviews. We also recommended that the DOD Chief Information Officer (CIO) develop guidance to improve the tracking and evaluation of DOD\u2019s progress in implementing the recommendations of the 2015 NC3 report. DOD concurred with these recommendations, and we discuss its efforts to address them later in this report.", "This report addresses the extent to which 1. DOD and the military services have made progress in the implementation, tracking, and evaluation\u2014including identifying and documenting risk\u2014of the recommendations of the 2014 nuclear enterprise reviews and the 2015 NC3 report and 2. DOD and the military services have improved oversight of the defense nuclear enterprise and managed roles, responsibilities, and collaboration among various organizations.", "For objective one, we reviewed key documents, including the centralized DOD tracking tool for 2014 recommendations, the military services\u2019 internal tracking tools for the 2014 recommendations, and the DOD CIO\u2019s tracking tool for the 2015 recommendations. We also interviewed officials responsible for implementing the recommendations, to verify that the content captured in the tracking mechanisms reflected progress accurately. We determined that the information in the tracking tools was reliable for our purposes by reviewing the contents of the tracking tools and comparing this information with source documents\u2014including the internal and independent nuclear enterprise reviews, U.S. Strategic Command\u2019s action plan, and the 2015 NC3 report\u2014and documentation of actions taken by the military services and other organizations to implement the recommendations. We also reviewed applicable guidance, such as the Secretary of Defense\u2019s 2014 memorandum (Nuclear Enterprise Review Corrective Action Implementation), the 2016 Deputy Secretary of Defense memorandum (Transition of Nuclear Enterprise Review Tracking Responsibilities, which includes CAPE\u2019s Nuclear Enterprise Review Tracking Analytic Guidance Overview), and CAPE\u2019s January 2018 updated guidance on risk (Additional Guidance for Nuclear Enterprise Review Recommendation Tracking).", "For objective two, we reviewed key documents\u2014including the independent and internal nuclear enterprise reviews\u2014and guidance such as the Secretary of Defense\u2019s memorandum (Nuclear Enterprise Review Corrective Action Implementation). We also reviewed the statutes establishing roles and responsibilities for the Nuclear Weapons Council and the Council on Oversight of the National Leadership Command, Control, and Communications System (NLC3S Council). We obtained and analyzed lists of attendees at meetings of the Nuclear Deterrent Enterprise Review Group (NDERG), the Nuclear Weapons Council, and the NLC3S Council that were held from January 2014 through March 2018 to identify offices and senior DOD leaders that participated in more than one of these organizations. Finally, we interviewed cognizant DOD officials about their participation in defense nuclear enterprise oversight organizations. We compared the roles and responsibilities of these oversight organizations with relevant criteria from Standards for Internal Control in the Federal Government and with our selected leading practices for collaboration.", "To conduct our work on both objectives, we interviewed officials from the following offices to discuss progress in implementing the recommendations to improve the nuclear enterprise:", "Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs (Nuclear Matters)", "Office of the Deputy Assistant Secretary of Defense for Nuclear", "Defense Threat Reduction Agency", "Secretary of the Air Force, Office of the Inspector General", "Air Force Headquarters: Strategic Deterrence and Nuclear Integration (A10)", "Air Force Global Strike Command", "Chief of Naval Operations: Nuclear Policy (N514) and Undersea Warfare (N97)", "U.S. Army Nuclear and Countering-Weapons of Mass Destruction We conducted this performance audit from October 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Oversight of 2014 Nuclear Enterprise Reviews\u2019 Recommendations", "paragraphs": ["In November 2014, the Secretary of Defense directed DOD to address the recommendations from the 2014 nuclear enterprise reviews and directed CAPE to track and assess these implementation efforts. The Joint Staff, the Navy, the Air Force, offices within the Office of the Secretary of Defense, and U.S. Strategic Command have supported CAPE\u2019s efforts. CAPE compiled the recommendations from the 2014 nuclear enterprise reviews. In total, CAPE identified 175 distinct recommendations from the three documents. CAPE then identified 247 sub-recommendations within those recommendations, which were directed to multiple military services or other DOD components. For example, if a recommendation was directed to the Air Force and the Navy, then one sub-recommendation was made to the Air Force and one to the Navy.", "CAPE then worked with the military services to identify offices of primary responsibility for implementing actions to address the recommendations, any offices with coordinating responsibility, and any resources necessary to implement each recommendation. CAPE has developed a centralized tracking tool to collect information on progress in meeting milestones and metrics. As shown in figure 1, the tracking tool includes fields for the underlying problem statement, or root cause, for the recommendation; time frames with milestones for implementing the recommendation; and performance measures (referred to as metrics in the tracking tool) to assess the effectiveness of the actions taken.", "The tracking tool currently contains hundreds of unique milestones and metrics and, according to CAPE officials, additional milestones and metrics are added as they are identified. The Air Force and the Navy also have developed their own methods of tracking their service-specific recommendations. In December 2016, the Deputy Secretary of Defense issued a memorandum that directed the transition of the tracking and analysis responsibilities related to implementing the recommendations of the 2014 nuclear enterprise reviews from CAPE to the military departments and other DOD components. However, CAPE remains responsible for providing guidance to inform the analyses conducted by other DOD entities, overseeing these analyses, and assessing recommendations for closure. The aim of these changes was to enhance ownership and embed the principles of robust analysis, continuous monitoring, and responsibility throughout the department."], "subsections": []}, {"section_title": "NC3 Systems", "paragraphs": ["NC3 is a large and complex system comprised of numerous land-, air-, and space-based components used to ensure connectivity between the President and nuclear forces. NC3 is managed by the military departments, nuclear force commanders, and the defense agencies; it provides the President with the means to authorize the use of nuclear weapons in a crisis.", "NC3 systems support five important functions:", "Force management: assignment, training, deployment, maintenance, and logistics support of nuclear forces before, during, and after any crisis.", "Planning: development and modification of plans for the employment of nuclear weapons and other options.", "Situation monitoring: collection, maintenance, assessment, and dissemination of information on friendly forces, adversary forces and possible targets, emerging nuclear powers, and worldwide events of interest.", "Decision making: assessment, review, and consultation that occur when the employment or movement of nuclear weapons is considered.", "Force direction: implementation of decisions regarding the execution, termination, destruction, and disablement of nuclear weapons."], "subsections": []}, {"section_title": "Oversight of the 2015 NC3 Report Recommendations", "paragraphs": ["As recommended in the 2015 NC3 report, the NLC3S Council has taken a lead role in providing oversight and making the final determination on the implementation status of that report\u2019s 13 recommendations. The NLC3S Council is co-chaired by the Under Secretary of Defense for Acquisition and Sustainment and the Vice Chairman of the Joint Chiefs of Staff. Members of the council include the Under Secretary of Defense for Policy; the Commander, U.S. Strategic Command; the Commander, North American Aerospace Defense Command/U.S. Northern Command; the Director, National Security Agency; and the DOD CIO. The DOD CIO also serves as the Secretariat for the NLC3S Council and tracks the implementation of recommendations from the 2015 NC3 report, among other activities. Additional organizations, such as the Office of the Under Secretary of Defense for Intelligence, may participate in the NLC3S Council\u2019s meetings to provide subject matter expertise. Regular participants in the NLC3S Council include the Office of the Under Secretary of Defense (Comptroller); senior leaders from the Army, the Navy, and the Air Force; the Defense Information Systems Agency; the White House Military Office; and CAPE."], "subsections": []}, {"section_title": "Key Nuclear Oversight Organizations", "paragraphs": ["DOD has established or participated in a number of oversight organizations that aid in the management of the defense nuclear enterprise. These organizations include the following:", "NDERG: Established in 2014 by the Secretary of Defense to ensure the long-term health of the nuclear enterprise by addressing resourcing, personnel, organizational, and enterprise policy issues identified in the 2014 nuclear enterprise reviews. The NDERG consists of a group of senior officials chaired by the Deputy Secretary of Defense, including the Vice Chairman of the Joint Chiefs of Staff. The NDERG is supported by a Nuclear Deterrent Working Group, which meets biweekly and reviews the status of the recommendations of the nuclear enterprise reviews, and a Nuclear Deterrent Senior Oversight Group, which meets quarterly and reviews any recommendations that the Working Group believes are ready for the NDERG to close. The Nuclear Deterrent Senior Oversight Group also receives annual briefings on component assessments, reviews organizational changes, and discusses other cross-service issues. The Deputy Secretary of Defense updates the Secretary of Defense on the NDERG\u2019s progress as requested.", "NLC3S Council: A DOD council established by statute that is responsible for the oversight of the command, control, and communications system for the national leadership of the United States. Additionally, as recommended in the 2015 NC3 report, the NLC3S Council reviews the recommendations from the report and assesses them for closure. The NLC3S Council is supported by the National Leadership Command Capabilities Executive Management Board, which comprises a Senior Steering Group and four working groups\u2014Stakeholders, Resources, Assessments, and Nuclear Command and Control Issues. The Executive Management Board ensures that the Council is informed of and presents issues that need principal-level decisions.", "Nuclear Weapons Council: A joint DOD and Department of Energy council established by statute that is responsible for managing aspects of the U.S. nuclear weapons stockpile and programs. The Under Secretary of Defense for Acquisition and Sustainment is designated as the chair of the Nuclear Weapons Council, and the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs serves as the staff director of the Council. The Nuclear Weapons Council is supported by a senior executive-level Standing and Safety Committee and a subordinate, working-level Action Officers Group. The Action Officers Group performs detailed analyses of issues and provides those analyses to the Standing and Safety Committee, which reviews them and formulates decision packages for final Council review and decision.", "Nuclear Matters: An office under the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs; it is headed by the Deputy Assistant Secretary of Defense for Nuclear Matters and serves as a focal point for DOD activities and initiatives to sustain a safe, secure, and effective nuclear deterrent and counter the threat from nuclear terrorism and nuclear proliferation.", "Nuclear and Missile Defense Policy: An office supporting the Under Secretary of Defense for Policy and the Assistant Secretary of Defense for Strategy, Plans, and Capabilities. Nuclear and Missile Defense Policy participates in the development of strategies, creation of policies, and conduct of oversight of national nuclear policy, treaty negotiations, and missile defense policy.", "U.S. Strategic Command: DOD functional combatant command responsible for planning for and employment of U.S. nuclear weapons and for certain matters related to NC3."], "subsections": []}]}, {"section_title": "DOD Has Made Progress in Implementing and Tracking Recommendations, Including Evaluating and Documenting Key Risks", "paragraphs": ["DOD continues to make progress in implementing the recommendations from the 2014 nuclear enterprise reviews and has made improvements in tracking and evaluating this progress. Specifically, the military services and other DOD components have begun identifying and documenting risks associated with implementing recommendations from the 2014 reviews, based on guidance that was issued by CAPE in January 2018. DOD has also made progress in implementing the recommendations from the 2015 NC3 report. For example, the DOD CIO issued guidance in July 2018 to improve the tracking and evaluation of DOD\u2019s progress in implementing the recommendations of the NC3 report."], "subsections": [{"section_title": "DOD Has Made Progress Implementing Recommendations from the 2014 Nuclear Enterprise Reviews", "paragraphs": ["DOD continues to make progress in implementing the recommendations of the 2014 nuclear enterprise reviews. As of our last report, in October 2017, DOD had closed 77 sub-recommendations. Based on our review of CAPE\u2019s centralized tracking tool, the NDERG has closed 74 additional sub-recommendations since then. As a result, according to the CAPE tracking tool, the NDERG has closed 151 of the 247 sub- recommendations as of September 2018 (see fig. 2).", "Since October 2017, DOD has closed sub-recommendations related to a number of issues identified in the 2014 nuclear enterprise reviews. For example, in January 2018, the NDERG closed a sub-recommendation originating from the Internal Assessment of the Department of Defense Nuclear Enterprise that the Air Force should ensure its nuclear inspection teams are properly sized and that inspection efforts are coordinated. In response to the recommendation, the Air Force worked to reduce the footprint of inspectors, to the extent possible, and improve consolidation of inspections to avoid redundancy. Meanwhile, in January 2018, the NDERG also closed a sub-recommendation that originated from the Independent Review of the Department of Defense Nuclear Enterprise that the Navy improve its readiness reporting system to provide better information about manning and personnel costs. In response to the recommendation, the Navy has made improvements in its readiness reporting by having ballistic missile submarine fleet commanders report additional readiness information about manning and personnel costs through the Navy\u2019s readiness reporting.", "The Air Force, the Navy, and CAPE have described some of the remaining open recommendations as enduring issues for the enterprise, and tracking progress toward these recommendations will aid in monitoring the overall health of the defense nuclear enterprise. These recommendations include ongoing sustainment and maintenance efforts and improving the morale of the nuclear forces. As we have previously reported, CAPE officials stated that it would take years to implement the great majority of these recommendations and measure whether they have had their intended effect. For example, CAPE and military service officials have noted that it would take years for some of the recommended cultural changes to manifest."], "subsections": []}, {"section_title": "Military Services Have Begun to Track and Evaluate the Risks Associated with Open 2014 Recommendations", "paragraphs": ["The military departments and other DOD components are responsible for tracking and evaluating the implementation status of the 2014 nuclear enterprise reviews\u2019 recommendations; CAPE is providing guidance to aid these efforts. As we previously reported, CAPE had been responsible for tracking this progress until, in December 2016, the Deputy Secretary of Defense issued a memorandum that transitioned this responsibility from CAPE to the military departments and other DOD components. However, CAPE remains responsible for providing guidance to inform the analyses conducted by other DOD entities, overseeing the analyses, and assessing recommendations for closure. In January 2018, in response to our 2017 recommendation, CAPE issued additional guidance to improve the identification, assessment, and documentation of risks related to implementing the 2014 nuclear enterprise reviews\u2019 recommendations.", "CAPE\u2019s January 2018 guidance includes specific instructions that military departments and other DOD components should follow when identifying, assessing, and documenting risks. Specifically, the guidance instructs the responsible components to identify any key risks associated with the open recommendations and to document those key risks. The January 2018 guidance defines key risks as those that require mitigation by the leadership of the DOD component (e.g., a risk that requires mitigation by senior Air Force or Navy leadership) or those that cannot be mitigated within a component\u2019s existing authorities and resources (e.g., a risk that cannot be mitigated within the Air Force or Navy that must be raised to a higher authority). Additionally, the guidance indicates that risks that do not rise to the level of being key risks should also be tracked according to the component\u2019s own assessment methodology and, if a component\u2019s approach to a recommendation does not carry any key risks, this should be documented.", "The guidance identifies some risk assessment tools for components to use, as appropriate, but specifically states that components should consider the following questions:", "What are the risks if the recommendation is not implemented?", "What are the risks in the approach to implementing the recommendation?", "What flexibility does the approach have to respond to unintended consequences?", "What are the controls and actions needed to mitigate risk to an acceptable level?", "The guidance also notes that components should update risk assessments periodically as progress is made and new data become available.", "According to the CAPE tracking tool, as of September 2018, key risks\u2014or the absence of key risks\u2014are documented for 85 of the 96 open sub- recommendations in the centralized tracking tool. Of the 85 sub- recommendations for which risk information is identified in the centralized tracking tool\u2019s \u201cKey Risks and Issues\u201d field, key risks are identified for 50. For the remaining 35, no risks are identified as rising to the level of being a key risk. Based on information in the tracking tool, the Air Force and the Navy have lead responsibility for the 85 sub-recommendations for which risk information is identified in the tracking tool. U.S. Strategic Command, Joint Staff, and the Office of the Secretary of Defense have not yet included any risk information for the remaining 11 open sub- recommendations for which they have lead responsibility.", "In addition to updated risk information in CAPE\u2019s central tracking tool, the Air Force has updated its internal tracking tool. According to Air Force officials, the Air Force tracking tool includes both key risks\u2014risks that require Air Force leadership to mitigate them\u2014and low-level risks\u2014risks that do not rise to the level where Air Force leadership should mitigate them\u2014for each of the 60 remaining sub-recommendations for which it has the lead. For example, for the recommendation concerning Air Force nuclear personnel shortages, the Air Force\u2019s internal tracker notes the risk that over-prioritizing the nuclear enterprise could affect the Air Force\u2019s ability to conduct conventional operations. Additionally, the Air Force has identified areas where there is no key risk. For example, for the recommendation concerning intercontinental ballistic missile sustainment, the Air Force\u2019s internal tracker noted that there was no key risk but that there was a low-level risk that using limited resources to support legacy systems could lead to underfunding modernization efforts.", "The Navy, in addition to documenting risk information in CAPE\u2019s centralized tracking tool, has documented risks for many of its open sub- recommendations in an internal document called the Navy Nuclear Deterrent Review Plan of Actions and Milestones, which tracks the Navy recommendations by categories that the Navy created. For example, when discussing risks for maintaining Navy NC3 systems, the Navy Nuclear Deterrent Review Plan of Actions and Milestones states that the Navy monitors availability across several levels, including sustainment and modernization efforts. Additionally, controls are in place at various levels to manage risks to the availability of NC3 assets. The Navy Nuclear Deterrent Review Plan of Actions and Milestones acknowledges that if the Navy does not continue to use these controls, the risk to the NC3 mission may be unacceptable. According to Navy officials, risk is also examined during the Navy\u2019s internal process for closing recommendations through a review by the Navy Nuclear Deterrent Mission Oversight Council. For example, the Council was briefed on actions to mitigate the risk that insufficient personnel strength at some maintenance facilities poses to the operational availability of Ohio-class submarines."], "subsections": []}, {"section_title": "DOD Has Made Progress in Implementing Recommendations from the 2015 NC3 Report", "paragraphs": ["DOD continues to make progress in implementing the recommendations of the 2015 NC3 report. Since we last reported, in October 2017, DOD has closed 3 additional recommendations. In total, as of August 2018, the NLC3S Council has closed 5 of the 13 recommendations from the NC3 report (see fig. 3).", "According to tracking information from the DOD CIO, the Navy has completed its portion of two of the open recommendations, but the Air Force still has tasks it needs to complete before each recommendation can be reviewed and closed by the NLC3S Council. As a result, these two recommendations will remain \u201cin progress\u201d until the Air Force also completes its portion of the implementation. In addition, a DOD component has recommended that an additional 2 of the 13 recommendations be closed; however, these have not yet been reviewed by the NLC3S Council.", "In July 2018, in response to our October 2017 recommendation, the DOD CIO issued guidance to improve the tracking and evaluation of DOD\u2019s progress in implementing the recommendations of the 2015 NC3 report.", "This guidance provides instructions to the military departments and DOD components with responsibility for implementation of the 2015 NC3 report recommendations to identify and provide key milestones, metrics utilized to track progress, and information about recent progress\u2014including an assessment of progress, required decisions and guidance, and key risks and other issues.", "Information on the status of the 2015 NC3 report\u2019s recommendations is collected in a layout similar to that developed by CAPE for the 2014 recommendations. The responsible organizations are in the process of updating the information they have provided to the DOD CIO to respond to the new guidance. The guidance directs the responsible organizations to provide quarterly updates on the remaining, open recommendations beginning in August 2018. According to a DOD CIO official, these regular updates will continue until the recommendations are closed."], "subsections": []}]}, {"section_title": "DOD Has Taken Steps to Improve Oversight of the Nuclear Enterprise, but Key Oversight Groups Lack Clearly Defined Roles and Responsibilities and Methods for Communication and Collaboration Military Services Have Taken Steps to Improve Oversight of the Nuclear Enterprise", "paragraphs": ["DOD and the military services have taken steps to improve oversight of the defense nuclear enterprise, in part in response to recommendations from the 2014 nuclear enterprise reviews. DOD plans to use the NDERG to oversee long-term and enduring issues affecting the nuclear enterprise. However, the NDERG does not have formally defined roles and responsibilities, and DOD has not established methods for how the NDERG will communicate and collaborate with the other nuclear enterprise oversight organizations. Further, DOD NC3 oversight guidance has not been updated to reflect evolving NC3 oversight roles and responsibilities and to include methods for communicating and collaborating with other nuclear enterprise oversight groups.", "The military services have taken steps to improve oversight of the nuclear enterprise in response to the concerns raised by the 2014 nuclear enterprise reviews. The reviews noted a lack of comprehensive oversight of the defense nuclear enterprise and a need for increased visibility for senior leaders. Specifically,", "Since 2014, the Air Force has realigned responsibilities, authorities, and accountability for its nuclear forces to improve oversight of the nuclear enterprise. For example, the Air Force implemented two recommendations from the Internal Assessment of the Department of Defense Nuclear Enterprise to elevate senior Air Force leadership positions in the nuclear enterprise. Air Force Global Strike Command was upgraded from a three-star to a four-star major command. According to officials from Air Force Global Strike Command, the elevation of the command to a four-star major command has helped ensure support from the Air Force for funding and management of the nuclear enterprise. In 2016, Air Force Global Strike Command created the Air Force NC3 Center to manage portions of the Air Force NC3 weapon system that are owned by the command and\u2014according to Air Force NC3 Center officials\u2014to provide oversight of the organize, train, and equip function for all of the Air Force\u2019s NC3 missions. The Air Force also upgraded the position of Deputy Chief of Staff for Strategic Deterrence and Nuclear Integration, Headquarters Air Force, from a two-star to a three-star position. The elevation of both the Air Force Global Strike Command and A10 leadership was authorized by the Secretary of Defense to ensure that their rank is commensurate with the importance of the nuclear mission.", "The Navy oversees its leg of the nuclear triad using the Navy Nuclear Deterrent Mission Oversight Council. The Council is a senior Department of the Navy forum that is responsible for coordinating the Navy\u2019s nuclear weapon activities (safety, security, reliability, and nuclear weapons incident response), operations, personnel, policy, material support, and oversight functions. According to Navy officials, the Navy Nuclear Deterrent Mission Oversight Council addresses long-term issues affecting the Navy\u2019s nuclear enterprise and identifies and monitors risks associated with those issues, including the actions taken in response to the 2014 nuclear enterprise reviews."], "subsections": [{"section_title": "The NDERG Lacks Clearly Defined Roles and Responsibilities and Approaches for Communicating and Collaborating with Other Nuclear Oversight Groups", "paragraphs": ["While the Deputy Secretary of Defense was designated as chairman of the NDERG, DOD guidance does not define the membership, roles, and responsibilities of the NDERG or identify methods for how the NDERG and its working and oversight groups should communicate and collaborate with other nuclear enterprise oversight groups. In July 2018, the Deputy Secretary of Defense issued a memorandum directing a series of changes intended to make the NDERG an enduring, principal- level forum to track risks, issues, and opportunities associated with the health of the defense nuclear enterprise. The memorandum directed the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs to serve as the NDERG secretariat and, with the Director of CAPE, co-chair the Nuclear Deterrent Senior Oversight Group. In addition, within 60 days of the issuance of the memorandum, the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs is to provide a draft NDERG charter for coordination. The charter will serve as an interim step while the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs prepares a DOD directive; it will also specify the NDERG\u2019s functions, organization, and responsibilities. The new role as secretariat of the NDERG and co-chair of the Nuclear Deterrent Senior Oversight Group will expand the current responsibilities of the Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs with regard to nuclear enterprise oversight.", "However, it is not clear whether the charter under consideration will adequately incorporate the roles and responsibilities of the entities on the NDERG, particularly given the new long-term role of the NDERG. According to DOD officials, they have not determined to what extent NDERG roles and responsibilities will be articulated in the charter. Further, prior to issuance of the July 2018 memorandum, officials stated that they had not created a charter for the NDERG because senior leaders within the department were still deciding what ongoing role the NDERG should take in monitoring the health of the nuclear enterprise. The July memorandum helps to clarify this role, but it does not make clear all of the associated roles and responsibilities of the NDERG and its participants. For example, DOD has not determined whether the charter will identify the NDERG\u2019s responsibilities for issues that are not directly related to the 2014 nuclear enterprise reviews or what the NDERG\u2019s long- term role will be once most or all of the recommendations from the 2014 nuclear enterprise reviews are implemented. The July memorandum does indicate that the charter will include a plan to confirm that NDERG- approved actions have the expected effects and do not result in unintended consequences or recurrence of the initial issue. However, the memorandum does not specify how or when the NDERG should address new issues and does not indicate that the charter or DOD directive will do so either.", "Standards for Internal Control in the Federal Government states that management should establish an organizational structure, assign responsibility, and delegate authority to achieve an entity\u2019s objectives. Specifically, the standards call for management to develop an organizational structure with an understanding of the organization\u2019s overall responsibilities and assign these responsibilities to enable the organization to operate in an efficient and effective manner, comply with applicable laws and regulations, and reliably report quality information. In the 2014 nuclear enterprise reviews, DOD identified a lack of comprehensive oversight of the defense nuclear enterprise. To ensure greater awareness among senior DOD leaders, the internal review recommended that DOD create a single, senior-level position to oversee the nuclear enterprise, provide the Secretary of Defense with additional routine visibility into the nuclear enterprise, and marshal the authority of the Secretary to resolve identified issues. DOD did not implement the internal review team\u2019s recommendation to establish a senior oversight position for the nuclear enterprise because, according to CAPE officials, the Secretary of Defense considered the NDERG to be sufficient to address the recommendation. However, four years after it was established, the roles and responsibilities of the NDERG have not been clearly articulated. DOD now plans to develop a charter and subsequent DOD directive for the NDERG, but it remains unclear whether these documents will provide clear roles and responsibilities for the NDERG to effectively function as the comprehensive oversight body for the enterprise\u2014in part because, according to officials, they are in the early stages of development.", "In addition, DOD has not clearly defined how the NDERG will communicate and collaborate with the other oversight groups. DOD uses other groups, such as the Nuclear Weapons Council and the NLC3S Council, to oversee portions of the nuclear enterprise and coordinate among various DOD entities and with the Department of Energy. Many of the same individuals and organizations are represented in two or all three of the oversight organizations. For example, four DOD senior leaders\u2014 the Vice Chairman of the Joint Chiefs of Staff; the Under Secretary of Defense for Acquisition and Sustainment; the Under Secretary of Defense for Policy; and the Commander, U.S. Strategic Command\u2014participate in both the Nuclear Weapons Council and the NLC3S Council, which are statutorily responsible for oversight of aspects of the defense nuclear enterprise. Figure 4 shows the roles and responsibilities of some of the nuclear enterprise oversight groups and DOD components.", "The NDERG, the Nuclear Weapons Council, and the NLC3S Council have lower-level management and working groups that include participants from many of the same organizations. For example, the Air Force\u2019s Office of Strategic Deterrence and Nuclear Integration is represented in the NDERG\u2019s Nuclear Deterrent Senior Oversight Group and on the Nuclear Weapons Council\u2019s Standing and Safety Committee. The Army, Navy, and Air Force also participate in all three oversight groups\u2019 working groups. Unlike the NDERG\u2014which will have no formally defined roles and responsibilities until its charter and the eventual directive are finalized\u2014the Nuclear Weapons Council and the NLC3S Council are statutorily responsible for overseeing specific aspects of the nuclear enterprise.", "According to officials from the Office of the Deputy Assistant Secretary of Defense for Nuclear Matters, in response to updated presidential guidance, a charter is being drafted for a new nuclear enterprise oversight group\u2014the Security Incident Response Council. According to these officials, the council will be an interagency group that will have oversight of plans for responding to potential security incidents involving nuclear weapons and will bring together officials from across all relevant departments and agencies.", "The Deputy Secretary of Defense\u2019s July 2018 memorandum, previously discussed, does not address how the NDERG should collaborate with other nuclear enterprise oversight groups with overlapping responsibilities. According to the memorandum, issues falling under the purview of other existing nuclear enterprise oversight groups will be addressed by those groups, but the memorandum acknowledges that the groups may interact. Specifically, the memorandum states that the Nuclear Weapons Council, the NLC3S Council, the Nuclear Posture Review Implementation group, and the Security Incident Response Council may recommend issues for the NDERG. However, the memorandum does not describe how the NDERG should communicate the necessary quality information with other oversight groups, including criteria for determining which issues should be recommended or otherwise communicated to the NDERG or when those groups should go about recommending issues for consideration to the NDERG. Further, the other oversight groups will not fall under the authority of the NDERG charter, so stating that the groups may recommend issues for the NDERG does not ensure that they will do so. As previously stated, it is not clear whether these issues will be addressed in either the NDERG\u2019s charter or the subsequent DOD directive.", "As we have previously reported, leading practices for enhancing interagency collaboration include agreeing on roles and responsibilities and having written guidance and agreements. Specifically, collaborating agencies should work together to define and agree on their respective roles and responsibilities. In doing so, agencies can clarify who will do what, organize their joint and individual efforts, and facilitate decision making. Additionally, Standards for Internal Control in the Federal Government states that management should use quality information to achieve an entity\u2019s objectives and internally and externally communicate the necessary quality information to achieve the objectives. These standards call for management to communicate quality information with appropriate methods of communication and consider a variety of factors in selecting an appropriate method of communication, such as the audience and the nature of the information.", "The 2014 independent nuclear enterprise review found that the difficulty of defining the defense nuclear enterprise complicates senior DOD leaders\u2019 ability to take ownership of the enterprise. Specifically, the independent review noted that senior leaders within the Office of the Secretary of Defense and the military services referred to the \u201cnuclear enterprise\u201d as if there were a coherent, integrated structure and set of activities supporting the nuclear forces. However, the review team did not find a coherent, integrated structure and synchronized set of activities that could be characterized as a DOD \u201cnuclear enterprise.\u201d Further, the independent review team found that there was a loose federation of separate nuclear activities scattered across multiple organizations with no clearly defined responsibility or accountability.", "In response to the challenges the independent review identified in 2014, the review recommended that the loosely federated nuclear activities within OSD and the Air Force be brought together into a coherent and synchronized structure that focuses on direction and support for the nuclear forces. In addition, the internal review noted as one of its most important findings that the problems of the nuclear enterprise did not exist in isolation and would require a coordinated, holistic approach to resolve. In particular, the internal review team concluded that, because the issues they identified in each of the military services were interdependent, the ultimate solutions in many instances would have to be cultural, structural, and sustained over the long term. Identifying oversight groups\u2019 roles and responsibilities and identifying and establishing methods for communicating and collaborating among groups could help mitigate the problems identified in the 2014 reviews.", "In the absence of defined roles and responsibilities or methods for how the NDERG is to communicate and collaborate with other existing oversight organizations, the NDERG may be unable to effectively oversee the defense nuclear enterprise in a coordinated, holistic manner that would address problems identified by the 2014 nuclear enterprise reviews or other issues it may need to address in the future. Additionally, clear roles and responsibilities and methods for communication and collaboration could better position senior leaders to effectively manage resourcing and risk across the department. Officials from CAPE; the Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs; and the military services agreed that clarifying roles and responsibilities and identifying methods for communication would be helpful in addressing long-standing issues and guiding the NDERG in the future.", "Additionally, with increased funding and prioritization of the nuclear enterprise, as called for in the 2018 Nuclear Posture Review, there is an increased need for the kind of coordinated, holistic oversight of the nuclear enterprise that was recommended in the 2014 Internal Assessment of the Department of Defense Nuclear Enterprise. For example, the Nuclear Posture Review\u2019s goal of replacing legacy nuclear systems beginning in the mid-2020s will require senior leaders from across the defense nuclear enterprise to make decisions regarding resource allocation and prioritization\u2014for both the new systems and the existing systems that are not being replaced. Collaboration among the various nuclear enterprise oversight groups can help to make this resource allocation and prioritization effective."], "subsections": []}, {"section_title": "DOD Guidance Does Not Reflect Evolving NC3 Oversight Roles and Responsibilities and Methods for Communicating and Collaborating with Other Nuclear Oversight Groups", "paragraphs": ["As a result of the 2018 Nuclear Posture Review, NC3 roles, responsibilities, and authorities are evolving as DOD is in the process of making changes to the NC3 governance construct. The Nuclear Posture Review directed the Chairman of the Joint Chiefs of Staff to develop a plan to reform NC3 governance to ensure its effective functioning and modernization. The following key documents outline the proposed changes to NC3 roles, responsibilities, and authorities:", "2018 Nuclear Posture Review, February 2018: To improve NC3 governance, the Nuclear Posture Review directed the Chairman of the Joint Chiefs of Staff, in consultation with key DOD stakeholders, to deliver to the Secretary of Defense, no later than May 1, 2018, a plan to reform NC3 governance to ensure its effective functioning and modernization.", "NC3 Governance Reform Initiative, February \u2013 May 2018: In response to the Nuclear Posture Review, the Joint Staff conducted a review of NC3 governance identifying problems with the current NC3 enterprise governance construct and suggested changes to address these problems.", "Chairman of the Joint Chiefs of Staff memorandum, May 2018: Following the NC3 Governance Reform Initiative review, the Chairman of the Joint Chiefs of Staff provided the Secretary of Defense a memorandum recommending a new NC3 governance construct that would make the Commander of U.S. Strategic Command the operational commander of the NC3 enterprise. Under this new construct, specifically, the Commander of Strategic Command would be designated as the NC3 enterprise lead and would have increased responsibilities for operations, requirements, and systems engineering and integration. In addition, to support the new role of the Commander of U.S. Strategic Command, the Office of the Under Secretary of Defense for Acquisition and Sustainment would be designated as the NC3 enterprise capability portfolio manager and given increased responsibilities for resources and acquisition. The memorandum also proposes that the Chairman and the Deputy Secretary of Defense would provide leadership and oversight, which would include providing enterprise-level guidance to the department.", "U.S. Strategic Command Commander\u2019s Estimate, May 2018: At the direction of the Chairman of the Joint Chiefs of Staff, U.S. Strategic Command developed the NC3 Governance Reform \u2013 Commander\u2019s Estimate (Commander\u2019s Estimate) with a recommended course of action to implement the new NC3 governance roles, responsibilities, and authorities. This Commander\u2019s Estimate was provided to the Secretary of Defense along with the Chairman\u2019s May memorandum. Concurrently, U.S. Strategic Command is developing an implementation plan.", "U.S. Strategic Command NC3 implementation plan, expected fall 2018: According to a Strategic Command official, an NC3 implementation plan is currently being drafted to implement the proposed changes to NC3 governance. Initial operating capability for the new roles, responsibilities, and authorities is expected to occur within six months of the approval of U.S. Strategic Command\u2019s implementation plan.", "If the changes to NC3 governance are approved, as proposed in the Commander\u2019s Estimate, the Commander of U.S. Strategic Command would have the operational lead for NC3 and would be delegated the authorities and assigned the resources necessary to perform the following functions: operating the NC3 enterprise assessing and managing NC3 enterprise operational performance defining NC3 enterprise requirements and prioritization conducting systems engineering and analysis to integrate current and future NC3 enterprise architectures approving NC3 enterprise developmental tests and operations overseeing NC3 enterprise acquisition and service/national programs leading NC3 enterprise advocacy across DOD\u2019s processes and governance forums, such as the NLC3S Changes to NC3 roles, responsibilities, and authorities would necessitate changing existing NC3-related guidance documents. The current NC3 oversight structure is documented in statutes and presidential and departmental guidance. For example, the NLC3S Council\u2019s roles and responsibilities are defined in statute and in charters for the Council and its National Leadership Command Capability Executive Management Board. DOD issuances also establish policy and assign responsibilities for matters related to the NC3 system to organizations throughout DOD, including U.S. Strategic Command. The changes proposed in the Commander\u2019s Estimate, if implemented, would result in DOD having to update its own guidance and determine whether there is a need to request a change in the statutory language or presidential guidance. According to a U.S. Strategic Command official, work still needs to be done to help align authorities within the NC3 enterprise. The Commander\u2019s Estimate states that any changes to NC3 oversight authorities that may result from implementing the suggested changes in the Commander\u2019s Estimate will be annotated in existing applicable policy and guidance documents.", "As we have previously reported and as we have noted in this report, leading practices for enhancing interagency collaboration include agreeing on roles and responsibilities and having written guidance and agreements. Additionally, Standards for Internal Control in the Federal Government calls for management to develop an organizational structure with an understanding of the organization\u2019s overall responsibilities, and assign these responsibilities to enable the organization to operate in an efficient and effective manner, comply with applicable laws and regulations, and reliably report quality information. To achieve this, management should assign responsibility and delegate authority to key roles throughout the organization. Further, federal internal control standards call for identifying appropriate methods for communicating both internally and externally. However, DOD has not clearly defined roles and responsibilities. Additionally, DOD has not developed written guidance and agreements that establish how the NLC3S Council, U.S. Strategic Command, and other organizations responsible for NC3 governance will collaborate with each other, or identified methods of communication. Further, DOD has not determined how these entities will collaborate with other oversight groups that need to have visibility over any problems or resourcing decisions related to the NC3 enterprise, such as the NDERG and other entities with responsibility for the nuclear enterprise as a whole.", "The 2015 NC3 report made recommendations to address diffused responsibility in the NC3 enterprise; however, based our interviews with officials, these issues still persist. According to DOD officials, 3 years later there continues to be a problem with the management of the NC3 enterprise that resulted in the Secretary of Defense including the need to reform NC3 governance in the 2018 Nuclear Posture Review. Specifically, the 2018 Nuclear Posture Review recognized the broad diffusion of NC3 system governance authority and responsibility within DOD as an area of particular concern. To address these concerns, the department is increasing the oversight roles of a number of organizations. However, these changes may further complicate long-standing issues associated with the governance of the NC3 enterprise unless the department clearly articulates how all of the NC3 oversight bodies are to collaborate.", "As DOD identifies changes that must be made to guidance for implementing the new NC3 governance construct, it has an opportunity to make improvements to enhance collaboration and communication among NC3 oversight groups and other nuclear enterprise groups. Updating its guidance to clarify changes to the roles and responsibilities of the many entities involved in the oversight and governance of NC3\u2014and establishing methods for how those entities should communicate and collaborate\u2014would better position senior leaders to effectively manage resourcing and risk across the NC3 enterprise. The NC3 enterprise is a large and complex system, and without clearly identified roles and responsibilities for an effective oversight structure, problems similar to those identified in 2014 as negatively affecting the management of the entirety of the defense nuclear enterprise may continue to limit effective management of the NC3 enterprise."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD has continued to take steps to improve the defense nuclear enterprise in response to the 2014 nuclear enterprise reviews and the 2015 NC3 report. By including risk identification, assessment, and documentation, CAPE has strengthened its framework for monitoring the department\u2019s efforts to address the many issues identified in 2014\u2014 including those enduring issues that must be watched for years to come. The DOD CIO\u2019s adoption of a similar framework to monitor the implementation of recommendations from the 2015 NC3 report has also set up a structure to track and evaluate progress. The responsible military services and DOD components\u2019 use of these structures should aid them in assessing their efforts, including providing means to reassess and re- evaluate individual efforts and their relationship to the health of the defense nuclear enterprise as a whole. The efforts the department has taken and has under way should improve senior leaders\u2019 visibility into these issues and better position them to ensure that progress continues to be made, underlying problems are addressed, and risks mitigated or accepted after considering the predictable and desirable results. However, for these changes to be effective, the department must clearly articulate the roles and responsibilities for a comprehensive oversight structure. Unless DOD is able to align the roles and responsibilities of the many entities now charged with oversight functions, the department\u2019s leadership may not be in a position to be informed of issues affecting the nuclear enterprise or the NC3 enterprise and may be unable to make effective resourcing decisions. The creation of both a charter and DOD directive for the NDERG as well as DOD\u2019s efforts to reform NC3 governance provide DOD with opportunities to create comprehensive oversight structures\u2014with defined roles and responsibilities and methods for communication among oversight groups\u2014for the defense enterprise to address enduring leadership problems and help the department to move forward in its governance of the nuclear enterprise. Further, by establishing methods for communication and collaboration among these organizations, the department could better avoid unnecessary overlap and duplication of effort, important issues falling through the seams between organizations, or enterprise-wide risks not being identified or addressed through a holistic approach."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to the Secretary of Defense: The Secretary of Defense should ensure that the Deputy Secretary of Defense\u2014in coordination with the military departments; U.S. Strategic Command; the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs; CAPE; and other relevant components of DOD\u2014identify in the planned charter and DOD directive clear roles and responsibilities for the members of the NDERG. (Recommendation 1)", "The Secretary of Defense should ensure that the Deputy Secretary of Defense\u2014in coordination with the military departments; U.S. Strategic Command; the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs; CAPE; and other relevant components of DOD\u2014establish in the planned charter and DOD directive methods for the NDERG to communicate and collaborate with other organizations that have oversight responsibilities for portions of the nuclear enterprise. (Recommendation 2)", "The Secretary of Defense should ensure that the Deputy Secretary of Defense and Chairman of the Joint Chiefs of Staff\u2014in coordination with the Vice Chairman of the Joint Chiefs of Staff, the Under Secretary of Defense for Acquisition and Sustainment (as NLC3S Council co-chairs), and U.S. Strategic Command\u2014update the applicable DOD guidance (such as the NLC3S Council\u2019s and Executive Management Board\u2019s charters) and identify whether there is a need to request changes to statutory or presidential guidance in order to clarify changes to roles and responsibilities for NC3 oversight. (Recommendation 3)", "The Secretary of Defense should ensure that the Deputy Secretary of Defense and Chairman of the Joint Chiefs of Staff\u2014in coordination with the Vice Chairman of the Joint Chiefs of Staff, the Under Secretary of Defense for Acquisition and Sustainment (as NLC3S Council co- chairs),and U.S. Strategic Command\u2014update the applicable guidance to establish methods for communication and collaboration among organizations that have oversight responsibilities for portions of the nuclear enterprise as changes are considered for charters, guidance, and laws to reflect the changes to NC3 oversight. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for comment. In its comments, reproduced in appendix I, DOD concurred with all four of our recommendations. DOD also provided technical comments, which we incorporated as appropriate.", "In concurring with our first and second recommendations, DOD stated that it will clearly identify roles and responsibilities in the NDERG charter and stated that the charter will also direct NDERG stakeholders to coordinate on the prioritization of issues that involve other organizations that have oversight responsibilities for portions of the nuclear enterprise.", "In concurring with our third and fourth recommendations, DOD stated that U.S. Strategic Command, in coordination with other DOD components, has developed an NC3 Governance Improvement Implementation Plan that outlines the required updates and revisions that need to be requested for statutory guidance as well as implemented for NC3 governance body charters, DOD issuances, and Chairman of the Joint Chiefs of Staff issuances to clarify the new roles and responsibilities for NC3 oversight. Further, DOD noted that these updates and revisions will establish methods and provide direction for communication and collaboration among organizations that have nuclear enterprise oversight roles and responsibilities.", "We are encouraged that DOD is planning to take these actions to address all four of our recommendations. We believe that, once DOD implements our recommendations, the department\u2019s leadership will be better positioned to be informed of issues affecting the nuclear enterprise or the NC3 enterprise and better organized to make effective resourcing decisions.", "We are providing copies of this report to the appropriate congressional committees, and to the Secretary of Defense; the Under Secretary of Defense for Acquisition and Sustainment; the Chairman of the Joint Chiefs of Staff; the Secretaries of the Army, of the Navy, and of the Air Force; the Commandant of the Marine Corps; the Commander, U.S. Strategic Command; the Department of Defense Chief Information Officer; and the Director of the Office of Cost Assessment and Program Evaluation.", "If you or your staff have any questions about this report, please contact me at (202) 512-9971 or KirschbaumJ@gao.gov.Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Penney Harwell Caramia, Assistant Director; R. Scott Fletcher; Jonathan Gill; Susannah Hawthorne; Brent Helt; Joanne Landesman; Amie Lesser; K. Ryan Lester; Ned Malone; and Michael Shaughnessy."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Nuclear Enterprise: Processes to Monitor Progress on Implementing Recommendations and Managing Risks Could Be Improved. GAO-18-144. Washington, D.C.: Oct. 5, 2017.", "Nuclear Weapons Sustainment: Budget Estimates Report Contains More Information than in Prior Fiscal Years, but Transparency Can Be Improved. GAO-17-557. Washington, D.C.: July 20, 2017.", "Nuclear Weapons: DOD Assessed the Need for Each Leg of the Strategic Triad and Considered Other Reductions to Nuclear Force. GAO-16-740. Washington, D.C.: Sept. 22, 2016.", "Defense Nuclear Enterprise: DOD Has Established Processes for Implementing and Tracking Recommendations to Improve Leadership, Morale, and Operations. GAO-16-597R. Washington, D.C.: July 14, 2016.", "Nuclear Weapons Council: Enhancing Interagency Collaboration Could Help with Implementation of Expanded Responsibilities. GAO-15-446. Washington, D.C.: May 21, 2015."], "subsections": []}], "fastfact": []} {"id": "GAO-18-198", "url": "https://www.gao.gov/products/GAO-18-198", "title": "Telecommunications: FCC Should Improve Monitoring of Industry Efforts to Strengthen Wireless Network Resiliency", "published_date": "2017-12-12T00:00:00", "released_date": "2018-01-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Americans increasingly rely on mobile wireless communications for safety-related communications like calling 911 and receiving weather alerts. Mobile wireless networks face risks from physical incidents including extreme weather events and intentional and accidental damage. For example, in 2017 several major hurricanes damaged wireless network infrastructure, leaving many U.S. citizens without reliable access to wireless communications.", "GAO was asked to review federal efforts to improve the resiliency of wireless networks following natural disasters and other physical incidents. This report examines: (1) trends in mobile wireless outages reported to FCC since 2009 and (2) actions federal agencies and industry have taken since 2013 (after Hurricane Sandy) to improve wireless network resiliency, among other objectives. GAO analyzed wireless outage data from 2009 to 2016 (4 years before and after Hurricane Sandy); reviewed FCC, DHS, and industry documents; and interviewed stakeholders who represented a variety of perspectives, such as industry, public safety, and consumer groups. GAO assessed FCC's efforts to monitor an industry initiative to improve wireless network resiliency against federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["The number of wireless outages attributed to a physical incident\u2014a natural disaster, accident, or other manmade event, such as vandalism\u2014increased from 2009 to 2016, as reported to the Federal Communications Commission (FCC). During this time, the number of outages substantially increased from 189 to 1,079 outages, with most of the increase occurring from 2009 to 2011. FCC officials said this increase was due in part to growth in wireless customers and wireless infrastructure. Almost all outages attributed to a physical incident were due to an accident, such as damage to a cable due to a digging error (74 percent) or a natural disaster (25 percent). However, outages due to a natural disaster had a longer median duration (ranging from 19 to 36 hours), which was more than twice as long as outages caused by an accident. Power failures and failures in other providers' networks also play a role in wireless outages attributed to physical incidents. For instance, carriers reported that 87 percent of wireless outages attributed to a physical incident were due to a failure in another provider's network on which they rely.", "Since 2013, federal agencies and industry have taken actions to improve the resiliency of wireless networks. For example, the Department of Homeland Security (DHS) and FCC charter federal advisory committees that have examined resiliency issues and potential solutions, such as sharing infrastructure during emergencies. FCC also proposed a rule that would disclose how individual wireless carriers' networks performed during emergency events. In response, an industry coalition announced an initiative\u2014the Wireless Network Resiliency Cooperative Framework\u2014whereby carriers agreed to allow roaming on each other's networks and aggregated statistics to be published on how networks performed during emergency events. This initiative prompted FCC to not adopt its proposed rule. FCC said it would engage with industry about the framework's implementation and use, but FCC has limited formal plans to oversee or spread knowledge of the framework:", "FCC developed a plan to track the completion of initial implementation tasks outlined in the framework, but this plan does not include steps to track or evaluate any outputs or outcomes from the framework.", "FCC and industry documents describe broad goals for the framework, such as advancing information sharing during and after emergency events, but neither FCC nor industry has set any specific measures to help determine whether the framework achieves these broad goals.", "Although some public safety officials and other stakeholders GAO contacted were not aware of the framework, FCC did not have plans to actively communicate information about the framework to these audiences.", "More robust measures and a better plan to monitor the framework would help FCC collect information on the framework and evaluate its effectiveness. Such steps could help FCC address any challenges or decide whether further action is needed. Also, by promoting awareness about the framework, FCC would help public safety officials and other industry participants to be well positioned to use the framework to help them prepare for or respond to emergency events."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FCC should work with industry to develop specific performance measures for the Wireless Network Resiliency Cooperative Framework, monitor the framework's outcomes, and promote awareness of it. FCC agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Americans are increasingly reliant on mobile wireless communications in their day-to-day lives to make phone calls and share information through the Internet, including for safety-related communications, such as making 911 calls and receiving weather alerts. The nation\u2019s mobile wireless networks face risks from a variety of physical incidents including extreme weather events and accidents, such as backhoe cuts to cables connecting cell towers to the broader network. In recent years, major storms have caused outages in mobile wireless networks, severely impairing safety communications when they were most needed. For example, several major hurricanes made landfall in the United States in August and September 2017, damaging wireless network infrastructure and causing power outages that led to localized wireless outages. This included Hurricane Irma\u2014which caused extreme damage in the U.S. Virgin Islands, Puerto Rico, and Florida, among other states\u2014and Hurricane Maria that severely affected infrastructure including wireless networks in Puerto Rico and the U.S. Virgin Islands. As a result of Hurricane Maria, a majority of all cell sites were knocked out of service for months, leaving residents without reliable and continuous access to voice and data communications.", "As citizens and public safety officials\u2014such as police officers, firefighters, and emergency medical-services personnel\u2014are increasingly dependent on wireless communications, federal agencies and the communications sector have stressed the importance of resilient mobile wireless communications during times of emergency. As of 2016, over 65 percent of households in the United States relied solely or mostly on wireless phones to make and receive phone calls. Further, according to the Federal Communications Commission (FCC), about 70 percent of calls to 911 are made from wireless devices. The private sector owns and operates the nation\u2019s wireless networks as well as other communication networks and is primarily responsible for managing and protecting these assets. However, the federal government plays a role in promoting wireless network resiliency\u2014that is, the ability to prepare for and adapt to changing conditions and withstand and recover rapidly from disruptions. FCC is the federal regulatory agency for communications and its mission includes promoting the safety of life and property through the use of radio communications. The Department of Homeland Security (DHS) is responsible for coordinating the federal effort to promote the security and resilience of the nation\u2019s critical infrastructure, which includes the communications sector, and also serves as the lead agency for coordinating and prioritizing security and resiliency activities in the communications sector. Further, communications networks are especially important due to the enabling functions they provide across all critical infrastructure sectors; the loss of communications facilities could have cascading effects on other critical infrastructures due to interdependencies among sectors.", "You asked us to review efforts that have been taken since Hurricane Sandy in late 2012 to improve the resiliency of mobile wireless networks as well as options that federal agencies could take to enhance wireless resiliency following natural disasters and other physical incidents. This report examines: (1) trends in mobile wireless outages attributed to physical incidents since 2009 as reported to FCC, (2) the actions federal agencies and industry have taken since 2013 to improve wireless network resiliency, and (3) options that federal agencies could take to improve network resiliency and their advantages and disadvantages. This report focuses on the physical risks facing wireless networks; in other words, the potential for an unwanted effect from an incident on a network\u2019s infrastructure such as towers, antennas, and switches. Therefore, we did not examine cyber risks facing wireless networks.", "To address these objectives, we analyzed data submitted by wireless carriers to FCC\u2019s Network Outage Reporting System (NORS) on wireless outages that occurred from 2009 through 2016 (that is, to cover 4 years of data before and after Hurricane Sandy). In particular, we determined the total number and causes of wireless outages that were reported as having occurred during that time period and identified the share of all wireless outages attributed to a physical incident. We analyzed other characteristics of wireless outages such as location, duration, and whether the failure occurred in another company\u2019s network. We took several steps to assess the reliability of NORS data, such as reviewing FCC documentation and interviewing agency officials responsible for collecting and analyzing NORS data, and found the data were sufficiently reliable for the purposes of describing trends in wireless outages.", "We also reviewed reports and documents from FCC, DHS, and the National Institute of Standards and Technology (NIST); federal advisory committees and partnership councils that cover wireless network resiliency; and industry. We interviewed officials from FCC, NIST, and several DHS component agencies responsible for protecting and securing the communications infrastructure, as well as representatives from 24 stakeholders, selected to ensure we covered different perspectives. Stakeholders included five wireless carriers and two owners of other wireless network infrastructure, seven industry associations, three consumer groups, five state and local government officials, one partnership council, and one representative from academia. We selected wireless carriers and owners of other wireless network infrastructure to ensure variety in company size and industry role. We selected state agencies to include states directly affected by two events in 2016\u2014 flooding in Louisiana and Hurricane Matthew\u2014for which industry had implemented elements of the framework at the time we began our review. However, the views presented in our report are not generalizable to those of all stakeholders.", "We assessed FCC\u2019s efforts to monitor an industry initiative to improve wireless network resiliency against federal standards for internal control and FCC\u2019s current strategic plan. We identified options for improving wireless network resiliency by examining federal agency reports, literature, and other sources. We obtained stakeholder views on the advantages, disadvantages, and feasibility of the identified options by using open-ended questions to solicit input. Appendix I describes our scope and methodology in greater detail.", "We conducted this performance audit from January 2017 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Mobile devices use wireless networks to enable voice and data communications. Mobile wireless networks comprise several components and provide coverage based on dividing a large geographic area into smaller areas of coverage known as \u201ccells.\u201d Each cell contains a cell site\u2014a base station equipped with an antenna\u2014to receive and transmit radio signals to mobile devices within its coverage area. (See fig. 1.) The cell sites are often located on a tower, rooftop, or other structure to provide coverage to a wide area. For a mobile device to transmit and receive signals, it must be within range of a cell site antenna. In many areas, a mobile device is able to transmit and receive signals from multiple cell sites. Each cell site is linked to a base station controller that manages communications between the cell site and the mobile switching center (e.g., routes and hands over calls). The mobile switching center then directs voice and data traffic to landline phones, other cell phones via a carrier\u2019s network, or the Internet. Backhaul facilities provide transport for this voice and data traffic, and backhaul can be provided over fiber optic or copper cables or wirelessly via microwave facilities.", "According to FCC, there are four \u201cnationwide\u201d mobile wireless carriers\u2014 AT&T, Verizon, T-Mobile, and Sprint\u2014with networks that cover most of the United States. The industry also includes dozens of other carriers, many of which provide service in a specific, sometimes rural, geographic area. According to an FCC report on the wireless industry, most consumers in the United States have the ability to choose among multiple carriers with wireless network coverage in their area, and wireless carriers typically compete on price, network quality, and the availability of mobile devices with innovative features. Federal law states that FCC must take into account whether its actions will encourage competition in mobile wireless networks. Some wireless carriers own a portion or all of the structures that host cell sites, but wireless carriers mostly lease space from independent companies that own or operate a majority of the towers and other structures that host cell sites.", "Mobile wireless networks face several kinds of risks that could affect the network\u2019s physical components, resulting in disrupted service or an outage. Government reports generally identify three types of physical risks facing wireless networks:", "Natural disasters, such as hurricanes, tornados, wildfires, and earthquakes.", "Manmade events, such as terrorist attacks and damage associated with theft or another malicious act.", "Accidents, such as cable damage due to digging or locating errors and damage associated with a vehicle accident.", "The potential effects related to these physical risks include damage to wireless network components that requires wireless carriers and other providers to make repairs or replace equipment to restore service. For example, flooding, which can occur with a hurricane or heavy rain, could damage the cable or other equipment submerged in water. Wildfires can damage network components like antennas and backhaul facilities (including fiber optic and copper lines and microwave towers) as well as equipment in buildings if the buildings are damaged or destroyed.", "In addition to physical risks, wireless networks face risks stemming from their dependence on other sectors and providers. One key dependency identified by several government and industry reports is the reliance on commercially provided electricity, referred to in this report as commercial power. Several components\u2014including the mobile switching center, antennas at cell sites, and consumer devices\u2014may rely on commercial power. Therefore, loss of electric power may result in a loss of wireless communications. Another key dependency for wireless networks is backhaul used to get data from an end user to a major network. Wireless carriers can provide backhaul but typically obtain it from another communications provider, such as a local telephone company or cable company. An outage in the backhaul network can cause an outage that affects one or more cell sites or a portion of the wireless network. FCC has reported that the loss of backhaul service is a major cause of a cell site\u2019s unavailability, which can lead to wireless outages. Also important is having clear roads and highways, as wireless carriers\u2019 personnel or contractors need to be able to access cell sites to repair or replace equipment, or deliver fuel for generators that are sometimes located at cell sites.", "Resilience is the ability to prepare for and adapt to changing conditions and withstand and recover rapidly from disruptions, according to Presidential Policy Directive 21. Owners and operators of wireless networks can take a variety of actions to manage different risks, including various physical risks, according to the Communications Sector-Specific Plan. These actions can be designed to achieve different aims, including to prepare for incidents, like creating and exercising disaster recovery reduce a specific vulnerability, like elevating or moving a mobile switching center in a flood-prone area to a higher location; mitigate the consequences of an incident, like installing backup power\u2014using batteries with a limited supply of power or generators that run on diesel or other fuel sources\u2014to support continued wireless service during a commercial power outage; or enable efficient response and restoration following an incident, such as deploying portable cell sites on trucks and other equipment after an incident to provide wireless communications when the network experiences an outage or a significant disruption.", "FCC, pursuant to the Communications Act of 1934, as amended, is charged with regulating interstate and international communications throughout the United States, which means that FCC regulates wireless networks and carriers, among other responsibilities. It develops and administers policies and rules to advance the security and reliability of the nation\u2019s communications infrastructure; this responsibility includes, among other topics, network resiliency, public safety communications, and communications infrastructure protection. FCC administers two web-based outage-reporting systems to help it oversee network reliability and resiliency:", "NORS: Carriers are required to report details about service disruptions or outages (e.g., cause, location, and duration) to their communications systems that meet specified thresholds set forth in regulation. FCC uses NORS data to monitor trends in communications outages and to try to identify and address any shortcomings or issues going forward.", "Disaster Information Reporting System (DIRS): Carriers can voluntarily report on the status of communications infrastructure during an emergency event in DIRS. For example, wireless carriers report daily on the number of cell sites, by county, that are out of service by reason (e.g., power outage, physical damage). FCC activates DIRS in response to an event and then uses these data to track network restoration during and after an emergency event.", "DHS also plays a role in wireless network resiliency as the lead agency for coordinating and prioritizing security and resilience activities for the communications sector. Presidential Policy Directive 21 establishes national policy to strengthen the security and resilience of critical infrastructure and states that the federal government shall work with critical infrastructure owners and operators to do so. DHS\u2019s Office of Cybersecurity and Communications, within the National Protection and Programs Directorate, leads this coordination for the communications sector as the sector-specific agency, and this office works with the Communications Sector Coordinating Council and the Communications Government Coordinating Council to set goals, objectives, and activities for the sector. During a national emergency or disaster, DHS also coordinates response efforts for communications systems in its role as the coordinator for Emergency Support Function #2 \u2013 Communications (ESF-2). Specifically, two DHS components\u2014the Federal Emergency Management Agency (FEMA) and Office of Cybersecurity and Communications\u2014lead the federal government\u2019s work to support the restoration of communications infrastructure, coordinate response efforts, and facilitate the delivery of information to emergency-management decision makers. DHS has direct access to FCC\u2019s NORS and DIRS data to support its work. Other DHS components also have responsibilities related to wireless network resiliency. For example, the Science & Technology Directorate conducts research in the area of wireless and other communications network resiliency, although its focus is on communications for the public-safety community.", "Within the Department of Commerce, NIST also plays a role in promoting network resiliency by sponsoring the Community Resilience Panel. According to NIST, the Community Resilience Panel is sponsored by NIST and co-sponsored by other federal agencies to promote collaboration among stakeholders to strengthen the resiliency of infrastructure that communities rely on, including communications infrastructure. As part of this mission, the panel seeks to identify policy and standards-related impediments to community resiliency, raise awareness of sector dependencies and of the cascading effects of disasters, and identify potential resiliency metrics."], "subsections": []}, {"section_title": "Wireless Outages Caused by Physical Incidents Have Increased since 2009, and Outages due to Natural Disasters Lasted Longest", "paragraphs": [], "subsections": [{"section_title": "Trends in Number and Reported Causes of Wireless Outages", "paragraphs": ["The number of wireless outages attributed to a physical incident increased from 2009 to 2016 (see fig. 2). Specifically, the number of outages with a physical incident reported as a root cause increased from 189 outages in 2009 to 1,079 in 2016. The number of outages increased substantially during the first few years of this period and then was relatively stable, which mirrored the trend for all wireless outages. According to FCC officials, the increase in reported outages was due to increases in both the number of wireless customers and wireless infrastructure over this period, as well as due to FCC\u2019s outreach to wireless companies to clarify the thresholds for which carriers are required to report wireless outages to help ensure that carriers were consistently and fully reporting outages. From 2009 to 2016, about one- third of all wireless outages reported to FCC (6,002 of 18,325) were attributed to physical incidents.", "Of wireless outages reported to FCC that were attributed to physical incidents, most were due to accidents, described below:", "Accidents\u2014which include cable damage due to a backhoe cut, among other causes\u2014were the root cause for 74 percent of wireless outages attributed to a physical event.", "Natural disasters\u2014including tornados and wildfires\u2014were the root cause for 25 percent of wireless outages attributed to a physical incident.", "Manmade events\u2014which include damage associated with theft or other intentional damage to facilities\u2014were the root cause for the remaining 1 percent of these outages.", "FCC typically suspends NORS reporting requirements in areas where FCC activates DIRS reporting for an emergency event, generally a natural disaster. For example, when FCC activated DIRS reporting for all counties in Puerto Rico and the U.S. Virgin Islands in response to Hurricane Maria in September 2017, FCC suspended NORS reporting requirements for those counties. As a result, FCC officials said that NORS data can undercount the number of wireless outages due to natural disasters. For a large natural disaster, however, FCC still can receive NORS reports for wireless outages outside the DIRS reporting area that are due to the natural disaster.", "Hurricane Irma In September 2017, Hurricane Irma made landfall as a Category 3 hurricane in Florida, having previously tracked near Puerto Rico and the U.S. Virgin Islands. The hurricane produced sustained winds of nearly 115 miles per hour as it made landfall in Florida. In the days that followed, the hurricane\u2019s impact was felt over the southeastern United States, with nearly 16 inches of rain falling over portions of Florida and high winds observed in five states. The President issued disaster declarations covering portions of Puerto Rico, the U.S. Virgin Islands, Florida, and Georgia. The damage from Hurricane Irma\u2014both damage to wireless network infrastructure and damage resulting in power outages\u2014created wireless service disruptions and outages in certain impacted areas. In particular, over half of cell sites were out of service for 3 or more consecutive days in five counties in Puerto Rico and in two counties in the U.S. Virgin Islands, according to data from wireless carriers reported to FCC. Within a week, only 6 percent of cell sites were out of service in reporting counties in Puerto Rico, but a majority of cell sites remained non-operational in the U.S. Virgin Islands; in one county, St. John, 90 percent of cell sites remained out of service a week and a half after landfall. In southern Florida, three counties had more than half of cell sites out of service for 4 straight days. The number of out-of-service cell sites decreased over time, so that less than 20 percent of cell sites were out of service in these counties within a week. Looking more broadly across all counties for which FCC collected data in Florida, Georgia, and Alabama, about 13 percent, 2 percent, and 1 percent of cell sites in the reporting area were out of service 4 days after Hurricane Irma\u2019s landfall, respectively. cause and contributing factor fields. Looking across cause fields, wireless outages citing an accident were most common, particularly from 2010 to 2016, as shown in figure 3. Wireless outages citing a natural disaster were less common, although there were several spikes in the number of outages citing a natural disaster. Some of these spikes correspond with major natural disasters like the derecho affecting Midwest and Mid-Atlantic states in 2012 or Hurricane Matthew in 2016. Manmade events were rarely reported as the cause or contributing factor."], "subsections": []}, {"section_title": "Duration of Wireless Outages Attributed to Physical Incidents", "paragraphs": ["While less common than accidents, wireless outages attributed to natural disasters lasted much longer than outages attributed to other physical incidents. Specifically, figure 4 shows that outages where a natural disaster was cited as the root cause were often twice as long as outages attributed to an accident or manmade event. From 2009 to 2016, the annual median duration of wireless outages attributed to accidents ranged from 8 hours to 16 hours, compared to natural disasters, which ranged from 19 to 36 hours. Due to this longer duration, wireless outages attributed to natural disasters have a greater impact on the public as it is left without key means of communication for longer periods of time. In addition, an industry association told us that even though public safety officials primarily use dedicated communication networks, like land mobile radio networks, to carry out their work, they also rely on their mobile devices that use commercial wireless networks for maps and other applications.", "Ten of 24 stakeholders we interviewed said that natural disasters pose the greatest risk to wireless networks as they have the most intense consequences. Natural disasters can result in physical damage to or flooding of critical network components, and fallen trees and debris can temporarily block transportation routes, keeping repair crews from inoperable cell sites and other network components, as described in the Community Resilience Planning Guide for Buildings and Infrastructure Systems. Further, the failure of other systems like commercial power upon which wireless networks depend can lead to cascading failures in communications networks. One industry association we spoke with said that natural disasters are the primary risk to wireless network resiliency as these events usually create the largest outages with the longest durations."], "subsections": []}, {"section_title": "Location of Wireless Outages Attributed to Physical Incidents", "paragraphs": ["By location, the number of wireless outages attributed to physical incidents increased from 2009 to 2016 in some states, including several of the most populous states such as California and Texas (see fig. 5). Most of the recent expansion of wireless networks has tended to be in the most populous states, as those states contain the most customers and the highest densities of customers, according to FCC officials. In addition, the thresholds for which carriers are required to report wireless outages in NORS are such that many outages that affect primarily rural areas will not accumulate enough user minutes to be reportable. However, the number of wireless outages with a physical incident as the root cause was relatively steady in many states or had spikes that generally corresponded with major natural disasters like the 2012 derecho.", "For more detailed information on the location of all reported wireless outages that occurred from 2009 through 2016, including the cause and number of users associated with these outages, see an interactive graphic which can be viewed at http://www.gao.gov/products/gao-18-198."], "subsections": []}, {"section_title": "Wireless Network Dependencies", "paragraphs": ["Power failures and failures in other providers\u2019 networks (e.g., backhaul) played a role in the majority of wireless outages attributed to physical incidents. When an accident, natural disaster, or manmade event was the root cause for an outage, we found that wireless carriers often also reported a failure in one of these two key dependencies for wireless networks:", "Regarding power, 8 percent of wireless outages with a physical incident as the root cause (465 of 6,002 outages) cited power failure as the direct cause of the outage. Nearly all these outages were attributed to a natural disaster.", "Regarding failures in other providers\u2019 networks, 87 percent of outages attributed to a physical incident (5,206 of 6,002 outages) were due to a failure in another provider\u2019s network, which includes backhaul connecting cell sites to mobile switching centers and onto the broader network. Most of these outages\u20144,111\u2014cited an accident (i.e., a digging error resulting in cable damage) as the root cause. In 2014, a working group from an FCC-chartered federal advisory committee concluded that there is little to no shared, last-mile transport infrastructure for backhaul that wireless carriers (or other providers) could share dynamically to mitigate the effect of a backhaul failure. Thus, a backhaul outage will often result in a wireless outage. However, the working group identified existing best practices that providers can employ to help reduce or lessen the impact of failure in last-mile backhaul."], "subsections": []}]}, {"section_title": "Federal Agencies and Industry Have Taken Some Actions to Improve Wireless Network Resiliency, but FCC\u2019s Oversight of Industry Actions Is Limited", "paragraphs": [], "subsections": [{"section_title": "Federal Agencies Largely Continue to Use Existing Mechanisms to Improve Resiliency", "paragraphs": ["Since 2013, FCC and DHS have both continued to take action using a range of existing mechanisms to improve wireless network resiliency. These mechanisms include leading communications-specific planning activities and topic-specific research to develop and to share best practices. While these mechanisms are not new, FCC and DHS report updating and adapting these activities based on emerging needs and lessons learned from exercises and emergency events. FCC and DHS actions include the following:", "Chartering advisory committees that examine resilience: DHS and FCC charter federal advisory committees that have studied how agencies and industry could improve resiliency. For example, one such committee is FCC\u2019s Communications Security, Reliability, and Interoperability Council (CSRIC), whose members include representatives from wireless carriers and other communications companies, industry associations, and federal, state, and local agencies. CSRIC working groups often develop best practices for industry and make recommendations to wireless carriers, FCC, and others to improve network resiliency. One example is a working group that studied how industry could share backup power resources in 2014. FCC maintains a database of best practices and publicizes these through presentations at conferences and in public reports, as it did in a report on communications outages caused by the 2012 derecho. Six stakeholders we interviewed said best practices represent a valuable means to improve resiliency, as for example, best practices are flexible and enable providers to adapt practices as communications networks evolve. One stakeholder attributed CSRIC\u2019s effectiveness in issuing and promoting best practices and information in part to its affiliation with the industry\u2019s regulator, FCC.", "Other advisory committees that examined resiliency include DHS\u2019s National Security Telecommunications Advisory Committee and FCC\u2019s Technological Advisory Council.", "Developing and implementing procedures to respond to physical incidents: DHS leads emergency communications response and recovery efforts, as coordinator for ESF-2. For example, within DHS, the National Coordinating Center for Communications (NCC) holds weekly calls with government and industry partners to exchange information as part of NCC\u2019s work to continuously monitor events that may affect communications. These weekly calls sustain relationships and promote readiness that can be leveraged to coordinate a response to an emergency incident, according to DHS and FCC officials and members of the Communications Sector Coordinating Council. During an incident, NCC reports that it holds these calls on a daily basis to understand the status of wireless and other networks\u2014along with FCC outage data and other information collected from carriers\u2014and to support industry response efforts. For instance, NCC officials said that during an incident they can help carriers find available generators or work with local governments to enable carriers to enter disaster areas to make repairs if carriers are denied access. Two carriers we interviewed said the NCC works well to support industry response to and recovery from incidents, as NCC has established response processes to help the communications sector to coordinate with the power industry. According to DHS, NCC participates in the Energy Priority Restoration Group that is dedicated to determining power restoration priority following an incident. While this group includes many sectors, it enables communications providers to help prioritize power restoration for critical communications components, like mobile switching centers.", "Analyzing wireless outage data to identify trends and areas for further study: As noted above, FCC collects and regularly analyzes data on wireless outages during the regular course of business and during emergency events. FCC meets with each nationwide wireless carrier annually to discuss trends in the carrier\u2019s outages and any issues related to how the carrier completes NORS reports, according to FCC officials and an industry association we interviewed. FCC also analyzes and shares its analysis of NORS data with industry at quarterly meetings of the Alliance for Telecommunications Industry Solutions\u2019 Network Reliability Steering Committee. Specifically, FCC presents trends in NORS outage data for the last 3 years for different types of outages. Such data include trends in the total number and duration of wireless outages. The Network Reliability Steering Committee, at FCC\u2019s request or its own initiative, establishes teams to examine NORS trends and to make recommendations that may increase network reliability and reduce network outages. Based on this work, the team may identify relevant best practices that carriers could use to reduce or eliminate outages or suggest refining or creating a new best practice. Representatives from two industry associations said that FCC meets with industry to discuss outage data and is receptive to feedback on how to improve data-reporting processes and data quality.", "In addition to these existing mechanisms, federal agencies have initiated some new activities to enhance wireless network resiliency since 2013.", "Community Resilience Panel: NIST issued the Community Resilience Planning Guide for Buildings and Infrastructure Systems in October 2015 and sponsors the Community Resilience Panel, which aims to reduce barriers to achieving community resilience by promoting collaboration among stakeholders to strengthen the resilience of buildings, infrastructure, and social systems upon which communities rely. The panel held its first meeting in November 2015. The planning guide provides a process that communities can use to improve their resilience by setting priorities and allocating resources to manage risks based on their prevailing hazards. The guide also devotes sections to key infrastructures; the communications section describes components of communications networks, the regulatory environment, and industry standards that can help inform community planning. The Community Resilience Panel also has a Communication Standing Committee comprised of industry and government members. This committee is currently creating additional resources to support communities, including a methodology that communities could use to involve wireless carriers and other communications providers in resilience planning activities. While communities have started to use the guide, NIST officials said it is too soon to measure or point to specific outcomes attributable to the Community Resilience Panel\u2019s work.", "Post Hurricane Sandy hearings and proposed rule: In 2013, FCC held field hearings on network reliability and continuity. The goals of the hearings were to improve network resiliency, improve restoration, empower the public, and unleash technological solutions. The two hearings included a wide range of panelists including representatives from FCC and FEMA, state and local agencies, consumer groups, wireless carriers, and other communications providers. Following the hearings, FCC issued a notice of proposed rulemaking to promote transparency to the public on how wireless carriers compare in keeping their networks operational during emergency events. Specifically, FCC\u2019s proposed rule would publicly report the number and percentage of each carrier\u2019s cell sites that remained operational during an emergency event to enable consumers to compare wireless carriers when purchasing service. Based on our review of comments, public safety and consumer groups tended to support the proposed rule while industry expressed concerns, in particular, that the public reporting in the proposed rule would not accurately portray the service available during an emergency or be a useful measure to help consumers choose among wireless carriers. FCC decided not to issue a final rule, stating in December 2016 that a voluntary industry approach, described below, provided a more appropriate path to improve network resiliency.", "We asked stakeholders about the results of the actions taken by FCC and DHS, and across the 24 stakeholders we interviewed, there was no consensus regarding needed improvements in DHS and FCC guidance, coordination, or research on wireless resiliency. Seven stakeholders said they did not think there were any gaps or needed improvements from FCC, and six stakeholders said they did not think there were any gaps or needed improvements from DHS. Although most stakeholders identified a need for further federal agency action, they tended to identify dissimilar actions. However, the three state and two local agencies we interviewed noted that more real-time data on wireless outages would help aid their efforts to respond to an incident, which we discuss further below."], "subsections": []}, {"section_title": "Voluntary Industry Framework Aims to Improve Wireless Network Resiliency, but FCC Has Limited Plans to Monitor This Framework", "paragraphs": ["In April 2016, an industry coalition consisting of CTIA, a wireless industry association, and five wireless carriers announced the Wireless Network Resiliency Cooperative Framework (framework) in response to FCC\u2019s 2013 notice of proposed rulemaking on wireless network resiliency. The framework is a voluntary initiative designed to advance wireless service continuity and information sharing during and after emergencies by enhancing coordination and communication, both among carriers and between carriers and government.", "The framework has five elements; some elements are specific to disaster response while other elements focus on preparedness and education. Industry has taken steps related to all five elements of the framework, as described in table 1. Furthermore, CTIA representatives told us they have ongoing meetings with representatives from the public-safety community, the outcome of which they expected to be a series of best practices concerning planning before disasters, addressing coordination during and after emergencies, and developing education and awareness strategies in fall 2017. The threshold to trigger the response elements is when DHS activates ESF-2 and FCC activates DIRS. At the time of our review, four events\u2014Hurricane Matthew in October 2016 and hurricanes Harvey, Irma, and Maria in late 2017\u2014had met the threshold to trigger the response elements. Prior to the three events in 2017, FCC officials and three stakeholders we interviewed told us it was too soon to know the effectiveness or results of the framework.", "FCC is responsible for administering policies to improve resiliency, which include monitoring actions taken by industry, and federal standards for internal control state that management should establish and operate monitoring activities, evaluate and document the results of ongoing monitoring, and then identify changes that either have occurred or are needed. Federal standards for internal control also state that agencies should define objectives clearly and that objectives should be in specific and measurable terms that allow for the assessment of performance.", "In December 2016, FCC said it would continue to engage with industry on the implementation and use of the framework, and FCC has taken some steps to monitor the framework\u2019s implementation. Specifically, FCC developed a plan to track certain tasks related to the framework in August 2017. This plan tracks the completion of initial tasks related to the framework, such as tracking industry\u2019s publication of best practices to enhance municipal preparedness and resiliency, and confirming the five signatory wireless carriers\u2019 commitment to the framework, and notes that FCC will update its emergency response documents to ensure that the documents reflect the framework and include checklists to validate that carriers take these actions during emergency events (e.g. instituting roaming, providing mutual assistance).", "In August 2017, FCC also issued a public notice inviting carriers beyond the five signatory wireless carriers to sign on to the framework.", "However, we found FCC\u2019s plan does not include any steps to document and assess the effect of the framework on the resiliency of wireless networks. In particular, FCC\u2019s plan does not track any outputs or outcomes over time that speak to the results of the framework, such as the number of roaming requests made and fulfilled during an emergency event. FCC\u2019s plan to monitor the framework is still new. According to FCC officials, FCC did not decide what division would lead its monitoring of the framework until August 2017 because it needed to determine which division should have responsibility for the framework. Since the plan was created, FCC has met with industry groups and individual carriers to gather additional information and has updated its plan with this information to track implementation tasks.", "Overall, by monitoring the outputs and outcomes of the framework, FCC could determine where further changes are needed to help ensure that wireless networks are resilient. In 2016, FCC reported that the framework could produce benefits such as bolstering FCC\u2019s situational awareness and providing consumers with a means to hold carriers accountable for service continuity during emergency events. Yet, seven stakeholders we interviewed, including wireless carriers, said the framework largely codified actions that carriers already generally take to prepare for and respond to an emergency event. In addition, comments submitted to FCC in 2016 were split on whether the framework represented a sufficient path forward, and some stakeholders noted specific issues that they believed could limit the effectiveness of the framework, for example:", "Four stakeholders we interviewed\u2014an industry association, local agency, state agency, and consumer group\u2014cited the lack of federal agency enforcement or monitoring.", "Two industry associations stated in joint comments that there was no assurance that all carriers would conduct adequate testing to enable roaming under disasters.", "A local agency said in comments that the threshold to trigger the response elements was too high; as such, carriers would not be- obligated to implement the elements for more local events.", "Therefore, monitoring the outputs and outcomes of the framework would help FCC understand the effect of industry formalizing these actions in the framework.", "Furthermore, although FCC and industry documents that describe and endorse the voluntary framework include broad goal statements, there are no specific measures for what the framework hopes to achieve. As a result, FCC lacks specific and measurable terms to monitor the effect of the framework. The CTIA- and carrier-released public summary of the framework said it aims to advance wireless service continuity and information sharing during and after emergencies and disasters, as well as help consumers be better prepared for future disasters. FCC, when endorsing the framework, said it was a reasonable approach to achieve FCC\u2019s stated goals for the 2013 proposed rule, including promoting availability of wireless mobile services in the event of natural disasters and increasing provider transparency around wireless resiliency. FCC officials told us they have not discussed possible measures to monitor the effect of the framework with industry participants. As the creators of the framework, industry participants could provide insight into such measures. However, FCC officials acknowledged that it will be important to determine what the results of the framework have been in light of the 2017 hurricanes, and that developing measures to assess industry\u2019s efforts under the framework would be beneficial.", "In addition, FCC has not communicated the framework to all state and local public-safety officials and wireless carriers, potentially limiting its effectiveness. At the time of our review, CTIA and the signatory wireless carriers had released a high-level summary of the framework but no additional documentation on the scope of wireless carriers\u2019 obligations under the framework. Based on our interviews, we found that knowledge of the framework was not widespread. Six stakeholders we interviewed, including representatives of state agencies we interviewed and a non-signatory wireless carrier, were either unaware of the framework or unaware of whether industry had taken actions on any elements of the framework since its announcement. For example, a state emergency manager in one state affected by Hurricane Matthew was unaware of the framework and that FCC, based on one element of the framework, had posted daily status updates on wireless service following the hurricane. This manager noted that those updates would be useful for response efforts.", "Federal standards for internal control state that federal agencies should externally communicate necessary, quality information to achieve the agency\u2019s objectives and that open communication can also help enable a federal agency to obtain information from external parties. Among the stated objectives of FCC is to advise and assist public safety entities on wireless communications issues and to develop and administer policy goals and plans to promote reliable communications for public safety and disaster management. Moreover, one of FCC\u2019s current strategic objectives is to promote access to effective public-safety communications services used by government as well as all consumers in need. To address this and other objectives, FCC stated that it will facilitate discussions and share information among key constituencies. FCC uses several mechanisms and standing forums to share information and educate constituencies. For example, FCC gives presentations about FCC activities at conferences on public safety communications that include state and local officials. In addition, FCC participates in the regular conference calls hosted by DHS\u2019s NCC through which government and industry exchange information and the Network Reliability Steering Committee\u2019s public quarterly meetings, as noted above.", "Without greater awareness of the framework, state and local public safety officials may continue to be unaware of tools or other improvements available through the framework that could help them prepare for or respond to an emergency, such as the posting of daily updates on the number of out-of-service cell sites or best practices that could aid resilience. Also, smaller and rural (non-signatory) wireless carriers might be unaware of commitments made by the signatory carriers, such as committing to roaming under disasters that could benefit them and the citizens they serve during an emergency event but may require entering into and testing a roaming arrangement. By actively communicating information about the framework, FCC could also increase the likelihood of receiving information from industry or state and local public-safety officials about any implementation issues or positive results from the framework. In August 2017, FCC created a website that summarized the framework and, as noted above, issued a public notice inviting additional carriers to sign on to the framework. Only two carriers, as of October 2017, beyond the carriers involved in creating the framework publicly informed FCC of their intent to participate in the framework. As of October 2017, FCC officials told us they did not have additional plans to promote awareness of the framework, but noted that it would be important to inform relevant stakeholder groups about the framework, especially those who might remain unaware of it."], "subsections": []}]}, {"section_title": "Stakeholders Cited Advantages and Disadvantages for Options Aimed at Improving Wireless Network Resiliency", "paragraphs": ["We identified options that federal agencies could take to further improve wireless network resiliency based on agency reports, federal advisory committee recommendations, peer-reviewed literature, and other reports. The options we identified could be implemented either alone or in combination and are not meant to be exhaustive. We categorized them by their aim\u2014preparedness, response, and awareness. FCC, as the regulator for wireless communications, would be the likely agency to implement many of the options, although DHS or other federal agencies could play a role in implementing some of the options. We asked stakeholders to comment on the advantages and disadvantages, including the feasibility\u2014technical, legal, or other\u2014of each option. The tables below describe identified options by category, along with the most frequently cited advantages and disadvantages.", "FCC has previously suggested and discussed some of these options, most recently during its notice of proposed rulemaking in 2013. FCC noted that its proposed rule sought to comply with guidance from the Office of Management and Budget to use disclosure requirements or transparency measures where possible in place of prescriptive regulations. However, as noted above, FCC declined to issue a final rule, stating that the proposed rule was problematic in light of substantial concerns raised about proposed metrics and disclosure requirements."], "subsections": [{"section_title": "Preparedness", "paragraphs": ["Two options identified in agency reports and literature intend to improve resiliency by focusing on actions to be taken ahead of an emergency or disaster, as described in table 2.", "Twelve stakeholders we interviewed raised concerns about the feasibility of the option to require a minimum level of backup power at cell sites due to technical or legal issues. In 2007, FCC adopted a requirement for wireless carriers to provide 8 hours of backup power at cell sites. That requirement was vacated after the Office of Management and Budget disapproved the rule\u2019s information collection requirements. In contrast, nine stakeholders we interviewed were more positive about the feasibility of guidance. Further, FCC created the Broadband Deployment Advisory Committee in January 2017 to provide recommendations on how to accelerate broadband deployment. Two of the committee\u2019s five working groups focus on state and local regulatory barriers and model language for state and municipal code, both of which could provide a model for wireless network infrastructure."], "subsections": []}, {"section_title": "Response", "paragraphs": ["As shown in table 3, agency reports and literature also included options related to response activities during and after an emergency event.", "For the first option, FCC officials and six stakeholders we interviewed noted that wireless carriers have on occasion opened up their networks in prior emergency situations, which indicates that the option is technically feasible. For the second option, every state and local agency we spoke with noted the value of having real-time information on wireless outages during an emergency event. FCC collects DIRS data, and these data are confidential when provided to FCC. According to FCC, if outage data were shared with a state or local agency, it may be subject to open records laws that provide a means for the public to gain access to government documents."], "subsections": []}, {"section_title": "Awareness", "paragraphs": ["Other options are intended to improve wireless network resiliency by fostering transparency, as described in table 4. For some options below, transparency would involve making information publicly available so consumers could use this information when choosing a wireless carrier. Such transparency could give industry an incentive to improve the resiliency of their networks. For example, by setting performance standards or requiring wireless carriers to disclose their efforts to improve resiliency, consumers could compare the performance or practices of wireless carriers. However, some of these options would require defining specific parameters, whether a metric or the specific information to disclose, and seven stakeholders we interviewed noted this could be difficult given factors such as the variation in carriers\u2019 wireless networks and the pace of technological change. For other options below, transparency would involve more selectively sharing information with other public safety agencies to improve coordination and aid planning for possible disruptions to wireless networks during emergencies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["During natural disasters and other emergencies, wireless network outages can make emergency communications, such as making 911 calls, nearly impossible for the vast number of people who rely solely on wireless communications. The wireless industry sought to enhance resiliency by improving the continuity of wireless service and information sharing during and after emergency events by introducing a voluntary framework. Although FCC stated that this voluntary framework would have many benefits, neither industry nor FCC has identified any specific, measurable objectives that could be used to determine whether the framework meets its broad goals, and FCC has limited plans to monitor the framework\u2019s implementation and use. Absent sufficient monitoring, including identifying specific, objective measures for the framework, FCC lacks information on the framework\u2019s outcomes and overall effectiveness; such information could help FCC identify whether it needs to take steps to address challenges or take other action to further promote wireless network resiliency. Furthermore, FCC does not have any plans to actively communicate information about the framework to public safety officials and industry representatives. A concerted effort by FCC to promote awareness of the framework could help more public safety officials and other industry participants use the framework to prepare for or help mitigate the risks to wireless networks posed by natural disasters and other emergencies."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to FCC: The Chairman of FCC should work with industry, to the extent practical, to develop specific and measurable objectives for the Wireless Network Resiliency Cooperative Framework, such as outputs to measure the extent of the framework\u2019s use. (Recommendation 1)", "The Chairman of FCC should develop a plan to monitor the outputs and outcomes of the Wireless Network Resiliency Cooperative Framework and document the results of its monitoring to evaluate its effectiveness and identify whether changes are needed. (Recommendation 2)", "The Chairman of FCC should promote awareness about the elements of and any outcomes from the Wireless Network Resiliency Cooperative Framework among state and local public safety officials and other industry stakeholders, such as through existing outreach mechanisms and government-industry forums. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to FCC, DHS, and the Department of Commerce for comment. In its comments, reproduced in appendix III, FCC agreed with the recommendations. FCC also provided technical comments, which we incorporated as appropriate. DHS and the Department of Commerce had no comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Chairman of FCC, the Secretary of Homeland Security, and the Secretary of Commerce. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines federal agency and industry efforts to improve the resiliency of mobile wireless networks in response to natural disasters and other physical incidents since Hurricane Sandy, a natural disaster that caused significant communications outages across several states in late 2012. Specifically, this report examines: (1) trends in mobile wireless outages attributed to physical incidents since 2009 as reported to the Federal Communications Commission (FCC), (2) the actions federal agencies and industry have taken since 2013 to improve wireless network resiliency, and (3) options that federal agencies could take to improve network resiliency and their advantages and disadvantages. This report focuses on the physical risks facing wireless networks; that is, the potential for an unwanted effect from an incident on a network\u2019s infrastructure like towers, antennas, and switches. Therefore, we did not examine cyber risks facing wireless networks.", "To determine the trends in wireless outages, we analyzed data from FCC\u2019s Network Outage Reporting System (NORS) on wireless outages that occurred from 2009 through 2016. We chose this timeframe to cover 4 years of data before and after Hurricane Sandy. Communications providers, including wireless carriers, are required in regulation to submit outage reports in NORS for network service disruptions that reach certain thresholds. Given our focus on wireless outages, we examined reports in NORS for outages (1) that were reported by wireless companies that identified themselves as either a wireless carrier or Voice over Internet Protocol (VoIP) provider and (2) that were cited, as the reason the outage was reportable, a reporting requirement applicable to a wireless carrier or VoIP provider in 47 C.F.R. Part 4.", "We analyzed NORS data for wireless outages to determine the total number and the causes of wireless outages that occurred from 2009 through 2016. FCC provides carriers a list of 19 main categories from which a carrier selects a root cause, direct cause, and contributing factor(s) for an outage. We examined the root cause and direct cause for each wireless outage reported to FCC. We collapsed several of the FCC categories to create 9 categories for ease of presentation. Table 5 shows the crosswalk between the 19 FCC categories and our 9 collapsed categories.", "We also analyzed the data to identify the share of all wireless outages attributed to a physical incident\u2014that is, a natural disaster (e.g., flooding, earthquake, wildfire); accident (e.g., backhoe cut); or manmade event (e.g., theft, malicious act). FCC provides carriers a list of categories from which they select a root cause, direct cause, and contributing factor(s) for an outage. Using these FCC categories, we created three new categories for natural disasters, accidents, and manmade events (see table 6). We based these three new categories on the description and categorization of physical risks in FCC and DHS reports, including the Communications Sector-Specific Plan.", "To understand the distribution of causes across all wireless outages in our time frame, we focused primarily on the root cause for each wireless outage. However, we also examined the root and direct cause reported for each outage to better understand the multiple factors that may have led to an outage and to understand wireless network dependencies (e.g., power, backhaul). Finally, we examined the number of outages, by month and by year, for which a wireless carrier reported a physical event as the root cause, direct cause, or contributing factor to better understand the total number of outages related to a physical incident during our time period.", "We also analyzed other characteristics of wireless outages such as location, duration, and whether the failure occurred in another company\u2019s network. To examine location, we focused on three NORS fields\u2014city, state, and description of location\u2014to identify a city(ies) and state for each outage, and then we determined the latitude and longitude for each outage. We also examined NORS data in conjunction with two other data sets. First, data on events for which FCC activated its Disaster Information Reporting System (DIRS) or \u201cDIRS-lite\u201d to understand any correlation between wireless outages and major physical incidents. Second, data from CTIA\u2019s annual wireless survey on the number of wireless subscribers and other measures of wireless networks\u2019 size to understand any correlation between wireless outages and the size of the wireless industry.", "To assess the reliability of NORS data, we reviewed FCC\u2019s data glossary and other FCC documentation on the NORS data system and data elements. We interviewed agency officials responsible for collecting and analyzing NORS data to understand the manual and automated controls used to review carrier-reported outage information and any potential limitations in the data. We also reviewed relevant data elements for missing data, outliers, and errors. We found the data were sufficiently reliable for the purpose of describing the number and type of wireless outages reported to FCC that were attributed to a physical incident.", "To determine the actions federal agencies have taken since 2013 to improve the resiliency of mobile wireless networks, we reviewed reports and documents from FCC, the Department of Homeland Security (DHS), and the National Institute of Standards and Technology (NIST) within the Department of Commerce. Specifically, we reviewed transcripts and papers from hearings and a workshop FCC held in 2013 on communications reliability and continuity. We also analyzed agency orders and comments submitted in FCC\u2019s 2013 proceeding on wireless resiliency. In addition, we reviewed communications sector planning reports, such as the 2015 Communications Sector-Specific Plan and 2013 National Infrastructure Protection Plan, and other DHS communications sector-specific documents, as well as the NIST Community Resilience Planning Guide for Buildings and Infrastructure Systems and related documents. We also examined reports from federal advisory committees and partnership councils that cover wireless network resiliency, including reports from the Technological Advisory Council; Communications, Security, Reliability, and Interoperability Council; National Security Telecommunications Advisory Committee; and the Communications Sector Coordinating Council.", "To ensure we covered relevant agency actions and to seek any information on the results of these actions, we interviewed officials from DHS\u2019s Office of Cybersecurity and Communications within the National Protection and Programs Directorate, including officials from the Stakeholder Engagement and Cyber Infrastructure Resilience division\u2014 the sector-specific agency that leads federal efforts to protect and secure the communications critical infrastructure\u2014and National Cybersecurity and Communications Integration Center\u2014the center that continuously monitors incidents that may impact communications. We also interviewed officials from DHS\u2019s Federal Emergency Management Agency and Science and Technology Directorate, FCC, and NIST.", "Beyond federal agency officials, we interviewed 24 stakeholders to further understand federal agency and related industry actions to improve wireless network resiliency since 2013 and any results from these actions. Stakeholders included wireless carriers and other owners of wireless network infrastructure, industry associations, consumer groups, and state and local government officials. We selected stakeholders to ensure we covered different perspectives (e.g., industry and consumer groups, associations that represent state and local public safety officials). In particular, we selected industry associations and individual companies to cover both wireless carriers\u2014which operate networks and own some network infrastructure\u2014and communications tower companies\u2014which own and operate towers and sites and then lease space to wireless carriers. We selected wireless carriers to include both nationwide and regional carriers. We selected state agencies to include states directly affected by two events\u2014flooding in Louisiana and Hurricane Matthew\u2014 for which industry had implemented elements of the framework at the time we began our review. The views presented in our report are not generalizable to those of all stakeholders. See table 7 for a list of interviewed stakeholders.", "We reviewed documents describing the Wireless Network Resiliency Cooperative Framework (framework)\u2014a voluntary, industry initiative announced in April 2016. We interviewed CTIA and three of the five wireless carriers that collectively proposed the framework to learn about the impetus for, status of, and any outcomes or lessons learned from use of the framework to date. We also interviewed FCC and DHS about each agency\u2019s awareness of and role monitoring industry use of the framework, and we reviewed FCC plans to monitor and share information about the framework. Finally, we asked stakeholders we interviewed, as described above, about their knowledge of and experience with the framework, including any observed outcomes from its use to date. We assessed FCC\u2019s efforts to monitor implementation of the framework against Standards for Internal Control and FCC\u2019s current strategic plan.", "To determine what options exist for federal agencies to improve wireless network resiliency, we examined federal agency reports, literature, and other sources. First, we reviewed filings in FCC\u2019s 2013 proceeding examining wireless resiliency, including FCC\u2019s orders and comments filed by various parties, for proposed options that federal agencies could take. Second, we conducted a literature review of peer-reviewed articles, government reports, industry publications, and think tank publications from the last 5 years to identify additional options. Third, we examined reports from the aforementioned federal advisory committees on wireless network resiliency, the NIST Community Resilience Planning Guide for Buildings and Infrastructure Systems, and the Hurricane Sandy Rebuilding Task Force for recommendations made to federal agencies to enhance wireless network resiliency. From these sources, we identified 11 proposed options that federal agencies could take to improve wireless network resiliency. We eliminated one option\u2014requiring wireless carriers to disclose outage information to the public\u2014as this was the only option that FCC specifically proposed as a new rule in its 2013 proceeding, but ultimately FCC decided not to move forward on this proposal when it decided to not issue a final rule. The identified options were primarily those that FCC could implement, as FCC is the regulatory agency for wireless communications, although DHS or NIST could implement several of the options.", "We interviewed a variety of stakeholders, described above, to obtain their views on the advantages, disadvantages, and feasibility of each of the identified options. We used open-ended questions to solicit input on each option rather than provide a list of advantages and disadvantages to stakeholders. We also asked stakeholders if there were additional options for federal agencies to ensure we had a thorough list of options for federal agencies. Based on interviews with stakeholders and federal agencies, we decided not to present two options in our report\u2014establish more formal, ongoing collaboration between wireless carriers and power companies and create a program to facilitate collaborative restoration between wireless carriers and power companies\u2014as federal agencies told us they were already taking actions on these fronts. Therefore, we included federal agencies\u2019 actions related to these two options while describing actions taken by federal agencies since 2013. We analyzed information collected through the interviews with stakeholders to identify the most commonly cited advantages and disadvantages, and to determine the number of stakeholders that supported or did not support each option. The information collected from stakeholder interviews is not generalizable to all industry stakeholders."], "subsections": []}, {"section_title": "Appendix II: Analysis of FCC Data on Wireless Outages", "paragraphs": ["The figures below provide results from our analysis of Federal Communications Commission (FCC) data on wireless outages from 2009 through 2016. The data is from the Network Outage Reporting System (NORS), the system that wireless carriers and other communications providers use to report information on outages meeting certain threshold as required by regulation. The figures below present information on the number, cause, and duration of all wireless outages reported to FCC for this period.", "To describe wireless outages by cause, we use nine categories that collapse several of the FCC categories from which wireless carriers select the root cause, direct cause, and contributing factor(s) when reporting an outage. The following provides a brief description of these nine categories. Appendix I contains information on the scope and methodology for this analysis, including these nine collapsed categories.", "Cable damage/failure includes outages caused by an error locating or digging that resulted in cable damage, by an aerial cable that was damaged or ceased to function, and by loss of transmission in a cable due to aging, among other causes. FCC categories: cable damage, cable damage/malfunction.", "Equipment failure contains outages caused by the failure of a hardware component (e.g., circuit pack or card in a processor) or by a problem with the design of firmware, hardware, or software (e.g., failure for firmware to reset or restore after initialization, logical errors in software). FCC categories: design-firmware, design-hardware, design-software, hardware failure.", "Network robustness includes outages caused by, for example, a failure to provide or maintain diversity, thus preventing single points of failure. FCC categories: diversity failure, simplex condition.", "Maintenance includes outages caused by a needed spare part not being on hand or available, a vendor or contractor lacking updated procedures for its work, a service provider not providing adequate or up-to-date training, and scheduled maintenance to upgrade a network component or fix a known problem, among other causes. FCC categories: spare, procedural-other vendor/contractor, procedural- service provider, procedural-system vendor, planned maintenance.", "External environmental contains outages caused by earthquakes, wildfires, flooding, and other natural disasters as well as vandalism, theft, vehicle accidents that impair or destroy a component, and animal damage. FCC category: environment (external).", "Internal environmental contains outages caused by contamination due to dirt or dust that leads to overheating, by water entering manholes or vaults that destroys or impairs a component, and by other damage related to the condition of buildings and structures housing network equipment. FCC category: environment (internal).", "Other/Insufficient data includes outages for which there is not enough information for a failure report or investigation to determine the cause of the failure, service was restored before the cause could be determined, and the cause cannot be determined or proven. FCC categories: insufficient data, other/unknown.", "Power failure includes outages due to a commercial power failure (including power failures that extend beyond any backup power capabilities), a generator running out of fuel, a power system that was insufficiently sized for its purpose, and batteries not functioning as designed. FCC category: power failure (commercial and/or backup).", "Traffic/System overload contains outages where a network is overloaded or congested because of an unplanned, external event, or because of under-engineering the network due to changing demand or technologies. FCC category: traffic/system overload."], "subsections": []}, {"section_title": "Appendix III: Comments from the Federal Communications Commission", "paragraphs": ["."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Sally Moino (Assistant Director); Joanie Lofgren (Analyst in Charge); Enyinnaya David Aja; Stephen Brown; David Hooper; Richard Hung; Joshua Ormond; Amy Rosewarne; Andrew Stavisky; and Timothy Young made key contributions to this report. Jon Ludwigson, John Mortin, Mark Pross, Pam Snedden, James R Sweetman, Jr., and Joe Thompson also made contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-617", "url": "https://www.gao.gov/products/GAO-18-617", "title": "Nuclear Nonproliferation: The Administration's 2018 Plan for Verification and Monitoring Met Most Reporting Requirements but Did Not Include Future Costs and Funding Needs", "published_date": "2018-09-14T00:00:00", "released_date": "2018-09-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Countering the proliferation of nuclear weapons is a national security priority that is challenged by weapons advances from existing nuclear states and other actors possessing or attempting to possess nuclear weapons. To help address these issues, Congress directed the Administration in 2015 and 2017 to develop a plan for verification and monitoring relating to the potential proliferation of nuclear weapons, components of such weapons, and fissile material. GAO reviewed the first plan submitted to Congress in 2015, and an update submitted in 2017. GAO reported in March 2018 that this plan and update generally did not address the congressionally mandated reporting requirements.", "In the fiscal year 2018 NDAA, Congress directed the Administration to develop another plan and included a provision for GAO to review the plan. This report assesses whether the Administration's new plan provided details on the reporting requirements included in the NDAA.", "To determine whether the plan provided details on the reporting requirements, GAO reviewed the fiscal year 2018 plan and assessed whether the plan included details for each of the elements as required by the NDAA."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the 2018 plan provided details on most of the reporting requirements in the National Defense Authorization Act (NDAA) for Fiscal Year 2018, but did not include information on future costs and funding needs (see table below). In the NDAA, Congress directed the President to produce a plan that would address four reporting requirements: (1) a plan and roadmap on verification, detection and monitoring efforts, including details on costs and funding needs over 10 years, (2) an international engagement plan, (3) a research and development plan, and (4) a description of interagency engagement. The National Nuclear Security Administration (NNSA), a separately organized agency within the Department of Energy, developed the plan and submitted it to Congress in April 2018.", "According to NNSA officials, NNSA did not include long-term costs and funding needs in the plan because identifying these needs is unrealistic for several reasons, including because agencies have little influence over the spending priorities of other departments outside of the President's budget process. However, NNSA and other agencies already develop plans with long-term funding priorities and cost estimates for other programs. Because the plan does not include any estimates on future costs and funding needs, it limits congressional understanding of the long-term affordability of the nation's verification and monitoring efforts and its ability to make necessary funding and policy decisions. GAO has previously reported that providing estimates of future costs and funding needs can help congressional decisionmakers prioritize projects and identify long-term funding needs. By including in its plan estimates of future costs and funding needed to support the activities in the plan, NNSA could help provide assurance that agencies are allocating appropriate resources to the verification and monitoring effort and that these resources are aligned with future activities and processes."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Administrator of NNSA should include in its plan estimates of future costs and funding needed to support the activities in the plan. NNSA neither agreed nor disagreed with the recommendation, but said it planned no further action. GAO maintains that the recommendation is valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the National Defense Authorization Act (NDAA) for Fiscal Year 2018, Congress included a provision directing the President to develop and submit to Congress a plan for verification and monitoring relating to the potential proliferation of nuclear weapons, components of such weapons, and fissile material. This provision came out of issues that were highlighted in a 2014 report from the Department of Defense\u2019s Defense Science Board (DSB) on nonproliferation verification and monitoring technologies. As a result of the DSB report, in the fiscal year 2015 and fiscal year 2017 NDAAs, Congress directed the Administration to submit interagency plans for verification and monitoring. The Administrations submitted a classified plan in October 2015 and a classified update to the plan in May 2017 in response to these mandates. We assessed the 2015 plan and 2017 update in March 2018 and found that they generally did not address the reporting requirements.", "In the fiscal year 2018 NDAA, Congress indicated that the 2015 plan and 2017 update failed to answer congressional requirements and did not reflect the high priority of this issue. Further, the NDAA reiterated the DSB report\u2019s finding that \u201cThe nuclear future will not be a linear extrapolation of the past\u2026and the technologies and processes designed for current treaty verification and inspections are inadequate to future monitoring realities.\u201d To address these issues, in the fiscal year 2018 NDAA Congress directed the President to produce a new plan that would address four reporting requirements: (1) a plan and roadmap on verification, detection, and monitoring efforts, including details on future costs and funding needs over 10 years; (2) an international engagement plan; (3) a research and development (R&D) plan to describe current and planned efforts; and (4) a description of interagency engagement. On behalf of the Administration, the National Nuclear Security Administration (NNSA) prepared, and the Department of Energy submitted, a classified plan to congressional committees in April 2018.", "The conference report accompanying the fiscal year 2018 NDAA includes a provision for GAO to review the plan and provide its assessment to congressional committees 90 days after submission of the plan. The objective of this report is to assess whether the Administration\u2019s plan provided detail on the reporting requirements in the fiscal year 2018 NDAA.", "To address this objective, we reviewed the 2018 plan. We assessed the content of the plan against the reporting requirements and rated the extent to which it provided detail on those requirements in one of three ways: (1) addressed the reporting requirement with detail, (2) addressed the reporting requirement without detail, or (3) did not address the reporting requirement. In assessing the level of detail, we considered key factors identified in our previous work on national strategies, federal planning, and interagency collaboration. For example, we considered the extent to which the plan provided information regarding specific goals or objectives; strategies to achieve those goals or objectives and how they would be implemented; which agency or agencies would implement the strategies; and other measurable information, such as timelines and the resources required. We also interviewed officials at NNSA who led the development of the plan and coordinated with other contributing interagency partners.", "We conducted this performance audit from May 2018 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": [{"section_title": "Background", "paragraphs": ["Countering the proliferation of nuclear weapons and other weapons of mass destruction (WMD) remains a U.S. national security priority. According to the 2017 National Security Strategy, terrorist groups continue to pursue WMD-related materials, which pose a grave danger to the United States. As also stated in the 2017 National Security Strategy, Russia\u2019s nuclear arsenal remains the most existential threat to the United States, China\u2019s nuclear arsenal is growing and diversifying, Iran has the potential of renewing its nuclear program and North Korea has pursued nuclear weapons despite international commitments. As the DSB report noted, U.S. monitoring abilities are increasingly challenged by evolving risks in 1) the capability of existing nuclear states and 2) the number of state and nonstate actors possessing or attempting to possess nuclear weapons. U.S. nonproliferation activities are conducted and coordinated across multiple government agencies and organizations, as well as the intelligence community. In addition, these efforts are coordinated with international entities, national laboratories, industry, and academia.", "U.S. nuclear nonproliferation verification and monitoring efforts are guided by, among other things, U.S. obligations under the Treaty on the Non- Proliferation of Nuclear Weapons (NPT) and U.S. support for the Preparatory Commission for the Comprehensive Nuclear Test-Ban Treaty Organization (CTBTO). The NPT lays out the respective responsibilities of nuclear-weapon and nonnuclear-weapon states with regard to the transfer, acquisition, possession, control, and manufacture of nuclear weapons. All nonnuclear-weapon states are required to have a comprehensive safeguards agreement with the International Atomic Energy Agency (IAEA) to facilitate IAEA\u2019s safeguards activities. IAEA safeguards are a set of technical measures and activities by which IAEA seeks to verify that nuclear material subject to safeguards is not diverted to nuclear weapons or other proscribed purposes. Under the Comprehensive Nuclear Test-Ban Treaty (CTBT), which has yet to enter into force, parties agree not to carry out any nuclear explosions. The United States supports the work of the CTBTO to build up a verification regime in preparation for the treaty\u2019s entry into force.", "The Administration\u2019s fiscal year 2018 plan for verification and monitoring described ongoing interagency efforts to support nuclear proliferation verification and monitoring and includes information about relevant national priorities, capability gaps, R&D initiatives, and roles and responsibilities. The 2018 plan (40 pages) is longer and more detailed than the 2015 plan (2 pages) or the 2017 update (4 pages). The bulk of the 2018 plan is contained in two chapters\u2014one chapter broadly describes U.S. and international efforts and roles and responsibilities, and the other chapter describes ongoing U.S. R&D efforts."], "subsections": []}, {"section_title": "The Administration\u2019s 2018 Plan Generally Addressed the Reporting Requirements but Did Not Identify Costs and Funding Needs", "paragraphs": ["We found the Administration\u2019s 2018 plan provided details on each of the four major reporting requirements called for in the fiscal year 2018 NDAA with the exception of future costs and funding needs (see table 1)."], "subsections": [{"section_title": "Plan and Roadmap", "paragraphs": ["The first reporting requirement called for a plan and roadmap for verification, detection, and monitoring with respect to policy, operations, and research, development, testing, and evaluation, including\u2014 Identifying requirements for verification, detection, and monitoring; Identifying and integrating roles, responsibilities, and planning for verification, detection, and monitoring activities; and", "The costs and funding requirements over 10 years for these activities.", "We found that the 2018 plan provided detail on verification, detection, and monitoring requirements and roles and responsibilities, but did not provide details on future costs and funding needed to support the activities in the plan.", "We found that the plan identified requirements for verification, detection, and monitoring as required. To identify these requirements, the plan notes that interagency partners first identified a set of verification and monitoring priorities. From these priorities they identified a number of technical gaps. The plan then described dozens of examples of R&D efforts and non-technical activities to address those technical gaps. For example, for one gap the plan identifies eight current efforts to address this gap, including continued Department of Energy and NNSA investment in sensor capabilities that are small, light, and can operate in low power.", "We found that the plan provided details on the requirement to identify and integrate roles and responsibilities and planning. The plan includes details of the roles and responsibilities of interagency partners and international bodies that cooperate in the nonproliferation realm. For example, the plan describes how the Department of Defense is to support U.S. verification activities under the CTBT, including the installation, operation, and maintenance of U.S. International Monitoring Systems.", "We found that the plan did not identify costs and funding needs over a 10- year period. NNSA officials stated that they believed providing funding information over a 10-year period is unrealistic for several reasons. First, according to NNSA officials, it is not feasible to achieve agreement on actual or implied budgets outside of the existing President\u2019s budget process. Second, according to NNSA officials, agencies have little influence over the funding priorities of other departments outside of existing budget efforts. Third, according to NNSA officials, long-term funding estimates are infeasible because the President\u2019s budget only identifies funding levels five years into the future. However, the 2018 NDAA did not ask for budget information. Instead, the NDAA reporting requirement called for long-term costs and funding information necessary to support the verification and monitoring activities in the plan. Finally, NNSA officials told us that they and officials from other agencies briefed the appropriate congressional committees prior to the release of the 2018 plan, and discussed the challenges with providing cost and funding data.", "According to NNSA officials, they verified with the congressional committees that providing such information in the plan would be impractical.", "We have previously reported that providing estimates of future costs and funding needs can help congressional decisionmakers prioritize projects and identify long-term funding needs. NNSA as well as other agencies within the federal government already develop plans with long-term funding priorities and cost estimates. For example, in June 2014, we reported on 10-year estimates for sustaining and modernizing U.S. nuclear weapons capabilities. As we found in this and other reports, even when budgets are preliminary or not yet known, plans that include a range of potential estimates help Congress prioritize projects and funding. Because the plan does not include any information on interagency costs and funding needs, it limits 1) congressional understanding of the long-term affordability of the nation\u2019s verification and monitoring efforts and 2) Congress\u2019s ability to make necessary funding and policy decisions. By including in its plan estimates of future costs and funding needed to support the activities in the plan, NNSA could help provide assurance that agencies are allocating appropriate resources to the verification and monitoring effort.", "In addition, including estimates of future costs and funding needs in the plan can help ensure that interagency partners understand the amount of resources necessary to support verification and monitoring efforts, and determine if these resources align with agency activities. We have previously reported on the importance of identifying resources among collaborating agencies; we noted that without information on resource contributions from partners in a collaborative effort, there is less assurance that agency contributions are appropriate to successfully sustain the effort. Similarly, providing information on future costs and funding needs is important to help interagency partners coordinate and develop long-term strategic plans that align with future interagency efforts. We have found that for strategic planning to be done well, plans should demonstrate alignment between activities, core processes, and resources that support mission outcome. By including in its plan estimates of future costs and funding needed to support the activities in the plan, NNSA could help provide assurance that agencies are allocating appropriate resources for interagency efforts and that these resources are aligned with future activities and processes."], "subsections": []}, {"section_title": "International Engagement Plan", "paragraphs": ["The second reporting requirement called for an international engagement plan for building cooperation and transparency\u2014including bilateral and multilateral efforts\u2014to improve inspections, detection, and monitoring activities. We found that the 2018 plan provided detail on this requirement. The 2018 plan reiterates the nation\u2019s commitment to the NPT and includes information on IAEA\u2019s safeguards programs and U.S support for those programs. For example, under the plan, interagency partners are to continue to encourage countries through diplomatic outreach to conclude Additional Protocol agreements with IAEA."], "subsections": []}, {"section_title": "Research and Development Plan", "paragraphs": ["The third reporting requirement called for the plan to describe current and planned R&D efforts toward improving monitoring, detection, and in-field inspection and analysis capabilities, including persistent surveillance, remote monitoring, and rapid analysis of large data sets; and measures to coordinate technical and operational requirements early in the process. We found that the 2018 plan provided detail on this requirement. The plan includes detail on a wide range of R&D efforts and non-technical efforts that agencies are pursuing. For example, the plan reports that the Defense Advanced Research Projects Agency is starting a program that models millions of nodes and billions of connections to support the detection of WMD proliferation activities. In addition, the plan describes interagency groups involved in coordinating R&D requirements, such as the National Science and Technology Council Subcommittee on Nuclear Defense Research and Development."], "subsections": []}, {"section_title": "Interagency Engagement", "paragraphs": ["The fourth reporting requirement called for the plan to describe the engagement of relevant federal departments and agencies; the military departments; national laboratories; industry; and academia. We found that the 2018 plan provided detail on this requirement. The plan includes detail on the roles and responsibilities for interagency partners, as well as information on interagency organizations and working groups to coordinate efforts and reduce duplication. For example, the plan discusses the Department of State\u2019s efforts to lead the interagency policy process on nonproliferation and manage global U.S. security policy, and the Department of Defense\u2019s support of U.S. diplomatic efforts, including agreements with other defense departments, R&D cooperation, and multinational exercises."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["This 2018 plan represents the third effort by Administrations to address the nation\u2019s nuclear proliferation verification and monitoring efforts. The 2018 plan provides more detail on these efforts than the 2015 plan and 2017 update. However, the plan does not include estimates of future costs and funding needs as required by the fiscal year 2018 NDAA. Costs and funding information can help congressional decisionmakers prioritize projects and identify potential long-term funding needs. Similarly, costs and funding information helps interagency partners understand what resources they are expected to contribute in the future and helps to ensure long-term strategic plans reflect an alignment between resources and interagency activities. By including in its plan estimates of future costs and funding needed to support the activities in the plan, NNSA could help provide assurance that agencies are allocating appropriate resources to the verification and monitoring effort and interagency activities, and that these resources are aligned with future activities and processes."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to NNSA: The Administrator of NNSA should include in its plan for verification and monitoring estimates of future costs and funding needed to support the activities in the plan. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided NNSA with a draft of this report for review and comment. NNSA provided written comments, which are summarized below and reproduced in appendix I; the agency neither agreed nor disagreed with our recommendation to include estimates of future costs and funding needed to support the activities in its plan for nuclear proliferation verification and monitoring. However, NNSA stated that it planned no further action with regard to costs and funding data. NNSA also provided technical comments, which we incorporated as appropriate.", "NNSA stated that it appreciated our recognition of improvements in the 2018 plan for verification and monitoring over the 2015 plan and the 2017 update. In its written comments, NNSA acknowledged that it did not include interagency cost and funding requirements in the 2018 plan over 10 years as required in the NDAA. The agency stated that it briefed the appropriate congressional committees before the release of the plan about the challenges and feasibility of providing the cost and funding data and received no objections on the omission of the data from the plan. NNSA also stated that it informed us of the briefings. We have added clarification in our report that NNSA officials believed they received agreement from congressional staff to exclude funding and cost estimates from its plan.", "NNSA stated that the NDAA did not prioritize the relative importance of the reporting requirements, and that we disproportionately weighted the one omission in our assessment, effectively overstating the importance of providing cost and funding information. In addition, NNSA identified challenges to the feasibility of providing interagency out-year cost and funding estimates, including the difficulty to quantify the level of R&D and associated funding required to achieve specific outcomes and that departments and agencies are unable to commit to aligning 10 year funding estimates with individual agencies\u2019 timelines and internal processes for planning, programming, budgeting, and execution.", "NNSA\u2019s statement suggests that it views nuclear proliferation verification and monitoring programs as being unique and different from other federal programs and that they should therefore be exempt from estimating their potential long-term resource burden on the federal budget. We disagree. Developing future cost and funding estimates for programs is central to effective interagency planning efforts. The efforts described in NNSA\u2019s 2018 nuclear verification and monitoring plan span a diverse range of activities that are implemented across multiple agencies. The absence of cost and funding estimates for these efforts in NNSA\u2019s plan raises questions as to whether there is an effective interagency process to coordinate these efforts and if the process is taking adequate account of resource constraints and making realistic assessments of program resource needs. In addition, information on future cost and funding estimates of federal programs provides Congress with a better understanding of the potential long-term funding needs and costs of the diverse efforts supporting the proliferation verification and monitoring mission. We believe this big picture view is important given the multiple congressional committees of jurisdiction\u2014including appropriations, authorization, and oversight committees\u2014for the efforts identified in NNSA\u2019s plan.", "Regarding the feasibility of providing 10-year cost and funding estimates, we recognize the difficulty and uncertainty agencies face in estimating future funding needs. However, we do not believe developing such estimates is impossible. As we reported, the Department of Defense (DOD) and the Department of Energy (DOE) prepare an annual plan with 10 year cost and funding estimates for their ongoing nuclear sustainment and modernization efforts, including R&D efforts.", "NNSA also provided general technical comments addressing our findings on the cost and funding estimates that were not included in the plan, including comments on NNSA\u2019s authority to obtain 10-year estimates from other agencies, and on the examples we cited of other interagency plans that include similar estimates.", "NNSA stated that it did not have authority to require other agencies to submit 10-year budget estimates for their efforts that are included in the plan. We noted in our report that Congress directed the President to include this element in the nuclear proliferation verification and monitoring plan. However, responsibility to prepare and submit the plan was delegated by the President to DOE.", "NNSA commented that the joint DOD-DOE annual nuclear sustainment and modernization plan is not comparable to the NNSA plan because the former primarily addresses capital projects and other material products, while the latter primarily addresses R&D activities. The reporting requirements for NNSA\u2019s nuclear proliferation verification and monitoring plan were not limited to R&D efforts, but included cost and funding estimates for related activities and capabilities, including policy, operations, testing, and evaluation. NNSA\u2019s comment focuses only on the difficulty of addressing cost and funding estimates for only one aspect (R&D) of nuclear proliferation verification and monitoring and ignores the possibility that estimates for non-R&D efforts may be more feasible and less difficult to report. Moreover, we have reported that the joint DOD- DOE plan on nuclear modernization includes 10-year DOD and DOE estimates for R&D, as well as estimates for related modernization efforts, including infrastructure, nuclear weapon life extension programs, delivery systems, nuclear command, control, and communications systems, and other related activities.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of NNSA, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments:", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, William Hoehn (Assistant Director), Dave Messman (Analyst-in-Charge), Alisa Carrigan, Antoinette Capaccio, Ben Licht, Steven Putansu, and Gwen Kirby."], "subsections": []}]}], "fastfact": ["In 2015 and 2017, federal law directed the President to submit a plan to Congress for monitoring the potential spread of nuclear weapons and materials. In earlier reports, we found those plans did not address required areas.", "A 2018 law again directed the President to produce a plan, which the National Nuclear Security Administration prepared. Most required subjects were included, such as plans for research and development and international engagement. However, the plan did not include information on its cost over the next 10 years.", "We recommended the NNSA provide estimates of the funding needed to support the activities in the plan."]} {"id": "GAO-18-57", "url": "https://www.gao.gov/products/GAO-18-57", "title": "Commercial Space Launch Insurance: FAA Needs to Fully Address Mandated Requirements", "published_date": "2018-01-16T00:00:00", "released_date": "2018-01-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government shares liability risks with the commercial space launch industry for accidents that result in damages to third parties or federal property. This arrangement requires space launch companies to have a specific amount of insurance to cover these damages. The government is potentially liable for damages above that amount, up to a cap GAO estimated to be $3.1 billion in 2017, subject to appropriations in advance.", "CSLCA, enacted in 2015, directed the Department of Transportation, of which FAA is a part, to evaluate its MPL methodology and, if necessary, develop a plan to update that methodology. The act also included a provision requiring GAO to assess FAA's evaluation and any actions needed to update the methodology.", "This report discusses the extent to which (1) FAA's evaluation report addresses the requirements in CSLCA and (2) FAA has addressed previously identified weaknesses in the MPL methodology. GAO reviewed documents and interviewed FAA on its loss methodology evaluation and actions to address weaknesses."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Aviation Administration's (FAA) report evaluating its maximum probable loss (MPL) methodology did not fully address the evaluation and consultation requirements specified by the U.S. Commercial Space Launch Competitiveness Act (CSLCA).", "Balance of Risk. CSLCA required FAA to include ensuring that the federal government is not exposed to greater indemnification costs and that launch companies are not required to purchase more insurance coverage than necessary as a result of FAA's MPL methodology. FAA said that it ensured this balance by improving its methodology, but it did not reevaluate its probability thresholds after revising its methodology. These thresholds are used to divide the risk of loss between launch companies and the government.", "Impact on Costs. The act required FAA to consider the costs to both the industry and the federal government of implementing an updated methodology. FAA's report discussed the impact on indirect costs, such as data collection, but did not discuss direct costs: insurance premiums for launch companies and indemnification liability for the federal government.", "Consultation. The act also required FAA to consult with the commercial space sector and insurance providers in evaluating its MPL methodology in accordance with the preceding requirements. While the agency consulted with some stakeholders, these consultations were limited in scope.", "FAA officials said they have not been able to take the actions needed to fully satisfy the mandated elements because of issues such as resource limitations and the lack of available data. However, by not resolving these issues, FAA lacks assurance that launch companies are not purchasing more insurance than needed or that the federal government is not being exposed to greater indemnification costs than expected.", "FAA has addressed two of three previously identified weaknesses in its MPL methodology but has not yet dealt with the remaining weakness. Specifically, the agency has revised its methodology for estimating the number of potential casualties for a launch and changed the factor it uses to derive estimated property damage from estimated casualties. However, FAA has not updated the amount used for the cost of an individual casualty. GAO recommended in a March 2017 report (GAO-17-366) that FAA update this amount. Not doing so could understate the amount of insurance launch companies are required to purchase, exposing the federal government to excess risk.", "GAO also determined that while FAA has two tools and methods it can use in making its MPL estimates, it does not have guidance on determining which are most appropriate for a given launch scenario. For example, one tool is more comprehensive but also labor intensive to use, while the other is inappropriate for certain launch scenarios and could result in misleading MPL amounts. Officials said they have begun to create such guidance but do not have an estimated completion date. Without such guidance, FAA cannot ensure that the most appropriate MPL methodology is used for each launch."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FAA should fully address mandated requirements in evaluating its MPL\u2014probability thresholds, direct costs, and stakeholder consultations\u2014 and establish an estimated completion date for developing guidance on tools and methods to use for specific launch scenarios. The Department of Transportation concurred with the recommendations, and provided technical comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1988, the federal government has sought to assist in the development of the commercial space launch industry by sharing liability risks for accidents leading to damages to third parties or federal property and personnel. This risk-sharing arrangement requires that space launch companies\u2014firms that launch satellites or other payloads into space or reenter vehicles from space\u2014purchase insurance against claims by third parties and for loss or damage to federal property and personnel up to a maximum probable loss (MPL) amount. This amount is to be determined by the Federal Aviation Administration\u2019s (FAA) Office of Commercial Space Transportation. For claims that exceed the MPL threshold, the federal government is potentially liable for damages, subject to appropriation, up to $3.1 billion in 2017 (the equivalent to $1.5 billion in 1988).", "In November 2015, Congress passed the U.S. Commercial Space Launch Competitiveness Act, (CSLCA) which required FAA to evaluate its MPL methodology and report the results of that evaluation to Congress. In addition, it required the agency, as part of its evaluation, to consult with the commercial space sector and insurance providers and, if necessary, develop a plan to update that methodology so the federal government is not exposed to greater costs than intended and launch companies are not required to purchase more insurance than necessary. Although FAA was required to submit its report on updating its methodology to Congress by May 2016, it did not do so until April 2017, citing an internal agency review process for the delay.", "CSLCA also includes a provision for us to assess, among other things, the analyses conducted and conclusions made in FAA\u2019s MPL evaluation report to Congress. This report examines (1) the extent to which FAA\u2019s mandated report addresses the requirements in CSLCA and (2) the extent to which the agency has addressed previously identified weaknesses in the MPL methodology.", "To address the first objective, we analyzed the CSLCA requirements for FAA\u2019s report and evaluated the information included in FAA\u2019s report, as well as additional information provided by officials from FAA\u2019s Office of Commercial Space Transportation. Specifically, we analyzed supporting documentation, including contractor reports and meeting minutes; interviewed FAA officials; and compared this evidence to federal internal control standards and GAO guidance on conducting an economic assessment.", "To address the second objective, we reviewed prior GAO recommendations, and weaknesses in the MPL methodology identified by us and other entities. We assessed FAA\u2019s efforts to address these recommendations and weaknesses using documentation from and interviews with Office of Commercial Space Transportation officials about the steps that FAA has taken or plans to take. We also interviewed these officials, and reviewed documentation on guidance on determining the most appropriate analytical tool to use calculate MPL values for a given launch scenario. We also assessed the reasonableness of FAA\u2019s actions and plans using federal internal control standards where appropriate.", "For both objectives, we reviewed information collected for our March 2017 report on the agency\u2019s revisions to its MPL methodology, including the actions the agency has taken to address the weaknesses we and others had previously identified. For the purposes of this current report, we are updating the information collected for the March 2017 report as appropriate.", "We conducted this performance audit from May 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Commercial Space Launch Act Amendments of 1988 established the foundation for the current U.S. policy to potentially provide federal payment for a portion of claims by third parties for injury, damage, or loss that results from a commercial launch or reentry accident. A stated goal of the act was to provide a competitive environment for the U.S. commercial space launch industry. The act also provided for, among other things, government protection against some losses\u2014referred to as indemnification\u2014while still minimizing the cost to taxpayers. All FAA- licensed commercial launches and reentries by U.S. companies, whether unmanned or manned and from the United States or overseas, are covered by federal indemnification for third-party damages that result from the launch or reentry. According to agency officials, in 2016 FAA issued five active licenses, which had an average third-party MPL of about $51 million and ranged from $10 million to $99 million.", "The amount of insurance coverage that FAA requires launch companies to purchase\u2014the MPL value\u2014is intended to reflect the greatest dollar amount of loss to third parties and the federal government for bodily injury and property damage that can be reasonably expected to result from a launch or reentry accident. FAA calculates separate MPL values for potential damages to third parties and the federal government. For each launch license that it issues, FAA determines MPL values for third parties with the intent of estimating the greatest dollar amount of losses that reasonably could be expected from a launch or reentry accident, which have no less than a 1 in 10 million chance of occurring. For damages to the federal government, FAA determines MPL values with the intent of estimating the greatest dollar amount of losses that reasonably could be expected from a launch or reentry accident, which have no less than a 1 in 100,000 chance of occurring. According to FAA, the agency defines these probability thresholds to estimate the federal government\u2019s exposure to losses above the MPL. Agency officials said that the current probability thresholds are set such that losses are very unlikely to exceed launch companies\u2019 private insurance and become potential costs for the government under CSLCA.", "FAA\u2019s process for determining the MPL value for a launch or reentry license generally includes three elements: 1. Number of casualties. Estimating the number of third-party casualties involves adding the number of direct and secondary casualties that could result from a launch accident. Direct casualty estimates include serious injuries and deaths. Secondary casualties include those resulting from fires and collapsing buildings. 2. Cost of casualties. FAA uses $3 million as an estimate of the average loss per casualty, which is multiplied by the number of estimated casualties. 3. Property damage. FAA applies a predetermined factor\u2014which it recently changed from 50 percent to 25 percent\u2014to the estimated cost of casualties to derive estimated losses from property damage.", "The total MPL is equal to the estimated cost of casualties plus property damage.", "FAA has revised two components of its MPL methodology since our 2012 report. For example, in April 2016, the agency adopted a new method for estimating the number of casualties, known as the risk profile method. This method uses different tools to simulate a range of possible scenarios to create a distribution of potential casualty numbers and the simulated probability of different levels of casualty numbers. The risk profile method replaced FAA\u2019s \u201coverlay method,\u201d which was a method it had used since the early 1990s which the agency said did not work well for launches of small launch vehicles in remote areas, or for reentries. In addition, FAA reduced the factor it uses to estimate losses due to property damage, based on tests of a new process for estimating such losses that showed the previous factor was too high."], "subsections": [{"section_title": "GAO Previously Reviewed FAA\u2019s MPL Methodology", "paragraphs": ["We have previously reviewed FAA\u2019s MPL methodology in 2012 and 2017. In 2012 we examined the U.S. government\u2019s indemnification policy, the federal government\u2019s potential costs for indemnification, and the effects of ending indemnification on the competitiveness of U.S. launch companies, among other aspects of FAA\u2019s MPL methodology. In 2017 we examined the extent to which FAA had revised its MPL methodology since our 2012 report to address previously cited weaknesses and the potential effect of any changes to that methodology on financial liabilities for the federal government. The findings and recommendations of those reports, including any unaddressed weaknesses, are discussed later in this report."], "subsections": []}]}, {"section_title": "FAA Did Not Fully Address the CSLCA\u2019s Three Mandated Requirements", "paragraphs": ["CSLCA required FAA to evaluate its MPL methodology incorporating three requirements, but the agency\u2019s report did not fully address these requirements.", "First, the act required FAA to ensure a balance of risk between launch companies and the federal government. However, agency officials told us that they did not re-evaluate the probability thresholds\u2014which are used to divide the risk of loss between launch companies and the federal government\u2014as part of evaluating its MPL methodology when implementing the risk profile method due to resource constraints.", "Second, the act required FAA to consider the cost impact of implementing an updated MPL methodology, but the agency did not evaluate the impact of implementing its revised methodology on the direct costs to launch companies (insurance premiums) and to the federal government (indemnification liability).", "Third, the act required FAA to consult with the commercial space sector and insurance providers in evaluating its MPL, but they did not consult such parties in response to the act.", "Without fully addressing CSLCA\u2019s mandated requirements, FAA cannot ensure that the federal government is not exposed to greater liability costs than intended or that launch companies are not required to purchase more insurance coverage than necessary."], "subsections": [{"section_title": "FAA Has Not Fully Evaluated the Balance between Government Liability Exposure and Industry Insurance Costs", "paragraphs": ["In its report, FAA states that implementing an updated MPL methodology in April 2016\u2014the risk profile method\u2014helps ensure that the federal government is not exposed to greater liability costs than intended and that launch companies are not required to purchase more insurance coverage than necessary, as required under CSLCA. Further, agency officials told us that their updated methodology is technically more valid and improves their ability to avoid overestimating MPL values (which can cause launch companies to purchase more insurance coverage than necessary) or significantly underestimating MPL values (which can expose the federal government to greater costs than intended).", "While an improved model may provide a more realistic calculation of the MPL, by changing the resulting estimates it can also change the balance between the federal government\u2019s exposure to liability costs and the amount of insurance launch companies are required to purchase. For example, if the more realistic results produced by the revised methodology increased the MPL estimates, this would increase insurance costs for the launch companies and reduce the federal government\u2019s exposure, thereby shifting the balance of costs between the two and suggesting a reevaluation of the thresholds.", "In addition, FAA officials told us that they had not reevaluated the probability thresholds upon implementing the revised MPL methodology, although defining these thresholds is their primary mechanism for adjusting the balance of risk between launch companies and the federal government. Agency officials acknowledged that an examination of the thresholds\u2019 continued appropriateness would be warranted in the future.", "However, they told us that changing the probability thresholds would require significant effort because it would require them to change federal regulations and that resources are currently allocated to other rulemaking priorities. Nevertheless, without evaluating the appropriateness of the probability threshold as part of the mandated evaluation of the MPL methodology, FAA cannot ensure that the federal government is not exposed to greater liability costs than intended or that launch companies are not required to purchase more insurance coverage than necessary."], "subsections": []}, {"section_title": "FAA Evaluated Only Indirect Costs to Industry and Government of Implementing a New Methodology", "paragraphs": ["CSLCA also required FAA to consider the cost impact on both the commercial space launch industry and the federal government of implementing an updated MPL methodology. In its report to Congress, the agency discussed indirect costs to launch applicants and the federal government. For example, FAA discussed indirect data burden costs on launch company applicants and FAA analysts associated with the agency\u2019s risk profile method implementation. The report states that the risk profile method requires more data from a launch applicant than the previous method, but that the added burden is minimal because the information is similar to the type of information required by FAA for a risk analysis. Agency officials also said that the risk profile method requires more of an FAA analyst\u2019s time than the overlay method, but that the added burden is minimal because the work done by FAA on risk analysis provides much of the foundation for an MPL analysis.", "However, FAA\u2019s report did not include an evaluation of the direct costs to launch companies and the federal government of implementing an updated MPL methodology. The report identifies the direct cost to the launch industry as insurance premiums, and the direct cost to the federal government include potential indemnification payments. Agency officials also told us that the agency does not track commercial space launch insurance costs, and that they do not have meaningful insights on insurance premiums paid by commercial launch companies. FAA officials told us that they only have a general notion of insurance premiums because the industry is reluctant to share such information. FAA officials also told us that, outside of the work done for the report, they have not evaluated the economic implications for launch companies of implementing an updated MPL methodology. Without evaluating direct costs to both the launch companies and the federal government, FAA will be limited in its ability to consider the impact of the cost to both the industry and the federal government of implementing an updated methodology."], "subsections": []}, {"section_title": "FAA Obtained Limited Input from the Commercial Space Sector and Insurance Providers", "paragraphs": ["Although CSLCA required FAA to consult with the commercial space sector and insurance providers in evaluating its MPL methodology for the mandated report, it obtained limited input. For example, FAA officials told us that they obtained input from their Commercial Space Transportation Advisory Committee (COMSTAC) in April 2016 about what to include in their report to Congress, but did not consult with the commercial space sector and insurance providers to evaluate their MPL methodology in response to CSLCA.", "FAA officials also said that, to respond to CSLCA\u2019s consultation requirement, they did not think they needed to repeat the consultations they took in 2013. In January 2013, the agency solicited input from COMSTAC\u2019s Business/Legal Working Group about how to best conduct a review of FAA\u2019s methodology for calculating MPL, in response to our July 2012 report. FAA also briefed the Business/Legal Working Group in May 2013 to solicit input on MPL methodologies, including the risk profile method. In the January 2013 meeting, a COMSTAC member suggested several contractors for a study by outside experts of the complete MPL methodology, and FAA subsequently hired one of these contractors to develop the risk profile method that it implemented in April 2016. However, the agency did not solicit input from COMSTAC about its risk profile methodology prior to its April 2016 implementation or following CSLCA\u2019s November 2015 mandated evaluation. As a result, FAA lacks input on the effect of its revised MPL methodology on launch companies and the federal government, making it difficult to evaluate the balance of risk between the two."], "subsections": []}]}, {"section_title": "FAA\u2019s Revised MPL Methodology Does Not Fully Address Certain Previously Identified Weaknesses", "paragraphs": ["Our 2012 report identified concerns with all three components of FAA\u2019s MPL methodology: estimating the number of casualties, estimating the cost of casualties, and deriving estimated property damage costs from estimated casualty costs. In that report we recommended that the agency reassess its methodology, including the reasonableness of several key elements. As noted in our 2017 report, FAA has since made improvements to its methodology. However, it still has not yet updated the cost of a casualty. In addition, in our 2017 report we also noted that there are instances where deriving estimated property damage from estimated casualty costs is inappropriate. As of November 2017, FAA does not have guidance to identify such instances or to guide decisions on which tools to use in developing the MPL estimate."], "subsections": [{"section_title": "FAA Has Made Improvements to Its MPL Methodology but Has Not Updated the Cost-of- Casualty Amount", "paragraphs": ["FAA has taken steps designed to improve two of three elements of its MPL methodology, including revising its methodology for estimating the number of potential casualties for a given launch and changing the factor it uses to derive estimated property damage from estimated casualties. However, the agency has not updated the third element, the amount it uses for the cost of an individual casualty, leaving a previously identified weakness unaddressed.", "Our 2012 report raised concerns with each of the three components of FAA\u2019s MPL calculation methodology.", "First, we found that FAA\u2019s method for estimating the number of casualties involved use of a single loss scenario instead of applying the insurance industry\u2019s standard practice of catastrophe modeling, and that the agency\u2019s method might significantly understate the number of potential casualties. Catastrophe modeling, unlike the single-loss approach, generally estimates losses by using various tools to simulate tens of thousands of scenarios to create a distribution of potential losses and the simulated probability of different levels of loss.", "Second, we reported that FAA had been using an outdated and likely understated figure of $3 million to estimate the cost of a single casualty\u2014including injury or death\u2014which Office of Commercial Space Transportation officials said has not been updated since they began using it in 1988.", "Third, we reported that the agency\u2019s approach of estimating potential property damage by adding a flat 50 percent to the estimated casualty damage could lead to estimates that were too high in some cases.", "Given these weaknesses, we recommended that FAA reassess its MPL methodology, including assessing the reasonableness of the cost-of- casualty amount and other assumptions used. Because the agency took actions to assess its MPL methodology, we closed the recommendation as implemented.", "In March 2017 we reported that FAA had taken steps to address weaknesses in two of these three areas. Specifically, we reported that FAA\u2019s adoption of the risk profile method in April 2016 had improved its estimates of the number of potential casualties associated with a particular license launch. In addition, we reported that the agency had revised the factor it uses to estimate losses from property damage in the MPL calculation from 50 percent to 25 percent. This change has resulted in property damage estimates that FAA officials believe are still conservative but more realistic than previous estimates.", "However, in our March 2017 report we also determined that FAA had not yet addressed weaknesses in the cost-of-casualty amount we had previously identified; despite the conclusion by a contractor it had hired to study the cost-of-casualty that it was too low. Agency officials told us that they had not addressed this weakness because of other priorities. Given the significance of the cost-of-casualty amount to the MPL calculations, we recommended that FAA prioritize the development of a plan to address the identified weakness in the cost-of-casualty amount, including setting time frames for action, and update the amount based on current information. In October 2017, FAA officials told us that they had not yet updated the cost-of-casualty because they have continued to prioritize completing other work with their limited resources, such as reviewing launch applications and fulfilling other safety responsibilities. As a result, our recommendation remains open.", "FAA officials told us that they have identified potential steps to update the cost-of-casualty amount, including seeking public input on whether and how to revise the amount, but that they do not expect to make a decision on whether to make any changes to the cost-of-casualty amount until June 30, 2018, at the earliest. FAA officials told us that in order to prioritize the development of a plan to address the identified weakness in the cost-of-casualty amount they will need to consult with both the commercial space and insurance industries about the necessity and implications of any potential increase in the cost-of-casualty amount. Agency officials said that they plan to do such consultations through COMSTAC. However, because COMSTAC was just reestablished in June 2017 after not having been active since November 2016 and new members had not been approved as of October 2017, the anticipated decision date of June 2018 could be further delayed.", "As we reported in March 2017, an understated cost-of-casualty amount can lead to an inaccurate loss calculation, which in turn understates the amount of insurance a launch company must obtain. This could increase the potential exposure to the federal government, as the insurance amount would be less than the potential losses associated with the launch activity and the property would be inadequately protected. Because of this potential exposure, we maintain that addressing this weakness is a priority."], "subsections": []}, {"section_title": "FAA Does Not Have Guidance for When to Estimate Property Damage Separately from the Number of Casualties and Which Analytical Tool to Use", "paragraphs": ["As noted above, in our 2012 report we raised concerns about the first element of FAA\u2019s MPL methodology, which is estimating the number of potential casualties. FAA officials said that they have implemented two tools for estimating the number of potential casualties, and that each tool requires a different level of resources and is more appropriate for different launch scenarios. The Range Risk Analysis Tool creates physics-based simulations of possible accidents using launch vehicle data, such as launch trajectory and types of failures, and assigns each simulated accident a probability of occurrence based on the failure rates of the different elements of the launch vehicle. According to agency officials, the Range Risk Analysis Tool is a comprehensive, high-fidelity tool and is the most appropriate tool for coastal launch sites, which are often located in heavily populated areas, and is labor intensive. The Risk Estimator Sub- orbital and Orbital Launch Vehicle and Entry tool, which in contrast to the Range Risk Analysis Tool, is a medium-fidelity tool that can be used for low-risk launches, such as launch sites located in very sparsely populated areas and reentry operations that do not need the use of a high-fidelity tool. According to FAA, this tool significantly reduces the time required to estimate the risk from launch and reentry vehicle operations.", "In our 2017 report, we also reiterated that there are cases where the third element of FAA\u2019s methodology, deriving estimated property damage from estimated casualties, could lead to misleading MPL calculations. Specifically, in March 2017 we reported that estimating losses from property damage as a percentage of losses from casualties could lead to overestimates. For example, FAA\u2019s contractor found that, if a launch accident affected a residential area, the agency\u2019s practice of estimating property damage based on casualties would likely overstate property damages because residential structures have relatively low values compared to losses from casualties. We also reported in March 2017 that in some accidents the number of casualties may be low but property losses could still be very large, in which case FAA\u2019s estimating property losses based on casualties would likely understate potential property damage. For example, a launch vehicle could strike an unoccupied structure that is very expensive, such as a neighboring launch complex. Agency officials said that while deriving property losses from casualty losses is a simpler method that may be an effective use of limited FAA resources, it could be inappropriate in scenarios where the number of casualties might be low but property losses could still be very large.", "In October 2017, agency officials said that FAA had not developed guidance for determining, for a given launch license, which of the available tools would be most appropriate to estimate the number of potential casualties, and whether it would be more appropriate to estimate property losses separately rather than derive them from estimated casualties. While FAA officials said they believe their current decision process is adequate and that they do not need more formal guidance at this time, they also told us that they were in the process of developing internal guidance on the most appropriate tool to use for future launches. The officials said that they did not have a projected completion date for the guidance, primarily because the agency has other priorities and resource limitations. As noted earlier, these priorities include reviewing commercial space launch license applications and managing program safety.", "Federal internal control standards state that, as part of an entity\u2019s risk assessment component, management should identify, analyze, and respond to risks to achieving objectives. For example, the standards state that management should design control activities in response to the entity\u2019s objectives and risks to achieve an effective internal control system.", "Without such guidance, FAA could face challenges in ensuring that it is using the most appropriate method to calculate an MPL for a given launch and is making the most efficient use of its resources. Such guidance could become more important as the number of commercial space launches increases, potentially creating greater demands on its resources. We have previously reported that the commercial space launch industry has experienced significant growth in the number and complexity of launches in the past half-decade. FAA has also reported that its licensed launches have increased 60 percent and industry revenue has increased 471 percent since 2012."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FAA\u2019s MPL methodology is critical in balancing the encouragement of the U.S. commercial space industry with the need to manage the federal government\u2019s risk exposure because it determines how much risk each party will bear for third-party damages resulting from potential space launch accidents. However, despite changes to the methodology, the probability threshold that the agency uses to achieve this balance of risk has been the same since the 1990s, and has not been reviewed for appropriateness. In addition, while FAA evaluated the effect of its MPL methodology on the indirect costs of launch companies and the federal government, it did not similarly evaluate direct costs. Further, although FAA has obtained input from some stakeholders on certain aspects of its MPL methodology, it has not consulted with launch providers and insurance companies to evaluate effects on key potential costs to launch companies and the federal government, as required under CSLCA. FAA officials told us that resource issues and pursuing other priorities have prevented them from taking these actions. However, the longstanding nature of these issues, as well as their importance in determining the federal government\u2019s financial exposure, makes their completion a priority.", "FAA has also begun improving other aspects of its MPL process, but important actions remain incomplete. For example, the cost of a casualty, a key component of the methodology, has not been updated since 1988. While FAA has identified potential steps to update this amount, it has not implemented these steps and our March 2017 recommendation to prioritize the updating of this amount remains open. Further, agency officials said they have begun to develop internal guidance on how to determine which methodological tools should be used for a given launch, but are not sure when this process will be completed. These are important steps to help ensure the validity of the MPL methodology and the results obtained for each launch, which in turn determine the balance between the amount of insurance launch companies are required to purchase and the potential financial exposure for the federal government."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to FAA: The FAA Administrator should fulfill the CSLCA mandate to include ensuring a balance of risk between the federal government and launch companies as part of FAA\u2019s MPL methodology evaluation by reexamining the current probability thresholds. (Recommendation 1)", "The FAA Administrator should fulfill the CSLCA mandate to analyze the cost impact of implementing its revised MPL methodology by evaluating the impact on the direct costs of launch companies and the federal government. (Recommendation 2)", "The FAA Administrator should fulfill the CSLCA mandate to evaluate its MPL methodology in consultation with the commercial space sector and insurance providers by consulting with those entities on the cost impact of its revised MPL methodology, including an updated cost-of-casualty amount, on the launch industry and the federal government. (Recommendation 3)", "The FAA Administrator should establish an estimated completion date for developing and implementing a plan to establish guidance on the most appropriate MPL methodologies and tools to use for each launch. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Transportation for their review and comment. In its comments, reproduced in appendix I, the Department of Transportation concurred with our recommendations. The Department of Transportation also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to interested congressional committees and the Secretary of the Department of Transportation. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions or would like to discuss this work, please contact Alicia Puente Cackley at (202) 512-8678 or cackleya@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Individuals making key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Patrick Ward (Assistant Director), Jessica Artis, Isidro Gomez (Analyst in Charge), Courtney La Fountain, Maureen Luna-Long, Jessica Sandler, Jennifer Schwartz, Joseph Silvestri, and Shana Wallace made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-518", "url": "https://www.gao.gov/products/GAO-18-518", "title": "Cybersecurity: Office of Federal Student Aid Should Take Additional Steps to Oversee Non-School Partners' Protection of Borrower Information", "published_date": "2018-09-17T00:00:00", "released_date": "2018-09-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FSA administers billions of dollars in student financial aid, including loans and grants, to eligible college students. The processing of student aid is complex, and FSA relies on non-school partners to carry out various activities supporting the student aid process, such as loan repayment and collection.", "GAO was asked to review how FSA ensures the protection of PII by its non-school partners. The objectives of this review were to (1) describe the roles of non-school partners and the types of PII shared with them and (2) assess the extent to which FSA policies and procedures for overseeing the non-school partners' protection of student aid data adhere to federal requirements, guidance, and best practices.", "To address these objectives, GAO collected and reviewed FSA documentation, reports, policies, and procedures and compared FSA policies and procedures to four key practices included in federal guidance for overseeing the protection of PII by non-federal entities. GAO also interviewed FSA officials with responsibility for the oversight of non-school partners."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Education's Office of Federal Student Aid (FSA) partners with various entities (\u201cnon-school partners\u201d) that are involved primarily in supporting the repayment and collection of student loans.", "Federal loan servicers are responsible for collecting payments on loans and providing customer service to borrowers on behalf of the Department of Education through its Direct Loan program.", "Private collection agencies collect on loans that are in default and work with borrowers to help them get out of default.", "Guaranty agencies insure lenders against loss due to borrower default and carry out a variety of loan administration activities.", "Federal Family Education Loan lenders are non-federal lenders, such as banks, credit unions, or other lending institutions, that made loans to students in the past and continue to service these loans.", "FSA shares a variety of personally identifiable information (PII) on borrowers with its non-school partners. This includes names, addresses, phone numbers, email addresses, Social Security numbers, and financial information.", "Key practices for overseeing the protection of PII shared with non-federal entities include requiring (1) risk-based security and privacy controls, (2) independent assessments to ensure controls are effectively implemented, (3) corrective actions to address identified weaknesses in controls, and (4) ongoing monitoring of control status. FSA established oversight policies and procedures for loan servicers and private collection agencies that generally address these key practices. However, FSA exercises minimal oversight of lenders' protection of student data (see table).", "FSA officials maintain that the lenders are subject to other legal and regulatory requirements for protecting customer data. However, FSA does not have a process for ensuring lenders are complying with these requirements, and thus lacks assurance that appropriate risk-based safeguards are being effectively implemented, tested, and monitored."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations to FSA to ensure that its oversight of non-school partners addresses the four key practices for ensuring the protection of PII. FSA concurred with three of the recommendations, partially concurred with two, and did not concur with one. It also described actions planned or under way to implement four of the recommendations. GAO maintains that all of its recommendations are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Education\u2019s Office of Federal Student Aid (FSA) is tasked with administering and overseeing billions of dollars in federal student aid, including grants and loans to millions of eligible college students each year. The processing of federal student aid is complex, and FSA relies heavily on third parties, primarily to help manage student loans, including loan servicers, guaranty agencies, private collection agencies, and lenders (collectively referred to as \u201cnon-school partners\u201d). To carry out their functions, these entities are responsible for storing and protecting large amounts of personally identifiable information (PII) of students and parents that apply for and receive student aid.", "You asked us to conduct a study to examine how FSA ensured protections were placed on the PII being shared with its non-school partners as part of the federal student aid process. The objectives of our review were to (1) describe the roles of FSA\u2019s non-school partners in the federal student financial aid program, including the types of PII shared with them; and (2) assess the extent to which FSA\u2019s policies and procedures for overseeing non-school partners\u2019 protection of federal student aid data align with federal requirements, federal guidance, and best practices.", "To address our first objective, we obtained and reviewed documentation that discussed the federal student aid process and the types of information collected, used, and shared in the process. Specifically, we reviewed reports from the Department of Education and FSA, the Congressional Research Service, and GAO regarding the federal student financial aid program and the roles of non-school partners in the program. We also reviewed FSA privacy impact assessments and system documentation to identify what PII can be accessed by, or is shared with non-school partners, and through what methods. Lastly, we interviewed relevant officials from FSA who were involved in administering the student aid program.", "To address the second objective, we identified key practices for overseeing the protection of PII by reviewing laws, including the Federal Information Security Modernization Act of 2014 (FISMA), Office of Management and Budget (OMB) requirements and guidance on managing federal information, and National Institute of Standards and Technology (NIST) information security standards and guidance. We then reviewed and analyzed the policies, procedures, and processes FSA has in place for overseeing non-school partners\u2019 protection of student aid data and compared them to these practices for overseeing the protection of PII.", "We supplemented our analyses of policies, procedures, and processes with interviews of FSA officials with knowledge of, and responsibility for the oversight of non-school partners, as well as a review of relevant Department of Education inspector general reports. A more detailed discussion of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["FSA seeks to ensure that all eligible individuals enrolled in postsecondary education can benefit from federal financial aid for education. It is responsible for implementing and managing programs authorized under the Higher Education Act of 1965, as amended. Specifically, Title IV of the act authorizes the federal student assistance programs for which FSA is responsible. These programs (Title IV programs) provide loans, grants, and work-study funds to students attending college or career school. In fulfilling its program obligations, FSA is responsible for managing and overseeing almost $1.4 trillion in outstanding loans.", "In administering Title IV programs, FSA performs a variety of functions across the student aid life cycle. These include educating students and families about the process of obtaining processing millions of student aid applications; disbursing billions of dollars in aid; enforcing financial aid rules and regulations; servicing millions of student loans and helping borrowers avoid default; securing repayment from borrowers who have defaulted on loans; partnering with schools, lenders, and guaranty agencies to prevent fraud, waste, and abuse; and insuring billions of dollars in guaranteed student loans previously issued by financial institutions.", "In carrying out these functions, FSA collects, maintains, and shares a large amount of information, including sensitive personal information from students and their families. The office also relies on various automated systems to assist with student aid functions. Further, FSA works with various entities, such as loan servicers, guaranty agencies, private collection agencies, and lenders, to carry out loan servicing and collection activities."], "subsections": [{"section_title": "Federal Student Financial Aid Programs", "paragraphs": ["The three main categories of federal student financial aid are loans, grants, and federal work-study. Loans are student aid funds that are borrowed to help pay for eligible education programs and must be repaid with interest. FSA administers loans under the William D. Ford Direct Loan Program (Direct Loan) and the Federal Family Education Loan (FFEL) Program, along with other programs, such as Perkins Loans, for students demonstrating financial need.", "Direct Loans are loans for which the Department of Education is the lender. They include subsidized loans made to undergraduate students based on financial need, for which the government does not generally charge interest while the student is in grace or deferment status; unsubsidized loans made to undergraduate and graduate students for which the borrower is fully responsible for paying interest regardless of loan status;", "PLUS loans made to graduate or professional students and parents of dependent undergraduate students for which the borrower is fully responsible for paying the interest regardless of the loan status; and consolidation loans, which allow the borrower to combine existing federal student loans into a single new loan.", "FFEL loans are loans that were obtained through private lenders, with federal subsidies ensuring that private lenders earned a certain yield on the loans they made. Under this program, the Department of Education entered into agreements with guaranty agencies to insure the private lenders against losses due to a borrower\u2019s default. Federal law ended the origination of these loans as of July 1, 2010; however, FSA, lenders, and guaranty agencies continue to service (i.e., handle billing and other activities related to loan repayment) and collect outstanding FFEL loans. According to FSA, borrowers\u2019 eligibility is the same under both the Direct Loan and FFEL programs.", "The department also administers student aid through grants, such as Pell grants, which are student aid funds that generally do not have to be repaid. It also administers the federal work-study program, which provides part-time jobs for students with financial need, allowing them to earn money to help pay educational expenses.", "In fiscal year 2017, FSA reported disbursing about $122.5 billion in aid to students through its various programs. In addition, the portfolio of outstanding FFEL loans totaled approximately $305.8 billion, as of September 30, 2017. Table 1 provides details on the amounts of financial aid disbursed to students in fiscal year 2017 across all financial aid programs."], "subsections": []}, {"section_title": "Overview of the Financial Aid Process", "paragraphs": ["The federal financial aid process is complex and consists of four phases: school eligibility determination, student application and eligibility determination, disbursement of funds, and repayment and collection of loans. Each phase of the process is supported by automated FSA information systems that collect and process student aid information. The information is then used by FSA, schools, and other stakeholders to determine the type and amount of aid a student is eligible to receive, and to support the distribution and repayment of loans. See figure 1 for an overview of the four phases."], "subsections": []}, {"section_title": "Federal Requirements for Protecting Information and Systems", "paragraphs": ["Federal laws and guidance specify requirements for protecting federal systems and data. This includes systems used or operated by a contractor or other organization on behalf of a federal agency.", "FISMA is intended to provide a comprehensive framework for ensuring the effectiveness of security controls over information resources that support federal operations and assets, as well as the effective oversight of information security risks. The act requires each agency to develop, document, and implement an agency-wide information security program to provide risk-based protections for the information and information systems that support the operations and assets of the agency, including those provided or managed by another entity.", "The primary laws that provide privacy protections for personal information accessed or held by the federal government are the Privacy Act of 1974 and the E-Government Act of 2002. These laws describe, among other things, agency responsibilities with regard to protecting PII.", "The Privacy Act places limitations on agencies\u2019 collection, disclosure, and use of personal information maintained in systems of records. It requires, among other things, that agencies issue system of records notices to notify the public when the agencies establish or make changes to a system of records. System of records notices are to identify, among other things, the types of data collected, the types of individuals about whom information is collected, the intended \u201croutine\u201d uses of the data, and procedures that individuals can use to review and correct personal information.", "In addition, the E-Government Act of 2002 requires agencies to conduct assessments of the impact on privacy from using information systems to collect, process, and maintain PII. A privacy impact assessment is an analysis of how personal information is collected, stored, shared, and managed in a federal system.", "In accordance with FISMA, OMB is responsible for the oversight of agencies\u2019 information security policies and practices. OMB establishes requirements for federal information security programs and assigns agency responsibilities to fulfill the requirements of statutes such as FISMA.", "OMB requires agencies to oversee the implementation of security and privacy controls by contractors and other non-federal entities that collect, use, process, store, maintain, and disseminate federal information on behalf of a federal agency. OMB notes that agencies are ultimately responsible for ensuring that federal information is adequately protected, commensurate with the risk resulting from the unauthorized access, use, disclosure, modification, or destruction of such information. Accordingly, OMB guidance states that, when sharing PII with contractors or other non-federal entities, agencies should establish requirements for the protection of their data in written agreements with these entities. For specific technical direction, OMB requires agencies to implement standards and guidelines established by NIST.", "FISMA also assigns certain responsibilities to NIST, including to develop standards and guidelines for systems other than national security systems. These standards and guidelines include (1) standards for categorizing agency information and systems to provide appropriate levels of information security, according to a range of risk levels; (2) guidelines for the types of information and systems to be included in each category; and (3) minimum information security requirements for information and systems in each category.", "Accordingly, NIST has developed a series of information security standards and guidelines for agencies to follow in managing information security risk. NIST guidance provides steps that agencies can take to identify appropriate security and privacy controls and establish specific requirements for implementing those controls to ensure consistency both internally and externally to the agency. NIST guidance also outlines requirements for protecting the confidentiality of controlled unclassified information (which includes PII) when it resides in a non-federal system or organization. Relevant publications include the following:", "Federal Information Processing Standard 199, Standards for Security Categorization of Federal Information and Information Systems, requires agencies to categorize their information systems as low- impact, moderate-impact, or high-impact for the security objectives of confidentiality, integrity, and availability. The potential impact values assigned to the respective security objectives are the highest values from among the security categories that the agency identifies for each type of information residing on those information systems.", "NIST Special Publication 800-53, Security and Privacy Controls for Federal Information Systems and Organizations, provides a catalog of security and privacy controls for federal information systems and organizations. It also provides a process for selecting controls to protect organizational operations, assets, individuals, other organizations, and the nation from a diverse set of threats. These threats include hostile cyber attacks, natural disasters, structural failures, and human errors. The guidance includes privacy controls to be used in conjunction with the specified security controls to achieve comprehensive security and privacy protection. According to NIST, the privacy controls are based on the Fair Information Practice Principles embodied in the Privacy Act of 1974, the E-Government Act of 2002, and OMB policies.", "NIST Special Publication 800-37, Guide for Applying the Risk Management Framework to Federal Information Systems: A Security Life Cycle Approach, explains how to apply a risk management framework to federal information systems, including security categorization, security control selection and implementation, security control assessment, information system authorization, and security control monitoring.", "NIST Special Publication 800-171, Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations, provides federal agencies with recommended security guidance for protecting the confidentiality of controlled unclassified information when it resides in a non-federal system and organization.", "The Framework for Improving Critical Infrastructure Cybersecurity, serves as a baseline for protecting critical information assets. It is intended to help organizations apply the principles and best practices of risk management to improve the security and resilience of critical infrastructure. The framework outlines a risk-based approach to managing cybersecurity that is composed of three major parts: a framework core, profile, and implementation tiers.", "Subsequent to the issuance of the NIST cybersecurity framework, a May 2017 executive order required agencies to use the framework to manage cybersecurity risks. It also outlined actions to enhance cybersecurity across federal agencies and critical infrastructure to improve the nation\u2019s cyber posture and capabilities against cybersecurity threats to digital and physical security.", "In addition, the Gramm-Leach-Bliley Act requires financial institutions\u2014 companies that offer consumers financial products or services like loans, financial or investment advice, or insurance\u2014to explain their information- sharing practices to their customers and to safeguard sensitive data. As part of its implementation of the act, the Federal Trade Commission (FTC) issued the Safeguards Rule, which requires financial institutions under FTC\u2019s jurisdiction to have measures in place to keep customer information secure.", "Specifically, the rule requires financial institutions to develop a documented information security program that describes the administrative, technical, or physical safeguards used to protect customer information. The program must be appropriate to the company\u2019s size and complexity, the nature and scope of its activities, and the sensitivity of the customer information it handles. As part of its program, each company must designate one or more employees to coordinate its information identify and assess the risks to customer information in each relevant area of the company\u2019s operation, and evaluate the effectiveness of the current safeguards for controlling these risks; design and implement information safeguards to control risks and regularly monitor and test their effectiveness; select service providers that can maintain appropriate safeguards, require them to maintain safeguards, and oversee their handling of customer information; and evaluate and adjust the program in light of relevant circumstances, including changes in the firm\u2019s business or operations, or the results of security testing and monitoring."], "subsections": []}, {"section_title": "GAO Previously Highlighted the Need to Improve Policies and Procedures for the Protection of Student Aid Data", "paragraphs": ["We recently reported on aspects of FSA\u2019s protection of student aid data, noting that weaknesses existed in key processes. Specifically, in November 2017, we reported, among other things, that FSA needed to improve its policies and procedures for the management and protection of student aid data. For example, while the agency had established policies and procedures for key privacy requirements, such as publishing notices to describe how personal information is to be maintained, used, and accessed, it did not always ensure that privacy impact assessments for its information systems included an analysis of privacy risks and mitigation steps.", "In addition, we reported that FSA\u2019s information security policies and procedures were not always up to date. Further, we noted that the agency needed to strengthen its oversight of schools\u2019 implementation of federal information security requirements to help ensure student aid information was adequately protected.", "We recommended that the Secretary of Education take seven actions to strengthen FSA\u2019s management and protection of federal student aid records and enhance its oversight of schools. For example, we recommended that the agency incorporate information security program requirements in its reviews of postsecondary schools, and that the Department of Education update its regulation to include protections of personal information as an element of a school\u2019s ability to demonstrate its administrative capability. FSA concurred or generally concurred with five of our seven recommendations, partially concurred with one recommendation, and did not concur with another."], "subsections": []}]}, {"section_title": "Non-School Partners Play Key Roles in the Federal Student Aid Process and Have Access to Large Amounts of Personally Identifiable Information to Facilitate Their Activities", "paragraphs": ["FSA\u2019s non-school partners play key roles in the federal student financial aid program, particularly with regard to the servicing, repayment, and collection of student loans. These partners include FFEL lenders, Title IV loan servicers, guaranty agencies, and private collection agencies. FSA shares a variety of PII with the non-school partners to assist them in carrying out their functions."], "subsections": [{"section_title": "FSA\u2019s Non-School Partners Perform Key Roles Related to Loan Servicing, Repayment, and Collection", "paragraphs": ["Non-school partners are involved primarily in the loan servicing, repayment, and collection phases of the federal student aid process.", "FFEL lenders: During the administration of the FFEL program, these lenders were involved primarily in the disbursement of funds. As part of the program, students and parents obtained federal loans through non-federal lenders, such as the borrower\u2019s school, a bank, credit union, or other lending institution. Generally, lenders provided the loan proceeds to a student\u2019s school, which then credited the student\u2019s account and disbursed the residual amount, if any, to the student.", "After a loan was disbursed, lenders chose to either service the loan, contract with an outside organization for servicing, or sell the loan. According to FSA, the majority of lenders have third-party servicers that perform servicing, billing, and reporting on their behalf. The lenders also work closely with guaranty agencies, which insure FFEL loans in case of default, and oversee certain aspects of the lenders\u2019 activities. As of June 2018, there were 1,079 lenders participating in the FFEL program.", "Although FSA purchased a portion of the FFEL loans as a result of disruptions in financial markets during the financial crisis of 2007 and 2008, the majority of the FFEL portfolio continues to be owned and serviced by private lenders. These lenders are required to report quarterly on their portfolios and are to sign participation agreements with FSA requiring that electronic data submitted by the lenders be accurate and conform to applicable laws, regulations, and policies. FSA also noted that lenders are regulated by a variety of entities, such as the FTC, Federal Deposit Insurance Corporation, Federal Reserve, Department of the Treasury, and, in some cases, state agencies.", "Title IV loan servicers: These organizations are primarily involved in the repayment and collection phase of the aid process. Under the Direct Loan program, after the loan is disbursed, the Department of Education contracts with loan servicers to perform a variety of administrative functions. Loan servicers are responsible for collecting payments on a loan, advising borrowers on resources and benefits to better manage their federal student loan obligations, responding to customer service inquiries, and performing other administrative tasks associated with maintaining a loan on behalf of the Department of Education.", "In addition, once a Direct Loan becomes delinquent (i.e., the first day after a borrower fails to make a scheduled monthly payment), loan servicers may take several actions pending the loan entering default, such as reaching out to past-due borrowers and entering into repayment arrangements for loans. As of July 2018, FSA contracted with 11 loan servicers.", "The contracts between FSA and the servicers establish the servicers\u2019 responsibilities in the aid process. The contracts lay out requirements for servicers with regard to financial reporting, internal controls, accounting, and other areas.", "Guaranty agencies: These agencies are state or private non-profit entities that are primarily involved in the repayment and collection phase of the aid process. As part of the FFEL program, they receive federal funds to play the lead role in administering aspects of the program. These agencies\u2019 functions include insuring private lenders against losses due to a borrower\u2019s default or other losses (the guaranty agencies are, in turn, reinsured by the federal government); providing assistance in preventing delinquent borrowers from going into default; working with defaulted student and parent borrowers to rehabilitate their defaulted loans, restore their credit, and provide them with a fresh start; and reporting actions to credit bureaus.", "Prior to July 2010, when the origination of FFEL loans stopped, guaranty agencies also were involved in verifying student eligibility for loans and notifying lenders, who would send a promissory note to lenders for their signature and disburse the funds. According to FSA, guaranty agencies continue to work closely with holders of FFEL loans, including supporting them in default aversion activities and overseeing aspects of their operations through monitoring, auditing, and ensuring compliance with regulations. As of July 2018, 24 guaranty agencies were administering FFEL loans.", "FSA uses participation agreements to govern the agencies\u2019 responsibilities in the aid process. The agreements lay out reporting requirements, records retention periods, and other requirements. For example, guaranty agencies are required to report to the Department of Education on the loans they insure. They are also required to keep records and have them available for inspection by the federal government.", "Private collection agencies: Private collection agencies are also primarily involved in the repayment and collection phase of the aid process. If borrowers default on their loans after entering the repayment phase, private collection agencies will attempt to enter into voluntary repayment agreements, while ensuring that defaulted borrowers are aware of both the consequences of their failure to repay and the options available to help them get out of default.", "Other debt resolution functions performed by private collection agencies include determining whether a borrower\u2019s account is eligible for administrative resolutions, such as discharge due to death or total and permanent disability; determining whether a borrower\u2019s account is eligible for involuntary payment methods such as administrative wage garnishment; preparing accounts for litigation; and returning accounts to FSA for failure to convert the account to active repayment status. As of July 2018, FSA had contracts with 18 private collection agencies. These contracts describe the private collection agencies\u2019 responsibilities in the aid process."], "subsections": []}, {"section_title": "FSA Shares Extensive Amounts of Personally Identifiable Information about Borrowers with Non- School Partners", "paragraphs": ["In administering the federal student aid program, FSA shares a large amount of PII that it collects from students and parents with its non-school partners. This is particularly significant in that FSA directly manages or oversees more than 203 million student loans made to approximately 43 million borrowers. PII collected when students or their parents apply for financial aid includes, but is not limited to the following:", "Student demographics: Name, address, Social Security number, telephone numbers, email address, marital status, driver\u2019s license number, etc.", "Student eligibility: Citizenship status, dependency status, high school completion status, selective service registration (if applicable), and whether the student has a drug conviction, among other information.", "Student finances: Tax return filing status; adjusted gross income; cash, savings, and checking account balances; untaxed income; and current net worth of student\u2019s assets.", "Parent demographics (if applicable): Name, Social Security number, email address, and marital status.", "Parent finances: Tax return filing status, adjusted gross income, tax exemptions, and asset information.", "After the borrower\u2019s eligibility is determined or the funds are disbursed, the PII that the agency collected as part of the process is stored on several of FSA\u2019s internal IT systems.", "FSA shares the PII stored on its systems with its non-school partners to assist them in carrying out their respective functions. This sharing occurs when the agency grants non-school partners access to specific systems. According to FSA, the data that non-school partners have access to depends on the non-school partner\u2019s relationship with the individual holding the loan. Table 2 provides a description of the FSA systems from which non-school partners receive student aid data, as well as the types of PII they contain.", "To gain access to FSA systems and data, non-school partners must submit an application to use FSA\u2019s Student Aid Internet Gateway (SAIG). The SAIG application enables the enrolling organization (i.e., the non- school partner) to select services to receive, submit, view, and/or update student financial aid data online, or receive or send information by batch exchange. To gain access to services allowing them to receive, submit, view, and update student aid data, each non-school partner must designate a Primary Data Point Administrator, who is responsible for determining which staff within the non-school partner\u2019s organization are to be given access to FSA\u2019s systems and data. The primary Data Point Administrator is also responsible for ensuring the privacy of the information obtained or provided via the SAIG.", "According to FSA officials, enrollment for access to borrower data via the SAIG varies based on the type of non-school partner and the functions it performs. Further, the officials stated that non-school partners can only access information about the borrowers with whom they are directly involved. The services that non-school partners can access via the SAIG include the following:", "Central Processing System data: Processed data from the Free Application for Federal Student Aid are reported to institutions on the Institutional Student Information Record, and corrections to data can be made.", "Common Origination and Disbursement System data: Origination, disbursement, and other required reporting information for the Direct Loan program can be exchanged electronically between FSA and non-school partners.", "National Student Loan Data System: Title IV, enrollment history information, and federal grant information can be viewed and updated by non-school partners.", "Financial Management System: Financial reporting information can be sent by non-school partners to FSA."], "subsections": []}]}, {"section_title": "FSA\u2019s Oversight of Non-School Partners\u2019 Protection of Student Aid Data Is Inconsistent", "paragraphs": ["As noted previously, OMB and NIST guidance calls for agencies to oversee third-party entities with which they share PII to ensure that appropriate security and privacy controls are in place. This guidance identifies key practices for overseeing the protection of data by such entities. These practices include the following, among others:", "Require the implementation of risk-based security and privacy controls: NIST guidance states that agencies should categorize their information and systems based on their risk impact level and require the implementation of security controls that include one of three baseline sets of controls that correspond to the impact level, tailored to the system and organization as appropriate.", "Independently assess the implementation of security controls: Security control assessments determine the extent to which controls are implemented correctly, operating as intended, and producing the desired outcome. For external entities that store or process federal information, NIST guidance states that agencies can verify that controls have been implemented through independent, third-party assessments or attestations.", "Develop and implement corrective actions: As part of the process for conducting security control assessments, organizations should develop remedial actions to address identified weaknesses and track them to closure.", "Monitor the implementation of controls on an ongoing basis: Ongoing monitoring includes ensuring that technical, management, and operational security controls are tested at an organization-defined frequency and results are provided to officials on an ongoing basis. NIST guidance notes that agencies should monitor security control compliance by external entities on an ongoing basis. This can be achieved through reporting the security status of the system and security controls on an ongoing basis.", "FSA has established policies and procedures for overseeing its non- school partners\u2019 protection of the PII that it shares with the partners. These policies and procedures vary in the extent to which they address the key practices for overseeing the protection of PII. For example, FSA\u2019s policies and procedures for Title IV loan servicers and private collection agencies fully address three of the four key practices. For guaranty agencies, FSA\u2019s procedures require onsite assessments but do not require monitoring controls on an ongoing basis. Finally, for FFEL lenders, FSA has minimal oversight procedures."], "subsections": [{"section_title": "FSA Established Security Requirements for Loan Servicers and Private Collection Agencies", "paragraphs": ["FSA established policies and procedures for overseeing Title IV loan servicers and private collection agencies that generally address the key selected practices for overseeing the protection of data. Specifically, by applying its standard contractor oversight processes, the agency has addressed three of the four key practices that pertain to loan servicers and private collection agencies. FSA partially addressed one practice related to ensuring that the implementation and effectiveness of all controls is monitored on an ongoing basis. Table 3 summarizes the extent to which FSA\u2019s processes address the key practices for loan servicers and private collection agencies.", "FSA required loan servicers and private collection agencies to implement risk-based security and privacy controls: FSA established security requirements and guidance for loan servicers and private collection agencies. These requirements are communicated through provisions in the contracts that FSA has with the loan servicers and private collection agencies. Specifically, FSA requires loan servicers and private collection agencies to implement security controls in accordance with NIST\u2019s Security and Privacy Controls for Federal Information Systems and Organizations.", "The contracts also require loan servicers and private collection agencies to adhere to applicable Department of Education and FSA security policies and procedures. For example, the Department of Education\u2019s policy for security system categorization, which applies to contractor- owned systems (such as those owned by loan servicers and private collection agencies), requires that systems containing PII be categorized as, at a minimum, \u201cmoderate impact.\u201d This categorization reflects an assessment of the risks associated with a compromise of the information and determines the selection of appropriate security controls for the information system.", "In addition, FSA developed a standard operating procedure for implementing security requirements based on this determination, which applies to loan servicers and private collection agencies. This process for categorizing systems and selecting and implementing controls is based on NIST\u2019s risk management framework, including steps for selecting, implementing, and assessing controls, and authorizing the information system to operate.", "FSA required independent assessments of the implementation of security controls: To help ensure that loan servicers and private collection agencies meet minimum security standards, FSA developed procedures for assessing the implementation of security controls based on applicable federal guidance. Specifically, FSA\u2019s security authorizations process includes procedures for an independent assessor to review security controls implemented on the loan servicers\u2019 and private collection agencies\u2019 systems. This includes, among other things, developing a test plan; executing the plan, to include observing security controls; running automated scans; and collecting artifacts and evidence. The independent assessor then is to document the issues, findings, and recommendations for remediation.", "According to FSA\u2019s procedures, once the assessment of the loan servicer\u2019s or private collection agency\u2019s system is completed, issues have been identified, and a plan of action and milestones (POA&M) has been developed, an FSA authorizing official is to review key documentation and make a decision on whether to authorize the system to operate. This decision is to be based on a determination as to whether the residual risk to agency operations, agency assets, resources, or individuals resulting from the operation of the system is acceptable. Once approved, the authorization to operate the system is valid for 3 years, provided that the conditions, if any, specified in the POA&M are met.", "FSA established a process for developing and implementing corrective actions: FSA requires loan servicers and private collection agencies to follow a standard operating procedure for documenting and implementing corrective actions to address weaknesses identified during security assessments. This procedure requires the owners of the systems to work with their agencies\u2019 information system security officers and FSA\u2019s internal independent validation and verification teams to document deficiencies and remediation plans in the FSA\u2019s POA&M management tool, review and document evidence to close deficiencies, and provide monthly updates on the status of POA&Ms, along with reasons for any overdue items. FSA officials added that they are reviewing ways to further automate the process for flagging overdue items.", "In addition, the procedure specifies time frames for system owners to remediate weaknesses based on their criticality. To confirm that a weakness has been addressed, the procedure requires FSA\u2019s independent validation and verification team to review submitted plans and evidence and determine if they are sufficient to close the deficiency.", "FSA did not fully establish a process for monitoring all controls on an ongoing basis: To monitor security controls between the independent assessments supporting the authorization to operate process, FSA\u2019s contracts with loan servicers require the servicers to have a continuous monitoring program, as defined by NIST SP 800-37. Similarly, FSA\u2019s contracts with private collection agencies require these agencies to enroll their systems in FSA\u2019s Continuous Security Authorization program, which is intended to oversee and monitor the security controls in FSA\u2019s information systems on an ongoing basis.", "In addition, the contracts require the private collection agencies to ensure that independent testing and monitoring of system security controls is performed on an ongoing basis. The contracts require these tests to cover a subset of the system security controls quarterly so that all controls are tested at least once during a 3-year period.", "However, according to FSA Technology Office officials, neither loan servicers nor private collection agencies have been enrolled in FSA\u2019s Continuous Security Authorization program, as required. The officials added that they had not established a time frame to incorporate loan servicers and private collection agencies into the agency\u2019s continuous monitoring program.", "According to the officials, both loan servicers and private collection agencies rely on their own continuous monitoring programs to oversee their systems; however, only the private collection agencies report the results of their monitoring activities to FSA (on a quarterly basis). In addition, FSA does not specify which controls the loan servicers and private collection agencies are to test; rather, it leaves this determination to the non-school partners.", "FSA policy also requires that loan servicers and private collection agencies respond to an annual self-assessment questionnaire concerning their implementation of NIST security and privacy controls. According to the FSA officials, if deficiencies are noted in the agencies\u2019 responses, FSA works with the non-school partners to create POA&Ms and track remediation efforts through closure.", "Officials in FSA\u2019s Technology Office added that loan servicers participate in FSA\u2019s Web Application Surveillance Program, in which FSA conducts vulnerability scans of the servicers\u2019 systems and shares findings with the servicers for remediation on a monthly or quarterly basis, depending on the environment being tested.", "Nevertheless, while these processes can provide helpful information about the loan servicers\u2019 and private collection agencies\u2019 security posture on an ongoing basis, they do not ensure that all security controls implemented on these partners\u2019 systems are tested on a regular basis. For example, according to FSA policy, the Web Application Surveillance Program is intended to simulate the scanning and probing of a web application that might be useful to intruders. However, the program is not intended to ensure that management, operational, and technical controls have been implemented.", "Without fully establishing policies and procedures for ongoing monitoring of security controls implemented by loan servicers and private collection agencies, FSA has less assurance that these controls are effectively implemented and operating as intended. Further, FSA has a limited ability to ensure that risks associated with these non-school partners\u2019 use of PII have been adequately mitigated."], "subsections": []}, {"section_title": "FSA Established Security Requirements for Guaranty Agencies, but Lacks a Process for Ongoing Monitoring of Controls", "paragraphs": ["FSA policies and procedures requires guaranty agencies to implement security and privacy controls to protect student aid data, and the agency has recently enhanced its processes to include independent, on-site assessments of those controls and the development of corrective actions for identified weaknesses. However, it lacks processes for monitoring guaranty agencies\u2019 implementation of controls on an ongoing basis. Table 4 summarizes the extent to which FSA\u2019s processes address the four key practices for overseeing the protection of data by guaranty agencies.", "FSA did not fully specify a required baseline of risk-based security and privacy controls for guaranty agencies: FSA requires, through written agreements, that guaranty agencies participating in the federal student aid program comply with federal security requirements. Specifically, these agreements include an amendment that requires the guaranty agencies to ensure that any information systems that include PII about borrowers implement security and privacy controls specified in NIST guidance.", "In addition, when applying for access to FSA systems and information through the SAIG, guaranty agencies agree to protect the privacy of all information that has been provided by the Department of Education. In particular, guaranty agencies are required to affirm that administrative, operational, and technical security controls are in place and operating as intended.", "FSA provides guidance to guaranty agencies on implementing security controls, in the form of a template to be used in completing an annual self-assessment (discussed in more detail below). This template identifies security and privacy controls to be used in the self-assessment, based on the NIST control baseline for moderate-impact systems. The guaranty agencies are expected to inform FSA as to whether they have implemented these controls.", "However, the agreements FSA has established with guaranty agencies do not specify that information must be maintained at a specific impact level or that guaranty agencies are to implement a particular baseline set of security controls that correspond to an agency established risk-based impact level. As noted previously, once agencies determine the impact level of their information or systems, they should select one of three baselines of security controls (low, moderate, or high) that correspond to the impact level. This baseline can then be tailored based on risk and the specific organizational and system environment.", "According to FSA officials, the agreements allow the guaranty agencies to determine whether their systems are low, moderate, or high impact. The officials also added that guidance provided to guaranty agencies, such as self-assessment questionnaires\u2014are based on the NIST 800-53 moderate baseline.", "However, allowing guaranty agencies to determine the specific designation could result in inconsistent implementation of security controls if guaranty agencies choose varying impact levels for their systems. OMB guidance states that agencies should require third parties with whom PII is shared to maintain security at a specified impact level. By not specifying in written agreements the impact level of the information it shares with guaranty agencies, and a corresponding set of minimum security requirements, FSA jeopardizes its ability to ensure that the PII it shares with guaranty agencies will be adequately and consistently protected.", "FSA established a process for on-site assessment of guaranty agencies\u2019 security and privacy controls: Prior to fiscal year 2018, FSA relied on a self-assessment process, wherein guaranty agencies completed annual questionnaires about their implementation of security and privacy controls. The completed questionnaires were reviewed by FSA staff, who then met with guaranty agency staff over the telephone to discuss any identified weaknesses. As part of this process FSA staff did not collect or review documentation to independently verify whether controls had been appropriately implemented, or conduct on-site reviews to obtain first-hand evidence of the implementation of the controls. However, according to FSA officials, they also conducted targeted, on- site visits to selected guaranty agencies in 2016 and 2017 to verify security control implementation.", "FSA has recently enhanced its process for assessing guaranty agencies\u2019 implementation of security and privacy controls. FSA officials stated that, in March 2018, they began a series of on-site assessments of guaranty agencies which are to be completed by the end of September 2018. FSA provided the guaranty agencies with a security plan template that outlines roles and responsibilities, methodology, controls to be tested, and the test plan approach for these assessments. In addition, the list of evidence includes required artifacts to demonstrate compliance with NIST requirements.", "FSA officials stated that they plan to alternate between on-site assessments and self-assessments each year. By enhancing its approach to assessing guaranty agencies\u2019 implementation of security requirements, FSA should be better positioned to ensure that the data shared with these entities are being adequately protected.", "FSA processes include monitoring of guaranty agency corrective actions: As part of the guaranty agency self-assessment process, FSA established procedures for documenting weaknesses identified during the self-assessments and corrective action plans for addressing the weaknesses. FSA Deputy Chief Information Officer officials stated that they track the corrective action plans in a system that provides weekly status reports that include notifications of overdue corrective actions. The officials added that all actions to correct weaknesses identified during the self-assessments were to be taken within 12 months of identifying the corrective actions.", "In April 2018, FSA officials stated that they intended to follow a procedure similar to the one used for the self-assessments to document and monitor corrective actions for weaknesses identified during the on-site assessments of guaranty agencies\u2019 security and privacy controls. Specifically, the officials noted that all findings of weaknesses during the on-site assessments are to be turned into POA&Ms, assigned an expected completion date, and tracked to completion by FSA. This procedure, if effectively implemented, should help FSA ensure that gaps in security controls are remediated in a timely manner.", "FSA did not establish a process for monitoring all guaranty agency controls on an ongoing basis: To monitor guaranty agencies\u2019 compliance between assessments, FSA officials stated that they hold weekly teleconferences with officials from guaranty agencies during which they discuss new security requirements or other issues. FSA Information Technology officials stated that they follow up with guaranty agencies after these calls to ensure that they implement new requirements. In addition, FSA issued guidance to guaranty agencies in January 2018 on conducting vulnerability scans of these agencies\u2019 systems. This guidance addresses vulnerability testing guidelines and scanning requirements, as well as guidance on security control testing.", "However, FSA does not monitor all security controls by requiring guaranty agencies to report regularly on the status of security controls between on- site assessments. Neither the weekly teleconferences nor the vulnerability scans include testing the implementation of all security and privacy controls on a defined, periodic basis or reporting results to FSA.", "FSA officials stated that they rely on the on-site and self-assessments to oversee guaranty agencies\u2019 security control implementation because FSA does not have a contractual relationship with guaranty agencies and does not own the guaranty agencies\u2019 systems. However, OMB and NIST note that agencies have a responsibility for ensuring that their information is protected at a consistent level even when such information is shared with non-federal partners. Without fully establishing procedures for ongoing monitoring of guaranty agencies, FSA cannot fully ensure that risks to the student aid data containing PII that it shares with guaranty agencies have been adequately mitigated."], "subsections": []}, {"section_title": "FSA Exercises Minimal Oversight of FFEL Lenders\u2019 Protection of Student Aid Data", "paragraphs": ["FSA established high-level requirements for FFEL lenders to protect student aid data, but it exercises minimal oversight to ensure implementation of security and privacy protections for these data. Table 5 summarizes the extent to which FSA\u2019s processes for overseeing lenders address key practices for overseeing the protection of data.", "FSA did not fully specify risk-based security and privacy controls for FFEL lenders: Like other non-school partners, lenders must complete FSA\u2019s SAIG application when applying for access to FSA data and systems. The SAIG application outlines general requirements for ensuring the security and privacy of the data that FSA shares with the lenders.", "In addition, FFEL lenders enter into participation agreements with FSA which include requirements related to data exchange, such as ensuring that data lenders share with FSA are correct. Also, FSA officials told us that security requirements are communicated to the lenders\u2019 staff via \u201cdear colleague\u201d letters and the security notices that appear when users log on to the agency\u2019s Access and Identity Management System to access PII and other data.", "However, neither the SAIG application nor the participation agreement requires the FFEL lenders to implement a baseline set of risk-based security and privacy controls based on the impact level of the affected information and systems. FSA Information Technology and Business Operations officials said that they plan to add security and privacy requirements to the FFEL lender participation agreements as part of their next update during the 2018 revision cycle, but they did not specify what requirements would be included in these revised agreements. Until FSA establishes specific requirements for lenders\u2019 protection of data, it will lack assurance that information it shares is being protected in a manner consistent with FSA\u2019s determination of its sensitivity.", "FSA did not require independent assessments of FFEL lenders\u2019 implementation of controls: FSA does not have policies or procedures for independently assessing lenders\u2019 implementation of protections for student aid data. The SAIG application does not require an independent assessment of the non-school partners\u2019 information security and privacy controls to determine the extent to which the controls are implemented correctly, operating as intended, or producing the desired outcome with respect to security.", "According to FSA officials, by accepting the terms of use displayed when logging on to FSA systems, users agree to comply with security and privacy requirements. The officials added that FSA monitors activity on the National Student Loan Data System and can remove a user\u2019s access if a case of improper usage is identified. However, FSA\u2019s procedures for monitoring system usage do not include an independent assessment of lenders\u2019 implementation of security controls.", "Further, while FFEL lenders may be required to undergo various compliance audits and program reviews, FSA has not determined the extent to which these audits or reviews address security and privacy protections; it also does not review the results of such reviews to gain assurance that security and privacy protections are in place. Without requiring evidence of such assessments, FSA does not have a basis for ensuring that lenders are implementing adequate security and privacy protections.", "FSA has not established a process for overseeing corrective actions taken by FFEL lenders: Since FSA does not require independent assessments of lenders\u2019 information security controls, it does not have a process for identifying weaknesses in the FFEL lenders\u2019 security and privacy controls and monitoring corrective actions. Lenders do not notify FSA of security or privacy weaknesses that may be identified in their systems, nor do they report on corrective actions taken to remedy such weaknesses. In the absence of such reporting, FSA cannot ensure that weaknesses in the security and privacy controls of the lenders\u2019 systems are being addressed.", "FSA did not establish procedures for monitoring FFEL lenders\u2019 implementation of controls on an ongoing basis: FSA does not have a process for ongoing monitoring of lenders\u2019 implementation of security or privacy safeguards. FSA does not require lenders to provide periodic reports to FSA on their security and privacy posture or to conduct any reviews of their implementation of security and privacy controls. Without requiring evidence that lenders are effectively implementing security and privacy protections, FSA cannot ensure that the data accessed by lenders are being safeguarded commensurate with risk.", "Regarding the lack of FFEL lender oversight, FSA officials noted that lenders, as financial institutions, are subject to a number of other legal and regulatory requirements that were not defined by FSA as part of the FFEL program. For example, lenders are subject to requirements for protecting customer information imposed by the Gramm-Leach-Bliley Act and FTC\u2019s Safeguards Rule, which calls for financial institutions to document an information security program that includes specific elements.", "However, FSA does not have a process for ensuring that lenders are complying with these, or other, requirements related to the protection of student aid data. Consequently, FSA lacks assurance that risk-based safeguards commensurate with the sensitivity of these data are being effectively implemented, tested, and monitored. In our previous work, we similarly found that FSA did not have assurance that schools, which are also required to comply with the FTC Safeguards Rule, were implementing these requirements.", "OMB noted that agencies are ultimately responsible for ensuring that their information is adequately protected, and NIST stated that this responsibility does not change when information is shared with non- federal partners. Accordingly, agencies should have assurance that information they share with non-federal entities is being protected at an appropriate level. In the case of FSA, this could include leveraging processes already in place, such as the FTC Safeguards Rule, to gain assurance that appropriate security and privacy controls are in place and are being regularly monitored and tested. Without establishing a process for gaining such assurance, FSA is not meeting its responsibility to ensure that borrowers\u2019 data are being adequately protected."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FSA shares PII on millions of people with non-school partners (i.e., loan servicers, private collection agencies, guaranty agencies, and FFEL lenders) so that they can carry out key aspects of the federal student aid program. FSA is responsible for ensuring that its non-school partners protect this information by implementing adequate information security and privacy safeguards.", "While FSA has taken steps to oversee the security and privacy protections of some of its non-school partners, its policies and procedures did not always include all key oversight practices. In particular, while FSA established requirements for loan servicers and private collection agencies, along with processes for ensuring their implementation that generally adhered to the key practices, the agency had not ensured that controls are tested and results are reported on an ongoing basis. FSA, therefore, may lack visibility into the effectiveness of the protections applied to student aid data.", "With respect to guaranty agencies, FSA established security and privacy requirements and has taken steps to enhance security assessments. Nevertheless, without ensuring that controls are monitored on an ongoing basis, it lacks adequate assurance that security controls required by FSA are in place and effective.", "Further, because it exercised minimal oversight over FFEL lenders, FSA has limited assurance that they are protecting student aid data consistent with the agency\u2019s requirements. FSA\u2019s limited oversight could result in inconsistent or ineffective implementation of security controls, which in turn could have serious consequences for the privacy of millions of borrowers whose information is shared with non-school partners."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to the Department of Education:", "The Secretary of Education should enroll loan servicers in FSA\u2019s continuous monitoring program and, in the interim, require these entities to report the results of security controls testing at an FSA- defined frequency. (Recommendation 1)", "The Secretary of Education should enroll private collection agencies in FSA\u2019s continuous monitoring program, and, in the interim, require these entities to test all controls at an FSA-defined frequency and regularly report the results. (Recommendation 2)", "The Secretary of Education should modify FSA\u2019s agreements with guaranty agencies to specify a required baseline of security controls based on the impact level of the information shared with these agencies, as determined by FSA. (Recommendation 3)", "The Secretary of Education should establish a process for continuous monitoring of guaranty agencies\u2019 implementation of security and privacy requirements between on-site assessments, to include testing all controls at an FSA-defined frequency and regularly reporting results. (Recommendation 4)", "The Secretary of Education should include specific security and privacy requirements in agreements with FFEL lenders based on FSA\u2019s categorization of the information shared with the lenders. (Recommendation 5)", "The Secretary of Education should develop policies and procedures to gain assurance that FFEL lenders have appropriate security and privacy controls in place and that these controls are being regularly tested and monitored. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We received written comments on a draft of this report from FSA. In its comments (reprinted in appendix II), FSA concurred with three of our recommendations, partially concurred with two recommendations, and did not concur with one. In addition, FSA provided technical comments, which we have incorporated as appropriate.", "FSA generally concurred with our first three recommendations and described various actions it planned or had under way to implement them. Specifically, regarding our recommendation to enroll loan servicers in FSA\u2019s continuous monitoring program (recommendation 1), the agency stated that loan servicers are scheduled to be enrolled in its ongoing security authorization program beginning in fiscal year 2019.", "Regarding our recommendation to enroll private collection agencies in FSA\u2019s continuous monitoring program and, in the interim, require these entities to test all controls at an FSA-defined frequency and regularly report the results (recommendation 2), FSA stated that it concurred, although the actions it said it planned to take would not fully address the recommendation. Specifically, the agency stated that it intends to work with private collection agencies to identify specific relevant criteria to strengthen continuous monitoring testing schedules and include these criteria in private collection agencies\u2019 quarterly reports to FSA. This measure, if implemented effectively, would address the interim measure called for in our recommendation.", "However, FSA did not describe actions to address the first part of our recommendation. Specifically, it did not state whether it intended to enroll private collection agencies in its ongoing security authorization program, as called for by its contracts with these agencies. Doing so would provide enhanced oversight of their implementation of security and privacy controls.", "The agency concurred with our recommendation to modify FSA\u2019s agreements with guaranty agencies to specify a required baseline of security controls (recommendation 3). In this regard, FSA stated that the agreements it has established with guaranty agencies require them to comply with standards in NIST Special Publication 800-53, revision 4, and that assessments of the guaranty agencies require compliance with the moderate-impact level control baseline under the applicable NIST standards. Even though FSA did not describe plans to modify its agreements with guaranty agencies to explicitly require a specific baseline of controls, the procedures that it noted should help FSA ensure that guaranty agencies are protecting student aid data based on the office\u2019s determination of risk. We intend to follow up with FSA to obtain and assess the evidence supporting its implementation of these recommendations.", "FSA stated that it partially concurred with two other recommendations. With respect to establishing a process for continuous monitoring of guaranty agencies\u2019 implementation of security and privacy requirements between on-site assessments, to include testing all controls at an FSA- defined frequency and regularly reporting results (recommendation 4), FSA cited its process for on-site assessments or self-assessments as the means by which it monitors guaranty agencies. Specifically, it stated that it requires guaranty agencies to annually either complete a self- assessment or participate in an on-site assessment.", "However, FSA did not describe any additional steps it intends to take to monitor guaranty agencies\u2019 implementation of security and privacy controls between assessments. As noted in the report, the self- assessment process that FSA established for guaranty agencies does not include such elements as collecting or reviewing documentation to verify that controls have been appropriately implemented. Further, FSA does not monitor all security controls between on-site assessments by requiring guaranty agencies to report regularly on the status of security controls. Regular reporting on the status of security controls, such as test results, would provide FSA with additional assurance that guaranty agencies have implemented adequate protections. Thus, we believe our recommendation remains appropriate.", "FSA also stated that it partially concurred with our recommendation to include specific security and privacy requirements in agreements with FFEL lenders based on FSA\u2019s categorization of the information shared with the lenders (recommendation 5). Specifically, FSA stated that it has revised its 2019-2020 Lender Organization Participation Agreement with FFEL lenders to include specific security and privacy responsibilities and requirements, which is to be effective at the beginning of fiscal year 2019. The planned actions that the agency described in its response should fully address our recommendation, if effectively implemented. We intend to follow up with FSA to obtain and assess the evidence supporting its implementation of this recommendation.", "FSA did not concur with our recommendation to develop policies and procedures to ensure that FFEL lenders have appropriate security and privacy controls in place and that these controls are being regularly tested and monitored (recommendation 6). According to the agency, it lacks statutory authority under the Higher Education Act to monitor FFEL lenders in this area. FSA noted that the lenders are already subject to security and privacy controls that are monitored and enforced through other legal authorities that are not administered by the Department of Education or FSA.", "However, we continue to believe that our recommendation should be implemented. We recognize that FSA may not have the authority to impose additional requirements related to monitoring the adequacy of security and privacy controls implemented by FFEL lenders. Furthermore, the recommendation does not require FSA or the Department of Education to exercise additional regulatory authority over FFEL lenders or to conduct testing or other assessments of the lenders\u2019 security and privacy programs. Rather, it seeks for FSA to review the results of other compliance audits or program assessments, including, as appropriate, those conducted by other federal entities, to acquire visibility into the lenders\u2019 implementation of information security and privacy safeguards. Leveraging such a process should help provide FSA with assurance that the student aid data it shares with them are being adequately protected. Accordingly, we have clarified our recommendation to better reflect its intent.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Education, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9342 or marinosn@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to (1) describe the roles of the Office of Federal Student Aid\u2019s (FSA) non-school partners in the federal student financial aid program, including the types of personally identifiable information (PII) shared with them; and (2) assess the extent to which FSA\u2019s policies and procedures for overseeing non-school partners\u2019 protection of federal student aid data align with federal requirements, federal guidance, and best practices.", "To address the first objective, we obtained and reviewed various documentation that described the federal student aid process and the types of information collected, used, and shared in the process. To determine the roles played by non-school partners in the federal student aid process, we reviewed reports from the Department of Education and FSA, including FSA\u2019s annual reports for fiscal years 2016 and 2017, and reports from the department\u2019s Office of Inspector General; reports from the Congressional Research Service on federal student aid programs; and prior GAO reports on aspects of federal student aid programs. These non-school partners included entities that FSA directly engages with to carry out key aspects of the student aid process. These partners were non-federal lenders participating in the Federal Family Education", "Title IV loan servicers, guaranty agencies, and private collection agencies.", "Specifically, we identified key functions carried out by these partners, the types of agreements they had with FSA, and the numbers of each type of partner that FSA engages with.", "To determine the types of PII shared with non-school partners, we reviewed FSA documentation on key systems used to collect, store, and process information as part of the student aid process. This included high-level documentation and descriptions of FSA\u2019s systems architecture, privacy impact assessments for FSA and non-school partner systems, and information on the process by which FSA enrolls non-school partners to share student aid data with the agency. We also reviewed previous GAO reports on FSA\u2019s management of student aid data, including PII collected during the aid process. In addition, we interviewed FSA officials, including officials from the agency\u2019s technology and business operations offices.", "To address the second objective, we reviewed and analyzed the policies, procedures, and processes FSA has in place for overseeing non-school partners\u2019 protection of student aid data and compared them to federal requirements and guidance for ensuring the protection of PII. We identified key activities for overseeing the protection of PII by reviewing laws, including the Federal Information Security Modernization Act of 2014; Office of Management and Budget requirements and guidance on managing federal information; and National Institute of Standards and Technology information security standards and guidance. Based on our review of these requirements and guidance, we identified four key practices for establishing security and privacy requirements for non- federal entities and overseeing the implementation of these requirements. These practices are require the implementation of risk-based security and privacy controls, independently assess the implementation of security controls, develop and implement corrective actions, and monitor the implementation of controls on an ongoing basis.", "We collected and reviewed evidence provided by FSA (policy and process documents, artifacts, written responses to questions, and verbal responses to questions) to understand its processes for overseeing the non-school partners\u2019 protection of student aid data. We then compared the processes to the four key practices we identified. We determined whether the process met, partially met, or did not meet the key practices:", "Met \u2013 the agency provided evidence of processes and procedures that address all aspects of the key practice.", "Partially met \u2013 the agency provided evidence of processes and procedures that address some, but not all aspects of the key practice.", "Not met \u2013 the agency did not provide evidence of processes and procedures that addressed the key practice.", "We supplemented our review with interviews of FSA Business Operations and Information Technology officials with knowledge of and responsibility for the oversight of non-school partners. We also reviewed relevant Department of Education inspector general reports.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Office of Federal Student Aid", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, John De Ferrari (assistant director), Chris Businsky, Marisol Cruz, Rebecca Eyler, Lee McCracken, David Plocher, and Bruce Rackliff made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-193", "url": "https://www.gao.gov/products/GAO-19-193", "title": "Tax Debt Collection Contracts: IRS Analysis Could Help Improve Program Results and Better Protect Taxpayers", "published_date": "2019-03-29T00:00:00", "released_date": "2019-04-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IRS attempts to collect tax debts to promote tax compliance but does not have resources to pursue all debts. A 2015 law required IRS to contract with private collection agencies for certain tax debts. However, stakeholders such as the National Taxpayer Advocate have noted that safeguards are needed to protect taxpayers from risks, such as scammers impersonating collection agencies.", "GAO was asked to review IRS's PDC program. This report assesses the extent to which IRS (1) documented program objectives and measures, (2) documented revenue collection and cost results data, (3) used data to improve the program and meet its objectives, and (4) addressed risks to prevent or address scams and other harmful effects on taxpayers. GAO analyzed IRS's documents on PDC program administration and planning; collections and costs reporting; and managing risks. GAO interviewed officials from IRS and external groups that represent taxpayer interests."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) documented objectives and proposed measures for its private debt collection (PDC) program for sending tax debt cases to private collection agencies, but the objectives are not clearly defined and their linkages with program measures are unclear. For example, one objective is to provide taxpayers an opportunity to understand and resolve their tax debts, but the proposed measure focuses on taxpayer satisfaction with collection agencies rather than taxpayers' understanding. The objectives also do not include some key program risks, such as scams. Without clearly defined objectives and measures, IRS will have limited ability to assess program results.", "IRS's reports to Congress on the PDC program have not provided complete financial information. For example, as of September 2018, IRS reported program revenue collections of about $89 million and costs of $67 million, suggesting a positive balance of $22 million for the general fund of the Treasury (the Treasury). However, the report did not clarify that about $51 million collected went to the Treasury and the remaining $38 million were retained by IRS in two special funds to pay current and future program costs. Without this information, Congress has an incomplete picture of the program's true costs and revenues.", "IRS has not analyzed PDC program results to identify the types of cases that should not be assigned to collection agencies because they do not result in collections. GAO's analysis of IRS data shows that between April 2017 and September 2018 about 73,000 of 111,000 cases closed by collection agencies had little or no revenue collected because the collection agencies were unable to contact the taxpayer or collect the debt, among other reasons. Given the costs associated with managing these cases, without such analyses, IRS may continue to use resources inefficiently and assign cases with little or no potential for revenue collection, or miss opportunities to assign other cases that could produce more revenue.", "IRS has identified and taken steps to mitigate some PDC program risks that could harm taxpayers. However, IRS has not completed the process of identifying and documenting all risks nor has it fully assessed risks to taxpayers from the program or its response to these risks. Specifically, GAO found that", "IRS identified and documented 6 taxpayer risks related to the PDC program, such as scammers impersonating collection agencies, but had not identified an additional 10 risks that GAO did, such as taxpayers agreeing to debt payments they cannot afford.", "IRS had not consistently assessed the impact or likelihood of the identified risks. As a result, IRS's responses to mitigate risks were broad in nature, and were not prioritized or aligned to address specific risks.", "IRS monitors a sample of collection agencies' telephone calls with taxpayers and reviews taxpayer complaints, but these methods do not provide information on whether IRS's responses to risks are effective.", "Without addressing these risk management issues, IRS cannot ensure it has fully identified PDC program risks and effectively responded to protect taxpayers from them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes 12 recommendations, including that IRS improve PDC program objectives and measures, revenue and cost reporting, analysis to assign cases, and management of taxpayer risks. IRS agreed with nine recommendations, partially agreed with GAO's recommendation on improving objectives\u2014which GAO clarified in response\u2014and disagreed with two recommendations to include certain costs in reporting and analyze data to identify cases not collectible. GAO maintains the recommendations would more fully report PDC program federal costs and prevent waste."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Internal Revenue Service (IRS) attempts to collect unpaid tax debts to promote voluntary compliance. IRS efforts are intended to give all taxpayers confidence that everyone is paying their fair share and to also help reduce the tax gap. The tax gap\u2014the difference between tax amounts that taxpayers should pay and what they actually pay voluntarily and on time\u2014was, on average, $458 billion for tax years 2008 to 2010, according to a 2016 IRS estimate. IRS estimated that about $39 billion of the tax gap was owed by taxpayers who filed returns on time, but paid less than they owed, creating a tax debt. For fiscal year 2017, IRS estimated that taxpayers had $197 billion in tax debts of which IRS considered $52 billion (26 percent) to be collectible. IRS does not have resources to pursue all tax debts, so it treats some debts that may be potentially collectible as inactive. However, as required by a December 2015 law, IRS began assigning certain types of inactive tax debt cases to contracted private collection agencies in April 2017 under its private debt collection program (PDC) as a way to help collect these debts that IRS is not actively pursuing.", "Some stakeholders, including the National Taxpayer Advocate (NTA), have raised concerns about the PDC program, including potential effects on taxpayers such as related tax collection scams. Specifically, before the program started in April 2017, according to the Department of the Treasury Inspector General for Tax Administration (TIGTA), from October 2013 to March 2017, more than 10,300 people were scammed out of over $55 million by persons impersonating IRS employees. To prevent possible confusion or scams involving impersonation of collection agencies, stakeholders including NTA and TIGTA have recognized that safeguards are needed to protect taxpayers.", "You asked us to review the PDC program. This report assesses the extent to which IRS has (1) documented program objectives and measures; (2) documented data on PDC revenue collection and cost results, and used these data to improve the program and meet its objectives; and (3) addressed PDC program risks to prevent or address scams or other harmful effects on taxpayers.", "To assess the extent to which IRS documented program objectives and measures, we compared PDC program documents on the program\u2019s objectives and proposed measures to Standards for Internal Control in the Federal Government. To assess IRS\u2019s documentation of PDC revenue collection and costs, we compared IRS\u2019s reporting of such data to federal internal control standards (e.g., use quality data to achieve objectives). To assess the extent to which IRS is using revenue collection and cost data, we compared IRS\u2019s analysis plans to IRS\u2019s strategic plan and PDC program documents, and federal internal control standards on using data to achieve objectives. To evaluate the extent to which IRS is addressing PDC taxpayer risks, we interviewed groups that represent taxpayer interests, including potentially vulnerable taxpayers such as those who are older or low income, on potential taxpayer risks posed by the PDC program. We reviewed the extent to which IRS addressed taxpayer risks for PDC by using enterprise risk management (ERM) criteria, which generally applies to the risks associated with achieving programmatic outcomes. We did not assess IRS\u2019s overall approach to ERM or PDC risks beyond those affecting taxpayers. We reviewed IRS\u2019s contracts with the private collection agencies and PDC program documents to determine taxpayer risks IRS had identified and the responses to address them. We also interviewed program officials, including the Director of Headquarters Collection and PDC Program Manager in IRS\u2019s Small Business/Self-Employed operating division. For details on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "IRS Collection Process", "paragraphs": ["IRS\u2019s process for collecting unpaid tax debts includes:", "Notice Phase: IRS sends the taxpayer an automatically-generated series of letters about unpaid debts or delinquent returns to prompt payment or response if the taxpayer disagrees with the balance due or is unable to pay the amount owed.", "Automated Collection System: IRS attempts to have telephone contact with the taxpayer to discuss the debt and prompt full payment or set up a payment installment agreement. According to IRS officials, telephone contact generally happens when taxpayers call IRS in response to IRS enforcement notices or actions, such as filing a lien against the taxpayer\u2019s property or levying financial assets.", "Field Collection: IRS revenue officers attempt in-person contact with taxpayers to prompt a payment or take enforcement action such as those described above with the Automated Collection System.", "According to IRS, its collection efforts focus on the potentially collectible inventory. IRS attempts to prioritize the debts it believes it will most likely be able to collect, based on an analysis of factors such as the debt amount and the taxpayer\u2019s ability to pay it."], "subsections": []}, {"section_title": "History of Previous PDC Programs", "paragraphs": ["In 1995, Congress authorized IRS to contract with private debt collectors to collect unpaid tax debts. In 1997 we reported IRS data showing that the program cost about $21.1 million and collected about $3.1 million. The program was canceled, in part, because of the net loss.", "In October 2004, Congress granted discretionary authority to IRS for creating a PDC program to collect some portion of unpaid taxes. The program enabled IRS to contract with private collection agencies to collect tax debts and pay them from a revolving fund of the revenue collected. IRS said it would study the comparative performance of private collection agencies versus the agency in collecting unpaid taxes because of concerns that the program might cost more than using IRS resources to collect the debts. IRS began assigning cases to private collection agencies in September 2006. It began the study at that time too. In March 2009, IRS released its study, which concluded that IRS was more cost effective than collection agencies in collecting tax debts when working similar cases. As a result, IRS announced that it would not renew expiring contracts with the private collection agencies."], "subsections": []}, {"section_title": "Laws Covering the Current PDC Program and Related Funding", "paragraphs": ["The Fixing America\u2019s Surface Transportation (FAST) Act in 2015 mandated that IRS assign inactive tax debt cases to private collection agencies. Inactive cases are those that IRS includes in its potentially collectible inventory but is not actively pursuing. Congress defined three types of inactive tax debt cases that must be assigned to the collection agencies, which are those: removed from active inventory due to a lack of IRS resources or inability to contact a taxpayer; not assigned for collection to an IRS employee and more than one- third of the period of applicable statute of limitation has lapsed; and assigned for collection and more than 365 days have passed without any interaction with the taxpayer or a third party for purposes of furthering collection.", "The act also excluded certain taxpayer accounts from being assigned to a collection agency. Specifically, accounts are to be excluded if the taxpayer is deceased; under the age of 18; in designated combat zones; a victim of tax-related identity theft; under examination, litigation, criminal investigation or levy; subject to pending or active offers in compromise, an installment agreement, or a right of appeal; or involved in an innocent spouse case.", "The American Jobs Creation Act and the FAST Act together created two funds which allow IRS to retain up to 50 percent of the amounts collected by private collection agencies. Specifically, IRS can retain up to 25 percent of the amounts that collection agencies collect in each of these funds:", "Cost of Services fund to pay collection agencies\u2019 commissions.", "Special Compliance Personnel Program fund to pay costs of administering the collection agency contracts and costs of adding collection staff."], "subsections": []}, {"section_title": "IRS\u2019s Approach for Assigning Cases to Collection Agencies under the PDC Program", "paragraphs": ["According to IRS officials, IRS\u2019s approach for implementing the PDC program is to roll out cases over time in three major phases, moving from simpler to more complex cases. The first phase (April 2017) included the simplest types of cases in which individual taxpayers had agreed to the debt owed. The second phase (March 2018) added individual tax debts from IRS compliance activities\u2014such as auditing the accuracy of filed tax returns\u2014where taxpayers have not agreed with the debt owed and unfiled tax returns (i.e., from individuals who did not file tax returns as required). The third phase (planned for March 2019) is to add business tax debt cases and unfiled business tax returns. As shown in figure 1, since first assigning cases to collection agencies in April 2017, IRS has increased the number and types of tax debt cases. By the end of fiscal year 2019, IRS plans to have assigned about 2.4 million cases that it expects to be eligible for the PDC program."], "subsections": []}]}, {"section_title": "IRS Has Not Clearly Defined PDC Program Objectives, Measures, and Targets", "paragraphs": ["IRS has not clearly defined program objectives, measures, and targets for the PDC program. According to federal internal control standards, management should define objectives clearly to enable the identification of risks and define risk tolerances. Objectives should be defined in specific and measurable terms to enable design of internal control for related risks. Establishing measures and related targets also allows assessment of program performance and helps ensure that objectives are achieved.", "Although IRS started sending cases to collection agencies under the PDC program in April 2017, IRS did not document the program\u2019s objectives and their links to related proposed measures until October 2018. IRS officials explained that they wanted to get some experience with the program before establishing its objectives and measures, so in June 2018 and August 2018, officials held working sessions to draft the program\u2019s mission, vision, and values statements, and link performance metrics to them. The resulting proposed mission statement was to \u201cprovide taxpayers an opportunity to understand and resolve their tax obligations and apply tax laws in a manner that is consistent with IRS collection practices.\u201d The sessions also yielded the following statements under related categories that according to IRS officials are the PDC program\u2019s three program objectives.", "Taxpayer Protection\u2014Apply tax laws in a manner that is consistent", "Taxpayer Experience/Satisfaction\u2014Provide taxpayers an opportunity to understand and resolve their tax obligations", "Private Collection Agency Operational Success\u2014Resolve tax obligations by utilizing private collection agencies According to the working sessions\u2019 documents, officials also proposed PDC measures. However, our review found that these measures did not clearly link to two of the three PDC objectives\u2014applying tax laws consistently with IRS collection practices and providing taxpayers an opportunity to understand and resolve their tax obligations. Table 1 shows our analysis of the clarity of the links between the objectives and proposed measures, and the lack of targets for each of the objectives and measures.", "In addition, based on our discussions with IRS officials and review of PDC program documents, IRS\u2019s three program objectives do not acknowledge all key program-related risks. For example, because high costs put previous PDC programs at risk, IRS officials said they designed program procedures to control costs and compare these costs to revenue collections. However, none of the objectives or measures addresses costs compared to revenue collections. Similarly, IRS has acknowledged the risks of scams and created risk responses but none of the three objectives focuses on protecting taxpayers from the risks of scams.", "Our review of IRS documentation also shows that IRS has used inconsistent terms to communicate the program\u2019s objectives. Specifically, IRS\u2019s fiscal year 2019 communication plan for the PDC program states different program objectives than those in the working session documents. This document states the program\u2019s objectives as: help America\u2019s taxpayers settle their debt and come into compliance; ensure the safety and security of taxpayers and their data; and ensure that all taxpayers contacted by private collectors are treated with fairness and respect by monitoring the program.", "These objectives do not include terms used in the objectives stated in table 1, such as applying tax laws consistently with collection practices while they introduce new terms such as compliance, safety and security, and fairness and respect. Although the two sets of objectives do not necessarily conflict, their differing, inconsistent terms contribute to the stated program objectives being unclear.", "According to IRS officials, the objectives defined by the working sessions are the objectives for the PDC program. They said that IRS needs more time to finalize the program objectives and measures and develop related targets. The officials said their efforts and resources until recently had been directed toward implementing the PDC program. However, they do not expect to finish refining the objectives, measures, and targets until fiscal year 2020 or later, when they will use program data that may be available then.", "Until program objectives are clearly defined and consistently stated, IRS cannot ensure that appropriate controls will be in place to address risks and achieve the desired results of the PDC program. Also, without measures and targets that are clearly linked to the objectives, IRS will be limited in its ability to assess and assure that the program is making progress in achieving its objectives."], "subsections": []}, {"section_title": "IRS Reporting on PDC Program Results Is Incomplete and IRS Has Not Analyzed Ways to Improve These Results", "paragraphs": [], "subsections": [{"section_title": "IRS Reporting of PDC Program Revenue Collection and Costs Results is Not Complete", "paragraphs": ["According to federal internal control standards, management should externally communicate complete, quality information necessary to achieve objectives. Ways to carry this out include using and reporting complete financial information. However, we found that IRS\u2019s reporting on the PDC program to Congress did not provide complete, quality financial information on some of the program\u2019s results for revenue collected and costs.", "Specifically, IRS\u2019s reporting did not clarify how much of the collected revenue went to the general fund of the Treasury (the Treasury) rather than to IRS for two special funds. For example, from fiscal year 2016 when IRS started to develop the program through September 2018, IRS\u2019s report to Congress in October 2018 showed program revenue collections of $88.8 million and costs of $66.5 million\u2014a program balance of $22.3 million. While suggesting this positive program balance to the Treasury, the report did not clarify that about $50.9 million of the $88.8 million went to the Treasury and about $37.8 million went to the two IRS special funds\u2014about $18.9 million for each\u2014to pay current and future related IRS costs (see table 2 in appendix II). The report included the required information on the collected revenue retained in the two special funds.", "We analyzed the status of the two funds as of September 2018 (see table 3 in appendix II). The $18.9 million that IRS retained to pay the costs for commissions to the contracted collection agencies had a balance of $2.9 million; the $18.9 million that IRS retained to pay costs to administer the PDC contracts and hire and train additional staff for IRS collection activities had a balance of $14.6 million. IRS officials said IRS used this fund to hire 100 additional collection staff in October 2018. The officials said that information system improvements will allow IRS to track the revenue collections and costs related to those additional staff pursuing tax debts.", "IRS officials said in September 2018 that they plan for future reports to include a program balance table and retained fund balance tables. However, they said IRS does not plan to include a table on the amount of collected revenue that went to the Treasury because IRS is not required to include this in the report. Full reporting of revenue and costs can help stakeholders better understand and assess program results. Without clearly reported data, stakeholders are challenged to know how much of the collected revenue went to the Treasury rather than to IRS\u2019s two funds.", "Nor did IRS\u2019s reporting to Congress include all PDC program costs. As discussed above, ways for management to meet internal control standards include using and communicating quality information on achieving program objectives. IRS has not included the costs incurred by the Treasury Inspector General for Tax Administration\u2019s (TIGTA) Office of Investigation to operate the system for taxpayer complaints about collection agencies, which is part of the PDC program (see table 4 in appendix II for IRS\u2019s reported costs). IRS officials said that IRS did not include TIGTA\u2019s program costs because IRS does not typically include costs incurred by TIGTA or other agencies in its program costs. However, by not including TIGTA\u2019s operational costs, as opposed to its audit costs, Congress is not informed of full PDC program costs."], "subsections": []}, {"section_title": "IRS Does Not Plan to Conduct Analyses to Improve PDC Program Results", "paragraphs": ["Our work has shown that using performance data helps agencies achieve better results. Federal internal control standards also require that management use quality information to achieve objectives. The standards also point out that management is responsible for an effective internal control system that minimizes the waste of resources. In addition, an IRS strategic goal includes analyzing data to improve decision-making and program results. However, IRS does not have plans to analyze data to identify ways to improve the results of the PDC program by using this information to guide the types of cases sent to collection agencies.", "We found that IRS has not conducted any analysis of PDC results to determine which types of cases are not potentially collectible and should not be assigned to collection agencies because they result in little or no collected revenue. Our analysis of IRS data showed that certain cases assigned to collection agencies generally have had limited results. Specifically, from April 2017 to September 2018, collection agencies had only collected $88.8 million of the $5.7 billion assigned\u20141.6 percent\u2014in about 730,000 cases. closed about 111,000 cases, of which about 38,000 were closed as either fully paid or with an installment agreement, while about 56,000 were recalled by IRS and 17,000 were returned by collection agencies with little or no revenue collected.", "IRS officials said that these recalled and returned cases may have generated some revenue but did not know how much. Although revenue amounts were not known, IRS fiscal year 2018 data showed that collection agencies returned 288 cases (1.7 percent of about 17,000 cases returned in 2018) with a partial debt payment. In addition, our review of IRS\u2019s data indicated that most returned cases would not have had collected revenue. According to these fiscal year 2018 data, more than 95 percent of the 17,000 cases\u2014involving $183 million in tax debt\u2014 were returned because the collection agencies indicated that: they were unable to collect on the debt or contact the taxpayer, or the taxpayer received Social Security supplemental or disability income payments (which are to be returned because these taxpayers have limited resources or ability to pay, according to IRS officials), asked the collection agency to cease contact, or had died.", "When we shared our analysis with IRS officials, they said they were not surprised by these limited PDC collection results because IRS considers them to have low collection potential. Furthermore, many taxpayers may not be able to pay because they have low income. In September 2018, TIGTA reported that 54 percent of taxpayer accounts assigned to collection agencies had a low income indicator. By pursuing such cases that produce little or no revenue, IRS increases PDC program costs to manage the cases being sent and returned as well as the burdens for taxpayers who have to respond to collection agencies\u2019 contacts. However, IRS officials said that they have not analyzed these results and do not have data on either the costs or the burdens associated with these cases.", "We also found that IRS does not have plans to analyze PDC program results and inactive debt cases to identify cases that IRS will not pursue that could be added to the PDC inventory. These cases could have higher collection potential than many of the current PDC cases that are collecting little or no revenue even though this potential has not been high enough to be actively pursued by IRS. For example, IRS could use its discretion to assign cases before they meet the FAST Act\u2019s case age requirements criteria for collection agency assignment. Assigning such cases earlier could improve PDC program results because of the debt collection principle that collection success generally worsens as cases age. Similarly, IRS does not have plans to analyze PDC results to identify characteristics of cases with the highest collection results and use that analysis to find other types of inactive cases with similar characteristics that could be included in the PDC inventory. IRS officials said they are not conducting or planning such analyses because their priority is to fully implement the program and assign the types of cases to collection agencies that the FAST Act mandates. They said that they may consider expanding the types of cases sent to collection agencies after March 2019 and that they do not know whether they will do related analyses or when any decision will occur. However, for both the debt cases that could be excluded or added, IRS has existing discretionary authority to revise the PDC inventory. For example, IRS has authority to exclude cases from the PDC program if IRS determines they are not potentially collectible. Furthermore, prior law grants IRS the discretion to assign collection agencies cases beyond the three types of cases specified by the FAST Act. Even so, IRS officials said that they have no plans to analyze data on whether to revise the PDC inventory to reduce costs or maximize revenue collection.", "By not analyzing the results of the PDC cases, IRS risks continuing to send cases to collection agencies that collect little or no revenue and incur costs that waste federal resources as well as burden taxpayers. If most of the more than 2 million cases slated for collection agency assignment into 2019 collect little or no revenue, the accumulated IRS costs as well as burdens imposed on taxpayers could be significant. Similarly, by not analyzing new types of cases that could be assigned to private collection agencies, IRS could miss opportunities to assign cases that collect more revenue than cases that these agencies currently return with little or no revenue."], "subsections": []}]}, {"section_title": "IRS Has Established a Risk Management Process to Address PDC Risks to Taxpayers but the Process Is Not Complete", "paragraphs": [], "subsections": [{"section_title": "IRS Has Addressed Some Taxpayer Risks but Has Not Fully Implemented All Elements of Its Risk Management Process for Its PDC Program", "paragraphs": ["As shown in figure 2 and as described in greater detail below, IRS has made progress in implementing elements of a risk management process for its PDC program but has not completed full implementation of the process.", "IRS has involved leadership in supporting the risk management process but has not aligned the process with objectives for protecting taxpayers in the PDC program. We previously reported that agency officials should engage leadership and regularly consider risks and how they could affect achievement of objectives. IRS\u2019s initial discussions of risk\u2014including taxpayer risks\u2014involved PDC leadership and internal stakeholders, and followed guidance from the Office of Chief Risk Officer, according to IRS officials. IRS created a risk register to track the status of PDC risks. PDC leadership and IRS stakeholders continue to update these risks biweekly, according to IRS officials. In addition, IRS has developed a program mission statement and draft objectives. However, IRS has not aligned its risk management process for the PDC program with an objective for protecting taxpayers because, as discussed earlier in this report, IRS has not yet finalized its objectives for the PDC program."], "subsections": [{"section_title": "Identify Risks", "paragraphs": ["IRS has taken some steps to identify risks; however, we found various weaknesses in its implementation of this risk management element. According to our 2016 report on risk management, agencies should assemble a comprehensive list of risks that could affect achievement of goals and objectives. IRS\u2019s risk register includes taxpayer risks that IRS internal stakeholders initially identified and continue to update biweekly, according to IRS officials. IRS assigned each of these a risk category\u2014 such as taxpayer rights and protection\u2014and most risks have an IRS official assigned to manage them. Our prior work found that clearly documenting actions taken in a risk management process\u2014such as in a risk register\u2014facilitates systematic risk review to help accomplish an agency\u2019s mission.", "However, we found that IRS has not documented a comprehensive list of specific risks to taxpayers in the risk register. IRS\u2019s risk register identified 6 taxpayer risks but we identified another 10 risks by reviewing other PDC documentation, such as the Policy and Procedures Guide, and by interviewing external stakeholders, as shown in figure 3. For example, IRS did not identify in the risk register the risk that taxpayers may agree to debt payments they cannot afford. Also, IRS has not aligned the taxpayer risks with one or more PDC objectives because IRS has not yet finalized the objectives, as previously discussed.", "IRS officials said they did not list all taxpayer risks in the risk register because they covered many of these risks in other PDC program documents. Even so, not documenting risks and aligning them with the objectives in the risk register will make it more difficult to properly manage all taxpayer risks.", "Furthermore, based on our review, the register identified many risks that are broad and unclear. For example, IRS\u2019s description of a taxpayer rights risk is broad and unclear on which rights are at risk given the 10 taxpayer rights in the Taxpayer Bill of Rights. For other risks, we found that IRS did not clearly state the risk to taxpayers. For example, IRS identified certain taxpayer risks with a focus on: giving taxpayers an opportunity to agree to pay their tax debts through a series of payments rather than the effects on taxpayers if they are unable to make all payments; and harming IRS\u2019s reputation if collection agencies do not follow IRS standards rather than clarifying any specific risks to taxpayer rights.", "While IRS identified some taxpayer risks, the lack of completeness and clarity in IRS\u2019s risk register limits its effectiveness as a tool for tracking taxpayer risks. As a result, IRS does not have reasonable assurance that it has fully identified and addressed all taxpayer risks from the PDC program."], "subsections": []}, {"section_title": "Assess Risks", "paragraphs": ["IRS has not consistently documented its assessment of taxpayer risks from the PDC program, making it unclear how risks will be prioritized. Our 2016 report on risk management describes the importance of assessing the impact and likelihood of risks so risks can be prioritized. This step is necessary to guide decisions on how to respond to risks. Before implementing the PDC program in April 2017, IRS assessed potential risks and developed sections in the risk register on risk impacts, likelihood, and responses that IRS would use to address each risk. However, IRS has not clearly documented the impacts for each risk in the risk register. We found that the column in the risk register designated for capturing risk impact was generally blank or contained just a date. We also found that IRS did not fully capture information on the severity of a risk\u2019s impact. For example, in a column for recording severity in the risk register, we found information on the implementation status of a risk response instead. Further, although IRS officials said they continue to monitor \u201cclosed\u201d risks, we found that the register recorded no information about the severity of the risk impact after IRS implemented a response. Instead, the register recorded the risk as \u201cclosed.\u201d", "We also found that IRS had not clearly documented the likelihood of each risk in the risk register, making it difficult to understand how likely each risk is to occur after IRS responds to and closes a risk. For example, the PDC program and taxpayers could be harmed if scammers find a way to impersonate collection agencies. IRS set up a Taxpayer Authentication Number to allow taxpayers to verify that a phone call is from a collection agency and not a scammer, and closed the risk involving scams. However, the risk register is unclear on how IRS estimates the likelihood this risk could occur or on how this response would reduce the likelihood of scams.", "IRS officials said quantifying the impacts and likelihood of some risks is difficult. Even so, without clear documentation on the risk impacts and likelihood, it will be difficult for IRS to prioritize the risks. Without a reasonable measure of the impact\u2019s severity, IRS may be unable to properly select responses to mitigate the potential impacts from the risks."], "subsections": []}, {"section_title": "Select Risk Response", "paragraphs": ["IRS has developed many responses to broadly address taxpayer risks in the PDC program, but has not clearly documented and aligned the responses to address specific risks. Our 2016 report on risk management suggests as a good practice selecting risk responses based on a prioritized list of risks. IRS established risk categories and risk responses that broadly respond to taxpayer risks in the PDC program, such as the quality review process to measure how well collection agency employees properly follow IRS procedures. However, IRS has not addressed all of the elements we described in our 2016 report for selecting responses to risks\u2014in part because identified risks and responses are broad\u2014as IRS has not completed all the steps for risk identification and assessment, as previously discussed.", "In addition, we found that the risk register did not clearly document the responses chosen to mitigate some stated risks. First, IRS did not always clearly document in the register column for responding to risks how its many responses aligned with a specific risk. For example, the register aligned a response on tracking taxpayer complaints with the risk on protecting taxpayer rights but not with the risk of scams, even though IRS officials said that they rely on TIGTA to monitor taxpayer complaints for PDC-related scams. Second, the register did not include some taxpayer protection responses. Specifically, we identified taxpayer protection responses in the collection agency contracts that were not included in the risk register, such as 1) ensuring that collection agency employees are not paid based on how much they collect, or 2) relying on taxpayers to inform collection agencies if debt payments would cause a hardship.", "IRS officials acknowledged that their risk register does not align all of its responses with specific risks, but said they created many responses to generally protect taxpayers, although we did not find many of these responses documented in the risk register. Without thorough risk identification and assessment or clear documentation in the risk register of how all risk responses align with specific risks, IRS does not have reasonable assurance that it has properly selected risk responses for each taxpayer risk."], "subsections": []}, {"section_title": "Monitor Risks and Risk Responses", "paragraphs": ["IRS has developed monitoring efforts for major taxpayer risk responses for the PDC program, but lacks assurance that specific responses are working effectively to mitigate specific risks. Our prior work encourages agencies to monitor how risks change and how well risk responses work. IRS monitoring includes: reviewing the quality of a statistically reliable sample of calls between collection agencies and taxpayers, reviewing monthly reports from collection agencies on their compliance and behaviors involving taxpayers, periodically visiting collection agencies to review program compliance, acting on referrals from Treasury Inspector General for Tax Administration\u2019s (TIGTA) investigation of complaints, and tracking taxpayer satisfaction through a customer satisfaction survey.", "However, we found that IRS\u2019s broad monitoring efforts provide limited information on whether or how effectively the responses are addressing taxpayer risks in the PDC program. For example: IRS monitors calls and scores collection agencies\u2019 accuracy in following various collection procedures, but this measure provides little information on how well specific risks in the PDC program are addressed to protect taxpayers. For fiscal year 2017, the quality scores indicated that collection agencies scored at least 98 percent accuracy. However, IRS focuses on this overall score rather than monitoring individual components that make up the overall score, which could serve as possible indicators of taxpayer risks, such as unauthorized disclosures of taxpayer information. IRS documentation showed that IRS is still identifying which components of the quality score apply to collection agency performance on taxpayer rights protection, but IRS officials said they do not plan to finalize the program\u2019s performance measures until fiscal year 2020.", "IRS has not documented how it uses its customer satisfaction survey measure to monitor specific risks to taxpayer rights. IRS reports that taxpayers\u2019 satisfaction scores for interacting with collection agencies exceed 93 percent overall. However, this overall score does not provide specific information about risks to taxpayers or related risk responses. Some survey questions\u2014such as on collection agency professionalism\u2014could provide information about specific taxpayer risks. IRS has plans to consider using other survey questions as measures and, in October 2018, officials said they are planning analysis in fiscal year 2019 to inform and implement survey changes by fiscal year 2020.", "IRS expects taxpayers to tell the collection agency if they cannot afford a debt payment, but does not track whether this risk response is effective. If a taxpayer reports to a collection agency that debt payments would cause economic hardship, that they have a medical hardship, or that they receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), the collection agency is required to return the case to IRS. To start such tracking, IRS officials said they were open to possibly analyzing which types of taxpayers pay or do not pay, as well as the voluntary payment rate on installment agreements for PDC taxpayers.", "As of October 2018, IRS documentation showed ongoing development of measures for monitoring taxpayer complaints that TIGTA receives and investigates. It showed that IRS proposes to establish thresholds for the number of actionable complaints and unauthorized disclosures a collection agency needs to report before IRS takes corrective action.", "In addition to TIGTA complaints, we found that IRS has other sources of taxpayer complaints available that it was not using to monitor changes in taxpayer risk. The Federal Trade Commission\u2019s (FTC) Consumer Sentinel Database received a number of taxpayer complaints about collection agencies and possible scams, but we found that IRS did not ask FTC for these data. FTC gathers data on complaints from the public, the Better Business Bureau, and IRS and other federal and state agencies. We analyzed FTC data from about the first 15 months of the PDC program and identified 20 PDC-related taxpayer complaints. More than half of the complaints indicated taxpayer confusion after being contacted by a collection agency; of these, seven taxpayers mistook the collection agencies for scammers. In addition, six cases were possible scams, and in three cases taxpayers reported harassment by the collection agency. When we shared our analysis with IRS officials, they agreed that the FTC data would be valuable to them and said they plan to work with TIGTA\u2019s Office of Investigations to incorporate these data into their monitoring of taxpayer complaints by the end of March 2019.", "Although IRS has developed methods to monitor its risk responses involving taxpayer risks and taxpayer rights violations, IRS\u2019s monitoring provides broad indicators rather than specific measures on how well responses address each risk in the PDC program. Although officials are considering changes to IRS\u2019s monitoring and have plans to conduct data analysis in fiscal year 2019 to inform decisions about possible customer satisfaction survey changes, until these changes are implemented, IRS will have limited assurance that it has effective responses to address each risk in the PDC program."], "subsections": []}, {"section_title": "Inform Stakeholders", "paragraphs": ["IRS informs internal stakeholders and Congress about taxpayer risks in the PDC program, but has not fully engaged external stakeholder groups that represent taxpayers\u2019 interests to learn about risks. Our 2016 report on risk management discussed the need to inform internal and external stakeholders about program risks and risk response performance, and to seek feedback on risks from stakeholders.", "We found that IRS followed some of these practices and conducted outreach to some internal and external stakeholders. For example, PDC management engages regularly with IRS stakeholders, and produces annual reports to Congress on PDC performance including taxpayer protection. IRS officials said that IRS staff regularly meet with the Taxpayer Advocate Service (TAS) staff on PDC. However, TAS has recommended that it be involved in overseeing taxpayer protection procedures by reviewing collection agency calls with taxpayers. IRS officials said they also reached out to external stakeholders such as practitioner groups and Low-Income Taxpayer Clinics through conferences and the Office of National Public Liaison, and participated in Nationwide Tax Forums to provide \u201climited talking points\u201d about the PDC program. IRS provided documents showing prior outreach to these groups as well as AARP about the PDC program. In addition, IRS provided documents showing planned outreach to external stakeholders for fiscal year 2019, including TAS, Congress, tax preparers, and tax professional groups.", "IRS officials said they welcome feedback about taxpayer risks, but documents they provided showed limited efforts to solicit feedback from external stakeholders about the PDC program. For example, between May 2016 and October 2018, IRS anonymously recorded 26 questions from external stakeholders through its Stakeholder Liaison office, which is designated to communicate with stakeholders. Ten of these questions were recorded after April 21, 2017, when collection agencies started contacting taxpayers directly about their tax debts. Because the identities of stakeholders submitting questions are kept anonymous, we could not follow up with stakeholders about IRS\u2019s responses. IRS officials said they had not received any direct feedback from Low Income Taxpayer Clinics, but that any such feedback would be shared through TAS.", "Our interviews with external stakeholders from practitioner groups and groups that represent taxpayer interests indicated that IRS had not offered them clear opportunities to provide feedback. For example, several Low Income Taxpayer Clinic officials informed us that they did not perceive that IRS was soliciting their feedback when the PDC topic was discussed at conferences and meetings they attended. We received similar comments that feedback opportunities were lacking or unclear from representatives at AARP, the American Bar Association, and other groups, raising questions about how fully IRS solicited feedback while conducting its outreach on the PDC program.", "As previously mentioned, we learned about taxpayer risks IRS did not include in its risk register and the experiences of vulnerable groups by reaching out to stakeholders and listening to their stories (see figure 3). For example, some stakeholders expressed concerns that using collection agencies could increase scam risk and make it more difficult to advise taxpayers on how to avoid scams. They also identified a range of risks to various types of vulnerable taxpayers. For example, stakeholders told us that low-income taxpayers can be risk averse and will try to pay, and may be unaware they do not have to pay the debt if it will cause a hardship. According to some of the groups we interviewed, some elderly taxpayers are particularly vulnerable to scams and could be easier for collection agencies to pressure into payment arrangements; other types of taxpayers might be confused and believe that a legitimate collection agency call is actually a scam.", "While we did not encounter clear examples of taxpayer mistreatment by collection agencies or scammers impersonating collection agencies, the concerns stakeholders raised suggest they can provide IRS with feedback and insights about taxpayer risks\u2014particularly to vulnerable groups\u2014that IRS may not identify on its own. Without ensuring that it has fully solicited feedback and conducted outreach to stakeholders, IRS does not have assurance that it has identified specific risks to taxpayers and appropriately responded to them."], "subsections": []}]}, {"section_title": "IRS Has Identified Scams as a Risk, but Has Not Identified and Assessed Other Program Fraud Risks", "paragraphs": ["IRS identified scams as a risk to the PDC program and taxpayers. In response to the scam risk, IRS established a Taxpayer Authentication Number to help taxpayers and collection agencies verify each other\u2019s identities, provided authentication guidance to taxpayers with cases assigned to collection agencies, and posted scam alerts and press releases on its website. In addition, TIGTA monitors taxpayer complaints to identify instances of scams, according to IRS officials. Beyond this step, IRS has not identified other fraud risks, such as those internal to the operation of PDC.", "To help agencies better address fraud, we issued A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework), which includes a comprehensive set of leading practices to combat fraud in a strategic, risk-based manner. These practices include: identifying and assessing inherent fraud risks\u2014including fraud risks within the program, examining the suitability of existing fraud controls, and documenting the program\u2019s fraud risk profile.", "IRS did not have information to demonstrate a formal fraud risk assessment for the PDC program. IRS officials said they did not conduct and document a formal fraud risk assessment because they considered fraud risk as part of their risk management process for the PDC program. However, IRS\u2019s risk register did not identify fraud types beyond scams, and our review of other IRS risk management documents found that they had no clear information about consideration of other external or internal fraud risks, such as from collection agency employees. In addition, IRS did not document responses to address fraud risks beyond the Taxpayer Authentication Number and scam-related complaints monitoring. Without information on IRS\u2019s assessment and responses to fraud risks it is not clear that IRS fully considered internal and external fraud risks, or developed appropriate responses to those risks, meaning IRS cannot provide assurance it is effectively managing fraud risks to taxpayers and the program."], "subsections": []}, {"section_title": "IRS Provided Inconsistent Guidance on Taxpayer Protections, Possibly Creating Confusion and Raising Risks for Some Vulnerable Taxpayers", "paragraphs": ["IRS assures taxpayers that they can expect the same level of service and protections from collection agencies as they do from IRS collections. However, we identified two inconsistencies in IRS guidance on taxpayer protections for the PDC program, which could increase confusion among taxpayers or risks to taxpayers. In response to our findings, IRS is revising its guidance to address one of these issues but the other has not been addressed.", "Responding to suicidal taxpayers: IRS guidance for its collection employees requires them to take all taxpayer suicide threats seriously, keep the taxpayer on the phone, and act quickly to report the incident to authorities to locate and help the taxpayer. However, IRS guidance for collection agency staff allowed debt collectors to first use judgment to try and determine if the suicide threat was sincere before taking steps to help the taxpayer. When we pointed out this discrepancy to IRS officials, they acknowledged it and, in October 2018, issued revised guidance to collection agencies that removed collector discretion to judge whether suicide threats are valid before taking actions to help the taxpayer.", "Reporting scams to TIGTA: IRS instructs taxpayers to call TIGTA if they suspect a scam. IRS information mailed to taxpayers and on the main PDC program website includes contact information for TIGTA, but does not say to call TIGTA to report a scam. This information is found separately on IRS\u2019s website for scams\u2014which can be accessed through the main PDC program website\u2014but this may not be clear to all taxpayers in the PDC program. IRS officials acknowledged that their mailed publications do not instruct taxpayers to contact TIGTA to report scams, but said they encourage taxpayers to visit IRS.gov to keep informed about scams. External stakeholders including AARP and the National Center on Elder Abuse said that older Americans generally trust and rely more upon the mail than the internet. In addition, because older Americans are more likely to watch televised news, they may not necessarily see IRS website scam alerts and therefore may be less aware of these scams. They also said that not all taxpayers\u2014in particular elderly taxpayers\u2014use the internet, and thus rely on printed guidance or the telephone for information about reporting scams. Without clear guidance, taxpayers will not know how to report scams. Thus, TIGTA and IRS may be unaware of and unable to appropriately respond to them. IRS officials said it would be possible to update the printed guidance provided to taxpayers with information about contacting TIGTA to report scams, but that such revisions could take up to a year to implement."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The PDC program can contribute to IRS\u2019s enforcement efforts to assure taxpayer compliance and help address the tax gap. However, without program objectives that are clearly defined and consistently stated, IRS cannot assure that appropriate controls will be in place to address risks. Also, without measures and targets that are clearly linked to program objectives, IRS will be limited in assessing progress and assuring that the program achieves its objectives.", "Without complete reporting on the PDC program revenue collection results, Congress is not fully informed on the amounts of collected revenue sent to the general fund of the Treasury and amounts retained by IRS to pay costs. In addition, IRS\u2019s not reporting TIGTA\u2019s costs to administer the PDC taxpayer complaint system means Congress is not informed of full PDC program costs. Furthermore, because IRS does not have plans to analyze data to identify ways to improve the results of the PDC program by using its discretion to revise the types of tax debt cases it sends to collection agencies, IRS risks continuing to send cases to collection agencies that incur costs but collect little or no revenue. IRS may also miss opportunities to assign cases that collect more revenue to more efficiently and effectively address the gap between what taxpayers owe and pay.", "IRS\u2019s incomplete documentation of how taxpayer risks align with program objectives, identification of risks, and risk assessment make it difficult for IRS to prioritize risks, and does not provide reasonable assurance that IRS properly selected risk responses to address each risk. Similarly, not fully documenting how IRS is monitoring taxpayer risks and related responses means that IRS has limited assurance that each response is effective in addressing the risk. Taxpayers may face increased risk if IRS guidance to taxpayers is unclear, such as how to report scams. Lastly, more fully soliciting feedback from external stakeholders to learn about taxpayer risks\u2014particularly to vulnerable groups\u2014would provide assurance that IRS has identified and appropriately responded to taxpayer risks."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 12 recommendations to the Commissioner of Internal Revenue:", "The Commissioner of Internal Revenue should finalize the PDC program objectives so that they are clearly defined in consistent terms, and assure that the key program risks, measures, and targets are linked with the objectives. (Recommendation 1)", "The Commissioner of Internal Revenue should include TIGTA costs in IRS\u2019s reporting of PDC program costs. (Recommendation 2)", "The Commissioner of Internal Revenue should report the amount of collected revenue sent to the general fund of the Treasury and amounts retained by IRS to pay its costs. (Recommendation 3)", "The Commissioner of Internal Revenue should analyze PDC program results to identify the types of cases that are not potentially collectible and should not be assigned to collection agencies. (Recommendation 4)", "The Commissioner of Internal Revenue should analyze PDC program results and the cases not assigned to the PDC program to identify the types of inactive cases IRS will not pursue that could be assigned to collection agencies to improve PDC program results. (Recommendation 5)", "The Commissioner of Internal Revenue should clearly document and distinguish the complete list of identified risks to taxpayers in the PDC program risk register, and align the risks with PDC program objectives. (Recommendation 6)", "The Commissioner of Internal Revenue should clearly document the severity of impacts of the taxpayer risks, as well as the likelihood of each taxpayer risk after responding to it, in the PDC program risk register, and use this information to prioritize risks to address and guide selection of risk responses. (Recommendation 7)", "The Commissioner of Internal Revenue should clearly document how each risk response aligns with specific taxpayer risks in the PDC program risk register. (Recommendation 8)", "The Commissioner of Internal Revenue should document how IRS\u2019s monitoring of the PDC program provides information on specific taxpayer risks and how well specific responses are working to address each risk, and should supplement IRS\u2019s monitoring of taxpayer complaints with FTC complaint data. (Recommendation 9)", "The Commissioner of Internal Revenue should more fully seek and document feedback from external stakeholders representing vulnerable taxpayers to identify and appropriately respond to possible PDC taxpayer risks. (Recommendation 10)", "The Commissioner of Internal Revenue should clearly document an assessment of fraud risks related to the PDC program. (Recommendation 11)", "The Commissioner of Internal Revenue should ensure that its printed guidance to PDC taxpayers includes information about reporting scams to TIGTA. (Recommendation 12)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue for comment. IRS provided written comments, which are reproduced in appendix III. Of our twelve recommendations, IRS partially agreed with one and disagreed with two. IRS agreed with the remaining nine recommendations and outlined actions to implement them. Of these nine recommendations, IRS said it already implemented one and planned to implement another, even though IRS disagreed with part of the related finding.", "IRS partially agreed with our recommendation on defining PDC program objectives related to key risks and developing related measures and targets (Recommendation 1). IRS said it would use consistent terms in developing measures that link to its PDC program objectives, but did not agree that program objectives are necessarily framed in terms of program risks. IRS said its approach to risk management is consistent with GAO\u2019s Standards for Internal Control in the Federal Government, which is to identify objectives before identifying risks to achieving those objectives.", "However, IRS did not document the program\u2019s objectives until October 2018, about two years after it validated identified PDC program risks, and did not expect to finalize the objectives and related measures and targets until fiscal year 2020 or later. Further, as discussed in the report, IRS\u2019s stated objectives did not acknowledge all key PDC program risks, such as scams and high costs compared to revenue collected. We revised the recommendation to more clearly address our intent that whenever IRS finishes defining the PDC program objectives, IRS should ensure that they include objectives that are linked with key program risks.", "IRS disagreed with our recommendation that IRS include TIGTA costs in reporting program costs (Recommendation 2). IRS said that doing so would be inconsistent with legislative requirements that define program costs as IRS\u2019s costs and with IRS cost-accounting practices. However, the FAST Act set minimum reporting requirements to which IRS can add more information. Also, the existing cost accounting standards and practices to which IRS refers govern IRS\u2019s accounting for and reporting of costs incurred by IRS. However, our intent is to ensure fuller reporting of the PDC program\u2019s cost to the federal government. Therefore we stand by our recommendation because without such reporting Congress is not informed of full PDC program costs.", "IRS also disagreed that it should analyze PDC program results to identify the types of cases that are not potentially collectible and therefore should not be assigned to collection agencies (Recommendation 4). IRS said the PDC statute requires the assignment of all inactive tax receivables to collection agencies and therefore no collectability analysis is required or necessary. However, as we discuss in our report, the statute defines \u201cinactive tax receivables\u201d as being in \u201cpotentially collectible inventory\u201d but does not define \u201cpotentially collectible inventory.\u201d We also noted that IRS has the discretion to define \u201cpotentially collectible inventory\u201d under its general rulemaking authority in 26 U.S.C. \u00a7 7805 and can use this authority to determine which cases are potentially collectible and which are not.", "IRS also said it questioned whether the analysis we recommend would improve efficiency and said there is very little cost associated with assigning additional cases to collection agencies. During our review, we asked IRS for such cost information and IRS officials said they did not know the costs to send or to handle returned PDC cases. As we noted in our report, IRS has incurred tens of millions of dollars in costs with little or no revenue collected for most of the PDC cases that IRS has closed.", "IRS analysis to improve PDC case assignment could improve efficiency. Under its general rulemaking authority, IRS is authorized to make rules it deems necessary for the efficient administration of the tax code. We added language in the report to emphasize IRS\u2019 management responsibility to assure efficient program operations. Without the analysis we recommend, IRS could continue assigning uncollectible debts to PCAs that generate IRS costs and waste federal resources.", "IRS agreed that it should analyze PDC program results and the cases not assigned to the PDC program to identify the types of inactive cases that could be assigned to collection agencies to improve PDC program results (Recommendation 5). IRS said it had already built this analysis into its current shelving process, as the statue addresses inactive cases that are shelved due to lack of resources. However, it is not clear that the analysis embedded into IRS\u2019s shelving process identifies cases that IRS will not pursue and assigns them to collection agencies before the 52-week shelving threshold, or before the FAST Act\u2019s case age requirements, as we discuss in the report.", "Similarly, it is not clear that IRS\u2019s shelving process includes analysis of PDC results to identify characteristics of cases with the highest collection results and uses that analysis to find inactive cases with similar characteristics that could be assigned to collection agencies, as we discuss in the report. We look forward to IRS taking actions that will address our findings. Without such analyses, IRS could miss opportunities to assign cases that collect more revenue than cases that collection agencies return with little or no revenue collected.", "Finally, although IRS agreed with our recommendation that it report the amount of collected revenue sent to the general fund of the Treasury and amounts retained by IRS to pay its costs (Recommendation 3), IRS said it disagreed that its reports to Congress on the PDC program have not provided complete financial information and said such reporting followed statutory requirements.", "As we state in our report, IRS has documented PDC revenue collections and costs in its annual report to Congress as required by the FAST Act. However, although not required by the Act, IRS has reported the program balance measure\u2014program revenue less cost\u2014without clarifying how much revenue goes to the general fund of the Treasury (the Treasury) rather than to IRS\u2019s two funds. We appreciate IRS\u2019s agreement with this recommendation as well as its plans to report PDC revenue amounts going to the Treasury and to IRS\u2019s retained funds.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of the Treasury, the Commissioner of Internal Revenue, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or at lucasjudyj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to assess the extent to which the Internal Revenue Service (IRS) has (1) documented Private Debt Collection (PDC) program objectives and measures; (2) documented data on PDC revenue collection and cost results, and used these data to improve the program and meet its objectives; and (3) addressed PDC program risks to prevent or address scams or other harmful effects on taxpayers. We limited the scope of our analysis to PDC program planning and implementation, PDC program data on costs and revenues, and risks to taxpayers in the PDC program.", "To assess the extent to which IRS documented PDC program objectives and measures, we reviewed PDC program management documents and interviewed IRS officials\u2014including the Director of Headquarters Collection and the PDC Program Manager\u2014to identify the stated objectives and proposed measures to support identification of program risks and assess program performance. We compared the program objectives and measures to criteria in federal internal control standards for defining objectives, including standards that objectives be clearly defined to enable risk identification in specific and measurable terms with measures and related targets to allow assessment of program performance. We assessed the clarity of links between the IRS\u2019s stated PDC program objectives and proposed program performance measures. We also interviewed IRS officials and reviewed program documents to assess the extent to which PDC program objectives were linked to acknowledged key program risks. Finally, we compared IRS\u2019s documented objectives statements to assess consistency in their terms.", "To assess the extent to which IRS has documented data on PDC revenue collections and costs, we compared IRS\u2019s reporting of PDC costs and revenue collections data to criteria in federal internal control standards, including standards that management should externally communicate complete, quality information necessary to achieve objectives, including objectives for reporting financial information. We assessed the extent to which IRS\u2019s reporting of its program balance measure was complete in reporting program\u2019s results for revenue collected and costs to include how much of the collected revenue goes to the general fund of the Treasury, and how much IRS is retains to pay for related costs. We also assessed the completeness of IRS cost reporting to include the Treasury Inspector General for Tax Administration costs for administering the system for taxpayer complaints about collection agencies. To assess the extent to which IRS is using costs and revenue collect data to improve the PDC program and meet objectives, we compared IRS\u2019s program administration plans to criteria in federal internal control standards that management use quality data to achieve objectives, our work showing that using performance data helps agencies achieve better results, and IRS strategic goals. We also assessed the extent to which IRS had legal authority to revise the types of cases it assigns to collection agencies, and to what extent it had plans to analyze data to revise case assignments to minimize costs and maximize collection revenue results.", "To assess the extent to which the PDC program addressed risks to taxpayers, we reviewed risk management criteria from one of our previous publications on enterprise risk management (ERM), guidance from the Office of Management and Budget Circular A-123, the Fraud Reduction and Data Analytics Act, and our Fraud Risk Framework. We then applied these criteria to the PDC program risk register for the taxpayer risks. We believe this was appropriate because IRS follows an ERM process to manage taxpayer risks as well as other program risks that were not part of our work. We did not assess IRS\u2019s overall approach to applying its ERM process.", "To identify taxpayer risks and understand the program\u2019s risk responses, we reviewed the risk register, the collection agency Policy and Procedures Guide, collection agency contracts, and other program documentation and analyzed data on cases collection agencies returned to IRS. We also interviewed IRS officials involved in PDC, including the Director of Headquarters Collection and PDC Program Manager in IRS\u2019s Small Business/Self-Employed operating division, and solicited feedback from external stakeholders\u2014such as Low-Income Taxpayer Clinics and groups dealing with elder fraud and abuse issues\u2014that represent vulnerable taxpayers to learn about risks, and analyzed FTC data on taxpayer complaints. We also reviewed PDC program performance data on quality reviews, taxpayer satisfaction, and taxpayer complaints to understand how IRS monitors taxpayer risks and responses. Lastly, while reviewing program documents, we noted inconsistencies between PDC program guidance for collection agencies and IRS collection procedures that arose during our review, and verified these inconsistencies with IRS officials.", "We conducted this performance audit from January 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Data on the IRS Private Debt Collection Program\u2019s Revenue Collections to Various Funds and Costs", "paragraphs": ["Table 2 shows the overall private debt collection (PDC) program\u2019s revenue collections and cost data the Internal Revenue Service (IRS) used to calculate and report the PDC program balance measure through September 30, 2018, along with additional detailed information (in bold) that IRS did not include in the program balance table it reported to Congress. The added information shows the amounts that went to the general fund of the Treasury and the amounts of commissionable collections that went to IRS to pay costs to contract for PDC and hire additional collection staff in the future.", "Table 3 shows the status of the two IRS retained funds for fiscal years 2017 and 2018; these funds had no activity during fiscal year 2016 because IRS had not yet sent any cases to the private collection agencies to be worked.", "Table 4 shows IRS\u2019s reporting of its PDC program costs for fiscal years 2016 through 2018, including the costs that IRS incurred before IRS started sending tax debt cases to private collection agencies in April 2017."], "subsections": []}, {"section_title": "Appendix III: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Jessica Lucas-Judy, (202) 512-9110 or lucasjudyj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Tom Short (Assistant Director), Ronald W. Jones (Analyst-in-Charge), Carole J. Cimitile, Charles Fox, Robert Gebhart, James Andrew Howard, Edward Nannenhorn, William M. Reinsberg, Robert Robinson, Cynthia Saunders, Rebecca Shea, Margie K. Shields, and Adam Windram made key contributions to this report."], "subsections": []}]}], "fastfact": ["IRS's new program pursues the tax debts that IRS's collectors aren't\u2014by contracting with private collection agencies. This program raises concerns about effectiveness and taxpayer risk, as did similar programs in the past.", "For example, IRS's private collectors recovered less than 2% of over $5 billion in debts. Analyzing these results could help IRS make the program more effective.", "IRS also hasn't fully assessed potential taxpayer risks. It has documented 6 risks, including \"imposter scams,\" in which scammers pose as private collectors. We identified 10 additional risks.", "We recommended 12 ways to improve the program and protect taxpayers."]} {"id": "GAO-18-364", "url": "https://www.gao.gov/products/GAO-18-364", "title": "Amphibious Combat Vehicle: Program Should Take Steps to Ensure Manufacturing Readiness", "published_date": "2018-04-17T00:00:00", "released_date": "2018-04-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In June 2018, the United States Marine Corps plans to select a contractor and begin low-rate production for the ACV, a vehicle used to transport Marines from ship to shore under hostile conditions. The ACV will replace all or part of the current Assault Amphibious Vehicle fleet.", "The National Defense Authorization Act for Fiscal Year 2014 included a provision for GAO to annually review and report on the ACV program until 2018. This report, GAO's last under that provision, assesses the extent to which the Marine Corps is making progress toward (1) meeting cost and schedule goals for the ACV program and (2) demonstrating manufacturing readiness.", "GAO reviewed program cost estimates, updated schedules, and program assessments of test results and production readiness, as well as compared ACV acquisition efforts to DOD guidance and GAO-identified best practices. GAO also interviewed program and testing officials, and visited both ACV primary assembly locations."]}, {"section_title": "What GAO Found", "paragraphs": ["The first version of the Amphibious Combat Vehicle (ACV 1.1) is on track to meet development cost goals with no additional anticipated delays for major acquisition milestones. With regard to costs, the development phase of ACV 1.1 is on pace to not exceed cost goals that were established at the start of development, based on a recent Navy estimate, the ACV program office, and reporting from the contractors. For example, a September 2017 program progress review reported a Navy estimate of the cost of development at $750.7 million, less than the $810.5 million baseline established at the beginning of development. With regard to schedule, the ACV program has made no major changes to the acquisition schedule since GAO previously reported on the program in April 2017. ACV 1.1 program officials are in the process of preparing to down-select to a single contactor and enter low-rate production in June 2018, start a second round of low rate production the following year, and begin full-rate production in 2020. ACV 1.1 may be followed by the acquisition of other versions (ACV 1.2 and ACV 2.0) with advanced capabilities such as higher water speeds.", "The ACV program is preparing to start production of ACV 1.1, which includes determining that the contractors' manufacturing capabilities are sufficiently mature. However, program officials are considering entering production with a lower level of manufacturing maturity than called for in Department of Defense (DOD) guidance or GAO identified best practices. The ACV program measures manufacturing maturity with manufacturing readiness levels (MRL) for risk areas such as design, materials, process capability and control, and quality management. DOD guidance for weapons acquisition production recommends that programs achieve an MRL of 8 across all risk areas before entering low-rate production and that a program achieve an MRL of 9 at the start of full-rate production. GAO's previous reviews about manufacturing best practices found that achieving manufacturing maturity and identifying production risks early in the acquisition cycle and assessing those risks prior to key decision points, such as the decision to enter production, reduces the likelihood of quality issues, cost growth, and delays. The Marine Corps contract option for producing the first round of low-rate production for ACV 1.1 will be exercised after June 2018; the contract also contains additional options for production vehicles. Making the decisions to proceed with the second round of low-rate production and for the start of full-rate production before meeting called-for levels of manufacturing readiness criteria increases the risk that ACV 1.1 will witness delays and increased costs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends the Marine Corps (1) not enter the second year of low-rate production for ACV 1.1 until after the contractor has achieved an overall MRL of 8 and (2) not enter full-rate production until achieving an overall MRL of 9. DOD partially concurred with both recommendations, but noted that it is reasonable to proceed at lower MRL levels if steps are taken to mitigate risk. GAO made no changes to its recommendations in response to these comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States Marine Corps established the Amphibious Combat Vehicle (ACV) program as a way to acquire an enhanced capability to transport Marines from ship-to-shore under hostile conditions. The ACV is envisioned to potentially replace all or part of the current Assault Amphibious Vehicle (AAV) fleet, which has been providing this capability since 1972. According to the Marine Corps, the AAVs fall short of currently needed capabilities such as water and land mobility, lethality, and force protection. Previously, the Marine Corps sought to achieve enhanced capabilities in these areas through the Expeditionary Fighting Vehicle (EFV) program, but due to concerns about the program\u2019s affordability, after more than a decade in development and the expenditure of $3.7 billion, the program was cancelled in 2011. Following the cancellation of the EFV program, the Department of Defense (DOD) authorized the Marine Corps to seek a new replacement for the AAVs, emphasizing the need for cost-effectiveness, resulting in the start of the ACV acquisition in 2011. The ACV acquisition approach calls for ACV development in three increments with increasing amphibious capability, referred to as ACV 1.1, 1.2 and 2.0. The program awarded contracts in 2015 to two competing contractors to each design and develop 16 ACV 1.1 prototypes for testing. The program plans to down-select by awarding and exercising the option to one of the two contractors for production, which is scheduled to start in 2018.", "The National Defense Authorization Act for Fiscal Year 2014 included a provision that we annually review and report to the congressional defense committees on the ACV program until 2018. This report\u2014our last under that provision\u2014discusses the Marine Corps\u2019 progress toward (1) meeting cost and schedule goals for the ACV 1.1 program and (2) demonstrating manufacturing readiness.", "To conduct this work, we reviewed program documents such as: the Acquisition Strategy; Test and Evaluation Master Plan; System Engineering Plan; the ACV 1.1 engineering, manufacturing and development contracts; and solicitation for the ACV 1.1 production. These documents were provided primarily by the ACV program office and the Marine Corps\u2019 Office of the Program Manager for Advanced Amphibious Assault. We identified acquisition best practices based on our extensive body of work, as well as the DOD acquisition guidance, to assess the ACV acquisition approach and acquisition activities to date.", "To assess the Marine Corps\u2019 progress towards meeting cost and schedule goals for the ACV 1.1 program, we reviewed recent cost estimates, contractor performance reports, and updated program schedules, and interviewed officials from the ACV program office. We compared current program cost and schedule information to cost and schedule goals in the acquisition program baseline established at development and updated information reported in previous GAO reports addressing the ACV.", "To review Marine Corps efforts to meet ACV 1.1 production readiness goals, we analyzed results of developmental, live fire, and sustainment reliability testing provided by the ACV program office and the Marine Corps\u2019 Combat Development and Integration. We also interviewed testing officials and visited testing facilities at the Aberdeen Proving Ground, Aberdeen, Maryland. We conducted interviews with officials at Science Applications International Corporation (SAIC) and BAE Systems Land and Armaments L. P. (BAE)\u2014the two contractors competing for the production down-select\u2014and visited their production and assembly facilities at North Charleston, South Carolina and York, Pennsylvania, respectively. We reviewed reports about contractor production readiness and interviewed officials from the Defense Contract Management Agency (DCMA) responsible for oversight at the contractors\u2019 respective facilities. We also analyzed vehicle acceptance reports for all prototype ACV vehicles delivered to the government. We then applied DOD guidance and GAO-identified best practices to ACV program efforts to prepare for the start of production. In addition to interviewing Marine Corps program officials, we also interviewed officials at the DOD Office of the Director, Operation Test and Evaluation and the Office of the Deputy Assistant Secretary of Defense for Developmental Test and Evaluation.", "Information related to testing results, production readiness, and vehicle quality upon delivery is competition sensitive and is restricted from being presented in a public report. Because the ACV program has not yet concluded the evaluation of the two competitors to determine which will produce the ACVs to be fielded, we are unable to publicly address and include in this report some of our findings relating to information that is considered by DOD to be competition sensitive. However, we agreed to brief staff of the congressional defense committees on those findings at a later date.", "We conducted this performance audit from July 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The ACV is being developed as a partial or full replacement for the AAV, which is a tracked (non-wheeled) vehicle with capability to launch from ships to reach the shore carrying up to 21 Marines at a speed of up to approximately 6 knots. This speed effectively limits its range for traveling from ship to shore to no farther than 7.4 nautical miles. In order to upgrade the AAV to meet current threats and establish a path toward an enhanced platform, DOD and the Marine Corps implemented an incremental approach. The first step was to improve the AAVs\u2019 protection from threats such as improvised explosive devices by installing enhanced armor and other equipment\u2014referred to as survivability upgrades\u2014efforts which are currently underway. The second step was to establish a plan to replace the AAV with a new vehicle, the ACV, which would develop and enhance capabilities in three incremental steps:", "ACV 1.1 would be a wheeled vehicle that provides improved protected land mobility but limited amphibious capability. In operations, it is expected to be part of an amphibious assault through the use of a surface connector craft to travel from ship to shore. This increment would leverage prototypes, demonstration testing, and other study results from the previously suspended Marine Personnel Carrier program.", "ACV 1.2 would have improved amphibious capability, including the ability to self-deploy and swim to shore. The development phase of the second ACV increment (ACV 1.2) is scheduled to begin in February 2019.", "ACV 2.0 would focus on exploring technologies to attain higher water speed capability.", "The ACV 1.1 program was initiated in 2014 and development of ACV 1.1 vehicles started in November 2015. The remainder of this report is focused on development and acquisition of the ACV 1.1, which we will refer to as ACV. The Marine Corps acquisition of the ACV employs a two- phase strategy for selecting a contractor to produce the ACV fleet. In the first phase, the program issued a solicitation for offerors to submit proposals and provided for award of multiple contracts for each contractor to design and develop 16 prototypes for performance assessment. In the second phase, referred to as the down-select process, after testing the prototypes, the Marine Corps intends to select a single contractor to continue into the start of production. The Marine Corps received five initial proposals and ultimately awarded contracts to BAE and SAIC to develop the ACV prototypes. The Marine Corps considered the ACV to be a substantially non-developmental item because both contractors\u2019 designs were based on vehicles that were already in production and deployed by other militaries.", "Figure 1 depicts the BAE and SAIC prototype vehicles. After testing the prototypes, the Marine Corps plans to select a single contractor to continue into the production phase.", "The first prototypes were delivered in January 2017 and have since been undergoing developmental, operational, and live fire testing.", "Developmental testing assesses whether the system meets all technical requirements and is used to: verify the status of technical progress, determine that design risks are minimized, substantiate achievement of contract technical performance, and certify readiness for initial operational testing. ACV developmental testing includes testing for sustainability, system survivability, and water and land mobility.", "Operational testing (assessment) is the field test, under realistic conditions, for the purpose of determining effectiveness and suitability of the weapons for use in combat by typical military users.", "Live fire testing is used to demonstrate vehicle capability against a range of ballistic and non-ballistic threats expected to be encountered in the modern battlefield, such as improvised explosive devices among others.", "In January 2018 the Marine Corps started an operational assessment, which was scheduled to be completed in March 2018. The assessments consist of field tests, under realistic conditions, to inform the decision to enter production. Ongoing test results, including the operational assessment, will be used to inform the ACV June 2018 production decision.", "Figure 2 is a timeline of the ACV program\u2019s progress and plans to full capability. The ACV program plans to produce at least 208 vehicles after exercising contract options for 2 years of low-rate production of 30 vehicles each year starting in 2018 and then exercise options for 2 years of full-rate production for the remaining 148 or more vehicles starting in 2020.", "In addition to testing the prototype vehicles, the program is holding a production readiness review that started in November 2017 and according to program officials, they will keep the review open until April 2018. During this review, the program will determine whether the designs are ready for production and whether the contractors have accomplished adequate production planning to enter production. Officials from DCMA, which conducts contract performance oversight, have provided support in assessing production readiness. After receiving the proposals for the production down-select, the program will hold a system verification review in April 2018 to verify that the performance of the ACV prototypes meets capability requirements and performance specifications.", "This report represents the last in the series of reports we are to issue in response to the fiscal year 2014 National Defense Authorization Act, which contains a provision that we review and report annually on the ACV program until 2018. Previously, In October 2015 we found that the Marine Corps made efforts to adopt best practices and minimize acquisition risk, including: adopting an incremental approach to update capabilities, using proven technologies, increasing competition, and awarding fixed-price incentive contracts for much of the development work.", "In April 2017, we found that DOD\u2019s life cycle cost estimate for ACV 1.1 of about $6.2 billion, fully or substantially met the criteria for the four characteristics of a high-quality reliable cost estimate. However, we also found that changes the Marine Corps made to the acquisition schedule \u2014 partly in response to a stop work order following a bid protest that was denied by GAO in March 2016 \u2014 raised acquisition risk by increasing the overlap between development activities, such as testing of the vehicles, with production. This is a risk we had identified in a previous report. As a result, we recommended that the Marine Corps delay the production decision until 2019. DOD did not concur with that recommendation."], "subsections": []}, {"section_title": "ACV Program Is on Track to Meet Development Cost Goals with No Additional Schedule Delays", "paragraphs": ["Costs for the development phase of ACV are on track to meet cost goals established at the start of development, based on a recent Navy estimate, the ACV program office, and reporting from the contractors. In September 2017, the ACV program\u2019s Defense Acquisition Executive Summary Report for ACV provided a Navy cost estimate for development of $750.7 million, less than the $810.5 million baseline established at the start of development in November 2015. Program officials also indicated that the ACV program was on track to meet cost goals. They noted that the contractors have not contacted the government to negotiate an increase in billing prices, as of December 2017. Since both of the contractors have delivered all 16 of their required prototypes and the manufacturing of the prototypes is the largest anticipated portion of ACV development contract costs, most of the costs associated with the manufacturing of the prototypes have likely been realized.", "The Marine Corps made efforts to reduce cost risk to the government by adopting a fixed-price incentive (firm target) contract type for the construction of the prototype vehicles. As we previously reported in October 2015, the Marine Corps planned to award hybrid contracts to each of the ACV development contractors, which would apply different pricing structures for different activities. The Marine Corps awarded the contracts in November 2015 as planned. Most critically, a fixed-price incentive contract type is being used for items in the contract associated with the manufacturing of the development prototypes, which was anticipated to be the largest portion of ACV development contract costs. Under this contract type, the government\u2019s risk is generally limited to the contract\u2019s price ceiling. Incentive contracts are appropriate when a firm- fixed-price contract is not appropriate and the required supplies can be acquired at lower costs by relating the amount of profit or fee to the contractor\u2019s performance.", "According to Federal Acquisition Regulation, since it is usually to the government\u2019s advantage for the contractor to assume substantial cost responsibility and appropriate share of the cost risk, fixed-price incentive contracts are preferred over cost-reimbursement incentive contracts when contract costs and performance requirements are reasonably certain. The fixed-price incentive (firm target) contract type provides for adjusting profit and establishing the final contract price by application of a formula based on the relationship of total final negotiated cost to total target cost. The final price is subject to a price ceiling, negotiated at the outset. If the final negotiated cost exceeds the price ceiling, the contractor absorbs the difference. As we also previously reported, however, the Marine Corps received a waiver to forgo the establishment of a certified Earned Value Management System for the ACV program, which reduces the regularly-available cost, schedule, and performance data available for the program to review.", "The ACV program office and DOD also indicated that they anticipate production costs will be within goals established at the start of development, though key production costs have not yet been determined. The program\u2019s development contracts with the two competing contractors contain fixed-price incentive options for 4 years of production. The pricing of the production vehicles will not occur, however, until DOD makes a production decision in June 2018 and negotiates the final terms and exercises the production option with one of the contractors.", "The Marine Corps has made no major changes to the ACV acquisition schedule since we previously reported on the program in April 2017. In that report we found that the production decision was moved from February to June 2018 after a stop work order was issued to the contractors in response to a bid protest from a vendor that was not selected for one of the ACV development contracts. A senior program official emphasized the importance of keeping the ACV acquisition on schedule because the capability it provides is complementary to a broader set of capability updates across multiple platforms that the Marine Corps is in the process of procuring."], "subsections": []}, {"section_title": "ACV May Enter Production with Manufacturing Maturity That Does Not Meet Best Practices", "paragraphs": ["The ACV program office is in the process of conducting tests and assessments to determine if the program is on track to meet the criteria to enter production, but program officials told us the Navy\u2014which has the authority to approve major acquisition milestone decisions for the program\u2014may choose to start low-rate production without meeting established best practices for manufacturing maturity. At the start of development, DOD established criteria for entering production in areas such as capability performance and the status of the contractors\u2019 manufacturing readiness to manufacture the ACV vehicles. Leading up to the production decision, the program is engaged in a number of activities such as the operational assessment and production readiness review to inform the decision to start production. The production readiness review has a critical role in informing the decision to enter production because it represents an opportunity for the program to determine the maturity of the contractor\u2019s manufacturing process and assess potential risks related to cost, schedule, or performance. Our previous reviews about manufacturing best practices found that identifying manufacturing risks early in the acquisition cycle and assessing those risks prior to key decision points, such as the decision to enter production, reduces the likelihood of cost growth and potential delays.", "The ACV program has used the DOD Manufacturing Readiness Level (MRL) Deskbook to identify levels of manufacturing capability and establish targets for minimal levels of manufacturing readiness at specific acquisition milestones. The ratings are applied to various risk areas such as design, materials, process capability and control, and quality management. Table 1 shows the basic MRL definitions provided by the Joint Defense Technology Panel.", "The MRL Deskbook recommends that a program is expected to demonstrate a MRL of 8 by the time of the low-rate production decision. However, GAO\u2019s previously identified best practices for managing manufacturing risks recommend programs reach a higher level\u2014MRL- 9\u2014 for the risk area of process capability and control before entering low- rate production. At MRL-9, a program is expected to have its applicable manufacturing processes in statistical control. The MRL Deskbook recommends that a program achieve an MRL-9 at the start of full-rate production.", "The Marine Corps has eliminated manufacturing capability as a criterion for consideration in the down-select production decision. In the solicitation issued to the two competing contractors for the production decision in December 2017, the Marine Corps identified two criteria that would be considered to determine the winner of the down-select competition for the production decision. They are, in descending order of importance: (1) technical performance of the prototype vehicles and (2) the contractors\u2019 submitted cost proposals. Previously, the ACV acquisition strategy and development contracts identified five criteria for the selection process, with manufacturing capability as the second most important factor (behind technical performance). The development contracts stipulated that the government reserved the right to adjust the factors and their order of importance prior to the release of the solicitation for the production down- select decision. Program officials said that narrowing the down-select factors to performance test results and cost was in line with the original intent of the program to use the best value tradeoff process described in the Federal Acquisition Regulation and that the revised criteria were appropriate for a non-developmental item such as the ACV.", "While the program removed manufacturing capabilities from its criteria for selecting the contractor for production, ACV program officials are still assessing manufacturing readiness to support their production decision. Program officials stated that they could enter production at a lower level of manufacturing readiness than DOD guidance or GAO identified best practices suggest. The program started a production readiness review in November 2017 to determine the contractors\u2019 respective manufacturing maturity. According to program officials, they will keep the review open until April 2018, at which point the program will make a determination about the contractors\u2019 manufacturing readiness levels. The program office confirmed that the ACV criterion for entering production is to achieve an MRL-8 but noted that it is possible that the program could choose to enter into production without an overall MRL-8. Program officials stated that if there are any specific risk areas that are assessed below that threshold, the program office will define the risk and make a recommendation to the Navy for entry into production based on whether or not they consider the risk acceptable.", "To help inform its determination, program officials said that they will review the manufacturing readiness assessments produced by the contractors, as well as reviews by the DCMA, which is responsible for assisting with contract oversight. Because the two contractors were still in competition at the time of the release of this report, we are unable to publicly report additional, more detailed, information about production readiness or performance tests. However, we have previously found that programs with insufficient manufacturing knowledge at the production decision face increased risk of production quality issues, cost growth, and schedule delays.", "Entering the production phase of the ACV acquisition with manufacturing readiness levels lower than those recommended by DOD guidance and GAO-identified best practices would increase the likelihood of outcomes associated with insufficiently mature manufacturing capabilities, such as production quality issues and schedule delays. The Marine Corps has already been authorized funding to start production and plans to exercise options in 2018 to produce 30 vehicles for the first year of low-rate production. However, the Marine Corps has two upcoming decisions that would provide opportunities to refocus on manufacturing readiness for the ACV\u2014specifically the decision to enter into the second year of low-rate production in 2019 for 30 vehicles, and the decision to enter the first year of full-rate production in 2020 and acquire 56 of the remaining 148 vehicles. Acquiring additional vehicles before ensuring sufficient manufacturing maturity could raise the risk that the contractor may not be sufficiently prepared for continued production, which could result in delays in delivery of acceptable vehicles or additional costs to the government."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The Marine Corps has long identified the need for the enhanced capabilities envisioned through the ACV program and is nearing the potential production of such a vehicle. Following the cancellation of the EFV program after the expenditure of $3.7 billion, the ACV program represents an opportunity to follow a better acquisition approach. It is too early to determine whether the contractors will meet targets for production readiness by the time of the production decision, but the program office is considering entering production without meeting the recommended manufacturing maturity levels established by DOD or GAO-identified best practices.", "We have already identified the ACV program as adopting an aggressive acquisition schedule in which the amount of concurrent developmental testing and production is more than typical acquisition programs. In fiscal year 2018, Congress authorized funding for the program to start production, but the decision to enter a second year of low-rate production and the decision to start full-rate production represent opportunities for the ACV program to verify the manufacturer has achieved a sufficient level of readiness before commencing production of the bulk of vehicles. If the Marine Corps does not take steps to ensure that the contractor\u2019s manufacturing readiness is sufficiently mature, as demonstrated through MRLs, prior to committing to additional production beyond the first year of low-rate production, there is an increased risk for production quality issues, cost growth, and schedule delays."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to DOD.", "The Secretary of the Navy should take steps to ensure that the Marine Corps not enter the second year of low-rate production until after the Marine Corps has determined that the contractor has achieved an MRL of at least an 8 for all risk areas. (Recommendation 1)", "The Secretary of the Navy should take steps to ensure that the Marine Corps not enter full-rate production until the Marine Corps has determined that the contractor has achieved an MRL of at least 9 for all risk areas. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to DOD for comment. In its comments, reproduced in appendix I, DOD partially concurred with GAO\u2019s recommendations.", "DOD agreed that manufacturing readiness should be assessed prior entering both the second year of low-rate production and the start of full- rate production, and plans to do so. DOD acknowledged that the MRL Deskbook provides best practices for identifying risks, but noted that the ACV program is not required to follow it. DOD noted that it may be reasonable to proceed into manufacturing at lower MRLs, if steps to mitigate identified risks are taken. However, DOD disagreed that not demonstrating a specified MRL for any individual risk area, in itself, should delay the start of either production milestone. DOD expressed concern that delaying subsequent years of production, if MRLs are not at the levels recommended, could lead to counterproductive breaks in production.", "We agree that adopting the MRL Deskbook is not required by DOD and represents best practices to minimize production risk. However, we also believe that demonstrating the MRL levels recommended in the MRL Deskbook for all risk areas mitigates increased risk associated with the aggressive schedule pursued by the ACV program\u2014about which we have previously expressed concerns. We believe our recommendation to achieve an overall MRL-8 by the second year of low-rate production is a reasonable goal, considering it gives the ACV program an additional year after the point at which the MRL Deskbook recommends reaching MRL- 8\u2014the start of low-rate production. In addition, ensuring that all manufacturing readiness risk areas are at MRL-9 for the start of full-rate production, as recommended by best practices in the MRL Deskbook, would help further alleviate risks associated with the program\u2019s aggressive schedule. We appreciate the DOD concerns about delaying subsequent years of production if MRLs have not reached those identified in the best practices in the MRL Deskbook, but note that not doing so increases the likelihood of production quality issues that could lead to cost growth and schedule delays in future years. Therefore, we made no changes to the recommendations in response to the comments.", "We are sending copies of this report to interested congressional committees; the Secretary of Defense; the Under Secretary of Defense for Acquisition and Sustainment; the Secretary of the Navy; and the Commandant of the Marine Corps. This report also is available at no charge on GAO\u2019s website at http://www.gao.gov.", "Should you or your staff have any questions on this report, please contact me at (202) 512-4841 or ludwigsonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Bruce H. Thomas (Assistant Director), Matt Shaffer (Analyst in Charge), Pete Anderson, Alexandra Jeszeck, Jennifer Leotta, Roxanna Sun, and Marie Ahearn made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Marine Corps is developing the Amphibious Combat Vehicle to upgrade its ability to move Marines from ship to shore under hostile conditions.", "Two contractors have produced prototypes; only one contractor will be selected to produce the vehicle.", "The program is on track to meet cost and schedule targets. However, it may start the first phase of production in 2018 before having reached a best-practices level of readiness to begin manufacturing. This could increase risk of schedule slips and cost increases.", "We recommended that the program achieve a higher level of manufacturing readiness before entering the second year of initial production."]} {"id": "GAO-19-96", "url": "https://www.gao.gov/products/GAO-19-96", "title": "Transportation Security Acquisition Reform Act: TSA Generally Addressed Requirements, but Could Improve Reporting on Security-Related Technology", "published_date": "2019-01-17T00:00:00", "released_date": "2019-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Enacted in December 2014, TSARA introduced legislative reforms to promote greater transparency and accountability in TSA's SRT acquisitions.", "TSARA contains a provision that GAO submit two reports to Congress on TSA's progress in implementing TSARA. In February 2016, GAO issued the first report that found TSA had taken actions to address TSARA.", "This second report examines TSA's (1) progress in addressing TSARA requirements since 2016, (2) reporting to Congress on SRT acquisitions, and (3) internal communication of its implementation decisions. GAO examined TSARA and TSA documents and guidance; analyzed TSA contract data and reports from TSARA's enactment in December 2014 through July 2018 and September 2018, respectively; and interviewed DHS and TSA officials on actions taken to implement TSARA. GAO also conducted interviews with TSA officials on parameters for reporting on SRT acquisitions."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2016, the Transportation Security Administration (TSA) generally addressed Transportation Security Acquisition Reform Act (TSARA) requirements through its policies and procedures for acquisition justifications, baseline requirements, and management of inventory. TSA also, among other actions, submitted a technology investment plan and annual small-business contracting goals reports to Congress as required.", "Since December 2014, TSA reported limited security-related technology (SRT) acquisitions to Congress under TSARA, submitting its first report in August 2018. TSARA contains a report and certification provision pursuant to which TSA is to submit information to Congress 30 days prior to the award of a contract for an SRT acquisition exceeding $30 million. Through July 2018, TSA obligated about $1.4 billion on SRT and associated services. TSA officials explained that none of these obligations\u2014including 7 SRT orders, each in excess of $30 million\u2014invoked the report and certification provision because the obligations did not align with TSA's implementation policy, which provides that the $30 million threshold relates to the contract ceiling of the initial SRT contract and not to individual task and delivery orders. Revising TSA's policy to include contracts for services that enhance the capabilities of SRT, including any orders for SRT and associated services in excess of $30 million, would better ensure that Congress has the information it needs to effectively oversee TSA's SRT acquisitions.", "TSA has not effectively communicated internally its implementation decisions for what constitutes an SRT under TSARA. TSA officials described to GAO that SRT must be equipment that is public facing, but TSA's policy does not clearly state the parameters of what is considered an SRT. Without clear guidance, TSA staff may be unaware of these parameters and how they apply to future acquisitions under TSARA. For example, TSA acquisition program staff were initially unable to confirm for GAO whether the technologies TSA had acquired were SRTs and thus subject to TSARA. Updating TSA policy to include detailed parameters for what constitutes an SRT would better ensure consistency in applying the act."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that TSA revise its policies for the report and certification provision of TSARA to include reporting on task and delivery orders and services associated with SRT, and clarify in policy what constitutes an SRT under TSARA. DHS generally concurred with the recommendations and described steps it plans to take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Transportation Security Administration (TSA) relies on security- related screening technologies\u2013such as explosives detection systems\u2013to deter, detect, and prevent prohibited items on board commercial aircraft. TSA, a component of the Department of Homeland Security (DHS), anticipates spending a significant portion of its $3.6 billion security capability acquisition budget on these technologies by fiscal year 2020. Such technologies are vital to TSA efforts to prevent a terrorist attack on an aircraft using explosives or other prohibited items. In 2017, TSA was responsible for the screening of about 2.4 million passengers, 4.4 million carry-on bags, and 1.2 million checked bags at over 440 TSA-regulated airports in the United States on an average day.", "In past work, we found that TSA encountered challenges in effectively acquiring and deploying passenger and checked baggage screening technologies and had not consistently implemented DHS policy and best practices for procurement. Additionally, Congress has recognized that TSA historically faced challenges in meeting key performance requirements for several major acquisitions and procurements, resulting in reduced security effectiveness and inefficient expenditures among other things. Enacted in December 2014, the Transportation Security Acquisition Reform Act (TSARA) introduced legislative reforms to promote greater transparency and accountability with respect to TSA\u2019s acquisitions of security-related technology (SRT).", "Under TSARA, we were directed to submit a report to Congress not later than 1 year after enactment, and are to submit a subsequent report 3 years thereafter, evaluating TSA\u2019s progress in implementing the act. We provided Congress with the first report in February 2016. We found that TSA was using its existing acquisitions policies, among other actions, to meet TSARA requirements. This second report examines (1) TSA\u2019s progress in addressing TSARA requirements since 2016, (2) the extent to which TSA reports to Congress on security-related technology acquisitions under TSARA, and (3) the extent to which TSA internally communicates its TSARA implementation decisions.", "To determine TSA\u2019s progress in addressing TSARA requirements since 2016, we reviewed any updated policy documents and interviewed officials from DHS and TSA with responsibilities for implementing TSARA to gain insights on the extent to which TSA\u2019s policies and procedures have changed since our February 2016 report. In addition, to determine the extent to which TSA addressed the requirements for the Strategic Five-Year Technology Investment Plan (technology investment plan) and the small business contracting reports in TSARA, we reviewed TSA\u2019s technology investment plan and TSA\u2019s fiscal years 2015 through 2017 small business contracting reports. Specifically, we (1) analyzed the updated technology investment plan and small business reports against TSARA\u2019s requirements and (2) interviewed agency officials to provide insights into the procedures they used to develop the technology investment plan and the small business report. To determine whether TSA is able to ensure it executes its responsibilities under TSARA in a manner consistent with and not duplicative of the Federal Acquisition Regulation and departmental policies and directives, we reviewed TSA\u2019s TSARA Implementation Strategy Memo and supporting documentation, and interviewed DHS and TSA acquisition officials to verify that policies contain such assurances. We also interviewed security industry representatives to gain their perspective on the usefulness of TSA\u2019s technology investment plan.", "To determine the extent that TSA reports to Congress on SRT acquisitions under TSARA, we reviewed TSA\u2019s TSARA Implementation Strategy Memo\u2014which recognizes awards for both indefinite-quality contracts and blanket purchase agreements as subject to TSARA\u2014and other supporting documentation to identify TSA\u2019s policy for reporting SRT acquisitions under TSARA and obtained information that TSA submitted to Congress regarding SRT acquisitions. We interviewed agency officials to clarify information and provide insights into the rationale for TSA\u2019s reporting policy. We also interviewed select security manufacturing vendors for their perspective on TSARA. We reviewed congressional committee reports to understand the legislative history behind TSARA. To determine TSA\u2019s obligations for SRT-related acquisitions, we asked TSA to identify its contracts used for acquisitions of SRT and services associated with the operation of SRT. We analyzed data from Federal Procurement Data System-Next Generation (FPDS-NG) from December 18, 2014\u2014TSARA\u2019s date of enactment\u2014through July 2018 on obligations for SRT contracts and task and delivery orders issued under those contracts. We obtained FPDS-NG data on obligations for the same time period for contracts and orders that provide services associated with the installation, operation, networking, and maintenance of SRT. Additionally, we reviewed any of TSA\u2019s TSARA-related reporting to Congress from December 18, 2014 through September 2018. We assessed the reliability of the FPDS-NG data by performing electronic testing to identify missing data or data that is out of the appropriate range and comparing it to data from TSA\u2019s financial management and accounting system. We determined that the FPDS-NG data are sufficiently reliable for the purposes of this report. We interviewed TSA officials responsible for managing TSA\u2019s security screening programs, related acquisitions, and the implementation of TSARA to clarify information and provide insights into the rationale for TSA\u2019s reporting policy.", "To determine the extent to which TSA internally communicates its TSARA implementation decisions, we reviewed TSA\u2019s TSARA Implementation Strategy Memo for consistency with the parameters TSA officials described for what constitutes an SRT. We interviewed TSA officials to gain insights on TSA\u2019s implementation approach\u2014including their parameters\u2014and how TSA communicates that approach to staff and compared the implementation approach to relevant federal internal control standards.", "We conducted this performance audit from November 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Aviation and Transportation Security Act established TSA as the federal agency with primary responsibility for securing the nation\u2019s civil aviation system, which includes acquiring technology to screen and secure travelers at the nation\u2019s TSA-regulated airports. TSARA defines SRT as any technology that assists TSA in the prevention of, or defense against, threats to United States transportation systems, including threats to people, property, and information. As illustrated in figure 1, TSA acquired various SRT for passenger and baggage screening, including:", "Advanced Imaging Technology (AIT)\u2014screens passengers for metallic and nonmetallic threats;", "Explosives Trace Detection\u2014detects various types of commercial and military explosives through chemical analysis on passengers and their property; and", "Explosives Detection System (EDS)\u2014provides imaging, screening, and detection capabilities to identify possible threats in checked baggage contents."], "subsections": [{"section_title": "DHS Acquisition Process", "paragraphs": ["TSA follows DHS\u2019s policies and procedures for managing its acquisition programs, including for acquisition management, test and evaluation, and resource allocation of its SRT. TSA\u2019s acquisition programs and policies are primarily set forth in DHS Acquisition Management Directive 102-01 (DHS\u2019s acquisition directive) and DHS Instruction Manual 102-01-001, Acquisition Management Instruction/Guidebook. DHS acquisition policy establishes that an acquisition program\u2019s decision authority should review the program at a series of predetermined acquisition decision events to assess whether the program is ready to proceed through the acquisition life cycle phases. An acquisition program is established once it has passed through the phases that establish the acquisition need and selects an option that meets this need. Figure 2 depicts the DHS acquisition life cycle.", "Under DHS\u2019s acquisition directive, TSA is to ensure, among other things, that required acquisition documents are completed. Two of these key acquisition documents are: (1) the life cycle cost estimate, which provides an exhaustive and structured accounting of all resources and associated cost elements required to develop, produce, deploy, and sustain a program; and (2) the acquisition program baseline, which establishes a program\u2019s cost, schedule, and performance metrics.", "These documents are used throughout the process to identify instances when an acquisition program exceeds cost, schedule, or performance thresholds.", "TSA\u2019s acquisition policies, which supplement DHS policies, generally designate roles and responsibilities and identify the procedures that TSA is to use to implement the requirements in DHS policies. In December 2017, TSA reorganized its acquisition offices, which are responsible for implementing TSARA\u2019s requirements, from two offices (Office of Acquisition and Office of Security Capabilities) into three offices: Requirements and Capabilities, Acquisition Program Management, and Contracting and Procurement."], "subsections": []}, {"section_title": "TSARA Requirements", "paragraphs": ["TSARA includes a number of requirements for TSA, including developing and submitting a biennial technology investment plan and annual small business contracting goals reports to Congress, adhering to various acquisition and inventory policies and procedures, and ensuring consistency with Federal Acquisition Regulation and departmental policies and directives. TSARA also includes requirements for justifying acquisitions and establishing acquisition baselines, which largely codify aspects of DHS\u2019s existing acquisition policy described in DHS\u2019s acquisition directive. TSA fulfills these requirements through the processes outlined in DHS\u2019s acquisition directive when establishing a new acquisition program or modifying an existing acquisition program. See Appendix I for the list of TSARA\u2019s requirements."], "subsections": []}]}, {"section_title": "TSA Generally Addressed TSARA Requirements", "paragraphs": ["Since 2016, TSA generally addressed TSARA requirements through its acquisitions policies and procedures. Since our February 2016 report, TSA has also developed and issued an updated technology investment plan. Further, TSA has continued to submit an annual report to Congress on TSA\u2019s performance record in meeting its published small business contracting goals."], "subsections": [{"section_title": "TSA Policies and Procedures Continue to Address TSARA\u2019s Requirements", "paragraphs": ["TSA continues to address TSARA\u2019s requirements, including those related to acquisition justifications, baseline requirements, managing inventory and consistency with regulations. In addition, TSA developed an updated technology investment plan and submitted small business contracting goals reports to Congress in accordance with TSARA."], "subsections": [{"section_title": "Acquisition Justifications", "paragraphs": ["TSARA provides that before TSA implements any SRT acquisition, the agency must, in accordance with DHS policies and directives, conduct an analysis to determine whether the acquisition is justified. The analysis must include elements such as cost effectiveness and confirmation that there are no significant risks to human health or safety posed by the proposed acquisition, among others. In February 2016, we reported that DHS and TSA had policies and procedures that were in place prior to TSARA addressed each of the elements required in the analysis. For example, DHS\u2019s acquisition directive includes several of these elements in its process for establishing a new acquisition program. TSARA also includes a provision requiring TSA to submit information (i.e. report) to Congress 30 days prior to the award of a contract for an SRT acquisition over $30 million. TSA established procedures that address this provision, as discussed later in this report, by developing a template for providing justifications under this provision.", "We found that, since 2016, TSA continues to have policies in place, such as DHS\u2019s acquisition directive, to address the analysis-related requirements. TSA officials stated they would use these policies and procedures to address TSARA\u2019s requirements."], "subsections": []}, {"section_title": "Baseline Requirements", "paragraphs": ["TSARA requires that before TSA implements any SRT acquisition, the appropriate acquisition official from the department shall establish and document a set of formal baseline requirements and subsequently review whether acquisitions are meeting these requirements. Additionally, TSARA provides that TSA must report a breach if results of any assessment find that (1) actual or planned costs exceed the baseline costs by more than 10 percent, (2) actual or planned schedule for delivery has been delayed more than 180 days, or (3) there is a failure to meet any performance milestone that directly impacts security effectiveness. Pursuant to TSARA, in March 2016, TSA reported two breaches to Congress for the Passenger Screening Program and Security Technology Integrated Program (STIP), a data management system that connects transportation security equipment to a single network. Further, in February 2016, we reported that TSA had policies in place that require it to prepare an acquisition program baseline, risk management plan, and staffing requirements before acquiring SRT, in accordance with TSARA requirements. We found that since our February 2016 report, TSA continues to leverage the existing DHS acquisition directive to meet all of TSARA\u2019s baseline requirements."], "subsections": []}, {"section_title": "Managing Inventory", "paragraphs": ["TSARA requires that TSA, among other things: to the extent practicable, use existing units in inventory before procuring more equipment to fulfill a mission need; track the location, use, and quantity of security-related equipment in inventory; and implement internal controls to ensure accurate and up-to-date data on SRT owned, deployed, and in use.", "In 2016, we reported that TSA\u2019s policies and procedures address TSARA requirements for managing inventory.", "We found that since our February 2016 report, TSA continues to use established policies and procedures to address TSARA\u2019s inventory management requirements. For example, TSA continues to use the Security Equipment Management Manual, which describes the policies and procedures that require TSA to use equipment in its inventory if, for example, an airport opens a new terminal. Additionally, TSA has procedures to track the location, use, and quantity of security-related equipment in inventory, regardless of whether such equipment is in use. Specifically, TSA has procedures to track the entire life cycle of equipment, including initial possession, any moves, and disposal. Further, TSA continues to use standard operating procedures developed by its Internal Control Branch, which describe TSA\u2019s system of internal controls to conduct reviews, report, and follow-up on corrective actions."], "subsections": []}, {"section_title": "Consistency with Regulations", "paragraphs": ["TSARA provides that TSA must execute its acquisition-related responsibilities in a manner consistent with and not duplicative of the Federal Acquisition Regulation and DHS policies and directives. In 2016, we reported that TSA\u2019s policy documents state that TSA is required to ensure that its policies and directives are in accordance with the Federal Acquisition Regulation and DHS acquisition and inventory policies and procedures. We also reported that according to TSA\u2019s TSARA Implementation Strategy Memo (implementation strategy memo), TSA was able to address this requirement by, among other things, forming a working group as part of an effort to ensure that TSA implemented TSARA in a manner consistent with the Federal Acquisition Regulation and DHS policies and directives. We found that no changes have been made to the implementation strategy memo since our 2016 report and TSA still has policies in place to execute the responsibilities set forth in TSARA in a manner consistent with and not duplicative of the Federal Acquisition Regulation and DHS policies and directives."], "subsections": []}]}, {"section_title": "TSA Developed an Updated Technology Investment Plan in Accordance with TSARA", "paragraphs": ["TSARA requires TSA to develop and submit to Congress a Strategic Five-Year Technology Investment Plan (technology investment plan) and update it on a biennial basis. The technology investment plan is to include, among other things, a set of SRT acquisition needs that includes planned technology programs and projects with defined objectives, goals, timelines and measures, and an identification of currently deployed SRTs that are at or near the end of their life cycles.", "In August 2015, TSA developed and submitted to Congress the first technology investment plan and in 2016 we reported that the 2015 plan generally addressed TSARA requirements. In December 2017, TSA developed and submitted to Congress an updated technology investment plan in accordance with TSARA. The updated plan details the aviation security efforts TSA initiated, developed, or completed since the initial plan was released. The updated plan also includes the extent to which TSA\u2019s acquisitions were consistent with technology programs and projects identified in the initial plan, as required by TSARA.", "TSA officials stated that a positive effect of TSARA\u2019s requirement to develop the technology investment plan has been the establishment of the Innovation Task Force. The task force, created in the Spring of 2016, is tasked to identify and demonstrate emerging capabilities and facilitate other innovative projects at select airports. TSA established the task force based on feedback from industry representatives provided during development of the initial plan. A TSA official who manages the task force said that it led to efficiencies in TSA\u2019s acquisition process. The official noted, for example, that the task force began demonstrating Automated Screening Lanes in March 2016 and by October 2016 DHS approved additional deployments of the technology. For a video of TSA\u2019s Innovation Task Force demonstration of Automated Screening Lanes, see the hyperlink in the note for figure 3."], "subsections": []}, {"section_title": "TSA Continues to Submit Required Small Business Reports to Congress", "paragraphs": ["TSARA requires TSA to submit an annual report to Congress on TSA\u2019s performance record in meeting its published small business contracting goals during the preceding fiscal year.", "If the preceding year\u2019s goals were not met or TSA\u2019s performance was below the published small business contracting goals set for the department, TSARA requires that TSA\u2019s small business report includes a list of challenges that contributed to TSA\u2019s performance and an action plan, with benchmarks, for addressing each of the challenges identified that is prepared after consultation with other federal departments and agencies. Since our last review, TSA has submitted small business reports for fiscal years 2014 through 2017 and has reported achieving its small business contracting goals."], "subsections": []}]}, {"section_title": "TSA\u2019s Narrow Application of TSARA Has Resulted in Limited Reporting to Congress on SRT- related Acquisitions", "paragraphs": ["Through July 2018, TSA\u2019s narrow application of TSARA\u2019s report and certification provision resulted in no SRT acquisitions being reported to Congress pursuant to TSARA. In August 2018, TSA provided its first three notifications on SRT acquisitions to Congress under this provision."], "subsections": [{"section_title": "None of the Over $1 Billion TSA Obligated to Acquire SRT and Associated Services From December 18, 2014 Through July 2018 Resulted in TSA Reporting Under TSARA", "paragraphs": ["TSA did not provide any information on contract awards or task or delivery orders for the acquisition of SRT and associated services to Congress under TSARA\u2019s report and certification provision from enactment through July 2018. Under the provision, TSA is to provide Congress with a comprehensive justification and a certification that the benefits to transportation security justify the contract cost not later than 30 days preceding the award of a contract for any SRT acquisition over $30 million.", "Our analysis of FPDS-NG data on contract obligations from December 18, 2014 through July 2018 found approximately $1.4 billion in obligations for acquisitions of SRT and for services associated with the operation of SRT, as shown in table 1. Specifically, TSA obligated $591 million for SRT. For services associated with an SRT that are necessary to ensure its continuous and effective operation, such as maintenance and engineering support services, TSA obligated $772 million during this timeframe."], "subsections": []}, {"section_title": "TSA\u2019s Policy for Implementing TSARA\u2019s Report and Certification Provision Reflects a Narrow Application of the Act", "paragraphs": ["TSA officials said that none of the agency\u2019s acquisition activities from enactment through July 2018 invoked TSARA\u2019s report and certification provision because the activities did not align with TSA\u2019s policy that identifies SRT acquisitions subject to this provision. TSA\u2019s policy on what constitutes an SRT and the award of a contract for an SRT acquisition ultimately determine what acquisitions are subject to TSARA\u2019s report and certification provision. See table 2 for TSA\u2019s policy.", "TSA\u2019s TSARA Implementation Strategy Memo states, \u201co support and ensure Congress is receiving the necessary information regarding critical TSA acquisitions, TSA will focus on security screening related technologies\u201d which will ensure \u201cthe necessary actions are implemented for those technologies the public directly interacts with (i.e. is impacted by).\u201d According to TSA officials, security screening related technologies, i.e. SRT, subject to TSARA must (1) be equipment or technology and (2) interact with (or impact) the public. Specific examples of SRT subject to TSARA, as identified by TSA officials, are the equipment typically deployed to airports to assist in the physical screening of passengers and their property, such as AIT, EDS, and boarding pass scanners.", "TSA officials explained that in accordance with its policy, TSA provided its first three notifications to Congress under TSARA\u2019s report and certification provision in August 2018, more than 30 days prior to the award of three new SRT contracts, each with ceiling values in excess of $30 million."], "subsections": [{"section_title": "TSA Does Not Report SRT- Associated Services Under TSARA", "paragraphs": ["Since the enactment of TSARA through July 2018, TSA awarded multiple indefinite-delivery/indefinite-quantity (IDIQ) contracts and entered into a blanket purchase agreement for services associated with the operation of SRT, each with values in excess of $30 million, and issued orders under the contracts and agreement that exceeded $30 million. In accordance with TSA\u2019s implementation policy, which applies to acquisitions of physical screening equipment, TSA did not report these acquisition actions under TSARA\u2019s report and certification provision.", "TSA officials said, consistent with its implementation policy, that services associated with the operation of the SRT, such as engineering support, maintenance services, and other services described in table 1, are not SRT, as TSARA defines the term, because they are not equipment that directly interacts with the public. Associated services, however, are necessary to ensure the effective performance of SRT. For example, engineering support can assist in addressing changing security needs, such as through the development of threat detection algorithms and other software or hardware improvements. Associated services have also been used to extend the intended lifecycle of SRT already deployed to airport checkpoints. TSA officials said that research and development advancements have allowed TSA to upgrade existing equipment that had reached the end of its initial lifecycle rather than acquire new equipment. Further, TSA will likely need to increase spending on maintenance services because the equipment parts may break down when used past their intended life cycles. Consequently, through maintenance and hardware improvements, for example, TSA has been able to offset the need to procure new SRT by upgrading and maintaining existing SRT.", "Examples of contract actions for the associated services described in table 1 include:", "Maintenance Services: TSA awarded three IDIQ contracts in 2015 and 2016, with ceiling values ranging from $76 million to $222 million, and issued 10 orders under these IDIQ contracts with obligations that each exceeded $30 million;", "System Integration: TSA awarded three IDIQ contracts in 2015, each with a ceiling value of $450 million;", "STIP: In November 2017, TSA awarded a blanket purchase agreement with a ceiling value of $250 million; and", "Security Technology Support Services: TSA awarded three IDIQ contracts in 2017 with ceiling values ranging from $65 million to $169 million.", "The report of the Committee on Homeland Security of the House of Representatives on TSARA explains that the law introduces greater transparency and accountability for TSA spending decisions and codifies acquisition best-practices that the committee believes will result in more effective and efficient SRT acquisitions at TSA. As explained in the report, TSARA is, in part, a response to historical examples where TSA spent significant funds on SRT acquisitions that failed to meet security performance objectives or wasted federal funds. Consistent with the purpose of the statute expressed in the committee report, TSARA\u2019s report and certification provision promotes greater transparency over TSA acquisition practices.", "TSA obligates a significant amount of funds\u2014approximately $772 million from TSARA\u2019s enactment through July 2018\u2014for services that help ensure the effective and continuous operation of SRT. Applying TSARA\u2019s report and certification provision to a broader range of services associated with the operation of SRT would provide Congress with increased transparency and improved oversight of TSA\u2019s SRT acquisition practices."], "subsections": []}, {"section_title": "TSA Does Not Report SRT Task and Delivery Orders Under TSARA", "paragraphs": ["According to TSA\u2019s TSARA implementation policy, indefinite-quantity contracts or blanket purchase agreements for \u201csecurity screening related technology equipment\u201d, i.e. SRT, are subject to TSARA\u2019s report and certification provision when the ceiling value exceeds $30 million. The implementation policy also explains that the provision does not apply to individual task and delivery orders placed under these contracts or agreements. However, IDIQ contracts typically have a lengthy period of performance\u2014for example one base year followed by four option years. Specifically, from December 18, 2014 through July 2018, all of TSA\u2019s 14 active contracts for SRT were IDIQ contracts awarded prior to the enactment of TSARA on December 18, 2014. Further, 8 of the 14 contracts had been in place for 5 or more years, and according to TSA officials, the agency had extended the original period of performance for 9 of the 14 contracts. Per its implementation policy, TSA did not report to Congress under TSARA\u2019s report and certification provision on the seven task orders, ranging from $31 million to $70 million, to purchase and install EDS, EDS upgrade kits, and explosives trace detection systems issued under IDIQ contracts in place at the time of TSARA\u2019s enactment.", "See figure 4 for an example of an EDS IDIQ contract where TSA issued orders in excess of $30 million and extended the contract\u2019s original period of performance.", "One of TSA\u2019s most recent SRT contract awards further illustrates how TSA\u2019s policy to only report on initial contract awards, and not orders issued pursuant to the contract, has resulted in limited reporting under TSARA\u2019s report and certification provision. In September 2018, TSA awarded a new $500 million IDIQ contract for the acquisition of medium speed explosives detection systems. TSA reported this contract award to the requisite committees pursuant to the report and certification provision and consistent with its implementation policy. However, under TSA\u2019s policy, this is the only notification that Congress will receive pursuant to TSARA over the course of the contract\u2019s period of performance. For example, TSA also issued a $55 million order to purchase and install medium speed EDS units under this IDIQ contract, but per its implementation policy, TSA did not report on this order under the provision to Congress and per its policy would not do so for any subsequent orders during the contract\u2019s period of performance.", "TSA has developed a policy with parameters for determining which contract actions are subject to TSARA. However, TSA\u2019s policy limits the application of the report and certification provision only to initial contract awards for physical security screening equipment. According to TSA officials, TSA established this policy in order to ensure Congress is informed as early as possible that there is potential for an award in excess of $30 million as opposed to the point at which amounts awarded reach $30 million. However, the implementation policy expressly excludes orders in excess of $30 million issued under IDIQ contracts or blanket purchase agreements for SRT.", "Due to this narrow application of TSARA to its SRT acquisitions, TSA did not report any information to Congress pursuant to TSARA\u2019s report and certification provision through July 2018. In addition, as currently implemented this policy will continue to result in TSA providing Congress with limited information in the future. As described earlier, TSARA was enacted to introduce greater transparency and accountability for TSA spending decisions. Because TSA\u2019s policy for the report and certification provision excludes reporting on task and delivery orders, TSA misses the opportunity to inform Congress of the more routine SRT obligations that exceed TSARA\u2019s $30 million threshold. In addition, applying TSARA\u2019s report and certification provision to services that result in new capabilities, enhancements, or otherwise upgrade SRTs would provide Congress with increased transparency and improved oversight of TSA\u2019s SRT acquisition practices."], "subsections": []}]}]}, {"section_title": "TSA Has Not Effectively Communicated Internally Its TSARA Implementation Decisions", "paragraphs": ["TSA has not effectively communicated its implementation decisions internally for what constitutes an SRT under TSARA. After the enactment of TSARA, TSA formed a working group to evaluate the act and develop an implementation strategy. The resulting policy is documented in TSA\u2019s TSARA Implementation Strategy Memo, published in June 2015. According to TSA officials, the memo is the only formal document that describes TSA\u2019s TSARA policy. Among other things, the memo designates roles and responsibilities for TSARA\u2019s requirements and outlines TSA\u2019s approach to implementing each requirement.", "To explain what constitutes an SRT for the purposes of TSARA, TSA officials described various parameters to us that guide their decision- making. However, not all of these parameters are documented in the implementation strategy memo. Specifically, the memo states that, \u201cTo support and ensure Congress is receiving the necessary information regarding critical TSA acquisitions, TSA will focus on security screening related technologies. This ensures the necessary actions are implemented for those technologies the public directly interacts with (i.e. is impacted by).\u201d TSA officials clarified for us that technologies the public does not directly interact with or that do not otherwise impact the public in some physical manner, such as STIP and Secure Flight, are not considered SRT and thus not subject to TSARA, but this distinction is not clearly documented. Further, the memo does not explicitly explain which technologies are considered SRT and which are not. For example, TSA officials told us that SRT under TSARA excludes software such as updates to threat detection algorithms, and other associated services such as STIP, but this is not documented in the memo.", "TSA acquisition program staff are responsible for determining if a new acquisition qualifies as SRT under TSARA and initiating TSA\u2019s congressional notification process. TSA officials stated that program staff rely upon the TSARA Implementation Strategy Memo to make these decisions. During our review, TSA\u2019s acquisition program staff were initially unable to confirm in all instances whether the security-related equipment they had acquired were subject to TSARA. Over the course of our review, TSA officials clarified the application of TSARA\u2019s SRT definition to us and based on our inquiries, confirmed a list of existing technologies that are considered SRT. However, this information has not been documented in the TSARA Implementation Strategy Memo. TSA officials explained that there was a lot of activity after TSARA was initially enacted to determine how to comply with TSARA, but after the implementation working group disbanded, activity subsequently faded. Consequently, the implementation strategy memo has not been updated since its initial distribution in June 2015. TSA officials stated that they plan to update the implementation strategy memo by the end of calendar year 2018 to reflect the new offices responsible for implementing TSARA\u2019s requirements due to an internal reorganization.", "Effective information and communication are vital for an entity to achieve its objectives. Standards for Internal Control in the Federal Government states that management should document policies in the appropriate level of detail and internally communicate the necessary quality information to achieve the entity\u2019s objectives. In the absence of a policy that clearly states what constitutes an SRT and with several large acquisitions pending, TSA may be missing an opportunity to ensure effective and consistent implementation of TSARA."], "subsections": []}, {"section_title": "Conclusion", "paragraphs": ["TSA spends hundreds of millions of dollars each year developing, acquiring, deploying, and maintaining technologies in furtherance of its mission to ensure civil aviation security. Through TSARA, Congress sought to address challenges faced by TSA in effectively managing its acquisitions and procurements by specifying measures for TSA to implement that align with identified acquisition best practices and increase the transparency and accountability of TSA\u2019s SRT acquisitions. Overall, TSA has policies and procedures in place to accomplish many of the reforms sought by TSARA, but more could be done to improve the transparency of its spending on SRTs. Specifically, reporting on individual task and delivery orders as well as associated services under TSARA\u2019s report and certification provision would help TSA ensure that Congress has timely information it could use to effectively oversee TSA acquisitions. TSA took a positive step towards greater transparency on SRT spending with its first notifications to Congress in August 2018\u2014in accordance with its policy\u2014, but TSA\u2019s existing policy does not require similar notification for associated services or for individual task and delivery orders issued that exceed $30 million.", "Further, while TSA developed the TSARA Implementation Strategy Memo, which serves as TSA\u2019s policy for implementing TSARA, designated roles and responsibilities for TSARA\u2019s requirements, and outlined TSA\u2019s approach to implement each requirement, TSA has not clearly documented and internally communicated its parameters on what constitutes an SRT under TSARA. With several large acquisitions pending, clear guidance would better assure that staff understand how TSARA\u2019s reporting requirements apply. In the absence of updated internal policy to clearly communicate what is or is not an SRT, TSA will continue to be at risk of inconsistent and incomplete implementation of TSARA."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to TSA: The TSA Administrator should revise TSA\u2019s policy to require that TSA also submit information under TSARA\u2019s report and certification provision prior to the award of contracts and blanket purchase agreements for services associated with the operation of security-related technology, such as maintenance and engineering services, that exceed $30 million. (Recommendation 1)", "The TSA Administrator should revise TSA\u2019s policy to require that TSA also submit information under TSARA\u2019s report and certification provision prior to the issuance of individual task and delivery orders for security- related technology acquisitions that exceed $30 million. (Recommendation 2)", "The TSA Administrator should clarify and document what constitutes an SRT under TSARA as part of the planned update of TSA\u2019s TSARA implementation policy. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this product to DHS for comment. In its comments, reproduced in appendix II, DHS generally concurred with each of the three recommendations and described steps it plans to take to implement them. TSA also provided technical comments, which we incorporated as appropriate.", "While DHS concurred with our recommendation to revise TSA's policy to include reporting on contracts over $30 million for services associated with the operation of security-related technology, in its letter, DHS stated that not all services associated with an SRT should be subject to TSARA's reporting requirements. Specifically, it noted that TSA will revise policy language and instructions to ensure that the justification analysis and certification analysis required under TSARA is submitted prior to the award contracts and blanket purchase agreements for services that would result in new capabilities, enhancements, or otherwise upgrade SRT. It distinguishes these services from services that are indirectly related to the SRT or used to keep the SRT operational, such as deployment and system integration.", "We agree with this distinction and do not consider all of the associated services mentioned in this report as necessary for inclusion in TSA\u2019s revised policy. Further, we recognize that TSA, in conjunction with feedback from Congress, is best positioned to determine the services included in its revised policy for reporting under TSARA, consistent with its interest in avoiding duplicative or administratively burdensome reporting and delays in the acquisition process. We are encouraged by DHS\u2019s plans to implement this recommendation and its recognition that the additional information will provide Congress with increased transparency and an opportunity for more effective oversight of TSA\u2019s acquisitions.", "DHS also described planned actions to address our recommendation to revise TSA\u2019s policy to include reporting on individual task and delivery orders that exceed $30 million. DHS expects to complete the revisions by September 30, 2019. If implemented, this action should provide Congress with greater transparency over TSA\u2019s SRT acquisitions.", "DHS also noted that, in accordance with our recommendation to update its implementation guidance, it plans to (1) clarify and document what constitutes an SRT under TSARA and (2) document all offices responsible for implementing TSARA\u2019s requirements in its TSARA implementation strategy memo by September 30, 2019. If implemented, guidance that is clear and documented will better assure that staff across all DHS offices will understand how to consistently implement TSARA.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8777 or russellw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Transportation Security Acquisition Reform Act Requirements", "paragraphs": ["In tables three through eight, we identify the requirements of the Transportation Security Acquisition Reform Act (TSARA), as enacted on December 18, 2014."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kevin Heinz (Assistant Director), Amber Edwards (Analyst-in-Charge), Winchee Lin, Cristina Norland, Richard Hung, Thomas Lombardi, Amanda Miller, and Richard Cederholm made key contributions to this report."], "subsections": []}]}], "fastfact": ["Security technologies\u2014such as body scanners and explosives detection systems\u2014are a crucial and often expensive part of TSA's work.", "To help ensure that TSA's technology purchases are strategic and efficient, Congress required TSA to justify technology acquisitions costing more than $30 million at least 30 days before awarding a contract.", "This particular requirement stems from a 2014 law, but TSA did not submit its first justifications under the law until August 2018. While we found that TSA has generally been consistent with the law's requirements, we also recommended that TSA revise its policies to report more frequently under the law."]} {"id": "GAO-18-547", "url": "https://www.gao.gov/products/GAO-18-547", "title": "Public Service Loan Forgiveness: Education Needs to Provide Better Information for the Loan Servicer and Borrowers", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Starting in September 2017, the first borrowers became eligible and began applying to have their loans forgiven through the PSLF program. GAO was asked to review the PSLF program.", "This report examines the (1) number of borrowers pursuing PSLF and the extent to which Education has conducted outreach to increase borrower awareness of program eligibility requirements, and (2) extent to which Education has provided key information to the PSLF servicer and borrowers. GAO analyzed data from the PSLF servicer on employment and loan certifications and loan forgiveness applications as of April 2018; reviewed Education's guidance and instructions for the PSLF servicer; assessed the information used by Education and the PSLF servicer and communicated to borrowers against federal internal control standards; and interviewed officials from Education and the four largest loan servicers, including the PSLF servicer."]}, {"section_title": "What GAO Found", "paragraphs": ["As of April 2018, over a million borrowers had taken steps to pursue Public Loan Service Forgiveness (PSLF) from the Department of Education (Education), but few borrowers have been granted loan forgiveness to date. The PSLF program, established by statute in 2007, forgives borrowers' federal student loans after they make at least 10 years of qualifying payments while working for certain public service employers and meeting other requirements. Over 890,000 borrowers have passed a first step towards potentially qualifying for PSLF by voluntarily having their employment and loans certified as eligible for PSLF as of April 2018, according to data from Education's PSLF loan servicer. While borrowers first became eligible to apply for loan forgiveness in September 2017, few applicants had met all requirements as of April 2018, with 55 borrowers having received loan forgiveness (see figure). Education has used various outreach methods to inform borrowers about PSLF, but the large number of denied borrowers suggests that many are still confused by the program requirements. A recently enacted law requires Education to conduct additional outreach to help borrowers understand how to meet program requirements.", "Education does not provide key information to the PSLF servicer and borrowers.", "Guidance and instructions: Education provides piecemeal guidance and instructions to the PSLF servicer it contracts with to process certification requests and loan forgiveness applications. This information is fragmented across the servicing contract, contract updates, and hundreds of emails. As a result, PSLF servicer officials said their staff are sometimes unaware of important policy clarifications. Education officials said they plan to create a comprehensive PSLF servicing manual but have no timeline for doing so.", "Qualifying employers: Education has not provided the PSLF servicer and borrowers with a definitive source of information for determining which employers qualify a borrower for loan forgiveness, making it difficult for the servicer to determine whether certain employers qualify and for borrowers to make informed employment decisions.", "Qualifying loan payments: Education does not ensure the PSLF servicer receives consistent information on borrowers' prior loan payments from the eight other federal loan servicers, which could increase the risk of miscounting qualifying payments. Borrowers also lack sufficiently detailed information to easily identify potential payment counting errors that could affect their eligibility for loan forgiveness.", "These weaknesses are contrary to federal internal control standards for using and communicating quality information, creating uncertainty for borrowers and raising the risk some may be improperly granted or denied loan forgiveness."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Education (1) develop a timeline for issuing a comprehensive guidance and instructions document for the PSLF servicer, (2) provide the PSLF servicer and borrowers with additional information about qualifying employers, (3) standardize payment information other loan servicers provide to the PSLF servicer, and (4) ensure borrowers receive sufficiently detailed information to help identify potential payment counting errors. Education agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Starting in September 2017, borrowers began applying to have their federal student loans forgiven through the Public Service Loan Forgiveness (PSLF) program. This program, established by law in 2007, is intended to encourage individuals to enter and continue careers in public service by forgiving borrowers\u2019 remaining federal student loan balances after they have made at least 10 years of loan payments while working in public service and meeting other requirements. Only loans provided through the William D. Ford Federal Direct Loan (Direct Loan) program qualify for forgiveness. The Department of Education (Education) manages the PSLF program and contracts with a single loan servicer to handle day-to-day activities associated with the program, which include responding to borrower inquiries, making preliminary determinations about whether borrowers\u2019 employment and loans qualify for PSLF, and processing loan forgiveness applications.", "Although borrowers are now applying for loan forgiveness through the program, little is known about the processes for assessing borrower eligibility and whether these processes ensure consistent services to borrowers and safeguard taxpayer funds. In light of these issues, you asked us to review the PSLF program.", "This report examines (1) the number of borrowers pursuing PSLF and the extent to which Education has conducted outreach to increase borrower awareness of program eligibility requirements, and (2) the extent to which Education has provided key information to the PSLF servicer and borrowers.", "To address these questions, we conducted our review of the PSLF program using the following approaches:", "To examine the number of borrowers pursuing PSLF, we analyzed the most recent available data from the PSLF servicer on the volume of borrower requests to have their employment and loans certified as eligible and loan forgiveness applications, including approvals, going back to when these processes were established by Education. Specifically, we analyzed data on employment and loan certification requests from January 2012 through April 2018, and data on loan forgiveness applications from September 2017 through April 2018. We also analyzed data on the reasons why borrowers were denied certification and loan forgiveness. We assessed the reliability of these data by reviewing data system documentation from the PSLF servicer and interviewing knowledgeable officials, and we determined that the data were sufficiently reliable for our reporting purposes. To assess Education\u2019s outreach to borrowers about eligibility requirements, we reviewed the program documents and information that Education and the PSLF servicer provide to borrowers, and interviewed Education officials. To identify common questions borrowers have about these requirements, we interviewed officials from the four largest federal student loan servicers, including officials and frontline staff from the PSLF servicer. We examined a 2017 Consumer Financial Protection Bureau report on borrower complaints, including those related to the PSLF program. We assessed Education\u2019s outreach efforts against the department\u2019s objective in its strategic plan for fiscal years 2018 through 2022 to improve the quality of service for customers across the entire student aid life cycle.", "To examine key information Education has provided to the PSLF servicer and borrowers, we reviewed Education\u2019s processes for providing and sharing information and assessed them against federal internal control standards for communicating with external parties and using quality information. We reviewed the various methods Education uses to provide guidance and instructions to the PSLF servicer, including the servicing contract, contract updates, and emails. We examined the main information sources used by the servicer to evaluate employer eligibility and reviewed its process for obtaining prior loan payment information from other loan servicers. We also reviewed the information that Education and the PSLF servicer provided to borrowers about qualifying employers and payments. We interviewed Education officials and the PSLF loan servicer\u2019s management and frontline staff. We reviewed Education\u2019s monitoring reports on the PSLF servicer\u2019s operations and the PSLF servicer\u2019s internal handbook for processing employment and loan certifications and forgiveness applications.", "For both objectives, we also reviewed relevant federal laws and regulations. In addition, at the time of our review, there was ongoing state and federal litigation related to the administration of the PSLF program. Therefore, we scoped our study to minimize overlap with issues pending in litigation. For example, we did not assess any individual borrower eligibility determinations or qualifying loan payment counts made by the PSLF servicer. As a result of this approach, our findings do not draw any conclusions about how individual borrowers or employers may have been affected by any of the program administration issues addressed in this report.", "We conducted this performance audit from August 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Education administers federal student aid programs, including the Direct Loan program, through the Office of Federal Student Aid. Under the Direct Loan program, Education issues and oversees the loans while contractors service them. Education currently contracts with nine loan servicers that each handle the billing and other services for a portion of the over $1 trillion in outstanding student loans provided through the Direct Loan program. These servicers track and manage day-to-day servicing activities, and they report key information on the status of each loan to Education\u2019s central student loan database. In 2011, Education contracted with one of its existing loan servicers to become the single servicer for borrowers pursuing PSLF. The PSLF servicer is responsible for processing certification requests and forgiveness applications, as well as servicing the loans of borrowers who have met basic PSLF eligibility requirements.", "The PSLF program provides eligible borrowers with forgiveness on the remaining balance of their Direct Loans after they have met program requirements. To receive forgiveness for a loan, borrowers are required to be employed by a qualifying employer when making 120 qualifying payments, at the time they apply for forgiveness, and at the time they receive forgiveness for their loans. Specifically, borrowers are required to:", "Work full-time for a public service organization, such as a government organization, agency, or entity at any level (federal, state, local, or tribal); a nonprofit, tax exempt organization (under section 501(c)(3) of the Internal Revenue Code); or another private nonprofit organization that provides certain public services.", "Not be in default and be repaying their loans through an income- driven repayment plan (in which borrowers\u2019 monthly payments are based on their income and family size); the 10-year Standard repayment plan; or another plan if the monthly payment amounts equal or exceed the amount the borrower would have paid under the 10-year Standard repayment plan. Although the 10-year Standard repayment plan qualifies for PSLF, borrowers in this plan will pay off their loans before they are eligible for forgiveness unless they change to an income-driven repayment plan that leaves them with a balance remaining to be forgiven after 120 payments.", "Make 120 on-time monthly loan payments for the full amount due on their bill after October 1, 2007. These monthly payments do not need to be consecutive.", "In January 2012, Education began offering a voluntary process to certify borrowers\u2019 public service employment and loans as eligible for PSLF. Borrowers can request to have their employment and loans certified at any time to make sure they are meeting basic program requirements and are on track towards qualifying for loan forgiveness (see fig. 1). Once a borrower submits a request, the PSLF servicer reviews the borrower\u2019s employment and loans to determine if they qualify, and if so, counts how many qualifying payments the borrower has made.", "In September 2017, 10 years after the PSLF program was established, Education began accepting loan forgiveness applications from borrowers. The application is similar to the form borrowers use to request certification of their employment and loans for PSLF, but is intended for borrowers that have already made 120 qualifying payments (see fig. 2). The PSLF servicer reviews a borrower\u2019s application and incorporates information from any previously approved certification forms to determine if the borrower\u2019s employment and loans qualify and if they have made 120 qualifying payments. If the borrower meets all of these requirements, the PSLF servicer forwards the application to Education for final review. If Education determines the borrower has met all eligibility requirements, it directs the PSLF servicer to forgive the remaining balance on the borrower\u2019s loans."], "subsections": []}, {"section_title": "Many Borrowers Are Pursuing Public Service Loan Forgiveness, and Recent Legislation Requires Education to Conduct Additional Outreach to Borrowers", "paragraphs": [], "subsections": [{"section_title": "Over 890,000 Borrowers Took an Initial Step Towards Qualifying for PSLF by Having Their Employment and Loans Certified, and 55 Have Received Loan Forgiveness", "paragraphs": ["Over 890,000 borrowers have taken an initial step towards qualifying for the PSLF program by voluntarily having their employment and loans certified as eligible for PSLF, according to data from the PSLF servicer as of April 2018. Of these, over 520,000 borrowers had recorded at least one qualifying payment that counted towards the 120 required to be eligible for loan forgiveness (see fig. 3). In total, almost 1.2 million borrowers requested to have their employment and loans certified but over 280,000 were denied, primarily due to missing information on the form, or because they did not have qualifying federal loans or work for a qualifying employer, according to data from the PSLF servicer.", "The number of new borrowers whose employment and loans have been certified as eligible for PSLF has increased in each of the past 6 years, according to PSLF servicer data (see fig. 4). Officials with the PSLF servicer said they anticipated that the volume would continue to increase as the program gains visibility.", "In the first 8 months that borrowers were able to apply for loan forgiveness (September 2017 through April 2018), Education had approved 55 borrowers and forgiven a total of almost $3.2 million in outstanding student loan balances, an average of almost $58,000 per borrower. The amount of loan forgiveness for individual borrowers ranged from almost $800 to almost $290,000. Over 19,300 borrowers had submitted loan forgiveness applications as of April 2018 (see fig. 5). Of the almost 17,000 borrowers with applications that had been processed, over 40 percent had qualifying loans and employment but were denied because they had not yet made 120 qualifying payments. The other most common reasons borrowers were denied included missing information on the application or because the borrower did not have qualifying federal loans. Education officials estimated that about 700 borrowers will be approved for loan forgiveness by September 30, 2018."], "subsections": []}, {"section_title": "Borrower Confusion about PSLF Requirements Persists, and Recent Legislation Requires Education to Conduct Additional Outreach", "paragraphs": ["Although Education has conducted some outreach to communicate PSLF program requirements to borrowers, the large number of borrowers whose certification requests and forgiveness applications were denied suggests that many borrowers do not understand or are not aware of these requirements. For example, over half of borrowers that requested to have their employment and loans certified as of April 2018 either did not meet basic eligibility requirements or had yet to make any qualifying loan payments. This includes over 150,000 borrowers who requested to have their employment and loans certified despite not having qualifying federal loans, which suggests these borrowers either did not know which types of loans they had or which types qualified for the program. Borrowers who had qualifying loans also may have been confused about requirements related to making qualifying payments. Over 370,000 borrowers that had their employment and loans certified as of April 2018 had not made any qualifying payments at the time of certification because they were not on qualifying repayment plans, had loans in a deferment or forbearance, were still in the grace period before starting repayment, or had recently consolidated their loans, among other reasons, according to PSLF servicer data (see fig. 6). Although some of these borrowers may have understood how prior choices they made regarding repayment of their loans would affect their ability to make qualifying payments, other borrowers may not have.", "Officials with the PSLF servicer said borrowers were frequently confused by program requirements related to qualifying loans, employment, repayment plans, and payments. For example, PSLF servicer officials said that borrowers were sometimes unaware that they were not on a qualifying repayment plan or that forbearance, deferment, and loan consolidation would affect their qualifying payments. PSLF servicer frontline customer service staff also said they frequently received calls from borrowers who were confused about whether their loans qualified for PSLF and other program requirements. Two other loan servicers we spoke to identified the same general areas of confusion among borrowers who call with questions about PSLF. In addition, borrower complaints reported by the Consumer Financial Protection Bureau indicate confusion with PSLF requirements related to qualifying loans and payments.", "Education uses several methods to conduct outreach to inform borrowers about PSLF requirements, but denial data suggest and PSLF servicer officials confirmed that borrower confusion persists. Education currently provides information on its website about PSLF requirements and links to an online portal where borrowers can check what types of loans they have and identify their loan servicer. When the PSLF servicer notifies borrowers that their certification requests or forgiveness applications were denied, the notification letter includes information on program requirements and explains why the borrower did not qualify for the program. Education has also adopted other methods to raise awareness of the program among borrowers, such as webinars and outreach to schools, in response to a recommendation in our previous report. Education also instructs borrowers who have additional questions about PSLF to contact the PSLF servicer. However, officials with the PSLF servicer said they can provide more details about the program but cannot answer certain eligibility questions, such as whether a particular borrower has qualifying employment or is on a qualifying repayment plan, until the borrower submits a form to request certification. Officials with three other loan servicers we spoke with also said it is their general policy not to answer specific questions about an individual borrower\u2019s eligibility for PSLF due to the complexity of program requirements, and they instead direct the borrower to contact the PSLF servicer. Although this approach may help avoid the risk of other servicers providing borrowers with incorrect advice, it highlights the need for Education to provide borrowers with clear and sufficient information about how to qualify for the program. It is essential for borrowers to understand eligibility requirements because the retrospective nature of the program requires borrowers to make decisions about their loans and employment months or years before they submit a PSLF certification request or apply for loan forgiveness. For example, the Consumer Financial Protection Bureau reported that borrowers have complained of spending years making payments, believing they were making progress towards PSLF loan forgiveness, and then learning that they were not eligible.", "Recent legislation requires Education to conduct additional outreach. The consolidated appropriations act enacted in March 2018 appropriated $350 million to forgive the loans of borrowers who otherwise would qualify for PSLF had they not selected a non-qualifying repayment plan. In addition to these funds, the act directed that $2.3 million of Education\u2019s appropriation for administering student aid be used to conduct outreach to borrowers about PSLF, to help ensure borrowers are meeting program requirements. The act specifically requires Education to communicate PSLF program requirements to all Direct Loan borrowers and improve PSLF outreach and information through calls, electronic communications, and other methods. Once implemented, these provisions could reduce confusion about PSLF requirements and help Education provide better service to borrowers."], "subsections": []}]}, {"section_title": "Education Could Provide More Comprehensive Information to Improve Program Administration and Qualifying Employment and Loan Payment Determinations", "paragraphs": [], "subsections": [{"section_title": "Education\u2019s Piecemeal Guidance and Instructions to the PSLF Loan Servicer Create Challenges for Program Administration", "paragraphs": ["Education does not have a comprehensive document or manual to provide the PSLF servicer guidance and instructions, which PSLF servicer officials said makes it difficult to effectively administer the program and provide consistent service to borrowers. Instead, Education\u2019s guidance and instructions to the PSLF servicer are dispersed in a piecemeal manner across multiple documents, including Education\u2019s original contract with the servicer, multiple updates to the contract, and hundreds of emails. According to PSLF servicer officials, administering the program based on this fragmented collection of guidance and instructions creates a risk that relevant information may be overlooked.", "Education\u2019s use of email to communicate key guidance and instructions to the PSLF servicer is particularly problematic because this important information is not disseminated to relevant individuals at Education and the PSLF servicer in the same standard fashion as official changes to the servicing contract. Various individuals at Education have sent emails with guidance and instructions to different staff at the PSLF servicer. As a result, all the relevant parties may not be aware of important policy changes or clarifications provided in these emails, according to PSLF servicer officials and Education\u2019s monitoring reports. In one instance, for example, Education staff incorrectly identified what they thought was an error in how the servicer was certifying borrowers that were employed part-time because they were not aware of the most recent guidance that other staff at Education had emailed the servicer on the topic. Similarly, PSLF servicer officials said their staff are sometimes unaware of relevant guidance and instructions in emails provided by Education, which creates a risk that some policy updates will be overlooked and not consistently implemented. Education has also used email to communicate certain policy clarifications involving employer eligibility and payment counting that, according to the PSLF servicer, have affected hundreds of borrowers and set precedents for future eligibility decisions.", "Gaps in Education\u2019s guidance and instructions have also left the PSLF servicer uncertain about how to administer key aspects of the program. For example, PSLF servicer officials said that from 2016 to 2018 they were awaiting additional clarifications from Education about how to account for loan payments when borrowers pay more than the amount due or submit a payment several weeks before the due date. How overpayments and prepayments are accounted for can affect whether the borrower\u2019s subsequent payments qualify for PSLF because borrowers can only receive credit for one payment per month and only when a payment is due. While Education provided a clarification about how to address this issue in May 2018, current guidance from Education on other topics is still unclear or incomplete, according to PSLF servicer officials.", "The absence of a central, authoritative source of PSLF guidance and instructions creates a risk of differing interpretations and inconsistent implementation. The PSLF servicer has developed its own internal processing handbook based on Education\u2019s guidance and instructions, which PSLF servicer officials said is useful for helping staff process certifications and forgiveness applications. However, Education has reviewed sections of this processing handbook and identified places where the handbook does not accurately reflect PSLF requirements and could result in borrowers\u2019 certification requests being improperly approved or denied. The PSLF servicer has made updates to its processing handbook to address certain issues that Education identified, but Education has not conducted a comprehensive review of this handbook. As a result, there is a risk that the PSLF servicer may still be applying Education\u2019s guidance and instructions differently from how the agency intended. PSLF servicer officials said it would be helpful if Education created a centralized manual of PSLF guidance and instructions. The lack of a central guidance document also makes it difficult to maintain program continuity in the event of staff turnover or if Education decides to contract with a new servicer to administer the PSLF program. Federal internal control standards state that agencies should communicate information to those who need it, in a form that enables them to carry out their responsibilities. Education has recently taken some steps to provide clearer guidance and instructions, such as holding meetings with PSLF servicer officials every 2 weeks to discuss any administrative issues. Education officials also told us they plan to develop a comprehensive PSLF servicing manual, but they do not have a timeline for completing it. They are currently drafting an initial section of the manual focusing on payment counting. The current lack of a definitive and comprehensive source of guidance and instructions for the PSLF servicer creates the risk of inconsistent interpretations that could potentially result in borrowers being improperly denied loan forgiveness since Education does not currently review loan forgiveness applications that are denied by the PSLF servicer."], "subsections": []}, {"section_title": "Additional Information from Education Could Improve the PSLF Servicer\u2019s and Borrowers\u2019 Ability to Determine Whether Borrowers\u2019 Employment Qualifies for Loan Forgiveness", "paragraphs": ["Education has provided the PSLF servicer and borrowers with limited information that could help them determine which employers qualify for PSLF, creating uncertainty for borrowers and increasing the risk that the PSLF servicer may improperly certify or deny certification to some borrowers. Education has not provided the PSLF servicer with a definitive source of information for determining which employers qualify a borrower for loan forgiveness. Instead, Education has identified some data sources the PSLF servicer can use to determine whether borrowers are working for qualifying employers. However, these sources are not comprehensive, and PSLF servicer officials said they sometimes have to consult other sources that have significant limitations. For example, Education directs the PSLF servicer to review the Internal Revenue Service\u2019s public list of 501(c)(3) organizations to identify qualifying nonprofit employers. Since this list does not capture all potentially qualifying nonprofits, the PSLF servicer supplements this with other sources that have not been fully reviewed or assessed for accuracy by Education. For example, PSLF servicer officials told us they use an online directory of nursing home facilities to help determine if certain nursing homes are nonprofit employers. However, this website explicitly states that it does not guarantee that the information it provides is accurate or current. PSLF servicer officials also said they sometimes use state government websites to research organizations\u2019 nonprofit status, but they only have access to the relevant information from states that provide it for free. For assessing government employers, Education directs the servicer to www.usa.gov, an official federal government website that describes government agencies and services, but this source provides limited information on state and local government employers. In addition, PSLF servicer officials said it is particularly difficult to assess certain types of employers, such as quasi-governmental entities and charter schools. PSLF servicer officials said that when they are uncertain whether an employer qualifies, they elevate the assessment to Education, but they generally try to resolve as many employer determinations as possible by using supplemental sources to research employers. However, the reliability of some of these supplemental sources is unclear.", "PSLF servicer officials said that having additional information would help them assess employers more quickly and minimize the risk of inaccurate decisions. One way to provide this information would be for Education to develop an official, comprehensive list of qualifying employers, which would help the PSLF servicer assess employers and help borrowers determine whether they are eligible for PSLF, according to PSLF servicer officials. Education officials said they are considering creating their own list of qualifying employers and are investigating how to leverage information from other federal government agencies that could be useful for categorizing employers. In particular, Education officials said they have reached out to the Internal Revenue Service to explore the feasibility of obtaining relevant data on employers. Education could also expand and improve on a database that the PSLF servicer created based on its prior assessments of employers. Education staff that conducted a spot check on the PSLF servicer\u2019s database expressed concerns about using it as a sole source for assessing employers, according to an Education monitoring report, but Education officials said it could provide a foundation for Education to build on.", "Borrowers would also benefit from additional information about qualifying employers, according to PSLF servicer officials. Education currently provides borrowers with basic information on the types of employers that qualify for PSLF, but not sufficient details to reliably determine whether specific employers qualify. When borrowers contact their loan servicer with questions about their employer\u2019s eligibility, officials with the PSLF servicer and other loan servicers we spoke with said they generally do not provide borrowers with information about whether a specific employer qualifies, due to the complexities involved in assessing qualifying employers. Instead, borrowers are encouraged to submit an employment certification form once they are working for an employer in order to find out if the employer qualifies. PSLF servicer officials said that providing borrowers with access to additional information about qualifying employers, such as an official list, would reduce uncertainty for borrowers and reduce the number of borrowers who submit certification requests and forgiveness applications despite working for non-qualifying employers. In addition, making this information readily available to borrowers could help them to make better informed employment decisions rather than having to wait to submit a certification request after they have started a job to find out if their employer qualifies.", "Federal internal control standards state that agencies should communicate the necessary quality information to those who need it in order to achieve the agencies\u2019 objectives. Unless Education provides additional information to help the PSLF servicer make employer assessments, it will remain difficult to determine whether employers qualify for the program, raising the risk that borrowers\u2019 certification requests will be improperly approved or denied. Moreover, without access to sufficient information about qualifying employers, borrowers will not be able to reliably determine whether certain employers qualify for PSLF. This creates uncertainty for borrowers as to which jobs and careers to pursue and leaves them to make important employment decisions without knowing until after the fact how these decisions affect their future eligibility for PSLF."], "subsections": []}, {"section_title": "Education Could Improve the Information Provided to the PSLF Servicer and Borrowers about Whether Borrowers\u2019 Payments Qualify for Loan Forgiveness", "paragraphs": [], "subsections": [{"section_title": "Collecting Consistent Payment Information", "paragraphs": ["Education does not ensure the PSLF servicer receives consistent information on borrowers\u2019 prior loan payments from other loan servicers, which could raise the risk of qualifying payments being miscounted. In order to process certification requests and loan forgiveness applications, the PSLF servicer has to examine the borrower\u2019s prior loan payment information to determine which prior payments count towards the 120 needed to qualify for loan forgiveness. This is relatively easy in cases where the PSLF servicer was servicing the borrower\u2019s loans during the entire period he or she was pursuing PSLF because the servicer already has the necessary information on their prior payments, according to PSLF servicer officials. However, the PSLF servicer does not have the same information readily available for loans that are serviced by one of Education\u2019s eight other loan servicers. For these loans, Education established a process for servicers to use in transferring loan and prior payment information to the PSLF servicer. The servicers transfer most information through standardized templates that Education developed. However, despite the use of standardized templates, the PSLF servicer does not receive consistent and reliable information from other servicers, according to PSLF servicer officials. For example, PSLF servicer officials said the lack of standard definitions and terminology among loan servicers leads servicers to interpret some data fields differently, resulting in inconsistencies in the data other loan servicers report to the PSLF servicer. Comparable data and standardized terminology is particularly important given the need for loan servicers with different systems and practices to communicate key payment information with one another. PSLF servicer officials said inconsistencies in the information provided by other loan servicers make it challenging to determine whether borrowers are on qualifying repayment plans or making qualifying payments. For example, when a borrower has multiple loans, PSLF servicer officials said they assess PSLF eligibility and payments separately for each individual loan. Officials added that some servicers only report total monthly payments for the borrower\u2019s combined loans, and not how these payments were allocated among each loan. This makes it difficult for the PSLF servicer to determine whether the borrower paid the full monthly payment amount due on each loan, which it needs to know in order to determine whether the payment qualifies for PSLF.", "Officials with Education and the PSLF servicer said that inconsistencies in the information obtained from other loan servicers increase the risk of miscounting qualifying payments. Education officials said they have started to track these data consistency problems and coordinate discussions among the PSLF servicer and the three other loan servicers that together provide the data systems used by all nine servicers. However, these efforts are in the early stages. Federal internal control standards state that agencies should use quality information to achieve their objectives. Standardizing the prior payment information transferred among servicers could improve the PSLF servicer\u2019s ability to determine qualifying payment counts for borrowers transferring from other servicers."], "subsections": []}, {"section_title": "Communicating Information to Borrowers", "paragraphs": ["Although Education and PSLF servicer officials acknowledge the risk of miscounting qualifying payments, the PSLF servicer does not provide borrowers with sufficient information to easily catch errors. In addition to the risks caused by inconsistent prior payment information from other loan servicers, the payment counting process is also vulnerable to errors in instances when the PSLF servicer has to manually review payment information from other servicers, according to PSLF servicer officials and an Education monitoring report. Borrowers whose loans were transferred to the PSLF servicer from other loan servicers have complained about inaccurate qualifying payment counts, according to a Consumer Financial Protection Bureau report. Officials with the PSLF servicer said they rely on borrowers to catch any payment counting errors resulting from issues with information provided by other loan servicers. However, the PSLF servicer provides borrowers with aggregate counts of qualifying payments, which are useful for helping borrowers track their progress, but do not provide borrowers with enough detail to check the servicer\u2019s counts and identify prior payments that the servicer may have missed (see fig. 7). Borrowers have several options for disputing payment counts or other aspects of the eligibility determination process, including contacting the PSLF servicer or filing an official complaint with Education\u2019s Federal Student Aid Ombudsman Group or through the Federal Student Aid Feedback System. However, the lack of detailed information on qualifying payment counts makes it difficult for borrowers to determine whether the count is correct or not.", "Education officials said they have not considered requiring the PSLF servicer to provide more detailed information to borrowers on which prior payments were approved or denied. Officials noted that there would be a cost associated with providing this information to borrowers, although they have not produced a cost estimate. Also, officials said that providing too much information may confuse borrowers, and they must consider how to meet borrowers\u2019 need for detailed information without overwhelming borrowers with payment counting complexities. Officials with the PSLF servicer said providing this information to borrowers could be helpful but would require time to confirm the information was correct and would only be done at the direction of Education. Federal internal control standards state that agencies should communicate necessary quality information to external parties. While providing too much information could prove counterproductive, borrowers could benefit from receiving greater detail about their qualifying payments beyond the aggregate counts of qualifying payments that they currently receive. Without clearer and more detailed information on qualifying payments, borrowers may not detect any errors in payment counts, which could ultimately affect borrowers\u2019 eligibility for loan forgiveness."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Education is responsible for establishing the administrative structure necessary to fulfill the PSLF program\u2019s goal of encouraging individuals to enter and continue in public service employment by providing loan forgiveness to eligible borrowers who meet program requirements. However, Education has not provided the PSLF servicer with a comprehensive source of guidance and instructions on how to operate the program, raising the risk that the PSLF servicer may improperly approve or deny borrowers\u2019 certification requests and forgiveness applications. Education officials told us they have plans for creating a comprehensive PSLF servicing manual, but no timeline for doing so.", "Working for a qualifying employer is one of the key requirements of the PSLF program; however, Education has not provided the PSLF servicer and borrowers with sufficient information for determining whether employers qualify. This makes the PSLF servicer\u2019s employer assessments vulnerable to inconsistencies and fosters uncertainty for borrowers as to whether or not their employment will eventually qualify them for loan forgiveness.", "Similarly, inconsistencies in the information used for counting borrowers\u2019 qualifying loan payments raise the risk of errors. Borrowers should be confident that their loan payments will be accurately counted regardless of who their servicer is. However, Education has not ensured the PSLF servicer is receiving consistent loan payment history information from other loan servicers, increasing the risk of inaccurate qualifying payment counts. The chance that these and any other payment counting errors will go undetected is compounded by the fact that Education does not require the PSLF servicer to provide borrowers with details on which payments qualified and which did not. This makes it difficult for borrowers to detect erroneous counts that could ultimately affect their eligibility for loan forgiveness. Consequently, some borrowers may be required to make more payments than necessary before receiving loan forgiveness, while others may be improperly approved for forgiveness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to Education\u2019s Office of Federal Student Aid: The Chief Operating Officer of the Office of Federal Student Aid should develop a timeline for issuing a comprehensive guidance and instructions document for PSLF servicing. This could involve developing a new servicing manual or expanding upon the PSLF servicer\u2019s existing processing handbook. (Recommendation 1)", "The Chief Operating Officer of the Office of Federal Student Aid should provide additional information to the PSLF servicer and borrowers to enhance their ability to determine which employers qualify for PSLF. This could involve Education developing an authoritative list of qualifying employers or improving the PSLF servicer\u2019s existing database, and making this information available to borrowers. (Recommendation 2)", "The Chief Operating Officer of the Office of Federal Student Aid should standardize the information the PSLF servicer receives from other loan servicers to ensure the PSLF servicer obtains more consistent and accurate payment information for borrowers pursuing PSLF. (Recommendation 3)", "The Chief Operating Officer of the Office of Federal Student Aid should ensure that borrowers receive sufficiently detailed information from the PSLF servicer to be able to identify any errors in the servicer\u2019s counts of qualifying payments, including information on whether or not each payment qualified toward forgiveness. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for its review and comment. In its comments, reproduced in appendix I, Education concurred with each of our recommendations and identified steps it plans to take to implement them. To improve guidance and instructions for PSLF servicing, Education stated it is documenting PSLF requirements and guidelines and plans to incorporate them into a comprehensive guide. Regarding our recommendation to provide additional information on qualifying employers to the PSLF servicer and borrowers, Education stated that it is reviewing options for developing an online help tool that would be expanded to incorporate qualifying employer information. To standardize the information other loan servicers provide to the PSLF servicer, Education stated it will continue its efforts to address data definition issues related to the data exchanged between servicers. To ensure borrowers receive sufficiently detailed information on counts of qualifying payments, Education stated it will review the letters the PSLF servicer sends to borrowers to determine how to better communicate regarding qualifying payment counts, program requirements, and employer eligibility. We also provided relevant report sections to the PSLF servicer and the three other loan servicers included in our review for technical comments. The PSLF servicer provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Education, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the U.S. Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Debra Prescott (Assistant Director), William Colvin (Analyst-in-Charge), and Linda Collins made key contributions to this report. Additional assistance was provided by James Bennett, Deborah Bland, Alicia Cackley, Sarah Cornetto, Hedieh Fusfield, Kirsten Lauber, Sheila R. McCoy, Jeffrey G. Miller, Jessica Orr, Ellen Phelps Ranen, and Paul Wright."], "subsections": []}]}], "fastfact": []} {"id": "GAO-17-783T", "url": "https://www.gao.gov/products/GAO-17-783T", "title": "Federal Real Property: Status of FBI Headquarters Consolidation and Issues Related to Funding Other Future Projects", "published_date": "2017-08-02T00:00:00", "released_date": "2017-08-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GSA, which manages federal real property on behalf of other federal agencies, faces challenges in funding new construction projects due to budget constraints\u2014including obtaining upfront funding\u2014among other reasons. One type of transaction, called a swap exchange, enables GSA to apply the value of federal property to finance construction without relying on appropriated funds. Under such an exchange, GSA transfers the title of the unneeded property to a private investor after receiving the agreed upon construction services at another location. GSA proposed a swap exchange procurement for construction of a new FBI headquarters building in exchange for the Hoover Building and appropriations to compensate for the difference in value between the Hoover Building and the new building. GSA cancelled this procurement in July 2017 due to lack of funding.", "This statement addresses (1) GSA's and FBI's assessments of the Hoover Building, (2) GSA efforts to implement swap exchanges, and (3) alternative approaches to funding real property projects. It is based on GAO's body of reports on real property from 2011 to 2017, and selected updates from GSA."]}, {"section_title": "What GAO Found", "paragraphs": ["In November 2011, GAO reported that, according to General Services Administration (GSA) and Federal Bureau of Investigation (FBI) assessments, the FBI's headquarters building (Hoover Building) and its accompanying facilities in Washington, D.C., did not fully support the FBI's long-term security, space, and building condition requirements. Since GAO's report, the assessments have not materially changed, for example:", "Security: GAO's prior work noted that the dispersion of staff in annexes creates security challenges, including where some space was leased by the FBI and other space was leased by nonfederal tenants. Earlier this year, GAO reported the FBI is leasing space in D.C. from foreign owners.", "Space : In 2011, GAO reported that FBI and GSA studies showed that much of the Hoover Building is unusable. GSA noted in its fiscal year 2017 project prospectus for the FBI headquarters consolidation that the Hoover Building cannot be redeveloped to meet the FBI's current needs.", "Building Condition: In GAO's 2011 report, GAO noted that the condition of the Hoover Building was deteriorating, and GSA assessments identified significant recapitalization needs. Since GAO's report and in response to GAO's recommendation, GSA has evaluated its approach to maintaining the building and completed some repairs to ensure safety.", "GSA has limited experience in successfully completing swap exchange transactions and chose not to pursue several proposed swap exchanges, most recently the planned swap exchange for the Hoover Building. GSA has developed criteria for determining when to solicit market interest in a swap exchange, in response to recommendations in GAO's 2014 report. In addition, GSA officials told GAO that they planned to improve the swap exchange process, including the property appraisal process, outreach to stakeholders to identify potential risks associated with future projects, and to the extent possible, mitigate such risks. Nevertheless, several factors may continue to limit use of swap exchanges, including market factors, such as the availability of alternative properties and an investor's approach for valuing properties. For example, in reviewing a proposed swap exchange in Washington, D.C., GAO found in a 2016 report that the proposals from two firms valued the two federal buildings involved in the proposed swap substantially less than GSA's appraised property value.", "In a 2014 report, GAO identified a number of alternative approaches to funding real property projects. Congress has provided some agencies with specific authorities to use alternative funding mechanisms\u2014including the use of private sector funds or land swaps\u2014for the acquisition, renovation, or disposal of federal real property without full, upfront funding, though GAO has previously reported that upfront funding is the best way to ensure recognition of commitments made in budgeting decisions and maintain fiscal controls. GAO has reported that projects with alternative funding mechanisms present multiple forms of risk that are shared between the agency and any partner or stakeholder. In addition, alternative budgetary structures could be established, such as changing existing or introducing new account structures to fund real property projects."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made recommendations in the past to GSA on various real property issues, including to develop additional guidance for swap exchanges and to evaluate its approach to maintaining the Hoover Building. GSA agreed with these two recommendations and addressed them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our work on the General Services Administration\u2019s (GSA) efforts to consolidate the Federal Bureau of Investigation\u2019s (FBI) headquarters operations into a new location and the broader challenges associated with funding and budgeting for similarly large real property projects. GSA, which manages federal real property on behalf of other federal agencies, continues to face challenges related to funding new construction projects due to budget constraints\u2014 including obtaining upfront funding\u2014among other reasons. According to GSA officials, funding has not kept pace with GSA\u2019s need to replace and maintain the approximately 1,500 owned buildings under its control. Using various available legal authorities, GSA has begun to exchange title to some federally owned real property for other properties or construction services.", "One type of transaction, called a \u201cswap construct\u201d exchange (or swap exchange), enables GSA to apply the value of federal property to finance construction needs without relying on appropriated funds. Under such an exchange, GSA transfers the title of the unneeded property to a private investor after receiving the agreed-upon construction services at another location. For example, in 2012 GSA exchanged a 5-acre property in San Antonio, Texas, for the construction of a new parking structure at a different location. Swap exchanges can be of equal value or can include federal appropriations to compensate for a difference in value between the federal property and the asset or services to be received by the federal government.", "GSA had proposed using a swap exchange for consolidation of the FBI headquarters operations into a new location in exchange for the existing FBI headquarters building (Hoover Building) in Washington, D.C., and its underlying land, but cancelled that procurement in July 2017. Specifically, GSA proposed construction of a new 2.1 million square foot consolidated headquarters building in one of three locations\u2014Greenbelt, Maryland; Landover, Maryland; or Springfield, Virginia. As part of a swap exchange, the developer chosen to design and construct the new headquarters building would, in exchange, receive the Hoover Building site and appropriated funds to compensate for the difference in value between the Hoover Building and the new building. However, in July 2017, GSA cancelled the project because, according to GSA and FBI officials, they lacked the amount of funding necessary to proceed with the procurement.", "The cancellation of the proposed FBI swap exchange has highlighted the continuing challenges GSA and federal agencies face for budgeting and funding real property construction projects. My testimony will address (1) GSA\u2019s and FBI\u2019s assessments of the status of the Hoover Building, (2) GSA efforts to implement swap exchanges to facilitate real property actions, and (3) alternative approaches to funding real property projects. My testimony summarizes the results of a number of our previous reports on real property utilization and management issued from 2011 to 2017. Detailed information on our scope and methodologies for this work can be found in these published products, which are cited throughout this testimony. In addition, this testimony includes some updates based on our follow-up with GSA on the status of our recommendations and information posted on GSA\u2019s website on the project\u2019s status. The work on which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Prior GSA and FBI Assessments Showed That FBI Headquarters Facilities Did Not Fully Support the FBI\u2019s Long-Term Requirements", "paragraphs": ["In November 2011, we reported that over the previous decade, the FBI and GSA conducted a number of studies to assess the Hoover Building and its other headquarters facilities\u2019 strategic and mission needs. Through these studies, they determined the condition of the FBI\u2019s current assets and identified gaps between current and needed capabilities, as well as studied a range of alternatives to meet the FBI\u2019s requirements. According to these assessments, the FBI\u2019s headquarters facilities did not fully support the FBI\u2019s long-term security, space, and building condition requirements. Since our report, the assessment of the Hoover Building has not materially changed. For example:", "Security: Since September 11, 2001, the FBI mission and workforce have expanded, and the FBI has outgrown the Hoover Building. As a result, the FBI also operates in annexes, including some located in the National Capital Region. During our 2011 review, FBI security officials told us that they have some security concerns\u2014to varying degrees\u2014 about the Hoover Building and some of the headquarters annexes. In our report, we noted that the dispersion of staff in annexes created security challenges, particularly for at least nine annexes that were located in multitenant buildings, where some space was leased by the FBI and other space was leased by nonfederal tenants. While this arrangement did not automatically put FBI operations at risk, it heightened security concerns. In addition, in January 2017, we found that the FBI occupies space leased from foreign owners in at least six different locations, including one in Washington, D.C. Further, federal officials who assess foreign investments told us at that time that leasing space in foreign-owned buildings could present security risks, such as espionage and unauthorized cyber and physical access.", "Space: In 2011, we reported that FBI and GSA studies showed that much of the Hoover building\u2019s approximately 2.4 million gross square feet of space is unusable, and the remaining usable space is not designed to meet the needs of today\u2019s FBI. Moreover, the Hoover Building\u2019s original design is inefficient, according to GSA assessments, making it difficult to reconfigure space to promote staff collaboration. For example, in its fiscal year 2017 prospectus for the proposed FBI headquarters consolidation project, GSA noted that the Hoover Building was designed at a time when FBI operated differently, and it cannot be redeveloped to provide the necessary space to consolidate the FBI Headquarters components or to meet the agency\u2019s current and projected operational requirements. As a result, the FBI reported facing several operational and logistical challenges. We similarly noted in our prior work in 2011 that space constraints at the Hoover Building and the resulting dispersion of staff sometimes prevented the FBI from physically locating certain types of analysts and specialists together, which in turn hampered collaboration and the performance of some classified work.", "Building condition: In our 2011 report, we noted that the condition of the Hoover Building was deteriorating, and GSA assessments had identified significant recapitalization needs. At that time, we found that GSA had decided to limit investments in the Hoover Building to those necessary to protect health and safety and keep building systems functioning while GSA assessed the FBI\u2019s facility needs. We found that this decision increased the potential for building system failures and disruption to the FBI\u2019s operations. Given that the FBI would likely remain in the building for at least several more years, we recommended that GSA evaluate its strategy to minimize major repair and recapitalization investments and take action to address any facility condition issues that could put FBI operations at risk and lead to further deterioration of the building. In 2014, in response to our recommendation, GSA evaluated its strategy for the Hoover Building and determined it needed to complete some repairs to ensure safety and maintain tenancy in the building. For example, in 2014, GSA funded contracts to waterproof portions of the building\u2019s mezzanine level to prevent water intrusion into the building and repair the concrete facade, small sections of which had cracked and fallen from the building.", "In July 2017, GSA and FBI officials stated that they cancelled the procurement for the new FBI headquarters consolidation project, noting that the there was a lack of funding necessary to complete the procurement. GSA added that the cancellation of the procurement did not lessen the need for a new FBI headquarters, and that GSA and the FBI would continue to work together to address the space requirements of the FBI."], "subsections": []}, {"section_title": "GSA Has Limited Successes in Completing Recent Swap Exchanges, but Has Plans to Improve the Process", "paragraphs": ["In July 2014, we reported that the swap exchange approach can help GSA address the challenges of disposing of unneeded property and modernizing or replacing federal buildings. GSA officials told us that swap exchanges can help GSA facilitate construction projects given a growing need to modernize and replace federal properties, shrinking federal budgets, and challenges obtaining funding. Specifically, GSA officials noted that swap exchanges allow GSA to immediately apply the value of a federal property to be used in the exchange to construction needs, rather than attempting to obtain funds through the appropriations process. In our 2014 report, GSA officials stated that the exchanges can be attractive because the agency can get construction projects accomplished without having to request full upfront funding for them from Congress. In addition, because swap exchanges require developers or other property recipients to complete the agreed-upon GSA construction projects prior to the transfer of the title to the current property GSA is exchanging, federal agencies can continue to occupy the property during the construction process for the new project, eliminating the need for agencies to lease or acquire other space to occupy during the construction process.", "GSA has limited experience in successfully completing swap exchange transactions and has cancelled several recently proposed swap exchanges. More specifically, in 2016 we reported that GSA had only completed transactions using the swap exchange authority for two small (under $10-million each) swap exchanges completed in Atlanta, Georgia, in 2001 and in San Antonio, Texas, in 2012. Furthermore, GSA has faced a number of obstacles in its use of this authority. For example, for our 2014 report, we reviewed five projects identified since August 2012 in which GSA solicited market interest in exchanging almost 8-million square feet in federal property for construction services or newly constructed assets. However, GSA chose not to pursue swap-exchanges in all five of these projects, including the proposed FBI headquarters consolidation project. For example, GSA officials told us that there was little or no market interest in potential swap exchanges in Baltimore, Maryland, and Miami, Florida, and that GSA chose to pursue different approaches. Respondents to the solicitations for these two GSA swap exchanges noted that GSA did not provide important details, including the amount of investment needed in the federal properties and GSA\u2019s specific construction needs. In addition, from 2012 to 2015, GSA pursued a larger swap exchange potentially involving up to 5 federal properties located in the Federal Triangle South area of Washington, D.C., to finance construction at GSA headquarters and other federal properties. In 2013, GSA decided to focus on exchanging two buildings, the GSA Regional Office Building and the Cotton Annex, based on input from potential investors. On February 18, 2016, GSA decided to end its pursuit of the exchange, saying in a memorandum supporting this decision that private investor valuations for the two buildings fell short of the government\u2019s estimated values.", "After the discontinuation of the Federal Triangle swap exchange project, we reported in 2016 that GSA officials noted they planned to improve the swap exchange process, including the property appraisal process, outreach to stakeholders to identify potential project risks for future projects, and to the extent possible, mitigate such risks. However, we also reported that several factors may continue to limit the applicability of the agency\u2019s approach. Specifically, the viability of swap exchanges may be affected by specific market factors, such as the availability of alternative properties. In addition, the specific valuation approach used by appraisers or potential investors may reduce the viability of the swap exchange. For example, in reviewing the proposed Federal Triangle project, we found in 2016 that the proposals from two of the investment firms valued the two federal buildings involved in the proposed swap substantially less than GSA\u2019s appraised property value. In addition, swap exchanges can require developers to spend large sums on GSA\u2019s construction needs before receiving title to the federal property used in the exchanges. We found in 2014 that GSA\u2019s solicitations have not always specified these construction needs in sufficient detail. Consequently, developers may be unable to provide meaningful input, and GSA could miss swap exchange opportunities. In 2014, we recommended that GSA develop criteria for determining when to solicit market interest in a swap exchange. GSA agreed with the recommendation and has since updated its guidance to include these criteria.", "In January 2017, GSA agreed to a swap exchange for the U.S. Department of Transportation Volpe Center in Cambridge, Massachusetts. After a competitive process, GSA selected the Massachusetts Institute of Technology (MIT) as its exchange partner for the existing Department of Transportation (DOT) facility. Per the agreement, MIT will construct a new DOT facility on a portion of a 14 acre site to which DOT has title and, in exchange, will receive title to the remaining portion of the site that will not be used by DOT, which is located near its main campus. GSA indicated that, once completed, the project will provide $750 million in value to the federal government in the form of the design and construction services and value-equalization funds from MIT."], "subsections": []}, {"section_title": "Various Alternative Funding Mechanisms for Federal Property Exist", "paragraphs": ["Our prior work has identified a number of alternative approaches to funding real property projects. In March 2014, we reported that upfront funding is the best way to ensure recognition of commitments made in budgeting decisions and to maintain fiscal controls. However, obtaining upfront funding for large acquisitions such as the Hoover Building replacement can be challenging. Congress has provided some agencies with specific authorities to use alternative funding mechanisms for the acquisition, renovation, or disposal of federal real property without full, upfront funding. Table 1 outlines selected funding mechanisms, and considerations for each mechanism we identified in our 2014 report. Some of these alternative mechanisms allow selected agencies to meet their real property needs by leveraging other authorized resources, such as retained fees or land swaps with a private sector partner. Funding mechanisms leverage both monetary resources, such as retained fees, and non-monetary resources, such as property exchanged in a land swap or space offered in an enhanced use lease. In some cases, the funding mechanism may function as a public-private partnership intended to further an agency\u2019s mission by working with a partner to leverage resources. Some of these mechanisms allow the private sector to provide the project\u2019s capital\u2014at their cost of borrowing. The U.S. federal government\u2019s cost of borrowing is lower than the private sector\u2019s. When the private sector provides the project capital, the federal government later repays these higher private sector borrowing costs (e.g., in the form of lease payments). In some cases, factors such as lower labor costs or fewer requirements could potentially help balance the higher cost of borrowing, making partner financing less expensive. Our 2014 report also identifies budgetary options\u2014within the bounds of the current unified budget\u2014to meet real property needs while helping Congress and agencies make more prudent long-term decisions.", "In 2014, we reported that projects with alternative funding mechanisms present multiple forms of risk that are shared between the agency and any partner or stakeholder. Further, we noted project decisions should reflect both the likely risk and the organization\u2019s tolerance for risk. Incorporating risk assessment and management practices into decisions can help organizations recognize and prepare to manage explicit risks (e.g. financial and physical) and implicit risks (e.g. reputational). For example, clearly defined lease terms may help agencies manage risks of costs for unexpected building repairs. Further considerations we noted in our 2014 report include the availability of an appropriate partner\u2014and that partners should bring complementary resources, skills, and financial capacities to the relationship\u2014and management of the relationship with that partner.", "While different funding mechanisms have been used as an alternative to obtaining upfront funding for federal real property projects, changes to the budgetary structure itself\u2014within the bounds of the unified budget that encompasses the full scope of federal programs and transactions\u2014may also help agencies meet their real property needs. Such alternatives may include changing existing or introducing new account structures to fund real property projects. Our previous work identified options for changes within the current discretionary budget structure and options on the mandatory side of the budget. Alternative budgetary structures may change budgetary incentives for agencies and therefore help Congress and agencies make more prudent long-term fiscal decisions.", "Chairman Barrasso, Ranking Member Carper, and Members of the Committee, this concludes my prepared statement. I am happy to answer any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact me at (202) 512-2834 or wised@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony are Mike Armes (Assistant Director), Colin Ashwood, Matt Cook, Joseph Cruz, Keith Cunningham, Alexandra Edwards, Carol Henn, Susan Irving, Hannah Laufe, Diana Maurer, John Mortin, Monique Nasrallah, Matt Voit, Michelle Weathers, and Elizabeth Wood.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-110", "url": "https://www.gao.gov/products/GAO-19-110", "title": "Bureau of Reclamation: Water Reuse Grant Program Supports Diverse Projects and Is Managed Consistently with Federal Regulations", "published_date": "2018-12-13T00:00:00", "released_date": "2019-01-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Population growth and drought are among the factors that have placed increasing demands on the U.S. water supply, particularly in the arid West. The reuse of wastewater can help address water management challenges by treating water that is typically unusable and then reusing it for beneficial purposes, such as irrigation, according to the Environmental Protection Agency. Reclamation's Title XVI program awards grants for the study and construction of water reuse projects in 17 western states and Hawaii. From fiscal years 1992 through 2009, Congress individually authorized some Title XVI projects. In 2016, Congress amended the Title XVI program to allow grants to be awarded to additional water reuse projects.", "GAO was asked to review the Title XVI program. This report describes, among other things, for the Title XVI program (1) grants Reclamation has awarded for projects and studies and remaining projects that are eligible for grants, (2) the types and locations of projects and studies that have received grants, and (3) Reclamation's process for selecting projects and studies and its consistency with federal grant regulations as well as how the program's evaluation criteria have changed since 2011. GAO reviewed relevant laws, regulations, and agency guidance; analyzed financial data for fiscal years 1992 through 2017; compared documents related to the project selection process against federal grant regulations; and interviewed agency officials and nonfederal project sponsors with different types of projects."]}, {"section_title": "What GAO Found", "paragraphs": ["The Bureau of Reclamation, within the Department of the Interior, awarded about $715 million in water reuse grants for 46 construction projects and 71 studies under the Title XVI Water Reclamation and Reuse Program (Title XVI) from fiscal year 1992 through fiscal year 2017, according to agency documents. Most of the Title XVI funding\u2014about $703 million\u2014has been awarded for construction projects. Some construction projects remain eligible for Title XVI grant funding. About $464 million in eligible Title XVI grant funding not yet awarded remains for projects that Congress individually authorized; for projects eligible under the 2016 amendments to the Title XVI program, about $513 million remains.", "Title XVI projects and studies cover various uses for reused water. For example, many projects GAO reviewed produce reused water for landscape and agricultural irrigation, as well as water that may later be extracted for drinking water, as shown in the figure. Title XVI projects are located in western urban and rural areas, with California accounting for 36 construction projects.", "Reclamation's process to select Title XVI projects and studies to receive grants involves announcing the funding opportunity, establishing criteria to evaluate potential projects, and reviewing applications to make award decisions, according to agency documents GAO reviewed. GAO found that Reclamation's grant award process is consistent with relevant federal regulations for awarding grants. For example, the Title XVI funding opportunity announcements GAO reviewed contained information required by the regulations, such as the criteria used to evaluate applications. In recent years, Reclamation has changed the criteria it uses to evaluate projects, eliminating or adding some criteria and changing the weighting of others. Reclamation officials said that these changes were made in part in response to statutory changes."]}], "report": [{"section_title": "Letter", "paragraphs": ["Population growth and drought are among the factors that have placed increasing demands on our nation\u2019s water supply, particularly in the arid West. The reuse and recycling of water helps address water management challenges by treating wastewater or other water that is typically unusable and then reusing it for beneficial purposes, such as irrigation, according to the Environmental Protection Agency. The Bureau of Reclamation, within the Department of the Interior, administers the only active federal program focused on water reuse, reclamation, and recycling\u2014the Title XVI Water Reclamation and Reuse Program (Title XVI). This program helps states and communities create supplemental water supplies by identifying opportunities for the reuse of municipal, industrial, domestic, and agricultural wastewater and impaired ground and surface waters.", "The Title XVI program provides grants for the study and construction of water reuse projects in the 17 western states under Reclamation\u2019s purview and Hawaii. Reclamation is responsible for awarding and monitoring Title XVI grants to nonfederal project sponsors, who are involved in the planning, designing, and constructing of these projects. Title XVI grants generally require a cost share from the project sponsor. For example, federal funding for construction projects under the Title XVI program is generally limited to 25 percent of total project costs\u2014up to $20 million in federal funding\u2014and requires a 75 percent nonfederal cost share from the project sponsor. Reclamation generally awards Title XVI grants for construction projects to project sponsors in installments over multiple years before the federal funding maximum for each project is reached. As a result, some projects may have remaining project costs eligible for federal grant funding under Title XVI.", "The Title XVI program was established by the Secretary of the Interior in response to the enactment in 1992 of the Reclamation Wastewater and Groundwater Studies and Facilities Act, which authorized several studies as well as the construction of 5 wastewater reuse projects\u20144 in California and 1 in Arizona. From 1992 through 2009, Congress authorized a total of 53 water reuse projects for construction under the Title XVI program. In December 2016, the act was amended through Section 4009 of the Water Infrastructure Improvements for the Nation Act (WIIN Act), which authorized the Secretary of the Interior to provide grants for water reuse projects with agency-approved feasibility studies. The WIIN Act authorized Interior to award grants for projects that had not received specific statutory authorization from Congress.", "You asked us to review the Title XVI program for water reuse construction projects and studies. This report describes for the Title XVI program (1) grants Reclamation has awarded for projects and studies and remaining projects that are eligible for grants, (2) the types and locations of projects and studies that have received grants, (3) Reclamation\u2019s process for selecting projects and studies and its consistency with federal grant regulations as well as how the program\u2019s evaluation criteria have changed since 2011, and (4) Reclamation\u2019s process for monitoring grants and its consistency with federal grant regulations.", "For the first objective, we reviewed relevant laws, budget justifications, and financial data maintained by Reclamation from fiscal years 1992 through 2017\u2014the most recent data at the time of our review. We selected this time period to cover funding from the inception of the program through the most current data that were available at the time of our review. To determine the reliability of Reclamation\u2019s financial data, we reviewed agency documents, compared publicly available information to Reclamation\u2019s Title XVI financial data, and interviewed agency officials. We determined that the data were sufficiently reliable for the purpose of our review. To determine the amount Reclamation has awarded to Title XVI studies and projects, we analyzed the agency\u2019s financial data. To determine remaining project costs for individually congressionally authorized projects, we further analyzed the financial data to determine the federal share of remaining costs. For individually authorized projects that have not received the full federal funding share, we verified with project sponsors the status of projects in terms of planned construction. To determine remaining project costs for Title XVI projects eligible under the WIIN Act, we reviewed relevant feasibility studies to calculate the federal share of remaining costs.", "For the second objective, we reviewed documents from Reclamation and project sponsors that describe the types of projects and studies funded under the Title XVI program. We analyzed the information to categorize each Title XVI project by the purpose or use of the reused water, such as irrigation, commercial and industrial uses, and indirect-potable reuse. This information was independently verified to confirm the categorization of each project. To learn more about the types of Title XVI projects and studies funded, we interviewed project sponsors from all 17 of the individually authorized projects that Reclamation documents listed as being ongoing at the time of our review, as well as all 3 of the WIIN Act- eligible projects that Reclamation selected for grants in fiscal year 2017. We also interviewed a nonprobability sample (11 of 25) of project sponsors of projects that had been completed, or had already been awarded their full federal cost share. We selected project sponsors from different Reclamation regions and with a variety of project sizes (i.e. amount of water to be delivered) and types. Because this was a nonprobability sample, the views of the sponsors we spoke with are not representative of the views of all Title XVI project sponsors but provide illustrative examples of the views of project sponsors for a range of Title XVI projects. We conducted some of our interviews with project sponsors by telephone and others in person. This included interviews conducted during site visits to 14 Title XVI projects\u2014selected to understand different purposes and types of projects\u2014in central and southern California in March and April 2018. In addition to project sponsors, we also spoke with representatives from eight nongovernmental organizations that sponsor research, have an interest in water reuse, or represent water or wastewater districts. We identified nongovernmental organizations to interview through research and interviews with agency officials, project sponsors, and other nongovernmental organizations.", "For the third objective, we reviewed relevant federal grant regulations and agency documents related to the project selection process, including funding opportunity announcements for fiscal years 2011 through 2018 that describe Reclamation\u2019s funding opportunities to applicants and documentation related to Reclamation\u2019s scoring of applications and final selections. We selected this time frame because 2011 was the year that Reclamation introduced a competitive selection process for annual Title XVI grants. To assess the extent to which Reclamation\u2019s process for selecting projects is consistent with relevant federal grant regulations, we compared the process Reclamation uses to select projects against the Office of Management and Budget\u2019s (OMB) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). For this comparison, we selected relevant provisions from the Uniform Guidance that pertain to the project selection process. To determine how evaluation criteria have changed since 2011, we analyzed the criteria listed in Reclamation\u2019s funding opportunity announcements for fiscal years 2011 through 2018 and discussed the reasons for changes to the criteria with Reclamation officials. To identify project sponsors\u2019 views on the process and changes to the criteria, we interviewed project sponsors and reviewed relevant documentation, including letters project sponsors sent to Reclamation.", "For the fourth objective, we reviewed relevant federal grant regulations outlined in OMB\u2019s Uniform Guidance as well as agency guidance related to the monitoring process. To assess the extent to which the monitoring process is consistent with relevant federal grant regulations, we compared the process Reclamation uses to monitor grants against relevant sections of OMB\u2019s Uniform Guidance. We analyzed financial and performance reports related to all 56 Title XVI grants that were active at the end of fiscal year 2017 using a standard document review tool to determine the extent to which these reports contained information required by the Uniform Guidance or Reclamation. For financial reports, we determined whether project sponsors submitted required reports by their due dates and whether they submitted these reports on the form required by the agency. For performance reports, we determined whether project sponsors submitted reports by their due dates and whether these reports contained information on progress made toward constructing the Title XVI project. We also analyzed Reclamation documentation related to site visits conducted by agency officials and compared it against requirements outlined in agency guidance. In our interviews with project sponsors, we also asked for their perspectives on Reclamation\u2019s monitoring process.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Reclamation and the Title XVI Program", "paragraphs": ["As Interior\u2019s primary water management agency, Reclamation\u2019s mission has been to manage, develop, and protect water and water-related resources in 17 western states since 1902. Reclamation has led or provided assistance in the construction of most of the large dams and water diversion structures in the West for the purpose of developing water supplies for irrigation, municipal water use, flood control, and habitat enhancement, among others. Reclamation is organized into five regions\u2014Great Plains, Lower Colorado, Mid-Pacific, Pacific Northwest, and Upper Colorado\u2014and the agency\u2019s central office in Denver provides technical and policy support. Each regional office oversees the water projects, including Title XVI projects and studies, located within its regional boundaries. The types of projects eligible under the Title XVI program include, among others, construction of water treatment facilities, pipelines to distribute reused water, and tanks and reservoirs to store reused water.", "The Title XVI program is one of several programs under Interior\u2019s WaterSMART (Sustain and Manage America\u2019s Resources for Tomorrow) Program. The WaterSMART program is implemented by Reclamation and the U.S. Geological Survey within Interior. According to an Interior document, the WaterSMART program focuses on identifying strategies to help ensure sufficient supplies of clean water for drinking, economic activities, recreation, and ecosystem health. Reclamation carries out its portion of the WaterSMART program by administering grants, including Title XVI grants for water reuse, conducting research, and providing technical assistance and scientific expertise. Reclamation offers three types of grants to project sponsors under the Title XVI program: construction projects, which are projects to plan, design, or construct infrastructure for the treatment and distribution of reused water; feasibility studies, which are documents that generally identify specific water reuse opportunities, describe alternatives, and incorporate other considerations, such as the financial capability of the project sponsor; and research studies, which are studies to help states, tribes, and local communities establish or expand water reuse markets, improve existing water reuse facilities, or streamline the implementation of new water reuse facilities.", "Key Terms Related to Water Reuse", "Acre-foot of water: about 326,000 gallons generally identify specific water reuse opportunities; describe alternatives; and incorporate other considerations, such as the financial capability of the project sponsor.", "Federal awards for construction projects under the Title XVI program are generally limited to 25 percent of total project costs\u2014up to $20 million in federal funding\u2014and require a 75 percent nonfederal cost share from the project sponsor. Federal funding for feasibility studies under the Title XVI program is generally limited to 50 percent of the total study costs, up to $450,000, and federal funding for research studies is generally limited to 25 percent of the total study costs, up to $300,000. Reclamation generally awards Title XVI grants for construction projects to project sponsors in installments over multiple years before the federal funding maximum for each project is reached, whereas it generally awards the full amount for feasibility and research study grants in a single year.", "Potable: water that is suitable for drinking.", "Project sponsors: water districts, wastewater or sanitation districts, municipalities, tribes, and other entities that develop projects or studies eligible for Title XVI grants. tribes, and local communities establish or expand water reuse markets, improve existing water reuse facilities, or streamline the implementation of new water reuse facilities.", "From fiscal year 1992, when the Title XVI program was established, through fiscal year 2009, Congress authorized 53 Title XVI projects. Each of these projects was subject to a cap on the federal cost share. In fiscal years 1992 through 2010, Congress generally directed funding for these specific authorized projects each year. Starting in fiscal year 2011, Congress began appropriating funding for the Title XVI program without directing specific funding to individual projects. As a result, Reclamation started using a competitive process to award Title XVI grants to projects and studies, through which project sponsors with authorized projects applied for Title XVI grants. Only the 53 projects that were already authorized by Congress were eligible to apply for grants for construction projects. Section 4009(c) of the WIIN Act, enacted in December 2016, authorized an additional $50 million to be appropriated for water reuse projects. To be eligible to receive Title XVI grants under the WIIN Act, projects must submit a completed feasibility study to Reclamation, and Reclamation must review the study to determine whether, among other things, the project is technically and financially feasible and provides a federal benefit in accordance with the reclamation laws. Reclamation is then to submit a report with the results of its review to Congress, and projects determined to be feasible are then eligible to apply for grants under the competitive grant program established by the WIIN Act. Each feasibility study identifies an estimated project cost. Like most projects individually authorized prior to the WIIN Act, the federal share of this cost is generally capped at 25 percent, up to $20 million. In addition to construction projects, Reclamation began awarding Title XVI grants to project sponsors for feasibility studies in fiscal year 2011 and for research studies in fiscal year 2016. Figure 1 shows a timeline of the Title XVI program."], "subsections": []}, {"section_title": "Water Reuse", "paragraphs": ["With water reuse, water that is typically unusable, such as municipal or industrial wastewater, undergoes additional treatment to make it suitable for certain purposes. For example, municipal wastewater typically undergoes primary and secondary treatment before it can be discharged into a river, stream, or other body of water. With water reuse, wastewater generally undergoes further (tertiary) treatment to remove additional nutrients and suspended solids and to disinfect the water. The treated water can then be reused for nonpotable uses, such as landscape or agricultural irrigation or industrial uses. In some cases, wastewater undergoes additional, advanced treatment\u2014such as microfiltration and reverse osmosis\u2014and may then be suitable for potable uses, such as injection into a groundwater basin or reservoir where it may later be extracted for drinking water. Figure 2 shows some of the typical treatment processes that may be applied to reused water, and figure 3 shows some of the typical uses of reused water.", "Several reports have shown that water reuse could offer significant untapped water supplies, particularly in coastal areas facing water shortages. For example, in a 2012 report on municipal wastewater reuse, the National Research Council of the National Academies estimated that U.S. municipalities discharged about 12 billion gallons of treated municipal wastewater each day into coastal waters. They estimated that reuse of these coastal discharges could directly augment available water sources by providing the equivalent of 27 percent of the municipal supply. Municipalities discharge another 20 billion gallons each day to inland locations. While reuse of inland discharges has the potential to affect the water supply of downstream users by decreasing the amount of water available to them, we previously found that at least some of this volume could also be beneficial. Even with such potential uses, the Environmental Protection Agency reported in 2012 that only 7 to 8 percent of municipal wastewater was being intentionally reused in the United States."], "subsections": []}, {"section_title": "Grants Management", "paragraphs": ["In our past work, we have highlighted the importance of awarding competitive grants in a fair and transparent way and monitoring grants. In recent years, OMB has taken actions to help improve the effectiveness and efficiency of grantmaking across the federal government. In particular, in December 2014, OMB\u2019s Uniform Guidance became effective for new grant awards after adoption by federal grantmaking agencies, including Interior. The Uniform Guidance requires, among other things, that federal agencies provide public notices of funding opportunities, and these notices are to contain information, such as key dates and the merit and other criteria that the agency will use to evaluate applications. The Uniform Guidance also requires certain monitoring activities for federal grants, such as generally requiring grant recipients to submit financial reports."], "subsections": []}]}, {"section_title": "Reclamation Awarded About $715 Million for Title XVI Projects and Studies, and Some Construction Projects Remain Eligible for Title XVI Grants", "paragraphs": ["From fiscal years 1992 through 2017, Reclamation awarded about $715 million for 46 construction projects and 71 studies under the Title XVI program, based on our review of agency documents. Most of this funding\u2014about $703 million\u2014went toward construction projects, while the remaining awards were for feasibility and research studies. Some construction projects remain eligible for Title XVI grants. Specifically, about $464 million in grant funding not yet awarded up to the federal ceiling remains for individually congressionally authorized Title XVI construction projects, and about $513 million remains in total estimated projects eligible for Title XVI grants under the WIIN Act, as of August 2018."], "subsections": [{"section_title": "Most of the $715 Million Reclamation Awarded Was for Title XVI Construction Projects", "paragraphs": ["Across the three different types of grants offered under the Title XVI program\u2014construction projects, feasibility studies, and research studies\u2014Reclamation awarded about $715 million from fiscal years 1992 through 2017, according to agency documents. This $715 million awarded under Title XVI leveraged more than $2.8 billion in nonfederal cost share. Reclamation awarded most of this Title XVI funding for construction projects, as shown in table 1.", "Overall, Reclamation awarded about $703 million under Title XVI to 46 construction projects from fiscal years 1992 through 2017. Of these 46 construction projects that received awards, 43 were individually congressionally authorized construction projects and 3 were construction projects that were eligible for Title XVI grants under the WIIN Act, according to agency documents we reviewed. Additionally, Reclamation made awards for 71 studies\u201458 feasibility study grants since fiscal year 2011 and 13 research study grants since fiscal year 2016."], "subsections": []}, {"section_title": "Some Construction Projects Remain Eligible for Title XVI Grants", "paragraphs": ["Based on our review of Reclamation financial data, some construction projects remain eligible for Title XVI grants. Eligible project costs fell into two categories: (1) grant funding not yet awarded up to the federal ceiling for individually congressionally authorized Title XVI construction projects, and (2) the federal share of estimated costs identified in feasibility studies for projects eligible for Title XVI grants under the WIIN Act. About $464 million in not-yet-awarded funding remained for 28 individually congressionally authorized Title XVI construction projects as of August 2018. Also, about $513 million remained in estimated project costs for the 40 construction projects that were eligible under the WIIN Act, as of August 2018, as shown in table 2 below.", "As of August 2018, of the 53 individually congressionally authorized construction projects, more than half\u201428 projects\u2014had remaining project costs eligible for Title XVI grants.", "The 13 ongoing congressionally authorized projects had about $233 million in project costs that had not yet been awarded. Some project sponsors told us that they were in the process of designing or constructing projects. Others told us that while they were not currently designing or constructing projects, they had plans to pursue additional Title XVI grant awards in the future. More than one-third of the $233 million in remaining eligible project costs was for two projects\u2014 located in San Diego and San Jose, California\u2014that were two of the projects authorized when the Title XVI program was created in 1992.", "The 15 congressionally authorized projects with no planned construction had remaining project costs of about $231 million eligible for Title XVI grants. Project sponsors identified several reasons why they were not planning to apply for further grant awards. Specifically, several project sponsors said they had faced challenges in applying for further grants because language in the statutes authorizing the projects limited the scope of their projects. For example, one project sponsor told us that it was interested in expanding its water reuse demonstration facility but that it was not eligible to apply for additional Title XVI grants because the statute that authorized the project specifically authorized a demonstration facility. In addition, one project sponsor stated that its project authorization had already reached its sunset date, which means the project can no longer apply for Title XVI grants. Some of the project sponsors with no construction planned said that they may consider applying for additional Title XVI grants under their existing authorizations in the future, should they decide to move forward with construction. However, others said that they had decided not to move forward with authorized projects and had no plans to apply for Title XVI grants in the future. For example, one project sponsor said that it had determined that its project was no longer financially feasible.", "In addition, as of August 2018, 40 projects had Reclamation-approved feasibility studies that had been transmitted to Congress, based on our review of agency documents, and were therefore eligible to apply for Title XVI construction grants under the WIIN Act. A total of about $513 million in project costs across these 40 projects remained eligible for Title XVI grants. Of the 40 projects, 20 applied for Title XVI grants in fiscal year 2017, and Reclamation selected 3 for awards. These 20 projects had about $269 million in project costs that remained eligible for Title XVI grants. Twenty projects did not apply for Title XVI grants in fiscal year 2017 and had about $244 million in project costs that remained eligible for these grants, as of August 2018."], "subsections": []}]}, {"section_title": "Title XVI Projects and Studies Vary in Their Uses of Reused Water and Include Urban and Rural Areas", "paragraphs": ["Title XVI projects and studies for fiscal years 1992 through 2017 cover various uses for reused water and include both urban and rural areas throughout the West, based on our review of agency data as well as documents from and interviews with project sponsors. For example, Title XVI construction projects produce both nonpotable and potable reused water for a variety of purposes, such as landscape and agricultural irrigation, habitat restoration, and extraction as drinking water. The projects and studies funded by the Title XVI program include both urban and rural areas throughout the West, with California accounting for 36 construction projects and about 90 percent of total Title XVI funding."], "subsections": [{"section_title": "Title XVI Projects Are Generally Large-Scale Infrastructure Projects that Produce Nonpotable and Potable Reused Water for a Variety of Purposes", "paragraphs": ["Title XVI construction projects are generally large-scale infrastructure projects, such as water reuse treatment plants and pipelines, that produce, store, and distribute reused water for a variety of purposes, both nonpotable and potable. Since the inception of the Title XVI program, Reclamation has awarded Title XVI grants to construction projects that cumulatively provided nearly 390,000 acre-feet of reused water in 2017. According to Reclamation data, the projects funded by Title XVI individually delivered between 38 acre-feet of reused water and more than 100,000 acre-feet of water in fiscal year 2017. Most of these construction projects provided reused water for nonpotable uses across four main categories: (1) landscape irrigation, (2) agricultural irrigation, (3) commercial and industrial use, and (4) habitat restoration.", "Landscape irrigation. Landscape irrigation\u2014including irrigation of golf courses, road medians, school grounds, parks, sport fields, and other green spaces\u2014is the most common use of reused water produced by Title XVI projects, with 29 Title XVI projects producing reused water for this purpose, based on our analysis of documents from Reclamation and project sponsors. The reused, nonpotable water produced by such projects is generally distributed through purple-colored pipes, to denote that the water is not for drinking purposes. For example, the Title XVI program provided grants to Eastern Municipal Water District\u2014a water district located in Southern California\u2014to help build water reuse infrastructure, including pipelines, pumping stations, and storage tanks. With this added storage capacity, the district has the ability to store more than 2 billion gallons of reused water, which is used to irrigate sports fields, golf courses, parks, school grounds, and medians, according to the project sponsor. By maximizing use of its reused water, the project sponsor noted that the district is reducing its dependence on water piped in from other parts of the state or region. Similarly, the Title XVI program provided grants to help build pipelines and reservoirs to distribute and store reused water for landscape irrigation and other purposes in other parts of California (see fig. 4).", "Agricultural irrigation. Reused water produced by Title XVI projects is also used to irrigate a variety of agricultural products, including fruits and vegetables, flowers, and vineyards. For example, the North Valley Regional Recycled Water Program is helping to provide a reliable water source for the Del Puerto Water District, which provides water to approximately 45,000 acres of farmland in California\u2019s San Joaquin Valley, according to the project sponsor. The Del Puerto Water District has encountered water shortages in recent years, which have created economic hardships on growers in the area, according to the project sponsor. Title XVI grants provided under WIIN Act authority helped the district expand its reused water supply and distribution infrastructure and ensure a reliable, drought-resistant water supply, according to the project sponsor. In addition, reused water produced by the Watsonville Area Water Recycling Project near Watsonville, California, is used to irrigate strawberries and other fruits and vegetables as well as flowers. The groundwater basin that serves the coastal region where Watsonville is located has been overdrafted for a long time, causing groundwater elevations to drop below sea level and leading to seawater intrusion that makes the groundwater unusable in certain areas, according to the project sponsor. This sponsor noted that Watsonville\u2019s Title XVI project helps reduce demand on the overdrafted groundwater basin, which in turn helps to protect against further seawater intrusion and also provides a reliable, drought-tolerant water supply to help protect the region\u2019s agricultural economy. Figure 5 shows flowers in a greenhouse that are irrigated with reused water from Watsonville\u2019s Title XVI project.", "Commercial and industrial use. Reused water produced by Title XVI projects is used for cooling towers at power plants and data centers, oil production, toilet flushing in university and commercial buildings, and for other commercial and industrial purposes, according to project sponsors. For example, some of the reused water produced by the Southern Nevada Title XVI project is used for power plant cooling, and reused water from San Jose\u2019s Title XVI project is used for cooling at data centers in California\u2019s Silicon Valley. In addition, reused water from the Long Beach Area Reclamation Project is injected into the ground after oil is extracted, which helps prevent the ground from sinking, according to the project sponsor. Having access to a secure source of reused water can attract data centers and other businesses that require large amounts of water to areas that can guarantee access to reused water, according to a project sponsor and representatives from a nongovernmental water reuse organization we interviewed.", "Habitat restoration. Some Title XVI projects use reused water to restore wetlands or supply water to recreational lakes. For example, in California\u2019s Napa Valley, reused water from the North Bay Title XVI project is being used to restore the Napa Sonoma Salt Marsh. Some threatened and endangered species, such as the Chinook Salmon, have started returning to the area since the restoration began, according to the project sponsor. Reused water from this Title XVI project also provides other habitat benefits. For example, wineries in the area that irrigate with reused water do not need to divert as much water from streams, which leaves more water for fish, according to the project sponsor. In addition, the North Valley Regional Recycled Water Program in California\u2019s San Joaquin Valley supplies reused water to wildlife refuges and wetlands, in addition to agricultural lands. This area has the largest remaining freshwater marsh in the western United States, which provides critical habitat for migratory birds as well as other species, according to the project sponsor (see fig. 6).", "There are also several potable projects that have been funded by Title XVI. These projects generally fall into two categories: (1) indirect-potable reuse and (2) desalination.", "Indirect-potable reuse. Title XVI has provided grants for indirect-potable projects, in which wastewater undergoes advanced treatment to obtain potable-quality water. The water is then injected into an environmental buffer, such as a groundwater aquifer, where it is left for a certain amount of time before it is extracted. The water is treated again before it is distributed as drinking water. One use for highly-treated reused water is for seawater barriers, where water is injected into the ground to prevent the intrusion of high-salinity water into groundwater aquifers. Indirect- potable reuse has been gaining prominence, according to some project sponsors and representatives from nongovernmental water reuse organizations, with Title XVI grants going to several project sponsors for both the construction of facilities as well as research into optimal treatment methods. For example, the Groundwater Replenishment System in Orange County, California, which was partially funded by Title XVI, takes highly-treated wastewater that would have previously been discharged into the Pacific Ocean and purifies it using an advanced treatment process. The water is then injected into a groundwater aquifer and is later extracted as drinking water that serves more than 800,000 people, according to the project sponsor. Figure 7 shows reused water at several different points in the treatment process and reverse osmosis treatment equipment at Orange County\u2019s Groundwater Replenishment System.", "Desalination. Title XVI has provided grants for projects that treat brackish groundwater\u2014water that has a salinity above freshwater but below seawater\u2014and then feed it directly into potable water distribution systems or into a groundwater aquifer or surface water reservoir. For example, the Mission Basin Groundwater Purification Facility in Oceanside, California, desalinates brackish groundwater using reverse osmosis and other treatment methods. The reused water supplies about 15 percent of the city\u2019s water needs, according to the project sponsor.", "In addition to Title XVI construction projects, Reclamation\u2019s feasibility and research studies also vary in their planned uses of reused water. For example, one feasibility study project sponsor we interviewed was awarded a Title XVI grant to investigate the feasibility and potential impacts of reusing produced water from oil and gas operations in Oklahoma. The study plans to investigate possible dual benefits of reusing produced water, including (1) providing a new source of water for irrigation and other purposes and (2) reducing the disposal of produced water as a possible means for addressing increased seismic activity associated with oil and gas operations, according to the project sponsor. Another feasibility study project sponsor we interviewed from a rural, landlocked community in Washington State is investigating the feasibility of creating a virtual zero discharge system that would eliminate all wastewater disposal by reusing the wastewater. Similar to feasibility studies, Title XVI research studies address different topics. For example, one project sponsor we interviewed was researching how to optimize filtration of reused water using membrane filtration, which is a critical treatment process to reduce contaminants in water. Another project sponsor was researching impediments and incentives to using reused water for agricultural irrigation."], "subsections": []}, {"section_title": "Title XVI Projects and Studies Include Western Urban and Rural Areas", "paragraphs": ["Based on our review of agency documents, project sponsors in 12 of the 18 states eligible to participate in the Title XVI program were awarded at least one type of funding under Title XVI since the inception of the program in 1992, as shown in table 3.", "From fiscal year 1992 through fiscal year 2017, Reclamation awarded about $640 million\u2014or about 90 percent of total awarded Title XVI funding\u2014to projects in California, the majority of which was for construction projects. The concentration of projects in California reflects the early emphasis of the Title XVI program on Southern California and reducing its reliance on water provided by the Colorado River, as well as the high level of interest in the program in the state, according to a 2010 Congressional Research Service report. Overall, project sponsors in 9 states were awarded feasibility study grants, sponsors in 4 states were awarded research study grants, and sponsors in 8 states were awarded construction grants (see fig. 8).", "Title XVI projects and studies include western urban and rural areas. In particular, many Title XVI projects are sponsored by entities in urban areas that serve a large population base. For example, the main part of the Los Angeles Area Water Supply Title XVI project is sponsored by the West Basin Municipal Water District, which has a service area of nearly 1 million people in 17 cities and unincorporated areas in Los Angeles County. This Title XVI project produces five different types of reused water to meet the unique needs of West Basin\u2019s municipal, commercial, and industrial reuse customers, according to the project sponsor. Similarly, the City of San Diego, which has a population of about 1.4 million, was awarded Title XVI grants for a number of projects, including an indirect-potable reuse project anticipated to provide one-third of San Diego\u2019s water supply by 2035, according to the project sponsor. Other Title XVI projects are sponsored by entities in rural areas and small cities. For example, the Hi-Desert Water District project serves a rural and economically disadvantaged community in the town of Yucca Valley, California, that has a population of about 20,000. This Title XVI project will fund facilities to collect, treat, and reuse treated wastewater, thereby eliminating degradation of the local groundwater supply and helping ensure a safer, reliable water supply for this community, according to the project sponsor. Similarly, the city of Round Rock, Texas, which has a population of about 120,000, sponsored the Williamson County Title XVI project. This project produces reused water for landscape irrigation, most of which is used to irrigate a 650-acre park, according to the project sponsor.", "Some Title XVI projects are sponsored by regional partnerships composed of different local entities. For example, in the late 1990s, 4 entities in Northern San Diego County\u2014Carlsbad Municipal Water District, Leucadia Wastewater District, Olivenhain Municipal Water District, and San Elijo Joint Powers Authority\u2014formed a coalition to leverage their water reuse programs; the coalition has since grown to 10 entities. This coalition sponsored an individually congressionally authorized Title XVI project, the North San Diego County project, and applied for a Title XVI grant for a new project eligible under the WIIN Act in fiscal year 2017. Similarly, in the northern part of the San Francisco Bay Area, 10 local agencies formed a regional partnership covering 315 square miles across Sonoma, Marin, and Napa Counties to sponsor the North Bay Water Reuse Program. According to the project sponsors involved in this regional partnership, using a regional partnership approach to water reuse projects provides an economy of scale; maximizes the ability to obtain local, state, and federal funding for the projects; and allows smaller, local entities to access funding and expertise for projects that would be out of reach without regional collaboration. See appendix I for more detailed information on specific Title XVI construction projects."], "subsections": []}]}, {"section_title": "Reclamation\u2019s Project Selection Process Is Consistent with Relevant Federal Grant Regulations, and Its Evaluation Criteria Have Changed in Recent Years", "paragraphs": ["Reclamation\u2019s process for selecting projects and studies to award grants under the Title XVI program involves announcing the funding opportunity, establishing criteria to evaluate potential projects, and reviewing applications to make award decisions. We found that this process is consistent with relevant federal grant regulations outlined in OMB\u2019s Uniform Guidance, based on our review of agency documents and federal grant regulations. The criteria Reclamation uses to evaluate Title XVI projects have changed in recent years, with the elimination or addition of some criteria and changes in the weighting of others."], "subsections": [{"section_title": "Reclamation Publicly Announces Funding Opportunities and Has a Merit Review Process for Applications, which Is Consistent with Relevant Federal Grant Regulations", "paragraphs": ["To start its selection process, Reclamation announces funding opportunities by developing annual funding opportunity announcements (FOA), which are publicly available on its website and on www.grants.gov. These FOAs contain information for applicants to consider prior to applying, including the types of eligible projects and studies, estimated funding available, information on the application review process, the application due date, and the criteria that Reclamation will use to score applications.", "Project sponsors submit applications for Title XVI grants to Reclamation in response to the FOAs, according to Reclamation officials. Reclamation officials then review the applications to ensure the projects are eligible and that applications are complete, according to agency officials we interviewed and documents we reviewed related to the selection process. Next, an application review committee scores eligible applications. The application review committee is composed of Reclamation staff representing the five regions and other staff with technical expertise. Committee members individually review and score each Title XVI application based on the evaluation criteria in the FOA. After the individual scoring, the application review committee meets collectively to discuss the scores; this meeting is generally facilitated by Title XVI program staff from Reclamation\u2019s central office in Denver. If there are any outliers in the scores\u2014e.g., if a committee member scores an application significantly higher or lower than the other members\u2014then they are to discuss and may adjust the score to help ensure fairness and consistency in how the applications are scored relative to the evaluation criteria, according to agency officials. Following this discussion, Reclamation averages the members\u2019 scores for each application and then ranks the applications based on the average scores. Reclamation creates a list of recommended projects and funding amounts for these projects, based on the rankings and congressional direction on the amount of funding for the Title XVI program in any given year.", "Reclamation\u2019s process for selecting projects and studies to fund under the Title XVI program is consistent with relevant federal grant regulations outlined in the Uniform Guidance. Based on our review of Title XVI FOAs from fiscal years 2011 through 2018, all FOAs met the requirements prescribed by the Uniform Guidance. Specifically, the Uniform Guidance requires that grant funding opportunities be publicly announced and contain certain information, such as the evaluation criteria, key dates, and the process used to evaluate applications. Based on our review of FOAs, Reclamation\u2019s FOAs were publicly announced and contained this information.", "Many project sponsors we interviewed said that Reclamation\u2019s Title XVI application selection process is generally clear and well-managed and that Reclamation officials, at both the regional level and central office in Denver, were responsive and transparent throughout the selection process. Several project sponsors noted that Reclamation offered to debrief with Title XVI applicants after it made its grant selections; further, Reclamation officials provided constructive feedback to applicants to improve their applications in future years.", "Some project sponsors raised concerns about how long it takes WIIN Act- eligible Title XVI projects to be awarded grants. In particular, the WIIN Act provides that WIIN Act-eligible projects can only receive funding if an enacted appropriations act designates funding by project name, after Reclamation has recommended specific projects for funding and transmitted its recommendations to Congress. Given the timing of Reclamation\u2019s FOA process, WIIN Act-eligible projects selected in a given fiscal year generally need to be included in the subsequent fiscal year\u2019s appropriations act. For example, congressional direction in May 2017 provided that $10 million of the total Title XVI funding was to go to Title XVI WIIN Act-eligible projects, and Reclamation sent Congress its fiscal year 2017 selections for WIIN Act-eligible projects to fund in November 2017. However, according to Reclamation officials, Reclamation could not begin awarding fiscal year 2017 funding to selected projects until March 2018, after enactment of the fiscal year 2018 appropriations act, which listed the selected projects by name. One project sponsor noted that this two-part process created challenges related to the project timeline and budget. Reclamation officials said that project sponsors have also expressed concerns to Reclamation about how any resulting delays may affect the ability of projects to move forward. Reclamation officials noted that this is a statutory requirement and that they had discussed this process with project sponsors to make them aware of the timing for the grants."], "subsections": []}, {"section_title": "Criteria Used to Evaluate Projects Have Changed in Recent Years", "paragraphs": ["Reclamation has changed the evaluation criteria it uses to select projects to fund under the Title XVI program since it began using a competitive process in fiscal year 2011. Reclamation first developed criteria for the annual Title XVI project selection process in 2010, which it applied starting in fiscal year 2011. Prior to that, Congress generally provided project-specific funding direction for individually authorized Title XVI projects. According to agency officials, Reclamation developed the initial evaluation criteria for the annual Title XVI selection process based on (1) the language in the Reclamation Wastewater and Groundwater Studies and Facilities Act, as amended; (2) Reclamation goals and priorities for the program; and (3) the criteria Reclamation used to select projects to fund under the American Recovery and Reinvestment Act of 2009. Reclamation sought and incorporated public comments on the criteria in 2010. After that, Reclamation\u2019s evaluation criteria for Title XVI construction projects generally remained unchanged from fiscal years 2011 through 2016.", "In fiscal years 2017 and 2018, Reclamation eliminated some criteria in the Title XVI FOAs for construction projects, added some new criteria, and changed the weighting of some criteria, based on our review of FOAs for those years. For example, in 2017, Reclamation more than doubled the weight of the economic criterion for the fiscal year 2017 FOA for WIIN Act-eligible projects, making it worth 35 percent of the points as compared to the previous 13 percent. Reclamation officials told us that these changes were made in response to the language of the WIIN Act\u2014 which listed a number of criteria for projects, including projects that provide multiple benefits\u2014and comments they received from OMB during the review process for the revised criteria. In March 2018, Reclamation proposed further revisions to the evaluation criteria for the fiscal year 2018 Title XVI program and held a public comment period to solicit input on the proposed changes. The proposed FOA contained one set of criteria applicable to both types of eligible Title XVI construction projects\u2014individually congressionally authorized and WIIN Act-eligible projects. Reclamation received 21 comment letters on the criteria and, after analyzing the comments, officials said that they made additional changes to some of the criteria before issuing the final fiscal year 2018 FOA on May 30, 2018. For example, Reclamation added clarification to the economic criteria. See appendix II for a more detailed description of the final fiscal year 2018 Title XVI criteria, as well as changes to the criteria in fiscal years 2017 and 2018.", "Several project sponsors noted that changes to the evaluation criteria may affect which projects are more competitive in Reclamation\u2019s application scoring and project selection process. In particular, several project sponsors and representatives from nongovernmental organizations we interviewed told us they believed that recent changes\u2014 particularly the increased weight on economic criteria, including cost effectiveness\u2014may disadvantage small projects. Others said increasing the weight on cost effectiveness may disadvantage new projects that are just beginning construction of costly new treatment facilities versus projects that are expanding existing facilities. Reclamation officials we interviewed stated that the economic criteria take into account the extent to which projects would provide multiple benefits\u2014not just cost effectiveness. They also pointed out that they clarified in the fiscal year 2018 FOA that there are a number of ways to provide information on project benefits in Title XVI applications, including by describing benefits in a qualitative manner. They added that feedback from project sponsors had been positive on the additional changes Reclamation made in response to earlier stakeholder comments on the economic criteria for the final fiscal year 2018 FOA. Furthermore, Reclamation\u2019s increased emphasis on economic criteria is consistent with federal principles on federal spending for water infrastructure projects, which states that federal infrastructure investments are to be based on systematic analysis of expected benefits and costs."], "subsections": []}]}, {"section_title": "Reclamation\u2019s Process for Monitoring Title XVI Grants Is Consistent with Relevant Federal Grant Regulations", "paragraphs": ["To monitor Title XVI grants, Reclamation reviews financial and performance reports submitted by project sponsors, regularly communicates and visits with project sponsors to obtain information on the status of the projects, and collects information on the amount of water Title XVI projects deliver each year, which is included in Interior\u2019s annual performance report.", "Financial and Performance Reports. In its financial assistance agreements for Title XVI grants, Reclamation generally requires project sponsors to submit financial and performance reports. Specifically, Reclamation generally requires that project sponsors submit financial and performance reports at least once per year and sometimes more frequently, as determined by the risk that each project poses, according to agency officials. Based on our review of reports, the financial reports list transactions related to Title XVI grants, such as expenditures, and the performance reports provide updates on the status of the Title XVI projects. Reclamation delineates its monitoring requirements, which generally include requirements for financial and performance reports, in the financial assistance agreements for Title XVI grants that each project sponsor agrees to prior to receiving funding. In our review of documents related to Reclamation\u2019s monitoring process for Title XVI construction grants active in fiscal year 2017, we found that project sponsors submitted all but one financial and performance reports that Reclamation had required, and submitted all but two by their due date or within 2 weeks of this date. We found that Reclamation\u2019s requirements are consistent with relevant federal grant regulations in OMB\u2019s Uniform Guidance, which provide that federal awarding agencies, including Reclamation, generally are to collect financial reports from project sponsors at least annually.", "Ongoing Communication and Site Visits. To further monitor the performance of Title XVI grants, Reclamation officials communicate regularly with project sponsors via telephone and email and conduct site visits to obtain information on the status of the projects, according to Reclamation officials and project sponsors. Based on our review of agency guidance, Reclamation generally is to conduct at least one site visit per year for projects with significant on-the-ground activities, such as construction projects. During the visits, agency officials generally are to receive updates on progress made on the project and determine if it is on schedule and meets the scope of work identified in the financial assistance agreement. Reclamation generally requires officials to document these visits and other monitoring activities in project files, according to agency documents. Through the site visits and other communication with project sponsors, agency officials may also provide information on program requirements and respond to project sponsors\u2019 questions about the Title XVI program. For example, during site visits, Reclamation officials have responded to project sponsors\u2019 questions about the status of payments and allowable project costs and clarified requirements for financial and performance reports, according to our review of agency documents and interviews with project sponsors. In our review of Reclamation\u2019s Title XVI construction grants active in fiscal year 2017, we found that Reclamation generally conducted annual site visits for Title XVI construction projects that year. We found that this is consistent with federal grant regulations in OMB\u2019s Uniform Guidance, which state that federal awarding agencies may make site visits as warranted by program needs.", "Data Collection. Reclamation also annually collects data on the amount of water delivered from each Title XVI construction project, as well as projected water deliveries for the coming year. Reclamation analyzes the water delivery data, compares projected data to actual deliveries, and follows up with project sponsors to understand any discrepancies, according to agency officials. For example, actual water deliveries could be lower than projected deliveries if communities implement water conservation measures that result in projects having less wastewater to treat and deliver for reuse. According to Reclamation officials, information on the amount of reused water delivered from Title XVI projects helps them to monitor progress on Title XVI projects and helps demonstrate the benefits and accomplishments of the Title XVI program. These data are consolidated and included in Interior\u2019s annual performance report to demonstrate how the agency is meeting Interior\u2019s objective of achieving a more sustainable and secure water supply. Collecting data on Title XVI water deliveries is consistent with the Title XVI program\u2019s purpose of supporting water supply sustainability by providing financial and technical assistance to local water agencies for the planning, design, and construction of water reuse projects."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of the Interior for review and comment. The Department of the Interior provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Information on Construction Projects Eligible under the Title XVI Water Reclamation and Reuse Program", "paragraphs": ["This appendix provides information on construction projects that are individually congressionally authorized under the Bureau of Reclamation\u2019s Title XVI Water Reclamation and Reuse Program (Title XVI), as well as projects to which Reclamation awarded grants under the Water Infrastructure Improvements for the Nation Act (WIIN Act) funding opportunity in fiscal year 2017. Figure 9 below provides information on the 53 construction projects that have been individually authorized by Congress under the Title XVI program. The projects are ordered by the total amount of Title XVI funding each was awarded from fiscal years 1992 through 2017, from highest to lowest.", "Figure 10 below provides information on the three construction projects to which Reclamation awarded grants under the Title XVI WIIN Act funding opportunity in fiscal year 2017. The projects are ordered by the total Title XVI funding each was awarded in fiscal year 2017\u2014the first year that grants were awarded under the WIIN Act\u2014from highest to lowest."], "subsections": []}, {"section_title": "Appendix II: Information on the Evaluation Criteria Used to Select Projects to Award Grants under the Title XVI Program", "paragraphs": ["This appendix provides detailed information on the evaluation criteria the Bureau of Reclamation used to select projects to award grants under the Title XVI Water Reclamation and Reuse Program (Title XVI). The six evaluation criteria Reclamation used to select construction projects to fund in fiscal year 2018 are as follows (points are out of a total of 110 points). 1. Water Supply (35 points) a. Stretching Water Supplies (18 points): Points will be awarded based on the extent to which the project is expected to secure and stretch reliable water supplies. Consideration will be given to the amount of water expected to be made available by the project and the extent to which the project will reduce demands on existing facilities and otherwise reduce water diversions. b. Contributions to Water Supply Reliability (17 points): Points will be awarded for projects that contribute to a more reliable water supply. 2. Environment and Water Quality (12 points): Points will be awarded based on the extent to which the project will improve surface, groundwater, or effluent discharge quality; will restore or enhance habitat for nonlisted species; will address problems caused by invasive species; or will provide water or habitat for federally listed threatened or endangered species. Indirect benefits of the project will also be considered under this criterion. 3. Economic Benefits (35 points) a. Cost Effectiveness (10 points): Points will be awarded based on the cost per acre-foot of water expected to be delivered upon completion of the project and how the cost of the project compares to a nonreclaimed water alternative. b. Economic Analysis and Project Benefits (25 points): Points will be awarded based on the analysis of the project\u2019s benefits relative to the project\u2019s costs. 4. Department of Interior Priorities (10 Points): Points will be awarded based on the extent that the proposal demonstrates that the project supports the Department of the Interior priorities, such as utilizing natural resources and modernizing infrastructure. 5. Reclamation\u2019s Obligations and Benefits to Rural or Economically Disadvantaged Communities (8 points) a. Legal and Contractual Water Supply Obligations (4 Points): Points will be awarded for projects that help to meet Reclamation\u2019s legal and contractual obligations. b. Benefits to Rural or Economically Disadvantaged Communities (4 Points): Points will be awarded based on the extent to which the project serves rural communities or economically disadvantaged communities in rural or urban areas. 6. Watershed Perspective (10 Points): Points will be awarded based on the extent to which the project promotes or applies a watershed perspective by implementing an integrated resources management approach, implementing a regional planning effort, forming collaborative partnerships with other entities, or conducting public outreach.", "Reclamation changed some of its evaluation criteria in fiscal years 2017 and 2018. The fiscal year 2017 changes were made in response to requirements in the Water Infrastructure Improvements for the Nation Act (WIIN Act)\u2014which listed several criteria for projects, including projects that provide multiple benefits\u2014and comments from the Office of Management and Budget, according to Reclamation officials. The fiscal year 2018 changes were generally made in response to comments Reclamation received during the formal comment period it held in March and April 2018 to solicit input on the criteria, according to Reclamation officials. The changes to the criteria are shown in table 4."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Elizabeth Erdmann (Assistant Director), Lesley Rinner (Analyst-in-Charge), Margaret Childs, and Sierra Hicks made key contributions to this report. Ellen Fried, Timothy Guinane, Thomas M. James, John Mingus, Patricia Moye, Anne Rhodes-Kline, Sheryl Stein, and Sara Sullivan made additional contributions."], "subsections": []}]}], "fastfact": ["Population growth and drought are among the factors taxing the U.S. water supply, particularly in the West. Reuse or recycling of wastewater that is typically unusable can help boost supplies. Water can be treated and then put to work in many ways, including irrigating parks and farms, and cooling power plants.", "A Bureau of Reclamation program awards grants to water districts and other project sponsors seeking to reuse water and add to supplies. From 1992 through 2017, it awarded about $715 million for 46 construction projects and 71 studies. Nearly all of the funding\u2014about $703 million\u2014went for construction projects that recycled water."]} {"id": "GAO-18-115", "url": "https://www.gao.gov/products/GAO-18-115", "title": "Federal Criminal Restitution: Factors to Consider for a Potential Expansion of Federal Courts' Authority to Order Restitution", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Victims of federal crimes may be compensated for their losses through criminal proceedings when federal courts order restitution during a defendant's sentencing. Federal law dictates the crimes for which restitution is mandatory versus discretionary and what types of losses may be compensated. Federal prosecutors and Department of Justice officials are responsible for proving and litigating issues related to victims' losses for restitution orders, enforcing orders of restitution, and collecting criminal debt, including unpaid restitution.", "The Justice for All Reauthorization Act of 2016, Pub. L. No. 114-324, contains a provision for GAO to conduct a review on the factors that should be considered when broadening restitution provisions. This report describes factors stakeholders believe should be considered for a potential expansion of federal courts' authority to award restitution.", "To gather information on factors, GAO interviewed a non-generalizable group of stakeholders knowledgeable about the restitution process, including individuals and entities representing federal judges and court officials, federal prosecutors and Department of Justice officials, victims, and defendants and their counsel. GAO also reviewed relevant federal laws, legal cases, agency documentation, summary data on orders for restitution from fiscal years 1996 through 2016, and the amount of outstanding restitution debt owed in federal cases as of the end of fiscal year 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal courts have authority to award restitution for authorized losses to eligible victims. Generally, victims are those directly and proximately harmed as a result of a defendant's offense of conviction and they may be awarded compensation for their actual or \u201cout-of-pocket\u201d losses. Provisions for the potential expansion of restitution contained in the Justice for All Reauthorization Act of 2016 that GAO reviewed could allow for courts to award restitution to additional victims and for a greater scope of losses. Stakeholders GAO interviewed identified various factors to consider related to these potential expansion provisions, for example:", "Restitution for related conduct and no proximate cause requirement . A factor stakeholders stated should be considered in potentially allowing restitution for conduct that is broader than the offense of conviction was that it could be a violation of a defendant's constitutional right to due process because restitution could be awarded for conduct for which the defendant's guilt was not established. In addition, they said it could lead to increased complexity to determine victim losses, which could create challenges for federal prosecutors and could result in less restitution being awarded. For a potential expansion of restitution to compensate harm that was not proximately caused by the defendant (i.e., harm that was not reasonably foreseeable as a result of the offense) stakeholders said factors that should be considered include that the current proximate harm requirement does not present challenges and that such an expansion could lead to additional sentencing-related hearings and litigation.", "Restitution to restore victims to their position had the offense not been committed . Stakeholders said this provision is already a goal of federal restitution, but that a potential expansion could allow judges more discretion to order restitution for victim losses not specified by statute, which could help restore the victim to his or her pre-offense condition.", "Restitution for any injury, harm, or loss, including emotional distress . A factor stakeholders identified in potentially expanding restitution to cover intangible losses, including emotional distress, included that it could increase the complexity of the restitution process because these are not easily quantified losses. Relatedly, stakeholders said that the suitability of criminal versus civil proceedings should be considered because the civil system, through which crime victims may seek compensation at their own expense, is set up to handle these issues and losses, whereas officials involved in criminal cases lack the specialized skills to determine these kinds of losses.", "Stakeholders GAO interviewed identified additional factors related to the potential broadening of courts' authority to order restitution generally; for example, they told GAO that increased restitution debt and collectability challenges should be considered. According to the Department of Justice, the amount of outstanding restitution debt owed in federal cases as of the end of fiscal year 2016 was $110.2 billion. Stakeholders stated that defendants often lack the financial resources to pay restitution and adding to the uncollected restitution debt through a potential expansion of authority could lead to further collection challenges."]}], "report": [{"section_title": "Letter", "paragraphs": ["The impact of crime on an individual victim often has significant emotional, psychological, physical, financial, and social consequences. The primary goal of federal criminal restitution is remedial or compensatory and federal courts may order defendants to pay restitution to compensate victims for their losses as authorized by statute during sentencing. Federal law dictates the crimes for which restitution is mandatory versus discretionary and what types of harms may be compensated. For example, federal courts are required to order restitution following conviction for crimes such as stalking, arson, sexual exploitation of children, and fraud as well as all other crimes of violence and property crimes. In addition, federal courts are permitted, but not required, to order victim restitution related to other offenses in Title 18 of the U.S. Code\u2014for example, conspiracies to commit tax evasion and violate civil rights\u2014and various controlled substance offenses under Title 21, among others. Further, federal courts may also order restitution to the extent agreed to by the parties in a plea agreement, including to persons other than the victim. If no statutory authority for ordering restitution is applicable to a specific offense, the court may nevertheless order restitution to the victim, solely as a condition of probation or supervised release. The types of compensable expenses specified in statute include, for example, the costs of medical and other services related to physical, psychiatric, and psychological care, and reimbursement for lost income as a result of the offense, among other enumerated losses.", "The Justice for All Reauthorization Act of 2016 contains a provision for us to conduct a review and, within 180 days, report on the factors that should be considered when broadening restitution provisions, including four areas. The four expansion areas are as follows: (1) to apply to victims who have suffered harm, injury, or loss that would not have occurred but for the defendant\u2019s related conduct; (2) in the case of an offense resulting in the victim\u2019s death, to allow the court to use its discretion to award the income lost by the victim\u2019s surviving family members or estate as a result of the victim\u2019s death; (3) to require that the defendant pay to the victim an amount determined by the court to restore the victim to the position he or she would have been in had the defendant not committed the offense; and (4) to require the defendant compensate the victim for any injury, harm, or loss, including emotional distress, that occurred as a result of the offense. See appendix I for additional information on these four expansion areas to broaden courts\u2019 authority to order restitution. To meet the 180 day reporting requirement, we provided a briefing to your staff in June 2017. This report transmits the final results of our review. Specifically, this report describes the factors reported by stakeholders we interviewed that should be considered for a potential expansion of federal courts\u2019 authority to award restitution in these four specific areas.", "To gather information on factors related to expanding federal courts\u2019 authority to order restitution, we reviewed the process of ordering restitution to victims in federal criminal proceedings, and identified four key groups: federal judges and court officials (including clerks and probation officers), prosecutors and Department of Justice (DOJ) officials, victims, and defendants and their counsel. In order to obtain the perspectives of representatives from each of these key groups, we interviewed stakeholders, including officials from the federal judiciary and DOJ, representatives from associations, and four individuals knowledgeable about the federal restitution process referred to us by other officials. Stakeholders we interviewed included at least two individuals or entities representing federal judges and court officials, prosecutors and DOJ officials, victims, and defendants and their counsel. We provided stakeholders with a summary of their opinions in order to ensure we correctly captured their views. Table 1 lists those that we interviewed and their affiliation with the federal restitution process. While the information gathered from our interviews is not generalizable to all stakeholders in the federal restitution process, it does provide insights into factors associated with expanding the authority of the federal courts to order restitution from key stakeholder groups in the restitution process.", "We also reviewed relevant federal laws and legislative history, legal cases, agency documentation, our past work on restitution, Congressional Research Service reports, and secondary legal sources on restitution, including law review articles and publications. In addition, we reviewed summary data on orders for restitution from the U.S. Sentencing Commission (USSC) from fiscal years 1996 through 2016, a time period starting after enactment of the Mandatory Victims Restitution Act of 1996 (MVRA) through the most recent fiscal year for which complete data were available. We also reviewed summary data from DOJ on the total amount of outstanding restitution debt owed in federal cases reported for fiscal year 2016, the most recent fiscal year for which complete data are available. To assess the reliability of the data, we reviewed agency documents and interviewed responsible officials to understand their methods for collecting, reporting, and validating the data. We found the data to be sufficiently reliable for the purposes of our report.", "We conducted this performance audit from January 2017 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Involved in the Federal Restitution Process", "paragraphs": ["Victims of federal crimes may be compensated for their losses through criminal proceedings when a federal court orders restitution pursuant to statute. Restitution is part of the sentencing process for federal offenders and there are four key groups of stakeholders involved:", "Judges and court officials. The federal judiciary consists of a system of courts that has the critical responsibility of ensuring the fair and swift administration of justice in the United States and handles all federal civil, criminal, and bankruptcy cases and reviews of federal administrative agency cases throughout the country. The federal courts have various responsibilities in the restitution process. Federal judges are responsible for ordering the proper amount and type of restitution, including payment schedules and modifications. Federal probation officers are responsible for the presentence report, which must include information for the court to use in fashioning a restitution order, including, among other things, a complete accounting of the losses to each victim and information about the economic circumstances of each defendant. Following a defendant\u2019s sentencing and the imposition of restitution, probation officers supervise offenders to ensure compliance with orders for restitution, including conducting ongoing financial investigations, supporting U.S. Attorneys\u2019 Offices in the collection and enforcement of restitution orders, notifying the federal court of an offender\u2019s failure to pay outstanding restitution, and making recommendations to amend orders based on changes in an offender\u2019s ability to pay. Clerks of federal courts are responsible for receipting and disbursing restitution payments and notifying DOJ of such. In addition, the Director of the Administrative Office of the U.S. Courts has statutory responsibilities related to the restitution process, including establishing procedures and mechanisms within the judicial branch for processing fines, restitution, forfeitures of bail bonds or collateral, and assessments. The Judicial Conference of the United States, a body of 27 judges over which the Chief Justice of the United States presides, is the judiciary\u2019s principal policymaking body and operates through a network of committees created to address and advise on a wide variety of subjects such as budget, criminal law, and court administration. Given the role of the judiciary in the restitution process, the Judicial Conference has taken policy positions on various restitution-related issues and has supported various legislative proposals to improve the process.", "Prosecutors and DOJ officials. DOJ officials are responsible for prosecuting federal offenses, identifying victims of crime and informing them of restitution to which they may be entitled, identifying victim losses and harms that are subject to restitution after consulting with victims and providing that information to probation officers, demonstrating the amount of loss sustained by the victim, enforcing orders of restitution, and collecting criminal debt, including unpaid restitution. Various entities and officials within DOJ are responsible for these activities, including federal prosecutors in the Criminal Division and the U.S. Attorneys\u2019 Offices, and their respective Financial Litigation Units.", "Victims. A federal crime victim is a person directly and proximately harmed as the result of a federal offense. Federal crime victims are entitled to full and timely restitution as provided in law. Victims may provide information to prosecutors, probation officers, and to the court about their losses and have a right to be heard at sentencing, but are not required to participate in any phase of the restitution proceedings.", "Defendants and their counsel. Defendants who commit federal crimes where an identifiable victim suffered a physical injury or monetary loss are generally required to pay restitution. Defendants are required to submit information about their financial resources and the financial needs and earning ability of their dependents to the court and have the burden of demonstrating these resources and needs in any restitution proceedings. Defendants are generally represented by counsel in criminal proceedings and according to the judiciary approximately 90 percent qualify for court-appointed counsel under the Criminal Justice Act because they are financially unable to retain counsel in federal criminal proceedings. Court-appointed counsel is provided by Federal Defender Organizations and panel attorneys. A defendant may be convicted pursuant to plea agreement with the government or after a trial; more than 90 percent of defendants plead guilty rather than go to trial. A defendant is referred to as an offender following conviction of an offense."], "subsections": []}, {"section_title": "Compensation in the Restitution Process", "paragraphs": ["Restitution is only available to victims and for harms as statutorily authorized. Congress passed the MVRA in 1996, which substantially revised the restitution process. The legislative history reflects the balancing of competing interests\u2014including ensuring that the loss to crime victims is recognized, that they receive the restitution that they are due, and also that the offender realizes the damages caused by the offense and pays the debt owed to the victim as well to society. As provided in the legislative history, one of the ways that the law sought to balance the application of mandatory restitution was by limiting it to the instances where a named identifiable victim suffered a physical injury or monetary loss as a direct and proximate result of the defendant\u2019s offense of conviction. This means that the victim would not have been harmed \u201cbut for\u201d the conduct underlying the offense of conviction and also that the harm was proximately caused by the conduct. Proximately caused means that the causal nexus between the conduct and the loss is not too attenuated either factually or temporally. As such, a defendant is not held liable for downstream effects of an act where there were additional, intervening causes not sufficiently related to the offense. For example, a rapist would not be held responsible for the death of a hospitalized rape victim who died in a hospital fire. In addition, the loss caused by the defendant\u2019s conduct underlying the offense of conviction establishes the outer limits of the restitution order. This means that harms caused by the defendant\u2019s conduct that were related to, but outside the scope of, the crime of conviction cannot be compensated through restitution. For example, a defendant who was convicted of illegally possessing a firearm but acquitted of using the firearm to shoot someone would not be liable for restitution for medical costs for the shooting victim.", "The restitution statutes specify the types of harm that may be compensated, and federal case law interpreting these statutes provides guidance to courts when ordering restitution. For example, when a crime results in bodily injury to a victim, compensable expenses include the costs of medical and other services related to physical, psychiatric, and psychological care; costs for necessary physical and occupational therapy and rehabilitation; and reimbursement for lost income as a result of the offense, among other enumerated losses. Courts have also ordered restitution for a victim\u2019s actual losses that were proximately caused by the defendant\u2019s conduct even when not explicitly listed in statute. When restitution is ordered by the court, it is to be in the full amount of each victim\u2019s losses without consideration of the economic circumstances of the defendant. During a defendant\u2019s sentencing, additional hearings may be held to examine losses to victims for restitution and prosecutors are responsible for proving and litigating issues related to victims\u2019 losses. Restitution may be imposed by the federal courts up to 90 days after sentencing if additional time is needed by the court to locate victims and calculate losses. In some cases, courts can decline to order restitution, such as when the court determines that fashioning an order of restitution would complicate or prolong the sentencing process so much that the need to provide restitution is outweighed by the burden on the sentencing process.", "Separate from criminal restitution, victims may seek compensation from the offender by pursuing litigation at their own expense through a civil proceeding in a federal, state, or local court. In the United States, criminal and civil proceedings are separate legal systems subject to different laws, standards, and rules of procedure. The types of harms for which a victim may receive compensation differ in a civil proceeding. For example, federal criminal courts may order restitution to reimburse a victim for medical expenses, but cannot order compensation for pain and suffering caused by a crime. However, a victim may seek compensation for pain and suffering by filing a civil action against the defendant, as well as for other types of damages that are not available through restitution. Other types of civil remedies not compensable as criminal restitution include intended harm, punitive damages, breach of contract, and disgorgement of ill-gotten gains, among others. Figure 1 below outlines the steps taken for compensation of victims of federal crimes through federal criminal restitution and civil proceedings."], "subsections": []}, {"section_title": "Total Restitution Ordered Since 1996", "paragraphs": ["According to USSC data for fiscal years 1996 through 2016, the percentage of offenders ordered to pay restitution by federal courts has remained fairly steady. From fiscal years 1996 through 2016, an average of 15 percent of individual offenders and 32 percent of organizational offenders annually were ordered to pay restitution by the federal courts (see fig. 2). For more information on the restitution imposed by the federal courts from fiscal years 1996 through 2016, see appendix II."], "subsections": []}, {"section_title": "Collection of Restitution", "paragraphs": ["We have previously reported on issues related to the collection of federal restitution and currently have ongoing work on DOJ\u2019s collection of restitution pursuant to the Justice for All Reauthorization Act of 2016. According to data DOJ provided to us, the total outstanding restitution debt owed in federal cases as of the end of fiscal year 2016 was $110.2 billion. DOJ, through its U.S. Attorneys\u2019 Offices\u2019 Financial Litigation Units, is responsible for collecting restitution debt from offenders. This collection typically begins after offenders are sentenced and ordered to pay restitution and includes enforcement actions such as filing garnishments and liens. We noted in our 2001 and 2004 reports that collection of outstanding restitution debt is inherently difficult due to a number of factors, such as offenders who may be incarcerated or have minimal earning capacity and the MVRA requirement that the assessment of restitution be based on actual loss and not on an offender\u2019s ability to pay. In 2005, we reported that court-ordered restitution amounts far exceed likely collections for crime victims in selected financial fraud cases. Specifically, we found that these offenders, who had either been high-ranking officials of companies or operated their own businesses, pleaded guilty to crimes for which the courts ordered restitution totaling about $568 million to victims. As of the completion of our fieldwork, which was up to 8 years after the offenders\u2019 sentencing, court records showed that amounts collected for the victims in these cases totaled only about $40 million, or about 7 percent of the ordered restitution."], "subsections": []}]}, {"section_title": "Stakeholders Identified Various Factors Related to the Potential Expansion of Federal Courts\u2019 Authority to Order Restitution", "paragraphs": ["Stakeholders we interviewed identified various factors related to the potential expansion of federal courts\u2019 authority to order restitution in the four areas listed in the Justice for All Reauthorization Act of 2016: (1) to apply to victims who have suffered harm, injury, or loss that would not have occurred but for the defendant\u2019s related conduct; (2) in the case of an offense resulting in the victim\u2019s death, to allow the court to use its discretion to award the income lost by the victim\u2019s surviving family members or estate as a result of the victim\u2019s death; (3) to require that the defendant pay to the victim an amount determined by the court to restore the victim to the position he or she would have been in had the defendant not committed the offense; and (4) to require the defendant compensate the victim for any injury, harm, or loss, including emotional distress, that occurred as a result of the offense. Stakeholders also identified additional factors to consider, beyond the ones identified for the four provisions above, for potential broadening of courts\u2019 authority to order restitution generally. For a summary of the provisions and factors cited by stakeholders, see appendix I."], "subsections": [{"section_title": "Factors to Consider in a Potential Expansion of Restitution Authority if it were to Include a Defendant\u2019s Related Conduct and Eliminate the Proximate Cause Requirement", "paragraphs": [], "subsections": [{"section_title": "Related Conduct", "paragraphs": ["Federal courts have the authority to order defendants to pay restitution for a victim\u2019s losses that resulted from the defendant\u2019s conduct underlying the offense of conviction. However, at times, a defendant\u2019s related conduct can be broader than the offense of conviction and can include criminal conduct for which the defendant\u2019s guilt was not established either by trial or plea agreement with the government. For example, in a case before the Fourth Circuit where restitution was not allowed for conduct that was broader than the offense of conviction, the government asserted that the defendant was the ringleader of a nationwide pickpocketing ring and submitted a list of victims for restitution that included five financial institutions and four individuals who had suffered losses. However, because the defendant had pleaded guilty to, and was convicted for, fraudulent use of a credit card related to one individual on one date\u2014and the defendant\u2019s offense did not involve as an element a scheme, conspiracy, or pattern\u2014the court determined that restitution was not proper for the additional victims because they were not harmed by the conduct underlying the offense of conviction. On the other hand, when a defendant has been convicted of an offense that involves as an element a scheme, conspiracy, or pattern, the court may order restitution for direct harm caused by that scheme, conspiracy, or pattern. For example, in another case involving credit card fraud, because the defendant pleaded guilty to and was convicted of conspiracy to traffic in counterfeit credit cards\u2014in contrast to the previous case where the defendant was convicted of only one fraudulent use\u2014the Eleventh Circuit held that the sentencing court could order a defendant to pay restitution for losses from additional credit card fraud that were to advance the conspiracy.", "Stakeholders we interviewed identified the following factors to consider if federal courts\u2019 authority were to be broadened to allow a defendant\u2019s related conduct to be included in an order for restitution:", "Constitutional issues. Eight of 10 stakeholders we spoke with identified potential constitutional issues if the federal courts could order restitution for a defendant\u2019s related conduct. For example, two stakeholders representing defendants and an association representing federal prosecutors told us that including a defendant\u2019s related conduct in orders for restitution could result in potential violations of a defendant\u2019s rights under the Fifth Amendment\u2019s Due Process Clause, which provides that no person shall be deprived of life, liberty, or property without due process of law. This was also a concern noted in the legislative history of the MVRA, and an individual knowledgeable about restitution we interviewed noted that the Supreme Court has also suggested that due process could be a concern if the court were to order federal criminal restitution beyond the conduct underlying the conviction.", "Increased complexity to determine losses. Four of 10 stakeholders we spoke with stated that if the authority of federal courts to order restitution were broadened to allow inclusion of harms for a defendant\u2019s related conduct, there would be increased complexity to determine losses for restitution. For example, DOJ officials told us that inclusion of a defendant\u2019s related conduct would allow restitution to be open to a larger pool of potential victims, and identifying and calculating losses for all victims with a nexus to the offense of conviction could become an impossible task. An association representing federal prosecutors stated that this increased complexity could have the effect of federal courts ordering less restitution through the exception for complex cases, which would negatively impact victims.", "DOJ\u2019s practices for plea bargaining. In contrast, two individuals we spoke with who represent victims stated that prosecutors could more consistently follow DOJ\u2019s guidelines to include a defendant\u2019s related conduct in plea agreements without expanding federal courts\u2019 authority to order restitution. DOJ guidelines, which are based on statutory direction, provide that prosecutors must consider requesting full restitution to all victims for all charges contained in the indictment, without regard to the counts to which the defendant actually pleaded guilty. In other words, when DOJ and the defendant agree to certain terms as part of a plea agreement in which the defendant pleads guilty to one or more charged offenses, or lesser or related offenses, prosecutors must consider requesting the defendant pay restitution for all of the charges, not just the ones to which the defendant is pleading guilty. As a result, federal courts may order restitution pursuant to the plea agreement for losses sustained by crime victims for related conduct or criminal conduct that is not part of the offense of conviction."], "subsections": []}, {"section_title": "Proximate Cause", "paragraphs": ["Federal courts currently have the authority to order an offender to pay restitution to victims who have suffered harms as a direct and proximate consequence of the crime of conviction. This means that the harm must have been not only caused by the offense, as a matter of fact, but also that it was reasonably foreseeable as a result of the offense. For example, courts have allowed damage caused by the escape from a robbery\u2014such as damage to police cars hit during a car chase\u2014to be compensable as restitution because the flight was casually related to the bank robbery. Although 5 of 10 stakeholders stated that the proximate harm requirement does not generally present challenges related to federal courts\u2019 authority to order restitution, stakeholders identified additional factors to consider if the federal courts\u2019 authority were to be expanded to eliminate the proximate cause requirement:", "Additional sentencing-related hearings and litigation. Three of 10 stakeholders we interviewed stated that eliminating the proximate harm requirement could result in prolonged sentencing for defendants due to additional sentencing-related hearings and litigation. For example, judiciary officials and an association representing federal prosecutors stated that if federal courts\u2019 authority to order restitution were expanded to eliminate the proximate harm requirement, more litigation would be required during sentencing to examine harms to victims and to determine how losses related to the offense of conviction.", "Plea bargaining could be affected. Two of 10 stakeholders we interviewed stated that eliminating the proximate harm requirement would impact plea bargaining between defendants and DOJ. For example, an individual knowledgeable about federal restitution stated that eliminating proximate harm would hinder plea bargaining as during plea agreement negotiations a defendant would no longer have a sense of how much federal criminal restitution could be ordered. At the time the MVRA was passed, Congress also recognized the central role of plea bargaining in the federal criminal justice system with the legislative history of the MVRA noting the intent that the legislation not impair the role of plea bargaining."], "subsections": []}]}, {"section_title": "Factors to Consider in the Potential Expansion of Restitution to Include Income Lost by Deceased Victims and Their Family Members", "paragraphs": ["In cases involving the death of a crime victim, federal courts may order restitution for losses to be paid to a deceased crime victim\u2019s surviving family members or estate, including for funeral expenses, as applicable. Further, according to 6 of 10 stakeholders we interviewed, federal courts currently have the authority to order compensation for future lost income of a deceased crime victim\u2019s family member or estate due to precedent established in case law. For example, the Tenth Circuit held that restitution for the future lost income of a three-month-old victim of voluntary manslaughter was not precluded by the MVRA; thus a court may exercise its discretion in declining to grant an award, or, as it did in this case, undertake such proceedings. In a Ninth Circuit case, the court held that \u201crestitution for future lost income may be ordered under the MVRA so long as it is not based upon speculation, but is reasonably calculable,\u201d and returned the case to the district court to redetermine the amount of restitution to be awarded.", "Stakeholders we interviewed also identified the following factors to consider if federal courts\u2019 authority were to be expanded to include compensation for the future lost income of a deceased crime victim and to compensate the deceased victim\u2019s surviving family members for their lost income as a result of the victim\u2019s death: Increased victim compensation awards. Four of 10 stakeholders we interviewed stated that expanding federal courts\u2019 authority to include compensation for future lost income of a deceased crime victim could result in more compensation awarded through restitution. For example, three stakeholders representing victims stated if this provision were specified or made explicit in statute, it would be more likely that federal courts would order compensation for the future lost income of a deceased crime victim. One of the stakeholders added that having such loss specified and enumerated in restitution statutes would ensure it is considered during the restitution process and is less likely to be challenged during appeal. Further, another stakeholder representing victims stated that including the surviving family members\u2019 lost income in a restitution order could allow for compensation of those family members who lost income prior to a victim\u2019s death, such as in cases where those family members provided care to a victim prior to the victim\u2019s death.", "Complexity of calculation and need for experts. Three of 10 stakeholders we interviewed stated that determining a deceased crime victim\u2019s future and family members\u2019 lost income would add complexity to the restitution process. For example, an association representing federal prosecutors stated that it would be difficult for federal probation officers and prosecutors to determine the amount of future lost income for deceased victims as that area of specialization is currently in civil law. In addition, DOJ officials stated that the complexity and need for experts to make these specialized calculations could increase the cost of prosecution given the government\u2019s burden to prove victim losses.", "Suitability of criminal versus civil proceedings. Three of 10 stakeholders we interviewed stated that compensation for a deceased crime victim\u2019s future and family members\u2019 lost income is more appropriate for litigation through civil proceedings rather than combining or merging such litigation in a federal criminal proceeding. For example, an association representing defendants stated that federal criminal proceedings are not suitable venues to fairly vet and litigate this type of victim issue. This stakeholder further stated that issues of this type are routinely litigated vigorously in civil proceedings and involve extensive discovery practices, such as taking of depositions, exchanges of documents, and assessments by competing experts. An association representing federal prosecutors additionally noted that federal prosecutors are not well positioned to handle typical civil losses in criminal trials.", "Sentencing of defendants could be prolonged. Two of 10 stakeholders we interviewed stated that including a deceased crime victim\u2019s future and family members\u2019 lost income in an order for restitution could result in a defendant\u2019s sentencing being prolonged. For example, judiciary officials stated that the sentencing of defendants could take more time due to the need for multiple hearings to examine losses and calculate a deceased crime victim\u2019s future lost income.", "Collectability of debt due to these offenders\u2019 ability to pay. Two of 10 stakeholders stated that the potential collectability of restitution from offenders for a deceased crime victim\u2019s future and family members\u2019 lost income should be considered. For example, an association representing federal prosecutors stated that these offenders are most likely to be incarcerated with the least ability to pay. As a result, the amount of resources needed to order restitution compared to collectability of the debt for a deceased crime victim\u2019s future lost income should be considered. Further, according to that stakeholder, resources\u2014such as prosecutorial expertise, money to hire experts, judicial resources like probation officers\u2014need to be weighed against the collectability of the debt. This issue was also described in the legislative history of the MVRA: significant number of defendants required to pay restitution\u2026will be indigent \u2026 many\u2026may also be sentenced to prison terms as well, making it unlikely that they will be able to make significant payments\u2026 At the same time, these factors do not obviate the victim\u2019s right to restitution or the need that defendants be ordered to pay restitution."], "subsections": []}, {"section_title": "Factors to Consider in the Potential Expansion of Restitution to Restore the Victim to His or Her Position Had the Offense Not Been Committed", "paragraphs": ["According to 6 of 10 stakeholders we interviewed, the provision \u201cto require that the defendant pay to the victim an amount determined by the court to restore the victim to the position he or she would have been in had the defendant not committed the offense\u201d is already the goal of federal restitution. These stakeholders stated that this is established in case law and is not an expansion of federal courts\u2019 current authority. Other stakeholders we interviewed identified the following factor to consider if federal courts\u2019 authority were to be expanded to include the provision \u201cto require that the defendant pay to the victim an amount determined by the court to restore the victim to the position he or she would have been in had the defendant not committed the offense\u201d:", "Expansion of authority to include general restitution. Three of 10 stakeholders we interviewed stated that the provision would expand federal courts\u2019 authority to order restitution by allowing general restitution, meaning courts would have more discretion to determine awards for all harms that victims suffered in order to restore the victim to his or her pre-offense condition. Further, an association representing victims stated that federal courts\u2019 authority to order restitution is listed as elements or categories of losses. For example, losses such as the cost of necessary physical and occupational therapy and rehabilitation, and necessary funeral and related services, among others. This association explained that by including a provision for general restitution, the courts would be able to order restitution to victims for any losses outside of those categories, which would function as a catchall for all victim harm."], "subsections": []}, {"section_title": "Factors to Consider in the Potential Expansion of Restitution to Include Any Injury, Harm, or Loss, Including Emotional Distress That Occurred as a Result of an Offense", "paragraphs": ["Federal courts may order restitution for actual losses\u2014in other words, these must be tangible or \u201cout-of-pocket\u201d losses, and they must be supported by the record. This includes, for example, reimbursement of medical expenses for bodily injuries resulting from the victimizing offense. However, federal courts are not authorized to order restitution for losses such as pain and suffering and emotional distress to crime victims. For example, in a case where the defendant was convicted of committing a brutal hate crime against the victim, leaving him with severe physical injuries and depression, among other harms, the sentencing court acknowledged that it did not have authority to award restitution for pain and suffering and noted that the victim would be allowed to pursue civil remedies. Stakeholders we interviewed identified the following factors to consider if federal courts\u2019 authority were expanded to allow any injury, harm, or loss, including emotional distress, to be included in an order for restitution:", "Suitability of criminal versus civil proceedings. Five of 10 stakeholders we interviewed stated that including compensation to victims for any injury, harm, or loss, including emotional distress, in restitution orders raises issues related to the types of harms that should be compensated in civil versus criminal proceedings. For example, a stakeholder representing defendants stated that federal criminal law is not suited to determine injuries such as emotional distress and pain and suffering, whereas the civil system is set up to handle these kinds of issues and losses. Further, an association representing federal prosecutors stated that federal prosecutors and federal probation officers in criminal cases lack the specialized skills to determine losses for cases involving compensation for pain, suffering, and emotional distress. This was an issue that was considered during passage of the MVRA as well, as the report accompanying the MVRA provides, \u201cIt is the committee\u2019s intent that courts order full restitution to all identifiable victims of covered offenses, while guaranteeing that the sentencing phase of criminal trials do not become fora for the determination of facts and issues better suited to civil proceedings.\u201d", "Increased complexity to determine losses. Four of 10 stakeholders we interviewed stated that determining losses such as emotional distress and pain and suffering would add complexity to the restitution process. For example, DOJ officials stated that pain and suffering and emotional distress are not easily quantified and restitution hearings to examine such losses would involve experts trying to prove these kinds of losses."], "subsections": []}, {"section_title": "Stakeholders Identified Additional Factors to Consider Related to the Potential Expansion of Courts\u2019 Authority to Award Restitution", "paragraphs": ["Stakeholders we interviewed identified the following factors to consider related to the potential broadening of courts\u2019 authority to order restitution generally, in addition to the factors discussed above associated with particular expansions of federal courts\u2019 authority to order restitution: Increased restitution debt and collection challenges. Seven of 10 stakeholders we interviewed told us that increased restitution debt and collectability challenges should be considered in the potential broadening of federal courts\u2019 authority to order restitution. For example, two stakeholders representing defendants stated that offenders often lack the financial resources to pay restitution. Under the MVRA, federal courts must order mandatory restitution without consideration of a defendant\u2019s financial resources which has resulted in large amounts of uncollected federal restitution debt. These two stakeholders stated that by broadening federal courts\u2019 authority to order restitution, the amount of uncollected restitution debt owed to victims would continue to increase. One of these stakeholders further suggested that the addition of secondary restitution (i.e., additional victims entitled to compensation) could have the effect of reducing the amount paid to the primary victims because all classes of victims will be forced to compete for payment on restitution awards that will often far exceed an offender\u2019s ability to pay. According to judiciary officials, adding to the uncollected restitution debt would lead to further collection challenges, including the additional DOJ efforts needed to collect more restitution debt and additional supervision of offender restitution payments by probation officers. These issues were also observed during the passage of the MVRA. The report accompanying the law states that the Chair of the Criminal Law Committee of the Judicial Conference of the United States had testified before the Senate Judiciary Committee that 85 percent of all federal defendants are indigent at the time of sentencing and mandatory restitution would not lead to an appreciable increase in victim compensation; however, the report noted the Committee\u2019s view of the benefits of even nominal payments to victims as well as the potential penalogical benefits of requiring the offender to be accountable for the harm caused to the victim.", "Suitability of criminal versus civil proceedings. Seven of 10 stakeholders we interviewed told us that the suitability of criminal versus civil proceedings should be considered in the potential broadening of federal courts\u2019 authority to order restitution. According to judiciary officials, a system has been developed with rules to litigate damages in civil proceedings which are not included within criminal trials. Further, an association representing defendants told us that attorneys who directly represent alleged victims in civil proceedings are more appropriate parties to pursue this type of litigation. The association said this is because the prosecutor represents the public at large instead of an individual client, whereas a private attorney has an obligation to obtain a maximum recovery for the client. Comparing the process for the compensation of victims through restitution and civil proceedings, a stakeholder knowledgeable about federal restitution told us that the restitution process to compensate victims is more efficient for victims compared to civil proceedings which can last longer and result in victims incurring costs for ligation. Further, this individual stated that through the federal criminal restitution process in contrast to civil proceedings, victims receive help collecting funds through the federal courts, prisons, and probation officers during offender supervision. Other stakeholders did not consider the civil forum to be a suitable alternative for victims. One stakeholder representing victims stated that civil proceedings are inadequate for compensating victims and should not be considered. Additionally, another stakeholder representing victims also stated that victims may lack access to evidence to pursue civil litigation against an offender in cases where the conduct was not part of an offense of conviction or listed in a plea agreement. The legislative history of the MVRA also acknowledged the need for a balance, providing, as noted above, the intent that courts order full restitution but also that sentencing not become a forum for issues better suited to civil proceedings; to that end, the MVRA restricted mandatory restitution requirements to the specified set of crimes.", "Impacts to federal resources. Five of 10 stakeholders we interviewed told us that impacts to judiciary and DOJ resources\u2014 including increased workloads, additional legal services, and the need for more experts\u2014should be considered in the potential broadening of federal courts\u2019 authority to order restitution. According to judiciary officials, broadening federal courts\u2019 authority to order restitution could result in increased workloads by probation officers who could have to conduct more investigations to support additional restitution orders. As discussed above, federal probation officers could also be required to track and supervise more restitution payments. Officials from Federal and Community Defenders told us that if federal courts\u2019 authority to order restitution were broadened, additional legal services would need to be provided to offenders. For example, these officials stated that larger restitution orders could require increased workloads for federal defenders to work on behalf of offenders to modify payment schedules and their level of supervision by probation officers. Likewise, an association representing defendants stated that increased collection efforts could be required by U.S. Attorneys\u2019 Offices\u2019 Financial Litigation Units if the number of victims eligible for restitution increased. According to DOJ officials, prosecutors could experience increased workloads as they would be identifying more victims, thereby having to spend more time investigating and determining losses. Moreover, an association representing defendants told us that additional federal experts could be needed as sentencing courts and probation officers lack the resources and expertise to examine the harms that would result from broadening restitution authority. Attention to the costs to the justice system for mandatory restitution was considered in 1995, with the legislative history of the MVRA noting the attempt to reduce costs by limiting mandatory restitution to offenses in which an identifiable victim suffered a physical injury or monetary loss.", "Concerns about offenders\u2019 reentry into society. Two of 10 stakeholders we interviewed told us that offenders\u2019 reentry into society should be considered in the potential broadening of federal courts\u2019 authority to order restitution. These two stakeholders, an association that represents defendants and officials from Federal and Community Defenders, told us that if the authority of the federal courts to order restitution were broadened to include non-monetary harms, offenders would be further burdened in their ability to reenter society due to excessive monetary sanctions from restitution orders. Further, these two stakeholders stated that offenders with large restitution orders face challenges obtaining employment, securing housing, and satisfying other financial obligations, which could increase their risk for recidivism and reduce their ability to pay any restitution."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to DOJ, USSC, the Administrative Office of the U.S. Courts, and the Federal Judicial Center. The Administrative Office of the U.S. Courts provided technical comments that we incorporated as appropriate.", "We are sending copies of this report to the Attorney General, the Judicial Conference of the United States, the Directors of the Administrative Office of the U.S. Courts and the Federal Judicial Center, the Staff Director of USSC, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you and your staff have any questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Overview of Restitution Provisions for Potential Expansion in the Justice for All Reauthorization Act of 2016", "paragraphs": ["Table 2 summarizes and describes the provisions included in the Justice for All Reauthorization Act of 2016 for potential expansion of federal courts\u2019 authority to order restitution and the factors cited by stakeholders that Congress should consider in broadening existing restitution statutes. ."], "subsections": []}, {"section_title": "Appendix II: Restitution Imposed by the Federal Courts from Fiscal Years 1996 through 2016", "paragraphs": ["Table 3 and 4 summarize restitution imposed by the federal courts from fiscal years 1996 through 2016 for individual and organizational offenders."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Dawn Locke (Assistant Director); Carl Potenzieri; Janet Temko-Blinder; David Alexander; Sasan J. \u201cJon\u201d Najmi; Amber Edwards; Kathleen Donovan; and Emily Hutz, made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-660T", "url": "https://www.gao.gov/products/GAO-18-660T", "title": "Medicare: Actions Needed to Better Manage Fraud Risks", "published_date": "2018-07-17T00:00:00", "released_date": "2018-07-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Medicare covered over 58 million people in 2017 and has wide-ranging impact on the health-care sector and the overall U.S. economy. However, the billions of dollars in Medicare outlays as well as program complexity make it susceptible to improper payments, including fraud. Although there are no reliable estimates of fraud in Medicare, in fiscal year 2017 improper payments for Medicare were estimated at about $52 billion. Further, about $1.4 billion was returned to Medicare Trust Funds in fiscal year 2017 as a result of recoveries, fines, and asset forfeitures.", "In December 2017, GAO issued a report examining how CMS managed its fraud risks overall and particularly the extent to which its efforts in the Medicare and Medicaid programs aligned with GAO's Framework. This testimony, based on that report, discusses the extent to which CMS's management of fraud risks in Medicare aligns with the Framework. For the report, GAO reviewed CMS policies and interviewed officials and external stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["In its December 2017 report, GAO found that the Centers for Medicare & Medicaid Services' (CMS) antifraud efforts for Medicare partially align with GAO's 2015 A Framework for Managing Fraud Risks in Federal Programs (Framework). The Fraud Reduction and Data Analytics Act of 2015 required OMB to incorporate leading practices identified in this Framework in its guidance to agencies on addressing fraud risks.", "Consistent with the Framework, GAO determined that CMS had demonstrated commitment to combating fraud by creating a dedicated entity to lead antifraud efforts; the Center for Program Integrity (CPI) serves as this entity for fraud, waste, and abuse issues in Medicare. CMS also promoted an antifraud culture by, for example, coordinating with internal stakeholders to incorporate antifraud features into new program design. To increase awareness of fraud risks in Medicare, CMS offered and required training for stakeholder groups such as providers of medical services, but it did not offer or require similar fraud-awareness training for most of its workforce.", "CMS took some steps to identify fraud risks in Medicare; however, it had not conducted a fraud risk assessment or designed and implemented a risk-based antifraud strategy for Medicare as defined in the Framework. CMS identified fraud risks through control activities that target areas the agency designated as higher risk within Medicare, including specific provider types, such as home health agencies. Building on earlier steps and conducting a fraud risk assessment, consistent with the Framework, would provide the detailed information and insights needed to create a fraud risk profile, which, in turn, is the basis for creating an antifraud strategy.", "CMS established monitoring and evaluation mechanisms for its program-integrity control activities that, if aligned with an antifraud strategy, could enhance the effectiveness of fraud risk management in Medicare. For example, CMS used return-on-investment and savings estimates to measure the effectiveness of its Medicare program-integrity activities. In developing an antifraud strategy, consistent with the Framework, CMS could include plans for refining and building on existing methods such as return-on-investment, to evaluate the effectiveness of all of its antifraud efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its December 2017 report, GAO made three recommendations, namely that CMS (1) require and provide fraud-awareness training to its employees; (2) conduct fraud risk assessments; and (3) create an antifraud strategy for Medicare, including an approach for evaluation. The Department of Health and Human Services agreed with these recommendations and reportedly is evaluating options to implement them. Accordingly, the recommendations remain open."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to appear before you today to discuss ways to better manage Medicare fraud risks that we identified in a recent report. Although there are no reliable estimates of fraud in Medicare, in fiscal year 2017 improper payments for Medicare were estimated at about $52 billion.", "A recent example illustrates the scope and scale of fraud risks. The Department of Health and Human Services (HHS) Office of Inspector General\u2019s (OIG) latest Semiannual Report to Congress highlighted the recent activities of the Medicare Fraud Strike Force (Strike Force). During the period from October 1, 2017, through March 31, 2018, Strike Force efforts resulted in the filing of charges against 77 individuals or entities, 107 criminal actions, and more than $100.3 million in investigative receivables. In one example, a Strike Force investigation led to the conviction of two owners of a medical billing company, who were both found guilty of conspiracy and health-care fraud, for fraudulently billing Medicare for services that were never provided. They also conspired to circumvent Medicare\u2019s fraud investigation of one of the owners by creating sham companies. The owners were sentenced to 10 years in prison, and 15 years in prison, respectively, and ordered to pay nearly $9.2 million in restitution.", "Overall, HHS OIG and the Department of Justice report annually on monetary and other results of their efforts against health-care fraud and abuse: in fiscal year 2017, about $1.4 billion was returned to Medicare Trust Funds as a result of recoveries, fines, and asset forfeitures.", "Medicare, which is administered within HHS by its Centers for Medicare & Medicaid Services (CMS), has been on our high-risk list since 1990 because of the size and complexity of the program, and its susceptibility to fraud, waste, and abuse. Medicare covered over 58 million people in 2017 and it has wide-ranging current and long-term effects beyond beneficiaries, the health-care sector, and the overall U.S. economy. The following statistics illustrate the program\u2019s impact.", "According to the Congressional Budget Office (CBO), in 2017 Medicare outlays totaled $702 billion. Under current law, the outlays are projected to rise to $1.5 trillion in 2028, growing at about 7 percent a year; that is, faster than the economy, as the population ages and health-care costs rise.", "In 2017, these expenditures accounted for 3.7 percent of gross domestic product (GDP) and 17.6 percent of federal outlays. CBO estimates that, in 2028, under current law, Medicare will account for 5.1 percent of GDP and 21.9 percent of federal outlays.", "Over 1 million health-care providers, contractors, and suppliers from across the health sector\u2014including private health plans, physicians, hospitals, skilled-nursing facilities, durable medical equipment suppliers, ambulance providers, and many others\u2014receive payments from Medicare.", "Given the size and impact of Medicare on the health-care sector and U.S. economy overall, we recently reported on CMS\u2019s fraud risk management efforts relative to GAO\u2019s 2015 A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework). The Fraud Risk Framework describes key components and leading practices for agencies to proactively and strategically manage fraud risks. Our objectives in the December 2017 report were to determine: (1) CMS\u2019s approach for managing fraud risks across its four principal programs (including Medicare) and (2) how CMS\u2019s efforts for managing fraud risks in Medicare and Medicaid align with the Fraud Risk Framework.", "Drawing from the December 2017 report, my testimony today discusses the extent to which CMS\u2019s management of fraud risks in Medicare aligned with the Fraud Risk Framework and the actions needed to better manage fraud risks.", "We performed our work on CMS antifraud efforts in Medicare and Medicaid for the December 2017 report under the authority of the Comptroller General to assist Congress with its oversight. The report provides further detail on our scope and methodology. Because this statement focuses on Medicare, we have omitted references to Medicaid in some instances when discussing organizational structure and agency- wide efforts.", "We conducted the work in the December 2017 report in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Medicare is one of four principal health-insurance programs administered by CMS; it provides health insurance for persons aged 65 and over, certain individuals with disabilities, and individuals with end-stage renal disease. See table 1 for information about Medicare\u2019s component programs.", "Medicare is the largest CMS program, at $702 billion in fiscal year 2017. As discussed earlier, according to CBO, Medicare outlays are projected to rise to $1.5 trillion in 2028 (see fig. 1)."], "subsections": [{"section_title": "Fraud Vulnerabilities and Improper Payments in Medicare", "paragraphs": ["Fraud involves obtaining something of value through willful misrepresentation. There are no reliable estimates of the extent of fraud in the Medicare program, or in the health-care industry as a whole. By its very nature, fraud is difficult to detect, as those involved are engaged in intentional deception. Further, potential fraud cases must be identified, investigated, prosecuted, and adjudicated\u2014resulting in a conviction\u2014 before fraud can be established.", "As I mentioned earlier, we designated Medicare as a high-risk program in 1990 because its size, scope, and complexity make it vulnerable to fraud, waste, and abuse. Similarly, the Office of Management and Budget (OMB) designated all parts of Medicare a \u201chigh priority\u201d program because they each report $750 million or more in improper payments in a given year. We also highlighted challenges associated with duplicative payments in Medicare in our annual report on duplication and opportunities for cost savings in federal programs.", "Improper payments are a significant risk to the Medicare program and may include payments made as a result of fraud. However, I would note that improper payments are not a proxy for the amount of fraud or extent of fraud risk in a particular program as improper payment measurement does not specifically identify or estimate such payments due to fraud. Improper payments are those that are either made in an incorrect amount (overpayments and underpayments) or those that should not have been made at all."], "subsections": []}, {"section_title": "CMS\u2019s Fraud Risk Management Approach", "paragraphs": ["Our December 2017 report found that CMS manages its fraud risks as part of a broader program-integrity approach working with a broad array of stakeholders. CMS\u2019s program-integrity approach includes efforts to address waste, abuse, and improper payments as well as fraud across its four principal programs. In Medicare, CMS collaborates with contractors, health-insurance plans, and law-enforcement and other agencies to carry out its program-integrity responsibilities. According to CMS officials, this broader program-integrity approach can help the agency develop control activities to address multiple sources of improper payments, including fraud."], "subsections": []}, {"section_title": "Fraud Risk Management Standards and Guidance", "paragraphs": ["According to federal standards and guidance, executive-branch agency managers are responsible for managing fraud risks and implementing practices for combating those risks. Federal internal control standards call for agency management officials to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that as part of this overall assessment, management should consider the potential for fraud when identifying, analyzing, and responding to risks. Risk management is a formal and disciplined practice for addressing risk and reducing it to an acceptable level.", "In July 2015, GAO issued the Fraud Risk Framework, which provides a comprehensive set of key components and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. The Fraud Risk Framework describes leading practices in four components: commit, assess, design and implement, and evaluate and adapt, as depicted in figure 2.", "The Fraud Reduction and Data Analytics Act of 2015, enacted in June 2016, requires OMB to establish guidelines for federal agencies to create controls to identify and assess fraud risks and design and implement antifraud control activities. The act further requires OMB to incorporate the leading practices from the Fraud Risk Framework in the guidelines. In July 2016, OMB published guidance about enterprise risk management and internal controls in federal executive departments and agencies. Among other things, this guidance affirms that managers should adhere to the leading practices identified in the Fraud Risk Framework. Further, the act requires federal agencies to submit to Congress a progress report each year for 3 consecutive years on the implementation of the controls established under OMB guidelines, among other things."], "subsections": []}]}, {"section_title": "CMS\u2019s Efforts Managing Fraud Risks in Medicare Were Partially Aligned with the Fraud Risk Framework", "paragraphs": ["CMS\u2019s antifraud efforts partially aligned with the Fraud Risk Framework. Consistent with the framework, CMS has demonstrated commitment to combating fraud by creating a dedicated entity to lead antifraud efforts. It has also taken steps to establish a culture conducive to fraud risk management, although it could expand its antifraud training to include all employees. CMS has taken some steps to identify fraud risks in Medicare; however, it has not conducted a fraud risk assessment or developed a risk-based antifraud strategy for Medicare as defined in the Fraud Risk Framework. CMS has established monitoring and evaluation mechanisms for its program-integrity control activities that, if aligned with a risk-based antifraud strategy, could enhance the effectiveness of fraud risk management in Medicare."], "subsections": [{"section_title": "CMS\u2019s Organizational Structure Includes a Dedicated Entity for Program-Integrity and Antifraud Efforts", "paragraphs": ["The commit component of the Fraud Risk Framework calls for an agency to commit to combating fraud by creating an organizational culture and structure conducive to fraud risk management. This component includes establishing a dedicated entity to lead fraud risk management activities.", "Within CMS, the Center for Program Integrity (CPI) serves as the dedicated entity for fraud, waste, and abuse issues in Medicare, which is consistent with the Fraud Risk Framework. CPI was established in 2010, in response to a November 2009 Executive Order on reducing improper payments and eliminating waste in federal programs. This formalized role, according to CMS officials, elevated the status of program-integrity efforts, which previously were carried out by other parts of CMS.", "As an executive-level Center\u2014on the same level with five other executive-level Centers at CMS, such as the Center for Medicare\u2014CPI has a direct reporting line to executive-level management at CMS. The Fraud Risk Framework identifies a direct reporting line to senior-level managers within the agency as a leading practice. According to CMS officials, this elevated organizational status offers CPI heightened visibility across CMS, attention by CMS executive leadership, and involvement in executive-level conversations."], "subsections": []}, {"section_title": "CMS Has Taken Steps to Create a Culture Conducive to Fraud Risk Management but Could Enhance Antifraud Training for Employees", "paragraphs": ["The commit component of the Fraud Risk Framework also includes creating an organizational culture to combat fraud at all levels of the agency. Consistent with the Fraud Risk Framework, CMS has promoted an antifraud culture by, for example, coordinating with internal and external stakeholders.", "Consistent with leading practices in the Fraud Risk Framework to involve all levels of the agency in setting an antifraud tone, CPI has worked collaboratively with other CMS Centers. In addition to engaging executive-level officials of other CMS Centers through the Program Integrity Board, CPI has worked collaboratively with other Centers within CMS to incorporate antifraud features into new program design or policy development and established regular communication at the staff level. For example:", "Center for Medicare and Medicaid Innovation (CMMI). When developing the Medicare Diabetes Prevention Program, CMMI officials told us they worked with CPI\u2019s Provider Enrollment and Oversight Group and Governance Management Group to develop risk-based screening procedures for entities that would enroll in Medicare to provide diabetes-prevention services, among other activities. The program was expanded nationally in 2016, and CMS determined that an entity may enroll in Medicare as a program supplier if it satisfies enrollment requirements, including that the supplier must pass existing high categorical risk-level screening requirements.", "Center for Medicare (CM). In addition to building safeguards into programs and developing policies, CM officials told us that there are several standing meetings, on monthly, biweekly, and weekly bases, between groups within CM and CPI that discuss issues related to provider enrollment, FFS operations, and contractor management. A senior CM official also told us that there are ad hoc meetings taking place between CM and CPI: \u201cWe interact multiple times daily at different levels of the organization. Working closely is just a regular part of our business.\u201d", "CMS has also demonstrated its commitment to addressing fraud, waste, and abuse to its stakeholders. Representatives of CMS\u2019s extensive stakeholder network whom we interviewed\u2014contractors and officials from public and private entities\u2014generally recognized the agency\u2019s commitment to combating fraud. In our interviews with stakeholders, officials observed CMS\u2019s increased commitment over time to address fraud, waste, and abuse and cited examples of specific CMS actions. CMS contractors told us that CMS\u2019s commitment to combating fraud is incorporated into contractual requirements, such as requiring (1) data analysis for potential fraud leads and (2) fraud-awareness training for providers. Officials from entities that are members of the Healthcare Fraud Prevention Partnership (HFPP), specifically, a health-insurance plan and the National Health Care Anti-Fraud Association, added that CMS\u2019s effort to establish the HFPP and its ongoing collaboration and information sharing reflect CMS\u2019s commitment to combat fraud in Medicare.", "The Fraud Risk Framework identifies training as one way of demonstrating an agency\u2019s commitment to combating fraud. Training and education intended to increase fraud awareness among stakeholders, managers, and employees serve as a preventive measure to help create a culture of integrity and compliance within the agency. The Fraud Risk Framework discusses requiring all employees to attend training upon hiring and on an ongoing basis thereafter.", "To increase awareness of fraud risks in Medicare, CMS offers and requires training for stakeholder groups such as providers, beneficiaries, and health-insurance plans. Specifically, through its National Training Program and Medicare Learning Network, CMS makes available training materials on combating Medicare fraud, waste, and abuse. These materials help to identify and report fraud, waste, and abuse in CMS programs and are geared toward providers, beneficiaries, as well as trainers and other stakeholders. Separately, CMS requires health- insurance plans working with CMS to provide annual fraud, waste, and abuse training to their employees.", "However, CMS does not offer or require similar fraud-awareness training for the majority of its workforce. For a relatively small portion of its overall workforce\u2014specifically, contracting officer representatives who are responsible for certain aspects of the acquisition function\u2014CMS requires completion of fraud and abuse prevention training every 2 years. According to CMS, 638 of its contracting officer representatives (or about 10 percent of its overall workforce) completed such training in 2016 and 2017. Although CMS offers fraud-awareness training to others, the agency does not require fraud-awareness training for new hires or on a regular basis for all employees because the agency has focused on providing process-based internal controls training for its employees.", "While fraud-awareness training for contracting officer representatives is an important step in helping to promote fraud risk management, fraud- awareness training specific to CMS programs would be beneficial for all employees. Such training would not only be consistent with what CMS offers to or requires of its stakeholders and some of its employees, but would also help to keep the agency\u2019s entire workforce continuously aware of fraud risks and examples of known fraud schemes, such as those identified in successful HHS OIG investigations. Such training would also keep employees informed as they administer CMS programs or develop agency policies and procedures. Considering the vulnerability of Medicare and Medicaid programs to fraud, waste, and abuse, without regular required training CMS cannot be assured that its workforce of over 6,000 employees is continuously aware of risks facing its programs.", "In our December 2017 report, we recommended that the Administrator of CMS provide fraud-awareness training relevant to risks facing CMS programs and require new hires to undergo such training and all employees to undergo training on a recurring basis. In its March 2018 letter to GAO, HHS stated that CMS is in the process of developing Fraud, Waste, and Abuse Training for all new employees, to be presented at CMS New Employee Orientations. Additionally, CMS is also developing training to be completed by current CMS employees on an annual basis. As of July 2018, this recommendation remains open."], "subsections": []}, {"section_title": "CMS Has Taken Steps to Identify Fraud Risks but Has Not Conducted a Fraud Risk Assessment for Medicare", "paragraphs": ["The assess component of the Fraud Risk Framework calls for federal managers to plan regular fraud risk assessments and to assess risks to determine a fraud risk profile. Identifying fraud risks is one of the steps included in the Fraud Risk Framework for assessing risks to determine a fraud risk profile.", "In our December 2017 report, we discussed several examples of steps CMS has taken to identify fraud risks as well as control activities that target areas the agency has designated as higher risk within Medicare, including specific provider types and specific geographic locations. These examples include data analytics to assist investigations in Medicare FFS, including Medicare\u2019s Fraud Prevention System (FPS ), prior authorization for Medicare FFS services or supplies, revised provider screening and enrollment processes for Medicare FFS, and temporary provider enrollment moratoriums for certain providers and geographic areas for Medicare FFS.", "CMS officials told us that CPI initially focused on developing control activities for Medicare FFS and consider these activities to be the most mature of all CPI efforts to address fraud risks.", "CMS Has Not Conducted a Fraud Risk Assessment for Medicare The assess component of the Fraud Risk Framework calls for federal managers to plan regular fraud risk assessments and assess risks to determine a fraud risk profile. Furthermore, federal internal control standards call for agency management to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that, as part of this overall assessment, management should consider the potential for fraud when identifying, analyzing, and responding to risks.", "The Fraud Risk Framework states that, in planning the fraud risk assessment, effective managers tailor the fraud risk assessment to the program by, among other things, identifying appropriate tools, methods, and sources for gathering information about fraud risks and involving relevant stakeholders in the assessment process. Fraud risk assessments that align with the Fraud Risk Framework involve (1) identifying inherent fraud risks affecting the program, (2) assessing the likelihood and impact of those fraud risks, (3) determining fraud risk tolerance, (4) examining the suitability of existing fraud controls and prioritizing residual fraud risks, and (5) documenting the results (see fig. 3).", "Although CMS had identified some fraud risks posed by providers in Medicare FFS, the agency had not conducted a fraud risk assessment for the Medicare program as a whole. Such a risk assessment would provide the detailed information and insights needed to create a fraud risk profile, which, in turn, is the basis for creating an antifraud strategy.", "According to CMS officials, CMS had not conducted a fraud risk assessment for Medicare because, within CPI\u2019s broader approach of preventing and eliminating improper payments, its focus has been on addressing specific vulnerabilities among provider groups that have shown themselves particularly prone to fraud, waste, and abuse. With this approach, however, it is unlikely that CMS will be able to design and implement the most-appropriate control activities to respond to the full portfolio of fraud risks.", "A fraud risk assessment consists of discrete activities that build upon each other. Specifically: Identifying inherent fraud risks affecting the program. As discussed earlier, CMS took steps to identify fraud risks. However, CMS has not used a process to identify inherent fraud risks from the universe of potential vulnerabilities facing Medicare, including threats from various sources. According to CPI officials, most of the agency\u2019s fraud control activities are focused on fraud risks posed by providers. The Fraud Risk Framework discusses fully considering inherent fraud risks from internal and external sources in light of fraud risk factors such as incentives, opportunities, and rationalization to commit fraud. For example, according to CMS officials, the inherent design of the Medicare Part C program may pose fraud risks that are challenging to detect. A fraud risk assessment would help CMS identify all sources of fraudulent behaviors, beyond threats posed by providers, such as those posed by health-insurance plans, contractors, or employees.", "Assessing the likelihood and impact of fraud risks and determining fraud risk tolerance. CMS has taken steps to prioritize fraud risks in some areas, but it had not assessed the likelihood or impact of fraud risks or determined fraud risk tolerance across all parts of Medicare. Assessing the likelihood and impact of inherent fraud risks would involve consideration of the impact of fraud risks on program finances, reputation, and compliance. Without assessing the likelihood and impact of risks in Medicare or internally determining which fraud risks may fall under the tolerance threshold, CMS cannot be certain that it is aware of the most-significant fraud risks facing this program and what risks it is willing to tolerate based on the program\u2019s size and complexity.", "Examining the suitability of existing fraud controls and prioritizing residual fraud risks. CMS had not assessed existing control activities or prioritized residual fraud risks. According to the Fraud Risk Framework, managers may consider the extent to which existing control activities\u2014whether focused on prevention, detection, or response\u2014mitigate the likelihood and impact of inherent risks and whether the remaining risks exceed managers\u2019 tolerance. This analysis would help CMS to prioritize residual risks and to determine mitigation approaches. For example, CMS had not established preventive fraud control activities in Medicare Part C. Using a fraud risk assessment for Medicare Part C and closely examining existing fraud control activities and residual risks, CMS could be better positioned to address fraud risks facing this growing program and develop preventive control activities. Furthermore, without assessing existing fraud control activities and prioritizing residual fraud risks, CMS cannot be assured that its current control activities are addressing the most-significant risks. Such analysis would also help CMS determine whether additional, preferably preventive, fraud controls are needed to mitigate residual risks, make adjustments to existing control activities, and potentially scale back or remove control activities that are addressing tolerable fraud risks.", "Documenting the risk-assessment results in a fraud risk profile.", "CMS had not developed a fraud risk profile that documents key findings and conclusions of the fraud risk assessment. According to the Fraud Risk Framework, the risk profile can also help agencies decide how to allocate resources to respond to residual fraud risks. Given the large size and complexity of Medicare, a documented fraud risk profile could support CMS\u2019s resource-allocation decisions as well as facilitate the transfer of knowledge and continuity across CMS staff and changing administrations.", "Senior CPI officials told us that the agency plans to start a fraud risk assessment for Medicare after it completes a separate fraud risk assessment of the federally facilitated marketplace. This fraud risk assessment for the federally facilitated marketplace eligibility and enrollment process is being conducted in response to a recommendation we made in February 2016. In April 2017, CPI officials told us that this fraud risk assessment was largely completed, although in September 2017 CPI officials told us that the assessment was undergoing agency review. CPI officials told us that they have informed CM officials that there will be future fraud risk assessments for Medicare; however, they could not provide estimated timelines or plans for conducting such assessments, such as the order or programmatic scope of the assessments.", "Once completed, CMS could use the federally facilitated marketplace fraud risk assessment and apply any lessons learned when planning for and designing fraud risk assessments for Medicare. According to the Fraud Risk Framework, factors such as size, resources, maturity of the agency or program, and experience in managing risks can influence how the entity plans the fraud risk assessment. Additionally, effective managers tailor the fraud risk assessment to the program when planning for it. The large scale and complexity of Medicare as well as time and resources involved in conducting a fraud risk assessment underscore the importance of a well-planned and tailored approach to identifying the assessment\u2019s programmatic scope. Planning and tailoring may involve decisions to conduct a fraud risk assessment for Medicare as a whole or divided into several subassessments to reflect their various component parts (e.g., Medicare Part C).", "CMS\u2019s existing fraud risk identification efforts as well as communication channels with stakeholders could serve as a foundation for developing a fraud risk assessment for Medicare. The leading practices identified in the Fraud Risk Framework discuss the importance of identifying appropriate tools, methods, and sources for gathering information about fraud risks and involving relevant stakeholders in the assessment process. CMS\u2019s fraud risk identification efforts discussed earlier could provide key information about fraud risks and their likelihood and impact. Furthermore, existing relationships and communication channels across CMS and its extensive network of stakeholders could support building a comprehensive understanding of known and potential fraud risks for the purposes of a fraud risk assessment. For example, the fraud vulnerabilities identified through data analysis and information sharing with health-insurance plans, law-enforcement organizations, and contractors could inform a fraud risk assessment. CPI\u2019s Command Center missions\u2014facilitated collaboration sessions that bring together experts from various disciplines to improve the processes for fraud prevention in Medicare\u2014could bring together experts to identify potential or emerging fraud vulnerabilities or to brainstorm approaches to mitigate residual fraud risks.", "As CMS makes plans to move forward with a fraud risk assessment for Medicare, it will be important to consider the frequency with which the fraud risk assessment would need to be updated. While, according to the Fraud Risk Framework, the time intervals between updates can vary based on the programmatic and operating environment, assessing fraud risks on an ongoing basis is important to ensure that control activities are continuously addressing fraud risks. The constantly evolving fraud schemes, the size of the programs in terms of beneficiaries and expenditures, as well as continual changes in Medicare\u2014such as development of innovative payment models and increasing managed- care enrollment\u2014call for constant vigilance and regular updates to the fraud risk assessment.", "In our December 2017 report we recommended that the Administrator of CMS conduct fraud risk assessments for Medicare and Medicaid to include respective fraud risk profiles and plans for regularly updating the assessments and profiles. In its March 2018 letter to GAO, HHS stated that it is currently evaluating its options with regards to implementing this recommendation. As of July 2018, the recommendation remains open."], "subsections": []}, {"section_title": "CMS Needs to Develop a Risk-Based Antifraud Strategy for Medicare, Which Would Include Plans for Monitoring and Evaluation", "paragraphs": ["The design and implement component of the Fraud Risk Framework calls for federal managers to design and implement a strategy with specific control activities to mitigate assessed fraud risks and collaborate to help ensure effective implementation.", "According to the Fraud Risk Framework, effective managers develop and document an antifraud strategy that describes the program\u2019s approach for addressing the prioritized fraud risks identified during the fraud risk assessment, also referred to as a risk-based antifraud strategy. A risk- based antifraud strategy describes existing fraud control activities as well as any new fraud control activities a program may adopt to address residual fraud risks. In developing a strategy and antifraud control activities, effective managers focus on fraud prevention over detection, develop a plan for responding to identified instances of fraud, establish collaborative relationships with stakeholders, and create incentives to help effectively implement the strategy. Additionally, as part of a documented strategy, management identifies roles and responsibilities of those involved in fraud risk management activities; describes control activities as well as plans for monitoring and evaluation; creates timelines; and communicates the antifraud strategy to employees and stakeholders, among other things.", "As discussed earlier, CMS had some control activities in place to identify fraud risk in Medicare, particularly in the FFS program. However, CMS had not developed and documented a risk-based antifraud strategy to guide its design and implementation of new antifraud activities and to better align and coordinate its existing activities to ensure it is targeting and mitigating the most-significant fraud risks.", "Antifraud strategy. CMS officials told us that CPI does not have a documented risk-based antifraud strategy. Although CMS has developed several documents that describe efforts to address fraud, the agency had not developed a risk-based antifraud strategy for Medicare because, as discussed earlier, it had not conducted a fraud risk assessment that would serve as a foundation for such strategy.", "In 2016, CPI identified five strategic objectives for program integrity, which include antifraud elements and an emphasis on prevention. However, according to CMS officials, these objectives were identified from discussions with CMS leadership and various stakeholders and not through a fraud risk assessment process to identify inherent fraud risks from the universe of potential vulnerabilities, as described earlier and called for in the leading practices. These strategic objectives were presented at an antifraud conference in 2016, but were not announced publicly until the release of the Annual Report to Congress on the Medicare and Medicaid Integrity Programs for Fiscal Year 2015 in June 2017.", "Stakeholder relationships and communication. CMS has established relationships and communicated with stakeholders, but, without an antifraud strategy, stakeholders we spoke with lacked a common understanding of CMS\u2019s strategic approach. Prior work on practices that can help federal agencies collaborate effectively calls for a strategy that is shared with stakeholders to promote trust and understanding. Once an antifraud strategy is developed, the Fraud Risk Framework calls for managers to collaborate to ensure effective implementation. Although some CMS stakeholders were able to describe various CMS program- integrity priorities and activities, such as home health being a fraud risk priority, the stakeholders could not communicate, articulate, or cite a common CMS strategic approach to address fraud risks in its programs.", "Incentives. The Fraud Risk Framework discusses creating incentives to help ensure effective implementation of the antifraud strategy once it is developed. Currently, some incentives within stakeholder relationships may complicate CMS\u2019s antifraud efforts. Among contractors, CMS encourages information sharing through conferences and workshops; however, competition for CMS business among contractors can be a disincentive to information sharing. CMS officials acknowledged this concern and said that they expect contractors to share information related to fraud schemes, outcomes of investigations, and tips for addressing fraud, but not proprietary information such as algorithms to risk-score providers.", "Without developing and documenting an antifraud strategy based on a fraud risk assessment, as called for in the design and implement component of the Fraud Risk Framework, CMS cannot ensure that it has a coordinated approach to address the range of fraud risks and to appropriately target and allocate resources for the most-significant risks. Considering fraud risks to which Medicare is most vulnerable, in light of the malicious intent of those who aim to exploit the programs, would help CMS to examine its current control activities and potentially design new ones with recognition of fraudulent behavior it aims to prevent. This focus on fraud is distinct from a broader view of program integrity and improper payments by considering the intentions and incentives of those who aim to deceive rather than well-intentioned providers who make mistakes. Also, continued growth of the program, such as growth of Medicare Part C, calls for consideration of preventive fraud control activities across the entire network of entities involved.", "Furthermore, considering the large size and complexity of Medicare and the extensive stakeholder network involved in managing fraud in the program, a strategic approach to managing fraud risks within the programs is essential to ensure that a number of existing control activities and numerous stakeholder relationships and incentives are being aligned to produce desired results. Once developed, an antifraud strategy that is clearly articulated to various CMS stakeholders would help CMS to address fraud risks in a more coordinated and deliberate fashion. Thinking strategically about existing control activities, resources, tools, and information systems could help CMS to leverage resources while continuing to integrate Medicare program-integrity efforts along functional lines. A strategic approach grounded in a comprehensive assessment of fraud risks could also help CMS to identify future enhancements for existing control activities, such as new preventive capabilities for its Fraud Prevention System (FPS) or additional fraud factors in provider enrollment and revalidation, such as provider risk-scoring, to stay in step with evolving fraud risks.", "CMS Has Established Monitoring and Evaluation Mechanisms That Could Inform a Risk-Based Antifraud Strategy for Medicare The evaluate and adapt component of the Fraud Risk Framework calls for federal managers to evaluate outcomes using a risk-based approach and adapt activities to improve fraud risk management. Furthermore, according to federal internal control standards, managers should establish and operate monitoring activities to monitor the internal control system and evaluate the results, which may be compared against an established baseline. Ongoing monitoring and periodic evaluations provide assurances to managers that they are effectively preventing, detecting, and responding to potential fraud.", "CMS has established monitoring and evaluation mechanisms for its program-integrity activities that it could incorporate into an antifraud strategy.", "As described in the Fraud Risk Framework, agencies can gather information on the short-term or intermediate outcomes of some antifraud initiatives, which may be more readily measured. For example, CMS has developed some performance measures to provide a basis for monitoring its progress towards meeting the program-integrity goals set in the HHS Strategic Plan and Annual Performance Plan. Specifically, CMS measures whether it is meeting its goal of \u201cincreasing the percentage of Medicare FFS providers and suppliers identified as high risk that receive an administrative action.\u201d CMS does not set specific antifraud goals for other parts of Medicare; other CMS performance measures relate to measuring or reducing improper payments in the various parts of Medicare.", "CMS uses return-on-investment and savings estimates to measure the effectiveness of its Medicare program-integrity activities and FPS. For example, CMS uses return-on-investment to measure the effectiveness of FPS and, in response to a recommendation we made in 2012, CMS developed outcome-based performance targets and milestones for FPS. CMS has also conducted individual evaluations of its program-integrity activities, such as an interim evaluation of the prior-authorization demonstration for power mobility devices that began in 2012 and is currently implemented in 19 states.", "Commensurate with greater maturity of control activities in Medicare FFS compared to other parts of Medicare and Medicaid, monitoring and evaluation activities for Medicare Parts C and D and Medicaid are more limited. For example, CMS calculates savings for its program-integrity activities in Medicare Parts C and D, but not a full return-on-investment. CMS officials told us that calculating costs for specific activities is challenging because of overlapping activities among contractors. CMS officials said they continue to refine methods and develop new savings estimates for additional program-integrity activities.", "According to the Fraud Risk Framework, effective managers develop a strategy and evaluate outcomes using a risk-based approach. In developing an effective strategy and antifraud activities, managers consider the benefits and costs of control activities. Ongoing monitoring and periodic evaluations provide reasonable assurance to managers that they are effectively preventing, detecting, and responding to potential fraud. Monitoring and evaluation activities can also support managers\u2019 decisions about allocating resources, and help them to demonstrate their continued commitment to effectively managing fraud risks.", "As CMS takes steps to develop an antifraud strategy, it could include plans for refining and building on existing methods such as return-on- investment or savings measures, and setting appropriate targets to evaluate the effectiveness of all of CMS\u2019s antifraud efforts. Such a strategy would help CMS to efficiently allocate program-integrity resources and to ensure that the agency is effectively preventing, detecting, and responding to potential fraud. For example, while doing so would involve challenges, CMS\u2019s strategy could detail plans to advance efforts to measure a potential fraud rate through baseline and periodic measures. Fraud-rate measurement efforts could also inform risk assessment activities, identify currently unknown fraud risks, align resources to priority risks, and develop effective outcome metrics for antifraud controls. Such a strategy would also help CMS ensure that it has effective performance measures in place to assess its antifraud efforts beyond those related to providers in Medicare FFS, and establish appropriate targets to measure the agency\u2019s progress in addressing fraud risks.", "In our December 2017 report we recommended that the Administrator of CMS should, using the results of the fraud risk assessments for Medicare, create, document, implement, and communicate an antifraud strategy that is aligned with and responsive to regularly assessed fraud risks. This strategy should include an approach for monitoring and evaluation. In its March 2018 letter to GAO, HHS stated that it is currently evaluating its options with regards to implementing this recommendation. As of July 2018, the recommendation remains open.", "Chairman Jenkins and Ranking Member Lewis, this concludes my prepared statement. I look forward to the subcommittee\u2019s questions."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions concerning this testimony, please contact Seto J. Bagdoyan, who may be reached at (202) 512-6722 or bagdoyans@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Tonita Gillich (Assistant Director), Irina Carnevale (Analyst-in- Charge), Colin Fallon, Scott Hiromoto, and Maria McMullen."], "subsections": []}]}, {"section_title": "Related GAO Reports", "paragraphs": ["Improper Payments: Actions and Guidance Could Help Address Issues and Inconsistencies in Estimation Processes. GAO-18-377. Washington, D.C.: May 31, 2018.", "Medicare: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending. GAO-18-341. Washington, D.C.: April 20, 2018.", "Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework. GAO-18-88. Washington, D.C.: December 5, 2017.", "Medicare: CMS Fraud Prevention System Uses Claims Analysis to Address Fraud. GAO-17-710. Washington, D.C.: August 30, 2017.", "Medicare Advantage Program Integrity: CMS\u2019s Efforts to Ensure Proper Payments and Identify and Recover Improper Payments. GAO-17-761T. Washington, D.C.: July 19, 2017.", "Medicare Provider Education: Oversight of Efforts to Reduce Improper Billing Needs Improvement. GAO-17-290. Washington, D.C.: March 10, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Medicare Advantage: Limited Progress Made to Validate Encounter Data Used to Ensure Proper Payments. GAO-17-223. Washington, D.C.: January 17, 2017.", "Medicare: Initial Results of Revised Process to Screen Providers and Suppliers, and Need for Objectives and Performance Measures. GAO-17-42. Washington, D.C.: November 15, 2016.", "Medicare: Claim Review Programs Could Be Improved with Additional Prepayment Reviews and Better Data. GAO-16-394. Washington, D.C.: April 13, 2016.", "Medicare Advantage: Fundamental Improvements Needed in CMS\u2019s Effort to Recover Substantial Amounts of Improper Payments. GAO-16- 76. Washington, D.C.: April 8, 2016.", "Health Care Fraud: Information on Most Common Schemes and the Likely Effect of Smart Cards. GAO-16-216. Washington, D.C.: January 22, 2016.", "A Framework for Managing Fraud Risks in Federal Programs. GAO-15-593SP. Washington, D.C.: July 28, 2015.", "Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims Reviews. GAO-14-474. Washington, D.C.: July 18, 2014.", "Medicare Fraud Prevention: CMS Has Implemented a Predictive Analytics System, but Needs to Define Measures to Determine Its Effectiveness. GAO-13-104. Washington, D.C.: October 15, 2012.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["Medicare improper payments were estimated to be about $52 billion in fiscal year 2017. As program spending increases, the cost of fraud could increase as well. Are the Centers for Medicare & Medicaid Services doing enough to prevent, detect, and combat Medicare fraud?", "Our 2017 report showed that some of CMS's fraud risk management practices aligned with leading practices, while others could be improved. We recommended improving fraud awareness training, conducting risk assessments, and creating an antifraud strategy.", "As of this testimony, the recommendations are still open. We will continue to monitor the status of their implementation."]} {"id": "GAO-18-351", "url": "https://www.gao.gov/products/GAO-18-351", "title": "Black Lung Benefits Program: Options for Improving Trust Fund Finances", "published_date": "2018-05-30T00:00:00", "released_date": "2018-06-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["With revenue of about $450 million in fiscal year 2017, the Trust Fund paid about $184 million in benefits to more than 25,000 coal miners and eligible dependents. However, the Trust Fund also borrowed about $1.3 billion from the Treasury's general fund in fiscal year 2017 to cover its debt repayment expenditures. Adding to this financial challenge, the coal tax that supports the Trust Fund is scheduled to decrease by about 55 percent beginning in 2019. GAO was asked to review the financial positon of the Trust Fund and identify options to improve it.", "This report examines (1) factors that have challenged the financial position of the Trust Fund since its inception and (2) the extent to which Trust Fund debt may change through 2050, and selected options that could improve its future financial position. GAO reviewed Trust Fund financial data from fiscal years 1979 through 2017. GAO also interviewed officials from the Departments of Labor, Treasury, Health and Human Services (HHS) and representatives of coal industry and union groups. Using assumptions, such as the about 55 percent coal tax decrease and moderately declining coal production, GAO simulated the extent to which Trust Fund debt may change through 2050. GAO also simulated how selected options, such as forgiveness of debt, could improve finances. The options simulated are not intended to be exhaustive. Further, GAO is not endorsing any particular option or combination of options.", "GAO provided a draft of this report to DOL, Treasury, and HHS. The agencies provided technical comments, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Multiple factors have challenged Black Lung Disability Trust Fund (Trust Fund) finances since it was established about 40 years ago. Its expenditures have consistently exceeded its revenues, interest payments have grown, and actions taken that were expected to improve Trust Fund finances did not completely address its debt. When necessary to make expenditures, the Trust Fund borrows with interest from the Department of the Treasury's (Treasury) general fund. Because Trust Fund expenditures have consistently exceeded revenue, it has borrowed almost every year since 1979, its first complete fiscal year, and as a result debt and interest payments increased. Legislative actions were taken over the years including (1) raising the rate of the coal tax that provides Trust Fund revenues and (2) forgiving debt. For example, the Energy Improvement and Extension Act of 2008 provided an appropriation toward Trust Fund debt forgiveness; about $6.5 billion was forgiven, according to Department of Labor (DOL) data (see figure). However, coal tax revenues were less than expected due, in part, to the 2008 recession and increased competition from other energy sources, according to DOL and Treasury officials. As a result, the Trust Fund continued to borrow from Treasury's general fund from fiscal years 2010 through 2017 to cover debt repayment expenditures.", "GAO's simulation suggests that Trust Fund borrowing will likely increase from fiscal years 2019 through 2050 due, in part, to the coal tax rate decrease of about 55 percent that will take effect in 2019 and declining coal production. The simulation estimates that Trust Fund borrowing may exceed $15 billion by 2050 (see figure). However, various options, such as adjusting the coal tax and forgiving interest or debt, could reduce future borrowing and improve the Trust Fund's financial position. For example, maintaining the current coal tax rates and forgiving debt of $2.4 billion could, under certain circumstances, balance the Trust Fund by 2050, whereby revenue would be sufficient to cover expenditures. However, a coal industry representative said that maintaining or increasing the coal tax would burden the coal industry, particularly at a time when coal production has been declining. Further, Treasury officials noted that the costs associated with forgiving Trust Fund interest or debt would be paid by taxpayers."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Black Lung Disability Trust Fund (Trust Fund), established in 1978 by the Black Lung Benefits Revenue Act of 1977, funds benefits to certain coal miners who have been totally disabled due to pneumoconiosis, also known as black lung disease. Their surviving dependents may also receive compensation. That Act authorized the Trust Fund to pay benefits in certain circumstances including in cases where no responsible mine operator could be identified or when the liable mine operator does not pay. The Trust Fund is financed primarily by a tax on coal produced and sold domestically, which we refer to in this report as the coal tax.", "The Trust Fund faces financial challenges and borrowed about $1.3 billion in fiscal year 2017 from the Department of the Treasury\u2019s (Treasury) general fund to cover its total expenditures, according to Department of Labor (DOL) officials who administer the Trust Fund. Beginning in calendar year 2019, the coal tax will decrease by approximately 55 percent which, in turn, will increase borrowing, according to DOL projections. Additionally, coal production has been declining as the coal industry faces challenges from increased competition from other energy sources, which may further affect future Trust Fund revenue. With less revenue contributed by mine operators through the coal tax, increased federal funding may be needed because under federal law the Trust Fund borrows from Treasury\u2019s general fund to cover its expenditures.", "Given the potential for increased federal funding of Trust Fund expenditures as a result of the decreasing tax rate, you asked us to review the financial positon of the Trust Fund and to identify options that could improve its future financial position. This report examines (1) factors that have challenged the financial position of the Trust Fund since its inception; and (2) the extent to which the Trust Fund\u2019s debt may change through 2050, and selected options that could improve its future financial position.", "To address our first objective, we reviewed relevant federal laws, regulations, policy, and guidance as well as agency documentation. We primarily focused on changes to the coal tax rates and other legislative actions taken that were expected to improve the financial position of the Trust Fund, such as debt refinancing and forgiveness provisions contained in the Energy Improvement and Extension Act of 2008 (EIEA). We also reviewed publicly available Trust Fund financial data obtained from the DOL Office of Workers\u2019 Compensation Programs\u2019 Annual Reports to Congress and annual bulletins issued by the Treasury. We examined information on Trust Fund revenue and expenditures from 1979 (the Trust Fund\u2019s first complete fiscal year) through 2017, the most recent year data were available at the time of our review. For example, we reviewed the annual amounts of coal tax revenue collected and the annual amounts paid by the Trust Fund in black lung benefits, administrative costs, and debt servicing. We assessed the reliability of the data by discussing it with relevant agency officials and reviewing it for missing data, outliers, or obvious errors. We determined that the data were sufficiently reliable for the purposes of our review. Additionally, we interviewed officials from DOL\u2019s Office of Workers\u2019 Compensation Programs and Mine Safety and Health Administration; the Department of the Treasury\u2019s Offices of Federal Program Finance and Tax Analysis; the Department of Health and Human Services\u2019 (HHS) National Institute for Occupational Safety and Health and the Health Resources and Services Administration, which funds black-lung-related grant programs; the National Mining Association (an organization that represents the mining industry); and the United Mine Workers of America (an organization that represents coal miners).", "To address our second objective, we simulated the extent to which Trust Fund debt may change through 2050 and how various options may affect future Trust Fund finances. Our simulations are based on various assumptions and simulate Trust Fund revenues and expenditures from fiscal years 2016 through 2050. To develop these simulations, we used actual and projection data from (1) DOL for fiscal years 2015 through 2040; (2) Treasury\u2019s Office of Tax Analysis for fiscal years 2011 through 2015; (3) the Department of Energy\u2019s Energy Information Administration (EIA) for calendar years 2015 through 2050; and (4) the Office of Management and Budget (OMB) for fiscal year 2017. We ran each simulation multiple times using different sets of assumptions about the number of future black lung beneficiaries and future coal production. Doing so provided a range of estimates about the Trust Fund\u2019s future borrowing needs and provided insight on the sensitivity of its overall financial position relative to its various revenues and expenditures. In this report, we generally present the results of a moderate set of assumptions for each simulation. For more information on our simulation methodology and the full range of results, see appendixes I and II. We assessed the reliability of the data used to develop our simulations by interviewing knowledgeable agency officials and reviewing relevant supporting documentation describing the various inputs and assumptions used, if applicable. We also reviewed DOL, Treasury, EIA, and OMB data for outliers, obvious errors, or missing data. We determined that the data were sufficiently reliable for the purposes of this report.", "To identify options that may improve future Trust Fund finances, we interviewed officials from DOL, Treasury, HHS, the National Mining Association, and the United Mine Workers of America. We then selected options to simulate based, in part, on these interviews and the availability of DOL and other data. These options included adjusting the coal tax, forgiving interest on some or all Trust Fund debt, forgiving some or all Trust Fund debt, or various combinations of these options. The options we simulated are not intended to be exhaustive and we are not endorsing any particular option or combination of options.", "We conducted this performance audit from February 2017 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Black lung benefits include both cash assistance and medical benefits. Maximum cash assistance payments generally ranged from about $650 to $1,300 per month in fiscal year 2017, depending on the number of dependents the miner has. Miners receiving cash assistance are also eligible for medical benefits that cover the treatment of their black-lung- related conditions, which may include hospital and nursing care, rehabilitation services, and drug and equipment charges, according to DOL documentation. DOL estimates that the average annual cost for medical treatment in fiscal year 2017 was approximately $6,980 per miner.", "There were about 25,700 total beneficiaries (primary and dependents) receiving black lung benefits during fiscal year 2017 (see fig. 1). The decrease in the number of beneficiaries over time has resulted from a combination of declining coal mining employment and an aging beneficiary population, according to DOL officials. Further, black lung beneficiaries could increase in the near term due to the increased occurrence of black lung disease and its most severe form, progressive massive fibrosis, particularly among Appalachian coal miners, according to HHS officials.", "Black lung claims are processed by DOL\u2019s Office of Workers\u2019 Compensation Programs. Contested claims are adjudicated by DOL\u2019s Office of Administrative Law Judges, which issues decisions that can be appealed to the Benefits Review Board. Claimants and mine operators may further appeal these agency decisions to the federal courts. If an award is contested, claimants can receive interim benefits, which are generally paid from the Trust Fund according to DOL officials, while their claims are in the appeals process. Final awards are either funded by mine operators\u2014who are identified as the responsible employers of claimants\u2014or the Trust Fund, when responsible employers cannot be identified or do not pay. In fiscal year 2017, black lung claims had an approval rate of about 29 percent, according to DOL data. Of the 19,430 primary black lung beneficiaries receiving benefits during fiscal year 2017, 64 percent (12,464) were paid from the Trust Fund, 25 percent (4,798) were paid by liable mine operators, and 11 percent (2,168) were receiving interim benefits, according to DOL officials.", "Black Lung Disability Trust Fund revenue is primarily obtained from mine operators through the coal tax. The coal tax is imposed at two rates, depending on whether the coal is extracted from underground or surface mines. The current tax rates are $1.10 per ton of underground-mined coal and $0.55 per ton of surface-mined coal, up to 4.4 percent of the sales price. Therefore, if a ton of underground-mined coal is sold for less than $25, than the tax paid would be less than $1.10. For instance, if a ton of underground-mined coal sold for $20, than it would be taxed at 4.4 percent of the sales price, or $0.88. To a lesser extent, the Trust Fund also receives other miscellaneous revenue from interest payments, and various fines and penalties paid by mine operators, among other sources, according to DOL documentation. Coal tax revenue is collected from mine operators by Treasury\u2019s Internal Revenue Service and then transferred to the Trust Fund where it is then used by DOL officials to pay black lung benefits and the costs of administering the program.", "Trust Fund expenditures include, among other things, black lung benefit payments, certain administrative costs incurred by DOL and Treasury to administer the black lung benefits program, and debt repayments. When necessary for the Trust Fund to make relevant expenditures under federal law, the Trust Fund borrows from the Treasury\u2019s general fund. When this occurs, the federal government is essentially borrowing from itself\u2014and hence from the general taxpayer\u2014to fund its benefit payments and other expenditures."], "subsections": []}, {"section_title": "Multiple Factors Have Challenged Trust Fund Finances Resulting in Growing Debt", "paragraphs": ["Multiple factors have challenged Trust Fund finances since it was established about 40 years ago. Its expenditures have consistently exceeded its revenue, interest payments have grown, and legislative actions taken that were expected to improve Trust Fund finances did not completely address its debt. Combined black lung benefit payments and program administrative costs exceeded Trust Fund revenue every year for the program\u2019s first decade (fiscal years 1979 through 1989), resulting in the accrual of debt. During the Trust Fund\u2019s first three fiscal years in particular, revenue covered less than 40 percent of the Trust Fund\u2019s combined benefit payments and administrative costs. For instance, in fiscal year 1980, the Trust Fund received about $251 million in revenue and paid about $726 million in black lung benefits and administrative costs.", "Beginning in 1982, revenue increased as a result of the Black Lung Benefits Revenue Act of 1981 that doubled the coal tax rates from $0.50 to $1 per ton of underground-mined coal and from $0.25 to $0.50 per ton of surface-mined coal, up to 4 percent of the sales price. Even with the tax rate increase, combined benefit payments and administrative costs continued to exceed revenue throughout the 1980s (see fig. 2). As a result, the Trust Fund borrowed from Treasury\u2019s general fund to cover the annual differences between its expenditures and revenues, and by fiscal year 1989 the Trust Fund\u2019s outstanding debt to Treasury\u2019s general fund exceeded $3 billion.", "Beginning in fiscal year 1990, Trust Fund revenue generally began to exceed combined benefit payments and administrative costs, and, in fact, total Trust Fund cumulative revenue collected from fiscal years 1979 through 2017 exceeded total cumulative benefit payments and administrative costs incurred during these years. However, interest owed from earlier years of borrowing led to more borrowing and debt. From fiscal years 1979 through 1989, the Trust Fund borrowed\u2014primarily through 30-year term loans according to Treasury officials\u2014from Treasury\u2019s general fund at interest rates that varied from about 6.5 percent to about 13.9 percent. In fiscal year 1985, for instance, the Trust Fund paid about $275 million in interest, which was equal to about half of the total revenue collected that year. Since fiscal year 1990, revenue has generally exceeded combined benefit payments and administrative costs, although interest payments on the Trust Fund\u2019s outstanding debt kept the fund in a position whereby its total expenditures continued to exceed its total revenues. As a result, the principal amount of the Trust Fund\u2019s total outstanding debt to Treasury\u2019s general fund increased and exceeded $10 billion by fiscal year 2008.", "Legislation has been enacted over the years that was expected to improve Trust Fund finances: In 1981, the Black Lung Benefits Revenue Act of 1981 doubled the coal tax rates from $0.50 cents to $1 per ton of underground-mined coal, and from $0.25 cents to $0.50 cents per ton of surface-mined coal, up to 4 percent of the sales price (as mentioned previously).", "In 1986, the Consolidated Omnibus Budget Reconciliation Act of 1985 established a 5 year moratorium on interest accrual with respect to repayable advances to the Trust Fund (which we refer to as annual borrowing from Treasury\u2019s general fund), and increased the coal tax rates to $1.10 per ton of underground-mined coal, and $0.55 per ton of surface-mined coal (up to 4.4 percent of the sales price), where they have remained since.", "In 2008, the EIEA included provisions that were expected to eliminate the Trust Fund\u2019s debt. Specifically, EIEA (1) generally extended the coal tax rates at their current rates until December 31, 2018 (after which they are scheduled to decrease to their original levels of $0.50 per ton of underground-mined coal, and $0.25 per ton of surface- mined coal, up to 2 percent of the sales price); (2) provided for a one- time federal appropriation toward Trust Fund debt forgiveness (about $6.5 billion, according to DOL data); and (3) provided for the refinancing of the Trust Fund\u2019s debt that was not forgiven as a result of EIEA (which we refer to as the Trust Fund\u2019s legacy debt). Specifically, the Trust Fund\u2019s legacy debt was refinanced with more favorable interest rates, according to DOL data. Interest rates on the refinanced legacy debt range from about 1.4 percent to about 4.5 percent.", "The forgiveness and refinancing of Trust Fund debt along with extending the current coal tax rates through 2018 were expected to result in annual tax revenue that could be used to pay down interest and principal on the Trust Fund\u2019s legacy debt, according to DOL and Treasury officials. These officials said that models showed that debt would be eliminated by fiscal year 2040; however, they noted that coal tax revenue has been less than originally projected due, in part, to the 2008 recession and increased market competition from other energy sources. As a result, the Trust Fund\u2019s total expenditures continued to exceed revenue and the Trust Fund borrowed from Treasury\u2019s general fund each year from fiscal years 2010 through 2017 to cover debt repayments expenditures. In fiscal year 2017, the Trust Fund\u2019s total principal amount of outstanding debt, which includes its legacy debt and the amount borrowed from Treasury\u2019s general fund that year, was about $4.3 billion (see fig. 3)."], "subsections": []}, {"section_title": "Trust Fund Borrowing Will Likely Continue to Increase through 2050, and Multiple Options Could Reduce Future Debt", "paragraphs": [], "subsections": [{"section_title": "Trust Fund Borrowing Will Likely Continue to Increase through 2050", "paragraphs": ["Trust Fund borrowing will likely continue to increase from fiscal years 2019 through 2050 due, in part, to the scheduled coal tax rate decrease of about 55 percent that will take effect in 2019 and declining coal production, according to our moderate simulation. We simulated the effects of the scheduled 2019 tax rate decrease on Trust Fund finances through 2050, and in this report, we generally present the results of a moderate case set of assumptions (see table 1). These simulations are not predictions of what will happen, but rather models of what could happen given certain assumptions. For more information on our simulation methodology see appendix I. In addition to the moderate case assumptions, we also simulated how Trust Fund debt could change through 2050 given various other assumptions, and the full range of results for all of our simulations are presented in appendix II.", "Our moderate case simulation suggests that Trust Fund revenue may decrease, from about $485 million in fiscal year 2018 to about $298 million in fiscal year 2019, due, in part, to the scheduled approximate 55 percent decrease in the coal tax. Our simulation, which incorporates EIA data on future expected coal production, also shows that annual Trust Fund revenue will likely continue to decrease beyond fiscal year 2019 due, in part, to declining coal production. Domestic coal production has declined from about 1.2 billion tons in 2008 to about 728 million tons in 2016, according to EIA. Based on these projections, our moderate simulation shows that Trust Fund annual revenue may continue to decrease from about $298 million in fiscal year 2019 to about $197 million in fiscal year 2050 (see fig. 4).", "With the scheduled 2019 tax rate decrease, our moderate case simulation suggests that expected revenue will likely be insufficient to cover combined black lung benefit payments and administrative costs, as well as debt repayment expenditures. Specifically, our moderate case simulation suggests that revenue may not be sufficient to cover beneficiary payments and administrative costs from fiscal years 2020 through 2050 (see fig. 5). For instance, in fiscal year 2029, simulated benefit payments and administrative costs will likely exceed simulated revenue by about $99 million. These annual deficits will likely decrease over time to about $4 million by fiscal year 2050 due, in part, to the assumed continued net decline in total black lung beneficiaries. Our simulation also therefore suggests that Trust Fund revenue may not be enough to also cover the debt repayment expenditures it must continue to make through fiscal year 2040, per the payment schedule established following the 2008 EIEA.", "Our moderate simulation suggests that the amount borrowed by the Trust Fund will likely increase from about $1.6 billion in fiscal year 2019 to about $15.4 billion in fiscal year 2050 (see fig. 6). Although the Trust Fund\u2019s legacy debt decreases through fiscal year 2040, total Trust Fund expenditures\u2014including combined benefit payments and administrative costs as well as debt repayments\u2014will likely continue to exceed revenue which will require continued annual borrowing from Treasury\u2019s general fund. However, the amount borrowed by the Trust Fund could vary depending, in part, on future coal production and the number of new beneficiaries and could range between about $6 billion and about $27 billion in 2050, according to our simulations (see appendix II)."], "subsections": []}, {"section_title": "Adjusting Coal Tax Rates, Forgiving Interest, and Forgiving Debt Are Options That Could Improve the Trust Fund\u2019s Future Financial Position", "paragraphs": ["We simulated three options that can affect Trust Fund finances through fiscal year 2050. Specifically, we simulated the effects of (1) adjusting the coal tax, (2) forgiving interest, and (3) forgiving debt. In each of the simulations, we compared the results of the option to a baseline in which the coal tax rates will decrease by about 55 percent, which we refer to as the scheduled 2019 tax rate decrease. We compare interest and debt forgiveness options to a baseline which assumes the scheduled 2019 tax rate decrease has taken effect, and that there is no interest or debt forgiveness. The simulated options are not intended to be exhaustive and we are not endorsing any particular option or combination of options."], "subsections": [{"section_title": "Adjust Coal Tax Rates", "paragraphs": ["Using the moderate case, we simulated four options: (1) implementing the 2019 coal tax rate reduction to $0.50 per ton of underground-mined coal and $0.25 per ton of surface-mined coal; (2) maintaining the current coal tax rates of $1.10 per ton for underground-mined coal and $0.55 per ton of surface-mined coal; (3) reducing the tax rates by 25 percent (from $1.10 and $0.55); and (4) increasing these tax rates by 25 percent (see fig. 7). Increasing the tax rates by 25 percent was the only option that eliminated simulated Trust Fund debt by fiscal year 2050, according to our moderate case simulation.", "We simulated three interest forgiveness options including forgiving interest on (1) legacy debt, (2) annual borrowing, and (3) all debt. Our moderate case simulation suggests that forgiving interest will not eliminate simulated debt by fiscal year 2050 (see fig. 8).", "We simulated two debt forgiveness options by forgiving principal and interest on (1) legacy debt and (2) all debt. Our moderate case simulation suggests that both debt forgiveness options would reduce simulated Trust Fund borrowing by fiscal year 2050, but these options would not eliminate debt altogether as simulated revenue will likely not be enough to cover simulated expenditures (see fig. 9). In these cases, the Trust Fund will need to continue borrowing from Treasury\u2019s general fund to cover annual deficits, and thus accumulate debt.", "While adjusting coal tax rates and forgiving interest or debt could reduce the Trust Fund\u2019s simulated borrowing by 2050, implementing them could affect the coal industry or general taxpayers, according to stakeholders we interviewed. For instance, a coal industry representative noted that maintaining the coal tax at its current rate would continue to burden the coal industry and increasing the tax would exacerbate the burden at a time when coal production has been declining. Treasury officials noted that the costs associated with forgiving Trust Fund interest or debt would be borne by the general taxpayer since Treasury borrows from taxpayers to lend to the Trust Fund as needed. These officials also said that making a one-time federal appropriation to forgive interest or debt would be the most transparent way to satisfy the Trust Fund\u2019s outstanding debt to Treasury\u2019s general fund.", "In addition to the simulations, other options could affect the financial position of the Trust Fund including reducing black lung benefits, eliminating or adjusting the coal tax cap, or creating a variable coal tax. Our moderate case simulation suggests that completely eliminating black lung benefits as of fiscal year 2019 could reduce the Trust Fund\u2019s borrowing from Treasury\u2019s general fund in fiscal year 2050 from about $15.4 billion to about $6.4 billion. However, doing so would generally mean that coal tax revenue would be collected solely to fund the repayment of Trust Fund debt. Another option could be to eliminate or adjust the coal tax cap, which currently prevents mine operators from paying a coal tax of more than 4.4 percent of the price per ton of coal sold. If the coal tax cap were eliminated, for instance, mine operators would pay $1.10 per ton of underground-mined coal and $0. 55 per ton of surface-mined coal regardless of price sold, which could increase revenue. As an additional option, changing the structure of the coal tax to flexible rates that change based on an annual actuarial assessment of the Trust Fund could help to ensure that coal mine operators pay the necessary amount of tax to cover Trust Fund expenditures, without resulting in a Trust Fund balance or deficit."], "subsections": []}]}, {"section_title": "Multiple Options Could Reduce Future Trust Fund Debt and Would Distribute the Financial Burden Differently Among General Taxpayers and Industry", "paragraphs": ["Multiple options could reduce the Trust Fund\u2019s future debt and distribute the financial burden among the coal industry and general taxpayers. We simulated whether various coal tax and debt forgiveness options could balance the Trust Fund by fiscal year 2050, whereby its simulated revenue would be sufficient to cover its simulated expenditures. These options were selected, in part, based on interviews with Trust Fund stakeholders and the availability of DOL and other data. We approached these simulations from two perspectives. First, we simulated how much Trust Fund debt would need to be forgiven based on various coal tax rates. Second, we simulated the average tax collected per ton needed to balance the Trust Fund by 2050, based on certain debt forgiveness options. The simulated options are not intended to be exhaustive and we are not endorsing any particular combination of options.", "Our first set of options using the moderate case simulations are based on the current coal tax rates of $1.10 per ton of underground-mined coal and $0.55 per ton of surface-mined coal, and show the amount of debt forgiveness in fiscal year 2019 needed to balance the Trust Fund by fiscal year 2050 based on certain tax rates (see fig. 10). Specifically, our moderate case simulations show the following: Increasing current coal tax rates by 25 percent could balance the Trust Fund by 2050 and would likely require no debt forgiveness. For this option, the simulated coal tax revenue would likely be sufficient to cover simulated Trust Fund expenditures, including combined benefit payments and administrative costs, as well as debt repayments. However, this option would place the burden solely on the coal industry that would be paying higher taxes at a time when coal production has been declining.", "Maintaining current coal tax rates could balance the Trust Fund by 2050 if coupled with about $2.4 billion of debt forgiveness. This option would distribute the burden among the coal industry and general taxpayers.", "Decreasing current coal tax rates by 25 percent could balance the Trust Fund by 2050 if coupled with about $4.8 billion in debt forgiveness. This option would burden the coal industry less than maintaining the current tax rates, but would increase the burden on general taxpayers.", "Decreasing current tax rates by 55 percent, which we refer to as the scheduled 2019 tax rate decrease, would balance the Trust Fund by 2050 if coupled with about $7.8 billion in debt forgiveness. This figure comprises the Trust Fund\u2019s total simulated outstanding debt in fiscal year 2019 ($6.6 billion), and an additional about $1.2 billion that would be required because the Trust Fund will accrue additional debt from fiscal years 2020 through 2050, according to our moderate case simulations. The coal industry would bear some of the financial burden of this option, while also placing a financial burden on general taxpayers.", "Our second set of options using moderate case simulations show the change in average coal tax revenue collected per ton to balance the Trust Fund by fiscal year 2050 based on certain debt forgiveness options (see fig. 11). Specifically, our moderate simulations show the following:", "Forgiving the Trust Fund\u2019s legacy debt would allow for an average tax collected of about $0.59 per ton to balance the Trust Fund by 2050. Based on certain assumptions, this could be accomplished with a tax of $0.88 per ton on underground-mined coal and $0.44 per ton on surface-mined coal.", "Forgiving all Trust Fund debt would allow for an average tax collected per ton of coal sold of $0.47 per ton to balance the Trust Fund by 2050. Based on certain assumptions, this could be accomplished with a tax of $0.70 per ton on underground-mined coal and a tax of $0.35 per ton of surface-mined coal."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Labor (DOL), Treasury, and Health and Human Services (HHS) for review and comment. DOL, Treasury, and HHS provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time we will send copies of this report to the appropriate congressional committees, the Secretaries of Labor, Treasury, and Health and Human Services, and other interested parties. In addition, the report will be available at no charge on GAO\u2019s web site at http://www.gao.gov.", "If you or your staff should have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Black Lung Disability Trust Fund Simulation Methodology", "paragraphs": ["We examined the extent to which (1) Black Lung Disability Trust Fund (Trust Fund) debt may change through 2050 and (2) selected options to improve its future financial position. We interviewed officials from the Departments of Labor (DOL), Treasury, and Health and Human Services (HHS), as well as representatives from the National Mining Association and the United Mine Workers of America. We then selected options to simulate based, in part, on these interviews and the availability of DOL and other data. These options included adjusting the coal tax, forgiving interest on some or all Trust Fund debt, forgiving some or all Trust Fund debt, or various combinations of these options. The options we simulated are not intended to be exhaustive and we are not endorsing any particular option or combination of options. Our simulations are based on various assumptions and simulate Trust Fund revenues and expenditures from fiscal years 2016 through 2050. To develop these simulations, we used actual and projection data from (1) DOL for fiscal years 2015 through 2040; (2) Treasury\u2019s Office of Tax Analysis for fiscal years 2011 through 2015; (3) the Department of Energy\u2019s Energy Information Administration (EIA) for calendar years 2015 through 2050; and (4) the Office of Management and Budget for fiscal year 2017."], "subsections": [{"section_title": "Black Lung Benefit Expenditures", "paragraphs": ["To simulate future Trust Fund benefit expenditures, we simulated the number of beneficiaries each fiscal year, and the annual average amount of benefits received (cash assistance and medical benefits). To simulate the numbers of beneficiaries, we used DOL data on the (1) age distributions of miner and widow beneficiaries for fiscal year 2015; (2) mortality rates by age for miner and widow beneficiaries as of fiscal year 2015; and (3) numbers of beneficiaries\u2014including married miners, single miners, widows, and miners receiving medical benefits only\u2014in fiscal year 2015. We assumed\u2014as DOL does in its Black Lung Budget and Liability Model\u2014that all miners are men, all widows are women, and all spouses are 3 years younger than the miner. We also assumed that the age distribution of single miners is the same as for married miners, and that the age distribution of new miner and widow beneficiaries is the same as for miner and widow beneficiaries during fiscal year 2015. We used DOL\u2019s mortality rates to simulate the number of beneficiaries of each age and type in each year, and used those numbers to then simulate the total number of beneficiaries of each type each year (see table 2).", "We also assumed that there will be no new medical-benefit-only recipients.", "Formula The number of married miner beneficiaries age a in fiscal year y is equal to the number of new married miner beneficiaries age a in fiscal year y plus the number of married miner beneficiaries age a-1 in fiscal year y-1 who survived and whose spouse survived. The total number of married miner beneficiaries in fiscal year y is then the sum of the number of married miner beneficiaries of all ages in fiscal year y. Finally, we averaged the number of married miner beneficiaries by averaging the prior fiscal year\u2019s total and the current fiscal year\u2019s total.", "The number of single miner beneficiaries age a in fiscal year y is equal to the number of new single miner beneficiaries age a in fiscal year y plus the number of single miner beneficiaries age a-1 in fiscal year y-1 who survived plus the number of married miner beneficiaries age a-1 in fiscal year y-1 who survived but whose spouse did not survive. The total number of single miner beneficiaries in fiscal year y is then the sum of the number of single miner beneficiaries of all ages in fiscal year y. Finally, we averaged the number of single miner beneficiaries by averaging the prior fiscal year\u2019s total and the current fiscal year\u2019s total.", "The number of widow beneficiaries age a in fiscal year y is equal to the number of new beneficiaries who are widows age a in fiscal year y plus the number of widow beneficiaries age a-1 in fiscal year y-1 who survived plus the number of married miner beneficiaries age a+2 in fiscal year y-1 who did not survive but whose spouse did survive. The total number of widow beneficiaries in fiscal year y is then the sum of the number of widow beneficiaries of all ages in fiscal year y. Finally, we averaged the number of widow beneficiaries by averaging the prior fiscal year\u2019s total and the current fiscal year\u2019s total.", "The number of MBO beneficiaries of age a in fiscal year y is equal to the number of MBO beneficiaries of age a-1 in fiscal year y-1 who survived. The total number of MBO beneficiaries only in fiscal year y is then the sum of the number of MBO beneficiaries of all ages in fiscal year y. Finally, we averaged the number of MBO beneficiaries by averaging the prior fiscal year\u2019s total and the current fiscal year\u2019s total."], "subsections": []}, {"section_title": "Coal Tax Revenues", "paragraphs": ["To simulate future coal tax revenue, we used Treasury and EIA data to calculate (1) the amounts of underground and surface-mined coal taxed at fixed dollar amounts of $1.10 and $0.55 per ton, respectively, in 2015; (2) the amounts of underground and surface-mined coal taxed at variable dollar amounts per ton equal to 4.4 percent of the price in 2015; and (3) average prices of underground and surface-mined coal taxed at 4.4 percent of the price in 2015. We then used EIA data on projected amounts of total coal production, underground-mined coal production, lignite coal production, and coal exports, as well as projected average coal prices, for the period from 2015 through 2050 to simulate future coal tax revenues (see table 3).", "We simulated other Trust Fund expenditures and revenues, including administrative costs and debt repayments (see table 4). For our simulations, total Trust Fund expenditures are the sum of black lung benefits (cash assistance and medical benefits), total administrative costs, repayment of interest and principal on outstanding debt to Treasury\u2019s general fund, and other expenditures. Total Trust Fund revenues are the sum of coal tax revenue and other miscellaneous revenue, and exclude annual borrowing from Treasury\u2019s general fund. Annual borrowing from Treasury\u2019s general fund is the difference between total Trust Fund expenditures and revenues and is assumed to be repaid with interest the following year. If total revenues are greater than total expenditures, then the Trust Fund has a balance and would not have to borrow that year. In this case, we assumed that the Trust Fund will earn interest on that balance at the same rate on which interest would accrue on annual borrowing.", "We simulated how the scheduled 2019 tax rate decrease and various options including adjusting the coal tax, forgiving debt interest, and forgiving debt principal and interest may affect Trust Fund finances through fiscal year 2050 (see table 5). The options listed are not intended to be exhaustive and we are not endorsing any particular option or combination of options.", "We simulated option combinations for coal tax rates, interest forgiveness, and debt forgiveness to demonstrate how potential financial adjustments could affect future Trust Fund borrowing from Treasury\u2019s general fund through fiscal year 2050. For options that involve adjusting coal tax rates, we estimated the amount of debt that would need to be forgiven in fiscal year 2019 for the Trust Fund\u2019s revenues to be sufficient to cover its expenditures through fiscal year 2050, assuming the Trust Fund does not borrow from Treasury\u2019s general fund after fiscal year 2018. To do so, we first calculated the real discounted present value of Trust Fund expenditures for fiscal years 2019 through 2050, including benefit payments, administrative costs, legacy debt repayments, and repayment of annual borrowing from Treasury\u2019s general fund. Second, we calculated the real discounted present value of Trust Fund revenue for the same period, including coal tax revenue and other miscellaneous revenue. Third, we calculated debt forgiveness as the difference between the real discounted present value of Trust Fund expenditures from the first calculation and the real discounted present value of Trust Fund revenues from the second calculation. When the amount of debt forgiveness is greater than the amount of debt outstanding, the Trust Fund would need an additional cash inflow in addition to forgiveness of all outstanding debt. Amounts of debt forgiveness less than zero suggest that no debt forgiveness is required.", "For options involving forgiving debt (interest or principal), we estimated the average tax per ton of coal that, if implemented in fiscal year 2019, would provide the Trust Fund sufficient revenue to cover its expenditures through fiscal year 2050, assuming the Trust Fund does not receive any advances from Treasury\u2019s general fund after fiscal year 2018. To do so, we first calculated the real discounted present value of Trust Fund expenditures for the period from fiscal year 2019 through fiscal year 2050, again including benefit payments, administrative costs, legacy debt repayments, and repayment of annual borrowing from Treasury\u2019s general fund, minus the real discounted present value of miscellaneous revenues for the same period. Second, we calculated the real discounted present value of coal production for the same period. Third, we calculated the average tax per ton of coal as the first amount divided by the second amount.", "To assess the sensitivity of each option, we ran each simulation 36 times using four different sets of assumptions about the numbers of future beneficiaries and nine different sets of assumptions about future coal production and prices (see table 6). Doing so provided a range of estimates about the Trust Fund\u2019s future borrowing needs and provided insight on the sensitivity of its overall financial position relative to its various expenditures and revenues. The analysis also provided a range of estimates of the amount of debt forgiveness needed to bring the Trust Fund into balance by fiscal year 2050, assuming various coal tax rates, and the average tax collection per ton needed to do the same, and assuming various amounts of debt forgiveness.", "From the range of estimates that resulted from our sensitivity analysis, we selected cases with moderate expectations related to future Trust Fund expenditures and revenue. Specifically, for future expenditures, we assumed an average growth rate of new black lung beneficiaries for fiscal years 2003 through 2015 as a moderate case that reflects historical experience. For future revenue, we used a moderate coal production outlook based on EIA\u2019s reference case, which reflects moderate expectations about future coal production based on various assumptions about economic growth, oil prices, technological innovation, and energy policy."], "subsections": []}]}, {"section_title": "Appendix II: Results of GAO\u2019s Black Lung Disability Trust Fund Simulations", "paragraphs": ["We summarized the results of our simulations by showing the extent to which the Black Lung Disability Trust Fund\u2019s (Trust Fund) balance\u2014the sum of tax revenue and miscellaneous revenue less expenditures\u2014may change in fiscal year 2050 for each option simulated. For example, with the scheduled 2019 tax rate decrease, our moderate case simulations suggest that the Trust Fund would likely have a deficit in fiscal year 2050 of about $15.4 billion.", "Multiple options could reduce the Trust Fund\u2019s future debt and distribute the financial burden among the coal industry and general taxpayers. We simulated how various coal tax and debt forgiveness options could balance the Trust Fund by fiscal year 2050, whereby its simulated revenue would be sufficient to cover its simulated expenditures. We approached these simulations from two perspectives. First, we simulated how much Trust Fund debt would need to be forgiven based on various coal tax rates. Second, we simulated the average tax collected per ton needed to balance the Trust Fund by 2050, based on certain debt forgiveness options.", "For our first set of simulations, we calculated the amount of debt outstanding in fiscal year 2019 and the amount that would likely need to be forgiven in fiscal year 2019 for the Trust Fund to have sufficient revenues to cover its expenditures by fiscal year 2050, assuming that it does not borrow from Treasury\u2019s general fund after fiscal year 2018. For example, before any options are implemented, our moderate case simulations suggest that the Trust Fund\u2019s outstanding debt in fiscal year 2019\u2014including both legacy debt and annual borrowing from Treasury\u2019s general fund\u2014would likely be about $6.6 billion (after discounting and adjusting for inflation). Therefore, with implementation of the coal tax rate decrease of about 55 percent as scheduled in calendar year 2019, about 117.7 percent of that debt would need to be forgiven to balance the Trust Fund. In other words, balancing the Trust Fund would require forgiveness of $6.6 billion and an additional cash inflow of about $1.2 billion because the Trust Fund will accrue additional debt from fiscal years 2020 through 2050, according to our moderate case simulations (see table 8).", "For our second set of simulations, we estimated the average tax per ton of coal that, if implemented in fiscal year 2019, would likely provide the Trust Fund sufficient revenues to cover its expenditures in fiscal year 2050, assuming that it does not borrow from Treasury\u2019s general fund after fiscal year 2018. For example, if all principal and interest on Trust Fund legacy debt is forgiven, as of 2019, the estimated average tax that balances the Trust Fund is about $0.59 per ton (see table 9). Based on certain assumptions, this could be accomplished with a tax of $0.88 per ton on underground-mined coal and $0.44 per ton on surface-mined coal."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Blake Ainsworth (Assistant Director), Justin Dunleavy (analyst-in-charge), Angeline Bickner, Courtney LaFountain, and Rosemary Torres Lerma made key contributions to this report. Also contributing to this report were James Bennett, Melinda Bowman, Lilia Chaidez, Caitlin Cusati, Holly Dye, Alex Galuten, Carol Henn, John Lack, Emei Li, Almeta Spencer, Kate van Gelder, and Shana Wallace."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-125", "url": "https://www.gao.gov/products/GAO-19-125", "title": "Electronic Health Records: VA Needs to Identify and Report System Costs", "published_date": "2019-07-25T00:00:00", "released_date": "2019-07-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA provides health care services to approximately 9 million veterans and their families and relies on its health information system\u2014VistA\u2014to do so. However, the system is more than 30 years old, is costly to maintain, and does not fully support exchanging health data with DOD and private health care providers. Over nearly 2 decades, VA has pursued multiple efforts to modernize the system. In June 2017, the department announced plans to acquire the same system\u2014the Cerner system\u2014that DOD is implementing. VA plans to continue using VistA during the decade-long transition to the Cerner system.", "GAO was asked to review key aspects of VistA and VA's plans for the new acquisition of the Cerner system. The objectives of the review were to (1) determine the extent to which VA has defined VistA, (2) evaluate VA's annual costs to develop and sustain VistA, and (3) describe the actions VA has taken to transition from VistA to the Cerner system.", "GAO analyzed documentation that defines aspects of VistA and identifies components to be replaced; evaluated the reliability of cost data, including obligations associated with the development and sustainment of VistA for fiscal years 2015, 2016, and 2017; and reviewed program documentation related to VA's program, governance, and plans to transition to Cerner."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) has various documents and a database that describe parts of the Veterans Health Information Systems and Technology Architecture (VistA); however, the department does not have a comprehensive definition for the system. For example, VA has identified components that comprise VistA, identified interfaces related to the system, and collected system user guides and installation manuals. VA has also conducted analyses to better understand customization of VistA components at various medical facilities. Nevertheless, the existing information and analyses do not provide a thorough understanding of the local customizations reflected in about 130 versions of VistA that support health care delivery at more than 1,500 sites. Program officials stated that they have not been able to fully define VistA due to the decentralization of the development of the system for more than 30 years. Cerner's contract to provide a new electronic health record system to VA calls for the company to conduct comprehensive assessments to identify site-specific requirements where its system is planned to be deployed. Three site assessments have been completed and additional assessments are planned. If these assessments provide a thorough understanding of the 130 VistA versions, the department should be able to define VistA and be better positioned to transition to the new system.", "VA identified costs for VistA and its related activities adding up to approximately $913.7 million, $664.3 million, and $711.1 million in fiscal years 2015, 2016, and 2017, respectively\u2014for a total of about $2.3 billion over the 3 years. However, of the $2.3 billion, the department was only able to demonstrate that approximately $1 billion of these costs were sufficiently reliable. In addition, the department omitted VistA-related costs from the total. The lack of a sufficiently reliable and comprehensive total cost for VistA is due in part to not following a well-documented methodology that describes how the department determined the costs for the system. As a result of incomplete cost data and data that could not be determined to be sufficiently reliable, the department, legislators, and the public do not have a complete understanding of how much it has cost to develop and maintain VistA. Further, VA lacks the information needed to make decisions on sustaining the many versions of the system.", "VA has initiated a number of actions to prepare for the transition from VistA to the Cerner system. These actions include taking steps to establish and begin to staff a program office, forming a governance structure, conducting assessments at the initial sites, preparing program plans to guide the initial system implementation, and setting a program baseline to help guide implementation at the initial sites. The department's actions in these important areas are ongoing. Additional actions are in progress to address GAO's September 2018 recommendation that VA clearly define the role and responsibilities of the joint Department of Defense (DOD) and VA Interagency Program Office in the department's governance plans for the new electronic health record system. VA intends to continue maturing and fully establishing a program management organization and a program governance structure to track program progress."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that VA develop and implement a methodology for reliably identifying and reporting the total costs of VistA. VA agreed with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) manages one of the largest health care delivery systems in the United States, providing a continuum of health care services to more than 9 million veterans at sites throughout the United States, the Virgin Islands, Puerto Rico, American Samoa, Guam, and the Philippines. VA\u2019s health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA)\u2014has been essential to the department\u2019s ability to deliver health care to veterans. However, this technically complex system has been in operation for more than 30 years, is costly to maintain, and does not fully support VA\u2019s need to electronically exchange health records with other organizations, such as the Department of Defense (DOD) and private health care providers.", "VA has been challenged in the past by its various attempts to modernize VistA, and its efforts have fallen short of completion at a high cost to the department. In June 2017, VA\u2019s former Secretary announced that the department would redirect its modernization efforts to replace the VistA electronic health record (EHR). In doing so, VA planned to adopt the same system that DOD is currently acquiring\u2014Cerner Millennium\u2014a commercial-off-the-shelf (COTS) product.", "You asked us to review key aspects of VistA and VA\u2019s plans for acquiring the new Cerner system. Our specific objectives for this engagement were to: (1) determine the extent to which VA has defined VistA, (2) evaluate VA\u2019s annual costs to develop and sustain VistA, and (3) describe the actions VA has taken to transition from VistA to the Cerner system.", "To address the first objective, we examined VA documentation, which officials familiar with VistA have cited as sources that define the system. These documents included the VA Monograph, reports from the VA Systems Inventory, and documents listed in the VA Software Document Library. We also examined the VistA Product Roadmap, which described modernization plans and achievements related to VistA.", "Further, we reviewed the results of additional efforts undertaken by the department to define VistA. For example, we reviewed analyses that the department undertook to identify VistA components to be replaced by the Cerner System and the department\u2019s visual mapping of VistA. We then compared the extent to which VA has defined VistA with elements for defining information technology (IT) systems described in GAO\u2019s Standards for Internal Control in the Federal Government and our Cost Estimating and Assessment Guide. In addition, we reviewed Electronic Health Records Modernization (EHRM) Program documentation related to site visits that the department and Cerner have conducted at initial operating capability sites and planned for future sites. Finally, we supplemented our work with interviews of officials in VA\u2019s Office of Information and Technology (OIT), Veterans Health Administration (VHA), and the EHRM program office.", "To address the second objective, we examined cost data provided by OIT and VHA that was associated with the development and sustainment (operation and maintenance) of VistA for fiscal years 2015, 2016, and 2017. The scope of our work focused on these 3 prior fiscal years because development and sustainment cost information for full fiscal years should have been available during the time period in which we conducted our evaluation.", "Specifically, we examined documentation of the total costs for these 3 years, including source data provided by the department for each category of cost identified, to assess the reliability of the supporting data consistent with best practices described in GAO\u2019s Cost Estimating and Assessment Guide. We also examined the documentation and controls related to the IT systems that VA identified as the sources of these cost data. The systems included OIT\u2019s Budget Tracking Tool and VA\u2019s Financial Management System.", "Further, we discussed with knowledgeable EHRM program officials the nature of the cost data, the rationale for why each cost line item was included, and any anomalies (e.g., missing data and calculation errors) found during our analysis. In addition, we interviewed OIT and VHA subject matter experts and vendors identified by VA to further understand the methodology that the department used to identify or estimate VistA costs.", "This report includes specific VistA-related cost totals for which OIT and VHA were able to sufficiently demonstrate the reliability of the program data. For other costs in which we were not able to make a reliability determination, we have summarized and reported those to provide context for the magnitude of the total costs.", "To address the third objective, we examined the department\u2019s decision memorandums and charters establishing the Office of Electronic Health Record Modernization and the EHRM program to manage VA\u2019s transition from VistA to Cerner. We also examined VA\u2019s plans to establish a structure for governing technical and functional issues and joint decisions that arise with DOD. To understand how the office intended to manage the transition from VistA to the commercial system, we reviewed the site assessment reports to understand how the reports were used to refine the scope of work. We reviewed the EHRM Program Management Plan and subordinate plans used to guide the program. We also examined documentation supporting establishment of the initial program baseline. We supplemented our documentation reviews with information obtained through interviews with VA officials including the Executive Director and Chief Technology and Integration Officer for the EHRM program. Appendix I provides a more detailed discussion of our objectives, scope, and methodology.", "We conducted this performance audit from August 2017 through July 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA\u2019s mission is to promote the health, welfare, and dignity of all veterans in recognition of their service to the nation by ensuring that they receive medical care, benefits, social support, and lasting memorials. In carrying out this mission, the department manages one of the largest health care delivery systems in the United States that provides enrolled veterans with a full range of services. These services may include primary care; mental health care; and outpatient, inpatient, and residential treatment. VHA, one of the department\u2019s three major components, is responsible for overseeing the provision of health care at all VA medical facilities.", "IT is widely used and critically important to supporting the department in delivering health care to veterans. As such, VA operates and maintains an IT infrastructure that is intended to provide the backbone necessary to meet the day-to-day operational needs of its medical centers and other critical systems supporting the department\u2019s mission. The infrastructure is to provide for data storage, transmission, and communications requirements necessary to ensure the delivery of reliable, available, and responsive support to all VA staff offices and administration customers, as well as veterans."], "subsections": [{"section_title": "VA Has Begun to Acquire a New System after a Long History of Efforts to Modernize VistA", "paragraphs": ["Over nearly 2 decades, VA pursued multiple efforts to modernize VistA. However, these efforts were abandoned due to expectations of high costs and challenges to ensuring interoperability of health data.", "Beginning in December 2013, the department initiated VistA Evolution, a joint program between OIT and VHA that focused on implementing a collection of projects to improve the efficiency and quality of veterans\u2019 health care. Specifically, it focused on modernizing the VistA system, increasing the department\u2019s data exchange and interoperability with DOD and private sector health care partners, and reducing the time it takes to deploy new health information management capabilities. The VistA 4 Roadmap was the key plan that the department used to guide VistA Evolution. According to this plan, VistA Evolution was intended to result in lower costs for system upgrades, maintenance, and sustainment.", "As part of VistA Evolution, the department initiated work to, among other things, standardize VistA instances; expand the use and functionality of the Joint Legacy Viewer; and release enhancements to legacy scheduling, pharmacy, and immunization systems. For example, one focus of the VistA Evolution program over the last several years was to standardize a core set of the system\u2019s modules which, according to the department, account for about 60 percent of VistA.", "As part of these efforts, the department implemented a process to assess variances in the system at individual sites. According to OIT officials, this process led to more standardization of the code, where possible, and also allowed sites to apply for a waiver if there was a need to continue to operate a nonstandardized VistA instance.", "Although VistA Evolution was intended to modernize aspects of the system through December 2018, the planned scope of work was reduced as VA redirected the department\u2019s efforts. Specifically, in June 2017, the former VA Secretary announced a significant shift in the department\u2019s approach to modernizing VistA. Rather than continue to use the system, the Secretary stated that the department planned to acquire the same EHR system that DOD is acquiring\u2014Cerner Millennium. According to the department, it has chosen to acquire this product because Cerner Millennium should allow the entire department\u2019s and DOD\u2019s patient data to reside in one system, thus, potentially reducing or eliminating the manual and electronic exchange and reconciliation of data between two separate systems.", "Accordingly, the department awarded an indefinite delivery, indefinite quantity contract to Cerner in May 2018 for a maximum amount of $10 billion over 10 years. Cerner is to replace the 130 instances of VistA with a standard COTS system to be implemented across VA. This new system is to support a broad range of health care functions including acute care, clinical decision support, dental care, and emergency medicine. When implemented, the new system will be expected to become the authoritative source of clinical data to support improved health, patient safety, and quality of care provided by VA.", "The EHRM program is responsible for managing the Cerner contract implementation. As of June 2019, the department had issued eight task orders to Cerner to: provide project management and planning support services, conduct site assessments at the initial operating capability sites, host the Cerner system and supporting data, perform data migration and enterprise interface development, develop a functional baseline, deploy the Cerner system at the initial operating capability sites, analyze, design, and develop a technical baseline, and provide additional interface development.", "For fiscal year 2019, the program was appropriated about $1.1 billion for planning and managing the transition from VistA to Cerner. VA\u2019s Office of the Deputy Secretary approves spending on EHRM activities according to the appropriation. Further, according to the department, funds are tracked as a major IT investment on the Office of Management and Budget\u2019s Federal IT Dashboard.", "According to VA documentation, the EHRM program is to provide management support and the infrastructure modernization required to install and operate the new system. Further, the department has estimated that an additional $6.1 billion in funding, above the Cerner contract amount, will be needed to fund additional project management support supplied by outside contractors, government labor costs, and infrastructure improvements over the 10-year contract period. Each VA medical facility is expected to continue using VistA until the new system has been deployed.", "VA plans to deploy the new EHR system at three initial operating capability sites within 18 months of October 1, 2018, with a phased implementation of the remaining sites over the next decade. The three initial deployment sites, located in the Pacific Northwest, are the Mann- Grandstaff, American Lake, and Seattle VA Medical Centers and related clinical facilities that operate the same instances of VistA. These are the first locations where the system is expected to \u201cgo live.\u201d", "The task order to deploy the Cerner system at the three initial sites provides a detailed description of the steps Cerner needs to take in order to reach initial operating capability at the Mann-Grandstaff site in March 2020, and at the Seattle and American Lake sites in April 2020. According to the schedule, the initial operating capability sites are expected to be operational by July 2020."], "subsections": []}, {"section_title": "GAO Has Previously Reported on VA\u2019s Challenges in Managing Health IT and VistA Modernization", "paragraphs": ["In 2015, we designated VA health care as a high-risk area for the federal government, and we continue to be concerned about the department\u2019s ability to ensure that its resources are being used cost-effectively and efficiently to improve veterans\u2019 timely access to health care. In part, we identified limitations in the capacity of VA\u2019s existing IT systems, including the outdated, inefficient nature of key systems and a lack of system interoperability, as contributors to the department\u2019s challenges related to health care. In our 2019 update to the high-risk series, we stressed that VA should demonstrate commitment to addressing its IT challenges by stabilizing senior leadership, building capacity, and finalizing its action plan for addressing our recommendations and establishing metrics and mechanisms for assessing and reporting progress.", "We have also issued numerous reports over the last decade that highlighted the challenges facing VA in modernizing VistA and improving EHR interoperability with DOD. For example,", "Between July 2008 and January 2010, we issued a series of reports related to provisions included in the National Defense Authorization Act for Fiscal Year 2008 that required VA and DOD to, among other things, jointly develop and implement fully interoperable EHR systems or capabilities and establish an Interagency Program Office to be a single point of accountability for their efforts. These reports summarized progress made over time to set up the program office, but also noted that the office was not positioned to function as a single point of accountability for the delivery of the future interoperable capabilities that the departments were planning.", "In March 2011, the Secretaries of VA and DOD committed the two departments to the development of a new common integrated electronic health record (iEHR) system and, in May 2012, announced their goal of implementing it across the departments by 2017. However, in February 2014, we reported on the departments\u2019 decision to abandon their plans for the iEHR. Specifically, we reported that the Secretaries of VA and DOD, citing challenges in the cost and schedule for developing the iEHR, had announced that they would not continue with the new system and would, instead, pursue separate efforts to modernize or replace their existing systems and work to ensure interoperability between them.", "Further, we reported that the departments had not addressed management barriers to effectively collaborate on their joint health IT efforts. We made recommendations regarding, among other things, developing a plan to describe the schedule, cost, and roles and responsibilities for the organizations within VA and DOD involved in acquiring, developing, and implementing the EHR systems. The departments agreed with these recommendations and took steps to address them.", "We reported in August 2015 that VA and DOD, with guidance from the Interagency Program Office, had taken actions to increase interoperability between their EHR systems. However, the office had not yet specified outcome-oriented metrics and established related goals that are important to gauging the impact that interoperability capabilities have on improving health care services for shared patients. As a result, we made several recommendations to VA and DOD to address these deficiencies and the departments agreed with them. VA, DOD, and the Interagency Program Office subsequently took actions that addressed the recommendations.", "In a June 2018 testimony, we noted that VA had undertaken important analyses to better understand the scope of VistA and identify capabilities that can be provided by the Cerner system. The department also had other key activities underway, such as establishing program governance and EHRM program planning. We noted that critical success factors could serve as a model of best practices that VA could apply to enhance the likelihood that the acquisition of the new system would be successfully achieved.", "Further, in a September 2018 testimony, we summarized our previously reported findings on the establishment and evolution of the DOD/VA Interagency Program Office, which has been involved in various approaches to increase health information interoperability between the departments. We noted that the office had not been effectively positioned to function as the single point of accountability for the departments\u2019 EHR system interoperability efforts as called for in the National Defense Authorization Act for Fiscal Year 2008.", "As a result of these findings, we recommended that VA clearly define the role and responsibilities of the Interagency Program Office within the governance plans for acquisition of the department\u2019s new EHR system. The department agreed with the recommendation and stated that the Joint Executive Council, a joint governance body comprised of leadership for both VA and DOD, had approved a role for the office. However, as of June 2019, additional work was ongoing to clarify the role of the Interagency Program Office in VA\u2019s EHR acquisition."], "subsections": []}]}, {"section_title": "VA Has Undertaken Efforts to Define VistA, but Additional Work Remains", "paragraphs": ["In order to maintain internal control activities over an IT system and its related infrastructure, organizations should be able to define physical and performance characteristics of the system, including descriptions of the components and the interfaces. Further, consistent with GAO\u2019s Cost Estimating and Assessment Guide, a comprehensive system definition should identify customization and the environment in which the system operates. While defining a complex IT system can be challenging, having an adequate understanding of its characteristics will better position the organization to comprehensively project and account for costs over the life of a system or program as well as identify specific technical and program risks. Definition of VistA remains important because VA plans to continue using the system during the department\u2019s decade-long transition to the Cerner system.", "VA maintains multiple documents and a database that describe parts of VistA, including various components and interfaces. However, despite these existing sources, OIT officials acknowledged that there is no comprehensive definition of the VistA system. Consequently, VA has completed a number of efforts to better define VistA and understand the environment in which it operates and additional work is planned in the future.", "Specifically, VA has documented descriptions of the system, including the components that comprise it. These descriptions are documented in multiple sources: the VA Monograph, VA Systems Inventory, and VA Document Library.", "The VA Monograph is a document maintained by OIT that provides an overview of VistA and non-VistA applications used by VHA. According to VHA officials, the VA Monograph is the primary document that describes the components of the system. The Monograph describes VistA in terms of modules. For modules identified, including VistA modules, information such as the associated business functions, VA Systems Inventory identification number, and a link to the VA Document Library for additional technical information are provided.", "The VA Systems Inventory is a database maintained by OIT that identifies current IT systems at the department, including systems and interfaces related to VistA. For systems identified, the database includes information such as the system name, the system status (i.e., active, in development, or inactive), and related system interfaces.", "The VA Document Library is an online resource for accessing documentation (i.e., user guides and installation manuals) on the department\u2019s nationally released software applications, including VistA.", "VA has also taken steps to further define the system in its efforts to understand VistA and the environment in which it operates. For example, EHRM program officials recognized the need to further understand the customization of VistA components at the various medical facilities and have conducted analyses to do so. These analyses include:", "Variance analysis: As part of its VistA Evolution program, which has focused on standardizing a core set of VistA functionality, the department implemented a process to compare the instances of VistA installed at sites to the Enterprise Standard version. The results of this analysis allowed the department to assess the criticality of each variance, which is expected to help with VA\u2019s transition to the Cerner system.", "Module analysis: EHRM program subject matter experts undertook an analysis that involved reviewing and assessing capabilities provided by VistA modules. This analysis enabled department officials to determine whether the capability provided by a VistA module could be provided by the Cerner system, or whether another COTS solution would be required to support this function going forward.", "Visual mapping: EHRM program officials also directed an analysis that involved developing a notional visual mapping of VA\u2019s health care applications, components, and supporting systems within the health delivery environment. The results of this analysis provided a description of the current state of one instance of VistA and the VA health environment, which is intended to inform the department of possible opportunities for business process and IT improvements as it proceeds with the Cerner acquisition.", "Nevertheless, even with these analyses, VA has not yet fully defined VistA, including, for example, identifying performance characteristics of the system and describing the environment in which it operates. The department\u2019s three sources that describe VistA and the additional analyses undertaken do not provide insight into site specific customizations of the system. For example, the VA Monograph does not include information on module customization at local facilities. In addition, according to OIT officials, the systems inventory does not reflect differences among the 130 different instances of VistA and does not take into consideration regional and local customizations of related components. Further, the visual mapping analysis noted that there was not full insight of the intertwined structure of data and applications or the various local customizations of VistA.", "EHRM program officials stated that they have not been able to fully define VistA and understand all local customizations due to the decentralization of the development of the system and its evolution over more than 30 years. They explained that VistA\u2019s complexity is partly due to the various instances of the system, compounded by local customizations, which have resulted in differences in VistA instances operating at various facilities.", "According to EHRM program documentation, Cerner\u2019s contract calls for the company to conduct comprehensive assessments to capture the current state of technical and clinical operations at specific facilities, as well as identify site-specific requirements where the Cerner system is planned to be deployed. As of June 2019, Cerner had completed site assessments for the three initial operating capability sites in the Pacific Northwest and had planned additional assessments at future deployment sites. The initial site assessments included, among other things, an assessment of the unique VistA instances and the environment in which the system operates. The continuation of planned site assessments should provide a thorough understanding of the 130 VistA versions, help the department better define VistA, and position it for transitioning from VistA to Cerner\u2019s COTS solution."], "subsections": []}, {"section_title": "VA Identified Total VistA Costs of about $2.3 Billion between 2015 and 2017, but Could Not Sufficiently Demonstrate the Reliability of All Data and Omitted Other Costs", "paragraphs": ["When using public funds, an agency must employ effective management practices in order to let legislators, management, and the public know the costs of programs and whether they are achieving their goals. To make those evaluations for a program or for a system as large and complex as VistA, a complete understanding of the system and reliable cost information is required. By following a methodology and utilizing reliable data, an agency can ensure that all costs are fully accounted for, which in turn, better informs management decisions, establishes a cost baseline, and enhances understanding of a system\u2019s performance and return on investment.", "Fundamental characteristics of reliable costs are that they should be accurate (unbiased, not overly conservative or optimistic), well- documented (supportable with source data, clearly detailed calculations, and explanations for choosing a particular calculation method), credible (identifying any uncertainty or biases surrounding data or related assumptions), and comprehensive (costs are neither omitted nor double counted). Identification of VistA\u2019s costs remains important because VA plans to continue using the system during the department\u2019s transition to the Cerner system over the next decade.", "VA identified costs for VistA and its related activities adding up to approximately $913.7 million, $664.3 million, and $711.1 million in fiscal years 2015, 2016, and 2017, respectively\u2014for a total of about $2.3 billion over the 3 years. However, of the $2.3 billion, the department was only able to demonstrate that approximately $1 billion of these costs were reliable. The department could not sufficiently demonstrate the reliability of the remaining approximately $1.3 billion of VistA costs that it identified. In addition, VA identified other categories of VistA-related costs, but omitted these costs from the total."], "subsections": [{"section_title": "VA Did Not Sufficiently Demonstrate the Reliability of Data for All VistA Costs", "paragraphs": ["Of the $2.3 billion total costs for VistA, VA demonstrated that only approximately $1 billion of these costs were reliable. Specifically, OIT officials identified VistA-related costs within seven categories. The officials were able to sufficiently explain why these categories were included in the development and sustainment costs for VistA and how they were documented by the department; the officials also presented detailed source data for our examination. As a result of our review, we determined that the cost data for these seven categories were accurate, well-documented, credible, and comprehensive and, thus, sufficiently reliable.", "Table 1 provides a summary of the program costs identified for VistA by OIT and VHA for fiscal years 2015 through 2017 that we determined to be reliable.", "As shown in the table, VA identified costs for the following seven categories for fiscal years 2015 through 2017:", "VistA Evolution \u2013 The VistA Evolution program costs were associated with VistA strategy, system design, product development, and program management. These costs totaled approximately $549.6 million.", "Interoperability \u2013 The Interoperability program focused on sharing electronic health data between VA and non-VA facilities, including private sector providers and DOD. For example, interoperability costs were associated with architecture, strategy, the Interagency Program Office, product development, and program management. These VistA-related costs totaled approximately $140.2 million.", "Virtual Lifetime Electronic Record (VLER) Health \u2013 This program focused on streamlining the transition of electronic medical information between VA and DOD. These VistA-related costs were associated with product development and program management and totaled approximately $81.2 million.", "Contracts \u2013 Contract costs for VistA Evolution included VHA\u2019s obligations associated with workload management, change management, clinical requirements, and clinical interoperability. These VistA-related costs totaled approximately $202.8 million.", "Intergovernmental personnel acts \u2013 Intergovernmental personnel acts are agreements for the temporary assignment of personnel between the federal, state, and local governments; colleges and universities; Indian tribal governments; federally funded research and development centers; and other eligible organizations. These costs accounted for VHA\u2019s need to use outside experts from approved entities for limited periods of time to work on VistA Evolution assignments. The total VistA-related costs were approximately $2.4 million.", "Memorandums of understanding \u2013 According to VHA, memorandums of understanding are agreements used by the administration to obtain the services of personnel between VA entities for VistA-related activities. These agreements accounted for approximately $2.3 million.", "Pay \u2013 Costs in this category included salaries for VHA staff who worked on VistA-related projects as well as travel, training, and supply costs associated with employment. These costs totaled approximately $34.1 million.", "However, VA was not able to sufficiently demonstrate the reliability of approximately $1.3 billion in costs related to VistA. Specifically, OIT officials identified the additional legacy VistA costs of $1.3 billion that generally fell into three categories:", "Legacy VistA: Infrastructure, hosting, and system sustainment \u2013 Legacy VistA costs are generally related to the maintenance of fully operational items, such as VistA Imaging and Fileman\u2014two key components related to VistA\u2019s operation. The costs also included obligations for costs related to hosting health data in both VA and non-VA facilities. The OIT officials and subject matter experts estimated these total costs to be approximately $343 million during fiscal years 2015 through 2017.", "However, we were not able to determine the reliability of these costs because, for example, source data were not well documented; changes in the cost information provided to us during our review indicated that the cost data may not be credible; and subject matter experts were unclear about how to separate VistA costs from non- VistA costs.", "Related software \u2013 Related software costs are associated with the software supporting or closely integrated with VistA that were identified by EHRM officials, yet not tracked directly for one of the VistA-related programs. Both OIT and VHA identified software licensing costs as VistA-related obligations. The EHRM program reported these costs to be approximately $389 million in total during fiscal years 2015 through 2017.", "However, we were not able to determine the reliability of the costs in this category for a variety of reasons, including that source data were not well documented. In addition, VA officials were not clear regarding how the total amounts in each category should be divided between OIT and VHA. Given this confusion, we were not able to determine if the costs were fully accurate or credible.", "OIT personnel (pay and administrative) \u2013 According to EHRM officials, OIT does not track labor costs by program. Instead, the department provided estimations of the amount of salaries paid to OIT government staff working on activities such as VistA Evolution, program management, and overall support of VistA and related applications. OIT personnel costs were estimated by the EHRM program office to be approximately $544 million total during fiscal years 2015 through 2017.", "However, we were not able to determine the reliability of costs in this category because assumptions made for estimating the personnel and salary costs were not well documented and could not be verified."], "subsections": []}, {"section_title": "VA Omitted Certain Costs from the Total Cost of VistA", "paragraphs": ["In addition, VA omitted certain VistA costs from the total costs identified for fiscal years 2015, 2016, and 2017. Specifically, VA omitted the following costs:", "Additional hosting \u2013 OIT officials stated that additional costs related to hosting health data by an outside vendor, as well as hosting backup VistA instances at each of the medical center sites, should also be included in the total costs for VistA; however, VA omitted these costs from the total for fiscal years 2015 through 2017. Specifically, according to the officials, calculating costs for these hosting activities requires subject matter experts to identify equipment, space, utilities, and maintenance costs for resources allocated specifically for VistA. However, the department has not yet developed a methodology to calculate the costs. The officials said they were working on identifying a reliable approach for calculating these costs in the future.", "Data standardization and testing \u2013 OIT officials stated that additional costs related to work on clinical terminology mapping and functional testing were not included in the total costs for VistA for fiscal years 2015 through 2017. This work related to mapping existing clinical data to national standards and making updates to VistA or the Joint Legacy Viewer and included mapping data and building test scripts and reports. OIT officials noted that this work had been critical to the VistA Evolution program, but they did not provide actual cost data in this category.", "The lack of sufficiently reliable and comprehensive costs indicates that the department is not positioned to accurately report the annual costs to develop and sustain VistA. This is due, in part, to the fact that VA has not followed a well-documented methodology that describes how the department determined the total costs for the system. In lieu of a methodology, OIT officials said that leadership and staff from the program took efforts to identify and track the cost components and contracts associated with the system. However, they noted that costs associated with VistA were not all clearly labeled as VistA in an IT system and it was necessary to estimate other costs. The officials were also unable to verify how VistA-related costs were separated from other department costs in all areas and subject matter experts were not consistently familiar with the estimation methods employed and how VistA was defined for the purposes of calculating costs. Further, VA officials noted that they were still working on the best approach to identifying and calculating omitted costs.", "Without documenting the methodology for what costs are to be included and how they were identified and calculated, VA\u2019s total does not accurately reflect the development and sustainment costs for VistA. As a result, the department, legislators, and the public do not have the comprehensive, reliable information needed to understand how much it actually cost to develop and maintain the system. Further, VA does not have the reliable information needed to make critical management decisions for sustaining the many versions of VistA over the next 10 years until the Cerner system is fully deployed."], "subsections": []}]}, {"section_title": "VA Has Initiated a Number of Activities to Transition from VistA to the Cerner System", "paragraphs": ["VA has initiated a number of actions to prepare for the transition from VistA to the Cerner system. These actions include (1) taking steps to establish a program office reporting to senior agency management, (2) forming a governance structure, (3) conducting assessments at initial system deployment sites, (4) preparing program plans, and (5) setting an initial program baseline. These activities represent important initial steps to prepare for the transition to the new system. The program office is working to hire staff and establish a joint governance structure to coordinate with DOD on the departments\u2019 efforts to implement the Cerner system."], "subsections": [{"section_title": "VA Has Taken Steps to Establish a Program Office Reporting to Senior Agency Management and Efforts to Hire Staff Are Ongoing", "paragraphs": ["Strong agency leadership support is a key factor that can increase the likelihood of a program\u2019s success. For example, senior leadership can define a vision for the program and intervene when there are difficulties. Such leadership can come from the establishment of a program office with staff reporting to senior agency management.", "VA took steps to establish a program office, under the leadership of the VA Deputy Secretary, to support the contract negotiations between the department and Cerner. Toward this end, in January 2018, the department moved the EHRM program office from OIT to directly report to the VA Deputy Secretary. Then, after the contract with Cerner was awarded in May 2018, a new program office\u2014the Office of Electronic Health Record Modernization\u2014was established in June 2018 to plan and implement the EHRM program. The office is intended to coordinate with OIT and VHA leadership\u2014specifically, VA\u2019s CIO and VHA\u2019s Under Secretary for Health\u2014under the direction of an Executive Director. The Executive Director reports directly to the VA Deputy Secretary. Reporting to the Executive Director is the Deputy Executive Director, whose responsibilities include supporting the program\u2019s execution and management, ensuring the program\u2019s direction is in alignment with VA\u2019s desired outcomes, and identifying strategic challenges related to the program.", "The Office of Electronic Health Record Modernization also includes three management structures:", "The Chief Medical Office is responsible for overseeing strategy and planning efforts for change management, user testing and training, and business process re-engineering. It also leads communication efforts for the end users and deployment.", "The Technology and Integration Office is responsible for providing technical leadership, management, and oversight of IT. As such, the office approves technical requirements and supports interoperability with DOD, as well as performs information security, architecture, data migration and management, configuration management, infrastructure engineering, transition and data engineering, and development.", "The Program Management Office is responsible for, among other things, providing program control support for the scope, schedule, quality, and risk management for the EHRM program; human resources support for the Office of Electronic Health Record Modernization government staff; financial management for operating plans, budgets, cost estimates and reporting; test and evaluation support; and oversight of contracts providing staffing to the EHRM program.", "As of May 2019, VA was still working to fully staff the Office of Electronic Health Record Modernization. Figure 1 shows the organization of the Office of Electronic Health Record Modernization.", "According to program officials and the Office of Electronic Health Record Modernization organization chart, the office is expected to be staffed by 289 government employees. These positions are expected to be filled by April 2020 and represent the staff required for the program to achieve its initial operational capability. According to the program\u2019s January 2019 hiring plan, the office had begun its process to reassign staff and hire additional government employees.", "VA also awarded a contract for program management support. According to EHRM program officials, the support contractor is to supplement the Office of Electronic Health Record Modernization staff with program and project management support, technical support, community care support, and executive support and internal communications, among other areas. The support contractor provides about 370 personnel to deliver project management support. The contractor reported as of January 2019 that it had achieved the following accomplishments, among others:", "Developed a Project Readiness Assessment Report including roles, schedules, risk, and measures of success within the Chief Medical Office.", "Developed a survey to identify key clinical priorities for data migration related to patient safety and clinical quality.", "Coordinated the site visit schedule and logistics with initial operating capability sites and conducted site surveys at eight outpatient clinics.", "By establishing a program office reporting to the Deputy Secretary, VA has begun to build a framework to demonstrate senior agency management support of the program. Establishing the program office also focuses oversight and program management of the EHRM program."], "subsections": []}, {"section_title": "VA Has Established Program Governance and Is Working on Developing a Joint Management Structure with DOD", "paragraphs": ["Implementing collaborative governance brings together key agency executives to discuss investment performance and increases accountability. In addition, it is critical for program officials to be actively engaged with stakeholders to ensure the success of a major acquisition.", "The department has established a governance structure that includes multiple levels of governance bodies and stakeholders. In addition, VA has prepared charters for the governance boards and identified board membership. According to the charters for the governance bodies, the structure is intended to address technical and functional issues, as well as any joint management issues that arise between VA and DOD as both departments implement the Cerner EHR.", "As of January 2019, the EHRM program governance structure was comprised of a Steering Committee, Governance Integration Board, Functional Governance Board, Technical Governance Board, and EHR Councils. EHRM program officials have stated that the charters for these boards, which describe their membership and responsibilities, will continue to evolve as the program matures.", "The Steering Committee, the highest board in the program governance structure, advises the VA Secretary on the progress and performance of the EHRM program toward meeting program goals and outcomes and providing strategic direction on program implementation. This committee is chaired by the Deputy Secretary of VA. Voting members of the committee include, among others, the VA CIO and the Under Secretary for Health.", "According to the draft charter, the Steering Committee is expected to resolve any items that cannot be resolved at the level of the next lower-level board and is to meet at least quarterly. However, as of January 2019, the Steering Committee had not met. According to program officials, other reviews, such as a monthly program review with the Deputy Secretary, beginning in November 2018, have provided executive-level oversight of the EHRM program and have met the purpose of the Steering Committee.", "The Governance Integration Board is responsible for integrating and communicating efforts across all lower program governance boards (including the Functional Governance Board and the Technical Governance Board) to meet program goals and milestones. The board has three voting members: the Office of Electronic Health Record Modernization Executive Director, the Assistant Deputy Under Secretary for Health, and the Principal Deputy Assistant Secretary for OIT. According to the charter, this board is expected to act as arbitrator between clinical, technical, and budget priorities and adjudicate items that cannot be resolved at the lower-level boards.", "In addition, the Governance Integration Board serves as the EHRM program Configuration Control Board. According to the charter, the board is to meet on a monthly basis. According to program officials and meeting minutes, as of January 2019, the Governance Integration Board had met six times.", "The Functional Governance Board is responsible for providing guidance on the functional and business community needs for the EHR modernization efforts. This board interacts with the Technical Governance Board as a functional and business advisor. The Functional Governance Board is chaired by the program office\u2019s Chief Medical Officer and includes members from a variety of VHA functional areas (e.g., nursing, community care, and patient safety). According to the charter, the board is to meet on a biweekly basis and is to provide guidance to address functional decisions escalated from the EHR Councils. According to program officials and meeting minutes, as of January 2019, the Functional Governance Board had met 10 times.", "The Technical Governance Board is responsible and accountable for all decisions related to EHRM program technical transformation efforts. The board is expected to provide technical decision recommendations and collaborate with DOD and other external partners. The chair of this board is the Office of Electronic Health Record Modernization\u2019s Chief Technology and Integration Officer. Other voting members include an OIT CIO representative and selected technical directors from within the Office of Electronic Health Record Modernization. The board\u2019s draft charter specifies that it is to meet on a biweekly basis. According to EHRM program officials, as of January 2019, the Technical Governance Board had met 16 times.", "The EHR Councils are working groups comprised of subject matter experts from both clinical and functional (i.e., business) domains that are to work with Cerner to provide input and recommendations for developing and validating standard workflows. As of October 2018, a total of 12 councils had been established to address clinical processes and six councils had been established to address business processes. A total of 121 VHA field office staff and 100 VHA central office staff were appointed to these councils.", "In addition, the councils have eight planned national workshops and seven planned local workshops. These workshops are ongoing and are expected to be completed by October 2019. According to program officials, the national workshops are intended to establish a national baseline for workflow configuration decisions. The local workshops are to review the national baseline and make integration decisions to suit local needs.", "Figure 2 depicts the relationships among VA\u2019s EHRM program governance bodies.", "In addition to the program\u2019s governance, the Secretaries of VA and DOD issued a joint memorandum in September 2018 asserting the need to establish a joint management structure, which could have responsibilities beyond those currently within the purview of the Interagency Program Office. According to the agency officials, the joint management structure will be expected to leverage lessons learned by DOD from its experience in deploying the Cerner system, such as the timing of infrastructure upgrades. Further, in December 2018, the departments chartered a Joint Electronic Health Record Modernization Work Group to assess the departments\u2019 existing EHR modernization strategies and efforts. According to its charter, the work group is also intended to develop and design recommended approaches, processes, and organizational structures to optimize the use of the departments\u2019 resources in pursuit of EHR interoperability objectives.", "The joint working group is to develop short- and long-term recommendations to support four objectives to provide: a single accountable authority to facilitate decision-making and an organizational structure to support the delivery of a single, coordinated clinical and business workflows; and a coordinated implementation plan and detailed timelines.", "According to EHRM program officials, the joint working group is to define the joint management structure to be used to coordinate between the departments. According to the charter, the goal is for the recommended joint organization to be operational by the end of September 2019."], "subsections": []}, {"section_title": "VA and Cerner Conducted Site Assessments to Refine the Scope of Work", "paragraphs": ["As previously discussed, according to EHRM program officials, the department determined that site-specific assessments are required to allow Cerner to appropriately identify the requirements for system implementation at each site. To refine the scope of work required for initial operating capability, Cerner and the department conducted assessments, beginning in July 2018, at the three sites identified to be part of the initial operating capability of the program. These site assessments included, among other things, an assessment of the IT infrastructure at each site and identification of site-specific requirements.", "Additional site assessments are planned at every facility before the Cerner system will be deployed at each location. According to the task order, the assessments are expected to provide perspective on the current state of technical and clinical operations of each facility beyond VA\u2019s current documentation. For example, Cerner is expected to document all interfaces with medical devices, third-party systems and other data sets at each site, as well as update monthly a site readiness checklist to inform comprehensive deployment planning.", "According to the assessments of the three initial operating capability sites, a number of issues have been identified such as updating or replacing infrastructure and workstations to be compatible with the Cerner COTS system. In addition, according to the site assessments, the services offered by the department, such as telehealth and behavioral health, are generally more expansive than commercial deployments and will require increased collaboration between VA and Cerner to meet business and system requirements. Thus, the assessments are intended to position Cerner and the department to have more information readily available in order to better plan for site-specific issues prior to actual implementation."], "subsections": []}, {"section_title": "VA Is Preparing Program Plans for Implementation", "paragraphs": ["Program planning is critical for ensuring effective management of key aspects of an IT program and serves as the basis for controlling and managing project performance. These key aspects include, for example, identification of the program\u2019s scope, responsible organizations, costs, and schedules.", "The Office of Electronic Health Record Modernization Executive Director approved an initial Program Management Plan for the EHRM program in November 2018. According to the plan, it is to be used to guide the management of the EHRM program and defines the program\u2019s policies and processes necessary to achieve the program\u2019s goals. It briefly defines the program\u2019s scope and strategy, including the assumptions made. For example, according to the plan, the EHRM program assumes that VA and DOD will use a single instance of the Cerner system. Further, it states that both the legacy VistA data and EHRM data will be available to both VistA and new system users during the transition.", "The Program Management Plan also identifies a series of subordinate plans that have been developed to further elaborate on specific program planning and execution activities. For example, the plan summarizes the Deployment Management Plan, which details the strategy and tasks required from initial site assessment through configuration, testing, training, change management, deployment, and transition to sustainment.", "The plan also describes the Schedule Management Plan, which defines the development and maintenance of the integrated master schedule for the life of the program. Thus, the Program Management Plan provides the guidance for where to look for key planning information for the department.", "The EHRM program also developed a draft Risk Management Plan, dated September 2018, that defines how risk and issue planning, analysis, and management are to be implemented. The draft risk management process consists of risk identification and mitigation, including conducting risk management planning, identification, analysis, response planning, response identification, and monitoring. According to the plan, management of overall program risk is intended to keep risk exposure within an acceptable range and maximize the likelihood of achieving overall objectives.", "In addition, the EHRM program developed plans for change management, communications, and training activities to ensure that VA clinicians, staff members, volunteers, and veterans understand and are ready for the changing systems and processes that will impact them. The initial versions of the plans were delivered by Cerner in November 2018. The program\u2019s approach is to continue to evolve these plans as the program matures. By developing these program plans, VA is taking steps to ensure effective management of key aspects of the EHRM program."], "subsections": []}, {"section_title": "VA Established a Program Baseline for Achieving Initial System Deployments", "paragraphs": ["Baselined program plans act as a guide throughout the life of an investment to provide a basis for measuring performance, identify who is accountable for the deliverables, describe the implementation approach and interdependencies, identify key decisions, and embed quality assurance and reviews. Ultimately, baseline management demonstrates that a project is under financial and managerial control.", "According to EHRM program officials, on October 30, 2018, the program conducted a review of the time period from contract award through initial operating capability. The review validated the scope of the program for the transition of VistA to the initial operating capability sites, identified an initial work breakdown structure, and included an integrated master schedule and a cost baseline. The results of this review established a baseline for the initial operating capability and changes to the baseline are subject to change control. Also, as a result of the review, the Office of Electronic Health Record Modernization is to conduct monthly program reviews to inform the Deputy Secretary of the status of the EHRM program.", "According to EHRM program officials, upgrades to the IT infrastructure are to be accomplished by OIT, and the local area network infrastructure is to be upgraded at all initial operating capability sites prior to implementation of the new system. As baselined, upgrades of end user devices are scheduled to be completed at the Mann-Grandstaff site by September 2019, the American Lake site by October 2019, and the Seattle site by November 2019. Program officials have stated that the goal is to have infrastructure upgrades at a site completed 6 months before the site begins to implement the Cerner system. However, in May 2019, EHRM program officials indicated that infrastructure updates may be delayed for the initial sites by up to 3 months.", "After an evaluation of the initial operating capability, the EHRM program is to determine whether the minimum operational capabilities have been achieved. Figure 3 shows a timeline of the baselined implementation milestones for the initial sites, established at the review held in October 2018.", "The baseline review also included identifying and addressing program risks related to the Cerner system implementation. The review identified 10 program risks, prioritized the risks by probability and impact, and assigned mitigation plans for the risks. For example, the review identified the risk that if required infrastructure upgrades were not implemented, then VA would not be able to deploy a fully operational EHR system. The program identified development of acquisition strategies to address infrastructure requirements from the site assessments as an action to mitigate this risk.", "By establishing a program baseline for the initial operating capability, VA has instituted a basis for measuring actual versus planned program performance. In addition, the risk mitigation plans provide an approach to address the identified risks."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["VA lacks a comprehensive definition of the VistA system that captures the complexity of the system, the environment in which it operates, and the local customizations that have evolved in the VistA instances over many years. Consequently, VA has engaged in efforts to provide additional insight into the system. The department plans to continue to conduct comprehensive site-specific assessments with Cerner to refine its understanding of the unique VistA instances and the environment in which the system operates. The continuation of planned site assessments should help VA better define VistA.", "With regard to calculating costs for VistA, the department has identified reliable costs for approximately $1 billion in development and sustainment for the system over 3 fiscal years. However, VA was not able to sufficiently demonstrate the reliability of an additional $1.3 billion of costs identified and omitted other relevant costs from the total. The cost deficiencies existed largely because VA officials were uncertain about what to identify as part of VistA; documentation related to certain categories of costs was incomplete; and a documented methodology for identifying and reporting those costs does not exist. As a result, VA lacks the comprehensive and reliable cost information needed to make critical management decisions for sustaining the system and ensuring an accurate basis for reporting on the return on its investment for replacing VistA.", "VA has taken a number of actions to prepare for the transition from VistA to the Cerner system, such as establishing and beginning to staff a program office, forming a governance structure, conducting site assessments at initial sites, preparing program plans to guide the initial implementation, and setting an initial program baseline to help guide implementation of the system at three key sites."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of VA should direct the Under Secretary for Health and the Assistant Secretary for Information and Technology/Chief Information Officer to develop and implement a methodology for reliably identifying and reporting the total costs of VistA. The methodology should include steps to identify the definition of VistA and what is to be included in its sustainment activities, as well as ensure that comprehensive costs are corroborated by reliable data. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["VA provided written comments on a draft of this report. In its comments (reprinted in appendix II), the department generally agreed with our conclusions and concurred with our recommendation. The department stated that it will provide the actions it plans to take to address the recommendation within 180 days. VA also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of VA, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions on matters discussed in this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to: (1) determine the extent to which the Department of Veterans Affairs (VA) has defined the Veterans Health Information Systems and Technology Architecture (VistA), (2) evaluate VA\u2019s annual costs to develop and sustain VistA, and (3) describe the actions VA has taken to transition from VistA to the Cerner system.", "To address the first objective, we examined VA documentation including the VA Monograph, reports from the VA Systems Inventory, and documents listed in the VA Software Document Library. These documents were cited by VA officials as sources that define the VistA system and provide information on modules and interfaces. Our review and compilation of information from these three sources enabled us to describe the various sources used at the department to document information about the VistA system and identify the limitations of each source. We also examined the VistA Product Roadmap, which described modernization plans and achievements related to VistA. Further, we interviewed officials from the Veterans Health Administration (VHA) to obtain information on additional efforts undertaken by the department to further understand and define VistA.", "In addition, we reviewed program documentation related to three analyses undertaken by VA to further define VistA. These analyses included the department\u2019s efforts to ascertain variances between versions of VistA, identify components of VistA to be replaced by the Cerner System, and document the current state of a sample instance of VistA. For example, we examined VA documentation that described software modules available in the department\u2019s VistA product and program documentation identifying components of VistA to be replaced by the Cerner system. In addition, our review of a visual mapping developed for Electronic Health Record Modernization (EHRM) program officials depicting the environment in which VistA operates allowed us to describe the size and complexity of the system and how it is used by the department.", "Further, we compared the extent to which VA has defined VistA with criteria for defining information technology (IT) systems described in GAO\u2019s Standards for Internal Control in the Federal Government and our Cost Estimating and Assessment Guide. In addition, we reviewed EHRM program documentation related to site assessments that have taken place at initial operating capability sites and are planned for future sites. Specifically, we reviewed the relevant contract task order to understand how site assessments were planned and to identify site-specific gaps between the current VistA system in use and the target future Cerner system. We supplemented our documentation reviews with information obtained through interviews with officials from VA\u2019s Office of Information and Technology (OIT), VHA, and the EHRM program office.", "To address the second objective, we examined department documentation of costs associated with the development and sustainment (operation and maintenance) of VistA for fiscal years 2015, 2016, and 2017. These 3 fiscal years were selected because development and sustainment cost information for full fiscal years should have been available during the time period in which we conducted our evaluation. To compile the total costs, we examined all categories of costs identified by VA to determine reliability of the source data. We also discussed the methodology VA used related to identifying costs and estimating costs when source data was not available with officials from the EHRM program. We compared the identified cost data to best practices described in GAO\u2019s Cost Estimating and Assessment Guide that are the basis for effectively capturing reliable program costs. The guide also describes the importance of documenting the methodology by which costs are included and how they are calculated in detail, step by step, to provide enough information so that someone unfamiliar with the program could easily recreate or update cost calculations.", "Specifically, we analyzed all cost documentation provided by the department over the course of our work. For example, OIT officials identified VistA costs tracked under three programs\u2014VistA Evolution, Interoperability, and Virtual Lifetime Electronic Record (VLER) Health\u2013 and VHA officials reported that costs for the system were tracked separately from OIT through various types of contracts and agreements associated with VistA Evolution. In regard to the OIT and VHA program data, VA provided detailed source data that we analyzed for reliability and verified the calculations of costs identified over the course of our work.", "We also examined the documentation and controls related to the IT systems VA identified as the source of these cost data. The systems included OIT\u2019s Budget Tracking Tool and VA\u2019s Financial Management System. Further, we discussed the nature of the cost data, the rationale behind why each cost line item was included, and any anomalies found during our analysis with cognizant OIT and VHA officials. For example, anomalies included omitted contract numbers or transposed entries in summary tables. As a result of these efforts, OIT and VHA were able to sufficiently demonstrate the reliability of the program data for the purpose of calculating costs for VistA.", "Officials from the EHRM program also identified costs that were not directly tracked under the program areas previously mentioned. OIT and VHA relied upon subject matter experts or vendors to identify costs or to calculate estimates for cost categories such as sustainment, maintenance, co-location, hosting, pay, administrative, and infrastructure costs related to VistA operations. We analyzed the data provided for reliability consistent with GAO Cost Estimating and Assessment Guide over the course of our work.", "Further, we discussed the nature of the cost data, the rationale behind why each cost line item was included, and any anomalies found during our analysis with cognizant OIT and VHA officials. We also interviewed OIT and VHA subject matter experts and vendors identified by VA to examine the rationale or methodology for how the costs were identified and estimated. During the course of our work, VA continued to revise these estimates as part of the department\u2019s efforts to identify the costs for VistA and could not provide a consistent, documented methodology for how the costs were calculated or provided only summary costs that could not be analyzed. As such, VA was not able to sufficiently demonstrate the reliability of legacy VistA, related software, and OIT personnel costs for our purpose of calculating the total costs for VistA. This report does not conclude that the data are unreliable, only that a reliability determination could not be made during the course of our work. However, given the importance of these related costs to VistA, we have summarized and reported these costs in the total cost amount for VistA to more accurately approximate the magnitude of total costs, but have not reported itemized costs in these areas.", "Finally, the department identified that there were additional costs that should be included in the compilation of the total costs for VistA related to additional hosting costs and data standardization and testing. However, the department did not provide such data to include in the total costs for VistA.", "To address the third objective, we examined the department\u2019s decision memorandums and charters establishing the Office of Electronic Health Record Modernization and the EHRM program to manage VA\u2019s transition from VistA to Cerner. We also examined the statement of work for the program support contract as well as VA\u2019s draft charters, program briefings, and organization charts that describe plans to govern the program to acquire the Cerner system. Specifically, we examined VA\u2019s plans to establish a structure for governing technical and functional issues and joint decisions that arise with the Department of Defense.", "To understand how site assessments were used to refine the scope of work, we examined the site assessment task order and the site assessment reports. To understand how the program office plans to manage the program, we examined the EHRM Program Management Plan and subordinate plans that guide the management of the program and describe ongoing efforts to define the policies and processes necessary to achieve the program\u2019s goals. To address the program\u2019s establishment of an initial program baseline, we examined the decision memorandum approving the award of the Cerner contract, the briefings presented to program stakeholders at the initial program baseline review, and the documents supporting the program baseline review. We supplemented our analysis with information obtained through interviews with relevant department officials including the Executive Director and Chief Technology and Integration Officer for the EHRM program.", "We conducted this performance audit from August 2017 to July 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mark Bird (Assistant Director), Jennifer Stavros-Turner (Analyst in Charge), John Bailey, David Blanding, Chris Businsky, Juan\u00e1 Collymore, Rebecca Eyler, Jacqueline Mai, Scott Pettis, and Charles Youman made key contributions to this report."], "subsections": []}]}], "fastfact": ["The VA\u2019s health information system is more than 30 years old and is costly to maintain. Over nearly 2 decades, VA\u2019s multiple modernization efforts have continually fallen short.", "In June 2017, VA announced it would buy the same system DOD is implementing. VA plans to continue using its current system during a decade-long transition.", "We reviewed the early stages of this transition. Among other things, we found VA lacked insight into the total costs for the current system. This could make it more difficult to make decisions during the transition to the new system.", "We recommended VA more reliably identify and report system costs."]} {"id": "GAO-18-296", "url": "https://www.gao.gov/products/GAO-18-296", "title": "U.S. Department of Agriculture: Additional Data Analysis Could Enhance Monitoring of U.S. Cattle Market", "published_date": "2018-04-10T00:00:00", "released_date": "2018-04-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. cattle industry accounted for about $64 billion in receipts in 2016, according to USDA. The price of fed cattle has fluctuated widely from 2013 through 2016 and experienced a sharp downturn beginning in late 2015, raising concerns about the market and questions about USDA's oversight.", "GAO was asked to review issues related to the U.S. cattle market. This report (1) describes key factors that affected changes in fed cattle prices from 2013 through 2016; (2) describes what CFTC found about possible trading irregularities in the futures market for fed cattle in 2015 and any changes to the futures contract for fed cattle since 2015; and (3) examines factors that may affect USDA's routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market. GAO reviewed economic data and USDA and CFTC documentation; analyzed transaction data on beef packer purchases from 2013 through 2015; and interviewed recognized experts, cattle industry stakeholders such as feedlot operators and packers, and agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Supply and demand factors , such as a drought that affected the price of cattle feed, affected changes in prices of fed cattle\u2014those ready for slaughter from 2013 through 2016. According to industry experts and GAO's analysis, a drought from late 2010 to early 2013 led the cattle inventory to fall and rise and, in turn, fed cattle prices to fluctuate (see figure). GAO's analysis of cattle market data from the U.S. Department of Agriculture (USDA) also indicated that competition levels among packers that slaughter and process fed cattle did not appear to affect the national price changes in the fed cattle market in 2015 but that areas of the country with less competition among packers had lower cattle prices.", "The Commodity Futures Trading Commission (CFTC)\u2014an agency that regulates cattle futures markets where participants buy and sell standardized agreements for cattle at an agreed-upon price at a specified date in the future\u2014did not find evidence of trading irregularities in the cattle futures market in 2015. However, to better align futures contracts with the actual fed cattle market, CFTC reviewed changes to contract terms and will continue to monitor those changes.", "The Packers & Stockyards Program (P&SP), which oversees the cattle industry within USDA's Agricultural Marketing Service (AMS), does not have routine access to daily data for transactions between feedlot operators, which produce fed cattle, and packers. Those data are collected by AMS's price reporting group, which does not routinely share them with P&SP because officials said it is prohibited by statute from doing so. The Livestock Mandatory Reporting Act of 1999 specifies that the Secretary of Agriculture may authorize the sharing of these data for enforcement purposes, which USDA interprets as an ongoing investigation, not market monitoring. In November 2017, USDA reorganized P&SP under AMS and officials said it was too early in the reorganization to determine whether AMS would view routine sharing of these data any differently. Reviewing the extent to which these data can be shared with P&SP provides an opportunity to enhance P&SP's oversight of the fed cattle market. Determining whether it is advisable to request additional exceptions from information disclosure restrictions from Congress would help USDA strengthen its oversight."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, including that USDA review the extent to which, under statute, the price reporting group can share daily transaction data with P&SP, and if USDA determines the statute does not permit such sharing and it is advisable, submit to Congress a proposal to allow such sharing. USDA agreed and subsequently determined that the act does not allow for such sharing and it would not be advisable citing concerns about the public's trust in the program."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. cattle industry is an important part of the nation\u2019s economy, accounting for about $78 billion in receipts in 2015 and about $64 billion in 2016, according to U.S. Department of Agriculture (USDA) documents. Prices for fed cattle\u2014cattle ready for slaughter and processing for human consumption\u2014fluctuated widely in recent years. Specifically, prices increased from 2013 through 2014, decreased somewhat in early 2015, and then decreased rapidly starting in August 2015. These fluctuations may have affected profitability for some market participants, and some producers who raise and feed cattle (i.e., cow-calf and feedlot operators) have expressed concerns about the downturn and raised questions about whether the prices they received for their cattle decreased because of potential market manipulation and industry consolidation. Underlying some market participants\u2019 concerns about the recent price fluctuations are questions about the level of competition at the slaughter and processing level. Specifically, according to USDA documents, four beef packers (packers)\u2014businesses that slaughter and process fed cattle\u2014 comprise more than 80 percent of the national packing market and have done so since the mid-1990s.", "USDA agencies have statutory responsibilities to oversee and facilitate the functioning of the cattle market. For example, within USDA\u2019s Agricultural Marketing Service (AMS), the Packers & Stockyards Program (P&SP) is an oversight program that, among other things, is responsible for monitoring the cattle industry and halting unfair and anticompetitive marketing practices. In addition, AMS\u2019s Livestock Mandatory Reporting program (price reporting group) collects information on packers\u2019 daily livestock purchases and provides public price summaries to facilitate open markets and provide market participants, both large and small, with comparable levels of market information for fed cattle, according to USDA.", "The cattle industry has long used futures contracts\u2014standardized agreements to buy or sell cattle at an agreed-upon price on a specified date in the future\u2014to manage the risks associated with price changes. However, the futures market for fed cattle\u2014where participants buy and sell such contracts\u2014has experienced a relatively high degree of volatility since late 2015, which has been a source of concern for some futures market participants. Some experts have also raised questions about whether fed cattle and futures prices are appropriately converging\u2014 meaning that the futures prices, which usually start out higher, move closer to the cash price as a futures contract nears its expiration date. If prices do not converge appropriately, futures contracts become less useful as a tool for managing risks associated with price changes. The Commodity Futures Trading Commission (CFTC) is responsible for the oversight of the futures markets, including the Chicago Mercantile Exchange, a self-regulatory organization that operates the futures market for fed cattle. In our past work, we have reviewed the relationship between market concentration and prices for cattle and other commodities as well as USDA\u2019s role in facilitating the effective function of the market and made recommendations to strengthen oversight of the market.", "You asked us to review issues related to the U.S. cattle market. This report (1) describes key factors that affected fed cattle price changes from 2013 through 2016; (2) describes what CFTC found about possible trading irregularities in the futures market for fed cattle in 2015 and any changes to the futures contract for fed cattle since 2015; and (3) examines factors that may affect USDA\u2019s routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market.", "To describe the key factors that affected fed cattle price changes from 2013 through 2016, we analyzed economic and other market data collected by federal agencies, including data from USDA\u2019s Economic Research Service, National Agricultural Statistics Service, and AMS. We also collected USDA transaction data for 2013 through 2015 on packer purchases of fed cattle and analyzed these data using a variety of methods, including econometric analysis to identify key factors that affected fed cattle price changes. We did not quantify or rank the impact of various factors. To assess the reliability of the economic and transactions data, we interviewed officials who maintain the data, reviewed related documentation, and tested the data for missing or erroneous values. We determined that the data were sufficiently reliable for our purposes. In addition to analyzing these data, we reviewed a P&SP investigation on the 2015 drop in fed cattle prices.", "To describe what CFTC found about possible trading irregularities in the futures market for fed cattle in 2015 and any changes to the futures contract for fed cattle since 2015, we reviewed and summarized CFTC documentation on the agency\u2019s oversight activities. We also reviewed CFTC data and its analyses of trading patterns on specific dates in 2015. To assess the reliability of these data and analyses, we conducted a review of the data and methods that CFTC used in these analyses by, for example, interviewing knowledgeable officials, and determined the work to be sufficiently reliable for our purposes. In addition, we reviewed and summarized documentary evidence from the Chicago Mercantile Exchange on its analysis of the market and on its changes to terms in futures contracts for fed cattle.", "To examine factors that may affect USDA\u2019s routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market, we met with officials in AMS\u2019s P&SP and price reporting group to discuss their roles and responsibilities, and we gathered relevant oversight documentation. We also used the results of our analysis of USDA transaction data on packer purchases of fed cattle. We compared USDA actions with standards for internal control in the federal government, specifically those related to the communication and use of quality information.", "To address all our objectives, we conducted interviews with (1) experts in cattle markets, identified by recognition in the professional or academic community, and relevance of published work or research to cattle markets; (2) stakeholders selected to represent a variety of views, including representatives of small and large feedlot operators (feeders), packers, futures market speculators, the Chicago Mercantile Exchange, and an organization that focuses on competition and antitrust issues; and (3) agency officials from AMS\u2019s P&SP and price reporting group, USDA\u2019s Office of the General Counsel, and CFTC. We then performed a content analysis of all interviews. The views of the experts and stakeholders we interviewed cannot be generalized to all others with expertise in the cattle markets or all cattle market stakeholders, but they provided valuable insights to our work. Appendix I presents a more detailed description of the scope and methodology of our review.", "We conducted this performance audit from August 2016 to March 2018 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The livelihood of cattle producers, such as cow-calf operators and feeders, depends fundamentally on the price they receive for their cattle and the cost to produce these cattle. Numerous supply and demand factors can affect this. For example, the long production cycle for cattle means that producers must make decisions about herd size long before they can price and sell their cattle. Producers\u2019 profits also hinge on how weather affects the supply and cost of forage and feed grains. Additionally, the outcome for producers depends on the effect of consumer preferences on demand for and price of beef. International trade in cattle and beef and competition from other protein sources\u2014such as poultry and pork\u2014are also among the many supply and demand factors that influence cattle prices and producers\u2019 incomes."], "subsections": [{"section_title": "Cattle Production Cycle and Recent Price Trends for Fed Cattle", "paragraphs": ["The cattle production cycle, which runs from birth to slaughter, for most cattle generally ranges from 15 months to 24 months. Calves are usually weaned from cows when they weigh about 500 pounds. They may then move to stocker or growing operations until they weigh 600 to 800 pounds. At this point, they move to feedlots, which produce fed cattle. Specifically, feedlots specialize in feeding cattle a concentrated diet of corn and other grains to enable them to reach between 950 and 1,300 pounds. They are then transported to and slaughtered at a packing plant. Feedlots and packing plants are located throughout the United States but are concentrated in states such as Texas, Oklahoma, Kansas, Nebraska, Colorado, South Dakota, and Iowa. Figure 1 traces the movement of cattle from breeding to processing and consumption. Figure 2 shows the locations of cattle in feedlots.", "According to price data from AMS\u2019s price reporting group, inflation- adjusted fed cattle prices have generally been increasing since about 2010. Fed cattle prices rose from about $125 per hundred pounds (live weight) in July 2013 and began to increase rapidly in fall 2013. Prices reached a historical high of about $173 per hundred pounds in November 2014, began to drop at the beginning of 2015, and then decreased dramatically in August and September of 2015, decreasing to about $123 per hundred pounds by the end of that year\u2014an overall drop of about 30 percent from November 2014. In 2016, after briefly increasing, prices dropped further throughout much of the year to about $100 per hundred pounds\u2014an overall drop of about 40 percent from November 2014. Prices then rose in the first half of 2017 before dropping again midyear. See figure 3 for more detailed information on fed cattle price changes over the past 10 years, including a trend line."], "subsections": []}, {"section_title": "Function of the Futures Market for Fed Cattle", "paragraphs": ["Market participants use the futures market for fed cattle to manage the risk associated with price changes, determine prices, or speculate on price changes. Futures contract terms that reflect the underlying fed cattle market help ensure that prices in both the fed cattle and futures markets are closely linked because they are influenced over the long run by the same market forces. The two markets also show similar patterns because participants in both markets tend to rely on the same types of information when entering into transactions. The Chicago Mercantile Exchange establishes the terms of futures contracts, including the quantity, quality, and locations to which fed cattle bought and sold on the futures market may be delivered. The only aspect left unspecified is the price at which each individual contract will be bought or sold.", "The futures market provides cattle market participants with a means to hedge\u2014shift unwanted price risk to others more willing to assume the risk. Some buyers and sellers in the fed cattle market, such as packers and feeders, trade in futures contracts to hedge the risks of price changes in the fed cattle or wholesale and retail beef markets. For example, a feeder concerned that fed cattle prices may decline in the future may decide to lock in his or her sell price by selling futures contracts: if fed cattle prices decline, profits from the futures contracts will generally offset losses from the lower fed cattle prices. The same is true for a meat packer concerned about prices going up. The packer might buy a futures contract to lock in a purchase price, with futures profits offsetting higher fed cattle prices. Other futures market participants\u2014generally, speculators\u2014may take a view about whether the price of fed cattle may go up or down and, based on that view, enter into the market as a buyer or seller. For example, speculators could purchase futures contracts from cattle market participants if they think that futures prices may increase in the future or, conversely, sell a futures contract if they believe prices may decline. These speculators provide the market with additional liquidity so that cattle market participants have willing buyers and sellers with whom to conduct transactions."], "subsections": []}, {"section_title": "Cattle Market Oversight Roles and Responsibilities of USDA and CFTC", "paragraphs": ["Within USDA, AMS\u2019s P&SP and price reporting group play specific roles in the cattle market. For example, P&SP performs various functions to help USDA execute its oversight responsibilities for cattle markets, which include halting unfair and anticompetitive marketing practices. To help USDA execute these oversight responsibilities, P&SP collects the following types of information to conduct both routine monitoring and targeted investigations:", "Packers\u2019 annual reports. Under the Packers & Stockyards Act, each packer must submit an annual summary of operations to P&SP that includes information on the dollar volume of cattle purchased, number of head purchased, and some proprietary financial information. P&SP officials use this information to, among other things, review the financial status of packers and their ability to stay solvent to pay for their purchases.", "Transaction data from the four largest packers. P&SP officials told us that they send letters annually to the industry\u2019s four largest packers requesting data on their transactions with feeders. According to P&SP officials, the packers provide P&SP with information on every transaction made during that year. P&SP officials told us that they also ask for new marketing agreements the packers have entered into throughout the year, to allow officials to track marketing agreements over time.", "Investigation information. During investigations, P&SP officials collect evidence such as business records and witness testimony from packers and others. P&SP can conduct investigations based on its own initiative or based on complaints from market participants.", "If, in the course of its oversight work, P&SP determines that a competition violation may have occurred, P&SP officials refer the case to USDA\u2019s Office of the General Counsel, which may pursue the case or further refer the case to the U.S. Department of Justice.", "The price reporting group\u2019s role in the cattle market is to implement the Livestock Mandatory Reporting program as required by the Livestock Mandatory Reporting Act of 1999. According to AMS, the purpose of the group is, among other things, to provide information regarding the marketing of livestock and encourage competition in the marketplace for livestock and livestock products. To fulfill this role, the price reporting group collects information on packers\u2019 daily livestock purchases on both mandatory and voluntary bases.", "Mandatory. Under the Livestock Mandatory Reporting Act of 1999, all qualifying packers must report information on all their purchases and sales on a daily basis. The price reporting group receives daily price data on all fed cattle that a packing plant purchases, and all the beef it sells. According to price reporting group officials, they aggregate and summarize the information by sector and publish it within an hour of receipt. For example, the price reporting group publishes information on the number of cattle transacted, proportion of each of the four transaction types used, and the average weight and price of cattle transacted. The price reporting group does not report information on individual transactions or summarized information if there is a risk that the packer may lose confidentiality due to low reporting numbers.", "Voluntary. The price reporting group collects additional voluntary information from packers, such as data on feeder cattle transactions and on new or unique markets (e.g., the market for grass-fed cattle).", "CFTC, an independent agency of the federal government, has exclusive jurisdiction over futures and other derivatives markets, except otherwise provided in law. Consistent with the Commodity Exchange Act, CFTC\u2019s mission is to protect market users and the public from fraud, manipulation, abusive practices, and systemic risk related to derivatives, and to foster open, competitive, and financially sound futures markets. This mission is achieved through a regulatory scheme that is based on federal oversight of industry self-regulation through organizations such as the Chicago Mercantile Exchange. As a self-regulatory organization, the Chicago Mercantile Exchange is responsible for, among other things, establishing and enforcing rules governing the conduct and trading of its members and preventing market manipulation."], "subsections": []}]}, {"section_title": "A Variety of Supply and Demand Factors Affected Fed Cattle Price Changes from 2013 through 2016", "paragraphs": ["Our review identified several supply and demand factors\u2014such as a prolonged drought that affected the price of cattle feed and the availability of relatively less expensive protein substitutes such as pork\u2014that affected changes in fed cattle prices from 2013 through 2016. Furthermore, we found that varying competition levels among packers did not appear to explain the large national price changes but may have contributed to variations in fed cattle prices in different areas of the country."], "subsections": [{"section_title": "Several Supply and Demand Factors Including Drought and the Retail Price of Substitute Proteins Affected Fed Cattle Price Changes", "paragraphs": ["Based on interviews with some experts, stakeholders, officials from USDA and CFTC, and our analysis of cattle market data, several interrelated supply and demand factors affected the large national changes in fed cattle prices from 2013 through 2016. These factors included drought, costs for feed, and the price of substitute proteins, such as pork. As it relates to supply factors, from 2010 through early 2013 a prolonged drought\u2014beginning in the southern United States in late 2010 and expanding to the High Plains in 2012\u2014affected major cattle areas. This drought caused the supply of young cattle to decrease and then increase and, correspondingly, the national price of fed cattle to increase and then decrease when those cattle came to market as fed cattle. Some experts and stakeholders we interviewed told us that cow-calf operators may have liquidated their herds in 2012 and 2013 because the droughts reduced the supply of forage available to raise younger cattle, and cow- calf operators could not feed as many cattle on available pasture and rangeland. The domestic cattle inventory decreased from about 96.5 million in 2007 to about 88.5 million in 2014. This decrease in inventory reduced the supply of fed cattle available for sale in 2013 and 2014, which could have driven up prices for fed cattle. As the drought eased in late 2013, it became more feasible to feed herds on forage, creating incentives for cow-calf operators to expand their herds throughout 2014 and 2015. This increased the number of fed cattle sold for slaughter by late 2015, and prices began to drop at that time. See figure 4 for information on the relationship between fed cattle price changes and the U.S. cattle inventory over the past 10 years. See appendix II for more information on the number of U.S. cattle at various points in the supply chain.", "Costs for feed also affected the fed cattle supply, contributing to the large changes in fed cattle prices from 2013 through 2016. An easing of the widespread drought in late 2013 reduced the price of corn and other grains used to feed cattle, which, according to some experts and P&SP officials, may have created an incentive for feeders to grow their cattle to heavier weights before marketing them to packers. For example, the price of corn decreased from about $6.87 per bushel in late 2012 to about $3.50 per bushel in late 2014. According to data from USDA\u2019s price reporting group, fed cattle weight increases from 2003 through 2013 averaged about 14 pounds per year; however, our analysis of cattle market data from USDA showed average fed cattle weights increased by about 40 pounds in 2015. For additional longer-term information on increases in cattle weights, see appendix II. However, particularly heavy cattle can receive lower prices per pound, in part because packers told us that unusually large cuts of beef can be more difficult to sell. In 2014 when the fed cattle supply was low, P&SP officials reported that packers were not necessarily paying lower prices for over-heavy cattle, so feeders would not have received this price indicator to keep the cattle they sold below certain weights. According to some experts, these heavier weights, combined with the larger overall number of cattle offered for sale in 2015, resulted in increased supply, exacerbating the price decline.", "Reduced demand for wholesale beef and for fed cattle also affected the large national changes in fed cattle prices. Our analysis of cattle market and other economic data showed that several factors reduced demand for beef; this in turn reduced demand for fed cattle. These factors included (1) higher wholesale beef prices and concurrently lower relative prices of pork and chicken, which are substitutes for beef for consumers and which would reduce demand for retail beef; (2) increases in the amount of beef in cold storage, also limiting packer demand for fed cattle; and (3) fluctuations in the strength of the U.S. dollar, which would shift consumer purchases toward or away from relatively less expensive imported beef, as well as contribute to shifts in net exports\u2014that is, total exports minus total imports. In addition, according to some experts and stakeholders, an overall reduction in packing capacity when packers closed several plants, including one large plant in Texas, may have also limited packer demand for fed cattle.", "P&SP officials conducted an investigation into the price drop beginning in August 2015. P&SP officials told us that as they saw fed cattle prices rapidly decreasing in August and September 2015, they included this investigation in the agency\u2019s annual work plan for 2016. They also told us that P&SP conducted the work based on its own initiative and not as the result of a request from a market participant or because it received specific information on possible wrongdoing. The P&SP investigation reviewed changes in price spreads between fed cattle and wholesale\u2014or boxed\u2014beef because such price spreads can serve as a rough indicator of packer profit. P&SP found that packers may have benefitted for a short period as the prices they paid for fed cattle decreased more quickly than the prices they received for boxed beef, but it also found that those price differences quickly diminished to smaller levels than before the price drop. The report concluded that the sharp price decrease in 2015 was likely due to a number of market factors that affected both supply and demand, such as an increased number of fed cattle sold for slaughter and lower relative prices for pork and chicken."], "subsections": []}, {"section_title": "Competition Levels among Packers Did Not Appear to Affect National Price Changes in the Fed Cattle Market but May Have Contributed to Price Variations in Different Areas of the Country", "paragraphs": ["Competition levels among packers varied in different areas of the country. These variations did not appear to explain the large national changes in fed cattle prices from 2013 through 2015 but may have contributed to variations in fed cattle prices in different areas of the country. Specifically, at the national level, packer competition levels were stable from 2013 through 2015. Using P&SP\u2019s annual data on transactions between packers and feeders during this time frame, we estimated the degree of competition in any given area by calculating market concentration levels among packers using a measure called the Herfindahl-Hirschman Index (HHI). From a practical perspective, a lower HHI indicates generally that there is more competition in a market. In particular, an HHI is lowest when a market is occupied by a large number of firms of relatively equal size and is highest when a market is controlled by a single firm (i.e., there is no competition in that market). Some large packing plants closed from 2013 through 2015, but the average HHI level varied by only one percentage point (from about 51 to about 52 percent), whereas the total price decrease from November 2014 through December 2015 was about 30 percent. Because of this, it was unlikely that variations in competition affected the large price decrease.", "However, variations in competition levels in different areas of the country may have contributed to price differences we observed in those areas. The data show that the average competition level was about 51 percent, suggesting that, on average, a given feedlot had two packing plants to which it could sell its fed cattle. Competition levels tended to be higher in states such as Texas, Oklahoma, Kansas, Nebraska, Colorado, South Dakota, and Iowa, where there are more cattle on feed as we showed in figure 2, suggesting that feeders in those areas had more packing plants to choose from. Competition levels tended to be lower in areas that had fewer cattle on feed, such as in the northeast and the Pacific Northwest, suggesting that feeders in those areas had fewer packing plants to which they could sell their cattle.", "Using an econometric model, after controlling for other factors that could affect price\u2014such as the supply and demand factors we discuss above, or attributes of the beef produced by fed cattle such as yield and quality grade\u2014we found that less packer competition in any given area was associated with lower fed cattle prices in that area. Specifically, our model estimated that fed cattle prices in less concentrated areas (those with an HHI in the 25th percentile of our analysis) may have been about 9 percent higher than in more concentrated areas (those with an HHI in the 75th percentile of our analysis). Such competition effects can exist in legitimately functioning markets. The results of our analysis suggest that some packers may have been able to exercise market power in areas with less competition. Evidence of this effect alone does not imply that packers engaged in anticompetitive or improper behavior. For more detailed information on our analysis, see appendix III."], "subsections": []}]}, {"section_title": "CFTC Did Not Find Evidence of Trading Irregularities in the Futures Market for Fed Cattle in 2015, and Is Overseeing Changes to Address Contract Concerns", "paragraphs": ["CFTC\u2019s regular monitoring efforts and its analysis of trading patterns, including of particularly volatile trading days, did not find evidence of irregularities in the futures market for fed cattle in 2015. However, CFTC and others have expressed concern that certain terms in futures contracts for fed cattle\u2014such as the quality of beef represented in the contract\u2014did not sufficiently mirror the specifics of the fed cattle market, which could make them less useful to cattle market participants for hedging risk. In response, the Chicago Mercantile Exchange submitted changes to contract terms to CFTC. CFTC reviewed those changes, and where the agency found the changes consistent with the Commodity Exchange Act and regulations, allowed or expressly approved those changes."], "subsections": [{"section_title": "CFTC\u2019s Monitoring and Analysis of Volatile Trading Days Did Not Find Evidence of Trading Irregularities", "paragraphs": ["CFTC\u2019s daily monitoring of the futures market for fed cattle did not find evidence of trading irregularities. In addition, CFTC conducted a more in- depth review of volatile trading days in 2015 and did not identify evidence of trading anomalies or that certain groups of traders, such as speculators, unduly influenced the market. Our analysis of trading data confirmed that the futures market for fed cattle experienced episodes of higher volatility beginning in late 2015 and going through 2017 than it had experienced in years immediately prior, and some market participants expressed concern that this volatility could be due to possible trading irregularities. Specifically, variations in futures market prices were generally higher in late 2015 than in 2013 or 2014 and more frequently reached the maximum allowed change in price for any given day, based on rules set by the Chicago Mercantile Exchange. See figure 5 for information on average futures prices for fed cattle and historical volatility from 2008 through 2017.", "Some experts told us that high volatility in the futures market generally can be the result of uncertainty or shocks in the futures or fed cattle markets. For example, the futures market experienced high levels of volatility in late 2003 through 2005 after bovine spongiform encephalopathy (BSE) was first detected in a cow in the United States in December 2003 (see appendix II for more information on BSE events since 2003 and their impact on U.S. beef exports). More recently, the market also experienced high levels of volatility during the financial crisis that began in 2008 as well as in the latter part of 2015 as the price of fed cattle rapidly decreased. However, some cow-calf operators and feeders, including members of the National Cattleman\u2019s Beef Association and the Ranchers-Cattlemen Action Legal Fund United Stockgrowers of America raised questions about whether the futures market volatility in 2015 might be due to manipulation or to high-frequency trading, a specific type of activity in which a speculator makes numerous trades at very high speeds in an effort to profit from small changes in the market.", "Both CFTC and the Chicago Mercantile Exchange conduct daily monitoring of the futures market for fed cattle, and CFTC officials told us that they did not identify evidence of trading irregularities in 2015. In addition, in response to concerns and a request from some cattle market participants, CFTC analyzed trading patterns in the market, including reviewing particularly volatile days in 2015. CFTC did not find evidence of trading anomalies or that certain groups of traders, such as speculators, unduly influenced the market. The Chicago Mercantile Exchange conducted a similar review and came to similar conclusions. Both CFTC and the Chicago Mercantile Exchange also concluded that high-frequency trading did not contribute substantially to volatility on the days they reviewed. Specifically, the Chicago Mercantile Exchange concluded that the futures market volatility was predominantly the result of non-high frequency traders placing and executing large, aggressive futures orders.", "Furthermore, as a way of comparing the use of automated and high- frequency trading in the futures market for fed cattle to related markets, CFTC officials told us that their review found that futures contract markets for other agricultural commodities from 2014 through 2016\u2014including for corn, wheat, soybeans, and pork\u2014were characterized by a greater percentage of automated trading, including high-frequency trading, than the futures market for fed cattle. Finally, according to documentation from the Chicago Mercantile Exchange, the high levels of volatility in the futures market could be related to both the swift declines in fed cattle prices and the fact that an increasing number of fed cattle are sold during the last few business days of the week, rather than throughout the week. Concentrating purchases to one or two days of the business week decreases the number of price signals that the fed cattle market can provide futures market participants. According to Chicago Mercantile Exchange documentation, a decrease in the frequency of price signals creates information gaps for market participants and likely contributes to price volatility."], "subsections": []}, {"section_title": "CFTC and Some Stakeholders Expressed Concern about Cattle Futures Contract Terms, and CFTC Is Overseeing Related Changes", "paragraphs": ["CFTC and some stakeholders expressed concern that the terms of cattle futures contracts did not adequately reflect structural changes in the fed cattle market and that differences between the terms of futures contracts and the fed cattle market could cause futures contracts to become less useful to cattle market participants to hedge risks. According to Chicago Mercantile Exchange documents, futures contract terms are designed to match relevant commodities markets and industry standards to help ensure that there is a two-way relationship between the futures market and the relevant commodity market. When contract terms reflect the market and futures markets operate properly, prices in the fed cattle and futures markets may initially diverge, but over time should generally converge by the time a contract expires. If the prices do not converge, contracts become less useful to market participants as a way to hedge risks. For example, prior to October 2017, cattle futures contracts specified that at least 55 percent of the fed cattle in those contracts were to produce a beef quality grade of Choice or better. From fiscal years 2013 through 2017, the percentage of beef graded nationally as Choice or better has been higher than this\u2014at times as high as about 80 percent, although proportions have varied by region. Stakeholders have expressed concern that because the beef quality specifications in futures contracts for fed cattle are lower than the beef quality produced by animals traded in the fed cattle market, this difference may decrease the value of those futures contracts. Additionally, stakeholders expressed concern that this difference can negatively impact whether prices in the futures and fed cattle markets effectively converge as expected.", "In response to these concerns, the Chicago Mercantile Exchange made changes to the terms of futures contracts for fed cattle in 2016 and 2017, which were reviewed and approved by CFTC. To better align futures contracts with the fed cattle market, the Chicago Mercantile Exchange has increased the quality percentage of Choice or better quality beef to 60 percent, starting with October 2017 futures contracts, and to 65 percent Choice or better quality beef, starting with October 2018 futures contracts.", "In 2016, also in response to concerns raised by stakeholders, CFTC asked the Chicago Mercantile Exchange to provide information on additional measures under consideration by the exchange, such as changing the terms in futures contracts for fed cattle and making them more consistent with the fed cattle market. As a result of dialogue between the two entities, the Chicago Mercantile Exchange revised its delivery process and expanded the timeframe for making deliveries, which has allowed it to add locations where cattle can be delivered to satisfy a futures contract. According to CFTC, this change made delivery more accessible and improved the connection between the fed cattle and futures markets. The Chicago Mercantile Exchange submitted these and similar changes to CFTC. CFTC reviewed those changes, and where the agency found the changes consistent with the Commodity Exchange Act and regulations, allowed or expressly approved those changes. Chicago Mercantile Exchange representatives told us that these changes will help futures contracts better reflect the fed cattle market. CFTC officials said that they believe the changes have the potential to strengthen the performance of the futures market for fed cattle as a risk management and price discovery tool, but will continue to monitor the effectiveness of the changes."], "subsections": []}]}, {"section_title": "P&SP Does Not Analyze Some Key Transaction Data", "paragraphs": ["Two factors affect P&SP\u2019s routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market. First, USDA\u2019s view of its legal authority does not allow P&SP routine access to the data from AMS\u2019s price reporting group on daily transactions between packers and cattle feeders. Second, P&SP does not periodically analyze the transaction data that it collects from packers to learn more about the operation of the fed cattle market."], "subsections": [{"section_title": "P&SP Does Not Have Routine Access to Daily Transaction Data That the Price Reporting Group Collects", "paragraphs": ["P&SP carries out its oversight responsibilities through monitoring and investigations. The price reporting group, housed within AMS with P&SP (which moved to AMS in November 2017), collects extensive data on transactions between packers and feeders via livestock mandatory price reporting as required by law. The price reporting group does not regularly share these data with P&SP, so the data are not available for P&SP to use for regular monitoring activities to flag potential issues for investigation. Currently, according to USDA officials, P&SP officials may request and receive only specific portions of price reporting data based on individual investigations it has already decided to conduct. For example, P&SP was able to analyze price reporting data in the course of its investigation into the price drop in 2015.", "Based on USDA\u2019s reading of the Livestock Mandatory Reporting Act of 1999 provisions that prohibit the disclosure of facts or information acquired through the mandatory reporting program, the price reporting group has not routinely shared the data with P&SP. The act provides some exceptions to the disclosure prohibition. For example, the act allows the price reporting group to share data, as directed by the Secretary of Agriculture, for enforcement purposes. USDA officials told us that they do not believe this exception allows the price reporting group to provide routine access to the data for monitoring activities. The officials told us that while the statute does allow for sharing of price reporting data for enforcement purposes, they interpret the term \u201cenforcement purposes\u201d to be a specific ongoing investigation, not market oversight. USDA officials note that the act does not discuss market oversight; rather, it was established to help market participants make business decisions through USDA\u2019s collection and dissemination of price data.", "P&SP officials told us that regular access to price reporting data would allow them to more routinely conduct analyses as part of their routine market monitoring activities similar to those carried out in their investigations as part of their routine market monitoring activities. Specifically, the officials said that going forward, price reporting data could be used to detect price outliers more quickly and help P&SP identify potential anticompetitive behavior; for example, where buyers might agree to take turns buying cattle at different times so as to avoid competing with one another. Under federal internal control standards, an agency\u2019s management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. Such information is, for example, communicated down, across, up, and around reporting lines to all levels of the entity.", "Because USDA eliminated the Grain Inspection, Packers & Stockyards Administration and reorganized P&SP under AMS in November 2017, the reorganization provides an opportunity for USDA to review the extent to which price reporting data could be shared with P&SP under the act\u2014 now that both P&SP and the price reporting group are within the same agency. However, USDA officials told us in November 2017 that it was too early in the reorganization process to determine whether AMS leadership would view routine sharing of these data any differently. By reviewing the extent to which AMS\u2019s price reporting group can share daily transaction data with P&SP to strengthen the effectiveness of its oversight, USDA has an opportunity to allow P&SP to more effectively carry out its responsibilities to ensure against discriminatory or anticompetitive practices in the fed cattle market. In reviewing its authority to share these data, determining whether it is necessary or advisable to request additional exceptions from the current information disclosure restrictions from Congress would position USDA to strengthen its oversight of that market."], "subsections": []}, {"section_title": "P&SP Does Not Conduct Detailed Periodic Analyses of Transaction Data Collected from Packers", "paragraphs": ["P&SP does not periodically analyze the transaction data that it collects from packers to learn more about the operation of the fed cattle market. As part of its monitoring program, P&SP reviews publicly available, summarized price data on a weekly basis but it does not routinely review the data it collects on transactions between packers and feeders, a potentially useful source of data from packers that would enable P&SP to conduct more detailed monitoring.", "We conducted several in-depth analyses of P&SP\u2019s transaction data, and found that some of these analyses could provide useful information to agency management when it makes oversight decisions. For example, as discussed earlier in this report, one of our analyses found that different areas of the country experienced differing levels of competition and that, controlling for other possible sources of price variation, areas with less packer competition were associated with lower fed cattle prices. Such analyses may allow P&SP to better monitor changes in competition and prices over time, which may help inform its decisions on where to direct its investigative resources and better fulfill its mission to ensure against discriminatory or anticompetitive practices in the fed cattle market.", "Other federal agencies conduct routine, in-depth analyses to efficiently direct their investigative resources. For example, as we reported in March 2012, as required by statute, USDA routinely conducts in-depth analyses of crop insurance data to detect potential program fraud, waste, and abuse by farmers, insurance agents, and loss adjusters. The agency then uses these analyses to direct its investigative resources. Federal internal control standards specify that management should use quality information to achieve the entity\u2019s objectives including processing the obtained data into quality information and then evaluating the processed information.", "P&SP officials told us that they typically do not receive all of the previous year\u2019s transaction data from packers until the following May. As a result, P&SP has previously considered the use of packer transaction data for routine monitoring to be somewhat limited by the lack of timeliness. However, these officials also told us that the analyses we suggested could still provide useful information. By routinely conducting in-depth analysis of the transaction data it collects, USDA could enhance its monitoring of the fed cattle market. Such analysis could include but not be limited to examining competition levels in different areas of the country."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The cattle industry is an important part of the nation\u2019s agricultural sector and contributes tens of billions of dollars to the U.S. economy. Amid concerns about the drop in fed cattle prices beginning in late 2015 and ongoing questions about anticompetitive behavior in the fed cattle market, P&SP\u2019s role in overseeing this market is paramount.", "While P&SP routinely conducts monitoring and investigations, the program does not have routine access to daily price reporting data or periodically analyze the transaction data that it currently collects from packers. The Livestock Mandatory Reporting Act of 1999 allows AMS\u2019s price reporting group to share data with P&SP for enforcement purposes, as directed by the Secretary of Agriculture, but USDA does not believe it has the authority to do so, based on its interpretation of \u201cenforcement purposes\u201d in the statute. Although both P&SP and the price reporting group are within AMS because of a November 2017 departmental reorganization, USDA officials told us that it was too early in the reorganization process to determine whether AMS leadership would view routine sharing of these data any differently. By reviewing the extent to which AMS\u2019s price reporting group can share daily transaction data with P&SP to strengthen the effectiveness of its oversight, USDA has an opportunity to allow P&SP to more effectively carry out its responsibilities to ensure against discriminatory or anticompetitive practices in the fed cattle market. In reviewing its authority to share these data, determining whether it is necessary or advisable to request additional exceptions from the current information disclosure restrictions from Congress would position USDA to strengthen its oversight of that market. Furthermore, as part of its monitoring, P&SP does not periodically analyze the transaction data that it collects from packers to learn more about the operation of the fed cattle market. In analyzing P&SP\u2019s transaction data, we found that while less competition among packers did not appear to result in lower national cattle prices from 2013 through 2015 on a national level, it did account for variations in prices in different parts of the country. By routinely conducting in-depth analysis of the transaction data it collects, USDA could enhance its monitoring of the fed cattle market. Such analysis could include but not be limited to examining competition levels in different areas of the country."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to USDA: The Secretary of Agriculture should review the extent to which, under the Livestock Mandatory Reporting Act of 1999, the price reporting group can share daily transaction data with P&SP to allow P&SP to strengthen the effectiveness of its oversight. After reviewing that authority, if the Secretary determines that the statute does not permit the price reporting group to share data with P&SP for routine monitoring purposes, and that routine sharing is advisable in light of the purposes behind the statutory disclosure restrictions, the Secretary should submit to Congress a proposal to allow such sharing. (Recommendation 1)", "The Secretary of Agriculture should direct the AMS administrator to ensure that P&SP routinely conducts in-depth analysis of the transaction data that it collects. Such analysis could include but not be limited to examining competition levels in different areas of the country. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to USDA and CFTC for comment. In written comments, reproduced in appendix V, USDA agreed with our two recommendations and described actions it has taken and will take to implement them. CFTC only provided technical comments, which we incorporated as appropriate.", "With respect to our first recommendation, USDA stated that it took action and reviewed the authority provided by the Livestock Mandatory Reporting Act of 1999 and determined that the act does not allow for data sharing for routine monitoring purposes. Further, USDA stated that the agency believes considering a statutory amendment to allow for routine data sharing is not advisable, due to the agency\u2019s concerns about maintaining the public\u2019s trust in USDA\u2019s administration of the Livestock Mandatory Reporting program. We believe the steps USDA has taken address our recommendation.", "Concerning our second recommendation, USDA agreed that routine in- depth analysis of packer transaction data would enhance USDA\u2019s monitoring of the fed cattle market to ensure against discriminatory or anticompetitive practices. USDA stated that it plans to create a new competition branch in P&SP\u2014now known as the Packers and Stockyards Division\u2014that will be staffed by employees with economic expertise. USDA stated that this new branch will be responsible for reviewing the transactions data P&SP receives from packers and conducting in-depth analyses that would help the agency to monitor changes in competition and prices over time to inform USDA decisions on where to direct its resources. Routinely conducting such analyses would address our recommendation.", "USDA also provided technical comments. We incorporated these comments as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Chairman of the Commodity Futures Trading Commission, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact Steve Morris at (202) 512-3841 or moriss@gao.gov or Oliver Richard at (202) 512-2700 or richardo@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes key factors that affected fed cattle price changes from 2013 through 2016; (2) describes what CFTC found about possible trading irregularities in the futures market for fed cattle in 2015 and any changes to the futures contract for fed cattle since 2015; and (3) examines factors that may affect the U.S. Department of Agriculture\u2019s (USDA) routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market.", "To describe the key factors that affected fed cattle price changes from 2013 through 2016 and to understand changes and trends in the U.S. cattle market since 2000, we analyzed economic and other market data collected by federal agencies. These data included information about cattle and beef prices, quality, and inventories; cattle and beef transactions; feed prices and feedlot sizes; transaction methods; national drought patterns; and consumption trends for beef, pork, and chicken. We gathered these data from USDA\u2019s Agricultural Marketing Service (AMS), Economic Research Service, National Agricultural Statistics Service, and World Agricultural Outlook Board, among others. For example, we reviewed AMS data on fed cattle prices from November 2002 through August 2017, and we used it to, among other things, develop a long term price trend line. We did not quantify or rank the impact of various factors. We assessed the reliability of the data we analyzed by interviewing officials who maintain the data, reviewing related documentation, and testing the data for missing or erroneous values, and determined that the data were sufficiently reliable for our purposes. When we found discrepancies such as data entry errors, we brought them to the agencies\u2019 attention and worked with the agencies to correct the discrepancies before conducting our analyses.", "We also collected USDA transaction data on beef packer (packer) purchases of fed cattle from 2013 through 2015 and we analyzed these data using a variety of methods, including econometric analysis. For more on the methods and results of this analysis, see appendix III. We assessed the reliability of the transactions data we analyzed by interviewing officials who maintain the data, reviewing related documentation, and testing the data for missing or erroneous values. We determined that the data were sufficiently reliable for our purposes. In addition to analyzing these data, we reviewed an investigation by AMS\u2019s Packers & Stockyards Program (P&SP) on the 2015 drop in fed cattle prices. We did not obtain and review internal packer documents, so the scope of our analysis did not include a review of whether packers engaged in anticompetitive behavior. Such specific investigations would typically be carried out by entities with subpoena authority such as the Federal Trade Commission of the Antitrust Division in the Department of Justice.", "To describe what CFTC found about possible trading irregularities in the futures market for fed cattle in 2015 and any changes to the futures contract for fed cattle since 2015, we reviewed and summarized relevant statutes and regulations, such as the Commodity Exchange Act and Commodity Futures Trading Commission (CFTC) regulations for futures exchanges. We compared that information with CFTC documentation on its oversight activities related to the futures market for fed cattle, such as its 2013 review of the Chicago Mercantile Exchange and the Chicago Board of Trade to verify the exchange\u2019s ongoing compliance with standards intended to, among other things, prevent market manipulation. Such rule enforcement reviews include oversight into whether designated contract markets comply with core principles as outlined by CFTC. We also reviewed CFTC analyses of trading patterns on specific dates in 2015 after conducting a review of the analyses data and methods and determining the work to be sufficiently reliable for our purposes. In addition, we reviewed and summarized documentary evidence from the Chicago Mercantile Exchange on its analysis of the market and on its changes to terms in futures contracts for fed cattle. To better understand the volatility in the market in 2015, we gathered and analyzed price data from Bloomberg on the futures market for fed cattle.", "To examine factors that may affect USDA\u2019s routine monitoring to ensure against discriminatory or anticompetitive practices in the fed cattle market, we gathered and reviewed relevant oversight documentation, including P&SP annual reports and investigative policies and procedures. In addition, we met with officials from AMS\u2019s P&SP and Livestock Mandatory Reporting program (price reporting group) to discuss their roles and responsibilities. We also used the results of our analysis of USDA transaction data on packer purchases of fed cattle. We compared USDA actions with standards for internal control in the federal government, specifically those related to the communication and use of quality information.", "To address all our objectives, we conducted interviews with (1) cattle market experts; (2) stakeholders selected to represent a variety of views including small and large feedlot operators (feeders), packers, futures market speculators, the Chicago Mercantile Exchange, and an organization specializing in competition and antitrust issues; and (3) agency officials from AMS\u2019s P&SP and price reporting group, and USDA\u2019s Office of the General Counsel, as well as CFTC. We used the following criteria to identify cattle market experts: the expert\u2019s recognition in the professional or academic community, and the relevance to cattle markets of his or her published work or research to cattle markets.", "We identified these experts through our prior work, the recommendations of USDA or CFTC officials, stakeholders, or other recognized experts. We conducted semi-structured interviews with 34 individuals or groups of experts, stakeholders, and officials, and performed a content analysis of relevant responses to our questions. To characterize responses and quantify interviewees\u2019 views throughout this report, we defined modifiers (e.g., \u201csome\u201d) as follows: \u201csome\u201d users represents 2 to 5 users, \u201cseveral\u201d users represents 6 to 9 users, \u201cmany\u201d users represents 10 to 15 users, \u201cmost\u201d users represents 16 to 24 users, and \u201cnearly all\u201d users represents 25 to 29 users.", "The views of the experts and stakeholders we interviewed cannot be generalized to all others with expertise in the cattle markets or all cattle market stakeholders, but they provided valuable insights to our work. Appendix IV presents a list of recognized experts that we interviewed.", "We conducted this performance audit from August 2016 to March 2018 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Supplemental Information on Trends in the Fed Cattle Market", "paragraphs": ["This appendix provides supplemental information on trends in the fed cattle market. The sections below provide information from analyses and interviews we conducted as part of our review of the fed cattle market, including on fed cattle transaction methods, drought, number of U.S. cattle, feedlot consolidation and size, cattle weights, consumption trends, product differentiation and branded beef, beef price spread, and factors affecting beef exports."], "subsections": [{"section_title": "Fed Cattle Transaction Methods", "paragraphs": ["Beef packers (packers) and cattle feedlot operators (feeders) generally use one of four transaction methods to buy and sell fed cattle, and their use of these methods has changed over time for various reasons. The four transaction methods are:", "Cash (also referred to as spot or negotiated). A purchase price is determined through buyer-seller interaction. The price is known at the time of agreement, and delivery to the packing plant may take place up to 30 days later.", "Negotiated grid. A base price is negotiated between buyer and seller and is known at the time of agreement. Delivery to the packing plant is usually expected within 14 days. Unlike a cash transaction, the final net price is determined by applying a series of premiums and discounts after slaughter based on carcass performance (usually related to weight, beef yield grade, and beef quality).", "Forward contract. An agreement for the purchase of cattle, executed in advance of slaughter, under which the base price is established by reference to prices quoted on the Chicago Mercantile Exchange and can be set any time prior to the transaction.", "Formula contract. An advance commitment of cattle\u2014by any method other than cash, negotiated grid, or forward contract\u2014in advance of slaughter. Formula contracts use a method of calculating price in which the price often is not known until a later date. For example, a feeder and a packer may enter into a formula contract several months in advance of slaughter. According to U.S. Department of Agriculture\u2019s (USDA) Agricultural Marketing Service (AMS) officials and others we interviewed, formula contracts often use the cash price from AMS\u2019 Livestock Mandatory Reporting price summaries around the time of slaughter as a base upon which the contract then applies additional premiums and discounts.", "Since 2002, the share of fed cattle sold via cash transactions has decreased and the share of cattle sold through formula and forward contracts has increased proportionally. According to our analysis of AMS data, approximately 50 percent of cattle were traded using cash transactions in 2002, but the share fell as low as 22 percent of cattle transactions in 2015. Conversely, the use of other types of transactions\u2014 formula and forward contracts and negotiated grid arrangements\u2014 increased from about 50 percent of cattle in 2002 to approximately 78 percent in 2015. However, the use of the cash transactions slightly increased again from 2016 through 2017. Figure 6 shows the share of fed cattle transactions by method from November 2002 through September 2017.", "Several experts and stakeholders we interviewed told us that feeders and packers have generally increased their use of formula contracts for a variety of reasons, including improving the quality and consistency of beef products while decreasing transaction costs. For example, one industry stakeholder told us that formula contracts ensure a steady supply of specific cattle breeds and eliminate the costs of sending personnel to bid for these cattle using cash transactions. In addition, a report from AMS\u2019s Packers and Stockyards Program (P&SP) noted that formula contracts help feeders to, among other things, reduce the price risks of raising and selling fed cattle; these contracts also help packers ensure a steady supply of cattle to help them satisfy delivery requirements they may have in contracts with their wholesale or retail customers. However, some experts and stakeholders told us that the movement away from cash transactions has reduced the depth and liquidity of several regional markets, which may make it more difficult for market participants to accurately determine the market price of cattle (e.g., for a cash sale) because there are fewer observed price points. Moreover, the effect of this difficulty in determining market prices is not limited to cash transactions because cash prices are often used to establish a base price in formula contracts. This reduction of depth and liquidity may also make the fed cattle market more susceptible to wider price fluctuations, according to some experts we interviewed.", "Several experts and stakeholders told us that options such as an online fed cattle exchange, established in May 2016, may help address this issue by providing a transparent forum for feeders and packers to sell and purchase fed cattle. However, the exchange is still in its early stages and, as of September 2017, comprised a small fraction of total fed cattle transactions."], "subsections": []}, {"section_title": "Drought", "paragraphs": ["Prolonged drought may cause cow-calf operators to liquidate their herds. This is because drought can reduce the supply of forage used to raise younger cattle, so that cow-calf operators cannot feed as many cattle on available pasture and rangeland. From 2000 to 2010 the United States saw periods of both extensive drought and extensive wetness on a broad scale, according to the National Oceanic and Atmospheric Administration. Following that, in early 2010, little of the country was experiencing drought, according to the U.S. Drought Monitor; however, drought conditions worsened throughout the second half of that year and improved through the first half of 2011 before worsening in the second half of 2011. This drought impacted some areas of the United States particularly hard with nearly 12 percent of the country in an exceptional drought by the third quarter of 2011. Although the winter months of January 2012 through March 2012 were dry, extreme drought levels improved through early 2012 before a widespread drought began in the summer of 2012. By July 2012, more than 80 percent of the country was at least abnormally dry and more than 60 percent of the country was experiencing drought.", "From 2013 through early 2015, drought conditions generally improved. Overall drought conditions continued to improve in 2015, except in the spring and fall, which were somewhat drier. The second half of 2016 was drier but after this, drought conditions improved, with a smaller percentage of the country experiencing dryness in 2017 than had been seen since 2000. Figure 7 shows the percent of the United States land mass experiencing drought conditions from January 2000 through May 2017."], "subsections": []}, {"section_title": "Number of U.S. Cattle at Various Points in the Supply Chain", "paragraphs": ["The number of cattle at different points in the supply chain can provide various levels of insight into fed cattle market supply. Specifically, the beef cow inventory provides insight into what may happen in the fed cattle market in a few years, and the number of cattle on feed can give an indication of what may happen in the fed cattle market in the next few months. The number of cattle sold for slaughter (also called marketings) is an indication of current supply levels in the fed cattle market."], "subsections": [{"section_title": "Beef Cow Inventory", "paragraphs": ["The beef cow inventory drives the size of the overall cattle inventory and therefore the number of fed cattle coming to market. As such, the size of the beef cow inventory provides a sense of how the fed cattle industry may change over the following 2 years. Our analysis of inventory data from USDA\u2019s National Agricultural Statistics Service indicated that the beef cow inventory declined from 2006 through 2014, at which point it started to increase. In the most recent period of contraction the year-over- year period with the highest rate of contraction in the beef cow inventory was from July 2011 to July 2012, during which the beef cow inventory decreased by 3.0 percent\u2014a rate of contraction not seen in a single year- over-year period since July 1988 to July 1989. The inventory then began to expand in 2014, increasing rapidly by mid-2014, and continued to expand through 2016. From January 2016 to January 2017, the beef cow inventory expanded 3.5 percent, the highest rate of expansion in a single year-over-year period since January 1993 to January 1994. Prior to the late 1980s, higher rates of expansion and contraction were common, but during the next 20 years, annual changes in the beef cow inventory were more gradual, with rates of expansion staying below 0.5 percent. Figure 8 shows the beef cow inventory from 1920\u2014the first year for which we have data\u2014through 2016, with an overall downward trend since the mid-1970s.", "Cattle are sent to feedlots and are fed for 3 to 10 months before being sold for slaughter. Thus, the number of cattle on feed at a given point in time provides insight into the number of cattle that will be available for slaughter in the coming months. Unlike the beef cow inventory, which saw larger rates of increase in the mid-2010s than seen in the prior 2 decades, the number of cattle on feed increased at a more modest rate during the same time frame. The total number of cattle on feed decreased throughout 2012 and 2013, then began increasing in 2014, and continued to increase through 2015, before decreasing in 2016. Although it might be expected that cattle on feed would increase steeply about 18 months after the steep increases in the beef cow inventory, these sharper increases may be delayed as cow-calf operators continue to increase their beef cow herds, thus preventing these heifers from going into the pool of fed cattle."], "subsections": []}, {"section_title": "Sales for Slaughter", "paragraphs": ["Total sales for slaughter declined overall from the early 2000s through 2015. On an annual basis, sales for slaughter declined sharply from 2014 through 2015 before increasing sharply in 2016. Sales for slaughter fell 5.68 percent in 2014, the largest decline in the data available (starting in 1996), followed by a further decline of 3.87 percent in 2015 and a rise of 6.29 percent in 2016, the largest increase in the data we analyzed. The monthly sales for slaughter data show that after the long decline starting in 2014, year-over-year increases in sales for slaughter began in November 2015 and continued through August 2017, the most recent month for which data were available at the time of our review."], "subsections": []}]}, {"section_title": "Feedlot Consolidation and Size", "paragraphs": ["Some experts told us that significant consolidation has occurred among feedlots. Our analysis of USDA National Agricultural Statistics Service data from the mid-1990s through 2016 suggests that the number of individual larger feedlots (those with a capacity of 50,000 or more head of cattle) increased by a small amount\u2014in terms of both number and percentage of total feedlots. During this time frame, the number of cattle fed at large lots increased, and the number of cattle fed at feedlots of other sizes decreased. For example, while there were 45 feedlots with a capacity of more than 50,000 head of cattle in 1996, there were 73 feedlots of this size in 2016. Similarly, in 1996, large feedlots made up 2 percent of all feedlots with a capacity of more than 1,000 head of cattle; this number rose to 3 percent in 2016. Furthermore, since the late 2000s, larger feedlots generally have been contributing an increasing portion of fed cattle to overall slaughter numbers, with medium-sized feedlots (those with a capacity of 16,000 to 49,000 head of cattle) generally contributing fewer."], "subsections": []}, {"section_title": "Cattle Weights", "paragraphs": ["Average cattle weights have increased gradually and steadily from 2002 through September 2017, according to our analysis of average weights reported to AMS and several industry stakeholders we interviewed. Figure 9 shows average monthly and annual cattle weights in live weight contracts from November 2002 through September 2017. In the figure, seasonal fluctuations are visible, with weights generally declining in late fall."], "subsections": []}, {"section_title": "Consumption of Beef and Other Proteins", "paragraphs": ["According to our analysis of consumption data from USDA\u2019s Economic Research Service, there has been a broad societal shift in consumption from beef to chicken in the United States since the mid-1970s. Increasing consumption of proteins such as chicken may shift consumption away from beef, which would put downward pressure on beef and cattle prices. Per capita chicken consumption has increased steadily for the past 40 years, though the growth in consumption has slowed since 2006. Per capita pork consumption has remained steady over the same period, while per capita beef consumption has largely decreased. Figure 10 provides information on the long-term trends in per capita consumption of beef, pork, and chicken in the U.S. from 1970 through 2016."], "subsections": []}, {"section_title": "Product Differentiation and Branded Beef", "paragraphs": ["As consumer tastes and demands have changed since 2000, producers have increased differentiation of their products. For example, producers have increased grass-fed options since 2000, and organic beef became available in 2002. In addition, producers have increased their offerings of branded beef varieties (e.g., Certified Angus and Wagyu beef). As beef products become increasingly differentiated and more branded varieties become available, average prices of beef and fed cattle may be expected to rise. Packers are unlikely to differentiate or brand a product if it is less valuable than an unbranded commodity product, so they would likely only create differentiation or branding for higher-value beef products, which are sold at higher prices than commodity beef. Because of this, packers will likely pay more for the fed cattle that produce these higher value products. We analyzed information on branded beef from AMS and found that branded beef sales increased from about 7 percent of total beef sales in 2002 to about 17 percent of total beef sales in 2017. Some experts we spoke with pointed out that the increase in formula and forward contracts has gone hand-in-hand with the increase in product differentiation and branding. They told us that, as retailers demand specific types or brands of beef, the industry has relied more heavily on formula and forward contracts to ensure a steady supply of those types and brands."], "subsections": []}, {"section_title": "Beef Price Spread", "paragraphs": ["In the fed cattle market, the fed cattle-retail price spread is the difference between the price feeders receive for their cattle and the price consumers pay for beef at the retail level. The vast majority of the price spread comes from price spread between the wholesale and retail levels. In short, the retail price is much higher than the wholesale price that retailers pay packers for beef, which, in contrast, is not much higher than the price packers pay feeders for fed cattle.", "The fed cattle-wholesale price spread remained fairly steady from 2000 through May 2016, typically remaining below $0.50 per pound of retail weight equivalent. The price spread, at both the fed cattle-wholesale and wholesale-retail levels, spiked in June 2016. The spike was small but persistent, continuing through the end of 2016. To be more specific, the fed cattle-wholesale spread was between $0.51 and $0.67 from June through December, compared with a range of $0.36 to $0.52 from January through May of 2016. The price spread dropped to lower levels in early 2017, then spiked again from May through August 2017, the latest date for which data were available at the time of our review.", "Similar to the fed cattle-retail and fed cattle-wholesale spreads, the fed cattle share of the beef dollar is a measure of the percentage of the retail price of beef made up by the price of fed cattle. The fed cattle share of the beef dollar dropped from about 65 percent in the early 1970s to about 50 percent by the mid-1990s. From 2000 to the present, the farmers\u2019 share of the beef dollar has remained relatively flat, rising to close to 60 percent in 2014 but regularly being as low as 40 percent. Several factors can drive changes in the fed cattle share of the beef dollar. For example, a report from USDA\u2019s Economic Research Service found that much of the decline in the proportion of the beef dollar paid to producers can be driven by technology changes that help increase productivity; and, as producers have become more productive, they have been willing and able to supply more animals to packers at lower prices. Figure 11 shows the historical price spread for beef from January 1970 through December 2016."], "subsections": []}, {"section_title": "Bovine Spongiform Encephalopathy and Beef Exports", "paragraphs": ["Some industry stakeholders told us that the bovine spongiform encephalopathy (BSE) event\u2014in which the disease was detected in a cow in the United States in 2003\u2014has had a lasting effect on beef exports from the United States. Specifically, these industry stakeholders told us that the 2003 event\u2014and additional BSE events in 2005 and 2006\u2014has continued to depress demand for beef by closing certain foreign markets to U.S. beef. Based on our review of ERS export data, the total tonnage of beef exports plummeted in January 2004 due to the BSE outbreak in the United States and did not consistently return to levels seen before the BSE outbreak until May 2010."], "subsections": []}]}, {"section_title": "Appendix III: Econometric Model to Estimate the Impact of Market Power on Fed Cattle Transaction Prices", "paragraphs": ["This appendix provides information on the econometric model we used to estimate the impact of market power on transaction prices for fed cattle. It describes our econometric model in detail, provides the results of our analysis, and discusses some limitations."], "subsections": [{"section_title": "Econometric Model", "paragraphs": ["We developed an econometric model to analyze the effect of market concentration on the cash price of fed cattle. Specifically, we analyzed how the level of market concentration of beef packers (packers) affected the cash price of fed cattle. The U.S. fed cattle market is characterized by a large number of feedlot operators (feeders) that sell to a small number of packers for slaughter at packing plants; approximately 83 to 85 percent of the total amount of packing market is conducted by four major packing companies. To analyze the packing market, we obtained transaction data from the Agricultural Marketing Service\u2019s Packers and Stockyards Program (P&SP) within the U.S. Department of Agriculture (USDA). The data we used for our analysis comprised transactions collected from these four largest packers for about 127,000 cash transactions from 2013 through 2015.", "The data identified the packing plant involved in each transaction; however, we generally could not identify the specific feedlot involved, especially when comparing transactions across different packers. The data were administrative data from each packer, and in some instances, a packing plant may have used a unique set of identifying codes for the feedlots with which it did business. Therefore, we could only consistently identify different feedlots associated with a given packing plant. The same feedlot may have done business with a different plant but we were unable to identify this information consistently across plants. The data contained 963 different dates on which transactions occurred, 970 counties where feedlots were located, and 23 packing plants that purchased fed cattle.", "To reduce distortion from dissimilar transactions and outliers, we eliminated transactions that were not cash transactions as well as cash transactions that met certain parameters. Specifically, we excluded transactions with (1) fewer than 10 animals; (2) a per-pound carcass price of less than 1 dollar or of 10 dollars or more; (3) an average weight per animal that was less than 500 pounds or more than 2,000 pounds; (4) a slaughter date that preceded the number of days from the purchase date by more than 14 days; (5) more than 10 percent cows in the lot; and (6) more than 10 percent ungraded cattle in the lot."], "subsections": [{"section_title": "Dependent Variable", "paragraphs": ["Our dependent variable in the model was the logarithm of the transaction price per carcass-based pound (not including freight) between a packing plant and a feedlot on a given purchase date."], "subsections": []}, {"section_title": "Explanatory Variables", "paragraphs": ["Our model included a variety of explanatory variables, including the Herfindahl-Hirschman Index (HHI), beef quality and yield grades, feedlots, live weights, and fixed effects for time and geographic location of the feeder and packing plants.", "HHI. The key variable in the model was the HHI, a measure of packer market concentration faced by feedlots in a given geographic area\u2014 analyzed in the model by county\u2014on a given purchase date. The HHI takes the same value for any transaction in a given county on a given purchase date (it varies only at the county level and over time). Our calculation used a 90-day moving average window (current day and the 89 days prior) to calculate the HHI for each county on each date.", "Although our model included only cash transactions, we calculated the HHI using all transactions; that is, we included formula contracts, forward contracts, negotiated grid transactions, and cash transactions. However, we excluded transactions involving packer- owned feedlots and feedlots not in the United States from our HHI calculation. Econometric analysis that uses HHIs to explain prices generally considers the possibility that the HHI variable is endogenous and is possibly correlated with the error term and to address this issue, we instrumented our HHI variable.", "Beef quality and yield grades. For each lot of cattle transacted, we used as controls the percent of fed cattle in each transaction whose beef graded as Choice or better. We also used as a control the percent of fed cattle in each transaction whose beef yield was rated grades 1 or 2. In addition, we included a measure of the percentages of Holstein cattle, ungraded cattle, and cows in the lot.", "Large feedlots. We used an indicator (dummy) variable for large feedlots\u2014specifically feedlots that were in the 95th percentile of feedlots for the packing plant with which the transaction occurred. We used this variable to control for possible extra bargaining leverage that large feedlots may have with packers.", "Live weight. We controlled for the average live weight of the cattle lot by including categorical variables (dummies) for: less than 1,050 pounds and more than 1,500 pounds (the 1,050 pounds to 1,500 pounds category is the omitted comparison category). We selected these category cut-off values because generally prices are reduced for cattle lots with an average weight of less than 1,050 pounds or more than 1,500 pounds.", "Fixed effects. We used a set of indicator variables to account for fixed effects associated with packing plants, time, and individual counties. Specifically, we used a set of packing plant indicator variables to account for effects pertaining to individual packing plants, such as a plant\u2019s location. We also used a set of time indicator variables\u2014one for each purchase date in the data\u2014to account for prevailing market conditions on that particular day, such as whether prices were generally low or high on that day. Last, we used a set of county indicator variables to account for local or regional effects that are time invariant, such as a county\u2019s transportation availability or proximity to inexpensive sources of feed."], "subsections": []}, {"section_title": "The Model", "paragraphs": ["Our model was written as: \ud835\udc66\ud835\udc66\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61=\ud835\udc4b\ud835\udc4b\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61\ud835\udefd\ud835\udefd+\ud835\udf00\ud835\udf00\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61 ,\ud835\udc56\ud835\udc56=1,\u2026,\ud835\udc41\ud835\udc41\ud835\udc61\ud835\udc61; \ud835\udc61\ud835\udc61=1,\u2026,\ud835\udc47\ud835\udc47. \ud835\udc66\ud835\udc66\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61 was the dependent variable in our model; namely, the logarithm of", "\ud835\udc4b\ud835\udc4b\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61 was the list of control variables used in the model including the the transaction price per pound. sets of fixed effects for plants, counties and purchase dates. \u03b2 was the list of parameters associated with the control variables Each observation in the model was a single transaction between a packing plant and a feedlot. The subscript i represented a transaction between a feedlot and a packing plant, and the subscript t represented (\ud835\udc4b\ud835\udc4b\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61). \ud835\udf00\ud835\udf00\ud835\udc56\ud835\udc56,\ud835\udc61\ud835\udc61. was an error term. the purchase date of that transaction. The term \ud835\udc41\ud835\udc41\ud835\udc61\ud835\udc61 expressed the fact that the number of transactions may have varied across purchase dates."], "subsections": []}]}, {"section_title": "Results", "paragraphs": ["Our results suggest that when there is a more concentrated market of buyers (packers), those packers will have more negotiating and market power, and therefore, with other factors held constant, these packers will be able to purchase fed cattle at lower prices from feeders. We found a significant negative parameter estimate for our HHI explanatory variable. This estimate suggests that for each 0.01 increase in the HHI\u2014meaning, a greater degree of packer concentration\u2014there is about a 0.86 percent reduction in the price of cattle. The interquartile range for the HHI is from approximately 0.45 to 0.55, which implies an approximate price effect of 9 percent across that range. For a carcass price of about $2.22 per pound\u2014the average for 2013 through 2015, based on the data from P&SP\u2014that translates to a difference of about 20 cents per pound variation across this HHI range.", "The variables used in the model to control for effects other than HHI had the expected directional effect on price or else were not significant. Parameter estimates for the indicator variables for beef quality and yield were both significant and positive, suggesting that fed cattle with higher beef quality grade and yield levels have a higher price. The indicator variables for the lots with weights of less than 1,050 pounds average weight suggest that lots with very low weight received lower prices. However, the variable for lots with more than 1,500 pounds was not significant. The feedlot size variable was not statistically significant. Our controls for the percent of Holsteins and ungraded cattle in the lot were both negative and statistically significant, as expected. The percent of cows in the lot was not statistically significant. Finally, our measure of feedlot size was positive and statistically significant, suggesting that larger feedlots may be able to obtain higher prices from packers.", "Our results suggest that instrumenting the HHI variable was appropriate. We used a measure of the proportion of total fed cattle traded by the packer using non-cash transaction methods as an instrument. Our results satisfied the essential specification tests for appropriate use of instruments:", "The endogeneity tests rejected the null hypothesis that the endogenous variable (HHI) can be treated as exogenous. Thus it is appropriate to instrument the HHI variable.", "Our results rejected the null hypothesis of weak instruments\u2014 Sanderson-Windmeijer, Stock-Wright and Anderson-Rubin. The F- Statistic from the first stage of the regression (20.36) is highly significant and exceeded the critical Stock-Yogo value for the 10 percent maximal instrumental variable size (16.38). Thus the instruments had sufficient explanatory power in the first-stage regression equation.", "See Table 1 for a more detailed description of our results."], "subsections": []}, {"section_title": "Limitations", "paragraphs": ["Our analysis had a number of limitations as listed below.", "Only transactions for the market\u2019s four major packers were included in the data from P&SP. As a result, our HHI variable is a \u201clarge firm HHI.\u201d Whereas these four firms account for approximately 83 to 85 percent of total cattle sold, the remaining 15 to 17 percent of fed cattle sold in the United States was not included in the data from P&SP. In addition, we did not use some of the four large packers\u2019 plant-level data because the data was missing key variables, such as the purchase date. Therefore, our estimates of HHI in any location are likely to be overestimates, and in general, our HHI estimates for any location should be viewed only as relative to other locations in this analysis and should not be compared with measures in other studies or industries.", "The feedlot location may not be in the city listed for it. In some cases, the feedlot city that is named in the data from P&SP as the location of the feedlot is not the exact feedlot location. The feedlot may be somewhat outside the city or at a headquarters location.", "Feedlot concentration differs across counties. The analysis reflects the fact that, on average, in any given area, feedlots are far more numerous and packing plants are relatively few in number. However, this is not generalizable to all areas. Although there are a relatively large number of feedlots in the United States in general, in some cases, it is possible that a relatively small number of feedlots account for a relatively large proportion of cattle sold to some packing plants. Our data could only identify a feedlot that sold cattle to a particular packing plant, so we could not identify which feedlots might have sold fed cattle to multiple plants. We control for this in the regression model in part by including an indicator variable for packing plants\u2019 transactions that were with a large feedlot (in the 95th percentile for that particular packing plant).", "HHI calculations must use a geographic definition. In our analysis, we include fixed effects for each packing plant as well as fixed effects for each county, which controls for variations in market conditions in different areas that are constant over time. The calculation of the HHI takes into account transactions flowing from different counties to the same packing plants and from a single county to different packing plants, so the HHI calculations by necessity must use some geographic definition. However, our HHI calculation does not depend upon a county to define a market, but simply measures market concentration conditions that the feedlots in that county face.", "The level of detail and scope in the data varied across the different packing plants in our data set. For example, a detailed breakdown of the type of cattle was not available on a consistent basis across all packers and packing plants. Therefore, we were unable to control for some variation in quality and type of cattle in our model. However, this may be mitigated by our use of fixed effects if certain transaction characteristics\u2014for instance, the type or breed of cattle sold\u2014are fairly constant over time in a given county or plant.", "As in any model, there is the possibility of misspecification or bias. We used various econometric tests for our instrumental variables estimation (two-stage least-squares): endogeneity of the HHI measure, J-statistic for identification, and weak instrument tests. However, in any instrumental model there is a possibility that the instruments are inappropriate or the estimators are biased, and that bias may be exacerbated in the presence of outliers. Sargan recommends a simple procedure for assessing the efficacy of two- stage least-squares versus ordinary least squares. Our results using this criterion suggests our use of two-stage least squares is justified.", "Packing plants from the same company likely did not compete with one another. Our HHI measure was calculated treating each packing plant as a separate entity rather than at the packing company level, despite the fact that multiple plants are owned by each of the four major packing companies. Therefore, we assumed that packing plants \u201ccompete\u201d to some extent regardless of whether they are owned by the same company. However, in the data we used for our model, there were no plants owned by the same packing company in the same city.", "There may be noise in the data. The data were administrative data and may have random noise associated with issues such as different administrative procedures of a plant, affecting when and how the data are entered. We cleaned the data to remove observations that appeared unreasonable or not easily explained, but some variation in prices remains. Specifically, in the data that was used in our model, the median intra-day price variation was about 18 percent for the 1st to 99th percentile and about 11 percent for the 5th to the 95th percentile."], "subsections": []}]}, {"section_title": "Appendix IV: Recognized Experts That We Interviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Thomas Cook (Assistant Director), Michael Kendix (Assistant Director), Kevin Bray, Candace Carpenter, Tara Congdon, Jaci Evans, Dan Royer, Monica Savoy, Kiki Theodoropoulos, Richard Tsuhara, and Jarrod West made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["U.S. Agriculture: Retail Food Prices Grew Faster Than the Prices Farmers Received for Agricultural Commodities, but Economic Research Has Not Established That Concentration Has Affected These Trends. GAO-09-746R. Washington, D.C.: June 30, 2009.", "Livestock Market Reporting: USDA Has Taken Some Steps to Ensure Quality, but Additional Efforts Are Needed. GAO-06-202. Washington, D.C.: December 9, 2005.", "Economic Models of Cattle Prices: How USDA Can Act to Improve Models to Explain Cattle Prices, GAO-02-246. Washington, D.C.: March 15, 2002.", "Packers and Stockyards Programs: Actions Needed to Improve Investigations of Competitive Practices, GAO/RCED-00-242. Washington, D.C.: September 21, 2000.", "Beef Industry: Packer Market Concentration and Cattle Prices, GAO/RCED-91-28. Washington, D.C.: December 6, 1990."], "subsections": []}], "fastfact": ["The U.S. cattle industry had about $64 billion in sales in 2016. Prices for fed cattle\u2014those ready for slaughter\u2014have fluctuated substantially over time. For example, they increased by 39% between 2013 and 2014, then dropped by 42% by the end of 2016. Cattle producers have raised questions about these fluctuations and USDA's oversight.", "We found that the Packers & Stockyards Program, which oversees the cattle industry within USDA's Agricultural Marketing Service (AMS), does not have access to certain data that AMS collects. We recommended that USDA examine the appropriate level of data sharing for oversight."]} {"id": "GAO-19-167", "url": "https://www.gao.gov/products/GAO-19-167", "title": "Supplemental Nutrition Assistance Program: Actions Needed to Better Measure and Address Retailer Trafficking", "published_date": "2018-12-14T00:00:00", "released_date": "2019-01-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SNAP is the largest federally funded nutrition assistance program, providing about $64 billion in benefits to over 20 million households in fiscal year 2017. FNS oversees SNAP at the federal level and is responsible for authorizing and overseeing retailers. While most benefits are used as intended, some retailers have engaged in trafficking, which represents fraud and diverts federal funds from their intended use. GAO was asked to review FNS's efforts to address SNAP retailer trafficking since GAO's last report in 2006.", "This report examines (1) what is known about the extent of SNAP retailer trafficking, and (2) the extent to which FNS has taken steps intended to improve how it prevents, detects, and responds to retailer trafficking. GAO reviewed relevant federal laws and regulations, FNS policies, and studies related to retailer trafficking; assessed FNS's use of statistical standards for federal agencies and selected leading practices in GAO's Fraud Risk Framework ; and interviewed FNS and USDA Office of Inspector General officials and key stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Department of Agriculture (USDA) Food and Nutrition Service's (FNS) estimates of retailer trafficking\u2014when a retailer exchanges Supplemental Nutrition Assistance Program (SNAP) benefits for cash instead of food\u2014have limitations, though they suggest trafficking has increased in recent years, to $1 billion each year from 2012 to 2014. One key limitation of the estimates is that FNS has not evaluated the accuracy of its assumption about the percentage of SNAP benefits trafficked. FNS assumes that, among stores that trafficked, 90 percent of the benefits redeemed in small stores, and 40 percent in large stores, were trafficked. A former FNS official stated that this assumption is based on discussions with investigators in the 1990s when FNS first developed its approach to estimate trafficking, and that they have not since evaluated it for accuracy. However, there are options available for evaluating this assumption, such as reviewing SNAP transaction data from stores that are known to have trafficked. Statistical standards for federal agencies indicate that assumptions should be reviewed for accuracy and validated using available, independent information sources. By not evaluating this key assumption, FNS's commonly cited estimates of SNAP fraud are potentially inaccurate.", "FNS has generally taken steps to address retailer trafficking that align with leading fraud risk management practices, but the agency has not pursued additional actions to prevent and respond to trafficking. For example:", "Although FNS assigns a risk level to each store when it applies to participate in SNAP, it is not currently using this information to target its reauthorization activities to stores of greatest risk. During reauthorization, FNS reviews previously approved stores for continued compliance with program requirements. FNS currently reauthorizes all stores on the same 5-year cycle, regardless of risk, although its policy states that it will reauthorize certain high-risk stores annually. FNS officials planned to reauthorize a sample of high-risk stores each year, but said they did not follow through with those plans. Officials also stated that they did not document an analysis of the benefits and costs of this practice, which would be consistent with leading fraud risk management practices. As a result, FNS may be missing an opportunity to provide early oversight of risky stores and prevent trafficking.", "The Food, Conservation, and Energy Act of 2008 gave USDA the authority to strengthen penalties for retailers found to have trafficked, but as of November 2018, FNS had not implemented this authority. FNS proposed a related rule change in 2012 and indicated the change was necessary to deter retailers from committing program violations, but the rule was not finalized. By failing to take timely action to strengthen penalties, FNS has not taken full advantage of an important tool for deterring trafficking."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that FNS improve its trafficking estimates by, for example, evaluating the accuracy of its assumption of the percentage of benefits that are trafficked; assess the benefits and costs of reauthorizing a sample of high risk stores more frequently than others; and move forward with plans to increase penalties for trafficking. FNS generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Supplemental Nutrition Assistance Program (SNAP) is the largest federally funded nutrition assistance program, providing approximately $64 billion in benefits to about 42 million people in over 20 million households in fiscal year 2017. SNAP recipients receive monthly cash benefits on an Electronic Benefits Transfer (EBT) card and redeem them for food at authorized retailers.", "Most SNAP benefits are used for the intended purpose, according to the U.S. Department of Agriculture\u2019s (USDA) Food and Nutrition Service (FNS), which oversees SNAP at the federal level and is responsible for authorizing and overseeing retailers that participate in the program. However, program officials have long-standing concerns about retailer trafficking\u2014a practice in which retailers exchange recipients\u2019 benefits for cash instead of food, often taking a fraudulent profit. As we previously reported in 2006, FNS has faced challenges in addressing retailer trafficking. You asked us to review steps FNS has taken in this area since our last report.", "We assessed (1) what is known about the extent of retailer trafficking in SNAP, and (2) the extent to which FNS has taken steps since 2006 intended to improve how it prevents, detects, and responds to retailer trafficking.", "To examine what is known about the extent of retailer trafficking and FNS\u2019s trafficking estimates, we reviewed FNS\u2019s three most recent reports on the Extent of Trafficking in the Supplemental Nutrition Assistance Program\u2014covering data from calendar years 2006 through 2014. In order to assess the reliability of the estimates, we reviewed technical information on FNS\u2019s methodology included in appendices to its trafficking reports and additional FNS studies regarding the methodology used to estimate trafficking. We also reviewed the Office of Management and Budget\u2019s statistical standards for federal agencies. We interviewed FNS officials about the methodology and data used to estimate trafficking and any steps the agency has taken or plans to take to address any limitations of the methodology. We also interviewed USDA Office of Inspector General (OIG) officials about their prior work related to the retailer trafficking estimates, as well as a former FNS official familiar with the development of the methodology and the contractors who produced the most recent estimates and studied limitations of the methodology. We determined that FNS\u2019s trafficking estimates were sufficiently reliable for the purpose of describing general trends in retailer trafficking, but we also identified some limitations of the estimates, which we discuss in this report.", "To examine FNS\u2019s steps intended to improve how it prevents, detects, and responds to retailer trafficking, we reviewed relevant federal laws and regulations and proposed rules related to retailer trafficking, as well as relevant FNS policies, standard operating procedures, and staff performance work plans, among other documents. We also reviewed relevant GAO and USDA OIG reports and determined the status of FNS\u2019s responses to prior audit recommendations by interviewing FNS and OIG officials and obtaining relevant documents. We interviewed FNS officials about steps the agency has taken since 2006 to improve how it prevents, detects, and responds to retailer trafficking, and OIG officials about their role investigating SNAP retailer trafficking. We assessed FNS\u2019s efforts to address retailer trafficking against selected leading practices in GAO\u2019s A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework) related to designing and implementing fraud controls and monitoring and evaluating activities. To obtain stakeholder perspectives, we interviewed representatives from two national associations representing independent grocery stores and convenience stores. We also interviewed officials from three states\u2014Georgia, Pennsylvania, and Washington\u2014about their experiences working with FNS to help investigate SNAP retailer trafficking. We selected these states as illustrative examples based on several criteria, including the rate at which retailers in each state received sanctions for SNAP violations and geographic dispersion. Finally, to provide context for our findings, we analyzed summary-level data from FNS and the USDA OIG on trends in SNAP participation and agency activities to address retailer trafficking from fiscal years 2007 through 2017. We assessed the reliability of these data through a review of FNS and OIG documents and interviews with knowledgeable officials. We found the data to be sufficiently reliable for the purpose of providing contextual information on trends in FNS and OIG retailer monitoring and oversight activities.", "We conducted this performance audit from January 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["SNAP is intended to help low-income households obtain a more nutritious diet by providing them with benefits to purchase food from authorized retailers nationwide. SNAP is jointly administered by FNS and the states. FNS pays the full cost of SNAP benefits and shares the costs of administering the program with the states. FNS is responsible for promulgating SNAP program regulations, ensuring that state officials administer the program in compliance with program rules, and authorizing and monitoring stores from which recipients may purchase food. States are responsible for determining applicant eligibility, calculating the amount of their benefits, issuing the benefits on EBT cards\u2014which can be used like debit cards to purchase food from authorized retailers\u2014and investigating possible program violations by recipients.", "Participation in SNAP has generally increased among recipients and retailers in recent years. Specifically, participation in SNAP increased from about 26 million recipients in fiscal year 2007 to 42 million in fiscal year 2017, leading to a corresponding increase in the amount of SNAP benefits redeemed. The number of stores FNS authorized to participate in SNAP also increased, from about 162,000 nationwide in fiscal year 2007 to more than 250,000 in fiscal year 2017. Although there was particular growth in the number of small grocery and convenience stores, as well as \u201cother\u201d stores (which include independent drug stores, general merchandise stores like dollar stores, and farmers\u2019 markets), the majority of SNAP benefits were redeemed at large grocery stores and supermarkets in each year (see fig. 1)."], "subsections": [{"section_title": "Retailer Trafficking", "paragraphs": ["According to FNS, most SNAP benefits are used for the intended purpose; however, as we have reported in prior work, FNS has faced challenges addressing trafficking\u2014one type of program fraud. In general, trafficking occurs when retailers exchange recipients\u2019 SNAP benefits for cash, often taking a fraudulent profit. For example, a retailer might charge $100 to a recipient\u2019s SNAP EBT card and give the recipient $50 in cash instead of $100 in food. The federal government reimburses the retailer $100, which results in a fraudulent $50 profit to the retailer. While this type of trafficking is a direct exchange of SNAP benefits for money, trafficking also can be done indirectly. For example, a retailer might give a recipient $50 in cash for the use of $100 in benefits on that recipient\u2019s EBT card. The retailer could then use the EBT card to purchase $100 in products at another SNAP retailer (see fig. 2). In this instance, the retailer would profit because they paid $50 for $100 worth of products, and the retailer might also increase their profit by reselling the products at a higher price in their own store."], "subsections": []}, {"section_title": "Retailer Management and Oversight", "paragraphs": ["Among other things, FNS is responsible for authorizing and monitoring retailers who participate in SNAP to ensure program integrity. In order to participate in SNAP, a retailer applies to FNS and demonstrates that they meet program requirements, such as those on the amount and types of food that authorized stores must carry. FNS verifies a retailer\u2019s compliance with these requirements, for example, through an on-site inspection of the store. If the retailer meets requirements, FNS generally authorizes it to participate for a period of 5 years.", "FNS then monitors retailers\u2019 participation by analyzing data on SNAP transactions and conducting undercover investigations, among other activities. If FNS suspects a retailer is trafficking, it generally must notify the USDA OIG\u2014which is responsible for investigating allegations of fraud and abuse in all of USDA\u2019s programs, including SNAP\u2014before opening a case. The OIG may choose to open its own investigation of the retailer for possible criminal prosecution, or allow FNS to pursue the case.", "If FNS determines that a retailer has engaged in trafficking, FNS sanctions the store. Generally, stores found to have engaged in trafficking are permanently disqualified from SNAP, but in limited circumstances, the owner may instead receive a civil monetary penalty. Retailers who do not agree with the sanction assessed by FNS can file a written request to have FNS\u2019s Administrative Review Branch review the decision, and, if not satisfied, file a complaint in the appropriate U.S. District Court.", "In 2013, FNS consolidated its retailer management functions, including those for authorizing stores and analyzing SNAP transaction data, into a single national structure known as the Retailer Operations Division (see fig. 3)."], "subsections": []}, {"section_title": "Estimating Retailer Trafficking", "paragraphs": ["Since 1995, FNS has published periodic reports estimating the extent of trafficking in SNAP as part of its efforts to monitor program integrity. These trafficking estimates are the most commonly cited measure of SNAP fraud, including in the news media and congressional testimony.", "FNS estimates retailer trafficking by adjusting a sample of stores known or suspected of trafficking to reflect the total population of SNAP- authorized stores. For each report, FNS uses 3 years of data on stores and SNAP transactions to estimate the amount and percentage of benefits that were trafficked and the percentage of stores engaged in trafficking (see fig. 4). For example, the most recent report\u2014published in September 2017\u2014analyzes data from 2012 through 2014."], "subsections": []}]}, {"section_title": "FNS Estimates Suggest Retailer Trafficking Has Increased in Recent Years, but the Estimates Have Limitations", "paragraphs": [], "subsections": [{"section_title": "FNS Estimates Indicate an Increase in Retailer Trafficking, but the Actual Extent of Trafficking Is Uncertain", "paragraphs": ["FNS\u2019s data indicate an increase in the estimated rate of retailer trafficking in recent years. FNS reported in March 2011 that approximately $330 million in SNAP benefits (or 1 percent of all benefits redeemed) were trafficked annually from 2006 through 2008, and that approximately 8.2 percent of all authorized stores engaged in trafficking. In its most recent report from September 2017, FNS reported that approximately $1 billion in SNAP benefits (or 1.5 percent) were trafficked annually from 2012 through 2014, and that approximately 11.8 percent of all authorized stores engaged in trafficking.", "Although FNS produces the trafficking estimates with accepted statistical methods, its reports do not clearly convey the level of uncertainty introduced by the approach used to calculate the estimates. Throughout each report, FNS presents its estimates as precise numbers. However, uncertainty is introduced when extrapolating from a smaller sample\u2014in this case, an investigative sample that solely includes stores known to have trafficked or suspected of trafficking\u2014to the full population of SNAP- authorized stores because the extent to which the sample reflects the broader population of stores is unknown (see sidebar). According to the Office of Management and Budget\u2019s (OMB) statistical standards for federal agencies, possible variation in estimates should be noted, such as by reporting the range of each estimate. While FNS discusses some limitations of its trafficking estimates in the body of each report, only the report\u2019s appendices include information that can be used to assess the level of uncertainty around the estimates.", "Using information contained in these appendices, we found widely varying trafficking estimates. For example, although FNS reported that approximately $1 billion in SNAP benefits were trafficked annually from 2012 through 2014, information in the report\u2019s appendices indicates that the amount trafficked could have ranged from about $960 million to $4.7 billion. In other words, the total value of SNAP benefits that were trafficked each year from 2012 through 2014 could have been approximately $40 million less or $3 billion more than FNS reported (see fig. 5).", "FNS officials stated the agency has not considered and does not intend to consider changes to how it reports its trafficking estimates in the next report. According to an FNS official, FNS would like the reports to continue to provide non-technical information that is comparable to prior years. However, as shown in the figure above, it is possible to compare estimates over time when estimates are presented with ranges. Further, reporting the level of uncertainty with each estimate increases transparency. According to a recent Congressional Research Service report, these estimates are the most-often cited measure of fraud in SNAP. The estimates have been cited in the news media and congressional testimony, and FNS officials stated the estimates can help quantify the outcomes of FNS\u2019s efforts to prevent, detect, and respond to retailer trafficking. By not clearly reporting the level of uncertainty around these commonly cited estimates of SNAP retailer trafficking, FNS\u2019s reports are potentially providing misleading information to Congress and the public regarding the extent of fraud in SNAP."], "subsections": []}, {"section_title": "FNS Evaluated Ways to Address Some Limitations in the Trafficking Estimates, but Does Not Plan to Take Further Steps", "paragraphs": ["FNS has acknowledged limitations with its current approach to estimating retailer trafficking and evaluated ways to address some of those limitations. As previously noted, FNS selects a non-random sample of stores known to have trafficked or suspected of trafficking when calculating its estimates, which may introduce bias into those trafficking estimates (see sidebar). For example, the sample could overestimate the extent of retailer trafficking if the stores in the sample that are targeted for investigation are more likely to traffic. Conversely, if FNS\u2019s detection methods do not capture all instances of trafficking\u2014such as retailers who only traffic with people they know\u2014the sample could lead to an underestimate of trafficking among all SNAP-authorized stores. Recognizing that the trafficking estimates provide important information on program fraud, FNS evaluated ways to address limitations in the estimates. In 2013, FNS convened a technical working group of experts to discuss alternate ways to estimate retailer trafficking. That group made various recommendations to improve the estimates, some of which FNS pursued through additional analyses.", "For example, to address limitations introduced by the sample FNS uses to estimate trafficking, the agency conducted a study to assess the feasibility of calculating its estimates using a national random sample of stores. However, FNS determined it would be infeasible to use a random sample because of the costs and resources that would be involved. According to FNS officials, it cost the agency approximately $67,000 to produce the September 2017 trafficking estimates report. By comparison, FNS estimated that using a national random sample could cost between $11.5 million and $38 million, depending on the specific sample selection method. This is because, among other factors, taking this approach would require investigative staff to visit stores suspected of trafficking as well as those that are not suspected of trafficking. Doing so would require a significant number of additional investigators, according to the feasibility study.", "Also in response to a recommendation by the technical working group, FNS contracted for a study in November 2017 that reviewed the five factors the agency uses to make adjustments to reduce the bias in its sample of stores (see sidebar). FNS began using these five factors\u2014such as the type of store\u2014more than 20 years ago when it initially developed its approach to estimating trafficking. The study evaluated the continued relevance of the five factors, as well as the relevance of additional factors related to store characteristics and neighborhood demographics. The study did not make recommendations, and the expert who conducted the study told us that based on the analysis, the original five factors remain relevant. As a result, FNS officials stated the agency would continue to use these factors to reduce bias in the sample.", "However, FNS has not evaluated whether factors the agency currently uses to identify stores for possible investigation could help reduce bias in the sample and improve the trafficking estimates. Specifically, FNS analyzes data on SNAP transactions and looks for suspicious patterns or other indications of potential trafficking. Based on the results of these analyses, FNS assigns a numeric score to each store, and stores with scores above a certain threshold are added to FNS\u2019s Watch List for further review. Several experts have suggested to FNS that including this score or other related factors when adjusting the investigative sample could help reduce the bias in the sample and improve the trafficking estimates, yet FNS has not evaluated the use of these factors for this purpose. FNS officials said that stores\u2019 numeric scores and the factors related to the Watch List are not public information, and the agency\u2019s preference is to be transparent about the methodology used to produce the trafficking estimates. However, FNS already describes its Watch List and the use of a numeric score threshold in an appendix to its trafficking reports. According to OMB\u2019s statistical standards, federal agencies should take steps to maximize the objectivity of the statistical information they produce. Objectivity refers to whether the information is accurate, reliable, and unbiased. Without evaluating the usefulness of the Watch List factors for adjusting the sample, FNS may miss an opportunity to reduce the bias in the sample and improve the accuracy of its trafficking estimates.", "In addition, FNS has not evaluated the accuracy of its assumption of the percentage of SNAP benefits trafficked by different types of stores, which FNS developed over 20 years ago from anecdotal information. Among stores that engaged in trafficking, FNS assumes that 90 percent of benefits redeemed in small stores and 40 percent of benefits redeemed in large stores were trafficked (see sidebar). A former FNS official who helped develop the agency\u2019s approach for estimating trafficking stated that the assumption was based on conversations with investigators in the 1990s\u2014deemed to be the best source of information at the time. He noted that the investigators who were consulted generally disagreed on the percentage of benefits that were trafficked, as the actual percentage could vary widely based on whether, for example, one employee had trafficked or the entire store was a front for trafficking. However, the investigators generally agreed that 90 percent and 40 percent would overestimate trafficking by retailers in small and large stores, respectively. According to FNS officials, in the absence of other data, they preferred to use an overestimate, rather than an underestimate, of the percentage of benefits trafficked in stores found to have trafficked.", "Despite an increase in the availability of data on retailer trafficking over the last 20 years, FNS officials have not evaluated the accuracy of this key assumption and said that they have no plans to do so. FNS officials noted that they do not believe there are available data that indicate whether the assumption is accurate and, as such, any evaluation would require new data collection. However, according to contractors and a former official we spoke with who had studied the methodology as well as USDA OIG officials, data are currently available that may help FNS evaluate the accuracy of this assumption. For example, they suggested FNS could analyze the transaction data of stores that trafficked to identify the percentage of all redeemed SNAP benefits that were consistent with known indicators of trafficking. Currently, OIG officials told us that they use a similar approach to calculate the amount of benefits trafficked for a store whose owner is being prosecuted. According to OMB\u2019s statistical standards, assumptions should be reviewed for accuracy and validated using available, independent information sources. Without FNS evaluating its key assumption of the percentage of SNAP benefits trafficked, the estimates it reports on the extent of program fraud are potentially inaccurate."], "subsections": []}]}, {"section_title": "FNS Has Taken Some Steps That Generally Align with Leading Practices to Prevent, Detect, and Respond to Retailer Trafficking, but Has Not Pursued Others", "paragraphs": [], "subsections": [{"section_title": "FNS Has Taken Steps to Address Retailer Trafficking, but Has Not Pursued Certain Prevention and Response Activities", "paragraphs": [], "subsections": [{"section_title": "Preventing Trafficking in the Retailer Authorization Process", "paragraphs": ["FNS has taken some steps to prevent retailer trafficking that align with leading fraud risk management practices and our prior recommendations, but has not pursued some opportunities for early oversight. As we note in our Fraud Risk Framework, while fraud control activities can be interdependent and mutually reinforcing, preventative activities generally offer the most cost-effective investment of resources. FNS officials told us that the agency tries to prevent trafficking through its policies and procedures for authorizing stores to participate in SNAP. Since our 2006 report, FNS has taken some steps to amend retailer authorization policies to address vulnerabilities that we identified. For example: Increasing requirements for food that retailers must stock to participate in SNAP: In 2006, we found that FNS had minimal requirements for the amount of food that retailers must stock, which could allow retailers more likely to traffic into the program. At that time, FNS officials said that they authorized stores with limited food stock to provide access to food in low-income areas where large grocery stores were scarce. In 2006, retailers were generally required to stock a minimum of 12 food items (at least 3 varieties in each of 4 staple food categories), but FNS rules did not specify how many items of each variety would constitute sufficient stock. We recommended that FNS develop criteria to help identify the stores most likely to traffic, using information such as the presence of low food stock. In 2016, FNS promulgated a final rule increasing food stock requirements and, in January 2018, issued a policy memorandum to clarify these requirements. FNS officials told us that the new requirements are designed to encourage stores to provide more healthy food options for recipients and discourage trafficking. According to the memorandum, retailers are now generally required to stock at least 36 food items (including stocking at least 3 varieties in each of 4 staple food categories, and 3 items of each variety). See figure 6 for a comparison of the previous (as of 2006) and current (reflecting the January 2018 memorandum) requirements.", "Assessing retailer risk levels: Also in 2006, we found that FNS had not conducted analyses to identify characteristics of stores at high risk of trafficking and to target its resources accordingly. For example, we reported that some stores may be at risk of trafficking because one or more previous owners had been found to be trafficking at the same location. At that time, FNS did not have a system in place to ensure that these stores were quickly targeted for heightened attention. We recommended that FNS identify the stores most likely to traffic and provide earlier, more targeted oversight to those stores. In 2009, FNS established risk levels for stores: high, medium, and low. For example, high-risk stores are those with a prior permanent disqualification at that location or nearby. In January 2012, FNS revised its policy for authorizing high-risk stores. The policy requires high-risk retailers to provide specific documentation to ensure that the owners listed on the application have not been previously disqualified or do not have ties to a previously disqualified owner, such as a letter from the bank listing the authorized signers on the store\u2019s accounts.", "Although FNS took these steps to identify risk levels for stores and target its initial authorization activities accordingly, the agency is not currently using this information to target its reauthorization activities to stores of greatest risk. During reauthorization, FNS reviews previously approved stores for continued compliance with program requirements. Although the agency\u2019s policy and website both state that certain high-risk stores will be reauthorized annually, FNS is currently reauthorizing all stores on the same 5-year cycle, regardless of risk. FNS reauthorized most high-risk stores under this policy one time in fiscal year 2013, but officials told us that they then discontinued annual reauthorizations after an in-depth assessment of the benefits and costs of this practice. For example, FNS staff reported collecting more than 150,000 documents as part of the fiscal year 2013 reauthorization cycle and found that collecting these documents annually is ineffective and burdensome to FNS and the retailer.", "FNS instead decided to annually reauthorize a sample of high-risk retailers as a result of its assessment of the fiscal year 2013 cycle, but did not follow through with those plans. Specifically, the agency decided to pursue annual reauthorizations of a sample of stores at the greatest risk of program violations\u2014those at the same address as a store that had been previously permanently disqualified. However, FNS officials did not have documentation that the approach was ever implemented or that they assessed the benefits and costs of reauthorizing this sample of high-risk retailers. More frequent reauthorization of certain high-risk stores is consistent with federal internal control standards, which suggest that agencies should consider the potential for fraud when determining how to respond to fraud risks. Considering the benefits and costs of control activities to address identified risks is a leading practice in GAO\u2019s Fraud Risk Framework. By not assessing the benefits and costs of reauthorizing certain high-risk stores more frequently than other stores, FNS may be missing an opportunity to provide early oversight of risky stores and prevent trafficking."], "subsections": []}, {"section_title": "Detecting Retailer Trafficking", "paragraphs": ["The steps FNS has taken to improve how it detects retailer trafficking generally align with fraud risk management leading practices for designing and implementing control activities to detect fraud. For example, FNS\u2019s website shows how to report SNAP fraud, including retailer trafficking, through the USDA OIG\u2019s fraud hotline. According to our Fraud Risk Framework, reporting mechanisms help managers detect instances of potential fraud and can also deter individuals from engaging in fraudulent behavior if they believe the fraud will be discovered and reported. Increasing managers\u2019 and employees\u2019 awareness of potential fraud schemes can also help managers and employees better detect potential fraud. To that end, FNS has developed fraud awareness training for staff in each of the branches in its Retailer Operations Division\u2014the office primarily responsible for oversight of SNAP-authorized retailers. This includes training related to retailer trafficking for new staff and refresher training for experienced staff. Some of the training materials employ identified instances of trafficking to improve future detection and response activities. See figure 7 for photographs from a store investigation that were featured in an April 2017 training session.", "FNS also uses data analytics, another leading practice in our Fraud Risk Framework, to identify potential trafficking and prioritizes its investigative resources to the stores most likely to be trafficking. Specifically, FNS scans about 250 million SNAP transactions per month through its Anti- Fraud Locator using EBT Retailer Transactions (ALERT) system to identify certain patterns indicative of trafficking. ALERT assigns a numeric score to each store based on the likelihood of trafficking. Stores with scores above a certain threshold are added to FNS\u2019s Watch List, and FNS analysts and investigators prioritize the stores on this list for review based on factors such as average transaction amounts that are excessive for that type of store. In addition, FNS\u2019s analysts conduct their own data mining and review complaints and fraud tips from the OIG\u2019s hotline to add stores to the Watch List.", "FNS also has explored ways and taken steps to improve its data analytics through internal workgroups and external studies. Using the results of monitoring and evaluations to improve fraud risk management activities is a leading fraud risk management practice. For example, staff in the Retailer Operations Division participate in a workgroup that uses findings from FNS\u2019s trafficking investigations to improve the Division\u2019s detection efforts. This collaborative effort has led to improvements such as using store ZIP codes to compare transactions at stores suspected of trafficking with similar stores nearby. According to FNS, its staff can use this information to substantiate charges against retailers by establishing what typical transaction patterns look like, compared to trafficking patterns, for similar stores. In addition, FNS commissioned studies in fiscal years 2014 and 2015 to evaluate the effectiveness of its data analytics to monitor stores and identify areas for improvement. For example, one of the studies identified and recommended new ways that FNS could analyze SNAP transaction data to detect emerging trafficking schemes\u2014such as indirect trafficking at super stores and supermarkets, where more than 80 percent of SNAP benefits are redeemed. FNS officials reported in August 2018 that they examined the recommendations and implemented those they determined were feasible with current resources and would add value to their efforts. For example, they decided to analyze data over shorter periods of time (monthly instead of a 6-month period) to more quickly identify stores that may be trafficking. Officials also reported that they are continuing to assess the effectiveness of their data analytics."], "subsections": []}, {"section_title": "Responding to Retailer Trafficking", "paragraphs": ["FNS\u2019s efforts to respond to retailer trafficking generally align with leading practices for fraud risk management. Consistent with our Fraud Risk Framework, FNS has established collaborative relationships with external stakeholders to respond to identified instances of potential fraud. For example, to amplify its own efforts, FNS has agreements (known as state law enforcement bureau, or SLEB, agreements) with 28 states. Through these agreements, FNS allows state and local law enforcement agencies to use SNAP EBT cards in their own undercover investigations of retailers. According to the most recent available FNS data, participating states opened 1,955 cases from fiscal year 2012 to fiscal year 2018 under SLEB agreements. These cases resulted in a total of 139 retailers being permanently disqualified from the program.", "Within USDA, FNS and the OIG also said they recently updated a memorandum of understanding (MOU) that outlines, among other things, how the two entities will coordinate on retailer trafficking investigations. Under the MOU, FNS investigates retailers with average monthly SNAP redemptions below a certain dollar threshold without first obtaining clearance from the OIG to pursue the case. FNS and OIG officials said that this provision of the MOU allows FNS to more quickly investigate suspicious behavior and pursue administrative action, such as permanent disqualification, against retailers found to be trafficking. Previously, according to OIG officials, FNS needed to clear most cases against retailers suspected of trafficking through the OIG. As we noted in our 2006 report, due to the time it takes to develop an investigation for prosecution and the costs associated with doing so, a natural tension exists between the goal of disqualifying a retailer as quickly as possible to prevent further trafficking and seeking prosecution of the retailer to recover losses and deter other traffickers. The MOU is also designed to strengthen collaboration between FNS and the OIG in identifying the situations that warrant criminal investigations.", "Since our 2006 report, OIG and FNS both generally increased the number of actions taken against SNAP retailers found to be trafficking. Specifically, the OIG reported an increase in the number of trafficking cases that it successfully referred for federal, state, or local prosecution (see fig. 8). The OIG also reported increases in the number of convictions resulting from its investigations, from 79 in fiscal year 2007 to 311 in fiscal year 2017.", "FNS also generally increased the number of retailers sanctioned for trafficking, though few received a monetary penalty. From fiscal year 2007 to fiscal year 2017, the number of permanent disqualifications resulting from FNS\u2019s trafficking investigations nearly doubled (see fig. 9). In lieu of a permanent disqualification, FNS sometimes imposes a monetary penalty on a retailer found to be trafficking. However, FNS imposed few monetary penalties for trafficking in lieu of permanent disqualification during this period. From fiscal year 2007 to fiscal year 2017, FNS assessed a total of 40 such penalties, totaling $1.5 million (for an average of about $38,000 each).", "In our 2006 report, we found that FNS\u2019s penalties for retailer trafficking may be insufficient to deter traffickers. We noted that trafficking will continue to be lucrative for retailers as long as the potential rewards outweigh the penalties and recipients are willing to exchange their benefits for cash. We recommended that FNS develop a strategy to increase penalties for trafficking. Using the results of evaluations, such as audits, to improve fraud risk management activities is a leading practice in GAO\u2019s Fraud Risk Framework. The Food, Conservation, and Energy Act of 2008 (known as the 2008 Farm Bill) gave USDA authority to impose higher monetary penalties, as well as authority to impose both a monetary penalty and program disqualification on retailers found to have violated relevant law or regulations (such as those found to be trafficking).", "Although USDA was granted this authority a decade ago, the department has not finalized regulatory changes to strengthen penalties against retailers found to be trafficking. In August 2012, FNS proposed regulatory changes to implement this authority from the 2008 Farm Bill, including assessing a new trafficking penalty in addition to permanent disqualification. The penalty would have been based on the store\u2019s average monthly SNAP redemptions and was intended to recoup government funds diverted from their intended use. In proposing these changes, FNS stated that they were necessary to improve program integrity and deter retailers from committing program violations. FNS also estimated that it would assess an additional $174 million per year in these new trafficking penalties\u2014a significant increase from the amounts FNS currently assesses in penalties for trafficking (less than $100,000 in fiscal year 2017). However, FNS did not finalize this rule, and, as of spring 2018, the rule was considered \u201cinactive.\u201d At that time, FNS officials told us that they had not finalized the rule because other rulemaking had taken priority in the intervening 6 years. More recently, in August 2018, FNS officials told us that they plan to revise the previously proposed rule to increase penalties and submit it for the spring 2019 regulatory agenda. In November 2018, FNS officials indicated that they were beginning to draft the proposed rule but could not provide us with documentation of this effort because the regulatory action was still pending. Increasing penalties for retailer trafficking would serve as an important tool to deter trafficking and safeguard federal funds."], "subsections": []}]}, {"section_title": "FNS Has Not Established Performance Measures to Assess its Retailer Trafficking Prevention Activities", "paragraphs": ["FNS measures the effectiveness of many of its trafficking detection and response activities, but lacks measures to evaluate its prevention activities. Measuring outputs, outcomes, and progress toward the achievement of fraud risk objectives is a leading practice in our Fraud Risk Framework. At the agency level, FNS has a priority plan for fiscal year 2018 that includes a goal of reducing the SNAP trafficking rate through retailer- and client-focused activities.", "At the program level, FNS\u2019s Retailer Operations Division has an internal scorecard that tracks performance measures related to retailer oversight activities, but none of these focuses on prevention of trafficking. For example, the scorecard measures the outputs and outcomes of activities designed to detect and respond to trafficking, such as the total number of sanctions implemented against retailers and the percentage of undercover investigations that result in a permanent disqualification. However, the scorecard does not have any measures related to preventing trafficking through the retailer authorization process\u2014a key area for prevention activities. The scorecard includes one output measure related to this process, but the measure (the percentage of retailer authorization requests processed within 45 days) focuses on how quickly retailers gain access to the program, rather than preventing trafficking. Although FNS officials have acknowledged that their program compliance efforts begin with the retailer authorization process, they said that they had not considered establishing measures related to preventing trafficking. They added that their supervisory review process may help ensure that staff who process retailer applications in the Retailer Operations Branch do not overlook evidence of potential fraud, but this review includes a small sample of approved store applications (typically 5 cases per staff member monthly).", "Although FNS has not established measures to assess its trafficking prevention activities, the agency has data that it could leverage for this purpose. For example, FNS collects data on the number of applications that were denied because FNS found that the retailer lacked business integrity, such as applicants previously found to be trafficking or with ties to a prior owner who had trafficked. Such data could be used to develop measures related to the number and percentage of retailer applications denied for business integrity. FNS officials acknowledged that these data could be used to develop performance measures for its trafficking prevention activities. Establishing such measures would enable FNS to more fully assess the effectiveness of its retailer oversight activities and better balance retailer access to the program with preventing retailer fraud."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FNS must continue to balance its goal of program integrity with its mission to provide nutrition assistance to millions of low-income households. During a period in which SNAP retailer participation has markedly increased, FNS has made progress in addressing SNAP retailer trafficking by identifying high-risk stores and increasing the number of stores disqualified for trafficking. It is critical that FNS maintain progress and momentum in these areas, particularly since FNS\u2019s own data suggest that trafficking is on the rise.", "To its credit, FNS has already evaluated some ways to improve how the agency measures and addresses retailer trafficking, yet, at the same time, the agency has missed opportunities to strengthen these areas. For example, since FNS has not taken steps to clarify and improve its retailer trafficking estimates\u2014one of the only available SNAP fraud measures\u2014 questions remain regarding the accuracy of the estimates and the extent of fraud in SNAP. In addition, prevention and early detection of retailer trafficking are particularly important and deserve continued attention, especially since retailers can quickly ramp up the amount they redeem in federal SNAP benefits, potentially by trafficking. However, because FNS is reauthorizing all stores once every 5 years, the agency may be missing an opportunity to prevent trafficking through more frequent oversight of risky stores. Further, until FNS strengthens its response to trafficking by increasing penalties, the agency will continue to miss an opportunity to improve program integrity and deter retailers from committing program violations.", "Finally, FNS directs a significant amount of staff resources to authorizing and monitoring retailers who participate in SNAP. Ensuring that those staff understand the importance of addressing fraud is key for program integrity. FNS has taken steps to make that clear through the inclusion of relevant performance measures for the branches responsible for fraud detection and response, yet the agency has not developed such measures for its trafficking prevention activities. Until FNS establishes performance measures for these activities, it will be unable to fully assess the effectiveness of its overall efforts to address retailer trafficking. In addition, such measures would assist FNS in balancing its efforts to ensure retailer access with those to prevent retailer fraud."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to FNS: The Administrator of FNS should present the uncertainty around its retailer trafficking estimates in future reports by, for example, including the full range of the estimates in the report body and executive summary. (Recommendation 1)", "The Administrator of FNS should continue efforts to improve the agency\u2019s retailer trafficking estimates by evaluating (1) whether the factors used to identify stores for possible investigation could help address the bias in its sample, and (2) the accuracy of its assumption of the percentage of SNAP benefits that are trafficked by different types of stores. (Recommendation 2)", "The Administrator of FNS should assess the benefits and costs of reauthorizing a sample of high-risk stores more frequently than other stores, use the assessment to determine the appropriate scope and time frames for reauthorizing high-risk stores moving forward, and document this decision in policy and on its website. (Recommendation 3)", "The Administrator of FNS should move forward with plans to increase penalties for retailer trafficking. (Recommendation 4)", "The Administrator of FNS should establish performance measures for its trafficking prevention activities. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to USDA for review and comment. On December 3, 2018, the Directors of the Retailer Policy & Management Division and the Retailer Operations Division of FNS provided us with the agency\u2019s oral comments. FNS officials told us that they generally agreed with the recommendations in the report. Officials also provided technical comments, which we incorporated as appropriate.", "Regarding the recommendation to present the uncertainty around the retailer trafficking estimates, FNS officials told us that they plan to include the estimate intervals and results of sensitivity analyses in the body of their next report, rather than in appendices. This is the information we used to determine the range around the trafficking estimates. Making this change would address our recommendation, as we continue to believe that reporting the level of uncertainty around each estimate would increase transparency and provide Congress and the public with better information on the extent of fraud in SNAP.", "In addition, regarding the recommendation to assess the benefits and costs of reauthorizing a sample of high-risk retailers more frequently, FNS officials noted that while reauthorizations currently occur at least once every 5 years, monitoring for potential violations occurs on an ongoing basis regardless of risk level. Low-, medium-, and high-risk stores are continually scanned by FNS\u2019s ALERT system. FNS officials added that, in fiscal year 2017, FNS imposed sanctions (e.g., fines or temporary disqualifications) on 862 stores found to be violating program rules, and disqualified permanently 1,661 stores for trafficking SNAP benefits or falsifying an application. FNS officials noted that this is a 26 percent increase in the number of stores sanctioned, compared to fiscal year 2013. We agree that ongoing monitoring is important, and we discussed these and other FNS efforts to detect and respond to retailer trafficking in our report. We nevertheless believe, and FNS officials agreed, that assessing the value of earlier oversight of risky stores through the reauthorization process is warranted, and could enhance efforts to prevent trafficking.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of the USDA, congressional committees, and other interested parties. In addition, this report will be available at no charge on the GAO website at www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Kathy Larin, (202) 512-7215 or larink@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rachel Frisk (Assistant Director), Rachael Chamberlin (Analyst-in-Charge), and Swati Deo made significant contributions to this report. Also contributing to this report were James Bennett, Thomas Cook, Alex Galuten, Lara Laufer, Olivia Lopez, Jean McSween, Jessica Orr, Philip Reiff, Almeta Spencer, Jeff Tessin, Matthew Valenta, and Erin Villas."], "subsections": []}]}], "fastfact": ["Millions of households rely on the $64 billion Supplemental Nutrition Assistance Program, formerly known as food stamps, to buy food. But some stores are defrauding the program by \"selling\" cash instead of food. For example, a store might give a person $50 in exchange for $100 in benefits\u2014then pocket the difference.", "How widespread is this \"retailer trafficking\"? The Food and Nutrition Service (FNS) reports that $1 billion in benefits are trafficked annually. However, the real extent is uncertain and could be anywhere from $960 million to $4.7 billion.", "We recommended ways to improve how FNS measures and addresses trafficking."]} {"id": "GAO-18-150", "url": "https://www.gao.gov/products/GAO-18-150", "title": "Rental Housing: Improvements Needed to Better Monitor the Moving to Work Demonstration, Including Effects on Tenants", "published_date": "2018-01-25T00:00:00", "released_date": "2018-02-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The MTW demonstration gives 39 participating public housing agencies the flexibility to use funding for HUD-approved purposes other than housing assistance, such as developing affordable housing; change HUD's tenant rent calculation; and impose work requirements and time limits on tenants. In 2015, Congress authorized the expansion of MTW by adding 100 new agencies. GAO was asked to evaluate the MTW demonstration. GAO examined HUD oversight of MTW agencies, including its monitoring of demonstration effects on tenants.", "For this report, GAO reviewed HUD and MTW agency policies and documentation; interviewed officials at HUD and seven MTW agencies (selected based on type of policy changes, size, and geographic diversity); and interviewed tenants served by selected agencies. GAO also conducted a statistical analysis comparing data for MTW and non-MTW agencies on public housing occupancy rates, voucher utilization rates, and program expenses."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Housing and Urban Development\u2018s (HUD) oversight of the Moving to Work (MTW) demonstration has been limited. Improving oversight\u2014particularly for information collection and analysis\u2014would help HUD assess what MTW agencies have done, including funding use. HUD took steps to improve oversight and reporting, but GAO found limitations in the following areas:", "Workforce planning. While HUD has taken steps to address staffing to oversee the current 39 MTW agencies, HUD has not finalized its workforce planning for 100 agencies to be added to the demonstration. According to a 2015 HUD analysis, a large number of additional staff would be needed for the expansion. HUD officials said field office staff might assume greater oversight responsibilities to fill this gap, but a joint (headquarters-field) oversight structure is not final and HUD's workforce analysis has not been updated to reflect this proposed oversight structure.", "Data collection. Due to limited data, HUD cannot fully determine the extent to which demonstration flexibilities affected the performance of MTW agencies, especially in relation to outcomes that affect the number of tenants served\u2014occupancy and voucher utilization rates and program expenses. GAO found that MTW agencies had lower yearly median rates for public housing occupancy and Housing Choice Voucher (voucher) unit utilization and higher yearly median program expenses than comparable non-MTW agencies. The differences may be partly the result of demonstration funding flexibilities, such as the ability to use public housing and voucher funding for purposes such as gap financing for affordable housing (a nontraditional activity). But limitations in HUD data (such as not differentiating expenses for nontraditional activities) make it difficult to fully explain differences in outcomes GAO analyzed.", "Oversight of reserves. HUD has not implemented a process to monitor MTW reserves or agencies' plans for such reserves, which led to agencies accruing relatively large amounts of unused funds that could be used for vouchers. According to HUD data as of June 30, 2017, the 39 MTW agencies had more voucher reserves than the 2,166 non-MTW agencies that administer the voucher program combined ($808 million compared to $737 million). Without a monitoring process, HUD cannot provide reasonable assurance that MTW agencies have sound plans for expending reserves.", "Monitoring the effect of rent reform, work requirements, and time limits on tenants. HUD is limited in its ability to evaluate the effect of MTW policies on tenants. HUD does not have a framework\u2014including clear guidance on reporting requirements and analysis plans\u2014for monitoring the effect of rent-reform, work-requirement, and time-limit policies. HUD guidance instructs agencies to analyze the impact of their rent reform activities, describe how they will reevaluate them, and develop a tenant hardship policy for such policies (but not for time limits or work requirements). But the guidance does not describe what must be included in the analyses or policies, leading to wide variation in how agencies develop them. Also, HUD does not assess the results of agencies' analyses."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes 11 recommendations to HUD, which include completing workforce planning, developing processes to track use of funds and monitor agencies' reserves, and developing a framework\u2014including clear guidance on reporting requirements and analysis plans\u2014to monitor effects on tenants. HUD generally agreed with eight of the recommendations and disagreed with three, citing the need for flexibility. GAO maintains the recommendations, as discussed further in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Moving to Work (MTW) demonstration, administered by the Department of Housing and Urban Development (HUD), was established in 1996 to provide statutory and regulatory flexibility to participating public housing agencies. Of approximately 3,900 public housing agencies, 39 were participating in the MTW demonstration as of September 2017. In fiscal year 2017, MTW agencies received funding of about $4.3 billion, which represented more than 17 percent of HUD\u2019s public housing and Housing Choice Voucher (voucher) programs. The Consolidated Appropriations Act, 2016 authorized HUD to expand the MTW demonstration to an additional 100 public housing agencies over 7 years. However, researchers and organizations that advocate on behalf of residents, including legal aid groups, have raised questions about the expansion because of the lack of information about the demonstration\u2019s effects on tenants.", "The MTW demonstration is intended to give participating agencies (MTW agencies) the flexibility to design and test innovative strategies (activities) for providing and administering housing assistance using funding they receive for their public housing and voucher programs, including making changes to HUD\u2019s rent calculation and adopting work-requirement and time-limit policies for tenants. MTW agencies also are able to combine the funding they are awarded annually from HUD\u2019s public housing and voucher programs into a single agency-wide funding source.", "In April 2012, we examined issues such as HUD\u2019s monitoring of the MTW demonstration and potential benefits of and concerns about demonstration expansion. Our April 2012 findings included that HUD had not identified what performance data would be needed to assess the results of the demonstration as a whole and had not established performance indicators for the demonstration. We also found that expanding the MTW demonstration could allow agencies to develop more activities tailored to local conditions, but data limitations and monitoring weaknesses would make it difficult for Congress to know whether an expanded MTW demonstration would benefit the additional agencies and the residents they serve.", "You asked us to conduct another review of the MTW demonstration, with a focus on how the demonstration affected tenants. This report examines (1) HUD oversight of MTW agencies, including agency reporting and compliance with demonstration requirements; (2) any association between MTW flexibilities and program outcomes, including public housing occupancy rates and voucher unit utilization rates; and (3) the extent to which HUD monitored effects of rent-reform, work-requirement, and time-limit policies on tenants.", "To examine HUD\u2019s oversight of MTW agencies, we reviewed our 2012 report on the MTW demonstration, the standard agreement that governs the participation in the demonstration of the existing 39 MTW agencies, and HUD\u2019s guidance on agency reporting and demonstration requirements. We interviewed HUD officials about the processes HUD uses to review the agencies\u2019 annual reports and assess compliance. We reviewed workforce analyses on the MTW demonstration. We interviewed HUD officials about their resource needs and plans to monitor current MTW agencies and any new agencies that might join the demonstration. We compared HUD\u2019s monitoring guidance with federal internal control standards and key principles we developed for workforce planning. To assess the extent to which HUD followed its procedures, we reviewed HUD\u2019s documentation of compliance assessments from 2013 through 2016 (the only years for which HUD completed such assessments). We also interviewed officials from a nongeneralizable sample of seven MTW agencies that had implemented major rent-reform changes and work- requirement and time-limit policies. In selecting the agencies, we also considered size, length of time in the demonstration, and geographic diversity.", "To identify and examine any association between MTW flexibilities and program outcomes, we obtained the following data on MTW and non- MTW agencies for 2009 through 2015: agency and tenant characteristics from the Public and Indian Housing Information Center (PIC) system; public housing occupancy rates from the Picture of Subsidized Households dataset; voucher unit utilization rates from the Voucher Management System (VMS); and expense data from the Financial Data Schedule (FDS). These were the most reliable and recent data available at the time of our analysis. We combined the HUD data with data from the American Community Survey (1-year estimates) conducted by the Census Bureau. To assess the reliability of the data, we reviewed relevant documentation on the information systems, conducted electronic testing, and interviewed officials knowledgeable about the data. We determined the data were sufficiently reliable to identify a comparison group and compare the outcomes of certain measures for MTW and comparable non-MTW agencies. We used the data and multivariate statistical methods to compare MTW and similar non-MTW agencies to estimate any association between MTW flexibilities and public housing occupancy rates, voucher unit utilization rates, and various public housing and voucher expenses. To identify factors that could explain the results of our analysis, we reviewed the standard agreement, FDS data, and data on unspent voucher funds, and interviewed HUD officials.", "To determine the extent to which HUD monitored the effect on tenants of rent-reform, work-requirement, and time-limit policies, we reviewed HUD guidance to determine how HUD defines these activities and what direction it provides on monitoring and reporting the effects on tenants. We compared HUD\u2019s monitoring guidance with relevant internal control standards. We reviewed MTW agencies\u2019 2015 annual reports to determine the extent to which agencies adopted rent-reform, work- requirement, and time-limit policies. We selected 2015 because it was the most recent year for which annual reports were available for all MTW agencies at the time of our analysis. We also reviewed MTW agencies\u2019 2011\u20132016 annual plans and requested information from all MTW agencies on tools they use to monitor the effects of rent reform on tenants. (We chose this range because the 2011 annual plans were the first to require that all MTW agencies include specific information when proposing rent-reform policies and the 2016 plans were the most recent year available for all MTW agencies at the time of our analysis.) We also interviewed officials from the seven selected MTW agencies about their monitoring of rent-reform, work-requirement, and time-limit policies\u2019 effects on tenants. Additionally, we held group meetings with tenants from five agencies and interviewed tenant advocacy organizations to obtain their views on the effect of these policies on tenants and their awareness of associated hardship policies. For more detailed information on our scope and methodology, including how we selected tenants and tenant advocacy organizations, see appendix I.", "We conducted this performance audit from February 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The MTW demonstration was authorized by the Omnibus Consolidated Rescissions and Appropriations Act of 1996 (1996 Act). The demonstration\u2019s ultimate goal is to identify successful approaches that can be applied to public housing agencies nationwide. As of November 2017, a total of 39 agencies were authorized to participate in the demonstration (see fig. 1); however, two agencies consolidated their MTW demonstration programs and are counted as one agency for purposes of MTW participation.", "The MTW Office within the Office of Public and Indian Housing (PIH) is responsible for implementing the demonstration. The MTW Office currently includes a program director and eight coordinators, who are each assigned to a specific group of MTW agencies. MTW coordinators facilitate the reviews of planned and implemented activities and are responsible for coordinating with other HUD offices, including local HUD field offices, to obtain additional input on MTW agencies\u2019 planned activities and accomplishments."], "subsections": [{"section_title": "Objectives and Key Demonstration Requirements", "paragraphs": ["The 1996 Act that created the MTW demonstration provides three objectives for the demonstration: (1) reduce costs and achieve greater cost-effectiveness in federal housing expenditures; (2) give incentives to families with children where the head of household is working, seeking work, or is preparing for work by participating in job training, educational programs, or programs that assist people to obtain employment and become economically self-sufficient; and (3) increase housing choices for low-income families.", "In making these changes, MTW agencies must comply with the following five contractual requirements derived from the 1996 Act: 1. assist substantially the same total number of eligible low-income families under MTW as would have been served absent the demonstration; 2. maintain a mix of families (by family size) comparable to those they would have served without the demonstration; 3. ensure that at least 75 percent of the families assisted are very low- 4. establish a reasonable rent policy to encourage employment and self- 5. assure that the housing the agencies provide meets HUD\u2019s housing quality standards."], "subsections": []}, {"section_title": "Funding for MTW Agencies", "paragraphs": ["MTW agencies do not receive special funding allocations; rather, they receive funds from the three traditional primary funding sources (public housing capital funds, public housing operating funds, and voucher funds). Public housing agencies generally are required to use the funds from each source only for specific purposes, but MTW agencies may combine the money from the three sources and use the funds for a variety of HUD-approved activities. This fungibility is intended to give MTW agencies greater flexibility. For example, public housing operating funds are traditionally used to make up the difference between rents charged for units and the cost of operating them. Capital funds are traditionally used for modernization and management improvements, while voucher funds traditionally provide rental assistance in the private market. However, an MTW agency may use public housing capital funds to issue additional vouchers or use voucher funds to develop more public housing. MTW agencies also have the authority to use their funds to implement innovative activities that differ from traditional housing assistance. For instance, an MTW agency can use funds to replace public housing with mixed-income communities or reach special-needs populations using vouchers paired with supportive services."], "subsections": []}, {"section_title": "Terms of Participation for MTW Agencies, Including Reporting", "paragraphs": ["HUD entered into a standard agreement with each existing MTW agency. HUD created the agreement in 2008 to standardize the contract terms. The agreement references an attachment that sets out reporting requirements (Attachment B or Form 50900) and another attachment (Attachment C) that lists the specific sections of the United States Housing Act of 1937, as amended, and its implementing regulations that an MTW agency may waive as part of its MTW flexibility. While the standard agreement is generally the same for all MTW agencies, two attachments are tailored to individual agencies: a description of the formulas for determining the amounts of funding each agency will receive (Attachment A) and a section that may include some agency-specific authorizations (Attachment D).", "In addition to statutory requirements, the agreement requires all existing MTW agencies to submit to HUD an annual plan for approval as well as an annual report. Attachment B outlines the information that agencies are required to include in their annual plans and annual reports. For example, MTW agencies must include certain elements in their annual plans for each activity they propose to adopt, such as (1) a description of the activity and its anticipated effect in relation to the statutory objective under which the activity is proposed; (2) the HUD metrics that will be used to quantify the changes the agency anticipates as a result of the activity, including baseline performance level and yearly benchmarks; and (3) the MTW authorizations that give the agency the flexibility to conduct the activity. Similarly, MTW agencies are required to include in their annual reports information about housing stocks and leasing as well as information required for HUD to assess compliance with key demonstration requirements (such as number and mix of families served and percentage of very low-income households served). For rent-reform activities, agencies are also required to describe the number and results of any hardship requests.", "MTW agencies also are required to report standard information through HUD data systems. MTW agencies must submit tenant-related data into the Moving to Work section of the Public and Indian Housing Information Center (MTW-PIC). According to HUD officials, the MTW-PIC module was created in 2007 because the standard PIC system that non-MTW agencies use could not accommodate some of the activities allowed under MTW, such as rent calculations that vary from HUD\u2019s standard calculations. MTW agencies also must submit year-end financial information into FDS, and HUD issued special instructions to enable MTW agencies to complete the reporting. Finally, MTW agencies must report voucher unit utilization in VMS."], "subsections": []}, {"section_title": "MTW Demonstration Expansion", "paragraphs": ["The Consolidated Appropriations Act, 2016 authorized HUD to expand the MTW demonstration from the current 39 public housing agencies to an additional 100 agencies (expansion agencies) over 7 years. The 2016 act requires that the expansion agencies must be high performers at the time of application and that the selected agencies represent geographic diversity. The expansion agencies will be brought into the demonstration by cohort, as required by the 2016 act. HUD plans to designate the initial cohort by summer 2018. As directed by the 2016 act, within each cohort each agency will implement one policy change that HUD selects for that cohort to test. The 2016 act requires that expansion agencies be rigorously evaluated and that HUD establish a research advisory committee to advise the Secretary on policies to study and methods of research and evaluation. HUD established the committee and received its recommendations on which policy changes to test and how to evaluate them. As of November 2017, HUD had not announced the policy changes each cohort will be testing.", "On January 23, 2017, HUD published in the Federal Register a request for comment on a draft operations notice for the MTW expansion. The draft operations notice establishes requirements for the implementation and continued operations of the demonstration and describes waivers available, terms of participation, funding and financial reporting, and administration and oversight for agencies joining under the expansion. The comment period closed on June 5, 2017. According to HUD officials, there will be another opportunity for comment before the notice is finalized in early 2018."], "subsections": []}]}, {"section_title": "HUD Took Steps to Improve Oversight, but Has Not Conducted Workforce Planning for Demonstration Expansion", "paragraphs": ["Since our last review of the MTW demonstration in April 2012, HUD has taken steps to improve MTW agencies\u2019 annual reporting and its process for monitoring agencies\u2019 compliance with requirements of the demonstration. However, we found that HUD\u2019s oversight\u2014review of annual reports and compliance assessments\u2014has not been timely and HUD has not fully documented its process for assessing compliance, due to limited staffing and competing priorities. While the MTW Office added staff to assist with the oversight of the current 39 MTW agencies, HUD has not conducted workforce planning to address the resources needed for overseeing the 100 agencies to be added through the MTW demonstration expansion."], "subsections": [{"section_title": "HUD Took Some Steps to Improve Reporting by MTW Agencies and Its Process for Monitoring Compliance", "paragraphs": ["HUD has taken steps to improve MTW agencies\u2019 annual reporting. While agencies were already required to submit annual plans and reports, HUD revised its reporting requirements for MTW agencies in May 2013 in response to our recommendations. Specifically, HUD revised Attachment B to provide detailed clarifications on the meaning of the three statutory objectives of the demonstration and relevant standard metrics. For example, for each of the statutory objectives, the revised guidance requires that the MTW agency use and report on all of the applicable standard metrics listed in Attachment B. The revised attachment also includes standard tables for MTW agencies to provide operating information and financial information. Additionally, HUD conducted training on the revised Attachment B and issued a document containing answers to frequently asked questions about the revisions.", "HUD also took some steps to improve its monitoring of MTW agencies\u2019 compliance with the five requirements of the demonstration. Specifically, in response to our 2012 recommendation that HUD implement a process for assessing compliance with the requirements, HUD developed a process and began to track MTW agencies\u2019 compliance with each of the five requirements. The 2013 revisions to Attachment B added requirements for agencies to submit information in annual reports with which HUD assesses compliance. The attachment includes standard tables for MTW agencies to provide specific information on households served, family sizes, and income levels.", "According to our review of HUD documents and discussions with HUD officials, the MTW Office uses this information, along with information MTW agencies submitted in other HUD data systems, to assess compliance with the five requirements. Table 1 summarizes HUD\u2019s description of its compliance processes for each of the five requirements."], "subsections": []}, {"section_title": "HUD\u2019s Monitoring Was Not Timely and Its Process for Assessing MTW Agencies\u2019 Compliance Was Not Well Documented", "paragraphs": [], "subsections": [{"section_title": "Annual Report Review and Compliance Assessment Timeliness", "paragraphs": ["We found that HUD\u2019s reviews of MTW agencies\u2019 annual reports were not completed in a timely manner; reviews were completed multiple years after the annual reports were submitted. Specifically, HUD did not complete its review of the agencies\u2019 2013\u20132015 reports until March 2017 and its review of 2016 reports was still underway as of November 2017 (see fig. 2).", "As previously mentioned, MTW agencies submit information about their MTW activities, financial information, data related to compliance assessments, and other information through annual reports. Attachment B states that HUD officials will use this information to monitor MTW agencies, particularly their compliance with some of the five requirements. Although the standard agreement gives MTW agencies 90 days after the end of their fiscal year to submit the annual report to HUD, it does not specify a time frame for HUD\u2019s review of the report. However, it states that HUD must notify an agency in writing if it requires additional information or clarifications to the information provided in the report.", "HUD officials said that limited staffing resources in the MTW Office in 2014\u20132016 led to delays in the reviews. Officials further noted that in 2014 and 2015 existing staff in the MTW Office had to focus on other priorities, including renegotiating the standard agreement, and then in 2016 on implementing the expansion of the demonstration. Untimely reviews of MTW annual reports diminishes oversight and can result in delays on HUD\u2019s part in responding to issues arising from the review, agencies not having an opportunity to respond to concerns promptly, and HUD\u2019s inability to assess the information reported to determine effects on tenants.", "As previously described, HUD developed a process to assess compliance with the five requirements of the demonstration, but its implementation of the process was not always timely. HUD did not complete its 2013\u20132015 reviews of MTW agencies\u2019 compliance with the five requirements until 2017. In March 2016, HUD officials provided us with a tracker of agencies\u2019 compliance with the requirements that indicated HUD started its review for 2013 but had not yet completed that assessment or started reviewing compliance for subsequent years. In July 2017, HUD provided us with evidence it had completed the 2013\u20132016 assessments for all five requirements."], "subsections": []}, {"section_title": "Documentation of Compliance Assessment Process", "paragraphs": ["In addition, HUD has not clearly documented its process for assessing compliance with the five requirements. HUD officials told us they did not have documentation of the process they used to assess compliance with most of the requirements, such as the methodologies and data used. As previously discussed, HUD has different processes for assessing compliance with each requirement and the information it uses to determine compliance comes from various data sources. Based on our review of HUD documents (including Attachment B and the recently completed compliance assessments) and discussions with HUD officials, it was not always clear what methods HUD used to support its compliance determinations. For example, documentation we reviewed on the requirement that MTW agencies ensure that 75 percent of the households served are very low-income did not state the methodology used to determine if MTW agencies were in compliance. While our review of the documentation indicated that tenant income in all relevant programs was used, it was not clear if the percentages of tenants in each income category were averaged or weighted to obtain the final percentage of tenants with very low incomes.", "Additionally, while Attachment B briefly describes the data sources used for some of the compliance assessments, HUD has no documentation specifying what data variables to extract and how to use them. The lack of written instructions led to HUD having to redo its assessment of compliance with the requirement that MTW agencies ensure that 75 percent of the households served are very low-income. Specifically, HUD officials noted that HUD staff initially determined compliance with this requirement based on tenants\u2019 current income, but later determined that they needed to reassess compliance with the requirement using tenants\u2019 income at the time of entry to the program. In September 2017, HUD officials said they were developing internal standard operating procedures to document their approach to assessing compliance with each requirement, and expected to complete the procedures by early calendar year 2018. However, because HUD has not finalized these standard operating procedures, it is unclear whether they fully document the steps and data needed to complete the compliance assessments.", "Federal internal control standards state that management should develop and maintain documentation of its internal control system, including for controls related to any compliance objectives of the agency. They note that effective documentation assists in management\u2019s design of internal control by establishing and communicating purposes, roles and responsibilities, and specifics of implementation to agency staff.", "HUD officials stated that limited staffing in the MTW Office in 2014\u20132016 and competing priorities led to delays in compliance assessments and development of full documentation on procedures. Limited documentation for assessing compliance can lead to inconsistent monitoring of MTW agencies\u2019 compliance with the five requirements. For example, as previously discussed, the lack of documentation on the process and data needed led to the need to reassess compliance with the requirement that MTW agencies ensure that 75 percent of the households served are very low-income."], "subsections": []}]}, {"section_title": "HUD Has Not Yet Completed Workforce Planning for the MTW Demonstration", "paragraphs": ["While HUD has taken some steps to address oversight and staff responsibilities for an expanded demonstration, it has not conducted workforce planning for the expanded demonstration. Federal internal control standards state that management should design control activities, including management of human capital, to achieve objectives and respond to risks. Management is to continually assess the knowledge, skills, and ability needs of the entity so that the entity is able to obtain a workforce that has the required knowledge, skills, and abilities to achieve organizational goals. In previous work on human capital, we identified key principles for effective strategic workforce planning, including determining the critical skills and competencies needed to achieve current and future programmatic results and developing strategies that are tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies.", "In 2014, the MTW Office engaged in a workforce analysis exercise to determine staffing levels needed to oversee the MTW demonstration as configured at that time. Based on the 2014 analysis, the MTW Office determined that seven staff were needed to oversee the 39 participating agencies. In 2014, the MTW Office had four staff and in 2015, five (see table 2). Officials told us that in 2016, an additional five staff were hired in the MTW Office and that one staff member would focus on financial analysis and compliance assessment. In 2017, the MTW staff count was nine. In July 2017, officials told us that based on the 2014 workforce analysis, they determined they had sufficient resources to oversee the current 39 MTW agencies.", "In response to a congressional request to determine resource needs for MTW expansion, in December 2015 the MTW Office updated its 2014 workforce analysis. As with the 2014 analysis, the 2015 workforce analysis discussed the level of staffing resources needed and not the skill sets and competencies needed to oversee the expanded MTW demonstration and actions to fill any gaps. According to this analysis, HUD determined that a significant number of staff would be needed to oversee the new agencies. Specifically, 41 full-time equivalent personnel across various HUD offices would be needed to meet the resource needs of the expansion in 2016\u20132020.", "In September 2017, HUD officials said that because of the current budget environment, the agency planned to address the staffing gap identified in the 2015 analysis by developing a joint oversight structure between the MTW Office and PIH\u2019s Office of Field Operations. According to HUD officials, currently the MTW Office is primarily responsible for monitoring MTW agencies (reviewing annual plans and reports and assessing compliance with demonstration requirements). Field office staff in PIH assist with the review of MTW agencies\u2019 overall financial health and public housing occupancy and voucher leasing information, among other things. HUD plans to continue to follow this oversight structure for the existing 39 agencies, but have field office staff assume more responsibilities for agencies that will join the MTW demonstration as a result of the expansion. MTW Office officials said they have been having internal discussions through a working group with field office staff in PIH to discuss the new oversight structure and determine how best to meet resource needs associated with the expansion. However, as of November 2017, the MTW Office and PIH had not completed plans for joint oversight of the expanded MTW demonstration with the field offices or assessed the knowledge, skills, or abilities needed to implement this new oversight structure. As previously stated, the first cohort of public housing agencies will join the expanded MTW demonstration by summer 2018.", "MTW Office officials also told us that PIH is planning to finalize a workforce plan by early calendar year 2018 that will address the broad resource needs of PIH. However, according to MTW Office officials, PIH has not yet determined the extent to which the human capital resource needs for the MTW expansion will be incorporated into the PIH workforce plan. Without strategic workforce planning that reflects the oversight strategy for the expanded MTW demonstration, identifies the critical skills and competencies needed, and includes strategies to address any gaps, HUD will not be able to reasonably ensure that it has the staffing resources necessary to oversee an expanded demonstration."], "subsections": []}]}, {"section_title": "Data Limitations Hinder Analysis of MTW Flexibilities, and Outcomes and MTW Reserve Levels Raise Questions", "paragraphs": ["We found significant differences between MTW agencies and comparable non-MTW agencies in key outcomes: MTW agencies had lower public housing occupancy rates, lower voucher unit utilization rates, and higher program expenses in 2009\u20132015 than similar non-MTW agencies. MTW funding flexibilities may partly explain the differences, but limitations in HUD data (such as the inability to determine which funding source was used to fund which activity) make it difficult to more fully understand the differences. MTW agencies accumulated relatively large reserves of voucher funding, but HUD has performed limited oversight of reserves for these agencies."], "subsections": [{"section_title": "MTW Agencies Had Lower Public Housing Occupancy and Voucher Utilization Rates and Higher Expenses Than Comparable Non-MTW Agencies in Recent Years", "paragraphs": ["We found significant differences between MTW agencies and comparable non-MTW agencies in key outcomes of the public housing and voucher programs, possibly affecting the number of tenants MTW agencies served. MTW agencies had lower yearly median public housing occupancy rates in fiscal years 2009\u20132015 than comparable non-MTW agencies, and the difference was statistically significant (see fig. 3). The median share of public housing units occupied (public housing occupancy rate) for MTW agencies was 3 percentage points lower than for similar non-MTW agencies (93 versus 96 percentage points). The middle 50 percent of MTW agencies in our analysis had occupancy rates that ranged from 88 to 96 percentage points, while the non-MTW agencies in our analysis had occupancy rates that ranged from 92 to 98 percentage points.", "MTW agencies also had lower rates of voucher unit utilization than comparable non-MTW agencies in each year during 2009\u20132015 (see fig. 4). The voucher unit utilization rate for MTW agencies was about 3 percentage points lower than for similar non-MTW agencies (about 93 percent versus about 96 percent). The middle 50 percent of the MTW agencies had utilization rates that ranged from about 82 to 97 percentage points, while the non-MTW agencies had occupancy rates that ranged from about 92 to 98 percentage points.", "We also analyzed expenses for the public housing and voucher programs of MTW agencies and comparable non-MTW agencies in 2009\u20132015.", "For the public housing program, we included all operating expenses the MTW and non-MTW agencies incurred that were associated with their public housing properties. As figure 5 shows, median public housing operating expenses for MTW agencies in each year during 2009\u20132015 were $7,853 per household and $6,622 for non-MTW agencies, a difference of about 19 percent. The middle 50 percent of the MTW agencies had total public housing expenses that ranged from $6,048 to $11,436, while the non-MTW agencies had expenses that ranged from $5,827 to $8,355.", "We also compared the operating expenses associated with the central office cost center of MTW and comparable non-MTW agencies. If larger public housing agencies implement HUD\u2019s property management rules, they generally are required to create a central office cost center, which manages all the centralized activities of the agency and earns fees for providing day-to-day oversight of individual public housing properties such as property management. As figure 6 shows, median public housing operating expenses related to the central office cost center for MTW agencies were about 9 percent higher than comparable non-MTW agencies in each year during 2009\u20132015 ($2,745 per household and $2,520, respectively). The middle 50 percent of the MTW agencies had central office cost center expenses associated with their public housing program that ranged from $1,509 to $5,798, while the non-MTW agencies had expenses that ranged from $1,635 to $4,939 per household.", "For the voucher program, we separately examined expenses in 2009\u2013 2015 related to administration, subsidy (housing assistance payments), and tenant services. MTW agencies had higher median administrative, subsidy, and tenant services expenses than comparable non-MTW agencies. As figure 7 shows, median yearly administrative expenses for MTW agencies were $922 per household and $642 for comparable non- MTW agencies, a difference of about 43 percent. The middle 50 percent of the MTW agencies had voucher administrative expenses that ranged from $713 to $1,179, while the non-MTW agencies had expenses that ranged from $555 to $762.", "As shown in figure 8, the yearly median voucher subsidy expenses for MTW agencies were about 25 percent higher than for comparable non- MTW agencies ($8,295 per household for MTW agencies and $6,629 per household for non-MTW agencies). The middle 50 percent of the MTW agencies had voucher subsidy expenses that ranged from $6,128 to $12,201, while the non-MTW agencies had expenses that ranged from $5,524 to $8,178.", "As shown in figure 9, the tenant services expenses for the voucher program were higher for MTW agencies than for comparable non-MTW agencies, and many non-MTW agencies did not record any expenses for tenant services in HUD\u2019s database for the years we reviewed. These results are consistent with MTW agencies having more flexibility to use funds to provide tenant services. The median yearly expenses for tenant services for MTW agencies were about $37 per household. Although tenant services are an allowable administrative expense under the traditional voucher program, more than half of the non-MTW agencies in our sample did not report any expenses for tenant services for most of the years we examined. Non-MTW agencies generally use their voucher funds to make subsidy payments to landlords and for administrative expenses.", "The statistical matching and modeling analysis we conducted improved upon unadjusted comparisons of MTW and non-MTW agencies, but it was not designed to estimate the causal effects of MTW flexibilities. To reduce the influence of known differences between the two groups, we accounted for broad characteristics that differed between MTW agencies and non-MTW agencies. However, our analysis did not attempt to measure the unique circumstances of each MTW agency, but rather broad outcomes relevant to public housing and voucher programs in general. For additional details on our methods and results, see appendix II.", "As noted by others who studied the MTW demonstration and our previous report, no central source of systematic data exists for MTW activities and outcomes. However, a July 2017 report by Abt Associates, a research and consulting firm, identified and tested indicators they developed to track the performance of MTW demonstrations and compare them to similar non-MTW agencies. As with our analysis, the Abt study found MTW agencies tended to have worse outcomes than similar non-MTW agencies on the indicators of voucher administrative expenses and voucher unit utilization. The study also analyzed other indicators such as increases in earnings of nonelderly, nondisabled households; households served by a service coordinator; and share of voucher households in neighborhoods with lower poverty rates. On many of the other indicators analyzed, the study found that MTW agencies did better than similar non- MTW agencies. For example, for the self-sufficiency measures examined in the study, estimates showed that household earnings were more likely to increase at MTW agencies than at comparison non-MTW agencies. The study also concluded that MTW agencies were able to serve a significant number of individuals not reached by traditional housing assistance and that in many cases, they were also able to offer additional supportive services. However, because our analysis did not look at these other indicators, we could not confirm these results."], "subsections": []}, {"section_title": "Limitations in HUD Data Make It Difficult to Fully Understand Differences", "paragraphs": [], "subsections": [{"section_title": "Potential Reasons for Observed Differences", "paragraphs": ["The observed differences in public housing occupancy and voucher unit utilization rates and program expenses between MTW and non-MTW agencies, which could affect the number of tenants served, may be a result of MTW agencies\u2019 ability to (1) combine their public housing and voucher funds and use them interchangeably and (2) use funds to implement policies that go beyond traditional forms of housing assistance.", "Combined funding and fungibility. The single fund authorization permits MTW agencies to combine their public housing operating, public housing capital, and voucher funds into a single agency-wide funding source and use the funds interchangeably. For instance, voucher funds may be used for public housing expenses and vice versa, which could affect utilization and occupancy rates. Our analysis of 2015 data from FDS, which HUD uses to account for the agencies\u2019 MTW financial data, showed that 19 MTW agencies transferred voucher funding to their public housing program as the result of the single-fund authorization (that is, they transferred more funding to their public housing accounts than they received through their public housing funding allocation). This analysis was possible because HUD requires agencies to report financial information in FDS at the public housing project level. However, the data could not be used to determine whether all the funds transferred to the public housing accounts were spent on public housing expenses because, according to HUD officials, FDS is not a system that tracks the actual drawdown or disbursement of funds. Instead, public housing agencies use the system to report year-end financial activity. (As discussed later in this report, FDS data could not be used to determine the extent to which public housing funds were used for voucher expenses.)", "Nontraditional activities. Public housing occupancy and voucher unit utilization rates might be lower for MTW agencies in part because MTW agencies can use funds to implement policies that go beyond traditional forms of housing assistance. Since October 2009, the demonstration\u2019s \u201cbroader uses of funds\u201d authorization under the standard agreement has permitted all MTW agencies to adopt local, nontraditional activities, which HUD guidance organizes into four categories (see table 3).", "In July 2017, HUD provided us with data it had recently compiled on the number of households served through local, nontraditional activities, by MTW agency, during 2009\u20132016 (see fig. 10). According to these data, in 2009 four agencies implemented at least one type of local, nontraditional housing assistance activity and served 1,177 households (that is, less than 1 household served through local, nontraditional housing assistance for every 100 MTW public housing and voucher units available). In 2016, the number of agencies that implemented at least one local, nontraditional housing assistance activity grew to 25 agencies, which served 9,787 households (about 2 households served through local, nontraditional housing assistance for every 100 MTW public housing and voucher unit available). Some of these households could be served through a rental assistance program that offers a lower level of subsidy than is available to households served through traditional voucher and public housing programs. For example, a local, nontraditional activity could result in an MTW agency lowering its share of housing assistance, thereby increasing the tenant\u2019s share of rent. Conversely, HUD officials pointed out that because MTW agencies assist hard-to-serve households, the subsidies provided to these households could be higher than the subsidy provided under HUD\u2019s traditional housing assistance programs. As such, a household served through local, nontraditional housing activity may not be equivalent to a household served under the traditional voucher or public housing program.", "Other factors related to expenses. According to HUD officials, factors that could explain the observed differences in the expenses for the public housing and voucher programs of MTW agencies and non-MTW agencies include that MTW agencies typically (1) need more time and resources to develop and implement \u201cinnovative\u201d activities, (2) serve hard-to-serve households such as those experiencing homelessness, and (3) provide additional services to the households they serve as a result of the funding flexibilities. According to a University of North Carolina at Chapel Hill study, nearly all MTW agencies have used program flexibility to provide supportive housing for various hard-to-serve populations, including the previously homeless, mentally disabled, developmentally disabled, formerly incarcerated, domestic abuse victims, youth aging out of foster care, and those with substance abuse issues. Some of these programs were provided through sponsor-based voucher programs administered by partner agencies, which required coordination between the MTW agency and the partnering agencies."], "subsections": []}, {"section_title": "Data Limitations Hinder Fuller Explanations", "paragraphs": ["Limitations in HUD data make it difficult to more fully explain the differences that may affect the number of households served. For instance, HUD cannot measure how participation in the demonstration affected the occupancy and voucher unit utilization rates of MTW agencies. As previously discussed, HUD uses FDS to account for the agencies\u2019 MTW funds, but once combined in the system, the funds are decoupled from the original funding source and it is difficult to determine how these funds were used. As described earlier, although FDS data could be used to illustrate how many agencies transferred voucher funding to their public housing program, these data could not be used to illustrate how many agencies transferred public housing funding to their voucher program because, according to HUD officials, FDS does not identify the source of funding that is available for the voucher program and local, nontraditional activities.", "Similarly, FDS cannot measure expenses that were for local, nontraditional activities because FDS expenditure categories are not tailored to the MTW demonstration. HUD officials said the reporting of expenses associated with local, nontraditional activities varies by MTW agency, which affects where FDS captures such expenses. HUD has not made changes to FDS because, according to HUD officials, FDS is an accounting system that tracks agencies\u2019 year-end financial activity and, therefore, is not designed to keep track of these data.", "Furthermore, historical data do not exist on the households served through local, nontraditional activities. Although HUD provided us a spreadsheet it compiled in July 2017 with data on the number of households served through local, nontraditional housing assistance activities from 2009 through 2016, HUD had to manually compile the spreadsheet because its PIC system does not capture data on these households. HUD officials said the agency was considering capturing some data on local, nontraditional households in PIC, but making this change would require HUD and MTW agencies to devote resources to update their systems.", "HUD previously considered making changes to the system. In 2012, HUD issued a Federal Register notice requesting public comment on changes to the system to track households provided assistance through local, nontraditional activities. According to the notice, agencies had not been reporting these families into the system, which made it difficult to accurately account for the number of MTW families being served. The notice further stated that the MTW Office was manually collecting data on the number of families served each year but the PIC system needed to be revised to make information collection easier for MTW agencies and HUD. HUD officials said HUD did not have the information technology resources needed to make this change in PIC.", "Federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. Additionally, one of the statutory objectives of the MTW demonstration is to reduce costs and achieve greater cost-effectiveness in federal housing expenditures, and a key demonstration requirement is to assist substantially the same total number of eligible low-income families under MTW as would have been served absent the demonstration.", "As discussed previously, intermingled funding streams, the purpose and structure of FDS, and limitations in PIC have combined to limit the data collected and readily available on the MTW demonstration. According to HUD officials, it would be difficult for HUD to require existing agencies to report additional financial data because doing so would require changes to the standard agreement, which generally cannot occur without mutual agreement between the agencies and HUD. Yet agencies\u2019 specific reporting obligations are not set forth in the general standard agreement but rather in Attachment B, which HUD already expanded without requiring an amendment to the standard agreement in 2011 and 2013 and proposed to do in 2016. The standard agreement states that agencies must provide in their annual plan the information required in Attachment B, and under the standard agreement, HUD retains flexibility to determine what constitutes satisfactory completion of the annual plan. Further, the standard agreement, which sets forth general covenants for the demonstration and not specific data points or reporting definitions, specifically acknowledges that HUD must have the \u201cflexibility to design and test various approaches\u201d for housing assistance and that the agencies agree \u201cto cooperate fully with HUD\u201d in the monitoring and evaluation of the MTW demonstration. Under the standard agreement, MTW agencies must provide in their annual report \u201cthe information necessary for HUD to assess the Agency\u2019s activities,\u201d without specific detail. As with the annual plan, HUD retains flexibility to determine what data agencies must report. Without more comprehensive data on the uses of MTW demonstration funds and households served through local, nontraditional activities, HUD cannot assess the performance of MTW agencies in relation to public housing occupancy and voucher unit utilization rates and program expenses, which could affect the number of tenants served."], "subsections": []}]}, {"section_title": "MTW Agencies Had Relatively Large Reserves of Unspent Voucher Funding, but HUD Performed Limited Oversight", "paragraphs": [], "subsections": [{"section_title": "Agency Reserves of Funding", "paragraphs": ["MTW agencies have accumulated relatively large reserves of voucher funding. The agencies are able to accumulate more reserves because their voucher funding formula differs from the formula used for the traditional voucher program. HUD allocates voucher funds to non-MTW agencies based on leasing rates and subsidy costs from the prior year. As a result, these agencies have an incentive to expend their voucher funding to keep their budget utilization rate high. However, the voucher formula for MTW agencies, which is outlined in an attachment to each agency\u2019s standard agreement, is generally based on the actual, per-unit costs in the year prior to the agency joining the MTW demonstration. Because the voucher allocation is not tied to prior-year subsidy expenses, MTW agencies do not have the same incentive that non-MTW agencies have to use all their voucher funds in a given year.", "According to 2016 HUD voucher reserve data, the 39 MTW agencies had almost as much voucher reserves as the 2,166 non-MTW agencies combined. Specifically, as of December 31, 2016, MTW agencies had a total of about $1.11 billion in voucher reserves, whereas the 2,166 non- MTW agencies had slightly higher reserves of $1.13 billion. Similar to our analysis above, we compared the voucher reserves MTW agencies held to the reserves comparable non-MTW agencies held. As figure 11 shows, as of December 31, 2016, the median amount of reserves per household held by MTW agencies was $2,462 compared to $480 for comparable non-MTW agencies (a difference of $1,982 or about 5 times higher). After we completed our analysis, HUD provided updated reserve levels as of June 30, 2017, that showed that MTW agencies\u2019 reserves exceeded non- MTW agencies\u2019 reserves. MTW agencies had a total of about $808 million in reserves while non-MTW agencies had reserves of about $737 million.", "HUD has performed limited oversight of MTW reserves. For example, before 2016 HUD did not capture data that would help it determine the amount of voucher reserves held by MTW agencies. In January 2012, as part of a new cash management requirement for the voucher program, HUD implemented a process to help transition the accrual of excess funds held at the agency level to HUD-held reserves. According to HUD officials, this process was only partially implemented for MTW agencies at that time because voucher subsidy expenses were comingled with expenses associated with other allowable MTW activities in VMS. In 2016, HUD added new fields in VMS to distinguish various MTW nonvoucher subsidy expenses (such as those for capital improvements of existing public housing units and operation of local, nontraditional activities) from unspent funding. According to HUD officials, these enhancements to VMS now allow HUD to keep track of MTW agencies\u2019 reserves. Consequently, in 2016, HUD started cash reconciliations for MTW agencies, consistent with the cash management procedures for non-MTW agencies.", "HUD also does not have a process to systematically determine if MTW agencies have public housing reserves. Unlike for the voucher program, HUD was unable to determine the extent to which MTW agencies had unspent public housing funding in reserves. According to HUD officials, FDS tracks overall MTW reserves but HUD cannot distinguish between public housing and voucher reserves because the MTW funds are combined into a single account and because HUD does not have a system similar to VMS that separately tracks public housing reserves for MTW agencies.", "According to federal internal control standards, management should internally communicate the necessary quality information, such as through written communication, to help achieve the agency\u2019s objectives. Management should design control activities\u2014policies, procedures, techniques, and mechanisms\u2014to achieve objectives and respond to risks. Maintaining comprehensive written policies and procedures will help ensure that control activities are in place to address risks and carry out management directives. We also developed criteria\u2014a set of questions\u2014 that agency managers and Congress could use to identify and manage fee revenue instability, including identifying common principles and leading practices for managing reserve funds. For example, managers should ask what level of reserves is to be maintained. In addition, they should consider establishing minimum and maximum reserve levels to ensure accountability and adherence to the reserve\u2019s goals, justifying the numbers with program data and risk management considerations. When established reserve goals have been achieved, such as to fund planned capital investments, the level of reserve should be assessed for reasonableness.", "However, HUD has not developed and implemented a process to monitor MTW reserves. Specifically, it does not monitor existing MTW agencies\u2019 reserves to determine what agencies plan to do with these reserves and assess whether the plans are reasonable given the amount of reserves. HUD officials said it would require a significant amount of time to individually compare the MTW agencies\u2019 reserves to their planned activities. However, HUD officials said that the draft operations notice for the MTW expansion proposes requiring that expansion agencies hold no more than 1 year of voucher subsidy funds in reserves. But the notice did not outline a plan to evaluate whether this cap was appropriate, and HUD has not yet finalized the notice. Without a process to monitor existing MTW agencies\u2019 plans for their reserves and the appropriateness of the cap for expansion agencies, HUD cannot provide reasonable assurance that MTW agencies have sound plans for expending their reserves."], "subsections": []}]}]}, {"section_title": "HUD Does Not Have a Framework for Monitoring the Effect of Certain Policies on Tenants", "paragraphs": ["HUD does not have a framework\u2014standard definitions for rent reform and self-sufficiency, clear guidance on reporting requirements, or analysis plans\u2014for monitoring the effect of rent-reform, work-requirement, and time-limit policies."], "subsections": [{"section_title": "HUD Definition for Rent Reform and Agency- Determined Definitions for Self-Sufficiency Resulted in Inconsistent Reporting and Prevented Data Aggregation", "paragraphs": [], "subsections": [{"section_title": "Rent Reform", "paragraphs": ["HUD\u2019s definition of rent reform is unclear, leading to agencies inconsistently categorizing some policies and not reporting required information for rent-reform policies. Federal internal control standards state that management should use quality information\u2014relevant and reliable data\u2014to achieve the entity\u2019s objectives. HUD defines rent reform as \u201cany change in the regulations on how rent is calculated for a household.\u201d Under traditional public housing and voucher program rules, an assisted household generally must contribute the greater of 30 percent of its monthly adjusted income or the housing-agency established minimum rent\u2014up to $50\u2014toward its monthly rent. Statute and HUD regulations direct how public housing agencies are to certify tenant income and determine a participating household\u2019s tenant rental payments. Non-MTW agencies must implement this determination process when a household first joins the program and then on a regular basis. In addition, the total housing costs, which are used to calculate a household\u2019s tenant rental payment, include both the rent for the unit and utility costs. As such, an agency is responsible for establishing and maintaining a utility allowance schedule that provides reasonable allowances for tenant-paid utilities. MTW agencies can propose rent- reform policies that make changes to these program rules, such as changing how often tenants are recertified, eliminating certain exclusions or deductions, or changing the approach agencies use to determine a household\u2019s tenant contribution.", "HUD has 15 categories of activities it considers to be rent reform under the MTW demonstration, but does not further define the activities under each category (see table 4). Based on our review of MTW agencies\u2019 2015 annual reports, we identified 194 activities that involved one or more rent-reform changes based generally on HUD\u2019s categories of rent-reform activities.", "When we requested that agencies provide information on their rent- reform activities, several MTW agencies asked for clarification on how rent reform was defined and what activities fell into this category.", "Based on our analysis of the agencies\u2019 2015 annual reports, we found five agencies did not consider 15 of the 194 activities we identified to be rent reform using HUD\u2019s definition.", "Based on our review of the agencies\u2019 2011\u20132016 annual plans, we found that some agencies did not report information they are required to report when proposing a rent-reform activity in their annual plans.", "Based on our review of the 2015 annual reports, we found that 83 of the 194 policies we identified as rent reform did not include any of the hardship data HUD requires agencies to report for rent-reform activities.", "Officials from some MTW agencies said they did not agree with some of the categories HUD considers to be rent reform. For example, officials from three agencies told us that they did not consider changes to the recertification schedule to be rent reform because such changes do not change how rent is calculated, only the frequency of the calculation. Officials from one agency said that HUD\u2019s definition did not match their agency\u2019s definition because the agency restricts its view of rent reform to any change that affects the actual rent calculation. HUD\u2019s definition includes any change that affects the process related to rent. Officials from another agency told us that they believe HUD does not uniformly apply its definition of rent reform when reviewing agencies\u2019 policies.", "HUD officials also told us that they plan to clarify the rent-reform definition for expansion agencies. But, as noted previously, HUD told us that making changes for existing MTW agencies could be difficult because doing so could require changes to the standard agreement, which generally cannot occur without mutual agreement between the agencies and HUD. However, HUD\u2019s definition for rent reform is set forth in Attachment B, which HUD already has revised without changes to the standard agreement and is currently revising to clarify existing reporting requirements. Without a more clear definition of rent reform and specific criteria or standards with which to classify activities as rent reform, HUD lacks the quality information needed to monitor all rent-reform activities."], "subsections": []}, {"section_title": "Self-Sufficiency", "paragraphs": ["Although one of the requirements of the MTW demonstration is to establish a reasonable rent policy to encourage employment and self- sufficiency, HUD has not defined self-sufficiency, but rather allowed each agency to develop its own definition. To measure the extent to which certain MTW activities, including rent-reform activities, encourage households to achieve self-sufficiency, HUD requires MTW agencies to report on the number of households that transitioned to self-sufficiency, among other things. According to Attachment B of the standard agreement, MTW agencies are allowed to define self-sufficiency for each activity that is tied to this HUD metric.", "MTW agencies\u2019 definitions of self-sufficiency can diverge widely and sometimes are inconsistent within an MTW agency. Some examples include defining self-sufficiency as attaining a total gross household income at 80 percent of the area\u2019s paying a minimum rent of $225; voluntarily terminating housing assistance and other forms of government assistance; and attaining a household income of 50 percent of the area median income, even if the family may be receiving other state benefits.", "In addition, some agencies use multiple definitions of self-sufficiency. For example, one agency uses three definitions for self-sufficiency (one for its public housing minimum rent activity, one for its voucher rent-reform activity that combined various changes, and another for its public housing earned income disregard alternative activity).", "Previously, we found that clarity, reliability, and balance are three of several key attributes of successful performance measures, which are means of objectively assessing the outcomes of programs, products, projects, or services. A measure has clarity when it is clearly stated and the name and definition are consistent with the methodology used for calculating the measure. A measure that is not clearly stated can confuse users and cause managers or other stakeholders to think performance was better or worse than it actually was. A measure is reliable when it produces the same result under similar conditions. Lack of reliability causes reported performance data to be inconsistent and adds uncertainty. Another key attribute of successful performance measures is balance, which exists when measures ensure that an agency\u2019s various priorities are covered. Performance measurement efforts that overemphasize one or two priorities at the expense of others may skew the agency\u2019s performance and keep managers from understanding the effectiveness of their program.", "According to HUD officials, they have not defined self-sufficiency for MTW agencies because they want to give agencies the ability to address local needs. However, the individualized definitions have led to measurements of self-sufficiency that cannot be consistently evaluated across activities or agencies. In addition, officials said that it would be inappropriate for them to develop a definition of self-sufficiency for the MTW demonstration because HUD has not defined it for the department. However, despite the lack of an agency-wide definition of self-sufficiency, HUD regulations define self-sufficiency for certain other HUD programs. As such, HUD also could develop a self-sufficiency definition for the MTW demonstration. Without a more standardized definition of self-sufficiency for the MTW demonstration, HUD cannot collect consistent information that would allow for the evaluation of the effect of MTW rent-reform and occupancy policies on tenants."], "subsections": []}]}, {"section_title": "HUD Guidance for Analyses and Reevaluations of Rent- Reform and Hardship Policies Was Not Detailed", "paragraphs": ["HUD\u2019s guidance on how agencies are to perform impact analyses, reevaluate activities, and establish hardship policies has not described the elements of the analysis, required submission of reevaluations, or described elements of hardship policies. Attachment B of agencies\u2019 standard agreement contains general instructions for reporting information in MTW annual plans and annual reports, including on rent- reform activities. For example, when an agency proposes a rent-reform activity, the agency must conduct an impact analysis, describe how it will annually reevaluate the activity, and develop a hardship policy for the activity. According to HUD officials, HUD implemented these reporting requirements for rent-reform activities because they could have significant effects on tenants."], "subsections": [{"section_title": "Impact Analysis", "paragraphs": ["Attachment B suggests agencies take four steps when developing an impact analysis and include the results, including describing the rent- reform activity and identifying the intended and possible unintended effects of the activity; however, it does not provide any explanation or suggestions for how agencies should approach each step. According to HUD officials, these steps are not required and the only other guidance provided to agencies to monitor the effect of rent-reform activities is draft guidance from 2009. The 2009 draft guidance reiterates the four suggested steps of an impact analysis and provides a narrative explanation of the purpose of each step along with examples; however, agencies are not required to follow the guidance and HUD never finalized it.", "We reviewed the impact analyses agencies reported in their annual plans from 2011 through 2016 and found that agencies\u2019 impact analyses for their rent-reform policies varied widely in the type of information included and level of detail. For example, a majority of impact analyses included whether the activity would increase or decrease tenants\u2019 rent burden and a majority included other benefits or costs to tenants, but analyses less often discussed possible unintended consequences of their rent-reform policies. In addition, some agencies did not include the same type of information across the analyses of their activities. One agency provided an example of how a hypothetical tenant\u2019s rent could change when the agency moved to biennial recertifications, but did not analyze how tenants\u2019 rent could change for its minimum rent or tiered rent policies. Another agency included the potential impact on the agency for each of its proposed activities, but only analyzed the potential rent burden on tenants for one activity.", "In addition, the level of detail included in the impact analyses varied. For example, in discussing a policy that would change what sources of income were included in a tenant\u2019s rent calculation, one agency\u2019s impact analysis stated that the change would save money for tenants. An impact analysis for a similar policy from another agency included the number of tenants who would be affected by the policy and a dollar estimate of how much money tenants could save. Activities that might be considered administrative, such as changes to the frequency of tenant recertifications, were less likely to include details such as analysis of the rent burden on tenants than were other activities. In several agencies\u2019 impact analyses, as well as in interviews with agency officials, agencies generally indicated that they think of these MTW policies or activities as being good for tenants, which may explain why agencies were less likely to discuss burden on tenants.", "HUD officials acknowledged the need for more detailed guidance and said they planned to provide such guidance for the expansion agencies. HUD officials said that they have not created such guidance for the existing agencies because they have been focused on the recent expansion of the demonstration and because doing so could require changes to the standard agreement. However, the steps for an impact analysis are contained in Attachment B, to which, under the standard agreement, agencies must adhere to satisfy their annual reporting obligations. Further, HUD has already revised Attachment B and agencies\u2019 reporting requirements contained therein on multiple occasions without requiring changes to the standard agreement. Officials stated they could encourage existing agencies to follow the guidance for the expansion agencies.", "Federal internal control standards state that management should externally communicate the necessary quality information to achieve the agency\u2019s objectives. By framing the steps in Attachment B as suggestions and not prescribing the elements of impact analyses, HUD cannot consistently collect the type of information it needs to assess the effect of MTW activities on tenants across agencies. For example, according to HUD officials, one of the purposes of the impact analysis is to encourage agencies to consider potential unintended consequences of their activities. However, unintended consequences cannot be assessed without more detailed impact analyses."], "subsections": []}, {"section_title": "Annual Reevaluations", "paragraphs": ["Attachment B does not describe the elements MTW agencies must include in their annual reevaluation, and HUD does not require MTW agencies to submit the results of those reevaluations. According to Attachment B, when agencies propose a rent-reform activity in their annual plan, they should provide an overview of how they will annually reevaluate the proposed activity and revise the activity as necessary to mitigate the negative effects of any unintended consequences. However, it does not provide any further detail or examples of what agencies should annually reevaluate. In addition, while HUD requires agencies to perform annual reevaluations of rent-reform activities, HUD guidance does not require MTW agencies to report the results of their annual reevaluations. According to federal internal control standards, management should externally communicate the necessary quality information to achieve the agency\u2019s objectives.", "Based on our review of agencies\u2019 annual plans submitted from 2011 through 2016, about one-third of the rent-reform policies proposed by agencies included a description of how agencies planned to annually reevaluate the policies. The remaining proposals either did not include a description or agencies stated that they would evaluate the activity annually without providing further description of how they would perform the evaluation. When we requested that agencies provide their 2015 annual reevaluations of their rent-reform policies, several of the MTW agencies were confused about what we meant by annual reevaluation. Some of those agencies asked if we were referring to their annual report and one agency asked how an annual reevaluation was different from an impact analysis.", "When we received documentation of what the agencies considered to be the annual reevaluations of their rent-reform activities, 30 of the agencies provided us information they are required to include for all of their activities in their annual reports. For example, agencies must include a description of their activities and their impact, compare policy outcomes to HUD metrics, and explain challenges they faced if benchmarks were not achieved. Most agencies referred us to all or part of this information. However, some agencies provided analyses that went beyond those required for annual reports, including evaluations from third-party researchers. For example, one agency partners with a local university to conduct an annual survey that allows the agency to assess the effect of its rent-reform activities on households.", "During the course of our work, a HUD official said the agency had not required MTW agencies to report annual reevaluations because, as long as agencies had a plan to annually reevaluate their activities and HUD had the ability to request the reevaluations if concerns arose, HUD did not want to require agencies to report information HUD did not intend to analyze. HUD officials later stated that the agency plans to provide more detailed guidance for the expansion agencies and has been updating Attachment B to clarify that agencies\u2019 annual reports must include the results of their annual reevaluations of their rent-reform activities.", "In addition, HUD officials said they could issue guidance that encouraged existing agencies to follow the guidance for the expansion agencies but it would be difficult to require existing agencies to include specific elements in these annual reevaluations without changes to the standard agreement. However, the standard agreement merely requires that MTW agencies fulfill the annual reporting requirements set forth in Attachment B, which provides the detailed description of the required elements of the annual plan and report and which HUD has already revised on multiple occasions without requiring changes to the standard agreement.", "Because HUD allows agencies to determine the process for reevaluating their activities, most MTW agencies have not collected or reported additional information on rent-reform activities (including effects or unintended consequences) outside of the requirements of their annual reports. This leaves HUD and the agencies themselves less able to assess the effects of MTW activities on tenants."], "subsections": []}, {"section_title": "Hardship Policies", "paragraphs": ["While MTW agencies must establish a hardship policy to define the circumstances under which households may be exempted or receive temporary waivers from a new rent-reform activity, Attachment B does not define what elements must be included in the hardship policy. The nonbinding draft guidance from 2009 we previously discussed suggested four questions hardship policies should address (including the process households would use to request an exemption or waiver and how hardship cases would be resolved).", "Officials from the seven agencies we interviewed said they looked to a range of tools to create their hardship policies. For example, officials from one agency said they relied on the 2009 draft guidance and officials from another agency said they relied on Attachment B when developing their policies. Officials from three other agencies said they reviewed the hardship policies of other MTW agencies, had conversations with HUD while planning the activity or waiting for HUD\u2019s review of their annual plan, or looked to relevant federal regulations. In contrast, officials from another agency said that there was no guidance available on how to create their hardship policies because their agency joined the demonstration the year it began.", "Our review of MTW agencies\u2019 hardship policies for rent-reform activities showed that while these hardship policies had some commonalities, they also were inconsistent in terms of the type of information included. For example, of the 84 hardship policies we reviewed, MTW agencies included a discussion of how the agency processes a hardship complaint in 56 policies and what remedies are available for residents approved for a hardship exemption or waiver in 75 policies. In contrast, 26 policies included information about whether tenants have the ability to reapply for a hardship exemption or waiver, and 26 policies mentioned if the agencies have different rules for the elderly or persons with disabilities. In addition, although most hardship policies generally discussed how a tenant may claim a hardship and apply for an exemption, some agencies were much more specific about the process. For example, one agency stated only that tenants may request a hardship exemption in writing, while another agency explained which application a tenant needed to fill out, what supporting documentation to include, and how to submit the application.", "Some agencies have created more parameters around a tenant\u2019s ability to request a hardship exemption or waiver than others. For example, some hardship policies are time-limited (that is, tenants have a certain window of time in which to apply). One agency instituted a hardship policy for its minimum rent that stated that tenants had 15 days from receipt of notice of their new household tenant rental payment to apply for a hardship exemption or waiver. Another agency instituting a hardship policy for a similar activity did not seem to impose a time limit for a tenant to request an exemption. In addition, some hardship policies provided relief for current tenants. For example, one-third of agencies created a hardship policy for at least one of their activities that either exempted current residents from the rent-reform activity or provided some form of temporary relief as the rent-reform policy was implemented.", "We also found variation in the information MTW agencies were able to provide on the households that requested a hardship exemption. We asked all the MTW agencies to provide us a list of all tenants who requested a hardship exemption in 2011\u20132015, including the result of each request (denied or approved), the current status of each tenant, and the reason the tenant was no longer receiving housing assistance, if applicable. Of all the MTW agencies, five said they had not received any requests for hardship exemptions. Three agencies were only able to provide us information on those hardship requests that were approved, two agencies did not indicate if the requests they received were approved or denied, and one agency did not provide any data because it could not distinguish hardship requests for its traditional programs from its MTW activities. Additionally, five agencies did not provide the reasons why tenants who requested a hardship exemption were no longer receiving assistance. The remaining 22 agencies were able to provide the information as requested.", "Tenants and advocates expressed mixed opinions about the rent-reform hardship policies created by the MTW agencies we interviewed.", "Some tenants with whom we spoke said they were aware of rent-reform hardship policies the agencies developed. For example, tenants who participated in one of our group meetings told us that during their income recertification the case worker assigned to their case provided them a checklist that outlined each of the agency\u2019s hardship policies.", "When we spoke with advocates who work with tenants subject to MTW activities, some said most tenants do not know about the hardship policies available to them. Some tenants and advocates with whom we spoke said the process for requesting a hardship could be difficult. For example, one tenant said that although the MTW agency mailed tenants \u201cfrequently asked questions\u201d that described the hardship policy, the document was confusing and included a citation to the Federal Register for more information, which was difficult for tenants to access. Advocates at one organization also said tenants asked for help because the tenants applied for a hardship waiver through their case manager, but never received a response. In contrast, during these meetings some other tenants told us that they had no issues with the hardship policies or the way in which the MTW agencies implemented them.", "As discussed previously, federal internal control standards require agencies to communicate effectively with external stakeholders to help achieve agency goals. While HUD\u2019s proposed update to Attachment B provides more detail than the current version, HUD officials said it could be difficult to develop more descriptive guidance for existing MTW agencies because doing so could require changes to the standard agreement. In addition, officials said they had not been able to develop more guidance for existing agencies because of their focus on the expansion demonstration. However, the standard agreement merely requires that MTW agencies fulfill the requirements contained in Attachment B, which HUD has already revised on multiple occasions without requiring changes to the standard agreement. Officials said that they plan to provide more descriptive guidance for expansion agencies and encourage existing agencies to follow such guidance. By not providing more specific direction to the MTW agencies about what to include in their hardship policies and therefore what is communicated to tenants, existing agencies may not be adequately communicating all of the information tenants need to understand the circumstances in which they may be exempted from rent-reform activities."], "subsections": []}]}, {"section_title": "HUD Does Not Have Consistent Requirements for MTW Agencies for Rent-Reform, Work- Requirement, and Time- Limit Activities", "paragraphs": ["HUD requirements for MTW agencies that establish policies for work requirements and time limits are largely inconsistent with requirements pertaining to rent-reform activities (see table 5). Although HUD has said it considers work-requirement and time-limit activities to have a great and direct impact on tenants, the current MTW agencies in the demonstration are not subject to the same reporting requirements when proposing those policies as when proposing rent-reform activities. For example, as previously discussed, HUD guidance in Attachment B requires agencies to include an impact analysis, annual reevaluation, and hardship policy for rent-reform activities in their annual plans when the activity is proposed. However, Attachment B does not include similar requirements for proposed work-requirement or time-limit policies.", "Further inconsistencies include that Attachment C of the standard agreement, which lists the various MTW flexibilities available to agencies, requires MTW agencies to create a hardship policy if they establish a time-limit policy for public housing assistance. However, HUD did not develop guidance requiring agencies to report on their hardship policies for time-limit policies for public housing assistance. Furthermore, HUD does not have a similar requirement for time-limit policies established for voucher assistance. In addition, in the Federal Register operations notice for the expansion of the MTW demonstration published in January 2017, HUD proposed requiring the new MTW agencies to conduct an impact analysis and develop a hardship policy for rent-reform and time-limit policies, but develop only a hardship policy for work requirements.", "As previously discussed, federal internal control standards require management to design control activities\u2014policies, procedures, techniques, and mechanisms\u2014in response to the entity\u2019s risks. In determining the necessary level of precision for a control activity, management is to evaluate, among other things, consistency of performance. A control activity that is performed routinely and consistently generally is more precise than one performed sporadically. HUD officials have said that they consider rent-reform, work-requirement, and time-limit policies to have a great and direct impact on tenants. HUD was not able to provide an explanation as to why they do not require similar reporting for all of these activities.", "HUD officials said they did not know why MTW agencies were not initially required to report on impact analyses, annual reevaluations, and hardship policies associated with work-requirement and time-limit policies in general. However, they said, currently, these policies are typically implemented in conjunction with a rent-reform activity so there is still reporting on the combined policies. HUD officials also stated that if an agency proposed an activity with a time limit for public housing, the MTW coordinator reviewing the agency\u2019s annual plan would ensure that a hardship policy was in place. In addition, when MTW staff review a proposed work requirement for both the public housing and voucher programs and a proposed time limit for the voucher program, staff suggest that MTW agencies adopt hardship policies and conduct impact analyses for these policies.", "HUD officials also stated that the agency plans to require expansion agencies to develop an impact analysis, annual reevaluation, and hardship policy for rent-reform, work-requirement, and time-limit policies. Although HUD officials said it would be difficult to set a similar requirement for existing MTW agencies because doing so would require changes to the standard agreement, they stated they could update Attachment B to incorporate the requirement for a hardship policy for public housing time limits and develop guidance encouraging existing agencies to comply with the additional requirements put in place for the expansion agencies. Without taking these steps, HUD will miss an opportunity to collect information needed to evaluate the effect of work- requirement and time-limit policies on tenants."], "subsections": []}, {"section_title": "HUD Has Not Incorporated MTW Agency Reporting into Its Monitoring and Does Not Have an Analysis Plan", "paragraphs": ["Although HUD requires MTW agencies to report annually on their rent- reform, work-requirement, and time-limit policies, HUD could not provide us with documentation of how it analyzed, used, or planned to use the information it received from agencies on a continuous basis. According to HUD officials, because of the recently resolved backlog of annual reports, the MTW Office now can begin to use the years of reported data it previously had not used.", "Officials added they provide the annual plans and reports to other departments in HUD to conduct ad hoc analysis and that other HUD offices have used MTW plans and reports when proposing new rules or legislation related to housing. For example, officials said HUD used MTW plans and reports when working on HUD\u2019s 2016 rule intended to provide greater flexibility for agencies administering HUD\u2019s rental assistance programs. HUD provided us documentation showing that it used lessons learned from the MTW demonstration to inform legislative proposals in the agency\u2019s fiscal year 2018 and 2019 budgets. Also, MTW officials said they intend to use the data in annual reports to inform some oversight rules.", "When asked about the agency\u2019s plan to analyze the information provided in the annual plans and reports, HUD officials said it had awarded a contract to the Urban Institute to perform a retrospective evaluation of the demonstration, and the results will be available in 2018. Officials said although they have not finalized their reporting requirements for agencies in the expansion, these agencies likely will not be required to create annual plans or reports but instead to annually create a supplemental document to their annual public housing plan. With those agencies, HUD will be able to learn from each of the cohorts about the effect of a specific policy being evaluated. However, the plan to analyze the supplemental documentation and cohorts of the expansion agencies does not address how HUD plans to use the information it receives from the current MTW agencies.", "Federal internal control standards state that management should establish monitoring activities and evaluate results. Analysis (evaluation of results) contributes to the operating effectiveness of monitoring. The internal control standards also state that management should use quality information to achieve the entity\u2019s objectives. In doing this, management is expected to use quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risks.", "Because the MTW Office has not systematically analyzed or evaluated the information it requires MTW agencies to report\u2014or determined how best to evaluate it\u2014the agency cannot assess the effect of MTW rent- reform, work-requirement, and time-limit policies on tenants. More specifically, without a plan for analyzing information in agencies\u2019 impact analyses, annual reevaluations, and hardship policies, HUD cannot monitor the effect of rent-reform, work requirement, and time limit policies on tenants. These limitations also extend to the definitional and guidance issues we previously discussed. As a result, without a comprehensive framework\u2014standard definitions, clear guidance on reporting requirements, and analysis plans\u2014HUD cannot provide assurance that it is adequately monitoring how MTW activities affect tenants."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The MTW demonstration is on the brink of significant expansion, but HUD does not yet have the people, data, and processes in place to effectively oversee agency participants and assess the demonstration\u2019s performance and effects on tenants.", "Workforce planning. Insufficient staffing for the MTW demonstration already has had negative effects. For instance, HUD has not always reviewed annual reports that include information needed to determine the demonstration\u2019s effect on tenants in a timely manner, annually assessed whether current MTW agencies comply with demonstration requirements, and fully documented its review processes. When complete, expansion of the demonstration would more than triple the number of MTW agencies. By finalizing its workforce planning (including an assessment of competencies and skills needed) and documenting its compliance review process, HUD can provide assurance that it would be positioned to oversee an expanded demonstration before new agencies start being added in 2018.", "Data collection. Our comparison of public housing occupancy and voucher unit utilization rates and program expenses among MTW and non-MTW agencies raises questions about agency performance and use of funding that cannot be fully answered with current data. The differences among agencies may result in part from the MTW demonstration\u2019s funding flexibilities. However, HUD is limited in its ability to readily determine the extent to which MTW funds were used for other allowable purposes. More comprehensively capturing and tracking data on uses of funding and the characteristics of households served by local nontraditional activities would allow HUD to better assess agency performance. HUD also would be better able to account for differences in outcomes\u2014especially in relation to occupancy and voucher utilization rates and program expenses\u2014that affect the number of tenants served.", "MTW reserves. The accumulation of relatively large reserves by MTW agencies also raises questions about funding uses. HUD has performed limited oversight of MTW voucher reserves and its data and financial reporting systems are not structured to effectively track public housing reserves. Developing and implementing a process to monitor MTW reserves could help HUD provide reasonable assurance that MTW agencies have sound plans for expending reserves.", "Framework for assessing effect of rent-reform, work-requirement, and time-limit policies on tenants. The effectiveness of certain MTW activities and their effects on tenants remain largely unknown because HUD does not have a framework\u2014standard definitions for key terms, clear guidance on reporting requirements, and analysis plans\u2014for monitoring rent-reform, work-requirement, and time-limit policies. For example, the variations in reporting on rent reform and self-sufficiency as a result of inconsistent definitions of these terms; limited guidance (often couched as suggestions) HUD provided to agencies for developing impact analyses, annual reevaluations, and tenant hardship policies; and inconsistent treatment of rent-reform and work-requirement and time-limit policies suggest that HUD may have emphasized flexibility to the detriment of oversight. In addition, HUD does not have a plan for assessing the information agencies report on the effect of these policies. Developing such a framework will help both HUD and MTW agencies to assess performance and determine if activities have advanced demonstration goals.", "We recognize the challenges involved with monitoring the MTW demonstration, but maintain it is important for HUD to take steps to achieve and sustain a better balance between flexibility and prudent oversight. Improving oversight of the demonstration would help HUD assess what MTW agencies have done, including their use of funding. Such information also would help inform Congress and the public about how demonstration innovations have affected tenants."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 11 recommendations to HUD:", "The Assistant Secretary for PIH should complete workforce planning for the MTW demonstration to help ensure that PIH has sufficient staff with appropriate skills and competencies to manage an expanded demonstration, including reviewing reports and carrying out compliance reviews in a timely manner. (Recommendation 1)", "The Assistant Secretary for PIH should more fully document the process for annually assessing compliance with the five demonstration requirements. (Recommendation 2)", "The Assistant Secretary for PIH should develop and implement a process to track how MTW demonstration funds are being used for other allowable activities, including local, nontraditional activities. (Recommendation 3)", "The Assistant Secretary for PIH should identify and implement changes to PIC to capture household data for households served through local, nontraditional activities. (Recommendation 4)", "The Assistant Secretary for PIH should develop and implement a process to monitor MTW agencies\u2019 reserves. (Recommendation 5)", "The Assistant Secretary for PIH should clarify HUD\u2019s rent-reform definition for the MTW demonstration as part of a framework for monitoring the effect of rent-reform, work-requirement, and time-limit policies on tenants. (Recommendation 6)", "The Assistant Secretary for PIH should set parameters for HUD\u2019s definition of self-sufficiency for the demonstration, either by providing one definition or a range of options from which agencies could choose, as part of a framework for monitoring the effect of rent-reform, work- requirement, and time-limit policies on tenants. (Recommendation 7)", "The Assistant Secretary for PIH should revise HUD\u2019s guidance to MTW agencies to make it clear which elements are required in impact analyses, annual reevaluations, and hardship policies and the information required for each element as part of a framework for monitoring the effect of rent-reform, work-requirement, and time-limit policies on tenants. (Recommendation 8)", "The Assistant Secretary for PIH should develop written guidance for existing MTW agencies that requires a hardship policy for public housing time limits and encourages an impact analysis, annual reevaluation, and hardship policy for work-requirement and time-limit policies for public housing and voucher programs as part of a framework for monitoring the effect of these policies on tenants. (Recommendation 9)", "The Assistant Secretary for PIH should require an impact analysis, annual reevaluation, and hardship policy for work-requirement and time- limit policies new MTW agencies adopt for their public housing and voucher programs as part of a framework for monitoring the effect of these policies on tenants. (Recommendation 10)", "The Assistant Secretary for PIH should develop and implement a plan for analyzing the information that agencies report on the effect of rent- reform, work-requirement, and time-limit policies on tenants as part of a framework for monitoring the effect of these policies on tenants. (Recommendation 11)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HUD for comment. In written comments, which are summarized below and reproduced in appendix III, HUD disagreed with three of our recommendations and generally agreed with the remaining eight.", "In its general comments, HUD made the following points:", "HUD noted that our report did not identify any harmful effects on tenants as a result of MTW flexibilities. As discussed in the draft report, due to data limitations, we could not evaluate the effect of MTW flexibilities on tenants. Instead, we focused on the extent to which HUD monitored the effects of rent-reform, work-requirement, and time-limit policies on tenants. Furthermore, our analysis of available data showed that MTW agencies had lower public housing occupancy rates and voucher unit utilization rates and higher program expenses than comparable non- MTW agencies, which could affect the number of tenants served.", "HUD also stated that it seemed we reviewed MTW agencies through the lens of the traditional housing and voucher programs. HUD noted fundamental differences in MTW and non-MTW agency operations and stated it must consider the extensive MTW flexibilities and the locally- designed nature of each MTW agency\u2019s program in administering the demonstration. HUD stated it did not agree with three of our recommendations (discussed below) that it noted would restrict an MTW agency\u2019s ability to exercise MTW flexibility and respond to variations in local markets. As stated in the draft report, we recognize the challenges involved with monitoring the MTW demonstration, but maintain it is important for HUD to take steps to achieve and sustain a better balance between flexibility and prudent oversight. Furthermore, given that the demonstration\u2019s ultimate goal is to identify successful approaches that can be applied to public housing agencies nationwide, we believe we looked objectively and with the appropriate rigor and contextual sophistication at MTW agencies.", "HUD disagreed with the draft report\u2019s third recommendation to develop and implement a process to track how public housing and voucher funding is being used for other allowable activities, including local, nontraditional activities. HUD stated that funding fungibility and policy flexibility are the core tenets of the MTW demonstration. As a result, identifying and tracking expenses paid from a specific funding source are not necessary and should not be a requirement. We acknowledge the demonstration\u2019s funding and policy flexibility and did not intend for our recommendation to be interpreted solely as a suggestion to track funding sources. We therefore clarified our recommendation to focus on tracking how MTW demonstration funds are being used for allowable activities, such as local, nontraditional activities. HUD stated that the revised HUD Form 50900 or Attachment B (expected to be published in early 2018) would require existing MTW agencies to estimate the cost of each planned activity. Although this would provide some cost information, it would be limited to planned activities only and would not capture actual costs. Therefore, we continue to believe that more comprehensively tracking data on uses of funding would allow HUD to better account for differences in outcomes\u2014especially in relation to occupancy and voucher utilization rates and program expenses\u2014that affect the number of tenants served.", "HUD disagreed with the fifth recommendation to develop and implement a process to monitor MTW agencies' reserves. HUD stated that there is no language in the 1996 Act that limits the reserves of MTW agencies to a certain level. Although our draft report noted that leading practices for managing reserve funds include considering establishing a maximum reserve level, we did not recommend that HUD set such a reserve level for MTW agencies because we recognized the demonstration\u2019s funding flexibilities. Rather, we recommended that HUD develop a process to monitor MTW agencies\u2019 plans for reserves. HUD also commented that by reviewing and granting approval for all MTW activities that the existing 39 agencies implemented, it already had a process to determine if spending of reserve funds was reasonable. However, as HUD noted in its comments on the draft report\u2019s third recommendation, the agency does not currently require MTW agencies to include the cost of a planned activity when proposing the activity. An approval process that does not include a review of information on planned costs, including the extent to which reserves would be used to fund the activity, is not sufficient because HUD lacks data needed to determine that reserve expenditures are reasonable. Finally, HUD noted that PIH\u2019s Financial Management Division currently tracks the public housing and voucher reserves of MTW agencies. However, this does not address our concern that HUD does not monitor existing MTW agencies\u2019 plans for their reserves and whether the plans are reasonable given the amount of reserves. In order to provide reasonable assurance that MTW agencies have sound plans for expanding their reserves, HUD still would have to develop a process to monitor MTW agencies\u2019 reserves. Therefore, we maintain our recommendation.", "Similarly, HUD disagreed with our seventh recommendation to set parameters for its definition of self-sufficiency for the demonstration, either by providing one definition or a range of options from which agencies could choose. It noted that the MTW demonstration provides agencies with the ability to develop creative solutions to address local conditions, and a one-size-fits-all approach is not appropriate. HUD stated it intentionally has not developed a standard definition for self- sufficiency, because the definition could depend on local conditions such as employment opportunities and availability of supportive services. We recognized the need for flexibility in our recommendation by suggesting that HUD could develop a range of definitions from which MTW agencies could choose. This approach would provide the necessary flexibility while still allowing HUD to collect the consistent information needed to evaluate the effect of MTW rent-reform and occupancy policies on tenants. Therefore, we maintain our recommendation.", "HUD generally agreed with our remaining eight recommendations. For example, HUD agreed with the draft report\u2019s first recommendation on workforce planning, but requested that due to the cross-cutting nature of MTW, we expand the recommendation to include other PIH offices. We acknowledge that the staff needed to manage the expanded demonstration may be found outside the MTW Office, and therefore we modified our recommendation. HUD also agreed with the second recommendation to more fully document the process for annually assessing compliance with the five demonstration requirements and said it will finalize internal written procedures in early 2018. In addition, in commenting on the fourth recommendation, HUD described plans to update its data system to capture information on households served through local, nontraditional MTW activities. Furthermore, in regard to the eighth recommendation, HUD noted that it plans to develop guidance for MTW agencies for the monitoring of high-impact activities such as rent reform, work requirements, and time limits. Finally, in commenting on the eleventh recommendation, HUD stated it will improve its process of analyzing the data MTW agencies provide on high-impact activities.", "In commenting on our workforce planning finding, HUD made the following points:", "HUD stated that our finding that planning for the MTW expansion workforce structure has not been completed is not an accurate characterization. It noted that HUD completed a workforce analysis and hired five additional staff in 2016 in anticipation of the MTW expansion. In our draft report, we acknowledged steps that HUD took to increase the staffing levels of the MTW Office. However, we found that in its workforce analysis, HUD had not assessed the knowledge, skills, and abilities needed to implement an oversight structure for the MTW expansion demonstration. HUD acknowledged in its response to the recommendation that its workforce planning efforts will continue in 2018.", "HUD said our draft report did not discuss two other factors (beyond insufficient staff) that affected oversight of the MTW demonstration: (1) 2013 was the first year HUD assessed each agency\u2019s compliance with the five demonstration requirements, and (2) from 2013 to 2015, HUD was in protracted and complex negotiations with the existing MTW agencies to determine the terms of the extension of their MTW participation. Our draft report acknowledged both factors. Specifically, we noted that HUD developed a process for assessing compliance with the five demonstration requirements in response to a recommendation in our 2012 report and that the process was implemented in 2013. Our draft report also stated that HUD officials noted that in 2014 and 2015 existing staff in the MTW Office had to focus on other priorities, including renegotiating the standard agreement, and then in 2016 on implementing the expansion of the demonstration.", "HUD said that even with limited staff, MTW agency plans had been reviewed and approved within the required time frames.", "In commenting on our data collection finding, HUD made the following points:", "Related to our multivariate statistical analysis to examine any association between MTW flexibilities and program outcomes, HUD stated that HUD and MTW agencies historically found it difficult to establish comparison groups because MTW and non-MTW agencies implement significantly different interventions. We agree that comparisons of MTW and non- MTW agencies are difficult to make. We acknowledge that MTW agencies differ substantially from non-MTW agencies on factors such as size and market housing costs. Accordingly, we used statistical techniques to improve on simple comparisons between MTW and non- MTW agencies. These techniques enabled us to identify a group of comparison non-MTW agencies that were similar to MTW agencies on important factors such as geographic location, households served, and county median rents. We then compared outcomes between the two groups of agencies over a number of years (2009 through 2015). We did not compare a single MTW agency to a non-MTW comparison group, as HUD stated. For more detailed information on our analysis, see appendix II.", "HUD also stated that our finding that MTW agencies had higher tenant services expenses for the voucher program than non-MTW agencies was an expected outcome (because the demonstration encourages MTW agencies to engage in employment, self-sufficiency programming, and tenant services). In our draft report, we stated that the results of the analysis were consistent with MTW agencies having more flexibility to use funds to provide tenant services.", "Furthermore, HUD said that a comparison of voucher administrative expenses for MTW and non-MTW agencies was skewed and not a valid comparison because administrative expenses for MTW agencies included voucher administrative expenses and other administrative expenses not permitted under the traditional voucher program. Differences in financial and performance outcomes that only MTW flexibilities allow, such as a broader range of administrative expenses, represent the potential effects of the demonstration, not a source of bias. The purpose of our analysis was to determine any association between MTW flexibilities and program outcomes. Because MTW rules allow for additional administrative expenses, it was appropriate to include these expenses in our analysis.", "In addition, HUD stated that that it had requested the list of the comparison group of non-MTW agencies to MTW agencies and suggested the list be included in our report. The agency noted that without this information, HUD was not able to validate our analysis. As noted previously, our analysis was not a simple comparison of MTW and non-MTW agencies. We developed a comparison group, applied algorithms based on certain assumptions, and conducted sensitivity analyses that tested these assumptions. Therefore, simply providing the list would not enable HUD to reproduce our analysis. Furthermore, we selected the variables for matching because they were similar across all agencies in each group (that is, the full distributions), not for any particular pair of matched agencies. Consequently, we evaluated the quality of our comparison group using the distributions of these variables across all agencies in each group. We included those statistics in our report, rather than the identity of particular agencies, to encourage systematic evaluations of the matched comparison agencies using aggregate statistics, rather than anecdotal evaluations of particular matched pairs. Finally, we communicated with HUD throughout the review about our data analysis. For example, we met with HUD to discuss our methodology, provided initial results, and worked with HUD officials to ensure we were using appropriate data fields.", "HUD also provided technical comments, which we incorporated as appropriate. We considered one comment to be more than technical in nature. Specifically, in response to our finding that HUD does not require MTW agencies to submit the results of their annual reevaluations of the impact of rent-reform activities, HUD officials stated that they consider the annual report (and information therein) to be the annual reevaluation of rent-reform activities. However, Attachment B does not include a requirement that agencies report the results of their annual reevaluations. Furthermore, if the information currently required to be included in the annual report satisfied the annual reevaluation requirement, then there would be no need for HUD to update Attachment B to clarify that agencies\u2019 annual reports must include the results of their annual reevaluations, as the agency plans to do. Therefore, we maintain our finding and made revisions to the report to clarify what is currently required in Attachment B.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of the Department of Housing and Urban Development, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) the Department of Housing and Urban Development\u2019s (HUD) oversight of agencies participating in the Moving to Work (MTW) demonstration, including agency reporting and compliance with demonstration requirements; (2) any association between MTW flexibilities and program outcomes, including public housing occupancy rates and voucher unit utilization rates; and (3) the extent to which HUD monitored effects of rent-reform, work-requirement, and time-limit policies on tenants.", "For all our objectives, we interviewed officials from the following seven MTW agencies:", "Boulder Housing Partners (Boulder, Colorado);", "Chicago Housing Authority (Chicago, Illinois);", "Delaware State Housing Authority (Dover, Delaware);", "Lincoln Housing Authority (Lincoln, Nebraska);", "Louisville Metropolitan Housing Authority (Louisville, Kentucky);", "Housing Authority of the County of San Bernardino (San Bernardino,", "San Diego Housing Commission (San Diego, California).", "In selecting these agencies, we focused on agencies that had implemented major rent-reform changes and work-requirement and time- limit policies based on information in a study conducted in January 2015 by the Center for Urban and Regional Studies at the University of North Carolina at Chapel Hill. We focused on these policies because, according to HUD, they have a great and direct impact on tenants. We also considered agency size, length of time in the demonstration, and geographic diversity. Although the results of the interviews cannot be generalized to all MTW agencies, they provide insight into the ways in which agencies implemented MTW flexibilities and report to HUD, among other things.", "In addition, we interviewed representatives of the following research groups to discuss their recent or ongoing work on the MTW demonstration: Abt Associates, the Center for Urban and Regional Studies at the University of North Carolina at Chapel Hill, HAI Group, Public and Affordable Housing Research Corporation, and the Urban Institute. We also interviewed representatives of affordable housing advocacy groups such as the Council of Large Public Housing Agencies; National Association of Housing and Redevelopment Officials; National Leased Housing Association; and Public Housing Authorities Directors Association. Finally, we interviewed resident advocacy organizations such as the Center on Budget Policy and Priorities, National Housing Law Project, and National Low-Income Housing Coalition. To select the groups to interview, we reviewed our 2012 report on MTW, identified organizations through our background literature review, and obtained recommendations from those we interviewed.", "To examine HUD\u2019s oversight of MTW agencies, we reviewed our 2012 report, relevant HUD policies and procedures, and HUD documentation relating to compliance with the demonstration. Specifically, we reviewed the standard agreement that governs the participation of the existing 39 MTW agencies in the demonstration and HUD\u2019s guidance on agency reporting and the five demonstration requirements. We also interviewed HUD officials about the processes HUD uses to review the agencies\u2019 annual reports and assess compliance with the demonstration requirements. We also reviewed workforce analyses and interviewed HUD officials about their resource needs and plans to monitor the current MTW agencies and any agencies that may join the MTW demonstration through its expansion. We compared relevant internal control standards that apply to federal agencies and best practices we identified for workforce planning with HUD\u2019s monitoring policies and procedures. To assess the extent to which HUD follows its processes, we reviewed HUD\u2019s documentation of compliance assessments from 2013 through 2016, the only years for which HUD had completed such analysis.", "To identify and examine any association between MTW flexibilities and program outcomes, we obtained the following 2009\u20132015 data on MTW and non-MTW agencies: agency and tenant characteristics from the Public and Indian Housing Information Center (PIC) system, public housing occupancy rates from the Picture of Subsidized Households database, voucher unit utilization rates from the Voucher Management System (VMS), and expense data from the Financial Data Schedule (FDS). These were the most reliable and recent data available at the time of our analysis. We combined the HUD data with data from the American Community Survey (1-year estimates) conducted by the Census Bureau. To assess the reliability of these data, we reviewed relevant documentation on the information systems, conducted electronic testing, and interviewed officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purpose of identifying a comparison group and comparing the outcomes of certain measures for MTW and comparable non-MTW agencies.", "We used these data and multivariate statistical methods to compare MTW and non-MTW agencies to estimate any association between MTW flexibilities and public housing occupancy rates, voucher unit utilization rates, and various public housing and voucher expenses. We used statistical matching and modeling methods to identify a comparison group of non-MTW agencies that closely resembled MTW agencies on characteristics including number of households served, geographic location, and housing market characteristics. For more detailed information on our analysis, see appendix II.", "To determine the factors that could partially explain the results of our analysis, we reviewed Attachment C of the standard agreement to identify the funding flexibilities the MTW demonstration affords participating agencies. We also reviewed MTW agencies\u2019 2011\u20132016 annual plans to identify the MTW activities that were proposed under those funding flexibilities and interviewed officials from the seven selected agencies to learn how they used the funding flexibilities. We started with the 2011 annual plans because that was the first year in which all MTW agencies were required to include specific information when proposing rent-reform policies. We ended with 2016 annual plans because it was the most recent year for which annual plans were available for all MTW agencies at the time of our analysis.", "To illustrate how MTW agencies used their funding flexibility for public housing, we used FDS data to determine the amount of MTW funds that were transferred from the Housing Choice Voucher (voucher) program to the public housing program. To perform this analysis, we compared the MTW agencies\u2019 2015 public housing funding\u2014the sum of FDS line items 70600 (HUD public housing agency operating grants) and 70610 (capital grants)\u2014to the aggregate amount MTW agencies transferred into individual public housing project accounts. We selected 2015 because it was the most recent FDS data available at the time of our analysis. We also reviewed 2009\u20132016 data from HUD on the number of households MTW agencies served through their local, nontraditional activities. We determined that HUD\u2019s process for compiling this information was sufficiently reliable for our purposes of reporting on local nontraditional activities by tracing 2015 data in the spreadsheet to data in the agencies\u2019 2015 annual reports (the most recent reports available) and interviewing HUD staff. Finally, we analyzed program data that HUD prepared using information derived from the Central Accounting and Program System and VMS on unspent voucher funds as of December 31, 2016, for MTW agencies and the comparison group of non-MTW agencies.", "To determine the extent to which HUD monitors the effect on tenants of rent-reform, work-requirement, and time-limit policies, we reviewed HUD documents such as Attachment B of the standard agreement and HUD\u2019s Table of Applicable Standard Metrics by Activity to determine how HUD defines these types of activities and the guidance HUD provides on monitoring and reporting their effects on tenants. As previously discussed, we compared HUD\u2019s monitoring policies and procedures with relevant internal control standards. We reviewed MTW agencies\u2019 2015 annual reports to determine the extent to which agencies adopted rent- reform, work-requirement, and time-limit policies. We selected 2015 because it was the most recent year for which annual reports were available for all MTW agencies at the time of our analysis. We also reviewed agencies\u2019 2011\u20132016 annual plans and collected information from all MTW agencies on tools they use to monitor the effects of rent- reform policies on tenants. We reviewed information from all 39 MTW agencies on their hardship policies and data and their annual reevaluations of the impact of rent-reform activities. We also collected information from all MTW agencies on how they monitor the effect of work-requirement and time-limit policies on tenants. We interviewed officials from the seven selected agencies about their monitoring of rent- reform, work-requirement, and time-limit policies\u2019 effects on tenants and associated hardship policies and to obtain their views about HUD guidance.", "We also conducted group interviews with tenants from five agencies to get their perspective on the effects of rent-reform, work-requirement, and time-limit policies the agencies had implemented and associated hardship policies. To select the tenants to invite to these group interviews, we focused on the populations (for example, those able to work) subject to these policies. To the extent the MTW agency had a resident advisory board or comparable resident association, we worked with the boards or associations to contact tenants. When appropriate, we asked the MTW agencies to post notices on their websites and throughout their properties and send mailings to tenants of interest to notify them about the meetings. Finally, we interviewed representatives from tenant advocacy organizations. The organizations represented tenants served by four of the agencies we visited as well as tenants served by two additional MTW agencies that were not part of the group of seven selected agencies but that also had implemented major rent-reform changes, work-requirement, or time-limit policies. We obtained information on the effect of these policies on tenants and the extent to which tenants were aware of the hardship policies associated with these policies. To select these groups, we generally relied on recommendations from a representative of the National Housing Law Project. For those areas for which a recommendation was not provided, we identified the local legal aid association through an Internet search.", "We conducted this performance audit from February 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Statistical Analysis of Program Outcomes in MTW and Non-MTW Agencies", "paragraphs": ["We analyzed associations between the Moving to Work (MTW) demonstration\u2019s flexibilities and two types of outcomes: housing availability, measured by public housing occupancy and voucher unit utilization rates, and program expenses, measured by public housing operating expenses and voucher administrative, subsidy, tenant services expenses, and voucher reserves per household. These outcomes are broadly consistent with the goals of the demonstration\u2019s authorizing statute. MTW was designed to provide flexibility to participating public housing agencies to design and test innovative strategies, while meeting certain statutory objectives and demonstration requirements, including reducing costs and achieving greater cost-effectiveness and assisting substantially the same number of eligible low-income households as would have been served absent the demonstration.", "In this appendix, we summarize the statistical methods we used to analyze a dataset we assembled from administrative databases maintained by the Department of Housing and Urban Development (HUD) and the American Community Survey (ACS), conducted by the Census Bureau, to compare MTW and non-MTW agencies on these outcomes.", "Our analysis did not seek to conduct a definitive evaluation of the MTW demonstration\u2019s causal impacts. MTW agencies carry out varied and unique activities. The agencies also vary widely in size, location, housing market, and area and tenant demographics\u2014both compared to non-MTW agencies and among themselves. A persuasive impact evaluation would need to assess the unique circumstances of each activity and outcome at each agency.", "In contrast, our analysis sought to improve on simple comparisons of outcomes between MTW and non-MTW agencies, by constructing a comparison group of non-MTW agencies that were similar to MTW agencies on variables broadly relevant to housing programs. Although this multivariate analysis reduced the risk that factors other than MTW participation may have biased the comparison, we did not seek to hold constant all factors uniquely relevant to each MTW agency and activity. As a result, our analysis cannot provide definitive estimates of causal impacts."], "subsections": [{"section_title": "Target Population and Scope of Analysis", "paragraphs": ["Developing and applying statistical \u201ctreatments\u201d to MTW agencies is complex, due to demonstration rules that allow agencies to conduct various activities tailored to their unique needs. We considered the option of forming several groups of MTW agencies, defined by similar activities. For example, we might have identified all agencies reforming HUD\u2019s rent calculation formula, and included those agencies in one level of a multilevel treatment variable. We ultimately rejected this approach due to limited sample sizes and the difficulty of developing homogeneous groups of activities. A multilevel approach would have limited the number of agencies in each level of the treatment. Small sample sizes would have limited our statistical power to identify differences between treatment groups, if they existed. In addition, the wide variety of MTW activities would have made it difficult to produce a sufficient number of homogenous groups, and would have required subjective judgment about what activities were sufficiently similar. Instead, we used a binary treatment measure identifying agencies that participated in MTW or operated under traditional public housing rules in a given year.", "The timing of MTW implementation limited our ability to account for changes in participation and outcomes over time. Agencies joined the MTW demonstration at various times between 1996 and 2012, and many joined before sufficient data became available. Only nine agencies entered the demonstration after 2009, when HUD\u2019s Public and Indian Housing Information Center (PIC) system began to provide sufficiently complete and reliable data on the characteristics of housing agencies we needed to measure. All agencies that exited the demonstration did so before 2009. Comparisons within agencies over time can implicitly control for other factors that may not substantially change before and after implementation by using data collected before and after agencies joined the MTW demonstration. We might have been able to implicitly control for many factors that did not substantially change over short periods, such as land prices, or that changed in identical ways for MTW and non-MTW agencies, such as national economic cycles. However, the implementation of the MTW demonstration and available data limited our analysis to repeated cross-sectional comparisons of MTW and non-MTW agencies from 2009 through 2015.", "Measuring participation in the MTW demonstration at any one time was somewhat imprecise. The MTW demonstration was not implemented at uniform times across agencies, due to variation in the ratification dates of MTW agreements between HUD and the agency and variation in when each MTW agency began to implement activities under the demonstration. For our primary analysis, we classified an agency as participating in the MTW demonstration if it had ratified an MTW agreement with HUD at least 1 year before the year measured. In sensitivity analyses, described below, we assessed how classifying MTW participants according to different time lags affected our results.", "Table 6 lists the number of MTW and non-MTW agencies in our dataset, based on how MTW participation was defined in the analysis for housing agencies in the PIC database from 2009 through 2015."], "subsections": []}, {"section_title": "Outcomes", "paragraphs": ["We compared MTW and non-MTW agencies on several outcomes that are broad measures of housing availability and expenses. The outcomes were available in HUD data systems and were reliable for our purposes. However, they do not exhaust the potential outcomes that may be relevant under the MTW authorizing statute or the design of specific agency activities. For example, potential outcomes could measure the number of households that achieve self-sufficiency (as defined by a MTW agency) or move to a low-poverty neighborhood.", "Our specific outcome measures were the following:", "Public housing occupancy rate. Occupied units as a percentage of units available.", "Voucher unit utilization rate. Monthly rate of unit months leased divided by unit months available for the public housing agency.", "Public housing operating expenses per household. Total yearly operating expenses, divided by number of public housing households.", "Public housing central office cost center expenses per household.", "Total yearly central office cost center operating expenses, divided by number of public housing households.", "Voucher administrative expenses per household. Total yearly administrative expenses, divided by the number of voucher households.", "Voucher subsidy expenses per household. Total yearly expenses for housing assistance payments, divided by the number of voucher households.", "Voucher tenant services expenses per household. Total yearly expenses for tenant services, divided by the number of voucher households.", "Reserves per household (2016 only). Unspent voucher housing assistance funds as of December 31, 2016, divided by the number of voucher households.", "Following the Rubin Causal Model, our primary parameter of interest was the average (or median) treatment effect on the treated: where Yij(T) denotes the outcome for agency i at time j in (potentially counterfactual) treatment condition T. That is, we estimated the expected difference in outcomes that would exist due to MTW participation, among those agencies that actually participated in the demonstration.", "Estimating the average treatment on the treated is conservative and appropriate, given the varied and unique nature of MTW activities. Generalizing the effect of MTW participation from the treated agencies to the rest of the public housing agency population makes the implausible assumption that the untreated agencies would have implemented the same activities, in the same ways, as the treated agencies. Due to the discretion inherent to the MTW demonstration, the experiences of the treated agencies may not generalize to the whole population, as would be required for estimating the average treatment effect.", "We specify a parameter of interest (that is, a value to be estimated) for methodological completeness and to specify the population of inference (the target population of agencies). However, we do not interpret our results as robust causal impact estimates, due to the inability to measure the unique circumstances relevant for each MTW agency, demonstration activity, and outcome."], "subsections": []}, {"section_title": "Matched Comparison Group", "paragraphs": ["Our analysis measured and held constant conditions that could have otherwise explained differences in outcomes between MTW and non- MTW agencies. For each MTW and non-MTW agency, we measured the following agency-level covariates (with sources in parentheses):", "Number of households (PIC)", "Percent of households with a member over the age of 65 (PIC)", "Percent of households with a member under the age of 18 (PIC)", "Percent of households with a disabled member (PIC)", "Whether an agency issues vouchers (VMS)", "County median household income (ACS)", "County median rent (ACS)", "County rental vacancy rate (ACS)", "County population density, measured as county population/land area (2010 Census)", "HUD region (HUD website)", "Latitude (Picture of Subsidized Households)", "Longitude (Picture of Subsidized Households)", "We assessed the reliability of the ACS estimates by calculating the ratio of each estimate\u2019s 95 percent margin of error to the estimate. For example, this ratio would equal 5 for an estimated rental vacancy rate of 10 percentage points, with a margin of error equal to plus or minus 2 percentage points. Across all variables we used from ACS, we found that this ratio did not exceed 2.0 for 99 percent of agency-county observations. This level of reliability was acceptable for our purposes.", "When PIC showed that agencies spanned multiple counties, we aggregated the data to the agency level by either summing count variables across counties or calculating averages of ACS descriptive statistics, such as county mean incomes. We calculated unweighted averages because the Census Bureau does not release ACS microdata with the exact geographic locations needed to re-estimate the statistics of interest within public housing agency boundaries. Weighting by the total area population or number of households served by each public housing agency would have had unknown effects on the bias of the published ACS estimates, due to their complex weighting methods. Our aggregation methods should minimally influence our measurements, due to limited variation across counties within agencies. To quantify this variation, we calculated the coefficient of variation (CV) across counties served by each agency in our analysis, and these CVs of the ACS statistics did not exceed 0.99 for 50 percent of the agencies and 1.73 for 95 percent of the agencies."], "subsections": []}, {"section_title": "Matching Methods", "paragraphs": ["We used statistical matching methods to construct the comparison group of non-MTW agencies. The general iterative matching process involves 1. identifying some distance measure that quantifies how \u201cclose\u201d units are to each other on the covariates of interest; 2. implementing a matching method that uses this distance measure to identify comparison units; and 3. assessing the quality of the matched samples and iterating between the first two steps, until the treatment and comparison groups become sufficiently close on the distance measure.", "We developed our specific matching approach using recent reviews of the statistical literature.", "Two established matching methods rely on propensity scores and Mahalanobis distance (MD). In the context of this analysis, propensity scores estimate the probability that an agency is an MTW or non-MTW agency, such as when Pr(MTW | X) = logit-1(X\u03b2), where X is a matrix of covariates and \u03b2 is a vector of coefficients. Propensity scores are calculated using the estimated coefficients and X to obtain a predicted probability that an agency participates in the MTW demonstration. MD is a multivariate sample statistic measuring the distance between agency i and j, similar to the number of standard deviations away from the sample mean vector of the covariates: where X is the ith row vector of X and S is the sample covariance matrix.", "Propensity scores and MD measures can have several limitations in practice. Matching on known propensity scores is used to balance the covariate distributions between the treatment and comparison groups and matching using MD tends to improve balance across all measured covariates. However, both approaches are optimal under assumptions of normally distributed data, and may worsen covariate balance if this assumption does not hold.", "Genetic matching methods seek to solve the problem of achieving sample balance in practice, using computer algorithms to search over the space of possible distance measures. Genetic matching generalizes MD by weighting covariates according to how they achieve balance in any particular sample, rather than by constants equal to the inverse of their sample covariance matrix, as in MD: where W is the covariate weighting matrix. If desired, genetic matching can incorporate propensity scores by including them as a covariate, with the algorithm assigning as much weight to them as necessary to optimize balance.", "The genetic matching algorithm, as implemented by the R software package \u201cMatching,\u201d has the following steps: 1. Initialize covariate weights, W, at starting values. 2. Calculate the distance matrix between MTW and non-MTW agencies. 3. Specify the number of non-MTW agencies to be matched comparison agencies for each MTW agency. 4. Assess the balance between the sample distributions of the treatment and control groups, using p-values from matched t-tests of equal means for each covariate or Kolmogorov\u2013Smirnov tests of equal distributions. 5. Apply a loss function to the vector of p-values to quantify overall sample balance. 6. If the loss function is not minimized, regenerate W using a genetic algorithm. 7. Repeat steps 2\u20136 until the loss function is optimized and covariate balance is maximized.", "In sum, the genetic matching algorithm searches for the best k matches, incorporating covariates and distance metrics as desired and minimizing the distance in a candidate matched set by weighting and reweighting the covariates and metrics, according to how they influence balance. In our primary analysis, we ultimately used one-to-one matching (k = 1), with one comparison agency selected for each MTW agency. Large imbalances in the number of households served by the MTW and non- MTW agencies substantially reduced the pool of similar comparison agencies, such that setting k > 1 substantially worsened the balance for some variables.", "In addition to the automated matching criteria above, we compared the sample distributions of the covariates before and after matching using descriptive statistics and nonparametric density estimates. We required exact matches on the year of measurement to ensure that observations were compared at roughly the same times. We also required exact matches on whether an agency issued vouchers and HUD region. Due to data limitations, we compared 2016 reserve spending between MTW and non-MTW agencies for the 2015 matched set.", "Figure 12 compares MTW agencies and non-MTW agencies on the covariates we identified, before constructing a matched sample of comparable non-MTW agencies. As the figure shows, there are some covariates for which there are significant differences between the group of MTW agencies and non-MTW agencies.", "After implementing the matching method described above, we identified a primary group of comparison agencies that were similar to the MTW agencies on most of the covariates, but differed on a few, as shown in table 7. Examples of matched agencies in our primary analysis include: Oakland Housing Authority (MTW) and Housing Authority of the County of Sacramento (non-MTW); San Antonio Housing Authority (MTW) and Housing Authority of New Orleans (non-MTW); and Housing Authority of the City of Pittsburgh (MTW) and Allegheny County Housing Authority (non-MTW). Imbalances between MTW and comparison agencies for the main analyses remained after our primary matching analysis for county median income, county median rental cost, number of households, percent of households with a disabled member, and county rental vacancy rate, as shown in table 7.", "Figure 13 shows the covariate density estimates for MTW and non-MTW agencies, after matching. As the figure shows, there are fewer differences in the group of MTW agencies and the matched non-MTW agencies after matching.", "MTW agencies had higher county median incomes and rent, lower percentages of disabled household members, and lower rental vacancy rates, as compared to the primary matched non-MTW agencies. These imbalances decreased when we allowed for matches across HUD region and required matches within calipers (1 standard deviation), as shown in table 8. However, allowing HUD region to vary potentially allowed other unmeasured factors within a HUD region to vary between the MTW and non-MTW groups. Applying caliper constraints failed to match a comparison agency for 91 of the 232 yearly observations for MTW agencies during 2009\u20132015, which changes the population for inference. We used these matched samples with improved balance for sensitivity checks, in our discussion of the results below."], "subsections": []}, {"section_title": "Statistical Estimation and Inference", "paragraphs": ["After constructing the primary matched analysis sample, we estimated outcome descriptive statistics for MTW and non-MTW agencies. We estimated differences in mean and median outcomes using paired t-tests and nonparametric Wilcoxon signed-rank tests, respectively, that account for correlations over time within and between matched groups of MTW and non-MTW agencies. We estimated differences in medians between groups using nonparametric Wilcoxon signed-rank tests to address potential outliers. For example, the tenant services cost distributions for MTW agencies (median = $37; 25th quantile = $2.80; 75th quantile = $110) and non-MTW agencies (median = $0; 25th quantile = $0; 75th quantile = $20) were highly skewed. The nonparametric test was not influenced by these skewed distributions and outliers.", "To complement this matched comparison, we used Generalized Linear Models to model outcomes in 2009\u20132015 using the matched sample of MTW and non-MTW agencies.", "The models had the form: i = 1, \u2026, n indexes agencies j = 2009, \u2026, 2015 indexes years", "MTWij indicates whether agency i participated in the MTW demonstration \u00b5ij is the mean outcome, conditional on the covariates g is the Gaussian link function", "Year is a vector of indicators for each year from 2010 through 2015 (excluding 2009), which accounts for common period effects across agencies, \u03b3", "Xij is a vector of linear continuous (e.g., number of households) and categorical (e.g., HUD region) control variables that may confound the association between agency type and the outcome of interest (discussed above for the matched sample) \u03b2 is the parameter of interest, estimating the association between MTW Repeated observations from 2009 through 2015 for MTW agencies and their corresponding matched non-MTW agencies can introduce autocorrelation within these clusters of observations, and the differences across matched clusters can introduce heteroscedasticity (that is, the variance in one cluster of agencies may be not be consistent with the variance in another cluster). A conventional linear model does not account for these interdependencies and inconsistent variances in the data, leading to potential bias in the variance estimation for the parameters of interest (such as variances for \u03b2 and \u03b3) and any subsequent statistical inference on the association (and p-values) between the outcome and covariates.", "To account for the potential bias arising from heteroscedasticity and autocorrelation, the variance-covariance matrix used to generate the variances for the parameters incorporated weights that (1) decreased the influence of extreme observations, clusters, or both; (2) used an autoregressive approximation in which the correlation was strongest for observations closest in time and decays as time lengthens; and (3) preprocesses (\u201cprewhitens\u201d) the variance-covariance matrix using an autoregressive function to reduce the temporal dependence in the data. These processes lead to statistical inference on associations of interest that account for the interdependencies within agency clusters and the differences across clusters. In the sensitivity analyses described below, we will fit this model on the unmatched population of agencies."], "subsections": []}, {"section_title": "Primary Results", "paragraphs": ["In the matched sample, MTW agencies had lower median public housing occupancy rates and voucher unit utilization rates compared to non-MTW agencies, as shown in table 9. Compared to non-MTW agencies, MTW agencies had higher median public housing expenses per household (operating and central office cost center operating expenses) and higher median voucher administrative expenses per household, subsidy expenses per household, tenant services expenses per household, and reserves per household. These differences were significant at the 0.05 level for all variables using the nonparametric Wilcoxon signed-rank test. However, using the parametric t-tests and related t-tests from the regression models, there was not a significant difference in central office cost center operating expenses. This could arise from the presence of outliers skewing the distribution, leading to different results compared to the Wilcoxon test that does not make any distributional assumptions. Regardless of the particular method used, small sample sizes in each group, as well as repeated observations over time, may limit our statistical power to identify differences, if they existed. Sample sizes resulting from missing data also affect the degree to which comparable non-MTW agencies can be found, given the limited overlap in the covariate distributions between groups."], "subsections": []}, {"section_title": "Sensitivity Analyses", "paragraphs": ["We assessed the results above for sensitivity to various methodological assumptions. For the matching analysis, we assessed the impact of 1. measuring MTW status as of the agreement year, rather than as of 1 year following the agreement (i.e., 1 year lag); 2. matching within 1 standard deviation calipers for each covariate; 3. allowing matches between HUD regions; 4. including county unemployment and poverty rates as covariates; 5. including estimated propensity scores, as a logistic function of the control variables described for the primary analysis, as a matching covariate; 6. increasing the number of comparison agencies for each MTW agency to k = {2, 3, 4} using the control variables described for the primary analysis; and 7. excluding clusters where the MTW and/or non-MTW agencies had an outlying value for an outcome of interest.", "For the regression model, we compared the results obtained from fitting the model to the matched and unmatched data.", "The sensitivity tests above showed no substantively meaningful differences in the results as compared to the primary analysis, with several exceptions. Adding the caliper constraint and dropping the HUD region constraint improved covariate balance. Dropping the HUD region constraint led to MTW agencies having a smaller difference in voucher subsidy expenses, compared to non-MTW agencies. In our primary analysis, MTW agencies had higher subsidy expenses. However, allowing matches between HUD regions may introduce unmeasured geographic characteristics into the comparison group of non-MTW agencies, which may limit the comparability of subsidy expenses and bias the estimated difference in outcomes."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Paige Smith (Assistant Director), Josephine Perez (Analyst in Charge), Enyinnaya David Aja, Bethany Benitez, Farrah Graham, Anar N. Jessani, Morgan Jones, Courtney LaFountain, Won Lee, Marc Molino, Anna Maria Ortiz, Barbara Roesmann, Shannon Smith, and Jeff Tessin made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-344", "url": "https://www.gao.gov/products/GAO-18-344", "title": "DHS Program Costs: Reporting Program-Level Operations and Support Costs to Congress Would Improve Oversight", "published_date": "2018-04-25T00:00:00", "released_date": "2018-04-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["O&S costs\u2014the costs used to operate and sustain a program\u2014can account for up to 70 percent of a program's total cost. End users rely on O&S funds for maintenance, spares, and personnel. DHS programs initially identify O&S costs in their life-cycle cost estimate at the outset of the acquisition. This estimate informs the program's budget and affects the amount the department designates for the program's use. In 2015, GAO found that DHS's budget requests did not reflect all estimated costs\u2014including O&S\u2014for certain programs, which limits visibility for decision makers.", "GAO was asked to review O&S activities for major acquisition programs at DHS. This report examines the extent that (1) DHS's budget management and reporting affects operations and oversight, and (2) cost estimates are comprehensive and accurate, as well as regularly updated.", "GAO selected a non-generalizable sample of 11 major acquisition programs, based on asset type and acquisition status, as case studies from selected DHS components. GAO analyzed selected programs' O&S cost estimates, funding, and spending. In addition, GAO interviewed DHS officials at the headquarters, component, and program office level."]}, {"section_title": "What GAO Found", "paragraphs": ["While the Department of Homeland Security's (DHS) budget management provides flexibility to conduct operations, such as shifting funds to programs within the same mission area to cover unforeseen needs, budget reporting does not provide Congress with insight into specific programs' operations and support O&S costs. The O&S budget information that DHS reports to Congress is oriented by mission\u2014for example, Integrated Operations\u2014instead of by program\u2014for example, the Multi-Role Enforcement Aircraft Program. The figure depicts the mission-oriented nature of the budget.", "While some program-oriented O&S data are available at the component level, this information does not appear in DHS's budget reports to Congress. This disparity is due in part to the manner in which the department reports budget information. However, these limitations are not insurmountable. Standards for internal controls state that managers should communicate quality information, in this case full program costs. Providing additional data on O&S costs in budget reports would preserve DHS's flexibility in its use of funds while providing Congress a better understanding of the budgetary and programmatic effect of its funding decisions.", "GAO reviewed the O&S portion of the most recently approved cost estimates for selected programs and found that 10 of the 11 estimates provided a complete accounting of all resources and associated cost elements. Further, all the programs had appropriately updated their cost estimates as required, a GAO best practice in cost estimating. Due to the sensitive nature of some programs' cost models, GAO could not verify all aspects of accuracy for all estimates reviewed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that DHS work with Congress to add program-level O&S funding details to the budget information it provides Congress. DHS concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["Operations and support (O&S) costs make up the majority\u2014sometimes over 70 percent\u2014of an acquisition program\u2019s total lifetime costs. For fiscal year 2017, the Department of Homeland Security (DHS) requested over $34 billion for O&S. These costs can include funding for fuel and other consumables, spare parts, and personnel who operate and maintain equipment. Also, as a system becomes operational, users rely on O&S funds for support through the duration of the system\u2019s lifetime. However, if information on such costs is vague or inconsistent, Congress\u2019s ability to conduct oversight would be limited, which in turn can affect its funding decisions for major acquisition programs. If programs experience O&S funding shortfalls, they may fall short of operational goals or not be able to address maintenance needs.", "We found in April 2015 that DHS\u2019s funding plans for major acquisition programs did not reflect all of the estimated costs for certain programs, particularly for O&S, resulting in potential operational shortfalls. Specifically, we found that the U.S. Coast Guard programs we reviewed did not provide complete O&S information. This kind of information shortfall could hinder DHS leadership\u2019s assessment of plans for delivering capabilities to operators to conduct their missions. We made a recommendation to DHS, with which the department concurred, to account for all O&S funding DHS plans to allocate to each of the Coast Guard\u2019s major acquisition programs. DHS and the Coast Guard are continuing to address this recommendation.", "You asked us to evaluate O&S activities for DHS\u2019s major acquisition programs. This report assesses, for selected major acquisition programs, the extent that (1) DHS\u2019s budget management and reporting affects operations and oversight; and (2) O&S life-cycle cost estimates (LCCEs) are comprehensive and accurate, as well as regularly updated.", "To conduct our work, we reviewed the DHS Major Acquisition Oversight List as of April 2017 and selected 11 major acquisition programs from five components to serve as case studies for our review. We selected a non- generalizable sample of programs, and their corresponding components, in various stages of the acquisition cycle, including programs in deployment. Our case studies included a mix of information technology and other programs that are not generalizable, but provide insight into DHS\u2019s O&S activities.", "We reviewed fiscal year 2017 DHS budget documents for major acquisition program funding information, but did not find sufficient granularity of O&S data to do our work. As a result, we developed and disseminated a data collection instrument for distribution to DHS program offices to gather information on selected programs\u2019 budget requests, budget authority, obligations, and expenditures, including personnel expenditures, from fiscal years 2015 to 2017. We analyzed program responses to compare expenditures and obligations to program budget requests. We also analyzed the DHS portion of the fiscal year 2018 President\u2019s budget request to identify changes to that document.", "We analyzed the O&S portion of DHS-approved LCCEs against criteria from GAO\u2019s Cost Estimating and Assessment Guide, focusing on the characteristics of comprehensiveness and accuracy. We also assessed each program\u2019s LCCE updates against DHS acquisition policy.", "We interviewed officials at DHS headquarters; component program and budget offices; Coast Guard Surface Forces Logistics Center in Baltimore, Maryland; Coast Guard Aviation Logistics Center in Elizabeth City, North Carolina; Transportation Security Administration at Reagan National Airport in Washington, D.C.; Customs and Border Protection\u2019s Southwest Border Regional Headquarters in Albuquerque, New Mexico; Customs and Border Protection\u2019s Tucson Air Branch in Tucson, Arizona; and the Border Patrol\u2019s Nogales Station in Nogales, Arizona. We chose these locations as we could often discuss multiple programs during a single site visit. For example, we discussed both of our Coast Guard aircraft programs at the Aviation Logistics Center. Appendix I contains detailed information on our scope and methodology.", "We conducted this performance audit from November 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DHS Budget Structure and Reporting", "paragraphs": ["After the 2002 consolidation of 22 agencies into a single department, DHS had, until recently, different appropriation structures and budget management practices based on agencies\u2019 enacted appropriations prior to DHS consolidation. DHS reported that, with over 70 different appropriations and over 100 formal program/project activity (PPA) accounts, it operated for over a decade with significant budget disparities and inconsistencies across its components. The lack of uniformity hindered visibility, inhibited comparisons between programs, and complicated spending decisions.", "To address some of these inconsistencies, DHS proposed a new, common appropriations structure to Congress in 2014, according to officials. The House Appropriations Committee then included language regarding a common appropriations structure for the President\u2019s budget request in its report that accompanied a proposed House fiscal year 2015 DHS Appropriations Bill. The language in the report directed the DHS Office of the Chief Financial Officer to work with the DHS components, the Office of Management and Budget, and the Committee to establish a common appropriations structure for the President\u2019s budget request. While the specific appropriations bill that the report accompanied did not become law, Congress subsequently enacted a common appropriations structure for the department. DHS\u2019s fiscal year 2016 President\u2019s budget request was the first to use this common appropriations structure.", "Under the common appropriations structure, DHS uses these four enacted accounts to capture the following costs:", "Research and development \u2013 includes funds to support the search for new or refined knowledge and ideas as well as improved products or processes to yield future benefits;", "Procurement, construction, and improvements \u2013 provides funds for planning, operational development, engineering and purchase of one or more assets prior to deployment.", "Operations and support \u2013 provides funds necessary for operations, mission support, and associated management and administration activities, including salaries. Operational costs can include funding for fuel and other consumables as well as personnel. Maintenance costs can include routine or critical maintenance, spare parts, and additional personnel; and", "Federal assistance \u2013 provides monetary or non-monetary support to any entity through various types of loans, grants, and other means.", "Within each component\u2019s budget request, the four appropriations accounts are subdivided into mission-oriented PPAs that correspond to the components\u2019 varied operations. One PPA can include costs for multiple programs and funding for programs may cross multiple PPAs. For example, in the fiscal year 2017 congressional budget justification\u2014 the formal budget submission from DHS that comprises its portion of the President\u2019s annual budget submission\u2014Customs and Border Protection\u2019s Integrated Fixed Towers and UH-60 helicopter programs both requested O&S funds through the Securing America\u2019s Borders PPA. Other examples of PPAs include Transportation Screening Operations and Securing and Expediting Trade and Travel. Figure 1 shows the relationship between DHS appropriations PPAs.", "DHS components use the mission-oriented PPAs to develop component budget requests within the President\u2019s budget request. The DHS budget request includes components\u2019 requested funds within the four appropriations accounts, including O&S, and their PPAs.", "DHS also uses the PPAs in its monthly execution reports to Congress to communicate its obligations and expenditures, along with other information. The monthly execution report mirrors the format of the congressional budget justification by providing execution data organized by appropriation account and mission-oriented PPA. This monthly snapshot includes personnel costs as part of the O&S costs they report.", "The Future Years Homeland Security Program is a database that contains 5-year funding plans for DHS\u2019s major acquisition programs and is used to prepare a report to Congress that supplements information in the annual budget request. In addition to the information presented in the budget submission and monthly execution report, this document organizes funding projections by major acquisition program. The 5-year plans in the Future Years Homeland Security Program are intended to allow the department to achieve its goals more efficiently than an incremental approach based on 1-year plans and articulate how the department will achieve its strategic goals within fiscal constraints."], "subsections": []}, {"section_title": "DHS Acquisition Process and Life-Cycle Cost Estimates", "paragraphs": ["The establishment of DHS in 2002 consolidated 22 agencies from multiple cabinet-level departments and independent agencies into a single organization. To help manage its portfolio of acquisition programs, DHS established policies and processes for acquisition management, test and evaluation, and resource allocation. The department uses these policies and processes to acquire and deliver systems that are intended to close critical capability gaps and enable DHS to execute its mission. Figure 2 outlines the acquisition life-cycle for major acquisition programs at DHS.", "Programs initially identify costs\u2014including those for O&S\u2014in their department-approved LCCE during the analysis phase. When a program becomes operational while still going through its acquisition milestones, programs may use O&S funds during the obtain or deploy phases. For example, the Coast Guard has several operational National Security Cutters, but is also obtaining additional cutters; therefore, it would use O&S funds for support of deployed cutters and procurement funds for acquisition of additional cutters.", "GAO\u2019s Cost Estimating and Assessment Guide notes four characteristics of a high quality cost estimate: comprehensive, well documented, accurate, and credible. Specifically, a comprehensive cost estimate should include all costs of the program for the O&S phase, while reflecting the current schedule, and should document all ground rules and assumptions. Furthermore, an accurate cost estimate should provide for results that are based on historical data, if available, while containing few, if any, minor errors.", "DHS acquisition policy has generally required components to update LCCEs at Acquisition Decision Events, up until the deployment phase, since 2008. However, since issuance of the department\u2019s October 2011 acquisition policy revision, LCCE revisions must also be DHS-approved. Prior to the 2008 policy, GAO found that nearly two-thirds of programs did not have life-cycle cost estimates. Each of our 11 selected programs has an approved cost estimate. Table 1 lists the programs selected for our study.", "In accordance with DHS policy and GAO\u2019s Cost Estimating and Assessment Guide, the O&S costs in the LCCE should inform the O&S portion of the program\u2019s budget request and the funds provided to the program. Accordingly, as programs use these funds in the obtain or deploy phases, they should update the LCCE with spending data to reflect actual costs. Figure 3 illustrates this feedback cycle.", "To help facilitate this feedback process, DHS issued a memorandum in January 2016 reminding components that an annual updated LCCE is required for each major acquisition program that has not reached full operational capacity. According to this memorandum, components must submit this cost estimate by April 1st of each year and should include the incurred costs to date through the prior fiscal year as well as how these costs track to prior LCCEs."], "subsections": []}]}, {"section_title": "Mission-Oriented Budget Management Provides Operational Flexibility, but Limits Visibility of O&S Costs in Reports to Congress", "paragraphs": ["According to agency officials, DHS\u2019s mission-oriented budget management provides operational flexibility in using O&S funding. However, DHS\u2019s budget justifications and reports aggregate programs\u2019 O&S data, limiting oversight of major acquisition programs\u2019 O&S costs. While some program-oriented O&S data are available at the component level, this information does not appear in DHS\u2019s budget reports to Congress. This disparity is due, in part, to the format of the budget reports."], "subsections": [{"section_title": "Consolidated O&S Funds Provide Operational Flexibility", "paragraphs": ["Officials across DHS identified operational flexibility as the primary benefit of the department\u2019s mission-oriented budget management. The mission- oriented PPA accounts allow, to a limit, components to move funds between major acquisition programs. For example, officials from Customs and Border Protection\u2019s Air and Marine Operations Division stated they consolidate O&S funds within a single account, which makes them more responsive to mission changes. If a new mission requires a specific aircraft capability, flexible O&S funds will support using that asset, as opposed to another. This flexibility is also apparent in other kinds of change or trade-offs components can make in deploying their systems. We could not identify the frequency with which programs or operators made these operational trade-offs because of limitations in the data we obtained. A few examples include the following: Asset Trade-Off: Customs and Border Protection officials told us they manage aircraft usage to meet mission needs while remaining within the overall O&S budget for the Integrated Operations PPA. At times, they use a less expensive and less capable asset that can still complete the mission as a cost-saving technique. For example, officials told us the UH- 60 Helicopter cost per flight hour is nearly three times the cost of a smaller helicopter. The smaller aircraft does not have the same capabilities as the UH-60, but operators can save money and sufficiently complete the mission with this aircraft, according to officials.", "Inventory Trade-Off: Coast Guard officials responsible for maintaining aircraft, such as the Medium Range Surveillance Aircraft, noted that recent budget constraints affected their ability to buy sufficient spare parts. To address this shortfall, they sometimes pulled working parts from aircraft that were grounded and awaiting maintenance to install on aircraft already undergoing maintenance.", "Contract or Upgrade Trade-Off: Immigration and Customs Enforcement\u2019s TECS Modernization program requested $3 million in O&S funding for fiscal year 2017, but the program did not receive this funding. To mitigate this unexpected shortfall, officials described how they adapted their contracting strategy to stretch funding through the fiscal year until they could receive full funding in fiscal year 2018. Officials stated that additional proposed funding cuts in fiscal year 2018 would leave the program unable to meet its minimum operating costs. According to officials, the program has several mitigation plans that will reduce cost through a new contract and reductions in data housing center costs.", "Because O&S funding represents the money available to end users to carry out their missions, we attempted to use program-level data to identify O&S funding shortfalls for our selected programs. Potentially, this information could also identify how frequently system users are making these trade-offs. However, the components\u2019 use of consolidated funds for certain programs makes O&S costs difficult to see, particularly at Customs and Border Protection\u2019s Air and Marine Operations Division. This component relies on aggregated O&S accounting and could not provide program-level O&S cost information for the Multi-Role Enforcement Aircraft and UH-60 Helicopter programs. As a result, we could not obtain usable information. However, Customs and Border Protection Officials also informed us that they are replacing their internal maintenance cost tracking system, which could help improve expenditure tracking in the future."], "subsections": []}, {"section_title": "Reports to Congress Do Not Consistently Identify Program-Specific O&S Information", "paragraphs": ["DHS first used its common appropriations structure\u2014which DHS proposed and Congress enacted\u2014to address appropriations and budget management inconsistencies in its fiscal year 2016 budget submission. The common appropriation structure streamlined its appropriations, but the resulting reports that the department provides to Congress obscure O&S costs for individual programs. Additionally, while DHS has program- level expenditure data for most of the programs we reviewed, it also relies on fragmented financial management systems that further limit reporting."], "subsections": [{"section_title": "Budget Request and Expenditure Reporting Lacks Consistent Program-Level O&S Information", "paragraphs": ["The PPAs DHS uses to communicate its annual budget requests and projections, as well as monthly obligations and expenditures, are mission- oriented. As a result, the budget reports DHS provides to Congress do not always present a clear accounting of individual programs\u2019 O&S costs.", "Congressional Budget Justification \u2013 Requests for total program O&S funds are not always visible in the DHS congressional budget justification. This document\u2019s mission-oriented reporting within the O&S section continues to combine program-level data within PPAs, as they were for previous budgets. Beginning in fiscal year 2018, DHS added O&S information to the individual program funding request summaries that appear in the procurement, construction, and improvements section of the budget justification, which describes acquisition funding requests. According to officials, this line shows requested funding for O&S for the coming fiscal year and two prior years.", "Our review of the fiscal year 2018 congressional budget justification found this information for 5 of our 11 selected programs. However, these program-level details did not appear in the O&S section of the same document, except for one program: Customs and Border Protection\u2019s TECS Modernization program, which recently transitioned to its deployment phase. Of the remaining programs we reviewed that did not have clear O&S information in this document, two were Customs and Border Protection programs: the Multi-Role Enforcement Aircraft and UH- 60 Helicopter. Three were Coast Guard programs: the Long Range Surveillance Aircraft program, the Medium Range Surveillance Aircraft Program, and the National Security Cutter. Both of these components consolidate their O&S funds, meaning they can direct available funds based on program needs. As stated above, this practice also makes it difficult to provide program-level O&S cost information and as a result, the O&S information DHS added to its procurement section is blank for these programs. This new information also does not include programs that completed their procurement phase as DHS requests O&S funds for programs in the deployment phase. Therefore programs in deployment still lack clear program-level O&S data in the congressional budget justification. For example, the Secure Flight program completed procurement and does not have an entry in the procurement section and therefore lacking O&S information.", "Monthly Execution Reports \u2013 DHS provides monthly execution reports to Congress that include O&S expenditure, obligation, and other budget data, organized by PPA. These reports consist of summary information at the PPA level, again obscuring individual programs\u2019 O&S costs. For example, the Customs and Border Protection PPA cited above would include multiple programs in the same way.", "Visibility of DHS\u2019s O&S costs by program is further limited in congressional budget submissions, as personnel costs are not fully captured. For nearly all of our selected programs, we could not identify funding for personnel who operate and maintain program assets within the congressional budget justification or monthly execution report. Program officials stated that, in certain cases, personnel costs are funded in mission\u2013oriented PPAs not clearly associated with the program. According to officials, Customs and Border Protection\u2019s Integrated Fixed Towers program is an example of this scenario. In other cases, the personnel funding associated with a program appears within the same PPA but may fund operations for more than one program. As a result, the full O&S cost of a program\u2014inclusive of operating and supporting personnel\u2014is not clear in the budget request and execution report.", "Federal standards for internal control state that managers should communicate quality information to external bodies. DHS is not clearly communicating to Congress the full O&S costs of its programs\u2014inclusive of operating and supporting personnel\u2014in congressional budget justifications and execution reporting. By comparison, agencies such as the National Aeronautics and Space Administration (NASA) and the Department of Defense directly request individual programs\u2019 O&S costs, at least until projects launch or begin operations in NASA\u2019s case. Further, our best practices on capital decision making state that good budgeting requires that the full costs of a project be considered when making decisions to provide resources. Providing data on full program costs permits Congress to better understand the long term costs of a program and the budgetary and programmatic effect of its decisions. While the recent change DHS made to its congressional budget justification to include program-level O&S cost information in the procurement section is an improvement, Congress still lacks complete information regarding DHS O&S costs as such data are absent from monthly execution reporting.", "In the course of our review, DHS initiated a pilot program to use unique identifier codes to track O&S expenditures for individual major acquisition programs. As of January 2018, headquarters officials told us the department was testing the identifier with three components that have relatively simple acquisition portfolios: the Domestic Nuclear Detection Office, Immigration and Customs Enforcement, and the National Protection and Programs Directorate. Following the pilot, officials plan to assess whether and how to implement this identifier within other components\u2019 financial management systems. DHS officials stated that they intend to use this information to inform O&S cost estimating for future acquisitions. As of January 2018, DHS did not plan to include the information in any of the budget information provided to Congress. According to DHS officials, they would need to work with Congress in order for Congress to identify how its existing reporting requirements should change, as they did during the development of a common appropriations structure in 2015."], "subsections": []}, {"section_title": "Previous Future Years Homeland Security Program Report Contained Program- Level Information", "paragraphs": ["Prior to fiscal year 2018, the Future Years Homeland Security Program report, which accompanies DHS\u2019s annual budget request, provided supplemental data on planned funding for major acquisition programs. For most components, the report included prior year funds and 5 years of estimated procurement funding for O&S as well as government personnel costs for each program. DHS removed this reporting in its fiscal years 2018-2022 Future Years Homeland Security Program report. Officials explained they removed program O&S funding to focus on planned procurement funding. However, in January 2018, DHS officials stated that they plan to re-introduce O&S funding for major acquisition programs in the Future Years Homeland Security Program report for fiscal years 2019-2023. DHS officials based this decision on multiple internal discussions about the best way to present a more comprehensive view of programs\u2019 total costs and feedback from key stakeholders, such as the Office of Management and Budget.", "With its intention of reflecting program-level O&S costs in the upcoming Future Years Homeland Security Program report, to be submitted with the fiscal year 2019 President\u2019s budget request, DHS officials recognize the value in such reporting. This change also aligns to federal standards for internal control and communicating quality information. Re-introducing O&S program cost information would improve the quality of information DHS provides to Congress in its Future Years Homeland Security Program Report. Until DHS takes concrete action to reverse the exclusion of O&S funding at a major acquisition program level in its Future Years Homeland Security Program reports, Congress will lack important information necessary for oversight."], "subsections": []}, {"section_title": "Program-Level O&S Data Exist at Component Level but Not Utilized for Budget Reporting", "paragraphs": ["Programs can generally track detailed O&S obligations and expenditures within their financial systems; however, department officials told us they do not request this information. Each component uses a different financial system to track its O&S costs and report expenses and, in some cases, must manually transfer data between systems. As a result, headquarters officials told us they do not have direct access to components\u2019 systems and request summary information organized by PPA to develop budget requests and monthly execution reports, in accordance with DHS\u2019s mission-oriented budget management.", "DHS financial management systems are an area we have designated as high risk since 2003. In September 2013, we found that without sound internal controls over its financial reporting, DHS is hindered in its ability to efficiently manage its operations and resources on a daily basis and provide useful, reliable, and timely financial information for decision making. At that time, we recommended DHS take steps to integrate financial management systems and unify the components\u2019 financial management. In September 2017, we found that despite efforts to address long-standing financial management system deficiencies, several factors delayed the Transportation Security Administration and Coast Guard\u2019s efforts to replace their financial management systems. Specifically, insufficient resources, an aggressive schedule, complex requirements, increased costs, and project management and communication concerns resulted in cost and schedule growth. DHS is taking steps to mitigate these risks and is revising its acquisition strategy to replace these systems, based in part on the issues we identified."], "subsections": []}]}]}, {"section_title": "Life-Cycle Cost Estimates for All but One Selected Program Were Comprehensive but Many Did Not Provide Evidence of Accuracy, and All Were Updated as Required", "paragraphs": ["The O&S portion of our selected programs\u2019 most recently approved life- cycle cost estimates (LCCEs) were nearly all comprehensive, but lacked elements of accuracy despite annual and other updates. Program-level LCCEs are one of the sources DHS components should rely on for budget development. Specifically, 10 of the 11 selected programs reviewed either substantially or fully met our best practices criteria for comprehensiveness, while only 5 substantially or fully met criteria for accuracy. These programs have met DHS\u2019s acquisition policy that major acquisition programs generally revise their LCCEs at major acquisition decision events and generally met DHS\u2019s 2016 requirement for annual updates."], "subsections": [{"section_title": "Ten of 11 O&S Cost Estimates Were Comprehensive", "paragraphs": ["As of December 2017, 10 out of 11 selected programs\u2019 most recent DHS- approved LCCE either substantially or fully met GAO\u2019s four criteria for a comprehensive cost estimate. Figure 4 depicts the results of our analysis and the criteria for this characteristic.", "GAO best practices in cost estimating note it is important that the O&S portion of a program\u2019s LCCE be comprehensive. That is, it should provide an exhaustive and structured accounting of all resources and associated cost elements\u2014hardware, software, personnel, and so on\u2014required to deploy and sustain a program. Five programs fully met and 5 programs substantially met the comprehensive characteristic.", "Within those programs that substantially met the characteristic, we found two reasons programs did not fully address criteria. First, 2 of those programs partially met the criterion that requires the estimate to completely define the program, reflect current schedule, and be technically reasonable. Second, despite substantially meeting the characteristic, the Customs and Border Protection\u2019s TECS Modernization program did not have a single, authoritative technical baseline document that contained all the details to satisfy this specific criterion. Instead, multiple technical baselines or baseline documents were present.", "The one program in our review that minimally met criteria for comprehensiveness is the Next Generation Security Networks Priority Services program. It is \u201cacquisition-only,\u201d meaning that its LCCE includes the costs to acquire new capabilities for its parent program\u2014Priority Telecommunication Services. When it has acquired these capabilities, the parent program becomes responsible for O&S costs. This unique acquisition relationship is a reason we selected this program, namely to see how the component would factor O&S costs into its estimate. We also previously reported on variance in the program\u2019s cost estimate, due to changes in how the component included O&S costs. Our analysis found that the Next Generation Networks Priority Services program\u2019s LCCE contained minimal information on O&S costs. In the program\u2019s recently updated LCCE, which we did not assess, the National Protection and Programs Directorate refined the Priority Telecommunication Services\u2019 O&S costs to identify only those attributable to the Next Generation Networks Priority Services acquisition."], "subsections": []}, {"section_title": "Over Half of Selected Programs Did Not Provide Evidence to Demonstrate Their Cost Estimates Were Accurate", "paragraphs": ["In contrast to the comprehensiveness of programs\u2019 O&S estimates, only 5 of the 11 selected programs we reviewed either fully or substantially met GAO\u2019s five criteria for accuracy. Accuracy is critical to ensuring a reliable and well-founded LCCE to support operations. This is important because these estimates serve as the basis to request program funding and provide insight into the overall affordability of the acquisition program. Figure 5 depicts the results of our analysis and the selected criteria for this characteristic.", "Two programs fully met and 3 programs substantially met the criteria we assessed. Of the programs that substantially met these criteria, we found a common criterion programs struggled to address: they did not document, explain, and review variances experienced between planned and actual costs. DHS acknowledges the importance of including this information and, in its 2016 memorandum, required its components to annually provide a detailed description of any differences between updated and past cost estimates.", "Of the 5 programs that partially met criteria for accuracy, we found several reasons for these results, including our lack of access to the cost models used to develop the programs\u2019 LCCE and an explanation of any variances. For example, the Coast Guard was unable to share cost models for the programs we assessed, due to information sensitivities. Without access to the cost models, we could not determine whether the estimates had been properly adjusted for inflation and could not determine whether the estimates contained few, if any, errors\u2014one of GAO\u2019s criteria for accuracy. Similar to the results of our comprehensiveness analysis, the Next Generation Network Priority Services program did not meet our selected accuracy criteria because it did not include O&S costs in its LCCE."], "subsections": []}, {"section_title": "Selected Programs Are Generally Following DHS Requirements to Update LCCEs", "paragraphs": ["While we could not determine that selected programs\u2019 LCCEs were accurate based on the information reviewed, we found that the department is regularly updating LCCEs, a GAO best practice that promotes accuracy. All of the programs met DHS requirements to update their LCCE at each acquisition decision event, as applicable, a policy that also aligns with our cost estimating best practices. Updating LCCEs is an important step to maintain the utility of an estimate throughout a program\u2019s life-cycle and is critical to budget development. Outdated O&S estimates hamper a program\u2019s ability to analyze changes in costs over time. For example, they may not reflect fluctuation in the price of fuel, which could lead to a program requesting insufficient funds for annual operations. DHS relies on the programs\u2019 LCCEs to develop initial budget requests, which it subsequently updates with actual expenditures as the program matures.", "As of November 2017, 10 of our 11 selected programs also met DHS\u2019s requirement for programs not yet in the deployment phase to update their LCCEs annually. These new requirements to update LCCEs are making this acquisition document more relevant throughout the life of a program to inform budget requests. The Coast Guard\u2019s Long Range Surveillance Aircraft program is the only program we selected that did not meet this requirement for fiscal year 2017. Coast Guard officials explained that the program is in the process of revising its LCCE, which is why it did not have a submission within fiscal year 2017.", "While components are following DHS policy, programs may vary in their approach to updating O&S reporting elements as newer versions of the LCCE document are developed and approved. For about half of our programs, we observed changes to O&S cost elements in the LCCE, which can reflect program changes. This situation is consistent with our cost estimating best practices, which note that cost elements should be updated as changes occur and the program becomes better defined. For example, the Coast Guard\u2019s Medium Range Surveillance Aircraft program\u2019s original LCCE was completed in 2009, when the Coast Guard planned to procure a single aircraft type. Since then, the Coast Guard revised its LCCE in 2012 and 2016 to account for changes to the program, namely the addition of a second aircraft type. The Medium Range Surveillance Aircraft program\u2019s 2016 LCCE now includes an entirely new set of O&S cost elements for both aircraft. Conversely, a program that has very stable cost elements may not need to make such changes. Officials from Customs and Border Protection TECS Modernization program explained they did not alter its cost elements between its original 2014 LCCE and its 2016 revision because O&S costs are stable and well-known as the program enters its deployment phase."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Operations and Support (O&S) is the bulk of the taxpayer\u2019s investment in major acquisition programs and is necessary to meet end user\u2019s needs for spares, maintenance, and operations. To support this mission, DHS manages its budget to maximize components\u2019 flexibility to use O&S funds across major acquisition programs. This aspect of the department\u2019s budget management did not change with enactment of the common appropriation structure.", "We do not take issue with DHS\u2019s mission-oriented budget management approach; however, with this reliance on broader O&S mission-oriented program/project activity (PPAs) in reporting, program-specific O&S information is difficult to discern. DHS\u2019s addition of program-level O&S information to the procurement, construction, and improvements section of the congressional budget justification is a positive step, but still does not address this shortfall for all programs. The identifier pilot program DHS has underway could add details on O&S costs for major acquisition programs in addition to those already contained in programs\u2019 life-cycle cost estimates. Such an action will require additional reporting from the components, which may be challenging due to the department\u2019s fragmented financial management systems, as we have observed and made recommendations on in prior reports. DHS could work with Congress to identify ways to strengthen its congressional budget justifications and monthly execution reports by including information on O&S costs.", "DHS\u2019s recent proposal to shift back to reporting program-level O&S funding in the Future Years Homeland Security Program report demonstrates that the department sees value in providing such information to Congress and that such information is available to some extent. Until DHS takes concrete action to reverse the exclusion of O&S funding at a major acquisition program level in its Future Years Homeland Security Program reports, Congress will lack important information necessary for oversight."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DHS: The Secretary of Homeland Security should work with Congress to add information to its annual congressional budget justification to show O&S funding requests for major acquisition programs within current program/project activity accounts. (Recommendation 1)", "The Secretary of Homeland Security should work with Congress to include O&S data in monthly execution reports at a major acquisition program level within current program/project activity accounts. (Recommendation 2)", "The DHS Chief Financial Officer should reverse the exclusion of O&S funding at a major acquisition program level in its Future Years Homeland Security Program report for all components. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DHS.", "DHS provided written comments, which are reproduced in appendix III. In its comments, DHS concurred with all three of our recommendations and identified actions it plans to take to address them. DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["The House Homeland Security Subcommittee on Oversight and Management Efficiency asked us to evaluate operations and maintenance (O&S) activities for the Department of Homeland Security\u2019s (DHS) major acquisition programs. This report assesses, for selected major acquisition programs, the extent that (1) DHS budget management and reporting affects operations and oversight; and (2) life-cycle cost estimates (LCCEs) are comprehensive and accurate, as well as regularly updated."], "subsections": [{"section_title": "Selection of Case Studies", "paragraphs": ["To conduct our work, we reviewed the DHS Major Acquisition Oversight List as of April 2017 and selected 11 major acquisition programs from five components to serve as case studies for our review. We selected a non- generalizable sample of programs, and their corresponding components, based on their stage in the acquisition cycle, including programs in the deployment phase. We also ensured we had a mix of different DHS components reflecting the broad spectrum of DHS operations. Our case studies included four information technology programs and seven other programs."], "subsections": []}, {"section_title": "Analysis of Budget Information", "paragraphs": ["To determine how O&S funds are organized within the budget request, we reviewed the O&S and procurement, construction, and improvements appropriations accounts within the fiscal year 2017 and 2018 congressional budget justification by program/project activity account (PPAs) for the 11 programs in our review. We identified the selected programs within these accounts, as possible. To determine whether the PPAs we identified in the O&S budget request were all-inclusive of O&S costs, we developed and disseminated a data collection instrument to program offices, which collected information on selected programs\u2019 O&S budget requests, budget authority, obligations, and expenditures, including personnel expenditures, from fiscal years 2015 to 2017. We compared this information to our analysis of the congressional budget justification and conducted follow-up meetings with each of the component budget offices to understand differences in the data sources and learn if program obligations and expenditures were included in other common component PPAs.", "To determine the inclusion of personnel costs in the program O&S expenditures, we reviewed the congressional budget justification and our data collection instrument for personnel expenditures. We held follow-up meetings with program offices to discuss to what extent DHS used O&S PPA funds for personnel costs, identify those PPAs, and whether personnel costs were shared with other programs.", "To determine if monthly execution reports contained program-level O&S cost information, we reviewed the December 2016 monthly execution report, as well as DHS guidance to programs on preparing that report, to determine whether individual program obligations and expenditures could be identified within the report. We determined that O&S cost information is reported by mission-oriented PPA in this report and were unable to identify O&S obligations or expenditures by program. We held follow-up discussions with DHS officials to discuss how this information is collected and reported to Congress.", "To determine whether O&S costs were included in the Future Years Homeland Security Program database, we reviewed the fiscal years 2017-2021and 2018-2022 reports from the Future Years Homeland Security Program database for identification of program costs. We found that program costs were identified. However, while we are able to determine the inclusion of O&S costs in the fiscal year 2017-2021 report, DHS excluded these costs in the fiscal year 2018-2022 report.", "We discussed with DHS and components the financial management systems used by the five components to track obligations and expenditures, and the financial management system used by the Department to develop the monthly execution reports and Future Years Homeland Security Program database."], "subsections": []}, {"section_title": "Analysis of Operational Effects", "paragraphs": ["To assess the extent to which the DHS budget management and reporting has affected operations, we reviewed program budget information including the Congressional budget justification, a data collection instrument, a monthly execution report to Congress, and the fiscal years 2017-2021 and fiscal years 2018-2022 reports from the Future Years Homeland Security Program database. In addition, we conducted interviews with program personnel to discuss the effect of any budget shortfall or surplus on their programs."], "subsections": []}, {"section_title": "Analysis of Life-Cycle Cost Estimates", "paragraphs": ["To assess how DHS incorporated or revised life-cycle cost estimates to include comprehensive and accurate O&S costs, we analyzed the O&S portion of DHS-approved LCCEs for the case study programs, as well as prior versions where applicable, to identify changes in reporting elements over time. We conducted an abridged analysis of programs\u2019 approved LCCE against criteria from GAO\u2019s Cost Estimating and Assessment Guide, with focus on comprehensiveness and portions of accuracy.", "Typically in analyzing a cost estimate against GAO best practices, we examine four characteristics, each defined by multiple criteria: credible.", "For this review, we assessed our case study programs\u2019 LCCEs against the comprehensive and accurate characteristics, in part, because we limited our analysis to the O&S portion of programs\u2019 LCCEs and did not review entire LCCEs. Further, if the cost estimate is not comprehensive (that is, \u201ccomplete\u201d), then it cannot fully meet the well documented, accurate, or credible best practice characteristics. For instance, if the cost estimate is missing some cost elements, then the documentation will be incomplete, the estimate will be inaccurate, and the result will not be credible due to the potential underestimating of costs and the lack of a full risk and uncertainty analysis.", "In addition, we excluded one of the supporting criteria for the accuracy characteristic, which assesses that the cost estimate results are unbiased, not overly conservative or optimistic, and based on an assessment of most likely costs. Because we did not assess program risk as part of the characteristics we excluded, which also considers potential bias, we did not analyze programs against this criterion.", "We interviewed officials at DHS headquarters; component program and budget offices; Coast Guard Surface Forces Logistics Center in Baltimore, Maryland; Coast Guard Aviation Logistics Center in Elizabeth City, North Carolina; Transportation Security Administration at Reagan National Airport in Washington, D.C.; Customs and Border Protection Southwest Border Regional Headquarters in Albuquerque, New Mexico; Customs and Border Protection Tucson Air Branch in Tucson, Arizona; and the Border Patrol\u2019s Nogales Station in Nogales, Arizona. We chose these locations, in part, as we could often discuss multiple programs during a single site visit. For example, we discussed both of our Coast Guard aircraft programs at the Aviation Logistics Center.", "We conducted this performance audit from November 2016 to April 2018 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Results of Life-Cycle Cost Estimate Analysis", "paragraphs": ["Using the GAO Cost Estimating and Assessment Guide, GAO cost experts assessed selected DHS major acquisition programs against 2 of the 4 characteristics of a quality cost estimate. Please see Appendix I for a more detailed description of our methodology and why we did not assess O&S cost estimates against all 4 characteristics.", "We determined the overall assessment rating by assigning each individual rating a value:", "Not Met = 1,", "Minimally Met = 2,", "Partially Met = 3,", "Substantially Met = 4, and", "Met = 5.", "Next we averaged the individual assessment ratings to determine the overall rating for each of the two characteristics. The resulting average becomes the Overall Assessment as follows:", "Not Met = 1.0 to 1.4,", "Minimally Met = 1.5 to 2.4,", "Partially Met = 2.5 to 3.4,", "Substantially Met = 3.5 to 4.4, and", "Met = 4.5 to 5.0.", "Table 3 provides our results of selected Custom and Border Patrol acquisition programs\u2019 individual and overall assessment for the comprehensive and accuracy characteristics.", "Table 4 provides our results of the selected Immigration and Customs Enforcement acquisition program\u2019s individual and overall assessment for the comprehensive and accuracy characteristics.", "Table 5 provides our results of the selected National Protection and Programs Directorate program\u2019s individual and overall assessment for the comprehensive and accuracy characteristics.", "Table 6 provides our results of the selected Transportation Security Administration acquisition programs\u2019 individual and overall assessment for the comprehensive and accuracy characteristics.", "Table 7 provides our results of the selected U.S. Coast Guard acquisition programs\u2019 individual and overall assessment for the comprehensive and accuracy characteristics."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Marie A. Mak, (202) 512-4841, or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, J. Kristopher Keener, Assistant Director; Burns Chamberlain Eckert; Peter Anderson; Jessica Berkholtz; George Bustamante; Erin Butkowski; Jeff Cherwonik; Juana Collymore; Matthew T. Crosby; Jennifer Echard; Jason Lee; and Robin Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Up to 70% of acquisition costs can be incurred after a system or an asset\u2014like a Coast Guard cutter\u2014is deployed. Generally, these are the costs of operating, staffing, and maintaining the acquisition.", "But we found that the Department of Homeland Security's budget reporting aggregates these operations and support costs by mission, rather than by individual acquisition program. Therefore, Congress doesn't know how much DHS is actually spending on each acquisition.", "We recommended adding this level of detail to DHS's budget report for Congress and other key financial reports."]} {"id": "GAO-18-158", "url": "https://www.gao.gov/products/GAO-18-158", "title": "Columbia Class Submarine: Immature Technologies Present Risks to Achieving Cost Schedule and Performance Goals", "published_date": "2017-12-21T00:00:00", "released_date": "2017-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Navy's Columbia class ballistic missile submarines will replace the 14 Ohio class that currently provide the sea-based leg of the U.S. nuclear triad, slated to begin retiring in 2027. The first Columbia must begin patrols in 2031 to prevent a gap in deterrent capabilities; the class will ultimately carry up to 70 percent of the nation's strategic nuclear capability. The program is a top Navy priority with an expected cost of $267 billion over its life cycle, including $128 billion to research, develop, and buy 12 submarines.", "House Report 114-102 included a provision for GAO to examine the Columbia class program. Among other things, this review examines (1) the status of key Columbia class technologies; and (2) potential risks with the Navy's planned approach for design and construction.", "GAO reviewed the Navy's technology readiness assessment, technology development plan, and the status of key prototyping efforts, and compared efforts with GAO's identified best practices for shipbuilding programs and technology readiness assessments. GAO also assessed the status of design maturity and the Navy's acquisition strategy and interviewed relevant officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Additional development and testing are required to demonstrate the maturity of several Columbia class submarine technologies that are critical to performance, including the Integrated Power System, nuclear reactor, common missile compartment, and propulsor and related coordinated stern technologies (see figure). As a result, it is unknown at this point whether they will work as expected, be delayed, or cost more than planned. Any unexpected delays could postpone the deployment of the lead submarine past the 2031 deadline.", "Further, the Navy underrepresented the program's technology risks in its 2015 Technology Readiness Assessment (TRA) when it did not identify these technologies as critical. Development of these technologies is key to meeting cost, schedule, and performance requirements. A reliable TRA serves as the basis for realistic discussions on how to mitigate risks as programs move forward from the early stages of technology development. Not identifying these technologies as critical means Congress may not have had the full picture of the technology risks and their potential effect on cost, schedule, and performance goals as increasing financial commitments were made. The Navy is not required to provide Congress with an update on the program's progress, including its technology development efforts, until fiscal year 2020\u2014when $8.7 billion for lead ship construction will have already been authorized. Periodic reporting on technology development efforts in the interim could provide decision makers assurances about the remaining technical risks as the Navy asks for increasing levels of funding.", "Consistent with GAO's identified best practices, the Navy intends to complete much of the submarine's overall design prior to starting construction to reduce the risk of cost and schedule growth. However, the Navy recently awarded a contract for detail design while critical technologies remain unproven\u2014a practice not in line with best practices that has led to cost growth and schedule delays on other programs. Proceeding into detail design and construction with immature technologies can lead to design instability and cause construction delays. The Navy plans to accelerate construction of the lead submarine to compensate for an aggressive schedule, which may lead to future delays if the technologies are not fully mature before construction starts, planned for 2021."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO had suggested a matter for congressional consideration related to additional reporting on the Columbia class technologies, but removed it because of recent legislation that implements this requirement. Department of Defense comments on the draft were incorporated as appropriate in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Navy plans to buy 12 Columbia class nuclear-powered ballistic missile submarines (called SSBNs) armed with nuclear warheads as the replacement to the Ohio class, the current sea-based leg of the nation\u2019s strategic nuclear deterrent. The Columbia class fleet will replace the 14 Ohio class SSBNs as they begin to retire in 2027 after over 42 years, longer than any prior class of submarine. The Navy plans to use new technologies related to submarine propulsion, missile tubes, and stealth to ensure that the Columbia class will remain functional throughout its planned 42.5-year service life. The Navy has identified the Columbia class program as its top acquisition priority and is investing significantly in this effort\u2014approximately $267 billion (then-year dollars) in total, including $128 billion (then-year dollars) to research, develop, and buy 12 submarines. In fiscal year 2017, the Navy began buying materials and starting detail design, with plans to begin construction of the lead submarine in fiscal year 2021. To avoid a gap in the nation\u2019s sea-based deterrent as the Ohio class SSBNs retire, the lead ship will need to make its first patrol in fiscal year 2031. Given the criticality of the program\u2019s deterrence mission and the magnitude of the cost and schedule pressures, any challenges could have far-reaching consequences for the nation\u2019s defense.", "In light of the Columbia class investment requirements, the House Armed Services Committee report for the National Defense Authorization Act for Fiscal Year 2016 included a provision that we examine the program. This report examines (1) the status of key Columbia class technologies and related reporting requirements; (2) risks, if any, with the Navy\u2019s planned approach for design and construction; and (3) whether expected funding levels for the Columbia class will be adequate moving forward.", "To assess the status of development of key Columbia class technologies, we reviewed the Navy\u2019s technology development plan and the status of key prototyping efforts, and compared them with GAO\u2019s identified best practices for shipbuilding programs. We also reviewed the program\u2019s Technology Readiness Assessment and compared it to criteria in GAO\u2019s Technology Readiness Assessment guide. GAO\u2019s guide draws heavily from the Department of Defense (DOD), Department of Energy (DOE), and National Aeronautics and Space Administration (NASA) best practices, and establishes a methodology based on those best practices that can be used across the federal government for evaluating technology maturity, particularly as it relates to determining a program or project\u2019s readiness to move past key decision points that typically coincide with major commitments of resources. We interviewed Navy officials and analyzed available documentation related to the Navy\u2019s technical efforts. We also examined acquisition laws, regulations, and policies to determine the reporting requirements for the Columbia class program following the program\u2019s Milestone B decision, which occurred in January 2017.", "To assess the risks, if any, with the Navy\u2019s planned approach for design and construction of the Columbia class, we compared the status of design maturity with Navy and shipyard plans to identify any delays. We also compared planned design maturity and schedule projections with those of prior U.S. submarine programs to assess realism of these estimates. We assessed the program\u2019s acquisition strategy, including plans to accelerate the start of submarine construction and manage shipyard workload across the Columbia and ongoing Virginia class submarine programs (which will be built in the same shipyards) to identify factors related to potential cost, schedule, and oversight risks. Our assessment leverages, among other things, our prior work on shipbuilding programs.", "To assess whether expected funding levels for the Columbia class will be adequate moving forward, we compared program cost estimates to historical data on lead ship cost performance and the Navy\u2019s expected budget for the program to assess the realism of these estimates. We also reviewed the program\u2019s life-cycle cost estimate and independent cost estimate.", "For all objectives, we interviewed officials from the Navy\u2019s Columbia class submarine program office; the Office of the Chief of Naval Operations- Undersea Warfare; Naval Sea Systems Command Naval Nuclear Propulsion Program; Naval Undersea Warfare Center; Naval Surface Warfare Center Carderock Division; Office of the Secretary of Defense (OSD) Director Operational Test and Evaluation; Office of Naval Intelligence; OSD Acquisition Technology and Logistics (AT&L); OSD Cost Analysis and Program Evaluation (CAPE); and the prime contractor shipyard General Dynamics Electric Boat and its sub-contractor Huntington Ingalls Industries Newport News Shipbuilding, among others.", "Appendix I presents a more detailed description of the scope and methodology of our review.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The U.S. strategic nuclear deterrent is spread among three legs, as depicted in figure 1.", "DOD has continued to reinforce the high priority of the Columbia class program to the nation\u2019s long-term defense. SSBNs are designed to maximize stealth to remain undetected while on patrol at sea. This survivability gives the United States a credible ability to retaliate if faced with an attack targeting other legs of the triad, and explains DOD\u2019s decision to ultimately deploy up to 70 percent of the nation\u2019s nuclear warheads on SSBNs.", "As stated in its April 2010 Nuclear Posture Review Report, DOD determined that ensuring a survivable U.S. deterrent requires continuous at-sea deployments of SSBNs in both the Atlantic and Pacific oceans, as well as the ability to surge additional submarines in crisis. Currently, 14 Ohio class SSBNs provide the sea-based strategic deterrent. The Navy commissioned the lead ship of this fleet in 1981. The first Ohio class SSBN to retire\u2014SSN 730\u2014will leave service in 2027 and plans are to retire one per year following this. When these submarines retire, they will have been in service over 40 years, longer than any previous submarines. Navy officials have stated that the legacy Ohio fleet cannot be life-extended any longer than what is planned due to aging issues.", "The U.S. Strategic Command (STRATCOM) retains operational control of the strategic triad and determines how many SSBNs are needed to patrol on a day-to-day basis. STRATCOM and the Navy have determined that 10 operationally available SSBNs are needed to meet mission requirements. As a result, the lead Columbia class submarine must be available for its first deterrent patrol in the first quarter of fiscal year 2031 to coincide with the planned 2031 retirement of SSN 734, or the Navy will not have 10 operationally available SSBNs, thereby requiring DOD to identify other steps to ensure it can meet current deterrent requirements.", "The Navy expects that it can meet mission requirements with 12 Columbia class submarines carrying 16 missile tubes (equating to a total of 192 available tubes) in lieu of 14 Ohio class submarines carrying 24 tubes (336 total available tubes). Currently, it takes 14 Ohio class submarines to provide 10 operationally available SSBNs due to maintenance needs that can take up to 4 submarines out of the patrol rotation at any given time. The Navy plans to reduce the number and duration of required maintenance periods for the Columbia class, allowing just 12 Columbia class submarines to provide the required 10 operational submarines at all times. Between fiscal year 2031-2040, the Navy plans to have a mix of 10 operationally available Columbia and Ohio class submarines. In fiscal year 2041, with the retirement of the final Ohio class submarine, this is to increase to 11 Columbia class, and finally to 12 operationally available Columbia class submarines by fiscal year 2042."], "subsections": [{"section_title": "Columbia Class Technology Efforts", "paragraphs": ["The Columbia class program is comprised of several major lines of effort\u2014hull and supporting systems, the strategic weapons system; and the nuclear reactor-based propulsion plant\u2014which are managed by different program offices, as depicted in figure 2.", "The Navy is introducing new technologies to improve capabilities where required while leveraging systems from existing submarine programs\u2014 the Virginia and Seawolf attack submarines and the Ohio class SSBNs\u2014 in order to ensure commonality with the submarine fleet and reduce development needs for the Columbia class to limit technical risk. For example, the program is re-using over 19,000 Virginia class standard parts including fittings, valves, and switches and leveraging the Navy\u2019s Submarine Warfare Federated Tactical System program, which integrates more than 40 independent electronics systems into a common combat system for use by multiple program offices.", "The Navy has identified several key technical efforts for the Columbia class program: (1) the Common Missile Compartment, (2) Integrated Power System, (3) Stern Area System, and (4) propulsor. Other systems that we consider key technical efforts include the nuclear reactor and the coordinated stern, a system-of-systems that includes the propulsor and submarine maneuvering components. These areas are depicted in Figure 3 and defined below.", "Since 2008, the United States and the United Kingdom (U.K.) have been jointly developing a common system to house the tubes that will carry submarine launched ballistic missiles. Columbia class SSBNs and U.K.", "SSBNs will carry the Trident II D-5 missile for the first portion of their respective operational lives; the U.S. missiles armed with nuclear warheads which are maintained by the Department of Energy (DOE). Figure 4 shows a notional example of the CMC.", "In addition to the missile tubes, the CMC also provides systems to support the missiles and the launch equipment, including power, cooling, gas venting, and launch hardware and software. The Navy\u2019s Strategic Systems Program is responsible for CMC development efforts."], "subsections": [{"section_title": "Integrated Power System (IPS) and Nuclear Reactor", "paragraphs": ["The IPS includes an electric drive system to propel the submarine through the water, unlike other current U.S. submarines which use a mechanical drive system. IPS is powered by the nuclear reactor, which is a separate system. As shown in figure 5, with a nuclear electric drive system, steam from the nuclear reactor turns a turbine creating electricity, which is then directly used to power electric motors. This is in contrast with a nuclear mechanical propulsion system, where steam from the nuclear reactor turns a turbine creating high-speed rotation; a reduction gear then slows the speed of this rotation to a speed that is suitable for use by the propulsor.", "To provide power to the electric drive, the Columbia class nuclear propulsion plant relies on a life-of-the-ship reactor core\u2014called S1B\u2014that is planned to remain in service without refueling, almost 10 years longer than current U.S. Navy nuclear reactors. The Virginia class also uses a life-of the-ship reactor core, but the Columbia class reactor needs to be more powerful to drive the larger submarine, and needs to last longer to allow for the 42.5-year Columbia class service life of versus 33 years for the Virginia class. By using a life-of-the-ship reactor, the Columbia class will not require a mid-life refueling. This will reduce the mid-life maintenance period from 27 months for Ohio class to 16 months for Columbia class. This reactor is being developed by the Naval Nuclear Propulsion Program (also known as Naval Reactors) and the Naval Nuclear Laboratory (operated by Bechtel Marine Propulsion Corporation)."], "subsections": []}, {"section_title": "Stern Area System (SAS)", "paragraphs": ["SAS is a technical feature of the stern that is comprised of three subcomponents; details of which are classified."], "subsections": []}, {"section_title": "Propulsor/Coordinated Stern", "paragraphs": ["The Columbia class will use a propulsor instead of a propeller to drive the submarine through the water. The design of the propulsor relies on several other technical features that form a system-of-systems, sometimes referred to as the coordinated stern. The coordinated stern is where the rudder and other control surfaces are mounted; these control surfaces are used for submarine maneuvering and are critical to submarine performance. The coordinated stern consists of interrelated technology elements, including the propulsor and advanced propulsor bearing, the stern control surface configuration, and the propulsor shaft and bearing.", "The propulsion shaft and bearing connects the propulsion system to the propulsor, transferring energy from the propulsion system to the propulsor to drive the submarine through the water. The Navy plans to use a new design \u201cX-stern\u201d configuration instead of the cruciform stern used in other submarines. Figure 6 depicts the major components of the coordinated stern, omitting a depiction of the classified Stern Area System."], "subsections": []}]}, {"section_title": "Acquisition Strategy for the Columbia Class", "paragraphs": ["The Navy expects to require over $267 billion (then-year dollars) in total life-cycle costs for the Columbia class program. Figure 7 shows the break-down of this amount between operations and support costs and acquisition costs, as well as the elements comprising the $128 billion in acquisition costs.", "The approximately $128 billion total acquisition cost includes funding the Navy expects it will need to research, develop, and build its Columbia class SSBN.", "Due to their size and complexity, submarines require funding for design, long-lead materials (such as nuclear propulsion plant components), and construction over many years. To accomplish these activities, the Navy awards contracts over several phases of design and construction. Figure 8 outlines major acquisition plans for the Columbia class.", "In 2014, Congress created a National Sea-based Deterrence Fund to provide DOD with greater discretion to fund the design, construction, and purchase of the Columbia class. Since then, Congress has provided the Navy with enhanced acquisition authorities to buy and construct submarines and certain key components early, in bulk, and continuously.", "The Columbia class program entered the Technology Development phase of the defense acquisition process in January 2011. The schedule to acquire the Columbia class was shifted in 2011 when the Navy decided to delay the start of construction of the lead submarine by 2 years\u2014from 2019 to 2021\u2014due to budget constraints. The first patrol date for the lead ship was also shifted from fiscal year 2029 to fiscal year 2031. In January 2017, the Columbia class program achieved Milestone B\u2014considered the official start of a DOD acquisition program\u2014and moved into the Engineering and Manufacturing Development phase of the acquisition process. The program does not envision holding a Milestone C, which typically denotes a program\u2019s approval to enter the production and deployment phase as shown in figure 9, but does plan to have an OSD- level review prior to authorizing the construction of the lead ship.", "Shipbuilding programs have slightly different decision points than other DOD weapon systems, partly because of the timing of the Milestone B decision for ships. Milestone B for ship programs usually occurs after development of ship specifications and system diagrams is well under way.", "As part of the Columbia class Milestone B decision, OSD approved a Low Rate Initial Production quantity of 12 submarines, the total quantity expected for the class. According to the Navy, the program awarded a $5.1 billion detail design contract to Electric Boat in September 2017 for work including design completion, component and technology development, and prototyping efforts. Detail design is typically funded with Shipbuilding and Conversion, Navy funds (the Navy\u2019s procurement fund for buying ships) and represents a further refinement of the design of the ship and ultimately generation of work instructions needed by the shipyard in advance of lead ship construction. The program was granted approval to begin early detail design work in January 2017.", "In shipbuilding, the design phase generally encompasses three activities: basic design, functional design, and detail design. These steps occur after the Navy sets the technical requirements for the ship. At a high level: basic design serves to outline the steel structure of the ship; functional design routes distributive systems\u2014such as electrical or piping systems\u2014throughout the ship; a three-dimensional (3D) computer-aided design model is often generated; and detail design completes the design work for even the lowest-level items, and ultimately furnishes the work instructions for the shipyard workers to use in constructing the ship. During this phase, all aspects of the ship are defined, and two-dimensional paper or 3D electronic drawings (also called work instructions) are generated.", "For the Columbia class program, the Navy defines design in two phases: arrangements, which program officials describe as a combination of basic and functional design; and disclosures, which they describe as a combination of detail design and generation of work instructions. Figure 10 shows the phases of design for the program as compared with typical surface ship terminology.", "Two shipbuilders\u2014General Dynamics Electric Boat and Huntington Ingalls Industries Newport News\u2014are responsible for designing and building nuclear submarines. For the Columbia class program, Electric Boat is the prime contractor for design and construction, with Newport News as a subcontractor. Similar to the Virginia class program, each shipyard will build modules of the submarine, but Electric Boat will be responsible for final delivery of the submarine to the Navy."], "subsections": []}, {"section_title": "Technology Readiness Assessment", "paragraphs": ["For more than a decade, our work on major acquisitions has shown that part of an effective management process is assessing how far a technology has matured and how it has been demonstrated, which indicates the technology\u2019s readiness to be integrated into a system and the degree of program risk. DOD acquisition instruction requires that programs complete a technology readiness assessment (TRA) at Milestone B. A TRA is a systematic, evidence-based process that evaluates the maturity of hardware and software technologies critical to the performance of a larger system or the fulfillment of the key objectives of an acquisition program. A reliable TRA illuminates concerns and serves as the basis for realistic discussions on how to mitigate potential risks as programs move from the early stages of technology development.", "TRAs do not eliminate technology risk but, when done well, can illuminate concerns and serve as the basis for realistic discussions on how to mitigate potential risks as programs move from the early stages of technology development, where resource requirements are relatively modest, to system development and beyond, where resource requirements are often substantial. In addition, TRAs help legislators, government officials, and the public hold government program managers accountable for achieving their technology performance goals.", "A main element of a TRA is the identification of critical technology elements (CTE) and assessment of the appropriate Technology Readiness Level (TRL), used to measure the readiness of technologies to be incorporated into a weapon or other type of system. TRLs range from 1 (least mature) to 9 (most mature), as shown in table 1.", "Current DOD guidance assigns the program manager responsibility for identifying CTEs. The program manager identifies possible technologies, then, in consultation with officials from the Assistant Secretary of Defense for Research and Engineering\u2014ASD(R&E)\u2014and with the program executive office and component acquisition executive approval, identifies the subject matter experts needed to perform the TRA. For the Columbia class TRA, the expert team was comprised of Navy program management and technical personnel. ASD(R&E) reviews the list of critical technologies provided by the program manager and recommends technologies to add or delete. Ultimately, the program submits the TRA report to ASD(R&E), who independently assesses the maturity of the technologies. The ASD(R&E) prepares a memorandum based on the assessment that is transmitted to the milestone decision authority, along with the TRA Report.", "The TRA is also an element of the Milestone B approval process. Section 2366b, title 10, U.S. code states that a major defense acquisition program may not receive Milestone B approval until the milestone decision authority has, among other things, certified that the CTE has been demonstrated at a TRL 6. A program may request a waiver from OSD if the maturity provision cannot be met. The statute requires that:", "Every waiver determination must be submitted in writing to the congressional defense committees within 30 days after the waiver request by the program is authorized.", "The milestone decision authority reviews the program not less often than annually until the milestone decision authority determines that the program satisfies all certification and determination components.", "In addition, in 2015 Congress required program acquisition strategies to include a comprehensive approach to risk management, including the consideration of techniques such as technology demonstrations and decision points for disciplined transition of planned technologies into programs or the selection of alternative technologies.", "Recognizing the importance of the TRA to risk management, in 2016, GAO developed a Technology Readiness Assessment Guide. This guide has two purposes: (1) to describe generally accepted best practices for conducting effective evaluations of technology developed for systems or acquisition programs; and (2) to provide program managers, technology developers, and governance bodies with the tools they need to more effectively mature technology, determine its readiness, and manage and mitigate risk. As noted above, we developed the guide by drawing heavily from DOD, DOE, and NASA best practices, terminology, examples, and credible resources, materials, and tools developed and applied by experts and organizations in order to capture the current thinking on technology readiness and maturity. In our guide, we identify criteria for a CTE, namely that it is a technology that is \u201cnew or novel, and needed for a system to meet its anticipated operational performance requirements; or that poses major cost, schedule, or performance risk during design or demonstration\u201d. According to our guide, re-used existing technologies can also become critical if they are being used in a different form, fit, or function\u2014as is the case with the propulsor and coordinated stern."], "subsections": []}]}, {"section_title": "Major Funding Commitments Planned, but Reporting on the Progress of Several Key Immature Technologies Is Not Required", "paragraphs": ["Several key technical efforts remain immature as the Columbia class program moves into its design phase\u2014a practice counter to best practices we have previously identified. These efforts include the integrated power system, nuclear reactor, propulsor/coordinated stern, stern area system, and common missile compartment. While the Navy made progress in some areas\u2014such as prototyping efforts for the missile compartment and nuclear reactor\u2014all of these systems continue to require development and testing to mature them to TRL 7, the point at which GAO\u2019s technology readiness guide considers a technology mature. Any challenges in development could put the program at risk of costing more, taking longer to develop, or jeopardizing the program\u2019s ability to meet its expected performance requirements. However, the Navy identified only two of the submarine\u2019s technologies as \u201ccritical\u201d in the program\u2019s 2015 TRA, thereby underrepresenting the technology risk in the program. Underreporting technical risks can hinder Congress\u2019 and other decision makers\u2019 full understanding of the program\u2019s progress. This is especially important because the Navy has already requested $1.6 billion for advanced procurement and recently awarded the detail design contract. Moreover, there is no requirement that the Navy report to Congress on its progress in developing and testing the technologies until after the program completes its production readiness review in May 2020 after the Navy requests another $8.7 billion in funding for the construction of the lead submarine."], "subsections": [{"section_title": "Several Technologies Remain Immature as Detail Design Begins", "paragraphs": ["Demonstrating Technology Maturity Based on our work on best practices in weapon system acquisitions, we have previously recommended that programs fully mature technologies to TRL 7\u2014versus TRL 6 as required by DOD\u2014prior to passing Milestone B and entering the engineering and manufacturing development phase. TRL 7 represents a major step up from TRL 6, requiring demonstration of an actual system prototype in an operational environment such as in an aircraft, vehicle, or space. We have previously identified that demonstrating technologies in an operational environment provides a higher level of technology understanding and reduces risk prior to starting product development. DOD has historically disagreed with this recommended practice. added that modeling and simulation should be considered appropriate in some cases in lieu of actual prototype testing.", "While the Navy has made progress in reducing technical risks in many areas, such as starting construction of the first CMC, the program (according to the Navy) awarded a detail design contract in September 2017, with several key technologies not yet at a TRL 7.", "The nuclear reactor, IPS, propulsor and coordinated stern, and SAS all have potentially significant effects on design and construction of the Columbia class because they encompass much of the design and physical structure of the submarine. Based on our analysis, we found that IPS, SAS, the propulsor and coordinated stern are not yet at a TRL 7, as depicted in figure 11. The nuclear reactor and CMC are further along in prototyping work but still require testing in an operational environment to achieve a TRL 7.", "If any of these systems do not develop as planned, the Navy and the shipyards could be required to complete some redesign, or, if risks manifest later, they may force costly workarounds or construction rework. In addition, these systems also enable many performance attributes ranging from weapon launch to speed and maneuverability, so performance could be negatively affected. The status of these technologies is discussed in detail below."], "subsections": [{"section_title": "Integrated Power System", "paragraphs": ["According to officials from Naval Reactors, the permanent magnet motor- based electric drive system\u2014a key component of IPS for the Columbia class\u2014is at a TRL 6, below the TRL 7 recommended by our work on best practices. Naval Reactors has yet to develop an IPS prototype that is near or at the planned operational system configuration (integrated and full-size) and has been tested in an operational environment. The Navy has experimented with electric drive technology on submarines in the past with two now-decommissioned nuclear-powered attack submarines, but these submarines used different motor technology than what is planned for the Columbia class, and thus are not representative. The T- AKE 1 Lewis and Clark class of dry-cargo ammunition ships and DDG 1000 Zumwalt class destroyer are current U.S. Navy electric drive ships in operation, but these two systems are somewhat different than what is planned for the Columbia class and neither is powered by a nuclear reactor. The Navy is currently developing the IPS and producing a number of pre-production prototypes.", "Naval Reactors officials told us that they are confident that the IPS will meet requirements based on 20 years of development and testing of the underlying permanent magnet motor technology. They also noted that this technology is proven based on testing of the smaller-scale prototype motor to validate the main propulsion motor design. However, Naval Reactors is still developing and producing the system\u2019s major components. Testing of a full-scale prototype under full power, which we would consider evidence that the technology is mature, is not scheduled to occur until fiscal years 2018-2020. In a land-based test facility, the Navy plans to integrate all the IPS systems in a ship-representative layout. Successful completion of this testing is an important step in mitigating risk. In contrast, the DDG 1000 program only tested its electric drive system at the land based test facility at one-half of the ship\u2019s power generation and electric propulsion system configuration, and as a result performance problems were not discovered until well after installation and when system testing on the ship was run at full power. Thus, the Navy\u2019s planned full-scale prototype testing for Columbia class should prevent a similar experience, since it will test a full-sized and full-power system rather than a partial system."], "subsections": []}, {"section_title": "Nuclear Reactor", "paragraphs": ["According to officials from Naval Reactors, as a result of its statutory mandate, its programs follow a different development process than typical DOD programs and do not use documents typical of other Navy programs, such as an Integrated Master Schedule or a Test and Evaluation Master Plan. Instead, officials from Naval Reactors told us that they use a rigorous process to assess, manage and control technical risk during development and testing to manage its day-to-day technical efforts. Based on descriptions provided by Naval Reactors officials, the Navy has been operating a Columbia-like experimental reactor in a land- based environment for many years to demonstrate some Columbia class submarine systems. Naval Reactors officials said that this experience gives them confidence that the Columbia class reactor will be delivered to the shipyard on time and will meet all requirements.", "Naval Reactors has design and development work remaining before it awards the contract for reactor core production in fiscal year 2019. Naval Reactors budget documentation shows that reactor design work is planned to be 65 percent complete in fiscal year 2018. While we recognize that it would not be realistic to expect Naval Reactors to test the reactor in a submarine to achieve a TRL 7, a completed design would still be required to produce a final configuration to demonstrate technology maturity."], "subsections": []}, {"section_title": "Propulsor/Coordinated Stern", "paragraphs": ["Neither the propulsor nor other related components of the coordinated stern have been demonstrated through testing in a near or planned operational system configuration, a key element for achieving TRL 7. Navy officials told us that the propulsor effort is based on prior experience with propulsors and that it will resemble the Virginia-class propulsor design. However, according to Navy documentation, the propulsor will be different in form, fit, and function than prior propulsors, and the final configuration has yet to be selected or tested. Specifically, the following components require additional design work and testing prior to demonstrating a representative prototype:", "Propulsor: The Navy is working with various partners to refine two different high-level propulsor designs. The program also faced a year delay in completing the first phase of design work, which subsequently delayed large-scale vehicle testing. Further, the Navy still has to complete large-scale prototype testing of different propulsor designs that are being evaluated for an eventual down-select to one vendor for production.", "Propulsor shaft: The system that connects the propulsion to the motors\u2014which the Navy states is similar to shafting systems used on previous submarine classes but with different materials and size and weight\u2014is still in concept and preliminary design phases. Main shaft design development and testing is being performed to select materials and inform design efforts.", "Advanced propulsor bearing: The Navy has yet to complete the preliminary design of the advanced propulsor bearing, with prototype test in a full scale configuration planned to begin in fiscal year 2019. Navy officials told us that they believe that the final design and material selections will exceed the reserved weight and size margins of the shafting or bearing system.", "X-stern: the final X-stern configuration has yet to be tested with a final design propulsor.", "Our assessment of the propulsor and coordinated stern system design indicates that it is not yet mature enough to provide the basis for a prototype in final form, fit, and function\u2014key elements of achieving TRL 7."], "subsections": []}, {"section_title": "Stern Area System", "paragraphs": ["The Navy identified the SAS as a TRL 4 at Milestone B. The preliminary design review for the SAS is planned for March 2018. This review establishes the baseline (hardware, software, human/support systems) and underlying architectures to ensure that the system has a reasonable expectation of satisfying requirements within the current budget and schedule. The critical design review\u2014a technical review that ensures that a system can proceed into fabrication and demonstration and can meet stated performance requirements within cost, schedule, and risk\u2014is not planned until March 2020.", "A TRL 4 represents a relatively low level of maturity compared to the eventual system. At this low level of maturity, there are no assurances that the SAS will work as planned, which would likely result in the Columbia class not meeting certain requirements or in cost and schedule increases. The Navy plans to hold a critical design review for SAS in fiscal year 2019. The Navy has identified existing fleet technologies as backups for two SAS components, but officials noted that if these are used the submarine will not meet current requirements. According to the program office, there is no backup technology for one other SAS component, and, if that element\u2014currently a TRL 4\u2014does not develop as planned, it will be omitted, meaning that the program will lack that capability.", "Specific details of SAS are classified and cannot be included in this report."], "subsections": []}, {"section_title": "Common Missile Compartment", "paragraphs": ["The shipbuilders and the Navy have described CMC as complex to build. The Navy and the two shipyards\u2014with consultation from the United Kingdom, which will also leverage the CMC design on its new SSBN\u2014 have conducted risk-reducing prototyping work and are building a representative CMC to demonstrate production processes. In fact, Columbia class representative missile tubes will be first installed on a United Kingdom submarine, scheduled for mid-2020. The Navy has plans for a robust land-based test procedure for both the missile tubes and the CMC as a system that will provide an operationally similar environment to a submarine; however, this testing has yet to start and will not conclude for several years."], "subsections": []}]}, {"section_title": "The Navy Has Not Appropriately Identified Technologies as Critical, Which Underrepresents the Program\u2019s Technical Risk", "paragraphs": ["While the Navy conducted the 2015 Columbia class TRA in accordance with a DOD-approved plan, it did not follow our identified best practices for identifying all critical technology elements (CTE), resulting in an underrepresentation of the technical risk facing the program. Specifically, the TRA only identified 2 CTEs: the SAS and a carbon dioxide removal system. CTEs are required to be at TRL 6 at Milestone B (the official start of a program). For the Columbia class program, OSD approved Milestone B in January 2017. The Navy received a waiver at Milestone B for the SAS because the system was still immature, as discussed above. The carbon dioxide removal system has matured since the TRA following demonstration on an operational submarine, and no longer requires active risk mitigation efforts.", "We compared the Navy\u2019s 2015 Columbia class TRA to criteria documented in GAO\u2019s TRA Guide and DOD\u2019s own guidance. In doing so, we found that 4 additional key technical efforts\u2014IPS, nuclear reactor, and propulsor/coordinated stern, and the CMC\u2014meet the criteria for a CTE. Since the Navy did not identify these technologies in the TRA, it also did not assign them a TRL. Their exclusion is significant because the 2015 TRA represents a key independent review and technical risk assessment used by DOD to certify to Congress that the Columbia class program\u2019s technologies had been demonstrated in a relevant environment (TRL 6) at Milestone B. Because not all of the CTEs were identified, DOD and Congress lack an important oversight tool for assessing technology maturity and evaluating program risk. Further, this certification is the only required reporting on technology development prior to the Navy requesting authorization for construction of the lead ship. Some of the concerns that we identified are discussed in detail below."], "subsections": [{"section_title": "Conflicting Criteria for Identifying Critical Technologies", "paragraphs": ["The team responsible for preparing the 2015 Columbia class TRA did not identify all appropriate CTEs because it used a more restrictive definition of a CTE than that recommended in our best practices guide and DOD\u2019s 2011 TRA guide. Table 2 compares the criteria in the three sources.", "As reflected in table 2, not only does the Navy\u2019s TRA definition require a technology to meet a number of criteria to be considered a CTE, it also has to be considered a technology development effort. According to the Columbia class program office, the TRA team based this definition on a 2011 OSD AT&L memorandum issued contemporaneously with the 2011 TRA guidance that states: \u201cTRAs should focus only on technology maturity, as opposed to engineering and integration risk.\u201d However, our analysis of this memo found that it also directs programs to use DOD\u2019s TRA guidance and CTE definition, which are broader and more consistent with our definition of a CTE. The 2015 Columbia class TRA does not further define what constitutes a technology development effort, with the Navy applying this as a criterion without defining what the criteria actually meant. Moreover, the TRA does not provide any definition or criteria for what it considers engineering and integration risk. We determined that the Navy under-identified program technical risks because the Navy\u2019s criteria were more restrictive than GAO\u2019s CTE definition."], "subsections": []}, {"section_title": "Several Critical Technologies Not Identified", "paragraphs": ["We further assessed the specific technologies in the Columbia class program against our technology readiness criteria for a CTE, as shown in table 3.", "As shown in table 3, by applying the additional \u201ctechnology development effort\u201d criteria in the 2015 Columbia class TRA, the TRA team eliminated several systems from CTE consideration without criteria or a definition of what constitutes a technology development effort. Some of these systems were previously identified as CTEs in other recent Navy documentation. The TRA team did not identify the nuclear reactor as a CTE because this system is under the cognizance of Naval Reactors and not the Columbia class program office. Officials from Naval Reactors told us that they do not conduct TRAs, but rather follow a different and more iterative process to manage their technology development efforts.", "While the Navy did not identify all of the program\u2019s CTEs as compared with the TRA criteria in our guide, it is tracking these efforts to manage technology risks. For example, 3 of the 4 CTEs we identified are also identified in Navy documents as \u201ckey technical efforts\u201d with active risk mitigation plans. We will continue to track the progress of these efforts in our future work."], "subsections": []}]}, {"section_title": "Required Report to Congress on Technology Efforts Will Not Occur Until after Lead Ship Authorization", "paragraphs": ["As the Columbia class program moves into its detail design and construction phase, it will be more than 2 years before the next requirement for a formal DOD report to Congress on the progress of the technology efforts. This will occur at some point after the program\u2019s Production Readiness Review is completed in May 2020. In the meantime, the Navy plans to request another $8.7 billion (in addition to the $1.6 billion already requested) for lead ship construction. If a typical budget schedule is followed, this request will come before Congress in February 2020. The Navy plans to begin construction of the lead submarine starting in fiscal year 2020. Congress will be asked to approve lead ship construction absent key information on the maturity of the critical technologies that, at present, are not up to the maturity levels that would provide assurance they will work as intended. Without additional updates on the progress of technology maturity between now and 2020, we believe Congress will not have information it needs to evaluate technical risk in advance of the Navy\u2019s requests for considerable increases in program funding. As previously discussed, there is currently no DOD requirement to submit such reports to congressional oversight committees."], "subsections": []}]}, {"section_title": "The Navy Plans to Leverage Completed Design to Mitigate Aggressive Schedule, but Ongoing Technology Development Likely to Undermine This Goal", "paragraphs": ["The Navy is prioritizing design completion before starting construction, which is a good practice that is in accordance with our work on best practices because it helps reduce cost and schedule challenges in construction. However, since some of the key technologies are not fully matured, detail design work is proceeding with notional or placeholder data representing these key systems. As a result, the design will likely remain immature once construction starts in fiscal year 2021. We have previously reported that concurrency of technology development and design increases the risk of design rework\u2014or having to make modifications to design drawings to accommodate any changes needed as a result of technologies changing size, shape, or weight as they mature\u2014and potentially can result in negative cost and schedule impacts. Further, the Navy faces an aggressive production schedule in order to deliver the lead submarine by fiscal year 2031, which will be required to prevent a gap in U.S. nuclear deterrent capabilities. According to our analysis of previous submarine program schedules, the Columbia class program\u2019s schedule is aggressive in its expected short duration to build the lead submarine. The program office intends to mitigate this schedule challenge, in part, by starting construction of portions of the submarine earlier than initially planned. If this early construction occurs and the Navy does not alter design plans, construction of some parts of the lead submarine could outpace a finalized design for developing other components, which increases the risk of rework during construction and could further delay completion."], "subsections": [{"section_title": "Consistent with Best Practices, Program Has Prioritized Design Completion, but Immature Technologies May Compromise Design Maturity", "paragraphs": ["The Columbia class program is prioritizing a high level of design completion prior to the start of construction of the lead submarine of the class. The program plans to complete 100 percent of design arrangements and 83 percent of design disclosures prior to the start of construction of the lead submarine. In our 2009 report on best practices in shipbuilding, we identified design maturity as important step in reducing cost and schedule risk. As such, we recommended that the design be stabilized through completion of basic and functional design and 3D product modeling prior to the start of construction for a new ship. Because, as mentioned previously, the Navy defined design arrangements on the Columbia class program as being equivalent to basic and functional design, having 100 percent of the arrangements completed prior to the start of Columbia class construction would meet the intent of our prior recommendation.", "Further, our analysis found that the Columbia class program\u2019s planned level of design completion prior to starting construction is much higher than most recent Navy shipbuilding programs. For example, the Virginia class attack submarine program started construction with only 43 percent of the design complete compared with a planned 83 percent completion for the Columbia class. The Columbia class program also plans to have a 52 week buffer between the completion of design for an area of the submarine and the start of construction on that area, which is intended to allow time to address any challenges that may arise and thus minimize schedule delays. Additionally, the Navy plans to have all components fully developed 8 months before they are required in the shipyard, which will provide some additional schedule buffer to address challenges before the components are actually needed for construction.", "To facilitate design completion, the Navy made a commitment at the start of the program to set realistic and reasonable requirements and to keep those requirements stable throughout the program. This approach is also in keeping with our previously identified best practices, which highlight the importance of demonstrating balance among program requirements, technology demands, and cost considerations. The Columbia class program has not had any significant requirements changes since DOD\u2019s Joint Requirements Oversight Council validated the Capability Development Document in 2015. Setting realistic and reasonable requirements also permitted the Navy and shipyards to reuse some design elements for components of the submarine that are similar in design and function to the Virginia class instead of requiring new design work. Similarly, the program has worked to keep stable ship specifications to minimize design disruptions.", "The technical specifications for the ship have been set since 2014, and the program manager maintains personal visibility and accountability over any proposed deviations or changes to the specifications. According to the program manager, to date there have been minimal changes made to the technical baseline. These steps help to minimize design rework that can be caused by changing requirements, as was seen on the Littoral Combat Ship program, and that can lead to cost increases or scheduled delays. The program has also conducted some prototyping efforts\u2014 including building representative portions of the submarine to demonstrate that its design tool can send the correct information to the shop floor to build the ship\u2014and has plans for more.", "However, based on our analysis of the program\u2019s current technology development plan and status, it is unlikely that the Navy\u2019s planned 83 percent of design disclosures will be finalized at the time construction begins for the lead ship in 2021. Similar to many shipbuilding programs, the Columbia class program plans to continue to mature technologies into their final form while detail design is underway. As we have previously reported, to offset this risk, shipbuilding programs, including the Columbia class, often include design \u201creservations\u201d for space, weight, power, cooling, and other key attributes to reserve a footprint for components. As contractors or government employees develop and refine technologies or systems, they provide vendor furnished information (VFI) or government furnished information (GFI) to the shipyards to update the design. Completion of the detail design of the submarine\u2014and subsequent achievement of design stability to support a properly sequenced construction phase\u2014requires shipbuilders to have final information on the form and fit of each system that will be installed on the ship, including the system\u2019s weight and its demand for power, cooling, and other supporting elements.", "As development proceeds on a new technology, initial assumptions about size, shape, weight, and power and cooling requirements can change, potentially significantly. These changes in VFI or GFI\u2014if not resolved early in the design phase\u2014can introduce considerable volatility to the design process for a lead ship. As such, in our May 2009 report, we recommended that, to attain the level of knowledge needed to retire design risk and reduce construction disruptions, complete\u2014versus notional\u2014VFI or GFI must be incorporated for the design to be truly stable. DOD concurred with this recommendation. We have previously reported that other Navy programs have run into difficulties, including out- of-sequence or more costly construction work, when space, weight, power, and cooling reservations are based on immature or ill-defined technologies or components that have changed in size, weight, or other attributes when they are finalized. Ramifications from such changes can ripple through much of the ship design. For example, we reported in 2009 that during construction of the Seawolf-class attack submarine, the AN/BSY-2 combat system did not fit into the space and weight reservations that the Navy had allocated within the submarine\u2019s design. As a result, a portion of the submarine had to be redesigned at additional cost.", "However, the Navy has entered the detail design phase for the Columbia class with incomplete technical data on several key components that are either significant in size relative to the submarine or spread throughout a number of spaces of the submarine. These components include IPS, the nuclear reactor, the propulsor and coordinated stern, and SAS. This situation is problematic because even if the Columbia class design is 83 percent complete, if it contains many reservations for systems that are not fully developed the design will continue to be immature and subject to change. Thus, the 83 percent completion metric may be somewhat meaningless since elements of the design are uncertain and could change because of the incomplete technology development efforts.", "As shown in figure 12, the Columbia class program has entered the detail design phase with a number of technologies still in development or design finalization, which means that the VFI/GFI for these systems are not yet final. This figure also depicts our recommended knowledge points for shipbuilding programs, which align with contract award for detail design and the start of lead ship construction. The concurrency depicted between phases could be further exacerbated if the Navy pursues plans to start construction of some components early.", "As is shown in figure 12, the Navy plans to continue technology development while executing detail design; this concurrency may potentially extend through construction if the Navy pursues its plans for early construction. For example, the Navy and the shipyards are currently designing the stern of the submarine\u2014with 95 percent of stern arrangements planned to be complete by December 2017\u2014but the final configuration of the propulsor has yet to be determined. As currently planned, the Navy will not complete prototype testing until the third quarter of fiscal year 2020, and development and design of the SAS is planned to continue until the end of fiscal year 2021\u2014almost a year after the start of lead ship construction. The Navy believes it is managing this stern risk by controlling the interfaces through an Interface Control Document that identifies set design constraints. According to Navy officials, all aspects of the propulsor design that could impact the overall ship design such as size, weight, and arrangements of major sub- assemblies of the propulsor are already finalized, and that the systems are currently tracking to the reservation allowances. However, until a final representative prototype is tested as a system, the possibility of design changes and broader design impacts remains. Although the Navy plans to have arrangements for the stern 100 percent complete at construction start, the VFI or GFI for these important systems will not be finalized until later after these systems finish development.", "Additionally, the electric drive of IPS has already experienced manufacturing problems that could compromise its ability to meet its schedule if further challenges arise. According to Naval Reactors officials, a manufacturing defect was identified in February 2017 that affected the assembly of the first production-representative propulsion motor intended for installation in the land-based test facility to prove out the integration of all the electric drive components. The officials explained that the vendor responsible for the motor is in the process of repairing the defect\u2014a process that will take up to 9 months to complete. As a result, Naval Reactors is now executing a schedule recovery plan to regain some schedule margin. Part of this plan involves using a smaller scale prototype motor in initial land-based test facility testing to prove out system integration. This plan means that initial full-scale system testing will be conducted with a different motor, albeit one with the same electromagnetic properties. Further, this delay will leave less margin to account for any unexpected challenges encountered in developmental testing."], "subsections": []}, {"section_title": "Aggressive Construction Schedule for Lead Submarine Unprecedented", "paragraphs": ["The Columbia class program has an aggressive schedule to deliver the lead submarine in time to begin patrols in fiscal year 2031. The Navy plans for 84 months, or 7 years, to build the lead submarine. While imperatives associated with our nation\u2019s nuclear deterrent are driving this planned schedule, our analysis shows that it is significantly shorter than what the Navy has achieved on any recent lead submarine construction effort\u2014including during high levels of Cold War submarine production. The Navy expects that the Columbia class will be built in the same timeframe as was planned for the lead Virginia class submarine\u2014a submarine that is one and a half times smaller and has less estimated construction man hours than the Columbia class. Figure 13 shows the estimated and actual timeframes for constructing prior lead submarines as compared with the 84 month estimate for the Columbia class lead submarine.", "Further, there are industrial base implications to this aggressive schedule. The Navy and the two shipyards will be trying to attain this level of unprecedented schedule performance with the lead submarine while the shipbuilders are also starting work on the first few Virginia class submarines built in a new Block V configuration. Virginia class program officials told us that the ramp-up to building two attack submarines per year has resulted in recent cost and schedule growth at the shipyards. The addition of Block V and Columbia-class will likely create additional schedule pressures with the increase in workload required to build those submarines compared with non-Block V version submarines.", "In an effort to mitigate the risks associated with its aggressive delivery schedule, the Navy is planning to start construction of a number of parts of the structure of the lead submarine years earlier than the date of lead ship authorization in fiscal year 2021. This plan, called advanced construction, would use expanded acquisition authorities provided by Congress in the National Sea-Based Deterrence Fund. The Navy and its shipbuilders intend to start construction as early as 2019 on numerous areas of the submarine\u2019s structure. Specifically, the Navy and shipyards plan to start building the stern, bow and missile command and control module as early as 6 months before fiscal year 2021, citing the disruptive effects of delays to these three \u201csuper-modules\u201d that are also critical to ensuring an on-time delivery. These super-modules also comprise vital areas of the submarine, including the CMC, IPS and the coordinated stern. The shipyards have proposed moving 500,000-600,000 labor hours of construction work to before ship authorization. Figure 14 shows the super-modules of the submarine that the Navy plans to start early.", "However, the Navy has yet to finalize or fund the approach for this type of early work. Starting construction early for the lead and follow submarines provides schedule relief to the Navy and shipbuilders, but these plans may further exacerbate the existing overlap of technology development and design and construction, which was discussed above. Moving construction earlier could challenge the Navy\u2019s goal to have all components developed 7 months before they are required in the shipyard. Further, the shipbuilders acknowledge that early construction plans will result in increased overlap between various stages of design activities in certain areas, including the bow and stern. If Congress funds the Navy\u2019s plans to fund advanced construction work, this incomplete VFI/GFI situation will likely be worsened and could disrupt the optimal build strategy.", "We have previously reported that programs starting construction of the lead ship of a class without a mature, stable design has been a major source of cost growth and schedule delays in Navy programs. We have also reported that when a schedule is set that cannot accommodate program scope, delivering an initial capability is often delayed and higher costs are incurred because problems typically occur that cannot be resolved within compressed, optimistic schedules. The Navy\u2019s Columbia class plans put the program at risk of cost and schedule growth. However, its options for reducing concurrency are, at this point, limited due to the schedule imperatives driven by the lead ship patrol deadline."], "subsections": []}]}, {"section_title": "Columbia Class Is Not Funded Adequately to Address Program Risks", "paragraphs": ["Our analysis determined that it is more likely than not that the Columbia class program will exceed the Navy\u2019s $128 billion (then-year dollars) estimate of total acquisition cost to which the program will be funded. Specifically, the program\u2019s 2017 Milestone B cost estimates are optimistic because they do not account for a sufficient amount of program risk due to ongoing technology development, as well as the likely costs to design and construct the submarines. In addition, the Navy has budgeted the program to a confidence level for the program that is lower than what experts recommend, with a particularly optimistic estimate for the lead ship. While there may be situations when this would be appropriate, this is not the case for the Columbia class program due to the technical and design risks that we identified above. As a result, program costs will more likely than not exceed requested funding, particularly for lead ship construction. Due to the significant level of funding required for this program, even a small percentage of cost growth could have far-reaching consequences on the Navy\u2019s long-range plans to fund construction of its future fleet. For this review we conducted an initial analysis of the Navy\u2019s cost estimate but did not assess if it was conducted in accordance with all of the best practices identified in our cost estimating guide. We plan to more fully assess the Navy\u2019s life-cycle cost estimate for the entire Columbia class, including the program\u2019s risk analyses, in future work."], "subsections": [{"section_title": "Confidence Levels and the Navy\u2019s Estimate", "paragraphs": ["Confidence Levels A confidence level is stated as a percentage depicting the probability that the program\u2019s cost will actually be at some value or lower, calculated after conducting a risk analysis to identify and quantity program risks and determine the effects of these risks on its point estimates.", "From early on, the Navy recognized the need to control costs for the Columbia class. In fact, the program\u2019s cost estimates have decreased significantly since the program\u2019s inception due to Navy decisions early in the program to trade off some capabilities and the incorporation of updated actual cost data from the continued procurement of Virginia class submarines. At Milestone B, OSD determined that Columbia class procurement costs had fallen almost 40 percent since the program\u2019s original estimate. However, while the Navy did conduct a risk analysis for its recent Columbia class cost estimates, the confidence level of the Navy\u2019s estimate at Milestone B for acquisition of the entire class is 45 percent. This means that it is more likely than not that actual costs to research, develop, and buy the submarines will exceed the Navy\u2019s $128 billion estimate.", "This situation is particularly apparent at this point with regard to costs to design the class and build the lead submarine. Any difficulties in ongoing technology development efforts would likely worsen the picture. At Milestone B, the Navy\u2019s point estimate to develop the technologies, design the class, and build the lead Columbia was at a 43 percent confidence level.", "Experts agree that programs should be budgeted to at least the 50 percent confidence level, but budgeting to a higher level (e.g., 70 to 80 percent, or the mean) is a common practice to cover increased costs resulting from unexpected design complexity and technology uncertainty, among other things. Navy cost guidance recommends using the \u201crisk adjusted mean\u201d for the cost for the program, which usually lies between 50 and 60 percent. If the Navy budgeted to an estimate at a higher confidence level like the risk adjusted mean, its Milestone B point estimates\u2014meaning the selected estimate of cost\u2014would be higher, reducing the probability of overruns occurring. According to Navy cost analysts, the program\u2019s total acquisition cost, which the Navy estimated at Milestone B at $128 billion (then-year dollars), would exceed $131 billion (then-year dollars) at 50 percent confidence, which is the bottom range of the risk adjusted mean confidence level."], "subsections": []}, {"section_title": "Cost Growth Potential Based on the Navy\u2019s Estimate", "paragraphs": ["Even if the Navy budgeted to the 90 percent\u2014a \u201cworst-case\u201d scenario where significant programmatic challenges are realized and the probability of cost overruns is low\u2014confidence level, Columbia class lead ship costs would not be dissimilar to cost outcomes on other lead ship programs. We have observed in prior work that cost growth for recent lead ships across the Navy\u2019s shipbuilding portfolio is 28 percent on average. For example, the Navy\u2019s lead Virginia class submarines (SSN 774 and SSN 775)\u2014the most similar class to Columbia in terms of technology and component development as well as aspects of its design and build plans\u2014experienced 15 and 24 percent budget growth respectively, with average cost growth of 28 percent for the three most recent lead submarines (see figure 15).", "The 28 percent cost growth we have observed is slightly more than the 22 percent cost increase between the Navy\u2019s point estimate and the 90 percent confidence level, meaning that even if the Navy budgeted the program to the 90 percent confidence level there would still be historical shipbuilding precedence for further cost growth. In particular, if costs to build the lead Columbia class submarine grow similar to the lead Seawolf and Virginia class submarines, the cost to construct the submarine would exceed the Navy\u2019s Milestone B estimate by more than $2.5 billion. This would represent a total approaching $12 billion (then-year dollars) versus the current estimate of $9.2 billion for the lead submarine. Due to the magnitude of the Columbia class program\u2019s expected cost, any cost growth, including for design and construction of the lead ship could impact the availability of funds for other Navy priorities.", "The Congressional Budget Office (CBO) and CAPE also analyzed Columbia class program costs. CBO predicted higher costs than the Navy estimate. In its 2017 assessment of the Navy\u2019s long-term shipbuilding plans, CBO concluded that the Navy underestimated the cost of the total Columbia class procurement by $8 billion (2017 dollars).", "CAPE estimated a lower cost, but also identified areas where reliable cost data were unavailable. The independent cost estimate prepared by CAPE in support of the program\u2019s Milestone B reflects a 3 percent lower total program life-cycle cost (2017 dollars) than the Navy estimate. In setting the program baseline in January 2017, DOD pragmatically opted to use the Navy\u2019s higher estimate ($7.3 billion) instead of CAPE\u2019s $7 billion estimate for the average unit cost to procure a Columbia class submarine (calendar year 2017 dollars). According to CAPE officials, this difference in estimates is largely due to CAPE incorporating more recent Virginia class actual cost data into its estimate than the Navy. However, CAPE also identified that there is a lack of reliable cost data on some contractor- furnished materials and government furnished equipment (GFE) for the Columbia class program, which limited the quality of the estimate. GFE comprises critical areas of the Columbia class submarine, including the strategic weapon system managed by Strategic Systems Program and the IPS developed by Naval Reactors."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Columbia class submarine will be a significant DOD acquisition for the next several decades due to cost and mission importance in guaranteeing the nation\u2019s strategic deterrence. Failure to meet the aggressive patrol dates required of the program could challenge the Navy in effectively meeting strategic patrol requirements, and not delivering the required level of performance could compromise the Navy\u2019s plan to operate this class through 2080.", "Given the risks facing the program and the significance of potential delays or cost growth, we believe this program warrants increased attention to and scrutiny over what we consider to be its critical technologies (inclusive of the program\u2019s stated technology development efforts), several of which remain immature. Specifically, technologies such as IPS and the propulsor and coordinated stern demand more specific congressional visibility to ensure they stay on track. These areas also warrant specific assurances from the Navy that they will be delivered on time and will perform as required. This assurance could augment the Milestone B certifications which were predicated on a TRA that was not representative of the technical risk facing the program. Further, such information would help bolster confidence for Congress that the program technologies will be matured in time to support construction, which is especially important as the Navy pursues plans to start construction of the lead ship early. Without putting in place a requirement for the Navy to provide these assurances on a periodic basis, Congress will not have the information until after the Navy has asked for another $8.7 billion in funding for lead ship construction. It is also important for Congress to be informed of the impact on performance requirements if technologies are delayed or fail to mature as planned.", "The Columbia class program is also facing risks from its aggressive and concurrent schedule as a result of the continued and pressing need for it to meet the Navy\u2019s nuclear deterrent requirements as the legacy submarine fleet that cannot be life extended any longer. Typically addressing risks of such concurrency is accomplished by, among other things, delaying milestones until more knowledge is obtained. Doing so helps reduce concurrency and bring more stability to the design before construction activities begin. Recognizing the mission imperatives that are driving Columbia class\u2019s aggressive and concurrent schedule it is unlikely that the Navy will have the ability to slow the pace of the program in order to reduce cost and schedule risk. Therefore, additional reporting to decisionmakers on the status of key technologies could help ensure they fully understand the risks of such an approach and account for such risks when making programmatic decisions."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["In our draft report we had suggested a matter for congressional consideration related to additional Navy reporting on the Columbia class technologies, but we have since removed it because the recently passed National Defense Authorization Act (NDAA) for 2018 includes Navy reporting requirements for the Columbia class program that would achieve the intent of our matter."], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this product to DOD for comment. The Navy provided technical comments earlier in the review process which we incorporated where appropriate. In its written comments, reproduced in appendix III, DOD\u2019s position was that there is not a need for additional congressional reporting on the Columbia class program because there are new reporting requirements in the conference report accompanying the NDAA for fiscal year 2018. We agree that the reporting requirements in the section 231 of the NDAA for Fiscal Year 2018 meet the intent of our matter for congressional consideration. These new reporting requirements for the Navy became law on December 12, 2017, after we sent the report to DOD and appropriate congressional committees. We agree that the reporting requirements meet the intent of our matter for congressional consideration. Accordingly, we have removed our matter from this report.", "In addition, DOD also disagreed with our characterization of technical risks facing the Columbia class program and its TRA. Specifically, DOD stated that the program is meeting statutory and DOD maturity standards and met or exceeded DOD technology maturity requirements. DOD also stated that the program\u2019s TRA was conducted in accordance with a 2011 DOD policy memo that directed TRA\u2019s should focus only on \u201ctechnology maturity, as opposed to engineering and integration risk.\u201d However, neither this policy memo nor the Columbia class TRA define what constitutes engineering and integration risk and it is unclear what criteria the Navy used in making these determinations. Our report acknowledges that DOD followed statutory and DOD requirements for the two technologies that the Navy identified as critical technologies in the program\u2019s TRA. However, our report also identifies several other technologies that we believe should have also been subject to these requirements had the Navy conducted a TRA in accordance with our identified best practices. By applying our identified best practices, we believe these efforts would have been considered critical technologies and would have been subject to an evaluation of technology maturity levels, additional reporting requirements and, potentially, identification of additional risk mitigation efforts.", "DOD also disagreed with our criteria for identifying a critical technology and assessing maturity. DOD asserted that applying our criteria would result in nearly every system on a submarine becoming a critical technology. We disagree. Our criteria are consistent with DOD\u2019s own criteria for identifying critical technologies, and only focus on those that are most significant to a program. Given the program\u2019s cost and schedule risks and operational imperatives, we believe that appropriately identifying the critical technologies is an important step in acknowledging and mitigating program risk. DOD also stated that achieving a TRL 7 by milestone B would be unrealistic because of the difficulties in testing some systems in an operational environment prior to launching the submarine. We agree that in some cases testing at sea is not practical and testing in a relevant environment may be sufficient to demonstrate maturity. However, achieving a TRL 7 is not only based on the test environment; it is also based on demonstrating a prototype near or at the planned operational system configuration, which requires a design resembling the final configuration. The Columbia class program has yet to complete this type of prototype for the key systems we identified. As we stated in the report some systems, like the propulsor, do not yet have a final design. While we do not expect the Navy to test every critical technology on a submarine at sea to demonstrate maturity, we would expect testing of a prototype near or at the planned operational system configuration prototype in a relevant environment. For example, prototype testing of the electric drive at a land-based test facility would demonstrate maturity\u2014but is not planned for several years\u2014well after the submarine\u2019s design and potentially construction is underway. While such concurrency introduces cost, schedule and technical risk, we have previously reported that programs may choose to move forward with these risks, but should acknowledged and appropriately resource the program to address the risks should they materialize. As we stated in the report, this is not the case for the Columbia class program: some risks have not been properly identified and the cost estimate does not fully account for the margin of technical and schedule risks facing the program.", "DOD also provided a table of Columbia class practices, reprinted with our comments in appendix III.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense, the Secretary of the Navy, and other interested parties. This report will also be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact me at (202) 512-4841 or oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to the report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the status of key Columbia class technologies and congressional reporting requirements on this status, (2) risks, if any, with the Navy\u2019s planned approach for design and construction, and (3) whether expected funding levels for the Columbia class will be adequate moving forward.", "To assess the status of key Columbia class technologies, we reviewed the Navy\u2019s technology development plan and the planned technical approach and the status of key prototyping efforts to all of the systems that comprise the program, focusing on the technology readiness level of the major components that are key to enabling program success and that are key cost and schedule drivers. We also compared technology development efforts with program requirements and with GAO\u2019s identified best practices for shipbuilding programs. We also evaluated the program\u2019s Technology Readiness Assessment, which included applying the GAO-developed criteria documented in GAO\u2019s Technology Assessment Guide. GAO\u2019s guide draws heavily from the Department of Defense (DOD), Energy (DOE), and National Aeronautics and Space Administration (NASA) best practices, and establishes a methodology based on those best practices that can be used across the federal government for evaluating technology maturity, particularly as it relates to determining a program or project\u2019s readiness to move past key decision points that typically coincide with major commitments of resources. We also interviewed relevant officials from the Navy\u2019s Columbia class submarine program office; the Office of the Chief of Naval Operations- Undersea Warfare; Naval Sea Systems Command Naval Nuclear Propulsion Program; Navy Strategic Systems Program; Naval Undersea Warfare Center Newport; Naval Surface Warfare Center Carderock Division; Office of the Secretary of Defense (OSD) Director Operational Test and Evaluation; OSD Acquisition, Technology, and Logistics (AT&L); OSD Cost Analysis and Program Evaluation (CAPE); and the prime contractor shipyard General Dynamics Electric Boat and their sub- contractor Huntington Ingalls Industries Newport News Shipbuilding. To determine the congressional reporting requirements on this status we reviewed relevant DOD acquisition instructions and statute.", "To assess the risks, if any, with the Navy\u2019s planned approach for design and construction, we compared the status of design maturity with Navy and shipyard plans to identify any delays, and compared planned design maturity and schedule projections with those of prior U.S. submarine efforts (the Virginia, Seawolf, and Ohio classes) to assess realism of Columbia class estimates. We also interviewed and analyzed available documentation from Naval Reactors (NAVSEA 08) related to nuclear reactor and Integrated Power System status. We also interviewed relevant officials from the Navy\u2019s Columbia class submarine program office; Naval Sea Systems Command Naval Nuclear Propulsion Program; Naval Surface Warfare Center Carderock Division, and the prime contractor shipyard General Dynamics Electric Boat and their sub- contractor Huntington Ingalls Industries Newport News Shipbuilding. We also assessed the Navy\u2019s acquisition strategy and the Integrated Enterprise Plan that tracks shipyard workload across the Columbia and Virginia class submarines and the Ford class aircraft carrier to identify any factors related to potential schedule challenges.", "To assess whether expected funding levels for the Columbia class will be adequate moving forward, we compared program cost estimates prepared at Milestone B to historical data on lead ships and submarine estimates and actuals to assess the realism of these requirements. We also analyzed program documentation to identify risk factors, if any, related to cost projections, including the program\u2019s Independent Cost Estimate created by the OSD Cost Analysis and Program Evaluation, and the Navy\u2019s Service Cost Position and Program Life Cycle Cost Estimate. This evaluation leverages, among other things, prior GAO work on cost estimating and the Navy\u2019s acquisition of lead ships.", "We also interviewed relevant officials from the Navy\u2019s Columbia class submarine program office; the Office of the Chief of Naval Operations- Undersea Warfare; Naval Sea Systems Command Naval Nuclear Propulsion Program; Naval Undersea Warfare Center; Naval Surface Warfare Center Carderock Division; OSD Director Operational Test and Evaluation; OSD AT&L; CAPE; and the prime contractor shipyard General Dynamics Electric Boat and their sub-contractor Huntington Ingalls Industries Newport News Shipbuilding.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Department of Defense Technology Readiness Levels", "paragraphs": ["Appendix II: Department of Defense Technology Readiness Levels Description Lowest level of technology readiness. Scientific research begins to be translated into applied research and development (R&D). Examples might include paper studies of a technology\u2019s basic properties.", "Invention begins. Once basic principles are observed, practical applications can be invented. Applications are speculative and there may be no proof or detailed analysis to support the assumptions. Examples are limited to analytic studies.", "Active R&D is initiated. This includes analytical studies and laboratory studies to physically validate the analytical predictions of separate elements of the technology. Examples include components that are not yet integrated or representative.", "Basic technological components are integrated to establish that they will work together. This is relatively \u201clow fidelity\u201d compared with the eventual system. Examples include integration of \u201cad hoc\u201d hardware in the laboratory.", "Fidelity of breadboard technology increases significantly. The basic technological components are integrated with reasonably realistic supporting elements so they can be tested in a simulated environment. Examples include \u201chigh-fidelity\u201d laboratory integration of components.", "Representative model or prototype system, which is well beyond that of TRL 5, is tested in a relevant environment. Represents a major step up in a technology\u2019s demonstrated readiness. Examples include testing a prototype in a high-fidelity laboratory environment or in a simulated operational environment.", "Prototype near or at planned operational system. Represents a major step up from TRL 6 by requiring the demonstration of an actual system prototype in an operational environment (e.g., in an aircraft, in a vehicle, or in space.", "Technology has been proven to work in its final form and under expected conditions. In almost all cases, this TRL represents the end of the true system development. Examples include developmental test and evaluation of the system in its intended weapon system to determine if it meets design specifications.", "Actual system proven through successful mission operations.", "Actual application of the technology in its final form and under mission conditions, such as those encountered in operational test and evaluations. Examples include using the system under operational conditions."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["DOD also provided the above table of Columbia class practices. These practices align with GAO\u2019s identified best practices in shipbuilding\u2014stable requirements, design maturity at construction start, and manufacturing readiness. However, we have several observations on the DOD\u2019s statements: Stable Operational and Technical Requirements:", "We have previously identified maintaining stable requirements as a best practice; in this report we note that the Navy has provided a stable basis for the Columbia class program by adhering to this practice.", "High Design Maturity at Construction Start:", "While we give credit to the program for striving for a high level of design maturity at construction start for the Columbia class program, we identify in this report that we have concerns about the Navy\u2019s ability to stabilize design drawings while technology development continues.", "As we point out in this report, we are concerned with the maturity of the Columbia class design due to the unknowns with key technologies. In this table the Department identifies that the program is leveraging proven Virginia class technology for the propulsor, which it identifies as a TRL 9. Although this technology is indeed mature in the context of Virginia class submarines (i.e., not new or novel), it is nevertheless novel in the context of Columbia class submarines and should thus be considered a CTE to be evaluated and risk managed. As such, we dispute the Navy\u2019s assertion that the Virginia class propulsor is TRL 9 in the context of the Columbia class program, since the Navy has yet to complete a design for the propulsor nor has it tested a production representative prototype, which would achieve a TRL 6 or 7 (depending on the test environment).", "Manufacturing and Construction Readiness:", "We have not conducted adequate work in this area to comment on DOD\u2019s statements of manufacturing and construction readiness; we plan to address this in future work.", "Aggressive Action to Reduce Costs:", "While the Navy has made significant progress in reducing potential costs for the Columbia class program, we believe that the risks identified in this report, coupled with the optimistic cost estimate and aggressive schedule, could result in cost growth that reduces the actual savings identified by the program."], "subsections": []}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition the contact name above, the following staff members made key contributions to this report: Diana Moldafsky, Assistant Director; C. James Madar; Jacob Leon Beier; Brian Bothwell; Herb Bowsher; Kurt Gurka; Stephanie Gustafson; Tim Persons; and Robin Wilson."], "subsections": []}]}], "fastfact": ["Getting the first Columbia class submarine out on patrol by 2031 is essential to maintain an important U.S. nuclear capability. But doing so will be challenging and expensive\u2014over $267 billion to develop, buy and operate 12 submarines.", "We found that:", "Several technologies critical to Columbia class performance need more development and testing; and,", "Starting to design and build vessels before technologies are proven can lead to increased costs and schedule delays.", "We had suggested that Congress consider requiring additional reporting on these technologies but, before this report issued, legislation passed that did so."]} {"id": "GAO-18-615", "url": "https://www.gao.gov/products/GAO-18-615", "title": "Reported Injuries to U.S. Personnel in Cuba: State Should Revise Policies to Ensure Appropriate Internal Communication of Relevant Incidents", "published_date": "2018-07-30T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["U.S. diplomats and their families in Havana, Cuba, were affected by incidents that were associated with injuries, including hearing loss and brain damage. Over State has reported that over 20 U.S. diplomats and family members in Havana have suffered from medical conditions believed to be connected to the incidents, which began in late 2016 and have continued into 2017. By law, State is generally required to convene an ARB within 1260 days of incidents that result in serious injury at, or related to, a U.S. mission abroad, but the Secretary of State can determine that a 60 day extension is necessary. According to State's policy, M/PRI is responsible for initiating and leading State's ARB incident vetting process.", "This report is part of a broader request to review State's response to the incidents in Cuba. In this report, GAO examines the extent to which State's ARB policy ensures that M/PRI is made aware of incidents that may meet the ARB statute criteria. GAO analyzed relevant federal laws, State policies, and other State documents. GAO also interviewed cognizant State officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State's (State) Accountability Review Board (ARB) policy does not ensure that the responsible office\u2014State's Office of Management Policy, Rightsizing, and Innovation (M/PRI)\u2014is made aware of incidents that may meet the ARB statute criteria, such as those that occurred in Cuba and were associated with injuries to U.S. personnel. According to State policy, as soon as M/PRI becomes aware of potentially qualifying incidents, M/PRI will start the process for considering whether the incident warrants an ARB. M/PRI relies on informal communication to identify potentially qualifying incidents to begin the vetting process because State does not have a policy, procedure, or process for internal communication of such incidents to M/PRI, according to State officials and GAO analysis. As illustrated in the figure below, other State entities began responding to the incidents in early 2017, but M/PRI was not made aware of the incidents until mid-August 2017, when a former M/PRI official contacted the office after seeing media reports. If M/PRI is not aware of incidents, it cannot initiate State's ARB incident vetting process. This situation puts State at risk of not meeting statutory time frames for convening an ARB and could result in State being less able to improve security programs and practices at other U.S. diplomatic posts. Standards for Internal Control in the Federal Government call for internal communication to achieve the entity's objectives and note that management should document responsibilities through policy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State revise its policies to define responsibilities for internal communication to M/PRI of relevant incidents. State concurred with GAO\u2019s recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["In late 2016, U.S. government personnel and their families in Havana, Cuba, began reporting incidents associated with acoustic or sensory phenomena. These individuals suffered serious injuries, including brain damage and hearing loss, however the cause of the injury has not been determined. The Department of State (State) reported that over 20 U.S. personnel and family members in Havana have suffered from medical conditions believed to be connected to the incidents. On September 29, 2017, State ordered the departure of non-emergency personnel assigned to the embassy and their family members to minimize the number of U.S. diplomats at risk of exposure to harm. In June 2018, the Secretary of State noted that the precise nature of the injuries and the cause had not yet been established. State is generally required by law to convene an Accountability Review Board (ARB) within a specified time period after the occurrence of an incident that results in serious injury, loss of life, or significant destruction of property at, or related to, a U.S. mission abroad. An ARB seeks to determine accountability for such incidents and promote and encourage improved security programs and practices at U.S. missions abroad.", "As part of a broader request, you asked us to review the process by which State convened an ARB in response to the incidents in Cuba. This report examines the extent to which State\u2019s ARB policy ensures that the Office of Management Policy, Rightsizing, and Innovation (M/PRI) is made aware of incidents that may meet the ARB statute criteria. To address our objective, we analyzed relevant federal laws and State policies, including the Foreign Affairs Manual (FAM) and Foreign Affairs Handbooks, to understand State\u2019s responsibilities in convening an ARB and how State\u2019s components are organized and directed to implement the law. In addition, we analyzed internal State communications\u2014such as diplomatic cables\u2014and congressional testimony by State officials on these incidents for information about the timeline of the incidents, State\u2019s response to the incidents, and when various State entities became aware of the incidents. We also interviewed cognizant officials in State\u2019s Bureau of Diplomatic Security (DS); Bureau of Medical Services (MED); Bureau of Western Hemisphere Affairs (WHA); Office of the Under Secretary of State for Management; Office of Foreign Missions; M/PRI; and Crisis Management and Strategy (CMS) in the Executive Secretariat.", "We conducted this performance audit from March 2018 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "U.S. Law Requires State to Convene an ARB after Certain Types of Incidents", "paragraphs": ["Federal law generally requires the Secretary of State to convene an ARB not later than 60 days after the occurrence of an incident that resulted in serious injury, loss of life, or significant destruction of property at, or related to, a U.S. mission abroad unless the Secretary determines the incident clearly involves only causes unrelated to security. This time period can be extended for an additional 60-day period if the Secretary determines that the additional period is necessary for the convening of the board. Whenever the Secretary convenes an ARB, the Secretary shall promptly inform the Chairman of the Committee on Foreign Relations in the Senate and the Speaker of the House of Representatives. Federal law specifies that an ARB will consist of five members appointed by the Secretary of State and one appointed by the Director of National Intelligence. It also states that the ARB shall submit its findings to the Secretary of State. According to State\u2019s FAM, the ARB is a mechanism to foster more effective security of U.S. missions and personnel abroad by ensuring a thorough and independent review of security-related incidents. Through its investigations and recommendations, the ARB seeks to determine accountability and promote and encourage improved security programs and practices."], "subsections": []}, {"section_title": "M/PRI Is Responsible for Conducting the ARB Incident Vetting Process", "paragraphs": ["M/PRI\u2014the central management analysis organization of State\u2019s Under Secretary of State for Management\u2014is responsible for initiating and shepherding the incident vetting process to identify incidents that may warrant an ARB, according to the FAM. The FAM states that M/PRI will begin the ARB incident vetting process once M/PRI becomes aware of an incident abroad that could involve loss of life, injury, or destruction of property. This process includes consultation with the Office of the Legal Adviser (Legal), DS, and other offices as appropriate to evaluate whether the ARB statute criteria apply. If the ARB statute criteria are deemed applicable or if the applicability is questionable, M/PRI is responsible for calling a meeting of State\u2019s ARB Permanent Coordinating Committee. See figure 1 for members of the Permanent Coordinating Committee and other State offices and bureaus involved in responding to the incidents in Cuba. If M/PRI decides the ARB statute criteria are not applicable, M/PRI will notify committee members in writing, providing a summary of the incident and an explanation as to why the criteria do not apply. If any member disagrees, M/PRI will call a Permanent Coordinating Committee meeting. According to the FAM, the committee will review the available facts and recommend to the Secretary of State whether or not to convene an ARB as quickly as possible after an incident occurs. The Secretary of State makes the final decision on whether to convene an ARB."], "subsections": []}, {"section_title": "The U.S. Embassy in Havana Is Supported by Several State Entities", "paragraphs": ["WHA, DS, and MED, among other State entities, support the U.S. Embassy in Havana by providing advice and guidance on policy, security, and other issues.", "WHA. Reporting to the Under Secretary of State for Political Affairs, WHA oversees the U.S. Embassy in Havana and is responsible for managing and promoting U.S. interests in the region. Embassy officials, including senior leadership, report to WHA and its Office of the Coordinator for Cuban Affairs through diplomatic cables, email, and phone calls.", "DS. Reporting to the Under Secretary of State for Management, DS oversees security at diplomatic posts and is responsible for providing a safe and secure environment for the conduct of U.S. foreign policy. Embassy Regional Security Officers are required to report security incidents through different systems, including diplomatic cables, SPOT Reports, or the Security Incident Management Analysis System, depending on the type of incident. Regional Security Officers are also in regular contact with DS via phone and email, according to State officials.", "MED. Reporting to the Under Secretary of State for Management, MED ensures that U.S. government employees and their families who are assigned to diplomatic posts have access to healthcare and advises State management about health issues around the world. The U.S. Embassy in Havana has a medical unit, including U.S. direct-hire and locally hired staff. MED approves requests to medically evacuate U.S. personnel and family members from diplomatic posts.", "Other State entities. Other State entities provide support to the U.S. embassy in Havana on specific issues. For example, CMS, within State\u2019s Executive Secretariat, gathers, assesses, and disseminates information to State senior management about events that threaten the security of U.S. missions and their personnel. The Office of Foreign Missions, which reports to the Under Secretary of State for Management, seeks fair treatment for U.S. personnel abroad while ensuring that foreign diplomats based in the United States receive the same treatment that their respective governments provide to U.S. personnel abroad in return."], "subsections": []}]}, {"section_title": "State\u2019s ARB Policy Does Not Ensure that the Office Responsible Is Made Aware of Incidents That May Meet ARB Criteria, Such as Those That Occurred in Cuba", "paragraphs": ["Although M/PRI is responsible for initiating and leading State\u2019s ARB incident vetting process, State\u2019s ARB policy does not define how M/PRI should become aware of incidents that may involve injury, loss of life, or destruction of property. Regarding Cuba, the U.S. embassy and several State entities responded to incidents that were later associated with various injuries in early 2017. As of June 2018, State officials remained uncertain of the cause or perpetrator of the incidents and injuries. M/PRI officials said they did not know about the incidents in Cuba until August 2017, when the media began to report on the incidents."], "subsections": [{"section_title": "State\u2019s ARB Policy Does Not Define How M/PRI Should Become Aware of Incidents That May Involve Injury", "paragraphs": ["Although M/PRI is responsible for initiating and leading the ARB incident vetting process, State\u2019s polices do not define responsibilities for internal communication to M/PRI of incidents that may involve injury, loss of life, or destruction of property. According to the FAM, M/PRI and the Permanent Coordinating Committee are responsible for evaluating whether incidents meet the ARB statute criteria. However, M/PRI can only initiate the process after it is made aware of potentially qualifying incidents, and the FAM does not outline how M/PRI should be notified of these types of incidents or which, if any, State entities are responsible for notifying M/PRI. In contrast, the FAM outlines other specific reporting responsibilities for Regional Security Officers. According to State officials and our analysis, State\u2019s FAM and Foreign Affairs Handbooks do not establish a policy, procedure, or process for internal communication of such incidents to M/PRI. In 2006, the Under Secretary of State for Management issued a cable requiring U.S. diplomatic posts to report potential ARB incidents directly to M/PRI. However, the cable did not identify who at post was responsible for reporting, and instructed posts to report to an individual who is no longer in M/PRI. Moreover, State officials we met with were unaware of the cable.", "M/PRI officials said that information about potentially qualifying incidents is not directed to them through State\u2019s established reporting mechanisms, such as diplomatic cables. State\u2019s cable system does not have a caption, channel, or tag that would direct information to M/PRI about incidents that may involve injury, loss of life, or damage to property. State\u2019s Office of the Inspector General previously found deficiencies in State\u2019s internal communication of incidents that may meet ARB criteria. Despite the 2006 cable on potential ARB incident reporting, in 2013, State\u2019s Inspector General found that State had no systematic process ensuring immediate notification of security-related incidents to M/PRI, and that DS did not routinely provide security reports to M/PRI. The Inspector General made an informal recommendation that DS should include M/PRI as an addressee on all security-related incident reports. In 2015, the Inspector General noted that DS, in response to the recommendation, said that such a blanket inclusion of M/PRI on all security-related incident reports would result in M/PRI being inundated with a large number of irrelevant reports.", "Because State has no policy that ensures M/PRI becomes aware of incidents that may involve injury, loss of life, or destruction of property, M/PRI officials said they typically become aware of potentially qualifying incidents\u2014such as explosions at diplomatic facilities\u2014when such incidents are discussed internally and widely publicized. M/PRI officials also told us they occasionally became aware of potentially qualifying incidents through informal communication, such as during senior staff meetings with the Under Secretary of State for Management. If M/PRI officials are not aware of incidents, they cannot initiate State\u2019s ARB incident vetting process. This situation puts State at risk of not meeting statutory time frames for convening an ARB and could result in State being unable to improve security programs and practices at other U.S. diplomatic posts, which could affect the response to similar incidents elsewhere.", "Standards for Internal Control in the Federal Government call for internal communication to achieve the entity\u2019s objectives and note that management should document responsibilities through policy. The FAM requires internal controls, which includes as an objective that programs are efficiently and effectively carried out in accordance with applicable law and management policy. The FAM also states that the Under Secretary of State for Management is responsible for, among other things, developing and executing management policies; the organization, operations, and assignment of functions within State; and directing and administering worldwide information resources."], "subsections": []}, {"section_title": "The U.S. Embassy in Havana and Several State Entities Responded to Unexplained Incidents in Cuba Associated with Serious Injury to U.S. Personnel", "paragraphs": ["In January 2017, U.S. embassy and State officials began responding to incidents in Cuba that were later associated with various injuries. In June 2018, the Secretary of State noted that the precise nature of the injuries and the cause had not yet been established. According to congressional testimony by State officials, in late 2016, U.S. personnel in Havana first reported incidents, typically involving sounds and resulting in various medical symptoms, to the embassy\u2019s Regional Security Officer and Chief of Mission. Embassy officials reported the incidents to DS and the National Security Council as a new type of harassment in early January 2017, according to State documents. The embassy\u2019s Medical Officer first evaluated a U.S. official related to the incidents on December 30, 2016, and others in January 2017. Starting in late March 2017, the embassy held several meetings with U.S. personnel to share the limited information it had about the incidents, according to State officials. In April 2017, the embassy held Emergency Action Committee meetings regarding the incidents.", "CMS communicated with State senior management about the incidents beginning in April 2017. To ensure that State senior management were aware of how the embassy was responding, CMS distributed among various State entities, including M/PRI, one of the embassy\u2019s April 2017 diplomatic cables reporting on an Emergency Action Committee meeting. According to CMS officials, the cable that CMS distributed was unclear about what incidents had occurred and did not include detailed information about the incidents or associated injuries. According to M/PRI officials, M/PRI was on CMS\u2019s distribution list because M/PRI was responsible for monitoring the implementation of a previous ARB recommendation that called for State to review embassy risk management decisions. According to a former M/PRI official, M/PRI did not review these CMS communications for other purposes, including to identify incidents that may meet ARB statute criteria. In addition, in April and May 2017, CMS included multiple cables on the situation in Cuba in its daily Safety Overseas Summary for State senior management.", "In response to the incidents, U.S. embassy and WHA officials met with Cuban officials to emphasize to the Cuban government its responsibilities to ensure the safety of foreign diplomats in Cuba, according to testimony by State officials. In mid-February 2017, U.S. officials met with Cuban officials in Havana and Washington, D.C., about the incidents, citing the Vienna Convention requirements to provide for the safety and security of diplomats, according to State officials. Following additional incidents reported in March and April 2017, U.S. officials met again with Cuban officials in Havana and Washington, D.C. In May 2017, State expelled two Cuban diplomats from the United States to underscore the Cuban government\u2019s responsibility to protect U.S. personnel in Cuba, according to testimony by State officials. In September 2017, State ordered the departure from Cuba of non-emergency U.S. embassy personnel and, in October, expelled 15 Cuban diplomats from Washington, D.C. to underscore to Cuba its obligations to protect U.S. personnel, according to testimony by State officials.", "According to State officials, by May 2017, the embassy, WHA, DS, and MED were aware of 16 U.S. personnel and family members in Havana who had been injured, although unable to determine the cause. In January 2018, State\u2019s Medical Director testified to Congress that by May 1, 2017, State had determined that several of those individuals had serious injuries. Between February and May 2017, a specialist at the University of Miami evaluated 80 members of the embassy community. MED arranged for the medical evacuations of about 40 U.S. personnel from Cuba to Miami, Florida, for evaluations with the specialist, and the specialist subsequently conducted additional evaluations at the embassy in Havana. According to State testimony to Congress, the specialist identified 16 individuals who had symptoms and medically verifiable clinical findings similar to mild traumatic brain injury. In June 2018, the Secretary of State noted that the precise nature of the injuries and the cause had not yet been established."], "subsections": []}, {"section_title": "M/PRI Became Aware of the Incidents in Cuba after Media Reports", "paragraphs": ["M/PRI officials said they became aware of the incidents in Cuba after media reports in August 2017. According to M/PRI officials, a State official\u2014who previously worked in M/PRI\u2014contacted M/PRI in early August after seeing media reports to inquire whether they were aware of the incidents in Cuba. Although several State entities were aware of the incidents, WHA, DS, and MED did not report the incidents to M/PRI and it was unclear whether the incidents met the criteria for convening an ARB, according to officials. However, our analysis shows that State\u2019s policies do not instruct State entities to evaluate whether incidents meet the ARB criteria before reporting such incidents to M/PRI. Instead, State\u2019s FAM requires M/PRI to lead the process for evaluating incidents that may involve injury, loss of life, or destruction of property. According to the FAM, M/PRI will call a Permanent Coordinating Committee meeting if the ARB statute criteria apply or if the applicability is questionable. The committee will, as quickly as possible after an incident occurs, review the available facts and recommend to the Secretary whether to convene an ARB. M/PRI initiated State\u2019s incident vetting process in August 2017, as shown in figure 2 below.", "As a result of the incidents in Cuba, M/PRI officials told us they realized that they may not be aware of all incidents that may involve injury to U.S. diplomats. In an initial attempt to address this concern, M/PRI officials said they requested that CMS add M/PRI officials to the distribution list for the Safety Overseas Summary to try to increase M/PRI\u2019s awareness of potential incidents. CMS told us that it added M/PRI officials to the distribution list in October 2017.", "According to M/PRI officials and a timeline provided by M/PRI, once these officials became aware of the incidents in August 2017, the office began the ARB incident vetting process, as described in the FAM. In August 2017, these officials initially consulted with DS and MED about the incidents. In further discussion with Legal, the officials determined that they did not have sufficient information to determine whether the incidents met the ARB statute criteria. Given the uncertainties surrounding the incidents, in mid-September 2017, they decided to call a meeting of the Permanent Coordinating Committee, which included representatives from M/PRI, WHA, DS, MED, Legal, the Bureau of Intelligence and Research, the Bureau of Counterterrorism, and the Intelligence Community. The committee initially met on September 28, 2017, to review the available facts against the ARB statute criteria, and concluded that it needed additional time to determine whether the ARB statute criteria had been met. On November 28, 2017, the committee met again and recommended to the Secretary of State that an ARB be convened. The Secretary of State concurred with the recommendation on December 11, 2017, and convened the ARB on January 12, 2018. The ARB officially began its work in early February 2018."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["An ARB is intended to result in improved security programs and practices at U.S. missions abroad. While State has directed M/PRI to initiate the incident vetting process\u2014including convening the Permanent Coordinating Committee to evaluate the facts\u2014State\u2019s policies do not define responsibilities for internal communication to M/PRI of incidents that may involve injury, loss of life, or destruction of property at U.S. missions abroad. Although M/PRI officials may receive information through informal channels, this approach does not ensure that M/PRI will be made aware of relevant incidents. With regard to the incidents in Cuba, M/PRI could not begin the incident vetting process for determining whether the ARB statute criteria had been met until it became aware of them in August 2017. When M/PRI is not aware of incidents that may meet the ARB statute criteria, it cannot initiate the incident vetting process for convening ARBs. Until State establishes policies that ensure the appropriate office is promptly aware of potentially relevant incidents\u2014for example, policies that identify formal internal communication procedures and document responsibilities for such communication\u2014State is at risk of failing to comply with the ARB statute. Improving its security programs at U.S. diplomatic posts is all the more imperative given recent reports of similar incidents, such as in Guangzhou, China."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["To ensure that State\u2019s process allows it to initiate its ARB incident vetting process in a timely manner, the Secretary of State should revise State\u2019s policies to define responsibilities for internal communication to M/PRI of incidents that may involve injury, loss of life, or destruction of property at, or related to, U.S. missions abroad. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State. In its written comments, State concurred with our recommendation. State said it will improve its processes for ensuring effective internal communication. We have reprinted State\u2019s comments in their entirety in appendix I. State also provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of State. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you and your staff have any questions about this report, please contact me at (202) 512-5130 or mazanecb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Judith McCloskey (Assistant Director), Ashley Alley, Debbie Chung, Thomas Costa, Marcia Crosse, Neil Doherty, Justin Fisher, Christopher Hayes, Brandon Hunt, Joseph Kirschbaum, and George Ogilvie made key contributions to this report."], "subsections": []}]}], "fastfact": ["Over 20 U.S. diplomats and family members in Havana, Cuba, have suffered injuries\u2014including brain damage\u2014believed to be connected to unexplained incidents starting in 2016. A similar incident has also been reported in Guangzhou, China.", "After incidents involving serious injury, the State Department is generally required to convene an Accountability Review Board (ARB) to assess State's response and improve security at diplomatic posts.", "However, the State office responsible for convening ARBs learned of the incidents in Cuba from media reports, months after they began. We recommended improving internal communication about such incidents."]} {"id": "GAO-18-144", "url": "https://www.gao.gov/products/GAO-18-144", "title": "Defense Nuclear Enterprise: Processes to Monitor Progress on Implementing Recommendations and Managing Risks Could Be Improved", "published_date": "2017-10-05T00:00:00", "released_date": "2017-10-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2014, the Secretary of Defense directed two reviews of DOD's nuclear enterprise. These reviews identified problems with leadership, organization, investment, morale, policy, and procedures, as well as other shortcomings that adversely affected the nuclear deterrence mission. The reviews also made recommendations to address these problems. In 2015, DOD conducted a review focused on NC3 systems, which resulted in additional recommendations.", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for GAO to review DOD's processes for addressing these recommendations, and House Report 114-537 includes a provision for GAO to review changes to DOD's nuclear personnel reliability assurance programs. This report addresses the extent to which DOD and the military services have (1) made progress in implementing recommendations to improve the nuclear enterprise and (2) made changes to their personnel reliability assurance programs. GAO reviewed relevant documents and interviewed agency officials from DOD and the military services. This is a public version of a classified report GAO issued in August 2017. It omits information DOD deemed classified."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has made progress in implementing the recommendations from the 2014 nuclear enterprise reviews and the 2015 nuclear command, control, and communications (NC3) systems report.", "In December 2016, the Office of Cost Assessment and Program Evaluation (CAPE) provided the military services with guidance that emphasizes using performance measures and milestones to evaluate progress to aid them in tracking and analyzing their implementation of the recommendations from the 2014 nuclear enterprise reviews. However, CAPE's guidance does not require the military services and other DOD components to identify and document risks as part of its recommendation tracking processes. As a result, DOD does not consistently identify and document risks, and it may not be identifying and communicating potential risks related to the nuclear enterprise. One of the 2014 nuclear enterprise reviews found that the avoidance of managing risks by many leaders within the enterprise adversely affected the mission. Developing additional guidance on identifying and documenting risks could enhance DOD's ability to provide oversight of its efforts to monitor progress and make informed responses to address any identified risks.", "For recommendations made in the 2015 NC3 report, DOD's Office of the Chief Information Officer (DOD CIO) uses an internal spreadsheet to track implementation but has not yet identified performance measures, milestones, or risks. DOD CIO has drafted a template that, once it has been approved and implemented, will provide a form that could be used for documenting performance measures, milestones, and risks. By identifying and communicating this information, DOD CIO could improve its efforts to track the progress of DOD's actions, evaluate their effects, and formulate responses to risks.", "DOD and the military services have implemented changes to their personnel reliability assurance programs in response to recommendations from the 2014 nuclear enterprise reviews. These programs are intended to ensure that DOD personnel who work with nuclear weapons and nuclear weapons systems, NC3 systems and equipment, and special nuclear material are trustworthy, reliable, and capable of performing their assigned nuclear weapons-related mission. The 2014 nuclear enterprise reviews found that these personnel reliability assurance programs were overly complex and administratively burdensome and that frequent and intrusive inspections left nuclear units more focused on preparing for and responding to inspections than on ensuring personnel reliability. DOD and the services have updated their guidance for personnel reliability assurance programs, including focusing on nine essential elements of reliability. For example, the Air Force has incorporated these elements into the standards it uses for its security forces. Additionally, the Air Force has centralized some of its administrative processes, and the Joint Staff has updated inspection procedures in a way that may ease the burden on personnel being inspected."]}, {"section_title": "What GAO Recommends", "paragraphs": ["DOD should develop additional guidance on identifying and documenting risks, and should identify and communicate performance measures and risks. DOD concurred and provided information about planned actions to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2014, as a response to incidents involving the nation\u2019s nuclear deterrent forces and their senior leadership, the Secretary of Defense directed both an internal Department of Defense (DOD) review and an independent review of the DOD nuclear enterprise. The DOD nuclear enterprise includes Air Force Intercontinental Ballistic Missiles; Air Force nuclear-capable bombers and tactical fighters; Navy ballistic missile submarines; and the supporting infrastructure to build, maintain, and control these assets. The two reviews examined DOD\u2019s nuclear deterrent mission, and the resulting reports\u2014Internal Assessment of the Department of Defense Nuclear Enterprise and Independent Review of the Department of Defense Nuclear Enterprise\u2014identified problems with leadership, organization, investment, morale, policy, and procedures, as well as other shortcomings that were adversely affecting the mission. The Commander of U.S. Strategic Command also identified some additional areas for improvement in a memorandum. Together, the two nuclear enterprise review reports and the Strategic Command Commander\u2019s memorandum (hereafter referred to collectively as the 2014 nuclear enterprise reviews) included recommendations to address DOD\u2019s management of nuclear personnel, security requirements for nuclear weapons, and the availability of key equipment and support parts, among other issues. In 2015, DOD conducted a review focused on nuclear command, control, and communications (NC3) systems, which resulted in an additional report with recommendations (hereafter referred to as the 2015 NC3 report).", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for us to review\u2014during each of fiscal years 2017 through 2021\u2014DOD\u2019s processes for addressing the recommendations of the two nuclear enterprise reviews and other assessments of the nuclear enterprise, including the 2015 NC3 report, and to provide a briefing to the congressional defense committees on the results of our review. In July 2016, we reported that the process DOD had developed for tracking the 2014 reviews\u2019 recommendations generally appeared consistent with relevant criteria from the Standards for Internal Control in the Federal Government\u2014including using and effectively communicating quality information and performing monitoring activities. Additionally, the House Armed Services Committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 includes a provision for us to review matters related to the changes that DOD and the military services have made to their nuclear personnel reliability assurance policies and implementing programs. This includes information on (1) the Air Force\u2019s shift away from using the Personnel Reliability Program as its sole nuclear personnel reliability assurance program and toward using Arming and Use of Force as a second personnel reliability assurance program for its security forces and (2) the Navy\u2019s continued use of the Personnel Reliability Program as its sole personnel reliability assurance program.", "This report evaluates the extent to which DOD and the military services have 1. made progress in implementing recommendations to improve the nuclear enterprise, identified performance measures and milestones to track the progress of its implementation actions, and identified associated risks and 2. made changes to their personnel reliability assurance programs to address the personnel reliability recommendations from the nuclear enterprise reviews, and the effects of any such changes.", "This report is a public version of a classified report that we issued in August 2017. The Department of Defense deemed some of the information in our August report to be classified, which must be protected from loss, compromise, or inadvertent disclosure. Therefore, this report omits classified information about some findings from DOD\u2019s classified nuclear enterprise review reports. Although the information provided in this report is more limited, the report addresses the same objectives as the classified report and uses the same methodology.", "To evaluate the extent to which DOD and the military services have made progress in implementing recommendations to improve the nuclear enterprise, identified performance measures and milestones to track the progress of its implementation actions, and identified associated risks, we reviewed documents that establish the recommendations, including the internal and independent nuclear enterprise reviews, U.S. Strategic Command\u2019s action plan, and the 2015 NC3 report; guidance such as the Secretary of Defense\u2019s memo (Nuclear Enterprise Review Corrective Action Implementation); and additional documents from the Office of Cost Assessment and Program Evaluation (CAPE), Office of the Chief Information Officer (CIO), and the military services that outline their processes for implementing, tracking, and evaluating the implementation of the recommendations to improve the defense nuclear enterprise. We compared these processes to relevant criteria from Standards for Internal Control in the Federal Government\u2014including assessing and responding to risk, using and effectively communicating quality information, and performing monitoring activities.", "To evaluate the extent to which DOD and the military services have made changes to their personnel reliability assurance programs to address the personnel reliability recommendations from the nuclear enterprise reviews, and the effects of any such changes, we reviewed the personnel reliability assurance program requirements for DOD personnel in the Navy, the Army, the Air Force, the Marine Corps, and DOD guidance and other documents. We then compared these requirements to those in prior DOD documents and service-specific guidance. We conducted interviews with officials involved in overseeing and implementing the department\u2019s and the services\u2019 nuclear personnel reliability assurance programs. We also reviewed training documents, reports, and other documents that DOD and the services used to implement changes to their personnel reliability assurance programs and to educate their personnel on these changes.", "We interviewed officials from the following offices to discuss progress in implementing the recommendations to improve the nuclear enterprise, including changes to personnel reliability assurance programs:", "Office of the Assistant Secretary of Defense for Nuclear, Chemical, and Biological Defense Programs (Nuclear Matters)", "Defense Threat Reduction Agency", "Secretary of the Air Force, Office of the Inspector General", "Air Force Headquarters: Manpower, Personnel, and Services (A1), Security Forces (A4S), and Strategic Deterrence and Nuclear Integration (A10)", "Air Force Global Strike Command", "Air Force Inspection Agency", "Air Force Personnel Center", "Air Force Personnel Reliability Program Administrative Qualification", "90th Missile Wing, F.E. Warren Air Force Base", "11th Security Forces Group, Joint Base Andrews", "628th Security Forces Squadron, Joint Base Charleston", "Deputy Under Secretary of the Navy for Policy", "Chief of Naval Operations: Nuclear Policy (N514) and Undersea Warfare (N97)", "Marine Corps Headquarters: Plans, Policies, and Operations-Security", "Navy Strategic Systems Programs", "Department of the Army Headquarters, Operations, Plans, and Training (G3/5/7)", "U.S. Army Nuclear and Countering Weapons of Mass Destruction We conducted this performance audit from July 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from August 2017 to October 2017 to prepare this unclassified version of the original classified report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Oversight of 2014 Nuclear Enterprise Reviews\u2019 Recommendations", "paragraphs": ["In November 2014, the Secretary of Defense directed DOD to address the 2014 nuclear enterprise reviews\u2019 recommendations and directed CAPE to track and assess these implementation efforts. The Joint Staff, Navy, Air Force, offices within the Office of the Secretary of Defense, and U.S. Strategic Command are supporting CAPE\u2019s efforts. The Secretary also established the Nuclear Deterrent Enterprise Review Group (NDERG), a group of senior officials chaired by the Deputy Secretary of Defense and including the Vice Chairman of the Joint Chiefs of Staff, to oversee and make decisions regarding implementation of the nuclear enterprise reviews\u2019 recommendations. The NDERG is supported by a Nuclear Deterrent Working Group, which meets biweekly and reviews the status of recommendations, and a Nuclear Deterrent Senior Oversight Group, which meets quarterly and reviews any recommendations that the Working Group believes are ready for the NDERG to close. The Deputy Secretary of Defense updates the Secretary of Defense on NDERG progress as requested.", "CAPE compiled the recommendations from the two 2014 nuclear enterprise reviews and a memorandum from the Commander of U.S. Strategic Command that identified several additional recommendations. In total, CAPE identified 175 distinct recommendations from the three documents. CAPE then identified 247 sub-recommendations from recommendations directed to multiple services (or other DOD components)\u2014for example, if a recommendation was directed to the Air Force and the Navy, then one sub-recommendation was made to the Air Force and one sub-recommendation was made to the Navy.", "CAPE then worked with the services to identify offices of primary responsibility for implementing actions to address the recommendations, any offices of coordinating responsibility, and any resources necessary to implement each recommendation. CAPE has developed a tracking tool to collect information on progress in meeting milestones and metrics. This tracking tool identifies offices of responsibility, implementation actions, milestones, and metrics to measure the effectiveness of the actions taken toward implementing each of the recommendations. The tracking tool currently contains hundreds of unique milestones and metrics, and according to CAPE officials, additional milestones and metrics are included as they are identified. The Air Force and the Navy also developed their own methods of tracking their service-specific recommendations.", "We reviewed DOD\u2019s processes for implementing the 2014 nuclear enterprise reviews\u2019 recommendations and issued a report on July 14, 2016. We found that the process DOD had developed for implementing and tracking the 2014 nuclear enterprise reviews\u2019 recommendations generally appeared consistent with relevant criteria from the Standards for Internal Control in the Federal Government\u2014including using and effectively communicating quality information and performing monitoring activities.", "As we reported in July 2016, CAPE officials stated that it would take about 3 years to see measurable improvements in the health of the nuclear enterprise and 15 years to implement the great majority of the recommendations and measure whether they have had their intended effects. CAPE and service officials have noted that it would take years for some of the recommended cultural changes to manifest."], "subsections": []}, {"section_title": "NC3 Systems", "paragraphs": ["NC3 is a large and complex system comprised of numerous land-, air-, and space-based components used to assure connectivity between the President and nuclear forces. NC3 is managed by the military departments, nuclear force commanders, and the defense agencies and provides the President with the means to authorize the use of nuclear weapons in a crisis.", "NC3 systems support five important functions:", "Force management: assignment, training, deployment, maintenance, and logistics support of nuclear forces before, during, and after any crisis.", "Planning: development and modification of plans for the employment of nuclear weapons and other options.", "Situation monitoring: collection, maintenance, assessment, and dissemination of information on friendly forces, adversary forces and possible targets, emerging nuclear powers, and worldwide events of interest.", "Decision making: assessment, review, and consultation that occur when the employment or movement of nuclear weapons is considered.", "Force direction: implementation of decisions regarding the execution, termination, destruction, and disablement of nuclear weapons."], "subsections": []}, {"section_title": "Oversight of 2015 NC3 Report Recommendations", "paragraphs": ["As recommended in the 2015 NC3 report, the Council on Oversight of the National Leadership Command, Control, and Communications System (the Oversight Council) has taken a lead role in providing oversight and making the final determination on the implementation status of that report\u2019s 13 recommendations. The Oversight Council is co-chaired by the Under Secretary of Defense for Acquisition, Technology, and Logistics and the Vice Chairman of the Joint Chiefs of Staff and its members are the Under Secretary of Defense for Policy; the Commander, U.S. Strategic Command; the Commander, North American Aerospace Defense Command/U.S. Northern Command; the Director, National Security Agency; and the DOD Chief Information Officer. Additional organizations, such as CAPE, may participate in the Oversight Council\u2019s meetings to provide subject matter expertise. The Oversight Council is supported by the Executive Management Board\u2014a functional governance committee chaired by the DOD Chief Information Officer. DOD CIO tracks the implementation of the 2015 NC3 report\u2019s recommendations, among other activities."], "subsections": []}, {"section_title": "Nuclear Personnel Reliability", "paragraphs": ["DOD and the military services set standards to ensure that personnel who work with nuclear weapons and nuclear weapons systems, NC3 systems and equipment, and special nuclear material are reliable, trustworthy, and capable of performing their assigned nuclear weapons-related mission. Nuclear surety generally refers to DOD\u2019s efforts to ensure that nuclear weapons and materials are safe, secure, reliable, and controlled. DOD and the military services use personnel reliability assurance programs\u2014 the Personnel Reliability Program and the Air Force\u2019s Arming and Use of Force program for Air Force security forces\u2014to implement these nuclear surety requirements for personnel.", "When personnel are assigned to a nuclear unit, relevant unit commanders certify that those personnel meet the personnel reliability assurance program standards. Commanders can also suspend or decertify personnel from working with nuclear weapons if they fail to meet these standards during their service. Factors that may lead to suspension or decertification include medical issues; personal conduct; emotional, mental and personality disorders; financial problems such as an inability or unwillingness to satisfy debts or the presence of unexplained wealth; criminal conduct; sexual harassment or assault; misuse of drugs or alcohol; and security violations. According to DOD data, as of December 31, 2016, there were 10,603 DOD personnel certified under the Personnel Reliability Program and 36,464 security forces personnel certified under the Air Force\u2019s Arming and Use of Force program. Together, there were a total of 47,067 personnel that met the personnel nuclear surety requirements of a personnel reliability assurance program (see table 1)."], "subsections": []}]}, {"section_title": "Progress Made in Implementing Recommendations, but Identifying Additional Performance Measures, Milestones, and Risks Can Aid in Tracking and Evaluating Efforts", "paragraphs": ["DOD and the military services have made progress in implementing recommendations to improve the defense nuclear enterprise but could improve their efforts by identifying additional performance measures, milestones, and associated risks. CAPE and DOD CIO have separate processes for tracking and evaluating DOD\u2019s progress in implementing the recommendations from the 2014 nuclear enterprise reviews and the 2015 NC3 report, respectively."], "subsections": [{"section_title": "DOD Continues to Implement the Recommendations from the 2014 Nuclear Enterprise Reviews", "paragraphs": ["The NDERG has closed 77 of the 247 sub-recommendations from the 2014 nuclear enterprise reviews following CAPE\u2019s assessment of implementation actions that had been taken by the military services and other DOD components (see fig. 1). For example, with regard to Nuclear Weapons Technical Inspections, the independent 2014 nuclear enterprise review recommended that inspection teams not focus on auditing records but instead examine the processes in place to inform commanders of Personnel Reliability Program issues. In response, DOD, the Air Force, and the Navy have made changes to their inspection processes and the Joint Chiefs of Staff have updated the Nuclear Weapons Technical Inspections guidance to de-emphasize records reviews in favor of knowledge checks and scenario-based discussion during the Personnel Reliability Program portion of these inspections. After reviewing these actions, the NDERG closed this recommendation in December 2016. The 77 closed sub-recommendations make up 62 of the initial 175 recommendations from the 2014 nuclear enterprise reviews."], "subsections": []}, {"section_title": "DOD Has Made Progress in Implementing Recommendations from the 2015 NC3 Report", "paragraphs": ["According to DOD CIO officials, as of March 2017, the Oversight Council has closed two of the 13 recommendations from the 2015 NC3 report, and DOD is making progress in implementing the remaining 11 recommendations (see fig. 2). The two closed recommendations are to (1) make the Oversight Council the synchronizing body to evaluate, track, and resolve the findings and recommendations made in that report and (2) broaden Air Force Global Strike Command\u2019s responsibilities to include serving as the lead command for all of the Air Force-owned portions of the NC3 systems. DOD has made progress in implementing the remaining 11 recommendations. For example, the 2015 NC3 report recommended that U.S. Strategic Command review and validate the availability requirements of one of the NC3 systems, which the command has now completed. Additional detail about DOD\u2019s progress is omitted because the information is classified."], "subsections": []}, {"section_title": "DOD\u2019s Processes for Tracking and Evaluating Its Progress Can Be Improved by Identifying Additional Performance Measures, Milestones, and Risks", "paragraphs": ["DOD\u2019s processes for tracking and evaluating its progress in implementing the 2014 nuclear enterprise reviews\u2019 recommendations do not consistently identify and document risks, and its processes for tracking and evaluating its progress in implementing the 2015 NC3 report\u2019s recommendations do not identify performance measures, milestones, or risks. Identifying performance measures, milestones, and associated risks can help an agency to track and evaluate its progress toward completing tasks over time and can help to inform decision makers of potential issues that need to be addressed. We have previously reported that by tracking and developing a performance baseline for all performance measures, agencies can better evaluate whether they are making progress and their goals are being achieved. Similarly, Standards for Internal Control in the Federal Government emphasizes using performance measures and milestones to assess performance over time. We have also derived leading practices from the Government Performance and Results Act of 1993 (GPRA) and the GPRA Modernization Act of 2010, such as clearly defining performance measures and milestones and assessing program results against them. Additionally, Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to risks related to achieving the defined objectives and should use and internally communicate the necessary quality information in meeting those objectives."], "subsections": [{"section_title": "DOD Has Identified Performance Measures and Milestones for Evaluating the Implementation of the 2014 Nuclear Enterprise Reviews\u2019 Recommendations, but Additional Guidance for Identifying and Documenting Risks Could Improve Oversight", "paragraphs": ["CAPE is working with the military services and other DOD components to track and evaluate the implementation actions taken in response to the recommendations from the 2014 nuclear enterprise reviews; however, risks associated with these actions are not consistently identified and documented. In July 2016, we reported on CAPE\u2019s use of a centralized tracking tool that contains relevant information about the status of the actions taken in response to those recommendations. CAPE continues to use this tool, and it remains accessible to the services and other DOD entities on DOD\u2019s classified network. As shown in figure 3, it includes fields for the underlying problem statement, or root cause, for the recommendation; time frames with milestones for implementing the recommendations; and performance measures (referred to as metrics in the tracking tool) to assess the effectiveness of the actions taken. The tracking tool also contains a field for Key Risks and Issues, but we found that this field has not been used consistently.", "According to CAPE officials, CAPE is using the tracking tool to track progress in meeting milestones and record the metrics it has identified to assess both the progress (through \u201cprocess metrics\u201d) and the effectiveness of the implementation actions (through \u201coutcome metrics\u201d). The outcome metrics are selected to aid CAPE in determining whether implemented recommendations have addressed the underlying problem that was the impetus for the original recommendation. CAPE used the outcome metrics to inform its assessment of each of the 77 sub- recommendations that the NDERG then closed. According to CAPE officials, CAPE\u2019s approach to measuring effectiveness is to gather supporting data from the services and measure the effectiveness of each recommendation separately. However, these officials noted that until a recommendation has been implemented, CAPE cannot fully assess the effectiveness of the implementation actions. Some recommendations\u2014 including changing a service\u2019s culture or morale\u2014will take time to evaluate. According to CAPE officials, the tracking tool currently contains 389 unique metrics and 370 unique milestones to aid in the assessment of the implementation actions. For each of these metrics and milestones, the tracking tool includes expected completion dates and indicates which have been met and which are behind schedule. Additional milestones, particularly for actions more than 18 months out, and additional metrics to aid in measuring the effectiveness of actions taken, are still being identified, according to CAPE officials.", "In December 2016, the Deputy Secretary of Defense issued a memorandum that directed the transition of the tracking and analysis responsibilities related to implementing the 2014 nuclear enterprise reviews\u2019 recommendations from CAPE to the military departments and other DOD entities. However, CAPE remains responsible for providing guidance to inform the analyses conducted by other DOD entities, overseeing the analyses, and assessing recommendations for closure. The aim of these changes was to enhance ownership and embed the principles of robust analysis, continuous monitoring, and responsibility throughout the department.", "As part of this transition, CAPE provided the military departments and other DOD entities with guidance to aid in their tracking and analysis of the recommendations from the 2014 nuclear enterprise reviews, but this guidance does not require the military services and other DOD components to identify and document risks prior to bringing a recommendation for closure. This guidance emphasizes using performance measures and milestones to track and measure the progress of implementation actions. It includes sections tailored to specific groups of recommendations from the 2014 nuclear enterprise reviews. It also calls for the consideration of potential risks that unintended consequences could occur when a recommendation is brought for closure, but it does not call for risks to be identified, assessed, or documented prior to that time.", "According to officials from CAPE and the military services, the department considers risks in a number of ways and does capture information about some risks. For example, CAPE has supplemented its review of the military services\u2019 proposed budgets by conducting a review of funding risks related to the nuclear enterprise in areas such as modernization, investment, and personnel. CAPE briefs the results of this review to senior leadership within the NDERG to provide them information about whether the services are including funds to address these items in their yearly budget requests. Additionally, CAPE personnel have identified key risks regarding some of the recommendations and have entered this information into the centralized tracking tool. According to CAPE officials, 63 of the 247 sub-recommendations include information in the Key Risks and Issues field in the tracking tool. However, these officials told us that none of the remaining 184 sub-recommendations include information in this field, because either no key risks or issues were identified or the risks that were identified were not formally documented within the tool.", "Additionally, risks that are introduced as a result of actions taken to implement a recommendation are not consistently included in the centralized tracking tool or otherwise documented by CAPE. For example, according to Navy and CAPE officials regarding a recommendation to increase the number of skilled shipyard workers to keep up with the maintenance demands of ballistic missile nuclear submarines, the centralized tracking tool documents the risks as the need to complete hiring and training of new shipyard personnel. However, according to Navy officials, the risks resulting from the prioritization of maintenance of ballistic missile nuclear submarines over other vessels not associated with the nuclear deterrent mission, such as fast attack submarines and nuclear aircraft carriers, were discussed and accepted by the Navy, but not documented in the centralized tracking tool. Similarly, the risks associated with recommendations that the Air Force provide additional incentive pay for personnel serving in nuclear positions were identified but not documented in the centralized tracking tool prior to implementation and closure. According to a CAPE official, the Nuclear Deterrent Working Group determined that implementing incentive pay could negatively affect morale, because some Air Force personnel in nuclear positions are not eligible to receive this additional pay. The official stated that the Nuclear Deterrent Senior Oversight Group was briefed on this risk and responded by requesting updates from the Air Force\u2019s annual review on the effectiveness of this incentive pay.", "The department is not consistently identifying and documenting risks associated with the recommendations, because CAPE\u2019s guidance does not direct the military services and DOD components to document and update information on risk in the centralized tracking tool. According to CAPE officials, since the release of the December 2016 memorandum directing the transition of the tracking and analysis responsibilities for the 2014 nuclear enterprise reviews\u2019 recommendations from CAPE to the military departments and other DOD components, the military services have not, to date, formally identified any key risks for inclusion in the centralized tracking tool. According to one Air Force official, the Air Force identifies and responds to risks through its day-to-day operations; however, this information is not captured by the tracking tool or otherwise documented. According to a CAPE official, additional guidance on documenting risk could encourage the military services and DOD components to capture risks that they have identified in the tracking tool.", "In a November 2014 memo announcing the department\u2019s response to the nuclear enterprise reviews, the Secretary of Defense stated that the nuclear deterrent plays a critical role in assuring U.S. national security and that it is DOD\u2019s highest priority mission. The Independent Review of the Department of Defense Nuclear Enterprise found that the avoidance of managing risks by many leaders within the enterprise resulted in adverse impacts to the mission. The review noted that avoiding risk by avoiding the problem until it becomes a major issue is a near inevitable outcome of risk-averse cultures and that, too often, it takes a significant event for the leadership to recognize major problems within the force. Similarly, the Internal Assessment of the Department of Defense Nuclear Enterprise stated that many of the senior leaders within DOD and the military services were not cognizant of the problems faced by the enterprise. According to that review, many issues were already being reported through internal self-assessments, but many senior leaders within DOD and the military services were not aware of the conclusions of these self-assessments and so were unable to take action to address them. Given the critical role the nuclear enterprise plays in national security, and given the challenges the Independent Review of the Department of Defense Nuclear Enterprise identified with respect to managing risks and communicating them across the defense nuclear enterprise, it is essential that risks be consistently identified and documented. By documenting information on risks in its centralized tracking tool, DOD could enhance its ability to provide oversight of the recommendations throughout its review processes in the military services, the Nuclear Deterrent Working Group, the Nuclear Deterrent Senior Oversight Group, and the NDERG. By developing additional guidance for identifying and documenting information about these risks, CAPE can also aid the components of the defense nuclear enterprise in their efforts to communicate and formulate responses to the risks\u2014either by deliberately determining to accept the risk or by taking steps to avoid, reduce, or share the risk across the enterprise."], "subsections": []}, {"section_title": "Identifying Performance Measures, Milestones, and Associated Risks could Improve DOD CIO\u2019s Efforts to Evaluate the Actions Taken in Response to the 2015 NC3 Report", "paragraphs": ["DOD CIO uses an internal spreadsheet to track the implementation of the 13 recommendations from the 2015 NC3 report, but it has not identified performance measures, milestones, or associated risks to evaluate these actions. This spreadsheet includes fields for indicating whether an execution plan exists, the operational impact from implementing the recommendation, forecast closeout (which lists the responsible DOD component or designates the status of the recommendation), and follow- up actions to be taken after a recommendation is closed. Figure 4 shows the layout of this spreadsheet.", "According to DOD CIO officials that we met with, DOD CIO shares information about the status of the 2015 NC3 report recommendations through meetings with the DOD entities with primary responsibility for implementing the recommendations. However, there is currently no centralized collection of metrics, milestones, and other information with the same level of detail that CAPE had developed and is using for the 2014 nuclear enterprise reviews\u2019 recommendations. According to DOD CIO officials, they are working with the offices of primary responsibility to expand on the current content of the internal tracking spreadsheet. These officials stated that while they had drafted a template to contain the expanded content, it has not yet been approved by the Oversight Council. This draft template contains fields similar to those CAPE developed and the department uses for tracking the department\u2019s progress in implementing the recommendations from the 2014 nuclear enterprise reviews. When approved and implemented, this template will provide a form that could be used for documenting performance measures, milestones, and risks for these 2015 recommendations, once this information is identified.", "Identifying and sharing performance measures, milestones, and risks could aid DOD CIO in tracking and evaluating DOD\u2019s efforts to implement the 2015 NC3 report recommendations. DOD CIO could improve its efforts to track DOD\u2019s progress in addressing the recommendations by identifying performance measures and milestones as part of the effort it has initiated to expand on the content of its tracking spreadsheet. DOD CIO could also use performance measures to evaluate the actions DOD has taken and determine whether the actions have fully addressed the root cause of the recommendation. DOD officials leading some of the recommendation implementation efforts told us that a number of the issues identified in the 2015 NC3 report stem from enduring problems. These officials noted that an overemphasis on identifying easily attainable performance measures and closing recommendations quickly may improve the overall percentage of recommendations implemented but also could result in underlying root causes continuing to go unaddressed. Our prior work on performance measurement has identified several important attributes\u2014such as the inclusion of baseline and trend data\u2014 that performance measures must have if they are to be effective in monitoring progress and determining how well programs are achieving their goals.", "Additionally, by identifying and communicating risks to NC3 stakeholders, DOD leadership may be in a better position to formulate responses to these risks\u2014including deliberately determining to accept the risk or take steps to avoid, reduce, or share the risk across the defense nuclear enterprise. Promoting the sharing of quality information on the status of the recommendations and potential risks from the 2015 NC3 report among the services and other DOD components with a role in NC3 could help DOD to integrate its nuclear deterrent efforts and help decision makers to formulate responses to any potential risks.", "The DOD CIO officials that we met with said that it will be important to incorporate performance measures and milestones into their tracking and evaluation process and to consider operational risk and its management when discussing effects on the nuclear enterprise and its NC3 systems.", "The draft template that DOD CIO is developing, once it is finalized and implemented, could aid the department in identifying performance measures and milestones for these 2015 recommendations in the same way that the centralized tracking tool CAPE developed has been used to collect performance measures and milestones for the 2014 recommendations. In addition, including an assessment of risks associated with the implementation of the recommendations from the 2015 NC3 report similar to the follow-up to the recommendations of the 2014 nuclear enterprise reviews could enhance DOD\u2019s ability to provide oversight of the recommendations and make informed responses to address any identified risks throughout its review processes, all the way to their closure by the Oversight Council."], "subsections": []}]}]}, {"section_title": "DOD and the Military Services Have Implemented Recommended Changes to their Personnel Reliability Assurance Programs to Reduce Administrative Burdens", "paragraphs": ["DOD and the military services have implemented changes to their personnel reliability assurance programs in response to 17 recommendations from the 2014 nuclear enterprise reviews. DOD has identified nine essential elements of reliability and released updated guidance to refocus personnel reliability on these elements. Additionally, the Air Force has incorporated these nine essential elements into its Arming and Use of Force program, allowing the Air Force to use this program to ensure that its security forces meet nuclear surety requirements. The Air Force has also created a new office within the Air Force Personnel Center, the Personnel Reliability Program Administrative Qualification Cell, to assist with the administrative review process for personnel newly assigned to Personnel Reliability Program positions or returning to Personnel Reliability Program positions after working elsewhere. In response to both the personnel recommendations and the inspections-related recommendations of the 2014 nuclear enterprise reviews, the Joint Staff, the Navy, and the Air Force have made changes to the procedures they use to conduct nuclear personnel reliability inspections at nuclear facilities."], "subsections": [{"section_title": "DOD and the Military Services Have Altered Personnel Reliability Standards to Focus on Nine Essential Elements of Reliability", "paragraphs": ["In response to recommendations from the 2014 nuclear enterprise reviews, the Joint Staff led a review of the department\u2019s guidance on the personnel reliability assurance program. The Joint Staff, with the assistance of the military services, identified nine elements from DOD\u2019s personnel reliability assurance requirements that it considered essential to ensure that personnel working with nuclear weapons fully met nuclear surety standards of reliability and trustworthiness.", "These nine essential elements are that an individual must 1. be a U.S. citizen 2. have a security clearance and be reinvestigated every five years 3. be fully qualified for the position in which he or she will serve 4. have reliability verified by the commander before being assigned to a Personnel Reliability Assurance Program position 5. be continuously monitored by peers, supervisors, and commander for issues that could affect reliability 6. have his or her personnel file checked for issues that could affect 7. undergo a medical evaluation to identify any conditions that could 8. have a personal interview with the commander who will be assessing 9. exhibit the character and competence to do the job, including allegiance to the United States and a positive attitude toward nuclear weapons In response to the Joint Staff review, the Office of the Assistant Secretary of Defense for Nuclear Matters, through the Office of the Under Secretary of Defense for Acquisition, Technology and Logistics, issued a new version of the Personnel Reliability Program manual in January 2015, followed by a reissue and renaming of the overarching DOD instruction\u2014 changing the name to DOD Nuclear Weapons Personnel Reliability Assurance\u2014in April 2016. This guidance requires that all DOD personnel occupying positions subject to nuclear personnel reliability assurance program standards must meet the nine essential elements of reliability. Additionally, the revised guidance removed a procedure for temporary decertification, which under the previous guidance was to occur immediately on receipt of information that was, or appeared to be, a reason for decertification. The manual also makes it clear that personnel reliability assurance programs are the commanders\u2019 programs, and the commander is exclusively accountable for determining the fitness for duty of individuals subject to the program. The updated manual also provides some clarity regarding requests for reinstatement by personnel who had previously been decertified from the Personnel Reliability Program.", "The military services have responded to DOD\u2019s changes by updating their own guidance. The Navy has released a new version of its department- specific Personnel Reliability Program manual, applicable to the Navy and Marine Corps, and Army officials told us that the Army plans to release a new version of its manual in early 2018. The Air Force has released a new version of its Personnel Reliability Program manual, in addition to other guidance changes.", "Specifically, in response to a provision in DOD\u2019s updated personnel reliability guidance that authorizes the military departments to develop reliability guidance specific to their security force personnel guarding nuclear weapons, the Air Force has made changes to its Arming and Use of Force program. Air Force Arming and Use of Force standards include qualification requirements under which all Air Force security forces, whether assigned to a nuclear facility or a non-nuclear facility, are authorized to carry a weapon as part of their official duties. In addition, Air Force nuclear security forces no longer require separate Personnel Reliability Program certification, as they previously did. The 2014 nuclear enterprise reviews determined that requiring nuclear security forces to meet the standards of two reliability programs at the same time was redundant. Air Force officials told us that utilizing the two reliability programs caused manning problems for the Air Force, because the availability of security force personnel qualified under both programs was limited. As a result of the changes to DOD\u2019s guidance, the Air Force rewrote its Arming and Use of Force guidance to incorporate a new chapter that outlines procedures for assessing security forces against each of the nine essential elements of reliability. This change has allowed the Air Force to use its Arming and Use of Force program as its sole method of establishing personnel reliability assurance for Air Force security force personnel. The Air Force continues to use its Personnel Reliability Program to certify nuclear operators and maintainers.", "Prior to the implementation of its new version of Arming and Use of Force standards, the Air Force conducted an assessment of the new Arming and Use of Force reliability standards as the sole standard for security forces at six Air Force installations (four nuclear installations and two non- nuclear installations), to identify any gaps or areas for improvement of the new guidance prior to its Air Force-wide implementation. The assessment found that the new Arming and Use of Force standard adequately addressed the nine essential elements required of a personnel reliability assurance program, streamlined monitoring of security forces for commanders by merging the Arming and Use of Force standards with the Air Force Personnel Reliability Program standards, and held the security force personnel to a higher standard to perform armed duty. The Air Force fully implemented its new version of Arming and Use of Force standards across the service in February 2016.", "As a result of the Air Force\u2019s changes to its Arming and Use of Force guidance, Air Force security forces are now qualified to serve at nuclear facilities and do not need to certify under the Personnel Reliability Program (see fig. 5). Air Force officials told us that requiring security forces to qualify under Arming and Use of Force standards had helped to address manning challenges among nuclear security forces, as well as allowing the Air Force to move experienced security forces personnel from non-nuclear facilities to nuclear assignments. According to several Air Force officials in command of security forces at non-nuclear installations, the changes to the Arming and Use of Force guidance have led to a slight increase in administrative work but have been an overall positive development, in part due to improvements in communication with medical personnel about factors that may affect a determination that an airman should not be armed.", "All Air Force security force personnel are required to meet the standards of Arming and Use of Force to carry a firearm and perform many of their duties. The Air Force implemented the new version of the Arming and Use of Force standards in 2016. According to Air Force officials, during the implementation, the Air Force decided that security force personnel who were, at that time, disqualified or permanently decertified under the Personnel Reliability Program would not be allowed to certify under the new version of Arming and Use of Force until they had been restored to eligibility for the Personnel Reliability Program. In early 2016, the Air Force conducted a review of 3,167 security force personnel who had previously been decertified or disqualified from the Personnel Reliability Program. The Air Force determined that 2,628 of these personnel were able to attain Personnel Reliability Program eligibility during this review, while 539 were not. Because qualifying under the new version of Arming and Use of Force is now a positional requirement, Air Force officials noted that those who do not qualify must retrain for a different job or separate from the Air Force. Air Force officials told us that the security forces career field received a greater number of new security forces personnel than they had been allocated in previous years to account for the loss of personnel who were unable to qualify under the new Arming and Use of Force standards.", "The Air Force tracks metrics from the Personnel Reliability Program and from the Arming and Use of Force program on an annual basis. Air Force officials told us that they have not yet reviewed the extent to which the changes to Arming and Use of Force made in February 2016 have been effective. Air Force and DOD officials told us that they are waiting until sufficient data are available before making additional changes to the guidance for their personnel reliability assurance program. The Air Force is currently developing a nuclear enterprise health assessment, which will include further assessment of the effects of the changes the Air Force has made to its Personnel Reliability Program and Arming and Use of Force guidance. Air Force officials told us that data collection for this assessment began in the spring of 2017 and that the first summary report will be released in September-October 2017. Once implemented, this Air Force nuclear health assessment will provide an overarching assessment on a periodic basis, similar to a biennial assessment that the Navy conducts of the Navy nuclear enterprise.", "Unlike the Air Force, the Navy and the Army have opted not to develop separate guidance on nuclear personnel reliability assurance for their security forces personnel. Navy and Army officials told us that there was no reason to create separate guidance for their security forces personnel because, unlike the Air Force, they have not faced manning challenges or administrative burdens related to these positions. The Air Force has a much larger nuclear security force, and personnel transfer between nuclear and non-nuclear facilities more frequently within the Air Force than the other services. The Navy fills security forces positions at the two Navy nuclear facilities with Navy and Marine Corps personnel who report directly from training. According to a Marine Corps official, once these personnel move on to non-nuclear assignments, they generally do not return to nuclear security positions. Army officials told us that their nuclear security forces are highly specialized, very few in number, and serve at only one facility."], "subsections": []}, {"section_title": "The Air Force Has Created a Personnel Reliability Program Administrative Qualification Cell to Facilitate the Assignment Process for Personnel New to Personnel Reliability Program Positions", "paragraphs": ["The Air Force has taken additional steps to improve the Personnel Reliability Program by creating the Air Force Personnel Reliability Program Administrative Qualification Cell to aid with the review of non- security force personnel (e.g., operations personnel, maintenance personnel) as they transition into Personnel Reliability Program positions. Personnel transferring into these positions are subject to an administrative qualification process, which includes a review of their personnel file, medical information, and security clearance information as well as an interview by the new, gaining, commander to assess them for factors that affect their reliability.", "Prior to October 2015, the commander for the unit that the individual was leaving reviewed the individual\u2019s administrative paperwork and then provided an assessment of the individual\u2019s reliability under the Personnel Reliability Program standards to the commander of the gaining unit. Because this initial review was often conducted by commanders outside of the nuclear field, they had less experience than nuclear commanders in conducting such an assessment. According to Air Force officials, this lack of experience often resulted in the standards being applied either too stringently or too loosely and the initial reviews often being completed late. Additionally, although Air Force guidance indicated that personnel transferring directly from one Personnel Reliability Program position to another were not required to undergo administrative qualification, one of the 2014 nuclear enterprise reviews found that some administrative file reviews were occurring.", "As of November 2016, the Air Force Personnel Reliability Program Administrative Qualification Cell has been staffed by personnel experienced with the standards, and they assist in conducting reviews of many of the Air Force personnel moving to nuclear assignments. The cell performs the administrative review formerly conducted by the commander of the individual\u2019s losing unit and provides a recommendation to the commander of the gaining unit before that commander makes an assessment (see fig. 6).", "As a result, according to Air Force officials, the qualification process is now completed more quickly, and the administrative burden on commanders has been lessened. Officials from the Air Force Personnel Center told us that the Personnel Reliability Program Administrative Qualification Cell was currently assisting all Air Force Major Commands but had not yet begun working with all Personnel Reliability Program units.", "In addition, in response to a recommendation from the 2014 nuclear enterprise reviews, the Air Force has eliminated administrative reviews that some commands were conducting of personnel transferring directly from one Personnel Reliability Program position to another, but which were not required in the Air Force\u2019s guidance. These personnel have remained subject to continuous monitoring, so they do not require new administrative qualification reviews."], "subsections": []}, {"section_title": "DOD, the Air Force, and the Navy Have Made Changes to the Inspections Processes for Their Personnel Reliability Programs", "paragraphs": ["DOD, the Air Force, and the Navy also made changes to their nuclear inspections processes in response to the 2014 nuclear enterprise reviews. Nuclear units are subject to a number of different inspections. For example, Joint Staff guidance requires that each of the services conduct Nuclear Weapon Technical Inspections biennially at each of their nuclear units. These inspections are intended to examine every aspect of the nuclear mission at that unit, including the processes of the personnel reliability assurance program. Because of the importance of maintaining nuclear surety by keeping nuclear weapons safe and secure, units that receive an unsatisfactory rating on an inspection may be decertified from conducting operations or have a portion of their nuclear capabilities withdrawn and retain only a limited nuclear capability in mission areas that would not jeopardize the safety, security, or reliability of the nuclear weapons.", "The 2014 nuclear enterprise reviews found that inspections of nuclear forces occurred too frequently, and that the procedures for inspections of personnel reliability assurance programs had become overly burdensome because of their focus on records review. The reviews found that, as a result, these personnel reliability assurance programs had become dominated by processes that were intended to prepare for inspections, rather than to ensure personnel reliability. Before the 2014 nuclear enterprise reviews, DOD personnel working with nuclear weapons were subject to frequent inspections by multiple organizations. According to DOD officials, Air Force major commands and Navy commands were performing inspections at nuclear units under their control every 18 months. One such inspection was conducted as a combined military service and Defense Threat Reduction Agency inspection. Each service inspected additional specific areas. For Navy units, the Navy inspectors would accept the Defense Threat Reduction Agency inspection report and the Navy inspectors would review additional, service-specific items; this resulted in a larger number of inspectors present. For Air Force units, the combined inspection was performed concurrently, with the Air Force inspecting the same items as the Defense Threat Reduction Agency inspectors as well as reviewing additional, service-specific items; this resulted in two separate inspection teams. The 2014 nuclear enterprise reviews found that a mistake by a single individual could result in an entire submarine or wing receiving an unsatisfactory rating\u2014even in cases not involving a clear, critical error\u2014potentially leading to the withdrawal of their nuclear weapons capabilities. The Independent Review of the Department of Defense Nuclear Enterprise found that the high frequency of inspections resulted in nuclear units spending significant time preparing for inspections rather than focusing on performing their mission.", "The Independent Review of the Department of Defense Nuclear Enterprise also stated that the portions of these inspections concerned with the personnel reliability assurance program were heavily focused on records review, especially at Air Force nuclear units. During each inspection, inspectors would review hundreds of personnel files and medical records to assess whether the commander and medical staff had made the correct decision in determining an individual to be reliable. Air Force officials told us that commanders and their medical staffs could be found deficient for improperly certifying individuals as reliable even if these individuals had been able to perform their duties without any issues\u2014for example, after routine medical procedures like a regular check-up with an eye doctor. As a result, commanders and medical staff at these units implemented additional procedures beyond those outlined in DOD guidance, such as temporarily suspending personnel from Personnel Reliability Program duties for every off-base medical appointment regardless of whether it could affect their reliability. Additionally, according to the Internal Assessment of the Department of Defense Nuclear Enterprise, inspectors also cited minor administrative deficiencies that were unrelated to personnel reliability, such as using the improper color of ink to fill out a form.", "To address the recommended improvements identified by the 2014 nuclear enterprise reviews, DOD has updated its inspection procedures. The Joint Staff has updated the Nuclear Weapons Technical Inspections guidance to reduce the frequency of inspections at nuclear units from every 18 months to every 24 months. DOD\u2019s Defense Threat Reduction Agency no longer conducts joint inspections with the services but is responsible for providing oversight of the services\u2019 inspectors on behalf of the Chairman of the Joint Chiefs of Staff. For the portion of the inspection concerned with personnel reliability assurance, the updated guidance de-emphasizes records reviews in favor of focusing on processes and procedures through observation, interviews, and scenario- based discussions. The Navy and the Air Force have also updated their inspection procedures to implement these changes in DOD\u2019s guidance. For example, Air Force inspectors do not conduct records checks unless the interviews and scenario-based discussions reveal a lack of procedural knowledge. Similarly, Navy officials stated that Navy inspectors review additional records as needed if a lack of procedural knowledge is revealed. To aid the Navy in assessing the overall effectiveness of the updated inspection procedures, the Navy has opted to also review a sample of the health records of personnel recently certified or reinstated into the Personnel Reliability Program.", "According to Air Force officials at one nuclear wing that had recently undergone a Nuclear Weapons Technical Inspection, the changes to inspection procedures for their personnel reliability assurance programs that DOD and the Air Force have implemented have had a positive effect. These officials stated that the increased use of scenario-based discussions and knowledge checks, combined with inspectors taking a less adversarial and more conversational discussion approach to their inspection inquiries, has resulted in an environment where personnel feel more comfortable self-disclosing problems or mistakes, and where the focus of the inspection is on process improvement rather than on identifying administrative errors, independent of whether the errors were substantive deficiencies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD has taken steps to improve the defense nuclear enterprise in response to the 2014 nuclear enterprise reviews and the 2015 NC3 report. The processes CAPE has developed to track and evaluate continuing progress to improve the defense nuclear enterprise\u2014including changes in DOD\u2019s and the military services\u2019 approaches to administering their personnel reliability assurance programs\u2014provide a good framework for continually monitoring the department\u2019s efforts. This framework is also a good example of how similar efforts to implement and oversee actions on department-wide improvements on a wide range of subjects could be made effectively. By developing additional guidance to identify and document risks associated with implementing the recommendations from the 2014 nuclear enterprise reviews and identifying and communicating performance measures, milestones, and risks for the 2015 NC3 report recommendations, the department\u2014 particularly through the NDERG and the Oversight Council for NC3\u2014 would be better positioned to ensure that progress continues to be made, underlying problems are addressed, and risks are mitigated or accepted after considering the predictable and desirable results."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: CAPE, in coordination with the military departments and other DOD entities serving as offices of primary responsibility for implementing the recommendations, develop additional guidance for these offices to identify associated risks and document information about these risks in the centralized tracking tool. (Recommendation 1)", "DOD CIO\u2014in coordination with CAPE, the military departments, Joint Staff, and U.S. Strategic Command\u2014as the draft template and any other additional tools to aid in their approach are finalized, identify and communicate to NC3 stakeholders performance measures and milestones to assist in tracking the progress of implementation of the recommendations from the 2015 NC3 report and evaluating the outcomes of implementation actions, and risks associated with the implementation of the recommendations from the 2015 NC3 report. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the classified report to DOD for comment. In its comments, reproduced in appendix I, DOD concurred with both of our recommendations. In response to our first recommendation, DOD indicated that the Director, CAPE, will issue supplementary guidance for the relevant DOD components to identify and document key risks related to implementation of recommendations from the 2014 reviews, risks related to implementation of alternate approaches, and potential unintended consequences. In response to our second recommendation, DOD stated that DOD CIO will work with the stakeholders of the Council on Oversight of the National Leadership Command, Control, and Communications System to identify and document performance measures and milestones associated with progress toward the recommendations from the 2015 NC3 report, as well as the risks related to implementation of these recommendations. We are encouraged that DOD is planning to take these actions and believe that, once they have been completed, the department will be better positioned to ensure that progress in implementing the recommendations from both the 2014 nuclear enterprise reviews and the 2015 NC3 report continues to be made, underlying problems within the defense nuclear enterprise are addressed, and risks are mitigated or accepted after deliberate consideration. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, and to the Secretary of Defense; the Under Secretary of Defense for Acquisition, Technology, and Logistics; the Chairman of the Joint Chiefs of Staff; the Secretaries of the Army, of the Navy, and of the Air Force; the Commandant of the Marine Corps; the Commander, U.S. Strategic Command; the Department of Defense Chief Information Officer; and the Director of the Office of Cost Assessment and Program Evaluation. In addition, the report is available at no charge on the GAO website at http://www.gao.gov If you or your staff have any questions about this report, please contact me at (202) 512-9971 or KirschbaumJ@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Penney Harwell Caramia, Assistant Director; Chris Cronin; R. Scott Fletcher; Jonathan Gill; Brent Helt; Douglas Hunker; Joanne Landesman; Marc Molino; Amie Lesser; Pamela Davidson; and Michael Shaughnessy."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Nuclear Weapons Sustainment: Budget Estimates Report Contains More Information than in Prior Fiscal Years, but Transparency Can Be Improved. GAO-17-557. Washington, D.C.: July 20, 2017.", "Nuclear Weapons: DOD Assessed the Need for Each Leg of the Strategic Triad and Considered Other Reductions to Nuclear Force. GAO-16-740. Washington, D.C.: September 22, 2016.", "Defense Nuclear Enterprise: DOD Has Established Processes for Implementing and Tracking Recommendations to Improve Leadership, Morale, and Operations. GAO-16-597R. Washington, D.C.: July 14, 2016.", "Nuclear Weapons Sustainment: Improvements Made to Budget Estimates Report, but Opportunities Remain to Further Enhance Transparency. GAO-16-23. Washington, D.C.: December 10, 2015."], "subsections": []}], "fastfact": []} {"id": "GAO-19-109", "url": "https://www.gao.gov/products/GAO-19-109", "title": "National Guard: Office of Complex Investigations Should Update Policies to Require Additional Documentation for Sexual Assault Cases", "published_date": "2018-12-12T00:00:00", "released_date": "2018-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Sexual assault incidents involving military service members can devastate victims and have far reaching impacts for DOD due to the potential for these crimes to undermine the department's core values, degrade mission readiness, and raise financial costs.", "The National Defense Authorization Act for Fiscal Year 2018 included a provision that GAO review, among other things, the purpose and structure of OCI and its adherence to policies. This report (1) describes OCI's services and budgetary and staffing resources; and (2) evaluates OCI's policies for investigations and internal controls to ensure its policies are consistently followed. GAO analyzed OCI policy, budget, and staffing documents and interviewed OCI, DOD, Army, and Air Force officials. GAO also interviewed National Guard officials and analyzed case files for select years from a nongeneralizable sample of five states."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Guard Bureau's (NGB) Office of Complex Investigations (OCI) was established in 2012 to conduct administrative investigations into allegations of sexual assault that are not criminal in nature and are conducted only when criminal law enforcement entities, such as military criminal investigative organizations or local civilian law enforcement, have declined or do not have jurisdiction to investigate and a National Guard nexus has been identified. Since 2013, OCI has completed approximately 380 investigations of allegations of sexual assault at the request of state National Guard officials and 5 assessments of state National Guard units to review the current culture, policies, and practices for the handling of sexual assault, among other things. State National Guard officials told GAO that OCI provides the states with an unbiased or impartial third-party review of reported incidents of sexual assault. OCI is primarily funded through amounts made available for the Sexual Assault Special Victims' Counsel Program in the Department of Defense's (DOD) annual defense-wide Operation and Maintenance appropriation. This funding has increased from approximately $1.4 million in fiscal year (FY) 2014 to almost $5 million in FY 2018; which OCI officials attributed to increasing demands for OCI's services. OCI uses trained National Guard members temporarily assigned to the office as investigators.", "NGB guidance establishes OCI investigation policies and OCI has implemented controls to help ensure key policies are followed. However, OCI has inconsistently documented how case acceptance criteria have been met. GAO's analysis of a sample of 27 case files from 5 states from FY 2016 and FY 2017 found that OCI generally adhered to key investigation policies. For example, in accordance with its policies, in all 27 case files GAO reviewed, OCI had included the state National Guard's requests to initiate an OCI investigation and executive summaries explaining OCI's determination of whether or not the allegation was substantiated. Furthermore, NGB has established two case acceptance criteria\u2014specifically that a National Guard nexus exists and that coordination with at least one criminal investigative organization occurred. According to OCI officials, state National Guard officials are to verify these criteria are met before submitting requests for OCI to initiate an investigation of sexual assault. NGB has developed a template with standardized language that includes these criteria that the states should use. While OCI's case files included the request letters with standardized language from state National Guards indicating the state National Guard staff had determined the case acceptance criteria were met, they did not consistently include supporting documentation to verify how the case acceptance criteria were met. This is because NGB policy does not require such documentation to be included in OCI's case files. Without such documentation, OCI does not have reasonable assurance that the cases it accepts for investigation adequately meet the two criteria for case acceptance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD require OCI to include supporting documentation in case files to verify a National Guard nexus exists and referral to the appropriate law enforcement organization occurs. DOD concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Sexual assault incidents involving military service members can devastate victims and can have far reaching impacts for the Department of Defense (DOD) due to the potential for these crimes to harm an individual\u2019s well-being, undermine the department\u2019s core values, degrade mission readiness, and cause increased financial costs. The National Guard Bureau (NGB) established the Office of Complex Administrative Investigations (OCI) in 2012 to conduct administrative investigations\u2014primarily allegations of sexual assault\u2014involving National Guard members which the military justice system or local law enforcement cannot or will not investigate. Specifically, OCI helps fill a gap by addressing cases involving National Guard members who (1) are not subject to the Uniform Code of Military Justice; (2) were not investigated by a military criminal investigative organization due to the lack of jurisdiction; (3) were declined a criminal investigation by civilian law- enforcement organizations; or (4) were not sufficiently investigated by the civilian law enforcement agency with jurisdiction. While OCI does not conduct criminal investigations, OCI\u2019s administrative investigations are intended to provide the Adjutants General with sufficient information to take administrative actions as appropriate to maintain good order and discipline within their National Guard units.", "In February 2017, we reported that the timeliness of investigations was a challenge for OCI and that 57 percent of investigations conducted in fiscal year 2015 took 6 to 9 months to complete. We recommended that the Chief of the NGB, in collaboration with the secretaries of the military departments, as appropriate, reassess OCI\u2019s timeliness and resources to determine how to improve the timeliness of processing sexual assault investigations involving members of the Army National Guard, and identify the resources needed to improve the timeliness of these investigations. DOD agreed with our recommendation. We provide additional details about OCI\u2019s backlog of investigations later in this report.", "The National Defense Authorization Act for Fiscal Year 2018 included a provision that we review the purpose and structure of OCI, its adherence to guiding policies, and the criteria and legal authority under which it conducts investigations. This report (1) describes the services OCI provides and the budgetary and staffing resources used by the office; and (2) evaluates the extent to which OCI has policies for its sexual assault investigations and internal controls to ensure its policies, including criteria for case selection, are consistently followed.", "For our first objective, we reviewed NGB and OCI documents and interviewed OCI, DOD, and state National Guard officials to identify the services provided by OCI. We reviewed OCI\u2019s budget data and information\u2014including how the office is funded\u2014and documentation of the office\u2019s organizational structure and staffing for fiscal years 2014 through 2018. We also interviewed relevant officials to determine the budgetary and staffing resources used by the office. In order to assess the reliability of OCI\u2019s investigations and budget data, we interviewed knowledgeable officials within OCI about the controls the office uses to ensure the validity and reliability of the data. We conducted testing of the data, which included comparing OCI\u2019s budget numbers with those received from DOD and the NGB Joint Staff for consistency, errors, and logic. We also interviewed officials in the Office of the Secretary of Defense\u2019s Sexual Assault Prevention and Response Office (SAPRO), coordinated with officials from the NGB Joint Staff, and obtained corroborating information to further support our data reliability determination. We determined the budget data related to the amount of funding OCI received for fiscal years 2014 through 2018 were sufficiently reliable for reporting and attributing these data to OCI. We were unable to determine the reliability of the discretionary funding OCI received, and therefore did not include these in our report. We also interviewed OCI officials about the steps the office takes to help ensure the reliability of its data on the number of completed investigations. We determined that the data on the number of investigations OCI had completed as of September 7, 2018, were sufficiently reliable for reporting and attributing these data to OCI.", "For our second objective, we analyzed current and previous versions of Chief of the NGB guidance to determine key policies for OCI investigations and controls the office has in place. Primary among these are Chief National Guard Bureau Instruction (CNGBI) 0400.01B, National Guard Complex Administrative Investigations (the NGB Instruction) and Chief National Guard Bureau Manual (CNGBM) 0400.01A, National Guard Complex Administrative Investigations Procedures (the NGB Manual). We also interviewed OCI, NGB, and DOD officials to identify the criteria OCI established for determining which investigations and assessments to conduct and evaluated their efforts to determine whether they met federal internal control standards, including that management should design appropriate types of control activities to achieve the entity\u2019s objectives, such as conducting top-level reviews, assigning responsibilities, and using quality information, as well as the need for documentation. We interviewed Army Criminal Investigation Command, Air Force Office of Special Investigations, and NGB officials about jurisdiction and legal authorities related to criminal and administrative investigations of reported allegations of sexual assault involving National Guard members. We also interviewed National Guard state officials and reviewed a sample of 27 case files from five states for fiscal years 2016 and 2017. We selected these states based on the following criteria: (1) the number of cases the states had referred to OCI, including states with a low and high number of cases; (2) the size of the state\u2019s National Guard population, both large and small member populations; and (3) geographic dispersion across the five census regions. We reviewed these case files for documentation and other evidence and compared them with a selection of key OCI policies to determine the extent to which the office is following those policies for the select case files we reviewed.", "We identified policies as key based on whether the policy met specific criteria, including whether (1) adherence to the policy was measurable in some way, for example, written documentation was produced; (2) the policy was relevant to the reporting requirements of our statutory mandate; (3) the policy was deemed essential to each phase of the investigation; (4) compliance data or information was available and could be shared with GAO in a timely manner; and (5) the policies were determined to be generally consistent across the 2012 and 2018 versions of OCI\u2019s policy documents, with a few exceptions for policies that were relevant to our mandate or essential to the investigative process. We evaluated the 27 case files against these selected key policies to determine if OCI followed these policies in our sample of OCI investigation case files. Our findings from these case files are provided solely as illustrative examples and are not generalizable to all of OCI\u2019s investigations, to the other states and territories, or to investigations conducted in the states we sampled any time before 2016 or after 2017.", "We conducted this performance audit from March 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The National Guard\u2019s Organizational Structure and Mission", "paragraphs": ["The National Guard consists of the NGB\u2014which includes the Office of the Chief, National Guard Bureau; the National Guard Joint Staff; the Office of the Director, Army National Guard; the Office of the Director, Air National Guard\u2014and the National Guard units, which are located in the 50 states, 3 U.S. territories, and the District of Columbia. Figure 1 illustrates the organizational structure of the National Guard.", "The National Guard has both a federal- and state-level mission. The National Guard\u2019s federal mission is to (1) maintain well-trained and well- equipped units that are ready to be mobilized by the President of the United States during war or international peacekeeping efforts, and (2) provide assistance during national emergencies, such as natural disasters or civil disturbances. The National Guard\u2019s state-level mission is to (1) protect life and property and preserve peace, order, and public safety, and (2) provide emergency relief support during local or statewide emergencies, such as riots, earthquakes, floods, or terrorist attacks. The National Guard\u2019s state-level mission is executed under the control of state and territory governors, and for the District of Columbia, the President.", "Reflecting the National Guard\u2019s federal and state roles, National Guard members may function under one of three command statuses:", "Title 10. When performing duty under the authority of Title 10 of the United States Code (Title 10 status), National Guard members are under the command and control of the President and are federally funded. When operating in Title 10 status, National Guard members are subject to the Uniform Code of Military Justice.", "Title 32. When performing duty under the authority of Title 32 of the United States Code (Title 32 status), National Guard members are under the command and control of the governors, but are federally funded. For example, past missions have included providing security at the nation\u2019s airports in the immediate aftermath of the September 11, 2001 terrorist attacks and assisting the Gulf Coast in the aftermath of Hurricane Katrina. While operating in Title 32 status, National Guard members are not subject to the Uniform Code of Military Justice, but, according to OCI officials, may be subject to a state code of military justice enacted by the state legislature.", "State Active Duty. When performing duty in State Active Duty status, National Guard members are under command and control of the governors and are state funded. When operating in State Active Duty status, National Guard members are not subject to the Uniform Code of Military Justice.", "When performing their state-level mission, National Guard units within a state, territory, or the District of Columbia report to a state-level senior officer known as the Adjutant General, who in turn reports to either a state or territorial governor, or for the District of Columbia, the President (as Commander-in-Chief). The Adjutant General coordinates with the NGB\u2019s Army or Air National Guard, as appropriate, on such matters as staffing and unit readiness. The Army and Air National Guard in turn coordinate with Army and Air Force staff, respectively."], "subsections": []}, {"section_title": "The Office of Complex Investigations", "paragraphs": ["OCI was established in 2012 by the Chief of the NGB to perform complex administrative investigations at the request of the Adjutants General of the 50 states, the three territories, and the District of Columbia, or at the direction of the Chief of the NGB. OCI\u2019s primary purpose is to provide the state National Guards with the capability to administratively investigate reports of sexual assault having a National Guard nexus when the reports fall outside the jurisdiction of military criminal investigative organizations and are not sufficiently investigated by civilian law enforcement. OCI\u2019s secondary purpose is to administratively investigate other complex matters as assigned, one of which is a state assessment. The types of investigations conducted by OCI are further described later in this report.", "Congress designated the Chief of the NGB as (1) the senior military officer responsible for the organization and operations of the NGB and (2) the principal advisor on National Guard matters to the Secretary of Defense through the Chairman of the Joint Chiefs of Staff, as well as to the Secretary and Chief of Staff of the Army, and Secretary and Chief of Staff of the Air Force. Further, a DOD directive states that one function of the NGB is to monitor and assist states in the organization, maintenance, and operation of National Guard units so as to provide well- trained and well-equipped units capable of augmenting the active forces. OCI officials stated that the Chief of the NGB has the authority to investigate matters in order to support the above statutory and regulatory obligations and authorities. Moreover, a DOD instruction makes clear that DOD components without law enforcement authority, like the NGB, have the authority to conduct only administrative investigations.", "The NGB Instruction states that the Chief of OCI specifies the requisite education, training, and experience for appointing an investigator to OCI and for assigning investigators to conduct a specific investigation. According to OCI officials, investigators are initially selected based on their analytical and investigatory skills, as well as their experience and understanding of the civilian and military criminal justice systems. OCI officials stated that investigators are required to complete an initial two- week training course conducted by the U.S. Army Military Police School, followed by three days of orientation conducted by OCI. OCI officials stated that investigators are also offered additional training opportunities throughout the year, including annual refresher training and professional development training."], "subsections": []}, {"section_title": "DOD\u2019s Sexual Assault Prevention and Response Program", "paragraphs": ["In response to statutory requirements, in 2005, DOD established its Sexual Assault Prevention and Response Program to promote the prevention of sexual assault, encourage increased reporting of such incidents, and improve victim response capabilities. DOD\u2019s program allows servicemembers to make a restricted or unrestricted report of sexual assault. DOD\u2019s restricted reporting option is designed to allow sexual assault victims to confidentially disclose an alleged sexual assault to selected individuals without initiating an official investigation and to receive medical and mental health care. DOD\u2019s unrestricted reporting option triggers an investigation by a military criminal investigative organization, such as the Army Criminal Investigation Command or the Air Force Office of Special Investigations. DOD\u2019s directive for its Sexual Assault Prevention and Response Program delegates authority to the Chief of the NGB for implementing policy and procedures for the program as it applies to National Guard members in Title 32 status."], "subsections": []}]}, {"section_title": "OCI Conducts Administrative Investigations of Sexual Assault and State Assessments, Receives Funds from DOD\u2019s Sexual Assault Program, and Uses Temporarily Assigned Investigators", "paragraphs": ["OCI conducts administrative investigations of reports of sexual assault, in addition to state assessments of state National Guard units. OCI is funded through appropriations made available for DOD\u2019s Sexual Assault Special Victims\u2019 Counsel Program. Moreover, OCI is staffed with temporarily assigned National Guard members as investigators."], "subsections": [{"section_title": "OCI Conducts Administrative Investigations of Sexual Assault and Assessments of State National Guard Units", "paragraphs": ["Since its inception, OCI has primarily conducted administrative investigations of unrestricted reports of sexual assault, in addition to a smaller number of state assessments. Since 2013, OCI has completed approximately 380 administrative investigations of sexual assault and 5 state assessments, as shown in figure 2. The National Guard reported to Congress in 2018 that OCI has experienced a 350 percent increase in requests for assistance from fiscal year 2014 to fiscal year 2017; and 53 of the 54 states and territories have requested OCI support during this period.", "OCI\u2019s sexual assault investigations are conducted at the request of the Adjutants General and are intended to provide the Adjutants General with information to make administrative decisions. Figure 3 describes the OCI process for accepting sexual assault cases.", "Based on its investigation, OCI provides a report to the state National Guard that includes the findings resulting from the investigation and identifies whether OCI has found the allegation to be substantiated. OCI\u2019s reports resulting from its sexual assault investigations do not include recommendations for action. Rather, the Adjutant General can use the report as the basis to determine whether and what type of administrative action should be taken. Such administrative actions may include a letter of reprimand, administrative separation, or other appropriate administrative remedy.", "OCI may also conduct a state assessment at the request of a state official, such as the Adjutant General or Governor. Each state assessment reflects the informational needs of the requesting official. According to NGB policy, the office will generally not conduct an assessment into criminal matters, and the assessment will also not include investigations of unrestricted reports of sexual assault. According to OCI officials, state assessments generally involve matters that are widespread issues and may adversely affect the good order and discipline of the National Guard, such as hostile work environment or concerns regarding a state Guard\u2019s approach to sexual assault prevention and response. At the conclusion of an assessment, OCI provides a report to the requesting official that may include recommended actions to address problems identified as a result of the assessment.", "In addition, according to OCI officials, the Chief of the NGB has the authority to direct inquiries into matters affecting the good order of the National Guard. OCI officials stated that OCI has the capacity to conduct inquiries at the direction of the Chief of the NGB and which are not performed at the request of a state official. For example, according to OCI officials, in 2014, the Chief of the NGB directed OCI to conduct an inquiry to evaluate the fiscal stewardship of the National Guard. National Guard officials stated that this was the only inquiry of this kind that the office has performed. Adjutants General and their staffs stated that OCI provides the states with an unbiased or impartial third-party review of reported incidents of sexual assault. Officials from one state stated that they could not identify an alternative entity that could provide this service if OCI did not exist."], "subsections": []}, {"section_title": "OCI Is Funded through Appropriations Made Available by Congress for DOD\u2019s Sexual Assault Special Victims\u2019 Counsel Program", "paragraphs": ["OCI is primarily funded through amounts made available by Congress for transfer to the services for the Sexual Assault Special Victims\u2019 Counsel Program in annual Operation and Maintenance, Defense-wide (O&M, Defense-wide) appropriations. According to OCI officials, the office estimates its annual budgetary needs based on an analysis of prior fiscal year\u2019s case load and expected personnel, travel, and training costs in the upcoming fiscal year. OCI, along with the National Guard\u2019s Special Victims\u2019 Counsel Program, submits its budget requirements to DOD SAPRO. SAPRO then submits a consolidated request for inclusion in DOD\u2019s overall budget request. According to OCI and DOD officials, OCI does not receive its allotment of transferred amounts until late in the fiscal year. When the transferred amounts are received into Army and Air National Guard O&M and Military Personnel accounts, amounts initially allotted for OCI are reprogrammed to other activities that supported OCI earlier in the fiscal year.", "OCI\u2019s overall funding has increased since 2014. According to an OCI official, the funding increase has been in response to increasing requests for OCI\u2019s services by the states and territories. Specifically, in fiscal year 2014, OCI funding was approximately $1.4 million, and by fiscal year 2018 total funding was almost $5 million. Figure 4 shows OCI\u2019s funding levels from fiscal year 2014 through fiscal year 2018.", "According to the NGB\u2019s 2018 manual, the NGB Joint Staff is responsible for coordinating funding for OCI\u2019s state assessments. OCI officials said that costs related to state assessments may be funded through available NGB O&M amounts. However, the officials also said that OCI does not track its expenditures related to state assessments separately from those related to its sexual assault investigations.", "According to OCI officials, OCI does not receive reimbursement from the states and territories for the cost of its investigations. OCI officials further stated that OCI investigators are part of the federal oversight of the federally recognized and funded units and members of the State National Guards. As such, states do not reimburse DOD for the cost of investigations performed by OCI. According to an OCI briefing document, a benefit of the office is its ability to conduct sexual assault investigations for the states which alleviates the need for Adjutants General to choose between funding such investigations versus other mission needs."], "subsections": []}, {"section_title": "OCI Investigators Are Temporarily Assigned National Guard Members", "paragraphs": ["According to the National Guard\u2019s 2018 Report to Congress, OCI primarily relies on National Guard members staffed temporarily to the office as investigators to conduct its sexual assault investigations and state assessments. The report stated that, since fiscal year 2015, OCI has used active duty operational support (ADOS) orders to maintain a staff of National Guard members, including between 22 and 28 investigator positions and 4 administrative and support positions. That report further stated that in fiscal year 2018, OCI hired one additional full- time Active Guard Reserve enlisted position and one Department of the Army civilian position. According to OCI officials, the office\u2019s investigative staff consists primarily of individuals with legal or law enforcement experience. See appendix I for more information on the organizational structure of OCI.", "In its 2018 Report to Congress, the National Guard stated that, of those OCI staff serving on ADOS orders, more than half serve in their position for one year or less, which was a contributing factor to longer investigative timelines and a backlog of requests for investigation. In February 2017, we found that the timeliness of investigations was a challenge for OCI and that 57 percent of investigations conducted in fiscal year 2015 took 6 to 9 months from the time a case was referred until the investigation was completed. We made a recommendation that the Chief of the NGB reassess OCI\u2019s timeliness and resources and identify the resources needed to improve the timeliness of these investigations.", "As of October 2018, the Office of the Chief Counsel has taken some steps to address this recommendation, which according to OCI officials include, for example, starting to develop a strategic plan to address the office\u2019s long term staffing and funding needs. In its 2018 Report to Congress, the National Guard stated that OCI\u2019s current manning and resourcing strategy of one-year ADOS tours, coupled with unprogrammed funding, impairs the office\u2019s ability to recruit and sustain a stable, experienced workforce, resulting in longer investigation timelines and a growing backlog of requests for assistance which OCI struggles to meet. According to the National Guard\u2019s 2018 Report to Congress, OCI\u2019s backlog of investigation requests grew from 7 cases in fiscal year 2014 to 55 in fiscal year 2017. According to OCI officials, the office continued to experience a backlog in fiscal year 2018."], "subsections": []}]}, {"section_title": "OCI Has Policies for Sexual Assault Investigations and Controls to Help Ensure Key Policies Are Followed, but Has Inconsistently Documented How Case Acceptance Criteria Are Met", "paragraphs": ["NGB guidance establishes policies for OCI\u2019s investigations, and OCI has implemented internal controls to help ensure it follows key policies. NGB guidance also establishes two criteria that allegations of sexual assault must meet for OCI to begin an investigation; however, this guidance does not require OCI to consistently include documentation in its case files related to how its case acceptance criteria are met."], "subsections": [{"section_title": "National Guard Bureau Guidance Establishes OCI Investigation Policies", "paragraphs": ["The NGB Instruction delineates the authority and responsibilities of NGB and state officials and the NGB Manual serves as the implementing guidance. According to OCI officials, the office\u2019s investigative process was designed based on the Army\u2019s Procedures for Administrative Investigations and Boards of Officers. To determine the allegations OCI will investigate, NGB policy includes specific requirements for OCI\u2019s coordination with state officials such as the Adjutant General and legal staff.", "According to NGB guidance, OCI officials will work with state officials to determine the appropriateness of sending a case to OCI, but state National Guard officials are responsible for formally requesting an OCI investigation. NGB policy also includes requirements for OCI investigators and outlines policies for the investigation process. The NGB Manual has additional requirements for the office\u2019s dissemination of investigation results back to the state National Guard. Based on the content of the NGB policy, OCI also created Standard Operating Procedures to guide the activities that are designated as the office\u2019s responsibilities."], "subsections": []}, {"section_title": "OCI Has Implemented Internal Controls to Help Ensure Key Policies Are Followed", "paragraphs": ["Based on our review, we found that OCI has internal controls to help ensure stakeholders follow key policies, including a review of final investigation reports and checklists to monitor activity. OCI\u2019s review of its investigations and case files includes both administrative and legal reviews conducted by officials within OCI and the NGB\u2019s Office of the Chief Counsel, including both administrative staff and leadership. Similar to the Army\u2019s administrative investigations procedures, OCI\u2019s reports of investigation undergo a review process which confirms that case files include all required documentation and provide sufficient evidence for the report\u2019s conclusions. Investigators have primary responsibility for storing administrative and evidentiary case documents, and a team of quality control administrators works with investigators to store and publish case files in accordance with OCI\u2019s policies. According to OCI officials, once investigators produce a report of investigation and determine whether to substantiate the allegation, the Investigations Manager reviews the investigators\u2019 determinations before sending the report to the office\u2019s Deputy Chief to review. According to OCI\u2019s Standard Operating Procedures, after the Deputy Chief\u2019s review, OCI submits the report for review by an independent legal counsel in the Administrative Law Division of the NGB\u2019s Office of the Chief Counsel. Furthermore, OCI\u2019s procedures state that all OCI reports of investigation must be reviewed by both the Chief of OCI and the Deputy Chief Counsel before being submitted to the state that requested the investigation.", "In addition to the internal controls implemented through OCI\u2019s report review process, OCI officials stated that the office also developed checklists designed to support internal policy adherence. For example, the review process includes an Investigator Checklist which outlines investigation policies and a Quality Control Checklist for administrators to ensure that the final report of investigation includes specific documentation and is coordinated appropriately, consistent with policy. Alongside these checklists, OCI\u2019s Standard Operating Procedures provide guidance to ensure that OCI investigators securely store private and sensitive information, particularly video recordings of personnel related to the case.", "Our analysis of a non-generalizable sample of 27 case files from 5 states from fiscal years 2016 and 2017\u2014out of a total of approximately 225 cases for those same years\u2014found that OCI generally adhered to key policies. For example, OCI included the Adjutants General requests to initiate the OCI investigation and executive summaries explaining OCI\u2019s determination of whether or not the allegation was substantiated in all 27 case files. However, 4 of 27 case files in our sample contained investigation request letters with personally identifiable information. OCI policy states that these letters should not include such information. OCI officials stated that they are unable to control the information the state National Guards include in their request letters; however, OCI officials also stated that investigators are expected to work with the states to get this information removed."], "subsections": []}, {"section_title": "National Guard Bureau Policies Outline Case Acceptance Criteria, but OCI\u2019s Case Files Inconsistently Include Supporting Documentation to Show How the Criteria Have Been Met", "paragraphs": ["NGB policies describe two criteria that allegations of sexual assault must meet for OCI to initiate and conduct an investigation. First, OCI may only conduct administrative investigations of sexual assault with an identified National Guard nexus. The NGB Instruction defines a National Guard nexus as generally existing when the reported perpetrator or the alleged victim is or was\u2014at the time of the reported incident\u2014a member or civilian employee of the National Guard. Officials stated that this includes National Guard members in Title 32 or state active duty status. Second, OCI may investigate a case only after a military criminal investigative organization or civilian law enforcement has declined to investigate a case, when a victim declines investigation by civilian law enforcement, or when a civilian law enforcement organization did not sufficiently investigate. Table 1 describes the OCI criteria to administratively investigate sexual assault cases with a National Guard nexus.", "The NGB Manual includes a template that the states should use when submitting requests for OCI to initiate an investigation of an unrestricted report of sexual assault. The template includes standardized language that the state National Guard staff determined the existence of a National Guard nexus and confirmed coordination with at least one criminal investigative organization prior to requesting OCI\u2019s assistance. All 27 written requests from the Adjutants General included in the sample of case files we analyzed included a statement that used this standardized language and indicated that the state National Guard staff had determined the existence of a National Guard nexus and confirmed coordination with at least one criminal investigative organization prior to requesting OCI\u2019s assistance, consistent with NGB policy.", "However, we found that OCI\u2019s case files do not consistently include supporting documentation to show how the case acceptance criteria\u2014 specifically the determination of a National Guard nexus and verification of coordination with the appropriate criminal investigative organizations\u2014 were met. This is because NGB policy does not require that OCI collect and include any additional documentation for verification purposes in its case files. In our review of OCI\u2019s case files, we found that 12 of the 27 case files did not include additional supporting documentation, such as police reports or e-mail correspondence with the appropriate criminal investigative organizations. We also found that 7 of the 27 case files did not include supporting documentation of both the nexus determination and coordination with the appropriate criminal investigative organizations. According to OCI officials, the office relies on state National Guard officials\u2019 evaluation and determination about the nexus criteria and does not always receive supporting documentation to verify the criteria have been met before initiating an investigation. OCI officials further stated that this is due, in part, to the fact that the NGB and Adjutants General cannot require local law enforcement to produce documentation related to their investigations because neither entity has subpoena power over state law enforcement organizations. However, in response to our concerns about the lack of supporting documentation to verify the state National Guard officials\u2019 evaluations of the criteria, in October 2018, OCI officials shared a draft memorandum template that they developed for verifying how the two case acceptance criteria were met.", "Standards for Internal Control in the Federal Government state that management should design control activities to achieve objectives and respond to risks. More specifically, documentation of such activities should be readily available for examination, properly managed, and maintained. Those standards state that documentation is a necessary part of an effective internal control system and is required to demonstrate design, implementation, and operating effectiveness. Without a requirement that supporting documentation related to the National Guard nexus and criminal investigative organization coordination efforts is included in each case file, OCI does not have reasonable assurance that the cases it is investigating adequately meet the two criteria for case acceptance."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Through the creation of the Office of Complex Investigations in 2012, the NGB has taken steps to address a gap by exercising its investigative authority to address those instances of sexual assault involving National Guard members that the military justice system or local law enforcement could not or would not investigate. OCI has implemented processes and procedures to help ensure that its policies are followed. However, the NGB does not require OCI to include supporting documentation in its case files for verifying how state National Guard officials determined that case acceptance criteria have been met. Without a requirement to collect and maintain such supporting documentation as part of its case files, OCI does not have reasonable assurance that it is only undertaking investigations that meet case acceptance criteria."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Defense should ensure that the Chief of the National Guard Bureau, in coordination with the Office of Complex Investigations, includes a requirement in its guidance to collect and maintain supporting documentation as part of its case files that verifies whether and how (1) the National Guard nexus exists, and (2) the allegation has been referred to the appropriate military criminal investigative organization or civilian law enforcement organization prior to opening an OCI investigation. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix II, DOD concurred with our recommendation and noted actions it was taking. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and other interested parties, including the Chief of the National Guard Bureau, the National Guard Bureau\u2019s Office of Chief Counsel, and the Office of Complex Investigations. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions regarding this report, please contact Brenda Farrell at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Organizational Structure of The National Guard Bureau\u2019s Office of Complex Investigations", "paragraphs": ["The Office of Complex Investigations (OCI) was established within the National Guard Bureau\u2019s Office of the Chief Counsel. To conduct its sexual assault investigations and state assessments, OCI primarily relies on Guard members staffed temporarily to the office as investigators. From August 2012 through September 2014, the office operated with three full- time personnel, who administered the program and conducted investigations with investigative personnel who received assignments as an extra duty. Since fiscal year 2015, however, OCI has used one-year active duty operational support (ADOS) orders to maintain a staff of National Guard members, including between 22 and 28 investigator positions and 4 administrative and support positions. In fiscal year 2018, the office was primarily staffed with traditional Guard members on ADOS tours\u20144 administrative support personnel and 24 investigators\u2014in addition to one full time Active Guard and Reserve enlisted position and one Department of the Army civilian position. According to OCI officials, the office\u2019s investigative staff consists primarily of individuals with legal or law enforcement experience. Figure 5 illustrates the organizational structure of OCI."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly Seay, Assistant Director; Johana Ayers; Maurice Belding; Vincent Buquicchio; Serena Epstein; Laura Ann Holland; Amie Lesser; Wayne McElrath; Stephanie Moriarty; Clarice Ransom; Ramon Rodriguez; Michael Silver; Jennifer Weber; and Nell Williams made key contributions to this report."], "subsections": []}]}], "fastfact": ["The National Guard has an office that investigates sexual assault allegations. Its investigations have no criminal outcomes, but can result in consequences like discharge from the National Guard.", "The office is only authorized to investigate cases that", "have a connection to the National Guard, and", "are not fully investigated by military or civilian law enforcement", "The office is not required to keep documentation verifying that all of its cases meet these criteria. Therefore, it can't be sure that it's only investigating the cases it's allowed to take. We recommended including this supporting documentation in the case files."]} {"id": "GAO-18-62", "url": "https://www.gao.gov/products/GAO-18-62", "title": "Critical Infrastructure Protection: DHS Risk Assessments Inform Owner and Operator Protection Efforts and Departmental Strategic Planning", "published_date": "2017-10-30T00:00:00", "released_date": "2017-10-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The nation's critical infrastructure includes cyber and physical assets and systems across 16 different sectors whose security and resilience are vital to the nation. The majority of critical infrastructure is owned and operated by the private sector. Multiple federal entities, including DHS, work with infrastructure owners and operators to assess their risks.", "GAO was asked to review DHS's risk assessment practices for critical infrastructure. This report describes:(1) DHS's risk assessment practices in 3 of 16 critical infrastructure sectors and private sector representatives' views on the utility of this risk information, and (2) how this risk information influences DHS's strategic planning and private sector outreach.", "GAO selected 3 of 16 sectors\u2013Critical Manufacturing; Nuclear Reactors, Materials, and Waste; and Transportation Systems\u2013to examine based on their varied regulatory structures and industries. GAO reviewed DHS guidance related to infrastructure protection, the QHSR and DHS Strategic Plan, and plans for the selected critical infrastructure sectors. GAO interviewed DHS officials responsible for critical infrastructure risk assessments, and the owner and operator representatives who serve as chairs and vice-chairs of coordinating councils for the 3 selected sectors. Information from the 3 sectors is not generalizable to all 16 sectors but provides insight into DHS's risk management practices.", "GAO provided a draft of this report to DHS and relevant excerpts to the council representatives interviewed during this review. Technical comments provided were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) primarily conducts assessments for each of the three elements of risk\u2014threat, vulnerability, and consequence\u2014for critical infrastructures from the three sectors GAO reviewed\u2014Critical Manufacturing; Nuclear Reactors, Materials, and Waste; and Transportation Systems. In limited circumstances, DHS generates risk assessments that both incorporate all three elements of risk and cover individual or multiple subsectors.", "Threat : DHS's Office of Intelligence and Analysis assesses threats\u2014natural or manmade occurrences, entities, or actions with the potential to cause harm, including terrorist attacks and cyberattacks\u2014and disseminates this information to critical infrastructure owners and operators. For example, the Transportation Security Administration provides threat intelligence to mass transit security directors and others through joint classified briefings.", "Vulnerability : DHS officials provide various tools and work directly with owners and operators to assess asset and facility vulnerabilities\u2014physical features or operational attributes that render an asset open to exploitation, including gates, perimeter fences, and computer networks. For example, DHS officials conduct voluntary, asset-specific vulnerability assessments that focus on physical infrastructure during individual site visits.", "Consequence : DHS officials also assess consequence\u2014 the effect of occurrences like terrorist attacks or hurricanes resulting in losses that impact areas such as public health and safety, and the economy\u2014to better understand the effect of these disruptions on assets.", "These assessments help critical infrastructure owners and operators take actions to improve security and mitigate risks. Six private sector representatives told GAO that threat information is the most useful type of risk information because it allows owners and operators to react immediately to improve their security posture. For example, one official from the Transportation Systems sector said that government threat information is credible and is critical in supporting security recommendations to company decision-makers.", "DHS uses the results of its risk assessments to inform the department's strategic planning and to guide outreach to infrastructure owners and operators. Critical infrastructure risk information is considered within DHS's strategic planning. Specifically, according to DHS officials, risk information informs the Department's Quadrennial Homeland Security Review (QHSR)\u2014a process that identifies DHS's critical homeland security missions and its strategy for meeting them. DHS also uses risk information to guide outreach to critical infrastructure owners and operators. For example, DHS officials annually prioritize the most critical assets and facilities nationwide and categorize them based on the severity of the estimated consequences of a significant disruption to the asset or facility. DHS officials then use the results to target their assessment outreach to the infrastructure owners and operators categorized as higher risk. DHS officials also told GAO that they use risk information after an incident, such as a natural disaster, to quickly identify and prioritize affected infrastructure owners and operators to help focus their response and recovery assistance outreach."]}], "report": [{"section_title": "Letter", "paragraphs": ["The nation\u2019s critical infrastructure (CI) includes physical and cyber assets and systems that are so vital to the United States that their incapacity or destruction could have a debilitating impact on national security, public health and safety, or the economy. CI provides the essential services\u2013\u2013 such as transportation, water, and energy\u2013\u2013that underpin American society, and protecting CI assets and systems is a national security priority. The risk environment for CI ranges from natural disasters to cyberattacks by foreign malicious actors. Additionally, while companies have increasingly sought to gain efficiencies by connecting their physical and cyber business systems, the convergence between these systems creates new opportunities for potential cyber attackers to access these systems. Because the majority of CI is owned and operated by the private sector, it is vital that the public and private sectors work together to protect these assets and systems.", "The Department of Homeland Security (DHS) coordinates the overall federal effort for national CI protection. As part of its CI protection responsibilities, DHS is to conduct CI risk assessments and integrate relevant information and analyses to identify priorities for protective and support measures to be implemented by DHS, other federal agencies, state and local government agencies and authorities, the private sector, and other entities.", "DHS developed the first version of the National Infrastructure Protection Plan (NIPP) in 2006 and updated it in 2009 and 2013. The NIPP describes a voluntary partnership model as the primary means of coordinating government and private sector efforts to protect CI. It provides a framework for developing and implementing a coordinated national effort to protect CI within 16 distinct sectors. The sectors vary in structure, with some sectors, such as the chemical and nuclear sectors, having more regulatory oversight governing their respective security issues in addition to the voluntary partnership model. Other sectors, such as commercial facilities and critical manufacturing, have less regulatory oversight, according to DHS officials.", "As part of the partnership structure, each sector has a designated Sector- Specific Agency (SSA), a federal department or agency that serves as the lead coordinator for security and resilience programs and activities for their respective sector. Each sector also has a government coordinating council (GCC), consisting of representatives from various levels of government, and a sector coordinating council (SCC) consisting of owner- operators of these critical assets or members of their respective trade associations. According to the NIPP, SCCs serve as principal collaboration points between the government and private sector owners and operators for CI security and resilience policy coordination and related sector-specific activities. For example, the NIPP calls for the individual sector-specific agencies, working with relevant sector representatives, to develop sector-specific plans to, among other things, describe how the sector will identify and prioritize its critical assets, including cyber assets, and define approaches the sector will take to assess risks and develop programs to protect these assets.", "Focusing on cyber infrastructure, DHS\u2019s National Cybersecurity and Communications Integration Center (NCCIC) provides a central place for federal and private-sector organizations to coordinate efforts to address cyber threats and respond to cyber attacks. The NCCIC\u2019s mission is to reduce the likelihood and severity of incidents that may significantly compromise the security and resilience of the nation\u2019s critical information technology and communications networks.", "Due to the cyber-based threats to federal systems and critical infrastructure, the persistent nature of information security vulnerabilities, and the associated risks, we continue to designate information security as a government-wide high-risk area in our most recent biennial report to Congress, a designation we have made in each report since 1997. In 2003, we expanded this high-risk area to include, the protection of critical cyber infrastructure. While DHS has made progress in this area, challenges remain. For example, we reported in November 2015 that while SSAs had taken actions to mitigate cyber risks for their respective CI sectors, most SSAs had not developed metrics to measure and report on the effectiveness of their mitigation activities. We also reported that DHS needed to assess whether its efforts to share information on cyber threats, incidents, and countermeasures with federal and non-federal entities are useful and effective.", "Over the last several years, DHS has taken actions to assess vulnerabilities at CI facilities and within groups of related infrastructure, regions, and systems. We reported in September 2014 that DHS offices and components had conducted or required thousands of vulnerability assessments of CI from October 2010 to September 2013, and that DHS needed to enhance integration and coordination of these efforts. DHS concurred with the six recommendations in our report, including our recommendation that it take steps to better coordinate vulnerability assessments both within DHS and other CI partners, as appropriate. DHS has taken steps to address this particular recommendation, which are discussed later in this report.", "Given the importance of CI to the nation\u2019s economy and well-being, you requested that we review DHS\u2019s efforts to assess risks to CI. This report addresses the following questions: 1. What are DHS\u2019s risk assessment practices in selected CI sectors and what are private sector representatives\u2019 views on the utility of this risk information? 2. How, if at all, does CI risk information influence DHS\u2019s strategic planning and private sector outreach?", "To address our first objective, we reviewed agency documents and interviewed relevant officials to identify DHS\u2019s physical and cyber risk assessment practices for 3 of the 16 CI sectors: Critical Manufacturing; Nuclear Reactors, Materials, and Waste; and Transportation Systems. We selected these three sectors because they were sectors for which DHS serves as the SSA or the co-SSA. DHS\u2019s Office of Infrastructure Protection is the lead component within DHS for the Critical Manufacturing and nuclear sectors, and DHS shares SSA responsibilities with the Department of Transportation for the Transportation Systems sector. These three sectors also have varying levels of federal regulation. Specifically, we chose the Critical Manufacturing sector because according to DHS, the majority of the assets in this sector are privately owned and operated by companies that have minimal interaction with the federal government and other regulatory entities and includes the manufacturing industries that are the most crucial for the continuity of other critical sectors and has significant national economic implications. Additionally, we selected the nuclear sector because all of the facilities in the sector are subject to federal security requirements, which allowed us to observe how a regulatory environment may affect DHS\u2019s provision of risk information to CI owners and operators. We also included the Transportation Systems sector because portions of it are regulated and DHS regularly conducts sector-wide complete risk assessments for this sector. The information gathered from these three selected sectors is not generalizable to all 16 sectors but does provide insight into how DHS\u2019s risk assessment information is used for a variety of CI. We reviewed laws and guidance regarding DHS\u2019s roles and responsibilities relating to physical and cyber CI risk assessment practices including the Homeland Security Act of 2002, as amended, and Presidential Policy Directive/PPD-21 (PPD-21). We also examined DHS\u2019s National Infrastructure Protection Plan, DHS\u2019s Risk Management Fundamentals, and the National Institute of Standards and Technology (NIST) Cybersecurity Framework to identify common practices for generating risk-related information.", "To characterize the risk information DHS distributed to CI owners and operators in the three selected sectors, we identified the products and activities associated with each risk element\u2014threat, vulnerability, and consequence. Additionally, to identify cybersecurity products and services distributed by DHS, we reviewed our previous work on DHS\u2019s NCCIC to categorize NCCIC products and services. We interviewed DHS officials from the National Protection and Programs Directorate (NPPD), the Office of Policy, the Office of Intelligence and Analysis (I&A), and the Transportation Security Administration (TSA) to discuss DHS\u2019s roles and responsibilities related to assessing risks for CI. We also interviewed the SCC chair and vice-chair from each of the three selected sectors to determine how DHS risk assessment information may be used by owners and operators, for a total of six SCC representatives. The information gathered from interviews with these private sector representatives is not generalizable to each of their respective sectors but provides insights into how the asset owners use risk information provided by DHS.", "To address our second objective, we reviewed and analyzed DHS planning products, such as the Quadrennial Homeland Security Review (QHSR) and strategic plans for the individual CI sectors, to determine which documents included elements that capture CI risk data for strategic decision-making purposes. We examined DHS policies and guidance related to administering risk assessments and obtained information from NPPD officials to determine how DHS may use risk information when prioritizing outreach activities within the three selected sectors. We also reviewed our past work on DHS strategic planning and DHS\u2019s actions to address open recommendations and interviewed DHS\u2019s Office of Policy to discuss the next iteration of the QHSR due to be released in fiscal year 2018.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Presidential Directives Define DHS\u2019s CI Security Mission", "paragraphs": ["In February 2013, the White House released Presidential Policy Directive (PPD)-21, Critical Infrastructure Security and Resilience, directing DHS to coordinate the overall federal effort to promote the security and resilience of the nation\u2019s CI from all hazards. Within DHS, NPPD has been delegated the responsibility for the security and resilience of the nation\u2019s CI, and within NPPD, the Office of Infrastructure Protection (IP) leads and coordinates national programs and policies on CI issues.", "Also in February 2013, the President issued Executive Order 13636, \u201cImproving Critical Infrastructure Cybersecurity,\u201d citing repeated cyber intrusions into critical infrastructure as demonstrating the need for improved cybersecurity. Among other things, the order addressed the need to improve cybersecurity information sharing and collaboratively develop risk-based standards; stated U.S. policy to increase the volume, timeliness, and quality of cyber threat information shared with private sector entities; directed the federal government to develop a technology- neutral cybersecurity framework to help CI owners and operators identify, assess, and manage cyber risk; and required DHS to use a consultative process to identify infrastructure in which a cybersecurity incident could result in catastrophic consequences."], "subsections": []}, {"section_title": "The National Infrastructure Protection Plan Provides a Framework for Managing Risk", "paragraphs": ["The NIPP sets forth a risk management framework and outlines DHS\u2019s roles and responsibilities regarding CI security and resilience. As shown in Figure 1, the NIPP risk management framework is a planning methodology that outlines the process for setting goals and objectives; identifying assets, systems, and networks; assessing risk; implementing protective programs and resiliency strategies; and measuring performance and taking corrective action.", "The risk management framework calls for public and private CI partners to conduct risk assessments to understand the most likely and severe incidents that could affect their operations and communities, and use this information to support planning and resource allocation in a coordinated manner. According to the NIPP, the risk management framework is also intended to inform how decision makers take actions to manage risk, which according to DHS, is influenced by the nature and magnitude of a threat, the vulnerabilities to that threat, and the consequences that could result, as shown in figure 2."], "subsections": []}, {"section_title": "Multiple DHS Offices Are Involved in CI Risk Assessment Activities", "paragraphs": ["Multiple DHS offices conduct or assist with risk assessments for CI, including the Office of Cybersecurity and Communications (CS&C), Office of Infrastructure Protection, and Office of Cyber and Infrastructure Analysis (OCIA). The Office of Infrastructure Protection and CS&C both use voluntary programs to introduce risk-related tools intended to identify gaps in infrastructure security. These include voluntary security surveys and vulnerability assessments carried out by DHS\u2019s Protective Security Advisors (PSA) and Cyber Security Advisors (CSA). PSAs are CI protection and security specialists responsible for assisting asset owners and operators with protection strategies of physical assets, and CSAs are cybersecurity specialists responsible for helping to bolster owners\u2019 and operators\u2019 cyber assessment capabilities. Both types of advisors use their respective assessment tools to work with CI stakeholders to develop measures intended to make assets more resilient. Other DHS offices with CI risk assessment responsibilities include DHS\u2019s Office of Intelligence and Analysis, U.S. Coast Guard, and TSA.", "PPD-21 and the NIPP also call for other federal departments and agencies to play a key role in CI security and resilience activities in their capacity as SSAs. In general, an SSA is a federal department or agency responsible for, among other things, supporting the security and resilience programs and related activities of designated CI sectors. DHS is designated as the SSA or co-SSA for 10 of the 16 CI sectors, and has assigned its SSA duties to multiple entities including the Office of Infrastructure Protection, TSA, Coast Guard, and Federal Protective Service. For our three selected sectors, DHS\u2019s Sector Outreach and Programs Division (SOPD), within the Office of Infrastructure Protection, serves as the SSA for the Critical Manufacturing and nuclear sectors. DHS\u2019s TSA and the U.S. Department of Transportation serve as co-SSAs for the Transportation Systems sector. Other federal agencies or departments external to DHS serve as the SSAs for the remaining 6 sectors for which DHS is not designated as the SSA or co-SSA. Figure 3 provides descriptions of the 16 sectors, identifies the SSA of each sector, and highlights the three selected sectors."], "subsections": []}, {"section_title": "Risk Assessment Activities Vary Based on Sector\u2019s Regulatory Environment", "paragraphs": ["For some sectors, assets or operations are regulated by federal or state regulatory agencies that possess unique insight into the risk mitigation strategies of the CI they oversee. These regulators, who may not serve as the designated SSA for the sector, help establish safety and security protocols for the industries they regulate and ensure sector resilience through the policymaking and oversight processes. For example, the Nuclear Regulatory Commission, in its role as the regulatory agency for the nuclear sector, conducts threat assessments to help protect against acts of radiological sabotage and to prevent the theft of special nuclear material. Additionally, pursuant to the Maritime Transportation Security Act of 2002, DHS must use risk management in specific aspects of its homeland security efforts. For example, the Coast Guard and other port security stakeholders are required to carry out certain risk-based tasks, including assessing risks and developing security plans for ports, facilities, and vessels."], "subsections": []}, {"section_title": "NIST Framework Provides Voluntary Cybersecurity Guidance", "paragraphs": ["DHS is also involved in promoting and supporting the adoption of the NIST Framework for Improving Critical Infrastructure Cybersecurity. In accordance with requirements in Executive Order 13636, as discussed above, this framework provides voluntary standards and procedures for CI organizations to follow to better manage and reduce cybersecurity risk, and is designed to foster communication among CI stakeholders about cybersecurity management.", "In December 2015, we reported that SSAs and NIST had promoted and supported adoption of the cybersecurity framework in the CI sectors. For example, in February 2014, DHS established the Critical Infrastructure Cyber Community Voluntary Program to encourage adoption of the framework and has undertaken multiple efforts as part of this program. These include developing guidance and tools that are intended to help sector entities use the framework. We also reported that DHS did not have metrics to measure the success of these program efforts, and recommended that DHS develop metrics to understand the effectiveness of their promotion activities. DHS concurred, and in December 2016 DHS officials stated that they plan to continue to work with SSA partners and NIST to determine how to develop measurement activities and collect information on the voluntary program\u2019s outreach and its effectiveness in promoting and supporting the cybersecurity framework. We are currently conducting a review that will identify actions taken by relevant federal entities including NIST, DHS, and other SSAs to promote the adoption of the cybersecurity framework. We will continue to monitor the voluntary program\u2019s outreach as well as DHS\u2019s efforts to measure its effectiveness in promoting and supporting the cybersecurity framework."], "subsections": []}, {"section_title": "Efforts to Increase Operational Efficiency among CI Assets Result in Physical and Cyber Security Convergence and Expand the Potential for Cyberattacks", "paragraphs": ["The convergence of physical and cyber security is a major challenge for owners and operators of CI as more physical processes and systems are connected to Internet-enabled networks to improve operational efficiency, according to DHS officials. For example, facilities may make use of automated building control systems to control certain processes or functions, such as security, lighting, or heating, ventilation, and air conditioning (HVAC). These control systems increase efficiency and optimize operational performance by reducing the need for manual controls and adjustments. Building control systems and the devices within them are often configured with connections to the Internet. These Internet connections allow the systems to be accessed remotely for control and monitoring and, for example, to receive software patches and updates. Figure 4 illustrates how a facility\u2019s HVAC and security systems are managed through a building automation system and operated over a control network. In this example, the information systems and networks are protected by a firewall\u2014a cybersecurity countermeasure\u2014while the control network and its devices have direct Internet connectivity without going through a firewall, potentially allowing a cyber-attacker to control the building\u2019s electronic door locks.", "Broader examples of these types of networked systems include electrical grids and water distribution systems, as well as control systems that operate chemical manufacturing processes, monitor natural gas pipelines, and control petroleum refineries. Depending on the cyberattack, there is potential to cause a disruption to specific infrastructure operations and a possibility that such an event could lead to cascading effects within the sector or to other sectors in the economy. According to a 2015 DHS report on cyber-physical infrastructure risks, greater connectivity among technologies that connect cyber systems to physical systems expands the potential for cyberattack by malicious actors. The growing convergence of these systems mean that exploited cyber vulnerabilities can result in physical consequences, as well."], "subsections": []}]}, {"section_title": "DHS Primarily Assesses the Three Elements of Risk Separately for CI, and Private Sector Representatives from Selected Sectors Report Threat Information Most Valuable", "paragraphs": ["DHS primarily assesses the three elements of risk\u2013threat, vulnerability, and consequence\u2013separately for individual CI assets and sectors. According to DHS officials, these assessments help critical infrastructure owners and operators take actions to improve security and mitigate risks. However, according to SCC representatives from three selected sectors, timely and actionable threat assessment data is the most useful type of risk information. In limited circumstances, DHS generates risk assessments that collectively incorporate all three elements of risk which selected SCC representatives found of limited use for their sectors\u2019 infrastructure protection efforts due to the amount of time it takes to finalize the assessment data, the inclusion of risk scenarios that are not likely to occur, and the results not being applicable to individual assets."], "subsections": [{"section_title": "DHS Shares Threat Assessment Information with CI Owners and Operators", "paragraphs": ["Threat Information Products Help Make Critical Infrastructure in Selected Sectors More Secure and Resilient DHS\u2019s Office of Intelligence and Analysis (I&A) compiles information from a variety of classified and unclassified sources to develop threat-related analytic products for each of the 16 CI sectors. I&A\u2019s threat assessment efforts include classified briefings intended to help CI owners and operators manage risks to their individual operations and assets, and to determine effective strategies to make them more secure and resilient. DHS typically shares these products via its Homeland Security Information Network for Critical Infrastructure (HSIN-CI) platform. I&A also partners with sector-specific agencies to engage asset owners and operators directly during biweekly classified threat briefings to share threat data. During these meetings, both I&A officials and CI owners and operators take this opportunity to identify potential threat-related risks that may inform future I&A threat products.", "The Homeland Security Information Network\u2013Critical Infrastructure (HSIN-CI) HSIN-CI is the Department of Homeland Security\u2019s (DHS) information sharing platform and collaboration tool for critical infrastructure stakeholders. It is the primary system through which private sector owners and operators, DHS, and other federal, state, and local government agencies collaborate to protect CI. According to DHS, it is an unclassified, web-based communications system for sharing sensitive but unclassified information. Users can access protection alerts, information bulletins, incident reports, situational updates, and analyses. Users can also engage in secure discussions with sector peer groups. Other features include CI protection training, planning and preparedness information, and a document library.", "Similarly, TSA\u2019s Office of Intelligence (TSA-OI) receives intelligence information regarding threats to transportation-related assets and disseminates it to industry officials with transportation responsibilities, as well as to other federal, state, and local officials. TSA-OI disseminates security information through products including reports, assessments, and briefings. For example, TSA-OI, in conjunction with I&A and the Federal Bureau of Investigation, provides intelligence and security information to mass transit and passenger rail security directors, law enforcement chiefs in major metropolitan areas, and Amtrak officials through joint classified intelligence and analysis briefings. Although it is not an intelligence generator, TSA-OI receives and assesses intelligence from within and outside of the intelligence community to determine its relevance to transportation security. Sources of information outside the intelligence community include other DHS components, law enforcement agencies, and owners and operators of transportation systems. TSA-OI also reviews suspicious activity reporting by Transportation Security Officers, Behavior Detection Officers, and Federal Air Marshals.", "DHS officials from IP and TSA told us that they also share threat information within their respective sectors. For example, as the Critical Manufacturing SSA, IP disseminates threat information to sector stakeholders daily. Officials from IP also hold quarterly threat briefings to alert stakeholders of relevant threats. TSA likewise shares transportation security related information, including details on threats, vulnerabilities, and suspicious activities, with Transportation Systems sector stakeholders through unclassified or classified products and briefings. For example, TSA provides Transportation Intelligence Notes to transportation security partners to offer additional information or analysis on a specific topic and also provides situational awareness of ongoing or recent incidents. Table 1 in appendix I summarizes DHS threat assessment activities and products provided to the three selected sectors.", "Examples of Threat Information the Department of Homeland Security Provides to Critical Infrastructure Owners and Operators Classified Threat Briefings: Officials from the Office of Intelligence and Analysis and the sector-specific agencies participate in briefings at regular intervals with critical infrastructure owners and operators to share threat information gathered from intelligence sources. Incident-Specific Outreach: The Nuclear Reactors, Materials and Waste sector-specific agency hosts incident-specific meetings and calls for sector stakeholders. Daily Threat Briefings: DHS publishes a daily e-mail that contains threat information intended to provide situational awareness from a variety of sources including the Federal Emergency Management Agency, Department of Justice, and other stakeholders as appropriate. According to DHS, these emails are distributed to more than 140 recipients in the Critical Manufacturing sector.", "NCCIC Established to Share Cyber Threat Information According to DHS, the NCCIC is a 24x7 cyber situational awareness, incident response, and management center. The center shares information among public and private sector partners to build awareness of cyber vulnerabilities, incidents, and mitigation strategies and its partners include other government agencies, the private sector, and international entities. The NCCIC works with the private sector by integrating (both physically and virtually) CI owners and operators into the center\u2019s operations so that, during an incident, threat information can be aggregated and communicated between government and appropriate private sector partners in an efficient manner. The NCCIC manages several programs that provide data used in developing 43 products and services in support of its 11 statutorily required cybersecurity functions. The programs include monitoring network traffic entering and exiting federal agency networks and analyzing computer network vulnerabilities and threats. The products and services are provided to its customers in the private sector; federal, state, local, tribal, and territorial government entities; and other partner organizations. For example, the NCCIC issues indicator bulletins, which can contain information related to cyber threat indicators, defensive measures, and cybersecurity risks and incidents. A list of these products and services is summarized in table 5 in appendix II. As of September 2017, 199 private sector CI owners and operators had as-needed access to NCCIC through their participation in the Cyber Information Sharing and Collaboration Program (CISCP).", "The National Cybersecurity and Communications Integration Center (NCCIC) The Department of Homeland Security\u2019s (DHS) NCCIC serves as a central location where partners involved in cybersecurity and communications protection coordinate and synchronize their efforts. NCCIC's partners include other government agencies, the private sector, and international entities. According the DHS, working closely with its partners, NCCIC analyzes cybersecurity and communications information, shares timely and actionable information, and coordinates response, mitigation, and recovery efforts. The NCCIC is made up of four branches: NCCIC Operations and Integration; United States Computer Emergency Readiness Team; Industrial Control Systems Cyber Emergency Response Team; and National Coordinating Center for Communications.", "In February 2017, we reported that the NCCIC had taken steps to perform each of its 11 statutorily required cybersecurity functions, such as being a federal civilian interface for sharing cybersecurity-related information with federal and nonfederal entities. However, we recommended nine actions to DHS for enhancing the effectiveness and efficiency of the NCCIC, including determining the applicability of the implementing principles and establishing metrics and methods for evaluating performance. DHS concurred with our recommendations and we will monitor DHS\u2019s progress toward addressing them.", "Selected Private Sector Representatives Reported Threat Data as Most Useful Risk Information SCC representatives we spoke to from the three selected sectors cited threat assessment data as generally the most useful risk information for CI owners and operators. Each of these six representatives indicated that threat information must be distributed rapidly to owners and operators in order to maintain its value and utility. Three of the six representatives reported that DHS generally provides threat information in a timely manner. For example, SCC representatives from the nuclear sector told us that timely threat information from DHS was helpful in clarifying erroneous reports circulating about the terror attacks in Belgium being aimed at nuclear sites in that region. According to these SCC representatives, working with DHS to gather credible information in a timely fashion was very valuable to their sector because it allowed owners and operators within their sector to determine whether they needed to implement certain protocols to ensure that they were not vulnerable to similar attacks. The remaining three representatives told us that delays in receiving threat information from DHS decreased the value of this information. For example, one representative noted that he believes DHS\u2019s process for vetting threat information before it is shared with his sector prevents the agency from disseminating valuable threat information in a timely manner. Another representative shared an example where the threats referenced in one of the products distributed by DHS had already been identified and addressed. However, the sixth representative emphasized that despite delays in receiving information from DHS, government threat information is very credible and a major resource often used by security managers proposing security upgrades to their respective chief executive officers. This representative also highlighted the significance of TSA\u2019s adoption of industry-defined intelligence priorities as directly supporting training and awareness initiatives to create opportunities for prevention.", "The NIPP establishes that the government is to provide the private sector with access to timely and actionable information in response to developing threats and crises. Similarly, the sector-specific plans from each of three selected sectors emphasize reliance upon timely and actionable threat information. For example, the 2015 Transportation System\u2019s sector-specific plan discusses the importance of an effective and efficient process for receiving, analyzing, and disseminating pertinent and timely threat information and states that effective protection or response to a potential hazard relies on providing the stakeholders at greatest risk with real-time or near real-time alerts of emerging or breaking events.", "According to one SCC representative, threat information is the one element of risk that adds the most value because it allows owners and operators to react immediately to improve their security posture to mitigate the effects of any potential hazards. The representative added that specific products like TSA-OI\u2019s annual country-specific threat assessments are particularly useful because a number of companies within his sector have business interests outside the U.S. and these reports help them stay abreast of potential threats abroad.", "Three of the six SCC representatives we interviewed reported that information regarding cybersecurity threats has become increasingly important. One SCC representative from the Critical Manufacturing sector stated that many of the security managers within his sector are physical security experts who are now facing more and more questions related to cybersecurity threats as a result of the cyber and physical security convergence their companies are experiencing. Therefore, the Critical Manufacturing sector worked with federal partners to increase access to the NCCIC, FBI, and U.S. Secret Service for additional cybersecurity support and also began promoting the sector\u2019s awareness and use of the NIST framework."], "subsections": []}, {"section_title": "DHS Conducts Voluntary Physical and Cyber Vulnerability Assessments for CI", "paragraphs": ["Infrastructure Survey Tool The Infrastructure Survey Tool (IST) is one of the Department of Homeland Security\u2019s (DHS) voluntary vulnerability assessment tools available to Critical Infrastructure owners and operators. It is a web-based security survey conducted by a Protective Security Advisor in coordination with facility owners and operators to identify the overall security and resilience of a facility. The survey contains more than 100 questions used to gather information on such things as physical security, security forces, security management, information sharing, and protective measures. The IST results inform owners and operators of potential vulnerabilities facing their asset or system and recommend measures to mitigate those vulnerabilities. Facility owners access results and preview the effects of proposed mitigation measures through the interactive IST Dashboard.", "NPPD helps CI owners and operators develop capabilities to mitigate vulnerabilities by conducting voluntary physical vulnerability assessments primarily by using PSAs to conduct voluntary vulnerability assessments in coordination with owners and operators. These assessments focus on physical infrastructure and are generally asset-specific and conducted during site visits at individual assets. They are used to identify security vulnerabilities and identify potential risk mitigation strategies for owners and operators to address over time. One tool PSAs use in conducting CI assessments is the Infrastructure Survey Tool to assess facilities that agree to voluntarily participate. According to NPPD officials, vulnerability assessments take longer to develop than threat assessments, and the vulnerabilities identified are typically more static than threats, which are constantly evolving. PSAs store the collected assessment data on DHS\u2019s Infrastructure Protection Gateway, an information sharing platform intended for use by DHS and its homeland security partners, including CI owners and operators, for access to infrastructure protection tools and information in support of incident preparedness and response efforts. Table 2 in appendix I summarizes the physical vulnerability assessments DHS conducts for the three selected sectors.", "In September 2014, we reported that the vulnerability assessment tools and methods that different DHS offices and components used varied with respect to the areas of vulnerability assessed. For example, we found that while all of the assessment tools we reviewed considered perimeter security, approximately half of these tools (6 of 10) included an assessment of cybersecurity. We also found that DHS had not established guidance on what areas should be included in a vulnerability assessment. We recommended, among other things, that DHS review its vulnerability assessments to identify the most important areas of vulnerability to be assessed, and establish guidance. DHS agreed with our recommendation and in July 2016 reported that IP had taken steps to collect and evaluate information on the various vulnerability assessment tools and methods used by DHS offices and components. More specifically, IP identified six security areas to incorporate into DHS assessment tools and methods. DHS reported in August 2016 that DHS offices and components received guidance for the areas and the specified levels of detail to be incorporated into existing assessment tools.", "As a result of addressing this recommendation, we believe that DHS is better positioned to collect and analyze assessment data to enable comparisons and determine priorities between and across CI sectors. DHS is also taking additional steps to address related recommendations from our September 2014 report that remain open. For example, we recommended that DHS develop and implement ways it can facilitate data sharing and coordination of vulnerability assessments to minimize the risk of potential duplication or gaps in coverage. As of September 2017, in response to this recommendation, DHS officials reported they were coordinating with stakeholders and developing features in an online portal to better facilitate information vulnerability assessment data sharing. We will continue to monitor the status of DHS\u2019s efforts to address these recommendations.", "In addition, in July 2017, DHS officials reported that they were finalizing a strategy intended to identify ways that vulnerability assessment data can be used by not only CI owners and operators but DHS and other government stakeholders to improve their own decision-making. According to these officials, DHS held workshops with over 120 stakeholders from NPPD as well as senior officials from other designated sector-specific agencies and federal departments who identified the need for DHS to provide more vulnerability assessment data related to lifeline facilities\u2014such as water and wastewater treatment plants and train stations. They also noted that stakeholders recommended that DHS use the vulnerability assessment data it collects to conduct trend analysis in specific CI sectors and geographic regions.", "The Cyber Resilience Review The Cyber Resilience Review is one of the Department of Homeland Security\u2019s (DHS) cyber vulnerability assessments available to critical infrastructure owners and operators. It is a voluntary, nontechnical assessment to evaluate an organization\u2019s operational resilience and cybersecurity practices. It may be conducted as a self-assessment or as an on-site assessment facilitated by DHS cybersecurity Cyber Security Advisors. It assesses enterprise programs and practices across 10 domains: asset management, controls management, configuration and change management, vulnerability management, incident management, service continuity management, risk management, external dependency management, training and awareness, and situational awareness.", "DHS Offers Voluntary Cyber Vulnerability Assessments for CI Owners and Operators The Office of Cybersecurity and Communications (CS&C) offers CI owners and operators a suite of voluntary vulnerability assessments aimed at securing their cyber systems. For example, CS&C\u2019s Industrial Control Systems Cyber Emergency Response Team (ICS-CERT) is responsible for taking steps to help mitigate vulnerabilities to computer- based systems that are used to monitor and control industrial processes. CS&C also maintains the National Cybersecurity Assessment and Technical Services team which offers cybersecurity scanning and testing services that identify vulnerabilities within stakeholder networks and provides risk analysis and remediation recommendations. The CSA program also provides cyber assessment services for CI owners and operators through on-site vulnerability assessments for cyber systems. CSAs offer the Cyber Infrastructure Survey Tool, an assessment of essential cybersecurity practices instituted by critical infrastructure organizations to protect their critical IT services as well as the Cyber Resilience Review which evaluates an organization\u2019s operational resilience and cybersecurity practices. A summary of DHS\u2019s critical infrastructure cyber vulnerability assessment efforts can be found in table 3 in appendix I.", "Selected Private Sector Representatives View Asset-Specific Vulnerability Assessments As Useful Sector Coordinating Council representatives from two of the three selected sectors stated that DHS\u2019s vulnerability assessment efforts were useful for determining vulnerabilities for individual CI owners and operators, but their opinions varied concerning the usefulness of aggregating sector-wide data and sharing broadly among private sector stakeholders. For example, one SCC representative told us that the risk scores associated with individual vulnerability assessments are of value to the CI owners and operators of the infrastructure for which that assessment was administered. However, this representative also mentioned that these scores have limited value beyond the individual asset because risks differ greatly between companies, rendering sector- wide or regional vulnerability assessments less useful. Another SCC representative told us that because the membership of their respective sectors is so broad and diverse, it is difficult for members to discern the value of high-level aggregated vulnerability data\u2013\u2013especially from organizations with very different business models. However, another SCC representative indicated that DHS could offer aggregated vulnerability assessment data to all CI stakeholders for the purpose of developing broader situational awareness."], "subsections": []}, {"section_title": "DHS Conducts Consequence Assessments as Part of Its Infrastructure Survey Tool", "paragraphs": ["While DHS\u2019s IST is used to assess vulnerabilities for CI, the tool also includes a consequence module intended to allow DHS to assess facility criticality in terms of potential loss of life and economic impact. Also, OCIA analyzes consequence from incidents, and models past events to better understand the effect of these disruptions on assets and predict consequences of future events. Table 4 in appendix I describes the DHS components and corresponding products and activities associated with consequence assessments.", "DHS officials we spoke with stated that consequence information is important to owners and operators. These officials added that DHS needs to demonstrate that potential losses can be avoided by owners\u2019 and operators\u2019 investment in risk mitigation, thereby reducing the overall consequence of a potential incident on the CI owner\u2019s operations and the nation. Three of the six SCC representatives we interviewed shared that consequence information was not useful. For example, one SCC representative noted that consequence information is not very useful for owners and operators because timely threat information combined with knowledge of an asset\u2019s vulnerabilities put owners and operators in a better position to mitigate potential incidents and, subsequently, any associated consequences. DHS officials acknowledged that a range of perspectives concerning the usefulness of consequence information exists and stated that these differences reflect the array of owner and operator views about how to use risk information for different risk management decisions."], "subsections": []}, {"section_title": "DHS Conducts Complete Risk Assessments for CI Sectors on a Limited Basis", "paragraphs": ["Within DHS, NPPD, TSA, and the Coast Guard are responsible for developing complete risk assessments, which can be conducted for an entire CI sector or multiple sub-sectors within a CI sector. Both TSA and the Coast Guard regularly conduct complete risk assessments within the Transportation Systems sector. However, according to a senior OCIA official, NPPD receives very few requests for complete risk assessments. Our review of available assessment documentation found that among our three selected sectors, DHS has conducted complete risk assessments for the Transportation Systems sector but not the other two sectors. For example, the Transportation Systems Sector Security Risk Assessment is TSA\u2019s annual report to Congress on transportation security. It assesses risk by establishing risk scores for various attack scenarios within the sector, including for domestic aviation; examines risks to individual transportation modes; and compares them to risks within and across modes. Table 6 in appendix III describes the assessment in more detail.", "Also within the Transportation Systems sector, the Coast Guard\u2019s Maritime Security Risk Analysis Model (MSRAM) serves as the primary tool for assessing and managing security risks for all of the vessels, barges, and facilities regulated by the Coast Guard under the Maritime Transportation Security Act of 2002. Since its development and implementation in 2005, MSRAM has provided the Coast Guard with a standardized way of assessing risk to maritime infrastructure, referred to in the analysis model as targets that can include chemical facilities, oil refineries, hazardous cargo vessels, passenger ferries, and cruise ship terminals. For example, a scenario related to cruise ships identified using this analysis model could include a boat bomb or an attack by a hijacked vessel. MSRAM is designed to allow comparison between different targets at the local, regional, and national levels with the goal of reducing risk by prioritizing security activities and resources.", "To prioritize and assess security risks at U.S. ports and facilities, the Coast Guard uses MSRAM to calculate risk using threat judgments provided by the Coast Guard Intelligence Coordination Center. The Center provides threat probabilities for MSRAM based upon judgments regarding specific intent, capability, and geographic preference of terrorist organizations to deliver an attack on a specific type of maritime target class\u2014for example, a boat bomb attack on a ferry terminal. To make these judgments, Center officials use intelligence reports generated throughout the broader intelligence community to make qualitative determinations about certain terrorist organizations and the threat they pose to the maritime domain. At the sector level, Coast Guard MSRAM users are required to use the threat probabilities provided by the Center to ensure that threat information is consistently applied across ports.", "MSRAM users at the sector level also assess the vulnerability of targets within their respective areas of responsibility and assess the consequences of a successful attack on these targets. Vulnerability and consequence factors included in the MSRAM assessment can be found in table 7 in appendix III.", "According to one NPPD official, various sector councils have requested analysis of certain risk elements, such as vulnerabilities or consequences, as opposed to complete risk assessments. For example, councils have asked for analysis of vulnerabilities and consequences due to potential failures within their sector\u2019s respective systems and the potentially cascading effects of these failures on systems beyond their own span of control. This official noted that these requests provide the opportunity for OCIA to develop analytic products that companies within these sectors can then use as part of the risk assessments they conduct for themselves, as well as analytic products more broadly related to homeland security risks.", "SCC representatives from our three selected sectors told us that complete risk assessments are of limited utility for CI owners and operators because complete assessments take a long time to produce, often involve risk scenarios that are not likely to occur, or generates results that are so broad that they may not be applicable to individual assets. For example, according to one SCC representative, the diversity among the members of his sector, including size and sophistication of operations, is the primary reason that conducting a complete risk assessment for their sector would not be helpful for individual companies. Similarly, another SCC representative told us that the private sector does not operationalize information from complete risk assessments because the assessments do not add practical value and some of the scenarios evaluated in the assessments are not applicable to many of the companies within their sector.", "TSA and NPPD officials provided explanations of the utility of complete risk assessments, particularly for government decision-making purposes. For example, TSA officials told us that they believe the Transportation Systems Sector Security Risk Assessment data gathering methodology for identifying risk inputs adds the most value in the assessment process for CI owners and operators in the Transportation Systems sector. According to these officials, the data gathering process is extensive and involves a substantial number of industry experts who are brought together to analyze potential threats, vulnerabilities, and consequences across the five transportation modes for which TSA is responsible. The officials added that this elicited risk information allows TSA to better allocate resources across the multiple transportation modes. According to one senior OCIA official, NPPD is best suited to execute complete risk assessments that are intended to focus on broad risks to CI and are not specific to individual CI assets. For example, NPPD is providing risk information for the execution of the 2018 Homeland Security National Risk Characterization (HSNRC), which evaluates the full range of risks addressed by DHS. This official stated that their office is working with DHS\u2019s Office of Policy to maximize the value of the insights gained from the HSNRC effort and using it to inform NPPD decisions about strategy and policy."], "subsections": []}]}, {"section_title": "DHS Uses CI Risk Information to Inform Strategic Planning and Guide Outreach to Owners and Operators", "paragraphs": ["DHS uses CI risk information in multiple ways, including informing strategic planning and developing analytic products, and at the component level to guide its day-to-day owner and operator outreach and incident response. DHS is also facilitating risk-based cross-sector planning and information sharing through sector coordinating councils."], "subsections": [{"section_title": "DHS Uses CI Risk Information to Inform Its Strategic Planning and is Taking Actions to Improve Supporting Risk Analysis", "paragraphs": ["According to DHS Office of Policy officials, DHS is using risk information to inform departmental strategic planning as part of its third QHSR. The QHSR is DHS\u2019s process for updating the national homeland security strategy, identifying critical homeland security missions, and assessing the organizational alignment of DHS with the homeland security strategy and missions. The results of the QHSR are used in DHS\u2019s Strategic Plan, which outlines how DHS plans to implement the QHSR homeland security goals, lists strategies to achieve these goals, and identifies performance measures to track progress towards these goals. The QHSR incorporates multiple sources of risk information, including the HSNRC. The HSNRC assesses natural hazards such as floods, and manmade hazards such as terrorism. According to Office of Policy and NPPD officials, NPPD provides a broad range of risk-related inputs to support the implementation of the HSNRC risk assessment methodology. These inputs provide DHS officials a better understanding of risks to CI during strategic planning, according to Office of Policy officials.", "Our prior work on DHS\u2019s QHSR found that DHS assessed homeland security risks for its second QHSR for fiscal years 2014 to 2018 by considering threats, vulnerabilities, and consequences. We also found that while the QHSR risk assessment described a wide range of homeland security challenges and was a valuable step toward using risk information to prioritize and select risk management activities, DHS did not document how its various analyses were synthesized to generate results, thus limiting the reproducibility and defensibility of the results. We found that without sufficient documentation, the QHSR risk assessment results could not easily be validated or the assumptions tested, hindering DHS\u2019s ability to improve future assessments. In addition, the QHSR described homeland security hazards, but did not rank those hazards or provide prioritized strategies to address them. We reported that comparing and prioritizing risks helps identify where risk mitigation is most needed and helps justify cost-effective risk management options. Thus, we recommended that future QHSR risk assessment reflect key elements of successful risk assessment methodologies, including being documented, reproducible, and defensible. We also recommended that DHS refine its risk assessment methodology so that in future QHSRs it can compare and prioritize homeland security risks and risk mitigation strategies. DHS concurred with these recommendations and outlined steps it planned to address them.", "In response to our recommendations, DHS officials described several steps they have taken to address our recommendations. According to these officials, the Office of Policy held initial meetings with government and nongovernment subject matter experts after the release of our report to refine the HSNRC. Also, according to these officials, a Departmental Risk Modeling and Analysis Steering Committee (Risk committee) was convened in June 2016 to review and approve proposed new methodologies to help identify and prioritize threats and hazards for the HSNRC. According to NPPD officials, NPPD proposed updates to the HSNRC process as part of the Risk committee proceedings, such as changing the scope and detail of the assessment. The Risk committee evaluated these requests and finalized proposals for use in the third QHSR, which is scheduled to be released in 2018. We will continue to monitor the status of DHS\u2019s actions to address our recommendations and how they are implemented."], "subsections": []}, {"section_title": "DHS\u2019s Office of Infrastructure Protection Uses CI Risk Information to Inform Outreach to Owners and Operators and Incident Response", "paragraphs": ["According to IP officials, PSAs use risk information to guide their outreach to CI owners and operators. PSAs use the National Critical Infrastructure Prioritization Program (NCIPP) list\u2013\u2013which prioritizes CI assets into different levels according to their criticality\u2013\u2013to inform their outreach to owners and operators. PSAs and their leadership use the NCIPP list to prioritize outreach to owners and operators across each level of assets within their area of jurisdiction for participation in DHS\u2019s voluntary security survey and vulnerability assessment programs, as shown in figure 5. Generally, PSAs engage CI owners and operators in the order in the pyramid shown in figure 5, starting with Level 1.", "According to IP officials, PSAs also use risk information to guide incident response. The officials explained that when an incident occurs, they pull information from a variety of sources, including the database of assets on the NCIPP list, to identify CI in the affected area. OCIA officials then prioritize this information into a list to guide incident response efforts. For example, when Hurricane Hermine approached Georgia in September 2016, PSAs received a list from OCIA that categorized potentially affected CI assets in the region into priority levels. The PSAs used the list to prioritize their outreach to the highest priority assets.", "Officials from the CSA program, also plan to use risk information to guide cybersecurity outreach to CI owners and operators. According to CS&C officials, CSAs are currently able to meet resource demands for outreach with little or no delay. However, as the CSA program continues to expand, CSAs plan to use a risk-based methodology to prioritize outreach. This methodology considers cyber threats, vulnerabilities, and consequences to determine how and where CSAs are used, according to CS&C officials.", "DHS SSA representatives for our three selected sectors also use risk information to guide their outreach to CI owners and operators. For example, in response to a physical threat to a nuclear facility in Brussels, Belgium, nuclear sector SSA officials engaged with private sector representatives on the SCC and discussed ways to improve their information-sharing process. In another example, Critical Manufacturing SSA officials determined that smaller businesses in their sector did not have business continuity plans. According to these SSA officials, this was a risk that could disrupt the operations of these small businesses and other businesses in their supply chain. SSA officials developed a tool to help Critical Manufacturing sector owners and operators develop their own continuity plans\u2013\u2013including templates, tabletop exercises, and a self- directed risk assessment for private sector owners and operators to use. According to the Critical Manufacturing sector-specific plan, the expanded use of business continuity planning will enhance the resilience of the Critical Manufacturing Sector."], "subsections": []}, {"section_title": "DHS Facilitates Sharing of Cross-Sector Risk Information through Coordinating Councils and Planning Documents", "paragraphs": ["As part of DHS\u2019s responsibility described in the NIPP, DHS created the Critical Infrastructure Partnership Advisory Council (CIPAC), a forum for stakeholders including government officials and asset owners and operators, to facilitate planning and information sharing. CIPAC membership consists of representatives from the government and sector coordinating councils\u2014federal, state, and local agency officials, and private owners and operators, respectively\u2014who work together to coordinate strategies, activities, and policies across governmental entities within each of the 16 CI sectors. There is also a Critical Infrastructure Cross-Sector Council comprised of SCC chairs and vice chairs from each of the 16 sectors that meets quarterly to discuss, among other things, details about risks and opportunities to share information across sectors. Additionally, this Critical Infrastructure Cross-Sector Council provides a forum for the leaders of the SCCs to provide senior-level, cross-sector strategic coordination with DHS. The chairperson of the cross-sector council also communicates with owners and operators across the sectors as situations arise. For example, the chairperson convened a teleconference within 24 hours of a recent terror attack in the United Kingdom to share information and answer questions about potential risks or lessons learned for CI owners and operators.", "In addition, DHS engages private sector owners and operators in cross- sector discussions through sector planning documents. For example, the 2015 sector-specific plans for each of the three sectors we studied include descriptions of cross-sector interdependencies. These include summaries of lifeline functions\u2013\u2013such as energy, water, communications, and transportation systems\u2013\u2013which are essential to the operations of most CI partners and communities. During development of the 2015 sector-specific plans the sectors and SSAs also collaborated and identified emerging risks that spanned across multiple sectors, as shown in figure 6."], "subsections": []}]}, {"section_title": "Agency and Third Party Comments", "paragraphs": ["We provided a draft of this product to DHS for review and comment. DHS provided technical comments, which we incorporated as appropriate. We also provided draft excerpts of this product to the selected sector coordinating council representatives we interviewed, who provided technical comments that we also incorporated as appropriate.", "We are sending copies of this report to interested congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Selected Risk Information Products and Activities Distributed by the Department of Homeland Security", "paragraphs": ["The following tables highlight threat, vulnerability and consequence products and activities developed by the Department of Homeland Security for the purpose of providing risk information to critical infrastructure owners and operators."], "subsections": []}, {"section_title": "Appendix II: NCCIC Cybersecurity Products and Services", "paragraphs": ["Table 5 below highlights the cybersecurity products and services that the National Cybersecurity and Communications Integration Center (NCCIC) reported providing to its customers in fiscal years 2015 and 2016."], "subsections": []}, {"section_title": "Appendix III: Summary of Department of Homeland Security Complete Risk Assessments for Critical Infrastructure", "paragraphs": ["The following tables highlight complete risk assessments regularly conducted by the Transportation Security Administration and the U.S. Coast Guard within the Transportation Systems sector."], "subsections": []}, {"section_title": "Appendix IV: National Critical Infrastructure Prioritization Program Consequence-Based Criteria and Relative Thresholds", "paragraphs": ["Figure 7 below illustrates the Department of Homeland Security\u2019s (DHS) approach for prioritizing the list of systems and assets that the Secretary of Homeland Security determines would, if destroyed or disrupted, cause national or regional catastrophic effects. DHS has prioritized these CI assets into different levels according to their criticality, to inform their outreach to owners and operators. Consistent with the National Infrastructure Protection Plan risk management framework, the criteria for determining which level each asset is assigned to on the National Critical Infrastructure Prioritization Program (NCIPP) list are entirely consequence based thresholds and include fatalities, economic loss, mass evacuation length, or national security impacts."], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Ben Atwater (Assistant Director) and Landis Lindsey (Analyst-in-Charge) managed this audit engagement. Chuck Bausell, Michele Fejfar, Daniel Glickstein, Tracey King, Steve Komadina, Tom Lombardi, Kush Malhotra, Gabrielle Matuzsan, and Claire Peachey made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-266", "url": "https://www.gao.gov/products/GAO-18-266", "title": "Office of Navajo and Hopi Indian Relocation: Executive Branch and Legislative Action Needed for Closure and Transfer of Activities", "published_date": "2018-04-24T00:00:00", "released_date": "2018-04-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 1974, the Settlement Act was intended to provide for the final settlement of a land dispute between the Navajo and Hopi tribes that originated nearly a century ago. The act created ONHIR to carry out the relocation of Navajo and Hopi Indians off land partitioned to the other tribe. ONHIR's relocation efforts were scheduled to end by 1986. However, those efforts continue today.", "GAO was asked to review ONHIR's operations. Among other things, this report discusses (1) ONHIR's management and the status of relocation activities and (2) executive branch and legislative actions that may be needed for ONHIR to close and transfer remaining activities. GAO reviewed documentation; interviewed officials at ONHIR and other federal agencies, as well as from the Navajo Nation and Hopi Tribe; and conducted two site visits to ONHIR's offices and the Navajo reservation in Arizona."]}, {"section_title": "What GAO Found", "paragraphs": ["As of December 2017, the Office of Navajo and Hopi Indian Relocation, and its predecessor agency (collectively, ONHIR), has relocated 3,660 Navajo and 27 Hopi families off disputed lands that were partitioned to the two tribes and provided new houses for them. Although the Navajo-Hopi Settlement Act of 1974 (Settlement Act) intended for ONHIR to complete its activities 5 years after its relocation plan went into effect, the agency has continued to carry out its responsibilities for over three decades beyond the original deadline and the potential remains for relocation activities to continue into the future. For example, GAO found that by the end of fiscal year 2018", "at least 240 households whose relocation applications were previously denied could still file for appeals in federal court and if the court rules in their favor these households could become eligible for relocation benefits under the Settlement Act, and", "ONHIR is still responsible for helping homeowners who might request repairs for 52 relocation homes that remain under warranty.", "ONHIR believes that it has substantially completed its responsibilities under the Settlement Act and has stated its intent to close by September 2018. However, ONHIR does not have the authority to close its operations and has not yet taken the steps necessary to facilitate such a closure. GAO identified a number of areas where either executive branch or congressional actions would be needed to affect a closure of ONHIR, as shown in these examples:", "The Settlement Act states that ONHIR will cease to exist when the President determines that its functions have been fully discharged. ONHIR, however, has not requested a determination nor provided specific information to the President that could facilitate such a decision.", "ONHIR has prepared a transition plan and identified potential successor agencies that could assume its remaining activities. However, officials at these agencies said they currently do not have authority under the Settlement Act to undertake ONHIR's activities. Without congressional authorization these agencies would not be able to succeed ONHIR.", "ONHIR has prepared an implementation plan to guide its closure but has not yet taken necessary steps to ensure that all the key information about its activities has been compiled. For example, ONHIR's database for tracking warranty requests is missing information, such as the date of warranty repairs and other contractor information. Similarly, ONHIR has not prepared complete information from its files on the remaining denied households who could file for federal appeals. Federal internal control standards state that agencies should identify and respond to risks and use quality information. By not preparing complete information on the relocation activities it has been engaged in, ONHIR places an effective transition of its functions to another agency at risk. This is because any successor agency authorized to continue these activities will not have the complete information needed to effectively fulfill these functions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four matters for congressional consideration; including that Congress provide successor agencies necessary authority to continue ONHIR's remaining activities if it closes. GAO is also making five recommendations to ONHIR, including that it request a closure determination from the President and prepare necessary information to facilitate the transfer of its activities to a successor. ONHIR neither agreed nor disagreed with the five recommendations and stated it had either already taken steps or planned to once a successor is identified. GAO continues to believe the recommendations are valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Office of Navajo and Hopi Indian Relocation (ONHIR), an independent entity within the executive branch, was created as a result of the passage of the Navajo-Hopi Settlement Act of 1974 (Settlement Act). This act authorized the partition of disputed lands between the Navajo and Hopi tribes originally set aside by the federal government for a reservation in 1882. Members of one tribe who were living on land designated to the other tribe were to be relocated and provided new homes and cash bonuses. As of December 2017, ONHIR had relocated more than 3,600 Navajo and Hopi families, consisting of about 16,700 individuals, and had expended around $600 million since it was established, according to ONHIR officials.", "ONHIR\u2019s relocation process was originally scheduled to end in July 1986, but the process is ongoing and ONHIR continues to operate. ONHIR requested nearly $15 million for fiscal year 2018, more than double the amount it had received prior to fiscal year 2016, to facilitate and expedite relocation activities. ONHIR officials have said that the relocation activities ONHIR was charged to administer\u2014certifying applicants as eligible for relocation, reviewing appeals, and providing relocation homes\u2014would be completed by the end of fiscal year 2018. As of December 2017, ONHIR\u2019s remaining activities included relocating 20 certified families, resolving 25 active administrative appeals cases, and managing other activities, including a cattle ranch and land held in trust by the federal government for the benefit of the Navajo Nation. ONHIR officials have recognized that some remaining activities and continued responsibilities would need to be transferred to another agency or entity in the event of ONHIR\u2019s closure.", "You asked us to review issues related to ONHIR and its ongoing activities. This report examines (1) ONHIR\u2019s management of the eligibility and appeals processes and the status of these activities; (2) ONHIR\u2019s management of the home-building process and the status of these activities; (3) executive branch or legislative actions that may be necessary to terminate ONHIR in an orderly manner and transition remaining relocation activities; (4) ONHIR\u2019s management of Navajo trust lands and related transition activities; and (5) legislative actions that may be necessary to address other Settlement Act provisions.", "To address these objectives, we reviewed our prior related reports and other studies and analyzed relevant laws and regulations. We reviewed policies and procedures for relocation activities\u2014the eligibility and appeals process and home-building activities\u2014and for other key activities, as well as related documentation, including home-building contracts and lease agreements. We interviewed ONHIR officials about relocation and other key activities, and we interviewed ONHIR\u2019s hearing officer to better understand his role in the appeals process. We also interviewed federal officials from the Department of the Interior\u2019s (Interior) Bureau of Indian Affairs (BIA), Office of Inspector General, and Bureau of Land Management (BLM); Department of Housing and Urban Development (HUD); Department of the Treasury (Treasury); and Indian Health Service, within the Department of Health and Human Services. We also conducted interviews with officials from the Navajo Nation and the Hopi Tribe, as well as tribal entities including the Navajo-Hopi Legal Services Program, the Navajo-Hopi Land Commission Office, and the Navajo Nation Human Rights Commission. We conducted two visits to ONHIR\u2019s offices and the Navajo region in August 2017, where we interviewed ONHIR staff, observed a transition meeting, took two separate tours of homes (one with ONHIR officials and the other with Navajo Nation officials) and observed rangeland management activities, and attended presentations at three Navajo Nation chapters. Additional information on our methodology is provided in appendix I.", "We conducted this performance audit from March 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Settlement Act, enacted on December 22, 1974, was intended to provide for the final settlement of a land dispute between the Navajo and Hopi tribes that originated nearly a century ago. The 1882 Executive Order, signed by President Chester Arthur, set aside approximately 2.5 million acres of land for the Hopi and \u201csuch other Indians as the Secretary of the Interior may see fit to settle thereon.\u201d Since that time, the Navajo and Hopi tribes have disputed the rights and occupancy of the lands. In a 1962 court case, Healing v Jones, the Hopi tribe claimed exclusive rights to the entire reservation, and the Navajo claimed exclusive rights to about 80 percent of the reservation. In 1963, the U.S. Supreme Court affirmed an Arizona District Court decision that set aside about 631,000 acres of the land\u2014known as District Six\u2014as exclusively Hopi and designated the remaining about 1.9 million acres as a joint use area, to be managed and used jointly by the two tribes. The two tribes legally co-owned the joint use area, but the use of the land remained a source of disputes between the two tribes. The Settlement Act authorized the partitioning of the surface of the joint use area and directed that it generally be split evenly between the tribes. It required Navajo households residing on lands partitioned to the Hopi Tribe (Hopi Partitioned Lands) to relocate and, similarly, Hopi households residing on lands partitioned to the Navajo Nation (Navajo Partitioned Lands) to relocate. Figure 1 illustrates the current Navajo and Hopi reservations.", "Figure 2 illustrates the portion of the reservation near Tuba City, Arizona, that was subject to the land dispute, the area that was designated as exclusively Hopi (District Six), and the partitioned lands."], "subsections": [{"section_title": "Selected Settlement Act Provisions and ONHIR\u2019s Responsibilities and Structure", "paragraphs": ["The Settlement Act and its subsequent amendments contain several key provisions for relocation and other activities.", "Relocation. The Settlement Act mandated that ONHIR submit a report, including a detailed plan, to Congress concerning the relocation of households and members of each tribe from lands partitioned to the other tribe. ONHIR stated that it has no authority to require any person to leave the land that was awarded to the other tribe. The act instructed that the relocation process be completed 5 years after the relocation plan took effect. The report and plan, which ONHIR transmitted to Congress in April 1981, provided details on relocation of households and their members, including generating names of those residing on the partitioned lands and identifying sites for relocation, among other things. The relocation was scheduled to be completed by July 1986. Specifically, the relocation benefits include $130,000, adjusted to current construction and housing development costs, for a household of three or fewer and $136,000 for a household of four or more to obtain a decent, safe, and sanitary replacement home, in addition to moving expenses and, within the first few years, bonus payments provided within the first years following the relocation plan. Because there were far fewer Hopi households residing on lands partitioned to the Navajo Nation, almost all of the households relocated (about 99 percent) have been for Navajo families.", "Resettlement land taken into trust for the Navajo Nation. The Settlement Act as amended authorizes and directs the Secretary of the Interior to take certain lands into trust for the Navajo Nation, which would become part of the Navajo Reservation. The 1980 amendments to the Settlement Act required the border of any parcel taken into trust to be within 18 miles of the Navajo reservation\u2019s then boundary. Most of the lands taken into trust in Arizona pursuant to the Settlement Act as amended are known as the New Lands. Navajos living on Hopi Partitioned Lands could choose to relocate to the New Lands, as well as other areas on the Navajo reservation or off-reservation.", "Administration and use of acquired trust land. Pursuant to the Settlement Act as amended, ONHIR administers these lands taken into trust for the Navajo Nation until relocation is complete. In contrast, Interior administers other land the federal government holds in trust for Indian tribes, including the Navajo Nation. In addition, the Settlement Act as amended requires the lands taken into trust for the Navajo Nation to be used solely for the benefit of Navajo families\u2014 known as relocatees\u2014that at the time of the Settlement Act\u2019s enactment had been residing on lands partitioned to the Hopi.", "Leasing of acquired trust land. The Navajo and Hopi Indian Relocation Amendments of 1988 transferred responsibility for issuing leases and rights-of-way for housing and related facilities on the New Lands from Interior to ONHIR. In July 1990, ONHIR issued procedures for the leasing of New Lands, including homesite and business leases, in section 1810 of its management manual. ONHIR\u2019s regulations specify that the agency\u2019s operation is to be governed by a management manual.", "Navajo Rehabilitation Trust Fund. The 1988 amendments to the Settlement Act established the Navajo Rehabilitation Trust Fund in the U.S. Treasury. The Trust Fund consists of appropriations made for the fund, deposits of income from certain trust assets, and any interest or investment income accrued. The Trust Fund is essentially a loan from the federal government to the Navajo Nation to be repaid from revenues derived from leases of the lands and minerals taken into trust in New Mexico pursuant to the Settlement Act as amended. The tribe assumed responsibility for managing the Trust Fund pursuant to the American Indian Trust Fund Management Reform Act of 1994, according to Interior officials. Under this act, neither Interior, ONHIR, nor Treasury has a role in managing or overseeing the Trust Fund once a tribe has assumed responsibility for managing it.", "Aside from administering the relocation activities and the lands taken into trust pursuant to the Settlement Act as amended, ONHIR also operates the Padres Mesa Demonstration Ranch. The ranch was established in fiscal year 2009 on the New Lands and teaches sustainable cattle ranching and modern livestock marketing to the Navajo. According to ONHIR officials, the ranch is on approximately 60,000 acres of trust land acquired pursuant to the Settlement Act as amended. The purpose of the ranch is to teach relocatees methods to maximize income from cattle- raising operations and be good stewards of the land. In addition to purchasing cattle, ONHIR hired an employee to manage the ranch\u2019s operations and contract cowboys to work on the ranch. ONHIR sells the cattle raised on the ranch and uses the proceeds to help pay for ranch operations. According to ONHIR documents, from fiscal years 2009 through 2016, ONHIR obligated approximately $1.8 million for the ranch\u2019s operation from a mixture of appropriations and cattle sale revenue. Over the same period, cattle sales generated over $1.4 million, according to ONHIR documents.", "The Settlement Act established a three-member commission, the Navajo and Hopi Indian Relocation Commission, to administer the relocation program. The 1988 amendment abolished the three-member Relocation Commission and established in its place ONHIR as an independent entity of the executive branch under the authority of a single Commissioner. ONHIR has not had a Commissioner since 1994 and has been under the leadership of its Executive Director. As of December 2017, ONHIR said that they had 31 employees among its three offices in Flagstaff, Sanders, and Chambers, Arizona.", "ONHIR was not designed to be a permanent agency, but a specific closing date has not been determined. ONHIR previously developed plans to close out its activities in 2008, according to ONHIR officials, but has continued to operate. The Settlement Act states that ONHIR will cease to exist when the President of the United States determines that its functions have been fully discharged. During a testimony at a congressional hearing in February 2016, ONHIR\u2019s Executive Director said that ONHIR was working toward completing its work so the office can close by the end of fiscal year 2018. ONHIR has developed a draft transition plan, dated March 2017, that identifies, among other things, four areas of activity that would need to be transferred to another entity in the event of its closure in September 2018: (1) appeals and eligibility; (2) housing; (3) administration of the New Lands; and (4) the Padres Mesa Demonstration Ranch. In the draft transition plan, ONHIR primarily identified offices within Interior\u2014including BIA, the Office of Hearings and Appeals, and the Office of the Solicitor\u2014to take over several key activities, as well as other entities including the Department of Justice and the Navajo Nation government. In October 2017, ONHIR supplemented the draft transition plan with an implementation plan to outline the transfer of these four areas, among other things."], "subsections": []}, {"section_title": "Other Federal Agencies and Tribal Entities with Responsibilities in Indian Country", "paragraphs": ["BIA is generally responsible for the administration and management of land held in trust by the United States for Indians and Indian tribes. BIA provides services to 573 federally recognized tribes and about 1.9 million individual American Indians and Alaska Natives. BIA\u2019s responsibilities include regulating grazing on trust land, leasing trust land, and maintaining roads in Indian country, among other things. BIA administers the vast majority of land held in trust for Indian tribes and has issued regulations governing leasing of and grazing on trust land that it administers, including the Hopi Partitioned Lands and the portions of the Navajo reservation that are not administered by ONHIR. BIA\u2019s regulations do not apply to the lands acquired pursuant to the Settlement Act as amended because under the act, ONHIR is responsible for administering those lands. BIA also administers a Housing Improvement Program that funds rehabilitation of housing units.", "Other federal agencies, such as HUD and the Indian Health Service, provide housing assistance and infrastructure in Indian country and tribal entities, such as the Navajo Tribal Utility Authority, provide services on the Navajo reservation. HUD, through its Office of Native American Programs, awards block grants (known as the Indian Housing Block Grant program) to tribally designated housing entities, such as the Navajo Housing Authority. These grants can be used to provide housing assistance for tribal members, such as constructing homes. The Indian Health Service is authorized to provide drinking water and sanitation services to Indian homes and communities, among other things. ONHIR and the Indian Health Service have an interagency agreement to share the cost of connecting relocation homes on the reservation to water and sewer lines. Most of the electricity, water, and wastewater on the Navajo reservation are operated by the Navajo Tribal Utility Authority, an enterprise of the Navajo Nation government. Similarly, ONHIR and the Navajo Tribal Utility Authority have an interagency agreement for the construction of electrical power lines and related services for relocation homes.", "The Navajo Nation government makes decisions about allocation of resources, including federal grants it receives. The Navajo Nation Council hosts 24 council delegates representing 110 Navajo Nation chapters. The chapters are political subdivisions of the Navajo Nation with delegated authority to address local issues pertaining to the land and health status of their respective chapter populations. In a March 2014 report, we found each chapter could have different development priorities and approval processes for housing programs and services. In its comments on a draft of this report, ONHIR stated that more than 400 families have moved to the New Lands, and over 1,200 families have moved to locations outside the Navajo Nation. The New Lands are part of the Nahata Dziil Chapter."], "subsections": []}, {"section_title": "Housing Issues in Indian Communities", "paragraphs": ["We have previously found that American Indians have historically faced worse housing conditions than other socioeconomic groups. They disproportionately experience socioeconomic challenges, including high unemployment and extreme poverty, which affect housing conditions on Indian reservations and in Indian communities. Overcrowding, substandard housing, and homelessness are far more common in American Indian communities. For example, a 2017 Urban Institute report prepared for HUD found that 5.6 percent of American Indian households had problems with plumbing, 6.6 percent had problems with the kitchen, and 12 percent had problems with heating. In comparison, 1.3 percent of households in the United States had problems with plumbing, 1.7 percent had problems with the kitchen, and 0.1 percent had problems with heating.", "As we have previously found, common housing challenges in Indian communities are largely related to remoteness and other geographical factors, lack of adequate infrastructure, land use regulation, and other factors. Some remote areas where Indian tribes are located can present unique logistical challenges, including a lack of buildable land and limited supply of building materials. In some regions, tribes face challenges related to a lack of adequate infrastructure, such as roads, water, and sewer systems. According to Navajo Nation officials, traditionally, tribes lived a lifestyle that was connected to their traditional and ancestral lands, with homes and other structures built from natural materials and constructed in communities with extended families. For example, many of the Navajo who were on the Hopi Partitioned Lands were self-sufficient and lived in traditional homes called hogans, which are made of wooden poles, tree bark, and mud. See figure 3 for an example of a traditional home."], "subsections": []}]}, {"section_title": "ONHIR Has Changed Relocation Eligibility Requirements and Application Deadlines for Various Reasons, and Additional Applicants Could Still File Court Appeals", "paragraphs": [], "subsections": [{"section_title": "ONHIR Developed an Eligibility Certification Process, and Denied Applicants Can Appeal Their Eligibility Determination", "paragraphs": ["ONHIR\u2019s process for certifying applicants\u2019 eligibility to receive relocation benefits has generally been consistent over time since ONHIR began accepting applications. All applicants must apply through ONHIR for relocation benefits and demonstrate that they meet eligibility criteria, discussed later in this report. Based on eligibility criteria, in general, a certifying officer determines whether an applicant is certified or denied. If an applicant is certified, the applicant becomes an ONHIR client for relocation. If an applicant is denied, the applicant is eligible to file for appeals\u2014first, an administrative appeal, then an appeal with the U.S. District Court for the District of Arizona, if the administrative appeal upholds the denial decision. Figure 4 illustrates this process.", "If an applicant is denied, he or she can obtain assistance from the Navajo-Hopi Legal Services Program, an entity established in 1983 within the Navajo Nation\u2019s Department of Justice to assist individual members of the Navajo and Hopi tribes who were affected by the Settlement Act. Applicants\u2019 denial letters indicate that the applicant can seek counsel through this program; however, not all applicants are represented by counsel for the administrative hearing. As of July 2017, ONHIR had spent about $1.5 million on legal services and over $1.2 million on the hearing officer who adjudicates the administrative appeals. In addition, about $285,000 was spent for an attorney salary at the Navajo-Hopi Legal Services Program from 2009 through 2011 and, according to ONHIR officials, about $418,000 was spent on attorney fees for applicants whose eligibility for relocation benefits was reversed in the U.S. District Court.", "As of December 2017, ONHIR had certified more than 3,800 households since the agency began reviewing its first applicants in 1977. The certification process on average has taken about 979 days for those who were certified without a need to file for an appeal and 3,301 days for those who were certified through the appeals process (that is, those who had their denied application reversed through the appeals process). Figure 5 illustrates these time frames."], "subsections": []}, {"section_title": "ONHIR Has Extended Application Periods and Changed Eligibility Requirements for Varying Reasons", "paragraphs": ["For various reasons, ONHIR provided three additional application periods after the first application period deadline in 1986, which were not included in the plan ONHIR submitted to Congress. After the original deadline, ONHIR provided a second application period from April 1997 through March 2000 after the enactment of a new law, which ratified a formal agreement under which the Hopi tribe agreed to allow traditional Navajo residents to remain living on Hopi Partitioned Lands for 75 years. In conjunction, the formal agreement provided that ONHIR relocate all eligible Navajo residents on Hopi Partitioned Lands who (1) did not sign an individual agreement to remain on the land, or (2) signed but then surrendered their signed individual agreement before the February 2000 deadline.", "ONHIR accepted applications again from May 2005 through June 2006 (third application period) based on language in a 2005 Senate bill to provide a last chance for Navajos living on Hopi Partitioned Lands to relocate, which passed the Senate but was not enacted, according to ONHIR officials. ONHIR was not required to reopen its application process, but it chose to do so. Even though ONHIR issued relocation notices in newspapers and at chapter facilities at the time of the original application period, ONHIR officials said that the additional application periods were in recognition that not all Navajo residing on the Hopi Partitioned Lands had moved, an outcome that was not considered in the original plans.", "ONHIR also accepted applications from February 2008 through September 2010 (fourth application period) in response to a federal court decision that concluded that ONHIR had not provided personal notice to a potentially eligible applicant before July 7, 1986 (the deadline for the initial application process) to enable him to apply for relocation benefits. According to ONHIR officials, in consultation with the Department of Justice in Washington, D.C. and the U.S. Attorney\u2019s Office in Arizona, ONHIR reopened the process for applications to help ensure that everyone who might be eligible for benefits was given the opportunity to apply, rather than litigating a series of similar cases. ONHIR officials said they worked closely with the Navajo Nation to send out letters of notification to potential eligible applicants, even though they were not required to reopen the application process.", "These three additional application periods have resulted in more applicants and time required for ONHIR to review applications. The numbers of applicants and outcomes across the different application periods are summarized in table 1. The attempts to prompt more Navajos to relocate in the second and third application periods resulted in a limited number of applications, 129 and 167 applicants, respectively. However, ONHIR received nearly 2,300 applicants during the fourth application period.", "Throughout the multiple application periods, applicants demonstrated two key eligibility criteria: (1) head of household status and (2) residency on the lands partitioned to the other tribe. However, ONHIR chose and applied varying eligibility rules related to residency status over the different application periods.", "Original application period. Under the original residency status criterion, applicants had to demonstrate that they were residents of the partitioned lands on December 22, 1974 (the date the Settlement Act was passed) and had not moved there within the previous year.", "Second and third application periods. During the second and third application periods, ONHIR used provisions for late applicants\u2014 persons who had not applied for relocation benefits before the original deadline\u2014that were established in 1986 amendments to ONHIR\u2019s regulations and that revised the residency status eligibility criterion. Unlike the original residency criterion, the agency guidance applicable to applicants during the second and third application period stated that applicants must demonstrate continuous residence on the partitioned lands from December 22, 1974, to July 7, 1986 (the original deadline) and until eligibility determination is rendered. There were exceptions for demonstrating continuous residency as set out in the agency guidelines interpreting the regulations, including for those who were temporarily away for school, prison, medical treatment, and military service.", "Fourth application period. During the fourth application period, ONHIR decided to apply the original criterion, without the continuous residency requirement implemented in the guidelines for the second and third application periods, for all applicants. ONHIR officials said they made this decision in response to a federal court decision, discussed previously, that concluded that ONHIR had not provided personal notice to a potentially eligible applicant before the original July 1986 deadline; the U.S. District Court District of Arizona applied the original criterion in this decision.", "The applicant has the burden of proof for providing evidence to meet the eligibility criteria. Demonstrating head of household or residency status has been difficult for residents for several reasons, according to a Navajo-Hopi Legal Services Program representative and Navajo Nation chapter officials we interviewed. For example, Navajo is an oral culture that historically existed mostly on a livestock or cash economy in which transactions were not documented, making it difficult to document the source of income or head of household status. In its comments on a draft of this report, ONHIR stated that the legal residence determination was complicated because many Navajos performed seasonal work and lived outside the Hopi Partitioned Lands for extended periods. According to Navajo Nation officials, oral evidence has not been allowed by the ONHIR Hearings Officer, and language and cultural barriers have also been obstacles. Some Navajos have limited English proficiency, although ONHIR offers translators for Navajo speakers. In its comments on a draft of this report, ONHIR stated that oral evidence has always been allowed but has sometimes been found not to be credible. Another unique characteristic of the Navajo is the use of shared mailboxes at trading posts\u2014a place in the community for people to meet and receive their mail\u2014making it difficult to ensure that ONHIR denial letters or other notifications reach individual applicants. For example, in one appeals case a court found that applicants who did not personally sign for the receipt of a denial letter must be notified of the court\u2019s decision to allow those applicants to file a waiver of the appeal deadline. ONHIR also stated that it offered administrative appeals to Navajos for whom ONHIR could not show actual receipt of denial letters."], "subsections": []}, {"section_title": "Although ONHIR Officials Believe That Most Eligible Applicants Have Been Processed, the Potential for Future Court Appeals Remains", "paragraphs": ["While ONHIR officials said that eligibility determination has been completed, the potential exists for further federal court appeals, potentially resulting in the need for additional eligibility determinations. As of January 2018, ONHIR officials said that 24 of the remaining 25 households that were denied eligibility benefits have gone through the hearing process and are awaiting their decisions, which officials said should be completed in early 2018. Households whose denials are upheld will be eligible to file for an appeal with the U.S. District Court for the District of Arizona. Additionally, any households that have been denied and are within the 6-year statute of limitations are still eligible to file for appeals in federal court. Eleven cases were pending in the federal district courts and four in federal appeals court as of March 2018, and according to ONHIR officials, at least 240 households that were denied eligibility benefits and whose decisions were upheld by the hearing officer (and are within the 6-year statute of limitation) could potentially file for appeals in federal court before the end of fiscal year 2018.", "Any additional court appeals could result in the need for additional eligibility determinations in the future. For example, a federal court recently remanded a case to ONHIR to review the applicant\u2019s income information and reevaluate the eligibility determination. According to ONHIR officials, they are taking steps to review the applicant\u2019s case file, investigate the evidence of the applicant\u2019s income to demonstrate the head of household status, and share the findings with the applicant\u2019s attorney. ONHIR officials stated that due to the unique situation of each applicant, they review the information in the applicant\u2019s case file to comply with the court\u2019s order on eligibility determination."], "subsections": []}]}, {"section_title": "ONHIR Has Nearly Completed Home Building but Provided Limited Contractor Oversight, and Outstanding Warranties Remain in Effect", "paragraphs": [], "subsections": [{"section_title": "ONHIR Developed Policies and Procedures for the Home-Building Process", "paragraphs": ["ONHIR\u2019s policies and procedures are intended to provide certified applicants who are eligible for relocation benefits with decent, safe, and sanitary homes, as mandated in the Settlement Act. For example, ONHIR\u2019s management manual includes policies that require ONHIR to provide counseling on the home-building process and home maintenance training for relocatees. Figure 6 shows an example of a relocation home. Prior to moving to relocation homes, many families lived in one-room houses that they constructed themselves with no basic infrastructure, such as electricity, water, or plumbing facilities, and some families were unfamiliar with the features of a modern home. Families lived a spiritual and religious lifestyle that was connected to their traditional culture and ancestral lands, with homes constructed in communities with extended families.", "ONHIR\u2019s management manual also includes policies that require employees to work with clients on the home acquisition process starting from the time clients are certified and continue until 2 years after the client has been relocated, including assisting clients with finding contractors, signing home-building contracts, understanding home maintenance, and requesting warranty repairs. ONHIR works with families after they have moved into their relocation home by providing assistance with warranty issues; assistance in adjusting to their new community; and referrals to agencies in the new community that provide health care, supplemental nutrition, financial assistance, behavioral health, employment, and other social services. Relocation homes are the property of the client, and ONHIR has no responsibility for relocation homes after a 2-year warranty period on each home expires. ONHIR wrote a standard template of a contract that clients and contractors must sign, but ONHIR is not a signatory of the home-building contract. However, ONHIR is a signatory to the 2-year home warranty contract, along with the client and the contractor. Additional policies and procedures required by ONHIR\u2019s management manual are summarized in table 2.", "ONHIR\u2019s management manual also includes policies for overseeing contractor performance. ONHIR officials provide clients with a list of home-building contractors, but clients may choose any licensed contractor in the jurisdiction where the home is built. ONHIR officials estimate that more than 95 percent of relocation homes have been built by contractors from its list. ONHIR officials said that contractors on the list ONHIR provides to clients must demonstrate good standing and must be licensed by the state of Arizona, as stated in its policy. In addition, ONHIR\u2019s policy states that ONHIR may take action against contractors whose work results in an excessive number of warranty complaints."], "subsections": []}, {"section_title": "Most Building Is Complete, but Weaknesses in Oversight Allowed Poor Performing Contractors to Build Homes", "paragraphs": ["The majority of ONHIR\u2019s home-building work is now complete. As of December 2017, according to officials, ONHIR had relocated 3,687 families into new homes, and ONHIR officials said they expect construction on the remaining 20 homes to be completed by September 2018.", "Although most home-building activities are complete, we found that ONHIR has historically allowed contractors with a history of performance issues to build relocation homes. For example, ONHIR provided us with a report generated from its contractor performance database that shows a contractor who had failed 42 percent of final inspections during a 11-year period\u2014from January 2006 through September 2017\u2014continued to receive home-building contracts. Similarly, we identified homes with multiple warranty complaints in ONHIR\u2019s warranty database. Specifically, one home in the warranty file database had 17 warranty defect complaints attributed to the contractor. ONHIR officials said that they do not track complaints by contractor in a database nor do they have a defined number of complaints for removing contractors. ONHIR officials said that they have not removed a contractor involuntarily from their list since the 1990s.", "ONHIR officials explained that these contractors continued building homes because it is difficult to find contractors who want to work on the reservation due to the isolated nature of homesites. Moreover, in recent years they said they did not track complaints by contractor because they would be aware of complaints about a contractor due to the smaller number of relocation homes that have been built. As a result, according to ONHIR officials, they have not needed to take actions to remove contractors from their list since the 1990s or to generate reports on contractor performance. In addition, ONHIR officials said some warranty complaints were trivial, such as peeling paint or visible carpet seams, and thus terminating contractors for such issues was unnecessary. ONHIR officials also noted that all homes eventually passed their final inspections and any failed inspection items were corrected and reinspected before contractors received payments."], "subsections": []}, {"section_title": "Some Tribal Government Officials and Relocatees Said ONHIR Has Not Discharged Its Responsibilities because of Construction, Societal, and Infrastructure Concerns", "paragraphs": ["Although ONHIR said it has nearly completed its relocation obligations, some relocatees, the Hopi tribe, and Navajo Nation government officials said that it has not completed its work. Specifically, Navajo Nation officials and some relocatees said the office should remain open to address various concerns with relocation homes and the societal effects of relocation. Moreover, according to some relocatees and Navajo Nation government officials, these concerns include homes that were built with faulty materials and with unfinished infrastructure, such as electricity. As previously mentioned, ONHIR has no responsibility over relocation homes after the 2-year warranty period on each home expires. However, an official from the Navajo-Hopi Legal Services Program said that homeowners had concerns with their homes beyond the 2-year warranty period. While ONHIR has attributed such issues to a lack of homeowner maintenance, relocatees have attributed these issues to ONHIR\u2019s lack of oversight of the home-building process. Concerns some relocatees and tribal government officials described include the following: Construction. Navajo Nation officials from three separate chapters told us that relocation homes were not built properly. The President of the Navajo Nation said that homes frequently have construction issues related to cheap materials or poor workmanship, while another official said that ONHIR does not properly oversee contractors. Another official told us that the windows fall out of homes when it gets too windy. One official said that some families have left their relocation homes behind because of structural issues. Hopi tribe officials said relocatees from their tribe were provided the cheapest homes available and that the conditions of mobile homes are substandard. See figure 7 for examples of homes with cracked foundations and broken windows.", "ONHIR officials said they inspect all complaints on relocation homes, even after the warranty period has expired. If the investigation reveals an issue that is a result of a construction defect, ONHIR officials said they will fix the issue, whereas they will not fix issues they deem are the result of poor homeowner maintenance.", "Soil settling. Navajo Nation officials from two chapters told us that ONHIR did not conduct soil tests on homesites and others said that some homes have experienced foundation issues. For example, one relocatee said her relocation home has cracks in the walls and the floors. ONHIR helps clients to apply for homesite leases, and according to ONHIR officials, they assigned engineering technicians to conduct feasibility studies to assess the condition of the soil for all on-reservation homesites, as required by ONHIR policy. However, ONHIR officials also acknowledged that expansion and contraction of soil over time in Arizona is common and that shifting soil can lead to cracks in the foundation or walls of homes. As reported by the Interior Inspector General in 2016, 5 relocatee homes on the Navajo reservation experienced cracks and other visible signs of damage due to soil settling and have consequently been replaced by ONHIR. ONHIR officials acknowledged that they have demolished and replaced an additional 9 homes due to foundation issues related to soil expansion and other issues, such as leaks in utility lines and septic tanks. For the homes experiencing foundation issues outside of the 14 homes ONHIR has replaced, ONHIR attributed continued soil collapse to homeowners not maintaining the proper degree of slope around their home to allow for drainage. In addition, they said that homes may now be occupied by three generations of families. According to a 2016 Interior Inspector General report, ONHIR officials said this leads to increased water use inside the homes which, in their opinion, exacerbates the soil-settling issue.", "Societal effects. Relocated families expressed that relocation has contributed to societal ills such as depression; alcoholism; drug abuse; and suicide due to substandard living conditions and homesites away from their family and previous sources of livelihood. The Navajo Nation stated that relocatees experienced hardships adjusting to a new way of life and felt a loss of connection with their culture moving away from their ancestral lands and traditional way of life. According to a report issued by the Navajo Nation Human Rights Commission, relocatees were promised by the federal government, the Hopi Tribe, and the Navajo Nation that relocation would offer a better life that did not materialize. ONHIR officials noted that both the Navajo Nation and the Hopi Tribe have requested extended counseling beyond the warranty period; however, according to the March 2017 transition plan, ONHIR does not believe providing it is within their statutory authority.", "Connections to utility infrastructure. According to Navajo Nation officials, some homes are not properly connected to utility infrastructure, such as electricity and water. For example, they stated that a number of relocation homes in the Navajo area do not have electricity. In its comments on a draft of this report, ONHIR stated that some relocatees chose to relocate to remote areas and signed a form to affirm that they wanted solar or cistern rather than grid utilities. A representative from the Hopi Tribe told us that in one home, contractors installed plumbing systems that were subsequently covered in concrete, which made repairs difficult. Another chapter official said that a septic tank in one relocation home continually overflowed because the tank was smaller than the specifications. ONHIR officials said all homes are built to code at the time of construction and have proper connections to infrastructure in terms of water and electricity. They said they verify that homes pass necessary inspections, including framing; mechanical; plumbing; and insulation, prior to disbursing payments to the contractors.", "Community infrastructure. Some Navajo Nation chapter members and ONHIR officials disagree as to whether ONHIR had an obligation to provide additional community infrastructure under the Settlement Act. Some chapter members said that ONHIR should not close because it has not met its responsibilities to provide infrastructure projects, such as paved roads and running water. The Navajo Nation Human Rights Commission report states that relocatees were told they would be provided with running water and the ability to raise livestock, among other things. Provisions in the Settlement Act directed ONHIR to create a report with a plan to ensure that infrastructure such as water, sewers, and roads would be available at their relocation sites. ONHIR published a report to meet the provision in 1981. This provision was repealed in November 1988. ONHIR officials acknowledged that relocatees have expressed the need for additional infrastructure, but said it is not within ONHIR\u2019s statutory responsibility to provide it. The Settlement Act as amended does not require ONHIR to provide infrastructure for the New Lands."], "subsections": []}, {"section_title": "Warranty Commitments on Homes Already Built and Homes for Newly Eligible Applicants Are Activities That May Continue into the Future", "paragraphs": ["Although ONHIR\u2019s home building for certified applicants is nearly complete, responsibilities remain for existing homes under warranty and any additional homes built for newly certified applicants. As previously discussed, relocation homes are under warranty for 2 years, starting at the time when the house passes final inspection. During this 2-year period, ONHIR is responsible for helping homeowners, who are located on-reservation, request warranty repairs. After September 2018, 52 relocation homes will remain under the 2-year warranty period, according to ONHIR officials. In addition, as previously discussed, ONHIR officials told us that at least 240 denied applicants could still file for appeals in the federal court and become eligible for relocation benefits, which would necessitate the construction of additional homes. A 2-year warranty period would then begin after these houses pass final inspection."], "subsections": []}]}, {"section_title": "Executive Branch or Congressional Action May Be Needed to Terminate ONHIR and Effectively Transfer Remaining Relocation Activities", "paragraphs": [], "subsections": [{"section_title": "ONHIR Has Not Yet Requested a Presidential Determination for Closure", "paragraphs": ["As previously mentioned, ONHIR was not designed to be a permanent agency. The Settlement Act states that ONHIR will cease to exist when the President of the United States determines that its functions have been fully discharged. Although ONHIR officials have said they are working toward completing their tasks so the office can close by the end of fiscal year 2018, they acknowledge that not all activities will be complete by that time. Federal internal control standards state that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives. For example, information necessary to communicate to an agency\u2019s oversight body includes significant matters related to risks or changes. However, according to ONHIR officials, they have not specifically communicated with the President about the determination on whether the agency has fully discharged its functions and whether the office should close.", "Instead of directly requesting that the President make a determination for ONHIR to cease operations, ONHIR has been making plans to close through other means and transition remaining activities. Specifically, ONHIR officials told us that they anticipate that closure of the office will need to occur through a legislative change or through the termination of program funds through the budget and appropriations process. As stated in the March 2017 transition plan, the plan was developed in response to direction from the Office of Management and Budget and the Senate and House Appropriations Committees that ONHIR should wind down its activities. Further, in its comments on a draft of this report, ONHIR stated that it has had regular communications with executive and legislative branch offices on completing its work and closing. However, neither the draft transition plan nor the October 2017 implementation plan indicates how ONHIR would request a determination from the President that ONHIR has fully discharged its responsibilities and can be terminated. Without such a presidential determination, ONHIR has not met the explicit requirements for being permitted to cease operation under the Settlement Act."], "subsections": []}, {"section_title": "ONHIR Has Not Developed Complete Information on Its Remaining Activities", "paragraphs": ["Although ONHIR officials anticipate that the agency will close by September 2018, they have not ensured that complete information related to its relocation activities can be made available to other successor agencies. This lack of planning and information could hamper the efforts of a successor agency or agencies to effectively take over these activities.", "Eligibility and appeals. As previously mentioned, there is the possibility for 240 or more denied households to appeal their eligibility decision in the future, and the paper case files and client database contain important information regarding eligibility for the continuation of ONHIR\u2019s relocation activities. Specifically, paper case files contain comprehensive information on each applicant from the time he or she applied for relocation benefits, including documents submitted to prove head of household or residency status for eligibility determination. In addition, the client database tracks decisions and dates related to the eligibility determination process and is necessary to identify applicants\u2019 status.", "In its March 2017 transition plan and October 2017 implementation plan, ONHIR has not developed detailed information on how it plans to identify and prepare information in the paper case files and client database for the 240 or more denied households that could file for federal appeals. ONHIR officials said that they have not prepared eligibility determination and appeals information for transfer because they expect eligibility determinations to be completed by the time the office plans to close. In the event that such transfers are needed, they said the transfer of these records will be through an agreement between ONHIR, the National Archives and Records Administration, and BIA. However, such an agreement has not yet been developed, and discussions on the transfer of records\u2014such as during monthly transition meetings\u2014are high-level and mostly unrelated to information needed for potential eligibility determination responsibilities. In addition, officials said that information about appeals filed in the future in the federal court could be obtained from an online federal database.", "Federal internal control standards state that management should use quality information to achieve the entity\u2019s objectives. Additionally, the standards state that management should identify, analyze, and respond to risks related to achieving the defined objectives. If ONHIR does not take the steps to ensure that complete information for the 240 or more denied households eligible to appeal their eligibility decision is available to a successor agency, a successor agency could face difficulty in administering eligibility determinations and remaining appeals in the future.", "Warranties and contractor performance. As previously discussed, ONHIR\u2019s remaining home-building responsibilities include managing the 52 remaining 2-year warranty agreements and assisting in the construction of homes for any newly certified applicants. To fulfill these responsibilities, complete information on home warranties and contractor performance is critical. ONHIR\u2019s warranty database has data fields to track relevant information on concerns reported to ONHIR\u2014including warranty expiration date, date warranty complaint received, type of complaint (possible warranty defect or homeowner maintenance issue). However, the database is incomplete. For example, our review found that about 98 percent of warranty complaints in the warranty database have no record of the date of warranty repairs. Moreover, ONHIR does not list the names of contractors in its database. ONHIR officials said the information is not recorded because they rely on memory and paper files to supplement the information in the warranty database about contractors. ONHIR officials also said they do not regularly use the database to monitor contractors\u2019 performance because it became too cumbersome to track electronically. However, in its comments on a draft of this report, ONHIR stated that it has the capability in its electronic data system to search for warranty complaints.", "In its October 2017 implementation plan, ONHIR suggested BIA\u2019s contract office as a potential successor agency for administering the remaining warranty provisions in the event that it closes before these home-building responsibilities are fully discharged. With regard to any newly certified applicants deemed eligible for benefits through the appeals process, the October 2017 implementation plan suggests that these applicants be given the cash equivalent of a relocation home instead of building new homes. However, the Settlement Act provides for no authority to issue cash payments and Congress has not otherwise authorized cash payments, and any future home-building activities may need to be assumed by a successor agency. Because OHNIR does not have complete information on existing warranties and contractor performance, another successor agency could be hampered in its ability to assume ONHIR\u2019s remaining home-building responsibilities. Federal internal control standards state that management should identify, analyze, and respond to risks related to achieving the defined objectives. Additionally, the standards state that management should use quality information to achieve the entity\u2019s objectives. Without complete warranty and contractor information, a successor agency may have difficulty understanding what warranty issues have already been addressed or have difficulty overseeing contractors to help ensure that newly certified applicants secure decent, safe, and sanitary relocation homes."], "subsections": []}, {"section_title": "The Settlement Act Does Not Include Provisions for Transferring Remaining Relocation Activities to Successor Agencies", "paragraphs": ["In its transition and implementation plans, ONHIR has identified a number of potential successor agencies that could be selected to take over ONHIR\u2019s remaining activities in different areas. However, officials at these agencies said they currently do not have the authority to undertake these activities under the Settlement Act.", "Appeals and eligibility. Should ONHIR close before the 6-year statute of limitations has expired for all denied applicants, another agency or agencies would need statutory authority for coordinating eligibility determinations and home-building for any newly certified applicants. As previously discussed, at least 240 households that had been denied relocation benefits as of September 2017 may choose to contest their denial in federal court, according to ONHIR officials. ONHIR\u2019s March 2017 transition plan states that the Department of Justice will continue to represent the government on behalf of ONHIR in any federal court hearings, and ONHIR has also identified Interior\u2019s Office of Hearing and Appeals to hear any matter remanded to the agency by the federal court for a further hearing.", "Home-building. Another entity would need authority to assume remaining home-building activities. Alternatively, ONHIR\u2019s October 2017 implementation plan suggests that newly certified applicants be given the cash equivalent of a relocation home. However, as previously mentioned, cash payments are not currently authorized under the Settlement Act and legislation would be needed to provide such payments. Moreover, Navajo Nation officials said they do not approve of using cash payments in place of providing relocatees with a home. In November 2017, ONHIR officials said that, as an alternative to cash payments, they discussed with the Navajo Nation the potential for the Navajo Housing Authority\u2014a recipient of the HUD Indian Housing Block Grant Program\u2014to administer remaining home-building activities. They did not make a decision, however, because the Navajo Nation wanted to inquire about the capacity of the Navajo Housing Authority to assume these activities. Although ONHIR has not identified HUD as an agency with a potential role, such as assuming or providing oversight of Navajo Housing Authority administration of remaining home-building activities, HUD officials told us that HUD would not be able to assume ONHIR housing functions. This is due to the nature of its block grant program, restricted oversight mechanisms, and limited capacity in terms of staff resources and technical skills to supervise construction. In addition, HUD officials said that their current oversight is limited to reviewing a sample of Indian Housing Block Grant program grantees\u2019 policies, procedures, and implementation of procurement and environmental regulations, which may not be consistent with the oversight or authority needed should the Navajo Housing Authority administer the remaining ONHIR home-building activities.", "Warranties. Should ONHIR close before 2-year home warranties expire on the remaining homes constructed under ONHIR\u2019s oversight, another agency would need statutory authority to oversee these home warranties. As previously mentioned, ONHIR is currently a signatory to the warranty along with the contractor and the client, and more than 52 homes will have warranties in effect after ONHIR\u2019s proposed closure date of September 2018, according to ONHIR officials. In its draft transition plan, ONHIR suggests transferring warranty-related activities to the BIA Contract Office. However, according to BIA officials, BIA does not currently have the authority to conduct these activities, and BIA is not equipped to implement warranties.", "Post-move counseling. Another agency would need statutory authority to provide post-move counseling to the 52 clients who will remain under warranty after ONHIR\u2019s proposed closure date of September 2018. Currently, ONHIR provides relocatees with post-move counseling during the 2-year warranty period. According to ONHIR\u2019s management manual, the purpose of post-move counseling is to assist families in adjusting to their new house, connect families to local service agencies, and gain understanding about the client\u2019s familial and employment situation. ONHIR\u2019s March 2017 transition plan suggested that the post-move counseling program could be transitioned to BIA. However, BIA officials said BIA currently does not have the authority to conduct these activities. In November 2017, ONHIR officials said the program would discontinue for any newly certified applicants if cash settlements for relocation benefits were authorized, but they did not address what would happen to the 52 clients that will remain within the 2-year warranty period after September 2018.", "The Settlement Act does not include provisions on the transfer of activities after ONHIR\u2019s closure, and as described above several activities will remain past ONHIR\u2019s planned closure date. Without legal direction to authorize the transfer of ONHIR\u2019s remaining activities to other federal entities, the future of these activities remains uncertain and may adversely affect those in the process of relocating."], "subsections": []}]}, {"section_title": "ONHIR Has Not Always Managed Navajo Trust Land in Accordance with Its Policies", "paragraphs": [], "subsections": [{"section_title": "ONHIR Has Entered Into Lease and Other Agreements for Navajo Trust Land but Has Not Properly Managed Them", "paragraphs": ["ONHIR is statutorily required to administer the land taken into trust for the Navajo Nation pursuant to the Settlement Act as amended until relocation is complete. The act also authorizes ONHIR to issue leases for housing and other related facilities on the New Lands. ONHIR\u2019s management manual, which governs its operations, states that it will grant appropriate requests for leases of the New Lands\u2014both developed and undeveloped land\u2014for homesites, businesses, and community services facilities, among other things. According to the manual, entities that want to lease property in the New Lands are to submit an application form and supporting documents to ONHIR. Since the 1980s, ONHIR has received applications from and granted leases to various businesses, the New Lands chapter, and other tribal entities. The leases give the lessee permission to occupy and use the land, including, in the case of developed land, any structures on it, for terms varying from 2 to 99 years. In addition, ONHIR has entered into or administered surface use agreements for the New Lands.", "Unlike ONHIR\u2019s eligibility determinations and home-building activities, which were intended to have a finite end, the Navajo trust land will need to be managed in perpetuity so long as it is held in trust by the federal government. ONHIR\u2019s draft transition and implementation plans identify BIA and the Navajo Nation as entities that could assume responsibility for managing the trust land once ONHIR terminates. However, ONHIR does not have the authority to transition management of the trust land it administers to another entity. Moreover, we identified a number of concerns with how ONHIR has maintained information or established controls for proper administration of leases and agreements for the New Lands, which could further hinder an eventual transition of these responsibilities to another entity."], "subsections": [{"section_title": "ONHIR Does Not Have a Complete Inventory of Leased or Occupied Land", "paragraphs": ["ONHIR does not have a comprehensive inventory of leased and vacant properties on or surface use and other agreements for Navajo trust land it administers. ONHIR officials identified 23 properties on trust land they administer through documentation and in interviews. Of these 23 properties, ONHIR possessed the current lease for 15 properties. ONHIR officials also identified 5 surface use agreements for Navajo trust land they administer, 3 of which are listed as active on their transition website. ONHIR officials said they have not maintained a comprehensive inventory because they had a long tenure with the agency and are cognizant of what properties and agreements exist.", "Federal internal control standards state that management should design control activities to achieve objectives and respond to risk. For example, as part of control activities, management clearly documents all transactions and other significant events in a manner that allows the documentation to be readily available for examination. Without developing a comprehensive inventory of leased and vacant properties on Navajo trust land that ONHIR administers, the entity which assumes responsibility for leasing the land will not have the information it needs to carry out that responsibility."], "subsections": []}, {"section_title": "As of December 2017, ONHIR Does Not Have Written Leases for Some Occupied Lands", "paragraphs": ["ONHIR has occupied or has allowed others to occupy Navajo trust land it administers without a written lease or agreement, which is inconsistent with ONHIR\u2019s management manual. Specifically, of the 23 existing properties on trust land ONHIR officials identified, 7 were in use as of December 2017 but did not have a written lease, as required, for various reasons:", "ONHIR issued a permit for the use of one property in 2000 that was valid through 2005 and then, according to ONHIR officials, had an oral agreement to indefinitely extend the permit. The officials also said they had an oral agreement to lease another property.", "ONHIR itself occupies and uses 4 properties without leases, including a headquarters and New Lands office and two structures on the Padres Mesa Demonstration Ranch, discussed below.", "A lease for 1 property expired in 2011 but it has not been renewed and does not include an option to extend the lease beyond its initial termination date. The Navajo Nation is currently working to renew the lease because it has assumed responsibility from BIA for leasing its trust land. In its comments on a draft of this report, ONHIR stated that in the meantime the federal agency using the property has continued to pay rent to ONHIR while a new lease is negotiated.", "ONHIR officials said some of these properties do not have written leases because the agency deferred to the tribe\u2019s wishes. However, not having written leases for these properties on trust land is inconsistent with ONHIR\u2019s management manual, which calls for written leases and land use approvals for the New Lands. Without written leases for these properties, the entity which assumes responsibility for leasing the Navajo land that ONHIR has been administering will not know the status of these properties because they are being used without written leases."], "subsections": []}, {"section_title": "For Most of the Leases, ONHIR Is the Lessor Rather than the Tribe and No Successor Has Been Identified", "paragraphs": ["There are at least two parties to every lease of land, the lessor and the lessee. The lessor is generally the landowner, and the lessee is the party to whom the lease grants permission to use or occupy the land. However, the New Lands are held in trust by the federal government for the Navajo Nation, and federal law provides that trust lands may be leased by the Indian owners with the approval of the Secretary of the Interior. ONHIR is the lessor for 20 of the 22 leases that we reviewed. ONHIR officials said the leases were done this way because its management manual called for ONHIR to serve as the lessor. However, ONHIR changed its management manual in 2011 to say the Navajo Nation should serve as the lessor for business; commercial; industrial; and mineral leases unless the tribe requests ONHIR to be the lessor. ONHIR did not revise the leases in effect in 2011 to reflect this change. After the 2011 changes to the management manual, ONHIR became the lessor for the one business lease entered into for the New Lands. ONHIR did not provide documentation that the tribe requested ONHIR to serve as lessor for this lease. Navajo Nation officials said ONHIR informs the tribe about leases out of courtesy and does not seek the tribe\u2019s permission to lease Navajo trust land. Moreover, the Navajo Nation Department of Justice has taken the position that ONHIR does not have the authority to lease Navajo trust land.", "In addition to these leases, ONHIR identified 5 surface use agreements for Navajo trust land it administers. In 3 of 5 of these agreements, ONHIR, not the tribe, is the party granting the right to access and use the Navajo trust land. However, ONHIR is not the landowner and this is also inconsistent with BIA\u2019s leasing practices.", "In addition, of the current leases of New Lands with ONHIR as the lessor, 2 leases specify what is to happen should ONHIR close. None of the surface use agreements specify what is to happen should ONHIR close. ONHIR officials said that they have not updated or amended the other leases and agreements because there is no need to do so yet. ONHIR\u2019s transition and implementation plans also do not identify which leases and agreements need to be amended or assigned upon ONHIR\u2019s closure. In its March 2017 transition plan, ONHIR identified BIA as the successor agency for managing leases on the Navajo trust land ONHIR is currently administering. However, this is inconsistent with the Navajo Nation\u2019s assumption of responsibility for leasing its trust land from BIA.", "Federal internal control standards state that management should design control activities to achieve objectives and respond to risk, for example, to ensure that transactions such as leases are properly executed. In addition, federal internal control standards state that management should design control activities to identify, analyze, and respond to change, including changes to the entity\u2019s activities. Without ONHIR identifying which leases and other agreements need to be amended or assigned because they identify ONHIR as the lessor, any entity that assumes responsibility for leasing these trust lands in the event that OHNIR closes will not be able to effectively manage these properties."], "subsections": []}, {"section_title": "ONHIR Has Collected and Retained Revenues from These Lands", "paragraphs": ["Half of the 22 leases we reviewed required the lessee to pay a non- nominal amount (i.e., more than $1 a year) of annual rent to ONHIR. In addition, annual payments for 3 of 5 surface use agreements are made to ONHIR, according to ONHIR officials. According to agency documents, since the 1990s, ONHIR has collected and retained over $1 million in revenue from these leases of and surface use agreements for Navajo trust land it administers. ONHIR deposits the lease revenue into ONHIR\u2019s Treasury account. ONHIR officials said they have used the revenue to aid relocation efforts by renovating facilities located on Navajo trust land ONHIR administers, providing grants to Navajo chapters, and funding other activities to benefit the relocatees. However, the Settlement Act as amended does not state that ONHIR may collect, retain, and use revenue from leases of Navajo trust land, and ONHIR officials have not identified another statute authorizing the agency to do so. ONHIR officials said the agency retained this revenue to ensure that all net revenues from these trust lands are used exclusively for the benefit of relocatees because the Settlement Act as amended requires the trust lands be administered for the benefit of relocatees. However, this statutory provision does not authorize ONHIR to receive lease revenues."], "subsections": []}]}, {"section_title": "ONHIR Is Operating the Padres Mesa Demonstration Ranch without a Land Use Agreement and Grazing Permit", "paragraphs": ["ONHIR is operating the Padres Mesa Demonstration ranch on Navajo trust land, but has not leased the land, which is inconsistent with ONHIR\u2019s management manual. As mentioned previously, ONHIR\u2019s management manual calls for written leases for and land use approvals of the New Lands. According to ONHIR officials, there is no requirement for them to have a lease or obtain permission from the tribe to occupy the structures on the ranch, including a range office, or operate a ranch on Navajo trust land.", "In addition, ONHIR\u2019s grazing of the ranch\u2019s cattle on the New Lands without a grazing permit is inconsistent with ONHIR\u2019s regulations. ONHIR\u2019s grazing regulations require a grazing permit for all livestock grazed on the New Lands, but ONHIR does not have a grazing permit for the cattle on the ranch because ONHIR officials decided it was not necessary to issue a permit to itself. Moreover, ONHIR is not eligible for a grazing permit under its regulations because it is a federal entity and only enrolled Navajo tribal members are eligible for permits. We are examining ONHIR\u2019s use of appropriations to establish and operate a cattle ranch in a separate legal opinion.", "ONHIR has identified two different entities to assume operation of the ranch in the event of its closure. ONHIR\u2019s March 2017 transition plan identified BIA as the entity to oversee the continued operation of the Padres Mesa Demonstration Ranch. However, BIA officials said the agency does not have the statutory authority to operate a for-profit ranch. Moreover, these officials said they are not interested in doing so because it is a role for the tribe and would be a conflict of interest for the agency since BIA regulates grazing on trust land. In addition, ONHIR\u2019s October 2017 implementation plan indicates that the Navajo Nation would assume responsibility for the ranch after ONHIR\u2019s closure and after negotiating an agreement with the chapter. Because the ranch is located on Navajo Nation trust land, the tribe could choose to continue its operation after ONHIR closes. Navajo officials said they are interested in operating the ranch but they have not determined how the for-profit ranch would be managed if the tribe also regulated grazing on the New Lands, which it is also interested in doing."], "subsections": []}]}, {"section_title": "Congressional Action May also Be Needed to Address Other Provisions in the Settlement Act as Amended", "paragraphs": ["Congressional action may also be needed to address other provisions in the Settlement Act as amended regarding (1) the use of the acquired trust lands, (2) trust acquisition, and (3) the Navajo Rehabilitation Trust Fund."], "subsections": [{"section_title": "Use of Acquired Trust Lands to Benefit Relocatees and Regulation of Grazing", "paragraphs": ["Trust land is generally held in trust for the benefit of an Indian tribe or individual Indian. However, the Settlement Act as amended requires the land taken into trust pursuant to the Settlement Act, including the New Lands, to be used solely for the benefit of relocatees. The New Lands chapter government wants this restriction to continue if and when ONHIR terminates. However, without congressional action to continue this restriction, it is likely the trust lands acquired in Arizona pursuant to the Settlement Act as amended would be administered for the benefit of the tribe as a whole rather than to solely benefit the relocatees.", "In addition, as part of its administration of the New Lands, ONHIR\u2019s regulations governing grazing of livestock on the New Lands are different from how grazing is regulated by BIA for other Indian trust land. The purpose of ONHIR\u2019s regulations was to aid in the resettlement of Navajo Indians residing on Hopi Partitioned Lands to the New Lands and to preserve the New Lands\u2019 forage, land, and water resources. Under these regulations, grazing permit holders must be permanent residents of the New Lands. In contrast, under BIA\u2019s regulations that apply to the portions of the Navajo reservation not under ONHIR\u2019s administration, any Navajo tribal member is eligible for a grazing permit. Navajo Nation and chapter officials told us they would like ONHIR\u2019s grazing regulations to continue if ONHIR were to close.", "ONHIR\u2019s implementation plan identifies BIA as the entity to regulate grazing on the New Lands after ONHIR closes. ONHIR\u2019s implementation plan also says BIA officials have agreed to regulate grazing on the New Lands in accordance with ONHIR\u2019s regulations. However, BIA officials said Interior currently does not have the authority to regulate grazing on the New Lands, so they cannot make any decisions on how to do so. In addition, Navajo Nation officials said they want to assume responsibility for regulating grazing on the New Lands and prefer to have ONHIR\u2019s grazing regulations, which are stricter than BIA\u2019s, remain in place at least at the Padres Mesa Demonstration Ranch. Should ONHIR close, Congress will need to consider addressing how grazing on the New Lands will be regulated after ONHIR\u2019s closure."], "subsections": []}, {"section_title": "Mandatory Trust Acquisition Provision for the Navajo Nation", "paragraphs": ["The Settlement Act as amended provides for two categories of land to be taken into trust for the Navajo Nation: (1) up to 250,000 acres of BLM land in Arizona and New Mexico that is transferred to the tribe (category 1) and (2) up to 150,000 acres of land held in fee by the Navajo Nation (category 2). No more than 35,000 of the 400,000 acres selected could be in New Mexico. The tribe was authorized to select the lands in both categories for 3 years after the 1980 amendments\u2019 enactment, and then ONHIR was authorized to select the lands after consultation with the Navajo Nation. Once the lands are selected, the Settlement Act as amended provides for the mandatory acquisition of these selected lands as land held in trust by the federal government for the Navajo Nation. Mandatory trust acquisitions are not subject to BIA\u2019s regulatory requirements for discretionary trust acquisitions under the Indian Reorganization Act.", "As of December 2017, about 12,000 of the 400,000 acres had yet to be selected, and about 24,000 acres that had been selected had yet to be taken into trust (see table 3).", "The over 11,000 acres of category 1 land selected but not yet taken into trust are located in New Mexico. These lands have not been taken into trust because of unprocessed coal preference right lease applications.", "Congress will need to determine whether the Navajo Nation should be able to select the entire 400,000 acres and have that land taken into trust as a mandatory trust acquisition, as provided for in the Settlement Act as amended. Without congressional action, any additional land the tribe acquired and wanted taken into trust would be a discretionary trust acquisition subject to BIA\u2019s regulations.", "Furthermore, the Navajo Nation has raised two additional issues regarding the trust acquisition provision that Congress may also need to address.", "Deselection and reselection. The Navajo Nation would like to make changes to some of the land it has selected and make new selections, but the Settlement Act as amended does not authorize deselection of land the tribe previously selected to be taken into trust pursuant to the act\u2019s mandatory trust acquisition provision. Deselection had not occurred as of January 2018, but bills have been introduced in Congress that would cancel some of the tribe\u2019s land selections and authorize the tribe to replace those with new selections. Without statutory authorization, the Navajo Nation cannot deselect these lands and make new selections to reach the 400,000 acres provided for in the Settlement Act as amended.", "Trust status versus restricted fee status. The Navajo Nation has indicated that it is interested in having a statutory option for the selected land to be held in restricted fee status rather than held in trust. In 2016, a law was enacted that mandated a trust acquisition for certain parcels of land unassociated with the Settlement Act unless the Navajo Nation elected to have the land conveyed to it in restricted fee status. The President of the Navajo Nation has testified before Congress that the tribe is interested in having this option in future legislation involving the Settlement Act. Without statutory authorization, the land not yet selected pursuant to the Settlement Act as amended could not be held in restricted fee status if the tribe so chooses. However, without congressional action this cannot be changed."], "subsections": []}, {"section_title": "The Navajo Rehabilitation Trust Fund", "paragraphs": ["Established in the U.S. Treasury by the 1988 amendments to the Settlement Act, the Navajo Rehabilitation Trust Fund is essentially a loan from the federal government to the Navajo Nation to be paid back from revenues derived from leases of the lands and minerals taken into trust in New Mexico pursuant to the Settlement Act as amended. From fiscal years 1990 through 1995, Congress appropriated approximately $16 million to the Trust Fund. The Settlement Act as amended requires all net income derived by the Navajo Nation from the surface and mineral estates of lands in New Mexico taken into trust pursuant to the act to be deposited into the Trust Fund. Moreover, the net income is required to be used to reimburse the general fund of the Treasury for the amounts originally appropriated to the Trust Fund. According to leasing and other documents from the Navajo Nation and BLM, several of these parcels have been generating modest income since at least the 1990s. Specifically, BLM identified several parcels of the New Mexico trust land with grazing allotments or oil and gas leases. In addition to these sources of revenue, the tribe entered into an agreement for use of a parcel of the New Mexico trust land that requires, beginning in 2015, annual rent payments of $25,000 to be paid to the Trust Fund.", "The Navajo Nation has not reimbursed the general fund of the Treasury for the approximately $16 million appropriated to the fund, contrary to the statutory requirement to do so. While the Navajo Nation acknowledges its legal obligation to repay the Treasury, the tribe is seeking loan forgiveness because the Trust Fund\u2019s purpose was to aid the relocatees and the tribe views such aid as an unfulfilled federal obligation, according to tribal officials. Further, these officials said repaying the Treasury would eliminate any benefit the relocatees received from the land because the revenue generated from the New Mexico trust lands and minerals has not been sufficient to justify partial payment.", "Because much of the land the Navajo Nation selected in New Mexico has not been taken into trust and the land that has been taken into trust is generating modest income, Congress will need to consider whether to continue the statutory repayment requirement or repeal it. If Congress decides to repeal the repayment requirement, it will need to consider specifying whether revenues from the trust lands acquired in New Mexico pursuant to the Settlement Act as amended are to be used by the tribe exclusively for the benefit of relocatees."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The relocation of Navajo and Hopi families has taken more time than originally anticipated when the Settlement Act was enacted in 1974, extending ONHIR operations more than 30 years beyond the original estimates. ONHIR has proposed to close by the end of fiscal year 2018 and initiated steps to identify agencies to handle the remaining activities. However, the Settlement Act does not give other agencies the authority to undertake various ONHIR responsibilities. Therefore, if ONHIR closes without congressional actions, any potential successor agency will not have the appropriate authority to administer any remaining activities. As a result, newly certified applicants and clients who remain under the 2-year warranty period will not have an entity to assist with securing decent, safe, and sanitary relocation homes, as intended in the Settlement Act. Further, several other provisions in the Settlement Act as amended may need congressional action. These include (1) the requirement for the trust lands acquired in Arizona pursuant to the Settlement Act as amended to be used solely for the benefit of relocatees and whether grazing on the New Lands should be regulated consistent with ONHIR\u2019s current regulations; (2) the mandatory trust acquisition provision for the Navajo Nation; and (3) the requirement for the Navajo Nation to repay the U.S. Treasury for appropriations made to the Navajo Rehabilitation Trust Fund.", "In addition, although ONHIR believes it has completed most of its responsibilities under the act and believes it can close by September 2018, it does not have the authority to make this decision. Rather, the Settlement Act states that ONHIR will cease to exist when the President of the United States determines that its functions have been fully discharged. However, ONHIR has yet to request that the President make this determination. Moreover, OHNIR has not prepared complete information about its various activities, such as eligibility determinations, appeals, and home building, which increases the risk that successor agencies will not be able to effectively assume ONHIR\u2019s activities.", "Finally, ONHIR has not appropriately managed leases and other agreements for Navajo trust land it administers or identified changes that would need to be made in leases in the event that it closes. Because the land ONHIR administers is held in trust by the federal government, another entity will need to assume these responsibilities if ONHIR closes. However, OHNIR does not maintain a complete inventory of leased or occupied land and does not have written agreements for some occupied land. Further, ONHIR has not identified which leases will need to be amended to identify the appropriate lessor and the entity to receive the lease revenue. Without these actions, the entity that assumes responsibility for leasing the New Lands will not have the information it needs to effectively manage the properties."], "subsections": []}, {"section_title": "Matters for Congressional Consideration", "paragraphs": ["We are making the following four matters for congressional consideration for when ONHIR closes: Congress should consider providing necessary authority for other agencies to continue remaining activities when ONHIR closes. (Matter for Consideration 1)", "Congress should consider determining (1) whether the requirement for the land acquired pursuant to the Settlement Act as amended to be used solely for the benefit of relocatees should continue and (2) how grazing on the New Lands should be regulated. (Matter for Consideration 2)", "Congress should consider addressing the mandatory trust acquisition provision for the Navajo Nation in the Settlement Act as amended. (Matter for Consideration 3)", "Congress should consider whether the requirement for the Navajo Nation to repay the U.S. Treasury for appropriations made to the Navajo Rehabilitation Trust Fund should continue. (Matter for Consideration 4)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to ONHIR.", "The Executive Director of ONHIR should request a presidential determination as to whether ONHIR has fully discharged its responsibilities and whether it should close. (Recommendation 1)", "The Executive Director of ONHIR should prepare complete information on the remaining denied households who could still file for federal appeals. Such information could include paper case files and information in ONHIR\u2019s client database for those households. (Recommendation 2)", "The Executive Director of ONHIR should prepare complete information on warranties and contractors. Such preparation should include linking warranty complaints to the relevant contractor, completing missing warranty information, and completing information on contractors\u2019 past performance. (Recommendation 3)", "The Executive Director of ONHIR should establish a comprehensive inventory of (1) properties located on trust land it administers, (2) leases of those properties, and (3) surface use and other use agreements for trust land it administers. (Recommendation 4)", "The Executive Director of ONHIR should identify which leases and other agreements need to be amended or assigned because (1) ONHIR is the lessor, (2) the lease or agreement provides for annual payments to be made to ONHIR, and/or (3) the lease or agreement terminates upon ONHIR\u2019s closure. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Office of Navajo and Hopi Indian Relocation (ONHIR); Department of the Interior; Department of Justice; Department of Housing and Urban Development (HUD); Department of Health and Human Services; Department of the Treasury; the Navajo Nation; and the Hopi Tribe for review and comment. The Department of Justice, Department of the Treasury, and the Hopi Tribe did not provide comments. The Department of the Interior and the Department of Health and Human Services provided technical comments that we incorporated as appropriate.", "We received comments via e-mail from HUD\u2019s Acting Director of Grants Evaluation in the Office of Native American Programs. In this e-mail, the Acting Director stated that HUD believes the report should clearly state that HUD would not be an appropriate agency to continue ONHIR\u2019s housing functions, because it does not provide direct services to tribes, review or approve actions or transactions, or have the technical capacity to assume ONHIR housing functions. We have acknowledged this in the report and our objective was to identify legislative actions that may be necessary to transition remaining relocation activities. Therefore, our focus was on whether or not additional authorities might be needed if ONHIR were to close. Although we present background information about other federal agencies and tribal entities with responsibilities in Indian Country as well as perspectives from various agencies on the transition and remaining activities, we did not independently evaluate these agencies\u2019 authorities or capacity and do not draw conclusions about which agencies and tribal entities including HUD should be provided the necessary authority by Congress to continue ONHIR\u2019s remaining activities.", "In ONHIR\u2019s comments, which are summarized below and reproduced in appendix II, ONHIR did not explicitly agree or disagree with our five recommendations but stated that it had either already taken steps or had plans to once a successor is identified.", "With regard to the draft report\u2019s first recommendation to request a presidential determination as to whether ONHIR has fully discharged its responsibilities and whether it should close, ONHIR stated that it has worked for decades with the Office of Management and Budget within the Executive Office of the President on completing its work. While this may be the case, our review found that no presidential determination for ONHIR to cease operation has been requested, and no such decision has been communicated, therefore we believe our recommendation is valid.", "With regard to the second recommendation to prepare complete information on the remaining denied households that could still file for federal appeals, ONHIR stated that it has a solid grasp of potential appeals. Specifically, ONHIR said that case files have been identified and all needed information already exists in the case files and in its database. ONHIR stated that it will provide potential successor agencies with any information they request. However, because it is unclear when ONHIR will close and which agency will assume ONHIR\u2019s remaining eligibility and appeals activities at that time, a successor agency will not have the institutional knowledge to follow and connect the information needed for determining eligibility and providing support for cases for which appeals were filed in federal court. Therefore, we maintain that ONHIR should proactively prepare the necessary information associated with these appeals for any successor agency. Preparing complete and readily available information could minimize the challenges the successor agency may encounter in administering future appeals and eligibility determinations.", "With regard to the third recommendation to prepare complete information on warranties and contractors, ONHIR stated that up- to-date and complete information on warranty status appears in the existing case files. We maintain our concern about the accuracy of ONHIR\u2019s warranty database because in its comment letter ONHIR acknowledged that some complaints were entered multiple times due to data entry issues. Moreover, ONHIR states that its staff know which relocatee homes will still be under warranty as of September 30, 2018, and have compiled a list of such homes. However, preparing the case file and list of such homes does not address the deficiencies that we found in the warranty database. While we revised the report by including ONHIR\u2019s statement that its system has the capability to search warranty complaints, we continue to believe that the information available through searches will be incomplete for a successor agency because the information is disconnected. Without linking warranty complaints to the relevant contractor, completing missing warranty information, and completing information on contractors\u2019 past performance, any successor agency may have difficulty understanding what warranty issues have already been addressed or have difficulty overseeing contractors to help ensure that newly certified applicants secure decent, safe, and sanitary relocation homes.", "With regard to the fourth recommendation to establish a comprehensive inventory of (1) properties located on trust land it administers, (2) leases of those properties, and (3) surface use and other use agreements for trust land it administers, ONHIR stated that such documentation exists and is maintained and updated. However, this statement is inconsistent with what we found during our review. We reviewed information provided by ONHIR from various sources as part of our review, and the information available did not include a comprehensive inventory of leased and vacant properties on or surface use and other agreements for Navajo trust land ONHIR administers. We continue to believe that without developing a comprehensive inventory of leased and vacant properties on Navajo trust land that ONHIR administers and leases and agreements for those properties, the entity that assumes responsibility for leasing the land will not have the information it needs to carry out that responsibility.", "With regard to the fifth recommendation to identify which leases and other agreements need to be amended or assigned because (1) ONHIR is the lessor; (2) the lease or agreement provides for annual payments to be made to ONHIR, and/or (3) the lease or agreement terminates upon ONHIR\u2019s closure, ONHIR stated that it will move forward with specific transition activities after a successor entity is identified. We believe that such an approach is risky because it assumes that ONHIR staff will be available to work closely with staff from a new successor entity to personally transfer their knowledge to the new staff. However, there is no guarantee that ONHIR will continue operating or that its many retirement-eligible employees will be available to assist any successor entities during a transition period. We, therefore, maintain that the Executive Director of ONHIR should identify which leases and other agreements need to be amended or assigned.", "ONHIR also made other comments in its letter, which we have responded to in appendix II.", "The Navajo Nation and the Navajo Nation Human Rights Commission also submitted comments on a draft of this report, which are reproduced in appendix III and IV.", "We are sending copies of this report to the appropriate committees and the Office of Navajo and Hopi Indian Relocation, Department of the Interior, Department of Justice, Department of Housing and Urban Development, Department of Health and Human Services, Department of the Treasury, the Navajo Nation, and the Hopi Tribe. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at (202) 512-8678 or shearw@gao.gov or (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) ONHIR\u2019s management of the eligibility and appeals processes and the status of these activities; (2) ONHIR\u2019s management of the home-building process and the status of these activities; (3) executive branch or legislative actions that may be necessary to terminate ONHIR in an orderly manner and transition remaining relocation activities; (4) ONHIR\u2019s management of Navajo trust lands and related transition activities; and (5) legislative actions that may be necessary to address other Settlement Act provisions.", "To address these objectives, we reviewed our prior related reports and other studies and analyzed relevant laws and regulations. We interviewed ONHIR officials on relocation and other key activities, and we interviewed ONHIR\u2019s hearing officer to better understand his role in the appeals process. We also interviewed federal officials from the Department of the Interior\u2019s (Interior) Bureau of Indian Affairs (BIA), Office of Inspector General, and Bureau of Land Management (BLM); Department of Housing and Urban Development (HUD); Department of the Treasury (Treasury); and Indian Health Services within the Department of Health and Human Services. We also conducted interviews with tribal government officials from the Navajo Nation and the Hopi Tribe including officials from the Navajo-Hopi Legal Services Program, the Navajo-Hopi Land Commission Office, and the Navajo Nation Human Rights Commission. Additionally, we conducted two visits in August 2017 to ONHIR\u2019s offices in Flagstaff and Sanders, Arizona, and the Navajo region where we interviewed ONHIR staff, observed a transition meeting, took two separate tours of homes (one with ONHIR officials and the other with Navajo Nation officials) and observed rangeland management activities, and attended presentations in three Navajo Nation chapters.", "Additionally, to address the first, second, and third objectives, we reviewed ONHIR\u2019s management manual, policy memorandums, the 1981 Report and Plan, and the 1990 Plan Update on relocation activities, including the eligibility and appeals processes, and home-building activities. We obtained two data files as of June 2017 from ONHIR\u2019s Client Database\u2014Client Master and Hearing File\u2014to analyze the time frame for becoming certified for relocation benefits and relocating to the house provided by ONHIR. Using the case numbers in the Hearing File, we identified those applicants that were certified for relocation benefits through the administrative appeals process. We assessed the reliability of ONHIR\u2019s data files by conducting a file review of a random sample of 30 case numbers, which we selected based on the distribution of two factors: (1) application date, and (2) type of determination. We recorded the relevant information in the paper files\u2014 such as date applied, date of determination, determination code, and date relocated\u2014and compared it to the data fields in the electronic files. We determined that ONHIR\u2019s data files were sufficiently reliable for the purpose of our report. We also reviewed home-building-related documentation, including contractor lists, contracts, warranty information, and contractor performance reports, to understand ONHIR\u2019s oversight of home-building activities. In addition, we reviewed ONHIR\u2019s transition-related documentation including transition guiding principles, the draft transition plan, and the draft \u201cFrom Transition Plan to Transition Implementation\u201d document to understand ONHIR\u2019s planned closure. We also reviewed and assessed the original statute to determine the extent to which ONHIR has the authority to transfer those activities. We interviewed ONHIR and Interior officials to identify any opportunities for modifying or continuing other Settlement Act provisions.", "To address the fourth and last objectives, we obtained from ONHIR copies of all leases and use agreements for Navajo trust land it administers pursuant to the Settlement Act as amended from the 1980s to the present. We reviewed the terms of the leases and agreements provided to identify specific elements, such as the identity of the lessor, lessee, and any concurring parties; start and end dates; required rental payments, if any; and any provisions on the leases\u2019 continuation or termination in the event that ONHIR closes. We compared the leases to ONHIR\u2019s list of properties on Navajo trust land it administers to determine if all of the properties were covered by leases. We also reviewed information, such as summary spreadsheets, on sources of revenue ONHIR collects, retains, and uses, including documentation of Treasury accounts where such revenue is deposited. We cross-checked the revenue information ONHIR provided with information from Treasury about deposits into ONHIR\u2019s Treasury account and we interviewed ONHIR officials regarding discrepancies. Revenues from the Padres Mesa Demonstration Ranch were included as part of the revenue information and ONHIR provided a separate accounting of the obligations, expenditures, and revenues for the ranch. We reviewed ONHIR\u2019s regulations and management manual for policies and procedures on leasing and grazing on the New Lands and compared them to the agency\u2019s practices. We also reviewed BIA\u2019s regulations on leasing and grazing on Indian trust lands under the agency\u2019s administration to identify comparable grazing and leasing policies and procedures. Furthermore, we interviewed ONHIR, Interior, BLM, Treasury, and Navajo Nation officials and reviewed documents from the agencies and tribe to identify any opportunities for modifying or continuing other Settlement Act provisions.", "We conducted this performance audit from March 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Office of Navajo and Hopi Indian Relocation", "paragraphs": [], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["1. We revised the report to state that ONHIR has no authority to require any person to leave the land that was awarded to the other tribe. 2. We disagree with the Office of Navajo and Hopi Indian Relocation\u2019s (ONHIR) characterization of our report and did not make a change based on this comment. Our report focuses on ONHIR\u2019s management of the home building process and the status of these activities. To appropriately address our audit objective on the home building process, we included the experiences of the population that was being served by ONHIR. While ONHIR states that the information included in our report is unsubstantiated, we do not assert that the views on home building from those we attributed\u2014tribal government officials and relocatees\u2014are accurate or draw conclusions about the reasons for the condition of the homes. Further, we presented ONHIR\u2019s counterargument to the concerns raised by the relocatees to provide context and balance, with additional details explained in footnotes. Throughout our report, we ensured a balanced presentation with an objective tone, consistent with generally accepted government auditing standards and our quality assurance framework. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Moreover, our description of Navajo Nation chapters was reviewed and verified by the Navajo Nation, therefore we believe it accurately states the views of Navajo Nation officials. 3. We revised the report to indicate the attorney fees reported were over a 35-year period. 4. We revised the report to state that, for the third application period, the requirement was for applicants to maintain legal residency until their contact with ONHIR. 5. We made revisions to the report to include ONHIR\u2019s efforts related to eligibility determination, such offering administrative appeals to Navajos for whom ONHIR could not show actual receipt of denial letters and using restricted delivery certified mail for almost 30 years. 6. We made revisions to the report to include ONHIR\u2019s perspective on the difficulties in determining residency because of the nature of Navajos\u2019 employment opportunities. 7. Our report does not evaluate the reasons that have affected the length of the appeal process because it is not pertinent to our objectives. Therefore, we did not make a change to the report in response to this comment. 8. Although this is new information that was not presented to us during our review, it does not materially affect our findings, therefore we did not make a change in the report. 9. We clarified the report to state that ONHIR consulted with the Department of Justice in Washington, D.C, and the U.S. Attorney\u2019s Office in Arizona. 10. We clarified the report to indicate that, in response to the Herbert decision, ONHIR was required to provide notices to \u201cpotentially\u201d eligible applicants. 11. Our report focuses on actions that may be necessary to terminate ONHIR in an orderly manner and transition remaining relocation activities. We did not make a change in the report in response to ONHIR\u2019s comment because ONHIR had not identified and compiled the case files during our review that would be necessary or easily accessible for a successor agency. While ONHIR states in its letter that case files have been identified and all needed information already exists in the case files and in its database, because these activities may have occurred subsequent to our review, we cannot confirm the accuracy of this comment. We maintain our concerns about ONHIR\u2019s database given its admission of data entry issues as stated in the comment letter. 12. We revised the headings of two report sections to emphasize the distinction between administrative appeals and appeals to the federal court. 13. We revised the report to include ONHIR\u2019s perspective on allowing oral evidence. 14. We revised the report to incorporate information ONHIR provided related to the communities to which relocatees have moved. 15. We clarified the report to state that relocatees with existing Navajo homesite leases can have their relocation home built on the homesite lease site if it meets feasibility requirements. 16. We revised the report to incorporate information ONHIR provided on relocatees who chose to relocate to remote areas. 17. Our report focuses on ONHIR\u2019s management of the home building process. We did not make a change to the report in response to ONHIR\u2019s comment because we already describe several procedures related to home building, including contractor licensing requirements and feasibility studies. The report also acknowledges that houses have passed final inspection. 18. As described in comment 2, we disagree with ONHIR\u2019s characterization of our methodology. We did not make a change in the report because we maintain that including the experiences of the population served by ONHIR is appropriate for balance. 19. We disagree with ONHIR\u2019s characterization of our report and did not make a change to the report based on this comment. Throughout the body of the report, we have included ONHIR\u2019s policies, its implementation of activities, as well as the statements of officials related to relocatees\u2019 home-building concerns. 20. We have made revisions to clarify the figure title. The two photographed houses are on the Navajo reservation, shown to us during our site visit. Because one of the houses was shown to us by ONHIR officials, we believe the home was built by ONHIR. The other home was from a separate tour with Navajo Nation officials. The Navajo Nation officials indicated that the home was built by ONHIR. 21. As described in comment 2, we disagree with ONHIR\u2019s characterization of our methodology. We did not make a change in the report because we maintain that including the experiences of the population served by ONHIR is appropriate for balance. 22. As described in comment 2, we disagree with ONHIR\u2019s characterization of our methodology. Throughout the report, we specifically attribute all the views on home building to those we interviewed\u2014tribal government officials and relocatees. We also do not draw conclusions about the reasons for the condition of the homes. We did not make a change in the report because we maintain that including the experiences of the population served by ONHIR is appropriate for balance. 23. We revised the report to include ONHIR\u2019s statement about the search capability of its electronic data system. 24. During our review, ONHIR officials did not identify contracting for post- move counseling services as an option that they have considered nor did we find any such reference in transition documents we reviewed. Therefore we have not made any changes to the report based on this comment. 25. We disagree with ONHIR\u2019s characterization of our report. We reviewed information provided by ONHIR from various sources, and accurately reported that ONHIR does not have a comprehensive inventory of leased and vacant properties or surface use and other agreements for Navajo trust land it administers. Therefore, we made no changes in response to this comment. 26. We disagree with ONHIR\u2019s characterization of our report and did not make a change in the report based on this comment. ONHIR\u2019s management manual calls for written leases and land use approvals for the New Lands, whether or not the Navajo Nation requests these. It is not the responsibility of the trust beneficiary to request a written lease. The trustee has a duty to maintain clear, complete, and accurate books and records regarding trust property. 27. We disagree with ONHIR\u2019s statement that it will wait until a successor is identified to inform it of the leases. Moving forward with specific transition activities only after a successor entity is identified is a risky approach because it assumes that ONHIR staff will be available to work with staff from a successor entity to transfer their knowledge to the new staff. However, there is no guarantee that ONHIR will continue to be operating at that time or that its many retirement- eligible employees will be available to assist any successor entities during a transition period. ONHIR has proposed closing on September 30, 2018. As of March 2018, no successor entities have been designated or authorized to assume any ONHIR activities. As we recommended, clearly documenting what needs to happen as part of the transition will help ensure a smoother transition in the event that there is not a transition period between ONHIR and a new successor entity. 28. We revised the report to indicate that, according to ONHIR, Federal Aviation Administration has continued to pay rent to ONHIR while a new lease is negotiated. 29. We disagree with ONHIR\u2019s characterization of the report and did not make a change based on this comment. As we reported, the Settlement Act as amended does not specifically authorize ONHIR to collect, retain, and use revenues from leases of Navajo trust land it administers. The Settlement Act as amended also does not specify whether ONHIR, the Navajo Nation, or the relocatees should receive lease revenues. However, as we reported, under BIA\u2019s regulations for trust land it administers, revenue from leases is to be either paid directly to the tribe whose trust land is being leased or to BIA, which deposits the revenue in the tribe\u2019s trust account that generally earns interest. BIA officials told us leases of trust land that provide for BIA to retain lease revenue would not be consistent with the agency\u2019s trust responsibility. 30. We recognize that ONHIR is not, and has never been, part of BIA. As we note in the report, the comparison to BIA is instructive because BIA administers the vast majority of Indian trust land. In addition, ONHIR in its comments and draft transition plan identify BIA as a possible successor entity for some activities. 31. As described in comment 29, we disagree with ONHIR\u2019s characterization of its duties and powers as a trustee and did not make a change to the report. The Settlement Act as amended does not specifically authorize ONHIR to collect, retain, and use revenues from leases of Navajo trust land it administers. Moreover, BIA officials told us leases of trust land that provide for BIA to retain lease revenue would not be consistent with the agency\u2019s trust responsibility. 32. We disagree with ONHIR\u2019s characterization of the realities of leasing Navajo trust land and did not make a change to the report. ONHIR did not provide documentation of requests from the Navajo Nation for ONHIR to serve as the lessor on some commercial leases. When ONHIR served as the lessor, ONHIR provided the Navajo Nation with some leases for \u201ctechnical review\u201d or for \u201creview and comment\u201d. However, only one of the leases we reviewed includes the Navajo Nation President\u2019s signature when the tribe, or a tribal entity, is not the lessee. Moreover, as we reported, the Navajo Nation Department of Justice repeatedly informed ONHIR that it lacked the authority to lease Navajo trust land. 33. As described in comment 27, we disagree with ONHIR\u2019s planned approach to wait until a successor is identified and did not make a change in the report. Moving forward with specific transition activities only after a successor entity is identified is a risky approach because it assumes that ONHIR staff will be available to work with staff from a successor entity to transfer their knowledge to the new staff. However, there is no guarantee that ONHIR will continue operating or that its many retirement-eligible employees will be available to assist any successor entities during a transition period. 34. We clarified the report to note that another entity is needed to assume remaining home building activities. 35. We clarified the report to include ONHIR\u2019s statement that it has had regular communications with executive and legislative branch offices on completing its work and closing. 36. We disagree with ONHIR\u2019s comments that the report is misleading related to a presidential determination. Although we included ONHIR\u2019s statement on its communications about closure in the report, we maintain that without a presidential determination, ONHIR has not met the explicit requirements for being permitted to cease operations under the Settlement Act. 37. As described in comment 11, during the course of our review, ONHIR did not have complete information readily available for use by a successor agency. We cannot assure that any efforts ONHIR has taken subsequently to compile this information as stated in its comment letter are accurate. We continue to believe that ONHIR should proactively compile necessary information rather than waiting for a successor to request it. Moreover, we maintain our concerns about ONHIR\u2019s database given its admission of data entry issues in its comment letter. Therefore, we did not make a change in the report based on this comment."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Navajo Nation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Navajo Nation Human Rights Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jill Naamane and Jeffrey Malcolm (Assistant Directors), Chir-Jen Huang (Analyst in Charge), Susan Baker, William Chatlos, Brad Dobbins, Justin Fisher, Randi Hall, Erik Kjeldgaard, Ellie Klein, Jessica Sandler, Jennifer Schwartz, Jena Sinkfield, and Jeanette Soares made key contributions to this report."], "subsections": []}]}], "fastfact": ["A 1974 law divided land used by the Navajo and Hopi tribes into two regions, requiring families to move. Eligible families could receive relocation expenses.", "Lawmakers anticipated 1,000 families would relocate in under 5 years, but decades later, over 3,600 families have relocated and the Office of Navajo and Hopi Indian Relocation\u2014created to carry out the relocation\u2014continues to operate. The office stated its intent to close by September 2018.", "We recommend that the office take steps to help ensure that its uncompleted relocation activities can be transferred to other agencies if it closes."]} {"id": "GAO-18-305", "url": "https://www.gao.gov/products/GAO-18-305", "title": "Coal Mine Reclamation: Federal and State Agencies Face Challenges in Managing Billions in Financial Assurances", "published_date": "2018-03-06T00:00:00", "released_date": "2018-04-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Coal accounts for 17 percent of domestic energy production. SMCRA requires coal mine operators to reclaim lands that were disturbed during mining and to submit a financial assurance in an amount sufficient to ensure that adequate funds will be available to complete reclamation if the operator does not do so. Recent coal company bankruptcies have drawn attention to whether financial assurances obtained by OSMRE and state agencies will be adequate to reclaim land once coal mining operations have ceased.", "GAO was asked to review management of financial assurances for coal mine reclamation. This report describes, among other things, the amounts and types of financial assurances held for coal mine reclamation in 2017 and the challenges that OSMRE and state agencies face in managing these financial assurances. GAO collected and analyzed data from OSMRE and 23 state agencies; reviewed federal laws, regulations, and directives; and interviewed OSMRE and state agency officials and representatives from organizations associated with the mining and financial assurance industries and environmental organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["State agencies and the Department of the Interior's Office of Surface Mining Reclamation and Enforcement (OSMRE) reported holding approximately $10.2 billion in surety bonds (guaranteed by a third party), collateral bonds (guaranteed by a tangible asset, such as a certificate of deposit), and self-bonds (guaranteed on the basis of a coal operator's own finances) as financial assurances for coal mine reclamation.", "OSMRE and state agencies face several challenges in managing financial assurances, according to the stakeholders GAO interviewed. Specifically,", "Obtaining additional financial assurances from operators for unanticipated reclamation costs, such as long-term treatment for water pollution, can be difficult.", "Determining the financial stability of surety companies has been challenging in certain instances.", "Self-bonding presents a risk to the government because it is difficult to (1) ascertain the financial health of an operator, (2) determine whether the operator qualifies for self-bonding, and (3) obtain a replacement for existing self-bonds when an operator no longer qualifies. In addition, some stakeholders said that the risk from self-bonding is greater now than when the practice was first authorized under the Surface Mining Control and Reclamation Act (SMCRA).", "GAO's previous work examining environmental cleanup found that the financial risk to government and the amount of oversight needed for self-bonds are relatively high compared to other forms of financial assurances. GAO also previously reviewed federal financial assurance requirements for various energy and mineral extraction sectors and found that coal mining is the only one where self-bonding was allowed. However, because SMCRA explicitly allows states to decide whether to accept self-bonds, eliminating the risk that self-bonds pose to the federal government and states would require SMCRA be amended."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Congress consider amending SMCRA to eliminate self-bonding. Interior neither agreed nor disagreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Coal accounted for approximately 17 percent of domestic energy production in 2016, and extracting this resource requires disturbing the land, potentially affecting vegetation, wildlife, and water quality, among other things. Under the Surface Mining Control and Reclamation Act (SMCRA), operators of coal mines on federal and nonfederal lands in the United States are required to reclaim mined lands\u2014for example, by regrading and replanting the area. To help ensure that reclamation occurs, SMCRA requires an operator to submit a financial assurance (e.g., a bond) in an amount sufficient to ensure that adequate funds will be available for the regulatory authority\u2014either the Department of the Interior\u2019s Office of Surface Mining Reclamation and Enforcement (OSMRE) or an approved state regulatory authority\u2014to complete required reclamation if the operator does not do so. If specific conditions are met, SMCRA allows states to let an operator guarantee the cost for reclaiming a mine on the basis of its own finances, a practice known as self-bonding, rather than by securing a bond through another company or providing collateral, such as cash, letters of credit, or real property.", "Three of the largest coal mining companies in the United States filed for bankruptcy in 2015 and 2016. This drew attention to whether financial assurances obtained by OSMRE and approved state regulatory authorities will be adequate to reclaim land once coal mining operations have ceased, particularly in cases where operators had used self-bonds as their financial assurance. In August 2016, citing the recent bankruptcies, lower market demand for coal, and the potential for more market downturn, OSMRE issued a policy advisory to states suggesting, among other things, that states take steps to assess whether operators currently using self-bonds continue to qualify to do so and that states not accept new self-bonds. Moreover, in September 2016, in response to a petition seeking revisions to its self-bonding regulations, OSMRE stated that it planned to examine changes to its bonding regulations that would, among other things, help ensure the completion of the reclamation plan if the regulatory authority has to perform the work in the event the operator does not do so.", "You asked us to review OSMRE\u2019s oversight of financial assurances for coal mine reclamation. This report examines (1) the amounts and types of financial assurances held for coal mine reclamation, (2) the extent to which financial assurances to reclaim coal mines were forfeited from July 2007 through June 2016, (3) how OSMRE oversees financial assurances for coal mine reclamation, and (4) any challenges that OSMRE and approved state regulatory authorities face in managing financial assurances for coal mine reclamation.", "To determine (1) the amounts and types of financial assurances held for coal mine reclamation and (2) the extent to which financial assurances to reclaim coal mines have been forfeited, we developed a data collection instrument and sent it to the relevant state regulatory authority for the 23 primacy states that OSMRE identified as having active coal mining in 2017. We also sent it to OSMRE to request data for the 2 states and four Indian tribes with active coal mining where it directly manages the coal program. In developing the instrument, we discussed available data with OSMRE and state regulatory authority officials and with a representative of the Interstate Mining Compact Commission, a multistate governmental agency representing state mining regulatory authorities. All 23 states we contacted and OSMRE responded to our data collection instrument. For financial assurances forfeited, the data reported includes forfeitures that occurred from July 2007 through June 2016. We discussed with state and OSMRE officials how the data were collected and maintained and determined that the data were sufficiently reliable for our purposes.", "To determine how OSMRE oversees financial assurances for coal mine reclamation, we analyzed SMCRA, federal regulations, and OSMRE directives. Specifically, we reviewed directives pertaining to OSMRE\u2019s oversight of state and tribal programs, its inspections of mines in both primacy and nonprimacy states, and a handbook on the calculation of the amount of financial assurance that OSMRE and primacy states obtain. We also reviewed agency documents, including the 2010 National Priority Review that examined how financial assurance amounts were calculated, and interviewed OSMRE officials from its headquarters and its three regional offices. We selected a nonprobability sample of 7 states\u2014 Illinois, Kentucky, Montana, Pennsylvania, Tennessee, West Virginia, and Wyoming\u2014to examine OSMRE\u2019s oversight activities in more detail. We generally selected states that produced the most coal in 2015 (the most recent data at the time we began our review), according to the U.S. Energy Information Administration. We also selected states to achieve some variation in factors such as geographic location, the dominant type of coal mining conducted (e.g., surface or underground mining), whether the state had primacy, and whether the state allowed self-bonding (see app. I). Because this is a nonprobability sample, the oversight activities in the 7 states are not generalizable to all 25 primacy and nonprimacy states with active coal mining but provide illustrative examples. For each of the 7 states, we reviewed agency documents, including OSMRE\u2019s annual evaluation of the state\u2019s program, agreements between OSMRE and the state regulatory authority specifying oversight steps OSMRE would take, and in some cases OSMRE and state documents related to OSMRE\u2019s determination that a state was not implementing its primacy program as required. We also interviewed OSMRE field office officials responsible for these 7 states and, for primacy states, officials from the state regulatory authority.", "To obtain additional perspectives on OSMRE\u2019s oversight of financial assurances, we interviewed the following parties: officials from the Interstate Mining Compact Commission, officials from the National Association of Insurance Commissioners, and representatives from two organizations associated with the mining and financial assurances industries (the National Mining Association and The Surety and Fidelity Association of America) and from two environmental nongovernmental organizations (the Natural Resources Defense Council and the Western Organization of Resource Councils) actively involved with these issues. These organizations were identified through our research as well as by other stakeholders as potentially having relevant perspectives and information to share with regard to financial assurances for coal mine reclamation.", "To identify any challenges that OSMRE and approved state regulatory authorities face in managing financial assurances for coal mine reclamation, we interviewed the federal and state officials and industry and environmental nongovernmental organization representatives identified above. Interview questions were designed to elicit officials\u2019 and representatives\u2019 views on any challenges facing OSMRE and state regulatory authorities and potential actions to address those challenges. We also asked about any actions OSMRE has taken or could take to address the challenges identified. We included those challenges that were identified by at least 4 of the 13 parties we interviewed. Not all parties we interviewed commented on every challenge identified.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Coal accounted for 17 percent of energy production (30 percent of electricity production) in the United States in 2016. To generate this energy, approximately 730 million tons of coal were mined domestically in 2016, according to the U.S. Energy Information Administration, approximately 40 percent of which was produced on federal lands. As of 2016, state regulatory authorities and OSMRE had received financial assurances associated with coal mines that had been permitted to disturb approximately 2.3 million acres, according to OSMRE data.", "Coal is mined in two different ways: surface mining and underground mining. In surface coal mining, before the underlying coal can be extracted, the land is cleared of forests and other vegetation and topsoil is removed and stored for later use. Explosives or other techniques are then used to break up the overlying solid rock, creating dislodged earth, rock, and other materials known as spoil. Surface coal mines can cover an area of many square miles. In underground coal mining, tunnels are dug to access coal that is too deep for surface mining methods. In some cases, underground coal mines are designed to leave sufficient coal in the mine to support the overlying surface, and in other cases, they are designed to extract higher quantities of coal that results in subsidence of the overlying surface as mining progresses.", "In addition to disturbing the land surface, coal mining can affect water quality, according to the Environmental Protection Agency, the National Academies, and others. For example, mining can increase sediments in rivers or streams, which may negatively affect aquatic species. Moreover, mining can expose minerals and heavy metals to air and water, leading to a condition known as acid mine drainage, which can lead to long-term water pollution and harm some fish and wildlife species. Mining can also lower the water table or change surface drainage patterns."], "subsections": [{"section_title": "Regulation of Coal Mining", "paragraphs": ["The surface effects of coal mining in the United States are regulated under SMCRA, which also created OSMRE to administer the act. SMCRA allows an individual state or Indian tribe to develop its own program to implement the act if the Secretary of the Interior finds that the program is in accordance with federal law. A state with an approved program is said to have \u201cprimacy\u201d for that program. To obtain primacy, a state or Indian tribe submits to the Secretary of the Interior for approval a program that demonstrates that the state or tribe has the capability of carrying out the requirements of SMCRA. The program must demonstrate that the state or Indian tribe has, among other things, a law that provides for the regulation of the surface effects of coal mining and reclamation in accordance with the requirements of SMCRA, and a regulatory authority with sufficient personnel and funding to do so. Of the 25 states and four Indian tribes that OSMRE identified as having active coal mining in 2017, 23 states had primacy, and OSMRE manages the coal program in 2 states and for the four Indian tribes.", "SMCRA requires a mine operator to obtain a permit before starting to mine. The permit process requires operators to submit plans describing the extent of proposed mining operations and how and on what timeline the mine sites will be reclaimed. In general, an operator must reclaim the land to a use it was capable of supporting before mining or to an alternative postmining land use that OSMRE or the state regulatory authority deems higher or better than the premining land use. In reclaiming the mine site, operators must comply with regulatory standards that govern, among other things, how the reclaimed area is regraded, replanting of the site, and the quality of water flowing from the site. Specifically:", "Operators are generally required to return mine sites to their approximate original contour unless the operator receives a variance from the regulatory authority. To return to this contour, the surface configuration achieved by backfilling and grading of the mined area must closely resemble the general surface configuration of the land before mining and blend into and complement the drainage pattern of the surrounding terrain, with all highwalls and spoil piles eliminated.", "Operators are required to demonstrate successful revegetation of the mine site for 5 years (in locations that receive more than 26 inches of rain annually) or 10 years (in drier areas). States have requirements for what vegetation may be planted depending on the approved postmining land use. For example, West Virginia\u2019s regulations call for sites with a postmining land use of forest land to be planted with at least 500 woody plants per acre. The state specifies that at least five species of trees be used, including at least three of the species being higher value hardwoods, such as oak, ash, or maple.", "SMCRA requires that financial assurances be sufficient to ensure reclamation compliant with water quality standards, including those established by the Environmental Protection Agency or the states under the Clean Water Act. SMCRA\u2019s implementing regulations also contain additional water protection requirements. For example, the regulations require that all surface mining and reclamation activities be conducted to minimize disturbance of the hydrologic balance within the permit and adjacent areas and to prevent material damage to the hydrologic balance outside the permit area.", "The federal government also enacted SMCRA, in part, to implement an abandoned mine land program to promote the reclamation of mined areas left without adequate reclamation prior to 1977, when SMCRA was enacted, and that continue to substantially degrade the quality of the environment, prevent or damage the beneficial use of land or water resources, or endanger the health or safety of the public. Specifically, Congress found that a substantial number of acres of land throughout the United States had been disturbed by surface and underground coal mining on which little or no reclamation was conducted. Further, it found that the impacts from these unreclaimed lands imposed social and economic costs on residents in nearby areas as well as impaired environmental quality. Since the abandoned mine land program was created, approximately $3.9 billion has been spent to reclaim abandoned mine lands, and there is at least $10.2 billion in remaining reclamation costs for coal mines abandoned prior to 1977, as of September 30, 2017, according to OSMRE."], "subsections": []}, {"section_title": "Financial Assurances for Reclamation", "paragraphs": ["SMCRA generally requires operators to submit a financial assurance in an amount sufficient to ensure that adequate funds will be available for OSMRE or the state regulatory authority to complete the reclamation if the operator does not do so. The amount of financial assurance required is determined by the regulatory authority\u2014OSMRE or the state\u2014and is based on its calculation of the estimated cost to complete the reclamation plan it approved as part of the mining permit. Financial assurance amounts can be adjusted as the size of the permit area or the projected cost of reclamation changes.", "SMCRA also authorizes states to enact an OSMRE-approved alternative bonding system as long as the alternative achieves the same objectives. One kind of alternative bonding system is known as a bond pool. Under this type of system, the operator may post a financial assurance for an amount determined by multiplying the number of acres in the permit area by a per-acre assessment. The per-acre assessment may vary depending on the site-specific characteristics of the planned mining operation and the operator\u2019s history of compliance with state regulations. However, the per-acre bond amount may be less than the estimated cost of reclamation. To supplement the per-acre bond, the operator generally must pay a fee for each ton of mined coal and may also be required to pay other types of fees. These funds are pooled and can be used to reclaim sites that participants in the alternative bonding system do not reclaim. Under OSMRE regulations, all alternative bonding systems must provide a substantial economic incentive for the operator to comply with reclamation requirements and must ensure that the regulatory authority has adequate resources to complete the reclamation plan for any sites that may be in default at any time.", "OSMRE regulations implementing SMCRA recognize three major types of financial assurances: surety bonds, collateral bonds, and self-bonds.", "A surety bond is a bond in which the operator pays a surety company to guarantee the operator\u2019s obligation to reclaim the mine site. If the operator does not reclaim the site, the surety company must pay the bond amount to the regulatory authority, or the regulatory authority may allow the surety company to perform the reclamation instead of paying the bond amount.", "Collateral bonds include cash; certificates of deposit; liens on real estate; letters of credit; federal, state, or municipal bonds; and investment-grade rated securities deposited directly with the regulatory authority.", "A self-bond is a bond in which the operator promises to pay reclamation costs itself. Self-bonds are available only to operators with a history of financial solvency and continuous operation. To remain qualified for self-bonding, operators must, among other requirements, do one of the following: have an \u201cA\u201d or higher bond rating, maintain a net worth of at least $10 million, or possess fixed assets in the United States of at least $20 million. In addition, the total amount of self-bonds any single operator can provide shall not exceed 25 percent of its tangible net worth in the United States. Primacy states have the discretion on whether to accept self-bonds."], "subsections": []}]}, {"section_title": "State Regulatory Authorities and OSMRE Reported Holding $10.2 Billion in Various Types of Financial Assurances", "paragraphs": ["State regulatory authorities and OSMRE reported holding a total of approximately $10.2 billion in surety bonds, collateral bonds, and self- bonds as financial assurances for coal mine reclamation in 2017. Of the total amount of financial assurances, approximately 76 percent ($7.8 billion) were in the form of surety bonds, 12 percent ($1.2 billion) in collateral bonds, and 12 percent ($1.2 billion) in self-bonds (see fig. 1).", "Twenty-four states reported holding surety bonds, 20 states reported holding collateral bonds, and 8 states reported holding self-bonds (see table 1). In addition, OSMRE officials identified 6 states\u2014Indiana, Kentucky, Maryland, Ohio, Virginia, and West Virginia\u2014that have also established alternative bonding systems, such as bond pools. In a state with a bond pool, the operator may generally post a financial assurance for less than the full estimated cost of reclamation; in addition, the operator must pay into a bond pool. The pooled funds can be used to supplement forfeited financial assurances to reclaim sites that operators participating in the bond pool do not reclaim."], "subsections": []}, {"section_title": "About Half of the States Reported at Least One Forfeited Financial Assurance", "paragraphs": ["States and OSMRE reported that operators forfeited more than 450 financial assurances for reclaiming coal mines between July 2007 and June 2016, with 13 of the 25 states reporting at least one forfeiture. States and OSMRE reported that the amount of financial assurance forfeited was sufficient to cover the cost of required reclamation in about 52 percent of the cases and did not cover the cost of required reclamation in about 22 percent of the cases. In the remainder of the cases (26 percent), the state or OSMRE reported that it had not yet determined if the financial assurance amount covered the reclamation costs that it was intended to cover. State and OSMRE officials said that it can take many years to fully reclaim a site and that it may take time for them to identify the extent of reclamation needed and to determine if the amount of financial assurance forfeited was sufficient to cover reclamation costs.", "State and OSMRE officials said there were several reasons why the amount of financial assurance obtained might not be sufficient to cover reclamation costs. For example, officials said the amount of financial assurance might not be sufficient if an operator mined in a manner inconsistent with the approved mining plan upon which the amount of financial assurance was calculated or if mining activity resulted in water pollution that was not considered when the amount of financial assurance was calculated. In cases where the amount of financial assurance does not cover the cost of reclamation, the operator remains responsible for reclaiming the mine site. However, OSMRE officials said that in those cases where the operator may be experiencing financial difficulties, it might be difficult for the states or OSMRE to compel the operator to complete the reclamation or provide additional funds to do so without having the operator go out of business or into bankruptcy. If the operator does not reclaim the site, the regulatory authority must use the forfeited financial assurance to do so. If the forfeited funds are not adequate, the site may not be fully reclaimed unless the regulatory authority either successfully sues the operator for more funds or provides any additional funds needed for reclamation. One other source of funds states can use to reclaim forfeited mines is civil penalties that the United States government collects from operators that violate conditions of their mining permits. OSMRE obligated approximately $2.8 million in civil penalties from fiscal years 2012 through 2017 for states to use to perform reclamation in cases where the financial assurance was not sufficient, according to agency officials."], "subsections": []}, {"section_title": "OSMRE Has Taken a Variety of Steps Related to Oversight of Financial Assurances", "paragraphs": ["OSMRE has taken steps\u2014including periodically reviewing financial assurance amounts, inspecting mine sites, and reviewing state programs that implement SMCRA\u2014to oversee financial assurances and aspects of the mining and reclamation process that can affect whether the amount of financial assurances obtained will cover the cost of required reclamation."], "subsections": [{"section_title": "OSMRE and State Regulators Periodically Review Financial Assurance Amounts", "paragraphs": ["SMCRA requires OSMRE or the primacy state regulatory authority to calculate the amount of financial assurance required for each mine and to adjust the amount when the area requiring bond coverage increases or decreases or when the cost of future reclamation changes. OSMRE officials and state regulatory authority officials from four of the six states we interviewed said they generally review the amount of financial assurance at least every 2 1/2 years or when the mining plan has been modified in a way that may affect the amount of financial assurance required. Such periodic reviews are in part to help ensure that OSMRE and state regulatory authorities continue to hold an amount sufficient to complete required reclamation as conditions change. These reviews can lead to OSMRE or the state regulatory authority changing the amount of financial assurance required for a mine. For example:", "A state regulatory authority official in Utah said that the regulatory authority reviewed an existing mine permit in 2014, which led to it recalculating the estimated cost of reclamation on the basis of current costs. The state regulatory authority requested that the operator provide a financial assurance to cover the difference (approximately $195,000), in addition to the $445,000 financial assurance already in place. However, the official said that the operator\u2014which had stopped mining the site in 2012 and filed for bankruptcy in 2013\u2014did not provide the additional financial assurance amount. As a result, in 2017 the state regulatory authority collected the financial assurance that was in place (i.e., the operator forfeited its assurance). The official said in December 2017 that the state regulatory authority is determining the steps it will take to reclaim the site and expects that the forfeited amount will be sufficient to cover reclamation costs.", "OSMRE officials said that the agency reviewed a permit for a mine on Navajo tribal lands and determined that it needed to ask the operator to provide an additional financial assurance in the amount of $5.7 million. The increase was due to inflation and to include certain costs, such as the cost of mobilizing equipment needed for reclamation, that had inadvertently been excluded from the earlier calculation of the financial assurance required. The officials said that the operator provided the additional financial assurance amount.", "State regulatory authority officials in Wyoming said they review financial assurance amounts annually, and in 2017 they reduced the financial assurance for one mine by almost $35 million because of a substantial decline in fuel costs and the mine\u2019s ability to share the cost of needed reclamation equipment with a neighboring mine."], "subsections": []}, {"section_title": "OSMRE Inspects Mine Sites", "paragraphs": ["SMCRA requires OSMRE to make an average of at least one complete inspection per calendar quarter and one partial inspection per month for each active permit for which it is the regulatory authority to ensure that mines are in compliance with SMCRA and federal regulations. Complete inspections cover all inspection elements in OSMRE\u2019s directive, while partial inspections may instead focus on issues that most frequently result in violations or a specific topic identified for oversight, according to OSMRE officials. In addition, OSMRE\u2019s directive instructs the agency to inspect a sample of mines annually in states that have primacy to monitor and evaluate approved state programs\u2019 compliance with SMCRA. The total number of inspections OSMRE is directed to conduct in primacy states is based on the number of inspectable units in each state. Complete inspections are to be done on 33 percent of those sites selected for inspection. Overall, OSMRE completed more inspections in primacy states than directed each year for evaluation years 2013 through 2016, according to agency data. For example, in evaluation year 2016, OSMRE\u2019s directive called for it to conduct 1,225 inspections and OSMRE completed 1,388.", "As part of a complete inspection, OSMRE confirms that the operator is following the mining and reclamation plans to assure that the amount of financial assurance in place is adequate, according to OSMRE officials. If a violation is identified during an inspection, SMCRA requires OSMRE to issue a ten-day notice to the state regulatory authority or an immediate cessation order to the operator. If the violation increases the estimated cost of reclamation (e.g., if the operator disturbed more land than it was approved for) or an adequate financial assurance had not been collected, OSMRE or the state regulatory authority can request that the operator provide an additional financial assurance. For example:", "OSMRE issued a ten-day notice to the Pennsylvania regulatory authority in 2015 because a water treatment system for a mine in that state did not have a financial assurance. According to OSMRE officials, the state regulatory authority took appropriate action to resolve the situation by issuing an order for the operator to post a financial assurance within 7 days.", "During an inspection of a mine in Tennessee, a nonprimacy state, OSMRE determined that the operator had not correctly reclaimed a portion of the mine because the slope of the regraded area was too steep, according to an OSMRE official. For the reclamation work that would be needed to regrade that area, OSMRE determined that the operator needed to provide an additional financial assurance of $272,000."], "subsections": []}, {"section_title": "OSMRE Reviews State Coal Programs", "paragraphs": ["Under SMCRA, OSMRE is required to evaluate each primacy state\u2019s coal program annually to ensure that it complies with SMCRA. SMCRA includes a requirement that the regulatory authority secure necessary financial assurances to assure the reclamation of each permitted mine site. While OSMRE\u2019s directive on oversight of state and tribal regulatory programs does not instruct the agency to review state regulatory authority calculations of financial assurance amounts, it instructs OSMRE to focus on the state programs\u2019 success in achieving the overall purposes of SMCRA. For example, OSMRE, in conducting its oversight, is to evaluate the states\u2019 effectiveness in successfully reclaiming lands affected by mining and in avoiding negative effects outside of areas authorized for mining activities. If OSMRE\u2019s review of a state program identifies an issue that could result in the state not effectively implementing, administering, enforcing, or maintaining all or any portion of its approved coal program, OSMRE can work with the state regulatory authority to develop an action plan to correct the issue. If a state regulatory authority does not take the necessary corrective action, OSMRE may begin the process of withdrawing approval for a part or all of the state\u2019s primacy.", "In addition to annually evaluating state programs, OSMRE can conduct national or regional reviews on specific topics. For example, OSMRE conducted a national review in 2010 that examined how state regulatory authorities calculated the required amount of financial assurances for coal mine reclamation. The review examined financial assurance practices in 23 states and reported that on the basis of the sample of mining permits reviewed, OSMRE was unable to determine if the amount of financial assurances was adequate for at least one of the permits it reviewed in 10 of the 23 states. Among the potential issues OSMRE identified were errors in the methods state regulatory authorities used to calculate financial assurance amounts and insufficient information in the reclamation plan upon which to calculate reclamation costs.", "OSMRE has worked with the 10 state regulatory authorities to address the financial assurance issues identified in the 2010 review. For example, OSMRE\u2019s review found that the regulatory authority in Pennsylvania did not secure sufficient financial assurances to complete reclamation plans, in part because amounts were not calculated based on the actual sizes of the areas excavated for mining. In August 2014, OSMRE and Pennsylvania\u2019s regulatory authority agreed to an action plan to ensure that the financial assurances for all active and new permits would be calculated using the actual sizes of the excavated areas. According to an OSMRE official, as of February 2017, the state regulatory authority had recalculated the financial assurance amount for all mines and had secured the additional financial assurances needed from operators of all but two of the mines. State officials said in October 2017 that they were continuing to work to obtain the assurances required for the two mines.", "OSMRE\u2019s 2010 review also found that financial assurances in Kentucky were not always sufficient to cover required reclamation costs, in part because the method Kentucky\u2019s regulatory authority used to calculate financial assurance amounts did not factor in all costs, such as the cost of moving equipment to and from the reclamation site. In February 2011, OSMRE and Kentucky\u2019s regulatory authority signed an action plan identifying steps needed to address the issues OSMRE had identified. However, in May 2012, OSMRE determined that the state regulatory authority\u2019s proposed changes to its method for calculating financial assurance amounts was an improvement but would not result in the authority obtaining sufficient funds to cover required reclamation. As a result, OSMRE initiated the process of revoking Kentucky\u2019s primacy for this aspect of its program. In response, Kentucky implemented regulations to increase the minimum financial assurance required. The regulations also required the state regulatory authority to evaluate financial assurance amounts every 2 years to determine whether they need to be increased, among other things. The state regulatory authority sent a set of program amendments to OSMRE designed to address the identified deficiencies, some of which OSMRE is currently reviewing."], "subsections": []}]}, {"section_title": "OSMRE and State Regulatory Authorities Face a Number of Challenges in Managing Financial Assurances", "paragraphs": ["OSMRE and state regulatory authorities face a number of challenges in managing financial assurances for coal mine reclamation\u2014including those related to self-bonding, unanticipated reclamation costs, and the financial stability of surety companies\u2014according to federal and selected state regulatory authority officials, representatives from organizations associated with the mining and financial assurance industries, and representatives from environmental nongovernmental organizations whom we interviewed."], "subsections": [{"section_title": "Regulatory Authorities Face Several Challenges Associated with Self- Bonding", "paragraphs": ["Challenges facing OSMRE and state regulatory authorities related to self- bonding include the following:", "Not knowing the complete financial health of an operator. The information federal regulations require operators to provide to regulatory authorities may provide an incomplete picture of the financial health of an operator, according to some parties we interviewed. For example, the financial information that operators provide reflects their past financial health, which may not reflect the operators\u2019 current financial position, according to OSMRE\u2019s response to the 2016 petition seeking revisions to its self-bonding regulations. In addition, if an operator applying for a self-bond is a subsidiary of another company, the operator is not required by regulation to submit information on the financial health of its parent company. While the operator applying may have sufficient financial assets to qualify for self-bonding, if its parent company experiences financial difficulties, the operator\u2019s assets may be drawn on to meet the parent\u2019s obligations, which could worsen the financial health of the self-bonded operator. In addition, according to OSMRE officials, even if OSMRE or a state regulatory authority were to become aware that an operator\u2019s parent company was at financial risk, it would be difficult for the agency to deny the operator\u2019s request for a self-bond because eligibility is specific to the entity applying for the self-bond, according to regulations.", "OSMRE could change its self-bonding regulations to require more information, according to OSMRE officials. However, the financial relationships between parent and subsidiary companies have become increasingly complex, making it difficult to ascertain an operator\u2019s financial health on the basis of information reported in company financial and accounting documents, according to officials. When OSMRE first approved its self-bonding regulations in 1983, it noted that it was attempting to provide rules that would allow self-bonding without necessitating regulatory authorities to employ financial experts to determine which companies should be allowed to self-bond. However, according to OSMRE officials, financial expertise is now often needed to evaluate the current complex financial structures of large coal companies, which was not envisioned when the regulations were developed.", "Difficulty in determining whether an operator qualifies for self- bonding. The regulatory authority in a given state may not be aware that an operator had self-bonded in other states, making it difficult for the agency to determine whether the operator qualifies for self- bonding, according to some parties we interviewed. Operators are only allowed to self-bond for up to 25 percent of their net worth in the United States, according to regulations. Regulatory authority decisions on accepting self-bonds generally focus on assessing activities occurring in a specific state, not nationwide, according to the Interstate Mining Compact Commission. As a result, the state regulatory authority or OSMRE may know whether an operator has applied for self-bonds in other states that if approved would exceed 25 percent of its net worth in total.", "Difficulty in replacing existing self-bonds with other assurances if needed. OSMRE and state regulatory authorities may find it difficult to get operators to replace existing self-bonds with another type of financial assurance when needed, according to some parties we interviewed. If an operator no longer qualifies for self-bonding (e.g., if it has declared bankruptcy), federal regulations require it to either replace self-bonds with other types of financial assurances or stop mining and reclaim the site. In either case, however, some parties noted that such actions could lead to a worsening of the operator\u2019s financial condition, which could make it less likely that the operator will successfully reclaim the site.", "Some parties we interviewed have noted that regulatory authorities may be reluctant to direct the operator to replace a self-bond with another type of financial assurance and may instead allow the operator to keep mining so that any generated revenue could help the operator reclaim the site. For example, in 2015 the Wyoming regulatory authority determined that an operator no longer qualified for self-bonding and ordered it to replace a $411 million self-bond. However, the operator entered into bankruptcy without having replaced the self-bond. In this case, the state regulatory authority determined that reclamation was more likely to occur if the operator continued mining and allowed the operator to do so without a valid financial assurance. The operator replaced its self-bond as a part of its bankruptcy settlement approximately 17 months after the state regulatory authority\u2019s order to replace the self-bond, according to OSMRE officials. However, if a self-bonded operator were to enter bankruptcy and did not secure a financial assurance to replace the self-bond or complete the required reclamation, the state regulatory authority would have to work through the bankruptcy proceedings to obtain funds for reclamation, according to OSMRE\u2019s preamble to its 1983 self-bonding regulations. As a result, the state may recover only some, or possibly none, of the funds promised through the self- bond, and the cost of reclamation could fall on taxpayers.", "Difficulty in managing the risk associated with self-bonding. The risk associated with self-bonding is greater now than when the practice was first authorized under SMCRA, according to some parties we interviewed. According to SMCRA, the purpose of financial assurances is to ensure that regulatory authorities have sufficient funds to complete required reclamation if the operator does not do so. While SMCRA allows self-bonding in certain circumstances, when OSMRE first approved its self-bonding regulations, the agency did so noting that at the time there were companies financially sound enough that the probability of bankruptcy was small. Furthermore, the regulations stated that the intent was to avoid, to the extent reasonably possible, the acceptance of a self-bond from a company that would enter bankruptcy. However, as previously mentioned, three of the largest coal companies in the United States declared bankruptcy in 2015 and 2016, and these companies held approximately $2 billion in self-bonds at the time, according to an OSMRE August 2016 policy advisory, making it a very different risk landscape than originally envisioned.", "Following these bankruptcies\u2014and recognizing that the coal industry was likely to continue to face economic challenges for several more years\u2014 OSMRE initiated steps in 2016 to reexamine the role of self-bonding for coal mine reclamation. Specifically, as previously mentioned, OSMRE issued a policy advisory in August 2016 noting that given these circumstances, state regulatory authorities should exercise their discretion under SMCRA and not accept new or additional self-bonds for any permit until coal production and consumption market conditions reach equilibrium. OSMRE has reported that it is not likely for that to occur until at least 2021. OSMRE also announced in September 2016 that the agency planned to examine changes to its bonding regulations that would, among other things, help ensure that reclamation is completed if a self-bonded operator does not do so. However, following a review of department actions that could affect domestic energy production, Interior announced in October 2017 that it was reconsidering the need for and scope of potential changes to its bonding regulations. OSMRE officials said that they did not have a timeline for finalizing a decision on potential changes in its bonding regulations. In addition, OSMRE rescinded its August 2016 policy advisory that states take steps to assess whether operators currently using self-bonds can still quality to do so and that states not accept any new self-bonds.", "Similar issues involving bankruptcies of hardrock mining operators led the Bureau of Land Management to implement regulations in 2001 eliminating the use of self-bonding for hardrock mining. In doing so, the Bureau of Land Management determined that a self-bond is less secure than other types of financial assurances, especially in cases where commodity prices fluctuate. The agency also noted that operators that would otherwise be eligible to self-bond should not have a significant problem obtaining another type of financial assurance. In our previous work examining other types of environmental cleanup, we found that the financial risk to the government and the amount of oversight needed for self-bonds are relatively high compared to other forms of financial assurances. Furthermore, we also previously reviewed federal financial assurance requirements for coal mining, hardrock mining, onshore oil and gas extraction, and wind and solar energy production and found that of these activities coal mining is the only one where self-bonding was allowed. Because SMCRA explicitly allows states to decide whether to accept self-bonds, eliminating the risk that self-bonding poses to the federal government and states would require that SMCRA be amended."], "subsections": []}, {"section_title": "Obtaining Additional Financial Assurances for Unanticipated Reclamation Can Be Difficult", "paragraphs": ["Unanticipated reclamation costs, such as those related to long-term treatment for water pollution, may arise late in a mine\u2019s projected lifespan, and the operator may not have the financial means to cover the additional costs, according to OSMRE officials. Under SMCRA, OSMRE and state regulatory authorities are not to approve a permit for a coal mine if the regulatory authority expects the mine to result in long-term water pollution. As a result, since long-term water pollution is not anticipated to occur, the cost of addressing it would not be included in the initial financial assurance that the operator provides. If the regulatory authority later determines that long-term water treatment is needed, the regulatory authority must adjust the amount of financial assurance that the operator is required to provide.", "Some parties we interviewed have also noted that the costs and duration of long-term water treatment are not well defined and that surety bonds are not well-suited to provide assurance for such indefinite long-term costs. For example, according to the Interstate Mining Compact Commission, surety bonds are designed for shorter-term, defined obligations that have a high certainty for bond release following the completion of reclamation. To help address this challenge, some states have established, or allowed operators to establish, trust funds to help cover such unanticipated reclamation costs. For example, West Virginia established a fund, primarily supported through a tax on the amount of coal mined, to operate water treatment systems on forfeited sites. West Virginia\u2019s regulatory authority is also working to evaluate permits for sites with water pollution to estimate water treatment costs within the state more precisely. Similarly, Pennsylvania allows operators to establish trust funds that are maintained by foundations and monitored by the state regulatory authority and are intended to ensure that there are sufficient funds to cover the costs of long-term water treatment, according to state regulatory authority officials. In addition, the OSMRE-run coal program in Tennessee allows trust funds for water treatment, in part because an assurance system that provides an income stream may be better suited to ensuring the treatment of long-term water pollution than conventional financial assurances, according to an OSMRE notice in the Federal Register."], "subsections": []}, {"section_title": "Determining the Financial Stability of Surety Companies Has Been Challenging in Certain Instances", "paragraphs": ["The utility of surety bonds in providing a financial assurance depends on the surety company\u2019s ability to pay the amount pledged if the operator forfeits. OSMRE regulations require that a surety company be licensed to do business in the state where a mine is located. Some parties we interviewed noted that surety companies have declared bankruptcy or experienced financial difficulties in the past and could experience similar difficulties in the future. In addition, two states reported recent issues related to surety companies. For example, state regulatory authority officials in Alabama said that a surety company that had provided surety bonds totaling $760,000 for four mines in that state had gone bankrupt or was insolvent. As of May 2017, the state had collected only $127,000. Similarly, state regulatory authority officials in Alaska said that as of August 2017, the state had not collected any part of a forfeited $150,000 surety bond because the surety company had gone bankrupt. In our previous work examining other types of environmental cleanup, we have found that the financial risk to the government and the amount of oversight needed for surety bonds are relatively low to moderate compared to other forms of financial assurances."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Billions have been spent to reclaim mines abandoned prior to the financial assurance requirements SMCRA put in place, and billions more remain. Under SMCRA, self-bonding is allowed for coal mine operators with a history of financial solvency and continuous operation\u2014the only type of energy production or mineral extraction activity we have reviewed for which this is allowed. Bankruptcies of coal mine operators in 2015 and 2016 have highlighted risks that OSMRE and state regulatory authorities face in managing self-bonding\u2014a risk that may be greater today than when self-bonding was first authorized under SMCRA. If a self-bonded operator were to enter bankruptcy and does not provide a different type of financial assurance or complete the required reclamation, the regulatory authority and the taxpayer potentially assume the risk of paying for the reclamation. Although OSMRE said it would examine changes to its self- bonding regulations following recent bankruptcies, Interior recently said that it is reconsidering the need to do so. Because SMCRA explicitly allows states to decide whether to accept self-bonds, eliminating the risk that self-bonding poses would require amending SMCRA. Until such a change is made, the government will remain potentially at financial risk for future reclamation costs resulting from coal mines with unsecured financial assurances."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider amending SMCRA to eliminate the use of self- bonding as a type of financial assurance for coal mine reclamation. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of the Interior for review and comment. Interior did not provide written comments on our findings and matter for congressional consideration. OSMRE provided technical comments in an e-mail, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, the Acting Director of OSMRE, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions, please contact Anne-Marie Fennell at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Characteristics of States GAO Selected for Review to Obtain Additional Information regarding OSMRE Oversight", "paragraphs": ["We selected a nonprobability sample of states to examine the Office of Surface Mining Reclamation and Enforcement\u2019s (OSMRE) oversight activities in more detail. We generally selected states that produced the most coal in 2015 but also selected states in order to achieve some variation in factors such as geographic location, the dominant type of coal mining conducted (e.g., surface or underground mining), whether the state had primacy, and whether the state allowed self-bonding (see table 2)."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Elizabeth Erdmann (Assistant Director), Antoinette Capaccio, Jonathan Dent, Cynthia Grant, Marya Link, Anne Rhodes-Kline, Sheryl Stein, Guiovany Venegas, and Jack Wang made key contributions to this report."], "subsections": []}]}], "fastfact": ["After mining, a coal company is required to restore the land it disturbed, e.g., by regrading or replanting. The federal government requires coal companies to get bonds to assure their payment for these activities.", "Federal law permits coal mine operators in some cases to guarantee these costs on the basis of their own finances, a practice known as self-bonding, rather than by securing a bond through another company or providing collateral.", "Some stakeholders told us that self-bonds are riskier now than before, citing industry bankruptcies and lower coal demand.", "We recommended that Congress consider amending the law to eliminate self-bonding."]} {"id": "GAO-19-178", "url": "https://www.gao.gov/products/GAO-19-178", "title": "Presidential Travel: Secret Service and DOD Need to Ensure That Expenditure Reports Are Prepared and Submitted to Congress", "published_date": "2019-01-17T00:00:00", "released_date": "2019-02-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Secret Service is responsible for protecting the President and his family, including adult children when they travel. The Secret Service can request assistance in its mission from other agencies, such as DOD and the Coast Guard. When the President travels, he must fly on DOD aircraft.", "GAO was asked to review the travel- related costs for four trips that the President took to Mar-a-Lago and three trips that the President's adult children made to certain overseas destinations. This report examines (1) the costs incurred by federal agencies associated with the President's travel on selected trips to Mar-a-Lago, (2) the costs incurred by federal agencies associated with certain overseas trips taken by Donald Trump, Jr. and Eric Trump, and (3) the extent to which the Coast Guard, the Secret Service, and DOD have reported their costs pursuant to the Presidential Protection Assistance Act of 1976. GAO analyzed agency cost data in connection with the President's travel to Mar-a-Lago and the President's adult children's trips to certain overseas locations. GAO also reviewed the law, agency guidance, and semiannual reports related to the Presidential Protection Assistance Act of 1976."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO estimated that federal agencies incurred costs of about $13.6 million for the President's four trips to Mar-a-Lago from February 3 through March 5, 2017. This estimate consisted of approximately $10.6 million for operating costs of government aircraft and boats and $3 million for temporary duty costs of government personnel supporting the President's travel, including transportation, lodging, and meals and incidental expenses. These figures do not include certain classified cost information or the salaries and benefits of government personnel traveling with the President because, salaries and benefits would be paid regardless of whether the President was traveling.", "The United States Secret Service (Secret Service) incurred about $396,000, primarily for temporary duty costs, while protecting Donald Trump, Jr. and Eric Trump during three international trips taken in January and February 2017. Eric Trump traveled to Uruguay and the Dominican Republic and Donald Trump, Jr., Eric Trump, and their spouses traveled to the United Arab Emirates. Documentation provided by Secret Service officials confirmed that the Trumps and their spouses flew on commercial aircraft. Officials from the 89th Airlift Wing confirmed that no military aircraft supported these trips. Secret Service agents protecting the Trump family flew by commercial aircraft.", "GAO found that, of the three agencies required to report by the Presidential Protection Assistance Act of 1976, as amended, only the United States Coast Guard (Coast Guard) reported protection costs semiannually to Congress for fiscal years 2015 through 2017. GAO found that the Secret Service does not have a policy for ensuring that the semiannual reports are prepared and has not consistently submitted the reports. Secret Service officials last submitted reports in fiscal year 2015 and were unaware that reports had not been submitted in fiscal years 2016 and 2017 until GAO requested this information. GAO also found that the Department of Defense (DOD) has a policy but did not produce and submit the reports as required. Moreover, weaknesses in DOD's existing policy and instruction do not clearly establish the responsibility for preparing and reporting the costs incurred to support protection activities. Absent clear policies with an oversight mechanism to ensure that the reports are produced, Congress has not been provided required information concerning the costs for providing protective services for the President and others."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making recommendations to the Secret Service and DOD to ensure that the reports required under the Presidential Protection Assistance Act of 1976, as amended, are prepared and submitted. The Department of Homeland Security and DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The President of the United States must be ready to travel anywhere in the world on a moment\u2019s notice. The President flies on military aircraft provided by the Department of Defense (DOD) on all trips, regardless of the type of travel: official, political, or other non-official purposes. Department of Justice memoranda have advised that when presidential travel is for official purposes it is to be paid for with government funds, and when it is for political purposes, appropriated funds cannot be used. These memoranda also note that even though presidential travel may not be official, there are certain individuals who are required, in the performance of their official duties, to accompany the President when he travels; therefore their costs are to be paid from appropriated funds.", "The United States Secret Service (Secret Service) is responsible for protecting the President and his family, including the adult children of the President, unless they decline such protection. At the request of the Secret Service, assistance must be provided by other agencies, such as DOD and the United States Coast Guard (Coast Guard). Under the Presidential Protection Assistance Act of 1976, as amended, the Secret Service does not reimburse DOD or the Coast Guard for assistance provided on a temporary basis when the duties are directly related to the protection of the President, the Vice President, or other officer immediately next in order of succession to the office of the President. Otherwise, all assistance that executive departments and agencies provide to the Secret Service in the performance of its duties must be reimbursed by the Secret Service.", "We previously reported on certain costs of presidential travel during the administrations of former Presidents Barack Obama and Bill Clinton. In 2016, we reported on travel costs for former President Obama for a 2013 trip to Chicago, Illinois, and West Palm Beach, Florida. In 2000, we reported on total aircraft support costs for international trips taken by the President, Vice President, and First Lady from January 1997 through March 2000. Finally, we reported in 1999 on travel costs for former President Clinton for international trips to Africa, Chile, and China.", "You requested that we examine costs associated with the President\u2019s four trips to the Mar-a-Lago property in Palm Beach, Florida between February 3, 2017 and March 5, 2017, and three international trips taken by Donald Trump, Jr. and Eric Trump in January and February 2017. This report examines 1. the costs incurred by federal agencies associated with the President\u2019s travel on selected trips to Mar-a-Lago from February to March 2017; 2. the costs incurred by federal agencies associated with Donald Trump, Jr.\u2019s and Eric Trump\u2019s trips to Uruguay, the Dominican Republic, and the United Arab Emirates in January and February 2017; and 3. the extent to which the Coast Guard, Secret Service, and DOD have reported their costs for protection from fiscal year 2015 to 2017, pursuant to the Presidential Protection Assistance Act of 1976, as amended.", "To address our first objective, we collected and reviewed data on agency assets and personnel used in support of presidential travel that was completed between February 3, 2017 and March 5, 2017. Specifically, we collected and analyzed operational cost data, including operating hours and estimated operating costs, from the Air Force\u2019s 89th Airlift Wing, the 618th Air Operations Center, and Marine Corps Helicopter Squadron One that were related to supporting the presidential airlift requirement, including any supporting vehicles or equipment. We also obtained and analyzed travel cost data, including per diem and other travel expenses, for any Secret Service personnel and military personnel who supported the President\u2019s trips. Additionally, we collected and reviewed cost data from agencies directly supporting the Secret Service during the presidential travel completed between February 3, 2017 and March 5, 2017, such as the Coast Guard, Military Working Dog teams, and the Explosive Ordnance Disposal team. We collected and reviewed available travel data, to the extent it was provided to us, to account for the travel costs of government officials on official travel at Mar-a-Lago during the time frame of our audit. Although we collected the major, unclassified travel-related costs that agencies incurred (hereafter referred to as costs), we did not collect travel costs for officials from the Executive Office of the President. Therefore, our totals represent an approximate amount spent for the four trips. We contacted White House Counsel\u2019s Office in April 2017 and January 2018 to solicit information from the Executive Office of the President related to coordinating travel for the President and any costs associated with White House staff traveling with the President. As of January 2019, the White House had not responded to our requests for information. We also did not include certain classified cost information or information about federal funds provided to local law enforcement by the Federal Emergency Management Agency.", "As we examined the costs incurred for the President\u2019s travel, we did not include the salaries and benefits, including overtime, of U.S. government civilian and military personnel traveling with the President or involved with agency travel preparations, since these personnel would have received their salaries and benefits for the conduct of their regular duties and responsibilities regardless of whether the President traveled. We reviewed laws, regulations, and policies to identify the rules and processes governing agencies that support presidential travel and agency costs on employee per diem and operational spaces for employees who accompany the President when he is traveling domestically. We also interviewed officials from DOD, the Department of Homeland Security (DHS), and the Department of Justice.", "To address our second objective, we collected and analyzed cost data from the Secret Service and the Department of State in connection with trips taken by Donald Trump, Jr. and Eric Trump to the Dominican Republic, the United Arab Emirates, and Uruguay. Additionally, we interviewed officials from the Secret Service and the Department of State and reviewed relevant policies and guidance regarding reimbursement for agencies that provide support to the Secret Service. We also obtained documents and interviewed DOD officials concerning whether any DOD aircraft had been used to support these overseas trips.", "To address our third objective, we reviewed applicable laws, regulations, and internal Coast Guard, Secret Service, and DOD policies related to the preparation and submission of reports required by the Presidential Protection Assistance Act. We also obtained and reviewed available reports from the Coast Guard, Secret Service, and DOD from 2015 through 2017. We selected these three years because they included travel conducted in 2017 and they were the most recent years that would have been available at the time of our review. We interviewed officials from the Coast Guard, Secret Service, and DOD regarding the contents and submission of these reports.", "As part of this work, we assessed the reliability of DHS and DOD data by interviewing officials to determine what mechanisms were in place to ensure data quality, and we reviewed the data for obvious errors and anomalies. We further conducted manual testing procedures such as reviewing underlying documents for missing data, recreating calculations to ensure that totals were correct, and matching selected cost data to supporting documentation such as credit card statements and travel vouchers. Based on these steps we determined the data to be sufficiently reliable for our purposes.", "We conducted this performance audit from April 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Agency Support of Presidential Travel", "paragraphs": ["Guidance governing executive agencies\u2019 use of government aircraft generally does not apply to aircraft in use by or in support of the President. Memorandum opinions to the White House from the Department of Justice\u2019s Office of Legal Counsel have provided guidance for categorizing expenses associated with official, political, and personal travel by the President or Vice President. These memoranda provide that certain individuals\u2014such as Secret Service and military aides and support personnel\u2014are required in the performance of their official duties to accompany the President whenever he travels. Further, the official nature of the responsibilities performed by these persons does not change depending upon whether the trip is official, political, or personal and their expenses should generally be paid from public funds.", "DOD organizations such as the Air Force 89th Air Wing, Presidential Airlift Group, and Marine Helicopter Squadron One provide passenger airlift for presidential travel (fig. 1). The Air Force Air Mobility Command also provides aircraft to move equipment, such as limousines, to support the President\u2019s travel. The Military Working Dog Program and Explosive Ordnance Disposal Program support protection of the President while he is on travel by providing explosive detection capabilities.", "The Secret Service protects the President through a layered security plan that includes securing locations the President will be visiting, as well as physically screening individuals entering secure areas and conducting background checks on individuals scheduled to be within close proximity to the President, as deemed necessary. Secret Service personnel who support presidential travel include personnel from the Presidential Protection Division and from various headquarters divisions that support protective operations, field offices across the country that provide additional manpower, and the field office with jurisdiction over the location. Additionally, the field office with jurisdiction over the location provides logistical support, additional manpower, regional expertise, and coordinates with state and local law enforcement entities. Consistent with the Presidential Protection Assistance Act, the Secret Service requests support from other agencies\u2014including the Coast Guard and DOD\u2014as necessary when the President travels.", "The Coast Guard primarily secures the waterways in support of protecting the President, family members, and other designated protectees, as necessary. Specifically, when requested by the Secret Service, the Coast Guard will enforce security zones and provide air intercept capabilities for protectees. Local assets are used to the extent that they are available. However, the Coast Guard can request additional support from Coast Guard assets across the nation to meet the security demand."], "subsections": []}, {"section_title": "Costs Related to Presidential Travel", "paragraphs": ["Costs related to presidential travel fall into two primary categories:", "Operational costs include costs for assets used to transport or provide protection for the President or spaces used for operational purposes. These include costs for government aircraft and vehicles, such as Air Force One, Marine One, airlift, patrol boats, and hotel rooms used as command centers.", "Temporary duty costs are costs incurred for personnel who are traveling on official business. These costs include those for transportation, lodging, meals and incidental expenses and other travel-related expenses for personnel supporting the President\u2019s trips. They also include travel-related expenses for personnel who operate the government aircraft and vehicles used to support the President\u2019s trips and Secret Service agents who provide protection. They include the costs for additional personnel who provide bomb detection and disposal capability\u2014military working dog teams and explosive ordinance disposal teams\u2014and support personnel from the White House Military Office, the White House Communications Agency, and the White House Transportation Agency.", "Two regulations implement statutory requirements and executive branch policies for travel, allowing agencies to pay for or reimburse their employees\u2019 per diem expenses (lodging, meals, and incidentals expenses) and other travel-related expenses:", "The Federal Travel Regulation (FTR), issued by the General Services Administration (GSA), applies to Secret Service personnel.", "The Joint Travel Regulations (JTR), issued by the Department of Defense, apply to DOD personnel.", "Both regulations allow agencies to pay for employees\u2019 daily expenses when they travel, based on allowances set by GSA for the applicable location and date (per diem rates) or the actual expense of travel. Under the FTR, the maximum amount that a civilian employee may be reimbursed is 300 percent of the applicable per diem rate. The JTR allows uniformed service members to be reimbursed up to 300 percent when they travel in the continental United States, but they can be reimbursed more than 300 percent of the per diem rate for lodging when they travel outside the continental United States.", "Costs for each presidential trip may vary, because each trip is unique. Costs associated with each trip can be influenced by a number of factors, mainly the location, number of protectees, foreign visitors, time of year, the protectee\u2019s schedule of events, and the airlift requirements\u2014including the originating location of airlift flights. The combination of these factors can increase or decrease the cost to transport and protect the President. Specifically, an increase in the number of protectees, including foreign dignitaries, would require the Secret Service to deploy additional personnel to support its protective operations."], "subsections": []}, {"section_title": "Presidential Protection Assistance Act of 1976", "paragraphs": ["The Presidential Protection Assistance Act establishes procedures and reporting requirements for protective services provided by the Secret Service. The primary aim of the legislation was to strengthen control over costs for protective services, particularly at non-governmental properties, by centralizing in the Secret Service authority and accountability for such costs. The Act continues the authority of executive departments and agencies to assist the Secret Service in meeting its protective responsibilities but specifies that protective services may only be provided at the request of the Secret Service and must be on a reimbursable basis except when temporary support is provided by DOD and the Coast Guard and is directly related to protecting the President, Vice President, or an officer immediately next in the order of succession to the office of the President. The Act further requires that the Secret Service, DOD, and the Coast Guard submit semiannual reports in March and September to six congressional committees on expenditures pursuant to the Act."], "subsections": []}]}, {"section_title": "Costs for the President\u2019s Travel for Four Trips to Mar-a- Lago Totaled about $13.6 Million", "paragraphs": ["For the President\u2019s four trips to Mar-a-Lago from February 3, 2017 to March 5, 2017, we estimate that federal agencies incurred costs of about $13.6 million. As shown in table 1, these costs consisted of approximately $10.6 million for operating costs and $3.0 million for temporary duty costs. DOD and DHS incurred the majority of these costs\u2014about $8.5 million and $5.1 million, respectively. As previously mentioned, these figures do not include certain classified cost information. Moreover, they do not include the salaries and benefits of U.S. government civilian and military personnel traveling with the President or involved with agency travel preparations, because these personnel would have received their salaries and benefits for the conduct of their regular duties and responsibilities regardless of whether the President traveled.", "We identified about $60,000 in expenses paid to Mar-a-Lago for these four trips. DOD lodging expenses of about $24,000 were within GSA limits of 300 percent of the per diem rate. DHS expenses of about $36,000 were for space required by the Secret Service for operational purposes. The legal authorities that the Secret Service relied on to pay for these kinds of rooms do not limit how much the agency can pay; however, none of the rooms used to meet operational security standards exceeded the maximum allowed under the FTR\u2019s actual expense reimbursement method."], "subsections": [{"section_title": "Costs Incurred by DOD", "paragraphs": ["DOD incurred an estimated $8.5 million in costs to provide support for the President\u2019s four trips to Mar-a-Lago from February 3, 2017 to March 5, 2017, as shown in table 2 below. The majority of these costs were operational costs for DOD assets, specifically, for operating Air Force One and Marine Corps One to transport the President, as well as airlift support from the Air Mobility Command.", "Table 2 shows the estimated costs incurred by DOD for these trips. The cost per flying hour for military aircraft is a significant cost driver that affects the overall costs of any presidential travel. These costs are predominately borne by the Air Force and the Marine Corps, because they operate the aircraft used by the President. Generally, Air Force One costs represent the operating costs to fly the President from Joint Base Andrews, Maryland, to Palm Beach, Florida. Similarly, the Marine Corps One costs represent the operating costs to fly the President between the White House and Joint Base Andrews. For the airlift support requirements, the Air Mobility Command used aircraft departing from various U.S. Air Force bases. These aircraft arrived at Joint Base Andrews or Marine Corps Base Quantico to transport Secret Service personnel and vehicles and Marine Corps personnel and helicopters to support the trip before returning to their air base of origin (see fig. 2).", "DOD also incurred temporary duty costs for DOD personnel who supported these trips, including the travel associated with the aircrews and support personnel for Air Force One and Marine Corps One. Each of the military services also provided military working dog teams (see fig. 3) and explosive ordnance disposal teams to provide explosive detection and disposal capabilities and to perform patrol functions.", "Finally, personnel from the White House Military Office incurred travel expenses associated with the President\u2019s trips. For these four trips, the majority of DOD personnel stayed at nearby hotels with rooms at the GSA rate or within 300 percent of the GSA per diem rate, as required by the FTR and JTR. DOD paid $24,414.70 to Mar-a-Lago for lodging expenses for DOD personnel. We reviewed lodging receipts and confirmed that these payments were within 300 percent of the GSA per diem rate."], "subsections": []}, {"section_title": "Costs Incurred by DHS", "paragraphs": ["DHS incurred an estimated $5.1 million in costs to provide support for the President\u2019s four trips to Mar-a-Lago from February 3, 2017 to March 5, 2017. Of this figure, the Secret Service incurred about $1.6 million to provide support. This included per diem and other related travel expenses, such as commercial airfare or use of rental cars for officials traveling in advance of the President. We identified about $35,750 in expenses for operational space at Mar-a-Lago for these four trips. Table 3 shows the estimated costs incurred by the Secret Service and the Coast Guard for these trips.", "The majority of costs incurred by the Secret Service were temporary duty costs associated with travel to protect the President. The number of agents assigned to the protective detail for each trip varied based on the number of protectees present (including foreign dignitaries) and unrelated events at the same location.", "To execute the four trips, the Secret Service leveraged support from across the agency and field offices across the country to implement protective operations for the President\u2019s travel. Agents were assigned as part of the protective detail\u2014providing twenty-four hour protection for the President or other protectee; members of the advance team\u2014determining and implementing the security plan for the site; or on-site support throughout the duration of the visit.", "For example, agents from the Secret Service\u2019s Presidential Protective Division, Uniformed Division, and Technical Security Division, among others, traveled in advance of the President to assess the location and develop and implement a security plan. Further, agents from Secret Service field offices across the country provided additional manpower at Mar-a-Lago and supported the Presidential Protection Division within the Office of Protective Operations \u2014which holds primary responsibility for the daily protection of the President\u2014in ensuring that the location remained safe for the President and other protectees.", "The majority of agents who supported the four trips during our time frame did not stay at Mar-a-Lago. The Secret Service booked a limited number of rooms around the President to meet operational security requirements. According to officials, these rooms allowed the Secret Service to provide 360-degree protection around the President. For these four trips, most Secret Service agents stayed at nearby hotels at which rooms were at the GSA lodging rate or within 300 percent of the GSA per diem rate, consistent with the FTR."], "subsections": [{"section_title": "Coast Guard\u2019s Costs and Resources", "paragraphs": ["The Coast Guard incurred about $3.4 million in costs to provide support for the four trips to Mar-a-Lago. The majority of these costs were operational costs for Coast Guard assets, specifically, the use of small response boats, special purpose law enforcement boats, deployable rotary wing aircraft, and marine protection-class cutters to provide support in waterways near Mar-a-Lago (see fig. 4). For the Coast Guard, operating costs are determined by the type of boat or aircraft used and the hourly operating costs.", "According to Coast Guard officials, to the extent possible, they request support from assets that they determine are within close proximity to the travel location. For the four Mar-a-Lago trips, support was requested from the local Miami sector, Kings Bay (Georgia), New Orleans (Louisiana), Houston (Texas), Boston (Massachusetts), and New York (New York).", "The Coast Guard incurred other travel-related costs, such as for meals and incidental expenses and lodging for officials on temporary duty assignment to support the President\u2019s travel. Coast Guard officials noted that, if possible, personnel are to stay on the asset (for example a boat); however, if this is not possible, they are to stay in nearby lodging at or within 300 percent of the GSA per diem rate. Coast Guard officials confirmed that personnel supporting presidential travel for these four trips did not stay at Mar-a-Lago."], "subsections": []}, {"section_title": "Costs for the Secretary of Homeland Security\u2019s Travel", "paragraphs": ["The Department of Homeland Security incurred costs of about $6,000 in connection with the Secretary of Homeland Security and staff\u2019s travel to Mar-a-Lago on March 4, 2017. Costs included transportation to and from Mar-a-Lago and per diem expenses (meals and incidental expenses). According to DHS officials, agents supporting the protection of the Secretary of the Department of Homeland Security were multi-staffed and protected other protectees at the same time. Therefore, travel costs for personnel associated with the Secretary\u2019s protective detail are captured in the overall travel costs for this trip. No lodging costs were incurred at Mar- a-Lago in connection with the Secretary of Homeland Security\u2019s travel."], "subsections": []}]}, {"section_title": "Additional Costs by Other Agencies for Official Travel", "paragraphs": ["The Department of Justice and the Department of State incurred costs of about $29,000 for official travel to Mar-a-Lago during these four trips. The Department of Justice incurred costs of about $18,000 to transport the Attorney General, his Federal Bureau of Investigation (FBI) detail, and three Department of Justice personnel to Mar-a-Lago for one trip. The operational costs were for the FBI Gulfstream 550 used to transport the officials from the Washington, D.C. area to West Palm Beach, Florida and back. The Department of Justice provided documentation that no Department of Justice or FBI personnel had per diem expenses, since the trip was less than 12 hours. In addition, the Department of State incurred costs of about $10,000 to provide interpreter support and protocol officials associated with the President\u2019s trip to Mar-a-Lago in February 2017 when the Prime Minister of Japan was a guest."], "subsections": []}]}, {"section_title": "Costs for the President\u2019s Two Adult Children\u2019s Travel to Uruguay, the Dominican Republic, and the United Arab Emirates Totaled about $396,000", "paragraphs": ["The Secret Service incurred costs of approximately $396,000, primarily for Secret Service agents\u2019 temporary duty costs, while protecting Donald Trump, Jr., Eric Trump, and their spouses during three international trips taken during January and February 2017, as shown in table 4 below. Eric Trump traveled to Uruguay from January 3, 2017 to January 5, 2017 and the Dominican Republic from February 2, 2017 to February 3 2017. Donald Trump, Jr., Eric Trump, and their spouses traveled to the United Arab Emirates from February 14, 2017 to February 19, 2017. The Secret Service protects presidential family members domestically and internationally. Children of the President with a protective detail are required to receive protection twenty-four hours a day, and agents who are part of their detail travel with them wherever they go.", "For international travel, because there are no local Secret Service field offices in most countries, the Department of State supports the Secret Service by booking and paying for all hotel reservations required by Secret Service and State Department personnel and coordinating onsite needs. This includes, but is not limited to, acquiring rental cars, phones, and interpreters at the trip\u2019s destination. Transportation for individuals in foreign offices is booked in a variety of ways. For example, agents may book their own flights, flights may be booked by a contracted agency, or sometimes the local embassy may assist in booking transportation. Meals and incidental expenses are reimbursed to the traveler. The Secret Service and the Department of State have implemented a memorandum of understanding detailing their respective roles and responsibilities and, as required by law, the Secret Service is to reimburse the Department of State for all costs incurred in support of the Secret Service\u2019s protective operations.", "Documentation provided by the Secret Service confirmed that Donald Trump Jr., Eric Trump and their spouses flew on commercial aircraft. Officials from the 89th Airlift Wing confirmed that no military aircraft supported these trips. Secret Service agents protecting the Trump family flew by commercial aircraft. Additionally, reimbursement documentation provided by both the State Department and the Secret Service confirmed that no costs were incurred for chartered air travel.", "As with all protective missions, Secret Service officials noted that the number of agents assigned to the detail depended on the number of protectees and the threat environment, among other things. The trips to the Dominican Republic and Uruguay each included only one protectee, and the trip to the United Arab Emirates included four protectees."], "subsections": []}, {"section_title": "Secret Service and DOD Have Not Reported Costs as Required Under the Presidential Protection Assistance Act of 1976", "paragraphs": ["For fiscal years 2015 through 2017 we found that, of the three agencies required to report costs incurred for protecting the President and others under the Presidential Protection Assistance Act, only the Coast Guard reported semiannually on costs under the Act. The Secret Service did not do so consistently, and DOD did not report any protection costs during this time frame.", "Coast Guard: The Coast Guard submitted the semiannual reports required under the Act for fiscal years 2015 through 2017. To facilitate complying with the Presidential Protection Assistance Act, the Coast Guard developed and implemented a policy for preparing the semiannual reports to Congress. The policy contains business rules identifying what information is to be collected and by whom, who is responsible for compiling the information, and time frames for when the information is to be submitted internally. For example, the Coast Guard operationalized collection of this information by requiring a form to be used when collecting information related to protective details for the Vice President and the President. Its internal policy and additional guidance also require that information be submitted internally no more than 14 days after each event and validated no more than 30 days after each event. According to agency officials, these business rules and forms are published and provided to all Coast Guard field units, and quarterly reminders about completing the forms are disseminated via email.", "Secret Service: The Secret Service has not consistently submitted the semiannual reports to Congress and does not have a policy for ensuring that the semiannual reports are prepared. Specifically, we found that the Secret Service submitted semiannual reports to Congress in 2015 but had not submitted semiannual reports for fiscal years 2016 and 2017. The Secret Service notified us that it was compiling and submitting reports for fiscal year 2017 after we had brought the reporting requirement to officials\u2019 attention during the course of our review. Secret Service officials told us that they were unaware that the reports for 2016 and 2017 had not been submitted until we requested this information.", "According to Secret Service officials, the division that is responsible for preparing and submitting the reports to Congress experienced a transition in leadership during the period when there was the lapse in reporting. Specifically, management and the personnel responsible for preparing and submitting the reports to Congress were no longer with the agency in 2016 and therefore could not brief incoming management hired in 2017. According to officials, this contributed to a reporting lapse. Standards for Internal Control in the Federal Government states that management should implement control activities through policies, for example, by documenting responsibilities for each unit. Control activities are the policies, procedures, techniques, and mechanisms that enforce management\u2019s directives to achieve the entity\u2019s objectives. Further, management should also define objectives clearly to enable the identification of risks and define risk tolerances. This would include defining objectives in specific terms so they are understood at all levels and can be carried out without regard to personnel changes. This further involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for realizing the achievement. Establishing a policy defining requirements for producing the semiannual reports to Congress\u2014including what is to be reported, the entity responsible for preparing and submitting the reports, and reporting time frames\u2014and an oversight mechanism to ensure that the reports are prepared and submitted to Congress, may better position the Secret Service to consistently report required expenditure data to specified congressional committees as required.", "DOD: DOD has issued a policy related to collecting information on its support for the Secret Service\u2019s protective duties but has not produced and submitted the required reports to Congress in accordance with its policy. DOD officials were unaware that the reports had not been submitted until we requested them. According to DOD officials, the reports were not submitted as a result of an administrative oversight, and they could not determine when the reports had last been submitted.", "This situation is in part the result of weaknesses in DOD\u2019s existing policy and implementing instruction with regard to specific information that could help ensure the reports are consistently produced and provided to Congress. For example, the policy requires that any DOD organization incurring costs associated with support provided to the Secret Service collect and report the costs to the Assistant Secretary of Defense for Homeland Defense and Global Security, the Chairman of the Joint Chiefs of Staff, and the Chief Financial Officer. However, neither the policy nor underlying instruction sets forth time frames for internal or external reporting to ensure that the semiannual dates are met. Further, DOD has no mechanism for ensuring that the required information is submitted to Congress.", "As previously noted, internal control standards require that management should implement control activities through policies and define objectives clearly to enable the identification of risks and define risk tolerances. This involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for realizing the achievement. Moreover, the policies, procedures, techniques, and mechanisms that enforce management\u2019s directives to achieve the entity\u2019s objectives are to be defined.", "According to a DOD official, in March 2018 the department began efforts to gather the information necessary to prepare the required report. However, collecting the information has been challenging, largely due to the multiple data sources and inconsistent methods for capturing the data to date. Therefore, according to DOD officials, once the department completes its initial data collection effort, officials plan to assess the adequacy of the data and review DOD\u2019s existing guidance to identify revisions needed to ensure that future reports are submitted in accordance with Presidential Protection Assistance Act. However, the agency has not yet defined the steps necessary to fulfill near-term reporting requirements under the Act, or time frames for doing so. By addressing these issues, DOD could be better positioned to comply with the law.", "Further, while DOD officials anticipate updating the policy and instruction at a future date, steps and time frames for completing the update have not yet been defined, and it is unclear when or whether the updates will occur. Updating DOD\u2019s policy and instruction to specify the requirements and establish an oversight mechanism may better position DOD to report expenditure data to Congress, as required, on a semiannual basis and enhance visibility over the costs associated with providing protective services, in particular in relation to protection at nongovernmental properties."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The Secret Service, with help from the Coast Guard and DOD, plays a vital role in protecting the President during his travels. The Presidential Protection Assistance Act was intended to establish procedures to control the expenditure of federal funds for protection at nongovernmental properties; it requires that each of these entities report expenditures under the Act. The Secret Service, the Coast Guard, and DOD have all incurred costs related to protection for the President and others. However, information on such costs is limited, because only the Coast Guard has been reporting them. As a result, Congress lacks information about the amounts that DOD and the Secret Service have expended for providing protection\u2014including providing protection at nongovernmental properties. This limits congressional efforts to ensure accountability for these costs. The Secret Service does not have a policy in place that defines and enforces reporting requirements, and DOD\u2019s policy and underlying instruction lack important details such as time frames for reporting expenditures and a mechanism for ensuring that the required information is submitted to Congress. DOD has initiated steps to develop required reports but has not identified the specific steps it will take and the time frames within which these efforts will be completed."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making one recommendation to the Director of the Secret Service and two to the Secretary of Defense.", "The Director of the Secret Service should establish a policy defining requirements for producing the semiannual reports of expenditures required by the Presidential Protection Assistance Act of 1976, as amended, and an oversight mechanism to ensure that the Secret Service consistently submits these reports to specified congressional committees. (Recommendation 1)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Policy updates its policy and instruction on providing support to the Secret Service to define the requirements for producing semiannual reports of expenditures required by the Presidential Protection Assistance Act of 1976, as amended. These requirements should, at a minimum, include (1) the steps and time frames for completing updates to the policy and instruction, (2) time frames for reporting the expenditures, and (3) an oversight mechanism to ensure that the Department of Defense consistently submits these reports to specified congressional committees. (Recommendation 2)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Policy defines the steps, including time frames, necessary to achieve near term reporting requirements under the Presidential Protection Assistance Act of 1976, as amended, and submit the reports as required. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to the Executive Office of the President, and the Departments of Homeland Security, Defense, Justice, and State. DHS and DOD provided written comments, which are reproduced in appendixes I and II respectively. In their comments, DHS and DOD concurred with their respective recommendation(s).", "DHS concurred with our first recommendation, which called for the Secret Service to establish a policy defining requirements for producing the semiannual reports of expenditures required by the Presidential Protection Assistance Act of 1976, as amended, and an oversight mechanism to ensure the Secret Service consistently submits these reports to specified congressional committees. Specifically, the Secret Service has recently updated several guidance documents related to the Act. It further plans to publish a directive during fiscal year 2019 documenting the requirements for producing the semiannual reports and defining the oversight mechanism to ensure that the reports are consistently submitted.", "DOD concurred with our second recommendation, which called for DOD to update its policy and instruction on providing support to the Secret Service to define the requirements for producing semiannual reports of the expenditures required by the Presidential Protection Assistance Act of 1976, as amended.", "DOD concurred with our recommendation that DOD define the steps, including time frames, necessary to achieve near term reporting requirements under the Presidential Protection Assistance Act of 1976, as amended, and submit the reports as required.", "DHS and DOJ also provided technical comments, which we incorporated into the report as appropriate.", "The Department of State and the Executive Office of the President had no comments.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Executive Office of the President; the Secretary of Homeland Security; the Director of the Secret Service; the Commandant of the Coast Guard; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; the Commandant of the Marine Corps; the Under Secretary of Defense for Policy; the Secretary of State; and the Attorney General.", "Consistent with section 10 of the Presidential Protection Assistance Act of 1976, this report is also being sent the Committees on Appropriations and on the Judiciary, the House Committee on Oversight and Government Reform, and the Senate Committee on Homeland Security and Governmental Affairs.", "In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact Brian Lepore at (202) 512-4523 or leporeb@gao.gov or Diana Maurer at (202) 512-9627 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Gina R. Hoffman, Assistant Director; Joseph P. Cruz, Assistant Director; Tracy Barnes, Kerstin Hudon, Jennifer Kamara, Joanne Landesman, Carol Petersen, Michael Silver, Janet Temko-Blinder, and John Wren made key contributions to this report."], "subsections": []}]}], "fastfact": ["We were asked to examine the cost of 4 trips to the Mar-a-Lago resort by the President and 3 international trips by Donald Trump Jr. and Eric Trump between January and March 2017.", "We estimate that", "federal agencies spent about $13.6 million for the Mar-a-Lago trips. The Departments of Defense and Homeland Security incurred most of the costs\u2014about $8.5 million and $5.1 million, respectively. This excludes certain classified cost information.", "the Secret Service spent about $396,000 protecting the President's sons and their spouses on 3 international trips.", "We recommended that agencies comply with reporting requirements for protection costs."]} {"id": "GAO-18-319", "url": "https://www.gao.gov/products/GAO-18-319", "title": "Federal Real Property: Agencies Make Some Use of Telework in Space Planning but Need Additional Guidance", "published_date": "2018-03-22T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies are exploring ways to use telework as a tool to reduce the federal footprint and use space more efficiently. GAO was asked to examine the effects of telework on agencies' space-planning efforts. In this report, GAO reviewed: (1) how the 23 civilian CFO Act agencies reported using telework in office space planning; (2) the specific ways selected agencies and GSA used telework in their office space planning; and (3) any challenges the civilian CFO Act agencies faced in using telework in office space planning.", "GAO surveyed all 23 civilian CFO Act agencies, analyzed each agency's space-planning documents, and Real Property Efficiency Plans . GAO reviewed four agencies in greater detail based on analysis of telework data and other factors. For those four agencies GAO conducted site visits, interviewed officials, and analyzed agency documents. GAO also identified challenges agencies faced in using telework in space planning, based on survey results, agency documents, and interviews."]}, {"section_title": "What GAO Found", "paragraphs": ["The 23 civilian Chief Financial Officer (CFO) Act agencies reported various ways of considering and using telework as a space-planning tool, by, for example, implementing desk-sharing for employees who telework in order to relinquish leased space, or increasing the number of staff working in an existing space without increasing its size. All of the 23 agencies discussed telework in the context of space planning and achieving greater space efficiencies in either their space-planning documents or Real Property Efficiency Plans . The agencies that used telework as a space-planning tool generally reported implementing smaller or unassigned workstations.", "Three of the four agencies GAO reviewed in greater detail\u2013\u2013the General Services Administration (GSA); the Office of Justice Programs at the Department of Justice; the Centers for Disease Control at the Department of Health and Human Services; and the Bureau of the Fiscal Service at the Department of the Treasury\u2013\u2013leveraged telework to reduce or use office space more efficiently. For example, GSA and the Office of Justice Programs used telework to accommodate more employees in a smaller office space as illustrated in figure 1 below. The Centers for Disease Control used telework to accommodate more employees in the same amount of space. The Bureau of the Fiscal Service reduced space without telework by reducing the size of individual workstations.", "The 23 civilian CFO Act agencies reported several challenges in using telework to reduce space including human capital issues, mission suitability, and measuring cost savings attributable to telework. About two-thirds of the agencies said they would find it helpful to have additional information, assistance, or resources in using telework as a space-planning tool. GSA provides guidance to improve space utilization. However, GAO found that GSA last developed relevant formal guidance in 2006. This information, and that on GSA's telework and space-planning websites, was neither specific nor detailed and therefore of limited assistance to agencies that would like to use telework as a space-planning tool. Additionally, GSA's space-planning tool\u2014the Workplace Investment and Feasibility Tool, intended to help agencies quantify the benefits and costs of telework\u2013\u2013remains under development after more than 4 years, and GSA officials have not decided whether to make the tool available to other federal agencies. As such, agencies reported that they lack adequate guidance to determine how best to reduce space or use it more efficiently, and how to assess the benefits and costs of using telework in space planning."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GSA concurred with recommendations that GSA should: (1) develop guidance on how agencies can use telework as a strategic space-planning tool and make this guidance readily available and (2) complete and make the Workplace Investment and Feasibility Tool available to federal agencies for use in assessing the benefits and costs of telework."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is committed to the goal of reducing its real property footprint. As part of achieving this goal, the Office of Management and Budget\u2019s (OMB) Reduce the Footprint Policy requires that federal agencies explore alternatives to acquiring more office space. One such alternative is telework, which can be used to reduce the number of personnel using onsite workspace, thereby reducing agencies\u2019 space needs while continuing to fulfill missions. Already, nearly half of all eligible federal employees participate in telework programs.", "You asked us to examine the impact of telework on space planning, including how agencies use telework to reduce space or realize other benefits. This report addresses: how the 23 civilian Chief Financial Officers (CFO) Act agencies reported using telework in office space planning; the specific ways selected agencies and the General Services Administration (GSA) used telework in their office space planning; and any challenges the 23 civilian CFO Act agencies faced in using telework in office space planning.", "To determine how the civilian CFO Act agencies reported using telework in office space planning, we surveyed these agencies and analyzed their responses. We also obtained and analyzed these agencies\u2019 space- planning documents and Real Property Efficiency Plans to identify common themes and references to telework. To determine the specific ways agencies included telework in their office space planning, we selected and reviewed four agencies in greater detail. We selected a non- generalizable sample of three sub-agencies as illustrative case studies with criteria such as an agency-level goal of using telework to reduce real estate costs, the rate of telework among employees, and range of size. The selected sub-agencies include: (1) Bureau of the Fiscal Service (Fiscal Service)\u2014Department of the Treasury (Treasury); (2) Centers for Disease Control and Prevention (CDC)\u2014Department of Health and Human Services (HHS); and (3) Office of Justice Programs (OJP)\u2014 Department of Justice (DOJ). We also selected GSA as a comparative example since it is responsible for providing space-planning guidance to client agencies and has experience using telework in space planning. For each of these case studies, we reviewed telework and space-planning documents; visited seven office locations with recent space reductions in New York City, Philadelphia, and the Washington, D.C., area; and interviewed knowledgeable agency officials. Information from these case studies is not generalizable to the universe of federal agencies.", "To identify challenges agencies face in using telework in space planning, we reviewed agencies\u2019 Real Property Efficiency Plans and analyzed responses to survey questions. Additionally, we selected two outside experts and four entities from the private sector for informational interviews based in part on our literature review and their experience with telework and the space-planning process. Statements made by knowledgeable federal officials, outside experts, and private sector entities are not generalizable to the universe of civilian CFO Act agencies. Because GSA bears responsibility for government-wide space-planning guidance, we also reviewed and analyzed the guidance it has developed and available information on its telework and space- planning websites. We compared GSA\u2019s guidance and website information to relevant statutory requirements and federal internal controls standards related to external communication (see app. 1 for additional details on our scope and methodology).", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained for this review provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Requirements for Implementing Telework and Reducing Space", "paragraphs": ["Implementing Telework: The Telework Enhancement Act of 2010 (the Act) establishes telework implementation requirements for agencies, including, for example, that each agency designate a Telework Managing Officer and that each agency incorporate telework into its continuity of operations plans. The Act does not mention telework specifically in the context of space planning. The Act also requires the Office of Personnel Management (OPM) to assess whether agencies have met agency- established telework outcome goals such as real estate savings. It also requires OPM to submit reports that include executive agencies\u2019 goals for increasing telework participation to the extent practicable, assist each agency with developing qualitative- and quantitative- teleworking measures and goals, and track telework eligibility and participation rates across the government.", "According to OPM telework information from fiscal year 2012 through fiscal year 2015, the percentage of federal workers eligible to telework remained stable at about 45 percent, on average. However, during the same period, the percentage of eligible employees who participated in telework increased from 29 percent to 46 percent. Figure 1 shows the frequency of telework across the federal government from fiscal years 2012 through 2015 by type of telework.", "Reducing Space: OMB issued the National Strategy for the Efficient Use of Real Property and the Reduce the Footprint policy in 2015, which require all CFO Act agencies to improve the efficiency of real property use, control costs, and reduce holdings. These OMB initiatives also required agencies to develop Five-Year Real Property Efficiency Plans annually; develop office space standards that specify maximum square footage identify reduction targets for office space in square feet; and freeze the footprint (i.e., not increase square footage of office space).", "OMB\u2019s National Strategy noted that employee telework has changed the dynamic of the federal real property portfolio and resulted in a need for less space. OMB\u2019s Reduce the Footprint guidance memo states that agencies\u2019 5-year plans should include an explanation of actions the agency is taking to increase space efficiency, including cost-effective alternatives to acquisition of additional office space, such as consolidation, colocation, teleworking, and \u201choteling.\u201d Federal statute also requires that agencies consider whether space needs can be met using alternative workplace arrangements when deciding whether to acquire new space."], "subsections": []}, {"section_title": "Mobility as a Space- Planning Tool", "paragraphs": ["GSA defines mobility as an overarching term describing the ability of employees, enabled by information technology (IT) and workplace policies to perform work both within and outside the agency worksite. Under this definition, mobility includes telework, desk-sharing, site work, and travel. Agencies can strategically use telework\u2014one form of mobility\u2014combined with desk-sharing and hoteling to reduce space needs and increase efficiency. This allows agencies to plan for fewer workstations than the number of employees. Other space efficiency strategies such as smaller workstations (e.g., reduced space standards), reconfigured office space (e.g., open-office plans instead of private offices), and mobile technology (e.g., laptops, Wi-Fi throughout the office, and smart phones) can be combined with telework and used as planning tools to reduce office space, use space more efficiently, and potentially cut costs.", "GSA, in a 2010 publication, described a continuum of three different scenarios for the ways agencies may use mobility, including telework. These scenarios range from limited mobility not leveraged for space planning to extensive mobility leveraged for space planning to reduce and use office space more efficiently: (1) No space changes: Some employees telework at least 2 scheduled days per week but retain assigned workstations with no changes to the existing space configuration. (2) No space reduction but different space allocation: Most employees telework at least 2 scheduled days per week and keep assigned workstations. Workstations are smaller and more densely organized; and space freed up by smaller workstations can be used for collaborative work spaces. (3) Space reduction and different space allocation: Nearly all employees telework at least 3 scheduled days per week and participate in hoteling (i.e., unassigned workstations), and workstations are also smaller and more densely organized. In this scenario, according to GSA, an agency can redesign its office and potentially reduce space by up to 30 percent.", "The key factors in distinguishing these scenarios illustrated in figure 2 below include the: level of employee participation in telework; changes to physical office spaces (e.g., smaller and more densely organized workstations and more emphasis on collaborative workspaces); and extent to which employees have assigned workstations or participate in desk-sharing."], "subsections": []}, {"section_title": "GSA Provides Space- Planning Guidance and Assistance to Agencies", "paragraphs": ["Under federal statute, GSA has a role in promulgating rules and developing guidance promoting the efficient use of real property. For example, the GSA Administrator may provide guidance, assistance, and oversight to client agencies regarding the establishment and operation of alternative workplace arrangements, which include leveraging telework to reduce space needs. GSA also directly assists client agencies with identifying and prioritizing opportunities to improve and implement real- property efficiency measures."], "subsections": []}]}, {"section_title": "Agencies Reported Various Ways of Considering and Using Telework as a Space Planning Tool", "paragraphs": ["In reviewing planning documents, policies, and survey data, we found that the 23 civilian CFO Act agencies reported using telework to reduce or use space more efficiently. Specifically, our analysis of (1) agency-wide space-planning policies and procedures and (2) Real Property Efficiency Plans found that all of the agencies discussed telework in the context of space planning and achieving greater space efficiencies. Agencies also provided examples in survey responses of how they have used telework to increase operational effectiveness while optimizing their use of space."], "subsections": [{"section_title": "Agencies Use Telework in Space Planning, and Most Include It in Their Agency- Wide Policies", "paragraphs": ["Fifteen agencies\u2019 space-planning policies and procedures included provisions for using telework and other mobility strategies, such as hoteling and desk-sharing, as a strategic space-planning tool. Three of the agencies mentioned these strategies only in the context of space planning, and five agencies did not mention them at all (see table 1).", "For the fifteen agencies with space planning policies that incorporated telework, the documents either expressly directed agency planners to include telework, hoteling, or desk-sharing in space planning; provided instructions and guidance for using these in space planning; or issued space allocation standards for their implementation. Several agency-wide space plans identify space reduction goals based on using telework strategically. For example, the Department of Transportation (DOT) documents identify a goal of at least a 10 percent workspace reduction in new acquisitions as a result of compressed work schedules and telework, and specifically state that employees who telework six or more days per pay period should not have a permanent workspace.", "Agency-wide space planning documents from three civilian CFO Act agencies mentioned telework, hoteling or desk-sharing as strategies in the context of space planning. For example, DOJ\u2019s agency-wide policy notes that telework and hoteling could increase the efficient use of space and directs each sub-agency to maintain its own space design guidelines within agency-wide policy office space standards. The other two agencies, the Department of State and the Nuclear Regulatory Commission, either had a short provisional agency-wide space planning document that laid out space standards or mentioned telework, hoteling and desk-sharing as a tool for creating sustainable space. Five agencies\u2019 space planning documents made no reference to telework; however, one agency, OPM, developed a maximum office space utilization rate and criteria for determining which positions require a private office."], "subsections": []}, {"section_title": "Real Property Efficiency Plans Provide Information on Agencies\u2019 Efforts to Use Telework", "paragraphs": ["As noted above, OMB\u2019s Reduce the Footprint policy (2015) requires agencies to establish Real Property Efficiency Plans. In our analysis of the agencies\u2019 fiscal year 2016 or 2017 plans, we found that 19 of the 23 civilian CFO Act agencies discussed telework in the context of space planning. A few agencies\u2019 Real Property Efficiency Plans explicitly stated that the agency reduced space as a result of telework. For example, GSA used telework to reduce space in its Heartland, Rocky Mountain, and National Capital Region offices.", "Some (5 of 23) Real Property Efficiency Plans discussed the telework pilot programs agencies have initiated. For example, the Department of Education\u2019s plans reported using a pilot program to acclimate employees to teleworking and desk-sharing; as a result, the agency intends to incorporate hoteling or space-sharing opportunities into proposed space designs in future projects. The Social Security Administration (SSA) plans also reported initiating a pilot program to experiment with smaller \u201choteling\u201d workspaces. Similarly, the Nuclear Regulatory Commission\u2019s plan reported conducting a pilot program at its headquarters offices to identify challenges, better understand telework, and evaluate the potential of shared workspaces."], "subsections": []}, {"section_title": "Agencies Reported Using Telework to Reduce Space and Achieve Space Efficiencies", "paragraphs": ["In response to our survey, about three-quarters of agencies reported space-planning policies that use telework to reduce office space, lower real estate costs, or reduce the size of individual workstations. Agencies reported accomplishing this by using desk-sharing and hoteling for employees who have relinquished permanent workspaces. For example, several agencies discussed strategies to reduce space in their responses to our survey.", "The Department of Labor reported using telework to close some small offices resulting in overall space reductions of about 16,000 square feet.", "OPM reported that it both reduced space and created space efficiencies by transitioning staff in its Eastern Management Development Center to full-time telework and terminating the lease, resulting in a space reduction of about 32,000 square feet. OPM\u2019s Human Resource Solutions Program also achieved a 47 percent space reduction when it instituted desk-sharing and freed the vacated space for use by another program office.", "The Department of the Treasury reported that its sub-agency, the Internal Revenue Service, has aggressively used telework to help reduce its real property portfolio, while other Treasury units have leveraged telework to achieve significant space reductions. At the end of fiscal year 2016, Treasury reported agency-wide reductions of about 484,000 square feet at a cost savings of about $10 million.", "Two agencies\u2013\u2013Department of Homeland Security, and the National Science Foundation\u2013\u2013reported using telework to increase the efficiency of existing office space in sub-agencies by increasing staff without increasing the size of offices, for example:", "The Department of Homeland Security reported that one of its sub- agencies used telework in the planning and design of a new office, resulting in both a space reduction and more efficient use of the space. The new office is 57,573 square feet smaller than the prior office while personnel assigned to the office increased from 315 to 394.", "The National Science Foundation reported that it used teleworking, among other workspace strategies such as new space standards and virtual technologies, to increase staff numbers without increasing its real estate footprint."], "subsections": []}]}, {"section_title": "Three of the Four Agencies We Reviewed in Depth Leveraged Telework to Reduce or Use Office Space More Efficiently", "paragraphs": ["Among the agencies we reviewed in detail\u2014GSA, OJP, CDC, and the Fiscal Service\u2014the use of telework in office space planning varied from emerging consideration to extensive implementation. GSA and OJP have used telework extensively to both reduce space and increase space efficiency in their office spaces. CDC has leveraged telework to reduce space or use space more efficiently in more limited cases while the Fiscal Service has begun to consider telework in future space planning. Appendix II provides additional details on office spaces where these agencies reduced space or used space more efficiently, including the role of telework, if any."], "subsections": [{"section_title": "GSA Used Telework Extensively as a Space- Planning Tool", "paragraphs": ["GSA has leveraged telework to reduce space by implementing unassigned workstations in nearly all of its regional and headquarters offices, along with other forms of \u201cemployee mobility,\u201d complementary IT, and smaller space standards. GSA adopted telework as early as 1999 and by fiscal year 2015, more than 90 percent of all eligible GSA employees teleworked, and nearly half of all employees teleworked 3 or more days per pay period, according to OPM data. GSA\u2019s space policy cites desk-sharing (e.g., hoteling, \u201chot-desking,\u201d or other arrangements) as one strategy to help meet its space standard of 136 useable square feet (USF) per person. GSA employees may telework full-time, but may be required to give up dedicated workstations if they are on site 2 or fewer days per week.", "GSA has gradually transitioned to unassigned workstations at headquarters and in its regional offices, allowing the agency to implement desk-sharing and calculate space needs at less than one desk per employee. The agency also assigned laptops and mobile or soft phones to employees to further maximize mobility. The three GSA sites we visited used space-planning strategies to achieve, or nearly achieve, GSA\u2019s space standard of 136 USF per person. For example, at its Philadelphia Regional Office, GSA leveraged existing telework levels to meet reduced space standards and move to a smaller leased space by accommodating about 600 employees in fewer than 500 workstations. According to GSA, this allowed the office to achieve a utilization rate of 139 USF per person and realize a reported annual rent cost savings of about $2 million. Similarly, at its New York Regional Office, GSA also leveraged existing telework levels to meet reduced space standards and move to a smaller leased space. This step allowed the office to achieve a utilization rate of 119 USF per person and realize a reported total rent cost savings of nearly $11 million.", "GSA also leveraged telework as part of its headquarters consolidation. GSA reports that it was able to move approximately 1,000 additional employees to the headquarters building by implementing a hoteling system and planning for less than one workstation per employee. This allowed GSA to achieve a utilization rate of 138 USF per person at its headquarters and realize a reported annual rent-cost savings of approximately $24 million."], "subsections": []}, {"section_title": "OJP Leveraged Telework to Consolidate Its Offices", "paragraphs": ["Similar to GSA, OJP used telework, along with complementary tools, to reduce space and use space more efficiently at its consolidated office. More than 90 percent of eligible employees teleworked in fiscal year 2015, and nearly half of all employees teleworked 3 or more days per pay period, according to OPM data. More recently, OJP reported that around 70 percent of its employees teleworked in August 2017, with just less than 40 percent doing so three or more days per pay period. At the departmental level, DOJ\u2019s plans to improve space utilization include reduced space requirements, and, in some cases, alternative workplace strategies. DOJ\u2019s space utilization policy mentions telework with hoteling as one way to increase efficient use of space, and DOJ\u2019s telework policy mentions the potential of telework to create cost savings by decreasing space needs. While most OJP employees are eligible to telework, a few federal staff occupying administrative positions are not eligible.", "OJP took the opportunity to examine and improve its space use as three of its leases approached expiration in 2013. It leased space in two adjacent buildings under three separate leases. OJP worked with GSA to analyze space-planning options, contracting a study of the office that recommended ways to improve space utilization. This study included a survey of all employees, a complete physical space survey, and interviews with leadership. The results of this study not only indicated OJP employees\u2019 openness to more mobility but also that they had concerns such as loss of privacy and social connectedness. For example, more than 80 percent of survey respondents said they could work off-site more often with proper tools and support, and almost half said they would give up dedicated space to work remotely more often. Furthermore, interviews with the leadership of several OJP units indicated a willingness to support increased mobility but also a need to maintain privacy and improve mobile IT. According to OJP, it alleviated these concerns by encouraging participation in the planning process, highlighting opportunities for positive changes, and maintaining open communication (e.g., communicating changes and expected benefits).", "Based on the analysis of space-planning options, OJP retained one of the three previous leases and leveraged telework to accommodate all employees into less space overall in one building. OJP achieved this objective by targeting 25 percent employee mobility and implementing hoteling. Concurrently, OJP officials explained that they introduced smaller workstations and used tenant-improvement allowance funds to reconfigure space for more flexible use. Physical reconfigurations included changing hard-walled office spaces with dedicated workstations to a primarily open office with few walls or dedicated workstations.", "According to OJP, it complemented these changes with investments in mobile IT for individual employees, improved IT capabilities in conference rooms and other collaborative spaces, and an emphasis on training employees to work well in a mobile office environment. For example, OJP officials said they installed Wi-Fi throughout the space, issued laptops and smart phones to employees, upgraded video-conferencing capabilities in conference rooms and collaborative spaces, and expanded tools for informal employee communication. According to OJP officials, through the consolidation, they said they achieved a utilization rate of 190 USF per person\u2014a decrease of 30 USF per person from the prior 220 utilization rate. This rate remained higher than DOJ\u2019s overall target and housed the same total number of employees\u2014about 1,000\u2014in about 50,000 fewer USF. OJP reports that the consolidation resulted in an estimated $3 million annual lease- cost savings. OJP also estimates additional savings from reduced transit subsidies, carbon emissions, and continuity of operations."], "subsections": []}, {"section_title": "CDC Used Telework to Achieve Space Efficiencies in Limited Cases", "paragraphs": ["Relative to GSA and OJP, CDC has made more limited use of telework in office space-planning. CDC officials told us that they have leveraged telework as a space-planning tool in many locations, but they have only documented doing so in one case. HHS expects each sub-agency to comply with its 170 USF per-person utilization-rate policy, and this policy suggests that planned space reductions should take telework into account. As a component of HHS, CDC has its own space policy, which states that telework, desk-sharing, and hoteling can help CDC\u2019s units meet HHS\u2019s utilization rate policy of 170 USF per person. CDC\u2019s telework policy requires employees who telework frequently to agree to participate in desk-sharing, but according to CDC officials, how and to what extent this portion of the broader policy is implemented is up to the discretion of management. CDC officials cited two limitations to further implementing space sharing techniques: (1) the large number of employees\u2019 who may be unable to telework on certain days based upon their job responsibilities and (2) the voluntary nature of telework. Some CDC employees cannot work off-site at least some of the time due to confidential data or lab-based work. Approximately 60 percent of eligible CDC employees teleworked in fiscal year 2015 and about one-quarter of all employees teleworked 3 or more days per pay period, according to OPM data. CDC officials told us that telework participation ranges from 49 to 86 percent across CDC units.", "CDC\u2019s National Center for Chronic Disease Prevention and Health Promotion\u2019s office in Chamblee, GA, provides the most clearly documented case of CDC\u2019s leveraging telework for space efficiency. According to CDC officials, this unit accommodated more than 300 additional employees within its existing space by implementing hoteling for employees who telework 4 or more days per pay period, and it continues to use hoteling as part of its space management strategy. In contrast, CDC\u2019s National Center for Health Statistics\u2019 (NCHS) office in Hyattsville, MD, reduced space without leveraging telework by reconfiguring the space with smaller, soft-walled workstations.", "CDC officials told us that NCHS reduced its office space from seven floors to three and three-quarters floors, resulting in a reported space reduction of more than 40 percent and allowing it to achieve a 170 USF per person utilization rate. CDC officials reported that this space reduction resulted in annual rent cost savings of approximately $1 million. Hoteling was not feasible at this location because work on confidential data limits the ability of employees to work off-site, and NCHS employees also prefer dedicated workstations. CDC officials said that there is limited documentation of any additional cases of CDC\u2019s leveraging telework as a space- planning tool because, prior to our review, there had been no formal request to connect telework and space utilization data."], "subsections": []}, {"section_title": "The Fiscal Service Has Reduced Space without Leveraging Telework", "paragraphs": ["In contrast to GSA, OJP, and CDC, telework as a space-planning tool is an emerging consideration at the Fiscal Service. At the departmental level, Treasury has space standards that aim for efficient and effective offices that use increased telework and shared workstations to minimize the number of dedicated workstations. Similarly, objectives of the Fiscal Service telework policy include cost savings from reduced office space needs. Treasury\u2019s space standards specify a planned maximum utilization rate of 200 USF per person for facilities with general office space, and the Fiscal Service reported that its average office space-utilization rate was 183 USF per person at the time of our review. Treasury policy also recommends hoteling for employees who are out of the office 80 or more hours per month, but the Fiscal Service told us that it would like to conduct additional desk-sharing pilots to assess their impact before negotiating broader desk-sharing with the union. At the Fiscal Service, approximately 80 percent of eligible employees teleworked in fiscal year 2015, and about one-quarter of all employees teleworked 3 or more days per pay period, according to OPM data. The Fiscal Service reported that approximately 80 percent of Fiscal Service employees telework at its Washington, D.C., Maryland, and West Virginia locations.", "At the time of our review, the Fiscal Service officials said the agency had reduced space without leveraging telework or implementing hoteling, instead relying on smaller space standards (i.e., fewer square feet per workstation) to lease smaller offices. For example, the Fiscal Service reduced space by giving up several floors at its Hyattsville, MD, office starting in 2012. According to Fiscal Service officials, they accomplished these reductions by consolidating data centers to other locations, conducting targeted buyouts of employees, and, most recently, by implementing a new space standard of 183 USF per person through smaller workstations. The officials said that the most recent space reduction at this location resulted in savings in annual rent costs not attributable to telework. Looking forward, the Fiscal Service reported that it has started taking preliminary steps to promote efficient space utilization through telework. These steps have included: creating an Executive Space Management Council that discussed incorporating telework and desk-sharing into space management guidelines; implementing a voluntary, informal desk-sharing pilot in one program area for employees who already telework 50 percent or more of the time; and seeking information from GSA, including discussing and visiting GSA offices that have implemented hoteling as part of their space planning model.", "In addition, the Fiscal Service officials told us that the agency plans to negotiate the impact and implementation of desk-sharing and hoteling for telework employees with its union, but the Fiscal Service has not yet begun this effort."], "subsections": []}]}, {"section_title": "Agencies Face Several Planning Challenges in Using Telework to Reduce Space", "paragraphs": ["Our analysis of the survey responses from the 23 civilian CFO Act agencies identified three major planning challenges agencies face with using telework to reduce space: human capital issues such as negotiating workspace changes with collective bargaining units and managing organizational change; the suitability of telework to mission work requirements; and difficulty measuring cost savings that might result from space reductions attributable to telework.", "This measuring difficulty may include both gross savings as well as savings net of costs, such as for renovations or IT investments. See table 3 for examples of space-planning challenges related to telework reported by the 23 agencies.", "To address these challenges, nearly two thirds of the agencies we surveyed reported they would like guidance on using telework programs or other alternatives to meet the federal goals of reducing space or using space more efficiently."], "subsections": [{"section_title": "Challenges to Telework as an Office-Space-Planning Tool Include Human Capital and Mission Suitability Issues", "paragraphs": [], "subsections": [{"section_title": "Human Capital", "paragraphs": ["Our review of agency survey responses, Real Property Efficiency Plans, and other agency space-planning documents, found that human capital challenges to using telework in space planning generally fell into two categories: (1) requirements to negotiate space allocation changes with collective-bargaining units; and (2) managing department workforces in adapting to new workspace designs and altered workspace allocations.", "Collective-bargaining challenges: Of the 23 civilian CFO Act agencies, 7 of 23 noted that changes to telework policy or workspace arrangements required negotiation with collective bargaining units, for example,", "The Small Business Administration (SBA) reported its greatest challenge to incorporating telework in office space planning has been with negotiating and securing agreement from all parties, including management and its union, on establishing space standards.", "HUD reported that it could not implement hoteling or desk-sharing as its collective-bargaining agreements require that each employee retain an assigned workstation regardless of an employee\u2019s type of telework agreement.", "SSA reported that changing floor plans required negotiation with its three collective-bargaining units, which could extend the time needed for construction and relocation.", "DOT reported that collective-bargaining agreements posed a challenge to incorporating workforce mobility options, including telework.", "In addition, the collective-bargaining agreements we reviewed from the four agencies we reviewed in detail\u2013\u2013GSA, OJP, CDC and Fiscal Service\u2013\u2013required negotiations or the opportunity to negotiate changes to matters relating to workspace arrangements and in some cases, to telework policy.", "Managing change: Using telework as a strategic space-planning tool, particularly in conjunction with complementary space-saving efforts such as desk-sharing, hoteling, or open-space designs, generally involves a cultural change. Nine of the 23 agencies we surveyed reported challenges associated with managing change. For example, three agencies reported employees\u2019 discomfort or apprehension about desk-sharing and hoteling. In 2013, we reported that organizations may also encounter concerns from agency leaders, managers, employees, or employee organizations when introducing physical space changes associated with increased workforce mobility (telework). More recently, we reported that management concerns remain the most frequently reported barrier to expanding telework.", "Two private sector experts we met with underscored the importance of management \u201cbuy-in\u201d saying it was imperative that senior executives fully support the initiative to facilitate the necessary cultural change for agencies to use telework in space planning. One noted that management needed to make the business case to employees so that each layer of the organization could understand the importance of the initiative and its potential benefits. Another suggested a change management plan tailored to the work performed within a unit. This individual said that key components of such a plan might include studying existing work practices and program requirements, surveying employee preferences, and including employees in the planning process. Further, a GSA document circulated in response to the Telework Enhancement Act of 2010 mentions obtaining supervisory \u201cbuy-in\u201d or support as key to facilitating change."], "subsections": []}, {"section_title": "Mission Suitability", "paragraphs": ["According to survey responses, within agencies there are sub-agencies that have individual mission requirements that may or may not be suitable for telework. This makes it difficult for agencies to implement overarching telework and space planning policies that apply department-wide. Sub- agencies and units within sub-agencies must individually determine if telework is appropriate given their particular mission requirements. For example, the Veterans Administration reported that although it developed an agency-wide telework policy, each sub-agency and supervisor has the flexibility to implement telework based on operational needs. Moreover, because the agency\u2019s core mission involves direct services to veterans, about 83 percent of agency staff positions are not suitable for telework. The Telework Enhancement Act of 2010 outlines two broad exceptions to telework participation for employees: (1) directly handling secure materials determined to be inappropriate for telework by the agency head and (2) on-site activity that cannot be handled remotely or at an alternative worksite. In cases where telework does not support an agency\u2019s mission or where a particular mission may require increases or decreases in personnel, telework as a strategic space-planning tool may not work."], "subsections": []}]}, {"section_title": "Agencies Face Challenges in Measuring the Effect of Telework on Reducing Office Space", "paragraphs": ["About half (12 of 23) of the agencies we surveyed reported that office space reductions resulting from using telework in space planning led to real estate cost savings while the other half reported either that cost savings did not result or they did not know. GSA officials told us that calculating cost savings attributable to a particular aspect of space planning is complicated as several factors contribute to savings. In particular, in survey responses, the Departments of Education, Energy, and Agriculture reiterated this point.", "OMB\u2019s National Strategy for the Efficient Use of Real Property and its Reduce the Footprint policy encourage agencies to increase and maximize efficiencies in office space by implementing cost-effective strategies such as telework. For example, the National Strategy outlines a framework that aims to measure real property costs and utilization to improve the efficient use of federal real property. The Reduce the Footprint policy requires agencies to measure cost savings that result from reducing space through disposals. However, neither document offers guidance or methodologies on how to measure the costs or savings that may result from using telework. We previously reported that GSA works with client agencies to develop tools to measure office space utilization and, in 2013, was developing an Excel-based tool to help agencies quantify the benefits and costs of using telework to achieve greater office space efficiencies. This tool\u2014the Workplace Investment and Feasibility Tool\u2014is aimed at helping agencies quantify the benefits and costs of increased telework participation and implementing other alternative-work arrangements. When completed, the tool will enable users to quickly develop rough estimates of cost and space impacts resulting from workplace changes, particularly relating to desk-sharing, workspace reconfiguration, and consolidation. Key features include the ability to compare up to three scenarios, which in turn may be used to inform a more detailed design program.", "As of January 2018, GSA had not yet completed the tool. GSA officials said mission needs, resource constraints, and developmental adjustments have contributed to delays in the time frame for completing the tool. They added that during this time, GSA has diverted resources to space calculation tools for individual agencies. For example, GSA worked with DHS on its Space Calculation Tool as a way to help determine workplace space requirements in a manner consistent with DHS space policies. In January 2018, GSA officials told us that they plan to make the Workplace Investment and Feasibility Tool available to GSA staff in March 2018 along with training on how to use it. However, GSA officials have not decided whether to make the tool available to other federal agencies to use as a space-planning tool. Instead, the officials plan to assess GSA\u2019s use of the tool and then determine in late 2018 if and how it should be released to other agencies for independent use. Given the absence of a government-wide tool, in our review, we found that some agencies had used their own resources to purchase similar tools for their space-planning needs from the private sector. Without such a government-wide resource, agencies may not be able to determine how best to reduce space or use it more efficiently."], "subsections": []}, {"section_title": "GSA Guidance Does Not Specifically Address How to Use Telework in Space Planning", "paragraphs": ["In responses to our survey, nearly two-thirds of agencies reported that they would find it helpful to have additional information, assistance, or resources to assist them in using telework as a space-planning tool. As noted above, a key element of GSA\u2019s mission is to provide guidance and services that enable agencies to improve space utilization, reduce costs, and better achieve their missions. Moreover, under federal statute, GSA may provide guidance to executive agencies on the implementation of alternative workplace arrangements, which includes telework. Federal standards for internal control also call for agencies to communicate necessary quality information such as guidance with external parties.", "In reviewing GSA\u2019s websites, we found that GSA last developed formal guidance on alternative workplace arrangements in 2006 and maintains several separate informational websites on implementing telework and optimizing space utilization. Our review of this guidance and these websites found that they do not provide specific guidance for using telework as a strategic space-planning tool. For example, the 2006 guidance is generally limited to defining the factors agency heads must contemplate when considering alternative workplace arrangements along with the equipment and technical services agencies may provide for alternative worksites. However, this guidance does not address in detail the impact of such arrangements on agency office space and resulting planning issues. Similarly, our review of GSA\u2019s teleworking and space- planning websites found that although they separately offered documented case studies along with information such as tips for implementing telework and managing a mobile workforce, GSA did not provide documents consolidating the concept of using telework as a strategic space-planning tool. For example, information on GSA\u2019s Total Workplace Program website\u2013\u2013intended to assist agencies in using workforce mobility (including telework) to increase space efficiencies\u2013\u2013is generally limited. Although this website includes high-level information that describes the potential benefits of using telework with office space planning and design, it lacks a practical outline of the process agencies might use to achieve them. Because the information in the 2006 guidance and the telework and space-planning websites is neither specific nor detailed, it is of limited assistance for agencies that would like to use telework as a strategic space-planning tool to meet the goals of a more efficient use of space."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While using telework to reduce space is not a new challenge, it has become more pressing with OMB\u2019s requirement for federal agencies to explore alternatives to acquiring more office space. Most civilian CFO Act agencies reported having a telework program in place and some reported success with using it in space planning to reduce space or accommodate more employees without increasing space. However, many of the agencies continue to face challenges and do not believe that they have adequate information, assistance, or resources to assist them in using telework as a space-planning tool or assess its costs and benefits. Until agencies have access to detailed guidance and tools to help utilize various space-planning options, they may not be able to effectively identify opportunities to use telework toward the goal of reducing their real property footprint."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to GSA: The Administrator of General Services should ensure that the appropriate GSA offices develop guidance including, but not limited to, how agencies can use telework as a strategic space-planning tool for reducing and optimizing office space efficiency and that the offices make the guidance readily available. (Recommendation 1)", "The Administrator of General Services should ensure the appropriate GSA offices complete the Workplace Investment and Feasibility Tool and make it available to federal agencies for use in assessing the benefits and costs of telework to achieve office space efficiencies. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to GSA, the Department of Justice, the Department of Health and Human Services, and the Department of the Treasury. In its written comments, reproduced in Appendix III, GSA concurred with our recommendations and stated that it is developing a plan to address them. We received technical comments from the Department of Justice and the Department of Health and Human Services, which we incorporated where appropriate. The Department of the Treasury did not have comments on our draft report.", "We are sending copies of this report to the appropriate congressional committees; the Administrator of GSA; and the Secretaries of the Department of Health and Human Services and Department of the Treasury, and the Attorney General of the Department of Justice. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov. If you or your staff has any questions concerning this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report is listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses: (1) how the 23 civilian Chief Financial Officer (CFO) Act agencies reported using telework in office space planning; (2) the specific ways selected agencies and GSA used telework in their office space planning; and (3) any challenges the 23 civilian CFO Act agencies faced in using telework in office space planning.", "To determine how the 23 civilian CFO Act agencies reported using telework in office space planning, we surveyed the agencies. The survey asked questions about agency-wide efforts to use telework in the human- capital and space-planning areas; whether agencies had achieved any cost savings as a result; the challenges agencies faced in using telework in space planning; and asked agencies to identify additional information, resources, or guidance that might be helpful. In addition to the survey questions, we asked each agency real property officer to provide copies of agency-wide space-planning documents and the Real Property Efficiency Plans agencies prepared for fiscal years 2016 and 2017 pursuant to the requirements of the Office of Management and Budget\u2019s (OMB) Reduce the Footprint policy. We developed survey questions based on our review of the relevant literature, white papers from federal agencies and private sector entities, and past GAO reports. We pre- tested the survey instrument with three federal agencies to ascertain: (1) the clarity of survey questions; (2) the precision of language; and 3) the availability of information queried. As a result of the pre-tests we made changes to the content and format of the survey where appropriate.", "We received survey responses from each of the 23 civilian CFO Act agencies in addition to requested space-planning documents and Real Property Efficiency Plans, and thus achieved a 100 percent response rate. We analyzed survey results by calculating the frequency of responses to dichotomous questions (i.e., questions requiring a \u201cyes\u201d or \u201cno\u201d answer). We also conducted a content analysis on the open-ended, narrative-based questions by identifying common themes and tabulating results. We also conducted a content analysis to determine the extent to which agencies referenced telework in their agency-wide space-planning documents and in their Real Property Efficiency Plans. To accomplish these analyses, we developed separate coding schemes for each of the two types of documents. These were based on information obtained in our literature review, interviews with subject matter experts, and our professional judgment. We then identified relevant sections and common themes, and coded and tabulated the results. To validate the coding results, we used a second, independent coder.", "To determine the specific ways agencies include telework in their office space planning, we selected a non-generalizable sample of three CFO Act agency sub-agencies as illustrative case studies. To select sub- agencies, we analyzed data from the Office of Personnel Management\u2019s (OPM) Public Use 2014-2015 Telework Data call. First, we applied two selection criteria: (1) agency-wide progress toward a stated goal of using telework to reduce real estate costs, and (2) agency-reported data indicating that more than 25 percent of sub-agency employees teleworked 3 or more days per pay period. Next, we considered variations in sub-agency size and percentage of employees eligible to telework. Finally, we excluded candidates that had recently been selected for related GAO work and we excluded sub-agencies related to agency administration such as Offices of Inspector General or Secretary-level offices. We assessed the reliability of the OPM\u2019s data by interviews with knowledgeable officials and by reviewing prior assessments of the same data, and we found the data reliable for our purposes.", "As a result of this process, we selected (1) the Department of the Treasury\u2019s Bureau of the Fiscal Service (Fiscal Service); (2) the Department of Health and Human Services\u2019 (HHS) Centers for Disease Control and Prevention (CDC); and (3) the Department of Justice\u2019s Office of Justice Programs (OJP). For each of the selected agencies, we interviewed agency officials and reviewed their telework and space- planning documents. We also visited four sub-agency office locations to determine if and how telework played a role in any space reductions or efficiencies along with any associated cost savings. In addition to these three sub-agencies, we used the General Services Administration (GSA) as a comparative example since it is responsible for providing space- planning guidance to client agencies and has experience using telework in space planning. We interviewed GSA officials, reviewed relevant documents, and visited three GSA office locations with recent space reductions or efficiencies. In total, we conducted seven site visits including two Fiscal Service locations, one location each for CDC and OJP, and three GSA locations (National Headquarters, Region 2 Office, and Region 3 Office) in Washington, D.C.; New York City; and Philadelphia, respectively.", "To identify any challenges the 23 civilian CFO Act agencies faced in using telework in office space planning, we analyzed results from survey questions addressed to challenges, interviewed sub-agency and GSA officials as detailed above, interviewed two private sector subject matter experts, and representatives from four private-sector entities that had reported using telework to reduce and use office space more efficiently. Statements made by knowledgeable federal officials, outside experts and private sector entities are not generalizable to the universe of civilian CFO Act agencies. We also analyzed the section of each of the 23 civilian CFO Act agencies\u2019 Real Property Efficiency Plans devoted to challenges agency face in reducing space. We selected the two subject matter experts\u2013\u2013representatives from Global Workplace Analytics and Fentress Facility Planning and Analytics\u2013\u2013based on: (1) their experience working with federal agencies to incorporate telework programs into the space planning process; (2) information compiled in our literature review; (3) prior GAO reports; (4) internal GAO recommendations; and (5) industry recommendations. We selected the four private sector entities (AT&T, Deloitte, Adobe, and CapitalOne) based on our literature review, recommendations from industry experts, and reports of having achieved space efficiencies including space reduction, cost savings, or cost avoidance(s).", "To identify what guidance or information on using telework as a space- planning tool GSA makes available through its website, we reviewed the contents of multiple GSA websites including Telework, Total Workplace, Alternative Work, and GSA Telework Resources. We followed links and reviewed webpage contents for information on how agencies might use telework as a strategic tool to reduce space or use space more efficiently. We compared GSA\u2019s guidance and website information to relevant statutory requirements and federal internal controls standards related to external communication.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Selected Agency Case Study Profiles", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the General Services Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, David J. Wise (Director); Amelia Bates Shachoy (Assistant Director); Lindsay Bach (Analyst-in-Charge); Geoff Hamilton; Malika Rice; Kelly Rubin; Shelia Thorpe; Elise Vaughan Winfrey; and Amelia Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-240", "url": "https://www.gao.gov/products/GAO-18-240", "title": "Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding", "published_date": "2018-03-09T00:00:00", "released_date": "2018-03-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["An adequate, well-trained physician workforce is essential for providing access to quality health care. While a number of factors affect the supply and distribution of physicians, GME is a significant determinant. A significant portion of GME training funds come from federal programs and states.", "This report (1) describes the amount and distribution of federal government and state Medicaid agency spending on GME; (2) describes what is known about GME costs; and (3) examines the extent to which the federal government collects information to understand its investment in GME. GAO reviewed reports, agency websites, and interviewed agency officials to identify federal programs that fund the clinical training of residents and were authorized through 2017. GAO analyzed 2015 data\u2014the most recent data available at the time of GAO's analysis\u2014including from a state survey. All 50 states and the District of Columbia responded to the survey. GAO reviewed literature, interviewed experts from seven organizations knowledgeable about GME costs, and analyzed Medicare data. GAO also reviewed documentation from HHS and the Department of Veterans Affairs (VA) and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal agencies and state Medicaid agencies spent over $16.3 billion in 2015 to fund graduate medical education (GME) training for physicians\u2014commonly known as residency training. The federal government spent $14.5 billion through five programs, and 45 state Medicaid agencies spent $1.8 billion. About half of teaching sites that received funding\u2014such as teaching hospitals\u2014received funds from more than one of the five programs.", "GME training costs vary due to the characteristics of teaching sites, such as the number of residents trained and their specialty, which can make it difficult to compare training costs across sites. Further, challenges exist in measuring training costs because some costs, such as faculty teaching time, are difficult to identify. Also, there is no standard method for identifying and capturing training costs, and each teaching site may vary in how it does so.", "While federal agencies generally collect information needed to manage their individual programs, this information is not sufficient to comprehensively understand whether the federal investment in GME training meets national physician workforce needs. The information agencies collect is not always complete or consistent within or across programs. For example, national data on GME training costs are not systematically collected, and some agencies lacked data to understand the total amount spent, or the outcomes of their programs, such as where supported residents went on to practice. GAO recommended in 2015 that the Department of Health and Human Services (HHS) develop a comprehensive planning approach to identify and address areas of health care workforce need. HHS concurred and identified steps it could take. While HHS has yet to take these steps, the information currently available is also insufficient for such planning. Comprehensive information is needed to identify gaps between federal GME programs and national physician workforce needs\u2014particularly the distribution of physicians geographically or across specialties\u2014and to make or recommend to Congress changes to improve the efficient and effective use of federal funds to meet those needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that HHS coordinate with federal agencies, including VA, to (1) identify information needed to evaluate federal GME programs, and (2) identify opportunities to improve the quality and consistency of information, and implement these improvements. HHS concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["An adequate, well-trained, and diverse physician workforce is essential for providing Americans with access to quality health care services. However, studies have identified shortages of certain types of physicians, and rural areas may be more likely to experience shortages. While a number of factors affect the supply and distribution of physicians, their graduate medical education (GME)\u2014commonly known as residency training\u2014is a significant determinant.", "GME training is funded through both public and private sources, with a significant amount coming through a number of federal programs and states. The federal programs are managed by multiple agencies\u2014largely through the Department of Health and Human Services (HHS). HHS funding for GME training is distributed by the Centers for Medicare & Medicaid Services (CMS) through the Medicare program, and states may choose to make payments for GME training with state Medicaid funds, which are matched by federal Medicaid funding. Other, smaller sources of federal funding include the Children\u2019s Hospitals GME (CHGME) Payment Program and the Teaching Health Center GME (THCGME) Program\u2014 payment programs administered by HHS\u2019s Health Resources and Services Administration (HRSA)\u2014as well as funding from the Department of Veterans Affairs (VA) for GME training that occurs in its medical facilities.", "However, we and other experts have raised concerns about the ability of federal programs that fund GME training, especially Medicare, to address current and future physician workforce needs. In a 2015 report, we found that HHS cannot target Medicare GME funding to specific areas of workforce need because funds are disbursed based on a statutory formula that is unrelated to projected needs. As a result of this and other factors, stakeholders have long raised concerns about the distribution of residents geographically. In a 2017 report, we found that there is an uneven distribution of residents across the country, with most concentrating in certain urban centers and the northeast, where GME training programs have historically been located. The distribution of residents is particularly important given evidence that physicians tend to practice in geographic areas similar to those where they complete their GME training.", "We and others have also raised concerns about a lack of comprehensive planning for the federal investment in GME training and have called for increased accountability and transparency of federal GME funding. For example, the National Academy of Medicine found that there is no single entity that oversees the GME system, especially federal financing, and that information about how federal funding, especially Medicare and Medicaid GME payments, is used to support GME training is lacking. In a 2015 report, we found that HHS conducts limited ongoing, comprehensive assessments of the performance of federal health care workforce programs, including those that fund GME training, in meeting the national health care workforce needs. In addition, we recommended that, to ensure that HHS workforce efforts meet national needs, HHS should develop a comprehensive and coordinated planning approach to guide its health care workforce development programs. In making this recommendation we noted that, without such planning, HHS cannot fully identify the gaps between existing programs and national needs as well as the actions needed to address these gaps.", "Given the significant role of the federal government in supporting GME training, you asked us to review aspects of this spending and related federal oversight. In this report, we: 1. Describe how much the federal agencies and state Medicaid agencies spent on GME training and the distribution of spending by geographic area; 2. Describe what is known about the costs of GME training programs; 3. Examine the extent to which the federal government collects information to understand its investment in GME training.", "To describe the amount the federal agencies and state Medicaid agencies spent on GME training and how that spending varied by geographic area, we reviewed prior GAO reports, searched federal agency websites, and interviewed agency officials to identify federal programs that fund GME training. We analyzed 2015 data, the most recent reliable data available at the time of our analysis, on the five federal programs that fund GME training\u2014HHS\u2019s Medicare, Medicaid, CHGME, and THCGME programs and VA\u2019s physician GME training program. Specifically, we analyzed 2015 data on the amount spent and number of full-time equivalent (FTE) residents supported by each recipient of funding from Medicare, CHGME, THCGME, and the VA program. Comprehensive data on Medicaid GME spending and FTE residents supported were not available from CMS, so we collected 2015 federal and state data using a survey of state Medicaid agencies from 50 states and the District of Columbia. All agencies responded to the survey. We merged data from the five programs based on each funding recipient\u2019s Medicare identification number. For each funding recipient, we calculated the total amount of federal, as well as state Medicaid, funding received for GME training and, where FTE resident data were available, the amount of funding received per FTE resident adjusted for geographic differences in the cost of labor. We also calculated the extent to which recipients received funding from more than one federal source. To assess the reliability of each of these sources of data, we reviewed documentation, interviewed agency officials, and checked the data for obvious errors. While we discuss CMS data collection efforts later in this report, we found the data to be sufficiently reliable for the purposes of our reporting objective.", "To describe what is known about the costs of GME training programs, we interviewed experts from seven research and industry organizations about the costs to train residents, teaching sites\u2019 measurement of costs, and how costs compare to federal funding levels. We also conducted a literature review of studies that estimated the costs of training physician residents. To identify relevant studies, we searched multiple reference databases and reviewed the abstracts of studies initially identified to select potentially relevant studies for full review. We also asked for studies that estimated the costs of GME during interviews with experts. Of the over 300 studies we initially identified, 10 were deemed relevant because the studies provided estimates of the costs of training residents. We also analyzed 2015 data on the costs of GME training reported by teaching hospitals to CMS. To assess the reliability of these data, we reviewed documentation about how the data were collected and verified, and we checked the data for obvious errors. We found the data to be sufficiently reliable for the purposes of our reporting objective. We also interviewed officials from three Medicare Administrative Contractors (MAC) selected based on the high percentage of new teaching hospitals in the MAC\u2019s geographic jurisdiction. We asked the MAC officials about their role and responsibilities in reviewing and auditing teaching hospitals\u2019 GME costs that are reported annually to CMS.", "To examine the extent to which the federal government collects information needed to understand its investment in GME training, we reviewed, where available, public laws, regulations, agency guidance, reporting forms and instructions, and performance reports concerning the five federal programs that fund GME training. We interviewed officials from HHS\u2019s Office of the Assistant Secretary for Planning and Evaluation, CMS, HRSA, and VA about their reporting requirements, program management and oversight responsibilities, and program evaluation and performance measurement activities. We compared the information that agencies collect to the leading practices we derived from the Government Performance and Results Act of 1993 (GPRA) and the GPRA Modernization Act of 2010 (GPRAMA) and Federal Standards for Internal Controls to determine whether agencies collected information needed to understand the federal investment in GME training.", "We conducted this performance audit from March 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "GME Training", "paragraphs": ["Following medical school, GME training provides the clinical training required for a physician to be eligible for licensure and board certification to practice medicine independently in the United States. Physicians pursue GME training within a variety of specialties or subspecialties. Initially, these physicians, known as residents, go through GME training for a specialty\u2014such as internal medicine, family medicine, pediatrics, anesthesiology, radiology, or general surgery. Of the specialties, family medicine, internal medicine, and pediatrics are generally considered primary care specialties. However, a resident who trained in a primary care specialty may not ultimately practice as a primary care physician. Some residents may choose to subspecialize and seek additional GME training. For example, a resident who completed an internal medicine GME training program may decide to subspecialize in cardiology. The percentage of residents who later subspecialize varies based on specialty type.", "To operate and maintain GME training programs, teaching sites, including hospitals, health centers, medical schools, and other settings, incur medical education costs that can generally be categorized into two groups\u2014direct costs and indirect costs. Direct costs include, for example, residents\u2019 salaries and benefits; compensation for faculty who supervise the residents; and overhead costs. Indirect costs are the portion of higher patient care costs that teaching sites are thought to incur as a result of training residents, such as increased diagnostic testing and procedures performed. (See table 1.)", "While they may generate costs, residents may also produce financial benefits for a teaching site. Teaching sites may incur lower personnel costs because residents perform services at lower pay than more experienced clinicians or other health care professionals. And, residents may have more flexibility to work long or irregular hours. For example, residents can provide on-call services in lieu of fully trained physicians at a much lower cost to the teaching site. Residents may also increase the efficiency and productivity of faculty with whom they work by, for example, enabling the faculty to increase the number of patient services for which they can bill."], "subsections": []}, {"section_title": "Funding of GME Training through Federal Programs and State Medicaid Agencies", "paragraphs": ["Within the federal government, funding of GME training is fragmented. Most federal GME funding is provided through five programs\u2014Medicare GME payments, Medicaid GME payments, HRSA\u2019s CHGME and THCGME payment programs, and the VA\u2019s physician GME training programs. For most of the programs, the funding is formula-driven and essentially guaranteed if eligibility requirements are met. Each program uses a different methodology to determine the amount of payments to funding recipients, though there are some similarities between programs.", "GME training programs generally must be accredited by an independent organization in order to receive federal funding."], "subsections": [{"section_title": "Medicare GME Payments", "paragraphs": ["Medicare\u2014a federally financed program that provides health insurance coverage to people age 65 and older, certain individuals with disabilities, and those with end-stage renal disease\u2014pays for GME training. It does so through two mechanisms\u2014Direct Graduate Medical Education (DGME) payments and Indirect Medical Education (IME) payments\u2014both of which are formula-based payments set by statute. These payments are made to reflect Medicare\u2019s \u201cshare\u201d of the costs associated with providing GME training.", "Medicare DGME payments are made to cover a hospital\u2019s direct costs associated with GME training, such as stipends, supervisory physician salaries, and administrative costs. The payments are the product of a hospital\u2019s weighted 3-year average number of FTE residents, subject to a cap; a per resident amount (PRA); and the hospital\u2019s Medicare patient load\u2014the portion of a hospital\u2019s total inpatient bed days that were paid for by Medicare. In part to constrain spending, the Balanced Budget Act of 1997 capped, for most hospitals, the number of FTE residents that hospitals may count for DGME and IME payment at the number of FTE residents in place in 1996.", "Rather than reimburse teaching hospitals for actual direct costs incurred each year from training residents, DGME payments are calculated using a PRA. A hospital\u2019s PRA is based on its direct costs and its number of FTE residents when the PRA was set in a base year, which is fiscal year 1984 for most hospitals, and is adjusted annually for inflation. Congress set a base year for calculating DGME costs that would incentivize local providers to keep down their costs and for local communities to assume a greater role in the costs of medical education. After fiscal year 1984, for hospitals that did not previously have any approved residency programs or did not participate in Medicare but began doing so, a PRA for the hospital is established using direct costs the hospital reported that it incurred on its cost report during its base year, which is generally the first cost reporting year it began training residents. In general, each hospital has two separate PRAs\u2014a primary care PRA and a nonprimary care PRA\u2014whereby teaching hospitals receive slightly higher payments for residents training in primary care specialties.", "Medicare IME payments, which are made to cover a hospital\u2019s indirect costs associated with GME training, are an add-on to the hospital\u2019s Medicare reimbursement for each discharge. IME payments are not based on teaching hospitals\u2019 actual indirect costs. Rather, the adjustment is based on the number of FTE residents per hospital bed, referred to as the resident-to-bed ratio, and a statistically estimated factor that represents the incremental patient care cost due to providing GME training."], "subsections": []}, {"section_title": "Federal and State Medicaid GME Payments", "paragraphs": ["Medicaid is a joint federal-state program that finances health care coverage for low-income and medically needy individuals. While there is no federal requirement for state Medicaid programs to fund GME training, states may elect to recognize GME training costs as a component of the overall costs incurred by hospitals. And, payment for these expenses is shared by the federal government through federal matching funds. GME training costs may be reimbursed as an add-on adjustment to the state\u2019s payment rates to eligible providers or as an enhanced payment made as a lump sum supplemental to the initial payment rate."], "subsections": []}, {"section_title": "CHGME Payment Program", "paragraphs": ["Because children\u2019s hospitals treat very few Medicare patients and consequently receive few GME payments from Medicare, the CHGME Payment Program was created in 1999 and reauthorized through fiscal year 2018 to support pediatric and pediatric subspecialty GME training in freestanding children\u2019s hospitals. Unlike Medicare GME, which is a mandatory spending program, the CHGME program relies on discretionary spending. And, the total amount of payments available to each hospital varies from year to year depending on the total amount of funding made available from annual appropriations and the total number of hospitals that participate. The CHGME program makes both DGME and IME payments where one-third of program funds are allocated for DGME payments and two-thirds for IME payments. Both payments are calculated using formulas similar to Medicare. For example, the program\u2019s DGME payments are based, in part, on the number of FTE residents, subject to a cap, and an updated national standardized PRA. And, the IME payment is based, in part, on an estimated factor that represents the incremental patient care cost due to providing GME training, rather than the hospital\u2019s actual indirect costs."], "subsections": []}, {"section_title": "THCGME Program", "paragraphs": ["The THCGME program was created under the Patient Protection and Affordable Care Act and reauthorized through fiscal year 2017 to increase the number of primary care residents who trained in community-based, ambulatory patient settings. HRSA awards funds to eligible teaching health centers for the purpose of covering both direct and indirect GME costs of new or expanded community-based primary care residency programs. HHS established an interim annual payment rate of $150,000 per resident until it establishes formulas for determining the payments.", "However, the payment rate for THCGME recipients may fluctuate over time, depending on available appropriations, the number of eligible applicants, and the number of FTE residents supported. THCGME awards can supplement GME payments from other federal sources, including Medicare, Medicaid, and CHGME, but recipients generally cannot use funds to pay for the same portion of resident time that they used to count toward funding in these other GME programs."], "subsections": []}, {"section_title": "VA GME Program", "paragraphs": ["GME training is a statutory requirement of VA to enhance the nationwide supply of health care professionals and assists VA in the recruitment and retention of staff at its medical facilities. Nearly all of VA\u2019s GME training is conducted through academic affiliations with medical schools and teaching hospitals where residents from those institutions do clinical rotations at VA medical facilities.", "VA provides financial support for GME training at its facilities in two ways\u2014disbursement payments to its academic affiliates and educational support payments for its VA medical facilities. VA reimburses academic affiliates through disbursement agreements to cover the costs of stipends and benefits for the period of time that a resident serves in a VA medical facility. Reimbursement is based on the number of FTE residents completing a VA rotation and the approved per diem rate of the academic affiliates\u2019 stipend and benefit costs by residents\u2019 postgraduate year level of training. In addition, VA allocates a portion of VA-wide funding for educational support using a formula that accounts for the number of FTE resident positions and a per resident cost factor. According to VA officials, the funding is used to pay for compensation of faculty and other staff, overhead costs, and other costs necessary to host and manage the GME training at VA medical facilities."], "subsections": []}]}, {"section_title": "Federal Oversight of GME Funding", "paragraphs": ["Like its funding, federal oversight of programs that fund GME training is fragmented. Federal agencies are responsible for the management and oversight of their respective GME training program or programs. For Medicare, CMS uses regional contractors\u2014MACs\u2014to process and audit payments for health care items and services submitted by enrolled Medicare providers on their annual cost report, including Medicare DGME and IME payments. For example, MACs audit the number of FTE residents that hospitals report on their annual cost report by reviewing relevant rotation schedules. Hospitals claiming reimbursement for GME training are also required to submit Intern and Resident Information System (IRIS) files that provide data on each resident that the hospital trained, including the resident\u2019s specialty type, postgraduate year, and proportion of time spent on rotation at each training site.", "CMS is responsible for broad oversight of the Medicaid program, while states are responsible for the daily administration of their individual Medicaid programs, including program integrity activities. In its broad oversight role, CMS develops guidance and provides assistance to the states. However, state Medicaid programs are not required to make GME payments, and CMS has not established requirements or guidance specifically related to Medicaid GME payments. Instead, CMS reviews states\u2019 Medicaid payments to providers, including GME payments, as part of its review of Medicaid state plans.", "HRSA is responsible for the management and oversight of the CHGME and THCGME programs. Specifically, it is responsible for determining applicants\u2019 program eligibility, making payments, and auditing those payments. HRSA is also responsible for collecting information about, and reporting on, the performance of the CHGME and THCGME programs.", "Oversight of GME training at VA medical facilities is shared between the VA medical facilities and their academic affiliates. Through affiliation agreements, academic affiliates provide for the central administration of residents\u2019 stipends and benefits. Academic affiliates are also responsible for the overall quality of the GME training program, monitoring all resident educational activities, obtaining and maintaining accreditation, developing educational objectives and curriculum, selecting residents, creating resident rotation schedules, and submitting residents\u2019 schedules of educational activities to VA for reimbursement. VA has the responsibility of overseeing and managing clinical training in VA medical facilities, and must ensure that there are sufficient patient care opportunities, educational infrastructure, and qualified teaching physicians to accommodate trainees from the affiliates. Each VA medical facility must also track the educational activities of all residents, including the amount of time the resident spent training at its facility."], "subsections": []}]}, {"section_title": "Federal Agencies and State Medicaid Agencies Spent Over $16.3 Billion on GME Training in 2015, and the Amount Spent Per FTE Resident Varied", "paragraphs": ["Federal agencies and state Medicaid agencies spent over $16.3 billion on GME training in 2015 to support direct and indirect costs of training. The amount spent per FTE resident varied across programs, and the largest variation across payment recipients and regions was within Medicare due to variation in the values of factors used to calculate Medicare payment amounts. Almost half of participants received payments from more than one program, and the designs of federal programs may reduce the potential for duplicate payments."], "subsections": [{"section_title": "Federal Agencies and State Medicaid Agencies Spent Over $16 Billion on GME Training in 2015 to Support Direct and Indirect Costs of Training", "paragraphs": ["Federal agencies and state Medicaid agencies spent over $16.3 billion on GME training in 2015 through five federal programs and 45 state Medicaid agencies. Of this, the federal government spent $14.5 billion through Medicare, Medicaid, VA, the CHGME program, and the THCGME program. (See table 2). Most spending on GME training came from Medicare, accounting for 71 percent of federal spending, with over $10.3 billion in payments to teaching hospitals. Medicaid spending accounted for 16 percent of federal spending on GME training, or $2.4 billion. These federal Medicaid funds matched an additional $1.8 billion that Medicaid agencies in 45 states spent on GME training in 2015. (For information about state Medicaid agency and other non-federal sources of funding on GME training, see appendix I.)", "These payments supported both direct and indirect costs associated with GME training, though data were limited for some programs. We calculated that about one-third of Medicare payments were made to cover the direct costs of GME training. Similarly, HRSA reported that one-third of CHGME payments were made to cover direct costs. For the VA GME program, we calculated that 44 percent of payments were made to academic affiliates to reimburse them for resident salaries and benefits, a category of direct costs. HRSA does not separate payments for direct costs from those for indirect costs under the THCGME program. And, the data we received from state Medicaid directors did not separate them, though 8 of 45 states specifically reported paying providers for indirect costs in addition to direct costs.", "Providers in all 50 states and the District of Columbia received payments for training GME residents, but some regions received a notably higher amount compared to others. In particular, federal agencies spent $5.47 billion ($97 per-capita) in the Northeast region, which represents 38 percent of total federal spending, compared with the West where federal agencies spent $1.83 billion ($24 per-capita or 13 percent of total federal spending). (See table 3). State Medicaid agencies in the Northeast also spent significantly more on GME training than did agencies in other regions. Agencies in the Northeast spent $1 billion ($18 per-capita), whereas agencies in the West spent $120 million ($2 per-capita). Notably, New York accounted for about half (48 percent) of nationwide state Medicaid agency spending on GME and 86 percent of spending in the Northeast. Overall, GME spending was somewhat more concentrated in the Northeast than was the number of GME residents; in a May 2017 study, we found that 31 percent of GME residents were located in the Northeast. The Northeast was the only region for which the percentage of the GME spending in the region was higher than the percentage of GME residents.", "Available data show that almost all spending on GME training (99 percent) went to recipients located in urban areas. However, it is likely that more than 1 percent of spending was used to support training in rural areas; data limitations in HHS and state Medicaid agency data preclude calculation of the amount of spending on GME training in rural areas. The data we received from HHS listed only the direct recipient of the payments, such as a hospital or a medical school, which can arrange rotations at other teaching sites that may be located in rural areas.", "Data limitations also preclude calculation of the overall amount of spending on GME resident training in specific specialties, such as primary care. With data that were available, we found:", "Of the 10,367 FTE residents that VA funded, 53 percent were training in a primary care specialty. We also estimated that 52 percent of VA\u2019s spending supported primary care training.", "The THCGME program is intended to train residents in primary care, with 100 percent of the $76.3 million used to support 630 primary care residency positions.", "HRSA reported that 43 percent of the 11,667 trainees supported by CHGME funds trained in general pediatrics or combined pediatrics programs. HRSA did not report how much it spent on primary care training, or the number of FTE residents training in primary care specialties.", "Of the 87,980 FTE residents that Medicare funded, 44 percent were denoted as primary care residents. However, Medicare is likely supporting more residency positions than these data indicate, and these residents are unlikely to be training in primary care. The program counts each resident pursuing additional training, such as a resident training in a subspecialty, as half of an FTE when calculating DGME payments."], "subsections": []}, {"section_title": "The Amount Paid Per FTE Resident Varied Across Programs, and the Largest Variation Across Recipients and Regions Was within Medicare", "paragraphs": ["We found that in 2015, the average amount that a program paid per FTE resident ranged from $34,814 for Medicaid GME payments to $137,491 for the VA GME program. (See table 4.) Programs use different methods to calculate how much to pay providers on a per resident basis, thus payment amounts are not comparable across programs. For example, Congress appropriated funding for the THCGME program for each of the fiscal years 2011 through 2017 and eligible entities received the same amount per FTE resident. In contrast, Medicare GME payments to eligible entities are determined according to formulas that take many factors into account, including the share of a hospital\u2019s patients that are covered under Medicare. Consequently, the amount that Medicare pays recipients varies widely based on variation in the values of factors used to calculate payments. Nationwide, hospitals received $116,997 on average from Medicare for each FTE resident, and the middle 50 percent of hospitals received between $85,478 and $150,610.", "Given the wide variation in overall Medicare per FTE resident payment amounts by hospital, we examined variation among regions and states.", "Regionally, the average total Medicare per FTE resident payment ranged from $127,503 in the Midwest to $87,172 in the West. (See table 5.)", "Across individual states, the average total Medicare per FTE resident payment amount ranged from $65,672 in California to $170,591 in New Hampshire. (See fig. 1.)", "Some of this variation is due to significant variation in the values of certain factors used to calculate Medicare DGME payments\u2014specifically, the PRA and Medicare patient load. (See table 6.)", "The Medicare PRA varies among recipients and across regions, though to a lesser degree than the overall per FTE resident payment. For example, the average PRA for the middle 50 percent of primary care residents ranged from $87,962 to $117,144 per FTE resident, compared to $85,478 to $150,610 for the overall per FTE resident payment. The PRA also varied by region and, as with the overall payment amounts, the average PRA was lowest in the West. However, in contrast to the nationwide average per FTE resident payment, which was highest in the Midwest, the recipients in the Northeast had the highest average PRA.", "The Medicare patient load also varies across regions, which affects DGME payments. Medicare DGME payment recipients in the West reported an average Medicare patient load of 24 percent, which is significantly lower than the 34 to 36 percent reported in other regions.", "A hospital\u2019s Medicare patient load also affects Medicare IME payments per FTE resident. A hospital\u2019s IME payment is calculated by increasing Medicare\u2019s payments for inpatient services to a hospital by an IME adjustment factor. Therefore, a hospital that received more Medicare payments for inpatient services will receive a larger IME payment."], "subsections": []}, {"section_title": "About Half of GME Program Participants Received Payments from More than One Program", "paragraphs": ["Over half (51 percent) of providers that participated in any of the five GME programs received payments from more than one federal program. For example, 69 percent of providers that participated in Medicare also participated in another program, and 84 percent of CHGME awardees participated in another program. However, in each case, these programs provided most of these recipients\u2019 total funding (74 percent and 66 percent respectively). In contrast, recipients of Medicaid or VA payments also generally participated in another program, but received only 22 percent and 10 percent of their total funding for GME training through Medicaid and VA, respectively. (See table 7.)", "Though the high portion of providers that receive payments from multiple sources creates the potential for providers to receive duplicate payments, this risk of duplication is reduced by the programs\u2019 designs.", "The CHGME program was established for children\u2019s hospitals because they did not traditionally receive significant Medicare GME payments.", "The THCGME program provides payments to outpatient facilities, whereas residency training has been, in general, hospital based.", "VA only pays for residents\u2019 time spent training at a VA medical facility, and not for time residents spent training in non-VA settings that may receive other federal payments for GME training.", "Medicare adjusts all DGME payments by the ratio of a hospital\u2019s patients covered under Medicare.", "CMS has not established requirements or guidance specifically related to Medicaid GME payments, including how the payments are to be calculated. However, 10 states adjust payments by the ratio of a teaching site\u2019s patients covered under Medicaid."], "subsections": []}]}, {"section_title": "GME Training Costs Vary by Residency Program Characteristics, and Teaching Sites Face Challenges in Measuring These Costs", "paragraphs": ["GME training costs vary by program characteristics, such as size, type, training setting, and age, and some training costs are more prone to variation than others. Challenges exist in measuring and comparing GME training costs due to a lack of standard cost methodologies across teaching sites and some training costs being difficult to measure. Further, little is known about how GME training costs relate to federal GME funding."], "subsections": [{"section_title": "GME Training Costs Vary by Program Size, Type, Setting, Age, and Location", "paragraphs": ["According to literature we reviewed and experts we interviewed, GME training costs vary by residency program characteristic, and some costs, such as faculty teaching time, are more prone to variation than others. Specifically, variation in training costs can be explained by one or more of the following program characteristics:", "Program size: Larger residency programs may be more cost efficient than smaller ones in that fixed costs, such as infrastructure and program administration, can be spread out over a larger number of residents. Therefore, adding another resident increases variable costs, but lowers per resident fixed costs.", "Type of Specialty: Residency training in some specialties costs more than others, and accreditation requirements are one of several factors driving this variation. For example, compared to internal medicine programs, accreditation standards for family medicine programs require more hours of faculty involvement and higher faculty-to- resident ratios. Therefore, these residency programs may incur higher per resident costs. The complexity of a specialty program also affects its training costs\u2014for example, subspecialty programs, such as vascular surgery or gastroenterology, require additional GME training or specialized equipment and will thus incur more training costs. In addition, costs can be affected by variation in faculty compensation. According to a 2013 analysis of available data on residency training costs, the median compensation for attending physicians in academic health centers ranged from $163,319 for family medicine to $336,136 for radiation oncology. Further, malpractice insurance premium costs can vary based on the degree of surgical involvement, with primary care specialties having the lowest premium costs and general surgery physicians the highest.", "Type of Training Setting: GME training in outpatient settings, such as community-based clinics, is considered less efficient and more expensive than in inpatient hospital settings, according to reviewed literature and experts we interviewed. One reason for this may be differences in the models of teaching used in each of these settings. According to one group of experts we interviewed, residents in inpatient settings are part of teams that do rounds together, where much of the teaching time involves one clinical teacher and a team of residents, nurses, and other affiliated professionals. This method of teaching may not be feasible in outpatient settings where teaching is more often provided on a more expensive one-to-one basis. Outpatient settings, particularly smaller ones, may also have to incur more fixed costs relative to inpatient settings that may have more facility space and other resources in place to meet accreditation requirements.", "Location: Geographic location also drives the variation in training costs. For example, resident salaries vary based on general salary patterns across the United States. According to one group of experts we interviewed, there is a range of compensation packages for residents, and base salaries can vary from $35,000 to $55,000 per year. Malpractice insurance may also vary by geographic location. Further, rural training sites may incur higher costs because their training may have to utilize multiple training sites\u2014such as community hospitals or rural health clinics\u2014in order to meet accreditation requirements for resident rotations and patient case-mix. The added administrative work of coordinating with other sites to provide these resources can be a challenge.", "Age of the program: Newer residency programs may have higher costs than older, more established programs. According to some GME experts we interviewed, the first year a teaching site operates a residency program is more expensive because new programs may be smaller and cannot spread out fixed costs. In addition, it can be expensive for a new GME program to meet accreditation requirements, such as required infrastructure and minimum faculty.", "Studies estimating GME training costs show these costs vary by program characteristics. For example, we identified 10 studies that estimated GME training costs; however, these studies were not comparable because they focused on discrete programs with different characteristics, utilized different methodologies, were conducted at different points in time, and did not examine the same cost elements. Further, these studies are not generalizable due to limitations in study methodology, such as small sample sizes. And, given the age of some of these studies, they may not be reflective of current GME training costs. Across the 10 studies we reviewed, estimates of costs ranged from $35,164 to $226,331 per resident. (See table 8.)", "The Medicare cost reports that hospitals submit annually to CMS, though they have certain limitations, also suggest variability in residency training costs. For example, according to the cost reports, in 2015, direct costs varied from $56,998 to $333,565 per resident (excluding outliers). (See table 9.) However, these costs are limited to direct GME costs specified in Medicare guidance, and they have other limitations due to their collection and reporting."], "subsections": []}, {"section_title": "Challenges Exist in Measuring and Comparing GME Training Costs and Little is Known about their Relationship to Federal GME Funding", "paragraphs": ["We found that there is no standard method or tool across teaching sites for identifying and capturing GME training costs. One expert told us that, therefore, the reporting of costs depends on how each teaching site, and the individuals at each site, are tracking and defining those costs. Another group of experts who conducted a study to estimate GME training costs in teaching health centers told us they were unable to identify a common instrument and had to develop their own instrument to standardize costs.", "According to literature we reviewed and experts we interviewed, Medicare GME guidance for reporting training costs is not always clear, and differences in how teaching sites define costs can lead to inconsistent measurement. One expert told us that Medicare GME payment rules are subject to interpretation, and thus there is variation between teaching sites in how costs are reported on Medicare cost reports. Other GME experts told us that many teaching health center residency programs rely on in-kind benefits, such as building space donated by organizations, but health centers vary in how they account for the costs of these benefits. Some teaching health centers will score them as in-kind contributions, others will provide a square footage cost amount, and others may not track and report these costs at all. While one group of experts suggested there be national guidelines to ensure all teaching sites are using the same rules to define and report costs, one expert cautioned that a common tool would make it impossible to reflect the unique characteristics of each program.", "Factors specific to teaching sites may affect how they identify their training costs. The varying relationships and financial arrangements between the teaching site, its partners, and its faculty affect how it allocates and reports training costs. For example, a teaching site may have various educational partners, such as medical schools and community-based training sites, and be affiliated with multiple hospitals, each of which tracks costs differently. Teaching sites differ in how they share training costs with these partners. In addition, faculty arrangements vary. For example, in some cases faculty are employees of the teaching site and in other cases, faculty bill for their services independently. Moreover, facilities vary in the experience of their personnel responsible for identifying GME training costs. For example, program directors may not have the financial experience needed to identify costs, and some teaching sites may use outside consultants to identify costs. Turnover in the staff responsible for tracking costs, lack of communication between program staff and the accounting departments, or a change in ownership of the teaching site may add to the challenge of accurately identifying costs.", "According to studies we reviewed and experts we interviewed, some GME training costs are difficult to accurately identify and measure. For example:", "Faculty Costs: Faculty responsibilities are spread out across education, research, administrative, and patient care activities, and the time spent in each activity is not always clear. The only allowable faculty costs on Medicare cost reports are those for education-related activities, such as the clinical supervision of residents. For example, if a faculty member performs a procedure while doing rounds with residents, the teaching site must determine how much of that time was for patient care and how much was for education. However, making this determination can be challenging for teaching sites. One group of experts told us that while most teaching sites have a formula to calculate these education costs, they are most likely an undercount. However, another expert said that officials preparing the cost reports are not systematically splitting faculty time between education and patient-care activities and are most likely guessing.", "Facility Costs: MAC officials told us that facility costs that hospitals report on their cost reports should be allocated based on square footage, building depreciation, and utility costs, but there is some variation in how teaching sites calculate their square footage. Further, as previously described, donated building space may not be accurately identified by teaching sites. Experts who conducted a study to estimate teaching health center program costs told us that several centers in their study were not accustomed to thinking of donated space as a residency program expense.", "Indirect Medical Education Costs: There is not a clear and consistent definition of the indirect medical education costs, and there may be variability in these costs. Furthermore, there is little incentive for teaching sites to accurately identify these costs because Medicare does not require them for purposes of determining IME payments, according to one reviewed study. As a result, it is unclear what indirect costs the Medicare IME payment adjustment is meant to cover. Additionally, experts told us that it is difficult to measure the extent to which costs associated with the unique services that teaching sites provide, such as stand-by services or their role as a safety net provider, are attributable to GME training.", "Resident benefits for teaching site costs and productivity: The benefits that residents provide can generate cost savings and revenue for the teaching site, yet the extent of these benefits can be difficult to calculate. According to one study we reviewed, the value that residents provide cannot be measured directly; rather, the value is reflected in the teaching site\u2019s patient care costs and on the clinical productivity of attending physicians. One expert we interviewed said that identifying when residents move from a cost to a financial benefit is complicated and depends, for example, on a resident\u2019s year of training and residency program requirements. Also, the value of resident services can vary by specialty. For example, residents in general surgery or internal medicine provide more on-call services than residents in dermatology or radiation oncology. Although the cost savings and revenue generated by residents has an effect on the net costs of GME training, it is typically not accounted for when estimating costs.", "In addition to these challenges, federal agencies do not systematically collect and standardize cost information at the national level, according to literature we reviewed and experts we interviewed. For example, a HRSA study identified training costs in teaching health centers, but the study only captured costs over one year and did not include all THCGME programs. Further, in addition to inconsistencies in how teaching sites collect data for Medicare cost reports, the data do not include the revenue impact and actual indirect costs associated with training residents and cannot be broken down by specialty programs. In addition, they are not a comprehensive source of training costs because they are limited to teaching sites that received Medicare GME payments. It does not include other teaching sites, such as medical schools, teaching health centers, and teaching hospitals that may have only received other federal funding for GME training, such as VA GME payments. Finally, because Medicare cost report data are not generally used to calculate GME payments, they are not reviewed or audited by contractors except when new teaching sites establish their base year PRA.", "Further, teaching sites may not have accurately reported costs used to calculate Medicare DGME payments. According to experts we interviewed, at the time that most teaching sites established the base year PRAs used to calculate DGME payments, teaching site accounting practices and their varying financial relationships with affiliated education partners may have led them to over-report or under-report their costs. As a result, there is variation in sites\u2019 PRAs, which may not reflect actual variation in direct costs. To identify how the PRA compares to reported direct training costs, we compared teaching site PRAs with the direct training costs that they reported for 2015 (though reported costs may not accurately reflect all GME training costs, as previously noted). For teaching sites in the median range, their Medicare DGME payment covered 67 percent of their reported direct training costs in 2015. However, we found wide variation across teaching sites\u2014the PRA ranged from 31 to 157 percent (excluding outliers) of teaching sites\u2019 reported direct costs. (See table 10.)", "In addition to the challenges of identifying and comparing costs, little is known about their relationship to federal GME funding. Some studies have analyzed federal GME funding relative to GME training costs but do not consistently indicate whether federal payments accurately reflect training costs. For example, both the Medicare Payment Advisory Commission and HHS found that the Medicare IME payment adjustment exceeds the actual indirect costs that teaching sites incur from operating GME programs. The studies recommended modifying the IME payment adjustment. However, another study found that indirect medical education costs and other costs, such as stand-by services, add to patient care costs in teaching hospitals, and concluded that a reduction in the Medicare IME payment adjustment could result in insufficient Medicare payments to cover these costs. Other studies found that federal funding is lower than actual program costs. For example, one study estimated the per resident training cost in teaching health centers in fiscal year 2017 to be $157,602, compared to the $95,000 per resident that was being provided in federal funding. Another study found that their average $183,138 per resident cost estimate for internal medicine programs of 120 residents exceeded Medicare DGME payments in 2012 by approximately $160,000 per resident, and noted that other sources of funding, including Medicare IME payments, subsidized training costs.", "The relationship between training costs and federal GME funding is complicated by the nature of how most GME payments are made. For example, with respect to Medicare GME payments, the largest source of federal GME funding, payments are not based on actual costs, and there are no reporting requirements for how teaching sites use the payments. Specifically, teaching sites distribute these payments depending on their needs and the needs of their affiliates, making it difficult to understand the relationship between GME funding and training costs."], "subsections": []}]}, {"section_title": "Information the Federal Government Collects to Manage Programs Is Not Sufficient to Comprehensively Understand Its Investment in GME Training", "paragraphs": ["Agencies generally collect information to manage their respective programs, ensure the accuracy of payments, and reduce the potential for duplicative payments within or across federal programs that fund GME training. However, HHS does not have sufficient information available to comprehensively evaluate the federal programs that fund GME training, identify gaps between federal GME programs\u2019 results and physician workforce needs, and make or recommend to Congress changes in order to improve the efficient and effective use of federal funds."], "subsections": [{"section_title": "Each Federal Agency Generally Collects Information Needed to Manage Its Respective Program and Ensure Payment Accuracy", "paragraphs": ["Federal agencies generally collect information to manage their respective programs and ensure the accuracy of payments. To manage their programs, agencies use information, such as the total number of FTE residents and training costs, to calculate payments. For example, VA medical facilities use information that academic affiliates report about the costs of their resident salaries and benefits to set payment rates used to reimburse the affiliates. And, information about individual residents is used to verify that recipients accurately reported, according to resident counting rules, the number of FTE residents used to calculate payments. For example, MACs use IRIS data about residents\u2019 number of years completed in all types of GME training programs to verify that residents who have completed their initial residency period were only counted as half (50 percent) when determining the DGME payment amount. (For a summary of the information that agencies collect for each of the five programs we reviewed, see appendix II. See table 11 for a summary of how agencies use the collected information.)", "In contrast to the other programs, states establish and administer Medicaid GME payment policies and CMS generally collects limited information about states\u2019 Medicaid GME payments. CMS does not use this information except to determine the amount of federal matching funds for each state. While state Medicaid agencies report the aggregate amount of GME supplemental payments they make to CMS, there are no federal requirements that states or teaching institutions report information about supplemental payments at the provider level, the aggregate or provider-level amount of add-on adjustments to the state\u2019s payment rates for GME training, or how these payments support GME training. Rather, CMS officials said that states have the option to collect information about Medicaid GME payments. However, of the 45 state Medicaid agencies that reported on our survey that they paid for GME training, less than half (20 states) indicated that they require funding recipients to report any information related to Medicaid GME payments, such as the number or type of residents supported.", "While the risk of duplication is reduced by each program\u2019s design, federal agencies also use the information collected to identify duplicative payments within and between most of the federal programs, with the exception of Medicaid. For example, IRIS data is used to identify whether more than one hospital claimed the same resident\u2019s time for purposes of Medicare GME payments. Also, according to HRSA officials, contractors conduct assessments of the FTE resident counts reported by recipients of CHGME or THCGME program funding to identify duplication with FTE residents reported for Medicare GME payments. For example, HRSA officials told us that its combined academic years 2012-2013, 2013-2014, and 2014-2015 FTE assessment of the 59 teaching health centers in the THCGME program identified 6 centers, from 3 unique organizations, that had a combined total of 6.63 FTE residents that were duplicative with Medicare FTE resident claims, out of over 1,000 FTE residents reviewed over that 3-year time period. In addition, HRSA has worked with CMS to maintain data for this assessment. For example, at HRSA\u2019s request, CMS added a field to the cost reports to check whether any residents from a teaching health center rotated to the hospital and, if so, the number that rotated from a teaching health center. However, these agencies do not have procedures in place to identify potentially duplicative payments between their programs and Medicaid GME payments, which totaled $2.3 billion in federal Medicaid spending in 2015. There is no federal requirement that CMS identify potentially duplicative payments between Medicaid GME payments and other federal GME programs. And, without better data collected about Medicaid GME payments, there is limited information available to identify potentially duplicative payments between, for example, HRSA\u2019s GME programs and Medicaid GME payments.", "HRSA and VA, which combined provided 13 percent of total federal GME funding in 2015, use the information collected for ongoing program performance measurement and program evaluation. HRSA evaluates the performance of its payment programs. To do so, HRSA collects information on program outcomes, such as whether supported residents received training in, or went on to practice in, a medically underserved area, a primary care setting, or rural area. HRSA uses these performance measures for ongoing evaluations, for internal and congressional reporting, and in its budget justification. In addition, HRSA is authorized to implement a quality bonus system for the CHGME program, which it plans to do by fiscal year 2019. VA issues a survey to VA residents to assess, among other things, a resident\u2019s likelihood of considering a future employment opportunity at a VA medical facility. VA medical facilities are required to collect detailed records of residents\u2019 participation in assigned educational activities and they must evaluate each resident according to accrediting body requirements, such as patient care and medical knowledge. VA medical facilities are also required to produce an annual report on each GME training program that includes, among other things, the accreditation status of its GME training programs, its response to results of the resident satisfaction survey, and opportunities for improvement in residents\u2019 education.", "CMS, however, does not use the information it collects for Medicare or Medicaid to evaluate the performance of these programs toward meeting physician workforce goals, even though they accounted for 87 percent of federal GME spending in 2015. As noted, Medicaid programs are administered at the state level. For Medicare, CMS officials said that their goal is to ensure hospitals are paid according to the GME statutes and regulations. It does not use information collected to evaluate the performance of Medicare GME payments, such as evaluating the number of residents supported by specialty or whether residents went on to practice in rural areas, primary care, or in medically underserved areas. The officials further noted that Medicare is an insurance program, and not among the health care workforce programs that are under the purview of HRSA. Although CMS officials told us that they coordinate with HRSA regarding Medicare GME payments, HRSA does not conduct research to inform GME policy related to CMS\u2019s GME payments. Also, in a 2015 report, we found that HHS lacks performance measures of Medicare GME payments that are directly aligned with areas of health care workforce needs identified in HRSA workforce projections."], "subsections": []}, {"section_title": "Agencies Do Not Collect Sufficient Information for HHS to Comprehensively Understand the Federal Investment in GME Training", "paragraphs": ["Information that agencies collect is not always complete, especially information about Medicaid GME spending. As previously noted, CMS collects limited information about the amount of Medicaid GME payments and how these payments support GME training, such as the number or type of residents supported. In addition, agencies did not collect or use the following information, with some exceptions, to understand the federal investment in GME training:", "Payment Amounts by Recipient Characteristics: With the exception of HRSA\u2019s CHGME and THCGME programs, agencies do not collect information on payment amounts to training programs with specific characteristics, such as payment amounts by the type of training programs supported. This information would be needed, for example, to compare the payment rates of each program to the costs of training residents in the teaching sites supported.", "GME Costs and Revenues: Agencies did not collect information about funding recipients\u2019 indirect costs or revenue generated from resident activities, with the exception of HRSA\u2019s THCGME program. Also as previously noted, the costs that hospitals are required to report annually on their Medicare cost report may not be complete or consistent, nor, according to CMS officials we interviewed, is this information audited and used except in limited cases. No information is collected by CMS about direct or indirect training costs incurred by recipients of Medicaid GME payments, and only eight state Medicaid agencies reported on our survey that they require recipients to report information about their direct costs.", "Output or Outcome Measures: Unlike HRSA and VA, CMS does not collect information for the GME training programs that it supports through Medicaid to assess outputs or outcomes related to health care workforce planning. In addition, while CMS uses IRIS to collect information on the number and type of residents and their number of years completed in all types of GME training programs of residents supported by Medicare GME payments, it does not use it to understand the output of such spending or for health care workforce planning. CMS also does not collect information on the outcomes associated with Medicare GME payments, such as whether residents who were supported by Medicare went on to practice primary care specialties or in rural or medically underserved areas. Further, although HRSA collects data about the outcomes of its CHGME and THCGME programs, this information is self-reported by funding recipients. However, HRSA officials told us that it has taken steps to validate the information reported. For example, it has started to collect residents\u2019 national provider identifiers for residents supported by the CHGME and THCGME programs, which is used to validate resident FTE counts and reported outcomes, such as whether residents went on to practice in primary care.", "Quality Measures: Agencies generally require that GME training programs be accredited in order to receive funding, and accrediting bodies are responsible for evaluating the educational quality of GME training programs. In addition, HRSA and VA collect some information about the learning experiences of residents in GME training programs supported, such as whether residents received training in certain topic areas. HHS and its advisory bodies have proposed tying federal funding to the performance of the programs. For example, the President\u2019s budget proposals for fiscal years 2015, 2016, and 2017 for HHS proposed to Congress that it be allowed to set standards for teaching hospitals that receive Medicare GME payments to emphasize skills that promote high quality and high value in health care. In addition, the National Academy of Medicine has called for improved measures of the performance of GME training programs, and as of October 2017, it had an initiative to identify quality and other measures, such as residents\u2019 competency or patient outcomes of care provided by residents.", "Information is also not always consistently collected within programs or standardized across programs. For example, VA medical facilities report information centrally to VA about their total payments to academic affiliates, but they inconsistently used accounting codes to report the total amount that they spent and did not report the amount they paid each academic affiliate, limiting the reliability of data VA collects on the total amount spent on GME. Additionally, VA medical facilities are required to report annually to VA their approved payment rates that each affiliate charges, but VA was unable to provide payment rate schedules for all affiliates in fiscal year 2015. Across all agencies, information about the number of FTE residents supported was collected at, and for, generally different points in time and through different reporting systems. (See table 12.) For example, HRSA generally collects FTE resident information through applications or supporting documentation prior to and at the end of a fiscal year, while VA collects such information in monthly or quarterly invoices throughout an academic year. And, CMS collects similar FTE resident information through cost reports and IRIS files based on each hospital\u2019s own cost reporting period, which can vary by hospital. In addition, the five federal programs do not consistently use the same unique identifiers for their funding recipients, such as a hospital\u2019s Medicare provider identification number, or individual residents supported, such as their national provider identifier, which limits the ability to link data across programs.", "In some cases, data collection may vary across the various GME programs based on program requirements. Additionally, GME funding recipients may be required by law to report certain types of information for some programs, but not for others. For example, THCGME recipients are required to report on the number of residents trained at the health centers who completed their residency and care for vulnerable populations living in underserved areas. Relatedly, CHGME funding recipients are required to report the number of residents trained at the hospital who completed their residency training and care for children within the service area of the hospital or state in which the hospital is located. No similar requirements apply to Medicare GME recipients.", "Because the information that agencies collect is not always complete or consistent, HHS does not have sufficient information available to comprehensively evaluate the federal programs that fund GME training. As a result, HHS cannot identify problems and make or recommend changes to Congress in order to improve the efficient and effective use of federal funds. Under leading practices we derived from GPRA and GPRAMA and federal standards for internal controls, agencies should identify and collect complete and reliable information needed to evaluate the performance of federal programs, while balancing the administrative costs of such efforts. In addition, agencies should use that information to monitor performance of programs in order to identify problems and make changes or recommendations to Congress for improvements. Improvements in the performance monitoring can enhance and sustain collaboration and reduce fragmentation within and across federal agencies that administer programs that fund GME training. However, because of limitations with the information agencies collect, HHS does not have information available to comprehensively understand across all programs that fund GME training, for example, the: 1. Total amount that the federal government spends on GME training that includes total Medicaid GME spending and the total amount VA medical facilities paid to academic affiliates; 2. The amount the federal government paid each recipient for GME training, such as the amount paid to each VA academic affiliate; 3. Distribution of funding\u2014that is, the amount of funding by GME training program characteristics, including program type; 4. Extent to which the net cost of training residents, including the variation in costs along different factors that were previously discussed, are accurately represented by formulas used to calculate payments; 5. Output and outcomes of GME training funded by federal programs\u2014 that is, how many and what type of residents the federal government supports, where those residents trained and went on to practice, and whether those residents will help address future health care workforce needs; and 6. Quality of GME training programs that are supported by the federal government, such as whether residents participated in certain educational activities or the practice readiness or competence of residents who completed GME training programs supported.", "HHS\u2019s advisory bodies and stakeholders have made calls for improvements in the accountability and transparency of federal programs that fund GME training. For example, the Medicare Payment Advisory Commission recommended greater accountability and transparency for Medicare GME payments by making information about Medicare GME payments and teaching costs available to the public. And, the National Academy of Medicine recommended that a GME Center within the Centers for Medicare & Medicaid Services be created to be responsible for, among other things, data collection and detailed reporting to ensure transparency in the distribution and use of Medicare GME payments."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The federal government is an important source of funds for GME training, and through its funding and workforce planning efforts, HHS, as the largest funder of GME training, has an important role in ensuring federal programs are meeting the nation\u2019s workforce needs. For HHS to carry out the comprehensive planning approach that we recommended in 2015, complete and consistent information on GME training is important. However, the information currently collected is insufficient for this purpose. For example, HHS lacks comprehensive information on the total number and specialty type of residents supported by all of the federal programs that fund GME training. But, HHS may have the opportunity to improve the information that its component agencies collect about how federal funding is used to support GME training to determine whether these programs are meeting these needs. New data collection efforts could potentially increase certain administrative costs for the federal government and providers. However, unless HHS collects more complete and consistent information, it will be limited in its ability to conduct comprehensive, ongoing evaluations of the federal government\u2019s $14.5 billion annual investment in GME training. Such evaluations could allow HHS and other federal agencies to make programmatic changes, or make recommendations to Congress if legislative authority is needed, to improve the cost effectiveness of current federal funding. In addition, collecting more complete information could help HHS and other federal agencies better manage fragmentation in spending, management, and oversight of federal programs that fund GME training."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following two recommendations to HHS: The Secretary of HHS should coordinate with federal agencies, including VA, that fund GME training to identify information needed to evaluate the performance of federal programs that fund GME training, including the extent to which these programs are efficient and cost-effective and are meeting the nation\u2019s health care workforce needs. (Recommendation 1)", "The Secretary of HHS should coordinate with federal agencies to identify opportunities to improve the quality and consistency of the information collected within and across federal programs, and implement these improvements. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to HHS and VA for comment. In its comments, reproduced in appendix III, HHS concurred with our two recommendations to identify and improve information collected to evaluate the performance of federal GME programs. HHS noted that the President\u2019s fiscal year 2019 budget for HHS, released on February 12, 2018, proposed consolidating federal spending from Medicare, Medicaid, and the CHGME Payment Program into a single grant program for teaching hospitals. The proposed program would be jointly operated by CMS and HRSA and grant HHS authority to modify GME payment amounts based on criteria, including addressing health care workforce shortages. HHS stated that the program would allow the department to set priorities, reward performance, and align reporting metrics across its GME efforts. HHS indicated that, if the Congress adopts this proposal, it could work toward addressing both recommendations. It is important to note, however, that the recommendations in this report stand on their own and are separate from any efforts to modify how federal GME funds are distributed. Whether or not legislation is enacted to implement a consolidated federal GME grant program, HHS still needs to take actions to improve the information that agencies collect about how federal funding is used to support GME training. Such actions are important for HHS to assess the cost effectiveness of federal efforts to help meet the nation\u2019s physician workforce needs.", "HHS also provided technical comments, which we incorporated as appropriate.", "In its comments, reproduced in Appendix IV, VA said that it has significant relationships with other federal funders of GME, including HRSA. In addition, VA said it looks forward to further dialogue with other agencies to better share GME information. VA did not provide technical comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 20 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services and the Secretary of Veterans Affairs. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or cosgrovej@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: State Medicaid Agency and Other State and Private Sources of Graduate Medical Education Funding", "paragraphs": ["In addition to federal funding, state governments\u2014including state Medicaid agencies\u2014and private sources also support graduate medical education (GME) training. However, little is known about these other sources. Therefore, we analyzed Medicare cost report data to determine the extent to which teaching hospitals were operating above their FTE resident caps in 2015\u2014an indication of the extent to which hospitals may receive other sources of GME funding, such as state or private sources. We also surveyed state Medicaid Directors from 50 states and the District of Columbia to collect information on how and the extent to which states paid for GME training through Medicaid payments, and the states\u2019 related reporting requirements and oversight activities. As part of our interviews with experts from research and industry organizations, we asked about state and private sources of funding for GME training and what is known about the amount of such funding.", "Teaching hospitals likely utilize state and private sources of funding, as well as other federal funding, to pay for residents beyond those paid for by Medicare\u2014the largest federal funder of GME training. Hospitals have continued to add residents over time even though for most hospitals Medicare capped funding based on their number of full-time-equivalent (FTE) residents in 1996. In 2015, about half of teaching hospitals that receive Medicare GME payments had expanded their GME training programs above their Medicare FTE cap, and the extent to which they operate above their cap varied by hospital. We found that 47 percent of teaching hospitals were operating their GME training programs above their Medicare FTE cap on direct GME (DGME) payments. These hospitals had an average of 30.8 additional FTE residents above their DGME cap, ranging from 1.0 to 284.3 additional FTE residents.", "Most states (45) paid for GME training through their Medicaid programs in 2015; however, states varied in the payment model that they used to make Medicaid payments for GME training, though most used fee-for- service payments, including supplemental payments. Of the 45 state Medicaid agencies that paid for GME training, 25 states did so through fee-for-service payments only; 19 states did so through both fee-for- service and managed care payments; and 1 state (New Jersey) made managed care payments only.", "Of the 44 states that paid for GME through Medicaid fee-for-service payments, 21 states paid as an add-on to its fee-for-service rate, and 31 states paid through lump sum supplemental or other payments.", "Of the 20 states that made Medicaid managed care payments for GME, 12 paid teaching sites directly and 10 states made GME payments through managed care plans.", "Of the 19 states that paid for GME through both Medicaid fee-for- service and managed care, fee-for-service GME payments made up 48 percent of all Medicaid GME payments, on average, while managed care payments made up 52 percent. (See table 13.)", "While some states followed the Medicare formula for calculating GME payments, most have deviated from this method. Of the 43 states that responded about how they calculated the amount of GME payments, 10 states reported that they followed the Medicare GME payment formula to calculate Medicaid fee-for-service payments for GME training. In addition, two states followed Medicare\u2019s formula for making managed care payments for GME training. Most states (32) followed another method.", "Medicaid GME payments per FTE resident varied by state and within states, even after adjusting for geographic differences in labor costs. Specifically, the average combined federal and state payment per FTE resident ranged from $2,108 in Rhode Island to $100,587 in Arizona. (See table 14.) The payment per FTE resident also varied within states. The Medicaid payment per FTE varied the most within Ohio, where the state reported payments ranging from $1,415 per FTE to $453,098 per FTE.", "About half of the states (22 of 45) reported that they specified the type of expenses that its Medicaid GME payments were intended to cover. Of these 22 states, payments were intended to cover the costs of residents\u2019 salaries and benefits (14 states), faculty salaries and benefits (11 states), program administration costs (10 states), or indirect medical education costs (8 states).", "Some state Medicaid agencies have tied their payments to incentives to expand the physician workforce. Of the 45 states that reported Medicaid GME payments in 2015, 4 states\u2014Alabama, Montana, New Mexico, and South Dakota\u2014reported that they restrict payments to the training of primary care physicians only. (See table 15.) An additional 9 states required that the funding recipient have a primary care residency program. In addition, according to experts we interviewed, states have been considering how to target Medicaid GME payments to meet state workforce needs. For example, one expert said some states have used Medicaid payments to expand GME training of physicians in outpatient, ambulatory care settings. However, Medicaid GME payments generally go to hospitals. Specifically, 44 of the states reported making payments to hospitals and 7 states paid other teaching sites, such as teaching health centers. The one state that did not make payments to teaching hospitals directed all Medicaid payments for GME training to medical schools. Further, one expert we interviewed told us that it is difficult for states to change their GME financing models to direct funding to specific workforce goals because hospitals are reliant on state GME payments to support certain residency positions. Instead, states have used a moderate approach, such as providing additional funding targeted to specific training, rather than a complete funding overhaul that would redistribute existing funds.", "Despite the significant investment in GME training by state Medicaid agencies, which is matched by the federal government, the extent of state oversight of Medicaid GME spending varied by state. As previously mentioned, less than half of the states (20 of 45) required teaching sites that received Medicaid GME payments to report information to the state. (See table 16.) Among these 20 states, 16 required recipients to report information on the number of residents or FTE residents, 8 states required information about direct medical education costs, 6 states required information about the GME training program specialties supported, and 4 states required recipients to report information about the residents\u2019 characteristics, such as their post-graduate year. Of the 10 states that made Medicaid GME payments to managed care plans, 4 states\u2014Kansas, Kentucky, Michigan, and Minnesota\u2014set the methodology or base rate that managed care plans were required to use to calculate GME payments. None of the states reviewed and approved payments.", "Further, 44 of the 45 states were able to provide at least some information on the total amount the state spent on Medicaid GME payments, but the amount of information they were able to provide varied. While most states (38) were able to provide data on all GME payments by recipient, 4 states could provide data on some but not all payments, and 2 states could not provide data on the amount of GME payments by recipient. And, less than half of the states (18 of 45) were unable to provide data on either the number of FTE residents or resident counts at teaching entities that received Medicaid GME payments. (See table 17.)", "Experts we interviewed identified other sources of state and private funding for GME training.", "Hospitals and health systems: Hospitals may rely on their own funding to support their residency programs. One expert we interviewed said that hospitals that sponsor GME residency programs provide funding for certain specialty residency programs that make money for the hospital.", "State government grant or other funding: Aside from GME funding through Medicaid, one expert told us that some states make direct grants to residency programs, mostly primary care residency programs, or through state appropriations specifically for GME training. For example, Florida created an $80 million fund to support state training in outpatient or community-based programs. And, one expert told us that some states have developed innovative funding mechanisms. This was the case in Georgia, which established a hospital coalition that funded 400 new residency slots to meet the needs of medically underserved populations.", "Private health insurers: Experts said GME funding from private health insurers is generally thought to be provided through higher reimbursement rates to teaching hospitals than nonteaching hospitals, including through Medicare reimbursement. While private insurers fund GME training through their contracts with individual hospitals, one expert told us that those contracts do not likely differentiate the amount of funding that is used toward GME training versus other activities. However, one expert raised concerns that private insurers are not paying their share of GME costs. Another expert noted that there have been some state-level efforts to require all payers, including private insurers, to have some responsibilities in paying for the education of the health care workforce, even beyond physician GME training.", "Other: Experts also identified other possible sources of private funding. For example, one expert told us that, while the amount of funding from pharmaceutical or medical device companies has not been identified in existing studies, anecdotally there is a growing use of these funding sources. Experts also said that some funding is provided by philanthropic organizations or medical schools that are affiliated with residency programs."], "subsections": []}, {"section_title": "Appendix II: Information that Federal Programs Collect about Funding for Graduate Medical Education Training", "paragraphs": ["Appendix II: Information that Federal Programs Collect about Funding for Graduate Medical Education Training Medicaid Services (CMS)", "Administration (HRSA)", "Affairs (VA)", "Medicaid Services (CMS)", "Administration (HRSA)", "Affairs (VA)"], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, William Hadley, Assistant Director; Christine Brudevold, Assistant Director; Katherine Mack, Analyst-in-Charge; A. Elizabeth Dobrenz; Maggie G. Holihan; Daniel Lee; and Todd Anderson made key contributions to this report. Also contributing were Sam Amrhein, Muriel Brown, Lisa Opdycke, and Jennifer Whitworth."], "subsections": []}]}], "fastfact": ["Will there be enough doctors with the specialties people need in the places where people need them?", "Multiple federal programs fund graduate medical education for physicians-in-training, known as residents. However, the government doesn't know if these dollars are helping to build the physician workforce that the nation needs.", "The data collected don't provide all the information needed to fully understand", "how much it costs to train physicians", "how much the government spends", "what the government gets for its money", "We recommended improving the data to help ensure that the government's funds are being used effectively."]} {"id": "GAO-19-24", "url": "https://www.gao.gov/products/GAO-19-24", "title": "Agent Orange: Actions Needed to Improve Accuracy and Communication of Information on Testing and Storage Locations", "published_date": "2018-11-15T00:00:00", "released_date": "2018-11-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The tactical herbicide Agent Orange was first produced in 1964, and some 12 million gallons were shipped from U.S. ports to Southeast Asia from 1965 to 1970. DOD suspended its use in 1970 and incinerated remaining stockpiles at sea in 1977. Congress has expressed long-standing interest in the effects of Agent Orange exposure.", "The House report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that GAO review the government's handling of Agent Orange on Guam. This report examines (1) information the federal government has about the procurement, distribution, use, and disposition of Agent Orange; (2) DOD and VA efforts to make information about where Agent Orange and its components were tested and stored available; and (3) challenges associated with Agent Orange testing. GAO reviewed agency policies, documents, and available archival records that GAO identified; interviewed DOD, VA, and other agency officials; and met with a non-generalizable sample of 38 veterans and a veterans service organization."]}, {"section_title": "What GAO Found", "paragraphs": ["Available shipment documentation indicates that nearly all of the Agent Orange procured was either used in U.S. military operations in Southeast Asia, used for testing, damaged, or destroyed. However, some records are incomplete, such as shipment documentation and logbooks that identify ports where vessels stopped on the way to Southeast Asia. GAO obtained and reviewed shipment documentation for over 12.1 million of the 13.9 million gallons of Agent Orange procured by the Department of Defense (DOD). GAO reviewed logbooks for 96 percent (152 of 158) of those shipments and identified that vessels stopped at various ports on the way to Southeast Asia, including at least one vessel carrying Agent Orange that stopped at Guam. While the logbooks GAO reviewed identify when vessels left various ports as they traveled to and from Vietnam, they do not show whether and how much cargo was loaded or unloaded at those ports.", "DOD's official list of herbicide testing and storage locations outside of Vietnam that is posted on the Department of Veterans Affairs' (VA) website is inaccurate and incomplete. For example, the list lacks clarity in descriptive information and omits both testing and storage locations and additional time periods covered by testing events. Also, the list has not been updated in over a decade, though DOD and VA have obtained reports on its shortcomings since 2006. Both DOD and VA communicate with veterans in response to inquiries about Agent Orange, but some veterans GAO met with expressed confusion regarding how to obtain information on potential exposure. DOD officials acknowledged this confusion and stated that veterans are contacting multiple agencies to obtain such information. However, DOD and VA have not established a formal process for coordinating on how best to communicate information to veterans and the public regarding the presence of Agent Orange outside of Vietnam. Without a reliable list with complete and accurate information and a formal process for DOD and VA to coordinate on communicating this information, veterans and the public do not have quality information about the full extent of locations where Agent Orange was present and where exposure could potentially have occurred.", "Challenges exist with testing for Agent Orange today due to degradation of the herbicide's two chemical components and a potential for sources of contamination other than the herbicide. According to scientific research, the half-life (average time for components to decrease by half of the original amount) of Agent Orange's two chemical components\u2014n-butyl 2,4-D and n-butyl 2,4,5-T\u2014 in soil can range from several days to many months, depending on conditions. The suggested half-life of the dioxin 2,3,7,8-TCDD\u2014a by-product of the 2,4,5-T manufacturing process\u2014is much longer, but there are multiple sources of dioxins, including the burning of wood and waste. DOD and the U.S. and Guam Environmental Protection Agencies are testing for the acid form of the components of Agent Orange at Andersen Air Force Base on Guam. While acknowledging the low probability of conclusively identifying the components of Agent Orange on Guam, DOD has made a decision to move forward with testing to address veterans' and the public's concerns, and it expects to complete the updates for the sampling and analysis plan, field sampling, analysis, and reporting in early 2019."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that DOD develop a process for updating its list of Agent Orange testing and storage locations, and that DOD and VA develop a process for coordinating the communication of information on where Agent Orange was known to have been present. DOD concurred with four recommendations. VA concurred with one recommendation and non-concurred with one recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["From the 1940s to the 1970s, the U.S. government developed and tested tactical herbicides in the United States and abroad. These tactical herbicides were known as \u201crainbow herbicides\u201d and included Orange, Purple, Pink, Green, Blue, and White. Tactical herbicides were intended for use by the U.S. military in the conflicts in Korea and Vietnam, but were not intended for use on U.S. military installations. During the mid-1960s, U.S. chemical companies manufactured and shipped large quantities of tactical herbicides to Vietnam for use by the U.S. military to eliminate enemy cover and destroy the enemy\u2019s crops. The tactical herbicide designated \u201cOrange\u201d\u2014later known as Agent Orange\u2014was first produced in 1964, and approximately 12.1 million gallons were shipped to Southeast Asia from several U.S. ports between 1965 and 1970. The Department of Defense (DOD) suspended the use of Agent Orange in Vietnam in 1970 and incinerated remaining stockpiles at sea in 1977.", "In 1984, the U.S. Environmental Protection Agency (U.S. EPA) determined that a form of dioxin that is a by-product of the manufacturing process of one of the two components of Agent Orange had been associated with a number of health effects, including cancer, in exposed animals and in humans, including children. The Agent Orange Act of 1991, as amended, established a presumption of service connection for certain diseases manifesting in veterans by way of exposure to herbicide agents while deployed in the Republic of Vietnam at any time beginning January 9, 1962, and ending on May 7, 1975. The act also required that whenever the Secretary of Veterans Affairs determined that a positive association existed between humans\u2019 exposure to an herbicide agent and the occurrence of a disease in humans, the Secretary shall prescribe regulations providing that a presumption of service connection was warranted for that disease. The Department of Veterans Affairs (VA) has developed procedures to assess veterans\u2019 claims for disability compensation for exposure to Agent Orange and provides on its website a list of locations where tactical herbicides were thought to be tested, stored, or destroyed. Both DOD and U.S. EPA have conducted some remediation of dioxin-contaminated sites where these herbicides were known to be present in the United States.", "There has been long-standing congressional interest in and concern about the effects of exposure to herbicides such as Agent Orange. Although DOD policy restricted the domestic use of tactical herbicides, the House Armed Services Committee has expressed concern that additional exposures to Agent Orange may have occurred on Guam. House Report 115\u2013200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that we review the government\u2019s handling of Agent Orange on Guam. In response to both this provision and a separate request letter, this report examines (1) the extent to which the federal government has information about the procurement, distribution, use, and disposition of Agent Orange or its components at locations in the United States and its territories, including Guam; (2) the extent to which DOD and VA have complete and accurate information about where Agent Orange and its components were tested and stored and communicated this information to veterans and the public; and (3) challenges associated with testing for Agent Orange.", "We scoped this review to include locations where Agent Orange or its components were tested, distributed, and stored in the United States and its territories. For each objective, we reviewed agency documents and policies; interviewed officials from DOD, VA, and U.S. EPA, as well as from the government of Guam; and met with some veterans and a veterans service organization.", "For objective one, we obtained through archival research available shipping and agency records, including U.S. military correspondence and logistics reports, and we reviewed these documents to trace the federal government\u2019s procurement, distribution, use, and disposition of Agent Orange and its components. We analyzed this documentation, hereinafter referred to as shipment documentation, to prepare summary information on the quantities of Agent Orange and the vessels that carried the shipments. We used this information to obtain official Navy and merchant vessel logbooks\u2014hereinafter referred to as logbooks\u2014to the extent that they were available, to identify the routes the vessels took from U.S. ports to Vietnam and back, and to identify any port calls made en route.", "For objective two, we obtained documentation from DOD and analyzed archives search reports and other environmental studies for several U.S. installations to identify additional locations where Agent Orange or its components were tested and stored in the United States and its territories. We compared the results with information DOD has provided to VA for public dissemination on testing and storage locations of tactical herbicides in the United States and its territories. We also compared the results with DOD policies for conducting records research and responding to inquiries related to past environmental exposures. We reviewed the process by which DOD and VA communicate with veterans, to include providing information about where Agent Orange was tested and stored. We compared the communication process with DOD\u2019s policy on assessing long-term health risks and with VA\u2019s process for determining benefits based on veterans\u2019 claims, and we assessed the extent to which DOD and VA had responded to reports related to the information on locations that were posted on VA\u2019s website.", "For objectives one and two, we held six discussion sessions with a non- generalizable sample of veterans\u2014four sessions in person in Hawaii and Guam, and two sessions that were moderated via telephone from Washington, D.C.\u2014to discuss veterans\u2019 experiences specific to Agent Orange. A total of 38 individuals attended the sessions, which ranged from 1 to 10 participants per session. During the sessions, we discussed information that individuals received from DOD, VA, and other federal agencies about any links between exposure to herbicides and negative health effects, or the potential that they could have been exposed to Agent Orange or its components at locations where Agent Orange was manufactured, transported, stored, used, or destroyed. We also asked the veterans whether they believed they had been exposed to Agent Orange in Vietnam, Guam, or another location, and, if so, to describe the circumstances of the exposure. At the discussion sessions in Hawaii and Guam, we also requested participants to complete a short questionnaire about their military service and their recollections about experiences with herbicides during their military service.", "For objective three, we reviewed scientific literature and agency documents regarding the degradation and sources of the components of Agent Orange and an associated dioxin contaminant. This review included documents from the Agency for Toxic Substances and Disease Registry and reports and protocols from U.S. EPA, the World Health Organization, and the Centers for Disease Control and Prevention. We also reviewed the draft and final plan for testing for the presence of the components of Agent Orange at three sites at Andersen Air Force Base on Guam. We compared the information outlined in the testing plan with scientific literature on the environmental fate of the components of Agent Orange and other Agent Orange testing methodologies. We conducted a site visit to Guam and visited the three sites where testing was subsequently done. We also spoke with cognizant officials at DOD, U.S. EPA, and Guam EPA about testing for the components of Agent Orange. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from May 2017 through November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Composition of Agent Orange", "paragraphs": ["Agent Orange is composed of two different chemical components\u2014the n- butyl ester forms of 2,4-dichlorophenoxyacetic acid (hereinafter referred to as n-butyl 2,4-D) and 2,4,5-trichlorophenoxyacetic acid (hereinafter referred to as n-butyl 2,4,5-T)\u2014that are manufactured separately and then combined to form the tactical herbicide. The U.S. EPA has determined that there was not adequate data either to support or to refute that the acid or ester forms of 2,4-D can cause cancer in humans. In 2015 the International Agency for Research on Cancer classified 2,4-D as possibly causing cancer to humans, since there was inadequate evidence in humans and limited evidence in experimental animals. According to an Institute of Medicine report, information on the toxic effects of 2,4,5-T alone is sparse. However, in the 2,4,5-T manufacturing process, the dioxin 2,3,7,8-tetrachlorodibenzo-p-dioxin (hereinafter referred to as 2,3,7,8-TCDD) is formed, particularly when the reaction temperature is excessive.", "The World Health Organization has determined that dioxins are highly toxic and can cause a variety of illnesses, including reproductive and developmental problems and damage to the immune system. The World Health Organization reports that 2,3,7,8-TCDD, a human carcinogen, is the most toxic dioxin-related compound. Moreover, according to the National Academies of Sciences, Engineering, and Medicine report, 2,3,7,8-TCDD has been shown by researchers to be very toxic in animals. Figure 1 depicts the proportion of the components of Agent Orange and the amount of 2,3,7,8-TCDD contamination that would be present in an average 55-gallon drum."], "subsections": []}, {"section_title": "Agent Orange Origins and Life Cycle", "paragraphs": ["The Crops Division of the U.S. Army Chemical Corps was established at Camp Detrick (now Fort Detrick), Maryland, in 1943 to conduct anti-crop research, development, and engineering. In 1944 the Crops Division was given the mission of developing chemical compounds to destroy or reduce the value of crops. These chemical compounds were intended to rapidly clear vegetation in military operations in order to eliminate concealed enemy positions, improve air and ground observations, and destroy or reduce the value of crops. Initial field trials at Camp Detrick were small-scale efforts involving test plots typically 6 by 18 feet in size, and the herbicides being tested were usually applied using a hand sprayer. Over the following three decades, DOD collaborated with the U.S. Department of Agriculture, universities, and private companies to conduct testing activities ranging from laboratory experiments to spray tests of larger-scale aerial dissemination of a variety of chemical compounds throughout the United States, U.S. territories, and abroad.", "The tactical herbicides used by the U.S. military in Vietnam were formulations based on tests of thousands of different chemical compositions at Camp Detrick in an effort to determine chemical agents and chemical compounds that would meet specific requirements. The U.S. military developed and tested six tactical \u201crainbow\u201d herbicides that it used during the Vietnam War era\u2014Pink, Purple, Green, Blue, White, and Orange. The chemical component n-butyl 2,4,5-T, which is known to have been contaminated with 2,3,7,8-TCDD, was present in four of these six tactical herbicides\u2014specifically, Agents Pink, Purple, Green, and Orange. In late 1961, DOD began color-coding the herbicide formulations that it was testing in aerial spray trials in Vietnam and elsewhere in Southeast Asia. The tactical herbicides, which were used for a variety of different purposes, to include defoliation and crop destruction, were identified by colored bands placed around the drums, as shown in figure 2. Beginning in 1962, the U.S. Air Force received shipments of Agents Pink, Purple, and Green to supply the first spray missions for Operation Ranch Hand, the program for defoliation and crop destruction missions during the Vietnam War. Agent Purple was similar to the herbicide formulation that was later designated \u201cOrange,\u201d but it was more costly to purchase. Agents Blue and White were used in Vietnam extensively along with Agent Orange after 1964, but they were of a different chemical composition and did not contain any form of 2,4,5-T, the component that produced 2,3,7,8-TCDD as a by-product of the manufacturing process.", "Of the tactical herbicides, Agent Orange was used the most extensively in Vietnam. In 1964 DOD began to procure large quantities from U.S. manufacturers for military use in Vietnam. The first shipment of Agent Orange arrived in Saigon in February 1965 by merchant vessel. Together, nine manufacturers produced a total of approximately 13.9 million gallons of Agent Orange, and DOD is estimated to have used approximately 12.1 million gallons between 1965 and 1970 in operations in Vietnam, and much smaller quantities in Korea and Thailand.", "Evidence from animal and epidemiologic studies of adverse effects from Agent Orange exposure led the U.S. government to restrict the use of 2,4,5-T in April of 1970 and led DOD to temporarily suspend the use of Agent Orange. In 1972 the U.S. Air Force consolidated the approximately 1.36 million gallons of the herbicide that had remained unused in Vietnam and shipped them for storage on Johnston Island in the Pacific. DOD held its remaining stocks of Agent Orange\u2014approximately 860,000 gallons\u2014within the continental United States, at the Naval Construction Battalion Center Gulfport, Mississippi, until those stocks were also shipped toward Johnston Island in June 1977. All of these remaining stocks of Agent Orange were incinerated at sea aboard the M/T Vulcanus by September 1977."], "subsections": []}, {"section_title": "Comparison between Tactical and Commercial Herbicides", "paragraphs": ["In addition to the tactical herbicides used during the Vietnam War era, the U.S. military also used commercial herbicides to manage vegetation on its installations. The U.S. military managed tactical herbicides differently from commercial herbicides. According to DOD officials and archived military specifications, tactical herbicides were not authorized for use on lands owned by, or otherwise managed as military installations and were not to be diverted for domestic use. DOD developed military specifications for the tactical herbicides that provided detailed information on product requirements, quality assurance, packaging, and precautionary statements that prohibited domestic use. The tactical herbicides were centrally managed, first by the Army Chemical Corps and later by the U.S. Air Force Logistics Command. Agent Orange used in Vietnam was formulated for aerial spraying by aircraft and helicopter and applied at full strength without additional solvents at a rate of 3 gallons per acre. Agent Orange is soluble in diesel fuel and organic solvents, but it is insoluble in water, so equipment was cleaned using diesel fuel rather than water.", "Commercial herbicides, conversely, were widely available worldwide for use in vegetation management at military installations, to include controlling vegetation adjacent to flightlines or along perimeter fencing. Federal agencies developed federal specifications for these products to ensure that they met specific requirements, and these specifications were approved by the Commissioner, Federal Supply Service, in the General Services Administration for use by all federal agencies. According to DOD officials, during the Vietnam era there was no requirement for DOD to retain records concerning the use of commercial herbicides on military bases beyond 5 years. DOD officials also stated that DOD catalogued these herbicides available for use on military installations in the federal supply schedule under federal supply classification group 68, which contains chemicals and chemical products.", "In reviewing supply catalogues from that time period, DOD officials identified more than 35 different commercial herbicides that were listed in the federal supply system for use on DOD installations between 1960 and 1973. Some of these commercial herbicides contained 2,4-D; 2,4,5-T; or both, although they were not in the n-butyl form used in Agent Orange. These included at least 4 commercial herbicides that contained some form of 2,4,5-T, the component that contained the contaminant 2,3,7,8- TCDD. In addition, numerous commercial herbicides that were not in the federal supply system but were being widely used elsewhere for agriculture purposes contained the form of n-butyl 2,4,5-T found in Agent Orange and thus its associated contaminant, 2,3,7,8-TCDD. According to DOD officials, the commercial herbicides used on installations were mixed with diesel or water and sprayed by hand or truck. Tactical herbicides, however, were formulated for aerial spraying by fixed-wing aircraft or helicopter without being diluted.", "When the U.S. military was employing these tactical and commercial herbicides during the Vietnam War era, U.S. EPA had not yet been established, and the U.S. Department of Agriculture had oversight of commercial herbicides. The Federal Insecticide, Fungicide, and Rodenticide Act of 1947, then administered by the U.S. Department of Agriculture, governed the marketing and use of these commercial herbicides. Until amended in 1972, the Federal Insecticide, Fungicide, and Rodenticide Act review process was designed as a consumer protection measure that focused primarily on a product\u2019s effectiveness, rather than on concerns about health or the environment."], "subsections": []}, {"section_title": "Agent Orange Legislative and Regulatory History", "paragraphs": ["The Agent Orange Act of 1991, as amended, requires a review of the available scientific evidence regarding the associations between certain diseases and exposure to tactical herbicides. The act specifically requires the VA to enter into an agreement with the National Academy of Sciences (the Academy), or with an alternative scientific organization, to review and evaluate the scientific evidence concerning the association between exposure to an herbicide agent and each disease suspected to be associated with such exposure. The Academy is required to submit periodic reports at least once every 2 years. The most recent report\u2014the 2014 report\u2014was issued in March 2016. The next report, which Academy officials told us would focus on inter-generational and trans-generational effects of exposure to herbicides, was at the time of our report scheduled to be issued in late 2018.", "In its biannual reports, the Academy identifies different levels of association between exposure to 2,3,7,8-TCDD or other chemical compounds in herbicides used in Vietnam and a wide range of health effects. These levels include the following: sufficient evidence of an association; limited or suggestive evidence of an association; inadequate or insufficient evidence to determine an association; and limited or suggestive evidence of no association.", "The Academy has identified that there is either sufficient evidence of an association with exposure to a tactical herbicide or limited or suggestive evidence of an association leading to certain diseases. For example, the Academy has identified both chloracne and non-Hodgkin\u2019s lymphoma as having sufficient evidence of an association with exposure to a tactical herbicide, and both Parkinson\u2019s disease and diabetes mellitus (type 2) as having limited or suggestive evidence of an association. Examples of diseases for which the Academy has found inadequate or insufficient evidence to determine an association include kidney disease and pancreatic cancer.", "In making determinations regarding the association between certain diseases and exposure to herbicide agents, the Secretary of Veterans Affairs is required to take into account the Academy\u2019s reports. Once the Secretary finds that such an association existed, the Secretary is then required to prescribe regulations, providing that a presumption of service connection is warranted for that disease. The Agent Orange Act of 1991, as amended, also establishes a presumption of service connection, by reason of exposure to an herbicide agent, for diseases listed in the statute, to include Hodgkin\u2019s disease and diabetes mellitus (type 2). This presumption applies to veterans who, during active military, naval, or air service, served in the Republic of Vietnam during the period beginning on January 9, 1962, and ending on May 7, 1975. Veterans who served in Vietnam and other specific locations and time frames and who have been diagnosed with those diseases are presumed to have incurred those diseases as a result of their service and are thus eligible for presumptive service connection for disability compensation. Figure 3 illustrates the diseases for which the Academy has found either sufficient, or limited or suggestive, evidence of an association. In addition, appendix II provides information on the 14 presumptive diseases that the VA currently identifies as being associated with exposure to Agent Orange or other tactical herbicides during military service for which veterans and their survivors may be able to receive disability compensation benefits."], "subsections": []}, {"section_title": "Veterans\u2019 Benefits", "paragraphs": ["Under 38 U.S.C. \u00a7 1110, the United States will pay benefits to any veteran disabled for a disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during a period of war. The VA offers health registry exams, health care, disability compensation, and other benefits to eligible veterans who were exposed to herbicides during military service. According to the VA\u2019s Claims Adjudication Procedures Manual, the claims evaluation process begins with the VA requesting any information missing from the veteran\u2019s claim, such as the approximate dates and location(s) of service, claimed disability, and, for certain locations, the nature of the alleged exposure to herbicides. Generally, the veteran then has 30 days to submit the requested information. During the claims process, VA will check military records to confirm exposure to Agent Orange or other herbicides and qualifying military service. Certain diseases have already been presumed to be associated with herbicide exposure, and no further evidence of an association is needed. However, if the claimed disability is not a presumed condition, then VA will request that the veteran present scientific or medical evidence showing that the claimed condition is medically associated with herbicide exposure. If the veteran is not able to provide this information, the case is referred to DOD for verification of exposure to herbicides. Veterans\u2019 claims can either be approved or denied based on the evidence submitted by the veteran, and, if needed, by DOD.", "The VA tracks its claims data for Agent Orange exposure according to whether the exposure occurred inside or outside of Vietnam, which includes the Korean demilitarized zone and certain locations in Thailand. According to VA officials, as of June 30, 2018, 557,653 living veterans and 199,451 deceased veterans have been granted benefits for diseases associated with Agent Orange exposure inside Vietnam, with 44,925 claims pending for veterans who served in Vietnam and believe they were exposed to Agent Orange. For diseases associated with Agent Orange exposure outside of Vietnam, VA had granted service connection decisions to more than 10,758 veterans and denied service connection decisions to more than 58,250 veterans, as of June 30, 2018. According to VA, there are an additional 23,400 claims pending for veterans who did not serve in Vietnam but believe they were exposed to Agent Orange."], "subsections": []}, {"section_title": "Environmental Cleanup", "paragraphs": ["In 1980 Congress passed the Comprehensive Environmental Response, Compensation, and Liability Act, which established the Superfund program\u2014the federal government\u2019s principal program to clean up hazardous waste sites. The U.S. EPA is responsible for administering the Superfund program, which places some of the most seriously contaminated sites on the National Priorities List, and has oversight for federal and non-federal sites on that list. Additionally, amendments to the act in 1986 require the Secretary of Defense to carry out the Defense Environmental Restoration Program, which was specific to DOD environmental cleanup activities at active installations, formerly used defense sites, and base realignment and closure locations in the United States. The cleanup process under the Environmental Response, Compensation, and Liability Act process generally includes the following phases and activities: preliminary assessment, site inspection, remedial investigation and feasibility study, remedial design and remedial action, and long-term monitoring.", "Through this process, DOD and U.S. EPA cleaned up some U.S. sites where Agent Orange was known to have been present after the sites were tested and confirmed to have been contaminated with 2,3,7,8- TCDD. For example, U.S. EPA identified a site in Jacksonville, Arkansas, where 2,4,5-T had been manufactured, that was contaminated with 2,3,7,8-TCDD. In addition, under the Defense Environmental Restoration Program, DOD cleaned up the Naval Construction Battalion Center Gulfport, Mississippi, where Agent Orange had been stored while awaiting shipment for use in Southeast Asia. The site had also been used to store Agent Orange drums that were awaiting shipment to Johnston Island for disposal. According to a DOD report, approximately 860,000 gallons of the herbicide were stored at the site. An Agency for Toxic Substances and Disease Registry report further states that spills that occurred during storage caused 2,3,7,8-TCDD contamination around several water areas. According to a 5-year review completed by DOD in 2017, capping of the contaminated soil at the site where herbicides were stored has been completed, and long-term monitoring of the soil and groundwater began in 2012 and continues today.", "DOD also cleaned up the Johnston Island site where Agent Orange was ultimately disposed of. Once drums of Agent Orange were stored at Johnston Island, environmental sea conditions caused them to corrode and leak. Initial cleanup activities assessed and monitored the area to track the chemical components remaining as a result of Agent Orange contamination. Site remediation and environmental monitoring continued throughout the 1970s until February 1989, when the Air Force, in accordance with the Defense Environmental Restoration Program, completed a final site cleanup at Johnston Island by destroying all remaining 2,3,7,8-TCDD-contaminated soil. Figure 4 shows drums of Agent Orange stored at Johnston Island.", "In addition, U.S. EPA listed on its National Priorities List two former Agent Orange manufacturing sites\u2014the Kanawha River site in West Virginia previously owned by the Monsanto Company and a site in Newark, New Jersey, owned by the Diamond Alkali Company\u2014due to high levels of contamination from various sources and threats to human health. In 2017, U.S. EPA entered into an agreement with the Monsanto Company on a cleanup plan to address 2,3,7,8-TCDD contamination at the Kanawha River Superfund Site in Putnam and Kanawha counties, West Virginia. The cleanup effort will focus on a 14-mile stretch within the Kanawha River. Cleanup work will include constructing a cap over more than 9 acres of contaminated river sediments. Similarly, the Diamond Alkali site in New Jersey contained 2,3,7,8-TCDD contamination at both the manufacturing site and the nearby Lower Passaic River. The site was found to contain high levels of 2,3,7,8-TCDD and was placed on the National Priorities List in 1984. As late as 2014, the site was still undergoing cleanup actions to prevent exposure to the contaminated soil and prevent further releases to the river.", "It is difficult to isolate the specific costs of cleaning up Agent Orange contamination under the Comprehensive Environmental Response, Compensation, and Liability Act, according to DOD and U.S. EPA officials. Moreover, cleanup plans address multiple contaminants, making it difficult to isolate the costs for cleaning up a specific contaminant, according to DOD and U.S. EPA officials. For example, the Diamond Alkali site had multiple contaminants from a number of companies that owned or operated facilities from which hazardous substances, including 2,3,7,8-TCDD and pesticides, were potentially discharged into the river and found in the soil and groundwater. Various cleanup actions were taken to address not only 2,3,7,8-TCDD contamination but the other contaminants as well. These actions included a groundwater collection and treatment system and capping to prevent exposure to contaminated soil (including contaminated soil that originated at the facility and soil that was brought to the facility from neighboring lots) and prevent further releases to the river."], "subsections": []}]}, {"section_title": "The Federal Government Has Some Information on the Procurement, Use, and Destruction of Agent Orange, and Available Documentation Indicates at Least One Vessel Carrying Agent Orange Transited through Guam to Vietnam, but Information Is Not Complete", "paragraphs": ["The federal government maintains information on Agent Orange, and available records indicate that DOD procured approximately 13.9 million gallons of the tactical herbicide, which was either used in U.S. military operations in Southeast Asia, used for testing, or destroyed. Our analysis of the available logbooks for 152 of the 158 shipments (approximately 96 percent) of Agent Orange to Southeast Asia that we identified indicates that the vessels carrying tactical herbicides generally stopped at foreign ports and sometimes at U.S. ports en route to Southeast Asia. Available primary source materials, such as shipment documentation, are incomplete because they were likely not maintained during and after the Vietnam era. However, based on the available information, we identified at least one ship carrying Agent Orange that stopped at Port Apra (now Apra Harbor) on Guam on its way to Vietnam, although we could not locate any evidence showing that any cargo was offloaded. Further, while DOD documents identify the use of commercial herbicides on Guam, they do not identify the use of tactical herbicides there."], "subsections": [{"section_title": "Available Records Indicate That All of the Agent Orange Procured Was Either Used in U.S. Military Operations, Used for Testing, Damaged, or Destroyed", "paragraphs": ["Available records that the federal government maintains indicate that DOD procured approximately 13.9 million gallons of Agent Orange between 1963 and 1968, of which it used an estimated 12.1 million gallons in Southeast Asia from 1965 to 1970; used a small amount for testing; and incinerated another 2.3 million gallons in 1977. Thus, the total quantity of Agent Orange that DOD procured was approximately equal to the total quantity that records indicate was tested in the United States and its territories, damaged during storage and shipment, and used during the Vietnam War, combined with the total quantity that records indicate was disposed of afterwards.", "Procurement and Use. Based on available records we reviewed, DOD procured approximately 13.9 million gallons of Agent Orange from nine chemical manufacturers between 1963 and 1968. In 1963 DOD used small amounts of Agent Orange for testing. DOD procurement officers then advised the Military Assistance Command, Vietnam, in late 1964 that they could fulfill the supply requirements for tactical herbicides with Agent Orange. Available records further indicate that of the approximately 13.9 million gallons of Agent Orange procured, DOD used an estimated 12.1 million gallons in operations in Vietnam from 1965 to 1970. In addition to the quantity used in Vietnam, Agent Orange usage also included quantities that were tested in the United States and its territories; used or tested in countries outside of Vietnam; lost during shipment and storage; or removed from the inventory and used to test different disposal options after its use was suspended. With the exception of the disposal testing amounts, no archival resources we could locate and obtain provided definitive usage figures. The last known shipment of Agent Orange to Vietnam was aboard the SS Frederick Lykes and arrived in May 1970.", "Restrictions on Use. In 1969 the National Environmental Health Service of the Department of Health, Education, and Welfare conducted testing of n-butyl 2,4,5-T\u2014the component of Agent Orange whose manufacturing process produced 2,3,7,8-TCDD as a by-product\u2014on mice, which raised concerns about health effects of the herbicide for women of child-bearing age. These concerns led to several U.S. government decisions that ended the use of tactical herbicides. Specifically, in 1969 DOD restricted the use of Agent Orange in Vietnam to keep it away from population centers. In April 1970 the federal government began restricting the use of 2,4,5-T in the United States. Exceptions were made for the control of weeds and brush on range, pasture, and forests, or on rights of way and other nonagricultural land. On April 15, 1970, DOD temporarily suspended the use of Agent Orange, including new procurement, acceptance of product on terminated contracts, transfer of stocks at Gulfport, and ocean shipping operations.", "Consolidation and Incineration of Remaining Stocks. After the U.S. government restricted the use of n-butyl 2,4,5-T\u2014a component of Agent Orange\u2014in 1970, DOD decided to consolidate the remaining 2.3 million gallons of Agent Orange stored in Vietnam and Gulfport, Mississippi, as well as any remaining amounts of n-butyl 2,4,5-T. According to an Office of Air Force History monograph, on January 16, 1971, DOD ordered the termination of all crop destruction missions by U.S. forces in Vietnam, and on September 27 of that year, the Chairman of the Joint Chiefs of Staff directed the Air Force to return all remaining stocks of Agent Orange to the United States and to dispose of them. Specifically,", "Agent Orange stocks in Vietnam were temporarily stored at U.S. Air Force bases at Da Nang, Phu Cat, and Bien Hoa until they were moved to Johnston Island in 1972. In 1972 the U.S. military moved approximately 1.36 million gallons of Agent Orange onto Johnston Island for storage. The cargo vessel SS Transpacific picked up this quantity at three Vietnamese ports from March 15 to April 1, traveled to Johnston Island, arrived on April 18, and completed offloading on April 28 before returning to the United States. This consolidated quantity of Agent Orange from Vietnam remained at Johnston Island until 1977.", "The Naval Construction Battalion Center Gulfport, Mississippi, was the final storage location in the continental United States for Agent Orange until the U.S. Air Force began the incineration of Agent Orange in 1977. There were approximately 860,000 gallons of Agent Orange at this location in 1977, which takes into account amounts lost in Hurricane Camille in 1969 or shipped away for testing, as described previously. The 1977 figure also takes into account 14,025 gallons transferred to the Naval Construction Battalion Center Gulfport, from Eglin Air Force Base, Florida, where the Air Force had tested formulations of Agent Orange for aerial spraying. In addition, available records show that quantities of the two components of Agent Orange were stored at the former Kelly Air Force Base, Texas, until 1972 before they were transferred to the U.S. Department of Agriculture for brush control projects. These reported amounts included 106,260 gallons of n-butyl 2,4-D and 38,940 gallons of n-butyl 2,4,5-T. These records also show that 173,910 gallons of Agent Blue were stored at the installation; see figure 5.", "DOD chartered the incinerator ship M/T Vulcanus and loaded the 860,000 gallons stored at Naval Construction Battalion Center Gulfport, Mississippi, beginning in May 1977. The vessel left Gulfport, Mississippi, in June 1977, and began incinerating the Agent Orange on board in July 1977 in a research burn to test the incineration process at sea near Johnston Island. In August 1977, the M/T Vulcanus loaded the remaining 1.36 million gallons stored at Johnston Island and conducted two more incineration operations just southwest of Johnston Island, as shown in figure 6. By September 3, 1977, all stocks of Agent Orange had been incinerated."], "subsections": []}, {"section_title": "Available Records Indicate That Vessels Transporting Agent Orange Stopped at Various Ports en Route to Southeast Asia, but Shipment Information Is Not Complete", "paragraphs": ["Our review of documentation for the shipment of almost 12.1 million gallons of the approximately 13.9 million gallons (approximately 87 percent) of Agent Orange procured by DOD found, based on available shipment documentation, that vessels transporting Agent Orange made stops at various ports on the way to Southeast Asia. However, shipment documentation is incomplete. Manufacturers of Agent Orange blended the two components of the herbicide\u2014the n-butyl forms of 2,4-D and 2,4,5-T\u2014and marked 55-gallon drums for shipment to Southeast Asia. Available records indicate that manufacturers produced Agent Orange according to military specifications and marked all drums for shipment directly to the receiving U.S. military unit in Vietnam. These specifications indicated the precise herbicide formulation of Agent Orange (n-butyl esters, 50 percent 2,4-D and 50 percent 2,4,5-T) and general instructions for marking the 55-gallon drums for shipment. For example, according to a historical monograph by the San Antonio Air Materiel Area, DOD specified that each drum was to be marked with a colored band or bands around the center as well as with transportation and contract data. Figure 7 shows an example of these drum markings.", "DOD then arranged for the transport of these drums, as well as drums of other tactical herbicides, by train from the manufacturers to several U.S. ports. DOD transportation officials accepted the product by signing a Material Inspection and Receiving Report that indicated the destination of the rail shipment and the final destination in Vietnam. DOD primarily chartered merchant marine vessels to ship the drums to Southeast Asia, but we identified one official Navy vessel, the USNS Lt. George W.G. Boyce, that carried Agent Orange to Southeast Asia. The first known shipment of Agent Orange left the port of New Orleans, Louisiana, on the SS Adabelle Lykes and arrived in Vietnam in February 1965. The last known shipment left the port of Gulfport, Mississippi, on the SS Frederick Lykes and arrived in Vietnam in May 1970. By that time, DOD had suspended all further shipments of Agent Orange. The photos in figure 8 provide examples of drums of Agent Orange being shipped by rail and tactical herbicides being loaded onto a cargo ship.", "The bulk of materiel used to support U.S. military forces in Vietnam, including tactical herbicides, was transported from the continental United States to Vietnam via ship. The vessels carrying the tactical herbicides generally stopped at foreign ports and sometimes at U.S. ports on the way to Southeast Asia. Our analyses of available shipment documentation indicate that at least 114 unique cargo vessels carried Agent Orange to Southeast Asia on at least 158 different voyages from 1965 through 1970. For each of these voyages, merchant vessel captains submitted logbooks to the U.S. port authorities at the end of each voyage. We were able to locate and obtain logbooks for 152 of the 158 shipments (approximately 96 percent) we identified. For 3 of the 6 voyages for which we were not able to locate logbooks, we obtained copies of the vessels\u2019 shipping articles. We were not able to obtain shipping articles for the 3 foreign-flagged vessels because documents for such vessels were not turned in at U.S. ports.", "The Military Sea Transportation Service directly chartered merchant vessels to carry tactical herbicides during the Vietnam War. At least 28 vessels owned by the New Orleans, Louisiana-based Lykes Brothers Steamship Company transported Agent Orange between 1965 and 1970 from Gulf Coast ports to Southeast Asia. Lykes Brothers vessels were designed to handle cargo with cables that could place the cargo in a series of holds\u2014 numerous compartmented internal storage spaces. Tactical herbicides were stored vertically on pallets in these holds. The first large shipments of Agent Orange took place on the SS Adabelle Lykes, SS Elizabeth Lykes, and SS Mayo Lykes, traveling from the port of New Orleans, Louisiana, through the Panama Canal, and refueling in the Philippines before offloading a total of 1,782 55-gallon drums (approximately 97,000 gallons) in Saigon, Vietnam, in February and March of 1965.", "Our review of the logbooks and shipping articles for vessels carrying Agent Orange and other tactical herbicides showed that these vessels made stops at several U.S. and foreign ports, both in going to and in returning from Vietnam. For example, we identified vessels that stopped at several West Coast ports to load cargo before traveling to Vietnam, and others that made port calls to refuel in Hawaii. We also identified vessels that stopped at foreign ports such as Okinawa, Thailand, and Taiwan, as well as locations near the major U.S. Naval Supply Depots in Yokosuka, Japan, or Subic Bay, Philippines. These supply depots were major logistics hubs for U.S. military operations in East Asia, and they provided supplies to commercial ships that were chartered by DOD\u2019s Military Sea Transportation Service through contracts with shipping companies. These companies would reserve cargo space for military cargo and include Saigon, Vietnam, as a destination, but the voyages were otherwise made for normal commercial activities. From those locations, the cargo vessels traveled to one or more ports in Vietnam. However, while the logbooks we reviewed identify when vessels left the various ports as they traveled to and from Vietnam, logbooks do not provide information on whether and how much cargo was loaded and unloaded at those ports of call, nor do they indicate whether tactical herbicides were offloaded at any ports before the vessels reached Vietnam."], "subsections": []}, {"section_title": "Available Shipment Documentation Indicates at Least One Vessel Carrying Agent Orange Went Through Guam en Route to Vietnam, but Archival Information Lacks Details or Is Not Complete", "paragraphs": ["Based on our review of available logbooks, we identified at least one vessel carrying Agent Orange that stopped at Guam en route to Vietnam and at least three vessels that stopped at Guam on the return from Vietnam. However, in our review of available shipment documentation, we found no evidence indicating that Agent Orange or any other tactical herbicides were offloaded from those vessels or used in the U.S. territories of Guam or the Northern Mariana Islands. Figure 9 indicates the timelines of the four vessels known to have carried Agent Orange that stopped at Guam either on their way to or returning from Vietnam, each of which is discussed in detail below.", "Available shipment documentation indicates that hundreds of vessels delivered supplies to the Naval Supply Depot, including supplies bound for Andersen Air Force Base, on Guam during the Vietnam War due to both installations\u2019 strategic location in supporting the war effort. While the logbooks we were able to locate and review for vessels that transported Agent Orange to Southeast Asia between 1965 and 1970 do not show that these vessels typically stopped at Guam or the Northern Mariana Islands at any time during their voyages, we identified one ship carrying Agents Orange, Blue, and White that did stop at Guam on its way to Vietnam. Specifically, available records indicate that sometime around February 1, 1968, the SS Gulf Shipper stopped at Port Apra (now Apra Harbor) on Guam en route to Vietnam. Figure 10 shows a photo of the logbook from the SS Gulf Shipper indicating the ship\u2019s ports of call en route to Vietnam.", "The logbooks do not provide details about whether cargo was moved on or off the vessels during these port calls, or whether tactical herbicides were offloaded at these ports before the vessels reached Vietnam. However, the SS Gulf Shipper\u2019s logbook indicates that the stop at Guam could have been related at least in part to the repatriation of an injured crew member to the United States, and not to matters related to the loading or unloading of cargo. Further efforts to locate information on cargo movements for the SS Gulf Shipper, such as customs records, manifests, or bills of lading, were unsuccessful, because those records were not routinely retained. As such, we were not able to verify why the SS Gulf Shipper stopped at Guam, what its crew did while there, or whether any cargo was loaded or unloaded.", "We also identified at least three vessels that stopped on Guam on their return from Vietnam, based on our review of available logbooks. Specifically, around November 30, 1969, the SS Aimee Lykes stopped at Port Apra on Guam and offloaded an injured crew member into a small motorboat so that he could be hospitalized on Guam. In addition, around December 23, 1969, the SS Buckeye Atlantic stopped at Guam and offloaded two injured crew members. Lastly, around May 5, 1970, the SS Overseas Suzanne stopped at Guam and offloaded an injured crew member. Based on a review of the vessels\u2019 logbooks, it is not clear whether the stops at Guam were for reasons other than offloading injured crew members\u2014for example, reasons related to the loading or unloading of any cargo. Appendix III describes information that we were able to obtain regarding the quantities of herbicides known to have been shipped to Southeast Asia on the four vessels that we identified as having stopped at Guam (either on the way to or from Vietnam) between February 1968 and May 1970.", "As noted earlier, based on our review of available shipment documentation, we were able to identify approximately 87 percent of the shipments of Agent Orange to Southeast Asia, and to obtain logbooks for about 96 percent of the vessels known to have transported Agent Orange from U.S. ports to Vietnam. Because we were unable to obtain logbooks for every shipment of Agent Orange, we cannot conclude with certainty whether any ships other than the SS Gulf Shipper that were transporting the tactical herbicide to Vietnam, or the three ships returning to the United States from Vietnam\u2014the SS Aimee Lykes, the SS Buckeye Atlantic, and the SS Overseas Suzanne\u2014made port calls either at Guam or the Northern Mariana Islands. Additionally, we found and U.S Air Force officials agreed that it is unlikely that Agent Orange was shipped by air to or from Guam. The U.S. Air Force transported small quantities of tactical herbicides by air to Vietnam in 1961. However, we did not identify any documentation showing the transport of tactical herbicides by air to Vietnam after 1961. During our visit, officials at Andersen Air Force Base stated that it would have been possible to fly 55-gallon drums from Guam to supply operations in Vietnam, but that such an action would have been an inefficient method of transporting large quantities of herbicides. Agent Orange weighed approximately 600 pounds per drum, or about 11 pounds per gallon, a weight that, according to a 1966 memorandum from the Military Assistance Command, Vietnam, would have precluded large- scale transport of the herbicide by aircraft."], "subsections": []}, {"section_title": "DOD Documents Identify the Use of Commercial but Not Tactical Herbicides on Guam", "paragraphs": ["Available records show that DOD stored and used commercial herbicides on Guam, possibly including those containing n-butyl 2,4,5-T, during the 1960s and 1970s, but documents do not indicate the use of tactical herbicides on Guam. Commercial herbicides were available through the federal supply system for use on U.S. military installations worldwide. For example, the fuel supply for Andersen Air Force Base was delivered by ship to the port at Naval Base Guam and was then delivered to the Air Force base by a cross-island fuel pipeline\u2014see figure 11. A detailed 1968 report by the Naval Supply Depot states that the Public Works Center sprayed herbicides semi-annually to control the vegetation along fuel pipelines between the depot and Andersen Air Force Base.", "Additionally, draft environmental assessments written in 1999 and 2009 by Naval Facilities Engineering Command, Pacific, indicate that commercial herbicides containing 2,4-D were present on Guam, and that commercial herbicides containing 2,4,5-T, which included the contaminant 2,3,7,8-TCDD, had been used for weed control along power lines and substations through 1980. Further, a 1969 master storage plan for the Naval Supply Depot includes sketches of storage facilities that specify the location of weed killers. Commercial herbicides approved for DOD procurement for use on installations were issued in 55-gallon drums and 5-gallon containers during the Vietnam War era, as were a range of other products, such as fuel oil and diesel. According to DOD officials, records for such purchases were not typically retained due to short record retention policies related to such routine supply transactions.", "During the course of our review, we received photographs and written statements from veterans alleging the presence of Agent Orange on Guam. However, based on our discussion sessions with veterans and civilians and our review of this documentation, we could not substantiate the presence or use of Agent Orange or other tactical herbicides on Guam. We asked veterans in our six discussion sessions about their potential for exposure to Agent Orange and where, if, and how they believe they were exposed. In their responses, some veterans in each of the six discussion sessions stated that they believe they were exposed to Agent Orange while deployed in Vietnam or other areas where a presumption of service for benefits has already been granted, while some veterans in three of the six discussion sessions stated that they believe they were exposed to Agent Orange while stationed on Guam. Specifically, some veterans in our discussion sessions described using herbicides or witnessing the spraying of herbicides at locations on Andersen Air Force Base and along the pipeline, as well as the burning of contaminated fuel as part of firefighting training on the installation. As we previously stated, according to DOD officials and archived military specifications, tactical herbicides were not authorized or available for use on lands owned by, or otherwise managed as military installations. However, commercial herbicides were widely available worldwide for use in vegetation management at military installations, to include controlling vegetation adjacent to flightlines or along perimeter fencing.", "Selected Comments by Veterans at Discussion Sessions Moderated by GAO Regarding Where They Believe They Were Exposed to Agent Orange or Its Components I feel like I was exposed on Guam. I was temporary duty there during the conflict and my duties were as a squadron controller that worked the schedules for the B-52 Bombers on Guam. I did venture into the loading area because I was with the aircrew on the Navy field at Andersen Air Force Base. I thought I was in contact with Agent Orange in Guam loading bombs in sites. We would move from one site to another and they would spray those areas before we got there. I never saw spraying but could smell it. One time I was near that and I broke out in boils and blisters on my face and arms. I was a fuel specialist I witnessed spraying going on at the barracks at Marbo Annex, 2 to 3 miles off the main Air Force base. It was sprayed all around the barracks. As my job, I worked at POL \u2014where they stored all of the 55-gallon drums\u2014fuels, pesticides, herbicides\u2014in bulk storage. Those were constantly sprayed around\u2014for maintenance and fire safety. Also, I would work on the flightline and at the pump houses\u2014these were about 20 yards from the security fence. As I was working there, I witnessed spraying."], "subsections": []}]}, {"section_title": "DOD\u2019s List of Herbicide Testing and Storage Locations Is Incomplete, and Veterans Have Expressed Confusion about How to Obtain Information on Potential Exposure", "paragraphs": ["DOD\u2019s official compilation of herbicide testing and storage locations outside of Vietnam, which is posted on the VA\u2019s website, is inaccurate and incomplete, and DOD does not have a process for managing the list. Further, while DOD and VA each have methods for communicating information to veterans and the public about Agent Orange, they do not have a formal process for communicating the most accurate available information to veterans about potential locations where they could have been exposed to Agent Orange or other tactical herbicides."], "subsections": [{"section_title": "DOD\u2019s List of Locations Where Herbicides Were Tested and Stored Is Inaccurate and Incomplete", "paragraphs": ["DOD developed a list that identifies locations and dates where herbicides, including Agent Orange, are thought to have been tested and stored outside of Vietnam, which VA has made publicly available on its website, but this list is neither accurate nor complete. DOD\u2019s list includes information on testing and storage locations, applicable dates, the herbicide or herbicide components tested, a description of the project, and DOD\u2019s involvement. See appendix IV for the list that was posted on the VA website as of September 2018. When we began this review, DOD and VA officials were unable to identify the origin of the DOD list that is posted on the VA website, which does not have a date. A DOD official subsequently informed us that the list was initially created in 2003 by an individual in the Office of the Secretary of Defense in response to a congressional inquiry about the use of Vietnam-era herbicides at specific locations in the United States and overseas. DOD subsequently provided this list to VA, which in turn posted the information on its website. VA\u2019s Claims Adjudication Procedures Manual related to Agent Orange directs VA officials to review the DOD list to determine whether herbicides were used as claimed as part of verifying potential herbicide exposure when a veteran alleges exposure at locations other than the Republic of Vietnam, the Korean demilitarized zone, or Thailand. However, in our review of several sources provided by DOD and VA officials, we identified multiple examples of inaccurate and incomplete information in DOD\u2019s list, to include the following:", "Omission of specific testing and storage locations: We identified additional testing and storage locations in the United States and its territories that were not included on DOD\u2019s list. For instance, we identified additional testing locations at Belle Glade, Florida, and Stuttgart, Arkansas, where researchers reported small-plot field tests of the components of Agent Orange on rice. In addition, we found examples of shipments of herbicides to Kelly Air Force Base, Texas, where Agent Orange components were stored following the cancellation of tactical herbicide contracts. None of these locations are included on DOD\u2019s list.", "Lack of clarity in descriptive information: DOD\u2019s list lacks clarity in descriptive information, making it difficult to identify which specific herbicides or components were tested and stored, as well as when and where. For example, the size and scope of some testing activities are unclear from the descriptions provided in DOD\u2019s list, making it difficult to differentiate between small-scale and large-scale testing. Some testing events on DOD\u2019s list are described in detail, including the amount of herbicide or components tested, while descriptions of other testing activities contain little information about what took place. Furthermore, we could not identify the chemical components of some of the agents on DOD\u2019s list. We asked DOD and VA officials to identify those specific agents for us, and they were unable to do so. Specifically, neither DOD nor VA officials could identify the chemical composition of 26 different agents on the DOD list, making it difficult to determine whether these agents should be included on the list.", "Omission of additional time periods for identified locations: We identified additional testing events of Agent Orange or its components at locations that are on the DOD list but that cover additional time periods not reflected on the list. For instance, the DOD list identified testing that took place at Aberdeen Proving Grounds, Maryland, in July 1969. However, our review uncovered additional testing events that took place at Aberdeen Proving Grounds in 1963, 1965, and 1966.", "In addition to the lack of clarity and omissions that we identified, reports commissioned by DOD and VA since 2003 have also identified omissions in the list. For example, a report prepared for DOD in 2006 identified 40 different locations where Agent Orange was tested or stored outside of Vietnam. However, during our review, we found several examples of locations in the United States and its territories that were included in that 2006 report but are not included on the DOD list that is currently posted on the VA website. These include locations in Arkansas, California, New Jersey, New York, Maryland, Ohio, Oregon, Puerto Rico, Texas, and Utah. Similarly, a report prepared for VA in May 2013 described locations where Agent Orange exposure to Vietnam-era veterans has been alleged. This report summarized additional sites where veterans alleged Agent Orange was used, stored, or destroyed. It also included an assessment of the DOD information posted on the VA\u2019s website\u2014and indicated, notably, that information had not changed since the 2006 report to DOD. In the assessment, the report identified that the list contained many errors of dates, chemicals, locations, and the governmental agencies or institutions responsible for conducting the tests or military operations. The report suggested specific criteria for validating the presence of a tactical herbicide at a site, including evidence that a veteran actually came into contact with a tactical herbicide at that site.", "Even though they have received reports dating back more than a decade that identified issues with the accuracy and completeness of the list, neither DOD nor VA has taken steps to validate or correct the list, or to develop the criteria they would use to determine which locations and dates to include on the list. As previously stated, this list is posted on the VA\u2019s Agent Orange website as a primary source for veterans seeking information on Agent Orange. Despite its inconsistencies, the list can be accessed from multiple places on the VA website, and we found that some veterans service organizations and other groups also post this incomplete and inaccurate list of testing and storage sites on their websites, as well as communicate this information to their members. Standards for Internal Control in the Federal Government state that agencies should use quality information to achieve their objectives. We found and DOD officials agreed that DOD\u2019s list was not as accurate or complete as available records would allow because (1) there are not clearly identified responsibilities for validating the information on this list, (2) there is no process for updating the list as needed, and (3) criteria have not been developed and used to determine which locations and dates to include on the list.", "Until recently, neither DOD nor VA has taken responsibility for ensuring the accuracy and completeness of the list, which is being provided to veterans and the public on the VA website. Federal internal control standards state that management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. As noted earlier, DOD and VA officials were initially unable to identify the source or date of this list, and neither agency took action to respond to reports about the problems with it. During the course of our review, DOD took some initial steps to begin validating the accuracy and completeness of information on its list by reviewing primary source records for additional locations and events of herbicide testing and storage. However, thus far in its efforts, DOD has not identified responsibilities for completing the validation of the information included on the list, nor has it established a process for updating the list as any new information becomes available.", "Moreover, it remains unclear whether DOD\u2019s review will cover all locations, including non-DOD sites, where testing and storage of Agent Orange or its components were thought to have occurred, or if it will focus only on U.S. military installations. Private companies, academic institutions, and other federal agencies were involved in the testing of herbicides at some of the non-DOD sites on the list, and, in some of those cases, Army personnel were involved in the testing at the non-DOD locations. For instance, testing was performed by DOD personnel at non- DOD locations in Georgia and Tennessee in the 1960s. Some non-DOD storage locations included various U.S. commercial ports, such as Mobile, Alabama, where Agent Orange was transferred by rail from the manufacturers to be stored until it was loaded onto vessels for shipment to Vietnam. According to a DOD official, DOD\u2019s priority in its review of testing and storage locations is to focus on DOD installations. Although this official told us that the department expects to eventually identify non- DOD locations where the department was involved in herbicide testing and/ or storage through collaboration or funding, the official was not able to provide information on the time frames for conducting this review. Finally, DOD has not established a process for how this list will be updated once it has been validated and revised, when and if new information about Agent Orange testing and storage locations is identified.", "In our analysis of the DOD list, we were also unable to determine the criteria that DOD initially used to select which locations and time periods to include\u2014particularly given that the testing varied in intensity and duration, and that the likelihood that personnel at a particular location could have been exposed to the herbicides or components was unclear. For example, some tests on the list included small laboratory experiments on a couple of plants using a very small amount of chemical agents, as in bench tests of various compounds at Forts Detrick and Ritchie, Maryland, in the 1950s, while other tests included gallons of Agent Orange or other chemical agent components that were used in field testing trials or to test aerial spraying, as in a defoliation effort in which 13 drums were sprayed by helicopter over an area covering 4 square miles. Similarly, the duration of testing events could have been over a total of 3 days, as with spray testing in Marathon, Florida, or over several months or even years, as with spray testing of several tactical herbicides at Eglin Air Force Base, Florida. Because of the variance in the size and duration of testing events; the specific areas where the testing events took place at the locations; and the number of personnel who actually came into contact with the chemical agents during the testing, the presence of a location on this list does not clearly indicate the likelihood or extent of potential exposure that individuals not involved would have had if they were simply present at the locations on the list at the times indicated.", "In May 2018, during the course of our review, a DOD official noted that DOD and VA formed a joint Herbicide Orange Working Group to address the issues with the DOD list and identify criteria for including information on this list. This group held its first meeting on May 31, 2018. As of July 2018, a DOD official noted that the group was working to identify appropriate steps to take, but that it was too soon to report specific actions that were being implemented, and that no documentation on the group\u2019s efforts was available.", "Without assigned responsibility for ensuring an accurate and complete list of locations where Agent Orange or its components were tested and stored; a process for updating the list as needed; and clearly defined and transparent criteria for what to include on this list, DOD will not have reasonable assurance that it has identified the most complete information possible for VA to use when informing veterans and the public of the full extent of locations where Agent Orange exposure could potentially have occurred. As a result, veterans may not have complete information about the risk that they could have been exposed to Agent Orange during their military service, and VA may not have quality information when making important decisions on claims for veterans who may not be eligible for benefits."], "subsections": []}, {"section_title": "DOD and VA Have Communicated with Veterans and Others about Potential Exposure to Agent Orange, but Veterans Have Expressed Confusion Regarding How to Obtain Needed Information", "paragraphs": ["Both DOD and VA have communicated with veterans in response to inquiries about Agent Orange, but veterans have expressed confusion regarding how to obtain information to determine their potential exposure to Agent Orange. Further adding to this confusion are inconsistencies in the list of testing and storage locations, as discussed above. As the agency responsible for reviewing and validating veterans\u2019 disability compensation claims for possible Agent Orange exposure, VA communicates with veterans largely through the agency\u2019s website, which contains information on Agent Orange regarding related diseases, benefits, exposure locations, and resources. The VA also communicates through other means, including an annual newsletter and forums with veterans service organizations. DOD also receives inquiries from veterans about the potential that they could have been exposed to Agent Orange at DOD installations outside of Vietnam. In addition, DOD receives Freedom of Information Act inquiries and congressional requests for information on where Agent Orange was present. A DOD official stated that while they will respond to veterans\u2019 inquiries, they typically direct veterans with Agent Orange inquiries to VA.", "In responding to these inquiries, both DOD and VA officials stated that they rely on the expertise of staff at the Armed Forces Pest Management Board to provide details to answer questions related to locations where exposure might have occurred. According to a DOD official, the board received 109 inquiries in 2017 alone. In addition, DOD\u2019s Joint Services Records Research Center provides information to VA regional liaisons electronically in response to their questions about where and when specific units were stationed or on temporary duty. The center extracts operational records from various record repositories and, if the information is available, corroborates the descriptions of incidents described by veterans in their claims. According to DOD officials, unless an herbicide-related incident was documented in some sort of unit record, the center would not have information on where Agent Orange was present.", "Despite these various approaches for communicating information to veterans and the public, veterans we spoke with expressed confusion as to where to obtain information on their potential exposure to Agent Orange. Specifically, we asked veterans in our six discussion sessions about what they had heard from DOD, VA, or other federal agencies about the potential that they could have been exposed to Agent Orange or its components at locations where Agent Orange was manufactured, transported, stored, used, or destroyed. Veterans in each of the six sessions stated that, generally, the federal government has not reached out to them regarding Agent Orange, but that they instead have relied on their own research to learn more about their potential for having been exposed, adding to the confusion about where to obtain information on Agent Orange exposure. Other veterans, however, stated that they have received information from VA regarding potential exposure. DOD officials acknowledged that there is confusion among veterans about a variety of issues related to their potential for exposure to Agent Orange, including where to go for information. U.S. EPA and DOD officials stated that veterans are contacting multiple agencies to get information on herbicide exposure.", "Selected Comments by Veterans at Discussion Sessions Moderated by GAO Regarding What They Had Heard from the Federal Government about Negative Health Effects Associated with Exposure to Herbicides, Including Agent Orange or Its Components I\u2019ve heard things from multiple sources\u2014media, newspaper, television, people themselves. It has mainly been from my own research, not from a federal agency. Just based on the fact that I have heart disease and going through the VA process means I receive updates from VA on just about everything going on, including Agent Orange and all of the research they have done. I do know the Secretary is authorized by law from Congress late last year to add additional presumptive diseases associated with Agent Orange and how one would contract that. I had to do the research myself. It seems to be a secret with information coming out in spurts. When you have things happen to your body, they [the Department of Veterans Affairs] say it is not service connected. Sometimes when the government tries to explain something, they don\u2019t give the whole thing and they give it piecemeal. It does not carry any essence of importance. I am not hearing anything from the federal government. Most of the information I get is from a USveterans.com website and I subscribe to a daily newsletter from the Vietnam Veterans of America and the Veterans of Foreign Wars. There is information on the VA website about conditions attributed to Agent Orange In that context, I went to the VA website and found that there are 21 states where Agent Orange was used, including on Hawaii in Kauai. It is because of this list that I became aware that people in Hawaii may have been exposed to Agent Orange. I learned that such exposure might increase the likelihood of having diabetes or cancer. I believe the list is still on the VA website and that there is also a list of units that were possibly exposed to Agent Orange. I have not been contacted by any government agency with regard to Agent Orange exposure or ill health. I first heard about Agent Orange and dioxin and cancer related issues/illnesses in late 1980s or early 1990s and later on after doing own research.", "Standards for Internal Control in the Federal Government state that management should internally and externally communicate the necessary quality information to achieve an entity\u2019s objectives. The standard further states that management should evaluate the entity\u2019s methods of communication so that the organization has the appropriate tools to communicate quality information throughout the entity on a timely basis. Additionally, DOD issued guidance in June 2017 establishing procedures for DOD components to implement when there is a scientifically plausible likelihood of a significant long-term health risk from a past environmental exposure to military personnel or civilians resulting from living or working on military installations. Even though the testing and storage of Agent Orange and its components occurred several decades ago, this instruction states that DOD components should provide targeted and effective health risk communication early and continuously, as new and credible information becomes available.", "However, DOD and VA officials stated that they have not developed a formal process for coordinating on how best to communicate information to veterans and the public regarding the presence of Agent Orange at locations outside of Vietnam. Officials stated that the DOD-VA Deployment Health Working Group\u2014an existing forum for exchanging information\u2014meets monthly to discuss health issues, including those related to Agent Orange. However, the working group is not focused on ensuring the availability and distribution of information on Agent Orange testing and storage locations. DOD\u2019s and VA\u2019s joint Herbicide Orange Working Group has the potential for being an effective forum for communicating this information; however, a DOD official noted that this is an ad hoc group, and as we discussed earlier, it has not yet determined the direction it will be taking for communicating with veterans regarding exposure to Agent Orange. By coordinating on how best to communicate this information, VA would be better positioned to provide veterans with information regarding their potential exposure to Agent Orange at locations where Agent Orange was known to have been present outside of Vietnam."], "subsections": []}]}, {"section_title": "Challenges Exist with Testing for Agent Orange Today Due to Degradation and Multiple Sources of Potential Contamination", "paragraphs": ["Testing to determine whether Agent Orange was present in a particular location is challenging because, for example, derivatives of Agent Orange\u2014including the two components of Agent Orange (n-butyl 2,4-D and n-butyl 2,4,5-T) and the contaminant from the 2,4,5-T manufacturing process (2,3,7,8-TCDD)\u2014degrade over time, and because derivatives of 2,4-D and 2,4,5-T can come from multiple sources. Regardless of these challenges, in response to a request by the Government of Guam, DOD developed a testing plan that was reviewed and accepted by U.S. EPA and Guam EPA to conduct a limited investigation into alleged Agent Orange use at three sites on Guam."], "subsections": [{"section_title": "Testing for Agent Orange Presents Challenges Due to Degradation and Multiple Sources of Potential Contamination", "paragraphs": [], "subsections": [{"section_title": "Challenges Due to Degradation", "paragraphs": ["Testing to identify locations where Agent Orange may have been present is challenging because the components of Agent Orange degrade over time. It has been nearly 50 years since Agent Orange was last transported and used in support of military operations in Vietnam. According to scientific research, it is difficult to find traces of the two components of Agent Orange\u2014n-butyl 2,4-D and n-butyl 2,4,5-T\u2014 because, under normal environmental conditions, the n-butyl forms break down rapidly into the acid forms. Scientific research indicates that the half-lives of the acid forms of the chemical components 2,4-D and 2,4,5-T in soil can range from several days to many months, depending on conditions. The World Health Organization has stated that the half-life of 2,4-D in soil is reported to range from 4 to 7 days in most soil types. According to the Centers for Disease Control and Prevention, the half-life of 2,4,5-T in soil varies with conditions, ranging from several weeks to many months. In addition, when Agent Orange is sprayed for defoliation, there are several things that can happen to it. For example, it can be washed out by rain, degrade in the presence of sunlight (photodegradation), or slowly turn into a vapor (volatize) from surfaces such as foliage. These factors reduce the chances of finding traces of Agent Orange components after 50 years.", "The amount of time it takes for the contaminant 2,3,7,8-TCDD to degrade is longer than that for the components of Agent Orange, although estimates vary. For example, according to the research cited by the Agency for Toxic Substances and Disease Registry, the half-life of 2,3,7,8-TCDD is approximately 9 to 15 years in surface soil and 25 to 100 years in subsurface soil. Further, 2,3,7,8-TCDD breaks down quickly when exposed to sunlight, providing one explanation for the shorter half- life in surface soil. Any 2,3,7,8-TCDD contamination from herbicide spraying\u2014as opposed to being spilled onto the soil\u2014would generally be expected to be found in surface soil, where it would be exposed to degradation due to sunlight. This reduces the likelihood of detecting this compound 50 years later. However, as discussed below, there are multiple sources of dioxins, including 2,3,7,8-TCDD, and the specific source of dioxin contamination is difficult to identify."], "subsections": []}, {"section_title": "Challenges Due to Multiple Sources of Potential Contamination", "paragraphs": ["Testing to identify locations where Agent Orange may have been present is challenging because there are multiple sources of 2,4-D and 2,4,5-T derivatives as well as multiple sources of the contaminant, 2,3,7,8-TCDD. Specifically, many commercial herbicides that were available at the time Agent Orange was used contained derivatives of 2,4-D; 2,4,5-T; or both. Additionally, 2,4-D derivatives are still used in commercial herbicides today. Therefore, even if testing were to show the presence of one of the two components of Agent Orange, it would be difficult to distinguish whether the chemicals were present from the use of commercial herbicides or the use of tactical herbicides. Further, because 2,4-D is still used in many commonly used herbicides sold today, the presence of this component could be due to a recent use of a commercial herbicide rather than a tactical herbicide used decades ago.", "Moreover, multiple sources of the contaminant 2,3,7,8-TCDD can be found in the environment today. DOD and U.S. EPA officials told us that if 2,3,7,8-TCDD is found in soil today, the source of the dioxin contamination could be a result of other sources besides Agent Orange. For example, according to the World Health Organization, dioxins\u2014 including 2,3,7,8-TCDD\u2014are primarily released to the environment with the burning of materials such as wood and waste (see figure 12)."], "subsections": []}]}, {"section_title": "Testing for the Components of Agent Orange on Guam Is Challenging", "paragraphs": ["In 2017 the Government of Guam coordinated with DOD to test for Agent Orange and other tactical herbicides at Andersen Air Force Base due to claims from veterans that they were exposed to Agent Orange while stationed on Guam during the 1960s and 1970s. In December 2017 DOD developed a draft testing plan in collaboration with U.S. EPA and Guam EPA to test for the acid form of the components 2,4-D and 2,4,5-T at three different sites on Andersen Air Force Base. The draft testing plan did not include testing for the presence of 2,3,7,8-TCDD. According to DOD and U.S. EPA officials, they are not testing for 2,3,7,8-TCDD because the test would not be able to conclusively link any positive results to the use of tactical herbicides, given that dioxins are also produced by, among other things, burning fossil fuels. These officials noted that, over time, large quantities of fuel have been burned at Andersen Air Force Base, and they stated their belief that if 2,3,7,8-TCDD were found, the likely source would be from combustion. The areas identified for testing included the fuel pipeline, a perimeter fenceline, and an area near some fuel storage tanks. See figure 13 for a photograph of the fenceline testing site near the fuel storage tanks on Andersen Air Force Base.", "Based on our initial review of the draft testing plan and a review of the scientific literature, we identified and discussed with DOD and U.S. EPA officials some challenges the two agencies would face in detecting the presence of Agent Orange on Guam due to two factors: (1) the short amount of time that it takes for 2,4-D and 2,4,5-T to degrade; and (2) the inability of testing to determine whether the presence of 2,4-D and 2,4,5-T is attributable to the use of Agent Orange or to some other source.", "Degradation of 2,4-D and 2,4,5-T: DOD officials and the jointly developed draft testing plan acknowledged that the planned testing would not be able to confirm the presence of Agent Orange, given that the components degrade over time. The draft testing plan indicates that the maximum half-lives of 2,4-D and 2,4,5-T are 14 days and 24 days, respectively, in soil and groundwater. Even given the possible variation in half-lives discussed above, it is likely that no detectable concentrations remain in soil today, given that the alleged period of use on Guam was in the 1960s and 1970s.", "Inability to distinguish whether the presence of 2,4-D and 2,4,5-T is attributable to the use of Agent Orange or some other source: Even if the results were to confirm the presence of either 2,4-D or 2,4,5-T in any form, it would be difficult to distinguish the source of the chemical, and whether its presence was attributable to the use of Agent Orange or some other source. For example, 2,4-D is still in use today, and 2,4,5-T was used in both tactical and commercial herbicides during the 1960s. In addition, if the components were found, the interpretation of those results could be complicated by, for example, natural variability in the potential half-lives and the possibility of more recent use of banned products. Further, the testing protocol will convert all forms of 2,4-D and 2,4,5-T, including the ester forms, to the acid forms, further complicating any attempt to identify the source of the compounds.", "We discussed with cognizant officials the challenges that we identified in the draft testing plan to determine how the information from the testing would be used to inform U.S. EPA, DOD, veterans, and the public about whether Agent Orange was present on Andersen Air Force Base. DOD officials subsequently stated that the questions raised by us and internally within DOD led them to reconsider the approach for testing for Agent Orange on Guam. For example, in December 2017, DOD officials told us that they would begin testing for Agent Orange and other tactical herbicides in March 2018. In late March 2018, a DOD official noted that the department had placed the testing on hold until they were certain that the methodology to be employed would meet scientific rigor and could be replicated in future testing efforts at other locations. In April 2018, DOD officials told us that the contract execution took longer than anticipated, and that soil sample testing would commence that month.", "In April 2018, DOD provided us with a copy of the final plan that was reviewed and approved by U.S. EPA and Guam EPA and was used to test for Agent Orange and other tactical herbicides at Andersen Air Force Base. When we reviewed the final testing plan and compared it with the draft previously provided, we found that some of the challenges we had initially identified in the draft testing plan, as described above, were still present. For example, based on our review of the final testing plan, with the proposed testing methodology, it would be difficult to determine if 2,4- D and 2,4,5-T came from Agent Orange or another source, and there were inconsistencies in the reported half-lives of the components of Agent Orange. At the same time, both DOD and U.S. EPA officials questioned the ability of any testing for 2,4-D or 2,4,5-T on Andersen Air Force Base to either confirm or deny the presence of Agent Orange on Guam. Specifically, the final testing plan states that more than 50 years have passed since the period of alleged use, and that a lack of detection provides no evidence that herbicides were not used historically. Moreover, U.S. EPA officials noted that the testing on Guam would not provide definitive proof of Agent Orange use on the island. Although DOD officials recognized these challenges and acknowledged the low probability of conclusively identifying the components of Agent Orange, they decided to move forward with testing to address veterans\u2019 and the public\u2019s concerns.", "In April 2018, samples were collected from the three areas at Andersen Air Force Base, according to DOD officials. Each sample was divided following procedures outlined in the final testing plan, resulting in two identical sample sets. A sample set was sent to two independent laboratories for analysis. According to officials from DOD and U.S. EPA, test results and associated quality control reports from both laboratories agreed on the results from two of the area samples, but did not agree on the third area sample. The jointly developed decision rules for the sampling and analysis plan required the results from both laboratories to agree in order to draw a conclusion on the presence or absence of Agent Orange. As a result, according to the officials, the DOD, U.S. EPA, and Guam EPA project team agreed in July 2018 to resample the one area where the two labs reported differing results. The project team is updating the sampling and analysis plan to address the various possible reasons for the differing laboratory results in order to provide a conclusive final testing result. DOD officials told us they do not anticipate completing the updates for the sampling and analysis plan, field sampling, analysis, and reporting until early 2019. As such, we were not able to comment on the results of the final testing in this report. Moreover, DOD officials said that, provided the final resampling results are negative, DOD does not have plans to conduct additional testing, because the testing was conducted in areas alleged to be the likeliest locations for the application of Agent Orange. However, an official from U.S. EPA said that the challenges associated with testing on Guam are not insurmountable and that the agency would like to continue this investigation. Given that (1) DOD, working with U.S. EPA and Guam EPA, made a decision to test for Agent Orange and other tactical herbicides; (2) DOD, U.S. EPA, and Guam EPA recognize the limitations associated with the testing; (3) the testing and analysis of results are still on-going; and (4) there is currently uncertainty regarding whether any additional testing will take place on Guam, we are not making any recommendations with respect to the testing plan or its execution."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD suspended the use of Agent Orange in Vietnam in 1970 and incinerated remaining stockpiles at sea in 1977, but concerns about the effects of exposure in U.S. locations have persisted. DOD developed a list that identifies locations and dates where herbicides, including Agent Orange, are thought to have been tested and stored outside of Vietnam, which VA has made publicly available on its website, but this list is neither accurate nor complete. Without assigning responsibilities for verifying the accuracy of the information included on the list; a process for ensuring that the list is updated, as new information is found; and clear and transparent criteria, indicating which locations should be included on the list, DOD and VA will not have assurance that they have the most complete information possible when informing veterans and the public of the full extent of locations where Agent Orange exposure could potentially have occurred. By relying on an inaccurate list, VA may not have quality information when making important decisions on claims for veterans who might or might not be eligible for benefits. Further, while DOD and VA both communicate with veterans in response to their Agent Orange inquiries, the two agencies do not have a formal process for coordinating on how best to communicate this information. Until DOD and VA develop a process for how best to coordinate to ensure that they are communicating information, veterans and the public may not have the information needed regarding their potential exposure to Agent Orange."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making six recommendations: four to the Secretary of Defense and two to the Secretary of Veterans Affairs.", "The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition and Sustainment assigns responsibility for ensuring that DOD\u2019s list of locations where Agent Orange or its components were tested and stored is as complete and accurate as available records allow. (Recommendation 1)", "The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition and Sustainment develops a process for updating the revised list as new information becomes available. (Recommendation 2)", "The Secretary of Defense, in collaboration with the Secretary of Veterans Affairs, should develop clear and transparent criteria for what constitutes a location that should be included on the list of testing and storage locations. (Recommendation 3)", "The Secretary of Veterans Affairs, in collaboration with the Secretary of Defense, should develop clear and transparent criteria for what constitutes a location that should be included on the list of testing and storage locations. (Recommendation 4)", "The Secretary of Defense, in collaboration with the Secretary of Veterans Affairs, should develop a formal process for coordinating on how best to communicate information to veterans and the public regarding where Agent Orange was known to have been present outside of Vietnam. (Recommendation 5)", "The Secretary of Veterans Affairs, in collaboration with the Secretary of Defense, should develop a formal process for coordinating on how best to communicate information to veterans and the public regarding where Agent Orange was known to have been present outside of Vietnam. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DOD, VA, U.S. EPA, the U.S. Department of Agriculture, and the U.S. Department of Health and Human Services. In its written comments, DOD concurred with each of our four recommendations directed to the Secretary of Defense and identified actions it plans to take to implement them. In its written comments, VA concurred with one recommendation directed to the Secretary of VA and described actions it would take to implement the recommendation. VA also non-concurred with one recommendation. In its written comments, the U.S. Department of Agriculture agreed with the report\u2019s findings related to matters under the purview of agricultural research and programs, though we did not make any recommendations to the department. Comments from DOD, VA, and the U.S. Department of Agriculture are reprinted in their entirety in appendixes V through VII. We also received technical comments from DOD, VA, U.S. EPA, and the U.S. Department of Health and Human Services, which we incorporated as appropriate.", "Based on oral comments we received from DOD, we revised our recommendation regarding the development of clear and transparent criteria for what constitutes a location that should be included on the list of testing and storage locations to clarify that DOD and VA should collaborate on this effort. VA non-concurred with this recommendation, noting that DOD chairs the Herbicide Orange Working Group that will be responsible for developing the criteria (Recommendation 4). However, VA stated that as a member of the working group, it would work collaboratively with DOD as the lead. Doing so would meet the intent of our recommendation.", "In its overall written comments, VA stated that it was concerned that the report conflates the terms \u201ccommercial herbicides\u201d with \u201ctactical herbicides,\u201d which the department noted were distinctive from one another. While VA stated that it does not dispute that some chemicals found in the VA regulation may be included in certain commercial herbicides, VA noted that exposure to tactical herbicides intended for military operations in Vietnam is required for VA to grant disability benefits on a presumptive basis. We recognize that the presumption for service- connection applies to exposure to tactical herbicides and nothing in our report states otherwise. VA also stated in its letter that the focus on commercial herbicides is not relevant for determining the list of locations where tactical herbicides were tested or stored. We agree and as we noted in this report, the U.S. military managed tactical herbicides used during the Vietnam War era differently from commercial herbicides in the federal supply system, which were widely available worldwide for use in vegetation management at military installations. To avoid conflating tactical and commercial herbicides, the report further notes that while some of these commercial herbicides contained 2,4-D; 2,4,5-T; or both, these commercial herbicides were not in the n-butyl form used in Agent Orange. However, commercial herbicides with 2,4,5-T likely contained some level of 2,3,7,8-TCDD. Moreover, we believe it is important to reiterate that numerous commercial herbicides that were being widely used elsewhere for agriculture purposes contained the form of 2,4,5-T found in Agent Orange and thus its associated dioxin contaminant, 2,3,7,8-TCDD.", "In its overall written comments, VA also recommended that GAO analyze its list to ensure that only locations where the presence of tactical herbicides has been confirmed are included on the list of locations. It is important to note that we do not maintain a list of herbicide testing and storage locations. As we noted in this report, DOD developed a list that identifies locations and dates where herbicides, including Agent Orange and its components, are thought to have been tested and stored outside of Vietnam, which VA has made publicly available on its website.", "We are sending copies of this report to the appropriate congressional addressees; the Secretaries of Defense, VA, Agriculture, and Health and Human Services; and the Administrator of U.S. EPA. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Brian Lepore at (202) 512-4523 or leporeb@gao.gov or J. Alfredo G\u00f3mez at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["House Report 115\u2013200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that we review the government\u2019s handling of Agent Orange on Guam. In response to both this provision and a separate request letter, this report examines (1) the extent to which the federal government has information about the procurement, distribution, use, and disposition of Agent Orange or its components at locations in the United States and its territories, including Guam; (2) the extent to which the Department of Defense (DOD) and the Department of Veterans Affairs (VA) have complete and accurate information about where Agent Orange and its components were tested and stored and communicated this information to veterans and the public; and (3) challenges associated with testing for Agent Orange.", "For objective one, we collected and reviewed available agency records and shipping documents on Agent Orange from the following sources: the U.S. National Archives and Records Administration; the U.S. National Agricultural Library; the U.S. Air Force Historical Research Agency at Maxwell Air Force Base, Alabama; staff historians at the Air Force Materiel Command at Wright- Patterson Air Force Base, Ohio, and Pacific Air Forces at Joint Base Pearl Harbor\u2013Hickam, Hawaii; the Armed Forces Pest Management Board in Silver Spring, Maryland; the Defense Logistics Agency; the U.S. Army Corps of Engineers; and the Naval History and Heritage Command.", "The records we researched and collected include published and unpublished materials on the procurement, shipment, and disposition of Agent Orange, including U.S. military correspondence, logistics reports, and Navy and merchant vessel logbooks. We reviewed DOD documents related to Agent Orange contracts to determine the total quantity of Agent Orange that was produced by the nine manufacturers. To show how much Agent Orange was used in Vietnam, we used estimates from the National Academy of Sciences analysis of Operation Ranch Hand data. Details about the estimated quantity of Agent Orange that was destroyed in 1977 are available in public reports from DOD and the U.S. Environmental Protection Agency (U.S. EPA).", "We used a variety of archival sources to identify the shipping routes for Agent Orange, to include a database prepared for VA that lists records held in National Archives and Records Administration Record Group 341, which contains more than 200 boxes of unclassified records relating to tactical herbicides used in Vietnam. During our review of this record group, we identified and summarized the correspondence between and reports submitted by the U.S. military commands that managed the tactical herbicides, to identify details of tactical herbicide shipments and, to the extent that the data were available, to develop a consolidated list of shipments of Agent Orange, including vessel names, ports of embarkation and debarkation, time frames, and quantities. In some cases, individual source documents did not identify which specific tactical herbicides were being shipped. To the extent we were able, we used multiple sources to identify which shipments carried Agent Orange. For the purposes of this report, we refer to these records collectively as shipment documentation.", "Using this shipment documentation, we located and obtained from several regional facilities of the National Archives and Records Administration logbooks for the vessels that we had identified as having shipped Agent Orange\u2014hereinafter referred to as logbooks\u2014which accounted for approximately 83 percent of the shipments we found. Logbooks that were submitted to port authorities upon the vessels\u2019 returns to the United States were consolidated at National Archives and Records Administration facilities including Fort Worth, Texas; Seattle, Washington; San Francisco and Riverside, California; New York, New York; Philadelphia, Pennsylvania; Boston, Massachusetts; Chicago, Illinois; and Atlanta, Georgia, as well as at Archives I in Washington, D.C., and Archives II in College Park, Maryland. These logbooks recorded basic details about each ship\u2019s operation and route, which we analyzed to identify any shipments that stopped at locations in the United States or its territories before arriving in Vietnam. Because none of the logbooks we reviewed provided detail about the specific types of cargo that were loaded onto or unloaded from the vessels, we relied on available military correspondence and reports about those vessels to identify whether the ships carried Agent Orange.", "We attempted to locate the remaining 17 percent of the logbooks, or 27 shipments. Of those shipments, 3 were by foreign-flagged merchant vessels, which did not submit logbooks to U.S. ports. Working with officials from the U.S. Coast Guard, the agency that oversees the retention and archiving of logbooks, we coordinated with archivists at the Federal Records Centers to determine whether there were any unprocessed boxes of logbooks that had not yet been archived. When that effort did not turn up additional logbooks, we worked with archivists at Archives I to obtain copies of shipping articles\u2014the articles of agreement between the captain of a ship and the seamen with respect to wages, length of time for which they are shipped, and related matters\u2014for the remaining 24 shipments. While these documents focus on employment issues, the annotations include the locations where different personnel actions took place. We reviewed these documents to identify the locations and approximate dates of the ports of call during those voyages. We were able to obtain the shipping articles for the 24 remaining voyages, as well as for the one vessel that stopped in Guam on the way to Vietnam (SS Gulf Shipper) and the three that stopped in Guam on the way back (SS Aimee Lykes, SS Buckeye Atlantic, and SS Overseas Suzanne). Using the information on voyage ending dates and ports that we obtained from the shipping articles, we were able to work with the regional archives to obtain another 21 logbooks, bringing the total number of logbooks obtained to 152, or 96 percent of the shipments we identified. We relied on the shipping article information for the remaining three voyages (excluding the shipments on the three foreign-flagged vessels) to provide some information on the routes taken by those vessels. However, one limitation of relying on shipping articles for port information and dates is that locations are mentioned only if a personnel action\u2014such as an injury, hospitalization, or desertion\u2014took place. If no personnel action took place at a location on a vessel\u2019s route, that port would not be listed in the shipping articles.", "To obtain specific information about the SS Gulf Shipper voyage that stopped in Guam en route to Vietnam, to include documentation on its cargo and whether or not cargo was loaded or unloaded at the ports on the way to Vietnam, we contacted officials at several agencies.", "In Guam, we contacted the Customs and Quarantine Service, the University of Guam\u2019s Micronesian Research Center, and officials at Naval Base Guam for information on vessels that stopped in Guam during the Vietnam War era, and any cargo they carried.", "We also contacted archivists at the Federal Records Center in Seattle, Washington, where the SS Gulf Shipper logbook is archived, and the regional archives in Fort Worth, Texas, for additional information on the vessel itself and guidance on retaining and archiving cargo information. The National Archives had some information on the SS Gulf Shipper, such as sales documents and company correspondence records. However, the National Archives did not have records for the manifest or bills of lading, which may have documented any cargo offloaded from the ship.", "We contacted U.S. Customs and Border Protection for information on movements of vessels engaged in foreign trade in and out of ports, which is found in customs forms that are required to be archived after 30 years. We were unsuccessful in locating the customs forms for the SS Gulf Shipper\u2019s voyage to Vietnam through Guam; however, an official noted that although these records provide manifest numbers and ports of sailing, the manifests themselves are not archived.", "An online search on the SS Gulf Shipper through the U.S. Maritime Administration\u2019s website identified the transfer of vessel ownership over the years. We contacted the latest company that owned the vessel to see whether the company had retained any cargo manifests or other historical records as the ownership changed hands. However, we could not obtain this information because, according to a company official we contacted, the vessel\u2019s records, along with other historical documents, were stored in an off-site storage facility in New Jersey, and were subsequently destroyed in a fire in 1996.", "We also looked at articles from Guam newspapers and news sources such as the Military Sea Transportation Service Vietnam Chronicles for any information about vessel comings and goings in Guam in early 1968 to see if they mentioned the SS Gulf Shipper or specific cargo being offloaded in Guam. None of these contacts or written sources provided information specific to any cargo that was being moved through Guam, or about this particular vessel.", "We also obtained original DOD reports and command histories that provided additional operational details about the procurement, distribution, use, and disposition of Agent Orange and its components. According to an Office of History, Air Force Logistics Command, monograph, the command directly responsible for managing Agent Orange was the Directorate of Aerospace Fuels at the San Antonio Air Materiel Area at the former Kelly Air Force Base, Texas, which was a sub-component of the U.S. Air Force Logistics Command during the Vietnam War. The unclassified San Antonio Air Materiel Area command histories for the years 1966 through 1973 include chapters with extensive documentation on \u201cherbicide management.\u201d We obtained copies of command histories from the Air Force Historical Research Agency at Maxwell Air Force Base, Alabama, and the Air Force Materiel Command at Wright-Patterson Air Force Base, Ohio.", "To obtain information regarding herbicide use on Guam, we obtained command histories for Naval Base Guam and an analysis and summary of the available documentation by the historian at Andersen Air Force Base. We also spoke with Navy and Air Force officials on Hawaii and Guam to identify any relevant records pertaining to such use. In addition, we met with and obtained information from officials representing the Office of the Governor of Guam and senior members and staff from the Guam Legislature. We also met with officials representing a veterans service organization. Finally, as discussed below, we spoke directly with veterans about their recollections of herbicide use on Guam, and any documentation they might have pertaining to such use.", "For objective two, we analyzed the archival search records provided by DOD to identify additional locations where Agent Orange or its components were tested and stored in the United States and its territories. We reviewed Army archives search reports of herbicide testing at Aberdeen Proving Grounds (including Edgewood Arsenal), Maryland; Dugway Proving Ground, Utah; Fort Chaffee, Arkansas; Fort Gordon, Georgia; Fort Meade, Fort Ritchie, and Fort Detrick, Maryland; and two Air Force studies related to herbicide equipment testing at Eglin Air Force Base, Florida, to determine whether there were additional sites and testing events that were not included on the DOD list found on the VA website. We also reviewed the proceedings of the First, Second, and Third Defoliation Conferences, technical and special reports, and published papers provided by the Armed Forces Pest Management Board to determine whether there were additional sites and testing events that were not included on the list. We compared the information about testing locations and dates on the DOD list found on the VA website with information found in a 2006 report on locations where Agent Orange was tested and stored.", "To determine the locations where Agent Orange or its components were tested and stored, we attempted to identify the chemical composition of all the agents on DOD\u2019s list found on the VA website. We located information on the chemical composition of agents on the list in archives search reports for Forts Detrick, Meade, and Gordon; a glossary of pesticide chemicals from the Food and Drug Administration; journal articles; and the defoliation conference proceedings. We also interviewed DOD and VA officials about the chemical composition of agents on the list, the origins of the list, how the list is used, and the role of each agency in managing the list. We compared the results with information that DOD and VA provided publicly on testing and storage locations of tactical herbicides in the United States and its territories, and with DOD policies for conducting record research and responding to inquiries related to past environmental exposures. We also compared the accuracy and completeness of the list with Standards for Internal Control in the Federal Government, which state that management should internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives.", "We also reviewed the extent to which DOD and VA have communicated health information to DOD personnel and veterans. We compared the communication process that both DOD and VA use with DOD\u2019s guidance on assessing long-term health risks, and with VA\u2019s process for determining benefits based on veterans\u2019 claims. We also compared DOD and VA actions with Standards for Internal Control in the Federal Government, which state that management should internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives. The standard further states that management should evaluate the entity\u2019s methods of communication so that the organization has the appropriate tools to communicate quality information throughout the entity on a timely basis. We also reviewed documents from DOD and VA on communication with veterans, including the VA\u2019s website on Agent Orange. Further, we interviewed cognizant agency officials from DOD and VA, including officials from the Armed Forces Pest Management Board and DOD\u2019s Joint Services Records Research Center.", "For objectives one and two, to better understand veterans\u2019 experiences with Agent Orange and other herbicides and the health effects of exposure to them, we conducted six small discussion sessions with a non-generalizable sample of veterans. Four of the discussion sessions were conducted in person in the following locations: two discussion sessions in Guam, and two discussion sessions in Hawaii. We conducted two additional discussion sessions that were moderated via telephone from Washington, D.C.: one of those had individuals participate both in person and by telephone, while the other was held solely by telephone. We selected Guam because of the provision in House Report 115\u2013200 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 for GAO to review the government\u2019s handling of Agent Orange on Guam. We selected Hawaii because of its strategic location during the Vietnam War and because of the VA presence in the region. A total of 38 individuals attended the sessions, which ranged from 1 to 10 participants per session and lasted approximately 1 to 2 hours. These discussion sessions were consistently moderated by the same team member using a prepared script and documented by several other team members.", "To select candidates for participating in our discussion sessions, we worked with the Veterans Health Administration as well as veteran clinics and veteran centers at the selected locations to identify non-combat veterans who had served during the Vietnam era. In Guam, we also worked with the Guam Environmental Protection Agency to coordinate a discussion session. Attendees included Vietnam-era veterans who self- reported that they were in active service between 1961 and 1977 in Vietnam, the United States, and its territories, including Guam. As we became aware of other veterans who might be interested in these discussion sessions, including Vietnam combat veterans, we reached out to offer them the opportunity to participate in one of our discussion sessions. Our six discussion sessions included questions to individuals regarding what, if anything, they had heard from DOD, VA, or other federal agencies about links between exposure to herbicides and negative health effects, and whether attendees believed that they had been exposed to Agent Orange or its components at locations where Agent Orange was manufactured, transported, stored, used, or destroyed. We also asked individuals if they believed they had been exposed to Agent Orange in Guam, Vietnam, or another location, and if so, to describe the situation. At the start of the discussion sessions, the moderator told participants that their responses would be kept confidential and that we were not recording their statements. The moderator noted that we would be taking notes to make sure we accurately captured the conversations, but that we would not attribute statements directly to individuals.", "For those discussion sessions held in person in Guam and Hawaii, we also administered a brief, written questionnaire about individuals\u2019 experiences during the Vietnam era (for example, duty locations, military occupation, rank), and what they had heard and experienced related to Agent Orange and other herbicides. Due to logistical obstacles, we were not able to administer the questionnaire to participants in sessions held via telephone. However, the information requested in the questionnaire was also covered in the discussion sessions themselves. Therefore, we did not analyze the information from the completed questionnaires. We also solicited from the veterans any documentation they might have that could support their allegations of the use of Agent Orange on Guam, but we did not receive documentation that corroborated the use of Agent Orange on Guam. In addition, we met with officers from the Vietnam Veterans of America to discuss how, if at all, veterans could have been exposed to Agent Orange beyond serving directly in Vietnam as part of Operation Ranch Hand, and how the organization disseminates information, especially on Agent Orange, to veterans.", "For objective three, we reviewed scientific literature and agency documents regarding the degradation and sources of the components of Agent Orange and an associated dioxin contaminant, 2,3,7,8-TCDD, as well as other sources of dioxins. This review included documents from the Agency for Toxic Substances and Disease Registry and reports and protocols from U.S. EPA, the World Health Organization, the Centers for Disease Control and Prevention, and the American Industrial Hygiene Association. We also reviewed the draft and final plans for testing for the presence of the acid forms of the components of Agent Orange\u20142,4-D and 2,4,5-T\u2014on Guam. We compared the information outlined in the testing plan with scientific literature on the environmental fate of the components of Agent Orange and other Agent Orange testing methodologies. We interviewed officials from DOD, U.S. EPA, and Guam EPA about the testing plan for Guam and the science surrounding Agent Orange testing. We also conducted a site visit to Naval Base Guam and Andersen Air Force Base on Guam and interviewed DOD and Government of Guam officials involved in the planning for the testing for Agent Orange on Andersen Air Force Base. We visited the three selected sites where the initial testing took place and took photographs of those sites.", "We conducted this performance audit from May 2017 through November 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comparison of the Department of Veterans Affairs (VA) List of Diseases Associated with Agent Orange against Those Identified by the National Academy of Sciences", "paragraphs": ["The VA recognizes 14 presumptive diseases associated with exposure to Agent Orange or other herbicides during military service for which veterans and their survivors may be eligible to receive disability compensation benefits. The list of diseases provided by the VA has generally incorporated the findings of reviews performed by the National Academy of Sciences (the Academy). The list includes 5 diseases that have been identified as having sufficient evidence of association and 9 that have been identified as having limited or suggestive evidence of association. In the Academy\u2019s biannual reports, for a disease identified as having sufficient evidence of association, the evidence is sufficient to conclude that there is a positive association\u2014that is, a positive association has been observed between herbicides and the outcome in studies for which chance, bias, and confounding could be ruled out with reasonable confidence. For a disease identified as having limited or suggestive evidence of association, the evidence is suggestive of an association between herbicides and the outcome but is limited, because chance, bias, and confounding could not be ruled out with confidence. Table 1 describes those 14 diseases and the extent of association identified by the Academy.", "The 2014 Academy biannual report, issued in 2016, listed four more diseases it categorized as having limited or suggestive evidence of association, as described in table 2.", "VA officials told us that these diseases are not included on the VA\u2019s current list of presumptive diseases associated with exposure to Agent Orange or other herbicides because, as of October 25, 2018, the Secretary of Veterans Affairs had yet to make the determination based on the most recent biannual review (the 2014 report). According to the officials, the Secretary is also considering the inclusion of parkinsonism and Parkinson-like syndromes.", "Finally, according to the VA website, VA has recognized that certain birth defects among veterans\u2019 children are associated with veterans\u2019 qualifying service in Vietnam or Korea. For example, spina bifida (except spina bifida occulta) is associated with veterans\u2019 exposure to Agent Orange or other herbicides during qualifying service in Vietnam or Korea. The affected child must have been conceived after the veteran entered Vietnam or the Korean demilitarized zone during the qualifying service period, and a child with spina bifida or covered birth defects who is a biological child of a veteran with qualifying service may be eligible for a monetary allowance, health care, and vocational training. The 2014 report moved spina bifida to the lower category of \"inadequate or insufficient evidence to determine an association,\" as studies that have been released since the 1996 update do not support a link between the condition and exposure to herbicides. According to VA officials, VA does not currently plan to change its regulations based on this conclusion."], "subsections": []}, {"section_title": "Appendix III: Quantities of Herbicides Known to Have Been Shipped to Southeast Asia on Ships Identified as Having Stopped in Guam between February 1968 and May 1970", "paragraphs": ["Based on available shipment documentation and logbooks, we identified one vessel\u2014the SS Gulf Shipper\u2014carrying Agents Orange, Blue, and White that stopped at Port Apra (now Apra Harbor) on Guam on its way to Southeast Asia. Additionally, we identified three vessels\u2014the SS Aimee Lykes, the SS Buckeye Atlantic, and the SS Overseas Suzanne\u2014that stopped in Guam on the return routes after having made various port calls in Southeast Asia. For each of these voyages, we obtained shipment documentation that outlined the quantities of herbicides that records indicate had been loaded onto the vessels while at port in the United States, and to the extent available, quantities of herbicides that were discharged in Southeast Asia. We also obtained logbooks that identified the routes the vessels took from U.S. ports to Vietnam and back, and identified any port calls en route. While we are unable to confirm the reliability of the information available in shipment documentation and logbooks, details on the quantities of herbicides that were documented to have been transported on these vessels during their routes are outlined below.", "SS Gulf Shipper: According to shipment documentation and the vessel\u2019s logbook, the SS Gulf Shipper left the port of Mobile, Alabama, on January 9, 1968, and stopped at Port Apra (now Apra Harbor) on Guam and offloaded a mariner for repatriation to the United States on February 2, 1968. We are unable to state with certainty whether there were reasons why this vessel stopped in Guam beyond what was reported in available shipment documentation and the vessel\u2019s logbook. The logbook further indicates that the SS Gulf Shipper then arrived in Saigon, Vietnam, approximately February 27, 1968, with subsequent stops in Cam Rahn Bay, Vietnam, approximately February 29, 1968, and Nha Trang, Vietnam, approximately March 2, 1968. According to available documentation, there is some discrepancy with regard to the amount of herbicides that records indicate were loaded onto the SS Gulf Shipper when it left the port of Mobile, Alabama. Specifically, shipment documentation indicates that 62,570 gallons of Agent Orange, 31,735 gallons of Agent White, and 4,620 gallons of Agent Blue\u2014a total of 98,925 gallons of herbicides\u2014were loaded onto the SS Gulf Shipper before it departed for Saigon, Vietnam. On the contrary, according to the available shipping documentation, the vessel\u2019s manifest indicates that the vessel was carrying 86,270 gallons of herbicides, but does not break the total down by individual herbicide. The vessel\u2019s manifest further indicates that the SS Gulf Shipper discharged 93,150 gallons of herbicide in Saigon, Vietnam, on March 1, 1968, which does not align with reported dates in the vessel\u2019s logbook. However, we are unable to determine discharge quantities by specific herbicide\u2014for example, the quantities of Agents Orange, Blue, or White discharged\u2014because available documentation states that the breakdown of the herbicides would not be determined until arrival at the depot. Moreover, we are unable to account for the difference between the number of gallons of herbicides reported to have been loaded onto the vessel and the number of gallons reported to have been discharged in Saigon, Vietnam, or potentially any other location.", "SS Aimee Lykes: According to shipment documentation and the vessel\u2019s logbook, the SS Aimee Lykes left the port of Beaumont, Texas, on October 4, 1969. The vessel arrived in Saigon, Vietnam, approximately November 9, 1969. The vessel made a subsequent stop at Da Nang, Vietnam, approximately November 23, 1969. Following its departure from Vietnam, the SS Aimee Lykes stopped in Apra Harbor on Guam approximately November 30, 1969, and offloaded an injured crew member. However, the logbook does not include Guam on its list of ports of call. Rather, there is a separate entry within the logbook that describes the vessel pulling into Apra Harbor and offloading the injured mariner into a small motorboat so that he could be hospitalized in Guam. Therefore, we cannot confirm whether the vessel docked at Port Apra during this voyage. According to available documentation, the SS Aimee Lykes left the port of Beaumont, Texas, with 880 gallons of Agent Orange on board\u2014documentation does not indicate that there were any amounts of Agents White or Blue on this voyage. Based on the available documentation, we are unable to determine the quantity of Agent Orange that was discharged in Saigon, Vietnam, or potentially any other location.", "SS Buckeye Atlantic: According to shipment documentation and the vessel\u2019s logbook, the SS Buckeye Atlantic left the port of New Orleans, Louisiana, on October 1, 1969. The vessel arrived in Saigon, Vietnam, approximately November 20, 1969. The vessel made a subsequent stop at Qui Nhon, Vietnam, approximately November 29, 1969. Following its departure from Vietnam, the SS Buckeye Atlantic stopped at various ports in Japan before stopping in Guam approximately December 23, 1969, and offloading two injured crew members, one who returned to duty and another who was repatriated to the United States. While on Guam, the SS Buckeye Atlantic also performed a fire and boat drill on December 26, 1969, before departing. According to available documentation, the SS Buckeye Atlantic left the port of New Orleans, Louisiana, with 17,105 gallons of Agent Orange on board. Based on the available documentation, we are unable to determine the quantity of Agent Orange that was discharged in Saigon, Vietnam, or potentially any other location.", "SS Overseas Suzanne: According to shipment documentation and the vessel\u2019s logbook, the SS Overseas Suzanne left the port of New Orleans, Louisiana, on February 28, 1970. The vessel arrived in Saigon, Vietnam, approximately April 9, 1970. The vessel made a subsequent stop at Da Nang, Vietnam, approximately April 17, 1970, and at Cam Rahn Bay, Vietnam, approximately April 22, 1970. Following its departure from Vietnam, the SS Overseas Suzanne stopped in Taiwan and Japan before stopping in Guam approximately May 5, 1970, and offloading an injured crew member. The vessel then departed Guam on May 9, 1970. According to available documentation, the SS Overseas Suzanne left the port of New Orleans, Louisiana, with 80,795 gallons of Agent Orange and 48,537 gallons of Agent Blue on board. Based on the available documentation, we are unable to determine the quantity of Agent Orange that was discharged in Saigon, Vietnam, or potentially any other location."], "subsections": []}, {"section_title": "Appendix IV: The Department of Defense\u2019s (DOD) List of Testing and Storage Locations Posted on the Department of Veterans Affairs (VA) Website", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Kristy Williams and Barbara Patterson (Assistant Directors), Karyn Angulo, Emil Friberg, Ashley Grant, Karen Howard, Kelly Husted, Richard Johnson, Amie Lesser, Keegan Maguigan, Jeff Mayhew, Dennis Mayo, Parke Nicholson, Shahrzad Nikoo, Josie Ostrander, Rebecca Parkhurst, Michael Silver, Anne Stevens, Rachel Stoiko, Roger Stoltz, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Agent Orange: Limited Information Is Available on the Number of Civilians Exposed in Vietnam and Their Workers\u2019 Compensation Claims. GAO-05-371. Washington, D.C.: Apr. 22, 2005.", "Agent Orange: Persisting Problems with Communication of Ranch Hand Study Data and Results. GAO/T-NSIAD-00-117. Washington, D.C.: Mar. 15, 2000.", "Agent Orange: Actions Needed to Improve Communications of Air Force Ranch Hand Study Data and Results. GAO/NSIAD-00-31. Washington, D.C.: Dec. 17, 1999.", "Agent Orange Studies: Poor Contracting Practices at Centers for Disease Control Increased Costs. GAO/GGD-90-122BR. Washington, D.C.: Sept. 28, 1990.", "Agent Orange: VA Needs To Further Improve Its Examination and Registry Program. GAO/HRD-86-7. Washington, D.C.: Jan. 14, 1986.", "VA\u2019s Agent Orange Examination Program: Actions Needed To More Effectively Address Veterans\u2019 Health Concerns. GAO/HRD-83-6. Washington, D.C.: Oct. 25, 1982."], "subsections": []}], "fastfact": ["Veterans who were exposed to Agent Orange in the Vietnam War era may be eligible for disability compensation.", "We examined how the Departments of Defense and Veterans Affairs communicated information to veterans and the public about possible Agent Orange exposure. Specifically, we looked at information about where Agent Orange had been tested, distributed, or stored in U.S. states and territories. We found that VA's website listing of locations outside of Vietnam where veterans may have been exposed is inaccurate and incomplete.", "We made 6 recommendations to improve DOD and VA communication about Agent Orange."]} {"id": "GAO-19-16", "url": "https://www.gao.gov/products/GAO-19-16", "title": "Older Workers: Other Countries' Experiences with Phased Retirement", "published_date": "2019-02-28T00:00:00", "released_date": "2019-04-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In response to an aging workforce, countries around the world have developed policies to encourage older workers to work longer to improve the financial sustainability of national pension systems and address shortages of skilled workers. Phased retirement is one option that can be used to encourage older workers to stay in the workforce. GAO was asked to look at phased retirement programs in the United States and other countries. In June 2017, GAO issued a report (GAO-17-536) that looked at phased retirement in the United States, where formal phased retirement programs are as yet uncommon. This report looks at phased retirement in other countries.", "Specifically, GAO examined (1) the extent to which phased retirement exists in other countries with aging populations, (2) the key aspects of phased retirement programs in selected countries, and (3) the experiences of other countries in providing phased retirement and how their experiences can inform policies in the United States.", "GAO analyzed relevant data, reviewed academic research, and conducted interviews to identify countries with phased retirement, and selected four countries with national policies permitting phased retirement programs with broad coverage for case studies. GAO also conducted interviews with government officials, unions, employer associations, and other experts."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's review of studies and interviews with employment and retirement experts identified 17 countries with aging populations and national pension systems similar to the Social Security program in the United States. These countries also have arrangements that allow workers to reduce their working hours as they transition into retirement, referred to as \u201cphased retirement.\u201d Phased retirement arrangements encourage older workers who might otherwise retire immediately to continue working, which could help alleviate pressures on national pension systems as well as address labor shortages of skilled workers. The17 countries had established phased retirement programs in different ways: at the national level via broad policy that sets a framework for employers; at the industry or sector level; or by single employers, often through the collective bargaining process.", "GAO's four case study countries\u2014Canada, Germany, Sweden, and the United Kingdom (UK)\u2014were described as employing various strategies at the national level to encourage phased retirement, and specific programs differed with respect to design specifics and sources of supplemental income for participants. Canada and the U.K. were described as having national policies that make it easier for workers to reduce their hours and receive a portion of their pension benefits from employer-sponsored pension plans while continuing to accrue pension benefits in the same plan. Experts described two national programs available to employers and workers in Germany, with one program using tax preferences. Experts also said Sweden implemented a policy in 2010 that allows partial retirement and access to partial pension benefits to encourage workers to stay in the labor force longer.", "Even with unique considerations in the United States, other countries' experiences with phased retirement could inform U.S. efforts. Some employer-specific conditions, such as employers offering employee-directed retirement plans and not being covered by collective bargaining are more common in the United States, but the case study countries included examples of designs for phased retirement programs in such settings. Certain programs allow access to employer-sponsored or national pension benefits while working part-time. For example, experts said the U.K. allows workers to draw a portion of their account based pension tax-free, and one U.K. employer GAO spoke to also allows concurrent contributions to those plans. In addition, experts said that certain program design elements help determine the success of some programs. Such elements could inform the United States experience. For instance, U.S. employers told us that while offering phased retirement to specific groups of workers may be challenging because of employment discrimination laws, a union representative in Germany noted that they reached an agreement where employers may set restrictions or caps on participation, such as 3 percent of the workforce, to manage the number of workers in the program. Employers in the U.S. could explore whether using a similar approach, taking into consideration any legal concerns or other practical challenges, could help them to control the number of workers participating in phased retirement programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The aging of the labor force has resulted in many policies designed to keep older workers in the work force longer. One such policy, phased retirement, allows workers to reduce their working hours and transition into retirement. We were asked to look at phased retirement programs in the United States and in other countries. In June 2017, we issued a report that examined phased retirement programs in the U.S., and this report examines phased retirement programs in other countries. The experiences in other countries regarding phased retirement could provide useful information to the United States where formal phased retirement programs are not yet common.", "Our 2017 report on phased retirement in the U.S. found that although phased retirement programs are uncommon, the programs that do exist provide flexibility for workers and employers. This report focuses on other countries\u2019 experiences with phased retirement and examines: (1) the extent to which phased retirement exists in other countries with aging populations, (2) the key aspects of phased retirement programs in selected countries, and (3) the experiences that other countries have had in providing phased retirement and how can that inform the U.S. experience.", "To determine the extent to which phased retirement programs exist in other countries with an aging population, we first used the Social Security Administration\u2019s publication Social Security Programs throughout the World to gather a list of 179 countries that have a national pension program, similar to Social Security, in place. Then we used United Nations population data to identify countries with an aging population\u2014 those with a high percentage of people aged 50 and over\u2014which further narrowed our list to 44 countries. Next, to determine whether these countries have phased retirement arrangements, we conducted literature searches and reviews of relevant research published in the last 10 years; reviewed data from the Organisation for Economic Co-operation and Development (OECD); and consulted with subject matter experts. This approach resulted in 17 countries with some form of phased or gradual retirement options for older workers. From these 17 countries, we selected 4 countries for case studies\u2014Canada, Germany, Sweden, and the United Kingdom (U.K.)\u2014that have national policies with relatively broad coverage to encourage phased retirement. To understand the characteristics of the phased retirement programs in the case study countries and whether experiences with the programs could inform efforts in the U.S., we conducted interviews with government officials, employers, employer associations, unions, and other experts. We identified employers and other experts for interview through a review of relevant research, referrals from subject matter experts, and referrals from the U.S. Embassy in each country. For more information on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from June 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence we obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Phased retirement arrangements are programs that allow older workers to reduce their working hours to transition into retirement, rather than stopping working abruptly at a given age. The option to transition into retirement through phased retirement encourages older workers who might otherwise retire immediately to continue working. Delayed retirement may help alleviate pressures on national pension systems and address labor shortages and shortages of skilled workers. Phased retirement programs exist in both the public and private sectors and are used by employers that cover workers through both defined benefit (DB) and defined contribution (DC) retirement plans. The programs sometimes include a partial draw-down of pension benefits for workers while they continue to work and may include a knowledge-transfer component. Phased retirement programs are often called \u201cflexible,\u201d \u201cpartial,\u201d or \u201cgradual\u201d retirement programs."], "subsections": [{"section_title": "Sources of Retirement Income", "paragraphs": ["Similar to the United States, the retirement systems in other developed countries consist of three main pillars: a national pension, similar to the U.S. Social Security program; workplace employer-sponsored pensions or retirement savings plans; and individual savings. Retirement plans can be broadly classified as DB or DC. A DB plan promises a stream of payments at retirement for the life of the participant, based on a formula that typically takes into account the employee\u2019s salary, years of service, and age at retirement. A DC plan, such as a 401(k) plan in the U.S., allows individuals to accumulate tax-advantaged retirement savings in an individual account based on employee and/or employer contributions, and the investment returns (gains and losses) earned on the account. With DC plans certain risks and responsibilities shift from the plan sponsor (employer) to the plan participant (employee). For example, workers with a DC plan often must decide how much to contribute, how to invest those contributions, and how to spend down the savings in retirement. For DB plans, many of those decisions reside with the employer. Some retirement plans combine features of both DB and DC plans, often referred to as hybrid plans.", "National pensions: According to literature we reviewed, many countries have created retirement plans for their citizens and residents to provide income when they retire. These plans are typically earnings-based and require employer and employee contributions over a number of years, with pension benefits not accessible before a certain age. National pensions are generally DB plans, similar to the U.S. Social Security program.", "Employer-sponsored pensions or retirement savings plans: Employer-based pensions or retirement savings plans are set up by employers to help ensure their workers have income during retirement. Employer-sponsored plans often require both the employer and employee to contribute money to a fund during employment so that the employee may receive benefits upon retirement. Employer-sponsored pensions typically refer to DB plans that promise a source of lifetime income at retirement, whereas retirement savings plans are typically DC plans, with retirement benefits that accrue based on contributions and the performance of the investments in the employees\u2019 individual accounts. Over the past several decades, there has been a significant shift in private sector employer-based retirement plans from traditional DB plans to DC plans. In the U.S. this shift has been to 401(k)s as the primary employer-sponsored retirement plans.", "Individual savings: Individuals can augment their retirement income from the national pension and employer-sponsored plans with their own savings, which would include any home equity, investments, personal retirement savings accounts like Individual Retirement Accounts (IRA) used in the United States, and other non-retirement savings."], "subsections": []}, {"section_title": "Population Aging and Economic Productivity", "paragraphs": ["Population aging, primarily due to declining fertility rates and increasing life expectancy, has raised concerns about the sustainability and adequacy of pensions, especially as many workers continue to exit the labor force before the statutory or full retirement age. Research indicates that while certain countries are aging more rapidly than others, population aging will affect most OECD countries, including the United States, over the coming decades. For example, the share of the population aged 65 and older is projected to increase significantly by 2030 (see fig. 1).", "According to a 2017 OECD report, since 1970, the average life expectancy at age 60 in OECD countries has risen from 18 years to 23.4 years and, by 2050, it is forecast to increase to 27.9 years. At that time, the average person is expected to live to nearly 90 years old. The increased life expectancy means that workers are spending more years in retirement. In many instances, the aging population is placing additional pressure on public pension systems and has raised concerns about the solvency of national pension systems and the long-term adequacy of benefits. In response, countries have used strategies, including increasing the statutory retirement age of their national pension systems, to reduce that pressure. However, many workers continue to leave the workforce prior to reaching the statutory retirement age, according to OECD data.", "To address this development, retaining older workers in the labor market has been an objective in many countries. Some researchers have suggested that, in the U.S., economic productivity could decline as baby boomers age and leave the labor force, thus reducing the rate of economic growth. For example, a 2016 study found that a 10 percent increase in the percentage of the population age 60 and older decreases the growth rate of per capita gross domestic product (per capita GDP) by 5.5 percent. According to this study, two-thirds of the reduction is due to slower growth in the labor productivity of workers of all ages while one- third is due to slower labor force growth, suggesting that annual GDP growth in the U.S. could slow by 1.2 percentage points per year this decade, entirely for demographic reasons. Phased retirement has the potential to provide options that would be beneficial both to older workers and the overall economy by extending labor force participation."], "subsections": []}]}, {"section_title": "We Identified 17 Countries with Aging Populations That Have Phased Retirement Options for Older Workers", "paragraphs": ["Among the 44 countries that met our initial criteria as having a national pension system similar to Social Security and an aging population, we identified 17 with some kind of phased retirement program. Based on a review of relevant research, studies, and interviews, we determined that phased retirement programs in these countries were established in several ways: (1) through national policies including legislative actions and specific programs that encourage phased retirement; (2) at the industry or sector-level through collective bargaining agreements that cover specific occupations or sectors; and (3) by individual employers. Table 1 shows the three types of phased retirement arrangements found in the 17 countries we identified.", "Based on our research, we determined that a national policy on phased retirement may provide a voluntary framework within which employers may participate rather than a requirement that they offer such programs. For example, Canadian officials reported Canada changed regulations that require employers who provide defined benefit pension plans and also offer phased retirement to allow participating workers to receive some partial pension benefits while continuing to accrue pension credits. However, according to the Canadian government, it is ultimately up to individual employers to make phased retirement available for their employees.", "In many countries, collective bargaining played a key role in the formation of phased retirement programs, particularly at the industry or sector level. Half of the 17 countries have \u201csectoral\u201d phased or partial retirement arrangements established through collective bargaining agreements that cover a large number of workers from specific industrial sectors or occupations, such as local government workers in Sweden or metal and chemical sector workers in Germany. Such sectoral programs can include public and private employers that provide a program or policy that applies to their workers only. Sometimes, companies with sectoral programs have the flexibility to set their own program requirements, within the broad guidelines of arrangements established through collective bargaining agreements.", "Phased retirement programs can also be established by individual employers. Employers offering phased retirement are generally larger companies in the private sector with their own pension plans. Our research found examples of phased retirement programs offered by individual employers both within and outside of collective bargaining agreements."], "subsections": []}, {"section_title": "Selected Countries\u2019 National Policies Were Generally Designed to Encourage Phased Retirement, and Individual Program Design Aspects Vary", "paragraphs": [], "subsections": [{"section_title": "Selected Countries Employ Various Strategies to Encourage Phased Retirement", "paragraphs": ["The national policies implemented in our four case study countries\u2014 Canada, Germany, Sweden, and the U.K.\u2014currently, are mainly designed to encourage older workers to remain in the labor force and continue to earn and contribute to their pensions, and often, share their institutional knowledge with younger workers, according to the officials, experts, and employers we interviewed. For example, according to Canadian government officials, Canada, to retain older workers and meet the financial needs of those workers, amended its income tax regulations in 2007 to allow phased retirement under certain DB pension plans. Additionally, government officials in the U.K. reported that in 2014, the U.K.\u2019s national flexible work policy was expanded to cover older workers who wanted to phase into retirement. They said that this was done, in part, to keep older workers\u2014aged 50 and over\u2014in the labor force. However, the reasons for instituting phased retirement have shifted over time. Based on our research and interviews with foreign officials and other experts, we found that, in some cases, phased retirement was initially used as an incentive for older workers to retire early so employers could hire unemployed younger workers. For example, officials reported that in 1996 at a time of double-digit unemployment (around 10 percent), Germany instituted a national part-time work program, the Altersteilzeitgesetz (ATZ), to encourage older workers to retire. Officials said this phased retirement program originally sought to get older workers out of the labor force and encourage employers to hire unemployed workers and trainees. Today, in response to an aging population, Germany is using phased retirement to encourage older workers to remain in the workforce and ensure knowledge and skills transfer, according to officials we interviewed. In addition, our research found that Sweden offered a national phased retirement program or a \u201cpartial pension\u201d scheme from 1976 to 2001, mainly as an option to allow workers to gradually withdraw from work 5 years before the statutory retirement age. According to our research, this program was implemented, in part, to make it the transition from work to retirement more flexible. Swedish officials stated that the country abolished the program in 2001, mainly due to excessive costs, and implemented a new policy in 2010 that permits partial retirement and access to partial pension to encourage workers to stay in the labor force longer.", "The four case study countries employed various efforts at the national level to encourage phased retirement options that seek to keep older workers in the labor force. From our interviews with government officials, unions, and other experts, we found that all four countries have national policies to help facilitate phased retirement. Examples include national programs that companies and sectors can offer to workers\u2014such as the national program in Germany or the program in Sweden that ended in 2001\u2014as well as implementing policies that seek to incentivize both employers and employees to offer and participate in phased retirement programs.", "As shown in table 2, the four countries reported having made efforts at the national level to encourage phased retirement, including implementing national policies and programs that involve public subsidies, tax incentives, or changing pension rules to allow individuals to receive partial pension benefits while continuing to accrue benefits in the same pension plan. For additional information on the national efforts made by case study countries, see appendix II."], "subsections": []}, {"section_title": "Individual Programs in Case Study Countries Have Similar Aspects, but Vary in Design and Sources of Supplemental Income to Workers", "paragraphs": ["Employers in our case study countries have implemented various phased retirement programs that reflect the employers\u2019 goals for offering phased retirement and the preferences of participating employees. Based on our interviews with officials, employers, and representatives from employer associations and unions in the four selected countries, we found that the programs offered by employers in those countries had similarities and differences in how the programs were established, designed, implemented, and funded.", "Role of collective bargaining. Based on our research and interviews with experts, we found that most of the phased retirement programs we reviewed in the four case study countries were established as part of collective bargaining agreements between employers and union- represented workers. This was often the case for sectoral programs in either the public or private sectors and for those covering specific occupations. The programs often covered a large number of workers. For example, in Sweden, representatives of an organization for public employers with approximately 1.2 million employees (23 percent of the Swedish workforce) told us that 90 percent of the workers in Sweden were covered by collective agreements, and that they have negotiated collective agreements that included phased retirement for many of their members. In Canada, one expert reported that phased retirement was most common in fields that are highly unionized, because Canadian unions wanted to increase flexibility for members to gradually decrease work, but also receive a pension payment. For example, the expert said that universities were at the forefront of phased retirement implementation and they are highly unionized.", "While most of the programs we reviewed were based on collective bargaining agreements, we identified a few companies that initiated phased retirement for their workers outside of the collective bargaining process, when the employer determined a need for such a program. For example, one private sector employer in the financial industry we interviewed in the U.K. told us that offering phased retirement options addressed employees\u2019 need for flexibility. This employer commented that if employees are happy, they will stay with the company longer and continue to provide customers with superior service. As another example, a large German employer in the transportation industry offers a phased retirement program for managers who are not covered by a collective bargaining agreement.", "Defined benefit and defined contribution plans available. Many phased retirement programs we reviewed involve DB pension plans that provide a fixed stream of payments at retirement for the life of the participant. However, we also found some employers that were moving from such plans to DC or hybrid pension plans, and phased retirement is permitted under those plans as well. For example, a private sector employer in the U.K. that sponsors both DB and DC retirement plans, told us that workers in both types can participate in phased retirement and can draw from their employer-sponsored retirement accounts at age 55, although the drawdown rules are different for each type of retirement plan. As another example, the UK\u2019s National Health Service workers are currently covered by two retirement plans, according to pension plan administrators we interviewed. Specifically, a pure DB plan initiated in 2008 is being phased out and replaced by a DB hybrid plan introduced in 2015. Both plans offer flexible retirement options, plan administrators said.", "Health care coverage. Each of the four countries we reviewed provided universal health care coverage. The broad availability of health care in these countries, allows workers to reduce their work hours or responsibilities without concern for losing health coverage, while not increasing employer costs. This also made it easier for employers in our case study countries to retain phasing part time workers and potentially hire another worker without the additional cost of providing health care to two workers.", "Program limits. Other similarities found in the phased retirement programs that we reviewed in the four case study countries, include 1) having a maximum age up to which a worker can partially retire\u2014 sometimes phased retirement can only be taken previous to the statutory retirement age as set by the country\u2019s national pension system\u2014and 2) limiting phased retirement to specific groups of employees. As examples, one employer in Germany told us that it offers phased retirement only to employees working in \u201chardship\u201d positions, such as those who work night or rotating shifts, while some employers in Sweden offer phased retirement to workers in particularly skilled occupations where workers cannot be easily replaced, such as certain health professionals, according to representatives from an employer association.", "Program terms and conditions. Based on our review of program documents and interviews with program administrators, we found that the phased retirement programs we reviewed in the four countries, regardless of type, had basic requirements, such as age of participation, years of service, eligible positions, period of phasing work, and time requirements; however, the specific terms differed from program to program. For example, a sectoral phased retirement program in Sweden allowed workers to apply for phased retirement at age 60, and draw down 50, 80, or 90 percent of their earned employer-sponsored retirement account while phasing. A public sector employee program in the U.K. provided a phased retirement option at age 55, and workers could draw down from 20 to 80 percent of their employer-sponsored pension while reducing their work hours. In contrast, a program in Germany only allowed workers aged 56 and older, with 20 years of service, and who had rigorous work schedules (i.e., night shifts or rotating shifts) to apply for phased retirement. Other aspects, such as the categories of workers eligible to participate, also differ. For example, one higher education employer in Canada only allows faculty and librarians to participate in phased retirement, while another employer in the U.K. allows all employees to apply for phased retirement.", "Sources of income. Workers participating in phased retirement typically forego some amount of wages as a result of reduced working hours or reduced responsibilities, similar to the wage reduction in full retirement. In the programs we reviewed in our four countries, workers are able to offset foregone wages, at least partially, from multiple sources. According to program administrators and employers we interviewed, these sources include the national pension; employer-sponsored retirement accounts; an employer-provided benefit designated for this purpose; personal savings; or some combination of these sources. For example, German experts told us that, in Germany, workers participating in the national ATZ program can reduce their work hours by 50 percent. Experts told us that employers are required to pay a minimum of 70 percent of full-time wages for phasing employees and pay contributions toward the employee\u2019s pension as though the employee were working 90 percent. Among the employers we interviewed that continue to offer the national ATZ program, the 20 percent topped-off amount was reported as generally financed by the employer. In the U.K., employees participating in a private-sector employer\u2019s phased retirement programs make up for the foregone wages by withdrawing funds from their own employer- sponsored retirement plan.", "In Canada, one employer offers a lump-sum allowance to employees between 60 and 64 years of age who wished to reduce their hours as part of phased retirement. Participating employees are paid a salary proportional to their reduced hours and can use the lump-sum benefit to supplement their income, but may not exceed their full-time salary. This lump-sum is funded solely by the employer. During the phased retirement period, employees can continue to contribute to their employer-sponsored retirement account as if working full time, and need not withdraw from their pension. In Sweden, one public sector phased retirement arrangement is financed by employers as part of collective bargaining agreements. This program allows workers to work 80 percent of a full- time job and receive 90 percent of a full-time salary. The employers continue to contribute to the employer-sponsored pension as if employees were working full-time. Workers in Sweden can also supplement any reduced income with national pension benefits."], "subsections": []}, {"section_title": "Even with Unique Considerations for the United States, the Experiences of Other Countries with Phased Retirement Could Inform U.S. Efforts Differences in Institutional and Employer-Specific Factors May Affect How U.S. Efforts to Provide Phased Retirement Can Be Informed by Other Countries\u2019 Experiences", "paragraphs": ["Institutional and employer-specific factors in other countries, which shape the design of phased retirement programs, typically differ from the institutional environment experienced by many U.S. private sector employers, although they may be similar to those common in U.S. public sector employment. Some of these institutional factors include the extent to which employers and workers are supported by universal health insurance, whether the programs are structured around employer- sponsored traditional DB plans\u2014particularly for workers who have worked at their firm long enough to qualify for phased retirement\u2014and whether programs are the result of collective bargaining agreements. In many of the selected countries we reviewed, phased retirement programs designed to extend labor force participation are fairly recent. While the rate of employment among older workers in the case study countries and the U.S. increased in recent years, data has not been collected in the case study countries to gauge the effects of phased retirement and participation is low. Experiences of the case study countries suggest that, in implementing such programs at the employer or national level, phased retirement programs may be more effective if carefully designed based on the employer\u2019s specific industry or production characteristics, and with data collected and analyzed to pinpoint the most successful strategies.", "A Unique Consideration for U.S. Companies Wishing to Offer Phased Retirement: Importance of Employer- Sponsored Benefits Unlike our case study countries, most U.S. workers get their health insurance through their employer, which can be a costly benefit to provide. Employers with 50 or more employees must provide coverage or pay a fee; however, the requirement does not apply to those working less than 30 hours per week, on average. In June 2017, we found that employers offering phased retirement programs must decide if they will include participants in their health care coverage and that all eight of the employers with phased retirement programs with whom we spoke had extended their employer-sponsored insurance to program participants. In addition, the benefit payments provided under U.S. Social Security may not be as high as the national retirement benefits in some of our case study countries and many U.S. workers rely on employer-based retirement benefits and personal savings for a secure retirement. Strategies such as allowing continued contributions during phased retirement and supplementing phased retirement income through partial retirement payouts or other sources may be helpful for worker satisfaction in phased retirement programs. more common in the U.S. than in most of our case study countries. (see sidebar) However, we found examples of phased retirement programs offered to workers covered under DC pension plans that are not collectively bargained in our case study countries. Some of the employers with DC pensions that we learned about were transitioning from traditional DB plans to DC plans. In these instances, newer workers are usually enrolled in the DC plan and, because the shift is recent, many of the workers covered under DC plans may not be old enough or have sufficient years of service to qualify for phased retirement, where such characteristics are criteria for participation. For example, a privately-run transportation company in Germany reported offering phased retirement programs that reduce working hours by about 20 percent, to workers who meet certain criteria. Workers hired after 1995 and workers from the former East Germany are covered under a DC plan and may qualify for the phased retirement program. These examples indicate that private sector employers in the U.S., where workers are increasingly covered by DC plans rather than DB plans and generally not covered by collective bargaining agreements, may also be able to implement and benefit from phased retirement programs.", "Most of the programs we reviewed are relatively recent and have reported small numbers of participants. Although OECD\u2019s data show that employment of 55- to 64-year-olds increased between 2006 and 2016 in Germany, Sweden, and the U.K., it is not clear what role phased retirement has played in that growth. (see fig. 2) Governments, employers, and unions have not systematically collected data to understand the effect of the program on choices older workers make regarding when to retire or the effects of phased retirement on employers, workers, or national workforce participation. Some employers we spoke with provided information on the number of workers who had used or were currently using the programs, but there is not enough data to draw conclusions, possibly because the programs are relatively new.", "As previously mentioned, the goal for some phased retirement programs has shifted and although employers and national governments now have greater incentives to retain older workers, the design of some phased retirement programs may encourage workers to use the program to leave the workforce earlier than they might in its absence. For example, experts at a high-skill employer in Canada said that they believed that the program may have incentivized older workers to reduce their hours when in the absence of the program they may have worked full time."], "subsections": []}, {"section_title": "Competing Needs of Employers, Workers, and Countries Mean That Benefits for Some May Be Challenges for Others", "paragraphs": ["Employers, workers, and countries may have competing needs and goals in phased retirement programs, which must be considered in designing programs. Specifically, these groups may differ in their preferences in the areas of who may participate, the primary goals for the program, and how the program will be financed. In previous work, we found that some U.S. employers are reluctant to offer phased retirement programs because they believe there is not sufficient interest among employees and that employers in industries with technical and professional workforces were more likely to provide formal and informal phased retirement programs. Challenges identified by the programs in our case study countries can provide helpful insights into areas of concern in designing phased retirement programs in the U.S.", "A Unique Consideration for U.S. Companies Wishing to Offer Phased Retirement: Nondiscrimination Laws In June 2017, we found that U.S. industries with skilled workers or with labor shortages also have motivation to offer phased retirement programs, in part because their workers are hard to replace. However, U.S. companies must comply with laws intended to protect workers from discrimination. Experts and employers said programs that target highly skilled workers, who are often highly paid, could violate nondiscrimination rules, which generally prohibit qualified pension plans from favoring highly compensated employees. One study we reviewed for that work noted that regulatory complexities and ambiguities involving federal tax and age discrimination laws impact an organization\u2019s ability to offer a phased retirement program.", "Program scope: Certain experts noted that, particularly in the context of collective bargaining, workers typically want phased retirement programs to be broadly available; in contrast, certain employers may want narrowly scoped programs that are targeted to certain high-skilled or scarce workers. Phased retirement is also used by certain employers to target key employees with rare or sought after knowledge, skills, and experience and provide opportunities for knowledge transfer prior to retirement. Representatives from two German companies with high-tech or high- skilled workforces noted that phased retirement was important to retain workers with experience and knowledge.", "Employers also reported setting criteria that limit the program to individuals with a specific length of service with the employer, with physically difficult jobs, or with challenging schedules, which may help employers to target the program to certain workers. We reported in June 2017, that U.S. employers noted that targeting specific workers might pose a challenge because of laws that prohibit special treatment of selected workers for certain U.S. pension plans. (see sidebar) The differences in the desired scope of phased retirement programs could potentially be resolved. For example, some experts we interviewed reported that employers may have caps which limit participation, such as limiting participation to a specific percentage of employees who are age eligible. A union representative in Germany noted that employers there may set restrictions or caps on participation, such as 3 percent of the workforce, or an employer may effectively cap the extent of participation by restricting the program to a budgeted amount of funds. Employers in the U.S. could explore whether using a similar approach regarding the scope of a phased retirement program, taking into consideration any legal concerns or other practical challenges, could help them to control the number of workers participating in phased retirement programs.", "Knowledge sharing/succession planning: A representative at a German employer noted that the employer has integrated a knowledge sharing component to its program so that workers are able to train younger workers and share their expertise. Retaining older workers may have an added benefit\u2014according to a U.K. public plan administrator, their phased retirement program also brought more age diversity to the workforce.", "One expert said that phased retirement has the additional benefit of helping with succession planning since management has more information about the retirement decisions of those participating in the program. An official from a Canadian university stated that the university\u2019s phased retirement program, which includes a specified timeframe of 3 years, helps with planning because they know exactly when the worker will leave their job and can begin the sometimes lengthy process of recruiting replacement faculty. In our previous report, we noted that five of the nine employers we interviewed said that knowing when workers will retire allows employers to plan for the future.", "Work life balance/program complexity. Union representatives in our case study countries described several benefits that phased retirement provides to workers. For example, one said that phased retirement provides more choice for workers, another noted that phased retirement allows workers to continue to work at reduced hours until they reach the statutory age to receive a national pension, and a third mentioned that such programs reduce the burden for workers who cannot or do not want to work full time. Similarly, other experts we interviewed said that phased retirement\u2019s part time work schedule provides workers the opportunity to continue working when they might otherwise retire. The experts each cited specific reasons workers might retire, including health concerns, the physical demands of their work, or the responsibility of caring for a loved one. U.K government officials stated that phased retirement for older workers in their country originated from a 2002 policy to facilitate flexible work for caregivers of dependent adults and young and disabled children. According to the U.K.\u2019s government website, flexible work can be part time, job sharing, annualized hours, or telework, among others. It also states, that employers can decline a request for flexible employment if they can demonstrate that granting such a request can have a detrimental effect on the firm, but, according to a 2013 U.K. government survey, 97 percent of employers offer some kind of flexible work.", "Experts in several of our case study countries noted that the rate of participation in phased retirement programs is low, which each attributed to different factors, including that workers may have insufficient knowledge or understanding of the programs; employers may have restrictions on program participation, such as eligibility requirements or caps on participation; or there may be insufficient interest or incentives for workers. For example, a German academic noted that his country\u2019s Teilrente program, which combines partial national pension benefits and reduced work hours for workers age 63 and older, is confusing and has not been well-marketed, leading to low uptake. In our previous report, we noted that according to 2014 Health and Retirement Study data, an estimated 29 percent of 61- to 66-year-olds in the U.S. plan to reduce their work hours: however only an estimated 11 percent actually did gradually reduce their hours.", "Extending labor force participation: Countries may want to encourage older workers to delay retirement to increase labor force participation, broadly or in certain sectors, especially in times of low unemployment. In the past, phased retirement in some nations had been used as a tool to downsize workforces and encourage workers to retire early. However, the rising costs of national pensions and an aging workforce have now encouraged nations to view phased retirement as a tool or mechanism to extend labor force participation. Indeed, according to the European Commission, increased labor force participation of older workers is a goal of the Eurozone. According to an academic expert we interviewed, increasing the use of phased retirement is not a specific strategy to achieve that goal, some countries are now using such programs to help achieve it. For example, a Swedish official commented that the availability of phased retirement can help older workers stay in the workforce longer. In addition, an association of employers in Germany stated that raising the age of eligibility for national pension benefits and eliminating incentives for early retirement was likely to induce older workers to work longer. Delayed retirement also gives workers longer working lives and earning potential, which may help make pension systems sustainable. A German academic noted that continued work keeps older individuals out of poverty and increasing retiree income could reduce their reliance on national \u201csafety net\u201d benefits. He said that retired people are interested in Germany\u2019s program allowing work after retirement age because they may have insufficient savings and \u201cmini jobs\u201d provide opportunities for earning more.", "Certain sectors of national economies may particularly benefit from extending workers\u2019 time in the workforce. For example, an expert at a U.K. consulting firm noted that, due to Britain\u2019s expected departure from European Union membership the country may face labor shortages in certain sectors, such as health care and hospitality, because of the loss of foreign workers. He also suggested that flexible work arrangements may help to avoid potential shortages by retaining older workers who are citizens in those sectors. We also found, in our previous report, that phased retirement could also benefit the U.S. economy in helping to extend participation in the workforce.", "A Unique Consideration for U.S. Companies Wishing to Offer Phased Retirement: In-service Distributions and ERISA Requirements Related to Plan Design We previously reported that defined benefit (DB) plans may provide in-service distributions, which would allow phased retirement participants to draw a portion of their retirement benefit during their participation in phased retirement, to workers aged 62 and older. Defined contribution (DC) plan participants generally may not receive distributions from a DC plan until they reach age 59 \u00bd and distributions before that age may be subject to an additional tax. Our previous work also found that in-service distributions may be important to supplement salaries for participants in phased retirement. An expert we spoke to stated that the Employee Retirement Income Security Act of 1974 (ERISA) requirements pertaining to plan design reduce plan flexibility since changes to plan structure to allow for phased retirement have to be honored even if the economy changes and employers want to shed rather than retain older workers. He stated that this requirement reduces the appeal of phased retirement for employers sponsoring DB plans.", "Program design. Experts in certain case study countries reported that employers must design their programs carefully to ensure that they meet sometimes complex statutory requirements and to ensure that workers are eligible for and benefit from phased retirement. However, some also mentioned that designing a program that incentivizes continued work and avoids penalties for workers can be a challenge. For example, an expert we interviewed stated that, in Germany, early retirees can receive their full pension benefit after 45 years of work, but they are subject to salary caps until they reach the full retirement age, which may be a disincentive to combining continued work with a pension draw down. Conversely, there is an incentive for continued work in Germany without claiming a pension since, should the worker continue to work, contribute to the public pension, and delay claiming, their benefit increases by 0.5 percent for each additional month worked. In our previous report, U.S. employers also cited concerns in designing programs to meet statutory requirements. (See sidebar).", "According to a Eurofound report, the flexibility of phased retirement can come with administrative costs, particularly if frequent changes are allowed. For example, a Canadian employer noted that managing a workforce of part-time employees was a challenge because it was unfamiliar. They also said that, in some circumstances, their program allowed participants to renege on their retirement date and that it was administratively cumbersome. We also reported in our previous work that employers using phased retirement in the U.S. had experienced administrative concerns that included challenges with part-time workforces.", "Potential costs of phased retirement programs. Several of the experts we spoke with said that making programs sufficiently financially beneficial to encourage worker participation can be costly. In addition, some employers reported that, where available, tax incentives, government subsidies, or financing salary supplements directly from the workers\u2019 retirement benefits were used, which may have helped to minimize their costs in providing the programs. In contrast, some government experts from the case study countries noted in interviews that certain government supports had been cut, suggesting that those governments prefer employers to finance more of the benefit. Other experts we spoke to explained that some employers in our case study countries paid for most of the cost of the programs themselves, although, some employers also benefit from tax incentives. For example, according to experts, the current provisions of the German ATZ program\u2019s required that employers provide salary supplements of at least 20 percent of full-time wages above the pay for partial (50 percent) employment. According to an OECD report, initially, the supplement was paid through government subsidies to employers but now, if employers wish to retain the program, they must pay the salary supplement themselves, adding additional costs to employers. German government officials noted that the salary supplement paid during phased retirement is tax-advantaged. Such incentives might also encourage employers in the U.S. to offer phased retirement programs.", "Potential reductions in future benefits: Some experts noted that certain phased retirement programs allow workers to reduce their hours without a proportional reduction in wages or benefits when they enter full retirement. It may also provide more options in how to draw down benefits. However, some programs we reviewed also include pay that is less than what is received during full employment and may involve reduced benefits after retirement, which is a factor for workers considering participation. For example, German experts explained that ATZ requires a salary supplement of at least 20 percent of salary, effectively resulting in workers receiving 70 percent of their wage for 50 percent of hours worked. In our previous report, we noted that according to 2014 HRS data, an estimated 22 percent of U.S. workers aged 61- to 66-years surveyed would be interested in reducing their hours even if it meant their pay would be reduced proportionally. We also found in our previous report that low savings and concerns about eligibility for health benefits may create barriers that affect workers\u2019 ability or interest in participating in phased retirement programs.", "Even when they receive employer-provided subsidies, as in Germany, workers\u2019 salaries in phased retirement programs are less than under what is earned for full-time work. A recent OECD report noted that removing obstacles, such as limits on earnings while working and receiving pension payouts and limits on the accumulation of benefits, is important to make combining work and pensions more attractive. A Canadian employer had similar concerns and noted that workers may be reluctant to reduce their hours without having some way to supplement their income, for example through a partial draw down on their retirement savings or private or public pension.", "In some cases, workers may work and draw a benefit from their national or employer-sponsored pension plan. Some experts reported that certain programs allow workers to continue to contribute to their pension plans or earn pension credits. Union representatives in the U.K. and Germany noted the importance of workers remaining in the labor force longer for the purpose of increasing their income after full retirement. For example, according to a U.K. government website, the U.K. has no mandatory retirement age for the national pension system and allows individuals who have reached the retirement age to work and draw a benefit. According to a U.K. government website, if a worker continues to work after the full retirement age and delays their claim for the national pension benefit, their weekly payments could be larger when they do choose to retire and take their benefit. Experts at a privately run German transportation company noted that workers earn 100 percent of their pension credits during the period that they are participating in the company\u2019s phased retirement program. In addition, the U.K. allows workers to draw a portion of their plan benefits\u2014with 25 percent being tax-free\u2014and one U.K. employer we spoke to allows continued contributions to those plans.", "Participants may also see reductions in their retirement benefits after full retirement. Workers with DC plans may reduce their retirement savings through early withdrawals during phased retirement. Similarly, depending on program design, workers may have limitations on their contributions to their employer-sponsored DB plan or public pension during phased retirement; yielding lower pension benefits at retirement. An OECD report notes that national pension payments made during participation in phased retirement programs and any change in the age at which a worker retires, such as retiring prior to or after the full retirement age, should result in pension adjustments that are actuarially neutral\u2014in other words, workers taking early pension payments will have reduced benefits for the duration of their retirement while those who delay payment receive increased benefits. One expert at a German university noted that participants do not always realize the effect the program will have on their pensions."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Commissioner of the Social Security Administration, the Secretary of State, the Secretary of Labor, the Secretary of the Treasury, the Commissioner of the Internal Revenue Service, and the Acting Director of the Office of Personnel Management. The Social Security Administration provided a technical comment, which was incorporated as appropriate. The remaining agencies had no comments.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Commissioner of the Social Security Administration, the Secretary of State, the Secretary of Labor, the Secretary of the Treasury, the Commissioner of the Internal Revenue Service, the Acting Director of the Office of Personnel Management, and other interested parties. This report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or jeszeckc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the extent to which phased retirement exists in other countries with aging populations, (2) the key aspects of phased retirement programs in selected countries, and (3) the experiences that other countries have had in providing phased retirement and how that can inform the U.S. experience.", "To determine the extent to which phased retirement exists in other countries with aging populations, we used data from the Social Security Administration\u2019s publication Social Security Programs throughout the World and United Nations population data to first identify countries with aging populations. Social Security Programs throughout the World contains comprehensive data on the social security programs in different countries around the world, including the statutory retirement age, early retirement age, and GDP per capita. We used the Social Security Administration\u2019s publication to gather a list of 179 countries that have some kind of social security program. For these countries, we used United Nations population data to find the proportion of the population aged 50 and over, where available. We then limited our research to those countries whose proportion of population aged 50 and over is more than one standard deviation above the average. This group represents countries where the proportion of the population aged 50 and over is above 33 percent, and includes a total of 44 countries.", "To determine whether the 44 countries that met our initial criteria of having 1) an national pension program similar to social security and 2) an aging population have adopted phased retirement programs, we reviewed the Organisation for Economic Co-operation and Development (OECD) and the European Union reports and data that focus on older workers and extending work life in other countries. We focused on OECD and European Union countries because they are advanced economies that are most similar to that of the United States. In addition, we conducted literature searches and reviews to identify countries with phased retirement programs aimed at extending working lives of older workers as well as to assist with knowledge transfer from older workers to younger workers. The literature searches comprised of terms related to phased retirement, such as gradual retirement; partial retirement; labor force participation of older workers; and transitional retirement. We limited our searches to literature released during the 10-year period from 2007 to 2017. Additionally, we spoke with subject matter experts to gain their perspective on which countries offer phased retirement programs or have a policy aimed at extending working lives of older workers. We identified these experts through our review of relevant literature and expert referrals. In total, we identified 17 countries with some form of phased or gradual retirement options for older workers. We examined these 17 countries to identify the types of phased retirement programs within each country. For example, we researched whether the country had (1) national phased retirement policies or programs (2) sectoral programs established through collective bargaining agreements that cover specific industries, occupations, or sectors; and (3) individual employer programs.", "To obtain a more complete understanding of key aspects, and the benefits and challenges of phased retirement programs in selected countries, as well as potential lessons learned for the U.S., we reviewed the group of aging countries with relevant programs identified in the first objective, to select a sample of four countries for case studies. These countries are Canada, Germany, Sweden, and the United Kingdom (U.K.). The criteria for selecting case study countries included being described in literature or by experts as having a national policy related to phased retirement or as having taken legislative action, in part, to facilitate or encourage phased retirement, a variety of sectoral and individual employer programs (public and private sector), when the programs were implemented, and expert or industry recommendations. We also considered the various countries\u2019 economic and social frameworks and whether they are similar to that of the U.S. Specifically, we selected Canada, Germany, Sweden, and the U.K. because they had national phased retirement policies, which may include a national program such as in Germany and Sweden, and a wide variety of phased retirement programs in both the private and public sectors. For the case studies, we conducted interviews with government officials, program administrators, employer associations, unions, and employers to obtain in-depth program information and to learn about their experiences with phased retirement. We identified appropriate officials and organizations to contact primarily through review of relevant literature, subject matter expert recommendations, and referrals from the U.S. Embassy in each country. We reached out to a variety of labor unions and employers in selected countries in an effort to obtain multiple perspectives on issues related to phased retirement and met with those available to speak with us. We did not conduct an independent legal analysis to verify the information provided about the laws, regulations, or policies of the foreign countries selected for this study. Rather, as described above, we relied on appropriate secondary sources, interviews, and other sources to support our work. We submitted key report excerpts to government officials in each country, as appropriate, for their review and verification, and we incorporated their technical corrections as necessary.", "To determine whether experiences with phased retirement in other countries could inform efforts in the U.S., we relied on testimonial evidence from interviews and a review of relevant research. The applicability of lessons learned was shaped by the differences in the national pension and social systems in the selected countries, such as the availability of healthcare and other retirement benefits."], "subsections": []}, {"section_title": "Appendix II: Key Features of Phased Retirement Systems", "paragraphs": ["To compile the information in this appendix, we interviewed officials and program administrators from selected phased retirement programs in Canada, Germany, Sweden, and the United Kingdom (U.K.), as well as employer associations, unions, and retirement experts. We also reviewed documentation and obtained statistics from country agencies. We identified employers offering phased retirement programs primarily through reviews of relevant literature, referrals from subject matter experts, and referrals from the U.S. Embassy in each country. We reached out to a variety of labor unions and employers in selected countries and met with those available to speak with us. We did not conduct an independent legal analysis to verify the information provided about the laws, regulations, or policies of the countries selected for this study. Rather, we relied on appropriate secondary sources, such as plan documents; interviews; and other sources. We submitted key report excerpts to government officials in each country, as appropriate, for their review and verification, and we incorporated their technical corrections as necessary."], "subsections": [{"section_title": "At a glance", "paragraphs": [], "subsections": [{"section_title": "\u2022 Population: 37 million (2018) \u2022 GDP: $1.65 trillion (2017) \u2022 Statutory retirement age:", "paragraphs": ["starting at age 65 with full benefits", "Early retirement age: 60, with Sources of retirement income National pension: The earnings- related Canada Pension Plan targets a replacement rate of 25 percent of average lifetime earnings, up to a maximum earnings limit each year. Starting in 2019, this plan will replace one- third of average earnings, and the earnings range used to determine average earnings will also gradually increase. Employees in the province of Quebec have their own Quebec Pension Plan, broadly similar to the Canada Pension Plan.", "National efforts to encourage phased retirement In 2007, Canada introduced changes to the Income Tax Regulations to allow more flexible phased retirement arrangements under defined benefit (DB) registered pension plans. Under the pension tax rules, phased retirement allows an individual to receive a portion of his or her pension benefit from a DB pension plan while continuing to accrue pension benefits in the same plan. The income tax regulation changes permitted qualifying employees to receive up to 60 percent of their accrued benefits in their employer-sponsored DB pension while continuing to accrue further pension benefits based on either full-time or part-time work, subject to employer agreement. Qualifying employees must be at least 60 years of age or aged 55 or older and eligible for an unreduced pension under the terms of the DB plan. Highlights of individual phased retirement programs Sectoral Collectively Bargained Programs", "Employer group 1: Certain provincial government hospital employees of this public sector employer, those aged 55 or older with at least 5 years of service, can reduce their work schedule to between 50 and 60 percent of full-time work, and receive pay proportional to hours worked plus an annual pension pre-payment from their employer-sponsored retirement plan, which changed from a DB to a target benefit or shared-risk plan. Combined, the payments equal 85 percent of full- time earnings. Workers can choose to phase for a period of 1 to 5 years. Participants continue to accrue pension service benefits based on full-time work.", "Employer-sponsored pensions: Registered Pension Plans established by employers or unions to provide pensions for employees. In general, the plans can be defined benefit (DB), defined contribution (DC), or a combination of DB and DC plans.", "Individual savings: Individuals can use tax-assisted arrangements that foster personal savings including Registered Retirement Savings Plans that are similar to traditional IRAs in the United States and the Tax Free Savings Account\u2014a general purpose savings plan that provides tax treatment similar to Roth IRAs in the United States. the ages of 60 and 64, can reduce their workload by working fewer hours. They are paid a salary proportional to their reduced hours and a lump-sum retirement allowance, paid by the employer that can be used to supplement their income, not to exceed their full time salary. Participants can continue to contribute to the employer-sponsored DB plan as if working full time.", "Canada (cont.) participate in phased retirement up to 3 years prior to age 71. Participants can work 50 percent of full time work each year over a 3- year period and get paid a salary proportional to their reduced hours. Participants cannot draw from their employer-sponsored DB plan, but can contribute to it and the national pension as if working full time.", "Employer 5: An employer with two phased retirement programs. One program was established through a collective bargaining agreement, and allows unionized faculty aged 60 or older with at least 10 continuous years of service to slowly reduce their work time and receive proportionate pay. Participants can contribute to their employer-sponsored DC pension as if working full time. Participants in this program cannot draw from their pension until fully retired. The second phased retirement program was established in-house by the employer (outside of collective bargaining agreements) for non-faculty staff (see details below).", "Employer 5 (same employer 5 above): All non-faculty staff over age 55, with at least 15 years of full-time work can reduce hours for up to 3 years.", "Source of supplemental income In Canada, employees participating in phased retirement programs we reviewed were compensated for foregone wages due to reduced hours primarily by withdrawing funds from their own employer-sponsored pension plan, a lump sum benefit funded by the employer, or their savings, as necessary."], "subsections": []}]}, {"section_title": "At a glance", "paragraphs": [], "subsections": [{"section_title": "\u2022 Population: 82.3 million (2018)", "paragraphs": ["GDP: $3.68 trillion (2017) and a few months, gradually increasing to 67 by 2029 (Those with 45 years of contribution can get a full pension at 63, gradually increasing to 65)", "Early retirement age: 63 with 35 years of contributions, with reduced benefits, gradually increasing to 67 Sources of retirement income National pension: An earnings- related pension, requiring at least 5 years of contributions. In 2018, the employer and employee contribution rates were 18.6 percent of covered earnings. common national phased retirement program, the ATZ was established in 1996. Broad program guidelines specify that the program is available to those 55 and older and allows part-time work up to 6 years prior to the statutory retirement age. Workers can participate in the ATZ under two basic models: one in which an employee works part-time the entire period (reducing hours up to 50 percent of full-time work) and a second \u201cblock\u201d model with 100 percent work the first half of the period and 0 percent the second half. The second model was the most popular among workers as a way to retire early. Employers pay a minimum of 70 percent of full-time wage for works in the phasing period. In general, 20 percent of the income foregone due to a reduction in hours worked is paid by the employer, who would also pay contributions toward the national pension as though the employee was working 90 percent of the time. ATZ provides tax benefits to both employers and employees on the 20 percent supplemented wages and the national pension contributions. The ATZ program provides the general framework, but employers and employees can set specific parameters through collective bargaining agreements. In 2009, the program reached its peak with 680,000 participants, when public subsidies were discontinued. Public sector employees have access to a phased retirement program similar to ATZ with minor differences such as a starting age of 60 instead of 55 and a maximum duration of 5 years.", "Employer-sponsored pensions: While most occupational pension plans are DB plans, they vary by how they are funded, such as book reserves, autonomous pension funds or direct insurance. Employer-sponsored pensions are generally voluntary and cover about 60 percent of the workforce. Pension reforms implemented in January 2018 aim at increasing coverage by making it less onerous for employers to sponsor DC pensions. The reforms removed the guaranteed minimum benefit that was previously required for DC plans that made it difficult for smaller employers especially to offer pensions to their workers.", "Teilrente: This national phased retirement program, established in 1992, allows eligible workers to work reduced hours and draw partial benefits from the national pension at the same time, with a ceiling on allowable earnings for those below the statutory retirement age. The program is used very little because it is perceived as complicated, though program reforms in 2017 simplified some of the features and added flexibility, such as raising the earnings limit and replacing the 3- tier partial benefits with smoother withdrawal options between 10 percent and 99 percent of pensions. In general, eligibility for Teilrente starts at age 63, and there are no rules on additional earnings past the full retirement age. With the reforms, policymakers hope more people will consider the program and not stop working completely at 63 when they reach early retirement age.", "Sources of retirement income (cont.) Individual savings: Private retirement savings include products such as Riester pensions, first introduced in 2002. Riester pensions benefit from tax incentives on contributions but also from additional direct public subsidies for low-income households and households with children. The self-employed are generally not eligible for Riester pensions but can benefit from the Ruerurp pensions, another instrument for private retirement savings.", "Germany (cont.)", "Employer 1: This employer offers the ATZ program to its workers.", "Currently, almost 14 percent of this employer\u2019s eligible workers aged over 55 and covered by collective bargaining agreements participate in the ATZ phased retirement program. Of those in the program, about half are in the active phase of ATZ, working 100 percent (first years of the block model), while the other half are in the second phase with 0 percent work (last years or second half of the block model). Participants in the ATZ receive 85 percent of full-time wages for an average of 50 percent of full-time hours during the phasing period, which lasts up to 6-years. The employer also contributes 100 percent of full-time wages to the employer-sponsored hybrid contribution plan and the national pension plan during the entire phasing period.", "Employer 2: This employer has workers covered by collective bargaining agreements participating in the ATZ phased retirement program. Accordingly, employees 55 and older can reduce their hours to 50 percent for up to 6 years prior to the statutory retirement age, subject to approval. However, the employer reports it is phasing out ATZ as it has negotiated its own company phased retirement program. The new program targets workers in hardship positions, such as those who work night or rotating shifts. Specifically, workers aged 56 and older with at least 20 years of service with this employer, including at least 10 years of service in a hardship position, can phase into retirement for a maximum of 6 years and then must retire. Eligible workers can work 80 percent of full-time hours, receive 90 percent of their full-time wage, and receive 100 percent of their employer- sponsored pension credits as well as 90 percent of national pension credits. There is no cap on the number of workers who may participate, though eligibility requirements effectively limit the number of workers who can enroll. Currently 2,400 workers are participating in the program.", "Employer 1 (same employer 1 above): This employer offers a phased retirement program to certain retired executives for the purpose of retaining experience and knowledge, with a temporary contract (18 months maximum). The program is relatively new and currently includes about 80 senior experts, about 85 percent of which are aged 65 or older.", "Employer 2 (same employer 2 above): This employer offers a phased retirement program for managers, that allows managers to work an 80 percent schedule and receive 80 percent of their pay and 100 percent of their pension credits.", "Source of supplemental income In Germany, employees participating in phased retirement programs we reviewed were compensated for the foregone wages due to reduced hours primarily by their employer, together with their own savings schemes.", "National efforts to encourage phased retirement", "The current part-pension national policy, in effect since 2010, allows workers, after age 61, to withdraw 25, 50, 75, or 100 percent of their national pension benefits, independent of hours worked. Individuals can draw from the earnings related to part of their national pension and continue to earn new pension entitlements. There is no penalty for working and earning and drawing from the national pension. The decision to draw a pension has a lifelong effect, but is not irrevocable. The pensioner can instruct pension payments to cease and subsequently for the pension to resume at any time. The two components of the national pension, the income pension and the premium pension, are drawn independently of each other.", "Early retirement age: None Sources of retirement income National pension: The earnings- related national pension has two components, one notional income pension and a smaller DC premium pension. Employers and employees contribute 16 percent of salary toward the income pension and 2.5 percent towards the premium pension, for a total of an 18.5 percent contribution rate.", "Sweden had a national partial pension program that was in effect from 1976 to 2001, when it was abolished. The program allowed workers to gradually withdraw from work 5 years before the statutory retirement age, which was lowered from 67 to 65 at the time. Partial retirement was publicly funded, replacing 65 percent of the loss of income resulting from the reduction in hours worked (made less generous with a replacement rate of 50 percent in 1981). Upon reaching the statutory pension age of 65, program participants still received a full old-age pension.", "Highlights of individual phased retirement programs Sectoral Collectively Bargained Programs", "Local authorities and regions employers: Public sector workers covered by a multiemployer collective bargaining agreement can work 80 percent of full-time work, receive 90 percent of full time salary, and receive an employer-sponsored pension as if working full-time.", "Employers of graduate engineers: Engineers covered by a multiemployer collective bargaining agreement, age 60 and older may apply for the right to part-time retirement. Once approved the employees can ask to reduce their hours and receive 50, 80, or 90 percent of the earned employer-sponsored pension.", "Employers of professional employees: White collar union members working in all parts of the labor market, including schools, healthcare, trades, media, police, sports, and telecom, among others, are covered by a multiemployer collective bargaining agreement that allows phased retirement. This program allows workers aged 62 and older to shorten their working hours and begin to take withdrawals from their employer-sponsored pension.", "Sweden (cont.)", "Sources of retirement income (cont.) Employer-sponsored pensions: Workplace pension plans are generally established through collective bargaining agreements and cover about 90 percent of workers, in the public and private sectors. Employers and unions negotiate the details of workplace pensions in four sectoral collective bargaining agreements: blue-collar private sector, white-collar private sector, state employees, and municipal employees. Most workplace pensions are DC plans. In general, workers can withdraw from pensions at age 55.", "Source of supplemental income In Sweden, employees participating in a phased retirement programs we reviewed were generally compensated for foregone wages due to reduced hours primarily by withdrawing funds from their own employer-sponsored pension plan or their own savings, as necessary. Workers also have the option to withdraw benefits from the national pension after age 61.", "Individual savings: Until 2016, it was possible to make tax deductions for private pension saving, up to a maximum. The tax- deductibility of private voluntary pension savings was abolished in 2016 for all but the self-employed, who do not qualify for occupational pension plan reductions.", "Population: 66 million (2017)", "GDP: $2.62 trillion (2017)", "Statutory retirement age: (state pension age) 65, gradually rising to age 66 from 2018 to 2020, to age 67 from 2026 to 2028 and to age 68 between 2037 and 2039.", "National efforts to encourage phased retirement Since 2014, the UK has had a flexible work policy where any employee who has worked for their employer continuously for at least 26 weeks has the statutory right to request flexible work. There are several types of flexible working, including job sharing, working from home, working compressed hours, or working annualized hours, among other things. The policy covers workers who want to phase into retirement.", "Early retirement age: None (for the state pension)"], "subsections": []}]}, {"section_title": "Sources of retirement income", "paragraphs": [], "subsections": [{"section_title": "National pension: A flat-rate single-tier national pension was introduced in April 2016. This new pension plan replaces the previous two-tier system and provides a regular payment of about \u00a3164 per week (increasing to \u00a3168.60 in April 2019) or \u00a38,528 per year, unless the pension is deferred, in which case it increases by about 5.8 percent per year.", "paragraphs": ["Employer-sponsored pension: Since the 2008 Pensions Act, employers have been required to automatically enroll eligible workers into a qualified workplace pension plan and make minimum contributions, with the option for workers to opt-out. The qualified plans can be either DB, DC, or hybrid plans. The National Employment Savings Trust (NEST), managed as an independent entity, was established by the government to help employers meet their obligation to automatically enroll eligible workers in a retirement plan and thus functions as the default qualified workplace plan. covered by this DB pension plan, aged 55 and older, can reduce their hours or move to a less senior position. Reduced income can be supplemented by the workers workplace pension. Participants can draw some or all of their pension benefits, while continuing to contribute into their pension and build up future pension benefits. According to plan documents, actuarial reductions on benefits paid before a worker reaches their statutory retirement age can be waived, in whole or in part, upon agreement with the employer.", "Teacher\u2019s Pension: Since 2007, teachers, between the age of 55 and 75 in England and Wales covered by this DB pension plan, can reduce earnings by at least 20 percent due to part time work or a reduction in responsibilities for a minimum of 1 year. This reduction in income can be supplemented by the workers workplace pension. The maximum amount that participants can withdraw from their pension is 75 percent of the total pension benefits. Remaining pension benefits continue to grow as participants continue to work and contribute on a reduced salary. According to plan documents, benefits taken before statutory retirement age would be subject to actuarial reductions.", "United Kingdom (cont.)", "Sources of retirement income (cont.) Individual savings: Savings arranged by the individual\u2014similar to traditional or Roth IRAs in the U.S. The U.K. has Individual Savings Accounts that allow an individual to save up to a designated amount per year tax-free. Workers can take money out of their Individual Savings Account at any time.", "Highlights of individual phased retirement programs (cont.)", "Civil service pension: Since 2008, civil service workers covered by the civil service pension, aged 55 and older, can reduce their earnings by at least 20 percent due to reduced hours or reduced job responsibilities. Participants can take some or all of their pension and pension lump sum they have accrued, while continuing to work, and contribute to their pension until their normal pension age. Drawn down benefits paid before a worker reaches their normal pension age are actuarially reduced as they are being paid early.", "A private sector employer in the financial industry offered phased retirement to employers under both a DB and a DC plan. Both plans allow workers age 55 and older to reduce their hours and receive benefits from their DB and DC pension plans. Workers continue to contribute to their workplace pension and the national pension plan.", "In the U.K., employees participating in phased retirement programs we reviewed were generally compensated for the foregone wages by withdrawing funds from their own workplace employer sponsored pension plan."], "subsections": []}]}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above Michael Collins (Assistant Director), Susan Chin (Analyst-in-Charge), Laurel Beedon, Britney Tsao, Margaret J. Weber, and Seyda Wentworth made key contributions to this report. Also contributing to this report were Sharon Hermes, Amy MacDonald, Sheila R. McCoy, Kelly Snow and Adam Wendel."], "subsections": []}]}], "fastfact": ["\u201cPhased retirement\u201d lets you work less than full-time before you fully retire. This can help keep skilled people working longer while easing pressure on national pensions (e.g. Social Security).", "The U.S. workforce is aging, but there are few formal phased retirement programs here. We looked at 4 other countries to potentially inform a U.S. strategy.", "We found program designs that could work under the unique institutional conditions here. For example, many of the programs were designed to work with traditional pensions, but some included employee-directed retirement plans, which are more common here."]} {"id": "GAO-17-801T", "url": "https://www.gao.gov/products/GAO-17-801T", "title": "Environmental Protection: Status of GAO Recommendations Made to EPA since Fiscal Year 2007", "published_date": "2017-09-06T00:00:00", "released_date": "2017-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["EPA's mission is to protect human health and the environment. To accomplish this mission, EPA develops and enforces environmental regulations; awards grants; and studies environmental issues, among other things. GAO has conducted reviews focused on various aspects of EPA's operations and programs. Through this work, GAO has made numerous recommendations to improve EPA's performance and the efficiency and effectiveness of its operations.", "GAO follows up with executive branch agencies to determine the extent to which they have implemented its recommendations. In fiscal year 2015, GAO began sending letters annually to the heads of key executive branch agencies, including EPA, identifying unimplemented recommendations that warrant priority attention.", "This statement discusses (1) the status of EPA's implementation of GAO recommendations made since fiscal year 2007 and how these recommendations relate to EPA's operations and programs and (2) examples of benefits realized by EPA and others based on GAO's work, including through the agency's implementation of these recommendations. This statement is based on GAO's work since fiscal year 2007 and on an analysis of recommendations GAO has made to EPA during this period."]}, {"section_title": "What GAO Found", "paragraphs": ["As of August 23, 2017, the U.S. Environmental Protection Agency (EPA) had implemented 191 of the 318 recommendations GAO made since fiscal year 2007. EPA had not yet implemented the remaining 127 recommendations. The figure below shows the status of the 318 recommendations. The recommendations fall into six broad categories that relate to EPA programs and operations: (1) management and operations; (2) water issues; (3) environmental contamination and cleanup; (4) toxics, chemical safety, and pesticides; (5) public health and environmental justice; and (6) air quality, climate change, and energy efficiency. Almost three-fourths of the recommendations fall into the first three categories and include actions for EPA to better manage grants, improve the regulation of drinking water contaminants, and better manage hazardous waste cleanup. Most of the recommendations that have not yet been implemented concern EPA management and operations and water issues. For example, regarding management and operations, EPA has not yet implemented GAO's recommendation to link its workforce plan with its strategic plan to help ensure EPA has an appropriately skilled workforce to achieve its mission. Similarly, for water issues, EPA has not fully implemented GAO's recommendation to provide guidance to regional offices on overseeing state water quality programs.", "GAO has identified many benefits\u2014that is, process and programmatic improvements and financial benefits\u2014based on EPA taking actions on GAO's recommendations and related work. For example, in October 2012, GAO recommended that EPA and the U.S. Department of Agriculture (USDA) develop guidelines to assist states in developing uniform environmental analyses to meet state and federal requirements for water and wastewater infrastructure projects. EPA and USDA issued a joint memorandum in February 2017 that, among other things, highlighted best practices to eliminate duplicative environmental reviews. In addition, GAO has identified financial benefits from the implementation of its recommendations and related work. For example, during the course of work related to a July 2008 report, GAO identified an error in EPA's calculation of recoverable indirect costs for hazardous waste cleanup. EPA acknowledged the error and published revised indirect costs rates. As a result, GAO estimated in 2010 that EPA had recovered or would recover $42.2 million."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to testify on the status of recommendations GAO has made to the U.S. Environmental Protection Agency (EPA). As you know, the mission of EPA is to protect human health and the environment, with the purpose of protecting all Americans from significant risks to human health and the environment where they live, learn, and work, among other things. To accomplish this mission, EPA develops and enforces environmental regulations; awards grants to state environmental programs, non-profits, educational institutions, and others; studies environmental issues; and sponsors partnerships, among other things. We have conducted reviews focused on various aspects of EPA\u2019s operations and programs. For example, we have conducted reviews focused on aspects of EPA\u2019s operations, such as managing grants, workforce planning, and processes for developing and enforcing regulations. We have also conducted reviews on EPA\u2019s programs to manage toxic chemicals, improve water infrastructure, and clean up hazardous waste sites. Through these reviews, we have made numerous recommendations to improve EPA\u2019s performance and the efficiency and effectiveness of its operations and programs. Today I will discuss (1) the status of EPA\u2019s implementation of recommendations we have made since fiscal year 2007 and how these recommendations relate to EPA\u2019s operations and programs and (2) examples of benefits realized by EPA and others based on our work, including through the agency\u2019s implementation of our recommendations.", "This statement is based on our reports issued since fiscal year 2007, including reports issued from October 1, 2006, through May 31, 2017. To determine the number and status of recommendations we made to EPA during this period, we reviewed data from our internal database that maintains information on the status of recommendations we have made to all agencies. To determine how these recommendations relate to EPA operations and programs, we developed categories based on areas of EPA\u2019s work and its organizational structure. Two analysts then independently categorized each of the recommendations and resolved any differences. To identify benefits realized by EPA in implementing our recommendations, we also relied on our internal database for information on financial and non-financial benefits. In addition, we asked EPA to review the information provided in this statement for completeness and accuracy. Detailed information about the scope and methodology used to conduct our prior work can be found in each of our issued reports.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Many of our reports and testimonies include recommendations that, if acted upon, may result in tangible benefits for the U.S. taxpayer by improving the federal government\u2019s efficiency, effectiveness, and accountability. Implemented recommendations can result in financial or nonfinancial benefits for the federal government. An estimated financial benefit is based on agency actions taken in response to our recommendations; such benefits can result in reduced government expenditures, increased revenues, or a reallocation of funds to other areas. For example, in fiscal year 2016, our work across the federal government resulted in $63.4 billion in financial benefits. Other benefits that result from our work cannot be measured in dollar terms, and we refer to them as nonfinancial or other benefits. During fiscal year 2016, we recorded a total of 1,234 other benefits from our work that cannot be measured in dollars, but that led to program and operational improvements to the federal government. These benefits are linked to specific recommendations or other work that we completed over several years and could include improvements to agency programs, processes, and policies. In some cases, benefits are realized based on the actions of Congress. For example, since 1994, we have found that EPA faces challenges in its ability to assess and control toxic chemicals under the Toxic Substances Control Act of 1976\u2014largely due to issues of statutory choice, regulatory control, data, confidentiality, workload, and resources. In response to our work and the work of others, Congress passed the Lautenberg Act in 2016, giving EPA greater authority to implement several of our outstanding recommendations related to these six areas and positioning the agency to better protect public health and the environment from the risks posed by toxic chemicals.", "As part of our responsibilities under generally accepted government auditing standards, we periodically follow up on recommendations we have made to agencies and report their status to Congress. Agencies also have a responsibility to monitor and maintain accurate records on their progress made toward addressing our recommendations. After issuing a report, we follow up with audited agencies at least once a year to determine the extent to which they have implemented our recommendations and the benefits that they have realized. During these follow-up contacts, we identify for agencies what additional actions, if any, they would need to take to address our recommendations. A recommendation is considered implemented when agencies have taken actions that, consistent with our recommendation, address the issue or deficiency we identified and upon which the recommendation is based. Experience has shown that it takes time for agencies to implement some recommendations. For this reason, we actively track unaddressed (i.e., open) recommendations for 4 years and review them to determine whether implementation can be reasonably expected. The review includes consideration of alternative strategies an agency may have for implementing recommendations. Our experience has shown that recommendations remaining open after 4 years are generally not implemented in subsequent years. We will close a recommendation as not implemented if an agency has indicated that it was not planning to take action or if we have determined that it is unlikely that the agency will take action to address the recommendation. Figure 1 shows our process for monitoring and reporting on recommendations.", "We maintain a publicly available database with information on the current status of most open recommendations. The database allows searches by agency, congressional committee, or key words and is available at http://www.gao.gov/openrecs.html.", "In addition to our process for monitoring and reporting on recommendations, we use other mechanisms to encourage agencies to implement our recommendations in a timely manner. For example, we initiated an effort in fiscal year 2015 to call attention to unimplemented recommendations that we believe warrant priority attention by the Secretary or agency heads at key departments and agencies. We sent letters to the heads of key executive branch agencies, including EPA, in fiscal years 2015, 2016, and 2017 identifying these high-priority recommendations and urging the agency head to continue to provide attention to these issues."], "subsections": []}, {"section_title": "EPA Has Implemented 191 of 318 GAO Recommendations, Which Relate to a Variety of EPA Operations and Programs", "paragraphs": ["As of August 23, 2017, EPA had implemented 191 of the 318 recommendations we made since fiscal year 2007, and the recommendations fall into six broad categories that relate to EPA operations and programs. EPA had not yet fully implemented the remaining 127 recommendations. Figure 2 shows the status of the 318 recommendations. For recommendations that we made over 4 years ago (i.e., fiscal years 2007 to 2012), EPA had implemented 77 percent. For recommendations made since fiscal year 2013, EPA had implemented 34 percent.", "The 318 recommendations we made to EPA since fiscal year 2007 fall into six broad categories that relate to EPA operations and programs and generally align with many of the goals and strategies identified in EPA\u2019s Fiscal Year 2014-2018 Strategic Plan. These six broad categories are: (1) management and operations; (2) water issues, which includes water infrastructure, drinking water, water quality, and ecosystem restoration; (3) environmental contamination and cleanup, which includes environmental cleanup, pollution prevention, hazardous and other waste programs, and emergency management; (4) toxics, chemical safety, and pesticides; (5) public health and environmental justice; and (6) air quality, climate change, and energy efficiency. The percentage of recommendations implemented within each category ranged from 80 percent for the environmental contamination and cleanup category to 48 percent in the management and operations category. Figure 3 shows the number of recommendations we identified in each of these categories and the percentage of recommendations within each category that had been implemented and not implemented.", "Almost three-fourths of the recommendations we made since fiscal year 2007 fall into three categories: management and operations, water issues, and environmental contamination and cleanup. The recommendations to EPA relating to management and operations included actions for better managing its grants, better coordinating management of its laboratories, and improving the agency\u2019s information security. Recommendations on water issues included actions targeted at improving the regulation of contaminants in drinking water, improving water quality and ecosystem health in regions such as the Great Lakes and Chesapeake Bay, and better managing water pollution from both point and nonpoint sources. Recommendations related to environmental contamination and cleanup included: taking actions for better managing cleanup at hazardous waste sites; enhancing responses to disasters, such as the collapse of the World Trade Center on September 11, 2001, and Hurricane Katrina in August 2005; and promoting proper disposal and recycling of electronic waste. The remaining quarter of the recommendations fell into the other three categories of toxics, chemical safety, and pesticides; air quality, climate change, and energy efficiency; and public health and environmental justice. Appendix I lists, by category, our reports with recommendations to EPA since fiscal year 2007, and for each report lists the numbers of implemented, not implemented, and total recommendations, as of August 23, 2017.", "Of the 127 recommendations that EPA has not implemented, we made 82, or 65 percent, since fiscal year 2013 and 45, or 35 percent, earlier (i.e., fiscal years 2007 to 2012). Most of these recommendations concern EPA management and operations and water issues. Some examples of recommendations that have not yet been implemented in these categories are described below."], "subsections": [{"section_title": "Management and Operations", "paragraphs": ["In January 2017, we made recommendations to EPA related to their management of grants. In 2015, EPA awarded roughly $3.9 billion, about 49 percent of its budget, in grants to states, local governments, tribes, and other recipients. These grants supported activities such as repairing aging water infrastructure, cleaning up hazardous waste sites, improving air quality, and preventing pollution. In our January 2017 report, we concluded that EPA\u2019s ability to manage this portfolio depended primarily on grant specialists and project officers, but the agency did not have the information it needed to allocate grants management resources in an effective and efficient manner. In addition, EPA had not identified project officer critical skills and competencies or monitored its recruitment and retention efforts for grant specialists. We recommended that EPA, among other things, develop documented processes that could be consistently applied by EPA offices to collect and analyze data about grants management workloads and use these data to inform staff allocation. We also recommended that EPA review project officer critical skills and competencies and determine training needs to address gaps and develop recruitment and retention performance measures and collect performance data for these measures. According to a May 2017 letter, EPA agreed with the five recommendations we made in the report and identified steps it was initiating to address them. We will continue to monitor EPA\u2019s actions to implement these recommendations.", "In August 2014, we made recommendations to EPA related to information security. Federal agencies rely on contractors to operate computer systems and process information on their behalf. Federal law and policy require that agencies ensure that contractors adequately protect these systems and information. In our August 2014 report, we evaluated how six agencies, including EPA, oversaw contractor-operated systems. With regard to EPA, we found that the agency generally established security and privacy requirements for contractors to follow and prepared for assessments to determine the effectiveness of contractors\u2019 implementation of controls but was inconsistent in overseeing the execution and review of those assessments. We recommended that EPA develop, document, and implement oversight procedures for ensuring that, for each contractor-operated system: (1) a system test is fully executed and (2) plans of action and milestones with estimated completion dates and resources assigned for resolution are maintained. In comments on the report, EPA generally agreed with our recommendations and has recently told us that it has taken steps to implement these recommendations. We will evaluate whether these steps meet the intent of the recommendations.", "In March 2010, we made recommendations to EPA related to workforce planning. The ability of federal agencies to achieve their mission and carry out their responsibilities depends in large part on whether they can sustain a workforce that possesses the necessary education, knowledge, skills, and other competencies. We and others have shown that successful organizations use strategic workforce planning to help meet present and future mission requirements. In our March 2010 report on workforce planning at EPA and other agencies, we found that EPA\u2019s workforce plan was not clearly aligned with its strategic plan or budget formulation, consistent with leading workforce planning principles. For example, EPA\u2019s workforce plan did not show how full-time equivalent employees, skills, and locations would be aligned with the strategic plan or budget. Without alignment to the strategic plan, we concluded that EPA was at risk of not having the appropriately skilled workforce it needs to effectively achieve its mission. We recommended, among other things, that EPA incorporate into its workforce plan clear and explicit links between the workforce plan and the strategic plan, and describe how the workforce plan will help the agency achieve its strategic goals. In comments on our report, EPA generally agreed with our recommendation. According to EPA, the agency has taken some positive steps toward better workforce planning, such as developing workforce planning gap analyses. However, EPA has not fully implemented this recommendation."], "subsections": []}, {"section_title": "Water Issues", "paragraphs": ["In May 2012, we made recommendations to EPA related to a key program under section 319 of the Clean Water Act to address water pollution from nonpoint sources. Under this program, EPA provides grants to states to implement programs and fund projects that address nonpoint source pollution. We found that EPA\u2019s regional offices had varied widely in the extent of their oversight and the amount of influence they had exerted over states\u2019 nonpoint source pollution management programs. In addition, EPA\u2019s primary measures of effectiveness of states\u2019 management programs did not always demonstrate the achievement of program goals, which are to eliminate remaining water quality problems and prevent new threats from creating future water quality problems in water bodies currently of high quality. To help protect water quality, we recommended that EPA (1) provide guidance to its regional offices on overseeing state programs and, (2) in its revised reporting guidelines to states, emphasize measures that more accurately reflect the overall health of targeted water bodies and demonstrate states\u2019 focus on protecting high-quality water bodies, where appropriate. EPA agreed with these recommendations in its comments on the report. In 2013, EPA issued final guidelines laying out expectations for EPA\u2019s regional oversight and issued a memorandum to its regional managers highlighting their oversight responsibilities. However, in a subsequent report issued in July 2016, we found that EPA\u2019s 2013 guidance did not completely address our recommendation to provide sufficient guidance to states to fulfill their oversight responsibilities. We also found that according to EPA officials, the agency planned to make changes to some of the program\u2019s measures of effectiveness. Although EPA has taken some action, these recommendations remain open pending EPA\u2019s (1) ensuring that the guidelines to states incorporate specific instructions on how to review states\u2019 plans and criteria for ensuring funded projects reflect characteristics of effective implementation and tangible results, and (2) improving its measures of program effectiveness."], "subsections": []}]}, {"section_title": "EPA\u2019s Implementation of GAO Recommendations and Related Work Has Resulted in Process and Programmatic Improvements and Financial Benefits", "paragraphs": ["We have identified many benefits\u2014process and programmatic improvements and financial benefits\u2014based on EPA taking actions on our recommendations and related work. Since fiscal year 2007, we have identified improvements to EPA\u2019s operations and programs in categories such as management and operations, water issues, and public health and environmental justice. In addition, we have identified financial benefits resulting from the implementation of our recommendations and our related work."], "subsections": [{"section_title": "Process Improvements", "paragraphs": ["The following are examples of process improvements we have identified based on actions EPA has taken in response to our recommendations."], "subsections": [{"section_title": "Management and Operations", "paragraphs": ["In August 2015, we reviewed EPA\u2019s grant management program, including the extent to which its grants management plan followed leading practices for federal strategic planning. We found that EPA could better ensure the effectiveness of its planning framework for meeting grants management goals. We recommended that EPA incorporate all leading practices in federal strategic planning relevant to grants management as it finalized its draft 2016-2020 grants management plan, such as defining strategies that address management challenges and identifying the resources, actions, and time frames needed to meet EPA\u2019s goals. In response to our recommendation, EPA fully incorporated each of the relevant leading practices for federal strategic planning in its final 2016- 2020 grants management plan, issued in February 2016. Specifically, EPA included an annual priority-setting process to identify strategies to address management challenges and the resources needed to achieve its goals. EPA also incorporated mechanisms to ensure leadership accountability for achieving results, including numeric targets and time frames for each action identified in performance measures. Consequently, EPA has better assurance that its 2016-2020 grants management plan is an effective framework to guide and assess its efforts to meet its grants management goals.", "In August 2011, we found that EPA operated 37 laboratories across the nation to provide the scientific research, technical support, and analytical service to support its mission. In that report, we also found that EPA did not use a comprehensive process for managing its laboratories\u2019 workforce and lacked basic information on its laboratory workload and workforce. Without such information, we found that EPA could not undertake succession planning and management to help the organization adapt to meet emerging and future needs. We recommended that EPA for all of its laboratories develop a comprehensive workforce planning process that is based on reliable workforce data and reflects the agency\u2019s current and future needs in the overall number of federal and contract employees, skills, and deployment across all laboratory facilities. EPA generally agreed with our recommendation and, in 2015, developed a comprehensive workforce planning process for all of its laboratories and, according to the agency, collected, verified, and analyzed, from all of its laboratories, workforce data that included personnel\u2019s organization, location, grade levels, and area of expertise."], "subsections": []}, {"section_title": "Water Issues", "paragraphs": ["In October 2012, we found that funding for rural water and wastewater infrastructure was fragmented across the three largest federal programs\u2014EPA\u2019s Drinking Water and Clean Water State Revolving Fund programs and the U.S. Department of Agriculture\u2019s (USDA) Rural Utilities Service Waste and Waste Disposal program\u2014leading to program overlap and possible duplication of effort when communities applied for these programs. For example, we found that some communities had to prepare separate environmental analyses for each program, resulting in delays and increased costs to communities applying to the programs. We recommended that EPA and USDA work together and with state and community officials to develop guidelines to assist states in developing uniform environmental analyses that could be used, to the extent appropriate, to meet state and federal requirements for water and wastewater infrastructure projects. In February 2017, EPA and USDA issued a joint memorandum to address concerns identified in our report and highlighted best practices currently employed in some states to eliminate duplicative environmental reviews. In particular, the memorandum highlighted a uniform environmental review document developed by the state of Pennsylvania. To eliminate potential duplication of effort during the environmental review process, the memorandum encouraged state programs to evaluate the best practices and incorporate the practices into their own operations where applicable."], "subsections": []}]}, {"section_title": "Programmatic Improvements", "paragraphs": ["The following are examples of programmatic improvements we have identified based on actions EPA has taken in response to our recommendations."], "subsections": [{"section_title": "Water Issues", "paragraphs": ["Under the Clean Water Act, EPA currently regulates 58 industrial categories of wastewater pollution\u2014such as petroleum refining, fertilizer manufacturing, and coal mining\u2014with technology-based regulations called \u201ceffluent guidelines.\u201d Such guidelines are applied in permits to limit the pollutants that facilities may discharge. The Clean Water Act also calls for EPA to revise the guidelines when appropriate. EPA has done so, for example, to reflect advances in treatment technology or changes in industries. EPA uses a two-phase process to identify industrial categories needing new or revised effluent guidelines, including an initial \u201cscreening\u201d phase in which EPA ranks industrial categories according to the total toxicity of their wastewater. In September 2012, we concluded that limitations in EPA\u2019s screening phase may have led the agency to overlook some industrial categories that warrant further review for new or revised effluent guidelines. For example, during the screening phase, EPA had not considered the availability of advanced treatment technologies for most industrial categories. We recommended that EPA modify the screening phase of its review process to include a thorough consideration of information on the treatment technologies available to industrial categories as it considered revisions to its screening and review process. In comments on the report, EPA agreed that factoring treatment technology information into its reviews would be valuable. In September 2014, EPA published a combined Final 2012 and Preliminary 2014 Effluent Guidelines Program report that discussed revisions to its screening process in response to our report. Specifically, EPA stated that it recognized the need to consider the availability of treatment technologies, process, changes, or pollution-prevention practices in the screening phase of its process and said that it was targeting new data sources to provide such information. In July 2015, EPA published its \u201cFinal 2014 Effluent Guidelines Program\u201d with a diagram showing the change to EPA\u2019s screening process to include screening of treatment technologies."], "subsections": []}, {"section_title": "Public Health and Environmental Justice", "paragraphs": ["EPA established a 1995 Policy on Evaluating Health Risks to Children to ensure that the agency consistently considers children in its actions, since children can be more vulnerable than adults to certain environmental hazards. In August 2013, we found that EPA did not have a specific process for program offices that led regulatory workgroups to document how the agency considers children\u2019s health risks in rulemakings and other actions or how the agency\u2019s analyses comply with the 1995 policy. We recommended that EPA require lead program offices to document their decisions in rulemakings and other actions regarding how health risks to children were considered and that their decisions be consistent with EPA\u2019s children\u2019s health policy. In comments on our report, EPA generally agreed with the recommendation and stated that the Office of Children\u2019s Health Protection worked with the Office of Policy and the program offices to assure a consistent approach for documenting these decisions as part of EPA\u2019s process to develop rules, regulations, and other agency actions. Subsequently, in October of 2014, EPA finalized a template for all EPA employees to use that outlined how to address EPA\u2019s 1995 policy and other requirements under various situations. The template instructs lead program offices to document their decisions in rulemaking and other actions regarding how they considered health risks to children (e.g., conducting a children\u2019s health risk assessment), or provide a rationale for why such an evaluation was not necessary."], "subsections": []}]}, {"section_title": "Financial Benefits", "paragraphs": ["The following are examples of financial benefits we have identified based on actions EPA has taken in response to our prior reviews."], "subsections": [{"section_title": "Environmental Contamination and Cleanup", "paragraphs": ["During the course of work related to a July 2008 report on the funding and reported costs of Superfund enforcement and administrative activities, we reviewed EPA\u2019s methodology for calculating the indirect costs\u2014or administrative costs for managing the Superfund program\u2014that EPA charged responsible parties in fiscal year 2006. In conducting this work, we identified two spending codes for which associated administrative costs had not been carried over into EPA\u2019s calculations of the indirect cost rate applicable to each region for fiscal year 2006. As a result of this error, we determined that the percentage that EPA was charging responsible parties for indirect costs associated with fiscal year 2006 spending was lower than it should have been. In response to our finding, EPA published revised indirect cost rates for fiscal years 2005 and 2006 in May 2008 to correct the error. EPA acknowledged that correcting this error would result in more money being potentially recoverable from responsible parties. In 2010, we estimated that the additional amount EPA has recovered (or would recover) had a present value worth about $42.2 million."], "subsections": []}, {"section_title": "Management and Operations", "paragraphs": ["Since fiscal year 2000, we have issued a body of work aimed at raising the level of attention given to improper payments across government. Our work demonstrated that improper payments have been a long- standing, widespread, and significant problem in the federal government and as a result, contributed to Congress passing the Improper Payments Information Act of 2002 (IPIA). This act, as amended, requires, among other things, that all agencies annually identify and review programs and activities that may be susceptible to significant improper payments, provisions that coincide with recommendations we have made that agencies estimate, reduce, and publicly report improper payments. Subsequently, in 2005, EPA began reporting on the improper payment rate for the Clean Water and Drinking Water State Revolving Funds. By 2009, the most recent year for which we identified financial benefits from the agency addressing improper payments, EPA reported that its total improper payment error rates for the State Revolving Funds declined by 0.16 percent since it first reported on this issue. This resulted in about a $4.5 million decrease in improper payments from the Clean Water and Drinking Water State Revolving Funds for fiscal years 2008 and 2009.", "In conclusion, as the fiscal pressures facing the government continue, so too does the need for executive branch agencies to improve the efficiency and effectiveness of government programs and activities. Our recommendations provide a significant opportunity to improve the government\u2019s fiscal position, better serve the public, and make government programs more efficient and effective. We believe that EPA\u2019s implementation of our outstanding recommendations will enable the agency to continue to improve its performance and the efficiency and effectiveness of its operations. We will continue to work with Congress to monitor and draw attention to these important issues.", "Chairman Murphy, Ranking Member DeGette, and Members of the Committee, this completes my prepared statement. I would be pleased to answer questions that you may have at this time."], "subsections": []}]}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any future questions about this testimony, please contact Alfredo G\u00f3mez at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this testimony include Barb Patterson, Assistant Director; Cindy Gilbert; Anne Hobson; Richard Johnson; Dan C. Royer; and Kiki Theodoropoulos."], "subsections": []}]}, {"section_title": "Appendix I: GAO Reports since Fiscal Year 2007 with Recommendations to EPA, by Category", "paragraphs": ["Appendix I: GAO Reports since Fiscal Year 2007 with Recommendations to EPA, by Category This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["Through our work, we've made numerous recommendations to EPA about its management and operations, as well as its programs related to water issues; environmental contamination and cleanup; toxics, chemical safety, and pesticides; public health and environmental justice; and air quality, climate change, and energy efficiency.", "We testified that, as of August 23, 2017, EPA had implemented 191 of 318 recommendations we made since 2007. Most of the unimplemented recommendations concern management and operations and water issues. For example, EPA has not fully implemented our recommendation to link its workforce plan to its strategic plan."]} {"id": "GAO-18-654", "url": "https://www.gao.gov/products/GAO-18-654", "title": "Overseas Conflicts: U.S. Agencies Have Coordinated Stabilization Efforts but Need to Document Their Agreement", "published_date": "2018-09-27T00:00:00", "released_date": "2018-09-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States has a national security interest in promoting stability in conflict-affected countries to prevent or mitigate the consequences of armed conflict, according to the 2017 National Security Strategy. State, USAID, and DOD have reported that a collaborative government approach is an essential part of maximizing the effectiveness of U.S. efforts in conflict-affected areas.", "GAO was asked to review U.S. conflict prevention, mitigation, and stabilization efforts abroad. This report (1) describes examples of conflict prevention, mitigation, and stabilization efforts that U.S. agencies and USIP conducted in Iraq, Nigeria, and Syria and their goals in fiscal year 2017 and (2) examines the extent to which U.S. agencies and USIP incorporated key collaboration practices to coordinate their efforts. GAO collected data from the agencies and USIP on their efforts and goals in Iraq, Nigeria, and Syria. GAO selected these countries based on U.S. national security interests, among other criteria. GAO reviewed agency and USIP documents, interviewed officials, and conducted fieldwork in Iraq, Nigeria, and Jordan. GAO assessed coordination against key practices identified by GAO to enhance interagency collaboration."]}, {"section_title": "What GAO Found", "paragraphs": ["The Departments of State (State) and Defense (DOD), the U.S. Agency for International Development (USAID), and the U.S. Institute of Peace (USIP)\u2014an independent, federally funded institute\u2014reported conducting various efforts to address conflict prevention, mitigation, and stabilization for Iraq, Nigeria, and Syria in fiscal year 2017. For example, in Iraq, State supported efforts to remove improvised explosive devices from homes and infrastructure (see figure); USAID contributed to the United Nations to restore essential services; DOD provided immediate medical trauma supplies to the World Health Organization to treat injured civilians; and USIP conducted facilitated dialogs to enable local reconciliation in areas liberated from the Islamic State of Iraq and the Levant.", "In conducting U.S. conflict prevention, mitigation, and stabilization efforts, State, USAID, DOD, and USIP have addressed aspects of key collaboration practices such as elements of bridging organizational cultures and leadership. However, the agencies have not formally documented their agreement on coordination for U.S. stabilization efforts through formal written guidance and agreements that address key collaboration practices. GAO found the following, for example, with regard to the extent key collaboration practices have been used by these entities.", "Bridging organizational cultures: U.S. agencies have established various mechanisms to coordinate their efforts, such as interagency working groups and staff positions focused on coordination. USIP convenes interagency actors, including State, USAID, and DOD through various programs and events.", "Defining outcomes and accountability: One or more agencies have established some common outcomes and accountability mechanisms for their stabilization efforts in Iraq, Nigeria, and Syria. Moreover, through an interagency review of U.S. stabilization assistance, State, USAID, and DOD identified a need to develop an outcome-based political strategy outlining end states for U.S. stabilization efforts and strategic analytics to track and measure progress, among other needs.", "Written guidance and agreements: Although State, USAID, and DOD have developed a framework for stabilization, they have not documented their agreement on the key collaboration practices identified, such as defining outcomes and accountability and clarifying roles and responsibilities. According to key practices for enhancing interagency collaboration, articulating agreements in formal documents can strengthen collaborative efforts, and reduce the potential for duplication, overlap, and fragmentation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["State, USAID, and DOD should document agreement on their coordination for U.S. stabilization efforts though formal written guidance and agreements addressing key collaboration practices. The agencies concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. government has invested tens of billions of dollars during the past decade in efforts to counter overseas threats, including countering violent extremism in the Middle East and Africa and addressing instability in fragile and conflict-affected states. Weak governance, political instability, corruption, and lack of economic opportunity are some of the factors fueling conflict and violent extremism. The 2017 National Security Strategy cites violent extremism and weak governance as causes of instability in various regions of the world that threatens U.S. interests. The strategy commits to strengthening fragile states in order to prevent threats against the United States and prevent the reemergence of violent extremist groups. The strategy also identifies the integration of U.S. political, economic, and military power and influence as a force that can deter aggression and help set the conditions for peace and prosperity. The results the U.S. government seeks to achieve under this strategy require the coordinated effort of multiple federal agencies and organizations.", "You asked us to review U.S. conflict prevention, mitigation, and stabilization efforts abroad. This report (1) describes examples of conflict prevention, mitigation, and stabilization efforts that U.S. agencies and the U.S. Institute of Peace (USIP) conducted in Iraq, Nigeria, and Syria and their goals in fiscal year 2017 and (2) examines the extent to which U.S. agencies and USIP incorporated key collaboration practices to coordinate their efforts.", "To address both objectives, we reviewed the conflict prevention, mitigation, and stabilization efforts of the Departments of State (State) and Defense (DOD), the U.S. Agency for International Development (USAID), and USIP. We reviewed relevant program, coordination, strategy, and planning documents and interviewed State, USAID, DOD, and USIP officials at headquarters and in the field with regard to specific efforts in Iraq, Nigeria, and Syria. We conducted work in Washington, D.C.; Iraq; Nigeria; and Jordan and held teleconferences with officials in Syria, Turkey, and Kuwait. We focused on Iraq, Nigeria, and Syria based on several criteria, including U.S. national security interests, countries with ongoing conflict, countries where all three agencies and USIP initially reported that they conducted relevant efforts in fiscal year 2017, prior GAO reporting, and input from agencies and USIP. We cannot generalize our findings from these three countries to the other countries where these agencies have conflict prevention, mitigation, and stabilization efforts.", "To describe examples of conflict prevention, mitigation, and stabilization efforts that U.S. agencies and USIP conducted in Iraq, Nigeria, and Syria and their goals in fiscal year 2017, we collected, synthesized, and summarized information from State, USAID, DOD, and USIP. We obtained the definitions of conflict prevention, mitigation, and stabilization from each entity to the extent each entity used and defined these terms. To collect the data describing the efforts and their goals from each agency and USIP, we developed a standardized data collection instrument. Within the data collection instrument, we asked agencies to use their own terms, definitions, and categorizations of efforts to report their efforts by country, specifically, for Iraq, Nigeria, and Syria. We defined efforts as programs, initiatives, and in some cases, projects. We reviewed the reported data and supporting documents and obtained clarification from agency officials where needed.", "To examine the extent to which U.S. agencies and USIP incorporated key collaboration practices to coordinate their conflict prevention, mitigation, and stabilization efforts, we analyzed information about their coordination using six of seven key practices for implementing interagency collaborative mechanisms that we have previously identified and that were applicable to our review. We assessed coordination of agency and USIP efforts for conflict prevention, mitigation, and stabilization as a whole because, as indicated above, the agencies did not always distinguish their coordination efforts to address conflict using the same terms or categorization of efforts. Where information was available, we assessed whether the agencies and USIP had generally incorporated or not incorporated the six selected key practices to coordinate their efforts between State, USAID, DOD, and USIP at the headquarters level and for our selected countries of Iraq, Nigeria, and Syria. To make this determination, we reviewed agency and USIP documents and conducted interviews about interagency collaboration activities with officials from State, USAID, DOD, and USIP. During the course of our work, State, USAID, and DOD released the 2018 Stabilization Assistance Review: A Framework for Maximizing the Effectiveness of U.S. Government Efforts to Stabilize Conflict-Affected Areas (hereafter referred to as the SAR). We reviewed the contents of that report and interviewed agency officials associated with it to better understand how the report\u2019s findings may be related to the key collaboration practices applicable to our review.", "Although the National Security Council (NSC) is responsible for coordination of security-related activities and functions of the executive departments and agencies, the NSC did not respond to our request for documents and interviews. We mitigated this limitation by interviewing other relevant agency officials and reviewing other available documentation, as described above. We used our analysis of agency and USIP documents and the results of our interviews with officials to assess collaboration practices among State, USAID, DOD, and USIP. To aid in our analysis of coordination from our review of documents and interviews, we compared descriptions from State, DOD, USAID, and USIP of each of their relevant efforts in Iraq, Nigeria, and Syria to assess for any unnecessary duplication. As discussed above, some entities may have included programs that other entities would not have included because of differences in how the agencies defined the terms in our scope. As a result, our analysis only includes the list of programs provided by the agencies to assess for duplication. Further details about our scope and methodology can be found in appendix I.", "We conducted this performance audit from April 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Preventing Conflict and Seeking Stability Abroad Are U.S. Priorities", "paragraphs": ["The National Security Strategy released in December 2017 states that the U.S. government has a national security interest in addressing conflict and instability in fragile and failing nations. The strategy commits to strengthening nations where state weakness may foster threats such as violent extremism. The strategy also prioritizes efforts that empower reform-minded governments, people, and civil society in order to address the drivers of state fragility. In the SAR, a joint review of U.S. stabilization efforts\u2014diplomacy, assistance, and defense\u2014 the Secretaries of State and Defense and the USAID Administrator stated that increasing stability and reducing violence in conflict-affected areas are essential to meeting U.S. national security goals. State and USAID\u2019s joint strategic plans have identified strategic objectives to counter instability, transnational crime, and violence that threaten U.S. interests. Notably, the plan for fiscal years 2018\u20132022 states that the agencies will make early investments in preventing conflict, atrocities, and violent extremism before they spread. The 2018 National Defense Strategy identifies objectives to deter adversaries from aggression against U.S. interests and prevent terrorists from directing or supporting external operations against the United States and its citizens and allies overseas.", "Additionally, the Quadrennial Diplomacy and Development Review released in 2015 and covering 2015 to 2019 outlines the lines of effort that fall under State and USAID\u2019s commitment to prevent and mitigate conflict. These lines of effort include countering violent extremism, strengthening U.S. and international capacity to prevent conflict, preventing atrocities, establishing frameworks for action in fragile states, strengthening partner capacity to protect civilians and restore peace, and eliminating the threat of destabilizing weapons. In the Quadrennial Defense Review released in 2014 and covering 2014\u20132018, DOD also asserts that \u201cthe surest way to stop potential attacks is to prevent threats from developing.\u201d The 2014 Quadrennial Defense Review further states that tackling root drivers of conflict, including building capacity with allied and partner militaries, and sustaining a global effort to detect, disrupt, and defeat terrorist plots are part of DOD\u2019s efforts to protect the United States.", "U.S. foreign policy strategies and plans identify the Middle East and Africa as strategically important regions affected by conflict and instability. In countries such as Iraq, Nigeria, and Syria, the United States is working to address drivers of conflict and stabilize areas liberated from violent extremist groups.", "Iraq. As we have previously reported, U.S. government efforts for the global war on terrorism in Iraq began in 2003. Since the removal of the Ba\u2019ath regime and the construction of a new government, Iraq has experienced varying levels of political instability, sectarianism, and conflict. In December 2011, the last units of U.S. Forces\u2013Iraq were withdrawn from that country. After their departure, the United States continued to provide assistance such as training and equipment to Iraq\u2019s military and security forces and funding for programs to strengthen political institutions and civil society organizations and to promote economic growth in Iraq. In 2014, the Islamic State of Iraq and Syria (ISIS) emerged as a major force in Iraq, destabilizing various areas of the country according to reporting from State and USAID. As of December 2017, Iraqi forces, with support from the United States and the Global Coalition to Defeat ISIS (Coalition), had liberated the country\u2019s territory from the control of ISIS, according to State (see fig. 1). According to a State official, although ISIS no longer holds Iraqi territory, it remains a terrorist threat.", "Syria. Syria\u2019s instability is largely caused by an ongoing civil war that began with a government crackdown on antigovernment protests in March 2011. USAID has reported that the conflict has led to economic collapse, a breakdown in services and governance, and instability, which violent extremist groups, including ISIS, have sought to exploit. Millions of Syrians have become refugees or internally displaced due to this crisis, according to reporting from the United Nations High Commissioner for Refugees. In May 2012, the United States began providing nonlethal aid to Syrian opposition forces, and in September 2014, the United States began air strikes against ISIS components in Syria. In January 2015, DOD created the Syria Train and Equip program to provide assistance, including training and equipment, to vetted members of the Syrian opposition and to support efforts to counter ISIS and liberate territory from ISIS. For populations that remain in Syria, governance entities and institutions face challenges in delivering services to their communities, according to USAID. As of July 2018, DOD has reported that the Syrian Democratic Forces, with Coalition support, continued efforts to defeat ISIS in the middle Euphrates River Valley (see fig. 1 above). Additionally, the civil war between Syrian opposition forces and the Assad regime was ongoing as of July 2018, according to reporting from the United Nations.", "Nigeria. There are multiple sources of instability across Nigeria. The terrorist groups Boko Haram and its offshoot ISIS-West Africa have destabilized areas in northeast Nigeria and the greater Lake Chad Region leaving over 2 million people displaced and millions more dependent upon humanitarian assistance as of June 2018, according to USAID reporting. Also, in the Middle Belt and Northwest of the country, according to a State official and reporting from Search for Common Ground, there is rural violence among civilians which includes criminal attacks, banditry, cattle rustling, and long-standing intercommunal conflicts between farming and herding communities. This violence has exacerbated tensions between the populations in the north and south and among ethnic and religious groups across the country. Figure 2 shows incidents involving fatalities due to conflict and violent extremism in Nigeria from January 1, 2012 to September 8, 2018."], "subsections": []}, {"section_title": "Multiple U.S. Entities Conduct Efforts to Address Conflict Abroad", "paragraphs": ["The U.S. government, through federal agencies and federally funded organizations, supports numerous efforts to address instability and prevent conflicts abroad.", "State and USAID. These are the principal agencies conducting U.S. foreign policy and international development and humanitarian assistance. State is the Executive Branch\u2019s lead foreign affairs agency. State leads U.S. foreign policy through diplomacy, advocacy, and assistance. USAID is the U.S. government\u2019s lead international development and humanitarian assistance agency with a key role in U.S. efforts to ensure stability, prevent conflict, and build citizen- responsive local governance.", "DOD. While DOD\u2019s primary mission is to provide combat-ready military forces to deter war and protect the United States, DOD also provides support to foreign disaster relief through humanitarian assistance and stabilization efforts across all phases of conflict and military operations, and in combat and non-combat environments.", "U.S. Institute of Peace (USIP). USIP is an independent national institute, founded by Congress, to promote international peace and the resolution of conflicts among the nations and peoples of the world without recourse to violence. USIP is governed by a bipartisan Board of Directors, which includes the Secretaries of State and Defense or their designees, the President or Vice President of the National Defense University, and 12 others. USIP\u2019s primary funding comes from congressional appropriation and can be supplemented by funds from U.S. government partners. USIP staff work abroad and at its headquarters in Washington, D.C. USIP initiates its own work and enters into interagency agreements with U.S. agencies such as State, USAID, and DOD, according to USIP officials. Because USIP is not an agency within the executive branch, it is not a formal participant in interagency national security policy processes involving State, USAID, and DOD, according to State.", "U.S. agencies and USIP are engaged in efforts to counter violent extremism and address conflict in countries affected by instability and violent conflicts, including Iraq, Syria, and Nigeria. For example, as areas are liberated from ISIS in Iraq and Syria, the United States is working with its partners to try to consolidate gains, reduce levels of local instability, peaceably manage change, and build the capacity of local governance entities. To improve the effectiveness of these efforts, U.S. agencies have evaluated lessons from similar efforts in countries such as Afghanistan and Iraq. The SAR and assessments from the Special Inspector General for Afghanistan Reconstruction and the Special Inspector General for Iraq Reconstruction are examples of U.S. government initiatives to identify lessons learned from past U.S. efforts."], "subsections": []}, {"section_title": "Key Practices That Can Enhance Interagency Collaboration", "paragraphs": ["In prior work, we have identified key collaboration practices that can be used to assess collaboration at federal agencies (see fig. 3). These practices can help agencies implement actions to operate across boundaries, including fostering open lines of communication, and establish goals based on what the agencies share in common. Additionally, clarifying roles and responsibilities allows agencies to determine who will do what, organize their joint and individual efforts, and facilitate decision making. We have previously found that improving coordination and collaboration across agencies can potentially help agencies reduce or better manage fragmentation, overlap, and duplication."], "subsections": []}]}, {"section_title": "U.S. Agencies and USIP Conduct Various Efforts to Prevent and Mitigate Violent Conflict and Stabilize Conflict- Affected Areas Abroad", "paragraphs": ["State, USAID, DOD, and USIP reported that they have conducted a variety of efforts in Iraq, Nigeria, and Syria aimed at preventing and mitigating violent conflicts and stabilizing areas affected by such conflicts. In response to our request, each agency and USIP provided descriptions and goals for their specific program-level or project-level efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria). To identify these efforts, each agency and USIP used its own terminology and definitions that were in place in fiscal year 2017.", "Efforts reported by State as active in fiscal year 2017. State reported that it conducted a range of ongoing conflict mitigation and stabilization efforts to address violent conflict in Iraq, Nigeria, and Syria, in fiscal year 2017. State, in addition to conducting its own efforts, reported that it sometimes conducted these efforts through grants to implementing partners or through interagency agreements with USIP.", "For Iraq, State reported a list of three individual efforts and four categories of other efforts as active in fiscal year 2017. These efforts included, for example, antiterrorism training and equipment for law enforcement; promotion of democratic governance and protection of basic human rights; support for religious and ethnic minority groups, internally displaced persons (IDP), and returnees; and clearance of explosive hazards. These programs were intended to help defeat ISIS and transnational terror groups, improve governance and rule of law, and promote reconciliation and the safe return of displaced Iraqis. Figure 4 depicts clearance operations for explosive remnants of war at a water treatment facility in Iraq supported by State.", "For Nigeria, State reported 21 efforts as active in fiscal year 2017.", "State supported programs to prevent and counter violent extremism though media programing, human rights training, police and law enforcement training and equipment, conflict early warning and response systems, and women\u2019s and youth empowerment. According to State, these programs were intended to aid in the fight against Boko Haram and ISIS-West Africa by countering the radicalization process that leads individuals to violent extremism, protecting civilians from terrorist groups, and assisting the victims of Boko Haram and ISIS-West Africa and their host communities. To address crime and communal conflict in other regions of Nigeria, State reported that it conducts human rights and investigative training for Nigerian police, supports efforts to teach conflict resolution skills to youth, convenes dialogues between farmer and herder stakeholders to develop conflict resolution mechanisms, and other efforts.", "For Syria, State reported nine efforts as active in fiscal year 2017.", "State reported efforts that included providing training, equipment, and stipends to Free Syrian Police and education directorates in opposition-controlled parts of the country, and building the capacity of civil society and advocacy organizations, local councils, and civilian networks. According to State, these programs were intended to support the opposition and help counter violent extremists, such as ISIS and al Qaeda in Syria.", "Appendix II presents a full list of State\u2019s reported conflict mitigation and stabilization efforts and their respective goals for Iraq, Nigeria, and Syria, active in fiscal year 2017.", "Efforts reported by USAID as active in fiscal year 2017. USAID reported that it conducted a range of ongoing conflict mitigation and stabilization efforts to address violent conflict in Iraq, Nigeria, and Syria, in fiscal year 2017. USAID reported that it primarily conducted these efforts through grants and contracts awarded to implementing partners.", "For Iraq, USAID reported one effort as active in fiscal year 2017.", "USAID, along with other international donors, supplies funding to the United Nations Development Program\u2019s (UNDP) Funding Facility for Stabilization. The UNDP, at the request of the Prime Minister of Iraq, and with support from leading members of the Coalition to Degrade and Defeat the Islamic State of Iraq and the Levant (ISIL), established the Funding Facility for Stabilization in June 2015 to help rapidly stabilize newly retaken areas. The aim is to help restore confidence in the leading role of the Iraqi government in these areas and give populations a sense of progress and forward momentum. According to USAID, the Funding Facility for Stabilization supports restoration of essential services and efforts to kick-start the local economy, enabling internally displaced persons to return to their homes.", "For Nigeria, USAID reported five efforts as active in fiscal year 2017.", "USAID reported that it works through its implementing partners to conduct a variety of ongoing country-specific efforts including working with youth to develop countering violent extremism (CVE) action plans, building the capacity of civil society organizations and religious leaders, and providing education for displaced persons and host communities. According to USAID, these efforts are intended to counter violent extremism from Boko Haram and ISIS-West Africa, reduce conflict between herders and farmers, and support state and local government ownership for the continued education of internally displaced children.", "For Syria, USAID reported five efforts as active in fiscal year 2017.", "USAID reported that it supports a multidonor trust fund to restore essential services and works through an implementing partner to enable local councils\u2019 ability to restore essential services. USAID reported that it also works through implementing partners to support democratic institutions, livelihoods, and local nongovernmental organizations. According to USAID, the intent of these programs is to enable the early recovery of areas liberated from ISIS by strengthening resistance to extremists, democratic processes, and the influence of strategic moderate actors. Figure 5 depicts a solar array installation that provides renewable energy for a drinking water pumping station in Dar\u2019a Province, Syria, supported by a USAID essential services program.", "Efforts reported by DOD as active in fiscal year 2017. DOD reported that it conducted stabilization efforts to address violent conflict in Iraq and Syria, in fiscal year 2017.", "In Iraq, DOD reported one effort as active in fiscal year 2017. Medical Staff of the Combined Joint Forces Land Component Command\u2014 Operation Inherent Resolve provided immediate medical trauma supplies to the World Health Organization to fill a gap in medical supplies available to treat injured civilians. According to DOD, the project was coordinated with State and USAID and was funded through the Overseas Humanitarian, Disaster, and Civil Aid (OHDACA) appropriation. According to DOD, this project was intended to increase the chance of survival for civilians affected by military operations, increase civilian confidence in the government and the humanitarian assistance community, and provide access, influence, and visibility to DOD.", "In Syria, DOD reported eight efforts as active in fiscal year 2017. Civil Affairs personnel of Special Operations Joint Task Force\u2014Operation Inherent Resolve provided classroom furniture and school supplies; cold weather items such as jackets, hats, gloves, socks and blankets; and in one area food, cooking fuel, construction material, and garbage removal. The projects were often managed through the local councils. According to DOD, the projects were coordinated with State and USAID and were funded through the OHDACA appropriation. Generally, according to DOD, the projects were intended to assist vulnerable populations, protect them from ISIL, and support local councils, while also providing access, visibility, and influence for DOD forces.", "Appendix IV presents a full list of DOD\u2019s reported conflict stabilization efforts and their respective goals for Iraq and Syria, active in fiscal year 2017.", "Efforts reported by USIP as active in fiscal year 2017. Although USIP generally refers to all of its work as \u201cconflict prevention and resolution,\u201d USIP officials stated that all of USIP\u2019s efforts fit under the general umbrella of conflict prevention, mitigation, and stabilization and thus reported all of USIP\u2019s efforts abroad for Iraq, Nigeria, and Syria (and in neighboring countries for Syria) that were active in fiscal year 2017. USIP reported that it conducts its efforts in conjunction with local staff and implementing partners. According to USIP, some USIP efforts are supported through interagency agreements with U.S. agencies.", "For Iraq, USIP reported eight efforts as active in fiscal year 2017.", "USIP reported that it facilitated targeted dialogues among Iraq\u2019s religious minorities to address security and governance challenges to reduce the likelihood of recurring violence and enable the return of IDPs. These dialogues created a monitoring framework to provide early warnings of potential violence. USIP also reported that it facilitated dialogues among Iraqis intended to prevent revenge acts of violence, facilitate the return of the internally displaced, and increase the resilience of communities to violent extremism from ISIS or others. Additionally, USIP reported that it provided both governmental and nongovernmental organizations with training in conflict management and identified influential religious leaders in specific conflict zones for future Iraqi-led mediations, dialogues, and peace and reconciliation efforts. Further, USIP reported that it conducted multiple justice and security dialogues that included police and government officials and citizens in areas affected by the aftermath of ISIS to collect and disseminate lessons learned and best practices.", "For Nigeria, USIP reported 14 efforts as active in fiscal year 2017.", "USIP reported that it conducted training programs, facilitated dialogues, established working groups, collected and shared lessons learned and best practices, and conducted in-country research and assessments involving civilian populations, nongovernmental organizations, police, and youth. The intent of these programs, according to USIP, was to reduce violent conflict and its root causes, strengthen the country\u2019s recovery from Boko Haram, and prevent the emergence of other extremist groups in support of long-term stability. In addition, according to USIP, the institute connected U.S. policymakers with key Nigerian officials at the subnational levels who wield significant influence in Nigeria\u2019s federal government system but with whom the United States has had limited contact. Figure 6 depicts a USIP symposium in Washington, D.C., funded by State, which included governors from states across northern Nigeria to foster key exchanges and critical discussions with leading American and international experts on the drivers of violent conflict in the region and how to resolve them.", "For Syria, USIP reported three efforts as active in fiscal year 2017.", "USIP reported that it held dialogues with interfaith and other key leaders to strengthen civil society\u2019s engagement and coordinating role with civic, religious, and tribal leaders on conflict management and prevention. For one effort, according to USIP, it has three ongoing grants related to the Syria conflict in neighboring countries that focus on reducing tensions associated with the absorption of Syrian refugees.", "Appendix V presents a full list of USIP\u2019s reported efforts and their respective goals for Iraq, Nigeria, and Syria, active in fiscal year 2017."], "subsections": []}, {"section_title": "U.S. Agencies and USIP Have Incorporated Aspects of Key Collaboration Practices for Their Conflict Prevention, Mitigation, and Stabilization Efforts but Have Not Documented Their Agreement", "paragraphs": ["State, USAID, DOD, and, where appropriate, USIP have incorporated aspects of key collaboration practices to coordinate their conflict prevention, mitigation, and stabilization efforts for Iraq, Nigeria, and Syria. However, the agencies have not documented their agreement on coordination for stabilization efforts in conflict-affected areas through formal written guidance and agreements that address key collaboration practices. The agencies have individually and jointly established some common outcomes for stabilization efforts in Iraq, Nigeria, and Syria. Additionally, State, USAID, DOD, and USIP have generally taken steps to bridge their organizational cultures; identify sources of leadership that facilitate coordination; establish roles and responsibilities; and include relevant participants for their conflict prevention, mitigation, and stabilization efforts in these countries. During the course of our review, State, USAID, and DOD released the SAR, which identified areas where U.S. government coordination for stabilization efforts in conflict-affected areas could be improved; however, the agencies have not documented their agreement as to how they will coordinate these efforts in formal written guidance and agreements that address key collaboration practices. Because multiple federal entities are engaged in U.S. conflict prevention, mitigation, and stabilization efforts in Iraq, Nigeria, and Syria, there is some inherent fragmentation in their efforts as well as the potential for overlap and duplication. According to key practices for enhancing interagency collaboration, articulating interagency agreement on collaborative efforts in formal documents, can strengthen those collaborative efforts and could reduce the potential for unnecessary fragmentation, overlap, and duplication."], "subsections": [{"section_title": "Outcomes and Accountability", "paragraphs": ["We previously found that establishing common outcomes can help agencies shape and define the purpose of their collaborative efforts. According to a senior State official, the classified country strategies maintained by the National Security Council (NSC) may contain common outcomes for some U.S. conflict prevention, mitigation, and stabilization efforts. However, the NSC did not respond to our requests for information regarding NSC-level country strategies for Iraq, Nigeria, and Syria.", "In the absence of information from the NSC, we reviewed information provided by the agencies as well as other government documents and found that outcomes for U.S. stabilization efforts in Iraq, Nigeria, and Syria have generally been established by one or more of the agencies. For example, for its stabilization efforts for Iraq, USAID reported that its outcome metric is the return of internally displaced populations to their communities. USAID also reported that it monitors progress toward this outcome using, in part, quarterly reporting from the United Nations Development Program (UNDP), the implementer for the primary mechanism through which the United States and other donor partners fund stabilization efforts in Iraq.", "Similarly, in the case of Nigeria, the U.S. government has established common outcomes and accountability mechanisms related to U.S. efforts to counter Boko Haram and ISIS-West Africa, which includes stabilization assistance. For example, the interagency, NSC-approved U.S. Strategy for Countering Boko Haram/ISIS-West Africa (March 2017), states that the United States seeks long-term end states under which Lake Chad Basin countries, in tandem with local authorities and international partners, are able to address specific regional and community-level conditions that are drivers of conflict and that make communities vulnerable to violent extremist groups. The National Counterterrorism Center facilitates an annual assessment of this strategy, and State, USAID, and DOD review their progress toward achieving objectives in this strategy during weekly meetings, according to State officials.", "For Syria, in January 2018, then-Secretary of State Tillerson identified the creation of conditions for the safe and voluntary return of Syrian refugees and internally displaced persons as one of several end states for Syria. However, agency officials reported different views regarding clarity about end states and goals for U.S. efforts in Syria. While some U.S. officials we interviewed could point to sources for U.S. strategy in Syria, other U.S. officials told us that the United States\u2019 policy and goals for Syria were unclear. State and DOD officials indicated that the U.S. goals for Syria change in response to conditions where U.S. agencies and their partners operate. A USAID official told us that events on the ground often overtake U.S. efforts, and the complicated regional dynamics also affect U.S. policy goals.", "Moreover, the U.S. government has also developed Integrated Country Strategies for Iraq and Nigeria. The Integrated Country Strategies developed by U.S. embassies and missions may contain outcomes related to, but not necessarily specific to, U.S. conflict prevention, mitigation, and stabilization efforts abroad, according to a senior State official. According to State guidance, Integrated Country Strategies should articulate a common set of U.S. government goals and objectives in a country and may also outline performance indicators to measure progress toward each mission objective. The guidance further states that the development of these strategies should include coordination and collaboration among State, USAID, and other U.S. government agencies at the mission.", "Finally, at a global-level, State, USAID, and DOD have identified a need to improve the outcomes and accountability of U.S. stabilization efforts. Specifically, the 2018 SAR recommended that State, USAID, and DOD work with relevant U.S. embassy, State regional bureaus, DOD combatant commands, and other stakeholders to develop an outcome- based political strategy for stabilization in countries where stabilization is a high priority. The SAR notes the importance of developing an outcome-based political strategy that outlines core assumptions and achievable end states and that guides all lines of effort to ensure unity of purpose within the U.S. government. The SAR also identified a need to establish indicators to measure changes in the conflict environment and track them consistently over time and stated that doing so could facilitate more rigorous reviews by policy makers to determine whether adjustments are needed in U.S. government political strategy and objectives.", "State and USIP officials reported that due to USIP\u2019s status as an independent, federally funded institute that operates outside of executive branch mechanisms, USIP is not a direct participant in processes to establish common outcomes and accountability mechanisms for U.S. government conflict prevention, mitigation, and stabilization efforts."], "subsections": []}, {"section_title": "Bridging Organizational Cultures", "paragraphs": ["We previously found that it is important for agencies to establish ways to operate across agency boundaries. According to State, USAID, and DOD officials, they have taken steps to bridge their different organizational cultures with regard to their conflict prevention, mitigation, and stabilization efforts for Iraq, Nigeria, and Syria. Specifically, officials said that they have developed a variety of ways to jointly operate across agency boundaries, such as through interagency groups and special coordination positions. USIP does not participate in such interagency mechanisms; however, it reported that it communicates and coordinates with State, USAID, and DOD through other means, such as through bilateral communications and interagency tabletop exercises."], "subsections": [{"section_title": "Interagency Groups", "paragraphs": ["State, USAID, and DOD have established various interagency groups to coordinate their efforts for Iraq, Nigeria, and Syria. According to State, USAID, and DOD officials, interagency working groups help agencies to reduce the potential for overlap and duplication of effort. Examples of interagency groups, by country, are described below.", "Iraq: A \u201cLiberated Areas Working Group\u201d serves as a clearinghouse and information exchange for both mission-level and headquarters- based counterparts to coordinate agencies\u2019 post-ISIS stabilization efforts for Iraq. As another example, the Ambassador or Deputy Chief of Mission at Embassy Baghdad leads a stabilization and humanitarian assistance working group that meets biweekly and includes participation from State, USAID, and DOD.", "Nigeria: In 2015, State established an interagency group, headed by a retired U.S. Ambassador, that aims to ensure the coordination of U.S. government efforts to counter Boko Haram. Additionally, the U.S. mission in Nigeria has working groups that examine various issues, such as U.S. efforts to mitigate conflict in the country and address conflict issues in northeast Nigeria.", "Syria: Given that the U.S. agencies do not have an embassy-based presence in Syria, State, USAID, and DOD coordinate their stabilization efforts for Syria through three interagency platforms: the Southern Syria Assistance Platform (SSAP), located in Jordan; the Syria Transition Assistance Response Team (START), located in Turkey; and, according to a State official, START-Forward in northeastern Syria, which reports to START. START and SSAP personnel noted that the colocation of State and USAID personnel through these platforms has facilitated coordination between the two agencies, including information sharing. Further, a State Office of Inspector General inspection of the U.S. Embassy Ankara, Turkey, described START as a \u201ccohesive unit\u201d that blends State and USAID officials, and as a unique and \u201cinnovative model for diplomacy in dangerous environments.\u201d In addition, for northeast Syria, START established four stabilization-related working groups that meet on a regular basis and include civilian and military representation.", "USIP does not participate in these interagency working groups. Rather, USIP reported that it coordinates on a bilateral, multilateral, and as- needed basis with State, USAID, and DOD headquarters personnel as well as with embassy personnel in the countries where USIP conducts work. USIP also reported that it convenes interagency officials through various programs and events, such as tabletop exercises and conferences. For example, in 2016, USIP convened State, USAID, and DOD, along with various nongovernmental and international organizations, to design and implement a tabletop exercise on countering violent extremism in the Lake Chad Basin."], "subsections": []}, {"section_title": "Interagency Collaboration Staff Positions", "paragraphs": ["State, USAID, and DOD officials reported that they also bridge their organizational cultures through staff positions that are aimed at enhancing interagency collaboration, such as liaison positions and officials who are embedded in other organizations. For example, SSAP and START each have civil-military liaisons, and agency officials said that these positions have helped to facilitate information sharing among State, USAID, and DOD. As another example, DOD officials reported that embedded State and USAID officials at U.S. Africa Command have helped to inform DOD\u2019s perspective on stabilization in Nigeria.", "USIP reported that to help bridge organizational cultures and enhance cooperation with its agency partners, the institute operates an annual interagency fellows program. Through the program, USIP hosts one fellow each from State and USAID, and two military officers\u2014one Marine lieutenant colonel and one Army lieutenant colonel\u2014to conduct research and work alongside USIP program staff, according to USIP."], "subsections": []}, {"section_title": "Interagency Definitions of Conflict Prevention, Mitigation, and Stabilization", "paragraphs": ["In 2018, State, USAID, and DOD established a common definition of \u201cstabilization.\u201d The three agencies have not established common definitions of the terms \u201cconflict prevention\u201d and \u201cconflict mitigation.\u201d In the SAR, State, USAID, and DOD defined \u201cstabilization\u201d as \u201ca political endeavor involving an integrated civilian-military process to create conditions where locally legitimate authorities and systems can peaceably manage conflict and prevent a resurgence of violence. Transitional in nature, stabilization may include efforts to establish civil security, provide access to dispute resolution, and deliver targeted basic services, and establish a foundation for the return of displaced people and longer term development.\u201d According to USAID\u2019s Administrator, the SAR built on lessons learned from Iraq and Syria, among other locations. The SAR states that, despite the U.S. government\u2019s significant international experience in conducting stabilization efforts over recent decades, the U.S. government\u2019s concept of stabilization was previously ill-defined and poorly institutionalized across government structures. The SAR also notes that the lack of standardization in defining and conducting stabilization led to repeated mistakes, inefficient spending, and poor accountability for results. During the course of our review, agency and USIP officials expressed varying views related to the feasibility of articulating a common definition for \u201cconflict prevention\u201d and \u201cconflict mitigation.\u201d For example, State and USAID officials noted that all of their agencies\u2019 foreign assistance and diplomatic efforts could be considered conflict prevention. USAID also noted that defining the issues or problem sets associated with \u201cconflict prevention\u201d or \u201cconflict mitigation\u201d will depend, in part, on the context in which the relevant government agency engages on those issues. In addition, State\u2019s Bureau of Conflict and Stabilization Operations opined that conflict management and mitigation is an evolving field of practice as well as an area that can encompass a very broad and multifaceted range of efforts, including diplomacy, foreign assistance, sanctions, and mobilization of international actions. Agency and USIP officials did not identify a negative effect associated with the lack of common definitions of the terms \u201cconflict prevention\u201d and \u201cconflict mitigation.\u201d", "Nonetheless, according to State and DOD officials, the agencies have started discussing the merits and feasibility of defining \u201cconflict prevention.\u201d For example, in response to our inquiry during a joint meeting of the three agencies with us in March 2018 to discuss the SAR, a senior State official noted that the three agencies were collectively exploring the feasibility of developing a standardized definition and harmonized approach for conflict prevention. In its technical comments to our draft report, State indicated that the agencies have begun to collaborate on the development of a definition for \u201cconflict prevention.\u201d In addition, as part of its planned structural reorganization of its headquarters bureaus, USAID is proposing the establishment of a new Bureau for Conflict Prevention and Stabilization."], "subsections": []}]}, {"section_title": "Leadership", "paragraphs": ["We previously found that it is important for agencies to identify sources of leadership for the collaborative effort. Agency and USIP officials identified sources of leadership, such as various NSC committees and special leadership positions, that facilitate coordination of the U.S. government\u2019s conflict prevention, mitigation, and stabilization efforts for Iraq, Nigeria, and Syria. State and DOD officials reported that the NSC plays a leadership role in providing strategic direction and policy guidance on issues related to conflict prevention, mitigation, and stabilization. State and DOD officials also said that the NSC convenes interagency actors, including State, USAID, and DOD, to discuss high-level issues in these areas. State reported that the NSC Fragile States and Stabilization Policy Coordination Committee is the broadest conflict-related coordination group. State also reported that a significant degree of NSC-level coordination on conflict-related issues occurs through country- specific working groups, including the groups for Iraq, Syria, and Nigeria. The NSC-level Atrocities Prevention Board is another interagency mechanism that covers conflict-related issues. It has the primary purpose of coordinating a whole-of-government approach to prevent mass atrocities and genocide. While USIP is not a member of NSC-level groups, USIP reported that it engages with the NSC regarding national security issues on a bilateral basis.", "Agency officials also told us that various special diplomatic positions, such as special envoys and designated coordinators, are a source of leadership for the coordination of U.S. efforts to address conflict abroad. State and USAID officials cited the role of the Special Presidential Envoy for the Global Coalition to Counter ISIS, who reports to the Secretary of State, as a source of leadership for U.S. stabilization efforts for Iraq and Syria. State officials also cited the former U.S. Special Envoy for Syria position as a source of leadership for U.S. efforts for Syria.", "In 2015, the Assistant Secretary of State for African Affairs at the time appointed a retired Ambassador as Senior Coordinator on Boko Haram for the Lake Chad Basin region (which includes Nigeria), according to a State official. The Senior Coordinator on Boko Haram chairs a weekly interagency working group that includes a wide array of U.S. agency offices, including State, USAID, and DOD elements at both the headquarters and field-levels. According to DOD and State officials, the weekly meetings led by the Senior Coordinator on Boko Haram have helped U.S. agencies deconflict their efforts. According to a USIP report, the Senior Coordinator position has improved the U.S. government\u2019s ability to align its efforts at both senior and working levels and has supported broad, interagency information sharing and coordination in the development of a common U.S. strategy to defeat Boko Haram.", "Agency officials also cited field-level leadership as helpful in coordinating U.S. government efforts for Iraq, Nigeria, and Syria. For example, for Nigeria, a USAID official told us that the Ambassador and the Deputy Chief of Mission at the U.S. embassy have enhanced and led interagency coordination. The Ambassador has provided input to help deconflict U.S. programming related to conflict mitigation and stabilization, according to this USAID official. For Syria, agency officials identified the leadership of START as helpful in coordinating U.S. stabilization efforts for Syria. Agency officials provided various views regarding the sufficiency of leadership mechanisms currently in place for coordinating U.S. stabilization efforts for Syria. While U.S. field-level efforts for Iraq and Nigeria are led by Ambassadors, the U.S. government\u2019s ambassadorial position for Syria has been vacant since 2014. Some officials told us there was a lack of centralized leadership and decision-making authority for Syria, while others said that the current leadership structures were generally sufficient for the coordination of U.S. government efforts for Syria."], "subsections": []}, {"section_title": "Clarity of Roles and Responsibilities", "paragraphs": ["We previously found that it is important for agencies to define and agree on their respective roles and responsibilities for a collaborative effort. We found that agencies\u2019 roles and responsibilities for conducting stabilization efforts for Iraq, Nigeria, and Syria were generally clear, and through the SAR, agencies have taken steps to clarify their stabilization roles and responsibilities at a global level. USAID officials reported that the agency has largely funded and overseen stabilization efforts for Iraq through the UNDP and local implementers. In Syria, State and USAID reported that they formed a combined team for implementing stabilization assistance, with support and equipment supplied by the U.S. military. For Nigeria, according to DOD and USAID officials, roles and responsibilities for agencies, including lead and supporting roles, have been defined for the U.S. counter Boko Haram and ISIS-West Africa effort.", "Through the 2018 SAR, State, USAID, and DOD recommended the clarification of their respective roles and responsibilities for conducting U.S. stabilization efforts abroad. The SAR recommended State as the overall lead federal agency for U.S. stabilization efforts, USAID as the lead implementing agency for nonsecurity U.S. stabilization assistance, and DOD as a supporting federal agency that provides security and reinforces civilian efforts where appropriate. The SAR noted that clear lines of authority between U.S. agencies would improve effectiveness, reduce duplication and confusion, enable greater accountability, and fully operationalize a whole-of-government approach. In June 2018, the Secretaries of State and Defense and the USAID Administrator approved the SAR, including its recommendations regarding proposed U.S. agency roles and responsibilities for U.S. stabilization efforts.", "In addition to the SAR, a 2018 DOD-sponsored study also recommended that DOD play a primarily supporting role in non-military, U.S. stabilization efforts. According to a DOD official, DOD is in the process of updating its stabilization policy to reflect DOD\u2019s supporting role in U.S. government stabilization efforts, in accordance with the SAR. As indicated above, U.S. agencies do not distinguish their coordination of prevention and mitigation efforts as discrete areas of work; as a result, we were unable to assess specific roles and responsibilities among U.S. agencies for these areas.", "According to USIP, it aims to complement U.S. executive branch efforts and partner with U.S. agencies to prevent and resolve conflict in areas of interest to U.S. security. USIP reported that it convenes U.S. government and non-U.S. government entities on a variety of high-level policy issues; conducts its own research and programs; and partners with U.S. agencies to conduct research and programs abroad. State, DOD, and USAID officials said that USIP plays a valuable, unique, and helpful role given its status as an independent organization, its specialized expertise, its ability to convene interagency actors in a non-official setting, and its ability to build local relationships through a continuous, field-based presence in certain countries. For example, State officials and nongovernmental partners of USIP in Nigeria told us that USIP played a beneficial role in convening national and local Nigerian leaders for peace and reconciliation dialogues."], "subsections": []}, {"section_title": "Participants", "paragraphs": ["We previously found that it is important to ensure that the relevant participants have been included in the collaborative effort. U.S. government entities conducting conflict prevention, mitigation, and stabilization efforts abroad have demonstrated the key collaboration practice of ensuring the inclusion of all relevant participants. State, USAID, DOD, and other agency officials identified State, USAID, and DOD as the primary U.S. government agencies that participate in mechanisms to coordinate U.S. conflict prevention, mitigation, and stabilization efforts abroad. Agency officials conducting such efforts for Iraq, Syria, and Nigeria reported that the relevant participants\u2014State, USAID, and DOD\u2014are involved in the coordination of such efforts.", "USIP also reported that it participates in U.S. conflict prevention, mitigation, and stabilization efforts through a variety of means. At the headquarters-level, USIP officials told us that they conduct both regular and as-needed consultations and discussions with senior agency officials at the NSC, State, USAID, DOD, and other agencies. USIP and State officials also indicated that they coordinate their Iraq, Nigeria, and Syria programs that are funded by State through interagency agreements. USIP officials said that it is in communication with the embassies where USIP has a USIP office or ground presence. For Iraq, State and USIP officials located in-country said that they contact one another as needed. According to USIP, in March 2018, it reestablished an American country manager position in Baghdad, Iraq, whose responsibilities include regular communication and coordination with relevant U.S. government officials. For Nigeria, USAID and USIP officials said that USIP participates in a peace and security network that brings together international nongovernmental organizations and governmental actors\u2014including USAID\u2014to share information on peace and security efforts being conducted in Nigeria."], "subsections": []}, {"section_title": "Written Guidance and Agreements", "paragraphs": ["We previously found that agencies that articulate their agreements in formal documents can strengthen their commitment to working collaboratively. We found that U.S. agencies and USIP have documented some aspects of how they coordinate their conflict prevention, mitigation, and stabilization efforts in Iraq, Nigeria, and Syria. However, State, USAID, and DOD have not documented their agreement from the SAR on how they will coordinate their global stabilization efforts in conflict-affected areas, such as their agreements on common outcomes and accountability and their roles and responsibilities for conducting U.S. stabilization efforts.", "Specifically, we found that U.S. agencies and USIP have documented some aspects of how they coordinate their conflict prevention, mitigation, and stabilization efforts in Iraq, Nigeria, and Syria. Notably, USIP provided us with examples of its written agreements with U.S. agencies for which USIP implements conflict prevention and mitigation programming with agency funding. USIP has written agreements with USAID and various State bureaus for programs implemented in Iraq, Nigeria, and Syria. According to USIP officials in Nigeria, USIP and State coordinated the planning and implementation of their efforts during the course of these interagency agreements.", "In June 2018, State publically announced that the Secretaries of State and Defense and the USAID Administrator approved the SAR\u2019s recommendations regarding U.S. stabilization efforts, such as the SAR\u2019s recommendations to establish outcomes and accountability mechanisms and to formally define agencies\u2019 stabilization roles and responsibilities. According to the SAR, while the principles for effective stabilization, such as clarified and formally defined roles and responsibilities, have been widely studied, they have not been systematically applied and institutionalized. According to key practices for enhancing interagency collaboration, articulating agreements in formal documents can strengthen collaborative efforts, and reduce the potential for fragmentation, overlap, and duplication. However, the SAR remains a \u201cframework\u201d that, according to State, has yet to be translated into agency policy and practice, and State, USAID, and DOD have not yet developed a plan to implement the SAR recommendations.", "State, USAID, and DOD officials acknowledged the importance of codifying their agreement on the collaboration elements raised in the SAR but said that they had not yet decided on a specific document or documents for doing so. For example, officials discussed the idea of establishing an interagency memorandum among the three agencies to codify their specific roles and responsibilities for conducting stabilization efforts, but they indicated that next steps will depend on various factors, such as decisions with regard to State\u2019s and USAID\u2019s ongoing organizational redesign processes. Agency officials also indicated that they are considering implementing the SAR\u2019s recommendations through issuing written, internal guidance within each agency. We have previously found that written guidance, such as an implementation plan or memorandum of agreements, can help agencies during times of transition when leadership changes and there is a need for continuity. By formally documenting agreements according to key leading practices, the agencies will be better positioned to strengthen their collaborative efforts, and reduce any potential for fragmentation, overlap, and duplication."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In the National Security Strategy issued in December 2017, the United States emphasized the need to integrate all instruments of the United States\u2019 national power in order to deter conflict and secure peace. State, USAID, DOD, and USIP work individually and jointly to prevent and mitigate conflict and stabilize conflict-affected areas. Although the three agencies have incorporated aspects of key practices in the coordination of their conflict prevention, mitigation, and stabilization efforts in Iraq, Nigeria, and Syria, they have not fully demonstrated the key practice of documenting agreements in written guidance. By articulating their agreement in formal documents, such as a memorandum of agreement or an implementation plan, these agencies can strengthen their coordination of U.S. stabilization efforts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of three recommendations, one each to State, USAID, and DOD. Specifically:", "The Secretary of State, in collaboration with the Administrator of the U.S. Agency for International Development and the Secretary of Defense, should document their agreement on coordination for U.S. stabilization efforts through formal written guidance and agreements that address key collaboration practices such as defining outcomes and accountability and clarifying roles and responsibilities for U.S. stabilization efforts. (Recommendation 1)", "The Administrator of the U.S. Agency for International Development, in collaboration with the Secretaries of Defense and State, should document their agreement on coordination for U.S. stabilization efforts through formal written guidance and agreements that address key collaboration practices such as defining outcomes and clarifying roles and responsibilities for U.S. stabilization efforts. (Recommendation 2)", "The Secretary of Defense, in collaboration with the Administrator of the U.S. Agency for International Development and the Secretary of State, should document their agreement on coordination for U.S. stabilization efforts through formal written guidance and agreements that address key collaboration practices such as defining outcomes and accountability and clarifying roles and responsibilities for U.S. stabilization efforts. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency and USIP Comments", "paragraphs": ["We provided a draft of this report to State, USAID, and DOD for comment. State, USAID, and DOD concurred with the recommendations and provided comments, which are reproduced in appendixes VI through VIII, respectively. State, USAID, and DOD also provided technical comments, which we incorporated as appropriate.", "We also provided a draft of this report to USIP for comment. USIP\u2019s comments are reproduced in appendix IX. USIP also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, the Administrator of USAID, the Secretary of Defense, the President of USIP, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or FarbJ@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes examples of conflict prevention, mitigation, and stabilization efforts that U.S. agencies and the U.S. Institute of Peace (USIP) conducted in Iraq, Nigeria, and Syria and their goals in fiscal year 2017 and (2) examines the extent to which U.S. agencies and USIP incorporated key collaboration practices to coordinate their efforts.", "To address both objectives, we reviewed the conflict prevention, mitigation, and stabilization efforts of the Departments of State (State) and Defense (DOD), the U.S. Agency for International Development (USAID), and USIP. We reviewed program, coordination, strategy, and planning documentation and interviewed State, USAID, DOD, and USIP officials at headquarters and in the field with regard to specific efforts in Iraq, Nigeria, and Syria. We conducted work in Washington, D.C.; Iraq; Nigeria; and Jordan and held teleconferences with officials in Syria, Turkey, and Kuwait. At the posts, we interviewed U.S. embassy leadership, agency program officers, and implementing partners, where available. We focused on Iraq, Nigeria, and Syria based on several criteria, including U.S. national security interests, countries with ongoing conflict, countries where all three agencies and USIP initially reported that they conducted relevant efforts in fiscal year 2017, prior GAO reporting, and input from agencies and USIP. We cannot generalize our findings from these three countries to the other countries where these agencies have conflict prevention, mitigation, and stabilization efforts.", "Specifically, we interviewed officials at the following entities.", "State officials in the Bureau of African Affairs; Bureau of Conflict and Stabilization Operations; Bureau of Democracy, Human Rights, and Labor; Bureau of International Narcotics and Law Enforcement; Bureau of Near Eastern Affairs; Bureau of Political-Military Affairs; Bureau of Public Affairs; Office of the Inspector General; Office of the Special Presidential Envoy for the Global Coalition to Defeat ISIS (the Islamic State of Iraq and Syria); and the Office of U.S. Foreign Assistance Resources;", "USAID officials in the Bureau for Africa; Bureau for Democracy, Conflict, and Humanitarian Assistance; and Bureau for the Middle East;", "DOD officials in the Office of the Secretary of Defense, Office of the Joint Chiefs of Staff, U.S. Africa Command, and U.S. Central Command; and", "USIP officials in the Middle East and Africa Center and the Policy, Learning, and Strategy Center.", "To describe examples of conflict prevention, mitigation, and stabilization efforts that U.S. agencies and USIP conducted in Iraq, Nigeria, and Syria and their goals in fiscal year 2017, we collected, synthesized, and summarized information from State, USAID, DOD, and USIP.", "First, we obtained the definitions of conflict prevention, mitigation, and stabilization from each entity to the extent each entity used and defined these terms. Based on our discussions with each agency and USIP, we determined that we could not use one common definition, as each agency and USIP defined these terms based on its programs and the context of its operations; thus, we would have had to use overlapping terms and definitions to capture their efforts for fiscal year 2017.", "State and USAID used the term \u201cconflict mitigation and stabilization\u201d and defined their efforts as foreign assistance programs that reduce the threat or impact of violent conflict and promote the peaceful resolution of differences, mitigate violence if it has already broken out, establish a framework for peace and reconciliation, and provide for the transition from conflict to post-conflict environments.", "DOD used the term \u201cstabilization\u201d and defined it as \u201can integrated civilian and military process applied in designated fragile and conflict affected areas outside the United States to establish civil security, address drivers of instability, and create conditions for sustainable stability\u2014a condition characterized by local political systems that can peaceably manage conflict and change; effective and accountable institutions that can provide essential services; and societies that respect fundamental human rights and the rule of law.\u201d", "USIP generally referred to its work as conflict prevention and resolution, which may include conflict prevention, mitigation, and stabilization efforts. USIP did not have current definitions for these terms in fiscal year 2017. USIP officials stated that all of USIP\u2019s efforts would fit under the general umbrella of conflict prevention, mitigation, and stabilization and reported all of USIP\u2019s efforts abroad for Iraq, Nigeria, and Syria (and in neighboring countries for Syria) that were active in fiscal year 2017.", "Second, to collect the data describing the efforts and their goals from each agency and USIP, we developed a standardized data collection instrument. We defined \u201cefforts\u201d as any program, initiative, or other similar level of engagement and also accepted projects and activities when reported. We had each agency and USIP use its own terms, definitions, and categorizations of efforts in this instrument. Based on our discussions with the agencies and USIP, we determined that this would still allow us to collect a comprehensive set of programs from each entity and to learn about their key efforts in this domain. However, we recognize that some entities might have included programs that other entities would not have included, even though both entities\u2019 programs may have had many similarities, because of the entities\u2019 differing definitions and terms. To ensure that our report could be made publically available, we also accepted reported categories of programs if listing each program separately would have meant including controlled unclassified information (sensitive but unclassified) .", "Within the data collection instrument, we asked agencies to report efforts by country, specifically, for Iraq, Nigeria, and Syria. To corroborate entries in the instrument, we requested that the agencies and USIP also provide one document or website link supporting each entry. Not all agencies fully complied with this request. In some cases, we conducted web searches for any publicly available supporting information.", "Third, we reviewed the reported data and supporting documents and obtained clarification from agency officials where needed. We synthesized and summarized information for each effort in this report\u2019s appendixes and, at a higher level, in the body of the report. We requested technical comments on our summarized information from the agencies and USIP, and incorporated their suggestions as appropriate. We did not independently verify whether the reported lists of conflict prevention, mitigation, and stabilization efforts included all such efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria).", "To examine the extent to which U.S. agencies and USIP incorporated key collaboration practices to coordinate their conflict prevention, mitigation, and stabilization efforts, we analyzed information about State, USAID, DOD, and USIP\u2019s coordination using six of the seven key practices for implementing interagency collaborative mechanisms that we have previously identified and that were applicable to our review. We assessed coordination of agency and USIP efforts for conflict prevention, mitigation, and stabilization as a whole because, as indicated above, the agencies did not always distinguish their coordination efforts to address conflict using the same terms or categorization of efforts. Where information was available, we assessed whether the agencies and USIP had generally incorporated or not incorporated the six selected key practices to coordinate their efforts between State, USAID, DOD, and USIP at the headquarters level and for our selected countries of Iraq, Nigeria, and Syria. To make this determination, we examined agency and USIP documents and conducted interviews about interagency collaboration activities with officials from State, USAID, DOD, and USIP. We reviewed agency reports; jointly developed and independently developed strategies; interagency agreements; monitoring reports; and public statements by senior U.S. government officials, among other documents. We also reviewed agency and third-party reports that assessed interagency collaboration, among other issues, though it was beyond the scope of this review to assess the methodology or underlying data in these reports. During the course of our work, State, USAID, and DOD released the 2018 Stabilization Assistance Review: A Framework for Maximizing the Effectiveness of U.S. Government Efforts to Stabilize Conflict-Affected Areas. This report assessed U.S. stabilization assistance globally in conflict-affected areas. We reviewed the contents of the report and interviewed agency officials associated with this review to better understand their findings as may be related to the key collaboration practices applicable to our review.", "Although the National Security Council (NSC) is responsible for coordination of security-related activities and functions of the executive departments and agencies, the NSC did not respond to our request for documents and interviews. We mitigated this limitation by interviewing officials at the three agencies and reviewing other available documentation including the U.S. Strategy for Countering Boko Haram/ISIS-West Africa and the U.S. Strategy to Counter the Islamic State of Iraq and the Levant. During our visit to the U.S. embassy in Nigeria, we observed meetings for two interagency working groups. We also interviewed implementing partners for U.S. government and USIP efforts in Iraq, Jordan, and Nigeria. We used our analysis of agency and USIP documents and the results of our interviews with officials to assess collaboration practices among State, USAID, DOD, and USIP. To aid in our analysis of coordination from our review of documents and interviews, we used the information obtained under the first objective and compared State, DOD, USAID, and USIP descriptions of each of their efforts in Iraq, Nigeria, and Syria to assess for any unnecessary duplication. As discussed above, some entities may have included efforts that other entities would not have included based on their definitions for the terms in our scope. As a result, our analysis only includes the list of programs provided by the agencies to assess for duplication.", "We conducted this performance audit from April 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: State Reported Conflict Mitigation and Stabilization Efforts for Iraq, Nigeria, and Syria, Fiscal Year 2017", "paragraphs": [], "subsections": [{"section_title": "Conflict mitigation and stabilization effort IRAQ", "paragraphs": ["Anti-Terrorism Assistance Program (ATA)", "The Department of State\u2019s (State) ATA Program is managed by the Bureau of Counterterrorism and implemented by the Bureau of Diplomatic Security. The ATA program trains and equips selected Iraqi law enforcement agencies to counter improvised explosive devices, respond to critical incidents, and conduct terrorism related investigations. ATA funds support training courses, consultations, associated equipment deliveries, and training support costs in Iraq and other selected third-country training locations. ATA provides the antiterrorism training and equipment to help Iraqi law enforcement agencies deal effectively with security challenges within their borders, to defend against threats to national and regional stability, and to deter terrorist operations across borders and regions. ATA assists efforts to defeat the Islamic State of Iraq and Syria (ISIS) and counter transnational terror groups and organizations by curtailing the transit of foreign terrorist fighters throughout the country and mitigating the effects of terrorist incidents.", "State\u2019s Bureau of Democracy, Human Rights, and Labor (DRL) conducts Good Governance Programs in Iraq through grants to implementing partners. These programs aim to advance the equitable representation of religious and ethnic minority groups and internally displaced persons (IDP), women, and other populations marginalized in governance structures. The programs are also intended to promote equitable access to resources and services and support reform efforts on key issues of human rights and democratic governance. Programming engages civil society to develop and implement key democratic reform processes and institutions in both the central government and the Kurdistan Regional Government. The goals of Good Governance Programs in Iraq are to strengthen citizen-responsive governance, security, and rule of law to prevent instability, violence, or other crises through collaboration with Iraqi partner institutions on activities that combat corruption and strengthen governance.", "State\u2019s DRL conducts Political Competition and Consensus Building Programs in Iraq through grants to implementing partners. Capitalizing on political openings created through national and provincial elections, these programs intend to work with newly elected officials and parties to strengthen their ability to equitably represent the needs of their constituents, with a particular focus on outreach to minorities and marginalized populations. One publicly competed grant will support avenues for citizens to negotiate disputes and debate policy priorities through peaceful, democratic methods, and will work to ease tensions between the central government and the Kurdistan Regional Government. The overall goal of these programs is to build the capacity of the government of Iraq to take the lead in strengthening citizen-responsive governance, security, and rule of law to prevent further instability and violence. DRL programing intends to help the government of Iraq become more inclusive, transparent, and responsive with increased participation by women, youth, and religious and ethnic minorities."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort DRL Rule of Law Programs", "paragraphs": ["State\u2019s description of effort and its goals State\u2019s DRL conducts Rule of Law Programs in Iraq through grants to implementing partners. These programs are intended to promote reconciliation initiatives, including efforts to counter violent extremism; reintegrate returning IDPs, survivors, and their families; rehabilitate men and boys affected by the conflict; reconstitute and protect minority communities\u2014in support of the global religious minorities earmark; and support civil society to promote accountability and transparency. More specifically, these efforts aim to (1) strengthen civil society\u2019s ability to monitor the status of detainees and advocate for fair treatment, anti-torture, and due process; promote protection of basic human rights and democratic principles; and provide psychosocial support for trauma survivors; (2) increase accountability for human rights violations, including those associated with the current crisis, with a particular focus on the most vulnerable Iraqis, including religious and ethnic minorities, and women and children; and (3) support efforts to advocate for the rights and protections of women, girls, IDPs, victims of war\u2014 including Marla Ruzicka Iraqi War Victims Fund beneficiaries\u2014and other marginalized groups.", "State\u2019s DRL conducts Social and Economic Services and Protections for Vulnerable Populations Programs in Iraq through grants to implementing partners. Programs may include livelihood and vocational training; small and medium enterprise creation and support; psychosocial and legal aid services; compensation for war victims/reparations; and other efforts to support the rehabilitation of victims of conflict that are not reached through current assistance. These programs aim to address the post-conflict vulnerabilities of disproportionately affected marginalized populations that are often targeted by transnational terror groups and organizations to spread radicalization. The particular emphasis is on widows, single female-headed households, vulnerable youth, religious minorities in support of the global earmark, and victims of torture and war\u2014 including Marla Ruzicka Iraqi War Victims beneficiaries.", "State\u2019s Bureau of Political and Military Affairs supports Explosive Remnants of War (ERW) Clearance efforts in response to recent activities of ISIS in Iraq that have dramatically altered the Conventional Weapons Destruction landscape. ISIS used mass-produced, technologically advanced improvised explosive devices (IED) to defend captured territory and target Iraqi Security Forces, as well as to booby trap homes, public spaces, farm land, and infrastructure to discourage the return of IDPs. As IDPs return to their communities, these devices continue to perpetuate ISIS\u2019s reign of terror by indiscriminately killing civilians and impeding stabilization operations. This program, which State conducts through implementing partners, supports the urgent survey and clearance of explosive hazards from critical infrastructure associated with the delivery of clean water, electricity, healthcare, education, and transportation, as well as other sites in areas of Iraq liberated from ISIS to facilitate follow-on stabilization projects, the restoration of basic community services, and the return of IDPs. This program also supports the survey and clearance of ERW in areas impacted by legacy contamination in Iraq\u2019s North and South. The overall goal is to assist efforts to defeat ISIS and help the government of Iraq support the safe return of Iraqis that were displaced from their homes by ISIS or liberation campaigns."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Mine Risk Education", "paragraphs": ["State\u2019s description of effort and its goals State\u2019s Bureau of Political and Military Affairs conducts the Mine Risk Education and Victims\u2019 Assistance programs in Iraq through grants to implementing partners. The risk education program teaches men, women, and children across Iraq about the dangers posed by explosive hazards. This program focuses on IDPs who will be returning to areas liberated from ISIS as well as communities who have already returned to liberated areas. The program also provides risk education to people in North and South Iraq who live and work near legacy ERW contamination. The goal of this program is to strengthen citizen-responsive governance and security to prevent further instability and violence as well as to bolster human security.", "State\u2019s Bureau of International Narcotics and Law Enforcement, Office of Africa and Middle East Programs, is responsible for the Advance Human rights Training for Law Enforcement Officers effort. It provides advanced human rights training to Nigerian Police Force officers deploying to the northeast and to trainers from the force\u2019s academies and colleges (a train-the-trainer focus). The goal of the effort is to increase the Nigerian Police Force\u2019s capacity to better prevent, detect, respond to, and investigate crime while protecting the rights of all citizens.", "Arewa 24\u2014Hausa Language Media Platform State\u2019s Bureau of African Affairs, Office of Security Affairs, was responsible for supporting Arewa 24\u2014Hausa Language Media Platform. Arewa 24 is a free-to-air satellite TV channel and trans-media platform based in Kano, Nigeria. Positive narratives intended to help counter violent extremism were inserted into general entertainment programming aimed at young Hausa speakers in Northern Nigeria. Arewa 24 contributed to a sustainable ecosystem of indigenous capacity to create, develop, produce, and disseminate countering violent extremism (CVE) programming. State supported this effort through grants to an implementing partner. State\u2019s Bureau of Counterterrorism also managed separate awards in support of this program. This effort was a Trans-Sahara Counterterrorism Partnership (TSCTP) project, and the U.S. Embassy Abuja Public Affairs Section also supported it. The goals of the effort were to (1) sustain broadcast quality of credible, effective, and entertaining CVE television programming; (2) increase the capacity of media professionals in Northern Nigeria to produce CVE programming; (3) expand the reach of Arewa 24\u2019s messaging in Nigeria through agreements and arrangements with other distribution channels; and (4) continue to build commercially derived revenue, paving the way to sustainability. Although all U.S. funding for this program ended on September 30, 2017, Arewa 24 remains on the air through support from private Nigerian investors.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja conducts the Community Engagement of Federal Security Agents in Peace and Trustbuilding effort through a grant to an implementing partner. This project is intended to promote confidence- building measures between youth and government of Nigeria law enforcement and security personnel in Kaduna state. The goal is to improve cooperation between local residents and the government\u2019s law and security forces essential to deterring and capturing members of violent extremist organizations.", "Conflict mitigation and stabilization effort CVE Messaging Center\u2014White Dove (Farar Tattabara)", "State\u2019s description of effort and its goals State\u2019s Bureau of African Affairs, Office of Public Diplomacy and Public Affairs, conducts this effort through a cooperative agreement and grant to an implementing partner. This effort supports the establishment of a messaging center to produce three original radio programs in the Hausa language broadcast weekly over 22 stations across 19 states of northern Nigeria. The program also includes a social media component. The three radio programs deal with themes of de-radicalization, rehabilitation, and reintegration. The primary goal is to produce and disseminate counter-violent extremism organization messaging to mitigate efficacy of such organizations\u2019 propaganda and recruitment efforts.", "State\u2019s Bureau of African Affairs, Office of Security Affairs, conducted the Ending Labor Exploitation of Almajiri Children and De-Escalating Insecurity project through a grant to an implementing partner. The project aimed to reduce vulnerabilities associated with the Almajiri education system by (1) enhancing public awareness of the threat presented to community security by the present state of degeneration of the system of Almajiri education; (2) mobilizing the voices of key community stakeholders, including teachers, parents, religious scholars and institutions; and (3) supporting the government to put in place adequate laws and policies to reform the system and combat exploitation of the Almajiri in the state of Kano. This effort was a TSCTP project, and the U.S. Embassy Abuja Public Affairs Section also supported it. The project\u2019s goal was to contribute to ending the systemic labor exploitation and abuse of Almajiri children prevalent in the Almajiranci system of education, and to reduce the risk of violence and insecurity in Kano state in Northern Nigeria. This project ended on January 30, 2018 State\u2019s Bureau of International Narcotics and Law Enforcement, Office of Africa and Middle East Programs, is responsible for the Equipment Procurements for Police in Northeast Nigeria effort. This program equips police commands, stations, and officers in northeast Nigeria. The equipment includes military-grade tents, ponchos, poncho stuff sacks, cots, flashlights, flashlight holsters, individual first aid kits, and portable emergency lighting for 1,500 officers. The goal of this effort is to increase the Nigerian Police Force\u2019s capacity to provide security in the Northeast and to lay the foundation for the safe and voluntary return of displaced persons when conditions are conducive.", "State\u2019s DRL, Office of Global Programming, is responsible for the Global Center on Cooperative Security, Promoting Resilient Communities in Nigeria and Kenya effort. The U.S. Embassy Abuja Political Section also supports this effort. This 2-year program is designed to support existing networks of young civil society leaders; forge new partnerships among local civil society organizations, young people, and government stakeholders; facilitate collaborative learning activities; and organize small grant assistance and in-kind support to local civil society organizations working to prevent violent extremism. The goal of the effort is to mitigate threats of violent extremism in Nigeria and Kenya by promoting community resilience and empowering youth leaders to recognize and prevent violence committed by groups such as Boko Haram and Al Shabaab.", "State\u2019s description of effort and its goals State\u2019s Bureau of African Affairs, Office of Security Affairs, conducted the Healing, Reconciliation, and Counter-Radicalization in Adamawa, Borno, and Yobe State project through a grant to an implementing partner. Project activities were designed to help resolve tensions between individuals returning to local communities and those who remained throughout periods of instability and to reduce prejudice and stigmatization of those captured by Boko Haram (especially women who were raped and impregnated, forced into marriage, and/or kept as sex slaves). Community resilience groups were also created to promote community cohesion through the use of strategic communications and counter narratives. This effort was a TSCTP project, and the U.S. Embassy Abuja Public Affairs Section also supported it. This project ended on May 31, 2018.", "State\u2019s Bureau of International Narcotics and Law Enforcement Affairs, Office of Anti- Crime Programs, is responsible for the International Law Enforcement Academy Program (ILEA)\u2014Countering Violent Extremism Series. Nigeria is one of the member countries of ILEA Gaborone, ILEA Roswell, and the West Africa Regional Training Center in Accra. In fiscal year 2017, Nigerian law enforcement and criminal justice system personnel participated in a specialized Countering Violent Extremism (CVE) course series, which included anticorruption, community policing, combatting CVE in prisons, threat finance, post-blast investigations, and law enforcement techniques to combat terrorism. The ILEA program generates course schedules annually based on feedback from participant countries, like Nigeria, as well as U.S. federal law enforcement, and State functional and geographic bureaus. The program is also a cooperative effort that involves the expertise of trainers and agents from federal, state, municipal, and foreign law enforcement agencies. The ILEA program pursues three core objectives: building the capacity of foreign criminal justice partners of the United States to stop crime before it comes to the United States, fostering partnerships across national borders within important regions of the world, and advancing partner nations\u2019 engagement with U.S. law enforcement agencies. The ILEA program is an important part of the interagency U.S. effort to combat transnational criminal organizations and combat violent extremism, which facilitates stability in individual countries and regions, including Nigeria.", "State\u2019s Bureau of International Narcotics and Law Enforcement, Office of Africa and Middle East Programs, awarded funds to the U.S. Institute of Peace to conduct the Justice and Security Dialogues project. Under this effort, citizens and authorities work to jointly address important security challenges within select communities of the Sahel and Maghreb, including in Nigeria. Participants share knowledge and skills and support each other across the broader region. The project is targeting a community population of 430,000 in the north local government of Jos in Plateau state. The goal of the effort is to improve the relationship between security providers and citizens and to support civilian security forces to be more effective, accountable, and responsive to community needs."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Northern Governors Dialogue", "paragraphs": ["State\u2019s description of effort and its goals State\u2019s Bureau of Conflict and Stabilization Operations, Office of Africa Operations, awarded funds to the U.S. Institute of Peace to conduct the Northern Governors Dialogue. This effort supports governors of northern states, relevant federal government officials, and representative civil society leaders in addressing conflict drivers and stabilization-related challenges. The program is intended to strengthen their collective understanding of relevant issues and their capacity to develop sustainable and inclusive policies. The goal is to have an invested group of northern governors and a Senior Working Group of civil society leaders that have (1) identified a set of citizen-informed priority policy areas for northern Nigeria to prevent and resolve violent conflict, as well as to enhance stabilization efforts where appropriate, and (2) demonstrated a continued willingness to engage together on specific conflict-related issues.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja, conducts the Open Minds Project through a grant to an implementing partner. This project intends to train and mentor 80 primary and secondary school students from Plateau state and Federal Capital Territory in critical thinking skills in support of CVE efforts. The goal is to better enable participants to resist messaging and recruitment efforts of violent extremist organizations State\u2019s Bureau of Democracy, Human Rights, and Labor, Office of Global Programming, is responsible for the Search for Common Ground, Early Warning/Early Response effort. This program establishes community-based early warning and early response systems and strengthens the capacity of state and local actors to secure communities. The intent is to enhance community and state actors\u2019 ability to protect citizens from imminent threats from Boko Haram. Overall goals of the program are to increase capacity of target communities to identify and analyze early warning signs of violence; to increase collaboration between communities and local government officials and security actors in responding to these signs; and to enhance mutual understanding of their roles in protecting their communities.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja conducts the Strengthening Community Resilience through Peace Building project through a grant to an implementing partner. The project intends to train 50 youth in conflict resolution. The participants, supported by traditional elders, engage in local community-driven initiatives. The goal is to strengthen conflict resolution capacity at the community level by promoting peaceful dialogue and tolerance in S. Kaduna state.", "State\u2019s Bureau of African Affairs, Office of Security Affairs, conducts this effort through a grant to an implementing partner who is to produce and air 52 episodes of a weekly radio drama based on stories of victims of the Boko Haram insurgency, especially women and children. The series focuses on reducing the risks of radicalization and recruitment, while encouraging adult listeners to reflect on the effects of the insurgency on their communities and vulnerable groups. The B Chronicles, created in English but performed in Hausa and Kanuri, are interpreted by the actors and aired on radio stations in Bauchi, Gombe, Adamawa, Yobe, and Borno states. The series targets a regional audience of approximately 6\u20138 million people. The goal of this project is to chronicle and help mitigate the current security challenges in Northern and Northeastern Nigeria through real life stories that encourage dialogue while fostering peace, respect, and the spirit of community. This effort is a TSCTP project, and the U.S. Embassy Abuja Public Affairs Section also supports it."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Training Almajiri as Peace Promoters in Kano", "paragraphs": ["State\u2019s description of effort and its goals State\u2019s Public Affairs Section at the U.S. Embassy Abuja conducts the Training Almajiri as Peace Promoters in Kano project through a grant to an implementing partner. This project intends to train 240 students from the formal education system and the traditional Islamic school system (Almajiri) as peace ambassadors. Student participants advocate for peaceful conflict resolution, improvements in youth education, and incorporation of Almajiri schools into the formal educational system.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja conducts the Training of Youth Leaders and Community Influencers effort through a grant to an implementing partner. The project intends to train 25 youth and community influencers from Adamawa, Borno, and Yobe states as CVE messengers with enhanced leadership skills. The goal is to develop peer-to-peer CVE messengers with proven community influence to mitigate propaganda and recruitment efforts of violent extremist organizations.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja conducts the Transformation of Farmer/Herder Conflict in Plateau State effort through a grant to an implementing partner. This project convenes dialogues between farmer and herder stakeholders in Plateau state to develop mechanisms to resolve disputes between these groups. The goal is to establish a multistakeholder peace architecture committee to periodically review conflict risks and to develop a framework for adjudicating conflict.", "State\u2019s Public Affairs Section at the U.S. Embassy Abuja, conducts the United in Diversity effort through a grant to an implementing partner. This project aims to increase a core team of 25 youths\u2019 conflict resolution skills and, through a Training of Trainers model, to train additional youths. The goal is to facilitate interreligious dialogue between religious groups.", "State\u2019s Bureau of African Affairs, Office of Security Affairs, conducts the Vocational Training for Women in Adamawa State through a grant to an implementing partner. This effort is a TSCTP project, and the U.S. Embassy Abuja Public Affairs section also supports it. This project intends to provide rural women living in IDP camps and the surrounding communities with training and employment opportunities in poultry and cash-crop farming to help raise their social status, enhance their self-esteem, and encourage self-reliance to contribute income to their households. The goal is to help these women learn to recognize and resist techniques and methods of recruitment and radicalization to violence; and provide options for resisting recruitment into violent extremist organizations.", "State\u2019s Bureau of African Affairs, Office of Security Affairs, conducts the Youth for Healthy Communities Initiative through a grant to an implementing partner. This program is a community initiative anchored in athletic competition that offers concurrent workshops and creates social and mentoring networks to engage youth on issues of civic responsibility, conflict mitigation, and the dangers of drug abuse and violent extremism. This effort is a TSCTP project, and the U.S. Embassy Abuja Public Affairs Section also supports it. The goals of this program are to build teamwork and leadership skills, foster citizen responsibility, and counter drug abuse and the risk of recruitment and radicalization to violence among vulnerable youth in the Kano city metropolitan area."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort SYRIA", "paragraphs": ["State\u2019s Bureau of Near Eastern Affairs (NEA), Office of Near Eastern Affairs Assistance Coordination, is responsible for the Access to Justice and Community Security Program, which provides training, equipment, and stipends to Free Syrian Police stations in liberated areas of Syria. The United States supports 56 Free Syrian Police stations comprising approximately 3,500 officers. Support includes vehicles, equipment, stipends, and training to help moderate community security actors to establish public security and stand up local unarmed civilian police forces. State conducts this effort through an implementing partner, and NEA manages this effort as part of the Syria Transition Assistance Response Team based in U.S. Embassy Ankara. The program\u2019s goal is to improve local stability, mitigate sectarian violence, and counter the influence of violent extremists.", "State\u2019s NEA, Office of Near Eastern Affairs Assistance Coordination, conducts the Building the Legitimacy of Local Councils effort through an implementing partner. NEA manages this effort as part of the Syria Transition Assistance Response Team, which is based in U.S. Embassy Ankara. The effort aims to build the capacity of local and provincial councils and civilian networks through (1) organizational development, standardized processes, and institutional capacity for effective civil administration; (2) strengthened cooperation between local and provincial councils, civil society organizations, Free Syrian Police, technical directorates, and moderate armed actors; (3) increased engagement between citizens and opposition governance structures; (4) increased inclusiveness in governance structures, especially with regard to representation of women, religious and ethnic minorities, and other marginalized populations; and (5) more effective provision of basic local governance services to meet citizen priorities and needs through cash subgrants for essential services. The goal of the effort is to strengthen the moderate Syrian institutions by building their capacity to provide services, promote stability, counter extremism, and advocate for political dialogue.", "State\u2019s NEA, Office of Near Eastern Affairs Assistance Coordination, conducts the Civil Society in Syria effort through an implementing partner. NEA manages this effort as part of the Syria Transition Assistance Response Team, which is based in U.S. Embassy Ankara. Through cash subgrants, this effort works to enhance civil society and advocacy organizations in eastern and western Syria to implement activities that (1) improve communication mechanisms with constituents and key stakeholders in reconciliation, conflict mediation, and advocacy efforts; (2) increase citizen understanding of rights and civic responsibilities; (3) enhance civil society advocacy efforts to promote strengthened competitive, inclusive, and transparent political processes; (4) improve organizational structures and internal processes that allow civil society organizations to become more effective public advocates; and (5) provide community services, such as vocational training for women and youth and essential services in areas newly liberated from ISIS where governance bodies are still emerging. The goal of the effort is to increase the ability of civil society organizations to serve, represent, and advocate for all Syrians and hold local governance structures accountable.", "State\u2019s description of effort and its goals State\u2019s DRL conducts the Civil Society Support for Peacebuilding, Reconciliation, and Conflict Mitigation effort through implementing partners. These efforts provide funding to build local leadership and reconciliation processes and to support activities related to inclusive peace-building and conflict mitigation that are specifically designed to be more responsive to the evolving nature of the conflict. Current programming focuses on local community members, including women, religious minorities, and other marginalized populations, to use advocacy and other skills needed to effectively engage with armed factions. This work also supports the political transition process by fortifying the conditions for stabilization and empowering local leadership.", "State\u2019s Bureau of Political-Military Affairs supports ERW clearance efforts in areas of northeast Syria recently liberated from ISIS, in particular the urban centers of Raqqa and Tabqa cities. Following their defeat, ISIS placed mass-produced, technologically advanced IEDs and booby-traps in homes, public spaces, farm land, and infrastructure to discourage the return of IDPs and cut off essential services. As IDPs return to their communities, these devices continue to perpetuate ISIS\u2019s reign of terror by indiscriminately killing civilians and impeding stabilization operations. ERW clearance programs, which State conducts through implementing partners, supports the urgent marking, survey and clearance of explosive hazards from critical infrastructure associated with the delivery of clean water, electricity, healthcare, education, and governance to facilitate follow-on stabilization projects, the restoration of basic community services, and the return of IDPs in coordination with USAID and other State offices.", "State\u2019s DRL conducts the Meaningful Justice and Accountability for Syria efforts through implementing partners. These efforts involve the documentation of human rights violations committed by all parties; increased coordination among international and local civil society groups on transitional justice processes, including memorialization; and support to survivors of torture, sexual and gender-based violence, and other gross human rights violations. The goal is to support the capacity of local civil society groups to secure and preserve documentation of human rights abuses and increase advocacy around accountability and transitional justice mechanisms, including domestic and regional led efforts.", "State\u2019s Bureau of Political-Military Affairs delivers Mine Risk Education, through nongovernmental organizations, to affected communities by teaching children and young adults about the dangers posed by explosive hazards. Also, due to the lack of national capacity, a mine action nongovernmental organization collects, stores, and disseminates data on areas contaminated and cleared to the coalition, nongovernmental organizations, humanitarian community, and military.", "State\u2019s DRL awarded funds to the U.S. Institute of Peace to conduct the Strengthening Social Cohesion in Northern Syria effort, which aims to provide positive engagement and lines of communication across religious and sectarian groups, particularly in key districts prone to sectarian violence. The goals are to (1) support Syrian civilian networks to maintain stabilization and mitigate violence and (2) manage localized ceasefires, including reconciliation and stabilization of areas as they are being liberated."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Syria\u2019s Education Program (Idarah/Injaz)", "paragraphs": ["State\u2019s description of effort and its goals State\u2019s NEA, Office of Near Eastern Affairs Assistance Coordination, conducts Syria\u2019s Education Program through an implementing partner that works closely with opposition education directorates in Western Syria and moderate education actors in newly liberated areas in the east to (1) support the development of the Syrian Interim Government\u2019s aligned Provincial Education Directorates and other education actors to better manage education in non\u2013regime-controlled communities; (2) provide stipends and salaries for education staff to ensure schools have people to deliver education; (3) engage in teacher training; (4) provide light refurbishments and supplies for damaged schools, and; (5) provide psychosocial support and training to children, teachers, and community members. NEA manages this effort as part of the Syria Transition Assistance Response Team, which is based in U.S. Embassy Ankara. The goal of this effort is to improve equitable access to Syrians to moderate, vital education services for youth and children.", "We did not independently verify whether State\u2019s reported list of conflict mitigation and stabilization efforts included all such efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria).", "For the purposes of this list of efforts and goals, \u201cefforts\u201d includes what our sources referred to as \u201cprograms,\u201d \u201cprogram-level initiatives,\u201d and \u201cprojects.\u201d", "Countries for which State conducts efforts are shaded in gray."], "subsections": []}]}, {"section_title": "Appendix III: USAID Reported Conflict Mitigation and Stabilization Efforts for Iraq, Nigeria, and Syria, Fiscal Year 2017", "paragraphs": [], "subsections": [{"section_title": "Conflict mitigation and stabilization effort IRAQ", "paragraphs": ["USAID\u2019s description of effort and its goals The U.S. Agency for International Development (USAID), along with other international donors, supplies funding to the UNDP FFS. The UNDP, at the request of the Prime Minister of Iraq, and with support from leading members of the Coalition to Degrade and Defeat the Islamic State of Iraq and the Levant (ISIL), established the FFS in June 2015 to help rapidly stabilize newly retaken areas. The FFS works in areas liberated from the Islamic State of Iraq and Syria (ISIS)\u2014another name for ISIL\u2014to restore essential services and kick-start the local economy. The FFS rehabilitates water, health, electricity, education, and municipal light infrastructure. The FFS also provides temporary employment to local laborers to remove rubble and grants to small businesses to restock and reopen. The aim of the FFS is to help restore confidence in the leading role of the Iraqi government in newly retaken areas, give populations a sense of progress and forward momentum, and enable the voluntary return of internally displaced persons.", "USAID\u2019s Office of Peace and Democratic Governance (PDG) is responsible for the Building Bridges Between Herders and Farmers in Nasarawa, Plateau, and Kaduna States effort. The overall goal is to strengthen engagement and understanding to reduce conflict between the nomadic pastoralist and sedentary farming communities in the three states. Given the herders\u2019 and farmers\u2019 ethnic, religious, economic, and lifestyle differences, these two groups rarely come into contact with each other outside of confrontational scenarios or passing encounters, creating a deadly social disconnect that risks dehumanizing each community in the other\u2019s eyes. The program aims to achieve its goal by (1) improving intercultural understanding between nomadic pastoralist and sedentary farming communities and (2) building capable coalitions between community leaders, civil society, and government to prevent conflict between nomadic pastoralist and sedentary farming communities.", "USAID\u2019s Education Office is responsible for the ECR, which, addresses the main learning needs of internally displaced and host community pupils affected by the crisis in Northeast Nigeria through nonformal learning centers, Youth Learning Centers, and Adolescent Girls Learning Centers. The ECR provides learning in protective centers, supports integration of pupils from nonformal to formal schools, and works within communities hosting internally displaced persons. For example, the ECR established more than 935 nonformal learning centers that provided services to internally displaced children and youth and their host communities affected by violence in Adamawa, Bauchi, Borno, Gombe, and Yobe. Nonformal centers may be located in churches, mosques, Qur\u2019anic schools, and other locations. The services provided included access to quality education, psycho-social counseling, child-friendly spaces, and opportunities for peer reading, mentoring, counseling, and vocational skills training. The ECR also trains and mobilizes instructors to provide conflict-sensitive lessons, while engaging communities and local leaders to increase education options, such as nonformal learning centers. The ECR has provided assistance to over 80,341 individuals since 2014. The overall goal is to support the efforts of northeastern states and local governments to take full ownership for the continued education of internally displaced children."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Engaging Communities for Peace in Nigeria", "paragraphs": ["USAID\u2019s description of effort and its goals USAID\u2019s PDG is responsible for the Engaging Communities for Peace in Nigeria effort. The initial goal was to reduce violence between farmers and pastoralists in Nigeria\u2019s Middle Belt states in target sites by (1) strengthening the capacity of farmer and pastoralist leaders to resolve disputes in an inclusive, sustainable manner; (2) leveraging social and economic opportunities to build trust across lines of division; and (3) fostering engagement among farmer-pastoralist communities, local authorities, and neighboring communities to prevent conflict. Under a scope and cost extension, PDG expanded the effort to help with conflict sensitivity integration throughout the USAID mission\u2019s portfolio, and build the technical and operations capacity of nongovernmental organizations working on peace building in the northeast. PDG intends to do this by providing (1) conflict mitigation, monitoring and evaluation, and administrative/financial management training to civil society organizations in the northeast, and (2) conflict analysis and conflict mitigation training for USAID mission personnel and implementing partners anywhere in the country.", "USAID\u2019s Office of Transitional Initiatives (OTI) launched the Nigeria Regional Transition Initiative in September 2014 to minimize conditions that allow terrorism to flourish, in turn reducing Boko Haram and ISIS-West Africa recruitment and support for their ideology and the insecurity they cause. Following a Strategic Review Session in September 2017, OTI established a new program goal: to deny terrorists space to operate. The goal has a two pronged focus: (1) to \u201ccompete\u201d with ISIS-West Africa, thereby reducing its appeal before it is able to seize and hold significant territory and (2) to continue to work on issues that weaken Boko Haram\u2019s ability to operate. OTI\u2019s two main objectives to achieve this goal are to offer alternatives to extremist action for vulnerable individuals and increase community resilience to extremist action.", "Training of Religious Leaders for National Coexistence (TOLERANCE)", "USAID\u2019s PDG is responsible for the TOLERANCE effort, which aims to support stability in Nigeria by enhancing the legitimacy and capacity of governance structures to defend religious freedom. TOLERANCE supports community-based peacebuilding approaches by strengthening the capacity of religious and traditional leaders, women and youth groups, government officials, and civil society to mitigate and manage conflicts, and improve responses to threats and outbreaks of violence. TOLERANCE is implemented in seven states\u2014Borno, Bauchi, Imo, Kaduna, Kano, Plateau, and Sokoto. A human rights funding component promotes the culture of interfaith peaceful coexistence between target states in the North and South, respect for human rights, religious freedom and nonviolent elections. The goal of TOLERANCE is to develop an active network of religious, government, and civil society leaders that can effectively address ethno-religious violence in Northern Nigeria and beyond through shared strategies and common messages that have strong resonance and popular support from a wide range of stakeholders."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort SYRIA", "paragraphs": ["Contributions to the Syria Recovery Trust Fund (SRTF)", "USAID contributes funding to the SRTF, a multidonor trust fund initiated by the Group of Friends of the Syrian People and its Working Group on Economic Recovery and Development. The SRTF\u2019s core objective is to relieve the suffering of the Syrian people affected by the ongoing conflict through recovery and rehabilitation efforts undertaken in partnership with the Interim Government of the Syrian Opposition Coalition, local councils, local community organizations, and service providers. While the conflict continues, the SRTF assists Syrian communities in opposition-controlled territories by funding essential services and early recovery programming in critical sectors, including health, electricity, water, agriculture and food security, education, and waste management. For example, the SRTF completed the renovation of two gynecological operating rooms, two obstetrics rooms, adult and pediatric intensive care units, and provided incubators, an oxygen generation system, and 6 months\u2019 worth of essential medications to a hospital in Aleppo Governorate so that it could treat an average of 1,000 patients each month. More than 2 million Syrians have received assistance through more than 30 SRTF projects. USAID funds totaling almost $60 million to date have leveraged other donor funds totaling $190 million. USAID\u2019s goal is to support the restoration of essential services and early recovery. USAID\u2019s Bureau for the Middle East (ME) provides support for the SRTF.", "USAID\u2019s ME is responsible for the PRIDE program, which supports the establishment of robust, inclusive, effective, and accountable democratic processes and institutions in opposition-held areas and areas liberated from ISIS and advances freedom, dignity, and development. The goal of the program is to increase political and civic participation and representation of women, youth, and minorities, to foster public and stakeholder confidence in peaceful and representative transitional political processes and bolster opposition credibility. PRIDE is also intended to increase knowledge and understanding of democratic processes among the Syrian population, including consensus building, coalition formation, citizen and stakeholder engagement, and elections, which will enhance an inclusive Syrian-led transition.", "USAID\u2019s ME and the Offices of U.S. Foreign Disaster Assistance and Food for Peace are responsible for the SLS program, which is intended to help increase production and productivity of key products that have both food security and market potential, in moderate, opposition-held areas and areas liberated from ISIS. The effort is based on the theory that if communities have humanitarian support in the short-term and have access to agricultural inputs and extension, they will adopt behaviors that increase productivity along with household-level income, ultimately improving food security and resilience to shocks. ME and the Office of Foreign Disaster Assistance have funded an implementing partner to initiate this effort in fiscal year 2017. If this effort is successful, USAID intends to replicate this effort in other barley-belt areas of Syria, including in the Idleb, Raqqa, and Hasakah governorates.", "USAID\u2019s ME is responsible for the SES II effort, which supports the restoration of essential services through local councils in communities. The essential services include support for water services, electricity, sewage systems, public use buildings, agricultural infrastructure, and market access. The program provides technical and material assistance, including capacity building for local councils and civil society, engineering expertise and other training, and cash grants to communities. The goal of the program is to restore essential services and strengthen institutions in non-regime areas."], "subsections": []}, {"section_title": "Conflict mitigation and stabilization effort Syria Regional Program (SRP)", "paragraphs": ["USAID\u2019s description of effort and its goals USAID\u2019s OTI is responsible for the SRP. The SRP works closely with trusted and vetted local organizations to implement quick-impact activities that promote an inclusive and stable Syria. OTI has conducted this effort since 2012 through an implementing partner that has implemented about 538 activities through about 155 local and provincial partners and 570 subpartners with a budget of about $172.5 million. OTI works along three lines of effort: (1) enable the early recovery of areas liberated from ISIS; (2) strengthen communities\u2019 ability to resist extremist groups; and (3) maintain and increase the influence of strategic moderate actors. For example, OTI partners restore services in communities liberated from ISIS to reduce ISIS\u2019s appeal; support local councils and civil society organizations, increasing the influence of moderate actors in strategic areas where extremist groups are vying for control; and support Syrian Civil Defense and impartial emergency responders who amplify the voice of Syrians struggling against extremism and authoritarianism. OTI aims to support resistance to extremists, particularly ISIS, by strengthening individuals and groups who are saving lives, meeting basic needs, promoting moderate values, and engaging with vulnerable populations.", "We did not independently verify whether USAID\u2019s reported list of conflict mitigation and stabilization efforts included all such efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria).", "For the purposes of this list of efforts and goals, \u201cefforts\u201d includes what our sources referred to as \u201cprograms,\u201d \u201cprogram-level initiatives,\u201d and \u201cprojects.\u201d", "USAID conducted its efforts through grants and contracts to implementing partners.", "Countries for which USAID conducts efforts are shaded in gray."], "subsections": []}]}, {"section_title": "Appendix IV: DOD Reported Stabilization Efforts for Iraq and Syria, Fiscal Year 2017", "paragraphs": [], "subsections": [{"section_title": "Conflict stabilization effort IRAQ", "paragraphs": ["DOD\u2019s description of effort and its goals Medical Staff of the Combined Joint Forces Land Component Command\u2013Operation Inherent Resolve provided immediate medical trauma supplies to the World Health Organization to fill a gap in medical supplies available to treat injured civilians. The project was coordinated with the Department of State (State) and the U.S. Agency for International Development (USAID) and was funded through the Overseas Humanitarian, Disaster, and Civic Aid (OHDACA) appropriation. The project was intended to increase the chance of survival for civilians affected by military operations; increase civilian confidence in the government and the humanitarian assistance community; and provide access, influence, and visibility to the Department of Defense (DOD).", "U.S. Army Civil Affairs (CA) personnel of Special Operations Joint Task Force\u2013Operation Inherent Resolve (SOJTF\u2013OIR) provided winterization kits including jackets, hats, gloves, socks, and blankets to Syrian civilians displaced from their homes in the Raqqa region. The project provided much needed cold weather items. This project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was intended to alleviate human suffering; pull the population away from Islamic State of Iraq and the Levant (ISIL) population centers; and provide access, visibility, and influence for DOD forces.", "U.S. Army CA personnel of SOJTF\u2013OIR provided 1,200 winterization kits consisting of jackets, hats, gloves, and socks to Syrian families in the Hamad desert. This project addressed a critical need among the poorest and most vulnerable of the Syrian population. The project was coordinated with State and USAID and was funded through the OHDACA appropriation. The project was intended to alleviate human suffering; support DOD efforts to diminish ISIL influence; and provide access, visibility, and influence for DOD forces.", "U.S. Army CA personnel of SOJTF\u2013OIR provided assistance, including food, cooking fuel, construction material, and garbage removal, for up to 31,000 civilians in Manbij, Syria. DOD undertook this project because USAID and State were unable to provide any support to the civilians in need. This project was coordinated with State and USAID and was funded through the OHDACA appropriation. The project was intended to alleviate human suffering and improve the civilian populace\u2019s perception of the local council.", "U.S. Army CA personnel of SOJTF\u2013OIR provided basic education supplies and equipment, including desks, chairs, and whiteboards, to schools in Karamah. This project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was intended to assist in reestablishment of education services in the area, enhance the local council\u2019s ability to provide essential services and increase their standing with the community, and provide access to DOD forces operating in the area.", "U.S. Army CA personnel of SOJTF\u2013OIR provided basic education supplies and equipment, including desks, chairs, whiteboards, and backpacks, to schools in Kobani. This project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was intended to assist in reestablishment of education services, improve the capacity of the local government to provide essential services; improve the perception of the local council; and provide access, visibility, and influence for DOD forces."], "subsections": []}, {"section_title": "Conflict stabilization effort Manbij School Supplies", "paragraphs": ["DOD\u2019s description of effort and its goals U.S. Army CA personnel of SOJTF\u2013OIR provided classroom furniture and school supplies to 4,000 students in Manbij. The project, managed through the local council, provided a viable opportunity to resume attending classes for students who had not attended school in over 4 years. The project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was intended to assist in reestablishment of education services; improve the perception of the local council; and provide access, visibility, and influence for DOD forces.", "U.S. Army CA personnel of SOJTF\u2013OIR provided winterization kits, including jackets, hats, gloves, socks, and blankets, to civilians in the Raqqa region. The project provided much needed winter clothing to civilians who had fled their homes due to ISIL operations. The project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was conducted through the local council and intended to alleviate human suffering, build the council\u2019s legitimacy, and provide access to DOD forces.", "U.S. Army CA personnel of SOJTF\u2013OIR provided winterization kits, including jackets, hats, gloves, socks, and blankets to civilians in the Manbij region. The project provided cold weather items, through the local council, to civilians fleeing ISIL forces because State and USAID were unable to provide support. The project was coordinated with State and USAID and funded through the OHDACA appropriation. The project was intended to alleviate human suffering, elevate the standing of the local council with the populace, and improve access to DOD forces operating in the area.", "We did not independently verify whether DOD\u2019s reported list of conflict mitigation and stabilization efforts included all such efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria).", "For the purposes of this list of efforts and goals, \u201cefforts\u201d includes what our sources referred to as \u201cprograms,\u201d \u201cprogram-level initiatives,\u201d and \u201cprojects.\u201d", "Countries for which DOD conducts efforts are shaded in gray."], "subsections": []}]}, {"section_title": "Appendix V: USIP Reported Conflict Prevention and Resolution Efforts for Iraq, Nigeria, and Syria, Fiscal Year 2017", "paragraphs": [], "subsections": [{"section_title": "Conflict prevention and resolution effort IRAQ", "paragraphs": ["USIP\u2019s description of effort and its goals The U.S. Institute of Peace\u2019s (USIP) Middle East and Africa Center (MEA) is responsible for the Advancing the Role of Iraqi Minorities in Stabilization and Governance effort with funding from and in partnership with the Department of State\u2019s (State) Bureau of Democracy, Human Rights, and Labor. This effort creates mechanisms for gathering and sharing high-quality information with key Iraqi decision makers and stakeholders on the minorities\u2019 situations, regardless of whether these groups return home or remain displaced. The project utilizes and acts upon information gathered through facilitated local dialogues that prevent violence (especially violence stemming from revenge killing) and/or reduce tensions between displaced minorities and host communities. Improving access to this information is intended to strengthen the role of civil society in stabilization and enable Iraqi decision makers to enact more inclusive and information-based governance policies. The specific objectives are to (1) improve key decision makers\u2019 understanding of conflict drivers in liberated and minority-rich areas and (2) reduce tensions among and between communities in Nineveh and other minority areas during the stabilization process and in the build-up to provincial-level, Kurdish Regional Government, and national elections. The goal of the effort is to improve stabilization and promote inclusive governance in areas liberated from the Islamic State of Iraq and Syria (ISIS) in Nineveh province and other minority-rich territories.", "USIP\u2019s MEA and its strategic partner, Sanad for Peacebuilding, conduct the Facilitated Dialogues effort in Iraq. The effort supports facilitated, outcome-oriented dialogue processes that enable local reconciliation in areas liberated from ISIS. This type of engagement has two main objectives in the current context: (1) preventing revenge acts of violence by communities in conflict and (2) identifying and addressing the main barriers impeding the return of internally displaced persons (IDP). Such engagement is intended to increase the resilience of communities to the persistent threat of violent extremism from ISIS remnants, the Popular Mobilization Forces, or others.", "USIP\u2019s Center for Applied Conflict Transformation (ACT) is responsible for the JSD \u2013 Lessons Learned effort. Approximately 200 security and community representatives from three major cities affected by the aftermath of ISIS participated in nine JSD sessions as part of an assessment on preventing violent extremism in Iraq. The project culminated in a conference attended by members of the JSD-Community of Practice (COP), a network of local leaders committed to dialogue processes established by USIP through its ongoing engagement in Iraq to support dialogue. The project\u2019s three objectives are to (1) better understand local drivers of violent extremism through the multiple perspectives included in the JSD-COP, (2) strengthen capacity of the JSD- COP to continue efforts to sustain local stability and promote the rule of law, and (3) identify key lessons learned to further strengthen future JSD initiatives in the region.", "USIP\u2019s ACT is responsible for the Mapping Post-ISIS Iraqi Religious Groups for Peace and Reconciliation effort. ACT is partnering with country teams to undertake mappings of influential religious actors, institutions, and ideas in conflict zones. This project identifies and maps influential religious leaders in specific conflict zones with the long- term goal of including them in future Iraqi-led mediations, dialogues, and peace and reconciliation efforts.", "USIP\u2019s description of effort and its goals USIP\u2019s MEA is responsible for the Problem-Solving Dialogues for Iraq\u2019s Religious Minorities and Governance Issues with funding from and in partnership with State\u2019s Bureau of Democracy, Human Rights, and Labor. The effort addresses tensions and disputes between the Christian and Shabak communities in Nineveh in the wake of ISIS, pushing toward outcome-oriented solutions through facilitated dialogues led by experienced Iraqi facilitators. This effort also provides the USIP-created Alliance of Iraqi Minorities (AIM) with experience in project development and execution as AIM seeks to improve its impact on the provincial budget process, curriculum reform, outreach, and influencing specific legislation pertaining to minorities. The effort supports AIM\u2019s organizational capacity toward becoming more independent, self- reliant, and self-sustaining through developing the capacity and assuming total responsibility for its organizational, administrative, programmatic, financial, and logistical affairs. Establishing facilitated dialogues among Iraq\u2019s religious minorities and, most importantly, between those groups and the majority Muslim communities, is especially important as Nineveh is home to one of Iraq\u2019s largest concentration of minorities. The goal of the effort is for Iraqis\u2014minorities in particular\u2014to prevent the recurrence of violence through peaceful dialogue with each other and various stakeholders, including national, provincial, and local governments.", "USIP\u2019s MEA is responsible for the Support to Sanad for Peacebuilding effort. This effort provides ongoing technical and financial support to USIP\u2019s strategic national partner, Sanad, and the networks it manages, including the Network of Iraqi Facilitators and the Alliance of Iraqi Minorities. Sanad and its affiliated networks serve as a resource for conflict analysis, bringing disputing parties together through facilitated dialogue and providing technical expertise for training and peacebuilding. The goal, through helping Sanad become Iraq\u2019s leading and self-sustaining peacebuilding organization, is to increase Iraqi capacity and leadership in conflict prevention and mitigation.", "USIP\u2019s MEA is responsible for the Training Iraqis in Conflict Management effort. This project provides training to both governmental and nongovernmental organizations, including officials and civil society activists in Kurdistan working to prevent the escalation of tensions among the nearly 1.8 million IDPs located there and in local communities. It also provides technical support to the Kurdish Regional Government on the implementation of Iraq\u2019s national action plan under United Nations Security Council Resolution 1325, and ongoing assistance to Iraq\u2019s National Reconciliation Committee and other governmental bodies that play a key role in local and national reconciliation. The goal of the project is to enable a variety of Iraqi organizations to use the tools and skills taught to them by professional trainers and USIP staff to resolve local tensions that have the potential to reignite sectarian tensions on a large scale. Building the skills of Iraqis in this field is intended to enable them to solve issues stemming from extremist violence and local sectarian conflict without external aid, thus stopping violence at its sources before it spreads to other communities and causes further destabilization.", "USIP\u2019s description of effort and its goals USIP\u2019s ACT was responsible for the Youth Leaders\u2019 Exchange with His Holiness the Dalai Lama. In November 2017, USIP and the Dalai Lama hosted a second annual dialogue with youth peacebuilders drawn from countries across Africa, Asia, and the Middle East, including Iraq. Many of these countries grapple with the world\u2019s deadliest conflicts, as well as campaigns by extremist groups to incite youth to violence. The youth leaders are among their countries\u2019 most effective peacebuilders. The dialogue with the Dalai Lama was intended to help them to build the practical skills and personal resilience they need to work against the tensions or violence in their homelands. The overarching goal was to strengthen the capacity of youth to create positive change as leaders and peacebuilders in their communities by partnering with more traditional leaders.", "USIP\u2019s MEA is responsible for the development of a USIP strategy for countering violent extremism (CVE) for Nigeria that is integrated with its Nigeria country strategy and consistent with USIP\u2019s overall CVE strategy. Working in collaboration with ACT, MEA partners with a local organization for project implementation and uses local staff for support. This effort is intended to further USIP\u2019s current process of strengthening its Nigeria country strategy to guide program initiatives for its Africa team and USIP more broadly. The goal is to deepen and expand USIP\u2019s programming and thought leadership in the field of CVE through initiatives based on an evidence-based assessment.", "USIP\u2019s MEA and ACT are responsible for the Election Security Assessment. Together with selected partners, USIP began three assessment rounds in Washington, D.C., and Nigeria focused on assessing election violence risks and gaps in electoral security and peacebuilding planning. USIP works closely with State\u2019s Nigeria desk, USAID\u2019s political section, the USAID\u2019s mission at U.S. Embassy Abuja, and relevant international and local partners engaged in election programming. The assessment will produce programmatic recommendations to address identified vulnerabilities and seize opportunities for the promotion of peaceful elections. The goal of the effort is to help ensure that the prevention activities by USIP, U.S. government partners and civil society are better integrated and evidence-based.", "Generation Change Fellows Program (GCFP) USIP\u2019s ACT is responsible for the GCFP, which strengthens youth leaders\u2019 peacebuilding skills and creates a community of practice through which they can learn from and mentor each other, share best practices, and work to create positive change in their communities. GCFP carefully selects small cohorts of dedicated peacebuilders aged 18\u201335 through a highly competitive application process. These Fellows hold leadership roles within their local communities and tackle challenges, from countering violent extremism to enhancing gender equality. The goal of the GCFP is to increase youth leaders\u2019 participation in and contribution to conflict transformation and positive social change in conflict-affected communities.", "USIP\u2019s ACT, with funding from and in partnership with State\u2019s Bureau of International Narcotics and Law Enforcement Affairs, is responsible for the Justice and Security Dialogue Project in the Sahel and Maghreb. The project offers opportunities to develop, refine, and test models and tools through field pilot experimentation in six countries, including Nigeria. The project aims to strengthen the relationship between civilian security services and communities at the local level and to pilot a model for bridging the gap between police and citizens for use across the region. Through a series of dialogues and activities supported by USIP and local partners, participants will collaboratively identify and address concrete security challenges at the local level.", "Conflict prevention and resolution effort Lake Chad Basin and Sahel Working Group USIP\u2019s MEA is responsible for the Lake Chad Basin and Sahel Working Group. USIP USIP\u2019s description of effort and its goals will convene a working group focused on addressing the drivers of violent extremism in the Lake Chad Basin and the Sahel. This will include developing a research framework, drawing on ACT\u2019s CVE assessment tool, and commissioning a series of papers by academics, policy experts, and practitioners from countries across the region. The goal is to advance USIP\u2019s thought leadership in the field of preventing violent extremism by studying the impact of the Boko Haram crisis in the context of broader regional dynamics and the potential for more regional approaches to foster resilience to violent extremism.", "USIP\u2019s MEA is responsible for the Lake Chad Basin Project, with funding from and in partnership with State\u2019s Bureau of Conflict and Stabilization Operations. This project builds upon over a decade of programming in Nigeria to implement a multiyear program that seeks to strengthen the capacity of Nigerian opinion leaders and policy makers, to foster sustainable and inclusive strategies toward addressing the root causes of violent conflict, particularly in Northern Nigeria. Some activities included (1) convening a 3-day symposium in Washington, D.C., of governors from states across northern Nigeria to foster key exchanges and critical discussions with leading American and international experts on the drivers of violent conflict in the region and how to resolve them; (2) creating a senior working group of 11 Nigerian civic leaders that can engage strategically with the governors and work collaboratively to articulate a set of policy priority areas toward addressing the drivers of conflict; (3) conducting quantitative and qualitative studies in Borno and Plateau states to understand citizen perceptions to the drivers of violent conflict, and how policymakers should address them; and (4) supporting sustained, facilitated engagement between the governors and members of the senior working group to help to shape a more inclusive policy platform toward preventing violent conflict and addressing stabilization needs in target states across the north. The goal of this project is to have an invested group of governors from across the northern states in Nigeria and a senior working group of civic leaders identify a set of citizen-informed priority policy areas for northern Nigeria to prevent and resolve violent conflict, increase stabilization efforts where appropriate, and demonstrate a continued willingness to engage together on specific conflict- related issues.", "USIP\u2019s MEA is responsible for the Network of Nigerian Facilitators. USIP is identifying and supporting a group of community leaders, including youth, women, and religious leaders with dialogue facilitation skills to prepare, convene, and facilitate intergroup dialogues in their communities. In addition to building the abilities of the facilitators to locally manage conflict, USIP will provide financial support to the facilitators to implement localized conflict management activities. The goal is to build capacity and provide ongoing support to a network of community facilitators that can prevent and resolve conflict nonviolently.", "USIP\u2019s MEA is responsible for the Nigeria Conversation Series. MEA partners with a local organization to implement the series and uses local staff for support. The series brings together a broad array of policy professionals for in-depth discussions on current issues in Nigeria and to explore options for preventing and resolving violent conflict in the country. The purpose of the series is to inform and influence Nigerian, U.S., and international policies and programs that seek to address conflict in Nigeria. The discussions seek to promote improved understanding and shared analysis of the conflict dynamics in the country through engagement with informed researchers and practitioners.", "Conflict prevention and resolution effort Nigeria\u2019s Imam and Pastor: Faith at the Front USIP\u2019s MEA is responsible for Nigeria\u2019s Imam and Pastor project. In fiscal year 2017, USIP\u2019s description of effort and its goals the findings from USIP research were used to inform the production of a short USIP video to contribute to understanding (1) the role of religious leaders in peacebuilding and (2) that grassroots dialogues are necessary for reducing violence but are complemented by changes in governance. Also, USIP produced a video series of pieces to highlight the work and voices of USIP\u2019s country and partner organizations and provide practical tools to inform policymakers and partners in their work in reducing violent conflict.", "USIP\u2019s ACT, with funding from and in partnership with USAID, is responsible for the Research on Violent Extremism, Politics, Religion, and the Higher Education Sector in the Lake Chad Basin effort. Under the rubric of the RESOLVE Network\u2014a global consortium of research organizations established by USIP\u2014this project is intended to enhance USAID\u2019s assistance to the educational sector in the Lake Chad Basin region by providing research support for locally driven analysis in Nigeria, Chad, and Cameroon. The primary purpose of the RESOLVE Network initiative in the Lake Chad Basin is to assess the role of the state, civil society, and other nonstate actors in shaping the political divides over the role of religion in education and community and state responses to extremism in Chad, Nigeria, and Cameroon.", "USIP\u2019s MEA is responsible for the Support to State Peacebuilding Institutions effort, which is being implemented by a local partner with the support of local USIP staff in Abuja. The Africa Team, in partnership with USIP\u2019s ACT, provides training for the Plateau Peacebuilding Agency, the Kaduna Peace Commission and the relevant peacebuilding entities in the Borno state administration on conflict analysis, conflict management and facilitation. USIP delivers the training through a combination of online and in-person training. The Africa team identifies ways to engage the Interfaith Mediation Center (the Imam and the Pastor) to share their expertise and experiences. The goal is to advance the skills of the practitioner peacebuilding community in Nigeria to inform policy to prevent and resolve conflict at the state-level through online and in- person training.", "USIP\u2019s MEA is responsible for the Supporting Transition to Civilian-Led Governance and Security effort, which is being implemented by a local partner with the support of local USIP staff in Abuja. The Africa team developed a framework for the transition from military and vigilante security to community-oriented policing through (1) research on comparative experiences in the transition from nonstate actors to civilian governance and (2) a series of roundtables and engagements with The Multinational Joint Task Force. The research seeks to incorporate USIP\u2019s experiences in Afghanistan, Iraq, Colombia, Nepal, and Myanmar to offer concrete lessons, tools, and approaches. The goal is to contribute evidence-based and comparative research that will inform discussions on civil-military relationships, justice, security, and rule of law reform in the Northeast and Lake Chad Basin.", "USIP\u2019s MEA is responsible for the Women Preventing Violent Extremism effort, with funding from and in partnership with State\u2019s Bureau of Counterterrorism. The project is implemented by a local organization. This project began as a pilot project in 2012 and is designed to increase women\u2019s agency and influence in strengthening community- level resilience to violent extremism through engagement and collaboration with security actors. The project was piloted in Plateau and Kaduna states in Nigeria and in Nairobi, Mombasa, and Garissa, Kenya. The project aims to understand ways in which trust and cooperation between women in civil society and the security sector can best be fostered and supported.", "USIP\u2019s description of effort and its goals USIP\u2019s ACT is responsible for the Youth Leaders\u2019 Exchange with His Holiness the Dalai Lama. In November 2017, USIP and the Dalai Lama hosted a second annual dialogue with youth peacebuilders drawn from countries across Africa, including Nigeria; Asia; and the Middle East. Many of these countries face the world\u2019s deadliest conflicts, as well as campaigns by extremist groups to incite youth to violence. The youth leaders are among their countries\u2019 most effective peacebuilders. The dialogue with the Dalai Lama was intended to help them to build the practical skills and personal resilience they need to work against the tensions or violence in their homelands. The overarching goal was to strengthen the capacity of youth to create positive change as leaders and peacebuilders in their communities by partnering with more traditional leaders.", "USIP\u2019s MEA is responsible for the Dialogues with the Interfaith and Other Key Leaders effort in partnership with and with funding from State\u2019s Bureau of Democracy, Human Rights, and Labor. In Northeastern Syria, USIP works with Syrian partners to strengthen civil society\u2019s engagement and coordinating role with civic, religious, and tribal leaders in al-Qamishli/al-Qahtaniya. The effort aims to address drivers of tensions and conflicts through an evidenced-based, outcome-oriented dialogue process. The overall goal is to strengthen social cohesion among and between the communities in Northern Syria, enable the return of displaced communities, and stem potential conflict.", "USIP\u2019s MEA is responsible for three ongoing grants related to the Syria conflict in neighboring countries: The first is a grant to War Child to work with a local network of Jordanian organizations training young Syrian refugees in Amman and vicinity on youth leadership, peacebuilding, and conflict resolution skills. The two other grants fund (1) a Lebanese civic group that supported mediation and training aimed at reducing refugee-related tensions in Lebanon\u2019s Bekaa Valley and to enable Syrian refugees to find jobs and register their children in schools, and (2) a nongovernmental organization that trained Syrian and Lebanese journalists on conflict-sensitive reporting about the Syrian refugee crisis and on raising awareness of the benefits the refugees bring to the host community. These grants are aimed at reducing tensions that threaten peace and stability in Lebanon and Jordan because of the burdens of their absorption of Syrian refugees.", "USIP\u2019s ACT was responsible for the Youth Leaders\u2019 Exchange with His Holiness the Dalai Lama. In November 2017, USIP and the Dalai Lama hosted a second annual dialogue with youth peacebuilders drawn from countries across Africa, Asia, and the Middle East, including Syria. Many of these countries face the world\u2019s deadliest conflicts, as well as campaigns by extremist groups to incite youth to violence. The youth leaders are among their countries\u2019 most effective peacebuilders. The dialogue with the Dalai Lama was intended to help them to build the practical skills and personal resilience they need to work against the tensions or violence in their homelands. The overarching goal was to strengthen the capacity of youth to create positive change as leaders and peacebuilders in their communities by partnering with more traditional leaders.", "We did not independently verify whether USIP\u2019s reported list of conflict mitigation and stabilization efforts included all such efforts in Iraq, Nigeria, and Syria (and in neighboring countries for Syria).", "For the purposes of this list of efforts and goals, \u201cefforts\u201d includes what our sources also referred to as \u201cprojects.\u201d", "Countries for which USIP conducts efforts are shaded in gray."], "subsections": []}]}, {"section_title": "Appendix VI: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the U.S. Institute of Peace", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Godwin Agbara (Assistant Director), Kathleen Monahan (Analyst-in-Charge), David Dayton, Martin de Alteriis, Mark Dowling, Emily Gupta, and Jasmine Senior made key contributions to this report. Additional assistance was provided by Michael Fahy, Christopher Keblitis, Judith McCloskey, James Reynolds, Kira Self, and Sarah Veale."], "subsections": []}]}], "fastfact": ["The United States has a national security interest in promoting stability in countries affected by violent conflict. We looked at how 3 federal agencies and an independent institute support conflict prevention, mitigation, and stabilization efforts, such as removing explosives hidden near homes.", "Although these entities have worked together in Iraq, Nigeria, and Syria, the federal agencies have not documented their agreement on key areas of collaboration such as clarifying roles and responsibilities for stabilization efforts.", "We recommended that they formally document their agreement on coordination for stabilization in written guidance."]} {"id": "GAO-18-556T", "url": "https://www.gao.gov/products/GAO-18-556T", "title": "Drug Discount Program: Status of Agency Efforts to Improve 340B Program Oversight", "published_date": "2018-05-15T00:00:00", "released_date": "2018-05-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to HRSA, the purpose of the 340B Program, which was created in 1992, is to enable covered entities to stretch scarce federal resources to reach more eligible patients, and provide more comprehensive services. Covered entities can provide 340B drugs to eligible patients regardless of income or insurance status and generate revenue by receiving reimbursement from patients' insurance. The program does not specify how this revenue is to be used or whether discounts are to be passed on to patients. The number of participating covered entity sites\u2014currently about 38,000\u2014has almost doubled in the past 5 years and the number of contract pharmacies increased from about 1,300 in 2010 to around 18,700 in 2017. In recent years, questions have been raised regarding oversight of the 340B Program, particularly given the program's growth over time.", "In September 2011, GAO identified inadequacies in HRSA's oversight of the 340B Program and made recommendations for improvement. Among other things, this statement describes HRSA actions in response to GAO recommendations to improve its program oversight.", "For this statement, GAO obtained information and documentation from HRSA officials about any significant program updates and steps they have taken to implement the 2011 GAO recommendations. More detailed information on the objectives, scope, and methodology can be found in GAO's September 2011 report."]}, {"section_title": "What GAO Found", "paragraphs": ["The 340B Drug Pricing Program requires drug manufacturers to sell outpatient drugs at discounted prices to covered entities\u2014eligible clinics, hospitals, and others\u2014in order to have their drugs covered by Medicaid. Covered entities are only allowed to provide 340B drugs to certain eligible patients. Entities dispense 340B drugs through in-house pharmacies or contract pharmacies, which are outside pharmacies entities contract with to dispense drugs on their behalf. The number of contract pharmacies has increased significantly in recent years.", "In its September 2011 report, GAO found that the Health Resources and Services Administration's (HRSA) oversight of the 340B Program was inadequate to ensure compliance with program rules, and GAO recommended actions that HRSA should take to improve program integrity, particularly given significant growth in the program in recent years. HRSA has taken steps to address two of GAO's four recommendations:", "HRSA initiated audits of covered entities . GAO found that HRSA's oversight of the 340B Program was weak because it primarily relied on covered entities and manufacturers to ensure their own compliance with program requirements and HRSA engaged in few oversight activities. GAO recommended that HRSA conduct audits of covered entities and in fiscal year 2012, HRSA implemented a systematic approach to conducting annual audits of covered entities. HRSA now audits 200 covered entities a year, which is less than 2 percent of entities participating in the 340B Program. Audits conducted to date have identified instances of non-compliance with program requirements, including the dispensing of drugs to ineligible patients. GAO currently has work underway reviewing HRSA's efforts to ensure compliance at contract pharmacies, which includes an examination of HRSA's audits of covered entities.", "HRSA clarified guidance for manufacturers. GAO found a lack of specificity in guidance for manufacturers for handling cases in which distribution of drugs is restricted, such as when there is a shortage in drug supply. GAO recommended that HRSA refine its guidance. In May 2012, HRSA clarified its policy for manufacturers that intend to restrict distribution of a drug and provided additional detail on the type of information manufacturers should include in their restricted distribution plans.", "HRSA has not clarified guidance on two issues. GAO also found that HRSA guidance on (1) the definition of an eligible patient and (2) hospital eligibility criteria for program participation lacked specificity and recommended that HRSA clarify its guidance. HRSA agreed that clearer guidance was necessary and, in 2015, released proposed guidance that addressed both issues. However, in January 2017, the agency withdrew that guidance in accordance with recent directives to freeze, withdraw, or postpone pending federal guidance. In March 2018, HRSA indicated it was in the process of determining next steps related to guidance on the patient definition, but would need additional authority to further clarify guidance on hospital eligibility; rulemaking authority for the 340B Program was requested in the administration's fiscal year 2019 budget proposal."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today as you examine the 340B Drug Pricing Program (340B Program), including issues concerning its oversight. The program, created in 1992 and named for the statutory provision authorizing it in the Public Health Service Act (PHSA), requires drug manufacturers to sell outpatient drugs at discounted prices to eligible clinics, hospitals, and other entities\u2014commonly referred to as covered entities\u2014in order to have their drugs covered by Medicaid. According to the Health Resources and Services Administration (HRSA), the agency within the Department of Health and Human Services (HHS) responsible for administering and overseeing the 340B Program, the purpose of the program is to enable covered entities to stretch scarce federal resources to reach more eligible patients, and provide more comprehensive services. In recent years, questions have been raised regarding HRSA\u2019s oversight of the 340B Program, particularly given growth in the program over time. According to HRSA, as of January 2017, covered entities had more than 38,000 sites participating in the 340B Program\u2014almost double the number reported just 5 years earlier.", "Participation in the 340B Program is voluntary for both covered entities and drug manufacturers, but there are strong incentives to participate:", "Covered entities can realize substantial savings through 340B price discounts\u2014an estimated 20 to 50 percent of the cost of the drugs, according to HRSA. In addition, covered entities can generate 340B revenue. For example, they can purchase drugs at 340B prices for all eligible patients regardless of the patients\u2019 income or insurance status and generate revenue, such as by receiving reimbursement from a patient\u2019s insurance that may exceed the 340B price paid for the drugs. The 340B Program does not dictate how covered entities should use this revenue or require that discounts on the drugs be passed on to patients.", "Incentives for participation by drug manufacturers also are strong because they must participate in the 340B Program to receive Medicaid reimbursement for their drugs. According to HRSA, most manufacturers that produce outpatient drugs have participated in the program since its inception.", "HRSA also requires program participants to meet certain conditions set forth both in law and agency guidance. For example, covered entities are prohibited from diverting 340B drugs\u2014that is, transferring 340B drugs to individuals who are not eligible patients of the entities. Similarly, to help ensure covered entities receive discounts to which they are entitled, HRSA has issued guidance (referred to as \u201cHRSA\u2019s nondiscrimination guidance\u201d throughout this statement) prohibiting drug manufacturers from distributing drugs in ways that would discriminate against covered entities compared to non-340B health care providers, such as by imposing minimum purchase requirements or other restrictive conditions.", "In a September 2011 report, we identified inadequacies in HRSA\u2019s oversight of this program and recommended actions that should be taken to improve oversight and ensure appropriate use of the program. Since then, we have been monitoring HRSA\u2019s progress in addressing our recommendations and have testified about this at hearings before the House Committee on Energy and Commerce on March 24, 2015, and July 18, 2017. My statement today will describe HRSA actions in response to GAO recommendations to address (1) weaknesses in oversight of the 340B Program and (2) the lack of clarity in program guidance. The statement will also (3) describe ongoing GAO work regarding the 340B Program and HRSA oversight.", "For this statement, we obtained information and documentation from HRSA officials about any significant program updates, and steps they have taken to implement our 2011 recommendations. More detailed information on the objectives, scope, and methodology for our 2011 report can be found in that report. We conducted our work for the 2011 report from September 2010 to September 2011, and updated this work in February and March 2015, in June and July 2017, and again in March 2018. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The 340B Program was created following the enactment of the Medicaid Drug Rebate Program and gives 340B covered entities discounts on outpatient drugs comparable to those made available to state Medicaid agencies. HRSA is responsible for administering and overseeing the 340B Program."], "subsections": [{"section_title": "Program Participants", "paragraphs": ["Eligibility for the 340B Program, which is defined in the PHSA, has expanded over time, most recently through the Patient Protection and Affordable Care Act (PPACA), which extended eligibility to additional types of hospitals. Entities generally become eligible by receiving certain federal grants or by being one of six hospital types. Eligible grantees include clinics that offer primary and preventive care services, such as Federally Qualified Health Centers, clinics that target specific conditions or diseases that raise public health concerns or are expensive to treat, and AIDS Drug Assistance Programs, which serve as a \u201cpayer of last resort\u201d to cover the cost of providing HIV-related medications to certain low-income individuals. Eligible hospitals include certain children\u2019s hospitals, free-standing cancer hospitals, rural referral centers, sole community hospitals, critical access hospitals, and general acute care hospitals that serve a disproportionate number of low-income patients, referred to as disproportionate share hospitals (DSH). To become a covered entity and participate in the program, eligible entities must register with HRSA and be approved. Entity participation in the 340B Program has grown over time to include more than 38,000 entity sites, including more than 21,000 hospital sites and nearly 17,000 federal grantee sites (see fig. 1).", "To be eligible for the 340B Program hospitals must meet certain requirements intended to ensure that they perform a government function to provide care to the medically underserved. First, hospitals generally must meet specified DSH adjustment percentages to qualify. Additionally, they must be (1) owned or operated by a state or local government, (2) a public or private nonprofit corporation that is formally delegated governmental powers by a unit of state or local government, or (3) a private, nonprofit hospital under contract with a state or local government to provide health care services to low-income individuals who are not eligible for Medicaid or Medicare.", "All drug manufacturers that supply outpatient drugs are eligible to participate in the 340B Program and must participate in order to have their drugs covered by Medicaid. To participate, manufacturers are required to sign a pharmaceutical pricing agreement with HHS in which both parties agree to certain terms and conditions."], "subsections": []}, {"section_title": "Program Structure, Operation, and Key Requirements", "paragraphs": ["The 340B price for a drug\u2014often referred to as the 340B ceiling price\u2014is based on a statutory formula and represents the highest price a participating drug manufacturer may charge covered entities. Covered entities must follow certain requirements as a condition of participating in the 340B Program. For example covered entities are prohibited from subjecting manufacturers to \u201cduplicate discounts\u201d in which drugs prescribed to Medicaid beneficiaries are subject to both the 340B price and a rebate through the Medicaid Drug Rebate Program. covered entities are also prohibited from diverting any drug purchased at the 340B price to an individual who does not meet HRSA\u2019s definition of a patient. This definition, issued in 1996, outlines three criteria that generally state that diversion occurs when 340B discounted drugs are given to individuals who are not receiving health care services from covered entities or are only receiving non-covered services, such as inpatient hospital services. (See table 1 for more information on HRSA\u2019s definition of an eligible patient.) Covered entities are permitted to use drugs purchased at the 340B price for all individuals who meet the 340B Program definition of a patient regardless of whether they are low-income, uninsured, or underinsured.", "A covered entity typically purchases and dispenses 340B drugs through pharmacies\u2014either through an in-house pharmacy, or through the use of a contract pharmacy arrangement, in which the covered entity contracts with an outside pharmacy to dispense drugs on its behalf. The adoption and use of contract pharmacies in the 340B Program is governed by HRSA guidance. HRSA\u2019s original guidance permitting the use of contract pharmacies limited their use to covered entities that did not have in-house pharmacies and allowed each covered entity to contract with only one outside pharmacy. However, March 2010 guidance lifted the restriction on the number of pharmacies with which a covered entity could contract. Since that time, the number of unique contract pharmacies has increased significantly, from about 1,300 at the beginning of 2010 to around 18,700 in 2017 (see fig. 2); and, according to HRSA data, in 2017, there were more than 46,000 contract pharmacy arrangements. HRSA guidance requires a written contract between the covered entity and each contract pharmacy. Covered entities are responsible for overseeing contract pharmacies to ensure compliance with prohibitions on drug diversion and duplicate discounts. HRSA guidance indicates that covered entities are \u201cexpected\u201d to conduct annual independent audits of contract pharmacies, leaving the exact method of ensuring compliance up to the covered entity.", "Drug manufacturers also must follow certain 340B Program requirements. For example, HRSA\u2019s nondiscrimination guidance prohibits manufacturers from distributing drugs in ways that discriminate against covered entities compared to other providers. This includes ensuring that drugs are made available to covered entities through the same channels that they are made available to non-340B providers, and not conditioning the sale of drugs to covered entities on restrictive conditions, which would have the effect of discouraging participation in the program."], "subsections": []}]}, {"section_title": "HRSA Has Implemented GAO\u2019s Recommendation to Improve Its Oversight of the 340B Program by Conducting Audits", "paragraphs": ["In our September 2011 report, we found that HRSA\u2019s oversight of the 340B Program was weak because it primarily relied on covered entities and manufacturers to police themselves and ensure their own compliance with program requirements. Upon enrollment into the program, HRSA requires participants to self-certify that they will comply with applicable 340B Program requirements and any accompanying agency guidance, and expects participants to develop the procedures necessary to ensure and document compliance, informing HRSA if violations occur. HRSA officials told us that covered entities and manufacturers could also monitor each other\u2019s compliance with program requirements, but we found that, in practice, participants could face limitations to such an approach.", "Beyond relying on participants\u2019 self-policing, we also found that HRSA engaged in few activities to oversee the 340B Program and ensure its integrity, which agency officials said was primarily due to funding constraints. Further, although HRSA had the authority to conduct audits of program participants to determine whether program violations had occurred, at the time of our 2011 report, the agency had never conducted such an audit.", "In our 2011 report, we concluded that changes in the settings where the 340B Program was used may have heightened the concerns about the inadequate oversight we identified. In the years leading up to our report, the settings where the 340B Program was used had shifted to more contract pharmacies and hospitals than in the past, and that trend has continued in recent years. We concluded that increased use of the 340B Program by contract pharmacies and hospitals may have resulted in a greater risk of drug diversion to ineligible patients, in part because these facilities were more likely to serve patients that did not meet the definition of a patient of the program.", "To address these oversight weaknesses, we recommended that the Secretary of HHS instruct the Administrator of HRSA to conduct selective audits of covered entities to deter potential diversion. In response to that recommendation, in fiscal year 2012, HRSA implemented a systematic approach to conducting annual audits of covered entities that is outlined on its website. HRSA audits include entities that are randomly selected based on risk-based criteria (approximately 90 percent of the audits conducted each year), and entities that are targeted based on information from stakeholders (10 percent of the audits conducted). HRSA currently audits a total of 200 entities per year, which accounts for less than 2 percent of covered entities. (See table 2.)", "As a result of the audits already conducted, HRSA has identified instances of non-compliance with program requirements, including violations related to drug diversion and the potential for duplicate discounts. The agency has developed a process to address non- compliance through corrective action plans. The results of each year\u2019s audits are available on HRSA\u2019s website, and we currently have work underway reviewing HRSA\u2019s efforts to ensure compliance with 340B Program requirements at contract pharmacies that includes an examination of HRSA\u2019s audits of covered entities."], "subsections": []}, {"section_title": "HRSA Implemented One of Three GAO Recommendations to Clarify Program Guidance", "paragraphs": ["In our 2011 report, we found that HRSA\u2019s guidance on three key program requirements lacked the necessary level of specificity to provide clear direction, making it difficult for participants to self-police or monitor others\u2019 compliance, and raising concerns that the guidance could be interpreted in ways that were inconsistent with its intent.", "First, we found that HRSA\u2019s nondiscrimination guidance was not sufficiently specific in detailing practices manufacturers should follow to ensure that drugs were equitably distributed to covered entities and non- 340B providers when distribution was restricted. Some stakeholders we interviewed for the 2011 report, such as covered entities, raised concerns about the way certain manufacturers interpreted and complied with the guidance in these cases. We recommended that HRSA further clarify its nondiscrimination guidance for cases in which distribution of drugs is restricted and require reviews of manufacturers\u2019 plans to restrict distribution of drugs at 340B prices in such cases. In response, HRSA issued a program notice in May 2012 that clarified HRSA\u2019s policy for manufacturers that intend to restrict distribution of a drug and provided additional detail on the type of information manufacturers should include in such restricted distribution plans.", "In addition, we found a lack of specificity in HRSA\u2019s guidance on two other issues\u2014the definition of an eligible patient and hospital eligibility for program participation. Specifically, we found that", "HRSA\u2019s guidance on the definition of an eligible patient lacked the necessary specificity to clearly define the various situations under which an individual was considered eligible for discounted drugs through the 340B Program. As a result, covered entities could interpret the definition either too broadly or too narrowly. At the time of our report, agency officials told us they recognized the need to provide additional clarity around the definition of an eligible patient, in part because of concerns that some covered entities may have interpreted the definition too broadly to include non-eligible individuals, such as those seen by providers who were only loosely affiliated with a covered entity.", "HRSA had not issued guidance specifying the criteria under which hospitals that were not publicly owned or operated could qualify for the 340B Program. For example, we found HRSA guidance lacking on one of the ways hospitals could qualify for the program, namely by executing a contract with a state or local government to provide services to low-income individuals who are not eligible for Medicaid or Medicare. Specifically, we found that HRSA did not outline any criteria that must be included in such contracts, such as the amount of care a hospital must provide to these low-income individuals, and did not require the hospitals to submit their contracts for review by HRSA. As a result, hospitals with contracts that provided a small amount of care to low-income individuals not eligible for Medicaid or Medicare could claim 340B discounts, which may not have been what the agency intended.", "Given the lack of specificity in these areas, we recommended that HRSA (1) finalize new, more specific guidance on the definition of an eligible patient, and (2) issue guidance to further specify the criteria that hospitals not publicly owned or operated must meet to be eligible for the 340B Program. HRSA agreed with these recommendations and had planned to address them in a comprehensive 340B Program regulation that it submitted to the Office of Management and Budget for review in April 2014. However, HRSA withdrew this proposed regulation in November 2014 following a May 2014 federal district court ruling that the agency had not been granted broad rulemaking authority to carry out all the provisions of the 340B Program. After this ruling, the agency issued a proposed Omnibus Guidance in August 2015 to interpret statutory requirements for the 340B Program in areas where it did not have explicit rulemaking authority, including further specificity on the definition of a patient of a covered entity and hospital eligibility for 340B Program participation. However, in January 2017, the agency withdrew the guidance following the administration\u2019s January 20 memorandum directing agencies to withdraw or postpone regulations and guidance that had not yet taken effect. In March 2018, HRSA indicated that it was working with HHS to determine next steps regarding the proposed Omnibus Guidance, which included the patient definition, but that it was unable to further clarify guidance on hospital eligibility without additional authority. HRSA also noted that the administration\u2019s fiscal year 2019 budget proposal requests rulemaking authority, which, if enacted, would provide the agency with the authority to regulate hospital eligibility for the 340B Program."], "subsections": []}, {"section_title": "GAO Has Ongoing Work Related to the 340B Program", "paragraphs": ["GAO has ongoing work related to 340B contract pharmacies and the characteristics of hospitals participating in the program. Specifically, given the increase in the number of contract pharmacies in the 340B Program and concerns that contract pharmacy arrangements present an increased risk to the integrity of the program, we were asked to review contract pharmacy use under the 340B Program. In our forthcoming report, we plan to describe the extent to which covered entities contract with pharmacies to distribute 340B drugs, and the characteristics of these pharmacies; describe financial arrangements selected covered entities have with contract pharmacies and third-party administrators related to the administration and dispensing of 340B drugs; describe the extent to which selected covered entities provide discounts on 340B drugs dispensed by contract pharmacies to low- income, uninsured patients; and examine HRSA\u2019s efforts to ensure compliance with 340B Program requirements at contract pharmacies.", "In addition, with the growth in the number of hospitals participating in the 340B Program and Medicaid coverage expansions as a result of PPACA, we were asked to review how hospitals that participate in the 340B Program compare to other hospitals. In our forthcoming report, we plan to address how hospitals that participate in the 340B Program compare to non- 340B hospitals in terms of certain characteristics; and how, if at all, the characteristics of 340B and non-340B hospitals changed after state Medicaid coverage was expanded under PPACA.", "We expect to issue these reports this summer.", "Chairman Alexander, Ranking Member Murray, and Members of the Committee, this concludes my statement. I would be pleased to respond to any questions you may have."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For further information about this statement, please contact Debra A. Draper at (202) 512-7114 or draperd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. Key contributors to this statement were Michelle Rosenberg, Assistant Director; Amanda Cherrin, Sandra George, and David Lichtenfeld.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The \"340B\" program requires drug manufacturers to sell outpatient drugs to covered entities\u2014certain hospitals and federal grantees (like health centers and clinics)\u2014at a discount to have their drugs covered under Medicaid.", "This testimony describes the Health Resources & Services Administration's oversight of the 340B Program. In 2011 we made recommendations to HRSA to address weaknesses we identified in its oversight of the program. HRSA has addressed some of our recommendations but has yet to address our recommendations to clarify guidance on patient and hospital eligibility."]} {"id": "GAO-19-94", "url": "https://www.gao.gov/products/GAO-19-94", "title": "Streamlining Government: OMB and GSA Could Strengthen Their Approach to Implementing a New Shared Services Plan", "published_date": "2019-03-07T00:00:00", "released_date": "2019-04-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government can reduce duplicative efforts and free up resources for mission-critical activities by consolidating mission-support services that multiple agencies need\u2014such as payroll or travel\u2014within a smaller number of providers so they can be shared among agencies. However, migrating to a shared services provider has not consistently increased cost savings, efficiencies, or customer satisfaction, according to OMB and others who have observed these migrations.", "GAO was asked to review previous shared services initiatives. This report: (1) identifies the progress and challenges associated with federal shared services initiatives for selected HR and financial management activities and (2) assesses OMB and GSA's actions to address those challenges. GAO analyzed planning and performance documents and interviewed officials from selected customer and provider agencies and from agencies involved with shared services policy and guidance. GAO also interviewed subject-matter experts familiar with shared services. GAO reviewed steps OMB and GSA are taking to identify and address challenges from past migrations to improve shared services performance."]}, {"section_title": "What GAO Found", "paragraphs": ["Efforts to promote greater use of shared services for human resources (HR) and financial management activities resulted in some cost savings and efficiency gains, but challenges impeded more widespread adoption. For example, the Office of Personnel Management estimates that shared services for HR, including payroll resulted in more than $1 billion in government-wide cost-savings and cost avoidance between fiscal years 2002 and 2015. However, challenges include limited oversight, demand uncertainty among providers, and limited choices for customers. To address these challenges, the Office of Management and Budget (OMB) and the General Services Administration (GSA), as the shared services initiative leaders, introduced a new marketplace model in 2018 meant to better meet the needs of customers and service providers by offering more choices for purchasing shared services (see figure). They are also working on plans to create Service Management Offices and Task Order Review Boards to work with agencies to adopt standards for common management activities.", "GAO found that OMB and GSA were following some key change management practices such as improving interagency collaboration in their design of the marketplace model. However, implementation weaknesses may limit their success. For example, OMB and GSA do not have a plan to monitor the implementation of NewPay, a 2018 payroll shared services initiative designed to determine how well the new model works. A monitoring plan which includes performance goals and milestones could help OMB and GSA avoid gaps in service or costly delays as agencies transition to the new model for obtaining shared services."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to OMB including to work with GSA to finalize a plan for monitoring the implementation of NewPay, among other actions. OMB staff did not comment on GAO's recommendations, but noted that OMB may update its shared services policy in the future."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government can reduce duplicative efforts and free up resources for mission-critical activities by consolidating mission-support services that multiple agencies need\u2014such as payroll or travel\u2014within a smaller number of providers so they can be shared among agencies. Over the past 15 years, the federal government has undertaken efforts that have saved money and increased efficiency through shared services solutions. The federal government could potentially save billions more and reduce overlap and duplication by migrating additional services to shared services solutions.", "The Office of Management and Budget (OMB) and the General Services Administration (GSA) are responsible for overseeing a strategic, government-wide framework for improving the effectiveness and efficiency of shared services. To date, the federal government has made significant efforts to promote shared services in several areas such as human resources (HR) and financial management. However, according to OMB and others who have observed shared services migrations, migrating these services from individual agencies to a shared services provider has not consistently resulted in cost savings, greater efficiencies, or improved customer satisfaction.", "You asked us to review previous shared services initiatives for HR and financial management activities. This report: (1) identifies the progress and challenges associated with federal shared services initiatives for selected HR and financial management activities, and (2) assesses OMB and GSA\u2019s actions to address those challenges.", "To address our objectives, we conducted a literature review of GAO\u2019s work and other relevant publications from the past 15 years on HR and financial management shared services, such as reports by the Partnership for Public Service and the Association of Government Accountants (AGA). We also reviewed our reports that focused on specific agency migrations. We reviewed planning and performance documents and interviewed officials from (1) OMB and GSA\u2014the agencies that currently oversee shared services policy and guidance\u2014 and (2) the Office of Personnel Management (OPM) and the Office of Financial Innovation and Transformation (FIT) within the Department of the Treasury (Treasury), both of which oversaw past shared services initiatives and continue to play a key role developing government-wide HR and financial management shared services policy.", "Further, we reviewed guidance, planning, and performance documents and interviewed agency officials at four agencies engaged in the shared services process. We selected two federal shared services providers (FSSPs), federal agencies that provide shared services to other agencies: the National Finance Center (NFC) housed within the U.S. Department of Agriculture (USDA) and the Administrative Resource Center (ARC) housed within Treasury. We also selected two customer agencies: the Departments of Justice (Justice) and Education (Education) involved in different phases of shared services migrations. We made our selection based on a number of factors. To capture a range of experiences and perspectives, we selected a mix of customer and provider agencies. We selected one HR and one financial management systems migration to review, as well as one migration in an earlier phase and one in a later phase. To capture an in-depth perspective of a migration, we selected one customer and provider working together on a migration. To capture perspectives on OMB and GSA\u2019s efforts to address shared services challenges and improve outcomes, we selected provider and customer agencies that were meeting regularly with GSA in 2016 or 2017 on their shared services migration. Our selection of agencies is non-generalizable and their experiences and outcomes may not reflect all migrations. We also interviewed subject-matter experts who were involved in public and private shared services migrations as customers, providers, or consultants.", "To address the second objective, we reviewed OMB and GSA\u2019s efforts to identify and address challenges and lessons learned from past migrations, including the new shared services action plan OMB released in spring 2018. We assessed the extent to which OMB and GSA\u2019s plan and guidance are designed to facilitate better shared services outcomes using criteria such as standards for internal control in the federal government, principles identified in our previous work related to addressing major management challenges, and the AGA criteria for effective marketplaces. Additional details on our objectives, scope, and methodology are in appendix I.", "We conducted this performance audit from June 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to OMB, the federal government spends more than $25 billion annually for core mission support services, such as HR and financial management that are common across agencies. These services are generally supported by a wide range of activities. For example, the HR employee life cycle functions represent hiring to retirement and include activities such as payroll and other compensation and benefits management. The financial management function includes core financial activities such as making and receiving payments for goods or services.", "As shown in figure 1, for more than two decades, the federal government has taken actions aimed at increasing agencies\u2019 use of shared services. Key congressional actions included new laws to create uniform standards for financial reporting, promote agency use of information technology (IT) to deliver core mission support services, and establish funding mechanisms for agencies to modernize IT systems. Presidential administrations have made it a priority to promote the use of shared services for HR and financial management activities for many years. For example, in 2014 and again in 2018, OMB established a cross-agency priority (CAP) goal of improving the use, quality, and availability of administrative shared services. Complementing the goal, the Digital Accountability and Transparency Act of 2014 is intended to standardize and increase the transparency of agencies\u2019 spending data.", "At present, OMB has responsibility and authority to develop and implement government-wide shared services policy. OMB is working with GSA to develop shared services strategy, policies, and guidance, with OPM and Treasury also having important roles (see table 1). Table 1 also describes the agencies we selected and their roles in the shared services initiatives."], "subsections": []}, {"section_title": "Federal Efforts to Promote Shared Services Resulted in Some Cost Savings and Efficiency Gains, but Challenges Impeded More Widespread Adoption", "paragraphs": [], "subsections": [{"section_title": "Efforts to Promote Shared Services for HR Activities Contributed to Cost Savings and Cost Avoidance", "paragraphs": ["OMB\u2019s efforts to promote HR shared services resulted in cost savings, cost avoidance, and more consistent service delivery. OMB announced the HR Line of Business in 2004 simultaneously with the Financial Management Line of Business. These shared services initiatives shared similar goals: (1) standardize systems, business processes, and data elements to promote consistency across the federal government; and (2) reduce costs by establishing a marketplace or a system of buying and selling products and services. In this context, the marketplace would allow agencies to acquire IT systems for core mission support services through shared services solutions.", "OPM and FIT coordinated with their respective Chief Human Capital Officer and CFO stakeholder communities to develop data elements and business process standards for common HR and financial management activities. Setting consistent standards for data and systems can lead to benefits for shared services customers as well as providers. For example, the ability to meaningfully aggregate or compare data across the federal government increases as more agencies adopt common or standardized data elements or processes. As we have previously reported, the lack of comparable data across agencies can hinder efforts to analyze government-wide trends. Specifically, OPM reported in 2015 that the lack of standardized time and attendance data or required data components limits access to workforce data and hinders efforts to analyze government-wide trends. In addition, once providers know the standards, they can develop a solution applicable to multiple customer agencies and achieve economies of scale.", "OPM oversaw one of the first efforts to create a shared services marketplace in 2001, which focused on payroll. That effort resulted in cost savings, cost avoidance, and greater consistency in the interpretation and application of payroll rules. In the early 2000s, many agencies\u2019 payroll systems were nearing the end of their estimated life cycles. As managing partner of the HR Line of Business, OPM worked with OMB to identify payroll providers. They selected 4 of the then 22 federal payroll providers to serve as FSSPs for the 116 executive branch agencies. We previously reported that, according to OPM officials who had overseen the payroll consolidation effort, OMB authorized only the chosen federal payroll providers\u2014not other agencies\u2014to spend money on modernizing payroll systems, thereby encouraging the shift to the selected FSSPs.", "OPM designated six more public- and private-sector shared services centers to provide additional HR functions to agencies in between 2005- 2008. These functions include core HR services such as personnel action processing and benefits and compensation management, as well as noncore services such as HR strategy and performance management. According to OPM, more than 99 percent of agencies migrated to a payroll provider and more than 88 percent of agencies migrated to an HR shared services center. This resulted in an estimated savings and cost avoidance of more than $1 billion between fiscal years 2002 and 2015. The consolidation of payroll providers from 22 to 4 providers also contributed to greater consistency in the way the federal government interprets and applies payroll rules."], "subsections": []}, {"section_title": "Outcome Information on Financial Management Shared Services Efforts Is Limited", "paragraphs": ["The federal government made progress toward establishing standards for selected financial management activities and designating providers to engage in a marketplace. However, information on outcomes is limited because data were not tracked amidst changes in the Financial Management Line of Business leadership and strategy. In 2004, OMB designated GSA\u2019s Financial Systems Integration Office (FSIO) as managing partner of the Financial Management Line of Business. OMB also designated four FSSPs to provide financial management services to other agencies. They were: the Department of the Treasury\u2019s Administrative Resource Center (ARC), the Department of the Interior\u2019s Interior Business Center (IBC), the Department of Transportation\u2019s Enterprise Service Center (ESC), and GSA\u2019s Federal Integrated Solutions Center.", "Under the original Financial Management Line of Business, which was launched in 2004, federal agencies were required to either serve as a shared services provider or leverage a shared services provider when modernizing a financial system. In 2010, OMB changed this strategy. Agencies would no longer be required to adopt shared services for financial systems. In announcing this change in strategy, OMB noted concerns related to the costs and risks\u2014such as projects that did not meet agency needs upon completion\u2014that medium and large agencies had encountered as they pursued shared services for financial management activities. OMB also noted that agency managers were more likely to pursue shared services for less complex operations such as common website hosting, rather than more complex operations, such as financial transactions. Further, OMB announced a change in leadership. FSIO ceased operations and OMB later designated the Department of the Treasury\u2019s Office of Financial Innovation and Transformation (FIT) as the new managing partner of the Financial Management Line of Business.", "FIT took steps to establish a marketplace for customers seeking shared financial management services and to develop standards for financial management activities. As part of this effort, FIT created a process to analyze the existing financial management FSSPs to identify capability gaps. FIT invited the existing FSSPs and other agencies that wanted to receive FSSP designation to apply. In 2014, FIT selected ARC, IBC, ESC, and USDA Financial Management Services (which is separate from NFC) to provide financial management services to other federal agencies. FIT also worked with the CFO community to develop more than 40 business use cases for financial management activities. Business use cases document how a common activity, such as disbursing payments, is executed, including a sequential description of each step in the process. According to a FIT official, these business use cases foster a common understanding of how to execute specific financial management functions among customers and providers, which can make it easier for customers to transition to shared services.", "Further, FIT identified four initiatives to expand shared services for financial transactions. FIT\u2019s four shared services initiatives included expanding shared services for accounts payable and accounts receivable, debt collection, and payment processing. FIT officials estimated these projects could contribute to cost savings of around $620 million over 5 years, but they did not track cost savings. FIT officials also did not track the percentage of non-CFO Act agencies that migrated financial systems to a shared services provider. FSSP customer lists show that non-CFO Act agencies and commissions more frequently rely on external providers for core financial shared services than do medium and large agencies.", "FIT officials stated that OMB transferred many of FIT\u2019s responsibilities, including collecting performance information, to GSA in 2016. In 2018, GSA officials published customer satisfaction data from 2017 and 2018 for administrative functions, including financial management services through the Customer Satisfaction Survey. GSA also plans to track the percentage of selected financial transactions\u2014such as certain types of payments\u2014completed by a shared services provider starting in 2020. However, tracking of cost data continues to be an issue, which we address later in this report."], "subsections": []}, {"section_title": "Governance and Marketplace Challenges Have Impeded Greater Progress toward Cost Savings and Other Performance Goals", "paragraphs": ["Wider adoption of HR and financial management shared services has been impeded by challenges in two areas. First, shared services efforts have faced persistent governance challenges, such as limited interagency collaboration, difficulty reconciling benefits and trade-offs, and limited oversight and technical support for shared services migrations. Second, the efforts have also experienced marketplace challenges, which involve difficulty obtaining funding to invest in shared services, demand uncertainty among providers, and limited choices for customers. These issues hampered efforts to establish effective and efficient shared services marketplaces. As a result, these marketplaces have not been able to consistently support sufficient competition limiting the potential cost sharing efficiencies and improved performance that could be realized with greater usage. OMB and GSA have taken steps to address these challenges, which we assess later in this report.", "Limited interagency collaboration. The Lines of Business governance structure limited collaboration across different mission support areas. This made it more difficult for those with expertise in acquisitions, IT, HR, and financial management policy to work together on shared services solutions. For example, although a shared payroll solution should ideally consider how to appropriately implement payroll rules, an area in which the Chief Human Capital Officers community has subject-matter expertise, it also needs the expertise of others. Specifically, the solution should also be able to integrate with an agency\u2019s financial reporting systems, an area in which the CFOs and Chief Information Officers have expertise. Additionally, the solution should ideally leverage the government\u2019s purchasing power, an area in which the Chief Acquisition Officers have expertise. The Lines of Business Managing Partners took steps intended to address this issue. For example, the HR Line of Business chartered the Multi-Agency Executive Strategy Committee to facilitate interagency collaboration by bringing together representatives from human capital offices across CFO Act agencies. Later in this report, we describe additional steps OMB and GSA took to promote greater collaboration across the individual Lines of Business.", "Difficulty reconciling benefits and trade-offs. We found that agencies have had difficulty reconciling the trade-offs associated with adopting a standardized service. OMB has issued multiple memorandums over the years directing agency officials to consider shared services solutions when researching options for replacing legacy HR or financial management systems. Despite OMB\u2019s direction, the benefits for customers to migrate to a standardized solution were not always clear. According to ARC officials, prospective customers were invested in their legacy processes, or did not factor long-term cost savings or cost avoidance into their decision-making process, therefore limiting the full realization of standardized shared services.", "These difficulties are illustrated in a recent experience at Education. Education officials debated whether to migrate the department\u2019s financial management system to a shared services provider, and spent substantial time and money determining whether it was feasible. Education has several systems which are closely integrated and dependent on one another, including financial and grants management. In considering trade- offs, officials were concerned about the costs they would incur and the impact to their grantees if they de-coupled these systems to migrate to a standardized financial system. According to Education officials, they spent about a year meeting with officials from OMB, FIT, and ARC to determine the feasibility of migrating their core accounting system to ARC.", "They also reported spending more than $750,000 on a feasibility study. The study noted that the cost of an internal migration would be less expensive than migrating to ARC. Ultimately, in 2016, Education officials decided that instead of migrating they would modernize their legacy system internally. GSA and OMB supported Education\u2019s decision to modernize in house and agreed that Education did not need to move to a shared services provider at that time. However, GSA officials working with Education on their financial management modernization efforts noted that Education\u2019s decision to pursue a customized solution that paired financial systems and grants contributed to the higher quoted cost of migrating to ARC. GSA officials also recommended that Education consider the costs and benefits of making changes to its financial management systems that would eventually facilitate the transition to a shared services solution. Education officials said they remain committed to reviewing this effort again in the future.", "Limited oversight and technical support. Customer and provider agencies experienced issues with project management, which contributed to delayed and costly migrations. For example, we previously reported that two recent financial management migrations\u2014involving the Department of Housing and Urban Development (HUD) migrating to ARC and the Department of Homeland Security (DHS) migrating to IBC, the federal shared services provider within the Department of the Interior\u2014 were late, over budget, and only addressed a portion of the original project scope. In 2016, we reported that HUD migrated 4 of 14 planned financial management capabilities to shared service solutions, but ended efforts to migrate the remaining 10 planned capabilities to ARC, in part because of weaknesses in implementing key management practices. For example, HUD\u2019s senior leaders did not recognize and fully address challenges as they arose, including those identified with scope, schedule, and program costs. As a result, HUD was unable to follow through with its plans to replace a number of its legacy financial management systems and continues to maintain those systems while seeking other new initiatives to address aspects of the remaining capabilities. HUD spent about $58 million over three years before deciding to end the migration and modernization effort in April 2016. ARC officials reported that as of November 2018, it continues to provide financial management services for the capabilities that HUD migrated.", "Similarly, in 2017, we reported that to address long-standing deficiencies in DHS\u2019s financial management systems, DHS started to migrate three components to a modernized financial management system solution provided by the IBC. However, we found that significant challenges such as project management and communication problems, among others, disrupted the project, raising concerns about the extent to which objectives would be achieved as planned. In May 2016, DHS and IBC determined that the planned implementation dates were not viable. We reported that plans for DHS\u2019s path forward on this project were delayed for 2 years.", "In both cases, we found that the customer agencies did not consistently follow leading project management practices, such as properly identifying potential risks and developing mitigation plans. We made four recommendations to HUD and two recommendations to DHS intended to address weaknesses in their department\u2019s financial management systems modernization efforts. However, as of November 2018, they had not yet implemented them.", "OPM took steps to address this issue for the HR Line of Business. OPM officials told us that in 2007 they developed an online guide to assist customer agencies to prepare for and manage a migration of their human resources operations to a shared services center. According to OPM, the guidance contains information regarding different delivery models, the migration process, and roles and responsibilities. Further, OMB and GSA recognized that customers and providers would benefit from additional technical support and oversight. In May 2016 guidance, OMB tasked GSA with assisting agencies during implementation by publishing guidance incorporating best practices and lessons learned in project management. OMB also tasked GSA with monitoring implementations to ensure that agencies are following a disciplined process and properly assessing project risk in partnership with OMB. Later in this report, we describe steps GSA has taken to provide guidance and technical assistance to agencies.", "Funding challenges, demand uncertainty, and limited choices. Funding challenges, demand uncertainty among providers, and limited choices for customers are challenges that have limited the effectiveness of shared services marketplaces for HR and financial management services. We have previously reported that agencies consider obtaining the funding required for consolidation and migration efforts to be a challenge. This can affect their ability to realize cost savings and cost avoidance. GSA officials said funding challenges can be a barrier to entry into the marketplace for potential customers. In part because of funding challenges, agencies continue to rely on legacy IT systems for core mission support services. Many of these systems are increasingly at risk of failure because of aging technology and reliance on applications that are no longer supported by vendors. As a result, agencies are limited in their ability to deploy updates or make adjustments to ensure the systems support mission needs. In our 2017 High-Risk report, we found that agencies needed to establish action plans to modernize or replace obsolete IT investments across the federal government.", "Some FSSPs have also struggled to keep up with the capital investments necessary to modernize. We previously reported that OPM officials involved with the payroll consolidation effort said that funding had not materialized for systems modernization for the four payroll service providers, though it was expected at the outset of the initiative. The officials said this lack of funding was a major problem that put the long- term viability of the effort at risk. According to NFC officials, the HR FSSPs continue to find it difficult to keep up with the capital investments necessary to modernize. GSA officials said that federal investment in HR and financial management systems modernization lags behind the private sector.", "According to agency officials and subject-matter experts, federal and commercial shared services providers faced uncertainty related to customer demand, which made it difficult for them to plan and more fully participate in the shared services marketplace. For example, ARC officials said that in determining whether to invest in system improvement, they need to evaluate the impact on current customers as well as the benefits to potential customers. They also pointed out that the costs associated with systems improvements would be borne by the current customer base if potential new customers failed to materialize.", "On the customer side, both agency officials and subject-matter experts told us that potential customers often found it difficult to identify providers capable of meeting their needs. Some customers wanted a la carte services and others had needs which surpassed the capacity of available providers. For example, Education\u2019s HR officials said it was difficult to find a provider to meet their needs for specific HR services. A lack of up-to- date information about providers\u2019 services and costs complicated their search process. Education officials said they reached out to several FSSPs, but either they did not provide the specific services Education wanted, they were not taking on new customers, or the cost was not feasible for Education. We previously found that as more agencies consider transitioning to shared services providers, making pricing and performance information publically available can help agencies determine the most efficient method for obtaining services.", "Subject-matter experts said that large agencies also had challenges finding an FSSP capable of meeting their needs. For example, one subject-matter expert who works at a large agency with more than 350,000 employees described the challenges his agency faced identifying a provider capable of providing financial management services. He said one potential FSSP was concerned that adding a large customer would negatively impact its ability to serve other customers. In light of the difficulty in finding a provider with sufficient capacity, the agency decided to modernize its financial system internally.", "In light of these challenges, agency adoption of shared services has been slow and uneven. In 2015, the Association of Government Accountants (AGA) surveyed government managers and staff, and found that difficult migration experiences raised doubts among officials at other agencies contemplating shared services. AGA found that respondents considering migrating to a shared services provider were hearing enough concerns that they were not eager to undergo a substantial migration. Consequently, agencies continue to conduct common business activities in an inconsistent manner and maintain unique systems. Therefore, they may be missing opportunities to achieve cost savings offered by greater use of shared services. For example, according to OPM, there are at least 108 different systems that send time and attendance data to FSSPs. There are also an estimated 86 learning management systems across the government. We have consistently reported that duplicative and incompatible agency business systems and data prevent agencies from sharing data, or force them to depend on expensive, custom-developed systems or programs to do so."], "subsections": []}]}, {"section_title": "OMB and GSA Have Taken Actions to Address Governance and Marketplace Challenges, but Could Strengthen Their Implementation Approach", "paragraphs": [], "subsections": [{"section_title": "OMB and GSA Have Taken Actions to Address Persistent Challenges", "paragraphs": ["Over the past several years, OMB and GSA have taken actions\u2014 including creating a new governance structure and redesigning the marketplace\u2014to address the challenges that impeded more widespread adoption of shared services. To bolster interagency collaboration, OMB issued guidance in 2016, which designated a Shared Services Policy Officer within OMB with responsibility and authority to develop and implement government-wide shared services policy. OMB also tasked the new Unified Shared Services Management (USSM) office within GSA to bring together key stakeholders, including the managing partners of the different lines of business, and representatives from customer and provider agencies.", "GSA also introduced the Federal Integrated Business Framework to build on ongoing efforts by OPM and FIT to develop standards for HR and financial management data elements and business processes, among other things. As part of this effort, cross-agency working groups identified 11 end-to-end processes for mission support services. Similar to the business use cases FIT developed, these business processes document how a common administrative activity is executed, including a sequential description of each step in the process. According to GSA officials, these business processes serve as the basis for a common understanding of what services agencies need, and what shared services providers should offer. These working groups also bring together those with expertise in acquisitions, IT, HR, and financial management policies.", "GSA also developed guidance for selecting and migrating to a shared services provider. The new guidance identified opportunities for GSA to review agency migration materials. GSA developed the Modernization and Migration Management Playbook (M3 Playbook), a compilation of leading project management practices and lessons learned from past systems migrations, and met with agencies contemplating or undertaking migrations. The M3 Playbook divides a typical shared services migration into six phases. For each phase, the M3 Playbook identifies key steps agencies should take before they move on, such as completing a risk mitigation strategy and defining performance and success metrics. At the end of each phase, the M3 Playbook recommends a \u201ctollgate\u201d review to ensure both customer and provider completed the necessary steps and are ready to move to the next phase. GSA is to provide recommendations to OMB on the migrations based on observations of project status and risk from tollgate reviews.", "Agency officials involved with HR and financial management migrations we spoke with said they found both the Playbook and GSA\u2019s reviews helpful. For example, Justice officials said they started to use the Playbook once it was available midway through their HR system migration to NFC. Prior to each tollgate review, Justice officials said they submitted the required deliverables so that GSA had time to review the documents prior to the meetings. Justice officials said that GSA staff reviewing their materials offered concrete suggestions such as developing and documenting success metrics, strengthening their business case, and developing a risk assessment document. According to Justice officials, these suggestions improved the migration process. Education officials also reported they appreciated the project management expertise provided by GSA staff."], "subsections": []}, {"section_title": "OMB and GSA Introduced a New Shared Services Marketplace Model, but Could Strengthen Their Implementation Approach", "paragraphs": ["In fiscal year 2018, OMB and GSA introduced a new marketplace model for shared services that seeks to better meet the needs of customers and providers by offering more choices for purchasing shared services. We examined their approach for the new model and found they were following some key change management practices, but there are weaknesses with the implementation. Specifically, we found OMB and GSA do not have a plan to monitor the implementation of an initiative designed to determine how well the new marketplace model works as intended. Nor have they identified and documented some key roles and responsibilities. The action plan also does not explain how OMB and GSA will provide information to customers about provider services, pricing, and performance. Lastly, OMB and GSA have not implemented a process for collecting and tracking cost-savings data.", "OMB and GSA described their plan for the new marketplace in an action plan, released in March 2018, along with the President\u2019s Management Agenda. The management agenda issued a new cross-agency priority (CAP) goal to improve the effectiveness of shared services. According to the management agenda, the shared services goal will support CAP goals related to IT modernization, data accountability and transparency, and the workforce of the future. OMB and GSA are the shared services goal leaders and staff said they are coordinating with other CAP goal leaders to achieve their objectives.", "To oversee the marketplace and provide greater accountability for migrations, OMB and GSA are implementing a new two\u2013tier governance structure (see figure 2).", "To ensure that agencies are adhering to the standards developed by the Business Standards Council and to provide greater oversight and accountability for shared services migrations, OMB and GSA are working on plans to create Task Order Review Boards (Review Boards) for different types of services, such as payroll or accounting. According to OMB and GSA\u2019s action plan, the Review Boards will administer standards and will review all task orders for shared services purchases for compliance with the standards. The Review Boards will need to approve any requested customizations. According to GSA officials, the contracts for the various vendors providing shared technology and transaction processing services will be purchased through and managed by Service Management Offices (SMO). The SMO will be responsible for managing the integration of new commercial suppliers into the marketplace and responding to user concerns. The SMO will also be held accountable for provider performance. OMB staff noted that the details of the Review Boards depend on the shared services solutions that are identified.", "Figure 3 describes the different options customers will have for purchasing shared services in the new marketplace. The figure also shows how a Review Board and SMO are intended to interact with customers and providers.", "To determine whether the marketplace model functions as intended, OMB and GSA introduced an initiative, NewPay. In September 2018, GSA awarded a 10-year, $2.5 billion NewPay agreement to two commercial teams to provide payroll, and work schedule and leave management services using Software-as-a-Service. Software-as-a-Service\u2014a cloud- based computing model\u2014delivers one or more applications and all the resources\u2014operating system, programming tools, and underlying infrastructure to run them\u2014for use on demand. According to OMB and GSA staff, Software-as-a Service should help address some of the challenges with demand uncertainty because providers can more easily increase and decrease capacity depending on changes in demand than FSSPs have been able to do with their current technology.", "Our prior work on organizational transformations shows that incorporating change management practices\u2014such as setting implementation goals and a timeline to show progress\u2014improves the likelihood of successful reforms. Adopting key change management practices can also help managers recognize and address agency cultural factors that can inhibit reform efforts. As OMB and GSA prepared to implement the new marketplace model, they incorporated some key change management practices. For example, they defined their vision for a shared services marketplace and some of the key activities needed to achieve that future state. GSA also issued a draft statement of objectives for NewPay in December 2017. The statement includes a comprehensive list of tasks related to project management and assigns responsibility for those tasks to the prospective customers, providers, or the government agency that will fulfill the SMO role.", "Although OMB and GSA have incorporated some key change management practices, we found some weaknesses in OMB and GSA\u2019s implementation of the marketplace.", "Monitoring. OMB and GSA do not have a finalized plan to monitor the implementation of NewPay. We have previously identified key questions for agencies that are planning and implementing transformations. In that work, we found that agencies need to monitor and evaluate their efforts to identify areas for improvement. We have also reported that effective monitoring plans should include performance goals and milestones, transparent reporting tools to help manage stakeholder expectations, and a process for capturing lessons learned to improve the management of subsequent phases.", "OMB and GSA staff said they are working on a plan to help them implement NewPay. However, it is not yet complete and they did not provide us with a draft to review. They said their plans continue to evolve and they anticipate having an implementation plan by spring 2019. The lack of a finalized plan with the elements listed above hinders OMB and GSA\u2019s ability to provide sufficient oversight for this transition. Having such a plan would provide various benefits to the NewPay implementation effort. First, a monitoring plan that includes performance goals and milestones would help OMB and GSA track how many and how well customer agencies are transitioning from one provider to another. Similarly, setting performance goals related to continued delivery of services during the transition could help OMB and GSA more quickly identify gaps and make adjustments as needed. Specifically, OMB and GSA could more effectively monitor how the new approach for purchasing payroll, and work schedule and leave management systems integrates with current HR systems.", "Additionally, transparent reporting tools, such as web-based reporting on key milestones, could help OMB and GSA demonstrate that they are aware of challenges and are addressing them as they arise. Greater reporting transparency could also help build momentum, show progress, and help justify continuing investments in reforming shared services efforts. Finally, a process for capturing lessons learned based on NewPay could help OMB and GSA improve the process for subsequent initiatives and further minimize disruptions to agency delivery of services during these future transitions.", "Without a monitoring plan with performance goals and milestones, transparent reporting tools, and a process for capturing lessons learned, it will be more difficult for OMB and GSA to provide oversight of the transition and its effects on providers and customers, including whether there are interruptions to delivery of services. A monitoring plan could help OMB and GSA avoid gaps in service or costly delays as agencies transition to the new model for obtaining payroll and work management services.", "Roles and responsibilities. OMB and GSA have also not identified or documented some key roles and responsibilities related to the implementation of NewPay. Identifying a NewPay SMO is a crucial first step, since the SMO is supposed to play a key role driving standards and holding customers and providers accountable for performance. However, OMB and GSA have not announced which agency will serve as the SMO. Further, they have not identified which agencies or officials will serve on the NewPay Review Board. They also have not documented the authority or the resources the SMO and Review Board will have to enforce agency adoption of standards.", "OMB and GSA have also not yet documented which agency will be responsible for interpreting payroll rules and regulations. This has been an ongoing issue for the payroll FSSPs. According to GSA and NFC officials, the payroll FSSPs have been interpreting business rules differently, and thus have implemented new regulations inconsistently. According to NFC officials, the payroll FSSPs requested the establishment of a governing body to help standardize the process for implementing new regulations. OPM officials told us in September 2018 that they intend to start providing guidance to support payroll standardization to the extent allowed by law and regulation in the future. However, as of October 2018, OMB and GSA had not documented this decision.", "According to federal standards on internal control, management should establish an organizational structure, assign responsibility, and delegate authority to achieve an entity\u2019s objectives. When the organizational structure describes overall responsibilities, and when those responsibilities are assigned to discrete units, then organizations can operate more efficiently and effectively. Moreover, in our previous body of work on enhancing interagency collaboration, we identified key practices that can help agencies mitigate challenges when they attempt to work collaboratively. For example, clarifying roles and responsibilities can enhance interagency collaboration.", "OMB staff and GSA officials said they are still identifying which agencies or entities will fill key roles and assume key responsibilities. They anticipate that some of this information will be finalized by spring 2019. Identifying and documenting roles and responsibilities would help ensure that key stakeholders are involved in planning and implementation activities. Until OMB and GSA clearly identify, communicate, and document key roles and responsibilities, they run the risk of not achieving their objectives. They also risk repeating past problems, such as the inconsistent implementation and interpretation of standards and migrations that encounter costly delays because agencies do not follow available guidance.", "Information on services, pricing, and performance. Although the action plan aims to help additional providers enter the marketplace, it does not explain how OMB and GSA will provide information to customers about provider services, pricing, and performance. According to the Association of Government Accountants, effective marketplaces require market transparency with information on services, pricing, and performance. Also, according to federal standards on internal control, managers should externally communicate the necessary quality information to achieve an entity\u2019s objectives.", "As we have previously reported, reliable information on the costs of federal programs and activities is crucial for effective management of government operations. OMB staff and GSA officials said that data collection efforts are on hold as they continue to try to determine what performance metrics they will use and share with potential customers. Without up-to-date information on providers\u2014such as the services they offer, their level of performance, and their costs\u2014it will be time consuming and difficult for potential customers to compare providers. This lack of information could slow the rate of shared services adoption.", "Cost-savings data. In the CAP goal action plan for shared services, OMB and GSA established a cost savings goal of an estimated $2 billion over 10 years based on reforms to the shared services governance structure and marketplace. However, their action plan does not include steps they intend to take to collect and track cost-savings data. Such data would allow them to assess their progress toward their goal. In their action plan, OMB and GSA included performance measures for goals such as customer satisfaction. They also have output measures related to HR and financial management activities. However, they did not include a measure to gauge their progress in achieving cost savings. In our previous work on key questions for agencies that are planning and implementing transformations, we found that agencies need to have processes in place to collect the needed data and evidence to effectively measure goals of reform efforts.", "OMB and GSA said they are still finalizing their implementation plan. Including a process to collect and track cost savings data in the final plan would position them to assess how well their reform efforts are contributing to their cost savings goal. Cost savings data would also support oversight efforts, as OMB and GSA could better communicate to Congress and other relevant stakeholders the extent to which their reforms are contributing to cost savings goals. Earlier in this report, we described how difficult it was to determine the progress of the financial management line of business because the managing partners of that effort did not track data on cost savings. Until OMB and GSA finalize a plan for collecting the needed data and evidence to effectively measure cost-savings goals, they risk experiencing a similar challenge.", "OMB and GSA\u2019s action plan to support the shared services CAP goal does not directly address funding challenges. However, new legislation intended to promote IT modernization efforts may address these challenges. In 2017, Congress enacted the Modernizing Government Technology (MGT) Act as part of the 2018 National Defense Authorization Act. The MGT Act allows agencies to create working capital funds for modernizing IT systems. Working capital funds are primarily used for business-like activities, such as purchasing consolidated or shared services within and between federal agencies. The MGT Act allows CFO Act agencies to transition legacy systems to cloud computing platforms or other innovative platforms and technologies, among other things. We have previously reported that working capital funds provide agencies with an opportunity to operate more efficiently by consolidating services and creating incentives for customers and managers to exercise cost control and economic restraint.", "The MGT Act also established the Technology Modernization Fund and Technology Modernization Board. Agencies can apply to the board for loans for IT modernization projects, including replacing legacy systems with shared services. In February 2018, OMB issued guidance on the initial process agencies should follow to submit proposals to the board. As of February 2019, OMB announced plans to award close to $90 million to various agencies for modernization projects. Two of these awards were for shared services: one award was to GSA for more than $20 million to help fund NewPay and one award was to USDA for $5 million to migrate 10 IT applications to a shared services cloud platform model."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["When properly implemented, a shared services model for HR and financial management activities has the potential to help the federal government cut costs and modernize aging IT systems. Over the past 15 years there have been some notable shared services successes: for example, consolidating payroll services resulted in more than $1 billion in cost savings and cost avoidance over 10 years, according to OPM estimates. However, there have also been persistent governance and marketplace challenges that have impeded more widespread adoption of shared services.", "OMB and GSA have been involved in shared services reform efforts for decades. Their plan for a new shared services governance structure and marketplace has the potential to address some of the challenges that have previously hindered more widespread adoption of shared services. For example, their proposed marketplace model has the potential to make the marketplace more effective by reducing demand uncertainty among shared services providers and providing more choices for customers. However, several weaknesses in their implementation of NewPay could limit the initiative\u2019s success. OMB and GSA do not have a plan to monitor NewPay\u2019s implementation. They also have not documented key decision- making roles and responsibilities related to the implementation of NewPay. Until they develop a monitoring plan which includes performance goals and milestones, transparent reporting tools, and a process for capturing lessons learned, and documenting key roles, they risk implementation challenges that could cause gaps in service or costly delays.", "OMB and GSA also do not have a process to provide information to customers about provider services, pricing, and performance. Developing such a process would help minimize the challenges of transitioning to shared services on key stakeholders. Finally, OMB and GSA do not have a process for collecting and tracking cost-savings data. Until OMB and GSA finalize their plan for collecting the related data and evidence to measure their cost savings goal of an estimated $2 billion over 10 years, they will not be able to determine and report progress made."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to OMB to work with GSA, which is the co-goal leader for the shared services CAP goal.", "OMB\u2019s Shared Services Policy Officer should work with GSA to finalize a plan for monitoring the implementation of NewPay. The plan should include: implementation goals, a timeline, and milestones for agencies to transition from one provider to another; transparent reporting mechanisms on key milestones; and a process for capturing and communicating lessons learned. (Recommendation 1)", "OMB\u2019s Shared Services Policy Officer should work with GSA to document key roles and responsibilities, including which agency will be the NewPay SMO, who will be assigned to the NewPay Task Order Review Board, how the SMO, the Review Board, and other key stakeholders will work together, and which agency will be responsible for interpreting payroll rules and regulations. (Recommendation 2)", "OMB\u2019s Shared Services Policy Officer should work with GSA to update provider information on services offered, pricing, and performance and share that information with prospective customers. (Recommendation 3)", "OMB\u2019s Shared Services Policy Officer should work with GSA to implement a process for collecting and tracking cost-savings data that would allow them to assess progress toward the shared services cost- savings goal of an estimated $2 billion over 10 years. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Director of OMB, the Administrator of GSA, the Acting Director of OPM, the Secretary of the Treasury, the Deputy Assistant Inspector General for Audit of the USDA, the Secretary of Education, and the Assistant Attorney General for Administration of Justice for review and comment. OMB staff did not agree or disagree with our recommendations. In comments provided by email, OMB staff stated OMB has been re-evaluating its shared services policies and may provide an updated policy in the future. OMB, GSA, Treasury, OPM, USDA, and the Department of Education provided technical comments on this report which were incorporated as appropriate. The Department of Justice did not have comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Director of the Office of Management and Budget, the Administrator of General Services Administration, the Acting Director of the U.S. Office of Personnel Management, the Secretary of the Treasury, the Deputy Assistant Inspector General for Audit of the U.S. Department of Agriculture, the Secretary of the Department of Education, and the Assistant Attorney General for Administration of the Department of Justice, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact Tranchau (Kris) T. Nguyen at (202) 512-2660 or Nguyentt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report: (1) identifies the progress and challenges associated with federal shared services initiatives for selected human resources (HR) and financial management activities, and (2) assesses the Office of Management and Budget\u2019s (OMB) and the General Service Administration\u2019s (GSA) actions to address those challenges.", "To address both of our objectives, we conducted a literature review of GAO work and other relevant publications on HR and financial management shared services. In addition to GAO reports, we selected reports by think tanks and professional associations from the past 15 years, such as reports by the Partnership for Public Service and the Association of Government Accountants (AGA). We reviewed reports that described past HR and financial management federal shared services initiatives or specific shared services migrations involving HR or financial management services. These reports assessed the outcomes, challenges, or summarized lessons learned associated with those initiatives or migrations.", "We reviewed planning and performance documents and we interviewed officials from (1) OMB and GSA, the agencies that oversee shared services policy and guidance, and (2) the Office of Personnel Management (OPM) and the Office of Financial Innovation and Transformation (FIT) within the Department of the Treasury (Treasury), agencies that oversaw past shared services initiatives and continue to play a key role developing government-wide policy for HR and financial management shared services. Key documents we reviewed included: OMB memorandums announcing federal shared services initiatives; the Modernization and Migration Management (M3) Playbook, guidance that GSA developed and provides to agencies considering or implementing shared services migrations; strategic or operational plans for earlier shared services initiatives, such as the Human Resources and Financial Management Lines of Business; and strategic or operational plans for ongoing shared services initiatives such as the Federal Integrated Business Framework, a model GSA developed with the lines of business managing partners for moving agencies toward common, cloud-based solutions for management functions.", "To illustrate examples of outcomes and challenges, we selected two federal shared services providers (FSSPs), federal agencies that provide shared services to other agencies: the National Finance Center (NFC) within the U.S. Department of Agriculture (USDA) and the Administrative Resource Center (ARC) within Treasury. We also selected two customer agencies: the Departments of Justice (Justice) and Education (Education), which are experiencing different phases of shared services migrations.", "We made our selection based on a number of factors. To capture a range of experience and perspectives, we selected a mix of customer and provider agencies. We selected one HR and one financial management systems migration to review, as well as one migration in an earlier phase and one in a later phase. To capture an in-depth perspective of a migration, we selected one customer and provider working together on a migration. To capture perspectives on OMB and GSA\u2019s efforts to address shared services challenges and improve outcomes, we selected provider and customer agencies that were meeting regularly with GSA in 2016 or 2017 on their shared services migration. Our selection of agencies is non- generalizable and their experiences and outcomes may not be reflective of all migrations.", "We reviewed guidance, planning, and performance documents at the four selected agencies. Specifically, we reviewed planning documents that describe shared services migration purpose and goals, the composition and responsibilities of the project management team, and estimated costs and savings; documented results of market research and analyses of alternatives; risk management strategies; service level agreements and performance metrics; communication plans for stakeholders; and reports that capture lessons learned.", "For each of the illustrative example agencies, we interviewed agency officials involved with shared services migrations. At Justice, we interviewed the project management team overseeing the HR migration to the NFC. At Education, we interviewed the officials who reviewed the Department\u2019s HR and financial management shared services options. At the two FSSPs, we interviewed officials knowledgeable about the outcomes and challenges associated with past and ongoing federal shared services initiatives.", "We also interviewed subject-matter experts who were involved in public and private shared services migrations as customers, providers, or consultants. We met with members of the Shared Services Leadership Coalition, an interest group promoting shared services solutions involving commercial vendors. The members who participated in the group interview discussed shared services benefits, challenges, and lessons learned. We also met with members of the nonprofit Partnership for Public Service Shared Services Roundtable. The roundtable members who participated in the group interview are federal employees involved with shared services operations. They represented a mix of small and large agencies.", "To further address the second objective, we reviewed OMB and GSA\u2019s efforts to identify and address challenges and lessons learned from past migrations, including the new shared services action plan OMB released in March 2018. We assessed the extent to which OMB and GSA\u2019s plan and guidance are designed to facilitate better shared services outcomes using criteria such as standards for internal control in the federal government, principles identified in our previous work related to addressing major management challenges, and the Association of Government Accountants criteria for effective marketplaces. During our interviews with customer and provider agency officials and subject-matter experts, we asked for their perspectives on these efforts and the likely effect they will have on ongoing and future shared services migrations.", "We conducted this performance audit from June 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["Key contributors to this report include Sonya Phillips (Assistant Director), Jessica Nierenberg (Analyst-in-Charge), Rose Almoguera, and Monique Nasrallah. Faisal Amin, Ann Czapiewski, Timothy J. DiNapoli, Jared Dmello, Robert Gebhart, Amanda Gill, Dave Hinchman, Gina Hoover, Valerie Hopkins, John Hussey, Heather Krause, Michael LaForge, Laura Pacheco, Paula M. Rascona, and Kevin Walsh also contributed to this report."], "subsections": []}]}], "fastfact": ["A federal agency needs services like payroll and travel to support its work, but it can save money by sharing those services with other agencies. For example, agencies sharing payroll services across government saved more than $1 billion over 10 years, according to a federal estimate.", "The Office of Management and Budget and the General Services Administration are promoting human resources and financial management shared services, among others, and trying to address the reasons why agencies don't participate more. We suggested ways to improve their approach to increasing participation."]} {"id": "GAO-18-70", "url": "https://www.gao.gov/products/GAO-18-70", "title": "Medicaid: Further Action Needed to Expedite Use of National Data for Program Oversight", "published_date": "2017-12-08T00:00:00", "released_date": "2018-01-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO and others have identified insufficiencies in state-reported Medicaid data that affect CMS's ability to oversee the program effectively. Recent increases in improper payments\u2014estimated at $36.7 billion in fiscal year 2017\u2014exacerbate concerns about program oversight.", "CMS officials identified the T-MSIS initiative, which began in 2011, as its main effort to improve Medicaid data, and cited aspects of T-MSIS aimed at improving the scope and quality of state-reported data. GAO reported in January 2017 that it is unclear when T-MSIS data will be available from all states; how CMS will ensure data quality; or how the data will be used to enhance oversight of Medicaid.", "GAO was asked to review states' experiences with T-MSIS implementation and planned uses of T-MSIS data. This report examines (1) states' experiences regarding T-MSIS implementation, and (2) challenges to CMS's and states' use of T-MSIS data for oversight. GAO reviewed federal laws, guidance, and internal control standards; reviewed documents and interviewed officials from eight states, selected based on their T-MSIS reporting status, location, program expenditures, and other factors; and interviewed CMS officials, CMS contractors, and individuals involved with other states' T-MSIS efforts."]}, {"section_title": "What GAO Found", "paragraphs": ["As of November 2017, 49 states had begun reporting Transformed Medicaid Statistical Information System (T-MSIS) data\u2014a significant increase from 18 states reporting these data one year earlier. All eight states GAO reviewed identified converting their data to the T-MSIS format on an element-by-element basis as the main challenge in their reporting efforts. For some data elements, states had to expand or collapse their data to match the T-MSIS format.", "With the continued implementation of T-MSIS, the Centers for Medicare & Medicaid Services (CMS) has taken an important step toward developing a reliable national repository for Medicaid data. However, data challenges have hindered states' and CMS's use of the T-MSIS data for oversight.", "None of the six selected states reporting T-MSIS data in August 2017 was reporting complete data. These states said that certain unreported elements were contingent on federal or state actions, and others were not applicable to the state's Medicaid program. States did not always specify in their documentation whether they planned to report elements in the future or when they would report complete data.", "Six of eight selected states expressed concerns about the comparability of T-MSIS data across states. Further, all states were interested in CMS facilitating information sharing among states. CMS has not compiled and shared information about states' data limitations, which would help states accurately compare their T-MSIS data to other states' T-MSIS data.", "CMS has taken steps for the initial use of T-MSIS data, but does not have a plan or associated timeframes for using these data for oversight. As a result, important CMS goals for T-MSIS, such as reducing states' reporting burden and enhancing program integrity activities, are not being fully realized."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS (1) improve T-MSIS's completeness and comparability to expedite its use, and (2) articulate a specific oversight plan. The Department of Health and Human Services concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Medicaid\u2014the joint federal-state health financing program estimated to cover over 73 million low-income and medically needy individuals in fiscal year 2017\u2014allows states significant flexibility to design and implement their programs within broad federal parameters. While this flexibility has allowed states to fashion their programs based on their unique needs, it also complicates oversight. The Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that oversees Medicaid, has a critical role in monitoring states\u2019 compliance with federal requirements, including ensuring that federal Medicaid payments are made appropriately. To help inform its oversight, CMS relies on data that are submitted by states. For example, for expenditure and utilization data that can be linked to individual enrollees, states historically submitted data to be incorporated into CMS\u2019s Medicaid Statistical Information System (MSIS) data.", "We and others have reported that insufficiencies in available Medicaid data, including MSIS data, have affected CMS\u2019s ability to ensure proper payments and beneficiaries\u2019 access to care. These concerns are not new; however, recent trends in improper payments have exacerbated concerns about Medicaid oversight. In particular, of the $596 billion in federal and state Medicaid expenditures in fiscal year 2017, improper payments were an estimated $36.7 billion, a significant increase from the estimated $14.4 billion in improper payments in fiscal year 2013.", "CMS has acknowledged the need for improved Medicaid data. The Transformed Medicaid Statistical Information System (T-MSIS) initiative is the agency\u2019s primary effort, conducted jointly with states, to improve its collection of Medicaid expenditure and utilization data, and replace MSIS. CMS officials cite aspects of T-MSIS that are designed to broaden the scope and improve the quality of state-reported data, as well as the data\u2019s usefulness for states. For example, T-MSIS is intended to include data not previously reported by states, such as unique provider identification numbers and information on third-party liability, which could be used to help enhance CMS and states\u2019 program oversight. T-MSIS also includes automated quality checks that should improve the quality of data that states report.", "In a January 2017 report, we examined CMS efforts to implement T-MSIS and concluded that uncertainty existed with respect to when all states would report T-MSIS data; how CMS will ensure the quality of these data; and how CMS will use them for oversight purposes. You asked us to examine states\u2019 experiences regarding T-MSIS implementation, including obstacles they have faced in reporting quality data, and their planned uses of these data for oversight. In this report, we examine 1. states\u2019 experiences regarding the implementation of T-MSIS, including CMS\u2019s actions to facilitate states\u2019 efforts; and 2. challenges to CMS\u2019s and states\u2019 use of T-MSIS data for oversight.", "To examine states\u2019 experiences regarding the implementation of T- MSIS\u2014including CMS\u2019s actions to facilitate their efforts\u2014we reviewed federal laws and guidance, and interviewed CMS officials and contractors who assisted the agency with T-MSIS implementation. We reviewed CMS documentation of the number of states reporting T-MSIS data and of its actions to support states\u2019 T-MSIS implementation efforts. We also selected a non-generalizable sample of eight states for further review: Louisiana, Michigan, Minnesota, North Carolina, Pennsylvania, Utah, Virginia, and Washington. We selected these states based on variation in their T-MSIS reporting status, geographic location, program expenditures, use of Medicaid managed care programs, and participation in CMS\u2019s T- MSIS pilot program. For each selected state, we reviewed relevant documents, and interviewed officials about their experiences reporting T- MSIS data and CMS\u2019s efforts to assist them. To supplement the information provided by our selected states, we also interviewed individuals who were identified through background research as having experience with other states\u2019 T-MSIS reporting efforts. We also reviewed prior GAO reports on Medicaid data and reports published by other entities, such as the HHS Office of Inspector General (HHS-OIG).", "To examine challenges to CMS\u2019s and states\u2019 use of T-MSIS data for oversight, we reviewed CMS guidance, selected states\u2019 documentation of T-MSIS reporting efforts, and federal internal control standards. We also interviewed officials from CMS and selected states regarding their plans to use these data for oversight. To assess the completeness of the T- MSIS data that selected states were reporting, we analyzed state documents regarding unreported T-MSIS data elements and their plans to report them in the future. These documents, which states submit to CMS, are known as Addendum Bs. To assess the reliability of the Addendum B data, we compared them with related documentation, such as CMS guidance, and with information from interviews with knowledgeable CMS and state officials. We also assessed the data for duplicate values and clarified inconsistencies we identified. We confirmed with state officials that their documents reflected unreported T-MSIS data elements as of August 2017. We determined that these data were sufficiently reliable for our purposes.", "We conducted this performance audit from December 2016 through December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CMS intends for the T-MSIS initiative to provide a national data repository that would support federal and state program management, financial management, and program integrity activities, among other functions. T- MSIS is also intended to benefit states by reducing the number of reports CMS requires them to submit, and by improving program efficiency by allowing states to compare their data with other states\u2019 data in the national repository or with information in other CMS repositories, including Medicare data. For example, CMS intends to use T-MSIS data for reports that states are currently required to submit, such as Early and Periodic Screening, Diagnostic, and Treatment Program reports.", "T-MSIS is designed to capture significantly more data from states than is the case with MSIS, thereby collecting data not previously reported that should provide CMS and states with information to enhance their oversight efforts. T-MSIS includes the five data files that were collected through MSIS: an eligibility file and four claims files (inpatient, long-term care, pharmacy, and other). The scope of data to be collected from these five previously defined MSIS files has expanded to include more detailed information on enrollees, such as their citizenship, immigration, and disability status; and expanded diagnosis and procedure codes associated with their treatments.", "Additionally, T-MSIS requires states to report three new data files on (1) providers, (2) third-party liability, and (3) managed care organizations (MCO).", "The provider file includes a unique identifier for each provider, as well as data fields to show provider specialty and practice locations. Each of these identifiers can assist CMS and state oversight by providing information on provider referrals, Medicaid payments to specific providers, and identifying ineligible providers.", "The third-party liability file includes data on whether a beneficiary has any health insurance in addition to Medicaid, or other potential sources of funds that could reduce Medicaid\u2019s expenditures. Medicaid is generally the payer of last resort, meaning if Medicaid enrollees have another source of health care coverage, that source should pay, to the extent of its liability, before Medicaid does. Information on beneficiaries\u2019 other sources of coverage could help ensure that Medicaid pays only those expenditures for which it is liable.", "The managed care file includes more detailed information on MCOs, such as type and name of managed care plans, covered eligibility groups, service areas, and reimbursement arrangements. In addition to identifying which MCOs are reporting encounter data as required, this file could help CMS\u2019s oversight by allowing the agency to identify excess plan profits and volatility of expenditures for some beneficiary groups across states.", "In total, T-MSIS includes approximately 1,400 data elements, according to CMS. Many of these elements, however, have content that is used in more than one of the eight T-MSIS files. For example, the element \u201cDATE OF BIRTH\u201d is required in five T-MSIS files\u2014Eligibility, Claim Inpatient, Claim Long-term Care, Claim Prescription, and Claim Other. CMS requires states to report all T-MSIS elements that are applicable to their programs, and has worked closely with states to facilitate their efforts to report these data. For example, before CMS approves a state for reporting T-MSIS data, states must complete a number of activities, including developing detailed work plans and completing a series of data testing phases. For a state to meet CMS\u2019s requirements for submitting T-MSIS data, it must report data for all eight files, but not necessarily all elements within each file.", "In addition, T-MSIS includes aspects aimed at improving the timeliness and accuracy of data submitted by states. For example, CMS requires states to report T-MSIS data monthly, rather than quarterly, as was the case with MSIS. Regarding data accuracy, T-MSIS includes approximately 2,800 automated quality checks that provide states with feedback on data format and consistency, according to CMS; this is in contrast to MSIS, which had relatively few automated checks. Other quality checks are to ensure logical relationships across T-MSIS files.", "Both we and the HHS-OIG have previously recommended that CMS take steps to address the quality of T-MSIS data. In our January 2017 report, we recommended that CMS take immediate steps to assess and improve T-MSIS data. As part of that effort, we noted that CMS could refine their T-MSIS data priority areas to identify those that are critical for reducing improper payments and expedite efforts to assess and ensure their quality. CMS agreed with our recommendation, but as of September 2017, the agency had not implemented it. More recently, the HHS-OIG reported that CMS and states continue to have concerns regarding the completeness and reliability of T-MSIS data, echoing concerns raised in its 2013 review of CMS\u2019s T-MSIS pilot program. The HHS-OIG noted it was concerned that CMS and states would delay further efforts rather than assign the resources needed to address the outstanding challenges, and reaffirmed its 2013 recommendation that CMS establish a deadline for when T-MSIS data will be available for program analysis and other management functions."], "subsections": []}, {"section_title": "Despite Challenges Converting State Data to the T-MSIS Format, Nearly All States are Reporting T-MSIS Data, and CMS Has Shifted Its Focus to Improving Data Quality", "paragraphs": ["Despite challenges converting their data to the T-MSIS format, most states were reporting T-MSIS data as of November 2017, representing significant progress over the past year. With most states reporting, CMS has shifted its efforts to working with states to improve the quality of T- MSIS data."], "subsections": [{"section_title": "Overall, 49 States Are Reporting T-MSIS Data; Selected States Identified Converting their Data into the T-MSIS Format as a Significant Reporting Challenge", "paragraphs": ["As of November 2017, 49 states have begun reporting T-MSIS data, a significant increase from the 18 states that had started reporting these data in October 2016. These reporting states represent over 97 percent of the 2017 Medicaid population nationwide. CMS officials told us that they expect all states to report T-MSIS data by 2018. (See fig. 1.)", "As of November 2017, all eight of our selected states were reporting T- MSIS data, with seven of them having begun in September 2016 or later. Selected states\u2019 estimated spending a collective $14.16 million on their efforts to report T-MSIS data from October 2011 through June 2017, ranging from approximately $850,000 in Virginia to $4.42 million in Minnesota. (See table 1.) The age and scope of states\u2019 existing Medicaid Management Information Systems (MMIS) were among the factors that affected certain states\u2019 spending and timing on this effort.", "Mapping the data\u2014the process by which states convert their data to the T-MSIS format on an element-by-element basis\u2014was the primary challenge our eight selected states identified in reporting T-MSIS data. In some cases, before converting their data to the T-MSIS format, states had to obtain data they had not previously collected from other state entities, MCOs, or providers. For example, Minnesota had to begin collecting information on denied claims from MCOs, and Utah had to collect third-party liability information from other state agencies. In addition, while some state data elements could be converted to the T- MSIS format fairly easily, because the relationships between the two were clear, the conversion of other data elements was more complicated. For example, the T-MSIS data element for male and female is \u201cM\u201d and \u201cF,\u201d respectively. Accordingly, in states that identified gender by a numeric value, \u201c1\u201d for male and \u201c2\u201d for female, the conversion to T-MSIS for this element was a fairly straightforward one-to-one relationship. However, for other data elements, the conversion process was more complex, requiring states to expand or collapse their data to match the T-MSIS format. (See fig. 2.) Selected states shared examples of steps they took to convert state data to the T-MSIS format.", "Louisiana officials noted that they had to map the state\u2019s single durable medical equipment (DME) element to multiple specific T- MSIS DME elements, such as DME pharmacy or DME orthotics.", "Virginia officials said they had to combine three state ambulance service provider elements into a single T-MSIS element.", "In addition, individuals who had experience with other states\u2019 T-MSIS reporting efforts also noted that states may not have always collapsed categories in the same way. For example, one state collapsed its 109 provider categories to match T-MSIS\u2019s 57 provider categories, according to an individual who worked with the state on this effort. This individual noted that there were 32 state provider elements that did not directly match a specific T-MSIS element, so the state grouped them all into the \u201cother\u201d T-MSIS element.", "Changes in CMS\u2019s data reporting requirements further complicated some states\u2019 efforts to convert their data to the T-MSIS format, according to officials from our selected states. CMS updated the T-MSIS data dictionary\u2014the document that defines the required T-MSIS elements and their reporting formats\u2014twice in 2013 and again in November 2015. According to CMS officials, they updated the data dictionary to clarify and remove inconsistencies from guidance in response to feedback from states. Some of the selected states reported that the changes included in this update required considerable rework, and in some cases, delayed their T-MSIS reporting. For example, Washington officials noted that the 2015 update became available at the point it was completing a T-MSIS testing phase. Due to the rework required to comply with the new data specifications, the state\u2019s efforts to report T-MSIS data were delayed by nearly one year. Similarly, Minnesota officials also cited rework associated with changes to the 2015 data dictionary, which contributed to delays in their efforts to report T-MSIS data."], "subsections": []}, {"section_title": "CMS\u2019s Efforts to Support States Have Shifted from Reporting T-MSIS Data to Improving T-MSIS Data Quality", "paragraphs": ["Over the past six years, CMS has relied on a variety of mechanisms to support states\u2019 efforts to report T-MSIS data.", "CMS assigned technical assistants to help states understand the T- MSIS requirements, prioritize steps to report T-MSIS data, and serve as a resource on technical issues. The majority of selected states had positive comments about the technical assistance they received. For example, Pennsylvania officials said its technical assistant regularly met with them, answered any questions they had, and facilitated their efforts to complete T-MSIS testing.", "CMS began hosting national webinars covering a range of topics, including clarification on specific T-MSIS elements that CMS identified as challenging or subject to error, and updates on the nationwide implementation. The webinars also provided an opportunity for states to ask CMS questions about T-MSIS requirements.", "CMS established web-based avenues through which the agency could compile and disseminate information, as well as elicit questions from states and contractors. For example, CMS provided an electronic option for states to submit questions regarding policy and technical issues.", "CMS took additional steps to help states, including creating a SharePoint web site through which states are notified about changes in guidance.", "With nearly all states having begun reporting T-MSIS data, CMS has shifted its efforts to improving the quality of the T-MSIS data reported, and these efforts are still evolving. For example, to provide states with immediate feedback on their reported T-MSIS data, CMS created an online \u201coperational dashboard\u201d for each state, which provides specific information on errors in its reported data. Using information on the operational dashboard, states can identify the frequency and cause of certain errors, which facilitates their efforts to resolve them more expeditiously and to improve future submissions. All six of the selected states reporting T-MSIS data had positive comments about the value of the operational dashboard, with some of them noting that the feedback on errors was a significant improvement from their experience with MSIS, where feedback had a considerable time-lag. More recently, according to agency officials, CMS has initiated a pilot study with four states to identify anomalies in their reported data that merit further attention, obtain feedback on automated quality measures, and determine the best approach for ongoing quality review. While work on the pilot is ongoing, CMS officials anticipate using what they learned to expand the agency\u2019s quality review to include all states.", "In addition, CMS has turned to external stakeholders to evaluate the quality of T-MSIS data. Specifically, CMS has shared T-MSIS data with a Technical Expert Panel it formed to obtain feedback on inconsistencies and other quality concerns. According to CMS officials, the Technical Expert Panel focused on a preliminary set of T-MSIS data from a limited number of states. The agency officials noted that Technical Expert Panel members include individuals from HHS\u2019s Office of the Actuary, the Congressional Budget Office, and the Medicaid and CHIP Payment and Access Commission, among others. Panel participants analyzed the T- MSIS data from 11 states on the specific topics in which they have expertise. According to CMS officials, the panel is to provide its results to the agency in a summary report."], "subsections": []}]}, {"section_title": "Data Completeness and Comparability Concerns Hinder CMS\u2019s and States\u2019 Use of T-MSIS for Oversight", "paragraphs": ["Ongoing data concerns raise questions about how soon\u2014and to what extent\u2014T-MSIS data will be sufficient to achieve the goals of improving CMS\u2019s and states\u2019 ability to use Medicaid data for oversight. For example, none of the six selected states that were reporting T-MSIS data as of August 2017 were reporting complete data at that time. In reviewing selected states\u2019 documentation of unreported data elements, we determined that the number of unreported data elements ranged from about 80 elements to 260 elements. Although T-MSIS includes about 1,400 data elements, the number of data elements relevant to each state varies, in part, because certain elements may not be applicable to all states and others may be populated at the state\u2019s discretion. In addition, the content of some data elements are present in more than one of the eight T-MSIS files. As a result, the number of unreported elements may overstate the extent of state efforts needed to report complete T-MSIS data.", "Our selected states provided a range of reasons for not reporting T-MSIS data elements, including that certain elements were contingent on federal or state actions. In other cases, state officials indicated that data elements were too costly to report, so they would not be reporting them. We identified further examples of where certain data elements were not applicable to states\u2019 Medicaid programs, and therefore were not required. (See table 2.)", "Although CMS requires states to report all T-MSIS data elements applicable to their program, CMS officials said they did not specify a reporting deadline for states, and selected states\u2019 documentation to CMS did not always include the reasons they did not report certain elements, or whether or when they planned to report them. Due to the lack of clarity and completeness in selected states\u2019 documentation, we were not able to identify the reasons for all unreported data elements. However, among our selected states, Virginia\u2019s documentation more clearly specified most\u2014but not all\u2014of the reasons it was not reporting 260 T-MSIS elements.", "Virginia identified 167 elements that its MMIS did not capture, and noted that once the state\u2019s new Medicaid information system is fully implemented in 2019, the state will be able to report them.", "Virginia identified 16 elements as pending other state or related actions.", "Virginia identified 18 elements as pending the implementation of HHS efforts.", "Virginia identified 53 elements as not applicable to aspects of its Medicaid program.", "Without complete information from all states on unreported data elements and their plans to report them, it is unclear when\u2014and to what extent\u2014T- MSIS data will be available to use for oversight, which is inconsistent with federal internal control standards for using quality information to achieve objectives.", "In some cases, data elements important for program oversight were not reported by two or more of the six selected states reporting T-MSIS data, limiting T-MSIS\u2019s usefulness for oversight in these areas. (See table 3.)", "Another factor affecting the ability of CMS and states to use T-MSIS data for oversight is that not all of the 49 states submitting T-MSIS data are submitting current data. According to CMS officials, before beginning to report T-MSIS data, each state stops reporting MSIS data. At that point, there is a temporary gap in the state\u2019s reporting until it receives CMS\u2019s approval to begin reporting T-MSIS data. After a state gets CMS\u2019s approval, it must first submit the T-MSIS data that correspond to the date that it stopped submitting MSIS data; the data for previous months is known as \u201ccatch up\u201d data. Once a state reports that data, it then shifts to reporting current T-MSIS data. According to CMS, as of November 2017, 42 of the 49 states reporting T-MSIS data were reporting current data; the remaining 7 states were still reporting catch up data for previous months.", "Regarding the comparability of T-MSIS data across states, state officials we interviewed cited concerns that could affect their use of T-MSIS for oversight. Officials from most selected states cited the benefit that a national repository of T-MSIS data could provide by allowing them to compare their Medicaid program data\u2014such as spending or utilization rates\u2014to other states, which could potentially improve their oversight. However, concerns about comparability of the data make officials from most selected states hesitant to use the data for this purpose. In particular, officials from six of eight selected states, and other individuals we interviewed, are not confident that the decisions states made when converting their data to the T-MSIS format were consistent across states. An individual who worked with other states on T-MSIS reporting efforts noted that states may have made different decisions about what types of providers to include as part of the \u201call other\u201d category of providers within T-MSIS. While one state he worked with included a range of provider types, such as licensed drug and alcohol counselors and non-emergency medical transportation providers, in the \u201call other\u201d T-MSIS provider category, other states may have made different decisions. Some state officials and individuals working with states noted that states\u2019 different decisions may complicate their ability to use the data for cross-state comparisons. Further, officials from some of the selected states noted that they were not familiar with the quality of other states\u2019 T-MSIS data.", "CMS has begun to take steps to address the quality of the T-MSIS data; however, its efforts are still evolving. For example, in May 2017, CMS identified 12 data quality priority areas for states to focus on for improving the accuracy and consistency of T-MSIS data, including accurately categorizing beneficiaries into T-MSIS eligibility groups and ensuring consistency related to MCO reporting. CMS has worked to identify existing or develop new guidance for each of these priority areas, and to compile the guidance in a central location for states\u2019 reference. As of August 2017, CMS officials said they compiled guidance for 11 of the 12 areas, and intended to continue work with states on these priorities.", "In addition, CMS has not created a mechanism to disseminate information about states\u2019 data limitations or states\u2019 efforts to improve and use the data, which also affects their utility for oversight. Officials from four of the eight selected states said that learning more about other states\u2019 T-MSIS data could help allay their concerns about comparability, and two of the four states said it could also help them address their own data quality issues. Additionally, officials from all eight selected states were interested in opportunities to learn more about other states\u2019 use of the data.", "CMS officials acknowledged the benefits of a mechanism to disseminate information about states\u2019 data limitations more broadly, and to facilitate information sharing among states. CMS officials told us that they plan to launch a Learning Collaborative with states to facilitate feedback and collaboration. This effort could address a range of data-related topics, including data quality. CMS officials told us they were taking actions to put the Learning Collaborative in place, and may launch the collaborative in early 2018.", "The lack of an effort to facilitate information sharing is inconsistent with CMS\u2019s goals for T-MSIS and with federal internal control standards for using and communicating quality information to achieve objectives. Absent such an effort, CMS is missing an opportunity to help states understand ways they could improve the quality of their T-MSIS data and facilitate states\u2019 use of the data for oversight. CMS is also missing an opportunity to expedite quality improvements that could result from states conducting their own independent analyses.", "Although CMS has taken steps to begin using T-MSIS data, it has not yet fully articulated a plan for how and when it will use T-MSIS data for its own broader oversight efforts of state Medicaid programs. For example, according to CMS officials, the agency has begun to use T-MSIS data to generate Money Follow the Person reports, and has begun exploring additional uses of T-MSIS data to reduce states\u2019 reporting burden. These preliminary efforts are consistent with one of CMS\u2019s stated goals for T-MSIS, which is to reduce states\u2019 reporting burden by relying on T- MSIS data in place of separate reports that states currently submit, and officials from six of eight selected states indicated that such an effort would reduce their reporting burden.", "However, as of August 2017, CMS officials acknowledged that they had yet to outline how best to use T-MSIS data for program monitoring, oversight, and management, because they were still largely focused on working with the remaining states to begin reporting T-MSIS data, analyzing the quality and usability of the T-MSIS data, and preparing the data for research purposes. CMS\u2019s lack of a specific plan and time frames for using T-MSIS data is inconsistent with federal internal control standards related to using and communicating quality information to achieve objectives. Absent a specific plan and time frames, CMS\u2019s ability to use these data to oversee the program, including ensuring proper payments and beneficiaries\u2019 access to services, is limited."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["As part of its efforts to address longstanding concerns about the data available to oversee the Medicaid program, CMS has taken important steps toward developing a reliable national repository for Medicaid data. T-MSIS has the potential to improve CMS\u2019s ability to identify improper payments, help ensure beneficiaries\u2019 access to services, and improve program transparency, among other benefits. By providing more standardized data on various aspects of Medicaid\u2014such as spending or utilization rates\u2014states could be better positioned to compare their programs to other states, thereby improving their ability to identify program inefficiencies or opportunities for improvement.", "Implementing the T-MSIS initiative has been a significant undertaking. Over the past 6 years, CMS has worked closely with states and has reached a point where nearly all states are reporting T-MSIS data. While recognizing the progress that has been made, more work needs to be done before CMS or states can use these data for program oversight. It remains unclear when all states will report complete and comparable T- MSIS data, and how CMS and states will use them to improve oversight. In the interim, improper Medicaid payments continue to increase, reaching $36.7 billion in fiscal year 2017. Further delays in T-MSIS\u2019s use limit CMS\u2019s ability to reverse that trend in the near term, underscoring the need for CMS to take additional steps to expedite the use of the data."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to CMS.", "The Administrator of CMS, in partnership with the states, should take additional steps to expedite the use of T-MSIS data for program oversight. Such steps should include, but are not limited to, efforts to obtain complete information from all states on unreported T-MSIS data elements and their plans to report applicable data elements; identify and share information across states on known T-MSIS data limitations to improve data comparability; and implement mechanisms, such as the Learning Collaborative, by which states can collaborate on an ongoing basis to improve the completeness, comparability, and utility of T-MSIS data. (Recommendation 1)", "The Administrator of CMS should articulate a specific plan and associated time frames for using T-MSIS data for oversight. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for comment. In its written comments, HHS concurred with our recommendations, and noted that strong Medicaid data can help the federal government and the states move toward better health outcomes and improve program integrity, performance, and financial management. With most states now reporting T-MSIS data, HHS highlighted efforts it has taken to improve the quality of T-MSIS data. For example, HHS developed a database on data quality findings, which could be used to identify solutions for common problems across states, and has begun to develop a data quality scorecard for T- MSIS users, which aggregates data quality findings in a user-friendly tool. Regarding taking steps to expedite the use of T-MSIS data for program oversight, HHS stated that it will (1) continue to work to obtain complete T-MSIS information from all states; (2) take additional steps to share information across states on T-MSIS data limitations; and (3) implement ways for states to collaborate regarding T-MSIS. HHS also noted that it is in the process of developing a plan for using T-MSIS data for oversight. HHS emphasized that it is dependent on states\u2014and their available staffing and resources\u2014to address data quality and reporting issues. HHS also provided technical comments, which we incorporated as appropriate. HHS\u2019s comments are reprinted in appendix I.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of HHS, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs can be found on the last page of this report. Major contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Carolyn L. Yocom, (202) 512-7114 or yocomc@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals making key contributions to this report include Susan Anthony (Assistant Director), Manuel Buentello (Analyst-in-Charge), Anna Bonelli, and Robin Burke. Also contributing were Muriel Brown, Drew Long, and Jennifer Rudisill."], "subsections": []}]}], "fastfact": ["State-reported data help the federal government oversee the Medicaid program, which made an estimated $36.7 billion in payment errors in 2017. However, there have been longstanding concerns that those data are not sufficient for effective oversight.", "To help, federal administrators established a new data repository. Nearly all states now submit data that could be used to improve oversight and program management. However, concerns persist over the completeness and comparability of state data.", "We recommended federal administrators take steps to expedite collection of complete and comparable data, and draft a plan for how they will use the data."]} {"id": "GAO-18-257", "url": "https://www.gao.gov/products/GAO-18-257", "title": "Federal Personal Property: Opportunities Exist to Improve Identification of Unneeded Property for Disposal", "published_date": "2018-02-16T00:00:00", "released_date": "2018-02-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government owns billions of dollars of personal property\u2014such as office furniture, scientific equipment, and industrial machinery. By law, each agency is required to follow GSA's disposal process so that an agency's unneeded property can be used by other agencies or certain non-federal entities. Since 2012, agencies have reduced their office and warehouse space due to government-wide initiatives, a reduction that in turn has required agencies to dispose of some affected personal property.", "GAO was asked to review how federal agencies identify and dispose of unneeded personal property. This report examines (1) how selected agencies assess whether personal property is needed and (2) how these agencies dispose of unneeded property and how, if at all, space reduction efforts have affected disposals. GAO reviewed federal statutes and regulations, and selected five agencies\u2014EPA, Forest Service, GSA, HUD, and IRS\u2014mainly based on space reduction results and goals. GAO reviewed these agencies' property disposal data for 2012 through 2016 and interviewed headquarters and field staff about their property management and disposal processes."]}, {"section_title": "What GAO Found", "paragraphs": ["The five agencies GAO reviewed\u2014the Environmental Protection Agency (EPA), Forest Service, General Services Administration (GSA), Department of Housing and Urban Development (HUD), and Internal Revenue Service (IRS)\u2014generally do not have policies or processes for identifying unneeded personal property, such as office furniture, on a proactive basis. Instead, officials from these agencies said they typically identified unneeded property as a result of a \u201ctriggering event,\u201d such as an office space reduction. Executive agencies are required by law to continuously review property under their control to identify unneeded personal property and then dispose of it promptly. Without such policies or processes, agencies may not be routinely identifying unneeded property that could be used elsewhere, and efforts to maximize federal personal property use and minimize unnecessary storage costs may not be effective. GSA has issued regulations establishing a government-wide disposal process for unneeded personal property. However, according to GSA officials, the agency lacks the authority to promulgate regulations or formal guidance on management of in-use agency property, and there is no government-wide guidance to agencies on identifying unneeded personal property. Agencies are required to have internal control activities\u2014such as policies and procedures\u2014for reasonable assurance of efficient operations and minimal resource waste, and the Office of Management and Budget (OMB) provides guidance to agencies on implementing such activities. Guidance from OMB that emphasizes agencies' internal control responsibilities could help ensure that agencies are proactively and regularly identifying property that is no longer needed.", "The selected agencies reported little difficulty in following GSA's personal property disposal process, reporting over 37,000 items as unneeded property in fiscal years 2012 through 2016. This property was disposed of through transfers to other agencies, donations to authorized recipients, sales, or discarding. When disposing of personal property from space reduction projects at locations GAO visited, agencies also reported using GSA's process (see figure). Overall, agencies said they have not experienced major challenges with disposing of personal property from space reduction efforts. This lack of challenges could be because projects are geographically dispersed and spread over several years."]}, {"section_title": "What GAO Recommends", "paragraphs": ["OMB should provide guidance to executive agencies on managing their personal property, emphasizing that agencies' policies or processes should reflect the requirement to continuously review and identify unneeded personal property. OMB did not comment on GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government owns and manages billions of dollars of \u201cpersonal property\u201d\u2014a term that refers to most government property other than real property\u2014ranging from common products, such as office equipment and furniture, to specialized apparatuses, including scientific devices and heavy machinery. In fiscal year 2016, federal civilian agencies reported $206 billion in personal property assets, but the actual amount owned is considerably higher. Each year, agencies identify thousands of items that are no longer needed, or \u201cexcess.\u201d In some cases, this classification is because the items are broken and cannot be repaired, or obsolete; however, many items are in good working order but are no longer needed to meet agencies\u2019 missions. Because this property was originally purchased with federal funds and represents a significant investment, the government seeks to promote its reuse by other federal agencies, to minimize new procurement costs, and by non-federal entities, in order to maximize the property\u2019s public benefit. The General Services Administration (GSA) plays a central role in the process of reusing and disposing of excess property and has issued regulations which govern agencies\u2019 personal property disposal. In fiscal year 2016, agencies reported disposing of more than 160,000 items (with an original acquisition cost reported at nearly $2 billion in nominal dollars) using GSA\u2019s disposal process. However, reports that we and others have previously issued have shown that this process is not always effective in maximizing use of property because, for example, agencies have retained property that they no longer need and that others could have used. Furthermore, government-wide space reduction initiatives\u2014such as Freeze the Footprint and Reduce the Footprint\u2014have encouraged agencies to reduce their domestic office and warehouse space and could have implications for how agencies identify and dispose of unneeded personal property. As agencies reduce office and warehouse space, they will also likely have to make arrangements for the personal property inside these spaces.", "You asked us to review agency processes for managing and disposing of federal personal property, including preparations to address excess personal property resulting from space reduction efforts. This report examines (1) how selected federal agencies assess whether personal property is needed and (2) how selected federal agencies dispose of unneeded personal property and how, if at all, space reduction efforts have affected these disposals.", "To address our objectives, we reviewed applicable federal statutes, regulations, and guidance regarding personal property management; our prior work; and reports by other federal agencies\u2019 offices of inspectors general on personal property issues. In addition, to determine how selected federal agencies assess whether personal property is needed, we selected five federal agencies and reviewed pertinent agency documents, such as personal property policies, and interviewed agency officials about their processes for managing personal property assets, such as their inventory procedures and asset management systems. These agencies are the Environmental Protection Agency (EPA), the Forest Service within the U.S. Department of Agriculture (USDA), GSA\u2019s Office of Administrative Services (GSA OAS), the Department of Housing and Urban Development (HUD), and the Internal Revenue Service (IRS) within the Department of the Treasury. In order to select agencies that were more likely to have relevant, recent experience with excess personal property from space reduction efforts, we ranked the 23 non-Defense agencies based on their Freeze the Footprint square footage reduction results, Reduce the Footprint space reductions goals, and the amount of declared excess personal property over the last 5 years, and eliminated the bottom third of the agencies. We selected GSA as our first agency due to its central role in personal property disposal and randomly selected four additional agencies from the remaining agencies. The information we obtained from these agencies about their personal property management is not generalizable to all federal agencies. We compared existing federal guidance related to personal property management and the selected agencies\u2019 policies and processes with federal internal control standards related to designing control activities. We also conducted literature searches to identify best practices in personal property or asset management. To identify criteria and examples of a formal process for assessing property for continued need, we reviewed federal regulations and agency policies on personal property management from the National Aeronautics and Space Administration (NASA) based on our prior work. We also interviewed GSA\u2019s Office of Government-wide Policy (GSA OGP) officials and Office of Management and Budget (OMB) staff to discuss regulations and policies pertaining to personal property and their role in personal property management.", "To determine how selected federal agencies dispose of excess and surplus personal property and how, if at all, space reduction efforts have affected disposals, in addition to the above, we conducted site visits to a non-generalizable selection of 2 locations\u2014Philadelphia, Pennsylvania, and Denver, Colorado\u2014to meet with regional and local officials from each of our agencies responsible for managing and disposing of excess personal property. We selected locations that had the highest number of our selected federal agencies present, the largest amount of personal property declared as excess, and space reduction projects. We discussed any impacts space reductions had on excess property and requested supporting documentation on the amount of property declared as excess and the disposition outcomes of that property. We did not independently verify the information that was provided because data reported as excess from space reduction projects is not always tracked separately from other property disposed of for other purposes. We also reviewed documents and interviewed officials from GSA\u2019s Office of Personal Property Management (GSA OPPM) in GSA\u2019s headquarters, in Philadelphia, and in Fort Worth, Texas. The GSA OPPM offices in these two cities have responsibility over the locations we selected to visit. We did not assess agencies\u2019 inventory processes and generally excluded certain types of personal property, such as aircraft and vehicles, from our review because we have reviewed or are reviewing these types of property in prior or ongoing work. We reviewed regulations governing some of these types of property as part of our work and some of the data on agencies\u2019 owned property and property they declared excess includes these items.", "We conducted this performance audit from July 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Appendix I contains additional information about our scope and methodology."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies\u2019 personal property may include commonly used items, such as computers, office equipment, and furniture, and more specialized property reflective of their mission, such as scientific devices, fire control equipment, heavy machinery, precious metals, generators, and chemicals. Some items require special handling, such as hazardous materials, animals, and firearms. See figure 1 for examples of federal personal property.", "Federal agencies manage personal property while they are using it. Specifically, executive agencies are required by law to: maintain adequate inventory controls and accountability systems for property under their control; continually survey property under their control to identify excess; promptly report excess property to GSA and dispose of it in accordance with GSA regulations; and use existing agency property or obtain excess property from other federal agencies before purchasing new property.", "GSA assists agencies when they no longer need personal property and has established a government-wide personal-property disposal process in federal regulation. The process generally begins when an agency declares a personal property item as \u201cexcess\u201d\u2014that is, the agency determines it no longer needs the item to carry out its mission. Agencies are to make this determination only after ensuring the property is not needed elsewhere within the agency. Once property is declared excess, there are four potential property disposal methods: transfer to another federal agency or certain non-federal entities, donation, sale, and abandonment or destruction. Federal agencies and some non-federal entities have the priority to acquire excess property, through transfer. If none of these eligible entities have requested the property for transfer after 21 days, the property becomes \u201csurplus\u201d\u2014that is, GSA determines that federal agencies no longer need the item to carry out their missions. Surplus property may be donated to eligible entities through a State Agency for Surplus Property, representing the state of the prospective donee. Property not donated within 5 days after the close of the 21-day screening period may be sold to the general public and, finally, unsold property may be abandoned or destroyed. See appendix II for an expanded description of the personal property disposal process.", "OMB is responsible for establishing government-wide management policies and requirements and provides guidance to agencies to implement them. OMB has issued guidance for specific types of personal property, such as for government aircraft and information technology systems. OMB also implemented the Freeze the Footprint and Reduce the Footprint initiatives, starting in 2012, to reduce the amount of domestic office and warehouse space needed by the federal government, in part, through consolidations and improved space utilization. As a result, federal agencies have reported achieving space reductions, and they have goals for additional reductions in the future. Although these reductions are a relatively small part of the federal government\u2019s overall footprint, according to OMB, through this and other efforts agencies collectively reduced their office and warehouse space by about 25 million square feet from fiscal years 2012 through 20156. As federal agencies continue to reduce office and warehouse space, they will also likely have to manage or dispose of personal property, such as office furniture or stored property, from these spaces."], "subsections": []}, {"section_title": "Selected Agencies Had Personal Property Accountability and Inventory Control Processes but Most Did Not Have a Formal Process for Assessing Property for Continued Need", "paragraphs": [], "subsections": [{"section_title": "Agencies Inventory Their Most Valuable and Sensitive Property", "paragraphs": ["Each of the five selected agencies we reviewed have policies and processes for carrying out their responsibilities to maintain adequate accountability systems and inventory controls for property under their control:", "All five agencies have policies for regularly inventorying their personal property to physically locate and verify property tracked in their asset management systems. EPA, GSA OAS, and IRS policies require physical inventories of personal property once a year, while Forest Service\u2019s policy requires inventories every other fiscal year and a 10 percent sample inventory in the alternate years. HUD policies require inventories every 2 years at its headquarters, but according to HUD officials, field locations conduct inventories annually.", "All of the agencies also have an electronic asset-management system for maintaining information on personal property. Although each agency has its own system, and the type of information maintained varied by agency or type of property, generally each system generates a record for each property item that provides descriptive information about the item, such as manufacturer name, model number, serial number or other identifier, acquisition cost, condition, and current location.", "We found that the five agencies use these policies and processes to track and inventory certain property determined by each agency to be \u201caccountable.\u201d Accountable property is nonexpendable personal property with an expected useful life of 2 years or longer that an agency determines should be tracked in its property records, based on an item\u2019s acquisition cost and sensitivity. Each agency determines its own appropriate acquisition cost threshold: four of the agencies\u2014EPA, Forest Service, HUD, and IRS\u2014consider property with an original acquisition cost of $5,000 or greater to be accountable; GSA OAS\u2019s accountable threshold is $10,000 or greater. In addition, certain sensitive property\u2014 such as digital cameras, laptop computers with hard drives, and firearms\u2014is considered accountable regardless of acquisition cost because it could be easily stolen or can store data or personal information.", "Table 1 provides a snapshot of accountable personal property items\u2014 including the reported original acquisition cost, amount, and examples\u2014 reported from 4 of the selected agencies\u2019 asset management systems in 2017.", "The agencies in our review generally did not track in their asset management systems or formally inventory their remaining\u2014or \u201cnon- accountable\u201d\u2014personal property that did not meet their definition of accountable property. According to agency officials we interviewed, they do not track or inventory low value items because: (1) the cost and manpower required to do so are too high; (2) certain property, such as office furniture, is less susceptible to theft; or (3) agencies believe they are not required by law to inventory low value items. While agencies are required to have systems of accounting and internal controls that provide effective control over, and accountability for, their assets, they generally have latitude in how they implement these procedures, including which property to track and inventory."], "subsections": []}, {"section_title": "Most Selected Agencies Did Not Have a Systematic Process for Assessing the Continued Need for Personal Property", "paragraphs": ["While the five selected agencies had policies and processes for their property accountability and inventory control responsibilities, they largely did not have policies and processes for carrying out their responsibilities, as established in law, to continually survey property under their control to identify excess. According to officials at each of the selected agencies, the responsibility for identifying unneeded property generally lies with that agency\u2019s property custodians\u2014designated officials who are assigned responsibility for the property\u2014or the agency program or individual using the property. Four of the five selected agencies\u2019 policies do not require property custodians or other property users to assess property for continued need. Furthermore, these four agencies\u2019 policies did not have specific criteria for the property custodian or user to assess property for continued need. Only IRS\u2019s personal-property management policy specifies that the property custodian is responsible for identifying excess property and provides criteria to be applied in doing so, such as whether property is still needed in its location and the feasibility of transferring it to other locations, taking into account the property\u2019s condition and transportation charges. An official at one of the selected agencies identified several specific criteria that should be used to assess property for continued need, including the item\u2019s serviceability, whether it poses a safety hazard, and the feasibility of relocating it. However, the official acknowledged that these or any other criteria are not part of the agency\u2019s formal policy.", "The personal property policy of an agency not included in our review\u2014 NASA\u2014includes requirements and criteria to review NASA property for continued need in multiple ways. For example, it requires a high-level NASA official to conduct a walk-through inspection annually to identify idle or underused equipment that is no longer needed and report it as excess. It also requires, as part of an annual property inventory, that property that appears to be excess, worn out, or in obvious need of repair be noted as such and that guidance on identifying unneeded property be provided to personnel involved in conducting the inventories as well as employees assigned to use the property.", "In addition to not having policies on identifying and assessing property for continued need, agencies we reviewed also did not have a systematic process for doing so. Instead, when describing situations in which they declared property as excess, officials said they typically did so as a result of a \u201ctriggering event.\u201d The types of triggering events the officials cited include an office move or consolidation or a lifecycle replacement of laptops. For example, officials from field locations of three of these agencies reported declaring most of their existing furniture as excess as the result of an office relocation or renovation. Agency officials said they were unable to use their existing furniture and had to declare it excess because it did not conform to new space utilization standards. At another agency, officials were disposing of a large number of laptop computers that had been declared excess because they had been replaced by new computers. Officials at two agencies said an assessment of property for continued need is an assumed practice that is part of the inventory for accountable property. However, an official from one of these agencies acknowledged that assessing need is not addressed in the written instructions provided to those conducting the inventory. Officials from two other agencies acknowledged that they continue to retain unneeded property that should be declared excess in storage on-site but had not pursued disposal due to other competing responsibilities with higher priorities.", "Proactively assessing personal property for continued need instead of responding to a triggering event can help agencies achieve both effective and efficient operations by ensuring that only needed property is retained and unneeded property is identified and declared excess. Federal internal control standards require that agencies design and maintain internal control activities\u2014such as policies and procedures\u2014to identify risks arising from mission and mission-support operations, and to provide reasonable assurance that agencies are operating in an efficient manner that minimizes the waste of resources. Such a system also provides reasonable assurance that agency property is safeguarded against waste, loss, or unauthorized use. OMB staff and GSA officials agreed that assessing all types of property\u2014accountable and non-accountable\u2014for continued need is important and called-for by internal control standards. Because the agencies we reviewed did not have systematic processes for assessing the continued need for personal property, they may not be aware of potential risks of maintaining property that may no longer be needed for operational purposes.", "Furthermore, previous work others have performed has shown that inaction on unneeded or idle property can limit efficient use of the government\u2019s personal property, unnecessarily use an agency\u2019s resources, or miss opportunities for potential cost savings, for example:", "The Department of Homeland Security\u2019s Inspector General found that the U.S. Coast Guard could not ensure that personal property was efficiently reutilized or properly disposed of to prevent unauthorized use or theft because the Coast Guard did not have adequate policies, procedures, and processes to identify and screen, reutilize, and dispose of excess personal property properly, including criteria for identifying such property.", "The EPA\u2019s Inspector General estimated EPA could save $8.9 million in reduced warehouse costs through improved management of stored personal property.", "GSA personal property asset management studies conducted in 2003 and 2005 found, among other things, that personal property is not being used to its fullest extent in some agencies and that no government-wide usage assessment or standard exists to detect whether property is no longer needed and can be reported as excess.", "Without a triggering event, agencies may not be seeking out or identifying property that is no longer needed and declaring it excess as often as they should. Such unneeded property may be put to better use elsewhere within the agency or the federal government, or agencies may purchase or lease new property instead of using another agency\u2019s property that is unneeded but not reported as excess. In addition, agencies may be missing opportunities to realize cost savings by identifying and disposing of unneeded property, such as property stored in warehouses, to reduce or make better use of that space.", "While the requirements for agencies to continually survey property under their control to identify excess is established in law, according to GSA officials, there are no government-wide regulations on managing personal property or fulfilling this specific requirement. According to GSA OGP officials, GSA does not have the authority to promulgate regulations or issue formal guidance on personal property that is in use by executive agencies. Furthermore, according to the officials, GSA is only authorized by law to prescribe regulations on excess and surplus personal property. OMB staff stated that they could issue a notification, such as a controller alert to agencies\u2019 chief financial officers, to reinforce the statutory requirement that agencies conduct assessments of personal property for continued need. OMB periodically issues such alerts to highlight emerging financial management issues for agencies and also issues guidance to agencies through bulletins, circulars, and memorandums. By issuing a controller alert or other guidance, OMB can help ensure that agencies are proactively taking steps to evaluate their property for continued need, including developing appropriate policies for doing so, and can thereby improve efforts to promote maximum use of excess personal property."], "subsections": []}]}, {"section_title": "Selected Agencies Used GSA\u2019s Disposal Process to Dispose of Unneeded Property, Including Property from Space Reductions Selected Agencies Used a Structured Disposal Process for Personal Property", "paragraphs": ["Officials from the five agencies we reviewed reported that they followed GSA\u2019s automated process to dispose of property once they had made the determination it was no longer needed to support their agency\u2019s mission. As previously described, GSA regulations on disposing of property establish a specific process for all executive agencies to follow, and GSA has also issued guidance to help agencies dispose of property under this process. In particular, once an agency has determined that the property it has is no longer needed within the agency, the agency is required to promptly report the property to GSA as excess, typically by entering information about it into GSAXcess, GSA\u2019s web-based system for facilitating personal property disposal. This method requires agency employees to manually enter information using data entry screens that include help screens and error messages. GSA encourages agencies to provide a complete description of the property and to include multiple photographs of it. Officials from the five agencies we reviewed reported no significant difficulties with entering information into GSAXcess; collectively, these agencies reported over 37,000 items as excess property from fiscal year 2012 through 2016. Figure 2 indicates the number of items each selected agency reported to GSA as excess during that period.", "Once information entry is completed, the disposal process begins. If the property is not disposed of during one stage, it advances to the next stage. The disposal process is shown in figure 3.", "Agency officials we interviewed told us that responsibility for disposing of property is decentralized and typically occurs at the property\u2019s location, whether at an agency headquarters, regional office, or lower level. Because of the large federal government presence in the Washington, D.C., area, agency offices in that area may have access to resources to facilitate the disposal process that are unavailable elsewhere, such as transferring excess property to certain entities that complete some or all aspects of the disposal process for a fee. Two such entities are GSA\u2019s Personal Property Center in Springfield, Virginia, which takes full accountability and control of an agency\u2019s excess property for a fee and handles all the details of the disposal process, and USDA\u2019s Centralized Excess Property Operation in Beltsville, Maryland. According to USDA\u2019s Agriculture Property Management Regulations, property not needed by USDA or its bureau offices in the Washington, D.C., area must be transferred to this office for final disposal actions. It also provides these same services to some non-USDA agencies.", "Agencies also use GSAXcess to search for and select available excess property. Agency officials told us that the system also sends disposition instructions to the property-holding agency, when the property is to be transferred to other federal agencies, donated, or sold and that the agencies follow these instructions. For example, when an agency requests an excess item in GSAXcess and GSA approves the request, the system notifies the requesting agency and the property-holding agency and provides contact information to arrange to complete the transaction. None of the selected agency officials reported difficulties completing a transfer or donation transaction. For property not transferred, donated, or sold, GSA notifies the agency that the property has no commercial value and can be abandoned or destroyed. All of our selected agencies reported trying to recycle such property."], "subsections": [{"section_title": "Selected Agencies Reported Little Difficulty Disposing of Personal Property from Space Reduction Initiatives", "paragraphs": ["Selected agency officials told us they disposed of property from space reduction efforts, such as Freeze the Footprint and Reduce the Footprint, the same way as other personal property\u2014using GSA\u2019s disposal process. To meet space reduction goals, selected agencies are undertaking projects at dozens of locations. Projects have primarily involved leased space for offices and warehouses and have included office moves, consolidations, and closures.", "As federal agencies carry out these space reduction projects, they must also address any personal property in the project spaces. Selected agencies reported several factors that affected their decisions about this property, which for three of the agencies was primarily office furniture. Four agencies reported needing less space than they previously occupied because of changes in agency missions or staffing levels. Furthermore, officials from GSA OAS and IRS noted that workplace trends, including teleworking and decreased staffing, reduced the space needed. Finally, agencies also reported that the office furniture itself was mostly unsuitable because it was old and because it could not be configured for use in more efficient office space designs. As a result, some selected agency locations that completed an office move or renovation project reported that most of their existing furniture was not needed in their new space. For example, in its Reduce the Footprint plan for fiscal years 2017 through 2021, HUD noted that many of its locations were designed and furnished when it had a much larger staffing level and reported that in 2016, its usable square feet per employee was 356. Subsequently, HUD revised its space design standards, requiring future office spaces to adhere to a utilization rate of 175 square feet or less. At the HUD project we visited, an official told us the furniture in use before the project was old and was generally too large to be used to achieve space design standards.", "In 2017, Housing and Urban Development (HUD) reduced its Denver regional office space by 30 percent. HUD\u2019s lease was expiring and it needed less space because it had fewer employees in the office, in part due to increased telework. Adhering to new space utilization standards in its office and furniture design further reduced HUD\u2019s overall required space. An example of a new workstation is shown above. Before the project, the agency occupied about five floors of a commercial building. HUD renovated in place, one floor at a time, and replaced its existing office furniture with new. Personal property at this office included primarily office furniture, such as desks and 25-year old modular systems, and equipment, such as telephones. As each floor was completed and employees moved to new workstations, the property official on-site disposed of their old furniture and workstations by entering its information in GSAXcess. The official reported selling some of the excess furniture after completing the first floor but recycled or discarded excess furniture in subsequent rounds.", "In some cases, agencies did not dispose of all the personal property after a space reduction project but instead were able to retain it for other uses within the agency. For example, IRS officials reported closing an office in Englewood, Colorado, and transferred its furniture to Ogden, Utah, for storage for an upcoming project. GSA OAS officials in Denver said that after a space reduction project in which GSA decreased the size of its regional office, it retained the unneeded furniture and office space for temporary use by other agencies. For property that was declared excess following a space reduction project, agencies reported transferring, donating, and selling property to dispose of it, using GSA\u2019s process. For example, officials in GSA OAS, Forest Service, and IRS locations told us they transferred some excess property to other federal agencies. The Forest Service in Denver transferred some modular office furniture to the Bureau of Land Management and the U.S. Postal Service. The Forest Service and IRS also reported donating property, such as office furniture and equipment, through the State Agencies for Surplus Property program. Four agencies reported selling some of their property from a space reduction project. For example, HUD\u2019s regional office in Denver sold some of its excess office furniture, which dated to 1992, and recycled or discarded the remainder.", "When disposing of property from a space reduction project, some agencies sought assistance from GSA. GSA\u2019s Office of Personal Property Management (GSA OPPM) assists agencies, when requested, in disposing of personal property, and officials at selected agency locations reported receiving assistance and training. In one example, GSA officials told us that a regional office of a selected agency needed to dispose of an office full of furniture and, in addition to using the disposal process, contacted GSA OPPM for additional assistance. Because of the large amount of property, GSA OPPM took steps to make other agencies in the area aware of the available property and facilitated access to allow agencies to view the property. In another example, GSA OPPM officials met with officials from another agency in the planning stages of a relocation to answer questions and provided advice and guidance for disposing of personal property.", "When the Forest Service\u2019s lease on its Denver-area office expired, the agency leased space in another location, requiring a move but reducing its office by over 21,000 square feet. The agency sought to conform to new space utilization standards, which required more efficiently-designed furniture than its existing office furniture. Because the Forest Service did not reuse most of its old furniture in its new space, it no longer had a need for it. The Forest Service retained some of the furniture for use in other Forest Service offices within the region and declared the remainder as excess. Through GSAXcess, the Forest Service transferred some of its excess furniture to other federal agencies, such as the Bureau of Land Management and the U.S. Postal Service. The Forest Service sold some furniture at auction; broken items were recycled.", "Agencies may dispose of large amounts of property during a space reduction project, but overall, agency officials reported few challenges in doing so. This may be in part because any effects from space reductions are distributed across an entire agency. Although selected agencies\u2019 average Reduce the Footprint space reduction goals ranged from 97,000 square feet to 662,000 square feet each fiscal year from 2016 to 2020, each agency\u2019s efforts consisted of dozens of geographically dispersed projects of various sizes to be completed over several years. For example, as of fiscal year 2016, EPA had 21 space reduction projects planned from fiscal years 2016 through 2021, with individual anticipated reductions ranging from less than 1,000 square feet to more than 140,000 square feet. At least one project is present in 8 of EPA\u2019s 10 regions. Agencies\u2019 ability to pay for space reduction projects may also have affected these projects\u2019 effects. Two selected agencies said they delayed projects because of a lack of funding. Agencies may reduce costs over the long term because of lower rent for smaller spaces but they may have to pay some expenses upfront, such as for moving, renovations, and new furniture.", "Although officials from all five agencies told us they have been able to manage personal property disposals from space reductions, they identified factors that can impact the efficient use of the disposal process during a space reduction project and some strategies taken to address them: Inventorying non-accountable property: As a space reduction project commenced at a location, most selected agencies reported that they did not have a complete list of the personal property affected by the project. As previously described, selected agencies do not maintain an itemized list of non-accountable personal property and for four agencies, office furniture is generally non-accountable. During a space reduction project, property personnel had to develop some type of inventory to identify property that would be needed and property that should be disposed of. Selected agencies had various methods for conducting such an inventory. For example, officials from two agencies said they walked through the affected space and created a list of all the items. Officials from one agency said a contractor was hired for this purpose. Most agencies reported using the inventory they created to enter information on excess property into GSAXcess. Officials at GSA\u2019s OPPM offices in Philadelphia and Fort Worth said that they offer training and guidance to agencies in conducting inventories.", "Managing disposals within time frames: Agencies generally are not able to begin the disposal process until the property is no longer in use. For example, agency staff continue to use their old workspaces until they can move to new workspaces. Agencies also face deadlines, such as vacating space due to a lease expiration or commencement of renovation work. Officials from three agencies described challenges completing the disposal process\u2014reporting excess personal property as well as completing transactions to transfer, donate, sell or abandon or destroy it\u2014within required time frames. Some agency officials reported using different strategies to address this timing challenge. For example, one agency official was able to enter information about the excess property items into GSAXcess while employees were still using them. According to the official, this was possible because a note could be included in the property item\u2019s description in GSAXcess, with the date when the property would be available. When the property was no longer in-use within the agency, the transfers or other transactions were completed. Additionally, an agency may conduct an on-site screening of its unneeded property to allow other federal agencies or authorized parties to physically view and identify any furniture they want. For example, GSA OPPM officials in Philadelphia conducted an on-site screening of unneeded office furniture resulting from the agency\u2019s regional office relocation."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Federal agencies collectively have billions of dollars\u2019 worth of personal property, ranging from office furniture to highly specialized equipment that, when in use, supports agency missions. However, the agencies in our review did not have policies and systematic processes for identifying unneeded property. Furthermore, other\u2019s previous work has shown that agencies across the government may not be effectively assessing their property for continued need, leading to idle property that could be put to better use elsewhere within the agency or the federal government and potential unnecessary storage costs. Consequently, agencies may be retaining property that is no longer needed. GSA has recognized that opportunities may exist for agencies to more effectively manage property under their control, but according to GSA OGP officials, GSA\u2019s authority is limited to agency property that has been declared excess or surplus. According to OMB staff, OMB has the authority to issue guidance, such as controller alerts, emphasizing agencies\u2019 property management obligations, and thus, it is well-positioned to assist agencies to more effectively manage their property and to ensure unneeded property is made available to others, as appropriate."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Director of OMB should provide guidance to executive agencies on managing their personal property, emphasizing that agencies\u2019 policies or processes should reflect the requirement to continuously review and identify unneeded personal property. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to OMB, EPA, the Forest Service, GSA, HUD, and IRS for comment. OMB stated that it did not have any comments on our draft report in an email and provided a technical clarification to the report, which we incorporated. GSA and IRS provided technical comments in an email, which we incorporated as appropriate. EPA, the Forest Service, and HUD each stated in an email that they did not have any comments on the draft report.", "We are sending copies of this report to the appropriate congressional committees, the Director of the Office of Management and Budget, the Administrator of the Environmental Protection Agency, the Secretary of the U.S. Department of Agriculture, the Administrator of the General Services Administration, the Secretary of the Department of Housing and Urban Development, and the Secretary of the Department of the Treasury. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff making key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to examine (1) how selected federal agencies assess whether personal property is needed and (2) how selected federal agencies dispose of unneeded personal property, and how, if at all, space reduction efforts have affected disposals. We excluded certain types of personal property, such as aircraft and vehicles, from our review because of our prior or ongoing work. To address our objectives, we reviewed applicable federal statutes and regulations pertaining to personal property management and disposal, our prior work, and reports by federal agencies\u2019 Offices of Inspector General on personal property issues.", "In addition, to determine how selected federal agencies assess whether personal property is needed, we conducted background searches to inform our understanding of key practices for personal property and asset management through a search of databases containing peer-reviewed articles, government reports, general news, hearings and transcripts, and association and think tank papers. We also reviewed relevant asset management practices, such as ASTM standards and the General Services Administration\u2019s (GSA) Federal Asset Management Evaluation and Personal Property Asset Management Study. In order to select agencies that may have had recent experiences with excess personal property, we selected 5 of the 24 agencies that were included in the Freeze the Footprint and Reduce the Footprint initiatives. We selected agencies based on their overall Freeze the Footprint results, in terms of the amount of square feet reduced, and Reduce the Footprint goals for reducing domestic office and warehouse space, and the amount of personal property declared excess over the last 5 years, as reported to GSA\u2019s GSAXcess system from fiscal years 2012 to 2016, to coincide with the Freeze the Footprint time frame. Specifically, we obtained information on the Freeze the Footprint results and Reduce the Footprint goals from the Office of Management and Budget\u2019s public website and from Performance.gov. We limited our scope to civilian federal agencies with personal property within the United States. Although we have previously reported that the overall accuracy of data that agencies reported on office and warehouse space reductions could be improved, we found that the data were generally reliable for our purposes. After reviewing the data for any inconsistencies and discussing the information with selected agency officials to ensure that the reported numbers for the Reduce the Footprint initiative were current, we determined that the quality of the data were sufficient for our use in selecting agencies. In order to select agencies that were more likely to have relevant, recent experience with excess personal property from space reduction efforts, we ranked these agencies based on their Freeze the Footprint results, Reduce the Footprint goals, and the amount of declared excess personal property, and eliminated the bottom third of the agencies. We selected GSA as our first agency due to its central role in excess personal property disposal, and randomly selected four additional agencies from the remaining agencies. These agencies were the Environmental Protection Agency, the U.S. Department of Agriculture, the Department of Housing and Urban Development, and the Department of the Treasury. The organizational structure of two selected agencies, the Department of Agriculture and the Department of the Treasury, is different than the other three agencies in that they are comprised primarily of sub-agencies. Therefore, we selected the largest sub-agency for both departments\u2014the Forest Service within the Department of Agriculture and the Internal Revenue Service within the Department of the Treasury.", "We obtained information from the five selected federal agencies on the total value and number of items in their asset management systems in 2017 to understand the size and scope of personal property assets they manage. As we used the information to describe the scope of the agencies\u2019 property holdings, we did not verify the data. We also analyzed documents, such as the selected agencies\u2019 personal property management policies, along with policies from the National Aeronautics and Space Administration and Department of Energy, to understand how they addressed requirements for managing personal property. We included these agencies\u2019 policies based on our review of prior work related to personal property. We interviewed officials from the selected agencies about their processes for managing personal property assets, such as their inventory procedures. However, we did not independently assess agencies\u2019 inventory practices. We also interviewed staff from the Office of Management and Budget (OMB) to discuss regulations and policies pertaining to personal property and OMB\u2019s role in personal property management.", "To determine how selected federal agencies dispose of excess and surplus personal property and how space reduction efforts may have affected disposals, in addition to the above, we obtained information from each selected agency on its space reduction projects and interviewed officials about their roles and responsibilities in the agency\u2019s space reduction planning efforts and personal property disposal process. We also conducted site visits to Philadelphia, Pennsylvania, and Denver, Colorado to meet with regional and local officials from each selected agency responsible for managing and disposing of personal property. These locations were chosen based on the number of our selected federal agencies present, the amount of excess personal property declared, and the existence of space reduction projects. We discussed property accountability policies, overall personal property disposal processes, and how the disposal processes were affected by government-wide space savings initiatives, such as Freeze the Footprint and Reduce the Footprint, and any efforts to prepare for them, and requested supporting documentation on the amount of property declared as excess and the disposition outcomes of that property. We did not independently verify the information that was provided, as data reported as excess from space reduction projects are not always tracked separately from other property disposed of for other reasons. We reviewed documents and interviewed officials from GSA\u2019s Office of Personal Property Management (GSA OPPM) in GSA\u2019s headquarters, in Philadelphia and in Fort Worth, Texas, to discuss their role in assisting agencies in disposing of personal property and to obtain their views on how personal property disposals have been affected by space reductions. Finally, we interviewed GSA\u2019s Office of Government-wide Policy (GSA OGP) officials about the Interagency Committee on Property Management and the Property Management Executive Council regarding their personal property and asset management efforts and met with officials and representatives from the following: the U.S. Department of Agriculture\u2019s Centralized Excess Property Operation, the Users and Screeners Association\u2013Federal Excess Personal Property, and the National Association of State Agencies for Surplus Property to discuss their roles in the reuse and disposal of Federal personal property.", "We conducted this performance audit from July 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: The Disposal Process for Federal Personal Property", "paragraphs": ["The Federal Property and Administrative Services Act of 1949, as amended, requires executive agencies, in part, to promptly report excess property to the General Services Administration (GSA) and dispose of it in accordance with GSA regulations. Each executive agency is also required to fulfill requirements for personal property by using existing agency property or by obtaining excess property from other federal agencies before purchasing new property. GSA\u2019s disposal process, as laid out in federal regulation, incorporates and facilitates these requirements, providing a means for both disposing of and acquiring unneeded property: agencies with excess personal property can dispose of it and other agencies, authorized non-federal entities, and, eventually, the general public can acquire this property."], "subsections": [{"section_title": "Disposal before Declaring Property as Excess to GSA", "paragraphs": ["After determining that a property item is no longer needed to complete its mission, an agency may have several options for proceeding before formally declaring the property as excess to GSA: Immediately authorize abandonment or destruction of the property: Determine, in writing, that the property has no commercial value or the estimated cost of its continued care and handling would exceed the estimated proceeds from its sale. If an agency makes such a determination, it may abandon or destroy the property without reporting it to GSA as excess. In lieu of abandonment or destruction, an agency may donate excess personal property to a public body without going through GSA.", "Directly transfer the property to another federal agency: Agencies usually become aware of available property through informal means, such as a contact at the disposing agency, according to GSA. GSA approval for such a transfer is not needed if the total original acquisition cost for each item does not exceed $10,000. If this cost is greater than $10,000, the acquiring agency must obtain prior approval from GSA. In either case, the acquiring agency must notify GSA of the transfer.", "Directly transfer the property to an eligible recipient under a special authority: Special authorities are legal provisions that are designed to give excess assets to groups that may use them for a particular purpose, such as universities that can use the National Aeronautics and Space Administration\u2019s scientific equipment in their research. Some authorities exist to collectively support all federal agencies and some support an agency-specific program. According to GSA, the primary government-wide programs are the Stevenson-Wydler Technology Innovation Act of 1980 and Executive Order 12999, also known as the Computers for Learning program. Recipients meeting eligibility requirements of the special authority contact agencies to determine the availability of property, and the agency and recipient must complete the appropriate documentation to make a record of the transfer."], "subsections": []}, {"section_title": "Disposal Process after Declaring Property as Excess to GSA", "paragraphs": ["An agency initiates GSA\u2019s disposal process by formally declaring property as excess, either by completing and submitting a form to GSA or, more typically, by electronic entry of an item into GSAXcess, GSA\u2019s real-time, Web-based site for facilitating the disposal process. The latter method requires agency employees to enter information about the excess property using data entry screens that include help screens and error messages. GSA encourages reporting agencies to provide a complete description of the property and to include multiple photographs of the property.", "The disposal process generally consists of four sequential stages in which personal property may be transferred to another agency or eligible recipient, donated, sold, or abandoned or destroyed, as described below. If the property is not disposed of during one stage, it advances to the next stage, though the holding agency generally retains physical custody of the property until it is disposed of. Table 2 illustrates actions a disposing agency and eligible property recipients take during each of the four stages of the disposal process after an agency declares property excess."], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, the following individuals made important contributions to this report: David J. Wise (Director), Nancy Lueke (Assistant Director), Travis Thomson (Analyst-in-Charge), Lacey Coppage, Rosa Leung, Josh Ormond, Amy Rosewarne, Pamela Vines, and Elizabeth Wood."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-219", "url": "https://www.gao.gov/products/GAO-19-219", "title": "Manufacturing Extension Partnership: Centers Cite Benefits from Funding Change, but Impacts Hard to Distinguish from Other Factors", "published_date": "2019-03-07T00:00:00", "released_date": "2019-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Small and medium-sized manufacturers are an important part of the U.S. economy. In 1988, to enhance the competitiveness, productivity, and technological performance of U.S. manufacturing, NIST established what is now called the MEP program. The program supports manufacturers through services provided by MEP centers. The centers, located in all 50 states and Puerto Rico, are operated by nonfederal organizations. The MEP centers provide assistance, either directly or through third parties, to help improve manufacturing firms' processes and productivity; expand their capacity; and help them adopt new technologies, utilize best management practices, and accelerate company growth. NIST enters into a cooperative agreement with the nonfederal organization that runs each center to provide federal financial assistance conditional upon the center contributing nonfederal matching funds\u2014known as a cost share.", "The AICA included a provision for GAO to review the effect of the 2017 cost share adjustment. This report describes (1) the MEP centers' views regarding the extent to which the recent cost share adjustment has helped them serve manufacturers and (2) the extent to which NIST data show impacts of the cost share adjustment on centers' finances and activities. GAO surveyed all 51 MEP centers, analyzed NIST data on the MEP program, and interviewed NIST and MEP center officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Most Manufacturing Extension Partnership (MEP) centers reported that the January 2017 American Innovation and Competitiveness Act (AICA) cost share adjustment has helped them serve manufacturers, especially very small (i.e., less than 20 employees) and rural ones. The AICA adjusted the cost share ratio to remain at 1:1, that is, $1 of nonfederal contributions for each $1 of federal assistance. Before the adjustment, MEP centers' cost share requirement increased over the course of their cooperative agreements from 1:1 to 2:1, requiring centers to obtain a greater proportion of revenue from nonfederal sources. In GAO's survey of all 51 MEP centers, 44 centers cited positive effects of the adjustment on center operations, such as helping to improve center services or better reach underserved manufacturers. Also, 41 centers indicated the adjustment increased their financial stability, which some centers stated has allowed them to focus less on revenue generation and to serve very small and rural manufacturers. However, some MEP center officials observed that the AICA cost share adjustment impact is hard to distinguish from other factors, such as the National Institute of Standards and Technology's (NIST) recompetition of nearly all centers' cooperative agreements between fiscal years 2014 and 2017. The recompetition increased the level of federal financial assistance for most centers and reset many centers' cost share ratio from 2:1 to 1:1 prior to the 2017 adjustment. Still, center officials said that if the cost share requirement reverted to what it was prior to the 2017 adjustment, centers would be less able to serve manufacturers, particularly very small and rural ones.", "NIST data show that there have been some changes in MEP centers' finances and activities since the AICA cost share adjustment; however, these changes generally began prior to the adjustment. For example, NIST data on centers' finances show an increase in federal assistance and a decrease in reported nonfederal contributions from fiscal year 2017 to 2018, but these changes generally began around fiscal year 2014, when NIST began the recompetition process. Similarly, NIST data on centers' activities show an overall increase in the numbers of very small and rural manufacturers served from fiscal year 2017 to 2018. While the change in the number of very small manufacturers served began around fiscal year 2014, the number of rural manufacturers served fluctuated from fiscal years 2014 through 2018. Like MEP center officials, NIST officials said the impact of the AICA cost share adjustment is intertwined with the recompetition impacts and, going forward, the AICA adjustment may help sustain recent increases in the number of very small and rural manufacturers served."]}], "report": [{"section_title": "Letter", "paragraphs": ["Small to medium-sized manufacturers are an important part of the U.S. economy. According to the U.S. Census Bureau, in 2016 there were about 290,000 firms in the United States with fewer than 500 employees, representing nearly 99 percent of the nation\u2019s manufacturers and employing about 8.4 million people. To enhance the competitiveness, productivity, and technological performance of the U.S. manufacturing sector, in 1988 Congress directed the Director of the National Institute of Standards and Technology (NIST) to establish a public-private program, now known as the Hollings Manufacturing Extension Partnership (MEP) program. NIST\u2019s MEP program supports manufacturers primarily through the efforts of nonfederal centers, known as MEP centers. The MEP centers provide assistance, either directly or through third parties, to help improve manufacturing firms\u2019 processes and productivity; expand their capacity; and help them adopt new technologies, utilize best management practices, and accelerate company growth. The program has grown from a pilot program of three centers for which Congress appropriated $7.5 million as part of the annual appropriations process for fiscal year 1989 into a national network of 51 centers, located in all 50 states and Puerto Rico, for which Congress appropriated $140 million as part of the annual appropriations process for fiscal year 2018. In 2018, the MEP program employed around 51 full-time equivalent federal staff at NIST and about 1,400 nonfederal technical experts at the 51 centers. According to NIST data, the MEP program served more than 8,400 manufacturers in fiscal year 2018.", "NIST provides funding to the MEP centers on a cost share basis; that is, NIST and the MEP centers share the operating costs for the program. A nonfederal organization\u2014generally a nonprofit institution, state agency, or university\u2014is responsible for operating each MEP center. NIST enters into a cooperative agreement with the nonfederal organization to award federal financial assistance conditional upon the center contributing matching funds and receiving a positive performance evaluation; the agreement may be renewed annually. The funding model for the centers has evolved over the years. Under the original legislation, every $1 contributed by a center was matched by $1 of federal assistance (or a 1:1 cost share ratio) for the first 3 years of the center\u2019s cooperative agreement, and federal assistance gradually decreased to zero by the end of the sixth year. For the fourth through sixth years of a center\u2019s cooperative agreement, the legislation directed the Secretary of Commerce to determine the cost share. In 1990, NIST established the cost share ratios for the fourth through sixth years as 3:2 after 3 years, 7:3 after 4 years, and 4:1 after 5 years. Three years later, NIST changed those ratios to 3:2 after 3 years and 2:1 after 4 years. In January 2017, the American Innovation and Competitiveness Act (AICA) was enacted. Among other things, the AICA adjusted the cost share to 1:1 for the life of the cooperative agreement.", "The AICA also includes a provision for GAO to submit a report within 2 years to the appropriate committees of Congress that analyzes, among other things, whether the cost share adjustment has any effect on the services provided. This report describes (1) MEP centers\u2019 views regarding the extent to which the recent cost share adjustment has helped them serve manufacturers and (2) the extent to which NIST data show impacts of the cost share adjustment on centers\u2019 finances and activities.", "To describe the MEP centers\u2019 views regarding the extent to which the recent cost share adjustment has helped them serve manufacturers, we sent a survey to all 51 MEP centers and received a response from every center. To obtain additional information on MEP centers\u2019 views, we also conducted follow-up interviews with officials from nine MEP centers using a standard set of questions. We selected these centers to represent a variety of characteristics, such as the number of manufacturers in the state and whether the center is run by a nonprofit institution, state agency, or university.", "To describe the extent to which NIST data show impacts of the cost share adjustment on centers\u2019 finances and activities, we obtained and analyzed NIST data on MEP centers\u2019 finances and activities for fiscal years 2013 to 2018. We reviewed NIST guidance for the MEP program and interviewed NIST and MEP center officials to gain an understanding of the data NIST collects and any changes in the data. We assessed the reliability of the data by reviewing agency documentation, verifying some data against other sources, and interviewing NIST officials and selected centers. While our efforts indicated some factors caused certain aspects of centers\u2019 financial and activity data to be underreported to some extent, as noted in the report, we believe the data are the best available and are sufficiently reliable for identifying general changes in MEP centers\u2019 finances and activities as a result of the cost share adjustment.", "To gain additional insight on the impact of the cost share adjustment, we also interviewed NIST officials, members of the MEP Advisory Board, and the head of an association representing the MEP centers. To see firsthand how a MEP center serves manufacturers, we visited a MEP center in Bothell, Washington, and a manufacturer in Woodinville, Washington, that used services from that MEP center. For additional information about our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from March 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["According to its strategic plan for 2017 through 2022, the MEP program aims to strengthen and empower U.S. manufacturers by providing them with the information and tools to improve productivity, assure consistent quality, and accelerate the transfer of manufacturing technology into production processes and new products. MEP centers do not all offer the same services; however, across the network, their services span areas such as the following:", "Lean services. These services help manufacturers implement tools and practices to incorporate \u201clean\u201d manufacturing principles, which involve producing more with existing resources through eliminating and reducing incidental work or non-value-added activities.", "Quality services. These services help manufacturers implement management systems to achieve a defined industry-specific or general quality certification or standard.", "Growth services. These services provide manufacturers with the tools and methods to identify and target opportunities to develop new products, markets, services, or customers.", "Technology/product development services. These services help manufacturers identify, develop, and diffuse technology and new products.", "Workforce services. These services help manufacturers recruit, retain, or develop human resources.", "Some centers provide services directly to manufacturers, and others, to varying extents, use external consultants to provide services. In fiscal year 2018, the 51 MEP centers served 8,425 manufacturers encompassing a variety of manufacturing subsectors (see fig. 1).", "To receive federal financial assistance from NIST, MEP centers must match the federal contribution with a nonfederal contribution. MEP centers provide their nonfederal contributions through various means, such as fees collected from manufacturers for services provided or in the form of cash or in-kind contributions from other sources, such as state or local governments, trade associations, or community colleges. MEP centers may receive nonfederal resources in any of those forms in excess of the amount needed to match the federal contribution.", "Prior to the 2017 AICA cost share adjustment, we, NIST, and others reported on issues associated with the cost share structure for the MEP program. For example: In April 2011, we reported that MEP centers identified positive and negative effects of the cost share structure in place at the time. Positive effects of the cost share structure included encouraging MEP centers to leverage resources and emphasize services relevant to manufacturers, and negative effects included MEP centers spending more time and effort seeking cost share matching funds and focusing more on larger clients that could pay higher fees and less on rural clients.", "In July 2013, NIST analyzed the cost share structure and found that it provided MEP centers with incentives to make strategic and operational decisions based largely on which services generated revenue rather than on which services manufacturers needed to be competitive. NIST recommended several criteria upon which to base the MEP program\u2019s cost share, such as encouraging delivery of innovative services, providing financial stability, and enabling the program to adapt quickly to changing economic conditions and the needs of small and medium-sized manufacturers. NIST requested that the MEP Advisory Board review this analysis and provide recommendations on how best to structure the cost share requirement to provide for the long-term sustainability of the program.", "In October 2013, the MEP Advisory Board responded to a request in NIST\u2019s July 2013 report with a letter to the NIST Director largely echoing the findings of the earlier reports\u2014for example, that the cost share structure in place at the time made it more difficult to serve smaller and rural clients and drove centers to focus on larger manufacturers that could pay fees. The MEP Advisory Board recommended, among other things, adjusting the cost share ratio to 1:1.", "In 2014, we reported on NIST\u2019s spending on the MEP program and found that NIST\u2019s financial assistance to MEP centers did not take into account variations across service areas in the demand for program services and the cost of providing services. We recommended that the Secretary of Commerce revise the program\u2019s cooperative agreements to account for such variations. Subsequently, from 2014 through 2017, NIST undertook a system-wide recompetition of MEP centers\u2019 cooperative agreements to better align center funding levels with the national distribution of manufacturing activity and cost of providing services. As a result, NIST recompeted most MEP centers\u2019 cooperative agreements and reduced the number of centers to 51, with a single center in each state and Puerto Rico. Additionally, the recompetition provided for a new minimum annual funding level of $500,000 per center (previously eight centers were below this mark) and nearly $20 million more in federal financial assistance for 34 of the centers. According to NIST\u2019s 2017 congressional budget request, recompetition would increase the capacity and capability of the MEP centers to help small and medium-sized manufacturers, including very small manufacturers\u2014those with fewer than 20 employees\u2014and rural manufacturers."], "subsections": []}, {"section_title": "Most Centers Reported that the Cost Share Adjustment Has Helped Them Better Serve Manufacturers, but Some Officials Noted that the Impact Is Hard to Measure", "paragraphs": ["In response to our survey, most MEP centers reported that the AICA cost share adjustment has helped them serve manufacturers, but some center officials indicated that the impact is hard to measure. Specifically, most MEP centers we surveyed reported that the AICA\u2019s adjustment of the cost share to 1:1 for the life of a center\u2019s cooperative agreement has increased their financial stability and helped them serve very small and rural manufacturers. According to the survey results, centers run by nonprofit organizations reported greater impacts of the cost share adjustment than those run by states or universities. In follow-up interviews, some MEP center officials indicated that the impact is difficult to measure because of other recent changes that have also impacted their ability to serve manufacturers."], "subsections": [{"section_title": "Most Centers Reported that the Cost Share Adjustment Has Increased Financial Stability and Enhanced Their Ability to Serve Very Small and Rural Manufacturers", "paragraphs": ["In response to our survey, most of the 51 MEP centers reported that the cost share adjustment has had a positive impact on their finances, particularly by increasing their financial stability. Specifically, in their responses to an open-ended question on the effect of the cost share adjustment on the overall financial resources to support center operations, 44 centers provided examples of how the adjustment has generally helped them in areas such as improving center services (23 centers), better serving underserved manufacturers (17 centers), improving collaboration with partners (10 centers), improving planning and financial stability (10 centers), and improving ability to secure funding (10 centers).", "In responses to a separate question about the impact of the cost share adjustment, 41 centers indicated that the adjustment has provided a more stable financial outlook. Centers noted that in the past, meeting the 2:1 cost share often meant diverting their focus from serving manufacturers to generating and documenting revenue. Some centers provided the following examples of how the financial stability provided by the 1:1 cost share has helped them:", "One center stated that its staff now spend less time accounting for the hundreds of small transactions used to count toward the 2:1 cost share and can now focus their time on managing the program.", "One center stated that its budget is now less complicated and center staff are now less distracted by having to generate matching funds.", "One center stated that before the cost share adjustment, it could not plan on growing its capabilities after the third year of the cooperative agreement because of the anticipated impact of increased cost share requirements. The center noted that since the cost share adjustment, it can continue to plan for growth and has modified its strategic plan to reflect this shift.", "With a decreased focus on generating revenue, some MEP centers reported that they are now better able to serve manufacturers, particularly very small and rural manufacturers. Overall, 47 of the 51 MEP centers (92 percent) reported that the cost share adjustment has helped them serve manufacturers to a moderate or greater extent. In particular, in response to a question asking if MEP centers experienced certain changes as a result of the cost share adjustment, 43 (84 percent) reported conducting more work with very small manufacturers, and 39 (76 percent) reported conducting more work in rural areas. MEP centers reported that the cost share adjustment has allowed them to take a number of specific actions to serve manufacturers, such as conducting additional outreach (46 of 51), providing new services (45 of 51), offering a greater quantity of existing services (40 of 51), offering training events (39 of 51), and providing services at reduced cost (28 of 51). In follow-up interviews, officials from eight of the nine MEP centers we contacted stated that the cost share change has either already helped or should help them serve underserved manufacturers. These MEP center officials provided the following examples:", "One center official said that the cost share adjustment has allowed the center to donate time to help manufacturers that could not afford to pay the fees for the services provided.", "One center official said that the cost share adjustment could provide the financial stability to hire an additional staff person to serve rural parts of the state that were underserved before the adjustment.", "One center official said that the cost share adjustment has allowed the center to provide new services that it was not able to provide prior to the adjustment because the center struggled to meet its cost share requirement. For example, the center expanded its work to help manufacturers with Food and Drug Administration requirements pursuant to the FDA Food Safety Modernization Act.", "One center official stated that the cost share adjustment provided the center a strong financial basis upon which to begin offering Manufacturing 4.0 services throughout the state."], "subsections": []}, {"section_title": "Centers Run by Nonprofit Organizations Reported Experiencing Impacts to a Greater Extent than Centers Run by States or Universities", "paragraphs": ["Our analysis of survey results indicates that MEP centers run by nonprofit organizations reported impacts from the AICA cost share adjustment to a greater extent than centers run by states or universities. For instance, 22 of 26 centers (85 percent) run by nonprofits reported that the cost share adjustment has to a great or very great extent helped them serve manufacturers, compared to 14 of 25 centers (56 percent) run by states and universities. As table 1 shows, a greater percentage of nonprofit centers reported experiencing certain changes, such as an increase in center staff and the development of stronger partnerships, as a result of the cost share adjustment compared to centers run by states and universities.", "Officials from MEP centers run by states and universities stated that their centers are often directly funded by a state agency or educational institution and already enjoyed some degree of financial stability, which is why they generally reported fewer changes from the cost share adjustment compared to centers run by nonprofits. In a follow-up interview with the operations director of a MEP center run by a state agency, the operations director told us that one advantage of being funded by the state is that, even prior to the adjustment, the center had a steady source of income to help meet its cost share. In response to an open-ended survey question, one university-run MEP center noted that being part of a university provided access to professional services, support systems, and a network of resources that would not otherwise be available at an affordable rate. In responding to another open-ended question on the effect of the cost share adjustment on financial resources to support center operations, another university-run MEP center noted that the AICA adjustment has not resulted in significant changes to the center\u2019s financial resources but could put some of its university funding at risk in the future. In a follow-up interview with the director of this MEP center, she told us that in a university setting her center competes against other university priorities for grant funding and being on a 1:1 cost share puts the center on a less competitive footing against other candidates because the center will no longer need additional university grant funding to meet a higher cost share ratio in the later years of its cooperative agreement."], "subsections": []}, {"section_title": "Center Officials Noted that Other Factors Have Impacted Their Ability to Serve Manufacturers, Making It Hard to Measure the Impact of the Cost Share Adjustment", "paragraphs": ["In survey responses and follow-up interviews, MEP center officials noted that a number of factors have impacted their ability to serve manufacturers in recent years. For example, in response to an open- ended survey question, centers provided the following as possible factors other than the cost share adjustment that could have impacted their operations: the strength of the overall economy of the nation or of the state in which they are located (19 centers), budgetary or political stability in their state (e.g., stability of state funding) (19 centers), and", "NIST\u2019s recompetition of nearly all MEP centers\u2019 cooperative agreements between 2014 and 2017 (10 centers).", "According to several MEP centers we surveyed or officials we interviewed, it is difficult to identify the impacts of the cost share adjustment because of the other factors that have also impacted MEP center operations. For example, in its survey response, one MEP center noted that it would not be easy to isolate the impact of the cost share adjustment from the impact of factors such as the recent recompetition that doubled the center\u2019s federal financial assistance, new leadership at the center, and an improving economy and a tighter labor market that may have resulted in more companies needing the center\u2019s services. In our follow-up interviews, some MEP center officials said that the recompetition, in particular, makes it difficult to isolate the effect of the cost share adjustment. Officials from several MEP centers we contacted cited effects of the recompetition, such as increased baseline funding, resetting of the cost share to 1:1, center leadership changes, and consolidation of centers within states, as reasons why it would be hard to separate the effects of the recompetition from those of the cost share adjustment.", "For certain centers, the impact of the cost share adjustment was clearer because they did not undergo recompetition, which meant that their cost share had not been reset to 1:1 through that process. Seven MEP centers were not included in the recompetition process that NIST began in 2014 because their cooperative agreements had recently been recompeted (i.e., within 2 years before 2014). Four of these seven \u201clegacy\u201d MEP centers were at or past the third year of their cooperative agreements and, as a result, were at a greater than 1:1 cost share ratio when the AICA was enacted in 2017. These four centers reported that the AICA\u2019s cost share adjustment was helpful in the following ways:", "One center wrote that having to generate more matching contributions during its fourth year in operation coincided with a drop in its performance that continued until the 2017 cost share adjustment. This center said the cost share adjustment allowed it to devote additional resources to maintaining its services to manufacturers.", "One center wrote that it was already scaling back its plans to expand manufacturer engagement by the second and third years of its cooperative agreement in anticipation of the higher cost share ratios that would start in the fourth year of operation. This center noted that following the 2017 cost share adjustment, it revised its strategic plan to focus on growing its capabilities instead of scaling them back.", "One center wrote that moving to the 1:1 cost share helped it increase its focus on service delivery to clients with less concern for cost matching.", "One center wrote that the 2:1 cost share incentivized a focus on larger manufacturers to meet the cost share requirement. Following the cost share adjustment, the center is now able to develop new services for small and very small manufacturers.", "Should the cost share structure revert to what it was before the 2017 adjustment, most of the 51 MEP centers that we surveyed stated that they likely would be less able to serve manufacturers, particularly very small and rural manufacturers. In response to an open-ended survey question on the effect of changing the cost share requirement back to what it was before enactment of the AICA, 45 of the 47 MEP centers that responded to this question wrote that such a change would generally reduce their ability to serve manufacturers by causing them to do one or more of the following: shift to higher-revenue clients and services (23 centers), reduce center services and staff (21 centers), seek new revenue sources (11 centers), reduce staff (10 centers), reduce ability to collaborate with partners (7 centers), and increase fees (7 centers)."], "subsections": []}]}, {"section_title": "NIST Data Show Some Changes in Centers\u2019 Finances and Activities, but the Changes Generally Predate the Cost Share Adjustment", "paragraphs": ["Our analysis of NIST data indicates that there have been some changes in MEP centers\u2019 finances and activities since the 2017 AICA cost share adjustment. However, these changes generally began around the time NIST recompeted the centers\u2019 cooperative agreements, before the enactment of the AICA, and cannot necessarily be linked to the cost share adjustment.", "NIST data on funding for the MEP centers show that, from fiscal year 2017 to fiscal year 2018, the amount of federal assistance to the MEP centers increased and funds reported by MEP centers to meet cost share requirements decreased. However, these changes generally began around fiscal year 2013. As figure 2 shows, during the period from fiscal year 2013 through fiscal year 2018, federal assistance to MEP centers increased from about $81 million to $116 million while MEP centers\u2019 reported nonfederal contributions decreased from approximately $195 million to $135 million. The centers\u2019 reported nonfederal contributions generally decreased across all three of their primary sources of revenue\u2014program income, cash contributions, and in-kind contributions. Specifically, the amount of program income centers reported to meet their cost share requirement decreased from approximately $95 million in fiscal year 2013 to $71 million in fiscal year 2018. Reported cash and in-kind contributions decreased from approximately $100 million in fiscal year 2013 to $65 million in fiscal year 2018. In particular, the MEP centers reported a substantial decrease in in-kind contributions over this time period, from approximately $25 million in fiscal year 2013 to $5 million in fiscal year 2018.", "Based on our analysis of NIST data, the overall changes in center financing\u2014that is, the changes in both federal assistance and reported nonfederal contributions\u2014were influenced by NIST\u2019s recompetition of nearly all MEP centers\u2019 cooperative agreements. When NIST recompeted the MEP centers\u2019 agreements, it increased the level of federal assistance for 34 of the 51 MEP centers, constituting an overall increase in base funding amounts for federal assistance from about $90 million before recompetition began in fiscal year 2014 to about $110 million after the recompetition process was complete. Additionally, as MEP centers\u2019 cooperative agreements were recompeted, the centers\u2019 cost share was reset to 1:1, and the centers\u2019 reported nonfederal contributions began to decrease. As figure 3 shows, in fiscal years 2013 and 2014, before the new cooperative agreements began taking effect, most MEP centers operated under a 2:1 cost share. After fiscal year 2014, the number of MEP centers operating under a 1:1 cost share began to increase. With enactment of the AICA, all MEP centers operated under a 1:1 cost share in fiscal year 2017.", "NIST data show that there also may have been some changes in MEP centers\u2019 activities since the 2017 cost share adjustment. Our analysis of NIST data indicated that from fiscal year 2017 to fiscal year 2018, the total number of manufacturers MEP centers reported serving increased from approximately 8,000 to 8,400, very small manufacturers MEP centers reported serving increased from approximately 2,600 to 2,700, and rural manufacturers MEP centers reported serving increased from approximately 1,500 to 1,600.", "As with the changes in MEP centers\u2019 finances, the changes in the numbers of total manufacturers and very small manufacturers these centers reported serving generally began before the cost share adjustment. When we analyzed NIST\u2019s data, we found that the total number of manufacturers and the number of very small manufacturers served began increasing around fiscal year 2014, when NIST started recompeting centers\u2019 cooperative agreements, and this increase continued through fiscal year 2018. The overall direction of the change in the number of rural manufacturers served during this period was mixed. Specifically, the number of rural manufacturers centers reported serving increased from fiscal year 2014 to fiscal year 2015, then decreased through fiscal year 2017, and then increased in fiscal year 2018.", "NIST officials, like MEP center officials, said that it may not be possible to separate the effects of the AICA cost share adjustment from the effects of the recompetition. NIST officials stated that a longer time span would be needed to identify trends in the manufacturers served by MEP centers; however, even then, confounding factors, such as overall economic conditions, could continue to make it difficult to analyze and isolate the effect of the AICA\u2019s cost share adjustment. Looking forward, NIST officials said one impact of the 2017 cost share adjustment is that it will help sustain recent increases in the number of very small and rural manufacturers served by MEP centers.", "In addition, establishing a link between changes in MEP centers\u2019 finances and activities and the cost share adjustment is difficult not only because the changes generally predated the cost share adjustment, but also because MEP centers likely underreport certain data to NIST. Specifically:", "Financial data underreporting. NIST officials stated that because MEP centers are not required to report all of their nonfederal resources in excess of the nonfederal contributions required to meet their cost share, the amount of resources available to centers is likely underreported. According to NIST officials, NIST\u2019s Grants Management Division policy provides that centers will generally be held accountable for any amounts that they opt to pledge in excess of the 1:1 cost share. According to NIST officials, centers are thus operating rationally and legally in pledging and reporting only the amount needed to meet their nonfederal contribution for their cost share match.", "Activity data underreporting. NIST officials said that because MEP centers are not required to report activity data on manufacturers served if the services provided used nonfederal resources that were not directly related to meeting the MEP centers\u2019 cost share, certain activity data, such as the number of rural manufacturers served, is likely underreported. During their discussions with some MEP centers leading up to the 2017 AICA cost share adjustment, the NIST officials learned that some centers were not reporting activity data on manufacturers served if the services provided used nonfederal resources that were not directly related to meeting the MEP centers\u2019 cost share. An official with one such center provided us with information indicating that the number of rural manufacturers served in fiscal year 2016 was about 36 percent more than the number the center reported to NIST. According to NIST officials, centers are not obligated to report activity data on manufacturers served if those activities are not directly related to funds used to meet the MEP centers\u2019 cost share requirements.", "Because of this underreporting, NIST officials stated that the amount of nonfederal resources in excess of the nonfederal contributions required to meet the cost share, as well as the total number of manufacturers served and the number of very small and rural manufacturers served, are likely higher that what centers reported to NIST. Moreover, the officials noted that, because of the recompetition and the 2017 AICA cost share adjustment, they believe that the extent of MEP centers\u2019 underreporting may have increased in recent years as more centers began operating under a 1:1 cost share ratio."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to the Secretary of Commerce. NIST provided technical comments, which we incorporated as appropriate. NIST\u2019s comments also included some comments of a more general nature. For example, NIST highlighted the impact that the recompetition had on MEP centers. NIST also noted that while it cannot directly attribute recent increases in the number of manufacturers served to the AICA cost share adjustment, it believes the AICA cost share adjustment has fundamentally allowed MEP centers to deliver more value to clients rather than tie up resources in fundraising.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Commerce, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to describe (1) Manufacturing Extension Partnership (MEP) centers\u2019 views regarding the extent to which the recent cost share adjustment has helped them serve manufacturers and (2) the extent to which National Institute of Standards and Technology (NIST) data show impacts of the cost share adjustment on centers\u2019 finances and activities."], "subsections": [{"section_title": "MEP Centers\u2019 Views", "paragraphs": ["To describe MEP centers\u2019 views regarding the extent to which the 2017 American Innovation and Competitiveness Act (AICA) cost share adjustment has helped them serve manufacturers, we sent a survey to all 51 MEP centers and received a response from every center. We administered this survey in July and August 2018. Because this survey was not a sample survey, there are no sampling errors. As part of developing this survey, we conducted pretests over the telephone with four MEP centers to ensure that the questions were understandable, that the data collected are uniform and usable, and that the survey would place minimal burden on center officials. We pretested our survey with the MEP centers for California, Kentucky, Virginia, and Washington. Using data on MEP center characteristics provided by NIST, we selected these centers to reflect a range of characteristics in the following categories, among others: the number of manufacturers in the state, the type of MEP organization (i.e., whether the center is run by a nonprofit, state agency, or university), and NIST\u2019s classification of the state as urban or rural. We made changes to the content and format of the survey based on the feedback we received.", "In the survey, we asked the MEP centers about the effects of the cost share adjustment, both experienced and anticipated, using several different types of questions. For example:", "We asked the MEP centers whether the cost share adjustment has resulted in or will likely result in changes such as an increase in center staff; an increased use of contractors; an increase in overall financial resources to support the centers\u2019 operations; a more stable financial outlook; or the ability to develop stronger partnerships, conduct more work in rural areas, or conduct more work with very small manufacturers (fewer than 20 employees). If centers responded in the affirmative, we asked whether those changes have already allowed the center to take specific actions such as conducting additional outreach to manufacturers, providing new services to manufacturers, offering manufacturers a greater quantity of existing services, providing services to manufacturers at reduced cost, or offering training events to manufacturers.", "We asked questions that allowed the MEP centers to identify the extent to which they had experienced a change. For example, we asked, \u201cWhether or not there were any specific types of manufacturers that may have previously underutilized the center\u2019s services, to what extent has changing the federal/nonfederal cost share to 1:1 for future years for all centers regardless of when they began operating helped the center serve manufacturers overall?\u201d The centers could select one of the following responses: very great extent, great extent, moderate extent, some extent, little or no extent, don\u2019t know.", "We asked open-ended questions to gain additional understanding about the effect of the cost share adjustment, including the following:", "What, if any, other factors might contribute to the changes or lack of changes identified in ? Please consider factors such as general economic conditions in the center\u2019s state, the recompetition of the center\u2019s cooperative agreement with NIST, or other factors.", "What has been the effect of changing the federal/nonfederal cost share to 1:1 for future years for all centers regardless of when they began operating on the overall financial resources to support the center\u2019s operations?", "What, if anything, would the center change about how it provides services to manufacturers in that state if the federal/nonfederal cost share were to change back to the way it was prior to enactment of the AICA in January 2017?", "We analyzed the survey responses using content analysis and descriptive statistics. Using content analysis, we analyzed the responses to the three open-ended questions listed above by identifying common themes in centers\u2019 open-ended survey responses to establish categories. Two analysts independently reviewed and coded the survey responses to the categories. Then the analysts compared their coding and if there was disagreement, they discussed their assessment and reached a final determination on the categorization. We also used descriptive statistics to analyze centers\u2019 survey responses to evaluate the impact of the cost share adjustment on different types of MEP centers. For example, we compared the number of centers responding to certain survey questions by center type (i.e., nonprofit institutions, state agencies, or universities) as well as centers whose cooperative agreements were or were not recompeted.", "To further understand the impacts of the AICA cost share adjustment on different types of MEP centers, we conducted follow-up interviews with officials from nine MEP centers using a standard set of questions. We selected these MEP centers based on our analysis of centers\u2019 survey responses. Furthermore, we selected these centers to include the perspectives of a variety of MEP centers, accounting for factors such as when the center\u2019s agreement was recompeted, number of manufacturers in the state, and whether the center is operated by a nonprofit institution, state agency, or university. During these follow-up interviews, we asked the centers questions such as the following:", "To what extent did the cost share change affect the center and why?", "Please explain.", "Please explain how the center meets the cost share requirement.", "What has changed since the AICA set the cost share at 1:1?", "To what extent will the cost share change help or hinder the center\u2019s ability to reach underserved manufacturers?", "Is there any way that the center can isolate the changes in the cost share from the recompetition?"], "subsections": []}, {"section_title": "GAO Analysis of NIST Data", "paragraphs": ["To describe the extent to which NIST data show impacts from the AICA cost share adjustment, we obtained NIST data on MEP centers\u2019 finances and activities for fiscal years 2013 through 2018. We selected this period to encompass the year prior to when NIST began recompeting MEP centers\u2019 cooperative agreements. NIST collects financial information from each MEP center, including the amount of financial assistance received from NIST, program income received from manufacturers for services provided, cash received from other sources (such as grants), and in-kind contributions. We analyzed these data to identify any changes in centers\u2019 finances for fiscal years 2013 through 2018. We also obtained NIST data detailing the cost share under which each center was operating for fiscal years 2013 through 2017. We assessed the reliability of centers\u2019 financial data by reviewing agency documentation, verifying some data against another data source, and interviewing NIST officials and officials from selected centers. We determined that NIST\u2019s data on MEP centers\u2019 federal assistance and nonfederal contributions are the best available data and are sufficiently reliable to describe general changes in these aspects of centers\u2019 finances during this time period. However, as noted in the report, we found that some centers underreport their nonfederal resources in excess of the nonfederal contributions required to meet their cost share. As a result, we expect that centers\u2019 total available resources\u2014including their federal assistance, nonfederal contributions, and nonfederal resources in excess of their nonfederal contributions\u2014are higher than what we present in the report. We determined this because the underreporting we identified with centers\u2019 nonfederal resources in excess of their nonfederal contributions would tend to understate the amount of these resources over time and because we did not find evidence of overreporting that would contradict this pattern. In addition, we did not independently verify the nonfederal contributions reported by the MEP centers because it was outside the scope of our work.", "We also obtained and analyzed NIST data on MEP centers\u2019 activities, such as data on the size, location, and number of manufacturers the centers reported serving in fiscal years 2013 through 2018. NIST guidance for MEP centers calls for centers to report various information about the manufacturers that they serve, including company name, Dun and Bradstreet number, and the North American Industry Classification System code. NIST uses the Dun and Bradstreet number to compile other information about each manufacturer, including location and number of staff. We analyzed the data to identify any changes in centers\u2019 activities and to determine the extent to which any changes might be associated with the AICA cost share adjustment. We also reviewed NIST guidance for the MEP program and interviewed NIST and MEP center officials to gain an understanding of the MEP center activity data NIST collects. We assessed the reliability of the activity data by reviewing agency documentation and interviewing NIST officials and selected centers. As noted in the report, these efforts indicated that cost share changes caused some centers\u2019 activity data to be underreported. While we were not able to precisely determine the extent of underreporting or precise changes in centers\u2019 activities over time, as noted in the report, we believe the data are the best available data and are sufficiently reliable to describe general changes in centers\u2019 activities during this time period. We determined this because the underreporting we identified would tend to understate the increases in the total number of manufacturers and the number of very small manufacturers served over time and because we did not find evidence of overreporting that would contradict this pattern. Since the number of rural manufacturers served fluctuated during this time period, however, we were unable to determine whether complete data would indicate a general increase in the number of rural manufacturers served similar to the increases in the total number of manufacturers and the number of very small manufacturers served."], "subsections": []}, {"section_title": "Other Efforts", "paragraphs": ["To help us understand the legal framework for the cost share adjustment, we reviewed the AICA. We reviewed other documents to provide additional context regarding MEP centers\u2019 cost share requirements, including past GAO reports and reports from the Congressional Research Service and National Academies of Sciences, Engineering, and Medicine. We also reviewed reports on the MEP program\u2019s cost share structure from NIST and the MEP Advisory Board. To gain additional insight on the impact of the cost share adjustment, we also interviewed NIST officials, members of the MEP Advisory Board, and the head of an association representing the MEP centers. Further, we visited a MEP Center in Bothell, Washington, and a manufacturer in Woodinville, Washington, to obtain a more in-depth perspective on the services MEP centers provide to manufacturers.", "We conducted this performance audit from March 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Chris Murray (Assistant Director), Arvin Wu (Analyst in Charge), Stephen Betsock, Kevin Bray, Mark Braza, TC Corless, Ellen Fried, Jill Lacey, John Mingus, Calaera Powroznik, Sara Sullivan, David Wishard, and John Yee made key contributions to this report."], "subsections": []}]}], "fastfact": ["Commerce's Manufacturing Extension Partnership (MEP) Program has centers in each state that help small- and medium-sized companies improve their technology and management practices.", "Recent legislation set the cost sharing ratio at 1:1, reducing the cost burden for some centers. All centers now match federal funding dollar for dollar. Prior to the change, the cost share increased over time from $1 for $1 to $2 for each $1.", "Most centers told us this change improved their financial stability, allowing them to better serve very small and rural companies; however, recent program changes and other factors make it hard to determine the exact impact."]} {"id": "GAO-18-155", "url": "https://www.gao.gov/products/GAO-18-155", "title": "Biodefense: Federal Efforts to Develop Biological Threat Awareness", "published_date": "2017-10-11T00:00:00", "released_date": "2017-10-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Biological threats come from a variety of sources and can pose a catastrophic danger to public health, animal and plant health, and national security. Threat awareness, which consists of activities such as collecting and analyzing intelligence, developing risk assessments, and anticipating future threats, is vital to help federal agencies identify necessary biodefense capabilities and ensure investments are prioritized to make effective use of federal funds.", "GAO was asked to review how key federal agencies develop and share threat awareness information, and how that information informs further investments in biodefense. This report describes: (1) the types of actions that key federal agencies have taken to develop biological threat awareness, and how that information is used to support investment decisions; (2) the extent to which these agencies have developed shared threat awareness; and (3) how DHS's NBACC determines what additional threat characterization knowledge to pursue.", "GAO analyzed federal policies, directives, and strategies related to biodefense, as well as agency documents such as threat assessments and modeling studies. We identified five key biodefense agencies based on review of the roles designated in these documents. GAO interviewed officials from these agencies about threat awareness activities, and reviewed prior GAO work and related biodefense studies. Each of the key agencies reviewed a draft of this report and provided technical comments that GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Key biodefense agencies\u2014the Departments of Homeland Security (DHS), Defense (DOD), Agriculture (USDA), and Health and Human Services (HHS), and the Environmental Protection Agency\u2014conduct a wide range of activities to develop biological threat awareness for intentional and naturally occurring threats, and reported using that information to support investment decisions.", "Intelligence gathering: Agencies use a combination of intelligence gathering on adversaries' capabilities to cause harm with a biological weapon and global disease surveillance to monitor threats from naturally occurring health threats that might impact humans, animals, or plants.", "Scientific research: Agencies use traditional laboratory research to help understand the characteristics of various threat agents, including their virulence, stability, and ability to be dispersed through various methods. Scientific research is also performed on emerging pathogens to understand their means of transmission, host susceptibility, and effects of infection.", "Analysis activities: Agencies use modeling studies and other analytical work to help determine the scope and impact of possible biological threats.", "These three activities help agencies identify and prioritize the most dangerous biological threats, which can then be used to guide biodefense investments. For example, USDA told GAO it uses threat information to determine which foreign animal diseases represent its highest priorities based on the potential of those agents to cause catastrophic harm, and those priorities are used to inform investments. Similarly, HHS said it conducts threat awareness activities to help inform the development and acquisition of human medical countermeasures.", "Federal agencies with key roles in biodefense share biological threat information through many different mechanisms designed to facilitate collaboration among government partners, including working groups and interagency agreements. For example, agency officials reported using collaborative mechanisms to coordinate activities and avoid duplication and overlap. However, as GAO and others have noted, opportunities exist to better leverage shared resources and inform budgetary tradeoffs. Recent legislation requires key biodefense agencies to create a national biodefense strategy that has the potential to help address these issues, by, among other things, supporting shared threat awareness. Until the strategy is developed, the extent to which it will meet this need is unknown.", "The threat characterization research agenda at DHS's National Biodefense Analysis and Countermeasures Center (NBACC) is based primarily on the results and knowledge gaps identified through the Bioterrorism Risk Assessment (BTRA). According to DHS officials, the knowledge gaps deemed most critical include data about biological agents that have a high impact on BTRA consequence estimates and also a high degree of uncertainty. Each year NBACC produces an annual plan that outlines new research projects intended to address these knowledge gaps, and incorporates additional planning criteria, such as interagency stakeholder input, resource availability, and maintenance of required technical capabilities. According to DHS officials, the results of NBACC research were used to directly enhance the BTRA, including updating data associated with eight biological agents since 2010."]}], "report": [{"section_title": "Letter", "paragraphs": ["Key Biodefense Terminology Biodefense\u2014To prevent, protect against, and mitigate biological threats that could have catastrophic consequences to the nation. Threat\u2014For the purposes of this report, we use the term threat to describe both the intentional use of biological weapons by individuals or entities and naturally occurring biological events that have the potential to have catastrophic biological consequences for the United States including loss of life or national security and economic welfare effects. Agent\u2014Microorganism (or derived toxin) or pest that causes disease in humans, animals, or plants. Characterization (of agents, pests and biological events)\u2014Agents and pests can be characterized by applying modern scientific techniques that describe their properties, behaviors, life cycle, or genetic makeup. Biological events can be characterized by evaluating specific disease outbreaks to understand what the outbreak is and how serious it is likely to be by monitoring such things as the cause, speed, duration, and means of transmission. Surveillance\u2014In the biological context, the ongoing collection, analysis, and interpretation of data to help look for pathogens in plants, animals, and humans; in food supplies; and in the environment. Detection\u2014In the biological context, involves recognition of signs and signals to discern whether disease occurrence is abnormal based on its general characteristics, as well as where, when, and how severely the disease has historically occurred. supply, or used to contaminate the water supply. These specific types of threats, whether naturally occurring or deliberate, may contribute to Global Catastrophic Biological Risks, a term of art that that represents extraordinary biological disaster beyond the collective capability of national and international governments and the private sector to control.", "In 2004, Homeland Security Presidential Directive (HSPD) 10 identified four key areas\u2014or pillars\u2014of national biodefense. One of the pillars of biodefense identified in HSPD-10 is threat awareness, which consists of activities such as collecting and analyzing intelligence, developing risk assessments, and anticipating future threats. For example, such information may include assessment about where biological threat agents might come from, how outbreaks may unfold, and the effectiveness of available defenses against them. Threat awareness is vital to help identify necessary biodefense capabilities to help identify, protect against, and respond to National or Global Catastrophic Biological Risks and help ensure investments are prioritized to make effective use of federal funds.", "Protecting humans, animals, plants, food, and the environment (air, soil, and water) from potentially catastrophic effects of intentional or natural biological events entails numerous activities carried out within and among multiple federal agencies and their nonfederal partners. The Department of Homeland Security (DHS) plays a lead role in interagency coordination and planning for emergency response to biological incidents in the United States and is responsible for assessing the risks to the civilian population posed by various biological agents. DHS conducts multiple efforts to enhance biological threat awareness, including development of the Bioterrorism Risk Assessment (BTRA) with input from other key federal agencies, such as the Departments of Defense (DOD) and Health and Human Services (HHS). DHS also operates the National Biodefense Analysis and Countermeasures Center (NBACC), which, among other activities, carries out research to better characterize individual biological agents and provide timely scientific data, knowledge products, and expertise to support threat analyses.", "You asked us to review how key biodefense agencies develop and share threat awareness information, and how this information informs further investments in biodefense. This report describes: (1) the types of actions that key federal agencies have taken to develop biological threat awareness and how that information is used to support investment decisions, (2) the extent to which federal agencies have developed shared threat awareness, and (3) how NBACC determines what additional threat characterization knowledge to pursue.", "To conduct work related to all three objectives, we analyzed government- wide policies, directives, and strategies related to biodefense, including HSPD-9 (Defense of United States Agriculture and Food), HSPD-10 (Biodefense for the 21st Century), and the National Strategy for Countering Biological Threats, among others. We analyzed these documents to understand agencies\u2019 roles and responsibilities regarding biodefense, specifically those pertaining to threat awareness activities. We identified the key biodefense agencies by reviewing the biodefense policies mentioned above, as well as through interviews with DHS officials who identified the key agencies with which they collaborate on threat awareness activities. The agencies we identified through these policy reviews and interviews were DHS, DOD, HHS, the U.S. Department of Agriculture (USDA), and the Environmental Protection Agency (EPA).", "To describe how these five key agencies conduct their threat awareness activities and use this information to support investment decisions, we reviewed agency-specific strategies and plans related to their biodefense activities, including those from NBACC, DOD\u2019s Chemical and Biological Defense Program, the multiagency Public Health Emergency Medical Countermeasures Enterprise (PHEMCE), and USDA\u2019s Animal and Plant Health Inspection Service (APHIS). We also analyzed information provided by agencies and conducted interviews with agency officials related to agencies\u2019 threat awareness activities to determine how threat awareness is conducted and how it informs other biodefense investments. For example, we reviewed documents such as threat assessments, including the 2010 and 2016 BTRAs; scientific reports on biological agent characteristics; modeling studies of the potential impact of various biological threats; and response guidelines informed by biological threat awareness activities. For additional context and support, we also reviewed prior GAO work related to biodefense and reports from other organizations, such as the Congressional Research Service, the Bipartisan Weapons of Mass Destruction Terrorism Research Center, the Blue Ribbon Study Panel on Biodefense, and the National Research Council of the National Academies.", "To determine the extent that federal agencies have developed shared threat awareness and how NBACC determines what additional threat characterization knowledge to pursue, we conducted a site visit to NBACC at Fort Detrick, Maryland, to meet with DHS officials and NBACC staff to discuss the collaborative efforts among the key biodefense agencies in conducting and reviewing the BTRA. We interviewed agency officials from DHS, DOD, HHS, USDA, and EPA to understand the types of collaborative activities they engage in, examine the opportunities available to share threat awareness information, and identify any challenges in sharing information across agencies. We compared the activities to leading practices we have identified in prior work to enhance and sustain interagency collaboration. We also examined existing policy, strategies, and structures that could enable shared threat awareness activities, including the recent National Defense Authorization Act (NDAA) mandate to create a national biodefense strategy. We analyzed NBACC\u2019s strategic plans and annual plans from fiscal year 2011 through fiscal year 2017, as well as funding information, to identify biodefense- related investments. We also met with key DHS officials involved in planning NBACC\u2019s threat awareness projects to determine how priorities are set for NBACC\u2019s biodefense investments.", "We conducted this performance audit from April 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Biodefense Doctrine", "paragraphs": ["Several presidential directives and national strategies establish biodefense policy for the federal government. These directives establish overall goals and policies as well as assign specific responsibilities to federal agencies. See table 1 for relevant directives and strategies. Among these directives, the White House released HSPD-10 in 2004, which outlines the structure of the biodefense enterprise and discusses various federal efforts and responsibilities that help to support it. The directive organizes biodefense efforts into four key pillars, consisting of threat awareness, prevention and protection, surveillance and detection, and response and recovery. Each of these pillars comprise numerous activities\u2014such as conducting research on emerging pathogens that could pose a threat\u2014that are carried out by multiple federal agencies and generally require coordination across the entire biodefense enterprise."], "subsections": []}, {"section_title": "The Challenges of Threat Awareness in a Vast and Evolving Biological Threat Landscape", "paragraphs": ["The biological threat landscape is vast and requires a multidisciplinary approach to developing threat awareness. Synthetic biology, if used to create and combine agents, also poses a significant threat and potentially complicates the ability to assess the biological threat landscape. Despite ratification of the Biological Weapons Convention in 1975 and the end of the Cold War decades later, the threat of biological warfare persists today. For example, as the Blue Ribbon Study Panel on Biodefense reported, the State Department assessed in 2015 that China, Iran, North Korea, Russia, and Syria continue to engage in dual-use or biological weapons-specific activities and are failing to comply with the convention, to which each of these countries has agreed. Additionally, the revolution in biotechnology presents opportunities to advance the life sciences, yet that same technology in the wrong hands could be used to create biological weapons. For example, nonstate actors such as terrorist organizations, domestic militia groups, and \u201clone wolves\u201d have both the interest and capacity to develop biological weapons. The intelligence community plays a key role in assessing these types of threats.", "Threat awareness is also challenged by the unpredictable nature of naturally occurring disease, which could affect human and animal health and agricultural security, potentially causing global catastrophic biological risks which could lead to loss of life, and sustained damage to the economy, societal stability, or global security. To assess and develop means to combat these threats, many federal agencies conduct biological threat awareness activities, which may include a combination of risk assessment and key activities to better understand certain characteristics of biological threats. For example, the genetic compositions of some viruses naturally change, as exemplified in 2009, when an H1N1 influenza virus emerged with a new combination of genes, causing a global pandemic. According to the Centers for Disease Control and Prevention (CDC)\u2014an entity within HHS\u2014when these significant genetic changes occur in a virus, most people have little or no immunity to the new virus. Climate change also has the potential to negatively impact human health and the agriculture industry. As we reported in October 2015, climate change may contribute to the spread of vector-borne diseases that are transmitted to humans by animals, including invertebrate animals such as mosquitoes and ticks. Examples of vector- borne diseases that currently pose health risks in some regions of North America include chikungunya disease, dengue fever, Lyme disease, and West Nile virus fever. Additionally, habitat loss and human encroachment on rural and wildlife environments are bringing populations of humans and animals into closer and more frequent contact, increasing the risk of disease transmission among people, pets, livestock, and wildlife.", "Finally, the scientific community must safeguard the biological agents it uses to assess threats. Protecting laboratory workers and the population at large from intentional or accidental release of dangerous pathogens during the pursuit of more knowledge about them is also challenging. Recent high-profile events, such as a DOD laboratory inadvertently shipping incompletely inactivated samples of Bacillus anthracis, the bacterium that causes anthrax, to almost 200 laboratories worldwide over the course of 12 years and the unexpected discovery of misplaced vials of smallpox (variola) virus at the National Institutes of Health (NIH) campus, also highlight the threat due to improper handling and unknown storage of dangerous biological agents."], "subsections": []}, {"section_title": "Federal Roles and Responsibilities", "paragraphs": ["Several federal departments and agencies have responsibilities as part of their mission to assess the threat of biological agents and carry out key biodefense roles as delineated in HSPD-10 and the National Strategy for Countering Biological Threats, among other documents.", "National Biodefense Analysis and Countermeasures Center (NBACC) NBACC consists of two centers: National Biological Threat Characterization Center Its mission supports national goals to deter and reduce the impact of current and newly identified biological threats by providing timely scientific data, knowledge products, and expertise required for accurate and informed threat analyses and biodefense planning, preparedness, response, and recovery. National Bioforensics Analysis Center It serves as the lead federal facility to conduct and facilitate the technical forensic analysis and interpretation of materials from biocrime and bioterror investigations or those recovered following a biological attack in support of the lead federal agency.", "Department of Homeland Security. DHS is the principal federal department with responsibility for domestic incident management and supports federal efforts to prepare for, respond to, and recover from domestic biological attacks. Within DHS, the Science & Technology Directorate\u2019s (S&T) Chemical and Biological Defense (CBD) Division leads key efforts related to enhancing threat awareness with a focus on bioterrorism. S&T develops Material Threat Assessments in collaboration with HHS, as well as the BTRA, which includes assessments of the relative risks posed by biological agents based on variable threats, vulnerabilities, and consequences. S&T also operates NBACC, which conducts scientific research and develops reports and products specifically intended to address identified knowledge gaps associated with current and future biological threats, including the characterization of key attributes of biological attacks by an adversary such as agent acquisition; agent production; dissemination methods; virulence; and the effectiveness of potential countermeasures.", "Department of Defense. DOD is responsible for protecting U.S. armed forces from biological threats worldwide and conducts a range of efforts to support research, development, and acquisition of medical countermeasures and other technologies to prevent or mitigate the health effects of biological agents and naturally occurring diseases. Multiple organizations across DOD are responsible for a number of activities, including (1) determining requirements; (2) providing science and technology expertise; (3) conducting research, development, test, and evaluation; and (4) providing oversight. This enterprise is structured to conduct research and develop defenses against chemical and biological threats.", "Department of Health and Human Services. HHS is the federal agency primarily responsible for identifying needed medical countermeasures to prevent or mitigate potential health effects from exposure to biological agents for the nation and engaging with industry to develop them. In 2006, HHS established the Public Health Emergency Medical Countermeasures Enterprise (PHEMCE), a federal interagency body that is responsible for providing recommendations on medical countermeasure priorities and development and acquisition activities. Within HHS, the Office of the Assistant Secretary for Preparedness and Response (ASPR) leads PHEMCE and the federal medical and public health response to public health emergencies, including strategic planning, medical countermeasure prioritization, medical countermeasure requirements development, and support for developing and procuring medical countermeasures for the Strategic National Stockpile. CDC maintains the Strategic National Stockpile and supports state and local public health departments\u2019 efforts to detect and respond to public health emergencies, including providing guidance and recommendations for the mass distribution and use of medical countermeasures, among other activities. The agency also engages in laboratory detection of diseases and epidemiological investigation of outbreaks to protect the nation from health, safety, and security threats, both foreign and in the United States. The Food and Drug Administration (FDA) conducts research and performs vulnerability assessments to help prevent adulteration of the food supply. NIH conducts and funds basic and applied research to develop new or enhanced medical countermeasures and related medical tools and provides oversight and guidance on biosafety and biosecurity to research laboratories.", "U.S. Department of Agriculture. USDA is the lead agency with responsibility to protect and improve the health, quality, and marketability of our nation\u2019s agricultural products. Within USDA, the Animal and Plant Health Inspection Service (APHIS) is responsible for working to prevent, control, or eliminate harmful pests, pathogens, and diseases of animals and plants. APHIS consists of multiple component units with key roles in biodefense including Veterinary Services, and the Plant Protection and Quarantine (PPQ) program. These offices are supported by multiple research centers and laboratory networks, as well as the Agricultural Research Service (ARS), which conducts a wide range of research addressing agricultural issues of high national priority.", "Environmental Protection Agency. EPA is the lead agency for environmental cleanup and remediation, including indoor cleanups. EPA is also the lead federal agency for protecting drinking water and wastewater infrastructure. In addition, EPA provides technical assistance and operational support for sampling, characterization, decontamination, clearance, and waste-management efforts. According to EPA officials, if there is potential for environmental contamination due to a biological incident, HHS collaborates with EPA in developing and implementing sampling strategies and sharing results. EPA\u2019s Office of Research and Development\u2019s Homeland Security Research Program aims to help increase the capabilities of EPA and communities to prepare for and respond to chemical, biological, and radiological disasters. EPA\u2019s Water Security Division also provides resources to monitor incidents and threats."], "subsections": []}]}, {"section_title": "Intelligence Gathering and Global Surveillance, Research, and Analysis Are Designed to Inform Biological Threat Awareness and Investment Decisions", "paragraphs": ["Key biodefense agencies, including DHS, DOD, HHS, USDA, and EPA rely on intelligence and global surveillance information, scientific study of disease agent characteristics, and analysis to better understand threats and help make decisions about biodefense investments. Figure 1 depicts the three components of threat awareness described in this report."], "subsections": [{"section_title": "Agencies Rely on Intelligence Gathering, Scientific Research, and Analysis Activities to Develop Biological Threat Awareness", "paragraphs": [], "subsections": [{"section_title": "Intelligence Collection and Global Disease Surveillance", "paragraphs": ["Key federal biodefense agencies use intelligence to understand adversaries\u2019 capabilities to cause harm with a biological weapon and conduct global disease surveillance to monitor threats from naturally occurring agents. DHS and DOD rely on information from the intelligence community about adversaries\u2019 capabilities to acquire, produce, reengineer, and disseminate a biological agent. For example, DHS solicits information from the intelligence community to create models on nonstate actors\u2019 possible target (e.g., a transportation hub), the possible agent and amount used, and the method of attack. DHS also gathers information on terrorist organizations\u2019 financial and technical resources to help determine their capabilities in staging an attack. This information is used to develop the BTRA to support DHS\u2019s responsibilities to protect against non-state actor intentional acts of bioterrorism. For more information on the BTRA and its development and evolution, see appendix I.", "Predicting the Threat of Zika Virus Spread to the United States Based on Chikungunya and Dengue Zika virus is a flavivirus that is primarily spread in humans by the same mosquitos that also spread dengue, chikungunya, and other viruses. The first confirmed local transmission of this emerging threat in Brazil occurred in May 2015. Since that time, the Centers for Disease Control and Prevention\u2019s (CDC) Global Disease Detection Operations Center has been monitoring the spread of the epidemic from Brazil to other countries in the Americas. By early 2016, the Zika virus had spread to dozens of countries, including local transmission in U.S. territories. At this time, CDC activated its Emergency Operations Center to respond to outbreaks of Zika occurring in the Americas, and enhance disease surveillance and response coordination. In February 2016, the director of CDC said that recent chikungunya and dengue outbreaks in the United States suggest that Zika outbreaks in the U.S. mainland may be relatively small and localized, which can be attributed to better infrastructure and mosquito control than that found in Latin America. In contrast, he said outbreaks of dengue and chikungunya suggest that Zika virus may spread widely in the U.S. territories. CDC estimates of Zika virus cases for 2016 support the CDC director\u2019s prediction, with 224 locally acquired mosquito-borne cases in the United States (in Florida and Texas) compared to nearly 36,000 locally acquired cases in U.S. territories (largely in Puerto Rico). Efforts to improve international capacity for virus surveillance support CDC\u2019s ability to characterize emerging threats and enhance threat awareness. subjects. It projects foreign capabilities in particular warfare areas out 20 years in the future.", "Other agencies, such as HHS and USDA, rely on global disease surveillance to identify and characterize naturally occurring disease events that may impact human, animal, or plant health. Although surveillance and detection activities constitute an entire separate pillar of the biodefense enterprise, these activities can also help federal agencies enhance threat awareness by providing information about emerging global disease events that might affect the United States. For example, within HHS, CDC\u2019s Global Disease Detection program conducts global surveillance on emerging infectious disease events to rapidly detect and monitor the characteristics of the disease event to determine whether and what kind of threat it poses to the U.S. population.", "Similarly, within USDA, APHIS conducts surveillance of foreign animal diseases and plant pests and pathogens to determine what threat they may pose to the U.S. agriculture industry. APHIS officials said they have a number of relationships and sources they use to gather information on traditional and emerging animal diseases. These include the National Center for Medical Intelligence within DIA, DHS\u2019s National Biosurveillance Integration Center, CDC, and the World Organisation for Animal Health. USDA\u2019s Risk Identification and Risk Assessment unit conducts open source monitoring globally to identify situations of greatest risk to the animal agriculture community. For plant surveillance, USDA\u2019s PestLens is an offshore open-source monitoring and analysis function designed to identify emerging pests and diseases. The PestLens team stationed overseas evaluates these potential threats for their impact on trade and identifies threats to look for at ports. It conducts research to determine whether there are outbreaks of disease or pests in other countries."], "subsections": []}, {"section_title": "Scientific Research", "paragraphs": ["Epidemiology Terms Virulence is the relative capacity of a pathogen to overcome body defenses. Pathogenesis is the process by which an infection leads to disease. Infectious dose is an estimate of the amount of a pathogen required to cause illness. Zoonotic disease is an infectious disease that is transmissible from animals to humans.", "Agencies use scientific research to help understand the characteristics of various threat agents, including their virulence, stability, and ability to be dispersed through various methods. Agencies also perform or contract for scientific research on emerging pathogens to understand their means of transmission, host susceptibility, and effects of infection. Research is conducted on agents that may be used intentionally as biological weapons or on disease-causing agents that may exist in nature and contribute to outbreaks or pandemics, such as influenza viruses. One example of DHS-conducted scientific research is NBACC\u2019s work to understand properties associated with agent acquisition, production, dissemination, stability, virulence and pathogenesis, and existing medical countermeasure efficacy. A DOD example of scientific research is DTRA\u2019s efforts to characterize biological agents (virulence, dissemination, infectious dose, etc.). For instance, DTRA might fund research to determine whether current diagnostic tools would be adequate if the Ebola virus\u2019s genetic sequence were to change.", "For conducting scientific research to characterize naturally occurring threats, HHS and USDA agencies engage in a spectrum of activities. Within HHS, CDC, NIH, and FDA all conduct various scientific research to characterize biological agents. For example, CDC conducts characterization of infectious diseases, including analyses of pathogenesis, and works to identify uncommon signals of disease and conduct research to assess zoonotic potential. One effort CDC has to characterize an infectious disease is the Influenza Risk Assessment Tool that assesses potential pandemic risk. NIH also conducts characterization research\u2014such as pathogenesis, infectious dosage rates, and potential effects if agents are aerosolized\u2014primarily for known public health threats, which may also be used as inputs into modeling. Additionally, FDA conducts scientific food defense research to understand, among other things, thermal stability and inactivation of biological agents.", "Within USDA, ARS also conducts basic biological research on animal and plant pathogens. Because of the sheer volume of animal diseases, ARS takes a strategic approach to research and study families of viruses, rather than a single virus. For example, ARS officials said they were able to leverage ongoing research on flaviviruses when Zika virus, a flavivirus, emerged in the Americas. ARS is also trying to use more predictive biology to anticipate and properly prepare for new and emerging pathogens\u2014such as understanding vector-borne virus adaptability to potentially prevent transmission to humans\u2014to ensure the public and animal health, as 70 percent of new and emerging diseases are zoonotic. ARS researchers also look at pests and pathogens not currently in the United States to help identify countermeasures, should they appear.", "Additionally, EPA conducts research to fill science gaps associated with environmental contamination resulting from accidental or intentional releases of biological agents. For example, EPA studies the behavior of biological agents in the environment to inform strategies for characterization and remediation. Research includes developing methods for characterization of persistent biological contamination, mitigating its impacts, cleaning it up in the environment, and managing the subsequent waste."], "subsections": []}, {"section_title": "Modeling Studies and Other Analytical Work", "paragraphs": ["All agencies we interviewed described modeling studies and other analytical work they conduct to help determine the scope and impact of possible biological threats. For example, because biological threat agents cannot be released into the air in operational environments due to health risks, programs such as DHS\u2019s BioWatch Program rely on computer modeling and attack simulations to assess the performance of biological detection systems. DHS also uses the BTRA modeling to assess potential public health impacts and mitigation efforts for potential biological attacks (see app. I). Similarly, according to DOD officials, DTRA develops and employs modeling and simulation tools for consequence assessment of biological attacks within and outside of the United States.", "HHS conducts public health consequence modeling for various types of attacks with specific agents, which uses inputs from DHS Material Threat Assessments to help determine the unmitigated medical consequences. Unmitigated consequence estimates are modeled based on factors such as projected spread patterns, infectious dose rates, and estimated time frames, which can help inform response efforts that could mitigate these consequences such as needed prophylaxis and medical countermeasures as part of the PHEMCE process. The public health and medical consequence assessment is the first step in developing the documents necessary for the PHEMCE to establish medical countermeasure requirements. This analysis allows PHEMCE to determine how many lives could be saved if a medical countermeasure were developed, procured, and deployed, and informs HHS decisions regarding the development of medical countermeasures that might be needed during an event.", "HHS and USDA also conduct disease patterns and pathways analysis to determine the routes by which certain pathogens found overseas might arrive in the United States. For example, CDC conducts modeling to identify modes of transmission, sources and nodes; and to project epidemiological patterns. One such example is a 2015 CDC study to estimate future numbers of Ebola patients needing treatment at any one time in the United States. The model was developed to help public health officials assess the potential risk for Ebola virus infection in individual travelers and the subsequent need for postarrival monitoring. USDA units also use pathways analysis to assess the likelihood and means by which animal diseases and plant pests might arrive in the United States. For example, USDA Plant Protection and Quarantine (PPQ) evaluates the environmental and economic impacts of pest introduction, and the pathways by which certain pests might arrive (e.g., imported commodities via ship or rail).", "Additionally, EPA supports water utilities by providing models, tools, and guidance that help harden their infrastructure to respond to and recover from contamination incidents and other disasters, as contamination of drinking water can result from acts of terrorism."], "subsections": []}]}, {"section_title": "Agencies Reported Using Biological Threat Awareness Information to Help Prioritize Their Various Biodefense Activities and Investments", "paragraphs": ["Agency officials in our review described how their threat awareness activities help identify biological threat agents of concern and broad- based capability needs, which help guide their biodefense investment decisions. For example, agencies use threat information to determine which agents represent their highest priorities based on the potential of those agents to cause catastrophic harm. Officials from HHS and USDA also described properties or criteria against which they evaluate emerging or reemerging biological agents while conducting surveillance activities to determine whether they pose a serious threat, such as: health effects after exposure to an agent or toxin, degree of contagiousness, economic and trade impact, and likely transmission routes.", "This threat assessment activity allows agencies to characterize and respond to urgent or real-time disease events, such as a Zika virus or an avian influenza outbreak.", "In addition to agent-specific approaches, some agencies also reported using threat awareness information as part of efforts to identify and develop broader capabilities that would prepare them to respond to more than one agent. For example, DOD looks at what types of protective equipment are needed to complete the mission in the face of various threats, rather than starting with an individual threat agent. DOD\u2019s Joint Requirements Office (JRO) uses a broad capability-based approach by performing operational risk assessments to evaluate current and future capability needs that will translate into military service requirements. Additionally, HHS, through PHEMCE, reported working on broad capabilities-based investments for medical countermeasures that provide more flexible and sustainable capabilities over the long term. In this regard, PHEMCE seeks to promote technologies that have more than one application or are able to be quickly modified to respond to new threats. For example, according to the PHEMCE Strategy and Implementation Plan, HHS agencies continue to expand their broad-spectrum antimicrobial programs to address both biodefense disease threats, such as plague and tularemia, and the more general public health concern of antimicrobial resistance. Investments in multiplex diagnostic tools also represent a move beyond single-agent detection capabilities.", "Once threats have been established and capability gaps have been identified, agencies reported using threat awareness information to help prioritize their investments across various biodefense enterprise activities\u2014threat awareness, prevention and protection, surveillance and detection, and response and recovery\u2014to support their missions (see fig. 2).", "The following figures present examples, based on our analysis of agency documents and interviews, of how agencies use threat awareness information to help direct resources and investments across the biodefense pillars. This presentation is not a comprehensive catalogue of all biodefense investments in these areas, but rather examples of the diversity of activities agencies conduct to fulfill their biodefense missions for threat awareness, prevention and protection, surveillance and detection, and response and recovery. Appendix II includes information organized by agency."], "subsections": []}]}, {"section_title": "Multiple Mechanisms Exist to Share Biological Threat Information, and New Biodefense Strategy Could Help Agencies Better Use Threat Information to Leverage Resources across the Enterprise", "paragraphs": ["Federal agencies with key roles in biodefense share biological threat information through many different mechanisms designed to facilitate collaboration among government partners, including working groups and interagency agreements. However, as we and others have observed in recent reports, opportunities remain to enhance threat awareness across the entire biodefense enterprise, leverage shared resources, and inform budgetary tradeoffs among various threats and agency programs."], "subsections": [{"section_title": "Federal Partners Share Biological Threat Information through a Combination of Working Groups, Interagency Agreements, and Other Mechanisms", "paragraphs": ["Officials from key federal agencies, including DHS, DOD, EPA, HHS, and USDA, identified multiple mechanisms that facilitated biodefense collaboration and shared awareness of biological threats. These mechanisms often serve multiple purposes; for example, a working group can develop policy and also aid in information sharing, among other benefits. Officials from these key biodefense agencies reported using collaborative mechanisms to share biological threat information, as well as to coordinate activities, avoid duplication and overlap, implement specific programs for addressing biological threats, and assist in policy development at the agency and White House level. The existence of working groups and similar bodies to help promote information sharing, align policies and procedures, and coordinate to leverage resources is consistent with key practices and mechanisms that we have previously reported as useful for enhancing and sustaining interagency collaboration. Figure 7 provides examples of collaborative mechanisms identified for biodefense.", "Officials at key federal agencies reported participating in several types of collaborative mechanisms, including interagency bodies, working groups at the agency and executive level, formalized agreements, colocation, joint projects and funding efforts, and shared expertise. Examples within each mechanism include the following: Interagency bodies. Key federal agencies reported participating in formal interagency bodies that have their own authority and resources and are established to coordinate activities related to biodefense. One such group is PHEMCE, the federal interagency decision-making body for medical countermeasure development and acquisition. PHEMCE is led by HHS, and includes both internal HHS partners, such as CDC, FDA, and NIH, and external interagency partners, such as DOD, DHS, USDA, and the Department of Veterans Affairs. In addition, other key agency officials reported participating in interagency bodies coordinated by HHS and USDA to determine additions and removals to the select agent list.", "Working groups. Officials in each of the key agencies said they participate in established and ad hoc working groups to provide subject- matter knowledge and expertise, share information, prioritize research, and avoid duplicating efforts. For example, officials from over a dozen agencies and components participate in an Interagency Bioterrorism Working Group through DHS that provides a conduit for interagency review of technical inputs and assumptions for biological agents and other parameters in the BTRA. DHS officials stated that this working group also works to obtain wider interagency understanding and ownership of the DHS BTRA. Officials from DOD\u2019s JPEO-CBD also stated that they sit on multiple interagency working groups with DHS officials that focus on combating terrorism, biosurveillance, and research and development, among other topics. Similarly, CDC officials stated they participated on approximately 10 to 20 separate working groups with specialized purposes, such as integrated process teams for specific research programs.", "Collaborative mechanisms within the Executive Office of the President. Some working groups and other collaboration mechanisms have been led by the National Security Council and other offices within the Executive Office of the President in order to ensure a comprehensive and coordinated approach to biodefense across agencies. For example, the Subcommittee on Biological Defense Research and Development was led by the White House Office of Science and Technology Policy and included representatives from 16 agencies and three White House offices. This subcommittee evaluated U.S. biological defense capabilities to identify future priorities and actions. The National Security Council has also led integrated policy committees focused on a particular threat or range of threats, such as genome editing and synthesis and select agents and toxins.", "Written interagency agreements. Agencies have executed written agreements in order to define their relationships for a particular aspect of biodefense. For example, in March 2015, DOD, DHS, and EPA renewed a formalized relationship through a memorandum of understanding for chemical and biological defense research, development, and acquisition\u2014all of which require shared threat awareness. The agreement identifies roles and responsibilities for chemical and biological defense, establishes senior and technical working groups, and establishes cross-agency responsibilities. In particular, DOD, DHS, and EPA agreed to exchange and identify program needs and overlapping interests; establish interagency agreements between parties for joint projects and funding; conduct research and provide data to the partner agencies; and facilitate the establishment of interagency projects and working groups. DOD officials stated that the activities carried out under the memorandum have varied over time, but ongoing collaborative activities included efforts in biosurveillance, wearable sensors, decontamination, and a repository for threat agent data.", "Joint facility locations. As we reported in 2014, to maximize resource sharing and facilitate scientific exchange on the study of biological threat agents and other pathogens, DOD, HHS, and DHS share a joint biological campus, known as the National Interagency Biodefense Campus, located at Fort Detrick, Maryland. DHS officials said that, in addition to gaining efficiencies by sharing biosecurity and infrastructure requirements among all three facilities (U.S. Army Medical Research Institute of Infectious Diseases, DHS\u2019s NBACC, and NIH\u2019s Integrated Research Facility), personnel at the three laboratories can communicate more regularly than would otherwise be possible with different locations. The agencies represented on the National Interagency Biodefense Campus also conduct a research consortium to coordinate projects.", "Joint funding and program efforts. Key federal biodefense agencies have provided funding to partner organizations and agencies in order to obtain technical assistance or expertise for individual projects. DOD and EPA officials stated that DHS\u2019s S&T Directorate often funds subject- matter experts to perform research and testing to assist in the development of answers to technical questions. For example, DHS funded staff at the U.S. Army Medical Research Institute of Infectious Diseases to research the characteristics of a particular agent in an aerosolized environment.", "Leveraging expertise. Agency officials also stated how more informal mechanisms, such as relationships between key personnel and soliciting input for research projects, provide the opportunity to leverage expertise to share threat awareness information and can increase collaboration and positive results between agencies. For example, DHS holds interagency stakeholder panels and outreach events (separate from existing working groups) to gather expertise during development of several biodefense products, including the BTRA. DHS officials said that DOD personnel from DTRA and DHS\u2019s Biological Threat Characterization Program also conduct joint program reviews, and DHS personnel contribute expertise to DTRA\u2019s contract evaluation teams."], "subsections": []}, {"section_title": "Biodefense Strategy Provides an Opportunity to Use Enterprise-Wide Threat Awareness to Help Leverage Resources and Inform Resource Tradeoffs", "paragraphs": ["The collaborative mechanisms in which the key agencies in our review participate may facilitate information sharing in support of specific federal activities and in individual programs, or in response to specific biological events after they begin to unfold, but there is no mechanism in place to develop enterprise-wide threat awareness and assess the relative risks. For example, the BTRA is a dedicated effort to identify and assess the risk of biological events that stem from nonstate actors intentionally seeking to harm U.S. interests using biological agents. By design, it is focused on the consequences and likelihood of terrorist events threatening human health, and does not assess the risk from other types of biological threats. However, there is no similar comprehensive mechanism in place that integrates threat awareness information for all sources of intentional biological threats, as well as naturally occurring events that could harm or destabilize U.S. interests by catastrophically affecting humans, animals, and plants. Similarly, HHS officials stated that PHEMCE is a primary mechanism used to communicate threat awareness and other information on biodefense. However, the primary purpose of PHEMCE is to make decisions about human health countermeasures to be acquired for the Strategic National Stockpile. As a result, biological threat information pertaining to other domains, such as plant or animal health, may not be discussed and shared within this venue without a connection to human health.", "In addition, there is no existing mechanism that can leverage threat awareness information to direct resources and set budgetary priorities across all agencies for biodefense. Agencies use threat awareness mechanisms for resource planning according to the individual agency\u2019s mission. For example, DOD guidance states that budgeting and planning for biodefense relies, in part, on DIA\u2019s CBRN Warfare Capstone Threat Assessment. Similarly, DHS officials stated they use the BTRA to help plan DHS investments in future research or to help inform domestic biodefense preparations. According to DOD officials, because the DOD mission is different, they only use the BTRA indirectly and do not specifically rely on it for prioritizing activities or planning efforts.", "HSPD-10 requires the development of periodic assessments of the evolving biological weapons threats. DHS officials stated that the BTRA was created, in part, to fulfill the need for an assessment of the risk of intentional use of biological weapons by nonstate terrorists. However, the nation faces other biological threats, including naturally occurring diseases that affect human, animal, and plant health, and biological weapons used by state actors. Without a mechanism that is able to assess the relative risk from biological threats across all sources and domains, the nation may be unable to prioritize resources, defenses, and countermeasures against the most pressing threats.", "We previously reported in 2011 that the overarching biodefense enterprise would benefit from strategic oversight mechanisms, including a national strategy, to ensure efficient, effective, and accountable results. We noted that the complexity and fragmentation of roles and responsibilities across numerous federal and nonfederal entities presents challenges to ensuring efficiency and effectiveness across the entire biodefense enterprise. In light of that complexity and fragmentation, we observed that a national biodefense strategy could help address the key fragmentation issues across the biodefense enterprise, such as ensuring strong linkage and identifying gaps in investments across the four pillars. In response to our observations, National Security Council staff in December 2014 identified three presidential policy documents\u2014the National Strategy for Countering Biological Threats, the National Biosurveillance Strategy, and Presidential Policy Directive 8\u2014they reported work in concert to provide comprehensive strategic guidance. However, none of these documents comprehensively addresses all four pillars of biodefense, and, even when taken together, they do not fully address the fragmentation issues we have previously identified.", "Other independent observers have also commented on challenges presented by fragmentation and complexity across the biodefense enterprise. For example, in October 2015, the Blue Ribbon Study Panel on Biodefense reported that the United States lacked strategic leadership to promote collaboration within the federal government and other biodefense partners and achieve innovation throughout the enterprise. The study panel also recommended that the federal government develop, implement, and update a comprehensive national biodefense strategy that would define all organizational structures, future plans, and resource requirements along with unified budgetary authority.", "We testified in 2016 that several high-level biodefense strategies had been created in the past. However, there is no broad, integrated strategy that can be used to identify risk, assess resources, and prioritize investments. For example, the National Security Council\u2019s National Strategy for Countering Biological Threats is focused solely on outlining the federal government\u2019s approach to reducing the risks of biological weapons proliferation and terrorism, while the National Health Security Strategy authored by the Assistant Secretary for Preparedness and Response (ASPR) seeks to strengthen communities\u2019 abilities to protect against and respond to any incidents with negative health consequences. While these and other strategies, such as the National Strategy for Biosurveillance, address aspects of biodefense, no single strategy provides a comprehensive approach for the nation to prepare and plan for biological threats. In addition, as we reported in 2016, the individual strategies related to pieces of the biodefense enterprise do not currently address the need for prioritization and tradeoffs among approaches when faced with limited resources and expansive threat.", "In addition, there is no individual or entity with responsibility, authority, and accountability for overseeing the entire biodefense enterprise. White House officials have previously told us that the National Security Council and the Homeland Security Council act together as focal points for federal biodefense efforts. As noted above, many federal departments and agencies participate in National Security Council groups and mechanisms, and biodefense efforts at the White House level are recognized collaboration mechanisms. However, as described in the Blue Ribbon Study Panel report and reported to us by HHS and DHS officials, these mechanisms may not persist from one presidential administration to the next. As a result, any mechanism located within bodies such as the National Security Council and Homeland Security Council may not provide the continuity and leadership needed to address persistent biological threats. The absence of mechanisms to develop shared threat awareness across the full set of biological threats and use that information to identify opportunities for leveraging resources to mitigate risk across the enterprise is another example of the fragmentation we have previously identified.", "However, opportunities exist to enhance shared threat awareness across the biodefense enterprise. Enacted on December 23, 2016, the National Defense Authorization Act (NDAA) for Fiscal Year 2017 required DOD, HHS, DHS, and USDA to jointly develop a national biodefense strategy and associated implementation plan. The law requires the strategy and implementation plan to: inventory and assess all existing strategies, plans, policies, laws, and interagency agreements related to biodefense; describe biological threats from warfare, terrorism, naturally occurring infectious disease, and accidental exposure; describe current federal efforts preventing the proliferation and use of biological weapons, preventing accidental or naturally occurring outbreaks, and mitigating the effects of an epidemic; describe roles and responsibilities of the agencies for biodefense; describe interagency capabilities required to support the national recommend actions for strengthening current biodefense capabilities and structures, and for improving interagency coordination.", "According to DHS officials, as of September 2017, the White House National Security Council is currently overseeing an interagency workgroup to develop that strategy. DOD officials confirmed that the process to create such a strategy is under way, and the effort may include revising or consolidating existing guidance in addition to developing a new national biodefense strategy.", "As the departments fulfill their obligations under the NDAA for 2017, key federal organizations have the opportunity to institutionalize mechanisms to help the nation make the best use of limited biodefense resources, to include broader shared threat awareness to inform opportunities to leverage resources. However, until the strategy is developed, we will not know the extent it will address shared threat awareness, if at all. The NDAA for 2017 requires the strategy to be submitted to Congress not later than 275 days after enactment (September 2017) and requires us to review it 180 days after the date of submittal. We will continue to monitor progress toward developing strategic mechanisms to help confront fragmentation and complexity across the biodefense enterprise."], "subsections": []}]}, {"section_title": "NBACC Threat Characterization Research Is Largely Driven by Knowledge Gaps Identified through the BTRA Process", "paragraphs": ["According to DHS officials, the threat characterization research agenda at NBACC is based primarily on the results and knowledge gaps identified through evaluation of the BTRA. Each year NBACC produces an annual plan that, among other elements, outlines new research projects intended to address priority knowledge gaps for identified biological threat agents. These projects are identified through a multistep process that incorporates a combination of DHS-designated priorities, interagency stakeholder input, and additional planning criteria, such as resource availability and ongoing maintenance of required technical capabilities. (See fig. 8.)"], "subsections": [{"section_title": "Priority Knowledge Gaps and Research Needs", "paragraphs": ["The first step in the project selection process is the identification of knowledge gaps by officials within DHS\u2019s Biological Threat Characterization Program (BTCP) based on their evaluation of the BTRA. According to these officials, identification of the most critical knowledge gaps involves determining which inputs have a relatively high impact on BTRA consequence estimates and have a relatively high degree of uncertainty, for example, because data about agent attributes are limited. The officials said they aim to enhance the value of BTRA conclusions by increasing the accuracy and completeness of the data used as modeling inputs through the work of NBACC. DHS has historically relied on the opinions of subject-matter experts to review the BTRA and support determinations regarding data quality but has also recently developed more quantitative methods to integrate BTRA results into the research planning and prioritization process for NBACC.", "Using data from the 2010 BTRA, DHS identified a total of 22 priority knowledge gaps that it is currently working to address through NBACC research and plans to complete within 6 to 10 years. BTCP program officials reported that although research priorities generally target Tier 1 Select Agents, they also seek to advance research projects that broadly encompass (1) a variety of biological threat agents (e.g., bacteria, viruses, and toxins); (2) agents representing different characteristics that affect threat (e.g., means of acquisition or production, dissemination and exposure attributes, and expected medical consequences), and (3) a selection of traditional, emerging, enhanced, and advanced biological threat agents.", "In addition to the identification of BTRA-related knowledge gaps, BTCP officials stated that emerging events and specific stakeholder needs could also influence research priorities. For example, during the 2014 Ebola outbreak, BTCP officials directed NBACC to perform research to better understand the risk factors associated with disease transmission, such as the persistence of the virus on various surfaces, and the efficacy of common disinfectants to inform decontamination and public health response efforts. DHS officials also noted that the needs of the Federal Bureau of Investigation, particularly through its casework at the National Bioforensics Analysis Center, may drive some of NBACC\u2019s research priorities."], "subsections": []}, {"section_title": "Proposed Annual Research Plan", "paragraphs": ["The second step in the process for identifying NBACC threat characterization research projects includes the development of a proposed annual research plan. The annual plan is developed using a combination of inputs including DHS\u2019s research priorities, annual NBACC budgetary resources, and technical capability and staff development needs. Although the plan documents the DHS knowledge gaps that serve as a key driver for developing specific project proposals, in some cases these gaps are identified only as general areas of research, such as the virulence of specified threat agents, which could require a broad scope of research to address. As the plan notes, these priority knowledge gaps exceed the resources available for threat characterization each year. For this reason, NBACC uses a combination of additional criteria to further refine research priorities and select projects for inclusion in the new scope of work, such as consideration of the time and resources required and which knowledge gaps are most likely to provide clear and compelling answers through experimentation. Other factors that may influence final project selection include addressing the knowledge gaps that could be completed reasonably comprehensively in 3 to 4 years or may have potential to provide a framework to better understand other priority agents or emerging threats, such as the Ebola virus or other infectious diseases (see fig. 9). In developing the annual research plan, NBACC also sets aside a small portion of its threat characterization budget to respond to emerging requests, and the plan notes that project plans may be readjusted due to any emerging requirements.", "The annual plan also identifies priorities needed to maintain four core technical capabilities (aerobiology, bacteriology, virology, and comparative medicine) and accreditation standards required to perform ongoing threat characterization research on potential threat agents in a maximum security national biocontainment laboratory. For example, one of the priorities identified within the 2016 annual plan includes the installation and verification of new equipment intended to enhance aerobiology capabilities. Each annual plan includes a crosswalk between the proposed projects and the associated capabilities that will be utilized. For example, the 2016 NBACC annual plan outlines a scope of work that includes seven research studies that collectively cover all four of the core technical capabilities. Examples of some of the research conducted in recent years include assessment of the decay rates of aerosolized Tier 1 agents and the virulence of select agents based on particle size and production methods."], "subsections": []}, {"section_title": "Plan Approval and Oversight", "paragraphs": ["Once NBACC develops a proposed annual research plan, stakeholders review it before the plan goes for S&T approval. According to S&T officials we interviewed, the BTCP program solicits input and feedback on the draft annual plan from interagency stakeholders within DOD, HHS, and the Intelligence Community, among others. According to these officials, the community of practice for conducting this type of research is small and is generally well coordinated to avoid potential duplication of work. Once S&T officials approve the plan, it then undergoes a final approval process through DHS\u2019s Compliance Review Group to ensure adherence with the Biological Weapons Convention.", "According to S&T officials, they also participate in periodic project reviews to maintain oversight regarding the extent to which each research study is achieving its objectives, and an overall assessment is performed as part of the annual evaluation process of the NBACC contract performer. The purpose of these periodic reviews is to help identify any changes to the project plan that may be required and help ensure that the research is making progress toward addressing identified knowledge gaps. S&T officials stated that although some projects have been modified based on preliminary results, they rely much more heavily on advance review of the experimental methodology by technical subject-matter experts before a project is initiated to help ensure the research will address identified gaps and help inform future iterations of the BTRA."], "subsections": []}, {"section_title": "NBACC Impacts", "paragraphs": ["Consistent with its strategic goals, S&T officials reported that NBACC research has directly contributed to the closing of identified knowledge gaps and the development of capabilities that are used to respond to emerging threat characterization needs. According to these officials, NBACC products have improved BTRA consequence and hazard modeling by reducing the uncertainty associated with key data inputs. Specifically, officials cited that significant changes were made to the underlying risk models as a result of NBACC research conducted since the completion of the 2010 BTRA, including updates to 62 individual data points associated with eight biological hazards. As noted in the 2016 NBACC annual plan, the limited research available on authentic threat agents has historically entailed the use of data from surrogate or unrelated biological agents to evaluate the threat and consequences of a biological attack on the homeland. According to S&T officials, the use of authentic threat agents at NBACC addresses this shortcoming and has enhanced confidence in estimates of risk and operational response planning. Although NBACC research currently remains focused on closing specific knowledge gaps, officials noted that this research is also intended to lay a foundation for more predictive modeling, such as using the data to identify shared characteristics among a class of agents.", "Although the focus of NBACC threat characterization research is generally on the intentional use of Tier 1 biological agents, S&T officials stated that NBACC capabilities could also be employed to address challenges associated with emerging infectious diseases. They further noted that, because many of the high-priority biological threat agents that affect humans also may affect livestock, NBACC\u2019s studies could also be useful for informing risk associated with animal health.", "NBACC expertise has also been leveraged by other DHS components. For example, S&T officials reported that the U.S. Coast Guard requested information from NBACC to help inform its global vaccine program for its workforce, and DHS\u2019s National Protection and Programs Directorate and the Secret Service have requested NBACC to review their own biological risk assessments. Within S&T, CBD officials stated that NBACC- produced products were used to inform the development of new biological sensor technologies. In addition to sharing NBACC research findings through briefings and reports, NBACC officials also reported that they are currently pursuing efforts to establish an electronic repository for NBACC scientific products at the Unclassified/ For Official Use Only, Secret, and Top Secret levels. The goal of this repository site is to facilitate the ability of end users to search, view, and download documents according to their approved access."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS, DOD, EPA, HHS, and USDA for review and comment. Each of these departments provided technical comments that we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Agriculture, Defense, Health and Human Services, and Homeland Security; and the EPA Administrator. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Bioterrorism Risk Assessment", "paragraphs": ["The Department of Homeland Security (DHS) is responsible for assessing the risks posed by biological agents as directed by the Project BioShield Act of 2004 and Homeland Security Presidential Directives 10\u2014 Biodefense for the 21st Century, and 18\u2014Medical Countermeasures against Weapons of Mass Destruction. To this end, DHS\u2019s Science & Technology Directorate (S&T) has developed four Bioterrorism Risk Assessments (BTRA) since 2006 to assess the relative risks posed by various biological agents based on estimates of likelihood and consequence parameters for a number of potential attack scenarios."], "subsections": [{"section_title": "BTRA Scope and Methodology", "paragraphs": ["The BTRA is a probabilistic risk assessment intended to quantify risk for rare yet potentially catastrophic intentional attacks using biological agents by nonstate actors. Results are based on risk modeling for a vast number of potential scenarios derived from multiple event trees representing specific decisions or actions an adversary may pursue. The most recent iteration issued in 2017, called the BTRA 5.0, includes over 600,000 scenarios with predicted impacts on human health, fatalities, and economic costs. These consequence estimates are based in part on inputs provided or validated by the Intelligence Community, various estimates of likelihood, and applicable consequence parameters, such as specific agent attributes and threat characterization research results from the National Biodefense Analysis and Countermeasures Center (NBACC).", "The BTRA incorporates a number of different models related to the various attack scenarios being assessed. For example, DHS utilizes unique models to assess risk for indoor attacks (in 12 different target categories, such as transportation hubs and sporting events), outdoor attacks (including the top 100 most populated U.S. cities and their associated weather patterns), and potential dissemination via food or water systems, as well as a model that estimates the ability for the public health system to mitigate potential illnesses or fatalities based on disease progression, response timelines, and available medical countermeasures. According to S&T officials, one of the key updates in the BTRA 5.0 is the introduction of adversary-decision models, which allow BTRA program officials to incorporate inputs from subject-matter experts and other data sources regarding the likelihood of various attack scenarios. Selected factors that are considered to help identify potential agents or dissemination methods chosen by an adversary include data on agent acquisition or the means of production in various countries, as well as the likelihood of interdiction during transport."], "subsections": []}, {"section_title": "BTRA 5.0 Updates and Prior Recommendations", "paragraphs": ["According to S&T officials, the BTRA 5.0 is intended to address previous recommendations of the National Research Council of the National Academies (National Academies) and provide additional information regarding data and intelligence inputs provided by subject-matter experts. The BTRA 5.0 was released in May 2017 and represents the first full BTRA product since 2010. According to BTRA program officials, a series of limited reports were issued in 2012, but S&T management instructed the division to address previous criticisms of the BTRA, including the National Academies\u2019 recommendations, before developing another full report. S&T program officials reported taking action on 12 of the 13 National Academies\u2019 recommendations, and determined, after subsequent review by DHS, that no action was required to address the final recommendation. Some notable changes that DHS reported making in response to the National Academies\u2019 recommendations include:", "Officials reported implementing adversary-decision models to assess the probabilities of terrorist decisions for transporting materials and selecting targets to respond to National Academies\u2019 criticism that the BTRA methodology may not fully consider adversaries\u2019 efforts to maximize their chance of success.", "Officials reported publishing models and methodology reports and sending biological data for interagency review to respond to the National Academies\u2019 recommendation to improve transparency. In addition, officials said that DHS had made this information available to stakeholders on a secured electronic site for those with access.", "Officials reported developing additional tools and methods to assess consequences and probabilities of changing threats to address the National Academies\u2019 concern that the BTRA did not allow for incorporation of newly recognized threats or those that may not yet be well understood.", "Officials reported developing an economic consequence model and beginning to incorporate assessments of agricultural risk in addition to human mortality and morbidity to respond to the National Academies\u2019 recommendation that DHS add economic and agricultural effects, among other losses, to its consequence modeling.", "According to S&T officials, another change implemented in the BTRA 5.0 is an effort to collect more detailed information about the sources and confidence level of the data inputs provided by subject-matter experts. These officials reported that they obtained expertise by survey primarily from terrorism subject matter experts, including members of the Intelligence Community. Data results now indicate whether inputs are based upon official reporting or the contributor\u2019s opinion based upon subject knowledge."], "subsections": []}, {"section_title": "Additional BTRA Tools and Model Development", "paragraphs": ["DHS also reported working on additional tools and models that officials expected would enhance the BTRA and make the results more useful to stakeholders. The following are examples of new developments identified to us by S&T officials:", "Research Prioritization Matrix (RPM) Tool. The RPM tool is intended to help identify areas of research that will be of greatest benefit to further inform future iterations of the BTRA. The RPM Tool uses a mathematical formula to develop a score based on numerous factors including (1) estimates of likelihood and consequences calculated by the BTRA, (2) the results of a sensitivity analysis of individual data parameters, and (3) an estimate of the confidence in the underlying and supporting data. According to officials, the result is a parameter and agent-specific score that can be used to support decisions regarding research prioritization in a structured, transparent manner that can be tracked over time to demonstrate progress. For example, a specific parameter in the RPM tool may include the decay rate of an agent in a particular substance (for example, in food items), and another parameter might be how much of a certain agent can likely be produced by certain adversaries. According to S&T officials, the RPM tool was recently updated with the latest data and results from the BTRA 5.0 and is expected to be more influential on the development of the research plan for fiscal year 2018. S&T program officials also said that the RPM tool will be made available to other federal entities so that they may use it for their own research prioritization needs, as well as customize the results, such as restricting the model to include only indoor attacks.", "Agricultural Terrorism Modeling. S&T officials have initiated efforts to develop additional modeling of potential agricultural impacts of a biological attack. Although a risk assessment of agricultural terrorism was completed in 2012 that assessed potential impacts from five animal diseases and two plant pathogens, officials reported that it was criticized for having substandard modeling and employing limited scenarios. The current effort includes representatives from the U.S. Department of Agriculture, the Food and Drug Administration, and the Federal Bureau of Investigation, and is focused on development of modeling for biological attacks on agriculture that may occur pre- harvest (before food processing begins) to differentiate it from attacks on the food system itself. DHS and stakeholders are currently evaluating available modeling tools and they plan to include the new modeling within the BTRA 6.0.", "Key threat awareness activities identified by the agency The U.S. Department of Agriculture (USDA) operates numerous programs designed to help prevent the entry and spread of agricultural pests and diseases, and protect the health of U.S. agricultural resources by addressing zoonotic diseases (transmissible from animals to humans) and implementing surveillance, preparedness and response, and control efforts. Examples of program activities include the following:", "High Consequence List. A three-tier classification system of foreign animal diseases determined to pose a significant threat to animal health if introduced into the United States. The list was developed in 2013 to help prioritize investments in the National Veterinary Stockpile. produced annually to provide an assessment of pests deemed most important in terms of likelihood or potential consequence. These guidelines define the procedures that stakeholders are to use to identify, characterize, survey, and respond to a particular pest if detected in the United States.", "Vulnerability Assessments. The Food Safety and Inspection Service conducts vulnerability assessments that, among other things, can inform the development of countermeasures to help prevent or mitigate the impacts of an intentional attack on the food supply.", "Scientific Research. The Agricultural Research Service conducts research to help characterize the status of diseases worldwide and assess their spread patterns. This work can also include basic research on various biological agents, as well as identification of specific scientific and technology gaps related to effective preparedness and response efforts.", "Chemical and Biological Defense (JPEO-CBD) manages the development and acquisition of different technologies and prototypes in order to provide biological defense products to the military services. The technologies can include biological detection systems and laboratory equipment, medical countermeasures, protective equipment for individual warfighters to provide deployed units detection and protection capabilities against different types of biological weapons.", "Threat assessment. The Defense Intelligence Agency produces the Chemical, Biological, Radiological, and Nuclear Warfare Capstone Threat Assessment, a report on chemical and biological programs of countries and technology that could be used by adversaries in a threat environment. DOD officials said that JPEO-CBD uses the report to identify biological warfare threats against military and civilian populations and help prioritize resources and investments into research and development. assessments of potential impacts to water systems and the environment in the event of a biological incident. EPA officials said EPA relies on the Department of Homeland Security\u2019s Bioterrorism Risk Assessment and information on adversary capabilities and tactics to better assess potential environmental countermeasures for attacks on water systems and indoor/outdoor areas, to steer research resources, and to support responders who may need to address the consequences of an attack. EPA Water Security Division officials said they develop tools, training, and programs to address intentional contamination, detection in distribution networks, vulnerability assessments, emergency response capabilities, and how to monitor incidents and threats.", "Research and Development. The Office of Research and Development\u2019s Homeland Security Research Program aims to help increase the capabilities of EPA and communities to prepare for and respond to chemical, biological, and radiological disasters. EPA relies on information from the BTRA in addition to its own research to inform preparedness activities and its research agenda. EPA\u2019s homeland security research is organized into three topic areas that support these objectives: (1) characterizing contamination and assessing exposure; (2) water system security and resilience; and (3) remediating wide areas. (PHEMCE). Includes various HHS agencies and other federal departments, such as the Department of Defense (DOD), DHS, and the U.S. Department of Agriculture, to advise the Secretary of HHS on medical countermeasure priorities and approaches to the development, acquisition, stockpiling, and distribution of medical countermeasures for biological weapons attack agents, pandemic influenza, and other emerging infectious diseases.", "Global disease surveillance. Helps identify and respond to emerging infections, including pathogenic avian influenza, which remains an urgent global infectious disease threat.", "Medical and Public Health Consequence Modeling. HHS\u2019s medical and public health consequence modeling reports use the exposure information from DHS\u2019s material threat assessments (MTA) to calculate the number of individuals who may become ill, be hospitalized, or die based on the MTA scenario with and without medical countermeasures. HHS reported using the modeling reports as part of an assessment process to establish requirements for medical countermeasures that need to be developed and acquired to respond to a biological incident. aimed at reducing large public health consequences of attacks on the food supply. FDA assesses public health and economic impact of an attack, the accessibility of a target and ease of an attack, the ability to recover, the loss of production due to an attack, and target selection. FDA also said it considers the health, economic, and psychological impacts of an attack on the food industry.", "Scientific Research. Studies include thermal stability of microbial agents and ability to inactivate biological agents in the food supply, and studies of pathogenic properties of viruses to help understand the epidemiology, transmission, evolution and origin of an outbreak. which is a system of environmental monitoring intended to provide early warning and detection of a biological attack. DHS also houses and supports the National Biosurveillance Integration Center\u2014a collaboration of 14 federal partners intended to integrate information about threats to human, animal, plant, and environmental health from thousands of sources to develop a more comprehensive picture of the threat landscape.", "Research and Analysis. DHS operates the National Biodefense Analysis and Countermeasures Center, which conducts scientific research and develops reports and products intended to address identified knowledge gaps associated with current and future biological threats, including the effectiveness of potential countermeasures and the characterization of key attributes of biological attacks by an adversary such as agent acquisition; agent production; dissemination methods; and virulence. Additional research and analysis efforts are supported by the Biodefense Knowledge Center and multiple National Laboratories."], "subsections": []}]}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kathryn Godfrey (Assistant Director), Ryan Lambert (Analyst-in-Charge), Amy Bowser, Ben Emmel, Ashley Grant, Eric Hauswirth, Susanna Kuebler, Cody Raysinger, and Amber Sinclair made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Biological Defense: Additional Information That Congress May Find Useful as It Considers DOD\u2019s Advanced Development and Manufacturing Capability. GAO-17-701. Washington, D.C.: July 17, 2017.", "Chemical and Biological Defense: DOD Has Identified an Infrastructure Manager and Is Developing the Position\u2019s Roles and Responsibilities. GAO-17-522R. Washington, D.C.: July 7, 2017.", "Emerging Infectious Diseases: Actions Needed to Address the Challenges of Responding to Zika Virus Disease Outbreaks. GAO-17-445. Washington, D.C.: May 23, 2017.", "Avian Influenza: USDA Has Taken Actions to Reduce Risks but Needs a Plan to Evaluate Its Efforts. GAO-17-360. Washington, D.C.: April 13, 2017.", "Defense Civil Support: DOD, HHS, and DHS Should Use Existing Coordination Mechanisms to Improve Their Pandemic Preparedness. GAO-17-150. Washington, D.C.: February 10, 2017.", "Bioforensics: DHS Needs to Conduct a Formal Capability Gap Analysis to Better Identify and Address Gaps. GAO-17-177. Washington, D.C.: January 11, 2017.", "Defense Intelligence: Additional Steps Could Better Integrate Intelligence Input into DOD\u2019s Acquisition of Major Weapon Systems. GAO-17-10. Washington, D.C.: November 1, 2016.", "High-Containment Laboratories: Actions Needed to Mitigate Risk of Potential Exposure and Release of Dangerous Pathogens. GAO-16-871T. Washington, D.C.: September 23, 2016.", "High-Containment Laboratories: Improved Oversight of Dangerous Pathogens Needed to Mitigate Risk. GAO-16-642. Washington, D.C.: August 30, 2016.", "Biodefense: The Nation Faces Multiple Challenges in Building and Maintaining Biodefense and Biosurveillance. GAO-16-547T. Washington, D.C.: April 14, 2016.", "Emerging Infectious Diseases: Preliminary Observations on the Zika Virus Outbreak. GAO-16-470T. Washington, D.C.: March 2, 2016.", "Air Travel and Communicable Diseases: Comprehensive Federal Plan Needed for U.S. Aviation System\u2019s Preparedness. GAO-16-127. Washington, D.C.: December 16, 2015.", "Emerging Animal Diseases: Actions Needed to Better Position USDA to Address Future Risks. GAO-16-132. Washington, D.C.: December 15, 2015.", "Biosurveillance: DHS Should Not Pursue BioWatch Upgrades or Enhancements Until System Capabilities Are Established. GAO-16-99. Washington, D.C.: October 23, 2015.", "Climate Change: HHS Could Take Further Steps to Enhance Understanding of Public Health Risks. GAO-16-122. Washington, D.C.: October 5, 2015.", "Biosurveillance: Challenges and Options for the National Biosurveillance Integration Center. GAO-15-793. Washington, D.C.: September 24, 2015.", "Chemical and Biological Defense: Designated Entity Needed to Identify, Align, and Manage DOD\u2019s Infrastructure. GAO-15-257. Washington, D.C.: June 25, 2015.", "Biological Defense: DOD Has Strengthened Coordination on Medical Countermeasures but Can Improve Its Process for Threat Prioritization. GAO-14-442. Washington, D.C.: May 15, 2014.", "National Preparedness: HHS Is Monitoring the Progress of Its Medical Countermeasure Efforts but Has Not Provided Previously Recommended Spending Estimates. GAO-14-90. Washington, D.C.: December 27, 2013.", "Homeland Security: An Overall Strategy Is Needed to Strengthen Disease Surveillance in Livestock and Poultry. GAO-13-424. Washington, D.C.: May 21, 2013.", "Influenza: Progress Made in Responding to Seasonal and Pandemic Outbreaks. GAO-13-374T. Washington, D.C.: February 13, 2013.", "Managing for Results: Key Considerations for Implementing Interagency Collaborative Mechanisms. GAO-12-1022. Washington, D.C.: September 27, 2012.", "Biosurveillance: DHS Should Reevaluate Mission Need and Alternatives before Proceeding with BioWatch Generation-3 Acquisition. GAO-12-810. Washington, D.C.: September 10, 2012.", "Chemical, Biological, Radiological, and Nuclear Risk Assessments: DHS Should Establish More Specific Guidance for Their Use. GAO-12-272. Washington, D.C.: January 25, 2012.", "Biosurveillance: Nonfederal Capabilities Should Be Considered in Creating a National Biosurveillance Strategy. GAO-12-55. Washington, D.C.: October 31, 2011.", "National Preparedness: Improvements Needed for Acquiring Medical Countermeasures to Threats from Terrorism and Other Sources. GAO-12-121. Washington, D.C.: October 26, 2011.", "Homeland Security: Challenges for the Food and Agriculture Sector in Responding to Potential Terrorist Attacks and Natural Disasters. GAO-11-946T. Washington, D.C.: September 13, 2011.", "Homeland Security: Actions Needed to Improve Response to Potential Terrorist Attacks and Natural Disasters Affecting Food and Agriculture. GAO-11-652. Washington, D.C.: August 19, 2011.", "National Preparedness: DHS and HHS Can Further Strengthen Coordination for Chemical, Biological, Radiological, and Nuclear Risk Assessments. GAO-11-606. Washington, D.C.: June 21, 2011.", "Live Animal Imports: Agencies Need Better Collaboration to Reduce the Risk of Animal-Related Diseases. GAO-11-9. Washington, D.C.: November 8, 2010.", "Biosurveillance: Efforts to Develop a National Biosurveillance Capability Need a National Strategy and a Designated Leader. GAO-10-645. Washington, D.C.: June 30, 2010.", "Agricultural Quarantine Inspection Program: Management Problems May Increase Vulnerability of U.S. Agriculture to Foreign Pests and Diseases. GAO-08-96T. Washington, D.C.: October 3, 2007.", "Global Health: U.S. Agencies Support Programs to Build Overseas Capacity for Infectious Disease Surveillance. GAO-07-1186. Washington, D.C.: September 28, 2007."], "subsections": []}], "fastfact": []} {"id": "GAO-18-533", "url": "https://www.gao.gov/products/GAO-18-533", "title": "National Science Foundation: A Workforce Strategy and Evaluation of Results Could Improve Use of Rotating Scientists, Engineers, and Educators", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NSF has identified potential benefits and challenges associated with its use of rotators. Benefits include fresh perspectives and close connections to the scientific community, while challenges include staffing turnover and higher costs for some rotators compared with permanent employees.", "GAO was asked to review NSF's use and management of the IPA and VSEE rotator programs, among other things. This report examines (1) the number, costs, and uses of NSF rotators for fiscal year 2008 through fiscal year 2017; (2) the strategies NSF has used to manage rotator costs and the results of these efforts; and (3) the extent to which NSF has a workforce strategy for using rotators and has evaluated the results of its rotator programs. GAO analyzed summary-level data on NSF's rotators; reviewed key documents; interviewed NSF officials; conducted semistructured interviews with a nongeneralizable sample of rotators and permanent federal employees selected from different scientific directorates within NSF; and compared NSF's management of the program to key principles for effective strategic workforce planning."]}, {"section_title": "What GAO Found", "paragraphs": ["The numbers of rotators\u2014outside scientists, engineers, and educators on temporary assignment\u2014at the National Science Foundation (NSF) and their costs in proportion to other staff remained relatively stable in fiscal years 2008 through 2017. Most rotators joined NSF under its Intergovernmental Personnel Act (IPA) mobility program. IPA rotators comprised about 12 percent of NSF's workforce and 17 percent of staff costs on average and were not subject to a federal salary cap. They remain employees of their home institutions, with NSF reimbursing the institutions for most of their salaries and benefits. The remaining rotators are considered temporary federal employees under the Visiting Scientist, Engineer, and Educator (VSEE) program; their salaries could not exceed the federal maximum for their positions.", "Beginning in fiscal year 2017, NSF adopted IPA rotator program cost management strategies expected to achieve the greatest savings with the least harm to recruitment, but NSF officials said it is too soon to determine the full results. For example, for new IPA rotators who had not yet begun negotiating their assignments, NSF began requiring their home institutions to pay for 10 percent of the rotators' salary and benefits. NSF officials told GAO they expect to issue a report evaluating the strategies in December 2018.", "NSF's IPA program steering committee recommended developing a workforce strategy for balancing the agency's use of rotators with federal staff, but as of June 2018, NSF had not developed a strategy or fully evaluated the IPA and VSEE rotator programs' results, as called for by GAO's key principles for effective strategic workforce planning. NSF officials said they recognized the value of a workforce strategy but were focusing instead on other workforce planning efforts, and they had not fully evaluated program results in part because rotators are blended into the agency's permanent workforce, making a separate evaluation difficult. Without a workforce strategy and evaluation of results, NSF is limited in its ability to manage and, if warranted, adjust its use of rotators."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that NSF develop an agency-wide strategy for balancing the agency's use of rotators with permanent staff and evaluate the contributions of its rotator programs toward NSF's human capital goals and programmatic results. NSF agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["To advance its mission of supporting research and education in science and engineering, the National Science Foundation (NSF) brings in outside scientists, engineers, and educators on temporary assignments to work alongside its staff of permanent federal employees. NSF refers to these individuals as rotators. Rotators generally perform the same work and have the same responsibilities as permanent employees who fill similar positions within the agency. NSF\u2019s rationale in using rotators is that they bring fresh perspectives and up-to-date insights about the direction of science and engineering and help NSF maintain a close connection to the scientific community. However, NSF\u2019s use of rotators has also introduced management challenges. For example, according to the agency\u2019s Human Capital Strategic Plan, continual turnover resulting from the use of rotators has presented challenges in ensuring seamless staffing transitions.", "NSF recruits its rotators primarily under the Intergovernmental Personnel Act (IPA) mobility program, which allows for details of individuals from state and local governments, institutions of higher education, and other organizations. NSF refers to individuals detailed under this program as IPA rotators. Under NSF\u2019s IPA program, rotators remain employees of and continue to receive salaries and benefits from their home institutions. During rotators\u2019 assignments, NSF reimburses the majority of their salaries and benefits under cost-sharing agreements with the rotators\u2019 home institutions. Rotators may occasionally take NSF-funded trips to continue research and research-related activities at their home institutions. NSF can negotiate IPA rotator details for an initial assignment of up to 2 years and may extend the assignment for another 2 years\u2014for a maximum of 4 years\u2014if NSF, the rotator, and the rotator\u2019s home institution agree.", "NSF also recruits rotators from research or educational institutions under its Visiting Scientist, Engineer, and Educator (VSEE) program and refers to these individuals as VSEE rotators. Under this program, VSEE rotators are considered temporary federal employees. They are on a nonpaid leave of absence from their home institution and receive their salaries directly from NSF. Assignments are usually made for up to 1 year and may be extended for an additional year.", "The NSF Office of Inspector General has examined several management and oversight issues associated with NSF\u2019s use of IPA rotators. For example, the Inspector General identified the potential effect of the time that IPA rotators spend at their home institutions on the rotators\u2019 ability to fulfill their responsibilities at NSF. In addition, the Inspector General reported that in fiscal year 2012, NSF spent approximately $6.7 million more by using rotators instead of hiring permanent federal employees. That report identified opportunities for NSF to reduce the cost of IPA rotators. In a follow-up report, the Inspector General found that both the number and cost of IPA rotators increased in fiscal year 2015 from fiscal year 2012.", "The American Innovation and Competitiveness Act of 2017 directs NSF to report to certain congressional committees on its efforts to control costs associated with employing rotators and on its progress in responding to the Inspector General\u2019s findings and implementing its recommendations related to the employment of rotators. In addition, the act directs NSF to annually provide written justification for each rotator who it pays more than the maximum rate for the Senior Executive Service\u2014which was $187,000 in fiscal year 2017.", "NSF\u2019s use of rotators is one of the agency\u2019s strategies for managing its human capital. We have previously found that strategic human capital management addresses two critical needs: (1) aligning an organization\u2019s human capital program with its current and emerging mission and programmatic goals and (2) developing long-term strategies for acquiring, developing, and retaining staff to achieve programmatic goals. Strategic human capital management is a pervasive challenge the federal government faces and is one of the areas we identified in our High Risk List. While agencies\u2019 approaches to workforce planning will vary, we have previously identified key principles that strategic workforce planning should address irrespective of the context in which the planning is done, including:", "Determine the critical skills and competencies that will be needed to achieve current and future programmatic results;", "Develop strategies that are tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies; and", "Monitor and evaluate progress toward the human capital goals and the contribution that human capital results have made toward achieving programmatic results.", "You asked us to review NSF\u2019s use and management of the rotator programs, among other things. This report examines (1) the number, costs, and uses of NSF rotators over time; (2) the strategies NSF has used to manage rotator costs and the results of these efforts; and (3) the extent to which NSF has a workforce strategy for using rotators and has evaluated the results of its rotator programs.", "To examine the number, costs, and use of NSF rotators over time, we collected and analyzed summary-level data on NSF\u2019s rotators, permanent employees, and other temporary employees for fiscal years 2008 through 2017 so that we could observe any trends over the most recent 10-year period for which data were available. Data on the number of employees included the number of permanent federal employees, temporary federal employees, IPA rotators, and VSEE rotators; the number of each type of employee in executive positions; and counts of the types of home institutions that IPA rotators came from in fiscal year 2017. We collected data on the number of employees and rotators as of the last day for each fiscal year for fiscal years 2008 through 2017. We supplemented this summary-level data with data on executive-level positions held by IPA rotators or federal employees and executive-level vacancies as of November 2017\u2014the most recent data available at the time of our review. Cost data included NSF\u2019s actual costs for IPA rotators from fiscal years 2008 through 2017, and actual costs for federal employees from fiscal years 2009 through 2017, and budgeted amounts for cost-sharing agreements. To adjust costs for inflation, we converted them to constant 2017 dollars using a Gross Domestic Product price index. We focused our review on IPA rotators and reviewed VSEE rotators to a lesser extent, in part because NSF maintains cost data on VSEE rotators commingled with data on other federal employees and the aggregate data we obtained from NSF did not separate out most costs for VSEE rotators.", "We assessed the reliability of the data we collected on the number and costs of NSF rotators and permanent and other temporary federal employees by performing manual testing for missing data or obvious errors and conducting interviews with NSF officials knowledgeable about the data. In particular, we discussed the data sources\u2014including NSF\u2019s grant database, financial system, and human resources database\u2014and methods used to provide the data. We determined that the data were sufficiently reliable for reporting summary-level data on the number of rotators and associated costs over time.", "For further information on NSF\u2019s use of rotators, we reviewed NSF\u2019s personnel manual, public website, and other information provided by NSF officials on how IPA and VSEE rotators are compensated and the types of positions they fill. We reviewed all IPA rotator agreements made in fiscal year 2017; those agreements included information on rotator costs and cost-sharing amounts and the responsibilities of the positions filled by rotators. We also reviewed reports issued by the NSF Inspector General and the National Academy of Public Administration on NSF\u2019s use of rotators. Finally, we reviewed regulations and policies on the IPA program issued by the Office of Personnel Management (OPM).", "To examine the strategies that NSF has used to manage IPA rotator costs and the results of these efforts, we reviewed key agency documentation, such as documents related to the establishment of cost- management strategies; NSF\u2019s January 2018 report to Congress on NSF\u2019s efforts to manage rotator costs; and NSF\u2019s March 2018 preliminary evaluation of its cost-sharing pilot program. We also discussed with knowledgeable NSF officials NSF\u2019s cost-management strategies and the extent to which the officials had identified any preliminary results.", "To examine the extent to which NSF has a workforce strategy for using rotators and has evaluated the results of its rotator programs, we reviewed NSF\u2019s workforce planning documents, including its human capital strategic plan for 2011 to 2014 (the latest plan available) and internal NSF documents issued in 2016 and 2017 on plans for developing an agency-wide workforce strategy that would include rotators. In addition, we interviewed NSF\u2019s chief human capital officer and other NSF officials regarding NSF\u2019s decision-making process for hiring rotators, its objectives for the rotator programs, its efforts to evaluate program results, and its plans for developing an agency-wide workforce strategy. We compared NSF\u2019s efforts with three of the five principles from GAO\u2019s Key Principles for Effective Strategic Workforce Planning, which we selected on the basis of their relevance to NSF\u2019s efforts.", "For further insight into NSF\u2019s rotator programs, we conducted semistructured interviews with a nongeneralizable sample of IPA rotators, VSEE rotators, and permanent federal employees. The sample included two individuals in executive positions (an IPA rotator and a permanent employee who followed an in-house career path) and four individuals in program director positions (an IPA rotator, a VSEE rotator, and two permanent employees). We selected the individuals from 5 of the 7 scientific directorates within NSF. In addition, our sample included a former NSF employee in an executive position. Our semistructured interviews included questions regarding the individuals\u2019 experiences and perspectives on their work activities, the benefits and challenges of NSF\u2019s use of rotators, and the effect of NSF\u2019s use of rotators on the in-house career paths of permanent employees. In addition, we asked individuals in executive positions about the effect of the NSF\u2019s use of rotators on (1) the ability to set directions for the agency and to achieve associated goals and objectives and (2) succession planning. The information provided through the interviews is anecdotal and cannot be generalized to a larger population, but it provides illustrative perspectives and opinions of different subgroups within NSF on NSF\u2019s rotator programs.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NSF relies on two programs for bringing rotators into the agency: (1) the IPA program and (2) the VSEE program. The Office of Personnel Management develops policies on agencies\u2019 use of the IPA program and promulgates program regulations.", "Rotators in NSF\u2019s IPA and VSEE programs differ in key respects, including their employment status and compensation.", "IPA rotators. NSF enters into written agreements with rotators\u2019 home institutions for all IPA assignments. The agreements detail rotators\u2019 salaries and health, retirement, and other fringe benefits at their home institutions, as well as the cost-sharing amounts NSF and home institutions are to pay during rotators\u2019 assignments. NSF reimburses its cost-sharing amounts to home institutions, which continue to pay rotators\u2019 full salaries and benefits. NSF does not cap the salaries of IPA rotators; as a result, IPA rotators may receive salaries that exceed the maximum federal salary for the position they hold at NSF. In contrast, if an IPA rotator\u2019s salary is less than the minimum federal salary for the position, NSF will supplement the salary to the minimum rate.", "VSEE rotators. NSF appoints VSEE rotators as federal employees on a nonpaid leave of absence from their home institutions. VSEE rotators receive their salaries directly from NSF but are not eligible for certain federal benefits, such as retirement; instead, NSF reimburses home institutions for the employer\u2019s share of retirement, life insurance, and health benefits that would otherwise be discontinued. NSF\u2019s policy is to set salaries for VSEE rotators that are generally comparable to the salaries the rotators would receive at their home institutions. In setting salaries, NSF also takes into account other sources of income, such as consulting, and allows for locality pay adjustments applicable to employees in the Washington, D.C., metropolitan area. However, because VSEE rotators are federal employees, NSF caps their salaries at the federal maximum for the position they hold at NSF.", "Both IPA and VSEE rotators are eligible for certain other types of reimbursement. In particular, rotators have the option of having NSF pay their moving expenses to and from Washington, D.C., or receiving per diem allowances in accordance with federal travel regulations for up to 2 years. In addition, NSF may reimburse rotators for travel-related expenses related to their participation in NSF\u2019s Independent Research and Development program, which enables NSF staff to maintain their involvement with their professional research and research-related activities at their home institutions. Table 1 shows additional information on IPA and VSEE rotator expenses.", "Rotators are generally assigned to one of NSF\u2019s seven directorates that support science and engineering research and education (see table 2). Each directorate is headed by an assistant director and deputy assistant director. Directorates are further subdivided into divisions, offices, or sections. Each division is headed by a division director and typically a deputy division director, and each office is headed by an office director and typically a deputy office director. All these positions are executive positions at NSF. At the staff level, NSF uses program directors\u2014subject matter experts in the scientific areas they manage\u2014to conduct reviews of proposals and recommend which projects the agency should fund. With an annual budget of about $7.5 billion, NSF funds approximately 24 percent of all federally supported basic research conducted by colleges and universities in the United States.", "In 2016, NSF established the Steering Committee for Policy and Oversight of the IPA Program. The steering committee serves as the primary body for considering policy on NSF\u2019s use of IPA rotators and overseeing common approaches to budgeting and implementation of the IPA program. The committee\u2019s membership includes NSF\u2019s chief human capital officer, who serves as the chair, and several other NSF officials. The steering committee has established strategic principles for management of the IPA program. These principles include maintaining a balance between IPA rotators and federal staff and a commitment to ongoing improvement of the program. NSF officials told us that there is no similar steering committee for overseeing VSEE rotators. Instead, each VSEE rotator is individually overseen by his or her respective supervisor.", "For the agency as a whole, NSF\u2019s Office of Information and Resource Management and its Division of Human Resource Management conduct human capital management. NSF officials stated that the head of the Office of Information and Resource Management serves as the Chief Human Capital Officer and develops and oversees NSF\u2019s human capital approaches and strategies. These officials also told us that the Deputy Chief Human Capital Officer serves as the division director of Human Resource Management and is responsible for administering the division\u2019s day-to-day operations. The Division of Human Resource Management administers the agency\u2019s human capital policies as set forth in NSF\u2019s personnel manual."], "subsections": []}, {"section_title": "NSF Maintained a Relatively Stable Number and Cost of Rotators and Used Them in Executive and Program Director Positions", "paragraphs": ["The numbers of rotators and their costs to NSF in proportion to other staff have remained relatively stable. Most rotators were IPA rotators, and were used in both executive and program director (staff-level) positions. NSF generally used VSEE rotators in program director positions."], "subsections": [{"section_title": "Most Rotators Were IPA Rotators, Comprising About 12 Percent of NSF\u2019s Workforce and 17 Percent of Staff Costs on Average in Fiscal Years 2008-2017", "paragraphs": ["Most rotators at NSF were IPA rotators, and the proportion of rotators relative to other staff has remained relatively stable over time (see fig. 1). During the 10-year period we reviewed, from fiscal year 2008 through fiscal year 2017, IPA and VSEE rotators comprised about 12 percent and about 3 percent, respectively, of NSF\u2019s total workforce; and the number of IPA rotators ranged from 162 to 190 (about 11 to 12 percent of total staff), and the number of VSEE rotators ranged from 22 to 52 (about 1 to 3 percent of total staff)."], "subsections": []}, {"section_title": "NSF Primarily Used IPA Rotators in Executive and Program Director Positions and VSEE Rotators in Program Director Positions", "paragraphs": ["NSF primarily used rotators across its seven scientific directorates, using IPA rotators in executive and program director positions and VSEE rotators in program director positions. The agency used rotators in these positions alongside NSF\u2019s permanent staff to perform day-to-day agency operations, including managing the agency\u2019s merit review process for determining which projects to fund."], "subsections": [{"section_title": "Use of IPA Rotators in Executive Positions", "paragraphs": ["NSF used IPA rotators in executive positions such as assistant director. According to agency officials, individuals in executive positions at NSF are responsible for setting the direction for the scientific area they are assigned, leading scientific and technical matters, establishing an organizational culture, overseeing outreach and collaboration with NSF stakeholders, and contributing to NSF and national policy development and implementation. For example, an executive IPA rotator that we interviewed told us that he emphasized forming partnerships with industry when setting the direction for his directorate, including issuing joint solicitations for research proposals with industry partners. In addition, according to NSF officials, individuals in executive positions provide guidance and team management for staff.", "The proportion of IPA rotators to federal employees in executive positions within NSF\u2019s seven scientific directorates and other staff offices has generally increased since fiscal year 2012. As shown in figure 4, from fiscal year 2008 through fiscal year 2017, the number and proportion of executive positions filled by IPA rotators ranged from 18 of 98 (about 18 percent) in 2008 to 30 of 108 (about 28 percent) in fiscal year 2016.", "In November 2017, IPA rotators filled 29 of 88 (about 33 percent) executive positions within NSF\u2019s seven scientific directorates. At that time, the proportion of executive positions filled by IPA rotators varied among directorates, as shown in table 3. For example, IPA rotators filled 4 of 8 (50 percent) of the executive positions in the Directorate for Social, Behavioral, and Economic Sciences and 2 of 14 (about 14 percent) of the executive positions in the Directorate for Mathematical and Physical Sciences.", "According to NSF officials, NSF often pairs IPA rotators and federal employees at the executive level so that each can benefit from the other\u2019s experience and perspective. For example, in all but one directorate, an IPA rotator filled the assistant director position and a federal employee filled the corresponding deputy assistant director position. Two NSF executives we interviewed, including an IPA rotator and a federal employee, commented positively on the pairing of IPA rotators and federal employees at the executive level. For example, they said that rotators maintain close ties to the research community and federal employees may have more experience with NSF\u2019s institutional history. One NSF executive told us that IPA rotators help keep the agency at the forefront of science because they have deep ties with the research community and regularly publish their own research. Additionally, a federal program director we interviewed told us that in one previous instance in which an IPA rotator filled an executive position without being paired with a federal employee, the rotator\u2019s lack of institutional knowledge of NSF and the steep learning curve for the position caused inefficiencies during the rotator\u2019s first year at NSF. The agency, however, does not require pairing IPA rotators and federal employees at the executive level, according to NSF officials. For example, in November 2017, IPA rotators filled both the division director and deputy division director positions in the Division of Behavioral and Cognitive Science and Division of Undergraduate Education.", "In our interviews with a nongeneralizable sample of NSF employees and rotators, we found mixed perceptions about the effect of NSF\u2019s use of IPA rotators on opportunities for advancement for permanent employees. For example, in response to a question about this effect, one permanent NSF employee told us that she advanced to an executive position and that opportunities exist for advancement within the agency. In contrast, another NSF employee we interviewed told us that she did not feel there were opportunities for advancement because, in her view, executive vacancies created by the departure of rotators were exclusively filled with other rotators. NSF officials said that the agency has no policy that restricts repeatedly filling certain executive positions with rotators and that such a situation is a common practice. Nevertheless, NSF officials told us 32 of the 88 executives (about 36 percent) in NSF\u2019s seven scientific directorates in November 2017 had held staff-level positions within the agency before becoming executives."], "subsections": []}, {"section_title": "Use of IPA and VSEE Rotators as Program Directors", "paragraphs": ["NSF uses both IPA and VSEE rotators in program director positions, which are staff-level positions. In fiscal year 2016, NSF had a total of 506 program directors, including 139 IPA rotators (about 27 percent) and 39 VSEE rotators (about 8 percent). According to NSF officials, program directors are responsible for conducting long-range planning and developing budgets for the areas of science represented by their program and for administrating the merit review process. In particular, IPA and VSEE rotators who serve as program directors help determine the projects that NSF funds. To do so, they review proposals, identify experts in their field to serve as external reviewers, and make funding recommendations to their respective division directors.", "NSF officials told us that, similar to the pairing of IPA rotators and federal employees at the executive level, permanent and rotating program directors frequently work together on a shared program so that each can benefit from the other\u2019s experience and perspective. For example, a rotating program director we interviewed told us that she worked under the guidance of a program lead, who is typically a permanent employee. Another rotating program director told us that NSF\u2019s permanent federal employees are good at training incoming rotators."], "subsections": []}]}]}, {"section_title": "NSF Adopted Rotator Program Cost- Management Strategies to Achieve the Greatest Savings with the Least Harm to Recruitment, but Results Are Unknown", "paragraphs": ["Beginning in fiscal year 2017, NSF adopted rotator program cost- management strategies expected to achieve the greatest savings with the least harm to recruitment, but NSF officials said it is too soon to determine the full results because these new strategies are being phased in for new IPA agreements only. NSF considered other strategies to manage rotator costs, but it did not adopt them, generally because NSF anticipated negative effects on rotator recruitment or because it estimated the resulting cost savings would be small."], "subsections": [{"section_title": "NSF Adopted Three Strategies to Manage IPA Rotator Costs in Fiscal Year 2017 and Has Not Yet Determined Their Full Results", "paragraphs": ["NSF has adopted three strategies to manage rotators\u2019 costs in fiscal year 2017, but, NSF officials said it is too soon to determine the full results because these new strategies are being phased in for new IPA agreements only. All three of these strategies relate to IPA rotators; NSF officials told us that they have not considered or adopted any cost- management strategies related to VSEE rotators. The officials explained that any such strategies could affect NSF\u2019s entire federal workforce because VSEE rotators are federal employees. The three strategies are: (1) obtaining a minimum 10 percent cost-share from each IPA rotator\u2019s home institution, (2) limiting IPA rotators\u2019 paid trips to their home institutions to 12 per year, and (3) no longer reimbursing IPA rotators for consulting income that they forgo while at NSF. NSF officials told us they expect to issue a report with the results of evaluations of all three strategies in December 2018."], "subsections": [{"section_title": "Cost-Sharing Pilot Program", "paragraphs": ["In October 2016, NSF implemented a cost-sharing pilot program that requires institutions covered by the program\u2014those who entered into negotiations for new IPA agreements in fiscal year 2017\u2014to pay for at least 10 percent of the IPA rotators\u2019 salaries and fringe benefits. Implementing this cost-management strategy, and the other strategies that NSF adopted, was consistent with recommendations from NSF\u2019s steering committee for oversight of IPA rotators. This cost-management strategy targeted NSF\u2019s costs for IPA rotators\u2019 salary and fringe benefits, which constitute the largest component of IPA rotators\u2019 costs. For example, these costs were about $34.7 million, or about 89 percent of IPA rotator costs in fiscal year 2017.", "Previously, according to NSF officials, the agency requested an optional cost-share amount of 15 percent from rotators\u2019 home institutions, but it typically received less because of variations in the amounts that home institutions provided. According to an October 2016 report from the task force on fiscal oversight, NSF decided on 10 percent for the cost-sharing pilot program because, historically, few home institutions provided the full 15 percent and NSF believed a requirement of 10 percent would not significantly affect its ability to recruit and hire IPA rotators. If a home institution is unable to provide the full 10 percent, the institution may request that NSF waive the cost-sharing requirement. According to NSF officials, such requests must be signed by a senior administrator at the rotator\u2019s home institution and include the rationale for not being able to provide the required amount, the financial impact on the institution if it were to provide the full 10 percent, and associated documentation, among other things.", "Changes made in implementing this strategy, and the other strategies that NSF adopted, applied to new IPA agreements made in fiscal year 2017. These changes did not apply to IPA rotators with agreements made prior to 2017\u2014even if those agreements are subsequently extended or renewed\u2014or that were being negotiated at the time of the policy change, provided that the rotators\u2019 appointment memoranda were already being reviewed by NSF\u2019s Division of Human Resource Management.", "NSF officials told us that as of March 2018, the agency had not conducted full evaluations of this strategy or the other strategies because it was too soon to determine their full effects and NSF had not yet collected enough data to do so. Instead, NSF issued reports in January and March 2018 containing its preliminary analyses. In general, these preliminary reports found that the cost-management strategies resulted in savings to NSF. Similarly, our analysis of data from NSF found that cost sharing as a percentage of IPA rotators\u2019 salary and fringe benefits increased from about 7 percent in fiscal year 2016 to about 8 percent in fiscal year 2017.", "NSF officials told us that of the 55 IPA rotators who were subject to the cost-sharing requirement in fiscal year 2017: the home institutions for 54 rotators met or exceeded the 10 percent cost-share requirement, and of those, 16 exceeded the cost-share requirement; and the home institution for 1 rotator did not cost-share because the rotator was from a Federally Funded Research and Development Center and NSF waived the cost-share requirement because cost- sharing would not decrease the overall federal cost.", "In November 2017, NSF decided to extend the cost-sharing pilot through at least the end of fiscal year 2018, to ensure a full evaluation could be conducted. In particular, NSF officials told us that they need more data and experience with this pilot program to better understand its effects, such as the ability to recruit potential IPA rotators. For example, one IPA rotator that we interviewed expressed concern with the cost-sharing requirement\u2019s potential effect on small or publicly funded universities, which may lack funds to contribute to the cost of an IPA assignment. According to NSF officials, their evaluation will include an analysis of the cost of IPA rotators under the cost-sharing requirement and its effect on the IPA program, including recruitment."], "subsections": []}, {"section_title": "Limitation on NSF-Funded Trips to IPA Rotators\u2019 Home Institutions", "paragraphs": ["Beginning in fiscal year 2017, for IPA rotators who entered into negotiations for new agreements in that fiscal year, NSF placed a limit of 12 agency-funded trips per year that rotators may take to their home institutions under the Independent Research and Development program. In our analysis of data from NSF, we found that NSF\u2019s costs for IPA rotators under this program decreased from about $1.5 million (about 3 percent of IPA rotator costs) in fiscal year 2016 to $1.1 million (about 3 percent of IPA rotator costs) in fiscal year 2017.", "NSF officials told us that the new limit applies only to an IPA rotator\u2019s trips to their home institution and does not limit travel to other locations for fieldwork or scientific conferences, among other things. These officials explained that NSF chose not to limit trips to these other locations because they are considered fundamental to IPA rotators\u2019 research and are infrequent\u2014occurring one to three times per year, on average, per IPA rotator. Additionally, rotators are permitted to use annual leave, leave without pay, or flexitime to take trips using non-NSF funds for activities performed on a rotator\u2019s own time.", "In adopting this cost-management strategy, NSF sought to balance the benefits of IPA rotators\u2019 travel with the travel costs. According to the Task Force on Fiscal Oversight\u2019s October 2016 report, NSF\u2019s support for travel benefits the agency by providing a way for program directors and executives to stay current in their scientific fields, conduct outreach with scientific communities, and provide oversight and stewardship of NSF\u2019s programs and awards. NSF officials told us that the agency sought to control travel costs under the Independent Research and Development program by setting a reasonable limit to NSF-funded trips that would cause the least harm to rotators\u2019 research so as not to discourage them from coming to NSF. As a result, NSF decided on a maximum of 12 trips per year under this program because, historically, more than 80 percent of the IPA rotator participants traveled to their home institution less than once per month."], "subsections": []}, {"section_title": "Elimination of Reimbursement for Lost Consulting Income", "paragraphs": ["In fiscal year 2017, for IPA rotators who entered into new agreements in that fiscal year, NSF ended reimbursements for consulting income that the rotators forgo as a result of their assignment to NSF. Previously, when an IPA rotator discontinued consulting activities during an IPA assignment, NSF would reimburse the rotator up to $10,000 a year. IPA rotators who entered into negotiations or agreements with NSF prior to this change may still receive this reimbursement. In fiscal year 2017, NSF\u2019s cost for lost consulting reimbursements to IPA rotators was $150,000. This amount represented a decrease of about $160,000, or about 52 percent, from fiscal year 2016. NSF made this change because it determined that doing so would not negatively affect the IPA program. In particular, NSF found that other federal science agencies typically did not reimburse IPA rotators for lost consulting income and it concluded that IPA rotators typically do not expect NSF to offer reimbursement."], "subsections": []}]}, {"section_title": "NSF Did Not Adopt Certain Cost-Management Strategies It Considered Because of Small Cost Savings or Potential Negative Effects", "paragraphs": ["In addition to the three adopted strategies, NSF\u2019s Task Force on Fiscal Oversight identified other potential cost management strategies for the IPA program. The task force reviewed various data on the costs that make up the IPA program, such as the number of IPA rotators who received a particular form of compensation or who would be affected by the potential strategies. In addition, the task force took into account anecdotal and other evidence on how IPA rotators might react to the strategies. Using input from the task force, NSF opted against the other potential strategies because it either (1) expected the resulting cost savings to be small or (2) anticipated potential negative effects from implementing them, such as increased difficulty in hiring IPA rotators. These potential cost-management strategies primarily related to IPA rotator compensation, as described below.", "Capping IPA rotators\u2019 salaries. NSF decided against establishing a salary cap for IPA rotators at various levels between about $185,000 and $240,000 annually. The task force found that salary caps at lower levels would have greater cost savings because of the higher number of individuals covered by the cap, but that the caps would also pose a significant risk to NSF\u2019s ability to recruit IPA rotators. In particular, the task force found that salary caps at lower levels would disproportionately affect IPA rotators in two of its directorates\u2014the Directorate for Computer and Information Science and Engineering and the Directorate for Engineering\u2014because of the higher salaries of individuals in positions associated with those fields. As a result, the task force recommended that NSF first assess the effects of its cost-sharing pilot program before proceeding with any cap on IPA rotators\u2019 salaries.", "Reducing or eliminating IPA rotators\u2019 supplemental pay. NSF decided against reducing or eliminating the supplemental pay that IPA rotators receive when their salary at their home institution is below the minimum for their NSF position. In fiscal year 2017, NSF\u2019s cost for IPA rotators\u2019 supplemental pay was $1.0 million (about 3 percent of IPA rotator costs). The task force recommended against this potential cost-management strategy because it would disproportionately affect IPA rotators in two of its directorates\u2014the Directorate for Biological Sciences and the Directorate for Geosciences. In addition, the task force expected that any cost savings associated with this strategy would be small.", "Reducing IPA rotators\u2019 per diem payments. NSF decided against reducing or eliminating per diem payments for lodging (excluding taxes), meals, and incidental expenses incurred during the length of rotators\u2019 assignments. In fiscal year 2017, NSF\u2019s cost for per diem payments was $3.1 million (about 8 percent of IPA costs). The task force concluded, based on its analysis of per diem costs and anecdotal evidence, that many IPA rotators would opt to depart NSF if NSF did not provide per diem payments. As a result, the task force recommended against this strategy."], "subsections": []}]}, {"section_title": "NSF Has Not Developed a Workforce Strategy for Using Rotators or Fully Evaluated Rotator Program Results NSF Has Not Developed an Agency-Wide Workforce Strategy for Balancing Rotators and Federal Staff", "paragraphs": ["As of June 2018, NSF had not developed an agency-wide workforce strategy for using rotators, as its IPA program steering committee recommended. In addition, NSF has not fully evaluated or developed plans to evaluate both IPA and VSEE rotator program results in terms of progress toward NSF\u2019s human capital goals or programmatic results.", "As of June 2018, NSF had not developed an agency-wide workforce strategy that includes use of rotators, as NSF\u2019s IPA program steering committee had recommended. In an August 2016 report on the IPA program, the steering committee stated that NSF did not have an agency- wide workforce strategy; instead, each directorate made decisions on its own about when and how to use IPA rotators in executive and program director positions. According to the report, an agency-wide framework would enable NSF to ensure an optimal balance of federal and rotator executives and program directors, which is a strategic principle that the steering committee developed for the IPA program.", "In February 2017, the committee issued an internal report to agency leadership that recommended expanding what was originally envisioned as a workforce strategy for the IPA program into a comprehensive agency-wide workforce strategy. The report stated that expanding the scope of the workforce strategy would have the greatest impact across the agency and would help NSF leadership in making strategic human capital decisions. The report outlined a process for developing a workforce strategy with various steps, including the following:", "Job analyses. The report recommended job analyses to review the roles and responsibilities of executive and staff-level positions and to identify the skills and capabilities required for successful performance of the work. According to the report, the steering committee\u2019s working group for developing a workforce strategy found, based on its initial efforts to review position descriptions and roles and responsibilities, that some functions may be better served if performed by permanent federal employees and other functions by rotators. However, the working group concluded that NSF should obtain additional input and evidence before initiating large-scale changes in its workforce.", "Analysis of workforce gaps and surpluses. The report stated that identifying gaps and surpluses in the demand and supply for federal and rotator scientific staff would inform opportunities to optimize recruitment and retention efforts. The report recommended separate analyses for executive and scientific staff- level positions.", "Development of strategies to close workforce gaps and address surpluses. According to the steering committee\u2019s report, examples of strategies include succession planning and rebalancing the mix of permanent federal staff and rotators to ensure an optimal workforce with the skills, experience, and capabilities to accomplish NSF\u2019s science-related work.", "According to NSF officials, the agency\u2019s Division of Human Resource Management was responsible for implementing the steering committee\u2019s recommendation. In particular, it undertook an effort to work with senior leadership to develop a broad strategic workforce plan for the agency. However, in June 2018, NSF officials told us that they shifted their focus from developing a separate workforce strategy in order to focus instead on (1) development of a human capital operating plan, which agencies are required to develop and approve annually, and update as needed, under OPM regulations that went into effect on April 11, 2017; and (2) an Office of Management and Budget (OMB) memorandum issued in April 2017 directing agency heads to develop reform plans that identify ways to improve the efficiency, effectiveness, and accountability of their respective agencies. The NSF officials explained that they recognized the value in having a workforce strategy, but they did not consider it appropriate for the Division of Human Resource Management to develop a workforce strategy at the same time that the agency was completing the OPM and OMB plans.", "NSF did not specify how its efforts to complete the OPM and OMB plans would address the need the steering committee identified for an agency- wide framework that would enable NSF to ensure an optimal balance of federal and rotator executives and program directors. In particular, NSF\u2019s human capital operating plan, which it approved in April 2018, does not discuss NSF\u2019s use of rotators or include information on balancing the agency\u2019s use of rotators with permanent staff. Furthermore, NSF has not yet determined how it will address its use of rotators as part of its agency reform plan. In particular, NSF officials told us in June 2018 that they may address the agency\u2019s use of rotators under the workforce focus area of its reform plan, but that they were only just beginning to identify and select initiatives under this focus area and that these initiatives have not yet been finalized.", "The process the NSF steering committee laid out in its internal report, when implemented, would align with two key principles GAO has identified for effective strategic workforce planning. Specifically, it would align with the principles of (1) determining the skills and competencies that are critical to successfully achieving missions and goals, and (2) developing human capital strategies to address gaps and enable the contribution of critical skills and competencies needed for mission success. By incorporating the NSF\u2019s steering committee\u2019s recommendation for a workforce strategy\u2014and the process outlined by the steering committee for developing this strategy\u2014into its human capital operating plan or agency reform plan, NSF could better manage its use of rotators and balance them with its permanent staff."], "subsections": [{"section_title": "NSF Has Not Fully Evaluated the Rotator Program\u2019s Progress toward Human Capital Goals or Their Programmatic Results", "paragraphs": ["We have previously found that high-performing organizations recognize the fundamental importance of measuring both the outcomes of human capital strategies and how these outcomes have helped the organizations accomplish their missions and programmatic goals. However, as of May 2018, NSF had not fully evaluated and did not have plans to evaluate the results of its IPA and VSEE rotator programs in terms of progress toward human capital goals and the contributions the programs made toward achieving programmatic results. One of GAO\u2019s key principles for effective strategic workforce planning states that agencies should monitor and evaluate progress toward the agencies\u2019 human capital goals and the contribution that human capital results have made toward achieving programmatic results. In particular, we previously found that evaluation activities can improve the effectiveness of workforce strategies by identifying shortfalls in performance and other improvement opportunities.", "OPM also requires agencies to develop a human capital operating plan that will support the evaluation of the agency\u2019s human capital strategies.", "In March 2014, NSF published a summary of the results of focus groups with IPA rotators and their supervisors. This summary outlined benefits and challenges of the program from the perspectives of both groups, such as the benefit of bringing fresh perspective and new ideas to NSF and the challenge of recruiting and retaining qualified IPA rotators. However, the summary did not provide the agency\u2019s assessment of progress towards programmatic results and human capital goals. For example, it summarized the benefits of the program from the standpoint of rotators and did not provide NSF\u2019s assessment of how individual IPA rotators or the program as a whole contributed to NSF\u2019s scientific mission. In addition, the summary did not provide an assessment of the extent to which the current workforce balance of federal and rotator executives and program directors is aligned with NSF\u2019s work. In our semistructured interviews with federal staff and rotators in executive and staff-level positions at NSF, most were comfortable with the current balance, but three individuals raised concerns about the use of rotators in executive positions, suggesting that NSF could benefit from further analysis of its balance of rotators and federal staff.", "In April 2018, NSF adopted its human capital operating plan which identifies specific, short-term actions that the agency will take to achieve its human capital goals. In its plan, NSF identified strategies derived from NSF\u2019s commitment to ongoing improvement, such as reviewing and realigning its workforce to meet future needs. Also, NSF\u2019s process for developing a workforce strategy, outlined in the steering committee\u2019s February 2017 internal report, included recommendations to conduct an assessment of the outcomes of workforce strategies and the impact of these outcomes on helping NSF accomplish its scientific mission and related programmatic goals. However, plans for this assessment did not include an evaluation of the agency\u2019s rotator programs. Moreover, neither the steering committee\u2019s February 2017 internal report nor NSF\u2019s April 2018 report committed to conducting such an evaluation or specified how assessments described in its reports would address NSF\u2019s rotator programs. For example, neither report specified how NSF would evaluate the extent to which the rotator programs have achieved NSF\u2019s objectives, which we identified through our review of NSF documentation and interviews with NSF officials. These objectives include: bringing fresh perspectives from across the country and across all fields of science and engineering supported by NSF; helping influence new directions for research in science, engineering, and education, including emerging interdisciplinary fields; providing scientific leadership and management of NSF\u2019s research and education programs; and providing opportunities for researchers to gain first-hand knowledge of the philosophy and mechanisms of federal support for research and bring this knowledge back to their home institutions.", "According to NSF officials, the agency has not separately evaluated the results of its rotator programs in part because rotators are blended into its permanent federal workforce, making it difficult to evaluate the results of its rotator programs separately from those of its overall workforce. In our December 2003 report on key principles for effective strategic workforce planning, we found that federal agencies in general have experienced difficulties in defining practical and meaningful measures that assess the effects human capital strategies have on programmatic results. However, without an evaluation of the extent of the rotator programs\u2019 contributions toward NSF\u2019s human capital goals or programmatic results, NSF is limited in its ability to demonstrate the programs\u2019 benefits to external stakeholders, such as the Congress, and to adjust the programs, if warranted. Such adjustments could include increasing or decreasing the use of rotators overall or in certain types of positions, such as executive or staff-level positions."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In recent years, NSF has recognized the need to think more strategically about its use of rotators and has taken positive steps to manage its rotator programs. For example, beginning in fiscal year 2017, NSF adopted several strategies to manage the cost of rotators. However, as of June 2018, NSF had decided against developing a separate agency-wide strategy for balancing its use of IPA rotators and federal staff, as NSF\u2019s steering committee for the IPA program recommended in February 2017. NSF officials said that they recognized the value in having a workforce strategy but wanted to focus instead on addressing OPM and OMB requirements related to workforce planning. By following through on the steering committee\u2019s recommendation for a workforce strategy, NSF could better manage its use of rotators and balance them with its permanent staff.", "Moreover, as of June 2018, NSF had not fully evaluated the results of the rotator programs, as called for by key principles for effective strategic workforce planning. NSF officials told us they have not done so, in part, because rotators are blended into NSF\u2019s permanent federal workforce, making it difficult to evaluate the results of its rotator program separately from those of its overall workforce. However, without an evaluation of the extent of the rotator programs\u2019 contributions toward NSF\u2019s human capital goals or programmatic results, NSF is limited in its ability to demonstrate the programs\u2019 benefits to external stakeholders, such as the Congress, and to adjust the programs, if warranted."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to NSF: The NSF Director of Human Resource Management should complete the development of an agency-wide workforce strategy for balancing the agency\u2019s use of IPA and VSEE rotators with permanent staff as part of NSF\u2019s current agency reform planning efforts or updates to its human capital operating plan. (Recommendation 1)", "The NSF Director of Human Resource Management should evaluate the contributions of the IPA and VSEE rotator programs toward NSF\u2019s human capital goals and the contributions the programs have made toward achieving programmatic results. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to NSF for comment. In its written comments, which are reproduced in appendix I, NSF concurred with our recommendations and stated that implementation of the recommendations will enhance efforts to fulfill the agency\u2019s mission and strengthen its workforce. NSF also provided technical comments, which we incorporated as appropriate.", "We are sending copies to the appropriate Congressional Committees, the Director of the National Science Foundation, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the National Science Foundation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Joseph Cook (Assistant Director), Nkenge Gibson, Kathryn Smith, and Douglas Hunker made key contributions to this report. Also contributing to this report were Antoinette Capaccio, Serena Lo, Timothy Guinane, Cynthia Norris, and Sara Sullivan."], "subsections": []}]}], "fastfact": ["The National Science Foundation (NSF) brings in outside scientists, engineers, and educators on temporary, rotational assignment to work with its staff of permanent federal employees to help decide which projects the agency will fund.", "NSF wants to take a more strategic approach to managing its rotating staff. However, these rotating staff are blended with permanent staff, making it difficult to evaluate the cost and benefits of their contributions to NSF projects.", "We recommended that NSF develop a strategy to balance the use of rotating and permanent staff and evaluate the benefits of using rotating staff."]} {"id": "GAO-19-230", "url": "https://www.gao.gov/products/GAO-19-230", "title": "Data Breaches: Range of Consumer Risks Highlights Limitations of Identity Theft Services", "published_date": "2019-03-27T00:00:00", "released_date": "2019-03-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Recent large-scale data breaches of public and private entities have put hundreds of millions of people at risk of identity theft or other harm. GAO was asked to review issues related to consumers' options to address risks of harm from data breaches. This report, among other things, examines information and expert views on the effectiveness of consumer options to address data breach risks. GAO analyzed available data on options, collected and analyzed related documentation, conducted a literature review of studies, and interviewed a nongeneralizable sample of 35 experts (from academia, government entities, consumer and industry organizations) and identity theft service providers to reflect a range of views."]}, {"section_title": "What GAO Found", "paragraphs": ["No one solution can address the range of potential risks from a data breach, according to interviews with academic, consumer, government, and industry experts and documentation GAO reviewed. Perpetrators of fraud can use stolen personal information\u2014such as account numbers, passwords, or Social Security numbers\u2014to take out loans or seek medical care under someone else's name, or make unauthorized purchases on credit cards, among other crimes. Foreign state-based actors can use personal information to support espionage or other nefarious uses.", "Public and private entities that experience a breach sometimes provide complimentary commercial identity theft services to affected individuals to help monitor their credit accounts or restore their identities in cases of identity theft, among other features. Consumers also may purchase the services. As of November 30, 2018, the Office of Personnel Management (OPM) had obligated about $421 million for a suite of credit and identity monitoring, insurance, and identity restoration services to offer to the approximately 22 million individuals affected by its 2015 data breaches. As of September 30, 2018, about 3 million had used the services and approximately 61 individuals had received payouts from insurance claims, for an average of $1,800 per claim. OPM re-competed and awarded a contract to the previously contracted company in December 2018.", "GAO's review did not identify any studies that analyzed whether consumers who sign up for or purchase identity theft services were less subject to identity theft or detected financial or other fraud more or less quickly than those who monitored their own accounts for free. A few experts said consumers could sign up for such services if offered for free. Credit monitoring may be convenient for consumers and personalized restoration services may help identity theft victims recover their identities, but such services do not prevent fraud from happening in the first place. The services also do not prevent or directly address risks of nonfinancial harm such as medical identity theft.", "Consumer, government, and industry experts highlighted other free options, including a credit freeze, which prevents one type of fraud. A freeze restricts businesses from accessing a person's credit report\u2014and can prevent the illicit opening of a new account or loan in the person's name. A provision of federal law that took effect in September 2018 made it free for consumers to place or lift credit freezes quickly at the three nationwide consumer reporting agencies (Equifax, Experian, and TransUnion). Consumers also can regularly monitor their accounts and review their credit reports for free every 12 months. In addition, they can take advantage of free federal assistance such as the guidance on the Federal Trade Commission's IdentityTheft.gov website.", "Finally, large amounts of personal information are outside of consumers' control and bad actors can use stolen information for years after a breach. Therefore, experts noted that data security at entities that hold such information\u2014and efforts to make stolen information less useful for identity thieves, through use of new identity verification technologies, for example\u2014are important ways to mitigate risks of harm for consumers."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO reiterates a matter for congressional consideration and a recommendation from its 2017 report on identity theft services ( GAO-17-254 ). In that report, GAO found that legislation requiring federal agencies that experience data breaches, including OPM, to offer certain levels of identity theft insurance coverage to affected individuals requires coverage levels that are likely unnecessary. Therefore, Congress should consider permitting agencies to determine the appropriate coverage level for such insurance. GAO also recommended the Office of Management and Budget (OMB) update its guidance for agency responses to data breaches, after analyzing the effectiveness of identity theft services relative to lower-cost alternatives. OMB did not agree or disagree and had not taken action as of early March 2019."]}], "report": [{"section_title": "Letter", "paragraphs": ["Sensitive personal information\u2014such as Social Security numbers or dates of birth\u2014can be exposed in several ways, including on a very large scale through a data breach. For example, major retail and hotel chains have suffered data breaches that exposed the identifying information, including financial account or Social Security numbers, of millions of people. Consumers whose information is exposed can be at risk of a range of harms, including identity theft or fraud. Consumers can try to prevent or mitigate these harms in a number of ways, such as monitoring their credit reports and credit card statements for suspicious activity, or placing a credit freeze that restricts access to their credit report. They also may enroll in free or fee-based identity theft services. Private-sector and government entities that experienced data breaches have provided these services to millions of affected consumers.", "In March 2017, we reported on the potential benefits and limitations of commercially available identity theft services and factors that affect public- and private-sector decision-making about them. Since that time, additional large-scale data breaches have occurred and Congress passed legislation that enhances some of the options available to consumers to prevent or mitigate identity theft. You asked us to review issues related to actions consumers can take to address risks of harm from data breaches. This report examines (1) information and expert views on the effectiveness of options consumers can use to prevent or address the risks resulting from data breaches; and (2) federal assistance available to help consumers understand these options, including the status of one matter for congressional consideration and one recommendation relating to these issues in our 2017 report.", "To address the first objective, we conducted a literature review to identify any studies or independent research on the effectiveness of consumers\u2019 options for mitigating or preventing harm from exposure of personal information. We also searched for studies that examined consumer attitudes and behavior following data breaches, and harms to individuals from data breaches. We interviewed a nongeneralizable sample of experts and private companies that provide identity theft services to consumers. Specifically, we interviewed representatives of 35 entities in the following categories: academic or independent research institution (4); consumer or privacy research and advocacy (10); industry association or identity theft service provider, or industry consultant (12); and federal or state government (9). We selected the experts and identity theft service providers to represent a range of perspectives. We also reviewed provisions in the Economic Growth, Regulatory Relief, and Consumer Protection Act, enacted in May 2018, that address credit freezes and fraud alerts (two tools for preventing one type of identity theft). Furthermore, we reviewed the evidence collected for the 2017 GAO report on identity theft services.", "To address the second objective, we reviewed documentation and interviewed staff from the Federal Trade Commission (FTC), Consumer Financial Protection Bureau (CFPB), and Office of Personnel Management (OPM). We analyzed data from the company that contracted to provide identity theft services to individuals affected by two data breaches at OPM in 2015. We assessed the reliability of the data by interviewing agency officials and reviewing documentation about the systems used to store the data. We found the data to be reliable for purposes of this reporting objective. We also reviewed documentation and interviewed agency staff about the development, implementation, and assessment of their consumer education materials and other resources and assistance. We compared these activities against a 2014 Executive Order on the security of consumer financial transactions, key practices for consumer education planning identified in our prior work, and federal standards for internal control. In addition, we followed up on recommendations made in our 2017 report. For more information on our scope and methodology, including the organization representatives we interviewed, see appendix I.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Harm from Exposure of Personal Information", "paragraphs": ["Individuals\u2019 sensitive personal information can be lost, stolen, or given away. Once exposed, individuals\u2019 information can be misused to commit identity theft, fraud, or inflict other types of harm. Identity theft occurs when individuals\u2019 information is used without authorization in an attempt to commit fraud or other crimes. In 2016, according to the Bureau of Justice Statistics, an estimated 26 million people\u201410 percent of U.S. residents aged 16 or older\u2014reported that they had been victims of identity theft in the previous year. One potential source of identity theft is a data breach at an organization that maintains large amounts of sensitive personal information. Recent data breaches include the 2018 breach of Marriott International\u2019s Starwood guest registration database, which may have exposed information of millions of individuals, and the 2017 data breach at Equifax, Inc., a nationwide consumer reporting agency, which exposed identifying information of at least 145.5 million people. The types of harm that can result from exposure of sensitive personal information include the following:", "Financial fraud from identity theft, which can include new-account fraud, in which thieves use identifying data, such as Social Security and driver\u2019s license numbers, to open new financial accounts without that person\u2019s knowledge; and, existing-account fraud, which is more common and entails the use or takeover of existing accounts, such as credit or debit card accounts, to make unauthorized charges or withdraw money.", "Tax refund fraud, which occurs when a Social Security number or other personally identifiable information is used to file a fraudulent tax return seeking a refund.", "Government benefits fraud, which occurs when thieves use stolen personal information to fraudulently obtain government benefits. For example, the Social Security Administration has reported that personal information of beneficiaries has been used to fraudulently redirect the beneficiary\u2019s direct deposit benefits.", "Medical identity theft, which occurs when someone uses an individual\u2019s name or personal identifying information to obtain medical services or prescription drugs fraudulently, including submitting fraudulent insurance claims.", "Synthetic identity theft, which involves the creation of a fictitious identity, typically by using a combination of real data and fabricated information. The federal government has identified synthetic identity theft as an emerging trend.", "Child identity theft, which occurs when a child\u2019s Social Security number or other identifying information is stolen and used to commit fraudulent activity.", "Other types of fraud that occur when personal information is used; for example, to set up mobile phone or utility accounts, or to engage in activities such as applying for employment or renting a home.", "The harms caused by exposure of personal information or identity theft can extend beyond tangible financial loss, including the following:", "Lost time. Victims of identity theft or fraud may spend significant amounts of time working to restore their identities. In 2016, according to the Bureau of Justice Statistics survey of identity victims, most victims resolved issues in 1 day or less but about 1 percent of victims spent 6 months or more resolving their identity theft issues.", "Emotional distress and reputational harm. Exposed information also can cause emotional distress, a loss of privacy, or reputational injury. In 2016, according to the Bureau of Justice Statistics, about 10 percent of those who experienced identity theft reported suffering severe emotional distress.", "Harm from state-based actors. State-sponsored espionage can cause harm to individuals when nations use cyber tools as part of information-gathering, espionage, or other nefarious activities."], "subsections": []}, {"section_title": "Consumers\u2019 Options to Address Risks or Harm", "paragraphs": ["Options available to consumers to help prevent or mitigate identity theft include actions they can take on their own (generally for free) or services they can purchase.", "Actions individual consumers can take themselves include the following:", "Placing a credit freeze. A credit or security freeze restricts potential creditors from accessing a credit report until the consumer asks the agency to remove or temporarily lift the freeze.", "Placing a fraud alert. A fraud alert on a credit report requires businesses to verify a consumer\u2019s identity before they issue credit.", "Monitoring accounts and other information.", "Reviewing free annual credit reports. Individuals can request one copy of their credit report every 12 months (available for free at AnnualCreditReport.com).from each of the three nationwide consumer reporting agencies.", "Reviewing financial statements and other accounts.", "Individuals can review bank and other financial statements regularly for suspicious activity and make use of automatic transaction alerts and other free features that financial institutions offer to detect potential fraud. Individuals also can regularly review mobile phone or utility accounts for unusual activity.", "Reviewing health insurance benefits explanations and medical information. Individuals can review explanation-of- benefits statements from their health insurer to detect fraudulent insurance claims or monitor their files at their healthcare providers to detect unauthorized use of medical services.", "Consumers also can obtain various free or fee-based identity theft services, which are commercial products that generally offer tools intended to help consumers detect identity theft and restore their identity if it has been compromised. The private research firm IBISWorld estimated that the U.S. market for identity theft services was about $3 billion annually in 2015\u20132017. The services may be marketed directly to individuals for a monthly or annual fee. In addition, private- and public- sector entities that have experienced data breaches sometimes purchase these services and offer them to affected individuals at no cost.", "Identity theft services most often include credit monitoring, which tracks an individual\u2019s credit reports and sends alerts about potentially suspicious activity; identity monitoring, which aims to monitor other sources such as public records and illicit websites (sometimes referred to as the \u201cdark web\u201d); identity restoration, which provides a range of services to recover from identity theft; and identity theft insurance, which reimburses individuals for certain costs related to the process of restoring identities.", "Other actions consumers can take to protect their identity include adoption of certain data security practices and early filing of tax returns. Data security practices can help protect sensitive information. For example, individuals can change or avoid sharing or re-using passwords, and make use of strong passwords and authentication options on online accounts; properly safeguard or shred sensitive paper documents; and limit access to their sensitive information on social media. Filing a tax return early reduces the risk of tax refund fraud, and some victims of tax refund fraud may be eligible for an Identity Protection Personal Identification Number (PIN)\u2014issued by the Internal Revenue Service IRS)\u2014to prevent future fraud. To protect their Social Security benefits, individuals can set up an online account at the Social Security Administration to monitor their benefits accounts."], "subsections": []}]}, {"section_title": "Limited Information Is Available on Effectiveness of Options after Data Breaches, but Credit Freezes Can Prevent New-Account Fraud", "paragraphs": ["We did not identify any studies that analyzed whether consumers who sign up for or purchase identity theft services encounter fewer instances of identity theft or detect instances of financial or other fraud more\u2014or less\u2014rapidly than consumers who take steps on their own. Views of experts varied, but most said identity theft services have limitations and would not address all data breach risks. Most experts also said that a credit freeze, which consumers place on their own for free, is a useful way to prevent one type of financial fraud\u2014the illegal opening of new credit accounts in consumers\u2019 names. Based on our review and discussions with experts, consumers can consider four factors when deciding on options to address risks after a data breach: the extent to which an option might prevent fraud; the cost of an option; its convenience; and the type of information that was exposed and may be at risk."], "subsections": [{"section_title": "No Independent Research Assesses Effectiveness of Consumer Options to Address Risks after Data Breaches", "paragraphs": ["Information that can help consumers assess their options for mitigating and addressing the risks of identity theft and other harm from data breaches is limited. Specifically, we did not identify any studies that analyzed whether consumers who sign up for free or purchase identity theft services encounter fewer instances of identity theft or detect instances of financial or other fraud more\u2014or less\u2014rapidly than consumers who take steps on their own for free\u2014such as monitoring their credit reports or placing a credit freeze. For consumers who experienced identity theft, we did not find any studies that compared the effectiveness of free options to help consumers recover from identity theft with commercial identity restoration services. In addition to searching databases of scholarly publications and other sources, a range of academic, consumer, government, and industry experts we interviewed told us that they were unaware of any specific independent studies on the effectiveness of consumer options.", "We interviewed representatives of seven companies that provide identity theft services about how they assess the effectiveness of their services and found that what they measure does not directly address how effective these services would be in mitigating the risks of identity theft compared with options consumers can take on their own. For example, two company representatives said that their services focus on detection of fraudulent activity or assistance after identity theft has occurred, rather than on prevention of identity theft or other harms. The representatives of each of the providers said that their companies generally measure how customers use their products and services; customer satisfaction (for example, through surveys or other feedback); and whether the products work as intended (for example, whether alerts of fraudulent activity are successfully delivered to customers or customers can successfully access the company\u2019s website when they need to). Companies that offer identity restoration services also measure the rate at which they complete the process of recovering stolen identities. While it is not possible to prevent identity fraud, four representatives said that early detection of fraud is important as it allows consumers to address potential fraud more quickly.", "FTC, a primary source for assistance to consumers on issues related to data breaches and identity theft, has advised consumers that the effectiveness of services that offer identity monitoring depends on factors such as the kinds of databases the service provider monitors, how well the databases collect information, and how often the service provider checks each database. For example, FTC suggests that consumers ask if service providers check databases that show payday loan applications or changes in addresses for misuse of their information as part of identity monitoring. In reviewing consumer education and promotional materials on the websites of five identity theft service companies we contacted that offer identity monitoring, we found that three providers included information about which types of databases they monitor; the other two did not.", "Government and commercial entities\u2014such as federal agencies and retail stores\u2014that decide to purchase identity theft services to offer to affected individuals after a breach of their data do not necessarily base their decision on how effective these services are. Rather, according to industry and some government representatives we interviewed, some base their decisions on federal or state legal requirements to offer such services and the expectations of affected customers or employees for some action on the breached entities\u2019 part. Representatives of retail and banking associations we interviewed indicated that it has become the industry standard to offer 1 year of credit or identity monitoring services in the wake of a data breach. One industry representative said that in some cases the decision is not based on the effectiveness of the services. States such as California require companies to offer some type of identity theft service after a data breach. Moreover, Connecticut requires health insurers and certain health care-related companies to offer identity theft services following an actual or suspected data breach. In 2017, we reported that companies do not assess the effectiveness of an identity theft provider\u2019s services when selecting a vendor to provide such services. Rather, they consider other selection factors, including price, reputation, capacity to respond quickly to large-scale breaches, and ability to provide comprehensive post-breach services, such as complying with statutory notification requirements. But companies that purchase identity theft services may be in a position to obtain more detailed information from potential providers than is publicly available to consumers."], "subsections": []}, {"section_title": "Views of Experts Varied, but Most Said Identity Theft Services Have Limitations and Would Not Address All Data Breach Risks", "paragraphs": ["In the absence of independent evidence of the effectiveness of identity theft mitigation options, we interviewed representatives and reviewed consumer education materials, working papers, and articles from academic, consumer, industry, and government entities. No one solution can protect against the full range of risks to individuals whose personal information was exposed in a data breach, based on our review of documentation and the views of academic, consumer, government, and industry experts. We obtained perspectives on the value of options available to consumers. The following summarizes key observations: Identity theft services. Representatives of 9 of the 10 consumer groups we interviewed generally viewed credit or identity monitoring (or both) to be of limited value. However, one consumer group representative noted that identity monitoring might be useful in circumstances in which Social Security numbers were compromised. In addition, a few consumer group representatives indicated that consumers could consider signing up for such services if they are offered for free. If identity theft services are not free, FTC and CFPB consumer education materials recommend that consumers consider the benefits and limitations of such services and compare them to free or low-cost options before signing up. A few consumer groups and one academic highlighted that consumers may not fully understand the limitations of signing up for identity theft services. A few consumer group representatives and one industry and state government representative cautioned that free services may be offered for only 1 or 2 years; exposed information can be used for identity theft or other harms over a much longer period. For example, in 2017, we reported that nation-state actors that steal consumer data as part of their espionage activities can wait much longer than a private identity thief to use compromised information (if at all), according to one identity theft service provider. In addition, CFPB consumer information and a few consumer group representatives noted that consumers should be aware that some services may try to charge consumers after the free period ends.", "Some consumer group and one industry representatives also said that the value of one feature of identity monitoring\u2014dark web monitoring\u2014is unclear. One representative said that there is nothing new that consumers can do once they learn their information was found on an illicit website. Rather, they must continue to monitor their accounts as they already should have been doing. In addition, one consumer group representative indicated that these services may provide consumers with a false sense of security.", "Experts we interviewed for our 2017 report said that identity restoration in particular could be helpful to consumers. FTC staff and one consumer group representative we interviewed said that one-on-one assistance can be helpful. Identity restoration typically is included with other identity theft services rather than offered as a stand-alone service. However, the level of service provided in identity restoration can vary substantially\u2014some providers offer individualized hands-on assistance, while others largely provide self-help information that is of more limited value. In our 2017 report, we also found that another feature of identity theft services, identity theft insurance, may provide minimal benefits for consumers. More details about identity theft insurance appear later in this report.", "Options to prevent fraud or harm unrelated to credit accounts. Consumers have limited options to mitigate risks of other harms from data breaches, such as medical identity theft and identity theft tax refund fraud. Commercial identity theft services, credit freezes, and fraud alerts do not directly address these risks. Some consumer, government, and industry representatives cited self-monitoring as a way for consumers to be on the alert for these other types of fraud.", "Consistent with our 2017 report, identity theft service providers we interviewed generally indicated that their products and services do not directly monitor for these types of fraud. However, two noted that they would assist with any identity restoration involving medical identity theft, tax refund fraud, or government benefits fraud (such as fraudulently redirecting Social Security benefits). Identity theft services also may address these types of fraud indirectly\u2014for example, detecting a fraudulent change of address can prevent sensitive health insurance information from being redirected to the fraudster. A few consumer groups said that consumers may not understand which risks commercial identity theft services address. Additionally, we reported in 2017 that identity theft services do not address non-financial harms, such as emotional distress, embarrassment, and harm to one\u2019s reputation. For example, a House Committee report on the OPM data breaches noted that the information stolen from background investigations included some of the most intimate and potentially embarrassing aspects of a person\u2019s life, such as mental health history, misuse of alcohol or drugs, or problems with gambling. Identity theft services also may be of limited value in cases of nation-state espionage. For example, in 2017, we reported that when the source of the data breach appears to be a nation state (as opposed to a private party), the risk of the information being sold for monetary purposes is likely to be lower, according to an FTC representative.", "Importance of data security. In the view of some experts, entities such as the federal government and private companies that hold consumer data have a responsibility to protect those data. A few experts said that the burden should not be on consumers to protect data they do not control. Except in certain circumstances, companies are generally not required to be transparent about the consumer data they hold or how they collect, maintain, use, and secure these data. Identity theft service providers may contract with third parties such as consumer reporting agencies or with third-party identity monitoring providers, such as dark web monitoring services. Moreover, one consumer group representative noted that identity monitoring services require consumers to provide additional personal information to enroll\u2014which also could be compromised if the service provider\u2019s information were breached.", "Finally, consumer group and government researchers we interviewed suggested other options that entities can (or already) use to address risks of harm. For example, one government researcher noted that financial institutions have started to use multifactor authentication and other technologies that can help institutions verify a consumer\u2019s identity and thus help prevent fraud. Multifactor authentication involves first logging into an online account using the traditional username and password, and then the institution sending a verification code to a mobile phone or e-mail address that the consumer must enter as part of the log-in process. In addition, one researcher noted that some institutions have started to use facial recognition technology, or to ask an account holder to provide answers to questions such as the size of the account holder\u2019s last deposit. Other biometric technologies such as fingerprint recognition on mobile phones, or one-time passcodes that are synced with financial institutions\u2019 websites, also can help, according to one researcher and one consumer group representative. Other strategies can focus on reducing the riskiness of breaches by making information less useful for purposes of committing identity theft. For example, one researcher noted that organizations could encrypt data or use tokens so static account numbers could not be used on their own. There is no single solution to address all risks of harm, based on our review of documentation and the views of academic, consumer, government, and industry experts."], "subsections": []}, {"section_title": "Consumers Can Use Free Credit Freezes and Fraud Alerts to Effectively Prevent New-Account Fraud", "paragraphs": ["A credit freeze is the only consumer option that can prevent one type of identity theft-related fraud, and recent federal legislation made credit freezes free and easier to place or lift. This option is effective because it restricts potential creditors from accessing a consumer\u2019s credit report to open a new account until the consumer asks the nationwide consumer reporting agency to remove or temporarily lift the freeze. In contrast, identity theft services and self-monitoring detect or remediate identity theft after it has occurred, but do not prevent the fraud from occurring in the first place. We interviewed representatives, or reviewed the consumer education or informational materials, of consumer, industry, and government entities and found that almost all of them included credit freezes on credit reports as a useful consumer option to protect against identity theft.", "More specifically, the Economic Growth, Regulatory Relief, and Consumer Protection Act, which took effect on September 21, 2018, required the three nationwide consumer reporting agencies (Equifax, Experian, and TransUnion) to make placing and lifting freezes free and specifies that the agencies must place a freeze within 1 business day, and lift it within 1 hour, of receiving a telephone or electronic request (see fig. 1). Consumers must contact each of the three agencies individually and request the freeze. Consumers obtain a PIN from each company, which enables them to lift or remove a freeze at a later date. Before the 2018 act, consumers typically had to pay $5-$10 per agency to place a credit freeze. Some experts had noted cost and inconvenience as some of the limitations to a credit freeze. The new law addresses these concerns to some degree by making credit freezes free and requiring these consumer reporting agencies to lift freezes expeditiously on request.", "While the new law removed some barriers to placing credit freezes, others still exist and the freezes have some limitations. For example, consumers still have to lift a freeze before applying for a loan or new credit account and need to place or remove a freeze at each consumer reporting agency separately, which could cause delays for consumers actively shopping for a home, car, or other purchase requiring the extension of credit. Two consumer groups said that there is confusion about how the law would affect minor children. (Under the new law, credit freezes only can be placed on behalf of children under age 16, but not minors ages 16 and 17\u2014who must place freezes themselves).", "Moreover, as the new law only applies to the three nationwide consumer reporting agencies, credit freezes do not protect against new-account fraud resulting from the use of credit reports from other consumer reporting agencies. For example, one consumer group recommended that consumers place a fourth freeze with the National Consumer Telecom and Utilities Exchange\u2014a consumer reporting agency that maintains credit reports that telecommunications or utilities companies may use to check the creditworthiness of consumers interested in opening phone or utility accounts. The law also permits insurance companies and employers to continue to access credit reports even after they are frozen, among other exceptions.", "One general limitation of credit freezes is that they do not protect against new-account fraud in cases in which credit reports are not used to verify a consumer\u2019s creditworthiness. Furthermore, credit freezes do not protect against existing-account fraud, such as fraudulent credit card charges, or certain other types of fraud, such as identity theft tax refund fraud or synthetic identity fraud using elements of individuals\u2019 identity information.", "While experts with whom we spoke across industry, government, and consumer groups generally believed credit freezes to be an effective tool in preventing new-account fraud, some consumer and industry experts indicated that fraud alerts also can be a good alternative for consumers. Unlike a credit freeze, a fraud alert still allows companies to access an individual\u2019s credit report for the purpose of opening a loan or credit account. Fraud alerts notify companies requesting the reports that the individual may have been a victim of identity theft. The alerts require companies to verify consumers\u2019 identities before they issue credit to a consumer. Fraud alerts therefore can make it harder for an identity thief to open accounts in a consumer\u2019s name. Moreover, fraud alerts are easier to place than credit freezes, as consumers only need to contact one of the three nationwide consumer reporting agencies to place a fraud alert (that agency is then obligated to contact the other two on the individual\u2019s behalf). The Economic Growth, Regulatory Relief, and Consumer Protection Act extended the period of an initial fraud alert from 90 days to 1 year.", "However, fraud alerts do not restrict access to consumers\u2019 credit reports the way freezes do. Therefore, some consumer group and industry representatives noted that consumers should be aware that a fraud alert may not offer as strong a protection as a credit freeze does. We did not find any data or analysis on the effectiveness of fraud alerts compared to credit freezes or monitoring options. One consumer group told us that it recommends that after a data breach consumers first place a fraud alert, because it requires contacting only one of the three nationwide consumer reporting agencies, and then follow up by placing a credit freeze at the three agencies.", "The three nationwide consumer reporting agencies also offer a product called a credit lock that is functionally similar to a credit freeze in that it restricts access to an individual\u2019s credit report. Credit locks do not require consumers to use a PIN and consumers can turn access to credit reports on or off through an application on their mobile phone. However, credit locks are not subject to the same federal requirements regarding the placement and removal of freezes and therefore do not offer the same degree of protection to consumers. Instead, credit locks are private products subject to the consumer reporting agencies\u2019 terms and conditions, which could change. A credit lock is in place only as long as the individual subscribes to an agency\u2019s service, but a credit freeze remains in place until the consumer chooses to remove it. Finally, consumers may be charged a fee to place a credit lock, whereas credit freezes can now be placed for free."], "subsections": []}, {"section_title": "Factors Consumers Can Consider When Assessing Options after Data Breaches", "paragraphs": ["Based on our interviews and review of consumer education materials and our 2017 report, we identified four factors that consumers can consider in deciding which options are best for them in responding to a breach of their personal information:", "Prevention. Consumers can consider the extent to which an option might prevent fraud. For example, because credit freezes block all access to an individual\u2019s credit report, by definition they are effective in preventing new-account fraud where credit reports are used as part of the account-opening process. Identity theft services do not prevent fraud, but detect suspicious activity or help restore identities after identity theft.", "Cost. Consumers can consider the cost of a service. For instance, consumers can consider whether to pay for commercial identity theft services if they believe the value of the service outweighs the effort of monitoring their accounts on their own. In addition, they may consider that credit freezes now are available for free.", "Convenience. Consumers may consider the convenience of a service. For example, while consumers can monitor their own credit reports and accounts, some might prefer not to or may be limited in their ability to do so. In addition, technologies offered through financial institutions that automatically alert customers to any transactions involving their accounts can be a convenient, no-cost way for consumers to monitor their accounts.", "Type of information at risk. Finally, several experts from consumer and industry organizations indicated that the type of option that might be beneficial would depend on the type of information at risk. For example, one consumer group representative noted that if a credit card number were stolen, an identity monitoring service that monitored the dark web for Social Security numbers might not be needed. Furthermore, consumers should consider that credit monitoring will be of limited effectiveness in alerting them to misuse of an existing credit account\u2014which is more common than fraud related to setting up new accounts. For more information on consumers\u2019 options, see appendix II."], "subsections": []}]}, {"section_title": "Federal Agencies Provide Assistance to Consumers Affected by Data Breaches and Identity Theft", "paragraphs": ["Among federal agencies, FTC serves as a primary source for free assistance (including online resources, educational outreach, and customized assistance through IdentityTheft.gov) to consumers on ways to respond to data breaches, identity theft, and related harm. Approximately 13 percent of those affected by the 2015 OPM breaches used credit and identity monitoring and identity restoration services that OPM offered them and a fraction of a percent made identity theft insurance claims (the payouts for which averaged $1,800). Data we assessed for this report support a 2017 recommendation we made to the Office of Management and Budget (OMB) to revise guidance to federal agencies about responding to data breaches and one to Congress to consider permitting agencies to determine appropriate levels of identity theft insurance offered after data breaches."], "subsections": [{"section_title": "FTC Is Primary Provider of Federal Assistance to Consumers Affected by Data Breaches and Identity Theft", "paragraphs": [], "subsections": [{"section_title": "Federal Trade Commission", "paragraphs": ["FTC, as a primary source for assistance to consumers on issues related to data breaches and identity theft, provides guidance and assistance through its website and through conferences and workshops.", "Online and printed resources. FTC\u2019s home page includes links to identity theft-related resources, including information about key options consumers can consider to help them mitigate identity theft risks and other harms, and a link to IdentityTheft.gov (discussed later in this section). FTC updates the information regularly, such as after large-scale data breaches.", "Outreach. FTC maintains relationships with state government, law enforcement, and community and consumer organizations, through which it conducts outreach about how to respond to exposure or loss of personal information and identity theft mitigation. For example, FTC collaborated with the International Association of the Chiefs of Police to update the association\u2019s model policy for identity theft to include referral information for IdentityTheft.gov. FTC also has held webinars, conferences, and workshops on topics related to data breaches and identity theft for groups including government officials, nonprofits, and the general public.", "Customized assistance (IdentityTheft.gov). FTC provides information and customized assistance through IdentityTheft.gov to individuals whose information was lost or stolen or who experienced identity theft or other harm, such as tax refund fraud. During fiscal year 2018, IdentityTheft.gov received almost 2 million unique visitors. The website in its current form has been in place since January 2016 and offers the following types of assistance:", "Steps to take after identity theft. IdentityTheft.gov provides individual victims with step-by-step instructions to resolve specific problems. From January 2016 (when FTC launched the current version of IdentityTheft.gov) through October 1, 2018, approximately 700,000 individuals set up and activated accounts on the website to help them recover from identity theft. Individuals who set up accounts can indicate what kind of information was stolen and what kind of adverse event they experienced. The site helps users generate pre- filled letters, affidavits, and forms to send to consumer reporting agencies, businesses, debt collectors, and IRS, as appropriate. For example, individuals who fill out an Identity Theft Report affidavit can use this report instead of filing a police report to request extended 7- year fraud alerts (available to identity theft victims) on their credit reports. In addition, individuals who experienced tax refund fraud can fill out a form on IdentityTheft.gov that is then submitted directly to IRS. An individual who experienced credit card fraud would be advised to take different steps than one who experienced fraud related to utility bills or medical insurance.", "Steps to take after data breaches or loss of personal information.", "IdentityTheft.gov/databreach provides checklists and suggestions for people whose personal information was lost or exposed but has not yet been misused.", "FTC also maintains an online chat function and telephone number for those who need additional assistance. For complex cases, FTC staff may refer individuals to the Identity Theft Resource Center, a nonprofit organization.", "We found that in developing and updating the website, FTC followed some key practices for consumer education planning. One key practice we identified was consulting with stakeholders. According to FTC staff we interviewed and documentation we reviewed, FTC obtained feedback from stakeholders such as law enforcement agencies and community organizations in developing IdentityTheft.gov. Another key practice we identified was assessing users\u2019 needs. FTC conducted usability testing to ensure the site\u2019s features were easy to use. FTC staff also told us that after receiving user feedback, they made it easier for users to set up an account. FTC also made changes to IdentityTheft.gov\u2014such as incorporating the ability to auto-generate forms\u2014to implement a 2014 Executive Order calling for federal agencies to centralize identity theft information at the website. Furthermore, in January 2018, FTC implemented a new function that allows users who report identity theft tax refund fraud to file reports directly with IRS. Since its launch in early 2018 through October 1, 2018, almost 22,000 IRS Identity Theft Affidavits (IRS Form 14039) were submitted to IRS through IdentityTheft.gov. In general, experts across consumer, government, and industry organizations and identity theft service providers we interviewed expressed the view that IdentityTheft.gov is a valuable or user-friendly resource."], "subsections": []}, {"section_title": "Other Federal Agency Resources", "paragraphs": ["Other federal agencies provide assistance to consumers on topics related to identity theft, including CFPB, the Department of Justice, IRS, and the Social Security Administration.", "CFPB. CFPB enforces, supervises for compliance with, and issues regulations to implement the federal consumer financial laws that address certain firms\u2019 and financial institutions\u2019 practices, which may include data security. A few of these laws and regulations contain provisions that can help protect the personal information of consumers. CFPB also offers consumer education resources.", "Similarly to FTC, CFPB included information about how consumers can address risks related to exposure of personal information and recover from identity theft in the bureau\u2019s overall consumer education activities. CFPB provides consumer education materials related to data breaches and identity theft through its blog and its financial education resource, \u201cAsk CFPB.\u201d CFPB also maintains relationships with external groups, such as librarian networks. CFPB provides links to FTC resources about data breaches and identity theft topics on its website, so as not to duplicate efforts, according to CFPB staff. The two agencies also have coordinated some efforts. FTC and CFPB published a jointly produced blog post on September 21, 2018, the date the new free credit freeze and 1-year fraud alert provisions took effect. Such coordination is consistent with the 2014 Executive Order, which designated FTC as a centralized source of information about identity theft across the federal government.", "Staff of both agencies said that in developing new resources, they monitor information from a variety of sources, including consumer complaints, news and social media, and reports from other government entities, law enforcement, or nongovernmental stakeholders.", "Other federal and state agencies. IRS and the Social Security Administration provide some assistance to consumers for specific types of identity theft. For example, as noted previously, IRS provides some taxpayers with PINs if they are victims of identity theft tax refund fraud. In addition, states enforce laws and regulations and provide consumer education resources and assistance to consumers at risk of identity theft and other harms as a result of data breaches. For example, the Illinois Attorney General\u2019s office maintains a call-in number for victims of identity theft, and the Colorado Bureau of Investigation can assist residents with identity theft issues."], "subsections": []}]}, {"section_title": "Few People Used Identity Theft Services OPM Provided, Very Few Made Insurance Claims, and Payouts Received Were Low", "paragraphs": ["OPM offered identity theft services to approximately 22.1 million individuals whose personal information was compromised during the 2015 data breaches at OPM. Personnel records or OPM systems containing information from the background investigations of current, former, and prospective federal employees and other individuals were breached. The services, offered at no cost to affected individuals, included credit monitoring, identity monitoring, identity restoration services, and identity theft insurance. To receive credit and identity monitoring services, affected people have to enroll with the identity theft service provider with which OPM contracted, but identity theft insurance and identity theft restoration services are available to the entire affected population whether or not they enroll.", "Few affected individuals have used the services. According to data from OPM, as of September 30, 2018, close to 3 million, or 13 percent, of individuals affected by the 2015 incidents had made use of the services. As seen in figure 2, the great majority of enrollments occurred in the months immediately following notification of the breach. OPM staff said that the spike in enrollments in July and August 2016 likely was due to the follow-up mailing that OPM sent to approximately 10 percent of affected individuals whose mailing addresses were incorrect in the original mailing of notifications.", "In addition, according to OPM-reported data we reviewed, of the 3 million individuals who used the services, about 1 percent made identity restoration requests and a fraction of 1 percent submitted insurance claims. According to data we reviewed, approximately 27,000 identity restoration cases had been resolved as of September 30, 2018. In addition, 61 insurance claims (of 81 submitted) had been paid, totaling $112,000, with an average payout of $1,800.", "Since 2015, OPM has obligated approximately $421 million for identity theft services and as of November 30, 2018, OPM paid out approximately $361 million of the obligated funds. OPM is required to provide identity theft services through September 2026. The contract to provide these services on behalf of OPM expired in December 2018; OPM re-competed and awarded a single contract that month to ID Experts, the company that had been providing these services.", "After the OPM breaches in 2015, OPM provided federal employees and other affected individuals with information and guidance about their options in mailed letters and on its website. On its website, OPM developed a Cybersecurity Resource Center and included background about the breaches and who was affected; instructions for how to enroll in identity theft services; and a Frequently Asked Questions webpage that included links to FTC resources, including IdentityTheft.gov. OMB\u2019s 2017 policy guidance to federal agencies, including OPM, states that agencies should determine appropriate information to provide to affected individuals and review breach responses annually. Consistent with that guidance, OPM\u2019s September 2017 Breach Response Plan calls for the agency to review its breach response plan annually, including to reinforce or improve training and awareness. In December 2018, OPM updated its website to incorporate changes in the cost of credit freezes and duration of fraud alerts resulting from new legislation we discussed earlier."], "subsections": []}, {"section_title": "OMB Has Not Revised Post-Data Breach Guidance to Agencies and Insurance Coverage Amount for Identity Theft Insurance Remains High", "paragraphs": ["Data we assessed for this report support a 2017 recommendation we made to OMB and a matter for congressional consideration, both of which have not yet been implemented. In our March 2017 report, we found that OMB policy guidance for federal agencies on how to prepare for and respond to data breaches did not address how agencies might assess the effectiveness of identity theft services relative to lower-cost alternatives. For example, the guidance did not discuss whether identity theft services would be preferable to alternatives (such as fraud alerts, credit freezes, or the agency conducting its own database monitoring). We concluded that the guidance might not fully reflect the most useful and cost-effective options agencies should consider in response to a breach\u2014contrary to OMB\u2019s risk-management and internal control guidance calling on federal leaders to improve effectiveness and efficiency. Therefore, we recommended that OMB conduct an analysis of the effectiveness of identity theft services relative to alternatives, and revise its guidance to federal agencies in light of the analysis. In oral comments on a draft of the 2017 report, staff from OMB\u2019s Office of Information and Regulatory Affairs said that our draft recommendation to OMB on expanding OMB\u2019s guidance to federal agencies would benefit from greater specificity, and we revised this recommendation to provide greater clarity.", "We contacted OMB several times between May 2018 and early March 2019 to update the status of this recommendation but as of March 2019, OMB had not responded with an update. In our current review, we found that information on the effectiveness of various consumer options continues to be limited. We also found that some free and low-cost alternatives to free or fee-based identity theft services can prevent or more directly address new account fraud and some options consumers can take on their own have become less burdensome. Therefore, we stand by this recommendation.", "In addition, as noted previously in this report, the identity theft insurance that OPM offered to affected individuals resulted in few insurance claims, and the amounts claimed have been small. These data are consistent with the findings of our 2017 report\u2014which reported that the number and dollar amount of claims for identity theft generally were low. They also reinforce our conclusion that the $5 million per-person coverage limit mandated by Congress likely was unnecessary and might impose costs without providing a meaningful corresponding benefit. Specifically, we noted that $5 million in coverage would increase federal costs unnecessarily, likely mislead consumers about the benefit of the product, and create unwarranted escalation of coverage amounts in the marketplace.", "Therefore, we reiterate the matter for congressional consideration we made in our March 2017 report: in the event that Congress again requires an agency to provide individuals with identity theft insurance in response to a breach, it should consider permitting the agency to determine the appropriate level of that insurance."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to CFPB, FTC, and OPM. The agencies provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Director of CFPB, the Chair of FTC, and the Acting Director of OPM. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8678 or ortiza@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) information and expert views about the effectiveness of options consumers can use to prevent or address the risks resulting from data breaches; and (2) federal assistance available to help consumers understand these options, including the status of one matter for congressional consideration and one recommendation relating to these issues in our 2017 report.", "To address the first objective, we conducted a literature review to identify any studies or independent research on the effectiveness of various options consumers have for mitigating data breach harms, consumer attitudes and behavior following data breaches, and identity theft and other harm to individuals from exposure of personal information. We searched databases of scholarly publications and other sources for work generally published within the last 5 years. Examples of databases searched include ProQuest, EconLit, Policy File Index, and SciTech Premium Collection. We searched for terms including \u201ceffective,\u201d \u201cdata breach,\u201d \u201cidentity theft,\u201d \u201cconsumer attitudes,\u201d and \u201cconsumer behavior\u201d and options such as \u201ccredit freeze,\u201d \u201cfraud alert,\u201d and \u201ccredit lock.\u201d We also reviewed relevant academic literature to identify additional studies. From these searches, we did not identify any studies that assessed the extent to which commercial identity theft services were effective in preventing or mitigating harm from exposure of personal information. We identified and reviewed 54 studies that appeared in peer-reviewed journals or research institutions\u2019 publications and were relevant to consumer attitudes and behavior related to privacy, data breaches, and identity theft.", "To ensure the selection of a range of perspectives on the effectiveness of options to mitigate harms, we reviewed the selection of experts and sources in our prior report and our literature review, and updated that selection through additional searches and recommendations from discussions with experts and identity theft service providers and review of relevant literature. We defined experts as those representing consumer and industry policy organizations that have conducted research or taken policy positions on consumers\u2019 or entities\u2019 options after data breaches; academics who conducted research on relevant topics; and federal and state government staff with specific positions of responsibility in consumer protection or education. We also contacted seven companies that provide identity theft services to consumers.", "We interviewed representatives of a nongeneralizable sample of 35 entities in the following categories: academic or independent research institution (4); consumer or privacy research and advocacy (10); industry association, identity theft service provider, or industry consultant (12); and federal or state government (9). We also reviewed relevant consumer education and other materials produced by consumer, government, industry, and other entities. We interviewed academics from Carnegie- Mellon University, RAND Corporation, the University of Maryland, and the University of Rochester. In addition, we interviewed representatives from the following organizations:", "Consumer or privacy groups: AARP, Consumer Action, Consumer Federation of America, Consumer Reports, Electronic Privacy Information Center, Identity Theft Resource Center, National Consumer Law Center, Privacy Rights Clearinghouse, U.S. PIRG, and World Privacy Forum.", "Industry associations or consultants: American Bankers Association, Consumer Data Industry Association, Property and Casualty Insurers Association of America, National Retail Federation, and Rational 360.", "Identity theft service providers: Credit Karma, Equifax, Experian, ID Experts, ID Shield, LifeLock, and TransUnion.", "Government agencies: Consumer Financial Protection Bureau (CFPB), Federal Reserve Bank of Philadelphia, Federal Trade Commission (FTC), Office of Personnel Management (OPM), and Offices of the Attorney General of California, Connecticut, Illinois, Massachusetts, and New York.", "Throughout this report, we use certain qualifiers when describing responses from interview participants and views of entities whose articles and written material we reviewed, such as \u201cfew,\u201d \u201csome,\u201d and \u201cmost.\u201d We define few as a small number such as two or three. The specific quantification of categories depends on the overall numbers of entities that addressed a specific topic. For example, we may refer to views shared by a proportion of the 10 consumer groups we interviewed, or those shared by identity theft service providers.", "We also reviewed provisions in the Economic Growth, Regulatory Relief, and Consumer Protection Act, enacted in May 2018, that address credit freezes and fraud alerts (two tools for preventing new-account fraud).", "To address the second objective, we reviewed and analyzed documentation and interviewed staff from FTC, CFPB, and OPM. We reviewed and analyzed FTC, CFPB, and OPM consumer education materials including blog posts, online fact sheets, and printed brochures and data on usage of the materials. For example, we analyzed FTC, CFPB, and OPM data and website analytics for their data breach- and identity theft-related web pages. We interviewed FTC and CFPB agency staff about their assistance to individuals and how they measure effectiveness of their efforts. We reviewed documentation and interviewed agency staff about the development, implementation, and assessment of consumer education materials and other resources and assistance. For example, we reviewed materials documenting FTC\u2019s outreach to stakeholders and usability testing of IdentityTheft.gov. We compared the activities against a 2014 Executive Order on the security of consumer financial transactions, key practices for consumer education planning we identified in prior work, and federal standards for internal control.", "We analyzed data from the company with which OPM contracted to provide identity theft services to the approximately 22.1 million individuals whose information was exposed in the 2015 data breaches. We obtained data on the number of enrollments, the number and size of identity theft insurance claims submitted and paid, and number of identity restoration cases the companies handled. We assessed the reliability of the data by interviewing agency officials and reviewing documentation about the systems used to store the data. We found the data to be reliable for purposes of this reporting objective. We also reviewed the online guidance OPM provided to affected individuals and assessed the guidance against Office of Management and Budget guidance for agencies following data breaches and OPM\u2019s 2017 Breach Response plan.", "In addition, for both objectives, we reviewed the evidence gathered and analyzed for the 2017 GAO report (GAO-17-254) and updated the status of the matter for congressional consideration and recommendations made in that report.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: What Can Consumers Do After a Data Breach?", "paragraphs": ["Appendix II: What Can Consumers Do After a Data Breach?", "Figure 3 below provides information on actions consumers can take to monitor for identity theft or other forms of fraud, protect their personal information, and respond if they have been a victim of identity theft. This information summarizes prior GAO work and comments of academic, consumer organization, industry, and government experts."], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kay Kuhlman (Assistant Director), Meghana Acharya, Carl Barden, Bethany Benitez, Catherine Gelb (Analyst in Charge), Danielle Koonce, Jill Lacey, Kathleen McQueeney, Barbara Roesmann, Jena Sinkfield, and Meg Tulloch made significant contributions to this report."], "subsections": []}]}], "fastfact": ["Data breaches have exposed the personal data of hundreds of millions of people and put them at risk for identity theft.", "We looked at what you can do if you're a victim of a data breach. Identity theft services can be convenient, but they don't prevent fraud from happening in the first place.", "There are also some steps you can take on your own for free\u2014such as freezing your credit reports. A freeze prevents the opening of new credit accounts or loans in your name.", "We've previously recommended that Congress reconsider legislation requiring federal agencies to offer high levels of identity theft insurance coverage."]} {"id": "GAO-18-478", "url": "https://www.gao.gov/products/GAO-18-478", "title": "Maritime Security: DOT Needs to Expeditiously Finalize the Required National Maritime Strategy for Sustaining U.S.-Flag Fleet", "published_date": "2018-08-08T00:00:00", "released_date": "2018-08-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. government relies on U.S.-flag vessels that trade internationally to transport cargo and to provide a pool of U.S. mariners who could be called upon in times of crisis for DOD's reserve fleet. Through financial support and cargo preferences, the United States has supported the viability of the U.S.-flag fleet. However, in recent years concern has grown about the sustainability of the U.S.-flag fleet, and in 2014, Congress statutorily mandated that DOT develop national strategies related to the sustainability of the U.S.-flag fleet including recommendations for the future.", "GAO was asked to review U.S. government support for these U.S.-flag vessels that trade internationally. This report discusses: (1) the effect the U.S. government's support for the U.S.-flag fleet has had on national defense needs and other government programs; (2) the challenges identified by stakeholders in sustaining the U.S.-flag fleet for defense needs; and (3) the status of the mandated national strategies related to the U.S.-flag fleet.", "GAO reviewed relevant laws and analyzed DOT and DOD documents and government cargo data for fiscal years 2012\u20132017. GAO also interviewed officials from DOT, DOD, and other federal agencies subject to cargo preference; MSP vessel operators; and other stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. government support for the U.S.-registered (U.S.-flag) fleet has helped meet national defense needs, but it has had a negative effect on some non-defense government programs. Specifically, the U.S. government supports U.S.-flag vessels through: (1) an annual stipend provided through the Maritime Security Program (MSP) and (2) cargo preferences that require federal agencies to transport certain percentages of government cargo on U.S.-flag vessels. These supports have helped ensure that a sufficient number of U.S.-flag vessels are available to meet the Department of Defense's (DOD) cargo capacity needs. Although cargo preference requirements have helped support the financial viability of U.S.-flag vessels that participate in the MSP, they have had a negative impact on some non-defense programs. For example, the requirement pursuant to which food-aid agencies send a certain percentage of food aid on U.S.-flag vessels has resulted in higher shipping costs for these agencies and has negatively affected their missions, according to officials at these agencies.", "Stakeholders GAO spoke to identified two primary challenges in sustaining the internationally trading U.S.-flag fleet for national defense needs.", "First, even with the annual MSP stipend, maintaining the financial viability of U.S.-flag vessels is a challenge. This challenge largely results from the higher costs of operating a U.S.-flag vessel. According to U.S. Maritime Administration (MARAD) officials, the additional cost of operating a U.S. flag vessel compared to a foreign-flag vessel has increased\u2014from about $4.8 million annually in 2009 and 2010 to about $6.2 to $6.5 million currently\u2014making it harder for such vessels to remain financially viable. In addition, government cargo volumes have fallen in recent years. In response to this challenge, Congress increased the MSP stipend from $3.5 million per vessel for fiscal year 2016 to $4.99 million per vessel for fiscal year 2017. MARAD officials said this increase has temporarily stabilized the financial situation of MSP vessel operators. However, MARAD officials stated trends in operating costs and government cargo suggest this will remain an ongoing challenge.", "Second, a potential shortage of U.S.-citizen mariners available to crew the government-owned reserve fleet during a crisis is a challenge. DOD counts on mariners working on U.S.-flag vessels to crew this fleet when activated. A MARAD working group recently estimated a shortage of over 1,800 mariners in the case of a drawn-out military effort, although it also recommended data improvements to increase the accuracy of the count of available mariners.", "The Department of Transportation (DOT) has drafted but not issued the national maritime strategies mandated by Congress. The strategies are intended to address U.S.-flag vessels' competitiveness and ensure the long-term viability of U.S.-flag vessels and U.S.-citizen mariners. According to DOT officials, a combined draft strategy was developed under the previous administration but is now being reviewed by the current administration. DOT has not established a timeline for finalizing the strategy even though it was to be completed by 2015. Without establishing a timeline to complete this required strategy, DOT continues to delay providing decision-makers the information they need to determine how best to address the challenges facing the U.S.-flag fleet."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOT complete the national maritime strategy and establish time frames for its issuance. DOT concurred with our recommendation and provided technical comments, which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) ships more than a million metric tons of cargo overseas annually to sustain its military presence around the world. In a time of war or crisis, it may need access to additional vessel capacity to transport supplies to support both the surge\u2014the initial movement of troops, equipment, and supplies to a war\u2019s location\u2014and to sustain these troops during a potentially long-lasting conflict, while continuing operations elsewhere. The process of transporting government equipment and supplies by sea for military purposes is often referred to as \u201csealift\u201d. Due to certain statutory requirements and long-time government policy, DOD largely relies on internationally trading U.S.-flag vessels to transport its cargo in peacetime and to supplement the government-owned reserve fleet in times of war or crisis. However, it has long been recognized that the operating costs of U.S.-flag vessels are higher than the operating costs of foreign-flag vessels, and that government support is therefore necessary to maintain a fleet of internationally trading U.S.-flag vessels.", "Currently, the U.S. government financially supports internationally trading U.S.-flag vessels in two key ways: (1) by providing an annual stipend for 60 specific vessels through the Department of Transportation\u2019s (DOT) Maritime Security Program (MSP) and (2) by requiring, under laws that are distinct from the MSP, that the federal government transport certain types and percentages of government cargo on U.S.-flag vessels, also known as cargo preference requirements. Federal agencies can meet cargo preference requirements by transporting cargo on vessels in the MSP or on other U.S.-flag vessels. The shipping fees federal agencies pay to U.S.-flag vessels to transport government cargo under cargo preference requirements also help to financially support U.S.-flag vessels. In recent years, Congress has increased appropriations to support vessels in the MSP; however, the amount of government cargo available to be shipped under cargo preference requirements has decreased. This decrease has prompted questions regarding the future of the U.S.-flag fleet and the costs to the government to support it. In 2014, Congress statutorily mandated that DOT develop two national strategies related to the U.S.-flag fleet, one a national sealift strategy focused on ensuring the long-term viability of the U.S. Merchant Marine (U.S.-flag vessels and U.S.-citizen mariners) and the other a national maritime strategy focused, among other things, on increasing the competitiveness of internationally trading U.S.-flag vessels.", "You asked us to review the costs to the government of supporting U.S.- flag vessels for military needs. This report responds to the following objectives:", "What effect has the U.S. government\u2019s support for the internationally trading U.S.-flag fleet had on defense needs and other government programs?", "According to stakeholders, what, if any, sustainability challenges does the internationally trading U.S.-flag fleet face in meeting national defense needs?", "What is the status of the mandated national sealift and maritime strategies, and what options has DOT considered to address any challenges related to sustaining the internationally trading U.S.-flag fleet to meet defense needs?", "In addition, you requested that we identify and discuss alternatives to the MSP with DOD, the Department of Transportation\u2019s Maritime Administration (MARAD), and other stakeholders, and this information is included in appendix I.", "To identify the effect the U.S. government\u2019s support for the internationally- trading U.S.-flag fleet has had on national defense needs and other government programs, we reviewed relevant laws, regulations, and directives, including the Maritime Security Act of 1996, the Maritime Security Act of 2003, National Security Directive 28, and laws and regulations related to cargo preference requirements, among others. We also reviewed unclassified summaries of DOD studies and interviewed officials from DOD\u2019s U.S. Transportation Command (Transportation Command) to learn how these studies are used to determine defense needs for U.S.-flag vessels. We reviewed DOT guidance on the MSP and interviewed MARAD officials to learn how the program operates, including how participants are selected for the program and how the stipend is determined. We also conducted a literature search on the MSP and maritime economics and reviewed prior GAO reports as well as reports from the Congressional Research Service, MARAD, Econometrica, and academics on the MSP and cargo preference requirements.", "In addition, to understand the extent to which the U.S. government is supporting U.S.-flag vessels through shipments of government cargo under cargo preference requirements and the effect of this support on defense and other government programs, we obtained and analyzed data from DOD on the amount of DOD cargo shipped from fiscal years 2012 through 2017 and data from MARAD on the amount of government cargo that was shipped by non-defense government agencies during the same time period to determine the volume of government cargo shipped on U.S.-flag vessels (including MSP and non-MSP vessels) and the types of vessels used, and the volume of government cargo shipped on foreign- flag vessels. We chose this time period to provide the most recent information with the most complete data available, as data prior to fiscal year 2012 are less complete. To determine whether these data were sufficiently reliable for our analysis, we reviewed the program documentation associated with the files and discussed various data elements and collection processes with MARAD and Transportation Command staff responsible for the data. We also conducted our own electronic testing to check the consistency of the data and to reconcile the accuracy of certain data elements. We did not attempt to evaluate or test all aspects of the data files but focused on data on government cargo transported on U.S.-flag vessels. As a result of our review and discussions, we determined that these data were sufficiently reliable for the purposes of our review. We also interviewed officials representing federal agencies affected by cargo preference requirements, including the U.S. Department of Agriculture (USDA), U.S. Agency for International Development (USAID), U.S. Export-Import Bank (EXIM Bank), Department of Energy, and the State Department; all 14 MSP vessel operators; six labor unions; an international ship-registry service; a maritime association; two stakeholders in nongovernmental organizations involved with food aid; and six academics with a background in defense transportation, food assistance or maritime economics.", "To identify stakeholders\u2019 views on any challenges the government faces in sustaining the internationally trading U.S.-flag fleet to meet defense needs, we conducted a literature search on the MSP and maritime economics and reviewed prior GAO reports as well as reports from the Congressional Research Service, MARAD (including, among others, MARAD\u2019s 2015 report on cargo preference requirements, 2011 report on the costs of operating U.S.- and foreign-flag vessels, and 2017 Maritime Workforce Working Group Report), Econometrica, and academics on the MSP and cargo preference programs. We reviewed data provided by MARAD on MSP vessel operators\u2019 finances and laws authorizing and appropriating funds for the MSP. We also interviewed MARAD and Transportation Command officials as well as the stakeholders identified above.", "To discuss the status of the mandated national sealift and maritime strategies and options that DOT has considered to address any challenges related to sustaining the internationally trading U.S.-flag fleet to meet defense needs, we reviewed the laws requiring MARAD or DOT to develop these strategies and interviewed MARAD and DOT officials on the status of their efforts to develop the mandated strategies and the process the officials used. We compared MARAD\u2019s efforts to the pertinent laws. We also reviewed laws requiring MARAD to convene a working group in order to study the sufficiency of the mariner pool and the working group\u2019s 2017 Maritime Workforce Working Group Report. In addition, we reviewed MARAD\u2019s strategic plan and reports and documents related to the U.S.-flag fleet and Coast Guard requirements, mariners, and cargo preference, among other things; and interviewed MARAD and DOD officials.", "To identify alternatives and modifications to the MSP, we conducted a literature search on the program and reviewed a 2009 study of the MSP, and prior GAO work. We then interviewed stakeholders, including MARAD and DOD officials; MSP participants; an international ship- registry service; a maritime association; academics with backgrounds in food aid, defense transportation, food assistance; and maritime economics; as well as maritime unions about these alternatives and modifications and on other ways to potentially improve the MSP. (See app. I.)", "We conducted this performance audit from January 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["A series of laws and policy directives dating back to 1904 require DOD to rely in large part on U.S.-flag commercial vessels over government- owned or foreign-flag vessels for its sealift needs. Most recently, a 1989 National Security Directive reaffirmed the policy of relying on U.S.-flag commercial vessels to provide sealift in times of peace, crisis, and war. These requirements and policies align with the following principles from the Merchant Marine Act of 1936, as amended:", "A fleet of commercial vessels with military utility that are owned and operated by U.S. citizens and are able to provide reliable support during difficult wartime missions is necessary for national defense. According to testimony by the Commander of Transportation Command, during Operation Desert Shield, 7 percent of foreign-flag vessels refused to go into war zones, whereas U.S.-flag vessels continued to deliver cargo as promised.", "A pool of trained U.S. mariners is needed to crew the U.S.-flag fleet. According to DOD and MARAD, mariners are necessary to crew not only the U.S.-flag commercial vessels but also the U.S. government- owned reserve cargo vessels. These vessels are held in reduced operating status with minimal crew in peacetime. When put into full operating status\u2014such as for a surge related to a wartime effort\u2014the government needs to add additional trained and qualified mariners to operate them. U.S.-flag commercial vessels, which are required to be staffed by U.S.-citizen mariners, provide a pool of mariners who can be used for this task. Because mariners work on vessels for months at a time, commercial vessels typically have at least two full sets of mariners to crew a single vessel\u2014one set of which is on the vessel while the other is on leave. In times of crisis, one set of mariners could continue to work on the commercial vessel, while some of those on leave could be called upon to voluntarily crew vessels in the government-owned reserve fleet.", "A U.S. presence in international trade is needed to carry goods overseas. According to MARAD, a U.S. presence in international trade helps ensure that both commercial shippers and the military can access vessels to carry their goods overseas at all times, both in times of peace and in times of war.", "In line with this policy, as of March 2018, DOD\u2019s sealift capacity consisted of 61 government-owned reserve vessels held in reduced operating status and 113 commercial vessels operating under the U.S. flag in regular trade (see fig. 1).", "MARAD, in consultation with DOD, administers a program designed to ensure that needed U.S.-flag commercial vessel capacity will be available during a wartime activation. The program consists of an agreement between the U.S. government and operators of U.S.-flag commercial vessels, called the Voluntary Intermodal Sealift Agreement (VISA). MSP vessel operators are required to enroll in VISA or a similar agreement for tankers as part of their participation in the MSP, while other operators with U.S.-flag vessels may but are not required to enroll in VISA. Operators enrolled in VISA: commit to providing their intermodal resources and a certain percentage of their U.S.-flag vessel capacity to meet national defense needs during times of war or national emergency, if activated by DOD; will receive compensation during a VISA activation at rates that are set according to certain parameters established in contingency contracts between DOD and the operator; and receive priority for peacetime DOD cargo contracts, under which they carry DOD cargo at established or negotiated rates.", "According to Transportation Command and MARAD officials, DOD has never formally activated VISA, as vessel operators with these agreements have voluntarily met DOD\u2019s ocean cargo carrying needs under regular operations and compensation rates established under contract with DOD. For example, these officials said that U.S.-flag vessels carried significant amounts of cargo during recent military conflicts such as those in Iraq and Afghanistan, and DOD did not have to activate VISA to obtain additional capacity.", "International shipping is dominated by foreign-flag vessels. According to MARAD, only about 1.5 percent of U.S. international oceangoing trade by weight is carried on U.S.-flag vessels. U.S.-flag vessels face difficulties competing in international markets due to the higher costs of operating under the U.S. flag. For example, to operate under the U.S. flag, vessel operators must comply with various U.S. laws, including requirements of the United States Coast Guard (Coast Guard), and must use U.S.-citizen and permanent resident crews, which according to a MARAD 2011 report, results in higher labor costs than are typically incurred by foreign-flag vessels for foreign crews. Since U.S.-based vessel operators engaged in international trade can choose to operate vessels under a foreign flag, according to the 2011 MARAD report, the majority of large, oceangoing, self-propelled merchant-type U.S.-owned vessels are not registered under the U.S. flag. In 2011, MARAD reported that the Marshall Islands, Singapore, and Liberia registries accounted for 52 percent of U.S.-owned vessels. According to MARAD, these registries have different requirements than the U.S. registry that result in lower associated operating costs. Further, according to MARAD data, the fleet of large U.S.-flag vessels engaged in international trade has declined from approximately 199 vessels at the end of 1990 to 82 vessels at the end of 2017 (see fig. 2). In February 2018, the number of U.S.-flag vessels dropped again, to 81 vessels.", "To ensure the existence of an international maritime presence of U.S.- registered and U.S.-citizen-crewed vessels, the U.S. government has, at least since 1936, had laws designed to provide financial support to offset the higher costs of operating an internationally trading vessel under the U.S.-flag. This support has provided an incentive for U.S. commercial vessel operators to register vessels under the U.S. flag in spite of the higher operating costs. Currently, this support is provided through the (1) MSP stipend for certain vessels and (2) cargo preference requirements:", "MSP stipend\u2014Since fiscal year 1996, the MSP has provided an annual stipend set by statute to support a specific number of vessels. In return for receiving the stipend, the MSP vessel operator agrees to keep the vessel or an equivalent vessel under the U.S. flag for the life of a 10-year operating agreement (subject to annual appropriation), and enrolled in VISA. For fiscal year 2018, the MSP provided an annual stipend of $5 million per vessel, for a total cost of $300 million for the 60 vessels in the MSP. According to MARAD officials, the MSP was designed as a less costly replacement for the Operating Differential Subsidy that, since 1936, had subsidized the higher operating costs of the U.S.-flag fleet. According to DOT officials, the MSP currently covers approximately 80 percent of the average annual operating cost differential between U.S. and foreign-flag vessels, although this varies across vessels in the MSP.", "Cargo preference requirements\u2014In general, cargo preference requirements specify that certain percentages of all U.S. government cargo, military and otherwise, must be carried on U.S.-flag vessels, to the extent the vessels are available at reasonable rates. Current law requires that 100 percent of military cargo be transported on U.S.-flag vessels. DOD charters a small number of internationally trading U.S.-flag vessels, while contracting with other internationally trading U.S.-flag vessels to carry cargo as part of the vessel\u2019s regular operations. A minimum of 50 percent of the gross tonnage of all other government civilian cargo, such as food aid or freight sent to overseas embassies and consulates, is to be transported on privately owned commercial U.S.-flag vessels. In addition, cargoes financed by U.S. agencies, such as through loans from EXIM Bank, have been congressionally directed to be transported on U.S.-flag vessels.", "DOD and MARAD each play a role in managing the nation\u2019s sealift capacity. DOD\u2019s Transportation Command determines the vessel capacity necessary to meet national security requirements, whereas MARAD is responsible for determining whether there are enough commercial vessels and mariners available to support the activation of the government-owned reserve fleet while maintaining trade. In addition, MARAD supports the U.S.-flag fleet by administering VISA and the MSP and monitoring federal agencies\u2019 compliance with cargo preference requirements, among other responsibilities. DOD and MARAD each maintain their own set of government-owned vessels that are part of the surge sealift fleet."], "subsections": []}, {"section_title": "U.S. Government Support for the U.S.- Flag Fleet Has Helped Meet National Defense Needs but Has Had a Negative Effect on Some Non- Defense Government Programs", "paragraphs": ["U.S. government support for the internationally trading U.S.-flag fleet has helped meet national defense needs. Specifically, financial support to U.S.-flag vessels through both the MSP stipend and the cargo preference requirements has helped ensure a sufficient number of internationally trading U.S.-flag vessels are available to meet DOD\u2019s most recently stated cargo capacity needs from such vessels. In contrast, while cargo preference requirements are a means of providing government support to U.S.-flag vessels, these requirements have had a negative impact on some non-defense programs. For example, the requirement that food aid agencies send a certain percentage of food aid on U.S.-flag vessels has resulted in higher shipping costs for these agencies, and USAID and USDA officials stated that this has reduced the amount of funds the agencies can spend on their mission to reduce hunger."], "subsections": [{"section_title": "MSP and Cargo Preference Requirements Have Resulted in Sufficient U.S.-Flag Vessel Capacity to Date to Meet Defense Needs, At Acceptable Risk", "paragraphs": [], "subsections": [{"section_title": "Under the MSP, DOD and MARAD Select Vessels for Government Support That Meet the Military\u2019s Needs and Have Commercial Viability", "paragraphs": ["DOD\u2019s Transportation Command conducts periodic mobility studies that, among other things, determine the overall vessel capacity needed under differing wartime scenarios, including resource-heavy scenarios involving a range of concurrent military operations for a sustained period of time. A mobility requirements study completed in 2000 found that in addition to the cargo capacity that could be provided by government-owned or long- term chartered vessels and by vessels belonging to allies, the United States would need the capacity of approximately 55 commercial vessels designed to carry dry cargo to meet mobility requirements. The study also found a potential need for additional tankers, which are designed to carry liquid cargo. At the time, the MSP stipend was provided to 47 vessels; subsequently, through the Maritime Security Act of 2003, a new MSP was established that raised funding levels to support an increase in the program fleet to 60 vessels beginning in fiscal year 2006, to include both vessels designed to carry dry cargo and tankers.", "According to Transportation Command officials, mobility study updates in 2010 and 2013 confirmed that this capacity remained sufficient to meet defense needs. As a result, the 60 vessels currently participating in the MSP have the ability to meet DOD\u2019s stated cargo capacity needs. They include a mix of vessel types designed to carry dry cargo as well as two tankers for liquid cargo (see table 1). DOD is required by statute to complete a new study by September 30, 2018. According to Transportation Command officials, this study will evaluate the sufficiency of the sealift fleet in light of the current defense strategy, plans, threats, and DOD's mobility capabilities.", "MSP regulations establish that DOD and MARAD select vessels for the MSP based in part on their military utility. Due to different configurations and cargo capacity, some vessel types are more useful to the military than others. For example, Transportation Command officials stated that currently the most useful type of cargo vessel for DOD\u2019s military needs is the roll on/roll off (Ro-Ro) vessel, in part because it is configured so that vehicles, including tanks, can be easily driven on and off the vessel. DOD\u2019s priority for the selection of MSP vessels is Ro-Ro vessels, multi- purpose/heavy-lift vessels (also referred to as general cargo vessels), geared containerships, and all others (including tankers), in that order. According to Transportation Command officials, due to the need to balance military utility with commercial viability, a mix of vessel types with military utility is currently in the MSP, with over half of the vessels in the MSP being containerships.", "In addition to selecting vessels based on military utility, MARAD, in consultation with Transportation Command, also bases their MSP vessel selections on the commercial viability of operations. The assessment of commercial viability includes, among other things, four key areas: 1) the intermodal networks accessible to the applicant; 2) the trading routes operated by the applicant, and the ability to maintain service during military operations; 3) the applicant\u2019s record of owning and operating vessels; and 4) the applicant\u2019s financial condition.", "MARAD and Transportation Command officials cited numerous benefits to the current configuration of the MSP. First, MARAD and Transportation Command officials stated that the annual cost of the stipend is small compared to the outlay required to acquire, crew, and maintain a government-owned fleet of vessels that are not needed on a day-to-day basis. (See app. I for more information on the potential effects of discontinuing the MSP stipend and instead relying on a government- owned fleet.) Second, MSP vessels must be less than 25 years of age. According to MARAD officials, this requirement helps ensure the recapitalization of the U.S.-flag fleet participating in the program. According to our analysis of MARAD data, since the beginning of fiscal year 2006, MSP vessel operators have replaced more than 70 MSP vessels. In most cases, we found that the replacement vessels have been newer and provide greater capacity to meet DOD requirements. Finally, under the MSP\u2019s operating agreements, participating vessel operators are required to make their commercial transportation resources, including infrastructure, available upon request by the Secretary of Defense during times of war or national emergency. In this way, according to MARAD and Transportation Command officials as well as MSP vessel operators, the MSP provides DOD with assured access to a global intermodal transportation network, including logistical management services, infrastructure, and terminal facilities. According to MARAD and Transportation Command officials, without assured access to this network and infrastructure, the government would have to undertake a multi-billion dollar effort to create such a network on its own or would have to contract for such a network separately, a process that could come with additional risks and costs in a war-time scenario. A 2006 study for the National Defense Transportation Association estimated that it would cost approximately $13 billion to replicate the Ro-Ro and containership capacity of MSP vessels and $52 billion to replicate the intermodal networks provided by MSP vessel operators.", "A 2012 report by the National Defense Transportation Association provided some examples of how intermodal networks made available by MSP vessel operators have helped meet DOD needs. This report states that during military action in Afghanistan, U.S. forces depended on supplies transported overland through Pakistan. However, the limited road capacity in Pakistan resulted in delayed cargo and left drivers vulnerable to attacks. In addition, U.S.-Pakistan relations became strained, and the need for an alternative delivery method arose. The report says that MSP vessel operators devised alternative distribution systems, including an overland distribution network from Baltic seaports to Afghanistan as well as a multimodal (both sea and air transport) route from other seaports in the region. Some MSP vessel operators also told us that they were willing to participate in the MSP because, as U.S.- based companies, they felt a responsibility to contribute to national security."], "subsections": []}, {"section_title": "Vessels in the MSP Rely on the Combination of MSP Stipend and Government Cargo Shipped Under Cargo Preference Requirements to Maintain Financial Viability", "paragraphs": ["The MSP stipend provides a fixed financial incentive for vessel operators to maintain vessels under the U.S. flag, but on its own is not sufficient to support the higher costs of operating U.S.-flag vessels, according to MARAD officials and 12 of the 14 MSP vessel operators we spoke to. According to MARAD officials, the MSP currently covers about 80 percent of the operating cost differential between U.S. and foreign-flag vessels. However, a majority of MSP vessel operators we spoke with said that in order for a U.S.-flag vessel to be financially viable, the entire operating cost differential must be somehow made up. The other key way that MSP vessel operators can make up the difference in operating costs between U.S.-flag and foreign-flag vessels is through the transport of government cargo under cargo preference requirements. According to a 2015 MARAD report, the higher freight rates that DOD and other federal agencies pay to transport government cargo on U.S.-flag vessels are critical to these vessels\u2019 financial viability. According to this report, carriers of U.S.-flag vessels stated that in the absence of government cargo at freight rates that cover the higher commercial cost of operating under a U.S. flag, the financial support provided by MSP would be insufficient to continue operating under the U.S. flag. A 2011 MARAD report similarly stated that the portion of U.S.-flag vessels\u2019 higher operating costs not covered by the MSP stipend is defrayed by the ability of those vessels to carry government cargo at rates that are significantly higher than commercial rates.", "Under cargo preference requirements, the use of U.S.-flag commercial vessels is required to the extent that such vessels are available at rates that are fair and reasonable, as determined by MARAD and the Transportation Command. According to Transportation Command guidance, even though lower prices may be available from foreign-flag carriers, a lower price for use of a foreign-flag vessel is not a sufficient basis, on its own, to determine the ocean freight rate proposed by a U.S.- flag vessel operator is excessive or otherwise unreasonable. Similarly, by regulation, MARAD\u2019s determination of U.S.-flag vessels\u2019 fair and reasonable rates takes into account the vessels\u2019 operating costs, among other things, which as described previously are higher than foreign-flag vessels\u2019 operating costs.", "Our analysis of DOD and MARAD data show that in total, more than 1.4- million metric tons of government cargo were shipped on MSP vessels in fiscal year 2016. Fifty-nine of the 60 MSP vessels carried government cargo in fiscal year 2016. One MSP vessel (a general cargo vessel) entered the MSP at the end of the fiscal year but did not carry any government cargo until the next fiscal year. As shown in figure 3, the MSP Ro-Ro and containership vessels carried more cargo for DOD than for civilian agencies. MSP general cargo vessels predominantly carried food aid, and during this time, tankers were used only by civilian agencies for foreign military assistance.", "Our analysis also found that the extent to which government cargo shipped on U.S.-flag vessels was transported on MSP vessels varied. For example, 69 percent of the cargo DOD shipped on U.S.-flag vessels was transported on an MSP vessel; 99 percent of non-food aid cargo that civilian agencies shipped via U.S.-flag vessels was transported on an MSP vessel; and 24 percent of food aid shipped on U.S.-flag vessels was transported on MSP vessels. The rest of the government cargo shipped on U.S.-flag vessels was shipped on vessels that are not in the MSP.", "Most of the MSP vessel operators we spoke to said that in addition to government cargo, their MSP vessels also carry commercial cargo. These vessel operators told us that because they have to compete for commercial cargo with foreign-flag vessels that have lower operating costs, commercial cargo alone typically does not have high-enough rates to maintain the financial viability of U.S.-flag vessels. However, when added to the MSP stipend and government cargo rates, the rates they receive for commercial cargo are part of the overall financial picture that allows them to operate MSP vessels under the U.S. flag (see fig. 4)."], "subsections": []}]}, {"section_title": "Cargo Preference Requirements Have Had a Negative Effect on Some Non-Defense Agency Programs", "paragraphs": ["Officials at USAID and the EXIM Bank have raised concerns that the higher shipping costs that result from cargo preference requirements have had a negative effect on their missions. For example:", "According to officials at USAID\u2019s Office of Food for Peace, the additional costs the agency incurs by using U.S.-flag vessels instead of foreign-flag vessels for its cargo directly reduces its budget to fulfill its mission of reducing hunger and malnutrition. For example, USAID officials stated that for each $40-million increase in shipping costs, its food aid reaches one-million fewer recipients each year. Concerns about the role of cargo preference requirements for food aid in supporting the U.S.-flag fleet are longstanding, and we reported on them in 1994, 2011, and 2015. Others have also reported on these concerns over the last few decades.", "According to USAID officials, due to cargo preference requirements and the limited availability of U.S.-flag bulk carriers, the agency has at times had to send bulk food, such as grain, on other types of U.S.-flag vessels that are not meant to carry this type of cargo. According to these officials, this process has resulted in additional costs and delays because the equipment used to load and unload bulk grains onto and off of a bulk cargo vessel cannot be used with other types of vessels, as wells as concerns about the appearance and health of bulk food being transported, for example, on vessels that typically carry oil or other fuels.", "Officials from the EXIM Bank said that U.S. shipping provisions may have put EXIM bank at a competitive disadvantage compared with other countries\u2019 export credit agencies, thus having a negative impact on the Bank\u2019s mission\u2014which is to support American jobs by facilitating the export of U.S. goods and services. Cargoes financed through loans from EXIM Bank have been congressionally directed to be transported on U.S.-flag vessels. According to a 2014 survey of exporters and lenders conducted by EXIM Bank, arranging U.S. transport typically results in higher costs and can result in shipment delays. These exporters and lenders reported that the requirement to ship on U.S.-flag vessels placed them at a competitive disadvantage relative to other countries\u2019 exporters\u2014and may have resulted in potential clients choosing to import goods from other countries without the same requirements. According to our prior work and EXIM\u2019s 2016 Competitiveness Report, export credit agencies in many other countries do not have such a requirement.", "Furthermore, food aid advocates have questioned the economic efficiency of using food aid shipments to financially support the U.S.-flag fleet for defense purposes, particularly in light of the increased costs to food aid agencies. These advocates have argued that it is inefficient to spend U.S. government funds to support U.S.-flag vessels generally considered to have little military utility\u2014such as bulk carriers\u2014primarily for the U.S.-citizen mariners they provide. According to our analysis of MARAD data, during fiscal year 2016, food aid agencies shipped 592,000 metric tons of cargo on U.S.-flag dry bulk carriers, providing substantial government support to a vessel type that Transportation Command officials have stated is not a priority for the military\u2019s cargo needs and that Transportation Command and MARAD officials acknowledge has only limited military utility. Based on our analysis of data provided by DOD, during fiscal year 2016, DOD did not ship any cargo on dry bulk vessels. In contrast, based on our review of data provided by MARAD, in fiscal year 2016, 57 percent of food aid transported on U.S.-flag vessels was transported on vessels flagged by MARAD as having limited military utility. In contrast to the food aid advocates\u2019 perspective, Transportation Command and MARAD officials stated that ensuring sufficient mariners for defense purposes is one key purpose of supporting the U.S.-flag fleet, regardless of the military utility of the vessel.", "The total additional cost the government incurred due to cargo preference requirements is not known, as neither Transportation Command nor MARAD track the additional costs to ship on U.S.-flag vessels. Transportation Command and MARAD officials both stated that their current processes are not designed to track the difference between what federal agencies are paying to ship government cargo on U.S.-flag vessels and what they would pay to ship the same cargo on foreign-flag vessels, and that it would require considerable time and expense for them to create processes to do this. Moreover, Transportation Command officials stated that there would be little value in tracking this information, since their focus is on complying with the requirement to transport DOD cargo on U.S.-flag vessels whenever possible. Our past work on this issue has shown that cargo preference laws have increased transportation costs to federal agencies. For example, in 1994 we reported that these costs increased by $578 million per year between fiscal years 1989 and 1993, with DOD estimating that it spent about $350 million of that amount in increased costs. More recently, in 2015, we found that cargo preference requirements for food aid increased the cost of shipping food aid by 23 percent, or $107 million, for the period from April 2011 through fiscal year 2014.", "MARAD and Transportation Command officials acknowledged that some agencies have raised concerns that cargo preference requirements may have adverse impacts on their programs. According to MARAD officials, while there is not overall agreement on the net benefit to the nation of cargo preference requirements, such requirements provide offsetting benefits to the U.S. maritime sector that are difficult to quantify in dollar terms. A Transportation Command official stated that cargo preference for food aid has been less beneficial in supporting U.S.-flag vessels than it once was because of recent decreases in food aid volumes. However, this official emphasized that cargo preference for food aid continues to provide value as a tool to help support the U.S.-flag vessels that provide mariners to meet DOD\u2019s needs."], "subsections": []}]}, {"section_title": "Stakeholders Identified Two Primary Sustainability Challenges the Internationally Trading U.S.-Flag Fleet Faces in Meeting National Defense Needs", "paragraphs": ["Stakeholders we spoke with identified two primary challenges to ensuring that the U.S.-flag fleet would continue to meet DOD\u2019s national defense needs. First, stakeholders described maintaining the financial viability of U.S.-flag vessels participating in MSP as a challenge. Second, stakeholders identified a potential shortage of U.S. citizen mariners available to crew the government-owned reserve fleet during a military activation as a challenge, in part due to the declining numbers of U.S.-flag vessels."], "subsections": [{"section_title": "According to Stakeholders, Maintaining the Financial Viability of Vessels Participating in the MSP Is a Challenge due to Increasing Costs and Decreasing Levels of Government Cargo", "paragraphs": ["According to MARAD officials, the relative cost of operating a U.S.-flag vessel compared to a foreign-flag vessel has increased in recent years, making it increasingly challenging for vessel operators to remain economically viable under the U.S. flag. While an increasing cost differential between U.S.-flag and foreign-flag vessels affects all U.S. flag vessels, MARAD officials raised particular concerns related to defense needs about maintaining the financial viability of vessels in the MSP. MARAD estimates this operating cost differential is currently between $6.2 million and $6.5 million per vessel per year, up from an estimated $4.9 million in 2009 and 2010\u2014an increase of more than 25 percent. MARAD and MSP vessel operators we spoke with stated that the increase is due to a range of factors, primarily the rising relative costs of employing U.S. mariners as crew versus foreign crew members. For example, one MSP vessel operator indicated that labor costs for its U.S.- flag vessels are projected to increase approximately 4 percent per year compared to smaller increases in its foreign-flag crew costs.", "Representatives from maritime unions that we interviewed acknowledged that labor costs have risen and also noted that one factor contributing to higher labor costs in the United States is that operators are required to cover retirement benefits for employees. These representatives stated that such benefits are paid by the government in some other countries. In addition to labor costs, MSP vessel operators also mentioned that increasing insurance and maintenance and repair costs are also factors.", "At the same time, total government cargo volumes have fallen, compounding the challenge for vessel operators to remain viable under the U.S. flag. Figure 5 below shows the decline in total government cargo volumes between 2004 and 2014 for DOD, food aid, and other civilian agencies. According to a 2015 MARAD report on the effect of declining cargo preference volumes, vessel operators that reflagged vessels from the U.S. flag to a foreign flag, or retired vessels in recent years said that the primary reason for doing so was the loss of government cargo. However, it is not known exactly how many vessels have been reflagged, and the 2015 MARAD report stated it could not quantify the number of vessels that left the U.S. flag specifically for this reason. One vessel operator we spoke with stated that it removed five vessels from the U.S.- flag registry due to a decline in food aid shipments and an increase in the cost of operating under the U.S flag. According to MARAD officials, if government cargo volumes continue to decline in future years, the resulting decline in revenue to U.S.-flag vessels for shipping these goods may lead to further reductions in the number of U.S.-flag vessels and may also affect the financial viability of those vessels in the MSP.", "According to the 2015 MARAD report, the decrease in total government cargo volumes has been driven by two trends.", "First, the international military presence of the United States has decreased overseas. DOD, which generates 75 percent of preference cargo, has gone through a worldwide drawdown following the end of the cold war in the 1990s, notwithstanding brief upticks in volume during military escalations since that time.", "Second, due to reduced funding, fluctuating commodity prices, and other factors, food aid agencies, such as USDA and USAID, have shipped reduced volumes of food aid overseas.", "Further affecting the amount of food aid cargo on U.S.-flag vessels were changes to the cargo preference requirement and the elimination of reimbursements designed to help cover the extra cost of meeting the preference requirement. The Cargo Preference Act of 1954, as amended, requires that at least 50 percent of all U.S. government cargo be shipped on U.S.-flag commercial vessels. For food aid programs, an additional 25 percent of the tonnage of certain agricultural commodities was required beginning in 1988. This increase was repealed in 2012, and the cargo preference requirement for food aid effectively returned to 50 percent. In prior work, we found that although the reduction in the food aid cargo preference requirement reduced overall shipping costs for food aid, food aid agencies still paid a higher price to ship on U.S.-flag vessels than on foreign-flag vessels to meet cargo preference requirements. Further, in 2012 and 2013, government reimbursements to USAID and USDA to help cover the extra costs to meet cargo preference requirements were discontinued. As we reported in 2015, this change in reimbursement policy reduced the amount of food aid these agencies were able to provide.", "In 2015, to ensure the continued financial viability of vessels in the MSP, maritime unions advocated for and eventually received an MSP stipend increase. According to MARAD data, at the time, several companies with vessels in the MSP were in financial trouble, and all but three of the companies participating in the MSP would have been operating at a loss without the MSP stipend. Congress authorized the appropriation of a 42 percent increase in the MSP appropriation from fiscal year 2016 to fiscal year 2017\u2014from $210 million to $299 million. The corresponding authorized stipend rose from $3.5 million to $4.99 million per vessel annually. The appropriation for fiscal year 2018 further increased this amount to $5 million, and an additional increase to about $5.23 million is authorized for fiscal year 2021. Figure 6 shows the authorized annual stipend for MSP vessels from fiscal year 1996 through fiscal year 2021.", "According to MARAD officials, the recent increase in the MSP stipend to the current level of $5 million in fiscal year 2018 has temporarily stabilized the financial situation of MSP vessel operators. However, concerns remain about the future of the U.S.-flag fleet. According to MARAD officials and commercial vessel operators we spoke with, if the cost differential between operating U.S.-flag and foreign-flag vessels continues to increase, the levels of government support would accordingly need to rise to ensure that vessel operators would be willing and able to keep the existing U.S.-flag vessels under the U.S. flag, including those in the MSP. In 2015, MARAD issued a statutorily-mandated report that concluded that without a comprehensive change to maritime policy, the size of the U.S.- flag fleet would continue to decline. However, in this report, MARAD did not propose specific changes or options to address this concern."], "subsections": []}, {"section_title": "MARAD and Stakeholders Identified a Potential Shortage of U.S.-Citizen Mariners as a Challenge to Meeting National Defense Needs", "paragraphs": ["According to MARAD and DOD officials, another challenge related to the ability of the U.S.-flag fleet to meet national defense needs is a potential shortage of U.S.-citizen mariners qualified to crew government-owned reserve vessels. While in terms of cargo capacity, the current number of U.S.-flag commercial vessels in international trade is sufficient to meet DOD\u2019s stated needs, MARAD and DOD have raised concerns that the declining number of such U.S.-flag vessels has led to a corresponding decline in the number of U.S.-citizen mariners qualified to crew these types of vessels and who are also able to crew government-owned reserve vessels that are usually held in reduced operating status.", "On January 23, 2018, MARAD\u2019s Maritime Workforce Working Group issued a statutorily-mandated report that found that the current number of U.S.-citizen mariners is insufficient to support sustained activation of the government-owned reserve fleet for military operations. Specifically, the report estimated approximately 11,768 qualified and available U.S.-citizen mariners as of June 2017\u20141,839 less than the 13,607 mariners the working group estimates would be needed for sustained operation of the reserve and commercial fleet.", "The working group based its identification of 11,768 existing qualified U.S.-citizen mariners on the number of U.S.-citizen mariners actively sailing on U.S.-flag commercial and government-owned ocean-going vessels. For the vessels in full operating status, the working group accounted for 2 mariners employed for each crew position. The double crew, which according to MARAD officials is typical for a commercial U.S.-flag vessel operating in international trade, allows each mariner, over the course of a year, to work for 6 months on the vessel and take 6 months of earned leave. According to MARAD officials, this typical double crew configuration is based on the fact that while on duty, mariners work long hours with little to no opportunity to leave the vessel. The working group assumed that during a military activation, commercial operations would continue at the same level as during peacetime\u2014but that some U.S-citizen mariners currently working on commercial vessels would be willing to reduce the amount of earned leave they took in order to work on government-owned reserve vessels. The working group analyzed this scenario by changing the ratio of crew positions to crew from 2 (in which case half of the employed mariners are working on the vessel and half are on earned leave at any one time) to 1.75. As illustrated in figure 7, under this scenario, with an average of 26 crew positions per vessel, between 6 and 7 mariners per existing commercial oceangoing U.S.-flag vessel are made available to crew the reserve fleet.", "According to the working group\u2019s methodology, given the size of the current U.S. flag oceangoing fleet and the number of currently employed mariners on this fleet, there are enough U.S.-citizen mariners to crew the reserve fleet during an initial surge, but not for a sustained activation, during which the working group estimated that the reserve vessels themselves would need a double crew to allow for crew rotations. This need for crew rotations on the reserve vessels led the working group to the estimate a shortage of 1,839 U.S.-citizen mariners. Moreover, the working group\u2019s report found that the shortage of mariners may be understated if some of the estimated available mariners are unable or unwilling to continue sailing during times of national emergency, as available mariners are not required to crew the reserve fleet.", "Although the working group concluded that there is a shortage of mariners for sustained operations, its report also details data limitations that cause some uncertainty regarding the actual number of existing qualified mariners and, thus, the extent of this shortage. The working group\u2019s approach\u2014driven, in part, by limitations of the U.S. Coast Guard\u2019s database that tracks mariner credentials\u2014did not count any qualified mariners who are no longer employed on U.S.-flag oceangoing vessels or who are employed on other types of vessels but may have the required credentials. In fact, according to the working group\u2019s analysis, over 15,000 mariners listed in the U.S. Coast Guard\u2019s database have unlimited credentials but are unaccounted for, as they are neither currently employed on large, oceangoing vessels nor serving as civil- service mariners committed to government-owned vessels. The working group stated that the availability and continuing proficiency of these mariners remains unknown. These data limitations, which the working group was unable to resolve, are long standing. For example, in August 2015, we reported that the number of U.S. civilian mariners who would be qualified and available to serve during a prolonged defense activation was uncertain. We found that MARAD\u2019s analysis of the sufficiency of the mariner pool could have included more qualified mariners using different assumptions, and we recommended that MARAD study this issue.", "MARAD was later mandated by statute to convene a working group to study the sufficiency of the U.S.-citizen mariner pool. MARAD officials emphasized to us, however, that mariners who have not worked on the right types of vessels for more than 18 months are likely to need additional training before they would be qualified to crew the reserve fleet during a military activation.", "The working group\u2019s report contains several recommendations related to improving information on the number of available and willing mariners. These recommendations include that the Coast Guard database should be replaced with one that would enable a more accurate account of available mariners, and that a periodic survey of the U.S.-citizen mariner pool should be established to allow MARAD to determine, with reasonable certainty, how many qualified mariners would be available and willing to sail in U.S. government reserve vessels if called upon to do so. The report concluded that until these agencies improve the tracking of licensed mariners who may be available to crew the government-owned reserve vessels when activated into full operating status, the extent to which there is a shortage of mariners for defense needs will remain unclear. The lack of information on the extent to which there is a shortage of mariners limits the U.S. government\u2019s ability to effectively plan for such needs. In January 2018, MARAD\u2019s administrator testified that MARAD is working with the Coast Guard and the maritime industry to better track licensed mariners who may no longer be sailing but could serve in a time of crisis, and in March 2018, MARAD officials told us they are taking steps to initiate a new survey of mariners, as recommended in the Mariner Workforce Working Group\u2019s report."], "subsections": []}]}, {"section_title": "DOT Has Not Finalized Mandated National Strategies but Has Identified Various Options to Address Challenges to Sustaining U.S.- Flag Fleet for Defense Needs", "paragraphs": ["Congress issued two separate mandates to DOT to develop strategies related to challenges facing the U.S.-flag fleet, specifically:", "The Secretary of Transportation was directed in 2014 to develop a national maritime strategy with recommendations, among other things, to increase U.S.-flag vessel competitiveness.", "The Secretary of Transportation and MARAD were directed in 2014 to develop, in collaboration with DOD, a national sealift strategy to ensure the long-term viability of the U.S. Merchant Marine (which encompasses U.S.-flag vessels and U.S.-citizen mariners).", "According to MARAD and DOD officials, MARAD has been working on a single draft maritime strategy to meet both mandates, since from their perspective, the national maritime strategy would need to encompass the national sealift strategy, as well.", "While there was no statutory deadline for the completion of the national sealift strategy, there was a statutory deadline of February 2015 for the national maritime strategy to be submitted to Congress. However, DOT had not finalized the national maritime strategy as of May 2018. According to MARAD officials, MARAD completed a draft strategy in 2016, which was approved by DOT and reviewed by the Office of Management and Budget (OMB) and 28 additional agencies identified as being stakeholders, including DOD. MARAD officials told us that while MARAD had reached initial concurrence with these other agencies, the strategy is now subject to the new administration\u2019s review. MARAD and DOT officials told us that they now view the existing draft strategy as pre- decisional and emphasized that no decisions have yet been made about the extent to which it must be revised before being sent out for a new round of review by the stakeholder agencies. DOT officials provided no timeline to us as to when they expect the strategy to move forward, stating that it was not yet clear how long DOT would be reconsidering and potentially revising the strategy before moving it forward again. Similarly, no time frames have been provided to Congress. The delay in submitting this strategy to Congress means that decision-makers do not have information and recommendations from the agency to inform policy- making in this area. Moreover, it further delays a response to a specific statutory requirement that DOT make recommendations related to U.S.- flag vessel competitiveness and develop a strategy to ensure the long- term viability of U.S.-flag vessels and U.S.-citizen mariners.", "While DOT has been delayed in issuing the national strategy, MARAD has in other agency reports or through discussions with stakeholders identified some options to address the competitiveness of U.S.-flag vessels and the long-term viability of the U.S. Merchant Marine\u2014issues that are very similar to the key challenges identified by stakeholders with whom we spoke. However, DOT and MARAD officials stated that they are not yet ready to address the feasibility of these options. For example, MARAD has identified the following options as having potential to reduce the costs of operating a U.S.-flag vessel\u2014which would in turn increase U.S.-flag vessels\u2019 competitiveness:", "MARAD is part of a U.S. Registry Working Group that was established in response to a 2016 report and is looking at actions to decrease the time and cost of bringing vessels under the U.S. flag, including the cost of meeting Coast Guard requirements. This working group is considering actions, such as applying internationally recognized vessel standards to U.S.-flag vessels to meet Coast Guard requirements, among others.", "In the current strategic plan for 2017 through 2021, MARAD identified two areas of reform\u2014mariner income-tax relief and liability insurance reform\u2014that could reduce the crew costs of operating under a U.S. flag.", "MARAD officials stated that stakeholders have recommended that MARAD consider whether a tax on U.S.-flag vessels receiving maintenance overseas should be eliminated in order to reduce maintenance costs for U.S.-flag vessels. In general, maintenance and repairs on U.S.-flag vessels not conducted at U.S. shipyards are subject to a statutory 50 percent ad valorem tax on the cost of maintenance performed overseas. According to 12 of the 14 MSP vessel operators we spoke with, U.S. shipyards are typically more expensive than foreign shipyards or may not be close to the vessel\u2019s location or route, so they typically choose to pay the tax and have the maintenance performed overseas. Four MSP vessel operators stated that they send U.S.-flag vessels to U.S. shipyards for maintenance when it makes sense from a logistical and financial perspective. MARAD officials stated they are considering the effect of eliminating the tax, a step that would reduce costs for vessel operators but would potentially negatively affect the financial viability of U.S. shipyards, which the law was designed to assist. However, MARAD officials stated that they have not yet evaluated these trade-offs.", "MARAD and Transportation Command officials have also identified\u2014but not officially proposed\u2014several options to increase the volume of government cargo carried on U.S.-flag vessels, which was identified by stakeholders we spoke with as a cause of the challenge of sustaining the financial viability of MSP vessels. For example, Transportation Command officials told us that they consider access to cargo to be a critical means of sustaining U.S.-flag vessels.", "Transportation Command and MARAD officials stated that one way to increase the amount of commercial cargo on U.S.-flag vessels would be to require that certain energy export commodities, such as oil or liquefied natural gas, be carried on U.S.-flag vessels. While this option has been considered in the past, it would require new legislation and would have potential trade-offs. For example, in 2015, we analyzed the potential effects of a requirement that U.S. liquefied natural gas exports be carried on U.S.-built and flagged vessels. We found that such a requirement could potentially increase the number of U.S.-flag vessels by 100, but, due to their higher operating costs, could also increase the cost of transporting liquefied natural gas from the United States, decrease the competitiveness of U.S. liquefied natural gas in the world market, and in turn, reduce demand for U.S. liquefied natural gas. MARAD officials stated that another option would be increasing the percentage of cargo, such as food aid, that civilian agencies are required to transport on U.S.-flag vessels. This would also require an amendment to existing legislation and would also have trade-offs since as described previously, cargo preference requirements can negatively affect the missions of civilian agencies.", "Another option stated by MARAD officials to address declining government cargo volumes would be to increase the MSP stipend to replace some of the government support previously provided through cargo preference programs. This option was previously used to address the recent reduction in government cargo, as described previously in this report.", "MARAD, through its 2017 Mariner Workforce Working Group report, also identified options to address the challenge of ensuring a sufficient number of U.S.-citizen mariners for defense needs. This challenge was identified by stakeholders we spoke with and by the sealift strategy mandate\u2019s call for DOT to ensure the long-term viability of the U.S. Merchant Marine, which includes U.S.-citizen mariners. The Mariner Workforce Working Group report identified two actions that could help increase the number of U.S.-citizen mariners. However, the working group\u2019s report did not discuss specific costs or trade-offs related to either action or elaborate any further on them. The identified actions were as follows:", "MARAD should develop a broad-based reserve program that would identify and support qualified mariners willing to sail in commercial and government-owned vessels during an emergency. MARAD would provide limited financial assistance in training mariners and maintaining credentials, in turn for which mariners who participate would be obligated to sail in the event of a defense need.", "MARAD and other U.S. government agencies should support a healthy merchant marine (which encompasses U.S.-flag vessels and U.S.-citizen mariners). The government should fully support programs including MSP, cargo preference requirements, the Jones Act, and government chartering of privately owned vessels. When DOD determines that national needs require more mariners and vessels than can be provided through current programs, those programs should be expanded to meet such needs.", "MARAD and DOT officials stated that they are not yet ready to propose actions to address any of these issues. According to these officials, they have not yet developed cost estimates or analyzed the trade-offs of various alternatives to increasing U.S.-flag vessels\u2019 competitiveness or otherwise supporting the financial viability of the U.S.-flag fleet or ensuring sufficient U.S. citizen mariners for defense purposes. The officials stated that they are therefore not ready to recommend which of the identified options, if any, should be pursued, either as recommendations in the national maritime strategy or elsewhere."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["To date, U.S. government support for commercial sealift has helped meet national defense needs, but recent increases in the cost differential of U.S.-flag vessels versus foreign-flag vessels and decreases in the volumes of government cargo have made it more challenging to ensure the financial viability of U.S.-flag vessels. Moreover, with a smaller number of U.S. flag vessels in international trade than in previous years, DOD and MARAD have raised concerns about the sufficiency of the pool of U.S. citizen mariners the United States can count on to crew government-owned reserve vessels activated for national defense needs. Congress mandated in 2014 that DOT issue strategies to address these challenges. MARAD has been working on a national maritime strategy to address both mandates. However, over 3 years after a congressionally mandated issuance date of February 2015, DOT has not published this strategy or made any recommendations to increase U.S.-flag vessels\u2019 competitiveness or to ensure the long-term viability of the U.S.-flag fleet and U.S. citizen mariners. DOT has also not developed a timeline for when it will complete and provide this strategy to Congress. The continued lack of such a strategy limits decision-makers\u2019 ability to make policy choices related to these challenges in a comprehensive way that considers the complex issues related to the long-time government support for the U.S.-flag fleet."], "subsections": []}, {"section_title": "Recommendation for Executive Action:", "paragraphs": ["The Secretary of the Department of Transportation should complete the national maritime strategy and establish and provide to Congress a timeline by which the strategy document will be issued. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT, DOD, USDA, USAID, EXIM Bank, the Department of Energy, and the State Department for review and comment. DOT provided written comments, which are reprinted in appendix II, and technical comments, which we incorporated as appropriate. DOT agreed with our recommendation that DOT should complete the national maritime strategy and provide a timeline to Congress by which the document will be issued. USAID provided written comments, which are reprinted in appendix III. DOD and EXIM Bank provided technical comments, which we incorporated as appropriate. USDA, the Department of Energy, and the State Department informed us that they had no comments.", "We are sending copies of this report to the Secretary of Transportation, the Secretary of Defense, the Secretary of State, the Secretary of Energy, the Secretary of Agriculture, the Administrator of USAID, and the Chairman of EXIM Bank, as well as appropriate congressional committees and other interested parties. In addition this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-2834 or vonaha@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Alternatives and Potential Modifications to the Maritime Security Program", "paragraphs": ["In addition to the potential modifications to the Maritime Security Program (MSP) that we described in the report, we examined two alternatives to the MSP that we identified by conducting a literature search on the program and reviewing a 2009 study of the MSP. We also interviewed stakeholders about these two alternatives. These two alternatives were for the government to purchase its own vessel fleet to meet defense requirements or for DOD to charter or contract for vessels in times of need. However, these options do not present clear cost savings or would reduce the government\u2019s ability to meet national defense goals, according to stakeholders we interviewed and the 2009 study. We also identified additional options beyond those described in the report to modify the MSP while maintaining the annual stipend by reviewing prior GAO work and interviewing the same stakeholders on ways to improve the MSP. These modifications included implementing a competitive-bidding process to select participants and varying payments to MSP vessel operators based on the vessel\u2019s type and military usefulness, among others. Cost savings to the government associated with these modifications are likely to be small to nonexistent, according to MARAD officials, and maritime stakeholders had differing views on whether these modifications would improve the program. Tables 2 and 3 below show the potential effects, as identified by stakeholders, that each of the alternatives and modifications to the MSP would have on costs, mission, and other areas."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Alwynne Wilbur (Assistant Director), Stephanie Purcell (Analyst in Charge), Amy Abramowitz, David Ballard, Geoff Hamilton, Bonnie Ho, Christopher Jones, Josh Ormond, Amy Rosewarne, and Kelly Rubin made key contributions to this report."], "subsections": []}]}], "fastfact": ["In a crisis, the government relies on oceangoing U.S.-flag ships and U.S.-citizen crews to help the military. To ensure their availability, the government provides stipends and requires certain government cargoes to be shipped on U.S.-flag ships.", "Despite these efforts, there are challenges:", "In recent years, U.S.-flag ships have become more expensive to run and the government has shipped less cargo\u2014making it harder for carriers to stay in business.", "There may not be enough U.S.-citizen sailors to meet defense needs.", "In 2014, Congress required the Department of Transportation to develop a U.S. maritime strategy, which we recommended completing."]} {"id": "GAO-18-8", "url": "https://www.gao.gov/products/GAO-18-8", "title": "U.S. Marshals Service: Additional Actions Needed to Improve Oversight of Merit Promotion Process and Address Employee Perceptions of Favoritism", "published_date": "2017-10-17T00:00:00", "released_date": "2017-10-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["USMS mission areas include fugitive apprehension, witness protection, and federal prisoner transportation, among others. USMS whistleblowers recently alleged that USMS officials engaged in improper promotion practices\u2014such as routinely preselecting favored candidates. Investigations have substantiated multiple whistleblower allegations which has raised questions about the integrity of USMS's merit promotion process. USMS announces about 260 law enforcement promotion opportunities annually.", "GAO was asked to review USMS's promotion processes and policies and effects that USMS promotion practices have on employee morale. This report examines (1) the extent to which the USMS's merit promotion policies are aligned with federal guidelines; (2) the extent to which USMS monitors its merit promotion processes; and (3) the steps, if any, USMS has taken to understand and address employee concerns about its merit promotion policies and processes. GAO analyzed data and documents on USMS promotions from October 2015 through April 2017, and found these data to be sufficiently reliable for the purposes of GAO's study. GAO also analyzed USMS documentation, and interviewed USMS officials and non-generalizable groups of employees (85 in total) in four district locations."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Marshals Service's (USMS) merit promotion policy aligns with relevant provisions in title 5 of the United States Code and Code of Federal Regulations, which are the government-wide laws and related provisions agencies must follow to make federal appointments. Agencies must design and administer merit promotion programs to ensure a systematic means of selection for promotion based on merit and these programs must conform to five key requirements outlined in title 5. GAO found that the USMS merit promotion plan, as revised in November 2016, aligned with each of these five requirements. For example, the first requirement states that agencies must establish merit-based procedures for promoting employees that are available in writing to candidates. The USMS merit promotion plan, which is available to employees, outlines such procedures.", "USMS is taking steps to improve how it monitors the implementation of the scoring component of its process to rate promotion applications, but lacks documented guidance to ensure consistent compliance with its merit promotion policy. GAO found that USMS does not adequately monitor the rating process, which allowed for conflicts of interest with raters who may compete with candidates whose applications they score. USMS also does not monitor the rating process to ensure that raters complied with a key requirement\u2014that raters decline to score applications of candidates with whom there is a conflict of interest, such as a supervisor-employee relationship. USMS is implementing a process change that, if implemented effectively, can address these two deficiencies. The new process entails having a third-party contractor, rather than USMS employees, determine candidates' scores. Finally, GAO found that USMS lacks documented guidance on rater scoring. USMS only provides verbal guidance to instruct raters on how to score the experience category of merit promotion packages, creating inconsistent application of the guidelines. Employees GAO met with expressed the view that such discrepancies create the perception that the rating process is unfairly subjective. Developing clear and specific documented guidance on how raters should apply the benchmark guidelines could minimize scoring inconsistency and potential rater subjectivity for both the current rating process and the new competency-based assessment.", "USMS has taken limited steps to understand and address employee concerns about the promotion process. An estimated 41 percent of USMS respondents to the 2016 Office of Personnel Management Federal Employee Viewpoint Survey strongly disagreed or disagreed that USMS promotions are merit-based, while 34 percent strongly agreed or agreed, and 25 percent neither agreed nor disagreed. During discussion groups GAO held at four USMS district locations across the U.S., employees frequently expressed negative views and many indicated low or no trust that the process is fair and merit-based. Although USMS has acknowledged employees' negative perceptions of the promotion process, it has not developed an agency-wide action plan in accordance with federal guidance to better understand the nature and causes of employee concerns across districts and divisions. Providing specific and consistent information to employees about key steps in the merit promotion process and internal management decisions could improve transparency and help mitigate employee perceptions of favoritism that have negatively impacted employee morale."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that USMS develop specific rater guidance and develop and implement an agency-wide action plan to better understand and address employee concerns, among other steps. USMS concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Between February 2015 and November 2016 more than 85 United States Marshals Service (USMS) employees made allegations that USMS officials engaged in improper promotion practices\u2014such as routinely pre- selecting favored candidates and offering detail assignments to certain individuals based on non-merit factors\u2014among others. In recent years, several internal and external investigations have substantiated several allegations. Specifically, investigations in 2014 and 2015 found evidence of nepotism and employee misconduct.", "In January 2016, the Department of Justice (DOJ) Justice Management Division (JMD) completed a review of USMS hiring and promotion policies and procedures and found several deficiencies. JMD made recommendations to bring USMS into compliance with applicable statutes, regulations, and policies. For example, based on this review USMS revised its scoring process to remove points awarded to candidates for service in an acting (temporary promotion) capacity. Furthermore, in November 2016, a Senate Judiciary Committee report on improper hiring practices and whistleblower reprisal noted that USMS had begun implementing changes in response to the January 2016 JMD review, such as incorporating and elaborating on restrictions against nepotism. However, the Committee report also determined that USMS lacked protections for whistleblowers and could improve employee engagement to promote a stronger merit-based culture.", "In light of ongoing Congressional questions, you asked us to assess the extent to which USMS\u2019s promotion processes and policies ensure the selection of candidates based on merit as well as any effects that USMS promotion practices may have on employee morale. This report addresses the following objectives: 1. To what extent are the USMS\u2019s merit promotion policies aligned with federal guidelines? 2. To what extent does the USMS monitor its merit promotion processes? 3. What steps, if any, has the USMS taken to understand and address employee concerns about its merit promotion policies and processes?", "To address these objectives, we analyzed relevant USMS documentation and data. In determining whether the USMS merit promotion policies are aligned with federal guidelines, we reviewed relevant provisions in title 5 of the United States Code and the Code of Federal Regulations and compared these with certain provisions in the USMS Merit Promotion Plan. Specifically, we examined the extent to which the USMS Merit Promotion Plan conformed to the five general requirements outlined in title 5 of the Code of Federal Regulations that agencies must incorporate in merit promotion programs to ensure a systematic means of selection.", "In determining the extent to which USMS monitors its merit promotion processes, we examined documentation on merit promotion procedures and practices, including documentation on the merit promotion rating process. To examine USMS compliance with key aspects of this plan, such as candidate rating and selection, we analyzed merit promotion documentation, including all lists containing competitive candidate scores for fiscal years 2015 and 2016.", "We examined the extent to which USMS complied with federal regulations on temporary promotions by analyzing the records for all 844 noncompetitive, not-to-exceed 120-day temporary promotion selection records from October 2015 through February 2017. We reviewed USMS compliance with temporary promotion regulations because whistleblowers alleged that candidates who received temporary promotions may have received unfair advantages for permanent promotion. We assessed the reliability of the temporary promotions data we used by reviewing the data for missing elements, outliers, and obvious errors, and interviewing officials about data errors and applicable quality control procedures to ensure the accuracy and integrity of the data. Although we found some inconsistencies, such as incorrect documentation of legal citations and some missing data elements, we determined these data were sufficiently reliable for identifying the extent to which non-competitive temporary promotions exceeded the regulatory limit of 120 days.", "We evaluated USMS internal control activities against Standards for Internal Control in the Federal Government to determine the extent to which USMS has developed internal control mechanisms to monitor the implementation of key steps in the merit promotion process. We reviewed all job vacancy announcements for fiscal years 2015, 2016, and part of fiscal year 2017 (October 2016 through April 2017) to determine the extent to which USMS has documented steps in accordance with Office of Personnel Management (OPM) requirements.", "To identify areas of concern raised by employees, we reviewed USMS Federal Employee Viewpoint Survey data for fiscal years 2015 and 2016. We also interviewed USMS officials and federal human capital experts in OPM and the Merit Systems Protection Board (MSPB) for their perspectives on the extent to which USMS implemented key steps in its merit promotion process in accordance with federal guidelines and merit principles. In addition, we met with four whistleblowers and employees who contacted us anonymously to provide their perspectives on these issues. Because of the sensitivity of whistleblowers\u2019 identities, we are not identifying their locations.", "We also interviewed employees in four district locations for their perspectives on how USMS implemented key steps in its merit promotion process and efforts to understand and address employee concerns about the merit promotion process. The four district locations were Chicago, Los Angeles, San Diego, and Washington, D.C. We selected these sites based on a range of geographic locations and a medium-to-large district size to obtain a wide representation of employees and maximize the pool of employees available to meet with us. At each location, we interviewed the U.S. Marshal and Chief Deputy U.S. Marshal, and conducted separate discussion groups with GS-14, GS-13, and GS-12 level law enforcement employees. For the discussion groups, we used a structured interview questionnaire, which focused on implementation of USMS merit promotion processes and potential concerns about merit promotion practices. Collectively, we met with a total of 93 USMS employees, including 4 U.S. Marshals, 4 GS-15 Chief Deputy U.S. Marshals, 7 GS-14 Assistant Chief Deputy U.S. Marshals and Chief Inspectors, 24 GS-13 Criminal Investigators (which included both supervisors and non- supervisors), and 54 GS-12 Deputy U.S. Marshals. USMS uses a separate process for promoting non-operational employees (i.e., administrative) which we did not include in our scope. We collectively refer to law enforcement employees in our discussion groups as USMS employees. The selection of employees we met with in each district was based on which employees were available and willing to meet during our visit. Our discussion groups included a total of 85 GS-14, GS-13, and GS- 12 employees, and we collected questionnaire responses from all 85 participants. To ensure candid discussions, we met separately with groups of employees by GS level and did not include supervisors with non-supervisors. While not generalizable to all USMS districts and divisions, the views we collected overall provide insights into employee perspectives on USMS merit promotion practices.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["USMS mission areas include fugitive apprehension, witness protection, and federal prisoner transportation, among others. There are 94 U.S. Marshals\u2014one for each federal judicial district\u2014who are presidentially appointed and direct agency operations in each district. U.S. Marshals are considered to generally operate autonomously from headquarter offices and divisions. USMS\u2019s current workforce consists of roughly 3,709 Deputy U.S. Marshals and Criminal Investigators, and approximately 1,435 Detention Enforcement Officers and administrative employees. In general, a cadre of Deputy U.S. Marshals in each district collectively conducts various activities associated with the USMS mission areas. In addition, Deputy U.S. Marshals and Criminal Investigators who are assigned to headquarter operational divisions are located in district offices and work collectively with district employees across the 94 districts to carry out division functions.", "Deputy U.S. Marshals are categorized into two federal government occupational series \u2013 0082 and 1811. USMS typically hires entry-level Deputy U.S. Marshals in the 0082 series at the GS-5 or GS-7 level. At the GS-11 level, deputies automatically convert to the 1811 series and receive non-competitive career ladder promotions through GS-12 if they complete the required waiting period for advancement to the next grade level and maintain an acceptable level of performance. For GS-13 and above, deputies must compete for promotions through the operational merit promotion process.", "USMS\u2019s Human Resources Division (HRD) is responsible for issuing and implementing policy guidelines, revisions, and supplements in accordance with appropriate regulations and merit system principles. HRD also periodically assesses the effectiveness of merit promotion policy, assists in filling division and district vacancies, and reports officials who inappropriately discriminate against candidates, and candidates who engage in improper behavior, such as willful exaggeration, misstatements, or other abuses of the application process. USMS\u2019s Office of Professional Responsibility (OPR) oversees the internal compliance review of USMS staff, division, and district offices, which assess compliance with DOJ and USMS policies and procedures, and ensures the integrity of the agency\u2019s internal controls."], "subsections": [{"section_title": "Federal Guidelines on Merit Promotion Policy", "paragraphs": ["Congress passed the Pendleton Act in 1883, establishing that federal employment should be based on merit. The nine merit system principles established by the Pendleton Act were later codified as part of the Civil Service Reform Act of 1978. The first merit principle indicates that federal personnel management should be implemented consistent with certain merit system principles, including that selection and advancement should be determined solely on the basis of relative ability, knowledge, and skills, after fair and open competition which assures that all receive equal opportunity.", "Title 5 of the United States Code refers to the government-wide personnel management laws and related provisions generally applicable to federal employment. While title 5 of the United States Code generally outlines the rules agencies must follow to make appointments in the competitive service, excepted service, and the senior executive service, agencies have significant discretion to design and implement internal merit promotion policies and processes. Title 5 also states that federal personnel management should be implemented consistent with merit system principles that protect federal employees against \u201cpersonal favoritism.\u201d According to MSPB, personal favoritism occurs when a supervisor or selecting official grants an advantage to one employee or candidate but not another similarly situated employee or candidate based on friendship or other affinity rather than a legitimate merit-based reason. Favoritism is distinct from discrimination on legally protected bases and is frequently more difficult to clearly identify when it occurs.", "OPM is responsible for overseeing all policy created to support Federal human resources departments as well as for ensuring that these policies are properly implemented and continue to be correctly carried out. OPM delegates many personnel decisions to federal agencies, but is responsible for establishing and maintaining an oversight program ensuring that the personnel management functions it delegates to agencies are in accordance with merit system principles and the standards established by OPM for conducting those functions.", "OPM has also established minimum qualification requirements for hiring or promoting individual employees under the competitive process. In addition, OPM allows agencies to make minimum qualification requirements more specific by adding selective placement factors. According to OPM, selective placement factors identify any qualifications that are important for the job and are required when an individual starts the job. Candidates who do not meet selective placement factors are ineligible for further consideration. OPM generally allows agencies to establish selective placement factors for any position without prior OPM approval, but requires agencies to establish and document selective placement factors through the job analysis process. OPM guidance also states that selective placement factors have four characteristics: extensive training or experience to develop; essential for successful performance on the job (i.e., if individuals do not have the selective factor, they cannot perform the job); almost always are geared toward a specific technical competency; cannot be learned on the job in a reasonable amount of time."], "subsections": []}]}, {"section_title": "USMS Has Aligned its Merit Promotion Policy with Federal Guidelines and Developed a Corresponding Process", "paragraphs": [], "subsections": [{"section_title": "USMS Merit Promotion Policy Is Aligned with Federal Human Capital Guidelines", "paragraphs": ["We determined that the USMS merit promotion policy aligns with relevant provisions of title 5 of the United States Code, and title 5 of the Code of Federal Regulations. Specifically, the most recent version of the USMS Merit Promotion Plan, which was revised in November 2016, outlines the mechanisms for affording merit staffing and promotional opportunities to competitive status candidates for GS-13, GS-14, and GS-15 1811 operational law enforcement positions. The plan states that it is the policy of the USMS to maintain a sound staffing program that will ensure that USMS fills positions from among the best qualified candidates and that the selection, assignment, and promotion of employees are on the basis of job-related criteria.", "The Merit Promotion Plan cites parts of title 5 of the Code of Federal Regulations as the governing authority under which the plan was developed and aligns with key provisions of title 5 of the United States Code and title 5 of the Code of Federal Regulations. Agencies must design and administer merit promotion programs to ensure a systematic means of selection for promotion based on merit. These programs must conform to five requirements outlined in title 5 of the Code of Federal Regulations. Table 1 describes the five requirements and how key provisions in the USMS Merit Promotion Plan align with these requirements."], "subsections": []}, {"section_title": "USMS Has Developed a Promotion Process Based on Its Merit Promotion Plan", "paragraphs": ["USMS has developed a multi-step process based on the USMS Merit Promotion Plan to assess and select eligible candidates for promotion. To be considered eligible for promotion to GS-13, GS-14, or GS-15 law enforcement positions, candidates must (1) serve one year in an operational position at the next lower grade than the position desired; (2) take the most recent USMS merit promotion examination, which is administered every two years; and (3) submit required documents, including the promotion application package, during an annual open season submission process. Once candidates have met these prerequisites, they may apply to individual position vacancy announcements, which are advertised electronically to all USMS employees. Figure 1 depicts the multiple steps in the USMS merit promotion process.", "Table 2 provides a detailed description of the multiple steps in the USMS merit promotion process."], "subsections": []}]}, {"section_title": "USMS Is Taking Steps to Improve Monitoring of Its Merit Promotion Process, but Lacks Documented Guidance to Ensure Consistent Compliance with Merit Promotion Policy", "paragraphs": [], "subsections": [{"section_title": "Although USMS Does Not Monitor Key Aspects of Its Merit Promotion Process, It Is Taking Steps to Improve", "paragraphs": ["USMS does not monitor the implementation of the scoring component of its rating process or compliance with its temporary promotion policy, but is taking steps to improve these aspects. We found that raters may directly compete with candidates whose merit promotion packages they score. For example, for an open GS-13 position, a GS-12 employee may promote into the position or a GS-13 employee may be laterally reassigned to the position. Employees seeking a lateral reassignment to another district or division are not required to submit a merit promotion application package during the open season, but instead submit documentation to the merit promotion staff to confirm their eligibility for a lateral reassignment. Thus, a GS-13 employee who serves as a rater may directly compete as a lateral candidate with a GS-12 employee seeking a promotion to the same position. Some USMS employees in our discussion groups expressed the view that the rating process is biased due to this potential conflict of interest. Specifically, seven employees across multiple districts, including four who had served as raters, expressed the view that raters may have personal incentives to score strong candidates lower because they may compete with these candidates for the same positions.", "The Office of Management and Budget\u2019s (OMB) Circular No. A-123, Management\u2019s Responsibility for Internal Control (A-123) explains that an agency should have processes in place to detect and mitigate potential employee conflicts of interest to demonstrate a commitment to integrity and ethical values. We found that USMS does not have a process in place to eliminate potential rater conflicts of interest. USMS stated that it would be difficult to detect situations where raters who might be seeking a lateral reassignment would be scoring a potential competitor, but acknowledged that to the extent this is occurring, it would be a conflict of interest.", "USMS also does not monitor the implementation of the rating component of its process to ensure that raters complied with a key merit promotion process requirement. Specifically, USMS guidance states that raters are expected to decline to score a candidate\u2019s application if there is a conflict of interest with the candidate, for example, a former employee or supervisor relationship or a close personal relationship. USMS officials explained that using two raters to score each merit promotion application is intended to mitigate personal bias. However, during our discussion groups, 4 employees who had served as raters said they had directly observed raters scoring applications for employees with whom there existed possible conflicts of interest. Additionally, 18 employees in our discussion groups told us they had heard from colleagues who served on rating panels that raters have used personal knowledge of candidates to influence their scoring. Another 16 employees expressed a related concern that raters can see the names of the applicants they are scoring. According to HRD officials, they relied on raters to decline to score applications of candidates for which they may have personal knowledge and only use the information in the package to determine candidate scores.", "Although USMS does not monitor the implementation of key aspects of its rating process to mitigate potential rater conflicts of interest or bias, USMS has begun to implement changes that could address these deficiencies. In February 2017, during the course of our review, USMS announced a planned change to the process the agency uses to assess the experience component of candidate applications. Under the existing process, USMS raters collectively score the experience narrative component, which helps determine the overall merit promotion score. The planned change entails having a third-party contractor, rather than USMS employees, determine candidates\u2019 competency scores using a scenario- based competency assessment. As part of the new process, USMS also updated the scoring rubric based on the new competency assessment, which includes the elimination of the experience category (see table 3).", "USMS started to implement this change to the process during the summer 2017 promotion cycle for GS-13 promotions. USMS plans to evaluate the effectiveness of the new process during the fall of 2017 and determine whether the new process is ready to be implemented for GS- 14 and GS-15 promotions during the next promotion cycle. If USMS effectively implements these planned changes, these actions could address the deficiencies we identified by reducing the potential for rater conflict of interest and bias because independent, third-party raters will assess candidate qualifications, rather than USMS employees evaluating their colleagues.", "We reviewed USMS compliance with federal guidelines for noncompetitive temporary promotions and found, in a few instances, that USMS violated federal guidelines and its merit promotion policy by extending some noncompetitive temporary promotions beyond the regulatory limit of 120 days. According to USMS officials, they typically use temporary promotions to fill open positions between merit promotion cycles. A temporary promotion may also be used to temporarily promote a GS-14 employee to the Chief Deputy position in the event a U.S. Marshal resigns and the Chief Deputy becomes the acting U.S. Marshal. According to title 5 of the Code of Federal Regulations and the USMS Merit Promotion Plan, individual employees may receive noncompetitive temporary promotions or details to a higher-graded position, or a position with known promotion potential, if the total time spent in any noncompetitive position is 120 days or less within a 12-month timeframe. USMS may also fill open positions between cycles using another type of temporary promotion for up to one year; however, employees are required to compete for temporary promotions beyond 120 days through the merit promotion process. These requirements help USMS use a systematic process of selection according to merit. We analyzed all 844 noncompetitive temporary promotion selections (of 120 days or less) from October 2015 through February 2017 and found 9 instances in which the USMS exceeded the regulatory limit of 120 days for individual employees. These 9 instances exceeded the statutory limit by approximately 30 days on average, while ranging from 5 days to 103 days.", "USMS officials acknowledged that because they manually enter the noncompetitive temporary promotion end dates into the system that contains the temporary promotions data, they have made errors in reviewing these dates, such as incorrectly adding dates for candidates who have received multiple noncompetitive temporary promotions that exceeded a 12-month timeframe. According to HRD, this system has internal checks and controls to ensure an employee\u2019s temporary promotion does not go beyond the not-to-exceed date. For example, the system does not allow an employee who received a noncompetitive temporary promotion to a higher grade level to continue to be paid at the higher level beyond the date the temporary promotion is set to expire unless HRD processes an action to extend the promotion. Otherwise, to ensure the employee continues to be paid, HRD must process an action to revert the employee back to their original grade level. USMS officials explained that they must manually review instances in which employees receive multiple noncompetitive temporary promotions within a year, to ensure the total time spent serving in these positions does not exceed 120 days during any 12-month period.", "Despite having identified relatively infrequent instances of non- compliance, we note that agencies are required to comply with federal regulations. As a result of our review, USMS took immediate steps to strengthen its internal controls to ensure its compliance with these temporary promotion regulations. Specifically, USMS reported to us that they developed a spreadsheet to help staffing specialists correctly calculate the number of days the employee is eligible for a temporary promotion. Moreover, USMS has developed training on how to use the new tool and on the federal regulations that guide temporary promotions, which it plans to provide to staffing specialists in October 2017. Finally, USMS plans to incorporate a regular review of temporary promotion actions into the HRD standard operating procedure."], "subsections": []}, {"section_title": "USMS Lacks Documented Guidance on Rater Scoring", "paragraphs": ["USMS provides verbal guidance to instruct raters on how to score the experience category of merit promotion packages, which may result in inconsistent application of the guidance. USMS Merit Promotion Procedures generally state that raters assign a numerical grade to each experience category\u2014such as problem-solving or leadership\u2014by comparing how the experience described in the application relates to the established benchmarks. The benchmarks, which are provided to raters, contain descriptions of relevant experience that are designed to guide the raters as they assign scores to specific knowledge, skills and abilities, such as supervising staff and working with databases. At the beginning of the scoring process, each rating panel receives verbal guidance from merit promotion staff, which entails using actual candidate applications as examples and verbally discussing how to use professional judgment to apply the benchmarks.", "Some employees in our discussion groups expressed the opinion that the guidance provided to raters to score candidate experience narratives is unclear, which results in inconsistent scoring. Specifically, during our discussion groups, 39 employees across multiple districts, including 7 employees who had served as a rater, stated that raters often had different interpretations of HRD\u2019s expectations for how to apply the benchmarks. For example, they stated that some raters determined scores based on whether a candidate\u2019s narrative contained the specific language in the benchmark. Other raters, by contrast, determined scores based on whether the candidate met the intent of the benchmark, regardless of whether the candidate included the specific language in the benchmark. As a result, employees in our discussion groups explained that highly qualified candidates with relevant management and supervisory experience may receive a low experience score if a rater determines that the candidate did not use the exact language appearing in the benchmarks.", "Furthermore, 70 of 85 employees (82 percent) expressed the view that inconsistent scoring of similarly qualified candidates creates the perception that the rating process is unfairly subjective. Specifically, they asserted that comparable candidates with similar types of experience have received vastly different scores depending on which raters scored their applications. Two employees in different districts also said that they re-submitted the same experience narrative as the prior year, and received a significantly different score each year. Additionally, approximately 20 employees contended that raters may be influenced by their own professional experiences. For example, raters who have operational experiences that are different from candidates\u2019 experiences may not sufficiently understand the duties or professional experiences described by candidates. Consequently, they argued, these raters may be limited in their ability to fairly rate some candidates\u2019 experiences.", "Although USMS is implementing a new competency assessment process for GS-13 merit promotions, it is not clear at this time whether the new process will address concerns about inconsistent rater scoring because the agency plans to use new benchmarks that were developed by a third- party contractor in collaboration with USMS subject matter experts to determine candidate scores. According to USMS officials, the new process will entail professionally trained assessors using evaluation guidelines to assess how well USMS promotion candidates respond to scenario-based questions. In collaboration with the contractor, USMS also developed evaluation guidelines that include plans for monitoring quality assurance over the rating process. For example, according to USMS officials, the third-party contractor will conduct random spot checks to assess the consistency with which raters apply the new benchmarks and will provide USMS a report on the results of the quality assurance monitoring. However, given that USMS implemented these changes near the end of our review, we did not assess the implementation of the new process or the related quality assurance monitoring. Furthermore, until USMS determines a timeframe for implementing the new competency assessment at the GS-14 and GS-15 levels, the current rating process will remain in effect.", "Standards for Internal Control in the Federal Government call for agency management to determine the consistency with which controls are applied. Furthermore, it states management should document policies in the appropriate level of detail to allow management to effectively monitor the control activity. While USMS provides raters with benchmarks and verbal guidance on how to apply the benchmarks when scoring applications, USMS has not documented guidance for raters. Six employees who had served as raters said the rating guidance provided was insufficient or the guidance could be improved. By developing clear and specific documented guidance on how raters should interpret and apply the benchmark guidelines, USMS could minimize rater subjectivity and scoring inconsistency for both the current rating process and the forthcoming competency-based assessment."], "subsections": []}]}, {"section_title": "USMS Has Taken Limited Steps to Understand or Address Employee Concerns about the Merit Promotion Process", "paragraphs": [], "subsections": [{"section_title": "USMS Employees Have Expressed Negative Views and Concerns about the USMS Merit Promotion Process", "paragraphs": ["According to an OPM report summarizing 2016 Federal Employee Viewpoint Survey (FEVS) data, about one-third of USMS employees who answered the survey indicated they agree that promotions are based on merit. Specifically, in response to the survey statement, promotions in my work unit are based on merit, an estimated 41 percent of USMS respondents strongly disagreed or disagreed with the statement, while 34 percent strongly agreed or agreed, and 25 percent neither agreed nor disagreed. Based on our review of an agency report examining district and division-level USMS 2016 FEVS scores, district and division scores varied greatly among those employees who responded to the FEVS. For example, across the 10 districts with the lowest reported ratings in 2016, we found that 63 percent to 78 percent of respondents disagreed that promotions are based on merit. By comparison, across the 10 districts with the highest reported satisfaction ratings in 2016, 7 percent to 16 percent of respondents disagreed that promotions are based on merit.", "Most of the USMS employees at four district locations who met with us and answered our questions viewed the merit promotion process unfavorably, citing concerns primarily related to favoritism in the process. For example, 57 of 82 employees (70 percent) indicated that they had low or no trust that the merit promotion process is fair and based on merit. Employees in lower grade levels expressed a greater degree of mistrust than did those in higher grades (see table 4). Specifically, 45 of 53 GS-12 employees (85 percent) indicated that they had low or no trust in the merit promotion process, while just less than half of GS-13 employees (10 of 22) and relatively few GS-14 employees (2 of 7) said they had low or no trust in the merit promotion process. While most employees (51 of 70, or 73 percent) answered that sometimes qualified candidates get promoted; several explained during our discussion groups that they believe the promotion of less qualified\u2014or unqualified\u2014employees occurs frequently enough to affect morale. Further, 47 of 84 employees (56 percent) noted that morale has deteriorated as a result of merit promotion processes or selections. Finally, most of the employees (66 of 85, or 78 percent) answered that USMS has not taken any steps to understand or improve employee morale or they were unsure of whether any steps had been taken.", "In addition, USMS employees we talked with during our discussion groups expressed concerns about the USMS merit promotion process. The prevalent themes that emerged during these groups were concerns that (1) promotions are based on favoritism, (2) the promotion process lacks transparency, and (3) promotion guidance is unclear and promotion candidates do not receive feedback."], "subsections": [{"section_title": "Concerns that Promotions are Based on Favoritism", "paragraphs": ["Employees in our discussion groups expressed the view that many promotion decisions are based on personal relationships over individual merit. Notably, 51 of 85 employees in our discussion groups cited examples of qualified candidates who were passed over for promotion by those whom they believed were less-qualified due to favoritism. From their perspective, there have been instances where candidates with high promotion package scores and good reputations as supervisors have not been promoted, while lower scoring candidates with poor reputations as supervisors who have personal relationships with decision-makers have been promoted. Further, 36 employees in our discussion groups said they believed that career-enhancing opportunities, such as temporary promotions, which improve employees\u2019 promotion potential by providing them with directly related experience in positions for which they may be competing, are often provided unfairly to employees based on personal relationships.", "Employees in our discussion groups also expressed the view that some employees receive more guidance on their application from supervisors than do others, which they attributed to favoritism. As part of the merit promotion process, supervisors are required to verify the experience statements submitted by candidates. We found that among the limited number of supervisors with whom we met, there were varying interpretations of their responsibility in meeting this requirement. Specifically, 1 supervisor viewed his role as strictly verifying the experience and providing no further input. However, 7 other supervisors viewed their role as providing guidance and mentorship to employees by offering advice for improving candidate applications. Finally, 5 additional supervisors said they provided additional guidance to employees only when specifically requested. Of the 85 employees in our discussion groups, 28 indicated that they believed supervisors helped certain candidates develop their merit promotion packages, which provides an unfair advantage over candidates who do not receive such guidance.", "Additionally, nine employees raised concerns that USMS has sometimes expanded certificate of eligibles lists inconsistent with USMS policy to include preselected, favored candidates. According to the USMS Merit Promotion Plan, if there are more than five candidates applying for a position, at least the top five scoring candidates will generally be included on the list and subsequently referred for candidate selection. In some circumstances, more than five eligible candidates are allowed to be placed on the list. For example, if there is a tie for the last position on the list, all candidates with that score will be included. Additionally, candidates with a score within one point from the fifth highest scoring candidate would also be included on the list. Finally, if there are multiple vacancies for the same position (same series, grade, title, and location), one additional name for each vacancy may be added to the list.", "To examine USMS compliance with this policy, we analyzed certificate of eligibles lists and the corresponding candidate scores for fiscal years 2015 and 2016. For fiscal year 2015, we examined all 213 position vacancies and found 2 instances where additional candidates were included on the list inconsistent with USMS\u2019 established policy. Specifically, these 2 lists contained the names of candidates with scores that were more than one point below the fifth highest-scoring candidate, and of these 2 instances, 1 candidate was promoted. For fiscal year 2016, we examined all 224 position vacancies and did not find any inconsistencies with USMS\u2019 established policy.", "Whistleblowers who raised concerns about improper promotion practices to Congress had alleged that USMS managers used selective placement factors to limit competition for certain positions or to tailor vacancy announcements for preselected, favored candidates. Similarly, five employees in our discussion groups expressed the view that USMS used selective placement factors to limit competition or pre-select certain candidates. In this regard, we reviewed USMS compliance with OPM requirements for the use of selective placement factors. Specifically, OPM requires that agencies document the justification for using selective placement factors through a job analysis process.", "We reviewed all job vacancy announcements for fiscal year 2015, fiscal year 2016, and part of fiscal year 2017 (October 2016 through April 2017) to determine if a job analysis had been performed when selective placement factors were included in the announcement. In fiscal year 2015, there were 213 vacancy announcement positions, and 12 contained selective placement factors. We found USMS had not completed a job analysis justification for any one of these 12 announcements. In fiscal year 2016, there were 224 vacancy announcements, and 15 contained selective placement factors. USMS completed a job analysis justification for all 15. For part of fiscal year 2017, there were 171 vacancy announcements, and 23 contained selective placement factors, each of which had a justification. HRD officials acknowledged that in the past they did not consistently document the agency\u2019s use of selective placement factors by conducting job analysis justifications, as required by OPM, but have consistently complied with this requirement since April 2016."], "subsections": []}, {"section_title": "Concerns that the Promotion Process Lacks Transparency", "paragraphs": ["Employees in our discussion groups also expressed the view that poor communication and limited transparency about the merit promotion process and certain management decisions further contribute to employees\u2019 negative perceptions of the merit promotion process. For example, among the 85 employees in our discussion groups:", "Sixty-three employees expressed the view that the merit promotion process lacks transparency because HRD does not effectively communicate with employees about procedural steps or process changes, contributing to a lack of understanding about the process.", "Forty-eight employees expressed the view that they have a limited understanding of the rating and ranking process or that there is no mechanism to dispute or appeal their score if they do not believe they were fairly rated.", "Nineteen employees stated that HRD does not provide information about policy or process changes until the changes have been implemented and that they initially learn about forthcoming process changes through other employees and hearsay, causing confusion and frustration.", "Twenty-five employees expressed the perspective that USMS management cancels vacancy announcements when preselected or favored candidates do not appear on the certificate of eligibles list.", "According to USMS officials, the agency cancels an announcement when the announcement posting was made in error (i.e., the position was not actually available) or when they need to reassign an employee to a different location. We found vacancy cancellations were infrequent\u20149 of 437 announcements\u2014during fiscal years 2015 and 2016; however, we noted that USMS canceled 5 of the 9 announcements after final certificate of eligibles were issued, which may have contributed to employees\u2019 concerns."], "subsections": []}, {"section_title": "Concerns that Promotion Process is Unclear and Promotion Candidates Lack Feedback", "paragraphs": ["Another prevalent theme that emerged during our discussion groups was that the merit promotion process is unclear, and that employees do not receive feedback when they do not get promoted. Notably, among the 85 employees in our discussion groups:", "Forty-six employees described the merit promotion process as unclear.", "Fifty-nine employees stated that the merit promotion application package does not reflect their qualifications to perform specific jobs or their readiness to be promoted.", "Thirty-seven employees told us they are not notified of key steps in the merit promotion process, such as whether they make the certificate of eligibles list.", "Thirty-eight employees stated that because they are not provided feedback when they are not selected for a promotion, they do not have a clear understanding of how the USMS promotion process assesses the extent to which candidates are ready for promotion.", "While there is no formal mechanism for providing specific feedback, HRD officials explained, they may provide general feedback about the process to candidates who proactively request feedback. However, as part of the promotion process, HRD officials do not provide employees with specific feedback at that time about their performance or readiness for promotion. HRD officials also noted that as part of the new competency-based assessment process, candidates will receive detailed instructions and guidance on how candidates will be assessed for each competency. HRD officials acknowledged that informing candidates about key merit promotion steps, such as making the certificate of eligibles, would help improve transparency and employee morale. They further explained that while they do not directly inform candidates about making the certificate of eligibles, in 2016 during the course of our review, they began posting the cutoff scores for each job so candidates are now able to determine whether they made the certificate of eligibles by comparing their final score to the cutoff score for each position.", "Federal guidance notes that perceptions of favoritism, particularly when combined with unclear guidance, a lack of transparency, and limited feedback, negatively impact employee morale. According to MSPB, perceptions of favoritism are damaging to employee morale regardless of their basis in fact, because employees\u2019 perceptions are their reality. Moreover, MSPB noted that providing honest feedback from selecting officials can help employees improve their readiness for future opportunities, and provide transparency to decrease perceptions of favoritism. The report further noted that to achieve the goals of fair and effective management of the federal workforce, organizations must establish clear expectations for supervisors, and supervisors must be aware of employees\u2019 perceptions and exercise sound judgment when making a variety of decisions such as promotion selections, work assignments, training, performance management, and providing workplace flexibilities.", "In addition, Standards for Internal Control in the Federal Government state that management should communicate quality information down and across reporting lines to enable personnel to perform key roles in achieving objectives, addressing risks, and supporting the internal control system. Providing specific and consistent information to employees about key steps in the merit promotion process and internal management decisions, and constructive feedback to employees on the results of the promotion process, including employee readiness for promotion, would improve transparency and help mitigate employee perceptions of favoritism that have negatively impacted employee morale."], "subsections": []}]}, {"section_title": "USMS Has Taken Limited Steps to Understand and Address Employee Concerns about the Merit Promotion Process", "paragraphs": ["USMS has taken limited steps to understand and address employee concerns about its merit promotion process. Specifically, after analyzing the results of the 2016 FEVS responses, USMS headquarters staff acknowledged employees\u2019 negative perceptions of the merit promotion process as an internal agency challenge. In an update provided to DOJ on plans for addressing employee engagement challenges identified in the FEVS, USMS reported that the primary employee engagement challenges are the geographical dispersal and management structure of district offices (since USMS districts are led by political appointees, who have different management styles). To address this challenge, USMS disseminated an agency-wide memorandum emphasizing to all employees that each employee and manager has an individual responsibility to take action to improve engagement at the local level. Also, USMS encouraged local managers to evaluate their FEVS results and formulate an action plan that fits their individual district or division.", "USMS does not track the extent to which district and divisions complete action plans and does not require district or division offices to submit their action plans to HRD. We found that none of the four districts we visited had developed a written action plan in response to the 2016 FEVS results. At three of these districts, the Chief Deputy U.S. Marshals indicated to us that no steps were being taken to develop an action plan because they did not consider it a required or necessary step. However, the Chief Deputy U.S. Marshal in one district explained that while he did not document an action plan, he took steps to better understand employee engagement challenges identified in the FEVS for his district. Specifically, he facilitated small discussion groups to better understand low employee agreement with two FEVS survey statements, including promotions in my work unit are based on merit. During these discussions, he said that he aimed to clarify areas where employees\u2019 negative perspectives were based on a lack of understanding about the merit promotion process.", "While USMS has taken some positive steps, having a better understanding of the basis for these concerns, and how to address them, will likely require that USMS take additional steps. Most of the employees we interviewed said they were unaware of whether USMS has taken any steps to understand or improve employee morale related to merit promotions, and some feared raising concerns to management. Specifically, 25 of 85 (29 percent) employees in our discussion groups said no steps were taken to understand or improve employee morale, while an additional 41 employees (48 percent) were unsure that any steps were taken. Further, 24 of 85 employees in our discussion groups expressed fears of raising concerns to USMS district or headquarters management, citing allegations of district management intimidating or retaliating against employees who raise issues, such as not selecting those employees for career-enhancing opportunities or promotions. To the extent that employees fear they will not get promoted if they raise concerns to management and management does not have sufficient information to understand the nature and causes of employee concerns about the merit promotion process, taking meaningful and effective steps to address the concerns will be difficult.", "OMB and OPM intend for agency managers to use the findings in the FEVS to develop policies and action plans for improving agency performance, including the enhancement of employee engagement and satisfaction. According to OPM, action plans should be developed at multiple levels; agency-wide, by subcomponent, and several levels down in the agency. Also, many agencies have found it beneficial to conduct focus groups after reviewing survey results to better understand the underlying causes of employee engagement scores and get employee suggestions for how to improve. OPM\u2019s action planning guidance also suggests that agencies specify time frames for accomplishing the actions, who will be responsible for implementing the actions, who will be affected by the actions, the resources required, and a plan to communicate these actions to managers and employees.", "Although HRD disseminated a memorandum requesting district and division managers to develop action plans, it has not developed an agency-wide action plan, nor has it taken steps to ensure that all districts and divisions develop action plans. By delegating responsibility for developing action plans to individual districts and divisions, HRD does not have consistent or adequate information to understand the nature and causes of employee concerns across districts and divisions. Without this information, USMS is unable to address employee concerns about its merit promotion process and remains vulnerable to adverse effects, such as decreased employee satisfaction and engagement, and decreased agency performance.", "USMS management stated that they take employee concerns and feedback into consideration as appropriate, but are primarily concerned with ensuring the process is implemented in accordance with legal requirements. They further stated that they generally believe the USMS merit promotion process to be fair, and attributed some employee concerns with the merit promotion process to a lack of available positions relative to the number of employees who are ready for promotion. Nevertheless, we believe an agency-wide action plan would help USMS more fully understand and address areas where employees express negative perceptions of the merit promotion process."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Selecting candidates based on their qualifications instead of patronage has been the foundation of the federal hiring system for more than 130 years. Federal guidelines give agencies significant discretion to design and implement their merit promotion processes to best meet their needs. Since 2016, USMS has been implementing changes to its merit promotion process in response to multiple internal and external investigations, which substantiated allegations made by whistleblowers. While the new competency assessment process has the potential to reduce the risk of rater conflicts of interest and bias, USMS could still do more to further improve its process. Developing specific guidance to help raters more consistently score candidate applications would minimize scoring subjectivity. Continuing to take steps to improve this process would better position USMS to improve employee engagement. In light of the significant distrust in the merit promotion practices we heard from employees, USMS management can also take further action to better understand and appropriately address employee concerns, such as providing employees specific feedback on the results of the promotion process, including their readiness for promotion and developing an agency-wide action plan to more fully understand and address areas where employees express negative perceptions of the merit promotion process. More actively engaging employees could also bolster ongoing USMS efforts to improve the promotion process and enhance agency performance."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We recommend that the Director of the USMS take the following actions:", "Develop specific documented guidance\u2014both for the current and new processes\u2014to enhance raters\u2019 ability to consistently interpret and apply experience-based benchmarks for GS-14 and GS-15 positions and competency-based benchmarks for GS-13 positions when evaluating candidate qualifications. (Recommendation 1)", "Develop and implement a mechanism to provide specific feedback to employees on the results of the promotion process, including their readiness for promotion. (Recommendation 2)", "Develop and implement an agency-wide action plan to more fully understand and address areas where employees express negative perceptions of the merit promotion process. Consistent with OPM guidance in this area, the plan should specify time frames for accomplishing the actions, who will be responsible for implementing the actions, who will be affected by the actions, the resources required, and a plan to communicate these actions to managers and employees. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ and USMS for review and comment. Liaisons from DOJ and USMS responded in an email that DOJ had no formal comments on the report. In addition, the USMS liaison concurred with the recommendations and provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to DOJ, the Director of the USMS, appropriate congressional committees and members, and other interested parties. In addition, this report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions, please contact Diana Maurer at (202) 512-8777 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made significant contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brett Fallavollita (Assistant Director), Carissa Bryant (Analyst-in-Charge), Jessica Du, and Kelsey Hawley made key contributions to this report, along with David Alexander, Willie Commons III, Dominick Dale, and Eric Hauswirth."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-315", "url": "https://www.gao.gov/products/GAO-18-315", "title": "Substance Use Disorder: Information on Recovery Housing Prevalence, Selected States' Oversight, and Funding", "published_date": "2018-03-22T00:00:00", "released_date": "2018-04-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Substance abuse and illicit drug use, including the use of heroin and the misuse of or dependence on alcohol and prescription opioids, is a growing problem in the United States. Individuals with SUD may face challenges in remaining drug- and alcohol-free. Recovery housing can offer safe, supportive, drug- and alcohol-free housing to help these individuals maintain their sobriety and can be an important resource for individuals recovering from SUD. However, the media has reported allegations about potentially fraudulent practices on the part of some recovery homes in some states.", "GAO was asked to examine recovery housing in the United States. This report examines (1) what is known about the prevalence and characteristics of recovery housing across the United States; (2) investigations and actions selected states have undertaken to oversee such housing; and (3) SAMHSA funding for recovery housing, and how states have used this or any available state funding. GAO reviewed national and state data, federal funding guidance, and interviewed officials from SAMHSA, national associations, and five states\u2014Florida, Massachusetts, Ohio, Texas, and Utah\u2014selected based on rates of opioid overdose deaths, dependence on or abuse of alcohol and other drugs, and other criteria. State information is intended to be illustrative and is not generalizable to all states."]}, {"section_title": "What GAO Found", "paragraphs": ["Nationwide prevalence of recovery housing\u2014peer-run or peer-managed drug- and alcohol-free supportive housing for individuals in recovery from substance use disorder (SUD)\u2014is unknown, as complete data are not available. National organizations collect data on the prevalence and characteristics of recovery housing but only for a subset of recovery homes. For example, the National Alliance for Recovery Residences, a national nonprofit and recovery community organization that promotes quality standards for recovery housing, collects data only on recovery homes that seek certification by one of its 15 state affiliates that actively certify homes. The number of homes that are not certified by this organization is unknown.", "Four of the five states that GAO reviewed\u2014Florida, Massachusetts, Ohio, and Utah\u2014have conducted, or are in the process of conducting, investigations of recovery housing activities in their states, and three of these four states have taken formal steps to enhance oversight. The fifth state, Texas, had not conducted any such investigations at the time of GAO's review. Fraudulent activities identified by state investigators included schemes in which recovery housing operators recruited individuals with SUD to specific recovery homes and treatment providers, who then billed patients' insurance for extensive and unnecessary drug testing for the purposes of profit. For example, officials from the Florida state attorney's office told GAO that SUD treatment providers were paying $300 to $500 or more per week to recovery housing operators for every patient they referred for treatment and were billing patients' insurance for hundreds of thousands of dollars in unnecessary drug testing over the course of several months. Some of these investigations have resulted in arrests and other actions, such as changes to insurance payment policies. Florida, Massachusetts, and Utah established state certification or licensure programs for recovery housing in 2014 and 2015 to formally increase oversight. The other two states in GAO's review\u2014Ohio and Texas\u2014had not passed such legislation but were providing training and technical assistance to recovery housing managers.", "The Substance Abuse and Mental Health Services Administration (SAMHSA), within the Department of Health and Human Services (HHS), administers two federal health care grants for SUD prevention and treatment that states may use to establish recovery homes and for related activities. First, under its Substance Abuse Prevention and Treatment block grant, SAMHSA makes at least $100,000 available annually to each state to provide loans to organizations seeking to establish recovery homes. Second, states have discretion to use SAMHSA funding available under a 2-year grant for 2017 and 2018 primarily for opioid use disorder treatment services, to establish recovery homes or for recovery housing-related activities. Of the five states GAO reviewed, only two, Texas and Ohio, have used any of their SAMHSA grant funds for these purposes. Four of the five states\u2014Florida, Massachusetts, Ohio, and Texas\u2014have also used state general revenue funds to establish additional recovery homes.", "HHS had no comments on this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Substance abuse and illicit drug use, including the use of heroin and the misuse of alcohol and prescription opioids, is a growing problem in the United States. Individuals recovering from substance use disorder (SUD) may face challenges remaining alcohol- or drug-free. Recovery housing\u2014 peer-run or peer-managed supportive residences\u2014can offer safe, supportive, stable living environments to help individuals recovering from SUD maintain an alcohol- and drug-free lifestyle. In addition, such housing can also help improve individuals\u2019 ability to work, their physical health, and their relationships with friends and family, and help them gain skills and resources to sustain their recovery. There are no federal laws or regulations governing the operation of recovery housing, and there is no federal agency responsible for overseeing recovery housing. Within the Department of Health and Human Services (HHS), the Substance Abuse and Mental Health Services Administration (SAMHSA)\u2014 responsible for promoting SUD prevention, treatment, and recovery to reduce the impact of SUD on communities\u2014makes some funding available to states to support recovery housing.", "The media has reported allegations that some unscrupulous recovery housing operators and associated SUD treatment providers have engaged in fraudulent and misleading practices and exploited residents for the purposes of profit. In addition, at least two states\u2014California and Florida\u2014have conducted criminal investigations into recovery housing and recovery housing operators within their states. Following reported allegations, members of Congress have raised questions about the oversight of recovery housing.", "You asked us to review federal and state oversight of recovery housing. This report examines 1. what is known about the prevalence and characteristics of recovery housing across the United States; 2. any investigations and actions selected states have undertaken to oversee recovery housing; and 3. SAMHSA funding for recovery housing, and how selected states have used this or any available state funding.", "To address these three objectives, we reviewed available information and interviewed officials from national organizations that provide or have missions related to recovery housing, state agencies and related entities in five selected states, and federal agencies. Specifically, we reviewed information and available documentation and interviewed officials from the National Alliance for Recovery Residences (NARR) and Oxford House, Inc. to obtain information on the prevalence and characteristics of recovery housing across the United States. To obtain information on actions states have taken to investigate and oversee recovery housing and how they used federal and any available state funding to support such housing from fiscal year 2013 through fiscal year 2017, we also interviewed officials from five states we selected for review\u2014Florida, Massachusetts, Ohio, Texas, and Utah. We identified the states that met at least three of the following criteria: (1) had high rates and numbers of opioid overdose deaths in 2015 (the most recent publicly-available information), (2) had high rates of dependence on or abuse of illicit drugs and alcohol in 2013-2014 (the most recent publicly-available information), (3) had an active NARR affiliate, (4) received certain SAMHSA funding for recovery services, and (5) were reported in the media or by other sources to have enacted legislation pertaining to the regulation or oversight of recovery housing. We then selected five states from different areas of the country. In each state, we interviewed officials from the state substance abuse agency, the state Medicaid agency, the state Medicaid Fraud Control Unit, the state insurance department, and others. For a complete list of state agencies and related state entities we interviewed, see appendix I. We also interviewed officials from two insurance companies operating in Florida. The results of our state analyses are intended to be illustrative and are not generalizable to all states. To obtain information on SAMHSA funding for recovery housing, we also reviewed available documentation and interviewed agency officials.", "We conducted this performance audit from February 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Definitions of and terms for recovery housing can vary, and recovery housing may differ in the types of services offered and resident requirements. Alcohol- and drug-free housing for individuals recovering from SUD may be referred to as \u201crecovery residences,\u201d \u201csober homes,\u201d or other terms. NARR has defined four levels of recovery housing (I through IV) based on the type and intensity of recovery support and staffing they offer, up to and including residential, or clinical, treatment centers. For the purposes of this report, we use the term \u201crecovery housing\u201d to refer to peer-run, nonclinical living environments for individuals recovering from SUD in general, and \u201crecovery homes\u201d to refer to specific homes. These homes generally are not considered to be residential treatment centers, not eligible to be licensed providers for the purposes of billing private insurance or public programs\u2014such as Medicaid and Medicare\u2014and residents typically have to pay rent and other housing expenses themselves. Recovery home residents may separately undergo outpatient clinical SUD treatment, which is typically covered by health insurance. In addition, recovery homes may encourage residents to participate in mutual aid or self-help groups (e.g., 12-step programs such as Alcoholics Anonymous) and may require residents to submit to drug screenings to verify their sobriety. Residents may be referred to recovery homes by treatment providers, the criminal justice system, or may voluntarily seek out such living environments.", "In addition to SAMHSA, two national nonprofit organizations that have missions dedicated to recovery housing include NARR and Oxford House, Inc. NARR promotes standards for recovery housing, provides training and education to recovery housing operators and others, and conducts research and advocacy related to recovery housing to support individuals in recovery from SUD. As of January 2018, NARR\u2019s membership comprised 27 state affiliates that work to promote and support NARR\u2019s quality standards for recovery housing and other activities in their states. Of the 27 NARR affiliates, 15 were actively certifying recovery homes. Oxford House, Inc. connects individual Oxford Houses across the United States and in other countries. Individual Oxford Houses, which operate under charters granted by Oxford House, Inc., are democratically run, self-supporting homes. According to the Oxford House manual and related documents, all Oxford Houses are rentals, and residents are responsible for sharing expenses, paying house bills on time, and immediately evicting residents who drink or use illicit drugs while living in the house. Oxford House, Inc. maintains a directory of houses on its website, and individuals can search this directory for vacancies by state. Oxford Houses align with NARR\u2019s definition of level I residences; that is, peer-run, self-funded, typically single family homes where residents have an open-ended length of stay.", "SAMHSA and other organizations recognize recovery housing as an important step in SUD treatment and recovery. Research has shown positive outcomes of recovery housing on long-term sobriety, such as at 6-, 12-, and 18-month follow up. However, according to SAMHSA and NARR officials, much of the available research on effectiveness of recovery housing focuses on the Oxford House population, and research on other types of recovery homes is limited."], "subsections": []}, {"section_title": "Nationwide Prevalence of Recovery Housing Is Unknown, but National Organizations Collect Data on the Number and Characteristics of a Subset of Recovery Homes", "paragraphs": ["The nationwide prevalence of recovery housing is unknown because there are no comprehensive data regarding the number of recovery homes in the United States, although NARR and Oxford House, Inc. collect data on a subset of recovery homes across the United States. Specifically, NARR collects data only on recovery homes that seek certification from one of its 15 state affiliates that certify homes. However, NARR-certified homes may represent only a portion of existing recovery homes, as NARR does not know how many such homes are uncertified. As of January 2018, NARR reported that its affiliates had certified almost 2,000 recovery homes, which had the capacity to provide housing to over 25,000 individuals; NARR-certified recovery homes include recovery housing across all four NARR levels, including residential treatment centers that provide clinical services, which are outside the scope of our study.", "Oxford House, Inc. collects data annually on the prevalence and characteristics of Oxford Houses across the United States. In its 2017 annual report, Oxford House, Inc. reported that there were 2,287 Oxford Houses in 44 states that provided housing to a total of 18,025 individuals. Of the total number of Oxford Houses in 2017, 71 percent served men and 29 percent served women, with the average resident aged 37 years. The Oxford House, Inc. report also provides information on other characteristics of Oxford House residents. For example, of the 18,025 Oxford House residents in 2017, Oxford House, Inc. reported the following:", "79 percent were addicted to drugs and alcohol; 21 percent were addicted to alcohol only.", "77 percent had been incarcerated.", "68 percent had previously experienced homelessness.", "12 percent were veterans.", "87 percent were employed.", "98 percent regularly attended 12-step meetings, such as Alcoholics Anonymous or Narcotics Anonymous.", "45 percent attended weekly outpatient counseling in addition to", "Average length of sobriety was 13.4 months."], "subsections": []}, {"section_title": "Most States We Reviewed Have Investigated Potential Fraud Related to Recovery Housing and Taken Steps to Enhance Oversight", "paragraphs": ["The five states we selected for review have taken actions to investigate and oversee recovery housing. Four of the five states have conducted law enforcement investigations of recovery homes in their states and some of these investigations have resulted in arrests and changes to public and private insurance policies. In addition to actions taken in response to state investigations, three of the five states in our review have also taken steps to formally enhance their oversight of recovery homes, and the other two states have taken other steps intended to increase consistency, accountability, and quality across recovery homes."], "subsections": [{"section_title": "Four of Five States Have Conducted Investigations of Recovery Housing", "paragraphs": ["Officials from four of the five states we reviewed (Florida, Massachusetts, Ohio, and Utah) told us that since 2007, state agencies have conducted, or are in the process of conducting, law enforcement investigations of unscrupulous behavior and potential insurance fraud related to recovery housing, and outcomes of some of these investigations included criminal charges and changes to health insurance policies. An official from the fifth state, Texas, told us that the state had not conducted any recent law enforcement investigations related to recovery housing. This official, from the Texas Department of Insurance, told us that the department received two fraud reports in 2014 and 2016 related to recovery homes and that the state was unable to sufficiently corroborate the reports to begin investigations.", "Across the four states, officials told us that potential insurance fraud may have relied on unscrupulous relationships between SUD treatment providers, including laboratories, and recovery housing operators, because recovery homes are not considered eligible providers for the purposes of billing health insurance. For example, treatment providers may form unscrupulous relationships with recovery housing operators who then recruit individuals with SUD in order to refer or require residents to see the specific SUD treatment providers. This practice is known as patient brokering, for which recovery housing operators receive kickbacks such as cash or other remuneration from the treatment provider in exchange for patient referrals. The extent of potential fraud differed across the four states, as discussed below.", "Officials from several state agencies and related entities described investigations into fraud related to recovery housing in southeastern Florida as extensive, although the scope of the fraud within the industry is unknown. In 2016, the state attorney for the 15th judicial circuit (Palm Beach County) convened a task force composed of law enforcement officials tasked with investigating and prosecuting individuals engaged in fraud and abuse in the SUD treatment and recovery housing industries. The task force found that unscrupulous recovery housing operators or associated SUD treatment providers were luring individuals into recovery homes using deceptive marketing tactics. Deceptive marketing practices included online or other materials that willfully misdirected individuals or their family members to recruiters with the goal of sending these individuals to specific treatment providers, in order to receive payments from those treatment providers for patient referrals. According to officials from the Florida state attorney\u2019s office, these individuals, often from out of state, were lured with promises of free airfare, rent, and other amenities to recover in southern Florida\u2019s beach climate. Recruiters brokered these individuals to SUD treatment providers, who then billed their private insurance plans for extensive and medically unnecessary urine drug testing and other services. Officials from the Florida state attorney\u2019s office told us that SUD treatment providers were paying $300 to $500 or more per week to recovery housing operators or their staff members for every patient they referred for treatment. In addition, these officials cited one case in which a SUD treatment provider billed a patient\u2019s insurance for close to $700,000 for urine drug testing in a 7-month period. Officials from the state attorney\u2019s office noted that the recovery homes that the task force was investigating were not shared housing in the traditional, supportive sense, such as Oxford Houses, where residents equally share in the rent and division of chores, but rather existed as \u201cwarehouses\u201d intended to exploit vulnerable individuals.", "As a result of these investigations, as of December 2017, law enforcement agencies had charged more than 40 individuals primarily with patient brokering, with at least 13 of those charged being convicted and fined or sentenced to jail time, according to the state attorney\u2019s office. In addition, the state enacted a law that strengthened penalties under Florida\u2019s patient brokering statute and gave the Florida Office of Statewide Prosecution, within the Florida Attorney General\u2019s Office, authority to investigate and prosecute patient brokering.", "An official from the Massachusetts Medicaid Fraud Control Unit told us that the unit began investigating cases of Medicaid fraud in the state on the part of independent clinical laboratories associated with recovery homes in 2007. The unit found that, in some cases, the laboratories owned recovery homes and were self-referring residents for urine drug testing. In other cases, the laboratories were paying kickbacks to recovery homes for patient referrals for urine drug testing that was not medically necessary. According to the Medicaid Fraud Control Unit official, as a result of these investigations the state settled with nine laboratories between 2007 and 2015 for more than $40 million in restitution. In addition, the state enacted a law in 2014 prohibiting clinical laboratory self-referrals and revised its Medicaid regulations in 2013 to prohibit coverage of urine drug testing for the purposes of residential monitoring.", "Ohio has also begun to investigate an instance of potential insurance fraud related to recovery housing, including patient brokering and excessive billing for urine drug testing. Officials from the Ohio Medicaid Fraud Control Unit told us that the unit began investigating a Medicaid SUD treatment provider for paying kickbacks to recovery homes in exchange for patient referrals, excessive billing for urine drug testing, and billing for services not rendered, based on an allegation the unit received in September 2016. As of January 2018, the investigation was ongoing, and the Ohio Medicaid Fraud Control Unit had not yet taken legal or other action against any providers. Officials from other state agencies and related state entities, such as the state substance abuse agency and the state NARR affiliate, were not aware of any investigations of potential fraud on the part of recovery housing operators or associated treatment providers when we spoke with them and stated that this type of fraud was not widespread across the state.", "In August 2017, officials from the Utah Insurance Department told us that the department is conducting ongoing investigations of private insurance fraud similar to the activities occurring in Florida, as a result of a large influx of complaints and referrals it received in 2015. These officials told us that the department has received complaints and allegations that SUD treatment providers are paying recruiters to bring individuals with SUD who are being released from jail to treatment facilities or recovery homes; billing private insurance for therapeutic services, such as group or equine therapy, that are not being provided, in addition to billing frequently for urine drug testing; and encouraging patients to use drugs prior to admission to qualify patients and bill their insurance for more intensive treatment. In addition, insurance department officials told us that they believed providers are enrolling individuals in private insurance plans without telling them and paying their premiums and copays. According to these officials, when doing so, providers may lie about patients\u2019 income status in order to qualify them for more generous plans. Officials found that providers were billing individual patients\u2019 insurance $15,000 to $20,000 a month for urine drug testing and other services. Officials noted that they suspect that the alleged fraud was primarily being carried out by SUD treatment providers and treatment facilities that also own recovery homes. Officials told us that the department has not been able to file charges against any treatment providers because it has been unable to collect the necessary evidence to do so. However, according to insurance department officials, the state legislature enacted legislation in 2016 that gives insurers and state regulatory agencies, such as the state insurance department and state licensing office, the authority to review patient records and investigate providers that bill insurers. This authority may help the insurance department and other state regulatory agencies better conduct investigations in the future."], "subsections": []}, {"section_title": "Three States Have Established Oversight Programs, and Two States Are Taking Other Steps to Support Recovery Housing", "paragraphs": ["In addition to actions taken in response to state investigations, three of the five states in our review\u2014Florida, Massachusetts, and Utah\u2014have taken steps to formally increase oversight of recovery housing by establishing state certification or licensure programs. Florida enacted legislation in 2015 and Massachusetts enacted legislation in 2014 that established voluntary certification programs for recovery housing. Florida established a two-part program for both recovery homes and recovery housing administrators (i.e., individuals acting as recovery housing managers or operators). According to officials from the Florida state attorney\u2019s office and Massachusetts Medicaid Fraud Control Unit, their states established these programs in part as a result of state law enforcement investigations. In 2014, Utah enacted legislation to establish a mandatory licensure program for recovery housing. According to officials from the Utah substance abuse agency and the state licensing office, the state established its licensure program to, in part, protect residents\u2019 safety and prevent their exploitation and abuse.", "Although state recovery housing programs in Florida and Massachusetts are voluntary and recovery homes and their administrators can operate without being certified, there are incentives for homes to become certified under these states\u2019 programs, as well as incentives to become licensed under Utah\u2019s program. Specifically, all three states require that certain providers refer patients only to recovery homes certified or licensed by their state program. Thus, uncertified and unlicensed homes in Florida, Massachusetts, and Utah would be ineligible to receive patient referrals from certain treatment providers. Further, state officials told us that state agencies are taking steps to ensure providers are making appropriate referrals. For example, according to officials from the Florida substance abuse agency, treatment providers may refer patients to certified recovery homes managed by certified recovery home administrators only and must keep referral records. These officials also told us that the state substance abuse agency can investigate providers to ensure they are referring patients to certified homes and issue fines or revoke providers\u2019 licenses if the program finds providers are referring patients to uncertified homes. Recovery homes may also view certification as a way to demonstrate that they meet quality standards. For example, the official from the Massachusetts NARR affiliate told us that some residential treatment centers that are required to be licensed by the state are also seeking certification to demonstrate that they meet the NARR affiliate\u2019s quality standards.", "To become state-certified or licensed, recovery homes in Florida, Massachusetts, and Utah must meet certain program requirements\u2014 including staff training, documentation submissions (such as housing policies and code of ethics), and onsite inspections to demonstrate compliance with program standards\u2014though specific requirements differ across the three states. For example, while all three state programs require recovery housing operators or staff to complete training, the number of hours and training topics differ. In addition, for recovery homes to be considered certified in Florida, they must have a certified recovery housing administrator. Similar to Florida\u2019s certification program for the homes, individuals seeking administrator certification must also meet certain program requirements, such as training in recovery residence operations and administration and legal, professional, and ethical responsibilities. Features of the state-established oversight programs may also differ across the three states, including program type, type of home eligible for certification or licensure, how states administer their programs, and initial fees. See table 1 for additional information on features of state- established oversight programs for recovery housing.", "State-established oversight programs in Florida, Massachusetts, and Utah also include processes to monitor certified or licensed recovery homes and take action when homes do not comply with program standards. For example, an official from the Florida Association of Recovery Residences\u2014the state NARR affiliate and organization that certifies recovery homes in Florida\u2014told us that the entity conducts random inspections to ensure that recovery homes maintain compliance with program standards. State-established oversight programs in the three states also have processes for investigating grievances filed against certified or licensed recovery homes. Further, officials from certifying or licensing bodies in all three states\u2014the Florida Association of Recovery Residences, Massachusetts Alliance for Sober Housing, and the Utah Office of Licensing\u2014told us their organizations may take a range of actions when they receive complaints or identify homes that do not comply with program standards, from issuing recommendations for bringing homes into compliance to revoking certificates or licenses. According to officials from the certifying body in Florida, the entity has revoked certificates of recovery homes that have acted egregiously or have been nonresponsive to corrective action plans. Officials from the certifying and licensing bodies in Massachusetts and Utah told us that these entities had not revoked certificates or licenses when we spoke to them for this review, but may have assisted homes with coming into compliance with certification standards or licensure requirements.", "Officials from Ohio and Texas told us that their states had not established state oversight programs like those that exist in Florida, Massachusetts, and Utah, but their states had provided technical assistance and other resources to recovery homes that were intended to increase consistency, accountability, and quality:", "Officials from the Ohio substance abuse agency told us that since 2013 the state has revised its regulatory code to define recovery housing and minimum requirements for such housing. Officials also told us that the agency does not have authority to establish a state certification or licensure program for recovery housing. According to these officials, the state legislature wanted to ensure that Ohio\u2019s recovery housing community maintained its grassroots efforts and did not want a certification or licensure program to serve as a roadblock to establishing additional homes. However, officials from the Ohio substance abuse agency told us that the agency encourages recovery homes to seek certification by the state NARR affiliate\u2014Ohio Recovery Housing\u2014to demonstrate quality. In addition, these officials told us that the state substance abuse agency also provided start-up funds for Ohio Recovery Housing and has continued to fund the affiliate for it to provide training and technical assistance, as well as to continue certifying recovery homes. According to officials from Ohio Recovery Housing, the NARR affiliate regularly provides the state substance abuse agency with a list of newly-certified recovery homes, as well as updates on previously-certified homes, as part of ongoing efforts to develop a recovery housing locator under its contract with the agency.", "Officials from the Texas substance abuse agency noted that establishing a voluntary certification program, such as one that certifies homes according to NARR\u2019s quality standards, would be beneficial. However, the state legislature has not enacted any legislation establishing such a program to date. The agency is in the process of developing guidance for providers on where and how to refer their patients to recovery housing, which includes a recommendation to send patients to homes certified by the Texas NARR affiliate, but officials could not tell us when they expected the guidance to be finalized."], "subsections": []}]}, {"section_title": "Certain SAMHSA Grant Funding Can Be Used for Recovery Housing, and Selected States Have Used SAMHSA and State Funding to Support Recovery Housing", "paragraphs": ["SAMHSA provides some funding for states to establish recovery homes. Of the five states we reviewed, two used SAMHSA funding and four used state funding to help support recovery housing from fiscal year 2013 through fiscal year 2017."], "subsections": [{"section_title": "SAMHSA Provides Funding for Recovery Housing and Has Undertaken Other Initiatives to Support Recovery Housing", "paragraphs": ["SAMHSA makes funding available to states for recovery housing through certain grant programs for SUD prevention and treatment. Specifically, under its Substance Abuse Prevention and Treatment block grant, which totaled approximately $1.9 billion in fiscal year 2017, SAMHSA makes at least $100,000 available annually to each state to provide loans for recovery housing. States that choose to use this funding may provide up to $4,000 in loans to each group that requests to establish alcohol- and drug-free housing for individuals recovering from SUD. The loan can be used for start-up costs such as security deposits and must be repaid within 2 years. Loans are to be made only to nonprofit entities that agree to requirements for the operation of the recovery homes outlined in the authorizing statute, namely that (1) the homes must prohibit the use of alcohol and illegal drugs; (2) the homes must expel residents who do not comply with this prohibition; (3) housing costs, such as rent and utilities, are to be paid by the residents; and (4) residents are to democratically establish policies to operate the homes. According to SAMHSA officials, states are prohibited from using block grant funding other than the loan funding for recovery housing. However, the block grant application does not require states to provide a description of whether and how they will use the loan.", "SAMHSA has also made funding for recovery housing available under the agency\u2019s State Targeted Response to the Opioid Crisis grant (opioid grant), a 2-year grant program under which SAMHSA anticipated awarding up to $485 million for each of fiscal years 2017 and 2018. The opioid grant is intended to supplement states\u2019 existing opioid prevention, treatment, and recovery support activities, and SAMHSA requires most of states\u2019 funding to be used for opioid use disorder treatment services, such as expanding access to clinically appropriate, evidence-based treatment. States may also use their opioid grant funding for recovery housing and recovery support services\u2014which SAMHSA recognizes as part of the continuum of care\u2014such as establishing recovery homes and providing peer mentoring. (See the next section of this report for information on how states have used SAMHSA funding.)", "In addition to providing funding, SAMHSA has undertaken other initiatives related to recovery housing, including an assessment of needs for certifying recovery housing in the future. In 2017, SAMHSA held two recovery housing meetings that covered topics including research on emerging best practices in recovery housing, state recovery housing programs, available funding for recovery housing, and challenges that state entities have experienced regulating recovery homes in their states. SAMHSA contracted with NARR at the end of fiscal year 2017 to provide technical assistance and training to recovery housing organizations, managers, and state officials on NARR\u2019s quality standards and certification process, including presentations at three to four national and regional SUD conferences, such as those held by the National Association of State Alcohol and Drug Abuse Directors and other associations. NARR is also required to submit a final report to SAMHSA before the 1-year contract ends with recommendations for future needs for certifying recovery housing and establishing additional NARR state affiliates. SAMHSA officials told us that this is the agency\u2019s first contract with NARR, and SAMHSA plans to conduct an internal assessment at the end of fiscal year 2018 to determine next steps."], "subsections": []}, {"section_title": "Selected States Have Used SAMHSA and State Funding for Recovery Housing", "paragraphs": ["Two of the five states we reviewed used SAMHSA funding to help support recovery housing in their states from fiscal years 2013 through 2017, according to state officials. Texas was the only state in our review that used the loan funding available under SAMHSA\u2019s block grant. Officials from the Texas substance abuse agency told us that from fiscal years 2013 through 2017, the state used at least $150,000 of this funding annually to increase the number of Oxford Houses in the state and hire Oxford House outreach workers. Texas and Ohio also used a portion of their SAMHSA opioid grant funding for recovery housing. For example, in fiscal year 2017, officials from Ohio\u2019s substance abuse agency told us that the state used $25,000 of its approximately $26 million in opioid grant funding to support and train recovery housing operators, with the goal of increasing the number of recovery homes that accept individuals who receive medication-assisted treatment. The other states we reviewed\u2014 Florida, Massachusetts, and Utah\u2014did not opt to use the loan funding available under the SAMHSA block grant and did not use their SAMHSA opioid grant funding for recovery housing services, according to state officials.", "Four of the five states in our review\u2014Florida, Massachusetts, Ohio, and Texas\u2014have used state funding to establish and support recovery housing and recovery housing-related activities. For example, officials from the Texas substance abuse agency told us that, since 2013, the state legislature has authorized at least $520,000 annually for recovery housing. In fiscal years 2015 through 2017, the state used this funding for personnel costs and related expenditures, such as hiring seven Oxford House outreach workers and establishing a state loan fund of $200,000 to supplement the SAMHSA loan funding to support the establishment of an additional 25 new Oxford Houses. Officials from the Massachusetts substance abuse agency told us that the agency has received annual state appropriations in the amount of $500,000 since fiscal year 2015 to contract with the entities that inspect and certify recovery homes for the state certification program and to contract with the state NARR affiliate for technical assistance with developing recovery housing certification standards and supporting the certification process. State substance abuse agency officials from the fifth state, Utah, told us that the state did not use state funding to establish recovery homes during fiscal years 2013 through 2017. See table 2 for states\u2019 use of SAMHSA and state funding for recovery housing activities."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS. HHS did not have any comments.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, appropriate congressional committees, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact Katherine M. Iritani, Director, Health Care at (202) 512-7114 or iritanik@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: State Agencies and Related Entities GAO Interviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom Conahan, Assistant Director; Shana R. Deitch, Analyst-in-Charge; Kristin Ekelund; and Carmen Rivera-Lowitt made key contributions to this report. Also contributing were Lori Achman, Jennie Apter, Colleen Candrl, and Emily Wilson."], "subsections": []}]}], "fastfact": ["Recovery housing allows people recovering from addiction to alcohol or illicit drugs to live together in a safe, supportive, stable, and alcohol- and drug-free environment. However, there have been reports that some recovery housing owners are exploiting residents to profit from them\u2014for example, by sending them to doctors who bill their insurance for extensive and unneeded drug testing and share insurance payments with the owners.", "We looked at federal health care funding for recovery homes, as well as the actions of five states\u2014Florida, Massachusetts, Ohio, Texas, and Utah\u2014to investigate and oversee these homes in their states."]} {"id": "GAO-18-256", "url": "https://www.gao.gov/products/GAO-18-256", "title": "Financial Services Regulations: Procedures for Reviews under Regulatory Flexibility Act Need to Be Enhanced", "published_date": "2018-01-30T00:00:00", "released_date": "2018-01-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the 2007\u20132009 financial crisis, federal financial regulators have issued hundreds of rules to implement reforms intended to strengthen the financial services industry. Financial regulators must comply with rulemaking requirements such as RFA when drafting and implementing regulations. Congress included a provision in statute for GAO to study these financial services regulations annually.", "This annual report examines the extent to which and how financial regulators performed required RFA analyses and established policies and procedures for complying with RFA requirements, among other objectives. GAO reviewed the RFA section of financial regulators' Federal Register notices of rulemaking, related internal workpapers, and policies and procedures for conducting RFA analyses. GAO also determined the extent to which regulators' analyses reflected RFA requirements, guidance issued by the Office of Advocacy, and OMB guidance on regulatory analysis. GAO's review covered certifications in 66 final rules and regulatory flexibility analyses in 39 proposed and final rules."]}, {"section_title": "What GAO Found", "paragraphs": ["To comply with the Regulatory Flexibility Act (RFA), agencies generally must assess the rule's potential impact on small entities and consider alternatives that may minimize any significant economic impact of the rule (regulatory flexibility analyses). Alternatively, agencies may certify that a rule would not have a significant economic impact on a substantial number of small entities. GAO found several weaknesses with the analyses of six financial regulators (Board of Governors of the Federal Reserve System, Office of the Comptroller of the Currency, Federal Deposit Insurance Corporation, Securities and Exchange Commission, Commodity Futures Trading Commission, and Consumer Financial Protection Bureau) that could undermine the goal of RFA and limit transparency and public accountability, as shown in the following examples.", "Certifications. In certifications for rules that regulators determined may affect small entities, regulators conducted analyses to support their conclusions. GAO found many analyses across all regulators lacked key information the Small Business Administration's Office of Advocacy and the Office of Management and Budget (OMB) recommend. Missing information included discussions of data sources or methodologies, consideration of broader economic impacts of the rulemaking (such as cumulative economic impacts of regulations), and definitions of the criteria regulators used for \u201csubstantial number\u201d and \u201csignificant economic impact.\u201d", "Regulatory flexibility analyses. In many of the initial and final regulatory flexibility analyses that GAO reviewed, financial regulators' evaluation of key components required by RFA\u2014potential economic effects and alternative regulatory approaches\u2014was limited. Most regulators (five of six) also did not disclose data sources or methodologies used for their analyses, as OMB recommends. For most rules GAO reviewed, regulators (five of six) were unable to provide documentation supporting their regulatory flexibility analyses, as OMB recommends, including analyses supporting certification decisions. However, the extent of documentation varied by regulator.", "Federal internal control standards state the importance for agency management to establish policies and procedures to achieve objectives. All but one of the financial regulators have guidelines that restate RFA requirements for certification and for preparing regulatory flexibility analyses and provide some information on how to approach these analyses. However, these regulators generally have not developed specific policies and procedures to assist staff in complying with RFA, which may contribute to the weaknesses GAO identified in the analyses. For example, regulators' guidance generally did not include procedures for evaluating a rule's potential economic impact; identifying and assessing regulatory alternatives that could minimize impact on small entities; disclosing methodology and data sources; and creating and maintaining documentation that supports findings. By not developing and implementing comprehensive policies and procedures for RFA analyses, regulators' ability to consistently and effectively meet RFA objectives may be limited."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making a total of 10 recommendations among the six financial regulators reviewed, including that regulators develop and implement specific policies and procedures for consistently complying with RFA requirements and related guidance for conducting RFA analyses. Five agencies generally agreed with the recommendations and one did not provide written comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2010, Congress passed the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) in response to the 2007\u20132009 financial crisis that disrupted the U.S. financial system. Under the Dodd- Frank Act, federal agencies are directed or have the authority to issue hundreds of regulations to implement the act\u2019s provisions. Federal agencies\u2014including financial regulators\u2014normally must comply with various rulemaking requirements, such as the Regulatory Flexibility Act (RFA), as they draft and implement regulations. RFA was enacted in response to concerns about the effect federal regulations can have on small entities. RFA requires regulatory agencies to provide an assessment\u2014known as a regulatory flexibility analysis\u2014of a rule\u2019s potential impact on small entities and consider alternatives that may reduce burden. Alternatively, agencies may certify that a rule would not have a significant economic impact on a substantial number of small entities instead of performing a regulatory flexibility analysis. Furthermore, RFA requires agencies to review within 10 years of issuance existing rules that have a significant economic impact on a substantial number of small entities to determine if such rules should be continued without change or amended or rescinded to minimize their economic impact on a substantial number of small entities.", "Section 1573(a) of the Department of Defense and Full-Year Continuing Appropriations Act of 2011 amends the Dodd-Frank Act and includes a provision for us to annually review financial services regulations. We previously issued six reports under this mandate. trends in financial regulators\u2019 application of RFA requirements in recent rulemakings; the extent to which financial regulators performed analyses for rules they certified would not have a significant economic impact on small entities; the extent to which financial regulators performed regulatory flexibility analyses and the analyses\u2019 effects on their rulemakings; the extent to which financial regulators established policies, procedures, and criteria for complying with RFA requirements; and the extent to which financial regulators performed retrospective reviews required by RFA.", "To analyze trends in the application of RFA requirements by financial regulators in recent rulemakings, we reviewed the Federal Register notices for all final rules that the regulators promulgated from January 2010 through December 2016 (520 rules). We analyzed the notices to quantify how many rules (1) did not have a proposed rule, (2) included an initial regulatory flexibility analysis in the proposed rule, (3) included a final regulatory flexibility analysis in the final rule, (4) certified that RFA analyses were not required, and (5) had other characteristics, such as a final regulatory flexibility analysis and a certification that the analysis was not required.", "To examine the extent to which financial regulators performed analyses for rules they certified would not have a significant economic impact on a substantial number of small entities, we reviewed the RFA section of the Federal Register notices and the regulators\u2019 internal workpapers for all certifications made in the final rule (66 certifications) in calendar years 2015 and 2016. To examine the extent to which the regulators performed initial and final regulatory flexibility analyses and the analyses\u2019 effects on rulemakings, we reviewed the RFA sections of the Federal Register notices and the regulators\u2019 internal workpapers for all rules for which agencies performed an initial regulatory flexibility analysis in the proposed rule and a final regulatory flexibility analysis in the final rule. For any regulator that had fewer than three rules meeting these criteria, we selected all rules published in the prior year for which the agency performed an initial and final regulatory flexibility analysis until we reached three rules or a publication date of January 2013, for a total of 39 final rules.", "For the review of certifications and the regulatory flexibility analyses, we examined the extent to which they reflected RFA requirements and Small Business Administration\u2019s Office of Advocacy (Office of Advocacy) guidance on complying with RFA and other best practices for rulemaking. We also reviewed the workpapers and notices of joint rules for coordination on the certifications and regulatory flexibility analyses. We analyzed the workpapers and notices of the rules in which the regulators performed an initial and final regulatory flexibility analysis to identify the extent to which regulators revised draft and proposed rules as a result of regulatory flexibility analyses, the source of the changes, and the types and characteristics of changes that regulators made to draft and proposed rules.", "To examine the extent to which financial regulators established policies, procedures, and criteria for complying with RFA requirements, we obtained and reviewed internal agency policies, procedures, and guidance for conducting initial and final regulatory flexibility analyses or certifying that such analyses were not required. To examine the extent to which financial regulators performed retrospective reviews required by RFA, we searched the Federal Register for notices of upcoming section 610 reviews as well as results of section 610 reviews. We also obtained and reviewed financial regulators\u2019 documentation of section 610 reviews performed from calendar years 2006 through 2016. We interviewed staff from each of the financial regulators to understand the processes and analyses supporting their certification decisions, regulatory flexibility analyses, and retrospective reviews. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from January 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Financial Regulators", "paragraphs": [], "subsections": [{"section_title": "Regulators for the Banking Industry", "paragraphs": ["All depository institutions that have federal deposit insurance have a federal prudential regulator, which generally may issue regulations and take enforcement actions against institutions within its jurisdiction (see table 1).", "The securities and futures markets are regulated under a combination of self-regulation (subject to oversight by the appropriate federal regulator) and direct oversight by the Securities and Exchange Commission (SEC) and Commodity Futures Trading Commission (CFTC), respectively. SEC regulates the securities markets, including participants such as corporate issuers, securities exchanges, broker-dealers, investment companies, and certain investment advisers and municipal advisors. SEC\u2019s mission is to protect investors; maintain fair, orderly, and efficient markets; and facilitate capital formation. SEC also oversees self-regulatory organizations\u2014including securities exchanges, clearing agencies, and the Financial Industry Regulatory Authority\u2014that have responsibility for overseeing securities markets and their members; establishing standards under which their members conduct business; monitoring business conduct; and bringing disciplinary actions against members for violating applicable federal statutes, SEC\u2019s rules, and their own rules.", "CFTC is the primary regulator for futures markets, including futures exchanges and intermediaries, such as futures commission merchants. CFTC\u2019s mission is to protect market users and the public from fraud, manipulation, abusive practices, and systemic risk related to derivatives subject to the Commodity Exchange Act, and to foster open, transparent, competitive, and financially sound futures markets. CFTC oversees the registration of intermediaries and relies on self-regulatory organizations, including the futures exchanges and the National Futures Association, to establish and enforce rules governing member behavior. CFTC and SEC jointly regulate security futures (generally, futures on single securities and narrow-based security indexes). CFTC and SEC serve as primary regulators for certain designated financial market utilities.", "In addition, Title VII of the Dodd-Frank Act expands regulatory responsibilities for CFTC and SEC by establishing a new regulatory framework for swaps. The act authorizes CFTC to regulate swaps and SEC to regulate security-based swaps with the goals of reducing risk, increasing transparency, and promoting market integrity in the financial system. CFTC and SEC share authority over mixed swaps\u2014that is, security-based swaps that have a commodity component."], "subsections": []}, {"section_title": "Consumer Financial Protection Bureau", "paragraphs": ["The Dodd-Frank Act transferred consumer financial protection oversight and other authorities over certain consumer financial protection laws from multiple federal regulators to the Consumer Financial Protection Bureau (CFPB). The Dodd-Frank Act charged CFPB with responsibilities that include the following: ensuring that consumers are provided with timely and understandable information to make responsible decisions about financial transactions; ensuring that consumers are protected from unfair, deceptive, or abusive acts and practices and from discrimination; monitoring compliance with federal consumer financial law and taking appropriate enforcement action to address violations; identifying and addressing outdated, unnecessary, or unduly burdensome regulations; ensuring that federal consumer financial law is enforced consistently, in order to promote fair competition; ensuring that markets for consumer financial products and services operate transparently and efficiently to facilitate access and innovation; and conducting financial education programs.", "Furthermore, the Dodd-Frank Act gave CFPB supervisory authority over certain nondepository institutions, including certain kinds of mortgage market participants, private student loan lenders, and payday lenders."], "subsections": []}]}, {"section_title": "Regulatory Flexibility Act", "paragraphs": ["The uniform application of new or revised regulations can have a comparatively greater impact on smaller entities than on larger entities because the smaller entities have small staffs with which to face expanded demands and a smaller asset and income base with which to absorb increases in compliance costs. RFA was enacted in 1980 in part to address this disparity. The act requires that federal agencies, including the financial regulators, engaged in substantive rulemaking analyze the impact of proposed and final regulations on small entities and, when there may be a significant economic impact on a substantial number of small entities, to consider any significant regulatory alternatives that will achieve statutory objectives while minimizing any significant economic impact on small entities. RFA defines \u201csmall entity\u201d to include small businesses, small governmental jurisdictions, and certain small not-for-profit organizations.", "RFA does not seek preferential treatment for small entities, require agencies to adopt regulations that impose the least burden on small entities, or mandate exemptions for small entities. Rather, it requires agencies to examine public policy issues using an analytical process that identifies, among other things, barriers to small business competitiveness and seeks a level playing field for small entities, not an unfair advantage. Unless the head of the agency certifies that the proposed regulation would not have a significant economic impact upon a substantial number of small entities, RFA requires regulators to prepare an initial regulatory flexibility analysis for each draft rule that requires a notice of proposed rulemaking. These analyses must contain an assessment of the rule\u2019s potential impact on small entities and describe any significant alternatives to the rule that would reduce its burden on small entities while achieving statutory objectives (see table 2 for more information).", "RFA requires that regulators publish in the Federal Register their initial regulatory flexibility analysis, or a summary, with the proposed rule. Following a public comment period, RFA requires regulators to conduct a similar analysis when they promulgate the final rule\u2014the final regulatory flexibility analysis. This analysis must address any comments received on the initial regulatory flexibility analysis and include a description of the steps the agency took to minimize the rule\u2019s significant economic impact on small entities, consistent with statutory objectives. Agencies then must publish the final analysis, or a summary, with the final rule.", "If the head of the agency certifies in the Federal Register that the rule would not have a significant economic impact on a substantial number of small entities, agencies do not have to conduct the initial or final analysis. Certifications must include a statement providing a factual basis for the certification. Agencies may make a certification in lieu of the initial or final analysis, and can choose to certify at both points. Figure 1 illustrates the decision process that agencies must follow to comply with RFA.", "Section 610 of RFA requires agencies to review, within 10 years of a final rule\u2019s publication, those rules assessed as having a significant economic impact on a substantial number of small entities to determine if they should be continued without change, amended, or rescinded (consistent with statutory objectives) to minimize any significant economic impact on small entities. Section 610 requires that agencies publish in the Federal Register a list of the rules that have a significant economic impact on a substantial number of small entities and are to be reviewed pursuant to section 610 during the upcoming year. These notices alert the public to the upcoming review and permit interested parties to submit their comments on the rule\u2019s impact on small entities.", "The Dodd-Frank Act, which established CFPB, amended RFA to impose additional rulemaking requirements for CFPB for certain proposed rules. Specifically, when CFPB conducts rulemakings it expects will have a significant economic impact on a substantial number of small entities it must convene Small Business Review Panels, comprising employees from CFPB, the Small Business Administration\u2019s Chief Counsel for Advocacy, and Office of Management and Budget\u2019s (OMB) Office of Information and Regulatory Affairs. The panels must seek direct input from a representative group of small entities that would be affected by CFPB\u2019s rulemakings. The panels must be conducted before publication of an initial regulatory flexibility analysis (in effect, before the proposed rule is issued for public comment).", "RFA designates certain responsibilities to the Small Business Administration\u2019s Chief Counsel for Advocacy, including monitoring agency compliance with RFA and reviewing federal rules for their impact on small businesses. Executive Order 13272 requires the Office of Advocacy to provide notifications about RFA requirements and training to all agencies on complying with RFA. The Office of Advocacy published guidance on complying with RFA in 2003 (updated in 2012 and August 2017), which was designed to be a step-by-step guide for agency officials.", "The Small Business Administration publishes size standards to determine eligibility for classification as a small entity. Generally, to qualify as a small entity the annual asset threshold for banks is $550 million in assets; for financial investment and related activities, the annual revenues threshold is $38.5 million. Most agencies rely on these size standards; however, RFA also sets forth a procedure that permits agencies to formulate their own definitions of small entities."], "subsections": []}]}, {"section_title": "Many Rules Were Not Subject to RFA Requirements and Regulators Concluded Many Would Not Significantly Affect Small Entities", "paragraphs": [], "subsections": [{"section_title": "Regulators Determined That Almost 40 Percent of Recent Rules Were Not Subject to RFA Requirements", "paragraphs": ["Rules that do not have a proposed rule are not subject to RFA requirements, such as analyzing the rule\u2019s effects on small entities and considering alternatives. Financial regulators promulgated 520 rules (483 final and 37 interim final) during calendar years 2010\u20132016. Of those, RFA requirements were not applicable in 39 percent (204 rules) because the regulators did not publish a proposed rule. The regulators published a proposed rule for the other 316 final rules. This result is consistent with our prior analysis of rulemaking government wide. In December 2012, we found that about 35 percent of major rules and about 44 percent of nonmajor rules published during calendar years 2003\u20132010 did not have a proposed rule. The percentage of rules finalized without a proposed rule and therefore not subject to RFA requirements varied by regulator. As shown in figure 2, CFPB had the largest percentage (53 percent) of rules not subject to RFA requirements and CFTC the smallest percentage (16 percent).", "In their rulemakings, the regulators gave several reasons for not publishing a proposed rule. The Administrative Procedure Act (APA), which outlines the process for informal rulemaking, includes six broad categorical exceptions to publishing a proposed rule (for example, rules dealing with agency organization and procedure). Additionally, APA provides that an agency may forgo a notice of proposed rulemaking when it finds for \u201cgood cause\u201d that such notice is \u201cimpractical, unnecessary, or contrary to the public interest.\u201d We found that the regulators used such exceptions for a number of the rules we reviewed. For example, in December 2015, the Office of the Comptroller of the Currency (OCC), the Board of Governors of the Federal Reserve System (Federal Reserve), and the Federal Deposit Insurance Corporation (FDIC) used the good- cause exception to publish a joint rule to adjust the asset-size thresholds for small and intermediate banks and savings associations related to performance standards under the Community Reinvestment Act without a proposed rule. According to the Federal Register notice, the agencies had no discretion on the computation or timing of the changes, which were based on a regulation that previously had been published for public comment before being finalized. In another rule published in October 2013, SEC made changes to the filer manual for its Electronic Data Gathering, Analysis, and Retrieval System based on updates to the system and did not publish a proposed rule because the rule changes related solely to agency procedures or practice. According to CFPB officials, the majority of final CFPB rules issued during this time period without a proposed rule involved technical\u2014and in many cases non- discretionary\u2014adjustments of statutory or regulatory thresholds to account for inflation.", "While RFA requirements do not apply when an agency does not publish a proposed rule, all the financial regulators (except OCC) occasionally performed some RFA evaluation in rules without a proposed rule. For example, each agency, except for OCC, certified that at least one of the final rules they promulgated without publishing a proposed rule (within our time frame) would not have a significant economic impact on a substantial number of small entities. The Federal Reserve most frequently performed some RFA analyses in these rules, although such analyses were not required. Of 51 rules without a proposed rule, the Federal Reserve certified in 7 rules and performed an initial or final regulatory flexibility analysis in 10 rules."], "subsections": []}, {"section_title": "Most Recent Rules Subject to RFA Requirements Were Certified as Not Producing Significant Impacts on Small Entities, but There Were Differences among Agencies", "paragraphs": ["For the 316 rules subject to RFA requirements from 2010 through 2016, regulators certified that most would not have a significant economic impact on a substantial number of small entities, although the frequency with which individual regulators certified varied. Such certifications may be made at either the proposed rule or final rule stage, and a certification in a final rule may be preceded by an initial regulatory flexibility analysis in the proposed rule. When certifying, the regulators most often made such certifications in both the proposed and final rules (63 percent of analyses in rules subject to RFA requirements) and did not perform regulatory flexibility analyses. Certifications of final rules made after performing an initial regulatory flexibility analysis accounted for another 4 percent. As shown in figure 3, CFPB, CFTC, FDIC, and OCC certified most-to-nearly- all of their final rules that were subject to RFA requirements, while the Federal Reserve rarely certified final rules, and SEC certified almost half. According to Federal Reserve officials, the agency generally performed a full regulatory flexibility analysis for almost all rulemakings regardless of the rule\u2019s impact on small entities.", "This pattern was generally consistent across our time period (see fig. 4). The Federal Reserve usually performed an initial and final regulatory flexibility analysis, while the other agencies, except SEC, rarely did. SEC\u2019s RFA analyses were the most variable over our time period. The spikes in analyses were generally due to the small number of rules promulgated each year. For example, in 2013, OCC promulgated three rules subject to RFA requirements, performing an initial and final regulatory flexibility analysis in one (33 percent) and certifying in two (67 percent). SEC published seven rules in 2013, completing an initial and final regulatory flexibility analysis in all of them.", "While the Federal Reserve usually performed initial and final regulatory flexibility analyses, it concluded that almost all of its rules would not significantly affect small entities. In 86 percent of its analyses (54 of 63), the Federal Reserve concluded that the rule would not have a significant economic impact on a substantial number of small entities (see fig. 5). In addition, FDIC concluded that almost all of its rules (5 of 6) in which it performed a final regulatory flexibility analysis would not significantly affect small entities, although as previously mentioned, FDIC certified almost all its final rules subject to RFA requirements. (We discuss the Federal Reserve\u2019s and FDIC\u2019s RFA analyses in more detail later in this report.) SEC, CFPB, and CFTC also concluded that at least one of their rules would not significantly affect small entities after performing a final regulatory flexibility analysis. For the CFPB rule, the Federal Reserve first proposed the rule and performed the initial regulatory flexibility analysis before certain rulemaking authorities were transferred to CFPB for the final rule."], "subsections": []}]}, {"section_title": "Certifications We Reviewed Were Not Always Consistent with Office of Advocacy Guidance and Other Best Practices", "paragraphs": ["We reviewed Federal Register notices and the regulators\u2019 internal workpapers for all certifications made in the final rule (66 certifications) in calendar year 2015 and 2016 to determine the basis for the certifications and the extent to which the analyses were consistent with RFA requirements and Office of Advocacy\u2019s guidance and other best practices. As previously discussed, RFA requires that agencies provide the factual basis for their certifications in the Federal Register. In most certifications, the agencies provided a factual basis and concluded the rule would not apply to small entities or have any economic impact. In others, the agencies found the rule would have some economic impact on small entities, but concluded that the impact would not be significant for a substantial number of small entities. In those instances, we found that the factual basis provided for most certifications across all regulators lacked key components recommended by the Office of Advocacy for understanding the analyses regulators used to support their conclusion. We also found that while most agencies relied on the Small Business Administration\u2019s definitions of small entities for use in their RFA analyses, two agencies relied on alternative definitions of small entities, some of which have not been updated in more than 35 years."], "subsections": [{"section_title": "Most Certifications in 2015 and 2016 Concluded the Rule Would Not Apply to Small Entities or Have Any Economic Impact", "paragraphs": ["In almost half of the certifications (31 of 66) we reviewed, regulators concluded the rule would apply to no or few small entities (see table 3). According to the regulators, these rules generally regulated activities in which small entities do not engage, pertained to the internal processes of the agency, or applied only to entities that were not small as defined by the Small Business Administration or the agency. For example, in a rule on recovery planning, OCC determined that the rule did not have an impact on small entities because it applied only to banks with $50 billion or more in assets, which are not small entities based on the Small Business Administration\u2019s definition.", "In 12 certifications, the agencies concluded the rules would have no economic impact regardless of whether small entities were affected and therefore did not require regulatory flexibility analyses. According to the regulators, most of these certifications applied to rules that did not create new regulatory requirements, eliminated duplicative rules, or established optional specifications. For example, FDIC published a rule in October 2015 that consolidated into a single part Fair Credit Reporting regulations for all institutions FDIC regulates. According to the Federal Register notice, the rule eliminated redundant requirements and aligned FDIC\u2019s definitions with CFPB rules that were substantively similar. Regulators generally used the current state of regulations as the baseline for these determinations. For example, when analyzing the economic effects of a new rule that consolidated duplicative regulations, the regulator compared the compliance costs of the new rule with the costs small entities already incurred to comply with the duplicative regulations.", "Additionally, regulators concluded in 5 of 66 certifications that the rule would have a beneficial impact on small entities. For these rules, agencies concluded they reduced regulatory burden, eliminated regulations, or exempted certain entities.", "In almost a third (18 of 66) of the certifications, the agencies found that the rule would have some economic impact on small entities, but determined that the impact would not be significant for a substantial number of small entities. For example, in a rule that required specified entities to become members of an association, CFTC identified as an economic impact the costs of membership dues and attorney fees related to completing registration filings and preparing for required audits. But it determined that the costs were not significant for a substantial number of the specified small entities. In the seven joint rules we reviewed, we determined regulators conducted their own certification analysis independent of other agencies, although they generally reached the same conclusion to certify (except for the Federal Reserve, which generally treated RFA analysis differently, as discussed later)."], "subsections": []}, {"section_title": "Two Agencies Used Alternative Definitions of Small Entities That May Be Outdated", "paragraphs": ["As previously noted, the Federal Reserve, FDIC, and OCC rely on the Small Business Administration\u2019s definition of small banks for RFA purposes. CFPB also relies on the Small Business Administration\u2019s definitions of small entities; for example, a business engaged in automobile financing is considered small if its revenues are $38.5 million or less. In contrast, CFTC and SEC previously established alternative definitions of small entities for the purposes of RFA that the agencies used to conclude that most of their rules (10 of 15 for CFTC and 9 of 12 for SEC) would not apply to small entities.", "But some of these small entity definitions have not been updated in more than 35 years. In a 1982 policy statement, CFTC published its first set of RFA definitions, which covered designated contract markets, futures commission merchants, and commodity pool operators, among others. In subsequent years, CFTC modified its definitions of small entities to exclude several other groups of entities that it regulates, such as eligible contract participants and major swap participants. SEC originally established definitions for small entities through a rule published in the Federal Register in 1982 after consulting with the Office of Advocacy. The agency subsequently updated some of its definitions in 1986 and 1998, although others have not been updated at all.", "In an October 2017 report to the President, the Department of the Treasury recommended CFTC and SEC review and update their small entity definitions for RFA purposes to ensure their RFA analyses appropriately consider small entities. According to CFTC officials, the agency has been reviewing its small entity definitions since April 2017 as part of its working group to update the agency\u2019s RFA practices. SEC staff told us they had no comment on Treasury\u2019s recommendation."], "subsections": []}, {"section_title": "Analyses in Some Certifications Lacked Key Components Recommended by Office of Advocacy", "paragraphs": ["For the 18 certifications in which regulators determined rules would have some economic impact on small entities, they conducted additional analyses to determine that the impact was not significant for a substantial number of small entities. We found that the factual basis provided for many of these certifications lacked key information (discussions of data sources or methodologies and of broader economic impacts, or definitions for key criteria) for understanding the analyses regulators used to support their conclusion.", "The Office of Advocacy interprets RFA\u2019s factual basis requirement to mean that a certification should include, at a minimum, why the number of entities or the size of the economic impact justifies the certification. In its RFA guide, the Office of Advocacy details the components regulators should include in their certification discussion to obtain meaningful public comment and information on the rule\u2019s impact on small entities. These components include a description and estimate of the economic impact, criteria for \u201csignificant economic impact\u201d and \u201csubstantial number,\u201d and a description of any uncertainties in the analysis, including sensitivity analysis when appropriate. The Office of Advocacy guidance states that agencies\u2019 reasoning and assumptions underlying the analyses used to support their certifications, including data sources, should be explicit in the Federal Register notices. Additionally, when estimating significant economic impact, the guidance states agencies should not view impact in absolute terms, but relative to the size of the business, the size of the competitor\u2019s business, and the impact on larger competitors. According to the Office of Advocacy, broader economic impacts (such as a disparity in impact on small entities that affects their ability to compete) could be significant.", "Data sources or methodologies. In most of these certifications (15 of 18), regulators did not describe or did not fully describe their methodology or data sources for their conclusions. In addition to the Office of Advocacy\u2019s RFA guide, OMB guidance on regulatory analysis\u2014regulatory agencies\u2019 evaluation of the likely consequences of rules\u2014states that agencies should clearly set out the basic assumptions, methods, and data underlying the analysis and discuss the uncertainties associated with the estimates. While independent regulatory agencies, including those in our review, are not required to follow the OMB guidance, it provides a strong set of analytical practices relevant to agency rulemakings. For these certifications, regulators generally provided partial sources and methodology for their conclusions. Examples of incomplete discussions include the following: In its rule requiring specified entities to become members of an association, CFTC detailed its source and methodology for estimating the hourly labor costs of retaining a lawyer, as mentioned above, but did not provide the reasoning for its estimate of the number of hours that a lawyer would spend counseling entities with respect to the rule\u2019s requirements.", "In a joint rule related to homeowner flood insurance, OCC provided the source for the estimated number of affected small entities, but provided no source or methodology for its estimated economic impact of $6,000.", "In a rule amending reporting requirements for the dissemination of security-based swap information, SEC said that it partially relied on its \u201cown information\u201d without explanation for declaring that small entities do not participate in security-based swap markets.", "In a joint rule implementing the minimum requirements in the registration and supervision of appraisal management companies, the Federal Reserve estimated a range of small entities that might be affected but did not provide the source or methodology for how it approximated the number.", "CFPB fully discussed sources and methodology in some of its certifications but not others. In three of five certifications that required additional analysis, CFPB provided thorough descriptions of its methodology and data sources for its conclusions. The agency detailed its assumptions and uncertainties in these rules and performed a sensitivity analysis to ensure the rules would not significantly affect small entities. However, in the other two certifications, CFPB did not discuss all of the data sources on which it relied.", "Broader economic impacts. The regulators\u2019 certifications generally did not address broader economic impacts such as cumulative effects, competitive disadvantage, or disproportionality of effects and focused most of the analysis on specific compliance costs. In addition to the Office of Advocacy\u2019s guidance on analyzing broader economic impacts, Executive Order 13563 requires agencies to consider the cumulative economic impacts of regulations during the rulemaking process, which reinforces the agencies\u2019 obligations under RFA. While this executive order is not binding on independent regulatory agencies, such as those in our review, it represents a best practice for rulemaking.", "Of the 18 certifications that contain additional analysis, agencies discussed some aspect of broader economic impacts in 3. CFPB considered future changes in market share for small entities because of new requirements in one rule and whether the regulation placed small entities at a competitive disadvantage in another rule. OCC also examined a rule\u2019s impact on small entities\u2019 competitiveness and profitability in one certification. None of the regulators discussed cumulative effects in their certifications.", "Defining key criteria. Regulators generally did not define the criteria they used for \u201csubstantial number\u201d and \u201csignificant economic impact\u201d in their certifications. RFA does not define these terms. The Office of Advocacy has left it up to agencies to determine their own criteria, which it recommends that agencies discuss in their certifications. None of the regulators defined what would constitute a substantial number of small entities for the rule in the Federal Register notices. OCC was the one agency to define its criteria for a significant economic impact in its rulemaking, although it did not include this definition in all of its certifications. The other agencies did not define significant economic impact for the rule in the Federal Register notices. While CFPB did not disclose its criteria in the Federal Register notices, it defined these criteria in its internal workpapers for two certifications. Additionally, many of the analyses (13 of 18) did not discuss the significance of the rule\u2019s costs relative to the size of the business, such as profits, revenues, or labor costs.", "Limited information. In addition, three of the certifications we reviewed included none of the Office of Advocacy\u2019s suggested components. The factual basis provided for these certifications did not include a description of the number of affected entities, the size of the economic impacts, or the justification for the certification. Two FDIC rules related to revisions of the treatment of financial assets transferred in connection with a securitization provided no additional information beyond the declarative statement that the agency certified that the rule would not have a significant economic impact on a substantial number of small entities. Additionally, an OCC certification in a joint rule that formalized the calculation method for mortgage loans exempted from certain requirements provided little information, although an internal agency workpaper detailed the number of small entities affected and the estimated economic impact that supported the certification. OCC officials said that the agency will comply with instructions from its rulemaking procedure guide, which was updated in August 2016. According to the guide, certifications should include additional information beyond the certification statement, such as number of affected small entities, size of the economic impact, and reason for the certification.", "The regulators\u2019 guidance for complying with RFA generally does not include policies and procedures for helping to ensure consistent and complete RFA analyses. (We discuss the regulators\u2019 guidance later in this report.) Without policies and procedures that would help ensure that key components were incorporated in certification assessments\u2014including disclosing the methodology and data sources of economic analyses and considering potential broad economic impacts\u2014regulators may be limiting the effectiveness of their reviews. In turn, such reviews hinder the achievement of RFA\u2019s goal. For example, incomplete disclosure of methodology and data sources could limit the public and affected entities\u2019 ability to offer informed comments in response to regulators\u2019 certification assessments in proposed rules."], "subsections": []}]}, {"section_title": "Many RFA-Required Analyses Had Weaknesses", "paragraphs": ["In many recent regulatory flexibility analyses, the evaluation of key components\u2014potential economic effects and alternative regulatory approaches\u2014was limited. Many final rules described changes to limit burden, and few regulatory flexibility analyses concluded rules would have a significant impact on small entities. For most rules we reviewed, regulators were unable to provide documentation supporting their regulatory flexibility analyses."], "subsections": [{"section_title": "Regulatory Flexibility Analyses Often Included Limited Evaluation of Costs and Alternatives", "paragraphs": ["Our review of recent regulatory flexibility analyses found that in many cases, the evaluation of key components\u2014potential economic effects and alternative regulatory approaches\u2014was limited, although the extent varied by regulator. RFA requires the initial and final analyses to include information to assist the agency, regulated entities, and the public in evaluating the potential impact of rules on small entities (see sidebars). The most important components include the assessment of a rule\u2019s potential economic effects on small entities\u2014such as compliance costs\u2014 and the identification and evaluation of alternative regulatory approaches that may minimize significant economic effects while achieving statutory objectives. The Office of Advocacy\u2019s guide on RFA compliance explains that an agency principally should address these components in an initial regulatory flexibility analysis. feasible\u2014of the number of small entities to which the rule will apply.", "Description of the projected reporting, recordkeeping, and other compliance requirements of the rule, including the type of necessary professional skills. Identification\u2014to the extent practicable\u2014 of all relevant federal rules that may duplicate, overlap, or conflict with the proposed rule. goal of RFA. See appendixes V\u2013XII for a summary of findings for each of the six regulators.", "We reviewed regulatory flexibility analyses for recent rulemakings to assess the extent to which they included these and other elements and to examine the outcome of the analyses. For each regulator, we selected all final rules published in 2015 and 2016 for which the agency performed an initial and final regulatory flexibility analysis. For regulators with fewer than three such rules, we included rules published in prior years (on a full- year basis) until we reached three rules or 2013. See table 4 for the number of rules selected for each regulator. For each rule, we reviewed Federal Register notices for the proposed and final rules and supporting documentation on the initial and final regulatory flexibility analyses. small entities to which the rule will apply or explanation of why no such estimate is available. the significant economic impact on small entities consistent with statutory objectives, including the reasons for selecting the alternative adopted in the final rule and why each of the other alternatives was rejected.", "In meeting the requirements, agencies may provide either a quantifiable or numerical description of the rule\u2019s effects or alternatives or more general descriptive statements if quantification is not practicable or reliable.", "Many of the Federal Reserve\u2019s regulatory flexibility analyses lacked some required components and contained limited information and analysis. As previously discussed, the Federal Reserve generally performed regulatory flexibility analyses for its rulemakings regardless of the rule\u2019s potential impact on small entities. The majority (11 of 17) of the Federal Reserve\u2019s analyses stated that the rules either did not apply to small entities or lacked compliance requirements. Nevertheless, the Federal Reserve conducted regulatory flexibility analyses in which nearly all of the initial (14 of 17) and final analyses (15 of 17) concluded that the rule would not have a significant economic impact on small entities, which generally is a basis for certification. Examples included rules on capital and liquidity requirements applicable only to large banking organizations and rules that amended official regulatory interpretations or repealed regulations. None of the regulatory flexibility analyses performed by other regulators indicated that a rule did not apply to small entities or lacked compliance requirements. For additional information, see appendix V.", "More specifically, the regulatory flexibility analyses for the 11 rules that did not apply to small entities or impose compliance requirements were minimal. The analyses did not describe or estimate compliance costs, identify alternatives, or include other items. In the case of alternatives, the analyses either stated that there were no alternatives that would further minimize economic impact on small entities or requested comments on any alternatives. The analyses did not include some other information that could be available and relevant such as the reasons or need for the rule.", "Because the purpose of a regulatory flexibility analysis is to evaluate a rule\u2019s potential effects on small entities, key components of the analysis may not be relevant or meaningful in such cases. For example, there may be no compliance costs to estimate, alternatives to consider, necessary professional skills to describe, or actions that could minimize impact on small entities. With their focus largely on explaining why the rule would not affect small entities rather than examining effects of compliance requirements and potential alternatives to limit such effects, such cases resemble certifications more than regulatory flexibility analyses. See appendix V for further information on the Federal Reserve\u2019s regulatory flexibility analyses.", "The Federal Reserve\u2019s regulatory flexibility analyses for six rules that might impose compliance requirements on small entities also had limitations. Specifically, most of the analyses (both initial and final) contained limited evaluation of the potential economic impact on small entities and lacked other components. RFA directs agencies to provide a quantifiable or numerical description of the effects of a proposed rule and allows a qualitative description in lieu of a numerical evaluation in instances when quantification is not practicable or reliable.", "Most of the analyses for rules that might impose compliance requirements on small entities did not include a description of potential compliance costs. Nearly all (five of six) did not quantify compliance costs in either the initial or final analyses or explain why such assessments were not possible. For two rules, the Federal Reserve\u2019s assessments of economic effects and compliance costs generally consisted of descriptive statements on the rule\u2019s provisions and coverage. For example, the final analysis for a rule on margin and capital requirements for participants in financial swap transactions stated that, among other things, all financial end users would be subject to the variation margin requirements and documentation requirements of the rule but that the Federal Reserve believes such treatment is consistent with current market practice and should not represent a significant burden on small financial end users.", "Although containing minimal information, analyses in three of the six rules indicated that the rules would have a largely beneficial impact for small entities by reducing burden or offering positive economic effects. These analyses generally lacked clear descriptions of any compliance requirements that would apply to small entities. For example, the initial and final analyses for a rule involving the Federal Reserve\u2019s emergency lending authority stated that participants at a minimum likely would be required to pay interest on loans extended to them and to keep records, but that the positive economic impact of receiving a loan likely would outweigh any economic burden. The initial analysis for another rule stated that the projected reporting, recordkeeping, and other compliance requirements were expected to be minimal but did not describe the requirements or any associated costs.", "Alternatives. Few of the Federal Reserve\u2019s initial regulatory flexibility analyses identified alternatives to the proposed rule and some did not explain why there were no alternatives. Although most of the rules\u2019 analyses (10 of 17) described alternatives, all but 2 stated that there were no alternatives that would have less economic impact on small entities. Of the 6 rules that might impose compliance requirements on small entities, 2 included such a statement, 1 had no mention of alternatives, and another solicited comments on any significant alternatives that would reduce burden associated with the proposed rule. Analyses for the other two rules described alternative approaches included in the proposed rule to limit economic impact on small entities. For example, one of the rules incorporated an applicability threshold for certain compliance requirements and the other exempted small entities from some of the rule\u2019s provisions and applied a longer transition period.", "Other Components. Several of the final regulatory flexibility analyses also lacked other RFA-required components. In particular, only three of the six rules described steps taken to minimize economic impact on small entities and reasons for selecting the alternative adopted in the final rule. The other three rules did not include either component. The reasons cited for selecting the approach in the final rule generally reflected the actions taken by the agency to mitigate the rule\u2019s economic impact on small entities."], "subsections": [{"section_title": "Other Regulators\u2019 Regulatory Flexibility Analyses Generally Included Most Required Components but Some Analyses Had Weaknesses", "paragraphs": ["For the other financial regulators (FDIC, CFPB, CFTC, OCC, and SEC), most of the regulatory flexibility analyses we reviewed included the components required by RFA, but the extent of the analyses varied among regulators, with some lacking required information or having other limitations.", "For the majority (three of four) of FDIC\u2019s analyses, the agency indicated that the rules were not subject to RFA but that it voluntarily undertook the analyses to help solicit public comments on the rules\u2019 effects on small entities. For these three rules, FDIC\u2019s analyses described and quantified each of the rule\u2019s compliance costs and concluded that each rule would not have a significant economic impact on small entities, but other components were missing. For example, these rules\u2019 analyses focused on illustrating how the rule would not have an economic impact on small entities and did not include other required components including a description and assessment of regulatory alternatives. The initial and final analyses for each of the rules were nearly identical and did not include statements about alternatives, any issues raised in public comments, or steps to minimize impact on small entities, among other missing components. In that regard, FDIC\u2019s analyses for these rules\u2014similar to many of the Federal Reserve\u2019s analyses\u2014resembled a certification. The regulatory flexibility analyses for the fourth FDIC rule that we reviewed included all required components.", "CFPB\u2019s regulatory flexibility analyses generally included all required components. However, for three of the seven rules neither the initial nor final analyses estimated compliance costs for small entities. In some cases, the analyses stated that costs likely would be minimal or described difficulties in estimating costs such as a lack of information about the current practices of subject entities. Of the analyses that included cost estimates, several did not quantify all identified costs or explain why such estimates were not available. Unlike other regulators we reviewed, CFPB is required to seek input from small entities during the rulemaking process (through Small Business Review Panels) when proposed rules are expected to have a significant economic impact on a substantial number of small entities. CFPB\u2019s regulatory flexibility analyses often incorporated information received from these panels in its assessment of potential economic effects and regulatory alternatives. For example, several analyses that estimated compliance costs relied on information from small entities that participated in the panel process as well as data from other sources. The description of regulatory alternatives often reflected comments received from small-entity representatives. Although each of CFPB\u2019s initial analyses described alternatives, in some cases, it was not clear whether CFPB had identified alternatives of its own.", "CFTC performed initial and final analyses for one rule during the period we reviewed and the analyses had limited evaluation of potential effects on small entities. The analyses did not estimate the number of affected entities or compliance costs, but indicated that the rule\u2019s compliance requirements would be minimal while concluding the rule likely would have a beneficial impact on small entities. The discussion of compliance requirements in the final analysis stated only that the rule would relieve affected entities from certain compliance requirements, although the initial analysis stated that the proposed rule would impose a new requirement on certain entities\u2014which could include small entities\u2014to annually provide CFTC with a notice about certain trading activity. In other sections of the final rule, CFTC discussed its decision to address concerns raised in public comments by not adopting the notice requirement.", "OCC also had one rule with initial and final regulatory flexibility analyses, and it included nearly all required components. The rule revised capital requirements for banking organizations and was issued jointly with the Federal Reserve. The initial analysis described multiple alternative approaches that it stated were included in the proposed rule to incorporate flexibility and reduce burden for small entities. However, other than listing the alternatives and requesting comment, the analysis does not discuss or evaluate how the options minimize economic impact on small entities. The regulatory flexibility analysis in the final rule notes that the Small Business Administration\u2019s Chief Counsel for Advocacy submitted a comment letter in which it encouraged the agencies to provide more detailed discussion of the alternatives and the potential burden reductions associated with them.", "SEC\u2019s regulatory flexibility analyses also included most components, but some rules\u2019 assessment of compliance costs and alternatives had limitations. Specifically, although all of the rules described compliance requirements, some did not describe (four of nine) or estimate (five of nine) the costs they might impose on subject entities. For example, in December 2015, SEC published a proposed rule requiring resource extraction issuers to disclose certain payments. The proposed rule\u2019s initial regulatory flexibility analysis described requirements for the disclosures. However, the regulatory flexibility analysis did not discuss or evaluate potential compliance costs and concluded with statements on alternatives and a request for comments.", "Many of the SEC rules we reviewed focused on reasons why alternatives were not appropriate and did not discuss specific options for minimizing economic impact on small entities. As part of describing any significant alternatives to the proposed rule which accomplish statutory objectives while minimizing any significant economic impact on small entities, RFA requires that initial regulatory flexibility analyses discuss alternatives such as the establishment of differing compliance or reporting requirements or timetables that take into account the resources available to small entities; the clarification, consolidation, or simplification of compliance and reporting requirements under the rule for such small entities; the use of performance rather than design standards; and an exemption from coverage of the rule, or any part thereof, for such small entities.", "For five of the nine rules, the initial analysis discussed the general types of alternatives listed in RFA but did not describe specific options for implementing them in the proposed rule. For example, the initial regulatory flexibility analyses did not identify how compliance or reporting requirements might be altered for small entities or in what ways requirements could be simplified. One of the rules involved changes to SEC\u2019s requirements for the reporting and disclosure of information by registered investment companies. The initial analysis stated that the agency had considered (1) establishing different reporting requirements or frequency to account for resources available to small entities, (2) using performance rather than design standards, and (3) exempting small entities from all or part of the proposal. However, the analysis lacked details about what different reporting requirements, frequencies, performance standards, or partial exemptions it considered for small entities.", "In addition, for seven of the rules\u2014including the five rules considering only the general alternative types\u2014the discussion was limited to describing the reasons why regulatory alternatives were not appropriate. The reasons cited typically included that the different regulatory approaches would not be consistent with the agency\u2019s goals or statutory objectives. For example, the analysis for SEC\u2019s rule on reporting and disclosure by registered investment companies concluded that the agency believed that establishing different reporting requirements or frequency for small entities would not be consistent with SEC\u2019s goal of industry oversight and investor protection. However, for this and the other proposed rules, the analyses generally did not examine the extent to which the considered alternatives could limit the rule\u2019s economic impact on small entities. In another case, a rule\u2019s final analysis stated that one public commenter raised concerns that the initial analysis did not identify significant alternatives, including that it only considered alternatives related to exempting small business from the proposed rules. Several of the commenters suggested additional alternatives for reducing burden. The lack of specific details about potential alternatives may limit the usefulness of public comments on SEC\u2019s regulatory flexibility analyses and its ability to identify alternatives that could reduce economic impacts on small entities while achieving a rule\u2019s objectives."], "subsections": []}, {"section_title": "Many Analyses Did Not Disclose Information Sources or Methodology", "paragraphs": ["Most regulators (five of six) did not disclose the data sources or methodologies used for estimating the number of subject small entities or compliance costs for the regulatory flexibility analyses we reviewed. OMB guidance on regulatory analysis\u2014regulatory agencies\u2019 anticipation and evaluation of the likely consequences of rules\u2014states that agencies should clearly set out the basic assumptions, methods, and data underlying the analysis and discuss the uncertainties associated with the estimates. While independent regulatory agencies, such as those in our review, are not required to follow the OMB guidance, it provides a strong set of analytical practices relevant to agency rulemakings that serves as best practices for all agencies. Many initial analyses (11 of 23) and final analyses (11 of 24) that estimated the number of subject small entities did not describe the data source used for the estimate. Each of the regulators except for CFPB (which included data sources) and CFTC (whose only rule did not include an estimate) had at least one rule that did not disclose the data source for the estimate of subject small entities.", "Furthermore, many analyses that estimated a rule\u2019s compliance costs (5 of 12 initial and 5 of 14 final) did not describe the information sources used to calculate the projections. The analyses for several additional rules included data sources for some but not all cost estimates. Except for CFPB, each of the regulators that estimated compliance costs had at least one rule that lacked information on data sources for some estimates. For example, the regulatory flexibility analyses for a joint OCC and Federal Reserve rule discussed how the agencies estimated costs of implementing new capital requirements but did not disclose the data sources or methodology used to calculate the costs of creditworthiness measurement activities. A lack of information necessary to understand how an agency evaluated a rule\u2019s economic impact on small entities may limit the extent to which the public and other interested parties can meaningfully comment on the analyses."], "subsections": []}]}, {"section_title": "Few Rules Found to Have a Significant Impact and Many Described Changes to Reduce Burden", "paragraphs": ["Although a regulatory flexibility analysis is required only for rules that may have a significant economic impact on a substantial number of small entities, few final analyses concluded that the rules would have such an impact. Specifically, the final analysis for only 4 of 39 rules that we reviewed stated that the rule likely would have a significant economic impact. Final analyses for the majority of rules (20 of 39) concluded there would be no significant impact and the remainder did not have a clear conclusion. The Federal Reserve accounted for 15 of those 20 analyses. As discussed previously, nearly all of the Federal Reserve\u2019s regulatory flexibility analyses concluded a rule would not have a significant impact on small entities.", "About half of the regulatory flexibility analyses we reviewed (18 of 39) described changes to the proposed rule to limit economic impact on small entities and most were by regulators other than the Federal Reserve. Several rules (12 of 39) described changes attributable to comments on the regulatory flexibility analyses. Specifically, for regulators other than the Federal Reserve, the final analyses for about half of the rules (11 of 22) noted receiving public comments on the initial analysis and nearly all of those described changes resulting from the comments. A smaller number of rules described changes related to comments on the initial analysis received from the Office of Advocacy.", "Some rules also described other changes to the proposed rule, including changes in response to general public comments and the adoption of alternatives. For rules that identified alternatives to a proposed rule in the initial analysis, about half of the final analyses (10 of 21) described reasons for rejecting all the alternatives. An additional 2 rules noted reasons for rejecting some of the alternatives. For further information on the results of regulators\u2019 regulatory flexibility analyses, see appendix XII.", "Regulators described taking various steps to minimize impact on small entities, although they did not all result from changes to the proposed rule and were not all clearly attributable to the agency\u2019s consideration of alternatives. For example, some analyses described provisions that had been included as part of the proposed rule. For rules that disclosed actions to minimize effects on small entities, most regulators noted multiple actions that included reducing compliance requirements such as for reporting and disclosure, exempting small entities from certain requirements, increasing applicability or exemption thresholds, providing for flexibility in meeting compliance requirements, clarifying and simplifying compliance requirements, not adopting certain provisions of the proposed rule, and providing for delayed or gradual implementation of compliance requirements.", "Although some actions were specific to small entities, many applied more broadly, such as to all subject firms."], "subsections": []}, {"section_title": "Most Regulators Lacked Documentation of Regulatory Flexibility Analysis and Certifications for Most Rules", "paragraphs": ["For most rules we reviewed, regulators (five of six) were unable to provide documentation supporting their regulatory flexibility analyses or certification decisions, although the extent of documentation varied by regulator (see table 5). We requested supporting documentation for the 39 rules we reviewed for which the agency performed initial and final regulatory flexibility analyses and the 66 rules for which the agency made a certification determination.", "Staff from two regulators\u2014CFPB and OCC\u2014provided documentation for all or nearly all of the rules we reviewed. Many of these documents were formal analysis or decision memorandums on assessing a rule\u2019s potential economic impact on small entities. For CFPB rules that had regulatory flexibility analyses, documentation included RFA-required reports summarizing the results of Small Business Review Panels. Staff from the other regulators produced documentation for fewer or no rules and the documents they provided were largely limited and informal. For example, other than for CFPB and OCC, RFA-related documentation generally consisted of emails between agency staff and data queries and output files on the number of affected entities and potential economic effects.", "OMB guidance on regulatory analysis states that agencies should prepare documentation of their economic analysis so that a qualified third party reading the analysis can understand the basic elements and the way in which the agency developed its estimates. The guidance also states that agencies are expected to document all the alternatives considered as part of their regulatory analysis and which alternatives were selected for emphasis in the main analysis. As previously discussed, independent regulatory agencies are not required to follow the OMB guidance, but it provides a strong set of analytical practices relevant to agency rulemakings. A lack of documentation of the analysis supporting regulators\u2019 RFA implementation limits transparency and accountability."], "subsections": []}]}, {"section_title": "Regulatory Guidance Generally Does Not Include Policies or Procedures for Ensuring Consistent and Complete RFA Analyses", "paragraphs": [], "subsections": [{"section_title": "Most of the Regulators Have Established General Guidance for Complying with RFA Requirements", "paragraphs": ["Most regulators (five of six) have established written guidelines that restate the statutory requirements for certification and for preparing the regulatory flexibility analyses and provide some additional guidance for staff conducting the analyses, as shown in table 6. However, they generally have not developed comprehensive policies and procedures to assist staff in complying with RFA, which may contribute to the weaknesses we identified in some certifications and regulatory flexibility analyses.", "The guidelines for FDIC, OCC, CFPB, and SEC discuss regulatory flexibility analyses as part of their general rulemaking guidance for staff. At a minimum, each of these regulators\u2019 guidance describes the statutory requirements under RFA for certifications and for preparing the initial and final analyses, and, for CFPB, agency-specific RFA requirements. These four agencies also provide some additional information intended to be useful in complying with RFA requirements, such as excerpts from the Office of Advocacy\u2019s RFA compliance guide. For example, some of the incorporated Office of Advocacy guidance covers considerations for determining whether a rule would have a significant economic impact on a substantial number of small entities. In addition, some regulators\u2019 RFA guidelines include organizational information for coordinating with certain agency departments (such as offices responsible for economic analysis or legal review) and identifying staff responsible for completing RFA analyses.", "Until recently, CFTC and the Federal Reserve had not established any policies, procedures, or guidance for conducting regulatory flexibility analyses, except for a policy statement CFTC issued in 1982 that defines small entities and an informal Federal Reserve document listing RFA requirements. Since we started our review, CFTC announced a working group intended to enhance compliance with RFA. According to CFTC staff, the group began its work in April 2017 with a focus on updating CFTC\u2019s small-entity definitions. Staff said that the group\u2019s next task would be to formulate RFA policies and procedures with a goal of adopting them in spring 2018. Also during the course of our review, the Federal Reserve finalized a handbook covering guidelines and policies for RFA and small- entity compliance guides that it provided to us in November 2017. Previously, the Federal Reserve\u2019s RFA guidance consisted of an informal resource document identifying RFA requirements that it made available to rulemaking staff."], "subsections": []}, {"section_title": "Regulators\u2019 RFA Guidance Does Not Include Policies or Procedures for Helping Ensure Consistent and Complete RFA Analyses", "paragraphs": ["While the financial regulators\u2019 guidance discusses RFA requirements for regulatory flexibility analyses and includes some information on how to approach these analyses, it generally does not address how each agency helps ensure that its rulemakings consistently and completely comply with RFA requirements. Federal internal control standards state the importance for agency management to establish through policies and procedures the actions needed to achieve objectives. In addition, Executive Order 13272 required agencies to establish policies and procedures to promote compliance with RFA. While this executive order is not binding on independent regulatory agencies, it represents a best practice for rulemaking.", "We found that the regulators\u2019 guidance lacks specific details on the procedures by which the agency expects rulemaking staff to implement RFA requirements. Other than restating RFA requirements and identifying organizational responsibilities, regulators\u2019 guidance documents largely are limited to offering suggestions for rulemaking staff to consider while preparing RFA sections of the rule. For example, in many cases, the guidance documents include recommendations and excerpts from the Office of Advocacy\u2019s RFA compliance manual such as factors to consider about what constitutes a significant economic impact and a substantial number of small entities. In another case, guidance suggests staff refer to RFA statements included in previously issued rules to use as examples. In addition, some guidance documents described agency policies on certain RFA elements. For example, one regulator\u2019s guidance states a preference for completing an initial regulatory flexibility analysis, rather than making a certification determination. Yet, while these types of guidance may be instructive and allow for necessary flexibility, they do not represent specific and comprehensive procedures for implementing RFA requirements.", "As illustrated in table 7, the extent to which regulators\u2019 guidance includes policies and procedures varies but generally does not include policies or procedures for identifying definitions or criteria for assessing whether a rule will have a significant economic impact on a substantial number of small entities; evaluating a rule\u2019s potential economic impact on small entities, including compliance costs and broad effects such as cumulative effects, competitive advantage, and disproportionality; identifying and assessing regulatory alternatives that could minimize impact on small entities while accomplishing statutory objectives; disclosing analytical methodology and data sources; and creating and maintaining documentation that supports analytical findings.", "Some regulators\u2019 guidance, including CFPB and OCC, includes policies and procedures for certain elements\u2014such as disclosing methodology and sources\u2014but not for others, such as defining what constitutes significant economic impact or a substantial number of small entities. FDIC\u2019s rule development guide includes guidance for certification determinations (largely from Office of Advocacy\u2019s compliance guide) but not for initial and final regulatory flexibility analyses for which the guide restates RFA requirements. SEC\u2019s handbook describes some policies and procedures on alternatives but it focuses on having RFA statements acknowledge consideration of each RFA alternative type even if unsuitable. It also includes some policies and procedures for assessing economic impact. However, the handbook was last revised in 1999, so it does not incorporate recommendations from the Office of Advocacy\u2019s compliance guide, and two SEC divisions have developed their own manuals, which generally restate RFA requirements.", "As previously described, we found inconsistencies and weaknesses in financial regulators\u2019 certifications and regulatory flexibility analyses that we reviewed, including for the key elements discussed in this section. The shortcomings are attributable in part to the regulators\u2019 lack of comprehensive policies and procedures for RFA requirements. Our prior work on RFA implementation by federal agencies found that uncertainties about RFA\u2019s requirements and varying interpretations of those requirements by federal agencies limited the act\u2019s application and effectiveness. However, the Office of Advocacy subsequently published guidance on complying with RFA requirements that includes information to help agencies interpret and implement RFA requirements. Such guidance could help regulators develop comprehensive and specific policies and procedures. Without such policies and procedures, regulators\u2019 ability to consistently and effectively meet RFA objectives may be limited."], "subsections": []}]}, {"section_title": "Financial Regulators Varied in Their Approach to RFA- Required Retrospective Reviews", "paragraphs": [], "subsections": [{"section_title": "Federal Banking Regulators Relied on Other Retrospective Reviews to Meet RFA Section 610 Requirements", "paragraphs": ["As previously discussed, section 610 of RFA requires agencies to review, within 10 years of adoption, those rules assessed as having a significant economic impact on a substantial number of small entities to determine if they should be continued without change, amended, or rescinded to minimize any significant economic impact on small entities. During the last 10 years, the three federal banking regulators (Federal Reserve, FDIC, and OCC) used other retrospective reviews that they said fulfilled RFA requirements. Specifically, the banking regulators said that the retrospective reviews required under the Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA) also satisfied RFA section 610 requirements. EGRPRA requires the federal banking regulators to identify outdated or otherwise unnecessary regulatory requirements imposed on insured depository institutions every 10 years.", "We compared EGRPRA requirements for retrospective reviews to those of section 610 and found they do not fully align (see table 8). For example, the EGRPRA review process relies on public comments to identify rules that may be outdated, unnecessary, or unduly burdensome. The comments are solicited through public notices in the Federal Register and through public outreach meetings held across the country. In contrast, public comments are only one component of section 610 reviews. Following a public notice and comment period, section 610 requires agencies to evaluate rules found to have a significant economic impact on a substantial number of small entities to identify opportunities to reduce unnecessary burden. The section 610 reviews are to consider five specific factors, such as the degree to which technology and economic conditions have changed in the area affected by the rule. Section 610 reviews focus specifically on reducing unnecessary regulatory burden on small entities; EGRPRA reviews focus more broadly on reducing regulatory burden on all insured depository institutions.", "We reviewed the 2007 and 2017 EGRPRA reports, along with their preceding Federal Register notices, and found that the regulators solicited comment from the public on the burden of regulations on community banks and other smaller, insured depository institutions. However, we found that the final reports primarily focus on the issues identified through public comments and generally did not include independent agency consideration of the impact of regulations on small entities, as required by section 610.", "The public notice requirements for RFA section 610 and EGRPRA also differed. RFA requires agencies to publish in the Federal Register a list of the rules that have a significant economic impact on a substantial number of small entities and that are to be reviewed pursuant to section 610 during the upcoming year. This list must include a brief description of each rule and the need for and legal basis of each rule. The notices alert the public to specific rules that may affect small entities and request public comment on these rules. EGRPRA public notice requirements do not require agencies to specifically identify rules that have an impact on small entities. Rather, agencies must at regular intervals provide notice and solicit public comment on a particular category or categories of rules (such as consumer protection, safety and soundness) governing all insured depository institutions. The notices request commenters to identify areas of the regulations that are outdated, unnecessary, or unduly burdensome. Our searches of the Federal Register turned up no notices of section 610 reviews posted by the regulators in the last 10 years.", "In its RFA guide, the Small Business Administration\u2019s Office of Advocacy stated that agencies may satisfy section 610 requirements through other retrospective reviews if these other reviews meet the criteria of section 610. To obtain credit for a section 610 review through another review process, the Office of Advocacy recommends that agencies adequately communicate with stakeholders and the Office of Advocacy. According to an official from the Office of Advocacy, the office has not yet made a determination on whether the EGRPRA review process satisfies the requirements of section 610. Although the agencies stated that they fulfill RFA requirements through EGRPRA, without confirming this with the Office of Advocacy, it is possible that they are not meeting the RFA section 610 requirements and therefore may not be achieving the small- entity burden reduction that the statute seeks to ensure. We found that the regulators lack policies and procedures for how to conduct section 610 reviews or provide rationale for meeting the section 610 review requirements through other retrospective review processes."], "subsections": []}, {"section_title": "SEC Conducted RFA Section 610 Reviews, but the Reviews Were Late and Not Fully Consistent with RFA Requirements or Office of Advocacy Guidance", "paragraphs": ["Our review of SEC\u2019s section 610 reviews found that they were conducted late and were not fully consistent with RFA requirements or the Office of Advocacy\u2019s guidance for such reviews. Although SEC staff have a process for tracking which rules are due for section 610 reviews, SEC conducted all but one of its reviews 12 years after the rules were published. According to RFA requirements, rules must be reviewed within 10 years of their publication as final rules. SEC staff told us that SEC conducted a broader review than required by RFA and recommended by the Office of Advocacy. Moreover, staff said that SEC conducted section 610 reviews for all rules previously published for notice and comment to assess the continued utility of the rules. Agency officials stated that when they prepare the agency\u2019s annual Federal Register notice of rules to be reviewed during the succeeding 12 months, they consult a chronological list of final rules adopted by the agency to determine which rules are due for a section 610 review. However, when we reviewed documentation of 46 section 610 reviews SEC staff conducted in 2015 and 2016, we found that each of the reviews was conducted for a rule adopted in 2003 or 2004, with 45 rule reviews being conducted 12 years after their publication as final rules. By not conducting section 610 reviews within the time frame established by RFA, SEC may delay taking timely action to minimize significant economic impact of rules on small entities.", "In general, SEC did not follow Office of Advocacy\u2019s guidance for conducting section 610 reviews. The Office of Advocacy recommends that to evaluate and minimize any significant economic impact of a rule on a substantial number of small entities, agencies may want to use an economic analysis similar to the initial regulatory flexibility analysis. Additionally, OMB guidance on regulatory analysis states that agencies should provide documentation that analysis is based on the best reasonably obtainable scientific, technical, and economic information available. As previously discussed, independent regulatory agencies are not required to follow the OMB guidance, but it provides a strong set of analytical practices relevant to agency rulemakings.", "To facilitate its section 610 reviews, SEC staff used a template that prompts staff to consider each of the five RFA-required section 610 considerations and to document the conclusion of the review (if the rule should be continued without change, amended, or rescinded). We reviewed the templates for all 46 reviews conducted between 2015 and 2016 and found that SEC staff consistently followed this template to document their conclusions. However, the reviews generally lacked substantive analysis and no rules were amended as a direct result of their section 610 review. Overall, of the 46 reviews, 7 identified comments or complaints from the public, 4 identified changes in technology, economic conditions, or other factors in the area affected by the rule, and 4 identified instances of overlap, conflict or duplication. The reviews generally provided no evidence of empirical analysis and no data to support the conclusions of the reviews, as recommended by the Office of Advocacy and OMB. Furthermore, in most cases, the reviews lacked a description of whether, or to what extent, the rule was affecting small entities. For example, when addressing the first RFA-required consideration, describing and evaluating the continuing need for a rule, most SEC section 610 reviews included language from the final rule as a description and included SEC\u2019s conclusion that the rule continues to be necessary.", "The Office of Advocacy also suggests that useful section 610 reviews should evaluate potential improvements to the rule by going beyond obvious measures and evaluating factors such as the unintended market effects and distortions and widespread noncompliance with reporting and other paperwork requirements. We found no evidence that these factors were considered. The Office of Advocacy further recommends that agencies pay particular attention to changes in the cumulative burden faced by regulated entities. We did not find evidence that SEC considered the cumulative burden faced by regulated agencies in the reviews we examined. By not including these best practice elements as part of its section 610 reviews, SEC may not fully achieve RFA\u2019s purpose of minimizing significant economic impact of rules on small entities.", "SEC does not have written policies or procedures for completing rule reviews pursuant to RFA section 610, potentially contributing to the weaknesses we identified on the timing of the reviews, and the lack of data and analysis to support the review findings. As previously mentioned, federal internal control standards state the importance for agency management to establish policies and procedures needed to achieve objectives. In addition, Executive Order 13272 requires agencies to establish policies and procedures to promote compliance with RFA. While this executive order is not binding on independent regulatory agencies, including SEC, it represents a best practice for rulemaking.", "SEC also does not publicly disclose the findings or conclusions of its section 610 reviews. Although RFA does not require that agencies publish the results of their 610 reviews, the Office of Advocacy recommends that to enhance transparency, agencies should communicate with interested entities about the status of ongoing as well as completed section 610 reviews. Several executive orders also highlight the importance of public disclosure of retrospective reviews. For example, Executive Order 13563 recommends that retrospective analyses, including supporting data, should be released online whenever possible. Executive Order 13610 reiterated this recommendation, stating that public disclosure promotes an open exchange of information. While these executive orders are not binding on independent regulatory agencies, we consider them a best practice for rulemaking. OMB guidance on regulatory analysis states that to provide greater access to regulatory analysis, agencies should post their analysis, along with supporting documents, on the Internet so the public can review the findings. Staff from SEC confirmed that they do not publish the results or summaries of their section 610 reviews, stating that they are not required to do so by law. Lack of public disclosure limits the transparency of section 610 reviews, hindering the public\u2019s ability to hold agencies accountable for the quality and conclusions of their reviews."], "subsections": []}, {"section_title": "CFTC and CFPB Plan to Develop Policies and Procedures for Future Retrospective Reviews", "paragraphs": ["The other two regulators we reviewed, CFTC and CFPB, plan to put procedures in place for section 610 reviews. According to CFTC officials, the agency has not conducted any section 610 reviews in at least the last 10 years. CFTC officials confirmed that the agency currently has no policies or procedures in place to track which rules require reviews or to conduct the reviews. Furthermore, agency officials were unable to identify any final rules published by the agency from 1997 through 2007 that were found to have a significant economic impact on a substantial number of small entities and therefore would have required a section 610 review. According to CFTC officials, an agency working group has a goal to develop a process and criteria for conducting section 610 reviews. Additionally, agency officials stated an interest in establishing an automated system to develop a schedule for tracking which rules require section 610 reviews.", "CFPB has not yet been required to conduct any section 610 reviews. Section 610 reviews are required within 10 years of a rule\u2019s adoption as a final rule; to date, none of the rules issued by CFPB, which was created in 2010, have met this deadline. CFPB officials confirmed that CFPB has conducted no section 610 reviews and stated that the agency currently has no formal plan or procedure in place to begin conducting these reviews. However, officials further stated that CFPB has had initial planning discussions about the section 610 review requirements and their role in a comprehensive regulatory review program."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["RFA aims to have agencies tailor regulatory requirements to the scale of regulated entities in a manner consistent with the objectives of the rule and applicable statutes. To achieve this goal, RFA requires agencies to assess the impact of proposed rules on small entities, solicit and consider flexible regulatory proposals, and explain the rationale for their actions.", "While many of the regulators\u2019 certification determinations and regulatory flexibility analyses incorporated RFA-required components, the weaknesses and inconsistencies we found\u2014in the analyses and in documentation\u2014could undermine the act\u2019s goal.", "Some certification determinations lacked important information recommended by the Office of Advocacy and OMB, including data sources and methodologies, definitions, and consideration of broad economic impacts.", "Many evaluations of key components\u2014potential economic effects and alternative regulatory approaches\u2014in the regulatory flexibility analyses were limited.", "For most rules we reviewed, regulators were unable to provide documentation supporting the economic analysis underlying their regulatory flexibility analyses\u2014including their certification decision.", "Moreover, regulators generally lacked comprehensive policies and procedures for RFA implementation, a potential contributing factor for many of the weaknesses we identified.", "By developing policies and procedures that provide specific direction to rulemaking staff, the regulators could better ensure consistent and complete implementation of RFA requirements and more fully realize the RFA goal of appropriately considering and minimizing impacts on small entities during and after agency rulemakings.", "The issues we identified with section 610 reviews included the use of a substitute review process as well as gaps or weaknesses in analysis and documentation.", "To fulfill section 610 requirements, the Federal Reserve, FDIC, and OCC used other retrospective reviews required under EGRPRA that do not fully align with requirements under section 610.", "SEC\u2019s section 610 reviews are not fully consistent with RFA requirements and Office of Advocacy and OMB guidance (for example, not within the 10-year time frame, no evidence of empirical analysis, and no data to support the conclusions of the reviews).", "CFTC has not recently completed section 610 reviews and CFPB has not yet been required to do so. These regulators have begun or will soon begin developing policies and procedures for conducting the reviews.", "By meeting section 610 review requirements and using best practices, regulators will be in a better position to minimize any significant economic impact of a rule on small entities that the statute seeks to ensure. Additionally, for regulators that have not publicly issued their finding or for those that have yet to undertake the reviews, it will be important to adopt best practices for transparency and accountability."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 10 recommendations among the six financial regulators we reviewed: FDIC should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following three elements: processes for creating and maintaining documentation sufficient to support analysis of economic impact and alternatives; processes for disclosing the methodology\u2014including criteria for assessing significant economic impact and substantial number of small entities\u2014and data sources of economic analysis supporting certification determinations and regulatory flexibility analyses; and processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize impact on small entities. (Recommendation 1)", "FDIC should coordinate with the Office of Advocacy to determine whether the EGRPRA review process satisfies the requirements of section 610 and, if not, what steps should be taken to align the process with section 610 requirements. If additional actions are needed, FDIC should develop and implement specific policies and procedures for performing section 610 reviews, including processes for determining which rules require review, posting notices of upcoming reviews in the Federal Register, and maintaining documentation supporting the analysis and conclusions of RFA-required considerations; and publicly disclose the reviews, or summaries of the reviews, with the basis for any conclusions. Such disclosure could include publishing results as part of the EGRPRA report, in the Federal Register, or on the agency\u2019s website. (Recommendation 2)", "OCC should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following three elements: processes for creating and maintaining documentation sufficient to support analysis of alternatives that could minimize impact on small entities; processes for disclosing the methodology\u2014including criteria for assessing significant economic impact and a substantial number of small entities\u2014and data sources of economic analysis supporting certification determinations and regulatory flexibility analyses; and processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize impact on small entities. (Recommendation 3)", "OCC should coordinate with the Office of Advocacy to determine whether the EGRPRA review process satisfies the requirements of section 610 and, if not, what steps should be taken to align the process with section 610 requirements. If additional actions are needed, OCC should develop and implement specific policies and procedures for performing section 610 reviews, including processes for determining which rules require review, posting notices of upcoming reviews in the Federal Register, and maintaining documentation supporting the analysis and conclusions of RFA-required considerations; and publicly disclose the reviews, or summaries of the reviews, with the basis for any conclusions. Such disclosure could include publishing results as part of the EGRPRA report, in the Federal Register, or on the agency\u2019s website. (Recommendation 4)", "The Federal Reserve should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following three elements: processes for creating and maintaining documentation sufficient to support analysis of economic impact and alternatives; processes for disclosing the methodology\u2014including criteria for assessing significant economic impact and a substantial number of small entities\u2014and data sources of economic analysis supporting certification determinations and regulatory flexibility analyses; and processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize impact on small entities. (Recommendation 5)", "The Federal Reserve should coordinate with the Office of Advocacy to determine whether the EGRPRA review process satisfies the requirements of section 610 and, if not, what steps should be taken to align the process with section 610 requirements. If additional actions are needed, the Federal Reserve should develop and implement specific policies and procedures for performing section 610 reviews, including processes for determining which rules require review, posting notices of upcoming reviews in the Federal Register, and maintaining documentation supporting the analysis and conclusions of RFA-required considerations; and publicly disclose the reviews, or summaries of the reviews, with the basis for any conclusions. Such disclosure could include publishing results as part of the EGRPRA report, in the Federal Register, or on the agency\u2019s website. (Recommendation 6)", "CFPB should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following three elements: processes for creating and maintaining documentation sufficient to support analysis of alternatives that could minimize the impact on small entities; processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize impact on small entities; and in developing policies and procedures for section 610 reviews, include processes for determining which rules require review, posting notices of upcoming reviews in the Federal Register, maintaining documentation supporting the analysis and conclusions of RFA- required considerations, and establishing procedures for publicly disclosing the review or summaries (such as in the Federal Register or on the agency\u2019s website). (Recommendation 7)", "CFTC should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following four elements: processes for creating and maintaining documentation sufficient to support analysis of economic impact and alternatives; processes for disclosing the methodology\u2014including criteria for assessing significant economic impact and a substantial number of small entities\u2014and data sources of economic analysis supporting certification determinations and regulatory flexibility analyses; processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize impact on small entities; and in developing policies and procedures for section 610 reviews, include processes for determining which rules require review, posting notices of upcoming reviews in the Federal Register, maintaining documentation supporting the analysis and conclusions of RFA- required considerations, and establishing procedures for publicly disclosing the review or summaries (such as in the Federal Register or on the agency\u2019s website). (Recommendation 8)", "SEC should develop and implement specific policies and procedures for how it will consistently comply with RFA requirements and key aspects of Office of Advocacy and OMB guidance that include the following four elements: processes for creating and maintaining documentation sufficient to support analysis of economic impact and alternatives; processes for disclosing the methodology\u2014including criteria for assessing significant economic impact and a substantial number of small entities\u2014and data sources of economic analysis supporting certification determinations and regulatory flexibility analyses; processes for considering to the extent practicable a rule\u2019s potential economic impacts on small entities, including for evaluating broad economic impacts of regulations in certification determinations and assessing alternatives that could minimize the impact on small entities; and processes for performing section 610 reviews, including determining which rules require review, posting notices of upcoming reviews in the Federal Register, and maintaining documentation supporting the analysis and conclusions of RFA-required considerations. (Recommendation 9)", "SEC should publicly disclose its section 610 reviews, or summaries of the reviews, with the basis for any conclusions. Such disclosure could include publishing results in the Federal Register or on the agency\u2019s website. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to CFPB, CFTC, the Federal Reserve, FDIC, OCC, Office of Advocacy, and SEC for review and comment. CFPB, CFTC, the Federal Reserve, FDIC, and SEC provided written comments that we have reprinted in appendixes XIII\u2013XVII, respectively. CFTC, the Federal Reserve, and FDIC also provided technical comments, which we have incorporated, as appropriate. We received technical comments from OCC too late to be incorporated in the final product. Although the comments were not incorporated, they do not significantly affect the facts or conclusions we presented.", "In their written comments, CFPB, CFTC, the Federal Reserve, FDIC, and SEC generally agreed with the report\u2019s recommendations. CFPB recognized the importance of having specific policies and procedures to consistently comply with RFA requirements. CFPB noted the existence of formal guidance instructing staff on conducting and documenting analyses for substantive rulemakings, including following RFA, and stated its commitment to updating its policies and procedures\u2014and developing them for section 610 reviews\u2014to ensure it will consistently comply with RFA requirements.", "In written comments provided by CFTC, the agency stated its commitment to fully complying with RFA and described the formation and progress of its interdivisional working group for enhancing RFA implementation. CFTC noted that our recommendations are largely consistent with the planned efforts of the working group and that the group will use the recommendations as a guide in completing its work. CFTC also explained that while not a clear requirement of RFA, it will carefully consider making the public aware of the results of section 610 reviews in cases in which the review does not lead to proposed changes to a rule.", "In its written comments, the Federal Reserve noted that it strives for consistent and complete compliance with RFA requirements. Regarding our recommendation to develop and implement specific policies and procedures for complying with RFA requirements and key aspects of Office of Advocacy and OMB guidance, the Federal Reserve stated it plans to review existing policies and procedures to develop and implement, as appropriate, additional processes with respect to documentation, disclosing methodology and data sources, and considering a rule\u2019s potential economic impact on small entities. Regarding our recommendation to coordinate with the Office of Advocacy and take steps to align the EGRPRA review process with section 610 requirements, the Federal Reserve stated that it will coordinate with the Office of Advocacy and noted that it also plans to conduct a broader review of processes for section 610 reviews to ensure they are comprehensive and transparent.", "In its written comments, FDIC stated it will consider our recommendations as it continues to enhance its policies and procedures for performing regulatory analyses, in particular compliance with RFA.", "Regarding our recommendation to develop and implement specific policies and procedures for complying with RFA requirements and key aspects of Office of Advocacy and OMB guidance, FDIC noted that although independent agencies are not required to follow certain guidance used as criteria in the report, it will continue to incorporate provisions from Office of Advocacy and OMB guidance where feasible.", "FDIC noted that GAO limited its review to analysis specifically included in the RFA sections of a rule and did not consider analysis published elsewhere in the preamble, as permitted by RFA. FDIC stated that it continues to look for ways to make its regulatory analysis more transparent. However, while RFA allows agencies to perform regulatory flexibility analyses as part of other required analysis if such other analysis satisfies RFA requirements, RFA also calls for initial and final regulatory flexibility analyses to contain or describe the required components. Including these components elsewhere in a rule\u2019s preamble without referencing or describing them in the RFA section does not help promote transparency for the public or small entities the rule might affect. As the Office of Advocacy\u2019s guidance notes, agencies can coordinate preparation of regulatory flexibility analyses with any other analyses accompanying a rule. But in doing so, agencies should ensure that such analyses describe explicitly how RFA requirements were satisfied. Otherwise, it may be unclear to small entities and others if relevant analysis appears elsewhere in a rule\u2019s preamble, which could limit transparency and the ability of small entities to review and respond to relevant analyses.", "Regarding documentation supporting regulatory flexibility analyses and certification determinations, FDIC noted that it will ensure staff considers our recommendation.", "Regarding our recommendation to coordinate with the Office of Advocacy and take steps to align the EGRPRA review process with section 610 requirements, FDIC stated that it will consider the recommendation. FDIC noted that before this year, the last section 610 review for FDIC was part of the 2007 EGRPRA review process, and notices of that review were provided at that time. Since then, FDIC said that it issued one rule in 2014 that requires a section 610 review, which must be completed by 2024.", "In written comments, SEC\u2019s chairman stated that he asked staff to identify additional ways to improve the quality of SEC\u2019s rulemaking analysis and procedures.", "SEC noted that as an independent regulatory agency, it is not subject to the specific requirements for regulatory analysis in Executive Orders 12866 and 13563 and OMB Circular A-4, but that it will continue to strive to incorporate the principles and best practices in those documents into internal practices, where appropriate. SEC also noted that as part of its rulemaking, it engages in economic analyses of the likely costs and benefits of proposed and final rules along with other anticipated effects.", "SEC further explained that as permitted by RFA, relevant RFA analyses in SEC rulemaking releases often are found across several sections of the releases, and that it would therefore consider potential improvements to better communicate to the public about other analyses relevant to the RFA analyses. As we previously stated, although RFA allows agencies to perform regulatory flexibility analyses as part of other required analysis, it also requires the initial and final analyses to include or describe the required components. Including these components in different parts of a rule release without explicitly referencing or describing them in the RFA section may limit transparency and the ability of small entities to review and respond to relevant analyses.", "We are sending copies of this report to the appropriate congressional committees and members and financial regulators. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or EvansL@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix XVIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to (1) analyze the trends in financial regulators\u2019 application of Regulatory Flexibility Act (RFA) requirements in their recent rulemakings; (2) examine the extent to which financial regulators performed analyses for rules they certified would not have a significant economic impact on a substantial number of small entities; (3) examine the extent to which financial regulators performed regulatory flexibility analyses and the analyses\u2019 effects on their rulemakings; (4) examine the extent to which financial regulators established policies, procedures, and criteria for complying with RFA requirements; and (5) examine the extent to which financial regulators performed retrospective reviews required by RFA.", "For the purposes of this report, financial regulators are the Consumer Financial Protection Bureau (CFPB), the Board of Governors of the Federal Reserve System (Federal Reserve), Federal Deposit Insurance Corporation (FDIC), Office of the Comptroller of the Currency (OCC), Commodity Futures Trading Commission (CFTC), and the Securities and Exchange Commission (SEC).", "To analyze the trends in financial regulators\u2019 application of RFA requirements in their recent rulemakings, we reviewed all final rules published in the Federal Register from January 2010 through December 2016. Using the document search on the official Federal Register website, we downloaded all actions published in the Rules and Regulations section of the Federal Register for the financial regulators during our time period. The downloaded file had 744 actions and included a website link to each notice on the Government Printing Office\u2019s website. We then reviewed each notice to remove actions that were not final rules, such as corrections, orders, and statements of policies. We also removed obvious duplicate rules, using the rule\u2019s Regulation Identifier Number that we recorded from the notice or the title for rules without such an identification number. We considered rules to be duplicates if they were (1) a final rule confirming an interim rule or (2) an extension of the compliance date that did not make changes to the Code of Federal Regulations. We removed 181 actions that were not final rules and 43 duplicates, leaving 520 final rules promulgated by the financial regulators from 2010 through 2016.", "We then analyzed the Federal Register notices for these final rules, using a spreadsheet-based data collection instrument, to quantify how many rules (1) did not include a proposed rule, (2) included an initial regulatory flexibility analysis, (3) included a final regulatory flexibility analysis, (4) certified that RFA analyses were not required, and (5) had other characteristics, such as those rules that performed a final regulatory flexibility analysis but also certified that it was not required. In cases in which the RFA analysis performed in the proposed rule was not clear or present in the final rule, we used the Regulation Identifier Number or citations listed in the final rule to locate the proposed rule to make the determination.", "To examine the extent to which financial regulators performed analyses for rules they certified would not have a significant economic impact on a substantial number of small entities, we used the results from the trend review to select all final rules published in the Federal Register from January 2015 through December 2016 for which an agency published a notice of proposed rulemaking and certified in the final rule that the rule would not have such an economic impact. We identified a total of 66 final rules that included certifications. More specifically, CFPB had 11 rules that included certifications, CFTC had 15, FDIC had 18, the Federal Reserve had 1, OCC had 9, and SEC had 12. For these rules, we collected and reviewed internal workpapers from the financial regulators on their decisions to certify that regulatory flexibility analyses were not required because the rule would not have a significant economic impact on a substantial number of small entities (certifications).", "We then assessed the regulators\u2019 certifications in Federal Register publications to determine the extent to which they reflected RFA requirements, guidance from the Small Business Administration\u2019s Office of Advocacy on complying with RFA, and other best practices for rulemaking, specifically Office of Management and Budget (OMB) guidance on regulatory analysis and Executive Order 13563. Our analysis did not include an evaluation of other aspects of agency rulemaking, including regulatory analyses for purposes other than RFA, such as analyses for the Paperwork Reduction Act and other economic analyses in the preamble. We based our evaluation on the RFA sections of each Federal Register notice for proposed and final rules and did not review other rule sections unless the RFA section explicitly referenced them. We also reviewed the workpapers and notices of joint rules for coordination on the certification analysis or decisions between regulators.", "To examine the financial regulators\u2019 initial and final regulatory flexibility analyses and the analyses\u2019 effects on their rulemakings, we used the results from the trend review to select all final rules published in the Federal Register from January 2015 through December 2016 for which the agency performed an initial regulatory flexibility analysis in the proposed rule and a final regulatory flexibility analysis in the final rule. For any regulator that had fewer than three rules meeting these criteria, we selected all rules published in the prior year for which the agency performed an initial and final regulatory flexibility analysis until we reached three rules or a publication date of January 2013. For rules issued jointly by multiple financial regulators in our scope, we included the rule for each regulator that prepared an initial and final regulatory flexibility analysis. We included such rules even if they would not otherwise have been selected using the outlined criteria. This resulted in the inclusion of one additional rule for the Federal Reserve (a 2013 rule issued jointly with OCC). We selected a total of 39 final rules for which the agency performed an initial and final regulatory flexibility analysis. More specifically, we selected 7 CFPB rules, 1 CFTC rule, 4 FDIC rules, 17 Federal Reserve rules, 1 OCC rule, and 9 SEC rules. For these rules, we obtained and reviewed internal workpapers from the financial regulators related to the initial and final regulatory analyses.", "We assessed the regulators\u2019 regulatory flexibility analyses contained in the RFA summary in the notices of proposed and final rules published in the Federal Register to determine the extent to which they reflected RFA requirements, the Office of Advocacy\u2019s guidance on complying with RFA, and OMB guidance on regulatory analysis. Our analysis did not include an evaluation of other aspects of agency rulemaking, including regulatory analyses for purposes other than RFA. We based our evaluation on the RFA sections of each rule and did not review other rule sections unless the RFA section explicitly referenced them. We also analyzed the workpapers, notices, and interviews to identify the extent to which regulators revised draft and proposed rules as a result of regulatory flexibility analyses, the source of the changes, and the types and characteristics of changes that regulators made to draft and proposed rules as a result of regulatory flexibility analyses. We also reviewed the workpapers and notices of joint rules for coordination on the analyses.", "To examine financial regulators\u2019 policies, procedures, and criteria for complying with RFA requirements, we obtained and reviewed internal agency policies, procedures, and guidance for conducting initial and final regulatory flexibility analyses or certifying that such analyses were not required. We then assessed the documents received to determine the extent to which they reflected RFA requirements and Office of Advocacy\u2019s guidance on complying with RFA. We also assessed the extent to which the documents included comprehensive policies and procedures to assist staff in complying with RFA in accordance with best practices outlined in Executive Order 13272 and federal internal control standards.", "To examine the extent to which financial regulators performed retrospective reviews required by RFA, we searched the Federal Register for notices of upcoming section 610 reviews as well as results of section 610 reviews. We also obtained and reviewed documentation from the financial regulators of section 610 reviews performed from calendar year 2006 through 2016. We assessed the section 610 reviews we received against RFA requirements and other best practices for rulemaking, specifically OMB guidance on regulatory analysis and Executive Orders 13563 and 13610. For agencies that conducted other retrospective reviews in lieu of section 610 reviews, we compared the other retrospective review processes to RFA requirements for section 610 reviews to determine the extent to which they aligned. We also interviewed staff from each of the financial regulators to understand the process and analysis supporting their certification decisions, regulatory flexibility analyses, and retrospective reviews.", "We conducted this performance audit from January 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Extent of Coordination in Financial Regulators\u2019 Certifications and Regulatory Flexibility Analyses", "paragraphs": ["In the seven joint rules we reviewed with a certification, financial regulators conducted their own certification analyses independently of the other agencies responsible for the rule. The Regulatory Flexibility Act (RFA) allows agencies to coordinate on their RFA analyses but does not require it. The Small Business Administration\u2019s Office of Advocacy does not make any recommendation on coordination in its RFA guide. Because agencies regulate different small entities that could be affected differently by a rule, coordination would not necessarily result in efficiencies or other benefits.", "In joint rules, the regulators (except for the Board of Governors of the Federal Reserve System (Federal Reserve), which generally treated regulatory flexibility analyses differently) reached the same conclusion to certify, although their analyses sometimes differed. For example, in one joint rule, the Office of the Comptroller of the Currency (OCC) and the Federal Deposit Insurance Corporation (FDIC) concluded that the rule mainly imposes requirements on states and therefore affected no small entities. The Consumer Financial Protection Bureau agreed that the rule pertained mainly to states, but performed an analysis to assess the indirect impact on small entities, concluding that even indirectly the rule would not have a significant economic impact on a substantial number of small entities. The Federal Reserve found that some entities would be federally regulated but that the number was uncertain but not substantial (less than five). In another joint rule, FDIC concluded that the rule would not have a significant economic impact on a substantial number of small entities because banks with less than $1 billion in assets were exempted. The Small Business Administration defines a small bank as one with assets of $550 million or less; therefore, no small entities would be affected. However, OCC assumed that every bank subject to the rule would be required to comply regardless of the exemption and performed its analysis with that assumption. Under this premise, OCC found that a substantial number of small entities would be affected by the rule but that the economic impact would not be significant.", "Of the seven joint rules that we reviewed with initial and final regulatory flexibility analyses, the analyses for two rules indicated that regulators collaborated in preparing the analysis. For one rule, the Federal Reserve, FDIC, and OCC published a joint initial analysis but FDIC and OCC made a certification determination in the final rule. For the other rule, the Federal Reserve and OCC prepared separate initial analyses but published a joint final analysis that included separate sections evaluating the potential economic impact of the final rule. The remaining five joint rules included separate regulatory flexibility analyses for each regulator and all but the Federal Reserve reached a certification determination. None of the rules we reviewed with initial and final flexibility analyses that were issued by individual regulators indicated that the regulator had coordinated with other agencies."], "subsections": []}, {"section_title": "Appendix III: Commodity Futures Trading Commission Entities That Are Not Small Entities for Regulatory Flexibility Act Purposes", "paragraphs": ["The following table details the entities regulated by the Commodity Futures Trading Commission (CFTC) that the agency determined were not small entities for the purposes of the Regulatory Flexibility Act (RFA). RFA allows agencies to establish alternative definitions of small entities when appropriate by publishing the definition in the Federal Register and, in the case of small businesses, in consultation with the Small Business Administration\u2019s Office of Advocacy. We reviewed CFTC\u2019s small-entity definitions to assess the extent to which they met these requirements. We reviewed the Federal Register notices for the definition of those entities included in final rules in calendar years 2015 and 2016 where the agency certified that the rule would not have a significant economic impact on a substantial number of small entities."], "subsections": []}, {"section_title": "Appendix IV: Securities and Exchange Commission\u2019s Small Entity Definitions for Regulatory Flexibility Act Purposes", "paragraphs": ["The following table compares the Securities and Exchange Commission\u2019s definitions of small entities for the purposes of the Regulatory Flexibility Act (RFA) with the Small Business Administration\u2019s size standards that RFA uses to define small entities."], "subsections": []}, {"section_title": "Appendix V: Assessment of Board of Governors of the Federal Reserve System\u2019s Regulatory Flexibility Analyses, 2015\u20132016", "paragraphs": ["The Board of Governors of the Federal Reserve System (Federal Reserve) generally performed regulatory flexibility analyses for its rulemakings regardless of the rule\u2019s potential impact on small entities. As shown in table 11, nearly all of the Federal Reserve\u2019s initial and final regulatory flexibility analyses concluded that the rule would not have a significant economic impact on a substantial number of small entities, which generally is a basis for certification. Furthermore, the majority of the Federal Reserve\u2019s analyses stated that the rules either did not apply to small entities or lacked compliance requirements.", "Table 12 summarizes our findings on the Federal Reserve\u2019s initial and final regulatory flexibility analyses for the 17 rules we reviewed.", "Table 13 summarizes our findings for the six rules we reviewed for which the Federal Reserve\u2019s regulatory flexibility analysis indicated the rule might impose compliance requirements on small entities."], "subsections": []}, {"section_title": "Appendix VI: Assessment of Other Financial Regulators\u2019 Regulatory Flexibility Analyses, 2013\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Assessment of Federal Deposit Insurance Corporation\u2019s Regulatory Flexibility Analyses, 2014\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Assessment of Consumer Financial Protection Bureau\u2019s Regulatory Flexibility Analyses, 2013\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Assessment of Commodity Futures Trading Commission\u2019s Regulatory Flexibility Analyses, 2013\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Assessment of Office of the Comptroller of the Currency\u2019s Regulatory Flexibility Analyses, 2013\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Assessment of Securities and Exchange Commission\u2019s Regulatory Flexibility Analyses, 2015\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: Outcomes of Financial Regulators\u2019 Regulatory Flexibility Analyses on Final Rules, 2013\u20132016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIII: Comments from the Consumer Financial Protection Bureau", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XIV: Comments from the Commodity Futures Trading Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XV: Comments from the Board of Governors of the Federal Reserve System", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVI: Comments from the Federal Deposit Insurance Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: Comments from the Securities and Exchange Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Lawrance L. Evans, Jr., (202) 512-8678, EvansL@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Stefanie Jonkman (Assistant Director), Kevin Averyt (Analyst in Charge), Bethany Benitez, Katherine Carter, Andrew Emmons, Marc Molino, Lauren Mosteller, and Barbara Roesmann made key contributions to this report. Other assistance was provided by Farrah Graham, Courtney LaFountain, and Tim Bober."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-499", "url": "https://www.gao.gov/products/GAO-18-499", "title": "Foreign Assistance: Better Guidance for Strategy Development Could Help Agencies Align Their Efforts", "published_date": "2018-07-12T00:00:00", "released_date": "2018-07-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["More than 20 federal agencies spend billions of dollars on U.S. foreign assistance each year. Six agencies\u2014the Departments of Agriculture, Defense, Health and Human Services, and State; the Millennium Challenge Corporation; and the U.S. Agency for International Development\u2014implement most of this assistance, using multiple strategies. State is responsible for coordinating their efforts. Questions have been raised about potential inefficiencies in implementing multiple foreign assistance strategies.", "GAO was asked to review the alignment of U.S. foreign assistance strategies. This report examines the extent to which strategies include key elements GAO identified, related to interagency coordination, strategic integration, and assessment of progress, that help ensure alignment. These elements are based on GAO's prior work on strategic planning and interagency collaboration. GAO reviewed 52 strategies related to health, security, and democracy assistance that were current in 2017. These included government-wide, agency, multi-agency, and regional strategies as well as strategies for two countries. GAO also reviewed agency guidance and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Many foreign assistance strategies related to health, security, and democracy assistance that GAO reviewed at least partially addressed key elements GAO identified that help ensure the strategies are aligned. Prior work has found that consistently addressing these elements, related to interagency coordination, strategic integration, and assessment of progress, is important for, among other things, better managing fragmentation in strategic planning. However, some strategies did not address these elements (see figure). For example:", "Interagency coordination . Twenty-three percent of the strategies (12 of 52) did not address agencies' roles and responsibilities, and 38 percent (20 of 52) did not identify specific interagency coordination mechanisms.", "Strategic integration . Twenty-one percent of the strategies (11 of 52) did not address linkages with other related strategies, and 25 percent (13 of 52) did not address linkages with higher- or lower-level strategies.", "Assessment of progress toward strategic goals . Twenty-one percent of the strategies (11 of 52) did not include milestones and performance indicators, and 21 percent (11 of 52) did not outline plans for monitoring and evaluation.", "The six agencies implementing most U.S. foreign assistance do not have consistent guidance for strategy development that could help ensure their strategies address these key elements. Some agencies' guidance addresses many of the elements but does not apply to all of their foreign assistance strategies, while other agencies have no such guidance. The Department of State (State) plays a significant role in interagency coordination. By collaborating with other agencies to establish guidance that addresses the key elements GAO identified, State could help the agencies improve their ability to align future strategies and identify and manage fragmentation in foreign assistance planning."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State lead an effort to establish, in collaboration with the five other agencies, guidance for developing foreign assistance strategies that addresses the key elements GAO identified related to interagency coordination, strategic integration, and assessment of progress. State concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["More than 20 federal agencies and departments spend billions of dollars each year on various types of U.S. foreign assistance\u2014health, security, and democracy assistance as well as education, energy, environmental protection, food aid, refugee assistance, water and sanitation assistance, and countering illicit activities. These agencies implement foreign assistance with, in some cases, separate strategies\u2014including government-wide and country-level strategies\u2014guiding their efforts. Questions have been raised about potential inefficiencies stemming from the multiplicity of strategies related to foreign assistance as well as about the ability of agencies to demonstrate progress in achieving strategic goals.", "You asked us to assess alignment among U.S. foreign assistance strategies. This report examines the extent to which foreign assistance strategies address key elements we identified that help promote alignment of agencies\u2019 efforts\u2014specifically, elements related to interagency coordination, strategic integration, and assessment of progress toward strategic goals and objectives. We focused on strategies identified by the six largest providers of U.S. foreign assistance: the Department of State (State); the U.S. Agency for International Development (USAID); the Millennium Challenge Corporation (MCC); and the Departments of Defense (DOD), Health and Human Services (HHS), and Agriculture (USDA).", "In a June 2017 report, we listed 63 foreign assistance strategy documents that these six agencies had identified; the agencies subsequently identified 9 additional strategies. For our current report, we conducted a detailed review of 52 of the 72 strategies identified. The 52 strategies we reviewed had been issued by December 2017 and were current in 2017. In addition, the strategies incorporated goals and activities related to the health, security, or democracy assistance sectors, which accounted for the majority of foreign assistance obligations in fiscal year 2016, the most recent year for which data were available. The strategies we reviewed include government-wide, agency-specific, multi-agency, regional, sectoral, and multisectoral strategies as well as country-level strategies for Afghanistan and Kenya, which are among the largest recipients of U.S. foreign aid. We limited our review to strategy documents that agencies provided. We did not review agencies\u2019 efforts to implement the strategies and did not assess the overall effectiveness of such efforts. Instead, we focused on the extent to which the strategies we reviewed provided a clear picture of the organization and management of U.S. foreign assistance efforts.", "We reviewed the strategies to determine the extent to which each addressed nine key elements we had identified as important for helping to ensure that agencies\u2019 foreign assistance is well aligned in terms of implementation approach and desired results. These elements related to (1) delineation of agencies\u2019 roles and responsibilities and coordination mechanisms; (2) integration with other related strategies; and (3) assessment of progress toward strategic goals, including identifying activities to achieve results, performance indicators, and monitoring and evaluation plans. We developed these elements on the basis of prior work related to U.S. government strategies and interagency collaboration as well as prior work on addressing fragmentation, overlap, and duplication in the federal government. Our prior work suggests that strategic documents offer an opportunity to consider the relationship among goals outlined in the strategies, the roles and responsibilities of various stakeholders involved in achieving those goals, and information on how progress toward those goals will be measured. Each strategy was reviewed and rated by two analysts, including a subject-matter expert in the strategic area that the strategy addressed. Given the variety of strategies we reviewed and reviewers\u2019 varying expectations for the detail and emphasis accorded to the key elements we identified, we rated the strategies using a three-part scale focused on their presence in each strategy. We rated a strategy as generally addressing an element if the strategy provided sufficient detail to understand the element within that strategy, as partially addressing the element if the strategy mentioned the element but did not provide sufficient detail, and as not addressing the element if the strategy did not mention it. We also reviewed agency guidance for developing foreign assistance strategies. See appendix I for further details of our scope and methodology, and see appendix II for a list of the 52 strategies we reviewed.", "We conducted this performance audit from May 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["U.S. agencies implementing foreign assistance have individually and jointly developed strategies to guide their efforts. While State\u2019s, USAID\u2019s, and MCC\u2019s strategies focus exclusively on foreign affairs or foreign assistance, DOD\u2019s, HHS\u2019s, and USDA\u2019s strategies\u2014as well as those of other agencies\u2014address foreign assistance as part of larger portfolios of programs.", "State and USAID, which provide the majority of all foreign assistance, develop joint foreign assistance-related strategies. The State-USAID Joint Strategic Plan outlines top-level goals for State and USAID efforts, including the use of foreign assistance, to inform strategies developed by State and USAID bureaus, offices, and country teams. Six joint State-USAID regional strategies (e.g., the State Bureau of African Affairs\u2013USAID Bureau for Africa Joint Regional Strategy) identify regional bureau priorities that are intended to align with the State-USAID Joint Strategic Plan and guide country-level planning for joint integrated country strategies.", "State, the lead U.S. foreign affairs agency, also develops strategies for its functional bureaus, which implement foreign assistance programs, and has participated in the development of a number of multisectoral and global strategies. State\u2019s Office of U.S. Foreign Assistance Resources is responsible for coordinating foreign assistance programs, including providing strategic direction for both State and USAID. According to State documents, the Office of U.S. Foreign Assistance Resources strengthens the integration of foreign assistance with U.S. foreign policy priorities by guiding the development of coordinated strategic plans for each U.S. overseas mission at the country level (i.e., integrated country strategies), aiming for a holistic, whole-of-government approach. It provides tools and resources to assist bureaus, offices, and country teams in designing foreign assistance programs, projects, and processes that can help align with, and advance, broader strategic goals as well as monitoring and evaluation of progress and results.", "USAID, the lead U.S. foreign assistance agency, develops global, regional, and country strategies in the areas of health, democracy and human rights, water and sanitation, food security, education, poverty, and the environment, among others.", "MCC has developed one overall strategy document, related to its mission of reducing poverty through country-led economic growth. MCC also collaborates with stakeholders in and outside government to develop and implement foreign assistance programs.", "DOD performs security cooperation strategic planning, implementation, and oversight to achieve national defense strategy objectives. DOD also develops country-specific strategies for security cooperation and other assistance, including humanitarian assistance and efforts to build foreign partner security capacity.", "HHS has developed, or is a party to, a number of strategies related to global health, including strategies for specific diseases, such as HIV/AIDS, malaria, and Ebola, and for immunization and emergency preparedness. The Centers for Disease Control and Prevention (CDC), a component of HHS, develops its own strategies, which discuss CDC\u2019s plans to combat infectious diseases worldwide.", "USDA has contributed to jointly issued strategies in food security related to two food aid programs that it administers\u2014the Food for Progress program and the McGovern-Dole International Food for Education and Child Nutrition program.", "In addition, these agencies implement foreign assistance programs under the auspices of government-wide foreign assistance strategies developed by the National Security Council, the Executive Office of the President, and the Office of Management and Budget. These government-wide strategies include, for example, the National Security Strategy and the National Action Plan for Women, Peace, and Security.", "The geographic focus of these six agencies\u2019 foreign assistance strategies ranges from country level to regional to global. For example, State, USAID, and DOD have developed integrated country strategies, country development cooperation strategies, and country cooperation plans, respectively, applicable to the countries where they implement foreign assistance. Similarly, State and USAID have six joint regional strategies and DOD has strategies focusing on its various geographic areas of command. In addition, various agencies, working both jointly and independently, have developed a wide variety of sectoral, multisectoral, agency-specific, and multi-agency strategies to guide global assistance efforts.", "Foreign assistance strategies are continuously developed and updated. Some strategies emerge after the launch of a specific initiative, such as the President\u2019s Emergency Plan for AIDS Relief (PEPFAR), while others are updated as part of agencies\u2019 strategic management processes. For example, State\u2019s functional bureau strategies and its joint regional strategies with USAID are periodically updated as bureau-level components of State\u2019s planning, budgeting, and performance management cycle. Planning at the agency level is reflected in the State- USAID Joint Strategic Plan, updated most recently in February 2018, with which bureau- and country-level strategies are expected to align. As we have previously reported, strategies that consider relationships among goals and objectives, interagency collaboration, and performance assessment can improve federal management. In particular, these considerations can help identify, eliminate, or better manage fragmentation, overlap, and duplication in the federal government."], "subsections": []}, {"section_title": "Many Selected Foreign Assistance Strategies Addressed Key Elements We Identified That Help Promote Alignment, but Some Did Not", "paragraphs": ["While many of the 52 foreign assistance strategies that we reviewed at least partially addressed the key elements we identified related to alignment of foreign assistance strategies, some did not address these elements. Regarding interagency coordination, 40 percent of the strategies generally identified roles and responsibilities for implementing the strategies, while 33 percent generally identified interagency coordination mechanisms; 23 percent and 38 percent, respectively, did not address these elements. Regarding strategic integration, 58 percent of the strategies we reviewed described linkages with U.S. foreign assistance strategies in the same sector and 54 percent generally described linkages with relevant higher- or lower-level U.S. foreign assistance strategies; 21 percent and 25 percent, respectively, did not identify such linkages. Regarding assessment of progress toward strategic goals, almost all of the strategies generally established desired results and a framework of goals and objectives and described activities to achieve results; however, 21 percent did not identify milestones or performance indicators and 21 percent did not outline plans for monitoring and evaluation. We also found that the six agencies implementing most U.S. foreign assistance do not have consistent guidance for strategy development that could help ensure their strategies address the key elements we identified."], "subsections": [{"section_title": "We Identified Nine Key Elements That Help Ensure Strategies Are Aligned and Planning Is Not Fragmented", "paragraphs": ["On the basis of our prior reporting about U.S. government strategic planning and interagency collaboration, we identified nine key elements that are important for helping to ensure that agencies\u2019 foreign assistance strategies are well aligned in terms of implementation approach and desired results and that planning among multiple agencies is not fragmented. The nine elements we identified are associated with (1) interagency coordination, (2) strategic integration, and (3) assessment of progress toward strategic goals (see table 1). As we have previously reported, fragmentation in the U.S. government refers to circumstances in which multiple federal agencies are involved in serving the same broad area of national need and opportunities exist to improve service delivery."], "subsections": []}, {"section_title": "Many Strategies We Reviewed Addressed Elements Related to Interagency Coordination, Strategic Integration, and Assessment of Progress, but Some Did Not", "paragraphs": [], "subsections": [{"section_title": "Interagency Coordination", "paragraphs": ["Implementing foreign aid involves the collaborative efforts of multiple U.S. agencies, each of which brings specific contributions and statutory authorities and has its own organizational structure, culture, and priorities. Our prior work has shown that foreign assistance strategies that consistently address (1) agencies\u2019 roles and responsibilities and (2) interagency coordination mechanisms can help guide the implementation of various aspects of a strategy and the identification of agreed-on processes for effective collaboration to resolve conflicts and better manage fragmentation. Strategies that do not consistently address elements related to interagency coordination miss opportunities to ensure that agencies\u2019 roles and responsibilities are clear and distinct and that coordination mechanisms are well defined. As figure 1 shows, of the 52 strategies we reviewed, 40 percent generally identified agencies\u2019 roles and responsibilities and 23 percent did not address this element. In addition, while 33 percent generally identified interagency coordination mechanisms, 38 percent did not identify any such mechanisms.", "Agencies\u2019 roles and responsibilities. Forty percent (21 of 52) of the strategies we reviewed generally defined agencies\u2019 roles and responsibilities. For example, USAID\u2019s Strategy on Democracy, Human Rights and Governance identified all agencies involved in its implementation and laid out the roles and responsibilities of each agency as well as USAID offices. Thirty-seven percent (19 of 52) of the strategies partially defined agencies\u2019 roles and responsibilities, which suggests the potential for improvement in this area. For example, State-USAID joint regional strategies identified the partners and stakeholders and enumerated the activities that State and USAID or the embassy and missions would undertake. However, most of those strategies did not specify the individual agencies\u2019 roles and responsibilities. Twenty-three percent (12 of 52) of the strategies contained no information about agencies\u2019 lead, support, and partner roles.", "Interagency coordination mechanisms. Thirty-three percent (17 of 52) of the strategies we reviewed generally identified interagency coordination mechanisms. For example, USAID\u2019s Multi-Sector Nutrition Strategy identified joint planning, funding, and programming mechanisms for coordination among development and humanitarian assistance agencies at country and regional levels in USAID and the U.S. government as a whole. Twenty-nine percent (15 of 52) of the strategies partially identified coordination mechanisms. For example, CDC\u2019s Global Health Strategy and USAID\u2019s Global Health Strategic Framework both described the agencies\u2019 respective unique roles in global health but did not specifically discuss how the agencies would work together to achieve their goals. Thirty-eight percent (20 of 52) of the strategies did not discuss interagency coordination mechanisms."], "subsections": []}, {"section_title": "Integration with Other Related Strategies", "paragraphs": ["As our prior work has shown, agencies that establish strategies that align with partner agencies\u2019 activities, processes, and resources are better positioned to accomplish common goals, objectives, and outcomes. Our prior work has also determined that collaboration among federal agencies working toward similar results can help ensure consistent goals and mutually reinforcing program efforts that effectively manage fragmentation. These agencies can use higher-level strategic plans as a tool to drive interagency collaboration to ensure complementarities in goals and objectives. To improve alignment of related strategies, each strategy should address (1) integration with relevant sectoral strategies and (2) integration with relevant higher- or lower-level strategies. Strategies that do not consistently address elements related to strategic integration do not clearly show whether objectives and activities align with existing strategic priorities at the government-wide, sectoral, regional, and country levels. As figure 2 shows, 58 percent of the strategies we reviewed generally described linkages with at least one relevant sectoral strategy, while 21 percent did not mention such linkages at all. In addition, 54 percent of the strategies generally described linkages with at least one higher- or lower-level foreign assistance strategy, while 25 percent did not describe any such linkages.", "Integration with relevant sectoral strategies. Fifty-eight percent (30 of 52) of the strategies we reviewed generally identified or described linkages with other, related U.S. government strategies. For example, State\u2019s Strategy for Women\u2019s Economic Empowerment discussed how its activities are designed to complement and reinforce those of the U.S. National Action Plan on Women, Peace and Security, the U.S. Strategy to Prevent and Respond to Gender-Based Violence Globally, and the U.S. Global Strategy to Empower Adolescent Girls. About 21 percent (11 of 52) of the strategies we reviewed partially addressed this element. For example, the strategy PEPFAR 3.0\u2014Controlling the Epidemic: Delivering on the Promise of an AIDS-Free Generation explicitly referred to the PEPFAR Blueprint for Creating an AIDS-Free Generation and stated that targeting interventions for populations at greatest risk for HIV incidence is an important activity. However, the strategy did not discuss how its goals and objectives relate to the strategies of the various agencies implementing PEPFAR and did not refer to the other strategies pertaining to PEPFAR. The remaining 21 percent (11 of 52) of strategies did not mention any other relevant U.S. government strategies. (See app. II for additional analysis of strategies by sector.)", "Integration with relevant higher- or lower-level strategies. Fifty-four percent (28 of 52) of the strategies we reviewed generally described their relationship to relevant strategies at higher or lower levels of government. For example, the U.S. Global Strategy to Empower Adolescent Girls discussed its relationship to a policy framework that, according to the strategy, is embodied in three higher-level strategies establishing gender equality as an important element of U.S. foreign policy\u2014the National Security Strategy, the U.S. Global Development Policy, and the Quadrennial Diplomacy and Development Review. About 21 percent (11 of 52) of the strategies we reviewed partially addressed this element\u2014 that is, they discussed their relationship with higher- or lower-level strategies in a limited way. For example, the U.S. Government Approach on Business and Human Rights discussed priorities outlined in the National Security Strategy, aligning activities of business with those priorities, and noted efforts by State\u2019s Bureau of Democracy, Human Rights, and Labor to discuss human rights with businesses. However, the U.S. Government Approach on Business and Human Rights did not reference common goals or activities outlined in other relevant higher- level strategies, such as the U.S. Global Development Policy or the Quadrennial Diplomacy and Development Review. The remaining 25 percent (13 of 52) of strategies did not address their relationship with strategies at other levels of government."], "subsections": []}, {"section_title": "Assessment of Progress toward Strategic Goals", "paragraphs": ["Our prior work has shown that effective strategies clearly identify goals and objectives and a means for assessing progress in achieving them and that alignment of strategies and other plans can improve the management of fragmentation. Therefore, our prior work has called for agencies to develop strategies that identify and describe (1) desired results, (2) activities to achieve results, (3) a hierarchy of goals and subordinate objectives, (4) milestones and indicators, and (5) plans for monitoring and evaluation. Strategies that do not consistently address elements related to assessing progress may limit agencies\u2019 ability to specify and assess common goals and objectives and mutually reinforcing results. As figure 3 shows, most of the strategies we reviewed generally identified desired results, activities to achieve those results, and a hierarchy of goals and subordinate objectives. However, fewer strategies addressed how progress toward those goals and objectives would be assessed. In particular, 63 percent generally identified milestones and performance indicators, while 21 percent did not address this element. In addition, 42 percent of the strategies generally outlined plans for monitoring and evaluation, while 21 percent did not outline such plans.", "Desired results, activities to achieve results, and hierarchy of goals and objectives. Ninety-two percent (48 of 52) of the strategies we reviewed generally included a statement of desired results, and 90 percent (47 of 52) generally included a description of activities to achieve these results. For example, MCC\u2019s Next: A Strategy for MCC\u2019s Future stated the agency\u2019s overall mission of reducing poverty through economic growth and listed priority actions for each goal, such as exploring new data sources for accurately identifying countries with high poverty rates. In addition, about 83 percent (43 of 52) of the strategies generally included a hierarchy of strategic goals and subordinate objectives. For example, CDC\u2019s Global Health Strategy included a clear hierarchy of goals and subordinate objectives (see table 2). Six percent (3 of 52) of the strategies did not identify desired results, 2 percent (1 of 52) did not describe activities to achieve these results, and 10 percent (5 of 52) did not include a hierarchy of goals and objectives.", "Milestones and performance indicators. Sixty-three percent (33 of 52) of the strategies we reviewed generally included milestones or performance indicators. These strategies often incorporated milestones or indicators as discrete components of each goal or subordinate objective. For example, DOD\u2019s Kenya Country Cooperation Plan tracked discrete tasks with specific time frames, using color-coding to designate stages of implementation. Fifteen percent (8 of 52) of the strategies partially addressed milestones or indicators. For example, the 2016 updated joint State-USAID Strategy to Prevent and Respond to Gender-Based Violence Globally included an annex listing indicators but did not link them to the strategic objectives and planned actions. Twenty- one percent (11 of 52) of the strategies did not include any milestones or performance indicators.", "Monitoring and evaluation plans. Forty-two percent (22 of 52) of the strategies we reviewed generally outlined monitoring and evaluation plans. These strategies typically outlined such plans in a specific goal or in a designated section or appendix. For example, USAID\u2019s Kenya Country Development Strategy included a section on monitoring and evaluation planning. In this strategy, USAID committed to host donor coordination and other stakeholder forums to monitor progress and to establish a monitoring and evaluation \u201ccore team\u201d to ensure that learning is incorporated in decision making. Thirty-seven percent (19 of 52) of the strategies partially addressed monitoring and evaluation planning. Some of these strategies emphasized the importance of monitoring and evaluation or made broad statements without outlining more specific plans. For example, the State-USAID Joint Strategy on Countering Violent Extremism noted that State and USAID will develop a results framework for measuring progress that will be accompanied by clear, well-developed, and well-resourced monitoring and evaluation plans. The strategy also noted that State and USAID will, to the extent possible, develop a common set of indicators to measure outputs and outcomes. However, the strategy provided no additional details. Twenty-one percent (11 of 52) of the strategies did not outline any monitoring and evaluation plans."], "subsections": []}]}, {"section_title": "Agencies Do Not Have Consistent Guidance for Foreign Assistance Strategy Development That Addresses the Key Elements We Identified", "paragraphs": ["The six agencies implementing most of U.S. foreign assistance do not have consistent guidance for strategy development that could help ensure their strategies address the key elements we identified. For example, State and USAID guidance for strategy development includes many of these elements but does not cover all strategies that these agencies are involved in developing. Additionally, guidance for State\u2019s and USAID\u2019s joint regional strategies, State\u2019s functional bureau strategies, and USAID\u2019s country development cooperation strategies does not apply to other State and USAID strategies, such as the joint State-USAID integrated country strategies. DOD has also established guidance for developing security assistance programs that addresses the key elements we identified. However, DOD\u2019s guidance does not explicitly apply to the development of foreign assistance strategies. HHS, MCC, and USDA have not established any guidance on foreign assistance strategy development. Inconsistent guidance for developing foreign assistance strategies has contributed to variations in the strategies\u2019 addressing the key elements we identified related to interagency coordination, strategic integration, and assessing progress toward strategic goals.", "Existing government-wide guidance requires agencies to address some of the key elements of assessment of progress toward strategic goals that we identified as being important for ensuring alignment of agencies\u2019 foreign assistance strategies. In January 2018, the Office of Management and Budget issued new guidance for agencies that administer foreign assistance that includes some of the elements we used to assess the strategies we reviewed. For example, the guidance recommends that agencies ensure their programs have clear goals and objectives, align their programs with higher-level strategies or objectives, and plan for monitoring and evaluation while developing policies and strategies. In addition, the Government Performance and Results Act, as amended, requires agencies to submit strategic plans for program activities that include general goals and objectives for the major functions and operations of the agency, a description of how the goals are to be achieved, and a description and schedule of program evaluations. The act\u2019s provisions were among the sources we used to develop the desirable characteristics from which we derived the key elements we identified. However, according to officials of State\u2019s Office of U.S. Foreign Assistance Resources, there is no government-wide guidance that incorporates interagency coordination, strategic integration, and assessment of progress toward strategic goals into the interagency strategic planning process. In addition, the officials stated that there is no overarching review mechanism for strategies outside of the core strategic planning process for joint State-USAID strategies.", "According to State officials, State\u2019s Office of U.S. Foreign Assistance Resources plays a significant role in promoting interagency coordination by convening roundtables and working groups. By collaborating with the five other agencies that implement most of U.S. foreign assistance to establish guidance for developing foreign assistance strategies, the office could help the agencies ensure that future strategies address the key elements we identified. Consistent guidance for strategy development could help the agencies align their strategies and better identify and manage fragmentation in foreign assistance planning."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["U.S. foreign assistance often involves multiple agencies or a whole-of- government approach. Alignment of related foreign assistance strategies can help agencies better identify and manage fragmentation. Moreover, consistently addressing the key elements we identified related to interagency coordination, strategic integration, and assessment of progress toward strategic goals can help ensure that strategies provide a clear and comprehensive picture of alignment.", "Several of the six largest providers of U.S. foreign assistance in the three sectors we reviewed have not issued consistent guidance for foreign assistance strategy development that incorporates these key elements. For example, some agencies have issued guidance that addresses many of the key elements we identified related to interagency coordination, strategic integration, and assessment of progress toward strategic goals, but this guidance does not apply to all of these agencies\u2019 strategies.", "State\u2019s Office of Foreign Assistance Resources leads interagency strategic planning for the implementation of foreign assistance. This office\u2014which has responsibility for, and experience in, promoting coordination among agencies involved in foreign assistance\u2014is uniquely placed to collaborate with other agencies implementing foreign assistance to establish guidance for developing foreign assistance strategies that addresses the key elements we identified. Such guidance would improve the agencies\u2019 ability to align future strategies and to identify and manage fragmentation in foreign assistance planning."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to the Department of State: The Secretary of State should ensure that the Director of the Office of U.S. Foreign Assistance Resources leads an effort to establish, in collaboration with the five other agencies that implement most of U.S. foreign assistance, guidance for strategy development that addresses the key elements we identified related to interagency coordination, strategic integration, and assessment of progress toward strategic goals. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State, USAID, MCC, DOD, HHS, and USDA for review and comment. We received substantive comments from State, USAID, and MCC, which are reprinted in appendixes IV through VI, respectively. In addition, we received technical comments from HHS, which we incorporated as appropriate. State, USAID, MCC, USDA, and DOD did not provide technical comments about our draft report.", "In their substantive comments, State and MCC concurred with our recommendation. USAID\u2019s comments expressed support for our goal of strengthening interagency coordination, strategic integration, and assessment of progress across the federal departments and agencies that implement U.S. foreign assistance. However, USAID suggested that we issue our recommendation to the National Security Council or address it jointly to State and USAID. We believe that our recommendation is appropriately addressed to State, given the responsibility of State\u2019s Office of U.S. Foreign Assistance Resources for coordinating foreign assistance programs, including providing strategic direction for both State and USAID.", "We are sending copies of this report to the appropriate congressional committees and to the Secretaries of Agriculture, Defense, Health and Human Services, and State; the Chief Executive Officer of MCC; and the Administrator of the USAID. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the extent to which foreign assistance strategies address key elements that we identified related to alignment of agencies\u2019 efforts\u2014specifically, elements related to (1) interagency coordination, (2) strategic integration, and (3) assessment of progress toward strategic goals. We focused on the six agencies that administer the largest amounts of foreign assistance, according to fiscal year 2016 obligations data: the Departments of Agriculture (USDA), Defense (DOD), Health and Human Services (HHS), and State (State); the Millennium Challenge Corporation (MCC); and the U.S. Agency for International Development (USAID). We limited our review to foreign assistance strategies that were in effect during 2017. We further focused on strategies relating to health, security, and democracy assistance, which account for the majority of total foreign assistance obligations, according to fiscal year 2016 data. We excluded strategies for other assistance sectors, such as counternarcotics and other law enforcement activities that require interagency coordination with domestically focused agencies outside the scope of our review, such as the Departments of Homeland Security and Justice.", "To identify the strategies for this review, we asked the six agencies to update a list of 63 government-wide, agency, multi-agency, regional, sector-specific, and multisectoral strategies that they had provided for a related report that we published in June 2017. We also asked the agencies to provide country-level strategies for Afghanistan and Kenya, two of the largest recipients of U.S. security and development assistance, based on fiscal year 2016 obligations data. We obtained and initially reviewed 72 strategies, which included the 63 strategies we identified for the June 2017 report; 6 country-level strategies for Afghanistan and Kenya; and 3 updated strategies covering national security, the President\u2019s Emergency Plan for AIDS Relief, and water and sanitation. We determined that 52 of these 72 strategies incorporated goals or activities related to health, security, or democracy assistance (see fig. 4). These 52 strategies, which had been issued by December 2017 and were current in that year, include 44 of those listed in our June 2017 report and 8 of those subsequently identified by the agencies.", "We reviewed the 52 strategies to determine the extent to which they addressed nine key elements we identified relating to the alignment of multiple strategies. We identified these nine elements by reviewing prior reports focused on foreign assistance in the security sector that assessed the quality of various U.S. government strategies; articulated practices for enhancing collaboration among federal agencies; or discussed fragmentation, overlap, and duplication among government programs. Those reports identified six desirable characteristics for government-wide strategies and practices for enhancing agency collaboration. For the purposes of this report, we selected three of these characteristics, related to interagency coordination, strategic integration, and assessment of progress toward strategic goals. We excluded three characteristics\u2014 purpose, scope, and methodology; detailed discussion of problems, risks, and threats; and description of future costs and resources needed\u2014 because we did not consider them to be directly related to alignment of strategies. The three characteristics we included comprised 15 elements, 9 of which we considered to be directly related to the alignment of health, security, and democracy assistance sector strategies across multiple agencies. We excluded 6 elements\u2014for example, potential changes to structure and details on subordinate strategies and plans for implementation (e.g., enterprise architecture)\u2014that we did not consider to be directly related to this topic.", "We reviewed the selected strategies using NVivo, a qualitative data analysis software package. For each strategy, two reviewers, including at least one with expertise in the area of foreign assistance addressed by each strategy, independently identified text related to each of the key elements we had identified. We used a standardized set of criteria in an assessment instrument to consistently judge whether each strategy sufficiently addressed these elements. This instrument contained evaluative questions intended to gauge the presence of each element\u2014 for example, \u201cTo what extent does the strategy address the agencies involved and their roles and responsibilities?\u201d. Given the variety of strategies we reviewed and reviewers\u2019 varying expectations for the detail and emphasis accorded the key elements we had identified, we rated the strategies using a three-part scale focused on the presence of these elements. We rated a strategy as generally addressing an element if the strategy provided sufficient detail to understand the element in that strategy; as partially addressing an element if the strategy mentioned it but lacked sufficient detail; and as not addressing an element if the strategy did not mention it. The two reviewers for each strategy independently documented their judgments on the extent to which the strategy addressed the key elements we had identified. Our initial coding shows that the reviewers agreed in about 78 percent (363 of 468) of these initial judgments. The reviewers reconciled their judgments, with resolution of differences split roughly evenly between accepting the higher and lower of the initial ratings. A supervisor reviewed each set of ratings for internal consistency. The supervisor related any identified issues, as appropriate, to the reviewers, who addressed them before the supervisor recorded the review as final.", "We examined these strategies and any appendixes included in the documents that the agencies submitted, because these strategic documents should broadly describe objectives and efforts\u2014including interagency coordination, strategic integration, and assessment of progress toward strategic goals\u2014needed to achieve them. We did not review agencies\u2019 efforts to implement the strategies and did not assess the overall effectiveness of such efforts. Instead, we focused on the extent to which the strategies we reviewed provided a clear picture of the organization and management of U.S. foreign assistance efforts.", "To measure the extent of strategies\u2019 integration with other relevant sectoral strategies and with higher- and lower-level strategies, we performed a word search for references to the other selected strategies in the same sector and to other strategies or sets of strategies (e.g., regional or country-level strategies) that we classified as either higher- or lower-level strategies. We searched for such references in each of the 14 strategies that we classified as covering the health sector, the 12 strategies that we classified as covering the security sector, and the 8 strategies that we classified as covering the democracy assistance sector. See appendix III for the results of this analysis.", "We also reviewed agency guidance related to foreign assistance strategies. We requested current versions of any relevant documentation from each of the six agencies. State provided us with agency guidance for developing its functional bureau strategies and joint State-USAID regional strategies as well as a related template. State also provided guidance documents related to its monitoring and evaluation policy and performance management. USAID provided strategic planning and implementation guidance for its country development and cooperation strategies. HHS, USDA, and MCC did not provide\u2014and, according to agency officials, do not have\u2014specific guidance related to what constitutes a foreign assistance strategy. DOD provided guidance for developing security assistance programs.", "We conducted this performance audit from May 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Listing of 52 Selected Foreign Assistance Strategies", "paragraphs": ["The following list shows the 52 foreign assistance strategies that we reviewed. 1. Quadrennial Diplomacy and Development Review: Enduring Leadership in a Dynamic World (2015) 2. U.S. Global Development Policy (Sept. 22, 2010) 3. State-USAID Joint Strategic Plan FY2014-2017 (Mar. 17, 2014) 4. State Department, Office of U.S. Foreign Assistance Resources (F), Functional Bureau Strategy (2016) 5. Millennium Challenge Corporation, NEXT: A Strategy for MCC\u2019s Future (Feb. 24, 2016) 6. USAID Multi-Sectoral Nutrition Strategy 2014-2025 (May 2014)", "Regional strategies (not specific to any single sector) 7. State Bureau of East Asian and Pacific Affairs/USAID Bureau for Asia Joint Regional Strategy (approved May 24, 2016) 8. State Bureau of African Affairs/USAID Bureau for Africa Joint Regional Strategy (approved Apr. 5, 2016) 9. State Bureau of Near Eastern Affairs/USAID Bureau for Middle East Joint Regional Strategy, FY 2016-2018 10. State Bureau of European and Eurasian Affairs/USAID Bureau for Europe and Eurasia Joint Regional Strategy, FY 2015-2018 (approved April 2015) 11. State Bureau of Western Hemisphere Affairs/USAID Bureau for Latin America and the Caribbean Joint Regional Strategy, FY 2015-2018 12. State and USAID Joint Regional Strategy for South and Central Asia, and Afghanistan and Pakistan, FY 2015-2018 (June 2014) 13. PEPFAR: Strategy for Accelerating HIV/AIDS Epidemic Control 2017- 2020 (September 2017) 14. 2016-2020 CDC Strategic Framework for Global Immunization (May 2016) 15. \u201cU.S. Government Strategy for Reducing Transmission of the Ebola Virus Disease in West Africa\u201d (draft strategy, Sept. 30, 2015) 16. President\u2019s Malaria Initiative Strategy 2015-2020 (April 2015) 17. President\u2019s Emergency Plan for AIDS Relief (PEPFAR) Human Resources for Health Strategy PEPFAR 3.0 (February 2015) 18. CDC Division of Parasitic Diseases and Malaria Strategic Priorities 19. The Global Strategy of the U.S. Department of Health and Human Services (2015-2019) 20. State Department, Office of the U.S. Global AIDS Coordinator, 21. PEPFAR 3.0 Controlling the Epidemic: Delivering on the Promise of an AIDS-Free Generation (December 2014) 22. HHS Strategic Plan, 2014-2018 (updated March 10, 2014) 23. HHS Assistant Secretary for Preparedness and Response Strategic Plan (February 2014) 24. PEPFAR Blueprint: Creating an AIDS-Free Generation (November 2012) 25. USAID\u2019s Global Health Strategic Framework: Better Health for 26. CDC Global Health Strategy 2012-2015 (June 29, 2012) 27. National Security Strategy of the United States of America (December 2017) 28. State Bureau of Political-Military Affairs, Office of Weapons Removal and Abatement, Conventional Weapons Destruction Strategic Plan, 2017-2019 29. Department of Defense Guidance for Security Cooperation (Aug. 29, 2016) 30. Department of State & USAID Joint Strategy on Countering Violent Extremism (May 2016) 31. State Department, Arms Control, Verification and Compliance, Functional Bureau Strategy (approved December 2015) 32. State Bureau of Political-Military Affairs, Office of Plans & Initiatives, Peace Operations Capacity Building Division, U.S. Global Peace Operations Initiative Strategy: Strengthening the Effectiveness of United Nations and Regional Peace Operations (October 2015) 33. National Security Strategy (February 2015) 34. State Department, Bureau of International Security and Nonproliferation, Functional Bureau Strategy, FY 2015-2018 (January 2015) 35. State Department, Bureau of Political-Military Affairs, Functional Bureau Strategy, FY 2015-2018 (January 2015) 36. State Department, Bureau of Counterterrorism, Functional Bureau Strategy, FY 2015-2017 (January 2015) 37. National Strategy for Counterterrorism (June 2011) 38. Security Sector Reform (February 2009) 39. State Department, The Secretary\u2019s Office of Global Women\u2019s Issues, Functional Bureau Strategy (approved Mar. 27, 2017) 40. United States Strategy to Prevent and Respond to Gender-based Violence Globally (June 2016) 41. United States National Action Plan on Women, Peace, and Security (June 2016) 42. U.S. Department of State Strategy for Women\u2019s Economic Empowerment (June 2016) 43. United States Global Strategy to Empower Adolescent Girls (March 2016) 44. State Department, Bureau of Democracy, Human Rights, and Labor, Functional Bureau Strategy, FY 2015-2018 (approved 2014) 45. U.S. Government Approach on Business and Human Rights (2013) 46. USAID Strategy on Democracy, Human Rights and Governance (June 2013)", "Country strategies (for Afghanistan) 47. Department of Defense, Enhancing Security and Stability in Afghanistan. Report to Congress in Accordance With Section 1225 of the Carl Levin and Howard P. \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015 (P.L. 113-291), as Amended (June 2017) 48. USAID Afghanistan Plan for Transition 2015-2018 (Jan. 6, 2016) 49. State/USAID Integrated Country Strategy: Afghanistan (February 2015)", "Country strategies (for Kenya) 50. State/USAID Integrated Country Strategy: Kenya (approved Feb. 1, 2017) 51. DOD/USAFRICOM: Kenya Country Cooperation Plan FY 2017-2021 (Nov. 8, 2016) 52. USAID Kenya Country Development Cooperation Strategy 2014-2018 (May 2014)"], "subsections": []}, {"section_title": "Appendix III: Extent to Which Sectoral Strategies Addressed Interagency Coordination, Strategic Integration, and Assessment of Progress toward Strategic Goals", "paragraphs": ["Our analysis of strategies we reviewed in the health, security, and democracy assistance sectors found inconsistency in the extent to which the strategies addressed selected, or key, elements that we identified related to interagency coordination, strategic integration, and assessment of progress toward strategic goals."], "subsections": [{"section_title": "Interagency Coordination", "paragraphs": ["As figure 5 shows, about 30 percent (4 of 14) of the strategies in the health sector and about 17 percent (2 of 12) in the security sector generally identified interagency coordination mechanisms, while about 33 percent (4 of 12) in the security sector addressed agencies\u2019 roles and responsibilities. In contrast, 75 percent (6 of 8) of the strategies in the democracy assistance sector generally addressed interagency coordination mechanisms and 63 percent (5 of 8) addressed agencies\u2019 roles and responsibilities."], "subsections": []}, {"section_title": "Strategic Integration", "paragraphs": ["As figure 6 shows, in the health sector, 50 percent (7 of 14) of the strategies generally addressed their relationship with at least one other strategy in the same sector and about 43 percent (6 of 14) generally addressed their relationship with at least one higher- or lower-level strategy. In the security sector, about 58 percent (7 of 12) of the strategies generally addressed their relationship with at least one other strategy in the same sector and their relationship with at least one higher- or lower-level strategy. In the democracy assistance sector, about 75 percent (6 of 8) of the strategies we reviewed generally addressed their relationship with at least one other strategy in the same sector, while about 63 percent (5 of 8) generally addressed their relationship with at least one higher- or lower-level strategy.", "Figures 7, 8, and 9 show the strategies in the health, security, and democracy assistance sectors, respectively, that refer to higher- and lower-level strategies as well as to other strategies in the same sector."], "subsections": []}, {"section_title": "Assessment of Progress toward Strategic Goals", "paragraphs": ["As figure 10 shows, most strategies in the health, security, and democracy assistance sectors generally identified desired results, a hierarchy of goals and subordinate objectives, and activities to achieve results. However, strategies in all three sectors were less consistent in identifying milestones and performance indicators. Specifically, 57 percent (8 of 14) of health sector strategies, 50 percent (6 of 12) of security sector strategies, and 50 percent (4 of 8) of democracy assistance strategies generally addressed this element. In addition, while 71 percent (10 of 14) of strategies in the health sector outlined plans for monitoring and evaluation, 17 percent (2 of 12) of security sector strategies and 50 percent (4 of 8) of democracy assistance sector strategies generally addressed this element."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Millennium Challenge Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, James Michels (Assistant Director), Gergana Danailova-Trainor (Analyst-in-Charge), Timothy Young, Kay Halpern, Steven Putansu, Mona Sehgal, Drew Lindsey, Judith Williams, Leslie Holen, Ming Chen, Aniruddha Dasgupta, Mark Dowling, Giff Howland, Neil Doherty, and Reid Lowe made key contributions to this report."], "subsections": []}]}], "fastfact": ["Over 20 U.S. agencies provide foreign assistance for activities ranging from promoting democracy and better health to building the capacity of local security forces.", "We looked at 52 strategies used by the 6 agencies that provide most foreign assistance and found they had well-defined goals. However, they did not always address how agencies will cooperate and measure progress toward those goals. Also, the strategies\u2019 relationships to each other were sometimes unclear.", "We recommended that the Department of State lead an interagency effort to establish guidance for developing foreign assistance strategies."]} {"id": "GAO-18-475", "url": "https://www.gao.gov/products/GAO-18-475", "title": "Workforce Innovation and Opportunity Act: States and Local Areas Report Progress in Meeting Youth Program Requirements", "published_date": "2018-06-15T00:00:00", "released_date": "2018-07-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Approximately 4.6 million youth ages 16 to 24 were neither in school nor employed in 2016. WIOA, enacted in July 2014, provides, in part, grants to states and local areas to assist youth\u2014particularly out-of-school youth\u2014in accessing employment, education, and training services. It also emphasizes the provision of work experiences to in- and out-of-school youth.", "GAO was asked to review how states and local areas are using WIOA grants to serve youth. This report examines (1) what is known about states' and local areas' progress in meeting WIOA spending requirements for serving out-of-school youth and for providing youth with work experiences; (2) how local areas are addressing WIOA's emphasis on serving out-of-school youth and any challenges, and (3) how local areas are addressing WIOA's emphasis on youth work experiences and any challenges. GAO reviewed relevant federal laws, regulations, and guidance; interviewed DOL officials; analyzed DOL state level WIOA youth program expenditure data from program years 2015 and 2016, the most recent data available; surveyed a nationally representative sample of local workforce development areas; and visited nine local workforce development areas in three states selected for their relatively large WIOA Youth funding allotments and relatively high rates of out-of-school youth.", "GAO is not making recommendations in this report. DOL and the Department of Education provided technical comments on a draft of this report, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Most states reported they were on target to meet the Workforce Innovation and Opportunity Act's (WIOA) requirement to spend 75 percent of their Program Year 2015 and 2016 youth grant funding to serve out-of-school youth, according to Department of Labor (DOL) data. Because deadlines had not arrived for the spending of state youth grant allotments for these program years, compliance could not be determined. Similarly, most local areas reported they were on track to meet the out-of-school youth spending requirement, as well as the requirement that 20 percent of local youth grant funds be spent on providing work experiences to youth. Through GAO's survey, many local areas reported it was not challenging or only slightly challenging to meet the spending requirements, but some reported experiencing greater challenges (see figure). Under WIOA, DOL does not collect local expenditure information, but states must monitor local areas' compliance while DOL monitors state oversight. DOL has taken some steps to determine whether states are carrying out their monitoring responsibilities, including limited on-site monitoring and ongoing dialogue with states. According to DOL officials, the agency's monitoring of the new requirements has thus far focused on providing technical assistance and guidance, but they reported plans for more formal compliance monitoring.", "Note: All percentage estimates in this figure have a margin of error of plus or minus 10 percentage points or fewer. Percentages do not add to 100 due to rounding and because a small number of survey respondents answered \u201cdon't know\u201d or did not respond.", "Local areas reported in GAO's survey that they used a combination of strategies to meet the WIOA spending requirement for serving out-of-school youth and to address other related challenges. For example, many local areas reported suspending enrollment of in-school-youth to help meet the requirement to spend 75 percent of youth grant funds on out-of-school youth. In addition, local areas reported having taken steps to address challenges locating, retaining, and serving out-of-school youth in their WIOA-funded programs, including increasing their recruiting efforts and strengthening partnerships with other WIOA programs, state and local government agencies, and community-based organizations.", "To meet WIOA's 20 percent spending requirement for work experiences, local areas reported expanding work experience opportunities for youth, most commonly with temporary paid employment. An estimated 81 percent of local areas reported they paid youth participants' salaries, with most paying the entire salary. Many local areas also reported challenges, including youths' lack of job-readiness and employers' reluctance to hire WIOA participants. To address these challenges, local areas reported providing job-readiness training for youth and strengthening partnerships with employers."]}], "report": [{"section_title": "Letter", "paragraphs": ["Approximately 4.6 million youth aged 16 to 24 were neither in school nor employed in 2016. The Workforce Innovation and Opportunity Act (WIOA), which helps job seekers access employment, education, and training services, includes youth formula grants that have measures to emphasize services to out-of-school youth. Primarily administered by the U.S. Departments of Labor (DOL) and Education (Education), WIOA superseded the Workforce Investment Act (WIA), and most provisions became effective on July 1, 2015. WIOA includes a requirement that at least 75 percent of youth formula grant funds be spent on services to out- of-school youth. In addition, it requires that at least 20 percent of local youth grant funds be spent on the provision of work experiences to all youth served by WIOA, both in- and out-of-school. Program performance is measured by outcomes including employment rate, median earnings, and credential attainment.", "You asked us to review how states and local areas are using WIOA grants to serve out-of-school youth and provide youth with work experiences. This report examines (1) what is known about states\u2019 and local areas\u2019 progress in meeting the WIOA spending requirements for serving out-of-school youth and providing youth with work experiences, (2) how local areas are addressing WIOA\u2019s emphasis on serving out-of- school youth and any challenges they have encountered, and (3) how local areas are addressing WIOA\u2019s emphasis on youth work experiences and any challenges they have encountered.", "To answer all of our research objectives we reviewed relevant federal laws, regulations, guidance, and data. We also conducted an online survey of workforce development area leadership. We administered our survey via email to a stratified, random sample of workforce development area leaders from 130 local areas across the country. We received 106 completed surveys. Results of our survey can be generalized to the entire population of local areas in the 50 U.S. states and the District of Columbia. All percentage estimates in this report derived from this survey have a margin of error of plus or minus 10 percentage points or fewer, unless otherwise noted. In addition, we interviewed state workforce agency officials in three states; Arizona, Michigan, and Texas. In each of those states we visited three local workforce areas and interviewed WIOA practitioners, including Workforce Development Board members and staff, youth service-provider staff, community youth organizations, and educators. We selected the three states primarily due to their relatively high rates of disconnected youth and relatively large WIOA state youth grant allotment for program year (PY) 2016, the most recent allotment data available at the time of selection. Our selection of local areas within states prioritized those with higher rates of disconnected youth and considered population density to ensure balanced representation from urban and rural areas.", "We also conducted interviews with DOL officials in headquarters and three regional offices to learn more about the agency\u2019s administration of WIOA and to identify the steps the agency is taking to monitor states\u2019 and local areas\u2019 progress in meeting selected WIOA youth program requirements. To assess state spending patterns, we reviewed federal program data on WIOA youth expenditures and determined their reliability. We found the data to be reliable for the purposes of our reporting objectives. To assess local area spending patterns, we included questions in our survey that asked local areas to self-report the percentage of their WIOA youth grant that they spent on out-of-school youth and work experiences, respectively, for PY2016. We did not independently determine state or local expenditures. In addition, we reviewed DOL guidance and technical assistance to identify the measures the agency is taking to help states and local areas meet program requirements and deliver services to out-of-school youth and work experiences to all youth served by WIOA. We also requested and received DOL documentation to better understand the scope of DOL\u2019s efforts to ensure the reliability of WIOA youth program data. See appendix I for more information on our objectives, scope, and methodology.", "We conducted this performance audit from December 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Workforce Innovation and Opportunity Act (WIOA)", "paragraphs": ["WIOA was designed, in part, to deliver a broad array of integrated services to customers of the public workforce system, including individuals seeking jobs and skills training, and employers seeking skilled workers. WIOA authorizes six core programs, including youth formula grants, with four programs administered by DOL and two by Education, as described in table 1. Program participants, including youth, may co- enroll in multiple WIOA core programs, such as the adult education or vocational rehabilitation programs, if they meet eligibility requirements for each. The core programs are generally required to report on common performance indicators, such as how many workers entered and retained employment, their median wages, whether they attained credentials, and their measurable skill gains. The law also includes new requirements for state workforce development plans to unify workforce strategies across the six core programs.", "Most provisions of WIOA became effective on July 1, 2015, superseding the Workforce Investment Act (WIA) of 1998. The Departments of Labor and Education issued the final regulations in August 2016, just after the close of the first full WIOA program year. Figure 1 shows the timing of key actions in implementing WIOA and timeframes governing state and local spending of initial youth grants. As illustrated, compliance is determined over the period for which funds are available, rather than on a program year basis. States have 3 years after the start of the program year to expend each program year\u2019s youth funds, and local areas have 2 years.", "WIOA also emphasized improving opportunities for populations with significant barriers to employment, including out-of-school youth. We have previously reported that disconnected youth (those neither in school nor employed) may experience challenges successfully transitioning to adulthood. Disconnected youth are more likely than in-school youth to have characteristics and/or circumstances that can pose obstacles to employment, such as a lack of stable housing or transportation, parenting responsibilities, disabilities, limited basic skills, criminal convictions, or lack of adult support. In addition, WIOA emphasizes work experiences for youth\u2014both in- and out-of-school youth\u2014including paid and unpaid work, pre-apprenticeships, and internships.", "To ensure states and local areas emphasized services to out-of-school youth and youth work experiences, WIOA introduced new expenditure requirements for each. WIOA also changed the age range of eligible youth (see table 2). However, DOL has broad authority to issue waivers to individual states or local areas, exempting them from meeting certain requirements, including those relating to expenditures.", "In addition to the new spending requirements and eligible age range, WIOA changed the services local areas are required to make available to youth, as appropriate. Specifically, 2 of WIA\u2019s 10 program services were combined, and 5 new services were added, bringing the total to 14 (see table 3). In general, WIOA\u2019s youth program elements support career readiness as a youth transitions from basic educational attainment to occupational skills training and work opportunities, then to post-secondary education or unsubsidized employment.", "Since 2011, total youth formula grants to states\u2014under WIA and then WIOA\u2014have fluctuated but declined overall, with $700,044,855 being allotted to the 50 states and the District of Columbia for all WIOA youth activities in PY2017 (see fig. 2). Under WIOA Title I, DOL administers youth grants to states based on a formula reflecting the distribution of unemployment and economically disadvantaged youth. In general, states allocate funds to local areas based on a similar formula. In addition to changes in federal grant funding, fluctuations in unemployment and estimates of disadvantaged youth affect annual state and local grants.", "Governors establish state Workforce Development Boards that help guide implementation of WIOA by developing state plans, crafting statewide WIOA policies, and assisting local boards in the planning and delivery of WIOA services, among other duties. The state Boards must include a majority share of leaders in the state business community as well as representation from the state legislative and executive leadership, and labor organizations, and may include community-based organizations and service providers. Local Workforce Development Boards operate under state Boards and perform several roles, including developing local WIOA plans, contracting with service providers, providing oversight of youth activities, and selecting American Job Center operators.", "As was the case with WIA, WIOA provides significant flexibility to states and local areas to design and operate their WIOA programs to best suit local needs. For example, some local Workforce Development Boards provide direct services to youth while others contract with one or more organizations to provide the WIOA youth program services. In addition, services can be provided to youth at the workforce area\u2019s American Job Center, a separate youth center, service providers\u2019 offices, other locations in the community, or a combination of these sites. Local service providers work with each youth participant to develop an individual service strategy, which is a combination of services connected to a career pathways plan and tailored to the youth\u2019s needs. Local workforce areas generally must make available all 14 program services, though youth are not required to participate in all services."], "subsections": []}]}, {"section_title": "States and Local Workforce Areas Report Progress in Meeting Spending Requirements", "paragraphs": [], "subsections": [{"section_title": "Most States Appear on Track to Meet Targets for Spending on Out-of- School Youth", "paragraphs": ["Complete data on the spending of youth grants allocated to states for the first 2 program years of WIOA (PY2015 and PY2016) were unavailable during our review, but available data states reported to DOL showed a growing number of states were on target to expend at least 75 percent of their youth formula grant on out-of-school youth (see fig. 3). Nationally, as of September 30, 2017, states reported spending over 99 percent of their WIOA youth grant program funds allotted in PY2015, and 36 states had spent 75 percent or more of their expended funds on out-of-school youth (with an additional 13 states having spent between 70 and 75 percent). Twenty-nine states reported having spent all of their PY2015 funds, and of these states, 21 had spent 75 percent or more on out-of-school youth. The remaining 8 fell short of the level generally required by statute. However, for PY2015 specifically, DOL officials told us that the agency used its transition authority to modify the requirement. For that program year, DOL allowed states that could not meet the 75 percent requirement to spend a minimum of 50 percent of funds on out-of-school youth (rather than 75 percent) if they spent at least 10 percentage points more on these youth than in the previous program year. Applying this standard to DOL data on state spending, all but two states were on track to meet the modified requirement for PY2015 funds.", "Available DOL data also suggest most states are making progress in meeting the out-of-school youth spending requirement for their PY2016 youth funds. The rate at which states are spending their PY2016 funds varies, but as of September 30, 2017, states had collectively spent approximately 77 percent of their allotments. As of that date, 48 states had spent 75 percent or more of their expended funds on out-of-school youth. Only 4 states reported they had spent all of their PY2016 funds, and of those 4, all had spent more than 75 percent on out-of-school youth. States that have not yet spent all of their youth funds nor met the requirement to spend 75 percent of their PY2015 or PY2016 funds on out-of-school youth may still do so by the end of the 3-year period, ending June 30, 2018 for PY2015 funds, and June 30, 2019 for PY2016 funds. Conversely, states that are currently at or above the 75 percent level, with substantial funds left to spend, may fall below that level by the end of the 3-year spending period.", "Past federal emphasis on serving out-of-school youth, and many states\u2019 experience in doing so, may partially account for states\u2019 progress in meeting WIOA\u2019s higher spending targets for this population. As far back as 2002, DOL guidance had emphasized serving out-of-school youth. Even before WIOA went into effect, many states were exceeding the existing WIA requirement to spend 30 percent of their WIA youth grant funds on out-of-school youth, with nationwide levels exceeding 50 percent since 2012 (see fig. 4). State workforce board officials in the three states we visited reported that they did not need to make significant changes to their youth programs to meet the new spending requirement. For example, in Texas, officials told us that the state had anticipated the increased focus on out-of-school youth for a number of years. In response, in the years before WIOA, it began steering more of its WIA youth grant funds toward serving out-of-school youth. According to this state official, in PY2006, Texas increased the percentage of youth grant funds that local areas must spend on out-of-school youth from 30 (the requirement under WIA) to 45 percent, and raised the requirement again in PY2007 to 65 percent."], "subsections": []}, {"section_title": "Local Areas Reported Being on Track to Meet WIOA Spending Requirements", "paragraphs": ["Similar to states, most local workforce areas we surveyed reported that they were on track to meet the requirement that they spend 75 percent of their WIOA youth grant funds on out-of-school youth. They also reported they were making progress on the requirement that they spend 20 percent of their funds providing work experience to all youth served by WIOA (in- and out-of-school).", "With respect to the out-of-school youth spending requirement, approximately 76 percent of survey respondents reported spending at or above the required level, and 3 percent reported spending below it. The majority of local workforce areas reported that meeting the spending requirement on out-of-school youth was not challenging or only slightly challenging. Likewise, staff in several local workforce development areas we visited told us that meeting the out-of-school youth spending requirement was not a significant challenge. An estimated 15 percent of those surveyed reported that meeting the spending target for out-of- school youth in PY2016 was very or extremely challenging.", "A majority of local workforce areas we surveyed also reported they were on track to meet the requirement to spend 20 percent of local WIOA youth grant funds on work experiences for both in- and out-of-school youth. While work experience was a youth program element under WIA, spending a specific percentage of WIOA funds on the service is a new requirement and applies only to local areas and not to states. Based on our survey, we estimate that approximately two-thirds of local workforce areas reported spending 20 percent or more of their PY2016 youth funds on work experiences (see fig. 5), but around 11 percent reported spending less.", "In general, many local workforce areas reported that it was not challenging or only slightly challenging to meet WIOA\u2019s spending requirements for serving out-of-school youth and the provision of work experiences. However, an estimated 15 percent reported that meeting the out-of-school youth requirement was very or extremely challenging, and around 21 percent reported the same about the work experience requirement (see fig. 6).", "Under WIOA, states are responsible for monitoring local areas\u2019 progress in meeting youth spending requirements. DOL officials we interviewed told us that states collect local area expenditure data, but those data are not transmitted to DOL except in the aggregate. The three states we visited confirmed that they collect local expenditure data from local areas using their own individual state reporting systems and then aggregate those data at the state level.", "DOL takes steps to determine whether states are carrying out their monitoring responsibilities, including conducting on-site visits to state offices. However, DOL officials said regional offices do not have the capacity to conduct on-site monitoring in each state every year. To make up for this, they conduct risk-based monitoring based on quarterly desk reviews that can alert them to expenditure issues at the state level. According to the officials, DOL regional offices typically conduct on-site monitoring of approximately one-third of their states each year. The officials said that during on-site monitoring, regional office staff may elect to review a sample of local area expenditures and the monitoring activities the state has taken to ensure local targets are being met.", "Also, to supplement their monitoring activities, DOL officials said they rely on regional offices\u2019 ongoing interactions with states to stay abreast of state and local experiences and challenges. They said staff from regional offices maintain a dialogue with state officials, including periodic conference calls. As part of this communication, they said states might inform DOL regional officials about certain local areas experiencing challenges. DOL officials also said they hear from some local area staff directly during national conferences.", "As of February 2018, DOL\u2019s monitoring had thus far focused on assisting states in overcoming challenges with WIOA requirements through technical assistance and guidance, according to DOL officials. At that time, the officials told us that the agency was moving to more formal compliance monitoring and would be beginning to address state-level non-compliance. DOL officials also told us that the agency has developed a core monitoring guide supplement for the WIOA Youth program and plans to publish the guide by December 2018. The tool will be used by DOL officials in their monitoring of states, but will also be shared with state officials to, among other things, help them organize their state-level monitoring of localities."], "subsections": []}]}, {"section_title": "Local Areas Reported Using a Combination of Strategies to Address the Out-of- School Youth Spending Requirement and Related Challenges", "paragraphs": [], "subsections": [{"section_title": "Local Workforce Areas Restricted Enrollment of In-School Youth to Help Meet the Spending Requirement for Out-of- School Youth", "paragraphs": ["While most local areas reported that their efforts to meet the out-of-school youth spending requirement involved serving greater numbers of that population, they also reported the need to accommodate that increase by significantly reducing or eliminating services provided to in-school- youth. In addition to the estimated 71 percent of local areas reporting that the number of out-of-school youth receiving services had increased since the enactment of WIOA, an estimated 80 percent reported that the number of in-school youth receiving services had decreased. An estimated 51 percent said they had reduced outreach and services to in- school youth to a great or very great extent, with another 22 percent saying they had moderately reduced outreach or services to these youth. Notably, an estimated 35 percent of local areas reported that they had stopped enrolling in-school youth in their WIOA youth program entirely.", "Available DOL WIOA program participant data reflects this shift, as the number of in-school youth served since PY2014\u2014the program year prior to when WIOA went into effect\u2014through PY2016 has dropped from just over 97,700 to around 38,900, or approximately 60 percent (see fig. 7). During the same period, the levels of out-of-school youth served rose from nearly 97,200 to around 108,800, or approximately 12 percent. DOL officials and some local workforce area staff reported that it is generally more expensive to serve out-of-school youth, in part because they often require more services than other youth. Although DOL does not have current data on cost per participant, DOL\u2019s Employment and Training Administration\u2019s fiscal year 2017 Congressional Budget Justification notes that WIA data indicate that out-of-school youth may cost approximately $1,000 more per youth served than in-school youth.", "Survey respondents most frequently reported that the reduction in services to in-school youth was the most adverse consequence they observed as a result of the new WIOA youth requirements. Similarly, WIOA practitioners we interviewed during our local area site visits expressed concerns about reducing services for in-school youth. Several told us that local in-school youth were no longer receiving the level of services they might need and that the shift might lead to more youth becoming disconnected from school and employment. Staff in one of the more rural workforce areas we visited noted that there are often insufficient services available to replace these lost WIOA services. Without a presence in the schools, staff in one workforce area told us they were concerned that they were not reaching youth at the right time and that more youth might become disconnected as a result. Some survey respondents made similar points, reporting that youth are more likely to become disconnected without WIOA services available in schools. In addition, workforce development board staff in one local area we visited told us that the WIOA definition of out-of-school youth has limited their ability to provide services to youth who need them if they have enrolled in community college but are not yet attending classes.", "DOL has provided technical assistance identifying other federal programs available for assistance to in-school youth, but we did not determine the extent to which these resources were being used in the local areas we visited. One major urban area we visited had managed the program\u2019s transition toward serving a larger proportion of out-of-school youth through a city-wide committee established by the mayor. According to workforce development board staff, this committee works with the workforce development board and other community partners (e.g., civic, business, and philanthropic groups) and has helped develop an overarching strategy to assist youth that did not exist prior to WIOA."], "subsections": []}, {"section_title": "To Address Challenges, Local Workforce Areas Have Increased Recruiting Efforts, Strengthened Partnerships, and Expanded Services", "paragraphs": ["As local areas have worked to meet the new out-of-school youth spending requirement, they report applying other strategies to address certain challenges associated with serving that population in greater numbers. While many local areas reported that one of the main benefits of WIOA was its focus on hard-to-serve youth and those in greatest need of services, survey respondents and local workforce area staff and service providers reported that it has forced them to make some adjustments in how they administer their local youth programs, particularly in their approach to recruitment, local partnerships, and service offerings.", "Challenges Associated with WIOA\u2019s Shift toward Out-of-School Youth In response to our survey, local area staff cited a number of specific challenges related to recruiting, retaining, and serving out-of-school youth under WIOA (see fig. 8).", "Transportation: A lack of transportation can prevent youth from getting to and from WIOA-funded educational programs, service providers, training, and work, and it was among the most significant barrier to employment cited by survey respondents. An estimated 71 percent of local workforce areas reported that transportation barriers were moderately or very difficult, and an additional 18 percent said they were somewhat difficult. Local service providers also told us that the lack of transportation could be particularly acute in rural areas without public transportation, such as bus systems.", "Locating and Recruiting: Finding out-of-school youth to enroll in WIOA- funded services was a significant challenge cited by local workforce areas, with an estimated 59 percent reporting that locating out-of-school youth was moderately or very difficult and another 21 percent reporting that it was somewhat difficult. Some local workforce area staff and service providers told us that many out-of-school youth move frequently, making it difficult to find and track them. In some locations, workforce area staff or service providers reported that youth typically do not \u201cwalk-in\u201d to American Job Centers seeking services or congregate in the same places as in-school youth. Staff in one rural area told us that service providers had to recruit constantly. But even in urban areas, locating and recruiting out-of-school youth can be difficult. In fact, service providers in one urban workforce development area we visited told us that recruiting out-of- school youth is by far their greatest challenge. \u201cLife barriers crop up once engaged and can take the young adults off course. The system must be flexible to allow these young adults time to leave and come back multiple times.\u201d", "Retaining and Serving: Convincing out-of-school youth to stay in a WIOA program is also challenging for workforce development areas and service providers. In our survey, retaining youth was cited as moderately or very difficult by an estimated 54 percent of workforce development areas, with another 31 percent reporting it was somewhat difficult. Some survey respondents and workforce development area staff and service providers cited current low unemployment rates, which make it easier for youth to find jobs without completing WIOA work experiences or services, and frequent moves by out-of-school youth, sometimes far from work or training locations, as reasons retaining these youth can be difficult. \u201cMany of the out-of-school youth have significant barriers that they have faced their entire life. We have to address a series of barriers with the individual before we can even begin to think about career, training, education, or work experience.\u201d", "Addressing Personal Barriers: Addressing the personal barriers often faced by out-of-school youth was also a key challenge cited by local workforce areas. According to an estimated 44 percent of local workforce areas, addressing obstacles faced by this population such as homelessness or having a criminal history is moderately or very difficult, with another 30 percent reporting that it is somewhat difficult. Multiple survey respondents noted that because of their multiple barriers, out-of- school youth require more frequent contact and intensive case management services. During our interviews in local workforce areas, staff and service providers told us that out-of-school youth tend to face more of these types of obstacles than in-school youth. They told us these youth may have disabilities, such as diagnosed or undiagnosed mental health needs. In addition, they may have children and lack childcare, be involved in the child welfare or juvenile justice system, or experience homelessness. Out-of-school youth also often lack basic academic or job readiness (\u201csoft\u201d) skills, and sometimes are not proficient in English or face other barriers to employment. Some survey respondents also noted that the needs of older out-of-school youth are often different from those of younger youth. For example, they may have multiple children or housing needs and thus require more supportive services.", "Strategies Local Areas Have Applied to Address Challenges To mitigate challenges in shifting spending to out-of-school youth, local workforce area staff and service providers said that they have increased their recruiting efforts, developed new partnerships, strengthened existing partnerships, and in some cases, expanded services.", "Increased Recruitment Efforts to Locate Out-of-School Youth: An estimated 51 percent of local workforce areas said they are spending a larger percentage of their WIOA youth grant funds on recruiting compared to what they spent under WIA. According to our survey, the top approaches workforce development areas use to recruit out-of-school youth involve seeking referrals from community-based organizations, family and friends, and other agencies. They also include recruiting in person and in places throughout the community where out-of-school youth tend to congregate. Advertising WIOA youth programs using fliers and social media were also cited as being used to a great or very great extent by about 50 percent of local workforce areas (see fig. 9).", "In addition to survey respondents, those we spoke to in the local workforce development areas we visited described how they have increased their recruitment efforts of out-of-school youth since the enactment of WIOA. For example, one local workforce development board used its funds to hire an additional staff person to assist a service provider with its recruitment efforts. Service provider staff from across the local areas we visited said they spend time out in the community where out-of-school youth congregate much more now than under WIA when they served more in-school youth who were easier to find. They told us they recruit at malls, barbershops, and other places where out-of-school youth are likely to gather. One service provider told us they have regular hours at a popular major-chain coffee shop where they meet with youth and complete enrollment paperwork rather than relying on youth coming to an American Job Center or the service provider\u2019s office.", "According to our survey, an estimated 70 percent of local workforce areas receive referrals from parents, siblings, friends, and other community members to a great or very great extent. These word-of-mouth and peer- to-peer recruiting strategies were also frequently cited as being very successful by local workforce area staff and service providers we interviewed. For example, staff in one local workforce area told us that one of their most successful recruitment efforts has been using or employing youth who had experienced success in the program to help enroll others in the local community who could benefit from WIOA services. They reported these youth recruiters knew where to find out-of- school youth in need of services and can more easily establish relationships with these youth, both in person and via social media. Other approaches used by the local areas we visited included seeking referrals from other community-based organizations and agencies, placing information fliers in high school graduation packets, attending job fairs and other community events, using social media or radio ads, going door- to-door in public housing, using mobile recruiting units, and placing fliers for WIOA services in grocery bags or attaching them to water bills.", "Strengthened Partnerships: Local workforce areas report strengthening partnerships with other WIOA programs and organizations to enroll and serve out-of-school youth. Approximately 60 percent of local workforce areas reported developing new partnerships or strengthening relationships with other WIOA core programs. Specifically, approximately two-thirds reported that they are co-enrolling WIOA youth with other WIOA core programs. Similarly, local workforce areas reported developing new partnerships or strengthening relationships with state and local government agencies, as well as community-based organizations. For example, some local workforce development area staff and local service providers we interviewed told us they had strengthened relationships with child welfare, juvenile justice, vocational rehabilitation, community colleges, and adult education programs.", "Some service providers focus on delivering services to a specific population of youth, such as youth involved in the foster care or justice system. For example, staff at one local workforce board told us that one of its local service providers ran a program in a juvenile justice facility to provide services to incarcerated youth. Some local workforce areas also reported co-enrolling youth in non-WIOA programs such as Temporary Assistance for Needy Families (TANF). In addition, an estimated 80 percent of local workforce areas reported that they had created new partnerships or strengthened relationships with employers. Other ways that local workforce areas reported strengthening partnerships included strengthening coordination across youth serving programs by improving communication (an estimated 78 percent), co-locating programs (47 percent), and integrating information technology systems (21 percent). Several survey respondents said that new or strengthened partnerships were one of the primary benefits of the WIOA program and that referrals from these partners are an important way to recruit out-of-school youth for the WIOA youth program.", "Expanding or Intensifying Services: To encourage enrollment or retain and serve of out-of-school youth, local workforce areas reported that they had expanded the variety or intensity of the youth services they provide. For example, workforce areas reported that they had expanded occupational training (59 percent), adult education (55 percent), and the development of career pathways (63 percent). In addition, approximately 46 percent of local workforce areas reported they had expanded their supportive services and approximately one-third of workforce areas reported that they spent a higher percent of their youth grant funds on supportive services than they did under WIA. For example, local workforce area staff or service providers we interviewed in three local areas (in two different states) told us that they had used WIOA funds to pay for the care of children of enrolled youth. Staff at another local workforce development area we visited reported intensified focus on staff training in trauma-informed care and emphasized the need to assume trauma among program participants. One WIOA service provider we interviewed explained that keeping more transient out-of-school youth motivated and enrolled required more intensive services and more interaction with staff until they learn to become more self-sufficient. She also emphasized that linking occupational training to an employer is vital for success with out of school youth.", "Reducing Transportation Barriers: In addition to these overall strategies, some local workforce area staff and service providers we spoke to told us they had taken steps to address transportation obstacles, which were widely cited as especially challenging. For example, local workforce staff in one local area we visited reported supplying bus passes to help youth participants get to their work experience jobs or training in areas where bus systems existed. One service provider staff member in a more rural area told us his organization used two vans to transport youth and another told us that his organization had provided bicycles to out-of- school youth. In one location we visited, a community college that partners with the WIOA program provides shuttle bus services between its various campuses and has expanded this service to include transportation to various partners, to and from job sites, and to and from credentialing exams. The representative from this community college told us that this approach is working well but needs to be further expanded. A service provider in another local area we visited told us they have developed some portable training modules that can travel across the local area, alleviating some of the transportation issues out-of-school youth face. These modules help train students in more remote areas in fields such as heating, ventilation, and air conditioning (HVAC), electrical work, and plumbing.", "To help states and local areas implement their WIOA programs and overcome challenges, DOL has developed and provided a significant amount of guidance and technical assistance in the form of Training and Employment Guidance Letters, webinars, conferences, and online resources; all of which state and local officials generally reported as being helpful. Officials in the three states we visited stated that DOL\u2019s guidance and technical assistance had been helpful and that DOL\u2019s Employment and Training Administration regional offices had been responsive to their needs. While local workforce development board staff we interviewed in several local areas told us that they relied primarily on guidance from their state, they also reported using DOL guidance and technical assistance and agreed that it was generally helpful. About half of local workforce area survey respondents reported that DOL guidance and technical assistance are either extremely or very helpful. When asked what topics or issues related to WIOA youth needed additional or clearer guidance, 54 out of 106 (approximately 51 percent) survey respondents did not provide any examples. Of those that did respond, the most commonly cited areas for additional guidance included performance measures and work experiences. However, these topic areas were only mentioned by 14 and 9 of the survey respondents, respectively."], "subsections": []}]}, {"section_title": "Local Areas Used Various Strategies to Meet the New WIOA Work Experience Requirement, Yet Many Reported Challenges", "paragraphs": [], "subsections": [{"section_title": "Local Areas Expanded Work Experience Opportunities for Youth and Frequently Paid for Youth Salaries in Order to Meet the New Work Experience Requirement", "paragraphs": ["Many local workforce areas we surveyed have increased their emphasis on work experiences for youth under WIOA, with paid employment being the most common type of opportunity provided to participants. While work experience was a youth program element under WIA, since the enactment of WIOA, an estimated 82 percent of local workforce areas reported they had expanded work experience opportunities, and 59 percent of local workforce areas reported they provided work experiences to a greater percentage of youth participants than in the years prior to WIOA. Year-round paid employment and summer paid employment were the most common work experience opportunities that local workforce areas reported providing to a great or very great extent (an estimated 69 percent and 42 percent, respectively). In contrast, pre-apprenticeship, on- the-job training, job shadowing, and internship opportunities were less commonly provided (see fig. 10).", "WIOA youth participated in several types of work experiences with employers in numerous occupational fields, local workforce areas reported, though some were more common than others. Since the enactment of WIOA, an estimated 80 percent of local areas developed new or strengthened existing partnerships with employers. Through partnerships with employers youth participated in work experiences in a wide range of fields, the most common being jobs involving retail, customer service, and hospitality. Healthcare and medical-related jobs were also common, as were jobs in manufacturing. These occupations were also associated with the three most common career pathway plans developed for participants, according to the local workforce areas we surveyed. Several local staff members and survey respondents said they try to align youth work experiences with the youth\u2019s interests and career pathway plan. However, many survey respondents noted that finding a good match can be difficult.", "Several workforce development board staff members and service providers across the three states we visited told us they had a positive opinion of work experiences and thought they were beneficial for youth. They praised work experiences for reasons like helping youth learn valuable soft skills, helping them realize the value of work, and improving employment outcomes. An American Job Center staff member in one local area we visited told us how important work experiences were for letting youth explore their interests and \u201ctry out\u201d a new field before investing program funds in a related training program, only for the youth to decide later they did not like that field. Staff at two other centers described similar instances where participants placed in teaching, medical, and veterinarian positions reconsidered their decisions after the work experience exposed them to some of less appealing aspects of the occupations.", "Payment of participants\u2019 salary is the dominant strategy local workforce areas said they are using to meet the new WIOA work experience spending requirement. Specifically, based on our survey an estimated 81 percent of local areas reported that to a great or very great extent they relied on paying a youth participant\u2019s salary to meet the requirement (see fig. 11).", "Our survey also indicates that when local areas paid a participant\u2019s work experience salary, 88 percent often or very often paid the entire salary with youth program funds, far outpacing other payment structures (see fig. 12). Although there is no limit on the length of the paid employment experience, DOL officials told us the typical length is around 6 to 8 weeks. In one local area, service provider staff told us that paying a youth\u2019s entire salary encourages businesses to take a chance on a youth when they otherwise might not. DOL officials also told us that out-of-school youth, in particular, are a harder population to serve and many employers are not willing to take a risk in hiring them without the full salary paid through WIOA. However, based on our survey, an estimated 42 percent of local areas have at least sometimes arranged an agreement that part of a participant\u2019s salary be paid by the employer."], "subsections": []}, {"section_title": "Local Areas Have Taken Steps to Address a Variety of Challenges That Inhibit Their Ability to Provide Work Experiences to Youth", "paragraphs": ["WIOA requires local areas spend at least 20 percent of local youth funds on work experience for in-school and out-of-school youth. Most local workforce areas we surveyed reported meeting that requirement, with an estimated 42 percent reporting it was slightly or not at all challenging to meet it in PY2016. However, another 34 percent found it moderately challenging, and 21 percent reported that it was very or extremely challenging. As shown in figure 13, local areas reported experiencing a variety of challenges as they attempted to meet the new spending requirement.", "Participant Challenges: The fact that youth participants may be less prepared for employment than older participants posed a challenge for workforce area staff as they worked to address WIOA\u2019s new emphasis on youth work experiences. Overall, we estimate that 38 percent of local areas found it moderately or very difficult to meet the spending requirement because youth were not ready for a work experience. An estimated 31 percent of local workforce areas reported it was moderately or very difficult to meet the new requirement as a result of youth not completing their work experiences because they failed to live up to employer expectations. Several local WIOA program staff members told us that youth often have no prior work experience, can lack the soft skills needed for work, and may face other barriers to employment that can complicate success in a work experience. Some local staff we interviewed noted that many youth require substantial preparation before, and support during, a work experience in order to succeed. Perhaps as a consequence, about half (48 percent) of local workforce areas provided job readiness training to youth to a great or very great extent in order to prepare them for work experiences. In addition, some local service providers we met with told us they provided orientations to employers in order to manage expectations and prepare them to employ WIOA youth.", "Further, local service provider staff members told us they lend ongoing support to both youth participants and employers throughout the work experience period. This included check-ins at employment sites, mediating employee/employer conflicts, and addressing employer concerns about a youth\u2019s performance to ensure youth meet employers\u2019 expectations.", "Employer Reluctance: Employers are crucial to a local workforce area\u2019s ability to provide work experiences to youth, yet many local areas have struggled to develop effective employer relationships that foster such opportunities. Notably, identifying employer partners does not appear to be the primary challenge, as an estimated 55 percent of local workforce areas reported little or no difficulty doing so. Yet, the existence of employers may not readily yield work experiences, as approximately 35 percent of local areas reported it was moderately or very difficult to align youth interests with available work experiences. Nearly the same proportion reported similar difficulty generating work experience opportunities because employers may perceive that providing those experiences would come with additional burdens. For example, service provider staff in two local areas told us some employers expressed concern about whether they would be responsible for workers\u2019 compensation should a youth be injured. Staff in other areas told us that large companies in particular worry about potential administrative burdens, such as getting approval from corporate headquarters for a WIOA-sponsored work experience, or incorporating a participating youth into their payroll system.", "Some of the additional administrative burden perceived by employers may be associated with their general concern about the job-readiness of youth enrolled in WIOA programs. Around 31 percent of local areas reported it was moderately or very difficult to meet the work experience spending requirement because employers were reluctant to work with WIOA youth participants. One local employer we interviewed said out-of- school youth, in particular, may require additional help with communication, professional presentation, punctuality, and interpersonal skills, which can require additional personal attention. Many local service provider staff and survey respondents described the numerous barriers to employment often faced by out-of-school youth. One service provider said, as a result of these barriers, employers may be less receptive to provide work experiences for them. A survey respondent voiced a similar concern, saying employers may think youth with significant barriers are \u201ctoo difficult to manage and/or retain in employment.\u201d", "In light of employers\u2019 possible reluctance to provide work experiences for youth, our survey shows many local workforce areas focused more resources toward developing employer partnerships. Specifically, we estimate that 51 percent of local areas reported that they increased their spending on business/employer relations under WIOA. Service providers in two local areas we visited, as well as many survey respondents, reported they had hired new staff, or were utilizing existing staff, to coordinate with employers. In one local area, workforce board staff told us that even with an established community presence and decades of experience, they still had to convince potential employer partners that their youth program staff would do everything in their ability to make work experiences easier for the employer.", "Other Challenges: Youth interest in work experiences may also vary according to current life circumstances, especially the need for immediate income. About a quarter (23 percent) of local areas reported youths\u2019 lack of interest in obtaining WIOA-funded work experiences made meeting the spending requirement moderately or very difficult. As one survey respondent reported, \u201cMany youth in this program simply want and need a job.\u201d This sentiment was echoed by service providers in all three states we visited, who said the need for income can inhibit youths\u2019 interest in a temporary work experience opportunity.", "Also, during our interviews with local area service providers we were told that challenges associated with the WIOA work experience component may be more acute in rural areas. As with other WIOA components, such as education and training, the availability of transportation can determine whether a youth can participate in WIOA-funded work experiences. For example, service providers we interviewed in Texas stressed how a lack of transportation, especially in rural areas where employers may be more distant from a youth\u2019s home, can prevent youth from getting to and from a work site. In addition, a lack of employers in rural areas can hinder the creation of work experience opportunities. One service provider we interviewed said that some rural towns in his local area \u201chave little more than a gas station and a school,\u201d and the lack of local employers significantly limits work experience opportunities for youth. In such cases, arranging an opportunity in an alternate location would also likely require that the youth have a means of transportation to travel to the job site."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["This report does not include any recommendations. We provided a draft of this report to the Secretaries of Labor and Education for review and comment. Both agencies provided technical comments which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretaries of Labor and Education, and other interested parties. In addition, the report will be available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or gurkinc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the implementation of the Workforce Innovation and Opportunity Act (WIOA) youth program in states and local workforce areas with respect to the new requirements that 75 percent of youth funds be expended on out-of-school youth and 20 percent of youth funds be expended on work experiences. In particular, this report examines: (1) what is known about states\u2019 and local areas\u2019 progress in meeting the WIOA spending requirements for serving out-of-school youth and providing youth with work experiences; (2) how local areas are addressing WIOA\u2019s emphasis on serving out-of-school youth, and any challenges they have encountered; and (3) how local areas are addressing WIOA\u2019s emphasis on youth work experiences and any challenges they have encountered.", "To answer all of our research objectives we reviewed relevant federal laws, regulations, and guidance. We also employed other methods to answer our audit objectives, as described below."], "subsections": [{"section_title": "Analysis of DOL Data and Documents", "paragraphs": ["To address our first objective, we analyzed Department of Labor (DOL) state-level WIOA youth program expenditure data from program year (PY) 2015 and PY2016, the most recent data available, for the 50 states and the District of Columbia. We also analyzed WIA state level expenditure data from PY2012 through PY2014. These data include the funds allotted to each state, minus the governors\u2019 reserve for statewide activities, which can be up to 15 percent of the total allotment. In addition, the data include funds spent by the states on out-of-school youth, and for PY2015 and PY2016, funds spent on work experiences. To determine whether states appeared to be on track to meet WIOA spending requirements, we considered the percentage of their overall funds they had spent, as well as the percentage of their expended funds that were spent on out-of-school youth and work experiences. Our analysis should not be used to make conclusions about legal compliance with WIOA requirements. To assess the reliability of these data, we interviewed DOL officials with knowledge of the data and reviewed written responses from the agency officials to data reliability questions. We also reviewed other documentation related to the data. We found these data to be reliable for the purposes of addressing our research objective. We also reviewed DOL guidance and technical assistance materials to identify the measures the agency is taking to help states and local areas meet program requirements and deliver WIOA services to youth. To gather information about the extent to which local areas are making progress in meeting WIOA spending requirements, we collected data through our nationally representative survey, described below."], "subsections": []}, {"section_title": "Interviews with DOL Headquarters and Regional Office Staff", "paragraphs": ["In addition, to address this research objective, we conducted semi- structured interviews with DOL headquarters and regional office officials to gain information on DOL\u2019s role in the implementation and administration of the WIOA youth program, the steps the agency is taking to monitor states\u2019 and local areas\u2019 progress in meeting program requirements, and to assess the availability and reliability of program and expenditure data. We spoke to three of the Employment and Training Administration\u2019s six regional offices, selected for their timely availability and to account for a large portion of state and territorial oversight. Among them, these regional offices were responsible for overseeing 24 states and 3 territories. Our review of DOL\u2019s monitoring of state oversight was limited to aspects necessary to describe DOL\u2019s general review structure and collection of information, if any, on local spending; we did not comprehensively assess DOL\u2019s monitoring efforts."], "subsections": []}, {"section_title": "Survey of Local Workforce Development Areas", "paragraphs": ["To address each of our research objectives, we conducted a nationally representative web-based survey of local workforce development areas (local workforce areas) in the 50 states and the District of Columbia. We surveyed workforce development areas because they are responsible for overseeing local youth workforce investment activities. Our survey results can be generalized to the entire population of workforce development areas. Specifically, we took a stratified random sample of workforce development areas (130 out of a universe of 543) to create estimates about the population of all workforce development areas. To ensure that our survey included workforce development areas located in major population areas, in Strata 1 we included the 23 local areas serving the 20 largest metropolitan areas in the United States with a workforce development board within the city, as identified by U.S. Census Bureau data. In addition, we included all 11 states in which there is only a single workforce development board that oversees WIOA activities for the entire state. There were 33 total workforce development areas in this strata. Strata 2 included 97 other randomly selected workforce development areas across the country. Each workforce development area was weighted in the analysis so our survey would be representative of the entire universe of workforce development areas.", "We conducted the survey from November 15, 2017 through January 31, 2018. We emailed our survey to the executive director of each workforce development area and asked questions about changes the area has made in response to the enactment of WIOA, challenges the workforce area has faced in meeting WIOA requirements related to serving out-of- school youth, and the adequacy of federal guidance and technical assistance, among other topics. The survey contained a mix of closed- ended and open-ended items. The survey\u2019s weighted response rate was 82.3 percent (81.5 percent unweighted), with 106 of 130 workforce areas surveyed responding. A small number of items had higher non-response rates; we note this in the text when the rate of non-response is material. All closed-ended questions were weighted; however, open-ended questions were analyzed without weighting. Open-ended items generally received fewer responses than closed-ended questions.", "Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (e.g., plus or minus 10 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. As a result, we are 95 percent confident that each of the confidence intervals in this report will include the true values in the study population. All percentage estimates in this report have a margin of error of plus or minus 10 percentage points or fewer, unless otherwise noted."], "subsections": []}, {"section_title": "State Interviews and Local Site Visits", "paragraphs": ["To collect more detailed information about WIOA implementation at the state and local levels than our survey allowed, we conducted semi- structured interviews of state and local officials, as well as WIOA service providers, and partners, in three states. For our state-level interviews we selected three states primarily based on two criteria: 1) Proportions of disconnected youth at or above the median for all states. 2) WIOA state youth grant allotment for PY2016 at or above the median for all states.", "Sixteen states met both criteria. From those 16 states, we selected 3 that ensured diversity across DOL Employment and Training Administration regions and provided a mix of states with large percentages of disconnected youth and large state allotments. Based on this process we selected Arizona, Michigan, and Texas. In aggregate, these 3 states received approximately 12 percent of total PY2016 WIOA Youth funds.", "In each of the three states we selected, we visited three separate local workforce development areas, for a total of nine local areas. For our local workforce development area site selection we considered a number of factors, including disconnected youth rate data, input from state officials, and logistical feasibility. We also selected workforce development areas that would provide a mix of urban and rural areas. Specifically, we analyzed data on the percentage of disconnected youth at the county or metro area level and selected local areas with relatively high percentages of disconnect youth. To ensure that we selected workforce areas that would provide both urban and rural perspectives, we relied on county classifications by the U.S. Census Bureau. As we narrowed the list of site visit candidates, we reviewed the local area strategic plans published on the state workforce board\u2019s website to gain additional insight into youth-specific programs in these areas. We also considered state officials\u2019 input regarding workforce development areas in their states. Lastly, in making our final selections, we considered the logistical feasibility of traveling between local areas.", "We held interviews with state workforce officials in these states by phone and then conducted site visits to the three selected workforce development areas in each of the three selected states. In the each local area we visited, we interviewed local workforce development board staff, including, for example, executive directors, youth program supervisors, workforce youth specialists, community and business liaisons or business service managers, and others. Members of the workforce development board, in addition to board staff, participated in some of these interviews. In addition, in these local areas we interviewed staff from American Job Centers (one-stops), contracted youth service providers, and WIOA youth partner organizations, such as community colleges and other educational services providers, Job Corps, vocational rehabilitation agencies, and the Temporary Assistance for Needy Families (TANF) program. In one of the three states we visited, we also spoke with a small number of employers in each local area that had provided work experiences or hired youth through the WIOA program. These interviews were designed to obtain information on a variety of topics related to our research objectives, such as: how local workforce practitioners were serving out-of-school youth through the WIOA program; changes made as a result of the transition from WIA to WIOA; recruitment and service delivery strategies focused on out-of-school youth; challenges related to implementing WIOA and meeting new WIOA spending requirements; and federal guidance and technical assistance.", "We conducted this performance audit from December 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cindy Brown Barnes (Director), Betty Ward Zukerman (Assistant Director), David Perkins (Analyst-in- Charge), David Barish, and Kelly Turner made significant contributions to this report. In addition, key support was provided by James Ashley, Susan Baker, James Bennett, Stephen Betsock, Holly Dye, David Forgosh, Laura Hoffrey, Benjamin Sinoff, Almeta Spencer, and Walter Vance."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Workforce Innovation and Opportunity Act: Federal Agencies\u2019 Collaboration Generally Reflected Leading Practices, but Could Be Enhanced. GAO-18-171. Washington, D.C.: February 8, 2018.", "Workforce Innovation and Opportunity Act: Selected States\u2019 Planning Approaches for Serving Job Seekers and Employers. GAO-17-31. Washington, D.C.: November 15, 2016.", "Workforce Innovation and Opportunity Act: Information on Planned Changes to State Performance Reporting and Related Challenges, GAO-16-287. Washington, D.C.: March 7, 2016).", "Workforce Innovation and Opportunity Act: Performance Reporting and Related Challenges. GAO-15-764R. Washington, D.C.: September 23, 2015.", "Transportation-Disadvantaged Populations: Federal Coordination Efforts Could Be Further Strengthened. GAO-12-647. Washington, D.C.: June 20, 2012.", "Disconnected Youth: Federal Actions Could Address Some of the Challenges Faced by Local Programs That Reconnect Youth to Education and Employment. GAO-08-313. Washington, D.C.: February, 28, 2008."], "subsections": []}], "fastfact": []} {"id": "GAO-19-166", "url": "https://www.gao.gov/products/GAO-19-166", "title": "Climate Change: Activities of Selected Agencies to Address Potential Impact on Global Migration", "published_date": "2019-01-17T00:00:00", "released_date": "2019-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The effects of climate change, combined with other factors, may alter human migration trends across the globe, according to the International Organization for Migration. For example, climate change can increase the frequency and intensity of natural disasters, causing populations to move from an area. Climate change can also intensify slow-onset disasters, such as drought, crop failure, or sea level rise, potentially altering longer-term migration trends.", "GAO was asked to review how U.S. agencies address climate change as a potential driver of global migration. For State, USAID, and DOD, this report (1) describes executive branch actions related to climate change and migration from fiscal years 2014 through 2018; (2) examines the extent to which the agencies discussed the potential effects of climate change on migration in their plans and risk assessments; and (3) describes agency activities on the issue. GAO analyzed documents on administration priorities; reviewed agency plans, risk assessments, and documentation of agency activities; and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["From fiscal years 2014 through 2018, a variety of executive branch actions related to climate change\u2014such as executive orders and strategies\u2014affected the Department of State (State), the U.S. Agency for International Development (USAID), and the Department of Defense (DOD), including their activities that could potentially address the nexus of climate change and migration. For example, a fiscal year 2016 presidential memorandum\u2014rescinded in 2017\u2014required agencies to develop implementation plans to identify the potential impact of climate change on human mobility, among other things. In general, however, climate change as a driver of migration was not a focus of the executive branch actions. For example, a fiscal year 2014 executive order\u2014also rescinded in 2017\u2014requiring agencies to prepare for the impacts of climate change did not highlight migration as a particular concern.", "State, USAID, and DOD have discussed the potential effects of climate change on migration in agency plans and risk assessments. For example, State and USAID required climate change risk assessments when developing country and regional strategies, and a few of the strategies reviewed by GAO identified the nexus of climate change and migration as a risk. However, State changed its approach in 2017, no longer providing missions with guidance on whether and how to include climate change risks in their integrated country strategies. In doing so, State did not include in its 2018 guidance to the missions any information on how to include climate change risks, should the missions choose to do so. Without clear guidance, State may miss opportunities to identify and address issues related to climate change as a potential driver of migration.", "The three agencies have been involved in climate change related activities but none were specifically focused on the nexus with global migration. For example, USAID officials said that the agency's adaptation efforts, such as its Pastoralist Areas Resilience Improvement through Market Expansion project in Ethiopia, were the most likely to include activities, such as enhancing resilience, that can indirectly address the issue of climate change as a driver of migration."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that State provide missions with guidance that clearly documents its process for climate change risk assessments for country strategies. In commenting on a draft of this report, State indicated that it would update its integrated country strategy guidance and will specifically note that missions have the option to provide additional information on climate resilience and related topics."]}], "report": [{"section_title": "Letter", "paragraphs": ["Around the world, climate change is predicted to affect precipitation levels, increase temperatures, and contribute to more frequent natural disasters like flooding and drought, among other effects, according to the Intergovernmental Panel on Climate Change (IPCC). At the same time, recent trends suggest that the number of global migrants will continue to increase, according to the International Organization for Migration (IOM). While many factors, including lack of economic opportunity and political instability, influence the decision to migrate, these international organizations predict that climate change will further increase global human migration, but they do not know to what extent. Nonetheless, the potential link between climate change and migration has raised both humanitarian and national security concerns for the U.S. government.", "As a result of the risks that climate change poses to environmental and economic systems, in February 2013 we placed Limiting the Federal Government\u2019s Fiscal Exposure by Better Managing Climate Change Risks on our High Risk List. As we reported in February 2017, for example, from fiscal years 2005 through 2014, the federal government obligated at least $277.6 billion across 17 federal departments and agencies for disaster assistance programs and activities. Extreme weather events\u2014such as floods, drought, and hurricanes\u2014are expected to increase or worsen because of climate change, according to the U.S. Global Change Research Program. In February 2017, we reported that the federal government needs a cohesive strategic approach with strong leadership and the authority to manage climate change risks that encompasses the entire range of related federal activities and addresses all key elements of strategic planning.", "You asked us to review issues related to human migration due to climate change. In this report, we (1) describe executive branch actions related to climate change and migration from fiscal years 2014 through 2018; (2) examine the extent to which the Department of State (State), the U.S. Agency for International Development (USAID), and the Department of Defense (DOD) have discussed the potential effects of climate change on migration in their plans and risk assessments; and (3) describe State, USAID, and DOD activities, if any, that are related to climate change and global migration.", "To describe executive branch actions related to climate change and migration from fiscal years 2014 through 2018, we reviewed key documents related to climate change that were developed during this time period. These documents included executive orders, budget requests, and strategies. We chose fiscal years 2014 through 2018 as our time frame based on our review of recent executive orders related to climate change. To examine State, USAID, and DOD discussions of the potential effects of climate change on migration in their plans and risk assessments, we reviewed relevant documents completed since fiscal year 2014. These documents included agency adaptation plans and country and regional strategies. We selected State, USAID, and DOD because the agencies\u2019 missions of diplomacy, development, and defense provide the foundation for promoting and protecting U.S. interests abroad. To describe State, USAID, and DOD activities that are related to climate change and global migration, we identified and examined agency activities potentially related to the issue. For example, we analyzed State and USAID data such as project descriptions for activities that received adaptation funding from the Global Climate Change Initiative. We determined that the USAID and State adaptation project data were sufficiently reliable for the purposes of describing their efforts. For all three objectives we interviewed officials from State, USAID, and DOD. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from October 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Potential Impacts of Climate Change on Migration", "paragraphs": ["According to international and U.S. government sources, climate change poses serious risks to many of the physical and ecological systems upon which society depends, although the exact details of these impacts are uncertain. Climate change may intensify slow-onset disasters, such as drought, crop failure, and sea level rise. Climate change is also increasing the frequency and intensity of extreme weather events, including sudden- onset disasters, such as floods, according to key scientific assessments. These effects of climate change may alter existing migration trends across the globe, according to IOM. (See appendix II for further discussion of climate change as a driver of migration in seven geographic regions.) For example, sea level rise, a slow-onset disaster, may result in the salinization of soil and drinking water, thereby undermining a country or community\u2019s ability to sustain livelihoods and maintain critical services, which could cause some people to migrate. Sudden-onset disasters may also contribute to migration as people flee natural disasters, in most cases leading to temporary displacement. For example, people may either voluntarily migrate, or be forced to migrate, to earn money needed to rebuild damaged homes after flooding, especially as extreme weather events increase in intensity and number. If unable or unwilling to migrate, people may find themselves trapped or choosing to stay in deteriorating conditions. Sources agree that the effects of climate change generally impact internal migration, while migration across international borders due to climate change is less common.", "In deciding whether to migrate, people weigh multiple factors including economic and political factors, social or personal motives, or demographic pressures. The effects of climate change add another layer of complexity to this decision, but there is debate about the role climate change plays in migration. Figure 1 depicts how climate change may influence other factors that drive the decision to migrate or stay.", "There are limitations to reliably estimating the number of people displaced by climate change because there are no reliable global estimates for those migrating due to slow-onset disasters, and estimates for those migrating due to sudden-onset disasters are based on limited data, according to IOM. The lack of reliable data is due in part to the multi- causal nature of migration. Further, IOM notes that forecasts for the number of environmental migrants by 2050 vary from 25 million to 1 billion. They and others have questioned the methodologies used to arrive at even these broad estimates."], "subsections": []}, {"section_title": "Climate Change Impacts on Migration that May Affect National Security", "paragraphs": ["Migration, potentially driven by climate change, may contribute to instability and result in national security challenges, according to some international organizations and national governments. For example, an influx of migrants to a city may put pressure on existing resources, resulting in tensions between new migrants and residents, or between the population and its government. The U.S. Global Change Research Program has also stated that migration, such as displacement resulting from extreme weather events, is a potential national security issue. At different times, the United Nations General Assembly and, in 2014, DOD have deemed climate change to be a threat multiplier, as the effects of climate change could increase competition for resources, reduce government capacity, and threaten livelihoods, thereby causing instability and migration. Further, the U.S. intelligence community considers climate change to increase the risks of humanitarian disasters, conflict, and migration.", "Identifying the cause of a conflict, however, is complicated, and experts debate the connections linking climate, migration, and national security. For example, IOM has reported that existing evidence on climate migration and instability must be considered with caution. Further, some studies stress that other factors can mitigate the effects of climate change on migration and stability, including governance and community resilience, as the World Bank has reported."], "subsections": []}, {"section_title": "U.S. Government Agency Roles Related to Climate Change", "paragraphs": ["State, USAID, and DOD are among the U.S. government agencies with a role in responding to issues related to climate change, including as a driver of migration.", "State interacts with foreign governments and international organizations focused on climate change and migration primarily through the Bureau of Oceans and International Environmental and Scientific Affairs (State/OES) and the Bureau of Population, Refugees, and Migration (State/PRM).", "USAID supports a range of development programs that help to mitigate the effects of climate change through the Bureaus for Economic Growth, Education and Environment; Democracy, Conflict and Humanitarian Assistance; Food Security; Asia; and Africa; and individual USAID missions. Additionally, USAID\u2019s Offices of U.S. Foreign Disaster Assistance (USAID/OFDA) and Food for Peace (USAID/FFP) lead and coordinate the U.S. government\u2019s emergency responses to sudden- and slow-onset disasters, and complex emergencies overseas.", "DOD assists in the United States\u2019 humanitarian response to sudden- onset disasters abroad through its six geographic combatant commands, with support from the Assistant Secretary of Defense for Special Operations and Low Intensity Conflict and the Joint Staff\u2019s Office of Humanitarian Engagement."], "subsections": []}]}, {"section_title": "Executive Branch Actions Related to Climate Change and Migration from Fiscal Years 2014 through 2018", "paragraphs": ["Climate change as a driver of migration was not a focus of the policy documents we reviewed for either the current or previous administrations during fiscal years 2014 through 2018. Our review of executive actions, budget requests, and executive branch strategies that affected State, USAID, and DOD found only brief mentions of climate change as a driver of migration. None of the documents we reviewed reflected a priority for assessing or addressing climate change as a driver of migration, although these documents reflect a shift in administrations\u2019 climate change priorities more generally."], "subsections": [{"section_title": "Executive Actions", "paragraphs": ["The previous administration issued two executive orders and a presidential memorandum related to climate change. These executive actions had a policy of improving climate preparedness and resilience, factoring climate-resilience considerations into agencies\u2019 international development decisions, and creating forums for interagency coordination. In March 2017, the current administration issued a subsequent executive order revoking some of the previous executive actions related to climate change. See figure 2 for a timeline of these executive actions.", "The previous administration issued three executive actions related to climate change, which included requirements focused on agencies\u2019 considerations of the impacts of climate change and established forums for interagency coordination. The current administration issued an executive action related to energy independence and climate change.", "Executive Order 13653: Preparing the United States for the Impacts of Climate Change. Executive Order 13653 stated that agencies\u2014including State, USAID, and DOD\u2014shall, among other things, develop, implement, and update comprehensive Agency Adaptation Plans that integrate consideration of climate change into agency operations and overall mission objectives. Executive Order 13653 also established the Council on Climate Preparedness and Resilience.", "Executive Order 13677: Climate-Resilient International Development. Executive Order 13677 requires State, USAID, and other U.S. government agencies with direct international development programs and investments to incorporate climate-resilience considerations into decision making by assessing climate-related risks to agency strategies, and to adjust relevant strategies as appropriate, among other things. Executive Order 13677 also established the Working Group on Climate-Resilient International Development as part of the Council on Climate Preparedness and Resilience.", "2016 Presidential Memorandum on Climate Change and National Security. The 2016 presidential memorandum required, among other things, that agencies, including State, USAID, and DOD, develop an agency-specific approach to address climate-related threats to national security. It also required agencies to develop implementation plans that would describe how they would identify the potential impact of climate change on human mobility, including migration and displacement, and the resulting impacts on national security, among other requirements, and stated that the effects of climate change can lead to population migration within and across international borders, spur crises, and amplify or accelerate conflict in countries or regions already facing instability. The 2016 memorandum also established the Climate and National Security Working Group.", "Executive Order 13783, Promoting Energy Independence and Economic Growth. Executive Order 13783 revoked Executive Order 13653 and the 2016 presidential memorandum, among other things, as seen in figure 2."], "subsections": []}, {"section_title": "Presidential Budget Requests for Fiscal Years 2017 and 2018", "paragraphs": ["Priorities related to climate change shifted between the past two administrations as reflected in a recent budget request that reduced some climate change funding affecting U.S. foreign assistance.", "2017 Presidential Budget Request. The previous administration stated in its fiscal year 2017 budget request that \u201cthe challenge of climate change will define the contours of this century more dramatically than any other\u201d and that \u201cit is imperative for the United States to couple action on climate change at home with leadership internationally.\u201d The fiscal year 2017 budget request sought $1.3 billion in discretionary funding to advance the goals of the Global Climate Change Initiative, which was established in 2010 and aimed to promote resilient, low-emission development, and integrate climate change considerations into U.S. foreign assistance. The $1.3 billion in requested funding included $750 million in U.S. funding for the Green Climate Fund, a multilateral trust fund designed to foster resilient low-emission development in developing countries.", "2018 Presidential Budget Request. The current administration, in its fiscal year 2018 budget request, did not include any funding for the Global Climate Change Initiative. In addition, the current administration\u2019s budget request stated that it \u201cEliminate the Global Climate Change Initiative and fulfill the President\u2019s pledge to cease payments to United Nations\u2019 (UN) climate change programs by eliminating U.S. funding related to the Green Climate Fund. . .\u201d"], "subsections": []}, {"section_title": "Strategy Documents Affecting State, USAID, and DOD", "paragraphs": ["Some strategies from the current and previous administrations that affect State, USAID, and DOD, among other agencies, reflect a shift in priorities related to climate change. For example, the previous administration cited climate change as a \u201ctop strategic risk\u201d in its 2015 National Security Strategy and stated that climate change is an urgent and growing threat to U.S. national security, contributing to increased natural disasters, refugee flows, and conflicts over basic resources like food and water. The current administration does not discuss climate change in its 2017 National Security Strategy. Additionally, State and USAID have a Joint Strategic Plan to help the agencies achieve the objectives of the National Security Strategy. The previous State-USAID Joint Strategic Plan included a strategic goal on \u201cpromoting the transition to a low-emission, climate-resilient world\u201d that proposed leading international actions to combat climate change. The current State-USAID Joint Strategic Plan does not have a climate change goal."], "subsections": []}]}, {"section_title": "State, USAID, and DOD Have Discussed the Potential Effects of Climate Change on Global Migration, but State Does Not Provide Clear Risk Assessment Guidance", "paragraphs": ["State, USAID, and DOD were required by executive orders to assess climate change-related risks to their missions and, for State and USAID, to their strategies, among other things. In response to Executive Order 13653, which has since been revoked, the agencies completed adaptation plans that integrated considerations of climate change into agency operations and overall mission objectives. In response to Executive Order 13677, which has not been revoked, State and USAID developed processes for climate change risk assessments for their country and regional planning documents. Although these executive orders did not require a specific assessment of climate change as a driver of migration, all three agencies have discussed the effects of climate change on migration in their adaptation plans and risk assessments. However, State lacks clear guidance on its process for assessing climate change-related risks to its integrated country strategies."], "subsections": [{"section_title": "Agencies Discussed the Effects of Climate Change on Migration in Their 2014 Adaptation Plans", "paragraphs": ["State, USAID, and DOD each completed adaptation plans in 2014 that included limited discussions of migration as one potential effect of climate change. Executive Order 13653 directed the agencies to develop or continue to develop, implement, and update comprehensive Agency Adaptation Plans that integrate consideration of climate change into agency operations and overall mission objectives. Each adaptation plan was to include, among other things, a description of how the agency would consider the need to improve climate adaptation and resilience.", "State. In its 2014 adaptation plan, State included a brief discussion of climate change as one of multiple factors that potentially will drive migration and impact its mission. State reported that the specific impacts of climate change on the ability of the department to promote peace and stability in regions of vital interest to the United States were unknown. For example, according to the plan, an increase in heavy precipitation events around the world could damage the electric grid and transportation and energy water infrastructure, upon which State depends, making it difficult to maintain operations and diplomatic relations. In its plan, State reported that climate change impacts may threaten international peace, civil stability, and economic growth through aggravating existing problems related to poverty and environmental degradation. Further, environmental and poverty- related issues and regional instability could stress relationships with some foreign governments. However, the plan noted that specific impacts of climate change on conflict, migration, terrorism, and complex disasters were still unknown.", "USAID. In its 2014 adaptation plan, USAID included a brief discussion of migration as one potential effect of climate change that could also impact security. USAID stated that the impact of climate change on its programs and operations, if left unaddressed, could compromise the agency\u2019s ability to achieve its mission. Further, USAID\u2019s plan referred to increased migration as a potential risk of climate change. Flooding and other extreme climate events can result in increased migration, among other impacts, that could affect existing and planned USAID programming. In particular, programs in areas like agriculture and food security, global health, water and sanitation, infrastructure, and disaster readiness and humanitarian response are vulnerable to climate change, according to USAID. In the infrastructure area, climate change may necessitate new protective measures for coastal homes and infrastructure, and in some cases even mass evacuations or permanent migration. USAID stated that climate change could further reduce or alter the distribution of already limited resources like food and water, or force temporary or permanent migration of communities. According to the plan, in areas with high risk factors for conflict, climate change stresses can aggravate tensions and contribute to conflict.", "DOD. In its 2014 adaptation roadmap, DOD included a brief discussion of migration as one of multiple potential effects of climate change that could impact national security. DOD referred to climate change as a threat multiplier that can aggravate other risks around the world, with migration being one effect that could increase requests for DOD to provide assistance. The roadmap stated that as climate change affects the availability of food and water, human migration, and competition for natural resources, the department\u2019s unique capability to provide logistical, material, and security assistance on a massive scale or in rapid fashion may be called upon with increasing frequency. Furthermore, DOD stated that the impacts of climate change may cause instability in other countries by, among other things, impairing access to food and water, damaging infrastructure, uprooting and displacing large numbers of people, and compelling mass migration. These developments, according to the department, could undermine already fragile governments that are unable to respond effectively, or challenge currently stable governments, as well as increase competition and tension between countries vying for limited resources."], "subsections": []}, {"section_title": "Few of the State and USAID Risk Assessments We Reviewed Identified the Nexus of Climate Change and Migration as a Risk", "paragraphs": ["In response to Executive Order 13677, State and USAID developed processes for climate change risk assessments for their country and regional planning documents. Though these assessments are not specific to migration, a few of the assessments identified the nexus of climate change and migration.", "State. State required climate change risk assessments for all new integrated country strategies drafted in 2016 or later. We reviewed 10 integrated country strategies from the two regions that were the first to implement the climate change risk assessment requirement\u2014 Africa, and East Asia and the Pacific. All 10 of the strategies included climate change risk assessments, one of which\u2014Cambodia\u2014 identified migration as a risk for the country. The Cambodia strategy states that internal migration due to climate change hinders access to health care and the prevention of infectious diseases like malaria. We also reviewed 10 strategies from State\u2019s functional and regional bureaus for assessments of climate-related risks, including 3 functional bureau strategies (State/PRM, State/OES, and State\u2019s Bureau of International Organization Affairs) and 7 regional bureau strategies. All of the functional bureau strategies we reviewed identified climate change as a risk and State/PRM cited the impact of climate change on migration. Of the regional bureau strategies we reviewed, we found that one, the Bureau for East Asian and Pacific Affairs, identified climate change as a driver of migration as a challenge or risk in its region. For example, the strategy states that climate change is becoming increasingly disruptive, potentially increasing migration due to rising sea levels. None of the other six regional bureau strategies we reviewed identified the nexus of climate change and migration as a risk or challenge. However, five regional bureaus identified climate change as a risk or challenge and one identified migration as a risk or challenge.", "USAID. USAID also requires the integration of climate risk management into all country or regional development cooperation strategies drafted since October 1, 2015. Missions must document in a climate change appendix to the strategy any climate risks they identified and how they considered climate change in their strategy. As of August 2018, USAID had completed five country or regional development cooperation strategy updates initiated since October 1, 2015\u2014Uganda, Tunisia, East Africa, Sri Lanka, and Zimbabwe\u2014and all five included the required appendix. Of the five updated strategies, three\u2014Uganda, Tunisia, and East Africa\u2014discuss the indirect effect of climate change on migration, among other issues. For example, Uganda\u2019s 2016-2021 country strategy states that increased frequency and duration of droughts is likely to be the most significant climate\u2010related change in Uganda. The strategy also notes that droughts have affected, and will continue to affect, water resources, hydroelectricity production, and agriculture, among other sectors. As agriculture, forestry, and fisheries decline in Uganda, the strategy asserts that people will migrate to urban areas, leading to the formation of slums. We also reviewed USAID\u2019s nine regional development cooperation strategies, one of which\u2014East Africa\u2014had been updated since the requirement to include climate risk management. Of the other eight strategies that have yet to be updated, seven identified climate change as a challenge or risk and three identified climate change as a driver of migration as a challenge or risk. For example, the Southern Africa regional development cooperation strategy states that water scarcity, natural disasters, and other climate change related events will most likely increase migration throughout the region. Additionally, the Asia regional development cooperation strategy discusses the risks of climate change in urban areas. In Asia, the number of migrants seeking economic opportunities in urban centers is likely to increase. According to the strategy, migrants are moving into hazard-prone areas located along coastlines, flood plains, and other low-lying areas in many Asian primary and secondary cities\u2014areas that experts predict will experience more frequent and intense storm surges, floods, and coastal erosion as a result of climate change."], "subsections": []}, {"section_title": "State Lacks Clear Guidance on its Process for Assessing Climate Change-Related Risks", "paragraphs": ["The requirement in Executive Order 13677 to assess climate change- related risks to agency strategies remains unchanged; however, State now lacks clear guidance on its process for assessing climate change- related risks to its integrated country strategies. Specifically, State\u2019s 2016 guidance for developing integrated country strategies stated that all missions should assess the risk of climate change on their strategies\u2019 goals and objectives and included reference to the climate risk screening tool\u2014a method that missions could use to assess climate change risks. State issued new guidance to its missions in 2018, but this guidance does not include information on the process for assessing climate change-related risks to agency strategies. According to State officials, the 2018 guidance for integrated country strategies does not reference climate change risk assessments because, in September 2017, State decided that the strategies should not single out climate change risks in a separate appendix. State officials said this decision resulted, in part, from the new administration\u2019s shift in priorities on climate change. Officials also said that this decision reflects a new approach to risk management by State and that the missions could choose to include climate change and other potential risks in the general risk discussion section of their strategies. Officials from State\u2019s Office of U.S. Foreign Assistance Resources said that it is now up to each mission to decide whether a strategic objective may have a climate challenge. However, those missions that choose to include an assessment of climate change risks are not provided guidance on the process for doing so and there is no reference to the climate risk screening tool\u2014or to climate change at all\u2014in the 2018 guidance.", "Executive Order 13677 directed State to incorporate climate-resilience considerations into decision making by assessing climate-related risks to agency strategies, among other things. Subsequently, a State cable from September 2016 further explained that State would implement the executive order\u2019s requirement by screening for climate risks as part of the process for drafting all new integrated country strategies. Additionally, the Standards for Internal Control in the Federal Government state that documentation is a necessary part of an effective internal control system. If management determines that a principle is not relevant, management must support that determination with documentation that includes the rationale of how, in the absence of that principle, the associated component could be designed, implemented, and operated effectively.", "Because State lacks clear guidance on its process for assessing climate change-related risks to its integrated country strategies, it is less likely that the current round of strategies will include the assessment of climate- related risks. It is also possible that those missions that choose to conduct climate change risk assessments will not do so in a consistent manner. Such assessments might identify climate change as a driver of migration, as at least one previous assessment did under the 2016 guidance. Thus, without clear guidance, missions may not examine climate change as a risk to their strategic objectives and could miss opportunities to improve the climate resilience of foreign assistance activities."], "subsections": []}]}, {"section_title": "State, USAID, and DOD Have Been Involved in Various Climate Change Related Activities, but None Were Focused Specifically on Migration, and Their Participation Has Declined", "paragraphs": ["For fiscal years 2014 through 2017, State, USAID, and DOD had some activities that could potentially address climate change as a driver of migration, although none of these activities specifically focused on the issue. For example, USAID has climate change adaptation activities, but to date migration has not been a focus of this programming. With the shift in priorities related to climate change in fiscal year 2017, agencies have reduced some of these activities."], "subsections": [{"section_title": "State Activities", "paragraphs": ["State\u2019s offices that are focused on the issues of climate change (State/OES) and migration (State/PRM) have participated in multilateral activities related to climate change as a driver of migration and funded adaptation and other activities related to the issue. State officials said that the agency does not, however, have any activities that specifically address migration due to climate change or environmental factors."], "subsections": [{"section_title": "Multilateral Efforts", "paragraphs": ["State has participated in multilateral activities related to climate change and migration. With the shift in priorities related to climate change in fiscal year 2017, the United States has disengaged from some of these multilateral activities (see table 1).", "In addition to State\u2019s participation in the multilateral activities described in table 2, State has provided funding for activities related to climate change and capacity building that address natural disasters. These activities may involve efforts potentially related to migration. For example, according to State:", "State provided about $2 million per year, between fiscal years 2014 and 2016, to the Intergovernmental Panel on Climate Change, which analyzed the impacts of climate change on migration in its most recent assessment report.", "State/PRM provided about $4 million, between fiscal years 2014 through 2018, for IOM\u2019s Migrants in Countries in Crisis Initiative, which provides guidelines to protect migrants in countries experiencing conflict or natural disasters. IOM provides training to countries on these guidelines. State/PRM officials said that this initiative is not specifically related to climate change and does not focus on specific types of disasters but does mention sudden-onset disasters. Officials also said that IOM tries to promote a climate change perspective in its trainings.", "State/OES provided about $78 million in adaptation funding from the Global Climate Change Initiative to eight projects during fiscal years 2014 through 2017. (See appendix III for a description of all eight projects.) State/OES officials said that these projects help countries prepare for the impacts of climate change, potentially reducing the pressure to migrate. However, to these officials\u2019 knowledge, none of these projects directly supported activities related to migration. For example, State/OES provided a $4 million grant to the National Adaptation Plans Global Network. This network focuses on increasing the capacity of governments to identify and assess climate risks, integrate these risks in planning, develop a pipeline of projects to address these risks, identify and secure funding for projects, and track progress toward resilience targets. Adaptation activities occurred in over 35 countries.", "With the shift in priorities related to climate change in fiscal year 2017, State discontinued some of these efforts. For example, funding for the Global Climate Change Initiative was not included in the President\u2019s budget request for fiscal year 2018. State/OES officials said that the agency does not plan to fund additional adaptation activities and has not requested additional funding for the activities. According to a State official, PRM had been in discussion with IOM to develop a project proposal that would have assisted the governments of Small Island Developing States in adapting their migration policies to account for challenges and opportunities associated with environmental degradation, ecosystem loss, climate change impacts, and natural disasters. State/PRM stopped further development of the proposal following the change in administrations. Additionally, according to a State official, the department made some efforts at the end of the previous administration to develop a formal position on the topic of climate change as a driver of migration. For example, State drafted an internal document to help clarify its role in responding to the humanitarian aspects of sudden-onset and slow-onset climate events. This initial work stopped under the current administration."], "subsections": []}]}, {"section_title": "USAID Activities", "paragraphs": ["USAID officials said that, with respect to the agency\u2019s climate-related programming, its climate change adaptation programming was the most likely to include activities related to migration or displacement, although a broad swath of USAID development programming has the potential to build host country resilience. Officials stated that, to date, migration has not been a primary motivation for the agency\u2019s climate-related or disaster assistance programming. However, officials said that, in a humanitarian crisis or under some economic conditions, development programming can reduce displacement or the pressure to migrate\u2014such as by fostering greater resilience to drought or other adverse conditions\u2014and that this is also true of climate-related programming. USAID also provides humanitarian assistance in response to natural disasters that displace people. Officials said that USAID recognizes the links between displacement and natural disasters, but that the agency does not have specific programs linking disaster assistance, migration, and climate change."], "subsections": [{"section_title": "Adaptation Efforts", "paragraphs": ["USAID identified about 250 activities that received adaptation funding from the Global Climate Change Initiative during fiscal years 2014 through 2016. Our analysis of the descriptions of these activities determined that none directly mentioned any efforts specifically related to migration. Officials emphasized that the connection between climate change and migration tends to be indirect and shaped by other more immediate factors. USAID\u2019s data on activities that received adaptation funding identified 38 beneficiary countries, as well as activities described generally as implemented at the regional or global level. For activities where USAID\u2019s data identified a specific region, most activities were located in Africa followed by Asia and Latin America and the Caribbean.", "Examples of the types of activities that received adaptation funding from the Global Climate Change Initiative during fiscal years 2014 through 2016 include:", "The Mali Climate Change Adaptation Activity, which aims to build resilience to current climate variability and increase resilience to longer-term climate change effects. This activity is also working to strengthen the capacity of Mali\u2019s meteorological agency to provide improved climate information as well as to incorporate climate considerations into local-level planning. The total estimated cost is about $13 million over 5 years.", "The activity for Climate-Resilient Ecosystems and Livelihoods, which ended in September 2018, aimed to increase Bangladesh\u2019s resilience to natural hazards by working with community-based organizations, government ministries, and technical agencies. This activity provided technical assistance to the Government of Bangladesh and local communities to improve ecosystem conservation and resilience capacity. The total estimated cost was about $33 million in funding over 6 years.", "The activity for Pastoralist Areas Resilience Improvement through Market Expansion, which aims to support pastoralists in Ethiopia via expansion of markets and long-term behavior change (see fig. 3). USAID officials cited this activity as an example of adaptation efforts that indirectly address the issue of climate change as a driver of migration. The activity has three interrelated objectives: increasing household incomes, enhancing resilience, and bolstering adaptive capacity to climate change among pastoral people in Ethiopia. An evaluation of the activity found that migration is a coping strategy for dealing with climate shocks, although participants said that drought is becoming more frequent, placing a severe strain on traditional coping mechanisms, such as migration and selling cattle, and that permanent migration is not a preferred strategy. The total estimated cost is about $60 million in funding over 6 years.", "With the shift in priorities related to climate change, funding for USAID\u2019s climate change adaptation activities has decreased. Missions may continue to fund their adaptation activities with discretionary funds or other earmarked, sector funding, provided the activities further the funding source\u2019s objective, according to USAID. For example, in some cases, missions are using Water sector funding to continue some of their adaptation work. USAID also said that among the agency\u2019s goals are to increase the resilience of USAID partner countries to recurrent crises, including climate variability and change."], "subsections": []}, {"section_title": "Humanitarian Aid and Disaster Assistance Efforts", "paragraphs": ["In addition to USAID\u2019s climate change adaptation programming, USAID/OFDA and USAID/FFP provide emergency humanitarian assistance to people affected by sudden-onset disasters\u2014such as hurricanes and floods\u2014and slow-onset and extended disasters, including droughts and conflicts. Some of this assistance helps people who have been displaced by disaster. USAID officials stated that although disasters cause mainly temporary displacement, the relationship among humanitarian assistance, climate change, and migration is very complex and depends on both climatic and non-climatic factors. USAID/OFDA responded to 267 disasters from fiscal year 2014 through June 2018, according to agency data. For example, USAID/OFDA responded to the effects of Hurricane Matthew in Haiti in October 2016, as seen in figure 4, including helping temporarily displaced people."], "subsections": []}]}, {"section_title": "DOD Activities", "paragraphs": ["DOD assists in the U.S. government response to overseas disasters, including helping people displaced by such disasters, regardless of the cause of the disaster. These efforts are not specific to climate change as a driver of migration. For example, officials from DOD\u2019s geographic combatant commands said that, to the extent they address climate change, migration is not a focus of those efforts and they view migration as caused by security and economic issues.", "Between fiscal years 2014 and 2018, Congress has appropriated to DOD between $103 and $130 million per year for Overseas Humanitarian, Disaster, and Civic Aid. Officials said that the geographic combatant commands use most of this funding for steady state humanitarian assistance related to health, education, basic infrastructure, and disaster preparedness with a smaller amount set aside for immediate disaster assistance although that varies based on emergency requirements. DOD officials said that they have not seen any changes to this funding or associated activities with the change of administrations in fiscal year 2017. DOD officials we spoke with also emphasized that USAID/OFDA is the lead agency for the U.S. government\u2019s response to disasters overseas. USAID/OFDA formally requested DOD support on about 10 percent of the foreign disaster assistance provided by USAID/OFDA, according to USAID data for fiscal year 2014 through June 2018 and DOD officials. DOD assistance is typically provided for the largest, most complex disasters, according to agency officials.", "According to a July 2015 assessment conducted by the geographic combatant commands, while their activities vary, each command works with partner nations to increase their abilities to reduce the risks and effects from environmental impacts and climate-related events, including severe weather and other hazards. For example, in the report, U.S. Southern Command stated that it had requested funding to pre-position assets for when a severe storm threatens Haiti to be able to respond immediately to a potential disaster. U.S. Southern Command officials said that they work with partner nations to encourage residents experiencing extreme weather to remain where they are because it is easier to provide help to people who stay in one place. Officials from U.S. Southern Command and U.S. Africa Command also said that the major factors driving migration in their regions are security and economic issues."], "subsections": []}, {"section_title": "Interagency Forums", "paragraphs": ["State, USAID, and DOD have participated in interagency forums regarding climate change, which may have addressed its effects on migration. With changes to priorities regarding climate change in fiscal year 2017, these forums have been disbanded or are not meeting.", "The Council on Climate Preparedness and Resilience. The Council on Climate Preparedness and Resilience, of which State, USAID, and DOD were members, was established to facilitate the integration of climate science in policies and planning of government agencies, including by promoting the development of climate change related information, data, and tools, among other things. Additionally, the council was to develop, recommend, and coordinate interagency efforts on priority federal government actions related to climate preparedness and resilience. According to State officials, the council began working with the National Security Council and other agencies to facilitate greater interagency cooperation on adaptation. In addition, a task force on the council was discussing the federal role in addressing displacement related to climate change. The council was disbanded when Executive Order 13783 revoked Executive Order 13653, which had established the council.", "The Working Group on Climate-Resilient International Development. The Working Group on Climate-Resilient International Development, of which State and USAID were members, was established by Executive Order 13677 and placed under the Council on Climate Preparedness and Resilience. The working group\u2019s mission includes developing guidelines for integrating considerations of climate-change risks and climate resilience into agency strategies, plans, programs, projects, investments, and related funding decisions, among other things. Additionally, the working group was tasked with facilitating the exchange of knowledge and lessons learned in assessing climate risks to agency strategies, among other things. USAID officials said that the working group had not discussed climate change as a driver of migration. While the working group has not been formally disbanded, it has not met since at least November 2017 according to USAID.", "The Climate and National Security Working Group. The Climate and National Security Working Group, of which State, USAID, and DOD were members, was established by the 2016 presidential memorandum. The chairs of the working group were to coordinate the development of a strategic approach to identify, assess, and share information on current and projected climate-related impacts on national security interests and to inform the development of national security doctrine, policies, and plans, among other things. According to the memorandum, the working group was to provide a venue for enhancing the understanding of the links between climate change- related impacts and national security interests and for discussing opportunities for climate mitigation and adaptation activities to address national security issues. This working group was disbanded when Executive Order 13783 revoked the 2016 presidential memorandum, which had established the working group."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["State, USAID, and DOD assessments and activities have not focused specifically on the nexus of climate change and migration. State did identify migration as a risk of climate change in at least one of its climate change risk assessments for the department\u2019s country strategies. However, State now lacks clear guidance on its process for assessing climate change-related risks to its integrated country strategies. State\u2019s current guidance for these country strategies no longer mentions a climate change risk assessment and does not provide missions with information about the climate risk screening tool that can be used to conduct such an assessment. As such, missions are less likely to examine climate change as a risk to their strategic objectives, or to do so in a consistent manner, and thus may not have the information they would need to identify migration as a risk of climate change. By clearly documenting and providing guidance on how to assess the risk of climate change, State would ensure that the department examines the potential risks of climate change on its foreign assistance activities."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to State: The Secretary of State should ensure that the Director of the Office of U.S. Foreign Assistance Resources provides missions with guidance that clearly documents the department\u2019s process for climate change risk assessments for integrated country strategies. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to State, USAID, and DOD for review and comment. State provided written comments, which we have reprinted in appendix IV. In its comments, State did not oppose the recommendation and noted that the agency will update its integrated country strategy guidance by June 30, 2019 to inform missions that they have the option to include an annex on climate resilience, as well as other topics. However, State also indicated that the agency will begin working with stakeholders to consider whether to recommend that the Secretary of State ask the President to rescind Executive Order 13677: Climate- Resilient International Development.", "USAID also provided written comments, which we have reprinted in appendix V. In its letter, USAID provided some additional information about its programs and its proposed transformation effort. USAID and DOD provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional requesters, Secretary of State, the Administrator of USAID, and the Secretary of Defense. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact David Gootnick at (202) 512-3149 or gootnickd@gao.gov, or Brian J. Lepore at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes executive branch actions related to climate change and migration from fiscal years 2014 through 2018; (2) examines the extent to which the Department of State (State), the U.S. Agency for International Development (USAID), and the Department of Defense (DOD) have discussed the potential effects of climate change on migration in their plans and risk assessments; and (3) describes State, USAID, and DOD activities, if any, that are related to climate change and global migration. We chose fiscal years 2014 through 2018 as our time frame based on our review of recent executive orders related to climate change. We selected State, USAID, and DOD because the agencies\u2019 missions of diplomacy, development, and defense provide the foundation for promoting and protecting U.S. interests abroad.", "To describe executive branch actions related to climate change and migration from fiscal years 2014 through 2018, we reviewed documents that reflect priorities of the previous and current administrations. Specifically, we reviewed budget requests and enacted appropriations between fiscal years 2014 through 2018 for funding priorities related to climate change and U.S. foreign assistance. In addition, we reviewed executive actions and executive branch strategies that applied to State, USAID, and DOD between fiscal years 2014 through 2018 for executive and national security priorities related to climate change. For example, we reviewed the current and previous national security strategies. strategies and seven regional bureau strategies. For USAID, we examined the five country and regional strategies that were required to include a climate risk assessment at the time of our review: Uganda, Tunisia, East Africa, Sri Lanka, and Zimbabwe. We also reviewed all nine USAID regional strategies. For both State and USAID, we reviewed the selected strategies by searching for information related to migration and climate change. To determine whether State clearly documents the department\u2019s current climate risk assessment process for integrated country strategies, we compared State\u2019s 2018 guidance for developing integrated country strategies with standards related to documentation in Standards for Internal Control in the Federal Government and previous State guidance issued in 2016, which was created in response to Executive Order 13677\u2019s requirements to assess climate change risks to strategies, among other things. to these issues. The agency then provided us with data for about 250 activities from its annual operational plans for fiscal years 2014 through 2016, the 3 years during the period we reviewed in which it received adaptation funding. USAID identified these activities based on whether the agency had tagged them in its plans as having an \u201cadaptation key issue.\u201d USAID excluded projects that had planned attributions to the adaptation key issue of less than $250,000 in a given fiscal year, as well as certain other activities such as those that focused on project support. We then conducted an automated review of the activity description fields provided by USAID for terms related to migration and other descriptive information such as locations of activities. Because no USAID adaptation activities specifically mentioned migration, for the purposes of this report we chose illustrative examples to provide context for the types of activities the agency has funded.", "DOD officials we met with did not identify any specific activities related to climate change as a driver of migration. DOD officials from the Assistant Secretary of Defense for Special Operations and Low Intensity Conflict and the geographic combatant commands generally discussed DOD activities related to humanitarian assistance and disaster response as most relevant to our inquiry. Because DOD works in coordination with USAID\u2019s Office of U.S. Foreign Disaster Assistance on disaster assistance we also reviewed USAID data on its disaster response activities during this period.", "We determined that the USAID and State adaptation project data and USAID disaster assistance data were sufficiently reliable for the purposes of describing these efforts.", "State, USAID, and DOD to obtain information on whether changes in government priorities related to climate change affected their activities.", "We conducted this performance audit from October 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Regional Focus on Climate Change as a Driver of Global Migration", "paragraphs": ["This appendix provides a review by region of observed and projected climate change effects, migration trends, and challenges in stability and security. Multiple sources we used for this overview make a connection between climate change and such events as rising sea levels, higher temperatures, and an increase in the number and severity of extreme weather events. The following regions are discussed: Asia, South America, the Arctic, Sub-Saharan Africa, the Middle East and North Africa, Oceania, and Central America and the Caribbean. We have provided an overview for each region and a focus on one country or territory in the region. international and regional organizations, including a variety of organizations within the United Nations, the World Bank, regional development banks, the European Union, and others. Third, we reviewed relevant public documents from U.S. government agencies, including the Department of Defense, the U.S. Agency for International Development (USAID), and the United States Institute of Peace (USIP). Fourth, we reviewed academic sources, research institutions, and documents from the relevant country\u2019s national government. population. Economic conditions may be a factor for people deciding whether to migrate or stay in their country of origin.", "Remittances as Percent of GDP: The money international migrants transfer to recipients in their country of origin, expressed as a percentage of the origin country\u2019s GDP. Sources agree that remittances support resilience in origin countries.", "Agriculture, Fishing, Forestry as Percent of GDP: A measure of the value added to an economy from the agricultural sector, which includes forestry, hunting, fishing, and the cultivation of crops and livestock, expressed as a percentage of the country\u2019s GDP. Countries that depend on the agricultural sector may be vulnerable to the effects of climate change, according to the World Bank.", "Percent of Population in Cities: The population living in areas classified as urban according to criteria each country uses. Today, more than half of the global population lives in cities. Migration, in some cases due to climate change, is an important driver of urban growth, according to IOM. Cities are also expected to face increasing risks from rising sea levels, flooding, storms, and other climate change effects.", "Net Migration Rate: A measure of the number of people leaving a country compared to the number of people entering a country, expressed as a number per 1,000 people.", "The effects of climate change in Asia may impact migration and stability according to the Intergovernmental Panel on Climate Change (IPCC) and the Asian Development Bank (ADB). In coastal areas, effects of climate change include rising sea levels, storm surges, and others. Receding glaciers in mountanous areas may also cause flooding, and monsoons in a warmer climate may be more severe. Heat extremes and more rainfall are a particular concern in Southeast Asia. Changes in precipitation and drought in Asia may exacerbate food security challenges, and contribute to people deciding to migrate. Increases in migration, partly stemming from the effects of climate change in surrounding rural areas, may put pressure on existing urban infrastructure. Rural migrants may settle in informal communities on the outskirts of cities, areas that have little resilience to natural disasters. Although the World Bank and others agree that climate change largely causes internal migration, some evidence shows that the impact of climate change contributes to cross-border migration in Asia. Large numbers of migrants, along with other destabilizing factors, may contribute to instability and conflict, according to the IPCC. The effects of climate change on livelihoods, for example, could increase migration, strain governance, and contribute to conflict as a result. Bangladesh is one example where decreased yields from agriculture and fisheries have contributed to migration to the country\u2019s coastal cities, which face their own climate change challenges."], "subsections": [{"section_title": "Bangladesh: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population 164,700,000", "paragraphs": ["Bangladesh\u2019s high population density and geography make the country susceptible to the effects of climate change, according to the World Bank, and others. Bangladesh\u2019s coasts and river banks are vulnerable to sudden-onset events such as tropical cyclones and flooding. Cyclone Aila in 2009, for example, caused widespread flooding in the southern coastal areas of Bangladesh and impacted millions of people. The storm washed away embankments that protected coastlines and caused severe damage to crops and livelihoods. Tropical Cyclone Mora in 2017 damaged thousands of homes and displaced an estimated 200,000 people. Increases in the number and intensity of tropical cyclones, which some predict will occur in a warmer climate, could have severe impacts on homes, livelihoods, and food security. Bangladesh also experiences many slow-onset climate change events, such as rising sea levels and increasingly severe droughts, which are projected to intensify with climate change. Bangladesh would lose an estimated 17.5 percent of its land if the sea level rose 1 meter, as the International Organization for Migration (IOM) has reported. Projected changes in precipitation levels could cause drought and food insecurity in the northwest and salt-water intrusion could reduce crop yields in the southwest."], "subsections": []}, {"section_title": "Net Migration Rate per 1000 people -3.2", "paragraphs": [], "subsections": [{"section_title": "Map of Bangladesh", "paragraphs": ["Migration is a common adaptation strategy to climate change in Bangladesh, according to the ADB. For example, some farmers have adapted to salt water intrusion and destroyed crops by switching to salt- tolerant rice production or shrimp cultivation. Others have migrated, often to Bangladesh\u2019s cities to find work less dependent on agriculture. Many new migrants to Bangladesh\u2019s cities live in informal settlements that lack the resilience to withstand sudden-onset climate events. The capital city, Dhaka, is a common destination for migrants displaced by salt-water intrusion, flooding, and river erosion, according to IOM. Dhaka, like many coastal cities in South Asia, is located on a low-lying riverbank and faces increasing risks of extreme flooding. For example, past floods in Dhaka have destroyed homes and contaminated drinking water, creating significant health hazards. In some cases, individuals migrate to cities temporarily for work and return home after the agricultural off season ends. Bangladeshis also provide a significant number of labor migrants to the Gulf States and Malaysia. Remittances from international migrants represent 5.4 percent of the country\u2019s GDP, and may help to support resilience to climate change, according to IOM, and others. These migration trends may intensify in the future. One study estimates 9.6 million people will migrate from 2011 to 2050 due to the effects of climate change.", "Challenges in Stability and Security Migration due to climate change is cited as a potential destabilizing factor in Bangladesh by ADB, and others. The low-income population in Bangladesh is dependent on agriculture, making the effects of climate change\u2014including impacts on food security\u2014a particular concern. By 2030, these effects on livelihoods and food security could increase the poverty rate in Bangladesh by 15 percent, as the IPCC has reported. Given the proximity of Bangladesh to India, some individuals may also choose to cross the border. Increased migration to India is a potential concern, according to some sources, as India may not have the resources to absorb large numbers of Bangladeshi migrants.", "The CNA Corporation, National Security and the Threat of Climate Change (Alexandria, VA: 2007); and Population Council, \u201cEffects of Future Climate Change on Cross-Border Migration in North Africa and India,\u201d Population and Development Review, Vol. 36, No. 2 (2010).", "The effects of climate change in South America vary by region, according to the the Intergovernmental Panel on Climate Change (IPCC) and International Organization for Migration (IOM), as well as potentially impacting migration and stability. On the coast, risks include sea level rise, depletion of fisheries, and coral reef bleaching, according to IOM. Coastal cities with growing populations are particularly vulnerable. Melting glaciers in the Andean mountain region, and increased rainfall are expected to change the distribution of water resources, and impact food production as global demand for food is growing. Desertification and land degradation, complicated by the effects of climate change, are contributing to migration from rural areas to cities in South America, as IOM has reported. An estimated 77 percent of people living in high risk areas in South America are located in cities, according to IOM. IOM predicts that as these people feel the effects of sea level rise and water scarcity, they will migrate from the large coastal cities to smaller urban areas. While South America has experienced economic growth in the last decade, poverty rates remain high, and the effects of climate change, including possible migration, may exacerbate inequalities, putting further pressure on cities to meet the needs of their populations. Water security in particular is expected to disproportionaly impact low-income communities, according to the IPCC. For example, in Brazil, drought in the northeast may increase migration to southern cities that are facing rising sea levels and landslides, with consequences for food, water, and energy security."], "subsections": []}]}]}, {"section_title": "Brazil: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Human Development Index High Gross Domestic Product (GDP) per Capita $14,103 Remittances as % of GDP 0.1 Agriculture, Fishing, Forestry as % of GDP 4.6 % Population in Cities 86.3 Net Migration Rate per 1000 people 0.0", "paragraphs": ["Observed and Projected Effects of Climate Change Brazil\u2019s cities and rural regions may encounter a range of climate change effects, according to the IPCC and IOM. Rural areas, particularly in the northeast, could experience significant impacts from climate change partly due to poverty rates, and historical vulnerability to drought. Higher temperatures are expected to affect crop yields and household incomes, especially for low-income communities. In northeastern Brazil, temperatures are expected to increase and rainfall to decrease. The northeast could see a 22 percent reduction in precipitation by 2100, according to IPCC projections. Brazil\u2019s coastal areas, including cities, are also vulnerable to rising sea levels, heavy precipitation, flooding, and landslides. The vast majority of Brazil\u2019s population, about 86 percent, lives in cities, many in coastal areas, according to the United Nations Development Program. As their populations have grown, urban areas have extended out. This urban growth in Brazil\u2019s megacities has caused further increases in temperature, rainfall, and landslides. For example, current levels of urbanization in the metropolitan area of Sao Paulo may already be responsible for the 2\u00b0C warming observed in the city over the last 50 years, as well as the rise in extreme rainfall, according to the IPCC. The metropolitan area is expected to extend its area 38 percent by 2030. Multiple studies of the effects of urbanization on Sao Paulo\u2019s climate suggest higher temperatures affect convective rainfall, which occurs when warm air rises, condenses to form clouds, and produces extreme rain. Other concerns are the depletion of coral reefs and mangrove forests on Brazil\u2019s coastlines, and decreases in biodiversity.", "Migration from drought in northeastern Brazil to cities has increased urban populations, putting more people at risk of displacement from flooding and landslides. Migration from the northeast is a historical trend in Brazil, as economic migrants have sought seasonal jobs in more productive agricultural regions, or moved permanently to southern cities. Projected declines in rainfall have led some to predict further increases in migration in northeastern Brazil, as the IPCC has reported. However, remittances from family members who leave Brazil\u2019s northeast support resilience for those who remain and may help to reduce migration. Already environmental factors contribute to migration to cities, including to favelas, informal settlements often constructed in hilly areas and floodplains outside of Brazilian cities. A significant number of the favela residents in Rio de Janeiro are migrants from northeastern Brazil, according to IOM. These new migrants may be at risk of further displacement if heavy rainfall, flooding, and other climate change effects destroy their vulnerable homes. For example, heavy rainfall in April 2010 resulted in landslides across Rio de Janeiro, displacing an estimated 5,000 people, according to a report from the World Bank. Brazil is also a destination for migrants from other countries in the region. Migrants from Venezuela searching for jobs and improved food security have come in growing numbers in recent years, as have migrants from Haiti fleeing a series of natural disasters, as IOM has reported.", "Challenges in Stability and Security Although Brazil ranks 106th out of 178 countries on the Fragile States Index, the effects of climate change may contribute to challenges with water, food, and energy access according to the IPCC. Decreased rainfall could decrease agricultural productivity, with potential health impacts for poor populations. These conditions are of particular concern in northeastern Brazil, as extreme weather and low crop yields are associated with more violence, according to the IPCC. Brazil also receives about 70 percent of its electricity from hydroelectric power, according the United Nations Environment Programme, and recent droughts caused power cuts across many major cities. Although not linked to the effects of climate change, absorbing a growing number of migrants fleeing political and economic instability in Venezuela may impact the broader region, according to the U.S. Department of Defense and the National Intelligence Council. Neighboring countries, including Brazil, may struggle to absorb the influx of migrants. On average, 800 Venezuelans are crossing the border to Brazil every day in need of urgent humanitarian assistance, according to the UNHCR, the UN Refugee Agency.", "The effects of climate change in the Arctic, including higher temperatures and melting ice, have contributed to shifts in migration across the Arctic, and may have security implications. Increasing temperatures may have a variety of impacts in the Arctic, according to the Intergovernmental Panel on Climate Change (IPCC). The effects of rising temperatures are disrupting livelihoods and food security, especially for indigenous communities, and opening up untapped natural resources to extraction. Both trends have impacted migration flows in the Arctic. Rising temperatures and melting ice have opened up previously inaccessible waterways in the Arctic, with implications for national security, according to the Department of Defense and others. Greenland, located in the Arctic and considered part of Kingdom of Denmark, exhibits many of these trends."], "subsections": []}]}, {"section_title": "Greenland: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population 56,000", "paragraphs": ["Greenland is experiencing the effects of climate change, including glacial and ice melt, shifts in wildlife distribution, and newly available oil and mineral deposits, among others. The Greenland Ice Sheet covers approximately 80 percent of Greenland\u2019s land mass. The ice sheet\u2019s melting rate is slow, but uncertain. Increases in temperature greater than 1\u00b0C may result in the near loss of the entire ice sheet over a millennium and significant sea level rise, according to the IPCC. In the short term, predicting the ice sheet\u2019s melting rate is a challenge as predictions vary in the scientific community. Accurate predictions would support mitigation and adaptation efforts in vulnerable areas. Rising temperatures and shrinking ice cover have shifted the distribution and migration patterns of marine mammals and fish, and impacted food security according to the IPCC and the Arctic Council, an intergovernmental forum for Arctic states. For example, the economy in Paamiut, Greenland, depended primarily on cod fisheries until changing climate conditions caused cod to disappear, and the town was slow to adapt to newly available shrimp. Similarly, fisheries in Disko Bay, Greenland, have struggled to adapt to new conditions. Rising temperatures and the resulting reduction in ice cover have required a shift to fishing from boats in open water instead of hunting and fishing over ice cover. Lastly, warming and ice melt may make significant oil and mineral deposits accessible for extraction in the future. The potential expansion of extraction industries makes environmental sustainability another possible concern. For example, an estimated 31 billion barrels of oil and gas may exist off the coast of Northeast Greenland, according to the Kingdom of Denmark\u2019s 2011-2020 Arctic Strategy. The strategy stresses the importance of assessing and reducing risks to the environment resulting from the exploration and extraction of oil and gas.", "The effects of climate change are predicted to contribute to internal and external migration in Greenland. For example, young people are increasingly leaving indigenous communities in rural areas for cities in Greenland in search of work, as traditional livelihoods become unsustainable. Greenland is home to a majority indigenous population, primarily Inuit, whose traditional hunting and fishing practices require travel across ice. In the past, people adapted to seasonal changes to support livelihoods by migrating, and the practice was embedded into indigenous social structures. With reduced ice cover, however, migrating to hunt, fish, and maintain connections to community is more dangerous or restricted. Government policies promoting centralized services, such as health care and education, have also played a role in the shift away from migration as a way of life. As a result, indigenous livelihoods are more difficult to maintain, and young people often migrate to towns and cities in Greenland, or to Denmark, for education. At the same time, warmer temperatures have made mineral extraction feasible. As the extraction industry grows, new jobs may draw migrants from outside the Arctic region. In 2011 companies spent $100 million on the exploration of minerals in the Artic, and the estimated number of new mines is expected to require more workers than now live in the region.17 79Currently, more people leave than migrate to Greenland.", "The local Inuit population in Uummannaq, Greenland relies heavily on ice coverage for fishing and travel by traditional dog-sled.", "Brookings-LSE Project on Internal Displacement, A Complex Constellation: Displacement, Climate Change and Arctic Peoples (January 30, 2013).", "Brookings-LSE Project on Internal Displacement.", "The effects of climate change on Sub-Saharan Africa vary depending on the region and have impacts on migration and security, according to the International Organization for Migration (IOM). Coastal areas, for example, in West and East Africa are at risk from sea level rise that could affect major cities. Drought and the risk of desertification in the Sahel is cited as a concern, as is increased rainfall in parts of Central Africa accompanied by lower agricultural yields. As desertification threatens the livelihoods of farmers and herders, and drought makes fishing more challenging, rural dwellers may be more likely to migrate to cities, according to the United Nations Environment Programme (UNEP). Urbanization and population growth across Sub-Saharan Africa is already making densely populated cities vulnerable to flooding, storms, and erosion, increasing the number of people at risk of displacement by sudden-onset disasters. Climate change effects and changing migration flows across Sub-Saharan Africa may impact access to natural resources and contribute to existing tensions and conflicts, according to UNEP and the Intergovernmental Panel on Climate Change (IPCC). In Nigeria, the effects of climate change may effect a variety of livelihoods and increase migration south, while also exacerbating existing conflicts."], "subsections": []}]}, {"section_title": "Nigeria: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population 190,900,000 Fragile States Index #14 out of 178", "paragraphs": ["The effects of climate change on Nigeria may impact the country\u2019s agriculture and economy, according to the United States Institute of Peace (USIP). Higher temperatures and decreased rainfall have contributed to drought in northern Nigeria. Desertification is also a concern. Some regions in northern Nigeria have less than 10 inches of rain a year, an amount that has decreased by 25 percent since the 1980\u2019s, according to USIP. In other areas across Nigeria flooding has resulted in major crop losses, according to UNEP. Rising sea level, water inundation, and erosion are concerns in Nigeria\u2019s coastal areas. Rising sea level is predicted to pose medium to very high risks to Africa\u2019s coastal areas by 2100, according to the IPCC. Future sea level rise could result in the inundation of over 70 percent of the Nigerian coast. A rise of 0.2 meters in sea level could risk billions of dollars in assets, including oil wells near the coast. Even without a rapid rise in sea level, Nigeria\u2019s coastal areas could experience erosion and significant land loss by 2100, as the IPCC has reported.", "The effects of climate change on livelihoods in northern Nigeria may contribute to migration to the south according to UNEP, while conflict in the north drives separate migration trends. As the effects of climate change make farming and fishing more challenging elsewhere in Nigeria, migration to southern coastal cities may increase. Traditionally, farmers, herders, and fishery workers migrated for temporary employment during the off season, including migration to Nigeria\u2019s cities to work in the oil industry. Permanent migration south as well as to cities may become more common if land suitable for farming decreases. As fish habitats like Lake Chad dry up, fishery workers may also migrate. Larger urban populations on the coast will put more people at risk of sea level rise, water inundation, and erosion, according to the IPCC. A rise in sea level of 1 meter could put over 3 million people at risk of displacement as the IPCC has reported. Herders have also moved further south due to increased drought in northern Nigeria, as UNEP and USIP have reported. A 2010 survey of herdsmen in Nigeria, for example, found that nearly one-third of them had migrated southeast as a result of changes in the natural environment, according to the UNEP. The ongoing conflict with Boko Haram, while not caused by climate change, has further resulted in millions of displaced people across the Lake Chad region, including many Nigerians who have fled to Cameroon, Chad, and Niger.", "Nigerian refugees at the Minawao camp in Cameroon.", "Challenges in Stability and Security The effects of climate change, migration, and conflict are interconnected in Nigeria, as USIP has reported. The country is ranked 14th of 178 countries on the Fragile States Index. Events in northwest Africa, including Boko Haram\u2019s attacks in Nigeria, have underscored concerns about the region\u2019s vulnerability to the spread of violent extremism. The effects of climate change may exacerbate these concerns, according to USIP. Nigerians fleeing attacks from Boko Haram in the north have gone to communities in neighboring Chad, Cameroon, and Niger that are already experiencing food shortages due in part to climate change. These neighboring countries as a result have fewer resources to support both their own residents and the newer refugees. Non-state actors may also take advantage of government inaction on the effects of climate change. Boko Haram, for example, has justified its acts of violence by pointing to government failures, according to the USIP. Separately, increased drought in the north may aggravate historic tensions over land and water use between farmers in the south and herders migrating from the north, according to UNEP. Nigeria\u2019s oil fields on the coast, which represent a significant part of the economy, are also at risk from sea level rise. Potential losses in oil revenue could impact Nigeria\u2019s ability to respond to humanitarian crises and conflict at home. Increased violence within its borders could also affect Nigeria\u2019s ability to support regional peacekeeping missions, such as the United Nations Mission in Liberia from 2003 to 2018, where Nigerian troops worked to restore security after a civil war.", "The effects of climate change in the Middle East and North Africa, including on its desert regions, may impact water access and compound migration and stability challenges, according to the United Nations Environmental Programme (UNEP). Over 60 percent of the population already experiences high or very high water stress, according to the World Bank. Coupled with unsustainable water use, climate change may further exacerbate challenges with water security. The region continues to experience rising temperatures and declining annual rainfall, trends that contribute to the severity and length of drought, land degradation, and desertification. Decreased water security affects the livelihood and quality of life of farmers in the region, contributing to an increase in their migration to the cities and more urbanization, according to the World Bank. In contrast, many people are expected to migrate away from coastal cities as a result of sea level rise, according to UNEP. These potential migrations would be taking place in a region that already hosts large numbers of migrants such as those displaced by conflict and violence, including 18 percent of the world\u2019s refugees, according to the International Organization for Migration. Challenges in water security may put greater pressure on unstable governments in the region, by intensifying existing tensions and conflicts between populations and their governments as well as between countries that share sources of water. The conflict in Syria illustrates the complex nature of climate change, migration, and conflict in the region, and the challenges to accurately assessing the links among the three, as noted in a technical paper commissioned by the U.S. Agency for International Development (USAID)."], "subsections": []}]}, {"section_title": "Syria: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population 18,300,000", "paragraphs": ["Rising temperatures and declining rainfall have contributed to recent droughts in Syria, a trend that may continue. The country underwent an extended drought from about 2006 until 2011. During the drought an estimated 60 percent of Syria experienced severe crop failure, and accompanying impacts on food security. Some studies have linked the length and severity of the drought in Syria to climate change, as USAID has reported. Others, however, have pointed to government land and water use policies, combined with the effects of climate change, as responsible for the severity of the drought. Agricultural policies, for example, encouraged farmers to grow water intensive crops like wheat, and supported inefficient irrigation practices, policies which further depleted ground water and made the region more vulnerable to decreases in rainfall linked to climate change. Across the Middle East, the rising temperatures and declining rainfalls of recent decades may worsen, according to the World Bank. If these trends continue, countries in the Middle East, including Syria, could continue to experience periods of severe drought and reduced crop yields."], "subsections": []}, {"section_title": "Net Migration Rate per 1000 people -41.8", "paragraphs": [], "subsections": [{"section_title": "Map of Syria", "paragraphs": ["Migration Trends The ongoing conflict in Syria, in which migration due to climate change may have been a contributing factor, has caused large-scale migration to neighboring countries in the Middle East and to Europe. Leading up to the civil war, prolonged drought, among other factors, had increased migration to Syrian cities. Because of the drought, in 2009, over 800,000 Syrians lost their livelihoods in the agricultural sector, while nearly 1 million experienced food insecurity. In 2010, an estimated 200,000 people migrated from farms in rural areas to cities, according to a UN report. The conflict in Syria, which began in 2011, has further displaced large numbers of people within the country and across the Middle East, as we have previously reported.At the beginning of the conflict, Syrians, as well as Iraqi and Palestinian refugees who had been residing in Syria, fled mainly to Jordan, Lebanon, and Turkey. As the conflict persisted, refugees fled in larger numbers to Turkey, with the UNHCR reporting that nearly 1 million Syrians sought protection in that country in 2015. Starting that year, a growing number of Syrians risked dangerous sea voyages to reach countries in Europe, such as Greece, Germany, and Sweden. As of June 2017, more than 5 million registered Syrian refugees were living in neighboring countries, including more than 3 million in Turkey, and more than 1 million in Lebanon.", "Challenges in Stability and Security Sources agree that the Syrian conflict is a significant security challenge that has resulted in large scale migration across the Middle East and to Europe. Yet the link between prolonged drought, rural to urban migration, and the current conflict in Syria is uncertain. Some academic sources argue that the increased strain on urban infrastructure and resources due to the rural to urban migration played a role in Syria\u2019s growing instability. Others highlight the complex nature of the Syrian conflict, pointing to broader political factors that exacerbated resource scarcity and inequality. For example, as the drought intensified, the Syrian government downplayed the severity of the humanitarian crisis, as described in research cited in a technical report commissioned by USAID.result, appeals to the international community for emergency aid received minimal support. Combined with existing sectarian divisions, ongoing revolutions across the Middle East, and other factors, the government\u2019s response to the drought may have contributed to the current conflict. Migration and displacement are a concern in the region, according to the Department of Defense and others. The U.S. government has provided significant humanitarian assistance for Syrian refugees in the Middle East, including in Lebanon and Jordan, as we have previously reported.However, a technical report commissioned by USAID has cautioned that the ongoing conflict in Syria makes it difficult to conduct research and draw conclusions related to climate, migration and conflict.", "As a The effects of climate change on Oceania, particularly rising seas, may significantly impact coastal populations and increase migration in the future, as the Asian Development Bank (ADB) and the Intergovernmental Panel on Climate Change (IPCC) have reported. Rising temperatures and declining rainfall may also contribute to lower yields from fisheries and agriculture, and a significant decrease in coral reef cover. Extreme weather events, including higher temperatures, wind, and rainfall, have already increased in number and intensity across the region. In the majority of Pacific island nations, of those who migrate, more people leave than come, according to the African, Caribbean, and Pacific Observatory on Migration. The majority of migration in the region is economically driven. In the future, climate change may further impact these migration patterns across the region, according to the IPCC. Climate change has already exacerbated challenges that aid-dependent nations in the region face, restricting livelihoods and resources and contributing to pressures to migrate. The costs of climate change, including a decline in crop yields, a rise in energy demands, and a loss of coastal land, are predicted to be significant. The ADB estimates these costs will reach 12.7 percent of the Pacific regions\u2019 GDP by 2100. Increased migration may also impact political stability and play a role in geopolitical rivalries within the region, according to the IPCC. The effects of climate change, especially rising sea levels, may result in forced migration from the Republic of the Marshall Islands (the Marshall Islands) and have additional impacts on the U.S. defense infrastructure on the islands."], "subsections": []}]}]}, {"section_title": "Marshall Islands: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population 100,000 Fragile States Index Not Available Human Development Index High Gross Domestic Product (GDP) per Capita $3,819 Remittances as % of GDP 14.8 Agriculture, Fishing, Forestry as % of GDP 15.9 % Population in Cities 76.7 Net Migration Rate per 1000 people Not Available", "paragraphs": ["Observed and Projected Effects of Climate Change Rising sea levels are a grave threat to the Marshall Islands.The country consists of islands, low-lying atolls\u2014coral caps sitting on top of submerged volcanoes\u2014making it particularly vulnerable to rising sea levels. On average, the Marshall Islands are 2 meters above sea level. In Majuro, the country\u2019s most populous atoll, observed rates of sea level rise are already twice as fast as the global average. Population centers experience significant flooding, with damage to roads, houses, and infrastructure, especially during La Ni\u00f1a years, which are significantly wetter and more prone to extreme rainfall. Flooding is expected to worsen with rising sea levels, with consequences for the availabity of drinking water. On Roi-Namur island, for example, a 0.4 meter rise in sea level combined with wave-driven flooding is predicted to make groundwater undrinkable year round as early as 2055. This salt water inundation may contaminate already limited groundwater across the Marshall Islands. Lastly, during the 1940s and 1950s, the Marshall Islands was the site of 67 U.S. nuclear weapons tests on or near Bikini and Enewetak Atolls. Projected increases in frequency of flooding may negatively impact efforts to contain radioactive material stored on Runit Island.", "A number of factors have increased migration from the Marshall Islands, including to the United States. In 1986, the United States entered into a compact of free association with the country that allowed its citizens to migrate to the United States, as we have previously reported. As a result, more than 20,000 Marshallese now live in the United States.People are more likely to migrate abroad as the effects of climate change on the Marshall Islands\u2014including rising sea levels\u2014increasingly impact livelihoods.The threat of mass displacement and forced migration is also a concern, as the International Organization for Migration has reported. However, Marshallese culture has a strong connection to the land, which means that many view migration as a last resort. For people still living in the Marshall Islands, they face overpopulation in urban centers and displacement by sudden-onset disasters like cyclones and flooding. Factors influencing people deciding to move abroad include displacement, lack of economic opportunity\u2014sometimes exacerbated by climate change\u2014and limited access to health care. Climate change is likely to increase risks to public health in the country.Increased rainfall, for instance, may expand mosquito breeding grounds, raising the risk of diseases like dengue fever. The country\u2019s limited health care system may further contribute to migration from the islands.", "Challenges in Stability and Security In the future, the Marshall Islands may become uninhabitable. This prospect threatens the existence of the Marshall Islands as a sovereign state, as well as the United States defense facilities located on the islands. The total loss of land could result in the Marshall Islands being uninhabitable, which raises problems of migration, resettlement, cultural survival, and sovereignty. Relocation of the population of the Marshall Islands, and of other Pacific Island nations at risk of rising seas, could cause significant geopolitical challenges.The Marshall Islands are also of strategic importance for the United States. Under the Compact of Free Association, the United States has permission to use several islands\u2014 including Kwajalein Atoll, the location of the Ronald Reagan Ballistic Missile Defense Test Range\u2014until 2066. The country\u2019s proximity to the equator makes the Marshall Islands ideal for missile defense and space work. Yet the island\u2019s defense infrastructure and operations are at significant risk due to rising sea levels, flooding, and diminishing supplies of potable water. As the Department of Defense has noted, climate change will have serious implications for the department\u2019s ability to maintain its infrastructure and ensure military readiness in the future.", "DOD, 2014 Climate Change Adaptation Roadmap (Alexandria, VA: June 2014).", "The effects of climate change on Central America and the Caribbean may increase migration and exacerbate poverty rates, as the National Intelligence Council has reported. The climate in Central America and the Caribbean is predicted to be warmer and dryer. The Caribbean\u2019s extensive coastlines and low-lying areas are vulnerable to sea level rise and an increase in sudden-onset disasters, including hurricanes and storm surges. Drought is a particular concern in Central America, where declines in rainfall have reduced crop yields and threatened livelihoods in recent years. Some evidence shows that drought in parts of Central America has contributed to migration north, including to the United States. Population growth, especially in coastal cities, has increased the number of people at risk during hurricane season, and the number and intensity of hurricanes have grown in recent years. Some attribute the increase in intensity to higher sea surface temperatures caused by climate change. However, there remains debate about long term hurricane trends. Recent hurricanes have caused displacement, and significant losses and damages\u2014including to infrastructure\u2014across the region. The depletion of coral reefs and mangrove trees, natural barriers to coastal erosion and flooding, has exacerbated vulnerability to storms in coastal areas. Climate change is likely to have negative impacts on tourism in the Caribbean, where the industry is an important part of the economy, according to Inter-American Development Bank. Climate change impacts on the economy may make it increasingly difficult for governments to reduce poverty and move towards environmental sustainability. Haiti\u2019s geography, location, and high poverty rates make the country especially vulnerable."], "subsections": []}]}, {"section_title": "Haiti: Climate Change, Migration, Stability and Security", "paragraphs": [], "subsections": [{"section_title": "Total Population", "paragraphs": ["Haiti is highly vulnerable to climate change effects, partly due to its long coastline.Hurricanes routinely make landfall in the country, and increases in rainfall and wind speeds associated with hurricanes are likely. Severe hurricanes, including Hurricane Matthew in September 2016, have hit Haiti in recent years. Hurricane Matthew was the first category 4 storm in Haiti since 1964. Damage from severe flooding and severe winds during the hurricane affected over 2 million people and created significant food security and public health challenges. Significant deforestation has further exacerbated Haiti\u2019s vulnerability to hurricanes, as trees previously provided a natural barrier to the erosion that strong winds and more rainfall can cause. Rising temperature and highly variable rainfall have led to extreme drought and flash flooding, according to the U.S. Agency for International Development (USAID).32 2 These trends decrease crop yields, affecting the livelihoods of farmers, and threaten water access. Projected increase in temperature and decreases in rainfall are likely to intensify drought in Haiti\u2019s interior.", "USAID, Haiti: Environment and Climate Change Fact Sheet (January 2016).", "Migration Trends Slow-onset climate events, such as drought, and rising sea levels, and sudden-onset events, including earthquakes, affect Haiti, according to the International Organization for Migration (IOM). Haiti is also particularly exposed to extreme weather events, such as hurricanes, which can lead to displacement. In January 2010, a catastrophic earthquake in Haiti killed an estimated 230,000 people and left close to 1.5 million people homeless. According to IOM, the recurrence of environmental disruptions increases risks and vulnerabilities. When Hurricane Sandy struck Haiti in October 2012, the country had still not recovered from the 2010 earthquake. The worsening of climate change effects around the world, particularly in low-income countries, may increase the number of people wanting to immigrate to the United States, where approximately 700,000 Haitians live today.Remittances from family members living outside Haiti make up a significant portion of the economy, at 24.7 percent of GDP. The majority of these remittances come from the United States, as we have previously reported.34 4Remittances may support resilience to climate change effects as migrants send money home for disaster recovery and adaptation.", "Challenges in Stability and Security Haiti, the poorest country in the western hemisphere, has experienced political instability for most of its history, and ranks 12th of 178 on the Fragile States Index. The government has a low capacity to respond to additional challenges like those related to climate change, according to USAID. The Ministry of Environment, for example, is a relatively new organization within the Haitian government, and local and regional governments have a limited ability to enforce environmental laws and regulations. The United States has provided substantial aid to Haiti, both in disaster response and broader development projects. Official development assistance for Haiti in 2015, for instance, totaled slightly more than $1 billion. According to a January 2018 UN report, 2.8 million people were still in need of humanitarian assistance.", "GAO, Remittances To Fragile Countries: Treasury Should Assess Risks from Shifts to Non-Banking Channels, GAO-18-313 (Washington, D.C., March 8, 2018)."], "subsections": []}]}]}, {"section_title": "Appendix III: Department of State Global Climate Change Initiative Adaptation Activities Funded in Fiscal Years 2014 through 2017", "paragraphs": ["The Department of State\u2019s Bureau of Oceans and International Environmental and Scientific Affairs (State/OES) provided about $78 million in adaptation funding from the Global Climate Change Initiative for eight projects for fiscal years 2014 through 2017 (see table 2).", "The Global Climate Change Initiative was established in 2010 to promote resilient, low- emission development, and integrate climate change considerations into U.S. foreign assistance and was divided into three main programmatic initiatives: (1) Adaptation assistance, (2) Clean Energy assistance, and (3) Sustainable Landscapes assistance."], "subsections": [{"section_title": "Activity name", "paragraphs": ["The primary purpose of these contributions to the LDCF was to address the adaptation needs of the least developed countries, which are especially vulnerable to the adverse impacts of climate change. The LDCF financed the preparation and implementation of National Adaptation Programs of Action, which identify a country\u2019s priorities for adaptation actions.", "Initial grant to the National Adaptation Plans Global Network. The network is focused on increasing the capacity of national and subnational governments to identify and assess climate risks, integrate these risk considerations in sector planning, develop a pipeline of projects to address risks, identify and secure funding for projects, and track progress toward resilience targets.", "Colombia, East Caribbean (Guyana, Saint Lucia, Saint Vincent and the Grenadines), Ethiopia, Peru, South Africa, Uganda, West Africa (C\u00f4te d\u2019Ivoire, Ghana, Guinea, Sierra Leone, Togo) and, under current consideration, East Caribbean (Dominica, Suriname), and Pacific (Fiji, Kiribati, Tuvalu)", "The cost amendment intensified the technical support on National Adaptation Plans to select countries dependent upon specific country adaption needs. In addition, the cost amendment continued the learning and progress from the initial grant.", "Implemented through the Department of Treasury, this funding supported a Treasury grant to the Pacific Catastrophe Risk Assessment and Financing Initiative Multi Donor Trust Fund at the World Bank. This activity established the Pacific Catastrophe Risk Insurance Foundation and the Pacific Catastrophe Risk Insurance Company, among other things."], "subsections": []}, {"section_title": "Activity name", "paragraphs": ["The goal of PIER is to increase private sector investment in resilience to climate change in eight developing countries. The first phase of the project will assess and identify opportunities for private investment in resilience, as well as build public and private capacity for climate risk assessment in all the countries. In the second phase, public and private sector partners will develop and pilot climate risk-reduction investment models in four of the countries. The third phase will publicize the piloted investment models and lessons learned among the eight countries.", "Implemented through the National Oceanic and Atmospheric Administration, this activity aims to implement a capacity-building partnership with India to promote effective climate resilient decision making at national, state, and local levels."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "Acknowledgments", "paragraphs": ["In addition to the contacts named above, the following individuals made key contributions to this report: Miriam Carroll Fenton (Assistant Director), Kristy Williams (Assistant Director), Rachel Girshick (Analyst-in-Charge), Nancy Santucci, Miranda Cohen, Aldo Salerno, Neil Doherty, and Judith Williams. Alexander Welsh, Justin Fisher, and Joseph Thompson provided technical and other support."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Climate Change Adaptation: DOD Needs to Better Incorporate Adaptation into Planning and Collaboration at Overseas Installations. GAO-18-206. Washington, D.C.: November 13, 2017.", "Compacts Of Free Association: Actions Needed to Prepare for The Transition of Micronesia and the Marshall Islands to Trust Fund Income. GAO-18-415. Washington, D.C.: May 17, 2018.", "Remittances to Fragile Countries: Treasury Should Assess Risks from Shifts to Non-Banking Channels. GAO-18-313. Washington, D.C.: March 8, 2018.", "Syrian Refugees: U.S. Agencies Conduct Financial Oversight Activities for Humanitarian Assistance but Should Strengthen Monitoring. GAO-18-58. Washington, D.C.: October 31, 2017.", "International Food Assistance: Agencies Should Ensure Timely Documentation of Required Market Analyses and Assess Local Markets for Program Effects. GAO-17-640. Washington, D.C.: July 13, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Federal Disaster Assistance: Federal Departments and Agencies Obligated at Least $277.6 Billion during Fiscal Years 2005 through 2014. GAO-16-797. Washington, D.C.: September 22, 2016.", "Coast Guard: Arctic Strategy Is Underway, but Agency Could Better Assess How Its Actions Mitigate Known Arctic Capability Gaps. GAO-16-453. Washington, D.C.: July 12, 2016.", "Climate Information: A National System Could Help Federal, State, Local, and Private Sector Decision Makers Use Climate Information. GAO-16-37. Washington, D.C.: November 23, 2015.", "Hurricane Sandy: An Investment Strategy Could Help the Federal Government Enhance National Resilience for Future Disasters. GAO-15-515. Washington, D.C.: July 30, 2015.", "High-Risk Series: An Update. GAO-15-290. Washington, D.C.: February 11, 2015.", "Standards for Internal Control in the Federal Government. GAO-14-704G. Washington, D.C.: September 10, 2014.", "Combating Terrorism: U.S. Efforts in Northwest Africa Would Be Strengthened by Enhanced Program Management. GAO-14-518. Washington, D.C.: June 24, 2014.", "Climate Change Adaptation: DOD Can Improve Infrastructure Planning and Processes to Better Account for Potential Impacts. GAO-14-446. Washington, D.C.: May 30, 2014.", "Extreme Weather Events: Limiting Federal Fiscal Exposure and Increasing the Nation\u2019s Resilience. GAO-14-364T. Washington, D.C.: February 12, 2014.", "Climate Change: State Should Further Improve Its Reporting on Financial Support to Developing Countries to Meet Future Requirements and Guidelines. GAO-13-829. Washington, D.C.: September 19, 2013.", "High-Risk Series: An Update. GAO-13-283. Washington, D.C.: February 14, 2013.", "International Climate Change Assessments: Federal Agencies Should Improve Reporting and Oversight of U.S. Funding. GAO-12-43. Washington, D.C.: November 17, 2011.", "Climate Change Adaptation: Federal Efforts to Provide Information Could Help Government Decision Making. GAO-12-238T. Washington, D.C.: November 16, 2011.", "Foreign Relation: Kwajalein Atoll Is the Key U.S. Defense Interest in Two Micronesian Nations, GAO-02-119. Washington D.C.: January 22, 2002."], "subsections": []}], "fastfact": ["Climate change may increase the frequency and intensity of natural disasters, which could drive people around the world from their homes.", "We found that, while the State Department, USAID, and DOD haven\u2019t focused on the link between climate change and migration, State identified migration as a risk in one of its climate change risk assessments in early 2017.", "However, State later changed its approach and no longer provides clear guidance to its staff on how to assess climate change risks. This may prevent it from identifying and addressing climate change as a factor in human migration.", "We recommended State provide its staff with this guidance."]} {"id": "GAO-19-165", "url": "https://www.gao.gov/products/GAO-19-165", "title": "Defense Management: DOD Needs to Implement Statutory Requirements and Identify Resources for Its Cross-Functional Reform Teams", "published_date": "2019-01-17T00:00:00", "released_date": "2019-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD continues to confront organizational challenges that hinder collaboration. To address these challenges, section 911 of the NDAA for FY 2017 directed the Secretary of Defense to issue an organizational strategy that identifies critical objectives that span multiple functional boundaries; establish cross-functional teams to support this strategy and provide related guidance and training; and take actions to streamline the Office of the Secretary of Defense. Further, section 921 of the NDAA for FY 2019 calls for the Secretary of Defense to reform the department's enterprise business operations.", "The NDAAs for FY 2017 and 2019 also included provisions for GAO to assess DOD's actions in response to sections 911 and 921, respectively. This report assesses the extent to which DOD has made progress in (1) addressing the requirements of section 911, and (2) reforming the department's enterprise business operations under section 921. GAO reviewed documentation on DOD's implementation of sections 911 and 921; interviewed cross-functional team leaders, members, and other DOD officials; and compared DOD's implementation of its cross-functional teams to GAO's key practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has implemented four statutory requirements in section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017, but has not addressed five requirements intended to support cross-functional teams and promote department-wide collaboration (see table).", "For two of these requirements, DOD has missed the statutory deadline by more than a year. GAO previously recommended that DOD take actions to improve its implementation of section 911, and DOD reported it is doing so, such as revising its draft cross-functional team guidance to address statutory requirements. Fully implementing GAO's prior recommendations and the remaining statutory requirements would better position DOD to effectively implement its cross-functional teams and advance a collaborative culture, as required by the NDAA.", "Nine cross-functional teams are driving DOD's enterprise business reform efforts under section 921 of the FY 2019 NDAA, but the teams' progress has been uneven. As of September 2018, DOD reported that these nine teams were pursuing a total of 135 business reform initiatives. However, 104 of these initiatives have not reached the implementation phase. A key challenge facing the teams is that some lack resources to fully implement their approved initiatives. For example, DOD officials stated that the department did not fulfill four of nine funding requests from the teams in fiscal year 2018 to implement their initiatives. As of September 2018, DOD officials estimated that the teams need about $6.7 billion to implement their initiatives from FYs 2018 through 2024, but DOD has not identified sources for this funding. GAO's prior work on efficiency initiatives found that up-front investments may be required to realize long-term savings. In addition, GAO's prior work on leading practices for implementing effective cross-functional teams highlights the importance of providing teams with access to resources and having well-defined team operations with established rules and procedures. However, DOD has not established a process for identifying and prioritizing available funding for implementing the teams' initiatives. Without such a process, DOD and the teams may not be able to adequately plan for and execute their reform initiatives."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD establish a process to identify and prioritize funding for implementing its cross-functional teams' business reform initiatives. DOD concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) has faced organizational, management, and cultural challenges that can limit effective and efficient collaboration across the department to accomplish departmental objectives. For example, our prior work found that DOD\u2019s efforts to implement a hierarchical, portfolio-based approach to strategically acquire contracted services had not been successful. In part, we found that the cultural barriers and military commanders\u2019 reluctance to give up certain responsibilities for determining how and which services were needed to meet their missions hindered DOD\u2019s efforts. We have highlighted these challenges in additional reports, including our High-Risk report, which calls attention to agencies and program areas that are high risk because of their vulnerabilities to fraud, waste, abuse, and mismanagement, or are most in need of transformation. Further, the National Defense Business Operations Plan for Fiscal Years 2018-2022 highlights that collaboration and communication among the Office of the Secretary of Defense, military services, and combatant commands are essential to ensuring the success of the readiness program across the department.", "Section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 contained multiple requirements to help advance a more collaborative culture within DOD. DOD\u2019s Chief Management Officer (CMO) is leading the department\u2019s efforts to implement section 911. This section directed the Secretary of Defense to do the following, among other things:", "Formulate and issue an organizational strategy for DOD. The organizational strategy, the act stated, should identify the critical objectives and other organizational outputs that span multiple functional boundaries and would benefit from the use of cross- functional teams to ensure collaboration and integration across the department.", "Establish cross-functional teams that, among other things, address the critical objectives and outputs outlined in the department\u2019s organizational strategy.", "Issue guidance on cross-functional teams and provide training to members of those established teams and their supervisors on elements of successful cross-functional teams.", "Provide training on leadership, modern organizational practice, collaboration, and the operation of cross-functional teams to individuals who have been appointed by the President and confirmed by the Senate to a position within the Office of the Secretary of Defense, or to request waivers from this requirement.", "Take actions\u2014as the Secretary of Defense considers appropriate\u2014to streamline the organizational structure and processes of the Office of the Secretary of Defense.", "Section 911 of the NDAA for Fiscal Year 2017 also included a provision for us\u2014every 6 months after the date of enactment on December 23, 2016, through December 31, 2019\u2014to submit a report to the defense committees. This report is to set forth a comprehensive assessment of the actions that DOD has taken pursuant to section 911 during each 6- month period and cumulatively since the NDAA\u2019s enactment. We have issued three reports to date. In our first report, issued in June 2017, we found that DOD had taken steps in several areas to begin implementing the requirements of section 911. In our second report, issued in February 2018, we found that DOD had implemented some of the statutory requirements outlined in section 911, but could do more to promote department-wide collaboration, as required under the statute. We recommended, and DOD concurred, that the CMO take four actions to improve the department\u2019s implementation of section 911. In our third report, issued in June 2018, we found that DOD had taken additional steps in response to section 911, but still had not implemented several requirements intended to support cross-functional teams and promote department-wide collaboration. Appendix I identifies these three reports, including the four recommendations from our February 2018 report and the status of DOD\u2019s implementation of those recommendations.", "This report is our fourth on DOD\u2019s implementation of section 911 of the NDAA for Fiscal Year 2017. In addition, this report addresses a new provision related to DOD reform, contained in section 921 of the John S. McCain NDAA for Fiscal Year 2019 (hereafter referred to as the NDAA for Fiscal Year 2019). Section 921 requires the Secretary of Defense, acting through the CMO, to reform the enterprise business operations of the department through reductions, eliminations, or improvements across all organizations and elements of DOD with respect to any activity related to civilian resources management, logistics management, services contracting, or real estate management to increase effectiveness and efficiency of mission execution. We are required to submit a report by May 2019, setting forth an assessment of DOD\u2019s actions pursuant to the provision. Because we determined that DOD\u2019s efforts to establish cross- functional teams dedicated to improving the department\u2019s business operations are closely linked to the section 921 requirements, we are combining our assessment of DOD\u2019s actions related to both sections 911 and 921 in this report.", "In this report, we assess the extent to which DOD has made progress in implementing (1) the section 911 requirements related to DOD\u2019s organizational strategy and cross-functional teams and (2) the section 921 requirements to reform the enterprise business operations of the department.", "For the first objective, we reviewed documentation and interviewed OCMO and other DOD officials on the department\u2019s efforts to finalize its draft organizational strategy; establish cross-functional teams; provide guidance on cross-functional teams; provide training to cross-functional team members, their supervisors, and presidential appointees; report on the establishment of cross-functional teams; and take actions to streamline the organizational structure and processes of the Office of the Secretary of Defense. We evaluated DOD\u2019s efforts against the requirements in section 911 of the NDAA for Fiscal Year 2017.", "For the second objective, we reviewed documentation and interviewed OCMO and other DOD officials on the department\u2019s efforts to reform the enterprise business operations of the department, as required by section 921 of the NDAA for Fiscal Year 2019. We also reviewed department- wide goals, objectives, and performance measures for business reform in key strategic documents, including the National Defense Business Operations Plan for Fiscal Years 2018-2022, the Fiscal Year 2019 DOD Annual Performance Plan, and the Report to Congress on Restructuring the DOD Acquisition, Technology, and Logistics Organization and CMO Organization. In addition, we conducted interviews with the leaders and members from the nine cross-functional teams dedicated to improving the department\u2019s business operations and analyzed the information from these meetings. We interviewed team members separately from team leaders to encourage candid discussion about the operations of the teams. Two GAO analysts independently reviewed interviewees\u2019 responses to our questions to code them in terms of leading practices for implementing effective cross-functional teams that we have identified in our prior work. The analysts then compared how they coded the statements. Where there was disagreement in the coding, the analysts discussed their analyses and tried to reach a consensus. In cases where they could not reach a consensus, a third analyst decided how the information should be coded. In addition, we reviewed OCMO\u2019s efforts to oversee the teams\u2019 progress, including observing a demonstration of the dashboard used to monitor the teams\u2019 metrics. We compared this information to leading practices for implementing effective cross- functional teams and key practices for implementing efficiency initiatives that we have identified in our prior work.", "We conducted this performance audit from May 2018 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "DOD Has Made Limited Progress since June 2018 in Addressing Remaining Statutory Requirements and Is Reducing the Number of Cross-Functional Teams It Considers Responsive to Section 911", "paragraphs": [], "subsections": [{"section_title": "DOD Has Addressed One Statutory Requirement since June 2018, but Has Not Addressed Five Remaining Requirements", "paragraphs": ["DOD has addressed one additional statutory requirement of section 911 of the NDAA for Fiscal Year 2017 since our June 2018 report. However, DOD has still not addressed five other requirements, including (1) issuing its organizational strategy, (2) issuing guidance on cross-functional teams, (3) providing training on cross-functional teams for team members and their supervisors, (4) providing training for presidential appointees, and (5) taking actions to streamline the Office of the Secretary of Defense, as shown in table 1.", "DOD addressed one of the statutory requirements in section 911 by submitting a report to Congress on the establishment of cross-functional teams on June 21, 2018. The report described the number of cross- functional teams established to date and the design and function of those teams, consistent with the requirements in section 911.", "OCMO officials told us that DOD plans to address three of the five remaining requirements by March 2019. Specifically, the department plans to take the following actions.", "Issue DOD\u2019s organizational strategy. DOD has drafted, but not issued, its organizational strategy, which section 911 required to be issued by September 1, 2017. In June 2018, we reported that OCMO officials had revised the draft strategy to address the recommendation from our February 2018 report, including identifying potential action steps for the department that align with our leading practices for mergers and organizational transformations. OCMO officials have again revised the draft organizational strategy, incorporating, among other things, the criteria that distinguish cross-functional teams established under section 911 from other cross-functional working groups, committees, integrated product teams, and task forces, as required by section 918 the NDAA for Fiscal Year 2019. The officials said they expect the Secretary of Defense to issue the strategy in March 2019\u201418 months later than required by section 911.", "Take actions to streamline the Office of the Secretary of Defense.", "OCMO officials have revised the draft organizational strategy to identify the actions the department has taken that it views as responsive to this requirement. For example, the draft strategy states that DOD has delegated authority to approve certain global force management actions to the Chairman of the Joint Chiefs of Staff and certain acquisition oversight functions to the military departments. Section 911 required DOD to take these actions by June 23, 2018. As noted above, however, the organizational strategy has not been finalized. We will assess these actions against the requirements of section 911 after the organizational strategy has been issued.", "Issue guidance on cross-functional teams. DOD has drafted, but not issued, guidance on cross-functional teams, which section 911 required to be issued by September 30, 2017. In June 2018, we reported that OCMO officials had revised the draft guidance to address the recommendation from our February 2018 report. OCMO officials stated that they have no other planned revisions and that they expect the Secretary of Defense to issue the guidance in March 2019\u201418 months later than required by section 911.", "Further, OCMO officials told us that DOD plans to finalize the draft curricula and provide training to fulfill two additional section 911 requirements after the organizational strategy is issued.", "Training for cross-functional team members and their supervisors.", "OCMO has not provided the required training to cross-functional team members and their supervisors. OCMO officials stated that they plan to send the draft training curriculum for cross-functional team members and their supervisors to the Secretary after they send the strategy. In February 2018, we reported that the draft training curriculum addressed the section 911 requirements; OCMO officials told us they plan no further revisions to the curriculum. After the Secretary approves the curriculum, the officials stated, they plan to offer the training to cross-functional team members. Some cross- functional team members we met with stated that receiving training on cross-functional teams earlier would have been helpful for them to understand how to operate in a cross-functional team environment, such as reporting to both the team leader and to their home organization.", "Training for presidential appointees. OCMO has not provided the required training to individuals filling presidentially-appointed, Senate- confirmed positions in the Office of the Secretary of Defense. Section 911 requires these individuals to complete the training within 3 months of their appointment, or for DOD to request waivers. However, as of January 2, 2019, 23 of 35 such officials had been in their positions for more than 3 months, and none had received the training or been granted a training waiver. In our February 2018 report, we found that the draft curriculum met only one of the four required elements in section 911. We recommended, and DOD concurred, that the CMO should either (1) provide training that includes all of the required elements in section 911 or (2) develop criteria for obtaining a waiver and have the Secretary of Defense request such a waiver from the President for these required elements. In October 2018, an OCMO official stated that OCMO had revised the draft training curriculum for presidential appointees to include all of the required elements in section 911. The official also stated that OCMO plans to send the draft training curriculum to the Secretary of Defense for review after OCMO sends the organizational strategy. Once the curriculum is approved, the official stated that OCMO plans to recommend to the Secretary of Defense that all presidential appointees in the Office of the Secretary of Defense receive the training and does not plan to request waivers.", "As described above, we have previously recommended that DOD take actions to improve its implementation of the section 911 requirements related to the organizational strategy, guidance, and training. As we have reported before, addressing our recommendations and fully implementing the remaining requirements would better position DOD to effectively implement its cross-functional teams and advance a collaborative culture, as required by the NDAA. We will continue to monitor DOD\u2019s progress in addressing these statutory requirements and our related recommendations."], "subsections": []}, {"section_title": "DOD Plans to Establish One Cross-Functional Team, Disestablish Another, and Will No Longer Consider Nine Business Reform Teams as Responsive to Section 911", "paragraphs": ["DOD is establishing a new cross-functional team to address growing challenges in the electronic warfare mission area. Section 918 of the NDAA for Fiscal Year 2019 requires DOD to establish this cross- functional team by November 11, 2018, to identify gaps in electronic warfare and joint electromagnetic spectrum operations, capabilities, and capacities within the department across personnel, procedural, and equipment areas. In January 2019, an OCMO official stated that the Office of the Under Secretary of Defense for Acquisition and Sustainment had drafted the team's charter and that it had been sent to the Secretary of Defense for review and approval.", "In addition, DOD plans to disestablish the first cross-functional team established in response to section 911 to address challenges with personnel vetting and background investigations. This team was responsible for managing the transfer of background investigations for certain DOD personnel from the Office of Personnel Management to DOD. However, Office of the Under Secretary of Defense for Intelligence officials stated that DOD plans to subsume the roles and responsibilities of the team into a new Personnel Vetting Transformation Office. According to the officials, the new office will be responsible for managing the administration\u2019s proposed transfer of background investigations for all executive branch personnel from the Office of Personnel Management to DOD. As a result, the cross-functional team\u2019s roles and responsibilities would overlap with those of the Personnel Vetting Transformation Office, the officials stated. The officials expect to formally disestablish the cross-functional team in the first quarter of fiscal year 2019 after DOD issues the charter for the Personnel Vetting Transformation Office.", "Last, DOD continues to implement its nine cross-functional teams dedicated to reforming and improving business operations, but plans to no longer consider these teams as responsive to section 911. The National Defense Business Operations Plan for Fiscal Years 2018-2022, issued in May 2018, stated that these teams were established pursuant to section 911. As of October 2018, however, DOD\u2019s draft organizational strategy states that these teams were not established in response to section 911. Instead, it describes them as a second layer of cross- functional coordination that will aid in ensuring broader implementation of collaborative and team-oriented practices in the department. We describe these teams\u2019 efforts to improve DOD\u2019s enterprise business operations below and in appendix III."], "subsections": []}]}, {"section_title": "DOD\u2019s Enterprise Business Reform Is Largely Driven by Nine Cross- Functional Teams, but Progress Has Been Uneven", "paragraphs": [], "subsections": [{"section_title": "Nine Cross-Functional Teams Are Key to DOD\u2019s Enterprise Business Reform", "paragraphs": ["The National Defense Business Operations Plan for Fiscal Years 2018- 2022 highlights nine cross-functional teams as key mechanisms for implementing the plan\u2019s strategic objective to improve and strengthen business operations through a move to enterprise or shared services. From October 2017 through January 2018, the Deputy Secretary of Defense, at the direction of the Secretary, established these nine teams to implement initiatives intended to improve the quality and productivity of the department\u2019s business operations, including moving toward more use of enterprise services. According to memoranda appointing the team leaders, the teams support the Secretary of Defense\u2019s focus on creating a more lethal and effective force by allowing the department to reallocate resources from business operations to readiness and to recapitalization of the combat force. These nine teams\u2014hereafter referred to as business reform teams and whose leaders report to the CMO\u2014address community services management, financial management, health care management, human resources, information technology and business systems, real property management, service contracts and category management, supply chain and logistics, and testing and evaluation. They are described in more detail in appendix III.", "The Fiscal Year 2019 DOD Annual Performance Plan identifies performance goals and measures to achieve the strategic goals and objectives described in the National Defense Business Operations Plan, including the goal of reforming the department\u2019s business practices. It designates several business reform team leaders as responsible for meeting the performance goals and associated performance measures. For example, the leader of the information technology and business systems reform team is responsible for the performance goal to transform how the department delivers secure, stable, and resilient information technology infrastructure in support of warfighter lethality. This goal is consistent with the team\u2019s overarching objective to plan and execute the transformation of all business systems affecting support areas within the department.", "The Annual Performance Plan\u2019s objectives and timeframes related to the business reform teams, however, do not fully align with some of the initiatives that the teams are pursuing. For example, according to the plan, the leader of the community services management team is responsible for developing a strategic plan for armed forces retirement home reform by the second quarter of 2018. However, according to a list of the team\u2019s current initiatives as of September 2018, the team was not pursuing this initiative. In October 2018, OCMO officials stated that Washington Headquarters Service is currently leading the armed forces retirement home reform effort. When we asked these officials how they view the relationship between performance measures in the plan and those of the business reform teams\u2019 initiatives, they acknowledged that the teams\u2019 initiatives have evolved since the plan\u2019s development and that the teams have identified additional initiatives that may not be reflected in the plan. They also noted that OCMO drafted the content for the Fiscal Year 2019 DOD Annual Performance Plan before most of the teams were fully staffed and operational. As of October 2018, the officials stated that OCMO was coordinating with the team leaders to review the Fiscal Year 2019 DOD Annual Performance Plan and, as appropriate, to modify or develop new performance measures and targets for the Fiscal Year 2020 DOD Annual Performance Plan. Given DOD\u2019s efforts to address this issue, we are not making a recommendation at this time, but will continue to monitor their efforts as part of our ongoing work on the high-risk nature of DOD\u2019s business transformation efforts."], "subsections": []}, {"section_title": "The Progress of the Business Reform Teams Has Been Uneven, and Some Teams Lack Resources to Fully Implement Their Initiatives", "paragraphs": ["DOD has made some progress establishing and organizing the business reform teams, but implementation of the teams\u2019 initiatives has been uneven. We found that implementation of the business reform teams has demonstrated some key characteristics of leading practices for implementing effective cross-functional teams that we have identified in our prior work. For example, across all the teams we spoke with, members were responsible for leading the development of their team\u2019s initiatives and communicating with their home organizations to obtain input, demonstrating a well-defined team structure. In addition, the business reform teams are structured to facilitate open and regular communication, another leading practice. For example, the teams are generally co-located with each other, which enables direct communication among team members and between teams, members stated. Further, members from most of the teams we spoke with were supportive of their team leaders and viewed them as effective in their roles, demonstrating an inclusive team environment. Team leaders across all teams also stated that they regularly interact with senior management, such as through weekly one-on-one meetings with the CMO or Deputy CMO. This engagement reflects a key characteristic that states team leaders should regularly interact with senior management.", "However, we found that the business reform teams\u2019 efforts have not proceeded according to early plans outlined by the department. DOD\u2019s August 2017 report to Congress on restructuring the CMO organization stated that the teams were intended to help modify processes to move toward enterprise service delivery. According to the report, the department would transition to DOD enterprise services by the end of fiscal year 2018. In July 2018, OCMO officials acknowledged that they were behind schedule, but told us they expected to catch up to this deadline by the end of fiscal year 2018, as originally planned. That deadline was not realized. According to OCMO officials, the teams are identifying new milestones for implementing initiatives, some of which will contribute to a move toward enterprise services.", "In addition, the business reform teams vary in the number of initiatives they are pursuing. As of September 2018, OCMO reported that the teams were pursuing a total of 135 initiatives and that the number of initiatives per team ranged from 2 to 38. For example, the community services management team was developing 2 initiatives\u20141 to examine the feasibility of merging DOD\u2019s three military exchange services and the Defense Commissary Agency into a single resale enterprise, and the other to streamline the inventory of DOD lodging. In contrast, the supply chain and logistics team was developing 21 short- and long-term initiatives, such as reducing the footprint of underutilized warehouses and developing better data interoperability throughout the supply chain and logistics enterprise.", "Further, the teams\u2019 progress in advancing their initiatives to the implementation and monitoring phase has varied. The Reform Management Group oversees the business reform teams. The Deputy Secretary of Defense chairs the Reform Management Group, and the CMO facilitates regular meetings of the group. The Reform Management Group authorizes the business reform teams to proceed with their initiatives through five gates\u20140 through 4. These gates trace initiatives from conception to implementation and monitoring. Before proceeding from one gate to the next, the teams must submit certain deliverables to the Reform Management Group for review and approval. For example, before an initiative can proceed to gate 1, OCMO requires the teams to submit a charter for the initiative, which can identify, among other things, the problem or opportunity statement, the project scope, expected outcomes and risk analysis, and preliminary performance measures. Figure 1 provides an overview of the five gates and the status of initiatives by gate, as of September 2018.", "As shown in figure 1, while some teams have successfully advanced several initiatives to gate 4, others have not yet progressed initiatives past gate 2. Specifically, as of September 2018, DOD reported that 104 of the teams\u2019 135 initiatives had not yet reached gate 3, the implementation phase. According to the teams we interviewed, several factors may affect the progress of an initiative, such as its complexity or a team\u2019s approach to developing initiatives. For example, the community services management team leader stated that the team is primarily focused on the consolidation of the defense commissaries and exchanges, an initiative that is relatively large in scope and complexity. According to the team leader, this initiative involves a number of internal stakeholders, including all of the military services, as well as outreach to external stakeholders, such as veterans\u2019 organizations. In addition, the leader stated that the team would need legislative changes to fully implement the initiative. As a result of the large scope and complexity, the leader expects the initiative to take longer to implement than others. Some teams have pursued a proof-of-concept approach to developing their initiatives, which involves pilots to test initiatives to prove their value prior to department-wide implementation. For example, the health care management team is conducting a regional pilot to test the feasibility of consolidating the purchasing of services across the military health system.", "DOD has asserted that some of its initiatives have produced benefits through savings or efficiencies. For example, according to a September 2018 DOD report on the department\u2019s investments in support of the National Defense Strategy, the department achieved $1.61 billion in benefits by implementing private-sector best practices in purchasing goods and service contracts in the Air Force and defense agencies. In addition, DOD reported that the department saved $297 million through commercial information technology solutions, department-wide network management, and optimized data centers. Further, according to the report, consolidating four health care enterprises improved patient care and medical readiness, with an estimated savings of more than $2.5 billion annually by 2023. OCMO officials stated that they are still in the process of working with the Office of the Under Secretary of Defense for Comptroller to document savings generated from the business reform teams\u2019 initiatives. Given that OCMO officials stated they are taking steps to document savings generated from the teams\u2019 initiatives, we are not making a recommendation at this time, but will continue to monitor their efforts as part of our ongoing work on the high-risk nature of DOD\u2019s business transformation efforts.", "One senior DOD official involved in the reform effort acknowledged that the teams\u2019 progress has been uneven. He cited a number of factors that can affect teams\u2019 implementation, including the degree to which the teams have support from the highest levels of department leadership to operate independently and advance changes that may be unpopular with internal or external stakeholders, and the ability of teams to tackle longstanding systemic challenges, such as inaccurate cost data throughout the department. This official and several teams we met with cited the importance of the team leader\u2019s commitment to driving team success.", "We found that uncertainty with funding for initiatives may be an additional factor inhibiting some teams\u2019 progress. In some cases, the business reform teams need funding to further develop and implement their initiatives, such as the supply chain and logistics team\u2019s requirement for $2.4 million to conduct a pilot project that included conducting three site visits for warehouse and labor assessments in support of one of its initiatives. According to OCMO officials, the business reform teams can request funding from OCMO to further develop their initiatives, or if funding is not available from OCMO, the teams can seek funding from functional organizations. However, even in the early stages of their implementation, some teams told us that they did not have access to sufficient funding to fully develop and implement some of their approved initiatives or that the process for obtaining the funding was uncertain. For example, in June 2018, one team leader told us that the team did not have sufficient funding to implement four initiatives. The leader also stated that the team was not alerted to the lack of funding until immediately prior to its planned implementation of these initiatives. Members from another team stated that the Reform Management Group wanted the team to implement its initiatives more quickly, which increased the amount of funding the team needed for implementation. When the team requested additional funding, however, OCMO did not have it available. Further, OCMO officials told us that the teams submitted nine requests for funding in fiscal year 2018, but OCMO did not have funding to support four of these requests as of the end of fiscal year 2018.", "As the teams continue to develop and implement their initiatives, the number of requests for funding may increase in the future. Our prior work on efficiency initiatives has found that up-front investments may often be required to realize long-term efficiencies and savings. In this regard, OCMO officials told us that, as of September 2018, the nine teams had planned investments of about $6.7 billion to implement their initiatives from fiscal years 2018 through 2024. OCMO officials stated that this amount is a projection from the teams, and DOD has not yet identified sources for this funding. In addition, officials stated that more investment could be needed as the teams continue to develop initiatives and more enter the implementation phase. However, according to DOD\u2019s budget materials for fiscal year 2019, requested funding for OCMO\u2014a source used to fund the development of some of the teams\u2019 initiatives\u2014will decrease from about $48 million in fiscal year 2018, to about $36 million in fiscal year 2019.", "Leading practices for implementing effective cross-functional teams highlight the importance of senior management providing teams with access to resources. These leading practices also state that teams should have well-defined team operations with established rules and procedures. Further, the findings from a study contracted by DOD in August 2017 to determine how best to implement effective cross- functional teams identified actions for DOD to consider for supporting the implementation of its cross-functional teams, including identifying funding mechanisms to fully support cross-functional teams. The study suggested that language outlining the preferred mechanisms and authorities for this purpose can be included in cross-functional team guidance.", "OCMO officials told us that the office maintains a list of funding requests from the teams and prioritizes which initiatives to fund based on several factors including estimated yield, feasibility, and available resources for implementation. However, OCMO did not have a process for identifying and prioritizing available funding for implementing the initiatives planned by the business reform teams for fiscal year 2018, and has not established one for fiscal year 2019. According to OCMO officials, the department initially planned to use available funding from OCMO or the savings generated by the initiatives to fund the development and implementation of other initiatives. However, OCMO officials have since recognized that funding is needed and they are in the early stages of developing an approach to do so. Specifically, OCMO officials said they are working with the Office of the Under Secretary of Defense for Comptroller to identify funding for initiatives in fiscal year 2020. While there will likely be initiatives that cannot be funded given limited resources, OCMO and the reform teams could benefit from a clear process for identifying and prioritizing available funding. Without such a process, OCMO and the reform teams may not be able to adequately plan for and execute their initiatives."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Section 911 of the NDAA for Fiscal Year 2017 called for organizational and management reforms to assist DOD in addressing challenges that have hindered collaboration and integration across the department. While the department has taken some steps to implement the section 911 requirements, it has still not met statutory due dates for implementing key requirements intended to support its cross-functional teams and to advance a more collaborative culture within the department. We continue to believe it is important for senior leadership to demonstrate their commitment to fulfilling section 911 by addressing our prior related recommendations and by completing the remaining requirements.", "Further, section 921 of the NDAA for Fiscal Year 2019 requires DOD to reform its enterprise business operations to increase the effectiveness and efficiency of mission execution. DOD has highlighted its nine cross- functional teams dedicated to improving the department\u2019s business operations as key to achieving enterprise business reform. However, this effort has been marked by a slow start and uneven progress, and teams face a number of challenges. One key challenge is the teams\u2019 lack of resources to drive their initiatives forward. OCMO has not established a process for identifying and prioritizing available funding for the development and implementation of the teams\u2019 initiatives, which has hampered the success of some of the enterprise reform efforts."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of Defense should ensure that the Chief Management Officer establishes a process for identifying and prioritizing available funding to develop and implement initiatives from the cross-functional reform teams. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, which are reproduced in Appendix V, DOD concurred with our recommendation and described ongoing and planned actions to address it.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Defense, and DOD\u2019s Acting Chief Management Officer. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or fielde1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Prior GAO Reports on the Department of Defense\u2019s (DOD) Implementation of Section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017", "paragraphs": ["Section 911 of the NDAA for Fiscal Year 2017 included a provision for us\u2014every 6 months after the date of enactment on December 23, 2016, through December 31, 2019\u2014to submit to the defense committees a report. Each report is to set forth a comprehensive assessment of the actions that DOD has taken pursuant to section 911 during each 6-month period and cumulatively since the NDAA\u2019s enactment. We issued our first report in June 2017, and did not make recommendations. We issued our second report in February 2018, and made four recommendations to improve DOD\u2019s implementation of section 911. We issued our third report in June 2018, and did not make recommendations. Table 2 identifies our three prior reports on DOD\u2019s implementation of section 911 and the status of the four recommendations from our February 2018 report."], "subsections": []}, {"section_title": "Appendix II: Summary of Requirements in Section 911 of the National Defense Authorization Act for Fiscal Year 2017", "paragraphs": ["Section 911 of the National Defense Authorization Act for Fiscal Year 2017 requires the Secretary of Defense to take several actions. Table 3 summarizes these requirements, the due date, and the date completed, if applicable, as of December 2018."], "subsections": []}, {"section_title": "Appendix III: Overview of the Department of Defense\u2019s (DOD) Nine Cross-Functional Teams Implementing Business Reform Initiatives", "paragraphs": ["The Deputy Secretary of Defense has established nine cross-functional teams since October 2017 to implement reform initiatives intended to improve the quality and productivity of the department\u2019s business operations, including moving toward more use of enterprise services. According to the memoranda appointing the team leaders, these teams support the Secretary of Defense\u2019s focus on creating a more lethal and effective force by allowing the department to reallocate resources from business operations to readiness and to recapitalization of the combat force.", "As of September 2018, these nine cross-functional teams varied in size, ranging from 5 to 31 members. According to OCMO officials, the size of the teams can vary based on the knowledge and expertise needed to implement the teams\u2019 initiatives. The team leaders are either presidential appointees or members of the Senior Executive Service. In addition, the Deputy Secretary of Defense directed the military departments and functional organizations to appoint reform team members, and the teams include representatives from the military departments, functional organizations relevant to the reform topic, and external experts. At the time we met with the teams, most reported that they were the appropriate size and had the right skills and expertise represented on the team. Figure 2 provides additional details on the composition of these nine cross-functional teams, as of September 2018."], "subsections": []}, {"section_title": "Appendix IV: Leading Practices for Implementing Effective Cross-Functional Teams", "paragraphs": ["In February 2018, we reported on eight leading practices for implementing effective cross-functional teams. Table 4 identifies these leading practices and their related key characteristics."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Margaret Best (Assistant Director), Tracy Barnes, Arkelga Braxton, William Carpluk, Michael Holland, William Lamping, Chad Johnson, Matthew Kienzle, Amie Lesser, Ned Malone, Judy McCloskey, Sheila Miller, Sally Newman, Richard Powelson, Daniel Ramsey, Ron Schwenn, Jared Sippel, Susan Tindall, and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": ["DOD's organizational and management challenges have made it hard for the department to find efficiencies and cut costs. To address this issue, DOD created 9 teams of experts from various DOD offices to reform the department's business processes (such as health care and financial management).", "We found that these teams identified 135 reform initiatives, such as consolidating IT systems, but 104 of these initiatives have yet to be implemented. One reason is that some teams lack resources to fully implement their initiatives.", "We recommended that DOD establish a process to identify and prioritize available funding for implementing these reforms."]} {"id": "GAO-19-103", "url": "https://www.gao.gov/products/GAO-19-103", "title": "Foot-and-Mouth Disease: USDA's Efforts to Prepare for a Potential Outbreak Could Be Strengthened", "published_date": "2019-03-12T00:00:00", "released_date": "2019-03-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FMD is a highly contagious viral disease that causes painful lesions on the hooves and mouths of some livestock, making it difficult for them to stand or eat, thus greatly reducing meat and milk production. The United States has not had an FMD outbreak since 1929, but FMD is present in much of the world. An FMD outbreak in the United States could have serious economic impacts, in part because trade partners would likely halt all imports of U.S. livestock and livestock products until the disease was eradicated. These imports were valued at more than $19 billion in 2017.", "GAO was asked to review USDA's efforts to prepare for an FMD outbreak. This report examines (1) USDA's planned approach for responding to an FMD outbreak; (2) challenges USDA would face in pursuing its response goals; and (3) how USDA identifies, prioritizes, and monitors corrective actions to mitigate the challenges. GAO observed a USDA FMD preparedness exercise; reviewed agency documents and nongeneralizable questionnaire responses from 29 respondents from federal and state government, livestock industries, and universities; and interviewed officials from federal and state governments and representatives of livestock industries and universities."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Department of Agriculture's (USDA) planned approach for responding to an outbreak of foot-and-mouth disease (FMD) includes several strategies. These strategies generally rely on killing infected and susceptible animals, vaccinating uninfected animals, or a combination of both approaches. USDA would implement one or more of the strategies, depending on factors such as the outbreak's size and the resources available, according to agency documents.", "USDA would likely face significant challenges in pursuing its response goals of detecting, controlling, and containing FMD quickly; eradicating FMD while seeking to stabilize industry and the economy; and facilitating continuity of commerce in uninfected animals. GAO identified challenges in 11 areas\u2014including allocating a limited supply of FMD vaccine\u2014based on its review of USDA documents, responses to GAO's questionnaire, and interviews with agency officials and others with expertise on FMD. According to USDA, the agency may not have a sufficient supply of FMD vaccine to control more than a small outbreak because of limited resources to obtain vaccine. As shown below, the current vaccine supply would be sufficient to protect about 14 percent of Texas's cattle or about 4 percent of Iowa's swine; these states' cattle and swine populations are the nation's largest. The Agriculture Improvement Act of 2018 includes a provision to increase the FMD vaccine supply.", "USDA has identified dozens of corrective actions to mitigate the challenges of responding to an FMD outbreak, as called for in USDA procedures, but has not prioritized these corrective actions or monitored their completion, as also called for in its procedures. USDA has identified the corrective actions through exercises simulating FMD outbreaks, surveys, and lessons learned from other foreign animal disease outbreaks. However, USDA has not completed all of the corrective actions, including actions related to vaccination. Agency officials stated that they have not completed such corrective actions because they have been responding to outbreaks of other animal diseases and have limited resources. Without following agency procedures to prioritize and monitor corrective actions, USDA cannot ensure that it is allocating its resources to the most beneficial actions to prepare for a possible FMD outbreak."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that USDA follow its procedures to prioritize and monitor the completion of corrective actions that the agency has identified for FMD preparedness. USDA agreed with these recommendations, and described actions it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Foot-and-mouth disease (FMD) is a highly contagious viral disease that causes painful lesions on the hooves and inside the mouths of some species of livestock, making it difficult for them to stand or eat, thus greatly reducing production of meat or milk. The virus affects domestic and wild cloven-hoofed animals, such as cattle, swine, sheep, goats, bison, and deer. There are no known cases of FMD in the United States as of January 2019, but it is present in more than two-thirds of countries in the world, so it could be introduced here either accidentally or intentionally as an act of terrorism, according to documents from the U.S. Department of Agriculture (USDA). An FMD outbreak in the United States could severely harm the economy, largely because of trade repercussions from loss of our nation\u2019s \u201cFMD-free\u201d status. If the United States lost this status, trading partners would likely be unwilling to accept our exports until the United States is declared FMD-free again. As a result, USDA expects that in an FMD outbreak, all exports of cattle, swine, sheep, goats, and uncooked products from these animals would temporarily stop. Beef exports in 2017 were valued at about $7 billion, and pork exports were valued at about $6 billion, according to the U.S. Meat Export Federation. Depending on the extent and duration of an FMD outbreak, it could have a significant effect on these exports, as well as the larger agricultural economy.", "USDA is responsible for preparing for an outbreak of FMD in the United States and coordinating a response if an outbreak occurs, in partnership with the Department of Homeland Security (DHS), individual states, and industry. USDA\u2019s goals for its FMD response are to (1) detect, control, and contain FMD as quickly as possible; (2) eradicate FMD using strategies to stabilize animal agriculture, the food supply, the economy, and to protect public health; and (3) provide science- and risk-based approaches and systems to facilitate continuity of commerce in uninfected animals.", "Some countries have addressed FMD outbreaks in the past by killing and disposing of infected and susceptible animals, otherwise known as stamping out. However, South Korea and Japan stamped out millions of swine and cattle in recent FMD outbreaks but still struggled to contain the virus. U.S. livestock industries operate on a much larger scale than those in either South Korea or Japan, which could make stamping out an outbreak here more difficult. Some countries have used vaccination in conjunction with stamping out to control FMD.", "You asked us to review USDA\u2019s efforts to prepare for an FMD outbreak. This report (1) describes USDA\u2019s planned approach for responding to an FMD outbreak; (2) identifies what challenges, if any, USDA would face in pursuing its FMD response goals; and (3) examines how USDA identifies, prioritizes, and monitors corrective actions to mitigate these challenges.", "To describe USDA\u2019s planned approach for responding to an FMD outbreak, we reviewed relevant legislation and USDA strategy and guidance documents. We also interviewed USDA officials at the agency\u2019s headquarters, laboratories, center for epidemiology and animal health, and center for veterinary biologics. We selected these officials to interview because of their knowledge about USDA\u2019s planned approach, their involvement in preparing for an FMD outbreak, and the roles they would play in responding to such an outbreak.", "To identify what challenges, if any, USDA would face in pursuing its FMD response goals, we first came up with a list of potential challenge areas. To develop the list of potential challenge areas, we reviewed USDA documents, reports about FMD outbreaks in other countries, and after- action reports from 41 preparedness exercises in the United States from 2007 to 2018 in which officials practiced responding to simulated FMD outbreaks and identified emerging challenges. We also interviewed USDA headquarters staff and field staff in Iowa (the state with the most livestock); USDA laboratory officials; state animal health officials in California, Colorado, Iowa, and North Carolina; representatives from four different livestock industries; and others with expertise in this area. We selected the individuals to interview based on their knowledge about challenges that USDA could face in pursuing its FMD response goals, their central role in preparing for an FMD outbreak, and recommendations from other interviewees, as well as diversity in geographic location. We also visited a swine farm and cattle feedlot in Iowa and interviewed the owners. We selected a swine farm and cattle feedlot to visit because swine and cattle were the livestock industries with the greatest populations of animals in the United States in 2016. We identified a list of 11 potential challenge areas, including vaccination.", "To confirm the significance of the challenge areas, we sent a questionnaire with the list of potential challenge areas to four categories of individuals: federal government officials, state government officials, livestock industry representatives, and academic researchers. Within the categories, we selected individuals from relevant units within USDA and DHS, states with relatively high livestock populations, different livestock industries (beef cattle, dairy cattle, swine, and sheep), and academic researchers with relevant expertise. We asked the recipients whether USDA would face a significant challenge in each of the 11 areas and whether they knew of other challenge areas we had not listed. We defined significant to mean a challenge that is sufficiently great or important enough to be worthy of USDA action. We sent the questionnaire to 39 recipients and received responses from 29. Since we used a nonprobability sample, the results are not generalizable to all government officials, livestock industry representatives, or FMD experts, but the responses helped confirm the list of 11 challenge areas and provided illustrative information about each one.", "We reviewed challenges related to vaccination for FMD in greater depth than other challenges because of the significant role vaccination could play if reliance solely on stamping out is not feasible. Specifically, we visited DHS\u2019s Plum Island Animal Disease Center on Plum Island, New York, where we interviewed officials from USDA\u2019s Foreign Animal Disease Diagnostic Laboratory and others about challenges related to FMD vaccination. We also reviewed agency documents on the topic and interviewed other officials from USDA, universities, states, and industry groups about issues related to FMD vaccination. Further, we interviewed officials from the vaccine company that currently produces the majority of FMD vaccine available for use in the United States and a company that has exclusive rights to use a modified version of the FMD virus to produce FMD vaccine in the future.", "To determine how USDA identifies, prioritizes, and monitors corrective actions to mitigate the challenges, we reviewed related USDA guidance and other agency documents, observed an FMD preparedness exercise, reviewed after-action reports from 41 previous FMD preparedness exercises, and interviewed USDA officials. The FMD preparedness exercises were sponsored by USDA, DHS, and state governments, and ranged from small-scale exercises focused on narrow response tasks to large-scale exercises in which participants practiced a wide range of response activities in a simulated outbreak. We reviewed USDA\u2019s procedures for evaluation and improvement planning to understand how the agency is to identify, prioritize, and monitor corrective actions. To determine whether USDA was consistently following these procedures, we reviewed the 41 after-action reports for FMD preparedness exercises and interviewed agency officials about corrective actions identified in the reports and steps the agency has taken to prioritize and monitor progress on the actions. We reviewed agency documents and interviewed agency officials about examples of corrective actions that USDA has identified and taken or not yet taken. We also reviewed USDA after-action reports for outbreaks of highly pathogenic avian influenza (avian influenza) and reviewed USDA\u2019s database of related corrective actions to learn how the agency identified, prioritized, and monitored actions to mitigate challenges for that disease. To assess the overall reliability of the database to use information from this database in our report, we reviewed management controls over the information systems that maintain the data, and we interviewed USDA officials who manage the database. We determined that the database was sufficiently reliable to allow us to describe the contents of the database and general status of corrective actions. For further details on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from May 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section provides an overview of FMD, as well as information on the potential impact of an outbreak in the United States; USDA activities to respond to outbreaks of diseases, including FMD; federal, state, tribal, and industry roles in FMD control; and FMD vaccines."], "subsections": [{"section_title": "Overview of FMD", "paragraphs": ["FMD is a highly contagious viral disease that causes fever and painful lesions on cloven-hoofed animals\u2019 hooves, mouths, and udders (see fig. 1). These debilitating effects, rather than high mortality rates, are responsible for severe productivity losses associated with FMD. The disease generally does not infect humans and is not considered a public health or food safety threat. Young animals may die from the virus, while most adult animals recover. However, livestock infected with FMD have severely diminished meat and milk production.", "FMD virus can be found in all secretions and excretions from infected animals, including in breath, saliva, milk, urine, feces, and semen, as well as in the fluid from the lesions. Animals can release the virus for up to 4 days before showing visible signs of infection, and FMD can spread from one animal species to another. The virus itself can survive in the environment for many months and can spread when healthy animals come into contact with infected animals or via contaminated vehicles, equipment, clothes, feed, or animal products, as shown in figure 2.", "The United States has not had an FMD outbreak since 1929, but the disease could be introduced here from countries in Africa, Asia, Eastern Europe, or South America where it is present. The United States is vulnerable to FMD transmission, given the large size and mobility of the U.S. livestock sector. In 2018, the United States had about 94 million head of cattle, 74 million swine, 5 million sheep, and more than 2 million goats. Many of these livestock are concentrated in major livestock- producing states such as Texas and Iowa, but livestock are present in every state. (See figs. 3 and 4 for the populations of cattle and swine by state.) According to USDA documents, a large percentage of livestock in the United States are kept on large farms, ranches, or feedlots (i.e., areas or buildings where livestock are fed and fattened up), some with capacity for 50,000 to 100,000 or more animals. Livestock are transported daily to feeding facilities, markets, slaughter plants, and other farms or ranches. For example, swine are often moved among multiple premises at different stages of their life spans to accommodate their growth in size, among other things. According to the swine industry, approximately 1 million swine are on the road every day in transit to various stages of the production process."], "subsections": []}, {"section_title": "Potential Impact of FMD Outbreak", "paragraphs": ["An FMD outbreak in the United States could have serious economic consequences. A 2001 outbreak of FMD in the United Kingdom, for example, resulted in the killing of more than 6 million animals, with direct costs of more than $3 billion to the public sector and more than $5 billion to the private sector. The extent of economic damage in the United States would depend primarily on the duration and geographic extent of the outbreak, the extent of trade disruptions, and how consumers reacted to the disease and associated control measures, according to USDA. In a large and long-lasting outbreak, control measures such as killing animals and halting the transportation of animals could cause significant losses for livestock operations. In addition, trade disruptions could have an enormous impact because U.S. exports of livestock, meat, and dairy products\u2014together valued at more than $19 billion in 2017 based on estimates from the U.S. Meat Export Federation and the U.S. Dairy Export Council\u2014would likely stop or be sharply reduced. In addition, domestic consumers might be reluctant to purchase meat and animal products such as milk during an FMD outbreak, even though the products would be safe for people to consume, according to USDA."], "subsections": []}, {"section_title": "USDA Activities to Respond to Outbreaks", "paragraphs": ["Partly to protect the economic interests of the U.S. livestock industry, the Animal Health Protection Act authorizes USDA to detect, control, and eradicate diseases in livestock. USDA\u2019s Animal and Plant Health Inspection Service (APHIS) is the lead agency for responding to outbreaks of foreign animal diseases, including FMD. According to APHIS, in responding to an outbreak of FMD or any foreign animal disease, APHIS, in coordination with state and industry partners, would conduct the following activities, among others:", "Surveillance. Observing animals for visible signs of disease and analyzing data on locations and numbers of disease cases to detect premises with the disease, determine the size and extent of an outbreak, and determine whether outbreak control measures are working.", "Epidemiologic tracing. Gathering and analyzing data on cases of a disease, premises with such cases, movement of infected animals, and their potential contact with uninfected animals to locate other animals or premises with the disease, understand the outbreak\u2019s rate and direction of spread, and investigate the source of the outbreak.", "Diagnostic testing. Conducting approved and validated assessments of samples taken from animals to identify infected animals or to demonstrate that healthy animals are free of disease.", "Applying quarantines and stop-movement orders. Restricting the movement of infected or potentially infected animals, animal products, and contaminated items to prevent the virus from spreading to healthy animals.", "Biosecurity Biosecurity measures, which help minimize disease spread, include the following: placing signs indicating precautions personnel and visitors must follow; establishing sign-in procedures at entry points; removing dirt from boots and disinfecting them prior to entering a facility; using disposable personal protective equipment, such as Tyvek suits, gloves, masks, and boots, when entering premises; disposing of contaminated items properly; designating \u201cclean\u201d and \u201cdirty\u201d storage areas in vehicles; and controlling movement on and off premises.", "Employing biosecurity measures. Taking steps, such as cleaning and disinfecting trucks that travel between premises, to contain the virus on infected premises and prevent it from spreading via objects or equipment that can carry infection.", "Stamping out and vaccination. Killing infected animals and vaccinating uninfected animals\u2014for example in buffer zones around infected premises\u2014to limit the spread of the virus.", "Compensating owners. Paying owners fair market value for animals and equipment that the government determines must be destroyed to limit disease spread.", "To help prepare for a potential FMD outbreak, APHIS and its partners conduct preparedness exercises in which officials practice responding to simulated FMD outbreaks. Such exercises range from small-scale, narrowly scoped exercises to full-scale, broadly scoped exercises. For example, some exercises focus on specific response tasks such as electronic messaging between laboratories or shipping response supplies to the field, and involve relatively few people for less than a day. Other exercises simulate a wide range of response activities that APHIS and its partners would use in an FMD outbreak, involve dozens of people from different agencies and industry organizations in locations across the country, and last for multiple days.", "Multiple units within APHIS carry out these preparedness and response activities at the agency\u2019s headquarters in Maryland; field offices in 27 states and Puerto Rico; and the National Veterinary Services Laboratories in Ames, Iowa, and on Plum Island, New York. APHIS\u2019s Foreign Animal Disease Diagnostic Laboratory on Plum Island, New York, develops and performs diagnostic tests for foreign animal diseases, including FMD."], "subsections": []}, {"section_title": "Federal, State, Tribal, and Industry Roles Related to FMD Control", "paragraphs": ["APHIS also works with federal agencies within and outside of USDA, along with states, tribes, and academic and industry partners\u2014all of which have roles related to FMD control, as discussed below.", "USDA\u2019s Food Safety and Inspection Service is responsible for the safety of meat, poultry, and egg products. Agency officials assigned to slaughter establishments examine animals before processing to look for visible symptoms of FMD, among other things.", "USDA\u2019s Agricultural Research Service conducts research on agricultural problems of high national priority, including the FMD virus and FMD vaccine.", "USDA\u2019s National Institute of Food and Agriculture invests in and conducts agricultural research, education, and extension to help solve national challenges in agriculture, food, the environment, and communities. The agency has funded modeling of FMD spread and research on potential economic impacts.", "DHS has funded research on FMD vaccine and development of response decisions tools, training, and equipment; sponsored preparedness exercises; and developed emergency plans, among other things. In an FMD outbreak, DHS may assume the lead for coordination of federal resources if the Secretary of Agriculture requests assistance from DHS. The Secretary of Homeland Security, in coordination with the Secretaries of Agriculture, Health and Human Services, the Attorney General, and the Administrator of the Environmental Protection Agency, is to ensure that the combined federal, state, and local response capabilities are adequate to respond quickly and effectively to a major disease outbreak, among other things, affecting the national agriculture or food infrastructure.", "The Department of the Interior carries out disease surveillance of wild animals and coordinates surveillance activities with state fish and wildlife agencies, among other things. The Department of the Interior\u2019s U.S. Geological Service conducts research on wildlife diseases, including FMD, and if needed in an FMD outbreak, would administer diagnostic tests for wildlife.", "The Federal Bureau of Investigation coordinates the federal investigation of criminal activities through the Joint Terrorism Task Force. If animals, livestock, or poultry are suspected targets of a terrorist attack, or if any evidence suggests a foreign animal disease may have been or could be intentionally introduced, USDA notifies the Federal Bureau of Investigation to investigate.", "State governments prepare plans for foreign animal diseases, including FMD; conduct preparedness exercises; and would play a key role in a response effort. In an FMD outbreak, a state animal health official and an APHIS field official would co-lead initial response efforts. For example, state governments might take immediate actions, such as applying quarantines and stop-movement orders.", "Tribal governments, like state governments, would play a key role in initial response efforts and conduct activities similar to those of state governments.", "The National Animal Health Laboratory Network is a partnership of 59 federal, state, and university-associated animal health laboratories throughout the United States, of which 45 are approved to administer diagnostic tests for FMD.", "Livestock industry organizations support communication and education efforts with their members and the public, participate in FMD preparedness exercises, and have helped develop some FMD planning documents."], "subsections": []}, {"section_title": "FMD Vaccines", "paragraphs": ["As part of its response to an FMD outbreak, APHIS may access vaccine through the North American Foot-and-Mouth Disease Vaccine Bank (vaccine bank), which is jointly administered by the United States, Mexico, and Canada. Because finished vaccines have a short shelf life, the vaccine bank manages a supply of vaccine concentrate, which can be stored at extremely cold temperatures for about 5 years. Some of the concentrate is stored at the Foreign Animal Disease Diagnostic Laboratory on Plum Island, New York, and some at the manufacturer\u2019s facilities in Lyon, France. During an FMD outbreak, the manufacturer would convert the concentrate into finished vaccine and ship it to the United States. For the concentrate stored in the United States, the vaccine bank would need to first ship it to the manufacturer overseas. APHIS\u2019s National Veterinary Stockpile coordinates logistics planning, particularly for catastrophic outbreaks, and would be responsible for delivering the finished vaccine to affected states, according to USDA planning documents.", "The FMD virus has seven distinct variations, or serotypes, and more than 60 subtypes within the serotypes, according to USDA documents. FMD vaccine should be as closely matched to the outbreak subtype as possible to provide more effective protection, according to USDA officials and a document on FMD vaccination. A vaccine for one FMD subtype may also provide good or partial immunity to other closely related subtypes, but it would not generally protect against other serotypes. The vaccine bank has concentrate for a number of FMD subtypes that pose the greatest risk to North American livestock based on recommendations from the World Reference Laboratory for FMD.", "We have previously reported on APHIS\u2019s management of foreign animal diseases, including FMD. For example, in May 2015, we recommended that USDA assess and address its veterinarian workforce needs for emergency response to an outbreak of an animal disease such as FMD. USDA agreed, in part, with the recommendation, and in 2017 hired additional veterinarians. The agency is currently building a model to develop workforce estimates for a large-scale FMD outbreak, according to agency officials."], "subsections": []}]}, {"section_title": "USDA\u2019s Planned Approach Calls for Outbreak-Specific Strategies, Using Overarching Guidance to Implement the Strategies", "paragraphs": ["USDA\u2019s planned approach for responding to an FMD outbreak relies on several different strategies emphasizing stamping out, vaccination, or both, depending on factors such as the size of the outbreak. To aid agency officials in implementing the strategies, USDA has developed overarching guidance for responding to animal disease outbreaks and detailed procedures for many response activities."], "subsections": [{"section_title": "USDA\u2019s FMD Response Strategies Emphasize Stamping Out or Vaccination, Depending on Factors Such as Outbreak Size and Resource Availability", "paragraphs": ["USDA\u2019s APHIS has developed several different, but not mutually exclusive, outbreak response strategies that the agency will consider to control and eradicate FMD in an outbreak as part of its planned approach, according to USDA documents and officials. These strategies rely on stamping out\u2014killing and disposing of\u2014infected and susceptible animals, vaccination of uninfected animals, or both. For strategies involving vaccination, options include killing and disposing of vaccinated animals (vaccinate-to-kill), allowing the animals to be slaughtered and their meat processed (vaccinate-to-slaughter), or allowing the animals to live out their useful lifespan (vaccinate-to-live). Response strategies would likely change as an outbreak unfolds, and might also vary by region or type of animal affected, according to APHIS planning documents.", "Over time, USDA\u2019s FMD planned approach has evolved from relying solely on stamping out to including vaccination strategies as it became apparent that in many potential scenarios, reliance on stamping out alone would not be effective or feasible. Specifically, in 2010, USDA\u2019s Foot-and- Mouth Disease Response Plan: The Red Book (Red Book) first stated that APHIS would consider vaccination strategies such as vaccinate-to- slaughter and vaccinate-to-live. In 2014 APHIS updated the Red Book with the addition of a vaccinate-to-kill strategy to better distinguish what would happen to animals if they were not eligible for slaughter. By 2016, USDA had determined that complete stamping out of anything beyond a small FMD outbreak was not a viable, effective, or sustainable response strategy for the United States, according to USDA\u2019s FMD vaccination policy.", "Experiences in preparedness exercises and foreign outbreaks of FMD influenced a shift in USDA\u2019s planned approach toward vaccination strategies. In 2010, Japan and South Korea both experienced FMD outbreaks and initially relied on stamping out combined with strict movement restrictions. Japan stamped out about 300,000 cattle and swine, and South Korea stamped out about 150,000 cattle and 3 million swine\u2014a third of the country\u2019s total swine population. Despite these efforts, FMD continued to spread in both countries until they implemented vaccination strategies, according to USDA documents. A 2007 FMD preparedness exercise, sponsored by the Texas Animal Health Commission and USDA, found that killing and disposing of infected animals in a livestock-dense area like the Texas panhandle would not be feasible in a timely manner because of the large number of animals on infected premises (e.g., 50,000 to 75,000 head of cattle on large cattle feedlots). USDA learned that having vaccination strategies in place would be necessary to effectively respond to an FMD outbreak.", "If an FMD outbreak occurred, APHIS would select a response strategy or multiple strategies, or it would modify strategies to achieve its FMD response goals based on the unique circumstances of the outbreak, according to agency planning documents. APHIS would do so in consultation with affected states and tribes, and if the agency chose to use vaccine, states would request it from USDA. According to agency planning documents we reviewed, APHIS would consider a number of factors when deciding on its approach, including the following:", "FMD vaccine availability; consequences of the outbreak (e.g., trade restrictions or loss of valuable genetic stock); public acceptance of response strategy or strategies; scale of the outbreak (i.e., number and size of infected premises); rate of outbreak spread; location of initial outbreak (e.g., isolated ranch versus livestock- producing area); movement of animals (number of locations that infected or potentially infected animals have traveled to or through); and federal and state resources available to implement response strategies.", "Resource needs vary among strategies and generally increase with the scale of an outbreak, according to USDA planning documents. Having the necessary resources available to implement a stamping-out response strategy would include having qualified personnel to kill animals in accordance with accepted protocols and having appropriate disposal facilities. To implement strategies involving vaccination, APHIS would need a sufficient quantity of vaccine, the resources for distributing and administering the vaccine, and the diagnostic tests necessary to distinguish between vaccinated and infected animals, according to USDA\u2019s FMD vaccination policy. If the scale of an outbreak were small, and APHIS had access to sufficient resources, agency officials would likely implement a stamping-out strategy in an attempt to quickly stop the production of virus in infected animals and limit the outbreak\u2019s spread, according to agency planning documents. However, these planning documents indicate that if the outbreak grew to a moderate regional, large regional, national, or catastrophic scale, the resources required for killing all infected and potentially infected animals, disposing of carcasses, and paying compensation to livestock owners would quickly multiply, and APHIS policy calls for strategies focused on vaccination, according to USDA documents."], "subsections": []}, {"section_title": "USDA Has Developed a Range of Documents to Guide Its FMD Response Strategies", "paragraphs": ["Over time, USDA\u2019s APHIS has developed various documents to guide its response to FMD, including overarching guidance for responding to FMD and other foreign animal diseases, procedures with in-depth operational details, and plans to secure the nation\u2019s food supply. To aid agency officials in implementing FMD response strategies broadly, APHIS has developed FMD response plans and guidance for responding to foreign animal disease outbreaks more generally. For example, the Red Book describes USDA\u2019s FMD response strategies; identifies the capabilities needed to respond to an FMD outbreak; and provides guidance on the critical activities required during the response, including time frames for these activities. The Red Book is intended for responders at all levels of government and industry partners. For example, if a state official or a livestock owner wanted to know the steps to test and confirm a positive case of FMD, the Red Book explains the process and has a flowchart to illustrate the steps. APHIS also has developed response manuals that provide guidance relevant to foreign animal disease outbreaks, including FMD. For example, a manual on roles and coordination provides an overview of USDA\u2019s framework for incident management, funding, communication strategies, relationships, and authorities during a foreign animal disease outbreak, including an FMD outbreak. APHIS also has produced ready reference guides that condense guidance material from these broader documents into short summary documents for training and education purposes.", "In addition, APHIS has developed standard operating procedures (SOP) for many response activities. Some SOPs are specific to an FMD outbreak, and others provide more general instruction on activities to respond to foreign animal diseases. The FMD biosecurity SOP, for example, describes steps responders at all levels of government and industry partners can take to help prevent the spread of the virus, such as protocols for putting on and taking off personal protective equipment (e.g., coverall suits, boots, and gloves); standards for separating \u201cclean\u201d and \u201cdirty\u201d zones in vehicles and on premises; and instructions for cleaning and disinfecting vehicles before arrival at and after departure from different premises.", "Many of the more general SOPs have proven useful during outbreaks of other animal diseases and exercises simulating FMD outbreaks, according to APHIS and state government officials, and APHIS has revised them to incorporate lessons learned. For example, one state animal health official said that during the 2014 avian influenza outbreak, the SOP for disposing of poultry carcasses through composting was initially insufficient because the poultry industry had not previously been composting in all states. To improve consistency across states, APHIS updated protocols during the outbreak and created composting protocols for avian influenza-infected flocks and livestock to supplement the agency\u2019s disposal SOP, which addresses carcass disposal for foreign animal diseases generally. These composting protocols expanded on and clarified guidance to be used in subsequent outbreaks. In addition, APHIS held training on composting procedures for birds and on large animal composting, which could be part of an FMD response.", "USDA, in coordination with industry, state, federal, and academic representatives, has also developed supply plans to secure the nation\u2019s food supply and keep businesses operating during an FMD outbreak while managing the risk of spreading the virus, which would decrease the economic impact of an outbreak. To date, USDA and its industry and university partners have developed Secure Milk Supply and Secure Pork Supply plans and have partially completed a Secure Beef Supply plan. These plans guide industry on managing uninfected premises and uninfected animals during an FMD or other foreign animal disease outbreak. For example, the Secure Milk Supply plan has guidance on what producers can do to continue moving shipments of milk during an outbreak, including how to implement enhanced biosecurity plans to prevent the spread of FMD to their facilities. The sheep industry is currently developing its own secure food and wool supply plan, according to industry representatives."], "subsections": []}]}, {"section_title": "USDA Would Likely Face Significant Challenges in Pursuing Its FMD Response Goals, Particularly regarding Vaccination", "paragraphs": ["USDA would likely face significant challenges in pursuing its FMD response goals of detecting, controlling, and containing FMD as quickly as possible; eradicating FMD using strategies that seek to stabilize animal agriculture industries and the economy; and facilitating continuity of commerce in uninfected animals. We identified 11 challenge areas, based on our review of USDA documents, interviews with agency officials and others with expertise with FMD, and 29 responses to our questionnaire. A majority of respondents indicated that in 10 of the 11 areas USDA would face challenges that are significant\u2014that is, important enough to be worthy of USDA action. (See app. I, fig. 7, for a summary of the responses.) For the 11th area, which is communication and coordination, opinions were split on whether the area would present significant challenges. The 11 challenge areas, which sometimes overlap or fall outside of USDA\u2019s direct control, are described below. Examples of actions USDA is taking to address these challenges are described later in this report."], "subsections": [{"section_title": "Surveillance", "paragraphs": ["USDA would likely face surveillance challenges that could delay detection of the first cases in an FMD outbreak. A majority (22 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. FMD can spread without detection for the following reasons: there is no active surveillance for FMD, animals may not have visible signs until up to 4 days after becoming signs can be difficult to notice in some species, and infected wild animals could go undetected and spread the virus.", "For initial detection of an FMD outbreak, USDA relies on passive surveillance, waiting for producers or veterinarians to notice and report visible signs. In contrast, for initial detection of other diseases, such as bovine spongiform encephalopathy (commonly known as mad cow disease), USDA has active surveillance programs in which animals are routinely tested regardless of visible signs. According to USDA officials, the cost and resources required to conduct active surveillance for initial detection of an FMD outbreak would not be justified because the United States has not had an FMD outbreak for decades and there is a risk that false positives could create unnecessary disruptions. However, the officials said the agency would likely use active surveillance during an outbreak.", "Passive surveillance, however, may not allow for timely detection of the initial cases of FMD, particularly in sheep. FMD infection in sheep often causes only mild signs or symptoms, such as an elevated temperature or loose stool, and in some cases will not cause any overt signs or symptoms at all, even though the animal may be spreading the virus, according to representatives of the sheep industry. Therefore, an FMD outbreak could become widespread before USDA detects the first cases.", "Even if responders are able to detect FMD in domesticated animals before an outbreak becomes widespread, wild animals may become infected and spread the virus, posing additional challenges for USDA and its partners. For example, the U.S. population of feral swine, which are susceptible to FMD, is estimated at 6 million and is rapidly expanding, according to APHIS. Detecting and controlling infected wild animals could be extremely difficult, according to agency officials, and if not controlled, these populations could serve as carriers for the disease. In addition, limitations in diagnostic capabilities, discussed below, could hamper the availability of data needed for surveillance, such as accurate information on new cases of FMD."], "subsections": []}, {"section_title": "Diagnostic Capabilities", "paragraphs": ["USDA would likely face challenges related to its capability to diagnose FMD. Such challenges include the lack of validated population-level diagnostic tests and potentially insufficient resources to collect samples and perform diagnostic testing in a large outbreak. A majority (24 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. Currently, during an FMD outbreak, USDA would rely on individual animal testing, given that it has not validated any diagnostic tests that can be used for a group or population of animals, according to USDA\u2019s surveillance SOP. If an FMD outbreak expands, the ability to test a large number of animals quickly with minimal resources would be useful for USDA. In a 2017 study of the potential uses of a bulk milk test for FMD in dairy cattle, for example, USDA found that 720 bulk milk tests could replace over 35,000 individual animal tests with the same level of confidence in disease status. However, the study identifies additional work needed to implement bulk milk tests.", "USDA and state officials investigate suspected cases of FMD on previously uninfected premises, according to USDA documents. To do so, USDA or state officials travel to the suspected premises\u2014sometimes over long distances\u2014collect samples from the animal or animals, and send them to a qualified laboratory for diagnostic testing. During an outbreak, massive quantities of diagnostic testing may need to be conducted, straining the capacity of federal and state laboratories that are qualified to investigate suspected cases of FMD, and potentially causing delays in detecting infected premises, according to both an after-action report for a preparedness exercise and agency officials. In addition, USDA officials we interviewed expressed concern that diagnostic kits used for these individual animal tests would be in short supply during an outbreak and said that they do not currently know how much time it would take for manufacturers to produce more. In the event of a large FMD outbreak, delays in getting diagnostic results could slow USDAs ability to detect, control, and contain an outbreak."], "subsections": []}, {"section_title": "Information Management", "paragraphs": ["USDA would likely face challenges in the area of information management during an outbreak, including incompatible data systems at the state and federal levels or between diagnostic laboratories and USDA and responders who lack familiarity with USDA data systems. A majority (20 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area.", "USDA and state data systems track information on registered livestock premises and animals. In addition, USDA has an emergency response database for collecting and analyzing data on disease outbreaks and managing response resources. However, state data systems cannot always communicate directly with USDA\u2019s data systems because they use different software, according to two state animal health officials. Such impediments to communication could delay information sharing about the location of infected and susceptible animals. One industry representative said that such delays could prolong decisions about permits for uninfected animals to move, disrupting industries\u2019 continuity of business. According to an academic researcher, interruptions in movement of animals could cause processing facilities to either close, operate at a diminished capacity, or be overwhelmed by a backlog of animals once movement is restarted, leading to animal welfare concerns. These disruptions could present challenges for USDA to facilitate continuity of commerce in uninfected animals, one of its response goals.", "USDA\u2019s ability to control an outbreak could also be impaired if responders lack familiarity with USDA data systems. For example, according to a USDA after-action report, during the 2014 avian influenza outbreak, some responders were unfamiliar with USDA\u2019s system for entering outbreak response information, resulting in incorrect usage or underutilization of the system. As a result, USDA\u2019s overall response was slower than it would have been if timely information had been available."], "subsections": []}, {"section_title": "Animal Traceability", "paragraphs": ["USDA would likely face challenges related to the traceability of animals (i.e., the ability to trace their locations and movements) after an outbreak was detected. We found that these challenges result from insufficient use of identification numbers for livestock premises (such as farms and ranches) and individual animals to enable tracing of infected, exposed, and susceptible animals, and from identification numbers that cannot be easily read (e.g., because they are not electronic). A majority (25 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. In an outbreak, responders would use premises and animal identification numbers, if available, to trace the location and movements of infected animals to identify other animals that may have been exposed. They would also use the identification numbers to locate all susceptible animals in the region, in order to notify owners about the outbreak and any response measures in place, such as stop- movement orders. These activities would be hampered without the identification numbers. For example, Iowa and Texas regulations do not require producers to register all of their animals with the state. Also, record keeping varies at individual farms and ranches, where some producers have electronic records, but others have no written records or rely on hand-written paper documents, according to USDA documents. Searching through records by hand at individual farms could take days rather than the hours that it would take if the records were electronic, according to a USDA planning document. Without timely and accurate tracing through the use of premises and animal identification numbers, USDA may face challenges controlling and containing an FMD outbreak and facilitating continuity of commerce in uninfected animals.", "In addition, some animals have identification numbers on ear tags that must be read visually, which could slow USDA\u2019s efforts to control and contain an outbreak. In an outbreak, responders would need to inspect animals with such ear tags to manually read and record the identification numbers for individual animals. In contrast, for animals with electronic tags, responders could use electronic readers, which can accurately read identification numbers for a group of animals from a distance of up to 12 feet, according to a 2016 USDA study on electronic identification for livestock. One industry representative said that the beef cattle industry has not widely implemented electronic identification because it is difficult for many operators to justify the added cost of purchasing and attaching an electronic tag for each animal."], "subsections": []}, {"section_title": "Biosecurity", "paragraphs": ["In an FMD outbreak, USDA would likely face biosecurity challenges including lack of sufficient biosecurity on some premises, difficulty in implementing biosecurity measures for certain species, and lack of documentation (such as a written plan) specifying what measures are currently in place. A majority (20 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. If sufficient biosecurity measures are not consistently in place on farms, ranches, and feedlots, people and vehicles may inadvertently spread the FMD virus when they travel among premises, impeding USDA\u2019s ability to control and contain an outbreak. For example during the 2001 FMD outbreak in the United Kingdom, poor biosecurity and livestock owners\u2019 movements between scattered farms led to the introduction of FMD in previously uninfected areas, according to a 2002 report by the United Kingdom\u2019s National Audit Office.", "Some livestock owners have not implemented extensive biosecurity measures on their premises, in part because they have not experienced a recent animal disease outbreak and measures may be difficult or expensive to implement, according to an industry representative. In addition, it may be difficult to implement biosecurity measures for certain species. For example, cattle feedlots operate outdoors and may have unrestricted points of entry and exit, so it can be more difficult and costly to control access and implement other biosecurity measures.", "In addition, even if producers have biosecurity measures in place, these measures may not be sufficiently documented to facilitate continuity of commerce in uninfected animals. According to USDA guidance documents, during an FMD outbreak, premises in areas with movement restrictions will be required to obtain permits to move any animals or animal products. To obtain such a permit, producers must show that they are not contributing to the spread of disease or putting their animals at risk of exposure, and producers without documented biosecurity plans may face delays moving their animals. According to swine industry representatives, even swine farms with biosecurity procedures do not always document such procedures or the steps they have taken."], "subsections": []}, {"section_title": "Depopulation", "paragraphs": ["USDA would likely face depopulation challenges during an FMD outbreak, including limited capability for killing large numbers of animals in a timely manner and difficulties owing to the large size of some animals affected by FMD. A majority (22 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. For example, USDA officials said killing animals in large feedlots\u2014which can hold 50,000 or more animals\u2014would quickly overwhelm resources, such as the staff and equipment required to kill animals. USDA policy calls for depopulating infected premises within 24 hours, but this may not be feasible on large livestock operations because the animals have to be killed individually, which would be time-consuming according to an industry representative. If infected premises are not quickly depopulated, animals will continue producing the virus and increase the risk of infecting animals on additional premises, hampering USDA\u2019s ability to control and contain an outbreak. Rapid depopulation of infected swine is particularly critical to containing the spread of an outbreak because swine are known as amplifiers of FMD virus, producing and excreting 3,000 times more virus than cattle or sheep, according to USDA documents."], "subsections": []}, {"section_title": "Carcass Disposal", "paragraphs": ["USDA would likely face disposal challenges during an FMD outbreak, including the feasibility and logistics of disposing of a large number of animal carcasses, public concern about disposal options, and the environmental impacts of disposal. A majority (25 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area.", "In a large FMD outbreak, millions of cattle could be affected. It is possible that FMD can survive for several months on a frozen carcass, according to USDA documents, so if such carcasses are not disposed of properly, they could pose a risk for spreading FMD, hampering USDA\u2019s efforts to control and contain an outbreak. Disposing of the carcasses of a 50,000- head herd of cattle from a large feedlot would be a massive effort: the total weight for disposal could be as much as 30,000 tons, or about 1,500 dump truck loads to move all the animals to disposal sites, according to an industry representative. One state animal health official stated that disposal of one or two herds may be possible, but if an outbreak were more widespread, the state would quickly run out of options.", "In addition, certain disposal strategies, such as incinerating large piles of carcasses, may cause a negative public reaction, according to an industry representative, USDA\u2019s disposal SOP, and state animal health officials. Figure 5 illustrates carcass disposal during a 2001 FMD outbreak in the United Kingdom, where the government implemented a policy of stamping out all susceptible animals within 3 kilometers of known FMD cases. In reaction to the policy, the public staged protests, and businesses in rural areas lost customers who stayed away because of the striking images in the media, according to a 2002 report by the University of Newcastle.", "Finally, carcass disposal can create environmental impacts, such as when a burial site contaminates the groundwater or incineration contaminates the air. In general, states regulate disposal, including such things as the timing (e.g., within 24 hours of an animal\u2019s death) and the method of disposal (e.g., prohibiting outdoor incineration or specifying that up to 7 cattle may be buried per acre per year). In an FMD outbreak, large numbers of carcasses could make it difficult to comply with such regulations."], "subsections": []}, {"section_title": "Resources", "paragraphs": ["USDA would likely face resource challenges in pursuing its FMD response goals, including insufficient numbers of incident responders to effectively implement USDA strategies in a medium or large outbreak, as well as insufficient resources devoted to preparedness planning in some states. A majority (23 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area.", "During the 2014 avian influenza outbreak, there were difficulties quickly providing response resources, such as personnel and equipment, to rapidly stamp out affected flocks, according to a USDA after-action report. According to an academic researcher, an FMD outbreak would be significantly more difficult to handle than recent avian influenza outbreaks. One state official noted that in his state there is not enough of a workforce to adequately respond to an outbreak, and there is no assigned workforce at the local level. For example, this official noted that his state employed only two veterinarians and a few animal health technicians to collect samples for testing in the event of an FMD outbreak. Other state animal health officials expressed concern that states and counties will have difficulty fielding adequate workforces to inspect animal transport vehicles and implement stop-movement orders.", "Insufficient preparedness planning in some states could also hamper response efforts, according to a response to our questionnaire from an academic researcher with expertise in FMD preparedness. Some states have not allocated resources to develop FMD response plans, including, for example, the conditions that would trigger a stop-movement order. States typically control intrastate movement under the state\u2019s authority, and if states delay issuing stop-movement orders, it may be more difficult for USDA to control and contain an outbreak."], "subsections": []}, {"section_title": "Communication and Coordination", "paragraphs": ["Communication and coordination may be an area where USDA could face challenges during an FMD outbreak because of ineffective external or internal communications and unclear roles and responsibilities. Responses to our questionnaire in all categories (federal and state government officials, industry representatives, and academic researchers) were mixed about whether communication and coordination was an area with significant challenges. Specifically, 11 respondents said it was an area with significant challenges, 12 said it was not, and 6 were unsure. One industry respondent who said that the area was not a challenge cited a team of industry representatives that is working with USDA and states to prepare for an FMD outbreak. On the other hand, during a 2016 FMD preparedness exercise in Texas, coordination between USDA and other participants was at times inadequate. For example, during the exercise USDA and the Texas Animal Health Commission shared leadership of the response effort, and some respondents cited frustration with this top-down leadership structure because they were accustomed to emergency management practices and protocols designed for incidents such as natural disaster response efforts, which are generally initiated at the local level. Participants commented that they were confused about who did what and said that coordination needs to be improved between USDA and local governments, according to an after-action report. Also, communication across participating agencies broke down. For example, information from USDA on stop-movement orders, the size of the quarantine zone, and the number of sites quarantined did not reach all stakeholders in a timely manner, according to an after-action report."], "subsections": []}, {"section_title": "Appraisal and Compensation", "paragraphs": ["Compensating livestock owners for animals or equipment that the government determines must be destroyed to limit the spread of FMD would likely pose various challenges for the agency. USDA would provide the owners with up to 100 percent of the expenses of purchase, destruction, and disposition of animals or materials required to be destroyed, based on the agency\u2019s appraisal of the fair market value. Doing so would likely pose various challenges for the agency, according to USDA and state government officials. A majority (19 of 29) of respondents to our questionnaire indicated that USDA would face significant challenges in this area. Such challenges include uncertainties about fair appraisal methods (especially when an outbreak has caused livestock prices to decline), owners resisting killing their animals if compensation rates are too low, and the potentially massive scale of compensation payments. According to USDA economists, if trade restrictions were imposed during an FMD outbreak, the fair market value of animals and their products would likely drop as a result of oversupply. USDA\u2019s response to the outbreak could be slowed if producers brought legal challenges to stop the stamping out of their herds because they were not satisfied with compensation levels, a scenario that took place in a 2018 USDA-led exercise simulating the first few days of an FMD outbreak. Moreover, in a widespread FMD outbreak, the scale of federal compensation payments could be substantial. For example, in the 2001 United Kingdom FMD outbreak, compensation costs were estimated at over $1 billion for the killing of about 6 million animals. Given the larger size of the livestock industry in the United States, federal compensation costs could be much higher, depending on the number of animals killed as part of the response."], "subsections": []}, {"section_title": "Vaccination", "paragraphs": ["USDA would likely face challenges related to vaccination, an area of particular importance given vaccination\u2019s central role in USDA\u2019s strategies for pursuing its response goals. All 29 respondents to our questionnaire agreed that the challenges USDA faces related to vaccination are significant. In particular, USDA does not have access to sufficient vaccine to achieve its response goals under many potential outbreak scenarios, and there is not consensus about how to allocate the limited supply, according to USDA officials and documents. Other challenges in this area relate to the timing and logistics of obtaining, distributing, and administering vaccine and to scientific, procedural, and infrastructure issues in vaccine production."], "subsections": [{"section_title": "Limited Supplies of Vaccine", "paragraphs": ["Supplies of FMD vaccine concentrate in the vaccine bank may be sufficient to help control and eradicate a small, localized outbreak, but it is unlikely that they would be sufficient to stop a larger outbreak, according to USDA planning documents and officials. With a vaccine that is matched to the appropriate FMD subtype, a single dose can protect cattle for 6 months, and two doses are required to provide the same protection to swine. APHIS\u2019s 2016 FMD vaccination policy states that 25 million doses for each of 10 subtypes of the virus is an appropriate minimum target to have available. However, the United States currently has access to only 1.75 million doses of each subtype available in the vaccine bank, according to USDA documents. In the United States, there are 24 states in which the number of livestock exceeds the doses available in the vaccine bank, according to USDA documents. In a 2016 report to Congress, USDA stated that the cost to reach its target of 25 million doses would be about $125 million, which would be about 10 percent of APHIS\u2019s budgetary resources in fiscal year 2016. In addition, because the vaccine concentrate has a 5-year shelf life, USDA would incur costs to routinely replace the supply of concentrate, according to agency officials. The Agriculture Improvement Act of 2018 contains a provision that directs the Secretary of Agriculture to establish a national animal vaccine and veterinary countermeasures bank, and to prioritize the acquisition and maintenance of sufficient quantities of FMD vaccine and accompanying diagnostic products.", "The need for additional FMD vaccine was reinforced by a 2016 survey of states by USDA and Iowa State University. On the basis of responses from 32 state animal health officials, the authors estimated that in a widespread or national outbreak, states would plan to use on average 4.2 million doses during the first 14 weeks of the outbreak. Based on these estimates, a vaccine request from a single state could greatly exceed the 1.75 million doses available per subtype in the vaccine bank\u2019s supply.", "Moreover, if an FMD outbreak occurred in Texas or Iowa, the states with the largest cattle and swine populations, respectively, the available vaccine supply would provide a single dose for about 14 percent of Texas\u2019s 12.3 million cattle or the required two doses for about 4 percent of Iowa\u2019s 22.8 million swine. Texas\u2019s and Iowa\u2019s cattle and swine populations together make up about 24 percent of the combined population of cattle and swine nationwide. Figure 6 illustrates the vaccine doses needed to protect cattle and swine in Texas and Iowa compared with the currently available FMD vaccine bank supply of 1.75 million doses per subtype.", "In addition, because of the large number of FMD subtypes present around the world, and because the FMD virus is constantly mutating, it is possible that an FMD subtype could be introduced in the United States that is not covered by vaccines currently in the vaccine bank. According to a representative from an FMD vaccine manufacturer, producing a vaccine for a new subtype of FMD could take from 6 to 18 months, depending on whether the subtype was known and other factors."], "subsections": []}, {"section_title": "Lack of Consensus on Vaccine Allocation", "paragraphs": ["Because of the limited supply of vaccine and the potentially high demand for it, USDA would likely face the challenge of deciding how to allocate it in an FMD outbreak. In a 2016 survey of 13 industry veterinarians, there was no consensus within the beef, dairy, and swine industries about priorities for the vaccine. Specifically, USDA and Iowa State University asked the veterinarians to rank the importance of vaccinating various populations (e.g., bull studs, lactating cows, and boar studs) within the beef, dairy, and swine industries, assuming there was only enough vaccine to vaccinate 25 to 50 percent of animals in a specified area. The responses varied widely, with high and low rankings for nearly every population of animals."], "subsections": []}, {"section_title": "Timing and Logistics", "paragraphs": ["The timing and logistics of obtaining, distributing, and administering the FMD vaccine could also pose challenges. The timing to reformulate the banked vaccine would pose challenges for USDA in an outbreak, according to respondents to our questionnaire. In addition, in March 2005, we found that USDA would not be able to deploy vaccines rapidly enough to contain a widespread FMD outbreak. After USDA requests FMD vaccine from the vaccine bank, vaccine manufacturers could take from 4 to 13 days to finish and ship all of the requested vaccine to the United States, during which time the virus could spread within the livestock population, according to USDA documents. If the vaccine bank\u2019s supply of concentrate is exhausted during an outbreak and more is needed, manufacturers may take several months to produce it, according to a vaccine manufacturer.", "After obtaining the vaccine, USDA would distribute it to affected states, and the states would distribute it to veterinarians, producers, or others who would be responsible for administering vaccine, according to USDA and state FMD vaccination documents. Many states do not currently have vaccination plans in place and may not have identified the warehousing locations, staff needs, and tracking required to efficiently distribute FMD vaccine, according to agency and state government officials, which could slow USDA\u2019s efforts to contain and control an outbreak. States with vaccination plans may be able to more quickly and effectively distribute and administer FMD vaccine during an outbreak. For example, California has a vaccination plan that details how it would receive, distribute, and administer FMD vaccine while maintaining the appropriate temperatures and documentation. The plan includes details such as the supplies needed for administering FMD vaccine to cattle."], "subsections": []}, {"section_title": "Scientific, Procedural, and Infrastructure Issues", "paragraphs": ["USDA faces challenges in obtaining vaccine and using it in a response effort because of scientific, procedural, and infrastructure challenges related to the vaccine and its production. There are very few vaccine manufacturers in the world with the capacity to produce most of the FMD vaccine subtypes and meet the quality standards required by the United States, according to agency officials. Further, there is currently no production capacity for FMD vaccine in the United States because dedicated infrastructure is not in place to produce vaccines without live virus. There is a statutory prohibition against working with live FMD virus on the U.S. mainland, absent a permit granted by the Secretary of Agriculture, and live virus is needed to produce conventional vaccines. To work within this constraint, USDA\u2019s Agricultural Research Service (ARS) and DHS developed new technologies to produce vaccine using modified versions of the virus that are unable to cause or transmit disease. The agencies transferred these technologies to vaccine companies that are investing in their development, according to USDA officials.", "In 2018, the Secretary of Agriculture announced that vaccine companies could apply for permits to work with a specific modified, noninfectious version of the FMD virus on the mainland. One company has exclusive rights to use this modified version, which was developed and patented by ARS. The company plans to produce FMD vaccine in the United States, but it could take several years to license the initial product, complete the necessary permitting procedures, and build manufacturing infrastructure, according to USDA documents and a company official.", "Using FMD vaccine to respond to an outbreak presents additional challenges that are related to limitations of FMD vaccines. Specifically, animals may take up to 28 days after vaccination to develop protective immunity to FMD, depending on the species, potency of vaccine, and other factors. Even after 28 days, some vaccinated animals may not be fully immune to FMD and may continue spreading the virus despite having no visible signs of infection, according to USDA documents."], "subsections": []}]}]}, {"section_title": "USDA Has Identified Actions to Mitigate Challenges in Responding to FMD but Has Not Prioritized or Monitored Their Completion", "paragraphs": ["To mitigate challenges in responding to potential FMD outbreaks, USDA\u2019s APHIS has identified corrective actions through preparedness exercises, surveys, and lessons learned in other outbreaks, as called for in its SOPs. However, APHIS generally does not follow its SOPs for prioritizing or monitoring the completion of these actions."], "subsections": [{"section_title": "USDA Has Used Preparedness Exercises, Surveys, and Lessons Learned in Other Outbreaks to Identify Actions to Mitigate FMD Challenges", "paragraphs": ["A USDA SOP outlines a process for identifying corrective actions to improve the agency\u2019s preparedness for outbreaks of foreign animal diseases. According to the SOP, APHIS is to identify corrective actions after preparedness exercises and animal disease incidents. Consistent with this SOP, APHIS identifies corrective actions for FMD preparedness through exercises simulating FMD outbreaks, surveys of agency officials and others, and lessons learned from outbreaks of other diseases. More specifically, see the following:", "APHIS sponsors FMD preparedness exercises and participates in some such exercises that other federal or state agencies sponsor. After an exercise, the sponsoring agency generally prepares an after- action report that specifies corrective actions, and may include a responsible party for and a date for completing each action. APHIS has after-action reports for more than 40 FMD preparedness exercises that it sponsored or participated in from 2007 through 2018, which include corrective actions for USDA and APHIS.", "APHIS conducts annual surveys of its staff and others\u2014including state government officials, industry representatives, and academics\u2014 to identify corrective actions related to preparedness and response training needs.", "APHIS identifies corrective actions for FMD preparedness based on lessons learned after outbreaks of other diseases. For example, some of the actions that APHIS identified after outbreaks of avian influenza, such as improving a database used for emergency response, could also help the agency mitigate challenges it would face in an FMD outbreak, according to agency officials.", "APHIS has identified dozens of corrective actions in all 11 of the areas where we identified challenges for USDA in pursuing its FMD response goals. APHIS has taken corrective actions in each area. For example, to help mitigate the challenge of insufficient biosecurity on some premises, the agency partnered with Iowa State University to offer producers across the nation training on developing enhanced biosecurity plans for implementation during a foreign animal disease outbreak. However, APHIS has not yet taken some other corrective actions that it has identified.", "According to agency officials and experts we interviewed, these corrective actions can help mitigate, but may not completely resolve, the challenges identified. Some challenges may be outside USDA\u2019s control to fully resolve. For example, the logistical challenges of carcass disposal could be overwhelming in a large-scale outbreak, which could generate thousands of tons of carcasses. A corrective action calling for training on carcass management may help educate FMD responders about disposal methods or preventing environmental impacts; however, such training may not fully resolve the challenge.", "Table 1 shows examples of corrective actions identified by USDA in after- action reports, planning documents, other agency documents, or interviews, which the agency has taken or not yet taken for the 11 challenge areas we identified.", "Some of the corrective actions that USDA has identified and taken relate to the challenge area of vaccination. For example, to help speed access to vaccine, in 2018, the Secretary of Agriculture announced that vaccine companies could apply for permits to enable them to develop and produce certain types of FMD vaccine in the United States in the future, thereby avoiding delays from producing the vaccine overseas and shipping it here. Also, APHIS officials have used an FMD predictive model to evaluate the effectiveness of different vaccination schemes at the state level, and they told us that they plan to conduct a similar analysis at the national level. The results could help inform USDA\u2019s vaccine prioritization decisions in advance of an outbreak, according to the officials.", "USDA has also begun implementing other corrective actions that have been identified related to FMD vaccination, although more work remains. For example, in February 2009, we recommended\u2014and USDA agreed\u2014 that it should detail in a contingency response plan how a response using vaccines would be implemented. Similarly, after-action reports for 2013 and 2016 preparedness exercises highlighted the need for procedures to guide the implementation of FMD vaccination strategies. APHIS has taken or planned several steps to help address this need: In 2009, APHIS began drafting vaccine implementation procedures but realized that the national procedures needed to be developed in collaboration with states because of variation among states in their predominant industries, agriculture infrastructure, and government resources. When more states have developed vaccination implementation procedures, APHIS may revise and finalize the national procedures originally drafted in 2009, according to agency officials.", "APHIS\u2019s National Veterinary Stockpile developed plans in 2009 and 2011 outlining how some aspects of a vaccination strategy would be implemented. Specifically, in 2009 it developed a template that states and tribes can use to develop their own plans, and in 2011 it prepared a logistical plan for distributing FMD vaccine to the field. The National Veterinary Stockpile also held preparedness exercises from 2008 to 2018 for states and tribes to practice requesting, receiving, and delivering the vaccine and to obtain information that could help APHIS develop national vaccination procedures.", "From 2011 to 2018, APHIS and the California Department of Food and Agriculture worked together to draft detailed procedures for implementing an FMD vaccination strategy in California. The draft procedures and related planning documents are intended to serve as templates to help other states develop such procedures, according to agency officials. APHIS also piloted a workshop on FMD vaccination planning in October 2018 and plans to hold related preparedness exercises with states from 2019 to 2021."], "subsections": []}, {"section_title": "APHIS Does Not Consistently Follow Its Procedures for Prioritizing Corrective Actions and Monitoring Their Completion", "paragraphs": ["Although APHIS has identified dozens of corrective actions for FMD preparedness, it has not consistently followed its SOP for prioritizing all of the actions and monitoring progress in implementing them. Specifically, once corrective actions have been identified, APHIS\u2019s SOP calls for prioritizing the actions in an improvement plan, and monitoring the actions to track their completion. APHIS has sometimes designated actions related to FMD vaccination as high priority during annual management meetings, but not all corrective actions have been prioritized, according to agency officials. For example, a 2016 corrective action called for USDA to conduct an exercise to explore roles, responsibilities, and activities related to recovery from a large-scale animal disease outbreak. However, as of December 2018, this action has not been prioritized in an improvement plan, according to the after-action report and an agency official.", "In addition, corrective actions have sometimes been identified multiple times without being tracked to completion. For example, an after-action report for a 2007 exercise found that a process for making vaccine- allocation decisions was needed and suggested that a vaccine advisory group could assist with doing so. A 2014 after-action report stated that processes governing vaccine prioritization and allocation were not clear and identified a corrective action calling for USDA to develop a federal- level doctrine for vaccine prioritization and allocation. USDA\u2019s 2016 FMD vaccination policy states that APHIS, in coordination with state, local, and industry stakeholders, should consider developing processes, procedures, and strategies for prioritizing the use of currently available vaccine in an outbreak. However, APHIS has not developed processes, procedures, or strategies for prioritizing and allocating its supply of FMD vaccine, according to agency officials. The officials said they have not developed such a process because of limited resources and competing priorities. Also, it would require participation from state and industry stakeholders, and given the small quantity of FMD vaccine relative to the large number of susceptible animals in the country, the stakeholders have had little incentive to devote the necessary time to the issue, according to agency officials.", "More generally, agency officials told us that the agency has not prioritized or monitored completion of some corrective actions because they have been responding to actual outbreaks of animal and plant diseases. They also noted that they have limited resources for FMD preparedness, which may make it difficult for them to complete all of the corrective actions that have been identified. However, for avian influenza preparedness, APHIS compiled and prioritized more than 300 corrective actions in a database and tracked more than 200 of them to completion. Through this process, it completed nearly all of the 111 high-priority actions and over 100 moderate-priority actions, according to its database as of May 2018. For example after the 2014 avian influenza outbreak, APHIS completed corrective actions that improved its response to a subsequent outbreak in 2016, according to agency documents. The corrective actions addressed such issues as how to quickly depopulate and dispose of infected poultry and efficiently compensate affected producers. APHIS continues to monitor its progress in implementing the remaining corrective actions for that disease, according to agency officials.", "APHIS\u2019s SOP calls for prioritizing corrective actions to identify the most beneficial use of resources. The SOP also calls for monitoring corrective actions to track their completion so that APHIS can improve its response capabilities and correct problems or deficiencies identified in exercises or incidents. Without following its SOP to prioritize corrective actions for FMD preparedness, APHIS cannot ensure that it is allocating its limited resources toward implementing the most beneficial actions. And without following its SOP for monitoring the corrective actions, APHIS cannot ensure that the highest-priority actions are completed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["APHIS has taken important steps to prepare for an FMD outbreak and to mitigate challenges it may face in responding to one. For example, the agency has developed an extensive collection of strategy and guidance documents, held FMD preparedness exercises to practice response activities, and identified dozens of corrective actions and completed some of these actions. However, APHIS has not yet completed other corrective actions, including actions that have been identified multiple times, such as developing a process for prioritizing and allocating the limited supply of FMD vaccine.", "APHIS has an SOP for prioritizing and monitoring corrective actions. By following this SOP for avian influenza preparedness, the agency succeeded in prioritizing more than 300 corrective actions and tracking over 200 corrective actions to completion, including nearly all high-priority actions. In contrast, for FMD preparedness, APHIS has not consistently prioritized or monitored the corrective actions it has identified. Without following its SOP to prioritize and monitor corrective actions for FMD preparedness, APHIS cannot ensure that it is allocating its limited resources to the most beneficial actions to prepare for a possible FMD outbreak."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to USDA:", "The Administrator of the Animal and Plant Health Inspection Service should follow the agency\u2019s SOP to prioritize corrective actions for FMD preparedness. (Recommendation 1)", "The Administrator of the Animal and Plant Health Inspection Service should follow the agency\u2019s SOP to monitor progress and track completion of corrective actions for FMD preparedness. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USDA and DHS for review and comment. USDA provided comments, reproduced in appendix II, in which it agreed with our recommendations. In addition, USDA and DHS provided technical comments, which we incorporated as appropriate.", "In response to our recommendations, USDA said that, starting in the second quarter of fiscal year 2019, APHIS will implement the agency\u2019s SOP and prioritize corrective actions to be tracked in its corrective actions database, as we recommended. USDA also said that, starting in the third quarter of fiscal year 2019, APHIS will assess and update the items related to FMD in its corrective actions database, as we recommended. In addition, USDA said that APHIS will track accomplishments it makes under a related provision of the Agriculture Improvement Act of 2018.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Secretary of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If your or your staff have any questions about this report, please contact me at (202) 512-3841 or morriss@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes the U.S. Department of Agriculture\u2019s (USDA) planned approach for responding to a foot-and-mouth disease (FMD) outbreak; (2) identifies what challenges, if any, USDA would face in pursuing its FMD response goals; and (3) examines how USDA identifies, prioritizes, and monitors corrective actions to mitigate these challenges.", "To describe USDA\u2019s planned approach for responding to an FMD outbreak, we reviewed relevant legislation and USDA strategy and guidance documents. We also interviewed officials from USDA\u2019s Animal and Plant Health Inspection Service (APHIS) at the agency\u2019s headquarters in Riverdale, Maryland; laboratories on Plum Island, New York, and in Ames, Iowa; center for epidemiology and animal health in Fort Collins, Colorado; and center for veterinary biologics in Ames, Iowa; and officials from the Department of Homeland Security (DHS) and the Agricultural Research Service (ARS) at DHS\u2019s Plum Island Animal Disease Center on Plum Island, New York. We selected these officials to interview because of their knowledge about USDA\u2019s planned approach, their involvement in preparing for an FMD outbreak, and the roles they would play in responding to such an outbreak.", "To identify what challenges, if any, USDA would face in pursuing its FMD response goals, we first came up with a list of potential challenge areas. To develop the list of potential challenge areas, we reviewed USDA documents, reports about FMD outbreaks in other countries, and after- action reports from 41 preparedness exercises in the United States from 2007 to 2018 in which officials practiced responding to simulated FMD outbreaks and identified emerging challenges. The preparedness exercises included small-scale as well as large-scale ones with a variety of participants, durations, and response activities. We also interviewed APHIS headquarters staff and field staff in Iowa (the state with the most livestock); APHIS and ARS laboratory officials; state animal health officials in California, Colorado, Iowa, and North Carolina; representatives from the beef cattle, dairy cattle, swine, and sheep industries; and academic researchers with expertise in this area. We selected the individuals to interview based on their knowledge about challenges that USDA could face in pursuing its FMD response goals, their central role in preparing for an FMD outbreak, and recommendations from other interviewees, as well as diversity in geographic location. We also visited a swine farm and cattle feedlot in Iowa and interviewed the owners. We selected a swine farm and cattle feedlot to visit because swine and cattle were the livestock industries with the greatest populations of animals in the United States in 2016. We identified a list of 11 potential challenge areas.", "To confirm the significance of the challenge areas, we used a questionnaire with the list of potential challenge areas. To select the questionnaire recipients, we identified four categories of people who are knowledgeable about challenges that USDA could face in pursuing its FMD response goals, including those who could be involved in a response effort. The four categories are (1) federal government officials, (2) state government officials, (3) livestock industry representatives, and (4) academic researchers with expertise in FMD preparedness. For categories with multiple individuals, we selected individuals to represent relevant units within APHIS, ARS, and DHS (e.g. headquarters; field offices; laboratories; surveillance, preparedness and response services; and science, technology, and analysis services); different livestock industries (beef cattle, dairy cattle, swine, and sheep); and states with relatively high livestock populations. We asked the recipients whether USDA would face a significant challenge in each of the 11 areas and whether they knew of other challenge areas we had not listed. We defined significant to mean a challenge that is sufficiently great or important enough to be worthy of USDA action to address the challenge.", "We initially sent the questionnaire with potential challenges to 39 recipients. Two federal officials had retired from their positions, so we sent the list to their replacements. Of the 39 recipients, we received responses from 28. We also included an additional response that APHIS provided from an official who we had not initially contacted and who had relevant expertise, for a total of 29 responses. Despite two follow-up attempts, we did not receive responses from 11 recipients, including both recipients from ARS, 5 of the 18 from APHIS, 3 of the 10 state animal health officials, and 1 of the 2 national animal health laboratory network officials (these are affiliated with universities). Figure 7 shows the categories of respondents and their responses in each of the11 challenge areas.", "Since we used a nonprobability sample, the results are not generalizable to all government officials, livestock industry officials, or FMD experts, but the responses helped confirm the list of 11 challenge areas and provided illustrative information about each one.", "We reviewed challenges related to vaccination for FMD in greater depth than other challenges because of the significant role vaccination could play if reliance solely on stamping out is not feasible. Specifically, we visited DHS\u2019s Plum Island Animal Disease Center on Plum Island, New York, where we interviewed officials from USDA\u2019s Foreign Animal Disease Diagnostic Laboratory and the Agricultural Research Service, as well as DHS officials, about challenges related to FMD vaccination. We also reviewed agency documents on the topic and interviewed other officials from USDA, the North American Vaccine Bank, universities, states, and industry groups about issues related to FMD vaccination. Further, we interviewed officials from the vaccine company that currently produces the majority of FMD vaccine available for use in the United States and a company that has rights to use a modified version of the FMD virus to produce FMD vaccine in the future.", "To determine how USDA identifies, prioritizes, and monitors corrective actions to mitigate the challenges, we reviewed APHIS and DHS guidance on evaluation and improvement planning and other agency documents, observed an FMD preparedness exercise, reviewed after- action reports from 41 FMD preparedness exercises conducted from 2007 through 2018, and interviewed USDA officials. We reviewed APHIS\u2019s and DHS\u2019s procedures for evaluation and improvement planning to understand how APHIS is to identify, prioritize, and monitor corrective actions. To determine whether APHIS was consistently following these procedures, we observed the preparedness exercise at APHIS\u2019s Riverdale, Maryland, office; reviewed a preliminary after-action report for that exercise; and reviewed after-action reports for the 41 other preparedness exercises. We interviewed APHIS officials about corrective actions identified in the after-action reports and what steps the agency has taken to prioritize the actions and monitor their progress. We reviewed agency documents about these procedures and about actions USDA has taken and identified but not yet taken to mitigate challenges. To find examples of corrective actions that USDA has identified and taken or not yet taken, we reviewed after-action reports for the 41 preparedness exercises; APHIS\u2019s 2018-2020 training and exercise plan for its veterinary services emergency preparedness and response unit; and other agency documents, such as contracts and plans, and interviewed agency officials. The examples of corrective actions in table 1 are illustrative only and do not include or represent all of the actions that USDA has identified. We sent a draft table of examples to APHIS officials and incorporated their comments as appropriate.", "We also reviewed a GAO report on USDA\u2019s management of highly pathogenic avian influenza (avian influenza) outbreaks; interviewed agency officials; reviewed USDA after-action reports for avian influenza outbreaks; and reviewed USDA\u2019s database of related corrective actions to learn how the agency identifies, prioritizes, and monitors actions to mitigate challenges for that disease. To assess the overall reliability of that database to use information from the database in our report, we reviewed management controls over the information systems that maintain the data and interviewed USDA officials who manage the database. We determined that the database was sufficiently reliable to describe the contents of the database and general status of corrective actions.", "We conducted this performance audit from May 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from U. S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nico Sloss (Assistant Director), Kevin Bray, Emily Christoff, Mary Denigan-Macauley, Christine Feehan, Jesse Lamarre-Vincent, Cynthia Norris, Anne Rhodes-Kline, and Amber Sinclair made key contributions to this report. Ross Campbell, Barb El Osta, Kathryn Godfrey, Hayden Huang, and Dan Royer also made important contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Foot-and-Mouth Disease: USDA\u2019s Evaluations of Foreign Animal Health Systems Could Benefit from Better Guidance and Greater Transparency. GAO-17-373. Washington, D.C.: April 28, 2017.", "Avian Influenza: USDA Has Taken Actions to Reduce Risks but Needs a Plan to Evaluate Its Efforts. GAO-17-360. Washington, D.C.: April 13, 2017.", "Emerging Animal Diseases: Actions Needed to Better Position USDA to Address Future Risks. GAO-16-132. Washington, D.C.: December 15, 2015.", "Federal Veterinarians: Efforts Needed to Improve Workforce Planning. GAO-15-495. Washington, D.C.: May 26, 2015.", "Homeland Security: An Overall Strategy Is Needed to Strengthen Disease Surveillance in Livestock and Poultry. GAO-13-424. Washington, D.C.: May 21, 2013.", "Veterinarian Workforce: Actions Are Needed to Ensure Sufficient Capacity for Protecting Public and Animal Health. GAO-09-178. Washington, D.C.: February 4, 2009.", "High-Containment Biosafety Laboratories: DHS Lacks Evidence to Conclude That Foot-and-Mouth Disease Research Can Be Done Safely on the U.S. Mainland. GAO-08-821T. Washington, D.C.: May 22, 2008.", "National Animal Identification System: USDA Needs to Resolve Several Key Implementation Issues to Achieve Rapid and Effective Disease Traceback. GAO-07-592. Washington, D.C.: July 6, 2007.", "Avian Influenza: USDA Has Taken Important Steps to Prepare for Outbreaks, but Better Planning Could Improve Response. GAO-07-652. Washington, D.C.: June 11, 2007.", "Homeland Security: Much Is Being Done to Protect Agriculture from a Terrorist Attack, but Important Challenges Remain. GAO-05-214. Washington, D.C.: March 8, 2005."], "subsections": []}], "fastfact": ["Foot-and-mouth disease is a highly contagious livestock disease (which rarely infects humans). Since 2001, outbreaks abroad have cost billions of dollars. A U.S. outbreak would likely halt exports of all livestock products, and could have serious economic consequences.", "USDA has learned lessons from abroad, conducted outbreak exercises, and identified the need for additional preparedness improvements, such as a better process for allocating its limited vaccine supply. However, it has not followed its procedures for prioritizing improvements and many remain incomplete.", "We recommended that USDA prioritize and monitor these improvements."]} {"id": "GAO-19-148", "url": "https://www.gao.gov/products/GAO-19-148", "title": "VA Real Property: Clear Procedures and Improved Data Collection Could Facilitate Property Disposals", "published_date": "2019-01-09T00:00:00", "released_date": "2019-01-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA is one of the largest federal property-holding agencies, and its inventory of vacant buildings has generally increased over the last 6 years. Disposing of its excess properties has been a long-standing challenge.", "GAO was asked to review how VA manages its real property disposals. This report addresses: (1) the challenges VA faces in disposing of its vacant properties and how it is addressing those challenges and (2) the extent to which VA is tracking and monitoring the disposal of its vacant properties.", "GAO reviewed VA's policies and planning documents regarding property disposals. GAO also selected 31 properties that were either disposed of or planned for disposal in fiscal year 2017, among other selection criteria. GAO interviewed VA officials and stakeholders involved in the disposal of the 31 selected properties and familiar with VA's disposal process, including steps VA is taking to address challenges."]}, {"section_title": "What GAO Found", "paragraphs": ["Conducting required environmental and historic reviews in a timely manner is among the challenges the Department of Veterans Affairs (VA) faces in its real property disposal process. These reviews include assessing the potential effects of property disposals on the environment and historic preservation. VA is taking steps to address these ongoing challenges. For example, VA has established a working group consisting of experts in historic preservation, environmental reviews, and real property to assist facilities' managers in expediting disposals. However, other ongoing challenges remain, including the marketability of VA properties and VA's lack of clear procedures for property disposals. While VA has guidance on disposals at the broad portfolio level, GAO determined that this guidance does not contain step-by-step procedures at the project level to assist facilities' managers to plan, implement, and execute disposals for the different disposal options. (See figure.) For example, a number of managers told GAO that they were not familiar with actions to take when transferring properties to a third party or turning over excess property to the General Services Administration for disposal. VA officials commented that facilities' managers do not frequently dispose of properties, so a procedural document outlining the steps and who is responsible for taking those steps may help staff navigate more complex disposal processes and avoid missteps and delays.", "VA has enhanced its data collection on vacant properties, but the agency does not collect information needed to track and monitor disposal projects at the headquarters level. For example, VA requires facilities' managers to verify and certify the validity of vacant property data in the database used to manage real property\u2014the Capital Asset Inventory. On disposal projects, however, VA lacks certain information, such as the status of environmental or historical reviews, to monitor progress. According to VA, the Capital Asset Inventory currently does not have enough capacity to collect key information and supporting documentation. VA officials said they plan to increase the capacity, but VA has not yet included some key information in the Capital Asset Inventory that could enable VA to monitor the progress of disposals. Without information on the status of disposal projects, VA cannot readily track and monitor its progress and identify areas where facilities' managers may need additional assistance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations. These include developing disposal procedures for facilities' managers to help plan, implement, and execute disposal projects and collecting key information on the status of disposal projects, as VA implements its plans to increase the capacity of VA's Capital Asset Inventory. VA concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Department of Veterans Affairs (VA) is one of the largest federal real property-holding agencies, holding almost 6,300 buildings including medical centers, outpatient clinics, community living centers, and counseling centers. While most of these buildings are in use, VA has many buildings that are vacant. These vacant buildings are, on average, about 91 years old and can be costly to maintain. VA estimated spending about $4 million in fiscal year 2017 to maintain these vacant buildings. Further, the number of VA\u2019s vacant buildings has generally increased over the last 6 years (see fig. 1).", "Federal management of real property\u2014including VA real property\u2014has been on GAO\u2019s High Risk List since 2003 due to long-standing challenges, including difficulties in effectively disposing of excess and underutilized property. In June 2017, VA announced an initiative to begin the process of re-using or disposing of 430 vacant buildings within 2 years to reduce the large number of vacant buildings and the cost to maintain them. Additionally, the VA Asset and Infrastructure Review Act of 2018 requires VA, through recommendations of an independent commission, to realign its real property. As VA makes changes to realign its real property, these changes may lead to more unneeded buildings that VA may want to dispose of.", "You asked us to examine how VA manages its real property disposals. This report addresses: the challenges VA faces disposing of its vacant properties and how it is addressing those challenges, and the extent to which VA is tracking and monitoring the disposal of its properties.", "To identify challenges that VA faces when disposing of property and how VA is addressing them, we selected a non-generalizable sample of 31 properties and conducted semi-structured interviews with VA officials and external stakeholders who were involved in or knowledgeable about the disposal of those selected properties and are familiar with VA\u2019s disposal process. These external stakeholders included officials from the General Services Administration (GSA), veteran service organizations (e.g., Veterans of Foreign Wars and the American Legion), a local community that purchased VA properties, a major commercial real estate company, and historic preservation groups (e.g. Advisory Council on Historic Preservation and the National Conference of State Historic Preservation Officers). The 31 properties we selected were either disposed of in fiscal year 2017 or planning was underway for disposal, including disposals through GSA. Specifically, we selected properties that (1) captured a range of disposal methods available to VA either planned or completed and (2) represented a variety of property characteristics, including historical status, age, and size. To examine the characteristics of VA\u2019s vacant and disposed of properties and to select the 31 properties, we obtained and analyzed data from VA\u2019s Capital Asset Inventory (CAI) for fiscal years 2012 through 2017 and assessed the reliability of the data. To assess the reliability of VA\u2019s data we: looked for obvious data errors; reviewed existing documentation on the data and VA\u2019s processes for checking and validating the data; and interviewed knowledgeable officials about the data.", "We found the data were generally reliable for the purposes of our reporting objectives. To help identify disposal challenges VA faces, we obtained and reviewed documents related to the 31 selected properties and interviewed facilities\u2019 managers from VA\u2019s Veterans Integrated Service Networks (VISN) and local facilities who were knowledgeable about the disposal of these selected properties. The challenges faced by these selected properties cannot be used to make inferences about all VA properties. However, they illustrate the range of challenges that VA faces in disposing of properties. To identify steps VA has taken to address challenges, we reviewed documents and interviewed officials from VA\u2019s Office of Asset Enterprise Management and Office of Construction and Facilities Management, which have some responsibilities for demolishing or transferring VA properties. We then assessed VA\u2019s efforts to address these challenges against applicable federal internal-control standards.", "To determine the extent to which VA is tracking and monitoring the disposal of its vacant properties, we reviewed the current data fields in VA\u2019s CAI, as well as planning and guidance documents, including the Fiscal Year 2017 Capital Asset Inventory and Disposal Plans Update. We also interviewed VA officials in headquarters, including officials in VA\u2019s Office of Asset Enterprise Management and Office of Construction and Facilities Management, to determine the extent to which VA is tracking and monitoring the disposal of its vacant properties. We obtained and reviewed a copy of VA\u2019s data discrepancy report for fiscal year 2016 that it uses to verify data and track and monitor vacant properties and disposals. We also reviewed VA\u2019s documents, including a tracking spreadsheet that VA is using to monitor the disposal of vacant properties. In addition, we interviewed VA officials, including VISNs\u2019 and local facilities\u2019 managers, to obtain their perspectives on VA\u2019s efforts to track and monitor disposals, specifically. We then assessed VA\u2019s efforts to track and monitor these disposals against applicable federal internal control standards. Additional information on our scope and methodology can be found in appendix I.", "We conducted our work from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA administers its services and programs through three distinct administrations\u2014Veterans Health Administration (VHA), Veterans Benefits Administration, and the National Cemetery Administration. VHA is the largest property holder within VA and is responsible for overseeing health care delivery to enrolled veterans and managing all VA medical facilities. VHA\u2019s VISNs are responsible for overseeing medical facilities, and VA works with the VISNs and local medical facilities to manage its real property assets through VA\u2019s capital-planning process."], "subsections": [{"section_title": "Responsibilities for Disposing of Properties", "paragraphs": ["Various VA offices share responsibilities for managing and disposing of real properties. Specifically:", "VISNs and local facilities are responsible for identifying, planning, and managing underutilized and vacant properties, including executing demolitions of buildings.", "Office of Capital Asset Management, Engineering, and Support, within VHA, is responsible for supporting the property disposal efforts of VISNs and local facilities, including providing funding for demolitions (if properties are part of a minor construction project or non-recurring maintenance project).", "Office of Construction and Facilities Management, within VA\u2019s Office of Acquisition, Logistics and Construction, is responsible for: (1) developing and updating policies and procedures on disposal actions (except enhanced-use leases) and executing them; (2) coordinating the Steward B. McKinney Homeless Assistance Act\u2019s (McKinney- Vento Act) screening process for potential homeless use prior to disposal; (3) overseeing implementation of required federal environmental reviews for planning and construction of major projects and real property actions; and (4) promulgating policy related to historic preservation, among other things.", "Office of Asset Enterprise Management (Asset Enterprise Office), within the VA\u2019s Office of Management, is responsible for: (1) ensuring local facility disposal requests align with VA policy; (2) reviewing real- property inventory data, including annual disposal plans; (3) monitoring completion of disposal projects; (4) executing enhanced- use lease-related disposals; and (5) overseeing the Strategic Capital Investment Planning process, among other responsibilities."], "subsections": []}, {"section_title": "VA\u2019s Disposal Process", "paragraphs": ["According to VA\u2019s guidance on managing underutilized properties and disposals, the process for managing vacant properties usually begins with VISNs and local medical facilities. Together, they are responsible for identifying underutilized real properties and updating this information in the CAI database, which VA uses to manage its real property.", "VA has also identified and prioritized disposal options VISNs and local facilities have for determining what to do with vacant and underutilized properties they have identified. As shown in figure 2, VA\u2019s first priority is to re-use vacant and underutilized properties within the department. If properties cannot be re-used, then VA looks at disposal options that would remove them from its inventory. If no disposal options are feasible, then VA may choose to close or \u201cmothball\u201d properties.", "Properties in the CAI database with utilization rates that are less than 50 percent\u2014including vacant properties\u2014are candidates for disposal, and VISNs\u2019 and local facilities\u2019 managers are required to develop a disposal plan for all vacant buildings or update an existing plan for these facilities each year.", "VA may choose from several options to dispose of vacant and underutilized properties, including: entering into an enhanced-use lease, demolition, like-kind exchange, transfer of real properties to the state for nursing home use, declaring excess property for disposals through GSA, or mothball, among others. (See fig. 3.) The disposal process differs depending on the disposal method selected.", "As part of the disposal process, VA is required to take certain actions, including conducting environmental reviews and considering the effects of its actions on historic properties. Accordingly, VA conducts \u201cdue diligence\u201d reviews on vacant properties, and these reviews include complying with selected federal requirements described in table 1 below."], "subsections": []}, {"section_title": "Number and Characteristics of Disposals", "paragraphs": ["From fiscal years 2012 through 2017, VA disposed of 577 properties (including 471 buildings with about 5-million gross square feet), primarily through demolition of medical facilities and enhanced-use lease agreements (see fig. 4). These two methods accounted for the disposal of 3.6-million gross square feet of building space. VA used other disposal methods, such as transferring property to states for nursing home care or negotiating a sale, for the remaining 50 properties, as shown in figure 4 below. As of July 2018, VA reported initiating the disposal or re-use of 167 of the 430 vacant buildings the Secretary identified for disposal in June 2017.", "Of the 471 building disposals from fiscal years 2012 through 2017, VA disposed of 203 buildings in fiscal year 2012 alone in contrast to 61 building disposals in fiscal year 2017, as shown in figure 5. A VA official attributed the decline in disposals from fiscal year 2012 to fiscal year 2013 to limitations placed on VA\u2019s enhanced-use lease authority in 2012.", "The characteristics of the 471 buildings VA disposed of varied from fiscal years 2012 through 2017. The majority (331 out of 471) was offices, housing quarters, service buildings, and warehouses; other buildings included hospitals, laboratories, and outpatient healthcare facilities. VA reported many of these buildings as historic, as shown in figure 6. More than a third of the vacant buildings designated as non-historic were demolished. Almost a third of the buildings\u2014primarily housing quarters\u2014 were disposed of using enhanced-use leases."], "subsections": []}]}, {"section_title": "VA Is Addressing Some of Its Ongoing Disposal Challenges but Lacks Procedures to Manage Property Disposals", "paragraphs": ["VA officials and stakeholders we spoke with said that administering both environmental and historic reviews are key challenges for disposals. Two other ongoing challenges\u2014the marketability of VA properties and prioritizing funding for disposals\u2014were also mentioned as factors impeding VA\u2019s property disposal efforts. As part of VA\u2019s initiative to begin the re-use or disposal process for 430 vacant properties within 2 years, VA has begun addressing its environmental and historic review challenges. For example, VA established a working group to assist VISNs\u2019 and local facilities\u2019 managers in conducting these reviews. While VA is addressing challenges related to these reviews, limited interest in purchasing or leasing VA properties and competition for funding with other important VA projects directly related to veterans\u2019 care are ongoing challenges that continue to hinder disposal efforts."], "subsections": [{"section_title": "VA is Taking Steps to Facilitate Environmental and Historic Reviews, but Properties\u2019 Marketability and Competing Priorities Remain Challenging", "paragraphs": [], "subsections": [{"section_title": "Environmental and Historic Reviews", "paragraphs": ["VA officials and stakeholders we spoke with cited the time it takes to complete the required environmental and historic reviews as a challenge in managing the disposal process. Although VA does not maintain data on how long these reviews can take or how long it takes to dispose of its properties, in our review of 31 selected properties, we found variation in the timespan to conduct environmental and historic reviews. The environmental reviews of these properties took about 2 years on average to complete, depending on the condition of the property. For example, an environmental review of temporary storage facilities in Biloxi took about a year, as no environmental issues were identified. In another case, it took about 2 years to conduct an environmental review of VA\u2019s Cincinnati-Fort Thomas property, as asbestos and lead paint were identified during the course of the review. For those disposals requiring historic reviews, we found that it took about 5 years on average, depending on the complexity of the disposal. For example, it took 5 years to complete a historic review of the St. Louis, Jefferson Barracks property due to the need to collaborate with multiple stakeholders, including the neighboring Army National Guard base, the state\u2019s historic preservation office, local community council, community organizations, and many veteran service organizations; and addressing the adverse effects on historic properties, according to VA officials. VA officials and stakeholders we spoke with stated that due to lack of staff expertise and resources, VISNs\u2019 and local facilities\u2019 managers may choose to contract out these reviews, but procuring contractors may also add time to the disposal process, as facility managers need to define the terms of work and identify contractors.", "Further, environmental and historic reviews can affect VA\u2019s decision- making process with regard to choosing a disposal method, potentially lengthening the time it takes for disposal. For example, VA officials told us that they began a historic review on the Pittsburgh-Highland Drive property in 2012 but discontinued the review in 2013, partially due to disagreements with historic preservation stakeholders about the proposed demolition of some historic buildings. After 4 years, in 2017, VA decided to declare the property as excess and turn it over to GSA for disposal. According to VA officials, this required a different historic review, as it entailed a different disposal method. GSA is currently administering the additional historic review of this property.", "VA has begun taking actions to reduce the time it takes to conduct environmental and historic reviews as part of VA\u2019s initiative to begin the process of re-using or disposing of 430 vacant buildings within 2 years. For example, VA worked with the Advisory Council on Historic Preservation to obtain a program comment alternative to reduce time spent with historic preservation stakeholders when consulting on \u201cancillary utilitarian support buildings and structures,\u201d such as a boiler plant or a sewage plant. VA officials also told us that they established a headquarters-level working group consisting of experts in historic preservation and environmental reviews as well as real property transactions to assist VISNs\u2019 and local facilities\u2019 managers in administering disposals, including conducting these reviews, and in moving them forward. VA officials also told us that they awarded four regional contracts with contractors to complete the environmental and historic reviews and expedite the disposal process.", "VA officials and historic preservation stakeholders we spoke with also said they can have disagreements on how to meet the historic review requirements, and such disputes can add time to the review process. The historic preservation stakeholders commented that VA does not consult with them early in the disposal\u2019s decision-making process and does not provide adequate information on the adverse effects of demolishing a historic property as well as other potential methods through which VA could dispose of a property. VA officials we spoke with stated that they have been consulting with historic preservation stakeholders on all disposal projects as required.", "To improve collaboration and communication between VA and external stakeholders, VA developed a toolkit in June 2017 on how to effectively communicate with stakeholders. This communications toolkit responded to our recommendation for VA to develop and distribute guidance for VISNs\u2019 and local facilities\u2019 managers to use when communicating with stakeholders on facility alignment changes, and we subsequently closed this recommendation."], "subsections": []}, {"section_title": "Competing Priorities", "paragraphs": ["VA officials and stakeholders we spoke with also pointed out that competing priorities for VA funds is another remaining challenge. VA officials stated that projects to demolish buildings compete for funding with other capital projects, such as renovating inpatient units. Since VA\u2019s mission is to provide health care services, demolishing buildings is not as high a priority compared to other projects that may lead to providing better health care services.", "VA officials also told us that competing priorities can affect how long it takes to dispose of vacant properties. If a demolition project is part of a construction project, then VA may give it a relatively high priority for funding. For example, at VA\u2019s Dayton campus it took about a year from when VA requested funding in 2016 to demolish two historic buildings in 2017. A VA official said that due to a $1 million donation to build a Fisher House on VA\u2019s Dayton campus, funds were prioritized to demolish two national historic landmark buildings to make space available for construction of the Fisher House. However, according to other VA officials, demolition projects in and of themselves do not rank well for funding; such rankings can affect the time it takes for disposal.", "For example, a VA official said that VA had initially planned to demolish a temporary building on the Cleveland Wade Park campus sometime during the 2012-to-2013 time frame; however, VA did not demolish the temporary building until 2017, in part due to the longer than expected time it took for VA to allocate funds to this project. If funds are not available for demolition, a building can remain vacant for many years. For example, VA closed several properties on its Sepulveda Ambulatory Care Center campus in North Hills, CA, after they sustained major damage from the 1994 Northridge earthquake. According to VA officials, competing funding priorities, among other factors, contributed to the long wait to demolish these vacant properties, which had not been disposed of as of October 2018 (see fig. 7). VA officials also noted that waiting for VA to allocate funds to demolish properties can result in additional potential cost later on. For instance, VA officials mentioned that since buildings on the Sepulveda campus have been vacant for many years, they now qualified for historic status, requiring them to undergo a historic review\u2014a requirement that could have been avoided if VA had demolished them more than 20 years ago when they were originally identified for disposal.", "VA officials and stakeholders we spoke with identified property characteristics that affect the marketability of VA properties\u2014historic status, deficient physical conditions, location, unusable building configuration, and repair costs\u2014as barriers for disposal. This is a long- standing challenge that limits VA\u2019s ability to re-use or dispose of vacant and underutilized properties. In our recent analysis of VA\u2019s CAI data, we found that a majority of VA\u2019s vacant properties (about 78 percent) from fiscal years 2012 through 2017 have an historic status, and the average age of those vacant properties is about 91 years old. As discussed earlier, historic reviews can be lengthy and can make the disposal process challenging, according to VA officials. Also, older buildings are likely to have configurations that are difficult to use or are in need of significant repair.", "VA officials and stakeholders said that the location of VA properties limits disposal options. For example, a VA official told us that demolition is sometimes the only disposal option available when a deficient building is located on an existing VA campus and cannot be re-used or disposed of and removed from VA\u2019s inventory. VA officials also stated that historic buildings are frequently located in the middle of a campus and sometimes cannot be easily demolished due to the historic designation (see fig. 8). In these cases, VA will close and \u201cmothball\u201d the building to minimize maintenance and operations costs and let the buildings sit vacant as an interim measure. VA officials commented that there are also safety and security challenges associated with disposing of or re-using a building located in the middle of a VA campus. For example, a local facility manager told us that when two of its buildings on campus were leased out to an organization on a short-term lease for use as dormitories, young adults from the dormitories gained access to private inpatient areas, violating patients\u2019 privacy. This is consistent with our previous findings that many disposable VA properties located in the middle of medical campuses draw limited private sector interest making some disposal options challenging.", "VA officials and stakeholders we spoke with\u2014including commercial real estate experts\u2014also indicated that it can be difficult to attract developers for several reasons. In one instance, a VA official and a stakeholder we spoke with told us that it took multiple years to identify developers that would take on environmental mitigation efforts as part of the negotiated sale and transfer of VA\u2019s properties to the City of Fort Thomas, Kentucky. According to a stakeholder, developers were not willing to take on the cost and risk of environmental mitigation without a title to the property and no guaranteed income from the property. VA, however, could not transfer the property title to a third party without first meeting federal standards for cleaning up the environmental hazards on the properties. While the issue was ultimately addressed, it took several years to complete the deal."], "subsections": []}]}, {"section_title": "VA Lacks Clear Procedures to Manage Property Disposals", "paragraphs": ["Another challenge that VA officials and stakeholders raised was VA\u2019s lack of clear disposal procedures. Several VA officials and stakeholders we spoke with stated that it is unclear what specific steps need to be taken for disposals, what are the targeted time frames for completing those steps, and who is responsible for completing them.", "VA\u2019s guidance on managing underutilized properties and disposals provides policies and procedures on a portfolio level, such as VA\u2019s priorities for disposing of vacant properties and the different disposal options available. However, VA\u2019s guidance does not specify sequential steps and actions that need to be taken at the project level to plan, implement, and execute property disposals for VISNs\u2019 and local facilities\u2019 managers. Further, a VA official in headquarters told us that VA does not have formal guidance on selecting any particular disposal methods.", "While we found that documentation on policies and procedures exists for some specific disposal methods, such as enhanced-use lease projects, VA officials told us that policies and procedures for other disposal actions, such as transferring or declaring property as excess and disposing of it through GSA, are not documented. A VA official in headquarters told us that informal guidance may exist in some VISNs, but no standardized procedures on managing a disposal project is available. VA officials said there are no step-by-step procedures to refer to when using a disposal options more complex than demolishing a building. A VISN facilities\u2019 manager we spoke with further pointed out that a decision-tree to help plan, implement, and execute for the different disposal methods does not exists to help local facilities navigate through VA\u2019s decentralized and complex disposal process.", "VA officials told us that its disposal process is decentralized, an approach that can contribute to unclear procedures for disposal projects. According to VA officials, VISNs\u2019 and local facilities\u2019 managers are responsible for making disposal decisions, developing a disposal plan, and executing the disposal. As previously discussed, different VA program offices are responsible for different disposal actions, depending on the disposal method that VISNs\u2019 and local facilities\u2019 managers are considering. VA officials noted that this decentralized approach to managing disposals can make it difficult for VISNs\u2019 and local facilities\u2019 managers as well as local stakeholders to know when or how best to coordinate with the appropriate VA offices. A real property stakeholder we spoke with also noted that common uncertainties in working with VA, such as its lack of a clear and timely disposal process, can hinder developers\u2019 interests in VA properties. Specifically, the stakeholder stated that VA\u2019s decision-making process is divided among different entities within VA, a situation that may add time to the disposal process, and stated that having a clear and timely disposal process may provide a level of certainty for developers.", "VA officials and stakeholders also said that in some cases, VISNs\u2019 and local facilities\u2019 managers may lack the knowledge and experience to manage disposals. For example, VA officials told us that while facility managers generally know what actions are needed to demolish properties, they are not familiar with actions that need to be taken for transferring or selling properties to a third party or turning excess property over to GSA for disposal. VA officials also mentioned staff turnover and the infrequency of disposals as contributing factors to staff\u2019s lack of knowledge on procedures for disposing of properties. For example, two facilities\u2019 managers we spoke with said that in their many years of working for VA they have never reported a property as excess and disposed of it through GSA, until recently. VA officials and stakeholders further noted that VISNs\u2019 and local facilities\u2019 managers may lack expertise conducting historic and environmental reviews as they are usually engineers, who are not experts on environmental and historic issues. For example, a VISN facility manager informed us that a local facility manager was not familiar with administering an environmental review, a lack that led to a misstep in the review and duplication of work and added time to the disposal process.", "While VA has policies and guidance on historic and environmental reviews, our review of these documents showed that they do not provide guidance on how to make decisions, what actions to take, what are the targeted time frames for taking those actions, and who should be completing those actions.", "Further, while VA officials with experience in disposals may estimate how long these reviews can take, VA does not have documented guidance on estimated time frames (milestones) for taking those actions.", "Federal internal controls call for documentation to help management oversee execution of procedures by establishing and communicating the \u201cwho, what, when, where, and why\u201d to personnel. Documentation also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel and a means to communicate that knowledge as needed to external parties, such as external auditors or interested third parties. Federal internal controls also call for management to define objectives in specific terms\u2014in this case, disposal actions\u2014so they are understood at all levels of the entity. This understanding involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the estimated time frames for achievement. Without procedural documentation that describes the disposal options and the actions needed to carry out the disposal, including estimated time frames, it is difficult for VISNs\u2019 and local facilities\u2019 managers to plan, implement, and execute the different disposal options available and efficiently dispose of vacant properties.", "A procedural document at the project level may include information on who is authorized to make decisions and include estimated time frames around historic and environmental reviews to ensure timely and appropriate disposal of VA properties. For example, VA officials with experience in disposals estimated that it should take about 6-to-8 months for a property disposal, if there are no environmental and historic issues involved and funding is available. For disposals where environmental and historic reviews are needed, those officials told us it should take about 2- to-4 years from when VA decided to dispose of a property to complete the disposal. According to facilities managers we spoke to, additional procedural documentation at the project level could help VISNs\u2019 and local facilities\u2019 managers navigate through the complex disposal process and avoid missteps or delays in the disposal of vacant properties."], "subsections": []}]}, {"section_title": "VA Enhanced Its Collection of Data on Vacant Properties but Lacks Key Information to Track and Monitor Disposals VA Has Taken Steps to Enhance How It Collects Data on Vacant Properties", "paragraphs": ["To enhance the monitoring of its real property and to meet reporting requirements, VA officials told us VA has taken steps in the last 6 years to improve its real property inventory and the data it collects on its vacant properties, including properties VA has identified for disposal. These steps include:", "Requiring VISNs\u2019 and local facilities\u2019 managers to verify and certify the accuracy of the information in the CAI. VA\u2019s Asset Enterprise Office sends out an annual call for facility managers to verify and certify the validity of vacant property data for each of the facilities.", "Requiring VISNs\u2019 and local facilities\u2019 managers to make ongoing updates to the CAI database. VA\u2019s annual data-call memo requires these managers to continuously update the data as they take actions. Facility managers we spoke to stated they update this information regularly, including when actively planning disposal projects and individual projects are complete. One facility manager told us that VA\u2019s Asset Enterprise Office is \u201cactively pushing\u201d local managers to update this information, and the data in the CAI have improved as a result.", "Generating \u201cdiscrepancy reports\u201d to identify problems with inaccurate or outdated property data in the CAI. VA officials in headquarters told us that facility managers review these reports and explain any identified discrepancies regarding vacant properties, including those identified for disposal. VA officials told us they then correct any errors. Discrepancy reports include checks on whether facility managers have specified a disposal method for each disposal, estimated an associated disposal\u2019s cost, and entered a planned future year for the disposal.", "Refining the database by, for example, adding new \u201cbusiness rules\u201d to limit user errors. VA officials told us that since 2012 it has implemented program changes and new business rules to the CAI database to address inaccuracies in the data, including data that support disposal information. For example, a VA official in headquarters told us that to decrease the number of errors caused by users entering data more than once, the database now limits the number of times users may enter the same information. This prevents multiple data entries appearing for, for example, the year a building was built, according to VA officials. VA officials in headquarters also told us they developed similar business rules to identify \u201cclearly wrong\u201d data entries and duplicative data. For instance, users cannot enter letters in numeric fields which, they told us, has led to fewer errors."], "subsections": [{"section_title": "VA Does Not Collect Key Information to Track and Monitor Property Disposals", "paragraphs": ["Although VA has enhanced its data collection efforts for vacant properties, we found that VA does not collect all the information necessary for its headquarters officials to track and monitor the disposal of VA\u2019s vacant properties. As part of its annual call for validating data, VA requires facility managers to record certain information about disposals in the CAI, including: which buildings are identified for disposal, whether a disposal plan is in place, when the disposal is to occur, what type of disposal method is to be used, and what are the costs associated with the disposal.", "However, VA does not have the ability in its CAI to collect detailed data on the status of disposal projects\u2014specifically, data fields for facility managers to input detailed information on the status of: (1) disposal actions, (2) due diligence reviews, and (3) approvals, such as environmental permits that are necessary to complete the disposal. Since CAI does not have this information, VA\u2019s Asset Enterprise Office, as part of the Secretary\u2019s initiative to begin the re-use or disposal process of 430 buildings, developed a standalone spreadsheet to track and monitor the disposal status of these buildings. Then, according to officials in VA\u2019s Asset Enterprise Office, they had to ask local facility managers what was the status of each individual disposal.", "Federal internal-control standards state that management should use quality information to achieve an entity\u2019s objectives and establish and operate monitoring activities to monitor the internal control system and evaluate the results. This includes management obtaining data on a timely basis and using it for effective monitoring, which includes controls to achieve complete and accurate data. While the Secretary\u2019s initiative has raised the priority of tracking and monitoring VA\u2019s real property disposals, the CAI does not contain key information to improve VA\u2019s routine tracking as called for in internal controls. A key official in VA\u2019s Asset Enterprise Office told us that officials there usually leave it to local facilities to track key information and that the CAI currently does not collect this information. Without incorporating information needed to better track and monitor disposals through VA\u2019s primary real property tracking database\u2014CAI\u2014VA may not be able to efficiently track and monitor its real property disposals going forward after the Secretary\u2019s initiative is completed. VA officials in headquarters told us that without data on the actions and status of disposals, including steps taken to complete environmental and historic reviews, they are unable to track and monitor the progress of disposal projects\u2014including the length of time these reviews take\u2014and to identify any areas where management may assist local facilities in disposing of properties. For instance, as previously mentioned, VA officials in headquarters told us they used the information gathered as part of the 430 re-use or disposal initiative to identify and award contracts to perform environmental and historic reviews and, as a result, more quickly expedited the disposal process.", "In addition, VA officials in headquarters do not collect documentation, such as environmental and historical review documents, that could allow headquarters staff to verify the status of disposal projects. As mentioned, federal internal controls state that management should use quality information to achieve an entity\u2019s objective, including obtaining data on a timely basis and using these data for effective monitoring, which includes controls to achieve complete and accurate data. Further, VA requires VISNs\u2019 and local facilities\u2019 managers to record a planned or completed disposal in the CAI, including updating information as changes occur. However, a key official in VA\u2019s Asset Enterprise Office told us the CAI database does not currently have enough space for facility managers to upload supporting documentation, including environmental and historic review documents. As part of the Secretary\u2019s initiative to begin the re-use or disposal process for 430 buildings, VA\u2019s Asset Enterprise Office set up a website to collect and exchange documents, such as environmental and historic review documents from local facility managers. This process allowed VA\u2019s Asset Enterprise staff to verify the disposal information of the properties in the spreadsheet using this collected information. While VA created a website to exchange documentation as part of the 430 re- use or disposal initiative, this website is separate from CAI and was created because VA had not previously collected supporting documents in CAI. However, a VA official told us that when they compared information they collected from the website, they found the information in CAI is not always correct and appropriately updated.", "As we have previously found, documentation provides a means to retain organizational knowledge while mitigating the risk of having that knowledge limited to a few personnel. Documentation can also ensure that knowledge gets communicated to external parties, such as external auditors. As previously mentioned, some VA staff lack expertise and organizational knowledge to properly document a variety of disposal options. VA also experiences frequent staff turnover. These issues, together with the inability of facilities\u2019 managers to upload disposal-related documents directly into CAI, puts VA at risk of losing valuable information about the disposal process. For example, according to a stakeholder we spoke with, VA could not readily provide information about consulting stakeholders on historic properties, as required by historic review requirements. A VA official told us that after contacting facility managers for information about specific disposal projects as part of the 430 initiative, they found disposal procedures were not consistently documented and, in some cases, documents were missing.", "VA officials in headquarters provided us with a draft proposal to enhance the CAI in several ways, including: to add specific data fields for dates, including completion dates for reviews and to increase the capacity of the CAI to allow facility managers to upload disposal documentation, including environmental and historic review documentation.", "However, the proposed changes do not include some key information, such as the start dates for compliance reviews, so VA cannot monitor and track when the reviews began and how disposals are progressing. Additionally, a VA official we spoke with could not provide a specific time frame for increasing the capacity of CAI, as VA is currently working on developing space requirements that are needed to increase capacity and help estimate a time frame."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given that the number of VA\u2019s vacant buildings has been generally increasing in the last 6 years and the implementation of the VA Asset and Infrastructure Review Act of 2018 could lead to more unneeded buildings, effectively managing VA\u2019s real property disposal is crucial. Otherwise, VA may maintain a large inventory of vacant buildings that may be costly to secure and maintain. While effectively disposing of excess and underutilized property has been a long-standing challenge for VA, the agency has taken some positive actions, such as examining ways to streamline the historic review process, having some documented procedures, and improving data collection efforts on vacant properties. However, without documented procedures for all the disposal options to assist VISNs\u2019 and local facilities\u2019 managers in planning, implementing, and executing disposals and navigating the complex property-disposal process, VISNs and local facilities\u2014which are responsible for managing their real property\u2014may continue to struggle to facilitate property disposals efficiently. Also, without important information on the status of disposal projects and supporting documents, it is unclear how VA can monitor and track disposals, including identifying any areas where management can assist in the disposal of its vacant properties."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the VA: 1. The Secretary should develop clear procedures for each of VA\u2019s disposal options to help facilities\u2019 managers plan, implement, and execute projects to dispose of vacant and unneeded properties. (Recommendation 1) 2. As VA implements its plans to enhance the CAI to collect key data on disposal projects, the Secretary should collect data on disposal status information and time frames (e.g., environmental and historical reviews\u2019 starting dates) to ensure VA has the information it needs to track the length of the disposal process and identify any areas where management may assist local facilities in implementing property disposals. (Recommendation 2) 3. As VA pursues its plans to enhance the CAI, the Secretary should increase the capacity of the CAI to allow local facilities to upload disposal-specific documentation, such as environmental- and historical-review documents, to ensure all documentation related to a property\u2019s disposal is available to appropriate parties, including VA officials. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for review and comment. In written comments, reproduced in appendix II, VA concurred with our recommendations and stated that it has begun or is planning to take actions to address them. VA also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Veteran\u2019s Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact Andrew Von Ah at (202) 512-2834 or vonaha@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["This report examines the U.S. Department of Veterans Affairs\u2019 (VA) efforts to dispose of properties, including the management of its real property disposals. Specifically, we address: (1) the challenges VA faces disposing of its vacant property and how it is addressing those challenges and (2) the extent to which VA is tracking and monitoring the disposal of its properties.", "To address these objectives, we reviewed relevant laws, regulations, policies, handbooks, and other documents related to VA\u2019s real property management, including VA\u2019s Handbook and Directive on Managing Underutilized Real Property Assets, including Options for Reuse and Disposal and VA\u2019s Capital Asset Inventory User Guide as well as VA\u2019s annual budget submissions to Congress to fully understand VA\u2019s disposal process. To examine the full scope and extent of VA\u2019s vacant and disposed of properties, we obtained and analyzed data from VA\u2019s Capital Asset Inventory for fiscal years 2012 through 2017 and assessed their reliability. To assess the reliability of VA\u2019s data we: (1) looked for any missing data, outliers, or other obvious data errors; (2) reviewed existing documentation about the data and the system that produced them; (3) reviewed VA\u2019s processes for checking and validating the data; and (4) interviewed officials knowledgeable about the data. We found the data to be reliable for our purposes of identifying the number and type of vacant and disposed of buildings and the characteristics of those buildings.", "To identify challenges that VA faces when disposing of property and how VA is addressing them, we selected a non-generalizable sample of 31 properties using data from VA\u2019s Capital Asset Inventory as mentioned above. The 31 properties we selected were either completed in fiscal year 2017 or planning was under way for disposal, including through the General Services Administration (GSA). Specifically, we selected properties that: captured a range of disposal methods available to VA using VA\u2019s current process for disposal, included both recently planned and completed disposals to observe disposals in different phases of planning and were likely documented by current VA staff, and represented a variety of building and disposal characteristics, including associated disposal costs, historic status, age, and size.", "The challenges faced by these selected properties cannot be used to make inferences about all VA properties. However, they illustrate the range of challenges that VA faces in disposing of properties.", "In addition, to help identify disposal challenges VA faces, including those challenges that were identified as a lengthy time frame for disposal, we obtained and reviewed documents related to the 31 selected properties, including environmental review reports and historic review documents. We used environmental and historic review documents to help estimate the timespan for disposals, including time frames to conduct these reviews. We also conducted semi-structured interviews with VA officials and external stakeholders, who were involved or knowledgeable about the disposal of these selected properties and are familiar with VA\u2019s disposal process. These included interviews with facility managers from VA\u2019s Veterans Integrated Service Networks (VISN) and local facilities who were knowledgeable about the disposal of the 31 selected properties. This group represented 7 of VA\u2019s 18 VISNs and 10 local medical facilities, including two local medical facilities\u2014Perry Point (MD) and Sepulveda (CA)\u2014with planned disposal projects\u2014we visited. We also interviewed external stakeholders who included officials from the GSA; veterans service organizations (e.g., Veterans of Foreign Wars and the American Legion); a local community that purchased VA properties, a major commercial real estate company; and historic preservation groups (e.g. Advisory Council on Historic Preservation and the National Conference of State Historic Preservation Officers) as well as selected State Historic Preservation Officers to obtain their perspectives on VA\u2019s disposal challenges. To identify common challenges, along with illustrative examples and lengthy time frames, we reviewed and analyzed documents from the 31 properties we selected as well as interviews with VA officials and external stakeholders. This analysis included one analyst reading through all of the documents and interviews, creating a list of challenges mentioned, and then a subsequent analyst verifying this list. To identify steps VA has taken to address challenges, we reviewed documents and interviewed officials from VA\u2019s Office of Asset Enterprise Management and its Office of Construction & Facilities Management as well as Veterans Health Administration\u2019s Office of Capital Asset Management and Engineering Support. We then assessed VA\u2019s efforts to address these challenges against applicable federal internal control standards.", "To determine the extent to which VA is tracking and monitoring the disposal of its vacant properties, we reviewed the current data fields in VA\u2019s Capital Asset Inventory, as well as VA\u2019s planning and guidance documents, including the Fiscal Year 2017 Capital Asset Inventory and Disposal Plans Updates (Annual Call Memo). In addition, we interviewed VA officials in headquarters, including VA\u2019s Office of Asset Enterprise Management and the Office of Construction and Facilities Management to determine the extent to which VA is tracking and monitoring the disposal of its vacant properties. We obtained and reviewed a copy of VA\u2019s data discrepancy report for fiscal year 2016 that VA uses to verify data and track and monitor vacant properties and disposals. We also reviewed VA\u2019s planning documents, including a tracking spreadsheet that VA is using to monitor the disposal of vacant properties. In addition, we interviewed VA officials, including facility managers from VISNs and local facilities, to obtain their perspective on VA\u2019s efforts to track and monitor disposals, specifically. Subsequently, we assessed VA\u2019s plan to track and monitor these properties against applicable federal internal controls.", "We conducted our work from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Kyle Browning; Cathy Colwell (Assistant Director); Gina Hoover; Jennifer Kim (Analyst in Charge); Brian Lepore; Jeff Mayhew; Nitin Rao; Malika Rice; Minette Richardson; Todd Schartung; Michelle Weathers; and Crystal Wesco made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Veterans Affairs spent about $4 million last year to maintain hundreds of empty buildings. Federal management of real property (including VA's) has been on our High Risk List since 2003.", "We found VA has taken steps to improve how it gets rid of excess property. For example, it sought to streamline the process for reviewing historic buildings before demolishing, selling, or otherwise disposing of them.", "However, VA needs to better document its disposal procedures and track projects to help staff navigate complex federal and agency disposal rules. We made 3 recommendations to help address the issue."]} {"id": "GAO-18-339SP", "url": "https://www.gao.gov/products/GAO-18-339SP", "title": "Homeland Security Acquisitions: Leveraging Programs' Results Could Further DHS's Progress to Improve Portfolio Management", "published_date": "2018-05-17T00:00:00", "released_date": "2018-05-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, the DHS invests billions of dollars in a diverse portfolio of major acquisition programs to help execute its many critical missions. DHS's acquisition activities are on GAO's High Risk List, in part, because of management and funding issues.", "The Explanatory Statement accompanying the DHS Appropriations Act, 2015 included a provision for GAO to review DHS's major acquisitions. This report, GAO's fourth annual review, assesses the extent to which: (1) DHS's major acquisition programs are on track to meet their schedule and cost goals, and (2) DHS has taken actions to enhance its policies and processes to better reflect key practices for effectively managing a portfolio of investments.", "GAO reviewed 28 acquisition programs, including DHS's largest programs that were in the process of obtaining new capabilities as of April 2017, and programs GAO or DHS identified as at risk of poor outcomes. GAO assessed cost and schedule progress against baselines, assessed DHS's policies and processes against GAO's key portfolio management practices, and met with relevant DHS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["During 2017, 10 of the Department of Homeland Security (DHS) programs GAO assessed that had approved schedule and cost goals were on track to meet those goals. GAO reviewed 28 programs in total, 4 of which were new programs that GAO did not assess because they did not establish cost and schedule goals before the end of calendar year 2017 as planned. The table shows the status of the 24 programs GAO assessed. Reasons for schedule delays or cost increases included technical challenges, changes in requirements, and external factors.", "Recent enhancements to DHS's acquisition management, resource allocation, and requirements policies largely reflect key portfolio management practices (see table). However, DHS is in the early stages of implementing these policies.", "GAO identified two areas where DHS could strengthen its portfolio management policies and implementation efforts:", "DHS's policies do not reflect the key practice to reassess a program that breaches\u2014or exceeds\u2014its cost, schedule, or performance goals in the context of the portfolio to ensure it is still relevant or affordable. Acquisition management officials said that, in practice, they do so based on a certification of funds memorandum\u2014a tool GAO has found to be effective for DHS leadership to assess program affordability\u2014submitted by the component when one of its programs re-baselines in response to a breach. Documenting this practice in policy would help ensure DHS makes strategic investment decisions within its limited budget.", "DHS is not leveraging information gathered from reviews once programs complete implementation to manage its portfolio of active acquisition programs. DHS's acquisition policy requires programs to conduct post-implementation reviews after initial capabilities are deployed, which is in line with GAO's key practices. Acquisition management officials said they do not consider the results of these reviews in managing DHS's portfolio because the reviews are typically conducted after oversight for a program shifts to the components. Leveraging these results across DHS could enable DHS to address potential issues that may contribute to poor outcomes, such as schedule slips and cost growth, for other programs in its acquisition portfolio."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends DHS update its acquisition policy to require certification of fund memorandums when programs re-baseline as a result of a breach and assess programs' post-implementation reviews to improve performance across the acquisition portfolio. DHS concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, the Department of Homeland Security (DHS) invests billions of dollars in a diverse portfolio of major acquisition programs to help execute its many critical missions. In fiscal year 2017 alone, DHS planned to spend approximately $6.5 billion on these acquisition programs, and ultimately the department will likely invest more than $207.2 billion in them. DHS and its underlying components are acquiring systems to help secure the border, increase marine safety, screen travelers, enhance cybersecurity, improve disaster response, and execute a wide variety of other operations. Each of DHS\u2019s major acquisition programs generally costs $300 million or more and spans multiple years.", "To help manage these programs, DHS has established an acquisition management policy that we have found to be generally sound in that it reflects key program management practices we\u2019ve identified in prior work. However, we have found shortfalls in executing the policy and have highlighted DHS acquisition management issues in our high-risk updates since 2005. Over the past decade, we have found that department leadership has dedicated additional resources and implemented new policies designed to improve acquisition oversight. But our work has also identified shortcomings in the department\u2019s ability to manage its portfolio of major acquisitions. For example, in April 2017, we found that 14 of the 26 programs we reviewed deployed capabilities before meeting all key performance parameters\u2014the requirements a system must meet to fulfill its fundamental purpose\u2014which increases the risk that end users, such as border patrol agents or first responders in a disaster, received technologies that might not work as intended. We also found that DHS\u2019s acquisition management policy requires programs to establish cost, schedule, and performance baselines prior to gaining full knowledge about the program\u2019s technical requirements, which serve as the engineering basis for development. The order of these events is contrary to acquisition best practices and may lead to poor outcomes, such as schedule slips, cost increases, or inconsistent performance.", "We have made many recommendations over the past decade to help address these challenges. For example, we previously recommended that DHS leadership ensure all major programs fully comply with the acquisition management policy by obtaining department-level approval for acquisition documents before the programs are allowed to proceed and specifically assess whether adequate funding is available during all program reviews. In response, DHS has taken several steps to improve acquisition management, such as strengthening implementation of its acquisition management policy and requiring components to certify that programs are affordable before they are approved to move through the acquisition life cycle. Nonetheless, DHS has not fully addressed some of our other recommendations. For example, we previously recommended that DHS leadership prioritize major acquisition programs department- wide and ensure that the department\u2019s acquisition portfolio is consistent with DHS\u2019s anticipated resource constraints, as well as present any anticipated annual funding gaps for acquisition programs in the annual funding plan submitted to Congress. DHS concurred with these recommendations and has taken some steps to address them, such as updating its policies and revising the format of its funding plan submission to Congress to present anticipated acquisition funding gaps.", "The Explanatory Statement accompanying a bill to the DHS Appropriations Act, 2015 contained a provision for GAO to develop a plan for ongoing reviews of major DHS acquisition programs, as directed in the Senate report. This is our fourth annual review of major DHS acquisition programs. This report addresses the extent to which (1) DHS\u2019s major acquisition programs are on track to meet their schedule and cost goals and (2) DHS has taken actions to enhance its policies and processes to better reflect key portfolio management practices.", "To answer these questions, we reviewed 28 of DHS\u2019s 79 major acquisition programs. This included all 16 of DHS\u2019s Level 1 acquisition programs\u2014those with life-cycle cost estimates (LCCE) of $1 billion or more\u2014that were in the process of obtaining new capabilities at the initiation of our audit. We also included 12 other major acquisition programs that we or DHS management identified were at risk of not meeting their schedules, cost estimates, or capability requirements. Eight of these 12 programs were Level 1 acquisitions that either had not yet begun obtaining capabilities or had entered the deployment phase of the acquisition life cycle, while the other four programs were Level 2 acquisitions with LCCEs between $300 million and less than $1 billion. Appendix I presents individual assessments of each of the 28 programs we reviewed. These assessments include key information, such as the status of programs\u2019 schedules, costs, projected funding levels, testing, and staffing. Our objective for the 2-page assessments is to provide decision makers a means to quickly gauge the programs\u2019 progress and their potential cost, schedule, performance, or funding risks.", "To determine the extent to which the programs we reviewed are on track to meet their schedule and cost goals, we analyzed available acquisition documentation, such as acquisition program baselines (APB), which contain information on programs\u2019 schedules and cost estimates. Since the November 2008 update to DHS\u2019s overarching acquisition management directive, these documents have required DHS-level approval; therefore, we used November 2008 as the starting point for our analysis. We used these documents to construct a data collection instrument for each program, identifying any schedule slips and cost growth. We subsequently shared this information with each of the program offices and met with program officials to identify causes and effects associated with any schedule slips and cost growth since (1) their initial baselines and (2) January 2017\u2014the data cut-off date of the report we issued in April 2017. As of December 31, 2017\u2014the data cut-off date of this report\u201424 of the 28 programs we reviewed had one or more department-approved APBs; therefore, we excluded the remaining 4 programs from our assessment of whether programs are on track to meet their schedule and cost goals. We also reviewed the Future Years Homeland Security Program (FYHSP) report to Congress for fiscal years 2018\u20132022\u2014which presents 5-year funding plans for each of DHS\u2019s major acquisition programs\u2014to assess the affordability of DHS\u2019s acquisition portfolio.", "To determine the extent to which DHS has taken actions to enhance its policies and processes to better reflect key portfolio management practices, we compared the current policies for the department\u2019s requirements, acquisition management, and resource allocation processes that were issued in 2016 to key portfolio management practices we established in September 2012 and identified any significant gaps. We also reviewed documentation that resulted from these processes since January 2016 to get a sense of how the department has implemented its current policies. Lastly, we interviewed relevant headquarters officials responsible for implementing these policies and processes to obtain their perspectives on our analysis of DHS\u2019s current policies and processes and to identify any current and planned initiatives to improve management of the department\u2019s portfolio of major acquisition programs. Appendix III provides detailed information on our scope and methodology.", "We conducted this performance audit from March 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["To help manage its multi-billion dollar acquisition investments, DHS has established policies and processes for acquisition management, requirements development, test and evaluation, and resource allocation. The department uses these policies and processes to deliver systems that are intended to close critical capability gaps, helping enable DHS to execute its missions and achieve its goals."], "subsections": [{"section_title": "Acquisition Management Policy", "paragraphs": ["DHS policies and processes for managing its major acquisition programs are primarily set forth in its Acquisition Management Directive 102-01 and Acquisition Management Instruction 102-01-001. DHS issued the initial version of this directive in November 2008 in an effort to establish an acquisition management system that effectively provides required capability to operators in support of the department\u2019s missions. DHS\u2019s Under Secretary for Management is currently designated as the department\u2019s Chief Acquisition Officer and, as such, is responsible for managing the implementation of the department\u2019s acquisition policies.", "DHS\u2019s Under Secretary for Management serves as the acquisition decision authority for the department\u2019s largest acquisition programs, those with LCCEs of $1 billion or greater. Component Acquisition Executives\u2014the most senior acquisition management officials within each of DHS\u2019s components\u2014may be delegated acquisition decision authority for programs with cost estimates between $300 million and less than $1 billion. Table 1 identifies how DHS has categorized the 28 major acquisition programs we review in this report, and table 7 in appendix III specifically identifies the programs within each level.", "DHS acquisition management policy establishes that a major acquisition program\u2019s decision authority shall review the program at a series of predetermined acquisition decision events to assess whether the major program is ready to proceed through the acquisition life-cycle phases. Depending on the program, these events can occur within months of each other, or be spread over several years. Figure 1 depicts the acquisition life cycle established in DHS acquisition management policy.", "An important aspect of an acquisition decision event is the decision authority\u2019s review and approval of key acquisition documents. See table 2 for a description of the type of key acquisition documents requiring department-level approval before a program moves to the next acquisition phase.", "DHS acquisition management policy establishes that the APB is the agreement between program, component, and department-level officials establishing how systems will perform, when they will be delivered, and what they will cost. Specifically, the APB establishes a program\u2019s schedule, costs, and key performance parameters. DHS defines key performance parameters as a program\u2019s most important and non- negotiable requirements that a system must meet to fulfill its fundamental purpose. For example, a key performance parameter for an aircraft may be airspeed and a key performance parameter for a surveillance system may be detection range.", "The APB schedule, costs, and key performance parameters are defined in terms of an objective and minimum threshold value. According to DHS policy, if a program fails to meet any schedule, cost, or performance threshold approved in the APB, it is considered to be in breach. Programs in breach are required to notify their acquisition decision authority and develop a remediation plan that outlines a time frame for the program to return to its APB parameters, re-baseline\u2014that is, establish new schedule, cost, or performance goals\u2014or have a DHS-led program review that results in recommendations for a revised baseline.", "In addition to the acquisition decision authority, other bodies and senior officials support DHS\u2019s acquisition management function:", "The Acquisition Review Board reviews major acquisition programs for proper management, oversight, accountability, and alignment with the department\u2019s strategic functions at acquisition decision events and other meetings as needed. The board is chaired by the acquisition decision authority or a designee and consists of individuals who manage DHS\u2019s mission objectives, resources, and contracts.", "The Office of Program Accountability and Risk Management (PARM) is responsible for DHS\u2019s overall acquisition governance process, supports the Acquisition Review Board, and reports directly to the Under Secretary for Management. PARM develops and updates program management policies and practices, reviews major programs, provides guidance for workforce planning activities, provides support to program managers, and collects program performance data.", "Components, such as U.S. Customs and Border Protection, the Transportation Security Administration, and the U.S. Coast Guard sponsor specific acquisition programs. The head of each component is responsible for oversight of major acquisition programs once the programs complete delivery of all planned capabilities to end users.", "Component Acquisition Executives within the components are responsible for overseeing the execution of their respective portfolios.", "Program management offices, also within the components, are responsible for planning and executing DHS\u2019s individual programs. They are expected to do so within the cost, schedule, and performance parameters established in their APBs. If they cannot do so, programs are considered to be in breach and must take specific steps, as noted above.", "Figure 2 depicts the relationship between acquisition managers at the department, component, and program level."], "subsections": []}, {"section_title": "Requirements Development Process", "paragraphs": ["DHS established a Joint Requirements Council (JRC) to develop and lead a component-driven joint requirements process for the department. The JRC has issued policies outlining a process for analyzing and validating capability gaps, needs, and requirements.", "The JRC consists of a chair and 14 members who are senior executives or officers that represent key DHS headquarters offices and seven of the department\u2019s operational components. The JRC chair rotates annually among the seven operational components. JRC members represent the views of their components or office leadership, endorse and prioritize validated capability needs and operational requirements (user-defined performance parameters outlining what a system must do), and make recommendations that are supported by analytical rigor. Figure 3 depicts the current headquarters and component members of the JRC.", "The JRC provides input to two senior-level entities:", "The Acquisition Review Board\u2014as a member, the JRC chair advises the board on capability gaps, needs, and requirements at key milestones in the acquisition life cycle.", "The Deputy\u2019s Management Action Group, which the Secretary established in April 2014, is a decision-making body that is chaired by the Deputy Secretary. Its membership consists of the DHS Chief of Staff, DHS Under Secretaries, senior operational component deputies and select support component deputies, and the Chief Financial Officer. The group provides recommendations to the Deputy Secretary for consideration in the annual resource allocation process that reflects DHS\u2019s investment priorities. The group reviews JRC- validated capability needs and recommendations, provides direction and guidance to the JRC, and endorses or directs related follow-on JRC activities.", "The JRC is responsible for validating proposed capability needs and requirements for all major acquisitions, as well as for programs that are joint or of interest to the Deputy\u2019s Management Action Group, regardless of level. See table 3 for a description of the key requirements documents requiring JRC validation.", "In general, the DHS requirements development process moves from broad mission needs and capability gaps to operational requirements. See figure 4."], "subsections": []}, {"section_title": "Test and Evaluation Policy", "paragraphs": ["In May 2009, DHS established policies that describe processes for testing the capabilities delivered by the department\u2019s major acquisition programs. The primary purpose of test and evaluation is to provide timely, accurate information to managers, decision makers, and other stakeholders to reduce programmatic, financial, schedule, and performance risks. We provide an overview of each of the 28 programs\u2019 test activities in the individual program assessments presented in appendix I.", "DHS testing policy assigns specific responsibilities to particular individuals and entities throughout the department:", "Program managers have overall responsibility for planning and executing their programs\u2019 testing strategies, including scheduling and funding test activities and delivering systems for testing. They are also responsible for controlling developmental testing, which is used to assist in the development and maturation of products, manufacturing, or support processes. Developmental testing includes engineering- type tests used to verify that design risks are minimized, substantiate achievement of contract technical performance, and certify readiness for operational testing.", "Operational test agents are responsible for planning, conducting, and reporting on operational test and evaluation, which is intended to identify whether a system can meet its key performance parameters and provide an evaluation of the operational effectiveness, suitability, and cybersecurity of a system in a realistic environment. Operational effectiveness refers to the overall ability of a system to provide a desired capability when used by representative personnel. Operational suitability refers to the degree to which a system can be placed into field use and sustained satisfactorily. The operational test agents may be organic to the component, another government agency, or a contractor, but must be independent of the developer in order to present credible, objective, and unbiased conclusions.", "The Director, Office of Test and Evaluation is responsible for approving major acquisition programs\u2019 operational test agent and test and evaluation master plans, among other things. A program\u2019s test and evaluation master plan must describe the developmental and operational testing needed to determine technical performance and operational effectiveness, suitability, and cybersecurity. As appropriate, the Director is also responsible for observing operational tests, reviewing operational test agents\u2019 reports, and assessing the reports. Prior to a program\u2019s acquisition decision event 3, the Director provides the program\u2019s acquisition decision authority a letter of assessment that includes an appraisal of the program\u2019s operational test, a concurrence or non-concurrence with the operational test agent\u2019s evaluation, and any further independent analysis.", "As an acquisition program proceeds through its life cycle, the testing emphasis moves gradually from developmental testing to operational testing. See figure 5."], "subsections": []}, {"section_title": "Resource Allocation Process", "paragraphs": ["DHS has established a planning, programming, budgeting, and execution process to allocate resources to acquisition programs and other entities throughout the department. DHS uses this process to produce the department\u2019s annual budget request and multi-year funding plans presented in the FYHSP, a database that contains, among other things, 5-year funding plans for DHS\u2019s major acquisition programs. According to DHS guidance, the 5-year plans should allow the department to achieve its goals more efficiently than an incremental approach based on 1-year plans. DHS guidance also states that the FYHSP articulates how the department will achieve its strategic goals within fiscal constraints.", "At the outset of the annual resource allocation process, the department\u2019s Offices of Policy and Chief Financial Officer provide planning and fiscal guidance, respectively, to the department\u2019s components. In accordance with this guidance, the components should submit 5-year funding plans to the Chief Financial Officer. These plans are subsequently reviewed by DHS\u2019s senior leaders, including the DHS Secretary and Deputy Secretary. DHS\u2019s senior leaders are expected to modify the plans in accordance with their priorities and assessments, and they document their decisions in formal resource allocation decision memorandums. DHS submits the revised funding plans to the Office of Management and Budget, which uses them to inform the President\u2019s annual budget request\u2014a document sent to Congress requesting new budget authority for federal programs, among other things. In some cases, the funding appropriated to certain accounts in a given fiscal year can be carried over to subsequent fiscal years. Figure 6 depicts DHS\u2019s annual resource allocation process.", "Federal law requires DHS to submit an annual FYHSP report to Congress at or about the same time as the President\u2019s budget request. This report presents the 5-year funding plans in the FYHSP database at that time.", "Two offices within DHS\u2019s Office of the Chief Financial Officer support the annual resource allocation process:", "The Office of Program Analysis and Evaluation (PA&E) is responsible for establishing policies for the annual resource allocation process and overseeing the development of the FYHSP. In this role, PA&E develops the Chief Financial Officer\u2019s planning and fiscal guidance, reviews the components\u2019 5-year funding plans, advises DHS\u2019s senior leaders on resource allocation issues, maintains the FYHSP database, and submits the annual FYHSP report to Congress.", "The Cost Analysis Division is responsible for reviewing, analyzing, and evaluating acquisition programs\u2019 LCCEs to ensure the cost of DHS programs are presented accurately and completely, in support of resource requests. This division also supports affordability assessments of the department\u2019s budget, in coordination with PA&E, and develops independent cost estimates for major acquisition programs upon request by DHS\u2019s Under Secretary for Management or Chief Financial Officer."], "subsections": []}]}, {"section_title": "During 2017, 10 of the 24 Programs with Approved Schedule and Cost Goals Were on Track", "paragraphs": ["Of the 24 programs we assessed with approved schedule and cost goals, 10 were on track to meet those goals during 2017. The other 14 programs were not on track because they changed or breached their schedule goals, cost goals, or both. We found that most programs updated their cost estimates in response to requirements DHS established in January 2016 that are intended to provide decision makers with more timely information. These actions are in accordance with GAO\u2019s best practice to regularly update cost estimates and we plan to use these updated estimates to measure programs\u2019 cost changes going forward. Based on our April 2014 recommendation, DHS revised the format of its fiscal year 2018\u20132022 FYHSP report to Congress to include acquisition affordability tables for select major acquisition programs. However, the report shows\u2014and our analysis of programs\u2019 current cost estimates confirms\u2014 that some programs face acquisition funding gaps in fiscal year 2018.", "We also reviewed 4 programs that were early in the acquisition process and planned to establish department-approved schedule and cost goals in calendar year 2017. However, these programs were delayed in getting department approval for their initial APBs for various reasons and, therefore, we excluded them from our assessment of whether programs were on track to meet their schedule and cost goals during 2017. DHS leadership subsequently approved initial APBs for 2 particularly complex and costly programs\u2014a border wall system along the southwest U.S. border and the Coast Guard\u2019s Heavy Polar Icebreaker\u2014in January 2018. We plan to assess these programs in next year\u2019s review, but provide more details on all 4 additional programs we reviewed in the individual assessments in appendix I.", "Table 4 summarizes our findings and we present more detailed information after the table."], "subsections": [{"section_title": "Ten Programs Were on Track during 2017", "paragraphs": ["From January 2017 to January 2018, 10 of the 24 programs we assessed with department-approved APBs were on track to meet their schedule and cost goals. This is fewer than our last annual review in which we found that 17 of the 26 programs we assessed were on track during 2016.", "Three of the 10 programs on track during 2017 were on track against initial schedule and cost goals; that is, the schedule and cost estimates in the baseline DHS leadership initially approved after the department\u2019s acquisition management policy went into effect in November 2008. The other 7 programs had re-baselined prior to January 2017 and were on track against revised schedules and cost estimates that reflected past schedule slips, cost growth, or both.", "However, some of the programs on track in 2017 identified risks that may lead to schedule slips or cost growth in the future. For example, officials from the Technology Infrastructure Modernization program told us that staffing challenges may impede their ability to execute the program in accordance with its current APB. We also identified 2 programs that are in the process of re-baselining or plan to re-baseline in the near future to account for significant program changes or to add capabilities. For example, the Next Generation Networks Priority Services program plans to update its APB to establish schedule, cost, and performance goals for the next increment, which is intended to address landline capabilities for providing government officials emergency telecommunication services."], "subsections": []}, {"section_title": "Fourteen Programs Were Not on Track during 2017", "paragraphs": ["During 2017, 14 of the 24 programs we assessed with department- approved APBs were not on track. Twelve of these programs had at least one major acquisition milestone that slipped, including 6 of these programs that also changed or breached their cost goals. Two additional programs changed or breached only their cost goals."], "subsections": [{"section_title": "Programs with Schedule Slips during 2017", "paragraphs": ["As of January 2018, 6 of the 12 programs that experienced a schedule slip were in breach and had not yet revised their goals. Therefore, the magnitude of the schedule slips is unknown. For the remaining 6 programs, the change in schedule during 2017 ranged from a delay of 6 months to 66 months. Figure 7 identifies the programs that experienced schedule slips and the extent to which their major milestones slipped in 2017, as well as\u2014for additional context\u2014in prior years.", "While there are various reasons for schedule delays, the result is that end users may not get needed capabilities when they originally anticipated. Examples of the reasons why these key milestones slipped in 2017 include the following:", "New requirements: For example, the Passenger Screening Program re-baselined in May 2017 for the fifth time since its initial APB was approved in January 2012. This latest re-baseline was to remediate a 17-month breach caused by delays in incorporating new cybersecurity requirements in one of the program\u2019s transportation security equipment technologies, known as the Credential Authentication Technology. The program now plans to achieve full operational capability for this system by December 2023\u2014more than 9 years later than it initially planned. In another example, the Tactical Communications Modernization program re-baselined in November 2017\u20144 months after the program notified DHS leadership that it would not achieve full operational capability as planned. The reason for this re-baseline was to resolve issues related to federal information security requirements. The program now plans to achieve this milestone by March 2019, which is more than a year later than its initial APB threshold.", "Technical challenges: For example, the Continuous Diagnostics and Mitigation program re-baselined in June 2017 to account for significant coverage gaps identified during the deployment of phase 1 sensors and to establish cost, schedule, and performance goals for phase 3 tools. The program\u2019s full operational capability date slipped almost 4 years after this milestone was redefined as the point in time at which phase 1\u20133 tools are available to all participating civilian agencies. Additionally, the Automated Commercial Environment program declared a schedule breach in April 2017\u2014its second in less than a year\u2014after encountering difficulties developing its remaining functionality. These difficulties have caused further delays to the program\u2019s final acquisition milestone decision.", "External factors: Officials from the Logistics Supply Chain Management System program notified DHS leadership in September 2017 that the program would not complete all required activities to achieve acquisition decision event 3 and subsequent events, including full operational capability. The primary reason for the delay was because program staff were deployed to support response and recovery efforts during the 2017 hurricane season. Additionally, the Medium Lift Helicopter program experienced delays in getting key acquisition documents approved in time to achieve its acquisition decision event 3. These delays were attributed, in part, to DHS leadership directing Customs and Border Protection to develop a comprehensive border plan that included the helicopter\u2019s capabilities.", "We elaborate on the reasons for all 12 programs\u2019 schedule slips in the individual assessments in appendix I."], "subsections": []}, {"section_title": "Programs with Cost Goal Changes or Breaches during 2017", "paragraphs": ["Of the 14 programs not on track during 2017, 8 revised or breached their established cost goals. Four of these 8 programs revised their cost goals when they re-baselined to address new requirements and technical challenges, among other things.", "When the Passenger Screening Program re-baselined in May 2017, the program\u2019s APB threshold for its life-cycle costs increased $418 million (8 percent) over its previous APB. However, the revised threshold is $1 billion below the threshold established in the program\u2019s initial APB, which was approved in January 2012. From 2012 to 2015, the program\u2019s scope was reduced in response to funding constraints. However, emerging threats drove the program to increase capability requirements, which has subsequently increased costs.", "When the Continuous Diagnostics and Mitigation program re- baselined in June 2017, the APB threshold for life-cycle costs decreased by $15 million (1 percent). However, the program shifted some acquisition costs to operations and maintenance (O&M) to be consistent with DHS\u2019s new common appropriations structure. This, in addition to other changes, increased the APB threshold for O&M by $631 million (3,712 percent).", "When the National Security Cutter program re-baselined in November 2017 to account for a ninth ship\u2014as directed by Congress\u2014the APB cost thresholds for acquisition and O&M increased by $453 million (8 percent) and $123 million (1 percent), respectively.", "When the Immigration and Customs Enforcement\u2019s TECS Modernization program re-baselined in November 2017 in preparation for acquisition decision event 3, the APB cost thresholds increased overall. Specifically, the acquisition cost threshold decreased by $14 million (6 percent) when the program included actual costs through fiscal year 2016, among other things, and the O&M cost threshold increased by $147 million (92 percent) when the program extended the estimate by 4 years and included support costs for an additional 11 years.", "The other 4 programs breached their established cost goals during 2017.", "The Medium Lift Helicopter and Electronic Baggage Screening programs breached certain APB cost thresholds when they shifted costs between categories, such as O&M to acquisitions or vice versa, to be consistent with DHS\u2019s new common appropriations structure.", "The Tactical Communications Modernization program experienced a cost breach primarily because of increases in costs for contractor labor and support for facilities and infrastructure. The program\u2019s APB cost threshold for O&M increased by $110 million (23 percent) when it re-baselined in November 2017.", "The Automated Commercial Environment program experienced a cost breach because it had to extend its contracts to address the development difficulties discussed above. The magnitude of the program\u2019s cost goal changes is not yet known because the program does not plan to revise its APB until August 2018.", "We elaborate on the reasons for all 8 programs\u2019 cost goal changes or breaches in the individual program assessments in appendix I."], "subsections": []}]}, {"section_title": "DHS Has Taken Steps to Enhance Cost Reporting While Some Programs Still Face Funding Gaps", "paragraphs": ["In January 2016, based on several of our past recommendations, DHS required major acquisition programs to begin submitting to headquarters (1) detailed data on program affordability, such as updates to the program\u2019s LCCE and funding source information, to help inform the department\u2019s annual resource allocation process, and (2) an annual LCCE update. These requirements are intended to provide more timely information that may improve DHS\u2019s efforts to address acquisition program affordability issues, as well as internal and external oversight of programs\u2019 progress against its cost goals. These actions are in accordance with GAO\u2019s cost estimating best practices, which state that cost estimates should be updated with actual costs so that they are always relevant and current. As a result, we have used these sources to provide the programs\u2019 current estimate in the individual assessments in appendix I, as appropriate, and plan to use these data sources to measure programs\u2019 cost changes going forward.", "According to officials from the Cost Analysis Division, a program\u2019s annual LCCE update should inform the affordability submission to support the annual resource allocation process and can be completed at any point during the fiscal year leading up to this process. We examined documentation to ascertain whether the programs we reviewed complied with the two requirements. For the 24 programs we assessed with department-approved APBs, we found the following:", "All 24 programs submitted the detailed data on program affordability to headquarters by June 2017 to inform the fiscal year 2019 resource allocation cycle. Most programs\u2019 submissions accounted for changes since the program\u2019s last LCCE was approved by DHS\u2019s Chief Financial Officer, except three. For example, the Long Range Surveillance Aircraft program\u2019s submission reflected no updates from its November 2011 LCCE because the program was in the process of re-baselining to account for significant changes. The program began re-baselining nearly 3 years ago and has been delayed for various reasons, including challenges with the vendor hired to complete a revision of the program\u2019s LCCE.", "Eighteen of the 24 programs submitted annual LCCE updates. Three programs\u2014Automated Commercial Environment, H-65, and Transformation\u2014did not submit an annual LCCE update because they were in breach. The other 3 programs\u2014all within the Coast Guard\u2014did not submit an annual LCCE because, according to Coast Guard officials, they have limited internal cost estimating capability and rely on outside sources for this service, which led to delays in completing the annual LCCEs for these programs. Coast Guard officials said they are reviewing options to resolve these delays and improve the Coast Guard\u2019s cost estimating capability.", "Cost Analysis Division officials anticipate the Coast Guard will increase compliance with the annual LCCE requirement in fiscal year 2018. They also plan to update the annual LCCE template to include additional information, such as comparisons of the updated estimates to the program\u2019s APB cost goals and projected funding.", "In addition, DHS revised the format of its FYHSP report to Congress, improving insight into major programs\u2019 acquisition funding, but decreasing insight into O&M funding. In April 2014, we found that DHS could better communicate its funding needs for acquisition programs to Congress and recommended that DHS enhance the content for future FYHSP reports by presenting programs\u2019 annual cost estimates and any anticipated funding gaps, among other things. DHS concurred with the recommendation and, for the first time, included acquisition affordability tables that presented programs\u2019 annual acquisition cost estimates compared to projected acquisition funding for select major acquisition programs in its FYHSP report for fiscal years 2018\u20132022.", "However, DHS no longer reported O&M funding for individual programs. DHS reported in the FYHSP that it focused on acquisition information because O&M funding estimates are generally stable year-to-year and components manage O&M in various ways, such as by individual program or across a portfolio of programs. By removing O&M funding information in the FYHSP for all programs, DHS presents an incomplete picture of programs\u2019 full funding needs and affordability. In April 2018, we assessed the extent to which DHS had accounted for O&M costs and funding in greater detail and recommended that DHS reverse the exclusion of O&M funding at the acquisition program level in its FYHSP report to Congress for all components. DHS officials stated that they plan to re-introduce O&M funding for major acquisition programs in the FYHSP report for fiscal years 2019\u20132023 based on multiple internal discussions about the best way to present a more comprehensive view of programs\u2019 total costs and feedback from key stakeholders, such as the Office of Management and Budget.", "Based on the information presented in the FYHSP report for fiscal years 2018\u20132022, DHS\u2019s acquisition portfolio is not affordable over the next 5 years. For example, the report contained acquisition affordability tables for 18 of the 24 programs we assessed that have approved APBs. Of these 18 programs, 9 were projected to have an acquisition affordability gap in fiscal year 2018. However, some of these projections are outdated since the FYHSP report\u2014which was issued in September 2017\u2014relied on cost information as of April 2016. Therefore, we updated these tables using the programs\u2019 current acquisition cost estimate presented in the individual assessments in appendix I.", "Based on our assessment of programs\u2019 current cost estimates, we also found that a total of 9 programs are projected to have an acquisition affordability gap in fiscal year 2018. However, 3 of these 9 programs were different programs than those identified based on the FYHSP report. Of the 9 programs we identified with a projected acquisition affordability gap in fiscal year 2018, we found the following:", "Five programs identified other funding, such as funding from previous fiscal years that remained available for obligation\u2014known as carryover funding\u2014which would address their projected acquisition funding gap. For example, in the FYHSP report, DHS projected allocating approximately $16 million in funding for the Technology Infrastructure Modernization program in fiscal year 2018 to cover an estimated $16 million in acquisition costs. However, in its November 2017 annual LCCE update, this program\u2019s acquisition cost increased to almost $30 million, resulting in a projected acquisition affordability gap of almost 45 percent. The program plans to realign $57 million in O&M carryover funding to cover this and any future acquisition shortfalls.", "Four programs did not identify other funding that would address their projected acquisition funding gap, which increases the likelihood that they will cost more and take longer to deliver capabilities to end users than expected. For example, in the FYHSP report, DHS projected allocating $109 million in funding for the Non-Intrusive Inspection Systems program in fiscal year 2018 to cover an estimated $103 million in acquisition costs. However, in its April 2017 annual LCCE update, this program\u2019s acquisition costs increased to nearly $186 million, resulting in a projected acquisition affordability gap of 41 percent. The program identified only $2.5 million in fiscal year 2017 acquisition carryover funding.", "Further, 5 of the 24 programs we assessed were not included in the fiscal years 2018\u20132022 FYHSP report because they were no longer expected to receive acquisition funding. Officials from 3 of these 5 programs projected funding gaps that could cause future program execution challenges, such as schedule slips or cost growth. For example, the National Bio and Agro-Defense Facility anticipates a projected funding shortfall of approximately $90 million over the next 5 years, which officials said could delay a number of activities to make the facility operational. We elaborate on programs\u2019 affordability over the next 5 years in the individual program assessments in appendix I."], "subsections": []}]}, {"section_title": "DHS\u2019s Policies Generally Reflect Key Portfolio Management Practices, but Opportunities Exist to Leverage Programs\u2019 Post-Implementation Results", "paragraphs": ["We assessed DHS\u2019s policies outlining the department\u2019s processes for acquisition management, resource allocation, and requirements and found that, when considered collectively, they generally reflect key portfolio management practices. In March 2007, we examined the practices that private sector entities use to achieve a balanced mix of new projects and found that successful commercial companies use a disciplined and integrated approach to prioritize needs and allocate resources when making investments. This approach, known as portfolio management, requires companies to view each of their investments as contributing to a collective whole, rather than as independent and unrelated. With this perspective, companies can effectively (1) identify and prioritize opportunities, and (2) allocate available resources to support the highest priority\u2014or most promising\u2014opportunities. Based on this and other work, we identified four key practice areas for portfolio management in September 2012.", "We previously assessed DHS\u2019s acquisition management and resource allocation policies against our key portfolio management practices in September 2012 and April 2014, respectively. We found that the policies in place at the time of our reviews did not fully reflect all of the key portfolio management practices and recommended that DHS revise its policies to do so. DHS concurred with our recommendations and subsequently took actions to mature and solidify the department\u2019s portfolio management processes and policies.", "In April 2014, the Secretary of Homeland Security issued a memorandum titled Strengthening Departmental Unity of Effort, which aimed to strengthen DHS\u2019s structures and processes to improve departmental cohesiveness and operational effectiveness, among other things. The memorandum identified several initial focus areas intended to build organizational capacity, one of which centered on improving and integrating the department\u2019s processes for acquisition oversight, resource allocation, and joint requirements analysis. To improve these processes, the memorandum directed senior DHS leaders to update the existing acquisition management and resource allocation processes, as well as lead an expedited review to provide alternatives for developing and facilitating a component-driven joint requirements process, which ultimately led to the re-establishment of the JRC.", "In response to our recommendations and the Unity of Effort memorandum, DHS issued new policies outlining the acquisition management, resource allocation, and requirements processes in 2016. We assessed these policies and found that, when considered collectively, they generally reflect the key portfolio management practices, as shown in table 5.", "Because DHS\u2019s new policies were issued in 2016, we did not specifically assess DHS\u2019s implementation of them. However, we did review documentation resulting from the acquisition management, resource allocation, and requirements processes since January 2016 to get a sense of how the department began implementation. Examples of how DHS\u2019s policies reflect the key portfolio management practices and their implementation status are outlined below.", "Clearly define and empower leadership: the policies identify the roles and responsibilities for decision makers in the acquisition management, resource allocation, and requirements processes, as well as establish cross-functional teams to support those decision makers. For example, to fulfill the role of acquisition decision authority, the Under Secretary for Management is supported by the Acquisition Review Board, which consists of key DHS senior leaders responsible for managing the department\u2019s finances, contracts, and testing, among other things.", "We reviewed the memorandums issued since January 2016 that document Acquisition Review Board decisions and found that, through this group, DHS has taken steps to manage across programs through its acquisition management process. For example, after reviewing the status of several individual Customs and Border Protection programs in 2016, the Acquisition Review Board identified the need for a comprehensive border plan that depicts the component\u2019s current land, maritime, and air domain awareness capabilities. In October 2016, the Deputy Under Secretary for Management\u2014who was serving as acquisition decision authority at the time\u2014directed Customs and Border Protection to develop such a plan. The plan is to consist of separate analyses for each of the three domains\u2014starting with land\u2014 that reflect end users\u2019 capability requirements for systems, such as Integrated Fixed Towers, Multi-Role Enforcement Aircraft, and Medium Lift Helicopter, that address relevant domain threats. As of February 2018, Customs and Border Protection had not yet completed the analysis for land domain awareness capabilities.", "Establish standard assessment criteria and demonstrate comprehensive knowledge of the portfolio: the policies establish standard criteria for assessing major acquisition programs through the acquisition management, resource allocation, and requirements processes. For example, the updated resource allocation handbook established that PA&E conduct annual assessments of all major investments using standard criteria in five main categories\u2014 contribution to DHS\u2019s mission, program health, risk, resources, and governance\u2014to assess the portfolio of investments and present alternatives for leadership decision. PA&E officials told us they used these criteria when assessing components\u2019 resource allocation requests during development of the President\u2019s fiscal year 2018 budget to develop funding options for the Deputy\u2019s Management Action Group, which is responsible for making resource allocation recommendations for the Secretary\u2019s approval. PA&E presented its funding options by DHS mission, which, according to officials associated with the Deputy\u2019s Management Action Group, allowed the group to make cross-component allocation decisions that directly aligned with the department\u2019s strategic goals. We could not verify these officials\u2019 assertions based on the documentation we were provided, but will continue to monitor PA&E\u2019s assessment of major acquisition programs against the standard criteria as the department\u2019s implementation of its resource allocation policies matures.", "In addition, PARM formally established its Acquisition Program Health Assessments in October 2016 after more than a year of development and pilot efforts. These assessments are intended to monitor major acquisition programs quarterly (both on an individual program level and in aggregate) by rating programs against standard criteria in several categories\u2014such as program management, financial management, and human capital\u2014that DHS deemed important for successful program execution. We reviewed the quarterly reports issued from January 2016 to April 2017 and found that they primarily focused on individual programs. The portfolio-level information contained in these reports was limited to program results grouped in various categories, such as by component, by acquisition life-cycle phase, and by investment type (e.g., information technology). PARM officials said they plan to use the health assessments as a portfolio management tool in the future and are working to determine how to best to analyze and present portfolio-level data. We will continue to track PARM\u2019s implementation of the health assessment process moving forward through GAO\u2019s High Risk work to determine DHS\u2019s progress in demonstrating that major acquisition programs are on track to achieve their established goals.", "Prioritize investments by integrating the requirements, acquisition, and budget processes: the policies identify areas where DHS\u2019s requirements, acquisition management, and resource allocation processes are integrated and establish processes for prioritizing investments. For example, the updated resource allocation policies require reviews of DHS\u2019s major acquisition portfolio during this annual process. When the portfolio faces a funding gap, programs are to be returned to their respective components for scope or funding adjustments, or prioritized by department leadership to identify an affordable set of programs. For the fiscal year 2018 resource allocation cycle, PA&E officials provided an example where DHS leadership directed components to identify funding from alternative sources to fund specific purposes related to DHS\u2019s mission to prevent terrorism and enhance security. However, as previously discussed, the resulting FYHSP report for fiscal years 2018\u20132022 showed that DHS\u2019s portfolio of major acquisition programs is not affordable over the next 5 years.", "In addition, the requirements policies established the Joint Assessment of Requirements, an annual process to prioritize emerging and existing requirements to inform the department\u2019s resource allocation decisions. As we found in October 2016, the JRC plans to implement the Joint Assessment of Requirements through a 3-year phased approach that is expected to be fully implemented in time to inform DHS\u2019s fiscal year 2021 budget request. In fiscal year 2016, the JRC completed the first phase, which included (1) developing initial criteria to evaluate emerging requirements, and (2) evaluating and prioritizing a sample of those requirements against the initial criteria. Based on these results, JRC officials told us in September 2017 that they are working to develop assessment metrics for the criteria as part of the next phase. We will continue to track the JRC\u2019s progress through GAO\u2019s High Risk work to determine DHS\u2019s progress to effectively operate the JRC.", "Continually make go/no go decisions to rebalance the portfolio: the requirements policies outlining the Joint Assessment of Requirements process also reflected the key practices to conduct reviews (1) annually to make requirement scoping adjustments as priorities change and (2) when new investments are identified. However, as previously discussed, the JRC is still in the process of implementing this process.", "We consider this overall key practice area to be partially met because DHS\u2019s policies do not reflect the key practice (3) to reassess programs that breach established thresholds within the context of the portfolio to determine if the program remains relevant and affordable. PARM officials told us that\u2014in practice\u2014DHS reassesses programs in the context of their component\u2019s overall acquisition portfolio based on a certification of funds memorandum submitted to DHS\u2019s Chief Financial Officer when programs re-baseline as a result of a cost, schedule, or performance breach. The memorandum is intended to enable the Acquisition Review Board to discuss affordability by certifying a program\u2019s funding levels and identifying trade-offs necessary to address any projected funding gaps. We previously found that the certification of funds memorandum was an effective tool for DHS leadership to assess program affordability. However, DHS\u2019s acquisition management policy requires components to submit this memorandum prior to most acquisition decision events, but not when a program re-baselines as a result of a cost, schedule, or performance breach.", "During our review of programs\u2019 progress against schedule and cost goals in 2017, we found one instance where a component did not follow the practice to submit this memorandum when one of its programs re-baselined as a result of a breach. Specifically, Customs and Border Protection did not submit a certification of funds memorandum when the Tactical Communications Modernization program re-baselined in November 2017 as a result of a schedule and cost breach. Nevertheless, DHS leadership approved the program\u2019s revised APB and removed it from breach status, even though DHS\u2019s Chief Financial Officer identified that the program\u2019s revised LCCE was not affordable. PARM officials stated that this instance was an oversight because, at the time, the department was still determining when certification of funds memorandums should be submitted.", "According to the federal standards for internal control, documentation of internal control practices is necessary so that they can be implemented effectively. By amending its acquisition management policy to require a certification when a program re-baselines as a result of a cost, schedule, or performance breach, DHS can ensure that leadership receives the necessary information to reassess that program\u2019s affordability in the context of a larger portfolio. PARM officials stated that, moving forward, components will be required to submit a certification of funds memorandum for each program when a new APB is submitted for DHS leadership approval.", "In contrast, the acquisition management policy does reflect the key practice (4) to use information gathered from post-implementation reviews to fine tune investment processes and the portfolio to achieve strategic outcomes. For example, DHS\u2019s acquisition management policy requires programs to conduct post-implementation reviews 6 to 18 months after initial operational capability to identify and document any deployment or implementation and coordination issues, how they were resolved, and how they could be prevented in the future. These reviews are intended to help identify capability gaps that may inform future acquisitions, among other things.", "However, PARM officials said that they do not consider the results of the post-implementation reviews when managing the department\u2019s current acquisition portfolio because these reviews are typically conducted after program oversight shifts from PARM to the component. While post-implementation reviews are conducted later in the acquisition life cycle, the insights they provide could be leveraged by other programs in the acquisition portfolio, not just the program under review. For example, the Integrated Fixed Towers program completed a post-implementation review in June 2016 after its initial deployment of capabilities to the Arizona border. The review found that changes in illegal traffic patterns as a result of the program\u2019s deployment may be predicted, and other technologies may be able to compensate for changes in these patterns. This information could help other programs under development plan for similar outcomes or enable DHS to change deployment plans for existing programs to address changes in threats.", "PARM has an opportunity to use the results from programs\u2019 post- implementation reviews since it is responsible for overseeing the department\u2019s acquisition portfolio by monitoring each investment\u2019s cost, schedule, and performance against established baselines. Federal standards for internal control state that management should obtain data on a timely basis so that they can be used for effective monitoring and that separate evaluations may provide feedback on the effectiveness of ongoing monitoring. By leveraging the results from post-implementation reviews in its monitoring efforts, PARM may be better able to ensure that programs in the current acquisition portfolio achieve their baselines. PARM officials stated they have generally focused on leveraging information gathered from canceled acquisition programs, such as where and why plans went wrong. However, they agreed that they could better leverage post- implementation review information gathered from programs that complete planned capability deployments."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["DHS\u2019s mission to safeguard the American people and homeland requires a broad portfolio of acquisitions. However, the performance of DHS\u2019s major acquisition portfolio during 2017 did not improve compared to our last review because we found that more programs will require more time and may require more money to complete than initially planned. DHS is collecting more timely cost estimate information on its acquisition programs to make more informed investment decisions. Yet DHS continues to face challenges in funding its acquisition portfolio, which highlights the need for disciplined policies that reflect best practices to ensure that the department does not pursue more programs than it can afford. DHS leadership has taken positive steps in recent years by strengthening its policies for acquisition management and resource allocation, and establishing policies related to requirements. Collectively, these policies reflect an integrated approach to managing investments. However, opportunities remain to further strengthen the acquisition management policy by documenting DHS\u2019s current practice to reassess programs that breach their established cost, schedule, or performance thresholds to ensure they are still worth pursuing within the context of the portfolio. Additionally, leveraging information learned once programs complete deployment across the acquisition portfolio could help ensure that programs stay on track against their baselines in the first place. This is particularly relevant because DHS is initiating a number of complex and costly acquisition programs, such as development of a wall system along the southwest border and the Coast Guard\u2019s Heavy Polar Icebreaker, which could benefit from this type of information."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DHS:", "The Under Secretary for Management should update DHS\u2019s acquisition management policy to require components to submit a certification of funds memorandum when a major acquisition program re-baselines in response to a breach. (Recommendation 1)", "The Under Secretary for Management should require PARM to assess the results of major acquisition programs\u2019 post-implementation reviews and identify opportunities to improve performance across the acquisition portfolio. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. In its comments, reproduced in appendix IV, DHS concurred with both of our recommendations and identified actions it planned to take to address them. DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Program Assessments", "paragraphs": ["This appendix presents individual assessments for each of the 28 programs we reviewed. Each assessment presents information current as of January 2018. They include standard elements, such as an image, a program description, and summaries of the program\u2019s progress in meeting cost and schedule goals, performance and testing activities, and program management-related issues, such as staffing. Each assessment also includes the following figures:", "Fiscal Years 2018\u20132022 Affordability. This figure compares the funding plan presented in the Future Years Homeland Security Program report to Congress for fiscal years 2018\u20132022 to the program\u2019s current cost estimate. We use this funding plan because the data are approved by the Department of Homeland Security (DHS) and Office of Management and Budget, and was submitted to Congress to inform the fiscal year 2018 budget process. The figure only presents acquisition funding because DHS did not report operations and maintenance (O&M) funding for individual programs in its funding plan to Congress. In addition, the data do not account for other potential funding sources, such as carryover.", "Acquisition Program Baseline (APB) vs. Current Estimate. This figure compares the program\u2019s cost thresholds from the initial APB approved after DHS\u2019s acquisition management policy went into effect in November 2008 and the program\u2019s current DHS-approved APB to the program\u2019s expected costs as of January 2018. The source for the current estimate is the most recent cost data we collected (i.e., a department-approved life-cycle cost estimate, updated life-cycle cost estimates submitted during the resource allocation process to inform the fiscal year 2019 budget request, or a fiscal year 2017 annual life- cycle cost estimate update).", "Schedule Changes. This figure consists of two timelines that identify key milestones for the program. The first timeline is based on the initial APB DHS leadership approved after the department\u2019s current acquisition management policy went into effect. The second timeline identifies when the program expected to reach its major milestones as of January 2018 and includes milestones introduced after the program\u2019s initial APB. Dates shown are based on the program\u2019s APB threshold dates or updates provided by the program office.", "Test Status. This table identifies key recent and upcoming test events. It also includes DHS\u2019s Director, Office of Test and Evaluation\u2019s assessment of programs\u2019 test results, if an assessment was conducted.", "Staffing Profile. This figure identifies the total number of staff a program needs (measured in full time equivalents) including how many are considered critical and how many staff the program actually has.", "Lastly, each program assessment summarizes comments provided by the program office and identifies whether the program provided technical comments.", "AUTOMATED COMMERCIAL ENVIRONMENT (ACE)", "CUSTOMS AND BORDER PROTECTION (CBP)", "The ACE program is developing software that will electronically collect and process information submitted by the international trade community. ACE is intended to provide private and public sector stakeholders access to information, enhance the government\u2019s ability to determine whether cargo should be admitted into the United States, and increase the efficiency of operations at U.S. ports by eliminating manual and duplicative trade processes, and enabling faster decision making.", "Final deployment and operational testing of ACE functionality delayed.", "Program plans to identify an approach to address collections functionality in March 2018.", "We last reported on this program in March 2018 and April 2017 (GAO-18-271, GAO-17-346SP)."], "subsections": [{"section_title": "Not included", "paragraphs": ["CBP declared a cost and schedule breach in April 2017\u20145 months after re-baselining the program in response to a prior breach\u2014because of difficulties developing the collections aspect of ACE\u2019s remaining functionality, which collects and processes duties owed on imported goods. CBP reported that its officials were not versed in the complexities of collections in the legacy system and underestimated the level of effort required to integrate collections capabilities into ACE. As a result, the program delayed final deployment of ACE functionality several times and missed the deadlines for completing the remaining milestones in its current acquisition program baseline (APB), including achieving acquisition decision event (ADE) 3 and full operational capability (FOC) by the revised dates of June 2017 and September 2017, respectively. Additional coding and testing to complete ACE development also required contract extensions that exceeded the current APB cost thresholds.", "The program subsequently decoupled collections from ACE\u2019s remaining functionality to permit deployment of the other post-release capabilities\u2014such as liquidations and reconciliation\u2014using a phased approach between September 2017 and February 2018. In November 2017, CBP officials estimated that efforts to decouple collections from post-release functionality would be an additional $32 million in acquisition costs. CBP officials plan to cover these costs with $18 million in fiscal year 2017 carryover funding and by reprogramming $14 million from ACE disaster recovery funding. CBP is in the process of determining a path forward for collections, which is due to Department of Homeland Security (DHS) leadership by the end of March 2018. CBP then plans to update the program\u2019s acquisition documentation, including APB and life- cycle cost estimate, by August 2018. Until then, the time frame for completing ACE\u2019s remaining milestones and true cost of the program, including the cost to complete collections development is unknown.", "The program was not included in DHS\u2019s funding plan to Congress for fiscal years 2018 to 2022 because DHS did not report operations and maintenance (O&M) funding for individual programs. CBP officials anticipate receiving approximately $535 million in O&M funding over this 5-year period.", "Customs and Border Protection (CBP) AUTOMATED COMMERCIAL ENVIRONMENT (ACE)"], "subsections": []}, {"section_title": "In June 2017, CBP officials reported meeting three of ACE\u2019s four KPPs, including its KPP on availability. However, DHS\u2019s Director, Office of Test and Evaluation has not assessed these results. ACE did not meet its KPP for transmitting data to a separate tracking system because, according to CBP officials, there was confusion about which data ACE was required to send. CBP officials plan to reassess this KPP in March 2018 to determine next steps.", "paragraphs": ["When DHS leadership re-baselined ACE\u2019s cost, schedule, and performance parameters in 2013, the program adopted an agile software development methodology to accelerate software creation and increase flexibility in the development process. As of October 2017, the ACE program office oversees 11 agile teams that conduct development and O&M activities. CBP officials said they extended the program\u2019s agile development contracts in 2017 to permit further development of the collections function. In identifying a path forward for collections, CBP officials stated there are three main options: 1. leave collections in the legacy system, 2. continue to pursue development and deployment in ACE, or 3. move collections to a different program altogether.", "The program previously experienced a schedule breach in June 2016 because it delayed events to address external stakeholders\u2019 concerns about transitioning to ACE. According to CBP officials, CBP has signed a memorandum of understanding with each of the 22 partner agencies responsible for clearing or licensing cargo that provides access to ACE. As of February 2018, 21 of the partner agencies had transitioned to ACE and the program was piloting a solution for the remaining partner.", "In September 2017, CBP reported that ACE continued to lack a director of testing and evaluation. CBP officials said they do not plan to fill this vacancy despite plans to conduct further testing because existing staff have successfully covered the workload and a large portion of testing has already been completed.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CUSTOMS AND BORDER PROTECTION (CBP)", "The Biometric Entry-Exit Program is developing capabilities to enhance traveler identification upon departure from the U.S. at air, land, and sea ports of entries by collecting biometric data, such as fingerprints and facial recognition. The program plans to match this data to biometric data obtained from travelers upon their arrival into the U.S. to identify foreign nationals that stay in the U.S. beyond their authorized periods of admission and verify the identities of travelers leaving the U.S.", "CBP completed four biometric pilot programs and selected a solution for development.", "DHS has explored biometric exit capabilities since 2009, but was directed to expedite implementation in March 2017.", "GAO last reported on this program in February 2017 (GAO- 17-170).", "In June 2017, the Department of Homeland Security\u2019s (DHS) Under Secretary for Management (USM) granted the Biometric Entry-Exit Program acquisition decision event (ADE) 1 approval after CBP completed several pilot initiatives to study the feasibility of proposed biometric exit solutions at air and land ports of entry. The USM also authorized the program to continue testing a pilot exit solution at Hartsfield-Jackson Atlanta International Airport and conduct technology demonstrations as needed, but directed the program to achieve ADE 2A prior to deploying a solution to the 20 U.S. airports with the most international flights.", "CBP officials initially planned to achieve ADE 2A approval in September 2017\u2014the point at which the program would establish cost, schedule, and performance goals in a DHS-approved acquisition program baseline (APB)\u2014and pursue separate ADE 2B decisions to initiate development of a biometric solution for each type of port of entry, starting with air. As of December 2017, the program had yet to conduct its ADE 2A because CBP officials have had to resolve several issues identified by the Joint Requirements Council that has delayed approval of the program\u2019s operational requirements document (ORD). In January 2018, CBP officials said the program plans to conduct ADE 2A in February or March 2018 and is aiming for ADE 2B for the biometric air solution in December 2018.", "In December 2015, Congress established an account to be used for the development and implementation of the biometric entry-exit system starting in 2017. Specifically, Congress provided that half the amount collected from fee increases for certain visa applications from fiscal years 2016 through 2025\u2014up to $1 billion\u2014would be available to DHS until expended. In February 2017, DHS leadership approved the program to use about $73 million of this funding in fiscal year 2017 for information technology investments and programmatic and operational support, among other things. In September 2017, DHS\u2019s Chief Financial Officer approved the program\u2019s life-cycle cost estimate (LCCE), which CBP expects to refine as the program progresses to meet the fee-funding limit. According to CBP officials, the current funding structure poses challenges because the fees will fluctuate based on immigration rates.", "Customs and Border Protection (CBP)"], "subsections": []}, {"section_title": "Since 2015, CBP has conducted a series of biometric pilot programs intended to inform the acquisition of a biometric entry-exit system that included the following types of technologies: \u2022 Facial and iris scanning technology at an outdoor land border crossing. \u2022 Mobile fingerprint readers for flights departing the U.S. \u2022 Two facial recognition matching technologies that compared a real-time photo", "paragraphs": ["of a traveler to different sources\u2014one technology compared the photo to the traveler\u2019s passport upon entrance to the U.S.; the other technology compared the photo to a gallery of photos based on the outbound flight manifest during an airline\u2019s boarding process.", "According to CBP officials, the facial recognition technology that matched photos during an airline\u2019s boarding process was the most viable approach and served as the foundation for its development of the ADE 2A acquisition documents. Officials stated a similar approach may be feasible for land border crossings, but will require further planning.", "In January 2018, CBP officials stated they were developing a test and evaluation master plan\u2014which will outline the developmental and operational test approach\u2014for the biometric exit air solution. DHS\u2019s Director, Office of Test and Evaluation will need to review and approve this plan prior to the program\u2019s ADE 2B.", "Since 1996, several federal statutes have required development of an entry and exit system for foreign nationals. DHS has been exploring biometric exit capabilities since 2009 and an Executive Order issued in March 2017 directed DHS to expedite the implementation of the biometric entry-exit system.", "The Biometric Entry-Exit Program plans to develop a capability to match a traveler\u2019s biometric data against data contained in existing DHS biometric data repositories\u2014 primarily the National Protection and Program Directorate\u2019s IDENT system. DHS is in the process of replacing and modernizing IDENT through the Homeland Advanced Recognition Technology (HART) program because IDENT is at risk of failure. However, HART has experienced delays, which could affect the Biometric Entry-Exit Program\u2019s development progress.", "For the air biometric solution, CBP plans to pursue a public/private partnership in which airlines and airports invest in the equipment to collect biometric data. According to CBP officials, this approach could reduce program costs and improve the passenger boarding process. In August 2017, CBP officials told GAO that several airlines have expressed interest in partnering with the program, including one that expanded CBP\u2019s pilot of facial recognition matching for outbound flights to additional gates at the Hartsfield-Jackson Atlanta International Airport.", "CBP officials reported a staffing gap of 14 full time equivalent staff which the program plans to fill once partnerships with airlines are established.", "CBP officials stated that authorized funds are collected from visa fee increases that expire in fiscal year 2025. Beyond 2025, officials stated that additional funding will need to be appropriated or the fee increases extended to continue the program. They added that fee collections are currently below forecasted levels and may come under the current $1 billion limit. CBP officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CUSTOMS AND BORDER PROTECTION (CBP)", "The border wall system is intended to prevent the illegal entry of people, drugs, and other contraband by enhancing and adding to the 654 miles of existing barriers along the U.S. southwest border. CBP plans to create a border enforcement zone between a primary barrier\u2014such as a fence\u2014and a secondary barrier. To establish the enforcement zone, the wall system may also include detection technology, surveillance cameras, lighting, and roads for maintenance and patrolling.", "CBP has evaluated prototypes for new barrier designs, but risks with planned detection technologies exist.", "CBP is leveraging staff and the contracting strategy from prior border fencing programs.", "GAO last reported on the existing Southwest border barriers in February 2017 (GAO-17-331)."], "subsections": []}, {"section_title": "Not included", "paragraphs": ["In April 2017, Department of Homeland Security (DHS) leadership granted CBP permission to procure barrier prototypes to inform new design standards and approved the construction of the first segment of the wall system. CBP subsequently awarded 8 task orders with a total value of over $3 million for the development of prototypes and selected San Diego as the first segment. CBP plans to replace an existing 14 miles of primary and secondary barriers in San Diego. DHS plans to use fiscal year 2017 funding for the replacement of the primary barrier, which it plans to rebuild to existing design standards. DHS has requested funding for replacement of the secondary barrier beginning in fiscal year 2018 that it plans to rebuild to new design standards once established. DHS leadership plans to approve acquisition documentation\u2014including an acquisition program baseline (APB) and a life-cycle cost estimate (LCCE)\u2014for each segment to determine affordability prior to authorizing construction. However, CBP officials said they do not plan to develop an APB for the San Diego segment because DHS already approved construction.", "In January 2018, DHS leadership approved an APB establishing cost, schedule, and performance goals for a second segment in the Rio Grande Valley (RGV), which will extend an existing barrier by 60 miles. To inform leadership\u2019s decision, DHS headquarters conducted an independent cost estimate, which CBP adopted as the program\u2019s LCCE. The LCCE includes costs for both the San Diego and RGV segments. However, DHS officials stated that the amounts in the LCCE are not releasable until CBP evaluates the prototypes, determines, and designs a final solution for the San Diego secondary barrier, and updates the LCCE\u2014which is not expected to be complete until June 2018.", "The costs presented here are only for the RGV segment. CBP reported that construction of the RGV segment would be sufficiently funded if it receives $1.3 billion of acquisition funding in fiscal year 2018. However, CBP identified a shortfall in operations and maintenance (O&M) funding from fiscal years 2019 to 2022 that it plans to cover with existing funding from the Tactical Infrastructure program, which will be responsible for maintenance of the wall system as segments are complete. If funded, the program expects to achieve full operational capability for the RGV segment in March 2023.", "Customs and Border Protection (CBP)"], "subsections": []}, {"section_title": "In December 2017, CBP completed testing of 8 barrier prototypes\u20144 constructed from concrete and 4 from other materials\u2014which are intended to help refine the requirements and identify new design standards for barriers. CBP evaluated the prototypes in five areas: breachability, scalability, constructability, design, and aesthetics. CBP officials said the prototype evaluation results are not expected until February 2018.", "paragraphs": [], "subsections": []}, {"section_title": "The Science and Technology Directorate\u2019s Office of Systems Engineering completed a technical assessment on the program in November 2017, and identified risks related to the integration and operation of enforcement zone technologies\u2014 such as cameras and sensors\u2014which had not been clearly defined or planned for within the wall system. It made several recommendations, including that the program coordinate with an ongoing CBP study of land domain awareness capabilities, which DHS leadership directed CBP to conduct in October 2016 to inform a comprehensive border plan.", "paragraphs": ["The Border Wall System Program was initiated in response to an Executive Order issued in January 2017 stating that the executive branch is to secure the southern border through the immediate construction of a physical wall on the southern border of the U.S. To expedite the acquisition planning process, CBP officials said they leveraged expertise from staff that worked on previous border fencing programs and were familiar with implementation challenges, such as land access. CBP intends to prioritize segments based on threat levels, land ownership, and geography, among other things. From fiscal years 2007 to 2015, CBP spent approximately $2.3 billion to construct pedestrian and vehicle fencing along the southwest border. CBP\u2019s Tactical Infrastructure program is responsible for sustaining this fencing and other infrastructure\u2014such as gates, roads, and bridges\u2014 over its lifetime.", "CBP plans to continue coordinating with the U.S. Army Corps of Engineers (USACE) for engineering support and for awarding and oversight of construction contracts. CBP anticipates that all contract awards issued by USACE in support of the RGV segment will be firm fixed price. If appropriations are received, the program plans to award construction contracts for the first portion of RGV in May 2018 and for the secondary barrier in San Diego in August 2018.", "In February 2018, CBP officials stated that staffing the program office is a challenge because funding has not yet been received. CBP officials said that existing work for the program is being handled by current CBP staff.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "INTEGRATED FIXED TOWERS (IFT)", "CUSTOMS AND BORDER PROTECTION (CBP)", "The IFT program helps the Border Patrol detect, track, identify, and classify illegal entries in remote areas. IFT consists of fixed surveillance tower systems equipped with ground surveillance radar, daylight and infrared cameras, and communications systems linking the towers to command and control centers. CBP plans to deliver or upgrade approximately 53 IFT systems across six areas of responsibility (AoR) in Arizona: Nogales, Douglas, Sonoita, Ajo, Tucson, and Casa Grande.", "System acceptance test completed in Douglas AoR and requirements were met.", "Program is adequately staffed, but simultaneous deployments in the future may have a negative impact.", "GAO last reported on this program in November and April 2017 (GAO-18-119, GAO-17-346SP).", "In December 2017, CBP declared a schedule breach of the IFT program\u2019s current acquisition program baseline (APB) because the program did not receive the funding needed to complete planned deployments on time to achieve its full operational capability (FOC) date of September 2020. The program\u2019s FOC date previously slipped 5 years because of delays in the initial contract award process and funding shortfalls.", "CBP completed IFT deployments to the Douglas AoR in June 2017 and anticipates completing deployments to the Sonoita AoR in December 2017, as scheduled. However, in September 2017, CBP officials stated that they requested\u2014but did not receive\u2014additional funding from the Department of Homeland Security (DHS) to address new IFT requirements, including camera upgrades and replacement of existing tower systems deployed under a legacy program. In January 2015, Border Patrol requested the program prioritize replacement of the legacy systems in the Tucson and Ajo AoRs because the technology was obsolete and more expensive to maintain than the IFT technology planned for deployment in other AoRs. Without additional funding, CBP officials stated that they would be unable to exercise the contract options for the remaining AoRs on time.", "In June 2017, the program updated its life-cycle cost estimate (LCCE), which is slightly less than its current APB cost thresholds. This LCCE update includes estimated costs for the new requirements. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained operations and maintenance (O&M) funding for individual programs. CBP identified $8 million in acquisition carryover funding for fiscal year 2018 and officials anticipate receiving $126 million in O&M funding to cover $100 million in O&M costs over the next 5 years.", "The program plans to submit a revised APB to DHS leadership by June 2018. However, the FOC date may be further delayed because of land access issues. CBP officials told GAO that they have not yet reached an agreement with the Tohono O\u2019odham Nation\u2014a sovereign Native American Nation\u2014to access tribal lands, which these officials said is necessary for the construction of IFTs in the Ajo and Casa Grande AoRs.", "10/15 Initial operational capability (Nogales)", "Customs and Border Protection (CBP)", "INTEGRATED FIXED TOWERS (IFT)"], "subsections": []}, {"section_title": "Border Patrol certified IFT capabilities met operational requirements in March 2016, but added conditions including that the program seek improvements to optimize video capability. In response, the program plans to install an upgraded high definition camera suite starting with the Sonoita AoR. However, the program has not received funding to complete these upgrades.", "paragraphs": ["When CBP initiated the IFT program, it decided to procure a non-developmental system, and it required that prospective contractors demonstrate their systems prior to CBP awarding the contract. The program awarded the contract to EFW, Inc. in February 2014, but the award was protested. GAO sustained the protest and CBP had to reevaluate the offerors\u2019 proposals before it again decided to award the contract to EFW, Inc. As a result, EFW, Inc. could not initiate work at the deployment sites until fiscal year 2015.", "According to CBP officials, the number of IFT systems deployed to a single AoR is subject to change based on assessments by the Border Patrol. DHS leadership directed CBP to develop a comprehensive border plan in October 2016 that includes IFT capabilities and\u2014when preparing for the last budget cycle\u2014the program estimated costs for expansion to the southwest border beginning in fiscal year 2019.", "In September 2017, CBP officials told GAO that they did not have any current staffing gaps. However, CBP officials added that if the program receives full funding and reaches an agreement with the Tohono O\u2019odham Nation to initiate IFT deployments to the Ajo and Casa Grande AoRs, while concurrently deploying capability to the Sonoita and Tucson sectors, they will be short on government and contracted staff.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "MEDIUM LIFT HELICOPTER (UH-60)", "CUSTOMS AND BORDER PROTECTION (CBP)", "UH-60 is a medium-lift helicopter that CBP uses for law enforcement and border security operations, air and mobility support and transport, search and rescue, and other missions. CBP\u2019s UH-60 fleet consists of 20 aircraft acquired from the U.S. Army in three different models. CBP previously acquired 4 modern UH-60M aircraft and converted 6 of its older 16 UH-60A aircraft into more capable UH-60L models. CBP is replacing the remaining 10 UH-60A with reconfigured Army HH-60L aircraft.", "CBP test agent and the Army completed testing of reconfigured HH-60L prototype.", "CBP has initiated efforts to acquire additional converted HH-60L aircraft from the Army.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "The program breached the cost and schedule goals in its acquisition program baseline (APB) and, as of December 2017, CBP officials stated they were in the process of developing the breach notification required under the Department of Homeland Security\u2019s (DHS) acquisition policy.", "In its annual life-cycle cost estimate (LCCE) update, the program shifted some operations and maintenance (O&M) costs to acquisitions to be consistent with DHS\u2019s new appropriation structure. For example, the program shifted costs for recurring upgrades from O&M to acquisition because these upgrades require development and production. As a result, the program\u2019s updated acquisition cost estimate exceeded the APB acquisition cost threshold, which constitutes a cost breach under DHS\u2019s acquisition policy. CBP officials stated that they did not initially declare a cost breach because the program\u2019s total LCCE was within the APB threshold.", "The program also did not hold its acquisition decision event (ADE) 3 by the APB deadline of September 2017. The ADE 3 is intended to approve the transfer of CBP\u2019s remaining UH-60A aircraft for reconfigured Army HH60-L aircraft based on an evaluation of a reconfigured prototype. According to CBP officials, the program did not complete the required acquisition documentation by the ADE 3 deadline, in part, because DHS leadership directed CBP to develop a comprehensive border plan in October 2016 that includes UH-60 capabilities. It is unclear when the ADE 3 will occur because, as of December 2017, several documents were pending validation by the Joint Requirements Council.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. In addition, CBP officials previously told GAO that UH-60 O&M is funded through a separate, central funding account for all of CBP\u2019s air and marine assets. CBP officials stated that the projected acquisition funding gap in fiscal years 2019 and 2020 is primarily for replacing obsolete parts that were previously considered O&M. According to these officials, the Army conducts an annual obsolescence study that will help CBP identify and prioritize replacements across the UH-60 fleet based on available funding levels.", "Customs and Border Protection (CBP)", "MEDIUM LIFT HELICOPTER (UH-60)"], "subsections": []}, {"section_title": "CBP determined that the converted UH-60L and UH-60M aircraft met all five of the program\u2019s key performance parameters (KPP) through operational test and evaluation (OT&E) conducted in fiscal years 2012 and 2014. However, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) did not validate these results because UH-60 was not considered a major acquisition when the tests were conducted.", "paragraphs": [], "subsections": []}, {"section_title": "In January 2016, DHS leadership directed the program to conduct acceptance functional flight checks\u2014which consist of component- and system-level tests\u2014on at least one reconfigured HH-60L prototype prior to receiving approval to proceed with the remaining transfers. According to CBP officials, the program\u2019s OTA and the Army successfully conducted the functional flight check and additional testing in October 2017. DOT&E plans to review the flight test data in support of the program\u2019s ADE 3.", "paragraphs": [], "subsections": []}, {"section_title": "CBP does not plan to conduct formal operational test and evaluation on the reconfigured UH-60L because, according to CBP officials, the reconfigured HH-60L has minimal differences from the UH-60L aircraft previously tested. CBP officials also stated that the program has been able to leverage Army test data, which reduces the risk and testing costs associated with the program. These officials noted that CBP pilots will perform additional inspections prior to accepting the aircraft, which is now anticipated to occur in January 2018\u2014up to 5 months earlier than the APB threshold date.", "paragraphs": ["CBP previously acquired UH-60 as a part of its Strategic Air and Marine Program (StAMP). In July 2016, DHS leadership designated UH-60 as a separate and distinct major acquisition program.", "CBP initially planned to convert all 16 of its UH-60A aircraft into UH-60L models, but changed its strategy once it learned the Army planned to divest several HH-60L aircraft that could more easily be converted into UH-60L aircraft for CBP missions. CBP officials anticipated the new strategy could reduce the program\u2019s costs by an estimated $70 million, accelerate its schedule, and result in newer aircraft since the Army\u2019s HH-60L airframes had fewer operating hours than CBP\u2019s existing UH-60A aircraft. In September 2017, CBP officials told GAO they had initiated efforts to acquire additional HH-60L aircraft by conducting a study of current capability gaps and drafting a mission need statement.", "As of September 2017, program officials confirmed that they maintain a consolidated program office where the same staff from StAMP continue to support all remaining acquisitions, including the UH-60. However, these officials stated that they plan to realign staff to a dedicated asset over time. Program officials also stated that the program has hired a dedicated cost estimator and would like to hire additional staff to focus on procuring spare parts and common component issues, such as radio replacements, for CBP\u2019s air and marine assets.", "CBP officials reiterated that the changes in acquisition costs were primarily a result of cost realignment and that the program\u2019s total life-cycle cost is still within the initial APB LCCE goals. CBP officials also stated that\u2014to supplement Army test data\u2014the program\u2019s OTA participated in the flight tests and will provide a formal report on the results.", "MULTI-ROLE ENFORCEMENT AIRCRAFT (MEA)", "CUSTOMS AND BORDER PROTECTION (CBP)", "MEA are fixed-wing, multi-engine aircraft that can be configured to perform multiple missions including maritime, air, and land interdiction, as well as signals detection to support law enforcement. The current MEA configuration is equipped with marine search radar and an electro-optical/infrared sensor to support maritime and land surveillance and airborne tracking missions. MEA will replace CBP\u2019s fleet of aging C-12, PA-42, and BE-20 aircraft.", "Testing of new configuration planned for May 2018, but requirements not yet defined.", "Began retrofitting accepted MEA with new mission system in fiscal year 2017.", "GAO last reported on this program in April 2017 (GAO-17- 346SP).", "According to CBP officials, the program is on track to meet the cost and schedule goals in its current acquisition program baseline (APB) for 16 maritime interdiction MEA and is actively pursuing additional aircraft.", "In April 2016, CBP developed a report that identified capability needs in three mission areas and proposed increasing the program\u2019s total to 38 aircraft by adding 13 air and 6 land interdiction MEA, and 3 signals detection MEA. The Joint Requirements Council endorsed CBP\u2019s findings, but recommended CBP develop a number of requirements documents\u2014including an operational requirements document\u2014to fully validate the findings. As of September 2017, CBP officials told GAO they were in the process of updating these documents to focus on air interdiction capabilities\u2014the next MEA configuration. These officials stated that completing these documents has been delayed, in part, because Department of Homeland Security (DHS) leadership directed CBP to develop a comprehensive border plan in October 2016 that includes MEA capabilities.", "Despite not yet completing all the updated documents, DHS leadership approved CBP\u2019s request to procure MEA 17 in September 2017 after the congressional conferees agreed to an additional aircraft beyond DHS\u2019s budget request. CBP anticipates delivery of MEA 17 by September 2018, which is within the program\u2019s full operational capability (FOC) date. However, if the program receives approval to acquire additional aircraft, the FOC date will be extended.", "The program completed an annual life-cycle cost estimate update, which exceeds the program\u2019s current APB cost thresholds, because it reflects costs for all 38 aircraft, among other reasons. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained operations and maintenance (O&M) funding for individual programs. In addition, CBP officials previously told GAO that MEA\u2019s O&M is funded through a separate, central funding account for all of CBP\u2019s air and marine assets. In September 2017, CBP officials said that the program was fully funded for 17 aircraft but had some affordability challenges with spare parts, which they are working with CBP and DHS headquarters to address.", "Customs and Border Protection (CBP)", "MULTI-ROLE ENFORCEMENT AIRCRAFT (MEA)"], "subsections": []}, {"section_title": "The MEA program has met all five of its key performance parameters (KPP) for the maritime interdiction configuration and plans to establish additional KPPs for future MEA configurations.", "paragraphs": ["CBP is replacing the mission system processor on the MEA with a system used by the U.S. Navy and U.S. Coast Guard that is intended to enhance operator interface and sensor management, as well as replace obsolete equipment. CBP\u2019s OTA tested a prototype of the processor during an operational assessment in July 2015. The OTA found that the MEA had resolved issues found during prior testing, but also made 29 additional recommendations and findings to improve the aircraft and new mission system\u2019s effectiveness. DHS\u2019s Director, Office of Test and Evaluation (DOT&E) concurred with the OTA\u2019s findings."], "subsections": []}, {"section_title": "The program plans to begin testing MEA air interdiction capabilities in May 2018. According to CBP officials, the only difference between the maritime and air interdiction configurations is the radar software. The program initially planned to modify and test the new configuration prior to delivery, but CBP officials stated they now plan to do so after delivery to reduce risk by allowing more time for development of the air-to-air radar software. DHS\u2019s DOT&E plans to review the test plan for the air interdiction configuration. However, completing development before finalizing KPPs for the new configuration increases the risk that the aircraft will not meet operator\u2019s requirements.", "paragraphs": ["CBP previously acquired MEA as a part of its Strategic Air and Marine Program (StAMP). In July 2016, DHS leadership designated MEA as a separate and distinct major acquisition program.", "CBP initially planned to procure 50 MEA and awarded the first production contract in September 2009. However, the aircraft did not perform well during testing. In October 2014, DHS leadership said CBP could not procure or accept transfer of additional MEA without approval. CBP procured 12 aircraft under the initial contract and\u2014with DHS approval\u2014CBP awarded a new indefinite delivery, indefinite quantity contract in September 2016 for 1 base year and four 1-year options to support procurement of additional aircraft. In December 2017, CBP officials said the program had received 12 aircraft and awarded contracts for 5 more. According to program officials, MEA 13-16 will be delivered with the new mission system and CBP began retrofitting previously delivered aircraft in fiscal year 2017.", "As of September 2017, program officials confirmed that they maintain a consolidated program office where the same staff from StAMP continue to support all remaining acquisitions, including MEA. However, these officials stated that they plan to re-align staff to a dedicated asset over time. Program officials also stated that the program has hired a dedicated cost estimator and would like to hire additional staff to focus on procuring spare parts and common component issues, such as radio replacements, for CBP\u2019s air and marine assets.", "CBP officials stated that delays in receiving approval of the program\u2019s requirements documents may pose a risk to exercising options for additional MEA on an existing contract, which could stop production and increase contract costs associated with procuring future aircraft. CBP officials added that air and marine requirements officers continue to produce documentation requested by the Joint Requirements Council to provide sufficient context for the mission need and border security. CBP officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CUSTOMS AND BORDER PROTECTION (CBP)", "The NII Systems Program supports CBP\u2019s interdiction of weapons of mass destruction, contraband such as narcotics, and illegal aliens being smuggled into the United States, while facilitating the flow of legitimate commerce. CBP officers use large- and small-scale NII systems at air, sea, and land ports of entry; border checkpoints; and international mail facilities to examine the contents of containers, railcars, vehicles, baggage, and mail.", "CBP initiated efforts for future NII requirements and procurements.", "66 percent staffing gap contributed to delays in NII deployments.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "The NII Systems Program is on track to meet its approved schedule and cost goals.", "The estimates in the program\u2019s annual life-cycle cost estimate (LCCE) update continued to decrease overall compared to its approved acquisition program baseline (APB) cost thresholds. Specifically, compared to the prior year\u2019s estimate, the program\u2019s acquisition costs decreased by $96 million and operations and maintenance (O&M) costs increased by $22 million. However, the LCCE update only estimated costs through fiscal year 2026\u20149 years short of the program\u2019s final year.", "The LCCE primarily decreased because of a reduction of 1,977 planned additional and replacement NII systems. CBP officials said fewer large- and small-scale systems are needed because some systems have longer estimated lives than expected, and systems procured have better capability. CBP officials do not anticipate that the reduction in quantities will have an adverse effect on operations because they stated that the new systems can provide dual purpose capabilities (i.e., one system can replace multiple separate systems).", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. CBP officials anticipate receiving approximately $605 million of O&M funding over this 5-year period to cover about $626 million in estimated O&M costs, which includes $100 million to operate and maintain radiation detection equipment acquired by the Domestic Nuclear Detection Office. These officials also identified $37 million in carryover funding to cover the remaining $21 million of O&M estimated costs.", "However, the program is projected to have a $266 million acquisition funding gap from fiscal years 2018 to 2022.The program has a plan to address funding shortfalls but, according to CBP officials, it has not yet needed to implement the strategies in this plan because of several factors, including cost reductions achieved through combined life-cycle contracts and lower-than-expected actual technology costs in fiscal year 2016.", "Customs and Border Protection (CBP)"], "subsections": []}, {"section_title": "NII systems are commercial-off-the-shelf products, and for this reason, DHS leadership decided that the NII Systems Program does not need a test and evaluation master plan. However, the program continues to test NII systems to inform future acquisitions. For example, in calendar years 2017 and 2018, CBP officials told us they plan to conduct demonstrations and testing activities on the following type of technology: \u2022 Two NII systems\u2014one mobile, one fixed\u2014that are designed to examine moving vehicles for contraband. \u2022 Mobile systems that use high dose X-ray imaging to inspect stationary cargo vehicles at ports-of-entry. \u2022 Multi-energy portals that use different levels of X-ray imaging to inspect cargo", "paragraphs": ["trucks as they are driven through the inspection portals\u2014low dose X-ray to inspect the truck cab and high dose X-ray to inspect the cargo trailer.", "In March 2017, the Joint Requirements Council validated a capability analysis report that assessed current capability gaps in NII operations to assist with identifying potential upgrades to existing systems and developing requirements for future systems. According to program officials, CBP plans to review and update, as necessary, the mission need statement in fiscal year 2018. Additionally, program officials are preparing a consolidated acquisition plan for future procurements. These officials said CBP has not yet determined whether future procurements would be included into the current NII Systems Program of record or constitute a new acquisition program.", "CBP\u2019s ability to successfully execute the existing NII Systems Program and plan for future efforts may be at risk because of understaffing. As of January 2018, the NII Systems Program continued to face a staffing gap of approximately 66 percent, including critical vacancies such as the acquisition program manager and a logistics program manager. Officials also noted that a lack of adequate personnel to procure, test, and deploy NII systems forces the program to prioritize its acquisitions, which can result in delays of NII deployments and testing efforts. For example, one manufacturer increased its output rate of NII systems, but the program did not have the staff to accept the systems at the increased rate. Officials anticipate the program may remain understaffed until CBP completes a reorganization that started more than a year ago, in which acquisition programs are realigned from a mission-support office to their operational entity.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "REMOTE VIDEO SURVEILLANCE SYSTEM (RVSS)", "CUSTOMS AND BORDER PROTECTION (CBP)", "The RVSS program helps the Border Patrol detect, track, identify and classify illegal entries across U.S borders. RVSS consists of daylight and infrared video cameras mounted on fixed towers and buildings with communications systems that link to command and control centers. From 1995 to 2005, CBP deployed approximately 310 RVSS towers along the U.S. northern and southern borders, and initiated efforts to upgrade legacy RVSS towers in Arizona in 2011.", "Program does not plan to conduct additional operational testing on future deployments.", "Once funded, program plans to award a new contract for deployments in sectors along the southwest border.", "GAO last reported on this program in November 2017 (GAO-18-119).", "In April 2016, Department of Homeland Security (DHS) leadership elevated RVSS from a level 3 program\u2014which focused on upgrading legacy RVSS in Arizona\u2014to a level 1 program after approving CBP\u2019s plan to expand deployments to the Rio Grande Valley (RGV) sector and adding an additional 6 sectors along the southwest border. At this time, DHS leadership approved the program to move forward with deployments to two RGV stations, which can be completed as options under the program\u2019s existing contract. However, the program was required to re-baseline to account for its expanded scope and conduct an acquisition decision event (ADE) to obtain approval for additional deployments.", "As of January 2018, the program had not yet conducted its ADE or obtained DHS approval for an acquisition program baseline (APB) that established cost, schedule, and performance goals for the expanded program. In September 2017, CBP officials told us that they had drafted the APB and other required documentation, such as a life-cycle cost estimate (LCCE), but were unsure when the ADE would occur because the program had not received funding for the additional deployments. In addition, the ADE may have been delayed because DHS leadership directed CBP to develop a comprehensive border plan in October 2016 that includes RVSS capabilities.", "In September 2017, DHS leadership approved the RVSS\u2019s revised LCCE which totaled nearly $4 billion for all program costs from fiscal years 2011 through 2042, including expansion along the southwest border and new initiatives such as a pilot for relocatable RVSS towers. DHS conducted an independent cost estimate for the program, which DHS cost estimating officials stated was within 2 percent of the program\u2019s LCCE.", "RVSS was not included in DHS\u2019s funding plan to Congress for fiscal years 2018 to 2022 because it had not yet been elevated to a level 1 program at the time the plan was developed. CBP officials stated that the program has received acquisition funding to cover the approved RGV deployments. However, CBP officials told GAO that the program may also assume responsibility for maintaining all legacy RVSS, but has not received adequate operations and maintenance funding to do so.", "Customs and Border Protection (CBP)", "REMOTE VIDEO SURVEILLANCE SYSTEM (RVSS)"], "subsections": []}, {"section_title": "CBP officials said the RVSS program initiated a pilot of relocatable RVSS towers in the RGV sector. The program plans to assess the results of the pilot by March 2018.", "paragraphs": ["In July 2013, CBP awarded a firm fixed-price contract for a commercially available, non-developmental system. This contract covered the program\u2019s initial scope to deploy upgraded RVSS in Arizona and two stations within the RGV sector, which can be completed as options. According to CBP officials, the program will need to award a new contract to cover expansion to the remaining six sectors along the southwest border. In September 2017, CBP officials said that the request for proposals for the new contract had been drafted but it cannot be released until the program receives funding.", "CBP officials told GAO that RVSS is coordinating with CBP\u2019s Border Wall System Program on some planned deployments within the RGV sector. For example, CBP is considering moving 2 of the planned RVSS towers to be co-located with the planned barrier, which officials stated may provide better surveillance. If the Border Wall System Program does not receive funding, CBP officials said the towers will be placed in the originally planned locations.", "CBP officials stated that the RVSS program requires additional staff for contracting activities, maintenance activities for legacy RVSS, and for relocatable tower pilot deployments. To mitigate the staffing gap, CBP officials said they prioritize responsibilities of current personnel to meet program execution needs.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CUSTOMS AND BORDER PROTECTION (CBP)", "The TACCOM program is intended to upgrade land mobile radio infrastructure and equipment to support approximately 95,000 users at CBP and other federal agencies. It is replacing obsolete radio systems with modern digital systems across various sectors located in 19 different service areas, linking these service areas to one another through a nationwide network, and building new communications towers to expand coverage in 5 of the 19 service areas.", "Issues related to security requirements have delayed full operational capability by more than a year.", "Program is being re-organized under Border Patrol, but still faces staffing challenges.", "GAO last reported on this program in April 2017 (GAO-17-346SP)."], "subsections": []}, {"section_title": "Not included", "paragraphs": ["In November 2017, Department of Homeland Security (DHS) leadership re-baselined the TACCOM program, removing it from breach status after the program experienced a schedule slip and cost growth. In July 2017, CBP officials notified DHS leadership that the program would not achieve full operational capability (FOC) as planned due to issues related to federal information security requirements. The program now plans to achieve FOC by March 2019\u2014more than a year later than its initial acquisition program baseline (APB) deadline. According to CBP officials, FOC will include planned upgrades to the San Diego system, which requires transitioning management of the legacy system from the Department of Justice to DHS. In August 2017, CBP officials stated that both agencies were reviewing an agreement with plans to complete the transition in fiscal year 2018.", "CBP officials stated that the program realized it would exceed its initial APB cost thresholds as it was developing its annual life-cycle cost estimate (LCCE) update and subsequently submitted a revised LCCE for DHS leadership approval. The program\u2019s costs primarily grew because of increases in costs for contractor labor and support for facilities and infrastructure. CBP officials said the program\u2019s initial estimates were immature; however, DHS leadership approved the initial LCCE in December 2015\u20144 years after the program began sustaining capabilities.", "DHS\u2019s Chief Financial Officer (CFO) approved the program\u2019s revised LCCE in November 2017, but noted that the program\u2019s estimate exceeded its available funding and requested that the program address the affordability gap before it was re-baselined. CBP officials said that they are conducting an affordability analysis, which they anticipate will be completed by March 2018. Nevertheless, DHS leadership approved the program\u2019s re-baseline in November 2017. CBP officials subsequently identified errors in the approved APB cost threshold tables and provided revised amounts, which are presented here.", "The program was not included in DHS\u2019s funding plan to Congress for fiscal years 2018 to 2022 because DHS did not report operations and maintenance (O&M) funding for individual programs. CBP officials anticipate receiving approximately $120 million in O&M funding over this 5-year period.", "Customs and Border Protection (CBP)"], "subsections": []}, {"section_title": "In July 2017, an analysis of the program\u2019s operations showed that the program was meeting mission needs, but technical issues and vulnerabilities could cause schedule delays. That same month, the program declared a schedule breach because of issues related to federal information security requirements. The TACCOM program first identified these issues in February 2016, but efforts to address them within the established APB schedule were unsuccessful. CBP officials said that, since the program\u2019s inception, they have held weekly and quarterly meetings with the vendor to identify and address any issues and that they anticipate the vendor will address all remaining issues by March 2018. They added that both the vendor and CBP will conduct security scanning and acceptance testing after deployment to each sector; however, the program does not have plans for future operational testing.", "paragraphs": ["CBP officials told GAO that in January 2018, the program will move from a mission support office to a joint program office under Border Patrol as a part of CBP\u2019s reorganization that started more than a year ago. The goal of this move is to make CBP land mobile radio capabilities seamless by combining the mission critical voice functions of Air and Marine Operations, the Border Patrol, and the Office of Field Operations\u2014the TACCOM program\u2019s primary customers\u2014under one organizational leader, the Border Patrol Chief.", "CBP officials anticipate that the current TACCOM program structure will remain in place after this move with the exception of the program\u2019s engineers, which will move to CBP\u2019s Office of Information and Technology but be assigned to support TACCOM full time. In August 2017, CBP officials told GAO they were in the process of hiring staff to fill the program\u2019s vacant positions. They added that the fiscal year 2019 budget contains plans for additional infrastructure enhancements, which will require technical staff to assist in the planning and execution of these efforts and may put additional strain on the program\u2019s limited government technical staff. They noted that the hiring and retention of qualified land mobile radio engineers and information technology technical staff is a challenge because of competition with the private sector, among other factors.", "In addition to maintenance of the CBP Land Mobile Radio System that provides critical communication needs for CBP agents and officers protecting U.S. borders, CBP officials stated the TACCOM program is providing infrastructure, such as building an engineering lab to facilitate design, development, test, and evaluation activities, to support improvements in CBP\u2019s current and future Land Mobile Radio Systems. CBP officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CUSTOMS AND BORDER PROTECTION (CBP)", "TECS (not an acronym) is a law-enforcement information system that has been in place since the 1980s and helps CBP officials determine the admissibility of persons entering the United States at border crossings, ports of entry, and prescreening sites located abroad. CBP initiated efforts to modernize TECS to provide users with enhanced capabilities for accessing and managing data. Immigration and Customs Enforcement has a separate TECS Modernization program.", "System operationally effective and suitable, but cybersecurity testing needed.", "CBP working to address and prevent major system outages.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In July 2017, Department of Homeland Security (DHS) leadership granted the program acquisition decision event (ADE) 3 approval, but required CBP to conduct follow-on operational test and evaluation (OT&E) before declaring full operational capability (FOC). This is more than a 2-year delay from CBP\u2019s initial FOC date and a 9-month delay from its most recent revised FOC date. DHS approved the fourth version of the program\u2019s acquisition program baseline (APB) in July 2016. In this APB, CBP split FOC into two separate operational capability milestones at its data centers to better reflect the program\u2019s activities.", "CBP delivered operational capability at the primary data center in Decemberas scheduled\u2014which provides redundant TECS access to minimize downtime during system maintenance or unscheduled outages. However, not all test results were available in time for the program\u2019s ADE 3 decision, which contributed to DHS leadership\u2019s decision to delay declaring FOC. 2016, which included transitioning all TECS users to the modernized system.", "CBP delivered operational capability at the secondary data center in June 2017\u2014The program updated its life-cycle cost estimate (LCCE) for ADE 3, which is within its current APB cost thresholds. However, the LCCE only included costs through fiscal year 2021\u20147 years short of DHS\u2019s guidance that states program cost estimates should cover at least 10 years from the FOC date. Nevertheless, DHS granted the program ADE 3 approval without an understanding of the program\u2019s full life-cycle costs, as required by its acquisition policy. CBP officials plan to update the LCCE by the end of calendar year 2018 to include costs for future years and other items, such as costs associated with follow-on OT&E and moving the data centers to a cloud environment\u2014a CBP-wide initiative.", "The program was not included in DHS\u2019s funding plan to Congress for fiscal years 2018 to 2022 because DHS did not report operations and maintenance (O&M) funding for individual programs. CBP officials anticipate receiving approximately $205 million in O&M funding over the next 4 years and have identified carryover for each year. However, CBP officials said there may be a small funding gap starting in fiscal year 2020, but they expect to achieve savings by migrating the data centers to a cloud environment.", "Customs and Border Protection (CBP)"], "subsections": []}, {"section_title": "In July 2017, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) determined that the modernized TECS system was operationally effective and operationally suitable, but that the tests were not adequate to assess operational cybersecurity. The test results validated that the program had met all eight of its key performance parameters (KPP), but the test team identified several deficiencies related to mission support and CBP users identified operational considerations for system or process improvements. DOT&E recommended that CBP conduct a threat assessment, threat- based cybersecurity operational testing, and follow-on OT&E to reassess known deficiencies and user operational considerations. In August 2017, DHS leadership directed CBP to complete these actions by the end of February 2018.", "paragraphs": [], "subsections": []}, {"section_title": "In January 2018, CBP officials stated that they continue to work with the OTA to address the deficiencies and develop a plan for follow-on OT&E. They noted that completion of this plan is dependent on the scope for cybersecurity testing and they are working with DOT&E to define the scope since the requirements have been evolving. CBP officials also stated that they monitor the program\u2019s KPPs monthly and plan to conduct monthly tests and quarterly maintenance checks to ensure operational functionality is maintained at both data centers.", "paragraphs": ["Since the program has completed development, CBP is focused on ensuring that the modernized TECS system works as intended by addressing operational issues as they are identified. For example, on January 2, 2017, a primary TECS Modernization application experienced a major outage that resulted in long airport delays. In August 2017, CBP officials said they continually monitor system health through a 24/7 operations center and have established a group dedicated to addressing the issues related to the January 2, 2017, outage.", "In September 2017, DHS\u2019s Office of Inspector General (OIG) found that nearly 100 outages, periods of latency, or degraded service were reported for three TECS Modernization applications between June 2016 and March 2017. The OIG also found that CBP\u2019s monthly reports on TECS system availability did not include periods of slowness or service interruptions that were caused by external factors. For example, the January 2, 2017, incident was identified in CBP outage reports, but was not captured in the monthly report because it was caused by a change to an external feed to the TECS system. CBP officials clarified that the monthly reports only account for interruptions that result in a full loss of operations for all TECS system users. The OIG recommended that CBP develop a plan to address factors that contributed to challenges regarding availability of primary traveler screening applications, among other things. CBP concurred with the recommendations.", "On January 1, 2018, the TECS system experienced another major outage that caused long airport delays; CBP officials said this incident is under review.", "CBP officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "LOGISTICS SUPPLY CHAIN MANAGEMENT SYSTEM (LSCMS)", "FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)", "LSCMS is a computer-based tracking system that FEMA officials use to track shipments during disaster-response efforts. It is largely based on commercial-off-the- shelf software. FEMA initially deployed LSCMS in 2005, and initiated efforts to enhance the system in 2009. According to FEMA officials, LSCMS can identify when a shipment leaves a warehouse and the location of a shipment after it reaches a FEMA staging area near a disaster location.", "FEMA now anticipates reaching full operational capability by June 2019, up to 6 months late.", "Recent testing shows progress, but additional operational testing delayed to May 2018.", "GAO last reported on this program in April 2017 (GAO-17-346SP)."], "subsections": []}, {"section_title": "Not included", "paragraphs": ["In November 2017, Department of Homeland Security (DHS) leadership approved a revised acquisition program baseline (APB) after the LSCMS program experienced a schedule breach. In September 2017, FEMA officials notified DHS leadership that it would not complete all required activities\u2014including follow-on operational test and evaluation (OT&E)\u2014to achieve acquisition decision event (ADE) 3 and full operational capability (FOC) by its initial APB dates of September 2018 and December 2018, respectively. According to FEMA officials, the delay was primarily caused by the need to deploy LSCMS program personnel in support of response and recovery efforts during the 2017 hurricane season. The program now plans to achieve FOC by June 2019\u2014up to 6 months later than initially planned.", "DHS leadership authorized LSCMS to resume all development and acquisition efforts in March 2016 after a nearly 2-year program pause following program management issues. In October 2017, FEMA officials told GAO that they had completed several development efforts\u2014such as integration with DHS\u2019s asset management system\u2014and were in the process of adding Electronic Data Interchange (EDI) to allow LSCMS to interface with its partners\u2019 information systems.", "The program\u2019s annual life-cycle cost estimate (LCCE) update continued to be within its APB cost thresholds. However, the program\u2019s APB thresholds are not adjusted to account for risk, which increases the chance that the program could experience a cost breach. As of November 2017, FEMA officials did not anticipate that its schedule delays would lead to a cost breach.", "Federal Emergency Management Agency (FEMA) LOGISTICS SUPPLY CHAIN MANAGEMENT SYSTEM (LSCMS)"], "subsections": []}, {"section_title": "All seven of the KPPs will be assessed as part of follow-on OT&E, which has been delayed from January 2018 as a part of the schedule breach. FEMA officials reported that they now plan to complete follow-on OT&E by May 2018, once the addition of EDI is complete.", "paragraphs": ["The LSCMS program previously experienced significant execution challenges because of poor governance. FEMA initially deployed the enhanced LSCMS in 2013 without DHS leadership approval, a DOT&E letter of assessment, or a DHS-approved APB documenting the program\u2019s costs, schedule, and performance parameters, as required by DHS\u2019s acquisition policy. DHS\u2019s Office of Inspector General also found that neither DHS nor FEMA leadership ensured the program office identified all mission needs before selecting a solution. In response, DHS leadership paused all LSCMS development efforts in April 2014 until the program addressed these issues, among others. FEMA subsequently completed an analysis of alternatives and developed an APB based on this assessment. DHS leadership approved the APB in December 2015 and authorized FEMA to resume all LSCMS development and acquisition efforts in March 2016.", "In October 2017, FEMA officials told GAO that the LSCMS program had minimal staffing shortages and was working to recruit additional staff. Officials previously attributed the program\u2019s governance and testing challenges, in part, to staffing shortages and we previously found that it only had 7 of the 22.5 full time equivalents it needed in fiscal year 2014. Although the program has obtained more staff since then, FEMA officials noted in October 2017 that during disasters\u2014such as 2017 hurricanes Harvey, Irma, and Maria\u2014LSCMS program personnel are deployed to support response and recovery efforts, which leave program positions vacant for the duration of the deployment.", "FEMA officials stated that during the response to hurricanes Harvey, Irma and Maria in 2017, LSCMS processed supply chain transactions that exceeded the total number of transactions from the preceding 12 years\u2014which includes the response to Hurricane Katrina. They added that the program provided support for nearly 130 million meals in 2017 compared to a total of approximately 84 million from the 12 previous years. FEMA officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "IMMIGRATION AND CUSTOMS ENFORCEMENT (ICE)", "Since the 1980s, TECS (not an acronym) has provided case management, intelligence reporting, and information sharing capabilities to support ICE\u2019s mission to investigate and enforce border control, customs, and immigration laws. ICE initiated efforts to modernize TECS in 2009 to replace aging functionality and provide end users with additional functionality to meet mission needs. Customs and Border Protection (CBP) executes a separate TECS Modernization program.", "Conducted additional testing of a revised key performance parameter and cybersecurity.", "Program has improved integration with external systems.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In November 2017, Department of Homeland Security (DHS) leadership approved a revised life-cycle cost estimate (LCCE) and acquisition program baseline (APB) in preparation for the program\u2019s acquisition decision event (ADE) 3 following deployment of final functionality. According to ICE officials, the program completed deployment of full operational capability (FOC) functionality in August 2017\u20144 months earlier than initially planned. FOC functionality included enhancements to case management capabilities, such as improved system search capabilities. The functionality was deployed in conjunction with enhancements and fixes for initial operational capability (IOC) functionality. The program achieved IOC in June 2016, which entailed delivering 80 percent of the modernized TECS functionality and successfully transitioning ICE off the legacy system.", "The overall cost thresholds in the current APB increased compared to the program\u2019s prior APB from July 2016. Specifically, the acquisition cost threshold decreased by $14 million and the operations and maintenance (O&M) cost threshold increased by $147 million. These costs changed for various reasons, such as the following:", "The acquisition cost threshold decreased when ICE included actual costs through fiscal year 2016 and accounted for funding shortfalls. ICE officials told GAO that the program experienced a funding shortfall in fiscal year 2017 that led it to adjust spending under multiple contracts and shift some costs to fiscal year 2018.", "The O&M cost threshold increased when ICE extended the estimate from fiscal years 2024 to 2028 and continued contractor and systems engineering support for an additional 11 years.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. ICE officials anticipate receiving approximately $94 million in O&M funding to cover an estimated $105 million in O&M costs over this 5-year period. ICE officials said that they are pursuing strategies to reduce future O&M costs, such as awarding a competitive contract in March 2018 for O&M activities and any future enhancements."], "subsections": []}, {"section_title": "The program\u2019s OTA completed follow-on operational test and evaluation (OT&E) in September 2017, which focused on evaluating the revised KPP, FOC functionality, and deficiencies identified during the program\u2019s initial OT&E. In March 2017, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) found that the program was operationally effective and suitable with limitations, but that the test was not adequate to evaluate operational cybersecurity. DOT&E recommended that the program conduct threat-based operational cybersecurity testing, among other things. ICE officials said that the program completed threat-based cybersecurity tests in September 2017 and had begun to address identified vulnerabilities. DOT&E anticipates assessing the results from the program\u2019s cybersecurity testing and follow-on OT&E by mid-February to support the ADE 3 decision.", "paragraphs": ["ICE officials continue to work closely with CBP to provide users access to various systems through the modernized TECS system. The program previously worked to resolve technical problems with CBP support services that emerged during final integration testing of the ICE and CBP modernized TECS systems, which contributed to a 3-month delay in achieving IOC. Users reported during initial OT&E that the modernized ICE TECS system was an improvement over the legacy system but they requested better integration with external systems, such as CBP\u2019s Seized Assets and Case Tracking System (SEACATS), which they use to determine the disposition of seized assets for case management and reporting purposes.", "According to ICE officials, CBP subsequently decided to modernize SEACATS. ICE officials stated that they have coordinated closely with CBP to integrate the two modernized systems and ensure un-interrupted access to SEACATS for TECS users. For example, ICE developed a workaround so that TECS users maintain access to the latest seizure data available from the modernized SEACATS. ICE officials added that they continue to make improvements in interfaces with other external systems as prioritized by end users.", "In July 2017, ICE reported that the program was fully staffed.", "ICE officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "CONTINUOUS DIAGNOSTICS AND MITIGATION (CDM)", "NATIONAL PROTECTION AND PROGRAMS DIRECTORATE (NPPD)", "The CDM program aims to strengthen the cybersecurity of the federal government\u2019s networks at more than 65 participating civilian agencies by providing tools and dashboards that continually monitor and report on network vulnerabilities. Tools are delivered in four phases: phase 1 and 2 tools report vulnerabilities in hardware and software, and user access controls, respectively; phase 3 tools will report on efforts to prevent attacks; and phase 4 tools will provide encryption to protect network data.", "Program revised its key performance parameters and test and evaluation master plan as a part of its rebaseline.", "Program plans to change its acquisition strategy and continues to face workforce challenges.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In June 2017, Department of Homeland Security (DHS) leadership re-baselined the CDM program for the third time to approve initiating development of phase 3 and to address challenges encountered during phase 1. Specifically, contractors previously found large gaps\u2014ranging from 19 to 384 percent\u2014in the actual number of devices needing phase 1 tools than what was originally reported by 12 agencies.", "The operations and maintenance (O&M) cost thresholds increased by $631 million when the program shifted some potential acquisition costs to beThe program\u2019s new acquisition program baseline (APB) modified the program\u2019s cost, schedule, and performance parameters. For example: consistent with DHS\u2019s new appropriation structure, among other things. The O&M cost thresholds previously decreased by $1.2 billion, in part, because DHS leadership determined the program would only fund CDM tools for the first 2 years after deployment. The acquisition costs did not increase despite phase 1 challenges, in part, because coverage for the U.S. Postal Service\u2014", "The program\u2019s full operational capability (FOC) date slipped almost 4 years after which had the largest gap in estimated devices\u2014will no longer be funded by the CDM program. it was redefined from deployment of phase 1-3 tools at 5 agencies to the availability of these tools to all participating agencies.", "However, the program\u2019s costs will increase and its FOC date may slip further once the program establishes goals for phase 4. NPPD officials said they were unable to complete planning efforts for phase 4 in time to incorporate it into the most recent APB revision and, therefore, plan to re-baseline the CDM program again in 2018.", "The CDM program identified a potential acquisition affordability gap in fiscal year 2018 based on its revised life-cycle cost estimate, which it addressed by adjusting the phase 3 schedule to shift some acquisition costs out to fiscal year 2020. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. However, the program anticipates receiving approximately $281 million in O&M funding over the 5-year period.", "12/16 Phase 1 initial operational capability (IOC)", "National Protection and Programs Directorate (NPPD) CONTINUOUS DIAGNOSTICS AND MITIGATION (CDM)"], "subsections": []}, {"section_title": "As part of its re-baselining efforts, the CDM program updated its operational requirements document and test and evaluation master plan. At the direction of DHS leadership, the program consolidated its previous 12 key performance parameters (KPP) into 5 main KPP functions\u2014identification, protection, detection, response, and recovery\u2014some of which have multiple sub-measures. The revised KPPs are intended to better align with the National Institute of Standards and Technology\u2019s Cybersecurity Framework and were developed in collaboration with key stakeholders, such as the Joint Requirements Council, DHS\u2019s Director, Office of Test and Evaluation (DOT&E), and the program\u2019s OTA.", "paragraphs": [], "subsections": []}, {"section_title": "The CDM program is only authorized to conduct testing on DHS networks, which means the other departments and agencies are responsible for testing the CDM tools and dashboards on their own networks. Under the program\u2019s revised test and evaluation master plan, the OTA plans to perform operational assessments (OA) on DHS\u2019s network to incrementally demonstrate each phase\u2019s capabilities as they are deployed and to reduce risk prior to conducting formal program-level operational test and evaluation (OT&E). NPPD officials anticipate the first OA will be completed in calendar year 2018 and will test integration of phase 1 tools and dashboard reporting. NPPD officials previously told GAO that they had observed operational testing conducted at three other agencies and, in September 2017, said they continue to work with the program\u2019s OTA to identify opportunities to observe testing at other agencies.", "paragraphs": ["The CDM program updated its acquisition plan as a part of its re-baselining efforts, which reflects a change in strategy for procuring CDM tools and integration services for participating agencies through the General Services Administration (GSA). Previously, the CDM program issued task orders for these tools and services through blanket purchase agreements established under vendors\u2019 GSA Federal Supply Schedule contracts. These agreements are set to expire in August 2018. Going forward, the program plans to use an existing GSA government-wide acquisition contract\u2014known as Alliant\u2014to obtain CDM tools and services. According to NPPD officials, the new acquisition strategy is intended to provide greater flexibility in contracting for current capabilities and to support future capabilities. It will also allow participating agencies to order additional CDM-approved products or services from GSA\u2019s schedule for information technology equipment, software, and services; however, as of September 2017, NPPD officials stated they were in the process of determining how this process will work.", "NPPD officials said that the program continues to face workforce challenges related to managing the program\u2019s change in contracts and planning for phase 4. In February 2018, NPPD officials stated that they had on-boarded 5 staff to help address the program\u2019s reported fiscal year 2017 gap of 16 full time equivalents. They noted that another 5 candidates were in the hiring process and that NPPD continues to work with officials from DHS\u2019s Office of the Chief Security Officer to reduce continued challenges in onboarding new staff due to the lengthy security clearance process.", "In addition to activities outlined in this assessment, NPPD officials stated that the CDM program continues to manage its budget to ensure program costs match available funding, and is leveraging the collective buying power of federal agencies and strategic sourcing to achieve government cost savings on CDM products. NPPD officials also stated that, as of December 2017, CDM has deployed agency dashboards to 23 agencies and was conducting and testing information exchanges of data between agency dashboards and the federal dashboard.", "HOMELAND ADVANCED RECOGNITION TECHNOLOGY (HART)", "NATIONAL PROTECTION AND PROGRAMS DIRECTORATE (NPPD)", "HART will replace and modernize the Department of Homeland Security\u2019s (DHS) legacy biometric identification system\u2014known as IDENT\u2014which shares information on foreign nationals with U.S. government and foreign partners to facilitate legitimate travel, trade, and immigration. NPPD plans to develop HART in four increments: increments 1 and 2 will replace and enhance IDENT functionality; increments 3 and 4 will provide additional biometric services, as well as a web portal and new tools for analysis and reporting.", "Key performance parameters will be demonstrated as capability is developed.", "Program has developed mitigation plans to address workforce risks.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In June 2017, NPPD declared a schedule breach when it determined the HART program would not be able to meet its initial acquisition program baseline (APB) milestones. DHS leadership approved the program\u2019s APB in April 2016 and authorized the program to initiate development efforts for increments 1 and 2 in October 2016. NPPD officials attribute the schedule slip to multiple delays in awarding the contract for increments 1 and 2 as a result of issues with the request for proposals (RFP). The program released the RFP in February 2017 and awarded the contract in September 2017\u2014approximately 9 months later than NPPD officials had planned. However, the program experienced additional delays after a bid protest to the contract award was filed with GAO in October 2017. GAO subsequently denied the protest and NPPD officials said the program plans to initiate work with the contractor in March 2018.", "HART initially planned to achieve initial operational capability (IOC) with the deployment of increment 1 in December 2018, at which point program officials anticipated beginning to transition users from IDENT to HART. However, it is unclear when this will now occur, which is a significant challenge because IDENT is at risk of failure and may be unable to fully support requirements related to new programs\u2014 such as Customs and Border Protection\u2019s Biometric Entry-Exit. As a result, delays in HART could contribute to delays in other DHS acquisition programs.", "The program updated its life-cycle cost estimate (LCCE) in June 2017 to inform the budget process. This LCCE is within its current APB cost thresholds, but does not account for the contractor\u2019s solution. The program plans to update its LCCE and other acquisition documentation, such as its APB, after initiating work with the contractor.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained operations and maintenance (O&M) funding for individual programs. However, the program anticipates receiving approximately $1.3 billion in O&M funding to cover $1.5 billion in O&M costs. NPPD officials explained that the current O&M cost estimate includes costs for maintaining IDENT. Future LCCE updates will reflect delivery of services through HART, which NPPD officials anticipate will be more cost effective.", "National Protection and Programs Directorate (NPPD)", "HOMELAND ADVANCED RECOGNITION TECHNOLOGY (HART)"], "subsections": []}, {"section_title": "HART plans to demonstrate its eight key performance parameters (KPP) as capabilities are developed. Increment 1 has two KPPs that establish requirements for system availability and a fingerprint biometric identification service. Increment 2 has four KPPs that establish requirements for multimodal biometric verification services and interoperability with a Department of Justice system. Increments 3 and 4 each have one KPP that establish requirements for web portal response time and reporting capabilities, respectively. However, NPPD officials stated they will revisit the KPPs for increments 3 and 4 as they define requirements for these increments.", "paragraphs": [], "subsections": []}, {"section_title": "S&T\u2019s Office of Systems Engineering completed a technical assessment on HART in February 2016, and concluded that the program had a moderate overall level of technical risk. In October 2016, DHS leadership directed HART to work with S&T to conduct further analysis following the program\u2019s initial contract award for increments 1 and 2. However, these efforts have also been delayed.", "paragraphs": ["NPPD officials told GAO they are currently planning for increments 3 and 4 and plan to refine the cost, schedule, and performance goals for these increments in its next APB. NPPD plans to pursue a separate contract for the development and delivery of increments 3 and 4. However, the program will require DHS leadership approval prior to initiating these development efforts.", "In September 2017, NPPD officials told GAO they had hired two staff and planned to hire additional staff to address the program\u2019s staffing gap of 5.5 full time equivalents. In response to DHS leadership\u2019s direction, the program coordinated with DHS\u2019s Chief Technology Officer to assess the skills and functions of staff necessary to execute the program and to develop the HART staffing plan. In its June 2017 staffing plan, the program identified workforce risks, including the potential for experiencing insufficient technical skillsets and inadequate resources to simultaneously execute development of HART and operate IDENT. To mitigate these risks, the program plans to develop a training plan to address the gap in skills, leverage support within the program by cross- training staff, and issue contracts for additional support as needed, among other things. However, if the program does not have adequate staff to complete these efforts, it may experience further schedule delays.", "NPPD officials stated that the program\u2019s schedule delays pose a challenge because IDENT remains at risk of failure despite incremental improvements to extend its service life and may be unable to fully support new customer requirements or requirements related to new programs. They added that the program has a risk management process, which it is using to manage a variety of identified risks\u2014including several related to workforce. They noted that these risks have not yet materialized. NPPD officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "NATIONAL CYBERSECURITY PROTECTION SYSTEM (NCPS)", "NATIONAL PROTECTION AND PROGRAMS DIRECTORATE (NPPD)", "NCPS is intended to defend the federal civilian government from cyber threats. NCPS develops and delivers capabilities through a series of \u201cblocks.\u201d Blocks 1.0, 2.0, and 2.1 are fully deployed and provide intrusion-detection and analytic capabilities across the government. The NCPS program is currently deploying EINSTEIN 3 Accelerated (EA) to provide intrusion-prevention capabilities and plans to deliver block 2.2 to improve information sharing across agencies.", "A at 95 percent of agencies and departments.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "NPPD officials said the program is on track to meet the schedule and cost goals in its current acquisition program baseline (APB), which reflected changes resulting from the adoption of some of the Department of Homeland Security\u2019s (DHS) Homeland Security Information Network (HSIN) capabilities for block 2.2 rather than developing custom solutions. However, challenges in completing test plans delayed testing:", "Initial operational test and evaluation (OT&E) for EA transition to sustainment\u2014 slipped from September 2016 to May 2017.", "The initial test event for block 2.2\u2014intended to inform the ADE 2C for deploying additional block 2.2 capabilities\u2014slipped from March 2017 to September 2017.", "As of August 2017, NPPD officials said NCPS had adopted all planned HSIN capabilities but one because of security concerns, which HSIN is addressing by piloting a new tool.", "The program updated its life-cycle cost estimate (LCCE) in June 2017 to inform the budget process, which is within its current APB cost thresholds. However, the program plans to update the LCCE again to support the EA, and costs through fiscal year 2022.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan no longer contained O&M funding for individual programs. NPPD officials anticipate receiving $1.8 billion in O&M funding over this 5-year period. The program is also projected to have an $83 million surplus in acquisition funding over this 5-year period, which NPPD officials anticipate will be less once the LCCE revision is complete.", "National Protection and Programs Directorate (NPPD)", "NATIONAL CYBERSECURITY PROTECTION SYSTEM (NCPS)"], "subsections": []}, {"section_title": "In October 2017, the NCPS program completed the first block 2.2 operational assessment (OA), which focused on testing delivery of an information sharing portal to inform the program\u2019s ADE 2C. In January 2018, DOT&E determined that it was too soon to assess block 2.2 progress toward operational effectiveness, suitability, and cybersecurity. DOT&E also noted block 2.2 is at risk of not meeting user needs because the portal comprises a small portion of planned capabilities and alignment with the operational requirements is unclear. DOT&E made a number of recommendations, including repeating the OA before conducting initial OT&E.", "paragraphs": ["A intrusion-prevention capabilities have been primarily provided through sole source contracts with internet service providers (ISP) and a contract to provide basic intrusion-prevention services. In December 2015, Congress required DHS to make available for use by federal agencies, certain capabilities, such as those provided by NCPS\u2019s EA at approximately 93 percent of civilian federal agencies and departments and, in January 2018, NPPD officials said NCPS was up to 95 percent. According to NPPD officials, the program first focused on integrating EA for individual agencies and departments, but stated that they continue to work with all agencies and departments to provide EA services and approximately 95 percent of the federal civilian .gov user population is protected by at least one EA and an OA of NCPS block 2.2 information sharing capabilities in 2017. NPPD officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "NEXT GENERATION NETWORKS PRIORITY SERVICES (NGN-PS)", "NATIONAL PROTECTION AND PROGRAMS DIRECTORATE (NPPD)", "NGN-PS is intended to address an emerging capability gap in the government\u2019s emergency telecommunications service, which prioritizes select officials\u2019 phone calls when networks are overwhelmed. NPPD executes NGN-PS through commercial telecommunications service providers, which addresses the government\u2019s requirements as they modernize their own networks. NPPD is executing NGN-PS in two phases\u2014(1) voice and (2) data and video.", "Initial operational capability for voice phase wireless capabilities achieved in August 2017.", "Acquisition of data and video phase capabilities to begin in September 2021.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In November 2017, the Department of Homeland Security\u2019s (DHS) Chief Financial Officer approved a revised life-cycle cost estimate (LCCE) for NGN-PS, which includes costs for the entire program\u2019s voice phase and eliminates operations and maintenance (O&M) costs. The program removed O&M costs because capabilities acquired through NGN-PS are transferred to and funded through NPPD\u2019s Priority Telecommunications Service (PTS) once they become operational. NGN-PS is currently focused on delivering its voice phase, which is divided into three increments:", "Increment 1 maintains current priority service on long distance calls as commercial service providers update their networks;", "Increment 2 delivers wireless capabilities; and", "Increment 3 is intended to address landline capabilities.", "The program\u2019s previous LCCE and current acquisition program baseline (APB) only include costs associated with increments 1 and 2. NPPD officials told GAO they plan to update the program\u2019s APB in January 2018 to include costs, schedule, and performance goals for increment 3 and expect to receive DHS leadership approval to initiate development by August 2018.", "NGN-PS remains on track to meet its cost and schedule goals for the first two increments of the voice phase. The program\u2019s full operational capability (FOC) for increment 1 previously slipped from June 2017 to March 2019, which NPPD officials attributed to funding shortfalls. NGN-PS achieved initial operational capability (IOC) for increment 2 wireless capabilities in August 2017 when priority service via cellular towers was demonstrated by the program\u2019s largest service provider.", "The program projects an acquisition affordability gap of $92 million from fiscal years 2018 to 2022. However, DHS\u2019s current funding plan does not include funding for increment 3, which accounts for the funding shortfall in fiscal years 2021 and 2022. NPPD officials said they anticipate receiving an additional $79 million in acquisition funding over this 2-year period, but will continue to prioritize capabilities if additional funding is not provided. These officials also said the program has achieved cost savings on increments 1 and 2 that will mitigate some of the projected shortfall in fiscal years 2018 and 2019.", "National Protection and Programs Directorate (NPPD)", "NEXT GENERATION NETWORKS PRIORITY SERVICES (NGN-PS)"], "subsections": []}, {"section_title": "NGN-PS capabilities are evaluated through developmental testing and operational assessments conducted by service providers on their own networks. However, NPPD officials noted that each emergency is unique and that performance can be affected by damage to telecommunications infrastructure. NPPD officials review the service providers\u2019 test plans, oversee tests to verify testing procedures are followed, and approve test results to determine when testing is complete. The OTA does not conduct a stand-alone operational test event for NGN-PS. Instead, the OTA leverages the service providers\u2019 test and actual operational data to assess program performance. NPPD officials also said that they continuously review actual NGN-PS performance and that all service providers undergo annual network service verification testing under the PTS program.", "paragraphs": ["NGN-PS was established in response to an Executive Order requiring the federal government to have the ability to communicate at all times during all circumstances to ensure national security and manage emergencies. A Presidential Policy Directive issued in July 2016 superseded previous directives requiring continuous communication services for select government officials. According to NPPD officials, the new directive validates the program\u2019s requirements for the voice phase and was used to develop requirements for the video and data phase. The program expects to begin the acquisition of the phase 2 for video and data in September 2021.", "In July 2017, NPPD reported that the program needed a systems engineer and was mitigating the vacancy with contracted support staff. The program also identified a need for an additional systems engineer and program support staff starting in fiscal year 2019 to support the start of increment 3. In August 2017, NPPD officials told GAO they continue to face challenges hiring and retaining engineers with adequate experience because of competition with the private sector. The program has historically mitigated staffing gaps by leveraging support from contracted and PTS program staff, as needed.", "In addition to activities identified in this assessment, NPPD officials stated that the program has received Joint Requirements Council validation of the phase 2 concept of operations and DHS leadership approval of the phase 2 operational requirements document. As of January 2018, the updated APB was in the approval process. NPPD officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "NATIONAL BIO AND AGRO-DEFENSE FACILITY (NBAF)", "SCIENCE AND TECHNOLOGY DIRECTORATE (S&T)", "The NBAF program is constructing a state-of-the-art laboratory in Manhattan, Kansas to replace the Plum Island Animal Disease Center. The facility will enable the Department of Homeland Security (DHS) and the Department of Agriculture (USDA) to conduct research, develop vaccines, and provide enhanced diagnostic capabilities to protect against foreign animal, emerging, and zoonotic diseases that threaten the nation\u2019s food supply, agricultural economy, and public health.", "Commissioning process underway, but performance will not be demonstrated until construction is complete.", "NBAF adequately staffed, but staffing needs will change as operational stand-up activities begin.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "The program\u2019s annual life-cycle cost estimate (LCCE) update is within its current acquisition program baseline (APB) cost thresholds and, according to NBAF officials, the program remains on track to meet its schedule goals. In August 2017, NBAF officials said that construction activities thus far\u2014such as pouring concrete for the main laboratory and steel framing\u2014have proceeded as anticipated and will continue through December 2020. NBAF officials told GAO the program has already received full acquisition funding for facility construction efforts through federal appropriations and gift funds from the state of Kansas.", "As construction continues, the program plans to begin operational stand-up activities for the facility. However, a potential affordability gap may delay the program\u2019s ability to complete these stand-up activities, which are needed to begin conducting laboratory operations. The program was not included in DHS\u2019s funding plan to Congress for fiscal years 2018 to 2022 because DHS did not report operations and maintenance (O&M) funding for individual programs. However, NBAF officials anticipate receiving only $149 million in O&M funding to cover an estimated $239 million in O&M costs over the next 5 years, resulting in a projected shortfall of approximately $90 million.", "NBAF officials stated the O&M funding gap could delay a number of operational stand-up activities, including plans to award a management operations and research support contract in October 2018, the purchase of laboratory and information technology equipment, and hiring of operations management staff. According to NBAF officials, if operational stand-up activities are delayed, there is a risk the facility will not be fully operational by December 2022, as is currently planned. This may delay the transition from the Plum Island Animal Disease Center, which is nearing the end of its useful life. NBAF officials reported that S&T plans to communicate the program\u2019s future funding needs to DHS leadership through the annual budget process. If the program does not receive the funding it requests, these officials stated that S&T will prioritize the operational stand-up activities that best reduce the risk of schedule delays.", "Science and Technology Directorate (S&T) NATIONAL BIO AND AGRO-DEFENSE FACILITY (NBAF)"], "subsections": []}, {"section_title": "A third-party commissioning agent has been retained as a subcontractor to the prime construction management contractor, and NBAF officials stated that a commissioning plan has been in place since 2012. According to NBAF officials, the commissioning agent worked with the facility design and construction teams to develop the commissioning plan, and detailed procedures are in place to install and commission equipment in the facility. The commissioning agent will monitor and test the facility\u2019s equipment and building systems while construction is ongoing to ensure they are properly installed and functioning according to appropriate biosafety specifications. The commissioning agent will report its findings directly to program officials and coordinate with other entities involved in the commissioning process, including the NBAF program office, the construction management contractor, and end users, among others. Full commissioning of the facility is scheduled to be completed by May 2021, 6 months after the completion of construction.", "paragraphs": ["NBAF officials reported that they coordinate regularly with key stakeholders. For example, they hold regular coordination meetings with USDA officials to discuss NBAF operations, including operational stand-up activities and future procurement. The NBAF program office has also begun outreach to the federal regulators responsible for awarding the registrations needed for NBAF to conduct laboratory operations to begin planning for this authorization process.", "The NBAF program office is currently fully staffed. However, NBAF officials reported the program\u2019s staffing needs will change in the coming years, as the program progresses through construction and begins operational stand-up of the facility. For example, over the next 5 years, the program will need to hire an operations director, bio-risk manager, chief information officer, and facility manager, among others, for NBAF operations management. However, the projected O&M funding shortfall during this same period could affect the program\u2019s ability to hire new staff when needed and complete operational stand-up activities on time.", "NBAF officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "ELECTRONIC BAGGAGE SCREENING PROGRAM (EBSP)", "TRANSPORTATION SECURITY ADMINISTRATION (TSA)", "Established in response to the terrorist attacks of September 11, 2001, EBSP tests, procures, and deploys transportation security equipment, such as explosives trace detectors and explosives detection systems, across approximately 440 U.S. airports to ensure 100 percent of checked baggage is screened for explosives. EBSP is primarily focused on delivering new systems with enhanced screening capabilities and developing software upgrades for existing systems.", "Program is incorporating requirements to address cybersecurity risk for existing systems.", "EBSP plans to pursue a new procurement approach in 2018, and staffing challenges exist.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In the program\u2019s annual life-cycle cost estimate update, its operations and maintenance (O&M) costs exceeded the acquisition program baseline (APB) cost threshold, which constitutes a breach under the Department of Homeland Security\u2019s (DHS) acquisition policy. The O&M costs increased when TSA accounted for updated maintenance costs and quantities, and shifted salaries from acquisition to O&M to align with DHS\u2019s new appropriation structure. TSA officials said they did not submit a breach notification because they considered the movement of salaries to be an administrative change. The program plans to update its APB in calendar year 2018 to reflect a new plan for procuring equipment under its current acquisition strategy. TSA officials said this APB will also reflect the cost changes.", "In May 2016, DHS leadership approved a revised APB for EBSP, which reflects its current acquisition strategy to competitively procure systems on an ongoing basis using qualified product lists. The program\u2019s revised APB cost thresholds decreased compared to its initial APB, which TSA officials attributed to various reasons, including shortening the program\u2019s end date by 3 years and lower than anticipated actual costs, among other things.", "TSA officials told GAO that one of their primary challenges is funding, and the program is projected to face a $72 million acquisition funding shortfall in fiscal year 2018. TSA identified $70 million in carryover funding to address this gap. To mitigate anticipated funding gaps in future years, TSA officials said they may shift projects from one fiscal year to another or cancel them altogether, which may result in the delay or elimination of screening capabilities. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. TSA anticipates receiving $980 million in O&M funding over this 5-year period to cover $1 billion in O&M costs.", "TSA officials anticipate achieving the program\u2019s final APB milestone\u2014initial operational capability (IOC) for systems that detect additional materials and provide an advanced threat detection algorithm\u2014by its revised threshold date. Previously, EBSP planned to award contracts for these systems in September 2015 and September 2018, respectively.", "Transportation Security Administration (TSA) ELECTRONIC BAGGAGE SCREENING PROGRAM (EBSP)"], "subsections": []}, {"section_title": "TSA officials previously stated that EBSP has demonstrated that all deployed systems can meet the program\u2019s key performance parameters, including automated threat detection, throughput, and operational availability. In September 2017, TSA officials said they had identified a critical need for improved cybersecurity requirements and plan to update the program\u2019s acquisition documentation starting in 2018.", "paragraphs": [], "subsections": []}, {"section_title": "Since March 2011, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) has assessed the operational test and evaluation (OT&E) results of 11 EBSP systems from multiple vendors and determined that 6 are effective and suitable. Most recently, DOT&E found that a medium-speed explosives detection system with an advanced threat detection algorithm tested in May 2017 was effective with limitations and not suitable, primarily because of the increase in manpower needed to operate the system on a long-term, continuous basis. TSA officials do not have any plans to retest this system within the next year. DOT&E also found that a reduced-size standalone explosives detection system tested in March 2017 was suitable with limitations, but not effective because of multiple factors resulting in the inability of operators to maintain control of baggage.", "paragraphs": ["As of December 2017, EBSP had deployed 1,664 explosives detection systems and 2,638 explosives trace detectors nationwide. In 2018, EBSP plans to pursue a new competitive procurement approach to replace and update existing systems that will include:", "New contract vehicles to better align EBSP procurement activities with the program\u2019s strategic roadmap.", "Updates to EBSP\u2019s vendor qualification process to allow for vendor collaboration before testing.", "Transitioning from procuring systems with different sizes and speeds to two types: (1) inline systems that integrate with a baggage handling system and are linked through a network and (2) standalone systems that may be integrated with a baggage handling system, but not linked to a network.", "The program is in the process of updating its acquisition documentation to reflect this new procurement approach and TSA officials anticipate opening a qualified products list for new systems starting in June 2018.", "TSA officials said that staffing remains a challenge for the program because of cuts in government and contracted mission support staff and critical vacancies, including a division director. In September 2017, TSA reported that existing personnel across the program have assumed responsibilities of these positions, but workloads are unsustainable at current staffing levels.", "TSA officials stated that EBSP continues to procure, test, and deploy equipment and capabilities to recapitalize older equipment, improve security screening capability at airports, and enhance the detection capabilities of the fleet. They added that TSA employs extensive testing to verify the suitability and effectiveness of equipment to meet requirements. Moving forward, EBSP intends to establish IOC milestones for new technologies and capabilities, while allowing TSA the flexibility to make risk-based decisions. TSA officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "PASSENGER SCREENING PROGRAM (PSP)", "TRANSPORTATION SECURITY ADMINISTRATION (TSA)", "The Department of Homeland Security (DHS) established PSP in response to the terrorist attacks of September 11, 2001. PSP identifies, tests, procures, deploys, and sustains transportation security equipment across approximately 440 U.S. airports to help TSA officers identify threats concealed on people and in their carryon items. The program aims to increase threat detection capabilities, improve the efficiency of passenger screening, and balance passenger privacy and security.", "Started testing on the Credential Authentication Technology in TSA Precheck lanes during 2017.", "Critical staffing vacancies persist and may delay followon acquisition planning efforts.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "In May 2017, the DHS Under Secretary for Management (USM) approved the sixth version of the PSP acquisition program baseline (APB) and subsequently removed the program from breach status. In January 2016, TSA declared a schedule breach of a key milestone\u2014acquisition decision event (ADE) 3\u2014for the Credential Authentication Technology (CAT) because of delays in incorporating new cybersecurity requirements.", "Consistent with previous versions of the program\u2019s APB, the new baseline modified the program\u2019s cost, schedule, and performance parameters. For example, the program established the following:", "Separate CAT milestone dates for TSA Precheck and standard lanes. TSA officials stated there is no capability difference between screening lanes, but an initial focus on TSA Precheck lanes will assist with demonstrating CAT requirements and resolving past testing issues that contributed to an initial 4-year delay to CAT\u2019s full operational capability (FOC) date. PSP now plans to reach FOC for CAT more than 5 years later than its revised target of June 2018 and more than 9 years later than initially planned.", "New FOC dates for other technologies, which TSA officials said are expected to be more realistic about delivery dates and account for changes in some FOC quantities. For example, TSA requested and received approval in September 2017 to increase FOC quantities for second generation Advanced Technology (AT-2) TierI systems to meet increasing passenger volume and expected airport growth.", "In May 2017, the USM also directed the program to revise its life-cycle cost estimate (LCCE) in response to less-than-expected funding levels. The new LCCE also shifted some acquisition costs to operations and maintenance (O&M) to be consistent with DHS\u2019s new appropriation structure. TSA officials believe the new funding profile will be sufficient to sustain legacy PSP equipment, but will significantly limit the program\u2019s ability to enhance existing equipment capabilities and support operational needs. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained O&M funding for individual programs. TSA anticipates receiving $906 million in O&M funding over this 5-year period to cover $923 million in O&M costs.", "05/17 APB version 6.0 approved 03/20 CAT ADE 3 (precheck lanes)", "09/21 CAT ADE 3 (standard lanes)", "12/21 CAT FOC (precheck lanes)", "12/23 CAT FOC (standard lanes)", "Transportation Security Administration (TSA)", "PASSENGER SCREENING PROGRAM (PSP)"], "subsections": []}, {"section_title": "Since August 2010, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) has assessed the test results of eight PSP systems from multiple vendors and determined that three are effective and suitable. Most recently, DOT&E reviewed the results from an assessment of automated screening lanes, which TSA began pursuing in fall 2016 in response to an urgent operational need to address increasing passenger wait times. DOT&E found that automated systems showed potential to increase passenger screening rates, but noted some adverse impact on system performance and availability.", "paragraphs": ["Automated screening lanes operational utility assessment AT-2 tier II follow-on operational test & evaluation (OT&E)"], "subsections": []}, {"section_title": "Going forward, TSA plans to conduct testing on updates made to existing PSP systems, as well as complete testing of CAT. TSA initiated CAT developmental testing in TSA Precheck lanes in late fiscal year 2017 and anticipates completing operational testing by June 2019. Testing will expand to standard screening lanes shortly thereafter and is expected to be complete by September 2020. However, in November 2017, DHS leadership approved TSA\u2019s proposal to transfer requirements from the Security Technology Integrated Program, which provides critical data connectivity capabilities, to CAT to reduce the dependency between the programs. DHS leadership directed TSA to complete several actions to account for this change, including updating CAT\u2019s operational requirements document and test and evaluation master plan. In January 2018, TSA officials said that they determined CAT\u2019s current operational requirements document was still valid and anticipate updating the test and evaluation master plan by March 2018.", "paragraphs": ["TSA employs two acquisition strategies to acquire PSP systems:", "Qualified Product List (QPL) approach\u2014used for proven technologies when capability requirements are rigid and contractors\u2019 systems are mature. Any contractors\u2019 systems that demonstrate they meet the capability requirements are added to the QPL. TSA has used this approach to acquire the second generation AT-2 systems, Bottled Liquid Scanners, and Explosive Trace Detectors.", "Low Rate Initial Production (LRIP) approach\u2014used when capability requirements are flexible and contractors\u2019 systems are evolving. Under this approach, PSP uses a series of development contracts to enhance systems\u2019 capabilities over time. PSP is currently using this approach to acquire CAT.", "TSA planned to initiate new acquisition programs starting in fiscal year 2018 that will replace PSP, but this effort may be at risk because of understaffing. In August 2017, TSA reported that its checkpoint screening division\u2014whose staff is concurrently responsible for PSP and its follow-on programs\u2014continued to have staffing vacancies, including project managers, analysts, and a deputy program manager. TSA is mitigating these gaps with existing staff and, according to TSA officials, the staffing challenges may decrease because the new programs may be delayed in response to funding cuts.", "TSA officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "TECHNOLOGY INFRASTRUCTURE MODERNIZATION (TIM)", "TRANSPORTATION SECURITY ADMINISTRATION (TSA)", "The TIM program was initiated to address shortfalls in TSA\u2019s threat assessment screening and vetting functions by providing a modern and centralized end-to-end credentialing system. The TIM system will manage credential applications and the review process for millions of transportation workers and travelers across three segment populations: maritime, surface, and aviation. It will support large programs, such as TSA Precheck and the Transportation Worker Identification Credential.", "Operational testing identified limitations with the system; cybersecurity has not been assessed.", "Staffing gaps in key areas, such as systems engineering and testing, are a significant program risk.", "GAO last reported on this program in October and April 2017 (GAO-18-46, GAO-17- 346SP).", "The TIM program is on track to meet the cost and schedule goals in its current acquisition program baseline (APB). In September 2016, the Department of Homeland Security\u2019s (DHS) Under Secretary for Management approved the TIM program\u2019s revised APB\u2014which reflected a new technical approach to deploy capabilities using an agile development methodology\u2014and subsequently removed the program from breach status, authorizing TSA to resume new development after a nearly 22-month pause. DHS leadership paused new development in January 2015 after the program breached its initial APB goals for various reasons, including technical challenges, insufficient contractor performance, and the addition of new requirements after DHS leadership had approved the program\u2019s initial acquisition strategy. The program now plans to achieve full operational capability (FOC) in March 2022 and its life-cycle cost estimate (LCCE) increased to account for this 6-year schedule slip and integration with the Transportation Vetting System, among other things.", "Since the program\u2019s re-baseline, it has been developing and deploying capabilities in 2-month incremental agile releases, such as functionality to transition TSA Precheck program to the TIM system. The program updated its LCCE in November 2017 to inform a program review with DHS leadership, which is within its current APB cost thresholds. The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained operations and maintenance (O&M) funding for individual programs. TSA officials anticipate receiving approximately $318 million in O&M funding over this 5-year period, which includes nearly $118 million in fees from vetting programs. TSA officials plan to realign $57 million to cover the projected acquisition shortfall, and said any additional surplus funding available in fiscal year 2022 would be used to implement new system requirements identified by the program\u2019s customers.", "In November 2017, TSA officials identified several program and technical risks that could affect the program\u2019s cost, schedule, and performance. These risks include an increase in new requirements and increased risk of system vulnerabilities and cyberattacks if the program does not identify a provider to perform software updates on open source code. TSA officials are working to mitigate these risks.", "Transportation Security Administration (TSA)", "TECHNOLOGY INFRASTRUCTURE MODERNIZATION (TIM)"], "subsections": []}, {"section_title": "In April 2017, DHS\u2019s Director, Office of Test and Evaluation (DOT&E) assessed the results of the program\u2019s November 2016 follow-on operational test and evaluation (OT&E) for the maritime segment and determined that the system: \u2022 met two of its four key performance parameters (KPP), \u2022 was operationally effective and suitable with limitations, and \u2022 was not cyber-secure because threat-based cybersecurity testing was deferred to November 2018, after the program completes its migration to a new production environment.", "paragraphs": [], "subsections": []}, {"section_title": "The OTA did not evaluate the program\u2019s KPP related to enforcing system user access controls because it was new to the TIM program when testing began. In addition, the OTA cannot conduct testing on the program\u2019s remaining KPP related to information reuse until the surface and aviation segments are deployed.", "paragraphs": [], "subsections": []}, {"section_title": "In March 2017, DOT&E approved a new test and evaluation master plan for the TIM program, which calls for the OTA to conduct continuous operational testing for each 2-month agile release and document the results in a dashboard. According to TSA officials, the results of each release are provided to DOT&E, but DOT&E does not provide a formal assessment of these results. DOT&E plans to assess the results of the program\u2019s cybersecurity testing in late calendar year 2018.", "paragraphs": ["Under the program\u2019s new technical approach, TSA plans to replace the TIM system\u2019s existing commercial-off-the-shelf applications with open source applications\u2014software that can be accessed, used, modified, and shared by anyone\u2014and move to a new virtual environment. The program\u2019s new agile development methodology develops, tests, and deploys capabilities using an iterative, rather than a sequential approach. Consistent with this strategy, TSA awarded task orders in 2016 and 2017 totaling $34.5 million to the program\u2019s existing contractor for agile design and development services, and plans to competitively award a new contract by May 2018.", "In October 2017, GAO found that TSA had not fully implemented several leading practices to ensure successful agile adoption. GAO also found that TSA and DHS needed to conduct more effective oversight of the TIM program to reduce the risk of repeating past mistakes. DHS concurred with all 14 recommendations made by GAO to improve program execution and oversight, and identified actions DHS and TSA can take to address them.", "TSA reported that staffing challenges are a significant risk to the program\u2019s success and identified gaps in key areas\u2014such as systems engineering, testing, and agile development. Program officials told GAO these positions cannot be filled because of a hiring freeze within TSA, which the component has imposed to assess their current workforce and restructure, if necessary. Program officials told GAO they requested waivers from the hiring freeze and, as of January 2018, they had received approval to hire 4 additional staff.", "TSA officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "FAST RESPONSE CUTTER (FRC)", "UNITED STATES COAST GUARD (USCG)", "The USCG uses the FRC to conduct search and rescue, migrant and drug interdiction, and other law enforcement missions. The FRC carries one cutter boat on board and is able to conduct operations in moderate sea conditions. The FRC replaces the USCG\u2019s Island Class patrol boat and provides improved fuel capacity, surveillance, and communications interoperability with other Department of Homeland Security (DHS) and Department of Defense assets.", "FRC found operationally effective and suitable, and all key performance parameters validated.", "Main diesel engine issues persist, which may require further retrofits.", "GAO last reported on this program in March and April 2017 (GAO-17-218, GAO-17- 346SP).", "According to USCG officials, the FRC program is on track to meet its current cost and schedule goals. The USCG plans to acquire 58 FRCs and, as of September 2017, 25 had been delivered and 19 were on contract. To inform the budget process, the program updated its life-cycle cost estimate in June 2017, which is within its current acquisition program baseline (APB) cost thresholds.", "Previously, the program\u2019s initial operational capability (IOC) date slipped after a bid protest related to the program\u2019s initial contract award\u2014now known as phase 1\u2014and the need for structural modifications. USCG officials attributed the 5-year slip in the program\u2019s full operational capability (FOC) date to a decrease in annual procurement quantities under the phase 1 contract. Specifically, in fiscal years 2010 and 2011, the quantities decreased from 6 FRCs per year to 4. In May 2014, the USCG determined that it would procure only 32 of the 58 FRCs through this contract and initiated efforts to conduct a full and open competition for the remaining 26 vessels\u2014known as phase 2.", "In May 2016, the USCG awarded the phase 2 contract for the remaining 26 FRCs, which has a potential value of $1.42 billion. Under the phase 2 contract, the USCG can procure 4 to 6 FRCs per option period. The USCG ordered 6 FRCs at the time of the phase 2 award and, in June 2017, exercised an option for an additional 6 FRCs.", "The USCG has established that the annual procurement quantity will be dictated by funding levels, and funding shortfalls could cause further schedule delays. The affordability gap from fiscal years 2018 to 2022 may be overstated because\u2014as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not contain operations and maintenance (O&M) funding for USCG programs. USCG officials anticipate receiving $1.6 billion in O&M funding over this 5-year period. USCG officials stated that they expect to exercise an option for 4 FRCs in fiscal year 2018 and that the USCG plans to prioritize acquisition funding in fiscal years 2019 and 2020 to procure the final 10 hulls and complete procurement of all 58 FRCs.", "United States Coast Guard (USCG) FAST RESPONSE CUTTER (FRC)"], "subsections": []}, {"section_title": "DOT&E noted that these deficiencies do not prevent mission completion or present a danger to personnel, but recommended that they be resolved as soon as possible. USCG officials indicated that they plan to resolve the remaining deficiencies through engineering or other changes.", "paragraphs": ["The USCG continues to work with the contractor\u2014Bollinger Shipyards, LLC\u2014to address issues covered by the warranty and acceptance clauses for each ship. For example, 18 engines\u20149 operational engines and 9 spare engines\u2014have been replaced under the program\u2019s warranty. According to USCG documentation, 65 percent of the current issues with the engines have been resolved through retrofits; however, additional problems with the engines have been identified since our April 2017 review. For example, issues with water pump shafts are currently being examined through a root cause analysis and will be redesigned and are scheduled to undergo retrofits starting in December 2018. We previously found that the FRC\u2019s warranty resulted in improved cost and quality by requiring the shipbuilder to pay for the repair of defects. As of September 2017, USCG officials said the replacements and retrofits completed under the program\u2019s warranty allowed the USCG to avoid an estimated $104 million in potential unplanned costs\u2014of which $63 million is related to the engines.", "The FRC program does not have any critical staffing vacancies, but the USCG identified insufficient staffing for shore-side support groups as a potential risk that could affect the asset\u2019s operations. These groups provide maintenance to the FRCs while they are in port. In order to mitigate this staffing issue, the USCG is using commercial contracts for maintenance to supplement the capacity of the USCG\u2019s maintenance staff.", "USCG officials stated that the FRC program is fully funded, executable, and on track to reach FOC by March of 2027. They added that FRCs were recently delivered to locations in Mississippi, Alaska, and Hawaii. USCG officials stated that FRCs are integral to USCG operations, such as providing critical support during the recent hurricane season, and that the program office continues to work with the contractor and stakeholders to quickly and properly address issues with FRCs as they are identified. USCG officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "H-65 CONVERSION/SUSTAINMENT PROGRAM (H-65)", "UNITED STATES COAST GUARD (USCG)", "The H-65 aircraft is a short-range helicopter that the USCG uses to fulfill its missions, including search and rescue, ports and waterways security, marine safety, and defense readiness. The H-65 acquisition program increased the fleet\u2019s size by 7 aircraft, added armament capabilities, upgraded navigation systems, and replaced each of the helicopters\u2019 engines. The program is currently focused on upgrades to radar sensors, the automatic flight control system (AFCS), and avionics.", "Operational assessment of avionics upgrade planned to start in February 2018.", "Program fully staffed, but schedule slips raise risks with future staffing requirements.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "As of November 2017, the program remains in breach of its current acquisition program baseline (APB). In November 2016, the USCG notified Department of Homeland Security (DHS) leadership that it would not complete all activities required\u2014including developmental testing and an operational assessment\u2014to achieve acquisition decision event (ADE) 2C for low-rate initial production of the avionics and AFCS upgrades by its current APB threshold date of March 2017. USCG officials primarily attributed these delays to an underestimation of the technical effort necessary to meet the requirements and have subsequently worked with the contractor to continue development of avionic upgrades.", "In January 2017, DHS leadership directed the program to update its APB, life-cycle cost estimate (LCCE) and test and evaluation master plan by May 2017. However, the USCG did not meet this deadline, in part, because it decided to add a service life extension program (SLEP) to the H-65 program. The SLEP is expected to extend the current 20,000 flight hour service life of each aircraft by another 10,000 flight hours by replacing obsolete aircraft components. USCG officials stated that this will allow the USCG to delay purchasing new aircraft to prioritize funding for the Offshore Patrol Cutter.", "USCG officials plan to obtain approval for the SLEP when the program submits its revised APB for DHS approval, which is expected by March 2018. The program is revising its LCCE, but provided an update in June 2017 to inform the budget process. This update exceeds its current APB thresholds because it includes an initial estimate for the SLEP. The USCG estimates that the SLEP will cost $54 million for the entire fleet. USCG officials attributed the increase in operations and maintenance (O&M) costs to the additional extension of the aircraft\u2019s operational life. The program\u2019s O&M costs previously increased due to the USCG\u2019s decision to extend the aircraft\u2019s operational life from 2030 to 2039.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because\u2014 as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not contain O&M funding for USCG programs. USCG officials anticipate receiving $1.6 billion in O&M funding over this 5-year period.", "United States Coast Guard (USCG)", "H-65 CONVERSION/SUSTAINMENT PROGRAM (H-65)"], "subsections": []}, {"section_title": "The program\u2019s OTA plans to conduct an operational assessment starting in February 2018 to identify areas of risk before beginning initial operational test and evaluation (OT&E) in late calendar year 2018. Initial OT&E is intended to test all of the H-65 upgrades installed throughout the life of the program to support approval for full-rate production.", "paragraphs": ["The USCG awarded new contracts to Rockwell Collins\u2014the original equipment manufacturer of the legacy AFCS and avionics\u2014to address the challenges encountered with development of the new upgrades. Specifically, the program awarded new contracts to support continued development of the AFCS and avionics upgrades in July 2016 and March 2017, respectively. As of September 2017, the combined value of both contracts totaled more than $15 million.", "The USCG cancelled development of a dedicated surface search radar capability for the H-65 in 2014, but USCG officials said a commercial off-the-shelf weather radar with surface search capability will be installed as part of the avionics upgrade.", "USCG officials said there is some risk involved with extending the aircrafts\u2019 service life beyond 20,000 flight hours since it has never been done by other agencies that operate the H-65. However, USCG officials stated that the aircraft manufacturer, Airbus, assisted the USCG\u2019s chief aeronautical engineer in identifying specific parts needing replacement and is providing support.", "In July 2017, the USCG reported that the program was fully staffed, but that the schedule slips have introduced potential risks with future staffing requirements. The program is mitigating these risks by extending some military personnel and ensuring rotating personnel are replaced by new staff with the expertise needed to complete the program\u2019s planned activities, such as testing.", "USCG officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "UNITED STATES COAST GUARD (USCG)", "The program is intended to assist the USCG in maintaining the capability to access the Arctic and Antarctic polar regions. The USCG requires its icebreaking fleet to conduct multiple missions, including defense readiness; marine environmental protection; ports, waterway, and coastal security; and search and rescue. The USCG plans to acquire three heavy icebreakers to recapitalize the only existing operational heavy icebreaker, which is nearing the end of its service life.", "Program initiated model testing of hull and propulsion systems, which will inform design decisions.", "Program office integrates USCG and Navy personnel, but funding responsibilities may cause challenges.", "GAO last reported on this program in September 2017 (GAO-17-698R).", "In June 2014, Department of Homeland Security (DHS) leadership granted the program acquisition decision event (ADE) 1 approval. The Acting Under Secretary for Management also acknowledged the USCG\u2019s need to accelerate the acquisition process to mitigate gaps in the heavy icebreaking capability because the service life of the USCG\u2019s only heavy polar icebreaker, which had already been extended, could end as early as 2020.", "In January 2018, DHS leadership approved the program\u2019s initial acquisition program baseline (APB) establishing cost, schedule, and performance goals. The USCG planned to achieve a combined ADE 2A and 2B by December 2017, which would authorize the initiation of development efforts. According to DHS officials, this milestone was delayed to February 2018 to allow for the completion of required acquisition documents to inform the decision, such as the program\u2019s life-cycle cost estimate and APB.", "The USCG is partnering with the Navy to leverage shipbuilding expertise and engaging early with potential shipbuilders through industry studies to mitigate some risks associated with the program\u2019s accelerated acquisition schedule. However, GAO previously found that the program faces challenges in implementing the accelerated schedule. For example, the first icebreaker\u2014which is preliminarily estimated to cost about $750 million to design and construct\u2014would need to be fully funded in fiscal year 2019 at the same time the USCG is expecting to prioritize funding for the Offshore Patrol Cutter.", "In fiscal year 2017, the Consolidated Appropriations Act or associated explanatory materials, reflected funding for the program, including $150 million for advance procurement of heavy polar icebreakers and $25 million to the USCG for programmatic costs, respectively. USCG officials stated that the Navy funding could cover most of the design costs but would not cover long lead items or construction costs for any of the ships. They further stated that uncertainties with the amount and source of future appropriations have made planning the icebreaker acquisition challenging.", "United States Coast Guard (USCG)", "DHS leadership approved four key performance parameters (KPP) related to the ship\u2019s ability to independently break through ice, the ship\u2019s operating duration, and communications.", "In May 2017, the USCG began model testing of potential hull designs and propulsion configurations. USCG officials explained that the hulls of icebreakers are unique from other ships because they must balance a hull design optimized for icebreaking, which are generally broad and blunt, against a hull design optimized for seakeeping, which are generally narrow and streamlined. USCG officials noted that the power demands and propulsion system for the ship are dependent on the hull design. USCG officials stated that maneuverability was identified as a challenge during model testing and explained that azimuthing propulsors\u2014propellers that sit below the ship and can rotate 360 degrees\u2014offered better maneuverability than traditional propulsion systems. USCG officials said these propulsors are widely used on commercial ships, but may need modification to meet the USCG\u2019s requirements. USCG officials anticipate results from the model testing to be completed by March 2018 and plan to use these results to inform the final specifications for the ships."], "subsections": []}, {"section_title": "In November 2017, DHS\u2019s Director, Office of Test and Evaluation approved the program\u2019s test and evaluation master plan, which calls for additional model testing to assess resistance, propulsion, and maneuverability.", "paragraphs": ["The USCG established an integrated heavy polar icebreaker program office with the Navy and in 2017, DHS, the USCG, and Navy entered into several agreements that outline oversight roles, among other things. For example, these agreements state that the program will follow DHS acquisition policies with DHS leadership serving as the acquisition decision authority for program milestones. However, the Navy will review and approve acquisition documents before the program seeks DHS approval. These agreements also state that the program\u2019s contracting actions could be funded by either USCG or Navy appropriations, and the source of the appropriations will award the contract.", "The program plans to competitively award a contract, which would include options for the detail design and construction for all three ships to a single shipbuilder by June 2019. Program officials stated they plan to award the contract under full and open competition to obtain competitive prices and include the construction of the three ships as options to accommodate the program\u2019s funding uncertainties. In February 2017, the USCG awarded contracts to five shipbuilders\u2014valued at approximately $4 million each\u2014for design studies which will inform program decisions. Program officials stated that under these design studies contracts, the shipbuilders developed several potential ship designs and preliminary costs, with a focus on alternative propulsion options and hull designs.", "In August 2017, USCG officials told GAO that the program\u2019s staffing gap was not negatively impacting program efforts.", "USCG officials stated that the program office had completed requirements for ADE 2A and 2B, and is on track to release the request for proposals for the detail design and construction contract by March 2018. These officials added that, during 2017, the program office refined the program\u2019s requirements, completed ice and open water model testing, and partnered with five industry teams to evaluate multiple design solutions. USCG officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "LONG RANGE SURVEILLANCE AIRCRAFT (HC-130H/J)", "UNITED STATES COAST GUARD (USCG)", "The USCG uses HC-130H and HC-130J aircraft to conduct search and rescue missions, transport cargo and personnel, support law enforcement, and execute other operations. Both aircraft are quad-engine propeller-driven platforms. The HC-130J is a modernized version of the HC-130H, which has advanced engines, propellers, and equipment that provide enhanced speed, altitude, range, and surveillance capabilities.", "Performance testing of new mission system processor complete.", "Transfer of HC-130H aircraft to other agencies ongoing.", "GAO last reported on this program in April 2017 (GAO-17-346SP).", "During 2017, the USCG continued a nearly 3-year effort to re-baseline the program\u2014 which includes revisions to the program\u2019s life-cycle cost estimate (LCCE) and acquisition program baseline (APB)\u2014to account for significant changes. Specifically, the USCG decided to pursue an all HC-130J fleet and, in fiscal year 2014, Congress directed the transfer of 7 HC-130H aircraft to the U.S. Air Force. The USCG was in the process of upgrading these aircraft, but cancelled further HC-130H upgrades. In September 2017, Department of Homeland Security (DHS) leadership directed the USCG to submit the revised APB by January 2018.", "According to USCG officials, the re-baseline has been delayed, in part, because Congress also directed the USCG to conduct a multi-phased analysis of its mission needs. In November 2016, the USCG submitted the results of its analysis for fixed- wing aircraft, which confirmed the planned total quantity of 22 HC-130J aircraft and an annual flight-hour goal of 800 hours per aircraft. USCG officials said the results of the analysis will be reflected in the program\u2019s revised LCCE and subsequent APB, but noted that challenges with the vendor hired to complete the LCCE revision have also contributed to delays. The program submitted cost information in June 2017 to inform the budget process, but it reflected no updates from the program\u2019s November 2011 LCCE. USCG officials previously attributed the acquisition cost growth and schedule slip from the program\u2019s initial APB to the increase in HC-130J quantities from 6 to 22. However, when the revised LCCE is complete, estimated costs may decrease since the HC-130J aircraft are less expensive to maintain.", "As of December 2017, USCG officials stated they had received 11 HC-130J aircraft and had awarded contracts for 3 more\u2014some of which were not requested. USCG officials previously stated that the program needs to acquire 1-2 HC-130J aircraft per year to meet its full operational capability (FOC) date. However, it is unclear how the USCG will meet its FOC date because it only requested funding for 1 aircraft over the next 5 years. The affordability gap from fiscal years 2018 to 2022 may be overstated because\u2014as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not contain operations and maintenance (O&M) funding for USCG programs. USCG officials anticipate receiving approximately $1.4 billion in O&M funding over this 5- year period.", "United States Coast Guard (USCG)", "LONG RANGE SURVEILLANCE AIRCRAFT (HC-130H/J)"], "subsections": []}, {"section_title": "The HC-130J will not be able to meet two of its seven key performance parameters (KPP) until the USCG installs a new mission system processor on the aircraft\u2014an effort that is already underway. These two KPPs are related to the detection of targets and the aircraft\u2019s ability to communicate with other assets. The USCG is replacing the mission system processor on its fixed-wing aircraft\u2014including the HC-130J\u2014with a system used by the U.S. Navy and DHS\u2019s Customs and Border Protection. The new mission system processor is intended to enhance operator interface and sensor management, and replace obsolete equipment.", "paragraphs": [], "subsections": []}, {"section_title": "The USCG conducted developmental testing on a prototype of the HC-130J mission system processor. According to USCG officials, this testing was completed in June 2017 and successfully demonstrated the new mission system processor in a variety of operational environments. The USCG does not plan to operationally test the new processor on the HC-130J, in part, because the aircraft has already been tested. In 2009, DHS\u2019s Director, Office of Test and Evaluation and the USCG determined the HC-130J did not need to operationally test the airframe because the U.S. Air Force conducted operational testing on the base C-130J airframe in 2005. Instead, the USCG plans to operationally test the new mission system processor in fiscal year 2021 during operational testing on the C-27J, which is new to the USCG\u2019s fixed-wing fleet. As of November 2017, the USCG had accepted three HC-130J aircraft outfitted with the new mission system processor.", "paragraphs": ["In December 2013, Congress directed the transfer of 7 HC-130H aircraft to the U.S. Air Force for modifications\u2014which consists of upgrades and installing a fire retardant delivery system\u2014and subsequent transfer to the U.S. Forest Service. This direction factored into the USCG\u2019s decision to pursue an all HC-130J fleet. As of December 2017, the Forest Service had not yet received any modified aircraft primarily because of issues with contractors. According to USCG officials, the original contract the Air Force awarded to install the fire retardant delivery system in May 2016 was terminated 7 months later due to an unqualified vendor and a new contract has not yet been awarded. In the meantime, the Forest Service is using 2 of the 7 HC-130Hs. USCG officials said these aircraft are not modified, but outfitted with a less effective firefighting device.", "As of November 2017, the USCG plans to operate 14 of its HC-130H aircraft until the end of their service lives or until they can be replaced with new HC-130J aircraft. However, as previously discussed, the USCG has not requested funding for the additional HC-130J aircraft to support this plan.", "In October 2017, USCG officials reported that they were in the process of hiring staff to address the program\u2019s staffing gap.", "USCG officials provided technical comments on a draft of this assessment, which GAO incorporated, as appropriate.", "MEDIUM RANGE SURVEILLANCE AIRCRAFT (HC-144A/ C-27J)", "UNITED STATES COAST GUARD (USCG)", "The USCG uses HC-144A and C-27J aircraft to conduct all types of missions, including search and rescue and disaster response. All 32 aircraft\u201418 HC-144A aircraft and 14 C-27J aircraft\u2014are twin-engine propeller driven platforms. The interior of both aircraft are able to be re-configured to accommodate cargo, personnel or medical transports.", "Developmental testing of new mission system processor is ongoing.", "Program continues to face challenges related to purchasing spare parts and accessing technical data.", "GAO last reported on this program in April 2017 and March 2015 (GAO-17-346SP, GAO-15-325).", "USCG officials said the program is on track to meet the cost and schedule goals in its current acquisition program baseline (APB), which Department of Homeland Security (DHS) leadership approved in August 2016 to reflect the restructuring of the HC-144A acquisition program. The USCG initially planned to procure a total of 36 HC-144A aircraft, but reduced that number to the 18 it had already procured after Congress directed the transfer of 14 C-27J aircraft from the U.S. Air Force to the USCG in fiscal year 2014.", "The program\u2019s APB divides the program into two phases: phase 1 includes acceptance of the 18 HC-144A aircraft and upgrades to the aircraft\u2019s mission and flight management systems, and phase 2 includes acceptance of and modifications to the C-27J aircraft to meet the USCG\u2019s mission needs. In October 2017, USCG officials told GAO that the program had initiated phase 1 efforts to upgrade the first HC-144A aircraft. The USCG plans to complete upgrades on all HC-144As by the end of fiscal year 2021. For phase 2, the USCG has accepted all 14 C-27Js from the U.S. Air Force and plans to complete the modification of all C-27Js by March 2025 to achieve full operational capability (FOC).", "To inform the budget process, the program updated its life-cycle cost estimate (LCCE) in June 2017, which is within its current APB cost thresholds. This estimate includes C-27J modification costs, such as installation of a new sensor package and new mission system processor. The program\u2019s LCCE for the 36 HC-144A aircraft previously increased to $28.7 billion in 2012 when the USCG accounted for 5 years of additional costs, among other things. The current LCCE represents a considerable decrease, but also reflects a reduction in the number of aircraft and planned flight hours.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because\u2014as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not contain operations and maintenance (O&M) funding for USCG programs. USCG officials anticipate receiving nearly $1.7 billion in total funding over this 5-year period to cover nearly $1.8 billion in total costs.", "United States Coast Guard (USCG)", "MEDIUM RANGE SURVEILLANCE AIRCRAFT (HC-144A/C-27J)"], "subsections": []}, {"section_title": "Neither the HC-144A nor the C-27J will be able to meet two of their seven key performance parameters (KPP) until the USCG installs a new mission system processor on the aircraft\u2014an effort that is already underway. These two KPPs are related to the detection of targets and the aircraft\u2019s ability to communicate with other assets. The USCG is replacing the mission system processor on its fixed-wing aircraft\u2014 including the HC-144A and C-27J\u2014with a system used by the U.S. Navy and DHS\u2019s Customs and Border Protection. The new mission system processor is intended to enhance operator interface and sensor management, and replace obsolete equipment.", "paragraphs": [], "subsections": []}, {"section_title": "The USCG plans to operationally assess the new mission system processor during operational testing of the C-27J, which is scheduled to begin in fiscal year 2021.", "paragraphs": ["The USCG still faces challenges in transitioning the C-27J into the USCG fleet. In March 2015, GAO found that the successful and cost-effective fielding of the C-27J aircraft is contingent on the USCG\u2019s ability to address risk areas including, purchasing spare parts and accessing technical data, among other issues.", "According to USCG officials, the program continues to face challenges purchasing spare parts and accessing technical data. The program is reliant on the aircraft original equipment manufacturer for about 35 percent of spare C-27J parts. For other parts, USCG officials said that the USCG continues to look for ways to provide the same or similar parts for the aircraft at a faster rate and the USCG plans to award contracts to two additional manufacturers in calendar year 2018.", "USCG officials stated that retrieving technical data for the C-27J aircraft remains a challenge, but the USCG is working with the Department of Defense to obtain rights to data currently owned by the original equipment manufacturer. Once the USCG receives appropriate rights to C-27J technical data, the USCG officials said they can begin modification of the aircraft. The USCG also plans to purchase the same surface search radar used on the HC-144A or the HC-130J for the C-27J, which will give the USCG some commonality in maintenance, logistics, and training for this aspect of the aircraft.", "In October 2017, USCG officials told GAO that the program\u2019s staffing is adequate and the gap has not negatively affected the program.", "USCG officials stated that the program remains on track to meet the cost, schedule, and performance goals outlined in its current APB and that they monitor APB key parameters in accordance with DHS guidance. These officials added that market research continues to increase supply chain sources and to identify products for new mission systems. USCG officials also provided technical comments, which GAO incorporated as appropriate.", "NATIONAL SECURITY CUTTER (NSC)", "UNITED STATES COAST GUARD (USCG)", "The USCG uses the NSC to conduct search and rescue, migrant and drug interdiction, environmental protection, and other missions. The NSC replaces and provides improved capabilities over the USCG\u2019s High Endurance Cutters. The NSC carries helicopters and cutter boats, provides an extended on-scene presence at forward deployed locations, and operates worldwide.", "Follow-on operational testing began in October 2017, but cybersecurity testing delayed.", "The USCG is conducting a study to determine root cause of propulsion system issues.", "GAO last reported on this program in March and April 2017 (GAO-17-218, GAO-17- 346SP).", "In November 2017, Department of Homeland Security (DHS) leadership approved a revised acquisition program baseline (APB), which accounted for the addition of a ninth NSC to the program of record. The USCG originally planned to acquire only eight NSCs; however, in the Consolidated Appropriations Act of 2016, Congress directed that not less than $640 million be immediately available and allotted to contract for the production of a ninth NSC. In December 2016, the USCG awarded a contract to produce the ninth NSC and, as of November 2017, six NSCs had been delivered and three were under construction.", "The USCG anticipates delivery of the ninth NSC in September 2020, which coincides with the program\u2019s prior APB threshold date for full operational capability (FOC). However, the revised APB extends this date by 1 year to account for any risks in delivering the additional ship. The program\u2019s FOC date previously slipped 4 years, which USCG officials attributed to funding shortfalls, among other things.", "The ninth NSC contributed to a $453 million and $123 million increase in the program\u2019s APB cost thresholds for acquisition and operations and maintenance (O&M), respectively. However, the program\u2019s revised life-cycle cost estimate (LCCE) is still lower than its initial estimate for eight ships, which USCG officials attribute to more accurate estimates. The revised LCCE also included costs for several design changes the USCG has had to implement on equipment with known issues. As of September 2017, 12 equipment systems required design changes, which totaled an estimated cost of over $260 million. This work includes structural enhancement work on the first two NSCs and the replacement of the gantry crane, which aids in the deployment of cutter boats.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because\u2014 as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not contain O&M funding for USCG programs. USCG officials anticipate receiving approximately $2.1 billion in O&M funding over this 5-year period to cover the NSC\u2019s estimated $1.8 billion in O&M costs, but stated it will refine its annual budget request based on the program\u2019s needs each year. The USCG also identified carryover funding to cover the projected acquisition funding shortfall in fiscal year 2018.", "United States Coast Guard (USCG)", "NATIONAL SECURITY CUTTER (NSC)"], "subsections": []}, {"section_title": "The DHS USM also directed the USCG to complete a study to determine the root cause of the NSC\u2019s propulsion system issues by December 2017; however, as of January 2018, the study was not yet complete. GAO previously reported on these issues\u2014including high engine temperatures, cracked cylinder heads, and overheating generator bearings that were impacting missions\u2014in January 2016.", "paragraphs": ["The NSC program does not have any critical staffing vacancies. However, in July 2017, the program reported that the greatest staffing challenge is a potential extension to the program\u2019s end date if the USCG acquires more than 9 NSCs. If this occurs, the program office must reassess future staffing requirements to ensure adequate program oversight continues until the last NSC completes post-delivery activities.", "In addition, the USCG has made changes to its staffing model for operating the NSCs. The USCG initially planned to implement a crew rotational concept in which crews would rotate while NSCs were underway to achieve a goal of 230 days away from the cutter\u2019s homeport. In February 2018, USCG officials told GAO they abandoned the crew rotational concept because the concept did not provide the USCG with the expected return on investment. Instead, USCG officials said a new plan has been implemented that does not rotate crew and is anticipated to increase the days away from home port from the current capability of 185 days to 200 days.", "USCG officials stated that NSCs had a record year of narcotics seizures in 2017. In addition to the test activities identified in this assessment, USCG officials stated that the first follow-on OT&E event was completed in December 2017 and the first cybersecurity test event is scheduled for February 2018. They also noted that the shipbuilder continues to show improving cost performance and is completing construction within budget. USCG officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "OFFSHORE PATROL CUTTER (OPC)", "UNITED STATES COAST GUARD (USCG)", "The USCG plans to use the OPC to conduct patrols for homeland security, law enforcement, and search and rescue operations. The OPC is being designed for long-distance transit, extended on-scene presence, and operations with deployable aircraft and small boats. It is intended to replace the USCG\u2019s aging Medium Endurance Cutters (MEC) and bridge the operational capabilities provided by the Fast Response Cutters and National Security Cutters (NSC).", "Program plans to refine the ship\u2019s design, as needed, based on early operational assessment results.", "Program\u2019s acquisition strategy incorporated some best practices.", "GAO last reported on this program in April and June 2017 (GAO-17-346SP, GAO-17-654T).", "According to USCG officials, the OPC program is on track to meet its cost and schedule goals. In September 2014, Department of Homeland Security (DHS) leadership approved the program\u2019s current acquisition program baseline (APB), which accounts for schedule slips resulting from delays in awarding the program\u2019s initial contracts and a subsequent bid protest. The USCG expects to start construction of the first OPC in fiscal year 2019 and procure a total of 25 ships. The USCG plans to initially fund one OPC per year and eventually two OPCs per year until all 25 OPCs are delivered. USCG officials have stated that additional OPC delays will decrease the USCG\u2019s operational capacity because the MECs will likely require increased downtime for maintenance and other issues, reducing their availability.", "In January 2016, DHS leadership directed the USCG to revise the OPC life-cycle cost estimate (LCCE) and submit it for approval within 6 months of awarding the detailed design and construction contract for the ships\u2014which the USCG subsequently awarded in September 2016. In June 2017, the program submitted an updated LCCE to inform the budget process that\u2014while not approved by DHS leadership\u2014accounts for the contract award and the program\u2019s schedule slips. As of December 2017, the program\u2019s revised LCCE still had not been approved. It is unclear whether it will address other issues, such as an increase in the estimated weight of each ship. The OPC\u2019s initial LCCE was based in large part on the estimated weight of each ship. However, in November 2017, USCG officials said the ship is expected to weigh up to 35 percent more than originally estimated. Nevertheless, USCG officials expect to procure all 25 OPCs for the program\u2019s APB objective cost of $10.5 billion because the contractor identified cost efficiencies to compensate for the increased weight.", "GAO previously raised questions about the OPC\u2019s affordability and its effect on other USCG acquisition programs, such as the Heavy Polar Icebreaker. Specifically, GAO noted that the OPC procurement will consume about two-thirds of the USCG\u2019s planned acquisition budget between fiscal years 2018 and 2032 based on recent funding history. The program\u2019s affordability gap from fiscal years 2020 to 2022 may be overstated because\u2014as we found in April 2015\u2014DHS\u2019s funding plan to Congress does not report operations and maintenance (O&M) funding for USCG programs. USCG officials anticipate receiving $103 million in O&M funding over this 5-year period.", "United States Coast Guard (USCG)", "OFFSHORE PATROL CUTTER (OPC)"], "subsections": []}, {"section_title": "The USCG plans to conduct initial operational test and evaluation (OT&E) on the first OPC in fiscal year 2023. However, the test results from initial OT&E will not be available to inform key decisions. For example, the results will not be available to inform the decision to build 2 OPCs per year\u2014which USCG officials said is scheduled to begin in fiscal year 2021. Without test results to inform these key decisions, the USCG must make substantial commitments prior to knowing how well the ship will meet its requirements.", "paragraphs": ["The USCG is in the process of completing the design of the OPC before starting construction, which is in-line with GAO shipbuilding best practices. In addition, USCG officials stated that the program is using state-of-the-market technology that has been proven on other ships as opposed to state-of-the-art technology, which lowers the risk of the program.", "The USCG used a two-phased down-select strategy to select a contractor to deliver the OPC. For phase 1, the USCG conducted a full and open competition and selected three contractors to perform preliminary design work. For phase 2, the USCG selected one of the phase 1 contractors\u2014Eastern Shipbuilding\u2014to develop a detailed design of the OPC and construct no more than the first 11 ships. The contract\u2014worth approximately $110 million\u2014includes separate options for each ship. The options for ships 10 and 11 were unpriced and included in the solicitation as an incentive to convert the contract type from fixed price incentive to firm fixed price. These options will be included in a repricing proposal submitted by the contractor for ships 6-9 after delivery of the first ship. USCG officials have stated the USCG will decide whether to exercise the option for ships 10 and 11 based on the contractor\u2019s re-pricing proposal for ships 6-9. The USCG plans to re-compete the contract for the remaining 14-16 ships.", "The OPC program continued to increase its required staffing level and the USCG reported that adjustments to staffing will continue as the program matures. The program faces shortages including engineers, a logistics manager, and a technical director, but USCG officials said they are hiring staff to address these gaps.", "USCG officials stated that the OPC program is fully funded, executable, and on track to award construction for the first OPC in September 2018. These officials said design efforts are on track and the contractor is meeting the milestones to deliver the first OPC in 2021. USCG officials noted that they are continuing to increase staff at the contractor\u2019s facility to prepare for the start of construction for the first OPC. USCG officials also provided technical comments on a draft of this assessment, which GAO incorporated as appropriate.", "UNITED STATES CITIZENSHIP AND IMMIGRATION SERVICES (USCIS)", "The Transformation program was established in 2006 to transition USCIS from a fragmented, paper-based filing environment to a consolidated, paperless environment for processing immigration and citizenship applications. The program developed a new system architecture and delivers capability through releases that correspond to new product lines within four lines of business: Citizenship, Immigrant, Non-Immigrant, and Humanitarian.", "Revision of key performance parameters and test and evaluation master plan in progress.", "Program is reorganizing to leverage expertise within USCIS and revise its approach.", "GAO last reported on this program in April 2017 and July 2016 (GAO-17-346SP, GAO-16- 467).", "The program remains in breach of its current acquisition program baseline (APB). In September 2016, the Transformation program experienced a schedule breach when it failed to complete deployment of all the product lines associated with the Citizenship line of business. The deployment was delayed because of challenges processing new product lines on the new system architecture and other technical issues with the case management system. Prior to the breach, the program deployed six product lines, which supported approximately 24 percent of the total workload processed by USCIS in fiscal year 2016. Department of Homeland Security (DHS) leadership previously re- baselined the program in April 2015 after USCIS determined that it could not use any of the architecture delivered under its initial strategy, despite having invested more than $475 million in its development.", "In December 2016, DHS leadership directed USCIS to stop planning and development for new product lines, develop a breach remediation plan, and update its acquisition documentation. In February 2017, DHS leadership approved the program\u2019s remediation plan and the program has since made progress in implementing this plan. However, DHS leadership elected to continue with the program\u2019s pause in new development following program reviews in March 2017, July 2017, and October 2017.", "USCIS officials said they are revising the program\u2019s acquisition documents\u2014including its APB and life-cycle cost estimate (LCCE)\u2014and plan to re-baseline by March 2018. The program updated the total costs in its LCCE to inform the budget process, but these costs do not reflect the program\u2019s re-baselining plans. As a result, the status of the program against its cost and schedule goals is unclear. However, the program is more than 3 years past its original full operational capability (FOC) date.", "The affordability gap from fiscal years 2018 to 2022 may be overstated because DHS\u2019s funding plan to Congress no longer contained operations and maintenance funding for individual programs. USCIS uses revenue from premium processing fees to fund the Transformation program and routinely collects more fees than the program\u2019s estimated costs."], "subsections": []}, {"section_title": "In September 2017, USCIS officials told GAO that the program is updating its key performance parameters (KPP) and test and evaluation master plan as part of its re-baselining efforts because the program continues to struggle to meet its requirements.", "paragraphs": [], "subsections": []}, {"section_title": "DHS leadership previously approved a revised set of eight KPPs for the program in April 2015. However, USCIS could not fully demonstrate these KPPs until it achieved FOC. In the interim, the program\u2019s OTA conducted operational assessments (OA) of new product lines as capability was deployed. The OTA completed two OAs since the program updated its KPPs, but DHS\u2019s Director, Office of Test and Evaluation (DOT&E) did not verify all of the results. DOT&E reviewed the results of the first OA and concluded that the system met 6 of the 7 tested KPPs, but noted that the capability assessed was a minor subset of the system\u2019s FOC.", "paragraphs": [], "subsections": []}, {"section_title": "The OTA subsequently initiated an OA intended to inform DHS leadership\u2019s acceptance of the Citizenship line of business. However, in December 2017, USCIS officials reported that the assessment had not yet been completed.", "paragraphs": ["USCIS officials told GAO that the program office underwent a reorganization in January 2017 to help address the program\u2019s recent challenges. This effort included dismantling the program office and repositioning Transformation under the USCIS Office of Information Technology so the program could leverage expertise in areas such as engineering within USCIS. USCIS officials reported that the program no longer plans to deliver capability by product lines because this strategy focused too narrowly on the automation of forms associated with the lines of business. Going forward, USCIS officials said the program plans to develop capabilities that will address broader objectives, such as reducing the time it takes to process applications and decisions.", "The program previously made significant changes after it experienced a 5-month delay with its first release, which was deployed in May 2012. DHS attributed this delay to weak contractor performance and pursuing an unnecessarily complex system, among other things. To address these issues, the Office of Management and Budget, DHS, and USCIS determined the program should implement a new acquisition strategy, which allowed for an agile software development methodology and increased competition for development work. This strategy was reflected in the program\u2019s April 2015 re-baseline.", "USCIS officials told GAO that they plan to address the Transformation program\u2019s staffing gap now that the reorganization is complete.", "USCIS officials provided technical comments on a draft of this assessment, which GAO incorporated as appropriate."], "subsections": []}]}, {"section_title": "Appendix II: Key Portfolio Management Practices", "paragraphs": ["To help determine the extent to which the Department of Homeland Security (DHS) has taken actions to enhance its policies and processes to better reflect key portfolio management practices, we assessed the department\u2019s requirements, acquisition management, and resource allocation policies using key practices we established in September 2012. These key practices are based on our past work, in which we examined the practices that private sector entities use to achieve a balanced mix of new projects and found that successful commercial companies use a disciplined and integrated approach to prioritize needs and allocate resources. As a result, these organizations can avoid pursuing more projects than their resources can support and better optimize the return on their investments. This approach, known as portfolio management, requires companies to view each of their investments as contributing to a collective whole, rather than as independent and unrelated."], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this audit were designed to provide congressional committees insight into the Department of Homeland Security\u2019s (DHS) major acquisition programs. We assessed the extent to which (1) DHS\u2019s major acquisition programs are on track to meet their schedule and cost goals and (2) DHS has taken actions to enhance its policies and processes to better reflect key portfolio management practices. To answer these questions, we reviewed 28 of DHS\u2019s 79 major acquisition programs. We reviewed all 16 of DHS\u2019s Level 1 acquisition programs\u2014 those with life-cycle cost estimates (LCCE) of $1 billion or more\u2014that had at least one project, increment, or segment in the Obtain phase\u2014the stage in the acquisition life cycle when programs develop, test, and evaluate systems\u2014at the initiation of our audit. Additionally, we reviewed 12 other major acquisition programs\u2014including 8 Level 1 programs that either had not yet entered or were beyond the Obtain phase, and 4 Level 2 programs that have LCCEs between $300 million and less than $1 billion\u2014that we identified were at risk of not meeting their cost estimates, schedules, or capability requirements based on our past work and discussions with DHS officials. Specifically, we met with representatives from DHS\u2019s Office of Program Accountability and Risk Management (PARM)\u2014DHS\u2019s main body for acquisition oversight\u2014as a part of our scoping effort to determine which programs (if any) were facing difficulties in meeting their cost estimates, schedules, or capability requirements. The 28 selected programs were sponsored by eight different components, and they are identified in table 7, along with our rationale for selecting them.", "To determine the extent to which DHS\u2019s major acquisition programs are on track to meet their schedule and cost goals, we collected key acquisition documentation for each of the 28 programs, such as all LCCEs and acquisition program baselines (APB) approved at the department level since DHS\u2019s current acquisition management policy went into effect in November 2008. DHS policy establishes that all major acquisition programs should have a department-approved APB, which establishes a program\u2019s critical cost, schedule, and performance parameters, before they initiate efforts to obtain new capabilities. Twenty four of the 28 programs had one or more department-approved LCCEs and APBs between November 2008 and December 31, 2017. We used these APBs to establish the initial and current cost and schedule goals for the programs. We then developed a data collection instrument to help validate the information from the APBs and collect similar information from programs without department-approved APBs. Specifically, for each program, we pre-populated a data collection instrument to the extent possible with the schedule and cost information we had collected from the APBs and our 2017 assessment (if applicable) to identify schedule and cost goal changes, if any, since (a) the program\u2019s initial baseline was approved and (b) January 2017\u2014the data cut-off date of the report we issued in April 2017. We shared our data collection instruments with officials from the program offices to confirm or correct our initial analysis and to collect additional information to enhance the timeliness and comprehensiveness of our data sets. We then met with program officials to identify causes and effects associated with any identified schedule and cost goal changes. Subsequently, we drafted preliminary assessments for each of the 28 programs, shared them with program and component officials, and gave these officials an opportunity to submit comments to help us correct any inaccuracies, which we accounted for as appropriate (such as when new information was available).", "Additionally, in July 2017, we collected copies of the detailed data on affordability that programs submitted to inform the fiscal year 2019 resource allocation process. We also collected copies of any annual LCCE updates programs submitted in fiscal year 2017. For each of the 24 programs with a department-approved APB, we compared (a) the most recent cost data we collected (i.e., a department-approved LCCE, the detailed LCCE information submitted during the resource allocation process, a fiscal year 2017 annual LCCE update, or an update provided by the program office) to (b) DHS\u2019s funding plan presented in the Future Years Homeland Security Program (FYHSP) report to Congress for fiscal years 2018\u20132022, which presents 5-year funding plans for DHS\u2019s major acquisition programs, to assess the extent to which a program was projected to have an acquisition funding gap in fiscal year 2018. Through this process, we determined that our data elements were sufficiently reliable for the purpose of this engagement.", "The FYHSP reports information by the department\u2019s new common appropriation structure, which created standard appropriation fund types including (1) procurement, construction, and improvements and (2) operations and support. We refer to these types of funding as (1) acquisition and (2) operations and maintenance throughout this report. which are listed in appendix II\u2014and identified any significant shortfalls. Specifically, we assessed the joint requirements directives and instruction manual; DHS\u2019s Acquisition Management Directive 102-01, Acquisition Management Instruction 102-01-001, and other related guidance; and DHS\u2019s resource allocation directive, instruction, and handbook. First, we assessed each group of policies against the key practices using the following ratings:", "Met\u2014the documents fully reflected the key practice.", "Partially met\u2014the documents reflected some, but not all parts of the key practice.", "Not met\u2014the documents did not reflect the key practice.", "We shared our preliminary analysis for each group of policies with the DHS officials responsible for implementing them\u2014specifically, the Joint Requirements Council (JRC), PARM, and the Office of Program Analysis and Evaluation (PA&E)\u2014to discuss our findings, identify relevant sections of the documents we had not yet accounted for, and solicit their thoughts on those key practices that were not reflected in the policies. Second, we used the scores for each group of policies to develop a department-wide rating for each key practice. When applicable, we weighted the department-wide rating based on the intent of the key practice. For example, the department-wide rating for the key practice related to resource allocation across the portfolio was based more heavily on the rating for the resource allocation policies, rather than the ratings for the requirements or acquisition management policies. Third, we rolled-up the ratings for all the key practices in a particular area\u2014as identified in appendix II\u2014to establish a department-wide overall rating for each key practice area. We concluded that a key practice area was met if all ratings for the individual key practices in that area were met; partially met if the ratings for the individual key practices in that area were all partially met or a mix of met and not met; or not met if the ratings for the individual key practices in that area were all not met.", "In addition, we reviewed documentation that resulted from DHS\u2019s requirements, acquisition management, and resource allocation processes since January 2016 to get a sense of how the department has implemented its current policies. For example, we reviewed JRC- validated requirements documents; acquisition decision memorandums; Acquisition Program Health Assessment reports; and documentation related to the development of DHS\u2019s fiscal year 2018 budget request and the fiscal year 2018\u20132022 FYHSP report, including resource allocation guidance, presentations to DHS leadership, and preliminary decisions. We also interviewed officials from the JRC, PARM, PA&E, and the Deputy\u2019s Management Action Group to identify any current and planned initiatives to improve management of the department\u2019s portfolio of major acquisition programs. We then compared our assessment of DHS\u2019s current policies, practices, and planned initiatives to our previous findings and the Standards for Internal Control in the Federal Government.", "We conducted this performance audit from March 2017 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact listed above, Rick Cederholm (Assistant Director), Aryn Ehlow (Analyst-in-Charge), Pete Anderson, Lorraine Ettaro, Helena Johnson, TyAnn Lee, Alexis Olson, Sylvia Schatz, Roxanna Sun, and Lindsay Taylor made key contributions to this report. Other contributors included Mathew Bader, Carissa Bryant, Andrew Burton, Erin Butkowski, Lisa Canini, Jenny Chow, John Crawford, Lindsey Cross, Laurier R. Fish, Betsy Gregory-Hosler, Claire Li, Sarah Martin, Marycella Mierez, Erin O\u2019Brien, Katherine Pfeiffer, John Rastler, Ashley Rawson, Andrew Redd, Jill Schofield, Charlie Shivers III, and Jeanne Sung."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["DHS Program Costs: Reporting Program-Level Operations and Support Costs to Congress Would Improve Oversight. GAO-18-344. Washington, D.C.: April 25, 2018.", "Homeland Security Acquisitions: Identifying All Non-Major Acquisitions Would Advance Ongoing Efforts to Improve Management. GAO-17-396. Washington, D.C.: April 13, 2017.", "Homeland Security Acquisitions: Earlier Requirements Definition and Clear Documentation of Key Decisions Could Facilitate Ongoing Progress. GAO-17-346SP. Washington, D.C.: April 6, 2017.", "Coast Guard Cutters: Depot Maintenance Is Affecting Operational Availability and Cost Estimates Should Reflect Actual Expenditures. GAO-17-218. Washington, D.C.: March 2, 2017.", "Homeland Security Acquisitions: Joint Requirements Council\u2019s Initial Approach Is Generally Sound and It Is Developing a Process to Inform Investment Priorities. GAO-17-171. Washington, D.C.: October 24, 2016.", "Homeland Security Acquisitions: DHS Has Strengthened Management, but Execution and Affordability Concerns Endure. GAO-16-338SP. Washington, D.C.: March 31, 2016.", "National Security Cutter: Enhanced Oversight Needed to Ensure Problems Discovered during Testing and Operations Are Addressed. GAO-16-148. Washington, D.C.: January 12, 2016.", "TSA Acquisitions: Further Actions Needed to Improve Efficiency of Screening Technology Test and Evaluation. GAO-16-117. Washington, D.C.: December 17, 2015.", "Homeland Security Acquisitions: Major Program Assessments Reveal Actions Needed to Improve Accountability. GAO-15-171SP. Washington, D.C.: April 22, 2015.", "Coast Guard Aircraft: Transfer of Fixed-Wing C-27J Aircraft Is Complex and Further Fleet Purchases Should Coincide with Study Results. GAO-15-325. Washington, D.C.: March 26, 2015.", "Homeland Security Acquisitions: DHS Should Better Define Oversight Roles and Improve Program Reporting to Congress. GAO-15-292. Washington, D.C.: March 12, 2015.", "Coast Guard Acquisitions: Better Information on Performance and Funding Needed to Address Shortfalls. GAO-14-450. Washington, D.C.: June 5, 2014.", "Homeland Security Acquisitions: DHS Could Better Manage Its Portfolio to Address Funding Gaps and Improve Communications with Congress. GAO-14-332. Washington, D.C.: April 17, 2014.", "Homeland Security: DHS Requires More Disciplined Investment Management to Help Meet Mission Needs. GAO-12-833. Washington, D.C.: September 18, 2012.", "Department of Homeland Security: Assessments of Selected Complex Acquisitions. GAO-10-588SP. Washington, D.C.: June 30, 2010.", "Department of Homeland Security: Billions Invested in Major Programs Lack Appropriate Oversight. GAO-09-29. Washington, D.C.: November 18, 2008."], "subsections": []}], "fastfact": ["Each year, the Department of Homeland Security invests billions of dollars in major acquisitions such as aircraft and surveillance technology.", "We reviewed DHS's portfolio of major acquisitions and found that, in 2017, more than half of its programs needed more time and money than initially planned\u2014an increase from 2016.", "DHS has strengthened its policies for managing acquisitions as a portfolio\u2014a practice that emphasizes prioritization of the most promising programs. This could help ensure that DHS does not pursue more programs than it can afford. We recommended DHS take steps to further improve its portfolio management."]} {"id": "GAO-18-528", "url": "https://www.gao.gov/products/GAO-18-528", "title": "Medicaid Managed Care: Improvements Needed to Better Oversee Payment Risks", "published_date": "2018-07-26T00:00:00", "released_date": "2018-07-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal spending on services paid for under Medicaid managed care was $171 billion in 2017, almost half of the total federal Medicaid expenditures for that year. Federal and state program integrity efforts have largely focused on Medicaid fee-for-service delivery where the state pays providers directly, rather than managed care, where it pays MCOs. As a result, less is known about the types of payment risks under managed care.", "GAO was asked to examine payment risks in Medicaid managed care. In this report, GAO (1) identified payment risks; (2) identified any challenges to state oversight and strategies to address them; and (3) assessed CMS efforts to help states address payment risks and oversight challenges. To do this work, GAO reviewed findings on managed care payment risks and oversight challenges from federal and state audits and other sources. GAO also interviewed 49 state program integrity stakeholders in 10 states selected based on size, the percent of population in managed care, and geography. Stakeholders included the state Medicaid managed care office, state Medicaid program integrity unit, state auditor, Medicaid Fraud Control Unit, and an MCO."]}, {"section_title": "What GAO Found", "paragraphs": ["Under Medicaid managed care, managed care organizations (MCO) receive a periodic payment per beneficiary in order to provide health care services. Managed care has the potential to help states reduce Medicaid program costs and better manage the use of health care services. However, managed care payments also have the potential to create program integrity risks. GAO identified six types of payment risks associated with managed care, including four related to payments that state Medicaid agencies make to MCOs, and two related to payments that MCOs make to providers. Of the six payment risks GAO identified, state stakeholders responsible for ensuring Medicaid program integrity more often cited the following two as having a higher level of risk:", "incorrect fee-for-service payments from MCOs, where the MCO paid providers for improper claims, such as claims for services not provided; and", "inaccurate state payments to MCOs resulting from using data that are not accurate or including costs that should be excluded in setting payment rates.", "GAO also identified multiple challenges to program integrity oversight for managed care programs. Stakeholders most frequently cited challenges related to (1) appropriate allocation of resources, (2) quality of the data and technology used, and (3) adequacy of state policies and practices. Some stakeholders offered strategies to address these challenges, including collaborating with other entities to identify problem providers and fraud schemes, as well as having effective data systems to better manage risks.", "The Centers for Medicare & Medicaid Services (CMS), which oversees Medicaid, has initiated efforts to assist states with program integrity oversight for managed care. However, some of these efforts have been delayed, and there are also gaps in oversight.", "CMS's planned Medicaid managed care guidance to states has been delayed due to the agency's internal review of the regulations; as of May 2018, no issuance date had been set for the guidance.", "CMS established a new approach for conducting managed care audits beginning in 2016. However, only a few audits have been conducted, with none initiated in the past 2 years. In part, this is due to certain impediments identified by states, such as the lack of some provisions in MCO contracts.", "CMS has updated standards for its periodic reviews of the state capitation rates set for MCOs. However, overpayments to providers by MCOs are not consistently accounted for in determining future state payments to MCOs, which can result in states' payments to MCOs being too high.", "Lack of guidance and gaps in program integrity oversight are inconsistent with federal internal control standards, as well as with CMS's goals to (1) improve states' oversight of managed care; (2) use audits to investigate fraud, waste, and abuse of providers paid by MCOs; and (3) hold MCOs financially accountable. Without taking action to address these issues, CMS is missing an opportunity to develop more robust program integrity safeguards that will help mitigate payment risks in Medicaid managed care."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS (1) expedite issuing planned guidance on Medicaid managed care program integrity, (2) address impediments to managed care audits, and (3) ensure states account for overpayments in setting future MCO payment rates. The Department of Health and Human Services concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal spending on services delivered and paid for under Medicaid managed care totaled $171 billion in 2017, almost half of the total $364 billion in federal Medicaid expenditures for that year. Under Medicaid managed care, states pay a set periodic amount per beneficiary to managed care organizations (MCO) for each enrolled beneficiary, and MCOs pay health care providers for the services delivered to enrollees. Used effectively, managed care may help states reduce Medicaid program costs and better manage utilization of health care services.", "The Centers for Medicare & Medicaid Services (CMS)\u2014an agency within the Department of Health and Human Services (HHS)\u2014and the states have implemented program integrity policies and processes in an effort to address payment risks in Medicaid, such as those related to fraud, waste, and abuse. However, these program integrity efforts have remained largely focused on fee-for-service arrangements, where states pay health care providers directly for services rendered. Payments for these services provided under fee-for-service arrangements are audited by multiple entities and reviewed for incorrect or fraudulent patterns at the federal and state levels. In contrast, under managed care, states do not pay providers directly, but rather pay MCOs, which are responsible for providing services through their provider networks; MCOs are responsible for overseeing the appropriateness of the payments they make to providers. Less is known about the types of Medicaid payment risks and the program integrity process and challenges under managed care. We recently reported on certain payment risks in Medicaid managed care that are not adequately accounted for in determining the scope of Medicaid improper payments to MCOs. This lack of knowledge is of particular concern, given the recent rapid growth in enrollment in Medicaid managed care. Between 2013 and 2016 (the most recent year for which data are available), Medicaid enrollment in comprehensive, risk-based managed care increased by 56 percent, or from 35.0 million beneficiaries to 54.6 million beneficiaries.", "You asked us to identify payment risks and oversight challenges associated with Medicaid managed care. In this report, we 1. identify any potential payment risks that exist in Medicaid managed 2. identify any potential oversight challenges associated with identified payment risks, and the strategies states use to address them; and 3. assess CMS\u2019s efforts to assist states in addressing these payment risks and associated oversight challenges.", "To address the first two objectives, we first reviewed reports resulting from federal and state audits and investigations, regarding payment risks and improper payments in Medicaid managed care and managed care in general. Through a literature search and outreach to state auditing organizations, we identified and reviewed audit reports of Medicaid managed care programs\u2014such as those issued by HHS\u2019s Office of Inspector General (HHS-OIG) and state audit agencies\u2014as well as investigations involving payments to MCOs and MCO providers. We also reviewed our prior work and reports related to Medicaid program integrity. Based on this review, we identified different types of payment risks, as well as reported challenges to program integrity oversight of these risks. We next interviewed officials from a non-generalizable sample of 10 states regarding their views about the level of risk of each type of payment risk; the extent they experienced the challenges to oversight; and whether they had used any oversight strategies to address Medicaid managed care payment risks. We selected states that had a significant share of their Medicaid populations enrolled in MCOs, and to provide a mix of population sizes and geographic locations. Within each state, we conducted structured interviews with a total of 49 stakeholders from the following five entities that have oversight responsibilities related to Medicaid program integrity: (1) the state Medicaid managed care office; (2) the state Medicaid program integrity unit; (3) the state auditor; (4) the state Medicaid Fraud Control Unit (MFCU); and (5) an MCO.", "To assess CMS\u2019s efforts to assist states in addressing these payment risks and associated oversight challenges, we reviewed CMS\u2019s managed care regulations and guidance; current program integrity plan; and documents relating to training, technical assistance, monitoring and oversight. We conducted interviews with CMS officials and CMS audit contractors regarding their roles, responsibilities, and oversight activities. Additionally, we reviewed our prior work related to program integrity risks in Medicaid managed care and identified applicable federal internal control standards\u2014specifically those related to communicating guidance and to conducting effective monitoring\u2014that we could use to assess CMS\u2019s efforts.", "We conducted this performance audit from October 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Medicaid is jointly financed by the federal government and the states, with the federal government reimbursing states for a share of their expenditures for Medicaid covered services provided to eligible beneficiaries. The federal share of spending is based on a statutory formula that determines a federal matching rate for each state."], "subsections": [{"section_title": "Medicaid Service Delivery Models", "paragraphs": ["States may provide Medicaid services under either or both a fee-for- service model and a managed care model. Under a fee-for-service delivery model, states make payments directly to providers for services provided, and the federal government reimburses the state its share of spending based on these payments. Under a managed care service delivery model, states pay MCOs a capitation payment, which is a fixed periodic payment per beneficiary enrolled in an MCO\u2014typically, per member per month. The federal government reimburses its share of spending based on the capitation payments states made to the MCO. In return for the capitated payment, each MCO is responsible for arranging for and paying providers\u2019 claims for all covered services provided to Medicaid beneficiaries. For example, MCOs may pay providers on a fee- for-service basis or with a monthly capitation payment per beneficiary, or through some other payment approach in which the provider assumes some risk for providing covered services. In either case, MCOs are required to report to the states information on services utilized by Medicaid beneficiaries\u2014information typically referred to as encounter data. Figure 1 illustrates these models."], "subsections": []}, {"section_title": "State and MCO Program Integrity Responsibilities", "paragraphs": ["Program integrity refers to the proper management and function of the Medicaid program to ensure that quality and efficient care is being provided, while Medicaid payments are used appropriately and with minimal waste. Program integrity efforts encompass a variety of administrative, review, and law enforcement strategies.", "State stakeholders\u2014Medicaid managed care offices, state Medicaid program integrity units, Medicaid Fraud Control Units (MFCUs), and in many cases state auditors\u2014and MCO stakeholders\u2014MCOs that contract with states to deliver Medicaid services\u2014play important roles in the oversight of managed care payment risks and have a variety of program integrity responsibilities. A stakeholder\u2019s program integrity responsibilities can be specialized\u2014such as for MFCUs, which focus on fraudulent behavior\u2014or varied\u2014such as for state Medicaid managed care offices and MCOs, which are responsible for monitoring fraud and other issues, such as compliance with quality standards or ensuring MCOs meet contract requirements. (See table 1.)", "Two of the stakeholders\u2014state Medicaid managed care offices and MCOs\u2014have responsibilities for program operation in addition to program integrity oversight responsibilities. For example, state Medicaid managed care offices\u2019 program operations responsibilities include enrolling beneficiaries, negotiating contracts with MCOs, developing capitation rates, and making monthly capitation payments to MCOs. MCOs\u2019 program operation responsibilities include establishing contracts with providers, creating provider networks, ensuring that enrollees have an ongoing source of primary care and timely access to needed services, and processing and paying provider claims.", "In a previous report, we found that state Medicaid program integrity efforts focus primarily on payments and services delivered under fee-for- service, and do not closely examine program integrity in managed care. For example, officials from five of seven states that we spoke to for that report said that they primarily focused their program integrity efforts on fee-for-service claims. They also noted that program integrity in Medicaid managed care was more complex than for fee-for-service."], "subsections": []}, {"section_title": "CMS\u2019s Program Integrity Responsibilities", "paragraphs": ["CMS\u2019s program integrity responsibilities take a variety of forms. CMS issues program requirements for states through regulations and guidance; for example, regulations requiring states to establish actuarially sound capitation rates and to ensure that MCOs have an adequate network of providers, as well as to ensure that all covered services are available and accessible to beneficiaries in a timely manner. CMS also requires states to submit MCO contracts and capitation rates to CMS for review and approval, and report key information such as encounter data collected from MCOs. The agency provides technical assistance and educational support to states, including having staff available to help states with specific issues or questions, and providing courses on program integrity issues. The agency also conducts periodic reviews to assess state program integrity policies, processes, and capabilities. In addition, CMS has engaged audit contractors to help states audit providers receiving Medicaid payments, including payments made by MCOs to providers."], "subsections": []}]}, {"section_title": "Six Types of Payment Risks Exist for Managed Care, with Stakeholders Viewing Some Risks as Greater than Others", "paragraphs": ["We identified six types of payment risks through our review of Medicaid audit reports and other sources. Most of the stakeholders we spoke to agreed that these payment risks exist in Medicaid managed care. Four of these risks relate to the payments state Medicaid agencies make to MCOs, and two relate to payments that MCOs make to providers. (See figs. 2 and 3.)", "In terms of the relative importance of these payment risks, two payment risks were more frequently cited by stakeholders as having a higher level of risk than other types\u2014incorrect MCO fee-for-service payments to providers and inaccurate state capitation rates. The remaining four payment risks were more frequently cited as having lower or unknown levels of risk: improper state capitation payments, state payments to noncompliant MCOs, incorrect MCO capitation payments, and duplicate state payments. (See fig. 4.) When we asked stakeholders to designate a level of risk, stakeholders whose primary responsibility is program integrity\u2014state auditors, MFCU officials, and state Medicaid program integrity staff\u2014were more likely to assign a higher level of risk for certain types of payment risks than state Medicaid managed care officials and MCO officials. (See app. I for additional information on risk level designation by stakeholder group.)", "Stakeholders provided the following examples of payment risks that they rated as having \u201csome\u201d or \u201chigh\u201d risk in the state. (See table 2.) See appendix II for further examples of payment risks identified as part of our review of audits and other reports."], "subsections": [{"section_title": "Multiple Challenges Exist for Effective Program Integrity Oversight and Stakeholders Identified Strategies to Address Them Key Challenges to Oversight Included Resource Allocation, the Quality of Data and Technology, and the Adequacy of State Policies and Practices", "paragraphs": ["We identified six challenges to effective program integrity oversight in Medicaid managed care based on our review of Medicaid audit reports and other sources. Among these six challenges, stakeholders most frequently cited allocation of resources, quality of data and technology, and adequacy of state policies and practices as key challenges. Some stakeholders also described strategies to address these challenges.", "Through our research on examples of payment risks in Medicaid managed care, we identified six areas that can present challenges to program integrity oversight, including (1) availability and allocation of resources; (2) access to and quality of data and technology; (3) state policies and practices; (4) provider compliance with program requirements; (5) MCO management of program integrity; and (6) federal regulations, guidance, and review. Allocation of resources, quality of data and technology, and state policies and practices were the three most commonly cited challenges to program integrity oversight by stakeholders. (See fig. 5.)", "Stakeholders described the following examples of challenges to program integrity oversight they had observed. See appendix III for more information on the particular challenges for each of the payment risks.", "Availability and allocation of resources. Stakeholders who cited resource allocation as an oversight challenge to managed care cited several key issues, such as the number of staff allocated to an activity, the expertise needed, and the ability to retain and replace staff. (See table 3.) Some stakeholders identified resource issues within their own organizations, while some identified resource issues they said existed in other organizations.", "Access to and quality of data and technology. Stakeholders who cited the quality of data and technology as oversight challenges to managed care provided examples related to timely access to data, inaccurate and unreliable data, and problems with information systems and interfaces. (See table 4.)", "State policies and practices. Stakeholders who cited state policies and practices as an oversight challenge to managed care described insufficient contract requirements, lack of state monitoring, and problems with state oversight. (See table 5.) Stakeholders from the state program integrity office, the MFCU, and the state auditor\u2019s office more frequently identified state policies and practices as a challenge than stakeholders from the state Medicaid managed care agency.", "MCO management of program integrity. Stakeholders who cited MCO management as an oversight challenge to managed care described how inadequate MCO oversight and monitoring\u2014as well as incomplete MCO reporting to the state agency\u2014can increase the risk of different types of payment risks. (See table 6.) Stakeholders from the state Medicaid managed care agency, the state program integrity office, and the MFCU were more likely than MCO stakeholders to cite these issues as challenges. In particular, a few state officials noted that there was variation in size and resources among the MCOs in their respective states.", "Provider compliance with program requirements. Stakeholders who cited provider compliance as a challenge to oversight indicated that providers are the primary source of inaccurate payments, because of improper billing, which may include fraudulent billing. These stakeholders also stated that some types of providers presented a higher risk than others in their state. Several stakeholders pointed out that certain providers intentionally commit fraud, while others may be unaware of changes in policies or procedures and therefore unintentionally submit inaccurate claims. Several stakeholders noted that it is the responsibility of providers to bill correctly, while a few others pointed out that because the payment process is complicated, MCOs and state agencies may not identify inaccurate payments. Stakeholders also selected from a list of 19 types of providers the 3 or 4 that in their view represented the highest payment risks in the state. The two most frequently mentioned health care providers or services were (1) durable medical equipment, and (2) psychiatric and behavioral health care providers. (See table 7.)", "Federal regulations, guidance, and review. Over half of the stakeholders who identified federal regulations, guidance, and review as oversight challenges to managed care cited the complexity of federal regulations and the lack of federal guidance as key issues. For example, one stakeholder said that there needed to be more clarity about the new regulations for setting capitation rates for MCOs, while another said that there was a lack of clarity about the respective roles of states and MCOs in program integrity oversight. One stakeholder noted that most of the responsibility for operating the Medicaid program lies with the state, not with the federal government."], "subsections": []}, {"section_title": "Strategies Identified by Stakeholders to Address Managed Care Oversight Challenges Included Ensuring High Quality Data and Collaboration among State Agencies and MCOs", "paragraphs": ["Some stakeholders we interviewed identified strategies, controls, or best practices to address the challenges to oversight of Medicaid managed care payment risks. As shown in table 8, they identified a variety of strategies such as ensuring high quality data, collaboration among state agencies and MCOs, imposing sanctions on noncompliant MCOs, enhancing contract requirements, and conducting regular monitoring."], "subsections": []}]}, {"section_title": "CMS Has Assisted States in Addressing Payment Risks, but Some Efforts Have Been Delayed and There Are Gaps in Oversight", "paragraphs": ["CMS has taken important steps to address payment risks in Medicaid managed care, issuing a final rule, increasing guidance, and conducting oversight activities. However, some efforts are incomplete, and there are gaps in key oversight activities."], "subsections": [{"section_title": "CMS Issued a Final Rule, Provided Additional Guidance, and Updated Certain Oversight Activities Related to Managed Care Program Integrity", "paragraphs": ["In May 2016, CMS issued a final rule on Medicaid managed care. According to CMS, the rule is intended to enhance regulatory provisions related to program integrity and payment risks, among other things. These regulatory provisions varied in terms of when the requirements were applicable. For example, for contracts beginning on or after July 1, 2017, the rule requires state contracts with MCOs to require MCOs to promptly report all overpayments made to providers, and to specify the overpayments due to potential fraud; states to account for overpayments when setting capitation payment amounts; and states to establish procedures and quality assurance protocols to ensure that MCOs submit encounter data that is complete and accurate.", "These requirements have the potential to enhance MCO and state oversight of managed care, and address payment risks involving incorrect MCO payments to providers and inaccurate state capitation rates for MCOs. CMS is currently reviewing the rule for possible revision of its requirements and an announcement on the results of the review is expected in 2018.", "Most stakeholders we spoke to identified ways in which the managed care rule could have a positive impact on managed care program integrity oversight. Of the 49 stakeholders we spoke to, 28 made positive statements about the rule\u2019s potential impact on program integrity oversight of payment risks in managed care, 9 stakeholders said they were not familiar enough with the managed care rule to comment on it, and the remaining 12 stakeholders provided a range of comments about the rule. The 28 stakeholders with positive comments identified a variety of ways in which they said the managed care rule would help, including establishing transparency in setting state capitation rates; providing clear guidelines for MCO reporting, and clear authority for states to require reporting; obtaining information on overpayments identified and collected by holding MCO leadership accountable for meeting program reducing medical costs, despite additional short-term administrative costs.", "Comments by the other 12 stakeholders who were familiar with the rule included statements that the rule should have been more aggressive in requiring MCOs to implement efforts related to program integrity; would have limited impact for them, because many of its requirements were already in place in their state; and set time frames for implementation that were hard to meet.", "In addition to issuing the rule, CMS has sought to increase guidance available to states through training, technical assistance, and other educational resources. (See table 9.)", "Lastly, CMS efforts have included updating the requirements used in capitation rate setting reviews, contract oversight, and other types of audits and reviews, as described below.", "Review of state capitation rates for Medicaid MCOs. CMS reviews states\u2019 capitation rates at least once every year, and in 2017 made revisions to its rate review guidance to states, incorporating new requirements from the managed care rule. According to CMS officials, the agency typically conducts between 250 and 300 rate reviews annually to determine whether states\u2019 rate development methodologies meet generally accepted actuarial principles, as well as federal laws and requirements.", "Review of state Medicaid MCO contracts. CMS regularly reviews state contracts with MCOs to ensure that contract provisions meet federal requirements. In 2017, CMS updated its criteria for Medicaid managed care contract review and approval, and revised the guide that it provides to states to help them develop effective MCO contracts.", "CMS contracted audits. In 2016, CMS began to transition and consolidate audits of providers to a type of contractor called Unified Program Integrity Contractors (UPIC). This transition is intended to integrate contracted audit activities across CMS health care programs, such as Medicaid and Medicare, according to CMS. Additionally, UPIC audits can include health care providers who participate in multiple federal programs. Within the Medicaid program, UPICs may conduct audits with states interested in pursuing what are called \u201ccollaborative audits.\u201d CMS\u2019s contract with UPICs allows for audits of providers in MCO networks.", "Focused program integrity reviews. CMS officials said that in 2016, the agency updated the review guide used to conduct focused program integrity reviews of state Medicaid managed care programs. CMS program integrity reviews have identified some common issues, such as a low number of investigations of overpayments conducted by managed care plans and a low amount of recoveries by plans. However, CMS officials stated these reviews are not focused primarily on assessing specific payment risks. For example, these reviews do not involve an actual review or audit of MCO payments to providers to assess the extent that inaccurate payments were made. Instead, they review program integrity policies and processes, such as whether and how the state monitors overpayments, and whether MCOs comply with state requirements."], "subsections": []}, {"section_title": "CMS Efforts to Address Payment Risks Have Been Delayed and Gaps Exist in Key Oversight Activities.", "paragraphs": ["Despite CMS\u2019s efforts to improve oversight of program integrity in Medicaid managed care, there have been delays in issuing guidance, and gaps in key auditing and monitoring activities. These delays and gaps are inconsistent with the agency\u2019s current program integrity plan, which established goals for improving state oversight of program integrity in Medicaid managed care, as well as the financial accountability of Medicaid MCOs."], "subsections": [{"section_title": "Delays in the Development and Issuance of Guidance", "paragraphs": ["Publication of CMS guidance that would assist states in oversight of payment risks has been delayed. CMS officials told us in April 2017 that they planned to issue a compendium of guidance related to the managed care rule\u2019s program integrity regulations. The compendium is intended to provide guidance on (1) MCO program integrity requirements, (2) state audits of MCO encounter data that must be conducted at least every 3 years, and (3) MCO overpayments to providers. However, in September 2017, CMS officials told us that although they had a draft of the compendium, they did not have a timeline for issuing it, because the managed care rule was under review. As of May 2018, no issuance date has been set for the guidance. Over half of the stakeholders we interviewed who identified federal responsibilities as an oversight challenge to managed care cited the complexity of federal regulations and the lack of federal guidance as key issues. The lack of available federal guidance resulting from delays in issuing such guidance is inconsistent with federal internal control standards that call for federal agencies to communicate quality information to those responsible for program implementation for the purposes of achieving program objectives and addressing program risks. Until such guidance is issued, stakeholders\u2019 ability to effectively address challenges to payment risks in Medicaid managed care will continue to be hindered."], "subsections": []}, {"section_title": "Gaps in Auditing", "paragraphs": ["Although audits of providers that bill and are paid by MCOs can provide important information about payment risks and are included in the UPIC statement of work, only 14 of the 762 audits initiated by CMS contractors during the period of fiscal year 2014 through 2017 were managed care audits. Our review of three CMS contracted managed care audits indicated that the amount of inaccurate MCO payments to providers\u2014as well as MCO and provider noncompliance with contracts\u2014can be significant. For example, one audit of an MCO\u2019s payments to selected providers found that 8.94 percent of payments were in error, representing over $4 million in overpayments for a 6-month period. This audit also identified a lack of provider compliance with requirements to provide preventive care services and care coordination to members, and a lack of MCO compliance with requirements to monitor member enrollment, resulting in the MCO paying providers for individuals who were not enrolled.", "CMS officials shared plans to increase collaborative audits in managed care in the future. CMS officials said the agency is in the early planning stages to pilot an audit of MCO providers in one state, with the goal of addressing challenges encountered in prior managed care audits. CMS is also in discussions with states and audit contractors to conduct potential audits and investigations in fiscal years 2018 and 2019.", "However, CMS and audit contractor officials identified several circumstances related to states\u2019 contracts with MCOs that they said have created gaps in their auditing activity.", "According to CMS officials, states have reported a reluctance to conduct provider audits when states\u2019 contracts with MCOs (1) allow the MCO to retain identified overpayments, or (2) do not explicitly discuss how identified overpayments are addressed.", "Officials with the two operating UPICs told us that CMS\u2019s general guidance to them was to restrict their audits to states with MCO contracts where the states can recoup overpayments from the MCOs. According to one contractor, because few states have such contracts, the vast majority of the contractors\u2019 audits are of providers paid on a fee-for-service basis. However, overpayments to providers can affect state and federal expenditures regardless of a state\u2019s particular recoupment policy, because if they are not accounted for, they may increase future capitation rates paid to MCOs.", "Audit contractor officials also said the lack of access to MCO coverage and policy materials, and the inability to directly access encounter or claims data, prevent them from doing analyses to identify potential provider fraud, abuse, and waste for investigation.", "While CMS officials said they encourage states to participate in additional collaborative audits of managed care, they did not identify steps the agency is taking to address the circumstances that limit collaborative audits conducted. The lack of sufficient auditing in managed care is inconsistent with federal internal control standards that require federal agencies to identify risks through such activities as auditing."], "subsections": []}, {"section_title": "Gaps in Monitoring", "paragraphs": ["CMS has incomplete information on the scope and extent of MCO overpayments to providers, which results in a gap in monitoring MCO payments. Gaps in monitoring also exist because CMS lacks a process for consistently collecting information about overpayments and documenting that states account for overpayments when setting capitation rates. A few examples of these issues include the following:", "While CMS regularly reviews states\u2019 proposed capitation rates, it lacks a process to consistently ensure any overpayments are accounted for by the states. According to an official with CMS\u2019s Office of the Actuary, their review of state capitation rates does not require documentation of the amount of overpayments that occurred the prior year, how they were determined, or how they were incorporated into setting capitation rates. According to this official, issues between states and MCOs\u2014such as contractual issues related to how overpayments are handled\u2014are beyond the scope of their review and responsibilities. However, such information could be important to program integrity oversight; for example, 11 stakeholders we interviewed said that state capitation rates did not account for overpayments, because they had observed that overpayments were not reported by MCOs, were not monitored by the state, or both.", "Although some of CMS\u2019s focused program integrity reviews have suggested that there is under-reporting of MCO overpayments to providers, CMS officials explained that these reviews are intended to assess state compliance with regulations, and not to determine the extent of under-reporting or why overpayments are under- reported.", "States\u2019 and CMS\u2019s contracted auditors have conducted only a few collaborative audits in managed care, even though such audits can identify overpayments made by MCOs to providers.", "These gaps in monitoring of overpayments are inconsistent with federal internal control standards that require federal agencies to monitor operating effectiveness through audits and reviews. Without more complete information on the extent of overpayments and a process to ensure they are accounted for in state capitation rates, CMS is unable to ensure that MCOs are effectively identifying overpayments and documenting that they are accounted for when reviewing and approving state capitation rates. As a result, CMS cannot be sure that states are holding MCOs financially accountable for making proper payments, that states are paying accurate capitation payments to MCOs, or that the federal government\u2019s share of Medicaid expenditures is accurate."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Managed care has the potential to help states reduce Medicaid program costs and better manage utilization of health care services. However, oversight of managed care is critical to achieving these goals. Payment risks are not eliminated under managed care; in fact, they are more complex and difficult to oversee. While CMS has taken important steps to improve program integrity in managed care\u2014including strengthening regulations, developing guidance for states on provider enrollment in Medicaid managed care, and beginning to include managed care in the monitoring and auditing process\u2014the efforts remain incomplete, because of delays and limited implementation. To date, CMS has not issued its planned compendium with guidance on program integrity in Medicaid managed care, taken steps to address known factors limiting collaborative audits, or developed a process to help ensure that overpayments to providers are identified by the states. Without taking actions to address these issues, CMS is missing an opportunity to develop more robust program integrity safeguards that will best mitigate payment risks in managed care."], "subsections": []}, {"section_title": "Recommendations For Executive Action", "paragraphs": ["We are making the following three recommendations to CMS:", "The Administrator of CMS should expedite the planned efforts to communicate guidance, such as its compendium on Medicaid managed care program integrity, to state stakeholders related to Medicaid managed care program integrity. (Recommendation 1)", "The Administrator of CMS should eliminate impediments to collaborative audits in managed care conducted by audit contractors and states, by ensuring that managed care audits are conducted regardless of which entity\u2014the state or the managed care organization\u2014recoups any identified overpayments. (Recommendation 2)", "The Administrator of CMS should require states to report and document the amount of MCO overpayments to providers and how they are accounted for in capitation rate-setting. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Department of Health and Human Services for comment. HHS concurred with these recommendations, stating that it is committed to Medicaid program integrity. HHS also cited examples of activities underway to improve oversight of the Medicaid program, such as training offered through the Medicaid Integrity Institute, and guidance provided in the Medicaid Provider Enrollment Compendium. The full text of HHS\u2019s comments is reproduced in appendix IV. HHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of Health and Human Services and the Administrator of CMS. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or at yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Risk Level Designations by Stakeholder Group", "paragraphs": ["We asked stakeholders involved in program integrity oversight to assign a level of risk\u2014either low, some, or high\u2014to six types of payment risks in Medicaid managed care. We interviewed officials in the following five organizations in each of 10 states: state Medicaid managed care office, state program integrity unit, Medicaid Fraud Control Unit (MFCU), state auditor\u2019s office, and a managed care organization (MCO). (See table 1 for a description of each of these entities.) Figures 6 through 9 below illustrate the risk level stakeholders assigned to the four types of payment risk that are associated with states\u2019 periodic capitation payments to MCOs. Figures 10 and 11 illustrate the risk level stakeholders assigned the two types of payment risks associated with MCO payments to providers. In some cases, stakeholders said they did not have enough information to assign a level of risk (\u201cDon\u2019t know\u201d) or that one of the payment risks did not apply in their state (\u201cNot applicable\u201d).", "For some payment risks, the stakeholders whose primary responsibility is program integrity\u2014state auditors, MFCU officials, and state Medicaid program integrity staff\u2014were more likely to assign a higher level of risk than state Medicaid managed care officials and MCO officials who have responsibilities both for program operation and program integrity. For example, some of the risk levels cited in our interviews by state auditors, MFCU officials, and state Medicaid program integrity staff included the following:", "State auditors most frequently cited improper state capitation payments as high risk in the state.", "Three state auditors identified duplicate state payments as high risk.", "Just over half of all state auditors, MFCU officials, and state Medicaid program integrity staff identified inaccurate state capitation rates as some or high risk.", "In contrast, state Medicaid managed care officials and MCO officials were less likely to assign high risk to payment types. Some examples include the following:", "No state Medicaid managed care officials cited a high level of risk for any of the six payment types.", "Two MCO officials cited a high level of risk for incorrect MCO fee- for-service payments. No other MCO officials cited a high level of risk for any of the other payment types.", "Stakeholder views on the risk level of different payment risks are outlined in the figures that follow.", "Improper state capitation payments may occur when the state makes monthly capitation payments to an MCO for beneficiaries who are ineligible for or not enrolled in Medicaid, or who have died. (See fig. 6.)", "Inaccurate state capitation rates occur when a state established a capitation rate that is inaccurate primarily due to issues with the data used to set the rates. Data issues could include inaccurate encounter data, unallowable costs, overpayments that are not adjusted for in the rate, or older data that do not reflect changes in care delivery practices that affect MCO costs. (See fig. 7.)", "State payments to noncompliant MCOs occur when a state pays MCOs a periodic capitation per beneficiary even though the MCO has not fulfilled state contract requirements. Examples of unfulfilled contract requirements include an MCO failing to establish an adequate provider network, reporting inaccurate encounter data for services, or failing to report the amount of overpayments the MCO has made to providers. (See fig. 8.)", "Duplicate state payments to an MCO occur when a health care provider submits a fee-for-service claim to the state Medicaid program for services that were covered under the MCO contract. (See fig. 9.)", "Incorrect MCO fee-for-service payments occur when the MCO pays providers for improper claims, such as claims for services (1) not provided, or provided by ineligible providers; or (2) that represent inappropriate billing, such as billing individually for bundled services or for a higher intensity of services than needed. (See fig. 10.)", "Incorrect MCO capitation payments occur when MCOs pay providers a periodic fixed payment without assurances they have provided needed services. (See fig. 11.)"], "subsections": []}, {"section_title": "Appendix II: Examples of Different Types of Payment Risks in Medicaid Managed Care", "paragraphs": ["To identify examples of payment risks in Medicaid managed care, we reviewed Department of Health and Human Services\u2019 (HHS) Office of Inspector General (HHS-OIG) publications and our prior work; obtained input from the National State Auditor\u2019s Association; and conducted literature searches and key word searches of online databases, which identified additional state audits and investigations involving Medicaid managed care payment. We grouped these examples of payment risks into six broad categories or types based on similar key characteristics. Tables 10 through 15 provide examples of each of the six types of payment risks we identified: (1) improper state capitation payments, which are state capitation payments to MCOs for ineligible or deceased individuals; (2) inaccurate state capitation rates; (3) state payments to non-compliant managed care organizations (MCO); (4) duplicate state payments to MCOs and providers; (5) incorrect MCO fee-for-service payments to providers; and (6) incorrect MCO capitation payments to providers that have not complied with program requirements."], "subsections": []}, {"section_title": "Appendix III: Challenges to Effective Program Integrity Oversight in Medicaid Managed Care", "paragraphs": ["We asked 49 stakeholders involved in program integrity oversight to consider the following six challenges to effective program integrity oversight: (1) availability and allocation of resources; (2) access to and quality of data and technology; (3) state policies and practices; (4) provider compliance with program requirements; (5) managed care organization (MCO) management of program integrity; and (6) federal regulations, guidance, and review. Stakeholders were asked whether any of these presented a challenge to each of six types of payment risks in Medicaid managed care in their state, including (1) improper state capitation payments to MCOs for ineligible or deceased individuals; (2) inaccurate state capitation rates; (3) state payments to MCOs that have not fulfilled contract requirements; (4) state duplicate payments to MCOs and providers; (5) incorrect MCO fee-for-service payments to providers for improper claims; and (6) incorrect MCO capitation payments to providers that have not complied with program requirements.", "Figure 12 illustrates the number of times stakeholders cited a particular challenge for each of the payment risks. The frequency with which each of the challenges was identified differed to some extent for different payment risks. Some examples include the following:", "Quality of data and technology was the most cited challenge for duplicate state payments.", "State policies and practices was the most cited challenge for inaccurate state capitation rates.", "Provider compliance with program requirements was the most cited challenge for two payment types: (1) incorrect MCO fee-for- service payments to providers, and (2) incorrect MCO capitation payments to providers.", "Resource allocation was the second most cited challenge for five of the six payment risk types, although it was not the most cited challenge for any one payment risk type."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Tim Bushfield (Assistant Director), Mary Giffin (Analyst-in-Charge), Arushi Kumar, Julie Flowers, Drew Long, Vikki Porter, Katie Thomson made key contributions to this report. Other staff who made contributions to the report were Jessica Broadus, Barbie Hansen and Erika Huber."], "subsections": []}]}], "fastfact": ["Almost half\u2014$171 billion\u2014of Medicaid spending in 2017 went to managed care organizations (MCO). In Medicaid managed care, states pay a set periodic amount to MCOs for each enrollee, and MCOs pay health care providers for the services delivered to enrollees.", "Used effectively, managed care can help states reduce Medicaid costs. However, managed care still is at risk of making incorrect payments, such as duplicate payments or payments for ineligible patients.", "We identified 6 types of payment risks: 4 related to state payments to MCOs, and 2 related to MCO payments to providers.", "We recommended ways to improve oversight of managed care payments."]} {"id": "GAO-18-558", "url": "https://www.gao.gov/products/GAO-18-558", "title": "DEFENSE INFRASTRUCTURE: Guidance Needed to Develop Metrics and Implement Cybersecurity Requirements for Utilities Privatization Contracts", "published_date": "2018-09-04T00:00:00", "released_date": "2018-09-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since Congress provided statutory authority in 1997 for the privatization of utility systems at military installations, the military departments have privatized nearly 600 utility systems. According to DOD officials, utilities privatization enables military installations to obtain safe, reliable, and technologically current utility systems at a relatively lower cost than they would under continued government ownership.", "The Senate report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that GAO review DOD's utilities privatization program. This report assesses the extent to which DOD has (1) tracked utilities privatization contract performance and developed measureable performance standards, and (2) implemented cybersecurity guidance for industrial control systems associated with privatized utility systems. GAO reviewed relevant policies and internal control standards, analyzed a non-generalizable sample of utilities privatization contract documents, and interviewed DOD and selected military installation officials and privatized utility system owners."]}, {"section_title": "What GAO Found", "paragraphs": ["The military departments have some types of information about privatized utility systems, but they have not tracked contract performance or developed measurable performance standards for these contracts. Specifically:", "Costs for Utility Infrastructure Improvements: The military departments estimated the cost avoidance at the time of contract award; however, none of the military departments have determined whether the utilities privatization contracts are on track to achieve those estimates.", "Costs for Utility Commodities: Military department officials stated that they have observed reduced usage of commodity utilities, such as water usage, and thus decreased commodity costs, through utilities privatization; however, the officials have not tracked the data and any associated savings. Furthermore, the officials have not determined whether any savings were fully attributable to utilities privatization, recognizing that other factors may have affected commodity usage.", "System Reliability: Military department officials stated that they have perceived improvements in utility system reliability since utilities privatization and have access to contractor-provided data to assess reliability; however, the military departments have not used this data to determine reliability trends over time.", "Contractor Performance Evaluations: The military departments use the Contractor Performance Assessment Reporting System to evaluate each utility system owner's performance; however, based on GAO's review of the evaluations associated with the contracts in its sample, the evaluations were anecdotal and varied in frequency and quality.", "Department of Defense (DOD) guidance does not require the development of metrics and associated measurable performance standards to track utilities privatization contract performance. Without a requirement to develop these metrics and standards, DOD will lack information on the performance of utilities privatization contracts and thus may not be able to perform effective program management and oversight for these long-term contracts.", "DOD has taken steps to add a cybersecurity clause to its utilities privatization contracts that requires contractors take steps to ensure safeguards are put in place to protect covered defense information, which is defined as information that is processed, stored, or transmitted on the contractor's information system or industrial control systems. To implement the clause, DOD first must identify what, if any, covered defense information is provided to or developed by the contractor in performance of the contract. However, the Defense Logistics Agency (DLA) and military department officials stated that they have not begun to implement the clause because they need DOD to issue procedures concerning how the military departments are to determine what, if any, covered defense information associated with utilities privatization contracts is provided or developed by the contractor in performance of the contract. Without these procedures, the military departments and DLA will not have assurance that such information is being safeguarded."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD issue guidance requiring the military departments and DLA to develop metrics to track utilities privatization contract performance, and issue procedures concerning how the military departments are to determine what constitutes covered defense information as it relates to utilities privatization contracts. DOD concurred with both recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since Congress provided statutory authority in 1997 for the privatization of utility systems at military installations, the Department of Defense (DOD) has privatized nearly 600 of about 2,600 utility systems on military installations worldwide, including electric, water, wastewater, natural gas, and thermal systems. According to the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment (ASD (EI&E)), utilities privatization enables military installations to obtain safe, reliable, technologically current, and environmentally sound utility systems at a relatively lower cost than they would under continued government ownership. Utilities privatization gets DOD out of the business of owning, managing, and operating utility systems so that it can focus on its core missions and benefit from reliable utility systems owned and operated at industry standards.", "DOD installations rely on the use of utilities, such as electricity and water, to accomplish their missions. Thus, DOD must be prepared for and adapt to changing conditions and withstand and recover rapidly from disruptions. This includes disruptions caused by deliberate attacks, such as cyberattacks on industrial control systems (ICS), accidents, and equipment failure, or naturally occurring events, such as severe weather. According to DOD officials, such threats are a risk to ensuring the reliable provision of utility services to its installations. DOD has issued policies to its installations, including those with privatized utilities, to enhance energy resilience, which the department defines as the ability to recover from energy disruptions that impact mission assurance on its installations. Various efforts can contribute to an installation\u2019s ability to achieve utility resilience, including upgrading and replacing utility infrastructure or equipment, which could be achieved through utilities privatization.", "In our prior work since 2005, we identified multiple challenges with DOD\u2019s utilities privatization efforts and utilities resilience. In 2005, we identified several management weaknesses in DOD\u2019s implementation of the utilities privatization program. We made eight recommendations to help ensure the reliability of economic analyses and improve the utilities privatization guidance and procedures. DOD non-concurred with seven recommendations and partially concurred with one recommendation in its response to the report; however, DOD has since implemented all but one recommendation. In 2006, we reported that DOD\u2019s progress in implementing the utilities privatization program had been slower than expected and management concerns remained. We made seven recommendations to improve DOD\u2019s management of utilities privatization, and DOD generally concurred with and implemented six recommendations. In 2015, we identified that DOD faces challenges in implementing utility resilience efforts, such as collecting and reporting comprehensive utility disruption data, and developing cybersecurity policies for its ICS. We made four recommendations to clarify utility disruption reporting guidance, improve data validation steps, and address challenges to addressing cybersecurity ICS guidance, and DOD concurred or partially concurred with all but one recommendation and implemented three recommendations.", "The Senate Armed Services Committee report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that we review DOD\u2019s utilities privatization efforts. In this report, we examined the extent to which the department has (1) tracked utilities privatization contract performance and developed measureable performance standards, and (2) implemented cybersecurity guidance for ICS associated with privatized utility systems.", "For both objectives, we selected a non-generalizable sample of 9 utilities privatization contracts, which privatized 11 utility systems, as case studies to review. To select the case studies, we analyzed data maintained by ASD (EI&E) and the military departments to identify the universe of utility systems that were privatized using the legislative authority first granted by Congress in 1997. We determined that the data were sufficiently reliable for our objectives by comparing ASD (EI&E) data with the military department\u2019s data and interviewing military department officials about the data sources. Using this data, we selected contracts that had been awarded in 2007 or later, since we had previously reviewed the department\u2019s privatization efforts in 2005 and 2006. From this group of contracts, we then selected at least three utility systems from each military department and at least one utility system of each type that was privatized\u2014electric, water, wastewater, and natural gas in order to try and broadly capture the range of contracts. For each of these contracts, we gathered detailed information from installation officials and representatives of the privatized utility system owner. In addition, we interviewed officials in ASD (EI&E) and the military departments\u2019 utilities privatization program management offices. Since our methodology was based on reviewing a select number of utilities privatization contracts in depth, we are unable to generalize the results from our review to the universe of DOD\u2019s utilities privatization contracts. Instead, this report highlights examples collected from the case studies identified above. Further information on the selected characteristics of the nine utilities privatization contracts included in our review can be found in appendix I.", "For objective one, we reviewed DOD guidance on installation energy management and documentation from each military department on the performance of utilities privatization contracts. We also reviewed documentation describing any metrics and processes the military departments use to measure the performance of privatized utilities, including assessments of utility system owner performance. For each utility system and associated contract included in our sample, we reviewed the original contract and any subsequent modifications to the contract, as well as the associated documentation describing the metrics and processes used to measure progress and assess performance for each contract. We examined the modifications for each contract to calculate the changes in contract value over time. In presenting changes in contract value, we used constant dollars using a Gross Domestic Product deflator based on the year the contract was initially awarded. We also interviewed military department officials and utility system owners associated with each privatized utility system in our sample on performance metrics and on any challenges they experience in assessing the performance of privatized utilities. Because our scope was limited to utilities privatization contracts, we did not attempt to compare whether the reported performance results of utilities privatization might have been achieved through an alternative approach, such as continued government ownership or other alternative financing arrangements such as energy savings performance contracts. We compared ASD (EI&E) and military department efforts to monitor utilities privatization performance with Standards for Internal Control in the Federal Government and our prior work on strategic planning to determine whether ASD (EI&E) or the military departments have implemented controls, such as the establishment of performance metrics, which may be necessary to achieve department objectives efficiently and to gauge progress toward meeting department objectives.", "For objective two, we reviewed DOD guidance and documentation to identify and describe policies regarding requirements for cybersecurity of ICS associated with privatized utility systems, including requirements in the Defense Federal Acquisition Regulation Supplement. We interviewed officials from ASD (EI&E) and the military departments\u2019 utilities privatization program management offices about policies regarding requirements for cybersecurity of ICS and the implementation of these policies. In addition, we examined the utilities privatization contracts included in our sample to identify and describe the extent to which the contracts characterize any requirements for cybersecurity. We interviewed military department officials, Defense Logistics Agency (DLA) officials, and contractors associated with each privatized utility system included in our sample to determine how these officials have implemented cybersecurity for ICS associated with privatized utility systems. We also compared the department\u2019s utilities privatization policies on cybersecurity with Standards for Internal Control in the Federal Government requirements for management to evaluate security threats to information technology, including ICS, which can come from both internal and external sources, and periodically review policies and procedures for continued relevance and effectiveness in addressing related risks facing the entity as it seeks to achieve its objectives.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Utilities Privatization Authorities and Intent", "paragraphs": ["Congress provided statutory authority in 1997 for the privatization of utility systems on military installations to address DOD\u2019s need to supply reliable, safe, and efficient utility services to its installations. In defining a utility system, the authority includes systems for the generation and supply of electric power; the treatment or supply of water; the collection or treatment of wastewater; the generation or supply of steam, hot water, and chilled water; the supply of natural gas; and the transmission of telecommunications. Included in a utility system are the associated equipment, fixtures, structures, and other improvements, as well as real property, easements, and rights-of-way. The authority states that the Secretary of a military department may convey a utility system to a municipal, private, regional, district, or cooperative utility company or other entity. DOD\u2019s policy permits the military departments to maintain ownership of utility systems and not privatize them for unique security reasons, such as installations with highly sensitive missions, or when privatization is uneconomical."], "subsections": []}, {"section_title": "Utilities Privatization Roles and Responsibilities", "paragraphs": ["ASD (EI&E) oversees DOD\u2019s utilities privatization program, which is part of the department\u2019s installation energy management portfolio. In this capacity, ASD (EI&E) is responsible for developing policies and overseeing the program. There are two main sources of guidance for utilities privatization\u2014 a DOD instruction on energy management at the installation level, DOD Instruction 4170.11, Installation Energy Management, and a series of memorandums specific to utilities privatization. The instruction and memorandums direct the military departments to attempt to privatize all utility systems, unless the Secretary of the military department determines that the system is exempt from privatization for security or economic reasons. Some of the memorandums were issued to provide the military departments with guidance to implement certain changes to the statutory authority related to utilities privatization. For example, the congressional authority was amended in 2006 to require the Secretary of Defense\u2019s (or a designee\u2019s) approval for utilities privatization contracts with terms longer than 10 years, but not to exceed 50 years. The subsequent guidance memo delegated the approval from the Secretary of Defense to the Secretaries of the military departments and the Director of the DLA.", "The military departments have the responsibility for program implementation, as the statutory authority to privatize utility systems is granted to the Secretaries of the military departments. As such, the military departments determine which systems will be privatized and which systems may be exempted from privatization due to economic or security reasons. According to military department officials, each military department considers utilities privatization as an option for the recapitalization of utility infrastructure. The Army views utilities privatization as the preferred option, while the Navy and the Air Force consider utilities privatization to be one option among others. Specifically,", "Army officials stated that they follow the statute and ASD EI&E program guidance documents. Those documents state that utilities privatization is the preferred method for recapitalizing utility infrastructure and officials stated that the Army plans to assess all of its utility systems for privatization. The Army prioritizes systems in the worst condition and systems with important missions for privatization. According to Army officials, in cases where the utility system is in poor condition and the installation performs important missions, the Army may privatize utility systems even if the costs in the contractor\u2019s proposal exceed the costs in the government\u2019s \u201cshould cost\u201d estimate by as much as 15 percent.", "The Air Force\u2019s utilities privatization policy states that the program\u2019s goal is to permanently convey utility systems on Air Force active, reserve, and guard installations to private or public utility companies in conjunction with an award of a long-term utility services contract for the operation and maintenance of those systems. The purpose of privatizing a utility system is to restore utility infrastructure to industry standards for operations, maintenance, recapitalization, health, and safety while achieving a monetary savings over the cost of continued Air Force ownership.", "According to Navy officials, the Navy has not pursued utilities privatization in recent years but is currently in the process of assessing utility systems for potential conveyance. Any decisions to convey utility systems will be based on a business case analysis for total ownership cost and the ability to improve reliability, resilience, and efficiency for priority missions. Navy officials noted that the Navy follows DOD policy for utility conveyance authority.", "DLA works with the military departments to plan for utilities privatization and procures and administers 61 utilities privatization contracts for the Departments of the Army and Air Force from the pre-solicitation phase and into the post-award phase. According to DLA officials, the entire pre- award process takes approximately 915 days, based on the assumption that the solicitation receives 1 to 6 proposals from contractors. Once an award decision is made, privatization involves two transactions with the successful contractor\u2014the conveyance of the utility system infrastructure and the acquisition of utility services for upgrades, operations, and maintenance under a long-term contract of up to 50 years. According to DLA officials, the contract term can be up to 50 years because it allows the military departments the opportunity to spread the high costs to repair and replace existing utility infrastructure over a long period of time. The Department of the Navy administers its own utilities privatization contracts for Navy and Marine Corps installations."], "subsections": []}, {"section_title": "DOD\u2019s Privatization of Utility Systems Since 1988", "paragraphs": ["As of January 2017, the military departments have privatized approximately 23 percent (601 of 2,574) of their utility systems. As shown in table 1, the Army has privatized the most systems (369), followed by the Air Force (174), and then the Navy (58). In addition, table 1 shows the number of utility systems the military departments have exempted for either economic or security reasons. As of January 2017, the military departments have 600 systems that have not been privatized or exempted from privatization. The Army and the Air Force have plans to privatize more systems in the coming years."], "subsections": []}, {"section_title": "Industrial Control System Vulnerabilities and Cybersecurity Policies and Guidance", "paragraphs": ["According to an ASD (EI&E) official, information residing on ICS associated with privatized utilities systems, and more broadly, information on any ICS, may be used by adversaries to gain insights into operations on installations or to conduct a cyberattack. According to U.S. Cyber Command, DOD\u2019s ICS are a potential target and an adversary could gain unauthorized access and attack DOD in a variety of ways, including removing data from an ICS, inserting false data to corrupt the monitoring and control of utility infrastructure through ICS, and physically destroying utility infrastructure controlled by an ICS. As such, DOD\u2019s 2015 Cyber Strategy recognizes the need to protect DOD information regardless of where it resides\u2014on DOD\u2019s own information systems and ICS or on contractor-owned information systems and ICS\u2014 so that DOD capabilities are not exploited, misdirected, countered, or cloned. Figure 1 illustrates a potential cyberattack using false data in an ICS.", "In addition, there have been reports of successful attacks using ICS associated with infrastructure. Specifically, the Office of the Director of National Intelligence issued a report in 2017 describing several of these attacks. For example, the report noted that in 2010, Stuxnet was the first computer virus specifically targeting ICS, and it allowed attackers to take control of the systems and manipulate real-world equipment without the operators knowing. The attacker targeted certain equipment at the Natanz uranium enrichment plant in Iran, manipulated computer systems that control and monitor the speed of the centrifuges, and reportedly destroyed roughly one-fifth of Iran\u2019s nuclear centrifuges by causing them to spin out of control. The attacker increased the pressure on spinning centrifuges while showing the control room that everything appeared normal by replaying recordings of the plant\u2019s protection system values during the attack. In another example, the report noted that in 2012, a U.S. power utility\u2019s ICS was infected with a virus when a third-party technician used an infected USB drive to upload software to the systems. The virus resulted in downtime for the systems and delayed plant restart by approximately 3 weeks.", "In recognition of these threats, DOD has developed cybersecurity policies and guidance for ICS that apply to both DOD-owned ICS and contractor- owned ICS. Specifically,", "For DOD-owned ICS, the department has issued several policies and guidance for the cybersecurity of ICS. For example, in 2016, in response to one of our prior recommendations that ASD (EI&E) address challenges the military services faced in implementing the risk management framework guidance, ASD (EI&E) directed the services to develop plans identifying the goals, milestones, and resources needed to identify, register and implement cybersecurity controls on DOD facility-related ICS. Further, DOD issued additional guidance that was intended to assist the military services in developing implementation plans to meet these requirements. In 2016, DOD issued guidance, in the form of Unified Facilities Criteria, which provides criteria for the inclusion of cybersecurity in the design of control systems in order to address appropriate security controls during design and subsequent construction. Also, in 2016, the U.S. Cyber Command and the Office of the Secretary of Defense issued guidance that identifies device anomalies that could indicate a cyber incident, specific detection procedures to assess the anomaly, and procedures to recover electronic devices, including removing and replacing the device.", "For contractor-owned ICS, including ICS owned by privatized utility system owners, DOD has a Defense Federal Acquisition Regulation Supplement clause to require that contractors take steps to ensure safeguards are put in place to protect covered defense information, which is defined as unclassified controlled technical information or other information that is processed, stored, or transmitted on the contractor\u2019s information system or ICS. Controlled unclassified information is information that requires safeguarding or dissemination controls pursuant to and consistent with law, regulations, and government-wide policies. The clause also requires the contractor to report cyber incidents."], "subsections": []}]}, {"section_title": "Military Departments Have Some Types of Information on Their Privatized Utility Systems, but Have Not Tracked Contract Performance or Developed Measurable Performance Standards", "paragraphs": ["The military departments have information about utility systems that have been privatized, but they have not tracked utilities privatization contract performance or developed measurable performance standards for these contracts. Specifically, for the systems in our sample the military departments have some information on the costs for utility infrastructure improvements and commodities, system reliability, and contractor performance evaluations.", "Costs for Utility Infrastructure Improvements: The military departments have information on the estimated cost avoidance at the time of contract award for utility infrastructure improvements; however, none of the military departments have determined whether the utilities privatization contracts are on track to achieve those cost avoidance estimates. For example, officials at Fort Bragg, North Carolina, estimated at the time of contract award that it would have cost the Army $61.4 million to provide natural gas utility services over the life of the utilities privatization contract, while the successful proposal from the contractor estimated a cost of $52.3 million for the same services. Therefore, the Army initially projected that it would avoid an estimated cost of $9.1 million for natural gas utility services at Fort Bragg over the life of the contract.", "However, the estimate at the time of contract award used by each military department does not account for changes in the cost of the contract over time. Moreover, none of the military departments measure actual cost avoidance over time, and some utilities privatization contracts have experienced cost increases. Specifically, we found that six of the nine utilities privatization contracts in our sample included modifications, which increased the original cost of the contract by more than 5 percent after adjusting for inflation. For example, the contract to privatize electric and water services at Tyndall Air Force Base, Florida, had 59 modifications, which have increased the total estimated contract value by 36 percent ($42 million) to $159 million since it was awarded in September 2010. In addition, the water and wastewater privatization contract at Fort Bragg had 219 modifications, which has increased the total estimated contract value by 96 percent ($552 million) to about $1.1 billion since it was awarded in September 2007.", "According to military department and DLA officials, there are limitations to using the information in the modifications to analyze changes in cost over time associated with the utilities privatization contracts because some cost changes may have occurred even if the government had retained ownership of the utility system. DLA officials stated that the modifications are made for a number of different reasons, including changes in mission requirements, changes to the utility service requirements, and capital upgrade projects on the installation. According to military department officials, cost changes associated with changes in the installation\u2019s mission would likely have occurred had the military department retained ownership and would not be a cost increase due to privatization. Thus, it is difficult to determine the extent to which cost increases affect the cost avoidance estimated at the time of contract award.", "In 2006, we reported that cost growth in DOD\u2019s utilities privatization contracts may become a concern because once a utility system is privatized, the government enters into a sole-source relationship with the privatized utilities system owner, which may put the government at a disadvantage when negotiating prices for utility system changes. To mitigate this disadvantage, DLA and Air Force officials stated that they use experts who review proposals from the privatized utility system owners to help ensure that costs are fair and reasonable.", "Costs for Utility Commodities: Military department officials stated that they have observed reduced usage of the commodity provided by the utility, such as water usage, and thus decreased commodity costs through utilities privatization; however, installation officials have not tracked the data and associated savings. Furthermore, the officials have not determined whether any savings were fully attributable to utilities privatization, recognizing that other factors may have affected commodity usage. For example, officials at Tyndall Air Force Base, Florida, stated that repairs to their privatized water system infrastructure have resulted in less water usage, and that there has been a decrease in the number of leaks. An Army official estimated commodity cost savings by comparing commodity costs prior to utilities privatization with commodity costs after utilities privatization. This approach was based on the assumption that any such savings were primarily due to utilities privatization. However, an Army official stated that the commodity cost savings the Army estimated could be attributed to other factors outside of utilities privatization, such as decreases in base population or execution of Energy Savings Performance Contracts. Air Force and Navy officials stated they did not estimate commodity cost savings.", "System Reliability: Military department officials stated that they have perceived improvements in utility system reliability since utilities privatization and have access to contractor-provided data to assess reliability; however, the military departments have not used the contractor-provided data to determine reliability trends over time. For example, Army officials at Arlington National Cemetery, Virginia, stated that they could not recall an unscheduled outage since the privatization of the electric system in 2015. In addition, officials at Tyndall Air Force Base, Florida, stated that there was a significant drop in outages after the electric system was privatized in 2010. However, we found that none of the military departments have formally measured improvements in reliability due to utilities privatization, because, according to military installation officials, they did not track reliability statistics prior to utilities privatization nor were they required to do so. In addition, we found that not all installations in our sample of cases have analyzed contractor-provided outage data, which includes information on the number of scheduled and unscheduled outages and the causes of the outages, to verify perceived reliability improvements. However, officials at Hill Air Force Base, Utah, stated that the system owner provides reports that track reliability over time and trends could be determined through this data collection. As we previously reported, there are benefits to collecting utility disruption information since it can be used to identify repairs and to prioritize funding for those repairs.", "Contractor Performance Evaluations: The military departments use the Contractor Performance Assessment Reporting System to subjectively evaluate each utility system owner\u2019s performance across several categories, including management, schedule, and cost control, among others; however, based on our review of the evaluations associated with the nine contracts in our sample, we found that the evaluations were anecdotal and varied in frequency and quality. While we found that the assessing officials generally reported satisfactory system owner performance, the performance periods in the evaluations varied. For example, one evaluation for the water privatization contract at Naval Air Station Key West, Florida, covered 4 years, while the subsequent evaluation for the same contract covered 1 year. Another evaluation for the natural gas privatization contract at Fort Bragg, North Carolina, covered a performance period of 1 year and 4 months. Guidance for these contractor assessments indicates that agencies should conduct contractor performance evaluations on an interim annual basis and upon final completion of the contract. In addition, evaluation information supporting ratings varied. In one evaluation for the electric and water privatization contract at Tyndall Air Force Base, Florida, an assessing official cited multiple concerns in the supporting narrative for an evaluation area and rated it as \u201cunsatisfactory,\u201d while the subsequent evaluation for the same contract provided an \u201cexceptional\u201d rating for the same evaluation area with no explanation of how previous concerns were addressed.", "The military departments have not tracked utilities privatization contract performance and have not developed measurable performance standards because ASD (EI&E) has not issued guidance requiring the military departments to develop metrics and measurable performance standards. Standards for Internal Control in the Federal Government state that management should design control activities\u2014such as the establishment of performance measures and indicators\u2014to achieve objectives. In addition, our prior work has shown that an element of sound planning focuses on developing a set of metrics that will be applied to gauge progress toward attainment of the plan\u2019s long-term goals. The metrics can be used to evaluate the plan through objective measurement and systematic analysis to determine the manner and extent to which privatized utility systems meet measurable performance standards. According to our prior work, performance measurement focuses on whether a program has achieved its objectives, expressed as measurable performance standards. Moreover, DOD\u2019s guidebook for the acquisition of services states that services acquisition is about acquiring performance results that meet performance requirements needed to successfully execute an organization\u2019s mission. Those performance requirements and how the government will assess the contractor\u2019s performance must be determined before the contract is awarded.", "DOD has guidance that requires the military departments to conduct a post-conveyance review for each privatized utility system. That guidance states that the military departments shall compare utilities privatization costs after the contract award to projected costs to identify whether there is a problem with cost growth. The guidance does not require the development of metrics and associated measurable performance standards to report on the performance of utilities privatization contracts.", "ASD (EI&E) officials stated that performance metrics are needed to improve DOD\u2019s oversight of utilities privatization efforts. According to Standards for Internal Control in the Federal Government, it is important for management to design performance metrics and standards because they help the entity achieve its goals. For example, ASD (EI&E) officials stated that they issued a data call to the military departments in January 2017 requesting information about the performance of utilities privatization contracts. Officials noted that they received different information from each military department and did not believe that the information would enable the department to determine whether the privatized utilities systems are improving reliability or achieving the cost savings originally estimated. For example, these officials stated that some installations provided contractor performance evaluation ratings, but these ratings were anecdotal and could not be used to determine improved reliability or estimated cost savings. Air Force officials also stated that they needed performance metrics to improve their management of utilities privatization. Officials explained that the information they receive from contracting officers and contracting officer representatives specific to privatized utilities is anecdotal and qualitative, and they have no metrics in place that allow the Air Force to track the performance of utilities privatization contracts over time or to identify trends and issues that would enable the Air Force to take steps to improve utilities privatization. However, Air Force officials stated that the Air Force is working on developing a standardized reporting template, called the Monthly System Performance Report, which will enable the Air Force to track reliability for its privatized utility systems and to identify reliability trends over time.", "DOD\u2019s utilities privatization program has been in place for 21 years and some information, such as the contractor-provided reliability data, is available that could be used to track performance over time. Performance metrics and standards would help ASD (EI&E) track the outcomes of the utilities privatization program. In addition, the life of utilities privatization contracts can extend to 50 years, producing a long-term, one-to-one relationship between the utility system owner and the government. The ability of ASD (EI&E), DLA, and the military departments to track performance over the life of utilities privatization contracts may help mitigate the risks of being in a one-to-one relationship with the utility system owner. Without issuing guidance that requires the military departments and DLA to develop and implement metrics and measurable performance standards to track contract performance for future utilities privatization contracts and to develop similar guidance for current utilities privatization contracts, the department will lack information on the performance of utilities privatization contracts. As a result, ASD (EI&E), the military departments, and DLA may not be able to perform effective program management and oversight for these long-term utilities privatization contracts."], "subsections": []}, {"section_title": "DOD Has Cybersecurity Requirements for Industrial Control Systems, but Has Not Begun to Implement Those Requirements for Utilities Privatization Contracts", "paragraphs": [], "subsections": [{"section_title": "DOD Has Cybersecurity Requirements for Industrial Control Systems", "paragraphs": ["In November 2013, DOD issued guidance in the form of a Defense Federal Acquisition Regulation Supplement clause to establish minimum requirements for safeguarding covered defense information on a contractor\u2019s ICS. The clause requires contractors to implement a minimum set of security controls on contractor information technology and ICS, to report cyber incidents, and to support DOD damage assessments as needed. According to DOD, the Defense Federal Acquisition Regulation Supplement clause for safeguarding covered defense information is required to be added to all new solicitations and contracts as of November 2013. The clause is not required to be incorporated retroactively into DOD contracts awarded prior to 2013, but that does not preclude a contracting officer from modifying existing contracts to incorporate the clause.", "To implement the clause for safeguarding covered defense information, the contractor must apply a minimum set of security controls on its ICS. For the contractor to know what the appropriate security controls are, DOD first must identify what, if any, covered defense information is provided to or developed by the contractor in performance of the contract. If the requiring activity determines that covered defense information is provided to or developed by the contractor, then the contracting officer notifies the contractor by documenting what information is considered covered defense information. Then, to secure DOD\u2019s covered defense information, the contractor must apply adequate security to its ICS on which that information resides and document, in a system security plan, how the requirements were met or how the contractor plans to meet the requirements. When requested by the requiring activity, the system security plan should be submitted to demonstrate that adequate security has been implemented. Figure 2 shows the responsibilities for identifying, marking, and securing DOD\u2019s covered defense information on contractor information and industrial control systems."], "subsections": []}, {"section_title": "DOD Has Not Begun to Implement Cybersecurity Requirements for Utilities Privatization Contracts", "paragraphs": ["DOD officials stated that while they have taken steps to incorporate the clause requiring the safeguarding of covered defense information into many of their utilities privatization contracts, they have not begun to implement the cybersecurity requirement in the clause to ensure that covered defense information is appropriately safeguarded for those contracts. DLA, Army, and Air Force officials stated that they have added cybersecurity requirements to some of the utilities privatization contracts they administer, but the Navy has not. Specifically:", "DLA: According to DLA officials, of the 61 privatized utility contracts DLA manages on behalf of the Army and Air Force, officials have incorporated the clause requiring the safeguarding of DOD covered defense information into 60 contracts, and are in the process of modifying one contract to incorporate the clause. According to DLA officials, beginning in June 2015, they determined that the utilities privatization contracts needed to be modified to incorporate the cybersecurity requirements to safeguard DOD covered defense information associated with its utilities privatization contracts for two reasons. First, DLA officials stated that they interpreted DLA- contracting guidance issued in 2015 to direct them to incorporate the clause into all contracts. Second, DLA officials stated that the clause should be applied to all utilities privatization contracts so that there was consistency across the program. Since the issuance of the DLA contracting guidance in 2015, DLA officials stated that they have provided direction to the utilities privatization contracting officers on multiple occasions to incorporate the clause into all contracts and plan to ensure that the remaining contracts are modified to include the clause. DLA officials stated that most of the contract modifications to include this clause were completed in 2015 and 2016; however, some modifications occurred as late as 2017.", "Army: Army officials who manage the Army\u2019s other utilities privatization contracts stated that the clause requiring the safeguarding of covered defense information has been added to some contracts, but could not state definitively that the clause was added to all of the utilities privatization contracts that the Army manages. Army officials stated that Army contracting guidance issued in 2015 did not specifically address utilities privatization; however, the guidance did require that the clause be added to several different types of contracts, including all contracts for programs where officials expect covered defense information to be furnished by the government or developed by the contractor, and contracts that were active in fiscal year 2016 and later, among other contracts, or provide a rationale for not including the clause. Army officials stated that they did not know if their utilities privatization contracts contained covered defense information. However, Army officials determined that the guidance required the clause to be added to utilities privatization contracts because these contracts fell into the category of contracts that were active in fiscal year 2016 and later. Another contracting officer for several Army privatization contracts stated that he does not recall how information about the guidance to incorporate the clause into utilities privatization contracts was shared. However, he stated that the issue was discussed at utilities privatization meetings, and he believed that it was implied at these meetings that the clause should be incorporated into existing utilities privatization contracts.", "Air Force: The Air Force official who manages the Air Force\u2019s utilities privatization program stated that two of the nine contracts managed by the Air Force included the clause, and the clause was being added to two additional contracts at the time of our review. Further, the Air Force stated that it was planning on adding the clause to the remaining five contracts. An Air Force official stated that it was not clear whether the clause was required to be incorporated into all existing utilities privatization contracts. However, since DLA added the clause across all of the utilities privatization contracts it managed, the Air Force official assumed that all non-DLA managed utilities privatization contracts should do the same.", "Navy: Navy officials stated that they have not taken steps to incorporate the requirement into any of their utilities privatization contracts. According to Navy officials, they have not added the cybersecurity clause to the Navy\u2019s utilities privatization contracts because they are waiting for guidance from ASD (EI&E) regarding whether the clause is necessary for all utilities privatization contracts and, if so, additional guidance on how to implement the clause.", "DLA, Army, and Air Force officials stated that while they have taken steps to incorporate the clause requiring the safeguarding of covered defense information into many of their utilities privatization contracts, they have not begun to implement the cybersecurity requirement for those contracts. As previously discussed, DOD acquisition guidance states that the requiring activity, which in the case of utilities privatization contracts is the military departments, must identify what information is considered covered defense information and provide that information to the contractor. However, before officials can fully implement these requirements, they must first identify what information is considered covered defense information.", "According to an ASD (EI&E) official, information residing on ICS associated with privatized utility systems could be considered covered defense information because it could be used by adversaries to gain insights into operations on installations or to conduct a cyberattack. For example, information about energy or other commodity usage, water or gas pressure in pipes, or the amount of chemicals that need to be added during water treatment processes might be useful information to an adversary seeking to disrupt operations on a military installation. In one example of a cyber incident on an ICS associated with the operation of a dam in New York, a threat actor repeatedly obtained information on the status and operation of the dam, including information about the water levels, temperature, and status of the gate that controls water levels and flow rates. This access would allow the attacker to remotely operate and manipulate the dam\u2019s gate. However, in this instance, the gate had been manually disconnected for maintenance at the time of the intrusion. In another example, threat actors obtained control-level access to a water treatment ICS and altered settings that controlled the amount of chemicals used to treat tap water and water flow rates, disrupting water distribution. The activity triggered an alert within the ICS, notifying the water treatment utility to quickly identify and reverse the chemical and flow changes, largely minimizing the impact on customers. Had the threat actors been more familiar with the flow control system, the attack could have been far more consequential.", "However, DLA officials stated that there are currently no procedures that state what, if any, information associated with utilities privatization contracts is considered covered defense information. DLA officials stated that they conferred with Army and Air Force officials, and DLA\u2019s own policy division, and reached out to ASD (EI&E) to obtain a clear definition on what information associated with DOD\u2019s utilities privatization contracts might be considered covered defense information.", "DLA\u2019s efforts to obtain clarification from ASD (EI&E) on how to implement the clause for utilities privatization contracts began in 2016. For example, in 2016, DLA officials stated they met with ASD (EI&E) officials to discuss the issue of covered defense information specific to the utilities privatization program, discussing what, if any, information on ICS associated with privatized utilities should be identified as covered defense information. Further, DLA officials asked for procedures regarding what steps to take to evaluate a contractor\u2019s compliance with the provision. In addition, DLA officials asked privatized utilities system owners to conduct a self-assessment of the cybersecurity controls they currently use for their ICS. DLA officials stated that they provided this information to ASD (EI&E) to aid decision making on how to approach cybersecurity for these systems. However, DLA officials stated that they did not receive a clear response from ASD (EI&E). DLA officials stated that because there are no procedures that definitively state which, if any, utilities privatization- related information should be categorized as covered defense information, they have been unable to provide clear procedures to the utilities privatization contractors who must implement the clause to safeguard any such information. Moreover, according to DLA officials, some of the utilities privatization contractors were reluctant to modify the contract to incorporate the clause for safeguarding DOD covered defense information because it was unclear how it was to be implemented. Also, Navy officials stated that they have not yet incorporated the clause into any of their utilities privatization contracts because they are waiting for procedures from ASD (EI&E). In addition, DLA and military department officials stated that the current costs associated with implementing the clause are unknown.", "Standards for Internal Control in the Federal Government require management to evaluate security threats to information technology, which can come from both internal and external sources, and periodically review policies and procedures for continued relevance and effectiveness in addressing related risks. Information technology refers to processes that are enabled by technology, including ICS, which are computer-controlled systems that monitor or operate physical utility infrastructure, among other things. DLA and military department officials stated they have not begun to implement the requirements in the clause because they are waiting for ASD (EI&E) officials to issue procedures concerning how the military departments are to determine what, if any, covered defense information associated with utilities privatization contracts is provided or developed by the contractor in performance of the contract. Such procedures are needed to help the military departments and DLA take the appropriate steps to implement the defense acquisition regulation clause for their utilities privatization contracts and safeguard covered defense information. An ASD (EI&E) official acknowledged that specific procedures concerning how the military departments are to determine what, if any, information associated with utilities privatization contracts is considered covered defense information are lacking and the office plans to update the policies. However, at the time of our review, it was not clear what that guidance will require.", "In the absence of a clear understanding of how to implement the clause requiring the safeguarding of covered defense information, both installation officials and some system owners reported having taken various actions to address and enhance the cybersecurity of ICS associated with privatized utility systems. For example,", "An Air Force installation official stated that he and an employee of the privatized utility system worked closely with the installation\u2019s office that handles cybersecurity and followed service guidance to try to ensure mitigation of risks to and the security of the ICS. For example, officials ensured that the ICS could not be accessed remotely and that authorized users are required to use strong passwords. The Air Force official stated that the privatized utility system owner may be required to apply additional cybersecurity measures in the future, depending on what decisions are made regarding the provision to safeguard covered defense information.", "A Navy installation official stated that he had no knowledge of what, if any, cybersecurity practices the privatized utility system owner had implemented for the ICS it uses to help operate an electrical distribution system. However, an official from the privatized utility system owner stated that the company has adopted some cybersecurity practices, which have been audited by an independent organization for 3 of the last 4 years, and the company plans to make this a standard part of business operations.", "Army officials stated that the installation relies on the privatized utility system owner to employ industry practices for cybersecurity efforts. Officials from the privatized utility system owner stated that the company has robust cybersecurity practices and the ability to continuously monitor the system to detect any unusual activities.", "While installation officials and some system owners reported having taken some steps to address and enhance the cybersecurity of ICS associated with privatized utility systems, the lack of procedures may result in uncertainty as to whether covered defense information across utilities privatization contracts is safeguarded by the military departments and DLA. As previously reported, vulnerabilities in ICS can be exploited by various methods, causing loss of data, denial of service, or the physical destruction of infrastructure. Without procedures concerning how the military departments are to determine what, if any, covered defense information is provided to or developed by the contractor in the performance of the utilities privatization contract, the military departments and DLA may not be able to take steps to adequately and consistently protect DOD\u2019s information associated with utilities privatization contracts."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As of January 2017, the military departments have privatized over 600 utility systems, and the Army and the Air Force have plans to privatize more systems in the coming years. While the military departments have some types of information on their privatized utilities, they have not tracked utilities privatization contract performance or developed measurable performance standards, as asked for in the Standards for Internal Control in the Federal Government. In addition, while military department officials stated that they have perceived improvements in utility system reliability since utilities privatization, the military departments have not used contractor-provided data to determine reliability trends over time. Without issuing guidance that requires the military departments and DLA to develop and implement metrics and measurable performance standards to track contract performance for future utilities privatization contracts and to develop similar guidance for current utilities privatization contracts, the department will lack information on the performance of utilities privatization contracts. As a result, ASD (EI&E), the military departments, and DLA may not be able to perform effective program management and oversight for these long-term utilities privatization contracts.", "DOD officials stated that they have taken steps to incorporate the clause requiring the safeguarding of covered defense information into many of their utilities privatization contracts, but they have not begun to implement the cybersecurity requirement for those contracts. DLA, Army, and Air Force officials stated they have not begun to implement the cybersecurity requirement for those contracts that include the clause because ASD (EI&E) has not issued specific procedures regarding how the military departments are to determine whether covered defense information is provided to or developed by the contractor in the performance of the utilities privatization contract. The lack of procedures may result in uncertainty as to whether covered defense information across utilities privatization contracts is safeguarded by the military departments and DLA. As previously reported, vulnerabilities in ICS can be exploited by various methods, causing loss of data, denial of service, or the physical destruction of infrastructure. Without procedures concerning how the military departments are to determine what, if any, types of information are considered covered defense information and are provided to or developed by the contractor in the performance of the utilities privatization contract, the military departments and DLA will not be able to adequately and consistently protect DOD\u2019s information associated with utilities privatization contracts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to the Secretary of Defense.", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and Environment, in consultation with the military departments, issues guidance requiring the military departments and DLA to develop and implement performance metrics and measurable performance standards to track utilities privatization contract performance for future utilities privatization contracts, and develops similar guidance for current utilities privatization contracts. (Recommendation 1)", "The Secretary of Defense should ensure that the Assistant Secretary of Defense for Energy, Installations, and Environment (a) issues procedures concerning how the military departments are to determine what constitutes covered defense information and what, if any, of this information is provided to or developed by the contractor in the performance of utilities privatization contracts, and (b) takes appropriate steps to protect such information. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, DOD concurred with both of our recommendations. DOD\u2019s comments are reprinted in their entirety in appendix II. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Secretaries of the military departments. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact Brian Lepore at (202) 512-4523 or LeporeB@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Selected Characteristics of the Department of Defense\u2019s (DOD) Utilities Privatization Contracts Included in GAO\u2019s Review", "paragraphs": ["This appendix provides information on the nine utilities privatization contracts that we selected as case studies to review. Each of seven contracts privatized one utility system, and each of two contracts privatized two utility systems, for a total of 11 utility systems covered by the nine contracts. Table 2 lists selected characteristics of each contract."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kristy Williams (Assistant Director), Michael Armes, John Bauckman, Emily Biskup, Vincent Buquicchio, C\u0430roly\u1e47n C\u0430van\u0430ugh, Desiree Cunningham, Michael Gilmore, Simon Hirschfeld, Gina Hoover, Kush Malhotra, Richard Powelson, and Jack Wang made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Infrastructure: Actions Needed to Strengthen Utility Resilience Planning. GAO-17-27. Washington, D.C., November 14, 2016.", "Defense Infrastructure: Improvements in DOD Reporting and Cybersecurity Implementation Needed to Enhance Utility Resilience Planning. GAO-15-749. Washington, D.C., July 23, 2015.", "GAO, Defense Infrastructure: Actions Taken to Improve the Management of Utility Privatization, but Some Concerns Remain. GAO-06-914. Washington, D.C.: September 5, 2006.", "Defense Infrastructure: Management Issues Requiring Attention in Utility Privatization. GAO-05-433. Washington, D.C.: May 12, 2005."], "subsections": []}], "fastfact": []} {"id": "GAO-18-248", "url": "https://www.gao.gov/products/GAO-18-248", "title": "Social Security Disability Insurance: Information on Potential Implications of Expanding Private Disability Insurance", "published_date": "2018-04-10T00:00:00", "released_date": "2018-04-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SSDI, which is administered by SSA, provides financial and other assistance to qualifying individuals who are unable to work due to their disabilities. SSDI is primarily funded by employee and employer payroll taxes that are placed in the Disability Insurance Trust Fund, which is currently projected to not be able to pay full benefits starting in 2028. While there are a number of ways to address the fiscal condition of the Disability Insurance Trust Fund, some researchers have proposed expanding employer-provided PDI. GAO was asked to review whether expanding PDI could result in potential savings to the Disability Insurance Trust Fund.", "This report examines (1) what is known about how coverage and key features of SSDI and PDI compare, and (2) the potential implications of three distinct proposals to expand employer-sponsored PDI on the Disability Insurance Trust Fund and various stakeholders.", "GAO analyzed data on SSDI and PDI coverage from SSA and BLS for 2016 and 2017; reviewed relevant federal laws, regulations, and guidance; reviewed three PDI policies that three large insurers we selected described as typical for their companies; reviewed three distinct proposals to expand PDI identified through a literature review; and interviewed SSA and Department of Labor officials, authors, researchers, and representatives of insurance, employer, employee, and disability groups for a range of perspectives."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis found that coverage and key features of Social Security Disability Insurance (SSDI) and long-term employer-sponsored private disability insurance (PDI) differ in a number of ways. Key differences include the number of workers covered; characteristics of covered workers; and eligibility, benefits, and return to work assistance. For example:", "According to GAO's analysis of Bureau of Labor Statistics and Social Security Administration (SSA) data, SSDI covers an estimated 96 percent of workers, while 33 percent of workers have PDI coverage through their employers. Also, PDI coverage is more prevalent among workers with higher wages (e.g., management positions) and in certain business sectors (e.g., finance).", "GAO's review of SSDI and PDI policies found that some PDI policies may pay benefits for medical conditions that SSDI would not. However, these PDI policies may time limit payments for mental health and musculoskeletal disorders, while SSDI does not. In addition, while both SSDI and PDI policies include features designed to help beneficiaries return to work, PDI policies may provide such supports more quickly than SSDI.", "GAO's review of the literature identified three distinct proposals for expanding PDI that the proposals' authors believe would address SSDI's fiscal challenges. Specifically, all three proposals suggest that cost savings for the Disability Insurance Trust Fund could be expected by expanding PDI. According to the proposals, this would happen because expanding PDI would provide workers earlier access to cash and employment supports, which would reduce the number of SSDI claims or the length of time SSDI benefits are paid to claimants. However, GAO's review of the three proposals noted that none of them provide enough information to assess how SSDI enrollment and costs might be affected with an expansion of PDI. Therefore, it is unclear whether cost savings to the Disability Insurance Trust Fund would actually be realized. For example, the proposals do not provide information on the type and timing of return-to-work services that would be provided under expanded PDI, nor do they take into account the differences in the populations served by SSDI and PDI policies. Moreover, stakeholders that GAO interviewed about these proposals raised a number of issues about other implications of PDI expansion that the proposals do not explicitly or fully address. For example:", "Insurers told GAO that is was unclear how expanding PDI would affect PDI premiums and the impact this would have on enrollment.", "Employers told GAO they were concerned about potential additional requirements or administrative burdens that would be placed on them if PDI were expanded.", "Employee and disability advocacy groups told GAO they were concerned about whether PDI expansion would provide standard services or employee protections currently available under SSDI, especially with respect to PDI expansion proposals that would replace SSDI for 2 years."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Disability Insurance Trust Fund, primarily funded by employers and workers through payroll taxes and administered by the Social Security Administration (SSA), is used to provide cash benefits to people no longer able to work as a result of their disabilities and to their dependents. In calendar year 2016, SSA paid $142.7 billion in Social Security Disability Insurance (SSDI) benefits to more than 10.6 million beneficiaries. Over time, demographic and other factors have reduced the Disability Insurance Trust Fund\u2019s reserves and the fund\u2019s projected depletion in 2016 was delayed when Congress passed a law that temporarily reallocated a share of payroll tax revenues from the trust fund for the Old- Age and Survivors Insurance (OASI) to the Disability Insurance Trust Fund. As of July 2017, the Social Security Board of Trustees projects that the Disability Insurance Trust Fund will be depleted in 2028, at which time incoming payroll tax revenues may not be sufficient to support paying full benefits.", "In prior work, we identified various types of proposals made by researchers and others to address the fiscal condition of the Disability Insurance Trust Fund and related challenges, including proposals to slow the flow of people applying for SSDI; target finite resources more efficiently and effectively; and better align SSDI eligibility criteria with changes in the labor market, advances in medicine and technology, and modern concepts of disability. We also previously reported that some researchers have suggested that one way to help address the fiscal condition of the Disability Insurance Trust Fund is to expand employer- sponsored private disability insurance (PDI). We reported that to the extent PDI expansion options encourage workers to forgo applying for SSDI or limit the amount of time workers receive SSDI, they also have the potential to reduce the number of SSDI beneficiaries and program costs. You requested that we review the potential savings to the Disability Insurance Trust Fund and other implications associated with proposals to expand PDI coverage.", "This report describes: (1) what is known about how coverage and key features of SSDI and PDI compare, and (2) the potential implications of three distinct proposals to expand employer-sponsored PDI on the Disability Insurance Trust Fund and various stakeholders.", "To compare access to and features of SSDI and PDI, we reviewed relevant federal laws, regulations, and guidance; analyzed SSDI data and Bureau of Labor Statistics data on disability insurance coverage; and reviewed insurance industry surveys on PDI coverage. Our work mainly focused on employer-sponsored, long-term PDI\u2014which we refer to as PDI in this report\u2014because it most closely mirrors the SSDI program. We requested and reviewed PDI policies from three large insurance companies, which company representatives told us were typical policies for their companies, and we interviewed SSA and Department of Labor (DOL) officials, as well as representatives of an association and a non- profit organization that conduct insurance industry surveys, and insurance associations and insurance companies.", "To understand the potential implications of expanding PDI, we conducted a literature search to identify any proposals to expand PDI and that evaluated the potential effect of expansion on the number of SSDI beneficiaries and the amount of SSDI expenditures. We identified three proposals that evaluated long-term, employer-provided PDI. We interviewed the authors of the proposals and assessed the proposals for the soundness of their methodologies, the reliability of any data used, and limitations. We also spoke with SSA and DOL officials, as well as other researchers in the disability field to get their views on the identified proposals. To understand the potential implications of the three proposals to expand PDI for stakeholders, we spoke with representatives of groups that might be affected by such proposals, including insurance associations and insurance companies, employer associations and employers, unions and employee/disability advocacy groups, a states\u2019 insurance association and organization, and DOL and SSA officials.", "This report does not examine the extent to which the provisions in pension plan disability benefits or other disability protections may promote work and help lower SSDI take-up rates or costs. Rather, we focus on the relationship between SSDI and long-term employer-sponsored PDI, which were the focus of the proposals we examined and because PDI most closely mirrors the SSDI program.", "We conducted this work from November 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Social Security Disability Insurance (SSDI)", "paragraphs": ["In recent decades, economic and demographic factors have contributed to an increase in the number of SSDI beneficiaries and increased program costs, which has reduced the size of the Disability Insurance Trust Fund reserves from a peak of $215.8 billion in 2008 to $46.3 billion in 2016. Over the past 26 years, the total number of SSDI beneficiaries more than doubled, from 4.2 million in calendar year 1990 to nearly 11 million in calendar year 2016. By contrast, during that same time, the number of workers covered by SSDI increased by less than a third\u2014from 133 million to 171 million. In calendar year 2016, around 8.8 million workers with disabilities and 1.8 million dependents (spouses and children) received SSDI payments, totaling $142.7 billion, of which $133.6 billion was paid to the workers and $9.1 billion to their dependents."], "subsections": []}, {"section_title": "Private Disability Insurance (PDI)", "paragraphs": ["In most cases, long-term employer-sponsored private disability insurance (PDI) is paid for by the employer and provided as part of a package of benefits for employees, although sometimes employees are required to pay some of or the entire PDI premium. According to one industry survey (the most recent available), in 2013, 19 PDI companies covering about 75 percent of the PDI market policies provided PDI benefits to around 653,000 individuals, with annual payments totaling around $9.8 billion.", "Another industry survey estimated that the five largest insurers in the PDI market held about half of the market share of premiums paid. PDI policies can be offered either on an opt-in basis, in which employees who choose to pay for PDI receive it, or on an opt-out basis, where employees are automatically enrolled in PDI, but can decline (opt-out of) the insurance."], "subsections": []}, {"section_title": "Other Disability Protections for Workers", "paragraphs": ["Beyond the insurance market for PDI, workers may be eligible for other types of disability protection through their employment. For example, 38 percent of workers have employer-sponsored short-term disability coverage according to BLS, but unlike SSDI, this coverage typically lasts 6 months. In addition, state workers\u2019 compensation programs generally provide payments and assistance to individuals who are injured on the job, while both SSDI and PDI are designed to replace lost income from the onset of any disability regardless of whether it was work-related. Also, some workers may be eligible for disability payments through defined benefit pension plans. These benefits, commonly known as disability retirement benefits, provide eligible workers with early retirement payments if they can no longer work because of the onset of a disability. According to BLS data, many workers covered by defined benefit pension plans are state and local workers, though these data do not show what portion of them are not covered by SSDI."], "subsections": []}, {"section_title": "Proposals to Expand PDI", "paragraphs": ["From our literature review, we identified three distinct proposals for expanding PDI in order to potentially alleviate financial challenges facing the SSDI program. These proposals were made in studies authored by: David Babbel and Mark Meyer (Babbel and Meyer) of Charles River Associates, Rachel Greszler (Greszler) of The Heritage Foundation, and David Autor and Mark Duggan (Autor and Duggan) for The Center for American Progress and the Hamilton Project. While the proposals differed in how PDI expansion might be achieved, each proposal assumes or requires that PDI coverage would provide vocational assistance, workplace accommodations, and partial income replacement to employees with work-limiting disabilities. Each proposal assumed that PDI expansion would result in the provision of effective return\u2013to-work assistance earlier than would occur under SSDI. According to the authors, their proposals would slow the growth of the SSDI program by increasing work attachment of potential applicants or beneficiaries of SSDI and reversing the decline in employment rates of work-capable adults with disabilities, thereby improving the long-term solvency of the Social Security system. Two of the proposals suggested piloting the approaches to assess potential savings and implementation issues."], "subsections": []}]}, {"section_title": "SSDI Covers a Much Larger Portion of the Workforce than PDI, and Features of Coverage Differ", "paragraphs": [], "subsections": [{"section_title": "SSDI Covers Almost All Workers, Whereas PDI Covers About One-Third of Workers, Who Are Generally Higher-Paid", "paragraphs": ["According to our analysis of SSA and BLS data, nearly all American workers pay Social Security taxes and are potentially covered by SSDI, while only a third of workers have PDI coverage. For SSDI, an estimated 96 percent of American workers, along with their employers, pay Social Security payroll taxes, a portion of which are used to fund SSDI. Of individuals aged 20 or older in 2016, 87 percent met the SSA work requirements to be eligible for benefits in the event of a disability.", "By contrast, as of March 2017, the Bureau of Labor Statistics (BLS) estimates that approximately 33 percent of the workforce is insured by employer-sponsored PDI where the employer pays at least some of the premium. Employees may also pay the entire premium of employer- sponsored PDI\u2014and researchers we interviewed from three private sector organizations that survey the PDI market told us that these plans are a minority of the PDI market. However, neither BLS nor industry surveys comprehensively track the extent of PDI coverage where employees pay 100 percent of the premium cost.", "In addition, while SSDI coverage is higher across all industries and income levels, PDI coverage is much more prevalent at higher wage levels and in certain occupations and industries than others. In particular, as of March 2017, 60 percent of those in the highest 10 percent of wage earners had PDI, whereas 4 percent of those in the lowest 10 percent did (see fig. 1).", "Our analysis of BLS data found that differences in PDI coverage also exist by occupation and industry. Specifically, 60 percent of workers in business and financial operations occupations have PDI coverage, compared to 16 percent of workers in construction, extraction, farming, fishing, and forestry occupations that have PDI (see fig. 2). Broad differences in PDI coverage also exist by industry; for example, 83 percent of workers in utilities have PDI, but only 5 percent of workers in leisure and hospitality have PDI (see fig. 3). According to researchers from one organization with whom we spoke, the higher rates of PDI coverage reflect areas where labor markets are more competitive, leading employers to offer PDI to attract employees."], "subsections": []}, {"section_title": "SSDI and PDI Differ in Many Respects, Including Eligibility, Benefit Level, and Approach to Return to Work", "paragraphs": [], "subsections": [{"section_title": "Eligibility", "paragraphs": ["Our review of SSDI program rules and PDI policies indicates that eligibility for PDI is similar in some ways to eligibility for SSDI. For example, both allow individuals with many types of disabilities to receive benefits until retirement, recovery, or death. However, there are also some significant differences, as SSDI and PDI have different definitions and employment requirements. According to SSDI program rules, to meet SSDI\u2019s definition of disability, an individual must have a medically determinable physical or mental impairment that (1) has lasted or is expected to last at least 1 year or to result in death and (2) prevents the individual from engaging in substantial gainful activity. SSA uses a list of medical conditions\u2014established in regulations\u2014that it considers severe enough to entirely prevent an individual from working. Benefits can also be provided for medical conditions that are not on the list if the medical condition or combination of medical conditions meets or equals the severity of those on the list. SSA also considers additional factors\u2014 such as an individual\u2019s residual functional capacity, relevant past work, age, education, and work experience. SSA can determine that the medical conditions combined with the applicable factors preclude the individual from performing his or her prior work or any other work in the national economy. Eligibility for granted SSDI benefits continues until retirement or death, or until SSA deems that the underlying medical conditions have sufficiently improved or that the individual has become gainfully employed.", "In contrast, typical PDI policies have provisions related to inability to work that may compensate workers in a wider range of circumstances than SSDI does, although these provisions become more strict after 2 years. For the first 2 years of PDI benefits, policies generally define disability as the inability of an individual to work his or her own occupation. For disabilities that last for more than 2 years, a typical PDI policy changes how it defines disability from the inability to work in one\u2019s previous occupation, to the inability to work in any occupation offering a reasonable income, which was 60 percent of pre-disability earnings in the three sample policies we examined. Similar to SSDI, PDI benefit payments generally continue for the length of the disability or until retirement; however, unlike SSDI, benefits paid for certain conditions, such as mental health conditions, are generally limited to 2 years. Also unlike SSDI, PDI policies typically include a pre-existing condition provision, whereby benefits are not paid if the applicant received treatment, services, or consultation or took medication for the condition in the 3 months prior to being insured.", "The requisite time period between the onset of a disability and when benefits can begin is comparable between SSDI and PDI, according to our review of SSDI program rules and PDI policies; however, the time it takes to process and make decisions on claims may run longer for SSDI. For both SSDI and PDI, benefits do not usually start immediately upon disability onset. SSDI and PDI applicants must apply for benefits and usually wait for a period of time\u2014known as a waiting period for SSDI and as an elimination period for PDI\u2014for payments to begin. The waiting period for SSDI benefits is 5 months after disability onset. For the PDI policies we examined, the elimination period ranged from 3 to 6 months after onset. Another factor affecting the time to receipt of benefits is the time it takes to award the benefit. For PDI, federal regulations under the Employee Retirement Income Security Act of 1974 (ERISA) that govern claims in ERISA-covered plans, including disability claims, generally require initial claims to be decided within 45 days after receipt of the claim by the plan, with some ability to extend for two 30 day periods based on reasons beyond the plan\u2019s control. PDI claimants may also appeal the initial decision. On the other hand, based on our review of SSDI program rules, claims for SSDI are not subject to timing requirements established by law. Further, denied claimants may appeal the initial decisions. The average decision time for appeals before Administrative Law Judges in fiscal year 2017 was 605 days, according to SSA\u2019s fiscal year 2017 performance report.", "Our review of SSDI program rules and PDI policies also indicates that individuals are required to have longer employment periods for SSDI eligibility than for PDI, but PDI is generally not portable if the individual leaves the employer offering PDI. According to SSA guidance, individuals become eligible to receive SSDI payments after they have paid the Social Security payroll tax long enough\u2014about 10 years for many\u2014and recently enough to accumulate the required number of credits. In contrast, the three sample PDI policies we reviewed contained 30-day waiting periods for coverage to begin. Further, part-time status and job changes affect PDI more than SSDI eligibility. SSDI\u2019s program rules generally allow for the work credits that an individual has accumulated to continue to count toward SSDI eligibility even if the individual is working part-time, changes jobs, or becomes unemployed or otherwise leaves the workforce. In comparison, PDI coverage, which is offered at the discretion of employers, is not generally portable, and may exclude part-time workers altogether\u2014as was the case for the three \u201ctypical\u201d PDI policies we reviewed. Nationally, PDI coverage is much more prevalent among full- time workers than part-time workers. According to BLS data, 42 percent of full-time workers and 5 percent of part-time workers have PDI where the employer pays for all or part of the premiums. See Table 1 for a comparison of SSDI and PDI eligibility features.", "Our review of SSDI program rules and PDI policies indicates that SSDI benefit levels for individuals are generally lower than PDI but are designed to provide more income replacement for low-income workers than higher-income workers. Under federal law, SSA determines benefit amounts using a progressive formula, whereby low-income beneficiaries receive relatively higher benefit payments based on their average monthly earnings over the course of their career. For calendar year 2018, the formula pays 90 percent of the first $896 of the individual\u2019s average monthly earnings, plus 32 percent of the earnings between $896 and $5,399, plus 15 percent of earnings over $5,399. (See fig. 4 for the amount of benefits SSA paid in 2018 according to prior income levels.) Using the formula, we calculated that at an average indexed annual earnings of $44,000, the monthly benefit would be $1,693, which is 46 percent of prior average monthly earnings. Under the formula, workers earning less would receive a higher proportion of their prior average, while workers earning the taxable maximum (set at $128,400 for 2018) or more would be eligible to receive $3,042 per month, which is at most 28 percent of their earnings. Under federal law, disabled workers with qualifying dependents may receive additional SSDI payments, up to 50 percent of their individual benefit amount. Therefore, according to our calculations, the maximum family benefit for average annual indexed earnings of $44,000 would be $2,540, which is 69 percent of prior average monthly earnings.", "By contrast, up to certain income levels, PDI policies typically replace 60 percent of an employee\u2019s current salary if the employee is unable to continue working his or her prior job. Therefore, a worker earning $44,000 annually in their prior job would receive $2,200 per month. For high-income workers, PDI policies typically have a monthly maximum payment. In one PDI policy we reviewed, this monthly maximum was $5,000. Employers and employees pay for SSDI through payroll taxes on employees\u2019 wages and salaries, so the cost to employers and employees only varies based on employees\u2019 wages and salaries. Federal law also determines the part of the payroll tax that is allocated for SSDI, half of which is contributed by the employee and half by the employer. For PDI, either employers, employees, or a combination of the two make premium payments, depending on the policy negotiated between the insurer and the employer. According to industry representatives with whom we spoke, premiums may vary based on many factors, such as wages and salaries, the length of the elimination period, rate of income replacement, type of industry, and a company\u2019s prior claim experience.", "Another difference between SSDI and PDI benefit levels is their treatment of partial benefits or partial disability determinations. SSDI program rules do not provide partial payments to individuals who have lost some but not all of their ability to earn income in the national economy. In contrast, some PDI policies may pay benefits for a partial disability. For example, in one of three policies we examined, workers could qualify for partial benefits, at lower levels, if they were partially unable to achieve their previous earnings because of a disability.", "PDI policies generally require beneficiaries to apply for SSDI and, if found eligible, PDI payments are typically adjusted downward (offset) by the amount of SSDI payments. There is no similar requirement or payment adjustment for SSDI beneficiaries. In cases where PDI beneficiaries are not required to or do not apply for SSDI, PDI policies we reviewed would still reduce their PDI payment by the SSDI amount that the beneficiaries may have been entitled to receive. The PDI payments would be reduced for the full amount of the SSDI payments, including any SSDI payments for the worker\u2019s spouse and dependents, but will typically maintain a minimum PDI benefit. The three PDI policies we reviewed provide a minimum $100 monthly benefit when the SSDI offset would otherwise totally eliminate the PDI benefit or reduce it below $100 a month. According to insurers we interviewed and PDI policies we reviewed, insurers will assist PDI beneficiaries with their SSDI applications, and if necessary, provide legal assistance for SSDI appeals processes. According to one industry survey, 72 percent of PDI beneficiaries also qualified for SSDI. PDI benefits may also be reduced by the amount of income from other sources such as workers\u2019 compensation payments, sick leave, or severance pay from an employer.", "Additionally, under federal law, SSDI confers Medicare eligibility after 2 years. In contrast, insurance associations and our review of PDI policies indicate that PDI policies do not typically provide health care benefits. Table 2 provides a summary of SSDI and PDI benefit features.", "Both SSDI and PDI policies include incentives to return to work, such as allowing beneficiaries to retain some earnings when they return to work, but PDI policies may provide return-to-work services sooner than SSDI. As long as they continue to meet SSDI\u2019s eligibility criteria, beneficiaries can earn up to the substantial gainful activity amount each month, without any impact on their SSDI benefit, according to SSDI program rules. SSDI program rules also provide work incentives in the form of a trial work period, which allows the beneficiary to receive full disability benefits while potentially earning more than the substantial gainful activity amount, for up to 9 months. SSDI beneficiaries who earn above the substantial gainful activity threshold after 9 months of a trial work period will no longer receive SSDI cash benefits, but will continue to receive Medicare coverage, if enrolled, for up to 7 years and 9 months. After the trial work period ends, the 36-month extended period of eligibility begins, during which SSDI beneficiaries are entitled to receive benefits so long as they continue to meet the definition of disability and their earnings are below the substantial gainful activity monthly earnings limit. Moreover, individuals whose benefits stopped due to work may have their benefits reinstated under an expedited reinstatement if for medical reasons they are unable to work again at some point within 5 years. Under this expedited reinstatement, beneficiaries receive up to 6 months of temporary cash benefits while SSA conducts a medical review. Despite these SSDI provisions, participants of a 2013 Social Security Advisory Board Forum have criticized the SSDI program for having poorly structured work incentives, and we have previously reported that complex SSDI rules related to these work incentives may result in overpayments to beneficiaries.", "PDI policies we reviewed also provide for continued payments while beneficiaries participate in the insurer\u2019s return-to-work program or find other employment. However, in contrast to what is referred to as SSDI\u2019s \u201ccash cliff,\u201d PDI payments are gradually reduced in some ways to account for the beneficiaries\u2019 earnings. For example, in one policy we reviewed, if the beneficiary participates in the insurer\u2019s return-to-work program, the beneficiary may continue receiving benefit payments in addition to any employment earnings. However, unlike SSDI, the combination of the employment earnings plus the PDI payment would be capped at 110 percent of the beneficiary\u2019s pre-disability earnings. Under this same policy, after the first 12 months that the beneficiary is disabled and working at a reduced capacity, the partial PDI payment decreases proportionally as the employment earnings increase until the beneficiary earns 80 percent of their pre-disability earnings, at which point they are no longer considered to be disabled. The other two policies we reviewed provided pro-rated PDI payments as soon as a beneficiary had some work earnings, until those earnings reach a threshold, such as 80 or 100 percent of their pre-disability earnings.", "Both SSDI and PDI policies offer services and supports to beneficiaries to help them return to work, but PDI policies may focus more on early provision of services and, depending on the policy, earlier intervention and case management. SSDI program rules allow beneficiaries access to return-to-work services and supports through the Ticket to Work (TTW) program, which helps interested beneficiaries transition to self-sufficiency through work. When individuals become eligible for SSDI, SSA guidance calls for sending them information about public or private employment networks or state vocational rehabilitation agencies. According to SSA\u2019s guidance, beneficiaries can choose to work with one of these service providers and develop a plan for work goals that may involve services such as training, career counseling, vocational rehabilitation, and job placement. The TTW program then pays for those services and ensures that participating beneficiaries will not be subject to a review of their disability while they continue to work with the service provider. However, the SSA Office of the Inspector General reported that fewer than 3 percent of beneficiaries were participating in TTW in 2015. In addition, SSA-funded evaluations have found that TTW has had limited success in returning SSA beneficiaries to work and reducing their dependence on SSDI.", "In addition to return-to-work services through TTW, SSA officials told us that beneficiaries may use services provided through or by other federal, state, and local programs or provider networks, such as the Department of Labor\u2019s Stay-at-Work/Return-to-Work initiative. However, we have previously reported that the large number of federal agencies and programs providing employment supports to individuals with disabilities represents a fragmented system of services, and little is known about their effectiveness.", "In contrast, according to insurance representatives and the three PDI policies we reviewed, PDI policies may provide early interventions, funding for workplace accommodations, and case management to help beneficiaries return to work. For example, one policy we reviewed explicitly offered an early intervention program to covered employees even when the PDI insurer was not also the short-term disability insurer, to identify workers who might benefit from vocational analyses and rehabilitation services before they are eligible for long-term disability benefits. Separately, this policy also had a return-to-work program with case managers who coordinate services and refer beneficiaries to clinical specialists, such as nurse consultants, psychiatric clinical specialists or vocational rehabilitation consultants. According to this policy, if the insurer determined that beneficiaries were capable of participating in the return- to-work program, but did not, their benefits could cease.", "Information on how many PDI beneficiaries receive work assistance, such as worksite modifications, and insurers\u2019 aggregate expenditures for such assistance is also generally unknown. While participation in and the impact of SSA\u2019s TTW program has been extensively evaluated, the insurance representatives and researchers with whom we spoke could not provide us with data or studies showing the extent or cost of work assistance provided by PDI insurers, so the impact of these investments is not publicly known. See Table 3 for a comparison of SSDI and PDI policies\u2019 work incentives and assistance."], "subsections": []}]}]}, {"section_title": "Implications of Proposals to Expand Private Disability Insurance Cannot Be Assessed Due to Incomplete Information", "paragraphs": ["Our literature review identified three distinct proposals to expand PDI\u2014 through some type of federal action\u2014as a way to provide savings for SSDI; however, we were unable to assess the implications of these proposals on SSDI. Based on our review, there is an array of complex factors that could influence PDI expansion and SSDI cost savings\u2014 factors for which data, methods, and assumptions for projecting SSDI savings are either unreliable and unsupported, or unavailable. In addition, insurer, employer, and employee stakeholders we spoke with identified other implications of expanding PDI\u2014but these implications cannot be ascertained because the proposals are not sufficiently detailed."], "subsections": [{"section_title": "PDI Expansion Proposals Foresee Savings", "paragraphs": ["The three distinct PDI expansion proposals we identified include the following:", "David Babbel and Mark Meyer (Babbel and Meyer) of Charles River Associates proposed that voluntary employer-sponsored PDI coverage could be extended to more working Americans through congressional action and the federal government facilitating education and outreach efforts. Specifically, they recommended the enactment of legislation to make it clear to employers that automatic enrollment with \u201copt-out\u201d arrangements under employer-sponsored group disability plans is legal. The authors believe this will address confusion and uncertainty that is holding employers back from providing PDI.", "Rachel Greszler (Greszler) of The Heritage Foundation proposed encouraging employers to voluntarily provide PDI in exchange for a payroll tax credit. Under this proposal, participating employers would qualify for the tax credit by covering the first 2 or 3 years of PDI benefits at least equivalent to SSDI benefits to employees. Workers awarded benefits under the employers\u2019 PDI would transfer to the SSDI program if their disability continued beyond the first 2 or 3 years and they qualified for SSDI. PDI would then cease to provide benefits, unless employers chose to extend the PDI policies. According to the author, if an individual is denied PDI benefits, the individual could apply for SSDI.", "David Autor and Mark Duggan (Autor and Duggan) proposed extending coverage of PDI to all workers through a statutory mandate. Employers would be required to provide PDI benefits for 2 years to individuals with disabilities who are unable to work. At the end of this period, PDI benefits would cease and SSDI would provide benefits for individuals qualifying for SSDI. Under the proposal, individuals with extremely disabling conditions with very limited prospects of returning to work (e.g. stroke, late stages of certain cancers, etc.) would be eligible to apply for SSDI at the onset of their disability, in lieu of PDI.", "Table 4 summarizes key features of the three proposals to expand PDI that we identified."], "subsections": []}, {"section_title": "Many Unknowns Make An Assessment of the Potential for SSDI Savings Uncertain Differences in Covered Populations", "paragraphs": ["Existing differences in the SSDI and PDI covered populations may play a role in determining the potential impacts of expanding PDI. As previously noted, SSDI covers almost all workers, whereas PDI coverage tended to be for those with higher wages and was more prevalent in certain industries. Based on our review of BLS data, in order to expand significantly, PDI would need to cover more lower-wage workers and other occupations and industries where it is currently less common, such as in retail and construction. However, as indicated in the Autor and Duggan proposal, expanding PDI to workers currently not covered could affect PDI premiums, based on the type of industry and wage levels. According to various stakeholder groups we interviewed, changes in PDI premiums would, in turn, have implications for the attractiveness of PDI to employers and employees under voluntary proposals.", "The overlap in PDI with the SSDI beneficiary population also plays a role in determining any potential impact of expanding PDI. As previously noted, one industry survey reported that 72 percent of PDI beneficiaries of its member companies also received SSDI. One insurer told us that the longer PDI beneficiaries remain on PDI, the more likely they will also receive SSDI. In fact, for beneficiaries on PDI for 2 years, 58 percent also get SSDI benefits; and for beneficiaries on PDI for more than 5 years, more than 90 percent also receive SSDI. Our review of these data suggests that for those receiving both SSDI and PDI benefits, it may be difficult to attribute return to work and other changes in circumstances, such as changes in health, to either PDI or SSDI. For example, it is possible that any differences in return-to-work outcomes for SSDI beneficiaries who receive PDI versus those who do not may have more to do with the specific characteristics and circumstances of the beneficiaries than as a result of having PDI coverage."], "subsections": [{"section_title": "Types and Timing of Return-to- Work Assistance Offered", "paragraphs": ["To achieve SSDI cost savings, the three proposals assume that insurers will provide or reimburse employers for providing vocational rehabilitation, workplace accommodation, and return-to-work services, but the proposals provide few, if any details about how this would occur. For example, the two proposals that describe voluntary PDI enrollment do not explicitly require that such services be provided through PDI. The Autor and Duggan proposal, which includes a mandate for enrollment, requires that PDI provide workplace accommodations consistent with the Americans with Disabilities Act (ADA) and vocational rehabilitation services. The proposal includes a list of vocational rehabilitation services that insurers could provide, but the authors acknowledge that in practice it is not always \u201cclear-cut\u201d when a \u201creasonable accommodation\u201d under the ADA is required and what the accommodation should be. As noted previously, we were unable to find public data on the extent to which PDI policies currently provide such services and insurance representatives and researchers we contacted that collect and report PDI data said that they do not collect such data from insurance companies. According to our review of PDI policy provisions that allow for rehabilitation and workplace accommodation services, the decision of what assistance will be provided through the PDI policy, if any, and the extent of such assistance the insurer provides or helps the employer provide, is at the discretion of the insurer. It is also possible that insurers would make less of an investment in return-to-work services for PDI beneficiaries under the two time-limited proposals because the insurers are only responsible for 2 to 3 years of disability payments, compared to traditional PDI policies where the employer may have financial responsibility to make payments to beneficiaries until they reach retirement age, unless insurers can help them return to work.", "Several stakeholders said that additional uncertainty exists with respect to effectiveness or attractiveness of PDI expansion proposals for populations currently not covered by PDI, such as low-wage workers and those with physically demanding jobs. BLS data show that PDI is currently less prevalent among these workers, and therefore less is known about the type and effectiveness of return-to-work services that would be offered to them under PDI expansion. For example, researchers report that lower-wage workers may have jobs that offer limited opportunities to adjust work schedules\u2014a flexibility that one research group said could assist workers in the case of disability. In addition, researchers stated that lower paying jobs tend to not offer sick leave and other key benefits, and the absence of such benefits may present another potential obstacle for successful rehabilitation and workplace accommodation efforts. According to various stakeholder groups we interviewed, employers in low-paying industries or who otherwise do not offer these benefits would have less of an incentive to offer PDI or other supports to help retain their workers compared to employers who compete for skilled employees that are also typically more difficult to replace. These factors\u2014in combination with previously discussed unknowns related to the cost of PDI in non-traditional sectors\u2014 reflect complexity and uncertainty about the extent to which PDI may be expanded through a voluntary system.", "The proposals assert that expanded PDI would provide financial support, accommodations, and rehabilitation services much sooner than SSDI. However, based on our review, it is not clear if this would happen for two of the proposals. As previously noted, the SSDI elimination period is 5 months, after which SSDI beneficiaries become eligible for return-to-work assistance through the TTW program and financial incentives, but lengthy SSA decision times may significantly delay when individuals receive return-to-work supports. The Autor and Duggan mandatory proposal has PDI benefits commencing within 3 months of disability onset, which is sooner than SSDI, and therefore, depending on the circumstances, may allow for the provision of return-to-work services sooner than under SSDI. The Babbel and Meyer and Greszler voluntary proposals do not specify the length of elimination periods. While the Babbel and Meyer and Greszler proposals indicate PDI will provide return-to-work services sooner than SSDI, it is unclear whether or how the timing of return-to- work services might evolve under the two voluntary proposals. Moreover, while data exist on SSDI initial and appeal decision times, we were unable to find current industry-wide data on the average decision period for PDI, or on the extent of appeals and how long on average these take to decide."], "subsections": []}, {"section_title": "Other Factors That Could Affect PDI Enrollment and SSDI Cost Savings", "paragraphs": ["Based on our review of the PDI expansion proposals and interviews with stakeholder groups, we identified several additional factors that could affect the extent to which the PDI proposals could increase PDI coverage and result in SSDI cost savings, especially under the two voluntary proposals (Babbel and Meyer and Greszler). Such factors include the likelihood that efforts to encourage PDI enrollment might be successful, the effect of policy premiums and tax credits on employers\u2019 willingness to offer PDI policies, and whether expanded PDI might lead to more people also going on to SSDI.", "Babbel and Meyer asserted that congressional action and federal outreach would clarify for employers that automatic enrollment with opt- out arrangements is legally permissible and thereby result in voluntary PDI expansion. According to the authors, their approach was motivated by the success of similar automatic enrollment provisions in the Pension Protection Act of 2006 in raising the participation and savings rates in 401(k) defined contribution savings programs. However, since PDI automatic enrollment is already available, it is not clear how their proposal for congressional action and federal outreach would result in more employers adopting it and employees participating. The Babbel and Meyer proposal is also based on requiring employees to pay part or all of the insurance premiums. According to employee advocacy groups, workers at the lowest end of the wage spectrum in particular may have little, if any, disposable income to pay for PDI, and also little incentive to participate when SSDI already replaces a relatively high proportion of their wages. Further, in an employer discussion session we heard that employees willing to contribute in part or the entire premium may also have a greater risk of needing PDI benefits, and adverse selection could result in higher premiums, which in turn, fewer workers may be willing to pay.", "The Greszler proposal anticipates potential significant savings for SSDI assuming that employers who had not previously offered PDI to their employees would opt to offer PDI in exchange for a payroll tax credit. According to an employer association, in making this choice, employers would need to compare the financial benefit of a payroll tax credit with the cost of PDI premiums, among other things\u2014which may evolve under the proposal, according to insurers in a discussion group we held. According to insurance industry representatives, the direction of possible premium changes under the Greszler proposal is unclear because the proposal reduces employers\u2019 financial responsibility to 2 to 3 years of potential disability benefit costs. This shorter benefit period could reduce premiums typical for longer term policies. However, since persons would not generally be able to receive SSDI benefits during this period under the proposal, there would be no offset of SSDI benefits against PDI benefits (as discussed earlier). According to an industry association and an insurer discussion group we held, the absence of the SSDI offset could increase premiums, possibly substantially.", "Another consideration raised by SSA officials is whether PDI expansion would increase SSDI applications and benefits paid, which would reduce potential SSDI savings from the proposals and could increase the cost of the SSDI program. Typical PDI policies may effectively require PDI beneficiaries to apply for SSDI, and PDI insurers may assist beneficiaries with SSDI applications. Insurance association representatives told us that in addition to helping keep PDI premiums attractively low, such practices benefit those who become eligible for SSDI benefits by providing health care benefits that they might not otherwise be able to access. One insurance association further noted that by helping PDI beneficiaries complete SSDI applications, SSA may receive well- supported applications that are more efficient to process. On the other hand, researchers and SSA officials indicated that such PDI practices may result in some individuals applying for and receiving SSDI who would not have otherwise done so."], "subsections": []}, {"section_title": "Cost Saving Estimates Are Unreliable or Unsupported", "paragraphs": ["Each proposal states that expanding PDI would reduce SSDI costs. The proposals indicate that this would be achieved mainly through PDI early intervention after employees\u2019 onset of disabilities and a resulting reduction in the number of SSDI claimants or duration of SSDI beneficiaries\u2019 status. Only the Babbel and Meyer proposal developed an estimate of potential savings. In forecasting SSDI savings,", "The Babbel and Meyer proposal estimated cost savings by assuming that automatic enrollment would result in PDI coverage increasing from 33 percent to just over 50 percent of private sector employees. Comparing PDI disability termination rates from the Society of Actuaries with SSDI termination rates, Babbel and Meyer estimated that PDI expansion would save the federal government an additional $500 million to $700 million per year, with a 10-year cumulative savings of $5 billion to $7 billion. They said that because they were unable to conduct a rigorous and comprehensive study of disability, recovery, and reemployment, their proposal \u201cquantifies the benefits of group disability insurance indirectly, using publicly available data that are sparse, aggregated, and often difficult to interpret.\u201d", "The Greszler proposal relied on the Babbel and Meyer analysis in concluding that there would be significant SSDI savings. According to Greszler, early intervention would keep individuals on the job and reduce the number of potential SSDI beneficiaries. Further, Greszler assumes that the loss of tax revenue from the proposed payroll tax credit would be made up by lower SSDI expenditures incurred during the 2 \u2013 3 years that employees are covered by PDI instead of SSDI.", "However, the Greszler proposal did not quantify the magnitude of the tax credit or the overall savings to SSDI.", "The Autor and Dugan proposal noted that SSDI expenditures would be lower because mandated PDI policies would pay the first 2 years of benefits, instead of SSDI. The authors also noted that, over the longer-term, 2-year mandated PDI for employees has the potential to pay for itself and generate SSDI savings if the proposed mandate succeeds in allowing 1 in 11 would-be SSDI beneficiaries to remain gainfully employed. However, Autor and Duggan\u2019s proposal did not include an explanation of how, or data or evidence supporting that, the proposed PDI mandate would achieve employment for 1 in 11 would-be SSDI beneficiaries.", "Our analysis of the Babbel and Meyer proposal found that the available data used to develop the SSDI cost savings estimates due to PDI expansion were not comparable and therefore did not result in a reliable estimate of the financial impact of current or expanded PDI on SSDI. In their proposal, Babbel and Meyer estimated cost savings by comparing SSDI\u2019s and PDI\u2019s recovery rates. For SSDI, Babbel and Meyer used an SSDI work termination rate that includes the number of SSDI beneficiaries terminated during the year due to having earnings that exceeded the substantial gainful activity amount, divided by the total number of SSDI beneficiaries during the year. For PDI, Babbel and Meyer used a PDI recovery rate that includes the number of PDI benefit awards terminated during the year for multiple reasons, divided by the cumulative number of months all PDI benefits were received by PDI beneficiaries who received PDI benefits during the year.", "However, we found that the numerators and denominators used to compare SSDI and PDI recovery rates are not comparable. For example, the PDI numerator reflects a much broader definition of recovery than the SSDI numerator, which may contribute to overestimating PDI\u2019s relative recovery rate. Specifically, the SSDI numerator is limited to those terminated from SSDI for earnings exceeding SGA, whereas the PDI numerator includes terminations for reasons besides return to work, such as medical improvement (even if an individual did not return to work), failure to submit required documents to continue receiving benefits, changes in coverage from inability to perform own occupation to any occupation coverage, and other non-specified terminations. The denominator used in the comparison also differs. For SSDI, it is the number of people receiving SSDI benefits during the year. For PDI, it is the cumulative number of months of all PDI benefits that were received by PDI beneficiaries who received PDI benefits during the year. Because the denominators are different, we were unable to determine whether they contributed to an under- or overestimate of PDI\u2019s relative recovery rate. Regardless, we determined that the non-comparable rates in Babbel and Meyer\u2019s proposal affect the reliability of its cost savings estimate. SSA\u2019s Office of the Chief Actuary also reviewed the proposal at our request and concluded that the SSDI and PDI termination rates shown in the proposal were comparable neither in concept nor in unit of analysis. Even with common units of analysis in SSDI and PDI termination rates, estimates of the impact of PDI on SSDI would also need to consider the other differences that we described above, such as differences in covered populations."], "subsections": []}, {"section_title": "Authors Suggested Proposals Be Pilot Tested", "paragraphs": ["The authors of two proposals we spoke to suggested that any proposal to expand PDI should be pilot tested before being implemented nationwide due to the number and complexity of factors involved and their potential effect on SSDI. For example, in their proposal, Autor and Duggan noted that, given the inevitable challenges and uncertainties associated with rolling out a major program innovation, it would be desirable to phase in such a plan and to run pilot programs in a limited number of states. They also suggested that pilot programs could be targeted, such as to larger firms. In discussing the Greszler proposal with the author, she told us that a pilot test of her proposal might help show if the program works better in some industries or occupations than others, as well as determine how employers respond to the tax incentive and if employees feel they are treated fairly by private insurers.", "Similarly, we have previously reported that changes affecting the SSDI program may raise particular implementation challenges, given the program\u2019s inherent complexity; any changes may require pilot testing to evaluate the potential effects or unintended consequences that the Congress, the administration, SSA, and the broader public will need to know to make an informed decision about whether to implement program changes nationwide. SSA and DOL have funded and overseen pilot programs to test other proposals to help individuals with disabilities participate in the workforce."], "subsections": []}]}, {"section_title": "Missing Details Make Identifying the Implications of the Proposals for Stakeholders Uncertain", "paragraphs": ["Employee advocacy groups, employers, and insurance companies we spoke with raised various questions and concerns about the potential impacts of expanding PDI\u2014implications that the proposals did not explicitly or fully address and therefore remain uncertain. The proposals also provided few details on any oversight role that would be needed by federal or state governments."], "subsections": [{"section_title": "Potential Impacts on Employees", "paragraphs": ["The proposals assert that employees could potentially benefit in the event of a disability from PDI cash benefits that may be higher than SSDI benefits; however this outcome is not certain. Based on our review of SSDI and PDI policies and interviews with employee and advocacy groups, whether or not workers would opt for PDI benefits under voluntary expansion would depend on the attractiveness of PDI relative to SSDI and other benefits. For example, an employee benefits survey and several stakeholder groups we spoke with suggested that employees tend to value other benefits, such as health insurance, more than disability insurance. According to employee groups, lower-wage workers, in particular, may opt-out of PDI under the Babbel and Meyer proposal in favor of paying for other benefits, or forgo benefits entirely, especially if premiums are high. In addition, based on our review, PDI may not provide much additional benefit for lower-wage workers, and employee groups told us that, given a choice, lower-wage workers might choose not to participate in PDI since SSDI benefits replace a relatively high share of their wages. Based on our review of SSDI and PDI policies, current PDI policies typically do not include dependent and spousal benefits offered by SSDI, and unlike SSDI have exclusions and pre-existing condition provisions, as well as have time limits on benefit payments for some conditions, which may result in workers finding SSDI more attractive than PDI. To the extent that employees see PDI benefits as less attractive than SSDI and their willingness to participate in PDI declines, cost savings to SSDI resulting from voluntary PDI proposals would likely be affected.", "Two employee advocacy groups also expressed concern that all three proposals focus on employer-provided PDI, and two of three proposals do not explicitly address self-employed and part-time workers. As we have previously noted, an increasing number of people are part of the contingent workforce, with limited access to employer-sponsored benefits. Other individuals may have already left the workforce or otherwise be unemployed and thus have no connection to an employer. Further, two employee advocacy groups explained that individuals who will eventually be unable to work due to a disability initially experience symptoms that may cause them to work part-time or take a different position or job, which may affect their access to PDI through their current or new employer. On the other hand, the proposals allow for persons not covered under the proposals to apply for SSDI.", "Two employee advocacy groups also expressed concern that workers who are auto-enrolled under the Babbel and Meyer proposal may not make an informed choice about participating due to the complexity of disability contracts. One employee advocacy group was particularly concerned for low-wage workers who may be struggling financially and cannot afford disability insurance, but do not initially opt-out of coverage because of inertia, language barriers, or not understanding the product, including the tradeoffs involved in choosing to keep it or opt out.", "Employee advocacy groups told us that more needs to be done to get SSDI beneficiaries back to work, but noted a range of concerns about using PDI to do this. Their concerns included the following:", "Employers are moving away from providing other key employee benefits, such as health care benefits (which may be more important to workers than PDI and without which PDI would be less effective).", "Employers are moving away from full-time employment (which is usually a stipulation of PDI policies).", "Employers might discriminate in not hiring individuals at higher risk of disability under proposals that make employers responsible for the first few years of providing disability assistance.", "The transition from receiving PDI to qualifying and getting approved for SSDI under the proposals might delay receipt of SSDI.", "Insurers might not actually provide rehabilitative and accommodation services.", "There would not be standardization of PDI eligibility determination, coverage, and appeal processes to ensure fair and equitable treatment of workers.", "All employee advocacy groups we spoke to emphasized the need for consumer protections and strong oversight under the PDI proposals. One employee advocacy group said that there are too many problems, gaps, and concerns with the proposals to expand PDI, when SSDI already provides near universal coverage and is a system that is up and running. Moreover, the employee advocacy group said that SSA could identify the key reasons that PDI has had success in getting people back to work and incorporate those lessons into SSDI, because more effort needs to be spent improving SSDI and increasing its return-to-work efforts."], "subsections": []}, {"section_title": "Potential Impact on Employers", "paragraphs": ["Individual employers and employer associations we spoke to said that more details would be needed to determine how they might be impacted by the proposals.", "Regarding the Babel and Meyer proposal (which as previously discussed, cites the need for congressional action to address potential legal uncertainties regarding automatic enrollment) one employer association representative expressed concern about whether state garnishment laws would prohibit employers from making automatic deductions for PDI premiums from employees\u2019 pay without their permission.", "Regarding the Greszler proposal, employers and representatives of an employer association we spoke to indicated they would need to know more details, such as the exact amount of the tax credits and how insurance premiums might be affected.", "Regarding the Autor and Duggan proposal, representatives of the two employer associations stated that their members would oppose a mandate. One employer association said there are often additional requirements that come along with any mandates, even for actions that employers are already taking, such as offering PDI. The employer association also expressed concern that doing more than is required under any mandate generally exposes employers to liability, which could result in employers providing only the minimum benefits and assistance required by law. One employer said that mandated PDI could crowd out the amount of other benefits an employer is willing to provide, such as the amount of medical coverage that it offers to employees.", "In addition, one employer association we spoke with was concerned about the potential administrative burdens associated with expanding PDI, particularly for small employers. They noted that administering any benefit requires financial resources to provide, monitor, and maintain the benefit, stating that once employers provide a benefit to employees, they are generally reluctant to take it away. Employers in one discussion group we held were also concerned that providing disability assistance through a PDI policy for 2 to 3 years under two of the proposals would require that they retain employees and provide benefits even when employees are unable to continue work. Employers in a discussion group and an employer association we spoke to also wanted to know how the PDI plans would be overseen at the state and federal levels under the proposals, and what additional requirements that would entail."], "subsections": []}, {"section_title": "Potential Impact on Insurance Companies", "paragraphs": ["Insurance companies and associations we spoke to generally supported efforts to expand PDI, but also expressed some concerns about related unknowns. In particular, insurers in one of our discussion groups and both insurance associations we spoke with supported the Babbel and Meyer proposal to encourage employers to automatically enroll employees, with an opt-out provision, which came out of a study funded by America\u2019s Health Insurance Plans (AHIP) and the American Council of Life Insurers (ACLI). One insurance association said that, relative to the other proposals that provide a tax credit or mandate coverage, the Babbel and Meyer proposal to expand PDI would not be a problem for insurers\u2019 capacity. Representatives from this insurance association suggested first taking initial steps proposed by Babbel and Meyer through encouraging automatic enrollment before considering a more major restructuring of PDI that would supplant SSDI for 2 to 3 years. On the other hand, two insurance associations expressed concerns about the potential for additional requirements that could result from implementing the Babbel and Meyer proposal, for example in relation to employee consent or the quality of coverage offered.", "Insurance associations and insurers we spoke with also raised concerns about the other two proposals (Autor and Duggan, and Greszler), especially related to how they would fundamentally and unpredictably change the PDI market. On the one hand, one insurance association pointed out that these proposals would eliminate the SSDI offset from PDI payments for the 2 to 3 year period, which could lead insurance companies to significantly increase PDI premiums for such policies. On the other hand, if the insurance company is only liable for 2-3 years of benefit payments and services, this could reduce insurers\u2019 costs.", "In addition, in one insurer discussion group that we held, insurers said that if there was not an SSDI offset of PDI benefits during the 2 to 3 year period, the industry would be more aggressive about return to work efforts. However, in another insurer discussion group we heard that they would do less for return to work under such policies, because future savings to the insurance company are not as great under a 2 to 3 year policy as if the insurance company is liable for paying benefits until an individual reaches normal SSA retirement age, as with current policies. Finally, representatives from one insurance association said that the Greszler and Autor and Duggan proposed PDI expansions would create extreme capacity problems for insurers. Under the Autor and Duggan proposal nearly all employees would need to be covered.", "One insurance association also noted its view that SSDI might benefit under the proposals to expand PDI. Specifically, the insurance association said that after someone goes through the PDI claim process, a subsequent claim for SSDI may be of higher quality, potentially reducing the administrative costs of a subsequent SSDI determination."], "subsections": []}, {"section_title": "Potential Impact on Federal and State Governments Oversight", "paragraphs": ["The three proposals we reviewed did not specify the government\u2019s role in overseeing the expanded PDI market. Babbel and Meyer proposed a stronger federal role in encouraging automatic enrollment by passing a law to clarify its permissibility, but the proposal did not provide details on implementation and oversight. Greszler proposed that participating employers provide benefits at least equivalent to SSDI benefits, but provided no other details on how compliance would be overseen. Neither the Autor and Duggan nor the Greszler proposals addressed whether individuals denied PDI could apply for SSDI within the 2 to 3 year period covered by their proposals.", "Stakeholders we spoke to expressed divergent perspectives on whether federal and state governments would need to provide additional regulation, supervision, and/or oversight related to expanded PDI markets. One insurance association said that insurance providers are already very well regulated by ERISA and by states, and a major insurer said that there already exists an array of federal and state laws governing employer-sponsored PDI coverage that establishes a robust regulatory framework for protecting participants. In contrast, representatives from all employee advocacy groups we spoke with cited problems identified with private insurance company practices and stressed the need for additional consumer protections and government oversight. We found instances of federal and state enforcement actions regarding disability insurance improper practices in the past potentially affecting hundreds of thousands of people over many years, as well as more recent rulemaking by DOL that said that \u201cdisability cases dominate the ERISA litigation landscape.\u201d These actions suggest that expanding PDI or including new PDI requirements, in lieu of SSDI, would likely involve some degree of additional federal and state oversight.", "Any costs associated with expanded state and federal roles would reduce potential cost savings from the proposals, although the extent to which this might affect the Disability Insurance Trust Fund is unclear. According to DOL officials, an expansion in the number of private disability benefit plans and an increase in the complexity in the legal requirements governing the design and operation of such plans would require DOL to provide proportionally more interpretive guidance, compliance assistance, and enforcement and oversight activities. Estimating the potential impact of the proposals on DOL\u2019s functions and capabilities would require more specific information on the statutory and regulatory changes envisioned by the proposals and the likely impact of those changes on the private disability plan marketplace. SSA officials said that whether or not SSA would experience an expanded role would depend on any changes in law regarding the proposals."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review and comment to SSA and DOL. Neither SSA nor DOL provided written comments, although both provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Commissioner of Social Security, Secretary of Labor, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, key contributors to this report included Michele Grgich (Assistant Director), Dan Meyer (Analyst-in- Charge), Lucas Alvarez, and Seyda Wentworth. Other contributors include: James Bennett, Ramona Burton, Holly Dye, Sarah Gilliland, Emei Li, Dan Meyer, Carol Petersen, Monica Savoy, Almeta Spencer, and Adam Wendel."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-627", "url": "https://www.gao.gov/products/GAO-18-627", "title": "Federal Acquisitions: Congress and the Executive Branch Have Taken Steps to Address Key Issues, but Challenges Endure", "published_date": "2018-09-12T00:00:00", "released_date": "2018-09-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2017, federal agencies obligated more than $500 billion to acquire products and services. These products and services included military aircraft, information technology software, and maintenance services.", "Amid this large spending, the federal government has taken steps to reform federal acquisitions, increase efficiencies, and improve results. For example, in the Services Acquisition Reform Act of 2003, Congress established the Acquisition Advisory Panel to review federal acquisition laws, regulations, and policies; and identify opportunities for improvement. The Panel issued its final report in 2007, addressing topics that span all three phases of the contracting life cycle identified by GAO: pre-contract award, contract award, and post-contract award.", "GAO was asked to follow up on the Panel's report and identify progress made since 2007. This report identifies the actions the federal government has taken to address key issues raised in the Panel's report, and the challenges that remain. GAO reviewed documentation and interviewed personnel from federal agencies and the private sector. These personnel included staff from OMB that are responsible for federal procurement policy, as well as staff supporting a panel addressing DOD's acquisition regulations and processes, known as the Section 809 Panel. GAO also leveraged its large body of work on federal acquisitions."]}, {"section_title": "What GAO Found", "paragraphs": ["Congress and the executive branch have taken numerous actions to address key issues the Acquisition Advisory Panel (Panel) identified in its 2007 report, but these actions have not eliminated some enduring challenges. The figure below presents the key issues the Panel addressed in relation to the life cycle of a typical contract as identified by GAO.", "Three of the key issues, and the corresponding challenges, align with specific phases in the contracting life cycle:", "Requirements Definition: The Panel found that fully identifying requirements before a contract is awarded is key to achieving the benefits of competition. GAO has found that unrealistic requirements have contributed to poor program outcomes at the Department of Defense (DOD), and that the Army's requirements development workforce decreased by 22 percent from 2008 to 2017.", "Competition and Pricing: The Panel said that competition can help reduce prices. GAO's work shows that competition rates have remained steady government-wide, and declined at DOD. See figure below.", "GAO has also found that agencies are sometimes using bridge contracts\u2014which GAO has generally defined as either extensions to existing contracts or new short-term, sole-source contracts\u2014to avoid a lapse in service caused by delay of a follow-on contract award. In some instances, bridge contract awards delay opportunities for competition and can place the government at risk of paying higher prices for multiple years. The figure below depicts how an Army bridge contract for computer support services planned for 12 months was extended to 42 months.", "Contractor Oversight: The Panel raised questions about the capacity of federal agencies to oversee contractors. GAO has found that agencies continue to award contracts warranting increased management attention at a steady rate, such as contracts for management support services. With contracts like those for management support services, there is an increased risk that contractors may perform tasks reserved for the government. Additionally, GAO found that heavy workloads at the Department of Veterans Affairs have made it difficult for officials who oversee contractors to ensure contractors adhere to contract terms.", "Three of the key issues, and the corresponding challenges, cut across all the phases of the contracting life cycle:", "Acquisition Workforce: The Panel found that the federal acquisition workforce faces workload and training challenges. GAO's work has shown that DOD has enhanced its workforce, but some workforce gaps endure at DOD and across agencies.", "Federal Procurement Data: The Panel found that the government's primary repository for acquisition data contained some unreliable data. Also, GAO has found that the system has demonstrated limitations. For example, guidance from the Office of Management Budget (OMB) required that agencies collect specific contract award data, but the system did not have the capability to do so.", "Small Business Participation: The Panel found a number of challenges hindering agencies' efforts to meet small business goals. GAO has found small business participation has increased, but many agencies are not in full compliance with requirements governing Offices of Small and Disadvantaged Business Utilization (OSDBUs). For example, the directors of these offices should report directly to agency heads or their deputies, but not all agencies have established this type of direct reporting relationship."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations in this report, but it has made numerous recommendations in the past. The agencies have agreed with many of GAO's recommendations, and have implemented some of them but not others. For example, GAO has made the following recommendations.", "The Army should assess the resources needed for the requirements development process. The Army agreed, but it has not yet done so.", "OMB should provide guidance for agencies to manage bridge contracts. OMB agreed and has drafted management guidance but has not yet finalized it.", "Certain federal agencies should take steps to document how they conduct market research. The agencies agreed and did so.", "The Department of Veterans Affairs should develop tools to help oversee contracts. The department agreed and did so.", "DOD should have issued an updated acquisition workforce plan in fiscal year 2016. DOD agreed and issued the plan.", "OMB should take steps to improve how agencies collect certain procurement data. OMB generally agreed, but has not yet addressed the recommendation.", "Certain federal agencies should take steps to comply with OSDBU-related requirements. Most agencies that provided comments agreed or partially agreed. Two agencies\u2014the National Aeronautics and Space Administration, and the U.S. Agency for International Development\u2014have addressed the recommendations.", "GAO continues to believe the agencies should implement all of these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies obligated more than $500 billion through contracts for products and services in fiscal year 2017. These products and services included military aircraft, information technology software, and maintenance services. Amid this large spending, the federal government has taken steps to reform the federal acquisition process, increase efficiencies, and improve outcomes. For example, the Services Acquisition Reform Act of 2003 authorized the establishment of the Acquisition Advisory Panel (Panel) in order to review laws and regulations relating to various acquisition issues government-wide. The Panel issued its final report in 2007, in which it identified numerous acquisition challenges facing the federal government, and suggested actions to address those challenges.", "You asked us to review the progress the federal government has made since the Panel issued its final report. Our report identifies actions the federal government has taken to address the key issues in the Panel\u2019s report, and some of the acquisition challenges that remain. To frame the key issues the Panel identified, we reviewed the Panel report, categorized its findings by higher-order issue areas, and organized these issue areas according to the phases of the contracting life cycle identified by GAO:", "Pre-award phase activities generally include defining requirements, acquisition planning, and preparing the solicitation.", "Award phase activities generally involve the evaluation of offers, price negotiations and discussions with offerors, and the selection of awardees.", "Post-award phase activities generally involve contract administration, agency oversight of contractor performance, and closeout of the contract.", "Figure 1 depicts how the six key issue areas identified by the Panel align with the contracting life cycle. Three of the issue areas\u2014requirements definition, competition and pricing, and contractor oversight\u2014align with specific phases of the contracting life cycle. The other three issue areas\u2014 acquisition workforce, federal procurement data, and small business participation\u2014cut across all phases of the life cycle.", "To identify actions the federal government has taken to address challenges in these key issue areas, and challenges that remain, we reviewed prior GAO reports, relevant legislation, and acquisition guidance issued by the Office of Management and Budget\u2019s (OMB) Office of Federal Procurement Policy (OFPP), the Department of Defense (DOD), the General Services Administration (GSA), and the Small Business Administration (SBA). We also interviewed officials from these agencies and the Section 809 Panel, which was recently established by the Secretary of Defense, as required by Congress, to focus on acquisition issues at the Department of Defense. We reviewed reports the Section 809 panel issued in May 2017, January 2018, and June 2018 to identify commonalities with the Acquisition Advisory Panel\u2019s 2007 report. Finally, we obtained comments on our preliminary findings from members of the Chief Acquisition Officer\u2019s Council\u2014a group of senior acquisition leaders which OMB established to monitor and improve the federal acquisition system\u2014and two groups representing companies that sell products and services to federal agencies. We focused our review on actions taken from 2007, when the Panel issued its final report, to 2018. See appendix I for more information on our objective, scope and methodology.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Services Acquisition Reform Act of 2003 required the Administrator for Federal Procurement Policy to establish an acquisition advisory panel (referred to as the Panel) to review federal acquisition laws, regulations, and policies; and identify opportunities to enhance how agencies award and administer contracts for the acquisition of goods and services. The Administrator for Federal Procurement Policy appointed the Panel members in February 2005, and the Panel issued its final report in 2007."], "subsections": [{"section_title": "Our Work in Federal Acquisitions", "paragraphs": ["We have a long history of reporting on the key issue areas that the Panel addressed in 2007. In 2007, we reported that the Panel\u2019s findings were largely consistent with our prior work. For example, the Panel found that defining requirements is key to achieving the benefits of competition. Similarly, we have issued numerous reports that address the importance of robust requirements definition. Panel members also recognized a significant mismatch between the demands placed on the acquisition workforce and the personnel and skills available to meet those demands. In 2006, we testified that DOD\u2019s acquisition workforce, the largest component of the government\u2019s acquisition workforce, remained relatively unchanged while the amount and complexity of contract activity had increased.", "Since then, we have issued many reports and testimonies on topics ranging from requirements development at DOD, government-wide competition rates, small business, and the acquisition workforce, among others. We also track a number of key acquisition issues\u2014such as DOD contract management and weapons systems acquisitions\u2014through our high-risk program. Our high-risk program identifies government operations with greater vulnerabilities to fraud, waste, abuse, and mismanagement."], "subsections": []}, {"section_title": "Section 809 Panel", "paragraphs": ["Twelve years after the Services Acquisition Reform Act of 2003 required the Administrator for Federal Procurement Policy to establish the Panel, Congress required the establishment of another advisory panel by the Secretary of Defense in section 809 of the National Defense Authorization Act (NDAA) for Fiscal Year 2016 (referred to as the Section 809 Panel), and tasked it with reviewing applicable defense acquisition regulations and finding ways to streamline and improve the defense acquisition process, among other things. The Section 809 Panel is reporting on a number of topics related to areas covered by the 2007 Acquisition Advisory Panel report, including competition, acquisition workforce and small business participation. The Section 809 Panel issued an interim report in May 2017. Volumes I and II of its final report were issued in January 2018 and June 2018, respectively. Its final volume is expected in January 2019."], "subsections": []}]}, {"section_title": "Key Issue Area 1: Requirements Definition", "paragraphs": ["Issue Area Context Acquisition requirements describe the government\u2019s needs when agencies procure products (such as major weapon systems) and services (such as engineering support) from contractors. Federal statute, policy and best practices emphasize the need for valid, clear, and achievable requirements early in the acquisition process. An example of a requirement for a major weapon system could include the range that a missile must be able to travel, while a requirement for a service acquisition could include an engineer\u2019s experience and education. In 2007, the Panel found that defining requirements is key to achieving the benefits of competition because procurements with clear requirements are far more likely to produce competitive, fixed-price offers that meet customer needs. The Panel also found that the government invested in requirements definition less than the private sector, and that better requirements definition would help facilitate implementation of performance- based acquisition (PBA). PBA is a preferred acquisition approach that focuses on contractors\u2019 deliverables rather than how they perform the work.", "We have found that federal agencies continue to face challenges involving acquisition requirements definition.", "Congress passed a defense acquisition reform law with requirements- related provisions in 2009, but our work shows that DOD often begins programs with unrealistic requirements.", "Agencies have not consistently complied with OMB\u2019s requirements relating to key provisions from an information technology (IT) acquisition reform law.", "Numerous efforts have been made to improve and encourage commercial item procurements in an attempt to take advantage of market innovations and reduce acquisition costs.", "DOD and GSA have taken steps to improve how personnel define requirements for service acquisitions, and to focus more on contractors\u2019 deliverables than on how the contractors perform the work, but officials told us that some acquisition officials are reluctant to cede control of the acquisition to contractors.", "We elaborate on these points below."], "subsections": [{"section_title": "2009 Defense Acquisition Reform Law Included Provisions Related to Requirements Definition, but DOD Still Faces Challenges", "paragraphs": ["The 2009 Weapon Systems Acquisition Reform Act (WSARA) included provisions related to requirements definition for major defense acquisition programs. In December 2012, we found that WSARA was helping program offices identify and mitigate requirements-related risks earlier in the acquisition process based on our analysis of 11 weapon acquisition programs.", "Section 809 Panel In its June 2018 report, the Section 809 Panel suggested that the Department of Defense better align its acquisition, requirements, and budget processes. It also suggested that the requirements system focus on capabilities needed to achieve strategic objectives instead of predefined systems.", "However, we have also observed and reported that DOD has struggled to adequately define requirements for its largest acquisition programs. For example, in 2014, we found that cost and schedule growth in major acquisition programs can, in part, be traced to a culture in which the military services begin programs with unrealistic requirements. This cost and schedule growth decreases DOD\u2019s buying power, reducing the aggregate military capability the department can deliver over time.", "In 2017, we found that the Army\u2019s requirements development workforce had decreased by 22 percent since 2008, with some requirements development centers reporting more significant reductions. We recommended that the Secretary of the Army conduct a comprehensive assessment to better understand the resources necessary for the requirements development process and determine the extent to which the shortfalls can be addressed given other funding priorities. While the Army agreed with the recommendation, it remains unaddressed.", "WSARA also required that DOD use competitive prototyping, which we generally define as two or more competing vendors producing prototypes for weapon systems before a design is selected for further development, in major defense acquisition programs as applicable. We have found that prototyping has benefited acquisition programs by, among other things, helping programs understand their requirements, and we have found that competitive prototyping has generated additional benefits, such as improving the quality of systems offered. Even though Congress repealed WSARA\u2019s competitive prototyping requirement in 2015, Congress simultaneously codified a preference for prototyping\u2014including competitive prototyping\u2014as a risk mitigation technique, which has been implemented in DOD policy. Further, the fiscal year 2017 and 2018 NDAAs included several new prototyping-related provisions.", "As of 2018, DOD Weapons System Acquisitions remains on our High Risk list. Among other things, we reported that DOD needs to build on existing reforms intended to improve requirements definition and, specifically, examine best practices to better integrate critical requirements."], "subsections": []}, {"section_title": "Agencies Have Not Consistently Complied with a Key IT Acquisition Reform Law", "paragraphs": ["The 2014 Federal Information Technology Acquisition Reform Act (commonly referred to as FITARA) expanded the role of certain agency Chief Information Officers (CIOs) to improve acquisitions of information technology (IT) products and services. Several aspects of FITARA target requirements definition and OMB has expanded upon and reinforced these aspects in a number of ways through government-wide guidance. However, as of 2018, Improving the Management of IT Acquisitions and Operations remains on our High Risk List because agencies have not completely implemented certain FITARA requirements as implemented by OMB or addressed a number of our recommendations, including several that target requirements definition."], "subsections": [{"section_title": "CIO Responsibilities", "paragraphs": ["FITARA includes a provision generally requiring that agency heads ensure CIOs review and approve all IT contracts prior to award, unless that contract is associated with a non-major investment. Additionally, OMB\u2019s implementing guidance states that CIOs\u2014or other authorized officials, as appropriate\u2014should review and approve IT acquisition plans or strategies as applicable. These reviews can provide CIOs greater insight into IT acquisition requirements. However, in January 2018, we found that officials at 14 of 22 selected agencies did not identify, or help identify, IT acquisitions for CIO review as required by OMB\u2019s guidance. The same number of agencies did not fully satisfy OMB\u2019s requirement that the CIO or other appropriate parties review and approve IT acquisition plans or strategies. As a result, agencies increased the risk that they were awarding IT contracts that were duplicative, wasteful, or poorly conceived."], "subsections": []}, {"section_title": "Incremental Development", "paragraphs": ["FITARA requires that CIOs certify that their agencies are adequately implementing incremental IT development, as defined in capital planning guidance issued by OMB. We previously reported that OMB has emphasized the need to deliver investments in smaller parts, or increments, to reduce risk, deliver capabilities more quickly, and facilitate the adoption of emerging technologies. We have previously reported that a key step in implementing incremental development methods can include defining requirements appropriately, such as by involving end users and stakeholders.", "We have found that agencies have struggled to adhere to FITARA\u2019s incremental development requirements, as implemented in OMB\u2019s capital planning guidance. In 2017, we found less than 65 percent of major IT software development investments were reported as being certified by the agency CIO for implementing adequate incremental development."], "subsections": []}, {"section_title": "Software Licenses", "paragraphs": ["FITARA also includes provisions addressing government software license management, calling for the identification and development of a strategic sourcing initiative to enhance government-wide acquisition, shared use, and dissemination of software. In May 2014, we found that 22 of 24 major agencies did not have comprehensive license policies and only 2 had comprehensive license inventories. Without comprehensive policies and inventories, agencies are poorly positioned to understand their requirements for software licenses. We recommended that OMB issue a directive to help guide agencies in managing licenses and that the 24 agencies improve their policies and practices for managing licenses. As of July 2018, OMB had addressed our recommendation, but many of the recommendations to other agencies remained unaddressed."], "subsections": []}]}, {"section_title": "Congress and DOD Have Worked to Encourage Commercial Item Procurements", "paragraphs": ["Purchasing commercial items helps an agency take advantage of market innovations, increase its supplier base, and reduce acquisition costs. The commercial item definition includes items customarily used by and sold (or offered) to the general public, including products with minor modifications. Federal agencies can purchase commercial items to meet many requirements, from the relatively simple, such as office furnishings and housekeeping services, to the more complex, such as maintenance services and space vehicles. Further, contracting officers can use streamlined solicitation procedures\u2014which can reduce the time needed to solicit offers from vendors\u2014if they determine that the product or service being procured is commercial. We reported that federal agencies used commercial item procedures for over $100 billion of goods and services in 2015.", "The issue of commercial item procurements has been a concern of Congress for a number of years. In the fiscal year 2018 NDAA, and four of its predecessor acts, Congress specified how DOD is to define and purchase commercial items. For example, a fiscal year 2017 provision set a preference for certain commercial services, such as facilities-related or knowledge-based services, by prohibiting defense agencies from entering into non-commercial contracts above $10 million to meet those requirements without a written determination that no commercial services can meet the agency\u2019s needs.", "Section 809 Panel In its January 2018 report, the Section 809 Panel proposed a new approach for using commercial items to meet requirements. The panel proposed that Congress and the Department of Defense (DOD) tailor the department\u2019s acquisition approach based on the level of customization a given product entails. For readily available commercial items, or those requiring minor customization, the panel stated that DOD should be willing and able to reduce management and oversight to capitalize on the nondefense marketplace. In its June 2018 report, the Section 809 Panel suggested additional statutory and regulatory changes to simplify commercial item procurements.", "In January 2018, DOD revised its regulations and corresponding procedures, guidance, and information related to the procurement of commercial items to reflect recent legislative changes. DOD also updated its acquisition regulations to provide guidance to contracting officers for making price reasonableness determinations, promoting consistency in making commercial item determinations, and expanding opportunities for nontraditional defense contractors to do business with DOD. The Department also updated its Guidebook for Acquiring Commercial Items, which includes information on how to define, determine, and price commercial items, to reflect the regulatory changes.", "DOD has also created six commercial item Centers of Excellence to provide analytical support and assist in both the timeliness and consistency of commercial item determinations. The centers are staffed with engineers and price/cost analysts to help contracting officers with market analysis, commercial item reviews and determinations, and commercial pricing analysis. The centers also provide training and assistance to the DOD acquisition community on various techniques and tools used to evaluate commercial items and commercial item pricing.", "Finally, the fiscal year 2018 NDAA directed GSA to establish a program to procure commercial items through commercial e-commerce portals, which can generally be described as online marketplaces. OMB was charged with carrying out the program\u2019s implementation phases. GSA issued the initial implementation plan in March 2018, and the next phase of implementation will entail market analysis and consultation with industry and agencies."], "subsections": []}, {"section_title": "Efforts to Improve Service Acquisition Requirements Have Not Fully Overcome Cultural Resistance", "paragraphs": ["In 2017, we found that federal agencies procured over $272 billion in services in fiscal year 2015, which was approximately 60 percent of total contract obligations for that year. We\u2019ve also previously reported that services contracts are sometimes awarded for professional and management support services that can put contractors in a position to inappropriately influence government decisionmaking if proper oversight is not provided. As we previously reported, in 2009, DOD\u2019s Defense Acquisition University introduced a Services Acquisition Workshop to provide training and guidance on developing service acquisition requirements. The workshop brings together the key personnel responsible for an acquisition to discuss the requirements and how they will know if a contractor has met those requirements. During the workshop, the teams develop the language that will articulate the requirements, and by the end of the process, the goal is to have draft acquisition documents. We reported in 2013 that DOD mandated the use of the workshop for service acquisitions valued at $1 billion and above, and encouraged its use for acquisitions valued at $100 million or more.", "Performance-based acquisition (PBA) is, as the Panel reported in 2007, a preferred commercial technique. PBA focuses on contractors\u2019 deliverables rather than how they perform the work. Rather than using traditional statements of work that define requirements in great detail, PBA uses performance work statements (PWS) that define requirements more generally based on desired outcomes. We have reported that defining requirements this way has been a struggle for DOD for several years. Additionally, we have found that implementing PBA can be particularly challenging when acquiring certain services. Services differ from products in several aspects and can offer challenges when attempting to define requirements and establish measurable, performance-based outcomes.", "In 2012, we found that the Defense Acquisition University developed an Acquisition Requirements Roadmap Tool, which is an online resource designed to help personnel write requirements for PBA and create pre- award documents, including requirements documents, using a standardized template. Additionally, in 2018, GSA updated its Steps to Performance-Based Acquisition guidance for managing PBAs and made sample PBA planning documents available to contracting officers across the federal government. The updated PBA guidance is a start-to-finish set of instructions for planning and executing a PBA, and the planning documents include examples of requirements documents, such as performance work statements, which set forth the contractor\u2019s expected outcomes for the acquisition.", "During the course of this review, we identified that some cultural resistance to PBA has endured. Under PBA, which is structured around the results to be achieved as opposed to the manner in which the work is to be performed, a PWS may be prepared by a contractor in response to an agency\u2019s statement of objectives. A PWS is a type of statement of work that describes the required results in clear, specific and objective terms with measurable outcomes. While some DOD and GSA officials reported that PBA has become an increasingly standard approach, other DOD officials told us that some acquisition officials are still reluctant to give contractors control over how agencies\u2019 requirements will be met under PBA because they fear that they may not get what they need. The officials we spoke with asserted it is difficult to overcome decades of conducting federal acquisition using government-drafted statements of work that outline\u2014often in precise detail\u2014how an agency expects a contractor to perform work."], "subsections": []}]}, {"section_title": "Key Issue Area 2: Competition and Pricing", "paragraphs": ["Issue Area Context Federal regulations generally require that agencies determine that the prices proposed by contractors are fair and reasonable before purchasing goods or services. Agencies normally establish a fair and reasonable price through competitions where multiple offerors submit proposals. Competition is considered the cornerstone of a sound acquisition process and a critical tool for the government. It helps agencies achieve the best prices and return on investment for taxpayers. Federal statutes and regulations permit agencies to award contracts noncompetitively in certain circumstances. Under those circumstances, agencies may obtain other types of data\u2014for example via market research\u2014to determine whether prices proposed by contractors are fair and reasonable. In 2007, the Panel found that the private sector relied heavily on competition and rigorous market research to effectively and efficiently buy products and services. The Panel also found the federal government could improve competition and pricing through greater adoption of commercial practices. Further, the Panel cited our prior findings about interagency contracting\u2014a contracting approach in which an agency either places an order directly against another agency\u2019s indefinite-delivery contract, or uses another agency\u2019s contracting operation to obtain goods or services. This approach can reduce the prices the government pays for goods and services, but we had found that interagency contracts did not always adhere to federal procurement laws, regulations, and sound contracting practices.", "We have found that federal agencies\u2019 efforts to increase competition and improve pricing have had limited success.", "OFPP and DOD have taken steps to increase competition rates, but the government-wide competition rate has remained steady, while DOD\u2019s rate has declined over the past 5 years.", "Agencies facing acquisition planning obstacles are sometimes using bridge contracts, which we have generally defined as extensions to existing contracts or new short-term, sole-source contracts to avoid a lapse in service caused by a delay in awarding a follow-on contract. In some instances, bridge contract awards delay opportunities for competition and can place the government at risk of paying higher prices for multiple years.", "In response to our recommendations, several agencies have taken steps to improve how they conduct market research and determine price reasonableness.", "GSA has developed new pricing tools, but is not collecting pricing data as it had planned. GSA officials told us pricing data helps contracting officers conduct market research and negotiate prices.", "OFPP has promoted consolidated purchasing approaches to improve pricing, but low adoption rates diminish potential savings.", "The federal government has made significant progress addressing challenges related to interagency contracting, where one agency uses another\u2019s contract or contracting support to obtain goods or services.", "We elaborate on these points below."], "subsections": [{"section_title": "The Government-wide Competition Rate Has Remained Steady while DOD\u2019s Rate Has Declined", "paragraphs": ["Despite the existence of OFPP memoranda directing agencies to increase competition, we found that competition rates\u2014the percentage of total obligations reported for competitive contracts versus noncompetitive contracts\u2014have remained largely unchanged. We previously reported that, in 2009, OFPP directed agencies to increase competition and reduce their spending on sole-source contracts. However, in 2017, we found that the government-wide competition rates had remained relatively steady, at just below two-thirds of all contract obligations from fiscal years 2013 through 2017. Furthermore, during the same time period, DOD\u2019s rate declined by over 4 percent, and civilian agency rates increased by 1.6 percent. See figure 2.", "We have previously identified various factors that affect competition rates, including the government\u2019s preference for a specific vendor, inadequate acquisition planning, and overly restrictive government requirements. We have also identified a number of reasons why DOD\u2019s competition rates have been particularly low: In 2017, we found that some companies that had not done business with DOD reported several barriers preventing them from competing for DOD contracts, including the complexity of DOD\u2019s contracting process.", "In 2014, we found that that 7 of the 14 justifications in a non- generalizable sample of non-competitive DOD contracts cited the \u201clack of data rights\u201d as a barrier to competition. Obtaining adequate data rights, such as unlimited rights in technical data, for instance, can allow the government to use, modify, and release the technical data used to design, produce, support, maintain, or operate an item, among other things. A long-standing factor impacting DOD\u2019s competition rate has been its reliance on original equipment manufacturers throughout the life cycle of a program because of a previous decision not to purchase adequate data rights.", "In 2013, we found that DOD may be missing opportunities to effectively facilitate competition in future acquisitions for products and services previously acquired non-competitively. We reviewed justifications for why awards were non-competitive and found that some of them provided limited insight into reasons for the noncompetitive award, or did not fully describe actions that the agency could take to bring about competitive awards in future acquisitions of the same goods or services. We recommended that DOD identify, track, and consider the specific factors that affect competition when setting competition goals and develop guidance to apply lessons learned from past procurements to help achieve competition in the future. We also recommended DOD collect reliable data on one-offer awards. DOD agreed with these recommendations, and implemented them in 2014.", "Between 2010 and 2015, DOD\u2019s then-Under Secretary for Acquisition, Technology and Logistics issued a series of Better Buying Power memos intended to promote competition, among other things. For example, some memos provide guidance on the effective management of technical data rights, which can include acquiring rights in data, as appropriate, to avoid future reliance on original equipment manufacturers. In 2017, we found that more large DOD weapon system programs were implementing \u201cBetter Buying Power\u201d initiatives among other reforms, which led to better acquisition outcomes for some programs. In 2018, we further found that DOD programs initiated after 2010, and therefore subject to Better Buying Power guidance, gained nearly $5 billion in buying power\u2014which is the amount of goods or services that can be purchased given a specified level of funding. The fiscal year 2018 NDAA directed the Secretary of Defense to ensure that DOD negotiates prices for technical data to be delivered under development or production contracts before selecting a contractor to engineer and manufacture a major weapon system, among other things."], "subsections": []}, {"section_title": "Some Agencies Are Using Non-Competitive Bridge Contracts When Facing Acquisition Planning Obstacles", "paragraphs": ["When an existing contract is set to expire but the follow-on contract is not ready to be awarded, the government may simply extend the existing contract beyond the period of performance (including option years). Alternatively, an agency may award a new short-term sole-source contract to the incumbent contractor to avoid a gap in service caused by a delay in awarding a follow-on contract. These contract extensions and short-term sole-source contracts are often referred to as \u201cbridge contracts\u201d. Bridge contracts can be necessary tools, but they can also delay opportunities for competition, which we and others have noted is the cornerstone of a sound acquisition process.", "Additionally, bridge contracts are typically envisioned as short-term, but we found in 2015 that some bridge contracts spanned multiple years, potentially undetected by agency management. For example, of the 29 contracts we reviewed in-depth in 2015, six were longer than three years. As figure 3 illustrates, an Army bridge contract for computer support services was initially planned as a 12-month bridge, but because of subsequent bridges, ultimately spanned 42 months.", "Obstacles during the pre-award phase, including poor acquisition planning, delayed completion of requirements documents, bid protests, and an inexperienced and overwhelmed acquisition workforce largely drove the use of bridge contracts in the cases we studied. We further found that in the sample we reviewed, increased periods of performance sometimes corresponded to increased contract values, and that\u2014 consistent with best practices\u2014agencies paid lower prices in several instances after subsequent contracts were competed. We recommended that OFPP take steps to amend acquisition regulations to incorporate a definition of bridge contracts, and, in the interim, provide guidance for agencies to track and manage their use. OFPP agreed with the recommendation to provide guidance for managing bridge contracts, and has drafted management guidance, but has not yet finalized it as of July 2018. This guidance includes a definition of bridge contracts."], "subsections": []}, {"section_title": "Some Agencies Have Taken Steps to Improve How They Determine Price Reasonableness, but More Can Be Done", "paragraphs": ["Market research helps agencies obtain knowledge about pricing that can be critical to the government\u2019s ability to determine that prices are fair and reasonable. Market research can include:", "Contacting knowledgeable government and industry officials,", "Obtaining information about similar items from other agencies,", "Querying government-wide databases for contract prices, and", "Reviewing the results of recent market research undertaken to meet similar requirements.", "However, in 2014, we found that four agencies\u2014DOD, the Department of Homeland Security, the Department of Transportation, and the Federal Aviation Administration\u2014did not leverage many available market research techniques on lower dollar contracts, and, as a result, may have missed opportunities to promote competition. We recommended that the Secretaries of Defense and Homeland Security take action to ensure their acquisition personnel more clearly document the market research activities they conduct, and that the Secretary of Transportation (the Federal Aviation Administration falls under this department) update its market research guidance to include more detail on which elements of market research should be documented. All three agencies agreed with and addressed our recommendations.", "In July 2018, we issued a report on DOD\u2019s efforts to determine whether prices are fair and reasonable for commercial items, and we have found that dealing with a limited marketplace and limited price data can be a challenge. Limited market information can hinder contracting officers\u2019 ability to make commercial item and price reasonableness determinations. Additionally, the inability to obtain contractor data can make it difficult for acquisition staff to make commercial item and price reasonableness determinations. We also found that better information sharing efforts could address some of the challenges, and recommended that DOD develop a strategy to better share commerciality and price reasonableness information across the department. DOD agreed with our recommendation."], "subsections": []}, {"section_title": "GSA has Developed New Pricing Tools, but Some Agencies and Contractors Are Not Providing GSA Key Data", "paragraphs": ["GSA has developed a number of web-based tools that, according to GSA officials, are intended to enhance contracting officers\u2019 understanding of the basis of contractors\u2019 proposed prices, improve contracting officers\u2019 leverage during contract negotiations, and ultimately reduce the cost of some government contracts. These tools are housed under GSA\u2019s Acquisition Gateway, a website intended to provide federal contracting professionals with access to tools and resources.", "GSA has developed the Contract-Awarded Labor Category (CALC) tool that is intended to help federal contracting officers find awarded prices to use in negotiations for labor contacts. It currently contains pricing data from professional services and IT contracts.", "GSA has developed an independent cost estimate tool that is intended to help contracting personnel develop cost estimates prior to contract award.", "GSA has developed a Prices Paid Portal to capture how much the government has previously paid for certain goods and services.", "Additionally, in 2016, GSA issued a Transactional Data Reporting Rule that requires contractors to report more granular transactional data, including pricing information, to the government. GSA officials told us they anticipate that the collection of this transactional pricing data will greatly enhance the government\u2019s price analyses, and provide pricing data for the Prices Paid Portal. GSA officials also told us that transactional data reporting will provide contracting officers real-time, prices-paid information that should help them conduct market research and negotiate prices faster and easier.", "However, GSA officials told us that agencies do not collect and share pricing data in a standardized manner, and that this makes pricing analysis challenging. Furthermore, the Transactional Data Rule may provide less data than initially expected since GSA has decided to make reporting these data optional for contractors under certain circumstances. According to OMB staff, GSA is also collecting transactional data from all \u201cbest-in-class\u201d contracting vehicles\u2014those that are recommended for agency use as part of the OMB-directed category management effort. We will continue to monitor GSA\u2019s efforts to collect pricing data."], "subsections": []}, {"section_title": "Agency Adoption of Consolidated Purchasing Approaches Has Been Limited, Diminishing Potential Savings", "paragraphs": ["As we have reported, category management is a multi-pronged acquisition approach that includes a broad set of strategies such as consolidated purchasing, supplier management, and improving data analysis and information sharing. Federal category management efforts are intended to manage entire categories of spending across the federal government for commonly purchased goods and services in order to maximize the government\u2019s buying power and improve pricing for all federal buyers. In December 2014, OFPP issued a memo that directed GSA to develop guidance to provide agencies with consistent standards for the development and execution of category management. Category management follows a similar government-wide effort known as strategic sourcing, which also strove to consolidate purchasing activities. According to OMB and GSA guidance, a tenet of strategic sourcing is that higher volume generally translates to lower prices. As we have reported, a key characteristic of strategic sourcing is the use of tiered pricing, where unit prices are reduced as cumulative sales volume increases. Table 1 illustrates an example of a tiered pricing model.", "As we have reported, it is unclear whether the government will fully realize consolidated purchasing approaches\u2019 potential to reduce prices. We have found that agencies\u2019 adoption of strategic sourcing has historically been low, and that tiered price discounts negotiated with vendors were not reached in most instances. For example, we reported in 2016 that, in fiscal year 2015, federal agencies spent an estimated $6.9 billion on the types of commodities\u2014goods and services\u2014available through federal strategic sourcing initiatives, but they only saved $129 million because of low adoption rates. We estimated the government could have saved $1.3 billion if agencies had directed more spending to strategic sourcing initiatives. See figure 4.", "In our 2016 report, we found that agencies\u2019 adoption of the federal strategic sourcing initiatives was low, in part, because individual agencies were not held accountable for complying with their own commitment letters. In these commitment letters, agencies identified how much spending they planned to direct to strategic sourcing vehicles.", "Additionally, agencies were not held accountable for implementing transition plans that specified timelines for redirecting their relevant spending to strategic sourcing vehicles.", "In 2016, we made six recommendations to OMB\u2019s OFPP and GSA in order to better promote agency accountability for implementing the strategic sourcing initiatives and category management effort. OMB and GSA have taken actions to address all six recommendations, including a recommendation for OFPP to report on agency-specific targets for the use of category management that.", "Although agency adoption of strategic sourcing initiatives has been low, we reported in 2012 and 2016 that strategic sourcing has still achieved significant savings for the government, and resulted in savings rates that are comparable to those reported by leading companies. For example, GSA officials reported that federal agencies directed almost $2 billion of spending through strategic sourcing contracts between fiscal years 2011 and 2015, and achieved an estimated $470 million in savings\u2014which represents an overall savings rate of about 25 percent. By comparison, leading companies typically achieved savings rates between 10 and 20 percent by using strategic sourcing.", "Since our 2016 analysis of savings under strategic sourcing, category management efforts have continued. OMB staff told us that statistics show early progress in category management."], "subsections": []}, {"section_title": "Progress Made Addressing Interagency Contracting Challenges", "paragraphs": ["Interagency contracting refers to instances when an agency either places an order directly against another agency\u2019s indefinite-delivery contract, or uses another agency\u2019s contracting operation to obtain goods or services. Interagency contracting can leverage the government\u2019s buying power and allow agencies to meet the demands for goods and services efficiently. This method of contracting can reduce the prices the government pays for goods and services when properly managed, but it also poses a variety of risks.", "In 2005 we reported that DOD used a Department of the Interior contract for information technology to obtain interrogation services quickly during the Iraq War, and, as a result, six task orders for interrogation, screening, and other intelligence-related services were placed on an information technology contract. Our additional work found that interagency contracting deficiencies stemmed from increasing demands on the acquisition workforce, insufficient training, and\u2014in some cases\u2014 inadequate guidance; as well as questionable lines of responsibility for key functions such as requirements definition, contract negotiation, and contractor oversight. For these reasons, we added the management of interagency contracts to our High Risk list in 2005.", "In 2013, we found that the federal government had made significant progress in addressing challenges involving interagency contracting. Specifically, we found that agencies had adopted new oversight requirements for interagency contracts, and that OMB and GSA had taken steps to improve the reliability of data on interagency contracts, increasing transparency into how agencies used them. Therefore, we removed interagency contracting from our High Risk list in February 2013."], "subsections": []}]}, {"section_title": "Key Issue Area 3: Contractor Oversight", "paragraphs": ["Issue Area Context The government uses contracts to procure a wide range of services, some of which warrant increased management attention because there is an increased risk that the contractors may perform tasks reserved for the government. The responsibility for overseeing contractors often falls to contracting officers\u2019 representatives, who are expected to help ensure contractors perform their work in accordance with contractual requirements. Additionally, the Federal Acquisition Regulation (FAR) contains a prohibition on using personal services contracts, which are characterized by the employer-employee relationships they create. In 2007, the Panel found that uncertainty about inherently governmental functions led to confusion about the necessary amount of contractor oversight, and it raised questions about federal agencies\u2019 capacity to oversee contractors. Additionally, the Panel asserted that the FAR prohibition on personal services contracts should be removed and that new guidance should be provided to define where, to what extent, under what circumstances, and how agencies may procure personal services by contract.", "We have found that contracts requiring increased management attention have posed contractor oversight challenges for federal agencies.", "Agencies across the federal government award contracts requiring increased management attention, such as contracts for professional and management support services.", "DOD is not leveraging its annual reports to Congress on its portfolio of contracted services to systematically identify contracts requiring increased management attention.", "DOD has taken steps to improve the reliability of data on personal services contracts, which could help ensure contractors are supervised appropriately.", "We elaborate on these points below."], "subsections": [{"section_title": "Federal Agencies Are Awarding Contracts Warranting Increased Management Attention at a Steady Rate", "paragraphs": ["There are benefits to using contractors to provide services, such as addressing surge capacity needs and providing needed expertise. But we and OFPP have identified the need for increased management attention on certain types of contracted services. These contracted services include professional and management support services, such as intelligence services and policy development. Additionally, some of these services can be closely associated with inherently governmental functions. In 2009, we found that federal agencies introduce the risk that contractors may inappropriately influence government authority when performing contracts for services \u201cclosely associated\u201d with inherently governmental functions.", "In 2017, we found that agencies continued to award service contracts warranting increased management attention at a steady rate. See figure 5. From fiscal years 2013 through 2017, the share of government-wide obligations for these services remained consistent for civilian agencies at around 20 percent, and grew for DOD from about 18 percent to 20 percent.", "OMB has taken steps to help agencies reduce some of the risks associated with contracts warranting increased management attention. In 2011, OMB emphasized the importance of adequate management by government employees when contractors perform work that is closely associated with inherently governmental functions. For example, OMB directed agencies to employ and train a sufficient number of qualified government personnel to provide active and informed management and oversight of contractor performance where contracts have been awarded for functions closely associated with the performance of inherently governmental functions.", "We have found that some agencies face other challenges overseeing their contractors. In 2010 and 2012, we reported that DOD lacked sufficient numbers of adequately trained personnel, including contracting officer\u2019s representatives (CORs), to oversee contractors in contingency operations like those in Afghanistan and Iraq. In 2013, at the Department of Veterans Affairs, we found that heavy workloads and competing demands made it difficult for CORs to effectively monitor contractors and ensure they were executing their work in accordance with contract terms. In addition, we have found that these CORs often lacked the technical knowledge and training needed to effectively oversee certain technical aspects of a contractor\u2019s performance. We recommended that the Department of Veterans Affairs develop tools to help the officials oversee contracts. The department agreed and did so."], "subsections": []}, {"section_title": "DOD Is Not Using Available Information to Inform Contractor Oversight Efforts", "paragraphs": ["In 2008 and again in 2009, Congress mandated that defense and certain civilian agencies start providing annual reports on certain service contract actions. These inventories can improve agency insight into the number of contractor personnel providing services and the functions they are performing, among other things, and help agencies determine whether any of these functions require increased management attention. Despite the increased reporting requirements, we have found that DOD has not always used available inventory information to improve contractor oversight. In March 2018, for example, we found that the military departments generally had not developed plans to use the inventory to inform management decisions as required. We did not make any new recommendations at the time, noting that seven of our 18 prior recommendations related to the inventory remained open, including a recommendation for DOD to identify officials at the military departments responsible for developing plans and enforcement mechanisms to use the inventory. In its comments on our March 2018 report, DOD stated it was committed to improving its inventory processes."], "subsections": []}, {"section_title": "DOD Has Taken Steps to Improve the Reliability of Data on Personal Services Contracts", "paragraphs": ["A personal services contract is one that creates an employer-employee relationship between the government and contractor personnel. Because such contracts could be used to circumvent the competitive hiring procedures of the civil service laws, the use of personal services contracts requires specific statutory authority.", "Section 809 Panel In its June 2018 report, the Section 809 Panel suggested eliminating statutory and regulatory distinctions between personal services contracts and non-personal services contracts to increase managerial flexibility in determining how to fulfill requirements.", "As of July 2017, we could not verify how often DOD awarded personal services contacts because more than one third (17 of 45) of the contracts we reviewed that had been designated personal services contracts in the government\u2019s primary acquisition-data repository (the Federal Procurement Data System-Next Generation) were incorrectly recorded. DOD concurred with our recommendation to address this issue and has taken steps to do so. As we found in 2017, agencies need accurate information about their personal services contracts in order to ensure that they are supervising contractors work appropriately."], "subsections": []}]}, {"section_title": "Key Issue Area 4: Acquisition Workforce", "paragraphs": ["Issue Area Context The federal acquisition workforce manages and oversees billions of dollars in acquisition programs and contracts to help federal agencies get what they need at the right time and at a reasonable price. The acquisition workforce consists of contracting officers, contracting officer\u2019s representatives, program and project managers; and may include others such as, engineers, logisticians, and cost estimators. A number of governmental organizations play critical roles in assisting agencies in building and sustaining their acquisition workforces. Among these agencies, OFPP provides government-wide guidance on acquisition workforce issues, GSA\u2019s Federal Acquisition Institute promotes the development of the civilian acquisition workforce, and the Defense Acquisition University provides training for DOD\u2019s acquisition workforce. In 2007, the Panel found the federal acquisition workforce was understaffed, overworked, and undertrained. The Panel also found that most agencies were not carrying out appropriate workforce planning activities and had not assessed the skills of their current acquisition workforce or the number of individuals with relevant skills that would be needed in the future.", "We found that steps have been taken to address acquisition workforce issues, but workforce gaps endure.", "Congress established the Defense Acquisition Workforce Development Fund (DAWDF) in 2008 which helps DOD recruit, train, and retain acquisition personnel. It has helped DOD close some staffing gaps.", "The acquisition workforce faces skill gaps due to the increasing complexity of acquisitions, particularly IT acquisition.", "OFPP, GSA, and DOD have introduced new training programs to help improve the skills of the federal acquisition workforce.", "Congress and OMB have taken several actions intended to ensure agencies conduct adequate workforce planning, but agencies have not done so consistently.", "We elaborate on these points below."], "subsections": [{"section_title": "The Defense Acquisition Workforce Development Fund Has Helped DOD Close Some Staffing Gaps", "paragraphs": ["In 2008, Congress established the Defense Acquisition Workforce Development Fund (DAWDF), which provides resources for the recruitment, training, and retention of DOD acquisition personnel. In 2017 we reported that, as of September 2016, DOD obligated more than $3.5 billion for these purposes and that DAWDF had helped increase the total size of the DOD acquisition workforce by about 24 percent from 2008 to 2016, among other things.", "However, DOD did not achieve its growth targets for each of its acquisition career fields. In December 2015, we reported that DOD had exceeded its planned growth for seven career fields by about 11,300 personnel, including the priority career fields of auditing and program management. However, DOD had not reached its growth targets for six other career fields, falling about 4,400 personnel short. These included the additional priority career fields of contracting, business, and engineering. We recommended that DOD issue an updated acquisition workforce plan that includes revised career field goals as a guide to ensure that the most critical acquisition needs are being met. Since that time, DOD has continued to hire more people in its acquisition workforce, including the contracting and engineering career fields. It also issued an updated strategic plan in October 2016. However, as we reported in 2017, the plan does not include workforce targets for each career field, so the sizes of DOD\u2019s current staffing shortfalls, if any, are unclear. DOD officials stated that determining which career fields were a priority was most appropriately determined by the components rather than at the department level.", "Section 809 Panel In its June 2018 report, the Section 809 Panel made recommendations to improve the resourcing, allocation, and management of the Defense Acquisition Workforce Development Fund (DAWDF).", "In 2017, we also reported on the amount of unobligated balances in the DAWDF account that have been carried over from one fiscal year to the next. According to DOD officials, these balances\u2014which totaled $875 million at the beginning of fiscal year 2016\u2014were the result of several factors. For example, DOD officials generally did not begin the process of collecting and distributing DAWDF funds before DOD received its annual appropriations. Other factors that affected DAWDF execution included hiring freezes and imbalances between DOD\u2019s DAWDF requirements and the minimum amount that DOD was required to put into DAWDF. In order to improve fund management, we recommended that DOD officials clarify whether and under what conditions DAWDF funds could be used to pay for personnel to help manage the fund. DOD indicated that it planned to address the recommendation.", "We continue to highlight DOD acquisition workforce issues in our High- Risk List, through the DOD Contract Management area, because agencies continue to face challenges in maintaining sufficient staff levels and monitoring the competencies of their acquisition workforce. In our 2017 High Risk report, we determined that DOD should continue efforts to ensure that its acquisition workforce is appropriately sized and trained to meet the department\u2019s needs, among other actions."], "subsections": []}, {"section_title": "Increasingly Complex Acquisitions Are Creating Skill Gaps", "paragraphs": ["The acquisition workforce faces skill gaps due to the increasing complexity of acquisitions, particularly IT acquisitions, according to officials we spoke with for this review. Officials from DOD, GSA, and one industry group indicated that a lack of technical knowledge presents challenges for effectively planning and executing complex IT acquisitions. Additionally, we have reported that the government\u2019s ability to respond to evolving cybersecurity threats depends in part on the skills and abilities of the IT acquisition workforce.", "Cross-functional or multidisciplinary teams may help to address the acquisition skill gaps because they can provide a broad range of specialized skills. In 2014, Congress included provisions in FITARA to ensure timely progress by federal agencies toward developing, strengthening and deploying IT acquisition cadres consisting of personnel with highly specialized skills in IT acquisitions. This legislation followed an initiative OMB started in 2010 when OMB\u2019s United States Chief Information Officer issued a 25 point implementation plan requiring each major IT investment to establish an integrated program team to include, at a minimum, a dedicated, full-time program manager and an IT acquisition specialist. In 2016, we reported on three characteristics that contribute to the creation and operation of a comprehensive integrated program team. We also found that shortfalls in these characteristics\u2014 leadership, team competition and team processes\u2014had contributed to significant problems in major IT acquisitions."], "subsections": []}, {"section_title": "New Training Opportunities Help Address Skill Gaps", "paragraphs": ["Over the past 10 years, OFPP, GSA and DOD have introduced new training programs to help improve the skills of the federal acquisition workforce.", "In fiscal year 2007, OFPP launched two new certification programs for civilian agencies: (1) the program/project managers\u2019 certification, and (2) the contracting officers\u2019 representatives\u2019 certification.", "In 2011, GSA introduced the Federal Acquisition Institute Training Application System, which includes continuous learning modules, certification modules, and a learning management system. In 2013, OFPP issued a memo requiring all civilian federal agencies to increase use of the system.", "In 2015, OFPP and the United States Digital Service jointly developed the Digital Information Technology Acquisition Professional Training Program to help make acquisition personnel better IT buyers.", "In 2015, GSA established the Center for Acquisition Professional Excellence to improve training for GSA\u2019s own acquisition personnel.", "In 2016, DOD reported that, since 2008, its Defense Acquisition University increased its capacity with a 28 percent increase in classroom graduates and a 15 percent increase in online training graduates. In addition, DOD reports that its overall acquisition workforce certification level increased from 58.3 percent in fiscal year 2008 to 76 percent in fiscal year 2017.", "In 2018, OFPP established a new certification program for digital services as part of the overall effort to increase expertise in buying technology."], "subsections": []}, {"section_title": "Gaps Persist in Agency Workforce Planning Efforts", "paragraphs": ["Workforce planning involves identifying critical occupations, skills, and competencies; analyzing workforce gaps; building the capabilities needed to support workforce strategies; and monitoring and evaluating progress toward achieving workforce planning and strategic goals, among other things. Since 2009, Congress and OMB have taken several steps involving agencies\u2019 acquisition workforce planning efforts.", "In the fiscal year 2009 NDAA, Congress directed OMB to prepare a 5- year Acquisition Workforce Development Strategic Plan for civilian agencies to increase the size of the federal acquisition workforce, among other things. In response, OMB issued the plan in October 2009.", "From 2011 to 2016, Congress required DOD to develop biennial plans to improve the defense acquisition workforce. However, DOD did not always meet this biennial requirement, issuing an acquisition strategic plan in 2010 and then not issuing another until October 2016. In 2016, we reported that DOD officials cited budget uncertainties as the primary reason for the delay.", "In July 2016, OMB released its Federal Cybersecurity Workforce Strategy, which cited the need for agencies to examine specific IT, cybersecurity, and cyber-related work roles, and to identify personnel skills gaps. We have ongoing work reviewing federal agencies\u2019 IT and cybersecurity workforce planning.", "Nonetheless, we have found gaps in agency workforce planning efforts. In December 2015, we found that DOD had assessed workforce competencies for 12 of its 13 career acquisition fields, but had not established a timeline for reassessing competencies in 10 of those fields to gauge progress in addressing previously identified gaps. We made four recommendations to DOD as a result. DOD concurred with all four recommendations, including the recommendation that the department issue an updated acquisition workforce plan in fiscal year 2016, which DOD implemented. The other three recommendations remain unaddressed as of June 2018, including the recommendation to establish a timeframe for reassessment.", "Similarly, in 2017, we found that the Department of Homeland Security was continuing to refine its acquisition workforce planning efforts. In April 2017, we reported that the department\u2019s 2016 staffing assessments did not take into account all acquisition-related positions, which could limit its insight into the size and nature of potential staffing shortfalls.", "Additionally, in November 2016, we found that the five departments in our review\u2014the Departments of Defense, Commerce, Health and Human Services, Transportation, and the Treasury\u2014had not fully implemented key workforce planning steps and activities for IT acquisitions. For example, four of these agencies had not demonstrated an established IT workforce planning process, which should include training for acquisition personnel. In addition, none of these agencies had fully developed strategies and plans to address IT workforce gaps. We recommended that the selected departments implement IT workforce planning practices to facilitate (1) more rigorous analyses of gaps between current skills and future needs, and (2) the development of strategies for filling the gaps. As of June 2018, all five recommendations remain open."], "subsections": []}]}, {"section_title": "Key Issue Area 5: Federal Procurement Data", "paragraphs": ["Issue Area Context The Federal Procurement Data System-Next Generation (FPDS-NG) is the federal government\u2019s primary repository for procurement data. Government officials and others use FPDS-NG for a variety of analytical and reporting purposes, such as examining data across government agencies, providing managers a mechanism for determining where contract dollars are being spent, and populating USASpending.gov, a website that contains data on federal awards. The General Services Administration, with guidance from the Office of Federal Procurement Policy, established and administers FPDS-NG. In 2007, the Panel found that FPDS-NG contained unreliable data at the granular level, didn\u2019t have appropriate validation rules in place, and lacked appropriate administration.", "We found that OMB, GSA, and federal agencies have taken steps to improve data reliability, but the government\u2019s primary repository for acquisition data still faces capability limitations.", "OMB and GSA have taken steps to improve FPDS-NG data quality.", "FPDS-NG\u2019s current capabilities face limitations.", "OMB\u2019s IT Dashboard provides detailed information on major IT acquisitions at 26 agencies, but accuracy and reliability issues endure.", "We elaborate on these points below."], "subsections": [{"section_title": "Some FPDS-NG Data Reliability Concerns Endure", "paragraphs": ["From 2008 to 2011, OMB repeatedly directed agencies to take specific actions to improve the quality of the data they report in FPDS-NG.", "In May 2008, OMB provided agencies guidance on how to verify, validate, and certify their FPDS-NG data.", "In October 2009, OMB directed agencies to explicitly describe their data quality improvement and validation activities.", "In May 2011, OMB directed agencies to verify that they have the policies, procedures, and internal controls in place to monitor and improve procurement data quality generally, and that they have similar controls for ensuring that contractors comply with their reporting requirements.", "Since 2007, GSA has reported improvements in FPDS-NG data quality. Agencies are responsible for developing a process and monitoring results to ensure timely and accurate reporting of contractual transactions in FPDS-NG and are required to submit certifications about the accuracy of contract reporting to GSA. In 2017, GSA reported that these certifications collectively demonstrate that the data in FPDS-NG have an overall accuracy rate of 95 percent. GSA also reports that the overall completeness rate for FPDS-NG data has increased from 98.0 percent in fiscal year 2009 to 99.2 percent in fiscal year 2016.", "Nonetheless, our work has recently identified data reliability challenges with FPDS-NG data. For example, in 2017 we found that FPDS-NG did not accurately identify some indefinite delivery contracts. And in March 2016, we identified some FPDS-NG data limitations, including the misclassification of some contractors as small businesses, and some incorrect obligations data."], "subsections": []}, {"section_title": "FPDS-NG Capabilities Have Expanded, but Limitations Remain", "paragraphs": ["GSA has updated the FPDS-NG system to expand its capabilities several times since the Panel issued its 2007 report. The most recent version was released in October 2017, and it increased the type of data that could be collected. For example, FPDS-NG now collects more detailed information on women-owned business types, inherently governmental services, and legislative mandates. A previous update in 2009 standardized how FPDS- NG tracks and reports competition data.", "Despite these changes, FPDS-NG has limitations in the type of acquisition data it can track. For example, in November 2017, we reported that agencies were unable to use FPDS-NG to track and report specific contract award data elements in accordance with OMB guidance because the required data had no corresponding data-entry field in FPDS-NG. We recommended that OMB take steps to improve how agencies collect certain procurement data. OMB generally agreed, but has not yet addressed the recommendation. Similarly, in 2014 we found limitations in FPDS-NG with regard to tracking small business subcontractors. Specifically, we found that FPDS-NG did not contain data on subcontracts, and was not designed to identify the type of subcontracting plan used or to link small business subcontractors to particular prime contracts.", "In fiscal year 2020, GSA plans to fully integrate FPDS-NG with nine other legacy systems operated by the agency\u2019s Integrated Award Environment (IAE). IAE was initiated in 2001 to bring together 10 different acquisition data systems into a unified system. GSA, DOD, and OMB staff expect that the IAE will contribute to improved FPDS-NG data reliability and better system governance. Integration with other systems will reduce the need to input the same data multiple times, which creates opportunities for errors. DOD and OMB staff also stated that FPDS-NG is currently managed through the IAE governance model, which offers a clear governance structure, including strategic planning, conflict resolution, and decision-making."], "subsections": []}, {"section_title": "OMB\u2019s IT Dashboard Enhances Transparency and Oversight, but Accuracy and Reliability Issues Persist", "paragraphs": ["In 2009, OMB deployed a public website, known as the IT Dashboard, to provide detailed information on major IT acquisitions at 26 agencies, including ratings of the IT acquisitions\u2019 performance against cost and schedule targets. Among other things, agencies are to submit investment risk ratings from their CIOs.", "For more than 6 years, we have issued a series of reports about the IT Dashboard, noting the significant steps OMB has taken to enhance the oversight, transparency, and accountability of federal IT acquisitions. We have also reported concerns about the accuracy and reliability of IT Dashboard data. We have made 47 recommendations to OMB and federal agencies to help improve the accuracy and reliability of this data and to increase its availability. As of March 2018, 19 of the recommendations remain open, including recommendations that agencies factor active risks into their IT Dashboard ratings, and ensure that major IT investments are included on the Dashboard."], "subsections": []}]}, {"section_title": "Key Issue Area 6: Small Business Participation", "paragraphs": ["Issue Area Context The federal government has a long-standing policy to maximize contracting opportunities for small businesses. Congress has established, and the Small Business Administration (SBA) maintains, goals for small business participation in federal contracting. SBA also manages several programs targeted at increasing participation by particular business types, including: Small Disadvantaged Businesses, Service- Disabled Veteran-Owned Small Businesses, Women-Owned Small Businesses, and those in Historically Underutilized Business Zones (HUBZone). Agency-specific goals are established through negotiation between SBA and the respective agency. In 2007, the Panel found a number of challenges hindering agencies\u2019 efforts to achieve small business participation goals. In particular, the Panel made recommendations focused on a lack of parity across small business types (identifying that some statutes appeared to prioritize certain small business programs over others), consolidation or bundling of contract requirements, and how small businesses are prioritized under multiple award contracts (contracts awarded to two or more contractors under a single solicitation).", "We found that small business participation in government contracting has increased over the past few years, but small business advocates report emerging concerns, and agencies struggle with policy compliance.", "Executive branch agencies have increased small business participation over time.", "Small business advocates have expressed concerns that category management will reduce the number of small businesses eligible for a given opportunity; the executive branch has taken some steps to address such concerns.", "Most agencies did not demonstrate that they are in full compliance with requirements involving their small business offices.", "SBA has improved how it assesses firms\u2019 eligibility for small business programs, but we found it should do more to oversee its women- owned small business program and its HUBZone program.", "We elaborate on these points below."], "subsections": [{"section_title": "Agencies Have Met More Small Business Goals Over Time", "paragraphs": ["Section 809 Panel Federal agencies continue to address challenges related to small business participation. For example, the Department of Defense (DOD) did not meet all of its small business goals in 2017. In its January 2018 report, the Section 809 Panel recommended that DOD refocus its small business policies and programs to prioritize the department\u2019s mission, among other things.", "Since the Panel issued its report in 2007, Congress and executive branch agencies have continued efforts to encourage small business participation, with improved results over time. In the 2010 Small Business Jobs Act, Congress addressed the three primary small business issues raised by the Panel. These issues included taking action on issues of parity, requiring justifications and reporting for contract bundling, and addressing small business concerns about multiple award contracts, among other things.", "Meanwhile, executive branch agencies have also taken steps to encourage small business participation. For example:", "GSA strongly supports small business participation in its Federal Supply Schedules program. The schedule program provides federal agencies a simplified method of purchasing commercial products and services at prices associated with volume buying. GSA set aside some specific schedule categories\u2014such as photographic services and library furniture\u2014for small businesses. GSA also developed a forecasting tool in 2016, intended to give small businesses a preview of upcoming federal contracting opportunities.", "In a 2013 rule, SBA clarified how contracting officers should assign small business codes under multiple award contracts. North American Industry Classification System (NAICS) codes are the basis for SBA\u2019s size standards; therefore, the NAICS code that a contracting officer assigns determines whether a firm is eligible for small business set-asides. In its rule, SBA observed that when NAICS codes are assigned to a multiple award contract solicitation, a business concern may be small for one or some of the NAICS codes, but not all. In that situation, an agency could receive small business credit on an order for an award to a \u201csmall business\u201d where a firm qualifies as small for any NAICS code assigned to the contract, even though the business is not small for the NAICS code that was assigned or that should have been assigned to that particular order. SBA\u2019s rule stated that, to ensure small businesses receive the awards that are intended for them, contracting officers should assign NAICS codes to discrete components of a contract in certain circumstances. The contracting officers we interviewed stated that assigning a NAICS code can be challenging when one or more codes could apply to a contract and we noted that SBA\u2019s rule may further clarify code assignment for these officials. However, updates to the FAR are required to fully implement SBA\u2019s final rule. This FAR rule-making process is ongoing.", "In fiscal year 2017, the federal government met three of its five government-wide small business participation goals. This is progress compared to fiscal year 2007, when the government met just one of its five small business goals. While individual agencies\u2019 success varied, there was significant improvement in the number of agencies meeting service-disabled veteran-owned and women-owned small business goals. Additionally, the number of agencies meeting all of their small business goals increased from two to seven. Meanwhile, HUBZone goals have remained unmet for a majority of agencies. See figure 6."], "subsections": []}, {"section_title": "Small Business Advocates Have Concerns About Category Management", "paragraphs": ["According to OMB guidance, under category management the federal government should \u201cbuy as one.\u201d Specifically, agencies are expected to move away from making numerous individual procurements to purchasing through a broader aggregate approach.", "Small business advocates we spoke with have reported a number of concerns to us about the government-wide category management effort. Because category management includes streamlining the number of available contracts, small business advocates\u2014including officials at DOD and SBA\u2014have told us that they worry the initiative will reduce the number of small businesses eligible for a given opportunity, and that the number of small businesses awarded federal contracts may fall.", "The executive branch has taken some steps to provide small businesses with contracting opportunities through category management. For example, the category management effort includes a set of cross-agency priority goals that include small business utilization. Another element of category management identifies best-in-class contracting vehicles that are recommended for agency use. Some best-in-class vehicles under category management focus on small business providers, including GSA\u2019s Alliant Small Business vehicle that provides IT solutions. Additionally, in 2015, we found that DHS\u2019s \u201con-ramp/off-ramp\u201d mechanisms offered an option to help maintain a pool of eligible small businesses by reopening an indefinite-delivery, indefinite-quantity vehicle\u2019s solicitation to new small business vendors after participating businesses outgrew their small size status and left the program. GSA recently reported that two of its small business interagency contracts\u2014 OASIS Small Business and 8(a) Stars II\u2014used on-ramp procedures in 2017 and 2018.", "However, in 2014 we analyzed small business participation in strategic sourcing, a predecessor to category management, and found that agencies had not implemented OMB requirements to develop performance measures to determine how strategic sourcing initiatives had affected small business participation. As of June 2018, four of the six contracting agencies we reviewed had implemented our recommendation to do so."], "subsections": []}, {"section_title": "Most Agencies Did Not Demonstrate Full Compliance With Small Business Office Requirements", "paragraphs": ["In the Small Business Act, Congress required certain agencies to create and appropriately staff Offices of Small and Disadvantaged Business Utilization (OSDBUs) to advocate for small businesses. Throughout the years, Congress amended the requirements on multiple occasions, generally expanding the areas for the OSDBU to maintain involvement in, and providing details on how the OSDBU office should function. However, among other results, we have found that many agencies have not demonstrated that they are in full compliance with a number of requirements related to the functions and duties of these offices, such as establishing a direct reporting relationship between the OSDBU director and the agency head or deputy head, and specifying that the director must have supervisory authority over staff performing certain duties. As we reported in August 2017, noncompliance with these legislative requirements may limit the extent to which an office can advocate for small businesses, and we made recommendations to 19 agencies to come into full compliance with these OSDBU requirements or report to Congress on why they have not. Most agencies that provided comments agreed or partially agreed with the recommendations. As of June 2018, two of the 19 agencies\u2014the National Aeronautics and Space Administration and the U.S. Agency for International Development\u2014had implemented our recommendations."], "subsections": []}, {"section_title": "SBA Has Improved How It Assesses Firms\u2019 Eligibility for Small Business Programs, but Work Remains", "paragraphs": ["Over the past decade, we have identified a number of weaknesses in the processes SBA uses to certify and recertify businesses as being eligible to participate in its selected programs\u2014specifically HUBZone and women-owned programs, and the 8(a) program for small disadvantaged businesses\u2014and made recommendations to SBA to address them. SBA has taken steps to address these weaknesses, but some remain. In March 2010, we made six recommendations to improve how SBA assesses the continuing eligibility of firms to participate in the 8(a) program, and we have closed all six recommendations as implemented. In 2014, we made two recommendations to improve SBA\u2019s oversight of firms\u2019 participation in its women-owned small business program. We had found that SBA had not yet developed procedures that provided reasonable assurance that only eligible businesses obtained set-aside contracts. Then in 2015, we made two recommendations to improve SBA\u2019s oversight of firms\u2019 participation in the HUBZone program. We had found that SBA lacked an effective way to communicate program changes to small businesses as well as key oversight controls over the process that small businesses used to recertify that they are eligible to participate. The four recommendations in these two reports remained open as of May 2018."], "subsections": []}]}, {"section_title": "Agency Comments and Third Party Views", "paragraphs": ["We provided a draft of this report to OMB, DOD, GSA and SBA for review and comment. We received written comments from DOD, which are reprinted in appendix II, and one technical comment via e-mail. OMB and GSA provided technical comments via e-mail. We addressed OMB\u2019s, DOD's and GSA's comments as appropriate. SBA told us that they had no comments on the draft report.", "We also offered three third party organizations\u2014two industry groups and the Section 809 Panel\u2014the opportunity to provide their views on sections of the report that relate to them. They confirmed these sections of the report are accurate.", "We are sending copies of this report to the appropriate congressional committees, the Director of the Office of Management and Budget, the Secretary of Defense, the Administrator of General Services, the Administrator of the Small Business Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or WoodsW@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["This report identifies actions the federal government has taken to address the key issues the Acquisition Advisory Panel (the Panel) raised in its 2007 report, and some of the acquisition challenges that remain.", "To frame the key issues the Panel identified in its 2007 report, we worked with internal subject matter experts and officials from the Office of Management and Budget\u2019s (OMB) Office of Federal Procurement Policy (OFPP), Department of Defense (DOD), General Services Administration (GSA), and Small Business Administration (SBA) to categorize the Panel\u2019s 89 recommendations into six higher-level issue areas:", "Competition and pricing,", "Federal procurement data, and", "Small business participation.", "To identify progress made and challenges that remain in each of these issue areas, we reviewed relevant GAO reports and testimonies; key legislation such as the Weapon Systems Acquisition Reform Act of 2009, and the Small Business Jobs Act of 2010; acquisition guidance issued by OMB, DOD, GSA, and SBA; and interim reports from the Section 809 Panel, which is addressing acquisition challenges at DOD, and plans to issue its final report in January 2019. We also interviewed officials from OMB, DOD, GSA, and SBA; and Section 809 Panel staff. Further, we collected input from members of the Chief Acquisition Officers Council and two industry groups: the Professional Services Council and the Coalition for Government Procurement.", "The GAO reports cited throughout this report include detailed information on the scope and methodology from our prior reviews. For findings based on analyses of data from the Federal Procurement Data System-Next Generation (FPDS-NG) in our prior work, we updated the previous analyses to include the most recent years available. We reviewed current documentation for FPDS-NG in order to identify any changes that might impact our analyses. We determined that the FPDS-NG data were sufficiently reliable for the purpose of updating previous analyses.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nathan Tranquilli (Assistant Director), Betsy Gregory-Hosler (Analyst-in-Charge), Holly Williams, George Bustamante, and Brandon Voss made key contributions to this report. Ted Alexander, Cheryl Andrew, Peter Del Toro, Brenna Derritt, Alexandra Dew Silva, Tim DiNapoli, Jennifer Dougherty, Kathleen Drennan, Lorraine Ettaro, Stephanie Gustafson, Dave Hinchman, Javier Irizarry, Justin Jaynes, Julia Kennon, Sherrice Kerns, Emily Kuhn, Heather B. Miller, Angie Nichols-Friedman, Shannin O\u2019Neill, Miranda Riemer, William Russell, Bill Shear, Roxanna T. Sun, and Katherine Trimble also made contributions to the report."], "subsections": []}]}], "fastfact": ["In 2007, a congressional advisory panel identified a number of ways the government could buy goods and services more effectively and save money in the process. While Congress and the executive branch did a lot to address the panel\u2019s recommendations, we found that some challenges endure over a decade later.", "For example:", "The use of competitive contracts to buy things, a practice that should lower prices, declined at the Defense Department. Across all of government, however, use remained about the same", "Despite improvements in the acquisition workforce, finding workers with the technical knowledge for complex IT purchases is still difficult"]} {"id": "GAO-18-504T", "url": "https://www.gao.gov/products/GAO-18-504T", "title": "Supplemental Nutrition Assistance Program: Observations on Employment and Training Programs and Efforts to Address Program Integrity Issues", "published_date": "2018-05-09T00:00:00", "released_date": "2018-05-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SNAP is the largest federally funded nutrition assistance program. In fiscal year 2017, it provided about $63 billion in benefits. USDA and the states jointly administer SNAP and partner to address issues that affect program integrity, including improper payments and fraud. GAO has previously reported on various aspects of SNAP, including state SNAP E&T programs, improper payment rates, recipient fraud, and retailer trafficking.", "This testimony discusses GAO's prior and ongoing work on (1) SNAP E&T programs, including program participants, design, and USDA oversight, and (2) USDA's efforts to address SNAP program integrity, including improper payments, as well as recipient and retailer fraud. As part of its ongoing work on SNAP E&T programs, GAO analyzed E&T expenditures and participation data from fiscal years 2007 through 2016, the most recent data available; reviewed relevant research from USDA; and interviewed USDA and selected state and local officials. The prior work discussed in this testimony is based on four GAO products on E&T programs (GAO-03-388), improper payments (GAO-16-708T), recipient fraud (GAO-14-641), and retailer trafficking (GAO-07-53). Information on the scope and methodology of our prior work is available in each product."]}, {"section_title": "What GAO Found", "paragraphs": ["Overseen by the U.S. Department of Agriculture (USDA) and administered by states, Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) programs served about 0.5 percent of the approximately 43.5 million SNAP recipients in an average month of fiscal year 2016, according to the most recent USDA data available. These programs are generally designed to help SNAP recipients increase their ability to obtain regular employment through services such as job search and training. Some recipients may be required to participate. According to USDA, about 14 percent of SNAP recipients were subject to work requirements in an average month of fiscal year 2016, while others, such as children and the elderly, were generally exempt from these requirements. States have flexibility in how they design their E&T programs. Over the last several years, states have 1) increasingly moved away from programs that mandate participation, 2) focused on serving able-bodied adults without dependents whose benefits are generally time-limited unless they comply with work requirements, and 3) partnered with state and local organizations to deliver services. USDA has taken steps to increase support and oversight of SNAP E&T since 2014, including collecting new data on participant outcomes from states. GAO has ongoing work reviewing SNAP E&T programs, including USDA oversight.", "USDA and the states partner to address issues that affect program integrity, including improper payments and fraud, and USDA has taken some steps to address challenges in these areas, but issues remain.", "Improper Payments. In 2016, GAO reviewed SNAP improper payment rates and found that states' adoption of program flexibilities and changes in federal SNAP policy in the previous decade, as well as improper payment rate calculation methods, likely affected these rates. Although USDA reported improper payment estimates for SNAP in previous years, USDA did not report an estimate for benefits paid in fiscal years 2015 or 2016 due to data quality issues in some states. USDA has since been working with the states to improve improper payment estimates for the fiscal year 2017 review.", "Recipient Fraud. In 2014, GAO made recommendations to USDA to address challenges states faced in combatting recipient fraud. For example, GAO found that USDA's guidance on the use of transaction data to uncover potential trafficking lacked specificity and recommended USDA develop additional guidance. Since then, USDA has provided technical assistance to some states, including on the use of data analytics. GAO has ongoing work reviewing states' use of data analytics to identify SNAP recipient fraud.", "Retailer Trafficking. In 2006, GAO identified several ways in which SNAP was vulnerable to retailer trafficking\u2014a practice involving the exchange of benefits for cash or non-food items. For example, USDA had not conducted analyses to identify high-risk retailers and target its resources. Since then, USDA has established risk levels for retailers based on various factors. GAO has ongoing work assessing how USDA prevents, detects, and responds to retailer trafficking and reviewing the usefulness of USDA's estimates of the extent of SNAP retailer trafficking."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making new recommendations. USDA generally concurred with GAO's prior recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for inviting me here today to discuss our work on the U.S. Department of Agriculture\u2019s (USDA) Supplemental Nutrition Assistance Program (SNAP)\u2014the largest federally-funded nutrition assistance program. Jointly administered by USDA\u2019s Food and Nutrition Service (FNS) and the states, SNAP helps low-income households obtain a better diet by providing them with benefits to purchase food from authorized retailers. In fiscal year 2017, SNAP provided approximately $63 billion in benefits to about 42 million individuals in over 20 million households.", "To receive SNAP benefits, individuals must apply in their state of residence and meet the program\u2019s eligibility requirements, such as income limits. To be eligible for benefits, SNAP recipients must also generally comply with the program\u2019s work requirements, such as registering for work and participating in certain work programs if required by the state agency. For example, SNAP recipients may be required by the state to participate in state-operated SNAP Employment and Training (E&T) programs. First federally required in the 1980s, SNAP E&T programs are intended to help individuals in SNAP households acquire skills, training, employment, or experience that will increase their ability to obtain regular employment.", "The federal government pays the full cost of SNAP benefits and shares the costs and responsibility of administering the program and ensuring program integrity with the states. Most SNAP benefits are used for the intended purpose, according to FNS. However, improper payments\u2014 payments to individuals that were made in an incorrect amount of should not have been made at all\u2014may result from unintentional errors by SNAP recipients or staff administering the program or may result from intentional errors or misuse of benefits, practices which are considered fraud. For example, individuals may misrepresent their household\u2019s circumstances to state agencies in order to obtain benefits. Further, some recipients sell their benefits for cash, often at a loss, to a retailer\u2014a practice known as trafficking. FNS is responsible for authorizing and monitoring retailers from which recipients may purchase food, and states are responsible for determining applicant eligibility and investigating possible program violations by recipients. As we have reported in our prior work, both FNS and states face challenges in addressing recipient and retailer fraud.", "In response to requests from the Chairman and other members of this Committee, we currently have work underway on SNAP E&T programs, as well as on SNAP recipient and retailer fraud. Today I will provide information from our ongoing and prior work, focusing on (1) SNAP E&T programs, including program participants, design, and FNS oversight, and (2) FNS\u2019s efforts to address program integrity, including improper payments and SNAP recipient and retailer fraud.", "To address the areas discussed in this testimony statement, we drew on our ongoing work on SNAP E&T programs, recipient fraud, retailer trafficking, as well as our prior work on improper payments. Specifically, for our discussion of SNAP E&T programs, we analyzed data on SNAP E&T expenditures and participation collected by FNS from the states for fiscal year 2007 through fiscal year 2016, the most recent data available. In addition, we analyzed published FNS Quality Control data on SNAP recipients and work registrants for fiscal year 2008 through fiscal year 2016. To assess the reliability of the data included in this statement, we interviewed FNS and state officials knowledgeable about the data, and determined the data are sufficiently reliable for the purposes of this statement. We also reviewed relevant federal laws and regulations; reviewed guidance and research from FNS; interviewed FNS officials, as well as select state and local SNAP E&T staff from five states; and reviewed our prior work on SNAP E&T programs. For our discussion of FNS\u2019s efforts to address improper payments and SNAP recipient and retailer fraud, we drew on our 2016 review of SNAP improper payment rates and reviewed relevant USDA reports. We also drew on our 2014 analysis of SNAP replacement card and transaction data, in which we conducted tests of FNS-recommended automated tools and interviewed program stakeholders, including federal and select state officials. We also obtained relevant documentation from FNS in April 2018 on steps the agency has taken to address our 2014 recommendations. We also drew on our 2006 work on retailer trafficking, in which we reviewed FNS reports on trafficking estimates; visited FNS field offices; analyzed FNS retailer data; and interviewed federal officials, among others. We also assessed FNS reports on trafficking estimates covering calendar years 2006 through 2014 (the most recent data available), reviewed FNS policies and reports, and interviewed FNS officials. More complete information on the scope and methodology of our prior work is available in each published report. Our current work on SNAP E&T programs, recipient fraud, and retailer trafficking is still ongoing.", "The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["USDA\u2019s Food and Nutrition Service (FNS) is responsible for promulgating SNAP program regulations, ensuring that state officials administer the program in compliance with program rules, and authorizing and monitoring retailers from which recipients may purchase food. States are responsible for determining applicant eligibility, calculating the amount of their benefits, issuing benefits on Electronic Benefit Transfer (EBT) cards\u2014which can be used like debit cards to purchase food from authorized retailers\u2014and investigating possible program violations by recipients."], "subsections": [{"section_title": "SNAP Work Requirements", "paragraphs": ["SNAP recipients are subject to various work requirements. Generally, all SNAP recipients ages 16 through 59, unless exempted by law or regulation, must comply with work requirements, including registering for work, reporting to an employer if referred by a state agency, accepting a bona fide offer of a suitable job, not voluntarily quitting a job or reducing work hours below 30 hours a week, and participating in a SNAP E&T program or a workfare program\u2014in which recipients perform work on behalf of the state\u2014if assigned by the state agency. SNAP recipients are generally exempt from complying with these work requirements if they are physically or mentally unfit, responsible for caring for a dependent child under age 6 or an incapacitated person, employed for 30 or more hours per week or receive weekly earnings which equal the minimum hourly rate set under federal law multiplied by 30, or are a bona fide student enrolled half-time or more in any recognized school training program, or institution of higher education, amongst other exemptions. SNAP recipients subject to the work requirements\u2014known as work registrants\u2014 may lose their eligibility for benefits if they fail to comply with these requirements without good cause.", "One segment of the work registrant population, SNAP recipients ages 18 through 49 who are \u201cable-bodied,\u201d not responsible for a dependent child, and do not meet other exemptions\u2014able-bodied adults without dependents (ABAWDs)\u2014are generally subject to additional work requirements. In addition to meeting the general work requirements, ABAWDs must work or participate in a work program 20 hours or more per week, or participate in workfare, in which ABAWDs perform work to earn the value of their SNAP benefits. Participation in SNAP E&T, which is a type of work program, is one way for ABAWDs to meet the 20 hour per week ABAWD work requirement, but other work programs are acceptable as well. Unless ABAWDs meet these work requirements or are determined to be exempt, they are limited to 3 months of SNAP benefits in a 36-month period.", "At the request of states, FNS may waive the ABAWD time limit for ABAWDs located in certain areas of a state or an entire state under certain circumstances. A waiver may be granted if the area has an unemployment rate of over 10 percent or there are an insufficient number of jobs to provide employment for these individuals. If the time limit is waived, ABAWDs are not required to meet the ABAWD work requirement in order to receive SNAP for more than 3 months in a 36-month period yet they must still comply with the general work requirements."], "subsections": []}, {"section_title": "SNAP Employment and Training Programs", "paragraphs": ["Federal requirements for state SNAP E&T programs were first enacted in 1985 and provide state SNAP agencies with flexibility in how they design their SNAP E&T programs, including who to serve and what services to offer. The state has the option to offer SNAP E&T services on a voluntary basis to some or all SNAP recipients, an approach commonly referred to as a voluntary program. Alternatively, the state can require some or all SNAP work registrants to participate in the SNAP E&T program as a condition of eligibility, an approach commonly referred to as a mandatory program. Further, states determine which service components to provide participants through their SNAP E&T programs, although they must provide at least one from a federally determined list. This list includes job search programs, job search training programs, workfare, programs designed to improve employability through work experience or training, education programs to improve basic skills and employability, job retention services, and programs to improve self-sufficiency through self- employment. Total federal expenditures on SNAP E&T programs were more than $337 million in fiscal year 2016. States are eligible to receive three types of federal funding available for state SNAP E&T programs: 100 percent funds\u2014formula grants for program administration, 50 percent federal reimbursement funds, and ABAWD pledge funds\u2014grants to states that pledge to serve all of their at-risk ABAWDs."], "subsections": []}, {"section_title": "SNAP Program Integrity", "paragraphs": ["The Office of Management and Budget has designated SNAP as a high- priority program due to the estimated dollar amount in improper payments\u2014any payments that should not have been made or were made in an incorrect amount (including overpayments and underpayments) under statutory, contractual, administrative, or other legally applicable requirements. According to USDA\u2019s fiscal year 2015 agency financial report, $2.6 billion, or 3.66 percent, of all SNAP benefits paid in fiscal year 2014 were improper, the most recent year for which data are available. SNAP improper payments are caused by variances in any of the key factors involved in determining SNAP eligibility and benefit amounts, and, according to USDA, household income was the most common primary cause of dollar errors. States review the accuracy of SNAP payments to recipients on an ongoing basis, and FNS assesses the accuracy of state reviews and determines a national improper payment rate annually.", "FNS and states share responsibility for addressing SNAP fraud, which can occur through the eligibility process and when benefits are being used. Specifically, recipients may commit eligibility fraud when they misrepresent their household size, income, or expenses in order to fraudulently obtain SNAP benefits. Another type of fraud\u2014trafficking\u2014 occurs when recipients exchange benefits with authorized retailers or other individuals for cash or non-food items (e.g. rent or transportation). In a typical retailer trafficking situation, for example, a retailer may charge $100 to a recipient\u2019s EBT card and give the recipient $50 in cash instead of $100 in food. The federal government reimburses the retailer $100, which results in a fraudulent $50 profit to the retailer.", "State agencies are directly responsible for preventing, detecting, investigating, and prosecuting recipient fraud, including eligibility fraud and trafficking by SNAP recipients, under the oversight and guidance of FNS. States play a key role in preventing fraud when determining eligibility for SNAP. State agencies collect applicant information, such as household income and employment, and verify it through data matches with other information sources. After benefits are issued, the agencies may monitor EBT transaction data to identify spending patterns that may indicate trafficking. If an individual or household intentionally violates SNAP rules, such as by trafficking or making false or misleading statements in order to obtain benefits, states conduct administrative disqualification hearings or, in some cases, refer the case for criminal prosecution.", "FNS is responsible for authorizing and overseeing retailers who participate in the program\u2014totaling more than 263,000 in fiscal year 2017\u2014including investigating potential retailer trafficking. In order to participate in SNAP, a retailer applies to FNS and demonstrates that they meet program requirements, such as those on the amount and types of food that authorized stores must carry. FNS verifies a retailer\u2019s compliance with these requirements and generally authorizes retailers for 5 years. FNS then monitors retailers\u2019 continued compliance with program requirements and administratively disqualifies, or assesses money penalties on, those who are found to have trafficked benefits. To this end, FNS officials collect and monitor EBT transaction data to detect irregular patterns of transactions that may indicate trafficking and also conduct undercover investigations. If found to be trafficking, retailers are generally permanently disqualified from SNAP or incur a monetary penalty in lieu of permanent disqualification."], "subsections": []}]}, {"section_title": "A Small Percentage of SNAP Recipients Participate in SNAP E&T Programs, Which Have Experienced Changes in Characteristics and FNS Oversight", "paragraphs": [], "subsections": [{"section_title": "A Small Percentage of SNAP Recipients Participate in SNAP E&T", "paragraphs": ["According to FNS data, about 14 percent of SNAP recipients, or about 6.1 million, were work registrants who were subject to work requirements, and about 0.5 percent of SNAP recipients, or about 200,000, participated in state SNAP E&T programs, in an average month of fiscal year 2016. (See fig. 1.) According to FNS, most SNAP recipients are exempt from work requirements. For example, according to FNS, almost two-thirds of SNAP recipients were children, elderly, or adults with a disability in an average month of fiscal year 2016\u2014groups that are generally exempt. Further, adults who are already working at least 30 hours a week are also exempt from SNAP work requirements, and according to FNS data, more than 31 percent of non-elderly adult SNAP recipients were employed in an average month of fiscal year 2016. SNAP work registrants who are not participating in SNAP E&T programs may be participating in other activities to meet work requirements or eligible for other exemptions. FNS officials told us that the state data reported to FNS on SNAP E&T participants are the best and most recent data available on this group, yet they also have limitations, which we will continue to explore in our ongoing work.", "In recent years, the number and percentage of SNAP recipients and work registrants participating in SNAP E&T programs appears to have decreased, according to FNS data. From fiscal year 2008 through fiscal year 2016, the average monthly number of SNAP E&T participants decreased from about 256,000 to about 207,000, or by 19 percent, according to state data on SNAP E&T participants reported to FNS. (See fig. 2.) However, over the same time period, the average monthly number of SNAP recipients appears to have increased from about 27.8 million to about 43.5 million, and work registrants appears to have increased from about 3 million to about 6.1 million, according to FNS data. As a result, the percentage of total SNAP recipients participating in SNAP E&T programs decreased from about 0.9 to about 0.5 percent, and the percentage of SNAP work registrants participating in these programs decreased from approximately 8.1 percent to 3.4 percent, from fiscal year 2008 through fiscal year 2016.", "Available information suggests the characteristics of SNAP E&T participants are generally similar to those of SNAP work registrants who do not participate in these programs. A recent FNS study, which surveyed SNAP E&T participants and SNAP work registrants who had not participated in SNAP E&T, found that members of the two groups had similar demographic characteristics, including age and gender, and received similar monthly SNAP benefit amounts. Further, at the time they were surveyed, about one third of each group were employed, and their average wage rates were similar, at about $10 per hour."], "subsections": []}, {"section_title": "State SNAP E&T Programs Have Changed in Several Ways", "paragraphs": ["State SNAP agencies have broad flexibility in how they design their SNAP E&T programs, and the characteristics of these programs have changed in several ways over the last decade. For example, states have increasingly moved from mandatory to voluntary programs, focused on serving ABAWDs, and partnered with state and local organizations to deliver services."], "subsections": [{"section_title": "States Have Increasingly Moved from Mandatory to Voluntary Programs", "paragraphs": ["According to FNS data, states have increasingly moved from mandatory to voluntary SNAP E&T programs in recent years. In fiscal year 2010, 17 states operated voluntary programs; however, by fiscal year 2017, 35 states operated voluntary programs, according to FNS data. (See fig. 3.) FNS officials told us that they have been actively encouraging states to provide more robust employment and training services, such as vocational training or work experience, through voluntary programs. They said that they believe these types of robust services are more effective in moving participants toward self-sufficiency, but that funding may not be sufficient to provide these to the large numbers of participants served in mandatory programs. In addition, FNS officials told us that voluntary programs are less administratively burdensome than mandatory programs, as they allow states to focus on serving motivated participants rather than sanctioning non-compliant individuals.", "According to FNS officials, when states move to a voluntary program, they generally experience a decline in SNAP E&T participation\u2014a trend consistent with our analysis of FNS data\u2014which may have contributed to the decline in overall SNAP E&T participation. Of the 22 states or territories that changed from a mandatory to a voluntary program from fiscal year 2010 through fiscal year 2016, according to FNS data, 13 experienced a decrease in SNAP E&T participation\u2014ranging from a 21 percent decrease to a 93 percent decrease. Overall, voluntary programs are generally smaller than mandatory programs, according to our analysis of FNS data. In fiscal year 2016, for example, the 32 states or territories operating voluntary programs together served less than half of the total number of SNAP E&T participants served by the 21 states or territories operating mandatory programs, although these two groups of states had similar numbers of new work registrants. Furthermore, states operating voluntary programs served an average of nearly 7,000 SNAP E&T participants per state, while states operating mandatory programs served an average of 23,000 SNAP E&T participants per state."], "subsections": []}, {"section_title": "Focus on ABAWDs Has Increased as Waivers Have Expired", "paragraphs": ["Evidence suggests that states have increased their focus on serving ABAWDs\u2014a sub-population of SNAP recipients subject to benefit time limits and additional work requirements\u2014through SNAP E&T, as related waivers have expired in recent years, according to FNS data. During and after the 2007-2009 recession, the majority of states operated under statewide waivers of the ABAWD time limit due to economic conditions. However, as the economy recovered, most statewide waivers expired, and the ABAWD time limit was reinstated. For example, according to FNS data, in fiscal year 2011, 45 states or territories had a statewide waiver and 7 states had a partial waiver\u2014one applying to certain localities. By fiscal year 2017, the number of states or territories with a statewide waiver had decreased to 9, while 27 states had partial waivers. FNS officials and state SNAP agency officials we spoke with in some states told us that, as the waivers have ended, state SNAP E&T programs have become increasingly focused on serving ABAWDs.", "Although state data on SNAP E&T programs reported to FNS suggest a greater percentage of ABAWDs have been participating in these programs in recent years, according to FNS officials, these data have limited usefulness in assessing state trends in serving ABAWDs for several reasons. For example, in recent years, FNS officials learned that there was widespread confusion among states regarding the need to track ABAWDs when waivers were in place, and that as a result, some states had not been tracking ABAWDs or properly documenting SNAP recipients\u2019 ABAWD status. This is consistent with what some of the selected states we spoke with reported. As part of our ongoing work, we are continuing to explore the availability and reliability of data on ABAWDs."], "subsections": []}, {"section_title": "States Increasingly Developed Partnerships to Deliver SNAP E&T Services", "paragraphs": ["State SNAP agencies have increasingly partnered with other state and local organizations, such as workforce agencies, community-based social service providers, and community colleges, to provide services to SNAP E&T participants in recent years, according to FNS and states we selected for our review. In fiscal year 2018, nearly all states partnered with at least one other organization to deliver SNAP E&T services, with the majority partnering with more than one, according to an analysis by FNS.", "In recent years, FNS has urged states to make use of the broad network of American Job Centers. The American Job Centers, also known as one- stop centers, are funded through the Department of Labor\u2019s Employment and Training Administration and designed to provide a range of employment-related services, such as training referrals, career counseling, job listings, and similar employment-related services, to job seekers under one roof. Our prior work has highlighted the value of coordination between federally funded employment and training programs to ensure the efficient and effective use of resources. Despite encouraging such partnerships, FNS officials said that American Job Centers typically provide lighter touch services to SNAP E&T participants, such as job search and job search training, and they therefore may not be well suited for SNAP E&T participants who have multiple barriers to employment. In our 2003 work on SNAP E&T, we found that while workforce system programs offered some of the activities needed by SNAP E&T participants, officials from 12 of the 15 states we contacted said that most participants were not ready for these activities, in part, because they lacked basic skills, such as reading and computer literacy, that would allow them to successfully participate.", "An alternative service delivery strategy that FNS has promoted is the development of third party partnerships with community-based social service providers, community colleges, and other entities to help states enhance their SNAP E&T programs. According to FNS, in this model, third party organizations use non-federal funding to provide allowable SNAP E&T services and supports, which are then eligible for 50 percent federal reimbursement funds through the state\u2019s SNAP E&T program. According to FNS officials, third party partnerships enable states to leverage additional resources, grow their SNAP E&T programs, and reach more SNAP participants. In addition, FNS officials said that these partnerships allow states to improve their program outcomes by tapping into providers currently serving communities that include SNAP recipients. Federal 50 percent reimbursement funds expended increased from nearly $182 million to more than $223 million, or by 23 percent, from fiscal year 2007 to fiscal year 2016."], "subsections": []}]}, {"section_title": "FNS Has Taken Steps to Increase Support and Oversight of SNAP E&T", "paragraphs": ["FNS has taken steps to increase federal support of states\u2019 SNAP E&T programs by increasing the number of federal staff responsible for SNAP E&T and providing additional technical assistance to states. Specifically, FNS officials said that in 2014, they created the Office of Employment and Training to provide support and oversight for the SNAP E&T program and expanded SNAP E&T staff in FNS headquarters from one to five fulltime employees. FNS has also taken steps to increase technical assistance to states. For example, they have developed tools, including the SNAP E&T Operations Handbook, intended to help states implement and grow their program, and by adding a dedicated SNAP E&T official in each of FNS\u2019s seven regional offices. According to FNS, regional officials have targeted technical assistance to states on, for example, developing third-party partnerships, and they have emphasized evidence-based approaches to administering the program, such as providing skills-based training for in-demand occupations.", "FNS officials rely on various information sources to oversee states\u2019 SNAP E&T programs, including participant outcome data reported by states for the first time in January 2018. For example, FNS officials conduct management evaluation reviews of states, annually review states\u2019 SNAP E&T plans for compliance, and collect data from states on program participation and expenditures. In addition, as of January 2018, FNS has begun receiving new data on SNAP E&T program participants and outcomes from states. These data include employment outcomes, such as the number of SNAP E&T participants in unsubsidized employment after participation in the program, and participant characteristics, such as the number of participants entering the program with a high school degree or equivalent. FNS officials said that although states generally submitted the new data on time, states experienced challenges that likely affected the accuracy of the data. For example, some states needed to manually collect data on participant characteristics due to the limited capacity of their data systems. Further, according to FNS officials, some states did not correctly interpret certain reporting definitions or time periods. To address these challenges, FNS officials have been providing technical assistance to states to help them refine their participant and outcome data reports. Officials told us that they expect the states to submit revised reports by May 2018; we will examine these data and related issues in our ongoing work."], "subsections": []}]}, {"section_title": "FNS Has Taken Steps to Address SNAP Program Integrity Issues, but Concerns Remain", "paragraphs": ["FNS and the states partner to address issues that affect program integrity, including improper payments and fraud, and FNS has taken some steps to address challenges in these areas, but concerns remain. For example, regarding SNAP recipient and retailer fraud, FNS has taken some steps to address challenges identified in our 2006 and 2014 reports related to fraud committed by SNAP recipients and authorized retailers, but more remains to be done. We currently have ongoing work to assess the steps FNS and states have taken to address our recommendations related to recipient and retailer fraud and other program vulnerabilities."], "subsections": [{"section_title": "SNAP Improper Payments", "paragraphs": ["In 2016, we reviewed SNAP improper payment rates and found that states\u2019 adoption of program flexibilities and changes in federal SNAP policy in the previous decade, as well as improper payment rate calculation methods, likely affected these rates. For example, when states adopted available SNAP policy flexibilities that simplified or lessened participant reporting requirements, these changes reduced the opportunity for error and led to a decline in the improper payment rate, according to a USDA study. In addition, we found that the methodology SNAP used to calculate its improper payment rate was generally similar to the methodologies used for other large federal programs for low- income individuals, including Medicaid, Earned Income Tax Credit, and Supplemental Security Income. However, we also found that some of the procedural and methodological differences in the rate calculation among these programs likely affected the resulting improper payment rates, such as how cases with insufficient information or certain kinds of errors were factored into the improper payment rate.", "In 2014, USDA identified SNAP improper payment data quality issues in some states and has since been working with the states to improve improper payment estimates. Although USDA reported national SNAP improper payment estimates for benefits paid through fiscal year 2014, USDA did not report a national SNAP improper payment estimate for benefits paid in fiscal years 2015 or 2016. In response to a report from USDA\u2019s Office of Inspector General that identified concerns in the application of SNAP\u2019s quality control process, which is used to identify improper payments, USDA began a review of state quality control systems in all states in 2014. According to USDA, due to the data quality issues uncovered in 42 of 53 states during the reviews, the improper payment rates for those states could not be validated, and the department was unable to calculate a national improper payment rate for benefits paid in fiscal year 2015. To address the data quality concerns, USDA updated guidance, provided training to relevant state and federal staff, and worked with states to update their procedures to ensure consistency with federal guidelines. According to USDA, the department also required individual states to develop corrective action plans to address issues identified and monitored progress to ensure states took identified actions. On June 30, 2017, USDA notified the states that the department would not release a national SNAP improper payment rate for benefits paid in fiscal year 2016 and remained focused on conducting the fiscal year 2017 review."], "subsections": []}, {"section_title": "SNAP Recipient Fraud", "paragraphs": ["FNS has increased its oversight of state anti-fraud activities in recent years by developing new guidance and providing training and technical assistance to states on detecting fraud by SNAP recipients and reporting on anti-fraud activities to FNS. In 2014, we reported on 11 selected states\u2019 efforts to combat SNAP recipient fraud and made several recommendations to FNS to address the challenges states faced. We found that FNS and states faced challenges in the following areas:", "Guidance on use of data tools to detect fraud: States faced challenges using FNS-recommended data tools to detect fraud, and FNS is in the process of developing improved guidance to address this concern. Specifically, FNS\u2019s guidance on the use of EBT transaction data to uncover potential patterns of benefit trafficking lacked the specificity states needed to uncover such activity, and we recommended FNS develop additional guidance. Since then, FNS contracted with a private consulting firm to provide 10 states with technical assistance in recipient fraud prevention and detection, which included exploring the use of data analytics to analyze and interpret eligibility and transaction data to identify patterns or trends and create models that incorporate predictive analytics. FNS officials also recently told us that the agency is developing a SNAP Fraud Framework to provide guidance to states on improving fraud prevention and detection. FNS officials anticipated releasing the framework in mid- 2018.", "Tools for monitoring e-commerce websites: We also found FNS- recommended tools for automatically monitoring potential SNAP trafficking on e-commerce websites to be of limited use and less effective than manual searches, and FNS has developed but not finalized guidance on using such tools. We recommended that FNS reassess the effectiveness of its current guidance and tools for states to monitor e-commerce and social media websites. In August 2017, FNS officials told us that they had developed revised guidance for states on using social media in detection of SNAP trafficking. According to FNS, the guidance will be incorporated into the SNAP Fraud Framework.", "Staff levels: During the time of our 2014 work, most of our 11 selected states reported difficulties conducting fraud investigations due to reduced or stagnant staff levels while numbers of SNAP recipients had greatly increased, but FNS decided not to make changes to address this issue. Specifically, 8 of the 11 states we reviewed reported inadequate staffing due to attrition, turnover, or lack of funding. Some states suggested changing the financial incentive structure to promote fraud investigations because agencies were not rewarded for cost-effective, anti-fraud efforts that could prevent ineligible people from receiving benefits. Specifically, when fraud by a SNAP recipient is discovered, a state may generally retain 35 percent of any recovered overpayments. However, there are no recovered funds when a state detects potential fraud by an applicant and denies the application. To help address states\u2019 concerns about resources needed to conduct investigations, we recommended in our 2014 report that FNS explore ways that federal financial incentives could be used to better support cost-effective anti-fraud strategies. FNS reported that it took some steps to explore alternative financial incentives, through a review of responses to a Request for Information in the Federal Register. However, FNS decided not to pursue bonus awards for anti-fraud and program integrity activities. Given that FNS has not made changes in this area, state SNAP fraud agencies may continue to report resource concerns in addressing fraud.", "Reporting guidance: We also found that FNS did not have consistent and reliable data on states\u2019 activities because of unclear reporting guidance, and FNS has since revised its data collection form and provided training on the changes. To improve FNS\u2019s ability to monitor states and obtain information about more efficient and effective ways to combat recipient fraud, we recommended in 2014 that FNS take steps, such as providing guidance and training, to enhance the consistency of what states report on their anti-fraud activities. In response, FNS revised the form used to collect recipient integrity information and changed the reporting frequency from annual to quarterly, effective fiscal year 2017. FNS officials also reported providing training to approximately 400 state agency and FNS regional office personnel on the updates to the form and related instructions.", "In our ongoing work, we are further reviewing states\u2019 use of data analytics to identify SNAP recipient fraud, including that which may be occurring during out-of-state transactions. Because transactions that may appear suspicious\u2014such as those made out-of-state\u2014may in fact be legitimate, states may use data analytic techniques to include additional factors that may help them better target their efforts to identify potential fraud. However, states may have different levels of capacity for using data analytics to detect fraud. We are examining how 7 selected states are using data analytics and identifying the advantages and challenges states have experienced in doing so. We are also assessing FNS\u2019s efforts to assist states in implementing GAO\u2019s leading practices for data analytics outlined in GAO\u2019s Framework for Managing Fraud Risks in Federal Programs outlined in GAO\u2019s Framework for Managing Fraud Risks in Federal Programs. In addition, we are conducting our own analysis of EBT out-of-state SNAP transaction data. We expect to report on our findings later this year."], "subsections": []}, {"section_title": "SNAP Retailer Trafficking", "paragraphs": ["FNS has taken some steps to prevent, detect, and respond to retailers who traffic SNAP benefits since our last report on the issue in 2006, but trafficking continues to be a problem. For example, in February 2018, a federal jury convicted a grocery store operator in Baltimore on charges of wire fraud in connection with a scheme to traffic more than $1.6 million in SNAP benefits for food sales that never occurred. The grocery store operator paid cash for SNAP benefits, typically paying the recipient half the value of the benefits and keeping the other half for himself. In our 2006 report, we found that SNAP was vulnerable to retailer trafficking in several areas, including:", "Requirements for food that retailers must stock to participate in SNAP: In 2006, we found that FNS had minimal requirements for the amounts of food that retailers must stock, which could allow retailers more likely to traffic into the program, although the agency has since taken steps to increase these requirements. In our 2006 report, FNS officials said that they authorized stores with limited food stock to provide access to food in low-income areas where large grocery stores were scarce. At that time, retailers were generally required to stock a minimum of 12 food items (at least 3 varieties of 4 staple food categories, such as fruits and vegetables), but FNS rules did not specify how many items of each variety would constitute sufficient stock. FNS officials told us that a retailer that only carries small quantities of food, such as a few cans of one kind of vegetable, may intend to traffic. In 2016, FNS promulgated a final rule increasing food stock requirements. FNS officials told us that these new rules are designed to encourage stores to provide more healthy food options for recipients and discourage trafficking. According to FNS, retailers are now generally required to stock at least 36 food items (a certain variety and quantity of staple foods in each of the 4 staple food categories).", "Focus on high-risk retailers: We also found in 2006 that FNS had not conducted analyses to identify characteristics of retailers at high risk of trafficking and to target its resources\u2014a shortcoming FNS has since taken some steps to address. For example, we reported that some stores may be at risk of trafficking because one or more previous owners had been found trafficking at the same location. However, FNS did not have a system in place to ensure that these retailers were quickly targeted for heightened attention. In addition, once a store was authorized to participate in the program, FNS staff typically would not inspect the store again until it applied for reauthorization 5 years later. We recommended that FNS identify the stores most likely to traffic and provide earlier, more targeted oversight to those stores. In 2009, FNS began establishing risk levels for each authorized retailer, identifying high-risk stores as those with a prior permanent disqualification at that location or a nearby location. In 2013, FNS required all high-risk retailers to go through reauthorization and to provide additional documentation regarding store ownership. That same year, FNS also consolidated its retailer management functions, including those for authorizing stores and analyzing EBT transaction data, into a single national structure known as the Retailer Operations Division. FNS officials told us that this structure enables the agency to identify and deploy their investigative resources to the areas of highest risk nationally, rather than within a given region.", "Penalties to deter retailer trafficking: We also found in our 2006 report that FNS\u2019s penalties for retailer trafficking may be insufficient to deter traffickers, and since then, FNS has proposed\u2014but not finalized\u2014rules to increase them. FNS imposes administrative penalties for retailer trafficking\u2014generally a permanent disqualification from the program or a monetary penalty. FNS relies on the USDA Office of Inspector General (OIG) and other law enforcement entities to conduct investigations that can lead to criminal prosecutions. In our 2006 report, we recommended that FNS develop a strategy to increase penalties for trafficking. The Food, Conservation, and Energy Act of 2008 (known as the 2008 Farm Bill) gave USDA authority to impose higher monetary penalties, and the authority to impose both a monetary penalty and program disqualification on retailers found to have violated relevant law or regulations (which includes those found to have trafficked). In 2012, FNS proposed regulatory changes to implement these authorities. However, FNS has not finalized these rules, and as of fall 2017, the rules were considered \u201cinactive.\u201d", "In our ongoing work, we are continuing to assess FNS\u2019s efforts to prevent, detect, and respond to retailer trafficking, as well as examining what is known about the extent of retailer trafficking nationwide. As part of this work, we are continuing to review FNS\u2019s response to our prior recommendations, as well as related recommendations made by USDA\u2019s OIG. We are also studying FNS\u2019s periodic estimates of the rate of retailer trafficking, expressed as the dollar value and percentage of all SNAP benefits that were trafficked and the percentage of retailers involved. These data suggest an increase in the estimated rate of retailer trafficking since our 2006 report. However, we and others, including a group of experts convened by FNS, have identified some limitations with the retailer trafficking estimates. For example, the trafficking rate is calculated based on a sample of retailers that FNS considers most likely to traffic. Although FNS adjusts the data to better represent the broader population of authorized retailers, it is uncertain whether the resulting estimates accurately reflect the extent of trafficking nationwide. We are reviewing these limitations and FNS\u2019s efforts to address them in our ongoing work.", "Chairman Jordan, Chairman Palmer, Ranking Member Krishnamoorthi, Ranking Member Raskin, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Kathryn Larin, Director, Education, Workforce, and Income Security Issues at (202) 512-7215 or LarinK@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony include Rachael Chamberlin, Celina Davidson, Swati Deo, Rachel Frisk, Alexander Galuten, Danielle Giese, Kristen Jones, Morgan Jones, Lara Laufer, Monica Savoy, and Kelly Snow.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-29", "url": "https://www.gao.gov/products/GAO-18-29", "title": "Personnel Security Clearances: Additional Actions Needed to Ensure Quality, Address Timeliness, and Reduce Investigation Backlog", "published_date": "2017-12-12T00:00:00", "released_date": "2017-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A high-quality personnel security clearance process is necessary to minimize the risks of unauthorized disclosures of classified information and to help ensure that security-relevant information is identified and assessed. The passage of IRTPA initiated an effort to reform the security clearance process government-wide.", "This report assesses the extent to which (1) executive branch agencies made progress reforming the security clearance process; (2) executive branch agencies completed timely initial clearances from fiscal years 2012-2016, and reported on timeliness; and (3) NBIB has taken steps to improve the background investigation process and address the backlog. GAO reviewed documentation; analyzed timeliness data; and interviewed officials from the four PAC Principals and NBIB. This is a public version of a sensitive report that GAO issued in December 2017. Information that the DNI and OPM deemed sensitive has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["Executive branch agencies have made progress reforming the security clearance process, but long-standing key initiatives remain incomplete. Progress includes the issuance of common federal adjudicative guidelines and updated strategic documents to help sustain the reform effort. However, agencies face challenges in implementing certain aspects of the 2012 Federal Investigative Standards\u2014criteria for conducting background investigations\u2014including establishing a continuous evaluation program, and the issuance of a reciprocity policy to guide agencies in honoring previously granted clearances by other agencies remains incomplete. Executive branch agencies have taken recent steps to prioritize over 50 reform initiatives to help focus agency efforts and facilitate their completion. In addition, while agencies have taken steps to establish government-wide performance measures for the quality of investigations, neither the Director of National Intelligence (DNI) nor the Security, Suitability, and Credentialing Performance Accountability Council (PAC) have set a milestone for their completion. Without establishing such a milestone, completion may be further delayed and agencies will not have a schedule against which they can track progress or to which they are accountable.", "The number of executive branch agencies meeting established timeliness objectives for initial security clearances decreased from fiscal years 2012 through 2016, and reporting has been limited. For example, 59 percent of the executive branch agencies reviewed by GAO reported meeting investigation and adjudication timeliness objectives for initial top secret clearances in fiscal year 2012, compared with 10 percent in fiscal year 2016. The Intelligence Reform and Terrorism Prevention Act of 2004 (IRTPA) required the executive branch to submit an annual report, through 2011, to appropriate congressional committees on, among other things, the time required to conduct investigations, adjudicate cases, and grant clearances. Since the requirement ended, reporting has been limited to a portion of the intelligence community. Without comprehensive reporting, Congress will not be able to monitor agencies' progress in meeting timeliness objectives, identify corrections, or effectively execute its oversight role.", "The National Background Investigations Bureau (NBIB), within the Office of Personnel Management (OPM), has taken steps to improve the background investigation process, but it faces operational challenges in addressing the investigation backlog and increasing investigator capacity. While NBIB has taken positive steps to improve its oversight of background investigation contracts, it faces operational challenges in reducing the investigation backlog\u2014which grew from 190,000 cases in August 2014 to more than 709,000 in September 2017. To increase capacity NBIB has hired additional federal investigators and increased the number of its investigative fieldwork contracts, but it has not developed a plan for reducing the backlog or established goals for increasing total investigator capacity. Without such a plan and goals, the backlog may persist and executive branch agencies will continue to lack the cleared personnel needed to help execute their respective missions. The bill for the National Defense Authorization Act for Fiscal Year 2018, passed by Congress in November 2017, would authorize DOD to conduct its own background investigations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider reinstating the IRTPA requirement for clearance timeliness reporting. GAO is also making six recommendations, including that the DNI and other PAC Principals set a milestone for establishing measures for investigation quality, and that NBIB develop a plan to reduce the backlog and establish goals for increasing total investigator capacity. NBIB concurred with the recommendations made to it. The DNI did not concur with GAO's conclusions and recommendations. GAO continues to believe they are valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The enactment of the Intelligence Reform and Terrorism Prevention Act of 2004 (IRTPA) initiated a reform effort that includes goals and requirements for improving the personnel security clearance process government-wide. A high-quality personnel security clearance process is necessary to minimize the risks of unauthorized disclosures of classified information and to help ensure that information about individuals with criminal histories or other questionable behavior is identified and assessed. In 2014, emphasis on security clearance reform was renewed following high-profile events. These events included the June 2013 disclosure of classified documents by a former National Security Agency contractor, and the September 2013 shooting at the Washington Navy Yard by an individual who had both access to the facility and a security clearance. However, these reform efforts immediately faced significant challenges. In 2014, the Office of Personnel Management (OPM) experienced issues with respect to its largest background investigation contractor, and it did not exercise an option to extend the contract. According to OPM, it conducts about 95 percent of the federal government\u2019s background investigations. Additionally, in 2015, OPM was subjected to a massive security breach of its information technology (IT) systems. Moreover, OPM reports that it has a significant backlog of background investigations, which has raised congressional concerns about delays in processing security clearances and risks to national security.", "Executive Order 13467 established the Security, Suitability, and Credentialing Performance Accountability Council (PAC) as the government-wide structure responsible for driving the implementation of and overseeing security and suitability reform efforts. The Executive Order also designated the Deputy Director for Management of the Office of Management and Budget (OMB) as the Chair of the PAC, and the Director of National Intelligence as the Security Executive Agent responsible for developing consistent policy and procedures for, among other matters, timely investigations and adjudications.", "We have issued numerous reports highlighting issues related to personnel security clearances. For example, in 2017, we reported on challenges related to the implementation of an executive branch-wide continuous evaluation program, and in 2015 we reported on the need to take steps to improve the reciprocity of security clearances among executive branch agencies. Appendix I provides the status of recommendations we have made to improve the personnel security clearance process. Moreover, in our 2015 and 2017 updates to our High- Risk series, we identified the Department of Defense\u2019s (DOD) personnel security clearances as a previous high-risk area that we continue to monitor to determine whether the improvements we have noted are sustained and whether any new issues have emerged.", "We began our work under the authority of the Comptroller General to conduct evaluations on his own initiative. The Ranking Member of the Senate Committee on Homeland Security and Governmental Affairs, the Vice Chairman of the Senate Select Committee on Intelligence, and Senator Jon Tester subsequently submitted requests to be addressees for this review. Additionally, Senate Report 114-280 included a provision that we review the transition, oversight, and operation of the newly established National Background Investigations Bureau (NBIB), within OPM. This report assesses the extent to which: (1) executive branch agencies have made progress in reforming the security clearance process; (2) executive branch agencies met established timeliness objectives for initial personnel security clearances from fiscal year 2012 through fiscal year 2016, and reported on their timeliness; and (3) NBIB has taken steps to improve the background investigation process and address the investigation backlog.", "This report is a public version of a sensitive report that we issued on December 7, 2017. ODNI and OPM deemed some of the information in our December report to be sensitive, which must be protected from public disclosure. Therefore, this report omits sensitive information. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address our first objective, we compared the PAC\u2019s strategic framework for fiscal years 2017 through 2021 and quarterly progress updates against recommendations from the PAC\u2019s 120-day and 90-day reviews and PAC-identified reform milestones. Additionally, we interviewed PAC Program Management Office officials as well as officials from OMB, OPM, the Office of the Director of National Intelligence (ODNI), and DOD, due to their roles as principal members of the PAC. We also interviewed officials from the Departments of Homeland Security, Justice, and State with regard to their plans to implement continuous evaluation\u2014a key reform effort. We compared this information against Standards for Internal Control in the Federal Government related to the identification of risks and monitoring activities; criteria for assessing high- risk areas, such as leadership commitment; and best practices for comprehensive and effective IT strategies identified in our prior work. We also reviewed the executive branch\u2019s guide for quality standards and tools, and we identified and applied criteria developed from our body of work on using results-oriented management tools to help achieve desired program outcomes.", "To address our second objective, we reviewed relevant statutes and ODNI guidance addressing the timeliness of background investigations and adjudications as well as reporting requirements. We also reviewed available executive branch reports on timeliness. We obtained data from ODNI on the timeliness of initial personnel security clearances for fiscal years 2012 through 2016 for specific executive branch agencies. We excluded the data reported by State to ODNI from our analysis due to a July 2017 report by the State Office of Inspector General, which identified a number of errors in the department\u2019s security clearance timeliness data. As such, we reported on the timeliness of the remaining executive branch agencies for which ODNI provided data. To assess the reliability of the data for the remaining executive branch agencies, we reviewed relevant documentation and interviewed officials about data quality control procedures. Based on these steps, we determined that the data were sufficiently reliable for the purposes of this report. For that reason, we did not independently test the accuracy of the agencies\u2019 databases.", "We selected the fiscal year 2012 through 2016 timeframe for our analysis because the executive branch has not publicly reported on the timeliness of individual executive branch agencies since fiscal year 2011. We analyzed the data to determine the extent to which agencies are meeting IRTPA timeliness objectives for completing the fastest 90 percent of initial secret clearance determinations within 60 days (40 days to investigate and 20 days to adjudicate). Appendix II provides additional details on IRTPA as it relates to personnel security clearances. We also analyzed the extent to which agencies are meeting ODNI revised timeliness objectives for completing the fastest 90 percent of initial top secret clearance determinations. In addition, we reviewed relevant ODNI and PAC reports for information regarding the timeliness of investigations and compared it against criteria for assessing high-risk areas such as monitoring and demonstrated progress. Finally, we interviewed PAC, ODNI, and NBIB officials regarding timeliness challenges, efforts to improve timeliness, and the reporting of timeliness information.", "To address our third objective, we analyzed studies, organizational charts, plans, and other documents related to the establishment, transition, oversight, and operation of NBIB. We compared these documents against key principles of strategic workforce planning that we have identified in prior work, such as determining the critical skills and competencies needed to achieve current and future programmatic results and developing strategies that are tailored to address gaps in numbers of people, skills and competencies, and deployment of the workforce; selected OPM workforce planning best practices; OMB policy that requires agencies to take actions to ensure that they have sufficient internal capability to maintain control over functions that are core to the agency\u2019s mission and operations; and criteria for assessing high-risk areas such as leadership commitment, capacity, action plans, monitoring, and demonstrated progress. Additionally, given the OPM data breach in 2015 and a decision to shift security clearance IT functions to a new DOD-developed and -operated National Background Investigation System (NBIS), we examined efforts to operationalize the new system and leveraged our recent work examining IT security at OPM. Further, we reviewed and analyzed current and former NBIB/ Federal Investigative Services (FIS) background investigation fieldwork services contracts to determine investigative capacity and steps taken to improve timeliness. FIS is the prior entity within OPM that conducted background investigations for the federal government. We interviewed NBIB officials to determine how NBIB was providing oversight of investigative contracts and how that process changed in the wake of the 2014 issues related to a major investigative service provider. We also interviewed NBIB, PAC, and DOD officials regarding the transition, oversight, and operation of NBIB.", "The performance audit upon which this report is based was conducted from July 2016 through December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with ODNI and OPM from November 2017 to December 2017 to prepare this report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Personnel Security Clearances", "paragraphs": ["Personnel security clearances are required for access to certain national security information. National security information may be classified at one of three levels: confidential, secret, or top secret. The level of classification denotes the degree of protection required for information and the amount of damage that unauthorized disclosure could reasonably be expected to cause to national security. Specifically, unauthorized disclosure could reasonably be expected to cause (1) \u201cdamage,\u201d in the case of confidential information; (2) \u201cserious damage,\u201d in the case of secret information; and (3) \u201cexceptionally grave damage,\u201d in the case of top secret information. As part of the security clearance process, individuals granted security clearances are investigated periodically\u2014for as long as they remain in a position requiring access to classified information\u2014to ensure their continued eligibility. As of October 1, 2015, the latest date for which data are available, approximately 4.2 million government and contractor employees, at nearly 80 executive branch agencies, were eligible to hold a security clearance."], "subsections": []}, {"section_title": "IRTPA, Executive Orders, and Recent Legislation", "paragraphs": ["IRTPA. As noted earlier, IRTPA initiated a reform effort that includes goals and requirements for improving the personnel security clearance process government-wide. For example, IRTPA established specific objectives for the timeliness of security clearance processing. It also required that all security clearance background investigations and determinations completed by an authorized investigative agency or authorized adjudicative agency be accepted by all agencies (known as reciprocity), subject to certain exceptions. Appendix II provides additional details on IRTPA as it relates to personnel security clearances.", "Relevant Executive Orders. The personnel security clearance process and reform efforts are governed by various executive orders. Key executive orders affecting personnel security clearance reform include Executive Orders 12968, 13467, 13741, and 13764, which, among other things, provide definitions, processes, responsibilities, and authorities related to eligibility for access to classified information, suitability and fitness for government employment, and security clearance reform.", "Aspects of the reform effort covered by the Executive Orders include the establishment of the PAC and NBIB, the transfer of IT responsibilities to DOD, the definition of continuous evaluation, and the addition and amendment of certain roles and responsibilities.", "Recent legislation. Section 951 of the National Defense Authorization Act for Fiscal Year 2017 requires, among other things, the Secretary of Defense to develop an implementation plan for the Defense Security Service to conduct background investigations for certain DOD personnel\u2014presently conducted by OPM\u2014after October 1, 2017. The Secretary of Defense was to submit the plan to the congressional defense committees by August 1, 2017. DOD provided the plan to the congressional defense committees on August 25, 2017. Section 951 also requires the Secretary of Defense and the Director of OPM to develop a plan by October 1, 2017, to transfer investigative personnel and contracted resources to DOD in proportion to the workload if the plan for the department to conduct background investigations were implemented.", "In November 2017, after the conclusion of our audit work, Congress passed a bill for the National Defense Authorization Act for Fiscal Year 2018. The bill includes a provision that, among other things, would authorize DOD to conduct its own background investigations and would require DOD to begin carrying out the implementation plan required by section 951 of the National Defense Authorization Act for Fiscal Year 2017 by October 1, 2020. It would also require the Secretary of Defense, in consultation with the Director of OPM, to provide for a phased transition."], "subsections": []}, {"section_title": "Governance Structure for Security Clearance Reform Effort", "paragraphs": ["To help guide the personnel security clearance reform effort, in June 2007, the Director of National Intelligence and the Under Secretary of Defense for Intelligence established the Joint Reform Team through a memorandum of agreement to execute joint reform efforts to achieve IRTPA timeliness objectives and improve the processes related to granting security clearances and determining suitability for government employment. The team consisted of cognizant entities within OMB, OPM, ODNI, and DOD. The team worked on improving the security clearance process governmentwide, including providing progress reports on the reform effort, recommendations for research priorities, and oversight of the development and implementation of an information technology strategy, among other things.", "In June 2008, Executive Order 13467 established the PAC as the government-wide governance structure responsible for driving the implementation of and overseeing security and suitability reform efforts. Its specific responsibilities include ensuring the enterprise-wide alignment of suitability, security, credentialing, and, as appropriate, fitness processes; working with agencies to implement continuous performance improvement programs, policies, and procedures; establishing annual goals and progress metrics; and preparing annual reports on results. In addition, the PAC is to develop and continuously reevaluate and revise outcome-based metrics that measure the quality, efficiency, and effectiveness of the vetting enterprise, among other things. As noted above, the Deputy Director for Management of OMB serves as the Chair of the PAC and has authority, direction, and control over its functions.", "In addition to the Deputy Director for Management of OMB, the PAC has three additional principal members: the Director of National Intelligence, the Director of OPM, and the Under Secretary of Defense for Intelligence.", "Director of National Intelligence: The Director of National Intelligence serves as the Security Executive Agent and is responsible for, among other things, developing and issuing uniform and consistent policies and procedures to ensure the effective, efficient, timely, and secure completion of investigations, polygraphs, and adjudications related to determinations of eligibility for access to classified information or eligibility to hold a sensitive position. In this role, the Director of National Intelligence is also to direct the oversight of such investigations, reinvestigations, and adjudications.", "Director of OPM: The Director of OPM serves as the Suitability and Credentialing Executive Agent and is responsible for, among other things, prescribing suitability standards and minimum standards of fitness for employment.", "Under Secretary of Defense for Intelligence: The Under Secretary of Defense for Intelligence became the fourth principal member of the PAC with the issuance of Executive Order 13741 in September 2016. Additionally, Executive Order 13467, as amended, assigns DOD responsibility for designing, developing, operating, defending, and continuously updating and modernizing, as necessary, IT systems that support all background investigation processes conducted by NBIB.", "In addition, in April 2014, the PAC established the Program Management Office to implement personnel security clearance reforms. This office includes subject-matter experts with knowledge of personnel security clearances and suitability determinations from OMB, ODNI, OPM, DOD, the Department of Homeland Security, the Department of Justice, the Department of the Treasury, and the Federal Bureau of Investigation. Prior to the establishment of the Program Management Office, the PAC was supported by the Joint Reform Team as well as various subcommittees that addressed specific tasks, such as investigator and adjudicator training and the development of performance measures."], "subsections": []}, {"section_title": "Key Efforts to Reform the Personnel Security Clearance Process", "paragraphs": ["Since 2014, there have been a number of key efforts to reform the personnel security clearance process. For example, following the September 2013 shooting at the Washington Navy Yard, the PAC conducted a 120-day interagency review to assess risks inherent in the federal government\u2019s security, suitability, and credentialing processes. The February 2014 report resulting from that review highlighted 37 recommendations to improve, among other things, the federal government\u2019s processes for granting security clearances. Some of the recommendations address longstanding issues of the reform effort\u2014such as improving data sharing between local, state, and federal law enforcement; and others are consistent with previous GAO recommendations\u2014such as reporting measures for the quality of background investigations. The status of the implementation of these recommendations is discussed later in this report.", "In addition, in March 2014, OMB established Insider Threat and Security Clearance Reform as a government-wide, cross-agency priority goal in part to improve interagency coordination and implementation within the area of personnel security clearances. Through this goal, the PAC and executive-branch agencies are to work to improve oversight to ensure that investigations and adjudications meet government-wide quality standards. From the second quarter of fiscal year 2014 to the fourth quarter of fiscal year 2016, the PAC has reported quarterly on, among other things, the status of key milestones and the timeliness of initial investigations and periodic reinvestigations for the executive branch as a whole. As part of the cross-agency priority goal, the PAC identified various sub goals on which to focus its work. The sub goals were originally based on recommendations from the 120-day review and, according to PAC Program Management Office officials, were later updated to reflect the PAC\u2019s strategic plans. The current sub goals are as follows: trusted workforce, modern vetting, secure and mission-capable IT, and continuous process improvement.", "Further, in 2015, in response to the OPM data breach and at the request of the President, the PAC conducted a second review\u2014a 90-day review\u2014of the government\u2019s suitability and security processes. In the January 2016 summary of the review, the administration identified four actions to create a more secure and effective federal background investigations infrastructure. Specifically, it identified the need to: (1) establish NBIB as the new federal entity to strengthen how the government performed background investigations; (2) leverage IT expertise at DOD for processing background investigations and protecting against threats; (3) update governance authorities, roles, and responsibilities; and (4) drive continuous performance improvement to address evolving threats. The status of these actions is discussed later in this report."], "subsections": []}, {"section_title": "NBIB\u2019s Use of Contract Investigators to Conduct Background Investigations", "paragraphs": ["NBIB maintains an in-house federal investigator workforce, but according to NBIB, as of July 2017, it relied on contract investigators to conduct about 60 percent of the background investigations it provides to customer agencies, such as DOD. In 2011, OPM awarded three indefinite delivery/indefinite quantity contracts to three contractors to conduct investigation fieldwork services\u2014CACI Premier Technology, Inc., KeyPoint Government Solutions, Inc., and U.S. Investigations Services, LLC (USIS). According to NBIB, USIS was responsible for about 65 percent of the contractor workload.", "In September 2014, OPM decided not to exercise the option for the USIS contract for fiscal year 2015. Eleven months prior, in October 2013, the Department of Justice had announced that the government would intervene in a civil suit against USIS, filed by a former employee under the False Claims Act. The government alleged that the contractor had circumvented contractually required quality reviews of completed background investigations to increase the company\u2019s revenues and profits. In August 2015, the Department of Justice announced that USIS and its parent company had agreed to a $30 million settlement in exchange for a release of liability under the False Claims Act; accordingly, the claims resolved by the settlement agreement were allegations only, and there was no determination of liability. In June 2015, OPM conducted a review of USIS cases and found that the investigations for which USIS did not conduct the quality review were generally less complex cases. In addition, these cases had a lower return rate from OPM reviewers.", "In September 2016, OPM awarded new indefinite delivery/indefinite quantity contracts for investigation fieldwork services to four companies\u2014 CACI Premier Technology, Inc., KeyPoint Government Solutions, Inc., CSRA LLC, and Securitas Critical Infrastructure Services, Inc. The 2-year base period for these contracts runs to the end of fiscal year 2018, and OPM may exercise three 1-year option periods for each contract, with the first beginning on October 1, 2018."], "subsections": []}]}, {"section_title": "Executive Branch Agencies Have Made Progress Reforming the Security Clearance Process, but Long-Standing Key Initiatives Remain Incomplete", "paragraphs": ["Executive branch agencies have made progress in reforming the personnel security clearance process by, for example, issuing guidance, such as Quality Assessment Standards to guide background investigations, updated strategic documents to sustain the momentum of the reform effort, and adjudicative guidelines to establish single, common adjudicative criteria for security clearances. However, agencies face challenges in implementing certain aspects of the 2012 Federal Investigative Standards, including full implementation of continuous evaluation, and the issuance of a reciprocity policy remains incomplete. In addition, while the executive branch has taken steps toward establishing performance measures for the quality of government-wide personnel security clearance investigations, there is no milestone for their completion."], "subsections": [{"section_title": "The PAC Has Made Progress Reforming the Personnel Security Clearance Process", "paragraphs": ["The PAC has made progress in reforming the personnel security clearance process, as demonstrated through actions taken in response to recommendations and milestones outlined in four key reform effort documents: (1) the February 2014 120-day review; (2) the 2015 90-day review; (3) the Insider Threat and Security Clearance Reform cross- agency priority goal quarterly progress updates; and (4) the PAC\u2019s strategic framework for fiscal years 2017 through 2021. 120-day review. According to PAC documentation, as of August 2017, the PAC had implemented 73 percent of the 120-day review recommendations. For example, in response to a recommendation from the review, ODNI and OPM jointly issued Quality Assessment Standards in January 2015, which establish federal guidelines for assessing the quality of national security and suitability investigations. The establishment of the standards is intended to facilitate the measurement and continued improvement of investigative quality across the executive branch. In response to another related recommendation, ODNI developed the Quality Assessment Reporting Tool (QART), through which agencies will report on the completeness of investigations. According to ODNI officials, the QART was implemented in October 2016, and full implementation is expected by the end of calendar year 2017. 90-day review. By January 2017, the PAC had taken steps to implement all of the actions identified in the January 2016 summary of the 90-day review. Specifically, Executive Order 13741, issued in September 2016, established NBIB, within OPM, to replace FIS as the primary executive branch service provider for background investigations. It also identified DOD as the entity responsible for designing, developing, operating, and securing IT systems that support NBIB\u2019s background investigations. Additionally, the Executive Order elevated the Under Secretary of Defense for Intelligence to a full principal member of the PAC and directed the PAC to review and update governance, authorities, roles, and responsibilities. Subsequently, Executive Order 13764, issued in January 2017, further clarified relevant authorities, roles, and responsibilities, among other things. Further, according to PAC Program Management Office officials, the PAC has taken steps to implement continuous process improvements, such as developing a research and innovation program through which it has undertaken a number of projects aimed at improving the personnel security clearance process. In addition, the PAC established a continuous performance improvement initiative to develop mechanisms to improve the quality and efficiency of the end-to- end security, suitability, and credentialing vetting processes. As of July 2017, the PAC had identified seven categories of performance measures for the end-to-end security, suitability, and credentialing processes\u2014such as timeliness, volume, and cost-efficiency\u2014which it planned to implement in a phased approach.", "Cross-agency priority goal. From the second quarter of fiscal year 2014 through the fourth quarter of fiscal year 2016, the PAC reported quarterly on the status of key initiatives, among other things, as part of the Insider Threat and Security Clearance Reform cross-agency priority goal. For each initiative, the PAC reported the milestone due date, the milestone status\u2014on track, complete, at risk, missed, or not started\u2014and the responsible agencies. As of the PAC\u2019s last publicly reported quarterly update, for the fourth quarter of fiscal year 2016, 8 of 33 initiatives were listed as complete. According to PAC Program Management Office officials, they have continued to track the status of these milestones internally, and almost half of the initiatives\u201416 of 33\u2014were listed as complete as of the third quarter of fiscal year 2017. These initiatives include the establishment of a Federal Background Investigations Liaison Office within NBIB to oversee and resolve issues between federal, state, and local law enforcement entities when collecting criminal history record information for background investigations, and developing plans to implement improved investigator and adjudicator training.", "Strategic framework. The PAC has issued three documents that serve as its updated strategic framework for the next 5 years. In July 2016, it issued its Strategic Intent for Fiscal Years 2017 through 2021, which identifies the overall vision, goals, and 5-year business direction to achieve an entrusted workforce. In October 2016, it issued an updated PAC Enterprise IT Strategy, which provides the technical direction to provide mission-capable and secure security, suitability, and credentialing IT systems. According to PAC Program Management Office officials, the third document\u2014the PAC Strategic Intent and Enterprise IT Strategy Implementation Plan (Implementation Plan)\u2014was distributed to executive branch agencies in February 2017. The Implementation Plan documents the key initiatives, targets, and measures for achieving the strategic vision.", "In March 2009, the Joint Reform Team issued an Enterprise IT Strategy, but the PAC\u2019s own February 2014 120-day review found that this strategy stopped short of actions needed to develop enterprise-wide IT capabilities to modernize, integrate, and automate agency capabilities and retire legacy systems. It further stated that absent a strategy for integrated IT capabilities, agencies created disparate tools designed only to meet their specific requirements and recommended the development and execution of an enterprise reform IT strategy to ensure interoperability and improved sharing of relevant information. We compared the PAC\u2019s 2016 Enterprise IT Strategy against leading practices for comprehensive and effective IT strategies and found that it generally aligns with such practices. For example, it contains results-oriented goals and strategies for agencies to achieve desired results, and describes interdependencies within and across projects.", "In addition to these four key areas, PAC members noted additional progress in reforming the personnel security clearance process. Specifically, ODNI officials highlighted the development of seven Security Executive Agent Directives, five of which have been issued as of August 2017, related to the use of polygraphs and social media in the investigative process, among other things. For example, in December 2016, the Director of National Intelligence issued Security Executive Agent Directive 4, National Security Adjudicative Guidelines. Effective in June 2017, the directive is meant to establish the single, common adjudicative criteria for all covered individuals who require initial or continued eligibility for access to classified information or eligibility to hold a sensitive position. DOD officials stated that having standardized adjudicative criteria such as these guidelines constitutes an important step in helping to ensure reciprocity. Additionally, a senior PAC Program Management Office official noted that the PAC has designated eight executive branch-wide IT shared service capabilities, such as the electronic adjudication of certain background investigations and a new electronic questionnaire for national security positions. According to this official, the latter two shared services are expected to be rolled out in 2017, with the remaining six shared services being rolled out as they become available."], "subsections": []}, {"section_title": "Key Aspects of the 2012 Federal Investigative Standards and the Development of a Reciprocity Policy Remain Incomplete", "paragraphs": ["While the PAC has reformed many parts of the personnel security clearance process, implementing certain key aspects of the 2012 Federal Investigative Standards, including changing the frequency of periodic reinvestigations for certain clearance holders and establishing a continuous evaluation program, remain incomplete. In addition, the issuance of ODNI\u2019s draft reciprocity policy has been delayed. 2012 Federal Investigative Standards. These standards outline criteria for conducting background investigations to determine eligibility for a security clearance and are intended to ensure cost-effective, timely, and efficient protection of national interests and to facilitate reciprocal recognition of the resulting investigations. In April 2015, we reported that executive branch agencies with responsibilities for security clearances and suitability determinations had twice approved updated Federal Investigative Standards to replace the 1997 Standards, but that progress in implementing the updated standards had been limited. Specifically, as part of the reform effort that began after the passage of IRTPA, the Director of National Intelligence and the Acting Director of OPM, in their roles as Security and Suitability Executive Agents, signed new Federal Investigative Standards on December 13, 2008, and stated that the anticipated initial deployment of the standards was to begin in the third quarter of fiscal year 2009. However, the 2008 Federal Investigative Standards were not implemented, according to ODNI officials, because key terms were not clearly defined and required further clarification.", "In December 2012, the Director of National Intelligence and Director of OPM approved updated Federal Investigative Standards. Among other things, the 2012 Federal Investigative Standards identify five investigative tiers. According to OPM Federal Investigations Notice 16-02, tier 3 investigations are required for eligibility for access to secret and confidential information, or for noncritical sensitive positions, or \u201cL\u201d access. OPM Federal Investigations Notice 16-07 indicates that tier 5 investigations are required for eligibility for access to top secret or Sensitive Compartmented Information, or for critical sensitive or special sensitive positions, or \u201cQ\u201d access. The updated standards also changed the frequency of periodic reinvestigations for certain clearance holders. The Federal Investigative Standards milestone for full operating capability is the end of fiscal year 2017. Specific details on this topic were omitted because the information is sensitive. See figure 1 for a timeline of efforts made since 1997 to implement updated Federal Investigative Standards.", "The 2012 standards include continuous evaluation as a new requirement for certain clearance holders. This is a key executive branch initiative to more frequently identify and assess security-relevant information between periodic reinvestigations. Efforts to implement a continuous evaluation program were included in the implementation documents from the prior reform effort following approval of the 2008 Federal Investigative Standards, including an operational milestone for implementing a continuous evaluation program by the fourth quarter of fiscal year 2010. ODNI has adjusted the milestones for implementing the program and issuing a Security Executive Agent Directive for continuous evaluation several times. For example, in April 2015, we reported that ODNI planned to issue a continuous evaluation policy by September 2016 and to implement a continuous evaluation capability for certain clearance holders by December 2016. However, in November 2017 we found that while ODNI has taken an initial step to implement continuous evaluation in a phased approach across the executive branch, it has not yet issued a Security Executive Agent Directive for continuous evaluation or determined when the future phases of implementation will occur. According to ODNI officials, as of August 2017, this directive was undergoing interagency coordination and would be issued upon completion of that process. As of August 2017, continuous evaluation had not yet been fully implemented and ODNI had not set a new milestone for when it would occur. In November 2017, we recommended, among other things, that the Director of National Intelligence issue a continuous evaluation directive and develop an implementation plan. ODNI generally concurred with those recommendations. Figure 2 provides an overview of the adjusted executive branch milestones for issuing a continuous evaluation policy and implementing a continuous evaluation program, including developing a technical capability.", "Reciprocity policy. In 2004, IRTPA required that all security clearance background investigations and determinations completed by an authorized investigative agency or authorized adjudicative agency be accepted by all agencies, subject to certain exceptions. As reported in a cross-agency priority goal quarterly update in fiscal year 2016, the milestone for ODNI to issue and promulgate an updated national security reciprocity policy was September 2016. Security clearance reciprocity is statutorily required by IRTPA, subject to certain exceptions, and it is currently implemented by executive orders and guidance across executive-branch agencies. To consolidate existing reciprocity guidance, ODNI planned to issue a comprehensive, national-level security clearance reciprocity policy intended to resolve challenges associated with consistent, timely reciprocity processing across the executive branch. However, the issuance date has been postponed multiple times\u2014the original milestone was September 2013\u2014and as of July 2017, ODNI had not yet issued a reciprocity policy or identified a new milestone for its issuance. In July 2017, ODNI officials stated that a draft reciprocity policy was pending entry into the formal interagency coordination process and would be issued upon completion of that process. However, ODNI officials were unable to provide an estimated issuance date because, according to the officials, the length of the interagency coordination process can vary. PAC Program Management Office officials noted that issuance delays are due, in part, to the development of related personnel security policies, including continuous evaluation, with which the reciprocity policy must be aligned. Figure 3 shows milestones for the issuance of the reciprocity policy.", "In November 2010, we found that although executive-branch agency officials stated that reciprocity is regularly granted, agencies did not have complete records on the extent to which previously granted security clearance investigations and adjudications are honored government- wide. Further, we found that agencies lacked a standard metric for tracking reciprocity. We recommended that the Deputy Director for Management, OMB, in the capacity as chair of the PAC, develop comprehensive metrics to track when reciprocity is granted and report the findings from the expanded tracking to Congress. OMB concurred with our recommendation. However, in April 2015, we found that executive branch agencies still did not consistently track when reciprocity is or is not granted, nor did they have metrics in place to measure how often reciprocity occurs. ODNI officials stated that they planned to develop them by 2016. Although the Director of National Intelligence had requested Intelligence Community elements take steps to begin capturing reciprocity data in December 2014, such baseline data needed to support measures for reciprocity were not being collected government-wide. We recommended, in 2015, that the Director of National Intelligence require the development of baseline data to support measures for reciprocity.", "These data would help to identify and monitor changes in reciprocity government-wide. ODNI did not state whether it concurred with the recommendation, and as of November 2017, it had not been implemented.", "PAC officials stated that the greatest challenge of the reform effort is the breadth and complexity of the issues it is trying to resolve, noting that the reform effort involves nearly every executive branch agency. In addition, these officials stated that sometimes agencies focus on short-term high- visibility issues instead of longer-term efforts, which are needed for systemic change. ODNI officials also noted the complexities of reforming the personnel security clearance process and working toward a whole-of- government solution. These officials noted that the reform efforts involve coordination among a number of agencies across the executive branch, which is both time and resource intensive. Both PAC Program Management Office and ODNI officials also identified limited agency resources and competing priorities\u2014across executive branch agencies\u2014 as additional challenges.", "The PAC has taken recent steps to help address some of these challenges to continued progress, which could facilitate the completion of the key initiatives discussed above. For example, in its Implementation Plan the PAC has identified approximately 50 initiatives on which it will focus its work over the next 5 fiscal years and has aligned those activities with its four strategic categories of initiatives\u2014trusted workforce, modern vetting, secure and modern mission-capable IT, and continuous performance improvement. However, according to ODNI officials, during their review of a draft of the Implementation Plan, they raised concerns about the number of initiatives and highlighted the need to provide greater prioritization of the initiatives to help better focus efforts. For example, some agencies are assigned as a primary owner of multiple initiatives. Specific details of the number of initiatives to which agencies are assigned were omitted because the information is sensitive.", "PAC Program Management Officials stated that, to alleviate these concerns, they subsequently identified two to four priority initiatives within each of the four categories to help focus agency efforts. These officials further stated that the PAC intends to update and reissue a condensed version of its Implementation Plan annually so that it can make revisions as issues that affect these priorities, such as reduced budgets, occur. These 11 priority initiatives are identified in the PAC\u2019s Implementation Plan which, according to PAC Program Management Office officials, the PAC finalized and circulated to executive branch agencies in February 2017. For example, establishing a continuous evaluation capability and strengthening and aligning guidelines for the reciprocal recognition of existing vetting decisions are listed among the PAC\u2019s priority initiatives. Given the limited agency resources cited by ODNI and PAC Program Management Office officials and other key competing efforts, such as improving investigation timeliness, the PAC\u2019s prioritization of initiatives could help to refocus efforts on the most critical areas of the reform effort, and could provide agencies with a manageable number of initiatives on which to prioritize their efforts."], "subsections": []}, {"section_title": "Executive Branch Has Taken Steps to Establish Government-wide Performance Measures for the Quality of Background Investigations, but It Is Unclear When This Effort Will Be Completed", "paragraphs": ["Our prior work on personnel security clearances has identified concerns about the quality of background investigations and has highlighted the need to build quality throughout the process for almost 20 years. Additionally, we found that executive branch reports on the personnel security clearance process contained limited information on quality in the process. In May 2009, we recommended, among other things, that the Deputy Director for Management of OMB, in the capacity as Chair of the PAC, include in an IRTPA-required report to Congress quality metrics to provide more transparency on personnel security clearances. OMB concurred with that recommendation. However, the 2010 report to Congress did not include quality metrics, and the IRTPA reporting requirement expired in 2011. Appendix III provides an overview of our work in this area and of executive branch efforts to establish government- wide performance measures for the quality of background investigations.", "According to Executive Order 13467, the PAC is to establish annual goals and progress metrics related to security and suitability processes and continuous performance improvement. This focus on performance measures is consistent with our body of work on using results-oriented management tools to help achieve desired program outcomes\u2014derived from our work on how to effectively implement the Government Performance and Results Act (GPRA) and the GPRA Modernization Act of 2010. This body of work provides agencies with a framework for effectively managing program performance to achieve desired outcomes, including establishing performance measures. In addition, Standards for Internal Control in the Federal Government states that management should establish and review performance measures and monitor internal control systems. Further, we found in previous work that interim milestones can be used to show progress toward implementing efforts or to make adjustments when necessary. Developing and using specific milestones and timelines to guide and gauge progress toward achieving an agency\u2019s desired results informs management of the rate of progress toward achieving goals, and whether adjustments need to be made in order to maintain progress within given timeframes.", "As of July 2017, the executive branch had taken two of three steps to establish government-wide measures for the quality of investigations. First, as previously discussed, ODNI and OPM issued Quality Assessment Standards for background investigations in January 2015 to establish standard criteria for agencies to consistently evaluate complete investigations. The standards were developed through an interagency effort chaired by ODNI, OPM, and DOD. These standards define complete investigations as those in which all required components were obtained in full and any known issues\u2014such as criminal activity\u2014were resolved per the standards. DOD officials highlighted issue resolution\u2014 having enough useful information about the circumstances surrounding a given issue to make an adjudicative determination\u2014as a persistent challenge with background investigations for personnel security clearances, and as key to determining investigation quality.", "Second, ODNI developed the QART, through which agencies will be able to report on the completeness of investigations, to include whether adjudicators considered issues identified during an investigation to have been sufficiently resolved. According to ODNI officials, they began to implement the QART in October 2016, and full implementation is expected by the end of calendar year 2017.", "ODNI officials stated that they are collecting sufficient data from the QART in order to develop measures for the quality of investigations. In ODNI\u2019s review of a draft of this report, officials stated that it is premature to set a milestone for completing government-wide performance measures for the quality of investigations and that ODNI will set such a milestone when the QART data have been fully analyzed. Specific details on this topic were omitted because the information is sensitive. Figure 4 provides an overview of the timeline for the executive branch\u2019s three-step process to develop measures for the quality of investigations.", "Although ODNI has developed the QART, and ODNI and OPM have issued the Quality Assessment Standards, there are still challenges to resolve as measures for the quality of investigations are established. For example, DOD officials stated that they do not intend for all of their adjudicators to use the QART, and that they have not developed an interface between their Rapid Assessment of Incomplete Security Evaluations system and the QART. DOD officials also stated that they will continue to use their tool until the QART is automated for use in a new Defense Information System for Security. If DOD investigations\u2014 which represent the majority of the background investigations conducted by NBIB\u2014are not captured by the QART, it is unclear how ODNI will have sufficient data to develop government-wide measures for the quality of investigations. Further, NBIB officials noted that if their largest customer is not utilizing the QART, they are not positioned to receive comprehensive feedback.", "In April 2015 we recommended, among other things, that the Director of National Intelligence, in his capacity as Security Executive Agent, develop, implement, and report to Congress on government-wide, results- oriented performance measures for security clearance background investigation quality. ODNI did not state whether it concurred with that recommendation, and the recommendation has not been implemented. We continue to believe that measures for the quality of background investigations are needed to provide decision-makers, including OMB and Congress, with information on the quality of personnel security clearance background investigations, and to help ensure the quality of investigations. Without establishing a milestone for the completion of government-wide performance measures for the quality of investigations, their completion may be further delayed, and executive branch agencies will not have a schedule against which they can track progress or to which they are accountable."], "subsections": []}, {"section_title": "Agencies Meeting Timeliness Objectives for Initial Clearances Decreased Since Fiscal Year 2012; a Government-wide Approach Has Not Been Developed to Improve Timeliness; and Reporting Has Been Limited The Number of Executive Branch Agencies Meeting Established Timeliness Objectives for Investigations and Adjudications for Initial Secret and Top Secret Clearances Decreased from Fiscal Years 2012 through 2016", "paragraphs": ["Executive branch agencies have experienced challenges in meeting timeliness objectives for investigation and adjudication of initial personnel security clearances, and their reporting on timeliness has been limited. The number of executive branch agencies meeting established timeliness objectives for both initial secret and initial top secret clearances decreased from fiscal year 2012 through fiscal year 2016. While ODNI has taken steps to address timeliness challenges, it has not developed a government-wide approach to help agencies improve the timeliness of initial personnel security clearances. In addition, the executive branch\u2019s reporting on timeliness has been limited, which inhibits both transparency and oversight of the personnel security clearance process.", "Our analysis of timeliness data for specific executive branch agencies showed that the percent of agencies meeting established investigation and adjudication timeliness objectives for initial secret and top secret personnel security clearances decreased from fiscal year 2012 through 2016. Specifically, in fiscal year 2012, 27 percent of the agencies for which we obtained data met investigation and adjudication objectives for at least three of four quarters for initial secret clearances, and 59 percent met those objectives for initial top secret clearances. By fiscal year 2016, that decreased to 2 percent and 10 percent, respectively. IRTPA established an objective for each authorized adjudicative agency to make a determination on at least 90 percent of all applications for a personnel security clearance within an average of 60 days after the date of receipt of the completed application by an authorized investigative agency\u2014not longer than 40 days to complete the investigative phase, and 20 days to complete the adjudicative phase. In assessing timeliness under these objectives, executive branch agencies exclude the slowest 10 percent and report on the average of the remaining 90 percent (referred to as the fastest 90 percent). In 2012, ODNI, in coordination with interagency participation, modified the timeliness goals for certain background investigations and established new timeliness goals.", "As part of the Insider Threat and Security Clearance Reform cross- agency priority goal, from the second quarter of fiscal year 2014 until the fourth quarter of fiscal year 2016, the PAC reported quarterly on the average number of days to initiate, investigate, adjudicate, and complete the end-to-end process for initial secret and initial top secret cases for the executive branch as a whole. It reported this information as compared with the IRTPA-established timeliness objectives for initial secret clearances and ODNI\u2019s revised timeliness objectives for initial top secret clearances. For fiscal year 2016, the PAC reported that the government- wide average for executive branch agencies:", "Did not meet the 40-day investigation objective for the fastest 90 percent of initial secret clearances for any quarter. The averages ranged from 92 days to 135 days.", "Did not meet ODNI\u2019s revised investigation objective for the fastest 90 percent of initial top secret clearances for any quarter. The averages ranged from 168 days to 208 days.", "With regard to the timeliness of investigations, our analysis of timeliness data reported by specific executive branch agencies showed that the percent of agencies that met timeliness objectives decreased from fiscal year 2012 through 2016. Specifically, our analysis showed:", "While 27 percent of the agencies met the 40-day IRTPA-established investigation objective for at least three of four quarters for the fastest 90 percent of initial secret cases in fiscal year 2012, only 2 percent met the objective for at least three of four quarters in fiscal year 2016.", "While 78 percent of the agencies met ODNI\u2019s revised investigation objective for at least three of four quarters for the fastest 90 percent of initial top secret cases in fiscal year 2012, only 12 percent met the objective for at least three of four quarters in fiscal year 2016.", "Across the agencies we reviewed, the average number of days to complete the investigation phase of the fastest 90 percent of initial top secret cases for the fourth quarter of fiscal year 2016 ranged from 26 days to 459 days.", "Furthermore, our analysis showed that, for the executive branch agencies included in our review, the time required to investigate initial personnel security clearances increased from fiscal year 2012 through fiscal year 2016, often exceeding the investigation phase objective established by IRTPA. In addition, we found that both agencies with delegated authority to conduct their own investigations and those that used FIS (now NBIB) as their investigative service provider experienced challenges in meeting established investigation timeliness objectives. However, the only agencies that met investigation timeliness objectives for at least three of four quarters of fiscal year 2016\u2014for the fastest 90 percent of initial secret and initial top secret clearances\u2014have delegated authority to conduct their own investigations.", "The executive branch\u2019s challenges in meeting investigation timeliness objectives for initial personnel security clearances have contributed to a significant backlog of background investigations at the primary entity responsible for background investigations, NBIB. NBIB documentation shows that its backlog of pending investigations increased from about 190,000 in August 2014 to more than 709,000 investigations, as of September 2017. NBIB officials stated that more than 70 percent of the bureau\u2019s pending background investigations had been pending for longer than the established timeliness objectives, as of June 2017. Additional details about NBIB\u2019s investigation backlog and actions the bureau is taking to address it are discussed later in this report.", "With regard to the timeliness of adjudications, our analysis showed:", "While 51 percent of the agencies met the 20-day adjudication objective for at least three of four quarters for the fastest 90 percent of initial secret cases in fiscal year 2012, only 35 percent met the objective for at least three of four quarters in fiscal year 2016.", "While 65 percent of the agencies met the 20-day adjudication objective for at least three of four quarters for the fastest 90 percent of initial top secret cases in fiscal year 2012, only 43 percent met the objective for at least three of four quarters in fiscal year 2016.", "Across the executive branch agencies included in our review, the average number of days to adjudicate the fastest 90 percent of initial top secret cases for the fourth quarter of fiscal year 2016 ranged from 3 days to 175 days.", "Table 1 shows the percent of agencies meeting the investigation and adjudication objectives for the fastest 90 percent of initial secret and initial top secret cases for at least three of four quarters from fiscal years 2012 through 2016.", "In November 2017, we reported that the percent of executive branch agencies meeting established timeliness goals for completing periodic reinvestigations also decreased from fiscal years 2012 through 2016. Appendix IV provides information on executive branch agency periodic reinvestigations from fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "ODNI Has Taken Steps to Address Timeliness Challenges but Has Not Developed a Government- wide Approach to Help Improve Timeliness", "paragraphs": ["ODNI has taken steps to address challenges in meeting established timeliness objectives, such as revising the timeliness objective for top secret investigations in 2012; however, it has not developed a government-wide approach to help agencies improve the timeliness of initial personnel security clearances. ODNI officials stated that several significant events contributed to agency challenges in meeting timeliness objectives over the past 5 fiscal years, including a government shutdown, the 2015 OPM data breach, a loss of OPM contractor support, and OPM\u2019s review of the security of its IT systems, which resulted in the temporary suspension of the web-based platform used to complete and submit background investigation forms. In addition, executive branch agencies noted the increased investigative requirements stemming from the 2012 Federal Investigative Standards as a further challenge to meeting established timeliness objectives in the future.", "Standards for Internal Control in the Federal Government states that management evaluates and, if necessary, revises defined objectives so that they are consistent with requirements and expectations. In addition, the standards state that management should use quality information to achieve the entity\u2019s objectives, including relevant data from internal and external sources.", "As previously discussed, ODNI, in coordination with interagency participation, modified the timeliness goals for certain background investigations and established new timeliness goals. Since then, meeting timeliness objectives has become even more challenging due, for example, to updated investigation standards.", "However, since 2012, ODNI has not revisited the investigation or adjudication timeliness objectives for secret and top secret clearances. Specifically, ODNI has not conducted an evidence-based review, using relevant data, to ensure that these objectives are appropriate, given changes to the investigative requirements and other stated challenges. In addition, while ODNI and interagency partners modified certain timeliness goals in 2012, the number of executive branch agencies able to consistently meet the revised objectives also decreased over the past 5 fiscal years. Without conducting an evidence-based review of the investigation and adjudication timeliness objectives for both secret and top secret clearances to ensure that they are appropriate, agencies may experience further timeliness challenges and delays in determining eligibility.", "According to ODNI officials, they are aware of each agency that does not meet timeliness objectives and, in the capacity as Security Executive Agent, the Director of National Intelligence has taken steps to help these agencies improve their timeliness. Specifically, ODNI officials stated that the Director of National Intelligence issues annual agency performance letters to heads of agencies when security clearance timeliness objectives are not met. In the letters, the Director of National Intelligence requests that the agency submit an action plan, within 60 days of the date of the letter, identifying the factors that prevented the agency from meeting established timeliness objectives and the actions the agency will take to remedy those impediments. Officials stated that since the letter comes directly from the Director, this helps to attract the maximum amount of attention possible.", "In addition to establishing the current timeliness objectives for initial security clearances, IRTPA also established a 5-year timeframe and an interim milestone for the executive branch to implement those objectives. Specifically, the act required the development of a plan to reduce the length of the personnel security clearance process, including the IRTPA- established timeliness objectives described above. The plan was to be developed in consultation with appropriate committees of Congress and each authorized adjudicative agency, and to take effect 5 years after the date of enactment. Beginning no later than 2 years after the enactment of IRTPA and ending on the date the plan took effect, authorized adjudicative agencies were to make a determination on at least 80 percent of all applications within an average of 120 days after receipt by an authorized investigative agency\u2014not longer than 90 days to investigate and 30 days to adjudicate. In November 2005, the executive branch submitted a plan to improve the timeliness of personnel security clearance processes government-wide. The Joint Reform Team submitted its first reform plan to the President on April 30, 2008, which proposed a new process for determining clearance eligibility.", "Standards for Internal Control in the Federal Government establishes that management should define objectives clearly to enable the identification of risks and define risk tolerances. In our prior work on interagency collaboration, we found that overarching plans can help agencies overcome differences in missions, cultures, and ways of doing business, and help agencies better align their activities, processes, and resources to collaborate effectively to accomplish a commonly defined outcome. Additionally, to help sustain and enhance collaboration among federal agencies, we found that agencies that create a means to monitor, evaluate, and report the results of collaborative efforts can better identify areas for improvement. Further, we have found in previous work, including our prior work on personnel security clearances, that interim milestones can be used to show progress toward implementing efforts or to make adjustments when necessary. Developing and using specific milestones to guide and gauge progress toward achieving an agency\u2019s desired results informs management of the rate of progress toward achieving goals, and whether adjustments need to be made in order to maintain progress within given time frames.", "While ODNI requests individual corrective action plans from agencies not meeting security clearance timeliness objectives, the executive branch has not developed a government-wide plan, with goals and interim milestones, to meet established timeliness objectives for initial security clearances that takes into consideration increased investigative requirements and other stated challenges. A coordinated approach, in addition to the ODNI-requested agency-specific plans, could help to improve timeliness, given that: (1) both agencies that use NBIB as their investigative service provider and those that have delegated authority to conduct their own investigations have experienced challenges in meeting established investigation and adjudication timeliness objectives over the past 5 fiscal years; and (2) timeliness challenges include government- wide challenges, such as the increased requirements stemming from the 2012 Federal Investigative Standards and past challenges in relation to OPM contractor support, as discussed above, and not just agency- specific challenges, such as staffing shortfalls. While the individual agency action plans represent a positive step toward helping to improve timeliness, agencies across the executive branch continue to experience timeliness challenges. A government-wide plan would better position ODNI to identify and address any systemic issues. Without a government- wide plan, including goals and interim milestones, for achieving timeliness objectives for initial secret and top secret investigations and adjudications\u2014similar to the plan previously required by IRTPA\u2014there could be continued delays in determining individuals\u2019 eligibility for access to classified information. Ultimately, such delays may leave agencies unable to fill critical positions that require a security clearance."], "subsections": []}, {"section_title": "Current Timeliness Reporting Provides Limited Transparency and Oversight of the Reform Effort", "paragraphs": ["Since 2011, the executive branch\u2019s reporting on the timeliness of personnel security clearances has provided limited transparency and oversight of the overall reform effort. Specifically, IRTPA required the executive branch to submit an annual report, through 2011, to the appropriate congressional committees on the progress made toward meeting the act\u2019s requirements, including timeliness data and a discussion of any impediments to the smooth and timely functioning of its requirements. With respect to timeliness data, the act required that those reports include the periods of time required by the authorized investigative agencies and authorized adjudicative agencies for conducting investigations, adjudicating cases, and granting clearances, from date of submission to ultimate disposition and notification to the subject and the subject\u2019s employer.", "In response to this requirement, the executive branch provided a series of reports from 2006 through 2011 on the timeliness of executive branch agencies\u2019 initial investigations and periodic reinvestigations. For example, ODNI\u2019s IRTPA Title III Annual Report for 2010 specified the average number of days by quarter it took for selected individual agencies to initiate, investigate, adjudicate, and complete the end-to-end process for the fastest 90 percent of security clearances. The report also included average timeliness data for the executive branch as a whole.", "However, since the IRTPA requirement ended in 2011, executive branch reporting has been limited. For example, as previously discussed, the PAC did not begin its quarterly reporting on the timeliness of executive branch agencies\u2019 personnel security clearances until the second quarter of fiscal year 2014 through the Insider Threat and Security Clearance Reform cross-agency priority goal. In addition, while these reports include the timeliness of both initial investigations and periodic reinvestigations, they provide the average timeliness of the executive branch as a whole and not the timeliness of individual executive branch agencies\u2014as was provided under the prior IRTPA reporting\u2014which makes it difficult to identify specific agencies that may be experiencing challenges.", "Additionally, the Intelligence Authorization Act for Fiscal Year 2010 requires the President to submit an annual report on security clearance determinations to Congress. Among other things, the report is to include, for the preceding fiscal year, the number of federal and contractor employees who held a security clearance at each level and the number of employees who were approved for a security clearance at each level, as well as in-depth security clearance determination timeliness information for each element of the intelligence community. However, the annual reports that ODNI provides to the congressional intelligence committees in response to this requirement include only limited data as compared with reports that were completed in response to IRTPA. Specifically, the Intelligence Authorization Act for Fiscal Year 2010 requires information on the total amount of time for the longest and shortest determinations, and the age of pending investigations, not average timeliness. The reports are also limited in that they capture data for only a portion of the intelligence community. Specifically, ODNI\u2019s 2015 Annual Report on Security Clearance Determinations states that the report includes information for 7 of 15 elements of the intelligence community and that the other 8 elements reported that collecting the information would be a manual, resource-intensive process that was not viable due primarily to technology restrictions.", "Standards for Internal Control in the Federal Government states that management should externally communicate the necessary quality information to achieve the entity\u2019s objectives through reporting lines so that external parties can help the entity achieve its objectives and address related risks. In addition, our high-risk criteria for monitoring and demonstrated progress call for agencies to report on program progress and related risks as well as show that issues are being effectively managed.", "However, since the IRTPA annual reporting requirement ended in 2011, the executive branch has provided limited reporting on the timeliness of individual agencies\u2019 initial investigations or periodic reinvestigations for personnel security clearances. In addition, while the PAC had regularly reported publicly on timeliness for the executive branch as a whole on a quarterly basis, it has not provided a public quarterly status update since the fourth quarter of fiscal year 2016. According to performance.gov, the website through which the PAC distributes its quarterly updates, the content\u2014including the PAC\u2019s quarterly updates\u2014is undergoing an overhaul as agencies develop updated goals and objectives for release in February 2018 with the President\u2019s next budget submission to Congress. It is unclear whether the new administration will continue to designate personnel security clearance reform as a cross-agency priority goal. PAC Program Management Office officials stated that they continue to track and report this information internally within the executive branch. These officials stated that they were uncertain as to whether performance.gov would remain a vehicle by which they would report on the status of the reform effort, including executive branch-wide timeliness. However, the officials also stated that it is important for the information to be reported in order to maintain transparency and the momentum of the reform effort.", "Without transparent reporting by the executive branch on investigation and adjudication timeliness for both initial investigations and periodic reinvestigations, Congress will not be able to effectively execute its oversight role and monitor individual executive branch agency progress in meeting timeliness objectives. In addition, the absence of comprehensive reporting on personnel security clearance timeliness limits the ability of congressional decision makers to thoroughly evaluate and precisely identify where and why delays exist within the process, as well as to identify corrections as necessary. In addition, should the PAC\u2019s quarterly progress updates be suspended indefinitely, Congress and the public will have limited transparency into the status of key reform effort initiatives, which may delay the timely identification of problems, and ultimately disrupt the momentum of the reform effort as a whole."], "subsections": []}]}, {"section_title": "NBIB Has Taken Steps to Improve the Background Investigation Process but Faces Operational Challenges in Addressing the Investigation Backlog and Workforce Planning", "paragraphs": ["The transition from FIS to NBIB has involved organizational changes intended to improve the background investigation process, but the bureau faces operational challenges in addressing the investigation backlog and associated workforce planning. NBIB\u2019s organizational changes include the creation of some new departments, and DOD is now responsible for designing, developing, and maintaining a new IT system for the bureau, but must contend with risks posed by vulnerabilities in OPM\u2019s legacy IT systems, which NBIB still utilizes. As NBIB transitions, it has taken steps to improve its oversight of background investigations contracts and measure the completeness of background investigations; however, it faces operational challenges in developing a plan to reduce the size of the investigation backlog to a manageable level and in ensuring that its overall workforce is sized and structured to meet its mission."], "subsections": [{"section_title": "Establishment of NBIB Involved Organizational Changes, the Designation of Oversight Roles, and Transfer of IT Responsibilities to DOD", "paragraphs": ["The transition from FIS to NBIB involved some organizational changes, such as the creation of new departments designed to enhance information sharing and contract oversight, among other things. NBIB also made changes to existing departments, such as enhancing its counterintelligence division to foster greater collaboration with the intelligence community. In addition, NBIB is subject to oversight from multiple entities, such as OPM, ODNI, and the PAC. Further, DOD is now responsible for designing, developing, and maintaining a new IT system for NBIB that can provide increased security. However, vulnerabilities in OPM\u2019s legacy systems pose risks to the security of the new system and could delay its implementation."], "subsections": [{"section_title": "Transition from FIS to NBIB Involved Changes to Organizational Structure", "paragraphs": ["NBIB was established to replace FIS, and the transition has involved changes to the organizational structure. In response to the results of 90- day review that were announced in January 2016, in September 2016, Executive Order 13741 amended Executive Order 13467 to establish the roles and responsibilities of NBIB within OPM and made the Director of NBIB a member of the PAC. According to Executive Order 13467, as amended, NBIB is to serve as the primary executive branch service provider for background investigations for, among other things, eligibility for access to classified information; eligibility to hold a sensitive position; suitability or fitness for government employment; and authorization to be issued a federal credential for logical and physical access to federally controlled facilities or information systems. Among other things, the bureau is to also provide effective, efficient, and secure personnel background investigations for the federal government.", "When announcing the establishment of NBIB, in January 2016, the administration reported the intention to create a dedicated transition team headquartered in Washington, D.C., to develop and implement a transition plan to: (1) stand up the bureau; (2) ensure that the transition timeline fully aligns with business needs; (3) transition the management of FIS IT systems to DOD; (4) migrate the existing mission, functions, personnel, and support structure of FIS to NBIB; and (5) provide continuity of service to customer agencies during the transition. According to its charter, the transition team was composed of current OPM employees, and federal employees detailed or assigned to OPM or DOD from other executive branch agencies and departments. NBIB officials noted that employees from across the executive branch with relevant experience and qualifications were recruited to ensure that stakeholder agencies\u2019 equities were represented, and that the transition team leader was recruited from outside of OPM and reported directly to the OPM Director throughout the transition process.", "OPM reported that NBIB became operational on October 1, 2016, but that the complete transition will take some time. For example, the transition plan specifies activities throughout fiscal year 2017 and into fiscal year 2018 to implement the transition from FIS to NBIB. NBIB officials said they expect that the bureau will have migrated to the new organizational structure substantially by mid-2018. The transition also involved some organizational changes intended to streamline certain business processes or more effectively manage background investigations as the organization has continued to evolve. NBIB officials stated that the transition team established the organizational structure by assessing essential FIS functions in coordination with key community stakeholders\u2014including new and external customers\u2014through the PAC as well as FIS personnel. The officials said that the transition team then linked similar functions and interdependencies to establish each of the offices. Additionally, NBIB officials stated that the 2015 90-day review helped to determine the organizational structure because it identified a need for a business process reengineering analysis.", "Through its establishment, NBIB absorbed FIS and assumed its mission. NBIB\u2019s organizational structure has several changes from the structure of FIS, to include the establishment of the following four new departments: 1. Federal Investigative Records Enterprise. The functions of this department include a new law enforcement and records outreach group to improve outreach and more effectively collect information with state and local law enforcement offices. 2. Policy, Strategy and Business Transformation. The functions of this department include expanding existing performance reporting to incorporate metrics regarding effectiveness; and researching and identifying systemic issues in workload, processes, and products to determine where process improvement could be achieved. 3. Contracting and Business Solutions. The functions of this department include enhancing and consolidating administration of NBIB contracts to provide consistent oversight. 4. Information Technology Management Office. The functions of this department include supporting the delivery and enhancement of quality IT systems to NBIB in a timely and effective manner, gathering and communicating needs and requirements for new applications, and coordinating implementation of changes to current systems.", "In addition to the creation of these new departments, NBIB also made changes to several other departments from FIS. For example, according to NBIB documents, the Field Operations department added a \u201cField Contracts\u201d division that is designed to oversee and monitor the contractor workforce performing background investigations, to ensure quality and timely products. This department also enhanced its counterintelligence division to focus on counterintelligence and insider threat support and to foster greater collaboration with the intelligence community. Further, NBIB created a new financial office to oversee budgeting, pricing and funding models, financial reporting, data accuracy, and internal controls monitoring. Moreover, NBIB created a new Integrity Assurance, Compliance, and Inspection division by merging the FIS Integrity Assurance and Inspection divisions to streamline similar functions and improve processes and efficiencies.", "Executive Order 13741 provided some guidelines governing the structure and location of NBIB. Specifically, it required that NBIB be headquartered in or near Washington, D.C., and that NBIB have dedicated resources, including but not limited to a senior privacy official. NBIB\u2019s headquarters is located in Washington, D.C., but according to NBIB officials, as of July 2017, only 48\u2014including both occupied and vacant positions\u2014of NBIB\u2019s 3,260 positions, or about 1.5 percent, were located in Washington, D.C. In addition, although the position of the senior privacy official has been established in the NBIB organization chart, according to NBIB officials, this position had not been filled as of July 2017. NBIB officials explained that they work closely with OPM\u2019s senior privacy officer, and so they decided to prioritize filling other leadership positions within NBIB."], "subsections": []}, {"section_title": "NBIB Subject to Oversight from OPM, ODNI, and the PAC", "paragraphs": ["NBIB is subject to oversight from multiple entities, such as OPM, ODNI, and the PAC. Executive Order 13741 provided that the bureau would be established within OPM. NBIB officials stated that the bureau is part of OPM and is governed in a manner consistent with its other operational components. They also said that although the structure of NBIB is different from that of FIS, its general relationship with OPM and its leadership reporting chain are similar. Specifically, comparing the organizational charts of FIS and NBIB, FIS was led by an Associate Director who reported to the Director of OPM, while NBIB is led by a Director who reports to the Director of OPM.", "According to NBIB, the OPM Director has delegated certain authorities to NBIB; additionally, the OPM Senior Procurement Executive delegated to NBIB certain administrative and acquisition authorities. NBIB officials said that this makes its structure more flexible. NBIB officials said that where support is provided from other OPM offices\u2014such as communications, legislative affairs, legal, procurement, security, facilities, and the office of the Chief Information Officer\u2014there is continual dialogue between that office\u2019s leadership and the staff directly supporting the bureau. The officials also noted a variety of regular meetings, such as a weekly meeting between the Acting Director of OPM and the NBIB Director and Chief of Staff, attendance at daily OPM senior staff meetings, and briefings every other month with the OPM Inspector General, among others.", "In addition, as previously discussed, as the Security Executive Agent, the Director of National Intelligence is responsible for various matters related to security clearance investigation oversight, programs, policies, and processes. Executive Order 13467, as amended by Executive Orders 13741 and 13764, provides that NBIB, through the Director of OPM, is subject to the oversight of the Security Executive Agent with respect to the conduct of investigations for eligibility for access to classified information or to hold a sensitive position. Similarly, Executive Order 13467, as amended, provides that NBIB is responsible for conducting background investigations in accordance with policies, procedures, standards, and requirements established by the Security Executive Agent and Suitability Executive Agent. In February 2017, the Acting Director of OPM testified that the bureau has been working closely with ODNI to identify policy and process changes to address the investigation backlog. NBIB officials stated that the bureau and ODNI are active partners, and that the bureau participates in many of ODNI\u2019s working groups in the development of policies or processes related to personnel security clearances. In addition, the officials said that the bureau reports timeliness, quality, and performance metrics to ODNI on no less than a quarterly basis, and that its personnel collaborate with ODNI on reviews of processes, such as those related to social media, continuous evaluation, insider threat, and counterintelligence. ODNI officials told us that in its oversight role of NBIB, ODNI collects quarterly timeliness data and requests that agencies using NBIB as their investigative service provider enter the investigations into the QART to assess the quality of the investigations.", "Further, Executive Order 13467, as amended by Executive Order 13741, describes an oversight relationship between the PAC and NBIB. It requires the PAC to hold NBIB accountable for the fulfillment of the bureau\u2019s responsibilities set out in the Executive Order. It further provides that NBIB is to provide the PAC with information, to the extent permitted by law, on matters of performance, timeliness, capacity, IT modernization, continuous performance improvement, and other relevant aspects of NBIB operations. PAC Program Management Office officials told us that they worked with NBIB during the transition from FIS and answered a lot of questions, and have helped to fill in staffing and organization holes that were identified by the transition team."], "subsections": []}, {"section_title": "DOD Is Building and Managing a New Security Clearance IT System for NBIB, but Security Concerns May Delay Planned Milestones for the New System", "paragraphs": ["Executive Order 13467, as amended, assigns the Secretary of Defense the role of developing and securely operating IT systems that support all background investigation processes conducted by NBIB. According to officials from the Office of the DOD Chief Information Officer (CIO), NBIS will be built to NBIB specifications, and OPM will remain the owner of the data and processes. In testimony before the House Oversight and Government Reform Committee in February 2017, the DOD CIO estimated that NBIS would have several \u201cprototype\u201d capabilities by the end of fiscal year 2017, and an initial capability covering the full investigative process sometime in the fourth quarter of 2018. According to DOD officials, full capability for NBIS is scheduled for some time in 2019. However, a NBIB official noted the existence of challenges regarding the IT infrastructure and stated that it is more realistic for NBIS to be fully operational in 2020.", "According to DOD CIO officials, unexpected complications have arisen since beginning development of NBIS. Specifically, these officials stated that they have discovered that NBIS may require many more inter- connections to OPM legacy systems than originally planned. According to these officials, NBIB will continue to rely on OPM legacy systems for investigations of any complexity until NBIS becomes fully operational.", "Further, according to DOD CIO officials, when the executive branch begins to use NBIS, complex background investigations would begin in NBIS\u2019s electronic application, but would then need to pass through or draw data from multiple OPM legacy systems before returning to NBIS for adjudication. According to DOD CIO officials, since OPM has 43 back- office functions fed by various systems that are often inter-related, a simple one-to-one system swap of NBIS for an OPM legacy system is not feasible. DOD CIO officials stated that the project management team building NBIS is currently working to fully understand how OPM\u2019s various back-office functions are tied together, and also evaluating the cyber- security risks inherent in connecting to OPM\u2019s legacy systems. DOD CIO officials explained that this connection, as well as logistical challenges associated with data migration from the legacy systems to NBIS, raises concerns about risks to NBIS. Until these risks are properly evaluated, any connection to the legacy systems could present vulnerabilities, according to DOD CIO officials. OPM officials disagreed, stating that OPM and DOD already have IT connection points with the OPM legacy systems, and that the security of OPM\u2019s systems and data continues to be an OPM priority.", "Securing the legacy systems will be a joint effort by DOD and OPM, according to an October 2016 Memorandum of Agreement between the two agencies regarding the roles, responsibilities, and expectations of each party throughout the entire lifecycle of OPM\u2019s use of DOD\u2019s IT systems in support of the background investigation process. Under the agreement, OPM will retain ownership and responsibility for the operation and performance of all system authorization activities for OPM legacy systems throughout their lifecycle. The agreement provides that OPM will maintain security documentation and information and interconnection exchange agreements, own control selection and security role assignment processes, and perform risk executive functions. The memorandum further states that the security of the legacy OPM IT environment will be a joint effort between OPM and DOD, with DOD assisting in a comprehensive security assessment of all OPM legacy IT systems and related infrastructure on a reimbursable basis. According to DOD CIO and NBIB officials, there is close coordination on a technical level between the two agencies on securing the OPM legacy systems used by NBIB. The officials said that weekly coordination meetings are held between the two agencies, and that DOD has embedded staff at OPM who are under the direct supervision of the OPM CIO.", "Both GAO and the OPM Inspector General have raised concerns on multiple occasions about various aspects of IT security at OPM, including OPM legacy systems used by NBIB. For example, in August 2017, we reported on OPM\u2019s progress in implementing 19 recommendations made by the United States Computer Emergency Readiness Team to bolster its information security practices and controls in the wake of the 2015 breaches. We found that, as of May 2017, OPM had fully implemented 11 of the recommendations. For the remaining 8 recommendations, actions for 4 were still in progress, and for the other 4, OPM indicated it had completed actions to address them, but we noted further improvements were needed.", "We further reported that since the 2015 data breaches, which included a compromise of OPM\u2019s systems and files related to background investigations for 21.5 million individuals, OPM has made progress in improving its security to prevent, mitigate, and respond to data breaches involving sensitive personal records and background investigations information. However, we also found that OPM did not effectively monitor actions taken to remediate identified weaknesses. OMB requires agencies to create a Plan of Action and Milestones to track efforts to remediate identified weaknesses, such as those leading to the 19 recommendations made by the United States Computer Emergency Readiness Team. In addition, OPM\u2019s policy requires that scheduled completion dates be included in the plan. The policy also requires a system\u2019s Information System Security Officer to develop a weakness closure package containing evidence of how an open Plan of Action and Milestones has been remediated before the issue, or recommendation in this case, can be closed. Although OPM has a Plan of Action and Milestones to address the 19 recommendations, we found that it had not validated actions taken in a timely manner or updated completion dates in the plan. Because the United States Computer Emergency Readiness Team recommendations are intended to improve the agency\u2019s security posture, we recommended that more timely validation of the effectiveness of the actions taken is warranted. Until closure packages are created and the evidence of such actions is validated, OPM has limited assurance that the actions taken have effectively mitigated vulnerabilities that can expose its systems to cybersecurity incidents.", "Additionally, in May 2016 we reported on the implementation of OPM\u2019s information security program and the security of selected high-impact systems. We found that OPM, one of four agencies reviewed, had implemented numerous controls to protect selected systems, but that access controls had not always been implemented effectively. We reported that weaknesses also existed in patching known software vulnerabilities and planning for contingencies, and that an underlying reason for these weaknesses was that OPM had not fully implemented key elements of its information security program. We recommended that OPM fully implement key elements of its program, including addressing shortcomings related to its security plans, training, and system testing. According to OPM officials, the agency is taking actions to address these recommendations. In August 2016, we issued a restricted version of our May 2016 report that identified vulnerabilities specific to each of the two systems we reviewed and made recommendations to resolve access control weaknesses in those systems. In December 2016, OPM indicated its concurrence with the recommendations and provided timeframes for implementing them. OPM officials expressed concern that the information from our 2016 reports was now dated, stating that it no longer reflects the current security posture at OPM, and said that they had taken actions to address these recommendations. However, all of the recommendations directed to OPM from the two reports remained open as of November 2017. We had not received any documentation regarding these actions as of November 2017 and thus could not validate the extent that any of these recommendations have been addressed.", "OPM\u2019s Office of the Inspector General has also raised related concerns, most recently in its October 2017 report on OPM\u2019s security program and practices. Overall, the OPM Inspector General found that OPM\u2019s cybersecurity maturity level was measured at a level 2, \u201cDefined\u201d, meaning that its policies, procedures and strategy were formalized and documented but were not consistently implemented. According to the report, OPM has made improvements in its security assessment and authorization program, and its previous material weakness related to authorizations is now considered a significant deficiency for fiscal year 2017. The report noted that there are still widespread issues related to system authorizations, primarily related to documentation inconsistencies and incomplete or inadequate testing of the systems\u2019 security controls. In addition, the report identified a significant deficiency in OPM\u2019s information security management structure, and found that OPM was not making substantial progress in implementing prior Inspector General recommendations. The report noted that OPM had only closed 34 percent of its findings issued in the past 2 years.", "In addition to these IT security concerns, funding uncertainties have also complicated the development of NBIS. The President\u2019s fiscal year 2017 budget included $95 million for the development of the system; however, according to DOD CIO officials, of the $95 million that was appropriated, DOD had provided only $31 million for NBIS as of June 2017. According to DOD CIO officials, the fiscal year 2017 continuing resolution had complicated decisions about the funding and disbursement schedule with consequences for planning and the apportioning of resources. A draft funding profile covering fiscal years 2017-2023 estimates funding needs of $175.7 million for research, development, test and evaluation, and $709.4 million for operation and maintenance, over this 7-year period, for a total of $885.2 million."], "subsections": []}]}, {"section_title": "NBIB Has Taken Steps to Improve Operations but Faces Workforce Challenges", "paragraphs": ["As NBIB transitions, it has taken steps to improve its operations but continues to face workforce challenges that may hinder its ability to address the backlog of investigation cases and strengthen the background investigation process. The bureau has taken positive steps to improve its oversight of background investigation contracts, including changing contract oversight processes and measuring the completeness of background investigations. However, it faces operational challenges in developing a plan to reduce the size of the investigation backlog and in ensuring that its overall workforce is sized and structured to address it."], "subsections": [{"section_title": "OPM Has Taken Steps to Improve Oversight of Background Investigation Contracts", "paragraphs": ["Contractors are responsible for about 60 percent of NBIB\u2019s background investigation fieldwork, according to NBIB officials. Since 2014, OPM has taken steps to improve its oversight of contracts. NBIB officials stated that changes were made in response to OPM Inspector General recommendations, and that some others were made in response to lessons learned after issues that led to the loss of OPM\u2019s largest fieldwork contractor in 2014. These changes included (1) having federal employees review all background investigation reports, (2) increasing the number of individuals responsible for monitoring contractors\u2019 compliance with contractually established requirements, and (3) establishing a contracting activity within NBIB.", "Since February 2014, federal employees have reviewed 100 percent of background investigation reports produced by contractors. In contrast, prior to February 2014, federal employees at FIS or a support contractor would review a subset of all of the investigations before releasing them to the respective customer agencies for adjudication. As currently structured, NBIB officials stated that there are now about 350 federal employees within NBIB\u2019s Quality Oversight department who conduct these reviews for both contractor- and federal investigator-conducted cases to determine whether an investigation meets investigative standards for completeness before being released to the customer agency for adjudication.", "Using an internal database, OPM reviewers identify what, if any, elements of the investigative reports are incomplete and do not meet standards, and they return cases to the investigators for rework as necessary. When OPM reviewers determine that a case meets investigative standards, they close the case and submit it to an adjudicator. Contractors are evaluated for quality performance based on the number of times a case is returned by OPM reviewers for rework as a percentage of the total number of cases completed. According to NBIB data from its internal quality database, the percentage of cases conducted by contractors requiring rework decreased between the last quarters of fiscal years 2014 and 2016 from about 6 percent to 3.2 percent.", "According to NBIB officials, in 2014, OPM established an independent inspections branch to help the agency\u2019s contracting officer\u2019s representatives (CORs) oversee the background investigation fieldwork contracts. CORs, who are designated in writing by contracting officers, assist in the technical monitoring or administration of a contract. Under NBIB\u2019s current background investigation fieldwork contracts, the COR provides technical direction and control during contractor performance, monitors contract progress, and determines for payment approval purposes whether performance is acceptable with respect to content, quality of services and materials, cost, and timeliness. NBIB officials stated that prior to the establishment of the inspections branch, the CORs were responsible for monitoring all aspects of contract compliance as well as a range of administrative duties, such as tracking performance data, IT support, and billing. Under the current NBIB structure, 16 inspectors in the Integrity Assurance, Compliance and Inspections division focus on contract oversight, according to NBIB officials. In addition to the inspectors, the officials said that there are 17 CORs\u2014one in the Integrity Assurance, Compliance and Inspections division and 16 in the Field Operations department.", "Additionally, according to NBIB officials, FIS, NBIB\u2019s predecessor, did not have its own contracting division, and instead relied on OPM\u2019s centralized Office of Procurement Operations for contracting support. NBIB\u2019s new organizational structure includes a Contracting and Business Solutions department. According to NBIB officials, they filled the new Head of Contracting Activity position in January 2017. NBIB officials stated that OPM established this new position and department in an effort to strengthen the bureau\u2019s contracting function by creating dedicated positions more narrowly focused on overseeing the contracting function for background investigations and support services."], "subsections": []}, {"section_title": "NBIB Has Taken Steps to Measure Completeness of Background Investigations", "paragraphs": ["NBIB has developed quality assurance processes and tools to measure the completeness of its investigations. Specifically, NBIB has developed an internal quality database through which federal case reviewers can determine the completeness of investigations, in accordance with investigative standards, that are being produced by both its federal and contract investigators, and can rate cases as either \u201cmeets standards\u201d or \u201cbelow standards.\u201d Cases that are marked as \u201cbelow standards\u201d are returned to the contractor for rework prior to being finalized and sent to the customer for adjudication. NBIB then monitors, through its Key Performance Indicators, the percentage of investigations that are returned by customer agencies and that NBIB agrees require additional work. Our prior work found that relying on agencies to provide information on investigation quality, by itself, may not provide an accurate reflection of the quality of background investigations. We have reported in the past that officials from several agencies have stated that to avoid further costs or delays, agencies often choose to perform additional steps internally to obtain missing information, clarify or explain issues identified in investigative reports, or gather evidence for issue resolution or mitigation. As recently as July 2017, DOD officials stated that issue resolution was still a concern for them. However, NBIB officials stated that they conduct background investigations in accordance with the Federal Investigative Standards, and that while adjudicators may want more or different details, these are considered outside the scope of background investigations, but can be provided on a case-by-case basis."], "subsections": []}, {"section_title": "NBIB Leadership Has Not Developed a Plan to Reduce the Investigation Backlog", "paragraphs": ["NBIB leadership has not developed a plan to reduce the size of the investigation backlog to a manageable level. NBIB\u2019s Key Performance Indicators report states that a \u201chealthy\u201d inventory of work, representing approximately 6 weeks of work and allowing NBIB to meet timeliness objectives, is around 180,000 pending investigations. According to NBIB, the backlog of pending investigations increased from about 190,000 in August 2014, before OPM decided not to exercise subsequent option periods for its largest investigative fieldwork contract at the time, to more than 709,000 investigations as of September 2017, as shown in figure 5. NBIB estimated the backlog grew at an average rate of about 3,600 investigations each week from October 2016 through July 2017.", "As we reported when placing DOD\u2019s personnel security clearance program on the high-risk list, problems related to backlogs and the resulting delays in determining clearance eligibility and issuing initial clearances can result in millions of dollars of additional costs to the federal government, longer periods of time needed to complete national security-related contracts, lost opportunity costs if prospective employees decide to work elsewhere rather than wait to get a clearance, and diminishing quality of the work because industrial contractors may be performing government contracts with personnel who have the necessary security clearances but are not the most experienced and best-qualified personnel for the positions involved. Delays in renewing previously- issued clearances can lead to heightened risk of national security breaches because the longer individuals hold a clearance, the more likely they are to be working with critical information and systems.", "As the backlog has grown, NBIB has taken steps to increase its capacity to conduct background investigations by increasing its own investigator staff as well as awarding new contracts, effective in December 2016, to four contractors for investigation fieldwork services. NBIB officials said that NBIB has a goal to increase its total number of investigators\u2014federal employees and contractors\u2014to about 7,200 by the end of fiscal year 2017. Specifically, to help address the backlog, NBIB officials reported that NBIB increased its authorized federal investigator workforce by adding 400 federal investigator positions in fiscal year 2016 and 200 positions in fiscal year 2017\u2014an increase from 1,375 to 1,975 authorized positions. As of July 2017, NBIB had filled 1,620 of the 1,975 positions, and 1,513 of its federal investigators were fully trained. NBIB officials explained that they do not plan to increase the federal investigator capacity beyond the currently approved 1,975 because they do not have the ability to absorb more staff. According to the officials, new investigators must be trained by experienced investigators which reduces the amount of time the experienced investigators have to conduct investigative work. When estimating federal investigator capacity, NBIB assumes it will have 277 full-time equivalent vacancies at any given time due to high attrition rates. Further, NBIB officials could not project the federal investigator workforce past April 2018 due to high attrition rates.", "Given challenges with increasing its federal investigative staff, NBIB continues to rely on contractors to conduct the majority of investigations. NBIB officials noted that contractors perform about 60 percent of NBIB\u2019s total investigative cases. OPM awarded four new investigative fieldwork services contracts that became effective in December 2016\u2014two to incumbent contractors and two to new vendors. In July 2017, OPM officials told us that the contractor and federal staff capacity they currently possess enables them to complete a sufficient number of investigations to prevent the number of pending investigations from increasing further. However, they acknowledged that the four contracts and federal investigator staff do not currently provide OPM enough capacity to reduce the pending number of investigations to the \u201chealthy\u201d inventory level of 180,000 cases.", "NBIB officials have conducted analyses to determine how changes in the total number of investigators could affect the backlog over time, accounting for current and projected investigator capacity, prior time studies, historical data, geographic location, and other factors. Specifically, NBIB officials assessed four scenarios, from the status quo\u2014 assuming no additional contractor or federal investigator hires\u2014to an aggressive contractor staffing plan beyond January 2018, but in July 2017 they determined that the aggressive plan was not feasible. The two scenarios that NBIB identified as most feasible would not result in a \u201chealthy\u201d inventory level until fiscal year 2022 at the earliest. For example, under one scenario, each contractor would increase investigator capacity under current staffing projections through early 2018. Assuming that the contractors adhere to these projections, NBIB would have the capacity to address incoming cases and begin to reduce the backlog, but the backlog would not reach a \u201chealthy\u201d inventory level until sometime after fiscal year 2022. However, NBIB leadership has not determined whether the costs and benefits of any one scenario are preferable to the costs and benefits of the others.", "Standards for Internal Control in the Federal Government establishes that management should clearly define objectives to enable the identification of risks and define risk tolerances. In addition, our high-risk criteria for capacity call for agencies to ensure they have the capacity, in terms of people and resources, to address and resolve risks. We have also found in previous work that milestones can be used to show progress toward implementing efforts, or to make adjustments when necessary. Developing and using specific milestones to guide and gauge progress toward achieving an agency\u2019s desired results informs management of the rate of progress toward achieving goals or whether adjustments need to be made in order to maintain progress within given timeframes. However, NBIB leadership has not established goals or milestones for reducing the size of the investigation backlog, or goals for increasing total investigator capacity\u2014for both federal employees and contractor personnel. As a result, the value of NBIB\u2019s backlog analysis is limited, because it is not part of a broader plan to address the backlog and achieve timeliness objectives. Further, the extent to which NBIB should adjust its investigator capacity in the future remains unclear, as the currently projected capacity levels are not tied to any established goals or milestones to address the backlog or achieve the timeliness objectives.", "In addition to increasing investigative capacity, NBIB personnel are attempting to decrease the backlog by making the background investigation process more effective and efficient. To do so, NBIB conducted a business process reengineering effort that was intended to identify challenges in the process and their root causes. This effort identified 57 challenges, which were divided into five main categories that affected multiple phases of the background investigation process. NBIB then developed five portfolios, with 21 initiatives, to address the identified challenges. For example, one of the categories of challenges was poor data quality at the start of the investigation, which was described as related to issues such as no auto-validation of information, no pre- population of forms, and variable quality of submissions. NBIB developed four initiatives related to automation and digitization to improve the quality of this information. NBIB officials said that this business process reengineering effort is working to reduce the investigative level of effort across the community. Specifically, NBIB officials cited efforts that have been implemented to reduce the number of personnel hours necessary to complete an investigation, such as centralizing interviews and using video-teleconferencing for overseas investigations (to decrease travel time), automated record checks, and focused writing (to make reports more succinct and less time-consuming to prepare). However, NBIB has not identified how the implementation of the business process reengineering effort will affect the backlog or the need for additional investigators in the future.", "Without a plan, including goals and milestones, for reducing the backlog, which includes a determination of the effect of the business process reengineering efforts on the backlog, NBIB will lack the information and a course of action needed to effectively manage the inventory of pending investigations it conducts on behalf of other executive branch agencies. Further, without establishing goals for increasing total investigator capacity\u2014for both federal employees and contractor personnel\u2014in accordance with the plan for reducing the backlog, NBIB may not be positioned to achieve the goals and milestones outlined in that plan. Ultimately, if NBIB is unable to reduce the backlog, executive branch agencies will continue to lack the cleared personnel needed to help execute their respective missions, which could decrease the agencies\u2019 overall effectiveness and efficiency, and pose risks to national security."], "subsections": []}, {"section_title": "NBIB Has Identified Some Workforce Needs but Does Not Have a Strategic Workforce Plan", "paragraphs": ["Our review of NBIB planning and workforce documents indicates that it has taken workforce planning steps. For example, the bureau developed a transition plan to help guide the transition from FIS to NBIB. This plan includes a request for a personnel study for its new Contracting and Business Solutions department to determine any needs or realignment of resources, skills, or qualification gaps; however, the transition plan does not mention a personnel study to address the needs of any other departments within NBIB. NBIB officials stated that the bureau conducted this study in early fiscal year 2017, and those results are being used to build the Contracting and Business Solutions department. NBIB officials said that NBIB plans to conduct a personnel study for its other departments once there is greater clarity and direction regarding the conduct of background investigations as a result of the plan developed by DOD to conduct its own investigations and any subsequent direction from Congress and the Administration. The officials stated that the personnel study was needed for the contracting department because this work had not been done in NBIB before and so they needed to establish a baseline for staffing it.", "As previously discussed, section 951 of the National Defense Authorization Act for Fiscal Year 2017 required, among other things, the Secretary of Defense to develop an implementation plan for the Defense Security Service to conduct background investigations for certain DOD personnel\u2014presently conducted by OPM\u2014after October 1, 2017. Additionally, in November 2017, as this report was in its final stages, Congress passed a bill for the National Defense Authorization Act for Fiscal Year 2018, which includes a provision that, among other things, would authorize DOD to conduct its own background investigations. It would also require DOD to begin carrying out the implementation plan developed in response to section 951 by October 1, 2020. The legislation would further require the Secretary of Defense, in consultation with the Director of OPM, to provide for a phased transition of the conduct of investigations from NBIB to the Defense Security Service. Moreover, this legislation would require the Secretary of Defense to conduct a comprehensive assessment of workforce requirements for both DOD and NBIB as part of planning for the transfer of certain functions from OPM to DOD.", "In addition, the NBIB transition team developed a talent acquisition strategy for the establishment of the bureau; however, this strategy was focused solely on filling nine key leadership positions (according to NBIB officials, four positions are senior executive service positions, and five are general schedule grade 14 and 15 positions). As of July 2017, NBIB officials said that six of these positions had been filled, and that another position was in the process of being staffed. The only mention of other positions in this strategy was a statement that once these key leadership positions have been filled, executives should build their respective departments consistent with mission needs and aligned with the NBIB strategic plan, and that NBIB use current FIS leadership for field operations, engagements and customer service, and integrity assurance. According to NBIB officials, NBIB has 3,260 positions authorized by OPM but had 495 vacancies as of July 1, 2017\u2014approximately a 15 percent vacancy rate. NBIB officials said that most positions were not affected by the recent executive-branch hiring freeze, including investigators and investigative assistants, because they qualified for national security waivers; however, some positions, such as administrative support, were not covered by the waivers.", "The greatest total number of vacancies within NBIB is in its field operations department, which as of July 2017 had almost 400 vacancies, or a vacancy rate of about 17 percent. The Field Operations department provides contractor oversight, including program and project managers for fieldwork and CORs; it also includes federal investigator staff. NBIB officials stated that their greatest challenge in filling vacancies has been with their investigative workforce, and that as they fill their investigator positions, they will be able to better perform their mission of delivering completed background investigations in a timely manner due to having greater capacity. NBIB officials told us that they plan to hire another 200 federal investigators in fiscal year 2017 to help address the backlog of investigations; however, hiring 200 new federal investigator positions was not listed as a step on the transition plan for the Field Operations department, and these new investigator positions also are not included in the planned new hires listing of personnel hiring priorities. NBIB officials said that these new investigator positions were not included in the transition plan because the decision to hire for these positions had already been made and the hiring was being executed when the transition plan was developed.", "Furthermore, NBIB has developed detailed plans to hire new personnel. NBIB\u2019s listing of personnel hiring priorities showed that NBIB initially planned to hire 155 new personnel. NBIB officials explained that in developing this initial hiring plan, organizational leaders assessed OPM legacy resources that would align with NBIB\u2019s mission, roles and responsibilities, and identified gaps. These officials stated that at a leadership offsite held in December 2016, small groups identified existing and notional resources, prioritized resource gaps for identified programs, and briefed out their assessment of priorities. These officials said that the offsite participants then selected the top priorities for fiscal years 2017 and 2018, and that NBIB leadership subsequently developed individualized proposals outlining revisions and changes to personnel requirements and organization of each of the program areas. NBIB officials said that they subsequently refined these plans and reduced the number of planned new hires. The officials stated that in 2017, NBIB established a transitional hiring committee to further prioritize and select the final NBIB personnel structure, and that through a series of meetings in March, May, and June 2017, they refined their plans to reduce the number of planned new positions. As of July 2017, they said that NBIB planned to create and fill 49 new positions. According to NBIB officials, 13 of the new positions would involve an increase to the budget. Of those 49 new positions, they said that 21 had been filled as of July 2017.", "In addition, NBIB uses contractor support to fill some positions in its Field Operations, Federal Investigative Records Enterprise, and customer service departments, but NBIB officials did not provide documentation explaining the determinations for which tasks should be performed by contractors versus federal employees. NBIB officials stated that they followed a deliberative process requiring a thoughtful assessment of the personnel resource skills and competencies required to address the new NBIB objectives, but they could not provide any supporting documentation to that effect.", "A key principle of strategic workforce planning is determining the critical skills and competencies needed to achieve current and future programmatic results, such as identifying how the agency will obtain the workforce skills and competencies that are critical to achieving its strategic goals. In addition, OPM\u2019s workforce planning best practices include forecasting the optimal headcount and competencies needed to meet the needs of the organization in the future, and a gap analysis to identify headcount surpluses and deficiencies for current and future demand levels. Further, OMB policy requires agencies to take actions to ensure they have sufficient internal capability to maintain control over functions that are core to the agency\u2019s mission and operations.", "However, NBIB officials were unable to provide us with documentation that identified any of the gaps or explained the rationale for its determinations about the specific number and positions of additional staff needed. The documents they did provide appeared to be summaries of the revisions and changes decided upon, and included detailed information about the identified staffing requirements, such as information about the number of positions, position titles and types, grade levels, and hiring priority. While this information reflects detailed planning and thought, it does not illuminate whether the quantities and types of positions identified are the appropriate positions with the right critical skills and competencies needed to address any gaps in the bureau\u2019s workforce. NBIB officials said that the hiring plans were originally determined at the leadership offsite, where the rationale for the specific number and positions of additional staff was discussed orally, and then further refined at a series of meetings beginning in March 2017. The officials told us that extensive review went into determining the rationale for the requests for new staff, and that these requests were the subject of robust and sometimes contentious debate, after which the requests were voted on by senior leadership.", "Although NBIB has taken some steps to develop and implement certain strategic workforce planning elements, it has not created a comprehensive, formal workforce plan that is focused on workforce needs to reduce the backlog. Such a plan should include the workforce skills and competencies that are critical to achieving NBIB\u2019s strategic goals. As we previously reported, the most important consideration in identifying needed skills and competencies is that they are clearly linked to the agency\u2019s mission and long-term goals developed jointly with key congressional and other stakeholders during the strategic planning process. If an agency identifies staff needs without linking the needs to strategic goals, or if the agency has not obtained agreement from key stakeholders on the goals, the needs assessment may be incomplete and premature. In addition, a strategic workforce plan could enable NBIB to (1) develop hiring, training, staff development, succession planning, performance management, use of flexibilities, and other human capital strategies and tools that could be implemented with the resources that can be reasonably expected to be available; and (2) eliminate gaps and improve the contribution of critical skills and competencies that they have identified between the future and current skills and competencies needed for mission success. NBIB officials explained that a strategic workforce plan is something they should create, but that as a new organization the bureau was focused on other priorities, such as hiring a director, selecting the headquarters location, addressing the backlog, and filling vacant positions. However, after being operational for almost a year, NBIB still lacks a comprehensive workforce plan.", "While it has taken several other steps intended to strengthen the background investigation process, without a formal strategic workforce plan, NBIB does not know whether the identified needs in its new hires, transition plan, and overall workforce vacancies will provide the appropriate mix of personnel. Specifically, it does not know whether it has the appropriate mix of federal employees and contractors, with the right critical skills and competencies, to address any staffing gaps and better enable the bureau to fulfill its mission. A comprehensive strategic workforce plan that focuses on the workforce and organizational elements needed and addresses capacity issues related to its vacancies would better position NBIB to address its investigation backlog. Additionally, a comprehensive strategic workforce plan would better position the bureau to execute its roles and responsibilities related to overseeing the background investigations for DOD and other executive branch agencies that rely on NBIB as their investigative service provider."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The PAC has made progress in reforming the personnel security clearance process. However, 13 years after the passage of IRTPA, it is now at a crossroads. The backlog of background investigations totaled over 700,000 cases as of September 2017 and while the executive branch is taking actions to help address it, there are no indications that the government can readily do so.", "We have noted in prior work concerns about the quality of background investigations and have emphasized the need to build quality throughout the personnel security clearance process for nearly two decades. Even though it has made significant attempts, the executive branch has still not established government-wide performance measures for the quality of background investigations to help ensure that critical security-relevant information is identified and mitigated when granting a security clearance. Over the past 2 years, the executive branch has taken steps toward establishing such measures. However, ODNI, as the Security Executive Agent, and the PAC have not prioritized setting a milestone for their completion. Without a milestone for establishing government-wide performance measures for the quality of investigations, their completion may be further delayed, and executive branch agencies will not have a schedule against which they can track progress or to which they are accountable.", "Executive branch timeliness in completing initial secret and initial top secret clearances has declined over the past 5 years. While ODNI has taken some steps to correct this downward trend on an agency-by- agency basis, neither ODNI nor the PAC have led a government-wide approach to improve the timeliness of initial personnel security clearances. While ODNI requests that agencies submit corrective action plans when they are not meeting timeliness objectives, it has not developed a comprehensive, government-wide plan with goals and milestones. A government-wide plan would help position ODNI, as the Security Executive Agent, as well as the PAC, to better identify and address systemic issues across the executive branch that affect the ability of agencies to meet timeliness objectives.", "IRTPA also created greater transparency and oversight of the overall reform effort by mandating annual reports to the appropriate congressional committees on the progress made toward meeting the act\u2019s requirements, including reporting timeliness data. However, since the IRTPA reporting requirement ended in 2011, executive branch reporting has been limited, which makes it difficult to thoroughly evaluate and precisely identify where and why delays exist within the process, as well as to direct corrections as necessary. Without transparent reporting on investigation and adjudication timeliness, for both initial investigations and periodic reinvestigations, Congress will not be able to effectively execute its oversight role and monitor individual executive branch agency progress in meeting timeliness objectives.", "The establishment of NBIB in 2016, to strengthen the background investigation process, involved a number of organizational changes and efforts to improve the process. While NBIB has taken steps to increase its investigative capacity, it faces challenges in developing a comprehensive plan, with goals and milestones, to address the investigation backlog. Without such a plan, NBIB lacks a necessary course of action to reduce the backlog to a manageable level. Relatedly, NBIB has not established goals for increasing total investigator capacity. Establishing such goals, in accordance with the plan for reducing the backlog, may better position NBIB to achieve the goals and milestones outlined in that plan. Ultimately, if NBIB is unable to reduce the investigation backlog, executive branch agencies will continue to lack the cleared personnel needed to help execute their respective missions, which poses potential risks to national security. Demonstrated leadership from ODNI, in the capacity as the Security Executive Agent, and the PAC, by assisting NBIB as it works to reduce the investigation backlog could better position NBIB to reach a manageable level of investigations.", "Additionally, NBIB faces operational challenges related to workforce planning. While the bureau has taken a number of workforce planning steps, such as identifying specific hiring needs, it has not developed a strategic workforce plan. As a result, it may not know whether it has planned for the appropriate mix of personnel, with the right critical skills and competencies, and it has experienced delays in addressing its hiring needs. A comprehensive strategic workforce plan that focuses on the workforce and organizational elements needed and addresses capacity issues related to its vacancies would better position NBIB to address its investigation backlog and strengthen the investigation process."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider reinstating the Intelligence Reform and Terrorism Prevention Act of 2004\u2019s requirement for the executive branch to report annually to appropriate committees of Congress on the amount of time required by authorized investigative and adjudicative agencies to conduct investigations, adjudicate cases, and grant initial personnel security clearances. Congress should also consider adding to this reporting requirement the amount of time required to investigate and adjudicate periodic reinvestigations and any other information deemed relevant, such as the status of the investigation backlog and implementing government-wide measures for the quality of investigations or other reform efforts. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of six recommendations, including three to ODNI, in coordination with the PAC, and three to NBIB. Specifically,", "The Director of National Intelligence, in his capacity as Security Executive Agent, and in coordination with the other Security, Suitability, and Credentialing Performance Accountability Council Principals\u2014the Deputy Director for Management of OMB in his capacity as Chair of the PAC, the Director of OPM, and the Under Secretary of Defense for Intelligence\u2014should take the following three actions: establish a milestone for the completion of government-wide performance measures for the quality of investigations; (Recommendation 1) conduct an evidence-based review of the investigation and adjudication timeliness objectives for completing the fastest 90 percent of initial secret and initial top secret security clearances, and take action to adjust the objectives if appropriate; (Recommendation 2) and develop a government-wide plan, including goals and interim milestones, to meet those timeliness objectives for initial personnel security clearance investigations and adjudications. (Recommendation 3)", "The Director of NBIB, in coordination with the Deputy Director for Management of OMB, in the capacity as Chair of the PAC, and the Director of National Intelligence, in the capacity as Security Executive Agent, should take the following two actions: develop a plan, including goals and milestones, that includes a determination of the effect of the business process reengineering efforts for reducing the backlog to a \u201chealthy\u201d inventory of work, representing approximately 6 weeks of work; (Recommendation 4) and establish goals for increasing total investigator capacity\u2014federal employees and contractor personnel\u2014in accordance with the plan for reducing the backlog of investigations. (Recommendation 5)", "The Director of NBIB should build upon NBIB\u2019s current workforce planning efforts by developing and implementing a comprehensive strategic workforce plan that focuses on what workforce and organizational needs and changes will enable the bureau to meet the current and future demand for its services. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OMB, ODNI, OPM, DOD, the Department of Justice, and the Department of Homeland Security for review and comment. OMB provided its comments via email, and the comments are summarized below. Written comments from ODNI and OPM are reprinted in their entirety in appendixes V and VI, respectively. OMB, ODNI, OPM, and the Department of Homeland Security provided additional technical comments, which we incorporated in the report as appropriate. DOD and the Department of Justice did not provide comments. OMB and OPM concurred with the recommendations directed to them. ODNI stated that it did not concur with the report\u2019s conclusions and recommendations, but did not specifically state with which recommendations it did not concur.", "In comments e-mailed to us on November 9, 2017, the Acting Deputy Director for Management of OMB concurred with the report\u2019s findings, conclusions, and recommendations. The comments also stated that the administration is committed to renewing public reporting of security clearance timeliness, once the government-wide reform initiatives are announced in early 2018, either as one of the administration\u2019s cross- cutting priority goals or via another approach. While the PAC\u2019s prior public reporting on the status of security clearance reform efforts was beneficial and helped to provide for transparency of the process, we believe that security clearance timeliness information should be reported\u2014whether publicly or via reporting to Congress\u2014broken out by individual executive branch agency and not only as an executive branch-wide average, as noted in our Matter for Congressional Consideration. As discussed in the report, such detailed reporting could help congressional decision-makers and OMB to thoroughly evaluate and precisely identify where and why delays exist within the process, as well as to direct corrections as necessary. In addition, OMB stated that the PAC is committed to ensuring that its Implementation Plan is continually updated to reflect the current status of reform efforts and that it incorporates any new initiatives arising from our review.", "In its written comments, ODNI stated that the report appears to draw negative inferences from the facts and that the conclusions do not present an accurate assessment of the current status of the personnel security clearance process. ODNI also stated that the conclusions do not include the significant progress ODNI has achieved in coordination with executive branch agencies. We disagree with these statements. The report discusses in detail the progress that the PAC\u2014of which ODNI is a Principal member\u2014has made to reform the personnel security clearance process, including the implementation of recommendations and milestones from the 120-day and 90-day reviews, and cross-agency priority goal updates. The report also discusses areas of progress highlighted by ODNI officials, such as the development of seven Security Executive Agent Directives, the issuance of Quality Assessment Standards for background investigations, and the implementation of the QART.", "In its comments, ODNI further stated that while it generally concurred with the factual observations in the report, it did not concur with our recommendations. While ODNI did not specifically state with which recommendations it disagreed, it discussed each of the three recommendations addressed to it. In addition, ODNI stated that it did not concur with our conclusions, and provided specific observations in the following three areas, which lead to the three recommendations.", "First, ODNI disagreed with our conclusion that it has not prioritized setting a milestone for the completion of government-wide performance measures for the quality of background investigations. ODNI also stated that the report ignores significant progress that ODNI has made in this area; specifically, the approval of Quality Assessment Standards for background investigations and the implementation of the QART. We disagree with ODNI\u2019s position, as the report discusses in detail both the Quality Assessment Standards and the QART, and identifies these as the two steps toward the development of performance measures for the quality of background investigations. Additionally, ODNI stated that it has the ability to determine trends in background investigative quality from the data collected by the QART. However, as we note in the report, DOD background investigations\u2014which represent the majority of the investigations conducted by NBIB\u2014are not captured by the QART. We further noted that according to NBIB officials, they are not positioned to receive comprehensive feedback if their largest customer, DOD, is not utilizing the QART. Therefore, as we concluded in the report, it is unclear how ODNI will have sufficient data to develop government-wide measures for the quality of investigations since it will lack data for a significant portion of the executive branch\u2019s background investigations.", "Regarding our recommendation that the Director of National Intelligence, in coordination with the other PAC Principals, establish a milestone for the completion of government-wide performance measures for the quality of investigations, ODNI stated that it is premature to do so and that it will set a milestone once the QART metrics discussed above have been fully analyzed. However, in its written comments, ODNI did not state when it anticipates the QART metrics will be fully analyzed. We recognize that fully analyzing the QART data may take time and that initial performance measures may be refined as ODNI collects and assesses data regarding the quality of background investigations. However, setting a milestone\u2014 that takes into consideration the amount of time needed to analyze QART data\u2014will help to ensure that the analysis is completed, that initial performance measures are developed, and that agencies will have a greater understanding of what they are being measured against. We identify in the report that the executive branch previously set a milestone for the completion of government-wide performance measure for quality, which was adjusted over time and most recently set as October 2015. We further identify that the PAC has set milestones for the completion of nearly 50 other initiatives in its Implementation Plan, and that in the aftermath of the 2013 Washington Navy Yard shooting, the PAC (which includes ODNI) issued a 120-day review report that, among other things, recommended reporting on measures for quality. We continue to believe that setting a milestone could help to prevent further delays to their completion and provide the executive branch with a schedule against which it would be accountable.", "Second, ODNI did not agree with our conclusion that neither ODNI nor the PAC have led a government-wide approach to improve timeliness of initial personnel security clearances. In its written comments, ODNI discusses actions it has taken to improve timeliness since the passage of IRTPA, including resetting timeliness goals for certain clearances in 2012, in coordination with interagency stakeholders, issuing annual memorandums to agencies on their performance, and requesting that agencies develop agency-specific corrective action plans. We discuss all of these actions in the report and while we agree that they are positive actions, the executive branch would further benefit from a more coordinated approach. For example, even with the cited actions, the executive branch is experiencing significant challenges related to the timely processing of initial personnel security clearances. Specifically, as discussed in the report, in fiscal year 2016, only 2 percent of the agencies for which ODNI provided timeliness data met the 40-day IRTPA- established investigation objective for at least three of four quarters for the fastest 90 percent of initial secret cases; and only 12 percent met ODNI\u2019s revised investigation objective for at least three of four quarters for the fastest 90 percent of initial top secret cases. In addition, as discussed in the report, timeliness challenges are not only an issue for agencies that use NBIB as their investigative service provider. Agencies with delegated authority to conduct their own investigations have also experienced timeliness challenges over the past 5 fiscal years. Further, the timeliness challenges cited by agencies to GAO include government- wide challenges, such as the increased investigative requirements\u2014not just agency-specific challenges, such as staffing shortfalls. A government- wide plan would better position ODNI to identify and address any systemic government-wide issues.", "Regarding our recommendation that the Director of National Intelligence, in coordination with the other PAC Principals, conduct an evidence-based review of the timeliness objectives for completing initial secret and initial top secret security clearances, and take action to adjust the objectives if appropriate, ODNI stated that it is premature to revise the existing timeliness goals until NBIB\u2019s backlog is resolved. In its written comments, ODNI states that while timeliness has exceeded the established standards, this is not necessarily an indication of a flaw in timeliness goals, but an indicator of the impact of the backlog and that as such, the current challenge in meeting timeliness should not serve as the sole basis for modifying existing goals. Our recommendation is to conduct an evidence-based review of the timeliness objectives, through which ODNI could determine whether there are any issues with the timeliness goals or, as ODNI suggests, whether the timeliness challenges are just a reflection of the backlog. At the conclusion of that review, ODNI can determine if it is appropriate to adjust the timeliness objectives, and take action if necessary. We do not suggest that ODNI should immediately revise the timeliness objectives without first determining if there is an evidence-based need to do so. ODNI further notes that other agencies that are not supported by NBIB are still achieving or very close to achieving current standards. However, as discussed in the report, even agencies with delegated authority to conduct their own investigations are experiencing challenges meeting established timeliness objectives.", "ODNI further stated in response to our recommendation that the Director of National Intelligence will continue to assess the impact of the implementation of the 2012 Federal Investigative Standards and modify the timeliness goals as appropriate. Given that ODNI has not comprehensively revisited the investigation or adjudication timeliness objectives for initial security clearances since 2012 despite the increased investigative requirements stemming from the implementation of the 2012 Federal Investigative Standards, we continue to believe that our recommendation to conduct an evidence-based review, using relevant data, is valid.", "Third, ODNI disagreed with our conclusion that demonstrated leadership from ODNI, in the capacity as the Security Executive Agent, and the PAC, by assisting NBIB as it works to reduce the investigation backlog could better position NBIB to reach a manageable level of investigations. ODNI stated that it has demonstrated leadership in this area and has worked closely as the Security Executive Agent with NBIB to reduce its investigation backlog and noted recent efforts by the Director of National Intelligence and the other PAC Principals to help reduce the backlog. We believe that these recent actions, which have taken place since the completion of our review, are positive steps that, along with our recommendations to NBIB, could help to reduce the backlog of background investigations. However, as discussed in the report, prior to these recent actions, ODNI had not demonstrated the leadership necessary to improve executive branch timeliness, as evidenced by the decrease in the number of agencies meeting timeliness objectives from fiscal years 2012 through 2016 and a backlog of over 700,000 investigations as of September 2017. Additionally, while the recent actions could help to reduce the backlog, sustained demonstrated leadership by the Director of National Intelligence and the other PAC Principals will be crucial to maintaining and increasing momentum, and ultimately critical to comprehensively addressing the current timeliness challenges and reducing the investigation backlog.", "Regarding our recommendation that the Director of National Intelligence develop a government-wide plan, including goals and interim milestones, to meet timeliness objectives for initial personnel security clearances, ODNI stated that it has already established timeliness goals for the security clearance process and that prior to the investigation backlog, which was created, in part, due to a loss of OPM investigator capacity, the executive branch met those goals. ODNI further stated that until NBIB reduces its backlog, departments and agencies that use NBIB cannot accurately predict budgetary requirements for the phases of the security clearance process under their control, which complicates the development of a government-wide plan at this time. However, as discussed in the report, the most feasible date by which NBIB could reduce the backlog of background investigations to a \u201chealthy\u201d inventory level is fiscal year 2022 at the earliest. Given the significant timeliness challenges that the executive branch is currently experiencing, agencies would benefit from developing a government-wide plan now, rather than waiting at least 5 years for the reduction of the backlog to do so. In addition, through the development of a government-wide plan, ODNI could help to identify additional actions to more quickly reduce the investigation backlog. Without such a plan, continued delays in processing clearances may leave agencies unable to fill critical positions that require a security clearance. Ultimately, developing a government- wide plan, including goals and interim milestones, will better ensure timely determinations of individuals\u2019 eligibility for access to classified information. As such, we continue to believe that the recommendation is valid.", "In its written comments, OPM concurred with the three recommendations directed to NBIB, and described some actions it plans to take to address them. Separate from the recommendations, OPM also provided comments related to the discussion in the draft report regarding DOD\u2019s development of NBIS and the security of OPM\u2019s IT systems and data. Specifically, OPM expressed concerns about some of the statements by DOD officials, stating that they were unverified opinions. We agree that including the countering views of OPM officials could provide some helpful context. As a result, we have added language to the report to include OPM\u2019s perspectives on the statements made by the DOD CIO officials.", "In addition, OPM stated that the prior GAO and OPM Inspector General audits referenced in the IT discussion were outdated audit assessments. We agree that some information in the draft report from the prior audits was based on reports from 2016 or earlier in 2017, and we understand that circumstances may have changed since those reports were issued. Specifically, the OPM Inspector General released a new audit report in October 2017, when this report was with the agency for comment, regarding the state of security of OPM IT systems. Accordingly, we replaced the discussion of the older OPM Inspector General reports in the draft report with a discussion of the OPM Inspector General\u2019s October 2017 report. This latest OPM Inspector General report found, among other things, that OPM had made improvements in its security assessment and authorization program, and its previous \u201cmaterial weakness\u201d related to authorizations has been upgraded to a \u201csignificant deficiency\u201d for fiscal year 2017. Overall, the OPM Inspector General found that OPM\u2019s cybersecurity maturity level was measured at a level 2, \u201cDefined\u201d, meaning that its policies, procedures and strategy were formalized and documented, but were not consistently implemented. We also added language to emphasize the date of the 2016 GAO reports, and added information about the status of the recommendations from those two reports, because none of the recommendations directed to OPM from the two 2016 GAO reports had been closed as implemented as of November 2017.", "OPM further stated that it has implemented critical enhancements to strengthen the security of OPM\u2019s networks and has improved its security and assessment authorization process. In the draft report, we stated that OPM has strengthened the security of its networks, and we noted that\u2014 as stated in our 2017 report\u2014OPM has made progress in improving its security to prevent, mitigate, and respond to data breaches involving sensitive personal records and background investigations information. However, as we noted our 2017 report, we also found that OPM did not effectively monitor actions taken to remediate identified weaknesses, and we continue to believe that discussion of the deficiencies we identified in our prior reports is appropriate in this report.", "In November 2017, after the conclusion of our audit work, Congress passed a bill for the National Defense Authorization Act for Fiscal Year 2018. Among other things, the bill includes a provision that would authorize DOD to conduct its own background investigations and require DOD to begin carrying out the implementation plan required by section 951 of the National Defense Authorization Act for Fiscal Year 2017 by October 1, 2020. It would also require the Secretary of Defense, in consultation with the Director of OPM, to provide for a phased transition. While this pending legislation may affect how some background investigations are conducted, we believe that our recommendations remain important points on which the executive branch should focus in order to help improve the security clearance process as these legislative changes are implemented.", "We are sending copies of this report to the appropriate congressional committees, the Director of National Intelligence, the Secretary of Defense, the Director of OMB, the Secretary of Homeland Security, the Director of OPM, the Director of NBIB, the Attorney General of the United States, the Director of the Federal Bureau of Intelligence, and the Director of the Bureau of Alcohol, Tobacco, Firearms, and Explosives. In addition, this report will also be available at no charge on the GAO website at http://www.gao.gov.", "If you or your members of your staff have any questions regarding this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Status of Prior GAO Personnel Security Clearance Recommendations to Executive Branch Agencies as of November 2017", "paragraphs": ["Since May 2009, we have made 37 recommendations to appropriate executive branch agencies\u2014the Office of Management and Budget (OMB), Office of Personnel Management (OPM), Office of the Director of National Intelligence (ODNI), Department of Defense (DOD), and Department of Homeland Security (DHS)\u2014to improve the personnel security clearance process. As of November 2017, these agencies had implemented 12 of those recommendations; we closed 4 due to the inaction of the responsible agencies; and 21 remained open. Examples of implemented recommendations include DOD\u2019s issuance of adjudication guidance related to incomplete investigative reports, ODNI and OPM\u2019s jointly proposed chapter and part to the Code of Federal Regulations clarifying, among other things, the position sensitivity designation of national security positions, and DHS\u2019s issuance of new standards for tracking information on security clearance revocations and appeals.", "The 21 recommendations that remain open as of November 2017 focused on different aspects of the personnel security clearance process. First, in February 2012, we reported on background investigation pricing and costs, and we found, among other things, that the Performance Accountability Council had not provided the executive branch with guidance on cost savings. Second, in September 2014, we reported on the security clearance revocation processes at DHS and DOD. We found that DHS and DOD data systems did not track complete revocation information; there was inconsistent implementation of the requirements in the governing executive orders by DHS, DOD, and some of their components; and there was limited oversight over the revocation process, among other things. Third, in April 2015, we reported on the status of government-wide security clearance reform efforts. We found, among other things, that limited progress had been achieved in implementing updated Federal Investigative Standards, and that the extent to which reciprocity is granted government-wide was unknown. Fourth, in November 2017, we found that ODNI had taken an initial step to implement continuous evaluation across the executive branch, but it had not yet determined key aspects of the program; and it lacked plans for implementing, monitoring, and measuring program performance. See table 2 for the 21 open recommendations from these four reports as of November 2017."], "subsections": []}, {"section_title": "Appendix II: Overview of Selected Personnel Security Clearance Provisions in the Intelligence Reform and Terrorism Prevention Act of 2004 (IRTPA)", "paragraphs": ["Appendix II: Overview of Selected Personnel Security Clearance Provisions in the Intelligence Reform and Terrorism Prevention Act of 2004 (IRTPA)", "The 2004 enactment of IRTPA initiated a reform effort that includes goals and requirements for improving the personnel security clearance process government-wide. Specifically, among other things, IRTPA required that:", "The President select a single entity\u2014currently designated as the Office of the Director of National Intelligence\u2014to be responsible for, among other things, the development and implementation of uniform and consistent policies and procedures to ensure the effective, efficient, and timely completion of security clearances.", "The President, in consultation with the head of the entity above, select a single agency\u2014currently designated as the National Background Investigations Bureau within the Office of Personnel Management (OPM)\u2014tasked with conducting, to the maximum extent practicable, security clearance investigations of federal employees and contractor personnel, among other things. It also required this entity to ensure that investigations are conducted in accordance with uniform standards and requirements.", "All security clearance background investigations and determinations completed by an authorized investigative agency or authorized adjudicative agency be accepted by all agencies (known as reciprocity), subject to certain exceptions.", "Not later than 12 months after the date of enactment of the act, the Director of OPM in cooperation with the heads of the entities selected above, establish and commence operating and maintaining an integrated, secure database of personnel security clearance information.", "The executive branch evaluate the use of available information technology and databases to expedite investigative and adjudicative processes and to verify standard information submitted as part of an application for a security clearance and, not later than 1 year after enactment, submit a report to the President and the appropriate committees of Congress on the results of that evaluation.", "The executive branch submit an annual report, through 2011, to the appropriate congressional committees on the progress made toward meeting IRTPA requirements, including timeliness data and a discussion of any impediments to the smooth and timely functioning of IRTPA requirements.", "IRTPA also established specific objectives for the timeliness of security clearance processing. Specifically, the act required the entity selected under section 3001(b) to develop a plan to reduce the length of the personnel security clearance process, in consultation with appropriate committees of Congress and each authorized adjudicative agency. To the extent practical, the plan was to require that each authorized adjudicative agency make a determination on at least 90 percent of all applications for a personnel security clearance within an average of 60 days after the date of receipt of the completed application by an authorized investigative agency\u2014not longer than 40 days to complete the investigative phase and 20 days to complete the adjudicative phase. IRTPA required the plan to take effect December 17, 2009."], "subsections": []}, {"section_title": "Appendix III: GAO Work on Personnel Security Clearance Quality and Executive Branch Efforts to Establish Government-wide Measures for the Quality of Investigations", "paragraphs": ["Since 1999 we have reported on issues related to investigative quality at the Department of Defense and the Office of Personnel Management and have issued recommendations to help ensure the personnel security clearance reform effort results in the development of metrics to track quality. Figure 6 provides an overview of our work in this area and executive branch efforts to establish government-wide performance measures for investigation quality."], "subsections": []}, {"section_title": "Appendix IV: Timeliness of Executive Branch Periodic Reinvestigations", "paragraphs": ["In November 2017, we reported on the timeliness of the executive branch\u2019s periodic reinvestigations for fiscal years 2012 through 2016, among other things. Our analysis of timeliness data for select executive branch agencies showed that the percent of agencies meeting timeliness goals decreased from fiscal year 2012 through 2016. The timeliness goals for periodic reinvestigations are outlined in a 2008 Joint Security and Suitability Reform Team report to the President entitled Security and Suitability Process Reform. Specifically, the report includes Office of Management and Budget-issued interim government-wide processing goals for security clearances for calendar year 2008. The calendar year 2008 government-wide goal for the fastest 90 percent of periodic reinvestigations is the same as the goal currently in place: 15 days to initiate a case, 150 days to conduct the investigation, and 30 days to adjudicate\u2014totaling 195 days to complete the end-to-end processing of the periodic reinvestigation. Table 3 shows the percent of executive branch agencies meeting the timeliness goals for investigating, adjudicating, and completing the fastest 90 percent of periodic reinvestigations for at least three of four quarters from fiscal years 2012 through 2016.", "Specific details of the timeliness of initial secret and initial top secret clearances for select individual executive branch agencies were omitted because the information is sensitive."], "subsections": []}, {"section_title": "Appendix V: Comments from the Office of the Director of National Intelligence", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kimberly Seay (Assistant Director), Nathan Tranquilli (Assistant Director), Renee S. Brown, Chris Businsky, Molly Callaghan, Jenny Chanley, Katheryn Hubbell, Saida Hussain, Jeffrey L. Knott, James Krustapentus, Caryn E. Kuebler, Michael Shaughnessy, Rachel Stoiko, Paul Sturm, John Van Schaik, Cheryl Weissman, and Jina Yu made significant contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Personnel Security Clearances: Additional Actions Needed to Address Quality, Timeliness, and Investigation Backlog. GAO-18-26SU. Washington, D.C.: December 7, 2017 (FOUO).", "Personnel Security Clearances: Additional Planning Needed to Fully Implement and Oversee Continuous Evaluation of Clearance Holders. GAO-18-159SU. Washington, D.C.: November 21, 2017 (FOUO).", "Personnel Security Clearances: Plans Needed to Fully Implement and Oversee Continuous Evaluation of Clearance Holders. GAO-18-117. Washington, D.C.: November 21, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Personnel Security Clearances: Funding Estimates and Government- Wide Metrics Are Needed to Implement Long-Standing Reform Efforts. GAO-15-179SU. Washington, D.C.: April 23, 2015.", "Personnel Security Clearances: Additional Guidance and Oversight Needed at DHS and DOD to Ensure Consistent Application of Revocation Process. GAO-14-640. Washington, D. C.: September 8, 2014.", "Personnel Security Clearances: Actions Needed to Ensure Quality of Background Investigations and Resulting Decisions. GAO-14-138T. Washington, D.C.: February 11, 2014.", "Personnel Security Clearances: Actions Needed to Help Ensure Correct Designations of National Security Positions. GAO-14-139T. Washington, D.C.: November 20, 2013.", "Personnel Security Clearances: Opportunities Exist to Improve Quality Throughout the Process. GAO-14-186T. Washington, D.C.: November 13, 2013.", "Personnel Security Clearances: Full Development and Implementation of Metrics Needed to Measure Quality of Process. GAO-14-157T. Washington, D.C.: October 31, 2013.", "Personnel Security Clearances: Further Actions Needed to Improve the Process and Realize Efficiencies. GAO-13-728T. Washington, D.C.: June 20, 2013.", "Managing for Results: Agencies Should More Fully Develop Priority Goals under the GPRA Modernization Act. GAO-13-174. Washington, D.C.: April 19, 2013.", "Security Clearances: Agencies Need Clearly Defined Policy for Determining Civilian Position Requirements. GAO-12-800. Washington, D.C.: July 12, 2012.", "Personnel Security Clearances: Continuing Leadership and Attention Can Enhance Momentum Gained from Reform Effort. GAO-12-815T. Washington, D.C.: June 21, 2012. 2012 Annual Report: Opportunities to Reduce Duplication, Overlap and Fragmentation, Achieve Savings, and Enhance Revenue. GAO-12-342SP. Washington, D.C.: February 28, 2012.", "Background Investigations: Office of Personnel Management Needs to Improve Transparency of Its Pricing and Seek Cost Savings. GAO-12-197. Washington, D.C.: February 28, 2012.", "GAO\u2019s 2011 High-Risk Series: An Update. GAO-11-394T. Washington, D.C.: February 17, 2011.", "High-Risk Series: An Update. GAO-11-278. Washington, D.C.: February 16, 2011.", "Personnel Security Clearances: Overall Progress Has Been Made to Reform the Governmentwide Security Clearance Process. GAO-11-232T. Washington, D.C.: December 1, 2010.", "Personnel Security Clearances: Progress Has Been Made to Improve Timeliness but Continued Oversight Is Needed to Sustain Momentum. GAO-11-65. Washington, D.C.: November 19, 2010.", "DOD Personnel Clearances: Preliminary Observations on DOD\u2019s Progress on Addressing Timeliness and Quality Issues. GAO-11-185T. Washington, D.C.: November 16, 2010.", "Personnel Security Clearances: An Outcome-Focused Strategy and Comprehensive Reporting of Timeliness and Quality Would Provide Greater Visibility over the Clearance Process. GAO-10-117T. Washington, D.C.: October 1, 2009.", "Personnel Security Clearances: Progress Has Been Made to Reduce Delays but Further Actions Are Needed to Enhance Quality and Sustain Reform Efforts. GAO-09-684T. Washington, D.C.: September 15, 2009.", "Personnel Security Clearances: An Outcome-Focused Strategy Is Needed to Guide Implementation of the Reformed Clearance Process. GAO-09-488. Washington, D.C.: May 19, 2009.", "DOD Personnel Clearances: Comprehensive Timeliness Reporting, Complete Clearance Documentation, and Quality Measures Are Needed to Further Improve the Clearance Process. GAO-09-400. Washington, D.C.: May 19, 2009.", "High-Risk Series: An Update. GAO-09-271. Washington, D.C.: January 2009.", "Personnel Security Clearances: Preliminary Observations on Joint Reform Efforts to Improve the Governmentwide Clearance Eligibility Process. GAO-08-1050T. Washington, D.C.: July 30, 2008.", "Personnel Clearances: Key Factors for Reforming the Security Clearance Process. GAO-08-776T. Washington, D.C.: May 22, 2008.", "Employee Security: Implementation of Identification Cards and DOD\u2019s Personnel Security Clearance Program Need Improvement. GAO-08-551T. Washington, D.C.: April 9, 2008.", "Personnel Clearances: Key Factors to Consider in Efforts to Reform Security Clearance Processes. GAO-08-352T. Washington, D.C.: February 27, 2008.", "DOD Personnel Clearances: DOD Faces Multiple Challenges in Its Efforts to Improve Clearance Processes for Industry Personnel. GAO-08-470T. Washington, D.C.: February 13, 2008.", "DOD Personnel Clearances: Improved Annual Reporting Would Enable More Informed Congressional Oversight. GAO-08-350. Washington, D.C.: February 13, 2008.", "DOD Personnel Clearances: Delays and Inadequate Documentation Found for Industry Personnel. GAO-07-842T. Washington, D.C.: May 17, 2007.", "High-Risk Series: An Update. GAO-07-310. Washington, D.C.: January 2007.", "DOD Personnel Clearances: Additional OMB Actions Are Needed to Improve the Security Clearance Process. GAO-06-1070. Washington, D.C.: September 28, 2006.", "DOD Personnel Clearances: New Concerns Slow Processing of Clearances for Industry Personnel. GAO-06-748T. Washington, D.C.: May 17, 2006.", "DOD Personnel Clearances: Some Progress Has Been Made but Hurdles Remain to Overcome the Challenges That Led to GAO\u2019s High-Risk Designation. GAO-05-842T. Washington, D.C.: June 28, 2005.", "High-Risk Series: An Update. GAO-05-207. Washington, D.C.: January 2005."], "subsections": []}], "fastfact": []} {"id": "GAO-18-271", "url": "https://www.gao.gov/products/GAO-18-271", "title": "Customs and Border Protection: Automated Trade Data System Yields Benefits, but Interagency Management Approach Is Needed", "published_date": "2018-03-14T00:00:00", "released_date": "2018-03-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CBP began work on ACE in 1994 to update the agency's existing electronic trade processing system. In 2006, Congress broadened this effort by mandating creation of a \u201csingle portal\u201d International Trade Data System to, among other things, efficiently regulate the flow of commerce and more effectively enforce laws and regulations relating to international trade. Performance problems halted implementation of ACE from 2010 to 2013. In 2014, the President set a deadline of December 31, 2016, for completing the system.", "The Trade Facilitation and Trade Enforcement Act of 2015 included a provision for GAO to report on issues related to ACE implementation. In this report, GAO examines (1) CBP efforts to complete core ACE capabilities since 2013; (2) agencies' access to ACE and use of the system to process imports; (3) any cost savings and trade enforcement benefits from using ACE; and (4) the approach that will be used to manage ACE after core capabilities are completed. GAO reviewed information from 22 agencies as well as importers, exporters, and brokers and interviewed agency and trade community representatives."]}, {"section_title": "What GAO Found", "paragraphs": ["Since renewing efforts to implement the Automated Commercial Environment (ACE) in 2013, U.S. Customs and Border Protection (CBP) has deployed a number of key ACE activities, processes, and functions that it terms core capabilities. After several delays, CBP reported that it had finished implementing these capabilities\u2014other than a capability for revenue collections\u2014in February 2018. CBP expects to decide how to proceed with collections by the end of March 2018, according to agency officials.", "The 22 agencies CBP identified as requiring documentation to clear or license cargo are all authorized to access ACE, although GAO found considerable variation in their use of the system for import processing. For example, the Food and Drug Administration has integrated its systems with ACE and uses ACE data to review imports under its jurisdiction and target public health risks. In contrast, the Fish and Wildlife Service has not yet integrated ACE into its operations.", "ACE users at CBP and partner agencies and in the trade community told GAO that using ACE has reduced costs by making trade processing more efficient and has strengthened enforcement of trade laws and regulations. CBP has developed metrics for itself and the trade community and estimated savings that could result from the increased efficiency of some processes in ACE. CBP also reported efforts to expand its metrics to capture more ACE benefits\u2014for example, to estimate the value of increased efficiencies for partner agencies.", "CBP has not yet established an approach for the management of ACE after February 2018. The agency plans to enhance ACE to address shortcomings ACE users have identified\u2014such as difficulty in transmitting messages and required information \u2014but has not established a process for prioritizing all suggested enhancements. CBP also has not identified funding for continued ACE development, including enhancements, after fiscal year 2018. CBP is leading an interagency effort to develop an ACE management approach that includes processes for prioritizing enhancements and sharing costs, but this approach has not been finalized. Federal guidance calls for establishing the organizational structure necessary to operate effectively and for examining efforts as needed to adopt coordinated approaches. Until processes for prioritizing ACE enhancements and sharing costs are finalized, agencies and the trade community will not realize the system's full potential benefits."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The Secretary of Homeland Security should ensure that the Commissioner of CBP, in collaboration with partner agencies, finalizes an interagency approach to managing ACE that includes processes for prioritizing enhancements and sharing system costs. CBP concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["U.S. Customs and Border Protection (CBP)\u2014an agency of the Department of Homeland Security (DHS)\u2014enforces the customs and trade laws of the United States. According to CBP, the agency processes about $3 trillion in trade and collects about $44 billion in revenue each year from import duties, taxes, and fees. CBP carries out its work in coordination with a variety of other U.S. government agencies. For example, the Fish and Wildlife Service works to monitor international trade in wildlife and wildlife products and to prevent the illegal import or export of species regulated under international and U.S. wildlife laws, while the Consumer Product Safety Commission works to ensure that imported products comply with U.S. consumer product safety rules and regulations.", "In 1994, CBP initiated planning and development of an information system, known as the Automated Commercial Environment (ACE), to ensure proper assessment and collection of customs duties. Subsequently, the Security and Accountability For Every Port Act of 2006 (SAFE Port Act) mandated the creation of a \u201csingle portal\u201d International Trade Data System (ITDS). The stated purpose of ITDS included, among other things, eliminating redundant information requirements, efficiently regulating the flow of commerce, and more effectively enforcing laws and regulations relating to international trade (in this report, \u201ctrade enforcement\u201d). According to CBP, ACE is intended to provide this single portal. The act also stated that all agencies requiring documentation to clear or license imported or exported cargo must participate in the system. After a series of unsuccessful efforts to complete ACE, CBP began a renewed effort in 2013 to complete the implementation of key activities, processes, and functions in ACE that CBP defines as core capabilities.", "The Trade Facilitation and Trade Enforcement Act of 2015 (TFTEA) includes a provision for GAO to review issues related to the implementation and use of ACE. In this report, we examine (1) the status of CBP\u2019s efforts to implement core capabilities since 2013; (2) CBP partner agencies\u2019 access to ACE and use of the system for import processing; (3) available information about any cost savings and trade enforcement benefits that have resulted from using ACE; and (4) the approach that will be used to manage ACE after core capabilities have been completed.", "To examine CBP\u2019s efforts since 2013 to implement core capabilities, we obtained information from CBP\u2019s Office of Information Technology and Office of Trade, which have been responsible for developing and administering ACE. We also obtained information from the Department of the Treasury, which has responsibility under the SAFE Port Act for coordinating interagency participation in ITDS. While ACE is designed to permit management of both exports and imports, we focused on the implementation of ACE capabilities to manage imports, because recent CBP efforts to complete and improve ACE functionality have focused primarily on imports.", "To examine other agencies\u2019 progress in accessing and using ACE data for import processing, we obtained summary information about CBP\u2019s 49 partner agencies, focusing our analysis on the 22 partner agencies that CBP identified as requiring documentation for clearing or licensing cargo for import or export. We selected 5 of these agencies for case studies: the Department of Health and Human Services\u2019 Food and Drug Administration (FDA), the Department of Transportation\u2019s National Highway Traffic Safety Administration (NHTSA), the Consumer Product Safety Commission (CPSC), the Department of Agriculture\u2019s Animal and Plant Health Inspection Service (APHIS), and the Department of the Interior\u2019s Fish and Wildlife Service (FWS). We based our selection of these 5 agencies on their size and on the extent to which they require documentation for clearing and licensing cargo, among other factors.", "To examine available information about actual and potential cost savings and enforcement benefits from using ACE, we obtained information on efforts by CBP, other agencies, and companies engaged in international trade to estimate such savings and benefits. We also obtained information on efforts by CBP and other agencies to assess any cost savings and other benefits that could result from CBP\u2019s future implementation of enhancements to the system. We examined metrics that CBP has developed to measure cost savings from ACE and determined that data generated from these metrics are sufficiently reliable to be included in this report. In addition, we interviewed CBP and agency officials in Washington, D.C., and at the ports of New York, N.Y., and Newark, N.J., about benefits and challenges associated with using ACE. We selected these ports because they allowed us to interview CBP officials charged with processing a large volume of diverse imported goods\u2014both air and sea cargo\u2014and provided an opportunity to interview field staff representing four of our five case-study agencies. We also discussed these issues with 16 trade community representatives (i.e., representatives of companies that buy and sell internationally traded products as well as customs brokers and shippers that work for and with these companies), many of whom had participated in organizations that advise CBP regarding its operations.", "To examine factors related to CBP\u2019s management of ACE after implementation of core capabilities is complete, we obtained information on CBP processes for reviewing, assessing, and prioritizing required and suggested changes to enhance ACE. We also obtained information from CBP about projected budgetary needs for its \u201cpost-core\u201d management of ACE (i.e., after implementation of core capabilities is complete). In addition, we interviewed and obtained documentation from CBP regarding interagency dialogue on post-core management of ACE. See appendix I for more information about our objectives, scope, and methodology.", "We conducted this performance audit from January 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CBP and Partner Agency Processing of Imported Goods", "paragraphs": ["Imported goods flow into the U.S. market through a process that CBP facilitates and enforces, in collaboration with other federal agencies and with companies, including customs brokers, engaged in international trade. Imported goods enter the United States at more than 300 ports by air, land, or sea. The processing of imported goods includes three stages: pre-arrival, arrival/cargo release, and post-release.", "Pre-arrival. Before goods leave their country of origin, importers and shipping companies file paperwork and provide required advance electronic information for CBP to review.", "Arrival/cargo release. Importers or brokers file entry documents when goods reach a U.S. port of entry. At the ports, CBP and other agencies with regulatory responsibilities review documents and may examine the goods for import security and trade enforcement purposes. Some goods selected for examination may be deemed nonadmissible because of trade law or other violations. Admissible goods are released from the port and enter into U.S. commerce.", "Post-release. After goods are released from a port, importers or brokers file additional entry summary documents, which CBP reviews to ensure compliance with trade laws. CBP verifies importers\u2019 cargo classifications and calculation of customs duties, taxes, and fees owed, taking action when needed. CBP and other agencies may determine that entered goods are noncompliant, thus triggering post- release enforcement action.", "Figure1 summarizes agency roles at these three stages of import processing."], "subsections": []}, {"section_title": "ACE Development and Implementation, 1994\u2013 2013", "paragraphs": ["CBP initiated planning and preliminary development of ACE in 1994, following the enactment of the North American Free Trade Agreement Implementation Act. Title VI of the act required the creation of a national customs automation program that would allow electronic processing of commercial imports. According to CBP, its existing electronic system for processing imports\u2014the Automated Commercial System (ACS), which became operational in 1984\u2014used antiquated hardware and software and, because of limited processing capability, was increasingly difficult and expensive to operate. In addition, despite ACS\u2019s availability, CBP continued to rely heavily on paper documents.", "The following year, a multi-agency task force launched an effort to develop the International Trade Data System\u2014a government-wide system for reporting data used to clear imports and exports\u2014and efforts to develop ITDS and ACE were subsequently integrated. The 2006 SAFE Port Act mandated the creation of ITDS to provide a \u201csingle portal\u201d trade data system, to be implemented no later than the date when ACE is fully implemented. CBP initially planned to deploy ACE incrementally from 1998 through 2005. According to CBP officials, after substantial difficulties, CBP awarded a contract to begin implementing ACE in 2001 and began deploying ACE capabilities in 2003. However, continued slow progress led DHS to halt all new ACE development in 2010. A CBP acquisition decision memorandum issued at that time stated that the scope and complexity of ACE projects had been consistently underestimated during the period leading up to this decision.", "DHS authorized CBP to renew work on ACE in 2013, after CBP had completed a revision of ACE\u2019s schedule, cost, and performance goals. This \u201crebaselining\u201d of ACE included adopting the agile approach to system development, which involves segmenting development and deployment into small consecutive stages, with frequent opportunities to test new capabilities and confirm that they meet requirements. CBP\u2019s new plan called for completing core ACE capabilities to allow CBP and partner agencies to employ the system in all phases of import and export processing by November 2016, 11 years later than initially planned. A February 2014 Executive Order, as well as provisions in TFTEA, subsequently reinforced this commitment to complete the system before the end of 2016.", "In rebaselining ACE, CBP consulted with partner agencies and trade community representatives to identify the core trade processing capabilities needed for the system to achieve full operational capacity, according to CBP officials. CBP officials stated that these capabilities are laid out in an internal 2013 CBP document describing, in general terms, key activities, processes, and functions that must be performed to automate import and export processing and improve targeting and security. We use \u201ccore ACE capabilities\u201d to refer to activities, processes, and functions that CBP has defined as core."], "subsections": []}]}, {"section_title": "CBP Has Implemented Core ACE Capabilities but Delayed Completion Several Times", "paragraphs": ["After revising its schedule, cost, and performance goals for ACE in 2013, CBP developed and deployed most of the capabilities that it defined as core ACE. On February 27, 2018, CBP announced that it had deployed the last of the major scheduled core trade processing capabilities. However, CBP delayed completion of these capabilities several times and has deferred deployment of collections\u2014a capability for collecting import duties, taxes, and fees\u2014while it considers alternative approaches to make this capability operational.", "Using the agile approach, CBP began deploying new ACE capabilities in November 2013, introducing elements iteratively every few months. For example, the November 2013 deployment included functions related to the pre-arrival and arrival/cargo release phases of import processing, initial steps to support two agencies in pilot testing ACE participation, and a number of efforts to resolve technical problems. By mid-2016, CBP had deployed all core pre-arrival and arrival/cargo release capabilities, but several post-release capabilities remained to be deployed. In June 2016, CBP officials reported that the program would not complete several key events by November 2016 as planned and declared a cost and schedule breach; in November 2016, CBP rebaselined ACE again. CBP subsequently reported that it expected to finish deploying post-release core ACE capabilities by January 2017, but the agency was unable to complete this deployment as planned. In April 2017, CBP officials reported that the program was again in breach, and CBP subsequently moved the target date for completing deployment of remaining core capabilities to July 2017.", "Reconciliation, Liquidation, and Drawback During reconciliation, preliminary data on import transactions provided to CBP at the time of entry (such as the dollar value of imported goods) may be updated. During liquidation, import transactions are finalized and duty, taxes, and fees due to CBP are determined. During drawback, exporters may be able to claim and recover certain duties, taxes, or fees upon the exportation or destruction of imported merchandise under CBP supervision.", "February 2018. The February 2018 deployment completed most core capabilities for post-release, including reconciliation, liquidation, and drawback\u2014functions related to the final determination and payment of duties to CBP (see sidebar).", "CBP initially intended to implement collections in ACE along with other post-release core capabilities. However, CBP officials told us that after a series of unsuccessful attempts to move collections from ACS to ACE, the agency decided in July 2017 to decouple collections from the other remaining post-release capabilities. Agency officials explained that this would allow deployment of other post-release capabilities by the end of February 2018. CBP officials observed that technical challenges involved in moving the current collections function\u2014which is needed to complete post-release functions such as liquidation\u2014from ACS into ACE primarily accounted for CBP\u2019s inability to finish deploying core ACE capabilities in 2017.", "CBP officials stated that the agency will continue to link the newly deployed post-release capabilities to collections in ACS while deciding how to proceed. According to CBP officials, the agency expects to select one of three options for collections by the end of March 2018: (1) add a collections capability to ACE, (2) retain collections in ACS, or (3) develop a separate collections system. CBP officials stated that the agency would revise its estimate of the overall cost of completing and maintaining ACE through the system\u2019s expected life cycle after reaching this decision.", "The timeline in figure 2 summarizes CBP\u2019s efforts to develop and deploy core ACE capabilities since 2013."], "subsections": []}, {"section_title": "Partner Agencies That Clear or License Cargo Have Access to ACE, but Extent of Use Varies", "paragraphs": ["All partner agencies that CBP identified as bearing responsibility for clearing or licensing goods for import or export have been granted some access to ACE data. However, as our case studies of five partner agencies illustrate, the extent to which these agencies use the system varies, and agencies are continuing efforts to enhance their use of ACE."], "subsections": [{"section_title": "All Agencies with Responsibility for Clearing and Licensing Cargo Have Been Granted Access to ACE Data", "paragraphs": ["Each of the 22 partner agencies with responsibility for clearing or licensing cargo has signed a memorandum of understanding with CBP that allows access to ACE and details the information the agency will receive through the system, according to CBP officials. Table 1 lists the 22 partner agencies CBP identified as having responsibility for clearing or licensing cargo and as having signed a memorandum of understanding with CBP According to CBP, each memorandum of understanding specifies data that the partner agency may access in accordance with its responsibilities and as allowed by statute. Agencies may obtain these data through ACE in the following ways:", "Agencies may specify data elements to be included in the ACE partner government agency message set\u2014that is, the consolidated set of data that importers and exporters submit electronically. In many cases, the message set includes data elements formerly collected through paper forms, according to CBP officials.", "Agencies may require submission of supporting documents (e.g., cargo manifests) as image files through the ACE Document Image System.", "Agencies may access these data directly through ACE or may establish web linkages between ACE and their own data processing systems that will allow their systems to receive automatic transmissions of ACE data. CBP documents show that among the 22 agencies CBP identified as having responsibility for clearing or licensing cargo,", "16 have established web linkages between ACE and their own data", "14 obtain agency-specific data through the ACE message set, and", "17 receive document image files from importers through ACE.", "In addition, 15 of the 22 agencies have completed, or are conducting, pilots to initiate or expand their participation in ACE."], "subsections": []}, {"section_title": "Case Studies Show Variation in Use of ACE among Agencies That Clear or License Cargo", "paragraphs": ["While all of the 22 agencies that CBP identified as having responsibility for clearing or licensing cargo have access to ACE data, our case studies of 5 agencies found considerable variation in the extent to which they use ACE for import processing. As table 2 shows, 4 of these agencies (FDA, NHTSA, CPSC, and APHIS) have established linkages between ACE and their own import data analysis systems, apply ACE data in those systems, and have completed pilots to begin or expand their use of ACE. Agency staff also may access ACE directly to obtain additional information that is not available in their agencies\u2019 systems. Nonetheless, we found significant differences in the agencies\u2019 use of ACE to obtain agency- specific data from importers: While FDA and NHTSA have largely transitioned to using ACE for this purpose, CPSC and APHIS use it to a more limited extent, and FWS continues to obtain data on imported goods largely without using ACE. All five agencies reported ongoing efforts to resolve difficulties related to using ACE and make greater use of the system.", "According to CBP documents, several of these 27 other agencies have not concluded an ACE memorandum of understanding with CBP and do not appear to be accessing ACE\u2014in some cases because ACE does not generate information that serves an agency need, according to CBP and Treasury Department officials."], "subsections": [{"section_title": "FDA Uses ACE Data to Review and Target Imports for Health Risks", "paragraphs": ["Food and Drug Administration (FDA) FDA applies health and safety standards to a variety of imported products, including food, drugs, cosmetics, medical devices, biologics, tobacco, and radiation-emitting electronic products. To carry out these functions, FDA maintains a nationwide network of port-based staff with authority to review and, if necessary, refuse entry to goods that do not comply with pertinent laws and regulations that it enforces. FDA maintains two internal information technology systems to assist these efforts: the Operational and Administrative System for Import Support, for admissibility review of imports, and the Predictive Risk Evaluation for Dynamic Import Targeting system, a risk-based screening tool that performs an initial electronic screening of import entries containing FDA regulated articles to target those items with potentially higher public health risk for a manual admissibility review.", "FDA has integrated its internal systems with ACE and uses ACE data to review imports under its jurisdiction, targeting FDA-regulated imports that pose higher public health risks for manual review to determine the imports\u2019 admissibility, according to FDA officials. FDA has worked with CBP to establish bilateral transmission of import entry data between CBP and FDA since 1997, when the two agencies linked FDA\u2019s earlier import operations system with CBP\u2019s ACS, according to FDA. Consequently, FDA officials described the transition to ACE as an upgrade, substantially expanding the information available to the agency, rather than a new approach to processing imports.", "FDA officials stated that they coordinated with the trade community and CBP to complete the transition to using ACE. For example, the officials said that they consulted with the trade community to develop FDA\u2019s ACE message set, with the goal of improving the clearance process. According to FDA officials, the data that the agency required through the message set included more information than it had previously required from importers through ACS. FDA officials explained that their intent in adding data elements was to facilitate the automated admissibility review of low- risk FDA-regulated articles and thus focus agency resources on articles associated with a higher public health risk. Additionally, FDA worked with the trade community to develop recommendations for technical enhancements to ACE. Finally, FDA tested the new systems and the viability of the message set in a pilot that it successfully concluded in 2016.", "According to agency officials, in November 2016, FDA issued a final rule requiring that the trade community, when electronically submitting an entry in ACE, provide certain information on all incoming cargo that is subject to FDA regulation. In most cases, FDA finds this information sufficient to determine admissibility. However, in about 3 percent of cases, FDA requests additional information directly from importers, using the agency\u2019s Import Trade Auxiliary Communications System. FDA officials stated that the agency is pursuing improvements in its ability to communicate with importers via ACE."], "subsections": []}, {"section_title": "NHTSA Uses ACE Data to Review Motor Vehicle Imports", "paragraphs": ["National Highway Safety Transportation Administration (NHTSA) NHTSA works to ensure that imported motor vehicles and equipment (e.g., tires) meet U.S. safety standards. According to agency officials, because NHTSA does not have independent authority to hold incoming cargo and does not have any staff at U.S. ports, it relies on U.S. Customs and Border Protection officials to hold and inspect cargo and to take enforcement action if indicated (e.g., seizing goods or denying entry) in consultation with NHTSA. To fulfill its tasks, NHTSA uses its Motor Vehicle Importation Information database to assist in admissibility and targeting decisions.", "NHTSA is using ACE data to review and clear imported motor vehicles and equipment for entry into the U.S. market and works with CBP to assess the compliance of certain products offered for importation. NHTSA established an electronic link between its internal system and CBP\u2019s ACS in 1992. At that time, NHTSA and CBP arranged for importers to submit NHTSA\u2019s required paper form electronically through ACS. In 2015, NHTSA began transitioning to ACE by pilot-testing submission of data for a large ACE message set. According to NHTSA officials, the testing process revealed significant technical problems. Prior to the pilot testing, the trade community expressed concern about the number of data elements that NHTSA asked CBP to collect from the trade community. The Office of Management and Budget determined that certain proposed requirements were burdensome for the trade community and asked NHTSA to eliminate some of these requirements. Subsequently, in March 2016, NHTSA completed its transition to ACE with fewer data requirements.", "In addition to using ACE data, NHTSA continues to obtain information directly from importers, when necessary, through its Motor Vehicle Importation Information system. For example, according to NHTSA officials, the agency requests information through its system when it identifies reporting errors in ACE or when additional information is needed for certain temporary imports, such as vehicles or equipment imported for research or demonstration purposes. NHTSA officials stated that they are working with CBP to overcome a major challenge to efficient collaboration: NHTSA uses vehicle identification numbers to track imported vehicles, while ACE does not. According to NHTSA officials, NHTSA has developed a database to provide public access to manufacturer identification and vehicle identification number-deciphering information submitted by manufacturers. According to NHTSA, CBP port staff have begun accessing the database but it has not yet been linked to ACE."], "subsections": []}, {"section_title": "CPSC Uses ACE Data to Target Imported Consumer Products", "paragraphs": ["Consumer Product Safety Commission (CPSC) CPSC protects the public from unreasonable risk of injury or death associated with consumer products, including over two-thirds of all categories of imported goods, such as toys, children\u2019s sleepwear, and household electronics. CPSC expanded examination of. imported goods in 2008 following passage of the Consumer Product Safety Improvement Act of 2008, which required the agency to develop a risk-assessment methodology for certain imports. CPSC maintains a limited presence at U.S. ports and has independent authority to hold incoming cargo for inspection. The agency employs its Risk Assessment Methodology targeting system to assist in its import oversight responsibilities by generating potential targets for inspection.", "CPSC uses only ACE data collected under CBP authority to support its oversight of consumer product imports and is considering expanding the information it receives from ACE. CPSC\u2019s internal Risk Assessment Methodology targeting system focuses on 300 high-risk categories of imports listed by CPSC, using U.S. Harmonized Tariff Schedule codes, and currently receives the standard data that CBP obtains via ACE on all imported goods under the agency\u2019s jurisdiction, according to CPSC officials. After launching an initial pilot version of its system in 2011, CPSC initiated discussion with the trade community in 2014 about expanding its electronic data reporting requirements to add certain data elements to the ACE message set that would assist the agency in determining whether incoming products meet applicable standards. However, CPSC reduced the scope of the proposed expansion of reporting requirements after trade community representatives expressed concerns. In 2016, CPSC concluded an initial, limited pilot test of electronic filing of several additional data elements. According to CPSC officials, the agency plans to study the benefits of adding these elements before it initiates a second pilot and has not reached a final decision about requiring importers to submit any additional information through ACE.", "CPSC staff continue to rely primarily on the agency\u2019s internal targeting system to target incoming shipments for review and possible inspection, with contributions from CPSC staff at CBP\u2019s Commercial Targeting and Analysis Center and at ports, according to CPSC officials. These officials stated that the agency\u2019s representative at the Commercial Targeting and Analysis Center employs CBP and CPSC resources to generate about 30 percent of the targeting orders disseminated to CPSC staff at ports. Agency staff at two New York ports told us that ACE can be a useful source of additional information for their local targeting efforts."], "subsections": []}, {"section_title": "APHIS Makes Limited Use of ACE Data to Review Imports for Agricultural Risks", "paragraphs": ["Animal and Plant Health Inspection Service (APHIS) APHIS collaborates with Customs and Border Protection agricultural specialists to keep agricultural pests and diseases out of the United States. In pursuit of this mission, the agency maintains Plant Protection and Quarantine and Veterinary Services units at some ports of entry and operates its own data analysis system, the Agriculture Risk Management system. APHIS also implements a requirement to file a plant and plant produce import declaration on arrival in the United States, as mandated under the 2008 Lacey Act. Importers may file the declaration in ACE or in APHIS\u2019s Lacey Act Web Governance System.", "APHIS\u2019s use of ACE data remains limited while the agency works to expand linkages between its data processing systems and ACE. According to APHIS officials, the agency did not establish an electronic link to ACS, ACE\u2019s precursor system, and instead used paper forms in its import review processes. In 2016, the agency pilot-tested electronic submission of APHIS-specific partner agency message set data through ACE and subsequently announced that data could be submitted through ACE for APHIS compliance review. However, trade community participation remains voluntary except for Lacey Act\u2013covered imports. According to APHIS officials, companies that import APHIS-regulated products have been slow to invest the resources required to transition to reporting through ACE and, as a result, use paper forms to submit information about most shipments of such products. However, APHIS officials observed that reporting through ACE occurs for a small but growing share of all imports subject to APHIS regulation.", "APHIS has been collaborating with CBP to provide for the effective flow of information between ACE and APHIS\u2019s systems, but these efforts remain incomplete. While staff of APHIS\u2019s Veterinary Services unit may access ACE data directly to complete their import review processes, APHIS intends for its Plant Protection and Quarantine staff to access ACE data through the agency\u2019s Agriculture Risk Management system, according to APHIS officials. However, these officials informed us that the functionality required for accessing ACE data through that system is still under development. They explained that Plant Protection and Quarantine staff will use ACE to receive and reply to inquiries from, and provide assistance to, CBP agricultural specialists regarding incoming cargo requiring inspection and that significant coordination is required to fully integrate the two agencies\u2019 data processing systems.", "APHIS officials observed that a CBP requirement for partner agencies to complete extensive background checks of staff before they can receive access to ACE has presented another obstacle to greater use of the system by staff of both Plant Protection and Quarantine and Veterinary Services. In November 2017, APHIS officials informed us that more than 100 agency staff had completed these background checks and thus had access to ACE but that the current number of users remained insufficient to process many APHIS-regulated goods in ACE."], "subsections": []}, {"section_title": "Fish and Wildlife Service Makes Little Use of ACE Data", "paragraphs": ["Fish and Wildlife Service (FWS) FWS monitors wildlife trade and works to prevent the illegal importation or exportation of species (including parts and products thereof) that are regulated under the Convention on International Trade in Endangered Species of Wild Fauna and Flora and U.S. wildlife laws and regulations, according to U.S. Customs and Border Protection (CBP). Virtually all wildlife imports and exports must be declared to FWS and cleared by FWS wildlife officers, according to CBP. To carry out its responsibilities, FWS maintains staff at 38 U.S. ports and generally requires that all internationally traded wildlife and wildlife products be routed through designated ports. FWS staff are able to place holds on, to inspect, and to deny entry or exit to incoming or outgoing cargo, according to agency officials. FWS staff obtain information about incoming or outgoing cargo from data filed by the trade community in the agency\u2019s own data analysis and targeting system, the Law Enforcement Management Information System.", "FWS use of ACE data in its import review and regulation activities has been minimal, in part because of technical challenges. According to FWS officials, the agency attempted during the 1990s to integrate its activities with ACS. After concluding that ACS did not meet FWS needs, the agency discontinued these efforts in 2000 and developed its own Electronic Declarations system for the trade community to submit data to the agency\u2019s data analysis and targeting system. Agency officials told us that FWS port staff may access ACE and that some find it a useful source of additional information on incoming cargo. However, FWS has not yet integrated ACE into FWS operations.", "FWS officials told us that lack of alignment between the Harmonized Tariff Schedule codes that CBP uses to organize its work and FWS\u2019s regulatory responsibilities constitutes a significant challenge in integrating ACE into FWS operations. For example, the tariff schedule may indicate only that an import is leather footwear, while FWS operations may also require additional information about the leather\u2019s source, such as the type of animal, its nation of origin, and its domestication status. According to FWS and CBP officials, FWS has so far been unable to overcome this difficulty.", "According to FWS officials, the agency pilot-tested participation in ACE during 2016 but suspended the test in January 2017 in light of trade community concerns about expanded reporting requirements, lack of clarity in the requirements, and uncertainty regarding FWS\u2019s authority to collect data electronically. According to FWS officials, the agency subsequently began efforts to reach agreement with trade community representatives and CBP on an approach to data collection through ACE that will meet the needs of both FWS and the trade community. FWS officials stated in November 2017 that these discussions had produced an interim solution and were continuing and that FWS and CBP planned to resume pilot testing in March or April 2018."], "subsections": []}]}]}, {"section_title": "ACE Users Report Cost Savings and Enforcement Benefits", "paragraphs": ["CBP and partner agency officials and trade community representatives told us that their use of ACE has reduced costs by increasing the efficiency of trade processing. CBP and partner agency officials also reported that the system has strengthened their ability to enforce trade laws and regulations. CBP has developed metrics for itself and the trade community that estimate savings associated with the increased efficiency of some processes in ACE. According to CBP documents and officials, the agency plans to expand its metrics for capturing ACE benefits\u2014for example, to estimate the value of increased efficiencies for partner agencies and to measure any savings associated with the remaining core ACE capabilities after they are implemented."], "subsections": [{"section_title": "ACE Users Report the System Has Improved Efficiency, Reduced Costs, and Enhanced Enforcement", "paragraphs": [], "subsections": [{"section_title": "Agencies and Trade Community Report Improved Efficiency and Associated Savings", "paragraphs": ["CBP, partner agencies, and trade community representatives who use ACE to conduct their work told us that the use of ACE had improved the efficiency of import processing and brought associated cost savings.", "Fewer paper records. According to CBP officials at the Port of New York, the use of ACE for electronic data submission has significantly reduced reliance on paper forms in processing imports. The officials noted that before ACE was implemented, their reception area was typically filled with couriers delivering large volumes of paper for manual processing. CBP officials told us that electronic data submission through ACE had allowed CBP and partner agencies to automate over 250 paper forms. In addition, one trade community representative we spoke with said that elimination of paper records had been the primary benefit realized through ACE implementation.", "CBP has estimated, on the basis of an informal poll survey of private companies, that eliminating document delivery to CBP offices would save $25 per courier trip.", "Faster processing. According to CBP and partner agency officials, ACE\u2019s automated review of data submitted by importing companies speeds the agencies\u2019 processing and clearing of eligible shipments for release. CBP officials at the Port of New York commented that although reviewing and clearing incoming cargo for release through ACS required approximately 24 hours, performing this process through ACE takes only a few minutes if data are complete and properly formatted and if the cargo does not require inspection. For example, CBP officials stated that the Environmental Protection Agency formerly took an average of about 4 days to clear cargo for release into the U.S. market but now takes only seconds to clear nonproblematic shipments. CBP officials further observed that the reduction in document processing and the elimination of manual data review for nonproblematic imports increases the time available for CBP officials at ports to engage in tasks such as examining cargo that may violate U.S. trade and customs laws. In addition, NHTSA officials stated that ACE had substantially speeded their review and clearance process. Further, FDA reported that since the agency\u2019s cargo review and clearance process had been linked to ACE, the portion of incoming FDA-regulated cargo receiving an automated \u201cmay proceed\u201d had increased from 26 to 62 percent and processing time for these entries averaged less than 2 minutes. According to trade community representatives and CBP officials, ACE has also dramatically reduced the time required to file bond applications, from several days to a few seconds.", "Reduced labor and storage costs. CBP officials and trade community representatives reported that efficiency improvements resulting from the use of ACE can lead to substantial labor- and storage-cost savings for the trade community. CBP officials observed that expedited processing can reduce storage and demurrage costs for importers. For example, CBP officials commented that companies in the Newark, N.J., area could be charged $250 to $300 per day to store a container awaiting clearance to enter the U.S. market.", "Fewer supply chain disruptions. CBP and trade community representatives reported that ACE had reduced the negative impacts that import processing delays can have on company supply chains. For example, a pharmaceutical company representative stated that ACE had reduced delays in processing incoming cargo that, before ACE was implemented, sometimes lasted for 10 days or longer, resulting in costly supply chain failures. According to this representative, a longer-than-expected delay of an imported material that is a vital ingredient in a time-sensitive clinical trial or a treatment could result in significant material losses."], "subsections": []}, {"section_title": "CBP and Partner Agencies Report ACE Has Improved Enforcement", "paragraphs": ["While ACE is not a targeting system, the data that ACE provides has improved CBP\u2019s and partner agencies\u2019 ability to identify and examine incoming cargo for inspection, according to CBP and partner agency officials. For example, ACE, in addition to other sources, provides data that CBP uses in its Automated Targeting System and that most of the partner agencies we examined use in their data analysis and targeting systems to flag relatively high-risk cargo for possible inspection by port officials. (See text box for examples of CBP\u2019s and partner agencies\u2019 targeting efforts.)", "Examples of CBP and Partner Agency Efforts to Target High-Risk Imports U.S. Customs and Border Protection (CBP) and its partner agencies perform targeting of imports at the national and local levels. For example:", "CBP. At the national level, CBP maintains the Automated Targeting System, which compares traveler, cargo, and conveyance information against law enforcement, intelligence, and other enforcement data, using risk-based targeting scenarios and assessments to identify relatively high-risk cargo. CBP also operates the Commercial Targeting and Analysis Center, which facilitates targeting and enforcement information sharing among partner agencies involved in clearing or licensing cargo. In addition, CBP maintains five National Targeting and Analysis Groups, each targeting higher-risk imports related to one of the CBP\u2019s priority trade issues. For instance, the National Targeting and Analysis Group for Trade Agreements targets shipments for which the country of origin has been misrepresented to avoid import duties. CBP officials at ports of entry also conduct locally focused targeting efforts.", "Partner agencies. All five of the partner agencies we selected for our review\u2014the Food and Drug Administration, the National Highway Traffic Safety Administration, the Consumer Product Safety Commission, the Animal and Plant Health Inspection Service, and the Fish and Wildlife Service\u2014work with CBP in the Commercial Targeting and Analysis Center while also employing their own import data analysis and targeting systems. In addition, agencies with personnel at U.S. ports of entry may conduct locally focused targeting efforts.", "CBP officials indicated that ACE had improved their trade enforcement efforts. For example:", "CBP officials stated that ACE\u2019s streamlining of import processing helps to better ensure compliance with trade laws and regulations. CBP port staff stated that reduction in the time required to process paper forms has allowed them to devote more time to higher value- added activities such as inspecting incoming cargo. In addition, CBP officials at the Commercial Targeting and Analysis Center said that it was easier to access and generate reports in ACE than in ACS.", "CBP officials observed that ACE\u2019s collection of additional information facilitates trade enforcement. Officials in the agency\u2019s National Targeting and Analysis Groups explained that ACE functions as a valuable system of record that can be employed to refine and focus targeting efforts, as the results of each examination undertaken are recorded in ACE for future reference. Similarly, CBP officers in the New York area said that ACE was a valuable source of additional information\u2014for example, data on particular products or importing companies\u2014that helped them in their local targeting efforts.", "In addition, partner agency officials at ports indicated that ACE data were indirectly or directly useful in their enforcement efforts. For example, FDA officials in the New York area told us that, while they do not access ACE directly, FDA\u2019s targeting system, on which they primarily rely, does access ACE data. FDA headquarters officials noted that ACE provides the agency\u2019s targeting system with more data elements than it received through ACS and that this has led to greater processing efficiency. A CPSC port official stated that he found ACE a very useful source of information that helped him to refine his local targeting efforts.", "CBP expects the use of ACE to also yield indirect, economy-wide benefits by improving the targeting of shipments that violate U.S. trade policy, according to a CBP official and a CBP analysis. For example, according to a CBP official we interviewed, more-thorough enforcement of U.S. anti- dumping and countervailing duty orders would reduce the entry of products that unfairly compete with U.S. producers. Similarly, a cost- benefit analysis that CBP conducted in 2002 cited reduced predatory or unfair trade practices as a potential benefit of ACE. In addition, the CBP official observed that the use of ACE for targeting shipments could help to prevent injuries to American consumers by reducing the number of unsafe foreign products that enter the U.S. market."], "subsections": []}]}, {"section_title": "CBP Has Developed, and Plans to Expand, Metrics to Estimate the Value of Process Efficiencies Gained through ACE", "paragraphs": [], "subsections": [{"section_title": "CBP Has Developed Some Metrics to Value Efficiency Gains for Itself and the Trade Community", "paragraphs": ["CBP has developed metrics to estimate the value of efficiency gains associated with the use of some of the implemented ACE capabilities for itself and the trade community. CBP\u2019s metrics capture reductions in the time required for CBP staff to complete certain import processes now included in ACE and translate these efficiency gains into dollar values. CBP performs similar calculations for the trade community, using survey data from companies on the savings they estimate are realized when import processes are transitioned into ACE. For fiscal year 2017, CBP estimated that efficiencies gained through the implemented core ACE capabilities for which it had developed metrics had a total value of nearly $28 million for itself and about $52 million for the trade community. These metrics estimate potential cost savings associated with efficiency gains resulting from the use of ACE, according to CBP officials; the estimates do not account for CBP\u2019s costs for developing and maintaining ACE, which, according to CBP, amounted to about $118 million in fiscal year 2017. In addition, the estimates do not account for costs that the trade community has sustained in adapting to ACE. For example, one representative of a large company estimated that the total cost of developing appropriate software had exceeded $12 million.", "CBP\u2019s metrics capture increased efficiency gains in a number of areas. For example, ACE includes a feature that allows members of the trade community to submit corrections to data on incoming shipments after the data have been summarized and presented to, and accepted by, CBP.", "Importers formerly requested such \u201cpost summary corrections\u201d by submitting a paper form for CBP\u2019s review. To capture the value of this procedural change for CBP, the agency surveys CBP officials to determine their time savings on each post summary correction and multiplies the average per-transaction time saved by the number of summaries submitted and the CBP officials\u2019 average hourly compensation rate. To capture the value of the change for members of the trade community, CBP surveys importers, brokers, and shippers to determine their average savings for each transaction and multiplies the reported savings by the number of summaries submitted. CBP\u2019s metrics also capture reductions in the time that CBP officers devote to completing primary processing for incoming cargo, the time that trucks must spend waiting at border crossings for clearance to enter the United States, and the time that CBP and members of the trade community devote to processing applications for customs bonds, among other things.", "CBP\u2019s estimate of the value of efficiencies resulting from the use of ACE has grown over time. For example, for fiscal year 2014, CBP estimated the total value of these efficiencies for CBP and the trade community at about $33 million\u2014about 40 percent of the total value of such efficiencies CBP reported for fiscal year 2017. This increase reflects CBP\u2019s progress in deploying core capabilities and in developing and applying metrics to capture the capabilities\u2019 value to CBP and the trade community. The increase in the estimated value also reflects growing use of ACE by partner agencies and members of the trade community. For example, the number of import entry summaries that partner agencies filed in ACE increased fourfold in the 3-year period from January 2014 through January 2017.", "According to CBP officials, CBP and partner agencies are unable to develop metrics to quantify trade enforcement benefits that may have resulted from their use of ACE, in part because of a lack of baseline information and the difficulty of isolating such impacts. For example, an increase in seizures may reflect increased efforts, increased efficiency in those efforts, or an increase in the volume of imports subject to seizure. Similarly, according to a CBP official, a lack of baseline information makes it difficult to assess any broader impacts of improved trade enforcement resulting from the use of ACE, such as prevention of injuries to American consumers through better targeting of harmful foreign products."], "subsections": []}, {"section_title": "CBP Plans to Expand Its Metrics for Savings and Other Benefits", "paragraphs": ["CBP reported that it is working to expand its metrics for estimating cost savings associated with improved trade processing efficiencies and other benefits resulting from the use of ACE.", "CBP officials stated that they expect to have collected sufficient data in the near future to begin reporting on the estimated dollar value of efficiencies that partner agencies are realizing through ACE. While CBP measures efficiency improvements and associated savings resulting from CBP and the trade community\u2019s use of ACE, CBP and most partner agencies currently do not collect or report information about efficiency improvements or associated savings that the partner agencies may have realized.", "CBP has prepared baseline information that will allow it to measure efficiency improvements and estimate any savings associated with several post-release core ACE capabilities, including reconciliation, liquidation, and drawback, after they are implemented. For example, on the basis of an internal study completed in late 2016, CBP has determined that agency officials take about 1.8 hours, on average, to process a drawback entry summary. Comparing this average time with the average time required after this post-release capability is implemented in ACE will allow CBP to calculate the average time saved per transaction. CBP plans to obtain comparable information from the trade community to allow similar calculations of efficiency improvements for importing companies.", "CBP officials stated that, while the agency does not currently measure any improvement in revenue collection that may have resulted from the implemented capabilities, CBP plans to undertake efforts to better understand the current revenue collection environment and to explore ways to collect baseline information on revenue collections. The officials said that CBP intends to identify revenue collection metrics that are quantifiable and reportable after it deploys the liquidation and reconciliation capabilities in ACE and completes deployment of collections.", "According to CBP documents, CBP\u2019s Office of Trade has outlined a strategy for improving the agency\u2019s ability to measure benefits resulting from the use of ACE. CBP documents indicate that this strategy will include efforts to measure, to the extent that data are available, the impact of any enhancements to the system after implementation of core capabilities is complete, including enhancements identified as critical components in improving import or export operations."], "subsections": []}]}]}, {"section_title": "Approach to Managing ACE after Implementation of Core Capabilities Has Not Been Established", "paragraphs": ["CBP does not have a process in place to manage the continued development of ACE after February 2018, when it finished implementing most of the capabilities it identified as core. ACE users in CBP, partner agencies, and the trade community have identified a number of shortcomings in ACE and have suggested enhancements to address them. CBP has identified a small number of enhancements suggested by CBP and the trade community as near-term priorities and identified a number of others to consider for priority status. However, a substantial number of additional suggested enhancements, including submissions from partner agencies, remain unaddressed. Further, a process for prioritizing all suggested enhancements has not been established. Moreover, funding for the continued development of ACE after fiscal year 2018\u2014including funding to address most of the suggested enhancements\u2014has not been identified. CBP and its partner agencies are working to establish a management approach that includes processes for prioritizing and funding enhancements from all sources, but it is unclear when these discussions will conclude or the extent to which they will resolve outstanding issues. Federal guidance calls for establishing the organizational structure necessary to achieve objectives, including compatible means of operating across agency boundaries."], "subsections": [{"section_title": "ACE Users Have Identified Shortcomings in ACE and Suggested Enhancements to Address Them", "paragraphs": ["ACE users in CBP, the trade community, and partner agencies have identified a variety of shortcomings in ACE and have suggested enhancements to address them. Examples of reported shortcomings include the following:", "CBP officials tasked with validating data in ACE to assess compliance with trade laws and with processing importers\u2019 protests of duty assessments told us that performing those tasks in ACE is labor intensive and cumbersome.", "CBP and agency officials noted that ACE has not yet been updated to respond to a number of legal requirements, including several TFTEA provisions and agency regulations necessitating certain enhancements to ACE.", "Some partner agency officials cited capabilities that were included in ACS but, despite being needed by the agencies for their import review and enforcement responsibilities, had not been deployed in ACE.", "CBP agriculture specialists identified a number of shortcomings in ACE capabilities for processing imported agricultural goods. ACE contains a \u201cworkspace\u201d specifically designed for agricultural goods, but it is incomplete.", "Trade community officials highlighted the need for a variety of improvements in the arrival/cargo-release and post-release phases of the import process, such as improving the ability of agency officials and the trade community to send messages in ACE and increasing the size of files that the trade community can submit.", "A 2016 CBP survey of ACE users, including trade community representatives and partner agency officials, found that while the majority of respondents were satisfied with the ease of using ACE, substantial minorities (29 percent of CBP respondents, 36 percent of partner agency respondents, and 31 percent of trade community respondents) were dissatisfied, citing concern with navigation and functional limitations.", "In response to such shortcomings, ACE users have submitted a large number of suggestions for enhancements to ACE. According to a CBP document, as of July 2017, 671 enhancements had been submitted since the early 2000s and many of these had been addressed; however, a third of those submitted (223) remained to be addressed. Of the unaddressed enhancements, nearly three-quarters were submitted by trade community representatives (see fig. 3). According to CBP officials, funding constraints, as well as the effort required to complete deployment of core ACE capabilities within established time frames, largely precluded efforts to address enhancements over the last year. CBP officials stated that, because ACE is not funded to support enhancements, funding for enhancements suggested by CBP or the trade community must be provided by a CBP unit and funding for enhancements suggested by a partner agency must be provided by that agency.", "While postponing action on these suggestions, as of November 2017 CBP had prioritized seven enhancements suggested by CBP staff or the trade community to be implemented in the near term, most of them in response to legal or technical requirements. CBP also had identified 22 additional enhancements suggested by CBP staff or the trade community for consideration as priorities.", "Prioritized enhancements. CBP\u2019s seven prioritized ACE enhancements include two that had been scheduled for implementation in fiscal year 2017 and five that were scheduled for implementation as post-core activities begin. According to CBP officials, the agency prioritized three of the seven enhancements in response to provisions in TFTEA; one of these three, pertaining to drawback processes, was necessitated by changes in the act, and the other two were intended to support changes in CBP procedure mandated by the act, according to CBP officials (see table 3). The CBP officials said that a fourth enhancement was required to comply with a new electronic filing rule by the U.S. Court of International Trade and that a fifth was needed to correct technical obsolescence. As table 3 shows, the information that CBP officials provided identified in general terms the enforcement or other benefits that could be realized through addressing these prioritized enhancements. As the table shows, as of September 2017, CBP had identified funding for three of these seven priorities.", "Accepted but unprioritized enhancements. CBP officials also provided us with a list of 22 unprioritized enhancements suggested by CBP staff and the trade community that had been presented to CBP\u2019s Product Management Committee for assessment and possible prioritization. Several of these enhancements are aimed at strengthening ACE provisions for processing agricultural imports. For example, one enhancement would improve the interface between ACE and various Department of Agriculture subsystems, reducing the need to manually enter data in multiple systems. Another enhancement would integrate the ACE agricultural workspace and CBP\u2019s Automated Targeting System, strengthening targeting for agricultural imports. The list of unprioritized enhancements also includes initiatives to simplify several import processing steps for the trade community, allowing faster processing and associated cost savings."], "subsections": []}, {"section_title": "Process for Prioritizing Enhancements from All Sources Has Not Been Established", "paragraphs": ["While CBP has a process for prioritizing enhancements suggested by its own staff or by members of the trade community (see text box), no process has been established for prioritizing enhancements suggested by partner agencies or for making priority decisions among all suggested enhancements, including those submitted by partner agencies. Enhancements suggested by partner agencies are provided to the Border Interagency Executive Council (BIEC) for prioritization. The BIEC, which CBP chairs, was created to improve coordination among ITDS partner agencies. The BIEC\u2019s responsibilities extend to reviewing and prioritizing partner agency suggestions for enhancing ACE, according to CBP officials. However, CBP officials told us in September 2017 that the BIEC did not have explicit criteria for prioritizing partner agency suggestions and had not yet agreed on a cost-sharing strategy that would allow multiple agencies to share the cost of enhancements that might benefit those agencies. In the absence of such a process, CBP has been evaluating partner agency\u2013suggested enhancements on a first-come, first-served basis, and partner agencies requesting such enhancements are required to pay for them on a fee-for-service basis, according to CBP officials.", "CBP\u2019s Documented Process for Prioritizing ACE Enhancements Suggested by CBP Staff or the Trade Community", "CBP policy offices consider six criteria to decide whether to accept or reject enhancements suggested by CBP and the trade community: (1) completion of technical requirements to assess the required level of effort; (2) legal and regulatory provisions; (3) overlap with, or connection to, other enhancements in development or already deployed; (4) availability of funding and contract vehicles; (5) possible burden on trade, especially on existing coding or business processes; and (6) possible burden on CBP. CBP adds accepted enhancements to a list of \u201cunprioritized initiatives.\u201d", "CBP\u2019s Product Management Committee considers four criteria in assessing unprioritized initiatives for placement on the agency\u2019s \u201cshort list\u201d of priorities: (1) the enhancement aligns with a CBP mission priority, (2) the enhancement meets a legislative or regulatory requirement, (3) the enhancement is associated with a security protocol or gap, and (4) funding for the enhancement is available. According to CBP officials, an affirmative response to one or more of these criteria yields a higher probability that the enhancement will be deemed a priority. To prepare enhancements for development and deployment, CBP estimates the level of effort required, gathers high-level requirements, and conducts impact assessments. Once planning is complete, the CBP policy office sponsoring the priority develops a business case for initiatives on the \u201cshort list\u201d of priorities, including budget justification and information on potential benefits/return on investment."], "subsections": []}, {"section_title": "Funding for ACE Development after Fiscal Year 2018 Has Not Been Identified", "paragraphs": ["Although CBP identified funding to complete the implementation of core ACE capabilities as defined by CBP in fiscal year 2018, officials of CBP and its partner agencies stated that they have not identified funding for the continued development of ACE, including most of the enhancements that have been suggested by CBP, the trade community, or partner agencies. Through fiscal year 2017, CBP maintained separate accounts to support ACE operations and maintenance and ACE acquisitions\u2014that is, development and deployment of new ACE capabilities. According to CBP officials, the agency\u2019s ACE acquisition funds were used exclusively to develop and deploy ACE capabilities that the agency defined as core. Neither acquisition funds nor operations and maintenance funds were available for enhancements to the core system, according to the officials.", "However, CBP officials told us in November 2017 that, beginning in fiscal year 2018, the agency\u2019s planned annual budgets for ACE would include funds only for operations and maintenance and would no longer include funds to support acquisitions. CBP officials stated that the agency had identified additional funding to complete core ACE capabilities, other than collections, in fiscal year 2018 and to ensure that these capabilities operate in concert with ACS, which the agency uses for collections. However, the agency had not yet identified funding for several enhancements that CBP considered near-term priorities (see table 3) or for the longer list of accepted but unprioritized enhancements suggested by CBP staff or the trade community. CBP officials estimated that supporting post-core development will require about $7 million in additional funds in fiscal year 2019 and slightly more than $14 million annually in additional funds in the succeeding 3 years. Figure 4 summarizes CBP\u2019s anticipated ACE funding requirements for fiscal years 2019 through 2022, as identified by CBP in November 2016 and September 2017."], "subsections": []}, {"section_title": "Approach to Managing ACE after Completion of Core Capabilities Has Not Been Finalized", "paragraphs": ["CBP is working with its partner agencies in the BIEC to reach agreement on an approach to managing ACE\u2019s continued development after completing the implementation of core capabilities, but this approach has not been finalized. According to CBP officials and some partner agency officials, the BIEC is seeking agreement on processes for prioritizing all suggested enhancements and for sharing the costs of maintaining and enhancing the system.", "Process for prioritizing enhancements. According to CBP officials, the BIEC is developing a process for prioritizing enhancements, including criteria to be applied and a governance process to guide decision making. CBP officials stated that this process would be applied to all suggested enhancements, regardless of their source.", "Process for sharing costs. According to CBP officials, the BIEC agreed in early 2016 to begin working toward consensus among CBP and its partner agencies on an approach to sharing future ACE operations and maintenance and development costs. This consensus is to include an agreement on criteria for classifying suggested enhancements as operations and maintenance or as new capabilities and on funding arrangements for both categories. Additionally, the Office of Management and Budget requested the Department of Homeland Security and CBP to develop a cost-sharing framework, according to CBP.", "However, the BIEC has not yet finalized a management approach to address these tasks. According to CBP, in early December 2017 the BIEC produced a document, titled \u201cBIEC Principals Single Window Sustainment Decision Memorandum,\u201d proposing a \u201csustainment model\u201d for ACE and received partner agency comments on this document later that month. CBP did not provide us with copies of the memorandum or the partner agencies\u2019 comments but stated that the comments covered the following areas: acceptance of a proposed definition of operations and maintenance and a \u201cpay as you go\u201d funding model, evaluation criteria for prioritizing suggested enhancements, and an overall process for making prioritization decisions. According to CBP officials, a draft cost-sharing and prioritization process plan was distributed to the BIEC principals and discussed in detail at a principals meeting on January 30, 2018, and work on refining and finalizing this plan is continuing. CBP officials estimated that this process would be completed by October 31, 2018.", "In light of funding constraints and the need for broad interagency agreement to adopt processes such as those reportedly under discussion in the BIEC, it is unclear whether these discussions will conclude within the specified time frame or whether the sustainment model will resolve all outstanding issues in a manner satisfactory to participating agencies. For example, according to FDA and Treasury officials, some partner agencies maintain that certain improvements to ACE suggested by partner agencies should be regarded as part of the core system\u2014traditionally supported by CBP acquisition funds\u2014rather than treated as enhancements that must be supported by the agencies that suggest them. It remains unclear how such enhancements will be categorized or funded, since CBP has indicated that it will no longer allocate funds to ACE acquisition and that operations and maintenance funds have traditionally not been used for such purposes.", "The solutions to these unresolved issues will affect both CBP and its partner agencies, according to agency officials. FDA officials observed that CBP will not fund or implement additional capabilities without funding for these efforts, whether through its own budget or from partner agencies. Treasury officials observed that interagency coordination and transfers of funding are cumbersome, costly processes. FDA officials also commented that, rather than try to arrange cost sharing with other agencies that may have funding constraints, partner agencies might develop alternative systems to compensate for capabilities lacking in ACE. FDA officials observed that this could result in multiple agencies\u2019 developing separate systems to meet similar needs.", "According to Standards for Internal Control in the Federal Government, management should establish an appropriate organizational structure and communicate effectively to achieve agency objectives. In addition, key practices to enhance and sustain interagency collaboration include articulating a common outcome, establishing mutually reinforcing or joint strategies, and establishing compatible means of operating across agency boundaries. Until CBP, in collaboration with partner agencies, finalizes its management approach to ACE, including processes for prioritizing, and sharing costs for, critical enhancements, U.S. agencies and the trade community will not realize the system\u2019s full potential benefits."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The need for an international trade data system to enhance U.S. agencies\u2019 efficiency and effectiveness in processing cargo and enforcing U.S. trade laws has long been clear. Indeed, information available from CBP, partner agencies, and the trade community points to savings and enforcement benefits resulting from the implemented core ACE capabilities, including faster import processing; improved targeting; and other benefits to partner agencies, the trade community, and consumers. However, realization of the full benefits of transitioning to ACE continues to be hampered by a variety of functional shortcomings\u2019.", "CBP and its partner agencies recognize the need to agree on an approach to maintaining and continuing to develop the system after core ACE is completed. While CBP recently completed deployment of most of the capabilities that it identified as core, CBP and its partner agencies in the BIEC have not yet agreed on processes for prioritizing enhancements\u2014including those that ACE users have suggested to improve the system\u2014and for sharing the costs of operating and enhancing the system. Until CBP, in collaboration with its partner agencies, finalizes an approach to post-core management of ACE that includes such processes, as well as time frames for implementing them, CBP, its partner agencies, and the trade community will not realize the full potential benefits of the substantial investment ACE represents."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to DHS: The Secretary of Homeland Security should ensure that the Commissioner of CBP, in collaboration with partner agencies, finalizes an interagency approach to the post-core management of ACE that includes (1) processes for prioritizing enhancements to ACE and for sharing ACE operations and maintenance and development costs, including the costs of suggested enhancements among partner agencies that may benefit, and (2) time frames for implementing such processes. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS; the Departments of Agriculture, Health and Human Services, the Interior, the Treasury, and Transportation; and CPSC. DHS provided substantive comments, which are reproduced in appendix III. In addition, DHS; the Departments of Health and Human Services, the Interior, Transportation, and the Treasury; and CPSC provided technical comments, which we incorporated as appropriate. The Department of Agriculture did not provide comments.", "In its substantive comments, DHS concurred with our recommendation. DHS also reported that some steps toward developing an interagency approach to post-core management of ACE had been taken after we distributed our draft report for agency comment. DHS estimated that the process would be completed by the end of October 2018. We updated our report accordingly.", "We are sending copies of this report to the appropriate congressional committees, the Commissioner of CBP, the Secretaries of the Departments of Agriculture, Health and Human Services, the Interior, the Treasury, and Transportation. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8612 or gianopoulosk.gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examine (1) the status of U.S. Customs and Border Protection\u2019s (CBP) efforts to implement core Automated Commercial Environment (ACE) capabilities since 2013, (2) CBP partner agencies\u2019 access to ACE and use of the system for import processing, (3) available information about any cost savings and trade enforcement benefits that have resulted from using ACE, and (4) the approach that will be used to manage ACE after core capabilities have been completed.", "To examine CBP\u2019s efforts to implement ACE since 2013, we obtained information from CBP\u2019s Office of Information Technology and Office of Trade, which have been responsible for developing and administering ACE. CBP documents reviewed include ACE deployment schedules, acquisition decision memos, remediation plans, cost estimates, and a staff post mortem report on the ACE acquisition process. We also interviewed officials from CBP and five partner agencies regarding the ACE acquisition process since 2013: the Department of Health and Human Services\u2019 Food and Drug Administration (FDA), the Department of Transportation\u2019s National Highway Traffic Safety Administration (NHTSA), the Consumer Product Safety Commission (CPSC), the Department of Agriculture\u2019s Animal and Plant Health Inspection Service (APHIS), and the Department of the Interior\u2019s Fish and Wildlife Service (FWS). We selected these five agencies on the basis of their size (to include both large and small agencies), the degree to which they require documentation for clearing or licensing cargo, and recommendations from officials of CBP and the Department of the Treasury regarding agencies that would provide a range of experience in transitioning to ACE. We also reviewed prior GAO reports on ACE acquisition. While ACE is designed to permit management of both exports and imports, we focused on the implementation of ACE capabilities to manage imports, because CBP\u2019s efforts to complete and improve ACE functionality are currently focused primarily on import trade.", "To examine other agencies\u2019 progress in accessing and using ACE data, we obtained summary information on ACE usage for CBP\u2019s 49 partner agencies, including information such as whether an agency had a memorandum of understanding with CBP regarding ACE access, whether it accessed trade data through ACE data and how it did so. While we collected information on all 49 partner agencies, we focused our analysis on the 22 partner agencies that CBP identified as requiring documentation for clearing or licensing cargo for import or export. To collect this information, we identified and reviewed Federal Register notices posted by the agencies. We obtained documentation on agency participation in ACE from CBP officials and from the Department of the Treasury. We also discussed the documentation and our descriptions with CBP officials and partner agency officials. To understand how the five selected agencies used ACE, we conducted case studies that included reviewing CBP user guidance documents and documents from the respective agencies on their transitions and interviewing agency officials in Washington, D.C., and at the ports of New York and Newark.", "To examine available information about actual and potential cost savings and enforcement benefits from using ACE, we obtained information on efforts by CBP, partner agencies, and companies involved in international trade to identify and measure efficiency gains and potential cost savings. The CBP documents we reviewed included listings and definitions of metrics for determining efficiency gains and CBP\u2019s method for using those to calculate potential cost savings, and also documentation of CBP\u2019s process for determining the reliability of the data and measures. In addition, we reviewed a 2015 report on CBP\u2019s ACE metrics by the DHS Office of the Inspector General, which recommended that CBP strengthen its metrics; the Inspector General subsequently closed those recommendations as implemented. On the basis of our review of the available information, we determined that CBP\u2019s metrics were sufficiently reliable for the purpose of conveying the estimated value of these efficiency gains. To understand earlier CBP estimates of potential cost savings from ACE, we reviewed a cost-benefit analysis conducted and revised by CBP during 2002-2004. We also reviewed a more recent cost benefit analysis conducted by FDA. In addition, we interviewed officials at CBP and the 5 case study partner agencies regarding information on potential cost savings and other benefits from ACE, including officials in CBP\u2019s Office of Enforcement who discussed challenges with developing metrics to measure enforcement benefits. In addition, to obtain information on observed and potentials benefits and cost savings of ACE to importers and exporters, and related companies, we interviewed representatives of these companies. We also obtained information from CBP regarding their preparations to assess the benefits of enhancements to ACE after core ACE capabilities are completed. We interviewed CBP and agency officials in Washington, D.C., and at the ports of New York, N.Y., and Newark, N.J., concerning benefits and challenges associated with using ACE. We selected these ports because they allowed us to interview CBP officials charged with processing a large volume of diverse imported goods, representing both air and sea cargo. These ports also afforded an opportunity to interview field staff representing four of our five case-study agencies (APHIS, CPSC, FDA, and FWS). We also discussed these issues with CBP officials with the agency\u2019s Center for Commercial Targeting and Analysis, each of CBP\u2019s five National Targeting and Analysis Groups, and six of the agency\u2019s 10 Centers of Excellence and Expertise (national-level CBP units responsible for processing imported goods associated with designated industry sectors), which we judgmentally selected. We also discussed these issues with 16 trade community representatives\u2014that is, representatives of companies that buy and sell internationally traded products as well as brokers and shippers that work for and with these companies\u2014some of whom participate in organizations that advise CBP regarding its operations. These 16 representatives included members of the Trade Support Network, a private sector group created to provide input to CBP on its business processes, including ACE; the Commercial Customs Operations Advisory Committee, a private sector group created to advise the Departments of the Treasury and Homeland Security on CBP\u2019s commercial operations; and the National Customs Brokers and Freight Forwarders Association.", "To analyze the approach that will be used to manage ACE after core capabilities have been completed, we obtained information on CBP processes to identify, evaluate, and operationalize changes to enhance ACE. We also obtained information from CBP about its projected \u201cpost- core\u201d budgetary needs. In addition, we reviewed documentation from CBP regarding interagency dialogue on post-core management of ACE and interviewed officials from CBP and other agencies to obtain their views on the challenges to be addressed and progress toward addressing them.", "We conducted this performance audit from January 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Partner Agency Participation in ACE", "paragraphs": ["Table 4 provides information about participation in U.S. Customs and Border Protection\u2019s (CBP) Automated Commercial Environment (ACE) by the 22 partner agencies that CBP identified as requiring documentation to clear or license cargo. Table 5 provides information about participation in ACE by the 27 partner agencies that CBP did not identify as requiring such documentation."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Celia Thomas (Assistant Director), Michael McAtee (Analyst-in-Charge), Marybeth Acac, Ryan Deloughry, Philip Farah, Reid Lowe, Scott McClinton, Maria Stattel, Bryant Torres, and Alex Welsh made key contributions to this report. Neil Doherty and Justine Lazaro provided technical assistance."], "subsections": []}]}], "fastfact": ["Customs and Border Protection coordinates with 22 other agencies to process imports, ensuring that they comply with U.S. laws. In 1994, CBP began developing an information system, the Automated Commercial Environment, to better coordinate and streamline import processing.", "After delays, most key functions of the system are in use and yielding benefits. But users report problems, such as limits on messaging and file size, that can make it difficult to work within the system.", "We recommended that CBP, with other agencies, finalize a plan to improve and maintain the system."]} {"id": "GAO-18-178", "url": "https://www.gao.gov/products/GAO-18-178", "title": "Aviation Security: TSA Strengthened Foreign Airport Assessments and Air Carrier Inspections, but Could Improve Analysis to Better Address Deficiencies", "published_date": "2017-12-04T00:00:00", "released_date": "2017-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Approximately 300 foreign airports offer last point of departure flights to the United States. TSA is the federal agency with primary responsibility for securing the nation's civil aviation system and assesses foreign airports and inspects air carriers to ensure they have in place effective security measures. While TSA is authorized under U.S. law to conduct foreign airport assessments, it does not have authority to impose or otherwise enforce security requirements at foreign airports. TSA is authorized to impose and enforce requirements on air carriers. The Aviation Security Act of 2016 includes a provision for GAO to review TSA's effort to enhance security at foreign airports.", "This report addresses (1) steps TSA has taken to enhance foreign airport assessments and air carrier inspections since 2011, (2) the results of TSA's foreign airport assessments and air carrier inspections, and (3) steps TSA takes to address any deficiencies identified during foreign airport assessments and air carrier inspections. GAO reviewed TSA program data, interviewed TSA officials, and conducted site visits to TSA field locations that manage assessments and inspections."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) has taken steps to enhance its foreign airport assessments and air carrier inspections since 2011, including aligning resources based on risk, resolving airport access issues, making evaluations more comprehensive, and creating operational efficiencies. For example, TSA has implemented targeted foreign airport assessments in locations where risk is high and developed the Global Risk Analysis and Decision Support System to strengthen data analysis. In addition, TSA has increased the number of joint airport assessments with the European Commission. Specifically, TSA officials GAO met with indicated that TSA's strong relationship with the European Commission has afforded the agency excellent access to foreign airports in Europe and a better understanding of vulnerabilities at these locations, which has resulted in more comprehensive assessments.", "In its analysis of TSA foreign airport assessment results, GAO found that during fiscal years 2012 through 2016 there was considerable regional variation among last point of departure airports in the level of compliance with select International Civil Aviation Organization security standards and recommended practices. TSA attributed this regional variation to lack of airport resources or technical knowledge, among other factors. TSA officials also stated that while these challenges are not easy to overcome, agency efforts, such as training host country staff, can help foreign airports reduce their vulnerability scores over time. GAO's analysis of TSA's foreign airport assessment data confirmed that point by demonstrating that most foreign airports categorized with poor vulnerability ratings in fiscal year 2012 improved their vulnerability score in at least one follow-up assessment during fiscal years 2012 through 2016.", "Meanwhile, U.S. and foreign-flagged air carriers providing last point of departure service to the United States from foreign airports complied with all TSA security requirements in most inspections, and TSA was able to resolve the majority of security deficiencies it identified with on-the-spot counseling. In some cases, TSA inspectors submitted violations for investigation because the violations were considered serious enough to potentially warrant an enforcement action.", "TSA addresses identified deficiencies at foreign airports through capacity development, such as training and on-the-spot counseling. However, GAO found that TSA's database for tracking the resolution status of security deficiencies did not have comprehensive data on security deficiencies' root causes and corrective actions. In addition, the database lacked adequate categorization mechanisms. For example, while it captures three broad categories of root causes (e.g., lack of knowledge) it does not capture subcategories (e.g., supervision) that would better explain the root causes of security deficiencies. Fully collecting these data and improving the specificity of categorization would help TSA strengthen analysis and decision making. For example, TSA would be better positioned to determine the extent to which airports that received particular types of capacity development assistance were able to close security vulnerabilities. This is a public version of a sensitive report issued in October 2017. Information that TSA deemed to be sensitive is omitted from this report."]}, {"section_title": "What GAO Recommends", "paragraphs": ["To help strengthen TSA's analysis and decision making, GAO recommends that TSA fully capture and more specifically categorize data on the root causes of security deficiencies that it identifies and corrective actions. TSA concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The April 2012 plot to detonate a bomb aboard a flight bound for the United States, which U.S. intelligence officials foiled in the Arabian Peninsula, and the October 2015 downing of a flight over the Sinai Peninsula illustrate that civil aviation, including U.S.-bound flights, remains a target of coordinated terrorist activity. Moreover, the threat has become more diverse and terrorists are continually developing new tactics to attack the aviation system, including advanced concealment of improvised explosive devices in baggage and personal electronic devices. Since approximately 300 airports in foreign countries offer last point of departure flights to the United States, efforts to evaluate the security of foreign airports and air carriers that service the United States\u2014and mitigating any identified security risks\u2014are of vital importance in ensuring the security of the aviation system.", "The Transportation Security Administration (TSA), within the U.S. Department of Homeland Security (DHS), is the federal agency with primary responsibility for securing the nation\u2019s civil aviation system and has programs in place to help ensure the security of U.S.-bound flights. Through its foreign airport assessment program, TSA determines whether foreign airports that provide service to the United States are maintaining and carrying out effective security measures. Although TSA is authorized under U.S. law to conduct foreign airport assessments at intervals it considers necessary, it may not perform an assessment of security measures at a foreign airport without permission from the host government. TSA also does not have authority to impose or otherwise enforce security requirements at foreign airports and, therefore, seeks to address security deficiencies it identifies through capacity building, such as training of foreign airport staff and onsite consultation, and working with U.S. and foreign-flagged air carriers (i.e., air carriers) to implement security measures, among other things. In contrast, TSA is authorized under U.S. law to place security requirements on air carriers that service the United States and to take enforcement actions through its air carrier inspection program if carriers fail to comply with the requirements. For example, in June 2017, DHS announced new security requirements, including heightened screening of personal electronic devices, for air carriers operating last point of departure flights to the United States from foreign airports.", "In 2007, we recommended that TSA take steps to improve oversight of its foreign airport assessment and air carrier inspection programs. In 2011, we reported on TSA\u2019s efforts to assess the security at foreign airports and made several recommendations to enhance program efficiency and effectiveness, among other things. DHS concurred with the recommendations and has since taken a number of steps to address them and improve the program. We discuss these and other actions TSA has taken since 2011 later in this report.", "The Aviation Security Act of 2016 includes a provision for GAO to review the efforts, capabilities, and effectiveness of TSA to enhance security capabilities at foreign airports and determine if the implementation of such efforts and capabilities effectively secures international-inbound aviation. This report (1) describes steps TSA has taken to enhance foreign airport assessments and air carrier inspections since 2011, (2) describes the results of TSA\u2019s foreign airport assessments and air carrier inspections, and (3) examines steps TSA takes to address any deficiencies identified during foreign airport assessments and air carrier inspections.", "This report is a public version of a sensitive report that we issued in October 2017. TSA deemed some of the information in our October report to be Sensitive Security Information, which must be protected from public disclosure. Therefore, this report omits sensitive information about TSA\u2019s risk methodology, the standards that TSA uses to assess foreign airports, and the specific results of TSA\u2019s foreign airport assessments and air carrier inspections. Although the information provided in this report is more limited, the report addresses the same objectives as the sensitive report and uses the same methodology.", "To address these objectives, we reviewed the relevant laws and regulations pursuant to which TSA conducts foreign airport assessments and air carrier inspections. We reviewed various TSA documents on program management and strategic planning. Specifically, we reviewed TSA\u2019s 2016 Foreign Airport Assessment Program Standard Operating Procedures (SOP), which prescribes program and operational guidance for assessing security measures at foreign airports and informs TSA personnel at all levels of what is expected of them in the implementation of the program. We also reviewed the job aids that TSA inspectors use during each assessment and inspection, which are intended to ensure that the TSA-specified International Civil Aviation Organization (ICAO) aviation security standards and recommended practices (referred to collectively in this report as ICAO standards unless otherwise noted) and air carrier security program requirements are fully evaluated during each assessment. In addition, we interviewed senior TSA officials, inspectors, and country and industry liaisons located at TSA headquarters and in the field. Specifically, we conducted site visits to a non-generalizable selection of three of the six TSA regional operations centers (ROC) located in Reston, Miami, and Frankfurt. We based our site visit selections on the number and type of staff available at each location and geographic dispersion. During our interviews with TSA staff, we discussed TSA\u2019s efforts to enhance foreign airport assessments and air carrier inspections, the results of these evaluations, and the extent to which TSA uses information at its disposal to inform capacity development efforts for airports and air carriers. We also interviewed other stakeholders, such as the Department of State (State) and the European Commission (EC) to discuss efforts these organizations have in place to enhance international aviation security and their experiences coordinating with TSA.", "To obtain a greater understanding of TSA\u2019s foreign airport assessment and air carrier inspection processes, including how TSA works with host nation officials and air carrier representatives, we accompanied a team of TSA inspectors during an air carrier inspection at an airport in Europe, and we spoke with airport officials and representatives from two air carriers at a separate European airport. We based our site selection on several factors, including the air carrier locations TSA had plans to inspect during the course of our audit work and host government willingness to allow us to accompany TSA.", "To describe the results of TSA\u2019s foreign airport assessments and air carrier inspections, we obtained and analyzed the results of TSA\u2019s foreign airport assessments and air carrier inspections from fiscal years 2012 through 2016, the five-year period since our previous review. Specifically, we analyzed the frequency with which foreign airports and air carriers complied with select ICAO standards that TSA uses and TSA requirements, such as passenger screening, baggage screening, and access controls, among others. To assess the reliability of TSA\u2019s assessment and inspection data, we reviewed program documentation on system controls, interviewed knowledgeable officials from the Office of Global Strategies (OGS), and checked TSA\u2019s data for any potential gaps and errors. We concluded that TSA\u2019s data on foreign airport assessments and air carrier inspections were sufficiently reliable for the purposes of our review. Finally, we compared TSA\u2019s efforts to leverage information for capacity development to the Foreign Airport Assessment Program SOP and criteria for obtaining and processing information in federal internal control standards.", "The performance audit upon which this report is based was conducted from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2017 to December 2017 to prepare this nonsensitive version of the original sensitive report for public release. This public version was also prepared in accordance with these standards. More details about the scope and methodology of our work are contained in appendix I."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DHS Responsibilities for Ensuring the Security of U.S.-Bound Flights from Foreign Countries", "paragraphs": ["Shortly after the September 11, 2001, terrorist attacks, Congress passed and the President signed into law the Aviation and Transportation Security Act (ATSA), which established TSA and gave the agency responsibility for securing all modes of transportation, including the nation\u2019s civil aviation system, which includes the operations of U.S. and foreign-flagged air carriers to, from, and within the United States, as well as the foreign point-to-point operations of U.S.-flagged carriers. Consistent with ATSA and in accordance with existing statutory requirements, TSA is to assess the effectiveness of security measures at foreign airports (1) served by a U.S. air carrier, (2) from which a foreign air carrier serves the United States, (3) that pose a high risk of introducing danger to international air travel, and (4) that are otherwise deemed appropriate by the Secretary of Homeland Security. In carrying out this function, the statute identifies measures that the Secretary must take in the event that he or she determines that an airport is not maintaining and carrying out effective security measures based on TSA assessments. In addition, consistent with ATSA and in accordance with existing statutory requirements, TSA is to conduct inspections of U.S. air carriers and foreign air carriers servicing the United States from foreign airports to ensure that they meet applicable security requirements, including those set forth in an air carrier\u2019s TSA-approved security program.", "The Secretary of DHS delegated to the TSA Administrator the responsibility for conducting foreign airport assessments but retained responsibility for making the determination that a foreign airport does not maintain and carry out effective security measures. Currently, the Global Compliance Directorate, within OGS, is responsible for conducting foreign airport assessments and air carrier inspections. Table 1 highlights the roles and responsibilities of certain TSA positions within OGS that are responsible for implementing the foreign airport assessment and air carrier inspection programs."], "subsections": []}, {"section_title": "TSA\u2019s Process for Conducting Foreign Airport Assessments and Air Carrier Inspections", "paragraphs": ["TSA assesses the effectiveness of security measures at foreign airports using select aviation security standards and recommended practices adopted by ICAO, a United Nations organization representing 191 countries. ICAO standards and recommended practices (referred to collectively in this report as ICAO standards unless otherwise noted) address operational issues at an airport, such as ensuring that passengers and baggage are properly screened and that unauthorized individuals do not have access to restricted areas of an airport. ICAO standards also address non-operational issues, such as whether a foreign government has implemented a national civil aviation security program for regulating security procedures at its airports and whether airport officials implementing security controls are subject to background investigations, are appropriately trained, and are certified according to a foreign government\u2019s national civil aviation security program. TSA utilizes the 44 ICAO standards it sees as most critical in conducting its foreign airport assessments, which cover the following areas: airport operations; quality control; access control; aircraft security; passenger and cabin baggage screening; hold baggage screening; security measures relating to cargo, mail and other goods; security measures relating to special categories of passengers; prevention; and security measures relating to the landside.", "TSA uses a risk-informed approach to schedule foreign airport assessments by categorizing airports into three risk tiers, with high risk airports assessed more frequently than medium and low risk airports. TSA\u2019s assessments of foreign airports are conducted by a team of inspectors, which generally includes one team leader and one team member. According to TSA, it generally takes 3 to 7 days to complete a foreign airport assessment. However, the amount of time and number of team members required to conduct an assessment varies based on several factors, including the size of the airport, the number of air carrier inspections to be conducted at the airport, and the threat level to civil aviation in the host country.", "TSA uses a multistep process to plan, conduct, and record assessments of foreign airports. Specifically, the TSAR must obtain approval from the host government to allow TSA to conduct an airport assessment, and schedule the date for the on-site assessment. After conducting an entry briefing with State, host country officials, and airport officials, the team conducts an on-site visit to the airport. During the assessment, the team of inspectors uses several methods to determine a foreign airport\u2019s level of compliance with ICAO standards, including conducting interviews with airport officials, examining documents pertaining to the airport\u2019s security measures, and conducting a physical inspection of the airport. For example, inspectors are to examine the integrity of fences, lighting, and locks by walking the grounds of the airport. Inspectors also make observations on access control procedures, such as examining employee and vehicle identification methods in secure areas, as well as monitoring passenger and baggage screening procedures in the airport. At the close of an airport assessment, inspectors brief foreign airport and government officials on the results. TSA inspectors also prepare a report detailing their findings on the airport\u2019s overall security posture and security measures, which may contain recommendations for corrective action and must be reviewed by the TSAR, the ROC manager, and TSA headquarters officials. Afterward, a summary of the results is shared with the foreign airport and host government officials. In some cases, TSA requires air carriers to adopt security procedures, such as additional passenger screening, to compensate for deficiencies that TSA identified during a foreign airport assessment.", "Along with conducting airport assessments, the same TSA inspection team also conducts air carrier inspections when visiting a foreign airport to ensure that air carriers are in compliance with TSA security requirements. The frequency of air carrier inspections at each airport depends on a risk-informed approach and is influenced, in part, by the airport\u2019s vulnerability to security breaches, since the security posture of each airport varies. In general, TSA procedures require TSA to inspect all air carriers at each airport annually or semi-annually depending on the vulnerability level of the airport, with some exceptions. For example, TSA may elect to inspect all air carriers at a particular airport on an 18-month cycle if the airport has no documented vulnerabilities for the three previous visits and all air carriers at that location have demonstrated full compliance over the past five years. When conducting inspections, TSA inspectors examine compliance with applicable security requirements, including TSA-approved security programs, security directives, and emergency amendments to the security programs.", "As in the case of airport assessments, air carrier inspections are conducted by a team of inspectors, which generally includes one team leader and one team member. An inspection of an air carrier typically takes 1 or 2 days, but can take longer depending on the extent of service by the air carrier. Inspection teams may spend several days at a foreign airport inspecting air carriers if there are multiple carriers serving the United States from that location. During an air carrier inspection, inspectors are to review applicable security manuals, procedures, and records; interview air carrier station personnel; and observe air carrier employees processing passengers from at least one flight from passenger check-in until the flight departs the gate to ensure that the air carrier is in compliance with applicable requirements. Inspectors evaluate a variety of security measures, such as passenger processing (e.g., use of No Fly and Selectee lists), checked baggage acceptance and control, aircraft security, passenger screening, cargo and mail screening, and catering security. Inspectors record inspection results into TSA\u2019s Performance and Results Information System (PARIS), a database containing security compliance information on TSA-regulated entities. If an inspector finds that an air carrier is violating any applicable security requirements, additional steps are to be taken to record those specific violations and, in some cases, pursue them with further investigation."], "subsections": []}, {"section_title": "GAO\u2019s 2011 Review of TSA Foreign Airport Assessment Program", "paragraphs": ["In 2011, we reported on TSA\u2019s foreign airport assessment program, including TSA\u2019s steps taken to enhance its program, the results of TSA\u2019s foreign airport assessments, and opportunities for TSA to make program improvements in several key areas, such as developing criteria and guidance for determining foreign airport vulnerability ratings. We reported that TSA had not taken steps to evaluate its assessment results to identify regional and other trends over time. In addition, we found that TSA had not developed criteria or guidance for determining foreign airport vulnerability ratings. We also reported that there were opportunities for TSA to increase program efficiency and effectiveness by, for example, conducting more targeted foreign airport assessments and systematically compiling and analyzing security best practices. As a result, we recommended that TSA (1) develop a mechanism for trend analysis, (2) establish criteria and guidance to help decision makers with vulnerability ratings, and (3) consider the feasibility of conducting more targeted foreign airport assessments and compiling best practices. DHS concurred with the three recommendations and has since taken several actions to address them all, including developing a mechanism to compile and analyze best practices."], "subsections": []}]}, {"section_title": "Since 2011, TSA Has Taken Various Steps to Strengthen its Foreign Airport Assessment and Air Carrier Inspection Programs", "paragraphs": [], "subsections": [{"section_title": "TSA Has Taken Steps to Better Target Program Resources Based on Risk", "paragraphs": ["TSA established the Northern Virginia ROC. In 2012, TSA created a dedicated ROC in Northern Virginia to oversee North Africa and the Middle East given the high risk associated with many airports in the region. The creation of the Northern Virginia ROC alleviated resource burdens on the Frankfurt ROC, which previously had oversight for both the Europe and Africa-Middle East regions. In addition, the Northern Virginia ROC Manager stated that the small size of the ROC has facilitated strong working relationships because foreign airport officials in the region tend to meet with the same inspectors more frequently.", "TSA created the Analysis and Risk Mitigation (ARM) Directorate. In 2013, TSA established a working group to evaluate ways to better integrate risk management in the foreign airport assessment and air carrier inspection programs. This working group developed a risk framework, which, according to TSA documentation, provides a systematic approach for analyzing risk at international airports, supports OGS decision making, and informs efforts to mitigate security deficiencies. In 2015, OGS created the ARM Directorate, which formalized the risk mitigation responsibilities of the working group and serves as the data analysis and evaluation arm of OGS. OGS officials stated that ARM helps the program focus its resources based on risk. For example, ARM analyzes and prioritizes activities, such as training, that are designed to mitigate security vulnerabilities at foreign airports.", "TSA conducts more targeted foreign airport assessments. Based on a recommendation in our 2011 report, TSA has taken actions to conduct more targeted foreign airport assessments. For example, TSA developed the Pre-Visit Questionnaire, which host foreign airport officials fill out prior to TSA\u2019s visit. This information enables each TSA foreign airport assessment team to tailor the on-site assessment at each airport and focus TSA\u2019s assessment efforts on specific areas of concern. Additionally, TSA implemented more focused airport assessments, known as targeted risk assessments, in locations where risk is high or there are other factors that require a more focused evaluation of the site\u2019s security posture. For the focused assessments, inspection teams place emphasis on observations, interviews, document reviews, and thorough analysis of specific ICAO standards.", "TSA implemented cross-directorate reviews. In 2015, TSA implemented cross-directorate reviews, which bring together experts across the OGS components, such as inspectors and TSARs, to identify critical vulnerabilities at foreign airports and outline an initial plan to mitigate those vulnerabilities. Overall, TSA completed 28 cross- directorate reviews in 2015 and 2016."], "subsections": []}, {"section_title": "TSA Has Taken Steps to Strengthen Foreign Airport Access and the Comprehensiveness of Its Evaluations", "paragraphs": ["TSA took steps to resolve foreign airport access issues. Since our 2011 review, TSA has faced delays in scheduling some foreign airport assessments and obstacles in obtaining full access to airport operations at certain locations. According to TSA officials, TSA has used several tactics to resolve access issues, including deploying the same inspectors over multiple assessments to build rapport with foreign airport officials. For example, in one country in the Western Hemisphere region, TSA\u2019s access to airport operations was initially limited by the host government. However, over time, TSA used a small pool of inspectors who officials said were able to build trust with the host government and gain better access, including the ability to conduct interviews of airport officials and take photographs of the security environment. Additionally, in 2011, we reported on TSA\u2019s challenges in obtaining access to airports in Venezuela. Specifically, we reported that TSA had not been able to assess airports in Venezuela or conduct TSA compliance inspections for air carriers, including U.S. carriers, flying from Venezuela to the United States since 2006. According to TSA officials, in 2014, TSA regained access in Venezuela after establishing dialogue with the new government in place and emphasizing the benefits of the evaluation process.", "TSA increased the number of joint airport assessments in Europe. In 2011, we reported that TSA took a number of actions to assess foreign airports in Europe, including conducting joint assessments with the EC, performing bi-lateral assessments, and executing table-top reviews in place of on-site airports visits. According to EC officials, the main goal under this arrangement was to better leverage resources and reduce the number of TSA visits per year to European airports because of concerns from EU member states about the frequency of visits from EC and U.S. audit teams. However, since our previous review, TSA has limited the use of table-top reviews and now primarily assesses foreign airports in Europe through joint assessments with the EC. Frankfurt ROC officials we met with indicated that TSA\u2019s strong relationship with the EC has afforded the agency excellent access to foreign airports in Europe and a better understanding of vulnerabilities at these locations, which has resulted in more comprehensive assessments. For example, according to TSA, through the joint assessments, inspectors have better access to airport training documents, the ability to observe tests conducted by EC inspectors, and more time at checkpoints to observe screening operations.", "TSA developed airport assessment and air carrier inspection job aids. In 2012, TSA developed job aids that provide inspectors with a set of detailed areas to assess for each ICAO standard. For example, a job aid for passenger and cabin baggage screening includes several prompts related to screening roles and responsibilities, the resolution process if a suspicious item is detected, and alternative procedures if screening equipment is not working as intended. TSA also developed job aids for the air carrier inspection process to better ensure that inspectors cover all requirements associated with air carrier security programs. According to OGS officials, these actions have led to more comprehensive evaluations and a better understanding of foreign airport and air carrier vulnerabilities."], "subsections": []}, {"section_title": "TSA Has Worked to Create Operational Efficiencies", "paragraphs": ["TSA established the Honolulu ROC. In 2012, TSA eliminated the Los Angeles ROC and established the Honolulu ROC given its proximity to the Pacific Islands, which allowed the agency to reduce costs and travel time to airports in these locations. Specifically according to TSA documentation, inspectors in the Los Angeles ROC often spent more than 20 hours traveling to and from sites in the Asia-Pacific region because of in-flight transit time and connection requirements. With the creation of the Honolulu ROC, TSA officials told us that inspectors have been better able to meet deadlines for completing foreign airport assessment reports and conduct follow-up visits to resolve noted issues.", "TSA developed the Global Risk Analysis and Decision Support System. In 2012, TSA developed the Global Risk Analysis and Decision Support System (GRADS) to streamline the assessment report writing process and strengthen OGS\u2019s data analysis capabilities of its foreign airport assessment results. According to TSA officials, GRADS has provided OGS personnel with a number of benefits, including the ability to run standardized reports, extract and analyze key data, and manage airport operational information, such as data on security screening equipment. According to TSA documentation, prior to 2012, the agency captured the results of its foreign airport assessments in narrative form that often amounted to more than 80 pages, hampering the ability to perform data analysis.", "TSA standardized processes. Between 2012 and 2016, TSA deployed standardization teams, called Standardization Effort Teams, to help ensure more consistency among inspectors when conducting air carrier inspections and airport assessments, and to identify and develop best practices in areas such as training, among others. For example, in 2016, a team developed a tool to facilitate performance evaluations of inspectors."], "subsections": []}]}, {"section_title": "TSA Foreign Airport Assessment Data Showed Variations in Compliance by Region and Across ICAO Standards, while Air Carrier Inspection Data Showed That Most Inspections Were Fully Compliant", "paragraphs": [], "subsections": [{"section_title": "Foreign Airports Differed in Level of Compliance by Region and Across ICAO Standards", "paragraphs": ["TSA assesses the overall vulnerability level at each foreign airport using a rating system, ranging from a category \u201c1,\u201d which represents full compliance with ICAO standards, to a \u201c4\u201d or \u201c5,\u201d which involve more serious or egregious issues. Based on our analysis of TSA\u2019s foreign airport assessment data, we found that compliance with ICAO standards varied by region. For example, our analysis showed that some regions of the world had a higher percentage of airports in vulnerability categories 4 and 5. Our analysis also showed that there are differences in compliance across the ICAO standards. Specific information related to TSA\u2019s airport assessment results is deemed Sensitive Security Information.", "According to TSA officials, it is difficult to draw conclusions about the cumulative foreign airport assessment results\u2014such as whether the results are generally positive or negative\u2014because the primary concern is not whether security deficiencies are identified, but whether foreign countries are capable and willing to address security deficiencies. Specifically, there is considerable regional variation in the level of compliance because some foreign countries face challenges due to lack of resources or technical knowledge, among other factors. TSA officials stated that while these challenges are not easy to overcome, agency efforts, such as training host country staff, can help foreign airports reduce their vulnerability scores over time. Our analysis of TSA\u2019s foreign airport assessment data confirms that point. Specifically, we found that of the foreign airports categorized with a vulnerability rating of 4 of 5 in fiscal year 2012, the majority of these airports improved their vulnerability score in at least one follow-up assessment during fiscal years 2012 through 2016. According to TSA documentation, in some cases, foreign airports are able to take immediate measures to resolve security deficiencies. On the other hand, there are situations in which foreign airports may struggle to take corrective actions or sustain the improvements over time. Accordingly, TSA\u2019s regulatory authority over air carriers is an important tool. TSA officials indicated that the agency commonly requires air carriers to adopt security procedures, such as passenger screening, to compensate for foreign airport security deficiencies. Moreover, if appropriate, DHS can take secretarial action, which includes the option to prohibit air carriers operating at a foreign airport from providing last point of departure flights to the United States."], "subsections": []}, {"section_title": "Most Air Carrier Inspections Were Fully Compliant and TSA Used On-the-Spot Counseling to Resolve the Majority of Deficiencies", "paragraphs": ["According to air carrier inspection data maintained by TSA, between fiscal years 2012 and 2016, air carriers providing last point of departure service to the United States from foreign airports complied with all TSA security requirements in most inspections. For those inspections that identified noncompliance, data from TSA showed that the majority of violations were corrected or addressed immediately through on-the-spot counseling. Inspectors submitted a certain number of violations for investigation because the violations were considered serious enough to potentially warrant an enforcement action. TSA can impose two general types of enforcement actions on air carriers that violate security requirements\u2014an administrative action, such as a warning notice, or a monetary civil penalty. Based on information included in TSA\u2019s investigation module within PARIS, TSA took administrative action in the majority of cases and levied 44 fines during fiscal years 2012 through 2016, which totaled about $575,000 and ranged from $1,000 to $40,500. According to TSA officials, they rely on a system of progressive enforcement and carefully consider whether a civil penalty is warranted based on the compliance history of an air carrier, among other factors."], "subsections": []}]}, {"section_title": "TSA Addresses Security Deficiencies through Various Capacity Development Efforts, but Enhanced Data Management Could Strengthen Analysis and Decision Making", "paragraphs": [], "subsections": [{"section_title": "TSA Assists Foreign Airports and Air Carriers in Addressing Identified Security Deficiencies in Various Ways", "paragraphs": [], "subsections": [{"section_title": "Foreign Airports", "paragraphs": ["As part of assisting foreign airports, inspectors work to transfer knowledge on how to mitigate identified airport security deficiencies to foreign airport officials and provide TSA program officials with suggestions for capacity development that could be effective in addressing these deficiencies. Specifically, TSA capacity development assistance to foreign airports includes on-the-spot counseling, training, technical assistance and consultation, and provision of security equipment.", "Inspectors counsel foreign airport staff on-the-spot. According to TSA officials, inspectors typically offer counseling during airport assessments when they discover deficiencies, usually of an infrequent, less serious, or technical nature, that can be addressed immediately. For example, during a 2013 assessment of an airport in the Europe region, inspectors observed a total of 53 employees within the restricted area, of which one was not displaying his badge. Airport officials immediately requested that the individual display his badge and informed the TSA inspection team that they will remind all staff to properly display their airport media while in the restricted area. For the remainder of the airport visit, no badge display issues were noted. In another example, during an assessment in the Western Hemisphere region, inspectors observed persons entering a restricted area without undergoing screening. The inspectors counseled the airport\u2019s security officials on the importance of adhering to the airport\u2019s security program, and observed the airport officials take immediate action by implementing escort and screening procedures.", "TSA provides security training. TSA may provide training to foreign airport staff to address deeper problems with staff security knowledge or to strengthen staff knowledge in an evolving threat environment. Training may take several forms, including traditional classroom courses or interactive workshops, and can range in length from one or two days to more than one week. Course topics include risk management, screening operations, and airport security, with a broad variety of sub-topics, such as insider risk, cargo security, and inspection techniques. According to TSA, new courses are in development to meet the changing security landscape. New course topics include landside security, behavioral awareness, and the effective use of canines.", "TSA arranges for technical assistance and consultation. TSA assists foreign governments in securing technical assistance and consultation provided by TSA and other U.S. and foreign government agencies to help improve security at foreign airports, particularly after security incidents or at airports in developing countries. For example, after the 2016 terrorist attack on Brussels Airport, TSA was invited by airport officials to provide on-site consultation during the reconstitution of the airport facilities. In another example, TSA provided a country in the Africa-Middle East region with on-site technical assistance for configuring and testing explosives detection equipment at baggage screening checkpoints. In addition, State\u2019s Anti-Terrorism Assistance Program augments TSA\u2019s resources in building the aviation security capacity of foreign governments. For instance, State provides recipient nations with courses focused on airport security management, quality control, and fraudulent document recognition as well as multi-day passenger and cargo security consultations. In addition, with regard to capacity development TSA collaborates with other countries. Partners may promote common aviation security goals to other countries when political considerations preclude TSA from doing so, or combine resources with TSA for joint efforts. For example, in one collaboration, a country in the Asia-Pacific region provided resources and facilities, while TSA provided staff so that neighboring countries could attend aviation security training.", "TSA loans and donates security equipment. TSA may loan or donate security equipment such as explosives detection devices and metal detection hand wands to lower-income countries. Since fiscal year 2012, TSA has loaned X-ray screening equipment and explosives detection devices to five countries. Enacted in July 2016, the Aviation Security Act expressly authorizes TSA to donate security screening equipment to a foreign last point of departure airport if such equipment can be reasonably expected to mitigate a specific vulnerability to the security of the United States or U.S. citizens. TSA may also provide staff at foreign airports with demonstrations for using equipment that has been loaned or donated by TSA, as well as equipment otherwise acquired by host governments. For instance, in 2016 TSA provided operator training and maintenance assistance to a country in the Africa-Middle East region that had procured passenger body scanners."], "subsections": []}, {"section_title": "Air Carriers", "paragraphs": ["TSA also takes steps to help air carriers address security deficiencies identified during air carrier inspections. TSA primarily offers capacity development support to air carriers through on-the-spot counseling and consultation with IIRs.", "Inspectors counsel air carrier representatives on-the-spot. TSA assists air carrier representatives in addressing security deficiencies identified during air carrier inspections. According to TSA, since carriers have TSA-approved security programs, additional training may not be necessary to correct small issues. Rather, officials said that counseling air carrier staff on the proper procedures and follow up observations of them practicing the procedures may suffice. TSA data show that of the instances in which inspectors identified noncompliance with TSA security requirements during fiscal years 2012 through 2016, the majority of instances were resolved through counseling\u2014that is, the security deficiencies were resolved with on-site assistance or consultation provided by TSA. For example, during an air carrier inspection in the Europe region, inspectors observed that a passenger wearing sandals was not screened properly. TSA counseled the screening staff that footwear screening requirements apply to all shoes, including sandals. The inspectors then observed proper rescreening of the passenger. TSA also discussed the matter with airline security representatives, who concurred with TSA.", "IIRs assist air carriers with compliance. In addition to counseling provided by inspectors when deficiencies are identified, TSA assigns each air carrier to a representative who assists the carriers in complying with TSA security requirements. Although these representatives, called IIRs, do not participate in air carrier inspections, they do receive inspection results for the carriers with whom they work. IIRs counsel the air carriers and provide clarification regarding TSA security requirements when necessary. For example, they provide air carriers with clarification on the requirements contained in security directives and emergency amendments issued by TSA. In other instances, when an air carrier cannot comply with a TSA security requirement\u2014such as when complying with a TSA security requirement would cause the air carrier to violate a host government security requirement\u2014the air carrier works with its IIR to develop alternative security procedures in a manner consistent with TSA regulations. With alternative procedures, air carriers can deviate from their TSA-approved security program while still meeting the intent of TSA requirements. According to some IIRs with whom we spoke, these alternative procedures are intended to provide a level of security that is equivalent to the level of security provided by TSA\u2019s standard requirements while also affording air carriers with some flexibility in how they achieve the intended security benefit of the TSA requirement. Alternative security procedures are reviewed by the IIR, who submits them to TSA headquarters and field officials for final review and approval."], "subsections": []}]}, {"section_title": "TSA Has Taken Steps to Leverage Information for Capacity Development, but Could Enhance Data Management", "paragraphs": [], "subsections": [{"section_title": "Leveraging Information for Capacity Development", "paragraphs": ["TSA has taken a number of steps to strengthen its analytical processes and better understand the impact of the foreign airport assessment and air carrier inspection programs. According to OGS officials, the establishment and evolution of the ARM Directorate has facilitated better data analysis and enhanced decision making pertaining to capacity development. Specifically, TSA now conducts regional strategy meetings, produces regional risk reports, and approves requests for assistance based on risk.", "OGS conducts regional strategy meetings. Since fiscal year 2012, OGS has held strategy meetings to address aviation security threats and vulnerabilities within each region. During these meetings, OGS officials examine trend data for both airport assessments and air carrier inspections, including vulnerability ratings over a multi-year period, identify common areas of non-compliance, and develop capacity building approaches customized to each region. According to agency documentation, these meetings led OGS to recognize that each geographic region faces its own particular challenges and risks and requires unique mitigation approaches, such as at the country or airport level.", "ARM develops regional risk reports. In 2016, the ARM Directorate began producing regional risk reports for use by other teams within OGS. The purpose of these reports is to provide OGS personnel operating within each of the four regions with an understanding of known vulnerabilities in the region and their associated risk in order to inform mitigation planning efforts. These reports include such information as key risks at each location and region-wide trends on vulnerabilities. For example, the reports show patterns in noncompliance related to critical ICAO standards. In addition, the reports compare airports by risk level and examine how individual airports compare to a regional average. According to ARM staff, one of the top priorities this year is to centralize analysis results within a web portal that allows users across OGS to sort and filter data. ARM expects the portal to include comprehensive airport profiles that capture the primary details for each location, such as the largest carriers and main risks.", "OGS approves requests for assistance based on risk. Requests for capacity development assistance are submitted by OGS personnel, including TSARs and inspectors. TSA\u2019s Capacity Development Branch (CDB) in ARM assesses these requests according to a standardized criterion that includes an airport\u2019s past and present vulnerabilities, the root causes of these vulnerabilities, the timing of the assistance delivery, and the suitability of the intended recipient. For instance, TSA assesses the capabilities of the government or airport that would receive the assistance, and considers such factors as whether the intended recipient has the commitment necessary to institutionalize TSA-sponsored training and the technical expertise to use any equipment that may be loaned or donated by TSA. In addition, according to TSA officials, TSA considers the extent to which the intended recipient has been a cooperative partner in the past and implemented TSA\u2019s previous security recommendations. After CDB\u2019s risk-based assessment of assistance requests, OGS management makes a final determination regarding the provision of assistance."], "subsections": []}, {"section_title": "TSA Could Enhance Data Management", "paragraphs": ["While TSA has taken steps to leverage the results of foreign airport assessments and air carrier inspections to monitor system-wide vulnerabilities and inform capacity development, TSA lacks key information for decision making. For instance, we found that the Open Standards and Recommended Practices Findings Tool (OSFT) \u2014 a database for tracking the resolution status of identified foreign airport deficiencies \u2014 has gaps and its system for categorization does not result in sufficient specificity of information related to security deficiencies\u2019 root causes and corrective actions.", "Root causes represent the underlying reason why an airport is not meeting an ICAO standard and, according to TSA documentation, fall into three general categories: lack of knowledge, lack of infrastructure, and lack of will. For example, a foreign airport might fail to meet an ICAO standard because of lack of knowledge stemming from insufficient training programs or a high rate of staff turnover. According to OGS officials, an understanding of root causes is important because the challenges to addressing security deficiencies at foreign airports vary extensively from country to country and corrective actions need to be tailored to addressing the unique root causes of deficiencies that TSA identifies. Corrective actions are efforts to mitigate security deficiencies and might include training and other capacity building efforts. Corrective actions can be designed to help a foreign airport add a new security capability, enhance an existing capability, or increase the deployment of security measures.", "Although root causes and corrective actions are important variables for decision making, we found that the OSFT has gaps in this information. TSARs\u2014the primary liaisons between the U.S. government and foreign governments on transportation security issues\u2014are responsible for following up on progress made by foreign officials in addressing security deficiencies identified during TSA assessments. Specifically, the Foreign Airport Assessment Program SOP states that, for each foreign airport assessed, the assigned TSAR is responsible for entering and updating key information in the OSFT, including root cause and corrective action information. According to the SOP, a thorough understanding of the underlying reasons for each deficiency is critical to selecting the appropriate mitigation activities. However, we found that around two thirds of fiscal year 2016 records in the OSFT exhibited empty fields pertaining to root cause or recommended corrective action. More specifically, root cause data and recommended corrective action data were each not recorded for 70 percent of findings.", "During our interviews with TSARs, half (4 out of 8) indicated that they believed the OSFT to be a cumbersome tool that has limitations for recording status updates, among other issues, or that they preferred to use other mechanisms, such as spreadsheets stored locally, in order to avoid using the OSFT for certain functions. TSA headquarters officials indicated that OGS began requiring staff to record root cause and corrective action information in 2015 and that institutionalizing this requirement to facilitate consistent data entry will take time. However, complete data on root causes and corrective actions would help TSA systematically monitor airport performance in addressing deficiencies and leverage information for decision making regarding capacity development. For example, with complete information TSA would be in a better position to determine the extent to which airports were able to effectively close security vulnerabilities based on TSA\u2019s capacity building efforts, as well as conduct trend analysis within and across its four regions, including identifying potential linkages between root causes and corrective actions. Specifically, TSA could determine the extent to which corrective actions seem to align best with certain root causes. For example, while training might be an appropriate remedy if foreign airport personnel lack knowledge, it might not be an appropriate solution for lack of will.", "We also found that the OSFT has limitations related to the categorization of root causes and corrective actions. The Foreign Airport Assessment Program SOP indicates that root causes may relate to three broad categories, as explained earlier, and twelve subcategories: aviation security infrastructure, communication, cultural factors, human factors, management systems, physical infrastructure, procedures, quality control, resources, supervision, technology, and training. However, the OSFT does not include a field to categorize root causes according to these subcategories or other more specific areas. As a result, it does not capture more granular information that would better explain the specific root cause of an identified security issue.", "Moreover, information on recommended corrective actions is stored entirely in OSFT narrative fields without a drop-down list or other type of categorization mechanism. For example, according to OSFT data, in one Western Hemisphere region country, inspectors observed insufficient employee screening and access control. The recommended corrective action\u2014\u201dFencing around the terminal area will be enhanced and airport personnel counseled about employee screening\u201d\u2014would be difficult to include in quantitative analysis without manual intervention. The OSFT also includes a field for the final corrective action\u2014how an airport ultimately resolved a security issue. However, the categories in the OSFT for final corrective action do not account for many key types of TSA\u2019s mitigation efforts (e.g., training, loaning or donating equipment, and directing an air carrier to mitigate an airport vulnerability). Specifically, for fiscal year 2016, we found that the OSFT only included data for three high-level categories of final corrective actions: \u201cairport authorities resolved,\u201d \u201cnational authorities resolved,\u201d and \u201cother.\u201d", "ARM staff stated that they recognize that the classification of data currently contained in the OSFT could be improved, but that they have not had an opportunity to address the issues because they have been focused on developing the newest release of GRADS. TSA staff also indicated that they are exploring opportunities to better classify data in future releases of GRADS. However, according to the Foreign Airport Assessment Program SOP, a thorough understanding of the underlying reasons for each deficiency is critical to properly selecting the appropriate mitigation activities. Moreover, federal internal control standards suggest that agencies should design information systems to obtain and process information to meet each operational process\u2019s data requirements and to respond to the entity\u2019s objectives and risks. By classifying information on root causes and corrective actions with additional specificity, and through a standard system of categorization that would allow for system- wide analysis, TSA would be better positioned to assure that corrective actions accurately address the specific, underlying reasons for security vulnerabilities."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["TSA\u2019s foreign airport assessment and air carrier inspection programs play a vital role in ensuring the security of the aviation system. TSA has taken a number of steps to enhance foreign airport assessments and air carrier inspections since 2011, including targeting resources based on risk, strengthening access to foreign airports and the comprehensiveness of its assessments and inspections, and creating operational efficiencies. While TSA does not have authority to impose or otherwise enforce security requirements at foreign airports, the agency makes a concerted effort to help foreign airports improve their security posture and address security deficiencies identified during assessments. Moreover, TSA is commonly able to resolve air carrier security deficiencies with on-the-spot counseling.", "While TSA uses various mechanisms for capacity building, better data management would help strengthen analysis and decision making. Specifically, fully capturing and more specifically categorizing data on the root causes of security deficiencies that TSA identifies and the associated corrective actions would provide the agency with a more comprehensive understanding of the security environment at foreign airports. For example, TSA could leverage this information for trend analysis, including evaluating potential linkages between root causes and corrective actions, and determining the extent to which airports that received specific types of capacity development services were able to close security vulnerabilities. Accordingly, TSA would have better visibility over the different types of capacity development that the agency offers and the overall return on investment for these efforts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to TSA:", "The Assistant Administrator for the Office of Global Strategies should ensure that data regarding the root causes of security deficiencies and corrective actions are consistently captured in accordance with TSA guidance. (Recommendation 1)", "The Assistant Administrator for the Office of Global Strategies should update TSA\u2019s data systems to include more specific categories for TSA\u2019s data on the root causes and corrective actions related to security deficiencies. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of our report to DHS for its review and comment. DHS provided written comments, which are noted below and reproduced in full in appendix II. DHS concurred with both recommendations in the report and described actions underway or planned to address them. With regard to the first recommendation that TSA ensure that data regarding the root causes of security deficiencies and corrective actions are consistently captured in accordance with TSA guidance, DHS concurred and stated that TSA will use a new tool, the Vulnerability Resolution Tool (VRT), to capture and categorize root causes and corrective actions. During the next fiscal year, TSA plans to train its staff in the use and importance of the VRT, and estimates that it will complete this process by October 31, 2018. If TSA consistently captures root causes and corrective actions in the new tool, TSA\u2019s planned actions would address the intent of the recommendation. With regard to the second recommendation that TSA update TSA\u2019s data systems to include more specific categories for TSA\u2019s data on the root causes and corrective actions related to security deficiencies, DHS concurred and stated that TSA plans to include more specific categories for root causes and corrective actions in a future iteration of GRADS, and expects to complete the updates by October 31, 2018. If fully implemented, these actions should address the intent of the recommendation.", "We are sending copies of this report to interested congressional committees and the Secretary of Homeland Security, the Secretary of State, the Administrator of the Transportation Security Administration, and the TSA Assistant Administrator for the Office of Global Strategies. In addition, the report is available at no charge on the GAO website at http://gao.gov.", "If you or your staff members have any questions about this report, please contact Jennifer Grover at (202) 512-7141 or groverj@gao.gov, or Jessica Farb at (202) 512-6991 or farbj@gao.gov. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Aviation Security Act of 2016 includes a provision for GAO to review the efforts, capabilities, and effectiveness of TSA to enhance security capabilities at foreign airports and determine if the implementation of such efforts and capabilities effectively secures international-inbound aviation. This report (1) describes steps TSA has taken to enhance foreign airport assessments and air carrier inspections since 2011, (2) describes the results of TSA\u2019s foreign airport assessments and air carrier inspections, and (3) examines steps TSA takes to address any deficiencies identified during foreign airport assessments and air carrier inspections.", "To collectively address all three objectives, we reviewed the relevant laws and regulations pursuant to which TSA conducts foreign airport assessments and air carrier inspections. We reviewed various TSA documents on program management and strategic planning and interviewed TSA officials located at TSA headquarters and in the field. We interviewed other federal and nonfederal stakeholders, such as the Department of State (State), the European Commission (EC), and airport and air carrier representatives. We outline the specific steps taken to answer each objective below.", "To obtain a greater understanding of the foreign airport assessment and air carrier inspection processes, including how TSA works with host nation officials and air carrier representatives, we accompanied a team of TSA inspectors during an air carrier inspection at an airport in Europe. We based our site selection on several factors, including the air carrier locations TSA had plans to inspect during the course of our audit work and host government willingness to allow us to accompany TSA. In addition, we spoke with officials at a separate European airport, including the airport operator and representatives from two air carriers.", "To understand how TSA assesses and manages its foreign airport and air carrier risk information, we obtained and reviewed documents on TSA\u2019s methodology for assigning individual risk rankings (called tier rankings) to each foreign airport it assesses. TSA\u2019s rankings are based on the likelihood of a location being targeted, the protective measures in place at that location, and the potential impact of an attack on the international transportation system. Airports are then categorized as high, medium, or low risk. We also reviewed TSA\u2019s methodology for grouping air carriers based on risk, which is influenced by the foreign airport risk tiers.", "To describe the steps that TSA has taken to enhance foreign airport assessments and air carrier inspections since 2011, we reviewed various TSA documents on program management and strategic planning. Specifically, we reviewed TSA\u2019s 2016 Foreign Airport Assessment Program Standard Operating Procedures (SOP), which prescribes program and operational guidance for assessing security measures at foreign airports, and informs TSA personnel at all levels of what is expected of them in the implementation of the program. We also reviewed the job aids that TSA inspectors use during each assessment and inspection, which ensure that the TSA-specified International Civil Aviation Organization (ICAO) aviation security standards and recommended practices (referred to collectively in this report as ICAO standards unless otherwise noted) and air carrier security program requirements are fully evaluated during each assessment. In addition, we reviewed TSA\u2019s Office of Global Strategies (OGS) Strategic Plan for fiscal years 2014 through 2018, and documents describing changes to the OGS organizational structure since 2011.", "To obtain stakeholder views and perspectives on steps TSA has taken to enhance its foreign airport assessment program since 2011, we interviewed and obtained information from various federal stakeholders. Specifically, we interviewed OGS officials located in the Global Compliance (GC), Global Affairs, and Analysis and Risk Mitigation (ARM) directorates. In addition, we also conducted site visits to three of the six TSA regional operations centers (ROC), located in Reston, Miami, and Frankfurt, where we met with ROC managers, transportation security specialists (henceforth referred to as inspectors) who conduct TSA\u2019s foreign airport assessments and air carrier inspections, TSARs who follow up on host governments\u2019 progress in addressing identified security deficiencies, international industry representatives (IIR) who liaise with air carriers, and regional directors (RD). We based our site visit selections on the number and type of staff available at each location and geographic dispersion. We also conducted telephone interviews with personnel from the Honolulu ROC and other OGS staff stationed worldwide. In total, we interviewed 4 of the 6 ROC managers, 19 of the 94 inspectors, 8 of the 29 TSARs, 8 of the 16 IIRs, and all 4 RDs. During these interviews, we discussed these officials\u2019 responsibilities related to the assessment and inspection programs.", "To describe the results of TSA\u2019s foreign airport assessments and air carrier inspections, we interviewed TSA officials on the results of its evaluations, obtained and reviewed relevant program documents, and conducted our own independent analysis of TSA\u2019s assessment and inspection results. Specifically, we obtained and reviewed TSA\u2019s foreign airport assessment program vulnerability results tracking sheet used by GC to compile and track current and prior-year assessment results. This tracking sheet included records of TSA\u2019s compliance assessments for each airport that TSA assessed from fiscal years 2012 through 2016. Specifically, the tracking sheet recorded assessment results for each of the ICAO standards used in the airport assessments, as well as an overall vulnerability score of 1 through 5 assigned after each assessment. This overall vulnerability score is a representation of compliance or noncompliance with all the ICAO standards against which TSA assesses foreign airports. We interviewed OGS officials on the steps taken to develop the tracking sheet, including how TSA manages and updates data. In addition, we conducted our own independent analysis of TSA\u2019s assessment results from fiscal years 2012 through 2016, the five-year period since our previous review. Specifically, we analyzed data from TSA\u2019s foreign airport assessment program vulnerability results tracking sheet to identify the number of airports in each vulnerability category by region. We also analyzed TSA assessment results data to determine the frequency with which foreign airports complied with particular ICAO standards, such as access control, quality control, passenger screening, and baggage screening, among others.", "For air carrier inspection results, we analyzed data from PARIS on each air carrier that TSA inspected from fiscal years 2012 through 2016. Our analysis included the overall level of compliance, as well as the frequency with which each air carrier complied with particular security program requirements, such as aircraft search and passenger screening. We also interviewed TSA managers, inspectors, and TSARs about their roles and responsibilities in determining and documenting assessment and inspection results. To assess the reliability of TSA\u2019s assessment and inspection data, we reviewed program documentation on system controls, interviewed knowledgeable officials from OGS and checked TSA\u2019s data for any potential gaps and errors. Based on our overall analysis of the data, we determined that the data were sufficiently reliable to provide a general indication, by type or category, of the standards TSA assesses against and the level of compliance, and frequency of compliance, for TSA\u2019s foreign airport assessments and air carrier inspections over the period of our analysis.", "To examine the steps TSA takes to address deficiencies identified during foreign airport assessments and air carrier inspections, we interviewed ARM and other TSA staff. Specifically, we discussed the full range of options that are available to TSA for addressing airport and air carrier security deficiencies, including a variety of capacity development tools and collaboration with domestic agencies, such as State, and foreign partners, such as Australia, Canada, Chile, New Zealand, Singapore, South Africa, and the United Kingdom. During these interviews, we discussed the circumstances in which each option is typically used and the factors determining when an option is used. We also reviewed program management tools TSA uses to track and manage the status of foreign airport security deficiencies and records pertaining to capacity development assistance deliveries from fiscal years 2012 through 2016, including equipment loaned or donated, training courses provided, and technical assistance delivered.", "To obtain information on the extent to which TSA provided oversight of its assessment and inspection efforts, we obtained and reviewed various TSA program management documents and tools that TSA uses to track and manage information for the programs. Specifically, we reviewed the fiscal year 2017 Global Compliance Master Work Plan, which TSA uses to track its foreign airport assessment schedule, including when various airports are due to be assessed. We also reviewed the Open Standards and Recommended Practices Findings Tool, which the TSA Representatives (TSAR) use to monitor and track a foreign airport\u2019s progress in resolving security deficiencies identified by TSA inspectors during previous assessments. In addition, we reviewed the tracking sheet TSA uses to compile and track airport assessment results, including individual airport vulnerability scores and information on which specific ICAO standards were in noncompliance. Finally, we reviewed the results of air carrier inspections that are contained in the inspections and investigations modules of TSA\u2019s Performance and Results Information System (PARIS).", "To identify challenges affecting TSA\u2019s foreign airport assessment program, we interviewed TSA officials, such as TSA\u2019s Director of Global Compliance, and field officials located at the TSA ROCs about the challenges they experience obtaining access to foreign airports to conduct assessments, the performance of data management systems, and the provision of aviation security capacity development assistance to foreign governments. We also obtained their perspectives on foreign governments that have been reluctant to allow TSA inspectors to visit their airports. We also interviewed TSA\u2019s Director of Global Compliance and headquarters and field staff on the agency\u2019s use of databases and other tracking mechanisms to manage assessment and inspection results. In addition, we obtained the perspective of TSARs on challenges to ensuring that foreign airports address security deficiencies. We also interviewed officials within TSA\u2019s Capacity Development Branch to better understand the scope and types of requests for assistance that they receive from foreign countries, the challenges that they experience in attempting to provide assistance, and their experience collaborating with State.", "We met with State officials to better understand how they coordinate with TSA through their Office of Anti-Terrorism Assistance and other related efforts aimed at assisting foreign partners\u2019 capacity to secure their airports. In addition, we met with officials from the EC and the International Air Transport Association to discuss efforts and programs these organizations have in place to enhance international aviation security.", "In addition, during our interviews with ARM staff, we discussed the extent to which TSA uses information at its disposal to inform capacity development efforts. We also compared these efforts to criteria for obtaining and processing information in federal internal control standards. To identify opportunities for TSA to better leverage information to inform capacity development, we reviewed relevant program management documentation and tools that TSA uses to track and analyze assessment results. Specifically, we reviewed the 2016 Foreign Airport Assessment Program SOP and program management tools TSA uses to track and manage the status of foreign airport security deficiencies. We also reviewed our prior work concerning how risk- informed and priority driven decisions can help inform agency decision makers in allocating finite resources to the areas of greatest need.", "Information from our interviews with government officials and members of the aviation industry provide insight into their perspectives on TSA\u2019s foreign airport assessment and air carrier inspection programs. However, this information cannot be generalized beyond those with whom we spoke because we did not use statistical sampling techniques in selecting individuals to interview.", "The performance audit upon which this report is based was conducted from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2017 to December 2017 to prepare this nonsensitive version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts above, Jason Bair and Chris Ferencik (Assistant Directors); Anthony C. Fernandez (Analyst-in-Charge); Bryan Bourgault; Elizabeth Dretsch; Jesse Elrod; Eric Hauswirth; Christopher Lee; Tom Lombardi; Amanda Miller; and Adam Vogt made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-11", "url": "https://www.gao.gov/products/GAO-18-11", "title": "Southwest Border Security: Actions Needed to Enhance CBP's Maintenance of Roads Used for Its Operations", "published_date": "2017-10-04T00:00:00", "released_date": "2017-10-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To secure the southwest border between ports of entry, Border Patrol uses approximately 5,200 miles of roads, most of which are owned by other entities, both private and public. CBP estimates spending $12.5 million in fiscal year 2016 to maintain and repair roads Border Patrol uses for its operations, including roads CBP does not own.", "GAO was asked to review Border Patrol's use and maintenance of roads for its border security operations. This report examines the extent to which (1) CBP has processes and authorities to access and maintain roads for its security operations and (2) CBP's operations are affected by its use of public roads it cannot maintain, and options CBP could consider to address any needed maintenance. GAO selected three southwest border sectors to visit based on the sectors' total mileage of non-owned roads and number of apprehensions of illegal border crossers. GAO interviewed officials from Border Patrol, and from selected federal, state, local, tribal, and private and community organizations. The information collected from these entities is not generalizable, but provides valuable insights."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. Border Patrol, within the Department of Homeland Security's (DHS) U.S. Customs and Border Protection (CBP), generally has access to public roads and has certain processes and authorities to use other federal, state, local, tribal, and private owned roads for its operations. CBP may enter into arrangements or agreements to address maintenance of certain federal, state, local, and private roads, but CBP has not consistently documented these arrangements, or shared them with all relevant Border Patrol sector officials. This could hinder maintenance efforts and, therefore, Border Patrol's access to the roads. Six of the nine southwest Border Patrol sectors reported that they do not document all road maintenance arrangements and agreements. Developing a policy and guidance for documenting maintenance arrangements and agreements, as needed, could help all sectors more consistently work with landowners to address road maintenance. CBP has two categories for the roads it maintains: (1) roads that CBP owns and has a right to maintain (owned operational roads) and (2) roads that CBP does not own, but may maintain through a license or permit (non-owned operational roads). Border Patrol has established a process for prioritizing maintenance of owned operational roads, but it has not clearly documented the process and criteria for non-owned operational roads, or shared this information with sector officials. Moreover, no sector official GAO spoke with reported being aware of the process and criteria. By clearly documenting and communicating the process and criteria it uses to prioritize non-owned operational roads, Border Patrol could enable sectors to more adequately plan for and better anticipate funding to meet road maintenance needs.", "Border Patrol sector officials reported negative effects from using public roads in poor condition that they cannot maintain, such as limited road access and poor relations with local governments and border communities that attribute the poor road conditions to Border Patrol's regular use. However, the full extent of these effects is unknown due to lack of data on Border Patrol's use of non-owned roads. While CBP officials discussed options for addressing maintenance of non-federal public roads, including a specific appropriation or a grant program, it has not assessed the feasibility of these or other options. Assessing the feasibility of options, including a review of data needed to show Border Patrol's reliance on non-owned roads, including public roads, could lead to a possible solution for enhancing Border Patrol's operations and its community relationships."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CBP develop policy and guidance for documenting arrangements with landowners, as needed, and share the arrangements with its sectors; document and communicate the process and criteria for prioritizing funding of non-owned operational roads; and assess the feasibility of options, including data needs, for addressing the maintenance of non-federal public roads. DHS concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Border Patrol (Border Patrol), within the Department of Homeland Security\u2019s (DHS) U.S. Customs and Border Protection (CBP), is responsible for securing U.S. borders between ports of entry to prevent acts of terrorism and the unlawful movement of people, illegal drugs, and other contraband across U.S. borders. Border Patrol\u2019s 2012\u20132016 Strategic Plan, its most recent strategic plan, calls for rapid response\u2014an immediate planning or action taken to mitigate emerging threats\u2014as one of three core pillars of a risk-based approach for securing the border. Border Patrol agents must travel each day on roads from their respective stations to border areas to mitigate threats such as individuals trying to cross the border illegally. For example, CBP reported that on average, U.S. Border Patrol agents apprehended 1,140 individuals along the nation\u2019s borders on a typical day in fiscal year 2016, and encountered 12,842 criminal aliens throughout the fiscal year.", "To conduct its security operations along the southwest border, Border Patrol agents use roads owned by CBP, as well as those owned by other federal agencies, states, counties, localities, and private citizens. CBP classifies the roads it uses for its operations differently, depending on the extent of its possessory or ownership interest. Owned-operational roads are those that CBP owns, is leasing, or for which CBP has signed an agreement providing it with an irrevocable interest. Non-owned operational roads are those roads that CBP may maintain through a license or permit, though the landowner may revoke the license or permit at any time. As classified by CBP, both categories of roads may be owned by federal, state, local, and private entities. CBP estimates that it uses approximately 5,200 miles of roads to conduct its operations, the majority of which are not owned by CBP, but by other entities such as other federal agencies and private landowners. In particular, of the approximately 5,200 miles of roads used by Border Patrol to conduct its operations, 71 percent are considered non-owned operational. The remaining 29 percent CBP considers owned-operational. State and local public roads\u2014roads under the jurisdiction of and maintained by a public authority and open to public travel\u2014are not considered owned or non- owned operational roads, and therefore, are not included in the approximately 5,200 miles by CBP. Maintenance of these public roads is the responsibility of the state and local entities that have jurisdiction over them; however, Border Patrol may be the predominant user of certain of these public roads. CBP estimates spending approximately $12.5 million on maintenance and repair of owned and non-owned operational roads in fiscal year 2016.", "Our prior work on private property damage and on border fencing and the deployment of tactical infrastructure (TI) highlighted some of the challenges Border Patrol faces in using private land and addressing maintenance and repair of non-owned operational roads along the southwest border. Specifically, in April 2015, we found that landowners may file an administrative tort claim to seek compensation for private road and land damage allegedly caused by the Border Patrol; however, a landowner may only be eligible for compensation if certain criteria are satisfied, including that the damage is caused by an agent acting within the scope of his or her employment. In February 2017 we reported that, according to Border Patrol sector officials, the time it may take to secure an agreement providing for road maintenance, and having to negotiate with multiple landowners where portions of a single road have different possessors, may hinder CBP\u2019s ability to address the maintenance of these roads in a timely manner. We also reported that, according to CBP officials in one sector, maintenance prioritization of certain roads deemed critical to border security operations can result in the degradation of roads considered noncritical to border security operations, and that the use of degraded roads increases the wear and tear on patrol vehicles, and the cost of vehicle maintenance. In addition, we found that Border Patrol had not developed written guidance for its newly implemented Requirements Management Process, intended to facilitate planning for funding and deployment of TI assets, including roads. As a result, we recommended that Border Patrol develop and implement written guidance to include roles and responsibilities for its requirements process for identifying, funding, and deploying TI assets. CBP concurred with our recommendation and has actions underway to address it.", "To better understand how Border Patrol\u2019s use and ability to maintain roads along the southwest border may affect its operations, as well as any processes and agreements in place to use and maintain roads owned by other federal, state, local, tribal, and private landowners, you requested that we review Border Patrol\u2019s use of roads to conduct its security operations, and the extent to which Border Patrol is addressing maintenance of these roads. This report examines the extent to which (1) CBP has authorities and processes, including landowner agreements, to facilitate its access to, and maintenance of, roads for its border security operations and (2) CBP\u2019s operations are affected by its use of public roads it cannot maintain, and the options that could be considered for addressing any needed maintenance of these roads. We also provide information in appendix I on selected federal agencies\u2019 authorities, policies, and procedures for addressing maintenance of the roads these agencies use for their operations but do not own.", "To determine the authorities and processes CBP has for using and maintaining roads for its operations, we reviewed relevant legislation related to CBP\u2019s access to and ability to maintain roads owned by other federal agencies and private landowners, as well as prior Comptroller General Opinions on public road improvement. We also analyzed CBP road improvement policy documents, such as the 2015 \u201cNew Owned and Non-Owned Operational Requirements in the Comprehensive Tactical Infrastructure Maintenance and Repair (CTIMR) Contracts\u201d (Roads Policy Memo). In addition, we interviewed headquarters officials with CBP Office of Chief Counsel (OCC), Facilities Management and Engineering Office (FM&E), and Border Patrol\u2019s Operational Requirements Management Division (ORMD), as well as officials from each of Border Patrol\u2019s nine southwest border sectors, to determine CBP\u2019s authorities and policies for using and maintaining roads owned by other federal, state, local, tribal, and private entities. To determine the type and status of the arrangements Border Patrol has for addressing non-owned operational road maintenance, in January and February 2017 we visited three of the nine Border Patrol sectors where, in addition to interviewing Border Patrol officials, we interviewed officials from other federal agencies, the Texas and Arizona Departments of Transportation, and local and tribal governments, as well as selected private landowners along the southwest border. The private landowners we selected were identified by Border Patrol and local agency officials, as well as by organizations representing landowners along the southwest border, as owners of roads Border Patrol uses for its operations. Information we obtained from the Texas and Arizona Departments of Transportation, local and tribal government officials, and private landowners cannot be generalized, but provided us with perspectives on CBP\u2019s authority and processes for addressing maintenance of public and private roads. We also reviewed a nonrepresentative sample of agreements that Border Patrol has with other federal, state, local, tribal, and private entities for use and maintenance of their roads along the southwest border. We selected the sectors we visited based on factors such as the sectors\u2019 total mileage of non-CBP owned roads and the number of apprehensions of illegal border crossers at each sector. We assessed CBP\u2019s efforts to document and communicate agreements, as well as its processes and criteria for prioritizing funding to address maintenance of the roads it uses for its operations, against criteria in Standards for Internal Control in the Federal Government.", "To determine the effects, if any, of CBP\u2019s use of public roads, we interviewed headquarters officials with CBP FM&E and Border Patrol ORMD, as well as field officials from all nine Border Patrol southwest border sectors. At the three southwest border sectors we visited, we also interviewed federal, state, county, city, tribal, and private landowners, and observed the condition of some of the public roads Border Patrol uses but cannot maintain. To determine options, if any, that could be considered to address Border Patrol\u2019s maintenance of the public roads it is unable to maintain, we reviewed relevant legislation and interviewed CBP FM&E and OCC officials to determine the extent of CBP\u2019s authority and appropriation for addressing maintenance of such roads. During our interviews with these CBP officials, as well as with Border Patrol ORMD and southwest border sector officials, we obtained perspectives on actions CBP could take to address its inability to maintain public roads. At the three sectors we visited along the southwest border, we also interviewed federal and local officials who identified available mechanisms, including sources of funding, they have used or that could be used to address maintenance of public roads Border Patrol uses.", "We also interviewed CBP and Border Patrol officials responsible for maintaining road maintenance data systems such as the Enterprise Geospatial Information Services (eGIS) and Facility and Infrastructure Tracking Tool (FITT), to determine whether data were available for establishing the extent of Border Patrol\u2019s use of non-owned roads. Border Patrol sector officials also provided us examples of nonfederal public roads in poor condition that Border Patrol southwest border sectors use but are unable to maintain and information on how Border Patrol\u2019s operations are impacted by use of the roads. Information we obtained on the roads used by Border Patrol agents along the southwest border cannot be generalized, but provided us with insights into how Border Patrol agents\u2019 ability to patrol certain areas of the southwest border may be hindered by poor road conditions. We examined CBP and Border Patrol\u2019s ongoing and planned initiatives to collect vehicle and agent location data that could be used to establish the extent of Border Patrol\u2019s use of non-owned roads. We assessed the extent to which CBP has evaluated options for addressing maintenance of the roads it uses but is legally unable to maintain against leading project management practices identified by the Project Management Institute.", "To determine the authorities, appropriations, policies, and practices other federal agencies have for addressing maintenance of non-owned roads and their applicability to CBP described in appendix I, we interviewed officials from the Department of Defense, the Department of the Interior (DOI), and the U.S. Department of Agriculture. We identified and selected these agencies because, according to officials, they routinely use roads they do not own for conducting their operations.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CBP and Border Patrol Operations along the Southwest Border", "paragraphs": ["Securing U.S. borders is the responsibility of DHS, in collaboration with other federal, state, local, and tribal entities. CBP, a component within DHS, is the lead agency for U.S. border security, and one of its top priorities is preventing, detecting, and apprehending illegal border crossers, and interdicting other illicit cross-border activity. The U.S. Border Patrol is the CBP component charged with ensuring security along border areas between ports of entry. To secure the nearly 2,000-mile southwest border, Border Patrol divides responsibility for border security operations geographically among nine sectors, as shown in figure 1. Within each sector, Border Patrol agents at stations are responsible for patrolling and responding to emerging threats within defined geographic areas, using CBP-owned roads and a network of roads owned by other federal, state, local, tribal, and private landowners. Agents are to identify and report any needed maintenance and repair requirements of the roads they use to patrol and respond to threats, according to CBP officials.", "Within CBP, the Office of Facilities and Asset Management and Border Patrol each have offices that oversee the maintenance and repair of roads and other TI that Border Patrol agents need to conduct operations. Office of Facilities and Asset Management\u2019s FM&E oversees the necessary environmental and real estate plans, maintenance and repair contracts, and funding distribution. Within Border Patrol, ORMD oversees operational planning by collecting and managing maintenance requirements identified by sectors. ORMD also collaborates with FM&E in determining the amount of funding and resources each sector needs to address identified TI maintenance needs. Within ORMD, the Director of TI and support staff oversee all TI requirements and programs across all Border Patrol sectors."], "subsections": []}, {"section_title": "Southwest Border Road Ownership and Type", "paragraphs": ["The area along the southwest border is composed of federal, state, local, tribal, and private lands. Federal and tribal lands make up 632 miles, or approximately 33 percent, of the nearly 2,000 total border miles. State, local, and private lands constitute the remaining 67 percent of the border.", "Each of these entities, including CBP, owns and maintains roads that Border Patrol may use to patrol or to access TI along the border; however, Border Patrol\u2019s ability to use these roads depends on various factors, including its statutory authorities. Border Patrol may access public roads\u2014i.e., roads under the jurisdiction of a public authority such as a federal, state, local, or tribal entity, and open to public travel\u2014to the same extent as other users. CBP may seek permission of the owner in order to use nonpublic roads (roads owned by a public entity but not open to the public) or private roads (roads owned by a private entity) located beyond 25 miles of the border. In addition, Border Patrol generally makes arrangements with landowners in order to address maintenance of their roads.", "As mentioned previously, owned operational roads are those roads that CBP owns, leases, or has an irrevocable interest in, and therefore has a right to maintain. Non-owned operational roads are roads that CBP may maintain through a license or permit, though the landowner may revoke the license or permit at any time. Therefore, CBP is not obligated to maintain these non-owned operational roads; any work to maintain and repair these roads is based on Border Patrol\u2019s operational requirements. Certain authorities allow federal agencies to enter into agreements with other federal agencies for various goods and services. Under such authorities, CBP may be able to use its appropriated funds to contribute to the maintenance of public roads owned by other federal agencies, but not to the maintenance of public roads owned by state and local entities.", "State and local public roads, which CBP is under no obligation to maintain regardless of use, are not considered owned or non-owned operational roads, and therefore, are not included in the approximately 5,200 miles of roads used by CBP.", "Figure 2 shows an example of a CBP owned operational road providing direct access to CBP fencing, and figure 3 shows an example of a road owned by U.S. Fish and Wildlife Service and used by Border Patrol for patrolling."], "subsections": []}, {"section_title": "CBP Road Maintenance", "paragraphs": ["CBP received $25 million in fiscal year 2016 for necessary repairs to border fencing and border roads. For fiscal year 2017, CBP received an additional appropriation for operations and support, of which $22.4 million is for border road maintenance. CBP uses Comprehensive Tactical Infrastructure Maintenance and Repair (CTIMR) contracts to address maintenance of TI assets along the southwest border, including owned and non-owned operational roads. CTIMR contracts provide a mechanism for CBP to address both routine and urgent maintenance and repair of the roads Border Patrol uses for its operations by providing funds to contractors who perform the required maintenance. Routine maintenance and repair include work that is required due to normal wear and tear, deterioration due to age, and other damage not caused by severe weather events or suspected intentional sabotage. Urgent repair requirements are typically the result of severe weather events or suspected intentional damage.", "For the purposes of maintenance requirements and funding distribution, CBP divides the nine southwest border sectors into four work areas, with each work area operating under a separate CTIMR contract. The four work areas consist of the following sector groupings: (1) San Diego and El Centro sectors; (2) Yuma and Tucson sectors; (3) El Paso and Big Bend sectors; and (4) Del Rio, Laredo, and Rio Grande Valley sectors. CBP\u2019s FM&E determines the contract amount for each work area over a 5-year contract period. Table 1 provides a breakdown of the cost incurred by CBP for road maintenance and repair by work area and sector for fiscal year 2016."], "subsections": []}]}, {"section_title": "CBP Has Various Authorities and Arrangements for Using and Maintaining Roads, but Documentation and Communication of Its Processes and Criteria for Distributing Maintenance Funding Are Limited", "paragraphs": [], "subsections": [{"section_title": "CBP Has Authorities and Arrangements for Using and Maintaining Roads", "paragraphs": ["Border Patrol generally has access to public roads to the same extent as other users, and has certain authorities to use other federal, state, local, tribal, and private owned roads. According to local, tribal, and Border Patrol sector officials, CBP uses and is sometimes the primary user of roads owned by states, counties, cities, and localities, but does not have a specific appropriation to engage in public improvements, including the maintenance and repair of such roads it uses for border security operations.", "Public roads. Border Patrol has access to public roads\u2014those under the jurisdiction of and maintained by a public authority (federal, state, local, or tribal entity) and open to public travel\u2014to the same extent as other users of such public routes. While Border Patrol has authority to use such public roads for border security operations, CBP is statutorily prohibited from maintaining and repairing nonfederal (state, local, county, and city) public roads because performing such work without a specific appropriation could violate the Anti-Deficiency Act and 41 U.S.C. \u00a7 6303 which prohibits the U.S. government from making or authorizing an expenditure exceeding available appropriated funds. To ensure access to TI in proximity to the border by way of lands that are owned by public entities but not open to public use, Border Patrol uses various different arrangements, including easements, special use permits, and multiple use agreements, to gain access to such property. For example, Border Patrol obtained various easements from a city located at the border, granting it access to strategic locations to conduct surveillance of high illegal traffic areas, according to the city\u2019s public works director.", "Other federal agency roads. CBP may obtain a special use permit or enter into interagency agreements with other federal agencies to address maintenance and repair of federal roads and land. CBP may also enter into informal cooperative and undocumented arrangements with other federal agencies to access certain roads the agencies use for conducting their operations but that are not open to the public (e.g., administrative roads). For example, Bureau of Land Management (BLM) officials in Tucson, Arizona, told us that Border Patrol uses BLM administrative roads that are open to other law enforcement agencies in the area, but not to the public. According to these BLM officials, maintenance agreements or reimbursements are not needed from Border Patrol or the other agencies that use the roads. Further, Border Patrol has access to all federal lands, as necessary, under a January 2017 Executive Order that requires the Secretary of Homeland Security, the Secretary of the Interior, and other relevant agency heads to grant Border Patrol, as well as authorized state and local officers, access to such lands.", "Private roads. Border Patrol has statutory authority to, without a warrant, access private lands (i.e., privately owned or otherwise nonpublic roads and land), but not dwellings, within 25 miles of the international border to prevent illegal entry of foreign nationals. According to CBP FM&E officials, no further real estate action is required to access these roads; however, this authority does not permit CBP to maintain and repair such private roads. Access to private roads and land beyond 25 miles from the border generally requires a warrant or permission of the landowner, and all maintenance would be provided for in an arrangement with the landowner. CBP may seek to establish mutually beneficial relationships, including through various arrangements with private landowners, to use, and as appropriate, maintain and repair certain private roads based on Border Patrol\u2019s operational requirements, such as to enhance Border Patrol\u2019s ability to perform operations. These arrangements include, but are not limited to licenses and permits, which are written and revocable consent from landowners for CBP\u2019s specified use of their land. CBP may seek to maintain and repair the privately owned roads leading to TI located in proximity to the border. To do so, CBP secures land rights to maintain and repair these access roads through fee interests, easements, and leases.", "Border Patrol leverages various mechanisms to ensure access to the privately owned roads it needs to conduct its operations on the southwest border. For example, Border Patrol officials told us that they cultivate and maintain good relations with private landowners to ensure access to roads."], "subsections": []}, {"section_title": "CBP Does Not Consistently Document and Communicate Its Arrangements with Landowners", "paragraphs": [], "subsections": [{"section_title": "CBP Uses CTIMR Contracts to Address Road Maintenance", "paragraphs": ["CBP addresses maintenance of roads, as well as all other TI it uses for its operations, through CTIMR contracts and agreements. CTIMR road maintenance involves a collaborative process that uses a prioritization scheme which, according to CBP\u2019s 2015 Roads Policy Memo, ensures that in an environment of limited funding, CBP would fund maintenance and repair of owned operational roads first, followed by non-owned operational roads, where permitted. According to CBP officials, this process entails the following three steps:", "Step 1: Border Patrol stations identify road maintenance requirements on an ongoing basis and provide those requirements to sector and headquarters leadership for approval.", "Step 2: Once approved, sector road maintenance requirements are forwarded to FM&E for real estate and environmental clearance.", "Step 3: Environmentally cleared sector road maintenance requirements are prioritized and added to quarterly CTIMR maintenance work plans as the plans are developed.", "According to CBP FM&E officials, in order for sectors\u2019 requested road maintenance to occur, three criteria must be met. First, CBP must obtain an agreement from the landowner (for non-owned operational roads) authorizing maintenance of the road. Second, the road must undergo an environmental analysis and obtain environmental clearance. Third, appropriated funds must be available for the maintenance. If all three criteria are met, CBP places the road requirement in its Work Management System\u2014a database CBP uses to track and oversee all TI maintenance and repair work for its work plans, which are prioritized and executed every 90 days. Sector officials are responsible for reviewing each work plan and prioritizing maintenance and repair that are critical to border security operations, and communicating any updates to CBP officials for execution. Road requirements that are not funded in a given period are pushed to the next work plan, according to CBP officials."], "subsections": []}, {"section_title": "CBP Has Not Consistently Documented Arrangements with Landowners or Communicated Such Arrangements with Border Patrol Sectors", "paragraphs": ["CBP enters into various arrangements with federal, state, and local agencies and with some private landowners to maintain the roads it uses for its operations; however, it has not consistently documented its arrangements with these landowners or shared the arrangements it has documented with Border Patrol sector officials. Officials of six of the nine southwest Border Patrol sectors we contacted indicated that they do not document all arrangements for private road maintenance, while officials of one sector said they were unsure if all such arrangements were documented.", "Federal, state, and local agencies. CBP has documented arrangements with federal, state, and local agencies, including, but not limited to, interagency agreements and memorandums of understanding (MOU) with other federal agencies, and easements with state and local agencies. For example, CBP has an agreement with the U.S. Forest Service, through which it allocates $1.5 million to the U.S. Forest Service annually to maintain roads the Border Patrol Tucson sector uses in the Coronado National Forest. Tucson sector officials said that providing the funding to the U.S. Forest Service to do the actual road maintenance was less expensive than paying a private contractor to do the maintenance. This process is also more efficient because U.S. Forest Service employees are more familiar with the roads and forest area, according to sector officials. CBP also entered into an MOU with the National Park Service in 2012 that authorizes CBP to maintain and repair certain roads that Border Patrol uses for its operations in the Organ Pipe Cactus National Monument in southern Arizona.", "Although CBP has arrangements with some landowners to address road maintenance, it has not consistently documented arrangements with all such owners. Further, CBP has not shared documented arrangements with all relevant Border Patrol sector officials, including officials responsible for prioritizing sector road maintenance funding needs, which could hinder efforts to maintain roads. Officials of six of the nine southwest Border Patrol sectors we contacted indicated that they do not document all arrangements for private road maintenance while officials of one sector said they were unsure if all such arrangements were documented. Tucson sector officials told us that their sector works with other federal, state, local, tribal, and private landowners to address road maintenance; however, such maintenance is not always addressed through written arrangements. For example, the sector has documented agreements with the Arizona Department of Transportation for maintenance of 11 checkpoints Border Patrol has established on its roads. Conversely, it does not have a written agreement with the Tohono O\u2019odham Nation, a federally recognized tribe, whose reservation straddles the border. Rather, sector officials have had informal arrangements with the tribe and the Bureau of Indian Affairs (BIA) for several years on maintenance of several of the tribe\u2019s roads, including two frontage roads which BIA manages and Border Patrol uses routinely for its operations.", "Border Patrol sector officials cited various reasons for using and addressing non-owned operational road maintenance without documenting arrangements with the road owners. For instance, officials noted that maintaining roads can facilitate good relations with landowners thereby enabling Border Patrol\u2019s access to roads. Officials also explained that keeping roads in good working condition, even in the absence of a documented agreement, is mutually beneficial to both Border Patrol and landowners. For example, according to Yuma sector officials, the sector addresses maintenance of the Marine Corps roads it uses for its operations although it does not have a documented agreement for maintenance. Yuma sector officials said that CBP FM&E drafted an MOU between CBP and the Marine Corps in 2013 that would allow Border Patrol maintenance personnel (or personnel contracted by Border Patrol) to access border roads for maintenance; however, the Department of Navy, on behalf of the Marine Corps, has not yet signed the MOU. In the absence of a written agreement, a CBP employee at Yuma sector performs maintenance on Marine Corps roads, at Marine Corps\u2019 request, because according to officials, Border Patrol agents benefit from accessible roads.", "In some instances, CBP has documented arrangements with federal agencies, but has not shared those arrangements with all relevant Border Patrol sector officials, particularly those responsible for planning for and prioritizing sector road maintenance needs. For example, road maintenance planning officials at Big Bend sector told us that they do not have a documented agreement with the Big Bend National Park in western Texas to address maintenance and do not contribute toward maintenance of any of the park\u2019s roads which Border Patrol uses routinely. They added that FM&E is working on a current project to determine how CBP and the National Park Service could share maintenance costs for their joint use of the park\u2019s roads\u2014an agreement that could extend to other parks in other sectors. However, CBP later provided us with a copy of an agreement it entered into with Big Bend National Park in July 2016. The agreement was effective from October 2016 through September 2017; however, Big Bend sector officials were not aware of this agreement at the time of our March 2017 meeting with them. Similarly, Yuma sector officials said that Border Patrol also helps maintain a DOI-owned road the sector uses routinely for its operations without a written agreement, because it is mutually beneficial and helps maintain good relations with DOI. However, CBP officials later provided us with a copy of an agreement with BLM, a component of DOI, which addresses maintenance of the BLM roads in question. The agreement, which was effective from September 2016 through September 2017, was executed in August 2016, 6 months prior to our March 2017 interview with Yuma officials; however, sector officials were not aware of the agreement at the time of our interview.", "In addition to CBP not consistently sharing documented arrangements with relevant Border Patrol sector officials, we identified instances where written maintenance agreements between CBP and the federal landowners had expired, despite Border Patrol\u2019s continued need to access the roads covered by the expired agreements. For example, the U.S. International Boundary and Water Commission entered into a maintenance agreement with CBP in December 2005 for the resurfacing of approximately 100 miles of a levee road the Rio Grande Valley sector uses along the Rio Grande River. While this agreement expired in September 2015, the commission was allowing Rio Grande Valley sector officials to continue using the levee road at the time of our January 2017 visit to the sector, while a new MOU was being negotiated. International Boundary and Water Commission officials characterized the undocumented agreement Border Patrol was operating under as a verbal \u201cgentleman\u2019s agreement.\u201d Similarly, El Centro sector officials told us that the sector does not have a documented agreement with BLM for use and maintenance of certain BLM roads and land. According to sector officials, agents work to maintain good relations with BLM even though Border Patrol can and does leverage its statutory authority and law enforcement mission to access BLM roads and land. CBP officials later provided us with a copy of an agreement with BLM that addresses maintenance of BLM roads in El Centro sector; however, the agreement had expired in December 2016, 3 months prior to our meeting with El Centro sector officials.", "Private landowners. CBP has obtained licenses from some, but not all, of the private owners whose roads the agency maintains. Also, it has not consistently shared the documented road maintenance arrangements it has with private landowners with Border Patrol sector officials. For example, CBP obtained a revocable license in July 2015 from a private gravel company that allows the Laredo Border Patrol sector to maintain and repair roadways on the company\u2019s property for use in patrolling the border area. Laredo sector officials stated that sometimes they receive pushback from landowners regarding Border Patrol accessing their land, but in general, most landowners want Border Patrol on their property. Conversely, El Centro and El Paso sector officials reported that they do not have documented license agreements with private landowners regarding the maintenance of privately owned roads. In the El Centro sector, officials stated that they typically have verbal and not documented agreements with private landowners for maintenance. These officials stated, however, that documenting agreements would provide a clearer understanding of how privately owned roads are to be maintained.", "A number of factors contribute to the lack of documented road maintenance arrangements between Border Patrol and private landowners. First, some landowners choose not to pursue a license agreement with Border Patrol to address maintenance of their roads as a condition of access to the roads because they support Border Patrol\u2019s mission and need the security provided by the agency. In these instances, landowners have no concerns about Border Patrol agents accessing their land without a documented agreement. For example, five private landowners we met with individually, as well as others we met with in three separate community group meetings, told us they did not have a documented license agreement with Border Patrol; but some of them nonetheless allow Border Patrol to continue using their roads without addressing maintenance. However, one private landowner we interviewed told us that regardless of whether a ranch owner wants Border Patrol agents on his or her property for the security they provide, the additional money the owner must spend to maintain his or her roads used by Border Patrol is a financial burden. Second, some landowners are not aware that Border Patrol can enter into arrangements with them to address maintenance of their roads. For example, two of the five landowners who lack documented license agreements with Border Patrol told us this. Third, some landowners are interested in maintenance agreements but have not received them. For example, three landowners told us they had requested an agreement to address maintenance of their roads; however, Border Patrol had not worked with them on such an agreement. Two of these landowners said they generally incur an additional maintenance cost due to Border Patrol\u2019s regular use and lack of maintenance of their roads. For example, on our site visit to the Tucson sector, one landowner told us that Border Patrol uses approximately 37 miles of road on his ranch without a written license agreement to maintain the roads, although he had requested one from Border Patrol. He estimated that he spends approximately $3,000 per mile annually to repair the roads that Border Patrol predominantly uses. He, as well as two other landowners we interviewed, told us they have considered preventing Border Patrol from using their roads. Fourth, some private landowners do not want a documented maintenance agreement with Border Patrol. According to Border Patrol sector officials, some of these landowners would rather not have to be in compliance with any environmental regulations that may come with signing a formal license agreement with a federal agency and instead prefer a \u201chandshake agreement.\u201d", "In addition to not consistently documenting arrangements, Border Patrol sectors were not consistently aware of the documented arrangements CBP has with private landowners. For example, Big Bend sector officials told us that CBP does not have a documented license agreement with any private landowner in their sector. According to sector officials, the sector consists predominantly of private land, a vast majority of which is located beyond 25 miles of the border and therefore outside the area for which Border Patrol does not need a warrant to access private land. As such, to prevent these owners from denying access to their roads, sector officials told us they try to maintain good relationships with the owners of the roads Border Patrol uses but does not maintain, by addressing damage agents cause to their roads. Big Bend sector officials added that they discuss and verbally agree with landowners on any required road maintenance, relying on the relationships agents have established with those landowners to come to agreement. However, CBP headquarters officials subsequently provided us copies of five license agreements, all executed in August 2016, that CBP has with private landowners in the Big Bend sector. CBP officials also told us that an additional two license agreements were in the process of being finalized. They added that Border Patrol\u2019s ranch liaisons, who serve as Border Patrol\u2019s conduits to landowners, are typically aware of these and other license agreements with landowners in their sectors, and are responsible for making other sector officials aware of the existence of the agreements.", "We asked CBP FM&E and Border Patrol officials why arrangements for road maintenance are not consistently documented or shared with Border Patrol sectors. Officials from CBP FM&E, the office primarily responsible for managing documented road maintenance arrangements, including license agreements, said that agreements are documented based on operational need by Border Patrol and added that FM&E works with Border Patrol sectors to determine which roads need licensees. They also stated that all licenses and agreements are held in the FITT system and tracked in the eGIS. Officials from ORMD provided the following rationales regarding documenting and sharing agreements. First, ORMD officials stated that license agreements for road maintenance with private landowners are managed on a case-by-case basis, depending on the needs of the landowners and the Border Patrol sector. The standard is that a road must have both real estate and environmental clearance prior to receiving maintenance and repair. Second, according to these officials, not every legacy road license agreement has been transitioned over to CBP\u2019s new system for documenting road maintenance, which may explain why neither the owner (especially of land that has been passed on from one generation to the next) nor sector officials know it exists and seek to renew it. In other instances, some historical use agreements have yet to be formally documented. According to ORMD officials, the operational impact to Border Patrol of undocumented agreements can be determined only on a case-by-case basis and will likely depend on the location of the road and the ability to use adjacent alternate roads. They added, however, that in general, the lack of documentation can slow Border Patrol\u2019s access to some roads. ORMD officials stated that in the absence of documented agreements, Border Patrol takes great effort in maintaining relationships with landowners to ensure continued access to the roads it needs. In cases where landowners are apprehensive about entering into formal license agreements with the government, Border Patrol\u2019s ranch liaisons continue to work with landowners to further engage the landowners about entering into a documented agreement.", "Standards for Internal Control in the Federal Government requires that agencies clearly document and communicate all transactions and other significant events, and make the documentation readily available for examination. According to these standards, the documentation may appear in management directives, administrative policies, or operating manuals and may be in paper or electronic form. Those standards also require that management internally communicate the necessary quality information throughout an agency, using established reporting lines to achieve the agency\u2019s objectives. Without documenting and communicating the arrangements it has with landowners, Border Patrol has no record of what was agreed to with owners in terms of maintenance of roads, which could hinder Border Patrol efforts to access and maintain certain roads. Developing a policy and related guidance for documenting arrangements with landowners, as needed, and ensuring that the documented agreements are shared with all relevant Border Patrol sector officials could help Border Patrol work with road and land owners more consistently to address road maintenance. Such a policy could also better provide opportunities to owners who want formalized arrangements, and enhance the sectors\u2019 ability to plan for road maintenance requirements."], "subsections": []}]}, {"section_title": "Border Patrol Has Not Clearly Documented or Shared Its Processes and Criteria Used to Distribute Road Maintenance Funding to Its Sectors", "paragraphs": ["Border Patrol uses any funding that remains after owned operational road requirements are addressed to maintain non-owned operational roads; however, Border Patrol has not clearly documented or shared the process and criteria it uses for prioritizing maintenance of the non-owned operational requirements with sector officials. After distributing CTIMR funds to address its owned operational road maintenance, there are thousands of miles of non-owned operational roads that do not receive funding for maintenance. CBP FM&E officials explained that there is not a dedicated budget for non-owned operational roads, and therefore, not sufficient funding to address all the roads in need of maintenance. Also, because CBP does not collect data on the frequency of its road use, CBP is limited in its ability to effectively dedicate funding for road maintenance. The funding to address maintenance and repair of non-owned operational roads is derived from two main sources. First, CBP has the option of redistributing excess funding from any unneeded owned operational road maintenance project, among the sectors. For example, if the roads in Tucson sector are not damaged as much as anticipated during the annual monsoon season, CBP can redistribute funds originally designated for Tucson sector for other road maintenance projects in other sectors within the same work areas. The redistribution of such funds is determined by Border Patrol\u2019s Director of TI. Second, officials said that if funding from an additional appropriation is made available, as was the case in fiscal year 2016, they can use it to address non-owned operational road maintenance.", "Border Patrol makes decisions on how to prioritize maintenance of non- owned operational roads; however, the process and criteria it uses for making such funding decisions are not clearly documented and are not shared with Border Patrol sector officials. During the course of our review, we requested that ORMD provide a description of its prioritization process both verbally and in writing. ORMD officials provided us with a written description that included the following six steps for prioritizing non-owned road maintenance:", "Step 1: Review sectors\u2019 past year priorities utilizing a road requirements working group composed of representatives of all divisions of the three Border Patrol directorates.", "Step 2: Receive and review planning guidance from Border Patrol senior leadership.", "Step 3: Identify current and emerging threats.", "Step 4: Review State of the Border Risk Methodology for updated risk levels.", "Step 5: Draft priority lists, utilizing the road requirements working group.", "Step 6: Brief, adjust, and obtain concurrence for priority lists utilizing the road requirements working group and executive governance.", "The document ORMD prepared for us also cites various criteria for making funding decisions about non-owned roads, including whether each proposed road requirement is considered a vulnerability. If it is considered a vulnerability, ORMD determines whether it is documented in the Capability Gap Analysis Process, and how the vulnerability ranks among other identified vulnerabilities within the station and sector where the road is located, and in the nation as a whole, to inform leadership. Further, according to the document, ORMD officials determine the urgency of funding the road requirement and whether it can be funded given available resources.", "ORMD officials identified various other factors that go into the decision- making process for prioritizing non-owned road maintenance. However, these factors were different from those criteria included in the document they prepared for us. For example, ORMD officials said that when prioritizing sectors\u2019 non-owned road maintenance, planners must first consider sectors\u2019 ranking on Border Patrol\u2019s annual investment prioritization list, which is based on intelligence, threat level, and other information pertaining to each sector. ORMD officials stated that this list serves as a starting point for the decision-making process to prioritize sectors\u2019 non-owned operational road maintenance requirements. Officials added that the investment prioritization list is intended to help them with the six-step maintenance prioritization process described above; however, not all factors they consider when making the decision as to which non-owned operational roads to maintain in each sector are documented. They explained that the majority of their personnel have been trained on the road maintenance planning process and are familiar with all factors that go into the decision-making process.", "ORMD officials said that sectors\u2019 investment prioritization rankings are not shared with the sectors. They explained that they prefer to not share the list or sectors\u2019 ranking with the sectors because this information is intended to guide their decision-making, but is not the only factor they use in determining sectors that should receive remaining funding for non- owned operational road maintenance.", "None of the nine sector officials we contacted reported that they were aware of the process and criteria ORMD uses to prioritize and fund maintenance of non-owned operational roads. Rio Grande Valley sector officials told us that funding of maintenance requirements for the Rio Grande Valley sector takes priority over funding of other sectors\u2019 non- owned operational road requirements. However, these officials stated that they were unsure why this was the case, primarily because Border Patrol had not shared the process and criteria it uses for non-owned operational road maintenance decision-making. Standards for Internal Control in the Federal Government requires that agencies clearly document all transactions and other significant events, and make the documentation readily available for examination. According to these standards, the documentation may appear in management directives, administrative policies, or operating manuals and may be in paper or electronic form. Those standards also require that management internally communicate the necessary quality information throughout an agency, using established reporting lines to achieve the agency\u2019s objectives. By clearly documenting and communicating the process and criteria it uses for making decisions on funding non-owned operational requirements, ORMD could better ensure that sector officials are aware of the process and criteria, and can therefore better plan for and anticipate funding to meet their sector road maintenance needs. Moreover, documenting and communicating the process and criteria by which it makes non-owned operational road requirements funding decisions would ensure Border Patrol has a record of the process not dependent on the persons with current knowledge of the process being in the same positions."], "subsections": []}]}, {"section_title": "Border Patrol Operations May Be Affected by CBP\u2019s Inability to Maintain Certain Public Roads That Are in Poor Condition, but CBP Has Not Assessed Maintenance Options", "paragraphs": [], "subsections": [{"section_title": "Border Patrol Officials Reported That Certain Public Roads in Poor Condition Affect Border Security Operations", "paragraphs": ["Border Patrol sector officials we interviewed reported that poorly maintained public roads negatively affect their ability to conduct security operations. Officials from six of the nine southwest border sectors reported that poorly maintained public roads negatively affect their ability to respond to threats because of limited road access or increased response times, and cause additional wear and tear on vehicles. For example, El Paso sector officials said that a 14-mile stretch of a public, county road they use to access a forward operating base is severely rutted, limiting agents\u2019 ability to access the southernmost points of their patrol area. In addition, officials from Laredo sector told us that a 40- mile county-owned road in the western part of the sector is in such poor condition agents cannot always use it. The alternative route agents take adds approximately 90 minutes to their patrol time. Laredo sector officials also said that when agents do use roads like this one, it results in wear and tear on vehicles. Laredo sector officials reported that they had to contract for outside mechanics as a result of additional demands for vehicle repairs. Figure 4 documents the poor condition of the county road in Laredo sector.", "The extent to which Border Patrol operations are negatively affected by the poor conditions of certain public roads is unknown because, according to CBP and Border Patrol officials, Border Patrol does not collect or maintain data on the extent of its use of any non-owned roads, including public roads. According to officials, Border Patrol does not collect such data because it does not make road maintenance decisions based on how frequently it uses a road, but rather, on how critical the road is to its operations. Border Patrol officials said that they have assessed various ongoing or planned CBP data collection initiatives that Border Patrol could leverage to collect data that could identify how often it uses non-owned roads. For example, officials with CBP Enforcement Systems Division\u2014the office responsible for integrating technology initiatives with operations in support of Border Patrol\u2019s mission\u2014said that CBP\u2019s Blue Force initiative\u2014a method, usually using Global Positioning System (GPS), of tracking the locations in real time of operational assets, including vehicles and agents, to better coordinate operations\u2014would collect GPS tracking data. However, Border Patrol officials stated the Blue Force initiative and other GPS tracking initiatives have not received all planned funding amounts.", "As CBP and Border Patrol officials said they do not have data that identify the extent of Border Patrol\u2019s use of non-owned roads, we gathered examples from each of the nine southwest Border Patrol sectors of state, county, city, and tribal public roads in poor condition that CBP is unable to maintain and that sector officials said negatively affect their ability to conduct operations. Table 2 provides examples of the public roads sector officials identified, including a description of the roads, and how the road conditions negatively affect Border Patrol\u2019s operations."], "subsections": []}, {"section_title": "CBP Officials Reported That the Inability to Maintain Certain Public Roads That Are in Poor Condition May Be Impeding Border Patrol\u2019s Relations with Local Governments and Communities", "paragraphs": ["CBP\u2019s inability to address the maintenance of certain public roads Border Patrol regularly uses can negatively affect Border Patrol\u2019s relations with local governments, according to CBP officials. Officials from two counties and one tribe we spoke with told us that in certain rural areas along the border, Border Patrol uses some public roads heavily or is the primary user, and its use creates more wear and tear on the roads than would ordinarily be caused by general public use. These officials said that their agencies are responsible for fully funding required maintenance of the roads they own; however, they may not address needed maintenance for two reasons. First, their agencies do not have sufficient funding because they do not have the necessary tax base to generate funds for extensive road maintenance. Second, with limited funding, agencies may prioritize roads the general public uses more frequently over rural roads used regularly by Border Patrol. These county officials and Border Patrol sector officials told us that CBP\u2019s inability to offer any maintenance assistance for public roads Border Patrol needs for operations makes collaboration with local governments challenging and hurts Border Patrol\u2019s credibility. For example, officials we met with in an Arizona county identified a 5-mile stretch of road within their county that Border Patrol uses frequently because it provides access to the border. County officials told us they currently spend $23,000 more each year to maintain the 5-mile road than they would typically spend on a similar stretch of road as a result of the wear and tear they attribute to Border Patrol\u2019s use. Figure 5 shows potholes and deteriorating shoulders on the county road.", "In addition, officials from the Tohono O\u2019odham Nation told us they do not have sufficient BIA funding to maintain a 28-mile, major, public thoroughfare leading to a Border Patrol forward operating base and the border. Tucson sector officials said they are likely the primary user of the southern end of the road and may create heavy wear and tear. These officials reported that BIA would require approximately $14.5 million to repair the 28-mile road; however, BIA receives approximately $26 million for road repairs annually to cover 29,000 miles of roads under its jurisdiction. Figure 6 shows the eroded condition of this tribal road. Officials from the Arizona county and tribe have requested Border Patrol\u2019s assistance in maintaining public roads. As of July 2017, however, Border Patrol had not provided such assistance.", "Border Patrol sector officials also said relations between Border Patrol and local border communities can be negatively affected by poor road conditions, because the communities attribute the conditions to Border Patrol\u2019s use. These relations are important as Border Patrol relies on good relations with communities to access roads owned by private landowners in the community to conduct operations, according to Border Patrol officials. Members of a community coalition in Arizona that meets regularly to discuss options for addressing maintenance of a poorly maintained public road that Border Patrol uses routinely told us that Border Patrol\u2019s use of the public road creates conditions that negatively affect the local community and damage relations with Border Patrol. Similar to the negative effects Border Patrol officials reported, members of this community coalition told us they experience slower response times by emergency response vehicles and damage to vehicles from poor road conditions, resulting in higher vehicle maintenance costs. In addition, these private landowners told us poor road conditions have negatively affected the local economy. For example, residents of a town we met with that is located near recreational amenities reported a decline in tourism revenue. They stated that, in their view, the poor condition of roads Border Patrol routinely uses has contributed to declines in tourism."], "subsections": []}, {"section_title": "CBP Has Not Assessed Options for Addressing Maintenance of Nonfederal Public Roads in Poor Condition", "paragraphs": ["CBP and Border Patrol officials have discussed two options that, if implemented, could offer possible mechanisms for addressing maintenance of nonfederal public roads. However, officials also discussed challenges each option would present to CBP, and CBP has not assessed these or other options for addressing maintenance of the state, county, city, and other local roads it uses for its operations.", "First, CBP officials told us they have considered seeking a specific appropriation to maintain state and local (i.e., nonfederal) public roads through financial or labor assistance. However, CBP officials said that involvement in public road maintenance may raise liability considerations and potential conflicts with the agency\u2019s primary mission. For example, CBP officials indicated that if CBP maintained nonfederal public roads, it could be subject to negligence claims in relation to the repairs it conducts. Additionally, CBP would require additional resources to negotiate necessary contracts with public authorities to ensure they spend money appropriately and to oversee the network of their roads that could be necessary for CBP\u2019s operations, according to officials. In addition, the time and resources spent on road maintenance could divert Border Patrol from its primary mission of securing the borders, according to CBP officials.", "Second, CBP and local officials we met with discussed two grant options that could be informative in considering options to address the maintenance of public roads Border Patrol uses routinely. While the specific grants discussed may not apply to CBP or road maintenance, the officials provided them as examples of grants that promote cooperation between federal agencies and local governments.", "First, after securing necessary legal authorities, CBP could establish a grant program, which would allow CBP to provide funding to state and local entities for road maintenance. Officials suggested that such a program could also allow the public entities that own the roads to conduct the maintenance themselves, alleviating Border Patrol\u2019s liability and resources concerns. For example, Border Patrol officials discussed the success they have experienced using Operation Stonegarden to leverage state and local resources for border security while building relations with local law enforcement. Operation Stonegarden provides funds for joint CBP, Border Patrol, and federal, state, local, and tribal law enforcement agency efforts to secure U.S. borders. These officials offered that a similar program could enable CBP to provide funding to public entities to maintain certain roads.", "Second, CBP and local officials identified federal funding for road maintenance available to public agencies and executed through other federal agencies that CBP may be able to contribute to. For example, officials of a public water drainage district and town we met with said they had previously applied for a Federal Lands Access grant. The Federal Lands Access Program supplements state and local resources for public roads, among other transportation related infrastructure, with an emphasis on high-use recreation sites and economic generators. The Federal Lands Access Program requires applicants to provide at least a 20 percent match of the project cost. Officials from the public water drainage district and town said another local public entity planned to help it with the match for this grant. If Border Patrol had an appropriation for non-owned road maintenance, it could potentially help public entities, like the water drainage district, meet the match for federal grants.", "As of July 2017, CBP and Border Patrol have not assessed or implemented any of the options described above for two predominant reasons. First, CBP officials said the options each have accompanying challenges, in addition to the liability and management issues discussed above. For example, an appropriation to maintain public roads would not likely be sufficient to cover all road maintenance for state, local, and tribal roads Border Patrol uses, according to CBP officials. They added that limited funding to maintain the roads would put CBP in a position to prioritize some public roads over others, which may further strain relations with some public entities. Second, as discussed above, CBP officials told us they do not currently have data that demonstrate the extent to which Border Patrol relies on all non-owned roads, including public roads, to conduct its operations. CBP officials also said they do not keep data on the condition of roads owned by public entities. Without data on CBP\u2019s use of non-owned roads, determining a maintenance solution that uses an appropriate amount of resources would be challenging.", "Standards for program management call for program managers to assess programs on an ongoing basis. To ensure continued success, program managers can use feasibility studies to determine whether implementing program changes could help mitigate any negative impacts. Assessing the feasibility of options to ensure adequate maintenance of nonfederal public roads, where necessary, including data needs for determining the extent of its reliance on non-owned roads for border security operations, could lead to a possible solution for enhancing Border Patrol\u2019s operations and its community relationships."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["Border Patrol\u2019s access to roads plays a key role in its ability to secure the nation\u2019s land borders from terrorism and other threats. While Border Patrol has entered into maintenance arrangements with the federal, state, and private landowners whose roads it uses for its operations, CBP and Border Patrol officials told us they have not consistently documented these arrangements because the need for an agreement with a landowner is determined on a case-by-case basis. By not documenting the arrangements it has with landowners, Border Patrol has no record of what was agreed to with owners in terms of maintenance of roads, which could hinder Border Patrol efforts to access and maintain certain roads. Similarly, Border Patrol has not clearly documented or shared its process and criteria for determining which non-owned roads to maintain with its limited funding. By not clearly documenting and communicating the process and criteria it uses for making decisions on funding non-owned operational requirements, ORMD cannot reasonably ensure that sector officials are aware of the process and criteria, and therefore cannot ensure adequate planning for and anticipation of funding to meet sectors\u2019 road maintenance needs requirements.", "In addition, Border Patrol generally has access to public roads and has certain authorities to use other nonpublic federal, tribal, and private owned roads; however, it does not have a specific appropriation for public improvements. Border Patrol agents reported experiencing negative effects to their operations, such as delayed response times, from using public roads that are generally in poor condition due to Border Patrol\u2019s use and inability to maintain the roads; however, CBP has not assessed options for maintaining these roads, partly because it does not collect data that indicates the extent of its reliance on all non-owned roads. Without assessing options, including data needs, that may exist for addressing maintenance of nonfederal public roads, CBP may be missing feasible opportunities for addressing maintenance of the roads, thereby foregoing an opportunity to enhance Border Patrol\u2019s ability to rapidly respond to threats at the border."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CBP:", "The Commissioner of CBP should develop and implement a policy and related guidance for documenting arrangements with landowners, as needed, on Border Patrol\u2019s maintenance of roads it uses to conduct its operations, and share these documented arrangements with its sectors. (Recommendation 1)", "The Commissioner of CBP should clearly document the process and criteria for making decisions on funding non-owned operational requirements and communicate this process to Border Patrol sectors. (Recommendation 2)", "The Commissioner of CBP should assess the feasibility of options for addressing the maintenance of nonfederal public roads. This should include a review of data needed to determine the extent of its reliance on non-owned roads for border security operations. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS, DOD, DOI, and USDA for review and comment. DHS agreed with our three recommendations. The department\u2019s response is reprinted in appendix II. DHS and DOI also provided technical comments that we incorporated, as appropriate. In response to our first recommendation that CBP develop and implement a policy and related guidance for documenting road maintenance arrangements with landowners, and share these documented arrangements with its sectors, DHS concurred, stating that FM&E will issue updated guidance on addressing maintenance of assets on private land to Border Patrol and FM&E personnel located at the sectors. The updated guidance, according to DHS, will reference the agency\u2019s 2011 and 2015 policy and procedures for owned and non-owned road maintenance, as well as points of contact for additional information on landowner maintenance agreements. DHS also concurred with our second recommendation that CBP clearly document the process and criteria for making decisions on funding non-owned operational requirements and communicate this process to Border Patrol sectors. DHS stated that Border Patrol will outline the process and criteria for making these funding decisions and communicate the process to Border Patrol sectors. DHS concurred with our third recommendation that CBP assess the feasibility of options for addressing the maintenance of non- federal public roads, including a review of data needed to determine the extent of its reliance on non-owned roads. DHS stated that Border Patrol, in collaboration with CBP FM&E, will review data on the extent of Border Patrol's use of non-owned roads for border security operations and develop a strategy that outlines options and assesses the feasibility for maintaining roads, as appropriate. These actions, if implemented effectively, should address the intent of our three recommendations.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Homeland Security, Agriculture, Defense, and the Interior, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions, please contact me at (202) 512- 8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Selected Federal Agencies\u2019 Programs for Addressing Maintenance of Roads the Agencies Use but Do Not Own", "paragraphs": ["We reviewed relevant authorities, policies, and procedures of three selected departments that maintain roads owned by others (non-owned roads) for conducting their operations\u2014the Department of Defense (DOD), the U.S. Department of Agriculture (USDA), and the Department of the Interior (DOI). DOD addresses maintenance of all non-owned roads through its Defense Access Roads (DAR) program. The U.S. Forest Service (Forest Service) is a USDA component we identified that addresses maintenance of non-owned roads. While DOI officials stated that DOI is not authorized to directly address maintenance of the non- owned roads it uses for its operations, the Bureau of Indian Affairs (BIA), a component of DOI, partners with public agencies to address maintenance of non-owned roads that provide access to or within tribal lands, through the Tribal Transportation Program.", "We discuss the authorities, policies, and procedures utilized by the DAR program, the Forest Service, and BIA in more detail in the following sections. These authorities, policies, and procedures are specific to the respective programs, and therefore are not applicable to the U.S. Border Patrol (Border Patrol). In addition, U.S. Forest Service and BIA officials said that unlike the U.S. Forest Service and the BIA, Border Patrol is not a public road agency\u2014a federal, state, local, or Indian government or instrumentality with jurisdiction over, and authority to finance, build, operate, or maintain, public roads. Further, Border Patrol has various authorities including the ability to access private land, and therefore roads on such land, located within 25 miles of the border, without a warrant. The information presented below is intended to illustrate how other selected federal departments and agencies address maintenance of non- owned roads."], "subsections": [{"section_title": "Department of Defense: Defense Access Roads (DAR) Program", "paragraphs": [], "subsections": [{"section_title": "Background", "paragraphs": ["DOD and the Department of Transportation are jointly responsible for administering the DAR program. Established in 1956, the DAR program authorizes the Secretary of Transportation to use funds appropriated for the Department of Defense to fully or partially fund public road improvements and maintenance that are certified as important to national defense. The program provides a means for the military to pay its \u201cfair share\u201d of the cost of public road improvements and maintenance needed in response to sudden and unusual defense-generated traffic or road surface impacts, such as a significant increase in personnel at a military installation, or use of a road by an oversized or overweight military vehicle, and to help ensure adequate transportation capacity is in place when needed. According to DOD officials, the DAR program is primarily used to fund road construction to provide installation access and alternate routes to reduce congestion caused by an installation and for the maintenance of roads to support transportation of specialized military equipment traveling on public roads."], "subsections": []}, {"section_title": "Authority", "paragraphs": ["Through the DAR program, DOD is authorized to address the construction and maintenance of certain defense access roads which are certified to the Secretary of Transportation as important to the national defense. To implement its authorities, in 1978 DOD and the Federal Highway Administration (FHWA) together developed a set of DAR program eligibility criteria that specifies the types of roads DOD can improve. These roads include (1) a replacement road; (2) a public road that creates new access to a military facility; (3) a road on which traffic has doubled as a result of the military\u2019s use; and (4) a rural county road that has limited carrying capacity and requires upgrade to sustain consistent movements of military equipment. DOD officials said that they use public roads like everyone else in the general public\u2014that is, DOD components use the roads while the public owners (for example, a state, county, or city) maintain the roads\u2014and are not authorized to address maintenance of a public road unless the road is determined by the DAR program to be a defense access road. DOD officials said they were not aware of any instances involving DOD\u2019s use of private roads. If there is any such use, DOD officials stated that there would be an agreement in place for addressing maintenance of the private roads.", "DAR projects are funded from two sources\u2014Military Construction funds and Operation and Maintenance funds. The particular source used for a project depends on the project\u2019s work classification and dollar amount. Projects for new construction that exceed $1 million are submitted as line item requests in the President\u2019s budget for authorization and appropriation in the Military Construction program. Maintenance and repair of existing roads under the DAR program is funded with Operation and Maintenance funds. Minor military construction projects costing $1 million or less may also be funded with Operation and Maintenance funds. DOD officials said that because there is not a dedicated funding for the DAR program, it competes with every other military requirement (including on-base construction requirements). Ultimately, funding is based on a project\u2019s merit to meet a military mission."], "subsections": []}, {"section_title": "Policies and Procedures", "paragraphs": ["Under DAR program regulations, military installation commanders can initiate a request for assistance from DAR if there is a defense-related transportation need affecting the surrounding community. To initiate a DAR project, the local military base identifies the access or mobility requirement and submits a DAR needs report to the U.S. Army Military Surface Deployment and Distribution Command (SDDC). SDDC will then either conduct a DAR needs evaluation or request FHWA to make an evaluation of improvements that may be necessary, determine the scope of work to address the deficiencies, and develop a cost estimate. According to a document DOD officials provided on the DAR program, SDDC will determine if the proposed work meets the DAR program qualification criteria and if so, certify the road as important to national defense, thereby making it eligible for DOD funds. The military service operating the base is then responsible for submitting the budget request for the project funds through its normal planning, programming, and budgeting process. Once programmed by the military service, if the work is classified as new construction and exceeds $1 million, the funds must be authorized and appropriated by Congress. After Congressional approval, the funds are transferred to FHWA and allocated to the agency administering the project (federal, state, county or other local transportation authority). A project memorandum of agreement (MOA) establishes specific roles and responsibilities for the officials involved in the DAR project. Upon completion, long-term maintenance of the improvement becomes the responsibility of the owning highway authority.", "According to DOD officials, the most common DAR program maintenance projects involve maintenance and repair of rural county roads used by the Department of the Air Force to transport intercontinental ballistic missiles from their main base to remote locations. These roads are often gravel roads, but also include portions of paved roads. For operational reasons, missile equipment cannot be transported over roads that are rutted or washboarded; therefore, DOD is forced to maintain these roads to its standards, which are typically higher than the standards of the counties that own them, to ensure access and safety. DOD missile engineers coordinate with state and county transportation departments, as well as the FHWA, to execute the maintenance requirements. There are approximately 1,500 miles of gravel roads to be kept at missile transporter standards used by DOD. There is another 1,500 miles of paved roads used by DOD for the missile transporter mission; however, DOD does not generally maintain these roads, except in cases of an emergency (e.g., surface washout or extreme snow removal).", "In support of the missile transport requirement, DOD has an MOA with each county and state it works with under the DAR program. These MOAs are general in nature, outlining mostly the roles and responsibilities of DOD, as well as those of the state or county. DOD officials explained that if paved roads fall into disrepair, DAR missile engineers are generally in close contact with state and local officials and have a very good relationship with them to ensure the state or county maintains the road. Typically, the state and local transportation officials adequately maintain paved roads, while DOD generally maintains the unpaved roads. If the responsible state and local agencies do not have the necessary funds to maintain paved roads, DOD will look into using alternate routes for transporting the missiles, or other alternatives, but would not generally provide funding for the maintenance of paved roads, according to DOD officials."], "subsections": []}]}, {"section_title": "Department of Agriculture: U.S. Forest Service", "paragraphs": [], "subsections": [{"section_title": "Background", "paragraphs": ["The mission of the U.S. Forest Service, a component of USDA, is to sustain the health, diversity, and productivity of the nation\u2019s forests and grasslands to meet present and future needs. To accomplish this mission, the Forest Service manages and protects 154 national forests and 20 national grasslands in 43 states and Puerto Rico. The Forest Service uses a wide variety of roads to access national forest system lands. A large portion of these roads are owned and managed by the Forest Service; however, the agency also relies on roads which cross land managed and owned by other federal, state, local, and private landowners authorized by various types of easements, road use permits, or road rental agreements, to conduct its operations."], "subsections": []}, {"section_title": "Authority", "paragraphs": ["According to Forest Service officials, the Forest Service is a public road agency and therefore operates and maintains roads that are open to the public. In addition to these roads, Forest Service uses public roads like the general public\u2014with the relevant public road agency bearing responsibility for maintenance of such roads. However, if traveling on a public road with a vehicle that is not standard for the particular road type, Forest Service would generally need to obtain a special-use permit as required by the relevant public road agency. Forest Service must also enter into agreements to use and maintain private roads. Conversely, if a road is located on an existing right of way that is owned by the Forest Service, and through private property, Forest Service does not need additional permission to access and maintain the road. Also, according to Forest Service officials, in the event of an emergency (fire, pursuit), Forest Service can access a private road without permission.", "Forest Service addresses maintenance of the owned and non-owned roads it uses for its operations using allocated funding used for most road restoration, maintenance, and repair, as well as funding from the FHWA (funding to address maintenance of a smaller subset of roads). Forest Service can enter into agreements with other public agencies for use and maintenance of the agency\u2019s roads or land under various authorities. Funds available for forest development roads and trails are to be used by the Secretary of Agriculture to cover costs of construction and maintenance of such roads and trails, including those on experimental and other areas under Forest Service administration. A set formula is used to allocate Roads, Capital Improvement, Maintenance (CMRD) funding to each of nine Forest Service regions, and then to each forest. While CMRD funds can be shifted from one region to another, as needed, officials said that there are restrictions on how funding from the Federal Highway Administration can be distributed and spent. In the case of either funding source, each forest determines how to spend the funding it receives for road maintenance. The criteria used for making this road maintenance decision takes into account, among other things, other road construction and maintenance plans for the region where the forest is located, according to Forest Service officials."], "subsections": []}, {"section_title": "Policies and Procedures", "paragraphs": ["According to Forest Service officials, the agency predominantly maintains its own roads and expects other entities, such as counties, to maintain their own roads, regardless of how frequently Forest Service uses a particular road. Forest Service\u2019s policy is to enter into road maintenance agreements with public agencies where there is a sufficient reason and available funding to do so. Forest Service meets annually with public road agencies and landowners to discuss existing and new road use agreements and maintenance plans, as well as shared road maintenance responsibilities, activities, and scheduled maintenance events. According to Forest Service officials, as of July 2017, the agency had issued 5,854 Forest Road and Trail Act Easements to public road agencies and landowners nationwide. These easements have clauses which direct the Forest Service and the grantees to enter into agreements to use and maintain each other\u2019s roads. Individual forests are responsible for forming any agreements they need for road maintenance. The specific terms of these agreements are economically driven, primarily based on beneficial need to the Forest Service and the availability of funding, according to Forest Service officials. Officials said that Forest Service will maintain a public road if it enables needed access. Officials said they can execute MOUs with entities, such as counties, to share road maintenance costs. Forest Service also partners with other federal agencies on use of federal highways. The roads Forest Service typically uses are public-use and multi-use roads. According to Forest Service officials, there are not many instances in which Forest Service needs to access private roads. In instances where it does, Forest Service\u2019s policy is to obtain a perpetual, motorized, public use easement; however, most private owners are hesitant to grant ownership interest. Officials said that they use one-time agreements on a small subset of roads to address wear and tear in specific instances and based upon the Forest Service commensurate road use. For example, officials said if Forest Service acquires land, but has not yet acquired the roads leading to the property, Forest Service will enter into a short-term agreement to maintain the roads until it acquires ownership of the roads. All agreements are made on a case-by-case basis, according to officials, but the focus for Forest Service is always on the needs of the agency.", "According to Forest Service officials, maintenance agreements are rare because most of the roads the Forest Service needs are already maintained at the level it needs them to be. There are not many examples of Forest Service needing the roads to be maintained at a higher standard than they already are. Forest Service officials also told us that the agency prioritizes maintenance of the roads it owns over maintenance of roads that are owned by others. Given the large network of roads under Forest Service\u2019s jurisdiction, there is rarely excess funding available to contribute to the maintenance of roads owned by local government agencies, officials said. To compensate for its limited funding, officials added that Forest Service has helped local government agencies address maintenance of their roads by providing a funding match to help qualify these agencies for federal road maintenance grants. However, they said that they do this only on a case-by-case basis, and only when Forest Service and the local government agencies\u2019 priorities align.", "Forest Service officials said that a lot of collaboration occurs between the Forest Service and other federal, state, and local agencies in order to finance road improvements and maintenance. Most of its collaboration is with states and counties. Forest Service collaborates with FHWA because the latter grants the necessary easements to states for forest highways which the Forest Service uses. Because counties get FHWA funds as well to maintain forest highways along with county road intersections, Forest Service works with counties on these roads to meet forest needs."], "subsections": []}]}, {"section_title": "Department of the Interior: Bureau of Indian Affairs Background", "paragraphs": ["DOI\u2019s Bureau of Indian Affairs (BIA) is responsible for the administration and management of approximately 56 million acres of land held in trust by the United States for American Indians, Indian tribes, and Alaska Natives. BIA provides services, including transportation services, directly or through contracts, cooperative agreements, and grants, to approximately 1.9 million American Indians and Alaska Natives from the 567 federally recognized tribes. One of BIA\u2019s mechanisms for addressing maintenance of non-tribal and non-BIA owned public roads is the Tribal Transportation Program (TTP). Through the TTP, the Secretaries of Transportation and the Interior pay the costs of eligible transportation projects involving tribal transportation facilities, and other appropriate public road facilities, among other activities. Public roads whose maintenance is addressed through the TTP include roads owned by states, cities, counties, and other federal agencies. The TTP is jointly administered by the BIA Division of Transportation and the FHWA Federal Lands Highway Office."], "subsections": [{"section_title": "Authority", "paragraphs": ["According to BIA officials, BIA and tribal governments are public authorities and are authorized to enter into agreements with other public agencies to maintain non-owned roads that meet the definition of transportation facilities that are eligible for assistance under the TTP. The responsibility to maintain roads owned by another public authority belongs to such authority with jurisdiction over the route (unless otherwise provided for in an agreement or other usage permit). According to BIA officials, a tribe or BIA may use TTP funds to maintain roads owned by others, but only in accordance with an agreement allowing the tribe or BIA to carry out maintenance activities on the roads and provided the public authority that owns the road cannot or will not use its funds to maintain its own road."], "subsections": []}, {"section_title": "Policies and Procedures", "paragraphs": ["BIA is organized into 12 regions, each of which has a TTP component that provides engineering, construction, and road maintenance services for highways, roads, bridges, trails, or transit systems that are located on or provide access to tribal land and appear on the National Tribal Transportation Facility Inventory. The 12 regions can enter into agreements with state and local governments to provide funding to maintain public roads the state and local governments own and that provide access to tribal lands when tribes have not assumed responsibility for administering the TTP. BIA enters into and administers these agreements for those tribes which do not have an agreement with BIA for transportation funding, known as \u201cdirect service tribes.\u201d Tribes that have such an agreement with BIA, or FHWA, are responsible for administering the TTP and would enter into and administer agreements with state and local governments for maintenance of the roads they own that provide access to tribal lands. According to BIA officials, of the approximately 160,000 miles of roads that are eligible for TTP funding, BIA owns approximately 29,000 miles. The amount of funding distributed via the TTP is determined by a statutory formula based on several factors including historic funding, miles of roads in the National Tribal Transportation Facility Inventory in 2004 and 2012, population, and a supplemental takedown designed to assist certain tribes with small shares of funding relative to their fiscal year 2011 funding base. Prior to 2012, BIA allocated funding based on a regulatory formula that included needs data continuously updated by tribes. TTP funding can be used as the funding match state and local agencies need to qualify for federal transportation improvement grants, depending on the transportation needs of tribal governments. According to 23 U.S.C \u00a7 202(f), TTP funding is not intended to replace the funding state and local governments receive for planning, design, construction, and maintenance for their public roads."], "subsections": []}]}]}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Meg Ullengren (Assistant Director), Edith Sohna, and Colleen Corcoran made key contributions to this report. Also contributing to the report were David Alexander, Eric Hauswirth, Terence Lam, John Mingus, Sasan J. \u201cJon\u201d Najmi, Claire Peachey, and Adam Vogt."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-678", "url": "https://www.gao.gov/products/GAO-18-678", "title": "Weapon System Sustainment: Selected Air Force and Navy Aircraft Generally Have Not Met Availability Goals, and DOD and Navy Guidance Need to Be Clarified", "published_date": "2018-09-10T00:00:00", "released_date": "2018-09-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD spends billions of dollars annually to sustain its weapon systems to support current and future operations. The Air Force and Navy are operating many of their fixed-wing aircraft well beyond their original designed service lives and therefore are confronted with sustainment challenges.", "House Report 114-537 included a provision for GAO to evaluate the sustainment of major weapon systems. This report, among other things, (1) examines the trends in availability and O&S costs for selected Air Force and Navy fixed-wing aircraft since fiscal year 2011, including whether they met availability goals, and (2) assesses the extent that the departments documented sustainment strategies, reviewed sustainment metrics, and implemented plans to improve aircraft availability. GAO selected a nongeneralizable sample of 12 fixed-wing aircraft by considering a variety of factors, such as the type, age, and manufacturer of the aircraft, among other factors, and analyzed condition and availability data, O&S costs, and sustainment challenges from fiscal year 2011 through March 2017 for each aircraft in a \u201cSustainment Quick Look.\u201d GAO also analyzed policies, strategies, and plans, and interviewed Navy and Air Force officials in program offices, squadrons, and maintenance depots."]}, {"section_title": "What GAO Found", "paragraphs": ["Between fiscal years 2011 and 2016, the Air Force and Navy generally did not meet aircraft availability goals, and operating and support (O&S) cost trends for GAO's selected fixed-wing aircraft varied. Specifically, GAO found that", "availability declined for 6 of 12 aircraft\u20143 from each service\u2014between fiscal years 2011 and 2016;", "availability fell short of goals for 9 of 12 aircraft in fiscal year 2016; and", "O&S costs increased for 5 of the aircraft, and maintenance costs\u2014the largest share\u2014increased for 8 of 12 aircraft.", "GAO found, and officials agreed, that these aircraft face similar challenges.", "a Obsolescence means a part is unavailable due to its lack of usefulness or it is no longer current or available for production.", "b Diminishing manufacturing sources is a loss or impending loss of manufacturers or suppliers.", "The Air Force and Navy have documented sustainment strategies for some aircraft, regularly reviewed sustainment metrics, and implemented improvement plans. The Air Force has documented sustainment strategies for all aircraft GAO reviewed; however, the Navy has not documented or updated its sustainment strategies for four aircraft. Specifically, the Navy does not have a documented sustainment strategy for the C-2A, and has not updated the strategies for the E2C, EA-18G, and F/A-18A-D since before 2012. The Navy is in the process of documenting its strategies, but Department of Defense (DOD) policy is unclear on whether a sustainment strategy is required and has to be updated every 5 years for weapon systems that are in the operations and support phase of their life cycle (i.e., legacy systems). Also, Navy guidance does not specify a requirement for legacy systems, although Air Force guidance does. Clarifying the requirements to document sustainment strategies for legacy systems, and documenting those strategies, would add additional visibility over the availability and O&S costs of DOD aircraft and any associated sustainment risks.", "This is a public version of a sensitive report issued in April 2018. Information on aircraft availability and other related information was deemed to be sensitive and has been omitted from this report."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that DOD and the Navy update or issue new policy and guidance clarifying the requirements for documenting sustainment strategies for legacy weapon systems. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) spends tens of billions of dollars annually to sustain its weapon systems in an effort to ensure that these systems are available to simultaneously support today\u2019s military operations and maintain the capability to meet future defense requirements. Operating and support (O&S) costs historically account for approximately 70 percent of a weapon system\u2019s total life-cycle cost\u2014 costs to operate and sustain the weapon system from initial operations through the end of its life\u2014and include costs for repair parts, depot and field maintenance, contract services, engineering support, and personnel, among other things. Weapon systems are costly to sustain in part because they often incorporate a complex array of technical subsystems and components and need expensive repair parts and logistics support to meet required readiness levels. In addition, as we reported in 2014, military operations have increased the wear and tear on many weapon systems, including fixed-wing aircraft, and escalated their O&S costs beyond peacetime levels.", "The Departments of the Air Force and Navy are operating many of their fixed-wing aircraft well beyond their original designed service lives, and some of these legacy systems are confronted with sustainment challenges that affect aircraft availability. The Air Force and Navy forecast needed aircraft availability and associated goals to ensure that fixed-wing aircraft can meet operational and training requirements. In 2017, senior Air Force, Navy, and Marine Corps officials testified before the House Armed Services Committee regarding, among other things, the maintenance and sustainment issues relating to aging aircraft that are affecting the readiness of their forces. Additionally, over the past several years, we have conducted work on a number of issues that affect the ability of DOD to sustain its weapon systems, an overview of which can be found in appendix I.", "We conduct annual assessments of DOD\u2019s major defense acquisition programs and report on the cost, schedule, and performance of those programs. To complement our acquisition-related work on major weapon systems, the House Armed Services Committee in House Report 114-537 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to evaluate the sustainment, availability, and costs of major weapon systems, among other things. This report (1) examines trends in aircraft availability and O&S costs for selected Air Force and Navy fixed-wing aircraft since fiscal year 2011, including whether the aircraft met availability goals; (2) describes the sustainment challenges that affect aircraft availability and O&S costs across the selected fixed-wing aircraft; and (3) assesses the extent that the Air Force and Navy have documented sustainment strategies, reviewed sustainment metrics, and implemented plans to improve aircraft availability for the selected fixed-wing aircraft. Additionally, in appendixes II\u2013XIII we provide \u201cSustainment Quick Looks\u201d for each of the fixed-wing aircraft we reviewed. These \u201cSustainment Quick Looks\u201d include additional information for each of the fixed wing aircraft we reviewed.", "This report is a public version of a sensitive report that we issued on April 25, 2018. The sensitive report included an objective related to the trends in aircraft availability. DOD deemed some of the information, such as aircraft availability, not mission capable status, number of aircraft in depots, and budgeted and executed flight hours, to be sensitive (i.e., For Official Use Only), which must be protected from public disclosure. This public report omits the information that DOD deemed to be sensitive. Although the information provided in this report is more limited, it addresses the same objectives and uses the same methodology as the sensitive report.", "For objective one, we selected a nongeneralizable sample of 12 types of fixed-wing aircraft managed by the Air Force and Navy and reviewed aircraft availability and other sustainment data calculated based on the number of aircraft and period of time and O&S costs from fiscal years 2011 through 2016, the last fiscal year for which complete data were available at the time of our work. We selected this period so we could identify and obtain insight on historical data trends regarding aircraft availability and O&S costs for the selected fixed-wing aircraft. We compared the availability data over this period to Air Force and Navy availability goals associated with each aircraft fleet. To select the fixed- wing aircraft for our review, we considered a number of factors, such as the type of aircraft (fighters, bombers, cargo, etc.), the size and age of the inventory, and whether the aircraft were sustained organically by DOD or through contract arrangements, such as public-private partnerships or performance-based logistics contracts. For the Air Force, we selected five fixed-wing aircraft\u2014the B-52 Stratofortress, C-17 Globemaster III, F- 16 Fighting Falcon, F-22 Raptor, and E-8C Joint Surveillance and Target Attack Radar System (JSTARS). For the Navy, including the Marine Corps, we selected seven fixed-wing aircraft: the AV-8B Harrier, C-2A Greyhound Logistics Aircraft, E-2C Hawkeye Early Warning and Control Aircraft, E-2D Advanced Hawkeye Early Warning and Control Aircraft, EA-18G Growler, F/A-18A-D Hornet Strike Fighter, and F/A-18E-F Super Hornet. For the selected aircraft, we obtained and reviewed the aircraft availability, sustainment, and O&S data for accuracy and completeness, interviewed officials regarding their data-collection processes, and reviewed available related policies and procedures associated with the collection of the data. We found the information to be sufficiently reliable for the purposes of presenting sustainment metrics, such as aircraft availability and O&S costs.", "For objective two, we reviewed sustainment metrics, performance briefings, and other relevant documentation to identify specific challenges for each of the 12 aircraft in our review. We also reviewed ongoing and planned actions to address those challenges. We interviewed program officials, depot officials, field maintainers, and squadrons to obtain their views on the challenges they face in sustaining the aircraft and the actions they take to mitigate those challenges. In some instances, we visited depots and squadrons to observe aircraft undergoing maintenance, discuss the respective maintenance processes, and discuss challenges and mitigation actions with officials.", "For objective three, we obtained and analyzed the sustainment strategies, performance management frameworks (i.e., sustainment metrics collected and monitored as well as the levels of management review), and improvement plans for each of the 12 selected fixed-wing aircraft. We also identified and reviewed DOD, Air Force, and Navy guidance to analyze the departments\u2019 efforts in sustaining these aircraft. Specifically, we reviewed the Air Force and Navy guidance to determine whether it was consistent with DOD policy and federal standards for internal control that deal with management defining objectives in specific terms. Additionally, we identified whether the Air Force and Navy had documented sustainment strategies for each selected fixed-wing aircraft, including a life-cycle sustainment plan, postproduction support plan, or an in-service support plan, among other types of documented strategies. Further, we determined whether the sustainment strategy for each selected fixed-wing aircraft had been updated within time frames identified in DOD policy. Appendix XIV provides further information on our scope and methodology.", "The performance audit upon which this report is based was conducted from September 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from April 2018 to September 2018 to prepare this unclassified version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Information on Selected Air Force and Navy Fixed- Wing Aircraft", "paragraphs": ["The inventories of the selected Air Force and Navy fixed-wing aircraft in our review totaled 2,823 aircraft and required approximately $20 billion to operate and support in fiscal year 2016. The inventory, aircraft status, initial operational capability, and service life forecast for each of the 12 selected fixed-wing aircraft are shown in figure 1."], "subsections": []}, {"section_title": "Policy and Guidance for the Sustainment of Fixed- Wing Aircraft", "paragraphs": ["Sustainment of fixed-wing aircraft and other weapon systems comprises the logistics and personnel services required to maintain and prolong operations, and DOD policy provides direction to service components on sustainment planning across the life cycle of the weapon system. Specifically, DOD policy requires the services to develop and implement a sustainment strategy, such as a Life-cycle Sustainment Plan, for sustaining its weapon systems. According to DOD\u2019s policy, this strategy should be the basis for all sustainment efforts, including sustainment metrics mapped to key performance parameters and key system attributes, such as aircraft availability, to manage sustainment performance. The policy states that, after initial operating capability, programs should update the sustainment plan whenever there are major changes to its strategy for sustaining the weapon system, or every 5 years, whichever occurs first. The Air Force and the Navy also have guidance that implements the requirements of the DOD guidance. These services\u2019 guidance include sustainment-planning requirements for life-cycle sustainment and assurance of affordability."], "subsections": []}, {"section_title": "Roles and Responsibilities for the Sustainment of Fixed-Wing Aircraft", "paragraphs": ["There are a variety of DOD offices that have roles and responsibilities related to sustaining fixed-wing aircraft. For instance, the Under Secretary of Defense for Acquisition and Sustainment (USD ), is the principal staff assistant and advisor to the Secretary of Defense for all matters concerning acquisition and sustainment. Specifically, USD (A&S) is responsible for establishing policies for logistics, maintenance, and sustainment support for all elements of DOD, including fixed-wing aircraft. The Assistant Secretary of Defense for Logistics and Materiel Readiness (ASD ) serves as the principal staff assistant and advisor to the USD (A&S) on logistics and materiel readiness within DOD. Specifically, the ASD (L&MR) is responsible for (1) establishing DOD policies and procedures for logistics, maintenance, materiel readiness, strategic mobility, and sustainment support; (2) providing related guidance to the Secretaries of the military departments, including developing the Life- cycle Sustainment Plan outline; and (3) monitoring and reviewing programs associated with these areas, among other duties and responsibilities.", "For the Air Force, the Air Force Materiel Command develops, acquires, and sustains weapon systems through research, development, testing, evaluation, acquisition, maintenance, and program management of the systems and their components. This command provides acquisition and life-cycle management services and logistics support, among other things. The Air Force Life Cycle Management Center within the Air Force Materiel Command is responsible for the life-cycle management of weapon systems from inception to retirement. A Program Executive Officer\u2014responsible for managing a specific portfolio of weapon systems\u2014is responsible for each of the selected fixed-wing aircraft. The Program Executive Officer oversees the program office that manages each weapon system.", "For the Navy and Marine Corps, the Naval Air Systems Command is responsible for providing the full life-cycle support of naval aviation aircraft, weapons, and systems. This support includes research, design, development and systems engineering; acquisition; test and evaluation; training facilities and equipment; repair and modification; and in-service engineering and logistics support. As with the Air Force, Program Executive Officers oversee their assigned program managers.", "DOD relies on program managers to lead the development, delivery, and sustainment of individual weapon systems through their life cycles. The program managers are the designated individuals with responsibility for and authority to accomplish the program\u2019s sustainment objectives to meet the users\u2019 operational needs. Product support managers, who work within the program offices, are responsible for developing and implementing support strategies for weapon systems that maintain readiness and control life-cycle costs. Weapon systems are sustained under various arrangements that may include contractors, DOD organic facilities, or some combination of the two. For example, the Air Force Sustainment Center provides depot maintenance through its Air Logistics Complexes for weapon systems. Naval Air Systems Command is responsible for the Navy Fleet Readiness Centers, which provide depot-level maintenance for Navy and Marine Corps fixed-wing aircraft. Additionally, the Air Force Sustainment Center and the Navy Supply Systems Command, as well as the Defense Logistics Agency, manage inventories of repair parts, and individual weapon systems programs are typically supported by a complex supplier network that includes a prime contractor, subcontractors, and various tiers of parts suppliers. On the other hand, sustainment responsibilities\u2014in their entirety or particular elements\u2014may be contracted out as part of a public-private partnership or a performance-based logistics agreement, such as with the F-22 Raptor."], "subsections": []}, {"section_title": "Key Sustainment Metrics for Fixed-Wing Aircraft", "paragraphs": ["The Air Force and Navy monitor the readiness status of selected fixed- wing aircraft through numerous performance metrics. Specifically, the Air Force measures how well a fleet is performing by calculating the availability of the fleets\u2019 aircraft, which is the number of aircraft that are available for flight operations. The Navy measures its aircraft availability through two metrics: (1) Ready-Basic-Aircraft (RBA)\u2014the number of aircraft that are able to safely fly\u2014and (2) Ready-for-Tasking (RFT)\u2014the number of aircraft that are able to conduct specific missions. Both the Air Force and Navy have established goals associated with aircraft availability.", "In addition to measuring the availability of the aircraft against the associated goals, the Air Force and Navy track the reasons for aircraft not being available or able to conduct missions. Specifically, the Air Force and Navy track the following:", "Aircraft in depot: Aircraft unavailable to conduct missions because of scheduled or unscheduled depot maintenance or modification.", "Not mission capable maintenance: Aircraft that are not in depot and not capable of performing any of their assigned missions because of maintenance.", "Not mission capable supply: Aircraft that are not in depot and not capable of performing any of their assigned missions because of the lack of a repair part.", "In addition to these three metrics, the Air Force also tracks the following:", "Not mission capable for both supply and maintenance: Aircraft that are not in depot and not capable of performing any of their assigned missions because of both maintenance and the lack of a repair part.", "Units possessed not reported: Aircraft that are not available for use for reasons other than depot and not mission capable status, but possessed by the squadron."], "subsections": []}, {"section_title": "Operating and Support Costs for Major Weapon Systems", "paragraphs": ["There are various costs associated with operating and supporting weapon systems. DOD\u2019s Operating and Support Cost-Estimating Guide provides direction to the service components on developing estimates to support various analyses and reviews throughout the program life cycle. According to the guide, as a program matures, it remains necessary to continue to track and assess O&S costs and trends to ensure that the program remains sustainable, affordable, and properly funded. Each military department maintains a database that collects historical data on the O&S costs for major fielded weapon systems. DOD\u2019s Office of Cost Assessment and Program Evaluation provides policy guidance on this requirement, known as the Visibility and Management of Operating and Support Costs program; specifies the common format in which the data are to be reported; and monitors its implementation by each of the military departments. O&S costs are categorized using the following six overarching elements: unit level manpower\u2014cost of operators, maintainers, and other support manpower assigned to operating units; unit operations\u2014cost of unit operating materiel such as fuel, and training material, unit support services, and unit travel; maintenance\u2014cost of system maintenance including depot- and sustaining support\u2014cost of system support activities that are provided by organizations other than the system\u2019s operating units; continuing system improvements\u2014cost of system hardware and software modifications; and indirect support\u2014cost of activities that provide general services that lack the visibility of actual support to specific force units or systems."], "subsections": []}]}, {"section_title": "Air Force and Navy Fixed-Wing Aircraft Availability and O&S Costs Have Varied, and Aircraft Availability Goals Generally Were Not Met", "paragraphs": ["For the selected Air Force and Navy fixed-wing aircraft in our review, aircraft availability and O&S cost trends varied over the 6-year period between fiscal years 2011 and 2016, and the aircraft generally did not meet availability goals. We found that 6 of 12 fixed-wing aircraft\u20143 from each service\u2014experienced decreased aircraft availability between fiscal years 2011 and 2016. One aircraft met availability goals each year between fiscal year 2011 and 2016. Conversely, six aircraft met the goals in some years but not others, and five aircraft did not meet the goals in any year. In the latest year included in our review\u2014fiscal year 2016\u20149 of 12 of the fixed-wing aircraft did not meet their associated availability goals. With respect to O&S costs, the overall O&S total for all 12 aircraft was about $20 billion annually over the 6-year period; some aircraft experienced increases while the costs to operate and support others decreased. The reasons for changes in costs included increases in maintenance costs for 8 of 12 fixed-wing aircraft. Below we summarize these trends, and the \u201cSustainment Quick Looks\u201d in appendices II\u2013XIII provide detailed information on the trends associated with each of the 12 fixed-wing aircraft and appendix XV provides additional information on operating and support cost per aircraft."], "subsections": [{"section_title": "Air Force Aircraft Availability and O&S Cost Trends Varied across the Selected Fixed-Wing Aircraft", "paragraphs": [], "subsections": [{"section_title": "Air Force Aircraft Availability Trends Varied, and Three of Five Aircraft Did Not Meet Availability Goals since 2011", "paragraphs": ["Our analysis found that: between fiscal years 2011 and 2016, aircraft availability for two of five selected Air Force fixed-wing aircraft fluctuated and for three decreased; between fiscal 2011 and 2016, two aircraft met availability goals in some years, and three aircraft did not meet availability goals in any of the years; and in fiscal year 2016, four of the five aircraft did not meet availability goals.", "Specific details regarding aircraft availability and not mission capable status for maintenance, supply, and both maintenance and supply were omitted because DOD deemed this information as sensitive (i.e., For Official Use Only).", "According to officials, when aircraft availability goals are not met, training and operational missions may not be fulfilled as timely as needed. For example, F-22 squadron officials explained that the lack of available aircraft creates a shortage of trained pilots. F-22 pilots need extensive training to fulfill their air-superiority role. Further, command officials explained that when aircraft availability goals are not met, there may not be enough aircraft to respond to contingency requirements. Officials expressed concern that, given the capability and expectation of the F-22 to be available to create air superiority in any operation, missions may not be met. Additionally, E-8C program office officials stated that missions are often limited to top priority, which means supported combatant commands may not obtain all needed capabilities, such as the E-8C not being able to provide surveillance capability to particular combatant commands."], "subsections": []}, {"section_title": "Air Force O&S Cost Trends Have Varied, and Maintenance Costs Generally Increased since 2011", "paragraphs": ["From fiscal years 2011 through 2016, O&S costs for the Air Force aircraft in our review totaled about $13 billion annually. These costs decreased for the C-17, F-16, and the F-22, but increased for the B-52 and E-8C, as shown in figure 2. For example, the F-16\u2019s total annual O&S costs decreased by about $943 million (or about 19 percent) because of decreases in all cost elements\u2014the largest decrease being unit operations\u2014except sustaining support. According to officials, the decrease in unit operations can be attributed to the retiring of aircraft and the consolidation of squadrons. The C-17\u2019s and F-22\u2019s O&S costs decreased mainly because of decreases in two cost elements: continuing system improvements and unit operations. In contrast, the B-52\u2019s and the E-8C\u2019s O&S costs increased, by $76 million (or about 6 percent) and $41 million (or about 6 percent), respectively. The increases occurred because two of the cost elements\u2014continuing system improvements and maintenance costs\u2014increased more than the other costs elements decreased.", "Based on our analysis of the O&S cost elements, maintenance cost generally is one of the largest portions\u2014on average about 36 percent\u2014of total O&S costs for each aircraft. As shown in figure 3, maintenance costs for four of the five aircraft generally have increased from fiscal years 2011 through 2016. Specifically, maintenance costs for the C-17, E-8C, and F- 22 increased because of additional depot maintenance needs. B-52 maintenance costs fluctuated year to year, but increased overall during this period. The overall maintenance costs for the F-16 decreased by approximately $140 million. According to our analysis, even though there was an increase in some of the F-16 maintenance cost elements, the fleet\u2019s executed flying hours decreased. Therefore, the flying hour depot- level reparable costs decreased by approximately $123 million and engine repair decreased by $115 million, causing the overall maintenance cost to decrease."], "subsections": []}]}, {"section_title": "Navy Aircraft Availability Trends and O&S Cost Trends Varied across the Selected Fixed-Wing Aircraft", "paragraphs": [], "subsections": [{"section_title": "Navy Aircraft Availability Trends Varied, and Five of Seven Aircraft Generally Did Not Meet Availability Goals since 2011", "paragraphs": ["Our analysis found that: between fiscal years 2011 and 2016, aircraft availability increased for three of the seven Navy fixed-wing aircraft, fluctuated for one, and decreased for the remaining three aircraft; between fiscal 2011 and 2016, one aircraft met aircraft availability goals in each year, and four aircraft met goals in some years, while two aircraft did not meet goals in any of the years; and in fiscal year 2016, the Navy did not meet aircraft availability goals for five of the seven aircraft.", "Specific details regarding aircraft availability and not mission capable status for maintenance and supply were omitted because DOD deemed this information as sensitive (i.e., For Official Use Only).", "To address decreases in aircraft availability, the Navy has moved available aircraft between squadrons to help ensure deploying squadrons are fully equipped for their assigned missions. In November 2017, the Commander of Naval Air Forces testified before the House Armed Services Committee that to equip the air wings with the required number of mission capable aircraft for the deployment of three aircraft carriers in 2017, the Navy had to transfer 94 strike fighters to and from the maintenance depots or between squadrons. This transfer included pulling aircraft from fleet replacement squadrons, where the focus should be on training new aviators.", "The Commander of Naval Air Forces, in his November 2017 testimony, summarized the issue: \u201cThat strike fighter inventory management, or shell game, leaves non-deployed squadrons well below the number of jets required to keep aviators proficient and progressing toward their career qualifications and milestones, with detrimental impacts to both retention and future experience levels.\u201d Furthermore, based on our analysis, F/A- 18A-D squadrons have underexecuted their flight hours by an average of 4 percent from fiscal years 2011 through 2016. According to officials, this is largely due to low aircraft availability. Additionally, placing further strain on aircraft availability, the F/A-18A-D inventory has decreased from 581 aircraft in fiscal year 2011 to 537 aircraft in fiscal year 2016."], "subsections": []}, {"section_title": "The Navy\u2019s O&S and Maintenance Cost Trends Varied", "paragraphs": ["From fiscal years 2011 through 2016, O&S costs for the Navy\u2019s seven selected fixed-wing aircraft totaled about $7 billion annually. Also, the Navy has experienced varying O&S and maintenance costs since fiscal year 2011 for these aircraft. Specifically, annual O&S costs decreased for the AV-8B, C-2A, E-2C, and F/A-18A-D, and increased for the E-2D, EA- 18G, and F/A-18E-F, as shown in figure 4.", "We found that O&S costs for the F/A-18A-D decreased by about 22 percent from about $3.1 billion in fiscal year 2011 to about $2.4 billion in fiscal year 2016. According to officials, this decrease can be attributed to the decrease in inventory as aircraft are retired and squadrons transition to the F-35 Joint Strike Fighter. In another example, O&S costs for the E- 2D increased from about $1.6 million in fiscal year 2012 to about $125 million in fiscal year 2016. The size of the fleet has increased by 17 aircraft\u2014from 3 to 20 since fiscal year 2011. According to officials, this aircraft remains in production with a projected fleet size of 75; as inventory increases, so will O&S costs.", "Based on our analysis of the O&S cost elements, maintenance cost generally is one of the largest portions\u2014about 42 percent\u2014of total O&S costs for the seven aircraft in our review. Annual maintenance costs have increased for the C-2A, E-2D, EA-18G, and F/A-18E-F, and decreased for the AV-8B, E-2C, and F/A-18A-D, as shown in figure 5.", "We found that maintenance cost for the C-2A increased by about 7 percent from about $89 million in fiscal year 2011 to about $95 million in fiscal year 2016. According to officials, the increase in maintenance cost can be attributed to increased demand for outer wing panels, which resulted in a $16 million increase in depot-level repair costs and a more than 10 percent increase in executed flight hours, among other things. In another example, maintenance cost for the AV-8B decreased by about 9 percent from about $375 million in fiscal year 2011 to about $341 million in fiscal year 2016. According to officials, these decreases can be attributed to the AV-8B no longer being used in Operation Enduring Freedom in 2012, the loss of six aircraft, and the transition of AV-8B squadrons to the F-35 Joint Strike Fighter."], "subsections": []}]}]}, {"section_title": "The Air Force and Navy Face Similar Sustainment Challenges That Affect Aircraft Availability and O&S Costs across the Selected Fixed-Wing Aircraft", "paragraphs": ["The Air Force and Navy face similar sustainment challenges that relate to aging, maintenance, and supply support that affect aircraft availability and O&S costs for the 12 aircraft selected in our review, as shown in figure 6.", "Specifically, 10 of 12 aircraft are experiencing sustainment challenges related to aging; all 12 are experiencing challenges related to maintenance; and all 12 are also experiencing challenges related to supply support. Below is a brief overview of these challenges:", "Aging: A number of these aircraft are aging and operating beyond their planned service life, partly because of delays in replacement aircraft. Specifically, the Air Force and Navy plan to replace the F-16, AV-8B, and F/A-18A-D with the F-35 Joint Strike Fighter. The Navy is expected to transition the F/A-18A-D through 2030 and the Marine Corps is planning to use the F/A-18A-D beyond 2030 (although these time frames have been extended several times already). The Navy plans to retire the AV-8B in 2026. On the other hand, the Air Force is not expected to retire the F-16 until at least 2040. Because of aging, according to officials, there are parts on some aircraft that need to be repaired and replaced that were not accounted for during initial sustainment analysis. To mitigate some challenges associated with the age of the fixed-wing aircraft, the Air Force and Navy program officials have decided to extend the service life of some aircraft by repairing and overhauling airframes and components, as well as developing the engineering specifications for parts that were never planned to be repaired or replaced.", "Maintenance: Delays in getting aircraft into and through depot maintenance, as well as shortages of skilled maintainers, are contributing to some aircraft missing their availability goals. Both services reported losing experienced maintainers, either to retirement or to other programs such as the F-35 Joint Strike Fighter. To address maintenance challenges, program offices for the selected aircraft have improved the efficiency and speed of depot maintenance, as well as are working to ensure there are sufficient numbers of trained maintainers.", "Supply Support: Some aircraft are encountering supply shortages as a result of parts not being available, in some cases due to obsolescence issues or diminishing manufacturer sources. Overcoming part shortages through either searching for replacement parts or reengineering parts takes time, which can contribute to aircraft being unavailable for longer periods. To mitigate supply challenges, officials have proactively upgraded aircraft before obsolescence occurs or located available parts and reengineered parts that are no longer in production, as well as identified suitable manufacturers in advance, among other things.", "For more specific information on sustainment challenges related to aging aircraft, maintenance, and supply support for each of the fixed-wing aircraft, see the \u201cSustainment Quick Looks\u201d in appendixes II\u2013XIII."], "subsections": []}, {"section_title": "Sustainment Strategies Were Documented for Some but Not All Aircraft, and the Air Force and Navy Have Other Efforts to Review and Improve Aircraft Availability", "paragraphs": ["The Air Force has documented sustainment strategies for its five selected aircraft in our review, but the Navy has not documented sustainment strategies or updated the strategies for four of seven of its aircraft in our review. The Air Force and Navy also regularly reviewed sustainment metrics and have implemented plans to improve aircraft availability."], "subsections": [{"section_title": "The Air Force Has Documented Sustainment Strategies, but Some of the Navy\u2019s Strategies Are Not Documented or Up-to- Date", "paragraphs": ["The Air Force has documented sustainment strategies for the five selected fixed-wing aircraft and updated them in accordance with Air Force guidance. However, the Navy has not documented a sustainment strategy or updated the strategies for four of the seven aircraft in our review since 2012. See figure 7 for the year of the most recent update to the sustainment strategy for the aircraft in our review.", "While sustainment strategies do not guarantee successful outcomes, they serve as a tool to guide operations as well as support planning and implementation of activities through the life-cycle of the aircraft. Specifically, at a high-level the strategy is aimed at integrating requirements, product support elements, funding, and risk management to provide oversight of the aircraft. For example, these sustainment strategies can be documented in a life-cycle sustainment plan, postproduction support plan, or an in-service support plan, among other types of documented strategies. Additionally, program officials stated that an aircraft\u2019s sustainment strategy is an important management tool for the sustainment of the aircraft by documenting requirements that are known by all stakeholders, including good practices identified in sustaining each aircraft. For example:", "The strategy for the Air Force B-52 has been updated several times in recent years because of several major modifications. For example, in 2014 the Air Force issued an updated sustainment plan within the life- cycle management plan to update the combat network communications technology program because the B-52\u2019s communications system is still the original from the 1950s and has limitations related to making mission or target changes in flight. The plan addresses the testing, resource management, and numerous program performance indicators and requirements of the system.", "The strategy for the Air Force F-16 outlines plans for the aircraft\u2019s service life extension and includes proactive measures and data forecasting to bundle depot modifications in order to minimize fleet- wide effects on aircraft availability. The service life extension for the F- 16 is designed to extend the service life of 300 F-16 aircraft from 8,000 to 13,856 flight hours at an estimated cost of $740 million (as of June 2016).", "The strategy for the Navy E-2D provides a systematic approach to ensure that a comprehensive support package is in place to support the sustainment of the aircraft. Also, it describes the overall plan for the management and execution of the product support package by communicating the sustainment strategy to stakeholders in the acquisition, engineering, and logistics communities.", "However, the Navy had not documented a sustainment strategy for the C- 2A because a strategy was not required when the aircraft, now a legacy system, was going through the acquisition process prior to 1965. According to Navy officials, while they have not documented a strategy for the C-2A, they are undertaking efforts, such as updating technical publications, performing maintenance analysis on the landing gear, and evaluating depot tasks to decrease turnaround time, among other efforts, to sustain the aircraft. However, a documented sustainment strategy for the C-2A would help guide the planning and implementation of these efforts, as well as serve as a management tool by documenting these requirements that are known by all stakeholders.", "In addition, the Navy\u2019s sustainment strategies for the E-2C (2011), EA- 18G (2006), and F/A-18A-D (2001) were developed prior to 2012 and thus have not been updated in over 5 years. With respect to the EA-18G, Navy officials told us that the sustainment strategy should be updated in accordance with DOD\u2019s acquisition policy\u2014DOD Instruction 5000.02\u2014 since the EA-18G is still in the acquisition process, as it continues to be produced. For the E-2C and F/A-18A-D, Naval Air Systems Command officials and program office officials told us that they were not required to document sustainment strategies because these aircraft were legacy systems at the time the requirement to develop and maintain a sustainment strategy was implemented. Therefore, according to these officials, the DOD requirements to document and update sustainment strategies every 5 years in DOD Instruction 5000.02 were not applicable.", "DOD Instruction 5000.02 requires weapon systems to have some form of a sustainment strategy that is not older than 5 years; however, it is unclear whether this policy is applicable to legacy weapon systems. Specifically, the policy states that program managers for all programs are responsible for developing and maintaining a sustainment strategy, such as a Life-cycle Sustainment Plan, beginning at the risk-reduction decision point (i.e., Milestone A of the acquisition process). However, based on our discussions with Navy program officials for our selected aircraft and our review of the policy, it is unclear whether the policy\u2014as currently written\u2014is applicable to legacy systems that were no longer in production and thus had completed the risk-reduction decision point (or Milestone A) prior to the requirement to update a sustainment strategy every 5 years. According to DOD officials, the intent of the policy is for all programs, including legacy weapon systems, to develop and maintain a sustainment strategy; however, the policy does not explicitly state that legacy systems are expected to fulfill this requirement.", "In May 2017, the Air Force updated its sustainment guidance to require sustainment strategies for legacy systems and for those strategies to be updated every 5 years. Air Force officials told us that they did this because the DOD policy was unclear whether it was applicable to legacy systems and it was a good practice to ensure the guidance was explicit for all weapon systems to document and update a sustainment strategy. This instruction explicitly states that the requirement to document a sustainment strategy and update it every 5 years is applicable to all weapon systems, including legacy systems that are in the O&S phase of their life cycles. Additionally, the Air Force Instruction states that these legacy systems are not required to retroactively meet requirements identified for previous phases of the acquisition life-cycle, but should meet the requirements needed for continued operations of the system.", "However, the Navy has not made the requirement explicit for legacy systems in its guidance. Specifically, Navy guidance does not explicitly state that documenting a sustainment strategy and updating that strategy every 5 years is a requirement for legacy systems. While Navy guidance requires the development and use of sustainment metrics for legacy systems and requires the Naval Air Systems Command be responsible for aviation weapon systems in sustainment, the Navy does not address any requirement for sustainment strategies for legacy systems.", "The lack of clarity in DOD Instruction 5000.02 and the Navy guidance regarding whether legacy systems are required to document a sustainment strategy and update that strategy every 5 years has resulted in confusion regarding sustainment planning requirements among Navy program offices and could cause confusion with other weapon system program offices across DOD. Standards for Internal Control in the Federal Government state that management should define objectives in specific terms so they are understood at all levels of the entity. The standards also state that guidance should clearly define what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement. As indicated by the Air Force\u2019s 2017 update to its sustainment guidance, clarifying DOD and Navy guidance and the applicability of sustainment strategy requirements to legacy systems could be done through very small additions and clarifications to the applicable guidance documents. Until DOD and the Navy update or issue new guidance clarifying the requirements for documenting sustainment strategies for legacy systems, weapon system program offices, such as those for fixed-wing aircraft, as well as Naval Air Systems Command and DOD may not have full visibility of necessary requirements to achieve program objectives or any related risks associated with the sustainment of these weapon systems.", "While the DOD policy and Navy guidance is unclear, Naval Air Systems Command and Navy program offices for the four aircraft\u2014C-2A, E-2C, EA-18G, and F/A-18A-D\u2014that either do not have a sustainment strategy or have not updated the strategy within the last 5 years are taking actions to document or update the sustainment strategies for these aircraft. According to Naval Air Systems Command officials, once it was brought to their attention that the intent of DOD Instruction 5000.02 was for legacy systems to have an updated documented sustainment strategy, they began to take action to develop or update the respective sustainment strategies. Specifically, according to C-2A, E-2C, and E-2D program officials, they are currently updating the E-2D strategy for its 5-year update, which is due in fiscal year 2018, and it will include updates for the C-2A and E-2C since the airframe for all three aircraft are very similar. Also, program officials for the EA-18G and F/A-18A-D told us that they are currently updating the strategies for these aircraft and are expected to complete the process in fiscal year 2018. Given that the Navy is already taking action to update its sustainment strategies and has established timelines for these updates, we are not making any recommendations to the Navy regarding updating the respective sustainment strategies."], "subsections": []}, {"section_title": "The Air Force and Navy Regularly Reviewed Sustainment Metrics and Implemented Improvement Plans to Address Aircraft Availability", "paragraphs": ["The Air Force and the Navy have (1) regularly reviewed sustainment metrics for fixed-wing aircraft and (2) implemented improvement plans to address aircraft availability."], "subsections": [{"section_title": "The Air Force and Navy Have Conducted Regular Reviews of Sustainment Metrics", "paragraphs": ["The Air Force and Navy have regularly monitored the condition of their fixed-wing aircraft, which includes measuring aircraft availability against planned goals as well as monitoring other sustainment metrics. Specifically, the Air Force Materiel Command monitors aircraft availability and other sustainment metrics through quarterly Weapon System Enterprise Review (WSER) briefings. The program office in conjunction with the Air Force Life Cycle Management Center generates the WSER, which is briefed through Air Force Materiel Command and the Program Executive Offices to the Air Force Chief of Staff. The WSER delivers insight into the comprehensive health of a system by flagging gaps in performance and identifying mitigating actions, which is used to conduct crosscutting enterprise analysis and provide input into readiness reviews. In addition to the WSER, the program offices manage their performance through their Health of the Fleet briefs. These briefs\u2014conducted monthly or quarterly depending upon the aircraft\u2014include readiness assessments that provide insight on maintenance and management practices. The assessment is delivered by the program\u2019s maintenance group, and includes aircraft performance metrics, issues, actions, and schedules to inform program leadership on fleet status and to help prioritize and make decisions concerning the issues.", "The Navy monitors aircraft availability through its aircraft status dashboard for each aircraft, which provides specific information, such as goals, actual availability, and gaps between the two. More specifically, the Navy tracks the status of each of its aircraft through the dashboard, including those aircraft that are available (i.e., Ready-Basic-Aircraft ), are in depot maintenance, or are not mission capable due to maintenance or supply, among other metrics. The dashboard is updated monthly, and there are weekly meetings with key stakeholders, including Naval Air Systems Command officials, industry partners, and depot officials, to monitor the performance of each aircraft and make adjustments to improve aircraft availability. Additionally, all program offices have processes in place to manage the fleet within their portfolios, including semiannual or annual program reviews such as Program Management Reviews and Executive Steering Reviews. These reviews focus on readiness, cost drivers, and initiatives to address program risk and ways to resolve issues affecting each aircraft. Further, the Marine Corps Commandant for Aviation leads biannual Executive Steering Summits to assess readiness issues affecting Marine Corps aircraft."], "subsections": []}, {"section_title": "The Air Force and Navy Have Implemented Improvement Plans to Address Aircraft Availability", "paragraphs": ["The Air Force and Navy have implemented improvement plans to address aircraft availability for each of the selected fixed-wing aircraft. Air Force program offices for the fixed-wing aircraft in our review have plans for improving availability. Since 2005, the Air Force Materiel Command has had an annual process to improve aircraft availability, which is known as the Aircraft Availability Improvement Program. The process enables the program offices to assess and limit risk, incorporate available support funding, and specifically address where there are effects on availability, such as aircraft in depot. This process also incorporates projecting historical and goal rates in order to leverage scheduled and modernization maintenance. Program offices create plans, known as aircraft availability improvement plans, based on these projections to forecast improvements that can facilitate increased availability and reduction of costs, among other things. The Air Force provides guidance in the form of a template to ensure consistency amongst the plans, which typically must include improvement initiatives with milestone goals. This information includes projected aircraft availability rates for mission capable, units possessed not reported, not mission capable for supply, not mission capable for maintenance, and depot possession. Officials noted that the program office creates an improvement plan each year, regardless of whether it is short of its availability goal, since the plan serves as a forecasting measure. The program is designed to ensure the program offices have plans in place to meet target goals, and the information and milestones laid out in the plans feed into the WSER briefings to senior management. For example:", "The B-52 plan for fiscal year 2017 discusses the process and milestones for replacing actuator seals for the fleet, the costs of the repair, and the expected benefit to B-52 availability\u20141.05 percent improvement to the not mission capable supply metric.", "The C-17 plan for fiscal year 2017 identifies the current and future modifications, timelines for beginning and completion, and the effect on availability. For example, the future replacement of a legacy computer system with a modernized system and display is set to begin in fiscal year 2019 with an estimated completion date of 2026. This replacement is planned to be done concurrently with other maintenance, and to prevent future declines in the C-17\u2019s availability.", "The F-22 plan for fiscal year 2017 identifies several projects taking place between 2016 and 2021 that are expected to improve availability by almost 2 percent.", "Further, officials said they are currently working with the Assistant Secretary of the Air Force (Acquisition) to develop an Air Force manual that would make developing an Aircraft Availability Improvement Plan a requirement. This manual will become a supplement to Air Force Instruction 63-101/20-101, according to the officials.", "Navy program offices for all seven fixed-wing aircraft in our review also have plans for improving availability. According to Navy officials, they started preparing \u201csummary playbooks,\u201d which is the Navy\u2019s term for improvement plans, in late 2015 and started implementing these plans in early 2016 to increase aircraft availability. Officials told us that there was a limitation in funding because of sequestration prior to fiscal year 2017, which hampered their ability to fully implement the playbooks. At a broad level, the Navy\u2019s playbooks include efforts such as maintenance planning, supply support, aircraft material condition and management, and technical data, among other things. These efforts are linked to specific initiatives such as working with the manufacturer and contractors to provide maintenance support, identifying obsolete parts, conducting aircraft fatigue analysis, and updating technical publications, among other things, which have been identified by the program office as ways to improve aircraft availability. Additionally, these playbooks include the extent to which these initiatives are funded, underfunded, or partially funded and the appropriation account that would fund each initiative. The playbooks include the status of each initiative, and some of the playbooks also provide an approximate time frame for implementing each initiative. For example:", "The playbook for the C-2A has a fatigue analysis initiative focused on analyzing the landing gear to update its design, provide a depot repair manual, and increase its service life, among other things. This initiative is considered funded, is expected to improve aircraft availability, and has an estimated time frame for implementation between fiscal years 2017 and 2021.", "The playbook for the E-2D contains a maintenance initiative focused on improving the maintenance planning process of the C-2A, E-2C, and E-2D aircraft by completing elements of the product support package, such as training, publications, support equipment, and tools, among others. This initiative is considered partially funded, is expected to improve aircraft availability by decreasing the not mission- capable rates related to maintenance and supply and decreasing maintenance down time, and has an estimated time frame for implementation between fiscal years 2017 through 2019.", "The playbook for the F/A-18A-D includes a product improvement initiative to conduct a case study to assess the condition of the wiring of the aircraft in the fleet. This initiative is considered funded and is expected to help to sustain aircraft availability. However, there is no time frame for implementing this initiative.", "The playbook for the F/A-18E-F contains a service life modification initiative focused on extending the service life of the aircraft through modifications. According to officials, this initiative is considered partially funded, is expected to help to sustain aircraft availability, and is expected to help the fleet realize an 80 percent cost avoidance because the Navy will not have to pay the cost to replace these aircraft. Also, this initiative has an estimated time frame for implementation between fiscal years 2018 through 2040."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The Departments of the Air Force and Navy spend tens of billions of dollars each year to sustain their fixed-wing aircraft, which need expensive logistics support, including maintenance and repair, to meet goals for availability. The departments spent at least $20 billion annually since 2011 to sustain the 12 aircraft that we examined. The Air Force and Navy share a variety of sustainment challenges, including the age of their aircraft as well as maintenance and supply support issues. These challenges have led to half (6 of 12) of the aircraft in our review experiencing decreasing availability and to the aircraft in general not being able to meet aircraft availability goals. For example, 9 of 12 aircraft did not meet availability goals in fiscal year 2016. These trends are occurring even though the Air Force and Navy regularly review sustainment metrics for the aircraft and are implementing plans for improving aircraft availability. However, DOD\u2019s policy and the Navy\u2019s guidance are not clear on whether the services should have a current sustainment strategy for legacy weapon systems, including fixed-wing aircraft, and on whether the strategies are required to be updated every 5 years. Without clarity about whether the DOD instruction and the Navy guidance apply to legacy systems, program officials will not know whether they are required to have a sustainment strategy or are required to update the plan for their respective fixed-wing aircraft. Furthermore, the program offices, the services, and DOD may not have full visibility of necessary requirements to document program objectives, related risks, and the effectiveness of the program, ultimately jeopardizing the sustainability and affordability of each of the programs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to DOD: The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition and Sustainment updates or issues new policy clarifying the requirements for documenting sustainment strategies for legacy weapon systems, including fixed-wing aircraft. (Recommendation 1)", "The Secretary of the Navy should update or issue new guidance clarifying the requirements for documenting sustainment strategies for legacy weapon systems, including fixed-wing aircraft. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the sensitive report to DOD for review and comment. In written comments that are reproduced in appendix XVI, DOD concurred with our recommendations and noted planned actions to address each recommendation. The Air Force and Navy also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Navy and Air Force; the Commandant of the Marine Corps; the Under Secretary of Defense for Acquisition and Sustainment; and the Director, Defense Logistics Agency.", "In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff have questions about this report, please contact me at merrittz@gao.gov or (202) 512-5257. GAO staff who made key contributions to this report are listed in appendix XVII."], "subsections": []}]}, {"section_title": "Appendix I: GAO\u2019s Recent Prior Work on Sustainment Issues within the Department of Defense", "paragraphs": ["Over the past several years, we have conducted work on a number of issues that affect the ability of the Department of Defense (DOD) to sustain its weapon systems. In September 2017, we found that several factors were important to the success of Product Support Managers. These factors included teamwork and collaboration, early implementation of the Product Support Manager position, and organizational support and emphasis on sustainment. We also found that in response to our 2014 recommendations regarding the implementation of the Product Support Manager position, DOD had developed a comprehensive career path and associated guidance to develop, train, and support future Product Support Managers. Additionally, DOD revised guidance to define roles, responsibilities, and reporting relationships between support staff and Product Support Managers. However, DOD was still in the process of implementing our other three recommendations, such as issuing clear, comprehensive, centralized guidance regarding the roles and responsibilities of PSMs and collecting and evaluating information on the effects, if any, that Product Support Managers are having on life-cycle sustainment decisions for their assigned weapon systems.", "In September 2017, we also found that DOD does not have complete information to identify and manage single-source-of-supply risks. Specifically, some parts are provided by a single source of supply (e.g., one manufacturing facility), and if that single source were no longer able to provide the part, DOD could face challenges in maintaining weapon systems. DOD concurred with our six recommendations focused on improving the completeness of information for single-source-of-supply risks, including issuing department-wide policy that clearly defines requirements of Diminishing Manufacturing Sources and Material Shortages management, and details responsibilities and procedures to be followed to implement the policy. DOD is in the process of taking action to implement these recommendations.", "In June 2016, we found that the Defense Logistics Agency and the military services have not adopted metrics to measure the accuracy of planning factors, such as the accuracy of part lists, or the costs created by backorders. As a result, depot maintenance may not be efficient or cost-effective, resulting in unnecessary delays in the repair of weapon systems. DOD concurred with our six recommendations to develop metrics to monitor the accuracy of demand planning factors and disruption costs created by the lack of parts at depot maintenance sites and is in the process of taking action to implement these recommendations. For a listing of relevant past GAO work, see the Related GAO Products list at the end of this report.", "Sustainment: Depot maintenance conducted organically at the designated air logistics complex and contractually for some depot- level repairs at contractor facilities.", "The B-52 is a long-range, heavy bomber that can perform a variety of missions, including strategic attack, close air support, air interdiction, maritime operations, and offensive counter-air missions. It can carry nuclear or precision-guided conventional ordnance with worldwide precision navigation capability. However, the B-52s are some of the oldest aircraft in the Air Force\u2019s fleet, and will continue to operate until at least 2040 (see fig. 8). Operating and support (O&S) costs for the B-52s have remained relatively steady, generally fluctuating around $1.2 billion\u2013$1.3 billion per year. As a predominantly military-maintained system, most of that O&S cost is related to maintenance and manpower, with depot maintenance and depot-level reparables\u2014direct labor and materials for item repairs, transportation, and storage, among other things\u2014accounting for most of the maintenance cost."], "subsections": [{"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["Technology Program (2014) is focused on upgrading outdated communications technology. The communications modification requires 7,000 hours of work and is estimated to be complete by 2020. The fleet has active sustainment plans for other components of the aircraft, such as the B-52 Anti-skid Replacement Life Cycle Sustainment Plan (2015), which is estimated to cost over $40 million and be completed by 2019.", "The B-52 faces sustainment challenges related to its age and, according to officials, replacement parts are difficult to obtain. Several modernization efforts are under way (communications, engines, etc.), and is working with vendors and its own service engineers to identify problem areas and plan ahead so that replacement parts will be available.", "Depot maintenance on the B-52 is managed by the program office and conducted at Oklahoma City Air Logistics Complex depot.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The C-17 is a long-range, heavy logistic transport aircraft powered by four F-117 turbofan engines with air-refueling capability that was first manufactured in 1987 (see fig. 10). It is capable of rapid strategic delivery of troops and all types of cargo to main operating bases or to bases in any forward deployment area. The C-17 can perform tactical airlift and airdrop missions and can transport ambulatory patients during aeromedical evacuations, when required. The C-17 can carry virtually all air-transportable equipment. Total operating and support (O&S) costs for the C-17 have decreased from about $5.3 billion in fiscal 2011 to about $4.0 billion in fiscal year 2016. Specifically, unit operations decreased, while maintenance costs have generally increased during this period due to contractor logistics support because the C-17 is a predominantly contractor-managed aircraft."], "subsections": []}, {"section_title": "Average number of flying hours: 13,141 hours per aircraft", "paragraphs": [], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": ["The C-17 Enterprise Life Cycle Management Plan and Life Cycle Sustainment Plan (2014) documents current and future acquisition, sustainment, and integration efforts of the aircraft. It also addresses contractual arrangements and partnership support agreements between Air Force, Boeing, and other service providers for aircraft sustainment.", "Boeing provides continued sole-source life-cycle support for the C-17 under the terms of the Globemaster Integrated Sustainment Program (2013). Under this program, Boeing is responsible for sustainment, to include material management and depot maintenance support.", "The C-17 participates in a virtual fleet arrangement, a global network of 43 additional C-17 aircraft, which allows participants total aircraft parts access from any fleet participant worldwide."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["The C-17 is an aircraft being modified to meet its requirements as well as to address maintenance and supply issues. The Air Force\u2019s actions to mitigate these challenges include processes to increase the service life of the aircraft, allowing managers to quickly hire skilled workers for critical positions, and locating other vendor source for parts.", "Logistics Complex, and at its facility in San Antonio; landing gear overhaul occurs at Ogden Air Logistics Complex, and engine overhaul occurs at Oklahoma City Air Logistics Complex in partnership with Pratt & Whitney, the original equipment manufacturer on the F-117 turbofan engine.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["Sustainment: Depot maintenance conducted by Northrop Grumman, and field maintenance conducted organically, by the National Guard.", "The E-8C Joint Surveillance Target Attack Radar System (E-8C) was first manufactured in 1967 (see fig. 12). Its primary mission is to provide theater ground and air commanders with ground surveillance to support attack operations and targeting that contributes to the delay, disruption, and destruction of enemy forces. Total operating and support (O&S) costs for the E-8C have generally increased from about $686 million in fiscal year 2011 to about $734 million in fiscal year 2016. Specifically, maintenance cost has increased partly because of increases in contractor logistics support since the E-8C is maintained by Northrop Grumman."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["E-8C aircraft were formerly used as commercial airliners and purchased by the Air Force. Therefore, the exact usage of the aircraft was unknown with any degree of specificity. The program office has utilized new analysis conducted by Boeing to develop an improved method of determining and tracking service life for the E-8C aircraft. The new method uses a quantitative analysis capability to identify safety of flight structural concerns, allowing for planning and execution of risk mitigation.", "The E-8C is an aircraft with significant maintenance and supply issues according to Air Force officials. The Air Force\u2019s actions to mitigate these challenges include updating the Maintenance Plan and the Corrosion Plan for the E-8C (formerly a commercial airframe) to bring them in line with military standards.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support (O&S) Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["Sustainment: Depot maintenance conducted organically at the designated air logistics complex, and field maintenance conducted organically and by contractors.", "The F-16 Fighting Falcon is a compact, single-engine, multirole fighter aircraft first manufactured in 1978 (see figure 14). It is highly maneuverable and participates in air-to-air combat and air-to-surface attack. There are four versions of the F-16: A, single-seat model; B, two-seat model with tandem cockpits; C and D, single- and two-seat models, respectively, incorporating newer capabilities. Total operating and support (O&S) cost for the F-16 decreased from about $5 billion in fiscal year 2011 to about $4 billion in fiscal year 2016 because of a 6 percent reduction of inventory. Specifically, maintenance cost has generally decreased during this same period as a result of a decrease in cost of depot maintenance."], "subsections": []}]}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "Manufacturer: Lockheed Martin and Boeing", "paragraphs": ["Sustainment: Performance-based logistics contract with depot maintenance subcontracted to Ogden Air Logistics Complex, Utah, and field maintenance performed organically. and is designed to project air dominance, rapidly and at great distances, and defeat threats. Overall operating and support costs (O&S) for the F-22 have decreased about $248 million overall since fiscal year 2011. Maintenance issues continue to be an area of concern for the aircraft, and these costs increased approximately $255 million from fiscal years 2011 to 2016, due to increases in contractor logistics costs."], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": [], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["maintaining a comprehensive diminishing manufacturing sources program and proactively supporting the continued sustainment of component parts of the aircraft through various replacement programs, such as the F-22 Reliability and Maintainability Maturation. This initiative is an ongoing effort to drive continuous improvement in availability.", "The F-22 faces issues with its low- observable coating and supply funding. Actions to mitigate these challenges include contracting a repair facility to conduct coating reversion repair and securing additional spares funding.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "The program office provided technical comments, which were incorporated as appropriate. The program noted the following: The Air Force and supporting industry are aggressively addressing sustainment challenges by investing in improvements to improve durability and maintainability, to include the low-observable coating. Additionally, for fiscal year 2017, 14.5 percent of not mission capable for maintenance aircraft have been available for pilots to fly. Also, supply chains are built on a network of partnerships that optimally thrive on consistent and predictable workflows. When unplanned changes occur in budgets, the forecasted flying hours, or major target objectives like AA, it creates major effects on the supply networks and there is rarely a quick fix. Another challenge affecting F-22 sustainment cost-effectiveness and responsiveness is the exit of many second- and third-tier suppliers driven by a lower business demand due to a significantly reduced fleet size (186 from the original 750 planned). The program office expects sustainment costs to stabilize as investments in fleet-wide repair processes and improved materials come to fruition.", "paragraphs": ["The AV-8B Harrier (AV-8B) is a Vertical/Short Take-off and Landing attack aircraft first manufactured in 1984 (see fig. 18). The AV-8B has the capability of conducting close air support using conventional weapons for intermediate range intercept and attack missions. The AV-8B is capable of deploying and operating on aircraft carriers and other suitable seagoing platforms, advanced bases, expeditionary airfields, and remote tactical landing sites. Total operating and support (O&S) costs for the AV-8B have decreased from about $815 million in fiscal year 2011 to about $646 million in fiscal year 2016. Specifically, unit-level manpower and operations as well as maintenance costs have decreased partly because the inventory is decreasing as AV-8B squadrons transition to the F-35 Joint Strike Fighter.", "Average number of flying hours: 4,711 hours per aircraft Operating and support cost: $646 million Depot maintenance activity and squadron locations:", "AV-8B Program Strategic Sustainment and Warfighting Relevance Plan (2013) addresses strategic sustainment and warfighting requirements to ensure relevance, reliability, safety, and sustainability through five pillars: recruit and retain high-quality people, develop a comprehensive readiness and sustainment plan, meet combatant commander requirements, retain and sustain government and industry agencies to support engineering and logistics requirements, and integrate capabilities to remain tactically relevant and operationally effective.", "AV-8B is maintained organically at Navy Fleet Readiness Centers under planned maintenance intervals occurring every 1,500 flight hours; supply support is provided organically by Naval Supply Systems Command and Defense Logistics Agency; contractor support services are provided by Boeing."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": [], "subsections": [{"section_title": "The AV-8B is operating beyond its planned service life with maintenance and supply issues. The Marine Corps\u2019 actions to mitigate these challenges include moving aircraft to deploying squadrons, upgrading aircraft components, and locating other vendor sources for parts.", "paragraphs": ["This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["Manufacturer: Grumman Corporation (acquired by Northrop Grumman)", "The C-2A Greyhound Logistics Aircraft (C-2A) is a high-wing, twin-engine monoplane cargo aircraft first manufactured in 1965 (see fig. 20). It is designed to land on aircraft carriers, with a primary mission of providing critical logistics support to Carrier Strike Groups by transporting high-priority cargo, mail, and passengers between carriers and shore bases. The original C-2A aircraft were overhauled to extend their operational life in 1973 and again from 2004 through 2011. Total operating and support (O&S) costs for the C-2A have generally decreased from about $233 million in fiscal year 2011 to about $207 million in fiscal year 2016. Specifically, unit-level manpower, unit operations, and continuing system improvements have decreased, while maintenance costs have increased."], "subsections": []}]}, {"section_title": "Fiscal Year 2016 Data Average age: 29 years", "paragraphs": [], "subsections": [{"section_title": "Average number of flying hours: 10,117 hours per aircraft", "paragraphs": [], "subsections": []}, {"section_title": "Operating and support cost: $207 million", "paragraphs": [], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": ["landing gear, and avionics system, among others. The Navy will include an appendix for the C-2A when it updates the sustainment strategy for the E 2D for its 5-year update.", "C-2A completed a service life extension program from 2004 through 2011 to increase flight hours from 10,000 to 15,000 and landings from 16,020 to 36,000, among other things.", "Aircraft are maintained organically by field maintainers and at Navy Fleet Readiness Centers under a planned maintenance interval cycle with three planned maintenance interval events occurring consecutively every 24 months, and supply support is provided organically by the Naval Supply Systems Command and Defense Logistics Agency."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": [], "subsections": [{"section_title": "The C-2A is operating beyond its planned service life with maintenance and supply issues. The Navy\u2019s actions to mitigate these challenges include moving aircraft to deploying squadrons, training maintainers to transition to vacated positions, and locating other vendor sources for parts.", "paragraphs": ["This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The E-2 Hawkeye (E-2C) is the Navy\u2019s all-weather, carrier-based tactical battle management, surface surveillance coordination and airborne early warning, command and control aircraft, with a planned sunset in 2026 when the last E-2D is delivered (see fig. 22). The E-2 is a twin-engine, five- crewmember, high-wing turboprop aircraft with a 24-foot diameter radar rotodome attached to the upper fuselage. Total operating and support (O&S) costs for the E-2 have decreased from about $536 million in fiscal year 2011 to about $345 million in fiscal year 2016. Specifically, unit manpower and maintenance costs have decreased, partly because E-2C inventory is decreasing as E-2C squadrons transition to the E-2D fleet."], "subsections": []}]}, {"section_title": "Fiscal Year 2016 Data Average age: 16 years", "paragraphs": [], "subsections": [{"section_title": "Average number of flying hours: 5,839 hours per aircraft", "paragraphs": [], "subsections": []}, {"section_title": "Operating and support cost: $345 million", "paragraphs": [], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": ["comprehensive sustainment logistics, engineering programs, and financial resources necessary to ensure continued platform sustainment and attainment of readiness and safety operations. The Navy will include an appendix for the E-2C when it updates the sustainment strategy for the E-2D for its 5-year update.", "E-2C is maintained organically by field maintainers and at Navy Fleet Readiness Centers under a planned maintenance interval cycle: initial planned maintenance interval is performed by field maintainers at 42 months and the second cycle is performed at a Fleet Readiness Center 46 months after the initial planned maintenance interval. Supply support is provided organically by the Naval Supply Systems Command and Defense Logistics Agency; contractor support services are provided by General Dynamics and Wyle Labs."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": [], "subsections": [{"section_title": "The E-2C is operating beyond its planned service life with maintenance and supply issues. The Navy\u2019s actions to mitigate these challenges include transitioning E-2C squadrons to the E-2D fleet, conducting studies to identify maintenance tasks to mitigate potential failures, and waiting for parts to be available.", "paragraphs": ["This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The E-2 Advanced Hawkeye (E-2D) is the newest variant of the E-2 aircraft platform, expecting to reach full operational capability by 2027 (see fig. 24). Using the same configuration as the E-2C, the E-2D aircraft is used for surface-surveillance coordination and airborne early warning, and command control. Its mission is to provide advanced warning of approaching enemy surface units, and cruise missiles and aircraft, among other things. Total operating and support (O&S) costs for the E-2D have increased consistently since fiscal year 2011 to about $125 million in fiscal year 2016. This increase is driven by the addition of aircraft to the inventory as the Navy continues to produce E-2D aircraft through 2026."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": [], "subsections": [{"section_title": "As a new aircraft, the E-2D is experiencing maintenance and supply issues. The Navy\u2019s actions to mitigate these challenges include troubleshooting component failures, and cannibalizing parts\u2014 moving parts from one aircraft to another.", "paragraphs": ["This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The EA-18G Growler is the fourth major variant of the F/A-18 family of aircraft manufactured in 2007 to replace the EA-6B Prowler (see fig. 26). The EA-18G is the first newly designed electronic warfare aircraft produced in more than 35 years and combines the proven F/A-18 Super Hornet platform with a sophisticated electronic warfare suite. Total O&S costs for the EA-18G have consistently increased from about $334 million in fiscal year 2011 to about $868 million in fiscal year 2016. Specifically, unit manpower and maintenance costs have increased partly because the inventory is increasing, as EA-18Gs are still in production."], "subsections": []}]}, {"section_title": "Fiscal Year 2016 Data Average age: 5 years", "paragraphs": [], "subsections": [{"section_title": "Average number of flying hours: 1,489 hours per aircraft", "paragraphs": [], "subsections": []}, {"section_title": "Inventory: 115 aircraft", "paragraphs": [], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": ["design, development, and fielding of the aircraft. Some of the key support program elements include developing support equipment and technical data, testing requirements for avionics, and facilities requirements, among others. The Navy is updating this plan and expects to finalize it in 2018.", "The aircraft are maintained organically at Navy Fleet Readiness Centers under planned maintenance intervals, which typically occur every 72 months. Also, the Navy partners with Boeing to provide wholesale supply and depot repair support for major components, such as the engine.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": [], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The F/A-18A-D Hornet Strike Fighter is a twin-engine, mid-wing, multimission tactical aircraft initially fielded in the 1980s (see fig. 28). In its fighter mode, it is used primarily as a fighter escort and for air defense; in its attack mode, it is used for force projection, interdiction, and air support. Total operating and support (O&S) costs for the F/A-18A-D have decreased consistently from about $3.1 billion in fiscal year 2011 to about $2.4 billion in fiscal year 2016. Specifically, unit manpower, operations, and maintenance costs have decreased, partly because the F/A-18A-Ds are being permanently transitioned out of service to be replaced by the F-35 Joint Strike Fighter.."], "subsections": []}, {"section_title": "Operating and support cost: $2.4 billion", "paragraphs": ["and financial resources necessary to ensure continued readiness and supportability for the remainder of the aircraft\u2019s service life. The Navy is currently updating this plan and expects to finalize it in 2018."], "subsections": []}, {"section_title": "Depot maintenance activity and squadron locations:", "paragraphs": ["The aircraft are maintained organically at Navy Fleet Readiness Centers under planned maintenance intervals, which typically occur every 48 months for carrier-deploying aircraft, and every 72 months for land-based aircraft.", "The Navy implemented the High-Flight-Hour program in 2006 to extend the service life from 8,000 to 10,000 flight hours by inspecting and repairing airframes, and replacing major components and parts. The High-Flight-Hour program, along with other factors, has led to maintenance carryover (i.e., into the next fiscal year) due to maintenance events taking longer than planned."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["In 1999, the Navy entered into a contract with Boeing for engineering support to leverage resources within the technology and industrial base to improve efficiency of the maintenance process and address the maintenance backlog.", "The F/A-18A-D is operating beyond its planned service life with maintenance and supply issues. The Navy\u2019s actions to mitigate these challenges include extending the service life of the aircraft, allowing maintainers to work overtime to reduce backlog, and cannibalizing parts\u2014moving parts from one aircraft to another.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": [{"section_title": "In commenting on a draft of this assessment, the program office provided technical comments, which were incorporated where appropriate.", "paragraphs": ["The F/A-18E-F Super Hornet was first manufactured in 1998 (see fig. 30). The F/A-18E-F is highly capable across the full mission spectrum: air superiority, fighter escort, reconnaissance, aerial refueling, close air support, air defense suppression, and day/night precision strike. The F/A-18E-F provides aircrew the capability and performance necessary to face 21st century threats. Total operating and support (O&S) costs for the F/A-18E-4 have increased from about $2.2 billion in fiscal year 2011 to about $3.1 billion in fiscal year 2016. Specifically, unit manpower, maintenance, and continuing system support have increased, partly because the inventory is increasing, as the F/A-18E-F is still in production."], "subsections": []}]}, {"section_title": "Sustainment Challenges and Mitigation Actions", "paragraphs": ["the Navy is conducting an assessment to determine the number of flight hours the aircraft can safely continue to fly, and then extend the service life of the program through inspections, repairs, and modifications, among other things. The Navy contracted with Boeing to potentially begin these efforts by fiscal year 2018.", "The F/A-18E-F is a high operational tempo aircraft supporting contingency operations with maintenance and supply issues. The Navy\u2019s actions to mitigate these challenges include plans to extend the service life of the aircraft, training maintainers to transition to vacated positions, and cannibalizing parts\u2014removing parts from one aircraft to another.", "This report is a public version of a sensitive report that we issued on April 25, 2018. DOD deemed some of the information, such as aircraft availability, not mission capable rates, number of aircraft in depots, and budgeted and executed flight hours to be sensitive (i.e., For Official Use Only). This public report omits the information that DOD deemed to be sensitive."], "subsections": []}, {"section_title": "Operating and Support Costs", "paragraphs": [], "subsections": []}, {"section_title": "Program Office Comments", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix XIV: Scope and Methodology", "paragraphs": ["To examine the trends in aircraft availability and operating and support (O&S) costs for selected Air Force and Navy fixed-wing aircraft, including whether the aircraft met availability goals, we selected a nongeneralizable sample of 12 fixed-wing aircraft managed by the Departments of the Air Force and the Navy. These included two Marine Corps aircraft that are managed by the Department of the Navy. This nongeneralizable sample was selected to ensure a mix of aircraft, including type of aircraft (fighter, bomber, cargo, etc.), age of the aircraft, and size of inventory, and whether the aircraft were sustained organically by the Department of Defense (DOD) or through contract arrangements, such as public-private partnerships or performance-based logistics, among other factors.", "For the Air Force, we selected five fixed-wing aircraft\u2014the B-52 Stratofortress, C-17 Globemaster III, E-8C Joint Surveillance and Target Attack Radar System (JSTARS), F-16 Fighting Falcon, and F-22 Raptor. For the Navy, including the Marine Corps, we selected seven fixed-wing aircraft\u2014the AV-8B Harrier, C-2A Greyhound Logistics Aircraft, E-2 Hawkeye Early Warning and Control Aircraft, E-2 Advanced Hawkeye Early Warning and Control Aircraft, EA-18G Growler, F/A-18 Hornet Strike Fighter A-D, and F/A-18 Super Hornet E-F. The Marine Corps uses the AV-8B Harrier and also uses a variant of the F/A-18A-D. For the selected aircraft, we obtained and reviewed the aircraft availability, sustainment, and O&S data for accuracy and completeness, interviewed officials regarding their data-collection processes, and reviewed available related policies and procedures associated with the collection of the data. As a result, we found the information to be sufficiently reliable for the purposes of presenting sustainment metrics, such as aircraft availability and O&S costs. status due to maintenance, supply, and both. With respect to O&S costs, we collected and analyzed data from fiscal years 2011 through 2016.", "We conducted data-reliability assessments for the data provided by the Air Force and the Navy. To do this, we sent data-reliability questionnaires to both departments requesting information on the sources that generated the data. For the Air Force, we conducted data-reliability assessments on the Air Force Total Ownership Cost system and the Logistics Installation and Mission Support system. For the Navy, we conducted data-reliability assessments on the Aviation Management Supply and Readiness Reporting\u2014Type Model Series Integrated Database, the Decision Knowledge Programming for Logistics Analysis and Technical Evaluation system, the Flying Hour Projection System / Cost Adjustment and Visibility Tracking System, and the Visibility and Management of Operating and Support Costs system. We reviewed responses from both departments on these sources as well as documentation\u2014such as guidance, user manuals, and data dictionaries\u2014provided to corroborate questionnaire responses, and interviewed knowledgeable officials to discuss the data. We concluded that the data provided by the Air Force and the Navy were sufficiently reliable for the purposes of reporting condition metrics such as aircraft availability; not mission capable status due to maintenance, supply, and both; depot inductions; budgeted and executed flight hours; and O&S costs for the selected fixed-wing aircraft in our review.", "To identify the sustainment challenges and mitigation actions for the selected aircraft, we reviewed sustainment metrics data, performance briefings, and other relevant documentation to identify specific challenges for each of the 12 aircraft in our review. We also reviewed ongoing and planned actions to address those challenges. Additionally, we interviewed program officials, depot officials, field maintainers, and squadron personnel to obtain their views on the challenges they face in sustaining the aircraft and the actions they take to mitigate those challenges. In some instances, we visited depots and squadrons to observe aircraft undergoing maintenance, discuss the respective maintenance processes, and discuss challenges and mitigation actions with officials. We then grouped the identified challenges into categories and represented them in a table to demonstrate which aircraft are experiencing specific challenges.", "To assess the extent to which the Air Force and the Navy have sustainment strategies, regularly review sustainment metrics, and have plans to improve aircraft availability for the selected fixed-wing aircraft, we obtained and analyzed sustainment strategies, performance management frameworks (i.e., sustainment metrics collected and monitored as well as the levels of management review), and improvement plans for each of the selected 12 fixed-wing aircraft.", "We also identified and reviewed DOD, Air Force, and Navy guidance to analyze the departments\u2019 efforts in sustaining these aircraft and to determine whether these were consistent with federal standards for internal control that deal with management defining objectives in specific terms. Specifically, we reviewed DOD Instruction 5000.02, Operation of the Defense Acquisition System, which provides management principles and mandatory policies for defense acquisition systems such as fixed- wing aircraft. These policies incorporate decision processes and assessing of readiness, which includes the creation of and requirements for a Life-cycle Sustainment Plan. We also reviewed Air Force Instruction 63-101/20-101, Integrated Life Cycle Management, which implements various Air Force and DOD policy directives, including DOD Instruction 5000.02. It establishes the integrated life-cycle management guidelines and procedures for Air Force personnel who develop, review, approve, or manage the systems, subsystems, end-items, services, and activities procured by the Air Force. For the Navy, we reviewed Secretary of the Navy M-5000.2, Department of the Navy Acquisition and Capabilities Guidebook, which provides guidance for the operation of the defense acquisition system and the joint capabilities integration and development system. It also implements DOD Instruction 5000.02 for the Navy and Marine Corps, including guidance on the management and execution of a sustainment strategy. and service guidance. We also reviewed the Air Force\u2019s and the Navy\u2019s performance metric briefings and improvement plans to determine whether the departments regularly reviewed sustainment metrics and had plans aimed at improving aircraft availability. We interviewed DOD, Air Force, and Navy officials knowledgeable about sustainment of these selected fixed-wing aircraft to discuss DOD\u2019s and the departments\u2019 efforts in sustaining these aircraft, including historical information on each aircraft, applicability of policy and guidance for legacy aircraft, and overviews of performance management frameworks identified by the departments to monitor and improve aircraft availability.", "To develop the fixed-wing aircraft sustainment summary documents (i.e., \u201cSustainment Quick Looks\u201d) in appendixes II\u2013XIII we obtained historical and current information including background on aircraft capabilities, manufacturer, sustainment strategy, depot maintenance and squadron locations, and key dates in the life cycle of each aircraft (i.e., first manufactured, initial and full operational capability, last production, and planned sunset year). We collected and analyzed the following metrics: aircraft availability, not mission capable maintenance, not mission capable supply, and not mission capable aircraft from fiscal year 2011 through March 2017; the number of aircraft in depots for fiscal years 2011 through 2016; budgeted and executed flight hours from fiscal years 2011 through overall O&S and maintenance costs for fiscal years 2011 through 2016.", "We compared availability actuals to goals, aircraft in depots to availability trends, and budgeted and executed flight hours to availability trends. We analyzed O&S cost by reviewing its six elements and compared them to availability trends. We also analyzed the subcategories of the maintenance costs element. Through interviews with knowledgeable officials and reviewing documentation, we identified sustainment challenges (i.e., aging, maintenance and supply support) and mitigation actions to address these challenges for each selected fixed-wing aircraft. DOD deemed some of the information, such as aircraft availability, not mission capable status, number of aircraft in depots, and budgeted and executed flight hours, to be sensitive (i.e., For Official Use Only), which must be protected from public disclosure. This public report omits the information that DOD deemed to be sensitive.", "Additionally, to support our work for each objective we conducted site visits and interviewed officials to discuss data trends and identify specific sustainment challenges such as aging, maintenance, and supply support, among other challenges affecting aircraft availability, and mitigation actions to address these challenges. For the Air Force, we met with the following entities:", "Headquarters\u2014Secretary of the Air Force, Logistics and Product Support and Deputy Assistant Secretary for Cost and Economics, Air Force Cost Analysis Agency;", "Materiel Commands\u2014Air Force Materiel Command and Air Force Life Cycle Management Center;", "Program Offices\u2014B-52 Program Office, C-17 Program Office, E-8C Program Office, F-16 Program Office, and F-22 Program Office;", "Depots\u2014Tinker Air Force Base at Oklahoma City, Oklahoma (B-52); Robins Air Force Base at Warner Robbins, Georgia (C-17); Northrop Grumman facility at Lake Charles, Louisiana (E-8C); Ogden Air Logistics Center / Hill Air Force Base at Ogden, Utah (F-16 and F-22); and", "Squadrons\u2014437th Maintenance Group, Joint Base Charleston, South Carolina (C-17); 461st Air Control Wing, Robins Air Force Base Georgia (E-8C); 20th Fighter Wing, Shaw Air Force Base, South Carolina (F-16); and 325th Maintenance Group, Tyndall Air Force Base, Florida (F-22).", "For the Navy, we met with the following entities:", "Headquarters\u2014Deputy Assistant Secretary of the Navy\u2014 Expeditionary Programs and Logistics Management, Marine Corps Aviation Plans and Policy Branch, and Air Warfare Division;", "Materiel Commands\u2014Commander, Fleet Readiness Center; Naval Air Systems Command; and Naval Supply Systems Command;", "Program Offices\u2014Program Manager\u2013Air (PMA)-231 (C-2A, E-2C, and E-2D); PMA- 257 (AV-8B); and PMA-265 (F/A-18A-F, and EA- 18G);", "Depots\u2014Fleet Readiness Center\u2013East at Cherry Point, North Carolina; Fleet Readiness Center\u2013Mid Atlantic at Naval Air Station Norfolk, Virginia, and Naval Air Station Oceana, Virginia;", "Squadrons\u2014Marine Corps Air Station Cherry Point, North Carolina; Marine Corps Air Station Miramar, California; Naval Air Station Norfolk, Virginia; and Naval Air Station Oceana, Virginia; and", "Other\u2014Naval Center for Cost Analysis.", "The performance audit upon which this report is based was conducted from September 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from April 2018 to September 2018 to prepare this unclassified version of the original sensitive report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix XV: Air Force and Navy Average Operating and Support Cost per Aircraft for Selected Fixed-Wing Aircraft", "paragraphs": ["For fiscal year 2016, total operating and support (O&S) costs for the five Air Force fixed-wing aircraft selected in our review were about $12 billion, and the average O&S cost per aircraft across all five fleets was about $96 million, as shown in figure 32. Each of the C-17 and F-16 fleets accounted for about 33 percent of the total O&S cost, and the E-8C\u2019s average cost per aircraft accounted for about 48 percent of the total average cost per aircraft.", "For fiscal year 2016, total O&S costs for the seven Navy fixed-wing aircraft selected in our review were about $7.7 billion, and the average O&S cost per aircraft across all seven fleets was about $44 million, as shown in figure 33. The F/A-18E-F fleet accounted for about 40 percent of the total O&S cost, and the E-2C\u2019s average cost per aircraft accounted for about 19 percent of the total average cost per aircraft."], "subsections": []}, {"section_title": "Appendix XVI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XVII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, John Bumgarner (Assistant Director), Clarine Allen, Ron Aribo, Vincent Buquicchio, Amie Lesser, Richard Powelson, Steven Putansu, Matt Spiers, and Natasha Wilder made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Defense Supply Chain: DOD Needs Complete Information on Single Sources of Supply to Proactively Manage the Risks. GAO-17-768. Washington, D.C.: September 27, 2017.", "Weapon Systems Management: Product Support Managers\u2019 Perspectives on Factors Critical to Influencing Sustainment-Related Decisions. GAO-17-744R. Washington, D.C.: September 12, 2017.", "Defense Acquisitions: Assessments of Selected Weapon Programs. GAO-17-333SP. Washington, D.C.: March 30, 2017.", "Depot Maintenance: Executed Workload and Maintenance Operations at DOD Depots. GAO-17-82R. Washington, D.C.: February 3, 2017.", "Defense Inventory: Further Analysis and Enhanced Metrics Could Improve Service Supply and Depot Operations. GAO-16-450. Washington, D.C.: June 9, 2016.", "Weapon Systems Management: DOD Has Taken Steps to Implement Product Support Managers but Needs to Evaluate Their Effects. GAO-14-326. Washington, D.C.: April 29, 2014."], "subsections": []}], "fastfact": []} {"id": "GAO-18-60", "url": "https://www.gao.gov/products/GAO-18-60", "title": "Offshore Seismic Surveys: Additional Guidance Needed to Help Ensure Timely Reviews", "published_date": "2017-12-11T00:00:00", "released_date": "2018-01-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Offshore seismic surveys provide federal agencies and other entities with a wide range of data, from research on fault zones to geology that may indicate the presence of oil and gas. Companies seeking to conduct such surveys to find oil and gas resources in the OCS must obtain a permit from BOEM\u2014which oversees offshore oil and gas activities. Man-made sources of ocean noise, such as seismic surveys, may harm marine mammals. Entities whose activities may cause the taking of marine mammals, which includes harassing or injuring an animal, may obtain incidental take authorizations for seismic surveys from NMFS or FWS, depending on the potentially affected species.", "GAO was asked to provide information on the seismic permitting process. This report examines (1) BOEM's review process, the number of permit applications reviewed from 2011 through 2016, and its review time frames; and (2) NMFS's and FWS's review process, the number of incidental take authorization applications reviewed from 2011 through 2016, and their review time frames, among other objectives. GAO reviewed laws and regulations and agency documents, analyzed data on applications to BOEM, NMFS, and FWS, and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of the Interior's Bureau of Ocean Energy Management's (BOEM) process and time frames for reviewing seismic survey applications differ by region along the Outer Continental Shelf (OCS). From 2011 through 2016, BOEM reviewed 297 applications and issued 264 seismic survey permits, and the reviews' time frames differed by region (see table). As part of the process, BOEM may require approved \u201cincidental take\u201d authorizations from the Department of Commerce's National Marine Fisheries Service (NMFS) or Interior's U.S. Fish and Wildlife Service (FWS), given the possibility such surveys may disturb or injure marine mammals. BOEM does not have statutory review time frame requirements for issuing permits, and officials said the agency starts its formal review once it determines that an application is complete. In some cases, the agency issued a permit on the same day it determined an application was complete.", "NMFS and FWS follow a similar general process for reviewing incidental take authorization applications related to seismic survey activities. From 2011 through 2016, NMFS and FWS reviewed 35 and approved 28 such applications across the three OCS regions, including some authorizations related to BOEM permits as well as research seismic surveys not associated with BOEM permits. NMFS was unable to provide accurate data for the dates the agency determines an application is adequate and complete\u2014and FWS does not record this date. For example, based on GAO's review of NMFS data, in at least two cases, the date NMFS recorded the application had been determined adequate and complete was after the date when the proposed authorization was published in the Federal Register . Federal internal control standards call for agencies to use quality information. Without guidance on how to accurately record review dates, agencies and applicants will continue to have uncertainty around review time frames. Further, under the Marine Mammal Protection Act, the agencies are to review one type of incidental take authorization application\u2014incidental harassment authorization applications\u2014within 120 days of receiving an application for such authorizations. NMFS and FWS have not conducted an analysis of their review time frames. Not conducting such an analysis is inconsistent with federal internal control standards that call for agency management to design control activities to achieve objectives and respond to risks. Without analyzing the review time frames for incidental harassment authorization applications and comparing them to statutory review time frames, NMFS and FWS are unable to determine whether they are meeting their objectives to complete reviews in the 120-day statutory time frame."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that both NMFS and FWS develop guidance clarifying how and when staff should record review dates of incidental take authorization applications and analyze how long the reviews take. NMFS agreed and FWS partially agreed with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Offshore oil and natural gas are important sources of energy and revenue for the United States\u2014constituting about 18 percent of our nation\u2019s total oil production and about 4 percent of our total gas production\u2014and providing the federal government with about $2.8 billion in revenue in fiscal year 2016, according to data from the Department of Energy\u2019s Energy Information Administration and the Department of the Interior\u2019s (Interior) Office of Natural Resources Revenue. Federal agencies and private companies use information about potential oil, gas, and other resources in the Outer Continental Shelf (OCS) to make regulatory, funding, and development decisions, respectively. Oil and gas companies conduct offshore seismic surveys in the OCS to collect data on the geology that may indicate the presence of hydrocarbons; e.g., oil and gas. Seismic surveys\u2014which can be conducted onshore and offshore\u2014use mechanically generated sound waves from an acoustic source to transmit energy into the subsurface of the ocean floor. Various other entities, including the National Science Foundation, use offshore seismic surveys for other purposes, such as to identify possible earthquake fault zones.", "Entities seeking to conduct geological and geophysical surveys, including seismic surveys, to identify oil, gas, and other mineral resources in the OCS must obtain a permit from Interior\u2019s Bureau of Ocean Energy Management (BOEM)\u2014the federal agency responsible for the oversight of most offshore oil and gas leasing and exploration activities. Given the possibility that seismic surveys may disturb or injure marine mammals, referred to as \u201ctaking\u201d marine mammals, entities may also need to obtain an incidental take authorization under the Marine Mammal Protection Act (MMPA) from the Department of Commerce\u2019s National Marine Fisheries Service (NMFS) or Interior\u2019s Fish and Wildlife Service (FWS), depending on the species that might be affected, to avoid potential liability for any illegal take of a marine mammal due to the activity. To assess whether to authorize the taking of small numbers of marine mammals, NMFS and FWS must make certain findings, based on the best scientific evidence available, as to the impacts of such activities on marine mammals and, when applicable, certain subsistence hunters. Several industry stakeholders and a research organization that applied for incidental take authorizations have raised questions about the timeliness of the federal seismic survey permitting process and incidental take authorization application reviews.", "You asked us to review the federal seismic survey permitting process in each of the four OCS regions\u2014Alaska, the Atlantic, the Gulf of Mexico, and the Pacific. In our preliminary review of all four OCS regions, we determined that there had been no new oil and gas and related seismic activity in the Pacific OCS region for the last two decades; as a result, we excluded the Pacific OCS region from our review. This report examines\u2014for the Alaska, the Atlantic, and the Gulf of Mexico OCS regions from 2011 through 2016, (1) BOEM\u2019s process for reviewing seismic survey permit applications in each OCS region, the number of applications reviewed from 2011 through 2016, and its review time frames; (2) NMFS and FWS processes for reviewing incidental take authorization applications related to seismic surveys in each OCS region, the number of such applications reviewed by the agencies from 2011 through 2016, and their review time frames; and (3) the status of pending seismic survey permit applications and related incidental take authorization applications in the Atlantic OCS region.", "To examine the agencies\u2019 processes for reviewing seismic survey permit applications and related incidental take authorization applications, we analyzed relevant laws and regulations that govern the processes and reviewed and analyzed agency guidance, such as process flowcharts, and other documents, including Federal Register notices. We also interviewed BOEM, NMFS, and FWS agency officials in their headquarters and regional offices responsible for overseeing seismic permitting and incidental take authorization reviews in each of the three selected OCS regions. In addition, we identified and interviewed a range of knowledgeable stakeholders selected to reflect a range of industry groups, a research institution, and environmental organizations to obtain their views on the seismic survey permit and incidental take authorization application processes. Because this was a nonprobability sample of stakeholders, their views are not generalizable beyond those groups but provide illustrative examples of the views of such stakeholders.", "To examine the number of seismic survey permit applications and related incidental take authorization applications reviewed by BOEM, NMFS, and FWS from 2011 through 2016, we obtained data from BOEM, NMFS, and FWS on the number of permit and incidental take authorization applications each agency reviewed and the number of permits and authorizations the agencies issued in each of the three selected OCS regions. To assess the reliability of the data, we used publicly available information on the number of permit and authorization applications to check the data provided by BOEM, NMFS, and FWS. We found the data on the number of permits and authorizations to be sufficiently reliable for our purposes.", "To examine the agencies\u2019 time frames for reviewing seismic survey permit applications and related incidental take authorization applications from 2011 through 2016, including applications whose reviews are pending, and the extent to which NMFS and FWS are meeting their statutory time frames for reviewing incidental harassment authorization applications related to seismic survey permits, we obtained and analyzed agency review time frame data from BOEM, NMFS, and FWS. We focused our review of pending applications on the Atlantic OCS region because it was the only region with applications that had been pending review for several years. To assess the reliability of the data, we interviewed agency officials knowledgeable about the data and analyzed the data to determine the range of review time frames by agency and by the three OCS regions. We found BOEM\u2019s data on review time frames to be sufficiently reliable for our purposes (see app. I for information on NMFS and FWS data on review time frames). We also examined agency guidance, agency communication with applicants, and data-recording procedures. We also interviewed agency officials as well as industry stakeholders.", "We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section includes information about seismic surveys, oil and gas activities in the four OCS regions, and the potential effects of seismic activities on the environment and marine mammals as well as related requirements."], "subsections": [{"section_title": "Seismic Surveys", "paragraphs": ["Seismic surveys use mechanically generated sound waves from an acoustic source such as an airgun to transmit energy into the subsurface. Some of this energy is reflected or refracted back to recording sensors, and data are transformed into representative images of the layers in the subsurface of the earth. Entities use seismic surveys for several purposes. For example, oil and gas companies use both onshore and offshore seismic surveys to collect data on geology that may indicate the presence of oil and gas. Other entities, such as research institutions, use seismic surveys for a variety of purposes, such as helping to detect groundwater, identifying archaeological resources and fault zones, and conducting other research.", "There are two main types of seismic surveys used on the OCS: (1) deep- penetration and (2) high-resolution seismic surveys. Deep-penetration seismic surveys are conducted by vessels towing an array of airguns that use a low frequency source and emit high-energy acoustic pulses into the seafloor over long durations. Deep-penetration seismic surveys can penetrate several thousand meters into the subsurface and are then reflected and recorded by receivers to image deep geological features. Deep-penetration seismic surveys are often acquired prior to the drilling phase of oil and gas exploration. High-resolution seismic surveys typically use high-frequency acoustic signals to image the sea bottom and shallow parts right below the ocean bottom with a higher level of detail. Seismic surveys vary in technologies used, as well as in their size and scope, with towed gear in some cases spanning several miles (see fig. 1)."], "subsections": []}, {"section_title": "Activities in the Outer Continental Shelf (OCS) Regions", "paragraphs": ["The OCS refers to the submerged lands outside the territorial jurisdiction of all 50 states but that appertain to the United States and are under its jurisdiction and control. State submerged lands generally extend from the shore to 3 geographical miles offshore. Federal submerged lands, which are lands under the jurisdiction of the federal government\u2014generally extend from 3 geographical miles to 200 nautical miles offshore. With certain exceptions, waters and submerged lands beyond 200 nautical miles offshore are considered international.", "The OCS is divided into four regions managed by BOEM\u2014Alaska, Atlantic, Gulf of Mexico, and Pacific\u2014each with its own histories and concerns and levels of commercial activities, including oil and gas development and history of using seismic surveys. The Gulf of Mexico OCS region has had the most oil and gas activity. The Alaska OCS encompasses the Arctic submerged lands, Cook Inlet planning area, and the Gulf of Alaska. The Arctic waters of the Alaska OCS include the Beaufort and Chukchi planning areas and the Bering Sea. In the last 25 years, seismic activities in the Alaska OCS have generally taken place in the Cook Inlet and the Chukchi and Beaufort Seas. The Atlantic OCS region is divided into four areas for administrative purposes under BOEM\u2019s oil and gas leasing program: the North Atlantic, Mid-Atlantic, South Atlantic, and the Straits of Florida. At present, no active OCS oil and gas leases exist in any of these four planning areas. The most recent geological and geophysical seismic data for the Mid- and South Atlantic OCS were gathered more than 30 years ago. The Gulf of Mexico\u2019s central and western planning areas\u2014offshore Texas, Louisiana, Mississippi and Alabama\u2014remain the United States\u2019 primary offshore source of oil and gas, generating about 97 percent of all OCS oil and gas production.", "BOEM oversees offshore oil and gas resource-management activities, including preparing the 5-year OCS oil and gas leasing program, conducting lease sales and issuing leases, and receiving, reviewing, and approving oil and gas exploration and development and production plans. As part of its role, BOEM also issues permits for geological and geophysical data acquisition on the OCS, including seismic surveys, under the Outer Continental Shelf Lands Act and regulations under the act. BOEM does not have statutory review time frame requirements for issuing geological and geophysical seismic survey permits. Entities seeking to conduct geological and geophysical scientific research related to oil and gas but not associated with oil and gas exploration and development, including seismic surveys, generally do not need to obtain a permit from BOEM, but they are generally required to file a Notice of Scientific Research with the Regional Director of BOEM at least 30 days before beginning such research."], "subsections": []}, {"section_title": "Environmental Impacts of Seismic Surveys", "paragraphs": ["Man-made sources of ocean noise\u2014such as from commercial shipping, marine pile driving, sonar, and seismic activities\u2014may have a variety of impacts on marine mammals ranging from minor disturbance to injury or death. Effects of noise on marine mammals depend on a variety of factors including the species and behavior, as well as the frequency, intensity, and duration of the noise. NMFS and FWS evaluate the potential effects of activities, such as seismic surveys, on marine mammals in determining whether to authorize incidental take under the MMPA when such authorization is requested by entities engaging in those activities. Agencies are required to evaluate potential environmental effects of their actions, such as approval of seismic survey permits, under the National Environmental Policy Act (NEPA), and in cases where Endangered Species Act listed species may be affected, conduct Endangered Species Act section 7 consultations."], "subsections": [{"section_title": "Marine Mammal Protection Act", "paragraphs": ["The MMPA was enacted in 1972 to ensure that marine mammals are maintained at or restored to their optimum sustainable population. NMFS and FWS implement the MMPA, which generally prohibits the \u201ctaking\u201d of marine mammals. However, the MMPA provides a mechanism for NMFS and FWS, upon request, to authorize the incidental take of small numbers of marine mammals by U.S. citizens engaging in a specified activity, other than commercial fishing, within a specified geographic region. Specifically, NMFS and FWS issue incidental take authorizations after finding that the activities will cause the taking of only small numbers of marine mammals of a species or stock, the taking will have a negligible impact on such marine mammal species or stocks, and the taking will not have an unmitigable adverse impact on the availability of the species or stock for taking for subsistence uses. Entities whose seismic survey activities may result in incidental take of marine mammals obtain an incidental take authorization from NMFS or FWS, or both, depending on the affected species. If operators incidentally take a marine mammal and do not have authorization to cover the incidental take, they would be in violation of the MMPA. By statute, incidental take authorizations must also include permissible methods of taking and means of affecting the least practicable adverse impact on affected species and stocks and their habitat, monitoring requirements, and reporting requirements."], "subsections": []}, {"section_title": "National Environmental Policy Act", "paragraphs": ["Under NEPA, federal agencies are required to evaluate the potential environmental effects of actions they propose to carry out, fund, or approve (e.g., by permit). NEPA and implementing regulations set out an environmental review process that has two principal purposes: (1) to ensure that an agency carefully considers information concerning the potential environmental effects of proposed actions and alternatives to proposed actions and (2) to ensure that this information will be made available to the public. Under NEPA, before approving any oil and gas leasing, exploration, geological and geophysical permits, or development activities, BOEM must evaluate the potential environmental effects of approving or permitting those activities. NMFS and FWS also must evaluate potential environmental effects under NEPA of issuing the MMPA incidental take authorization as part of their review of the proposed authorizations. Generally, the scope of the proposed permit or authorization\u2014that is, the federal action\u2014determines whether the federal agency prepares either an environmental assessment or a more detailed environmental impact statement. Agencies may prepare an environmental assessment to determine whether a proposed action is expected to have a potentially significant impact on the human environment. If the agency determines that the action will not have significant environmental impacts following the environmental assessment, the agency will issue a Finding of No Significant Impact. If prior to or during the development of an environmental assessment, the agency determines that the action may cause significant environmental impacts, an environmental impact statement should be prepared.", "In implementing NEPA, federal agencies may rely on \u201ctiering\u201d, in which prior broader, earlier NEPA reviews are incorporated into subsequent site-specific analyses. Tiering is used to avoid duplication of analysis as a proposed activity moves through the NEPA process, from a broad assessment to a site-specific analysis. If an agency would like to evaluate the potential significant environmental impacts of multiple similar or recurring activities, the agency can prepare a programmatic environmental assessment or environmental impact statement. Because BOEM prepares a site specific environmental analysis for each geological and geophysical permit application, to increase efficiency, BOEM uses this tiering process and tiers from either an existing environmental impact statement or environmental assessment during its site specific environmental analysis review."], "subsections": []}, {"section_title": "Endangered Species Act", "paragraphs": ["The Endangered Species Act provides programs for conserving threatened and endangered species. Under section 7 of the act, federal agencies must ensure that any action they authorize, fund, or carry out is not likely to jeopardize the continued existence of any endangered or threatened species or result in the destruction or adverse modification of its critical habitat. To fulfill this responsibility, federal agencies must consult with NMFS or FWS, depending on the affected species, to assess the potential effects of proposed actions, including approval of seismic survey permits and authorization of incidental take under the MMPA, on threatened and endangered species. The Endangered Species Act allows NMFS and FWS to exempt incidental takings from the taking prohibition for endangered and threatened species as provided through an incidental take statement. The statement is to include the amount or extent of anticipated take, reasonable and prudent measures to minimize the effects of incidental take, and the terms and conditions that must be observed. Formal consultations between federal agencies and NMFS or FWS are required where a proposed action could have an adverse effect on listed species or designated critical habitat and are concluded with issuance by NMFS or FWS of biological opinions. The biological opinion is to discuss in detail the effects of the proposed action on listed species and their critical habitat and contain NMFS\u2019s or FWS\u2019s opinion on whether the proposed action is likely to jeopardize the continued existence of the species or destroy or adversely modify any designated critical habitat. For consultations involving marine mammals, an Endangered Species Act section 7 incidental take statement cannot be issued until the incidental take has been authorized under the MMPA.", "Agencies may informally consult with NMFS or FWS, and if it is determined by the federal agency during such informal consultation that the proposed action is not likely to adversely affect endangered or threatened species or critical habitat, the informal consultation process is concluded upon written concurrence of NMFS or FWS, and no further action is necessary. If an action agency would like to evaluate the impacts of multiple similar or recurring activities on endangered and threatened species, NMFS or FWS can prepare a programmatic biological opinion for the OCS region."], "subsections": []}]}]}, {"section_title": "BOEM\u2019s Process Differs by OCS Region, and BOEM Reviewed 297 Seismic Survey Permit Applications from 2011 through 2016", "paragraphs": [], "subsections": [{"section_title": "BOEM\u2019s Process for Reviewing Seismic Survey Permit Applications Differs by Selected OCS Region", "paragraphs": ["BOEM has a documented process for reviewing seismic survey applications in each of the three selected OCS regions that differs at the final step (see fig. 2), depending on the region. For the Alaska and Atlantic regions, the applicant generally submits an application to BOEM for a seismic survey permit at the same time that the applicant submits an application to NMFS or FWS for an incidental take authorization. For the Gulf of Mexico region, the applicant has generally only submitted an application to BOEM for a seismic survey permit.", "In all three regions, BOEM is required to conduct environmental reviews under NEPA, and Endangered Species Act Section 7 consultations as necessary to help ensure agency actions, such as permit approvals, do not jeopardize the continued existence of a species or destroy or adversely modify critical habitat. In all three regions, when appropriate, BOEM is also to coordinate with relevant stakeholders, such as state officials, the Department of Defense and the National Aeronautics and Space Administration, if proposed activities have the potential to interfere with defense or civil aerospace activities in the same area.", "The final step in BOEM\u2019s process for reviewing seismic survey permit applications differs among the three selected OCS regions. In the Atlantic region, prior to issuing a permit, BOEM intends to require incidental take authorizations related to the seismic survey activities proposed in the permit application to be in place before issuing permits, but BOEM issues conditional permits while waiting for incidental take authorizations in the Alaska region. In the Gulf of Mexico region, BOEM generally issues permits without requiring incidental take authorizations to be in place.", "Stakeholders from industry groups and BOEM officials we interviewed stated that differences in the review process were the natural result of the process adapting to the three different OCS regions and their history of oil and gas exploration. For example, agency officials stated that, in terms of oil and gas activity, the Atlantic is a \u201cfrontier region,\u201d and, according to a stakeholder group, has vocal coastal communities that are uncomfortable with offshore energy development and, relatedly, the potential impacts of seismic surveys on marine mammals and commercial fishing. If certain activities are considered controversial or have more vocal public opponents, they may result in an increased number of public comments the agency must review, which in turn may result in BOEM taking extra time to review applications for permits or NMFS requiring more time to review incidental take authorization applications, agency officials said. For example, in the Atlantic OCS, there was a large vocal public opposition to the seismic surveys proposed. Specifically, 126 municipalities, 1,200 officials, and over 40,000 businesses representing Republicans and Democrats opposed seismic surveying, according to testimony at a July 2017 hearing of the House Committee on Natural Resources.", "By contrast, according to BOEM officials and industry stakeholders we interviewed, the Gulf of Mexico region has a long history of offshore energy development and seismic survey activity. BOEM has issued permits in the Gulf of Mexico region without requiring an applicant to already have an incidental take authorization in place. According to two industry stakeholders we interviewed, obtaining permits in the Gulf of Mexico has been a fairly routine process. BOEM has made a policy decision to generally require an incidental take authorization in Alaska and the Atlantic but not in the Gulf of Mexico, agency officials said.", "While historically, BOEM has not required incidental take authorizations in the Gulf of Mexico to be in place prior to issuing seismic survey permits, around 2002, ocean noise emerged as an environmental concern in the region, according to BOEM officials. At that time, BOEM requested incidental take regulations from NMFS for the Gulf of Mexico at the request of NMFS and on behalf of the industry and submitted revised requests in 2004, 2011, and 2016. According to BOEM officials we interviewed, the agency has been working with NMFS since 2002 to get incidental take regulations in place. According to NMFS officials, BOEM\u2019s 2002 request only addressed 1 of the 21 species present in the Gulf of Mexico, so NMFS requested that BOEM revise its request. The 2004 request included all marine mammals present in the area, according to NMFS officials. BOEM and NMFS agreed to require mitigation measures on all deep penetration seismic surveys in lieu of the formal authorization until completion of the pending rulemaking, according to BOEM officials.", "Meanwhile, in 2010, a consortium of environmental organizations sued Interior, alleging that BOEM permitted seismic activities in the Gulf of Mexico in violation of NEPA. In correspondence with BOEM, plaintiffs also alleged that seismic activities permitted by BOEM in the Gulf of Mexico resulted in the unauthorized take of marine mammals in violation of the MMPA. In June 2013, the parties reached an agreement providing for a temporary stay of all proceedings in the lawsuit until Final Action, as defined in the settlement agreement, with respect to BOEM\u2019s application for incidental take regulations or until the expiration of 30 months, whichever occurs first. In addition, BOEM agreed to consider the appropriateness of prescribing additional mitigation measures for industry applicants related to seismic survey permits during the stay, including seasonal restrictions for coastal waters and certain monitoring and reporting requirements; the plaintiffs agreed not to challenge such permits for surveys implementing the mitigations during the stay. In February 2016, the parties agreed to extend the stay through September 25, 2017, subject to BOEM\u2019s consideration of certain additional conditions on seismic surveys permitted in the Gulf of Mexico. In October 2016, BOEM submitted a revised request to NMFS for incidental take regulations governing geophysical surveys in the Gulf of Mexico. In December 2016, NMFS published in the Federal Register a notice of receipt and request for comments and information in response to BOEM\u2019s revised request for incidental take regulations. According to NMFS officials, the agency is currently working on developing incidental take regulations for the Gulf of Mexico region. In September 2017, the parties agreed to extend the stay through November 1, 2018.", "From 2011 through 2016, BOEM Reviewed 297 Applications for Seismic Survey Permit Applications and Issued 264 Permits Based on our review of agency data, from 2011 through 2016, BOEM reviewed 297 applications for seismic survey permits. Of the 297 seismic survey permit applications reviewed, BOEM issued 264 permits during this period, and the number of applications reviewed and permits issued varied by OCS region (see table 1). For the Gulf of Mexico region, which has had the most oil and gas activity, BOEM reviewed the most permit applications (268) and issued the most permits (250)."], "subsections": []}, {"section_title": "From 2011 through 2016, BOEM Time Frames for Issuing Seismic Survey Permit Applications Varied by OCS Region", "paragraphs": ["BOEM does not have statutory review time frame requirements for issuing geological and geophysical seismic survey permits. The range of BOEM\u2019s review time frames\u2014from the date the agency determined that an application was complete to when BOEM issued a seismic survey permit\u2014varied by OCS region (see table 2 and fig. 3).", "This table does not include pending, denied, or withdrawn applications or Notices of Scientific Research. This table also does not include the Pacific Outer Continental Shelf region because the Bureau of Ocean Energy Management did not issue any seismic survey permits there from 2011 through 2016. The six permits issued in the Atlantic region were for high-resolution seismic surveys for non-oil and gas mineral resources.", "Internally, according to BOEM officials, BOEM\u2019s goal in the Gulf of Mexico OCS region is to issue high-resolution seismic survey permits within 40 days and to issue deep penetration (airgun) permits within 70 days. Our analysis of BOEM data on seismic survey permits found that, in the Gulf of Mexico OCS region, for high-resolution seismic survey permits, the agency issued 103 permits out of 108 permits (95 percent) within 40 days; for deep penetration permits, the agency issued 90 permits out of 142 permits (63 percent) within 70 days."], "subsections": []}]}, {"section_title": "NMFS and FWS Follow a Similar Process for Incidental Take Authorization Reviews, but Guidance Does Not Sufficiently Describe How to Record Certain Review Dates", "paragraphs": ["NMFS and FWS follow a similar application review process for reviewing incidental take authorization applications, and from 2011 through 2016, the agencies reviewed a total of 35 applications. However, neither agency was able to provide accurate data for the dates on which it began its formal processing of these applications because neither agency\u2019s guidance sufficiently describes how to record certain review dates. As a result, it is not possible to determine whether the agencies were meeting their statutory time frames for the type of incidental take authorization application that has such time frames\u2014the incidental harassment authorizations."], "subsections": [{"section_title": "NMFS and FWS Follow a Similar General Process to Review Incidental Take Authorization Applications", "paragraphs": ["Based on our review of agency guidance, NMFS and FWS follow a similar general process in reviewing applications for incidental take authorizations\u2014both incidental harassment authorizations and letters of authorization with associated incidental take regulations\u2014related to seismic survey activities (see fig. 4).", "According to NMFS and FWS officials we interviewed, the incidental take authorization process is concurrent with, but separate from, BOEM\u2019s process for issuing seismic survey permits, and entities seeking to conduct seismic surveys apply separately with each agency, as appropriate. When applicants apply for an incidental take authorization, they are first to decide which type of authorization they need\u2014an incidental harassment authorization or a letter of authorization associated with incidental take regulations, depending on the expected effect on marine mammals. Specifically, if the proposed activity has the potential to result in the taking of marine mammals by harassment only, applicants can request an incidental harassment authorization. Incidental harassment authorizations can be issued for up to 1 year. The MMPA provides that NMFS or FWS shall issue incidental harassment authorizations within 120 days of receiving an application. If an activity has the potential to result in serious injury to marine mammals, the applicant would request incidental take regulations, which can be issued for up to 5 years. Letters of authorization are required to conduct activities pursuant to incidental take regulations. Once incidental take regulations are finalized, the applicant can submit a request for a letter of authorization, which is issued under the incidental take regulations.", "Once NMFS or FWS initially receives an application for an incidental harassment authorization or incidental take regulation, agency officials said that they begin their review and determine whether the application is adequate and complete. They also work with the applicant to obtain any additional required or clarifying information, according to agency officials we interviewed. According to agency regulations and guidance, once the agency deems an application to be adequate and complete, it begins to formally process the application and may initiate several review actions, including a NEPA environmental review and, if appropriate, an Endangered Species Act Section 7 consultation. In the case of NMFS, the agency publishes a notice of receipt of a request for incidental take regulations in the Federal Register. The agencies then publish in the Federal Register a proposed incidental harassment authorization or proposed incidental take regulations.", "For incidental harassment authorizations, the MMPA provides that NMFS or FWS, or both, are to publish a proposed incidental harassment authorization and request public comment in the Federal Register no later than 45 days after receiving an application. Following a 30-day public comment period for proposed incidental harassment authorizations, the agencies would make their final determination on the authorization, based on: the findings of their NEPA review, the Endangered Species Act consultation, an assessment of whether the proposed activity is consistent with the requirements of other statutes, as necessary, an analysis of the applicant\u2019s ability to implement any necessary mitigation measures to reduce potential effects on marine mammals, and a review of the formal public comments submitted regarding the proposed application.", "Not later than 45 days after the close of the public comment period, NMFS and/or FWS is to, under the MMPA, issue an incidental harassment authorization, including any appropriate conditions. In order to issue an incidental harassment authorization, the relevant agency must make the required findings that the activity will result in a taking by harassment only of small numbers of marine mammals, that the anticipated take will have a negligible impact on the species or stock, and the anticipated take will not have an unmitigable adverse impact on the availability of the species or stock for subsistence uses.", "For incidental take regulations, the agencies are to publish proposed regulations in the Federal Register and generally provide a public comment period of 30-to-60 days, depending on the type of authorization requested and circumstances that may warrant a shorter or longer period. The agencies then publish a final rule in the Federal Register, which includes the agencies\u2019 response to public comments received. Generally, 30 days after the final rule is published, an approved incidental take regulation becomes effective. Once the regulation becomes effective, the agencies may issue letters of authorization, the applications for which may have been received at the same time as the submission of the incidental take regulation request or following the implementation of the regulations, and then determine whether the activities in the letter of authorization application are within the scope of the activities analyzed in the regulations. The relevant agency can issue a letter of authorization based on a determination under the agency\u2019s regulations that the level of any incidental takings will be consistent with the findings used to determine the total taking allowable under the specific regulations."], "subsections": []}, {"section_title": "NMFS Reviewed and Approved Incidental Take Authorizations in Three OCS Regions, and FWS Reviewed and Approved Authorizations in the Alaska OCS", "paragraphs": ["From 2011 through 2016, based on our analysis of agency data, NMFS reviewed 28 applications for incidental take authorizations and issued 21 incidental take authorizations across the Alaska, Atlantic, and Gulf of Mexico OCS regions, and FWS reviewed and issued 7 authorizations only in the Alaska OCS, in part because the marine species under FWS\u2019 jurisdiction do not tend to occur in waters of the OCS in the other regions. Of the 28 applications NMFS reviewed, it reviewed the most applications (18) and issued the most authorizations (16) related to seismic surveys in the Alaska region (see table 3).", "With regard to incidental take regulations, NMFS reviewed and issued one set of incidental take regulations related to seismic surveys in Alaska but did not receive applications for\u2014and as a result has not issued\u2014any letters of authorization associated with the incidental take regulations, agency officials said. There were no requests for incidental take regulations related to seismic surveys in the Atlantic region, and NMFS is currently developing incidental take regulations for the Gulf of Mexico, in response to BOEM\u2019s request, as noted previously.", "From 2011 through 2016, FWS reviewed applications for and issued incidental take authorizations related to seismic surveys only in the Alaska region, in part because the species under FWS\u2019 jurisdiction do not tend to occur in waters of the OCS in the other regions or there has not been industry interest in applying for incidental take authorizations in those regions, according to agency officials. Specifically, FWS reviewed and issued two incidental harassment authorizations and two incidental take regulations, which had five associated letters of authorization, for seismic activities in the Alaska OCS."], "subsections": []}, {"section_title": "Both NMFS and FWS Did Not Accurately Record Certain Review Dates Because Neither Agency\u2019s Guidance Sufficiently Describes How to Record Such Dates", "paragraphs": ["From 2011 through 2016, NMFS did not accurately record the dates on which it determined applications to be adequate and complete, and FWS did not record those dates at all; therefore, it is not possible to determine NMFS and FWS time frames for reviewing incidental take authorization applications. As noted previously, both agencies, per their guidance and regulations, are to begin their formal processing of a request for an incidental take authorization once an application is determined to be \u201cadequate and complete.\u201d NMFS has general guidance on what constitutes an adequate and complete incidental take authorization application\u2014for both incidental harassment authorization and incidental take regulation applications, as well as associated letter of authorization applications. Specifically, NMFS\u2019 regulations and website outline 14 sections of information required in an incidental take authorization application, such as the anticipated impact of the activity to the species or stock of marine mammal. The agency\u2019s website also notes that adequate and complete means \u201cwith enough information for the agency to analyze the potential impacts on marine mammals, their habitats, and on the availability of marine mammals for subsistence uses.\u201d", "FWS also has general guidance on what constitutes an adequate and complete incidental take authorization application, for both incidental harassment authorization and incidental take regulations, as well as associated letters of authorization. Specifically, FWS regulations and guidance specify that all applications must include certain pieces of information and note that if an application is determined to be incomplete, FWS staff are to notify the applicant within 30 days of receiving the application that information is lacking.", "However, neither NMFS nor FWS guidance sufficiently describes how agency staff should record the date on which an application is determined to be adequate and complete, which would start the time frame for reviewing incidental take authorization applications. Specifically, NMFS\u2019 guidance provides information on what should be included in an adequate and complete application but does not include information on how or when staff should record the date an application is determined to be adequate and complete. NMFS officials we interviewed told us that while they generally record these dates, they are not sufficiently accurate to be used for an analysis of review time frames. These officials said that determinations of whether an application is adequate and complete have historically varied by staff member, with some staff waiting until all outstanding questions are resolved with an applicant before deeming the application adequate and complete, and others considering an application to be adequate and complete if more substantive questions are answered (e.g., the dates, duration, specified geographic region of, and estimated take for the proposed activity), even if some less substantive questions are still outstanding (e.g., contact information). In addition, NMFS officials told us that, in some cases, staff might not enter into their system the date they determine an application to be adequate and complete and might instead enter the information in batches once they have a few applications that are ready for data entry. This might mean that, in cases where a staff member waits until an application is done being processed and reviewed, the date recorded for the determination of adequate and complete, and the date the incidental take authorization is published, may be zero to a few days apart. Based on our review of NMFS data, in at least two cases, the date NMFS recorded for the determination of adequacy and completeness of an application was after the date when the proposed incidental take authorization was published in the Federal Register.", "While FWS has guidance on what applicants should include in an incidental take authorization application, the guidance does not specify how or when staff should record the date on which they determine an application is adequate and complete. One FWS official we interviewed told us that the agency does not record this date in the spreadsheet for tracking incidental take authorization applications. According to this FWS official, agency officials do not record this date because they do not wait until the application is considered adequate and complete to begin their review. Instead, they begin processing the application while working with applicants to provide missing information and clarifications. By the time FWS officials consider an application to be adequate and complete, the officials said that they usually have a well-developed draft incidental take authorization and are typically finalizing details with the applicant. According to FWS officials, recording an adequate and complete date would have little meaning.", "NMFS\u2019s and FWS\u2019s guidance does not specify how or when staff should record the date an application is determined to be adequate and complete to help ensure that such a date is recorded consistently. As a result, the agencies are either not accurately recording the date an application is adequate and complete or not recording that date. Thus, the agencies are not able to determine how long their formal processing takes. This outcome is inconsistent with federal internal control standards, which call for management to use quality information to achieve agency objectives and design control activities, such as accurate and timely recording of transactions, to achieve objectives and respond to risk. Officials we interviewed at both agencies told us that they work to help meet applicants\u2019 project timelines\u2014for example, applicants might need an incidental harassment authorization to be in place when their seismic survey vessel becomes available to begin operations. Until NMFS and FWS develop guidance that clarifies how and when staff should record the date on which the agency determines the \u201cadequacy and completeness\u201d of an application, the agencies and applicants will continue to have uncertainty around review time frames for incidental take authorizations.", "Further, NMFS and FWS do not know if they are meeting their statutory time frames for reviewing one type of incidental take authorization application\u2014incidental harassment authorization applications\u2014because they do not assess the time it takes their agencies to review applications and make authorization decisions. As noted previously, the MMPA provides that NMFS or FWS shall issue incidental harassment authorizations within 120 days of receiving an application. Industry representatives, scientific researchers, and agency officials we interviewed noted, however, that the agencies often take longer than 120 days to make a decision about whether to issue an incidental harassment authorization. For example, NMFS and FWS officials we interviewed told us they often do not complete incidental harassment authorization reviews within the 120-day statutory time frame. According to NMFS and FWS officials, reviews may take longer than 120 days in cases where the agency determines that a threatened or endangered species under the Endangered Species Act may be affected, because the agency generally must request the initiation of a section 7 consultation, which by regulation can take up to 135 days.", "More specifically, NMFS and FWS officials we interviewed were unable to provide accurate estimates of how long it takes their agency to review incidental harassment authorization applications because they said that they do not conduct analyses of their review time frames. This practice is inconsistent with federal standards for internal control, which call for agency management to design control activities to achieve objectives and respond to risks, including by comparing actual performance to planned or expected results throughout the organization and analyzing significant differences. Without analyzing how long it takes to review incidental harassment authorization applications, from the date the agency determines that an application is adequate and complete until the date an application is approved or denied, and comparing it to the statutory review time frame, NMFS and FWS will be unable to determine whether they are meeting their objectives of completing reviews within the statutory time frame of 120 days."], "subsections": []}]}, {"section_title": "For Several Years, BOEM and NMFS Have Been Reviewing Certain Seismic Survey Permit and Incidental Take Authorization Applications in the Atlantic OCS", "paragraphs": ["As of October 2017, in addition to the six permits BOEM issued in the Atlantic OCS from 2011 through 2016, another six permits were pending a decision. Five related incidental harassment authorizations have also been pending a decision by NMFS, as of October 2017."], "subsections": [{"section_title": "BOEM Has Been Reviewing Six Seismic Survey Permit Applications in the Atlantic OCS Region for Several Years", "paragraphs": ["As of October 2017, in addition to the six permits BOEM issued in the Atlantic OCS from 2011 through 2016, another six permits were pending a decision. From March to May 2014, BOEM received these six applications for seismic survey permits in the Atlantic region (see fig. 5). Of the six applicants that applied to BOEM during that time, five also applied to NMFS for incidental harassment authorizations related to their seismic survey permit applications, from August 2014 to January 2016. The sixth applicant that applied to BOEM for a seismic survey permit in the Atlantic OCS region did not apply for an incidental harassment authorization with NMFS, according to NMFS officials.", "BOEM officials we interviewed stated that beginning in August 2014, the agency began conducting outreach to Atlantic state officials to explain the geological and geophysical permitting process and the seismic technologies involved in the applications. In addition, according to BOEM officials, the agency began coordinating with the Department of Defense and the National Aeronautics and Space Administration to ensure that the proposed seismic surveys did not interfere with any of their activities. According to BOEM data we reviewed, the agency had determined that all six applications to be \u201caccepted,\u201d or complete in late April to early June 2014.", "In March 2015, BOEM made the applications available for public comment for 10 or 30 days, depending on the type of activity proposed. According to BOEM officials, while the agency does not generally provide a similar public comment period for the Gulf of Mexico or Alaska OCS regions, once the Atlantic applications were considered \u201caccepted,\u201d BOEM decided to provide a public comment period for them because the region is considered a \u201cfrontier area\u201d\u2014a region without a long history of oil and gas development\u2014and local communities in Atlantic states are less familiar with the impacts of seismic surveys than communities in the Gulf states. From March 2015 until January 2017, BOEM had no further data on its review activities that took place. BOEM officials we interviewed told us that their seismic survey permit reviews were complete, but the agency did not issue the seismic survey permits because it had made a policy decision to wait for NMFS to issue incidental harassment authorizations before doing so.", "In January 2017, BOEM denied the six applications for deep-penetration seismic survey permits in the Atlantic OCS region after reviewing the applications for 948 to 982 days. In May 2017, BOEM announced it would reconsider the six applications for seismic survey permits in the Atlantic region, after the new administration rescinded the permit denials. As of August 2017, BOEM officials we interviewed were unable to provide estimates of when the agency\u2019s reviews would be completed."], "subsections": []}, {"section_title": "NMFS Has Been Reviewing Incidental Harassment Authorization Applications Related to Seismic Survey Permits in the Atlantic OCS for Several Years", "paragraphs": ["In addition to the four incidental harassment authorizations NMFS approved in the Atlantic OCS region from 2011 through 2016, there are five authorization applications related to seismic survey permits that are pending a decision by NMFS, as of October 2017. NMFS received three incidental harassment authorization applications related to seismic surveys in the Atlantic OCS region from August to September 2014, a fourth in March 2015, and a fifth in January 2016 (see fig. 6).", "In fall 2014, NMFS redirected staff reviewing the Atlantic incidental harassment authorization applications to work on issues related to the agency\u2019s Fisheries Science Center, according to a NMFS official we interviewed. According to this official, review of the Atlantic applications resumed in February 2015. In spring 2015, NMFS became aware of some academic studies concerning the impacts of seismic surveys on marine mammals that they felt would be important to consider with the Atlantic OCS applications under review, according to agency officials we interviewed. According to these officials, NMFS notified applicants of these studies, and one applicant voluntarily revised its impact estimates based on the studies. In summer 2015, NMFS officials said they determined the three applications were sufficiently complete to begin processing. The agency also published a formal notice of receipt and request for comments in the Federal Register. According to NMFS officials we interviewed, this procedure is not a required step in the incidental harassment authorization review process, but NMFS officials thought it was important to solicit the input, given potential local community concern over the surveys in the Atlantic OCS region. Also according to NMFS officials, based on comments received during the public comment period, NMFS determined one application had been erroneously considered complete and returned the application to the applicant.", "In fall 2015, NMFS officials informed applicants that NMFS would need revised applications based on the new academic studies. In addition to the applicant noted above who updated its application in spring 2015, one additional applicant chose to update its application in fall 2015, and NMFS updated two additional remaining applications. NMFS officials told us they received the last major revisions to the applications in May 2016 and were reviewing and drafting mitigation and monitoring proposals throughout 2016. In November 2016, according to NMFS officials, the five proposed incidental harassment authorizations were ready to be published in the Federal Register, but internal leadership placed the process on hold due to uncertainty regarding BOEM\u2019s actions on the permits.", "Following BOEM\u2019s denials in January 2017, NMFS suspended the five incidental harassment authorization applications related to the denied seismic survey permits; according to NMFS officials, NMFS determined there was no longer a valid basis for any proposed activity following BOEM\u2019s denial of permits for the actual activity. Agency officials informed applicants that NMFS may resume its incidental harassment authorization review if BOEM resumed its permit review at some point in the future. Once BOEM announced it would reconsider the six applications for seismic survey permits in the Atlantic region, NMFS published five proposed incidental harassment authorizations related to the permits being reconsidered by BOEM in June 2017. In July 2017, NMFS extended the public comment period an additional 15 calendar days for a total of 45 days. After the close of the public comment period, under the MMPA, NMFS is to finalize its decision regarding the applications and either publish the final incidental harassment authorizations or deny the applications. As of October 2017, officials we spoke with at NMFS were unable to provide estimates of when the agency\u2019s reviews would be completed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Offshore seismic surveys provide federal agencies and commercial entities with a wide range of information, including data on fault zones and geology that may indicate the presence of oil and gas. This information can help inform regulatory and resource development decisions. In reviewing applications for seismic survey permits, BOEM records the date on which an application for a seismic survey permit is \u201caccepted\u201d, or complete, which may be weeks or months after an application is received. NMFS and FWS, however, were unable to provide accurate data on the dates that they determined applications for incidental take authorizations were adequate and complete because the agencies\u2019 guidance does not specify how or when staff should record this date. Until NMFS and FWS develop guidance that clarifies how and when staff should record the date the agency determines the \u201cadequacy and completeness\u201d of an application, the agencies and applicants will continue to have uncertainty around review time frames for incidental take authorizations. Moreover, NMFS and FWS officials we interviewed said that they do not analyze their review time frames, a practice that is inconsistent with federal standards for internal control. Without analyzing how long it takes to review incidental harassment authorization applications and comparing time frames to the statutory review time frame, NMFS and FWS will be unable to determine whether they are meeting their statutory review time frame of 120 days."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations, including two to NMFS and two to FWS. Specifically: The Assistant Administrator for Fisheries of NMFS should develop guidance that clarifies how and when staff should record the date on which the agency determines the \u201cadequacy and completeness\u201d of an incidental take authorization application. (Recommendation 1).", "The Principal Deputy Director of FWS should develop guidance that clarifies how and when to record the date on which the agency determines the \u201cadequacy and completeness\u201d of an incidental take authorization application. (Recommendation 2).", "The Assistant Administrator for Fisheries of NMFS should analyze the agency\u2019s time frames for reviewing incidental harassment authorization applications\u2014from the date the agency determines that an application is adequate and complete until the date an application is approved or denied\u2014and compare the agency\u2019s review time frames to the statutory review time frame. (Recommendation 3).", "The Principal Deputy Director of FWS should analyze the agency\u2019s time frames for reviewing incidental harassment authorization applications\u2014 from the date the agency determines that an application is adequate and complete until the date an application is approved or denied\u2014and compare the agency\u2019s review time frames to the statutory review time frame. (Recommendation 4)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a copy of this report to the Departments of Commerce and the Interior for review and comment.", "The Department of Commerce provided comments on behalf of the National Marine Fisheries Service (NMFS). NMFS agreed with our recommendations but recommended changes to some of the terms used in our report and stated that our characterization of the statutory and mandated requirements did not fully describe the extent of review and analysis required during their review. While we believe that our description of the extent and complexity of NMFS\u2019 review and analysis, including the terms we use to describe NMFS\u2019 process, was sufficient for this report, we revised the report as appropriate. In its letter, NMFS acknowledged that it does not consistently record the date that an application is deemed \u201dadequate and complete,\u201d and agreed with our recommendations, including describing the steps it plans to take to address them. The Department of Commerce also provided technical comments, which we incorporated throughout our report as appropriate. The Department of Commerce\u2019s letter can be found in appendix II.", "The Department of the Interior provided comments on behalf of the Bureau of Ocean Energy Management (BOEM) and the U.S. Fish and Wildlife Service (FWS). The FWS partially concurred with our first recommendation and fully concurred with our second. Regarding the first recommendation, FWS noted that it plans to develop guidance for recording the \u201cadequate and complete\u201d date of incidental harassment authorization applications; however, it did not indicate that it would develop such guidance for the other type of incidental take authorization\u2014the incidental take regulations. We believe that FWS should develop guidance for both. Such guidance is necessary to maintain consistency with federal internal control standards, which call for management to use quality information to achieve agency objectives and design control activities, such as accurate and timely recording of transactions, to achieve objectives and respond to risk. The Department of the Interior also provided technical comments, which we incorporated throughout our report as appropriate. The Department of the Interior\u2019s letter can be found in appendix III.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Acting Director of BOEM, the Assistant Administrator for Fisheries of NMFS, and the Principal Deputy Director of FWS.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made significant contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) BOEM\u2019s process for reviewing seismic survey permit applications in each OCS region, the number of applications reviewed from 2011 through 2016, and BOEM\u2019s review time frames; (2) NMFS\u2019s and FWS\u2019s processes for reviewing incidental-take authorization applications related to seismic surveys in each OCS region, the number of such applications reviewed by the agencies from 2011 through 2016, and their review time frames; and (3) the status of pending seismic survey permit applications and related incidental take authorizations in the Atlantic OCS region. In our preliminary review of all four OCS regions\u2014 Alaska, the Atlantic, the Gulf of Mexico, and the Pacific\u2014we determined that there had been no new oil and gas and related seismic activity in the Pacific OCS region for the last two decades; as a result, we excluded the Pacific OCS region from our review.", "To examine BOEM\u2019s, NMFS\u2019s, and FWS\u2019s processes for reviewing seismic survey permit applications and related incidental take authorizations, we analyzed relevant laws and regulations that govern the processes and reviewed and analyzed agency guidance, such as process flowcharts, and other documents, including Federal Register notices. We also interviewed BOEM, NMFS, and FWS agency officials, in their headquarters and regional offices, responsible for overseeing seismic permitting and incidental take authorization reviews in each selected OCS region. In addition, we interviewed a range of stakeholders, identified and selected because of their knowledge of the seismic survey permit and incidental take authorization application processes, to obtain their views. Specifically, we interviewed representatives from 10 stakeholder groups, which included industry groups, a research institution, and environmental organizations. Because this was a nonprobability sample of stakeholders, the views of stakeholders we spoke with are not generalizable beyond those groups that we interviewed.", "To examine the number of seismic survey permit applications and related incidental take authorizations that BOEM, NMFS, and FWS reviewed from 2011 through 2016, we obtained data from BOEM, NMFS, and FWS on the number of permit and authorization applications each agency reviewed and the number of permits and authorizations the agencies issued in each selected OCS region. We asked the agencies to categorize their data with different types of seismic survey technologies (e.g., deep-penetration seismic surveys, high-resolution seismic surveys, or other seismic survey technology such as vertical seismic profile technology). As a result, we identified the number of relevant permits and authorizations that were identified by these agencies as having used seismic survey technologies. We used publicly available information on the number of permit and authorization applications on agency websites to check the reliability of BOEM, NMFS, and FWS data and found the data on the number of permits and authorizations to be sufficiently reliable for our purposes.", "To examine the review time frames for seismic survey permit applications and related incidental take authorizations from 2011 through 2016, as well as pending applications, and the extent to which NMFS and FWS are meeting their statutory time frames for reviewing incidental harassment authorization applications related to seismic survey permits, we obtained data from BOEM, NMFS, and FWS. We also interviewed agency officials knowledgeable about the data and analyzed the data to determine the range of review time frames by agency and by selected OCS region. We focused our review of pending applications on the Atlantic OCS region because it was the only region with applications that had been pending review for several years. We used information on the dates applications were received and issued as listed in the Federal Register or publicly available documentation to check the reliability of BOEM, NMFS, and FWS data. For BOEM, we found the dates the agency gave us generally were consistent with the dates listed in the Federal Register. As a result, we used BOEM\u2019s dates from the time an application was deemed \u201caccepted,\u201d or adequate and complete, until the permit was issued. We found the data to be sufficiently reliable for our purposes. For NMFS and FWS, we found errors between the dates the agencies gave us and the dates listed in the Federal Register. In addition, the agencies told us they did not have reliable information on the dates that applications were determined to be adequate and complete. We also examined NMFS and FWS guidance on review time frames, agency communication with applicants, and data- recording procedures. We also interviewed agency officials as well as industry stakeholders to learn more about time frames for seismic survey permit applications and related incidental take authorizations."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Christine Kehr (Assistant Director), Nirmal Chaudhary, Maggie Childs, John Delicath, Marissa Dondoe, Cindy Gilbert, Jessica Lewis, Greg Marchand, Patricia Moye, Katrina Pekar-Carpenter, Caroline Prado, Dan Royer, and Kiki Theodoropoulos made key contributions to this report."], "subsections": []}]}], "fastfact": ["Ships conduct seismic surveys by shooting soundwaves into the ocean floor to collect data, including geology that might indicate oil and gas.", "Applicants wishing to conduct oil and gas surveys must first get a permit from the Bureau of Ocean Energy Management and, if the survey could harm marine mammals, they must obtain authorization from one or two federal wildlife agencies. Some applicants have questioned the speed of the permit process.", "We examined the permit process and time frames in different regions. We recommended that federal wildlife agencies clarify their review processes to ensure the agencies meet statutory review deadlines."]} {"id": "GAO-18-89", "url": "https://www.gao.gov/products/GAO-18-89", "title": "Natural Gas Storage: Department of Transportation Could Take Additional Steps to Improve Safety Enforcement Planning", "published_date": "2017-11-22T00:00:00", "released_date": "2017-12-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Natural gas storage is important for ensuring that natural gas is available when demand increases. There are 415 storage sites\u2014including underground caverns and depleted aquifers and oil and gas reservoirs\u2014located in 31 states, often near population centers (see fig.). Leaks from these sites, such as one near Los Angeles that led to the temporary relocation of about 8,000 families in 2015, can result in environmental and economic damage. Until 2016, states set standards for 211 sites, but there were no standards for 204 sites connected to interstate pipelines subject to federal jurisdiction. With passage of the PIPES Act of 2016, PHMSA, an agency within DOT that sets and enforces standards for energy pipelines, among other things, was tasked with issuing minimum standards for all gas storage sites.", "GAO was asked to review natural gas storage safety standards. This report examines (1) PHMSA's efforts to implement the requirement to issue minimum safety standards for natural gas storage sites and (2) the extent to which PHMSA has planned strategically to enforce its safety standards for these sites. GAO reviewed PHMSA documents and plans, compared them to leading planning practices, and interviewed PHMSA officials."]}, {"section_title": "What GAO Found", "paragraphs": ["To meet its requirement under the Protecting Our Infrastructure of Pipelines and Enhancing Safety (PIPES) Act of 2016, the Department of Transportation's (DOT) Pipeline and Hazardous Materials Safety Administration (PHMSA) issued minimum safety standards in an interim rule and plans to finalize them by January 2018. Under the interim standards, site operators are to follow industry-developed best practices to detect and prevent leaks and plan for emergencies, among other things. Since the interim rule went into effect in January 2017, the minimum safety standards apply to all 415 natural gas storage sites, and the rule will be subject to further revision before it is final.", "To enforce its safety standards, PHMSA has taken steps to establish a natural gas storage safety enforcement program. For example, PHMSA has started developing a training program for its inspectors. PHMSA also has identified a strategic goal for its program\u2014to promote continuous improvement in safety performance\u2014and is developing a performance goal for its training program.", "However, PHMSA has not yet followed certain leading strategic planning practices. For example, PHMSA has not yet defined the level of performance to be achieved, fully addressed all core program activities, or used baseline data to develop its performance goal. GAO has previously reported that requirements under the Government Performance and Results Act (GPRA) and GPRA Modernization Act of 2010\u2014which include establishing performance goals to define the level of performance\u2014can serve as leading practices for lower levels of an agency, such as PHMSA. GAO also has found that successful performance goals address all core program activities. PHMSA's goal focuses on training and does not address other core program activities, such as conducting effective inspections. For example, a goal to evaluate whether PHMSA's inspections are effective could be to annually reduce, by a certain percentage, the number of sites not meeting minimum standards. PHMSA officials told GAO that they will strive to add and refine performance goals as the program evolves. As they do so, ensuring that these goals define the level of performance, address all core program activities, and use baseline data could help PHMSA better track progress toward its strategic goal."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, which are that PHMSA (1) define levels of performance and address all core program activities and (2) use budget data to refine performance goals for its gas storage program. DOT concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Natural gas storage sites are key elements in our nation\u2019s energy system, helping ensure that natural gas, which is used for a range of applications such as heating homes and as a fuel to produce electricity, is available when demand peaks. There are 415 active natural gas storage sites located in 31 states. These sites store natural gas in underground geologic formations such as caverns, depleted aquifers, and depleted oil and gas reservoirs.", "Major leaks from these sites can result in serious economic disruption and environmental damage. Natural gas leaks can cause explosions or fires and, according to the Environmental Protection Agency (EPA), natural gas is considered to be a significant greenhouse gas which, if released, can pose significant environmental harm. One such leak occurred in 2015 at the Aliso Canyon Underground Storage Facility near the neighborhood of Porter Ranch in suburban Los Angeles, California. This leak released 5.4 billion cubic feet of natural gas into the atmosphere over the course of almost 4 months, which caused the temporary relocation of more than 8,000 families. In addition, the accident disrupted the ability of the Aliso Canyon site to deliver stored gas to electrical power plants, which in turn posed risks to the stability of California\u2019s electrical grid. Like the Aliso Canyon facility, many of the nation\u2019s natural gas storage sites are located within 3 miles of a city, town, or other populated area, according to the Department of Energy (DOE).", "Until 2016, states had sole responsibility for overseeing the safety of the intrastate natural gas storage sites within their states, but states\u2019 safety standards for these sites varied and applied only to the intrastate sites that were wholly within their borders. In contrast, interstate natural gas storage sites were not covered by state regulations. These interstate sites are subject to state and local permitting and federal licensing requirements, but they were not regulated for safety. Existing Department of Transportation (DOT) safety regulations, which had been in place for more than 30 years, applied to conventional surface pipelines and above- ground equipment at all natural gas storage sites. However, these existing regulations did not apply to the underground portions of the sites, such as wells, wellbore tubing, and casing. In June 2016, the Protecting Our Infrastructure of Pipelines and Enhancing Safety (PIPES) Act of 2016 directed DOT to develop and issue minimum safety standards for all natural gas storage sites. DOT\u2019s Pipeline and Hazardous Materials Safety Administration (PHMSA) develops and enforces these standards.", "You asked us to review the development and enforcement of natural gas storage safety standards. This report examines (1) the status of PHMSA\u2019s efforts to implement the requirement under the PIPES Act to issue minimum safety standards for natural gas storage sites and (2) the extent to which PHMSA has planned strategically to enforce its safety standards for natural gas storage sites.", "To examine the status of PHMSA\u2019s efforts to implement the requirement under the PIPES Act to issue minimum safety standards for natural gas storage sites, we interviewed agency officials and examined laws, regulations, and agency documents that describe the authority, time frames, and enforcement goals for implementing new federal standards under the PIPES Act. To examine the extent to which PHMSA has planned strategically to enforce its safety standards for natural gas storage sites, we examined PHMSA\u2019s policies, guidance, and plans and interviewed agency officials about their plans for oversight. We compared PHMSA\u2019s plans with leading practices for strategic planning identified by our prior work. Strategic planning is a systematic process for defining desired outcomes and translating this vision into goals and steps to achieve them. For more information on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from November 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section discusses the purpose, types, and locations of natural gas storage sites; leaks from such sites; safety enforcement prior to 2017; and the PIPES Act."], "subsections": [{"section_title": "Purpose, Types, and Locations of Natural Gas Storage Sites", "paragraphs": ["Natural gas storage sites\u2014geologic formations where natural gas is stored deep underground and retrieved for later use\u2014are key parts of our energy system. Natural gas provides about 30 percent of U.S. energy needs, is used to generate a third of the nation\u2019s electricity, is widely used for heating homes and businesses, and is used in a variety of industrial processes, according to Energy Information Administration (EIA) information. Natural gas storage sites provide a way to meet peak energy needs\u2014such as during a cold spell in the winter or during periods of high electricity demand in the summer\u2014more quickly than would be possible if relying solely on pipelines that transport natural gas from distant production fields. Natural gas storage sites are privately owned and operated by a variety of companies in the energy industry, including local utilities, independent companies that store gas for sale at peak times to other companies, and interstate pipeline companies.", "There are three major types of underground geologic formations where natural gas storage sites are found: (1) underground salt caverns, (2) depleted aquifers, and (3) depleted oil and gas reservoirs. The wells that inject or withdraw natural gas from the underground formations can extend thousands of feet underground. The 415 natural gas storage sites in the United States contain about 17,000 wells, ranging from a few wells per site to over a hundred wells at some larger sites. Figure 1 illustrates the types of geologic formations where natural gas storage sites are constructed and operated.", "Natural gas storage sites are found in 31 states across the country, according to EIA data. Over 300 cities, towns, and other populated areas are located near a natural gas storage site, according to a DOE analysis. Operators often locate natural gas storage sites near major population centers or large gas pipelines to improve their ability to deliver natural gas when needed. Figure 2 shows the approximate location of natural gas storage sites located within counties populated by 100,000 or more people."], "subsections": []}, {"section_title": "Leaks from Natural Gas Storage Sites", "paragraphs": ["Leaks from natural gas storage sites can be caused by a variety of factors\u2014such as underground fissures or inadequately designed or damaged wells\u2014and have the potential to affect human health, cause economic disruption, and harm the environment. For example, natural gas poses the risk of explosion and asphyxiation within enclosed spaces. In addition, other components of natural gas can cause short-term neurological, gastrointestinal, and respiratory symptoms, according to the Los Angeles County Department of Public Health. Moreover, if a large gas storage facility unexpectedly goes offline due to a major leak, it can disrupt the natural gas supply system, which in turn may affect the flow of gas to heat homes and businesses or may cause electrical blackouts due to the loss of fuel for gas-fired electrical generators. According to a DOE report, the natural gas stored in geologic formations is under high pressure and may find its way to the surface if underground fissures or unplugged oil and gas wells allow the geologic formation to be breached. Leaks can also occur if the wells used to inject and withdraw natural gas from geologic formations lose integrity due to cracking of cement used to seal the well or other factors. Older wells used for natural gas storage were often drilled for other reasons, such as oil and gas production, and are more likely to have age-related degradation, according to DOE. About half of the about 17,000 wells that inject and withdraw natural gas from storage sites are more than 50 years old, and many wells are more than 100 years old, according to DOE. In addition, DOE reported that other factors may contribute to leaks, such as earthquake activity, nearby drilling activity, or other mechanical stresses and undetected corrosion that may not be known by the natural gas storage site operators. Further, DOE has reported that operators can sustain safety by regularly maintaining site equipment, monitoring and repairing leaks, keeping records about the site, and planning for possible emergencies, among other things.", "Leaks from natural gas storage sites can result in significant and harmful effects on public health and safety, the environment, and the energy system. DOE, PHMSA, and others have identified three major leaks from natural gas storage sites since 2000 that illustrate these potential negative effects:", "The Aliso Canyon leak, which was detected in October 2015 and continued for nearly 4 months, focused national attention on natural gas storage safety. As of August 2017, the cause of the leak had not been conclusively determined. However, the leak occurred in a well that, at the time, was about 60 years old, according to DOE. The operator of the Aliso Canyon site unsuccessfully attempted to stop the leak several times over the 4-month event and eventually was able to do so in February 2016 by permanently sealing the well. According to the private operator, it temporarily relocated about 8,000 neighboring families until the leak was abated. Also, the leak disrupted the Aliso Canyon site\u2019s ability to supply natural gas to electricity generating plants. Because the Aliso Canyon site supplies gas for nearly 10 gigawatts of electricity in the Los Angeles basin, the leak led to concerns that there may not be enough gas to serve the electricity needs of the surrounding region during peak times. In July 2017, California state regulators announced that the operator had conducted a comprehensive safety review and that the regulators would allow Aliso Canyon to reopen at a greatly reduced capacity in order to prevent energy shortages.", "In August 2004, the Moss Bluff natural gas storage site in Liberty County, Texas, experienced a major leak due to a damaged well. The leaking gas caught fire and burned for over 6 days, according to DOE and PHMSA documents. As a result, the gas was released into the atmosphere as carbon dioxide, which, according to an EPA analysis, is a less potent greenhouse gas than natural gas, which was released by the Aliso Canyon leak.", "In January 2001, the Yaggy natural gas storage site leaked through underground fissures from the site\u2019s salt caverns into the nearby city of Hutchinson, Kansas, eventually causing an explosion in the city\u2019s downtown business district, DOE reported. Two people were killed, and several businesses were damaged or destroyed by the explosion."], "subsections": []}, {"section_title": "Safety Enforcement for Natural Gas Storage Sites Prior to 2017", "paragraphs": ["Before 2017, many natural gas storage sites were subject to varied, state- by-state safety enforcement. States were responsible for regulating and enforcing safety at sites that were located solely within their boundaries and only linked to pipelines within the state. Agencies representing 26 state governments licensed 211 such sites, which amounted to about half of the 415 active sites in the United States. Prior to 2017, these state governments applied various safety standards that addressed underground conditions, such as the integrity of the geologic formations that store natural gas, or the construction and maintenance of wells that inject and withdraw gas. For example, according to a DOE report, some states\u2019 standards specified how site operators should safely construct the wells. Other states\u2019 standards specified how wells were to be maintained during their useful life, or how they were to be safely plugged and abandoned after their useful life ended.", "Prior to 2017, the remaining 204 interstate natural gas storage sites were subject solely to federal oversight. However, the federal government had not issued safety standards for them. The Federal Energy Regulatory Commission (FERC) licenses storage sites that serve the interstate natural gas market\u2014a market regulated by FERC. However, according to FERC, its licensing process focuses on whether a proposed site serves an economic need, and it does not review the safety conditions of a site when reviewing whether to grant a license. In this role, FERC has licensed 204 sites in 24 states. As part of its mission to ensure the safety of the interstate natural gas pipeline system\u2014of which natural gas storage sites are a part\u2014PHMSA had the regulatory authority to issue and enforce safety standards for interstate natural gas storage sites. However, PHMSA\u2019s interstate pipeline safety regulations did not extend to underground natural gas storage facilities, even when connected to interstate pipelines. Moreover, because interstate sites were under federal jurisdiction, state safety standards could not be applied to such sites.", "Other federal agencies had responsibilities that addressed limited aspects of safety at natural gas storage sites. DOE provided technical assistance to California during the Aliso Canyon incident, and has researched the effects of natural gas storage leaks on the reliability of the electricity grid. The Bureau of Land Management (BLM), within the Department of the Interior, manages public lands that overlap, either partially or fully, with 33 natural gas storage sites. EPA provides funding and oversight to help states and local pollution control agencies meet their responsibility to monitor air quality within their jurisdictions, according to EPA officials. EPA can also provide its expertise and support to states and local communities in the event of natural gas storage leaks, as it did during the leak at Aliso Canyon. However, EPA does not regulate underground conditions at gas storage sites."], "subsections": []}, {"section_title": "The PIPES Act", "paragraphs": ["In June 2016, Congress passed and the President signed the PIPES Act, which, among other things, directed DOT to establish minimum safety standards for all natural gas storage sites by June 2018 after considering recommendations from a federal task force and industry standards. PHMSA sets and enforces these standards.", "The PIPES Act also directed DOE to establish and lead the task force, which was charged with analyzing the Aliso Canyon incident and making recommendations to reduce the occurrence of similar incidents in the future. The task force published its report in October 2016. The report included findings in three areas\u2014well integrity, environmental and health protection, and energy reliability. The report also made 44 recommendations to enhance natural gas storage safety, including 3 key recommendations:", "Operators of natural gas storage sites should make advance preparations with appropriate federal, state, and local governments to mitigate potential future leaks.", "Electrical grid operators should prepare for the risks that potential gas storage disruptions create for the electric system.", "Operators of natural gas storage sites should begin a rigorous program to evaluate the status of the wells, establish risk management planning, and, in most cases, phase out old wells with single-point-of-failure designs.", "The PIPES Act directed DOT to consider industry consensus standards to the extent practicable in establishing its minimum safety standards. Consensus standards for the oil and gas industry\u2014including those for natural gas storage\u2014are issued by various entities, including the American Petroleum Institute (API). API consensus standards describe how to safely perform technical procedures, such as drilling wells for oil and gas production, refining produced natural gas into usable gas for heating and electricity generation, and conducting \u201cworkover\u201d operations to refurbish existing wells. API develops its consensus standards involving industry, manufacturers, engineering firms, the public, academia, and government, and API\u2019s recommended practices are frequently adopted by a majority of the industry, according to API and PHMSA. Following several years of study and discussion by industry experts and government officials, including participation by PHMSA, API issued two documents outlining recommended practices for the development and operations of natural gas storage sites. These recommended practices describe the procedures for designing, locating, constructing, and operating natural gas storage sites, and include such activities as inspecting and testing the wells used to inject and withdraw gas from natural gas storage sites and monitoring the integrity of the underground formations where natural gas is stored. The API documents also recommend that operators prepare for emergencies and train the personnel who operate the sites.", "Under the PIPES Act, state governments also have a continuing role in enforcing natural gas storage safety for the sites in their states. The act allows states to certify with PHMSA that they have adopted state standards that meet or exceed the federal standards and can enforce these standards. Once a state certifies that it has met these conditions, the state is responsible for enforcing safety standards on state-regulated intrastate natural gas underground storage sites through inspections conducted by state employees, according to PHMSA officials. In addition, PHMSA officials told us that they would periodically assess whether states are meeting these conditions. PHMSA officials told us that PHMSA will have direct responsibility for inspecting federally-licensed interstate facilities for the next few years because federal safety standards are still being established, but officials noted that state inspectors could eventually seek permission from PHMSA to assume the role of inspecting interstate natural gas storage sites on behalf of PHMSA in the future. PHMSA officials also noted that PHMSA does not force states to participate in their pipeline safety program, and so in cases where a state chooses not to certify its safety enforcement program, PHMSA has stated that it will assign its own inspectors and staff to enforce federal natural gas storage safety standards in that state. The PIPES Act also requires PHMSA to set and charge user fees to operators that it can use for activities related to underground natural gas storage facility safety, subject to the expenditure of these fees being provided in advance in an appropriations act."], "subsections": []}]}, {"section_title": "PHMSA Has Issued Interim Safety Standards and Plans to Finalize Them by January 2018", "paragraphs": ["Citing an urgent need to improve safety at natural gas storage sites, PHMSA issued an interim final rule that includes minimum safety standards based largely on API recommended practices in December 2016. The rule took effect in January 2017 and provided that existing facilities (and those constructed by July 18, 2017) must meet the standards by January 18, 2018. PHMSA is now considering public comments on its interim standards, and it plans to finalize them by issuing a final rule by January 2018. PHMSA also has stated that it will delay enforcement of certain standards in the interim final rule until 1 year after issuance of the final rule."], "subsections": [{"section_title": "PHMSA Has Issued Minimum Standards in an Interim Final Rule", "paragraphs": ["To meet the requirement under the PIPES Act, PHMSA issued minimum safety standards for natural gas storage through an interim final rule in December 2016, which took effect in January 2017. PHMSA issued the interim final rule\u2014which allowed the safety standards to take effect more quickly than under the conventional regulatory process\u2014and stated that any delay in adopting the standards would jeopardize the public interest through risks to public safety and the environment. As a result, all 415 natural gas storage sites are for the first time subject to federal regulation, including minimum safety standards as set forth in the interim final rule, and subject to revision in a final rule.", "To develop the minimum safety standards, PHMSA considered industry consensus standards, as required by the PIPES Act. PHMSA had already advised operators to follow industry-recommended practices published by API, which develops consensus standards for the oil and gas industry. Specifically, in February 2016, before the passage of the PIPES Act, PHMSA issued a bulletin encouraging operators to follow the API recommended practices to update their safety programs. The API recommended practices contain many provisions that are mandatory, and other provisions that are nonmandatory. The interim final rule provides that the nonmandatory provisions of the recommended practices that are incorporated by reference in the rule are adopted as mandatory. PHMSA\u2019s interim final rule requires operators of existing natural gas sites, and those constructed by July 18, 2017, to meet the requirements of certain sections of the API recommended practices identified in the rule by January 18, 2018. The API recommended practices address, among other things, general operations, monitoring the sites for potential leaks, and emergency response and preparedness. For new storage sites starting construction after July 18, 2017, the rule requires operators to meet all sections of the applicable API recommended practices.", "According to PHMSA officials, PHMSA considered the recommendations of the task force in developing its minimum safety standards, as required by the PIPES Act, and continues to do so. PHMSA\u2019s minimum safety standards addressed certain recommendations made by the task force, according to an analysis performed by PHMSA. However, PHMSA did not require operators to implement one key recommendation of the task force report with its minimum standards, according to PHMSA officials. In particular, the October 2016 task force report recommended that operators phase out most storage wells with single-point-of-failure designs\u2014where the failure of a single component, such as a well casing, could lead to a large release of gas\u2014by installing multiple points of control at each well. According to an API official, its recommended practices do not direct operators to phase out such wells because this practice may not significantly improve safety in all cases; for example, this practice may not have prevented the leak at Aliso Canyon. The API official and PHMSA officials noted that API recommended practices direct operators to assess the risks at their sites and to take steps to address these risks. According to PHMSA officials, assessing the risks of a site could include identifying wells with a single point of failure and developing steps to mitigate this risk. Mitigating the risk could include installing multiple points of control for certain wells, among other possible mitigation steps. Neither PHMSA nor API officials could tell us how many of the approximately 17,000 wells at the nation\u2019s 415 natural gas storage sites have single-point-of-failure designs, because this information has not been centrally gathered to date. However, PHMSA plans to gather information about how many storage wells have single-point-of-failure designs by asking operators to provide this information as part of a required annual report.", "To fund its enforcement of its minimum safety standards, PHMSA also issued a notice to set the user fees that PHMSA charges operators, as required by the PIPES Act. In November 2016, PHMSA published a notice of agency action and request for comment, describing its user fee structure. PHMSA collected public comments, evaluated them, and finalized its user fee structure in April 2017. As set forth in this notice, PHMSA will charge each operator based on the size of the operator\u2019s storage sites as measured by working gas capacity range. The notice stated that PHMSA plans to collect a total of up to $8 million annually in fees from all operators combined; however, PHMSA may seek authority to increase or decrease the amount it charges operators if it finds that the cost of inspection and enforcement is more or less than it initially estimated, according to PHMSA officials. Following enactment of an appropriations act provision, PHMSA is authorized to use the fees it collects to fund its enforcement activities and plans to use a portion of the fees to reimburse states for enforcing its minimum safety standards, according to PHMSA officials.", "Table 1 provides a timeline of key events in the development of PHMSA\u2019s minimum safety standards."], "subsections": []}, {"section_title": "PHMSA Is Considering Comments on Its Interim Final Rule and Plans to Issue Final Safety Standards in January 2018", "paragraphs": ["Since issuing its interim final rule, PHMSA has been collecting public comments and plans to adjust some aspects of the rule in response to comments from the public, industry representatives, and others. PHMSA plans to finalize its minimum safety standards by replacing its interim final rule with a final rule in January 2018, and has delayed some dates for when it expects operators to comply with some aspects of its standards. PHMSA\u2019s interim final rule states that, with respect to incorporation by reference of the standards, the nonmandatory provisions it adopted are adopted as mandatory provisions. API and two other organizations representing natural gas utilities and transmission companies submitted comments asking PHMSA to reconsider how it used the API recommended practices in its minimum safety standards. While API and the other industry representatives agreed that it was appropriate for PHMSA to use API recommended practices for its minimum safety standards, they stated that making all portions mandatory would make the standards burdensome. In June 2017, PHMSA published a notice in the Federal Register stating that it would consider these comments as it finalized its minimum safety standards, which it stated it expects to issue by January 2018. The notice stated further that PHMSA will not issue any enforcement citations to operators for failure to meet any standards that were nonmandatory but that were converted to mandatory by provisions of the interim final rule until 1 year after it issues the final rule.", "PHMSA also provided additional guidance and clarifications to operators about scheduling and its plans for enforcement. During the development of its interim final rule, PHMSA noted that some of the provisions in the minimum safety standards may take operators several years to fully implement. According to PHMSA officials, these provisions recommend that operators carefully inspect their natural gas storage sites, identify any conditions that do not meet industry-recommended practices, and then improve conditions at the sites by prioritizing the greatest risks and implementing preventative measures to mitigate and remediate these risks over a number of years. As a result, PHMSA published guidance on its website stating that it expects operators to make and implement plans to inspect and remediate risks found at their sites within 3 to 8 years following the effective date of the interim final rule."], "subsections": []}]}, {"section_title": "PHMSA Has Taken Steps to Establish an Enforcement Program but Has Not Yet Followed Certain Leading Practices of Strategic Planning", "paragraphs": ["To enforce PHMSA\u2019s safety standards, the agency\u2019s officials have taken a variety of steps to establish a safety enforcement program for natural gas storage sites, but they have not yet followed certain leading practices of strategic planning in starting PHMSA\u2019s natural gas storage program. Specifically, PHMSA officials have started developing a training program for natural gas storage inspectors. They also have established a strategic goal and begun developing a training performance goal for their natural gas safety enforcement program. However, they have not yet followed certain leading practices for strategic planning\u2014the systematic process for defining desired outcomes and translating this vision into goals and steps to achieve them. For example, PHMSA\u2019s training performance goal does not define the level of performance officials hope to achieve or address all core program activities, such as conducting effective inspections. In addition, PHMSA has not used baseline data or budgetary information to inform the development of performance goals. PHMSA officials explained that they are still developing performance goals for their new program and collecting relevant data."], "subsections": [{"section_title": "PHMSA Has Taken Steps to Establish a Natural Gas Storage Safety Enforcement Program", "paragraphs": ["To enforce the agency\u2019s safety standards, PHMSA officials have taken a variety of steps to establish a safety enforcement program for natural gas storage sites by January of 2018. For example, PHMSA officials have started developing a training program for natural gas storage inspectors. They have identified learning objectives for the program and have begun developing learning materials. According to PHMSA officials, developing a training program for inspectors is central to safety enforcement efforts, in part because PHMSA has a limited number of staff members with expertise in natural gas storage. For example, PHMSA had 10 employees with natural gas storage experience as of August 2017, according to PHMSA officials. In addition, PHMSA officials have completed eight safety assessments of selected natural gas storage operators to document the initial condition of gas storage sites and safety practices. According to PHMSA officials, their methodology for conducting these assessments involved visiting a cross section of operators, including operators of interstate and intrastate sites and multiple types of facilities.", "PHMSA officials also have developed workload and budget estimates for their new program, according to PHMSA documentation. In recent years, the Office of Pipeline Safety, which will be responsible for natural gas storage inspections in addition to pipeline inspections and other activities, has initiated about 1,100 inspections annually, according to PHMSA data. When natural gas storage site inspections begin, PHMSA officials estimate that the Office of Pipeline Safety\u2019s inspection workload could increase 14 percent due to their new responsibilities. They reached this estimate by dividing the 203 new natural gas storage units they anticipate needing to inspect by the total number of inspection units they currently inspect. To meet the demands of this increased workload, officials estimate that PHMSA will need $2 million annually to fund 6 new inspector positions, training, travel, and other expenses associated with managing the natural gas storage safety enforcement program. With this number of inspectors, PHMSA officials believe that they can inspect all 203 natural gas storage units within about 4 years. Because PHMSA officials expect that many states that have previously conducted similar inspections will help PHMSA conduct inspections, officials also estimate that PHMSA will need to provide $6 million annually to states. However, PHMSA officials noted that their estimates may change as they gain additional information about the program. Specifically, after PHMSA begins initial inspections in early 2018, officials will have more information about the time it takes to inspect natural gas storage sites. By the end of fiscal year 2018, they will have even more information with which to develop more precise workload and budget estimates for the program, according to these officials.", "To ensure that the states assisting PHMSA are fully qualified to enforce the federal government\u2019s minimum safety standards, PHMSA officials have begun developing a state certification program. This has involved drafting certification documents and contacting potential state partners. As of June 2017, PHMSA officials expected all states with intrastate natural gas storage sites to pursue certification. However, officials explained that they may not know until the end of fiscal year 2017 exactly how many states will pursue certification. If some states choose not to pursue certification or are not approved by PHMSA, PHMSA will be responsible for inspecting natural gas storage sites in those states, which could increase its inspection workload beyond the level it has estimated. For states that choose certification and are approved, PHMSA plans to use grants to fund up to 80 percent of state inspection costs. However, PHMSA officials told us that PHMSA may not be able to fund states to this level, depending on the approved costs requested by all states and levels of funding PHMSA receives through the appropriations process. In either circumstance, PHMSA\u2019s grant program for certified state partners leverages state dollars, since it requires states to fund the portions of their programs not covered by grant funding."], "subsections": []}, {"section_title": "PHMSA Has Established a Strategic Goal but Has Not Yet Followed Certain Leading Practices of Strategic Planning", "paragraphs": ["PHMSA also has established a strategic goal for its natural gas safety enforcement program, but it has not yet followed other leading practices for strategic planning. Specifically, PHMSA officials told us that their new enforcement program will be guided by one of PHMSA\u2019s existing strategic goals\u2014to promote continuous improvement in safety performance. PHMSA officials also told us that they are developing a performance goal for their training program and that other performance goals are still being identified and developed. The Government Performance and Results Act of 1993 (GPRA), as amended\u2014which seeks to improve the effectiveness of federal programs by establishing a system for agencies to set goals for program performance and measure results\u2014defines a performance goal as the target level of performance expressed as a tangible, measurable objective against which actual achievement is to be compared. For example, in the area of weather forecasting, we have previously reported that such a goal could be to increase the lead time for predicting tornadoes from 7 to 9 minutes.", "PHMSA has not yet followed certain leading practices for strategic planning, as it has not: (1) defined the level of performance or fully addressed core program activities with its existing performance goal; or (2) used baseline data and other data or budget information to inform and refine performance goals."], "subsections": [{"section_title": "Defining Level of Performance and Addressing All Core Program Activities", "paragraphs": ["Our prior work has identified several leading practices for strategic planning that PHMSA has not yet followed, such as setting goals that define a certain level of performance and address all core program activities. Some of this prior work has examined requirements under GPRA and the GPRA Modernization Act of 2010. GPRA, which was significantly enhanced by the GPRA Modernization Act of 2010, requires agencies to develop annual performance plans that, among other things, establish performance goals to define the level of performance to be achieved. We have previously reported that requirements under these acts can serve as leading practices for planning at lower levels of the agency. As one of several operating administrations within DOT, PHMSA would be considered a lower level of the agency. In addition, we have found that a key attribute of successful performance measures is that they reflect the full range of core program activities. Moreover, we have found that a key practice for helping federal agencies enhance and sustain collaborative efforts with other agencies is to define and articulate a common outcome or purpose they are seeking to achieve.", "While PHMSA has taken some steps to plan strategically for its new program, it has not followed certain leading practices of strategic planning. For example, PHMSA has developed a performance goal for its training program, and agency officials told us that they plan to review the number of students who pass their gas storage training course as a measure of the agency\u2019s training performance goal. However, with this measure PHMSA has not defined the level of performance to be achieved. An example of a measure of the agency\u2019s training performance goal that defines the level of performance could be one that specifies that a certain percentage of students will pass the course on their first attempt. In addition, PHMSA has not yet developed performance goals for other core program activities, such as conducting effective inspections. According to PHMSA subject-matter experts, one of the critical tasks associated with inspecting a gas storage site will be determining whether the operator has met all well monitoring requirements specified in API\u2019s Recommended Practice 1171, which addresses the functional integrity of gas storage in depleted hydrocarbon reservoirs and aquifers. An example of a performance goal that could indicate whether PHMSA\u2019s inspections are effective could be to annually reduce, by a certain percentage, the number of operators that do not meet the well monitoring requirements of Recommended Practice 1171. Another critical task identified by PHMSA\u2019s subject-matter experts will be to determine whether the operator has followed its own risk management plan for gas storage sites\u2014another area where PHMSA has not developed a performance goal. An example of a performance goal in this area could be to annually reduce, by a certain percentage, the number of gas storage operators that have not followed their own risk management plans.", "PHMSA officials acknowledged that their performance goals are not yet complete and said that they would strive to refine performance goals as they continue developing the program; however, PHMSA has not yet done so. As they do so, ensuring that their performance goals define the level of performance to be achieved and address core program activities could help them ensure that they effectively track progress toward their strategic goal and make adjustments to activities and resources, if needed, to better meet the goal. In addition, because PHMSA plans to leverage state resources to oversee gas storage sites, the success of its gas storage program will depend, in part, on collaboration with state partners. Establishing performance goals for the program could help PHMSA coordinate efforts and resources with the states that are expected to assist PHMSA with inspections."], "subsections": []}, {"section_title": "Using Baseline Data to Inform Performance Goals", "paragraphs": ["Another leading practice of strategic planning involves using baseline and trend data to inform performance goals, according to our prior work. Baseline data\u2014data collected about operations before oversight begins\u2014 can serve as a basis for comparison with subsequently collected trend data. We have previously reported that baseline and trend data can provide a context for drawing conclusions about whether performance goals are reasonable and appropriate. For example, we found in 1999 that the Department of Education was able to use such information to gauge the appropriateness of its goals for reducing the default rate on student loans provided through the Federal Family Education Loan program. The program\u2019s annual plan provided baseline and trend data for the default rate, which indicated that the rate declined from 22.4 percent to 10.4 percent from fiscal years 1990 to 1995. According to Education\u2019s analysis of the data, future declines were likely to be steady but smaller because of the large number of high-default schools that had already been eliminated from the program. For fiscal year 1999, Education set a goal of reducing the default rate to 10.1 percent of borrowers.", "For PHMSA\u2019s natural gas storage program, PHMSA will have access to baseline data\u2014and eventually trend data\u2014over time that could inform the development of performance goals and subsequent refinement of them. PHMSA officials told us that they have not yet used such data to inform the development of their performance goal because they are still in the process of collecting relevant data. For example, officials told us that, over time, they will have access to data about operators\u2019 facilities, functional integrity work, and operations and maintenance procedures starting in early 2018. These data will likely include the number of wells that have leaked and been repaired during the last calendar year. As specified in PHMSA\u2019s minimum safety standards, PHMSA also plans to collect safety and incident reports to track gas releases, deaths, and injuries resulting in hospitalizations. In addition, in August of 2017, PHMSA officials completed eight industry safety assessments, which involved visiting natural gas storage sites and studying sites\u2019 safety procedures. As previously mentioned, these assessments aimed, in part, to document the initial condition of gas storage sites and safety practices. Agency officials told us that they had planned to use the data they collect from these assessments to inform the agency\u2019s state certification and inspection programs. They did not specify whether or how they intend to use these data to inform their performance goals. As PHMSA continues developing performance goals for its natural gas storage program, using available data to inform and refine these goals could help the agency ensure that its goals are reasonable and appropriate."], "subsections": []}, {"section_title": "Using Budgetary Information to Inform Performance Goals", "paragraphs": ["We also have reported that comparing information about budgetary resources with information about performance goals can help decisionmakers determine whether their performance goals are achievable. Specifically, we have reported that decisionmakers can better compare planned levels of accomplishment with the resources requested if they have information about how funding levels are expected to achieve a discrete set of performance goals. For example, we reported in a best practices report about strategic planning that the Internal Revenue Service (IRS) included in its performance plan for 1999 the budget amounts that corresponded with past performance levels. Table 2 illustrates how IRS used this information to inform proposed performance levels for the upcoming year. Moreover, GPRA requires agencies to prepare an annual performance plan covering each program activity set forth in the budget and, among other things, describe the resources required to meet performance goals. As previously mentioned, we have found that GPRA requirements can serve as leading practices for planning at lower levels of the agency.", "Assessing whether the new program\u2019s performance goals are achievable given budgetary resources is important at a time when PHMSA officials are managing other new resources and responsibilities. For example, in addition to requiring DOT to establish minimum safety standards for natural gas storage sites, the PIPES Act of 2016 also requires DOT to update minimum safety standards for small-scale liquefied natural gas pipeline facilities. To carry out its responsibilities, PHMSA has received additional resources in recent years. As shown in figure 3, PHMSA\u2019s Pipeline Safety Program has seen its total budgetary resources available increase from about $95 million in fiscal year 2007 to about $175 million in fiscal year 2016. In addition, the Consolidated Appropriations Act for fiscal year 2017 included a provision allowing for the obligation of up to $8 million from fees collected in fiscal year 2017 from operators for PHMSA\u2019s natural gas storage program. These fees will be deposited in an Underground Natural Gas Storage Facility Safety account within PHMSA\u2019s Pipeline Safety Fund and will be added to the Pipeline Safety Program\u2019s total budgetary resources available for fiscal year 2017.", "PHMSA is not yet in a position to use budget information to inform or refine performance goals for its natural gas storage program because PHMSA officials are still developing these goals and PHMSA lacks key data, such as data on the time it takes\u2014and therefore the budgetary resources required\u2014to inspect natural gas storage sites. As previously mentioned, PHMSA will begin inspections in early 2018, and officials will have a better understanding of how long it takes to inspect natural gas storage sites by the end of fiscal year 2018. As PHMSA officials continue developing performance goals and finish collecting relevant data, using information about budgetary resources to inform and refine these goals may help PHMSA ensure that its goals are achievable."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Natural gas storage sites are key elements of our nation\u2019s energy system, helping ensure that natural gas is available when demand peaks. As evidenced by the large-scale leak of natural gas outside Los Angeles that started in 2015 and extended into 2016, leaks from these sites can cause economic disruptions and environmental damage. These sites recently became subject to national safety standards, which are subject to further revision.", "PHMSA has taken a variety of steps to meet its new responsibilities for overseeing natural gas storage sites, such as developing a training program for inspectors and a performance goal for training. However, PHMSA has not yet followed certain leading practices of strategic planning in starting PHMSA\u2019s new safety enforcement program. For example, PHMSA\u2019s only current performance goal does not define the level of performance officials are working to achieve, and PHMSA does not currently have goals that address other core program activities, such as conducting effective inspections. PHMSA also has not yet used the baseline data it is collecting to develop its performance goals. PHMSA officials explained that they are still developing performance goals for their new program and collecting data. As the agency continues to develop these goals, ensuring that performance goals define the level of performance and address all core program activities could help the agency better track progress toward its strategic goal and adjust activities and resources, if needed, to better meet the goal. Using baseline data to develop these goals could help PHMSA ensure that its goals are reasonable and appropriate. Finally, once PHMSA finalizes performance goals for the program and collects relevant data over time as well as budgetary information, using these data and information when available to inform and refine performance goals may help PHMSA ensure that its goals are achievable."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to PHMSA.", "The Administrator of PHMSA should ensure that PHMSA defines levels of performance, addresses core program activities, and uses baseline data as it continues developing performance goals for its natural gas storage program. (Recommendation 1)", "The Administrator of PHMSA should ensure that PHMSA uses other data and information about budgetary resources as they become available to inform and refine its performance goals. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT for review and comment. In written comments, DOT concurred with the report\u2019s recommendations and provided additional information on steps they are taking or plan to take as part of their oversight of natural gas storage sites. In addition, DOT stated that it would provide a detailed response to each recommendation within 60 days of our final report\u2019s issuance. The complete comment letter is reproduced in appendix III.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Transportation, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or members of your staff have any questions about this report, please contact us at (202) 512-3841, gomezj@gao.gov, or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we examine (1) the status of the Pipeline and Hazardous Materials Administration\u2019s (PHMSA) efforts to implement the requirement under the Protecting Our Infrastructure of Pipelines and Enhancing Safety (PIPES) Act of 2016 to issue minimum safety standards for natural gas storage sites, and (2) the extent to which PHMSA has planned strategically to enforce its safety standards for natural gas storage sites.", "To examine the status of PHMSA\u2019s efforts to implement the requirement to issue minimum safety standards for natural gas storage sites, we examined laws, regulations, and agency documents that describe the authority, time frames, and enforcement goals for implementing new federal rules under the PIPES Act. Specifically, we reviewed the PIPES Act to identify requirements that the act directed to the Department of Transportation (DOT), or PHMSA. To understand PHMSA\u2019s implementation of DOT\u2019s requirements under the act, we reviewed PHMSA notices and regulations as presented in the Federal Register and discussed the information in these documents with agency officials. We also reviewed guidance documents on the PHMSA website intended to provide natural gas storage operators with more detailed guidance and discussed the documents with agency officials. We reviewed an October 2016 report, mandated by the act, which was issued by a task force led by the Department of Energy (DOE). We also obtained and reviewed copies of recommended practices issued by the American Petroleum Institute (API), which issues industry consensus standards for the oil and gas industry, and interviewed API officials to better understand these recommended practices.", "We also interviewed agency officials. Specifically, we interviewed officials with PHMSA, the Federal Energy Regulatory Commission, the Bureau of Land Management within the Department of the Interior, and the Environmental Protection Agency, to understand how they participated in the task force and to what degree they have responsibilities related to natural gas storage safety enforcement.", "In addition, we obtained data from PHMSA and DOE\u2019s Energy Information Administration about natural gas storage sites to gain an estimate of the number and regulatory status of various natural gas storage sites, their locations, and other details. We assessed the reliability of these data by (1) corroborating these data with other sources, (2) reviewing existing information about the data and the system that produced them, and (3) interviewing agency officials knowledgeable about the data. We determined that these data were sufficiently reliable for the purposes of this report. We also interviewed agency officials at DOT and PHMSA, including discussing agency requirements under the PIPES Act and how PHMSA planned to implement its responsibilities. To better understand the operation and control of natural gas storage sites, we conducted a site visit to the Aliso Canyon Gas Storage Facility in California and spoke to officials representing the operator of the site, and state government officials responsible for safety enforcement at the site.", "To examine the extent to which PHMSA has planned strategically to enforce safety standards for natural gas storage sites, we compared information we gathered from PHMSA officials and documents with leading practices for strategic planning identified by our prior work, which were identified by examining requirements under the Government Performance and Results Act (GPRA) of 1993. We have previously reported that requirements under GPRA and the GPRA Modernization Act of 2010 can serve as leading practices for planning at lower levels of the agency. We also interviewed PHMSA officials\u2014including budgetary, policy, and programmatic officials\u2014about their planning efforts for the natural gas storage program. In addition, we reviewed regulations and documents that reflect agency planning efforts, including: PHMSA\u2019s interim final rule on the safety of underground natural gas storage facilities; agency guidance, such as frequently asked questions for operators of natural gas storage sites; and agency planning documents, such as the Training Implementation Plan for Natural Gas Underground Storage Regulation Training, PHMSA 2021 Business Plan - 2017, and workload and budget estimates for the program. Using information obtained from these sources about PHMSA\u2019s efforts to plan for its natural gas storage program, we compared PHMSA\u2019s planning efforts with leading practices for strategic planning identified in our prior reports.", "We conducted this performance audit from November 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Number of Active Natural Gas Storage Sites as of January 2016 by State and Jurisdiction", "paragraphs": ["Table 3 identifies the 415 natural gas storage sites active as of January 2016, by state and jurisdiction. The number of natural gas storage sites that fall under federal or state jurisdiction in each state is presented, along with the total storage capacity of the sites. A natural gas storage site is considered to be under federal jurisdiction\u2014also known as \u201cinterstate\u201d\u2014if the site is linked to a federally-regulated interstate pipeline permitted by the Federal Energy Regulatory Commission. Otherwise, sites are under state jurisdiction.", "The sites represented in this table were compiled by the Department of Energy\u2019s Energy Information Administration in 2016, and provided by the Department of Transportation\u2019s Pipeline and Hazardous Materials Safety Administration (PHMSA). EIA collects these data using a survey of natural gas storage site operators. According to a PHMSA document, PHMSA used these data to, among other things, identify natural gas storage sites and calculate the amount of user fees that it charged operators in 2017 (the first year PHMSA collected these user fees) to fund its inspection and enforcement programs. PHMSA plans to update its information about natural gas storage sites using data submitted by operators, as required by its interim final rule. This rule requires natural gas storage site operators to submit these data on or before July 18, 2017. PHMSA plans to require operators to annually submit this information using a form. According to PHMSA officials, the Office of Management and Budget recently approved this form. As a result, PHMSA will begin collecting data that reflect calendar year 2017 by its due date of March 15, 2018. PHMSA officials told us that it will take about 5 to 6 months to develop a website that will allow PHMSA to efficiently collect these data from operators for all sites this year and in future years."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, Mike Hix and Jon Ludwigson (Assistant Directors), Richard Burkard, Lee Carroll, Nirmal Chaudhary, Ellen Fried, Cindy Gilbert, Carol Henn, Mary Koenen, Jessica Lemke, Ben Licht, Greg Marchand, John Mingus, Katrina Pekar-Carpenter, Sara Sullivan, and Kiki Theodoropoulos made important contributions to this report."], "subsections": []}]}], "fastfact": ["Natural gas is stored underground, often in old oil fields near cities. This proximity helps meet peak demand quickly but also makes leaks more problematic. One near Los Angeles in 2015 led 8,000 families to leave their homes for weeks.", "A 2016 law called for minimum federal safety standards for storage sites, and the Department of Transportation has issued interim standards while working on final ones.", "The department's efforts have not yet followed some of our leading practices for strategic planning. For example, it has not set a goal to measure improved safety at storage sites. We recommended steps to improve planning efforts."]} {"id": "GAO-18-231", "url": "https://www.gao.gov/products/GAO-18-231", "title": "Military Bases: DOD Should Address Challenges with Communication and Mission Changes to Improve Future Base Realignment and Closure Rounds", "published_date": "2018-03-30T00:00:00", "released_date": "2018-04-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The 2005 BRAC round was the costliest and most complex BRAC round ever. In contrast to prior rounds, which focused on the goal of reducing excess infrastructure, DOD's goals for BRAC 2005 also included transforming the military and fostering joint activities.", "GAO was asked to review DOD's performance outcomes from BRAC 2005. This report examines the extent to which DOD has (1) measured the achievement of its goals for BRAC 2005 and (2) implemented prior GAO recommendations on BRAC 2005 and addressed any additional challenges to improve performance for any future BRAC round. GAO reviewed relevant documents and guidance; met with a nongeneralizable selection of 26 military organizations and 12 communities involved with BRAC 2005; and interviewed DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) components generally did not measure the achievement of goals\u2014reducing excess infrastructure, transforming the military, and promoting joint activities among the military departments\u2014for the 2005 Base Realignment and Closure (BRAC) round. In March 2013, GAO recommended that, for any future BRAC round, DOD identify measures of effectiveness and develop a plan to demonstrate achieved results. DOD did not concur and stated that no action is expected. Without a requirement for DOD to identify measures of effectiveness and track achievement of its goals, Congress will not have full visibility over the expected outcomes or achievements of any future BRAC rounds.", "Of the 65 recommendations GAO has made to help DOD address challenges it faced in BRAC 2005, as of October 2017 DOD had implemented 33 of them (with 18 pending DOD action).", "DOD has not addressed challenges associated with communication and monitoring mission-related changes. Specifically:", "Some military organizations stated that they could not communicate to BRAC decision makers information outside of the data-collection process because DOD did not establish clear and consistent communications. For example, Army officials at Fort Knox, Kentucky, stated that there was no way to communicate that excess facilities were ill-suited for relocating the Human Resources Command and moved forward without full consideration of alternatives for using better-suited excess space at other locations. As a result, DOD spent about $55 million more than estimated to construct a new building at Fort Knox.", "DOD implemented BRAC recommendations that affected units' ability to carry out their missions because DOD lacked specific guidance to monitor and report on mission-related changes. For example, DOD spent about $27.7 million on a landing field for a Marine Corps F-35 training squadron at Eglin Air Force Base, Florida, even though it had been previously decided to station the F-35 aircraft and personnel at another base.", "By addressing its communication and monitoring challenges, DOD could better inform decision making, better ensure that its infrastructure meets the need of its force structure, and better position itself to achieve its goals in any future BRAC round."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider requiring DOD to identify and track appropriate measures of effectiveness in any future BRAC round. Also, GAO recommends that in any future BRAC round DOD (1) take steps to establish clear and consistent communications while collecting data and (2) provide specific guidance to the military departments to monitor and report on mission-related changes during implementation. GAO also continues to believe that DOD should fully implement GAO's prior recommendations on BRAC 2005. DOD objected to Congress requiring DOD to identify and track performance measures, but GAO continues to believe this to be an appropriate action for the reasons discussed in the report. Lastly, DOD concurred with the two recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense\u2019s (DOD) 2005 round of Base Realignment and Closure (BRAC) was the largest, costliest, and most complex of the five BRAC rounds since 1988. In contrast to prior rounds, which focused on the goal of reducing excess infrastructure, DOD\u2019s goals for BRAC 2005 also included transforming the military and fostering joint activities across the military departments. In the department\u2019s BRAC 2005 report, the Secretary of Defense stated that BRAC 2005 provided DOD a unique opportunity to address new challenges posed by international terrorism, the proliferation of weapons of mass destruction, ungoverned areas, rogue states, and nonstate actors. By implementing the 198 recommendations approved by the 2005 BRAC Commission, DOD closed 23 major bases, realigned 24 major bases, combined 26 installations into 12 joint bases, and eliminated about 12,000 civilian positions. After implementing these BRAC 2005 recommendations, in 2017 DOD estimated that it continued to have significant excess capacity remaining. To address remaining excess capacity, between 2013 and 2017 DOD requested additional BRAC rounds and, in February 2018, stated that it would work with Congress to find common areas where reforms and changes could be made. Congress has not authorized additional BRAC rounds to date.", "Since 2005, we have issued more than 40 reports and testimonies on BRAC 2005 planning, implementation, costs, and savings; this work highlights information DOD can use to improve its process for developing and implementing BRAC recommendations. For example, in our March 2013 report on lessons learned from the BRAC 2005 round, we found that DOD\u2019s process for providing the BRAC Commission with cost and savings estimates was hindered by underestimating requirements. Additionally, we found that DOD did not fully anticipate information technology requirements for many of the BRAC recommendations. Our report made several recommendations designed to improve any future BRAC rounds and suggested legislative changes that Congress should consider to enhance its oversight of any future BRAC rounds. Of the 10 recommendations in the March 2013 report, DOD generally concurred with 5. According to DOD officials, DOD has not taken any actions because these recommendations can only be implemented if another round of BRAC is conducted.", "Since 1997, we have designated DOD infrastructure as a high-risk area, noting that reducing the cost of DOD\u2019s excess infrastructure activities is critical to the department making use of scarce resources and maintaining high levels of military capabilities. In GAO\u2019s 2017 high-risk update, we reported on DOD\u2019s need for improvement in reducing excess infrastructure, which included disposing of and consolidating facilities under the BRAC process and improving how DOD uses its facilities. We noted that DOD has demonstrated leadership by requesting more rounds of BRAC\u2014its primary method for reducing excess infrastructure. However, we stated that DOD needs to take additional action on some of our recommendations related to implementing any future BRAC rounds, such as improving DOD\u2019s ability to estimate potential liabilities and savings to achieve desired outcomes. The Related GAO Products page at the end of this report provides a list of our BRAC reports and testimonies.", "We were asked to review DOD\u2019s performance outcomes from BRAC 2005. In this report, we assess the extent that DOD (1) measured the achievement of its goals for reducing excess infrastructure, transforming the military, and promoting jointness for BRAC 2005 and (2) implemented prior GAO recommendations and addressed any additional challenges faced in BRAC 2005 to improve performance for any future BRAC round.", "In addition, we describe how current economic indicators for the communities surrounding the 23 closed bases in BRAC 2005 compare to national averages; we report on this issue in appendix I.", "To conduct our work, we reviewed the 2005 BRAC Commission\u2019s September 2005 report to the President, policy memorandums and guidance on conducting BRAC 2005, and other relevant documentation such as supporting BRAC analyses prepared by the military services or other units related to the development of BRAC 2005 recommendations. We interviewed officials with the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment (ASD )\u2014the element within the Office of the Secretary of Defense that oversees BRAC; the Army; the Navy; the Air Force; the Marine Corps; the U.S. Army Reserve Command; and the National Guard Bureau. We also conducted site visits to Connecticut, Indiana, Kentucky, Massachusetts, North Carolina, Rhode Island, and South Carolina. We met with 26 military units or organizations, such as Air Force wings and Army and Navy installations\u2019 Departments of Public Works, and 12 communities involved with BRAC 2005 recommendations. These interviews provide examples of any challenges faced by each individual party, but information obtained is not generalizable to all parties involved in the BRAC process. We selected locations for site visits based on ensuring geographic diversity and a mix of types of BRAC recommendations (closures, transformation, or jointness), and having at least one installation from or community associated with each military department.", "To assess the extent that DOD measured the achievement of goals for reducing excess infrastructure, transforming the military, and promoting jointness for BRAC 2005, we met with officials to discuss measurement of goals and requested any related documentation. We compared DOD\u2019s efforts to Standards for Internal Control in the Federal Government, which emphasizes that an agency\u2019s management should track major agency achievements and compare these to the agencies\u2019 plans, goals, and objectives. To calculate the excess infrastructure disposed of as a result of BRAC 2005, we reviewed the square footage and plant replacement value data from DOD\u2019s Cost of Base Realignment Actions model. However, DOD\u2019s data were incomplete, and we determined they were not sufficiently reliable to conduct this calculation, as discussed later in this report.", "To assess the extent that DOD implemented prior GAO recommendations on BRAC 2005 and addressed any additional challenges faced in BRAC 2005 to improve performance for any future BRAC round, we reviewed our prior reports and testimonies to identify recommendations made. We then identified whether DOD implemented recommendations we made by discussing the status of recommendations with agency officials and obtaining copies of agency documents supporting the recommendations\u2019 implementation. We also met with officials to identify what additional challenges they faced from BRAC 2005 and what opportunities exist to improve any future BRAC round. For the purposes of this report, we used DOD documentation and interviews to identify and divide our assessment of the BRAC 2005 process into three phases: the analysis phase from 2001 to 2005, the implementation phase from 2005 to 2011, and the disposal phase from 2005 to the present. For the analysis phase, we reviewed available military departments\u2019 lessons-learned documents. For the implementation phase, we reviewed business plans supporting the implementation of the BRAC 2005 recommendations and other applicable documentation, such as a workforce planning study and an environmental impact statement affecting the implementation of some recommendations. For the disposal phase, we analyzed DOD\u2019s caretaker costs for closed bases that it has not yet transferred. We compared information about challenges in the analysis, implementation, and disposal phases to criteria for communications, monitoring, and risk assessments in Standards for Internal Control in the Federal Government.", "To describe how current economic indicators for the communities surrounding the 23 closed bases in BRAC 2005 compare to national averages in appendix I, we collected and analyzed unemployment data and per capita income growth. Specifically, we collected and analyzed calendar year 2016 unemployment data from the U.S. Bureau of Labor Statistics and calendar year 2006 through 2016 per capita income growth data, along with data on inflation, from the U.S. Bureau of Economic Analysis, which we used to calculate annualized real per capita income growth rates. Calendar year 2016 was the most current year for which local area data were available from these databases. We assessed the reliability of these data by reviewing U.S. Bureau of Labor Statistics and U.S. Bureau of Economic Analysis documentation regarding the methods used by each agency in producing their data and found the data to be sufficiently reliable to report the 2016 annual unemployment rate and 2006 through 2016 real per capita income growth. Appendix II provides further information on our scope and methodology.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "BRAC 2005 Goals", "paragraphs": ["The Secretary of Defense established goals for BRAC 2005 in a November 2002 memorandum issuing initial guidance for BRAC 2005 and again in a March 2004 report to Congress certifying the need for a BRAC round. Specifically, the Secretary reported that the BRAC 2005 round would be used to (1) dispose of excess facilities, (2) promote force transformation, and (3) enhance jointness. Although DOD did not specifically define these three goals, we have generally described them in prior reports as follows.", "Dispose of excess facilities: Eliminating unneeded infrastructure to achieve savings.", "Promote force transformation: Correlating base infrastructure to the force structure and defense strategy. In the late 1990s, DOD embarked on a major effort to transform its business processes, human capital, and military capabilities. Transformation is also seen as a process intended to provide continuous improvements to military capabilities. For example, the Army used the BRAC process to transform the Army\u2019s force structure from an organization based on divisions to more rapidly deployable, brigade-based units and to accommodate rebasing of overseas units.", "Enhance jointness: Improving joint utilization to meet current and future threats. According to DOD, \u201cjoint\u201d connotes activities, operations, and organizations, among others, in which elements of two or more military departments participate."], "subsections": []}, {"section_title": "BRAC Phases", "paragraphs": ["Congress established clear time frames in the BRAC statute for many of the milestones involved with base realignments and closures. The BRAC 2005 process took 10 years from authorization through implementation. Congress authorized the BRAC 2005 round on December 28, 2001. The BRAC Commission submitted its recommendations to the President in 2005 and the round ended on September 15, 2011\u20146 years from the date the President submitted his certification of approval of the recommendations to Congress. The statute allows environmental cleanup and property caretaker and transfer actions associated with BRAC sites to exceed the 6-year time limit and does not set a deadline for the completion of these activities. Figure 1 displays the three phases of the BRAC 2005 round\u2014analysis, implementation, and disposal\u2014and key events involving Congress, DOD, and the BRAC Commission.", "During the analysis phase, DOD developed selection criteria, created a force structure plan and infrastructure inventory, collected and analyzed data, and proposed recommendations for base realignments and closures. The BRAC statute authorizing the BRAC 2005 round directed DOD to propose and adopt selection criteria to develop and evaluate candidate recommendations, with military value as the primary consideration. The BRAC statute also required DOD to develop a force structure plan based on an assessment of probable threats to national security during a 20-year period beginning with fiscal year 2005. Based on the statute\u2019s requirements, the selection criteria were adopted as final in February 2004, and the force structure plan was provided to Congress in March 2004.", "To help inform its decision-making process during the analysis phase, the three military departments and the seven joint cross-service groups collected capacity and military value data that were certified as accurate by senior leaders. In testimony before the BRAC Commission in May 2005, the Secretary of Defense said that DOD collected approximately 25 million pieces of data as part of the BRAC 2005 process. Given the extensive volume of requested data, we noted in July 2005 that the data- collection process was lengthy and required significant efforts to help ensure data accuracy, particularly from joint cross-service groups that were attempting to obtain common data across multiple military components. We reported that, in some cases, coordinating data requests, clarifying questions and answers, controlling database entries, and other issues led to delays in the data-driven analysis DOD originally envisioned. As time progressed, however, these groups reported that they obtained the needed data, for the most part, to inform and support their scenarios. We ultimately reported that DOD\u2019s process for conducting its analysis was generally logical, reasoned, and well documented.", "After taking these plans and accompanying analyses into consideration, the Secretary of Defense was then required to certify whether DOD should close or realign military installations. The BRAC Commission assessed DOD\u2019s closure and realignment recommendations for consistency with the eight selection criteria and DOD\u2019s Force Structure Plan. Ultimately, the BRAC Commission accepted over 86 percent of DOD\u2019s proposed internal recommendations; rejected, modified, or added additional recommendations; and adjusted some costs of BRAC recommendations."], "subsections": [{"section_title": "Implementation Phase", "paragraphs": ["After the BRAC Commission released its recommendations, and the recommendations became binding, the implementation phase started. During this phase, which started on November 9, 2005, and continued to September 15, 2011 (as required by the statute authorizing BRAC), DOD took steps to implement the BRAC Commission\u2019s 198 recommendations. Also during this phase, the military departments were responsible for completing environmental impact studies to determine how to enact the BRAC Commission\u2019s relevant recommendations. The military departments implemented their respective recommendations to close and realign installations, establish joint bases, and construct new facilities.", "The large number and variety of BRAC actions resulted in DOD requiring BRAC oversight mechanisms to improve accountability for implementation. The BRAC 2005 round had more individual actions (813) than the four prior rounds combined (387). Thus, in the BRAC 2005 round, the Office of the Secretary of Defense for the first time required the military departments to develop business plans to better inform the Office of the Secretary of Defense of the status of implementation and financial details for each of the BRAC 2005 recommendations. These business plans included: (1) information such as a listing of all actions needed to implement each recommendation, (2) schedules for personnel relocations between installations, and (3) updated cost and savings estimates by DOD based on current information. This approach permitted senior-level intervention if warranted to ensure completion of the BRAC recommendations by the statutory completion date."], "subsections": []}, {"section_title": "Disposal Phase", "paragraphs": ["The disposal phase began soon after the BRAC recommendations became binding and has continued to today. During the disposal phase, DOD\u2019s policy was to act in an expeditious manner to dispose of closed properties. Such disposal actions included transferring the property to other DOD components and federal agencies, homeless-assistance providers, or local communities for the purposes of job generation, among other actions. In doing so, DOD has incurred caretaker and environmental cleanup costs. For example, DOD reported to Congress that, as of September 2016, the military departments had spent $735 million on environmental cleanup associated with BRAC 2005 sites, and had $482 million left to spend on BRAC 2005 sites. Overall, the military departments reported that they had disposed of 59,499 acres and still needed to dispose of 30,239 acres from BRAC 2005 as of September 30, 2016."], "subsections": []}]}]}, {"section_title": "DOD Components Generally Did Not Measure the Achievement of BRAC 2005 Goals", "paragraphs": ["ASD (EI&E), the military services, and 25 of the 26 military units or organizations we met with did not measure the achievement of the BRAC 2005 goals\u2014reducing excess infrastructure, transforming the military, and promoting jointness. Specifically, a senior ASD (EI&E) official stated that no performance measures existed to evaluate the achievement of goals and the office did not create baselines to measure performance. Air Force officials stated that they did not measure the achievement of goals but that it would have been helpful to have metrics to measure success, especially as DOD had requested from Congress another BRAC round. Army officials similarly stated it did not measure the achievement of goals, noting that measuring excess capacity would have been important to help DOD get authorization for another BRAC round. Navy and Marine Corps officials said that they did not track performance measures or otherwise measure the achievement of the BRAC 2005 goals. Moreover, 25 of the 26 military units or organizations we met with stated that they did not measure the achievement of BRAC 2005 goals. The one exception in our selected sample was the command at Joint Base Charleston, which stated that it measured jointness through common output or performance-level standards for installation support, as required for installations affected by the BRAC 2005 recommendation on joint basing. By measuring jointness, officials were able to identify that the base met 86 percent of its common output level standards in the second quarter of fiscal year 2017, and it has identified recommendations to improve on those standards not met.", "Instead of measuring the achievement of BRAC 2005 goals, officials with ASD (EI&E) and the military departments stated that they tracked completion of the BRAC recommendations by the statutory deadline of September 2011 and measured the cost savings associated with the recommendations. Senior ASD (EI&E) officials stated that the primary measure of success was completing the recommendations as detailed by the implementation actions documented in the business plans. In addition, officials from the Army, Navy, and Air Force stated that they measured the savings produced as a result of BRAC 2005. For example, Army officials stated that closing bases in BRAC 2005 significantly reduced base operations support costs, such as by eliminating costs for trash collection, utilities, and information technology services. However, tracking completion of the recommendations and measuring savings did not enable the department to determine the success of the BRAC round in achieving its goals. For example, tracking completion of the recommendations establishing joint training centers did not give DOD insight into whether the military departments achieved the jointness goal by conducting more joint activities or operations. Similarly, measuring savings did not allow DOD to know whether it achieved the goal of reducing excess infrastructure, and in reviewing DOD\u2019s data we found that the department ultimately did not have the needed data to calculate excess infrastructure disposed of during BRAC 2005. Key practices on monitoring performance and results highlight the importance of using performance measures to track an agency\u2019s progress and performance, and stress that performance measures should include a baseline and target; should be objective, measurable, and quantifiable; and should include a time frame. The Standards for Internal Control in the Federal Government emphasizes that an agency\u2019s management should track major agency achievements and compare these to the agencies\u2019 plans, goals, and objectives.", "During BRAC 2005, DOD was not required to identify appropriate measures of effectiveness and track achievement of its goals. As a result, in March 2013, we recommended that, in the event of any future BRAC round, DOD identify appropriate measures of effectiveness and develop a plan to demonstrate the extent to which the department achieved the results intended from the implementation of the BRAC round. DOD did not concur with our recommendation, stating that military value should be the key driver for BRAC. However, we noted at the time that our recommendation does not undermine DOD\u2019s reliance on military value as the primary selection criteria for DOD\u2019s base realignment and closure candidate recommendations, and DOD can still prioritize military value while identifying measures that help determine whether DOD achieved the military value that it seeks. As of October 2017, DOD officials stated that no action to implement our recommendation is expected.", "We continue to believe that, if any future BRAC round is authorized, the department would benefit from measuring its achievement of goals. Further, this information would assist Congress in assessing the outcomes of any future BRAC rounds. Given that DOD did not concur with our 2013 recommendation and does not plan to act upon it, DOD is not currently required to identify appropriate measures of effectiveness and track achievement of its BRAC goals in future rounds. Without a requirement to identify and measure the achievement of goals for a BRAC round, DOD cannot demonstrate to Congress whether the implementation of any future BRAC round will improve efficiency and effectiveness or otherwise have the effect that the department says its proposed recommendations will achieve. If Congress would like to increase its oversight for any future BRAC round, requiring DOD to identify appropriate measures of effectiveness and track achievement of its goals would provide it with improved visibility over the expected outcomes."], "subsections": []}, {"section_title": "DOD Has Addressed Many but Not All Prior GAO Recommendations on BRAC 2005 and Has Further Opportunities to Improve Communications and Monitoring in Any Future BRAC Round", "paragraphs": ["DOD has implemented 33 of the 65 prior recommendations that we identified in our work since 2004, and it has the opportunity to address additional challenges regarding communications and monitoring to improve any future BRAC round. Specifically, for the BRAC analysis phase, DOD implemented 1 of 12 recommendations, and it has agreed to implement another 7 recommendations should Congress authorize any future BRAC round. Additionally, we found that DOD can improve its communications during the analysis phase. For the implementation phase, DOD implemented 28 of 39 recommendations, and it has agreed to implement another 3 recommendations. Further, we found it can improve monitoring of mission-related changes. For the disposal phase, DOD implemented 4 of 14 recommendations, and it has agreed to implement another 8 recommendations."], "subsections": [{"section_title": "DOD Plans to Address Some Prior GAO Recommendations about BRAC\u2019s Analysis Phase, but Can Improve Communication during Data Collection", "paragraphs": [], "subsections": [{"section_title": "DOD Plans to Address Some Prior GAO Recommendations If Congress Authorizes a Future BRAC Round", "paragraphs": ["Of the 12 recommendations we made from 2004 to 2016 to help DOD improve the BRAC analysis phase, DOD generally agreed with 6 of them and, as of October 2017, DOD had implemented 1. Specifically, DOD implemented our May 2004 recommendation to provide a more detailed discussion on assumptions used in its May 2005 report on BRAC recommendations. In addition, DOD stated it would address seven recommendations\u2014the other five recommendations it agreed with and two it had previously nonconcurred with\u2014affecting BRAC\u2019s analysis phase in the event of any future BRAC round. These recommendations included better estimating information technology costs and improving ways of describing and entering cost data. DOD reported that the department is awaiting authorization of a future BRAC round prior to implementing these recommendations. Appendix III provides more information on our recommendations, DOD\u2019s response, and DOD\u2019s actions to date concerning the BRAC analysis phase."], "subsections": []}, {"section_title": "DOD Officials Cited Challenges with Communications during Data Collection", "paragraphs": ["DOD officials cited an additional challenge with communications during the BRAC 2005 analysis phase. Specifically, some military organizations we met with stated that they could not communicate to BRAC decision makers information outside of the data-collection process, which ultimately hindered analysis. For example:", "Officials from the Army Human Resources Command in Fort Knox, Kentucky, said that facilities data submitted during the data-collection process did not convey a complete picture of excess capacity at the installation, and officials at Fort Knox were unable to share the appropriate context or details because nondisclosure agreements prevented communication. Specifically, they stated that the data showed an overall estimate of Fort Knox\u2019s excess capacity, but the data did not detail that the excess was not contiguous but rather based on space at 40 buildings spread throughout the installation. The officials stated that there was no way to communicate to decision makers during the data collection process that the facilities were ill- suited for relocating the Human Resources Command and would require significant renovation costs to host the command\u2019s information technology infrastructure. The officials said that, because the needed details on the facility data were not communicated, the relocation moved forward without full consideration of alternatives for using better-suited excess space at other locations that would not require significant costs to renovate. As a result, the Army ultimately constructed a new headquarters building for the Human Resources Command at Fort Knox and DOD spent approximately $55 million more than estimated to complete this action.", "Officials at the Naval Consolidated Brig Charleston, South Carolina, told us that the lack of communication outside of the data-collection process resulted in decision makers not taking into account declining numbers of prisoners, leading to the construction of a new, oversized building in which to house prisoners. The officials said that the decision makers analyzing the facilities data did not consider the current correctional population; rather, the decision makers considered a correctional model based on the type of military fielded in World War II and the Korean and Vietnam wars\u2014a force comprised of conscripted personnel that served longer tours and had higher correctional needs. Further, the officials said the decision makers did not consider that, in the 2000 to 2005 period, DOD increased the use of administrative separations from military service rather than incarcerate service members convicted of offenses, such as drug- related crimes or unauthorized absence, further reducing correctional needs. The officials said they did not have a mechanism to communicate this information outside of the data-collection process when decision makers were analyzing the facilities data. As a result, the BRAC Commission recommendation added 680 beds throughout the corrections system, increasing the Navy\u2019s total confinement capacity to 1,200 posttrial beds. Specifically at Naval Consolidated Brig Charleston, the BRAC recommendation added 80 beds at a cost of approximately $10 million. However, the facility already had excess capacity prior to the 2005 BRAC recommendation, and its excess capacity further increased after adding 80 beds (see fig. 2).", "Air National Guard officials said that the lack of communication outside of the data-collection process in the BRAC analysis phase meant that they could not identify the specific location of excess facilities. Specifically, they said the facilities data showed that Elmendorf Air Force Base, Alaska, had sufficient preexisting space to accept units relocating from Kulis Air Guard Station, Alaska, a base slated for closure. However, without communicating with base officials, Air National Guard officials did not know that the space was not contiguous. As a result, officials stated that DOD ultimately needed to complete additional military construction to move the mission from Kulis Air Guard Station. The BRAC Commission increased the Air Force\u2019s initial cost estimate by approximately $66 million in additional funds to implement the BRAC recommendation.", "U.S. Army Central officials stated that there was no communication outside of the data-collection process to allow DOD to fully consider workforce recruitment-related issues in deciding to move the U.S. Army Central headquarters to Shaw Air Force Base, South Carolina. While other criteria, such as military value, enhancing jointness, and enabling business process transformation, were considered in developing the recommendation, the officials stated that they were unable to communicate concerns regarding civilian hiring and military transfers. The officials said that since the headquarters\u2019 move to Shaw Air Force Base from Fort McPherson, Georgia, they have had difficulties recruiting civilian employees, such as information technology personnel, to their facility because of its location. They also said that it has been harder to encourage Army personnel to move to Shaw Air Force Base due to a perception that there is a lack of promotional opportunities at an Army organization on an Air Force base. As a result, U.S. Army Central officials said morale surveys have indicated that these workforce issues have negatively affected mission accomplishment.", "The military departments and organizations we met with said that these concerns regarding the BRAC 2005 analysis phase were because DOD did not establish clear and consistent communications throughout different levels of authority in the department during data collection. According to Standards for Internal Control in the Federal Government, management should use relevant data from reliable sources and process these data into quality information that is complete and accurate. Further, management should communicate quality information down, across, up, and around reporting lines to all levels of the department.", "Given the unclear and inconsistent communications in the department during data collection, DOD decision makers had data that may have been outdated or incomplete. Additionally, the outdated and incomplete data hindered the BRAC 2005 analysis and contributed to additional costs and recruitment problems at some locations affected by BRAC 2005, as previously discussed. Officials stated that clear and consistent communications would have improved the flow of information between on-the-ground personnel and decision makers and could have better informed the BRAC decision-making process. For example, Army officials said that nondisclosure agreements hindered their ability to call personnel at some installations to confirm details about buildings and facilities in question. The Air Force\u2019s Lessons Learned: BRAC 2005 report stated that site surveys could have communicated additional detail and generated more specific requirements than those generated in an automated software tool that the Air Force used for BRAC-related analysis. Navy officials said that, with limited communication, there were shortfalls in the decision-making process. Overall, officials from ASD (EI&E) and the military departments agreed that communication could be improved in the analysis phase of any future BRAC round. They also cited improved technology, such as geographic information system software and a new base stationing tool, as well as an increase in the amount of data collected as factors that may mitigate any effects of reduced communication if Congress authorizes any future BRAC round. Without taking steps to establish clear and consistent communication throughout the department during data collection, DOD risks collecting outdated and incomplete data in any future BRAC rounds that may hinder its analysis and the achievement of its stated goals for BRAC."], "subsections": []}]}, {"section_title": "DOD Has Addressed the Majority of Prior GAO Recommendations Affecting the BRAC Implementation Phase but Can Improve Monitoring", "paragraphs": [], "subsections": [{"section_title": "DOD Has Implemented 28 of 39 Recommendations to Address Challenges", "paragraphs": ["To improve the implementation phase of the BRAC 2005 round, we made 39 recommendations between 2005 and 2016. DOD generally agreed with 32 and did not concur with 7 recommendations. As of October 2017, DOD had implemented 28 of these recommendations. DOD stated that it does not plan on implementing 8 of the recommendations, and action on 3 of the recommendations is pending. Our previous recommendations relate to issues including providing guidance for consolidating training, refining cost and performance data, and periodic reviews of installation- support standards, among others. Appendix IV provides more information on our recommendations, DOD\u2019s response, and DOD\u2019s actions to date concerning the BRAC implementation phase."], "subsections": []}, {"section_title": "DOD Officials Cited Challenges with Monitoring Mission-Related Changes during Implementation", "paragraphs": ["DOD officials identified challenges related to monitoring mission-related changes during the implementation of the BRAC 2005 recommendations, specifically when unforeseen circumstances developed that affected units\u2019 ability to carry out their missions following implementation or added difficulties to fulfilling the intent of the recommendation. For example:", "During the implementation process, a final environmental impact statement at Eglin Air Force Base, Florida, contributed to the decision that only a portion of the initial proposed aircraft and operations would be established to fulfill the Joint Strike Fighter Initial Joint Training Site recommendation. Marine Corps officials stated that as a result of this environmental impact statement and the subsequent limitations, the Marine Corps decided to eventually move its training from Eglin Air Force Base to Marine Corps Air Station Beaufort, South Carolina. Despite these limitations, the Air Force constructed infrastructure for the Marine Corps\u2019 use at Eglin Air Force Base in order to fulfill the minimum legal requirements of the recommendation. Specifically, the BRAC 2005 recommendation realigned the Air Force, Navy, and Marine Corps portions of the F-35 Joint Strike Fighter Initial Joint Training Site to Eglin Air Force Base. The Air Force\u2019s goal and the initial proposal for the Joint Strike Fighter Initial Joint Training Site at Eglin Air Force Base was to accommodate 107 F-35 aircraft, with three Air Force squadrons of 24 F-35 aircraft each, one Navy squadron with 15 F-35 aircraft, and one Marine Corps squadron of 20 F-35 aircraft. In 2008, after the implementation phase began, DOD completed an environmental impact statement for the proposed implementation of the BRAC recommendations at Eglin Air Force Base. Based on the environmental impact statement and other factors, a final decision was issued in February 2009, stating that the Air Force would only implement a portion of the proposed actions for the recommendation, with a limit of 59 F-35 aircraft and reduced planned flight operations due to potential noise impacts, among other factors. This decision stated that the subsequent operational limitations would not be practical for use on a long-term basis but would remain in place until a supplemental environmental impact statement could be completed. After the final supplemental environmental impact statement was released, in June 2014 DOD decided to continue the limited operations established in the February 2009 decision.", "Marine Corps officials stated that, as a result of the February 2009 decision, the Marine Corps decided that it would eventually move its F-35 aircraft from Eglin Air Force Base to Marine Corps Air Station Beaufort. According to Marine Corps officials, by September 2009 the Marine Corps had developed a concept to prepare Marine Corps Air Station Beaufort to host its F-35 aircraft. A September 2010 draft supplemental environmental impact statement included updated operational data and found that the Marine Corps total airfield operations at Eglin Air Force Base would be reduced by 30.7 percent from the proposals first assessed in the 2008 final environmental impact statement. However, to abide by the BRAC recommendation, Marine Corps officials stated that the Marine Corps temporarily established an F-35 training squadron at Eglin Air Force Base in April 2010. Using fiscal year 2010 military construction funding, DOD spent approximately $27.7 million to create a landing field for use by the new Marine Corps F-35 training squadron mission at Eglin Air Force Base. Marine Corps officials stated that this construction occurred during the same period as the decision to relocate the F-35 training squadron to Marine Corps Air Station Beaufort. However, ASD (EI&E) officials stated that they did not know about this mission- related change, adding that they expected any change to be reported from the units to the responsible military department through the chain of command. However, the military departments did not have guidance to report in the business plans to ASD (EI&E) these mission- related changes during implementation; without this guidance, the changes related to the Marine Corps F-35 mission were not relayed to ASD (EI&E) through the Air Force. Officials from the Joint Strike Fighter training program at Eglin Air Force Base stated that this construction was finished in June 2012 and that it was never used by the Marine Corps. In February 2014, the Marine Corps F-35 training squadron left Eglin Air Force Base and was established at Marine Corps Air Station Beaufort. The Marine Corps does not plan on returning any F-35 aircraft from Marine Corps Air Station Beaufort to Eglin Air Force Base for joint training activities.", "Additionally, officials from the Armed Forces Chaplaincy Center stated that studies undertaken during the implementation phase determined that it would be difficult to fulfill the intent of a recommendation creating a joint center for religious training and education, yet the recommendation was implemented and included new construction with significantly greater costs than initial estimates. The BRAC 2005 recommendation consolidated Army, Navy, and Air Force religious training and education at Fort Jackson, South Carolina, establishing a Joint Center of Excellence for Religious Training and Education. Prior to the construction of facilities to accommodate this recommendation, the Interservice Training Review Organization conducted a study published in November 2006 that assessed the resource requirements and costs of consolidating and colocating the joint chaplaincy training at Fort Jackson. This study identified limitations in the feasibility of consolidating a joint training mission for the chaplains, including differences within the services\u2019 training schedules and the limited availability of specific administrative requirements for each service, as well as limited instructors and curriculum development personnel. Despite the results of this study, in 2008 an approximately $11.5 million construction project began to build facilities for the Joint Center of Excellence for Religious Training and Education. However, ASD (EI&E) officials stated that they did not know about the results of the study. The military departments did not have guidance to report these mission-related changes, which ultimately were not relayed from the units to ASD (EI&E). Officials from the Armed Forces Chaplaincy Center stated that following the start of construction to accommodate the recommendation, the services completed additional studies in 2008 and 2011 that further identified limitations to the feasibility of joint training for the services\u2019 chaplains. Overall, the services discovered that 95 percent of the religious training could not be conducted jointly. Moreover, the military departments have faced additional impediments to their respective missions for religious training and education. For example, the Army stated it could not house its junior soldiers alongside the senior Air Force chaplaincy students, and both the Navy and Air Force had to transport their chaplains to other nearby bases to receive service- specific training. Due to these challenges, officials from the Armed Forces Chaplaincy Center stated that the Air Force chaplains left Fort Jackson and returned to Maxwell Air Force Base, Alabama, in 2017, and the Navy has also discussed leaving Fort Jackson and returning to Naval Station Newport, Rhode Island.", "Standards for Internal Control in the Federal Government emphasizes the importance of monitoring the changes an entity faces so that the entity\u2019s internal controls can remain aligned with changing objectives, environment, laws, resources, and risks. During the implementation phase of BRAC 2005, DOD did not have specific guidance for the military services to monitor mission-related changes that added difficulties to fulfilling the intent of BRAC recommendations. The Office of the Secretary of Defense required BRAC recommendation business plans to be submitted every 6 months and include information such as a listing of all actions needed to implement each recommendation, schedules for personnel movements between installations, updated cost and savings estimates based on better and updated information, and implementation completion time frames. In addition, in November 2008, the Deputy Under Secretary of Defense (Installations and Environment) issued a memorandum requiring the military departments and certain defense agencies to present periodic status briefings to the Office of the Secretary of Defense on implementation progress and to identify any significant issues impacting the ability to implement BRAC recommendations by the September 15, 2011, statutory deadline. The 6-month business plan updates and the memorandum on periodic briefings focused primarily on changes affecting the ability to fully implement the BRAC recommendations and on meeting the statutory deadline, but they did not provide specific guidance to inform ASD (EI&E) of mission-related changes that arose from unforeseen challenges during the implementation phase.", "According to a senior official with ASD (EI&E), if the organization responsible for a business plan identified a need to change the plan to fulfill the legal obligation of the recommendation by the statutory deadline, ASD (EI&E) reviewed any proposed changes through meetings with stakeholders involved in implementation. According to this official, the office typically only got involved with the implementation if the business plan was substantively out of line with the intent of the recommendation or if there was a dispute between two DOD organizations, such as two military departments. The official stated that any installation-level concerns had to be raised to the attention of ASD (EI&E) through the responsible military department\u2019s chain of command. If a mission-related change was not raised through the military department\u2019s chain of command, then ASD (EI&E) officials were not always aware of the details of such changes. ASD (EI&E) officials acknowledged that they did not know about all mission-related changes during implementation, such as with the Joint Strike Fighter recommendations, and they stated that there was no explicit guidance informing the military departments to report challenges and mission-related changes to ASD (EI&E). Senior officials from ASD (EI&E) stated that additional guidance would be appropriate in the event of any future BRAC round. This lack of specific guidance to monitor and report mission-related changes that arose during BRAC 2005 implementation ultimately resulted in inefficient use of space and extra costs for DOD. Without providing specific guidance to monitor and report mission-related changes that require significant changes to the recommendation business plans, DOD will not be able to effectively monitor the efficient use of space and the costs associated with implementing any future BRAC recommendations. Furthermore, DOD may not be able to effectively make adjustments in its plans to ensure that the department achieves its overall goals in any future BRAC rounds."], "subsections": []}]}, {"section_title": "DOD Has Addressed Some Prior Recommendations Related to the BRAC Disposal Phase and Plans to Address More Recommendations If Congress Authorizes a Future BRAC Round", "paragraphs": ["Of the 14 recommendations we made from 2007 to 2017 to help DOD address challenges affecting BRAC\u2019s disposal phase, DOD generally agreed with 12 of them. As of October 2017, DOD had implemented 4 of the recommendations, with actions on 8 others pending. Our previous recommendations relate to three primary issues: guidance for communities managing the effects of the reduction or growth of DOD installations, the environmental cleanup process for closed properties, and the process for reusing closed properties for homeless assistance. Appendix V provides more information on our recommendations, DOD\u2019s response, and DOD\u2019s actions to date concerning the BRAC disposal phase.", "During our review, we identified an additional example of challenges in the disposal phase related to the environmental cleanup process. Specifically, officials representing Portsmouth, Rhode Island, stated that the city had issues with the environmental cleanup process resulting from BRAC 2005 changes at Naval Station Newport, Rhode Island. According to the site\u2019s environmental impact statement, the land Portsmouth is to receive is contaminated and requires cleanup prior to transfer, and officials from the community stated that the Navy has not provided them with a clear understanding of a time frame for the environmental cleanup process needed to transfer the property. However, a senior official from the Navy stated that uncertainties in available funds and unforeseen environmental obstacles are common and prevent the Navy from projecting specific estimates for environmental cleanup time frames. The officials representing Portsmouth stated that, due to the lack of information from the Navy on a projected time frame for cleaning and transferring the property, representatives in the community have begun to discuss not wanting to take over the land and letting the Navy hold a public sale. We had previously recommended in January 2017 that DOD create a repository or method to record and share lessons learned about how various locations have successfully addressed environmental cleanup challenges. DOD concurred and actions are pending.", "Moreover, during our review we identified additional examples of challenges in the disposal phase related to the homeless assistance program. For example, officials representing the community of Wilmington, North Carolina, stated that they had issues with the homeless-assistance process regarding a closed Armed Forces Reserve Center. According to the officials, they did not know that there were legal alternatives to providing on-base property for homeless assistance. Wilmington officials stated that the city would have been willing to construct a homeless-assistance facility in a nonbase location, and use the closed property for a different purpose, which would have expedited the overall redevelopment process. According to the officials, the organization that took over the property for homeless-assistance purposes lacks the financial means to complete the entire project plan, and as of July 2017 it remains unfinished. We had previously recommended that DOD and the Department of Housing and Urban Development\u2014which, with DOD, develops the implementing regulations for the BRAC homeless-assistance process\u2014include information on legal alternatives to providing on-base property to expedite the redevelopment process, but DOD did not concur and stated no action is expected. Additionally, officials from New Haven, Connecticut, stated that the process of finding land suitable for a homeless assistance provider and converting an Army Reserve Center into a police academy took an undesirably long amount of time to complete. The officials stated that the process of preparing its redevelopment plan and transferring the property from DOD to the community lasted roughly 5 years from 2008 to 2013, and they suggested streamlining or expediting this process.", "As a result of these types of delays, many properties have not yet been transferred from DOD to the communities, and undisposed properties continue to increase caretaker costs. As of September 30, 2016, DOD had received approximately $172 million in payments for transfers, and it had spent approximately $275 million for caretaker costs of buildings and land prior to transferring property on closed installations during BRAC 2005. Implementing our prior recommendations related to the BRAC environmental cleanup and homeless-assistance process could help DOD expedite the disposal of unneeded and costly BRAC property, reduce its continuing fiscal exposure stemming from continuing to hold these properties, and ultimately improve the effectiveness of the disposal phase."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD has long faced challenges in reducing unneeded infrastructure, and on five different occasions DOD has used the BRAC process to reduce excess capacity and better match needed infrastructure to the force structure and to support military missions. In addition to using BRAC to reduce excess capacity, DOD also sought to promote jointness across the military departments and realign installations in the 2005 round, making the round the biggest, costliest, and most complex ever. While DOD finished its implementation of BRAC 2005 in September 2011 and continues to prepare some remaining sites for disposal, it did not measure whether and to what extent it achieved the round\u2019s goals of reducing excess infrastructure, transforming the military, and promoting jointness. Because it did not measure whether the BRAC actions achieved these goals, DOD cannot demonstrate whether the military departments have improved their efficiency or effectiveness as a result of the BRAC 2005 actions. In October 2017, DOD officials stated the department does not plan to take action on our March 2013 recommendation to measure goals for any future BRAC round. Congress can take steps to improve its oversight of any future BRAC round, specifically by requiring DOD to identify and track appropriate measures of effectiveness. Congress would have enhanced information to make decisions about approving any future BRAC rounds, while DOD would be in a stronger position to demonstrate the benefits it achieves relative to the up-front implementation costs incurred for holding any future BRAC rounds.", "In addition, challenges in the analysis, implementation, and disposal phases of BRAC 2005 led to unintended consequences, such as increases in costs, workforce recruitment issues, and delayed disposal of closed properties. Limited or restricted communications throughout different levels of authority in the department during data collection hampered the ability of decision makers to receive as much relevant information as possible during BRAC 2005. If Congress authorizes any future BRAC round, ASD (EI&E) can encourage clear and consistent communication throughout DOD during the analysis phase, thereby helping personnel to address any potential problems that may arise. In addition, without specific guidance to monitor mission-related changes during the BRAC implementation phase, DOD did not fulfill the intent of some recommendations and spent millions of dollars to build infrastructure that was ultimately unused or underutilized. This lack of specific guidance meant that ASD (EI&E) was not aware of all mission- related changes. By instituting improvements to the analysis, implementation, and disposal phases in any future BRAC round, DOD could better inform decision making, better ensure that its infrastructure meets the needs of its force structure, and better position itself to gain congressional approval for additional rounds of BRAC in the future."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider, in any future BRAC authorization, a requirement for DOD to identify appropriate measures of effectiveness and to track the achievement of its goals. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Secretary of Defense.", "In the event of any future BRAC round, the Secretary of Defense should ensure that ASD (EI&E) and the military departments take steps to establish clear and consistent communications throughout the department during data collection. (Recommendation 1)", "In the event of any future BRAC round, the Secretary of Defense should ensure that ASD (EI&E) provides specific guidance for the military departments to monitor and report on mission-related changes that require significant changes to the recommendation business plans. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DOD. In written comments, DOD objected to our matter for congressional consideration and concurred with both recommendations. DOD\u2019s comments are summarized below and reprinted in their entirety in appendix VI. DOD also provided technical comments, which we incorporated as appropriate.", "DOD objected to our matter for congressional consideration that Congress should consider, in any future BRAC authorization, a requirement for DOD to identify appropriate measures of effectiveness and to track the achievement of its goals. DOD stated that, as advised by BRAC counsel, it believes this requirement would subvert the statutory requirement that military value be the priority consideration. However, as we noted when we originally directed this recommendation to the department in March 2013, our recommendation does not undermine DOD\u2019s reliance on military value as the primary selection criteria for DOD\u2019s BRAC candidate recommendations, and DOD can still prioritize military value while identifying measures that help determine whether DOD achieved the military value that it seeks. Congress enacting a requirement for DOD to identify appropriate measures of effectiveness and to track the achievement of its goals, alongside the requirement to prioritize military value, would address DOD\u2019s concern about subverting a statutory requirement related to military value. Moreover, the department will likely have a better understanding of whether it achieved its intended results while still continuing to enhance military value.", "DOD concurred with our first recommendation that, in the event of any future BRAC round, the Secretary of Defense should ensure that ASD (EI&E) and the military departments take steps to establish clear and consistent communications throughout the department during data collection. In its letter, however, DOD stated it did not agree with our assertion that the perceptions of lower-level personnel are necessarily indicative of the process as a whole. We disagree with DOD\u2019s statement that we relied on the perceptions of lower-level personnel. We obtained perceptions from senior personnel in the various military organizations deemed by DOD leadership to be the most knowledgeable. We then corroborated these perceptions with those from senior officials from the military departments, along with evidence obtained from the Air Force and Army lessons-learned reports. Moreover, DOD stated that the ability to gather data was not limited by the nondisclosure agreements or an inability to communicate with those participating in the BRAC process. While DOD concurred with our recommendation, we continue to believe it should consider the perceptions obtained from knowledgeable personnel that data gathering was limited by nondisclosure agreements or an inability to communicate throughout different levels of authority in the department during data collection.", "DOD also concurred with our second recommendation that, in the event of any future BRAC round, the Secretary of Defense should ensure that ASD (EI&E) provides specific guidance for the military departments to monitor and report on mission-related changes that require significant changes to the recommendation business plans. In its letter, DOD stated it would continue to provide guidance, as it did in the 2005 BRAC round, to encourage resolution at the lowest possible level, with Office of the Secretary of Defense involvement limited to review and approval of any necessary changes to the business plans. However, as we reported, if a mission-related change was not raised through the military department\u2019s chain of command, ASD (EI&E) officials stated that they were not always aware of the details of such changes, hence the need for our recommendation. By providing specific guidance to monitor and report mission-related changes that require significant changes to the recommendation business plans, DOD may be able to more effectively make adjustments in its plans to ensure that the department achieves its overall goals in any future BRAC rounds.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 15 days from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; and the Commandant of the Marine Corps. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Selected Local Economic Data for Communities Affected by the 2005 BRAC Round Closures", "paragraphs": ["Selected economic indicators for the 20 communities surrounding the 23 Department of Defense (DOD) installations closed in the 2005 Base Realignment and Closure (BRAC) round vary compared to national averages. In our analysis, we used annual unemployment and real per capita income growth rates compiled by the U.S. Bureau of Labor Statistics and the U.S. Bureau of Economic Analysis as broad indicators of the economic health of those communities where installation closures occurred. Our analyses of the U.S. Bureau of Labor Statistics annual unemployment data for 2016, the most recent data available, showed that 11 of the 20 closure communities had unemployment rates at or below the national average of 4.9 percent for the period from January through December 2016. Another seven communities had unemployment rates that were higher than the national average but at or below 6.0 percent. Only two communities had unemployment rates above 8.0 percent (see fig. 3). Of the 20 closure communities, Portland-South Portland, Maine (Naval Air Station Brunswick) had the lowest unemployment rate at 3.0 percent and Yukon-Koyukuk, Alaska (Galena Forward Operating Location) had the highest rate at 17.2 percent.", "We also used per capita income data from the U.S. Bureau of Economic Analysis between 2006 and 2016 to calculate annualized growth rates and found that 11 of the 20 closure communities had annualized real per capita income growth rates that were higher than the national average of 1.0 percent (see fig. 4). The other 9 communities had rates that were below the national average. Of the 20 communities affected, Yukon- Koyukuk, Alaska (Galena Forward Operating Location) had the highest annualized growth rate at 4.6 percent and Gulfport-Biloxi-Pascagoula, Mississippi (Mississippi Army Ammunition Plant and Naval Station Pascagoula) had the lowest rate at -0.1 percent."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to assess the extent that the Department of Defense (DOD) (1) measured the achievement of goals for reducing excess infrastructure, transforming the military, and promoting jointness for the 2005 Base Realignment and Closure (BRAC) round and (2) implemented prior GAO recommendations and addressed any additional challenges faced in BRAC 2005 to improve performance for any future BRAC round. In addition, we describe how current economic indicators for the communities surrounding the 23 closed bases in BRAC 2005 compare to national averages.", "For all objectives, we reviewed the 2005 BRAC Commission\u2019s September 2005 report to the President, policy memorandums, and guidance on conducting BRAC 2005. We also reviewed other relevant documentation such as supporting BRAC analyses prepared by the military services or units related to the development of BRAC 2005 recommendations. We interviewed officials with the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment; the Army; the Navy; the Air Force; the Marine Corps; the U.S. Army Reserve Command; and the National Guard Bureau. We also conducted site visits to Connecticut, Indiana, Kentucky, Massachusetts, North Carolina, Rhode Island, and South Carolina. We met with 26 military units or organizations, such as Air Force wings and Army and Navy installations\u2019 Departments of Public Works, and 12 communities involved with BRAC 2005 recommendations. These interviews provide examples of any challenges faced by each individual party, but information obtained is not generalizable to all parties involved in the BRAC process. We selected locations for site visits based on ensuring geographic diversity and a mix of types of BRAC recommendations (closures, transformation, or jointness), and having at least one installation from or community associated with each military department.", "To assess the extent that DOD measured the achievement of goals for reducing excess infrastructure, transforming the military, and promoting jointness for BRAC 2005, we met with officials to discuss measurement of goals and requested any related documentation. We compared DOD\u2019s efforts to Standards for Internal Control in the Federal Government, which emphasizes that an agency\u2019s management should track major agency achievements and compare these to the agencies\u2019 plans, goals, and objectives. We also tried to calculate the excess infrastructure disposed of during BRAC 2005; however, DOD\u2019s data were incomplete. Specifically, in reviewing the square footage and plant replacement value data from DOD\u2019s Cost of Base Realignment Actions model, we found that data from several bases were not included. Additionally, a senior official with the Office of the Assistant Secretary of Defense for Energy, Installations, and Environment stated the data provided were not the most current data used during BRAC 2005 and the office did not have access to the complete data. We also tried to corroborate the square footage and plant replacement value data from the Cost of Base Realignment Actions model to DOD\u2019s 2005 Base Structure Report, but we found the data to be incomparable. As such, we determined that the incomplete and outdated data were not sufficiently reliable to calculate the excess infrastructure disposed of during BRAC 2005.", "To assess the extent that DOD implemented prior GAO recommendations on BRAC 2005 and addressed any additional challenges faced in BRAC 2005 to improve performance for any future BRAC round, we reviewed our prior reports and testimonies on BRAC 2005 to identify recommendations made and determined whether those recommendations applied to the analysis, implementation, or disposal phase of BRAC 2005. We then identified whether DOD implemented recommendations we made by discussing the status of recommendations with agency officials and obtaining copies of agency documents supporting the recommendations\u2019 implementation. We also met with officials to identify what challenges, if any, continue to be faced and what opportunities exist to improve the analysis, implementation, and disposal phases for any future BRAC round. For the analysis phase, we reviewed military service lessons-learned documents. For the implementation phase, we reviewed business plans supporting the implementation of the BRAC 2005 recommendations and other applicable documentation, such as a workforce planning study and an environmental impact statement affecting the implementation of some recommendations. For the disposal phase, we analyzed DOD\u2019s caretaker costs for closed bases that it has not yet transferred. We compared information about challenges in the analysis, implementation, and disposal phases to criteria for communications, monitoring, and risk assessments in Standards for Internal Control in the Federal Government.", "To describe how current economic indicators for the communities surrounding the 23 closed bases in BRAC 2005 compare to national averages, we collected economic indicator data on the communities surrounding closed bases from the Bureau of Labor Statistics and the Bureau of Economic Analysis in order to compare them with national averages. To identify the communities surrounding closed bases, we focused our review on the 23 major DOD installations closed in the BRAC 2005 round and their surrounding communities. For BRAC 2005, DOD defined major installation closures as those that had a plant replacement value exceeding $100 million. We used information from our 2013 report, which identified the major closure installations. We then defined the \u201ccommunity\u201d surrounding each major installation by (1) identifying the economic area in DOD\u2019s Base Closure and Realignment Report, which linked a metropolitan statistical area, a metropolitan division, or a micropolitan statistical area to each installation, and then (2) updating those economic areas based on the most current statistical areas or divisions, as appropriate. Because DOD\u2019s BRAC report did not identify the census area for the Galena Forward Operating Location in Alaska or the Naval Weapons Station Seal Beach Detachment in Concord, California, we identified the town of Galena as within the Yukon-Koyukuk Census Area and the city of Concord in the Oakland-Hayward-Berkeley, CA Metropolitan Division, and our analyses used the economic data for these areas. See table 1 for a list of the major DOD installations closed in BRAC 2005 and their corresponding economic areas.", "To compare the economic indicator data of the communities surrounding the 23 major DOD installations closed in the BRAC 2005 round to U.S. national averages, we collected and analyzed calendar year 2016 unemployment data from the U.S. Bureau of Labor Statistics and calendar year 2006 through 2016 per capita income growth data, along with data on inflation, from the U.S. Bureau of Economic Analysis which we used to calculate annualized real per capita income growth rates. Calendar year 2016 was the most current year for which local area data were available from these databases. We assessed the reliability of these data by reviewing U.S. Bureau of Labor Statistics and U.S. Bureau of Economic Analysis documentation regarding the methods used by each agency in producing their data and found the data to be sufficiently reliable to report 2016 annual unemployment rates and 2006 through 2016 real per capita income growth. We used unemployment and annualized real per capita income growth rates as key performance indicators because (1) DOD used these measures in its community economic impact analysis during the BRAC location selection process and (2) economists commonly use these measures in assessing the economic health of an area over time. While our assessment provides an overall picture of how these communities compare with the national averages, it does not isolate the condition, or the changes in that condition, that may be attributed to a specific BRAC action.", "We conducted this performance audit from April 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: GAO Reviews Related to the BRAC 2005 Analysis Phase, Related Recommendations, and DOD Actions", "paragraphs": ["To improve the analysis phase of the 2005 Base Realignment and Closure (BRAC) round, we made 12 recommendations between 2004 and 2016. The Department of Defense (DOD) fully concurred with 4, partially concurred with 2, and did not concur with 6 recommendations. It implemented 1 of the 12 recommendations (see table 2). According to DOD officials, DOD will be unable to take actions on 7 recommendations unless Congress authorizes any future BRAC round."], "subsections": []}, {"section_title": "Appendix IV: GAO Reviews Related to the BRAC 2005 Implementation Phase, Related Recommendations, and DOD Actions", "paragraphs": ["To improve the implementation phase of the 2005 Base Realignment and Closure (BRAC) round, we made 39 recommendations between 2005 and 2016. The Department of Defense (DOD) fully concurred with 17, partially concurred with 15, and did not concur with 7 recommendations. DOD implemented 28 of them (see table 3)."], "subsections": []}, {"section_title": "Appendix V: GAO Reviews Related to the BRAC 2005 Disposal Phase, Related Recommendations, and DOD Actions", "paragraphs": ["To improve the disposal phase of the 2005 Base Realignment and Closure (BRAC) round, we made 14 recommendations between 2007 and 2017. The Department of Defense (DOD) fully concurred with 7, partially concurred with 5, and did not concur with 2 recommendations. DOD implemented 4 of them with 8 recommendations pending further action (see table 4). According to DOD officials, DOD will be unable to take actions on 5 of the 8 pending recommendations until another BRAC round is authorized."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gina Hoffman (Assistant Director), Tracy Barnes, Irina Bukharin, Timothy Carr, Amie Lesser, John Mingus, Kevin Newak, Carol Petersen, Richard Powelson, Clarice Ransom, Jodie Sandel, Eric Schwab, Michael Silver, and Ardith Spence made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Military Base Realignments and Closures: DOD Has Improved Environmental Cleanup Reporting but Should Obtain and Share More Information. GAO-17-151. Washington, D.C.: January 19, 2017.", "Military Base Realignments and Closures: More Guidance and Information Needed to Take Advantage of Opportunities to Consolidate Training. GAO-16-45. Washington, D.C.: February 18, 2016.", "Military Base Realignments and Closures: Process for Reusing Property for Homeless Assistance Needs Improvements. GAO-15-274. Washington, D.C.: March 16, 2015.", "DOD Joint Bases: Implementation Challenges Demonstrate Need to Reevaluate the Program. GAO-14-577. Washington, D.C.: September 19, 2014.", "Defense Health Care Reform: Actions Needed to Help Realize Potential Cost Savings from Medical Education and Training. GAO-14-630. Washington, D.C: July 31, 2014.", "Defense Infrastructure: DOD\u2019s Excess Capacity Estimating Methods Have Limitations. GAO-13-535. Washington, D.C.: June 20, 2013.", "Defense Infrastructure: Communities Need Additional Guidance and Information to Improve Their Ability to Adjust to DOD Installation Closure or Growth. GAO-13-436. Washington, D.C.: May 14, 2013.", "Military Bases: Opportunities Exist to Improve Future Base Realignment and Closure Rounds. GAO-13-149. Washington, D.C.: March 7, 2013.", "DOD Joint Bases: Management Improvements Needed to Achieve Greater Efficiencies. GAO-13-134. Washington, D.C.: November 15, 2012.", "Military Base Realignments and Closures: The National Geospatial- Intelligence Agency\u2019s Technology Center Construction Project. GAO-12-770R. Washington, D.C.: June 29, 2012.", "Military Base Realignments and Closures: Updated Costs and Savings Estimates from BRAC 2005. GAO-12-709R. Washington, D.C.: June 29, 2012.", "Military Base Realignments and Closures: Key Factors Contributing to BRAC 2005 Results. GAO-12-513T. Washington, D.C.: March 8, 2012.", "Excess Facilities: DOD Needs More Complete Information and a Strategy to Guide Its Future Disposal Efforts. GAO-11-814. Washington, D.C.: September 19, 2011.", "Military Base Realignments and Closures: Review of the Iowa and Milan Army Ammunition Plants. GAO-11-488R. Washington, D.C.: April 1, 2011.", "Defense Infrastructure: High-Level Federal Interagency Coordination Is Warranted to Address Transportation Needs beyond the Scope of the Defense Access Roads Program. GAO-11-165. Washington, D.C.: January 26, 2011.", "Military Base Realignments and Closures: DOD Is Taking Steps to Mitigate Challenges but Is Not Fully Reporting Some Additional Costs. GAO-10-725R. Washington, D.C.: July 21, 2010.", "Defense Infrastructure: Army Needs to Improve Its Facility Planning Systems to Better Support Installations Experiencing Significant Growth. GAO-10-602. Washington, D.C.: June 24, 2010.", "Military Base Realignments and Closures: Estimated Costs Have Increased While Savings Estimates Have Decreased Since Fiscal Year 2009. GAO-10-98R. Washington, D.C.: November 13, 2009.", "Military Base Realignments and Closures: Transportation Impact of Personnel Increases Will Be Significant, but Long-Term Costs Are Uncertain and Direct Federal Support Is Limited. GAO-09-750. Washington, D.C.: September 9, 2009.", "Military Base Realignments and Closures: DOD Needs to Update Savings Estimates and Continue to Address Challenges in Consolidating Supply- Related Functions at Depot Maintenance Locations. GAO-09-703. Washington, D.C.: July 9, 2009.", "Defense Infrastructure: DOD Needs to Periodically Review Support Standards and Costs at Joint Bases and Better Inform Congress of Facility Sustainment Funding Uses. GAO-09-336. Washington, D.C.: March 30, 2009.", "Military Base Realignments and Closures: DOD Faces Challenges in Implementing Recommendations on Time and Is Not Consistently Updating Savings Estimates. GAO-09-217. Washington, D.C.: January 30, 2009.", "Military Base Realignments and Closures: Army Is Developing Plans to Transfer Functions from Fort Monmouth, New Jersey, to Aberdeen Proving Ground, Maryland, but Challenges Remain. GAO-08-1010R. Washington, D.C.: August 13, 2008.", "Defense Infrastructure: High-Level Leadership Needed to Help Communities Address Challenges Caused by DOD-Related Growth. GAO-08-665. Washington, D.C.: June 17, 2008.", "Defense Infrastructure: DOD Funding for Infrastructure and Road Improvements Surrounding Growth Installations. GAO-08-602R. Washington, D.C.: April 1, 2008.", "Military Base Realignments and Closures: Higher Costs and Lower Savings Projected for Implementing Two Key Supply-Related BRAC Recommendations. GAO-08-315. Washington, D.C.: March 5, 2008.", "Defense Infrastructure: Realignment of Air Force Special Operations Command Units to Cannon Air Force Base, New Mexico. GAO-08-244R. Washington, D.C.: January 18, 2008.", "Military Base Realignments and Closures: Estimated Costs Have Increased and Estimated Savings Have Decreased. GAO-08-341T. Washington, D.C.: December 12, 2007.", "Military Base Realignments and Closures: Cost Estimates Have Increased and Are Likely to Continue to Evolve. GAO-08-159. Washington, D.C.: December 11, 2007.", "Military Base Realignments and Closures: Impact of Terminating, Relocating, or Outsourcing the Services of the Armed Forces Institute of Pathology. GAO-08-20. Washington, D.C.: November 9, 2007.", "Military Base Realignments and Closures: Transfer of Supply, Storage, and Distribution Functions from Military Services to Defense Logistics Agency. GAO-08-121R. Washington, D.C.: October 26, 2007.", "Defense Infrastructure: Challenges Increase Risks for Providing Timely Infrastructure Support for Army Installations Expecting Substantial Personnel Growth. GAO-07-1007. Washington, D.C.: September 13, 2007.", "Military Base Realignments and Closures: Plan Needed to Monitor Challenges for Completing More Than 100 Armed Forces Reserve Centers. GAO-07-1040. Washington, D.C.: September 13, 2007.", "Military Base Realignments and Closures: Observations Related to the 2005 Round. GAO-07-1203R. Washington, D.C.: September 6, 2007.", "Military Base Closures: Projected Savings from Fleet Readiness Centers Likely Overstated and Actions Needed to Track Actual Savings and Overcome Certain Challenges. GAO-07-304. Washington, D.C.: June 29, 2007.", "Military Base Closures: Management Strategy Needed to Mitigate Challenges and Improve Communication to Help Ensure Timely Implementation of Air National Guard Recommendations. GAO-07-641. Washington, D.C.: May 16, 2007.", "Military Base Closures: Opportunities Exist to Improve Environmental Cleanup Cost Reporting and to Expedite Transfer of Unneeded Property. GAO-07-166. Washington, D.C.: January 30, 2007.", "Military Bases: Observations on DOD\u2019s 2005 Base Realignment and Closure Selection Process and Recommendations. GAO-05-905. Washington, D.C.: July 18, 2005.", "Military Bases: Analysis of DOD\u2019s 2005 Selection Process and Recommendations for Base Closures and Realignments. GAO-05-785. Washington, D.C.: July 1, 2005.", "Military Base Closures: Observations on Prior and Current BRAC Rounds. GAO-05-614. Washington, D.C.: May 3, 2005.", "Military Base Closures: Assessment of DOD\u2019s 2004 Report on the Need for a Base Realignment and Closure Round. GAO-04-760. Washington, D.C.: May 17, 2004."], "subsections": []}], "fastfact": []} {"id": "GAO-19-14", "url": "https://www.gao.gov/products/GAO-19-14", "title": "Improper Payments: Additional Guidance Needed to Improve Oversight of Agencies with Noncompliant Programs", "published_date": "2018-12-07T00:00:00", "released_date": "2018-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Government-wide estimated improper payments totaled almost $1.4 trillion from fiscal year 2003 through fiscal year 2017. IPERA requires IGs to annually assess and report on whether executive branch agencies complied with the six criteria to (1) publish an agency financial report or performance accountability report, (2) conduct program-specific improper payment risk assessments, (3) publish improper payment estimates, (4) publish corrective action plans, (5) publish and meet annual improper payment reduction targets, and (6) report a gross improper payment rate of less than 10 percent.", "This report examines the extent to which", "1. CFO Act agencies complied with IPERA criteria for fiscal years 2016 and 2017, and the trends evident since 2011, as reported by their IGs;", "2. CFO Act agencies addressed requirements for programs reported as noncompliant with IPERA criteria for 3 or more consecutive years, as of fiscal year 2016, and communicated their strategies to Congress for reducing improper payments and achieving compliance; and", "3. OMB made determinations regarding whether additional funding would help CFO Act agency programs reported as noncompliant with IPERA criteria for 2 consecutive years, as of fiscal years 2016 and 2017, come into compliance.", "GAO analyzed the IGs' fiscal years 2016 and 2017 IPERA compliance reports; reviewed prior GAO reports on agencies' IPERA compliance; reviewed agency information submitted to Congress; and made inquiries to OMB, applicable agencies, and IGs; and assessed such information based on relevant IPERA provisions and OMB and other guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["Over half of the 24 Chief Financial Officers Act of 1990 (CFO Act) agencies were reported by their inspectors general (IG) as noncompliant with one or more criteria under the Improper Payments Elimination and Recovery Act of 2010 (IPERA) for fiscal years 2016 and 2017. Nine CFO Act agencies have been reported as noncompliant in one or more programs every year since the implementation of IPERA in fiscal year 2011, totaling 7 consecutive years of noncompliance.", "The IGs of the 14 noncompliant agencies reported that a total of 58 programs were responsible for the identified instances of noncompliance in fiscal year 2017. Further, 18 of the 58 programs at 9 agencies were reported as noncompliant for 3 or more consecutive years. Fourteen of these 18 programs accounted for an estimated $74.4 billion of the $141 billion total estimated improper payments for fiscal year 2017; the other 4 programs did not report improper payment estimates. This sum may include estimates that are of unknown reliability. The $74.4 billion is primarily composed of estimates reported for two noncompliant programs, the Department of Health and Human Services' Medicaid program and the Department of the Treasury's (Treasury) Earned Income Tax Credit program; estimated improper payments for these two programs are also a central part of certain high-risk areas in GAO's 2017 High-Risk List.", "Agencies with any program reported as noncompliant for 3 or more consecutive years are required to notify Congress of their program's consecutive noncompliance and submit a proposal for reauthorization or statutory change to bring that program into compliance. GAO found that three agencies with one or more programs reported as noncompliant for 3 or more consecutive years, as of fiscal year 2016, did not notify Congress or submit the required proposals. The Departments of Labor and the Treasury submitted proposed legislative changes in response to their programs being previously reported as noncompliant, but did not notify Congress of the programs' continued noncompliance as of fiscal year 2016. The U.S. Department of Agriculture (USDA) has not notified Congress despite prior GAO and USDA IG recommendations to do so. To address these issues, in June 2018 the Office of Management and Budget (OMB) updated its guidance to clarify the notification requirements for each consecutive year a program is reported as noncompliant.", "GAO found that five agencies did notify Congress as required, and included additional quality information that is not specifically required, but could be useful in updating Congress on their compliance efforts. For example, all five agencies provided information on the root causes, risks, changes, or issues affecting their efforts and corrective actions or strategies to address them; three agencies provided other quality information on accountability mechanisms, designated senior officials, and measurable milestones.", "In June 2018, OMB updated its guidance to clarify agency reporting requirements for programs reported as noncompliant for 3 or more consecutive years. However, the updated guidance does not direct agencies to include the types of quality information included in these five agencies' notifications for fiscal year 2016. GAO's Standards for Internal Control in the Federal Government emphasizes the importance of communicating quality information, such as significant matters affecting agencies' efforts to achieve compliance objectives. Such information could be useful in understanding the current challenges of these programs and is essential for assessing agency efforts to address high-risk and other issues. As a result, Congress could have more complete information to effectively oversee agency efforts to address program noncompliance for 3 or more consecutive years.", "When programs are reported as noncompliant for 2 consecutive years, IPERA gives OMB authority to determine whether additional funding is needed to help resolve the noncompliance. In April 2018, OMB staff stated that they determined that no additional funding was needed for the 15 programs that were reported as noncompliant for 2 consecutive years, as of fiscal year 2016, and that they primarily rely on the IGs' recommendations in their annual IPERA compliance reports when making funding determinations. OMB staff subsequently stated that they no longer need to conduct a detailed review of the IGs' IPERA compliance reports to identify recommendations related to additional funding needs. Instead, OMB updated its guidance in June 2018 to direct agencies to submit proposals to OMB regarding additional funding needs to help address IPERA noncompliance and clarified that the funding determination process will unfold as part of the annual development of the President's Budget. As of September 2018, OMB was in the process of making funding determinations for 12 programs that were reported as noncompliant as of fiscal year 2017 and stated that any determinations made would be developed in the President's Budget for fiscal year 2020."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that OMB update its guidance to specify other types of quality information that agencies with programs noncompliant for 3 or more consecutive years should include in their notifications to Congress, such as significant matters related to risks, issues, root causes, measurable milestones, designated senior officials, accountability mechanisms, and corrective actions or strategies planned or taken by agencies to achieve compliance.", "GAO provided a draft of this report to OMB and requested comments, and OMB said that it had no comments. GAO also provided a draft of this report to the 24 CFO Act agencies and their IGs and requested comments. In its written comments, the Social Security Administration (SSA) stated that it provided information on measurable milestones, designated senior officials, and accountability mechanisms in its agency financial report. However, SSA did not provide this information in its notifications to Congress for programs reported as noncompliant under IPERA as of fiscal year 2016. GAO believes that OMB should take steps to update OMB's guidance to help ensure that agencies report such significant information and include it in their notifications to Congress. In addition, several agencies and IGs provided technical comments, which were incorporated in the report as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Improper payments\u2014payments that should not have been made or were made in incorrect amounts\u2014have been estimated to total almost $1.4 trillion government-wide from fiscal years 2003 through 2017. Estimates of total improper payments have increased over the years\u2014 from $35 billion for 27 programs in fiscal year 2003 to approximately $141 billion for 90 programs in fiscal year 2017. It is important to note that these estimates themselves may not be accurate, reliable, or complete, because, as we have reported, the federal government is unable to determine the full extent to which improper payments occur and reasonably assure that appropriate actions are taken to reduce them. In addition, certain inspectors general (IG) have reported issues with their agencies\u2019 reported improper payment estimates that were caused by insufficient sampling methods and flawed estimation methodologies for calculating and reporting improper payment estimates.", "Fiscal year 2017 marked the seventh year of the implementation of the Improper Payments Elimination and Recovery Act of 2010 (IPERA), which, among other things, requires federal agencies\u2019 IGs to annually assess and report on whether the agencies under their jurisdiction have complied with six IPERA criteria. The IGs\u2019 annual IPERA compliance reports serve a key function to reasonably assure that improper payment estimates are accurate, reliable, and complete and that Congress has information on agencies\u2019 efforts to address improper payments. We previously reported on agencies\u2019 IPERA compliance for fiscal years 2011 through 2015, as reported by the IGs.", "We performed our work under the authority of the Comptroller General to conduct evaluations on his own initiative and to assist Congress with its oversight responsibilities. We conducted this audit to summarize and evaluate agency compliance under IPERA for fiscal years 2016 and 2017, as reported by their IGs. Specifically, this report discusses the extent to which (1) agencies listed in the Chief Financial Officers Act of 1990, as amended, (CFO Act) complied with the six criteria listed in IPERA for fiscal years 2016 and 2017, and the trends evident since fiscal year 2011, as reported by their IGs; (2) CFO Act agencies addressed the requirements for programs and activities reported as noncompliant with IPERA criteria for 3 or more consecutive years, as of fiscal year 2016, and communicated their strategies to Congress for reducing improper payments and achieving compliance; and (3) the Office of Management and Budget (OMB) made determinations regarding whether additional funding would help CFO Act agency programs and activities reported as noncompliant with IPERA criteria for 2 consecutive years to come into compliance, as of fiscal years 2016 and 2017. We focused on the 24 agencies listed in the CFO Act because estimates of their improper payments represent over 99 percent of the total reported estimated improper payments for fiscal years 2016 and 2017.", "To determine the extent to which CFO Act agencies were reported as compliant with the six criteria listed in IPERA for fiscal years 2016 and 2017, and trends evident since fiscal year 2011, we reviewed the IGs\u2019 IPERA compliance reports issued for fiscal years 2016 and 2017 and identified trends in agencies\u2019 compliance, and their respective programs\u2019 and activities\u2019 compliance, since fiscal year 2011 based on results summarized in our prior reports.", "To determine the extent to which CFO Act agencies addressed the requirements for programs and activities reported as noncompliant for 3 or more consecutive years as of fiscal year 2016, we requested and reviewed the applicable agencies\u2019 notifications to Congress provided by the respective agencies. In addition, we reviewed the content of agencies\u2019 notifications to evaluate their efforts to communicate quality information to Congress, consistent with Principle 15 of Standards for Internal Control in the Federal Government, which emphasizes the need for an entity\u2019s management to externally communicate the necessary, quality information\u2014such as significant matters related to risks, changes, or issues concerning their strategies for achieving compliance. We did not evaluate the sufficiency and completeness of the agency-provided information.", "To determine the extent to which OMB made determinations regarding whether additional funding would help CFO Act agency programs and activities reported as noncompliant for 2 consecutive years come into compliance, as of fiscal years 2016 and 2017, we interviewed key OMB staff on their process for determining additional funding needs for noncompliant programs and activities and reviewed the applicable agencies\u2019 IG compliance reports that OMB staff stated they relied on when making such determinations. Lastly, we corroborated our findings with OMB, the 24 CFO Act agencies, and their IGs. Appendix I provides additional information on our scope and methodology.", "We conducted this performance audit from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In November 2002, Congress passed and the President signed the Improper Payments Information Act of 2002 (IPIA), which was later amended by IPERA and the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA). The amended legislation requires executive branch agencies to (1) review all programs and activities and identify those that may be susceptible to significant improper payments (commonly referred to as a risk assessment), (2) publish improper payment estimates for those programs and activities that the agency identified as being susceptible to significant improper payments, (3) implement corrective actions to reduce improper payments and set reduction targets, and (4) report on the results of addressing the foregoing requirements.", "In addition to the agencies\u2019 identifying programs and activities that are susceptible to significant improper payments, OMB designates as high priority the programs with the most egregious cases of improper payments. Specifically, under a provision added to IPIA by IPERIA, OMB is required to annually identify a list of high-priority federal programs in need of greater oversight and review. In general, for fiscal years 2014 through 2017, OMB implemented this requirement by designating high- priority programs based on a threshold of $750 million in estimated improper payments for a given fiscal year. OMB also plays a key role in implementing laws related to improper payment reporting. Specifically, OMB is directed by statute to provide guidance to federal agencies on estimating, reporting, reducing, and recovering improper payments.", "IPERA also requires executive agencies\u2019 IGs to annually determine and report on whether their respective agencies complied with certain IPERA- related criteria. If an agency does not meet one or more of the six IPERA criteria for any of its programs or activities, the agency is considered noncompliant overall. The six criteria are as follows: 1. publish a report in the form and content required by OMB\u2014typically an agency financial report (AFR) or a performance and accountability report (PAR)\u2014for the most recent fiscal year, and post that report on the agency website; 2. conduct a program-specific risk assessment, if required, for each program or activity that conforms with IPIA as amended; 3. publish improper payment estimates for all programs and activities deemed susceptible to significant improper payments under the agency\u2019s risk assessments; 4. publish corrective action plans for those programs and activities assessed to be at risk for significant improper payments; 5. publish and meet annual reduction targets for all programs and activities assessed to be at risk for significant improper payments; and 6. report a gross improper payment rate of less than 10 percent for each program and activity for which an improper payment estimate was published.", "Under IPERA, agencies reported by their IG as not in compliance with any of these criteria in a fiscal year are required to submit a plan to Congress describing the actions they will take to come into compliance, and such plans shall include measureable milestones, the designation of senior accountable officials, and the establishment of accountability mechanisms to achieve compliance. OMB guidance states that agencies are required to submit these plans to Congress and OMB in the first year of reported noncompliance.", "When agency programs are reported as noncompliant for consecutive years, IPERA and OMB guidance requires agencies and OMB to take additional actions. Specifically, an agency with a program reported as noncompliant for 3 or more consecutive years is required to submit to Congress within 30 days of the IG\u2019s report either (1) a reauthorization proposal for the program or (2) the proposed statutory changes necessary to bring the program or activity into compliance. We previously recommended that when agencies determine that reauthorization or statutory changes are not necessary to bring the programs into compliance, the agencies should state so in their notifications to Congress. Effective starting with fiscal year 2018 reporting, OMB updated its guidance to instruct agencies with programs reported as noncompliant for 3 consecutive years to explain what the agency is doing to achieve compliance if a reauthorization proposal or proposed statutory change will not bring a program into compliance with IPERA. The updated guidance also instructs agencies with programs reported as noncompliant for 4 or more consecutive years to submit a report to Congress and OMB (within 30 days of the IG\u2019s determination of noncompliance) detailing the activities taken and still being pursued to prevent and reduce improper payments.", "If agency programs are reported as noncompliant under IPERA for 2 consecutive years, and the Director of OMB determines that additional funding would help the agency come into compliance, the head of the agency must obligate additional funding in the amount determined by the Director to intensify compliance efforts. IPERA directs the agency to exercise any reprogramming or transfer authority that the agency may have to provide additional funding to meet the level determined by OMB and, if necessary, submit a request to Congress for additional reprogramming or transfer authority to meet the full level of funding determined by OMB. Table 1 summarizes agency and OMB requirements related to agency programs that are noncompliant under IPERA, as reported by their IGs."], "subsections": []}, {"section_title": "Over Half of the CFO Act Agencies Were Reported as Noncompliant under IPERA for Fiscal Years 2016 and 2017, and Consecutive Years of Noncompliance Continue for Certain Programs", "paragraphs": [], "subsections": [{"section_title": "Over Half of the Agencies Were Reported as Noncompliant for Fiscal Years 2016 and 2017", "paragraphs": ["Seven years after the initial implementation of IPERA, over half of the 24 CFO Act agencies were reported as noncompliant by their IGs for fiscal years 2016 and 2017. Specifically, 13 agencies were reported as noncompliant with one or more IPERA criteria for fiscal year 2016, and 14 agencies were reported as noncompliant for fiscal year 2017 (see fig. 1). Nine of these agencies have been reported as noncompliant in one or more programs every year since IPERA was implemented in 2011 (see app. II for additional details on CFO Act agencies\u2019 compliance under IPERA for fiscal years 2011 through 2017, as reported by their IGs).", "Although the number of agencies reported as noncompliant under IPERA has varied slightly since fiscal year 2011, the total instances of noncompliance for all six criteria substantially improved after fiscal year 2011, when IPERA was first implemented. As shown in figure 2, the total instances decreased from 38 instances (for 14 noncompliant agencies) for fiscal year 2011 to 26 instances (for 14 noncompliant agencies) for fiscal year 2017.", "Also, for fiscal year 2017, 7 of 14 agencies were reported as noncompliant for only one criterion per noncompliant program. Of these, 6 agencies\u2014the Departments of Homeland Security (DHS), Education (Education), Commerce, and Transportation; the General Services Administration; and the Social Security Administration (SSA)\u2014were only reported as noncompliant with the IPERA criterion that requires agencies to publish and meet reduction targets. In addition, the Department of the Treasury (Treasury) was only reported as noncompliant with the IPERA criterion that requires agencies to report improper payment rates below 10 percent.", "Furthermore, the programs reported as noncompliant for fiscal year 2017 accounted for a significantly smaller portion of the total reported estimated improper payments as compared to the noncompliant programs for fiscal year 2015. Specifically, we previously reported that 52 noncompliant programs accounted for $132 billion (or about 96 percent) of the $137 billion total reported estimated improper payments for fiscal year 2015, whereas 58 noncompliant programs accounted for $80 billion (or about 57 percent) of the $141 billion total reported estimated improper payments for fiscal year 2017. Although improper payment estimates associated with noncompliant programs vary from year to year, this decrease (approximately $52 billion) was primarily due to two programs. Specifically, the Department of Health and Human Services\u2019 (HHS) Medicare Fee-for-Service (Parts A and B) and Medicare Part C programs were reported as noncompliant and accounted for approximately $43 billion and $14 billion, respectively, of estimated improper payments for fiscal year 2015. These programs were reported as compliant for fiscal year 2017 and accounted for approximately $36 billion and $14 billion, respectively, or about 36 percent of the $141 billion total reported improper payments for fiscal year 2017."], "subsections": []}, {"section_title": "Certain Programs Continue to Be Reported as Noncompliant for Consecutive Years", "paragraphs": ["Almost a third (18 programs) of the 58 programs that contributed to 14 CFO Act agencies\u2019 noncompliance under IPERA, as of fiscal year 2017, were reported as noncompliant for 3 or more consecutive years. The number of programs noncompliant for 3 or more consecutive years has continually increased since fiscal year 2015, as shown in figure 3. Specifically, 12 programs (associated with 7 agencies) were reported as noncompliant for 3 or more consecutive years, as of fiscal year 2015, and the number increased to 14 programs (associated with 8 agencies) and 18 programs (associated with 9 agencies), as of fiscal years 2016 and 2017, respectively.", "These programs accounted for a substantial portion of the $141 billion total estimated improper payments for fiscal year 2017. As shown in table 2, 14 of the 18 programs that were reported as noncompliant for 3 or more consecutive years reported improper payment estimates that accounted for an estimated $74.4 billion (about 53 percent) of the $141 billion, while the other 4 programs did not report improper payment estimates for fiscal year 2017 and were reported by their respective IGs as noncompliant with the IPERA criterion to publish improper payment estimates. The $74.4 billion is primarily composed of estimates reported for 2 noncompliant programs\u2014HHS\u2019s Medicaid program ($36.7 billion) and Treasury\u2019s Earned Income Tax Credit program ($16.2 billion)\u2014 totaling $52.9 billion (or approximately 71 percent of the $74.4 billion). Improper payments associated with these two noncompliant programs are also a central part of two areas included in our 2017 High-Risk List, which includes federal programs and operations that are especially vulnerable to waste, fraud, abuse, and mismanagement, or that need transformative change.", "Eight of the 18 noncompliant programs have been reported as noncompliant since the implementation of IPERA in fiscal year 2011, for a total of 7 consecutive years, as shown in table 2. Reported compliance for Treasury\u2019s Earned Income Tax Credit improved from being reported as noncompliant with multiple IPERA criteria in fiscal year 2013 to noncompliance with only one criterion for the last 4 years (fiscal years 2014 through 2017)."], "subsections": []}]}, {"section_title": "CFO Act Agencies Did Not Always Notify Congress, and They Provided Varying Information on Programs Reported as Noncompliant for 3 or More Consecutive Years", "paragraphs": ["Eight CFO Act agencies\u2019 programs were reported as noncompliant under IPERA for 3 or more consecutive years, as of fiscal year 2016. Three of these agencies did not notify Congress of their program\u2019s continued noncompliance as required. In addition to submitting the required notifications for their noncompliant programs, the other five agencies also included additional information in their notifications\u2014such as measurable milestones, designation of senior officials, and accountability mechanisms\u2014useful for assessing their efforts to achieve compliance. In June 2018, OMB updated its guidance to clarify agency reporting requirements for each consecutive year a program is reported as noncompliant. However, OMB\u2019s updated guidance did not direct agencies to include other types of quality information in their notifications for programs reported as noncompliant for 3 or more consecutive years that could help Congress to more effectively assess their efforts to address long-standing challenges and other issues affecting these programs and to achieve compliance."], "subsections": [{"section_title": "CFO Act Agencies with Programs Reported as Noncompliant for 3 or More Consecutive Years Did Not Always Notify Congress", "paragraphs": ["Of the eight agencies with programs reported as noncompliant under IPERA for 3 or more consecutive years as of fiscal year 2016, we found that five agencies notified Congress of their noncompliance as required. Specifically, the Department of Defense (DOD), Education, HHS, DHS, and SSA notified Congress of their programs\u2019 reported noncompliance for 3 or more consecutive years as of fiscal year 2016 as required by IPERA and OMB guidance. The remaining three agencies\u2014the U.S. Department of Agriculture (USDA), the Department of Labor (DOL), and Treasury\u2014 did not notify Congress as required.", "Additional information regarding the three agencies that did not submit their required notifications to Congress is summarized below:", "USDA: In May 2017, the USDA IG reported that four USDA Food and Nutrition Service programs\u2014Child and Adult Care Food Program; National School Lunch Program; School Breakfast Program; and Special Supplemental Nutrition Program for Women, Infants, and Children\u2014had been noncompliant for 6 consecutive years, as of fiscal year 2016. However, USDA has not notified Congress of these programs\u2019 continued noncompliance with IPERA as of fiscal year 2016, despite prior recommendations that we, and the USDA IG, made to USDA to do so. USDA staff stated in May 2018 that USDA drafted, but had not submitted, a letter to Congress regarding these programs\u2019 noncompliance.", "DOL: In June 2017, the DOL IG reported that the Unemployment Insurance Benefit program had been noncompliant for 6 consecutive years, as of fiscal year 2016. In October 2016, DOL included proposed legislation in its last notification to Congress regarding this program, approximately 8 months prior to the DOL IG\u2019s IPERA compliance report. However, because the requirement for agencies to notify Congress is triggered by IG reporting of programs that are noncompliant for 3 or more consecutive years, DOL should have also notified Congress regarding the program\u2019s continued noncompliance in fiscal year 2016 after the IG\u2019s report was issued in June 2017. DOL staff stated in August 2018 that the proposed legislation included in its October 2016 notification had not been enacted and that DOL is currently working to develop a new report to Congress and OMB detailing corrective actions taken to bring the program into compliance.", "Treasury: In May 2017, the Treasury IG reported that the Earned Income Tax Credit (EITC) program had been noncompliant for 6 consecutive years, as of fiscal year 2016. We previously reported that Treasury submitted proposed statutory changes to Congress for this program in August 2014 and in June 2015. As stated in the Treasury IG\u2019s fiscal year 2016 IPERA compliance report, the proposed statutory changes would help prevent the improper issuance of billions of dollars in refunds as it would provide the Internal Revenue Service (IRS) with expanded authority to systematically correct erroneous claims that are identified when tax returns are processed and allow IRS to deny erroneous EITC refund claims before they are paid. Further, Treasury stated that IRS has repeatedly requested authority to correct such errors in subsequent fiscal year budgets, including its fiscal year 2019 budget submission. In June 2018, Treasury staff stated that the Consolidated Appropriations Act, 2016 provided IRS with additional tools for reducing EITC improper payments; however, the act did not expand IRS\u2019s authority to systematically correct the erroneous claims that are identified when tax returns are processed.", "Treasury staff also stated that the department has continued to coordinate with OMB on required reporting for the EITC program because of the program\u2019s complexity, and that OMB has not requested additional actions or documentation regarding the program\u2019s noncompliance. Although continued coordination with OMB is important, Treasury did not notify Congress regarding the EITC program\u2019s continued noncompliance as required.", "In summary, despite reporting requirements in IPERA and OMB guidance, one agency (USDA) has not notified Congress about four programs being reported as noncompliant for 6 consecutive years, as of fiscal year 2016. The remaining two agencies (DOL and Treasury) that did not notify Congress of their programs\u2019 consecutive noncompliance, as of fiscal year 2016, submitted notifications to Congress prior to their respective IGs\u2019 fiscal year 2016 compliance results. However, IPERA requires agencies to notify Congress when programs are reported as noncompliant for more than 3 consecutive years and thus DOL and Treasury should have also notified Congress about their programs\u2019 being reported as noncompliant for 6 consecutive years, as of fiscal year 2016.", "It is important that agencies continue to notify Congress of their programs\u2019 consecutive noncompliance each year after the third consecutive year as the information related to their proposals or regarding their IPERA compliance efforts included in prior years\u2019 notifications to Congress may significantly change over time. Unless agencies continue to notify Congress in subsequent years, Congress may lack the current and relevant information needed to effectively assess agencies\u2019 proposals or monitor their efforts to address problematic programs in a timely manner. OMB updated its guidance in June 2018 to provide more clarity regarding the notification requirements for each consecutive year a program is reported as noncompliant. Effective implementation of this guidance may help ensure that agencies consistently provide required information to Congress on these programs in future years."], "subsections": []}, {"section_title": "Certain Agencies Provided Additional Quality Information on IPERA Compliance Efforts in Their Notifications to Congress", "paragraphs": ["We found that the five agencies\u2014DOD, DHS, Education, HHS, and SSA\u2014that notified Congress regarding their programs\u2019 reported noncompliance for 3 or more consecutive years, as of fiscal year 2016, also included additional information about their efforts to achieve IPERA compliance. Although IPERA does not specifically require that agency proposals for reauthorization or other statutory change provide such information, including it could help Congress to better assess the agencies\u2019 proposals included in these notifications and to oversee agency efforts to address long-standing challenges and compliance issues associated with these programs.", "In many instances, the types of additional information provided by these agencies are similar to information that agencies are required to provide to Congress or OMB in other required notifications or other reports, such as annual AFRs or PARs. For example, all improper payment estimates reported under IPIA, as amended, must be accompanied by information on what the agency is doing to reduce improper payments, including a description of root causes and the steps the agency has taken to ensure accountability. Further, IPERA and OMB guidance require agencies to provide corrective action plans to Congress for programs reported as noncompliant for 1 year. Such plans should include actions planned or taken to address the program\u2019s noncompliance, measurable milestones, a senior official designated to oversee progress, and the accountability mechanisms in place to hold the senior official accountable.", "In addition, GAO\u2019s Standards for Internal Control in the Federal Government emphasizes the importance of communicating quality information, such as significant matters related to risks, changes, or issues affecting agencies\u2019 efforts to achieve compliance objectives, to external parties\u2014such as legislators, oversight bodies, and the general public. Furthermore, in our fiscal year 2017 High-Risk Update, we also highlight the importance of these types of information when assessing agency efforts to address issues associated with programs included on our High-Risk List. Examples of such information include (1) action plans that are accessible and transparent with clear milestones and metrics, including established goals and performance measures to address identified root causes; (2) leadership commitment of top (or senior) officials to establish long-term priorities and goals and continued oversight and accountability; (3) monitoring progress against goals, assessing program performance, or reporting potential risks; and (4) demonstrated progress, through recommendations implemented, actions taken for improvement, and effectively addressing identified root causes and managing high-risk issues.", "Table 3 summarizes the types of additional information described above that the five agencies provided in their fiscal year 2016 notifications to Congress to address programs with 3 or more consecutive years of noncompliance. All five agencies informed Congress of (1) root causes that directly lead to improper payments or hindered the program\u2019s ability to achieve compliance; (2) certain risks, significant changes, or issues affecting their efforts; and (3) their corrective actions or strategies to achieve compliance. Three of the five agencies\u2014DOD, Education, and DHS\u2014also included the other types of additional information described above in their notifications, including measurable milestones, designated senior officials to oversee progress, and accountability mechanisms established to help achieve compliance. For example, all three agencies designated their chief financial officers (CFO) to oversee progress toward achieving measurable milestones and expanded their official roles and responsibilities to hold them accountable. Education and DHS stated that these responsibilities were added to their respective CFOs\u2019 individual performance plans.", "Although OMB updated its guidance in June 2018 to clarify agency reporting requirements related to programs reported as noncompliant for 3 or more consecutive years, the updated guidance did not direct agencies to include other types of quality information in their notifications, such as those described above. In addition, information related to measurable milestones, corrective actions, risks, issues, or other items affecting agencies\u2019 efforts may change significantly over time. With this additional information, Congress could have more complete information to effectively oversee agency efforts to address long-standing challenges and other issues that have contributed to programs being reported as noncompliant for 3 or more consecutive years."], "subsections": []}]}, {"section_title": "OMB Updated Guidance for Determining Additional Funding Needs for Programs Reported as Noncompliant for 2 Consecutive Years", "paragraphs": ["Fifteen programs in seven agencies and 12 programs in six agencies were reported as noncompliant for 2 consecutive years as of fiscal years 2016 and 2017, respectively. For agencies reported as noncompliant under IPERA for 2 consecutive years for the same program, IPERA gives the Director of OMB the authority to determine whether additional funding would help the agencies come into compliance. If the OMB Director determines that such funding would help, the agency is required to use any available reprogramming or transfer authority to meet the funding level that the OMB Director specified and, if such authorities are not sufficient, submit a request to Congress for additional reprogramming or transfer authority. According to OMB staff, OMB determined that no additional funding was needed for programs reported as noncompliant for 2 consecutive years as of fiscal year 2016. As of September 2018, OMB was in the process of making funding determinations for 12 programs that were reported as noncompliant as of fiscal year 2017 and stated that any determinations made would be developed in the President\u2019s Budget for fiscal year 2020.", "The 12 programs reported as noncompliant for 2 consecutive years, as of fiscal year 2017, accounted for approximately $3 billion (2 percent) of the $141 billion total improper payment estimate for that year. Of these 12 programs, more than half (or 7 of the 12) were attributable to DOD; however, Education\u2019s Pell Grant program accounted for $2.2 billion (or 74 percent) of the $3 billion in improper payment estimates for programs reported as noncompliant programs for 2 consecutive years, for fiscal year 2017. In addition, as shown in table 4, the 12 programs reported as noncompliant for 2 consecutive years, as of fiscal year 2017, were primarily noncompliant with the IPERA criteria that required agencies to publish information in their PAR or AFR or publish and meet reduction targets.", "As noted previously, IPERA gives OMB authority to determine whether additional funding for intensified compliance efforts would help the agency come into compliance under IPERA. Therefore, an established process for making timely, well-informed funding determinations is an essential part of ensuring that agencies have sufficient resources and take steps to intensify their compliance efforts in a timely manner. In April 2018, OMB staff stated that when making funding determinations, they primarily rely on the IGs\u2019 recommendations in their annual IPERA compliance reports. OMB staff also stated that for its fiscal year 2016 determinations, OMB determined that additional funding was not needed because the IGs\u2019 recommendations did not specify that additional funding was needed to help resolve the programs\u2019 noncompliance.", "The IGs\u2019 annual reports provide information on agencies\u2019 IPERA compliance and may be useful to OMB as a tool to help them make determinations for additional funding. However, IPERA does not require IGs to address funding levels in their annual compliance reports, and OMB\u2019s guidance does not inform the IGs that their work might be relied upon in this manner. We reviewed the IGs\u2019 fiscal years 2016 and 2017 IPERA compliance reports for the agencies with programs reported as noncompliant for 2 consecutive years and found that the IGs did not make any recommendations regarding additional funding needed to bring these programs into compliance. In addition, as specifically stated by the IGs for Education and USDA in their IPERA reports, OMB has the statutory responsibility to make these funding determinations. Education IG\u2019s fiscal year 2017 IPERA compliance report stated that \u201cIf OMB recommends that the Department needs additional funding or should take any other actions to become compliant with IPERA, we recommend that the Department implement OMB\u2019s recommendations.\u201d Also, the USDA IG\u2019s fiscal year 2016 IPERA compliance report stated, \u201cFor agencies that are not compliant for 2 consecutive years for the same program, the Director of OMB will determine if additional funding would help these programs come into compliance.\u201d As a result, OMB\u2019s reliance on IG recommendations as the source of information to support additional funding determinations may not provide sufficient information to effectively assess agencies\u2019 funding needs to address noncompliance.", "OMB staff subsequently stated that they no longer need to conduct a detailed review of the IGs\u2019 IPERA compliance reports to identify recommendations related to additional funding needs. Instead, OMB Memorandum M-18-20, issued in June 2018, updated OMB Circular No. A-123, Appendix C, and clarified that the funding determination process will unfold as part of the annual development of the President\u2019s Budget, as described in OMB Circular No. A-11. This updated guidance also directs agencies to submit proposals to OMB regarding additional funding needs that may help them address IPERA noncompliance.", "To illustrate, under this new guidance, the IGs\u2019 fiscal year 2018 IPERA compliance reports will be due in May 2019, and any funding needs to address noncompliance would be incorporated in the next annual budget preparation process, the results of which are due to be submitted to Congress in February 2020 for the President\u2019s Budget for fiscal year 2021. Once OMB\u2019s determinations have been made and communicated to agencies, agencies would respond by performing the required reprogramming and making transfers under existing authority, where available. Any requests for additional transfer authority may be incorporated into subsequent appropriations legislation."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Estimated improper payments reported government-wide total almost $1.4 trillion from fiscal year 2003 through fiscal year 2017. The number of programs reported as noncompliant under IPERA for 3 or more consecutive years has continued to increase, from 12 programs (associated with 7 agencies) to 18 programs (associated with 9 agencies) as of fiscal years 2015 and 2017, respectively. Including additional useful, up-to-date information\u2014such as measurable milestones, risks, or other issues affecting agency efforts to achieve compliance\u2014in notifications to Congress, which are required when programs are reported as noncompliant for 3 or more consecutive years, could help Congress better assess agency efforts to address long-standing challenges and other issues associated with them. Although certain agencies included certain types of additional information in their notifications as of fiscal year 2016, OMB guidance does not require agencies to include such information in their notifications. As a result, Congress may lack sufficient information to effectively oversee agency efforts and take prompt action to help address long-standing challenges or other issues associated with these programs."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Director of OMB should take steps to update OMB guidance to specify other types of quality information that agencies with programs noncompliant for 3 or more consecutive years should include in their notifications to Congress, such as significant matters related to risks, issues, root causes, measurable milestones, designated senior officials, accountability mechanisms, and corrective actions or strategies planned or taken by agencies to achieve compliance. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OMB and requested comments, and OMB said that it had no comments. We also provided a draft of this report to the 24 CFO Act agencies and their IGs and requested comments. We received letters from the DHS Office of Inspector General (OIG), SSA, and the United States Agency for International Development. These letters are reproduced in appendixes V through VII. We also received technical comments from DOL, the Department of Veterans Affairs, the General Services Administration, HHS, the Department of Housing and Urban Development, and the Treasury OIG, which we incorporated in the report as appropriate. The remaining agencies and OIGs either did not provide comments or notified us via email that they had no comments.", "In its comments, SSA stated that it provided information to Congress on measurable milestones, designated senior officials, and accountability mechanisms in its AFR. In the report, we acknowledge that these types of additional information are similar to information that agencies are required to provide to Congress or OMB in other reports, such as annual AFRs. However, our analysis was based on SSA\u2019s fiscal year 2016 notifications to Congress for programs reported as noncompliant under IPERA, in which this specific information was not reported. As such, we continue to believe that OMB should take steps to update OMB guidance to help ensure that agencies report such significant information and include it in their notifications to Congress.", "We are sending copies of this report to the appropriate congressional committees, the Director of the Office of Management and Budget, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions on matters discussed in this report, please contact me at (202) 512-2623 or davisbh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the following: 1. The extent to which the 24 agencies listed in the Chief Financial Officers Act of 1990, as amended (CFO Act), complied with the six criteria listed in the Improper Payments Elimination and Recovery Act of 2010 (IPERA), for fiscal years 2016 and 2017, and the trends evident since 2011, as reported by their inspectors general (IG). 2. The extent to which CFO Act agencies addressed requirements for programs and activities reported as noncompliant with IPERA criteria for 3 or more consecutive years, as of fiscal year 2016, and communicated their strategies to Congress for reducing improper payments and achieving compliance. 3. The extent to which the Office of Management and Budget (OMB) made determinations regarding whether additional funding would help CFO Act programs and activities reported as noncompliant with IPERA criteria for 2 consecutive years, as of fiscal years 2016 and 2017, come into compliance.", "Although the responsibility for complying with provisions of improper payment-related statutes rests with the head of each executive agency, we focused on the 24 agencies listed in the CFO Act because estimates of their improper payments represent over 99 percent of the total reported estimated improper payments for fiscal years 2016 and 2017. Our work did not include validating or retesting the data or methodologies that the IGs used to determine and report compliance. We corroborated all of our findings with OMB and all 24 CFO Act agencies and IGs.", "To address our first objective, we identified the requirements that agencies must meet by reviewing the Improper Payments Information Act of 2002 (IPIA), IPERA, and OMB guidance. We reviewed the CFO Act agency IGs\u2019 IPERA compliance reports for fiscal years 2016 and 2017, which were the most current reports available at the time of our review.", "We summarized the overall agency and program-specific compliance determinations with the six IPERA criteria, as reported by the IGs. For fiscal years 2011 through 2015, we relied on and reviewed prior year supporting documentation and analyses of CFO Act agencies\u2019 IPERA compliance, as reported in our prior reports, in order to identify compliance trends since 2011, as reported by the IGs. Based on these reports, we summarized the programs and the number of consecutive years that they were reported as noncompliant. For each IG report that did not specifically state that the agency had programs noncompliant for consecutive years, we compared the list of programs reported as noncompliant for fiscal years 2016 and 2017 to the list of programs reported as noncompliant for fiscal years 2014 and 2015 in our prior reports. Lastly, we corroborated our findings with OMB and all 24 CFO Act agencies and IGs.", "To address our second objective, we determined if the agencies responsible for programs and activities reported as noncompliant for 3 or more consecutive years as of fiscal year 2016 had submitted the required proposals (reauthorizations or statutory changes) to Congress by requesting and reviewing documentation of the required submissions and relevant notifications to Congress obtained from each applicable agency. Further, we reviewed the content of each agency notification to evaluate agencies\u2019 efforts to communicate quality information to Congress concerning their strategies for achieving compliance consistent with Standards for Internal Control in the Federal Government. Principle 15 of these standards emphasizes the need for an entity\u2019s management to communicate necessary quality information, such as significant matters related to risks, changes, or issues affecting agencies\u2019 efforts, to achieve compliance objectives, to external parties\u2014such as legislators, oversight bodies, and the general public. To identify other types of information useful for this purpose, we reviewed IPIA, as amended; IPERA; and OMB guidance for information agencies are required to provide to Congress or OMB in other notifications and reports, such as their corrective action plans or strategies, measurable milestones, designated senior officials, and accountability mechanisms for achieving compliance. We also reviewed information used to assess agency efforts to address issues associated with programs on our High-Risk List.", "To determine the extent to which agencies\u2019 notifications to Congress included these additional types of useful information for their applicable program(s), we used a data collection instrument to document our determinations regarding the additional types of quality information included in each notification. In addition, two GAO analysts independently reviewed each agency\u2019s notification and documented their determinations regarding the types of information included in the notifications. Differences between the analysts\u2019 determinations were identified and resolved to ensure that the types of additional information were consistently identified and categorized. We did not evaluate the sufficiency and completeness of the agency-provided information. Lastly, we corroborated our findings with the respective agencies and IGs.", "To address our third objective, we identified provisions in IPIA, IPERA, and OMB guidance that are applicable to OMB for programs reported as noncompliant for 2 consecutive years. To determine if OMB made additional funding determinations for agency programs and activities reported as noncompliant for 2 consecutive years as of fiscal years 2016 and 2017, we requested relevant information and communications from OMB and the applicable agencies and IGs. We also interviewed key OMB staff on their process for determining additional funding needs for noncompliant programs and activities as of fiscal years 2016 and 2017 and related results. In addition, we reviewed the applicable fiscal years 2016 and 2017 CFO Act agency IG IPERA compliance reports, which OMB staff stated they relied on for determining whether noncompliant programs and activities required additional funding. We also asked the agencies whether they coordinated with OMB regarding their need for additional funding for programs and activities reported as noncompliant for 2 consecutive years as of fiscal years 2016 and 2017. Lastly, we corroborated our findings with OMB and the respective agencies and IGs.", "We conducted this performance audit from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: CFO Act Agencies\u2019 Overall IPERA Compliance for Fiscal Years 2011 through 2017, as Reported or Acknowledged by Their IGs", "paragraphs": ["Figure 4 details the 24 Chief Financial Officers Act of 1990 (CFO Act) agencies\u2019 overall compliance under the Improper Payments Elimination and Recovery Act of 2010 (IPERA), as reported by their inspectors general, for fiscal years 2011 through 2017. We previously reported on CFO Act agencies\u2019 overall reported compliance for fiscal years 2011 through 2015."], "subsections": []}, {"section_title": "Appendix III: CFO Act Agencies and Programs Reported as Noncompliant with IPERA for Fiscal Years 2016 and 2017", "paragraphs": ["Tables 5 and 6 detail the Chief Financial Officers Act of 1990 (CFO Act) agencies and programs reported by their inspectors general as noncompliant with the six criteria specified by the Improper Payments Elimination and Recovery Act of 2010 (IPERA), for fiscal years 2016 and 2017. We previously reported on CFO Act agencies\u2019 reported compliance with the six IPERA criteria for fiscal year 2015."], "subsections": []}, {"section_title": "Appendix IV: CFO Act Agencies with Programs Reported by Their IGs as Noncompliant for 2 or More Consecutive Years, as of Fiscal Years 2016 and 2017", "paragraphs": ["Table 7 details the Chief Financial Officers Act of 1990 (CFO Act) agencies and programs reported by their inspectors general as noncompliant under the Improper Payments Elimination and Recovery Act of 2010 (IPERA) for 2 or more consecutive years, as of fiscal years 2016 and 2017. We previously reported on CFO Act agencies\u2019 reported compliance for fiscal year 2015."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security Office of Inspector General", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the United States Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michelle Philpott (Assistant Director), Matthew Valenta (Assistant Director), Vivian Ly (Auditor in Charge), Juvy Chaney, John Craig, Caitlin Cusati, Francine DelVecchio, Patrick Frey, Maria Hasan, Maxine Hattery, Jason Kelly, Jim Kernen, Jason Kirwan, Sharon Kittrell, Lisa Motley, Heena Patel, Anne Rhodes- Kline, and Kailey Schoenholtz made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-158", "url": "https://www.gao.gov/products/GAO-19-158", "title": "Dodd-Frank Regulations: Consumer Financial Protection Bureau Needs a Systematic Process to Prioritize Consumer Risks", "published_date": "2018-12-21T00:00:00", "released_date": "2018-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Dodd-Frank Act created CFPB to regulate the provision of consumer financial products and services. Congress included a provision in statute for GAO to study financial services regulations annually, including CFPB\u2019s related activities. This eighth annual report examines steps CFPB has taken to (1) identify, monitor, and report on risks to consumers in support of its rulemakings and other functions and (2) retrospectively assess the effectiveness of certain rules within 5 years of their effective dates.", "GAO reviewed CFPB policies and procedures, internal and public reports, and memorandums documenting key decisions, assessment plans, and requests for public comment. GAO also interviewed officials from CFPB, three federal agencies with which it coordinated, and representatives of consumer and industry groups."]}, {"section_title": "What GAO Found", "paragraphs": ["In accordance with the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), the Consumer Financial Protection Bureau (CFPB) has routinely monitored the consumer financial markets to identify potential risks to consumers related to financial products and services. CFPB monitors consumer complaints, analyzes market data, and gathers market intelligence from external groups (see figure for sources of CFPB\u2019s monitoring). CFPB has used risk-monitoring findings to inform its rulemakings, supervision, and other functions. In 2015, CFPB initiated a bureau-wide process for using market data and other information to set policy priorities related to addressing risks to consumers. However, CFPB has not yet decided whether it will continue to use this process to set priorities. CFPB currently lacks a systematic, bureau-wide process for prioritizing financial risks to consumers and considering how it will use its tools\u2014such as rulemaking, supervision, and consumer education\u2014to address them. Federal internal control standards state that management should use quality information to achieve agency objectives and that it should also identify, analyze, and respond to risks related to achieving those objectives. Implementing a bureau-wide prioritization process could help to ensure that CFPB effectively focuses its resources on the most significant financial risks to consumers and enhances its ability to meet its statutory consumer protection objectives.", "CFPB has taken steps to retrospectively assess its significant rules within 5 years of these rules becoming effective, as required by the Dodd-Frank Act. CFPB developed and applied criteria to identify three rules as significant and requiring a retrospective assessment. For these three rules, CFPB created assessment plans, issued public requests for comment and information, and reached out to external parties for additional data and evidence. In October 2018, CFPB issued its first assessment report on a rule related to cross-border money transfers. Among other things, the report found that certain trends, such as increasing volume of these transfers, continued after the rule took effect. CFPB expects to complete the other two assessments by the January 2019 deadline."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CFPB implement a systematic process for prioritizing risks to consumers and considering how to use its available policy tools\u2014such as rulemaking, supervision, enforcement, and consumer education\u2014to address these risks. CFPB did not agree or disagree with the recommendation but agreed with the importance of having processes in place to prioritize and address consumer financial risks."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd- Frank Act) created the Bureau of Consumer Financial Protection (also known as the Consumer Financial Protection Bureau, or CFPB) to regulate the offering and provision of financial products or services under federal consumer financial laws. The act consolidated many of the consumer financial protection authorities previously shared by seven federal agencies into one. It also provided CFPB additional authorities related to supervising for compliance with and enforcing federal consumer financial laws, handling consumer complaints, promoting financial education, and monitoring the functioning of consumer financial products markets for risks to consumers.", "The Dodd-Frank Act set forth deadlines for CFPB to complete rulemakings in certain areas and also granted CFPB authority to take additional actions needed to carry out the purpose and objectives of federal consumer financial laws. Section 1022 of the act contained requirements related to CFPB\u2019s rulemaking authority. Among other requirements, it directed CFPB to monitor consumer financial markets for risks to consumers in the offering or provision of consumer financial products or services in support of its rulemaking and other functions. It also required CFPB to retrospectively assess, among other things, the effectiveness of its significant rules or orders and publish a report of such assessment within 5 years of the rule or order\u2019s effective date.", "Section 1573(a) of the Department of Defense and Full-Year Continuing Appropriations Act of 2011 amended the Dodd-Frank Act and included a provision for us to annually review financial services regulations, including those of CFPB. We have previously issued seven reports under this mandate. This report examines steps CFPB has taken to (1) identify, monitor, and report on risks to consumers in support of its rulemakings and other functions and (2) retrospectively assess the effectiveness of certain rules within 5 years of their effective dates.", "To evaluate how CFPB identifies, monitors, and reports on risks to consumers, we reviewed CFPB policies, procedures, and other documentation of its processes. These documents included the values statement for the offices that conduct market monitoring and policies on data governance, information sharing, and advisory groups. We also reviewed CFPB\u2019s public reports, such as its semiannual reports to Congress; its rulemaking agendas; and more than 100 internal market intelligence reports from July 2016 through July 2018.", "To evaluate the steps CFPB has taken to retrospectively assess certain rules, we reviewed internal CFPB memorandums and presentations from early 2015 to mid-2018 documenting key decisions about the process, as well as the assessment plans and requests for public comment for the three rules CFPB has chosen to retrospectively assess. In addition, we reviewed CFPB\u2019s retrospective assessment report on its Remittance Rule\u2014the only assessment report to be issued within our reporting time frames. For both objectives, we compared CFPB\u2019s efforts to Dodd-Frank Act requirements and federal internal control standards. We also interviewed officials from CFPB and three federal agencies with which CFPB coordinated for its risk-monitoring or retrospective assessment efforts\u2014the Federal Housing Finance Agency, Board of Governors of the Federal Reserve System (Federal Reserve), and Office of the Comptroller of the Currency. Finally, we interviewed representatives of three consumer groups and four industry groups about their communication with CFPB regarding these efforts.", "We conducted this performance audit from April 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CFPB\u2019s Research, Markets, and Regulations Division has primary responsibility for CFPB\u2019s efforts to monitor market developments and risks to consumers and to retrospectively assess rules. As shown in figure 1, the division is composed of the Office of Research, the Office of Regulations, and the following four offices (collectively known as the \u201cMarkets Offices\u201d), which are focused on different consumer financial markets:", "The Office of Card, Payment, and Deposit Markets monitors credit cards, deposit accounts, prepaid cards, and remittances, as well as other emerging forms of payment and related technologies, such as mobile payments and virtual currencies. It also monitors data aggregation services.", "The Office of Consumer Lending, Reporting, and Collection Markets monitors debt collection, debt relief, and consumer reporting and scoring, as well as student, auto, and the small-dollar and personal lending markets.", "The Office of Mortgage Markets monitors the mortgage markets, including originations, servicing, and secondary markets.", "The Office of Small Business Lending Markets monitors credit to small businesses, including traditional lenders, specialty financing, and emerging technologies.", "The four Markets Offices are responsible for collecting and sharing market intelligence, helping to shape CFPB policy (including through participation on rulemaking teams), and helping to inform the marketplace through research and outreach. The Office of Research is responsible for conducting research to support the design and implementation of CFPB\u2019s consumer protection policies, including developing and writing any required cost-benefit analyses for rulemakings. Among other things, these offices research, analyze, and report on consumer financial markets issues. These offices also help inform the work of the Office of Regulations, which supports and provides strategic direction for CFPB\u2019s rulemaking, guidance, and regulatory implementation functions.", "The Markets Offices and the Office of Research contribute to CFPB\u2019s efforts to address the Dodd-Frank Act requirement that CFPB monitor for certain risks to consumers in support of its rulemaking and other functions. This provision states that CFPB may consider a number of factors in allocating its resources for risk-monitoring efforts with regard to consumer financial products and the markets for those products, such as consumers\u2019 understanding of a type of product\u2019s risks, the extent to which existing law is likely to protect consumers, and any disproportionate effects on traditionally underserved consumers. Further, the Dodd-Frank Act gives CFPB authority in connection with such monitoring to gather information from time to time regarding the organization, business conduct, markets, and activities of covered persons or service providers from a variety of sources, including several sources specified in the act. Finally, this provision requires CFPB to issue at least one report of significant findings from its risk monitoring each calendar year.", "The Office of Research has led CFPB\u2019s efforts to address the Dodd-Frank Act requirement that CFPB conduct assessments of each significant final rule or order it adopts and publish a report of the assessment no later than 5 years after the rule or order\u2019s effective date. Before publishing a report of its assessment, CFPB must invite public comment on whether the rule or order should be modified, expanded, or eliminated. In addition, the Dodd-Frank Act provides CFPB authority to require covered persons or service providers to provide information to help support these assessments, as well as to support its risk-monitoring activities.", "In addition to the Research, Markets, and Regulations Division, other CFPB divisions and offices conduct outreach to help inform CFPB policy making. For example, CFPB\u2019s External Affairs Division facilitates conversation with stakeholders, such as Congress, financial institutions, state governments, and the public. In addition, in the Consumer Education and Engagement Division, the Office of Consumer Response manages the intake of and response to complaints about consumer financial products and services. All of the divisions report to the Director. In November 2017, the President designated a new Acting Director of CFPB, and in December 2018, the Senate voted to confirm a new Director of the bureau."], "subsections": []}, {"section_title": "CFPB Monitors Consumer Financial Markets to Inform Policy but Does Not Systematically Prioritize Consumer Risks", "paragraphs": [], "subsections": [{"section_title": "CFPB Routinely Monitors Market Trends and Collects Targeted Information for Rulemaking and Other Purposes", "paragraphs": ["To address the Dodd-Frank Act consumer risk-monitoring requirement, CFPB routinely monitors consumer financial markets through a variety of methods. It also conducts more targeted market monitoring to support rulemaking and other agency functions."], "subsections": [{"section_title": "Routine Monitoring", "paragraphs": ["CFPB collects and monitors routine market data and other market intelligence through a combination of internal and external data sources and outreach (see fig. 2). Markets Offices staff use information from these sources to analyze market trends and identify emerging risks that may require greater attention. Staff produce monthly and quarterly reports that summarize or analyze observed market developments and trends, and they distribute them bureau-wide.", "CFPB internal data and research. Staff in CFPB\u2019s Markets Offices use CFPB data and research to identify and monitor risks. For example, in our review of CFPB\u2019s market intelligence reports from July 2016 through July 2018, we observed the following frequently cited internal CFPB data sources:", "Consumer complaints submitted to CFPB. Markets Offices staff monitor consumer complaints to track trends and potential problems in the marketplace. For example, monthly mortgage trend reports we reviewed cited changes in total numbers of mortgage complaints, as well as in complaints related to private mortgage insurance, escrow accounts, and other mortgage-related topics.", "Consumer Credit Trends tool. This tool is based on a nationally representative sample of commercially available, anonymized credit records. Markets Offices staff use this tool to monitor conditions and outcomes for specific groups of consumers in markets for mortgages, credit cards, auto loans, and student loans. For example, CFPB monthly auto market trend reports cited the tool as a source for information on changes in the volume of auto loans by neighborhood income.", "Home Mortgage Disclosure Act data. CFPB maintains loan-level data that mortgage lenders report pursuant to the Home Mortgage Disclosure Act. According to CFPB, Markets Offices staff use the data for their market monitoring, which can include analysis to determine whether lenders are serving the housing needs of their communities and to identify potentially discriminatory lending patterns.", "External data and research. In addition to its internal databases, CFPB obtains external market data from a number of public and proprietary data sources. The market intelligence reports we reviewed included the following commonly cited external sources, among others: federal databases and research, such as the Federal Reserve Bank of New York\u2019s Quarterly Report on Household Debt and Credit; publicly available information from sources such as industry websites, mainstream news publications, and publicly traded companies\u2019 financial statements. proprietary data from sources such as data analytics services and credit reporting agencies.", "Engagement with industry representatives. CFPB also gathers market intelligence from engagement with industry representatives. Market intelligence reports we reviewed cited several meetings with industry representatives and regular CFPB attendance at industry conferences. Representatives of two trade groups we interviewed told us that CFPB had sometimes proactively reached out to them regarding areas of potential risk. According to CFPB, in fiscal year 2018, Markets Offices staff conducted an average of about 50 meetings with industry per month and held intelligence-gathering meetings across various consumer financial markets throughout the year.", "Engagement with consumer organizations. CFPB\u2019s External Affairs Division, which is responsible for engagement with the nonprofit sector, facilitates most communication between Markets Offices staff and consumer organizations to help inform staff\u2019s risk monitoring efforts. According to CFPB, between January and September 2018, staff from the External Affairs and Research, Markets, and Regulation divisions held an average of about four meetings per month with consumer organizations and nonprofit stakeholders, and Markets Offices staff said these meetings provided information useful in monitoring markets. Two of the three consumer organizations we interviewed noted that their communication with CFPB had decreased since late 2017. However, one group noted that external engagement has typically been greater when CFPB is going through a rulemaking and that rulemaking activity had slowed in the last year.", "Advisory committees and other formal outreach. CFPB obtains information on consumer financial issues and emerging market trends from various advisory groups and other formal outreach. In 2012, CFPB established a consumer advisory board, in accordance with a Dodd-Frank Act requirement. It also established three additional advisory councils (community bank, credit union, and academic) to obtain external perspectives on issues affecting its mission. The groups, which include subgroups focused on various consumer financial market areas or issues, met regularly through 2017. CFPB dismissed the existing members of the consumer advisory board and community bank and credit union advisory councils in June 2018 and reconstituted the groups with new, smaller memberships that resumed meeting in September 2018. In addition, from July 2016 to mid-November 2018, CFPB solicited public input through public field hearings and town hall meetings on issues such as debt collection, consumer access to financial records, and elder financial abuse, among other issues.", "Coordination with other regulators. CFPB engages with the federal prudential regulators and other federal and state agencies to inform its routine market-monitoring efforts. This engagement can occur through mechanisms such as working groups, task forces, and information- sharing agreements. For example, CFPB is a member of a working group of federal housing agencies, whose members share market intelligence and discuss risks they have observed in the mortgage markets. Markets Offices staff also receive quarterly, publicly available bank and credit union call report data through the Federal Financial Institutions Examination Council and the National Credit Union Administration, with which it has information-sharing agreements."], "subsections": []}, {"section_title": "Targeted Monitoring", "paragraphs": ["CFPB has supplemented its routine monitoring by conducting targeted research and data collection to inform rulemaking efforts, meet statutory reporting requirements, and learn more about a particular market for consumer financial products. As noted earlier, the Dodd-Frank Act authorizes CFPB to collect certain data from covered persons and service providers.", "Since July 2016, to support bureau rulemaking efforts, Markets Offices staff have augmented their routine monitoring with targeted use of supervisory data collected through CFPB\u2019s examinations of covered persons and service providers. The Research, Markets, and Regulations Division has a formal information-sharing agreement with CFPB\u2019s Supervision, Enforcement, and Fair Lending Division. Under this agreement, staff in the Office of Small Business Lending Markets used supervisory information on common data terminology used by business lenders to inform recommendations on data elements that should be included in a potential small business data collection rule. In addition, as discussed below, Markets Offices staff reviewed aggregated and anonymized supervisory information from CFPB\u2019s examinations of payday lenders for research that informed the November 2017 Payday, Vehicle Title, and Certain High-Cost Installment Loans Rule, also referred to as the Payday Rule.", "In addition to rulemaking, CFPB has conducted targeted risk-monitoring activities to support certain statutory reporting requirements. For its mandated biennial credit card study, CFPB used its data-collection authorities under the Dodd-Frank Act to make four mandatory information requests to a total of 15 credit card issuers. According to CFPB officials, this study and other statutory reporting efforts\u2014such as the bureau\u2019s annual report on the Fair Debt Collection Practices Act\u2014also support their market-monitoring efforts under the Dodd-Frank Act. CFPB notified the relevant federal and state regulators of its impending requests to the credit card issuers under those regulators\u2019 supervision.", "Finally, CFPB has sometimes engaged in targeted data collection to learn more about specific areas of potential consumer financial risk. In some cases, CFPB has used its Dodd-Frank Act data collection authority under Section 1022 to require a company to provide data. For example, to understand developments with respect to person-to-person payments, CFPB required a payment processing company to provide certain information regarding its system. In other cases, CFPB has obtained targeted data through voluntary agreements with other regulators. For instance, in January 2018, CFPB reached an agreement with the Federal Reserve to obtain supervisory data on bank holding companies\u2019 and intermediate holding companies\u2019 mortgage and home equity loan portfolios. According to CFPB officials, they plan to use the data to monitor trends and risks in the mortgage market and inform bureau policy making."], "subsections": []}]}, {"section_title": "Monitoring of Consumer Risks Has Informed CFPB\u2019s Rulemaking and Other Efforts", "paragraphs": ["The market monitoring conducted by CFPB\u2019s Markets Offices staff contributes to bureau rulemaking and other functions, such as supervision, guidance to industry, consumer education, and reporting.", "Rulemaking. Since July 2016, CFPB\u2019s market-monitoring efforts have informed certain rulemaking efforts. For example, Markets Offices analysis of the small-dollar lending market informed CFPB\u2019s November 2017 Payday Rule, according to staff and the proposed and final rules. Staff said they had found that some borrowers were caught in a cycle of using payday loan products without the ability to repay the loans. Under the final rule, lenders for certain loans must reasonably determine up front that borrowers can afford to make the payments on their loans without needing to re-borrow within 30 days, while still meeting their basic living and other expenses. In addition, CFPB\u2019s November 2016 Prepaid Accounts Rule reflected market-monitoring information and other research that staff helped collect on prepaid accounts. The rule incorporated findings from CFPB\u2019s 2014 analysis of prepaid account agreements, which CFPB conducted to understand the potential costs and benefits of extending existing regulatory provisions\u2014such as error resolution protections\u2014to such agreements. Further, CFPB\u2019s market intelligence reports we reviewed from 2017 and 2018 reflected Markets Offices staff\u2019s communication with industry regarding a debt-collection rule\u2014a topic that has been on CFPB\u2019s public rulemaking agenda since 2013, based in part on market-monitoring findings.", "Industry supervision and policy positions. Markets Offices staff\u2019s market-monitoring findings have informed CFPB\u2019s efforts to supervise institutions and communicate policy positions to industry participants. Staff assist the Supervision, Enforcement, and Fair Lending Division in its annual risk-based prioritization process. In 2018, for example, staff provided information on market size and risk for more than a dozen market areas, which helped the supervision division prioritize its coverage of those market areas in its examination schedule. Markets Offices staff told us they also have met frequently with supervision staff to share issues identified through monitoring and determine whether supervisory guidance or related actions would be appropriate to address them. Further, according to CFPB, market-monitoring information supported bureau leadership\u2019s public statements on selected market developments and informed policy documents, such as consumer protection principles on financial technology.", "Consumer education. CFPB\u2019s risk monitoring has informed its broader consumer education efforts. CFPB\u2019s Consumer Education and Engagement Division provides financial education tools, including blogs and print and online guides on financial topics such as buying a home, choosing a bank or credit union, or responding to debt collectors. Markets Offices staff provided us with several examples of consumer education materials for which they had contributed subject-matter expertise since July 2016. Examples included a consumer advisory on credit repair services and blog posts on mortgage closing scams and tax refund advance loans.", "Public reports. CFPB\u2019s market-monitoring findings have informed several of its public reports since July 2016. According to CFPB officials, when Markets Offices staff identify risks they think could be mitigated by public communications to consumers, they work with the Consumer Education and Engagement Division, as well as other divisions, to publish relevant material. As noted earlier, the Dodd-Frank Act requires CFPB to issue at least one report annually of significant findings from its monitoring of risks to consumers in the offering or provision of consumer financial products or services. CFPB officials stated that this requirement is addressed by the first section of CFPB\u2019s semiannual reports to Congress, which discusses significant problems consumers face in shopping for or obtaining consumer financial products and services. CFPB officials further noted that other public CFPB reports include information related to risks to consumers and may also respond to the annual Dodd-Frank Act reporting requirement. For example, CFPB\u2019s December 2017 biennial report on the consumer credit card market discussed credit card debt collection and persistent indebtedness faced by some consumers, among other consumer financial risks. In addition, CFPB\u2019s quarterly consumer credit trend reports have discussed risks related to consumers financing auto purchases with longer-term loans."], "subsections": []}, {"section_title": "CFPB Lacks a Systematic Bureau-Wide Process for Prioritizing Which Consumer Financial Risks to Address", "paragraphs": ["CFPB currently lacks a systematic, bureau-wide process for prioritizing financial risks facing consumers\u2014using information from its market monitoring, among other sources\u2014and for considering how it will use its tools to address those risks. In 2015, CFPB initiated such a process, but CFPB officials said that the most recent round of this process was completed in 2017 and that its leadership has not yet decided whether to continue using the process. In a February 2016 public report, CFPB described this process (which CFPB refers to internally as \u201cOne Bureau\u201d) for deploying shared bureau-wide resources to address some of the most troubling problems facing consumers. According to the report, through this One Bureau process, CFPB prioritized problems that pose risks to consumers based on the extent of the consumer harm CFPB had identified and its capacity to eliminate or mitigate that harm. The report identified near-term priority goals in nine areas where CFPB hoped to make substantial progress within 2 years. It provided evidence of the nature or extent of risks facing consumers and described how CFPB planned to use its tools\u2014such as rulemaking, supervision, enforcement, research, and consumer education\u2014to address the priority goals.", "As part of the One Bureau process, CFPB created several cross-bureau working groups, which were focused on specific market areas and tasked with helping ensure progress toward CFPB\u2019s near-term priority goals, among other responsibilities. The bureau revisited its stated priorities in June 2017 to guide its work through fiscal year 2018. However, officials said that while the working groups continue to facilitate communication, informal collaboration, and strategy-setting across the bureau, CFPB has not decided whether to engage in a third round of prioritization under the One Bureau process. The bureau was without a permanent Director from November 2017 until December 2018, when the Senate confirmed a new Director. CFPB officials told us that CFPB may revise its approach to prioritization under new leadership.", "Federal internal control standards state that management should use quality information to achieve agency objectives, such as by using quality information to make informed decisions. In addition, the standards state that management should identify, analyze, and respond to risks related to achieving the defined objectives. Through One Bureau, CFPB had a process to use the large amount of data and market intelligence it collected on consumer risks to make informed decisions about its bureau- wide policy priorities and how it would address them. CFPB has mechanisms in place for the Markets Offices to inform the work of individual divisions. For example, as noted, Markets Offices staff contribute to rulemaking efforts (including through participation on rulemaking teams) and to the annual setting of supervisory priorities. However, although the Markets Offices continue to collect market intelligence and contribute to cross-bureau working groups, CFPB currently lacks a process for systematically prioritizing risks or problems facing consumers and identifying the most effective tools to address those risks.", "CFPB officials noted that the bureau issued 12 requests for information in early 2018 to seek public input to inform its priorities. Topics covered by these requests for public input have included the bureau\u2019s rulemaking process and its inherited and adopted rules. In an October 2018 statement, CFPB announced that it expected to publish an updated statement of rulemaking priorities by spring 2019 based on consideration of various activities, including its ongoing market monitoring and its analysis of the public comments from the requests for information. However, this prioritization effort focuses on setting rulemaking priorities and does not incorporate all of CFPB\u2019s other tools to respond to consumer financial risks.", "While CFPB has continued to take steps to consider information to inform its policy priorities, a systematic, bureau-wide process to prioritize risks to consumers and consider how CFPB will use its full set of tools to address them could help to ensure that CFPB effectively focuses its resources on the most significant risks to consumers. This, in turn, could enhance CFPB\u2019s capacity to meet its statutory consumer protection objectives."], "subsections": []}]}, {"section_title": "CFPB Has Taken Steps to Meet Statutory Requirements for Retrospectively Assessing Significant Rules", "paragraphs": [], "subsections": [{"section_title": "CFPB Developed Criteria to Identify and Assess Relevant Rules", "paragraphs": ["In two internal memorandums, CFPB documented an initial process for meeting the Dodd-Frank Act requirement to retrospectively assess significant rules or orders and issue reports of such assessments within 5 years of the rule or order\u2019s effective date. According to CFPB officials, the bureau may modify the process for future work after it has completed its first three assessments. The assessments will be in addition to other regulatory reviews conducted by CFPB.", "To determine which of its final rules were significant for purposes of the Dodd-Frank Act retrospective assessment requirement, CFPB created a four-factor test. In applying this test, CFPB analyzes the rule\u2019s 1. cumulative annual cost to covered persons of over $100 million, 2. effects on the features of consumer financial products and services, 3. effects on business operations of providers that support the product or 4. effects on the market, including the availability of consumer financial products and services.", "The memorandums recommended weighing the first factor more heavily and considering factors two through four cumulatively, so that high-cost rules tend to be considered significant. If a rule\u2019s cumulative annual costs exceed $100 million, CFPB may consider the rule to be significant even if the cumulative effect from factors two through four is small. If the rule\u2019s costs do not exceed $100 million, there must be a large cumulative effect from factors two through four for the rule to be considered significant.", "After applying the test to nine rules in early 2017, CFPB determined that three were significant for retrospective assessment purposes:", "Remittance Rule. This rule covers remittances, which are a cross- border transfer of funds.", "Ability-to-Repay/Qualified Mortgage Rule (ATR/QM Rule). This rule covers consumers\u2019 ability to repay mortgage loans and categories of mortgage loans that meet the ability-to-repay requirement (qualified mortgages).", "Real Estate Settlement Procedures Act (RESPA) Servicing Rule.", "This rule covers loan servicing requirements under RESPA.", "CFPB staff told us that in the future they plan to apply the four-factor test to rules not already subject to an assessment within 3 years of the rules\u2019 effective dates, pending new leadership\u2019s review of the test. As of November 2018, staff told us they had not yet formally applied the test to any additional rules. However, they told us that they plan to apply the test to the TILA-RESPA Integrated Disclosure Rule in 2019. If CFPB determines that the rule is significant, CFPB officials said they plan to complete an assessment in late 2020.", "In addition to outlining the four-factor test, a March 2016 memorandum documented CFPB\u2019s decision to generally focus any significant new data collection efforts on a rule\u2019s effects on consumer and market-wide outcomes rather than effects on businesses. In the memorandum, CFPB noted that the objectives of many of its rules focus on improved consumer experiences and outcomes, such as reductions in loan-default risk and improved access to financial product information and credit. However, the memorandum also noted that CFPB would assess outcomes for businesses when data were available at minimal cost. In addition, the memorandum explained that CFPB would consider spending additional resources to collect data on business outcomes under certain conditions, such as when unfavorable outcomes for businesses could meaningfully affect significant numbers of consumers. Although CFPB stated in its March 2016 memorandum that it did not plan to formally assess the previously mentioned three rules\u2019 costs or benefits to providers, it stated in its October 2018 Remittance Rule Assessment Report that it may reconsider that decision for future rule assessments.", "In the March 2016 memorandum, CFPB also documented a decision to not make specific policy recommendations in the final reports for the retrospective assessments. CFPB expects the findings from its final assessment reports to inform its policy development process, through which it makes decisions about future rulemaking efforts. In the March 2016 memorandum, CFPB explained that separating the assessments from policy recommendations would keep the assessments focused on evidence-based descriptions. As previously described, CFPB also issued requests for information to obtain public input on effects of its inherited and adopted rules, in addition to the required retrospective assessments.", "CFPB staff stated that they plan to use the lessons learned from the initial assessment process to inform their procedures for future assessments. According to CFPB, a future procedures document is to outline its process for the retrospective assessments required by the Dodd-Frank Act as well as for similar assessments CFPB may conduct pursuant to other statutes or executive orders."], "subsections": []}, {"section_title": "CFPB Has Made Progress toward Completing Its First Three Assessments", "paragraphs": ["For each of the three rules it determined to be significant, CFPB created detailed assessment plans and a timeline for completion (see table 1). Each plan defined which aspects of the rules the assessment would focus on; outlined the scope and methodology, including challenges for the assessment and potential limitations of methodology; and identified data CFPB planned to gather and compile, including CFPB\u2019s own and third-party data, and explained how the data will be used to evaluate the effects of the rule.", "CFPB issued requests for information between March and June of 2017 to collect public input on each assessment and created plans for incorporating the comments in each assessment report. As required by the Dodd-Frank Act, these requests solicited comments on modifying, expanding, or eliminating the rules. In addition, CFPB requested comments on the assessment plans and invited suggestions on other data that might be useful for evaluating the rules\u2019 effects. In a document provided to us, CFPB described its preliminary plan to summarize comments received from the public and use the information received. CFPB staff told us they adjusted their research questions and data sources on all three assessments in response to comments. For example, based on comments, they added a question to an industry survey about a provision of the Remittance Rule and incorporated a new data source into the ATR/QM Rule and RESPA Servicing Rule assessments.", "Other data sources used for the assessments include federal and state agencies, voluntary surveys of providers of consumer financial products, and loan data from servicers. For example, for the Remittance Rule assessment, CFPB sent a voluntary industry survey to 600 money transmitters, banks, and credit unions on how the rule has affected their business practices and costs, as well as potential problems in specific market segments. For the RESPA Servicing Rule assessment, CFPB conducted qualitative structured interviews with mortgage servicers to learn about changes servicers had to make in response to the rule.", "CFPB published its Remittance Rule Assessment Report in October 2018. The report analyzed trends in the volume of remittance transfers, the number of providers, and the price of transfers. For example, CFPB found that declining remittance prices and an increase in the volume of remittances\u2014trends that had begun before the rule\u2019s effective date\u2014 continued afterward. However, CFPB was unable to conclude whether these trends would have changed without the rule. In addition, the report noted that new technology has increased access to remittances but has also complicated CFPB\u2019s attempts to measure the effects of the Remittance Rule on consumers. The report also estimated the rule\u2019s initial and continued compliance costs for businesses, estimating that they added between 30 and 33 cents for the one-time cost in 2014 and between 7 and 37 cents in continuing costs per remittance in 2017. In addition, the report summarized comments and information CFPB received from a request for information in March 2017."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In monitoring risks of financial products and services to consumers, CFPB has drawn from a wide range of sources, and its findings have informed its key consumer protection tools, such as rulemakings and consumer education materials. In 2016 and 2017, CFPB\u2019s One Bureau process allowed it to consider the market information it collected to prioritize the most important risks to consumers and determine how to most effectively address those risks on a bureau-wide basis. However, CFPB has not yet decided whether to use the One Bureau process to reexamine its priorities and has instead relied on prioritization mechanisms that focus on its use of individual policy tools, such as its processes for setting rulemaking and supervision priorities. Putting a systematic bureau-wide prioritization process in place could help CFPB ensure that it focuses on the most significant risks to consumers and effectively meets its statutory consumer protection objectives."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Director of CFPB should implement a systematic process for prioritizing risks to consumers and considering how to use the bureau\u2019s available policy tools\u2014such as rulemaking, supervision, enforcement, and consumer education\u2014to address these risks. Such a process could incorporate principles from the prior One Bureau process, such as an assessment of the extent of potential harm to consumers in financial markets, to prioritize the most significant risks. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to CFPB for comment. We also provided the relevant excerpts of the draft report to the Federal Housing Finance Agency, the Federal Reserve, and the Office of the Comptroller of the Currency for their review and technical comments. CFPB provided oral and written comments, which are summarized below. CFPB\u2019s written comments are reproduced in appendix I. In addition, CFPB and the Federal Housing Finance Agency provided technical comments, which we incorporated as appropriate. The Federal Reserve and the Office of the Comptroller of the Currency had no comments.", "In oral comments provided on November 29, 2018, CFPB\u2019s Acting Deputy Director and other CFPB officials clarified the status of the One Bureau process. The officials clarified that while CFPB officials had previously told us that the One Bureau process was on hold, work on One Bureau priorities has continued with support from a set of cross-bureau working groups. The officials noted that CFPB had not yet determined whether to engage in another round of the One Bureau priority-setting process. In addition, in its written comments, CFPB highlighted the role of the cross- bureau working groups in its market monitoring and other efforts. In response to these comments, we made edits to clarify the status of the One Bureau process and describe the role of the cross-bureau working groups.", "In its written comments, CFPB did not agree or disagree with our recommendation but stated that it will endeavor to improve its processes for identifying and addressing consumer financial risks. CFPB stated that it recognizes the importance of having processes in place to prioritize and address risks to consumers in the financial marketplace. CFPB cited examples of existing processes\u2014such as its processes for setting its rulemaking agenda and supervisory priorities\u2014that were designed to ensure that its risk monitoring informs its work. In the oral comments, CFPB officials expressed concern that the draft report\u2019s characterization of a lack of a systematic process for prioritizing risks to consumers might suggest that CFPB entirely lacks processes in this regard. We note that the draft report described CFPB\u2019s existing processes for setting rulemaking and supervisory priorities. While we agree that these processes help CFPB to prioritize work in these areas, we maintain that these processes do not reflect a systematic, bureau-wide process for prioritizing risks to consumers and determining how to most effectively address them. We made minor edits to the report to clarify that the process CFPB lacks is a bureau-wide process that considers how it will use its full set of tools to address risks to consumers. We maintain that having such a process would help to ensure that CFPB focuses its resources on the most significant consumer risks and is well positioned to meet its consumer protection objectives.", "We are sending copies of this report to CFPB, the Federal Housing Finance Agency, the Federal Reserve, the Office of the Comptroller of the Currency, the appropriate congressional committees and members, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8678 or clementsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Consumer Financial Protection Bureau", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, John Fisher (Assistant Director), Lisa Reynolds (Analyst-in-Charge), Bethany Benitez, Joseph Hackett, Marc Molino, Jennifer Schwartz, and Tyler Spunaugle made key contributions to this report."], "subsections": []}]}], "fastfact": ["Some companies that offer financial products and services\u2014such as credit cards and loan servicing\u2014may engage in practices that pose financial risks to consumers. For example, companies may obscure the costs of a product or use lending practices that can trap consumers in a cycle of debt.", "The Consumer Financial Protection Bureau (CFPB) is responsible for watching out for consumers. CFPB monitors complaints, analyzes market data, and conducts outreach to inform its regulations and other functions.", "While CFPB collects a wide range of market intelligence, we made a recommendation to help it identify the most significant risks to consumers."]} {"id": "GAO-18-260T", "url": "https://www.gao.gov/products/GAO-18-260T", "title": "VA Health Care: Improved Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns", "published_date": "2017-11-29T00:00:00", "released_date": "2017-11-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's November 2017 report, entitled VA Health Care: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns ( GAO-18-63 )."]}, {"section_title": "What GAO Found", "paragraphs": ["Department of Veterans Affairs (VA) medical center (VAMC) officials are responsible for reviewing the clinical care delivered by their privileged providers\u2014physicians and dentists who are approved to independently perform specific services\u2014after concerns are raised. The five VAMCs GAO selected for review collectively required review of 148 providers from October 2013 through March 2017 after concerns were raised about their clinical care. GAO found that these reviews were not always documented or conducted in a timely manner. GAO identified these providers by reviewing meeting minutes from the committee responsible for requiring these types of reviews at the respective VAMCs, and through interviews with VAMC officials. The selected VAMCs were unable to provide documentation of these reviews for almost half of the 148 providers. Additionally, the VAMCs did not start the reviews of 16 providers for 3 months to multiple years after the concerns were identified. GAO found that VHA policies do not require documentation of all types of clinical care reviews and do not establish timeliness requirements. GAO also found that the Veterans Health Administration (VHA) does not adequately oversee these reviews at VAMCs through its Veterans Integrated Service Networks (VISN), which are responsible for overseeing the VAMCs. Without documentation and timely reviews of providers' clinical care, VAMC officials may lack information needed to reasonably ensure that VA providers are competent to provide safe, high quality care to veterans and to make appropriate decisions about these providers' privileges.", "GAO also found that from October 2013 through March 2017, the five selected VAMCs did not report most of the providers who should have been reported to the National Practitioner Data Bank (NPDB) or state licensing boards (SLB) in accordance with VHA policy. The NPDB is an electronic repository for critical information about the professional conduct and competence of providers. GAO found that", "selected VAMCs did not report to the NPDB eight of nine providers who had adverse privileging actions taken against them or who resigned during an investigation related to professional competence or conduct, as required by VHA policy, and", "none of these nine providers had been reported to SLBs.", "GAO found that officials at the selected VAMCs misinterpreted or were not aware of VHA policies and guidance related to NPDB and SLB reporting processes resulting in providers not being reported. GAO also found that VHA and the VISNs do not conduct adequate oversight of NPDB and SLB reporting practices and cannot reasonably ensure appropriate reporting of providers. As a result, VHA's ability to provide safe, high quality care to veterans is hindered because other VAMCs, as well as non-VA health care entities, will be unaware of serious concerns raised about a provider's care. For example, GAO found that after one VAMC failed to report to the NPDB or SLBs a provider who resigned to avoid an adverse privileging action, a non-VA hospital in the same city took an adverse privileging action against that same provider for the same reason 2 years later."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent report on provider quality and safety concerns at the Department of Veterans Affairs (VA). VA\u2019s Veterans Health Administration (VHA) operates one of the largest health care systems in the nation, and nearly 40,000 providers hold privileges at its 170 VA medical centers. Like other health care facilities, VA medical centers are responsible for ensuring that their providers deliver safe care to patients. As part of this responsibility, VA medical centers are required to investigate and, if warranted, address any concerns that may arise about the clinical care their providers deliver. Concerns about a provider\u2019s clinical care can be raised for many reasons, ranging from providers not adequately documenting information about a patient\u2019s visit to practicing in a manner that is unsafe or inconsistent with industry standards of care. If VA medical centers fail to properly review and address concerns that have been raised about their providers, they may be exposing veterans to unsafe care.", "Depending on the nature of the concern and the findings from their review, VA medical center officials may take adverse privileging actions against providers that either limit the care the providers are allowed to deliver at the facility or prevent the providers from delivering care altogether. VA medical center officials are required to report the providers against whom they take adverse privileging actions to the National Practitioner Data Bank (NPDB). The NPDB is used by other VA medical centers, non-VA hospitals, and other health care entities to obtain information on a provider\u2019s history of substandard care and misconduct. VA medical center officials are also required to report providers to state licensing boards when there are serious concerns about the providers\u2019 clinical care. State licensing boards can then investigate and determine if the providers\u2019 conduct or ability to deliver care warrants action against the providers\u2019 medical license.", "My testimony today summarizes the findings from the report, which analyzed the implementation and oversight of VHA processes for reviewing and reporting providers after quality and safety concerns have been raised at selected VA medical centers. Accordingly, this testimony addresses: 1. VA medical centers\u2019 reviews of providers\u2019 clinical care after concerns are raised and VHA\u2019s oversight of these reviews, and 2. VA medical centers\u2019 reporting of providers to the NPDB and state licensing boards and VHA\u2019s oversight of these processes.", "To conduct our work, we reviewed VHA policies and guidance related to reviewing and reporting clinical care concerns about providers and interviewed relevant VHA officials. We also visited a nongeneralizable selection of five VA medical centers, selected based on the complexity of the medical services they offer veterans and to achieve variation in geography. At each VA medical center we reviewed documentation and interviewed medical center staff to 1) identify providers whose clinical care was reviewed after a concern was raised about that care and 2) determine whether the VA medical center took an adverse privileging action against any of these identified providers. In addition, we evaluated the extent to which each medical center adhered to applicable VHA policies from October 2013 through the time we completed our site visits in March 2017. We also interviewed officials from the five Veterans Integrated Service Networks (networks) that oversee the five selected medical centers. We compared VHA and the networks\u2019 oversight of the VA medical centers\u2019 reviewing and reporting of providers to VHA\u2019s related policy requirements and to federal standards for internal control related to monitoring. Further details on our scope and methodology are included in our report. The work this statement is based on was performed in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "Selected VA Medical Centers\u2019 Reviews of Providers\u2019 Clinical Care Were Not Always Documented or Timely", "paragraphs": ["We found that from October 2013 through March 2017, the five selected VA medical centers required reviews of a total of 148 providers\u2019 clinical care after concerns were raised about their care, but officials at these medical centers could not provide documentation to show that almost half of these reviews were conducted. We found that all five VA medical centers lacked at least some documentation of the reviews they told us they conducted, and in some cases, we found that the required reviews were not conducted at all. Specifically, across the five VA medical centers, we found the following:", "The medical centers lacked documentation showing that one type of review\u2014focused professional practice evaluations (FPPE) for cause\u2014had been conducted for 26 providers after concerns had been raised about their care. FPPEs for cause are reviews of providers\u2019 care over a specified period of time, during which the provider continues to see patients and has the opportunity to demonstrate improvement. Documentation of these reviews is explicitly required under VHA policy. Additionally, VA medical center officials confirmed that FPPEs for cause that were required for another 21 providers were never conducted.", "The medical centers lacked documentation showing that retrospective reviews\u2014which assess the care previously delivered by a provider during a specific period of time\u2014 had been conducted for 8 providers after concerns had been raised about their clinical care.", "One medical center lacked documentation showing that reviews had been conducted for another 12 providers after concerns had been raised about their care. In the absence of any documentation, we were unable to identify the types of reviews, if any, that were conducted for these 12 providers.", "We also found that the five selected VA medical centers did not always conduct reviews of providers\u2019 clinical care in a timely manner. Specifically, of the 148 providers, the VA medical centers did not initiate reviews of 16 providers for 3 months, and in some cases, for multiple years, after concerns had been raised about the providers\u2019 care. In a few of these cases, additional concerns about the providers\u2019 clinical care were raised before the reviews began.", "We found that two factors were largely responsible for the inadequate documentation and untimely reviews of providers\u2019 clinical care we identified at the selected VA medical centers.", "First, VHA policy does not require VA medical centers to document all types of reviews of providers\u2019 clinical care, including retrospective reviews, and VHA has not established a timeliness requirement for initiating reviews of providers\u2019 clinical care.", "Second, VHA\u2019s oversight of the reviews of providers\u2019 clinical care is inadequate. Under VHA policy, networks are responsible for overseeing the credentialing and privileging processes at their respective VA medical centers. While reviews of providers\u2019 clinical care after concerns are raised are a component of credentialing and privileging, we found that none of the network officials we spoke with described any routine oversight of such reviews. This may be in part because the standardized tool that VHA requires the networks to use during their routine audits does not direct network officials to ensure that all reviews of providers\u2019 clinical care have been conducted and documented. Further, some of the VISN officials we interviewed told us they were not using the standardized audit tool as required.", "Without adequate documentation and timely completion of reviews of providers\u2019 clinical care, VA medical center officials lack the information they need to make decisions about providers\u2019 privileges, including whether or not to take adverse privileging actions against providers. Furthermore, because of its inadequate oversight, VHA lacks reasonable assurance that VA medical center officials are reviewing all providers about whom clinical care concerns have been raised and are taking adverse privileging actions against the providers when appropriate. To address these shortcomings, we recommended that VHA 1) require documentation of all reviews of providers\u2019 clinical care after concerns have been raised, 2) establish a timeliness requirement for initiating such reviews, and 3) strengthen its oversight by requiring networks to oversee VA medical centers to ensure that such reviews are documented and initiated in a timely manner. VA concurred with these recommendations and described plans for VHA to revise existing policy and update the standardized audit tool used by the networks to include more comprehensive oversight of VA medical centers\u2019 reviews of providers\u2019 clinical care after concerns have been raised."], "subsections": []}, {"section_title": "Selected VA Medical Centers Did Not Report All Providers to the NPDB or to State Licensing Boards as Required", "paragraphs": ["We found that from October 2013 through March 2017, the five VA medical centers we reviewed had only reported one of nine providers required to be reported to the NPDB under VHA policy. These nine providers either had adverse privileging actions taken against them or resigned or retired while under investigation before an adverse privileging action could be taken. None of these nine providers were reported to state licensing boards as required by VHA policy.", "The VA medical centers documented that these nine providers had significant clinical deficiencies that sometimes resulted in adverse outcomes for veterans. For example, the documentation shows that one provider\u2019s surgical incompetence resulted in numerous repeat surgeries for veterans. Another provider\u2019s opportunity to improve through an FPPE for cause had to be halted and the provider was removed from providing care after only a week due to concerns that continuing the review would potentially harm patients.", "In addition to these nine providers, one VA medical center terminated the services of four contract providers based on deficiencies in the providers\u2019 clinical performance, but the facility did not follow any of the required steps for reporting providers to the NPDB or relevant state licensing boards. This is concerning, given that the VA medical center documented that one of these providers was terminated for cause related to patient abuse after only 2 weeks of work at the facility.", "Two of the five VA medical centers we reviewed each reported one provider to the state licensing boards for failing to meet generally accepted standards of clinical practice to the point that it raised concerns for the safety of veterans. However, we found that the medical centers\u2019 reporting to the state licensing board took over 500 days to complete in both cases, which was significantly longer than the 100 days suggested in VHA policy.", "Across the five VA medical centers, we found that providers were not reported to the NPDB and state licensing boards as required for two reasons.", "First, VA medical center officials were generally not familiar with or misinterpreted VHA policies related to NPDB and state licensing board reporting. For example, at one VA medical center, we found that officials failed to report six providers to the NPDB because they were unaware that they had been delegated responsibility for NPDB reporting. Officials at two other VA medical centers incorrectly told us that VHA cannot report contract providers to the NDPB. At another VA medical facility, officials did not report a provider to the NPDB or to any of the state licensing boards where the provider held a medical license because medical center officials learned that one state licensing board had already found out about the issue independently. Therefore, VA officials did not believe that they needed to report the provider. This misinterpretation of VHA policy meant that the NPDB and the state licensing boards in other states where the provider held licenses were not alerted to concerns about the provider\u2019s clinical practice.", "Second, VHA policy does not require the networks to oversee whether VA medical centers are reporting providers to the NPDB or state licensing boards when warranted. We found, for example, that network officials were unaware of situations in which VA medical center officials failed to report providers to the NPDB. We concluded that VHA lacks reasonable assurance that all providers who should be reported to these entities are reported.", "VHA\u2019s failure to report providers to the NPDB and state licensing boards as required facilitates providers who provide substandard care at one facility obtaining privileges at another VA medical center or at hospitals outside of VA\u2019s health care system. We found several cases of this occurring among the providers who were not reported to the NPDB or state licensing boards by the five VA medical centers we reviewed. For example, we found that two of the four contract providers whose contracts were terminated for clinical deficiencies remained eligible to provide care to veterans outside of that VA medical center. At the time of our review, one of these providers held privileges at another VA medical center, and another participated in the network of providers that can provide care for veterans in the community. We also found that a provider who was not reported as required to the NPDB during the period we reviewed had their privileges revoked 2 years later by a non-VA hospital in the same city for the same reason the provider was under investigation at the VA medical center. Officials at this VA medical center did not report this provider following a settlement agreement under which the provider agreed to resign. A committee within the VA medical center had recommended that the provider\u2019s privileges be revoked prior to the agreement. There was no documentation of the reasons why this provider was not reported to the NPDB under VHA policy.", "To improve VA medical centers\u2019 reporting of providers to the NPDB and state licensing boards and VHA oversight of these processes, we recommended that VHA require its networks to establish a process for overseeing VA medical centers to ensure they are reporting to the NPDB and to state licensing boards and to ensure that this reporting is timely. VA concurred with this recommendation and told us that it plans to include oversight of timely reporting to the NPDB and state licensing boards as part of the standard audit tool used by the networks."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact me at (202) 512-7114 (williamsonr@gao.gov). Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Marcia A. Mann (Assistant Director), Kaitlin M. McConnell (Analyst-in-Charge), Summar C. Corley, Krister Friday, and Jacquelyn Hamilton.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["The Department of Veterans Affairs requires its medical centers to review a doctor\u2019s care if quality or safety concerns arise. If the concerns are substantiated, medical center officials are required to inform hospitals and other health care entities by reporting the doctors to a national database and to the states where the doctor is licensed.", "However, we visited 5 VA medical centers and found that their reviews were not always timely and that VA officials did not report 8 of the 9 doctors who should have been reported.", "In the report on which this testimony is based we recommended VA improve oversight of clinical care reviews and reporting."]} {"id": "GAO-18-557", "url": "https://www.gao.gov/products/GAO-18-557", "title": "Defense Logistics: DOD Needs to Improve Budget Estimates and Accuracy of Forecasts for Airlift Services", "published_date": "2018-09-04T00:00:00", "released_date": "2018-09-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TRANSCOM reported spending about $81 billion flying personnel and cargo worldwide in fiscal years 2007-2017. TRANSCOM manages the Transportation Working Capital Fund (TWCF) to provide air, land, and sea transportation for the Department of Defense (DOD). TRANSCOM sets some rates it charges below costs to be competitive with commercial air service providers. The Air Force generally pays for expenses not covered by TWCF rates through the ARA.", "A House Report accompanying the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to review the ARA and the TWCF. GAO's report discusses the extent to which (1) ARA funds were requested, allotted, and expended for airlift activities; (2) the Air Force provided ARA information in its budget requests and informed its requests with information from TRANSCOM; and (3) TRANSCOM has implemented a rate-setting process for airlift services and uses workload forecasts to estimate the annual ARA funding request. GAO analyzed ARA funds and costs and revenues for airlift services for fiscal years 2007-2017; interviewed officials about the ARA budget preparation process; and analyzed TRANSCOM rate-setting and forecasting guidance and results."]}, {"section_title": "What GAO Found", "paragraphs": ["For fiscal years 2007 through 2017, the Air Force requested $2.8 billion from Congress for Airlift Readiness Account (ARA) requirements, as part of its annual Operations and Maintenance appropriation. The Air Force allotted $2.8 billion (i.e., directed the use of the appropriated funds) and expended $2.4 billion of these funds for the ARA. U.S. Transportation Command (TRANSCOM) uses ARA funds to support airlift operations. Specifically, the Air Force requests ARA funds in its annual Operations and Maintenance budget request and subsequently provides these funds to TRANSCOM to assist in paying for airlift services (see figure). Amounts requested, allotted, and expended varied from year-to-year, in some cases by hundreds of millions of dollars, in part due to changes in the amount of airlift services provided by TRANSCOM.", "The Air Force has not been including specific ARA information in its budget requests since fiscal year 2010. For fiscal years 2007 through 2009, Air Force budget requests explicitly stated ARA amounts. Air Force officials stated their budget presentation was changed to reduce the overall number of budget line items. In addition, TRANSCOM has not been providing cost estimates in time to support Air Force budget preparations. Specifically, TRANSCOM has been providing this information 2 months later than the Air Force needs it to support budget deliberations. The Air Force and TRANSCOM have taken some initial steps to address this issue, but these efforts lack substantive details regarding formalizing the necessary processes to ensure timely information. Until the Air Force and TRANSCOM resolve this issue, Congress will not have sufficient and complete information to inform its decisions on appropriating funds for ARA.", "TRANSCOM has a rate-setting process, but faces challenges producing accurate workload forecasts. To provide information to its customers during the annual budget development process, TRANSCOM sets airlift rates in advance of the fiscal year of expenditure. Workload forecasts influence the rate-setting process. Inaccurate forecasts can lead to unreliable budget requests and hinder effective and efficient operational planning. GAO found that forecast inaccuracy (i.e., the variance between the forecast and the actual workload) averaged 25 percent and was becoming increasingly inaccurate since fiscal year 2007. GAO found that TRANSCOM has several workload forecasting challenges. Specifically, TRANSCOM lacks an effective process to gather workload projections from customers. It also no longer uses forecasting accuracy metrics and has not established forecast accuracy goals to monitor its performance. Furthermore, TRANSCOM does not have an action plan to improve its increasingly inaccurate workload forecasts. Taking steps to address these issues would enable TRANSCOM to improve the accuracy of workload forecasts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to DOD, including improving the clarity and completeness of budget estimates, and taking steps to improve the accuracy of airlift workload forecasts. DOD concurs with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For fiscal years 2007 through 2017, the United States Transportation Command (TRANSCOM) reported spending about $81 billion on airlift services to fly military and non-military personnel and cargo around the world. TRANSCOM manages the Transportation Working Capital Fund (TWCF) to provide airlift, sealift, and ground transportation in times of peace and war in support of overseas operations, global security events, and natural disasters. The TWCF conducts businesslike activities to generate revenue from the sale of goods or services to customers, such as the military services or combatant commands, to cover costs expended in support of those services. The military services\u2019 Operations and Maintenance appropriations support their transportation needs, such as airlift services provided by TRANSCOM. In fiscal year 2017, the TWCF incurred costs of about $5 billion for airlift services, with the Air Force as its largest customer.", "TRANSCOM generally sets the rates it charges for airlift services at a level lower than the costs it incurs. It does this to be competitive with commercial air service providers and assure that the military services and combatant commands use government-owned and contracted aircraft and facilities to the greatest extent possible. According to TRANSCOM officials, the use of government owned aircraft allows TRANSCOM to be sure that mobilization capacity is maintained, helps air crews meet training requirements, and supports readiness. When revenue is insufficient to support the costs of maintaining airlift capability, the Air Force provides additional appropriated funds through the Airlift Readiness Account (ARA). The Air Force allots (i.e., directs the use of these funds) to the ARA from its Operations and Maintenance funding appropriated by Congress. According to TRANSCOM and Air Force officials, TRANSCOM records the ARA amount as a funded order (i.e., the amount to be paid by the Air Force is agreed to before the order is recorded). The Air Force then provides appropriated funds to pay for airlift services. A simplified depiction of this process is shown in figure 1 below.", "House Report 115-200, which accompanied a bill for the National Defense Authorization Act for Fiscal Year 2018, included a provision for GAO to review the Airlift Readiness Account in conjunction with the Transportation Working Capital Fund. Our report examines the extent to which (1) Airlift Readiness Account funds were requested, allotted, and expended by the Air Force from fiscal years 2007 through 2017, (2) the Air Force provided Airlift Readiness Account information in its budget request to Congress and informed its request with information from TRANSCOM, and (3) TRANSCOM has implemented a process to set rates for airlift services and use workload forecasts to estimate the annual Airlift Readiness Account funding request.", "To address the first objective, we analyzed Air Force budget request documents and underlying supporting documentation, and information from the Air Force\u2019s Automated Budget Interactive Data Environment Systems to determine the appropriated amounts allotted for ARA activities. We also analyzed summary-level documents provided by TRANSCOM detailing expenditures from TRANSCOM for fiscal years 2007 through 2017 to establish trends. Further, we reviewed TRANSCOM\u2019s procedures and supporting documentation for billing the Air Force for payment of the ARA. Lastly, we interviewed DOD, Air Force and TRANSCOM officials to gain an understanding of general reasons for variances from year to year or between the requested and expended amounts.", "To address the second objective, we analyzed Air Force Operations and Maintenance budget justification documents to determine the type of ARA information (i.e. total amounts, changes from year to year, and other information) provided in the President\u2019s budget requests for fiscal years 2007 through 2017. To understand the differences, if any, between the ARA information provided from year to year, we interviewed Air Force budget officials to obtain an explanation for changes in the reported information. Further, we analyzed Air Force Operations and Maintenance budget justification documents, and TWCF budget documents to determine the extent to which the ARA amount was based on available information. We also discussed with Air Force and TRANSCOM officials plans to change their procedures and the information considered in the development of the ARA amount. Further, we compared TRANSCOM\u2019s processes and procedures against Standards for Internal Controls in the Federal Government, specifically controls related to internal and external reporting and mechanisms to enforce management directives.", "To address the third objective, we analyzed the processes TRANSCOM used to set rates it charges customers in various airlift workload categories for fiscal years 2007 through 2017. We also reviewed forecasting procedures and supporting documents provided by TRANSCOM; interviewed TRANSCOM officials to gain an understanding of how they implement rate setting and forecasting procedures; and analyzed forecast and actual workload data provided by TRANSCOM for the same timeframe. We compared TRANSCOM\u2019s processes against rate-setting and forecasting guidance and reviewed whether TRANSCOM used quality information to establish workload projections, established performance measures and goals for forecasting its workload, and developed efforts to improve its forecasting of workload. In addition, we interviewed TRANSCOM and Air Mobility Command officials and reviewed supporting documentation to gain an understanding of challenges that exist to producing accurate workload forecasts and the relationship with the rate-setting and budgeting process.", "We obtained revenue, cost, workload, and ARA data for this report from budget documents, financial reports, and Air Force and TRANSCOM records for fiscal years 2007 through 2017. We assessed the reliability of the data by (1) interviewing Air Force and TRANSCOM officials to gain an understanding of the processes used to estimate the cash, revenue, cost, workload, and ARA data; (2) reviewing our prior work to determine if there were reported concerns with TRANSCOM\u2019s financial or budgetary data; (3) comparing cash, revenue, costs and workload data provided by TRANSCOM to the same data presented in the Air Force Working Capital Fund budgets for fiscal years 2007 through 2017; and (4) comparing ARA data to Air Force and TRANSCOM supporting documentation, or to Air Force Operations and Maintenance budget execution reports to validate ARA amounts for fiscal years 2007 through 2017. Based on our assessment, these data were sufficiently reliable for the purposes of this report.", "We conducted this performance audit from August 2017 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. For more detail regarding our scope and methodology see appendix I."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Working Capital Funds", "paragraphs": ["DOD uses working capital funds to focus management\u2019s attention on the total costs of carrying out critical business operations and encourage DOD support organizations to provide quality goods and services at the lowest cost. The ability of working capital funds to operate on a break- even basis depends on accurately projecting workload, estimating costs, and setting rates to recover the full costs of producing goods and services. Generally, customers use appropriated funds to finance orders placed with working capital funds.", "DOD sets the rates charged for goods and services during the budget preparation process, which generally occurs approximately 18 months before the rates go into effect. To develop rates, working capital fund managers review projected costs such as labor and materials, as well as projected customer requirements. The rates are intended to remain fixed during the fiscal year in accordance with DOD policy. DOD\u2019s stabilized price policy serves to protect customers from unforeseen inflationary increases and other cost uncertainties and better assures customers that they will not have to reduce programs to pay for potentially higher-than- anticipated prices. Because working capital fund managers base rates charged on assumptions formulated in advance of rates going into effect, some variance is expected between projected and actual costs and revenues."], "subsections": []}, {"section_title": "Transportation Working Capital Fund", "paragraphs": ["The TWCF is dedicated to TRANSCOM\u2019s mission to provide air, land, and sea transportation for DOD in times of peace and war, with a primary focus on wartime readiness. Specifically, TWCF is used to provide air transportation and services for passengers or cargo in support of DOD operations or along established routes. The TWCF is also used to finance Air Force and joint training requirements. Examples of joint capabilities supported by the TWCF are depicted in figure 2.", "The TWCF uses rates for airlift services that do not cover the full cost of airlift operations. The military services may choose between TRANSCOM and commercial service providers along established routes. Thus, fund managers set rates for some airlift services to remain competitive with commercial airlift carriers, which historically, do not result in revenue sufficient to cover the full cost of airlift operations. DOD must maintain airlift capacity and must remain ready and available to support mobilization for war and contingencies. Providing an incentive for customers to use DOD airlift capacity helps TRANSCOM maintain military airlift capabilities not available from commercial providers.", "TWCF cash balances are managed as a component of the Air Force Working Capital Fund. Although the TWCF is managed on a day-to-day basis by TRANSCOM, it is part of the Air Force Working Capital Fund for cash management purposes. The relationship of the TWCF to the Air Force Working Capital Fund provides a cash management benefit. According to Air Force officials, retaining the TWCF within the Air Force Working Capital Fund for cash management purposes provides flexibility while minimizing the need for additional funding. According to month-end cash balance data, the TWCF has been able to operate using cash available in the Air Force Working Capital Fund when no funds were available in the TWCF. For example, the TWCF month-end cash balance was negative fifteen times during fiscal years 2007-2017, but there was sufficient cash in the Air Force Working Capital Fund to allow the TWCF to continue to operate and execute its missions. For more information on the cash balances of the Air Force Working Capital Fund and the TWCF see appendix II."], "subsections": []}, {"section_title": "Roles and Responsibilities for Managing the Transportation Working Capital Fund", "paragraphs": ["Multiple DOD organizations have roles in managing various aspects of the TWCF:", "The Office of the Under Secretary of Defense (Comptroller)/Chief Financial Officer is generally responsible for coordinating DOD budget preparation, issuing guidance, issuing working capital fund annual financial reports, and overseeing the implementation of working capital funds across DOD. The Office of the Under Secretary of Defense (Comptroller)/Chief Financial Officer is also responsible for approving rates developed for the budget process and charged to the military services.", "The Air Force assumed responsibility for TWCF cash management in fiscal year 1998 and the TWCF cash balance is included in the Air Force Working Capital Fund cash balance. The Air Force is also responsible for developing Operations and Maintenance budget requests that include requests for funds to pay TRANSCOM for airlift services financed through the TWCF and the ARA. The Assistant Secretary of the Air Force (Financial Management and Comptroller) is responsible for directing and managing all comptroller, programming, and financial management functions, activities, and operations of the Air Force.", "TRANSCOM is responsible for the day-to-day financial management of the TWCF and has financial reporting responsibility for the TWCF, including setting rates for airlift services. TRANSCOM is also responsible for providing defense components with transportation services to meet national security needs; providing guidance for forecasting; and providing guidance for the standardization of rates, regulations, operational policies, and procedures.", "Air Mobility Command is a major Air Force command and is responsible to TRANSCOM for providing airlift services paid for by the TWCF. To fulfill its responsibility for providing airlift services to defense components, TRANSCOM and Air Mobility Command use a combination of military and commercial aircraft."], "subsections": []}]}, {"section_title": "Billions of Dollars Were Requested, Allotted, and Expended for the Airlift Readiness Account for Fiscal Years 2007-2017, and Annual Amounts Varied", "paragraphs": ["The Air Force requested, allotted, and expended billions of dollars for ARA for fiscal years 2007 through 2017. These amounts varied annually, in some cases, by hundreds of millions of dollars. Our analysis of Air Force and TRANSCOM budget and financial information showed that for fiscal years 2007 through 2017, the Air Force requested $2.8 billion from Congress for ARA requirements, as part of its annual Operations and Maintenance appropriation. The Air Force allotted $2.8 billion (i.e., directed the use of the appropriated funds) and expended $2.4 billion of the ARA appropriated funds). During this period, the total allotted amount was about $400 million dollars more than the expended amount. According to Air Force officials, this $400 million was used to pay for other Air Force readiness priorities. ARA amounts requested, allotted, and expended for fiscal years 2007 through 2017 are shown in figure 3.", "In five fiscal years (2008-2009, 2013-2014, and 2017) the Air Force allotted less than the amount ultimately expended for the ARA. In these fiscal years, Air Force officials stated that they used available Operations and Maintenance appropriations to support the ARA. For example, in fiscal year 2013, the Air Force requested and allotted less than a million dollars for the ARA. However, the Air Force expended $294 million for the ARA in fiscal year 2013. According to Air Force officials, the Air Force used Air Force Operation and Maintenance mobilization funding to provide the ARA funds to the TWCF to cover this gap.", "Furthermore, in five fiscal years (2010-2012 and 2015-2016) the Air Force did not expend the total amounts allotted for the ARA, because the allotments exceeded ARA funding needs. According to Air Force officials, they expended amounts initially allotted for ARA requirements to support other readiness priorities, such as training and sustainment requirements. For additional information related to TWCF costs and revenues for airlift services see appendix III.", "Based on our analysis and interviews with Air Force and TRANSCOM officials, we determined that the Air Force\u2019s ARA budget request, the ARA amount allotted, and the amount expended by the Air Force can vary for a number of reasons. For example,", "Workload variations occurred due to changes in the global security environment, natural disasters, and force structure changes: For example, in fiscal year 2010, airlift services workload increased 8 percent over the previous year\u2019s level and 39 percent over budgeted levels as a result of force structure changes in Iraq and Afghanistan. This occurred because during fiscal year 2010 the number of U.S. armed forces personnel in Iraq declined by about 81,000, and the number of U.S. armed forces personnel in Afghanistan increased by about 34,000. These changes required additional airlift services, and resulted in more revenue than was originally estimated for the TWCF. The TWCF also received additional funding from the military services to offset increased fuel costs. As a result, TRANSCOM did not issue a bill for the ARA for fiscal year 2010, and the Air Force used the $262 million allotted for ARA requirements for other readiness priorities.", "ARA budget requests and subsequent expenditures in the fiscal year of availability may be affected by other revenue sources: From fiscal years 2007 through 2017, the TWCF received $6.5 billion from other revenue sources, such as amounts from cash recovery charges, fuel supplement charges, and cash transfers from the Air Force. For example, cash recovery charges were paid by the military services, including the Air Force, using Overseas Contingency Operations funding to cover cash shortages in the TWCF in the early part of the Global War on Terrorism. TRANSCOM charged its customers cash recovery charges in fiscal years 2007 through 2014, with the exception of 2010.", "ARA expenditures in the fiscal year of availability may be more or less than budgeted: For example, in fiscal year 2015, TRANSCOM did not receive revenue from other sources, resulting in the Air Force expending $404 million dollars more from its Operations and Maintenance funds than requested to cover the ARA bill for that fiscal year. On the other hand, in the fiscal year 2016 Air Force Operations and Maintenance budget request, the Air Force requested $657 million for the ARA, and subsequently allotted $406 million to the ARA\u2014about $251 million less than requested. This occurred because the cost of fuel declined in fiscal year 2016, and TRANSCOM did not bill the Air Force for the full amount allotted for ARA by the Air Force. As a result, the Air Force contributed $122 million of the $406 million to the TWCF and used the remaining available amount for other readiness priorities. DOD and its components have considerable flexibility in using Operation and Maintenance funds and can redesignate funds appropriated among activity and subactivity groups in various ways."], "subsections": []}, {"section_title": "Since Fiscal Year 2010, Air Force Budget Requests Have Omitted Complete Airlift Readiness Account Information and Have Not Been Informed by Estimates", "paragraphs": [], "subsections": [{"section_title": "Air Force Budget Requests Include Some Information on the Airlift Readiness Account but Omit Details Provided In Budget Requests Prior to Fiscal Year 2010", "paragraphs": ["Air Force budget requests include some information on the ARA but omit details provided in budget requests prior to fiscal year 2010. Air Force budget officials stated the ARA budget information that was included for fiscal years 2007 through 2009 was changed for the fiscal year 2010 budget request as part of a DOD initiative to reduce the overall number of budget line items. For fiscal years 2007 through 2009 Air Force Operations and Maintenance budget requests, the amounts requested by the Air Force for the ARA were explicitly stated in the budget justification documents as part of a separate subactivity group line item. For fiscal years 2010 through 2017, the ARA amount was bundled with funding requests for other training requirements in the Air Force Operations and Maintenance budget justification documents, thus omitting specific details with respect to the ARA. Specifically, Air Force budget justification materials included the amount the ARA changed from one fiscal year to the next, but did not include the total ARA amount.", "In the annual President\u2019s budget request submission, DOD requests specific amounts for Operations and Maintenance activities and includes information about (1) amounts for the next fiscal year for which estimates are submitted, (2) revisions to the amounts for the fiscal year in progress, and (3) reports on the actual amounts allotted to a particular activity or subactivity for the last completed fiscal year. The Standards for Internal Control in the Federal Government state that management should communicate the necessary quality information (internally and externally).", "According to Air Force budget officials there is no requirement from the Office of the Under Secretary of Defense (Comptroller)/Chief Financial Officer to separately identify the ARA amount and related details in the Air Force Operations and Maintenance annual budget requests. Nevertheless, officials from the Air Force and the Office of the Under Secretary of Defense (Comptroller)/Chief Financial Officer agreed that it would be helpful to include additional information in the budget, because of DOD and congressional interest. Without establishing specific requirements to present detailed ARA information in the annual Air Force Operations and Maintenance budget request, DOD and congressional decision-makers do not have sufficient information to make informed decisions about the level of funding necessary to cover airlift costs not recovered by the rates charged by TRANSCOM."], "subsections": []}, {"section_title": "U.S. Transportation Command Has Not Provided Airlift Readiness Account Estimates in Time to Inform Air Force Budget Requests", "paragraphs": ["TRANSCOM has not provided ARA estimates in time to inform Air Force budget requests. Air Force officials stated that they need to have TRANSCOM\u2019s estimates by mid-June to be able to conduct analysis to strengthen confidence in the ARA budget request and obtain senior leadership approval. The Air Force submits its Operations and Maintenance annual budget request to DOD in early July. However, TRANSCOM was not providing its ARA estimate until August. As a result, Air Force officials stated they have been developing their own ARA estimate based on historical average trends because they have not received information from TRANSCOM on time. TRANSCOM and Air Force officials agree that TRANSCOM\u2014as the provider of transportation services\u2014is in the best position to understand transportation workload demands.", "The Standards for Internal Control in the Federal Government state that management should use quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis to achieve the entity\u2019s objectives. Furthermore, management should use quality information to make informed decisions and evaluate the entity\u2019s performance in achieving key objectives and addressing risks and should design control activities, such as policies, procedures, techniques, and mechanisms as needed to enforce management\u2019s directives.", "In October 2017, Air Force and TRANSCOM officials told us they were working on a memorandum of understanding to improve the timing and communication of budgetary information from TRANSCOM to support the Air Force ARA budget request. Officials stated that the memorandum of understanding is expected to be completed by the end of fiscal year 2018. However, in May 2018, the draft memorandum that the Air Force provided for our review consisted of a 2-page template with a list of potential topics, and no substantive details regarding formalizing processes. Without developing sufficient detail on the formal processes and subsequently finalizing the memorandum of understanding, the Air Force and TRANSCOM will not be able to reasonably assure that the timing and communication of budgetary information from TRANSCOM are sufficient to support the Air Force Operations and Maintenance ARA annual budget request."], "subsections": []}]}, {"section_title": "TRANSCOM Has a Rate-Setting Process for Airlift Services, but Producing Accurate Workload Forecasts Is Challenging", "paragraphs": ["TRANSCOM has a rate-setting process for airlift services, but producing accurate workload forecasts is challenging. Our analysis of TRANSCOM data showed that the airlift forecasting process produced increasingly inaccurate projections of actual workload. Producing accurate forecasts is challenging because TRANSCOM has not fully implemented: (1) an effective process to gather workload projections from customers, (2) forecasting goals and metrics and the review of its performance, and (3) an action plan to improve workload forecasts."], "subsections": [{"section_title": "U.S. Transportation Command Has a Rate- Setting Process for Airlift Services", "paragraphs": ["TRANSCOM has a rate-setting process for airlift services that is generally established to be competitive with commercial airlift services, according to DOD guidance. Specifically, TRANSCOM operates five categories of airlift services, and according to documents and TRANSCOM officials the rate-setting process for each category is as follows:", "Channel Cargo rates apply to military air cargo along established routes. The rates for this category generally cover about 65 percent of the cost to provide airlift cargo services, and do not vary based on the type of aircraft used. Rates are benchmarked against commercial prices based on the weight of cargo using the following step-by-step process. Initially, International Heavyweight Air Tender price data from the prior year are checked for commercial rates on various routes. If no data are available for some routes, data from the closest country are used to develop average country-to-country rates or a weighted average when there is more than one country-to-country combination. Once rates are developed they are adjusted based on budget exhibits. The TRANSCOM Operations and Plans directorate is responsible for Channel Cargo forecasts to inform rate-setting for this category of service.", "Channel Passenger rates apply when military and civilian passengers are flying on established routes. The rates are benchmarked against commercial prices, recover about 85 percent of costs, and do not vary based on the type of aircraft used. Channel passenger rate-setting guidance also uses a step-by-step process. General Services Administration city pairs are checked for comparable prices. If no General Services Administration rate is found, the Defense Travel System is checked. If the Defense Travel System does not have a rate, online travel websites are checked. If the online travel sites do not have a rate, then a prior standard rate per mile for that route is adjusted based on budget exhibits. The TRANSCOM Strategic Plans, Policy, and Logistics directorate is responsible for channel passenger forecasts to inform rate-setting.", "Special Assignment Airlift Missions/Contingency rates apply for the use of full-plane charters performing and providing exclusive services for specific users. Rates are generally determined by the type of aircraft and those rates recover about 91 percent of costs for military aircraft and 100 percent of costs for commercial aircraft. Flight hour rates for military aircraft, flight length (miles), and capacity used for commercial aircraft are considered in the rate determinations. The TRANSCOM Operations and Plans Directorate is responsible for Special Assignment Airlift Missions/Contingency workload forecasts to inform rate-setting for this category of service.", "Joint Exercise Transportation Program rates apply to airlift services in support of realistic operational joint training. Rates are generally set in the same manner as the rates for the Special Assignment Airlift Missions/Contingency category, except that the TRANSCOM Operations and Plans Directorate is responsible for workload forecasting for the Joint Exercise Transportation Program.", "Training rates apply to those activities used to conduct programmed flying training, which generally includes a required number of sorties, flying hours, and aircrew training to support readiness. Rates are set to recover 100 percent of the recorded costs because the Air Force is the sole customer for these missions, according to TRANSCOM and Air Force officials. Training rates are generally based on the type of aircraft, and the cost per flight hour. According to TRANSCOM officials, the Air Mobility Command Air, Space and Information Operations Directorate is responsible for the flying hour model that determines requirements for this category of airlift services."], "subsections": []}, {"section_title": "Producing Accurate Workload Forecasts Is Challenging, and TRANSCOM Improvement Efforts Have Not Been Sustained", "paragraphs": ["TRANSCOM produces a forecast of its airlift workload to inform the development of the ARA budget request. According to TRANSCOM\u2019s guidance, workload forecasts are to be developed using future demand derived from a combination of statistical methods and necessary adjustments for expected operational conditions. The basic principles used for workload forecasting are generally the same for all five categories of airlift services. According to TRANSCOM officials, forecasting methods are applied with some variation. This practice is allowed under the forecasting instruction, depending on the category, and which TRANSCOM or Air Mobility Command entity is responsible for developing the forecast. For example, forecasts for the Joint Exercise Transportation Program and Training are affected more by requirements to support readiness and funding constraints. On the other hand, the basic forecasting process for Channel Cargo, Channel Passenger, and Special Assignment Airlift Missions/Contingency are affected by the transportation needs of the military services and combatant commands and generally based on historical workload.", "Based on our analysis, workload forecasts have been increasingly inaccurate for fiscal years 2007 through 2017. Specifically, we found that forecast inaccuracy (i.e., the variance between the forecast and the actual workload amounts aggregated across all five workload categories) averaged about 25 percent and was trending upward in absolute value for fiscal years 2007 through 2017, as shown in figure 4.", "In addition to the aggregate workload forecast being increasingly inaccurate, the accuracy of the workload forecasts across each of the five categories varies from year to year. For example, In fiscal year 2008, channel cargo actual workload was about 17 percent lower than the forecast, and Special Assignment Airlift Missions/Contingency actual workload was about 12 percent higher than the forecast; and In fiscal year 2016 Special Assignment Airlift Missions/Contingency actual workload was about 116 percent higher than the forecast and the Joint Exercise Transportation Program actual workload was about 45 percent lower than forecasts.", "For fiscal years 2007 through 2017, the workload categories with the largest absolute forecast inaccuracy include Special Assignment Airlift Missions/Contingency, Channel Cargo, and the Joint Exercise Transportation Program. Two of these categories (Special Assignment Airlift Missions/Contingency and Channel Cargo) also have the largest share of airlift services. However, all five workload categories had forecast inaccuracy of more than 15 percent in at least three of the eleven years we reviewed. The variance of forecasted workload from actual workload by airlift service category is presented in figure 5 below.", "Based on our analysis and discussions with TRANSCOM officials, TRANSCOM has not taken sustained actions to improve forecasting accuracy. Specifically, we found that TRANSCOM has not fully implemented (1) an effective process to collect projected airlift workload information from its customers (i.e., military services) to inform its forecasts, (2) metrics and goals for measuring and reviewing forecast accuracy, and (3) an action plan to improve workload forecasting. Specifically,", "TRANSCOM has not implemented an effective process for collecting projected airlift workload information: TRANSCOM officials told us they use historic workload data to establish a baseline, and perform statistical analysis to estimate averages and trends according to their instructions. Next, forecasters use information from the military services and combatant commands that may affect each category of workload, if available, and adjust workload estimates as needed.", "However, according to TRANSCOM officials, personnel conducting forecasts have limited visibility over factors that may influence forecasts, such as demand for transportation services, due to the lack of information obtained from their customers (i.e., the military services and Combatant Commands). Attempts to collect information from the military services and combatant commands have been made on an ad hoc basis. For example, in April 2016 TRANSCOM\u2019s Commander solicited information from the military services\u2019 senior leadership regarding their future transportation requirements, including airlift needs. The message emphasized the importance of forecasting to inform budget requests and management decisions to improve operational efficiency. However, according to TRANSCOM officials, the Air Force\u2014who is TRANSCOM\u2019s largest customer for airlift services\u2014was the only military service that provided the requested information in response to the TRANSCOM\u2019s Commander\u2019s one-time request. According to TRANSCOM officials, the other military services have not provided the requested information for workload projections because the services do not understand how they would benefit from providing the information and TRANSCOM\u2019s terminology and processes are not familiar to the services. As a result, TRANSCOM\u2019s ad hoc approach has not obtained quality information from its customers to use in forecasting workload.", "Standards for Internal Control in the Federal Government state that management should use quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis to achieve the entity\u2019s objectives. Furthermore, we found other defense organizations have provided a mechanism for customers to routinely communicate projected workload information. For example, the Defense Logistics Agency and their customers work together to evaluate historical demand data for spare parts and tailor forecast plans for those spare parts based on projected future usage. To this end, communications with customers are expected to be consistent and to use terminology shared in common with customers. Options are presented in a manner that is readily understood by customers in a format determined by customers\u2019 needs to encourage the most efficient and effective solutions available.", "TRANSCOM no longer uses forecast accuracy metrics and has not established forecast accuracy goals: In 2012, TRANSCOM developed a forecasting process, and according to officials started providing forecast performance metric briefings to TRANSCOM senior leadership on a quarterly basis in fiscal year 2014. TRANSCOM\u2019s overall forecast accuracy improved slightly in 2015. However, according to TRANSCOM officials, these forecast briefings were canceled after the first quarter of fiscal year 2016 because they were viewed as minimally useful for budgeting, and were not used to position airlift capacity to meet operational needs. In addition, TRANSCOM officials stated that they no longer measure forecast performance. We found that overall forecast inaccuracy was higher for fiscal years 2016 and 2017 than any other year we reviewed, as indicated above in figure 4.", "However, TRANSCOM\u2019s January 2015 forecasting instruction requires forecast accuracy metrics to be developed to support management decisions and forecast variance from actual workload to be reviewed. Furthermore, the Standards for Internal Control in the Federal Government state that management should define objectives in specific and measurable terms to enable the design of internal control for related risks, establish activities to monitor performance measures and indicators, and assess performance against plans, goals, and objectives set by the entity.", "TRANSCOM does not have a corrective action plan for improving workload forecasts: TRANSCOM officials acknowledge that workload forecasting needs improvement, and told us that TRANSCOM does not have an action plan to improve its forecasting processes to inform budgetary and operational decisions. In October 2013, TRANSCOM considered, but did not adopt, a process designed to help ensure senior management has visibility over issues, including forecasting, known as Sales and Operations Planning (S&OP). We reported that the Army implemented this process in 2013 after Army officials concluded that they could leverage commercial best practices to improve logistics performance (see sidebar). We discussed the S&OP process with TRANSCOM officials, and they told us that the possibility of adapting the process to military logistics was not readily accepted at TRANSCOM because of organizational resistance to change. Initial organizational resistance to change was also experienced by the Army, as discussed in our prior report. However, according to the Army, the benefits of implementing S&OP resulted in a 50 percent reduction in forecast error, and a decision was made to deploy the S&OP process for use across all Army depots and arsenals by the end of fiscal year 2018. Adopting a corrective action plan, or approach such as S&OP can help TRANSCOM focus and improve planning efforts resulting in improved and more accurate workload forecasting.", "Furthermore, according to TRANSCOM\u2019s January 2015 forecasting instruction, opportunities to improve forecasts should be assessed. Additionally, Standards for Internal Control in the Federal Government state that management should complete and document corrective actions to remediate internal control deficiencies on a timely basis to achieve established objectives. Our prior work has also shown that organizations benefit from corrective action plans for improvement.", "TRANSCOM officials told us that producing accurate workload forecasts is challenging, and we agree that there are some inherent difficulties in accurately forecasting airlift workload on an annual basis. However, our prior work on aviation forecasting has noted that forecasting is inherently uncertain, but managing the risk related to that uncertainty is essential to making informed decisions. Improved forecasting by addressing the weaknesses identified could allow for more effective financial planning and enable more efficient airlift operations. For example, TRANSCOM estimated needing an ARA amount of $772 million for fiscal year 2016. However, according to our analysis of TRANSCOM financial records, the TWCF did not require support from ARA funds because actual revenue from airlift services exceeded its costs by $148 million in fiscal year 2016.", "Inaccurate forecasts can lead to unreliable budget requests and hinder effective and efficient operational planning necessary to provide customers with the service they need. For example, according to a 2017 Air Force Audit Agency report, flying channel passenger flights at 85 percent of capacity may result in estimated savings of about $30 million over a 6-year period. Our past work also shows that underutilization of cargo airlift capacity is a longstanding issue. Improving forecast accuracy would help TRANSCOM manage airlift services more efficiently, make better use of budgetary resources to maximize airlift capacity more effectively, and result in an ARA budget estimate that is more accurate. In response to our findings and discussions, TRANSCOM officials stated they plan to begin reviewing TRANSCOM\u2019s workload forecasting process and determine a path ahead in June 2018. However, the outcome and timeframes for this review are uncertain. Furthermore, TRANSCOM leadership still must approve and fully implement changes to forecasting processes, metrics, and goals.", "Unless TRANSCOM fully implements an effective process to obtain projected workload requirements from its customers on a routine basis, uses forecast accuracy metrics and establishes goals, and develops an action plan, airlift workload forecasting will not improve. We acknowledge that eliminating volatility entirely in the ARA budget request is unlikely given that there will be unexpected and unpredictable workload adjustments due to changes in the global security environment or natural disasters. We also understand improving workload forecasts through the use of goals, metrics, and an action plan for improvement will not eliminate the inherent volatility associated with the ARA budget request amount. However, these improvements would allow TRANSCOM to better manage the inherent risks associated with the accuracy of forecasts and improve ARA estimates used to inform future Air Force Operations and Maintenance budget requests."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Each year DOD spends billions of dollars on airlift services flying personnel and cargo worldwide. The clarity of budget estimates and the accuracy of forecasts for airlift services are essential for Congress and DOD to make informed decisions. Accordingly, Congress would benefit from detailed ARA information in its budget requests, and this information would be improved by TRANSCOM providing timely information on the annual ARA estimate to the Air Force. Additionally, TRANSCOM continues to face challenges in forecasting its workload, which is a key factor in estimating the ARA. Until TRANSCOM establishes a process to collect projected workload information from its customers, uses forecast accuracy metrics and goals to monitor its performance, and implements a corrective action plan, forecast accuracy and ARA estimates are not likely to improve."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations to DOD.", "The Secretary of Defense should ensure that the Undersecretary of Defense (Comptroller)/Chief Financial Officer establishes requirements to present details related to the ARA in the annual Air Force Operations and Maintenance budget request including (1) amounts for the next fiscal year for which estimates are submitted, (2) revisions to the amounts for the fiscal year in progress, and (3) the actual amounts allotted for the last completed fiscal year. (Recommendation 1)", "The Secretary of Defense should ensure that the Secretary of the Air Force and the Commander, U.S. Transportation Command, in collaboration, develop sufficient detail on the formal processes and finalize their memorandum of understanding to improve the timing and communication of budgetary information to support the Air Force Operations and Maintenance Airlift Readiness Account annual budget request. (Recommendation 2)", "The Secretary of Defense should ensure that the Commander, U.S. Transportation Command, fully implements a process to obtain projected airlift workload from the military services and Combatant Commanders on a routine basis to improve the accuracy of its workload forecasts. (Recommendation 3)", "The Secretary of Defense should ensure that the Commander, U.S. Transportation Command, uses forecast performance metrics and establishes forecast accuracy goals for the airlift workload. (Recommendation 4)", "The Secretary of Defense should ensure that the Commander, U.S. Transportation Command, develops a corrective action plan to improve the accuracy of its workload forecasting. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, which are reprinted in appendix IV, DOD concurred with our recommendations and stated that it plans to take specific actions in response to our recommendations. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Diana Maurer at (202) 512-9627 or maurerd@gao.gov, or Asif Khan at (202) 512-9869, or khana@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To determine the extent to which ARA funds were requested, allotted, and expended by the Air Force from fiscal years 2007 through 2017, we analyzed Air Force budget request documents and underlying support documentation. We also analyzed information from the Air Force\u2019s Automated Budget Interactive Data Environment Systems to determine the appropriated amounts allotted for ARA activities. Furthermore, we analyzed summary-level documents detailing expenditures from the Air Force and TRANSCOM for fiscal years 2007 through 2017 to establish trends. Moreover, we reviewed TRANSCOM\u2019s procedures and supporting documentation for billing the Air Force for payment of the ARA. Lastly, we interviewed DOD, Air Force and TRANSCOM officials to gain an understanding of general reasons variances from year to year occurred or between the requested and expended amounts.", "To determine the extent to which the Air Force provided ARA information in its budget request to Congress and informed its request with information from TRANSCOM, we analyzed Air Force Operations and Maintenance budget justification documents to determine the type of ARA information (i.e., total budget request amount, changes from year to year, and other information) provided in the fiscal years 2007 through 2017 President budget submissions. To understand the differences, if any, between the ARA information provided from year to year, we interviewed Air Force budget officials to obtain an explanation for changes in the reported information. In addition, we analyzed Air Force Operations and Maintenance budget justification documents, and Transportation Working Capital Fund budget documents to determine if the ARA was based on available information. We also discussed with Air Force and TRANSCOM officials future plans to change their procedures and the information considered in the development of the ARA estimate. Further, we compared the Air Force and TRANSCOM processes and procedures against Standards for Internal Controls in the Federal Government, specifically standards regarding internal and external reporting and mechanisms to enforce management directives.", "To determine the extent to which TRANSCOM has implemented a process to set rates for airlift services and use workload forecasts to estimate the annual ARA funding request, we analyzed the processes TRANSCOM used to set rates it charges customers in various airlift workload categories for fiscal years 2007 through 2017. We also reviewed forecasting procedures and analyzed supporting documents provided by TRANSCOM; interviewed TRANSCOM officials to gain an understanding of how they implement these rate setting and forecasting procedures; and analyzed forecast and actual workload data provided by TRANSCOM for the same timeframe. We compared TRANSCOM\u2019s processes against rate-setting and forecasting guidance and reviewed whether TRANSCOM used quality information to establish workload projections, established any performance measures and goals for forecasting its workload, and developed any efforts to improve its forecasting of workload. In addition, we interviewed TRANSCOM and Air Mobility Command officials and reviewed supporting documentation to gain an understanding of challenges that exist to producing accurate workload forecasts, and the relationship with the rate-setting and budgeting process.", "We obtained revenue, cost, workload, and ARA data in this report from budget documents, accounting reports, and Air Force and TRANSCOM records for fiscal years 2007 through 2017. We assessed the reliability of the data by (1) interviewing Air Force and TRANSCOM officials to gain an understanding of the processes used to produce the cash, revenue, cost, workload and ARA data; (2) reviewing prior work to determine if there were reported concerns with TRANSCOM\u2019s data; (3) comparing cash balances, revenue, costs and workload data provided by TRANSCOM to the same data presented in the Air Force Working Capital Fund budgets for fiscal years 2007 through 2017; and (4) comparing ARA data to Air Force and TRANSCOM supporting documentation, or to Air Force Operations and Maintenance budget execution reports to support ARA reported amounts for fiscal years 2007 through 2017. On the basis of these procedures, we have concluded that these data were sufficiently reliable for the purposes of this report.", "To address all of our objectives, we conducted a site visit to U.S. Transportation Command Headquarters and Air Mobility Command at Scott Air Force Base, Illinois, and interviewed officials with the Office of the Undersecretary of Defense (Comptroller)/Chief Financial Officer, the Assistant Secretary of the Air Force (Financial Management and Comptroller), the U.S. Transportation Command, and the Air Mobility Command.", "We conducted this performance audit from August 2017 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Air Force Working Capital Fund and Transportation Working Capital Fund Monthly Cash Balances for Fiscal Years 2007-2017", "paragraphs": ["The Air Force Working Capital Fund maintained a positive monthly cash balance throughout fiscal years 2007 through 2017. The Transportation Working Capital Fund (TWCF) is a part of the Air Force Working Capital Fund for cash management purposes. DOD working capital funds are authorized to charge amounts necessary to recover the full costs of goods and services provided. However, the TWCF is authorized to establish airlift customer rates to be competitive with commercial air carriers. Due to mobilization requirements, the resulting revenue does not always cover the full costs of airlift operations provided through the TWCF. To the extent customer revenue is insufficient to support the costs of maintaining airlift capability the Air Force shall provide appropriated funds. The Air Force Working Capital Fund and TWCF monthly cash balances are depicted in figure 6 below."], "subsections": []}, {"section_title": "Appendix III: Transportation Working Capital Fund Costs and Revenues for Airlift Services", "paragraphs": ["Total costs for airlift services for fiscal years 2007 through 2017 were less than revenue collected for airlift services. Revenue came from rates charged to customers for services performed (workload related revenue), the Airlift Readiness Account (ARA), and other revenue sources. For seven of the eleven years we reviewed, revenues exceeded costs, and for four of the eleven years, costs exceeded revenue. For the eleven year period we reviewed, workload related revenue ($73 billion) was not sufficient to pay for the full costs of airlift services. The remaining revenue included $2 billion from the ARA and $7 billion from other revenue sources."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": ["Diana Maurer, (202) 512-9627 or maurerd@gao.gov, or Asif A. Khan, at (202) 512-9869, or khana@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, John Bumgarner (Assistant Director), Doris Yanger (Assistant Director), John E. \u201cJet\u201d Trubey (Analyst In Charge), Pedro Almoguera, John Craig, Jason Kirwan, Amie Lesser, Felicia Lopez, Keith McDaniel, Clarice Ransom, and Mike Silver made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-171", "url": "https://www.gao.gov/products/GAO-19-171", "title": "Emergency Communications: Office of Emergency Communications Should Take Steps to Help Improve External Communications", "published_date": "2018-12-12T00:00:00", "released_date": "2018-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Public-safety communications systems are used by thousands of federal, state, and local jurisdictions. It is vital that first responders have communications systems that allow them to connect with their counterparts in other agencies and jurisdictions. OEC offers written guidance, governance planning, and technical assistance to help ensure public-safety entities have the necessary plans, resources, and training to support emergency communications. FirstNet, an independent authority within the Department of Commerce, is establishing a public-safety network.", "GAO was asked to review OEC's efforts related to interoperable emergency communications. This report examines (1) OEC's and FEMA's collaborative efforts to develop grant guidance; (2) how OEC incorporates FirstNet's network and other emerging technologies into its plans and offerings; and (3) the extent to which OEC has assessed its methods of communication. GAO evaluated OEC's and FEMA's coordination against GAO's leading practices for interagency collaboration; surveyed all 54 state-designated SWICs; evaluated OEC's communications efforts against federal internal control standards; and interviewed officials that represented various areas of public safety."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security's (DHS) Office of Emergency Communications (OEC) and the Federal Emergency Management Agency (FEMA) collaborate on grant guidance to help public-safety stakeholders use federal funds for interoperable emergency communications. GAO found that OEC's and FEMA's efforts generally align with GAO's leading practices for effective interagency collaboration. For example, OEC's and FEMA's memorandum of agreement and standard operating procedures articulate their agreement in formal documents, define their respective responsibilities, and include relevant participants. During this review, the agencies established a process to monitor and assess grantees' compliance with the grant guidance. However, because the grants for 2018 were not yet awarded at the time of GAO's review, GAO was unable to assess the effectiveness of the new process.", "OEC incorporates the First Responder Network Authority's (FirstNet) nationwide public-safety broadband network and other emerging technologies into various offerings such as written guidance, governance planning, and technical assistance. Public-safety organizations GAO interviewed and statewide interoperability coordinators (SWIC) GAO surveyed were generally satisfied with OEC's communication efforts.", "OEC has not assessed its methods for communicating with external stakeholders. According to federal internal control standards, management should externally communicate the necessary quality information to achieve the entity's objectives and periodically assess its methods of communication so that the organization has the appropriate tools to communicate quality information on a timely basis. Some SWIC survey respondents and public-safety representatives identified an opportunity for OEC to improve its methods of communication. For example, 26 of the 54 SWICs responded that OEC could use additional tools or approaches, such as social media, for improving communication with its stakeholders. In addition, public-safety officials reported that they have missed training because they were unaware of opportunities. Because OEC has not assessed its methods of communication, OEC may not be using the best tools and approaches to provide timely information on training opportunities, workshops, and other emergency communications information to the public-safety community."]}, {"section_title": "What GAO Recommends", "paragraphs": ["OEC should assess its methods of communication to help ensure it is using the appropriate tools in communicating with external stakeholders. DHS concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Public-safety communications systems are used by first responders\u2014 such as police officers and firefighters\u2014in thousands of federal, state, and local jurisdictions. It is vital for first responders to have: sufficient capacity to handle the communications, and interoperable communications systems that enable first responders to connect with their counterparts in other agencies and jurisdictions, even if their counterparts\u2019 systems or equipment vendors differ.", "The Office of Emergency Communications (OEC)\u2014located within the Department of Homeland Security\u2019s (DHS) National Protection and Programs Directorate (NPPD)\u2014was created in 2007 to promote interoperable emergency communications, among other things. OEC offers written guidance, governance planning, and technical assistance to help ensure federal, state, local, tribal, and territorial agencies have the necessary plans, resources, and training they need to support operable and interoperable emergency communications. OEC coordinates with other DHS agencies that have responsibilities for emergency communications, such as the Federal Emergency Management Agency (FEMA), which awarded over $50 billion in preparedness grants funding to state, local, tribal, and territorial governments from fiscal years 2002 through 2018. According to OEC, its guidance, governance planning, and technical assistance have changed to reflect changes in technology, including the creation of the First Responder Network Authority (FirstNet). FirstNet was created to establish a nationwide, interoperable, wireless broadband network for use by federal, state, tribal, and local public-safety personnel. According to FirstNet, the nationwide network will transform the future of public-safety communications for first responders.", "You asked us to obtain information on OEC\u2019s and FEMA\u2019s grant guidance efforts as well as OEC\u2019s plans and offerings for emergency communications. This report examines:", "OEC\u2019s and FEMA\u2019s collaborative efforts to develop and implement emergency communications grant guidance; how OEC incorporates FirstNet\u2019s nationwide public-safety broadband network and other emerging technologies into its plans and offerings, and stakeholders\u2019 views regarding those efforts; and the extent to which OEC has assessed its methods of communication.", "To address these objectives, we reviewed OEC and FEMA documentation on their collaborative efforts related to grants, including memorandums of agreement and standard operating procedures. We also interviewed OEC and FEMA staff to obtain information on their collaboration efforts. We assessed whether the agencies\u2019 actions align with the seven key features of interagency collaboration that we have previously identified. We also reviewed OEC documents and technical assistance offerings, including the 2014 National Emergency Communications Plan. We conducted semi-structured interviews with 6 of the 10 OEC coordinators. We selected these OEC coordinators to achieve variety across geography, population density, tribal presence, and territory representation; their views do not represent OEC\u2019s official agency position.", "Additionally, we surveyed the statewide interoperability coordinators (SWIC) from 48 states, the District of Columbia, and 5 territories. We surveyed SWICs from May 2018 to July 2018 and received responses from all 54 SWICs. We conducted semi-structured interviews with officials from 10 public-safety organizations that are members of both the SAFECOM committee and the Public Safety Advisory Committee (PSAC). We selected organizations that represent various areas of public safety (e.g., law enforcement, public works, and fire and emergency medical services) and different levels of jurisdiction (i.e., federal, state, local, or tribal). We also assessed OEC\u2019s efforts for communicating with public-safety stakeholders against pertinent federal standards for internal control. Additional details about our scope and methodology can be found in appendix I, and a copy of our survey results can be found in appendix II.", "We conducted this performance audit from December 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Effective communication is vital to first responders\u2019 ability to respond to emergencies and to ensure their safety. For example, first responders use public-safety communications systems to gather information, coordinate a response, and request additional resources and assistance from neighboring jurisdictions and the federal government. OEC has taken a number of steps aimed at supporting and promoting the ability of public-safety officials to communicate in emergencies and work toward operable and interoperable emergency communications nationwide. OEC develops policy and guidance supporting emergency communications across all levels of government and across various types of emerging technologies such as broadband, Wi-Fi, and NextGen 911, among others. OEC also provides technical assistance\u2014including training, tools, and online and on-site assistance\u2014for federal, state, local, and tribal first responders. First responders use different communications systems, such as land mobile radio (LMR), commercial wireless services, and FirstNet\u2019s network.", "LMR: These systems are the primary means for first responders to use voice communications to gather and share information while conducting their daily operations and coordinating their emergency response efforts. LMR systems are intended to provide secure, reliable voice communications in a variety of environments, scenarios, and emergencies. Across the nation, there are thousands of separate LMR systems.", "Commercial wireless services: Public-safety entities often pay for commercial wireless services to send data transmissions such as location information, images, and video. Some jurisdictions also use commercial wireless services for voice communications.", "Nationwide dedicated-broadband network: Consistent with the law, FirstNet is working to establish a nationwide dedicated network for public-safety use that is intended to foster greater interoperability, support important data transmissions, and meet public-safety officials\u2019 reliability needs. In creating FirstNet in 2012, Congress provided it with $7 billion in federal funds for the network\u2019s initial build-out and valuable spectrum for the network to operate on. Unlike current LMR systems, the devices operating on FirstNet\u2019s network will use the same radio frequency band nationwide. It is expected that these devices will be interoperable among first responders using the network because the devices will be built using the same open, non- proprietary, commercially available standards.", "Communications systems must work together, or be interoperable, even though the systems or equipment vendors may differ. The interoperability of emergency communications enables first responders and public-safety officials to use their radios and other equipment to communicate with each other across agencies and jurisdictions when needed and as authorized, as shown in figure 1.", "OEC is tasked with developing and implementing a comprehensive national approach to advance interoperable communications capabilities. For example, according to OEC, it supports and promotes communications used by emergency responders and government officials and leads the nation\u2019s operable and interoperable public-safety and national security/emergency preparedness communications efforts. OEC notes that it plays a key role in ensuring federal, state, local, tribal, and territorial agencies have the necessary plans, resources, and training needed to support operable and interoperable emergency communications. To help in this effort, OEC instituted a coordination program that established regional coordinators across the nation. According to OEC, its coordinators work to build trusted relationships, enhance collaboration, and stimulate the sharing of best practices and information between all levels of government, critical infrastructure owners and operators, and key non-government organizations.", "OEC developed the National Emergency Communications Plan in 2008 and worked with federal, state, local, and tribal jurisdictions to update it in 2014 to reflect an evolving communications environment. The long-term vision of the plan\u2014which OEC views as the nation\u2019s current strategic plan for emergency communications\u2014is to enable the nation\u2019s emergency- response community to communicate and share information across all levels of government, jurisdictions, disciplines, and organizations for all threats and hazards, as needed and when authorized.", "To help it accomplish this mission, OEC works with three emergency communications advisory groups: SAFECOM, the Emergency Communications Preparedness Center (ECPC), and the National Council of Statewide Interoperability Coordinators (NCSWIC). These organizations promote the interoperability of emergency communications systems by focusing on technologies including, but not limited to, LMR and satellite technology.", "SAFECOM: According to the 2018 SAFECOM Strategic Plan, SAFECOM develops products and completes a range of activities each year in support of its vision and mission, including providing a national view of public-safety priorities and challenges, developing resources and tools aligned to the 2014 National Emergency Communications Plan, and collaborating with partner organizations to promote the interoperability of emergency communications. One of the products developed by SAFECOM each year is the Guidance on Emergency Communications Grants. SAFECOM consists of more than 50 members that represent local, tribal, and state governments; federal agencies; state emergency responders; and intergovernmental and national public-safety organizations.", "ECPC: The ECPC is an interagency collaborative group that provides a venue for coordinating federal emergency-communications efforts. The ECPC works to improve coordination and information sharing among federal emergency-communications programs. The ECPC does this by serving as the focal point for emergency communications issues across the federal agencies; supporting the coordination of federal programs, such as grant programs; and serving as a clearing house for emergency communications information, among other responsibilities. The ECPC has 14 member agencies that are responsible for setting its priorities.", "NCSWIC: This council consists of SWICs and their alternates from 50 states, 5 territories, and the District of Columbia. According to SAFECOM, NCSWIC develops products and services to assist the SWICs with leveraging their relationships, professional knowledge, and experience with public-safety partners involved in interoperable communications at all levels of government.", "Additionally, in 2013, FirstNet established the PSAC to provide advice to FirstNet. The committee is composed of members who represent local, tribal, and state public-safety organizations; federal agencies; and national public-safety organizations.", "FEMA is responsible for coordinating government-wide disaster response efforts, including on-the-ground emergency communications support and some technical assistance. For example, FEMA\u2019s regional emergency- communications coordinator is responsible for providing emergency communications assistance on an as-needed basis and coordinating FEMA\u2019s tactical communications support during a disaster or emergency. FEMA also provides a range of grant assistance to state, local, tribal, and territorial entities, including preparedness grants that can be used for emergency communications.", "As noted above, in November 2018, legislation was signed into law that reorganized and renamed NPPD and OEC. Previously, OEC was one of five divisions under the Office of Cyber Security and Communications which in turn was one of five divisions within NPPD. However, NPPD has been renamed the Cybersecurity and Infrastructure Security Agency, and OEC was renamed the Emergency Communications Division and was elevated to one of three direct reporting divisions within the new agency. See figure 2 for an illustration of changes made to OEC\u2019s organizational placement."], "subsections": []}, {"section_title": "OEC\u2019s and FEMA\u2019s Joint Efforts for Emergency Communications Grants Generally Follow Key Features for Effective Interagency Collaboration", "paragraphs": ["OEC and FEMA have responsibilities for developing and implementing grant guidance for grantees using federal funds for interoperable emergency communications. Specifically, OEC and FEMA officials told us FEMA is responsible for administering the grants, and OEC coordinates emergency communications grant guidance annually through SAFECOM\u2019s Guidance on Emergency Communications Grants. We reviewed OEC\u2019s and FEMA\u2019s collaborative efforts related to grant guidance and found that their efforts generally follow our previously identified leading practices for effective interagency collaboration, as described below.", "Written Guidance and Agreements. Agencies that formally document their agreements can strengthen their commitment to working collaboratively. OEC and FEMA formalized their coordination efforts for interoperable emergency communications grants in a memorandum of agreement in 2014. This memorandum assigned OEC and FEMA responsibilities and established a joint working group to develop standard operating procedures, which OEC said were drafted the following year but not formally approved by FEMA, that govern coordination between the agencies. We also reported that written agreements are most effective when the collaborators regularly monitor and update them. When we started our review, OEC and FEMA officials told us that they had not updated the memorandum of agreement, which included the draft standard operating procedures as an appendix. However, the agencies approved an updated memorandum of agreement and standard operating procedures, and OEC provided them to us in July 2018.", "Leadership. When buy-in is required from multiple agencies, involving leadership from each can convey the agencies\u2019 support for the collaborative effort. According to OEC and FEMA officials, their grants coordination efforts include high-level leadership. Specifically, senior leaders from both agencies signed the 2014 and 2018 memorandums of agreement. Also, OEC officials told us that their leaders in the grants program office are responsible for overseeing the collaborative effort.", "Bridging Organizational Culture. Collaborating agencies should establish ways to operate across agency boundaries and address their different organizational cultures. OEC and FEMA operate across agency boundaries in several ways. First, both agencies told us that they participate in the ECPC Grants Focus Group, whose members coordinate across federal grant programs to support interoperable emergency communications. The group reviews SAFECOM guidance and, according to FEMA officials, meets on a quarterly basis. Second, OEC officials said the agencies foster open lines of direct communication via conference calls, e-mail correspondence, and in-person meetings. OEC and FEMA officials told us their communications include sharing and reviewing language in FEMA\u2019s notices that announce grant opportunities and OEC\u2019s SAFECOM guidance. Third, the agencies said that OEC officials conduct emergency-communications-related trainings and briefings for FEMA at least once a year. According to OEC officials, these trainings have included a discussion on the movement toward broadband and FirstNet. Finally, FEMA officials told us that their program analysts have attended conferences with OEC to speak to the SWICs about grant programs. They said the program analysts explained how the grant money can be leveraged to support projects within the individual states and answered questions about the grants. OEC officials said having FEMA attend conferences to discuss specific grant information is useful for public-safety stakeholders.", "Clarity of Roles and Responsibilities. Collaborating agencies can get clarity when they define and agree upon their respective roles and responsibilities. As part of the 2014 and 2018 memorandums of agreement, OEC and FEMA established clear responsibilities for how each agency will support the grants coordination effort. For example, both offices were responsible for assigning experienced program staff and contributing to the development of standard operating procedures by attending meetings and conducting research. Also, the standard operating procedures clarify how OEC and FEMA will share information, solicit input on grants guidance language, and review grant applications.", "Participants. Including relevant participants helps ensure individuals with the necessary knowledge, skills, and abilities will contribute to the collaborative effort. OEC and FEMA identify points of contact in their memorandums of agreement. According to OEC officials, they did not always work with the correct FEMA staff before the 2014 memorandum was developed. Also, FEMA officials told us that their grants program staff who participate in the coordination effort with OEC perform those specific responsibilities as a collateral duty on an as needed basis. According to OEC officials, OEC\u2019s performance plans outline coordination with FEMA and areas related to the agencies\u2019 memorandum of agreement for the staff who handle grant issues. OEC and FEMA officials said participants\u2019 responsibilities include serving as technical subject matter experts and reviewing language for grants guidance and notices of funding opportunities.", "Resources. Collaborating agencies should identify the human, financial, and technological resources they need to initiate or sustain their efforts. OEC and FEMA staff their collaborative effort with employees from their grants offices to address their human resource needs. These employees perform work related to emergency communications grants as outlined in their performance plans or as a collateral duty. The agencies also provide OEC access to FEMA\u2019s non-disaster grants system to share grantee information. According to OEC and FEMA officials, their collaboration efforts do not require either agency to obligate funds or use special technology, such as online information-sharing tools.", "Outcomes and Accountability. Collaborating agencies that create a means to monitor and evaluate their efforts can better identify areas for improvement. According to OEC and FEMA documentation, the primary goal of the draft standard operating procedures was to prevent grantees from improperly using federal funds, such as purchasing equipment that is not interoperable. OEC officials said the biggest gap in those standard operating procedures was that they did not include a monitoring program to ensure grantees were compliant with grant guidance, which include requirements for interoperability. OEC\u2019s and FEMA\u2019s July 2018 standard operating procedures established a process to track and monitor grantee compliance. They also identified a process for assessing the information they collect and how it will be shared among OEC and FEMA, and when appropriate, other stakeholders. At the time of our review, OEC and FEMA officials told us they had not implemented the monitoring procedures because the grants for the 2018 grant cycle were not yet awarded. Accordingly, we could not evaluate the effectiveness of the new procedures to monitor and assess grantee compliance, and without conducting such an evaluation, we could not determine whether OEC\u2019s and FEMA\u2019s efforts align with the key practice in this area. Senior officials from both agencies said the monitoring procedures would be updated if they do not work as intended."], "subsections": []}, {"section_title": "OEC Incorporates FirstNet\u2019s Network and Emerging Technologies into Its Plans and Offerings", "paragraphs": ["After being established in 2007, OEC initially focused on enhancing the interoperability and continuity of LMR systems. However, according to OEC officials, its programs, products, and services have adapted and evolved to incorporate new modes of communications and technologies. Additionally, OEC\u2019s technical assistance offerings for emergency communications technology have evolved over time as new technologies have come into use. For example, OEC\u2019s technical assistance catalog contains new or enhanced offerings on topics related to broadband issues such as FirstNet\u2019s network, Next Generation 911, alerts and warnings, and incident management.", "In 2014, DHS released its second National Emergency Communications Plan, which identified the need to focus on broadband technologies, including FirstNet\u2019s nationwide public-safety broadband network. One of the plan\u2019s top priorities is \u201censuring emergency responders and government officials plan and prepare for the adoption, integration, and use of broadband technologies, including the planning and deployment of the nationwide public-safety broadband network.\u201d To meet this priority, OEC officials told us that they provide stakeholders with a wide range of products and services to help prepare for the adoption, integration, and use of broadband. For instance, officials said that they leverage OEC\u2019s governance groups\u2014SAFECOM, NCSWIC, and ECPC\u2014to develop products and services and to identify specific challenges and requirements regarding broadband. Additionally, OEC officials told us that they coordinate regularly with FirstNet staff and invite FirstNet to meet and brief the stakeholder community on the latest deployment information. However, OEC officials told us that FirstNet\u2019s network is one option available to public-safety and government officials to access broadband communications and information sharing and explained that OEC maintains a neutral position for all technologies and vendors. Accordingly, OEC is not responsible for promoting any vendor solutions, including FirstNet\u2019s network, and there is no requirement for OEC to do so. Additionally, five of six OEC coordinators we interviewed told us that FirstNet\u2019s network is only one of several emergency-communications technology options and that OEC should continue to provide information to public-safety stakeholders regarding other providers. For example, there are commercial carriers that provide wireless broadband services, and we have previously reported that these commercial carriers could choose to compete with FirstNet.", "According to OEC officials, prior to the start of each fiscal year, OEC engages with stakeholders to gather feedback on new or revised technical assistance offerings, as well as updates to existing plans and documents. OEC officials told us that they expect an increase in technical assistance requests that focus on issues related to mobile data use, broadband governance, standard operating procedures, and policies and procedures. According to OEC officials, OEC has delivered more than 2,000 technical-assistance-training courses and workshops since 2007, and OEC will continually update its technical assistance offerings to incorporate new modes of communications and technologies into training, exercises, and standard operating procedures for its stakeholders.", "The majority (7 of 10) of public-safety organizations that we interviewed told us that OEC sufficiently incorporates information regarding FirstNet\u2019s network into its guidance and offerings. For example, officials from 6 of 10 organizations that we interviewed told us that OEC must strike a balance between FirstNet\u2019s network and other emerging technologies, and that OEC has successfully accomplished this task. Additionally, the majority of SWICs responded to our survey that it is at least moderately important for OEC to incorporate the FirstNet network and emerging technologies into its written guidance, technical assistance offerings, training opportunities, workshops, and grant guidance, Furthermore, in most cases, SWICs responded that OEC has incorporated FirstNet\u2019s network and emerging technologies into these areas, as follows:", "FirstNet network. In our survey, the majority of SWICs responded that OEC has incorporated, to a large or moderate extent, FirstNet\u2019s network into its written guidance (65 percent) and technical assistance offerings (59 percent), and half of SWICs said the same for OEC\u2019s workshops. However, fewer SWICs reported that OEC incorporated FirstNet\u2019s network, to a large or moderate extent, into its training opportunities (39 percent) and grant guidance (33 percent).", "Emerging technologies. The majority of SWICs reported that OEC has incorporated, to a large or moderate extent, emerging technologies into its written guidance (87 percent); technical assistance offerings (81 percent); training opportunities (74 percent); workshops (78 percent); and grant guidance (56 percent).", "See figure 3 for complete survey data regarding SWICs\u2019 views on the extent that OEC has incorporated FirstNet\u2019s network and emerging technologies into its offerings.", "In surveying SWICs on the usefulness of OEC\u2019s efforts to incorporate FirstNet\u2019s network and emerging technologies into its offerings, we found the following:", "FirstNet network. The majority of SWICs reported that OEC\u2019s efforts to incorporate FirstNet\u2019s network into its written guidance (67 percent), technical assistance offerings (59 percent), and workshops (59 percent) have been very or moderately useful. However, less than a majority of SWICs reported that OEC\u2019s efforts to incorporate FirstNet\u2019s network into its training opportunities (46 percent) and grant guidance (40 percent) have been very or moderately useful.", "Emerging technologies. The majority of SWICs reported that OEC\u2019s efforts to incorporate emerging technologies into its written guidance (93 percent), technical assistance offerings (85 percent), training opportunities (74 percent), workshops (85 percent), and grant guidance (72 percent) have been very or moderately useful.", "See figure 4 for complete survey data regarding SWICs\u2019 views on the usefulness of OEC\u2019s efforts to incorporate FirstNet\u2019s network and emerging technologies into its offerings.", "Even following the implementation of FirstNet, public-safety stakeholders told us they expect OEC will play an important role in ensuring interoperable emergency communications, both regarding the FirstNet network and other technologies. For example, 45 of 54 (83 percent) of SWICs we surveyed reported that OEC will likely have a large or moderate role for ensuring interoperable emergency communications once FirstNet\u2019s network is fully operational. Additionally, nearly all (9 of 10) of public-safety organizations we interviewed said that they believe OEC will continue to play an important role in ensuring interoperable emergency communications after the implementation of FirstNet\u2019s network."], "subsections": []}, {"section_title": "OEC Has Not Assessed Its Methods for Communicating with External Stakeholders", "paragraphs": ["OEC is required to conduct extensive nationwide outreach to support and promote interoperable emergency-communications capabilities by state, regional, local, and tribal governments and public-safety agencies in the event of natural disasters and acts of terrorism and other man-made disasters. According to federal standards for internal control, management should externally communicate the necessary quality information to achieve the entity\u2019s objectives. This includes communicating with external parties and using the appropriate methods of communication. The federal standards state that management should periodically assess the entity\u2019s methods of communication so that the organization has the appropriate tools to communicate quality information throughout and outside of the entity on a timely basis.", "Most public-safety organizations we interviewed told us that OEC communicates with their organization frequently through committee meetings and other means. For example, 9 of the 10 organizations told us that a key form of communication between their organization and OEC is participation in emergency-communications advisory groups such as SAFECOM, NCSWIC, and PSAC. Furthermore, OEC officials reported that OEC\u2019s guidance documents, plans, tools, and technical assistance offerings are formally provided to the public-safety community through the SAFECOM, NCSWIC, and ECPC distribution lists. Governing body representatives then distribute the information to their organizations and stakeholders. These documents are also available on DHS\u2019s website. Furthermore, 4 of the 10 organizations told us that they regularly have direct communications with OEC staff. The large majority of SWICs responded that they are very or moderately satisfied with the communication efforts from both OEC headquarters (81 percent) and OEC coordinators (93 percent).", "However, some stakeholders identified communication challenges as well as opportunities for OEC to improve communication. For example, approximately one quarter (26 percent) of SWICs said that OEC does not communicate training well, and these SWICs reported that they are either unaware of OEC training opportunities related to FirstNet\u2019s network and other emerging technologies, or that they mostly learn about OEC training opportunities from other sources. See figure 5 below for additional survey information regarding SWICs\u2019 views on how well OEC communicates training opportunities related to FirstNet\u2019s network and other emerging technologies.", "Also with respect to OEC\u2019s communication efforts with stakeholders, four of six OEC coordinators and 3 of 10 public-safety organizations we interviewed, along with 26 of 54 (48 percent) of the SWICs we surveyed, identified the need for OEC to use additional tools or approaches for improving communication with SWICs and the public-safety community. For example, one coordinator said that there are public-safety stakeholders who are unaware of OEC. Similarly, representatives from a public-safety organization we interviewed told us that OEC should help public-safety stakeholders better understand what OEC does. Both the OEC coordinator and public-safety stakeholders in these examples identified the need for OEC to use social media to improve public-safety stakeholders\u2019 understanding of OEC and its offerings. Additionally, an OEC coordinator told us that each region is different, and unless there is an OEC coordinator who is proactive about communicating information to the public-safety community, then important information does not get out to the appropriate people. The coordinator also said that it is difficult to communicate information to all of the needed stakeholders because he is solely responsible for communicating with many public-safety entities and jurisdictions within multiple states. Furthermore, a SWIC reported that other organizations use social media for communicating during disasters and for notifying interested parties about events and trainings, and that OEC should do the same. OEC officials told us that NPPD recently established a Twitter account that OEC has used to increase awareness of programs, products, and services. However, since the establishment of the account in February 2018 through September 2018, only 23 of NPPD\u2019s 280 tweets and retweets (8.2 percent) made mention of OEC, 15 of which occurred in March 2018.", "In addition to social media, some public-safety organizations and SWICs identified additional tools or approaches that OEC could use to improve communication with the public-safety community. These tools and approaches include designating an intergovernmental specialist or liaison within OEC to coordinate with public-safety stakeholders, developing additional regional-focused meetings such as conferences and workshops, and creating online or distance-learning opportunities (e.g., online training, webinars, online chat or bulletin board services, etc.).", "Although OEC officials told us that they employ mechanisms to understand the effectiveness of OEC\u2019s programs, products, and services, we found OEC has not specifically assessed its methods of communication. For example, OEC analyzes feedback forms provided at meetings and stakeholder engagements, gathers direct input from stakeholders through in-person and phone discussions and e-mail, tracks the open rate of e-mails and website and blog post traffic, and reviews social media analytics for specific event campaigns. At the time of our review, OEC officials told us that they were developing a formal performance-management program to measure the impact of OEC\u2019s programs on the public-safety and national security/emergency preparedness communities. However, these broad efforts aimed at reviewing the overall programs are not designed for the specific purpose of assessing OEC\u2019s methods of communication, and OEC does not have any plans in place for doing so.", "Lacking an assessment of its methods of communication, OEC may be missing opportunities to learn which tools and approaches are the most effective and to use those to deliver timely information to public-safety stakeholders. As noted above, this can result in public-safety officials missing trainings or not receiving other helpful information. Furthermore, not using additional methods of communication or tools could contribute to uncertainty among the public-safety community about OEC\u2019s mission and its efforts to improve the interoperability of emergency communications."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["OEC has multiple efforts supporting interoperable emergency communications that the public-safety community relies on to better respond to emergency situations. Although public-safety stakeholders we contacted were generally satisfied with OEC\u2019s communications efforts, OEC could be missing opportunities to use additional tools and approaches, such as social media, to improve communication with public- safety officials. Absent an assessment of its methods of communication, OEC cannot ensure it is using the best methods to provide relevant and timely information on training opportunities, workshops, technical assistance offerings, and other emergency-communications information to the public-safety community."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["OEC should assess its methods of communication to help ensure it has the appropriate tools and approaches to communicate quality information to public-safety stakeholders, and as appropriate, make adjustments to its communications strategy. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS for review and comment. In response, DHS provided written comments, which are reprinted in appendix III. DHS concurred with our recommendation and provided an attachment describing the actions it would take to implement the recommendation.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the Office of Emergency Communications\u2019 (OEC) and the Federal Emergency Management Agency\u2019s (FEMA) collaborative efforts to develop and implement guidance for grantees using federal grants for interoperable emergency communications; (2) how OEC incorporates FirstNet\u2019s nationwide public-safety broadband network and other emerging technologies into its plans and offerings, and stakeholders\u2019 views regarding those efforts; and (3) the extent to which OEC has assessed its methods of communication.", "To evaluate OEC\u2019s and FEMA\u2019s collaborative efforts to develop and implement grant guidance, we collected and reviewed documentation relevant to the collaborative effort, including memorandums of agreements, standard operating procedures, and meeting agendas. We assessed OEC\u2019s and FEMA\u2019s actions against the seven key considerations for interagency collaborations. We also interviewed OEC and FEMA Grant Programs Directorate officials who have responsibilities for Department of Homeland Security (DHS) grants. We asked them to discuss their approach to interagency collaboration, including the process to jointly develop grant guidance language. We asked agency officials questions that were based on the key considerations for implementing interagency collaborative mechanisms that we identified in a prior report.", "To determine how OEC has incorporated FirstNet\u2019s network and other emerging technologies into its plans and offerings, we reviewed relevant OEC documentation, including fact sheets and technical assistance guides. We also reviewed the 2014 National Emergency Communications Plan (NECP) and OEC\u2019s March 2017 biennial report to Congress on the progress toward meeting NECP goals. We interviewed OEC headquarters officials about the agency\u2019s efforts to date, including how OEC develops its offerings and workshops and communicates this information to the public-safety community. We also interviewed 6 of 10 OEC coordinators using a semi-structured interview format to get on-the- ground perspectives from OEC staff who serve as points of contact for public-safety stakeholders. We selected OEC coordinators to achieve variety across geography, population density, tribal presence, and territory representation. We interviewed OEC coordinators to obtain their perspectives as subject matter experts, but their views should not be attributed to OEC\u2019s official agency position.", "In addition, to obtain stakeholders\u2019 views on OEC\u2019s efforts to incorporate FirstNet\u2019s network and other emerging technologies into plans and offerings, we surveyed all 54 statewide interoperability coordinators (SWIC) from 48 states, five territories, and the District of Columbia. We obtained a list of SWICs from DHS and confirmed additional contact information via e-mail. We conducted a web-based survey to learn SWICs\u2019 perspectives on issues including the importance of incorporating FirstNet\u2019s network and other emerging technologies into OEC\u2019s plans and offerings, OEC\u2019s communication with the public-safety community, and SWICs\u2019 level of satisfaction with OEC\u2019s efforts. To ensure the survey questions were clear and accurately addressed the relevant terms and concepts, we pretested the survey with SWICs from three states: Illinois, Massachusetts, and Texas. These SWICs were selected to get perspectives from officials who have served in the role for at least several years and SWICs who are new to the position. We administered our survey from May 2018 to July 2018 and received 54 responses for a 100 percent response rate.", "We also used a semi-structured interview format to obtain views from representatives from 10 public-safety organizations who have expertise in public-safety and federal emergency-communications efforts (see table 1). To identify relevant organizations, we reviewed our prior report that identified 34 organizations that are members of both OEC\u2019s SAFECOM advisory group and FirstNet\u2019s Public Safety Advisory Committee (PSAC). We researched the members to help determine the extent to which each organization is involved in issues related to our review. We selected 10 public-safety organizations to interview on the basis of: (1) this research, (2) information from DHS, and (3) a literature review. Because one association declined our request for an interview, we contacted and interviewed another relevant organization from the original list of 34 member organizations. The views shared by the representatives we interviewed are not generalizable to all public-safety organizations that interact with OEC; however, we were able to secure the participation of organizations that focus on various public-safety issues across federal, state, local, and tribal jurisdictions and thus believe their views provide a balanced and informed perspective on the topics discussed.", "To evaluate the extent that OEC has assessed its methods of communication, we reviewed OEC\u2019s documentation for collecting stakeholders\u2019 feedback. We also reviewed the interview responses from OEC officials and the public-safety organizations listed in table 1 and the SWIC survey data pertaining to OEC\u2019s communications efforts. We assessed OEC\u2019s efforts against federal standards for internal control regarding external communications and periodic evaluation of its methods of communication."], "subsections": []}, {"section_title": "Appendix II: Survey of Statewide Interoperability Coordinators", "paragraphs": ["The questions we asked in our survey of statewide interoperability coordinators (SWIC) and the aggregate results of responses to the closed-ended questions are shown below. We do not provide results for the open-ended questions. We surveyed all SWICs from 48 states, five territories, and the District of Columbia. We administered our survey from May 2018 to July 2018 and received 54 responses for a 100 percent response rate. Due to rounding, the aggregated results for each closed- ended question may not add up to exactly 100 percent. For a more detailed discussion of our survey methodology see appendix I."], "subsections": [{"section_title": "Governance", "paragraphs": ["1. What best describes the Statewide Interoperability Coordinator (SWIC) in your state?", "1a. If you selected \u201cOther,\u201d please explain. (Written responses not included)", "2. Does the SWIC also serve in the role of the FirstNet State Point of Contact (SPOC)?", "0% 2a. If no, how often does the SWIC coordinate with the SPOC on FirstNet\u2019s nationwide public safety broadband network?", "2b. If you selected \u201crarely or never,\u201d please explain. (Written responses not included)"], "subsections": []}, {"section_title": "OEC Coordination Support - FirstNet\u2019s Nationwide Public Safety Broadband Network", "paragraphs": ["The questions in this section ask your opinion about OEC\u2019s efforts to help the public safety community improve interoperable emergency communications capabilities. This section will be about FirstNet\u2019s nationwide public safety broadband network.", "3. In your opinion, how important is it for OEC to incorporate FirstNet\u2019s nationwide public safety broadband network into the following areas?", "Please specify the other area in the box below. (Written responses not included)", "4. To what extent has OEC incorporated FirstNet\u2019s nationwide public safety broadband network into the following areas?", "Please specify the other area in the box below. (Written responses not included)", "5. In your opinion, how useful have OEC\u2019s efforts to incorporate FirstNet\u2019s nationwide public safety broadband network into the following areas been in helping your state address challenges with its emergency communications?", "Please specify the other area in the box below. (Written responses not included) 6. Please provide any additional comments you have on OEC\u2019s efforts to address FirstNet\u2019s nationwide public safety broadband network as part of interoperable emergency communications. (Written responses not included) 7. What, if anything, could OEC do to further address FirstNet\u2019s nationwide public-safety broadband network in its interoperable emergency communications efforts? (Written responses not included)", "8. In your opinion, to what extent will OEC have a role for ensuring interoperable emergency communications once FirstNet\u2019s nationwide public-safety broadband network is fully operational?", "8a. Please explain your response to question 8 in the box below. (Written responses not included)"], "subsections": []}, {"section_title": "OEC Coordination Support - Emerging Technologies", "paragraphs": ["The questions in this section ask your opinion about OEC\u2019s efforts to help the public safety community improve interoperable emergency- communications capabilities. This section will be about other emerging technologies.", "9. Should OEC address the following emerging technologies in its interoperable emergency communications efforts?", "Wireless Local Area Networks (e.g., Wi-Fi)", "9a. If you responded \u201cYes\u201d to other, please specify in the box below. (Written responses not included)", "10. In your opinion, how important is it for OEC to incorporate emerging technologies into the following areas?", "Please specify the other area in the box below. (Written responses not included)", "11. To what extent has OEC incorporated emerging technologies into the following areas?", "Please specify the other area in the box below. (Written responses not included)", "12. In your opinion, how useful have OEC\u2019s efforts to incorporate emerging technologies into the following areas been in helping your state address challenges with its emergency communications?", "Please specify the other area in the box below. (Written responses not included) 13. Please provide any additional comments you have on the usefulness of OEC\u2019s efforts to incorporate emerging technologies into interoperable emergency communications. (Written responses not included) 14. What, if anything, could OEC do to further incorporate emerging technologies into its interoperable emergency communications efforts? (Written responses not included)"], "subsections": []}, {"section_title": "OEC Communication Efforts", "paragraphs": ["The following questions are about OEC\u2019s communication efforts with SWICs and the public safety community.", "15. In your opinion, how well does OEC communicate to SWICs training opportunities in the following areas?", "Emerging technologies (i.e., Wi-Fi, NextGen 911, etc.)", "15a. If you responded to other, please specify in the box below. (Written responses not included)", "16. How satisfied or dissatisfied are you with the communication efforts from the following OEC organizational levels?", "16a. If you responded to other, please specify in the box below. (Written responses not included)", "17. In your opinion, are there additional tools or approaches that OEC could use to improve communication with SWICs and the public-safety stakeholder community?", "17a. Please identify and describe additional tools and approaches in the box below. (Written responses not included)", "18. In your opinion, does OEC face any challenges that affect its ability to meet the needs of the public safety community?", "18a. Please explain in the box below. (Written responses not included)"], "subsections": []}, {"section_title": "SAFECOM Grant Guidance", "paragraphs": ["The following questions ask your opinion about SAFECOM grant guidance for interoperable emergency communications equipment. OEC develops annual SAFECOM guidance in an effort to provide current information on emergency communications policies, eligible costs, best practices, and technical standards for state, local, tribal, and territorial grantees investing federal funds in emergency communications projects.", "19. In your opinion, how clear are the following aspects of the SAFECOM grant guidance for interoperable emergency communications equipment?", "19a. If you responded to other, please specify in the box below. (Written responses not included)", "20. In the past 2 years, has your state developed supplemental statewide guidance to clarify the SAFECOM grant guidance for interoperable emergency communications equipment?", "20a. Please explain in the box below, why your state developed supplemental statewide guidance. (Written responses not included)", "21. In your opinion, is there a need to improve the SAFECOM grant guidance for interoperable emergency communications equipment?", "21a. If yes, please explain in the box below. (Written responses not included)"], "subsections": []}, {"section_title": "Closing", "paragraphs": ["22. If you would like to expand upon any of your responses to the questions above, or if you have any other comments about OEC\u2019s interoperable emergency communications efforts, please write them in the box below. (Written responses not included)"], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Sally Moino (Assistant Director); Ray Griffith (Analyst in Charge); Josh Ormond; Cheryl Peterson; Kelly Rubin; Andrew Stavisky; Sarah Veale; Michelle Weathers; and Ralanda Winborn made key contributions to this report."], "subsections": []}]}], "fastfact": ["In an emergency, it's vital that first responders can communicate with their counterparts in other agencies and jurisdictions. The Office of Emergency Communications (OEC) offers a range of services and assistance to first responders to support interoperable communications systems and technologies.", "First responders and other public safety officials we surveyed were generally satisfied with OEC\u2019s work. However, some would like more information about OEC and its offerings.", "We recommended that OEC ensure it is using the best communication tools to share information on training opportunities, workshops, and other emergency communications efforts."]} {"id": "GAO-18-406", "url": "https://www.gao.gov/products/GAO-18-406", "title": "Federal Judiciary: The Administrative Office of the U.S. Courts Should Ensure Financial Disclosure Redaction Reports Are Submitted to Congress Annually", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Under the Ethics in Government Act of 1978, as amended, federal judges and certain judicial employees must file financial disclosure reports that can be made available to the public. Federal law accounts for the potential security risks of the judiciary and authorizes the redaction of information from judicial officials' reports if the Judicial Conference, in consultation with the United States Marshals Service (USMS), finds that revealing certain information could endanger judicial officials or members of their families.", "This report addresses the following for calendar years 2012 through 2016, the most recent years for which full data were available: (1) Actions taken by the Judicial Conference to ensure judicial officials file financial disclosure reports, and the number of reports filed; (2) The judiciary's compliance with procedures for responding to requests for financial disclosure reports and the number of reports released; and (3) The number of redaction requests made, the types of information requested to be redacted, and the judiciary's consistency in reporting results to Congress in a timely manner.", "GAO interviewed AOUSC and USMS officials, reviewed relevant laws and guidance, and analyzed data on redaction requests."]}, {"section_title": "What GAO Found", "paragraphs": ["The Judicial Conference, the federal judiciary's principle policy-making body, developed an electronic filing system, guidance, and a compliance process to help ensure judicial officials file financial disclosure reports that adhere to applicable laws and regulations, and data provided by the Administrative Office of the U.S. Courts (AOUSC) show that more than 4,000 reports were required to be filed annually from 2012 through 2016. According to AOUSC officials, as of March 2018, all financial disclosure reports required to be filed from 2012 through 2016 were filed, except for one in 2015 and one in 2016. AOUSC officials are working with the filers to ensure these reports will be filed.", "The Judicial Conference established procedures for responding to requests for copies of financial disclosure reports, and the number of reports released has varied. From 2012 through 2016, AOUSC annually received, on average, about 70 requests for copies of judicial officials' reports and released approximately 16,000 reports during this time. Each request can vary\u2014from a request for a single judicial official's report to a request for multiple judicial officials' reports.", "From 2012 through 2016, a small percentage of judicial officials requested redactions from their financial disclosure reports. On average, 3.2 percent of financial disclosure reports filed included a redaction request and about 85 percent of those requests were granted. Of the information requested to be redacted, about 76 percent was related to the unsecured location of a judicial official's spouse, child, or residence. AOUSC is required by federal law to submit annual reports to Congress on use of the judicial redaction authority, such as the number of reports with redactions and types of information redacted, but AOUSC has not consistently submitted the reports on an annual basis in recent years. GAO found that AOUSC does not have a formal process for preparing and submitting the reports to Congress. Implementing a more formal process, with specified steps and timeframes, would better position AOUSC to provide Congress with more timely reports."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that AOUSC develop and implement a formal process, with steps and timeframes, to better ensure that required annual reports are submitted to Congress within the following year. AOUSC concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Under the Ethics in Government Act of 1978, as amended, federal judges and certain judicial employees, like similar officials in the legislative and executive branches of government, must file annual financial disclosure reports that can be made available to the public. These reports help preserve and promote the integrity of public officials and institutions by disclosing financial information, but may also include information that could compromise the safety of these officials and their families. According to the United States Marshals Service (USMS), judicial officials received 2,357 threats and inappropriate communications in fiscal year 2016 alone.", "Federal law accounts for the potential security risks faced by members of the federal judiciary (judiciary) and authorizes the redaction of personal and sensitive information from financial disclosure reports that could endanger these officials or members of their families. Potential risks to judicial officials could be general or specific. General risks include revealing the unsecured location of a judicial official, a spouse\u2019s place of employment, or a child\u2019s school. Specific threats could include the potential for kidnapping or extortion, or a threat of violence against a judge by a former defendant or litigant. For example, in 2012, a federal judge requested that certain information be redacted from his financial disclosure report after an inmate convicted of threatening to kill the judge was released from prison and requested a copy of the judge\u2019s report, as well as information on the judge\u2019s home security system. The law that authorizes the judiciary to redact financial disclosure reports also requires it to submit annual reports on the operation of its redaction authority to specified congressional committees. Reports should include information on the total number of financial disclosure reports with redactions and the types of information redacted, among other things.", "The Judicial Conference of the United States, the federal judiciary\u2019s principle policy-making body, is responsible for implementing the judiciary\u2019s redaction authority in a manner that provides the intended safety measures without compromising timely public access to judicial officials\u2019 financial disclosure reports. In light of the importance of balancing these goals, you asked us to review the process for filing financial disclosure reports and requesting redactions of information from those reports, and to provide data on the numbers and types of information being redacted. This report addresses the following questions: (1) What actions has the Judicial Conference taken to ensure that judicial officials are complying with the requirement to file financial disclosure reports and how many reports have been filed each year from 2012 through 2016? (2) Is the judiciary complying with procedures for responding to requests for judicial officials\u2019 financial disclosure reports and how many reports has the judiciary released each year from 2012 through 2016? (3) During the period from 2012 through 2016, how many redaction requests did judicial officials make, what types of information did they request be redacted, and did the judiciary consistently report the results of judicial officials\u2019 redaction requests to Congress in a timely manner?", "To examine the actions the Judicial Conference has taken on financial disclosure report filing and the reports filed, we interviewed officials from the Administrative Office of the U.S. Courts (AOUSC) on their processes for ensuring that judicial officials file financial disclosure reports, and the extent to which reports required to be filed were, in fact, filed. We reviewed key policy and guidance documents related to these processes, including Guide to Judiciary Policy, Filing Instructions for Judicial Officers and Employees, and a Step by Step Guide for the Preparation and Electronic Filing of Financial Disclosure Reports; and we reviewed relevant laws related to financial disclosure reports, such as the Ethics in Government Act of 1978 and the Ethics Reform Act of 1989. We also reviewed data included in AOUSC\u2019s annual redaction request reports and data provided to us by AOUSC on the number of reports required to be filed and the number of reports filed every year for calendar years 2012 through 2016\u2014the 5 most recent years for which full data were available at the time of our review.", "To examine the judiciary\u2019s compliance with procedures for responding to requests for financial disclosure reports and the number of reports released each year from 2012 through 2016, we interviewed AOUSC officials on their processes for responding to requests and the numbers of requests received each year. We reviewed relevant documentation, such as the guidance that dictates the process for responding to requests. We reviewed data included in AOUSC\u2019s annual redaction request reports and data provided by AOUSC on the number of requests received per year for calendar years 2012 through 2016.", "To determine how many and what types of information judicial officials requested be redacted from 2012 through 2016, and whether the judiciary has consistently reported results of judicial officials\u2019 redaction requests to Congress in a timely manner, we interviewed AOUSC officials on the redaction request process. We also interviewed USMS officials on the security consultation process and how they coordinate with AOUSC on redaction requests. Additionally, we requested documentation for all redaction requests made by judicial officials during the two months of September and October for each year from 2012 through 2016, of which there were 45 such requests. In return, AOUSC provided us with all relevant documentation for these 45 redaction requests that were made during this time period. We also requested and received the AOUSC database that contains data on all redaction requests received from calendar years 2012 through 2016. We reviewed and analyzed the 45 redaction requests and compared the data in these case files to the information contained in AOUSC\u2019s redaction database and we determined that the data were sufficiently reliable for our reporting purposes. We then analyzed data from the AOUSC database on redaction requests to determine the number of redaction requests that were granted (in whole or in part) or denied; as well as the type of information that judicial officials requested be redacted from their financial disclosure reports from calendar years 2012 through 2016. In order to categorize the type of information requested to be redacted from judicial officials\u2019 financial disclosure reports, two GAO analysts independently reviewed the description of the redaction requests and the related section of the financial disclosure reports as contained in the AOUSC database and reached consensus on which of seven different categories to place the redaction requests\u2014full report; unsecured location of spouse, child, or residence; asset names; asset value; gifts; reimbursement; or other. In those cases where the description of the information redacted was too vague, or did not easily fit into one of the remaining categories, we placed it in the \u201cother\u201d category. Using the AOUSC redaction request database and data provided on the total number of reports required to be filed, we also determined the percentage of judges and other judicial employees who had requested redactions from their financial disclosure reports each year, as well as the types of information requested to be redacted, by percent. Finally, to determine whether the judiciary consistently reported results of judicial officials\u2019 redaction requests to Congress in a timely manner, we interviewed relevant AOUSC staff, reviewed available guidance on the procedures for gathering information and producing the annual reports, and requested copies of the annual redaction reports for 2012 through 2016. AOUSC staff could not locate annual reports for calendar years 2013 and 2014. We contacted staff from two congressional committees of jurisdiction to request copies of the missing reports and they also could not locate the reports.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Purpose and Structure of the Judicial Conference and AOUSC", "paragraphs": ["The Judicial Conference of the United States is the national policy-making body of the federal courts. The Chief Justice of the United States is the presiding officer of the Judicial Conference. The Conference operates through a network of 20 committees, including the Committee on Financial Disclosure. The Judicial Conference delegated authority to redact information from a financial disclosure report to the Committee on Financial Disclosure. Upon request from a judicial official, the committee, in consultation with the USMS, redacts the information when it decides that revealing such personal or sensitive information could endanger the judicial official or a member of his or her family. Responsibilities of the Committee on Financial Disclosure include reviewing reports filed, adjudicating requests for redactions of information from the report, approving and modifying reporting forms and instructions, and monitoring the release of reports to ensure compliance with statute and the committee\u2019s guidance. The Judicial Conference of the United States is responsible for implementing the judiciary\u2019s redaction authority in a manner that provides judicial officials with the intended security measures without compromising timely public access to judicial officials\u2019 financial disclosure reports.", "AOUSC is the agency within the judicial branch that provides a broad range of legislative, legal, financial, technology, management, administrative, and program support services to federal courts. It is responsible for carrying out Judicial Conference policies, and one of its primary responsibilities is to provide staff support and counsel to the Judicial Conference and its committees, including the Committee on Financial Disclosure. The Director of AOUSC serves as the Secretary to the Judicial Conference and is an ex officio member of the Executive Committee."], "subsections": []}, {"section_title": "Legislative Basis for Filing Financial Disclosure Reports", "paragraphs": ["The Ethics in Government Act of 1978, as amended, requires specified judicial, legislative, and executive branch officials to file annual financial disclosure reports in the spring of each year. These reports include financial information for the previous calendar year. Financial disclosure reports are made up of nine parts\u2014positions, agreements, non- investment income, reimbursements, gifts, liabilities, investments and trusts, explanatory comments, and certification and signature. (See appendix I for a copy of a blank annual financial disclosure report).", "In addition to filing an annual report, covered judicial officials are required to file financial disclosure reports when nominated (nomination report); within 30 days of taking office (initial report); and within 30 days of leaving their position (final report)\u2014see table 1.", "Federal law also requires that copies of judicial officials\u2019 financial disclosure reports be made available, upon written request, to members of the public. Judicial officials may request that certain information be redacted before their financial disclosure reports are sent to the requesting individuals."], "subsections": []}, {"section_title": "Legislative Basis for Judicial Redaction Authority", "paragraphs": ["The judiciary\u2019s authority to redact information from financial disclosure reports was established in 1998 and was initially authorized for a 3-year period. That legislation also instituted an annual congressional reporting requirement for the judiciary on the operation of the redaction authority. Over the past 20 years, the judiciary\u2019s redaction authority and reporting requirement have been successively reauthorized for various periods of time, but have lapsed on occasion. The authority was most recently reauthorized on March 23, 2018 through the end of 2027.", "According to AOUSC officials, while the redaction authority lapsed, the Committee on Financial Disclosure did not grant any new redaction requests, but it did grant requests to continue redactions that were approved prior to December 31, 2017."], "subsections": []}, {"section_title": "The Judiciary\u2019s Process for Adjudicating Redaction Requests and Responding to Requests for Copies of Financial Disclosure Reports", "paragraphs": ["The Judicial Conference, through its Committee on Financial Disclosure, has developed a multistep process for reviewing federal judges\u2019 requests for redactions of information from their financial disclosure reports and requests for copies of these reports, as shown in figure 1. While the committee encourages judicial officials to request redactions at the time they file their financial disclosure reports, AOUSC officials stated that most redaction requests were made after judicial officials were notified that copies of their reports had been requested.", "A judicial official may request a redaction of information when his or her financial disclosure report is filed or after receiving a notification of a request for a copy of his or her financial disclosure report. When requesting a redaction, the judicial official must state specifically what information is sought to be redacted and the justification for the redaction. The Committee on Financial Disclosure will determine, in consultation with the USMS, if the information could endanger the judicial official or an immediate family member. For redaction requests involving information pertaining to the unsecured location of (1) a spouse\u2019s employer, (2) a child\u2019s school, or (3) a primary or secondary residence, a separate security consultation is not required based on an agreement AOUSC reached with the USMS memorialized in a 2004 letter that, in essence, serves as a security consultation. For all other types of information requested to be redacted, a further USMS security consultation is required.", "Taking into account the information provided by the judicial officials, as well as results from the USMS security consultations, members of the Subcommittee on Public Access and Security, a subcommittee under the Committee on Financial Disclosure, decide\u2014by majority vote\u2014to either grant (in whole or in part) or deny each redaction request. Such redactions are good until the end of the calendar year in which they are granted. The Committee on Financial Disclosure notifies the judicial official if the information requested to be redacted has been granted, granted in part, or denied. Judicial officials can appeal a redaction decision; however, according to AOUSC officials, there were no appeals from 2012 through 2016, the time period covered by our review."], "subsections": []}]}, {"section_title": "The Judicial Conference Has Developed Procedures to Ensure Judicial Officials File Financial Disclosure Reports, and More Than 4,000 Reports Are Filed Annually", "paragraphs": ["The Judicial Conference\u2019s Committee on Financial Disclosure has developed an electronic report filing system, written guidance, and a compliance process to help ensure judicial officials file their financial disclosure reports. Specifically, in 2011, AOUSC switched from having judicial officials file financial disclosure reports in hard copy to electronic filing through an online electronic depository, Financial Disclosure Online Filing System (FiDO). AOUSC also uses a separate internal electronic database (LEGO) to track compliance with financial disclosure report filings. LEGO contains the entire database of judicial filers, including what reports should be filed, the dates financial disclosure reports are due, and which are in process. The Committee on Financial Disclosure stated in September 2014 that FiDO had been upgraded, but committee members continued to experience limitations with the system. For example, according to AOUSC officials, FiDO does not keep track of which reports are in process or when they are due. Accordingly, the committee members authorized an assessment to look for an alternative system that would meet their needs and, by 2016, had selected software currently being used by the government to be customized for the judiciary. According to AOUSC officials, the plan is for the Judiciary Electronic Filing System (JEFS) to replace both FiDO and LEGO and be used for filing financial disclosure reports and tracking compliance with filing requirements beginning in 2019.", "The Committee on Financial Disclosure also provides guidance to judicial officials to ensure that financial disclosure reports are filed correctly. The types of guidance provided include the Guide to Judiciary Policy, Filing Instructions for Judicial Officers and Employees, and a Step by Step Guide for the Preparation and Electronic Filing of Financial Disclosure Reports. Additionally, members of the Committee on Financial Disclosure are to review each filed financial disclosure report to confirm that required items have been sufficiently reported and that the filer is in compliance with applicable laws and regulations. In addition, for some sections, members of the committee will compare information provided in a filed report with what was reported in a prior year\u2019s report to ensure the information reported is accurate and consistent.", "The Committee on Financial Disclosure also provides guidance on the process to be followed if a judicial official fails to file a required financial disclosure report. Specifically, the Guide to Judiciary Policy states that a late filing fee of $200 will be assessed if a report is filed more than 30 days after the report is due. Further, the Chairman of the Committee on Financial Disclosure is to write a letter to any noncompliant filer.", "In addition to the guidance described above, in 2013, the Committee on Financial Disclosure reported that it would establish specific procedures for securing filer compliance with all reporting requirements and the late filing assessments. In 2014, the Committee reported on the successful implementation of these new policies. Part of this effort included developing templates for three successive communications that are to be provided to a noncompliant filer. The communications reflect a progressively increasing level of urgency in language and content, culminating in explicit warnings that if a noncompliant filer does not comply, the matter can be referred to the Attorney General.", "From calendar years 2012 through 2016, more than 4,000 financial disclosure reports were required to be filed each year by judicial officials, as shown in table 2. Most of the reports filed were annual reports.", "According to AOUSC officials, as of March 2018, all annual financial disclosure reports required to be filed from calendar years 2012 through 2016 were filed, except for one for calendar year 2015. Additionally, all nominee and initial financial disclosure reports required to be filed during this time period were filed, and all but one final financial disclosure report, for calendar year 2016, were filed. The AOUSC officials stated that the remaining final report is still pending and the compliance process is being followed to ensure the report will be filed."], "subsections": []}, {"section_title": "The Judiciary is Complying with Procedures for Responding to Requests for Financial Disclosure Reports and the Number of Reports Released Has Varied from 2012 through 2016", "paragraphs": ["The judiciary is complying with the Judicial Conference\u2019s Guide to Judiciary Policy (Volume 2, Part D, Chapters 3-4), which sets forth the process for releasing financial disclosure reports. First, members of the public may request financial disclosure reports by submitting Form AO 10A (see appendix II for a blank copy of the Form AO 10A). The Committee on Financial Disclosure notifies the judicial official that a Form AO 10A has been received and provides the official with a copy. At that time, the judicial official has up to 10 days to decide whether or not to request that information from the financial disclosure report be redacted. Once the members of the Subcommittee on Public Access and Security have reviewed any redaction requests and any accompanying USMS security consultation results, the members vote on whether or not to grant redactions and then forward the results to AOUSC staff for final processing. In March 2017, the Judicial Conference approved the release of financial disclosure reports by electronic storage device free of charge in order to expedite the release of requested reports. As a result, once AOUSC staff receive the redaction decisions from the Subcommittee, AOUSC staff are to ensure that approved redactions are made to the financial disclosure reports, and then download the reports to electronic storage devices to mail to the requesting parties.", "The AOUSC received, on average, about 70 requests for copies of judicial officials\u2019 financial disclosure reports each year from calendar years 2012 through 2016 using the AO 10A request form. The form can include a request for the financial disclosure report of one judicial official, or for multiple judicial officials. Additionally, the form could include a request for multiple years of financial disclosure reports. Based on the AO Form 10As received from calendar years 2012 through 2016, AOUSC released approximately 16,000 financial disclosure reports. The number of financial disclosure reports released each year varied during this time period, as shown in table 3.", "According to AOUSC officials, the number of financial disclosure reports released each year varies based on the number of requests received and the time of year the requests are submitted. For example, a requester might submit a Form AO 10A late in the calendar year and the requested reports could be released the following calendar year based on how long it takes to process the request. AOUSC officials noted that there are two organizations that have requested copies of the financial disclosure reports for all federal judges every year. In 2016 AOUSC received the requests late in the year and, therefore, were not able to release the reports until 2017."], "subsections": []}, {"section_title": "Few Judicial Officials Requested Redactions and They Pertained Mostly to the Unsecured Location of Family Members, but the Judiciary Has Not Reported Redaction Results to Congress in a Timely Manner", "paragraphs": [], "subsections": [{"section_title": "On Average, 3.2 Percent of Judicial Officials Requested Redactions from 2012 through 2016", "paragraphs": ["The number of judicial officials who requested redactions represents a small percentage of the total number of financial disclosure reports filed in recent years. As shown in table 4, the number of redaction requests ranged from a low of 112 in 2014 to a high of 162 in 2012 and 2015.", "For calendar years 2012 through 2016, there were a total of 716 requests for redaction of information from judicial officials\u2019 financial disclosure reports\u2014711 from judges and 5 from judicial employees\u2014with a yearly average of about 143 redaction requests. In particular, for calendar years 2012 through 2016, judicial officials\u2019 redaction requests accounted for, on average, 3.2 percent of the total financial disclosure reports filed during this time period, as shown in table 5. When we segregated the results by judges and judicial employees, we found that, on average, 5.8 percent of judges requested redactions compared to 0.1 percent of judicial employees over the 5 year time period.", "Of the 3.2 percent of financial disclosure reports that included redaction requests made from 2012 through 2016, on average, about 85 percent were granted, 3 percent were partially granted, and 12 percent were denied, as seen in figure 2."], "subsections": []}, {"section_title": "Most Redaction Requests Pertained to the Unsecured Location of a Judicial Official or Immediate Family Member", "paragraphs": ["We analyzed AOUSC data on redaction requests made from calendar years 2012 through 2016 by type of information requested to be redacted and found that the majority (about 76 percent) of the requested redactions pertained to information related to the unsecured location of a judicial official or an immediate family member. The next biggest category of information requested to be redacted was the \u201cother\u201d category, with 10.4 percent. Three categories\u2014asset value, gifts, and reimbursement\u2014each accounted for less than 1 percent of the redaction requests, as shown in Figure 3."], "subsections": []}, {"section_title": "AOUSC Has Not Submitted Required Annual Redaction Reports to Congress in a Timely Manner", "paragraphs": ["We requested copies of the annual redaction reports submitted to Congress for calendar years 2012 through 2016 and determined that AOUSC had not submitted the annual redaction reports to congressional committees of jurisdiction in a timely manner. Specifically, we found that AOUSC submitted the annual report covering 2012 in May 2014 and submitted four annual reports (for calendar years 2013 through 2016) in February and August of 2017, as shown in table 6. For the 2013 and 2014 annual reports, AOUSC prepared and submitted them to the congressional committees of jurisdiction after we asked for them.", "AOUSC officials told us that they could not find evidence that they had submitted the annual reports for calendar years 2013 and 2014 to the committees of jurisdiction in a timely manner. However, AOUSC staff sent a 5-year report to congressional committees of jurisdiction in March 2017 that included information on redaction requests and results for calendar years 2012 through 2016. Thus, the congressional committees of jurisdiction had received no reports from AOUSC on redaction requests and results from May 2014 to February 2017. While the Ethics in Government Act of 1978, as amended, does not set a specific submission date, it requires that AOUSC submit an annual report (i.e., occurring once every year) to congressional committees of jurisdiction on the operation of the judiciary\u2019s redaction authority. As shown in table 8 above, AOUSC did not submit an annual report every year, and there was an interval of almost three years (from May 2014 to February 2017) in which there is no record of AOUSC providing any annual redaction reports to Congress.", "AOUSC officials stated that although there are no reporting time frames specified in legislation for preparing and submitting the reports to the congressional committees of jurisdiction (other than annual submission), beginning in 2016, AOUSC staff began to work on preparing the redaction report for the previous year by February of the following year. The AOUSC officials acknowledged, though, that they have not implemented a formal process, with designated steps and time frames, to ensure they consistently produce the annual redaction reports in a timely manner. The AOUSC officials also stated that since 2013, the Financial Disclosure Office\u2014the office responsible for preparing the reports\u2014had experienced a series of changes in management, as well as staff turnover in key positions, which contributed to the inconsistent process for developing and completing the annual redaction reports in a timely manner. Given that AOUSC experienced staff turnover in the past, and could experience it in the future, it is important that AOUSC has the necessary controls in place to overcome staffing issues and ensure that it consistently prepares and submits the annual redaction reports to the committees in a timely manner.", "Standards for Internal Control in the Federal Government state that management should implement control activities by documenting responsibilities through policies for each unit. With guidance from management, each unit determines the policies necessary to achieve the desired objectives. Management should also define objectives in specific terms so they are understood at all levels. This involves clearly defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement. AOUSC officials stated that the annual reports cannot be compiled until after the close of the previous calendar year and after all data have been reviewed. While this is true, without a formal process for ensuring that staff complete the reports in a timely manner, there are no assurances that the process will consistently occur on a regular schedule, or at all. Implementing a more formal process, with specified steps and time frames, would ensure staff are fully informed of their responsibilities and allow AOUSC to be better positioned to provide the congressional committees of jurisdiction with timely redaction reports that can be used to conduct oversight of the federal judiciary\u2019s use of its redaction authority."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Ethics in Government Act of 1978, as amended, serves the public interest by providing access to selected information from financial disclosure reports filed by judicial officials that could represent conflicts of interest for these officials. At the same time, the law accounts for the security threats faced by judicial officials and grants the judiciary authority to redact personal and sensitive information from their financial disclosure reports if a finding is made that the release of the information could endanger these officials or members of their families. Thus, the Judicial Conference has a responsibility to balance the goals of safeguarding judicial officials\u2019 information and providing timely public access. The Judicial Conference developed a compliance process to ensure judicial officials were filing financial disclosure reports that adhere to applicable laws and regulations, and also had procedures in place to ensure the public had access to copies of judicial officials\u2019 financial disclosure reports when requested. While the Ethics in Government Act of 1978, as amended, provides the Judicial Conference with authority to redact information that could pose a security threat to judicial officials, this authority has been used sparingly. From 2012 through 2016, about 3.2 percent of financial disclosure reports included a redaction request and about 85 percent of those were approved. Nevertheless, the law requires AOUSC to submit an annual report to congressional committees of jurisdiction on the operation of the judiciary\u2019s redaction authority, including information on the total number of reports with redactions and the types of information redacted. Our review of available guidance and documentation shows that AOUSC has not implemented a formal process for producing annual redaction reports and has not submitted these reports to Congress in a timely manner. Implementing a more formal process, with specified steps and timeframes, would allow AOUSC to be better positioned to provide congressional committees of jurisdiction with the required annual redaction reports that can be used to conduct oversight of the federal judiciary\u2019s use of its redaction authority. This is particularly important given that Congress recently passed an extension to the judiciary\u2019s redaction authority through the end of 2027."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Director of AOUSC should develop and implement a formal process, with specified steps and associated time frames, to better ensure that required annual redaction reports are completed and submitted to Congress within the following year."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In April 2018, we requested comments on a draft of this report from DOJ, USMS, and AOUSC. Neither DOJ nor USMS had any comments. AOUSC provided technical comments, which we have incorporated into the report, as appropriate. In particular, based on AOUSC comments, we amended the report title to provide greater clarity into the subject matter of the report and added additional text to the conclusions section to better address all aspects of the report\u2019s findings. In addition to its technical comments, AOUSC provided an official letter for inclusion in the report, which can be seen in appendix III. In its letter, AOUSC stated it concurred with the recommendation and will determine how best to implement a more formalized process to better ensure it can submit annual redaction reports to Congress in a timely manner.", "We are sending copies of this report to the Administrative Office of the U.S. Courts, the Attorney General, the United States Marshals Service, selected congressional committees, and other interested parties. In addition, this report is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any further questions about this report, please contact me at (202) 512-8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributions to this reported are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Administrative Office of the U.S. Courts Form AO 10: Blank Financial Disclosure Report for Calendar Year 2016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Administrative Office of the U.S. Courts Form AO 10A Used for Requesting Copies of Judicial Officials\u2019 Financial", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Administrative Office of the U.S. Courts", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Christopher Conrad (Assistant Director) and Valerie Kasindi (Analyst-in-Charge) managed this assignment. Kristiana Moore, Dominick Dale, Melissa Hargy, Eric Hauswirth, Amanda Miller, Jerry Sandau, and Janet Temko-Blinder made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-3", "url": "https://www.gao.gov/products/GAO-19-3", "title": "VA Education Benefits: VA Needs to Ensure That It Can Continue to Provide Effective School Oversight", "published_date": "2018-11-14T00:00:00", "released_date": "2018-11-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2017, VA provided about $11 billion in education benefits to about 14,460 schools to help eligible veterans and their beneficiaries pay for postsecondary education and training. VA typically contracts with state agencies to help it provide oversight of schools participating in this education benefit program.", "The Harry W. Colmery Veterans Educational Assistance Act of 2017 included a provision for GAO to review VA's and states' oversight of schools receiving VA education benefits. This report examines (1) how, if at all, the available level of funding to state agencies has affected states' and VA's ability to carry out their oversight responsibilities, (2) to what extent VA and state agencies use risk-based approaches to oversee schools, and (3) to what extent VA coordinates and shares information with the states to support their oversight activities. GAO reviewed VA documents; assessed VA funding data for fiscal years 2003-2018; interviewed VA and selected state agency officials; and reviewed correspondence between these officials. GAO interviewed officials from eight state agencies who were past or present officials at the association representing state agencies, and officials from three other states, including one that did not renew its contract with VA in fiscal year 2018."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) is responsible for overseeing schools nationwide that provide VA education benefits to veterans. To help provide this oversight, VA contracts with state agencies to oversee schools in their states and provide outreach and training to school officials and allocates them funding to cover the cost of oversight, outreach, and training activities. However, since fiscal year 2006, funding for oversight, outreach, and training has remained at about $19 million, and only recently increased in fiscal year 2018 to $21 million. State agency officials told GAO that the limited level of funding they have received from VA has been a long-standing problem that has strained their ability to (1) adequately cover staff costs, (2) pay for travel for school visits, and (3) provide needed technical assistance and training to the schools about VA education benefit requirements. As a result, a few states, such as New Mexico, have chosen to withdraw from their school oversight roles. When this happens, VA must take over the state agencies' oversight responsibilities. GAO found that assuming additional oversight responsibilities is likely to stretch VA's staff resources, especially in large states, where schools are geographically dispersed and school visits are time consuming and costly. VA has begun but has not completed an assessment of the risks that potential future state agency withdrawals could have on its ability to provide school oversight. Moreover, VA has not developed a contingency plan for how it will oversee more schools if additional states do not renew their oversight contracts. Federal standards for internal control state that agencies should identify and assess risks related to achieving objectives, and define contingency plans for assigning responsibilities if key roles are vacated. Until VA takes these steps, the agency runs the risk of being unprepared to conduct effective oversight in the event that more state agencies withdraw from their contracts in the future.", "VA and state agencies use certain risk factors to select schools for oversight. VA officials said that they prioritize schools for annual reviews of compliance with program requirements based on findings from prior reviews as well as other risk factors, such as schools with a history of VA benefit payment errors. GAO found that VA and state agencies have recently begun a joint effort to explore a new strategy that they expect will strengthen the school review selection and prioritization process. According to VA officials, as of mid-October 2018, VA used this strategy to select five schools to undergo risk-based reviews. VA officials said they expect these five reviews to be completed by late December 2018.", "VA and state agencies coordinate and share information about their oversight activities in a variety of ways. For example, VA has shared information with the state agencies on how to conduct annual reviews of schools in their states. However, according to officials at the association representing state agencies, VA has not provided specific direction on conducting targeted reviews in response to complaints. VA officials acknowledged that the procedures they currently have in place are outdated and said that they are being revised to provide state agencies with more details. As of late October 2018, VA officials said these procedures were undergoing internal review. Once implemented, VA's new procedures have the potential to enhance VA's and state agencies' efforts to conduct reviews at those schools for which they have received complaints."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VA complete the identification and assessment of oversight risks, and prepare a contingency plan for overseeing schools if additional states do not renew their oversight contracts. VA concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) provided about $11 billion in education benefits (VA education benefits) in fiscal year 2017 to about 14,460 schools to provide approved programs of education and training to eligible veterans and their beneficiaries and help them afford postsecondary education. Eligible individuals can use these payments to cover education costs\u2014including up to the amount of in-state tuition and fees at public institutions of higher learning, or up to $22,805 at private institutions\u2014in the 2017-2018 academic year. VA contracts with State Approving Agencies (state agencies) to help VA oversee postsecondary schools\u2019 compliance with program requirements to ensure they are appropriately using VA education benefits for their eligible students. The Harry W. Colmery Veterans Educational Assistance Act of 2017 (Colmery Act), enacted on August 16, 2017, included a provision for GAO to review and report to the Veterans\u2019 Affairs Committees on several issues related to veterans\u2019 education benefits. This report answers the following questions: 1. How, if at all, has the available level of funding to state agencies affected states\u2019 and VA\u2019s ability to carry out their responsibilities in overseeing schools receiving VA education benefits? 2. To what extent do VA and state agencies use risk-based approaches to oversee these schools? 3. To what extent does VA coordinate and share information with the states to support their oversight activities?", "We reviewed VA policies, procedures, practices, and applicable federal laws and regulations. In addition, we interviewed VA officials and eight officials from the National Association of State Approving Agencies (NASAA), the organization that represents the interests of state agencies overseeing schools receiving VA education benefits. These selected NASAA officials have held a variety of leadership positions within the organization, including on the NASAA Executive Board as well as on select NASAA committees. During these interviews, we obtained NASAA officials\u2019 perspectives about state agencies in general, and about their specific experiences as directors or members of their own state agencies. NASAA officials we interviewed represented the views of state agencies across all four NASAA regions (East, South, Central, and West), and were from states that received both recent increases and decreases in VA funding, and with a varied number of schools and beneficiaries that received VA education benefits. We also interviewed officials from three additional states selected to provide more in-depth information at the state level. These included a state with a recent decrease in VA funding (New Hampshire), a state with a recent increase in funding (California), and a state that did not renew its contract with VA in fiscal year 2018 (New Mexico). We chose these states to obtain different perspectives on how the level of funding affected their ability to carry out school oversight. For all three questions, we also reviewed VA documents and written correspondence between VA, NASAA, and the state agencies in fiscal years 2014 to 2018 related to VA education benefits. In addition, we reviewed a 2016 report from VA\u2019s Office of Inspector General (Inspector General) and a 2017 study conducted by an external contractor hired by VA that discuss VA\u2019s use of risk factors in selecting schools for its annual reviews.", "We obtained VA data on the amount of funding allocated by the agency to the state agencies in fiscal years 2003 to 2018. We assessed the reliability of these data by reviewing key documents and written responses from knowledgeable officials. We determined the data to be sufficiently reliable for our purposes. We used as criteria federal standards for internal control regarding (1) identifying, assessing, and responding to risks related to achieving objectives and (2) defining contingency plans if key roles are vacated to help the entity continue to achieve its objectives.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient and appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA provides education benefits to eligible veterans and their beneficiaries enrolled in approved programs of education and training to help them afford postsecondary education. VA staff conduct oversight of schools receiving these benefits. In addition, each year, VA contracts with state agencies to help provide this school oversight. In fiscal year 2017, there were about 14,460 schools receiving VA education benefits for about 750,000 veterans and their beneficiaries across the country.", "State agencies\u2019 core oversight functions, as generally required by statute, VA regulations, and their VA contracts, include approval of schools to receive VA education benefits, annual compliance surveys of schools\u2014 which are reviews to ensure schools\u2019 compliance with program requirements\u2014and technical assistance to schools, among other things (see fig. 1). VA and state agencies both conduct annual compliance surveys of selected schools, which generally entail a visit to the school. For veterans to receive the education benefits, school employees must certify to VA that they are enrolled in classes and notify VA of any changes in enrollment.", "NASAA was founded to coordinate the efforts of state agencies and is managed and administered by an executive board and several leadership committees, such as a contract committee and a legislative committee. All members of NASAA leadership are also either directors or have other roles at individual state agencies. VA\u2019s Education Service is led by a Director and is under the Veterans Benefits Administration. This office works with NASAA to prepare annual contracts to allocate federal funding and specify workload requirements for each state agency."], "subsections": []}, {"section_title": "Limited Funding Has Impacted States\u2019 Oversight Abilities, Leading State Agencies to Withdraw from This Role, and VA Has Not Assessed How It Will Respond to Future State Withdrawals", "paragraphs": [], "subsections": [{"section_title": "Funding Has Remained Relatively Constant Over a Decade and VA Recently Revised Its Allocation Method", "paragraphs": ["For over a decade, funding provided by VA to state agencies remained at the same level of $19 million. In fiscal year 2018, VA allocated $21 million for state agencies\u2014the first increase in funds allocated to states since fiscal year 2006 (see fig. 2).", "Each year, state agencies can also request supplemental funding from VA if their costs exceed their allocated funding amount. VA has the discretion to approve an agency\u2019s request based on its justification of need and the amount of VA funding available for supplemental requests. NASAA officials said that supplemental funding is helpful, but that it is not a reliable funding source because there is no guarantee that VA will be able to provide states with the requested amount. According to NASAA officials, some state agencies also receive additional funding from their state governments if they request these funds, but many states do not provide this additional funding. NASAA officials also noted that in some cases, states do not want to provide their own funds to state agencies because their view is that the agencies already receive VA funding through their federal contracts.", "VA recently changed its method of allocating funding to state agencies. VA hired an external contractor to develop a new funding allocation method. Before fiscal year 2017, VA funded state agencies primarily based on the number of schools in the state with at least one veteran student receiving VA education benefits in the previous year. In fiscal year 2017, VA implemented a new funding allocation method. VA officials told us this new method was a significant improvement over the previous method they used, which was very limited. For example, VA officials said the prior funding method did not estimate how long it took state agencies to perform certain oversight activities. The officials said this limitation was a key reason they decided to develop a new funding method. VA\u2019s new method to fund states more equitably is based on their work requirements, i.e., their school oversight activities and the amount of time needed to complete them. The new funding method factors in, among other things: the number of staff needed to complete a state\u2019s workload in overseeing schools; national salary averages ($80,000 for professional and $50,000 for support staff), including benefits; a national travel allowance based on the number of professional staff required to complete work requirements; the number of schools receiving VA education benefits in the state; and the estimated time needed to review different school types, the type of review (such as approvals vs. compliance surveys), and the number of student veterans enrolled."], "subsections": []}, {"section_title": "State Agencies Identified Impacts of Limited Funding on Their Ability to Fulfill Oversight Responsibilities", "paragraphs": ["VA, NASAA, and selected state agency officials we spoke with said that limited funding before and after the recent changes to the funding method has impacted state agencies\u2019 ability to fulfill their oversight responsibilities in three areas: (1) ability to pay and train oversight staff, (2) ability to visit geographically dispersed schools due to travel costs, and (3) ability to provide technical assistance and training to schools. Under their contracts with VA, state agencies have been meeting their core school oversight functions, according to NASAA officials. VA and NASAA officials we interviewed, however, said state agencies have been underfunded for many years. They said states\u2019 funding concerns and challenges existed prior to the new method to allocate funds to state agencies and remain despite a total funding increase to state agencies from about $19 million to $21 million in fiscal year 2018.", "NASAA officials we interviewed said some state agencies have difficulty paying for the number of staff they need because there is a mismatch between VA\u2019s average salary and benefits used to calculate states\u2019 funding and the actual salaries and benefits some state agencies are required to pay under state laws. VA officials acknowledged that some states have required salary and benefit levels that exceed the average levels used in VA\u2019s new funding allocation method. VA\u2019s new funding method uses an average salary of $80,000 (including benefits) for professional staff. VA officials noted that some states have annual salaries for professional staff of over $100,000 excluding benefits. A state agency official we spoke with said the salary and benefit costs for professional staff in her state average $130,000, with some salary and benefits costing up to about $150,000. The official said this can make it difficult for the state agency to be able to pay a sufficient number of staff, which hinders its ability to fulfill its VA-contracted oversight. In another case, a NASAA official said his state agency did not have enough funds to pay for a second full-time employee because the state\u2019s required salary and benefits were higher than VA\u2019s $80,000 allotment for professional staff.", "Limited funding for state agency oversight staff has led to state requests for additional funds, as well as higher turnover and less training of the staff. VA officials said that the primary reason that some state agencies requested supplemental funding from VA in fiscal years 2016 and 2017 was that their initial allocation was not sufficient to cover salary, benefits, and travel expenses. Some state governments have had to cover those costs, hoping that VA would reimburse the state at the end of the fiscal year, according to VA officials. In addition, some state agencies have had significant turnover due, in part, to the uncertainty about the amount of annual VA funding, according to NASAA officials. NASAA officials also said that funding amounts limit the professional development provided to state agency staff, including travel to conferences. VA officials said that they support professional development and routinely provide funding for travel to conferences. However, according to VA officials, VA has denied requests from state agencies for travel to additional, repetitious conferences during the same year.", "NASAA officials said limited VA funding also makes it difficult for state agencies in geographically large states to pay travel expenses to visit schools as part of their oversight responsibilities. For example, NASAA officials said state agencies in Alaska, Montana, and Washington find it difficult to afford mileage and hotel costs for school visits that require travelling long distances\u2014sometimes over mountain ranges\u2014and overnight stays. NASAA officials also said VA\u2019s new funding method does not allocate sufficient funding for travel.", "Officials we interviewed at selected state agencies have had mixed experiences with travel costs. One state agency official told us her agency selected schools to visit that were physically near her office because of insufficient travel funds. In contrast, a state agency official in a geographically small state said the agency has sufficient funding to travel throughout the state to visit schools, mainly because overnight stays are unnecessary. VA and NASAA officials said some state agencies have been able to address travel costs by stationing agency staff in different parts of the state. VA officials, however, acknowledged that this is not possible in all states because some states require agency staff to be located in a central office.", "VA\u2019s new funding allocation method calculates a national travel allowance for all states based on the total number of professional staff it estimates would be required to complete work requirements in all states. VA officials explained that this travel allowance does not account for individual differences in geographic size among states. VA officials said that in developing the new funding method, the contractor reviewed the historical travel costs of states and determined that a distinction by the geographic size of a state did not need to be factored into the funding method. The contractor based this decision on several factors, including that some state agencies: (1) paid their travel costs using state funds, not VA funds; (2) have located their staff in offices across the state and, as a result, their travel costs were lower than in other states; and (3) planned their travel so they visited schools within a short timeframe, which reduced travel costs.", "When faced with funding difficulties, many state agencies reduce their technical assistance to schools and outreach activities because they need to use available funds on salaries, benefits, and travel related to compliance survey and approval workloads, according to NASAA officials. For example, one state agency official told us her agency has significantly reduced its technical assistance to schools because it does not have the funds to travel across the large, rural state to provide it. A NASAA official said available funding has reduced his state agency\u2019s ability to conduct outreach, such as connecting veterans with education and benefit resources, or holding in-person meetings to educate employers on providing apprenticeships to veterans using VA education benefits.", "NASAA officials also said that many state agencies have reduced the number of visits to train school employees on VA education benefits requirements. They noted that this training is important because it helps reduce over- and under-payments and the misuse of VA education benefits. A 2016 report from VA\u2019s Inspector General estimated that VA makes $247.6 million in improper payments of VA education benefits annually, mostly over-payments. The Inspector General found that many of the improper payments occurred because school employees provided VA incorrect or incomplete information on student enrollment."], "subsections": []}, {"section_title": "VA Plans to Revise the New Funding Method to Address Ongoing Concerns by States", "paragraphs": ["NASAA officials told us that they continue to have concerns that the new funding method\u2019s time estimates for completing certain oversight activities are inaccurate and, as a result, this method does not allocate sufficient funds. For example, NASAA officials said the funding method does not properly estimate the time it takes state officials to travel to schools and carry out oversight functions, including conducting certain school approvals, and providing schools with technical assistance and training. NASAA officials said the time estimates used to fund approvals are inaccurate and need to be revised because different types of schools and education programs\u2014including flight schools, degree programs, and non- degree programs\u2014take different amounts of time to review and approve. For example, NASAA officials said that state agencies need less time to conduct an approval for an on-the-job training program than for a large public university.", "VA officials said they are aware of the concerns that NASAA and state agencies have raised that the time estimates for oversight in the new funding method are inaccurate\u2014with some being too high and others too low. They are also aware that NASAA and state agencies believe that the analysis to develop these estimates should have more accurately factored in the time needed to approve and review different types of schools and education programs.", "To address the concerns states have raised about its new funding allocation method, VA provided documentation to us of its plans to hire a contractor in fiscal year 2018 to improve and update its funding method. In September 2018, VA hired a contractor to carry out a contract with a 6- month period of performance. VA reported that the contractor would review the new funding allocation method to determine if any specific changes are needed to more equitably distribute funding across state agencies. Specifically, VA officials said the contractor would review the accuracy of the funding method\u2019s allowances for state agencies\u2019 salary, benefits, and travel costs, and its time estimates for states to conduct oversight activities to determine if changes are needed. VA officials reiterated that allowances for salaries and travel, and the time estimates are critical factors in the funding method. VA officials noted, however, that regardless of how VA divides the funding up among the state agencies, the total amount of program funding to these agencies will remain the same within any one fiscal year."], "subsections": []}, {"section_title": "Two State Agencies Have Discontinued Their Oversight Contracts, but VA Has Not Assessed These Impacts or How It Will Address Future Withdrawals", "paragraphs": ["States have the option of not renewing their school oversight contracts with VA, and two have exercised this option in recent years, citing insufficient funding levels from VA to fulfill their responsibilities. When this happens and the state withdraws from its school oversight role, VA must perform all oversight responsibilities for VA education benefits in that state. New Mexico\u2014which currently has 4,754 veteran students and 107 schools receiving VA education benefits\u2014did not renew its contract with VA in fiscal year 2018 because funding was not sufficient to cover its costs for salaries, travel, and technical assistance to schools, according to VA officials (see text box).", "New Mexico Did Not Renew Department of Veterans Affairs (VA) Contract Due to Lack of Funding New Mexico\u2019s state agency began to face significant funding difficulties starting in fiscal year 2015, according to a state official, and it did not renew its VA contract to oversee schools receiving VA education benefits in fiscal year 2018. Although the state agency was able to conduct the oversight activities required by its VA contract in fiscal year 2017, the official said the agency had to reduce its staff, and the one remaining employee was frequently required to work long hours and weekends to meet contract requirements. Further, New Mexico did not receive adequate funding for travel costs to visit schools in its geographically large, rural state, the state official noted. As a result, the official said the state agency opted not to renew its VA contract in fiscal year 2018. VA and New Mexico officials have differing views on how well VA staff will be able to provide effective oversight of schools receiving veterans\u2019 education benefits in the state. In January 2018, New Mexico state officials stated that although VA regional staff have assumed the former state agency\u2019s oversight responsibilities, they are unlikely to be able to provide the same level of oversight the state agency did because the VA staff are also responsible for overseeing schools in three other states in addition to New Mexico. As a result, state agency officials said schools in New Mexico would likely receive fewer oversight visits. VA officials, on the other hand, believe that their regional staff are handling oversight of schools in New Mexico effectively, although they acknowledged the staff may be conducting fewer compliance surveys and providing schools less technical assistance.", "Other states have also expressed concerns about their ability to conduct oversight given available funding levels. For example, Alaska\u2014which currently has 4,011 veteran students and 53 schools receiving VA education benefits\u2014also chose not to contract with VA for about 5\u00bd years (fiscal year 2012 through January 2017), according to VA officials and the director of Alaska\u2019s veterans affairs office. Alaska\u2019s director also said that a major reason that Alaska did not renew its contract was limited VA funding. During this time, regional VA staff based in Oklahoma handled Alaska\u2019s oversight, which VA officials said often had to be conducted remotely given that schools are spread throughout the state, and travel to those areas can be expensive as well as challenging given weather conditions. VA officials said that VA\u2019s presence was not as strong in Alaska as in other states because VA staff overseeing Alaska are located in another state and in a different time zone. Further, according to VA data for fiscal years 2014 and 2015, VA staff were unable to complete all the compliance surveys they were assigned in Alaska. In addition, California officials told us they almost did not renew their oversight contract in fiscal year 2018 due in part to funding concerns. California has the largest number of veteran students (86,926) and schools receiving VA education benefits (1,091) of any state, yet state agency officials told us that they lacked sufficient funding to pay salaries for staff to conduct necessary oversight of these schools, including approvals and technical assistance visits. VA officials noted, however, that California receives the most funding of any state and has received the greatest increases of any state in the last two years.", "Although VA stepped in to provide oversight of schools in New Mexico and Alaska, the agency does not have a plan for how it will oversee additional schools if other states choose not to renew their oversight contracts. VA officials told us their current approach is to assign the state agency\u2019s workload to regional VA staff who already have their own school oversight responsibilities. However, providing oversight in states without a contract in addition to VA staffs\u2019 existing workload is likely to stretch agency resources. For example, existing VA regional staff may not be able to oversee all schools in states with a large number of schools. In addition, VA staff may be strained in providing oversight in geographically large states where schools are widely dispersed because school visits would be time consuming and costly.", "VA has begun some initial steps to identify and assess how it would handle additional oversight. In August 2017, VA began working with its Office of General Counsel regarding what options the agency has when a state agency chooses not to contract with VA, and the Office issued a legal opinion in September 2017. In April 2018, VA formed a workgroup, which also met a few times in May and once in July, to prepare a draft paper of possible scenarios and response options based on this legal opinion. In August 2018, the workgroup followed up with the field supervisor responsible for approval, compliance, and liaison and produced a new draft paper of scenarios and options. As of September 2018, VA\u2019s Education Service Director is holding discussions with VA leadership regarding assessing the options and developing a formal plan. However, VA has not completed an assessment to ensure the agency can handle additional school oversight responsibilities in states that do not renew their contracts and has yet to prepare a contingency plan.", "Federal standards for internal control state that agencies should identify, assess, and respond to risks related to achieving objectives. After identifying risks, the agency should assess the significance\u2014or effect on achieving the objective\u2014of these risks, which provides a basis for responding to the risks. Then, in responding to these risks, the standards state that agencies should define contingency plans for assigning responsibilities if key roles are vacated to help the entity continue to achieve its objectives. Specifically, if the agency relies on a separate organization to fulfill key roles, then the agency should assess whether this organization can continue in these key roles, identify others to fill these roles as needed, and implement knowledge sharing with replacement personnel. Without fully identifying and assessing the risks of additional state withdrawals, and without a contingency plan to address how VA can oversee additional schools, the agency runs the risk that if more states withdraw from their oversight responsibilities, then VA will be unprepared to oversee the schools in these states."], "subsections": []}]}, {"section_title": "VA and State Agencies Use Certain Risk Factors to Select Schools for Review, and Have Taken Steps toward a New Oversight Approach", "paragraphs": [], "subsections": [{"section_title": "VA and State Agencies Use Payment Errors and Other Risk Factors to Select Schools for Compliance Surveys", "paragraphs": ["Each year, VA uses findings from prior compliance surveys and other information to develop a strategy for prioritizing a sample of schools to receive annual reviews, according to VA officials. VA is generally required by statute to conduct an annual compliance survey of schools with 20 or more enrolled veterans at least once every 2 years. VA officials said with the help of state agencies, VA uses these surveys to determine if schools are meeting legal requirements and are using VA education benefits funds appropriately, including whether they are making over- or under-payments on students\u2019 education expenses. According to a VA document, in conducting the surveys, VA and state agencies review various statutory and regulatory requirements, such as the accuracy of a school\u2019s student enrollment records, tuition payments, and whether a school has corrected deficiencies identified in previous compliance surveys.", "According to VA officials, the agency has taken steps to incorporate risk factors into its compliance survey strategy in response to recommendations from our prior work and recent VA studies. The examples below show how VA has responded to recommendations to use risk in overseeing schools.", "In 2011, we recommended that VA adopt risk-based approaches to ensure proper oversight of schools. As part of the agency\u2019s official response to this recommendation, VA reported to us that in fiscal year 2012 the agency began prioritizing compliance surveys at for-profit schools. Further, VA officials said that the agency added this focus to its written annual compliance survey strategy for fiscal years 2016 and 2017 based on prior years\u2019 compliance survey findings and congressional priorities.", "In a 2016 report, VA\u2019s Inspector General recommended that VA consider particular risk factors in selecting schools for compliance surveys. Specifically, the report recommended that VA prioritize schools at risk of payment errors including (1) making errors resulting in over- or under-payments of VA education benefits, and (2) neglecting to recover unspent VA education benefit funds, such as when students receive funds but then reduce their course loads or repeat classes. In response, VA officials stated that the agency began using data on these payment errors to prioritize schools with high error rates. For example, VA officials said that when data revealed that flight schools were particularly prone to such errors\u2014along with charging high tuition and fees and failing to meet some VA education benefits criteria, among other issues\u2014VA decided to prioritize these schools for compliance surveys in its fiscal year 2018 strategy (see text box).", "VA\u2019s Compliance Survey Strategy for Schools Receiving VA Education Benefits for Fiscal Year 2018 The Department of Veterans Affairs (VA) is generally required by statute to conduct an annual compliance survey of schools receiving VA education benefits and that have 20 or more enrolled veterans at least once every 2 years. For its fiscal year 2018 compliance survey strategy, VA prioritized the following types of schools for review: 100 percent of schools with flight programs; 100 percent of schools with fewer than 20 veterans, with priority to those that had not received surveys for the longest time period; 100 percent of federal on-the-job training and apprenticeship programs; schools with serious deficiencies identified in previous compliance surveys; schools newly approved for the program with enrolled VA beneficiaries; schools that have never received a compliance survey (for example, VA officials said some schools have not received a compliance survey due to a shortage of VA oversight staff or due to the fact that in prior years, the statute did not require VA to conduct compliance surveys at schools with fewer than 300 veterans); and a sample of foreign schools receiving VA education benefits for students from the United States (conducted by VA via remote survey).", "An August 2017 study, conducted by an external contractor hired by VA, reviewed ways to strengthen VA\u2019s compliance survey process and outcomes. The report found that VA has not placed enough emphasis on improving school compliance over time. For example, VA has historically prioritized completing a certain number of surveys each year rather than ensuring that schools are actually demonstrating compliance. Among other recommendations, the report identified the need for VA to more effectively use data to measure schools\u2019 compliance over time and to establish priorities to select schools for compliance surveys based on their risk level. As of July 2018, VA officials said that the agency has begun analyzing the study\u2019s recommendations to improve its compliance survey process and that its new compliance survey strategy for fiscal year 2019 and future years will address many of these study recommendations."], "subsections": []}, {"section_title": "VA Conducts Reviews in Response to Complaints at Schools", "paragraphs": ["VA officials said that in 2014 they began conducting targeted reviews of schools in response to complaints received from students, government officials, or others. VA\u2019s policies and procedures state that, in addition to complaints, other factors that could trigger a targeted review include compliance survey results, management mandates, and a school self- reporting a violation, among others. VA officials said, however, that VA has not initiated a targeted review in response to anything other than a complaint.", "To determine whether to conduct a targeted review, VA officials said they review each complaint and may corroborate it with other sources of information, such as compliance survey data on that school and input from states or other agencies. According to VA\u2019s policies and procedures, the focus of targeted reviews varies based on the nature of the complaint, and VA assigns a higher priority to complaints that are higher risk, i.e., those that allege fraud, waste, or abuse (see table 1). As of July 2018, VA and state agencies have conducted about 160 targeted reviews of schools in response to complaints since 2014, resulting in the withdrawal of program approval for 21 schools, according to data provided by VA officials."], "subsections": []}, {"section_title": "VA Has Taken Steps to Adopt a New Risk-Based Oversight Approach", "paragraphs": ["VA has taken steps to adopt a new risk-based approach to overseeing schools receiving VA education benefits, including selecting schools based on risk factors such as those identified in the Colmery Act. Among other things, the Colmery Act explicitly authorizes VA to use the state agencies for risk-based surveys and other oversight based on a school\u2019s level of risk, and identifies specific risk factors that can be used for school oversight (see text box).", "Risk Factors Identified in the Harry W. Colmery Veterans Educational Assistance Act of 2017 The Colmery Act explicitly authorizes the Department of Veterans Affairs (VA) and state agencies to use risk-based surveys (reviews) in oversight of schools receiving VA education benefits. The Colmery Act identifies specific risk factors that can be used for school oversight, but does not require VA or state agencies to use these risk factors in their oversight of these schools: rapid increases in veteran enrollment, increases in the amount of VA education benefits a school receives per veteran student, volume of student complaints, rates of federal student loan defaults of veterans, veteran completion rates, deficiencies identified by accreditors and other state agencies, and deficiencies in VA program administration compliance.", "VA officials told us that they have not yet used the risk factors cited in the Colmery Act in conducting their compliance surveys. VA officials acknowledged, however, that adopting a more risk-based oversight approach could help prevent problems, such as some schools\u2019 use of deceptive practices in recruiting veterans and receipt of overpayments from VA. VA officials said that the agency is exploring risk factors to consider in developing its compliance survey strategy for selecting schools in fiscal years 2019 to 2021.", "State agency officials we spoke to said that they use the risk factors cited in the Colmery Act to varying degrees in their oversight of schools receiving VA education benefits. For example, one state agency official said that he tracks all of the risk factors cited in the Colmery Act except the rates of veterans\u2019 student loan defaults. On the other hand, a NASAA official said that her state agency tracks the volume of student complaints and deficiencies identified by accreditors and other state agencies. States generally have limited opportunities to select specific schools for compliance surveys, because VA develops the annual priorities for compliance surveys, according to NASAA officials. In some cases, NASAA officials told us, state agency staff work with regional VA staff to select schools for visits based on VA\u2019s priorities.", "VA has recently taken steps to explore a new risk-based approach to oversee schools receiving VA education benefits that would be in addition to compliance surveys, according to VA officials. Specifically, VA officials told us that VA has participated in a joint working group with NASAA officials focused on developing a new type of school review in which VA would select schools based on specific risk factors, including those identified in the Colmery Act. NASAA officials told us they were supportive of VA\u2019s efforts in this area. As of February 2018, NASAA officials had drafted a possible approach to state agencies\u2019 oversight to monitor one risk factor\u2014rapid increases in veteran enrollment for VA\u2019s consideration. VA officials told us the working group plans to build on this effort in reviewing other risk factors. In May 2018, VA prepared a draft charter for the working group, which, among other things, outlines the potential scope and implementation of new risk-based surveys, and provided it to NASAA for review. Documentation we reviewed from a VA and NASAA working group meeting held in May 2018 stated that in its upcoming meetings, the working group plans to continue developing the charter, including agreeing to roles and responsibilities, establishing the risk factors to be used, and identifying data sources related to these risk factors. VA officials said that at an August 2018 joint working group meeting, the charter was deemed to have served its purpose and the decision was made to establish a risk-based review policy and procedures moving forward. According to VA officials, as of mid-October 2018, VA used this strategy to select five schools to undergo risk-based reviews. VA officials said they expect these five reviews to be completed by late December 2018."], "subsections": []}]}, {"section_title": "VA and State Agencies Have Approaches to Coordinate Oversight Activities and VA Is Developing Additional Guidance for States on Targeted Reviews", "paragraphs": [], "subsections": [{"section_title": "VA and State Agencies Identified Various Ways They Coordinate on Oversight Activities", "paragraphs": ["VA and state agencies coordinate to divide responsibility for who will conduct compliance surveys of schools receiving VA education benefits in a variety of ways, according to VA and NASAA officials. After VA provides state agencies information about its annual strategy for selecting schools for these surveys, VA regional staff work with state agency staff to select the specific schools for that year, according to these officials. NASAA officials we interviewed said their working relationships with regional VA staff are excellent\u2014they have good communication and understand and help each other. For example, one state official we interviewed said the state agency and regional VA staff in the state coordinate to make sure they alternate who visits which schools to obtain multiple perspectives. They also have discussions before and after each visit, the official said. In some cases, VA officials said, VA and state agency officials collaborate to conduct compliance surveys together.", "VA also provides information to states on how to conduct and report on compliance surveys, including a checklist to help guide the states\u2019 review of items tied to specific statutory requirements, as well as a template for reporting compliance survey results. VA leadership also holds conferences twice a year that NASAA and state agency staff can attend, and communicates throughout the year on school oversight issues, according to officials from these entities.", "In addition, VA officials told us they collaborate with NASAA on providing training for state agency staff that NASAA provides through the National Training Institute. According to NASAA\u2019s website, the Institute provides an overview of state agency responsibilities and activities, including information on public laws, accreditation, VA education benefits approval criteria, and compliance surveys. New state agency staff must attend this training, according to NASAA officials."], "subsections": []}, {"section_title": "VA Is Developing New Guidance for States on Targeted Complaint-Based Reviews", "paragraphs": ["NASAA officials told us that VA has not provided state agencies with sufficient information on how to conduct targeted school reviews in response to complaints, and as a result it is difficult for states to conduct these types of reviews. VA officials acknowledged this lack of information. NASAA officials reported that many state agencies want more direction on how to conduct and report on targeted school reviews in response to complaints. A policy and procedures document on targeted school reviews that VA developed in 2014 describes the criteria to use in determining when to conduct targeted, complaint-based reviews, including what issues to prioritize. VA officials acknowledged, however, that the document is outdated and does not provide sufficient detail. VA officials said the agency is in the process of revising the document to provide more clarity. In July 2018, VA provided a draft document to us showing the changes it plans to make in its policy and procedures on targeted, complaint-based school reviews, which includes specific information about how state agencies should conduct and report on these reviews. As of late October 2018, VA officials said these procedures were undergoing internal review. VA officials said they are open to state agency feedback on the new procedures. In addition, VA officials said they are currently updating their database for complaint-based reviews to add specific, standard data fields for states to use in reporting the results of these reviews. VA officials told us that the revised database and procedures will allow state agencies to develop their own template to electronically report information collected during these reviews in a standardized way. We believe that when implemented, VA\u2019s new procedures could help enhance VA\u2019s and state agencies\u2019 efforts in responding to complaints about schools receiving VA education benefits."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["It is critical for VA to ensure that schools receiving VA education benefits are complying with program requirements and that veterans receive the education they have been promised. Because funding concerns have led to states withdrawing from their oversight roles, decisions by other states to not renew their school oversight contracts could result in VA taking on additional school oversight responsibilities. However, VA has neither completed identification nor assessment of the risks posed by any future state withdrawals that could leave VA unprepared to conduct oversight in these states. Further, VA\u2019s lack of a contingency plan for assuming the responsibilities of state agencies in these cases raises the risk that schools receiving VA education benefits would not be overseen and student veterans could be adversely affected."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Secretary of Veterans Affairs direct the Under Secretary for Benefits to: (1) Complete efforts to identify and assess risks related to future withdrawals by state agencies in overseeing schools and (2) address these risks by preparing a contingency plan for how VA will oversee additional schools if more states choose not to renew their oversight contracts. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to VA for review and comment. VA\u2019s comments are reproduced in appendix I. VA agreed with our recommendation. VA also provided technical comments, which we considered and incorporated as appropriate.", "In addition, we provided relevant excerpts from a draft of this report to NASAA leadership for review and comment. NASAA provided technical comments, which we considered and incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Veterans Affairs and Education; and other interested parties. In addition, the report is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Elizabeth Sirois (Assistant Director), Linda L. Siegel (Analyst-in-Charge), Jessica Ard, and Rachel Pittenger made key contributions to this report. Also contributing to this report were Susan Aschoff, James Bennett, Deborah Bland, Sheila R. McCoy, Jean McSween, Benjamin Sinoff, and Sarah Veale."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-612", "url": "https://www.gao.gov/products/GAO-18-612", "title": "Foreign Assistance: U.S. Assistance for the West Bank and Gaza, Fiscal Years 2015 and 2016", "published_date": "2018-08-08T00:00:00", "released_date": "2018-08-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 1993, the U.S. government has committed more than $5 billion in bilateral assistance to the Palestinians in the West Bank and Gaza. According to the Department of State, this assistance to the Palestinians promotes U.S. economic and political foreign policy interests by supporting Middle East peace negotiations and financing economic stabilization programs. USAID is primarily responsible for administering ESF assistance to the West Bank and Gaza.", "Appropriations acts for fiscal years 2015 and 2016 included provisions for GAO to review the treatment, handling, and uses of funds provided through the ESF for assistance to the West Bank and Gaza. This report examines (1) the status of ESF assistance and projects provided to the West Bank and Gaza for fiscal years 2015 and 2016, including project assistance and payments to PA creditors, and (2) the extent to which USAID conducted required vetting of PA creditors to ensure that this assistance would not support entities or individuals associated with terrorism and assessed PA ministries' capacity to use ESF assistance as intended. GAO reviewed relevant laws and regulations and USAID financial data, policies, procedures, and documents. GAO also interviewed USAID and State Department officials."]}, {"section_title": "What GAO Found", "paragraphs": ["As of March 2018, the U.S. Agency for International Development (USAID) had allocated about $545 million of funding appropriated to the Economic Support Fund (ESF) for assistance in the West Bank and Gaza for fiscal years 2015 and 2016. USAID obligated about $544 million (over 99 percent) and expended about $351 million (over 64 percent) of the total allocations. Project assistance accounted for approximately $399 million of the obligated funds, while payments to Palestinian Authority (PA) creditors accounted for $145 million (see figure). USAID's obligations for project assistance in the West Bank and Gaza for fiscal years 2015 and 2016 supported three development objectives\u2014Economic Growth and Infrastructure ($239 million), Investing in the Next Generation ($107 million), and Governance and Civic Engagement (about $25 million). In fiscal years 2015 and 2016, USAID made payments directly to PA creditors\u2014two Israeli fuel companies, to cover debts for petroleum purchases, and a local Palestinian bank, to pay off a line of credit used for PA medical referrals to six hospitals in the East Jerusalem Hospital network.", "USAID vetted PA creditors to ensure that the program assistance would not provide support to entities or individuals associated with terrorism and also conducted external assessments and financial audits of PA ministries of Health and Finance and Planning. USAID documentation showed that, as required, officials checked the vetting status of each PA creditor within 12 months before USAID signed its debt relief grant agreements with the PA. In addition, although USAID determined that it was not legally required to assess the PA Ministry of Health's medical referral services and the Ministry of Finance and Planning's petroleum procurement system, the agency commissioned external assessments of both ministries. These assessments found some weaknesses in both ministries' systems; however, USAID mission officials stated that these weaknesses did not affect USAID debt relief payments to the PA creditors. Nevertheless, USAID took additional steps to mitigate the identified weaknesses. For example, a USAID contractor worked with the Ministry of Health to update, revise, and approve guidelines for medical referrals. In addition, USAID commissioned financial audits of the debt relief grant agreements between USAID and the PA for direct payments to PA creditors in fiscal year 2015 and 2016. The audits did not identify any ineligible costs, reportable material weaknesses in internal control, or material instances of noncompliance with the terms of the agreements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The West Bank and Gaza cover about 2,400 square miles and have a combined population of about 4.6 million people. The Palestinian Authority (PA) and Israel administer areas in the West Bank, and Hamas- controlled de facto authorities control Gaza. According to the Department of State (State), U.S. economic and humanitarian assistance to the Palestinians promotes the economic and political foreign policy interests of the United States by supporting Middle East peace negotiations and financing economic stabilization programs. The U.S. Agency for International Development (USAID) has primary responsibility for administering assistance for the West Bank and Gaza, most of which is appropriated through the Economic Support Fund (ESF). In addition to providing project assistance to the Palestinians in the West Bank and Gaza, USAID entered into debt relief grant agreements with the PA using fiscal year 2015 and 2016 funds. Under these agreements, according to USAID, it agreed to pay PA creditors who provided goods and services to the PA rather than to transfer cash directly to the PA for this purpose.", "Appropriations acts for fiscal years 2015 and 2016 included provisions for GAO to review the treatment, handling, and uses of funds provided through the ESF\u2014in this report, \u201cESF assistance\u201d\u2014for the West Bank and Gaza. This report examines (1) the status of ESF assistance to the West Bank and Gaza for fiscal years 2015 and 2016, including project assistance and payments to PA creditors, and (2) the extent to which USAID conducted required vetting of PA creditors to ensure that assistance would not support entities or individuals associated with terrorism and assessed PA ministries\u2019 capacity to use ESF assistance as intended.", "To address our objectives, we reviewed appropriations legislation, related budget justification documents, and fiscal year 2015 and 2016 financial data, including expenditures as of March 31, 2018, that USAID provided. We also reviewed relevant USAID documents, including notifications to Congress, regarding the obligation of allocated funds. In addition, we interviewed USAID and State officials in Washington, D.C., and conducted telephone interviews with USAID West Bank and Gaza mission officials in Tel Aviv, Israel. In addition, we reviewed statutory requirements and relevant USAID documentation, such as USAID\u2019s antiterrorism policies and procedures, for vetting PA creditors to ensure that assistance does not support entities or individuals associated with terrorism. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from September 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since 1993, USAID has obligated more than $5 billion in bilateral assistance to the Palestinians in the West Bank and Gaza, primarily using funds appropriated through the ESF. According to State officials, through the ESF, USAID provides project assistance and debt relief payments to PA creditors. USAID, with overall foreign policy guidance from State, implements most ESF programs, including programs related to private sector development, health, water and road infrastructure, local governance, civil society, rule of law, education, and youth development. According to USAID officials, this assistance to the West Bank and Gaza contributes to building a more democratic, stable, prosperous, and secure Palestinian society\u2014a goal that USAID described as being in the interest of the Palestinians, the United States, and Israel. Figure 1 shows the location of the West Bank and Gaza relative to surrounding countries.", "USAID assistance to the West Bank and Gaza is conducted under antiterrorism policies and procedures outlined in an administrative policy document known as Mission Order 21. The stated purpose of the mission order, as amended, is to describe policies and procedures to ensure that the mission\u2019s program assistance does not inadvertently provide support to entities or individuals associated with terrorism.", "We have previously reported on the status of ESF assistance to the Palestinians and USAID\u2019s antiterrorism policies and procedures in the West Bank and Gaza."], "subsections": []}, {"section_title": "Status of ESF Assistance to the West Bank and Gaza for Fiscal Years 2015 and 2016, Including Project Assistance and Payments to PA Creditors", "paragraphs": ["As of March 31, 2018, USAID had obligated about $544.1 million (over 99 percent) and expended about $350.6 million (over 64 percent) of approximately $544.5 million in ESF assistance allocated for the West Bank and Gaza in fiscal years 2015 and 2016 (see table 1). USAID obligated portions of the allocated funds for direct payments to PA creditors\u2014specifically, payments to two Israeli fuel companies, to cover debts for petroleum purchases, and to a local Palestinian bank, to pay off a line of credit used for PA medical referrals to six hospitals in the East Jerusalem Hospital network.", "Project assistance obligated for fiscal years 2015 and 2016 accounted for about $215 million (74 percent) and $184 million (72 percent), respectively, of USAID\u2019s obligations of ESF assistance for the West Bank and Gaza for those fiscal years (see fig. 1). Payments to the PA\u2019s creditors accounted for the remaining obligations\u2014about $75 million (26 percent) of fiscal year 2015 obligations and about $70 million (28 percent) of fiscal year 2016 obligations.", "According to USAID documents, ESF project assistance for the West Bank and Gaza for fiscal years 2015 and 2016 was obligated for three USAID development objectives: Economic Growth and Infrastructure (about $239 million), Investing in the Next Generation (about $107 million), and Governance and Civic Engagement (about $25 million). Program support\u2014which sustains all development objectives, according to USAID\u2014accounted for about $29 million (see table 2).", "Economic Growth and Infrastructure. The largest share\u2014about 60 percent\u2014of USAID\u2019s ESF project assistance for the West Bank and Gaza for fiscal years 2015 and 2016 supported the agency\u2019s Economic Growth and Infrastructure development objective. According to USAID documents, as of March 31, 2018, the agency had obligated about $239 million and expended approximately $89 million (about 37 percent) for projects under this objective. USAID officials stated that the agency funded these projects under the following standard State-budgeted program areas: health (including water), infrastructure, private sector competiveness, and stabilization operations and security sector reform. The largest project\u2014the Architecture and Engineering Services project\u2014received about $20 million of fiscal year 2015 ESF assistance and $17 million of fiscal year 2016 ESF assistance. The purpose of the project was to rehabilitate and construct infrastructure through the procurement of infrastructure services, including engineering design and construction management, among other things. The contractor was required to coordinate with relevant PA and Israeli entities, as well as with USAID, to assist in the selection of PA water and wastewater projects and in the planning and design of water projects such as small- to large-scale water distribution systems, water treatment systems, and institutional capacity building.", "Investing in the Next Generation. The second-largest share\u2014about 27 percent\u2014of USAID\u2019s fiscal years 2015 and 2016 ESF project assistance for the West Bank and Gaza supported the agency\u2019s Investing in the Next Generation development objective. According to USAID documents, as of March 31, 2018, the agency had obligated about $107 million and expended approximately $79 million (about 74 percent) for projects under this objective. Program areas funded included education, health, social and economic services and protection of vulnerable populations. The largest project funded under this objective\u2014a grant to the World Food Program for assistance to vulnerable groups\u2014received $12 million in fiscal year 2015 and $15 million in fiscal year 2016 ESF assistance. The project focused on ensuring food security, including meeting food needs, of the nonrefugee population; increasing food availability and dietary diversity for the most vulnerable and food-insecure nonrefugee population; and establishing linkages with the Palestinian private sector (shopkeepers, farms, and factories) to produce and deliver the aid being provided to Palestinians. For example, the project directly distributed a standard food ration through both direct food distribution and electronic food vouchers to vulnerable nonrefugee families.", "Governance and Civic Engagement. The smallest share\u2014about 6 percent\u2014of USAID\u2019s fiscal years 2015 and 2016 ESF project assistance for the West Bank and Gaza supported the agency\u2019s Governance and Civic Engagement development objective. According to USAID documents, as of March 31, 2018, USAID had obligated about $24.6 million and expended approximately $14.5 million (about 60 percent) for projects in program areas that included civil society, good governance, and rule of law. The largest project funded under this objective\u2014a contract for the Communities Thrive Project\u2014 received about $5.2 million and $8 million in fiscal years 2015 and 2016 ESF assistance, respectively. The project aimed to help 55 West Bank municipalities improve fiscal management, fiscal accountability and transparency, and delivery and management of municipal services, among other things.", "Under debt relief grant agreements with the PA, USAID made direct payments of ESF assistance to PA creditors totaling about $75 million from fiscal year 2015 funds and $70 million from fiscal year 2016 funds. USAID paid about $40 million from fiscal year 2015 funds and $45 million from fiscal year 2016 funds to two oil companies to cover debts for petroleum purchases. In addition, USAID paid about $35 million from fiscal year 2015 funds and $25 million from fiscal year 2016 funds to the Bank of Palestine, to pay off a PA line of credit that was used to cover PA medical referrals to six hospitals in the East Jerusalem Hospital network."], "subsections": []}, {"section_title": "USAID Vetted PA Creditors and Conducted External Assessments and Financial Audits of PA Ministries", "paragraphs": ["Before using fiscal years 2015 and 2016 ESF assistance to pay PA creditors, USAID vetted the creditors to ensure that the assistance would not provide support to entities or individuals associated with terrorism, as required by its policies and procedures. USAID determined that certain legal requirements, including the requirement for an assessment of the PA Ministry of Finance and Planning, were not applicable for direct payments of these funds to PA creditors. Nevertheless, USAID continued to commission external assessments and financial audits of the PA Ministries of Health and Finance and Planning."], "subsections": [{"section_title": "USAID Vetted PA Creditors as Required by Its Policies and Procedures for Direct Payments to Creditors", "paragraphs": ["USAID documentation for payments to creditors shows that before signing debt relief agreements with the PA, mission officials checked, as required by Mission Order 21, the vetting status of PA creditors who would receive direct payments under the agreements, to ensure their eligibility before any payment was made. USAID Mission Order 21 requires that before payments to PA creditors are executed, the creditors must be vetted\u2014that is, the creditors\u2019 key individuals and other identifying information must be checked against the federal Terrorist Screening Center database and other information sources to determine whether they have links to terrorism. According to USAID policies and procedures, each PA creditor must be vetted if more than 12 months have passed since the last time the creditor was vetted and approved to receive ESF payments. We found that for payments made to PA creditors using fiscal years 2015 and 2016 ESF assistance, USAID vetted each PA creditor that received payments and completed the vetting during the 12- month period before the debt relief agreements with the PA were signed (see table 3)."], "subsections": []}, {"section_title": "USAID Determined Certain Legal Requirements Were Not Applicable to Payments to PA Creditors", "paragraphs": ["USAID determined that certain legal requirements applicable to cash transfers to the PA were not applicable to direct payments to PA creditors of fiscal years 2015 and 2016 ESF assistance. In September 2015, we reported that USAID ceased making cash payments directly to the PA in 2014 and began making payments of ESF assistance directly to PA creditors. In reviewing USAID\u2019s compliance with key legal requirements, we found that USAID had complied with the requirements when making cash transfers to the PA in fiscal year 2013. However, USAID had determined that some requirements were not applicable to direct payments made to PA creditors in fiscal year 2014, because no funds were being provided directly to the PA.", "After fiscal year 2015, USAID further defined the scope of statutory requirements it deemed applicable to payments to PA creditors using fiscal years 2015 and 2016 ESF assistance, under the rationale that these payments do not constitute direct payments to the PA. Specifically, according to USAID, the agency determined that the following statutory requirements discussed in our prior report were not applicable to direct payments to PA creditors.", "A requirement to notify the Committees on Appropriations 15 days before obligating funds for a cash transfer to the PA", "A requirement for the PA to maintain cash transfer funds in a separate account", "A requirement for the President to waive the prohibition on providing funds to the PA and to submit an accompanying report to the Committees on Appropriations", "A requirement for the Secretary of State to provide a certification and accompanying report to the Committees on Appropriations when the President waives the prohibition on providing funds to the PA", "Requirements for direct government-to-government assistance, including an assessment of the PA Ministry of Finance and Planning According to USAID officials, they currently do not plan to resume cash payments to the PA, because making direct payments to creditors minimizes the misuse of funds and assures full transparency and appropriateness of transfers."], "subsections": []}, {"section_title": "USAID Commissioned External Assessments and Financial Audits of PA Creditors before Executing Payments", "paragraphs": ["Although USAID concluded that the statutory requirement mandating assessments of the PA Ministry of Finance and Planning did not apply to direct payments to PA creditors, the West Bank and Gaza mission commissioned external assessments of the PA Ministry of Health\u2019s medical referral services and Ministry of Finance and Planning\u2019s petroleum procurement system. According to a USAID document, while the payments to the creditors did not constitute direct budget support to the PA, the agency chose to commission external assessments to determine whether the PA\u2019s financial systems were sufficient to ensure adequate accountability for USAID funds consistent with legislative requirements for direct budget support funds. These external assessments identified weaknesses in both systems.", "Ministry of Health medical referrals. The assessment report stated that the ministry did not have approved policies and procedures for the medical referral process, a list of medical services covered by the referral system, and written criteria for selecting referral hospitals in the medical referral systems. In response, in a January 2016 internal memorandum, the West Bank and Gaza mission officials concluded, among other things, that the findings did not pose a significant risk to USAID funds. They also stated that the Ministry of Health\u2019s medical referral system had adequate policies and procedures for referrals to local hospitals. However, after the assessment report was issued, a USAID contractor worked with the Ministry of Health to update, revise, and approve guidelines for medical referrals.", "Ministry of Finance and Planning petroleum procurements. The assessment report stated that the ministry lacked specific policies and procedures to prevent or detect fraud in the petroleum procurement systems. In the West Bank and Gaza mission\u2019s January 2016 memorandum, USAID mission officials disagreed with the assessment\u2019s findings regarding the petroleum procurement system, stating that the assessment did not take into account sufficient and adequate internal controls at the ministry as a first line of defense against fraud. The memorandum also stated that the finding did not affect USAID debt relief payments to the PA creditors.", "USAID officials told us that, while they did not believe the external assessments\u2019 findings affected the integrity of USAID\u2019s debt relief payment process, they took four additional steps to mitigate findings noted in the assessment of the Ministry of Finance and Planning\u2019s fuel procurement processes. According to USAID officials, they (1) confirmed that the fuel companies had controls and systems to ensure an objective and transparent system in receiving and recording PA orders, (2) dispatched orders with official and properly signed shipping delivery and receipt documents, (3) obtained written confirmation from the fuel companies of the costs of the fuel provided to the PA, and (4) confirmed the PA\u2019s petroleum debt with the fuel companies before initiating the payments and after making the payments.", "In addition, in 2016, USAID commissioned two routine financial audits of the debt relief grant agreed to by USAID and the PA for the use of fiscal year 2015 ESF assistance to make direct payments to PA creditors. According to USAID officials, the auditors were to examine the PA Ministry of Finance and Planning\u2019s recording of USAID payments to PA creditors in its financial records as well as the ministry\u2019s and USAID\u2019s compliance with the terms of the grant agreement and related implementation letters. The audits did not identify any questioned or ineligible costs, reportable material weaknesses in internal control, or material instances of noncompliance with the terms of the debt relief grant. Also, in 2017, USAID contracted for a financial audit of the fiscal year 2016 debt relief grant agreed to by USAID and the PA. According to a USAID document, in May 2018, USAID held an entrance conference with the PA Ministry of Finance and Planning for the audit of the fiscal year 2016 grant. In July 2018, USAID sent the final audit report to the Regional Inspector General for review. According to the USAID document, the report did not identify any questioned or ineligible costs, reportable material weaknesses in internal controls, or material instances of noncompliance with the terms of the grant."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USAID and State for review and comment. USAID provided comments, which we have reproduced in appendix II, as well as technical comments, which we incorporated as appropriate. State did not provide comments.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of USAID, and the Secretary of State. In addition, the report is available at no charge on the GAO website at http://www.gao.gov If you or your staff have any questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who contributed to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Appropriations acts for fiscal years 2015 and 2016 included provisions for GAO to review the treatment, handling, and uses of funds provided through the ESF for assistance to the West Bank and Gaza. This report examines (1) the status of ESF assistance and projects provided to the West Bank and Gaza for fiscal years 2015 and 2016, including payments to PA creditors, and (2) the extent to which USAID conducted required vetting of PA creditors to ensure that assistance would not support entities or individuals associated with terrorism and assessed PA ministries\u2019 capacity to use ESF assistance as intended.", "To address our first objective, we reviewed appropriations legislation, related budget justification documents, and financial data for fiscal years 2015 and 2016, including expenditures as of March 31, 2018, provided by USAID\u2019s West Bank and Gaza mission in Tel Aviv, Israel. We reviewed data that USAID provided on obligations and expenditures of all ESF assistance for the West Bank and Gaza as of March 31, 2018, from annual allocations for fiscal years 2015 and 2016. We also reviewed relevant USAID documents, including notifications to Congress regarding the use of appropriated funds. In addition, we interviewed USAID and State officials in Washington, D.C., and Tel Aviv.", "To determine whether the data were sufficiently reliable for the purposes of this report, we requested and reviewed information from USAID officials about their procedures for entering contract and financial information into USAID\u2019s data system. We determined that the USAID data were sufficiently reliable. For the project information included in this report, we relied on data that USAID provided, showing its obligations and expenditures of fiscal year 2015 and 2016 ESF assistance for West Bank and Gaza. For illustrative purposes, we requested and obtained from USAID descriptions of projects that, according to USAID officials, represented the largest financial obligations for each development objective in fiscal years 2015 and 2016.", "To address our second objective, we identified and reviewed relevant legal requirements as well as USAID policies and procedures to comply with those requirements. USAID Mission Order 21 is the primary document that details USAID procedures to ensure that the mission\u2019s assistance program does not provide support to entities or individuals associated with terrorism, consistent with the prohibition on such support found in relevant laws and executive orders. In addition, we reviewed 27 USAID determinations of compliance for payments to PA creditors and discussed with USAID mission officials their efforts to comply with the policies and procedures in Mission Order 21 before executing payments to hospitals, companies, and banks that facilitated the payments. We also reviewed the timing of USAID\u2019s vetting of each PA creditor that received payments, to ensure that, as required by Mission Order 21, the vetting occurred within 12 months before USAID signed the relevant debt relief grant agreement with the PA. Further, we reviewed external assessments of the PA Ministries of Health and Finance and Planning and financial audits of the PA Ministry of Finance and Planning, and we discussed the assessments\u2019 and audits with USAID officials responsible for payments to PA creditors.", "We conducted this performance audit from September 2017 to August 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Judith McCloskey (Assistant Director), Tom Zingale (Analyst-in-Charge), Eddie Uyekawa, Jeff Isaacs, and Nicole Willems made significant contributions to this report. David Dornisch, Neil Doherty, Reid Lowe, and Roger Stoltz also contributed to the report."], "subsections": []}]}], "fastfact": ["The United States provides economic and humanitarian assistance to Palestinians in the West Bank and Gaza to promote Middle East peace and stability.", "In 2015 and 2016, the U.S. Agency for International Development provided about $545 million for projects such as water treatment systems and to pay Palestinian Authority creditors directly for fuel and health services. USAID is required to ensure no support goes to people or entities linked to terrorism.", "We found that USAID carried out the required vetting of Palestinian Authority creditors."]} {"id": "GAO-19-35", "url": "https://www.gao.gov/products/GAO-19-35", "title": "Federal Workforce: Opportunities Exist for OPM to Further Innovation in Performance Management", "published_date": "2018-11-20T00:00:00", "released_date": "2018-11-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Managing employee performance has been a long-standing government-wide issue and the subject of numerous reforms since the beginning of the modern civil service. Without effective performance management, agencies risk not only losing the skills of top talent, they also risk missing the opportunity to effectively address increasingly complex and evolving mission challenges.", "GAO was asked to examine federal non-Senior Executive Service performance management systems. This report examines (1) government-wide trends in employee perceptions of performance management as measured by the results of selected FEVS statements, (2) practices that selected agencies use to improve performance management, and (3) OPM's guidance and resources to support agency efforts to improve performance management government-wide.", "GAO analyzed responses to selected FEVS statements related to the five performance management phases from 2010 through 2017; selected four agencies based on the highest average scores for the five phases, among other criteria, to identify practices which may contribute to improved performance management; reviewed OPM documents; and interviewed OPM and other agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that from 2010 through 2017, surveyed employees generally demonstrated positive responses to selected Federal Employee Viewpoint Survey (FEVS) statements related to four of the Office of Personnel Management's (OPM) five performance management phases, including: planning and setting expectations, monitoring performance, developing the capacity to perform, and rating performance. Employees responded least positively to statements related to rewarding performance, with only 39 percent of employees, on average, agreeing with statements regarding this phase.", "Of the four agencies with among the highest average scores for the performance management phases (Bureau of Labor Statistics, Centers for Disease Control and Prevention, Drug Enforcement Administration, and Office of the Comptroller of the Currency), GAO identified practices that may contribute to improved performance management including strong organizational culture and dedication to mission; use of FEVS and other survey data; and a focus on training.", "OPM provides guidance and opportunities for agencies to share promising practices on performance management; however, some of this information is not easily accessible on its performance management website. In addition, OPM does not leverage its leadership position to formally identify and share emerging performance management research and innovation with agencies. As a result, agencies, and therefore their employees, may not benefit from the best information available."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that OPM improve its website and share innovations in performance management with agencies. OPM agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is in a period of profound transition. It faces an array of mission challenges and opportunities to enhance performance, ensure accountability, and position the nation for the future. As part of a broader effort to help modernize government and improve the ability of agencies to deliver on their missions, in March 2018, the Office of Management and Budget (OMB) released the President\u2019s Management Agenda (PMA). Among other things, the PMA noted the important role that federal employees play in ensuring the smooth functioning of our democracy, but acknowledged that the government needs to do a better job in actively managing the workforce to better align employees\u2019 skills with evolving mission needs.", "Consistent with this approach, in our past work, we have noted how an organization\u2019s workforce defines its character, affects its capacity to perform, and represents its knowledge base. Additionally, an agency\u2019s workforce plays a central role in transforming an agency into a high- performing organization. High-performing organizations have attributes such as: an effective employee performance management system that includes expectation setting, coaching, and feedback; a clear \u201cline of sight\u201d between individual performance and an engaged workforce that feels a sense of connection to both the agency and its mission.", "However, managing employee performance has been a long-standing government-wide challenge and the subject of numerous reforms since the beginning of the modern civil service. Without effective performance management, agencies risk not only losing (or failing to utilize) the skills of top talent, they also risk missing the opportunity to effectively address increasingly complex and rapidly evolving challenges.", "You asked us to examine federal non-Senior Executive Service (SES) performance management systems. This report (1) describes federal employee perceptions of performance management as measured by the results of selected statements from the Office of Personnel Management\u2019s (OPM) annual survey of federal employees, the Federal Employment Viewpoint Survey (FEVS); (2) identifies practices that selected agencies use to develop and implement strategies to improve performance management; and (3) evaluates OPM\u2019s guidance and resources to support agency efforts to improve performance management government-wide. The report is the latest of several studies we have done in recent years examining how agencies can better address employee performance and misconduct. A complete list is included at the end of this report.", "To describe government-wide trends in employee perceptions of performance management as measured by the results of FEVS, we selected 15 FEVS statements that generally align with OPM\u2019s description of an agency\u2019s performance management cycle. We consulted with our internal human capital (HC) experts as well as external HC experts at OPM who concurred, as well as the Merit Systems Protection Board, to determine the appropriateness of our FEVS statement selection and categorization. Using the selected statements, we analyzed FEVS data, including supervisory level, for the 24 Chief Financial Officers Act (CFO Act) departments and agencies for the years 2010 through 2017\u2014the most recent data available at the time of our review. To assess the reliability of the FEVS data, we examined descriptive statistics and data distribution, and reviewed missing data. We also reviewed FEVS technical documentation. On the basis of these procedures, we believe the data were sufficiently reliable for use in the analysis presented in this report.", "To identify practices used by selected agencies to develop and implement strategies to improve performance management, we used the results of our government-wide analysis of FEVS data for 2015 (the most recent data available at the time) to select four agencies as illustrative case studies. Among other attributes, these agencies had the highest levels of employee agreement with FEVS statements dealing with their performance management processes. We also considered such factors as the number of respondents, agency size, mission, and types of employees. As such, we selected the Bureau of Labor Statistics (BLS), Department of Labor; Centers for Disease Control and Prevention (CDC), Department of Health and Human Services; Drug Enforcement Administration (DEA), Department of Justice; and the Office of the Comptroller of the Currency (OCC), Department of the Treasury. We reviewed documents and interviewed officials from the four case study agencies.", "To evaluate the guidance and resources OPM provides to agencies to improve performance management government-wide, we analyzed both OPM\u2019s performance management website and the Chief Human Capital Officers (CHCO) Council\u2019s website to identify available guidance, resources, and tools. We compared these documents to OMB\u2019s memorandum on federal agency public websites, OPM\u2019s strategic plan for fiscal years 2018 through 2022, and internal controls. We also reviewed agency documentation and other OPM-referenced websites that contained performance management-related information. To supplement the documentary evidence obtained, we also interviewed officials from OPM, the CHCO Council, and the four selected case study agencies to describe the extent to which OPM provides assistance to agencies on performance management. For further information on our scope and methodology, see appendix I.", "We conducted this performance audit from December 2016 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Performance management systems can be powerful tools in helping an agency achieve its mission and ensuring employees at every level of the organization are working toward common ends. According to OPM regulations, performance management is a systematic process by which an agency involves its employees, both as individuals and members of a group, in improving organizational effectiveness in the accomplishment of agency mission and goals.", "An agency\u2019s performance management system defines policies and parameters established by an agency for the administration of performance appraisal programs. Under federal law and corresponding regulations, agencies are required to develop at least one employee performance appraisal system. OPM is required to review and approve an agency\u2019s performance appraisal system(s) to ensure it is consistent with the requirements of applicable law, regulation, and OPM policy, and defines the general policies and parameters the agency will use to rate employees. Once the appraisal system is approved, the agency establishes a performance appraisal program. The agency\u2019s performance appraisal program\u2014which does not require OPM review or approval\u2014 defines the specific procedures, methods, and requirements for planning, monitoring, and rating employee performance. The program is tailored to the agency\u2019s needs.", "OPM policy identifies five phases to the performance management cycle: (1) planning work and setting expectations; (2) continually monitoring performance; (3) developing the capacity to perform; (4) rating periodically to summarize performance; and (5) rewarding good performance (see table 1).", "According to OPM, performance management is a continuous cycle in which an agency involves its employees, both, as individuals and members of a group, in improving organizational effectiveness in accomplishing agency mission and goals (see figure 1). Each phase of the performance management cycle plays an important part in helping to provide structure and focus to an employee\u2019s roles and responsibilities within the organization. Within each phase of the cycle, employees are given the opportunity to provide input, ask questions, and request feedback from their supervisors on their performance.", "One of the tools agencies can use to determine the effectiveness of their performance management cycle is data from OPM\u2019s annual FEVS. To help understand federal employees\u2019 opinions about what matters most to them and how they feel about their jobs, their supervisors, and their agencies, FEVS scores can help agencies identify challenges and improve guidance. FEVS measures employees\u2019 perceptions of whether, and to what extent, conditions characterizing successful organizations are present in their agencies. According to OPM, the federal workforce is the backbone of the government. Employee opinions shared through FEVS provide an essential catalyst to achieving effective government."], "subsections": []}, {"section_title": "Employees Responded Most Positively to Statements Related to Planning and Setting Expectations Phase; Least Positively to Those Related to Rewarding Performance", "paragraphs": ["From 2010 through 2017, surveyed employees generally demonstrated positive responses to FEVS statements related to four of OPM\u2019s five performance management phases, including: planning and setting expectations, monitoring performance, developing the capacity to perform, and rating performance (as shown in figure 2). Employees had the lowest levels of agreement with statements related to rewarding performance (or an estimated 39 percent positive response)."], "subsections": [{"section_title": "Phase 1: Planning Work and Setting Expectations", "paragraphs": ["We have previously reported that an explicit alignment of daily activities with broader results is one of the defining features of effective performance management systems in high-performing organizations. These organizations use their performance management systems to improve performance by helping individuals see the connection between their daily activities and organizational goals, a line of sight, and encouraging individuals to focus on their roles and responsibilities to help achieve these goals. Such organizations continuously review and revise their performance management systems to support their strategic and performance goals, as well as their core values and transformational objectives.", "Based on surveyed employees\u2019 responses, agencies were more successful at planning and setting expectations, which includes how an employee\u2019s work relates to the agency\u2019s goals and priorities, than at all other phases of performance management. The response to these statements highlights the role agencies have in providing information to employees about their responsibilities within the organization. Of the three selected FEVS statements for this phase, \u201cI know how my work relates to the agency\u2019s goals and priorities,\u201d was the statement with the highest percent of employees who agreed or strongly agreed across all of our selected FEVS statements from 2010 to 2017 (see figure 3)."], "subsections": []}, {"section_title": "Phase 2: Continually Monitoring Performance", "paragraphs": ["Performance management and feedback should be used to help employees improve so that they can do the work or\u2014in the event they cannot do the work\u2014so management can take appropriate action for unacceptable performance. The first opportunity a supervisor has to observe and correct poor performance is in day-to-day performance management activities. We have previously reported that, in general, agencies have three means to address employees\u2019 poor performance, with dismissal as a last resort: (1) day-to-day performance management activities (which should be provided to all employees, regardless of their performance levels); (2) dismissal during probationary periods; and (3) use of formal procedures to dismiss employees. We have also reported that supervisors who take performance management seriously and have the necessary training and support can help poorly performing employees either improve or realize they are not a good fit for the position. However, some supervisors may lack experience and training in performance management, as well as the understanding of the procedures for taking corrective actions against poor performers. We previously recommended that OPM, in conjunction with the Chief Human Capital Officers (CHCO) Council, assess the adequacy of leadership training that agencies provide to supervisors to help ensure supervisors obtain the skills needed to effectively conduct performance management responsibilities. In response, OPM conducted a survey to assess the adequacy of leadership training that agencies provide to supervisors. Based on the survey results, OPM issued a memorandum in May 2018 recommending a number of actions agencies should take to improve the accessibility, adequacy, and effectiveness of supervisory training.", "Of the FEVS statements we analyzed, the statement, \u201cIn my work unit, steps are taken to deal with a poor performer who cannot or will not improve,\u201d had the lowest percent positive agreement by surveyed employees each year from 2010 to 2017 government-wide. However, the other two statements selected for this phase were viewed much more positively by surveyed employees (see figure 4).", "When we further analyzed the responses to the statement on poor performance, employee responses differed in agreement based on the respondent\u2019s supervisory level. On average, an estimated 25 percent of surveyed employees who identified themselves as nonsupervisors and team leaders agreed with this statement from 2010 through 2017, compared with an estimated average of 54 percent of surveyed employees who identified themselves as managers (see figure 5)."], "subsections": []}, {"section_title": "Phase 3: Developing the Capacity to Perform", "paragraphs": ["According to OPM guidance, the capacity to perform means having the competencies, the resources, and the opportunities available to complete the job. We have previously reported that the essential aim of training and development programs is to assist an agency in achieving its mission and goals by improving individual and, ultimately, organizational performance. In addition, constrained budgets and the need to address gaps in critical federal skills and competencies make it essential that agencies identify the appropriate level of investment and establish priorities for employee training and development. This allows the most important training needs to be addressed first. However, fewer surveyed employees agreed with the statement, \u201cMy training needs are assessed,\u201d than with the other statements in this phase (see figure 6)."], "subsections": []}, {"section_title": "Phase 4: Rating Periodically to Summarize Performance", "paragraphs": ["Supervisors should establish performance standards that clearly express what is expected of the employee. An average estimated 82 percent of surveyed employees agreed or strongly agreed with the statement, \u201cI am held accountable for achieving results,\u201d from 2010 to 2017 (see figure 7). Overall, this statement had the second highest level of agreement of the 15 statements selected for our review. According to OPM\u2019s website for performance management, while accountability means being held answerable for accomplishing a goal or assignment, the guidance cautions against using accountability only for punishing employees as fear and anxiety may permeate the work environment. This may prevent employees from trying new methods or proposing new ideas for fear of failure. According to OPM\u2019s website for performance management, if approached correctly, accountability can produce positive, valuable results."], "subsections": []}, {"section_title": "Phase 5: Rewarding Good Performance", "paragraphs": ["According to OPM guidance, rewards are used often and well in an effective organization. We have previously reported that high-performing organizations seek to create effective incentive and reward systems that clearly link employee knowledge, skills, and contributions to organizational results. Rewarding means recognizing employees, individually and as members of groups, for their performance and acknowledging their contributions to the agency\u2019s mission. According to OPM\u2019s website for performance management, the types of awards include: cash; honorary recognition; informal recognition; or time off without charge to leave or loss of pay.", "From 2010 to 2017, an estimated 39 percent of surveyed employees consistently agreed when asked statements related to how their agency rewards performance (see figure 8). Of the five phases of performance management, the statements related to this phase consistently had the least positive agreement of surveyed employees.", "We have previously reported that effective performance management requires the organization\u2019s leadership to make meaningful distinctions between acceptable and outstanding performance of individuals. Approximately one-third of surveyed employees agreed or strongly agreed with the statement, \u201cIn my work unit, differences in performance are recognized in a meaningful way.\u201d Meaningful distinctions in performance ratings are the starting point for candid and constructive conversations between supervisors and staff. These distinctions also add transparency to the ratings and rewards process. In addition, such distinctions help employees better understand their relative contributions to organizational success, areas where they are doing well, and areas where improvements are needed."], "subsections": [{"section_title": "Employees in Supervisory Roles Responded More Positively to Statements Related to Rewarding Performance than Other Employees", "paragraphs": ["We also found that, across our selected statements, many of the largest gaps between supervisors and other employees were related to rewarding performance. Specifically, the responses to the statement, \u201cPromotions in my work unit are based on merit,\u201d varied the most based upon the supervisory status of the employee (see figure 9). Senior leaders agreed or strongly agreed with this statement at an average estimated 40 percentage points more than employees in a nonsupervisory role. We have previously reported that agencies must design and administer merit promotion programs to ensure a systematic means of selection for promotion based on merit. We have also previously reported that perceptions of favoritism, particularly when combined with unclear guidance, a lack of transparency, and limited feedback, negatively impact employee morale.", "Senior leaders and managers agreed or strongly agreed with the statement, \u201cIn my work unit, differences in performance are recognized in a meaningful way,\u201d more frequently than surveyed employees who identified themselves as nonsupervisors (see figure 10). Those who identified themselves as team leaders and nonsupervisors agreed with the statement less frequently than all of the other categories of supervisory status. For example, in 2017, an estimated 69 percent of senior leaders agreed or strongly agreed with the statement, compared to an estimated 48 percent of supervisors and an estimated 33 percent of nonsupervisors and team leaders.", "Finally, senior leaders and managers agreed or strongly agreed with the statement, \u201cEmployees are recognized for providing high quality products and services,\u201d more frequently than nonsupervisors (see figure 11)."], "subsections": []}]}]}, {"section_title": "Selected Agencies Implement Some Similar Practices That May Help Improve Employee Performance Management", "paragraphs": ["An effective performance management system can be a strategic tool to improve employee engagement and achieve an agency\u2019s desired results. We found that selected agencies demonstrated some similar practices. This may have been a contributing factor in having relatively high scores on FEVS performance management related statements. Specifically, employees at the Bureau of Labor Statistics (BLS), the Centers for Disease Control and Prevention (CDC), the Drug Enforcement Administration (DEA), and the Office of the Comptroller of the Currency (OCC) consistently agreed or strongly agreed to selected FEVS statements related to the five phases of OPM\u2019s performance management cycle. While these agencies developed different performance management systems to reflect their specific structures and priorities, we found a number of practices common to all four agencies that are intended to help reinforce effective employee performance management and improve agency performance (see figure 12). All four agencies agreed that these practices helped contribute to their employees\u2019 responses to the selected FEVS statements and improved performance management."], "subsections": [{"section_title": "Strong Organizational Culture and Dedication to Agency Mission", "paragraphs": ["We have previously reported that organizations with more constructive cultures generally perform better and are more effective. Within constructive cultures, employees exhibit a stronger commitment to mission focus, accountability, coordination, and adaptability. According to OPM FEVS guidance, climate assessments like FEVS are, consequently, important to organizational improvement largely because of the key role culture plays in directing organizational performance. Each of the agencies in our review cited a strong organizational culture that was based on and tied to their agency\u2019s mission. Table 2 highlights examples from CDC and DEA."], "subsections": []}, {"section_title": "Data Driven Using FEVS and Other Survey Data", "paragraphs": ["Each of the four selected agencies in our review demonstrated a focus on analyzing FEVS data to identify areas of improvement and create action plans around the analysis. According to OPM guidance on FEVS, the results from the survey can be used by agency leaders to assist in identifying areas in need of improvement as well as highlight important agency successes. FEVS findings allow agencies to assess trends by comparing earlier results with the 2017 results to (1) compare agency results with the government-wide results, (2) identify current strengths and challenges, and (3) focus on short- and long-term action targets that will help agencies reach their strategic human resource management goals. The recommended approach to assessing and driving change in agencies utilizes FEVS results in conjunction with other resources, such as results from other internal surveys, administrative data, focus groups, exit interviews, and so on. We have previously reported that for agencies to attain the ultimate goal of improving organizational performance, they must take a holistic approach\u2014analyzing data, developing and implementing strategies to improve engagement, and linking their efforts to improved performance.", "We have also previously reported that OPM stated that agencies are increasingly using FEVS as a management tool to help them understand issues at all levels of an organization, and to take specific action to improve employee engagement and performance. Further, OPM officials noted that if agencies, managers, and supervisors know that their employees will have the opportunity to provide feedback each year, they are more likely to take responsibility for influencing positive change. We found that all four of the selected agencies were building a culture of analyzing their FEVS results to identify areas of improvement, and develop action plans to achieve results, including improving performance management (see table 3).", "In addition, three of the four selected agencies also used other practices. These practices include using other available survey results to corroborate identified action plans and identify additional areas needing support to create a more complete picture of the employee perspective. We have previously reported that an agency\u2019s FEVS scores should be used as one of several data sources as leaders attempt to develop a comprehensive picture of engagement within an organization, and better target their engagement efforts, particularly in times of limited resources. The key is identifying what practices to implement and how to implement them. This can and should come from multiple sources. Three of four of the case study agencies\u2014BLS, CDC, and DEA\u2014use supplemental survey data to help focus agency efforts to improve performance management. For example, DEA developed its own internal survey\u2014Leadership Engagement Survey\u2014in 2016 because it identified leadership as a key driver for organizational climate and employee engagement. According to agency officials, there was a strong internal push to use the survey results to identify areas of improvement. The fourth agency, OCC, had administered a separate internal engagement survey from 2013 to 2016. According to agency officials, however, they discontinued this effort to focus exclusively on FEVS as the primary survey data source, and to reduce the redundancy of two surveys. However, OCC emphasized the need to consider FEVS data as only one source of data, at a point in time, and to use a diversity of other data (quantitative and qualitative) to inform the survey results."], "subsections": []}, {"section_title": "Focus on Training", "paragraphs": ["As we have previously reported, agencies invest significant time and resources in recruiting potential employees, training them, and providing them with institutional knowledge that may not be easily or cost-effectively replaceable. Therefore, effective performance management\u2013which consists of activities such as expectation-setting, coaching, and feedback\u2014can help sustain and improve employee performance management. We have also reported that good supervisors are key to the success of any performance management system. Supervisors provide the day-to-day performance management activities that can help sustain and improve the performance of more talented staff, and can help marginal performers to become better. However, agencies may not be providing supervisors with the appropriate training that prepares them for success, such as having difficult performance management conversations. Moreover, we have previously reported that mission- critical skills gaps across the federal government pose a high risk because they impede the government from cost effectively serving the public and achieving results. Strategies to address these gaps include training and development activities focused on improving employees\u2019 skills needed for mission success.", "All four selected agencies had taken steps in identifying appropriate training for not only supervisors, but also all employees. For example, BLS conducted a general training needs assessment (TNA) for all employees in 2016. The officials stated that the purpose of the TNA was to give employees an avenue to express their interests in various kinds of training. Employee responses were used to inform elements of the BLS training plan for fiscal year 2017. As a result of the TNA, BLS is conducting a training evaluation of its vendor-provided writing courses. During this evaluation, BLS hopes to determine if the techniques and material taught in these courses have actually resulted in expected improvements in the writing of those employees who have taken the course as observed by their supervisors and managers. TNA results showed that managers also expressed a strong interest in additional training on employee leave, labor relations, and employee relations. BLS officials stated that courses on these topics were provided as part of the agency\u2019s fiscal year 2017 training plan.", "As another example, CDC recently developed two onboarding checklists for new executives in 2017 for training purposes. The intent was to provide a comprehensive, consistent onboarding experience so that new executives are more engaged and knowledgeable. In addition, within the last year, the agency developed a mentoring circle for new supervisors that meets monthly. The purpose of the circle is to provide new supervisors with insider help from their peers, such as how to handle difficult situations. Supervisors are also provided assistance through the agency\u2019s performance management appraisal working group. This group meets quarterly to discuss how to better assist supervisors and employees with performance management related questions."], "subsections": []}, {"section_title": "Improved Internal Communication from Agency Management", "paragraphs": ["We have previously reported that successful organizations empower and involve their employees to gain insights about operations from a frontline perspective, increase their understanding and acceptance of organizational goals and objectives, and improve motivation and morale. We have also previously reported that what matters most in improving engagement levels is valuing employees\u2014that is, an authentic focus on their performance, career development, and inclusion and involvement in decisions affecting their work.", "Each of the selected agencies in our review stated that they had made efforts over the last few years to improve internal communication between management and employees, as well as increase the transparency of actions taken and decisions made by management. For instance, BLS hosts quarterly breakfast sessions with the BLS Commissioner in which employees have access to agency leadership where they can offer suggestions or feedback. BLS also provides agency information through its intranet website, which is updated almost daily. Examples include features such as the BLS Daily Report, What\u2019s Up at BLS, and BLS tweets. Specifically, the What\u2019s Up at BLS feature of the BLS intranet is an internal communications hub that includes four sections, including \u201cEmployee and Team Spotlight\u201d\u2014highlighting the work of employees and teams across the agency\u2014and \u201cChanging Lanes,\u201d which features stories about employees who decided to switch their career paths by changing occupations or programs within BLS.", "According to OCC officials, the agency has increased the frequency of agency-wide communications and those from middle management that cascade priorities, decisions, and organizational changes to employees. OCC has also executed enterprise change management to manage the people side of change, including building awareness, knowledge, and ability through stakeholder analysis and communications planning. It also maintains an engagement portal for teams to document action plans related to employee engagement\u2014of which there are more than 200 action items related to improved communications using a top-down and two-way approach."], "subsections": []}, {"section_title": "OPM Provides Performance Management Resources to Agencies, but Some Information is Not Easily Accessible or Routinely Shared OPM Provides Performance Management Resources for Agencies on Its Website but Some Information is Not Easily Accessible or Regularly Updated", "paragraphs": ["As the government\u2019s chief human resources agency and personnel policy leader, OPM\u2019s role in the federal government is to, among other things, design and promulgate regulations, policy, and guidance covering all aspects of the employee life cycle from hire to retire, including performance management. OPM provides such performance management guidance and resources to agencies on its website, as shown in figure 13, as well as in a new Performance Management Portal (portal) accessible through the Office of Management and Budget\u2019s (OMB) MAX Information System (MAX).", "Examples of guidance and resources include information for the five phases of the performance management cycle, descriptions on the how to write performance standards, critical components of effective and timely feedback, answers to performance management frequently asked questions, and a list of the various award programs open to employees from all federal agencies. In addition, the Chief Human Capital Officers (CHCO) Council\u2019s website includes information provided by OPM on performance management as well as various OPM memorandums to CHCOs, human resource directors, and agency leaders.", "According to OPM officials, information on the performance management website is reserved for policy guidance based on current and applicable law and regulation. As such, only minor updates have been made to the website because the law and regulatory requirements for performance management have not recently changed. However, there is no date included on the website that indicates when it was last updated. OPM officials stated that the last update made to the website was in June 2016 when an external entity requested that a public service award be added to OPM\u2019s awards list page.", "However, OPM has issued training, guidance, and other performance management related resources since the last website update in June 2016. Specifically, we examined more than 100 performance management related online links on both OPM\u2019s and the CHCO Council\u2019s websites, and found that in some instances, the CHCO Council\u2019s website included more up-to-date information issued by OPM that was not found on OPM\u2019s performance management website. Some examples include:", "The release of OPM\u2019s web-based training course, \u201cBasic Employee Relations: Your Accountability as a Supervisor or Manager,\u201d dated October 12, 2016;", "Management Tools for Maximizing Employee Performance, dated January 11, 2017;", "Performance Management Guidance and Successful Practices in Support of Agency Plans for Maximizing Employee Performance, dated July 17, 2017;", "The release of OPM\u2019s web-based training course, \u201cPerformance Management Plus\u2014Engaging for Success,\u201d dated October 6, 2017;", "Federal Supervisory Training Program Survey Results, dated May 21,", "Guidance for Implementation of Executive Order 13839 - Promoting Accountability and Streamlining Removal Procedures Consistent with Merit System Principles, dated July 5, 2018.", "According to OPM officials, the agency does not coordinate with the CHCO Council on its website postings. However, OPM officials stated that performance management guidance approved by OPM is provided to the CHCO Council. We did not find any reference to the CHCO Council\u2019s website using OPM\u2019s internal search engine with the term \u201cperformance management\u201d (see figure 14). As a result, agency officials and federal employees who are looking for comprehensive information on performance management using OPM\u2019s website may be unable to easily find or access related performance management guidance or resources.", "A 2016 Office of Management and Budget memorandum on federal agency public websites and digital services states that federal agency public websites and digital services are the primary means by which the public receives information from and interacts with the federal government, provides government information or services to a specific user group across a variety of delivery platform and devices, and supports the proper performance of an agency function. The memorandum states that, \u201cFederal websites and digital services should provide quality information that is readily accessible to all.\u201d In addition, federal internal control standards state that management should use quality information to achieve the entity\u2019s objective. Quality information should be appropriate, current, complete, accurate, accessible, and timely. However, OPM does not have a process for regularly updating its performance management website with new guidance and resources to ensure that the information is readily available. Agency employees, such as human capital specialists, who visit OPM\u2019s performance management website may be unable to find or access the most recent guidance and training available.", "In addition to its website, OPM officials stated that the agency recently launched the Performance Management Portal (portal) in September 2017 on OMB MAX to communicate with agencies and provide information and resources related to non-SES performance management, as highlighted earlier. OPM officials said that the portal will be updated with information regarding announcements or updated guidance as needed, or when it is released and becomes available.", "Although not as comprehensive as the information included on OPM\u2019s performance management website, the portal included slides from OPM\u2019s semiannual facilitated performance management forums and updated information on awards guidance for non-SES employees for fiscal year 2017\u2014neither of which were on OPM\u2019s website. As the government\u2019s chief human resources agency, agencies may see OPM as their primary source of performance management guidance. By establishing a process to ensure that information on the performance management website is regularly updated to include the most recent guidance, agencies would have access to the most current information."], "subsections": []}, {"section_title": "OPM Could Better Lead Efforts to Identify and Share Emerging Performance Management Research and Innovation", "paragraphs": ["OPM provides opportunities for agencies to share promising practices. For example, OPM has several efforts in place that allow agencies to share promising information with each other such as at its semiannual Performance Management Forums (forums), annual Performance Management Steering Committee meetings, and through the previously mentioned portal. According to OPM, the forums provide agencies with updated information, guidance, and support to encourage performance excellence amongst employees.", "In 2017, OPM began holding annual steering committee meetings which allow interagency representatives to discuss the needs of the federal performance management community, to identify and/or request potential content for future forums, and to share promising practices and lessons learned regarding performance management, according to OPM officials. However, there is no formal process in place or mechanism for agencies to routinely and independently share their own experiences and lessons learned in implementing performance management efforts. For instance, the portal does not currently allow for agencies to post and share their own promising practices with each other in a centralized location. Instead, agencies must rely on OPM to post such information on the portal. OPM officials stated that, although permission to view the portal is granted to all users in the executive branch with a MAX account, OPM is the only agency that has permission to make edits to the portal. OPM officials said they are exploring options to allow for an interactive experience with other agencies. Federal internal control standards state that management should externally communicate the necessary quality information to achieve the entity\u2019s objective. Additionally, our prior work on collaboration practices has shown that agencies can enhance and sustain collaborative efforts, and identify and address needs by leveraging resources, such as through sharing information. Establishing a mechanism to allow agencies to routinely share promising practices and lessons learned from their experiences could assist agencies that are undertaking or considering similar efforts and help inform agencies\u2019 decision-making related to performance management.", "In addition to driving modernization, OPM identified innovation as one of its five values in its most recent strategic plan for fiscal years 2018 through 2022. Specifically, OPM stated that the agency \u201cconstantly seeks new ways to accomplish its work and generate extraordinary results. OPM is dedicated to delivering creative and forward-looking solutions and advancing the modernization of human resources management.\u201d OPM officials stated that innovation was included as one of OPM\u2019s values because the agency seeks to embrace forward-leaning policies and practices within all aspects of human capital management.", "While OPM officials told us that they maintain a constant scan of the environment to identify and follow promising practices\u2014which could include innovative concepts\u2014in the private sector and other sources to include performance management and performance management systems, they did not specifically identify which promising practices they incorporated into guidance or training. In addition, when we asked OPM to identify innovative performance management practices based on its own research, officials provided us with articles from leading experts that focused on eliminating performance ratings, using a growth mindset concept, and the SCARF model\u2014status, certainty, autonomy, relatedness, and fairness\u2014for collaborating with and influencing others. They also provided references and their notes on new performance management system programs at three corporations. OPM officials said they have not placed these articles, references, or notes on their performance management website or shared them with agencies, and have no plans to do so at this time.", "Instead, OPM officials stated they were monitoring the progress of these new practices to assess if the methods were effective in maximizing employee and organizational outcomes, in addition to stimulating collaboration and innovation. However, OPM provided no criteria in use to determine when the results would be considered effective or when they could be shared with agencies. Without OPM sharing their research results, agencies may be unaware of current practices in the performance management field because they may not be conducting their own research. Including innovation as an agency value is not sufficient to change an organization\u2019s culture for it to become innovative; it is necessary to also introduce, for example, a strategy to identify and address emerging research and promising practices in performance management. Such a strategic approach could include criteria that identify what research results to share with agencies, when to share them, and by which process (for example, by website). It would also enable OPM to increase transparency and consistency in identifying emerging innovations.", "One of our case study agencies told us that in the absence of OPM providing research results, the agency used its own resources to research and identify leading practices in the private sector that could potentially apply to their own performance management system, such as focusing on ongoing performance conversations and recognition to increase engagement and performance, while reducing burdensome administrative requirements that do not add value. Officials at this agency stated that OPM\u2019s guidance was not modernized to the extent that the human capital and performance management industry was changing. Without OPM taking the lead to share emerging and innovative research, agencies, and therefore their employees, may not benefit from the best information available.", "Although OPM identified innovation as one of its five values, we were unable to find any recent information on innovation for performance management in the government on OPM\u2019s website. Specifically, we used \u201cinnovation performance management\u201d as a search term on the website and found the \u201cPromoting Innovation in Government\u201d web page, which included archived material and was no longer being updated (see figure 15). As a result, agencies that use OPM\u2019s website as a source of performance management guidance would be unable to find any current resources on performance management innovation. OPM officials explained that older material is archived based on the current leadership\u2019s vision. The officials also confirmed that OPM did not have other active websites that contained innovative performance management practices gathered from external sources, which could be shared with other federal agencies. Implementing a strategic approach to sharing innovation in performance management would then allow OPM to provide relevant and updated information that agencies could use to modernize their performance management systems."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Managing employee performance has been a long-standing government- wide issue. As the current administration moves to reform the federal government to become leaner, accountable, and efficient, an effective performance management system is necessary to increase productivity, sustain transformation, and foster a culture of engagement that enables high performance. Federal agencies have a primary responsibility for managing their employees\u2019 performance, but OPM maintains a key role in developing and overseeing human resources programs and policies that support the needs of federal agencies. As the government\u2019s chief human resources agency and personnel policy leader, OPM is responsible for designing and promulgating regulations, policy, and guidance covering all aspects of the employee life cycle, including performance management. While OPM provides performance management resources on its website, some information is not regularly updated and can be challenging to find. Establishing a process to provide agencies with current, accurate, and easy access to guidance and resources would provide them with the most recent guidance and resources available.", "To be at the forefront of innovation, OPM must consistently challenge traditional performance management practices, and identify opportunities to present and promote new and creative solutions to agencies. Although OPM has identified potential innovative and promising practices for performance management through its own research, OPM has not actively shared these practices with agencies. In addition, agencies do not have access to a common forum by which they could routinely and independently share their own promising practices and lessons learned to avoid common pitfalls. In times of limited resources, developing a strategic approach to identify and share emerging research and innovations in performance management would help agencies inform and, as needed, reform their performance management approaches. As a result, federal employees may have more opportunities to maximize their performance."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to OPM. Specifically: 1. The Director of OPM, in consultation with the CHCO Council, should establish and implement a process for regularly updating the performance management website to include all available guidance and resources, making this information easily accessible, and providing links to other related websites. (Recommendation 1) 2. The Director of OPM, in consultation with the CHCO Council, should develop and implement a mechanism for agencies to routinely and independently share promising practices and lessons learned, such as through allowing agencies to post such information on OPM\u2019s Performance Management portal. (Recommendation 2) 3. The Director of OPM, in consultation with the CHCO Council, should develop a strategic approach for identifying and sharing emerging research and innovations in performance management. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretaries of the Departments of Health and Human Services (Centers for Disease Control and Prevention), Labor (Bureau of Labor Statistics), and Treasury (Office of the Comptroller of the Currency), the Acting Attorney General (Drug Enforcement Administration) and the Acting Director of OPM. In its written comments, reproduced in appendix II, OPM agreed with our findings and concurred with our recommendations. It added that it would establish and implement a process for regularly updating its performance management website, among other things. OPM and the Departments of Health and Human Services, Labor, and Treasury also provided technical comments that we incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of the Departments of Health and Human Services, the Department of Labor, the Department of the Treasury, the Acting Attorney General, the Acting Director of OPM, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes federal employee perceptions of performance management as measured by the results of selected statements from the Office of Personnel Management\u2019s (OPM) annual survey of federal employees, the Federal Employment Viewpoint Survey (FEVS); (2) identifies practices that selected agencies use to develop and implement strategies to improve performance management; and (3) evaluates OPM\u2019s guidance and resources to support agency efforts to improve performance management government-wide.", "FEVS provides a snapshot of employees\u2019 perceptions about how effectively agencies manage their workforce. Topic areas are employees\u2019 (1) work experience, (2) work unit, (3) agency, (4) supervisor, (5) leadership, (6) satisfaction, (7) work-life, and (8) demographics. OPM has administered FEVS annually since 2010. From 2002 to 2010, OPM administered the survey biennially. FEVS includes a core set of statements. Agencies have the option of adding questions to the surveys sent to their employees. FEVS is based on a sample of full- and part-time, permanent, non-seasonal employees of departments and large, small, and independent agencies. According to OPM, the sample is designed to ensure representative survey results would be reported by agency, subagency, and senior leader status as well as for the overall federal workforce. Once the necessary sample size is determined for an agency, if more than 75 percent of the workforce would be sampled, OPM conducts a full census of all permanent, nonseasonal employees.", "To describe government-wide trends in employee perceptions of performance management, we selected 15 FEVS statements that generally align with OPM\u2019s five phases of performance management cycle: (1) planning and setting expectations; (2) continually monitoring performance; (3) developing the capacity to perform; (4) rating periodically to summarize performance; and (5) rewarding good performance (see table 4). We used indexes such as the Employee Engagement Index, the Human Capital Assessment and Accountability Framework Results-Oriented Performance Culture Index, and the Public Partnership for Public Service\u2019s Best Places to Work categories to help guide our selection process of three FEVS statements per OPM performance management phase. We did not look at how surveyed employees responded to the statements when considering which ones to select. Upon selection of our statements, we consulted with our internal human capital (HC) experts as well as external HC experts at OPM and the Merit Systems Protection Board to determine the appropriateness of our FEVS statement selection and categorization. They generally agreed that these statements aligned with the phases. However, FEVS was not designed to measure performance management and, although these statements all provide useful insights, they do not necessarily represent all key aspects of performance management.", "In addition, we analyzed the 15 FEVS performance management-related questions by supervisory status for the 24 Chief Financial Officers Act (CFO Act) departments and agencies for the years 2010 through 2017. We conducted this analysis because our prior work had shown that supervisory status was the employee population variable that displayed the greatest degree of difference in responses between the categories of respondents in it. For this report, we did not analyze the extent of differences in responses in the performance management questions by other employee population groups, such as age or gender, because that was outside the scope of our engagement. We examined the results for the 15 FEVS questions by supervisory groups, and report the 4 that had the greatest degree of differences by supervisory levels. All of these 4 had differences of at least 28 percentage points between the most and least favorable categories of respondents while the remaining 11 had differences in the range of 2 to 25 percentage points between the views of senior leaders and nonsupervisory employees.", "We calculated the average percent of employees who agreed or strongly agreed with the three statements comprising the phase for those who answered all three statements to identify trends. Survey respondents who did not answer one or more of the phase statements were not included. Because OPM followed a probability procedure based on random selections for most agencies, the FEVS sample is only one of a large number of samples that could have been drawn. Since each sample could have provided different estimates, we express our confidence in the precision of the FEVS statement estimates using the margin of error at the 95 percent level of confidence. This margin of error is the half-width of the 95 percent confidence interval for a FEVS estimate. A 95 percent confidence interval is the interval that would contain the actual population value for 95 percent of the samples that OPM could have been drawn.", "To assess the reliability of the FEVS data, in addition to assessing the sampling error associated with the estimates we examined descriptive summary statistics and the distribution of both the survey data and the human capital framework indexes, and assessed the extent of item- missing data. We also reviewed FEVS technical documentation. On the basis of these procedures, we believe the data were sufficiently reliable for use in the analysis presented in this report.", "To identify practices used by selected agencies to develop and implement strategies to improve performance management, we complemented our government-wide analysis with an additional analysis of agencies (those agencies and units within 1 of the 24 CFO Act departments). Specifically, we analyzed agency results for the same 15 statements in 2015 (the most recent data available at the time) to select a nongeneralizable sample of four agencies to obtain illustrative examples of how they approached performance management and their strategies to improve performance within their agencies. We calculated averages for the agencies based on their scores for our selected statements, and rank ordered them based on these averages. Among other attributes, these agencies had the highest levels of employee agreement with FEVS statements dealing with their performance management processes.", "We selected agencies that had the highest average scores for the performance management phases. In addition to the FEVS data, we also used secondary factors such as the number of respondents, agency size, mission, and types of employees to identify the following agencies: (1) Bureau of Labor Statistics, Department of Labor; (2) Centers for Disease Control and Prevention, Department of Health and Human Services; (3) Drug Enforcement Administration, Department of Justice; and the (4) Office of the Comptroller of the Currency, Department of the Treasury. We developed a set of standard questions that asked about agency strategies to improve performance management and relevant successes, which we administered to human resources/human capital officials and other officials responsible for performance management at the agencies. We reviewed and analyzed the responses the agencies provided, and identified and reported examples of practices that all four described, which are intended to improve performance management. We also asked agencies about the types of guidance and resources they obtained from OPM. The four common practices we identified do not represent the only practices these agencies employ to improve performance management at their agency. In addition, the practices are not intended to be representative of all those employed by all other federal agencies.", "To evaluate the guidance and resources OPM provides to agencies to improve performance management government-wide, we reviewed both OPM\u2019s performance management website and the Chief Human Capital Officers (CHCO) Council\u2019s website to identify available guidance, resources, and tools. We compared these documents to OMB\u2019s memorandum on federal agency public websites, OPM\u2019s strategic plan for fiscal years 2018 through 2022, and internal controls. We observed the Performance Management Portal, hosted on OMB\u2019s MAX website, in July 2018 with an OPM official as we did not have access to the portal. We also reviewed agency documentation and other OPM-referenced websites that contained performance management-related information. We used OPM\u2019s internal site search engines and search terms, such as \u201cperformance management\u201d and \u201cperformance management innovation,\u201d to identify relevant guidance. During the course of our review, we compared performance management guidance posted on the OPM and CHCO websites as well as the portal, and identified discrepancies between what we found on the respective websites. We discussed the discrepancies with OPM officials and included their responses within the report. To supplement the documentary evidence obtained, we also interviewed officials from OPM, the CHCO Council, and selected case study agencies to describe the extent to which OPM assists agencies on performance management.", "We conducted this performance audit from December 2016 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Thomas Gilbert, Assistant Director; Dewi Djunaidy, Analyst-in-Charge; Jehan Chase; Martin DeAlteriis; Krista Loose; and Susan Sato made major contributions to this report. Also contributing to this report were Carl Barden; Won Lee; Robert Robinson; and Stewart Small."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Federal Employee Misconduct: Actions Needed to Ensure Agencies Have Tools to Effectively Address Misconduct. GAO-18-48. Washington, D.C.: July 16, 2018.", "Federal Workforce: Distribution of Performance Ratings Across the Federal Government, 2013. GAO-16-520R. Washington, D.C.: May 9, 2016.", "Federal Workforce: Additional Analysis and Sharing of Promising Practices Could Improve Employee Engagement and Performance. GAO-15-585. Washington, D.C.: July 14, 2015.", "Federal Workforce: Improved Supervision and Better Use of Probationary Periods Are Needed to Address Substandard Employee Performance. GAO-15-191. Washington, D.C.: February 6, 2015.", "Results-Oriented Management: OPM Needs to Do More to Ensure Meaningful Distinctions Are Made in SES Ratings and Performance Awards. GAO-15-189. Washington, D.C.: January 22, 2015.", "Federal Workforce: OPM and Agencies Need to Strengthen Efforts to Identify and Close Mission-Critical Skills Gaps. GAO-15-223. Washington, D.C.: January 30, 2015.", "Federal Workforce: Human Capital Management Challenges and the Path to Reform. GAO-14-723T. Washington, D.C.: July 15, 2014.", "Office of Personnel Management: Agency Needs to Improve Outcome Measures to Demonstrate the Value of Its Innovation Lab. GAO-14-306. Washington, D.C.: March 31, 2014.", "Federal Employees: Opportunities Exist to Strengthen Performance Management Pilot. GAO-13-755. Washington, D.C.: September 12, 2013.", "Results-Oriented Cultures: Creating a Clear Linkage between Individual Performance and Organizational Success. GAO-03-488. Washington, D.C.: March 14, 2003."], "subsections": []}], "fastfact": ["Agencies need effective performance management systems to hold employees accountable for results and achieve their missions. Although the Office of Personnel Management\u2014the government\u2019s central human resources agency\u2014has identified potentially innovative performance management practices, it needs to do a better job of sharing them with agencies.", "We recommended, among other things, steps OPM should take to make this information more accessible."]} {"id": "GAO-18-658", "url": "https://www.gao.gov/products/GAO-18-658", "title": "VA Health Care: Pharmacy Inventory Management Could Benefit from System-Wide Oversight", "published_date": "2018-09-27T00:00:00", "released_date": "2018-09-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA provides health care services, including pharmacy services, to approximately 9 million veterans each year. Since 2000, VAMCs have faced recurring challenges in managing their pharmacy inventories, including difficulties with accurately accounting for and updating inventory totals through their pharmacy systems.", "GAO was asked to review VA pharmacy inventory management. This report (1) describes approaches selected VAMCs use to manage their pharmacy inventories and (2) assesses the extent to which VA oversees VAMCs' efforts to manage their pharmacy inventories.", "To conduct this work, GAO visited a non-generalizable selection of five VAMCs chosen for the complexity of services offered and variation in location. GAO also reviewed VA national policies and local polices for the selected VAMCs and interviewed VA officials at the headquarters, regional, and local levels. GAO assessed VA's oversight of pharmacy management in the context of federal internal control standards."]}, {"section_title": "What GAO Found", "paragraphs": ["Selected Department of Veterans Affairs' (VA) medical centers (VAMC) use generally similar approaches for managing their pharmacy inventories. For example, all VAMCs store certain medications in secured areas. However, GAO found that VAMCs have also taken unique approaches for procuring and tracking medications, as allowed under VA policy. For example, to better address medication shortages, one VAMC pharmacy GAO visited established a shortage committee that meets on a weekly basis. Another VAMC pharmacy uses an automated dispensing machine together with compatible software that allows the pharmacy to track the location of most inpatient medications in real-time (see figure).", "GAO also found that VA's oversight of VAMCs' pharmacy inventory management is limited as VA lacks a comprehensive inventory management system or a focal point for system-wide oversight. In May 2018, VA signed a contract for a new electronic health records system that should allow VA to monitor VAMCs' inventories; however, VA officials expect implementation of this system to take up to 10 years. Based on a review of VA policies and interviews with VA officials, GAO found that VA has not designated a focal point with defined responsibilities for system-wide oversight of VAMCs' pharmacy inventory management. This is inconsistent with federal internal control standards for monitoring and establishing structure and authority to achieve an entity's objectives. Without a focal point for system-wide oversight, VA has limited awareness of the unique approaches that VAMCs use to manage their inventories and is missing an opportunity to evaluate these approaches. Additionally, VA cannot effectively share and standardize inventory management best practices as appropriate. Having a focal point is especially important given that VAMCs have historically had challenges in managing their inventories and a comprehensive pharmacy inventory management system may not be available for the foreseeable future."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that VA designate a focal point for overseeing VAMCs' pharmacy inventory management efforts system-wide and define the focal point's responsibilities. VA concurred in principle with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) provides health care services, including pharmacy services, to approximately 9 million veterans each year. Veterans can receive a range of services at the approximately 170 VA medical centers (VAMC) throughout the nation, including traditional hospital-based services such as surgery, critical care, and mental health care. As a significant part of delivering health care to veterans, VAMCs also provide medications, prescription refills, and other pharmacy services. These VAMCs are generally responsible for managing their own pharmacy inventories\u2014that is, for procuring, storing, tracking, and dispensing medications to veterans.", "Managing pharmacy inventories effectively to provide pharmacy services to veterans can be challenging. In 2000, a VA Office of Inspector General (OIG) audit found that VAMC pharmacies carried excess inventory due to a reliance on informal inventory methods and identified the need for VAMCs to use modern inventory techniques and automated pharmacy inventory management systems. Subsequent OIG and GAO reports have identified some of the technological challenges VA faces in overseeing its VAMC pharmacies. For example, a 2009 VA OIG report found that VA could not accurately account for the medications at VAMC pharmacies because VA lacked reliable information to do so. Similarly, in 2017 we reported that VA does not have the systems that would allow it to keep a perpetual inventory and monitor VAMC pharmacy inventory levels in real time. These reports have raised broader concerns about how VA oversees its VAMCs\u2019 pharmacies.", "You asked us to review the management and oversight of VAMC pharmacy inventories. In this report, we describe how selected VAMCs manage their pharmacy inventories; assess the extent to which VA oversees VAMCs\u2019 efforts to manage their pharmacy inventories.", "To describe how selected VAMCs manage their pharmacy inventories, we identified their approaches for procuring, storing, tracking, dispensing, and disposing of medications, the main process that all pharmacies generally use to manage their pharmacy inventories. Our review focused on pharmacy inventory of all medications\u2014including controlled and non- controlled substances\u2014dispensed within the VAMCs\u2019 inpatient wards or at their outpatient pharmacies. Our review focused on VAMCs\u2019 management of their inpatient and outpatient pharmacy inventories; as such we did not review pharmacy inventory management at the consolidated mail outpatient pharmacies. We conducted site visits at a non-generalizable sample of five VAMCs that we selected based on diversity in geographic regions, differences in facility complexity, and variation in pharmacy operations efficiency determined by comparing expected and observed pharmacy expenditures by VAMC for fiscal year 2016. Although VA officials identified limitations in the pharmacy expenditures data, we found that the data were sufficiently reliable to use as one criterion for selecting VAMCs to visit. The five VAMCs we visited are located in Cheyenne, Wyoming; Danville, Illinois; Philadelphia, Pennsylvania; Richmond, Virginia; and San Francisco, California. At each of these five VAMCs, we toured inpatient and outpatient pharmacy operations and conducted semi-structured interviews with VAMC officials and staff responsible for managing pharmacy inventory\u2014including VAMC Executives, the Chief and Associate Chief of Pharmacy Services, pharmacy staff, and nursing staff. We also observed the information technology (IT) systems and automated medication dispensing machines and software that each VAMC uses to manage pharmacy inventory. In addition, we reviewed relevant national VA and local VAMC policies and guidance for managing pharmacy inventory.", "To examine the extent to which VA oversees VAMCs\u2019 efforts to manage their pharmacy inventories, we assessed the extent to which VA Central Office (VACO) and the Veterans Integrated Service Networks (VISN) oversee the five selected VAMCs\u2019 management of pharmacy inventory. The VISNs report to VACO and are responsible for managing and overseeing VAMCs within their geographic area. To conduct our work, we reviewed VA policies, procedures, and guidance pertaining to the management and oversight of pharmacy inventory to determine the extent of VACO\u2019s and the VISNs\u2019 oversight responsibilities. This included a review of meeting minutes from regularly scheduled calls between VACO and VISN officials. We also interviewed VACO officials from the Pharmacy Benefits Management Service (PBM), the National Acquisition Center (NAC), and the Office of Information and Technology (OIT) to determine their roles in overseeing VAMC pharmacy inventory. In addition, we interviewed the five VISN Pharmacy Executives (VPE) responsible for assisting the selected VAMCs with pharmacy-related tasks. We examined VA\u2019s oversight in the context of federal standards for internal controls related to establishing structure and authority to achieve the entity\u2019s objectives and internal controls related to monitoring. To better understand other integrated health systems\u2019 best practices for managing pharmacy inventory, we also interviewed representatives from the American Society of Health-System Pharmacists, the Mayo Clinic, and the Cleveland Clinic. We also reviewed our previous work and the VA OIG\u2019s work that is related to VAMC\u2019s pharmacy inventory management.", "We conducted this performance audit from September 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "General Process for Managing Pharmacy Inventories in Hospital Settings", "paragraphs": ["In general, the process for managing inventories of medications at VAMCs and non-VA pharmacies in hospital settings is similar. The steps of the process are (1) procuring medications from vendors or other suppliers, (2) receiving and storing medications, (3) tracking medications to account for all items and prevent diversion, (4) dispensing medications to patients, and (5) disposing of expired or wasted medications. Hospital settings include both inpatient and outpatient pharmacies.", "Procurement. Pharmacies use a procurement process to order medications for pharmacy inventory, which includes activities such as medication selection, cost analysis, purchasing procedures, and record keeping. As part of medication selection, pharmacies may use a formulary, which is a list of medications that have been approved for prescription within a hospital or health care system.", "A prime vendor or wholesaler is one of the most commonly used sources to obtain medications for the pharmacy. Prime vendors order large quantities of medications from manufacturers, allowing pharmacies to purchase various products from many drug manufacturers at once. Orders for products that are not carried by the prime vendor may need to be ordered through another source, such as directly from the manufacturer.", "Receipt and storage. When medications are delivered to the pharmacy, staff are to take several steps to properly receive and store the shipment. For example, to ensure there is segregation of duties, the person responsible for ordering and purchasing the medications is supposed to be different than the person receiving and stocking pharmacy inventory. Additionally, any delivered products that require special storage conditions, such as freezing or refrigeration, are to be checked in first to maintain the stability of the medication.", "Tracking. Once in storage, pharmacies use a variety of tools to account for the filling, dispensing, and removal of medications in both inpatient and outpatient settings. Some pharmacies have software that allows them to track inventory in real time, an ability known as maintaining perpetual inventory. A perpetual inventory system is a method of recording the quantity of a particular medication continuously as prescriptions are filled and dispensed. After each prescription is filled and dispensed to the patient, the amount of medication used for the prescription is removed from the inventory to ensure the quantity on hand recorded by the software is always current.", "Many medications have barcodes on their packaging to allow for easy identification of the medication in a computer system. The barcode generally includes the product\u2019s National Drug Code, which indicates the name and package size of the medication. In the hospital setting, medications can be scanned out of the pharmacy and into machines for storage on hospital wards.", "Dispensing. In both inpatient wards and outpatient pharmacies, automated dispensing machines and barcode technology can assist staff in maintaining and dispensing medications to patients. Automated dispensing machines generally include several drawers and cabinets that have pockets or trays that hold preset levels of a variety of common medications. They may also be used to hold controlled substances, generally in locked boxes or cubes within the machine. On hospital wards medication in automated dispensing machines is often packaged in unit doses\u2014individually packaged medications for patient use. Barcodes can help verify a prescription before nurses give medication to a patient. Hospitals that do not have automatic dispensing machines use carts with drawers filled with each patient\u2019s medication. Outpatient pharmacies use automated dispensing machines to assist with filling prescriptions. Depending on the type of automated dispensing machine, the capabilities can include label printing, pill counting, pouring pills into prescription bottles, and applying the label to the prescription bottle.", "Return or disposal. Medication waste and expired medications are to be pulled from pharmacy inventory and either returned to a reverse distributor or manufacturer for credit or, if not eligible for return, disposed of by the pharmacy or sent to an outside company for destruction. Reverse distributors charge a fee, which is generally a percentage of the refund that is automatically deducted from the final refund amount.", "Figure 1 provides an overview of the steps of the pharmacy inventory management process."], "subsections": []}, {"section_title": "VA Organizational Structure and Pharmacy Policies", "paragraphs": ["VA\u2019s health care system is organized into entities at the headquarters, regional, and local levels. At the headquarters level, PBM is responsible for supporting VISNs and VAMCs with a broad range of pharmacy services, such as promoting appropriate drug therapy, ensuring medication safety, providing clinical guidance to pharmacists and other clinicians, and maintaining VA\u2019s formulary of medications and supplies VAMCs use to deliver pharmacy benefits. VA\u2019s OIT is responsible for providing technology services across the department, including the development and management of all IT assets and resources. As such, the office supports VA\u2019s health care system in planning for and acquiring IT capabilities within VA\u2019s health care system network of hospitals, outpatient facilities, and pharmacies. VA\u2019s NAC is responsible for administering various health care-related acquisition and logistics programs across VA.", "At the regional level, VAMCs are located in one of 18 VISNs. Each VISN is responsible for overseeing VAMC pharmacies within a defined geographic region. At the local level, there are approximately 170 VAMCs. Each VAMC is responsible for implementing VA\u2019s pharmacy policies and programming.", "VA policy establishes parameters for VAMCs to follow when managing their pharmacy inventories. These policies address various aspects of pharmacy services, including inpatient and outpatient pharmacy services, general pharmacy requirements, supply chain management, controlled substances management, and the formulary management process. For example, the Supply Chain Inventory Management directive states that all VAMC pharmacies should use the prime vendor inventory management software to calculate the amount of each inventory item they need to reorder. However, the directive also states that there are additional pharmacy inventory tools available to VAMC pharmacies and that each pharmacy has the option to use its own automated inventory management systems to generate orders for its prime vendor. VA policy does not specify minimum quantities to order; instead, VAMC procurement staff is authorized to use their expertise to determine the appropriate quantity to order."], "subsections": []}]}, {"section_title": "Selected VAMCs Have Generally Similar Approaches for Managing Their Pharmacy Inventories, with Some Unique Approaches", "paragraphs": ["In general, all five of the selected VAMCs we reviewed take similar approaches for the various steps included in the pharmacy inventory management process\u2014that is, procuring medications from vendors or other suppliers, receiving and storing these medications, tracking medications at the pharmacy to account for all items and prevent diversion, dispensing medications to patients, and disposing of expired medications. (See fig. 2).", "We found that while the five selected VAMCs have similar approaches for receiving and storing, dispensing, and disposing of medications, some VAMCs have also taken unique approaches in implementing two steps of the pharmacy inventory management process: procurement and tracking. VA policy outlines parameters for VAMCs to manage their pharmacy inventories, and VA officials told us that VAMC pharmacy staff can use discretion to implement their own approaches for managing their pharmacy inventories."], "subsections": [{"section_title": "Procurement", "paragraphs": ["All five of the selected VAMC pharmacies we reviewed use several sources of information to inform future orders\u2014including past purchase order history reports from VA\u2019s prime vendor, manual inventory counts by pharmacy staff, and automated dispensing machine inventory information. VA officials told us that all VAMCs also track procurement spending and its impact on the VAMCs\u2019 budget and spending. However, pharmacy officials at one of the selected VAMCs we visited told us they use VA\u2019s health information system\u2014Veterans Health Information Systems and Technology Architecture (VistA)\u2014and additional prime vendor reports to identify specific information regarding 1) expiring medications that may need to be re-purchased, 2) medications that account for the top 80 percent of pharmacy costs, and 3) all medications that are purchased daily. VAMC officials told us these reports help them to better manage pharmacy inventory and track pharmacy spending.", "To better anticipate and address potential medication shortages, officials at another selected VAMC pharmacy told us they established a shortage committee that meets on a weekly basis. Established in September 2017, the committee includes the Director of Pharmacy and other pharmacy staff. Our review of meeting notes shows that the committee discusses which medications could experience or are experiencing shortages and how the VAMC could adjust to these shortages by, for example, developing clinical and logistical solutions to help maintain optimal patient care. According to the officials at the selected VAMC pharmacy, the committee has been an effective resource to help manage pharmacy inventory problems should they occur.", "Several VAMC officials also told us that the procurement technicians, who are responsible for ordering pharmacy inventory, are very important because they possess valuable institutional knowledge based on many years of experience and training. However, VAMC officials told us the salaries and potential career advancement opportunities for procurement technicians can be limited, and the officials expressed concern that these technicians could find better opportunities within the VAMC or with external employers. To help retain procurement technicians, two of the selected VAMC pharmacies we visited have created higher paying procurement technician positions (General Schedule level 8 positions, instead of GS-6 or GS-7)."], "subsections": []}, {"section_title": "Tracking", "paragraphs": ["To better identify potential instances of diversion, two of the selected VAMC pharmacies use enhanced analytics software on the automated dispensing machines in their inpatient wards to track how frequently controlled substances and other frequently utilized medications are prescribed. For example, one of the pharmacies uses data from these reports to identify how often individual staff members are accessing automated dispensing machines. Additionally, officials at a third VAMC recently deployed automated dispensing machines that are equipped with an enhanced analytics program that can identify trends associated with diversion. The remaining two VAMCs we visited do not have enhanced analytic software that could help them to identify instances of potential diversion.", "Across all 5 selected VAMCs, we observed several different IT systems used to help manage non-controlled inpatient inventory. One of the selected VAMC pharmacies uses a modular automated dispensing machine together with inventory management software that maintains a perpetual inventory for most non-controlled substances stored in its inpatient pharmacy. (See fig. 3). According to officials, this software has allowed the pharmacy to reduce waste and improve staff workflow, as staff do not have to spend time tracking down inventory. None of the other VAMC pharmacies we visited have the capability to track non- controlled substances in real time.", "Additionally, to more efficiently identify medication lot numbers during recalls, one VAMC pharmacy we visited was in the process of implementing a technology that allows pharmacy staff to scan a case of medication with the same national drug code, lot number, and expiration date and then print and attach a radio frequency identification tag to each medication bottle. The tag allows for quick electronic identification of the medication for disposal. Other selected VAMC pharmacies manually identify recalled medications from inventory based on the name of the medication and lot number."], "subsections": []}]}, {"section_title": "Oversight of Pharmacy Inventory Management Is Limited, as VA Lacks a Comprehensive Inventory Management System or a Focal Point for System-Wide Oversight", "paragraphs": ["VA does not yet have a VA-wide pharmacy inventory management system in place that would allow it to monitor VAMC pharmacy inventory in real time and provide better oversight of how VAMC pharmacies manage their inventories. We found that VACO and the five VISNs we reviewed provide some oversight related to VAMC pharmacy inventory management. However, that oversight is limited, as no entity has been assigned responsibility for overseeing system-wide performance of VAMC pharmacies in managing their inventories."], "subsections": [{"section_title": "VA\u2019s Oversight of VAMCs\u2019 Pharmacy Inventory Management Is Limited, in Part Because VA Has Not Yet Implemented a Comprehensive Inventory Management System", "paragraphs": ["VA\u2019s oversight of VAMC pharmacy inventory management is limited in part because VA currently lacks a comprehensive system that would allow the department and its VAMCs to monitor pharmacy inventory in real time. According to PBM officials, the lack of a VA-wide system makes it difficult to oversee VAMC pharmacy inventory management, and PBM has recognized the lack of such a system as a material weakness for several years. PBM officials said that implementation of a VA-wide pharmacy inventory management system would allow them to monitor each VAMC\u2019s pharmacy inventory in real time, which would, in turn, allow them to better manage inventory and help alleviate shortages at the national level by facilitating transfers of inventory between VAMCs as needed. Additionally, officials said that such a system would lead to better planning and projections for purchasing decisions, allow PBM to track medication expiration dates and lot numbers more effectively, and improve VAMC staff response to medication recalls.", "Although VA has acknowledged the need for a VA-wide pharmacy inventory management system, such a system may not be available for the foreseeable future. PBM officials told us they have requested this system since the early 2000s. However, despite the documented technological challenges VA faces in overseeing its VAMC pharmacies, changing IT priorities, funding challenges, and the narrowing of the scope of a Pharmacy Re-engineering Project have prevented the system\u2019s development. In 2017, we reported that VA\u2019s pharmacy systems could not maintain a real-time inventory across the VAMCs, and we recommended that VA assess the priority for establishing an inventory management system capable of monitoring medication inventory levels and indicating when medications needed to be reordered. VA concurred with our recommendation. In June 2017, VA announced its intention to replace VistA\u2014 VA\u2019s health information system\u2014with an off-the-shelf electronic health record system. VA officials told us that the new system will have the capability to monitor pharmacy inventory in real time across VA. VA signed the contract for this new system in May 2018; however, full implementation is expected to take up to 10 years. In the interim, VA officials told us that while they will maintain current pharmacy systems, they do not plan to build any new systems\u2014including a VA-wide pharmacy inventory management system\u2014so they can efficiently manage resources in preparation for the transition to the new system."], "subsections": []}, {"section_title": "VACO and VISNs Provide Some Limited Oversight, but VA Lacks a Focal Point for System-Wide Oversight of Pharmacy Inventory Management", "paragraphs": ["VACO and the five VISNs we spoke with provide some limited oversight related to VAMC pharmacy inventory management, but no entity has system-wide responsibility for overseeing the performance of VAMC pharmacies in managing their inventories. Instead, responsibility for overseeing pharmacy inventory management is largely delegated to each VAMC\u2019s leadership. (See fig. 4 for a description of VACO headquarters, VISN, and VAMCs\u2019 roles and responsibilities in managing pharmacy inventory.)", "In absence of a VA-wide inventory management system, PBM officials told us that they have employed manual workaround mechanisms to oversee pharmacy management processes. Specifically, PBM requires VAMC pharmacies to conduct an annual inventory of all medications and a quarterly inventory of 5 selected high-value non-controlled medications at risk of diversion. PBM officials told us they remind VAMCs of the requirement to conduct these inventories, collect and aggregate the data from these inventories, and make summary reports from these data available as a resource to the VPEs and VAMC Chiefs of Pharmacy. PBM officials acknowledged that these manual workarounds are inefficient, increase labor costs, and leave the agency with an inability to see on- hand inventory across the system in real time. Additionally, the manual workarounds may be implemented differently at each VAMC, resulting in varying degrees of data reliability and limited opportunities for high-level oversight and data consolidation. PBM officials said that they do not independently analyze these data to identify trends, and they acknowledged that both the quarterly and annual inventories have limited usefulness for overseeing inventory management system-wide. Additionally, officials at some of the selected VAMCs told us they found the quarterly and annual inventories to have limited usefulness for managing their pharmacy inventories.", "PBM officials told us they also hold regular meetings with VPEs and VAMCs, which provide the opportunity for discussion of pharmacy inventory management issues. However, our review of the minutes of the meetings between PBM and VPEs found that, over the past 3 years, pharmacy inventory management was rarely a topic of discussion. PBM officials noted that there is always an opportunity for open discussion at these meetings for VPEs to raise any issues, including issues related to pharmacy inventory management, but these discussions may or may not be captured in the meeting minutes. PBM officials said they also regularly discuss various topics with the VAMC Chiefs of Pharmacy and other staff, but none of these calls are directly related to pharmacy inventory management.", "Officials from VACO\u2019s NAC and OIT told us that they provide some assistance related to pharmacy inventory management but do not take part in the day-to-day management at the VAMC level and also do not have any oversight responsibilities. For example, a NAC official said the office coordinates with PBM on medication shortage issues and establishes national contracts for medications. NAC also sends out a weekly shortages report to various pharmacy groups as a tool to help them with known or expected shortages. Additionally, NAC\u2019s Pharmaceutical Prime Vendor team is responsible for administering the contract with the prime vendor through daily monitoring of issues and quarterly reviews with the prime vendor and PBM. OIT develops pharmacy-related applications for VistA based on requirements from PBM, and officials said that the majority of OIT\u2019s support to VAMCs consists of assisting them with issues related to VistA.", "At the VISN level, VPEs we interviewed also said they conduct some pharmacy inventory management oversight activities for the VAMCs within their network. While in general VA policy does not outline any specific roles for VPEs related to oversight of pharmacy inventory management, all five VPEs told us that they review the results of their VAMCs\u2019 annual inventories and discuss any issues that arise from this exercise with VAMCs as needed. VPEs told us that they also review the results of the quarterly inventory of five selected high-value, non- controlled substances and may follow-up with the VAMCs if their actual inventory of the medications is inconsistent with expected levels. Additionally, some VPEs reported that they have undertaken additional oversight activities apart from reviewing results of the mandatory inventories. For example, one VPE told us he has developed a dashboard with 53 measures that, while focused on formulary management, also have inventory management implications. Additionally, this VPE said that a VISN-wide procurement work group meets on a monthly basis and serves as a venue for procurement technicians to share inventory management best practices. Such additional activities may be helpful, but since VPEs only have responsibility for VAMC pharmacies within their network, they may not be aware of pharmacy inventory management approaches being used at other VAMCs across VA.", "Although VA offices at the headquarters and regional levels provide some assistance and oversight of how VAMCs manage pharmacy inventory at the local level, VA has not designated a focal point with defined responsibilities for system-wide oversight; instead they rely on local leadership to oversee pharmacy inventory management at the VAMCs. As a result, VA cannot assess the overall performance of VAMCs\u2019 management of their pharmacy inventories. The lack of a focal point with defined oversight responsibilities is inconsistent with federal internal control standards for establishing structure and authority to achieve the entity\u2019s objectives and internal controls related to monitoring. Specifically, internal controls state that management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. Also, internal controls state that management should establish and operate monitoring activities to monitor the internal control system and evaluate the results. VA\u2019s actions are also inconsistent with the Office of Management and Budget\u2019s guidance for enterprise risk management and internal control in managing an agency. Enterprise risk management is intended to yield an \u201centerprise- wide,\u201d strategically aligned portfolio view of organizational challenges that provides better insight about how to most effectively prioritize resource allocations to ensure successful mission delivery. Without a focal point for system-wide oversight of VAMC pharmacy inventory management, VA has limited awareness of the unique approaches that VAMCs use to manage their inventories and is missing an opportunity to evaluate these approaches. Additionally, VA cannot effectively share and standardize pharmacy inventory management best practices as appropriate. Having a focal point for system-wide oversight could allow VA to identify potential best practices that could be disseminated more widely across its facilities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Due to the decentralized nature of VA\u2019s organization, VA policy gives VAMC pharmacies latitude in managing their pharmacy inventories. Several of the VAMCs we visited have taken unique approaches to procuring or tracking their inventory. However, because VA does not have a focal point to systematically oversee VAMCs\u2019 pharmacy management efforts, VA is missing opportunities to evaluate the effectiveness of these efforts, as well as share best practices and standardize them across VA as appropriate. PBM officials told us that the lack of a VA-wide pharmacy inventory management system limits their ability to oversee VAMC pharmacy inventory management. However, our review shows that even without this system there are existing mechanisms that a focal point could leverage to more systematically oversee how VAMC pharmacies manage their inventories. For example, a focal point could ensure that PBM officials, the VPEs, and VAMC pharmacy staff devote time to discussing pharmacy inventory management approaches and related issues during regularly scheduled telephone meetings. Leveraging these existing mechanisms is especially important given that VAMCs have historically had challenges in managing their inventories, and also because a VA- wide pharmacy inventory management system may not be available for the foreseeable future."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to the Department of Veterans Affairs: The Secretary of the VA should direct the Undersecretary for Health to designate a focal point for overseeing VAMCs\u2019 pharmacy inventory management system-wide and define the focal point\u2019s responsibilities. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to VA for review and comment. In its written comments, reproduced in appendix I, VA stated that it concurred in principle with our recommendation. VA also provided technical comments, which we incorporated as appropriate.", "In response to our recommendation, VA stated it plans to establish by December 31, 2018, a committee of internal stakeholders and subject matter experts to provide options for overseeing VAMCs\u2019 pharmacy inventory management. However, it was unclear from VA\u2019s response whether the planned committee will recommend or designate an entity or focal point with system-wide oversight responsibilities. VA noted in its general comments that it does have entities or individuals\u2014referred to as focal points by VA\u2014responsible for specific functions. However, these entities do not provide system-wide oversight that could allow the department to better understand VAMCs\u2019 approaches to pharmacy inventory management. As we noted in our report, without a focal point for system-wide oversight, VA has limited awareness of the unique approaches that VAMCs use to manage their inventories and is missing an opportunity to evaluate these approaches and standardize them across VA as appropriate.", "Additionally, in its general comments, VA raised concerns regarding our characterization in the draft report of medication shortages and the use of automated dispensing units in the context of controlled substances. In response, we updated the report to include more information about one VAMC\u2019s use of a committee to address medication shortages. We also clarified that three VAMCs are using (or will soon have the capability to use) enhanced analytic software to better leverage data generated through their automated dispensing machines, which allows them to more easily identify potential diversion. Finally, VA noted that we did not discuss PBM\u2019s multiple requests for an enterprise-management system since the early 2000s; however, this information was included as part of the draft report sent to VA for review and remains in our final report on page 14 as part of our finding on the lack of a VA-wide pharmacy inventory management system.", "We are sending copies of this report to the Secretary of the Department of Veterans Affairs and appropriate congressional committees. The report is also available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff has any questions regarding this report, please contact Sharon M. Silas at (202) 512-7114 or silass@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rashmi Agarwal, Assistant Director; Nick Bartine, Analyst-in-Charge; Muriel Brown; Kaitlin Farquharson; Krister Friday; Sandra George; Courtney Liesener; Diona Martyn; and Michelle Paluga made key contributions to this report."], "subsections": []}]}], "fastfact": ["The VA, which provides health care for 9 million veterans, has faced challenges in managing inventory at its pharmacies. For example, VA medical centers have struggled to accurately account for and update information on medications in stock.", "In this report, we found that VA cannot fully oversee management of pharmacy inventories system-wide because VA lacks", "a comprehensive system to manage pharmacy inventory\u2014a new system will not be implemented for up to10 years", "a focal point for system-wide oversight.", "We recommended that VA designate a focal point to oversee system-wide pharmacy inventory management."]} {"id": "GAO-18-213", "url": "https://www.gao.gov/products/GAO-18-213", "title": "Community Banks and Credit Unions: Regulators Could Take Additional Steps to Address Compliance Burdens", "published_date": "2018-02-13T00:00:00", "released_date": "2018-02-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In recent decades, many new regulations intended to strengthen financial soundness, improve consumer protections, and aid anti-money laundering efforts were implemented for financial institutions. Smaller community banks and credit unions must comply with some of the regulations, but compliance can be more challenging and costly for these institutions. GAO examined (1) the regulations community banks and credit unions viewed as most burdensome and why, and (2) efforts by depository institution regulators to reduce any regulatory burden. GAO analyzed regulations and interviewed more than 60 community banks and credit unions (selected based on asset size and financial activities), regulators, and industry associations and consumer groups. GAO also analyzed letters and transcripts commenting on regulatory burden that regulators prepared responding to the comments."]}, {"section_title": "What GAO Found", "paragraphs": ["Interviews and focus groups GAO conducted with representatives of over 60 community banks and credit unions indicated regulations for reporting mortgage characteristics, reviewing transactions for potentially illicit activity, and disclosing mortgage terms and costs to consumers were the most burdensome. Institution representatives said these regulations were time-consuming and costly to comply with, in part because the requirements were complex, required individual reports that had to be reviewed for accuracy, or mandated actions within specific timeframes. However, regulators and others noted that the regulations were essential to preventing lending discrimination and use of the banking system for illicit activity, and they were acting to reduce compliance burdens. Institution representatives also said that the new mortgage disclosure regulations increased compliance costs, added significant time to loan closings, and resulted in institutions absorbing costs when others, such as appraisers and inspectors, changed disclosed fees. The Consumer Financial Protection Bureau (CFPB) issued guidance and conducted other outreach to educate institutions after issuing these regulations in 2013. But GAO found that some compliance burdens arose from misunderstanding the disclosure regulations\u2014which in turn may have led institutions to take actions not actually required. Assessing the effectiveness of the guidance for the disclosure regulations could help mitigate the misunderstandings and thus also reduce compliance burdens.", "Regulators of community banks and credit unions\u2014the Board of Governors of the Federal Reserve, the Federal Deposit Insurance Corporation, the Office of the Comptroller of the Currency, and the National Credit Union Administration\u2014conduct decennial reviews to obtain industry comments on regulatory burden. But the reviews, conducted under the Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA), had the following limitations:", "CFPB and the consumer financial regulations for which it is responsible were not included.", "Unlike executive branch agencies, the depository institution regulators are not required to analyze and report quantitative-based rationales for their responses to comments.", "Regulators do not assess the cumulative burden of the regulations they administer.", "CFPB has formed an internal group that will be tasked with reviewing regulations it administers, but the agency has not publicly announced the scope of regulations included, the timing and frequency of the reviews, and the extent to which they will be coordinated with the other federal banking and credit union regulators as part of their periodic EGRPRA reviews. Congressional intent in mandating that these regulators review their regulations was that the cumulative effect of all federal financial regulations be considered. In addition, sound practices required of other federal agencies require them to analyze and report their assessments when reviewing regulations. Documenting in plans how the depository institution regulators would address these EGRPRA limitations would better ensure that all regulations relevant to community banks and credit unions were reviewed, likely improve the analyses the regulators perform, and potentially result in additional burden reduction."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes a total of 10 recommendations to CFPB and the depository institution regulators. CFPB should assess the effectiveness of guidance on mortgage disclosure regulations and publicly issue its plans for the scope and timing of its regulation reviews and coordinate these with the other regulators' review process. As part of their burden reviews, the depository institution regulators should develop plans to report quantitative rationales for their actions and addressing the cumulative burden of regulations. In written comments, CFPB and the four depository institution regulators generally agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Within the past two decades, financial regulators have implemented many new regulations in the aftermath of events such as the September 2001 terrorist attacks and the financial crisis in 2007\u20132009, These regulations were intended to address the risks and problematic practices that contributed or led to the events, and included provisions that ranged from strengthening financial institutions\u2019 anti-money laundering (AML) programs to prevent terrorism financing to creating additional protections for mortgage lending. For example, in 2010 Congress passed the Dodd- Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), which includes numerous reforms to strengthen oversight of financial institutions. As a result of this act and other actions taken by financial regulators, additional regulatory requirements were placed on financial institutions, including community banks and credit unions. These institutions historically have played an important role in serving their local customers, including providing credit to small businesses.", "We previously reported that representatives of community banks and credit unions expressed concerns about the burden that additional regulations create for them. For example, some credit union, community bank, and industry association representatives told us in 2015 that several mortgage-related rules increased their overall compliance burden. In turn, some said this had begun to adversely affect some lending activities, such as mortgage lending to customers not typically served by larger financial institutions, although the regulations provided exemptions or other provisions to reduce such impacts. But surveys conducted by regulators, industry associations, and academics on the impact of the Dodd-Frank Act on small banks suggested that credit availability had been reduced by moderate to minimal amounts among those responding to the various surveys, and regulatory data up to that point had not confirmed a negative impact on mortgage lending.", "You asked us to examine the impact of regulation on community banks and credit unions. This report examines (1) what regulations institutions regarded as most burdensome and why, and (2) what actions the regulators of these institutions have taken to address any burdens associated with financial regulations. In addition to this report, we will provide a separate report that addresses the effect of regulatory burden on lending activities by community banks and credit unions, the rate of formation of new institutions, and potential impacts of regulations that we expect to issue to you in spring 2018.", "To identify regulations that community banks and credit unions viewed as most burdensome, we obtained opinions from a non-probability selection of selected community banks and credit unions. We drew our sample from institutions whose characteristics (such as asset size and activities) were typical of traditional community banking activities. The asset thresholds we used for our sample were $1.2 billion for banks (which represented 90 percent of banks as of March 2016) and $860 million for credit unions (which represented 95 percent of credit unions as of March 2016). We excluded institutions that were primarily conducting activities that were not typical of community banking, including institutions functioning primarily as credit card banks or institutions with headquarters outside the United States. From this group, we used additional criteria to select institutions that were located in various regions of the country and whose lending asset levels indicated they would have experience with complying with relevant regulations. The sample also included institutions overseen by each of the depository institution regulators\u2014the Board of Governors of the Federal Reserve (Federal Reserve), the Federal Deposit Insurance Corporation (FDIC), the Office of the Comptroller of the Currency (OCC), and the National Credit Union Administration (NCUA).", "Using this sample, we obtained opinions from representatives 64 institutions during individual interviews, focus groups, and a site visit.", "More specifically, we interviewed 10 community banks and 7 credit unions.", "After the interviews demonstrated considerable consensus existed among institutions about the most burdensome regulations, we held six focus groups with an additional 46 banks and credit unions to identify the characteristics of the regulations that made them burdensome.", "We also reviewed 28 reports of examinations conducted by the regulators of banks and credit unions we selected for our interviews to identify the extent to which these examinations addressed regulations from which the banks were exempted.", "To determine what actions regulators took to address regulatory burden, we reviewed the reports the depository institution regulators issued for the 2007 and 2017 Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA) reviews. We analyzed over 200 comment letters that the regulators received from community banks, credit unions, their trade associations, and others; and reviewed transcripts of all six public forums regulators held as part the 2017 EGRPRA regulatory review they conducted. We analyzed the extent to which they addressed the issues raised in comments received for the reviews. We also interviewed the depository institution regulators and the Consumer Financial Protection Bureau (CFPB) about their actions to address burden when creating rules and thereafter. We discussed issues that banks and credit unions identified with specific regulations with the depository institution regulators, CFPB, and the Financial Crimes Enforcement Network (FinCEN), which has delegated authority from the Secretary of the Treasury to implement, administer, and enforce compliance with anti- money laundering and terrorist financing regulations. We also interviewed associations representing consumers with knowledge of relevant activities to understand the benefits of these regulations and the Small Business Administration\u2019s Office of Advocacy, which reviews and comments on burdens of regulations, including those issued by banking regulators.", "For more information on our scope and methodology, see appendix I. We conducted this performance audit from March 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["While no commonly accepted definition of a community bank exists, they are generally smaller banks that provide banking services to the local community and have management and board members who reside in the local community. In some of our past reports, we often defined community banks as those with under $10 billion in total assets. However, many banks have assets well below $10 billion as data from the financial condition reports that institutions submit to regulators (Call Reports) indicated that of the more than 6,100 banks in the United States, about 90 percent had assets below about $1.2 billion as of March 2016.", "Based on our prior interviews and reviews of documents, regulators and others have observed that small banks tend to differ from larger banks in their relationships with customers. Large banks are more likely to engage in transactional banking, which focuses on the provision of highly standardized products that require little human input to manage and are underwritten using statistical information. Small banks are more likely to engage in what is known as relationship banking in which banks consider not only data models but also information acquired by working with the banking customer over time. Using this banking model, small banks may be able to extend credit to customers such as small business owners who might not receive a loan from a larger bank.", "Small business lending appears to be an important activity for community banks. As of June 2017, community banks had almost $300 billion outstanding in loans with an original principal balance of under $1 million (which banking regulators define as small business lending), or about 20 percent of these institutions\u2019 total lending. In that same month, non- community banks had about $390 billion outstanding in business loans under $1 million representing 5 percent of their total lending.", "Credit unions are nonprofit member-owned institutions that take deposits and make loans. Unlike banks, credit unions are subject to limits on their membership because members must have a \u201ccommon bond\u201d\u2014for example, working for the same employer or living in the same community. Financial reports submitted to NCUA (the regulator that oversees federally-insured credit unions) indicated that of the more than 6,000 credit unions in the United States, 90 percent had assets below about $393 million as of March 2016.", "In addition to providing consumer products to their members, credit unions are also allowed to make loans for business activities subject to certain restrictions. These member business loans are defined as a loan, line of credit, or letter of credit that a credit union extends to a borrower for a commercial, industrial, agricultural, or professional purpose, subject to certain exclusions. In accordance with rules effective January 2017, the total amount of business lending credit unions can do is not to generally exceed 1.75 times the actual net worth of the credit union."], "subsections": [{"section_title": "Overview of Federal Financial Regulators for Community Banks and Credit Unions", "paragraphs": ["Federal banking and credit union regulators have responsibility for ensuring the safety and soundness of the institutions they oversee, protecting federal deposit insurance funds, promoting stability in financial markets, and enforcing compliance with applicable consumer protection laws. All depository institutions that have federal deposit insurance have a federal prudential regulator. The regulator responsible for overseeing a community bank or credit union varies depending on how the institution is chartered, whether it is federally insured, and whether it is a Federal Reserve member (see table 1).", "Other federal agencies also impose regulatory requirements on banks and credit unions. These include rules issued by CFPB, which has supervision and enforcement authority for various federal consumer protection laws for depository institutions with more than $10 billion in assets and their affiliates. The Federal Reserve, OCC, FDIC, and NCUA continue to supervise for consumer protection compliance at institutions that have $10 billion or less in assets. Although community banks and credit unions with less than $10 billion in assets typically would not be subject to CFPB examinations, they generally are required to comply with CFPB rules related to consumer protection.", "In addition, FinCEN also issues requirements that financial institutions, including banks and credit unions, must follow. FinCEN is a component of Treasury\u2019s Office of Terrorism and Financial Intelligence that supports government agencies by collecting, analyzing, and disseminating financial intelligence information to combat money laundering. It is responsible for administering the Bank Secrecy Act, which, with its implementing regulations, generally requires banks, credit unions, and other financial institutions, to collect and retain various records of customer transactions, verify customers\u2019 identities in certain situations, maintain AML programs, and report suspicious and large cash transactions. FinCEN relies on financial regulators and others to examine U.S. financial institutions to determine compliance with these requirements. In addition, financial institutions also have to comply with requirements by Treasury\u2019s Office of Foreign Asset Control to review transactions to ensure that business is not being done with sanctioned countries or individuals."], "subsections": []}, {"section_title": "Recent Regulatory Changes", "paragraphs": ["In response to the 2007-2009 financial crisis, Congress passed the Dodd- Frank Act, which became law on July 21, 2010. The act includes numerous reforms to strengthen oversight of financial services firms, including consolidating consumer protection responsibilities within CFPB. Under the Dodd-Frank Act, federal financial regulatory agencies were directed to or granted authority to issue hundreds of regulations to implement the act\u2019s reforms. Many of the provisions in the Dodd-Frank Act target the largest and most complex financial institutions, and regulators have noted that much of the act is not meant to apply to community banks.", "Although the Dodd-Frank Act exempts small institutions, such as community banks and credit unions, from several of its provisions, and authorizes federal regulators to provide small institutions with relief from certain regulations, it also contains provisions that impose additional restrictions and compliance costs on these institutions. As we reported in 2012, federal regulators, state regulatory associations, and industry associations collectively identified provisions within 7 of the act\u2019s 16 titles that they expected to affect community banks and credit unions. The provisions they identified as likely to affect these institutions included some of the act\u2019s mortgage reforms, such as those requiring institutions to ensure that a consumer obtaining a residential mortgage loan has the reasonable ability to repay the loan at the time the loan is consummated; comply with a new CFPB rule that combines two different mortgage loan disclosures that had been required by the Truth-in-Lending Act and the Real Estate Settlement Procedures Act of 1974; and ensure that property appraisers are sufficiently independent.", "In addition to the regulations that have arisen from provisions in the Dodd-Frank Act, we reported that other regulations have created potential burdens for community banks. For example, the depository institution regulators also issued changes to the capital requirements applicable to these institutions. Many of these changes were consistent with the Basel III framework, which is a comprehensive set of reforms to strengthen global capital and liquidity standards issued by an international body consisting of representatives of many nations\u2019 central banks and regulators. These new requirements significantly changed the risk-based capital standards for banks and bank holding companies. As we reported in November 2014, officials interviewed from community banks did not anticipate any difficulties in meeting the U.S. Basel III capital requirements but expected to incur additional compliance costs.", "In addition to regulatory changes that could increase burden or costs on community banks, some of the Dodd-Frank Act provisions have likely resulted in reduced costs for these institutions. For example, revisions to the way that deposit insurance premiums are calculated reduced the amount paid by banks with less than $10 billion in assets by $342 million or 33 percent from the first to second quarter of 2011 after the change became effective. Another change reduced the audit-related costs that some banks were incurring in complying with provisions of the Sarbanes- Oxley Act."], "subsections": []}, {"section_title": "Prior Studies on Regulatory Burden Generally Focused on Costs", "paragraphs": ["A literature search indicated that prior studies by other entities, including regulators, trade associations or others, which examined how to measure regulatory burden generally focused on direct costs resulting from compliance with regulations, and our analysis of them identified various limitations that restrict their usefulness in assessing regulatory burden. For example, researchers commissioned by the Credit Union National Association, which advocates for credit unions, found costs attributable to regulations totaled a median of 0.54 percent of assets in 2014 for a non- random sample of the 53 small, medium, and large credit unions responding to a nationwide survey. However, one of the study\u2019s limitations was its use of a small, non-random sample of credit unions. In addition, the research was not designed to conclusively link changes in regulatory costs for the sampled credit unions to any one regulation or set of regulations.", "CFPB also conducted a study of regulatory costs associated with specific regulations applicable to checking accounts, traditional savings accounts, debit cards, and overdraft programs. Through case studies involving 200 interviews with staff at seven commercial banks with assets over $1 billion, the agency\u2019s staff determined that the banks\u2019 costs related to ongoing regulatory compliance were concentrated in operations, information technology, human resources, and compliance and retail functions, with operations and information technology contributing the highest costs. While providing detailed information about the case study institutions, reliance on a small sample of mostly large commercial banks limits the conclusions that can be drawn about banks\u2019 regulatory costs generally. In addition, the study notes several challenges to quantifying compliance costs that made their cost estimates subject to some measurement error, and the study\u2019s design limits the extent to which a causal relationship between financial regulations and costs could be fully established. Researchers from the Mercatus Center at George Mason University used a nongeneralizable survey of banks to find that respondents believed they were spending more money and staff time on compliance than before due to Dodd-Frank regulations. From a universe of banks with less than $10 billion of assets, the center\u2019s researchers used a non-random sample to collect 200 responses to a survey sent to 500 banks with assets less than $10 billion about the burden of complying with regulations arising from the Dodd-Frank Act. The survey sought information on the respondents\u2019 characteristics, products, and services and the effects various regulatory and compliance activities had on operations and decisions, including those related to bank profitability, staffing, and products. About 83 percent of the respondents reported increased compliance costs of greater than or equal to 5 percent due to regulatory requirements stemming from the Dodd-Frank Act. The study\u2019s limitations include use of a non-random sample selection, small response rate, and use of questions that asked about the Dodd-Frank Act in general. In addition, the self-reported survey items used to capture regulatory burden\u2014compliance costs and profitability\u2014have an increased risk of measurement error and the causal relationship between Dodd- Frank Act requirements and changes in these indicators is not well- established."], "subsections": []}]}, {"section_title": "Institutions Cited Mortgage and Anti- Money Laundering Regulations as Most Burdensome, although Others Noted Their Significant Public Benefits", "paragraphs": ["Community bank and credit union representatives that we interviewed identified three sets of regulations as most burdensome to their institutions: (1) data reporting requirements related to loan applicants and loan terms under the Home Mortgage Disclosure Act of 1975 (HMDA); (2) transaction reporting and customer due diligence requirements as part of the Bank Secrecy Act and related anti-money laundering laws and regulations (collectively, BSA/AML); and (3) disclosures of mortgage loan fees and terms to consumers under the TILA-RESPA Integrated Disclosure (TRID) regulations. In focus groups and interviews, many of the institution representatives said these regulations were time- consuming and costly to comply with, in part because the requirements were complex, required preparation of individual reports that had to be reviewed for accuracy, or mandated actions within specific timeframes. However, federal regulators and consumer advocacy groups said that benefits from these regulations were significant."], "subsections": [{"section_title": "HMDA Requirements Deemed Time Consuming by Institutions but Critical to Others", "paragraphs": ["Representatives of community banks and credit unions in all our focus groups and in most of our interviews told us that HMDA\u2019s data collection and reporting requirements were burdensome. Under HMDA and its implementing Regulation C, banks and credit unions with more than $45 million in assets that do not meet regulatory exemptions must collect, record, and report to the appropriate federal regulator, data about applicable mortgage lending activity. For every covered mortgage application, origination, or purchase of a covered loan, lenders must collect information such as the loan\u2019s principal amount, the property location, the income relied on in making the credit decision, and the applicants\u2019 race, ethnicity, and sex. Institutions record this on a form called the loan/application register, compile these data each calendar year, and submit them to CFPB. Institutions have also been required to make these data available to the public upon request, after modifying them to protect the privacy of applicants and borrowers.", "Representatives of many community banks and credit unions with whom we spoke said that complying with HMDA regulations was time consuming. For example, representatives from one community bank we interviewed said it completed about 1,100 transactions that required HMDA reporting in 2016, and that its staff spent about 16 hours per week complying with Regulation C. In one focus group, participants discussed how HMDA compliance was time consuming because the regulations were complex, which made determining whether a loan was covered and should be reported difficult. As a part of that discussion, one bank representative told us that it was not always clear whether a residence that was used as collateral for a commercial loan was a reportable mortgage under HMDA. In addition, representatives in all of our focus groups in which HMDA was discussed and in some interviews said that they had to provide additional staff training for HMDA compliance. Among the 28 community banks and credit unions whose representatives commented on HMDA in our focus groups, 61 percent noted having to conduct additional HMDA-related training.", "In most of our focus groups and three of our interviews, representatives of community banks and credit unions also expressed concerns about how federal bank examiners review HMDA data for errors. When regulatory examiners conducting compliance examinations determine that an institution\u2019s HMDA data has errors above prescribed thresholds, the institution has to correct and resubmit its data, further adding to the time required for compliance. While regulators have revised their procedures for assessing errors as discussed later, prior to 2018, if 10 percent or more of the loan/application registers that examiners reviewed had errors, an institution was required to review all of their data, correct any errors, and resubmit them. If 5 percent or more of the reviewed loan/application registers had errors in a single data field, an institution had to review all other registers and correct the data in that field. Participants in one focus group discussed how HMDA\u2019s requirements left them little room for error and that they were concerned that examiners weigh all HMDA fields equally when assessing errors. For example, representatives of one institution noted that for purposes of fair lending enforcement, errors in fields such as race and ethnicity can be more important than errors in the action taken date (the field for the date when a loan was originated or when an application not resulting in an origination was received). Representatives of one institution also noted that they no longer have access to data submission software that allowed them to verify the accuracy of some HMDA data, and this has led to more errors in their submissions. Representatives of another institution told us that they had to have staff conduct multiple checks of HMDA data to ensure the data met accuracy standards, which added to the time needed for compliance.", "Representatives of many community banks and credit unions with whom we spoke also expressed concerns that compliance requirements for HMDA were increasing. The Dodd-Frank Act included provisions to expand the information institutions must collect and submit under HMDA, and CFPB issued rules implementing these new requirements that mostly became effective January 2018. In addition to certain new data requirements specified in the act, such as age and the total points and fees payable at origination, CFPB\u2019s amendments to the HMDA reporting requirements also added additional data points, including some intended to collect more information about borrowers such as credit scores, as well as more information about the features of loans, such as fees and terms. In the final rule implementing the new requirements, CFPB also expanded the types of loans on which some institutions must report HMDA data to include open-ended lines of credit and reverse mortgages. Participants in two of our focus groups with credit unions said reporting this expanded information will require more staff time and training and cause them to purchase new or upgraded computer software.", "In most of our focus groups, participants said that changes should be made to reduce the burdens associated with reporting HMDA data. For example, in some focus groups, participants suggested raising the threshold for institutions that have to file HMDA reports above the then current $44 million in assets, which would reduce the number of small banks and credit unions that are required to comply. Representatives of two institutions noted that because small institutions make very few loans compared to large ones, their contribution to the overall HMDA data was of limited value in contrast to the significant costs to the institutions to collect and report the data. Another participant said their institution sometimes make as few as three loans per month. In most of our focus groups, participants also suggested that regulators could collect mortgage data in other ways. For example, one participant discussed how it would be less burdensome for lenders if federal examiners collected data on loan characteristics during compliance examinations.", "However, staff of federal regulators and consumer groups said that HMDA data are essential for enforcement of fair lending laws and regulations. Representatives of CFPB, FDIC, NCUA, and OCC and groups that advocate for consumer protection issues said that HMDA data has helped address discriminatory practices. For example, some representatives noted a decrease in \u201credlining\u201d (refusing to make loans to certain neighborhoods or communities). CFPB staff noted that HMDA data provides transparency about lending markets, and that HMDA data from community banks and credit unions is critical for this purpose, especially in some rural parts of the country where they make the majority of mortgage loans. While any individual institution\u2019s HMDA reporting might not make up a large portion of HMDA data for an area, CFPB staff told us that if all smaller institutions were exempted from HMDA requirements, regulators would have little or no data on the types of mortgages or on lending patterns in some areas.", "Agency officials also told us that few good alternatives to HMDA data exist and that the current collection regime is the most effective available option for collecting the data. NCUA officials noted that collecting mortgage data directly from credit unions during examinations to enforce fair lending rules likely would be more burdensome for the institutions. CFPB staff and consumer advocates we spoke with also said that HMDA provides a low-cost data source for researchers and local policy makers, which leads to other benefits that cannot be directly measured but are included in HMDA\u2019s statutory goals\u2014such as allowing local policymakers to target community investments to areas with housing needs.", "While representatives of some community banks and credit unions argued that HMDA data were no longer necessary because practices such as redlining have been reduced and they receive few requests for HMDA data from the public, representatives of some consumer advocate groups responded that eliminating the transparency that HMDA data creates could allow discriminatory practices to become more common. CFPB staff and representatives of one of these consumer groups also said that before the financial crisis of 2007\u20132009, some groups were not being denied credit outright but instead were given mortgages with terms, such as high interest rates, which made them more likely to default. The expanded HMDA data will allow regulators to detect such problematic lending practices for mortgage terms. CFPB and FDIC staff also told us that while lenders will have to collect and report more information, the new fields will add context to lending practices and should reduce the likelihood of incorrectly flagging institutions for potential discrimination. For example, with current data, a lender may appear to be denying mortgage applications to a particular racial or ethnic group, but with expanded data that includes applicant credit scores, regulators may determine that the denials were appropriate based on credit score underwriting.", "CFPB staff acknowledged that HMDA data collection and reporting may be time consuming, and said they have taken steps to reduce the associated burdens for community banks and credit unions.", "First, in its final rule implementing the Dodd-Frank Act\u2019s expanded HMDA data requirements, CFPB added exclusions for banks and credit unions that make very few mortgage loans. Effective January 2018, an institution will be subject to HMDA requirements only if it has originated at least 25 closed-end mortgage loans or at least 100 covered open-end lines of credit in each of the 2 preceding calendar years and also has met other applicable requirements. In response to concerns about the burden associated with the new requirement for reporting open-end lines of credit, in 2017. CFPB temporarily increased the threshold for collecting and reporting data for open-end lines of credit from 100 to 500 for the 2018 and 2019 calendar years. CFPB estimated that roughly 25 percent of covered depository institutions will no longer be subject to HMDA as a result of these exclusions.", "Second, the Federal Financial Institutions Examination Council (FFIEC), which includes CFPB, announced the new FFIEC HMDA Examiner Transaction Testing Guidelines that specify when agency examiners should direct an institution to correct and resubmit its HMDA data due to errors found during supervisory examinations. CFPB said these revisions should greatly reduce the burden associated with resubmissions. Under the revised standards, institutions will no longer be directed to resubmit all their HMDA data if they exceeded the threshold for HMDA files with errors, but will still be directed to correct specific data fields that have errors exceeding the specified threshold. The revised guidelines also include new tolerances for some data fields, such as application date and loan amount.", "Third, CFPB also introduced a new online system for submitting HMDA data in November 2017. CFPB staff said that the new system, the HMDA Platform, will reduce errors by including features to allow institutions to validate the accuracy and correct the formatting of their data before submitting. They also noted that this platform will reduce burdens associated with the previous system for submitting HMDA data. For example, institutions no longer will have to regularly download software, and multiple users within an institution will be able to access the platform. NCUA officials added that some credit unions had tested the system and reported that it reduced their reporting burden.", "Finally, on December 21, 2017, CFPB issued a public statement announcing that, for HMDA data collected in 2018, CFPB does not intend to require resubmission of HMDA data unless errors are material, and does not intend to assess penalties for errors in submitted data. CFPB also announced that it intends to open a rule making to reconsider various aspects of the 2015 HMDA rule, such as the thresholds for compliance and data points that are not required by statute."], "subsections": []}, {"section_title": "Institutions Found BSA/AML Regulations Burdensome and Regulators Have Been Considering Steps to Reduce Burden", "paragraphs": ["In all our focus groups and many of our interviews, participants said they found BSA/AML requirements to be burdensome due to the staff time and other costs associated with their compliance efforts. To provide regulators and law enforcement with information that can aid in pursuing criminal, tax, and regulatory investigations, BSA/AML statutes and regulations require covered financial institutions to file Currency Transaction Reports (CTR) for cash transactions conducted by a customer for aggregate amounts of more than $10,000 per day and Suspicious Activity Reports (SAR) for activity that might signal criminal activity (such as money laundering or tax evasion); and establish BSA/AML compliance programs that include efforts to identify and verify customers\u2019 identities and monitor transactions to report, for example, transactions that appear to violate federal law.", "Participants in all of our focus groups discussed how BSA/AML compliance was time-consuming, and in most focus groups participants said this took time away from serving customers. For example, representatives of one institution we interviewed told us that completing a single SAR could take 4 hours, and that they might complete 2 to 5 SARs per month. However, representatives of another institution said that at some times of the year it has filed more than 300 SARs per month. In a few cases, representatives of institutions saw BSA/AML compliance as burdensome because they had to take actions that seemed unnecessary based on the nature of the transactions. For example, one institution\u2019s representatives said that filing a CTR because a high school band deposited more than $10,000 after a fundraising activity seemed unnecessary, while another\u2019s said that it did not see the need to file SARs for charitable organizations that are well known in their community. Representatives of institutions in most of our focus groups also noted that BSA/AML regulations required additional staff training. Some of these representatives noted that the requirements are complex and the activities, such as identifying transactions potentially associated with terrorism, are outside of their frontline staff\u2019s core competencies.", "Representatives in all focus groups and a majority of interviews said BSA imposes financial costs on community banks and credit unions that must be absorbed by those institutions or passed along to customers. In most of our focus groups, representatives said that they had to purchase or upgrade software systems to comply with BSA/AML requirements, which can be expensive. Some representatives also said they had to hire third parties to comply with BSA/AML regulations. Representatives of some institutions also noted that the compliance requirements do not produce any material benefits for their institutions.", "In most of our focus groups, participants were particularly concerned that the compliance burden associated with BSA/AML regulations was increasing. In 2016, FinCEN\u2014the bureau in the Department of the Treasury that administers BSA/AML rules\u2014issued a final rule that expanded due-diligence requirements for customer identification. The final rule was intended to strengthen customer identification programs by requiring institutions to obtain information about the identities of the beneficial owners of businesses opening accounts at their institutions. The institutions covered by the rule are expected to be in compliance by May 11, 2018. Some representatives of community banks and credit unions that we spoke with said that this new requirement will be burdensome. For example, one community bank\u2019s representatives said the new due-diligence requirements will require more staff time and training and cause them to purchase new or upgraded computer systems. Representatives of some institutions also noted that accessing beneficial ownership information about companies can be difficult, and that entities that issue business licenses or tax identification numbers could perform this task more easily than financial institutions.", "In some of our focus groups, and in some comment letters that we reviewed that community banks and credit unions submitted to bank regulators and NCUA as part of the EGRPRA process, representatives of community banks and credit unions said regulators should take steps to reduce the burdens associated with BSA/AML. Participants in two of our focus groups and representatives of two institutions we interviewed said that the $10,000 CTR threshold, which was established in 1972, should be increased, noting it had not been adjusted for inflation. One participant told us that if this threshold had been adjusted for inflation over time, it likely would be filing about half of the number of CTRs that it currently files. In several focus groups, participants also indicated that transactions that must be checked against the Office of Foreign Assets Control list also should be subject to a threshold amount. Representatives of one institution noted that they have to complete time-consuming compliance work for even very small transactions (such as less than $1). Representatives of some institutions suggested that the BSA/AML requirements be streamlined to make it easier for community banks and credit unions to comply. For example, representatives of one institution that participated in the EGRPRA review suggested that institutions could provide regulators with data on all cash transactions in the format in which they keep these records rather than filing CTRs. Finally, participants in one focus group said that regulators should better communicate how the information that institutions submit contributes to law enforcement successes in preventing or prosecuting crimes.", "Staff from FinCEN told us that the reports and due-diligence programs required in BSA/AML rules are critical to safeguarding the U.S. financial sector from illicit activity, including illegal narcotics and terrorist financing activities. They said they rely on CTRs and SARs that financial institutions file for the financial intelligence they disseminate to law enforcement agencies, and noted that they saw all BSA/AML requirements as essential because activities are designed to complement each other. Officials also pointed out that entities conducting terrorism, human trafficking, or fraud all rely heavily on cash, and reporting frequently made deposits makes tracking criminals easier. They said that significant reductions in BSA/AML reporting requirements would hinder law enforcement, especially because depositing cash through ATMs has become very easy.", "FinCEN staff said they utilize a continuous evaluation process to look for ways to reduce burden associated with BSA/AML requirements, and noted actions taken as a result. They said that FinCEN has several means of soliciting feedback about potential burdens, including through its Bank Secrecy Act Advisory Group that consists of industry, regulatory, and law enforcement representatives who meet twice a year, and also through public reporting and comments received through FinCEN\u2019s regulatory process. FinCEN officials said that based on this advisory group\u2019s recommendations, the agency provided SAR filing relief by reducing the frequency of submission for written SAR summaries on ongoing activity from 90 days to 120 days. FinCEN also has recognized that financial institutions do not generally see the beneficial impacts of their BSA/AML efforts, and officials said they have begun several different feedback programs to address this issue.", "FinCEN staff said they have been discussing ways to improve the CTR filing process, but in response to comments obtained as part of a recent review of regulatory burden they noted that the staff of law enforcement agencies do not support changing the $10,000 threshold for CTR reporting. FinCEN officials said that they have taken some steps to reduce the burden related to CTR reporting, such as by expanding the ability of institutions to seek CTR filing exemptions, especially for low-risk customers. FinCEN is also utilizing its advisory group to examine aspects of the CTR reporting obligations to assess ways to reduce reporting burden, but officials said it is too early to know the outcomes of the effort. However, FinCEN officials said that while evaluation of certain reporting thresholds may be appropriate, any changes to them or other CTR requirements to reduce burden on financial institutions, must still meet the needs of regulators and law enforcement, and prevent misuse of the financial system.", "FinCEN staff also said that some of the concerns raised about the upcoming requirements on beneficial ownership may be based on misunderstandings of the rule. FinCEN officials told us that under the final rule, financial institutions can rely on the beneficial ownership information provided to them by the entity seeking to open the account. Under the final rule, the party opening an account on behalf of the legal entity customer is responsible for providing beneficial ownership information, and the financial institution may rely on the representations of the customer unless it has information that calls into question the accuracy of those representations. The financial institution does not have to confirm ownership; rather, it has to verify the identity of the beneficial owners as reported by the individual seeking to open the account, which can be done with photocopies of identifying documents such as a driver\u2019s license. FinCEN issued guidance explaining this aspect of the final rule in 2016."], "subsections": []}, {"section_title": "Institutions Found New Mortgage Term Disclosure Rules Burdensome, but Some May Be Misinterpreting Requirements", "paragraphs": ["In all of our focus groups and many of our interviews, representatives of community banks and credit unions said that new requirements mandating consolidated disclosures to consumers for mortgage terms and fees have increased the time their staff spend on compliance, increased the cost of providing mortgage lending services, and delayed the completion of mortgages for customers. The Dodd Frank Act directed CFPB to issue new requirements to integrate mortgage loan disclosures that previously had been separately required by the Truth-in-Lending Act (TILA) and the Real Estate Settlement Procedures Act (RESPA), and their implementing regulations, Regulation Z and X, respectively. Effective in October 2015, the combined TILA-RESPA Integrated Disclosure (known as TRID) requires mortgage lenders to disclose certain mortgage terms, conditions, and fees to loan applicants during the origination process for certain mortgage loans and prescribe how the disclosures should be made. The disclosure provisions also require lenders, in the absence of specified exceptions, to reimburse or refund to borrowers portions of certain fees that exceed the estimates previously provided in order to comply with the revised regulations.", "Under TRID, lenders generally must provide residential mortgage loan applicants with two forms, and deliver these documents within specified time frames (as shown in fig. 1).", "Within 3 business days of an application and at least 7 business days before a loan is consummated, lenders must provide the applicant with the loan estimate, which includes estimates for all financing costs and fees and other terms and conditions associated with the potential loan. If circumstances change after the loan estimate has been provided (for example, if a borrower needs to change the loan amount), a new loan estimate may be required.", "At least 3 days before a loan is consummated, lenders must provide the applicant with the closing disclosure, which has the loan\u2019s actual terms, conditions, and associated fees. If the closing disclosure is mailed to an applicant, lenders must wait an additional 3 days for the applicant to receive it before they can execute the loan, unless they can demonstrate that the applicant has received the closing disclosure.", "If the annual percentage rate or the type of loan change after the closing disclosure is provided, or if a prepayment penalty is added, a new closing disclosure must be provided and a new 3-day waiting period is required. Other changes made to the closing disclosure require the provision of a revised closing disclosure, but a new 3-day waiting period is not required.", "If the fees in the closing disclosure are more than the fees in the loan estimate (subject to some exceptions and tolerances discussed later in this section), the lender must reimburse the applicant for the amount of the increase in order to comply with the applicable regulations.", "In all of our focus groups and most of our interviews, representatives of community banks and credit unions said that TRID has increased the time required to comply with mortgage disclosure requirements and increased the cost of mortgage lending. In half of our focus groups, participants discussed how they have had to spend additional time ensuring the accuracy of their initial estimates of mortgage costs, including fees charged by third parties, in part because they are now financially responsible for changes in fees during the closing process. Some participants also discussed how they have had to hire additional staff to meet TRID\u2019s requirements. In one focus group of community banks, participants described how mortgage loans frequently involve the use of multiple third parties, such as appraisers and inspectors, and obtaining accurate estimates of the amounts these parties will charge for their services within the 3-day period prescribed by TRID can be difficult. The community banks we spoke with also discussed how fees from these parties often change at closing, and ensuring an accurate estimate at the beginning of the process was not always possible. As a result, some representatives said that community banks and credit unions have had to pay to cure or correct the difference in changed third-party fees that are outside their control. In most of our focus groups and some of our interviews, representatives told us that this TRID requirement has made originating a mortgage more costly for community banks and credit unions.", "Community banks and credit unions in half of our focus groups and some of our interviews also told us that TRID\u2019s requirements are complex and difficult to understand, which adds to their compliance burden. Participants in one focus group noted that CFPB\u2019s final rule implementing TRID was very long\u2014the rule available on CFPB\u2019s website is more than 1,800 pages including the rule\u2019s preamble\u2014and has many scenarios that require different actions by mortgage lenders or trigger different responsibilities as the following examples illustrate.", "Some fees in the loan estimate, such as prepaid interest, may be subsequently changed provided that the estimates were in good faith.", "Other fees, such as for third-party services where the charge is not paid to the lender or the lender\u2019s affiliate, may be changed by as much as 10 percent in aggregate before the lender becomes liable for the difference.", "However, for some charges the lender must reimburse or refund to the borrower portions of subsequent increases, such as fees paid to the creditor, mortgage broker, or a lender affiliate, without any percentage tolerance.", "Based on a poll we conducted in all six focus groups, 40 of 43 participants said that they had to provide additional training to staff to ensure that TRID\u2019s requirements were understood, which takes additional time from serving customers.", "In all of our focus groups and most of our interviews, community banks and credit unions also said that TRID\u2019s mandatory waiting periods and disclosure schedules increased the time required to close mortgage loans, which created burdens for the institutions and their customers. Several representatives we interviewed told us that TRID\u2019s waiting periods led to delays in closings of about 15 days. The regulation mandates that mortgage loans generally cannot be consummated sooner than 7 business days after the loan estimate is provided to an applicant, and no sooner than 3 business days after the closing disclosure is received by the applicant. If the closing disclosure is mailed, the lender must add another 3 business days to the closing period to allow for delivery. Representatives in some of our focus groups said that when changes needed to be made to a loan during the closing period, TRID requires them to restart the waiting periods, which can increase delays. For example, if the closing disclosure had been provided, and the loan product needed to be changed, a new closing disclosure would have to be provided and the applicant given at least 3 days to review it. Some representatives we interviewed said that their customers are frustrated by these delays and would like to close their mortgages sooner than TRID allows. Others said that TRID\u2019s waiting periods decreased flexibility in scheduling the closing date, which caused problems for homebuyers and sellers (for instance, because transactions frequently have to occur on the same day).", "However, CFPB officials and staff of a consumer group said that TRID has streamlined previous disclosure requirements and is important for ensuring that consumers obtaining mortgages are protected. CFPB reported that for more than 30 years lenders have been required by law to provide mortgage disclosures to borrowers, and CFPB staff noted that prior time frames were similar to those required by TRID and Regulation Z. CFPB also noted that information on the disclosure forms that TRID replaced was sometimes overlapping, used inconsistent terminology, and could confuse consumers. In addition, CFPB staff and staff of a consumer group said that the previous disclosures allowed some mortgage-related fees to be combined, which prevented borrowers from knowing what charges for specific services were. They said that TRID disclosures better highlight important items for home buyers, allowing them to more readily compare loan options. Furthermore, CFPB staff told us that before TRID, lenders and other parties commonly increased a mortgage loan\u2019s fees during the closing process, and then gave borrowers a \u201ctake it or leave it\u201d choice just before closing. As a result, borrowers often just accepted the increased costs. CFPB representatives said that TRID protects consumers from this practice by shifting the responsibility for most fee increases to lenders, and increases transparency in the lending process.", "CFPB staff told us that it is too early to definitively identify what impact TRID has had on borrowers\u2019 understanding of mortgage terms, but told us that some information they have seen indicated that it has been helpful. For example, CFPB staff said that preliminary results from the National Survey of Mortgage Originations conducted in 2017 found that consumer confidence in mortgage lending increased. While CFPB staff said that this may indicate that TRID, which became effective in October 2015, has helped consumers better understand mortgage terms, they noted that the complete survey results are not expected to be released until 2018. CFPB staff said that these results should provide valuable information on how well consumers generally understood mortgage terms and whether borrowers were comparison shopping for loans that could be used to analyze TRID\u2019s effects on consumer understanding of mortgage products.", "CFPB staff also told us that complying with TRID should not result in significant time being added to the mortgage closing process. Based on the final rule, they noted that TRID\u2019s waiting periods should not lead to delays of more than 3 days. CFPB staff also pointed out that the overall 7-day waiting period and the 3-day waiting period can be modified or waived if the consumer has a bona fide personal financial emergency, and thus should not be creating delays for those consumers. To waive the waiting period, consumers have to provide the lender with a written statement that describes the emergency. CFPB staff also said that closing times are affected by a variety of factors and can vary substantially, and that the delays that community banks and credit unions we spoke with reported may not be representative of the experiences of other lenders. A preliminary CFPB analysis of industry-published mortgage closing data found that closing times increased after it first implemented TRID, but that the delays subsequently declined. CFPB staff also said that they plan to analyze closing times using HMDA data now that they are collecting these data, and that they expect that delays that community banks and credit unions may have experienced so far would decrease as institutions adjusted to the new requirements.", "Based on our review of TRID\u2019s requirements and discussions with community banks and credit unions, some of the burden related to TRID that community banks and credit unions described appeared to result from institutions taking actions not required by regulations, and community banks and credit unions told us they still were confused about TRID requirements. For example, representatives of some institutions we interviewed said that they believed TRID requires the entire closing disclosure process to be restarted any time any changes were made to a loan\u2019s amount. CFPB staff told us that this is not the case, and that revised loan estimates can be made in such cases without additional waiting periods. Representatives of several other community banks and credit unions cited 5- and 10-day waiting periods not in TRID requirements, or believed that the 7-day waiting period begins after the closing disclosure is received by the applicant, rather than when the loan estimate is provided. Participants in one focus group discussed that they were confused about when to provide disclosures and what needs to be provided. Representatives of one credit union said that if they did not understand a requirement, it was in their best interest to delay closing to ensure they were in compliance.", "CFPB staff said that they have taken several steps to help lenders understand TRID requirements. CFPB has published a Small Entity Compliance Guide and a Guide to the Loan Estimate and Closing Disclosure Forms. As of December 2017, these guides were accessible on a TRID implementation website that has links to other information about the rule, as well as blank forms and completed samples. CFPB staff told us that the bureau conducted several well-attended, in-depth webinars to explain different aspects of TRID, including one with more than 20,000 participants, and that recordings of the presentations remained available on the bureau\u2019s TRID website. CFPB also encourages institutions to submit questions about TRID through the website, and the staff said that they review submitted questions for any patterns that may indicate that an aspect of the regulation is overly burdensome.", "However, the Mortgage Bankers Association reported that CFPB\u2019s guidance for TRID had not met the needs of mortgage lenders. In a 2017 report on reforming CFPB, this association stated that timely and accessible answers to frequently asked questions about TRID were still needed, noting that while CFPB had assigned staff to answer questions, these answers were not widely circulated. The association also reported that it had made repeated requests for additional guidance related to TRID, but the agency largely did not respond with additional materials in response to these requests.", "Although we found that misunderstandings of TRID requirements could be creating unnecessary compliance burdens for some small institutions, CFPB had not assessed the effectiveness of the guidance it provided to community banks and credit unions. Under the Dodd-Frank Act, CFPB has a general responsibility to ensure its regulations are not unduly burdensome, and internal control standards direct federal agencies to analyze and respond to risks related to achieving their defined objectives. However, CFPB staff said that they have not directly assessed how well community banks and credit unions have understood TRID requirements and acknowledged that some of these institutions may be applying the regulations improperly. They said that CFPB intends to review the effectiveness of its guidance, but did not indicate when this review would be completed. Until the agency assesses how well community banks and credit unions understand TRID requirements, CFPB may not be able to effectively respond to the risk that some smaller institutions have implemented TRID incorrectly, unnecessarily burdening their staff and delaying consumers\u2019 home purchases."], "subsections": []}, {"section_title": "Community Banks and Credit Unions Appeared to Be Receiving Applicable Regulatory Exemptions, but Expressed Concerns about Examiner Expectations", "paragraphs": ["We did not find that regulators directed institutions to comply with regulations from which they were exempt, although institutions were concerned about the appropriateness of examiner expectations. To provide regulatory relief to community banks and credit unions, Congress and regulators have sometimes exempted smaller institutions from the need to comply with all or part of some regulations. Such exemptions are often based on the size of the financial institution or the level of particular activities. For example, CFPB exempted institutions with less than $45 million in assets and fewer than 25 closed-end mortgage loans or 500 open-end lines of credit from the expanded HMDA reporting requirements. In January 2013, CFPB also included exemptions for some institutions in a rule related to originating loans that meet certain characteristics\u2014known as qualified mortgages\u2014in order for the institutions to receive certain liability protections if the loans later go into default. To qualify for this treatment, the lenders must make a good faith effort to determine a borrower\u2019s ability to repay a loan and the loan must not include certain risky features (such as interest-only or balloon payments). In its final rule, CFPB included exemptions that allow small creditors to originate loans with certain otherwise restricted features (such as balloon payments) and still be considered qualified mortgage loans.", "Concerns expressed to legislators about exemptions not being applied appeared to be based on misunderstandings of certain regulations. For example, in June 2016, a bank official testified that he thought his bank would be exempt from all of CFPB\u2019s requirements. However, CFPB\u2019s rules applicable to banks apply generally to all depository institutions, although CFPB only conducts compliance examinations for institutions with assets exceeding $10 billion. The depository institution regulators continue to examine institutions with assets below this amount (the overwhelming majority of banks and credit unions) for compliance with regulations enacted by CFPB.", "Although not generalizable, our analysis of select examinations did not find that regulators directed institutions to comply with requirements from which they were exempt. In our interviews with representatives from 17 community banks and credit unions, none of the institutions\u2019 representatives identified any cases in which regulators required their institution to comply with a regulatory requirement from which they should have been exempt. We also randomly selected and reviewed examination reports and supporting material for 28 examinations conducted by the regulators to identify any instances in which the regulators had not applied exemptions. From our review of the 28 examinations, we found no instances in the examination reports or the scoping memorandums indicating that examiners had required these institutions to comply with the regulations covered by the eight selected exemptions. Because of the limited number of the examinations we reviewed, we cannot generalize our findings to the regulatory treatment of all institutions qualifying for exemptions.", "Although not identifying issues relating to exemptions, representatives of community banks and credit unions in about half of our interviews and focus groups expressed concerns that their regulators expected them to follow practices they did not feel corresponded to the size or risks posed by their institutions. For example, representatives from one institution we interviewed said that examiners directed them to increase BSA/AML activities or staff, whereas they did not see such expectations as appropriate for institutions of their size. Similarly, in public forums held by regulators as part of their EGRPRA reviews (discussed in the next section) a few bank representatives stated that regulators sometimes considered compliance activities by large banks to be best practices, and then expected smaller banks to follow such practices. However, institution representatives in the public forums and in our interviews and focus groups that said sometimes regulators\u2019 expectations for their institutions were not appropriate, but did not identify specific regulations or practices they had been asked to consider following when citing these concerns.", "To help ensure that applicable exemptions and regulatory expectations are appropriately applied, federal depository institution regulators told us they train their staff in applicable requirements and conduct senior-level reviews of examinations to help ensure that examiners only apply appropriate requirements and expectations on banks and credit unions. Regulators said that they do not conduct examinations in a one-size-fits- all manner, and aim to ensure that community banks and credit unions are held to standards appropriate to their size and business model. To achieve this, they said that examiners undergo rigorous training. For example, FDIC staff said that its examiners have to complete four core trainings and then receive ongoing on-the-job instruction. Each of the four regulators also said they have established quality assurance programs to review and assess their examination programs periodically. For example, each Federal Reserve Bank reviews its programs for examination inconsistency and the Federal Reserve Board staff conducts continuous and point-in-time oversight reviews of Reserve Banks\u2019 examination programs to identify issues or problems, such as examination inconsistency.", "The depository institution regulators also said that they have processes for depository institutions to appeal examination findings if they feel they were held to inappropriate standards. In addition to less formal steps, such as contacting a regional office, each of the four regulators have an ombudsman office to which institutions can submit complaints or concerns about examination findings. Staffs of the various offices are independent from the regulators\u2019 management and work with the depository institutions to resolve examination issues and concerns. If the ombudsman is unable to resolve the complaints, then the institutions can further appeal their complaints through established processes."], "subsections": []}]}, {"section_title": "Reviews of Regulations Resulted in Some Reduction in Burden, but the Reviews Have Limitations", "paragraphs": ["Federal depository institution regulators address regulatory burden of their regulated institutions through the rulemaking process and also through retrospective reviews that may provide some regulatory relief to community banks. However, the retrospective review process has some limitations that limit its effectiveness in assessing and addressing regulatory burden on community banks and credit unions."], "subsections": [{"section_title": "Mechanisms for Regulators to Address Regulatory Burden Include Mandated Decennial Reviews", "paragraphs": ["Federal depository institution regulators can address the regulatory burden of their regulated institutions throughout the rulemaking process and through mandated, retrospective or \u201clook back\u201d reviews. According to the regulators, attempts to reduce regulatory burden start during the initial rulemaking process. Staff from FDIC, Federal Reserve, NCUA, and OCC all noted that when promulgating rules, their staff seek input from institutions and others throughout the process to design requirements that achieve the goals of the regulation at the most reasonable cost and effort for regulated entities. Once a rule has been drafted, the regulators publish it in the Federal Register for public comment. The staff noted that regulators often make revisions in response to the comments received to try to reduce compliance burdens in the final regulation.", "After regulations are implemented, banking regulators also address regulatory burdens by periodically conducting mandated reviews of their regulations. The Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA) directs three regulators (Federal Reserve, FDIC, and OCC, as agencies represented on the Federal Financial Institutions Examination Council) to review at least every 10 years all of their regulations and through public comment identify areas of the regulations that are outdated, unnecessary or unduly burdensome on insured depository institutions. Under the act, the regulators are to categorize their regulations and provide notice and solicit public comment on all the regulations for which they have regulatory authority. The act also includes a number of requirements on how the regulators should conduct the review, including reporting results to Congress. The first EGRPRA review was completed in 2007. The second EGRPRA review began in 2014 and the report summarizing its results was submitted to Congress in March 2017.", "While NCUA is not required to participate in the EGRPRA review (because EGRPRA did not include the agency in the list of agencies that must conduct the reviews), NCUA has been participating voluntarily. NCUA\u2019s assessment of its regulations appears in separate sections of the reports provided to Congress for each of the 2007 and 2017 reviews."], "subsections": [{"section_title": "Bank Regulators\u2019 2017 EGRPRA Review Process and Results", "paragraphs": ["Regulators began the most recent EGRPRA review by providing notice and soliciting comments in 2014\u20132016. The Federal Reserve, FDIC, and OCC issued four public notices in the Federal Register seeking comments from regulated institutions and interested parties on 12 categories of regulations they promulgated. The regulators published a list of all the regulations they administer in the notices and asked for comments, including comments on the extent to which regulations were burdensome. Although not specifically required under EGRPRA, the regulators also held six public meetings across the country with several panels of banks and community groups. At each public meeting, at least three panels of bank officials represented banks with assets of generally less than $5 billion and a large number of the panels included banks with less than $2 billion in assets. Panels were dedicated to specific regulations or sets of regulations. For example, one panel covered capital-related rules, consumer protection, and director-related rules, and another addressed BSA/AML requirements. Although panels were dedicated to specific regulations or sets of regulations, the regulators invited comment on all of their regulations at all public meetings.", "The regulators then assessed the public comments they received and described actions they intended to take in response. EGRPRA requires that the regulators identify the significant issues raised by the comments. The regulators generally deemed the issues that received the most public comments as significant. For the 2017 report, representatives at the Federal Reserve, FDIC, and OCC reviewed, evaluated, and summarized more than 200 comment letters and numerous oral comments they received. For interagency regulations that received numerous comments, such as those relating to capital and BSA/AML requirements, the comment letters for each were provided to staff of one of the three regulators or to previously established interagency working groups to conduct the initial assessments.", "The regulators\u2019 comment assessments also included reviews by each agency\u2019s subject-matter experts, who prepared draft summaries of the concerns and proposed agency responses for each of the rules that received comments. According to one bank regulator, the subject-matter experts assessed the comments across three aspects: (1) whether a suggested change to the regulation would reduce bank burdens; (2) how the change to the regulation would affect the safety and soundness of the banking system; and (3) whether a statutory change would be required to address the comment. The summaries drafted by the subject-matter experts then were shared with staff representing all three regulators and further revised. The staff of the three regulators said they then met jointly to analyze the merits of the comments and finalize the comment responses and the proposed actions for approval by senior management at all three regulators.", "In the 2017 report summarizing their assessment of the comments received, the regulators identified six significant areas in which commenters raised concerns: (1) capital rules, (2) financial condition reporting (Call Reports), (3) appraisal requirements, (4) examination frequency, (5) Community Reinvestment Act, and (6) BSA/AML. Based on our analysis of the 2017 report, the Federal Reserve, FDIC, and OCC had taken or pledged to take actions to address 11 of the 28 specific concerns commenters had raised across these six areas. We focused our analysis on issues within the six significant issues that affected the smaller institution and defined an action taken by the regulators as a change or revision to a regulation or the issuance of guidance.", "Capital rules. The regulators noted in the 2017 EGRPRA report that they received comment letters from more than 30 commenters on the recently revised capital requirements. Although some of the concerns commenters expressed related to issues affecting large institutions, some commenters sought to have regulators completely exempt smaller institutions from the requirements. Others objected to the amounts of capital that had to be held for loans made involving more volatile commercial real estate.", "In response, the regulators stated that the more than 500 failures of banks in the recent crisis, most of which were community banks, justified requiring all banks to meet the new capital requirements. However, they pledged in the report to make some changes, and have recently proposed rules that would alter some of the requirements. For example, on September 27, 2017, the regulators proposed several revisions to the capital requirements that would apply to banks not subject to the advanced approach requirements under the capital rules (generally, banks with less than $250 billion in assets and less than $10 billion in total foreign exposure). For example, the proposed rule simplifies the capital treatment for certain commercial acquisition, development, and construction loans, and would change the treatment of mortgage servicing assets.", "Call Reports. The regulators also received more than 30 comments relating to the reports\u2014known as Call Reports\u2014that banks file with the regulators outlining their financial condition and performance. Generally, the commenters requested relief (reducing the number of items required to be reported) for smaller banks and also asked that the frequency of reporting for some items be reduced.", "In response to these concerns, the regulators described a review of the Call Report requirements intended to reduce the number of items to be reported to the regulators. The regulators had started this effort to address Call Report issues soon after the most recent EGRPRA process had begun in June 2014. In the 2017 EGRPRA report, the regulators noted that they developed a new Call Report form for banks with assets of less than $1 billion and domestic offices only. For instance, according to the regulators, the new form reduced the number of items such banks had to report by 40 percent. Staff from the regulators told us that about 3,500 banks used the new small-bank reporting form in March 2017, which represented about 68 percent of the banks eligible to use the new form. OCC officials told us that an additional 100 federally chartered banks submitted the form for the 2017 second quarter reporting period. After the issuance of the 2017 EGRPRA report, in June 2017 the regulators issued additional proposed revisions to the three Call Report forms that banks are required to complete. These proposed changes are to become effective in June 2018. For example, one of the proposed changes to the new community bank Call Report form would change the frequency of reporting certain data on non-accrual assets\u2014 nonperforming loans that are not generating their stated interest rate\u2014 from quarterly to semi-annually. In November 2017, the agencies issued further proposed revision to the community bank Call Report that would delete or consolidate a number of items and add a new, or raise certain existing, reporting thresholds. The proposed revision would take effect as of June 2018.", "Appraisals. The three bank regulators and NCUA received more than 160 comments during the 2017 EGRPRA process related to appraisal requirements. The commenters included banks and others that sought to raise the size of the loans that require appraisals, and a large number of appraisers that objected to any changes in the requirements According to the EGRPRA report, several professional appraiser associations argued that raising the threshold could undermine the safety and soundness of lenders and diminish consumer protection for mortgage financing. These commenters argued that increasing the thresholds could encourage banks to neglect collateral risk-management responsibilities.", "In response, in July 2017, the regulators proposed raising the threshold for when an appraisal is required from $250,000 to $400,000 for commercial real estate loans. The regulators indicated that the appraisal requirements for 1-4 family residential mortgage loans above the current $250,000 would not be appropriate at the this time because they believed having such appraisals for loans above that level increased the safety of those loans and better protected consumers and because other participants in the housing market, such as the Department of Housing and Urban Development and the government-sponsored enterprises, also required appraisals for loans above that amount. However, the depository institution regulators included in the proposal a request for comment about the appraisal requirements for residential real estate and what banks think are other factors that should be included when considering the threshold for these loans. As part of the 2017 EGRPRA process, the regulators also received comments indicating that banks in rural areas were having difficulty securing appraisers. In the EGRPRA report, the regulators acknowledged this difficulty and in May 2017, the bank regulators and NCUA issued agency guidance on how institutions could obtain temporary waivers and use other means to expand the pool of persons eligible to prepare appraisals in cases in which suitable appraiser staff were unavailable. The agencies also responded to commenters who found the evaluation process confusing by issuing an interagency advisory on the process in March 2016. Evaluations may be used instead of an appraisal for certain transactions including those under the threshold.", "Frequency of safety and soundness examinations. As part of the 2017 EGRPRA process, the agencies also received comments requesting that they raise the total asset threshold for an insured depository institution to qualify for the extended 18-month examination cycle from $1 billion to $2 billion and to further extend the examinations cycle from 18 months to 36 months.", "During the EGRPRA process, Congress took legislative action to reduce examination frequency for smaller, well-capitalized banks. In 2015, the FAST Act raised the threshold for the 18-month examination cycle from less than $500 million to less than $1 billion for certain well-capitalized and well-managed depository institutions with an \u201coutstanding\u201d composite rating and gave the agencies discretion to similarly raise this threshold for certain depository institutions with an \u201coutstanding\u201d or \u201cgood\u201d composite rating. The agencies exercised this discretion and issued a final rule in 2016 making qualifying depository institutions with less than $1 billion in total assets eligible for an 18-month (rather than a 12-month) examination cycle. According to the EGRPRA report, agency staff estimated that the final rules allowed approximately 600 more institutions to qualify for an extended 18-month examination cycle, bringing the total number of qualifying institutions to 4,793.", "Community Reinvestment Act. The commenters in the 2017 EGRPRA process also raised various issues relating to the Community Reinvestment Act, including the geographic areas in which institutions were expected to provide loans to low- and moderate-income borrowers and whether credit unions should be required to comply with the act\u2019s requirements.", "The regulators noted that they were not intending to take any actions to revise regulations relating to this act because many of the revisions the commenters suggested would require changes to the statute (that is, legislative action). The regulators also noted that they had addressed some of the concerns by revising the Interagency Questions and Answers relating to this act in 2016. Furthermore, the agencies noted that they have been reviewing their existing examination procedures and practices to identify policy and process improvements.", "BSA/AML. The regulators also received a number of comments as part of the 2017 EGRPRA process on the burden institutions encounter in complying with BSA/AML requirements. These included the threshold for reporting currency transactions and suspicious activities. The regulators also received comments on both BSA/AML examination frequency and the frequency of safety and soundness examinations generally.", "Agencies typically review BSA/AML compliance programs during safety and soundness examinations. As discussed previously, regulators allowed more institutions of outstanding or good composite condition to be examined every 18 months instead of every 12 months. Institutions that qualify for less frequent safety-and-soundness examinations also will be eligible for less frequent BSA/AML examinations. For the remainder of the issues raised by commenters, the regulators noted they do not have the regulatory authority to revise the requirements but provided the comments to FinCEN, which has authority for these regulations. A letter with FinCEN\u2019s response to the comments was included as an appendix of the EGRPRA report. In the letter, the FinCEN Acting Director stated that FinCEN would work through the issues raised by the comments with its advisory group consisting of regulators, law enforcement staff, and representatives of financial institutions.", "Additional Burden Reduction Actions. In addition to describing some changes in response to the comments deemed significant, the regulators\u2019 2017 report also includes descriptions of additional actions the individual agencies have taken or planned to take to reduce the regulatory burden for banks, including community banks.", "The Federal Reserve Board noted that it changed its Small Bank Holding Company Policy Statement that allows small bank holding companies to hold more debt than permitted for larger bank holding companies. In addition, the Federal Reserve noted that it had made changes to certain supervisory policies, such as issuing guidance on assessing risk management for banks with less than $50 billion in assets and launching an electronic application filing system for banks and bank holding companies.", "OCC noted that it had issued two final rules amending its regulations for licensing/chartering and securities-related filings, among other things. According to OCC staff, the agency conducted an internal review of its agency-specific regulations and many of the changes to these regulations came from the internal review. The agency also noted that it integrated its rules for national banks and federal savings associations where possible. In addition, OCC noted that it removed redundant and unnecessary information requests from those made to banks before examinations.", "FDIC noted that it had rescinded enhanced supervisory procedures for newly insured banks and reduced the consumer examination frequency for small and newly insured banks. Similarly to OCC, FDIC is integrating its rules for both non-state member banks and state- chartered savings and loans associations. In addition, FDIC noted it had issued new guidance on banks\u2019 deposit insurance filings and reduced paperwork for new bank applications."], "subsections": []}, {"section_title": "NCUA 2017 EGRPRA Process and Results", "paragraphs": ["The 2017 report also presents the results of NCUA\u2019s concurrent efforts to obtain and respond to comments as part of the EGRPRA process. NCUA conducts its review separately from the bank regulators\u2019 review. In four Federal Register notices in 2015, NCUA sought comments on 76 regulations that it administers. NCUA received about 25 comments raising concerns about 29 of its regulations, most of which were submitted by credit union associations. NCUA received no comments on 47 regulations.", "NCUA\u2019s methodology for its regulatory review was similar to the bank regulators\u2019 methodology. According to NCUA, all comment letters responding to a particular notice were collected and reviewed by NCUA\u2019s Special Counsel to the General Counsel, an experienced, senior-level attorney with overall responsibility for EGRPRA compliance. NCUA staff told us that criteria applied by the Special Counsel in his review included relevance, depth of understanding and analysis exhibited by the comment, and degree to which multiple commenters expressed the same or similar views on an issue. The Special Counsel prepared a report summarizing the substance of each comment. The comment summary was reviewed by the General Counsel and circulated to the NCUA Board and reviewed by the Board members and staff.", "NCUA identified in its report the following as significant issues relating to credit union regulation: (1) field of membership and chartering; (2) member business lending; (3) federal credit union ownership of fixed assets; (4) expansion of national credit union share insurance coverage; and (5) expanded powers for credit unions. For these, NCUA took various actions to address the issues raised in the comments. For example, NCUA modified and updated its field of credit union membership by revising the definition of a local community, rural district and underserved area, which provided greater flexibility to federal credit unions seeking to add a rural district to their field of membership. NCUA also lessened some of the restrictions on member lending to small business; and raised some of the asset thresholds for what would be defined as a small credit union so that fewer requirements would apply to these credit unions. Also, in April 2016, the NCUA Board issued a proposed rule that would eliminate the requirement that federal credit unions must have a plan by which they will achieve full occupancy of premises within an explicit time frame. The proposal would allow for federal credit unions to plan for and manage their use of office space and related premises in accordance with their own strategic plans and risk-management policies."], "subsections": []}, {"section_title": "Bank Regulators and NCUA 2007 EGRPRA Review Process and Results", "paragraphs": ["The bank and credit union regulators\u2019 process for the 2007 EGRPRA review also began with Federal Register notices that requested comments on regulations. The regulators then reviewed and assessed the comments and issued a report in 2007 to Congress in which they noted actions they took in some of the areas raised by commenters.", "Our analysis of the regulators\u2019 responses indicated that the regulators took responsive actions in a few areas. The regulators noted they already had taken action in some cases (including after completion of a pending study and as a result of efforts to work with Congress to obtain statutory changes). However, for the remaining specific concerns, the four regulators indicated that they would not be taking actions.", "Similar to its response in 2017, NCUA discussed its responses to the significant issues raised about regulations in a separate section of the 2007 report. Our analysis indicated that NCUA took responsive actions in about half of the areas. For example, NCUA adjusted regulations in one case and in another case noted previously taken actions. For comments related to three other areas, NCUA took actions not reflected in the 2007 report because the actions were taken over a longer time frame (in some cases, after 8 years). In the remaining areas, NCUA deemed actions as not being desirable in four cases and outside of its authority in two other cases."], "subsections": []}, {"section_title": "Other Retrospective Reviews", "paragraphs": ["The bank regulators do not conduct other retrospective reviews of regulations outside of the EGRPRA process. We requested information from the Federal Reserve, FDIC, and OCC about any discretionary regulatory retrospective reviews that they performed in addition to the EGRPRA review during 2012\u20132016. All three regulators reported to us they have not conducted any retrospective regulatory reviews outside of EGRPRA since 2012. However, under the Regulatory Flexibility Act (RFA), federal agencies are required to conduct what are referred to as section 610 reviews. The purpose of these reviews is to determine whether certain rules should be continued without change, amended, or rescinded consistent with the objectives of applicable statutes, to minimize any significant economic impact of the rules upon a substantial number of small entities. Section 610 reviews are to be conducted within 10 years of an applicable rule\u2019s publication. As part of other work, we assessed the bank regulators\u2019 section 610 reviews and found that the Federal Reserve, FDIC, and OCC conducted retrospective reviews that did not fully align with the Regulatory Flexibility Act\u2019s requirements. Officials at each of the agencies stated that they satisfy the requirements to perform section 610 reviews through the EGRPRA review process. However, we found that the requirements of the EGRPRA reviews differ from those of the RFA-required section 610 reviews, and we made recommendations to these regulators to help ensure their compliance with this act in a separate report issued in January 2018.", "In addition to participating in the EGRPRA review, NCUA also reviews one-third of its regulations every year (each regulation is reviewed every 3 years). NCUA\u2019s \u201cone-third\u201d review employs a public notice and comment process similar to the EGRPRA review. If a specific regulation does not receive any comments, NCUA does not review the regulation. For the 2016 one-third review, NCUA did not receive comments on 5 of 16 regulations and thus these regulations were not reviewed. NCUA made technical changes to 4 of the 11 regulations that received comments.", "In August 2017, NCUA staff announced they developed a task force for conducting additional regulatory reviews, including developing a 4-year agenda for reviewing and revising NCUA\u2019s regulations. The primary factors they said they intend to use to evaluate their regulations will be the magnitude of the benefit and the degree of effort that credit unions must expend to comply with the regulations. Because the 4-year reviews will be conducted on all of NCUA\u2019s regulations, staff noted that the annual one-third regulatory review process will not be conducted again until 2020."], "subsections": []}]}, {"section_title": "Limitations of Reviews of Burden Include CFPB Exclusion and Lack of Quantitative Analysis", "paragraphs": ["Our analysis of the EGRPRA review found three limitations to the current process."], "subsections": [{"section_title": "CFPB Not Included and Significant Mortgage Regulations Not Assessed", "paragraphs": ["First, the EGRPRA statute does not include CFPB and thus the significant mortgage-related regulations and other regulations that it administers\u2014 regulations that banks and credit unions must follow\u2014were not included in the EGRPRA review. Under the Dodd-Frank Act, CFPB was given financial regulatory authority, including for regulations implementing the Home Mortgage Disclosure Act (Regulation C); the Truth-in-Lending Act (Regulation Z); and the Truth-in-Savings Act (Regulation DD). These regulations apply to many of the activities that banks and credit unions conduct; the four depository institution regulators conduct the large majority of examinations of these institutions\u2019 compliance with these CFPB-administered regulations. However, EGRPRA was not amended after the Dodd-Frank Act to include CFPB as one of the agencies that must conduct the EGRPRA review.", "During the 2017 EGRPRA review, the bank regulators only requested public comments on consumer protection regulations for which they have regulatory authority. But the banking regulators still received some comments on the key mortgage regulations and the other regulations that CFPB now administers. Our review of 2017 forum transcripts identified almost 60 comments on mortgage regulations, such as HMDA and TRID.", "The bank regulators could not address these mortgage regulation-related comments because they no longer had regulatory authority over these regulations; instead, they forwarded these comment letters to CFPB staff. According to CFPB staff, their role in the most recent EGRPRA process was very limited. CFPB staff told us they had no role in assessing the public comments received for purposes of the final 2017 EGRPRA report. According to one bank regulator, the bank regulators did not share non- mortgage regulation-related letters with CFPB staff because those comment letters did not involve CFPB regulations. Another bank regulator told us that CFPB was offered the opportunity to participate in the outreach meetings and were kept informed of the EGRPRA review during the quarterly FFIEC meetings that occurred during the review. Before the report was sent to Congress, CFPB staff said that they reviewed several late-stage drafts, but generally limited their review to ensuring that references to CFPB\u2019s authority and regulations and its role in the EGRPRA process were properly characterized and explained. As a member of FFIEC, which issued the final report, CFPB\u2019s Director was given an opportunity to review the report again just prior to its approval by FFIEC.", "CFPB must conduct its own reviews of regulations after they are implemented. Section 1022(d) of the Dodd-Frank Act requires CFPB to conduct an assessment of each significant rule or order adopted by the bureau under federal consumer financial law. CFPB must publish a report of the assessment not later than 5 years after the effective date of such rule or order. The assessment must address, among other relevant factors, the rule\u2019s effectiveness in meeting the purposes and objectives of title X of the Dodd-Frank Act and specific goals stated by CFPB. The assessment also must reflect available evidence and any data that CFPB reasonably may collect. Before publishing a report of its assessment, CFPB must invite public comment on recommendations for modifying, expanding, or eliminating the significant rule or order.", "CFPB announced in Federal Register notices in spring 2017 that it was commencing assessments of rules related to Qualified Mortgage/Ability- to-Repay requirements, remittances, and mortgage servicing regulations. The notices described how CFPB planned to assess the regulations. In each notice, CFPB requested comment from the public on the feasibility and effectiveness of the assessment plan, data, and other factual information that may be useful for executing the plan; recommendations to improve the plan and relevant data; and data and other factual information about the benefits, costs, impacts, and effectiveness of the significant rule. Reports of these assessments are due in late 2018 and early 2019. According to CFPB staff, the requests for data and other factual information are consistent with the statutory requirement that the assessment must reflect available evidence and any data that CFPB reasonably may collect. The Federal Register notices also describe other data sources that CFPB has in-house or has been collecting pursuant to this requirement.", "CFPB staff told us that they have not yet determined whether certain other regulations that apply to banks and credit unions, such as the revisions to TRID and HMDA requirements, will be designated as significant and thus subjected to the one-time assessments. CFPB staff also told us they anticipate that within approximately 3 years after the effective date of a rule, it generally will have determined whether the rule is a significant rule for section 1022(d) assessment purposes.", "In tasking the bank regulators with conducting the EGRPRA reviews, Congress indicated its intent was to require these regulators to review all regulations that could be creating undue burden on regulated institutions.", "According to a Senate committee report relating to EGRPRA, the purpose of the legislation was to minimize unnecessary regulatory impediments for lenders, in a manner consistent with safety and soundness, consumer protection, and other public policy goals, so as to produce greater operational efficiency. Some in Congress have recognized that the omission of CFPB in the EGRPRA process is problematic, and in 2015 legislation was introduced to require that CFPB\u2014and NCUA\u2014formally participate in the EGRPRA review.", "Currently, without CFPB\u2019s participation, key regulations that affect banks and credit unions may not be subject to the review process. In addition, these regulations may not be reviewed if CFPB does not deem them significant. Further, if reviewed, CFPB\u2019s mandate is for a one-time, not recurring, review. CFPB staff told us that they have two additional initiatives designed to review its regulations, both of which have been announced in CFPB\u2019s spring and fall 2017 Semiannual Regulatory Agendas. First, CFPB launched a program to periodically review individual existing regulations\u2014or portions of large regulations\u2014to identify opportunities to clarify ambiguities, address developments in the marketplace, or modernize or streamline provisions. Second, CFPB launched an internal task force to coordinate and bolster their continuing efforts to identify and relieve regulatory burdens, including with regard to small businesses such as community banks that potentially will address any regulation the agency has under its jurisdiction. Staff told us the agency has been considering suggestions it received from community banks and others on ways to reduce regulatory burden. However, CFPB has not provided public information specifically on the extent to which it intends to review regulations applicable to community banks and credit unions and other institutions or provided information on the timing and frequency of the reviews. In addition, it has not indicated the extent to which it will coordinate the reviews with the federal depository institution regulators as part of the EGRPRA reviews. Until CFPB publicly provides additional information indicating its commitment to periodically review the burden of all its regulations, community banks, credit unions, and other depository institutions may face diminished opportunities for relief from regulatory burden."], "subsections": []}, {"section_title": "Regulators Have Not Conducted or Reported Quantitative Analyses", "paragraphs": ["Second, the federal depository institution regulators have not conducted or reported on quantitative analyses during the EGRPRA process to help them determine if changes to regulations would be warranted. Our analysis of the 2017 report indicated that in responses to comments in which the regulators did not take any actions, the regulators generally only provided their arguments against taking actions and did not cite analysis or data to support their narrative. In contrast, other federal agencies that are similarly tasked with conducting retrospective regulatory reviews are required to follow certain practices for such reviews that could serve as best practices for the depository institution regulators. For example, the Office of Management and Budget\u2019s Circular A-4 guidance on regulatory analysis notes that a good analysis is transparent and should allow qualified third parties reviewing such analyses to clearly see how estimates and conclusions were determined. In addition, executive branch agencies that are tasked under executive orders to conduct retrospective reviews of regulations they issue generally are required under these orders to collect and analyze quantitative data as part of assessing the costs and benefits of changing existing regulations.", "However, EGRPRA does not require the regulators to collect and report on any quantitative data they collected or analyzed as part of assessing the potential burden of regulations. Conducting and reporting on how they analyzed the impact of potential regulatory changes to address burden could assist the depository institution regulators in conducting their EGRPRA reviews. For example, as discussed previously, Community Reinvestment Act regulations were deemed a significant issue, with commenters questioning the relevance of requiring small banks to make community development loans and suggesting that the asset threshold for this requirement be raised from $1 billion to $5 billion. The regulators told us that if the thresholds were raised, then community development loans would decline, particularly in underserved communities. However, regulators did not collect and analyze data for the EGRPRA review to determine the amount of community development loans provided by banks with assets of less than $1 billion; including a discussion of quantitative analysis might have helped show that community development loans from smaller community banks provided additional credit in communities\u2014and thus helped to demonstrate the benefits of not changing the requirement as commenters requested.", "By not performing and reporting quantitative analyses where appropriate in the EGRPRA review, the regulators may be missing opportunities to better assess regulatory impacts after a regulation has been implemented, including identifying the need for any changes or benefits from the regulations and making their analyses more transparent to stakeholders. As the Office of Management and Budget\u2019s Circular A-4 guidance on the development of regulatory analysis noted, sound quantitative estimates of costs and benefits, where feasible, are preferable to qualitative descriptions of benefits and costs because they help decision makers understand the magnitudes of the effects of alternative actions. By not fully describing their rationale for the analyses that supported their decisions, regulators may be missing opportunities to better communicate their decisions to stakeholders and the public."], "subsections": []}, {"section_title": "Reviews Have Not Considered Cumulative Effects of Regulations", "paragraphs": ["Lastly, in the EGRPRA process, the federal depository institution regulators have not assessed the ways that the cumulative burden of the regulations they administer may have created overlapping or duplicative requirements. Under the current process, the regulators have responded to issues raised about individual regulations based on comments they have received, not on bodies of regulations. However, congressional intent in tasking the depository institution regulators with the EGRPRA reviews was to ensure that they considered the cumulative effect of financial regulations. A 1995 Senate Committee on Banking, Housing, and Urban Affairs report stated while no one regulation can be singled out as being the most burdensome, and most have meritorious goals, the aggregate burden of banking regulations ultimately affects a bank\u2019s operations, its profitability, and the cost of credit to customers. For example, financial regulations may have created overlapping or duplicative regulations in the areas of safety and soundness. One primary concern noted in the EGRPRA 2017 report was the amount of information or data banks are required to provide to regulators. For example, the cumulative burden of information collection was raised by commenters in relation to Call Reports, Community Reinvestment Act, and BSA/AML requirements. But in the EGRPRA report, the regulators did not examine how the various reporting requirements might relate to each other or how they might collectively affect institutions.", "In contrast, the executive branch agencies that conduct retrospective regulatory reviews must consider the cumulative effects of their own regulations, including cumulative burdens. For example, Executive Order 13563 directs agencies, to the extent practicable, to consider the costs of cumulative regulations. Executive Order 13563 does not apply to independent regulatory agencies such as the Federal Reserve, FDIC, OCC, NCUA, or CFPB. A memorandum from the Office of Management and Budget provided guidance to the agencies required to follow this order for assessing the cumulative burden and costs of regulations. The actions suggested for careful consideration include conducting early consultations with affected stakeholders to discuss potential interactions between rulemaking under consideration and existing regulations as well as other anticipated regulatory requirements. The executive order also directs agencies to consider regulations that appear to be attempting to achieve the same goal. However, other researchers often acknowledge that cumulative assessments of burden are difficult. Nevertheless, until the Federal Reserve, FDIC, OCC, and NCUA identify ways to consider the cumulative burden of regulations, they may miss opportunities to streamline bodies of regulations to reduce the overall compliance burden among financial institutions, including community banks and credit unions. For example, regulations applicable to specific activities of banks, such as lending or capital, could be assessed to determine if they have overlapping or duplicative requirements that could be revised without materially reducing the benefits sought by the regulations."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["New regulations for financial institutions enacted in recent years have helped protect mortgage borrowers, increase the safety and soundness of the financial system, and facilitate anti-terrorism and anti-money laundering efforts. But the regulations also entail compliance burdens, particularly for smaller institutions such as community banks and credit unions, and the cumulative burden on these institutions can be significant. Representatives from the institutions with which we spoke cited three sets of regulations\u2014HMDA, BSA/AML, and TRID\u2014as most burdensome for reasons that included their complexity. In particular, the complexity of TRID regulations appears to have contributed to misunderstandings that in turn caused institutions to take unnecessary actions. While regulators have acted to reduce burdens associated with the regulations, CFPB has not assessed the effectiveness of its TRID guidance. Federal internal control standards require agencies to analyze and respond to risks to achieving their objectives, and CFPB\u2019s objectives include addressing regulations that are unduly burdensome. Assessing the effectiveness of TRID guidance represents an opportunity to reduce misunderstandings that create additional burden for institutions and also affect individual consumers (for instance, by delaying mortgage closings).", "The federal depository institution regulators (FDIC, Federal Reserve, OCC, as well as NCUA) also have opportunities to enhance the activities they undertake during EGRPRA reviews. Congress intended that the burden of all regulations applicable to depository institutions would be periodically assessed and reduced through the EGRPRA process. But because CFPB has not been included in this process, the regulations for which it is responsible were not assessed, and CFPB has not yet provided public information about what regulations it will review, and when, and whether it will coordinate with other regulators during EGPRA reviews. Until such information is publicly available, the extent to which the regulatory burden of CFPB regulation will be periodically addressed remains unclear. The effectiveness of the EGRPRA process also has been hampered by other limitations, including not conducting and reporting on depository institution regulators\u2019 analysis of quantitative data and assessing the cumulative effect of regulations on institutions. Addressing these limitations in their EGRPRA processes likely would make the analyses the regulators perform more transparent, and potentially result in additional burden reduction."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We make a total of 10 recommendations, which consist of 2 recommendations to CFPB, 2 to FDIC, 2 to the Federal Reserve, 2 to OCC, and 2 to NCUA.", "The Director of CFPB should assess the effectiveness of TRID guidance to determine the extent to which TRID\u2019s requirements are accurately understood and take steps to address any issues as necessary. (Recommendation 1)", "The Director of CFPB should issue public information on its plans for reviewing regulations applicable to banks and credit unions, including information describing the scope of regulations the timing and frequency of the reviews, and the extent to which the reviews will be coordinated with the federal depository institution regulators as part of their periodic EGRPRA reviews. (Recommendation 2)", "The Chairman, FDIC, should, as part of the EGRPRA process, develop plans for their regulatory analyses describing how they will conduct and report on quantitative analysis whenever feasible to strengthen the rigor and transparency of the EGRPRA process. (Recommendation 3)", "The Chairman, FDIC, should, as part of the EGRPRA process, develop plans for conducting evaluations that would identify opportunities for streamlining bodies of regulation. (Recommendation 4)", "The Chair, Board of Governors of the Federal Reserve System, should, as part of the EGRPRA process develop plans for their regulatory analyses describing how they will conduct and report on quantitative analysis whenever feasible to strengthen the rigor and transparency of the EGRPRA process. (Recommendation 5)", "The Chair, Board of Governors of the Federal Reserve System, should, as part of the EGRPRA process, develop plans for conducting evaluations that would identify opportunities to streamline bodies of regulation. (Recommendation 6)", "The Comptroller of the Currency should, as part of the EGRPRA process, develop plans for their regulatory analyses describing how they will conduct and report on quantitative analysis whenever feasible to strengthen the rigor and transparency of the EGRPRA process. (Recommendation 7)", "The Comptroller of the Currency should, as part of the EGRPRA process, develop plans for conducting evaluations that would identify opportunities to streamline bodies of regulation. (Recommendation 8)", "The Chair of NCUA should, as part of the EGRPRA process, develop plans for their regulatory analyses describing how they will conduct and report on quantitative analysis whenever feasible to strengthen the rigor and transparency of the EGRPRA process. (Recommendation 9)", "The Chair of NCUA should, as part of the EGRPRA process, develop plans for conducting evaluations that would identify opportunities to streamline bodies of regulation. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to CFPB, FDIC, FinCEN, the Federal Reserve, NCUA, and OCC. We received written comments from CFPB, FDIC, the Federal Reserve, NCUA, and OCC that we have reprinted in appendixes II through VI, respectively. CFPB, FDIC, FinCEN, the Federal Reserve, NCUA, and OCC also provided technical comments, which we incorporated as appropriate.", "In its written comments, CFPB agreed with the recommendation to assess its TRID guidance to determine the extent to which it is understood. CFPB stated it intends to solicit public input on how it can improve its regulatory guidance and implementation support. In addition, CFPB agreed with the recommendation on issuing public information on its plan for reviewing regulations. CFPB committed to developing additional plans with respect to their reviews of key regulations and to publicly releasing such information and in the interim, CFPB stated it intends to solicit public input on how it should approach reviewing regulations.", "FDIC stated that it appreciated the two recommendations and stated that it would work with the Federal Reserve and OCC to find the most appropriate ways to ensure that the three regulators continue to enhance their rulemaking analyses as part of the EGRPRA process. In addition, FDIC stated that as part of the EGRPRA review process, it would continue to monitor the cumulative effects of regulation through for example, a review of the community and quarterly banking studies and community bank Call Report data.", "The Federal Reserve agreed with the two recommendations pertaining to the EGRPRA process. Regarding the need conduct and report on quantitative analysis whenever feasible to strengthen and to increase the transparency of the EGRPRA process, the Federal Reserve plans to coordinate with FDIC and OCC to identify opportunities to conduct quantitative analyses where feasible during future EGRPRA reviews. With respect to the second recommendation, the Federal Reserve agreed that the cumulative impact of regulations on depository institutions is important and plans to coordinate with FDIC and OCC to identify further opportunities to seek comment on bodies of regulations and how they could be streamlined.", "NCUA acknowledged the report\u2019s conclusions as part of their voluntary compliance with the EGRPRA process; NCUA should improve its qualitative analysis and develop plans for continued reductions to regulatory burden within the credit union industry. In its letter, NCUA noted it has appointed a regulatory review task force charged with reviewing and developing a four-year plan for revising their regulations and the review will consider the benefits of NCUA\u2019s regulations as well as the burden they have on credit unions.", "In its written comments, OCC stated that it understood the importance of GAO\u2019s recommendations. They stated they OCC will consult and coordinate with the Federal Reserve and FDIC to develop plans for regulatory analysis, including how the regulators should conduct and report on quantitative analysis and also, will work with these regulators to increase the transparency of the EGRPRA process. OCC also stated it will consult with these regulators to develop plans, as part of the EGRPRA process, to conduct evaluations that identify ways to decrease the regulatory burden created by bodies of regulations.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to CFPB, FDIC, FinCEN, the Federal Reserve, NCUA, and OCC. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8678 or evansl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the burdens that regulatory compliance places on community banks and credit unions and actions that federal regulators have taken to reduce these burdens; specifically: (1) the financial regulations that community banks and credit unions reported viewing as the most burdensome, the characteristics of those regulations that make them burdensome, and the benefits are associated with those regulations and (2) federal financial regulators\u2019 efforts to reduce any existing regulatory burden on community banks and credit unions.", "To identify the regulations that community banks and credit unions viewed as the most burdensome, we first constructed a sample frame of financial institutions that met certain criteria for being classified as community banks or community-focused credit unions for the purposes of this review. These sample frames were then used as the basis for drawing our non-probability samples of institutions for purposes of interviews, focus group participation, and document review. Defining a community bank is important because, as we have reported, regulatory compliance may be more burdensome for community banks and credit unions than for larger banks because they are not as able to benefit from economies of scale in compliance resources. While there is no single consensus definition for what constitutes a community bank, we reviewed criteria for defining community banks developed by the Federal Deposit Insurance Corporation (FDIC), officials from the Independent Community Bankers Association, the Office of the Comptroller of the Currency (OCC). Based on this review, we determined that institutions that had the following characteristics would be the most appropriate to include in our universe of institutions, (1) fewer total assets, (2) engage in traditional lending and deposit taking activities, have limited geographic scope, and (3) did not have complex operating structures.", "To identify banks that met these characteristics, we began with all banks that filed a Consolidated Reports of Condition and Income (Call Report) for the first quarter of 2016 (March 31, 2016) and are not themselves subsidiaries of another bank that filed a Call Report. We then excluded banks using an asset-size threshold, to ensure we are including only small institutions. Based on interviews with regulators and our review of the FDIC\u2019s community bank study, we targeted institutions around the $1 billion in assets as the group that could be relatively representative of the experiences of many community banks in complying with regulations. Upon review of the Call Reports data, we found that the banks in the 90th percentile by asset size were had about $1.2 billion, and we selected this to be an appropriate cutoff for our sample frame. In addition we excluded institutions with characteristics suggesting they do not engage in typical community banking activities like such as deposit-taking and lending; and those with characteristics suggesting they conduct more specialized operations not typical of community banking, such as credit card banks. In addition to ensure that we excluded banks whose views of regulatory compliance might be influenced by being part of a large and/or complex organization, we also excluded banks with foreign offices and banks that are subsidiaries of either foreign banks or of holding companies with $50 billion or more in consolidated assets. Finally, as a practical matter, we excluded banks for which we could not obtain data on one or more of the characteristics listed below.", "We also relied on a similar framework to construct a sample frame for credit unions. We sought to identify credit unions that were relatively small, engaged in traditional lending and deposit taking activities, and had limited geographic scope. To do this, we began with all insured credit unions that filed a Call Report for the first quarter of 2016 (March 31, 2016). We then excluded credit unions using an asset-size threshold of $860 million, which is the 95th percentile of credit unions, to ensure we are including only smaller institutions. The percentile of credit unions was higher than the percentile of banks because there are more large banks than there are credit unions. We then excluded credit unions that did not engage in activities that are typical of community lending, such as taking deposits, making loans and leases, and providing consumer checking accounts, as well as those credit unions with headquarters outside of the United States.", "We assessed the reliability of data from FFIEC, FDIC, the Federal Reserve Bank of Chicago, and NCUA by reviewing relevant documentation and electronically testing the data for missing values or obvious errors, and we found the data from these sources to be sufficiently reliable for the purpose of creating sample frames of community banks and credit unions. The sample frames were then used as the basis for drawing our nonprobability samples of institutions for purposes of interviews and focus groups.", "To identify regulations that community banks and credit unions viewed as among the most burdensome, we conducted structured interviews and focus groups with a sample of a total of 64 community banks and credit unions. To reduce the possibility of bias, we selected the institutions to ensure that banks and credit unions with different asset sizes and from different regions of the country were included. We also included at least one bank overseen by each of the three primary federal depository institution regulators, Federal Reserve, FDIC, NCUA, and OCC in the sample. We interviewed 17 institutions (10 banks and 7 credit unions) about which regulations their institutions experienced the most compliance burden. On the basis of the results of these interviews, we determined that considerable consensus existed among these institutions as to which regulations were seen as most burdensome, including those relating to mortgage fees and terms disclosures to consumers, mortgage borrower and loan characteristics reporting, and anti-money laundering activities. As a result, we determined to conduct focus groups with institutions to identify the characteristics of the regulations identified in our interviews that made these regulations burdensome. To identify the burdensome characteristics of the regulations identified in our preliminary interviews, we selected institutions to participate in three focus groups of community banks and three focus groups of credit unions.", "For the first focus group of community banks, we randomly selected 20 banks among 647 banks between $500 million and $1 billion located in nine U.S. census geographical areas using the sample frame of community banks we developed, and contacted them asking for their participation. Seven of the 20 banks agreed to participate in the first focus group. However, mortgages represented a low percentage of the assets of two participants in the first focus group, so we revised our selection criteria because two of the regulations identified as burdensome were related to mortgages.", "For the remaining two focus groups with community banks, we randomly selected institutions with more than $45 million and no more than $1.2 billion in assets to ensure that they would be required to comply with the mortgage characteristics reporting and with at least a 10 percent mortgage to asset ratio to better ensure that they would be sufficiently experienced with mortgage regulations. After identifying the large percentage of FDIC regulated banks in the first 20 banks we contacted, we decided to prioritize contact with banks regulated by OCC and the Federal Reserve for the institutions on our list. When banks declined or when we determined an institution merged or was acquired, we selected a new institution from that state and preferenced institutions regulated by OCC and the Federal Reserve.", "The three focus groups totaled 23 community banks with a range of assets. We used a similar selection process for three focus groups of credit unions consisting of 23 credit unions. We selected credit unions with at least $45 million in assets so that they would be required to comply with the mortgage regulations and with at least a 10 percent mortgage-to-asset ratio.", "During each of the focus groups, we asked the representatives from participating institutions what characteristics of the relevant regulations made them burdensome with which to comply. We also polled them about the extent to which they had to take various actions to comply with regulations, including hiring or expanding staff resources, investing in additional information technology resources, or conducting staff training. During the focus groups, we also confirmed with the participants that the three sets of regulations (on mortgage fee and other disclosures to consumers, reporting of mortgage borrower and loan characteristics, and anti-money laundering activities) were generally the ones they found most burdensome.", "To identify in more detail the steps a community bank or credit union may take to comply with the regulations identified as among the most burdensome, we also conducted an in-depth on-site interview with one community bank. We selected this institution by limiting the community bank sample to only those banks in the middle 80 percent of the distribution in terms of assets, mortgage lending, small business lending, and lending in general that were no more than 70 miles from Washington, D.C. We limited the sample in this way to ensure that the institution was not an outlier in terms of activities or size, and to limit the travel resources needed to conduct the site visit.", "We also interviewed associations representing consumers to understand the benefits of these regulations. These groups were selected using professional judgement of their knowledge of relevant banking regulations. We interviewed associations representing banks and credit unions.", "To identify the requirements of the regulations identified as among the most burdensome, we reviewed the Home Mortgage Disclosure Act (HMDA) and its implementing regulation, Regulation C; Bank Secrecy Act and anti-money laundering (BSA/AML) regulations, including those deriving from the Currency and Foreign Transactions Reporting Act, commonly known as the Bank Secrecy Act (BSA), and the 2001 USA PATRIOT Act; and the Integrated Mortgage Disclosure Rule Under the Real Estate Settlement Procedures Act (RESPA) with the implementing Regulation X; and the Truth-in-Lending Act (TILA) with implementing Regulation Z. We reviewed the Consumer Financial Protection Bureau\u2019s (CFPB) small entity guidance and supporting materials on the TILA- RESPA Integrated Disclosure (TRID) regulation and HMDA to clarify the specific requirements of each rule and to analyze the information included in the CFPB guidance.", "We interviewed staff from each of the federal regulators responsible for implementing the regulations, as well as from the federal regulators responsible for examining community banks and credit unions. To identify the potential benefits of the regulations that were considered burdensome by community banks and credit unions, we interviewed representatives from four community groups to document their perspectives on the benefits provided by the identified regulations.", "To determine whether the bank regulators had required banks to comply with certain provisions from which the institutions might be exempt, we identified eight exemptions from the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 from which community banks and credit unions should be exempt and reviewed a small group of the most recent examinations to identify instances in which a regulator may not have applied an exemption for which a bank was eligible. We reviewed 20 safety and soundness and consumer compliance examination reports of community banks and eight safety and soundness examination reports of credit unions. The bank examination reports we reviewed were for the first 20 community banks we contacted requesting participation in the first focus group. The bank examination reports included examinations from all three bank regulators (FDIC, Federal Reserve, and OCC). The NCUA examination reports we reviewed were for the eight credit unions that participated in the second focus group of credit unions. Because of the limited number of the examinations we reviewed, we cannot generalize whether regulators extended the exemptions to all qualifying institutions.", "To assess the federal financial regulators\u2019 efforts to reduce the existing regulatory burden on community banks and credit unions, we identified the mechanisms the regulators used to identify burdensome regulations and actions to reduce potential burden. We reviewed laws and congressional and agency documentation. More specifically, we reviewed the Economic Growth and Regulatory Paperwork Reduction Act of 1996 (EGRPRA) that requires the Federal Reserve, FDIC, and OCC to review all their regulations every 10 years and identify areas of the regulations that are outdated, unnecessary, or unduly burdensome and reviewed the 1995 Senate Banking Committee report, which described the intent of the legislation. We reviewed the Federal Register notices that bank regulators and NCUA published requesting comments on their regulations. We also reviewed over 200 comment letters that the regulators had received through the EGRPRA process from community banks, credit unions, their trade associations, and others, as well as the transcripts of all six public forums regulators held as part the 2017 EGRPRA regulatory review efforts they conducted. We analyzed the extent to which the depository institutions regulators addressed the issues raised in comments received for the review. In assessing the 2017 and 2007 EGRPRA reports sent to Congress, we reviewed the significant issues identified by the regulators and determined the extent to which the regulators proposed or took actions in response to the comments relating to burden on small entities.", "We compared the requirements of Executive Orders 12866, 13563, and 13610 issued by Office of Management and Budget with the actions taken by the regulators in implementing their 10-year regulatory retrospective review. The executive orders included requirements on how executive branch agencies should conduct retrospective reviews of their regulations.", "For both objectives, we interviewed representatives from CFPB, FDIC, Federal Reserve, Financial Crimes Enforcement Network, NCUA, and OCC to identify any steps that regulators took to reduce the compliance burden associated with each of the identified regulations and to understand how they conduct retrospective reviews. We also interviewed representatives of the Small Business Administration\u2019s Office of Advocacy, which reviews and comments on the burdens of regulations affecting small businesses, including community banks.", "We conducted this performance audit from March 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Consumer Financial Protection Bureau", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Board of Governors of the Federal Reserve System", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Federal Deposit Insurance Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the National Credit Union Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Office of the Comptroller of the Currency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Cody J. Goebel (Assistant Director); Nancy Eibeck (Analyst in Charge); Bethany Benitez; Kathleen Boggs; Jeremy A. Conley; Pamela R. Davidson; Courtney L. LaFountain; William V. Lamping; Barbara M. Roesmann; and Jena Y. Sinkfield made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-43", "url": "https://www.gao.gov/products/GAO-19-43", "title": "Export-Import Bank: Enhancements Needed in Credit Program Underwriting Policies and Procedures", "published_date": "2019-05-14T00:00:00", "released_date": "2019-05-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["EXIM serves as the official export credit agency of the United States, providing a range of financial products to support the export of U.S. goods and services. Following the 2007\u20132009 financial crisis, demand for EXIM support increased. However, from July 2015 to May 2019, EXIM lacked a quorum on its Board of Directors and, as a result, was unable to approve medium- and long-term transactions greater than $10 million.", "The Export-Import Bank Reauthorization Act of 2012 includes a provision for GAO to evaluate EXIM's underwriting process. This report discusses the extent to which EXIM's (1) process for updating its underwriting policies and procedures is properly designed and implemented and (2) underwriting policies and procedures for loan and loan guarantee transactions are consistent with guidance for managing federal credit programs. To address these objectives, GAO evaluated EXIM's underwriting policies and procedures against federal guidance and discussed the underwriting process with EXIM officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that Export-Import Bank's (EXIM) process for updating its underwriting policies and procedures was properly designed and implemented. EXIM's Loan, Guarantee and Insurance Manual (Manual) describes EXIM's underwriting policies and procedures for its short-, medium-, and long-term loans and loan guarantees. The Manual describes the responsibilities of divisions and loan officers involved in the underwriting process and is required to be updated at least annually, except for material changes (e.g., changes resulting from legislative actions or compliance with sanctions), which are required to be made as soon as possible.", "EXIM has initiated a process to streamline the Manual, which consists of over 1,400 pages, by separating the policies and procedures, thus allowing for continuous reviews. The underwriting sections of the Manual are tentatively scheduled for review in 2019.", "The primary guidance for designing and managing federal credit programs is Office of Management and Budget Circular A-129, Policies for Federal Credit Programs and Non-Tax Receivables . GAO found that EXIM\u2018s policies and procedures were consistent with three of five areas of federal guidance; two areas related to lender and servicer eligibility and risk sharing practices were partially consistent with federal guidance.", "Applicant screening. EXIM's policies and procedures were consistent with guidance in that they require applicants to provide relevant financial information and assessments of applicant eligibility and creditworthiness.", "Loan documentation. EXIM's process was consistent with guidance in that it requires the preparation of loan files, which include the application, credit reports, and related analyses, as well as collateral documentation and loan agreements.", "Collateral requirements. EXIM's process was consistent with guidance in that it requires a security interest in the financed export items.", "Lender and servicer eligibility. EXIM established eligibility and decertification procedures for short-term delegated authority lenders that were consistent with guidance. However, it did not establish similar procedures for medium-term delegated authority lenders.", "Risk sharing practices. EXIM's process was generally consistent with guidance in that EXIM provides loan guarantee terms that officials stated were necessary to achieve program purposes. However, federal guidance also calls for an agency to periodically review programs in which the government bears more than 80 percent of any loss. While EXIM prepares various program reviews, it has not developed procedures to help ensure that its risk sharing practices are routinely reviewed.", "Without enhancements to its policies and procedures, EXIM may allow lenders that are not qualified to underwrite transactions and runs the risk that it will not effectively review its programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations to enhance EXIM's policies and procedures related to (1) the use of medium-term delegated authority lenders and (2) periodic program reviews. EXIM concurred with GAO's recommendations and described actions planned to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The mission of the Export-Import Bank of the United States (EXIM) is to support the export of U.S. goods and services through loans, loan guarantees, and insurance, thereby supporting U.S. jobs. Following the financial crisis of 2007\u20132009, EXIM\u2019s outstanding financial commitments, or risk exposure, grew to about $112 billion in 2014, primarily in its long- term loans and loan guarantees. However, EXIM\u2019s risk exposure subsequently decreased to about $61 billion in 2018 primarily because of two factors. First, from July 1, 2015 to December 4, 2015, EXIM\u2019s authority to incur new obligations lapsed. Second, from July 20, 2015 to May 8, 2019, EXIM lacked a quorum on its Board of Directors, and as a result, it was unable to approve transactions greater than $10 million.", "EXIM is governed by a charter, which requires the transactions it authorizes to have a reasonable assurance of repayment. To comply with this requirement, EXIM must manage multiple risks when it extends export financing, including credit, political, market, and operational risks. EXIM uses a number of risk-management techniques throughout the different stages of a transaction, including underwriting, monitoring and restructuring, and recovering on defaulted transactions.", "The Export-Import Bank Reauthorization Act of 2012 included a provision for GAO to evaluate, among other things, EXIM\u2019s underwriting process for its loan and loan guarantee transactions. This is our second report in response to the act, and it examines the extent to which EXIM\u2019s (1) process for updating its underwriting policies and procedures is properly designed and implemented and (2) underwriting policies and procedures for loan and loan guarantee transactions are consistent with guidance for managing federal credit programs.", "To assess the extent to which EXIM\u2019s process for updating its underwriting policies and procedures is properly designed and implemented, we reviewed EXIM\u2019s policies and procedures for updating the Loan, Guarantee and Insurance Manual (Manual), discussed the process with EXIM officials, and assessed the process based on Standards for Internal Control in the Federal Government. We did not evaluate EXIM\u2019s compliance with its process for updating its underwriting policies and procedures or assess its operating effectiveness.", "To assess the extent to which EXIM\u2019s underwriting policies and procedures governing loan and loan guarantee transactions were consistent with guidance for managing federal credit programs, we reviewed relevant requirements and guidance, including the Office of Management and Budget\u2019s (OMB) Circular A-129 Policies for Federal Credit Programs and Non-Tax Receivables and the Department of the Treasury (Treasury) Bureau of the Fiscal Service\u2019s Managing Federal Receivables: A Guide for Managing Loans and Administrative Debt, to identify key guidance for managing federal credit programs, including standards for extending credit, managing and overseeing credit programs, and managing guaranteed loan lenders and servicers.", "We compared EXIM\u2019s Manual\u2014which describes, among other things, procedures for assessing loan and loan guarantee applications and preparing loan documentation\u2014to federal guidance for managing federal credit programs. As part of this comparison, we assessed whether policies and procedures included in EXIM\u2019s Manual were consistent with federal guidance. However, because of EXIM\u2019s limited lending authority during the period of our audit, we did not verify EXIM\u2019s compliance with its underwriting policies and procedures or assess their operating effectiveness. In areas where we found EXIM\u2019s policies and procedures to be consistent with federal guidance, there may still be opportunities to improve operating effectiveness.", "We also reviewed EXIM\u2019s Office of Inspector General (OIG) reports since 2014 related to underwriting issues, various laws applicable to EXIM, and GAO reports related to EXIM. We discussed underwriting requirements and the due diligence process with EXIM officials. We also discussed export credit financing and risk sharing practices with an official from the Organisation for Economic Co-operation and Development (OECD).", "We conducted this performance audit from January 2017 to May 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Appendix I provides more information on our scope and methodology."], "subsections": [{"section_title": "Background", "paragraphs": ["EXIM is an independent executive branch agency and a wholly owned U.S. government corporation. EXIM is the official export credit agency (ECA) of the United States, and its mission is to support the export of U.S. goods and services, thereby supporting U.S. jobs. EXIM\u2019s charter states that it should not compete with the private sector. Rather, EXIM\u2019s role is to assume the credit and country risks that the private sector is unable or unwilling to accept, while still maintaining a reasonable assurance of repayment. EXIM must operate within the parameters and limits authorized by law, including, for example, statutory mandates that it support small business and promote sub\u2013Saharan African and environmentally beneficial exports. In addition, EXIM is authorized to provide financing on a competitive basis with other ECAs and must submit annual reports to Congress on its actions.", "EXIM operates under the leadership of a president who also serves as Chairman of EXIM\u2019s Board of Directors. The board is structured to include five members. All positions are appointed for 4-year terms by the President of the United States with the advice and consent of the Senate. The board is responsible for adopting and amending bylaws for the proper management and functioning of EXIM. Furthermore, the board approves EXIM\u2019s financing either directly or through delegated authority. On May 8, 2019, the Senate confirmed a new president and two other board members, ending the lack of a quorum needed to approve transactions over $10 million that had existed since July 20, 2015.", "EXIM\u2019s organizational structure includes various offices and divisions operating under its president. The Office of Board Authorized Finance is subdivided into business divisions that are responsible for underwriting related to loans and loan guarantees, including processing applications, evaluating the compliance of transactions with credit and other policies, performing financial analyses, negotiating financing terms, coordinating and synthesizing input to credit recommendations from other divisions, and presenting credit recommendations for approvals.", "EXIM facilitates support for U.S. exports through three major products: (1) loans; (2) loan guarantees, which include working capital guarantees; and (3) export credit insurance. All EXIM obligations carry the full faith and credit of the U.S. government. Based on its mission to support U.S. employment, EXIM currently requires a certain amount of U.S. content for an export contract to receive EXIM financing. EXIM\u2019s loans generally carry fixed-interest rate terms under the Arrangement on Officially Supported Export Credits negotiated among OECD members. EXIM\u2019s loan guarantees cover loans disbursed by private lenders by committing to pay the lenders if the borrower defaults. Both loans and loan guarantees may be classified as short-, medium-, or long-term.", "From fiscal year 2008 to fiscal year 2017, EXIM was \u201cself-financing\u201d for budgetary purposes\u2014financing its operations from receipts collected from its customers\u2014and operating within the parameters and limits authorized by Congress. However, according to EXIM, because of the lack of quorum on the Board of Directors, in fiscal year 2018 it was unable to approve transactions over $10 million and, as a result, was not able to generate sufficient cash inflows to fully self-finance program and administrative costs. EXIM reported that when it is back to being fully operational, it plans to regain full self-financing status. See figure 1 for additional details on EXIM\u2019s loans and loan guarantees.", "Short-term loans and loan guarantees: Short-term financing consists of all transactions with repayment terms of less than 1 year, while Working Capital Guarantee program short-term financing may be approved for a single loan or a revolving line of credit that can be renewed for up to 3 years. In general, if the financed eligible product contains at least 50 percent U.S. content, then the entire transaction value is eligible for a working capital guarantee. Generally, for working capital guarantees, EXIM guarantees 90 percent of the loan\u2019s principal and interest if the borrower defaults. Therefore, the lender maintains the risk of the remaining 10 percent. EXIM\u2019s payment of working capital claims is conditional upon transaction participants\u2019 compliance with EXIM requirements such as underwriting policies, deadlines for filing claims, payment of premiums and fees, and submission of proper documentation. EXIM has reported that over 80 percent of its working capital guarantee transactions are approved by lenders with delegated authority, which means that commercial lenders approve the guaranteed loans in accordance with agreed- upon underwriting requirements without first obtaining EXIM approval. If a lender does not have delegated authority, EXIM performs its own underwriting procedures and approves the guaranteed loans.", "Medium- and long-term loans and loan guarantees: For medium- and long-term loan and loan guarantee transactions, EXIM provides up to 85 percent financing with the remaining 15 percent paid by the borrower or financed separately. The financing could be less than 85 percent depending on the U.S. content. EXIM\u2019s medium- and long- term loan guarantees generally cover 100 percent of the financed amount if the borrower defaults. EXIM\u2019s guarantee to the lender is transferable and unconditional, meaning that EXIM must pay submitted claims regardless of the cause of default. EXIM generally underwrites medium- and long-term loans and loan guarantees for $10 million and less, and EXIM officials with delegated authority approve the transactions. Further, EXIM has provided certain lenders delegated authority to underwrite and approve these guarantees. EXIM underwrites long-term loans and loan guarantees greater than $10 million, and its Board of Directors approves the transactions."], "subsections": [{"section_title": "EXIM\u2019s Credit Authorizations", "paragraphs": ["As noted earlier, EXIM\u2019s authority to approve transactions lapsed from July 1, 2015, to December 4, 2015. Further, from July 20, 2015 to May 8, 2019, EXIM\u2019s Board of Directors lacked a quorum, and, as a result, EXIM was unable to approve transactions greater than $10 million. Consequently, EXIM\u2019s annual authorizations for loans, loan guarantees, and export credit insurance decreased from about $20 billion in 2014 to about $3 billion in 2018, a decrease of about 83 percent. See figure 2 for EXIM\u2019s total authorizations by type and length of term for 2014 through 2018."], "subsections": []}, {"section_title": "EXIM\u2019s Policies and Procedures for Extending Credit", "paragraphs": ["EXIM\u2019s Manual describes EXIM\u2019s underwriting policies and procedures for each of its products offered, including short-, medium-, and long-term loans and loan guarantees. The Manual describes the responsibilities of EXIM\u2019s divisions (e.g., Transportation, Structured and Project Finance, or Working Capital Finance) involved in the underwriting process.", "EXIM\u2019s Office of Board Authorized Finance is in the process of streamlining the Manual, which is over 1,400 pages. A goal of this process is to separate procedures from policies, thus allowing for policies and procedures to be continuously reviewed. An EXIM official told us that these steps should improve the agency\u2019s efficiency, transparency, and accountability. The underwriting sections of the Manual are tentatively scheduled for review in 2019."], "subsections": []}, {"section_title": "Overview of EXIM\u2019s Underwriting Process", "paragraphs": ["EXIM loan officers perform the underwriting for loans and long-term loan guarantees. The underwriting of medium-term or working capital loans guaranteed by EXIM is performed by either EXIM loan officers or qualified lenders with delegated authority, which allows the lender to authorize a loan that EXIM guarantees in accordance with agreed-upon underwriting requirements without first obtaining EXIM approval. When the underwriting and credit decision is delegated to approved lenders, EXIM does not perform the underwriting procedures.", "EXIM\u2019s underwriting process calls for thorough credit assessments by subject matter experts and loan officers. These assessments evaluate key transactional risks, such as the borrower\u2019s industry, competitive position, operating performance, liquidity position, leverage, and ability to service debt obligations. Frequently, credit enhancements are included in the structure of long-term financing (often in the form of collateral) in order to decrease the risk of a borrower default but also to increase the recovery in the event of a default. A risk rating is assigned to the transaction based on this evaluation which, in turn, determines the transaction fee that a borrower pays and assists in establishing the level of loss reserves EXIM must set aside. The credit assessments undergo multiple levels of internal review.", "All transactions of EXIM carry some risk; however, transactions approved through delegated authority lenders potentially carry a higher level of inherent risk because third-party financial institutions make the decisions. To mitigate the risk, EXIM reviews medium-term transactions approved by delegated authority lenders before the transactions are executed to assure compliance with EXIM\u2019s delegated authority lending policies. For working capital guarantee delegated authority, EXIM conducts periodic examinations of the lenders, reviewing ongoing transactions and lender compliance with the delegated authority program. The examinations are intended to identify lenders that are not satisfactorily managing the requirements of the delegated authority program.", "To mitigate the risk for its internal credit process, EXIM developed and documented underwriting processing steps from the time the application is received through the approval of the appropriate credit structure. These steps serve to (1) establish a framework for sound credit decisions, (2) communicate to EXIM employees the requirements governing the extension of credit, and (3) encourage documentation and the consistent application of EXIM\u2019s credit policies and procedures. According to EXIM officials, the underwriting process also serves as EXIM\u2019s primary method for preventing fraud because of the due diligence performed on the proposed transaction. Figure 3 summarizes EXIM\u2019s underwriting process.", "Application intake. When an application is initially received, it is screened for basic completeness, follow-up on incomplete or unacceptable applications is performed, and it is assigned to a processing division.", "Application screening. After an application is determined to be complete, it is assigned to the applicable EXIM division that oversees the applicable type of project. For example, an application for the purchase of an aircraft would be assigned to the Transportation Division. Once assigned, a loan officer in that division is to assess the eligibility of the transaction. To ensure compliance with laws and regulations, the loan officer is to obtain and assess various certifications from transaction participants. Loan officers are also required to submit the corporate and individual names and addresses of lenders, borrowers, guarantors, and other transaction participants to the EXIM Library. Library staff are then to conduct a Character, Reputational, and Transaction Integrity (CRTI) review\u2014a procedure designed to provide a level of due diligence over various risks and to help prevent fraud by checking loan participants\u2019 information against 28 databases.", "Risk assessment and due diligence. Once the transaction is considered minimally eligible for EXIM support, the loan officer is required to perform a series of due diligence activities to determine (1) whether the transaction provides a reasonable assurance of repayment, (2) any potential material issues regarding the transaction or the participants that would preclude EXIM support, and (3) the appropriate risk level and pricing for the transaction. As part of the financial evaluation of the transaction, the loan officer is required to obtain and analyze the borrower\u2019s financial statements, credit reports or rating agency reports, financial projections, and other relevant information. As applicable, the loan officer is required to obtain input from other EXIM staff, such as attorneys or engineers, to conclude on the legal, technical, economic, or environmental risks of the transaction. Based on this due diligence, the loan officer is to assess the transaction for risk and assign an overall risk rating. This rating is used to calculate the exposure fee EXIM will charge the borrower for guaranteeing the transaction. Greater perceived risks result in higher fees.", "Credit structure. After the risk assessment and due diligence is performed, the loan officer determines the financing terms and conditions to be recommended. The loan officer is generally required to structure the transaction to include a security interest (collateral) in the financed goods or other assets of the borrower. If it is determined that collateral is not necessary, the loan officer is to document the explanation and mitigating factors (e.g., EXIM support is small relative to a borrower\u2019s size). For all aircraft transactions, the loan officer is required to perform an assessment and loan-to-value analysis of the collateral, and the financing terms must include requirements for the borrower to maintain ownership and condition of the collateral.", "Credit decision. The loan officer is to document the due diligence in a credit or board memo, which includes the loan officer\u2019s recommendation to approve or decline the transaction. These memos and applicable supporting documentation are then to be forwarded to the approving party. The credit memo applicable to working capital or medium-term transactions is to be provided to EXIM officials with individual delegated authority to approve transactions of $10 million and less. Board memos for long-term transactions or transactions greater than $10 million are to be provided to the EXIM Board of Directors for approval. From July 2015 to May 2019, EXIM lacked a quorum on its Board of Directors, and as a result, EXIM was unable to approve new transactions greater than $10 million."], "subsections": []}, {"section_title": "Management of Federal Credit Programs", "paragraphs": ["Government-wide guidance for federal agencies to follow for the management and operation of federal credit programs, such as loan and loan guarantee programs, include the following:", "OMB Circular A-129, Policies for Federal Credit Programs and Non- Tax Receivables, revised in January 2013, describes policies and procedures for designing and managing federal credit programs. The guidance addresses various standards for applicant screening, loan documentation, collateral requirements, determining and monitoring lender and servicer eligibility, and lender and borrower stake in full repayment. In addition, it details risk sharing practices that agencies should follow, such as ensuring that lenders and borrowers who participate in federal credit programs have a substantial stake in full repayment in accordance with the loan contract.", "Treasury\u2019s Bureau of the Fiscal Service\u2019s Managing Federal Receivables provides federal agencies with an overview of standards, guidance, and procedures for successful management of credit activities, including screening applicants for creditworthiness and financial responsibility, and managing, processing, evaluating and documenting loan applications and awards for loan assistance. Furthermore, it details how federal agencies should manage lenders and servicers that participate in federally insured guaranteed loan programs."], "subsections": []}]}, {"section_title": "EXIM\u2019s Process for Updating Its Underwriting Policies and Procedures Was Properly Designed and Implemented", "paragraphs": ["We found that EXIM\u2019s process for updating its underwriting policies and procedures was properly designed and implemented. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Management\u2019s design of internal control establishes and communicates the who, what, when, where, and why of internal control execution to personnel. Management should clearly document internal control in a manner that allows the documentation to be readily available and properly managed and maintained. Further, management should also implement control activities through policies and periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks.", "Underwriting policies and procedures are documented in EXIM\u2019s Manual, which consists of 26 chapters, covering various topics by product (e.g., long-term loans and loan guarantees) or process (e.g., application intake or credit structure). We found that the Manual provides EXIM\u2019s divisions involved in the underwriting process with direction and guidance for making credit decisions and is to be updated at least annually, except for material changes, which are required to be incorporated as soon as possible. The Credit Policy Division (Credit Policy) maintains and manages the process for updating of the Manual and relies on EXIM\u2019s divisions for additions, updates, and revisions to it.", "Credit Policy maintains an assignment list of the primary officer, the primary reviewer, and the Office of General Counsel (OGC) reviewer, who are responsible for each chapter in the Manual. Each year, the process calls for Credit Policy to send an email to the primary officer and two reviewers assigned to each chapter. This communication requests that the officer review the assigned chapters for any needed changes. After the assigned officer has reviewed the chapter, if there are no contemplated changes, the primary officer assigned to the chapter is required to notify Credit Policy of this determination by email with the concurrence of the respective primary and OGC reviewers. If changes are needed, the assigned officer is required to provide the updated chapter to Credit Policy by email with the concurrence of the primary and OGC reviewers.", "According to EXIM\u2019s process, when material changes to the Manual are needed, the necessary revisions do not wait for the annual update. Instead, the responsible division is required to incorporate such changes into the applicable chapter(s) of the Manual and submit them to Credit Policy as soon as possible. EXIM officials stated that examples of material changes that would be addressed immediately include recommendations from oversight bodies, such as the EXIM OIG or GAO, and changes resulting from legislative actions, such as updates to EXIM\u2019s charter or changes in compliance procedures related to sanctions."], "subsections": []}, {"section_title": "EXIM\u2019s Underwriting Policies and Procedures Were Mostly Consistent with Federal Guidance, but Could Be Enhanced", "paragraphs": ["The underwriting policies and procedures in EXIM\u2019s Manual for its loan and loan guarantee transactions were mostly consistent with OMB and Treasury guidance for managing federal credit programs. We evaluated these policies and procedures for (1) applicant screening, (2) loan documentation, (3) collateral requirements, (4) lender and servicer eligibility, and (5) risk sharing practices. As shown in table 1, EXIM\u2019s underwriting policies and procedures for the loan and loan guarantee programs were consistent with 12 of 15 applicable standards for managing federal credit programs and were partially consistent with three. Three other standards were not applicable to EXIM\u2019s underwriting."], "subsections": [{"section_title": "EXIM\u2019s Policies and Procedures Were Consistent with Federal Guidance Related to Applicant Screening", "paragraphs": ["Applicant screening refers to determining an applicant\u2019s eligibility and creditworthiness for a loan or loan guarantee. Federal guidance for applicant screening includes specific standards related to the applicant\u2019s (1) program eligibility, (2) delinquency on federal debt, (3) creditworthiness, (4) delinquent child support, and (5) taxpayer identification number (TIN). As shown in table 2, EXIM\u2019s underwriting policies and procedures were consistent with federal guidance for applicant screening.", "For all loan and loan guarantee applications, EXIM requires applicants to provide identifying information, such as name, address, phone number, and Dun & Bradstreet Data Universal Numbering System (DUNS) number. Applicants are also required to provide relevant financial information, such as income, assets, cash flows, liabilities, financial statements, and credit reports.", "EXIM\u2019s underwriting process requires screening of applicants for eligibility, which is partly completed through the CRTI review. As part of the CRTI review, EXIM screens the corporate and individual names and addresses of lenders, borrowers, guarantors, and other transaction participants against 28 databases that include various U.S. government and international debarment and sanctions lists for red flags. If a match is identified, EXIM\u2019s Credit Review and Compliance Division works with the loan officers to determine the legitimacy of the match and, as necessary, works with OGC to determine what additional due diligence measures may be required and whether to continue the underwriting process.", "In addition to the CRTI review process, loan officers must obtain and use credit reports to assess creditworthiness and identify whether transaction applicants are delinquent on federal tax or nontax debts, including judgment liens against property for a debt to the federal government, and are therefore not eligible to receive federal loans and loan guarantees. EXIM\u2019s policies and procedures contain instructions to suspend application processing and contact OGC for further guidance upon finding federal debt delinquencies or other insufficient or negative information on applicant credit reports. Loan officers must document any issues encountered on applicant credit reports and explain why a transaction is creditworthy if they recommend it for approval.", "Lastly, OMB Circular A-129 requires agencies to obtain the TIN of all persons doing business with the agency. The working capital guarantee application form requests the TIN for transaction applicants, which an EXIM official stated are used to obtain applicant credit reports. EXIM does not require the TIN for medium- and long-term applications. EXIM officials stated that applicants for medium- and long-term transactions are likely foreign entities and thus would not have federal TINs. However, all applications request the DUNS number which EXIM must use to perform the credit review and CRTI due diligence procedures."], "subsections": []}, {"section_title": "EXIM\u2019s Policies and Procedures Were Consistent with Federal Guidance Related to Loan Documentation", "paragraphs": ["Federal guidance calls for the maintenance of loan files containing key information used in loan underwriting. As shown in table 3, EXIM\u2019s underwriting policies and procedures were consistent with the federal guidance related to loan documentation.", "EXIM\u2019s underwriting policies and procedures state that loan officers must maintain a loan file on the transaction applicant and other participants, which includes the completed application, credit bureau reports, credit analysis, certifications, verifications and other legal documents, and loan or service agreements with the debtor, as appropriate. EXIM\u2019s process calls for obtaining debt collection certification statements for the working capital guarantee applications because the applicants are domestic entities. While the debt collection certification statement is not applicable for medium- and long-term applications, because the applicants are foreign entities, EXIM\u2019s executed credit agreements and promissory notes define the terms of the transactions, including defaults and the remedies EXIM may take, such as declaring default and accelerating debt repayment, and pursuing restructuring or recovery actions, including possible litigation."], "subsections": []}, {"section_title": "EXIM\u2019s Policies and Procedures Were Consistent with Federal Guidance Related to Collateral", "paragraphs": ["Collateral refers to the assets used to secure a loan. For many types of loans, the government can reduce its risk of default and potential losses through well-managed collateral requirements. However, several of the collateral requirements contained in federal guidance relate specifically to real property. Since EXIM\u2019s mission is to support U.S. exports, it does not finance real property and, accordingly, does not accept real property as the primary collateral. As a result, three of the four federal guidance standards were not applicable to EXIM\u2019s underwriting. As shown in table 4, EXIM\u2019s underwriting policies and procedures were consistent with the applicable federal guidance related to collateral.", "EXIM\u2019s underwriting policies and procedures state that it should have a security interest in the financed export items. The loan officer and a transaction engineer will evaluate the export sales contracts, and this evaluation will be used as the assessment of collateral for the transaction. If using the financed export items as collateral is not possible, the loan officer should secure the EXIM financing with other assets owned by the primary source of repayment that are at least of comparable value to the financed items. Collateral that could be considered includes fixed assets, inventory, accounts receivable, or a third-party guarantee.", "While OMB Circular A-129 requires a real property appraisal and contains specific criteria defining acceptable appraisals, the standard was not applicable to EXIM\u2019s loans and loan guarantees. According to EXIM officials, EXIM rarely takes real property as collateral because the primary collateral for EXIM\u2019s transactions is the asset financed, and EXIM does not finance real property. Further, EXIM officials stated that the U.S. appraisal standards cannot be applied to foreign real property. However, if real property is taken as collateral, it would be as secondary or additional collateral. When EXIM accepts real property as additional collateral for a transaction, EXIM officials stated that an independent third-party appraisal in accordance with regional practices is obtained."], "subsections": []}, {"section_title": "EXIM\u2019s Policies and Procedures Were Not Fully Consistent with Federal Guidance Related to Lender and Servicer Eligibility", "paragraphs": ["Federal guidance calls for policies and procedures related to lender and servicer eligibility, monitoring, and recertification. As shown in table 5, EXIM\u2019s policies and procedures were consistent with three and partially consistent with two of five federal standards for lender and servicer eligibility.", "OMB Circular A-129 calls for agencies to establish specific procedures to continuously review lender and servicer eligibility and decertify lenders and servicers that fail to meet the agency\u2019s standards for continued participation. EXIM\u2019s policies and procedures related to requirements for working capital guarantee delegated authority lenders were consistent with federal guidance.", "However, for medium-term delegated authority lenders, EXIM has not established documented policies and procedures for (1) determining their eligibility for continued participation in the program and (2) decertifying or taking other appropriate actions for those that do not meet compliance or eligibility standards. EXIM officials told us that currently EXIM has only three medium-term delegated authority lenders: two were renewed for continued participation and one became inactive in 2018. Further, according to EXIM officials, since 2009 only 2.3 percent of all medium- term guarantee authorizations have been delegated authority authorizations ($71 million out of $3.1 billion).", "EXIM reviews the performance of its primary medium-term lenders quarterly. In these reviews, EXIM officials evaluate the lenders\u2019 portfolio performance, underwriting capabilities, and a set of qualitative factors. However, without documented policies and procedures for determining the eligibility of the medium-term delegated authority lenders\u2019 continued participation in the program and for decertifying such lenders, as appropriate, EXIM may allow lenders who are not qualified to underwrite transactions, thus increasing the risk for improper underwriting and defaults. EXIM officials stated that they are in the process of updating and enhancing the Manual and will include procedures for medium-term delegated authority lender reviews and the consequences of an unfavorable assessment."], "subsections": []}, {"section_title": "EXIM\u2019s Policies and Procedures Were Not Fully Consistent with Federal Guidance Related to Risk Sharing Practices", "paragraphs": ["OMB Circular A-129 calls for lenders and borrowers who participate in federal credit programs to have a substantial stake in full repayment but also states that the level of guarantee should be no more than necessary to achieve program purposes. As shown in table 6, EXIM\u2019s underwriting policies and procedures were generally consistent with the federal guidance related to certain risk sharing practices for lenders and borrowers to have a stake in full repayment and were partially consistent with the federal guidance related to periodic program reviews.", "Although OMB Circular A-129 calls for lenders who extend credit to have substantial stake in full repayment and bear at least 20 percent of any loss from a default, it also states that the level of guarantee should be no more than necessary to achieve program purposes. However, consistent with its charter, EXIM is authorized to provide terms that are competitive with those of other ECAs, such as up to 100 percent loan guarantee coverage. EXIM does not require lenders to bear 20 percent of the risk of default. For working capital guarantees, EXIM offers 90 percent guarantee coverage and lenders retain 10 percent risk. For medium- and long-term loan guarantees, EXIM provides up to 85 percent financing with the remaining 15 percent paid by the borrower or financed separately. EXIM financing could be less than 85 percent depending on the U.S. content. According to EXIM, guaranteeing 100 percent of the amount it finances permits it to explore capital markets and is more desirable to banks for large and long-term projects. As a result, the lender may not retain any risk of default in the transaction. According to an OECD official, guaranteeing 100 percent of the financed amount is consistent with other ECAs. For example, the ECAs of Canada, Germany, and the United Kingdom also provide guarantees up to 100 percent of the financed amount on certain products.", "OMB Circular A-129 states that borrowers should have equity interest in assets financed with credit assistance and substantial capital or equity at risk in their business. However, consistent with its charter, EXIM is authorized to provide terms that are competitive with those of other ECAs. EXIM does not specifically require borrowers to have an equity interest in the transaction or to contribute the minimum cash payment. EXIM\u2019s policies and procedures state that in practice, buyers often secure alternative financing for the cash payment, which is permissible as long as the financing is not officially supported by EXIM or another U.S. government agency. EXIM officials noted that during the analysis of creditworthiness, loan officers examine supporting documents for the alternative financing to assure that it is not guaranteed by EXIM or another U.S. government agency.", "OMB Circular A-129 states that the agency should periodically review programs in which the government bears more than 80 percent of any loss. The review is intended to evaluate the extent to which credit programs achieve intended objectives and whether the private sector has become able to bear a greater share of the risk. EXIM officials stated that EXIM performs program reviews through annual budget justifications submitted to OMB and annual competitiveness reports submitted to Congress. EXIM officials also stated that there are established timelines for preparing these reviews that must be followed to ensure that EXIM meets deadlines for submitting its budget documentation and the June 30 deadline for the annual competitiveness report. In addition, EXIM employs a detailed summary of the products and terms that other countries\u2019 official ECAs offer. However, EXIM does not have documented policies or procedures related to performing periodic program reviews. As a result, EXIM runs the risk that it will not effectively review its programs to determine whether the private sector could bear a greater share of the risk."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["EXIM\u2019s Manual provides a framework for making credit decisions so that only qualified applicants that demonstrate reasonable assurance of repayment are provided loans or loan guarantees. This framework helps ensure consistent application of procedures for assessing an applicant\u2019s creditworthiness and for overseeing certain delegated authority lenders. However, EXIM\u2019s underwriting process could be improved by additional procedures. For example, the Manual did not address medium-term delegated authority lenders\u2019 eligibility requirements for continued participation and decertification procedures for lenders who fail to meet agency\u2019s standards. Further, EXIM has not documented its process for periodic program reviews to determine whether the private sector could bear a greater share of the risk. Improvements in these areas could help enhance the oversight of lenders and the usefulness of program reviews."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to EXIM:", "The Chief Operating Officer of EXIM should consider establishing documented policies and procedures for (1) determining medium-term delegated authority lenders\u2019 eligibility for continued participation in EXIM\u2019s programs and (2) decertifying or taking other appropriate actions for such lenders that do not meet compliance or eligibility standards. (Recommendation 1)", "The Chief Operating Officer of EXIM should establish documented policies and procedures for periodically reviewing credit programs in which the government bears more than 80 percent of any loss to determine whether private sector lenders should bear a greater share of the risk. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to EXIM for review and comment. In written comments on a draft of this report, which are reproduced in appendix II, EXIM concurred with our two recommendations. EXIM also provided technical comments that we incorporated into the final report, as appropriate.", "In its written comments, EXIM described planned actions to address our recommendations. Specifically, EXIM stated that it will consider establishing documented policies and procedures for determining medium-term delegated authority lenders' eligibility for continued participation in EXIM's programs and decertifying or taking other appropriate actions for such lenders that do not meet compliance or eligibility standards. Further, EXIM will establish documented policies and procedures for periodically reviewing credit programs in which the government bears more than 80 percent of any loss to determine whether private sector lenders should bear a greater share of the risk. If implemented effectively, EXIM\u2019s planned actions should address the intent of our recommendations.", "We are sending copies of this report to appropriate congressional committees, the Chairman of the Export-Import Bank, and the EXIM Inspector General. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3133 or dalkinj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the extent to which Export-Import Bank\u2019s (EXIM) (1) process for updating its underwriting policies and procedures is properly designed and implemented and (2) underwriting policies and procedures for loan and loan guarantee transactions are consistent with guidance for managing federal credit programs.", "To assess the extent to which EXIM\u2019s process for updating its underwriting policies and procedures was properly designed and implemented, we reviewed EXIM\u2019s policies and procedures for updating its Loan, Guarantee and Insurance Manual (Manual) and interviewed EXIM officials. We assessed EXIM\u2019s process to determine whether it sufficiently communicated the procedures to be performed and documentation to be prepared and was consistent with Standards for Internal Control in the Federal Government. We did not evaluate EXIM\u2019s compliance with its process for updating its underwriting policies and procedures or assess their operating effectiveness.", "To assess the extent to which EXIM\u2019s underwriting policies and procedures for loan and loan guarantee transactions were consistent with guidance for managing federal credit programs, we reviewed relevant requirements and guidance, including the Office of Management and Budget\u2019s (OMB) Circular A-129, Policies for Federal Credit Programs and Non-Tax Receivables, and the Department of the Treasury\u2019s Bureau of the Fiscal Service\u2019s Managing Federal Receivables: A Guide for Managing Loans and Administrative Debt.", "Specifically, we focused on OMB Circular A-129\u2019s Section II (C)(1)(a) through (c), Section III (A)(1) through (3), and Section III (C)(1)(a) through (e)), which contain standards pertinent to risk management for loan and loan guarantee programs, including standards for (1) applicant screening (program eligibility, delinquency on federal debt, creditworthiness, delinquent child support, and taxpayer identification number); (2) loan documentation; (3) collateral (appraisal of real property, loan-to-value ratio, liquidation of real property collateral, and asset management standards and systems for real property disposal); (4) lender and servicer eligibility (participation criteria, review of eligibility, fees, decertification, and loan servicers); and (5) risk sharing practices (private lenders stake in full repayment, borrowers stake in full repayment, and program reviews). From the Bureau of the Fiscal Service\u2019s Managing Federal Receivables, we identified key guidance related to credit extension (ch. 3) and management of guaranteed lenders and servicers (ch. 5).", "We reviewed EXIM\u2019s policies and procedures related to underwriting for the loan and loan guarantee programs contained in its Manual and other documentation, such as its charter. We also discussed EXIM\u2019s policies and procedures related to underwriting with EXIM officials. We compared EXIM\u2019s underwriting processes to federal guidance for managing federal credit programs. As part of this comparison, we assessed whether policies and procedures included in EXIM\u2019s Manual were consistent with federal guidance. However, because of EXIM\u2019s limited lending authority during the period of our audit, we did not verify EXIM\u2019s compliance with its underwriting policies and procedures or assess their operating effectiveness. In areas where we found EXIM\u2019s policies and procedures to be consistent with federal guidance, there may still be opportunities to improve operating effectiveness. Further, guidance for managing federal credit programs includes additional requirements not related to underwriting, which we did not assess.", "In addition, we reviewed EXIM\u2019s Office of Inspector General (OIG) reports since 2014 related to underwriting issues, various laws applicable to EXIM, and GAO reports related to EXIM. We also reviewed EXIM\u2019s annual reports and competitiveness reports. We also discussed EXIM underwriting process with EXIM OIG officials and export credit financing and risk sharing practices with an official from the Organisation for Economic Co-operation and Development.", "We conducted this performance audit from January 2017 to May 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Export- Import Bank of the United States", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia Carlsen (Assistant Director), Dragan Matic (Analyst in Charge), Sarah Lisk, Erika Szatmari, and Jingxiong Wu made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Export-Import Bank helps finance U.S. companies' exports when private lenders are unable or unwilling to do so. The Bank is backed by the U.S. government\u2014so taxpayers could be responsible for financial losses.", "We reviewed the Bank's process to approve financing for exports and found that it appropriately assesses applicants' creditworthiness prior to approval. However, the Bank could improve how it oversees certain lenders authorized to make loans it guarantees, and how it conducts periodic program reviews.", "We made two recommendations to enhance these processes."]} {"id": "GAO-18-15", "url": "https://www.gao.gov/products/GAO-18-15", "title": "Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm", "published_date": "2017-10-06T00:00:00", "released_date": "2017-11-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Misuse of prescription opioids can lead to overdose and death. In 2016, over 14 million Medicare Part D beneficiaries received opioid prescriptions, and spending for opioids was almost $4.1 billion. GAO and others have reported on inappropriate activities and risks associated with these prescriptions, such as receiving multiple opioid prescriptions from different providers.", "GAO was asked to describe what is known about CMS\u2019s oversight of Medicare Part D opioid use and prescribing. This report examines (1) CMS oversight of beneficiaries who receive opioid prescriptions under Part D, and (2) CMS oversight of providers who prescribe opioids to Medicare Part D beneficiaries.GAO reviewed CMS opioid utilization and prescriber data, CMS guidance for plan sponsors, and CMS\u2019s strategy to prevent opioid misuse. GAO also interviewed CMS officials, the six largest Part D plan sponsors, and 12 national associations selected to represent insurance plans, pharmacy benefit managers, physicians, patients, and regulatory and law enforcement authorities."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS) provides guidance on the monitoring of Medicare beneficiaries who receive opioid prescriptions to plan sponsors\u2014private organizations that implement the Medicare drug benefit, Part D\u2014but lacks information on most beneficiaries at risk of harm.", "CMS provides plan sponsors guidance on how they should monitor opioid overutilization among Medicare Part D beneficiaries and requires them to implement drug utilization review systems that use criteria similar to CMS's. CMS's criteria focus on beneficiaries who (1) receive prescriptions of high doses of opioids, (2) receive prescriptions from four or more providers, and (3) fill the prescriptions at four or more pharmacies. According to CMS officials, this approach allows plan sponsors to focus their actions on those beneficiaries it determined to have the highest risk of harm from opioid use.", "CMS\u2019s criteria, including recent revisions, do not provide sufficient information about the larger population of potentially at-risk beneficiaries. CMS estimates that while 33,223 beneficiaries would have met the revised criteria in 2015, 727,016 would have received high doses of opioids regardless of the number of providers or pharmacies. In 2016, CMS began to collect information on some of these beneficiaries using a higher dosage threshold for opioid use. This approach misses some who could be at risk of harm, based on Centers for Disease Control and Prevention guidelines. As a result, CMS is limited in its ability to assess progress toward meeting the broader goals of its Opioid Misuse Strategy, which includes activities to reduce the risk of harm from opioid use.", "CMS Estimates of 2015 Part D Beneficiaries with High Opioid Doses and Those Who Would Have Met Revised Overutilization Monitoring Criteria", "CMS oversees the prescribing of drugs at high risk of abuse through a variety of projects, but does not analyze data specifically on opioids. According to CMS officials, CMS and plan sponsors identify providers who prescribe large amounts of drugs with a high risk of abuse, and those suspected of fraud or abuse may be referred to law enforcement. However, GAO found that CMS does not identify providers who may be inappropriately prescribing large amounts of opioids separately from other drugs, and does not require plan sponsors to report actions they take when they identify such providers. As a result, CMS is lacking information that it could use to assess how opioid prescribing patterns are changing over time, and whether its efforts to reduce harm are effective."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS (1) gather information on the full number of at-risk beneficiaries receiving high doses of opioids, (2) identify providers who prescribe high amounts of opioids, and (3) require plan sponsors to report to CMS on actions related to providers who inappropriately prescribe opioids. HHS concurred with the first two recommendations, but not with the third. GAO continues to believe the recommendation is valid, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Misuse of prescription opioids, which are used to treat both acute and chronic pain, has become a serious public health problem for the U.S. population, including Medicare beneficiaries. The Centers for Disease Control and Prevention (CDC) reported that from 1999 to 2013 the rate of drug poisoning deaths from prescription opioids nearly quadrupled from 1.4 to 5.1 per 100,000 people. In addition, the Department of Health and Human Services (HHS) Office of Inspector General (HHS-OIG) reported that 14.4 million people (about one-third) who participate in Medicare Part D received at least one prescription for opioids in 2016, and that Part D spending for opioids in 2016 was almost $4.1 billion. GAO and the HHS- OIG have previously reported on inappropriate activities that can be associated with such prescriptions, including \u201cdoctor shopping\u201d to receive multiple opioid prescriptions from different providers, the diversion of prescription drugs for uses other than intended, and questionable prescribing practices, including those in Medicare. Additionally, a staff report issued in 2016 by the Senate Permanent Subcommittee on Investigations outlined concerns associated with opioid abuse in both Medicare and private health insurance.", "In March 2015, HHS announced plans to make addressing opioid abuse a high priority through two broad goals: (1) decreasing opioid overdoses and overall overdose deaths, and (2) decreasing the prevalence of opioid use disorder. Further, in January 2017, the Centers for Medicare & Medicaid Services (CMS), the HHS agency that administers Medicare, issued its Opioid Misuse Strategy for the Medicaid and Medicare programs, including Part D. One of the four priority areas outlined in the strategy is implementing activities to reduce the risk of opioid use disorders, overdoses, inappropriate prescribing, and drug diversion. For this priority, the strategy includes the agency\u2019s plans to address concerns about beneficiary use of opioids and the prescribing of opioids by providers, such as educating and providing feedback to beneficiaries and providers concerning effective pain management and appropriate opioid prescribing, as well as use of evidence-based prescribing guidelines. The strategy also outlines attempts to identify providers with a high risk of fraud, waste, and abuse in prescribing opioids and other drugs. CMS contracts with the National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC) to monitor and analyze data to detect potential fraud, waste, and abuse, and to investigate such potential fraud, waste, and abuse in Medicare Parts C and D, among other activities.", "You asked us for information on CMS\u2019s activities related to reducing the misuse and overprescribing of opioids. We examined 1. how CMS oversees beneficiaries who receive opioid prescriptions under Medicare Part D, and 2. how CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries.", "To examine CMS oversight of beneficiaries who receive opioid prescriptions under Medicare Part D, we analyzed CMS documents, such as CMS\u2019s Opioid Misuse Strategy as well as letters, guidance, and other documents on the operation of the Part D program; and CMS data about the number of beneficiaries at risk of opioid overutilization. We also reviewed CDC guidelines for prescribing opioids. Further, we interviewed CMS officials involved in these efforts. This information helped us understand CMS procedures for identifying beneficiaries at risk of overuse of opioids, as well as to assess trends in such use. We also interviewed plan sponsors\u2014private organizations under contract with CMS that provide the Part D drug benefit to Medicare beneficiaries\u2014 about their oversight role and the compliance programs they operate to safeguard the Part D program from fraud, waste, and abuse. In addition, we interviewed other stakeholders involved in opioid use and prescribing, including organizations that represent providers, pharmacies, beneficiaries, and others to further understand issues related to opioid use.", "To examine CMS oversight of providers who prescribe opioids to Medicare Part D beneficiaries, we analyzed CMS and NBI MEDIC documents, such as Part D program guidance, and documents sent to plan sponsors about opioid prescribing patterns, as well as data about providers who prescribe a large amount of opioids. We also interviewed CMS officials and officials from NBI MEDIC about monitoring opioid prescribing. We used this information to understand CMS\u2019s and NBI MEDIC\u2019s procedures for identifying and addressing opioid overprescribing. We also interviewed the same plan sponsors and stakeholders identified above about issues related to opioid prescribing and CMS\u2019s role in addressing opioid overprescribing.", "For both objectives, we compared the information we collected to CMS\u2019s stated goals and relevant federal internal control standards. We assessed the reliability of CMS and NBI MEDIC data by reviewing documents for potential inconsistencies and discussing the methodologies used to gather the data with officials from both CMS and NBI MEDIC. We determined that these data were sufficiently reliable for the purposes of our objectives.", "We conducted this performance audit from October 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Opioids, such as hydrocodone, oxycodone, morphine, and methadone, can be prescribed to treat both acute and chronic pain. Because many opioids have a high potential for abuse and may lead to severe psychological or physical dependence, many of them are classified as Schedule II drugs under the Controlled Substances Act. The abuse of opioids has been associated with serious consequences, including addiction, overdose, and death."], "subsections": [{"section_title": "Responsibilities of Medicare Part D Plan Sponsors, CMS, and NBI MEDIC", "paragraphs": ["Medicare Part D plan sponsors are private organizations, such as health insurance companies and pharmacy benefit managers, contracted by CMS to provide outpatient drug benefit plans to Medicare beneficiaries. CMS provides guidance to plan sponsors that are responsible for establishing reasonable and appropriate drug utilization review (DUR) programs that assist in preventing misuse of prescribed medications in general, including the unsafe use of opioid pain medications. In 2013, CMS implemented the Medicare Part D opioid overutilization policy intended to improve medication safety. Through the Overutilization Monitoring System (OMS), CMS seeks to ensure that plan sponsors establish reasonable and appropriate DUR programs to prevent overutilization of opioids. CMS uses criteria in the OMS to identify high- risk use of opioids. Plan sponsors may, but are not required to, use these guidelines as part of their DUR.", "CMS\u2019s Center for Program Integrity (CPI) oversees Part D program integrity and coordinates with other parts of CMS that monitor plan sponsor compliance with the Part D program. CPI has primary responsibility for overseeing NBI MEDIC, which is responsible for identifying and investigating potential Part D fraud, waste, and abuse, in general. NBI MEDIC handles complaints from beneficiaries and others, as well as requests from law enforcement; investigates providers and refers them to law enforcement as appropriate; and analyzes Part D program prescription drug event records and other data to identify patterns that may indicate fraud, waste, or abuse. NBI MEDIC\u2019s responsibilities are for all Part D drugs and are not opioid-specific."], "subsections": []}, {"section_title": "Drug Diversion", "paragraphs": ["One concern associated with prescribed opioids is their diversion\u2014that is, the redirection of prescription drugs for an illegal purpose such as recreational use or resale. Diversion can include selling prescription drugs that were obtained legally, transferring a legitimately prescribed opioid to family or friends who may be trying to self-medicate, or pretending to be in pain to obtain a prescription opioid due to an addiction. It is often associated with \u201cdoctor shopping,\u201d the attempt to obtain large amounts of opioids through multiple providers, or from multiple pharmacies. Doctor shopping can be used to help support an individual\u2019s addiction or to obtain opioids for resale on the black market. Drug diversion can also include illicit prescribing, whereby providers\u2014commonly known as \u201cpill mills\u201d\u2014write unnecessary prescriptions or prescribe larger quantities than are medically necessary. Opioids are among the drugs with the highest potential for drug diversion."], "subsections": []}, {"section_title": "CDC Guidelines for Prescribing Opioids", "paragraphs": ["In 2016, CDC issued guidelines with recommendations for prescribing opioids in outpatient settings for chronic pain, based on consultation with experts and a review of scientific evidence. CDC noted in the guidelines that primary care physicians have reported concerns about opioid misuse and addiction, and find managing patients with chronic pain a challenge, possibly because of insufficient training in prescribing opioids. According to the guidelines, most experts agreed that long-term opioid dosage of 50 milligrams (mg) morphine equivalent dose (MED) per day or more generally increases overdose risk without necessarily adding benefits for pain control or function. Experts also noted that daily opioid dosages close to or greater than 100 mg MED per day are associated with significant risks. The guidelines therefore recommended that providers use caution when prescribing opioids at any dose, carefully reassess evidence of individual benefits and risks when increasing the dosage to 50 mg MED per day or more, and either avoid or carefully justify dosage at 90 mg MED or more. In making these recommendations, CDC noted that there is not a dosage threshold below which the risk of overdose is eliminated, but found that dosages less than 50 mg MED would reduce the risk for a large portion of patients. CDC also noted that providers should use additional caution in prescribing opioids to patients aged 65 and older, because the drugs can accumulate in the body to toxic levels."], "subsections": []}]}, {"section_title": "CMS Delegates Monitoring of Beneficiaries who Receive Opioid Prescriptions to Plan Sponsors, but Does Not Have Sufficient Information on Most Beneficiaries at Risk for Harm CMS Delegates Monitoring of Individual Beneficiaries\u2019 Opioid Prescriptions to Plan Sponsors", "paragraphs": ["CMS provides guidance to plan sponsors on how they should monitor opioid overutilization problems among Part D beneficiaries. The agency includes this guidance in its annual letters to plan sponsors, known as call letters; it also provided a supplemental memo to plan sponsors in 2012. Among other things, these guidance documents instructed plan sponsors to implement a retrospective drug utilization review (DUR) system to monitor beneficiary utilization starting in 2013. As part of the DUR systems, CMS requires plan sponsors to have methods to identify beneficiaries who are potentially overusing specific drugs or groups of drugs, including opioids.", "Also in 2013, CMS created the Overutilization Monitoring System (OMS), which outlines criteria to identify beneficiaries with high-risk use of opioids and to oversee sponsors\u2019 compliance with CMS\u2019s opioid overutilization policy. Plan sponsors may use the OMS criteria for their DUR systems, but they have some flexibility to develop their own targeting criteria, within CMS guidance. The OMS considers beneficiaries to be at a high risk of opioid overuse when they meet all three of the following criteria: (1) receive a total daily MED greater than 120 mg for 90 consecutive days, (2) receive opioids prescriptions from four or more providers in the previous 12 months, and (3) receive opioids from four or more pharmacies in the previous 12 months. The criteria exclude beneficiaries with a cancer diagnosis and those in hospice care, for whom higher doses of opioids may be appropriate.", "Officials from all six plan sponsors we interviewed confirmed they have a DUR system that specifically looks at opioids. In addition, to be consistent with CMS, all of the plan sponsors adopted criteria similar to the OMS, with some minor modifications\u2014typically involving the number of months in which they measured beneficiaries\u2019 opioid prescriptions.", "Through the OMS, CMS generates quarterly reports that list beneficiaries who meet all of the criteria and who are identified as high-risk and then distributes the reports to the plan sponsors. Plan sponsors are expected to review the list of identified beneficiaries, determine appropriate action, and then respond to CMS with information on their actions within 30 days. According to CMS officials, the agency also expects that plan sponsors will share any information with CMS on beneficiaries that they identify through their own DUR systems. Some actions plan sponsors may take include", "Case management. After plan sponsors identify beneficiaries with patterns of inappropriate opioid use and possible coordination of care issues through their DUR analysis, they may conduct case management. Case management may include an attempt to improve coordination issues, and often involves provider outreach, whereby the plan sponsor will contact the providers associated with the beneficiary to let them know that the beneficiary is receiving high levels of opioids and may be at risk of harm. In addition to outreach, officials from two of the six plan sponsors we interviewed told us they focus on provider education and one plan sponsor said they may direct the providers to the CDC guidelines or other information to help reduce overutilization. Officials from two plan sponsors reported that they also reach out to beneficiaries to let them know they are receiving high levels of opioids and may be at risk of harm.", "Beneficiary-specific point-of-sale (POS) edits. When plan sponsors determine that a beneficiary is at risk for opioid harm, they may choose to implement a beneficiary-specific POS edit to prevent overutilization. Beneficiary-specific POS edits are restrictions that limit these beneficiaries to certain opioids and amounts. Pharmacists receive a message when a beneficiary attempts to fill a prescription that exceeds the limit in place for that beneficiary. CMS expects plan sponsors to report on the POS edits they use through CMS\u2019s Medicare Advantage and Prescription Drug System for information sharing and monitoring purposes. That way, if a beneficiary changes plans, the new plan sponsor will receive an alert about the beneficiary\u2019s record of POS edits. From February 2014 through March 10, 2016, there were 2,693 POS edits reported in that system for 2,520 beneficiaries.", "Formulary-level POS edits. CMS expects plan sponsors to use formulary-level POS edits to prospectively prevent opioid overutilization. These edits alert providers who may not have been aware that their patients are receiving high levels of opioids from other doctors. CMS recommends these formulary-level edits to be used when a beneficiary has a cumulative opioid MED of at least 90 mg.", "Referrals for investigation. According to the six plan sponsors we interviewed, the referrals can be made to NBI MEDIC or to the plan sponsor\u2019s own internal investigative unit, if they have one. After investigating a particular case, if a plan sponsor or NBI MEDIC determines that a beneficiary is suspected of diverting opioids, they may refer the case to the HHS-OIG, or a law enforcement agency, according to CMS, NBI MEDIC, and one plan sponsor.", "Pharmacy lock-ins. Beginning in 2019, Medicare Part D plan sponsors will be able to restrict certain beneficiaries identified as at- risk for prescription drug abuse to a single pharmacy for all their opioid prescriptions, known as a pharmacy \u201clock in.\u201d Some plan sponsors explained that they use pharmacy lock-ins for their commercial and Medicaid lines of business, and generally found them to be a useful tool for controlling opioid use.", "Based on CMS\u2019s use of the OMS and the actions taken by plan sponsors, CMS reported a decrease in the number of beneficiaries meeting the OMS criteria of high-risk\u2014which agency officials consider an indication of success toward its goal of decreasing opioid use disorder. From calendar years 2011 through 2016, there was a 61 percent decrease in the number of beneficiaries meeting the OMS criteria. (See table 1.)", "In addition to using the OMS as a monitoring tool to oversee plan sponsors\u2019 compliance with their DUR system requirements, CMS relies on patient safety measures to assess how well Part D plan sponsors are monitoring beneficiaries and taking appropriate actions. Specifically, CMS tracks data on plan sponsors\u2019 performance for 15 measures related to Part D patient safety that are developed and maintained by the Pharmacy Quality Alliance, and CMS communicates with plan sponsors about their performance. In 2016, CMS started tracking plan sponsors\u2019 performance on three Pharmacy Quality Alliance-approved patient safety measures that are directly related to opioids, which were 1. The proportion of beneficiaries that use opioids at high dosages (more than 120 mg MED for 90 days or longer) in persons without cancer or not in hospice care. 2. The proportion of beneficiaries that use opioids from multiple providers (four or more providers and four or more pharmacies) in persons without cancer or not in hospice care. 3. The proportion of beneficiaries that use opioids at high dosage and from multiple providers in persons without cancer or not in hospice care, and that meet both of the other measures.", "The three measures are similar to the OMS criteria in that they identify beneficiaries with high dosages of opioids (120 mg MED) from multiple providers and pharmacies (four or more of each). However, there are a number of differences between these measures and the OMS. For example, the OMS counts actual beneficiaries, while the patient safety measures report member-years, which are adjusted to account for beneficiaries who are enrolled in a plan for only part of a year. In addition, these measures separately identify beneficiaries who fulfill each of those criteria individually. For example, data gathered on the first measure indicate that about 285,119 beneficiaries, counted as member- years across all Part D plans, received high doses (more than 120 mg MED) of opioids for 90 days or longer during calendar year 2016. CMS also uses these data in different ways from how it uses OMS data. The OMS criteria were developed and maintained by CMS to identify patients at risk for harm who may warrant case management and to examine opioid use trends across the Part D program, including progress toward its goal of decreasing opioid use disorder. In contrast, CMS officials told us that the agency uses the patient safety measures to assess plan sponsor performance. The patient safety measures also serve as a tool for Part D sponsors to compare their performance to overall averages, and to track progress in improving these measures over time. CMS also tracks sponsors\u2019 progress in improving the measures, according to agency officials. Each quarter, CMS contacts plan sponsors who have the lowest performance on each measure and expects them to respond about actions they take to improve performance. Beginning in April 2017, the agency began distributing to plan sponsors the beneficiary-level files for the patient safety measures. CMS officials said that these files provide a complete list of beneficiaries included in each of the measures."], "subsections": [{"section_title": "CMS Does Not Have Sufficient Information on Most Beneficiaries Potentially at Risk for Harm", "paragraphs": ["While CMS tracks the total number of beneficiaries who meet all three OMS criteria as part of its opioid overutilization oversight across the Part D program, it does not have comparable information on most beneficiaries who may be at risk for harm. CMS has goals to reduce the risk of opioid use disorders, overdoses, inappropriate prescribing, and drug diversion in its Opioid Misuse Strategy, but OMS does not track the number of beneficiaries with prescriptions for high doses of opioids unless those beneficiaries are also receiving them both from four or more providers and from four or more pharmacies; and agency officials told us that CMS has no plans for OMS to begin doing so. According to CDC guidelines, long-term use of high opioid dosages\u2014those above a MED of 90 mg per day\u2014are associated with significant risk of harm and should be avoided if possible.", "Based on the CDC guidelines, outreach to Part D plan sponsors, and CMS analyses of Part D data, CMS has revised its current OMS criteria to include more at-risk beneficiaries beginning in 2018. The new OMS criteria define a high user as having an average daily MED greater than 90 mg for any duration, and who receives opioids from four or more providers and four or more pharmacies, or from six or more providers regardless of the number of pharmacies, for the prior 6 months. According to CMS officials, the revised OMS criteria, like the current criteria, are intended to identify the beneficiaries it determined are at the greatest risk of harm: those who may lack coordinated care as a result of using multiple pharmacies and providers. CMS officials also noted that the revised criteria are intended to limit the increase in the number of beneficiaries for whom plan sponsors are expected to take action, such as case management, to avoid overburdening plan sponsors with unreasonable workload levels.", "While the revised criteria will help identify beneficiaries who CMS determined are at the highest risk of opioid misuse and therefore may need case management by plan sponsors, they will not provide information on most Part D beneficiaries who may also be at risk of harm. In developing the revised criteria, CMS conducted a one-time analysis that estimated there were 727,016 beneficiaries with an average MED of 90 mg or more, for any length of time during a 6 month measurement period in 2015, regardless of the number of providers or pharmacies used. These beneficiaries may be at risk of harm from opioids, according to CDC guidelines, and therefore tracking the number of these beneficiaries over time could help CMS to determine whether it is making progress toward meeting the goals specified in its Opioid Misuse Strategy. However, CMS officials told us that the agency does not keep track of these beneficiaries, and does not have plans to do so as part of OMS. Instead, CMS uses the number of beneficiaries who meet the OMS criteria as an indicator of progress toward its goals. CMS estimated that 33,223 beneficiaries would have met its revised criteria based on 2015 data, which is a much smaller number than the estimated 727,016 beneficiaries at risk of harm from opioids. (See fig. 1.)", "In 2016, CMS began to gather information from its patient safety measures on the number of beneficiaries who use more than 120 mg MED of opioids for 90 days or longer, regardless of the number of providers and pharmacies. However, this information does not include all at-risk beneficiaries, because the threshold is more lenient than indicated in CDC guidelines and CMS\u2019s new criteria for OMS. Specifically, CMS\u2019s one-time analysis of 2015 data indicated that 727,016 beneficiaries received prescriptions with an average MED of 90 mg or more for any length of time during a 6-month measurement period. In contrast, the 2016 patient safety measures reports identified significantly fewer beneficiaries, 285,119, in its most comparable measure\u2014member years for opioid prescriptions at 120 mg MED for 90 consecutive days or longer.", "According to CMS officials, CMS shared feedback with the Pharmacy Quality Alliance to consider updating the threshold to 90 mg MED to align with CDC guidelines and the revised OMS criteria. CMS officials said the agency will consider adopting these updates once complete. In addition, while CMS monitors the patient safety measure data, these data are relatively new. CMS officials told us that, as a result, the agency does not yet have enough data to report changes over time toward its goals to reduce the risk of opioid use disorders, overdoses, and inappropriate prescribing.", "Neither the data gathered as part of OMS, nor patient safety measures gathered so far are adequate to provide CMS with the information necessary to track progress toward meeting its goal of reducing harm from opioids. While tracking a smaller number of beneficiaries in OMS is useful for targeting resource-intensive plan sponsor actions, keeping track of the larger number of beneficiaries at risk of harm from high doses of opioids\u2014greater than 90 mg MED for any duration regardless of the number of providers and pharmacies\u2014could provide CMS with information on progress toward its goals without additional monitoring by plan sponsors. Doing so would also be consistent with federal internal control standards, which require agencies to use quality information to achieve objectives and address risks. Without tracking the number of beneficiaries who receive potentially dangerous levels of opioids regardless of the number of providers or pharmacies, and then examining changes in that number over time, CMS lacks key information that would be useful to determine if it is making progress toward reducing the risk of opioid harm for Part D beneficiaries."], "subsections": []}, {"section_title": "CMS Oversees Providers through its Contractor and Plan Sponsors, but Efforts Do Not Specifically Monitor Opioid Prescriptions CMS\u2019s Contractor and Plan Sponsors Seek to Identify Inappropriate Prescribing of Drugs with High Potential for Abuse, Including Opioids NBI MEDIC\u2019s Data Analyses to Identify Outlier Providers", "paragraphs": ["CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries through its contractor, NBI MEDIC, and the Part D plan sponsors.", "CMS requires NBI MEDIC to identify providers who prescribe high amounts of drugs classified as Schedule II under the Controlled Substances Act, which indicates a high potential for abuse and includes many opioids. Using prescription drug event data, NBI MEDIC conducts a peer comparison of providers\u2019 prescribing practices to identify outlier providers\u2014the highest prescribers of Schedule II drugs, which include, but are not limited to, opioids. NBI MEDIC\u2019s initial analyses focuses on providers associated with at least 100 prescription drug event records or at least $100,000 in total Part D payments for Schedule II drugs over the course of one year. These providers are then classified as outliers if they are listed as high in both the number of prescription drug records per prescriber and prescriptions per beneficiary by specialty within each state. NBI MEDIC reports to CMS on the providers with the highest number of prescriptions identified by the analysis. Beginning with the October 2016 report, CMS began sharing NBI MEDIC\u2019s prescriber outlier report with the plan sponsors quarterly to supplement their own investigations of potential fraud, waste, and abuse. According to data from NBI MEDIC, the number of outlier providers identified has generally remained stable except for an increase in 2015. NBI MEDIC and CMS officials said this increase occurred when a commonly used opioid, hydrocodone, was added to the analysis after it was reclassified as a Schedule II drug."], "subsections": [{"section_title": "NBI MEDIC\u2019s Other Projects", "paragraphs": ["NBI MEDIC gathers data on Medicare Part C and Part D and uses its Predictive Learning Analytics Tracking Outcome (PLATO) system to conduct a number of data analysis projects. According to NBI MEDIC officials, these PLATO projects seek to identify potential fraud by examining data on provider behaviors. In addition, according to officials, PLATO is capable of allowing NBI MEDIC to share information on providers with plan sponsors. NBI MEDIC officials stated there are two current PLATO projects that include a focus on some opioids.", "The TRIO data project identifies providers who prescribe beneficiaries a combination of an opioid, a benzodiazepine, and the muscle relaxant Carisoprodol. This well-known combination of drugs is used to increase the effects of opioids.", "The Pill Mill data project identifies providers with abnormal prescribing behavior in authorizing controlled substances, including opioids, absent medical necessity. To identify providers potentially operating a pill mill, 17 risk factors are considered, including the number of beneficiaries for whom a provider prescribed controlled substances, the quantity of these medications, the number of beneficiaries who travel long distances to receive medications, and the number of beneficiaries treated for drug abuse or misuse at emergency rooms.", "Another analysis that NBI MEDIC conducts, according to its officials, is the Transmucosal Immediate Release Fentanyl project, which identifies potential improper payments for medicines containing fentanyl, a prescription opioid pain reliever. NBI MEDIC looks for instances of this drug being prescribed to beneficiaries who do not have cancer combined with breakthrough pain, the only approved use for this drug."], "subsections": []}, {"section_title": "NBI MEDIC\u2019s Investigations to Identify Fraud, Waste, and Abuse", "paragraphs": ["NBI MEDIC officials said they conduct investigations to assist CMS in identifying cases of potential fraud, waste, and abuse among providers for Medicare Part C and Part D. The investigations are prompted by complaints from plan sponsors, calls to NBI MEDIC\u2019s call center, NBI MEDIC\u2019s analysis of outlier providers, or from one of its other data analysis projects. As part of its investigations, NBI MEDIC officials said they may access data from Medicare Part B, which includes coverage for doctors\u2019 services and outpatient care, to determine whether providers\u2019 diagnoses coincide with their prescriptions. Officials added that they investigate inappropriate prescribing by reviewing Part D prescription records, medical records, or PLATO data; or by conducting background checks, interviewing beneficiaries, or conducting site visits, among other activities. NBI MEDIC data indicates that the total number of its investigations decreased from 2013 to 2016, which, according to NBI MEDIC officials, occurred because it increased activities related to data analysis and collaboration with plan sponsors."], "subsections": []}, {"section_title": "NBI MEDIC\u2019s Referrals", "paragraphs": ["After identifying providers engaged in potential fraudulent overprescribing, NBI MEDIC officials said they may refer cases to agencies for further investigation and potential prosecution, such as the HHS-OIG, state and local law enforcement, the Federal Bureau of Investigations, or the Drug Enforcement Administration. In 2016, NBI MEDIC data showed that it referred a total of 119 cases to the HHS-OIG and 48 to agencies within the Department of Justice, including the Federal Bureau of Investigations and the Drug Enforcement Agency. CMS officials told us that they do not routinely track the results of individual cases referred by NBI MEDIC to other agencies. A 2016 Senate committee report indicated that the HHS- OIG declined and returned more than half of the cases referred to it from 2013 through 2015. According to NBI MEDIC officials, cases may be rejected for reasons such as not meeting prosecutorial thresholds for evidence, or HHS-OIG does not having enough staff to take on the workload. NBI MEDIC officials told us that HHS-OIG does not always inform NBI MEDIC of its reasons for declining the referrals."], "subsections": []}, {"section_title": "Plan Sponsor Monitoring of Providers", "paragraphs": ["CMS requires all plan sponsors to adopt and implement an effective compliance program, which must include measures to prevent, detect, and correct Part C or Part D program noncompliance, as well as fraud, waste, and abuse. CMS communicates guidance for plan sponsor\u2019s compliance programs through Chapter 9 of CMS\u2019s Prescription Drug Benefit Manual and in annual letters. CMS\u2019s guidance focuses broadly on prescription drugs, and does not specifically address opioids.", "To detect fraud, waste, and abuse among providers, plan sponsors told us they use their own data analysis and criteria, as well as NBI MEDIC\u2019s list of outlier providers. For example, plan sponsors identify providers suspected of fraud, waste, or abuse by looking for certain characteristics, such as providers who have a large number of beneficiaries traveling from a different zip code to receive prescriptions, or providers who prescribe large quantities of commonly abused drugs with no associated medical claims to support the prescriptions. Once the suspected providers are identified, plan sponsors said that they conduct their own investigations to determine if there is sufficient evidence of inappropriate prescribing.", "Plan sponsors told us they may choose to take a number of actions based on these investigations, including choosing to refer the case to NBI MEDIC. Additionally, if appropriate, plan sponsors can educate providers about prescribing guidelines and best practices, or notify them that their patients may be doctor shopping, in order to improve coordination of care. They may also terminate a provider from their plan if they find evidence of fraud or abuse."], "subsections": []}]}, {"section_title": "CMS Lacks Information Necessary for Oversight of Opioid Prescribing and Plan Sponsors\u2019 Monitoring Activities", "paragraphs": ["CMS lacks the information necessary to adequately determine the number providers potentially overprescribing opioids, and therefore cannot determine the effectiveness of efforts to achieve the agency\u2019s goals of reducing the risk of opioid use disorders, overdoses, inappropriate prescribing, and drug diversion. CMS\u2019s oversight actions focus broadly on Schedule II drugs rather than specifically on opioids. For example, NBI MEDIC\u2019s analyses to identify outlier providers do not indicate the extent to which they may be overprescribing opioids specifically. According to CMS officials, they direct NBI MEDIC to focus on Schedule II drugs, because they have a high potential for abuse, whether they are opioids or other drugs. However, without specifically identifying opioids in these analyses\u2014or an alternate source of data\u2014 CMS lacks data on providers who prescribe high amounts of opioids, and therefore cannot assess progress toward meeting its goals related to opioid use.", "CMS also lacks key information necessary for oversight of opioid prescribing, because it does not require plan sponsors to report to NBI MEDIC or CMS cases of fraud, waste, and abuse; cases of overprescribing; or any actions taken against providers. Plan sponsors collect information on cases of fraud, waste, and abuse, and can choose to report this information to NBI MEDIC or CMS. PLATO, a voluntary reporting system, is one way that plan sponsors can report information to NBI MEDIC or CMS, and share with other plan sponsors about providers they investigate and about actions they take. While CMS receives some information from plan sponsors who voluntarily report their actions, it does not know the full extent to which plan sponsors have identified providers who have prescribed high amounts of opioids and taken action to reduce overprescribing. Without this information, CMS cannot determine the extent to which plan sponsors are taking action to reduce overprescribing, making it difficult to assess progress in this area. CMS officials told us that they receive reports on what information plan sponsors enter into PLATO. However, according to these officials, they do not have information on all actions taken by plan sponsors; therefore, CMS does not know how often plan sponsors use PLATO or what proportion of actions they report.", "A 2015 HHS-OIG report recommended that CMS require plan sponsors to report all potential fraud and abuse to CMS and/or NBI MEDIC. CMS disagreed with this recommendation, and stated that plan sponsors currently have several options for referring incidents, that CMS has worked with plan sponsors to improve organizational performance, and that plan sponsors regularly share information on best practices for prevention and detection of fraud. The HHS-OIG continues to recommend that CMS require reporting due to the lack of a comprehensive set of data needed to monitor providers\u2019 inappropriate prescribing.", "Without specifically monitoring providers\u2019 overprescribing of opioids, CMS cannot determine if its efforts, or the efforts of NBI MEDIC and plan sponsors, are helping to contribute to its goals related to opioid use. Federal internal control standards require agencies to conduct monitoring activities and to use quality information to achieve objectives and address risks. Without adequate information on providers\u2019 opioid prescribing patterns in Part D, CMS is unable to determine whether its related oversight efforts\u2014including such efforts by NBI MEDIC or Part D plan sponsors\u2014are effective or should be adjusted."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["A large number of Medicare Part D beneficiaries use prescription opioids, and reducing the inappropriate prescribing of these drugs is a key part of CMS\u2019s strategy to decrease the risk of opioid use disorder, overdoses, and deaths. Despite working to identify and decrease egregious opioid use behavior\u2014such as doctor shopping\u2014among beneficiaries in Medicare Part D, CMS lacks the necessary information to effectively determine the full number of beneficiaries at risk of opioid harm. CMS recently expanded the number of beneficiaries for whom it expects plan sponsors to conduct intervention efforts, such as case management, and has begun to collect additional patient safety measure data on beneficiaries at risk of harm from opioids. However, these efforts have not yet provided CMS with sufficient data to track how many beneficiaries are receiving large doses of opioids, and therefore are at risk of harm. Without expanding and enhancing its data collection efforts to include information on more at-risk beneficiaries, CMS cannot fully assess whether it is making sufficient progress toward its goals of reducing opioid use disorders, overdoses, inappropriate prescribing, and drug diversion.", "CMS\u2019s efforts to oversee opioid prescribing specifically are also inadequate. CMS directs NBI MEDIC to focus its analyses on providers who prescribe any drugs with a high risk of abuse, but NBI MEDIC does not specifically track those providers who prescribe opioids. Absent opioid-specific monitoring, CMS cannot assess whether its efforts to reduce opioid overprescribing are effective, or if opioid prescribing patterns are changing over time. In addition, neither CMS nor NBI MEDIC can be sure they have complete information about providers potentially overprescribing opioids to Part D beneficiaries, because plan sponsors are not required to report to CMS or NBI MEDIC all potential fraud and abuse incidents or actions sponsors have taken against providers. As a result, CMS lacks information about plan sponsors\u2019 monitoring of providers who overprescribe opioids, and is therefore unable to determine if the agency\u2019s and plan sponsors\u2019 efforts are successful in achieving CMS\u2019s goals."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following three recommendations to CMS.", "The Administrator of CMS should gather information over time on the number of beneficiaries at risk of harm from opioids, including those who receive high opioid morphine equivalent doses regardless of the number of pharmacies or providers, as part of assessing progress over time in reaching the agency\u2019s goals related to reducing opioid use. (Recommendation 1)", "The Administrator of CMS should require its contractor, NBI MEDIC, to identify and conduct analyses on providers who prescribe high amounts of opioids separately from providers who prescribe high amounts of any Schedule II drug. (Recommendation 2)", "The Administrator of CMS should require plan sponsors to report to CMS on investigations and other actions taken related to providers who prescribe high amounts of opioids. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for comment. HHS provided written comments, which are reprinted in appendix I, and technical comments, which we incorporated as appropriate. In its written comments, HHS described its efforts to reduce opioid overutilization in Medicare Part D. HHS noted that these efforts include a medication safety approach to improve care coordination for high-risk beneficiaries using opioids, quality metrics for plan sponsors, and data analysis of prescribing patterns to target potential fraud, waste, and abuse. For example, HHS noted that CMS adopted a Medicare Part D opioid overutilization policy in 2013 that provided specific guidance to Part D plans on effective drug utilization review programs to reduce overutilization of opioids. As described in our report, CMS\u2019s opioid overutilization policy requires sponsors to implement retrospective drug utilization review programs to identify beneficiaries who are potentially overusing opioids. Among other things, sponsors may choose to implement beneficiary-specific edits that limit high-risk beneficiaries to certain opioids and amounts, and CMS expects them to use formulary- level edits to alert providers when their patients are receiving high levels of opioids from other doctors.", "HHS also concurred with two of our three recommendations.", "HHS concurred with our recommendation that CMS gather information over time on the number of beneficiaries at risk of harm from opioids, as part of assessing progress toward agency goals. HHS commented that CMS tracks beneficiaries who meet these criteria through the patient safety measures. However, while these patient safety measures are a potential source of this information, they currently do not include all at-risk beneficiaries, because the opioid use threshold they use (120 mg MED for 90 days or longer) is more lenient than indicated in CDC guidelines or in CMS\u2019s revised OMS criteria. In addition, while CMS uses the patient safety measures to assess plan sponsor performance, the data are relatively new, and CMS has not yet used them to report progress over time toward its goals.", "HHS concurred with our recommendation that CMS require NBI MEDIC to gather separate data on providers who prescribe high amounts of opioids, and HHS noted that it intends to work with NBI MEDIC to identify trends in outlier prescribers of opioids.", "HHS did not concur with our recommendation that CMS require plan sponsors to report on investigations and other actions taken related to providers who prescribe high amounts of opioids. HHS noted that plan sponsors have the responsibility to detect and prevent fraud, waste, and abuse and that CMS reviews cases when it conducts audits. HHS also stated that it seeks to balance requirements on plan sponsors when considering new regulatory requirements. As noted in our report, plan sponsors conduct investigations and take actions against providers, and some plan sponsors report actions to CMS and NBI MEDIC. However, without complete reporting, such as reporting from all plan sponsors on the actions they take to reduce overprescribing, CMS is missing key information that could help assess progress in this area. Due to the importance of this information, we continue to believe that CMS should require plan sponsors to report on the actions they take.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of HHS and the Administrator of CMS. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or CurdaE@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Will Simerl (Assistant Director), Carolyn Feis Korman (Analyst-in-Charge), Amy Andresen, Samantha Pawlak, and Patricia Roy made key contributions to this report. Also contributing were Muriel Brown, Drew Long, and Emily Wilson."], "subsections": []}]}], "fastfact": ["More than 14 million people received opioid prescriptions in 2016 through the Medicare drug benefit program, Part D.", "The Centers for Medicare & Medicaid Services delegate monitoring of these beneficiaries to the private organizations that implement the Medicare Part D benefit. These organizations follow CMS monitoring criteria.", "While these criteria identify beneficiaries at the greatest risk of harm from opioid use, we found that it does not capture data on an even larger population of beneficiaries potentially at risk of harm from high doses of opioids. We recommended three actions to improve oversight.", "On November 19, 2018, GAO posted an HTML version of this report."]} {"id": "GAO-18-30", "url": "https://www.gao.gov/products/GAO-18-30", "title": "Disaster Assistance: Opportunities to Enhance Implementation of the Redesigned Public Assistance Grant Program", "published_date": "2017-11-08T00:00:00", "released_date": "2017-11-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FEMA, an agency of the Department of Homeland Security (DHS), has obligated more than $36 billion in PA grants to state, local, and tribal governments to help communities recover and rebuild after major disasters since 2009. Further, costs are rising with disasters, such as Hurricanes Harvey, Irma, and Maria in 2017. FEMA recently redesigned how the PA program delivers assistance to state and local grantees to improve operations and address past challenges identified by GAO and others. FEMA tested the new delivery model in selected disasters and announced implementation in September 2017.", "GAO was asked to assess the redesigned PA program. This report examines, among other things, the extent to which FEMA's new delivery model addresses (1) past workforce management challenges and assesses future workforce needs; and (2) past information sharing challenges and key IT management controls. GAO reviewed FEMA policy, strategy, and implementation documents; interviewed FEMA and state officials, PA program applicants, and other stakeholders; and observed implementation of the new model at one test location following Hurricane Matthew in 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Emergency Management Agency (FEMA) redesigned the Public Assistance (PA) grant program delivery model to address past challenges in workforce management, but has not fully assessed future workforce staffing needs. GAO and others have previously identified challenges related to shortages in experienced and trained FEMA PA staff and high turnover among these staff. These challenges often led to applicants receiving inconsistent guidance and to PA project delays. As part of its new model, FEMA is creating consolidated resource centers to standardize and centralize PA staff responsible for managing grant applications, and new specialized positions, such as hazard mitigation liaisons, program delivery managers, and site inspectors, to ensure more consistent guidance to applicants. However, FEMA has not assessed the workforce needed to fully implement the new model, such as the number of staff needed to fill certain new positions, or to achieve staffing goals for supporting hazard mitigation on PA projects. Fully assessing workforce needs will help to ensure that FEMA has the people and the skills needed to fully implement the new PA model and help to avoid the long-standing workforce challenges the program encountered in the past.", "FEMA designed a new PA information and case management system\u2014called the FEMA Applicant Case Tracker (FAC-Trax)\u2014to address past information sharing challenges, such as difficulties in sharing grant documentation among FEMA, state, and local officials and tracking the status of PA projects, but additional actions could better ensure effective implementation. Both FEMA and state officials involved in testing of the new model stated that the new information system allows them to better manage and track PA applications and documentation, which could lead to greater transparency and efficiencies in the program. Further, GAO found that this new system fully addresses two of four key information technology (IT) management controls\u2014project planning and risk management\u2014that are necessary to ensure systems work effectively and meet user needs. However, GAO found that FEMA has not fully addressed the other two controls\u2014requirements development and systems testing and integration. By better analyzing progress on high-level user requirements, for example, FEMA will have greater assurance that FAC-Trax will meet user needs and achieve the goals of the new delivery model."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations, including that FEMA assess the workforce needed for the new delivery model and improve key IT management controls for its new information sharing and case management system, FAC-Trax. DHS concurred with all recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In August 2017, Hurricane Harvey caused catastrophic and unprecedented flooding across southeast Texas and into Louisiana. While federal agencies support the evacuation, rescue, and relief to hundreds of thousands of residents, projections of damages exceed $50 billion. In the weeks that followed, Hurricanes Irma and Maria brought winds and storm surge, which caused damage across the U.S. Virgin Islands, Puerto Rico, and the southeast United States, adding to the projected disaster costs. These events are emblematic of a trend of rising costs from natural disasters. In both 2016 and 2017, 15 separate U.S. disasters resulted in losses exceeding $1 billion each. Each year, the federal government obligates billions of dollars to programs and activities that provide assistance to state and local governments, tribes, certain nonprofit organizations, and individuals that have suffered injury or damages from major disaster or emergency incidents, such as hurricanes, tornados, or fires. We reported in 2016 that the federal government obligated at least $277.6 billion in disaster assistance during fiscal years 2005 through 2014 and have recognized the rise in the number\u2014and the increase in severity\u2014of disasters as a key source of federal fiscal exposure.", "The Federal Emergency Management Agency (FEMA), a component of the Department of Homeland Security (DHS), leads the federal effort to mitigate, respond to, and recover from disasters, both natural and manmade. FEMA\u2019s Public Assistance (PA) grant program provides financial assistance to state, tribal, territorial, and local governments for debris removal; emergency protective measures; and the repair, replacement, or restoration of disaster-damaged, publicly owned facilities.", "For example, flooding across northern and central California in early February 2017 resulted in substantial property and infrastructure damage, including severe damage to the Oroville Dam spillway. Shortly thereafter, the governor of California requested federal assistance, and the President subsequently issued an emergency declaration that made funding available for repairs to the spillway through the PA program. PA is FEMA\u2019s largest disaster assistance grant program and from fiscal years 2009 through 2016, the agency obligated more than $36 billion in grants for such projects.", "PA is a complex and multistep grant program administered through a partnership between FEMA and the state grantee, which provides funding to local officials who are the subrecipients of a PA grant award. Thus, it entails an extensive paperwork and review process between FEMA and grantee officials based on specific eligibility rules that outline the types of damage that can be reimbursed by the federal government and steps that federal, state, and local governments must take in order to document eligibility. Due in part to the complexity of the process, we identified a number of past challenges in various aspects of the program. Specifically, we assessed the PA program in 2008 during the Gulf Coast states\u2019 recovery from Hurricanes Katrina and Rita. We identified a number of challenges related to FEMA\u2019s management of its PA workforce, including lack of training and high turnover among PA staff, which led to project delays and other problems. We also identified challenges related to information sharing between FEMA and PA grant applicants, which led to problems in tracking the status of projects, among other things. Moreover, in 2015 we identified challenges in effectively incorporating mitigation into PA projects and grant guidance during the recovery from Hurricane Sandy in the northeastern United States. To address these various challenges, we have made a number of recommendations, and FEMA has taken or is taking various actions to address them, as we discuss later in this report.", "In recent years, FEMA has taken steps to redesign the PA program to address past challenges and make the program easier for FEMA and grantee officials to manage. As part of this effort, FEMA redesigned processes for developing, reviewing, and approving grant applications. The agency is also developing new PA staff positions; implementing a centralized and standardized grant processing approach; and developing a new information system to better maintain and share grant documentation. FEMA officials also report taking steps to better incorporate hazard mitigation during the PA grant process. Taken together, these efforts represent FEMA\u2019s \u201cnew delivery model\u201d for managing project development in the PA program, which we refer to as the preaward process. FEMA has been testing the new delivery model at certain disaster locations since 2015, in preparation for implementing it nationwide for all new disasters.", "In light of past challenges and recent changes to the PA program preaward process, you asked us to assess FEMA\u2019s progress in addressing these challenges and implementing the new delivery model. Specifically, this report addresses the extent to which FEMA designed the new delivery model to address previously identified challenges related to 1. managing its PA program workforce and the extent that FEMA assessed the workforce needed to fully implement the new delivery model; 2. information sharing between FEMA and grant applicants and the extent that FEMA\u2019s new information sharing system satisfies key information technology (IT) management controls; and 3. incorporating hazard mitigation into the PA grant process.", "To address all three objectives, we reviewed prior reports from GAO, the DHS Office of the Inspector General (OIG), and FEMA\u2019s own internal assessments identifying past PA program management challenges related to workforce management, information sharing, and hazard mitigation. We compared information from these reports to information and documentation of FEMA\u2019s efforts to implement the new PA delivery model to determine the extent that the new model is being designed to address these challenges. We also reviewed program documentation, such as after-action reports that FEMA developed after testing the new model in disaster locations. We conducted 62 semistructured interviews with FEMA officials at headquarters and in two selected regions out of the 10 FEMA regional offices, including interviews with members of FEMA\u2019s PA workforce at the centralized processing center in Denton, Texas, and the Joint Field Office (JFO) in Savannah, Georgia, for Hurricane Matthew recovery efforts in the state. We identified relevant officials based on job title, responsibilities, and referrals from other officials. We asked questions to identify their role in the implementation of the new delivery model, their experiences with implementation, and their assessment of the benefits and challenges of the model as it relates to our objectives and scope. We also conducted 11 semistructured interviews with selected state officials responsible for PA operations, to include those with and without new delivery model experience. Lastly, we conducted three semistructured interviews with randomly selected applicants who applied for PA funding after the Hurricane Matthew disaster in Georgia. Although their responses are not generalizable across all applicants, they helped inform our understanding of the experiences of recipients using the new delivery model for the first time.", "To address our first objective, we reviewed FEMA documentation, including the 2014 PA Program Realignment report, the PA Cadre Training Plan, and after-action reports from different tests of the new delivery model implementation to identify key workforce management changes under the new model. We also reviewed position descriptions, job aids, and training materials developed by FEMA to support new workforce roles and responsibilities under the new model. As part of the interviews previously described, we interviewed officials managing workforce activities under the new delivery model, including a PA program coordinator for workforce. We compared FEMA\u2019s workforce management efforts under the new model to leading practices we have identified for business process reengineering and strategic workforce management.", "To address our second objective, we reviewed documents related to FEMA\u2019s acquisition and development of the new information system for the PA program. We interviewed program staff, stakeholders, and officials from FEMA\u2019s Recovery Technology Programs Division that are responsible for developing the new system, to understand changes to information sharing under the new model. We then compared FEMA\u2019s development efforts to key IT management control practices in the areas of risk management, requirements development, project planning, and systems testing and integration to determine the extent to which FEMA\u2019s efforts met these practices. We drew these key control practices from the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Acquisition and Development, the Project Management Institute\u2019s Guide to the Project Management Body of Knowledge (PMBOK\u00ae Guide), and the Institute of Electrical and Electronics Engineers\u2019 (IEEE) Standard for Software and System Test Documentation.", "To address our third objective, we reviewed documentation such as FEMA PA policies and operations guidance related to incorporating hazard mitigation into PA projects, as well as process guides, job aids, and training materials developed under the new delivery model, to better understand how mitigation is addressed. In addition, we interviewed PA program officials; officials from FEMA\u2019s Federal Insurance and Mitigation Administration (FIMA), who assist PA officials to incorporate mitigation into the recovery process; and state officials involved with the second and third test implementations of the new model in Oregon and Georgia. We also reviewed after-action reports from the second and third test implementations of the new model and new delivery model performance measures in the PA New Delivery Model Assessment Plan. We then compared the information derived from the documentation and interviews to the goals and objectives identified in FEMA strategic plans, the National Disaster Recovery Framework, the National Mitigation Framework, and Standards for Internal Control in the Federal Government, to determine the extent that FEMA\u2019s new delivery model incorporates hazard mitigation planning into the PA process and includes goals aligned with broader FEMA mitigation goals. Also, we obtained data from FEMA\u2019s existing PA information system\u2014the Emergency Management Mission Integrated Environment (EMMIE)\u2014on the number of PA projects that incorporated hazard mitigation in the third test implementation of the new delivery model in Georgia. We interviewed PA program officials, reviewed OIG reviews of the EMMIE system, and reviewed related documentation and determined this EMMIE data was reliable for describing the rate of hazard mitigation in PA projects.", "We conducted this performance audit from July 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FEMA\u2019s Public Assistance Grant Program", "paragraphs": ["Major disaster declarations can trigger a variety of federal response and recovery programs for government and nongovernmental entities, households, and individuals. FEMA\u2019s Office of Response and Recovery manages the PA grant program, providing funds to states, territorial governments, local government agencies, Indian tribes, authorized tribal organizations, and certain private nonprofit organizations in response to presidentially declared disaster declarations to repair damaged public infrastructure such as roads, schools, and bridges. Figure 1 shows the total amount of PA funds obligated by county from January 2009 through February 2017 for federal disaster declarations.", "To implement the PA program, FEMA\u2019s staff includes a mix of temporary, reservist, and permanent employees under two authorities, the Stafford Act and Title 5. Reservists make up the largest share of the PA workforce, which consisted of 1,852 employees\u2013\u20131,041 reservists, 634 full-time equivalents, and 177 temporary Cadre of On-Call Response/Recovery Employees\u2013\u2013as of June 2017, according to PA officials. Figure 2 summarizes the key characteristics for each type of employee.", "After a disaster, FEMA sends PA program staff to the affected area to work with state and local officials to assess the damage prior to a disaster declaration. FEMA officials establish a temporary Joint Field Office (JFO) to house staff who will manage response and recovery functions after a declared disaster (including operations, emergency response and support teams, planning, administration, finance, and logistics). Once the President has declared a disaster, PA staff work with grant applicants to help them document damages, identify eligible costs and work, and prepare requests for PA grant funds by developing project proposals. These proposals may include proposals for hazard mitigation if the hazard mitigation work is related to the repair of damaged facilities, referred to as permanent work projects. Immediate emergency measures, such as debris removal, are not eligible for hazard mitigation. Officials then review and obtain approval of the projects prior to FEMA obligating funds to state grantees. Figure 3 describes the process used to develop, review, and obligate PA projects."], "subsections": []}, {"section_title": "Hazard Mitigation in the PA Program", "paragraphs": ["In addition to rebuilding and restoring infrastructure to its predisaster state, the PA program can be used to fund hazard mitigation measures that will reduce future risk to the infrastructure in conjunction with the repair of disaster-damaged facilities. There is no preset limit to the amount of PA funds a community may receive; however, PA hazard mitigation measures must be determined to be cost effective. Some examples of hazard mitigation measures that FEMA has predetermined to be cost effective, if they meet certain requirements, include installing shut-off valves on underground pipelines so that damaged sections can be isolated during or following a disaster; securing a roof using straps, clips, or other anchoring systems in locations subject to high winds; and installing shutters on windows or replacing glass with impact-resistant material.", "Applicants can also propose mitigation measures that are separate from the damaged portions of a facility, such as constructing floodwalls around damaged facilities to avoid future flooding. FEMA evaluates these proposals, considering how the proposed measure protects damaged portions of a facility and whether the measure is reasonable based on the extent of the damage, and determines eligibility on a case-by-case basis.", "FEMA\u2019s Federal Insurance and Mitigation Administration (FIMA) deploys a cadre of mitigation staff to help coordinate and implement hazard mitigation activities during disaster recovery, including PA hazard mitigation. A primary task of these staff is to identify and assess opportunities to incorporate hazard mitigation into PA projects. Generally, if an applicant seeks to incorporate hazard mitigation measures into a PA project, FIMA\u2019s hazard mitigation staff develop a hazard mitigation proposal."], "subsections": []}, {"section_title": "Previous Challenges and Recommendations Related to the PA Program", "paragraphs": ["We, the DHS OIG, and others have reported past challenges with FEMA\u2019s management of the PA program related to workforce management, information sharing, and hazard mitigation. For example, we reported in 2008 that the PA program had a shortage of experienced and knowledgeable staff, relied on temporary rotating staff, and provided limited training to their workforce, which impaired PA program delivery and delayed recovery efforts after Hurricanes Katrina and Rita. We found that staff turnover, coupled with information sharing challenges, delayed projects when applicants had to provide the same information each time FEMA assigned new staff and that poorly trained staff provided incomplete and inaccurate information during their initial meetings with applicants or made inaccurate eligibility determinations, which also caused processing delays. We recommended that FEMA strengthen continuity among staff involved in administering the PA program by developing protocols to improve information and document sharing among FEMA staff. In response, in 2013 FEMA instituted a PA Consistency Initiative, which included hiring new managers for FEMA regional offices, stakeholder training on PA program administration, and using a newly developed internal website to allow staff to post and share information to address continuity and knowledge sharing concerns during disaster operations. FEMA also developed the Public Assistance Program Delivery Transition Standard Operating Procedure to facilitate the transfer of responsibility for PA program activities during cases of staff turnover during recovery operations. Despite FEMA\u2019s efforts to implement our recommendations, the DHS-OIG, in 2016, found continuing challenges after Hurricane Sandy with workforce levels, skills, and performance of reservists, who make up the majority of the PA workforce.", "Regarding information sharing, in 2008, we also identified difficulties sharing documents among federal, state, and local participants in the PA process and difficulties tracking the status of projects. We recommended that FEMA improve information sharing within the PA process by identifying and disseminating practices that facilitate more effective communication among federal, state, and local entities. In response, FEMA proceeded with the implementation of a grant tracking and management system, called EMMIE, which was used previously in 2007. However, in subsequent years we found weaknesses in how FEMA developed the system and the DHS-OIG found that information sharing problems similar to the ones identified in our 2008 report persisted.", "Regarding hazard mitigation, we reported in 2015 that state and local officials experienced challenges in using PA hazard mitigation during the Hurricane Sandy recovery efforts because PA officials did not consistently prioritize hazard mitigation, and in some cases discouraged mitigation projects during the PA grant application process, among other challenges. We recommended that FEMA assess the challenges state and local officials reported, including the extent to which they can be addressed, and implement corrective actions, as needed. In response to our recommendation, FEMA developed a corrective action plan that included actions and milestones for reviewing, updating, and implementing PA hazard mitigation policy. FEMA also identified the PA new delivery model as a solution for some of the challenges state and local officials reported. Previously, the OIG also reported that PA program officials did not consistently identify eligible PA hazard mitigation projects, and that PA officials did not prioritize the identification of PA hazard mitigation opportunities at the onset of recovery efforts after the 2005 Gulf Coast hurricanes. See appendix I for a summary of findings and the status of our past recommendations on challenges with workforce management, information sharing, and hazard mitigation related to the PA program since our last review in December 2008.", "FEMA\u2019s own internal reviews and outreach efforts have also identified similar challenges. For example, at FEMA\u2019s request the Homeland Security Studies and Analysis Institute assessed the effectiveness and efficiency of the PA program in 2011. The institute\u2019s report outlined 3 key findings and 23 recommendations relating to the PA preaward process. For example, the report found that FEMA could enhance training programs to develop a skilled and experienced workforce; utilize technology and employ web-based tools to support centralized processing, transparency, and efficient decision making; and identify and address potential special considerations, such as hazard mitigation proposals, as early as possible in the preaward process to improve consistency. In 2014, PA program officials analyzed the PA grant process and used input from agency staff and officials involved in various aspects of the program to identify potential improvements. The resulting Public Assistance Program Realignment report found that challenges in workforce management, information sharing, and hazard mitigation continued, and included recommendations for improvement. For example, the report concluded that a shortage of qualified staff, high turnover, unclear organizational responsibilities, and inconsistent training were long-standing and continuing challenges that impaired the PA pre-award process. In addition, from January 2015 to April 2015, FEMA conducted extensive outreach with more than 260 stakeholders across FEMA headquarters, all 10 regions, 43 states, and 4 tribal nations to discuss challenges in the PA program and opportunities for improvement. For example, stakeholders identified challenges with ineffective information collection during the preaward process and suggested identifying special considerations, such as hazard mitigation, earlier in the PA process as an idea for improvement. In response, FEMA began redesigning the PA preaward process to operationalize the results of its 2014 report and address areas for improvement identified through its outreach efforts."], "subsections": []}, {"section_title": "The PA New Delivery Model", "paragraphs": ["FEMA awarded a contract for program support to help PA officials implement a redesigned PA program in 2015. This included a new process to develop and review grant applications, and obligate PA funds to states affected by disasters; new positions, such as a new program delivery manager who is the single point of contact throughout the grant application process; a new Consolidated Resource Center (CRC) to support field operations by supplementing project development, validation, and review of proposed PA project applications; and a new information system to maintain and share PA grant application documents. As part of the new process, PA program officials identified the need to ensure that staff emphasize special considerations, such as hazard mitigation, earlier in the process. Taken together, these efforts represent FEMA\u2019s \u201cnew delivery model\u201d for awarding PA program grants. Enhancements in the PA program under the new delivery model are presented in figure 4.", "Regarding the new delivery model process, FEMA introduced several changes to enhance outreach to applicants during the \u201cexploratory call\u201d\u2014 the first contact between FEMA and local officials\u2014and during the first in- person meeting, called the \u201crecovery scoping meeting.\u201d FEMA also revised decision points during the process, when program officials can request more information from applicants, and applicants can review and approve the completion of project development steps. FEMA also incorporated special considerations, such as hazard mitigation, earlier in the new process during the exploratory calls and recovery scoping meetings. The changes and enhancements to the PA grant award process in the new delivery model are presented in figure 5.", "The new process divides proposed PA projects based on complexity and type of work into three categories\u2014100 percent completed, standard, and specialized\u2014that PA staff manage to expedite review or assign skilled staff to technical projects as needed. If the applicant has already completed work following a disaster, such as debris removal, it is considered \u201c100 percent completed\u201d and JFO staff collect the necessary documents and provide the information to the CRC staff who complete the development of project applications, validate the information, and complete all necessary reviews. Projects that require repairs and further assistance from PA program staff at the JFO include \u201cstandard\u201d and \u201cspecialized\u201d projects, which include a site inspection to document damages, before the JFO staff provide the information to the CRC. Further, PA program officials assign PA staff based on their skills and experience to standard projects, which are less technically complex to develop, and specialized projects, which are more technically complex and costly. We discuss the new workforce positions FEMA developed for JFOs and CRCs, the new information system FEMA developed to maintain and share PA grant documents with applicants, and FEMA\u2019s efforts to incorporate hazard mitigation into PA projects later in this report."], "subsections": []}, {"section_title": "Testing the New Delivery Model Prior to Full Implementation", "paragraphs": ["Since 2015, FEMA has invested almost $9 million to redesign the PA program through the reengineering and implementation of the new delivery model, including about $4.7 million for contract support for implementation, and $4 million for acquisition of the new information system. FEMA tested the new delivery model in a series of selected disasters, using a continuous process improvement approach to assess and improve the process, workforce changes, and information system requirements, prior to implementing the new model for all future disasters. For example, FEMA first tested the new process in Iowa in July 2015 and, in February 2016, PA program officials expanded their test to include all of the new staff positions. In October 2016, PA program officials added the new information system to achieve a comprehensive implementation of all of the elements of the new delivery model for the agency\u2019s response to Hurricane Matthew in Georgia, two additional disasters in Georgia in January 2017, and in Missouri, North Dakota, Wyoming, Vermont, and two disasters in New Hampshire from June through August 2017. The timeline for PA\u2019s implementation of the new delivery model is shown in figure 6.", "According to program officials, FEMA planned to implement the new model for all future disasters beginning in January 2018. However, historic disaster activity during the 2017 hurricane season accelerated full implementation. As a result, on September 12, 2017, FEMA officials announced that, unless officials determined it would be infeasible in an individual disaster, the program would use the new delivery model in all future disasters."], "subsections": []}]}, {"section_title": "FEMA Designed the New PA Delivery Model to Address Workforce Management Challenges, but Efforts to Support Full Implementation Could Be Enhanced", "paragraphs": [], "subsections": [{"section_title": "PA\u2019s New Delivery Model Was Designed to Respond to Previously Identified Workforce Challenges", "paragraphs": ["According to FEMA\u2019s 2014 PA Program Realignment report and other program documents, PA officials designed the new delivery model to respond to persistent workforce management challenges related to identifying the required number of staff and needed skills and training, among other things, to improve the efficiency and effectiveness of the PA preaward process. To address these challenges, PA program officials centralized much of the responsibility for processing PA projects in the CRCs, created additional new positions with specialized roles and responsibilities in JFOs, and established training and mentoring programs to help build the new staffs\u2019 skills."], "subsections": [{"section_title": "Centralized Roles at CRCs", "paragraphs": ["In 2016, PA program officials centralized some of the project activities that otherwise were being carried out at individual JFOs at FEMA\u2019s first new CRC in Denton, Texas. Officials did so by establishing 18 new positions, many of which directly correlated with positions that FEMA deployed to individual JFOs in the legacy PA delivery model. According to PA officials, centralizing positions will improve standardization in project processing, and result in a higher quality work product. As part of the new delivery model, PA program officials created a new hazard mitigation liaison position for PA program staff at the CRC that did not previously exist at individual JFOs. The other new positions that PA program officials either created or centralized at the CRC included two specialized positions responsible for costing and validating PA projects. Previously, the PA project specialist deployed to the JFO would complete these tasks and others; however, the consistency of project development varied across the regions and disasters. In contrast, CRC staff are full-time employees who receive training to specialize in completing standardized project development steps for PA projects from multiple disasters on an ongoing basis.", "Program officials anticipate that centralizing new specialized staff at the CRCs will also reduce PA administrative costs and staffing levels at the JFOs. For example, staff at the CRCs, such as the new hazard mitigation liaisons and insurance and costing specialists, could support project development for multiple disasters and regions simultaneously, whereas PA previously needed to deploy staff to each JFO to fulfill these roles. In addition, once JFOs operating under the new model send projects to the CRCs for processing and review, FEMA can more rapidly close its JFOs, reducing associated administrative costs. For example, following Hurricane Matthew, FEMA credited the new delivery model, in part, with its ability to close the JFO in Georgia sooner than several other JFOs in neighboring states not involved in the implementation of the new delivery model."], "subsections": []}, {"section_title": "Specialized Roles at JFOs", "paragraphs": ["PA program officials created new positions with more specialized roles and responsibilities to help PA staff at JFOs provide more consistency in the project development process and guidance to applicants. Program officials split the broad responsibilities previously managed at the JFOs by PA crew leaders and project specialists, into two new, specialized positions\u2014the program delivery manager and site inspector. The program delivery manager serves as the applicant\u2019s single point-of-contact throughout the preaward process, manages communication with the applicant, and oversees document collection. All three PA grant applicants we spoke to following Hurricane Matthew in Georgia greatly appreciated the knowledge and assistance provided by their program delivery managers. Site inspectors are responsible for conducting the site inspection to document all disaster-related damages; determining the applicant\u2019s plans for recovery, coordinating with other specialists, and verifying the information collected with the applicant. Officials expect deployed staff at JFOs can complete the fieldwork faster and provide greater continuity of service to applicants. Further, program officials believe that specializing roles will enable them to provide more targeted training, and improve employee satisfaction."], "subsections": []}, {"section_title": "New Training Courses and Mentoring", "paragraphs": ["Site inspection, hazard mitigation, and environmental and historic preservation specialists, along with a new Public Assistance program mentor, conduct a site inspection with the applicant to document damages to a historic cemetery in Savannah, Georgia, following Hurricane Matthew in 2016.", "PA program officials designed new training and mentoring programs for the new positions at the CRCs and JFOs and used a continuous feedback process to update and improve the training, position guides, and task books throughout the implementation of the new delivery model, according to PA officials. According to a June 2017 update of the PA Cadre Training Plan, training for the new model has five major focuses: required training and skills for position qualification; on-site refresher training; mentor training; regional-based state, local, tribal, and territorial training; and training on the new information system. Specifically, officials developed six new training courses, and identified which are required for each position under the new delivery model. For example, a program delivery manager at the JFO is required to complete both the program delivery manager and site inspector specialist courses. As of June 2017, PA program officials had provided at least one new model training course to 93 percent of their cadre (including program delivery manager training to 366 individuals and site inspector training to 1,172 individuals) and planned to provide 28 additional courses through September 2017 to the PA cadre. According to regional and CRC officials, the training courses and mentoring from experienced staff helped maximize new staff\u2019s capabilities in the new process."], "subsections": []}]}, {"section_title": "PA Officials Planned Additional Training to Address Issues Identified during Implementation", "paragraphs": ["Throughout the third implementation of the new delivery model, JFO and CRC staff, as well as regional PA staff, stakeholders, and applicants, identified staff skills and training as a key area that needed more attention for full implementation of the new delivery model. Our work and FEMA\u2019s after-action reports from the third test in Georgia identified problems with site inspector skills, which affected the timeliness and accuracy of projects. Specialists and managers at the CRC noted that poorly trained site inspectors did not consistently provide the necessary information from the field, which resulted in delays for the CRC staff to process projects, and after-action reports also identified challenges with site inspector skills. According to a PA applicant in Georgia, the inconsistency of skills and experience of their site inspector resulted in the need to conduct a \u201cdo-over\u201d site inspection on one of the applicant\u2019s projects, causing delays. PA staff and state officials attribute much of the site inspectors\u2019 skill gaps to their lack of training and experience in the program. According to PA Region officials, providing timely training will be a resource-intensive challenge for implementing the new delivery model for all future disasters. For example, it can be difficult to train reservists before FEMA deploys them to disasters, and many of the program\u2019s experienced reservists have retired or resigned, resulting in few mentors for the program and a high need to provide training to inexperienced and newly hired staff.", "PA officials and stakeholders also emphasized the need for FEMA to provide additional training for state and local officials to build capacity and support the goals of the new delivery model. For example, according to JFO officials at the third implementation, the new delivery model increases responsibilities for applicants, who will require more applicant training than FEMA currently provides. According to state officials, applicant capabilities vary, and FEMA should provide training to state and local officials on the new delivery model and the information system before a disaster. Skill gaps among applicants could result in inconsistent implementation of the new process, according to PA staff and stakeholders, and PA staff said that training was important to prevent applicants from reverting back to the legacy PA grant application process.", "To support full implementation of the new delivery model for all disasters, PA program officials have updated training courses for PA staff and applicants, and planned additional training to address these challenges and other lessons learned through the test implementation. For example, PA officials told us they updated the site inspector training program in May 2017 and scheduled a new site inspector training session in August 2017 to include more hands-on training to help address the skill gaps identified for site inspectors. PA officials created a new training course for FEMA\u2019s regional offices, in part to enable regional PA staff to provide new delivery model training to state and local officials. PA officials also planned to develop a self-paced, online course for state and local officials by the end of 2017."], "subsections": []}, {"section_title": "Opportunities Exist to Enhance Workforce Assessment in the New Delivery Model", "paragraphs": ["PA officials have not fully assessed the workforce needed for JFO field operations, CRC staff, or FIMA\u2019s hazard mitigation staff to support implementation of the new delivery model for all future disasters. PA program officials developed an initial assessment of the total number of staff needed in the field and the CRCs in 2016 to estimate cost savings associated with consolidating and specializing positions at the CRCs and deploying fewer staff to JFOs. However, the assessment did not identify the number of staff required to fill specific positions, including program delivery managers and hazard mitigation specialists, needed to support the new delivery model for full implementation. In reviewing the test implementations of the new delivery model, we found that inadequate staffing levels at the JFOs and CRCs, and with FIMA\u2019s hazard mitigation staff, affected staffs\u2019 ability to achieve the goals of the new delivery model.", "Staff levels at the JFO. We identified challenges with having the right number of program delivery managers and site inspection specialists to achieve program goals for customer satisfaction, efficiency, and quality in test implementations of the new delivery model. For example, in the second test implementation of the new delivery model in Oregon in 2016, PA did not deploy enough program delivery managers to the disaster, which resulted in unmanageable caseloads for program delivery managers, according to state and PA officials. PA program officials assigned program delivery managers an average caseload of 12 PA applicants, which was more than they could effectively manage, according to PA staff, and program officials aim for a caseload of 8 to 10 applicants. According to state officials, local officials reported they did not always receive the support they needed from program delivery managers who managed caseloads consisting of dozens of projects at multiple sites for each applicant during the Oregon implementation. As a result of overwhelmed program delivery managers, local officials faced challenges understanding their responsibilities, such as recognizing when they needed to provide information for the project development to proceed, according to state officials. PA staff involved with the third test implementation in Georgia in 2016 and 2017 said there were not enough site inspectors or program delivery managers to fully manage the workload at the JFO. Because of the specialization of roles, projects could not move forward when there were not enough staff to execute the next step in the process. For example, PA staff at the JFO said program delivery managers completed recovery scoping meetings rapidly, but faced a bottleneck in scheduling site inspections because there were more applicants awaiting site inspections than could be fulfilled by the number of site inspection specialists available.", "Staff levels at the CRC. Staff at the CRC reported challenges with staffing levels during the Oregon and Georgia test implementations, and expressed concerns about when PA officials will staff the CRCs to support full implementation of the new model for all disasters. During the Oregon test implementation, a CRC specialist said there were not enough technical specialists to manage the workload and, as a result, PA program officials had to redeploy site inspectors from their JFO field operations to the CRC to complete costing estimates. During the third test in Georgia, quality assurance specialists said that their workload resulted in added stress trying to complete the work in time while adhering to quality standards. According to CRC specialists in Denton, Texas, PA officials had not determined required staff levels for full implementation, but agreed that workload was too high and program officials needed to determine the appropriate staff levels for each CRC to support full implementation. PA officials were still evaluating CRC processing times and workload management from the Oregon and Georgia test implementations to determine staffing needs, according to PA officials. Further, PA program officials plan to establish a second CRC in Winchester, Virginia, before the end of 2017, but have not determined the number of additional permanent full-time staff needed to support the CRCs for full implementation of the new delivery model.", "Staff levels for the hazard mitigation specialists. PA officials have not identified the number of hazard mitigation specialists in FIMA\u2019s hazard mitigation cadre needed for full implementation of the new delivery model. According to JFO staff, current hazard mitigation staff levels are insufficient to provide the desired in-person participation of hazard mitigation staff on all recovery scoping meetings to share information on hazard mitigation with applicants and help them identify potential mitigation opportunities. A PA program official said officials missed opportunities to pursue hazard mitigation during the test implementation after Hurricane Matthew in Georgia due to lack of hazard mitigation specialists. In addition, for the test implementation in Oregon, there were not enough hazard mitigation specialists to cover all site inspections and implement their new delivery model responsibilities, according to FEMA\u2019s after-action reports. The absence of hazard mitigation specialists in the early stages of PA project development may cause delays in officials\u2019 identifying hazard mitigation opportunities, according to a FIMA official. PA program officials said they did not work with FIMA to determine the appropriate levels of hazard mitigation staff under the new delivery model because they were refining the new process, but as of June 2017 were working with FIMA to do so.", "One of the key implementation activities in our Business Process Reengineering Assessment Guide includes addressing workforce management issues. Specifically, this includes identifying how many and which employees will be affected by the position changes and retraining. Further, our prior work has found that high-performing organizations identify their current and future workforce needs\u2014including the appropriate number and deployment of staff across the organization\u2014 and address workforce gaps, to improve the contribution of critical skills and competencies needed for mission success.", "According to a PA program official, their initial workforce assessment was not comprehensive because they were still collecting data required to make informed decisions. PA officials agreed that updating their workforce assessments prior to full implementation could be helpful, and acknowledged that program officials needed to be more proactive applying the lessons learned as they pivot from testing to full implementation of the new delivery model in 2018. FEMA also conducts a standard agency wide workforce structure review every 2 to 3 years, which helps officials determine the appropriate disaster workforce levels. As of June 2017, PA officials were working with other offices within FEMA to expedite the agency-wide assessment of the PA and FIMA hazard mitigation cadres, but did not know when they would complete the assessment. PA officials also acknowledged that they faced an aggressive schedule to complete various planned activities for workforce management, training, and other efforts, in support of full implementation, and that they may not be able to complete all efforts as thoroughly as they would like in order to expedite the transition of the PA program to the new delivery model.", "The gaps in PA workforce assessment in the JFOs, CRCs, and for FIMA\u2019s hazard mitigation cadre present a risk that PA program managers will not have a sufficient workforce to support the goals of the new delivery model. In addition, the timing and implementation of the hiring and training activities for new PA program staff could take multiple months, and program officials will need to know what staff levels are necessary for full implementation of the new delivery model to inform resource decisions for the program in coordination with other agency offices. According to PA program officials, workforce assessment efforts have been delayed as a result of disaster response and recovery efforts related to Hurricanes Harvey, Irma, and Maria. Completing a workforce assessment will help program officials identify gaps in their workforce and skills, which could help PA program officials minimize the effects of long- standing workforce staffing and training challenges on the PA program delivery and inform full implementation for all disasters."], "subsections": []}]}, {"section_title": "FEMA Designed the New PA Information System to Resolve Past Challenges, but Opportunities Exist to Fully Implement Key Management Controls", "paragraphs": [], "subsections": [{"section_title": "FEMA\u2019s New PA Information System Is Designed to Resolve Long-Standing Information Sharing Challenges", "paragraphs": ["costs. For example, EMMIE does not collect information on all of the preaward activities that are part of the PA grant application process. As a result, PA program officials said they, and applicants, must use ad hoc reports and personal tracking documents to manage and monitor the progress of grant applications. PA officials added that EMMIE is not user- friendly and applicants often struggle to access the system. In response to these ongoing challenges, PA program officials developed FAC-Trax\u2014 a separate information system from EMMIE\u2014with new capabilities designed to improve transparency, efficiency, and management of the PA program.", "Specifically, FAC-Trax allows FEMA staff (PA Grants Manager) and applicants (PA Grants Portal), to review, manage, and track current PA project status and documentation. For example, applicants can use FAC- Trax to submit requests for public assistance, upload required project documentation, approve grant application items, and send and receive notifications on grant progress and activities. In addition, the FAC-Trax system includes standardized forms, as well as required fields and tasks that PA program staff and applicants must complete before moving on to the next steps in the PA preaward process. According to PA officials, these capabilities increase transparency, encourage greater applicant involvement, and enhance collaboration and communication between FEMA and grant applicants, to improve efficiency in processing and awarding grant applications and enhance the quality of project development. Further, PA officials said that FAC-Trax could reduce challenges associated with staff turnover during the project development process because the system stores and maintains applicant information and project documentation, making it easier for transitioning staff to assist an applicant. They also said they use FAC-Trax to gather and analyze data that supports management of the PA process, including measuring the timeliness of the grant application process. For example, during the test implementation of the new delivery model in Georgia following Hurricane Matthew, officials were able to document that, on average, program delivery managers took 5 days to conduct the exploratory call and 14 days to hold the recovery scoping meeting with applicants, and CRC officials took 33 days to develop and review grant proposals. Managers use this data to assess staffing needs and identify bottlenecks in the PA process, according to PA officials."], "subsections": []}, {"section_title": "Opportunities Exist to More Fully Implement Two of Four Key IT Management Controls for FEMA\u2019s New PA Information System", "paragraphs": ["FAC-Trax is critical to the new PA delivery model and will be a primary means of sharing grant application documents, tracking ongoing PA projects, and ensuring that FEMA staff and applicants follow PA grant policies and procedures. Given the importance of developing and testing this new information sharing system, we evaluated its development against four key IT management controls\u2014(1) project planning; (2) risk management; (3) requirements development; and (4) systems testing and integration. When implemented effectively, these controls provide assurance that IT systems will be delivered within cost and schedule and meet the capabilities needed by its users. We found that FEMA\u2019s development of FAC-Trax fully satisfied best practices for project planning and risk management, but additional steps are needed to fully satisfy the areas of requirements development and systems testing and integration, as discussed below. See appendix II for the full assessment of each IT management control."], "subsections": [{"section_title": "Project Planning", "paragraphs": ["PA program officials fully satisfied all five practices in the project planning control area, according to our assessment. Key project planning practices are (1) establishing and maintaining the program\u2019s acquisition strategy, (2) developing and maintaining the overall project plan and obtaining commitment from relevant stakeholders, (3) developing and maintaining the program\u2019s cost estimate, (4) establishing and maintaining the program\u2019s schedule estimate, and (5) identifying the necessary knowledge and skills needed to carry out the program. To address the first and second practices, program officials established detailed plans that describe the acquisition strategy and objectives, the program\u2019s scope, and its framework for using an Agile software development approach, among other key actions. Agile is a method of software development that utilizes an iterative process and constantly improves software based on user needs and feedback. Program officials also developed a plan detailing the program\u2019s approach to deploy and maintain FAC-Trax and established stakeholder groups and an integrated product team to support and oversee the development of FAC-Trax. To address the third and fourth practices, they developed and maintained a master schedule of all implementation tasks and milestones through project completion, and developed a life-cycle cost estimate of over $19 million. Additionally, FAC-Trax\u2019s acquisition performance baseline describes the system\u2019s minimum acceptable and desired baselines for performance, schedule, and cost. Lastly, in regards to the fifth practice, program officials identified the knowledge and skills needed to carry out the program in the FAC-Trax Request for Proposal and FAC-Trax Capability Development Plan."], "subsections": []}, {"section_title": "Risk Management", "paragraphs": ["PA program officials fully satisfied all four practices in the risk management control area, according to our assessment. Key risk management practices are (1) identifying risks, threats, and vulnerabilities that could negatively affect work efforts, (2) evaluating and categorizing each identified risk using defined risk categories and parameters, (3) developing risk mitigation plans for selected risks, and (4) monitoring the status of each risk periodically and implementing the risk mitigation plan as appropriate. To address the first and second practices, program officials identified key risks that could negatively affect FAC-Trax in a \u201crisk register\u201d\u2014an online site used to track risks, issues, and mitigating actions. As of May 2017, officials had identified 13 risks in the risk register\u2014four open and nine closed\u2014and evaluated and categorized the identified risks based on the probability of occurrence and scope, schedule, and cost impacts. For example, program officials reported that two of its open risks have a \u201cmedium\u201d risk rating\u2014meaning the risk has the potential to slightly affect project cost, schedule, or performance. To address the third and fourth practices, program officials developed and documented risk mitigation plans for all identified risks. For example, program officials planned to mitigate the risk of limited engagement of subject matter experts by identifying and engaging with appropriate experts through workshops, and monitoring the capability development process to identify any issues that may cause project delays. In addition, PA program officials documented the responsible officials, reevaluation date, and risk status, among other things, for each risk in the register, and reviewed and updated risks during weekly and monthly program reviews with stakeholders throughout FEMA."], "subsections": []}, {"section_title": "Requirements Development", "paragraphs": ["PA program officials fully satisfied four out of five practices in the requirements development control area, according to our assessment. Key requirements development practices are (1) eliciting stakeholder needs, expectations, and constraints, and transforming them into prioritized customer requirements; (2) developing and reviewing operational concepts and scenarios to refine and discover requirements; (3) analyzing requirements to ensure that they are complete, feasible, and verifiable; (4) analyzing requirements to balance stakeholder needs and constraints; and (5) testing and validating the system as it is being developed. To address the first and second practices, program officials developed a requirements management plan outlining how officials capture, assess, and plan for FAC-Trax enhancements, and established a change control process to review, prioritize, and verify user requests for changes to the system and feedback. As of May 2017, the PA program office received 734 change requests related to FAC-Trax, of which program officials completed 420 changes and planned to address an additional 277 entries. Program officials also developed a functional requirements document outlining the high-level requirements for FAC- Trax and detailed operational concepts and scenarios for each phase of the preaward process in the system\u2019s concept of operations. To address the fourth practice, program officials created a standard template to analyze and document the user needs and acceptance criteria for planned system capabilities in March 2017. In addition, PA program officials identified risks and dependencies for recommended changes to FAC-Trax, and balanced the cost and priority of system enhancements as part of the change control process. Lastly, regarding the fifth practice, program officials tested and evaluated FAC-Trax during development, which included validating system enhancements through user acceptance testing.", "However, program officials did not fully address the third practice\u2014 analyzing requirements to ensure they are complete, feasible, and verifiable\u2014because they did not ensure detailed user requirements were necessary and sufficient by tracking them back to higher-level requirements. For example, although program officials reviewed change requests for completeness and followed up with users to verify requirements, officials did not track system enhancements, made in response to detailed user requirements (e.g., allowing users to search PA projects by project number), back to the high-level requirements (e.g., storing data and information provided by the applicant) identified in the FAC-Trax functional requirements document and performance work statement. Officials did not track system enhancements back to high-level requirements because they did not have a complete understanding of basic user needs and system requirements at the beginning of the FAC- Trax effort, according to the PA program manager. A PA official also said the change control process was a way to identify the basic capabilities FAC-Trax needed to have and that tracking enhancements back to high- level requirements could have made the change control process more difficult to manage, and reduced user participation if, for example, users needed to understand how their change requests related to high-level requirements. However, program officials could have tracked enhancements back to high-level requirements themselves using the change control process without putting any additional burden on users. Despite not having a complete understanding of user needs and system requirements at the beginning of the FAC-Trax effort, analyzing whether users\u2019 change requests satisfy higher-level requirements identified in key design and planning documents would have provided officials with a basis for more detailed and precise requirements throughout project development and helped them better manage the project, according to IT management controls. Further, according to the PMBOK\u00ae Guide, tracking or measuring system capabilities against approved requirements is a key process for managing a project\u2019s scope, measuring project completion, and ensuring the project meets user needs and expectations.", "Program officials acknowledged the importance of tracking system enhancements back to documented system requirements. Ensuring that FAC-Trax meets user needs and expectations is especially important because the information system is key to the success of the new delivery model, according to PA officials. By analyzing progress made on documented, high-level requirements, a step that reflects a key IT management control for requirements development, the PA program will have greater assurance that FAC-Trax will provide functionality that meets user needs and expectations."], "subsections": []}, {"section_title": "Systems Testing and Integration", "paragraphs": ["PA program officials did not fully satisfy either of the two practices in the systems testing and integration control area, according to our assessment. Key systems testing and integration practices are (1) developing test plans and test cases, which include a description of the overall approach for system testing, the set of tasks necessary to prepare for and perform testing, the roles and responsibilities for individuals or groups responsible for testing, and criteria to determine whether the system has passed or failed testing; and (2) developing a systems integration plan to identify all systems to be integrated, describe how integration problems are to be documented and resolved, define roles and responsibilities of all relevant participants, and establish a sequence and schedule for every integration step.", "In regards to the first practice, PA program officials and the FAC-Trax contractor established a test plan that identifies the method and strategy to perform testing, including the necessary tasks, such as responding to user feedback and testing errors, and incorporating necessary resolutions into future work, testing parameters, and the roles and responsibilities of the individuals responsible for testing. However, program officials have not developed system testing criteria to evaluate FAC-Trax, which would align with the practice described above of using criteria to determine whether the system has passed or failed testing. A key feature of Agile software development is the \u201cdefinition of done\u201d\u2014a set of clear, comprehensive, and objective criteria, that the government should use to evaluate software after each iteration of development. PA program officials said they did not establish a definition of done because officials initially managing the FAC-Trax effort lacked familiarity with system development in the Agile environment. Officials acknowledged the importance of establishing a definition of done and said they are planning to develop one, but have not identified how or when to incorporate it into the development process. According to the TechFAR\u2014the government\u2019s handbook for procuring digital services using Agile processes\u2014the government and vendor should establish this definition after contract award at the beginning of each cycle of software development. By establishing criteria, such as a definition of done, to evaluate the system\u2014a step that reflects a key IT management control for system testing and is an effective practice for applying Agile to software development\u2014the PA program will have greater assurance that FAC- Trax is usable and responsive to specified requirements.", "In regards to the second practice, PA program officials developed a systems integration plan in June 2017 that identified the potential for integration of FAC-Trax with four FEMA systems, including EMMIE. In addition, program officials included a description of how staff should document integration problems and the resolution of problems in FAC- Trax development and test plans. However, the systems integration plan does not define roles and responsibilities of all participants for system integration activities or establish a sequence and schedule for every integration step for the four FEMA systems. PA officials said that system integration planning for FAC-Trax is in the early stages, but acknowledged the importance of these elements of system integration planning. Officials plan to define roles and responsibilities of all participants for system integration activities and develop the sequence and schedule for every integration step as they add new systems to the FAC-Trax development plan and obtain funding needed for their integration. Nonetheless, FEMA has used FAC-Trax for selected PA disasters since October 2016 and plans to use FAC-Trax for all future disasters. According to IT management controls, agencies should establish the systems integration plan early in the project and revise it to reflect evolving and emerging user needs. By ensuring that the FAC- Trax systems integration plan defines the roles and responsibilities of relevant participants for all integration relationships and establishes a sequence and schedule for every integration step, the PA program will have greater assurance that FAC-Trax functions properly with other systems and meets user needs."], "subsections": []}]}]}, {"section_title": "FEMA\u2019s New PA Model Enhances Hazard Mitigation Staff Participation, but Opportunities Exist to Further Promote Mitigation", "paragraphs": [], "subsections": [{"section_title": "Changes under the New Model Include Enhanced Participation of Hazard Mitigation Staff", "paragraphs": ["FEMA\u2019s new delivery model enhances participation of hazard mitigation staff with the goal of identifying opportunities for mitigation earlier in the PA preaward process, according to PA officials. Two key changes related to hazard mitigation under the new model include (1) an emphasis on engaging with hazard mitigation specialists at the JFO earlier in the PA process and involving them in specific PA preaward activities and (2) the establishment of the PA program\u2019s hazard mitigation liaison at the CRC. For example, position guides direct program delivery managers to coordinate with FIMA\u2019s hazard mitigation specialists prior to recovery scoping meetings, and site inspectors to coordinate with hazard mitigation specialists prior to site inspections to discuss a PA grant applicant\u2019s damages and any potential mitigation opportunities. PA program officials also developed guidance for conducting the exploratory call and the recovery scoping meeting with applicants, which include questions for PA staff to ask on the applicant\u2019s interest in or plans for incorporating hazard mitigation into potential projects. In addition, a new hazard mitigation liaison at the CRC is responsible for reviewing PA projects for hazard mitigation opportunities and serving as a mitigation subject matter expert for the PA program.", "According to data provided by FEMA, PA grant applicants incorporated hazard mitigation into approximately 18 percent of permanent work projects for all disasters nationwide from 2012 to 2015. During test implementation of the new delivery model, state, PA, and FIMA officials all reported an increase in the number of hazard mitigation activities on PA permanent work projects. For example, state officials who participated in the second new model test in Oregon said that effective communication and coordination between PA and hazard mitigation staff resulted in applicants incorporating hazard mitigation into over 60 percent of permanent work projects. Furthermore, PA officials reported an increase in hazard mitigation during the third test implementation of the new model in Georgia following Hurricane Matthew, where approximately 16 percent of permanent work projects included mitigation, as of June 2017. This represents an increase compared to the PA program\u2019s estimate for the proportion of projects that incorporate hazard mitigation among previous PA hurricane disasters in Georgia, which was about 3 percent, according to PA officials. While PA officials are trying to increase hazard mitigation through the new delivery model, not all disasters present the same number of opportunities to incorporate hazard mitigation. First, the PA program only incorporates hazard mitigation measures for permanent work projects, such as repairs to roads, bridges, and buildings. For example, as of June 2017, approximately 60 percent of the projects FEMA funded in Georgia for the third test implementation after Hurricane Matthew were for emergency work, which is not eligible for hazard mitigation measures. Second, the PA program only funds mitigation measures that officials determine to be cost-effective. In addition, we have previously reported on other factors that affect whether applicants incorporate hazard mitigation into PA projects, such as their capacity to manage and ability to fund hazard mitigation projects."], "subsections": []}, {"section_title": "Opportunities to Better Promote Hazard Mitigation under the New Model", "paragraphs": [], "subsections": [{"section_title": "Hazard Mitigation Planning and Prioritization", "paragraphs": ["National Planning for Hazard Mitigation In our 2015 report on disaster resilience following Hurricane Sandy, we noted that disaster affected areas have different threats and vulnerabilities, and local stakeholders make the ultimate determination whether or not to incorporate hazard mitigation into a project. Further, without a strategic approach to making disaster resilience investments, the federal government and its nonfederal partners may be unable to fully capitalize on opportunities for mitigation on the greatest known threats and hazards. We recommended that the Mitigation Framework Leadership Group develop an investment strategy to help ensure that federal funds expended to enhance disaster resilience achieve the goal of reducing the nation\u2019s fiscal exposure because of climate change and the rise in the number of federal major disaster declarations as effectively and efficiently as possible. In response, the Federal Emergency Management Agency (FEMA) plans to issue a final National Mitigation Investment Strategy in 2018. The goals of this strategy include increasing the effectiveness of investments in reducing disaster losses and increasing resilience, and improving coordination of disaster risk management among federal, state, local, tribal, territorial, and private entities.", "Although the new model establishes hazard mitigation activities for PA and FIMA staff in the preaward process, it does not standardize and prioritize hazard mitigation planning at JFOs in the way FEMA has done with prior PA program policy. Specifically, FEMA\u2019s 2007 PA program policy standardized planning for hazard mitigation across PA recovery efforts by stating that agency and state officials should issue a memorandum of understanding (MOU) early in the disaster, outlining how PA hazard mitigation will be addressed for the disaster, including what mitigation measures will be emphasized, and identifying applicable codes and standards, and any potential integration with other mitigation grant programs. However, PA program officials did not include guidance that standardizes planning for hazard mitigation, such as encouraging the use of an MOU, in FEMA\u2019s 2010 PA program policy, the most recent update to the Public Assistance Program and Policy Guide in April 2017, or the New Delivery Model Operations Manual. As a result, FIMA officials said FEMA and state officials do not consistently issue MOUs that outline how FEMA and the state plan to promote PA hazard mitigation during the recovery effort, explaining that the use of the MOU is based on the preferences and priorities of the FEMA officials involved. When not issuing an MOU, FIMA hazard mitigation staff and PA officials at the JFO meet to determine the extent which hazard mitigation staff interact directly with applicants regarding PA hazard mitigation during the recovery process, according to a FIMA official.", "Having a consistent approach to planning for and prioritizing hazard mitigation across all disasters is important for FEMA, given that FEMA experienced challenges consistently prioritizing and integrating hazard mitigation across PA recovery efforts, according to GAO and others. For example, in our 2015 report on resilience in the Hurricane Sandy recovery, we found that state and local officials experienced challenges maximizing disaster resilience in the recovery effort because PA officials did not consistently prioritize hazard mitigation during project development.", "According to FEMA\u2019s National Mitigation Framework, planning is vital for mitigation efforts during disaster recovery, and federal, state, and local officials should establish procedures that emphasize a coordinated delivery of mitigation activities and capitalize on opportunities to reduce future disaster losses. Similarly, the Recovery Federal Interagency Operational Plan, which supports FEMA\u2019s National Disaster Recovery Framework, identifies planning as a key task for identifying mitigation opportunities and integrating risk reduction considerations into decisions and investments during the recovery process. FIMA officials agreed that including the development of a formal plan, such as the historical 2007 PA program policy regarding the use of MOUs, for PA hazard mitigation in operations guidance would help program officials plan for and prioritize hazard mitigation. They noted that FIMA\u2019s hazard mitigation field operations guide includes procedures for implementing proposed MOUs to achieve mitigation goals. PA program officials said that, in light of changes to the PA process under the new model and subsequent updates to program policies, the MOU policy from the 2007 PA program policy was outdated. But officials agreed that planning for and prioritizing hazard mitigation at the operational level is important and said they were examining additional ways to incorporate these activities early in the PA process. As FEMA continues to implement the new model, establishing procedures to standardize hazard mitigation planning for each disaster, as it did through prior policy, could improve the prioritization of hazard mitigation in PA recovery efforts and increase the effectiveness of mitigation for reducing disaster losses and increasing resilience."], "subsections": []}, {"section_title": "New Delivery Model Performance Objectives and Measures Could Better Align with FEMA\u2019s Strategic Goal for Hazard Mitigation", "paragraphs": ["PA program officials developed performance objectives and measures for hazard mitigation in the new delivery model, but could add measures to better align performance assessment for the PA program with FEMA\u2019s broader strategic goals for hazard mitigation. In its strategic plan for 2014\u20132018, FEMA established an agency-wide goal to increase the percentage of FEMA-funded disaster projects, such as those under the PA program, that provide mitigation above local, state, and federal building code requirements by 5 percentage points by the end of fiscal year 2018. For example, local building codes may require measures for new construction to mitigate against future damage. To align with FEMA\u2019s strategic goal, PA officials would also need to measure the number of PA projects that included mitigation measures that bring any repaired infrastructure to a level above applicable building codes. However, under the new model, FEMA officials developed performance objectives (and associated measures) to increase the number of projects that include hazard mitigation by 5 percent, and increase the total dollars spent on hazard mitigation by 2 percent. While these measures could help to incentivize mitigation, they are not tied to building codes and do not include specific information that FEMA could use to continually assess the PA program\u2019s contributions to meeting the agency\u2019s strategic goal.", "According to Standards for Internal Control in the Federal Government, agency management should design control activities, such as establishing and reviewing performance measures, to achieve the agency\u2019s objectives. In addition, our work on leading public sector organizations has found that such organizations assess the extent to which their programs and activities contribute to meeting their mission and desired outcomes, and strive to establish clear hierarchies of performance goals and measures. A clear connection between performance measures and program offices helps to both reinforce accountability and ensure that, in their day-to-day activities, managers keep in mind the outcomes their organization is striving to achieve. FEMA\u2019s ability to evaluate and report on PA hazard mitigation data is constrained, but officials are addressing this challenge through the development of data reporting and analytics capabilities for the PA program\u2019s new information system, according to PA officials. PA program officials developed measures they could use to evaluate the new model during test implementation and compare new model performance to the legacy PA process, and agreed that aligning PA program hazard mitigation goals with FEMA\u2019s agency-wide strategic goals would be helpful. As FEMA continues to develop and implement the new model, developing performance measures and objectives to better inform and support the agency\u2019s broader strategic goals could help to ensure that FEMA capitalizes on hazard mitigation opportunities in PA recovery efforts."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["FEMA\u2019s Public Assistance grant program is a complicated, multi-billion dollar program that is critical to helping state and local communities rebuild and recover after a major disaster. In recent years, FEMA has undertaken a major reengineering effort to make the PA preaward process simpler and more efficient for applicants and to address challenges encountered during recovery from past disasters. FEMA\u2019s new delivery model represents a significant opportunity to strengthen the PA program and address these past challenges, and growing pains are to be expected when implementing any large reengineering effort. Further, FEMA officials work to implement these changes while supporting response and recovery following disasters, including the catastrophic flooding from Hurricane Harvey in August 2017 and widespread damages from Hurricanes Irma and Maria in September 2017. As such, it is critical that feedback obtained and lessons learned while testing the new model inform decisions and actions as FEMA proceeds with full implementation for all disasters, including the complex recovery efforts in the states and territories affected by Hurricanes Harvey, Irma, and Maria.", "FEMA has redesigned the PA delivery model to address various challenges related to workforce management, information sharing with state and local grantees, and incorporating hazard mitigation into PA projects. FEMA has developed new workforce processes, training, and positions to address past challenges, but completing a workforce assessment that identifies the number of staff needed will inform workforce management and resource allocation decisions to help FEMA ensure a more successful implementation. This is particularly important as FEMA is using the new model for the long-term recovery from the 2017 hurricanes, and FEMA faces capacity challenges as its workforce is stretched thin. Further, FEMA\u2019s new FAC-Trax information sharing system provides FEMA and state and local applicants and grantees with better capabilities to address past challenges in managing and tracking PA projects. In developing FAC-Trax, FEMA implemented many of the key IT management controls that can help ensure that new IT systems are implemented effectively. However, additional steps are needed to fully satisfy the areas of requirements development and systems testing and integration. Finally, FEMA has taken some actions to better promote hazard mitigation as part of its new PA model. However, more consistent planning for hazard mitigation following a PA disaster and developing specific performance measures and objectives that better align with and support the agency\u2019s broader strategic goals related to hazard mitigation could help to ensure that mitigation is incorporated into recovery efforts, which presents an opportunity to encourage disaster resilience and reduce federal fiscal exposure from recurring catastrophic natural disasters."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to FEMA\u2019s Assistant Administrator for Recovery:", "The FEMA Assistant Administrator for Recovery should complete a workforce staffing assessment that identifies the appropriate number of staff needed at joint field offices, Consolidated Resource Centers, and in FIMA\u2019s hazard mitigation cadre to implement the new delivery model nationwide. (Recommendation 1)", "The FEMA Assistant Administrator for Recovery should establish controls for tracking FAC-Trax capabilities to the system\u2019s functional and operational requirements to more fully satisfy requirements development controls and ensure that the new information system provides capabilities that meets users\u2019 needs and expectations. (Recommendation 2)", "The FEMA Assistant Administrator for Recovery should establish system testing criteria, such as a \u201cdefinition of done,\u201d to assess FAC- Trax as it is developed; define the roles and responsibilities of all participants; and develop the sequence and schedule for integration of other systems with FAC-Trax to more fully satisfy systems testing and integration controls. (Recommendation 3)", "The FEMA Assistant Administrator for Recovery, in coordination with the Associate Administrator of the Federal Insurance and Mitigation Administration, should implement procedures to standardize planning for addressing PA hazard mitigation at the joint field offices, for example, by requiring FEMA and state officials to develop a memorandum of understanding outlining how they will prioritize and address hazard mitigation following a disaster as it did through prior policy. (Recommendation 4)", "The FEMA Assistant Administrator for Recovery, in coordination with the Associate Administrator of the Federal Insurance and Mitigation Administration, should develop performance measures and associated objectives for the new delivery model to better align with FEMA\u2019s strategic goal for hazard mitigation in the recovery process. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS and FEMA for review and comment. DHS provided written comments, which are reproduced in appendix III. In its comments, DHS concurred with our recommendations and described actions planned to address them. FEMA also provided technical comments, which we incorporated as appropriate.", "With regard to our first recommendation, that FEMA complete a workforce staffing assessment that identifies the number of staff needed at joint field offices, Consolidated Resource Centers, and FIMA\u2019s hazard mitigation cadre, DHS stated that PA, in coordination with the Field Operations Directorate and FIMA, will continue to refine and evaluate staffing needs and update the cadre force structures under the new delivery model. DHS estimated that this effort would be completed by June 28, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our second recommendation, that FEMA establish controls for tracking FAC-Trax capabilities to ensure the new information system meets users\u2019 needs, DHS stated that Recovery program managers will update the FAC-Trax Requirements Management Plan and the FAC-Trax Release Plan to ensure the tracking and traceability of FAC-Trax functional and operational requirements. DHS estimated that this effort would be completed by January 31, 2018. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our third recommendation, that FEMA establish systems testing criteria to assess the development of FAC-Trax; and define the roles and responsibilities, and sequence and schedule for system integration, DHS stated that Recovery program managers will update the FAC-Trax System Integration Plan to include integration with the Deployment Tracking System, Enterprise Data Warehouse, Preliminary Damage Assessment interface, and State Grants Management system interface. DHS estimated that this effort would be completed by June 29, 2018. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our fourth recommendation, that FEMA implement procedures to standardize planning for addressing PA hazard mitigation at the JFO, DHS stated that PA will update current process documents or develop new documents to better incorporate mitigation into the operational planning phase of the new delivery model. DHS estimated that this effort would be completed by July 31, 2018. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our fifth recommendation, that PA coordinate with FIMA to develop performance measures and associated objectives for the new delivery model that better align with FEMA\u2019s strategic goals for hazard mitigation in the recovery process, DHS stated that PA will reconvene the PA-Mitigation working group to develop and refine PA related hazard mitigation performance measures. DHS estimated that this effort would be completed by June 29, 2018. This action, if fully implemented, should address the intent of the recommendation.", "We are sending copies of this report to the Secretary of Homeland Security and interested congressional committees.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Selected Prior Work Related to Federal Emergency Management Agency\u2019s (FEMA) Public Assistance (PA) Program", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Assessment of Information Technology Management Controls for the FEMA Applicant Case Tracker (FAC-Trax)", "paragraphs": ["Appendix II: Assessment of Information Technology Management Controls for the FEMA Applicant Case Tracker (FAC-Trax)", "Table 2 shows details on the Federal Emergency Management Agency (FEMA) Public Assistance (PA) program office\u2019s implementation of key practices across four information technology (IT) management control areas for its new information system, the FEMA Applicant Case Tracker (FAC-Trax). PA developed FAC-Trax as a web-based project tracking and case management system to supplement the Emergency Management Mission Integrated Environment (EMMIE) and help resolve long-standing information sharing challenges. To determine the extent to which the FAC-Trax program office implemented IT management controls, we reviewed documentation from the FAC-Trax program and compared it to key management best practices, including the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Acquisition and Development, the Project Management Institute\u2019s Guide to the Project Management Body of Knowledge (PMBOK\u00ae Guide), and the Institute of Electrical and Electronics Engineers\u2019 Standard for Software and System Test Documentation. We assessed the program as having fully implemented a practice if the agency provided evidence that it fully addressed the practice; partially implemented if the agency provided evidence that it addressed some, but not all, portions of the practice; and not implemented if the agency did not provide any evidence that it addressed the practice.", "Table 2. Public Assistance (PA) Program Office\u2019s Implementation of Key Information Technology Management Controls for FAC-Trax PA program officials developed an acquisition plan for FAC-Trax identifying the capabilities the system is intended to deliver, the acquisition approach, and acquisition objectives. Additionally, program officials developed a capability development plan outlining a strategy for the program to obtain approval to acquire FAC-Trax. Lastly, program officials developed a systems engineering plan describing the program\u2019s scope and its framework for using an Agile development approach, as well as a deployment, support, and maintenance plan for FAC-Trax.", "PA program officials developed an acquisition program baseline detailing FAC-Trax\u2019s cost parameters and a life-cycle cost estimate for the system. As of May 2017, the life- cycle cost estimate for FAC-Trax through fiscal year (FY) 2023 is approximately $19.3 million. PA program officials updated the life-cycle cost estimate for FYs 2016 and 2017 after price negotiations with the FAC-Trax contractor, and will continue to update the estimate as annual budgets are approved, according to the Integrated Logistic Support Plan. The contracting officer\u2019s representative for FAC-Trax performs a cost review at the end of each month, according to program officials. Furthermore, the contractor\u2019s weekly status report includes information on the number of hours worked and the percent of contract value spent. Program officials also review program costs with Office of Response and Recovery, PA, Office of the Chief Information Officer (OCIO), and other program office stakeholders during a weekly program review.", "PA program officials developed an acquisition program baseline detailing FAC-Trax\u2019s schedule parameters, as well as an integrated master schedule for the system. The integrated master schedule identifies tasks, major milestones, and task dependencies. The PA program manager reviews and updates the integrated master schedule on a weekly basis. Program officials also review FAC-Trax\u2019s schedule with Office of Response and Recovery, PA, OCIO, and other program office stakeholders during a weekly program review.", "PA program officials identified the knowledge and skills needed to carry out the program in FAC-Trax contract documentation and the capability development plan. Specifically, program officials included an attachment to the FAC-Trax contract listing the required labor categories and corresponding functional position descriptions. Program officials also described the role, position type, minimum grade, and minimum certification for required personnel resources for the acquisition, development, and implementation of FAC-Trax.", "PA program officials developed, reviewed, and maintained project planning documents and obtained commitment from relevant stakeholders. For example, program officials reviewed and updated the integrated master schedule and costs on a weekly and monthly basis, respectively. Further, program officials reviewed the status of project elements, such as the schedule, quality and technical issues, stakeholders, staffing, cost, and risks, with Office of Response and Recovery, PA, OCIO, and other program office stakeholders during a weekly program review. PA program officials also established tactical, functional, and stakeholder groups, as well as an Integrated Product Team to support and oversee the development of FAC-Trax.", "FEMA\u2019s Recovery Technology Programs Division (RTPD) has a division-level risk management plan that serves as guidance for all Recovery systems, including FAC- Trax. Program officials identified key risks that could negatively affect FAC-Trax work efforts in RTPD\u2019s \u201crisk register\u201d\u2014an online site used to track risks, issues, and mitigating actions for the division and each program office. Program officials also identified five technical, cost, and schedule risks in the FAC-Trax acquisition plan. Program officials included one of these risks in the risk register, while the remaining four were managed outside of the register. As of May 2017, program officials had identified 13 risks in its risk register\u2014four open and nine closed. The four open risks were (1) limited subject matter expert engagement during requirements development, (2) vacancies in program management office support positions, (3) unresolved service level agreement support and funding issues, and (4) the loss of the authority to operate due to a Trusted Internet Connection that is not compliant with Department of Homeland Security security policy.", "Program officials evaluated and categorized the identified risks based on the probability of occurrence and scope, schedule, and cost impacts. These four points of measurement are used to calculate an overall risk score. The risk score helps program officials determine a risk\u2019s risk rating\u2014low, medium, or high. For example, program officials reported that two of its open risks have a \u201cmedium\u201d risk rating\u2014meaning the risk has the potential to slightly impact project cost, schedule, or performance. In addition, program officials detailed the risk category, probability, and impact for the five risks identified in the FAC-Trax acquisition plan.", "Program officials developed risk mitigation and contingency plans for each risk in the risk register. For example, program officials planned to mitigate the open risk concerning subject matter expert engagement, by identifying and engaging with appropriate subject matter experts through requirements development workshops scheduled in advance of the sprint they are to support, and monitoring the development of user stories to identify any issues that may cause delays. In addition, program officials described the risk management plan and responsible officials for the five risks identified in the FAC-Trax acquisition plan.", "PA program officials review and update program risks during a monthly program meeting. Program officials also review program risks with Office of Response and Recovery, PA, OCIO, and other program office stakeholders during a weekly program review. Furthermore, the FAC-Trax contractor provides a weekly status update which includes a section on identified risks. Program officials established re-evaluation dates and recorded updates, including any actions taken, for each risk in the risk register. In addition, program officials were able to provide updates on the four risks identified in the FAC-Trax acquisition plan and managed outside of the register. According to PA officials, these risks were addressed and closed by the approval of program planning documents, such as the mission needs statement, concept of operations, and operational requirements document, following the solutions engineering review, which demonstrates the readiness of the program to proceed with the procurement, in September 2016.", "Program officials established a requirements management plan outlining how it captures, assesses, and plans for FAC-Trax enhancements, and established a change control process to review, prioritize, and verify user requests for changes to the system and feedback. As of May 2017, the PA program office received 734 change requests related to FAC-Trax, of which program officials completed 420 changes and planned to address an additional 277 entries. PA program officials also facilitated workshops to gather requirements for specific user groups and obtained additional requirements for FAC-Trax through customer feedback on a temporary technology tool\u2014 an Access database referred to as the Public Assistance Recovery Information System\u2014used to support an early stage of the new model implementation. Further, program officials developed a functional requirements document outlining the high-level functional and operational requirements for FAC-Trax.", "PA program officials developed a concept of operations for FAC-Trax detailing operating concepts and scenarios for each phase of the PA preaward process. Program officials also detailed the workflow, phases, business functions, and data inputs and outputs for the re-engineered PA process in FAC-Trax\u2019s functional requirements document. In March 2017, program officials developed a standard template to describe the process, tasks, and data inputs and outputs for specific system capabilities.", "As part of the change control process, PA program officials meet three times a week to discuss and prioritize change requests. Specifically, program officials review submissions to the change control form to ensure completeness, validate impacts and root cause, and research details for incoming requests. PA program officials also follow up with users to understand and verify requirements. In March 2017, program officials developed a standard template to capture acceptance criteria for specific requirements. However, PA program officials do not track system enhancements back to the high-level requirements identified in FAC-Trax\u2019s operational and functional requirements documentation and performance work statement.", "PA program officials identified system requirements and constraints in the FAC-Trax concept of operations and functional and operational requirements documents. Further, through its change control process, program officials collect suggestions, issues, and feedback on FAC-Trax and system enhancements from stakeholders, identify risks for change requests, and balance prioritized requirements and estimated level of efforts with projected costs prior to each sprint. In March 2017, program officials developed a standard template to analyze and document the urgency and need for specific requirements.", "PA program officials and the FAC-Trax contractor established a testing and evaluation plan for the system, developed acceptance criteria for user stories, and obtained feedback from users during and after testing. The testing process concludes with user acceptance testing (UAT). If a change request fails during UAT or a new requirement is discovered during development, the PA program will capture the failed request or new requirement in the product backlog for implementation in a future product release.", "Key practices Systems testing and integration Developing test plans and test cases PA program officials and the FAC-Trax contractor tested and evaluated the system during development. The FAC-Trax test plan identifies the method and strategy to perform the testing, including the necessary tasks, testing parameters, and the roles and responsibilities of the individuals responsible for testing. However, program officials did not develop system testing criteria to evaluate FAC-Trax. A key feature of Agile software development is the \u201cdefinition of done\u201d\u2014a set of clear, comprehensive, and objective criteria, that the government should use to evaluate software after each iteration of development.", "PA program officials developed a systems integration plan in June 2017 that identifies potential integration of FAC-Trax and four FEMA systems, including the Emergency Management Mission Integrated Environment. Specifically, the plan includes data requirements and standards; descriptions of the four systems FEMA plans to integrate with FAC-Trax and the proposed relationship for each connection; and security and access management requirements. In addition, program officials included a description of how integration problems are to be documented and resolved in FAC-Trax development and test plans. However, the systems integration plan does not define roles and responsibilities of all participants for system integration activities or establish a sequence and schedule for every integration step for the four FEMA systems. \u25cf Fully implemented: The agency provided evidence that it fully addressed this practice. \u25d0 Partially implemented: The agency provided evidence that it addressed some, but not all, portions of this practice. \u25cc Not implemented: The agency did not provide any evidence that it addressed this practice."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Chris Keisling (Assistant Director), Amanda R. Parker (Analyst-in-Charge), Mathew Bader, Allison Bawden, Anthony Bova, Eric Hauswirth, Susan Hsu, Rianna Jansen, Justin Jaynes, Tracey King, Matthew T. Lowney, Heidi Nielson, Claire Peachey, Brenda Rabinowitz, Ryan Siegel, Martin Skorczynski, Niti Tandon, Walter K. Vance, James T. Williams, and Eric Winter made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-313", "url": "https://www.gao.gov/products/GAO-18-313", "title": "Remittances to Fragile Countries: Treasury Should Assess Risks from Shifts to Non-Banking Channels", "published_date": "2018-03-08T00:00:00", "released_date": "2018-03-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States is the largest source of remittances, with an estimated $67 billion sent globally in 2016, according to the World Bank. Many individuals send remittances through money transmitters, a type of business that facilitates global money transfers. Recent reports found that some money transmitters have lost access to banking services due to derisking\u2014the practice of banks restricting services to customers to, in part, avoid perceived regulatory concerns about facilitating criminal activity.", "GAO was asked to review the possible effects of derisking on remittances to fragile countries. This report examines (1) what stakeholders believe are the challenges facing money transmitters in remitting funds from the United States to selected fragile countries, (2) actions U.S. agencies have taken to address identified challenges, and (3) U.S. efforts to assess the effects of such challenges on remittance flows to fragile countries. GAO selected four case-study countries\u2014Haiti, Liberia, Nepal, and Somalia\u2014based on factors including the large size of U.S. remittance flows to them. GAO interviewed U.S.-based money transmitters, banks, U.S. agencies, and individuals remitting to these countries and also surveyed banks."]}, {"section_title": "What GAO Found", "paragraphs": ["Stakeholders, including money transmitters, banks, and U.S. Department of the Treasury (Treasury) officials, reported a loss of banking access for money transmitters as a key challenge, although remittances continue to flow to selected fragile countries. All 12 of the money transmitters GAO interviewed, which served Haiti, Liberia, Nepal, and particularly Somalia, reported losing some banking relationships during the last 10 years. As a result, 9 of the 12 money transmitters reported using channels outside the banking system (hereafter referred to as non-banking channels), such as cash couriers, to move funds domestically or, in the case of Somalia, for cross-border transfer of remittances (see figure). Several banks reported that they had closed the accounts of money transmitters because of the high cost of due diligence actions they considered necessary to minimize the risk of fines under Bank Secrecy Act regulations. Treasury officials noted that despite some money transmitters losing bank accounts, they see no evidence that the volume of remittances is falling.", "Example of a Cash-to-Cash Remittance Transfer Using a Cash Courier", "U.S. agencies have taken steps that may mitigate money transmitters' loss of banking access. For example, several agencies have issued guidance to clarify expectations for providing banking services to money transmitters. In addition, Treasury is implementing projects to strengthen financial institutions in some fragile countries. However, U.S. agencies disagreed with other suggestions, such as immunity from enforcement actions for banks serving money transmitters, since those actions could adversely affect goals related to preventing money laundering and terrorism financing.", "Treasury cannot assess the effects of money transmitters' loss of banking access on remittance flows because existing data do not allow Treasury to identify remittances transferred through banking and non-banking channels. Remittance data that U.S. agencies collect from banks do not include transfers that banks make on behalf of money transmitters. Additionally, the information Treasury collects on transportation of cash from U.S. ports of exit does not identify remittances sent as cash. Therefore, Treasury cannot assess the extent to which money transmitters are shifting from banking to non-banking channels to transfer funds due to loss of banking access. Non-banking channels are generally less transparent than banking channels and thus more susceptible to the risk of money laundering and terrorism financing."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Treasury should assess the extent to which shifts in remittance flows to non-banking channels for fragile countries may affect Treasury's ability to monitor for financial crimes and, if necessary, should identify corrective actions. GAO requested comments from Treasury on the recommendation, but none were provided."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States is the largest source of remittances to other countries, with an estimated $67 billion sent globally in 2016. Remittances are the largest source of foreign currency for many receiving countries, often exceeding official development assistance from developed countries, according to the World Bank. Remittances can be sent through money transmitters as well as depository institutions, such as banks and credit unions, among other methods.", "In recent years, the World Bank and others have reported that some money transmitters have been losing access to banking services with depository institutions due to derisking. In a prior report, we identified derisking as the practice of banks limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering, or other criminal activity, such as financing to terrorist groups. Further, the International Monetary Fund has raised concerns that large depository institutions may be reducing correspondent banking relationships due to fear of risk exposure, which in turn may limit the ability of smaller depository institutions to provide remittance transfer services to their customers, including money transmitters. According to Oxfam America, constraints on money transmitters\u2019 access to banking services may have significant humanitarian, economic, and security implications, effectively cutting off a stable source of funds and isolating communities from the global financial system.", "Financial institutions that provide international money transfers are subject to regulations to prevent financial crimes such as money laundering or terrorist financing. In a 2016 report, we described money laundering risks related to remittances, including risks involving agents, customers, geographic location, and products. Remittances can be used to launder proceeds from different types of criminal activities, including drug trafficking, human smuggling, and consumer fraud. Money transmitters and depository institutions are subject to the Bank Secrecy Act (BSA), an important tool in federal law enforcement efforts to detect and deter the use of financial institutions (including those that send remittances) for criminal activity, including money laundering and terrorist financing. In another 2016 report, we found that from January 2009 to December 2015 the U.S. government collected over $5 billion in penalties, fines, and forfeitures for various BSA violations, including the failure to identify or report suspicious activity.", "This is one of four reports addressing your request that we review the various effects of derisking, including on remittance senders in the United States. This report examines (1) what stakeholders believe are the challenges facing money transmitters in remitting funds from the United States to selected fragile countries, (2) what actions U.S. agencies have taken to address identified challenges, and (3) U.S. efforts to assess the effects of such challenges on remittance flows to fragile countries.", "To address our objectives, we identified four case-study countries: Haiti, Liberia, Nepal, and Somalia. We selected these countries based on their inclusion in the Organisation for Economic Co-operation and Development\u2019s States of Fragility reports from 2013 to 2015. In addition, we limited our selection to countries that have a foreign-born population of 50,000 or more living in the United States. Finally, we considered the size of estimated total remittances from the United States relative to the recipient countries\u2019 gross domestic product (GDP). We rank ordered the 17 countries that met these criteria and selected the top four.", "To identify what stakeholders believe are the challenges facing money transmitters in remitting funds from the United States to fragile countries, we interviewed officials from the U.S. Department of the Treasury (Treasury) and held semi-structured interviews with six small groups of remittance senders in the United States who remit to our case-study countries. The results of our interviews are not generalizable to all remittance senders to these countries. We interviewed 12 of the 18 money transmitters that the World Bank\u2019s Remittance Prices Worldwide database indicates account for about at least 80 percent of the market transfers from the United States to each of our case-study countries. Eight of the 12 money transmitters we interviewed provided remittance services from the United States to one of our case study countries. Four larger money transmitters we interviewed provided remittance services from the United States to three or more of our case-study countries.", "In addition, we used two methods\u2014a web-based survey instrument and semi-structured interviews\u2014to collect information to evaluate the extent to which banks are terminating accounts for money transmitters serving fragile countries, among other things. We administered the survey to a nationally representative sample of banks. We also interviewed representatives of eight banks considered to be extra-large by asset size. These banks reported about 47 percent of all remittances by U.S. banks in their 2016 Consolidated Reports of Condition and Income (Call Reports). In addition, we interviewed representatives of two credit unions that had terminated accounts of at least one of the money transmitters we interviewed.", "To determine what actions U.S. agencies have taken to address identified challenges, we analyzed pertinent U.S. agency information, including relevant documentation and public statements, and interviewed officials from the Federal Deposit Insurance Corporation (FDIC), the Board of Governors of the Federal Reserve System (Federal Reserve), the U.S. Department of State, the U.S. Agency for International Development, and key offices in Treasury including the Office of Financial Crimes Enforcement Network (FinCEN), the Office of the Comptroller of the Currency (OCC), and the Office of Technical Assistance (OTA). Additionally, we interviewed officials from the World Bank, as well as nongovernmental organizations including the Center for Global Development and Oxfam America.", "To examine U.S agencies\u2019 efforts to assess the effects of such challenges on remittance flows to fragile countries, we analyzed data on remittances and interviewed relevant agency officials. Specifically, for available data on remittance flows through the banking channel, we analyzed Call Report data from the Federal Financial Institutions Examination Council. For data on remittance flows through non-banking channels, we obtained and analyzed data from filings of FinCEN\u2019s Form 105 \u2013 Report of International Transportation of Currency or Monetary Instruments (CMIR). We obtained the tabulated data from FinCEN by arrival country, state of U.S. exit port, and calendar year for 2006 through 2016. We also interviewed officials from FDIC, the Federal Reserve, OCC, and FinCEN. See appendix I for additional details about our scope and methodology.", "We conducted this performance audit from September 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Remittance Transfer Methods", "paragraphs": ["Remittances can be sent through money transmitters and depository institutions, among other organizations. A typical remittance sent through a bank may be in the thousands of dollars, while the typical remittance sent by money transmitters is usually in the hundreds of dollars. International remittances through money transmitters and banks may include cash-to-cash money transfers, international wire transfers, some prepaid money card transfers, and automated clearinghouse transactions.", "Transfers through money transmitters. Historically, many consumers have chosen to send remittances through money transmitters due to convenience, cost, familiarity, or tradition. Money transmitters typically work through agents\u2014separate business entities generally authorized to, among other things, send and receive money transfers. Most remittance transfers are initiated in person at retail outlets that offer these services. Money transmitters generally operate through their own retail storefronts, or through grocery stores, financial services outlets, convenience stores, and other retailers that serve as agents. In one type of common money transmitter transaction\u2014known as a cash-to-cash transfer\u2014a sender walks into a money transmitter agent location and provides cash to cover the transfer amount and fees. Generally, for transfers at or above $3,000, senders must provide basic information about themselves (typically a name and address, among other information) at the time of the transfer request. The agent processes the transaction, and the money transmitter\u2019s headquarters screens it for BSA compliance. The money is then transferred to a recipient, usually through a distributor agent in the destination country. The money may be wired through the money transmitter\u2019s bank to the distributor agent\u2019s bank (see fig. 1), or transferred by other means to a specified agent in the recipient\u2019s country. The distributor agent pays out cash to the recipient in either U.S. dollars or local currency.", "Money transmitters also offer other transfer methods, including online or mobile technology, prepaid money cards or international money orders sent by U.S. Postal Service, cash courier services, or informal value transfer systems such as hawala.", "Transfers through banks. Another method which remittance senders use to send funds is through bank to bank transfers. Figure 2 is an example of a simple funds transfer between two customers with only the remittance sender\u2019s and remittance recipient\u2019s banks involved.", "If a remittance sender\u2019s bank does not have a direct relationship with the remittance recipient\u2019s bank, the bank-to-bank transfer scenario becomes more complicated. In such cases, one or more financial institutions may rely upon correspondent banking relationships to complete the transaction, as illustrated in figure 3."], "subsections": []}, {"section_title": "Federal and State Oversight of Money Transmitters and Banks", "paragraphs": ["Both federal and state agencies oversee money transmitters and banks. In general, money transmitters must register with FinCEN and provide information on their structure and ownership. According to Treasury, in all states except one, money transmitters are required to obtain licenses from states in which they are incorporated or conducting business. Banks are supervised by state and federal banking regulators according to how they are chartered, and the banks provide related information when obtaining their charter. The key federal banking regulators include OCC, FDIC, the Federal Reserve, and National Credit Union Administration (NCUA).", "FinCEN often works with federal and state regulators. For example, as administrator of the BSA, FinCEN issues BSA regulations and has delegated examination authority for BSA compliance to the federal banking regulators for banks within their jurisdictions. Further, the federal banking regulators have issued regulations requiring institutions under their supervision to establish and maintain a BSA compliance program. FinCEN has also delegated examination authority for BSA compliance for money transmitters to the Internal Revenue Service (IRS). Money transmitters are subject to the BSA but are not examined by federal regulators for safety and soundness.", "To ensure consistency in the application of BSA requirements, in 2005 the federal banking regulators collaborated with FinCEN on a BSA examination manual that was issued by the Federal Financial Institutions Examination Council for federal bank examiners conducting BSA examinations of banks. Similarly, in 2008 FinCEN issued a BSA examination manual to guide reviews of money transmitters, including reviews by the IRS and state regulators. The manual for BSA examinations of banks was updated in 2014 to further clarify supervisory expectations and regulatory changes.", "FinCEN has authority for enforcement and compliance under the BSA and may impose civil penalties and seek injunctions to compel compliance. In addition, each of the federal banking regulators has the authority to initiate enforcement actions against supervised institutions for violations of law and also impose civil money penalties for BSA violations. Under the BSA, the IRS also has authority for investigating criminal violations. The U.S. Department of Justice prosecutes violations of federal criminal money laundering statutes and violations of the BSA, and several law enforcement agencies can conduct BSA-related criminal investigations."], "subsections": []}, {"section_title": "Components of Anti- Money Laundering Compliance Programs for Money Transmitters and Banks under the Bank Secrecy Act", "paragraphs": ["Money transmitters and banks are subject to requirements under the BSA. They are generally required to design and implement a written anti- money laundering (AML) program, report certain transactions to Treasury, and meet recordkeeping and identity documentation requirements for funds transfers of $3,000 or more. All financial institutions subject to the BSA\u2014including banks and money transmitters\u2014are required to establish an anti-money laundering program. At a minimum, each AML program must establish written AML compliance policies, procedures, and internal designate an individual to coordinate and monitor day-to-day provide training for appropriate personnel; and provide for an independent audit function to test for compliance.", "Bank Secrecy Act anti-money laundering (BSA/AML) regulations require that each financial institution tailor a compliance program that is specific to its own risks based on factors such as the products and services offered, customers, and locations served. BSA/AML compliance programs are expected to address the following:", "Customer Identification Program. Banks must have written procedures for opening accounts and must specify what identifying information they will obtain from each customer. At a minimum, the bank must obtain the following identifying information from each customer before opening the account: name, date of birth, address, and identification number. In addition, banks\u2019 Customer Identification Programs must also include risk-based procedures for verifying the identity of each customer to the extent reasonable and practicable.", "Customer Due Diligence. These procedures enable banks to predict, with relative certainty, the types of transactions in which a customer is likely to engage, which assists banks in determining when transactions are potentially suspicious. Banks must document their process for performing Customer Due Diligence.", "Enhanced Due Diligence. Customers who banks determine may pose a higher risk for money laundering or terrorist financing are subject to these procedures. Enhanced Due Diligence for higher-risk customers helps banks understand these customers\u2019 anticipated transactions and implement an appropriate suspicious activity monitoring system. Banks review higher-risk customers and their transactions more closely at account opening and more frequently throughout the term of their relationship with the bank.", "Suspicious Activity Monitoring. Banks and money transmitters must also have policies and procedures in place to monitor and identify unusual activity. They generally use two types of monitoring systems to identify or alert staff of unusual activity: manual transaction monitoring systems, which involve manual review of transaction summary reports to identify suspicious transactions, and automated monitoring systems that use computer algorithms to identify patterns of unusual activity. Large-volume banks typically use automated monitoring systems.", "Banks and money transmitters also must comply with certain reporting requirements, including:", "Currency Transaction Report. Banks and money transmitters must electronically file this type of report for each transaction in currency\u2014 such as a deposit, withdrawal, exchange, or other payment or transfer\u2014of more than $10,000.", "Suspicious Activity Report. Banks and money transmitters are required to electronically file this type of report when (1) a transaction involves or aggregates at least $5,000 in funds or other assets (for banks) or at least $2,000 in funds or other assets (for money transmitters), and (2) the institution knows, suspects, or has reason to suspect that the transaction is suspicious."], "subsections": []}, {"section_title": "Remittances to Case- Study Countries", "paragraphs": ["Remittances from the United States are an important source of funds for our case-study countries\u2014Haiti, Liberia, Nepal, and Somalia. The Organisation for Economic Co-operation and Development identified these countries as fragile states because of weak capacity to carry out basic governance functions, among other things, and their vulnerability to internal and external shocks such as economic crises or natural disasters.", "Haiti. Currently the poorest country in the western hemisphere, Haiti has experienced political instability for most of its history. In January 2010, a catastrophic earthquake killed an estimated 300,000 people and left close to 1.5 million people homeless. Haiti has a population of approximately 11 million, of which roughly 25 percent live on less than the international poverty line of $1.90 per day. Nearly 701,000 Haitians live in the United States. In 2015, estimated remittances from the United States to Haiti totaled roughly $1.3 billion, or about 61 percent of Haiti\u2019s overall remittances. Official development assistance for Haiti in 2015 totaled slightly more than $1 billion.", "Liberia. In 2003, Liberia officially ended a 14-year period of civil war but continued to face challenges with rebuilding its economy, particularly following the Ebola epidemic in 2014. Liberia has a population of nearly 5 million people, of which roughly 39 percent live on less than $1.90 per day. There are roughly 79,000 Liberians in the United States. In 2015, remittances from the United States to Liberia were estimated to be roughly $328 million, which represented over half of that country\u2019s estimated total remittances. In 2015, Liberia reported roughly $1.1 billion in official development assistance.", "Nepal. In 2006, Nepal ended a 10-year civil war between Maoist and government forces, which led to a peace accord, and ultimately a constitution that came into effect 9 years later. In April 2015, Nepal was struck by a 7.8 magnitude earthquake, which resulted in widespread destruction and left at least 2 million people in need of food assistance from the World Food Programme 6 weeks following the earthquake. Nepal has a population of nearly 29 million people, of which 15 percent live on less than $1.90 per day. In 2015, the foreign- born population of Nepalese in the United States was nearly 125,000, and roughly $320 million in remittances flowed from the United States to Nepal. For 2015, Nepal received over $1.2 billion in official development assistance.", "Somalia. Since 1969, Somalia has endured political instability and civil conflict, and is the third largest source of refugees, after Syria and Afghanistan. According to a 2017 State report, Somalia remained a safe haven for terrorists who used their relative freedom of movement to obtain resources and funds to recruit fighters, and plan and mount operations within Somalia and neighboring countries. Somalia has an estimated population of over 11 million people, of which about half the population live on less than $1.90 per day, and roughly 82,000 Somalis reside in the United States. Oxfam estimated global remittances to Somalia in 2015 at $1.3 billion, of which $215 million originated from the United States. In 2015, Somalia received nearly $1.3 billion in official development assistance.", "Figure 4 shows the estimated U.S. remittances to each of our case-study countries as a total amount in U.S. dollars and as a percentage of the country\u2019s GDP."], "subsections": []}]}, {"section_title": "Stakeholders Identified Money Transmitters\u2019 Loss of Banking Access as a Key Challenge, Although Remittances to Fragile Countries Continue to Flow", "paragraphs": ["Money transmitters serving Haiti, Liberia, Nepal, and especially Somalia reported losing bank accounts or having restrictions placed on them, which some banks confirmed. As a result, some money transmitters have relied on non-banking channels, such as cash couriers, to transfer remittances. All of the 12 money transmitters we interviewed reported losing some banking relationships in the last 10 years. Some money transmitters, including all 4 that served Somalia, said they relied on non- banking channels, such as moving cash, to transfer funds, which increased their operational costs and exposure to risks. Further, in our interviews some banks reported that they had closed the accounts of money transmitters because of the high cost of due diligence actions they considered necessary to minimize the risk of fines under BSA/AML regulations. Treasury officials noted that despite information that some money transmitters have lost banking accounts, Treasury sees no evidence that the volume of remittances is falling or that costs of sending remittances are rising. In addition, U.S.-based remittance senders who send money to our case-study countries reported no significant difficulties in using money transmitters to remit funds."], "subsections": [{"section_title": "All Money Transmitters We Interviewed Had Lost Bank Accounts, Which for Many Resulted in Higher Costs and a Shift to Non- Banking Channels", "paragraphs": ["All 12 money transmitters we interviewed reported that they or their agents had lost accounts with banks during the last 10 years. All 4 Somali money transmitters and many agents of the 2 Haitian money transmitters we spoke with had lost bank accounts and were facilitating remittance transfers without using bank accounts. Additionally, all 4 large money transmitters that process transfers globally (including to our case-study countries of Haiti, Liberia, and Nepal) also reported that their agents had lost accounts. Almost all of the money transmitters said they also faced difficulties in getting new accounts. Somali money transmitters were most affected by the loss of bank accounts, as 2 of the 4 Somali money transmitters had lost all corporate accounts. While some money transmitters said the banks that closed their accounts did not provide a reason, in other cases, money transmitters said the banks told them that they had received pressure from regulators to terminate money transmitter accounts.", "As a result of losing access to bank accounts, several money transmitters, including all of the Somali money transmitters, reported that they were using non-banking channels to transfer funds. In some cases the money transmitter was forced to conduct operations in cash, which has increased the risk of theft and forfeitures, and led to increased risk for agents and couriers. Nine of the money transmitters that we interviewed, including 3 of the 4 Somali money transmitters, some agents of one Haitian money transmitter, and some agents of the 4 larger money transmitters, rely on couriers or armored trucks to transport cash domestically (to the money transmitter\u2019s main offices or bank) or internationally (see fig. 5). Money transmitters use cash couriers either because the money transmitter or their agents had lost bank accounts or because it was cheaper to use armored trucks than banks to move funds. In addition to the safety risks money transmitters face when they only accept cash, customers who remit large sums of money also face safety risks because they must transport cash to the money transmitter. For example, in our interviews with remittance senders to Somalia, some of them shared concerns about having to carry cash to money transmitters.", "Money transmitters we interviewed reported increased costs associated with moving cash and bank fees. For example, one Haitian money transmitter reported that use of couriers and trucks has increased its cost of moving money from its agents to its primary bank account by about $75,000 per month (increasing from approximately $15,000 per month using bank transfers to move funds, to $90,000 per month with the addition of couriers and trucks). Two of the money transmitters we spoke to stated that they did not have options other than to pay any fees the bank required due to the difficulty in finding new bank accounts. Money transmitters with access to bank accounts reported that bank charges for services such as cash counting, wire transfers, and monthly compliance fees had in some cases doubled or tripled, or were so high that it was less expensive to use a cash courier. For example, some money transmitters stated that their banks charged a monthly fee for compliance related costs that ranged from $100 a month to several thousand dollars a month.", "Over half of the money transmitters we interviewed said the loss of bank accounts limits their growth potential. The 4 larger money transmitters reported that in some cases, the relationship between the agent and money transmitter was terminated, either by the agent or the money transmitter, if the agent no longer had a bank account. In other cases, some large money transmitters compensated for their agents\u2019 lost bank accounts by using armored vehicles to transfer cash from the agents\u2019 locations to the bank. However, the agents need to have a high volume of transactions in order to make the expense of a cash courier worthwhile.", "The money transmitters that we spoke with said that they have not passed their increased operational and banking costs on to remittance senders. Most said that they have not increased their fees for sending remittances or have increased fees only slightly. Some of the money transmitters said that they have compensated for higher costs by finding cost-savings in other areas or that they have reduced their profit margin."], "subsections": []}, {"section_title": "Some Banks Reported Closing or Denying Accounts for Money Transmitters and Foreign Correspondent Banks, Citing Insufficient Profit to Offset Risks and Costs", "paragraphs": ["Most of the banks we interviewed expressed concerns regarding account holders who are money transmitters because they tend to be low-profit, high-risk clients. Some banks in our survey reported that constraints in accessing domestic and foreign correspondent banks were also a reason for restricting the number or percentage of money transmitter accounts.", "Banks have closed accounts of money transmitters serving our case- study countries. Some banks we surveyed reported terminating accounts of money transmitters who transfer funds to Haiti, Nepal, and Somalia. While 7 of the 193 banks that responded to our survey noted that during the 3-year period from 2014 to 2016 they provided services to money transmitters that facilitated transfers to at least one of our case-study countries, 3 of these 7 banks also reported closing at least one account of a money transmitter serving at least one of the case-study countries. Risks associated with the countries or regions that the money transmitter served was given as one reason (among others) for the closure of the account by 2 out of the 3 banks.", "Money transmitters are generally low-profit clients for banks. Most of the banks we interviewed that currently offer money transmitter services stated that BSA/AML compliance costs have significantly increased in the last 10 years due to the need to hire additional staff and upgrade information systems to conduct electronic monitoring of all transactions that are processed through their system. Some banks indicated in our survey and interviews that the revenue from money transmitter accounts was at times not sufficient to offset the costs of BSA/AML compliance, leading to terminations and restrictions on money transmitter accounts. A few banks we interviewed stated that they do not allow money transmitters to open accounts because of the BSA/AML compliance resources they require. Moreover, according to one credit union we interviewed, money transmitters require labor- intensive banking services\u2014such as counting cash and processing checks\u2014that are more expensive for the banks than providing basic services to businesses that are not cash intensive.", "Banks expressed concerns over the adequacy of money transmitters\u2019 ability to conduct due diligence on the money transmitter\u2019s customers. In our survey, one bank stated that being unable to verify the identity of beneficiaries, the source of the funds, or the subsequent use of the funds was a challenge the bank faced in managing accounts for money transmitters that remit to fragile countries such as Haiti, Liberia, Nepal, and Somalia. Another bank in our survey noted that it closed some money transmitter accounts because it was unable to get any detail on the purpose of individual remittances. In addition, another bank noted that unlike bank clients, money transmitters\u2019 customers may not have ongoing relationships with them, so money transmitters tend to know less about their customers than banks know about theirs. A few banks we interviewed expressed concern that they would be held responsible if, despite the bank carrying out due diligence, authorities detect an illicit transaction has been processed through the bank on behalf of a money transmitter. In addition, one extra-large bank indicated that differences in state regulators\u2019 assessments of money transmitters are a challenge for the bank.", "Banks we surveyed reported reduced access to correspondent banks.", "Banks responding to our survey cited reduced access to correspondent banks as a reason for restricting the number of money transmitter accounts. Out of the 193 banks that answered our survey, 30 indicated they have relied on a correspondent bank to transfer funds to our case-study countries (25 to Haiti, 16 to Liberia, 23 to Nepal, and 9 to Somalia). While not specific to our case-study countries, of the 29 banks in our survey that said they had restricted the number or percentage of money transmitter accounts, 8 said that they did so because of difficulty in maintaining correspondent banking relationships, while 3 said they did so due to loss of a correspondent banking relationship.", "The absence of direct relations with foreign banks can cause electronic money transfers to take longer to process or in some cases to be rejected. One bank official told us that the reduction in correspondent banking relations may not stop funds from being transferred but may increase the cost or time to process the transfer. However, one bank that responded to our survey identified multiple transactions with our case- study countries in recent years that were terminated because a correspondent bank could not be located or had closed.", "Customer due diligence is a challenge for correspondent banks.", "Some banks told us that exposure to risk related to the customers of banks they serve was a key challenge to providing foreign correspondent banking services. Some banks expressed concern that violations of anti-money laundering and terrorism financing guidelines by a customer\u2019s customer may result in fines for the bank even when the bank has conducted enhanced due diligence and monitoring of transactions. Two extra-large banks that do not provide foreign correspondent banking services cited due diligence concerns as one reason they choose not to offer such services. Some of the banks that provide correspondent banking services said they conduct more due diligence on the customers of the banks they serve than regulatory guidance requires. Several of the correspondent banks noted that this additional due diligence was challenging to conduct due to the distance between the correspondent bank and the customers of the banks they serve. For example, one bank told us that the farther removed a customer is from being its direct customer, the greater the risk to the bank due to a lack of confidence in the originating institution\u2019s procedures to conduct due diligence on its customers.", "Banks identified country-level risk as a factor. For banks that responded to our survey, country-level risk was noted as a factor in account closures. Two out of the three banks that had closed accounts for money transmitters serving at least one of our case- study countries noted that risks associated with the countries or regions that the money transmitter served was a contributing reason for the account closures.", "Additionally, in our interviews with extra-large banks that serve as a correspondent bank for foreign banks all said that they consider risk related to the country served by a foreign bank when deciding whether to allow the foreign bank to open and maintain accounts. However, most of these extra-large banks also said that the country or region where a foreign bank is located is only one of several factors in determining whether the foreign bank is considered high risk. One of the extra-large banks noted that Somalia was an exception because the lack of a banking infrastructure, which compounded concerns that money transmitters serving Somalia pose a higher risk to the bank.", "While banks in general told us that they did not make exit decisions regarding correspondent banking at the country level, seven of the eight extra-large banks we interviewed did not currently have correspondent banking relationships with any of our case-study countries, and the one remaining bank served only one country (Haiti). Two of the extra-large banks mentioned closing correspondent banking relationships during the last 10 years in Haiti, Nepal, or Somalia. One extra-large bank indicated that, with the exception of Somalia, funds can still be sent to foreign countries with limited correspondent banking access through banking channels; however, the transaction may need to be routed through multiple banks in order to be processed."], "subsections": []}, {"section_title": "According to Treasury Officials, Remittance Flows to Fragile Countries Have Not Declined; U.S.- Based Remittance Senders Report Being Generally Satisfied with Their Ability to Remit", "paragraphs": ["Treasury officials reported that remittances continue to flow to fragile countries even though money transmitters face challenges, including some evidence of money transmitter bank account closures. Furthermore, U.S.-based individuals we interviewed who send remittances to Haiti, Liberia, Nepal, and Somalia told us that they are still able to send funds to these countries using money transmitters.", "Treasury reported money transmitters\u2019 banking access difficulties have not affected the estimated volume of remittance flows to fragile countries. Treasury has collected information through engagement with money transmitters and banks about closures of money transmitter bank accounts and foreign correspondent banking relationships. Treasury officials indicated that remittance flows to fragile countries have not been impacted by such account closures. According to Treasury officials, World Bank estimates of remittance flows show that the volume of international transfers from the United States has continued to increase. At the same time, World Bank data indicate that the global average cost of sending remittances has continued to decrease. In regards to our case study countries, Treasury officials noted that they were not aware of any decrease in remittance volume to any of these fragile countries. Citing these trends, and anecdotal evidence from Treasury\u2019s engagement with banks, the officials stated that there are no clear systemic impacts on the flow of remittances from closures of money transmitter bank accounts and correspondent banking relations.", "Treasury officials added that the scope of money transmitter bank account closures is largely unknown, but they acknowledged that such closures can be a significant challenge for money transmitters that serve certain regions or countries, including Somalia. Regarding a possible reduction in the number of correspondent banks, which can make it more challenging to transfer remittances, Treasury officials noted that to the extent there has been consolidation in this sector, it could be a natural process unrelated to correspondent banking risk management processes. Moreover, if consolidation results in stronger banking institutions and lower compliance costs, that would be a positive development for the sector, according to these officials.", "Treasury officials noted unique challenges in remitting funds to Somalia. Officials acknowledged that U.S.-based money transmitters transferring funds to Somalia have lost accounts with U.S.-based banks. According to Treasury, Somalia\u2019s financial system is uniquely underdeveloped, as the country has not had a functioning government for about 20 years, and the terrorist financing threat is pronounced. Officials said that some Somali money transmitters have in the past moved money to assist al-Shabaab, a terrorist organization, increasing the need for stringent controls specific to anti-money laundering and combating terrorist financing efforts. As a result of these and other factors, Treasury officials stated that difficulties remitting to Somalia are not generalizable to other countries.", "Further, Treasury officials said they were aware that some Somali money transmitters have resorted to non-banking channels by carrying cash overseas. They noted that although physically moving cash is risky, it is not unlawful. Additionally, Treasury officials stated that the use of cash couriers to remit funds has not been a concern for regulators because this practice has not increased the remittance fees that money transmitters charge their consumers.", "Reasons Senders Reported General Satisfaction with Money Transmitters The remittance senders for Haiti, Liberia, Nepal, and Somalia told us that they are generally satisfied using money transmitters over other methods to transfer money abroad because money transmitters quickly deliver the funds to recipients; are cheaper than banks; can be used even if the recipient lacks a bank account; and tend to have more locations in recipient countries compared to banks. specialized Somali money transmitters cost less than transmitters that serve many countries, and overseas agents of the Somali money transmitters are knowledgeable about the communities where they operate and have earned the trust of the community members.", "U.S.-based remittance senders we interviewed are generally satisfied with their money transmitters. The U.S.-based remittance senders we spoke with from each of our case-study countries reported that they frequently use money transmitters and have not encountered major difficulties in sending remittances. In general, these senders expressed satisfaction with their money transmitters and stated that they had not experienced major problems in sending money via money transmitters. Senders told us that they generally preferred using money transmitters because money transmitters were cheaper than banks and were quicker in delivering the funds. In addition, money transmitters were often more accessible for recipients collecting the remittances because the money transmitters had more locations than banks in recipient countries. However, some remittance senders told us that they experienced delays or were unable to send large amounts of money through money transmitters. In addition, some Somali senders told us that they were dissatisfied with being unable to use personal checks or online methods due to a requirement to pay in cash.", "U.S. agencies, including Treasury, Federal Deposit Insurance Corporation (FDIC), the Federal Reserve, and National Credit Union Administration (NCUA), have issued guidance to the financial institutions they regulate to clarify expectations for providing banking services to money transmitters. In addition, Treasury\u2019s Office of Technical Assistance (OTA) is engaged in long-term capacity building efforts in Haiti, Liberia, and Somalia to improve those countries\u2019 weak financial institutions and regulatory mechanisms, factors that may cause banks to consider money transmitters remitting to these countries to be more risky clients. However, agency officials disagreed with some suggestions for government action proposed by banks and others because such actions would contravene agencies\u2019 Bank Secrecy Act anti-money laundering (BSA/AML) compliance goals."], "subsections": []}, {"section_title": "Agencies Have Taken Certain Steps That May Address Money Transmitters\u2019 Difficulties in Maintaining Banking Access", "paragraphs": [], "subsections": [{"section_title": "Treasury and Other Agencies Have Issued Guidance Intended to Prevent Widespread Termination of Banking Services for Money Transmitters, Among Other Goals", "paragraphs": ["Treasury, including FinCEN and OCC, as well as FDIC, the Federal Reserve, and NCUA have issued various guidance documents intended to ensure BSA/AML compliance while mitigating negative impacts on money transmitter banking access. Since 2011, Group of Twenty (G20) leaders, including the U.S. government, have committed to increasing financial inclusion through actions aimed at reducing the global average cost of sending remittances to 5 percent. According to Treasury officials, financial inclusion and BSA/AML compliance are complementary goals. In published statements, Treasury has affirmed that money transmitters provide essential financial services, including to low-income people who are less likely or unable to make use of traditional banking services to support family members abroad. Treasury has also acknowledged that leaving money transmitters without access to banking channels can lead to an overall reduction in financial sector transparency to the extent that money transmitters resort to non-banking channels for transferring funds.", "Nonetheless, Treasury officials we spoke to noted that in implementing BSA/AML regulations, banks retain the flexibility to make business decisions such as which clients to accept, since banks are in the best position to know whether they are able to implement controls to manage the risk associated with any given client. These officials indicated that Treasury pursues market-driven solutions and cannot order banks to open or maintain accounts. Treasury officials noted that Treasury works through existing multilateral bodies to promote policies that will support market driven solutions to banking access challenges and deepen financial inclusion globally.", "To clarify how banks assess BSA/AML risks posed by money transmitters and foreign banks, Treasury and other regulators have issued various guidance documents that, among other things, describe best practices for assessing such risks (see table 1). Some of the guidance emphasizes that risk should be assessed on a case-by-case basis and should not be applied broadly to a class of customers when making decisions to open or close accounts.", "The agencies issuing these guidance documents have taken some steps to assess the impact of guidance on bank behavior. For example, Treasury officials told us that Treasury periodically engages with banks and money transmitters on an ad hoc basis to learn their views and gain insight into their concerns. According to Federal Reserve officials, anecdotal information suggests that some money transmitters lost bank accounts after issuance of the 2005 joint guidance summarized above in table 1, and that outcome was contrary to the regulators\u2019 intent. To address concerns about the guidance, according to these officials, Treasury held several public discussions on money transmitter account terminations. OCC officials stated that they have not conducted a separate assessment of the effects of their October 2016 correspondent banking guidance on banks\u2019 risk assessment practices. However, they noted that OCC examiners evaluate banks\u2019 policies, procedures, and processes for risk reevaluation, including processes for assessing individual foreign correspondent bank customer risks, as a part of OCC\u2019s regular bank examination process.", "Bank officials we spoke to noted that while the guidance from regulators provides broad direction for banks\u2019 risk assessments of foreign banks and money transmitter clients, the guidance does not provide specific details to clarify how banks can ensure BSA/AML compliance for specific higher- risk clients."], "subsections": []}, {"section_title": "Treasury Is Providing Technical Assistance to Build Financial Capacity in Haiti, Liberia, and Somalia", "paragraphs": ["According to Treasury officials, there is no feasible short-term solution to address the loss of banking services facing money transmitters involved in transferring funds to certain fragile countries, especially Somalia. These officials explained that U.S. banks may be reluctant to transfer funds to fragile countries because key governmental and financial institutions in these countries have weak oversight and therefore may face difficulties in detecting and preventing money laundering and terrorism financing. As of September 2017, Treasury\u2019s OTA is providing capacity building support to fragile countries, including Haiti, Liberia, and Somalia, with some of its efforts aimed at addressing long-term factors affecting these countries\u2019 BSA/AML supervisory capability.", "Table 2 identifies and describes the status of OTA projects in our case- study countries of Haiti, Liberia, and Somalia. OTA does not currently have a project in Nepal."], "subsections": []}]}, {"section_title": "U.S. Agency Officials Disagreed with Several Actions Proposed by Banks and Others, for Reasons Including Agencies\u2019 BSA/AML Compliance Goals", "paragraphs": ["Banks, money transmitters, trade associations, and state regulators we interviewed, as well as third parties such as the World Bank and Center for Global Development, have proposed several actions to address banking access challenges money transmitters face in transferring funds through banks from the United States to fragile countries.", "Use of public sector transfer methods. Most banks we spoke to mentioned regulatory risk as a challenge to creating or maintaining money transmitter accounts. These banks stated that the ultimate risk for conducting transactions for money transmitter accounts falls on the bank, and that banks face substantial risk of regulatory action for such transactions. Therefore, one extra-large bank and one credit union we spoke to suggested using public sector transfer methods such as the Fedwire Funds Service (Fedwire) or FedGlobal Automated Clearing House Payments (FedGlobal) to process remittances to fragile countries, thereby mitigating the regulatory risk posed to banks that transfer such funds.", "Providing regulatory immunity, given appropriate oversight. To mitigate the regulatory risk to banks posed by money transmitter clients that send remittances to fragile countries, one extra-large bank, one credit union, and several money transmitters we spoke to suggested that regulators provide forms of regulatory immunity or regulator assurances that banks would not face enforcement actions if they carried out a specified level of due diligence to process remittances to fragile countries.", "Issuing more specific guidance. About half of the banks we spoke to mentioned fear of regulatory scrutiny due to ambiguities in regulatory agencies\u2019 guidance or examiner practices. This fear of regulatory scrutiny served as a disincentive for these banks to maintain money transmitter accounts. While officials from about half of the banks we spoke to stated that additional guidance issued by Treasury and other agencies was helpful to clarify regulatory expectations and that examiner practices were consistent with guidance, others stated that they were uncertain about how much due diligence constituted enough for regulatory purposes, because regulations incorporated ambiguous language or because examiner practices exceeded regulations. These bank officials suggested that regulators could provide more specific guidance for banks on risk management, for instance, by including example scenarios and answers to frequently asked questions. The World Bank recommended in 2015 that regulators provide banks with additional guidance on assessing the risk of different money transmitter clients.", "U.S. agency officials stated that they disagreed with implementing these proposals for reasons specific to each one, as discussed below.", "Use of public sector transfer methods. Treasury officials told us that they prefer market-based solutions to the challenges of transferring remittances to fragile countries, rather than a solution in which the U.S. government assumes the risk in transferring these remittances, such as using the Federal Reserve to directly transfer payments from money transmitters. Federal Reserve officials told us that Fedwire is reserved for domestic wire transfers, and while the Federal Reserve continues to evaluate the scope of the FedGlobal service, no decisions have been made to expand the service to additional countries at this time. Federal Reserve officials told us they seek to increase remittance flows to the countries the program already serves.", "Providing regulatory immunity, given appropriate oversight. Treasury officials told us that while they would need to see the suggested duration and conditions pertaining to any proposal for regulatory immunity or exemptions in order to judge its feasibility, implementing this suggestion could raise a number of legal and policy concerns. Officials told us that while Treasury has the authority to provide regulatory exemptions, creating particular conditions for regulatory immunity would stray from Treasury\u2019s intended risk-based approach to BSA/AML compliance, and bad actors might take advantage of any such exemptions for criminal activity.", "Issuing more specific guidance. OCC informed us that it is not currently considering implementing more specific guidance. Treasury officials told us that existing guidance clarifies that Treasury does not have a zero tolerance approach to BSA/AML compliance and that Treasury does not expect banks to know their customers\u2019 customers. These officials told us that they prefer not to issue further amplifying guidance with very specific examples as to what constitutes \u201ccompliance\u201d by financial institutions, because Treasury does not wish to institute a \u201ccheck the boxes\u201d approach to regulatory compliance."], "subsections": []}]}, {"section_title": "Existing U.S. Agency Information on Remittances Does Not Allow Treasury to Assess the Effects of Money Transmitters\u2019 Loss of Banking Access on Remittance Flows to Fragile Countries", "paragraphs": ["Treasury cannot assess the effects of money transmitters\u2019 loss of banking access on remittance flows because existing data do not allow Treasury to identify remittances transferred through banking and non-banking channels. Recent efforts to collect international remittance data from banks and credit unions do not include transfers these institutions make on behalf of money transmitters. Since these data collection efforts are designed to protect U.S. consumers, the remittance data that banks and credit unions report are limited to remittances individual consumers send directly through these institutions. Additionally, a few state regulators recently began requiring money transmitters to report remittance data by destination country, but these data do not distinguish money transmitters\u2019 use of banking and non-banking channels to transfer funds. Finally, while Treasury has a long-standing effort to collect information on travelers transporting cash from U.S. ports of exit, this information does not to identify cash transported for remittances. Without information on remittances sent through banking and non-banking channels, Treasury cannot assess the effects of money transmitter and foreign bank account closures on remittances, especially shifts in remittance transfers from banking to non-banking channels for fragile countries. Non-banking channels are generally less transparent than banking channels and thus more susceptible to the risk of money laundering and other illicit financial transactions."], "subsections": [{"section_title": "Remittance Data from Financial Institutions Do Not Capture Money Transmitters\u2019 Use of Banking Channels to Transfer Funds", "paragraphs": [], "subsections": [{"section_title": "Banks and Credit Unions Do Not Report on Remittances They Transfer for Money Transmitters", "paragraphs": ["Federal regulators recently began collecting data on international remittances from banks and credit unions by requiring these institutions to provide more information in pre-existing routine reports. However, these reports do not require banks and credit unions to include information on remittance transfers these institutions make on behalf of money transmitters, among other business clients. According to officials from the Office of the Comptroller of the Currency (OCC) and from the Consumer Financial Protection Bureau, the additional reporting requirements for remittances were intended to help regulators monitor compliance with rules aimed at protecting U.S. consumers who use remittance services offered by banks and credit unions. Furthermore, banks and credit unions are not required to report on destination countries for remittance flows. Specifically:", "Beginning in 2014, Federal banking regulators\u2014FDIC, the Federal Reserve, and OCC\u2014 required banks to provide data on international remittances in regular reporting known as the Consolidated Reports of Condition and Income (Call Reports). These reports, which are required on a quarterly basis from FDIC-insured banks, generally include banks\u2019 financial information such as assets and liabilities, and are submitted through the Federal Financial Institutions Examination Council, a coordinating body. Specifically, the agencies required banks to indicate whether they offered consumers mechanisms, including international wire transfers, international automated clearinghouse transactions, or other propriety services, to send international remittances. The Consumer Financial Protection Bureau uses the remittance data in Call Reports to better understand the effects of its rules regarding remittance transfers including its rules on disclosure, error resolution, and cancellation rights. Additionally, according to bureau officials, they also use the data for other purposes, for example, to monitor markets and to identify banks for remittance exams and, if needed, additional supervision.", "The Call Reports do not require a bank to report remittances for which the bank is providing such service to business customers, including money transmitters. According to OCC officials, because the remittance regulation that the Consumer Protection Financial Bureau enforces originated in response to consumer-focused legislation, a bank is required to report only those remittances for which the bank is the direct service provider to the individual consumer. Consequently, remittances reported in the Call Reports do not include remittances for which the banks served as a correspondent bank or as a provider for a money transmitter. Furthermore, banks are not required to report remittance data by destination country.", "In 2013, the National Credit Union Administration (NCUA) began requiring credit unions to provide data on the number of remittance transactions, but not data on the dollar amount transferred, in their Call Reports to NCUA. Similarly, and consistent with its treatment of banks, the Consumer Financial Protection Bureau uses the remittance data submitted by credit unions in Call Reports, for example, to better understand the effects of its rules and for market monitoring. The credit unions are also not required to include transactions they process on behalf of business clients, such as money transmitters, and do not provide remittance data by destination country."], "subsections": []}, {"section_title": "Money Transmitters Are Not Required to Report Whether the Remittances they Transfer are Through Banking or Other Channels", "paragraphs": ["In 2017 some states began collecting remittance data from money transmitters by state and destination country through the Money Services Business Call Report. The purpose of these reports is to enhance and standardize the information available to state financial regulators concerning the activities of their Money Services Business licensees to effectively supervise these organizations. However, money transmitters are not required to distinguish whether the remittances they transferred were sent through banking or other channels. Additionally, while these reports collect remittance data by destination country, these data are not comprehensive because, according to the Nationwide Multistate Listing System, as of the first quarter of 2018, about half the states (24) had adopted the reports for money transmitters and of these 12 states had made it mandatory to report the remittances by destination country.", "Due to a lack of reporting on money transmitters\u2019 use of banking channels to transfer remittances, Treasury cannot assess the extent of the decline in money transmitters\u2019 use of banking channels to transfer remittances to fragile countries, including the four we selected as case-study countries: Haiti, Liberia, Nepal, and Somalia."], "subsections": []}]}, {"section_title": "U.S. Agency Efforts to Collect Data on Physical Transportation of Cash Are Not Designed to Track Flow of Remittances through Non-Banking Channels", "paragraphs": ["While Treasury has a long-standing effort to collect information on travelers transporting cash from U.S. ports of exit, this information is not designed to enable Treasury to identify cash transported for remittances or the intended final destination of the cash. For financial transfers through non-banking channels, Treasury requires persons or businesses to report the export of currency and monetary instruments at ports of exit, which include remittances sent through money transmitters carried out in cash. Specifically, Treasury requires persons or businesses, including money transmitters, who physically transport currency or other monetary instruments exceeding $10,000 at one time, from the United States to any place outside of the United States, to file a Report of International Transportation of Currency or Monetary Instruments (CMIR) with U.S. Customs and Border Protection at the port of departure. The CMIR collects information such as the name of the person or business on whose behalf the importation or exportation of funds was conducted, the date, the amount of currency, U.S. port or city of arrival or departure, and country of origin or destination, among other information. The forms are filled out manually by individuals carrying cash. U.S. Customs and Border Protection officers collect the forms at ports of exit, and that agency\u2019s contractors manually enter the data reported on these forms into a central database.", "Money transmitters and their agents who carry cash in excess of $10,000 from the United States are required to submit the CMIR to U.S. Customs and Border Protection upon departure. Thus, to some extent, CMIR data include data on remittances transferred by money transmitters in cash; however, the CMIR is not intended to capture information specific to remittances, and thus its usefulness is limited for agencies in tracking the flow of remittances through non-banking channels. First, the destination country reported on the CMIR may not be the final destination of the cash or other monetary instrument being transported. For example, money transmitters we interviewed told us that they use cash couriers to transfer funds to Somalia via the United Arab Emirates, where the funds may enter a clearinghouse that can transfer the funds to Somalia. While the ultimate destination of the remittances is Somalia, the CMIR may list the United Arab Emirates as the destination because it is the first destination out of the United States. Second, FinCEN officials acknowledged they do not know the extent of underreporting in general with regard to the CMIR; however, money transmitters we interviewed indicated that they have incentives to file CMIR for their own protection in case they have to file an insurance claim. Finally, CMIR does not ask if the currency or monetary instruments are remittances, which makes it difficult if not impossible to separate out the data on remittances from the overall data.", "Existing data do not enable Treasury to identify remittances transferred by money transmitters through banking and non-banking channels. Non- banking channels are generally less transparent than banking channels and thus more susceptible to the risk of money laundering and terrorist financing. FinCEN\u2019s mission is to safeguard the financial system from illicit use, combat money laundering, and promote national security by, among other things, receiving and maintaining financial transactions data and analyzing that data for law enforcement purposes. Additionally, federal standards for internal control state that agency managers should comprehensively identify risks and analyze them for their possible effects.", "A lack of data on remittances sent through banking and non-banking channels limits the ability of Treasury to assess the effects of money transmitter and foreign bank account closures on remittances, in particular shifts of remittances to non-banking channels for fragile countries. The risks associated with shifts of remittances to non-banking channels may vary by country and are likely greater for fragile countries such as Somalia where the United States has concerns about terrorism financing."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Remittances continue to flow to fragile countries, but the loss of banking services for money transmitters, as well as a decline in foreign banking relationships, has likely resulted in shifts to non-banking channels for remittances to some of these countries. While money transmitters who have lost bank accounts may adapt by moving remittances in cash or other non-banking channels, the lack of a bank account presents operational risks for these organizations. Moreover, the flow of funds such as remittances from banking to non-banking channels decreases the transparency of these transactions. While U.S. regulators have issued guidance to banks indicating that they should not terminate accounts of money transmitters without a case-by-case assessment, several banks we contacted remain apprehensive and are reluctant to incur additional costs for low-profit customers such as money transmitters. At the same time, senders of remittances still prefer to use money transmitters to send funds, which the senders regard as a critical lifeline for family and friends in fragile countries. Although federal and state regulators have undertaken recent efforts to obtain remittance data from financial institutions such as banks and money transmitters, these efforts are designed for consumer protection and the regulatory supervision of financial institutions, rather than to track remittances sent by money transmitters using banking channels. As a result, the available data are not sufficient for the purposes of tracking changes in money transmitters\u2019 use of banks to transfer funds. Similarly, while Treasury has a long- standing effort to collect information on large amounts of cash physically transported by travelers at U.S. ports of exit, this information collection is not intended to track the flow of remittances through non-banking channels. Consequently, to the extent money transmitters losing banking access switch to non-bank methods to transport remittances, Treasury may not be able to monitor these remittance flows. This, in turn could increase the risk of terrorism financing or money laundering, especially for remittances to fragile countries where risks related to illicit use of funds are considered higher."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making one recommendation to Treasury.", "The Secretary of Treasury should assess the extent to which shifts in remittance flows from banking to non-banking channels for fragile countries may affect Treasury\u2019s ability to monitor for money laundering and terrorist financing and, if necessary, should identify corrective actions."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product for comment to Treasury, FDIC, the Federal Reserve, CFPB, U.S. Customs and Border Protection, Commerce, NCUA, State, and USAID. Treasury, FDIC, the Federal Reserve, CFPB, and U.S. Customs and Border Protection, provided technical comments, which we have incorporated, as appropriate. We requested that Treasury provide a response to our recommendation, but Treasury declined to do so. Commerce, NCUA, State, and USAID, did not provide comments on the draft of this report.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of the Treasury; the Chairman of the Federal Deposit Insurance Corporation; the Chair of the Board of Governors of the Federal Reserve System; the Acting Director of the Consumer Financial Protection Bureau; the Secretaries of Commerce, Homeland Security, and State; the Administrators of the U.S. Agency for International Development and the National Credit Union Administration; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-9601, or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what stakeholders believe are the challenges facing money transmitters in remitting funds from the United States to selected fragile countries, (2) what actions U.S. agencies have taken to address identified challenges, and (3) U.S. efforts to assess the effects of such challenges on remittance flows from the United States to fragile countries.", "To address the objectives, we identified four case-study countries: Haiti, Liberia, Nepal, and Somalia. We selected these countries based on their inclusion in the Organisation for Economic Co-operation and Development\u2019s States of Fragility reports from 2013 to 2015. In addition, we limited our selection to countries that have a foreign-born population of 50,000 or more living in the United States. Finally, we considered the size of estimated total remittances from the United States relative to the recipient countries\u2019 gross domestic products (GDP). We rank ordered the 17 countries that met these criteria and selected the top four.", "For our first objective, to understand the challenges that stakeholders believe money transmitters face in remitting funds from the United States to fragile countries, we surveyed banks and interviewed U.S. agency officials, money transmitters, banks, credit unions, and remittance senders. To obtain insights from U.S agency officials, we interviewed and received written responses from officials of the Department of the Treasury (Treasury)\u2014including the Office of Technical Assistance (OTA), the Financial Crimes Enforcement Network (FinCEN), the Office of Terrorism and Financial Intelligence, and the Office of the Comptroller of the Currency (OCC).", "To obtain insights from money transmitters, we used the World Bank\u2019s Remittance Prices Worldwide database to select U.S.-based money transmitters serving our case-study countries. The World Bank database includes a sample of money transmitters, which the World Bank reported it selected to cover the maximum remittance market share possible and survey a minimum aggregated market share of 80 percent for each country. We attempted to contact the 18 money transmitters that the World Bank identified as the major service providers for our case-study countries. We interviewed 12 of these 18 money transmitters, of which 8 provided services to only one of our case-study countries (2 money transmitters provided services to Haiti, 4 provided services to Somalia, and 2 provided services to Nepal) and 4 provided remittance services from the United States to at least three of our case-study countries.", "To obtain insights from individuals that remit to fragile states, we conducted six small-group interviews, and one additional interview, of individuals that remit to our selected case-study countries. From 3 to 6 individuals participated in our small group interviews. We interviewed one Haitian small group, one Liberian small group, one Nepali small group, and three Somali small groups.", "To set up these interviews, we identified community-based organizations (CBOs) and other groups that work with remittance senders to these countries and obtained contact information for these groups. We identified the CBOs through searching Internal Revenue Service (IRS) lists of tax- exempt community organizations for the names of our case-study countries or their populations. To focus our search efforts, we concentrated on the five areas in the United States with the largest populations of immigrants from each case-study country. The five areas were identified using information on immigrant populations from the U.S. Census Bureau\u2019s 2015 American Community Survey 1-year Public Use Microdata Samples. We sent emails outlining our research goals and soliciting interest in participating in interviews to 287 CBOs and related groups and obtained positive responses from 46. Of the 46 that responded positively, we were able to schedule meetings with seven CBOs covering the four case-study countries. The groups that agreed to participate in our interviews cannot be considered representative of all CBOs and remittance senders to the four selected countries, and their views and insights are not generalizable to those of all individuals that remit to these four countries. We asked the CBO points-of-contact to invite individuals with experience remitting funds to the case-study countries to participate in telephone interviews.", "We pre-tested our methodology by emailing contacts at the CBOs and requesting they provide feedback on the questions. We also pre-tested the questions with a group located in Virginia because the location was close to the GAO headquarters and allowed for in-person testing. In the interviews, we asked semi-structured questions about the ease or difficulty of remitting funds to the participants\u2019 home countries, the costs of remitting, and any recent changes they had noticed. We asked the participants to provide us with their personal experiences rather than to speak for their CBO, group, or community.", "We used two methods\u2014a web-based survey of a nationally representative sample of banks and semi-structured interviews of bank officials\u2014to examine what banks identify as challenges, if any, in offering bank accounts for money transmitters and correspondent banks serving fragile countries. In the survey, we asked banks about limitations and terminations of accounts related to BSA/AML risk, the types of customer categories being limited or terminated, and the factors influencing these decisions. We administered the survey from July 2017 to September 2017, and collected information for the 3-year time period of January 1, 2014 to December 31, 2016. Aggregate responses for the close-ended survey questions that are related to this report are included in appendix II. The survey also collected information for two additional GAO reports: one reviewing closure of bank branches along the southwest border of the United States, and another assessing the causes of bank account terminations involving money transmitters.", "To identify the universe of banks, we used the bank asset data from FDIC\u2019s Statistics on Depository Institutions database. Our initial population list contained 5,922 banks downloaded from FDIC\u2019s Statistics on Depository Institutions database as of December 31, 2016. We stratified the population into five sampling strata, and used a stratified random sample. In order to meet the sampling needs of related reviews, we used a hybrid stratification scheme. First, banks that did not operate in the Southwest border region were stratified into four asset sizes (small, medium, large, and extra-large). Next, by using FDIC\u2019s Summary of Deposit database we identified 115 Southwest border banks as of June 30, 2016.", "Our initial sample size allocation was designed to achieve a stratum-level margin of error no greater than plus or minus 10 percentage points for an attribute level at the 95 percent level of confidence. Based upon prior surveys of financial institutions, we assumed a response rate of 75 percent to determine the sample size for the asset size strata. Because there are only 17 extra-large banks in the population, we included all of them in the sample. We also included the entire population of 115 Southwest border banks as a separate certainty stratum. We reviewed the initial population list of banks in order to identify nontraditional banks not eligible for this survey. We treated nontraditional banks as out-of- scope. In addition, during the administration of our survey, we identified 27 banks that were either no longer in business or that had been bought and acquired by another bank, as well as 2 additional banks that were nontraditional banks and, therefore, not eligible for this survey. We treated these sample cases as out-of-scope; this adjusted our population of banks to 5,805 and reduced our sample size to 406. We obtained a weighted survey response rate of 46.5 percent.", "Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (for example, plus or minus 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Confidence intervals are provided along with each sample estimate in the report. For survey questions that are not statistically reliable, we present only the number of responses to each survey question and the results are not generalizable to the population of banks.", "The practical difficulties of conducting any survey may introduce errors, commonly referred to as nonsampling errors. For example, difficulties in interpreting a particular question or sources of information available to respondents can introduce unwanted variability into the survey results. We took steps in developing the questionnaire, collecting the data, and analyzing the results to minimize such nonsampling error. We conducted pretests with four banks. We selected these banks to achieve variation in geographic location and asset size (small, medium, large, extra-large). The pretests of the survey were conducted to ensure that the survey questions were clear, to obtain any suggestions for clarification, and to determine whether representatives would be able to provide responses to questions with minimal burden.", "To supplement the results of the survey, we conducted interviews with eight extra-large banks regarding correspondent banking and money transmitter accounts and with two credit unions regarding money transmitter accounts. We selected the eight banks to interview using the following criteria: (1) the bank was in the extra-large asset size group (banks with greater than $50 billion in assets), and (2) the bank was mentioned by at least one of the money transmitters that we interviewed as terminating accounts with them or the bank was listed in an internal Treasury study on correspondent banking. Of the banks in the extra- large asset size group, 7 were mentioned in our interviews with money transmitters as having closed accounts with them. Nearly all of these banks, plus one additional bank were also mentioned as correspondent banks in the Treasury study. In addition, we selected two credit unions to interview based on information from our interviews with money transmitters. Money transmitters identified four credit unions in our interviews; of these, we selected for interviews two that were mentioned as closing accounts with money transmitters. We did not contact the other two credit unions that currently have money transmitter accounts. The results of the survey and the interviews only provide illustrative examples and are not generalizable to all banks or credit unions.", "For our second objective, we analyzed U.S. agency information and documentation about relevant projects and activities. We also interviewed officials and obtained relevant guidance documents from Treasury, including OCC, OTA, FinCEN, and Terrorism and Financial Intelligence; the Federal Deposit Insurance Corporation (FDIC); the U.S. Department of State; the U.S. Agency for International Development; the Board of Governors of the Federal Reserve System (Federal Reserve); and the National Credit Union Administration (NCUA). Additionally, we also interviewed officials from the World Bank and International Monetary Fund to understand the data, methodology, and findings contained within reports by those organizations, as well as to understand the International Monetary Fund\u2019s role in technical assistance in our case-study countries. To gather information on solutions proposed by banks and others to address challenges money transmitters face in transferring funds through banks from the United States to fragile countries, we interviewed banks and credit unions as noted above. We also reviewed reports by the World Bank, the Center for Global Development, and Oxfam to gather recommendations addressing challenges in transferring remittances to fragile countries. We interviewed officials from Treasury, FDIC, the Federal Reserve, and the U.S. Agency for International Development to gain their perspectives on these proposed solutions.", "For our third objective on U.S. agencies\u2019 efforts to assess the effects of challenges facing U.S. money transmitters on remittance flows to fragile countries, we interviewed agency officials and analyzed available data on flows going through banking and non-banking channels. For available data on flows through the banking channel, we analyzed the Consolidated Reports of Condition and Income (Call Report) data from the Federal Financial Institutions Examination Council, which started collecting these data in 2014. These remittance data are reported on a semiannual basis. We also reviewed Call Report data on remittances for credit unions, which started to be collected in 2013, as well as data collected from Money Service Businesses, which some states started collecting in 2017. For data on remittance flows through non-banking channels, we obtained and analyzed data on filings of FinCEN\u2019s Form 105 \u2013 Report of International Transportation of Currency or Monetary Instruments. This report is required of individuals who physically transport currency or other monetary instruments exceeding $10,000 at one time from the United States to any place outside the United States, or into the United States from any place outside the United States. The paper form is collected by the Department of Homeland Security\u2019s U.S. Customs and Border Protection at the port of entry or departure. We obtained the tabulated Form 105 data from FinCEN by arrival country, state of U.S. exit port, and for calendar years 2006 through 2016. We also interviewed officials and obtained written responses from FinCEN and the Federal Financial Institutions Examination Council. We compared the results of our data analysis and information from interviews with agency officials against FinCEN\u2019s mission to safeguard the financial system from illicit use by, among other things, obtaining and analyzing financial transactions data. Additionally, we also compared the results of our analysis and information obtained from agencies against the federal standards for internal control, which state that agency managers should comprehensively identify risks and analyze them for their possible effects.", "We conducted this performance audit from September 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Selected Results from the GAO Survey of Banks on Money Transmitter Account Terminations", "paragraphs": ["From July 2017 to September 2017, we administered a web-based survey to a nationally representative sample of banks. In the survey, we asked banks about the number of account terminations for reasons related to Bank Secrecy Act anti-money laundering (BSA/AML) risk; whether banks are terminating, limiting, or not offering accounts to certain types of customer categories; and the factors influencing these decisions. We collected information for the 3-year period from January 1, 2014, to December 31, 2016. We obtained a weighted survey response rate of 46.5 percent. The survey included 44 questions, 16 of which were directly applicable to the research objectives in this report.", "Responses to the questions that were directly applicable to the research objectives in this report are shown below (see tables 3 through 16). When our estimates are from a generalizable sample, we express our confidence in the precision of our particular estimates as 95 percent confidence intervals. Survey results presented in this appendix are aggregated for banks of all asset sizes, unless otherwise noted. Results for some of the survey questions were not statistically reliable. In those cases we present only the number of responses to each survey question. These results are not generalizable to the population of banks. Our survey included closed- and open-ended questions. We do not provide information on responses provided to the open-ended questions. For a more detailed discussion of our survey methodology, see appendix I.", "The following open-ended question was only asked to banks that responded \u201cYes\u201d to question 33: Please provide any additional comments or challenges the bank may face in managing accounts for money transmitters that remit to fragile countries such as Haiti, Liberia, Nepal or Somalia. (Question 36)", "The following open-ended question was only asked to banks that responded \u201cYes\u201d to question 37: Please provide any additional comments on how changes (increase or decrease) in correspondent banking services facilitating the transfer of funds to Haiti, Liberia, Nepal or Somalia has impacted your bank\u2019s ability to provide services to money transmitters. (Question 41)", "The following open-ended question was only asked to banks that responded \u201cYes\u201d to using a correspondent bank to facilitate the transfer of funds Somalia (question 38, response d): If your bank relied on a respondent bank to facilitate the transfer of funds to Somalia, in what country was the respondent bank located? (Question 39)"], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Thomas Melito, (202) 512-9601, or melitot@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mona Sehgal (Assistant Director), Kyerion Printup (Analyst-in-Charge), Sushmita Srikanth, Madeline Messick, Ming Chen, Lilia Chaidez, Natarajan Subramanian, Carl Barden, James Dalkin, David Dayton, Martin De Alteriis, Mark Dowling, Rebecca Gambler, Tonita Gillich, Stefanie Jonkman, Christopher Keblitis, Jill Lacey, Michael Moran, Verginie Tarpinian, and Patricia Weng made key contributions to this report."], "subsections": []}]}], "fastfact": ["People who send money from the United States to their families\u2014especially to those in poor countries\u2014see these \"remittances\" as a lifeline. However, remittances and other global payments can be used to hide money laundering and other financial crimes.", "Money transfer companies have used banks to transfer money worldwide. But some banks want to limit their exposure to the risk of financial crimes, and refuse or restrict transfer companies' accounts.", "Now, some transfer companies are bypassing the bank by taking cash over borders. We recommended that Treasury assess the risks of these transfers, which are harder to monitor for criminal activity."]} {"id": "GAO-19-13", "url": "https://www.gao.gov/products/GAO-19-13", "title": "VA Disability Exams: Improved Performance Analysis and Training Oversight Needed for Contracted Exams", "published_date": "2018-10-12T00:00:00", "released_date": "2018-11-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2016, VBA awarded 12 contracts to five private firms for up to $6.8 billion lasting up to 5 years to conduct veterans' disability medical exams. Both VBA contracted medical examiners and medical providers from the Veterans Health Administration perform these exams, with a growing number of exams being completed by contractors. Starting in 2017, VBA contracted examiners conducted about half of all exams. GAO was asked to review the performance and oversight of VBA's disability medical exam contractors.", "This report examines (1) what is known about the quality and timeliness of VBA contracted exams; (2) the extent to which VBA monitors contractors' performance; and (3) how VBA ensures that its contractors provide qualified and well-trained examiners. GAO analyzed the most recent reliable data available on the quality and timeliness of exams (January 2017 to February 2018), reviewed VBA and selected contract documents and relevant federal laws and regulations, and interviewed agency officials, exam contractors, an audit firm that checks examiners' licenses, and selected veterans service organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Veterans Benefits Administration (VBA) has limited information on whether contractors who conduct disability compensation medical exams are meeting the agency's quality and timeliness targets. VBA contracted examiners have completed a growing number of exams in recent years (see figure). VBA uses completed exam reports to help determine if a veteran should receive disability benefits. VBA reported that the vast majority of contractors' quality scores fell well below VBA's target\u201492 percent of exam reports with no errors\u2014for the first half of 2017. Since then, VBA has not completed all its quality reviews, but has hired more staff to do them. VBA officials acknowledged that VBA also does not have accurate information on contractor timeliness. VBA officials said the exam management system used until spring 2018 did not always retain the initial exam report completion date, which is used to calculate timeliness. In spring 2018, VBA implemented a new system designed to capture this information.", "VBA monitoring has addressed some problems with contractors, such as reassigning exams from contractors that did not have enough examiners to those that did. However, the issues GAO identified with VBA's quality and timeliness information limit VBA's ability to effectively oversee contractors. For example, VBA officials said they were unable to track the timeliness of exam reports sent back to contractors for corrections, which is needed to determine if VBA should reduce payment to a contractor. The new system implemented in spring 2018 tracks more detailed data on exam timeliness. However, VBA has not documented how it will ensure the data are accurate or how it will use the data to track the timeliness and billing of corrected exam reports. VBA also has no plans to use the new system to analyze performance data to identify trends or other program-wide issues. Without such plans, VBA may miss opportunities to improve contractor oversight and the program overall.", "A third-party auditor verifies that contracted examiners have valid medical licenses, but VBA does not verify if examiners have completed training nor does it collect information to assess training effectiveness in preparing examiners. While VBA plans to improve monitoring of training, it has not documented plans for tracking or collecting information to assess training. These actions could help ensure that VBA contractors provide veterans with high-quality exams and help VBA determine if additional training is needed."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends VBA (1) develop a plan for using its new data system to monitor contractors' quality and timeliness performance, (2) analyze overall program performance, (3) verify that contracted examiners complete required training, and (4) collect information to assess the effectiveness of that training. The Department of Veterans Affairs agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the Department of Veterans Affairs (VA) paid about $72.4 billion to about 4.5 million veterans to compensate them for disabilities caused or aggravated by their military service. In that same fiscal year, the Veterans Benefits Administration\u2019s (VBA) 57 regional offices processed more than 1.2 million veterans\u2019 disability compensation claims to determine eligibility for benefits. To help determine this eligibility, VBA staff may request that the veteran undergo a medical examination to provide evidence of disabilities and their connection to military service. Medical providers who work for the Veterans Health Administration (VHA) often conduct these exams. VBA also contracts with private firms to perform these exams. According to VA officials, the demand for exams sometimes exceeds VHA\u2019s capacity to perform them, and in these cases VBA assigns a contractor to perform the exam to avoid delays in processing the claim.", "In 2016, VBA awarded 12 exam contracts to five private firms for up to $6.8 billion lasting up to 5 years. The contracts cover exams conducted in both the United States and overseas, and cover benefit claims processed by VBA regional offices. In fiscal year 2017, VA spent $765 million on exams conducted by these VBA contractors. About 767,000 veterans received a total of about 1 million exams from VBA contracted examiners from January 1, 2017 to April 2018, which is about half of all disability exams during this time.", "You asked us to review VA\u2019s oversight of the contract disability exam program to ensure the quality of disability exams for veterans. This report examines (1) what is known about the quality and timeliness of VBA contracted exams; (2) the extent to which VBA monitors contractors\u2019 performance to ensure that they provide high quality and timely exams; and (3) how VBA ensures that its contractors provide qualified and well- trained examiners.", "To describe the quality of VBA contracted exams, we reviewed available scores and results of VBA\u2019s quarterly quality reviews of exam reports completed in calendar year 2017 for each contract. VBA has not finalized contractors\u2019 quality scores and results for exam reports completed in calendar year 2017\u2014particularly for reports completed in the last two quarters of that year. To describe the timeliness of contracted exams, we analyzed VBA data on exams completed between February 2017 and January 2018. VBA\u2019s timeliness data were sufficient for our purpose of calculating the total time it took to complete exams (see appendix I for additional details on our methodology). In addition, we reviewed VBA aggregate data on the number of exam requests that had been accepted by contractors but not yet completed as of late June 2018. For context, we also reviewed VHA aggregate data on the quality and timeliness of exams conducted by VHA examiners during calendar year 2017. We reviewed VBA and VHA documentation of methodology and data collection procedures, and interviewed officials knowledgeable about the systems used to collect and maintain the data. For example, we spoke with officials about how VBA uses available data to assess contractor performance against timeliness targets outlined in the contracts. We assessed the reliability of the data we collected through electronic testing for missing data and obvious errors, and by conducting interviews with VBA and VHA officials, and determined that the data were sufficiently reliable for our purposes.", "To evaluate VBA monitoring of contractor performance and VBA oversight of contracted examiners\u2019 qualifications and training, we reviewed relevant federal laws, regulations, and VA guidance on the use of contracted examiners. To identify relevant contract provisions and requirements related to contractor performance, monitoring of such performance, licensing, and training, among other areas, we reviewed selected provisions of selected versions of 1) the 12 current VA Medical Disability Examination contracts originally awarded in 2016; 2) the 5 short-term contracts VA awarded in early 2017; and 3) 2 short-term contracts VA awarded in December 2017. For more information about the methodology used to identify relevant contract provisions and requirements, see appendix I.", "We also reviewed related contract documents and reports to determine how contract provisions were implemented by VBA and contractors. We assessed VA monitoring against federal internal control standards on quality information and monitoring, and federal contracting guidance. In addition, we assessed VBA oversight of contracted examiners\u2019 qualifications and training against GAO\u2019s guide for assessing training and development. For context, we also reviewed relevant documents on training, licensing, and credentialing requirements for VHA providers who conduct disability compensation exams. We also interviewed officials of VBA\u2019s Mandatory Contract Examination Program Office (exam program office), including Contracting Officer\u2019s Representatives (COR); VA\u2019s Strategic Acquisition Center in Frederick, Maryland, including the contract exam program Contracting Officer; VHA\u2019s Office of Disability and Medical Assessment; each of the five contractors; a private firm that performs audits of VBA contracted examiners\u2019 licenses; and three national veterans service organizations.", "We conducted this performance audit from July 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VBA Disability Benefits Process", "paragraphs": ["VA pays monthly disability compensation to veterans with service- connected disabilities according to the severity of the disability. VA\u2019s disability compensation claims process starts when a veteran submits a claim to VA (see fig. 1). A claims processor then reviews the claim and helps the veteran gather the relevant evidence needed to evaluate the claim. Such evidence includes the veteran\u2019s military service records, medical exams, and treatment records from VHA medical facilities and private medical service providers. If necessary to provide support to substantiate a claim, VA will also provide a medical exam for the veteran, either through a provider at a VHA medical facility or through a VBA contractor. According to VBA officials, VBA monitors a VHA facility\u2019s capacity to conduct exams and in instances when the facility may not have capacity to conduct a timely exam, VBA will send an exam request to one of its contractors instead.", "For exams assigned to a VBA contractor, VBA sends an exam request to the contractor, who then rejects or accepts the exam request. Once the contractor accepts the exam, it assigns a contracted examiner to conduct the exam and complete an exam report designed to capture essential medical information for purposes of determining entitlement to disability benefits. The contractors send the completed report to VBA, which uses the information as part of the evidence to evaluate the claim and determine whether the veteran is eligible for benefits. According to contractor officials, if they need clarification on an exam request, they might reject the request and send it back to VBA who, in turn, will revise the request before sending it back to the contractor."], "subsections": []}, {"section_title": "Use of Contracts to Complete Disability Compensation Exams", "paragraphs": ["VA has used contracted examiners\u2014through VBA and VHA contracts\u2014to supplement VHA-provided exams for at least two decades. VBA began using contractors to conduct disability compensation exams at 10 VBA regional offices in the late 1990s through a pilot program authorized under federal law. In 2014, federal law authorized VBA to expand the pilot to all its regional offices starting in fiscal year 2017.", "Before fiscal year 2017, VHA and VBA both administered disability exam contracts. However, since fiscal year 2017, all such contracts have been administered by VBA and none have been administered by VHA. VBA awarded 12 contracts to five contractors to begin providing exams in 2016. According to VA officials, performance under 10 of these contracts was delayed until late September 2017 due, in part, to multiple contract bid protests. During this delay, VA officials told us that the agency awarded short-term contracts to allow existing contractors to perform exams until the bid protests were resolved. VBA\u2019s current contracts cover exams for veterans in five U.S. geographic districts, one district for overseas exams, and one district for servicemembers participating in special programs, such as the Benefits Delivery at Discharge and Integrated Disability Evaluation System programs (see fig. 2). VBA awarded two contracts in each of its five U.S. geographic districts and one contract each in districts 6 and 7, which include special programs and overseas exams, respectively. VBA also awarded two additional short- term contracts in December 2017 to help address workload issues in districts 1-5. With the addition of these two contracts, VBA has a total of 14 contracts currently in place.", "According to agency officials, because VBA wanted to update performance measures for its contractors, VA issued a Request for Proposals in May 2018 with plans to award new contracts in fall 2018 for its U.S. geographic districts. Until it awards the new contracts, VBA will continue to use the current contracts. According to VBA officials, VA plans to continue using VBA contractors in the long term to conduct exams that exceed VHA\u2019s capacity. In recent years, VBA contractors have completed an increasing number of exams, from roughly 178,000 in fiscal year 2012 to almost 600,000 in fiscal year 2017, according to VBA- provided data. VA estimates that in fiscal year 2019, contractors will complete over 1.8 million exam reports for almost 800,000 veterans. However, VBA officials noted that future projections for contracted exams might change based on the need to supplement VHA capacity to ensure timely exams."], "subsections": []}, {"section_title": "VBA Contract Exam Office and Requirements for Contractors", "paragraphs": ["In 2016, VBA established an exam program office to manage and oversee contractors, monitor their performance, and ensure that they meet contract requirements. For example, the contracts require that contractors develop plans outlining how they will ensure examiners are adequately trained. Contractors are also required to provide VBA with monthly exam status reports, which include the number of canceled, rescheduled, and completed exams, among other things. VBA also has an office dedicated to completing quality reviews of contractors\u2019 exam reports, which are used to assess contractor performance. The contracts require that VBA conduct quality reviews of a sample of contractors\u2019 exam reports. According to VA documents and officials, the results of these quality reviews, and contractor timeliness scores in completing exams, are included in quarterly performance reports. The contracts require that VBA provide these performance reports to the contractors. VBA holds quarterly meetings with the contractors to discuss their quarterly performance based on these reports."], "subsections": [{"section_title": "VBA Licensing and Training Requirements for Contracted Examiners", "paragraphs": ["VBA contracts require that contracted examiners have full, current, valid, and unrestricted licenses, and current and valid State Medical Board certifications, before conducting any exams\u2014the same requirements that apply to VHA medical providers. According to agency officials, VBA also requires that contracted examiners complete the same training that VHA providers must take before they can conduct any disability medical exams. The required training consists of a set of online courses developed by VHA\u2019s Disability Medical Assessment Office, such as courses on VA\u2019s disability claims process and one on completing exam reports. In addition, examiners who provide some specialized exams, such as posttraumatic stress disorder exams and traumatic brain injury exams, are required to take additional courses. In addition to VHA- developed training, VBA contracts require that contractors provide examiners with a basic overview of VA programs."], "subsections": []}, {"section_title": "VBA Quarterly Contractor Performance Targets for Quality and Timeliness", "paragraphs": ["The contracts also outline quality and timeliness performance targets that VBA uses to assess contractor performance (see table 1). VBA can use contractors\u2019 performance in meeting these targets to determine financial incentives. VBA\u2019s performance measures are as follows:", "Contractor quality: VBA calculates quality scores for each contractor based on a sample of exam reports that VBA\u2019s quality office selects for review on a quarterly basis for each contract. According to VBA documents, the quality score represents the percentage of exam reports reviewed that had no errors as measured against specific criteria. Errors identified in quality reviews could range from incomplete information (e.g., an examiner\u2019s medical specialty information is not listed on exam report) to completing the wrong exam report for a given condition.", "Contractor timeliness: VBA calculates timeliness scores for each contractor based on the average timeliness of all exams completed in a given quarter for each contract. VBA measures timeliness as the number of calendar days between the date the contractor accepts an exam request and the date the contractor initially sends the completed exam report to VBA."], "subsections": []}]}]}, {"section_title": "VBA Reported Contractors Missed Exam Quality Targets, and VBA Could Not Accurately Measure Performance On Timeliness Targets", "paragraphs": [], "subsections": [{"section_title": "Contractors Missed Quality Targets in First Half of 2017; More Recent Data Are Not Yet Available for Most Districts", "paragraphs": ["VBA reported that almost all contractors missed VBA\u2019s quality target of 92 percent in the first half of calendar year 2017, and more recent data are not yet available for most districts. More specifically, VBA-determined quarterly quality scores\u2014the percentage of disability compensation exam reports with no errors as measured against VBA criteria\u2014for the seven contracts used by VBA in calendar year 2017 showed that contractors were frequently well below the quality target. Quarterly quality scores ranged from 62 percent to 92 percent (see fig. 3). According to VBA data, only one contractor\u2019s quality score in one quarter met VBA\u2019s target of 92 percent while the vast majority of contractors\u2019 scores were classified by VBA as \u201cunsatisfactory\u201d performance.", "VBA has not yet completed all of the quality reviews used to calculate contractor quality scores, particularly for exams that were completed in the second half of 2017. VBA is hiring and training additional quality review staff to complete these reviews and help manage the workload moving forward. According to VBA officials, staff will complete the remaining quality reviews and finalize the quality scores for 2017 by December 2018."], "subsections": []}, {"section_title": "VBA Could Not Accurately Measure Contractor Timeliness Against Targets, but Our Aggregate Analysis Shows About Half of Exams Were Completed Within 20 Days", "paragraphs": ["According to agency officials, VBA has not calculated contractor timeliness as it is outlined in the contracts. VBA measures timeliness as the number of days between the date the contractor accepts an exam request and the date the contractor initially sends the completed exam report to VBA. According to officials, this measure does not include any time contractors may spend correcting an exam report returned to them by VBA. Returned exam reports are few in number, VBA officials said. However, once a contractor submitted a corrected or clarified exam report, VBA officials said the exam management system did not preserve the date the exam was initially completed. At that point, the system only tracked the date VBA received the corrected or clarified report. As a result, the number of days in VBA\u2019s system could include time contractors took to correct any issues identified by VBA after submitting the initial report.", "While VBA\u2019s data does not allow it to reliably assess contractor performance against the targets in the contracts, VBA\u2019s data can be used to measure timeliness in other ways. For example, we were able to use the data to calculate the entire amount of time it took to complete exams, which includes time contractors took to correct any issues identified by VBA. As such, the results of our analysis should not be interpreted as reflecting contractor compliance with timeliness targets under the contracts. However, to provide timeframes that are similar to VBA\u2019s targets, we chose 20 days for districts 1-5 and 30 days for districts 6-7 as timeframes for our analysis. Moreover, we analyzed timeliness across all contractors rather than for individual contractors. In particular, we analyzed VBA data on 646,005 contracted exams completed from February 2017 to January 2018, which included 575,739 exams in districts 1-5 and 70,266 exams in districts 6-7.", "Our analysis of VBA data shows that 53 percent of exams were completed within 20 days for districts 1-5, and 56 percent were completed within 30 days for districts 6-7. However, some exams took at least twice as long to complete. For example, 12 percent of exams in districts 1-5 took more than 40 days to complete (see fig. 4). Contractor officials described a number of reasons why exams might take longer in some cases. For example, they said that scheduling delays might occur due to a veteran\u2019s availability or severe weather, and that it can be challenging to find specialists for certain exam types in rural locations.", "Our analysis of timeliness focused on exams that were completed, and it did not include exams that have been requested and not yet completed by a contractor. For example, a contractor may have accepted an exam request from VBA, but not yet scheduled an appointment with the veteran. Alternatively, a contractor may have conducted an exam with the veteran, but not yet sent the exam report to VBA. As of late June 2018, VBA-calculated data showed that 87,768 requested exams had not yet been completed, including 37,077 exams that had already exceeded VBA\u2019s timeliness targets. Tracking these exams is important because a large volume of such exams could ultimately increase the amount of time veterans have to wait for their claims to be processed. VBA officials stated that the agency closely monitors contractors\u2019 workloads and helps expedite requested exams that have exceeded VBA\u2019s targets for completing exams. In addition, VBA included a performance measure in its May 2018 Request for Proposals to track the percentage of requested exams that have been with a contractor for more than seven days. Such a measure could help VBA identify whether contractors have a backlog of exams and better assess whether veterans are receiving timely exams."], "subsections": []}]}, {"section_title": "Delayed Quality Reviews and Performance Reports, and Data Limitations, Hinder VBA\u2019s Monitoring of Contractors", "paragraphs": [], "subsections": [{"section_title": "VBA Identified Some Contractor Performance Problems but Was Delayed in Completing Quality Reviews and Performance Reports", "paragraphs": [], "subsections": [{"section_title": "VBA Identification of Performance Problems", "paragraphs": ["VBA\u2019s contract exam program office, primarily through its Contracting Officer\u2019s Representatives (COR), has identified some contractor performance problems, such as delays in completing specific exams, through its oversight of contractor performance. This oversight includes day-to-day monitoring of contractor workloads and frequent contact with contractor officials. Through such contact and reviews of contractors\u2019 daily and weekly exam status updates, the CORs work with contractor officials to identify ways to expedite disability compensation exams for veterans who have been waiting longer than VBA\u2019s 20-day or 30-day targets. In addition, VBA contract quality staff who review samples of contractor exam reports hold teleconferences with the CORs and contractor officials to provide feedback and discuss issues arising from their reviews, such as specific types of errors.", "The VBA contract exam program office also oversees and manages contractors through supplemental guidance memos, contractor site visits, and reviews of veteran customer satisfaction surveys. For example, in November 2017, VBA sent a supplemental guidance memo to all contractors to clarify guidance on conducting and documenting hearing loss exams. Further, VBA has conducted site visits to all five contractors\u2019 headquarters or clinic sites since September 2017. Headquarters visits include reviews of contractors\u2019 procedures, such as those for assigning exam requests, and contractors\u2019 information systems, such as those for tracking the status of exams. VBA visits to contractor clinics focus on facility issues, such as accessibility and safety. According to VBA officials, the CORs also review reports on satisfaction surveys completed by veterans after their exam appointments to identify veterans\u2019 concerns regarding contractors and to follow up with contractors, when needed. For example, in response to one veteran\u2019s survey comment regarding a contracted examiner who did not show up to conduct a scheduled exam, VBA officials told us they followed up with the contractor and learned that the examiner\u2019s car broke down. According to VBA, it reimbursed the veteran for round-trip transportation costs to the clinic.", "Additionally, VBA\u2019s contract quality review staff have conducted special focused reviews to investigate concerns raised by veterans and by staff in VBA regional offices and VHA medical facilities. For example, VBA conducted a review of one contracted examiner who had high rates of diagnosing severe posttraumatic stress disorder. After reviewing this examiner\u2019s reports, VBA found their overall quality to be poor. As a result, VBA requested that the contractor no longer use this examiner.", "In addition to identifying and addressing problems with individual exams and examiners, VBA has identified broader challenges faced by contractors in meeting VBA\u2019s demand for exams and providing timely reports. For example, VBA identified two contractors who were not prepared to perform all of their assigned exams because they did not have enough examiners, particularly in rural locations, which led to delays and a backlog of exam requests, according to VBA officials. VBA officials described how they worked with these contractors over several months to adjust and closely monitor the volume of exams sent to the contractors to address the backlog. However, according to VBA officials, by December 2017, VBA determined that one of the contractors was not able to meet the demand for exams, and the agency stopped sending new exam requests to this contractor. According to VBA, by late June 2018, it had discontinued all work with this contractor. VA officials said that to obtain additional exam capacity to make up for the two contractors\u2019 shortages, they awarded short-term contracts in December 2017 to two other contractors who were providing exams in other VBA districts."], "subsections": []}, {"section_title": "VBA Delays in Assessing Quality and Completing Reports", "paragraphs": ["VBA has not completed all required quarterly quality reviews and accompanying quarterly performance reports on contractors, according to VBA officials. These reviews and reports are key components to effectively assessing contractor performance in a timely manner. Specifically, in late June 2018, VBA officials said that they had conducted almost all their quality reviews for contracted exams completed in districts 1-5 during the second half of 2017, but that they needed to finalize the quality scores. They also said that they were beginning their quality reviews for contracted exams completed in 2018. At the time of our review, VBA had released one quarterly performance report for the fourth quarter of calendar year 2017, and officials said they were drafting others. VBA officials attributed delays in completing quality reviews and quarterly performance reports primarily to a lack of VBA quality review staff. The quarterly performance reports provide contractors with information on their performance against VBA quality and timeliness targets. For example, prior reports included detailed breakouts of quality errors by type and suggestions for performance improvements. As officials of one contractor said, delays in receiving quarterly performance reports limit VBA\u2019s ability to provide contractors with timely and valuable feedback they can use to improve the quality of their exams.", "The delay in completing the quarterly reviews and reports also has implications for VBA\u2019s ability to allocate exam requests across contractors and administer potential financial incentives across contractors. More specifically, VBA can use performance data to help determine how to allocate exams in each district that has two contractors, as outlined in the contracts. For example, VBA can decide to allocate more exams to the contractor with higher performance results. Further, the contracts outline how VBA can use performance data to administer financial incentives linked to performance targets. For example, VA is to provide a bonus to a contractor who meets or exceeds the 92 percent quality standard for a quarter, and meets or exceeds the 20- or 30-day timeliness standard. However, because of its delays in completing quality reviews and the lack of reliable data on contractor timeliness, VA has not yet administered these incentives. VA officials told us that the agency will determine if it will administer the 2017 incentives after it completes its performance assessments of contractors.", "VBA officials said they are currently hiring more staff to address the lag in quality reviews and subsequent reports to contractors, as well as to provide more oversight of contractors. At the time of our review, VBA did not have its authorized level of 15 quality analysts and 2 senior quality reviewers, but VBA officials said that they expected to complete hiring to bring the quality reviewer staff up to 17 full-time positions by the end of fiscal year 2018. In addition, VBA officials acknowledged that they did not have enough CORs in VBA\u2019s exam program office to oversee the 14 exam contracts (including the two short-term contracts). As of April 2018, VBA officials said the office had 3 CORs, but hiring was expected to bring the number up to 14 by the end of fiscal year 2018. VBA officials said that they determined staffing levels for VBA\u2019s contract exam program office\u2014including CORs and exam quality reviewers\u2014based on an assessment of the resources needed to expand the program, among other factors. Although VBA did not provide documentation outlining how it determined its workforce needs, the agency provided us with updated organizational charts in June 2018 demonstrating increased staff levels for the exam program office."], "subsections": []}]}, {"section_title": "VBA\u2019s Data Limitations Hinder Its Ability to Oversee Certain Contract Provisions, and VBA Has Not Conducted Comprehensive Performance Analysis", "paragraphs": ["VBA\u2019s lack of reliable data on the status of exams, including insufficient exams\u2014exam reports that VBA returns to contractors to be corrected or clarified\u2014limits its ability to effectively oversee certain contract provisions. VBA officials acknowledged that they could not calculate the number of completed exams that were once marked as insufficient or how long they had remained in that status due to the data limitations of the exam management system the agency used until spring 2018. The contracts require that contractors correct insufficient exams within a certain number of days and bill VBA for these exams at half price. However, VBA\u2019s lack of complete and reliable information on insufficient exams hinders its ability to ensure that either of these requirements is met. VBA officials also indicated that they were unable to fully assess individual contractor timeliness against VBA\u2019s performance targets because the exam management system did not include the date the initial exam report was submitted to VBA, which is needed to calculate timeliness as outlined in the contracts.", "In March 2018, VBA began implementing a new exam management system designed to collect more comprehensive and accurate information on the status of exams. VA documentation on the new system shows that it will include detailed data on insufficient exams, which, according to VBA officials, should allow VBA to track whether contractors are properly discounting their invoices for those exams. However, in June 2018, VBA stated that three of its five contractors did not have complete functionality with VBA\u2019s new exam management system. As a result, VBA officials said the agency still did not have complete data in the new system that would allow it to track insufficient exams. Officials said they were working to address these issues.", "More broadly, as described in VA system documents, the new system is designed to allow VBA to track more detailed data on exam completion dates and on other points throughout the exam process, such as dates for initial requests for clarification from contractors, and dates when appointments are scheduled. However, VBA is in the early stage of this transition, and agency officials stated that unexpected technical issues have affected communication between the new exam management system and other VBA systems. While they work to resolve the issues, VBA officials said that they have been manually moving some exam requests through the system each day. Further, VBA has not documented how it plans to ensure the additional data is accurate and use it to oversee contractor performance as outlined in the contracts, particularly for insufficient exams. Federal internal control standards state that management should use quality information to achieve key objectives. In addition, management should formulate plans to achieve those objectives. For example, agencies should assess collected data and ensure it is accurate so that it can be used to provide quality information to evaluate performance. In the absence of a plan for how it will capture and use data in its new exam management system to assess performance, VBA risks overpaying contractors for insufficient exams and continuing to inaccurately measure contractor timeliness.", "Further, according to agency officials, VBA has not conducted comprehensive analyses of performance data that would allow it to identify and address higher-level trends and program-wide challenges across contractors, geographic districts, exam types, or other relevant factors. Agency officials told us they have no plans to conduct such analyses. Federal internal control standards state that management should establish and operate monitoring activities and evaluate the results of those activities. In addition, management should evaluate deficiencies both at the individual and aggregate level. While VBA officials acknowledged that higher-level analyses could improve program oversight, they explained that analyzing performance data has been challenging due to the limitations of the exam management system. Thus, VBA has prioritized addressing contractor-specific problems and resolving long-standing pending exams over in-depth analysis of the performance data.", "However, with the expected improvements provided by VBA\u2019s new exam management system and increased staff to manage the program and conduct quality reviews, VBA should be better positioned to conduct analyses of performance data in the future. By conducting higher-level analyses across contractors, geographic districts, exam types, or other relevant factors, VBA could make a more informed assessment of the challenges contractors and examiners face and where additional workload capacity and training may be needed. In addition, better analyses would allow VBA to determine if the contract exam program is achieving its quality and timeliness goals in a cost effective manner."], "subsections": []}]}, {"section_title": "Auditor Verifies Contracted Examiner Licenses, but VBA Does Not Verify Training Completion or Collect Information on Training Effectiveness", "paragraphs": [], "subsections": [{"section_title": "VBA Uses a Third-Party Auditor to Verify Contracted Examiner Licenses", "paragraphs": ["VBA has a third-party auditor who verifies that all active contracted examiners have a current, valid, and unrestricted medical license in the state where they examined a veteran. The auditor provides regular reports of its audits to VBA. Specifically, the auditor verifies the license numbers of all active contracted examiners in the states where they perform VA disability compensation exams; National Provider Identifiers; and any prior or current sanctions or restrictions resulting in a revoked or suspended license at the time of a VA exam. In addition, contractors send VBA monthly reports of examiners\u2019 medical license, specialty, and accreditation based on the contractors\u2019 verification of this information. Every 2 months, VBA sends the auditor a consolidated report of this information covering all five contractors. The auditor verifies examiners\u2019 information in that report before sending a final audit report to VBA, noting if the auditor was or was not able to verify examiners\u2019 licenses. After reviewing the report, VBA contacts the contractors to gather additional information to resolve any issues, and in cases in which licensing requirements are not met, VBA stops using the examiner and offers new exams to veterans who have been seen by the examiner.", "VBA and auditing firm officials noted that audit results show that almost all examiners have current and valid licenses, and contractors are required to stop using those who do not meet licensing requirements. VBA and auditing firm officials said that issues identified in the audits are usually due to typos or differences in how information is captured across different licensing databases. However, based on an audit, VBA provided an example of an examiner with a restricted medical license who had completed exams for one contractor. In this case, VBA notified the contractor, who then stopped using the examiner and said it was taking action to prevent errors in its license verification process from occurring again. In addition, the contractor reimbursed VBA for the cost of exams conducted by the examiner and also offered new exams to veterans who had been seen by the examiner."], "subsections": []}, {"section_title": "VBA Relies on Exam Contractors to Verify Training is Completed and Does Not Review Training Records for Accuracy", "paragraphs": ["VBA relies on contractors to verify that their examiners complete required training, and agency and contractor officials told us that VBA does not review contractors\u2019 self-reported training reports for accuracy or request supporting documentation, such as training certificates, from contractors. As required by the contracts, contractors must track and maintain records demonstrating each examiner has completed required training. Each of VBA\u2019s five contractors has its own process for ensuring that required training is provided to and completed by their examiners, but generally, contractors export the courses from VA\u2019s online training system into their own online training systems for their examiners to access. The contractors, rather than VBA, access the contractor training systems to verify that examiners have completed the required training before they are approved to conduct exams. When requested by VBA, contractors are required to send VBA reports demonstrating that their examiners have met training requirements. As stated in the latest version of the contracts, contractors must immediately stop using any examiner found to have not completed required training, notify VBA, and re-examine the involved veterans at no cost to VBA, if requested by the agency.", "Although VBA currently does not verify the accuracy of training self- reported by contractors to the agency, VBA officials said that they plan to enhance monitoring through spot checks of training records and a new training system. Specifically, in fiscal year 2019, VBA officials said they plan to start conducting spot checks of some examiners\u2019 training records for accuracy and compliance during site visits to contractor headquarters and clinics. However, VBA has not provided details or documentation on these planned checks, such as how it will determine which records to review or the steps it will take to verify the accuracy of training records. VBA officials also said they are planning to develop an online system that would allow VBA to certify that examiners have completed required training, rather than relying on contractors for this information. However, as of July 2018, VBA had yet to determine when this system would be developed and had not documented plans to do so in order to use such information for monitoring training. VBA also said it would hire staff to manage contractor training, but has yet to do so.", "GAO\u2019s prior work has emphasized tracking and other control mechanisms to ensure that all employees receive appropriate training. While VBA said it would enhance its monitoring of training records, documenting and implementing a plan and processes to verify training could help ensure examiners have met training requirements. Without such a plan, VBA risks using contracted examiners who are unaware of the agency\u2019s process for conducting exams and reporting the results, which could lead to delays for veterans as a result of poor-quality exams that need to be redone and insufficient exam reports that need to be corrected."], "subsections": []}, {"section_title": "VBA Does Not Collect Information to Determine if Training Effectively Prepares Examiners", "paragraphs": ["VBA does not collect information from contractors or examiners to help determine if required training effectively prepares examiners to conduct high quality exams and complete exam reports. VBA has provided additional guidance to contractors for some specialty exams. However, VBA identified these issues after some contractors requested guidance in monthly meetings, rather than through VBA efforts to proactively or regularly collect information from contractors or examiners to inform potential changes to training. VBA is considering including a component in the online training system that would collect information on the effectiveness of required training. However, VBA has not outlined additional details on collecting such information. VBA officials said that VBA did not collect such information in the past, in part, because staff were focused on program oversight.", "To assess progress toward achieving results and to make changes to training if needed, GAO has found that evaluation is a key component of any training program. Given that VBA officials told us that the agency plans to issue new contracts in fall 2018, the number of contracted examiners who are new to VA processes may increase. Thus, collecting and assessing regular feedback on training from contractors and examiners, such as through surveys, discussion groups, or interviews, could help VBA determine if training effectively prepares examiners to conduct exams and complete exam reports. Further, information on the effectiveness of training could supplement data on contractor performance and results from VBA\u2019s quality reviews to help assess if additional training courses are needed across contractors or for specific exam types."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As VBA increasingly relies on contractors to perform veterans\u2019 disability compensation exams, it is important that the agency ensures proper oversight of these contractors. VBA\u2019s lack of accurate and up-to-date data and reports on contractor performance hampers its ability to oversee the quality and timeliness of exams provided through contractors. VBA\u2019s new exam management system provides opportunities to improve oversight through more comprehensive and accurate data. These improvements might be limited, however, without a plan to use the data to produce the quality information needed by VBA to monitor insufficient exams, ensure it pays contractors the correct amount for those exams, and help it accurately calculate contractor timeliness.", "Further, the new system provides an opportunity for VBA to conduct analyses that could identify high-level trends and challenges facing the program across contractors and districts, such as delays in completing exams in specific parts of the country or contractor performance issues related to specific exam types. Despite these capabilities, VBA has not outlined plans for using improved information in this manner. Without doing so, the agency may miss opportunities to improve the program and, ultimately, its service to veterans.", "VBA could better prepare contracted examiners for their role by taking actions to ensure required training has been completed and by collecting information to assess and improve training. Such actions could help improve the quality of exams and exam reports, which could mitigate the need for exam rework and, ultimately, delays in determining veterans\u2019 benefits. With VBA planning to award new contracts and potentially more new contracted examiners coming on board, verifying that required training is completed and collecting information on the effectiveness of training are critical. As VA continues to rely on contracted examiners, it is important that the agency is well positioned to carry out effective oversight of contractors to help ensure that veterans receive high-quality and timely exams."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations regarding contracted disability compensation exams to VA.", "The Under Secretary for Benefits should develop and implement a plan for how VBA will use data from the new exam management system to oversee contractors, including how it will capture accurate data on the status of exams and use it to (1) assess contractor timeliness, (2) monitor time spent correcting inadequate and insufficient exams, and (3) verify proper exam invoicing. (Recommendation 1)", "The Under Secretary for Benefits should regularly monitor and assess aggregate performance data and trends over time to identify higher-level trends and program-wide challenges. (Recommendation 2)", "The Under Secretary for Benefits should document and implement a plan and processes to verify that contracted examiners have completed required training. (Recommendation 3)", "The Under Secretary for Benefits should collect information from contractors or examiners on training and use this information to assess training and make improvements as needed. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of our report to the Department of Veterans Affairs (VA) for its review and comment. VA provided written comments, which are reproduced in appendix II. VA concurred with all our recommendations and described the Veterans Benefits Administration\u2019s (VBA) plans for taking action to address them. Regarding our first recommendation, VA outlined improvements in the information collected through VBA\u2019s new exam management system, and said that VBA is currently testing a mechanism to validate exam invoices submitted by contractors. We noted these improvements to the system in our draft report sent to the agency for comment. We maintain that it will be important for VBA to take the next step of developing and implementing a plan for how it will use information from the new system to ensure both accurate timeliness data and proper exam invoicing. Regarding our second recommendation, VA stated that VBA will use improved data in the new exam management system to regularly monitor and assess aggregate performance data, identify error trends, and monitor contractor performance and program-wide challenges.", "Regarding our third and fourth recommendations, VA stated that VBA plans to develop and implement a training plan for contractors that will include a mechanism to validate that required training has been completed and to assess the effectiveness of this training through feedback from trainees, contractors, and quality review staff in VBA\u2019s contract exam program office. VA stated that VBA will use this data to improve the implementation and content of training. VA requested that GAO combine these two recommendations into one. However, we believe they are two distinct recommendations and have kept them as such. VBA could meet the intent of each recommendation with the development and implementation of one plan that covers both training verification and assessment, as outlined in its comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions, please contact me at (202) 512- 7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in Appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Additional Information on Selected Methodologies", "paragraphs": [], "subsections": [{"section_title": "Review of VBA Contracts", "paragraphs": ["To evaluate VBA monitoring of contractor performance and VBA oversight of contracted examiners\u2019 qualifications and training, we reviewed relevant federal laws, regulations, and VA guidance on the use of contracted examiners for disability compensation exams. To identify relevant contract provisions and requirements related to contractor performance, monitoring of such performance, licensing, and training, among other areas, we reviewed selected provisions of selected versions of the 12 current VA Medical Disability Examination contracts originally awarded in 2016, of 5 short-term contracts VA awarded in early 2017, and of 2 short-term contracts VA awarded in December 2017. With regard to the 12 current contracts, we reviewed the selected provisions in the originally awarded contract from 2016 and in the most recently amended version of the contract (as provided to us by VBA officials). Based on our review of these two versions of the contract, the selected provisions appeared to remain in place, unless noted otherwise in this report. However, we did not review the various contract modifications that, according to VBA, occurred in the interim period to confirm whether the selected provisions we focused on in our review actually remained in place during the period between the original contract and the most recent amendment. With regard to the 2 short-term contracts awarded in December 2017, we reviewed the selected provisions in the original December contract. According to VBA officials, there have been no subsequent modifications to these short-term contracts.", "With regard to the 5 short-term contracts awarded in early 2017, we only reviewed selected provisions relating to contractor quality and timeliness performance. Thus, any statements in this report relating to other aspects of the contracts are not based on these short-term contracts. Further, we only reviewed such provisions in the originally awarded short-term contract, and we did not review the various contract modifications that, according to VBA, occurred subsequently, to confirm that those provisions remained in place over time. However, we found that those selected provisions were generally in place in all of the various contracts we reviewed."], "subsections": []}, {"section_title": "Analysis of VBA Data on the Timeliness of Contracted Exams", "paragraphs": ["To answer what is known about the timeliness of VBA contracted exams, we analyzed VBA data on disability compensation exams completed by five contractors between February 2017 and January 2018. VBA\u2019s Office of Performance Analysis and Integrity provided exam-level data that it maintains in the agency\u2019s Enterprise Data Warehouse, including data on the exam request date, the date the contractor accepted the request, the date the contractor completed the exam, and the VBA district where the exam was conducted, among other information. These data were created from data originally collected in VBA\u2019s Centralized Administrative Accounting Transaction System (CAATS), which is the system that VBA used to request exams from contractors until spring 2018.", "According to VBA officials, the status of exam requests (e.g., pending, completed, cancelled) was not always accurate in CAATS. To create more reliable data and identify the most current information on the status of exams, the Office of Performance Analysis and Integrity identified and replaced missing or incorrect data in CAATS by running checks against other VBA systems, including the Veterans Benefits Management System, which maintains veterans\u2019 benefits claims records. We assessed the reliability of the data we received from VBA by conducting electronic testing for missing data and errors, and by interviewing VBA officials about their data collection and quality control procedures. We determined that the data were sufficiently reliable for our purposes of reporting the time it took to complete exams within districts.", "Our analysis included 646,005 contracted exams completed between February 2017 and January 2018. We selected February 2017 as our starting point because it was the first full month of data available that covered most of VBA\u2019s current contractors. To allow for 12 full months of data, we selected January 2018 as our ending point. In addition, we limited our population to include exams that were requested on or after January 13, 2017 in districts 1-5 or on or after April 1, 2016 in districts 6- 7, based on the periods of performance in the contracts for those districts.", "We calculated timeliness at the level of the exam request. We calculated the number of days between the date an exam request was accepted by the contractor and the date the exam report was completed by the contractor. The timeliness values we calculated may include additional time needed to request and receive contractors\u2019 corrections or clarifications on previously submitted exam reports. In our report, we refer to these exams as \u201cinsufficient exams.\u201d VBA officials acknowledged that due to data limitations the new exam management system is intended to resolve, VBA\u2019s CAATS system did not retain data on the number of exams that were once marked as insufficient or how long they remained in that status. While VBA officials acknowledged that this data limitation affects the agency\u2019s ability to assess individual contractor timeliness on VBA\u2019s performance targets outlined in the contracts, the limitation did not prevent us from analyzing the timeliness of contracted exams overall. The overall timeliness values we calculated represent the total time taken to complete exams regardless of whether additional time was needed for corrections.", "To put the timeliness values we calculated in context, we calculated the percentage of exams that were completed within VBA\u2019s timeliness targets of 20 days for districts 1-5 and 30 days for districts 6-7 for the entire 12- month period of our analysis. We also calculated the percentage of exams that were completed within other timeframes (e.g., 21-40 days, more than 40 days). According to the contracts, contractors are not expected to complete all exams within the timeliness target, but rather should meet the timeliness target on average in a given quarter, so our analysis was different from one that VBA might conduct in order to determine contract compliance. Because VBA does not retain detailed data on exam completion dates necessary to assess contractor performance against VBA\u2019s timeliness targets, and because we calculated timeliness across contractors, the percentages we calculated do not represent an assessment of whether contractors met VBA\u2019s timeliness targets. GAO did not conduct a legal analysis of the various contractors\u2019 compliance with the contract requirements."], "subsections": [{"section_title": "Alternate Timeliness Values", "paragraphs": ["Given that the start of VBA\u2019s timeliness measure is the date the contractor accepts the exam request (rather than the date VBA requests the exam), we calculated alternate timeliness values to account for potential delays in accepting exam requests. VBA officials stated that VBA requests contractors accept or reject exam requests within 3 days. For all exam requests that contractors took more than 3 days to accept, we calculated alternate totals that included the additional days. For example, if a contractor took 5 days to accept the exam request and completed the exam 20 days later, we calculated an alternate total of 22 days to complete the exam. We used these alternate values to calculate adjusted percentages for each category presented in Figure 4 of our report. For example, using the alternate timeliness values, about 50 percent of exams in districts 1-5 would have been completed in 20 days and 53 percent in districts 6-7 would have been completed within 30 days, rather than the respective 53 percent and 56 percent shown in Figure 4. Moreover, we found that about 82 percent of exam requests during our period of analysis were accepted within 3 days."], "subsections": []}, {"section_title": "Pending Exams", "paragraphs": ["To report more recent data on exams that were accepted but not yet completed by contractors\u2014pending contracted exams\u2014VBA provided aggregate data on the number of pending exams as of June 25, 2018. For example, for districts 1-5, it provided data on the number of exams that had been pending for 20 days or fewer, 21-40 days, 41-60 days, 61- 100 days, and more than 100 days. We calculated percentages based on the VBA-provided totals."], "subsections": []}]}]}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth Curda, (202) 512-7215 or curdae@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nyree Ryder Tee (Assistant Director); Teresa Heger (Analyst-in-Charge); Alex Galuten; Justin Gordinas; and Greg Whitney made key contributions to this report. Also contributing to this report were James Bennett, Matthew T. Crosby, Teague Lyons, Sheila R. McCoy, Jessica Orr, Claudine Pauselli, Samuel Portnow, Monica Savoy, Almeta Spencer, and April Van Cleef."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-221", "url": "https://www.gao.gov/products/GAO-18-221", "title": "Defense Budget: Actions Needed to Improve the Management of Foreign Currency Funds", "published_date": "2018-04-03T00:00:00", "released_date": "2018-04-03T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD requested about $60 billion for fiscal years 2009 - 2017 to purchase goods and services overseas and reimburse service-members for costs incurred while stationed abroad. DOD uses foreign currency exchange rates to budget and pay (that is, disburse amounts) for these expenses. It also manages the FCFD account to mitigate a loss in buying power that results from foreign currency rate changes.", "GAO was asked to examine DOD's processes to budget for and manage foreign currency fluctuations. This report (1) describes DOD's revision of its foreign currency budget rates since 2009 and the relationship between the revised rates and projected O&M and MILPERS funding needs; (2) evaluates the extent to which DOD has taken steps to reduce costs in selecting foreign currency rates to disburse funds to liquidate O&M obligations, and determined whether opportunities exist to gain additional savings; and (3) assesses the extent to which DOD has effectively managed the FCFD account balance. GAO analyzed data on foreign currency rates, DOD financial management regulations, a non-generalizable sample of foreign currency disbursement data, and FCFD account balances."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) revised its foreign currency exchange rates (\u201cbudget rates\u201d) during fiscal years 2014 through 2016 for each of the nine foreign currencies it uses to develop its Operation and Maintenance (O&M) and Military Personnel (MILPERS) budget request. These revisions decreased DOD's projected O&M and MILPERS funding needs. DOD's revision of the budget rates during these years also decreased the expected gains (that is, buying power) that would have resulted from an increase in the strength of the U.S. Dollar relative to other foreign currencies. DOD did not revise its budget rates in fiscal years 2009 through 2013. For fiscal year 2017, DOD changed its methodology for producing budget rates, resulting in rates that were more closely aligned with market rates. According to officials, that change made it unnecessary to revise the budget rates during the fiscal year.", "DOD has taken some steps to reduce costs in selecting foreign currency rates used to pay (that is, disburse amounts) for goods and services, but DOD has not fully determined whether opportunities exist to achieve additional savings. The Army has estimated potential savings of up to $10 million annually by using a foreign currency rate available 3 days in advance of paying for goods or services rather than a more costly rate available up to 5 days in advance. The Army has converted to the use of a 3-day advanced rate. GAO's analysis suggests that DOD could achieve cost savings if the services reviewed and consistently selected the most cost-effective foreign currency rates when paying for their goods and services. Absent a review, DOD is at risk for paying more than it would otherwise be required to conduct its transactions.", "DOD used the Foreign Currency Fluctuations, Defense (FCFD) account to cover losses (that is, less buying power) due to unfavorable foreign currency fluctuations in 6 of the 8 years GAO reviewed. Since 2012, DOD has maintained the FCFD account balance at the statutory limit of $970 million, largely by transferring unobligated balances before they are cancelled from certain DOD accounts into the FCFD. However, DOD has not identified the appropriate FCFD account balance needed to maintain program operations by routinely analyzing projected losses and basing any transfers into the account on those expected losses. Thus, DOD may be maintaining balances that are hundreds of millions of dollars higher than needed, and that could have been used for other purposes or returned to the Treasury Department (see figure)."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that DOD review opportunities to achieve cost savings by more consistently selecting the most cost-effective foreign currency rates used for the payment of goods and services, and analyze projected losses to manage the FCFD account balance. DOD generally concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) requested about $60 billion for fiscal years 2009 through 2017 in Operation and Maintenance (O&M) and Military Personnel (MILPERS) appropriations to purchase foreign goods and services overseas and to reimburse service-members for certain costs incurred while stationed abroad. As part of the annual budget formulation process, DOD selects exchange rates for each of the nine foreign currencies it uses to develop its O&M and MILPERS funding requirements. Budget formulation for a particular fiscal year starts approximately 18 months prior to the beginning of that fiscal year. DOD refers to foreign currency exchange rates established during the budget formulation process as the budget rates.", "During each fiscal year, DOD\u2019s O&M and MILPERS appropriations incur new obligations for overseas expenditures at the budget rate for a particular foreign currency. The fiscal year during which an appropriation may incur new obligations is known as the period of availability. DOD liquidates those obligations through disbursements at the foreign currency market rates available at the time the disbursements are made. DOD typically disburses funds to liquidate its MILPERS obligations during the fiscal year of availability because MILPERS appropriations fund service- member salaries, which are paid on a regular basis throughout the fiscal year. However, O&M appropriations are generally obligated for the provision of goods and services, and the liquidation of those obligations may not always occur within the fiscal year of availability. Disbursements to liquidate O&M obligations also commonly occur during an appropriation\u2019s 5-year period of expiration, particularly during the first year of expiration, during which amounts are available only for limited purposes, such as disbursement (see figure 1). Differences between the foreign currency budget rate applied when an obligation is incurred and the foreign currency market rate applied at the time of disbursement will result in either a gain or a loss in the amount of appropriations available to DOD for its planned overseas expenditures.", "In fiscal year 1979, Congress appropriated $500 million to establish the Foreign Currency Fluctuations, Defense (FCFD) account for purposes of maintaining the budgeted level of operations in the MILPERS and O&M accounts by eliminating substantial gains or losses to the appropriations caused by foreign currency rate fluctuations that vary from rates used in preparing budget submissions. DOD may replenish FCFD amounts by transferring MILPERS and O&M appropriations, under certain circumstances. Congress has not provided the FCFD account with annual appropriations since the account\u2019s inception. Unobligated FCFD account balances are available until expended, carrying over from one fiscal year to the next. We have previously reported that an examination of balances in federal accounts carried forward into future fiscal years (carryover balances) provides an opportunity to identify areas where the federal government can improve and maximize the use of its resources.", "You asked us to examine DOD\u2019s processes and methodologies to budget for and manage foreign currency fluctuations. Specifically, this report (1) describes DOD\u2019s revision of its foreign currency budget rates since 2009 and the relationship between the revised budget rates and DOD\u2019s projected O&M and MILPERS funding needs; (2) evaluates the extent to which DOD has taken steps to reduce costs in selecting foreign currency rates to disburse funds to liquidate O&M obligations, and has determined whether opportunities exist to gain additional savings; and (3) assesses the extent to which DOD has effectively managed the FCFD account balance to cover losses due to foreign currency fluctuations and maintained quality information to manage these funds.", "To address our first objective, we reviewed DOD\u2019s foreign currency budget rates for the period of fiscal years 2009 through 2017, and we identified any years during which DOD revised the initial budget rates. We discussed with DOD officials the process for reviewing the rates and the factors considered in determining whether to revise the rates. Additionally, to understand the effects that revising the budget rates had on DOD\u2019s O&M and MILPERS funding estimates, and the potential for gains or losses due to foreign currency fluctuations, we compared DOD\u2019s initial foreign currency budget rates and revised foreign currency budget rates against rates published by the U.S. Treasury Department (Treasury) for fiscal years 2009 through 2017. This period corresponded with the data available to us on DOD\u2019s initial and revised rates, and it allowed for use of the most current data available, because while we were conducting our audit work DOD had not yet decided whether or not to revise the fiscal year 2018 budget rates. We chose rates published by Treasury for this comparison because Treasury has the sole authority to establish for all foreign currencies or credits the exchange rates at which such currencies are to be reported by all agencies of the government.", "For our second objective, we reviewed accounting standards and disbursement guidelines such as DOD\u2019s Financial Management Regulation, which mirrors the FCFD account\u2019s statutory authority by directing that MILPERS and O&M obligations be liquidated and amounts be disbursed at the foreign currency market rate that is current at the time. We discussed with DOD officials the foreign currency rates used to liquidate DOD\u2019s obligations; any analysis and ongoing efforts to identify options for selecting more cost-effective disbursement rates; and whether there is guidance that may be considered in selecting a disbursement rate. We also analyzed a non-generalizable selection of data from Treasury for disbursements made during the months of June and July 2017 to determine what foreign currency rates were used and what savings may have been possible using alternate rates. We chose these two months because they were the most recent data available on disbursements at the time Treasury provided the data for our review.", "For our third objective, we analyzed DOD data for fiscal years 2009 through 2016 on foreign currency gains and losses reported by each of the services that resulted from differences between the foreign currency budget rate applied when incurring obligations and the rates applied when those obligations were liquidated; transfers of amounts between the FCFD account and the services\u2019 O&M and MILPERS appropriations accounts; and the end-of-year FCFD account balances. We chose this time period in order to capture years in which both gains and losses were experienced, and for which DOD had complete data on gains and losses, fund transfers, and end-of-year balances for the FCFD account. We compared the end-of-year FCFD account balances and the use of the FCFD account against guidelines on the importance of examining unobligated carryover balances established in our prior work. Additionally, we reviewed and analyzed DOD financial reports on foreign currency gains or losses and compared the reports, including any identified discrepancies, against standards for accurate reporting and maintaining quality information, such as those identified in GAO\u2019s Standards for Internal Control in the Federal Government and the Federal Accounting Standards Advisory Board\u2019s Handbook of Federal Accounting Standards and Other Pronouncements.", "To determine the reliability of the data used in addressing these objectives, we analyzed DOD and Treasury foreign currency rates, data on DOD foreign currency disbursements, and DOD financial reporting data on foreign currency gains and losses to identify any missing or inaccurate information; and we discussed with agency officials any identified data abnormalities and how the data were extracted from systems, when appropriate. We found the data to be sufficiently reliable for the purposes of our reporting objectives, with the exception of the financial reporting on financial gains and losses. Specifically, based on problems with the completeness and accuracy of DOD\u2019s financial reporting on foreign currency gains and losses, we found that these data were not sufficiently reliable for the purpose of computing exact totals for the gains and losses DOD experienced. However, because DOD uses these data as the basis for decisions related to management of the FCFD account, we included the data in our analysis to provide insight into the general scope of gains and losses experienced. We also spoke with Office of the Under Secretary of Defense (Comptroller) (OUSD(C)), military service, and Treasury officials regarding the process and systems used to input the data and generate the foreign currency reports we reviewed. More details on our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Establishing Foreign Currency Budget Rates", "paragraphs": ["As part of the annual budget formulation process for each fiscal year, DOD establishes for each of nine foreign currencies, a foreign currency budget rate (units of foreign currency per one United States (U.S.) Dollar) to use when developing O&M and MILPERS funding requirements for overseas expenditures. Foreign currency budget rates for a particular fiscal year are established approximately 18 months prior to the fiscal year when overseas obligations will be incurred and disbursements made. For example, in June 2015, OUSD(C) issued guidance to, in part, instruct the services on the foreign currency rates to use in building their fiscal year 2017 budgets. In February 2016, as part of the President\u2019s budget, DOD submitted its proposed fiscal year 2017 budget to Congress, and it began incurring obligations against subsequently appropriated amounts on October 1, 2016.", "DOD has used various methodologies for establishing the foreign currency budget rates. In 2005, we reviewed DOD\u2019s methodology for developing its foreign currency budget rates and reported that DOD\u2019s approach for estimating its foreign currency requirements for the fiscal year 2006 budget was a reasonable approach for forecasting foreign currency rates that could produce a more realistic estimate than its historical approach. In its fiscal year 2006 through 2016 budget requests, DOD used a centered weighted average model that combined both a 5-year average of exchange rates and an average of the most recently observed 12 months of exchange rates.", "For its fiscal year 2017 request, DOD adjusted its methodology to establish the foreign currency budget rates. Specifically, DOD established its foreign currency rates by calculating a 6-month average of Wall Street Journal rates published every Monday from May 25, 2015, to November 16, 2015. According to an OUSD(C) official, the 6-month average more closely represented foreign currency exchange rates experienced by the department during budget formulation, and it accounted for the strength of the U.S. Dollar, which had increased as compared with its historical 5- year average. DOD\u2019s analysis found that the use of the 5-year historical average would have resulted in substantial gains when compared with gains expected from application of the 6-month average. More specifically, DOD projected gains of about $1 billion using the 5-year average of rates."], "subsections": []}, {"section_title": "Obligating and Disbursing Amounts Using Foreign Currency Rates", "paragraphs": ["During the fiscal year for which a budget is developed, DOD incurs obligations for its overseas O&M and MILPERS activities. Those obligations are recorded using the foreign currency budget rates. DOD uses various methods for selecting foreign currency rates to liquidate those obligations through disbursements, which may differ from the budget rates. DOD\u2019s preferred payment method for foreign currency transactions is the Department of Treasury\u2019s (Treasury) comprehensive international payment and collection system\u2014the International Treasury Services (ITS.gov) system\u2014which serves federal agencies making payments in nearly 200 countries. ITS.gov offers a number of rates, including advanced rates available up to 5 days in advance of disbursement, and the spot rate. The spot rate is the price for foreign currencies for delivery in 2 business days. While advanced rates, like spot rates, are based on the current market rate, advanced rates at the time they are selected are generally higher than the spot rate, with the 5-day advanced rate being the highest, because the rates are locked in ahead of the actual value date. While the spot rate can be more cost-effective, it requires immediate transaction processing, which may not be feasible for all disbursements.", "Differences between obligations incurred at the foreign currency budget rates and the amounts that DOD actually disburses drive gains or losses in the appropriated amounts DOD has available for its planned overseas expenditures. For example, if DOD budgeted for the U.K. Pound at a rate of .6289 (that is, 1 U.S. Dollar buys .6289 U.K. Pounds) as it did in fiscal year 2016, and the rate experienced at the time of disbursement was .6845, then DOD would have requested more funds than were actually needed for transactions involving the U.K. Pound. That would have resulted in a gain from the transaction\u2014meaning that DOD would need less funds than were budgeted for the transaction. Conversely, a current rate that is lower than what was budgeted will result in a loss\u2014and DOD would require more funds than were budgeted for the transaction."], "subsections": []}, {"section_title": "Foreign Currency Accounts", "paragraphs": ["Within each of the services\u2019 O&M and MILPERS appropriations accounts, amounts are available for overseas activities. Amounts obligated for overseas activities, along with associated foreign currency gains and losses, are managed by the services as part of the overall management of their O&M and MILPERS appropriations accounts. Service components use foreign currency fluctuation accounts within their O&M and MILPERs appropriations to manage realized gains and losses in direct programs due to fluctuations in foreign exchange rates. The service-level foreign currency fluctuation accounts are maintained at various budgetary levels within the service components.", "In fiscal year 1979, Congress appropriated $500 million to establish the FCFD account for purposes of maintaining the budgeted level of operations in the MILPERS and O&M appropriation accounts by mitigating substantial gains or losses to those appropriations caused by foreign currency rate fluctuations.", "FCFD appropriations are different from the O&M and MILPERS appropriations in two ways. First, FCFD account amounts are no-year amounts, meaning that they are available until expended, while in general, O&M and MILPERS appropriations are 1-year amounts and expire at the end of the fiscal year for which they were appropriated. Expired O&M and MILPERS amounts remain available only for limited purposes for 5 additional fiscal years. At the end of the 5-year expired period, any remaining O&M or MILPERS amounts, obligated or unobligated, are canceled and returned to Treasury. Second, FCFD account amounts may be used only to pay obligations incurred because of fluctuations in currency exchange rates of foreign countries, while O&M amounts are available for diverse expenses necessary for the operation and maintenance of the services and MILPERS amounts are available for service personnel-related expenses, such as pay, permanent changes of station travel, and expenses of temporary duty travel, among other purposes.", "Amounts from the FCFD account may be transferred to service-level foreign currency fluctuation accounts within O&M and MILPERS appropriation accounts to offset losses in buying power due to unfavorable differences between the budget rate and the foreign currency exchange rate prevailing at the time of disbursement. The FCFD account may be replenished in several ways. Amounts transferred from the FCFD to O&M and MILPERS appropriations may be returned when not needed to liquidate obligations because of subsequent favorable foreign currency rates in relation to the budget rate, or because other amounts have become available to cover obligations. A transfer back to the FCFD of unneeded amounts must be made before the end of the second fiscal year of expiration following the fiscal year of availability of the O&M or MILPERS appropriation to which the funds were originally transferred.", "Amounts may also be transferred to the FCFD account even if they did not originate there. Specifically, DOD may transfer to the FCFD account any unobligated O&M and MILPERS amounts unrelated to foreign currency exchange fluctuations so long as the transfers are made not later than the end of the second fiscal year of expiration of the appropriation. While multiple transfers of these unobligated amounts may be made during a fiscal year, any such transfer is limited so that the amount in the FCFD account does not exceed the statutory maximum of $970 million at the time of transfer. When the FCFD account balance is at the maximum balance, the services normally retain in their service- level O&M and MILPERs foreign currency fluctuation accounts any gains resulting from favorable foreign currency rates. Finally, any amounts transferred, whether from the FCFD account to an O&M or MILPERS account, or from an O&M or MILPERS account to the FCFD, are merged with the account and assume the characteristics of that account, including the period of availability of the funds contained in the account.", "Visibility of service-level foreign currency fluctuation account and FCFD transactions is maintained through the services\u2019 accounting systems and execution reports. DOD uses the following reports to track its foreign currency funds:", "Foreign Currency Fluctuations, Defense Report (O&M): provides data on O&M foreign currency gains and losses for each service, by currency, including data on projected gains or losses for any remaining obligations that have not yet been liquidated and disbursed at the time of the report.", "Foreign Currency Fluctuation, Defense Report (MILPERS): provides data on MILPERS foreign currency gains and losses for each service, by currency, including data on projected gains or losses for any remaining obligations that have not yet been disbursed at the time of the report."], "subsections": []}, {"section_title": "GAO\u2019s Prior Work on Management of Federal Funds", "paragraphs": ["In 2013 we analyzed and reported on carryover balances in federal accounts, which amounted to $2.2 trillion in fiscal year 2012, and we found that greater examination of carryover balances by an agency provides opportunities for enhanced oversight of their management of federal funds and may help identify opportunities for potential budgetary savings. Carryover balances are composed of both obligated and unobligated amounts. Only accounts with multi-year or no-year amounts, such as the FCFD, may carry over amounts that remain legally available for new obligations from one fiscal year to the next. DOD\u2019s carryover balances would include FCFD account balances carried from one year to the next. DOD\u2019s FCFD account is composed of unobligated carryover amounts that accumulate when unneeded for transfer to O&M and MILPERS accounts to cover foreign currency fluctuations. FCFD unobligated carryover balances include any expired, unobligated balances from the military services\u2019 O&M and MILPERS accounts, which can include any gains due to favorable foreign currency fluctuations that are not used to cover other losses and that are transferred into the FCFD."], "subsections": []}]}, {"section_title": "DOD Revised Its Foreign Currency Budget Rates in Fiscal Years 2014 through 2016, Decreasing Its Projected Funding Needs and Potential Foreign Currency Gains and Losses", "paragraphs": ["DOD revised its foreign currency budget rates in fiscal years 2014 through 2016, which resulted in budget rates in these years that were more closely aligned with rates published by Treasury. Furthermore, the revised budget rates in fiscal years 2014 through 2016 decreased DOD\u2019s projected O&M and MILPERS funding needs. The revised budget rates also decreased potential gains and losses in the amount of funds that DOD had available for its planned overseas expenditures."], "subsections": [{"section_title": "DOD Revised Its Foreign Currency Budget Rates in Fiscal Years 2014 through 2016, Resulting in Rates More Closely Aligned with Treasury Rates", "paragraphs": ["DOD revised its foreign currency budget rates in fiscal year 2014 and continued to do so in fiscal years 2015 and 2016 before making adjustments to its methodology in fiscal year 2017. According to an OUSD(C) official, the methodology developed in 2017 resulted in budget rates that were more closely aligned with market rates than in previous years, making revision of the 2017 budget rates unnecessary. DOD\u2019s revisions to its foreign currency budget rates in fiscal years 2014 through 2016 resulted in rates that more closely aligned with those published by Treasury. Further, they decreased the expected gains that would have otherwise resulted from a substantial increase in the strength of the U.S. Dollar, in fiscal years 2014 through 2016, relative to other foreign currencies from the time the budget rates were set as compared with the rates available once the fiscal year began. Prior to fiscal year 2014, DOD did not revise its foreign currency budget rates. DOD officials did not provide an explanation for why the budget rates for fiscal years 2009 through 2013 were not revised.", "DOD developed, in November 2015, a set of standard operating procedures that describe the methodology it used for formulating budget rates for the nine foreign currencies included in its budget submission. These procedures also state that DOD is required to update the budget rates once an appropriation is enacted for the fiscal year. For example, if Congress reduces DOD\u2019s appropriations due to favorable foreign currency rates, such as the $1.5 billion reduction in DOD\u2019s total fiscal year 2016 appropriations, OUSD(C) then revises the budget rates to absorb the reduced funding levels.", "OUSD(C) officials stated that other factors are also considered when determining whether to revise the foreign currency budget rates, and that the department communicates the revised budget rates to the DOD components and Congress. For example, OUSD(C) assesses the value of each of the nine foreign currencies used to develop the budget request relative to the strength of the U.S. Dollar during the fiscal year. An OUSD(C) official also noted that the effects that the rate changes would have across these foreign currencies are also considered prior to submitting recommended rate revisions to the OUSD(C) leadership for approval. The official stated that one currency may be experiencing a loss, while another is experiencing a gain, which can affect whether to revise the rates and what those revisions should be.", "Additionally, the OUSD(C) official stated that \u201csignificant\u201d projected gains or losses could drive a revision to the foreign currency budget rates, and that an informal $10 million threshold for projected gains and losses is used to determine when the foreign currency budget rates are revised. According to OUSD(C) officials, DOD components and Congress were notified when the budget rates were revised during fiscal years 2014 through 2016, including an explanation for why the rates were revised. OUSD(C) also includes the budget rates for each of the nine foreign currencies on its website and identifies any instances in which the budget rates were revised with the effective date of any rate revisions.", "Our analysis of DOD\u2019s use of revised budget rates during fiscal years 2014 through 2016 found that the revised budget rates for those years were more closely aligned with rates published by Treasury. More specifically, for the nine foreign currencies included in DOD\u2019s budget, our analysis comparing DOD\u2019s initial and revised budget rates for fiscal years 2009 through 2017 with average Treasury rates for these years found that DOD\u2019s budget rates differed from Treasury rates by less than 10 percent in about 64 percent of the total 162 occurrences we examined. While we are unaware of any criteria that suggest how closely DOD\u2019s foreign currency budget rates should align with market rates, we used 10 percent as a basis for our analysis because Treasury\u2019s guidance states that amendments to its published exchange rates are required if rates differ from current rates by 10 percent or more.", "We further examined these occurrences to determine what the differences were between the DOD and Treasury rates before and after DOD began revising its budget rates in fiscal year 2014. Of the 162 occurrences we reviewed, there were 90 occurrences included in our comparison for fiscal years 2009 through 2013, and 72 occurrences were included in our comparison for fiscal years 2014 through 2017. Our analysis shows the following:", "For fiscal years 2014 through 2017, DOD\u2019s budget rates for its nine foreign currencies differed from Treasury rates by less than 10 percent in about 71 percent of the occurrences. This increased from about 59 percent of the occurrences for the period of fiscal years 2009 through 2013, before DOD began revising its rates after the fiscal year began.", "For fiscal years 2014 through 2017, DOD\u2019s budget rates differed from Treasury\u2019s rates by 10 percent or more after DOD began revising its rates in fiscal year 2014 in about 29 percent of the occurrences, which is a decrease from about 41 percent of the occurrences prior to fiscal year 2014.", "Figure 2 below shows the number of occurrences in which DOD\u2019s initial and revised rates differed from Treasury rates by less than 10 percent, and the occurrences in which DOD\u2019s rates differed from Treasury rates by 10 percent or more. The occurrences that are less than 10 percent of Treasury rates are most closely aligned with Treasury rates.", "According to DOD officials, the differences between DOD\u2019s foreign currency budget rates and Treasury rates are driven primarily by market volatility (that is, the differences in the foreign currency rates from when DOD formulates its budget rates, prior to the fiscal year, and the foreign currency rates determined by Treasury when obligated amounts are liquidated through disbursements during the fiscal year). According to the OUSD(C) official responsible for formulating and revising the foreign currency budget rates, the delay that occurs between the time when a budget rate is set (approximately 18 months prior to the beginning of a particular fiscal year) and the actual fiscal year is a major factor for why the budget rate may be revised. According to the official, the market rates experienced during fiscal years 2014 through 2016 were substantially different from those expected when the budget rates for those years were developed. Therefore, DOD revised its budget rates during these years to more closely align with market rates experienced.", "Specifically, this official stated that DOD revised its budget rates during fiscal years 2014 through 2016 to decrease the expected gains that would have otherwise resulted during these fiscal years from a substantial increase in the strength of the U.S. Dollar relative to other foreign currencies from the time the budget rates were set as compared with more favorable rates available once the fiscal year began. In order to more closely align its budget rates with market rates, DOD introduced a new methodology to establish the foreign currency budget rates for fiscal year 2017 because DOD anticipated approximately $1 billion in projected gains if it used the prior methodology. As a result of this change in the methodology, according to the OUSD(C) official, DOD did not experience substantial gains or losses in fiscal year 2017. Therefore, DOD did not revise its foreign currency budget rates during fiscal year 2017. However, as previously stated, the official did not provide an explanation as to why the budget rates for fiscal years 2009 through 2013 were not revised."], "subsections": []}, {"section_title": "Revised Foreign Currency Budget Rates Decreased the Estimate of DOD\u2019s O&M and MILPERS Funding Needs and Potential Gains and Losses That Would Have Occurred Due to Foreign Currency Fluctuations", "paragraphs": ["DOD\u2019s use of revised foreign currency budget rates decreased DOD\u2019s projected O&M and MILPERS funding needs and any potential gains and losses that would have occurred due to foreign currency fluctuations during fiscal years 2014 through 2016. Because DOD uses its budget rates to establish its projected annual O&M and MILPERS funding requirements for planned overseas expenditures, any revisions to the budget rates affect DOD\u2019s estimate of its funding needs. For example, our analysis shows that as a result of revising its budget rates during fiscal years 2014 through 2016, DOD\u2019s projected funding needs for the period of fiscal years 2009 through 2017 decreased from about $60.2 billion to about $57.5 billion\u2014a decrease of about $2.7 billion.", "To further show the effect that changing foreign currency rates could have on DOD\u2019s projected funding for planned overseas expenditures for fiscal years 2009 through 2017, we also compared DOD\u2019s projected O&M and MILPERS funding needs, based on its initial and revised foreign currency budget rates, against projected funding needs based on the use of foreign currency rates published by Treasury during the fiscal year. Our analysis shows that DOD\u2019s projected O&M and MILPERS foreign currency funding needs using Treasury rates would have been about $58.4 billion, or about $885 million more than the $57.5 billion that DOD had projected using its initial and revised budget rates.", "DOD also uses foreign currency budget rates to calculate gains or losses attributable to foreign currency fluctuations. Specifically, DOD determines gains and losses due to foreign currency fluctuations by comparing the budget rate (that is, initial or revised budget rate) used to incur obligations against a more current market rate at the time it liquidates its obligations through disbursements. Therefore, revisions to the budget rates not only change DOD\u2019s projected O&M and MILPERS funding requirements for the fiscal year in which the revisions occur, but also change the baseline from which the potential gains or losses would result when DOD liquidates its overseas O&M and MILPERS obligations through disbursements. For example, in fiscal year 2016, Congress reduced DOD\u2019s total appropriations by $1.5 billion. As a result of this reduction and favorable foreign currency rates, DOD revised its fiscal year 2016 budget rates in February 2016 and applied the revised foreign currency budget rates in its calculations of gains and losses due to foreign currency fluctuations since the beginning of the fiscal year to absorb the reduced funding level. In applying the revised budget rates, a $30 million gain DOD had previously projected became a projected loss of about $186.2 million. The use of revised budget rates also affects the movement of funds from the FCFD account. For example, if the use of the revised budget rate creates a loss and DOD is unable to cover the increased costs to its O&M or MILPERS appropriations, funds from the FCFD account may be used to cover its planned overseas expenditures."], "subsections": []}]}, {"section_title": "DOD Has Taken Some Steps to Reduce Costs, but Has Not Fully Explored Additional Opportunities to Achieve Savings When Selecting Foreign Currency Rates", "paragraphs": ["DOD has taken some steps to reduce costs in selecting foreign currency rates to liquidate its obligations through disbursements. However, DOD organizations are not always selecting the most cost-effective rates to convert U.S. Dollars, and DOD has not determined whether opportunities exist to achieve additional efficiencies when making disbursements. DOD liquidates its obligations through disbursements for overseas expenditures using Treasury\u2019s ITS.gov system, which provides DOD organizations with a choice of foreign currency rates to apply when making disbursements in a foreign currency. The foreign currency rate chosen determines how many U.S. Dollars must be paid for the transaction. Treasury officials explained that customers may choose either the spot rate or an advanced rate. The spot rate is the price for foreign currencies for delivery in 2 business days. Treasury officials explained that advanced rates are exchange rates that are \u201clocked in\u201d and guaranteed by the bank processing the disbursement 5, 4, or 3 days in advance of payment processing, which is known as the \u201cvalue date\u201d of a disbursement. Normally, the cost of the rate increases the further from the date of disbursement that it is locked in.", "While DOD often uses a 5-day advanced rate to make its disbursements, the other rate options available, such as a 3-day advanced and a spot rate, can be more cost-effective. We analyzed data provided by Treasury from its ITS.gov system and found that for disbursements made during the period of June and July 2017, the 5-day advanced rate was more costly than the 3-day advanced rate. In instances where the spot rate was available, we found that it was also more cost-effective than either the 3- day or 5-day advanced rates. For example, for those transactions processed through ITS.gov on June 13, 2017, DOD would have paid 1 U.S. Dollar for .881 European Euros if using the 5-day advanced rate; .883 European Euros if using the 3-day advanced rate; and .889 European Euros if using the spot rate.", "In the case of the Army, an Army Financial Management Command official provided us information indicating that the service has estimated potential cost savings that would result from more consistently selecting 3-day advanced rates through the ITS.gov system to make overseas disbursements of amounts, rather than the 5-day advanced rate. More specifically, the Army estimated between $8 million and $10 million in annual savings by transitioning from a 5-day to a 3-day advanced rate when selecting foreign currency rates. According to officials, the Army has transitioned all paying locations to the 3-day advanced rate. The Army estimates that these locations have produced $6.04 million in savings through February 2018. Although the Army indicated that it also planned to analyze whether use of the spot rate was feasible, it had not conducted this review at the time of our review.", "Data provided to us by Treasury from its ITS.gov system indicate that in June and July of 2017, the Air Force used the 5-day advanced rate exclusively for its disbursements, while the Navy and Marine Corps relied on both the 5-day and the 3-day advanced rates. Our analysis of these data show the Air Force would have achieved total savings for those 2 months of about $258,000 if it had made its disbursements using the 3- day versus the 5-day advanced rate. The savings resulting from each transaction varied based on the amount of the transaction. For example, on June 13, 2017, the Air Force disbursed a payment exceeding $3.7 million and would have saved more than $9,000 for that transaction if the 3-day advanced rate had been used. For the same single transaction, if the spot rate had been used instead of the 5-day advanced rate, the Air Force would have saved more than $31,000. The savings associated with the Navy\u2019s and Marine Corps\u2019 disbursements for the same 2-month period showed the potential for less dramatic savings of less than $100 because the Navy and Marine Corps used the 3-day advanced rate as opposed to the 5-day advanced rate for most of its disbursements. Where information on the spot rate was available, its use, as opposed to either the 5-day or 3-day advanced rate, would have resulted in additional savings opportunities for those 2 months. While these examples are illustrative of cost savings opportunities in June and July 2017, Treasury data show that in fiscal year 2016, DOD disbursed more than $11.8 billion through ITS.gov and, as of July 2017, had disbursed more than $9.6 billion through ITS.gov.", "Our analysis suggests that DOD could achieve further cost savings by more consistently selecting cost-effective foreign currency rates, such as the 3-day advanced or spot rates, with which to make disbursements. In selecting foreign currency rates, DOD\u2019s Financial Management Regulation states that disbursements should be computed to avoid gains or deficiencies (losses) due to fluctuations in rates of exchange to the greatest extent possible. If there is no rate of exchange established by agreement between the U.S. government and the foreign country, then foreign currency transactions are to be conducted at the prevailing rate.", "The prevailing rate of exchange is the most favorable rate legally available for acquisition of foreign currency for official disbursement and other exchange transactions. Additionally, GAO\u2019s Standards for Internal Control in the Federal Government calls for management to periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving the entity\u2019s objectives or addressing related risks.", "DOD disbursement organizations have flexibility in selecting foreign currency rates to use when making disbursements using ITS.gov. There is no DOD-wide requirement for the services to review the rates used to make disbursements and, except for the Army, the services have not conducted such a review. This step is necessary to determine whether there are opportunities for savings by more consistently selecting cost- effective foreign currency rates. We discussed disbursement processes with DOD and Air Force, Navy, and Marine Corps financial management officials, including the factors considered when selecting foreign currency rates. In addition, a Defense Finance and Accounting Service official noted that currencies can have criteria specifying when a payment is made and provided us the ITS.gov user\u2019s guide, which addresses \u201cspecial currency requirements,\u201d such as those that would drive advanced payment for a currency. For example, the user\u2019s guide indicates that payment for transactions involving the Afghanistan Afghani must be made 2 days in advance of the value date, and cannot be made on a Friday. However, information that is contained in the ITS.gov user\u2019s guide and that we received from a Treasury official indicate that none of the nine foreign currencies for which DOD budgets place restrictions on when payment must be made; and therefore, this consideration should not drive the use of a specific rate at disbursement.", "Marine Corps financial management officials told us that the foreign currency rate selected at disbursement is at the discretion of the disbursing officer based on operational requirements, with the understanding that the most favorable rate for the government is the preference, while balancing mission requirements and the time necessary to process the transaction. These officials acknowledged that the 3-day advanced rate can be more cost-effective to the government but indicated that there are occasions when the 5-day advanced rate should be used because it provides more time to process the payments from deployed locations operating in different time zones or with limited communication capabilities.", "However, we found that OUSD (C) officials and financial management officials with the headquarters of the Air Force, Navy, and Marine Corps were not involved in disbursement, were unaware of what rates were being used at disbursement, and had not reviewed the rationale for selecting one rate over another. For example, Air Force and Navy headquarters officials we spoke with were unable to provide insight as to what drives the decision to use one rate over another. One Navy financial management official told us that he was unaware of any Navy policy that directs a specific rate to be used when disbursing funds, and suggested that the absence of such a policy provides the flexibility for officials to determine which approach is best. Headquarters, Marine Corps officials also stated that they did not monitor foreign currency rates used for disbursements or the reasons why one rate was selected over another. Based on our inquiry, officials indicated that they would analyze the foreign currency rates used for disbursements in 2017 and whether opportunities existed to achieve savings by using other rates available through ITS.gov. A Marine Corps official subsequently provided us with information that showed that two of three disbursing offices that currently utilize ITS.gov for disbursements use the 3-day advanced rate exclusively and one uses the 5-day advanced rate. The official noted that a technical issue within ITS.gov has restricted the disbursing office currently using the 5-day advanced rate from choosing any other rate, but that the service was further assessing options to correct the issue.", "In our conversations with an official in OUSD(C) about why the other services had not reviewed the foreign currency rates used for disbursements to determine what was being paid through ITS.gov and whether there was an opportunity for savings, the official commented that OUSD(C) had not directed the services to conduct any reviews in this area. This official was unaware that different foreign currency rates were used to make disbursements, and assumed that the military services all make disbursements in the same way. However, as discussed above, the services are using different rates resulting in inconsistency across the department. The official further indicated that DOD could perform a review to determine the cost differences of using one disbursement rate over another. Absent a review of the rates the services are using in making disbursements and whether cost savings could be achieved by more consistently selecting the most cost-effective foreign currency rates available for use at disbursement, DOD is at risk for paying more to convert U.S. Dollars for overseas expenditures than would otherwise be required."], "subsections": []}, {"section_title": "DOD Has Used the FCFD Account to Cover Losses Due to Foreign Currency Fluctuations, but Does Not Manage the Account Balance Based on Projected Losses or Quality Data", "paragraphs": ["In fiscal years 2009 through 2016, DOD used the FCFD account to cover losses that the services experienced due to foreign currency fluctuations in 6 of the 8 years we reviewed. However, DOD does not effectively manage the FCFD account balance based on projected gains or losses. Transfers of expired unobligated balances from MILPERS and O&M accounts into the FCFD account have been made to replenish the account balance to the statutory limit of $970 million, without consideration of projected losses due to foreign currency fluctuations. Furthermore, DOD\u2019s financial reporting on foreign currency fluctuations for fiscal years 2009 through 2016 contains incomplete and inaccurate information."], "subsections": [{"section_title": "DOD Has Used the FCFD Account to Cover Losses and Has Maintained the Account at the Maximum Level since Fiscal Year 2012", "paragraphs": ["In fiscal years 2009 through 2016, DOD transferred approximately $1.92 billion out of the FCFD account to cover losses that the services experienced due to foreign currency fluctuations in 6 of the 8 years we reviewed. For these years, DOD transferred funds from the FCFD account to the services\u2019 MILPERS and O&M accounts during the fiscal year in which the funds were obligated for overseas expenses. The transfer amounts were based on both losses realized from actual disbursements and projected losses for any remaining obligations to be liquidated. The projected losses were calculated based on the current foreign currency market rates as of the time of the calculation. Based on the service-level data we reviewed, all of the services reported that they experienced losses in at least 5 of the fiscal years we reviewed. For example, the Army reported that it experienced losses in its MILPERS account for 5 of 8 years, while the Marine Corps reported that it experienced losses in its O&M and MILPERS accounts in each of the 8 years. In addition to the transfers to cover losses within the services\u2019 MILPERS and O&M accounts, in fiscal year 2013 DOD transferred an additional $969 million to the Defense Working Capital Fund to offset fuel cost losses.", "Since fiscal year 2012, DOD has maintained the FCFD end-of-year account balance at $970 million\u2014the maximum allowed by statute. To replenish the funds that were transferred out of the FCFD account, DOD transferred unobligated balances to the FCFD account from the services\u2019 O&M and MILPERS accounts. While DOD can also replenish the FCFD account or absorb foreign currency losses in certain currencies by transferring to the FCFD account any gains experienced by the services, our analysis found that DOD did not transfer any gains into the FCFD account for fiscal years 2009 through 2016. Figure 3 shows the transfers into and out of the FCFD account and the end-of-year FCFD account balance for fiscal years 2009 through 2016.", "Our analysis also shows that DOD transferred funds to maintain the FCFD account at its maximum balance since 2012, despite experiencing fewer losses due to foreign currency fluctuations than it had experienced in fiscal years 2009 to 2011. Of the $1.92 billion transferred from the FCFD account to the services\u2019 MILPERS and O&M accounts to cover losses, $464.5 million was transferred since fiscal year 2012, when DOD began maintaining its FCFD account at the maximum level. During that time, some of the services experienced foreign currency gains, while others experienced losses. For example, at the end of fiscal year 2013 the Navy reported a total realized and projected cumulative gain for its O&M and MILPERS accounts of about $98.6 million. In that same year, the Marine Corps reported a cumulative realized and projected loss for its O&M and MILPERS accounts of approximately $12.7 million. Had DOD not transferred unobligated funds back into the FCFD account, it would have retained a positive balance of approximately $505.5 million. However, DOD maintained the account balance at $970 million by transferring approximately $495.3 million in unobligated balances into the account."], "subsections": []}, {"section_title": "DOD Analyzes Projected Losses to Inform Transfers out of the FCFD Account, but Does Not Consider Similar Information When Making Transfers into the FCFD Account", "paragraphs": ["As part of its management of the FCFD account balance, DOD analyzes data on realized and projected losses as the basis for transferring funds from the FCFD account to the services\u2019 MILPERS and O&M accounts to cover losses. However, DOD does not consider projected losses when making transfers of unobligated O&M and MILPERS balances into the FCFD account. Figure 4 below shows the FCFD account balance that DOD has maintained in relation to the transfers out of the account to cover losses.", "Specifically, according to the OUSD(C) official responsible for managing the FCFD account, DOD maintains the FCFD account balance at $970 million to maximize unobligated balances within the military services\u2019 O&M and MILPERS accounts before they are canceled and are no longer available to DOD. In addition, this official stated that DOD prefers to maintain the maximum balance in case it is needed due to sudden, unfavorable swings in foreign currency exchange rates.", "Our review of the documentation used to make transfers into and out of the FCFD account corroborates that DOD maintains the FCFD account balance to maximize the retention of unobligated balances. Specifically, we found instances in which the documentation states that the transfers of unobligated balances into the FCFD account were made for the purpose of replenishing the account balance to the statutory limit. For example, DOD transferred $89 million from the FCFD account to the Army for losses it had realized and projected in fiscal year 2014, and later transferred unobligated balances of the same amount back into the account. DOD\u2019s documentation states that this transfer of unobligated balances was made for the purpose of replenishing the account to $970 million in order to finance estimated foreign currency losses resulting from the decline in value of the U.S. Dollar. However, the transfer to the Army already covered the realized losses and projected losses for any remaining disbursements. In other words, estimated foreign currency losses had already been accounted for at the time of the transfer to the Army.", "In addition, based on data reported by the Air Force, Marine Corps, and Navy, DOD had an estimated cumulative gain of about $30 million for fiscal year 2014 based on the other services\u2019 gains and losses, which could have been transferred to the FCFD account to absorb any additional foreign currency losses elsewhere. However, DOD did not transfer those gains to the FCFD account. Similarly, based on data reported by these services, DOD experienced cumulative realized and projected gains of more than $200 million in fiscal year 2013 and about $92.6 million in fiscal year 2015, but it did not transfer any gains to the FCFD account because the account balance had already reached its maximum using transferred unobligated balances.", "Despite replenishing the account balance to the maximum amount for the purpose of covering additional losses, the FCFD transfers have not been made to fully offset losses in some years, further raising questions about the need to maintain the balance at the statutory cap of $970 million annually. Specifically, in 3 of the 6 years in which DOD transferred funds from the FCFD account to the services\u2019 MILPERS and O&M accounts, DOD did not use the FCFD account to fully cover the losses that the Air Force, Marine Corps, and Navy experienced. In fiscal year 2011, for example, DOD\u2019s transfers out of the FCFD account to these services covered about 88 percent of the reported MILPERS and O&M losses that these services had realized and projected to lose by the end of the fiscal year. In fiscal year 2012, FCFD transfers covered almost 72 percent of the MILPERS and O&M realized and projected losses reported by the Air Force, Marine Corps, and Navy, as of the end of the fiscal year. In fiscal year 2016, DOD FCFD transfers to these services covered approximately 55 percent of their reported MILPERS and O&M realized and projected losses by the end of the fiscal year.", "The OUSD(C) official we spoke with stated that FCFD transfers to cover losses begin with a request from the services, and the OUSD(C) office and the services then coordinate on the final transfer amount. In addition, some service officials told us that they try to cover their losses using each service\u2019s available funding before reaching out for assistance from the FCFD account. Therefore, based on a service\u2019s ability to cover the loss, it may not always request an FCFD transfer to cover the full amount of realized and projected losses. Further, according to an OUSD(C) official, the timing of a service\u2019s request for an FCFD transfer may also affect any differences between the amount transferred and the actual losses experienced. Specifically, if a service requests a transfer early in the fiscal year based on realized and projected losses, actual losses experienced as of the end of the fiscal year may be greater than or less than the transfer amount due to foreign currency fluctuations.", "Using transfers of unobligated balances, DOD has maintained its FCFD account balance at the maximum level allowed by statute because it has not analyzed realized and projected losses to determine what size account balance is necessary to meet the intended purpose of the account. In our prior work, we have developed key questions for evaluating federal account balances that agencies may use to identify the amount of the balance necessary to maintain agency or program operations. Through examination of carryover balances, oversight of agencies\u2019 management of federal funds may be enhanced. Specifically, we reported that understanding an agency\u2019s processes for estimating and managing carryover balances provides information to assess how effectively agencies anticipate program needs, and ensure the most efficient use of resources. To estimate and manage carryover balances, agencies may consider such factors as future needs of the account, economic indicators, and historical data. If an agency does not have a robust strategy in place to manage carryover balances or is unable to adequately explain or support the reported carryover balance, then a more in-depth review is warranted. In those cases, balances may either fall too low to efficiently manage operations or rise to unnecessarily high levels, producing potential opportunities for those funds to be used more efficiently elsewhere.", "When asked about maintaining the balance at a level necessary to cover losses, rather than at the maximum level allowed by statute, the OUSD(C) official indicated that the OUSD(C) takes a cautious approach and prefers to have the additional flexibility allowed by the higher balance. Further, the official stated that it would be difficult for DOD to attempt to base its unobligated balance transfers and the FCFD account balance on analysis and evaluation, given the unpredictable nature and constant volatility of foreign currency rates. Our guidelines on evaluating carryover balances acknowledge that external events beyond an agency\u2019s control can dramatically affect carryover balances. However, the challenges that are inherent in predicting foreign currency rates do not preclude DOD from conducting analysis to glean insight as to the appropriate size for the balance of the account and what potential opportunities for savings might exist. Specifically, our guidelines suggest that agencies would benefit from considering the sources and fiscal characteristics of an account with carryover balances. In this case, the FCFD account can receive funds from transfers of unobligated balances and realized foreign currency gains. In addition, DOD can make multiple transfers throughout a fiscal year and can transfer funds from the FCFD to and from the services\u2019 O&M and MILPERS accounts simultaneously, if necessary.", "These characteristics of the FCFD account already provide the department with flexibility, indicating that DOD may be positioned to manage the FCFD balance in a more analytical manner based on any projected losses. Without analyzing any realized or projected losses to determine what balance may be needed to meet the FCFD account\u2019s intended purpose, the account balance may be kept at a higher level than is necessary. As a result, although an exact amount is unknown, DOD may be maintaining balances in the FCFD account that are hundreds of millions of dollars higher than needed to cover any losses it has experienced, and these funds may have been more efficiently used in supporting other defense activities or returned to Treasury after the account is canceled by law."], "subsections": []}, {"section_title": "DOD Lacks Quality Data to Support Management of the FCFD Account", "paragraphs": ["DOD prepares financial reports to monitor the status of its foreign currency funds, but some of DOD\u2019s financial reporting on foreign currency fluctuations for fiscal years 2009 through 2016 is incomplete and inaccurate. DOD\u2019s Financial Management Regulation establishes reporting requirements specifically for tracking all transactions that increase or decrease the FCFD. In accordance with that guidance, the services provide data from their accounting systems to the Defense Finance and Accounting Service to generate reports that are used as a tool with which the services and OUSD(C) can monitor how they are expending funds appropriated for overseas expenditures. For O&M appropriations, the Foreign Currency Fluctuations, Defense (O&M) report provides data on foreign currency gains and losses for each service, by currency, including data on projected gains or losses for any remaining obligations that have not yet been disbursed at the time of the report. The Foreign Currency Fluctuations, Defense Report (MILPERS) provides similar information for the MILPERS appropriation.", "We reviewed end-of-year Foreign Currency Fluctuations, Defense (O&M) and (MILPERS) reports for fiscal years 2009 through 2016 and found that some of the reporting for O&M was incomplete and inaccurate, which hampers the quality of information available to manage the FCFD account. For instance, we found the following: Incomplete data in the Foreign Currency Fluctuations Defense (O&M) reports: In our review of the end-of-year Foreign Currency Fluctuations Defense (O&M) and (MILPERS) reports we observed several instances of incomplete data in the O&M reports, and these affect managers\u2019 ability to make sound decisions to manage foreign currency gains and losses. First, for the Navy, we found that the report data showed, for multiple currencies across fiscal years 2011 through 2016, values in the realized variance column, indicating that the service had experienced a gain or loss in a particular currency; however, the reports showed values of zero in other columns that are necessary for calculating the gain or loss. Second, the Air Force data for the Turkey Lira, in fiscal year 2012, showed a gain or loss without any data indicating what would have driven the gain or loss. Third, in one instance, Marine Corps data on obligations for fiscal year 2011 were missing from the end-of-year reports until 2014. Missing obligation data for these end-of-year reports indicate a limitation in using these reports for tracking actual gains and losses.", "Inaccurate data in the Army\u2019s Foreign Currency Fluctuations Defense (O&M) reports: The Army\u2019s Foreign Currency Fluctuation Defense (O&M) reports are inaccurate and cannot be used to reliably track gains or losses, and this hinders managers from making sound decisions regarding the Army\u2019s foreign currency gains and losses. The reports are inaccurate in that the Army\u2019s accounting system charges disbursements to the current fiscal year appropriation rather than to the fiscal year appropriation that incurred the obligation, as required by the Financial Management Regulation. According to officials from the Army Budget Office, the Army designed its General Fund Enterprise Business System (GFEBS) to record disbursements to the current fiscal year based on differing interpretations of a previous version of the Regulation. Because the Army is not recording its disbursements to the fiscal year appropriation as the other services are, Army data are inaccurate and cannot be used by the OUSD(C) official responsible for overseeing DOD\u2019s foreign currency program to track the Army\u2019s foreign currency transactions and maintain full visibility of DOD\u2019s overall gains and losses in a given fiscal year. Army Budget Office officials acknowledged that the Army will need to modify its system to record disbursements consistent with Financial Management Regulation guidance, but it has not developed a plan or timeline for doing so. Without accurate reporting of the Army\u2019s foreign currency transactions, DOD lacks information for tracking and helping to manage the Army\u2019s foreign currency gain and losses.", "DOD\u2019s Financial Management Regulation specifies the data that must be included in the Foreign Currency Fluctuations Defense (O&M) and (MILPERS) reports and the roles and responsibilities of the services as well as the Defense Finance and Accounting Service for ensuring the quality of those data. However, we identified data issues in our analysis that indicate that quality is inconsistent. For example, officials from the Navy stated that they had observed the incomplete data for some currencies and speculated that the incompleteness was attributable to data entry errors. Similarly, according to an OUSD(C) official, the Defense Finance and Accounting Service is notified when discrepancies are found in the reports and the Defense Finance and Accounting Service officials coordinate with the services to correct the data. However, neither Navy nor the Defense Finance and Accounting Service officials have corrected the data. Although DOD\u2019s Financial Management Regulation specifies the data that are to be included, as well as roles and responsibilities of the services and the Defense Finance and Accounting Service, it does not identify who is responsible for correcting erroneous or missing data. According to an OUSD(C) official, correcting reporting issues is an area that OUSD(C), the Defense Finance and Accounting Service, and the services can improve on, and they would benefit from guidance in the Financial Management Regulation that establishes the steps that should be taken for making such corrections.", "Further, GAO\u2019s Standards for Internal Control in the Federal Government and the Federal Accounting Standards Advisory Board\u2019s Handbook of Federal Accounting Standards and Other Pronouncements, as Amended, both establish the importance of using reliable and complete information for making decisions. In addition, DOD\u2019s Financial Management Regulation establishes responsibilities for both the DOD components and the Defense Finance and Accounting Service to establish appropriate internal controls to ensure that financial reporting data are complete, accurate, and supportable, in order for managers to make sound decisions and exercise proper stewardship over these resources.", "Effectively managing foreign currency gains and losses as well as any projected gains or losses for any remaining obligations that have not yet been liquidated through disbursement requires complete and accurate data. OUSD(C) and service officials recognize the importance of reliable data, as well as the need to take steps to improve the quality of the foreign currency gains and losses data. Without OUSD(C) establishing guidance to ensure that the Foreign Currency Fluctuation Defense (O&M) report data that tracks foreign currency gains and losses are complete, DOD and Congress do not have information to make sound decisions and exercise proper stewardship over resources due to foreign currency fluctuations. Furthermore, until the Army establishes a plan and timeline for modifying its system to record foreign currency disbursements in an accurate manner, the Army and DOD will lack quality information for tracking and helping to manage the Army\u2019s and DOD\u2019s foreign currency gain and losses."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Congress provides DOD with a significant amount of funding each year to purchase goods and services overseas and to pay service-members stationed abroad. DOD develops and can revise foreign currency budget rates to determine its funding needs and calculate any gains or losses that result from DOD\u2019s overseas expenditures. The Army has estimated potential cost savings that would result from more consistently selecting a more cost-effective foreign currency rate for making disbursements to liquidate its overseas O&M obligations. However, DOD has not fully determined whether additional cost-saving opportunities exist because the services have not reviewed the rates used for foreign currency disbursements. Absent a review of the foreign currency rates the services are using at disbursement, including whether cost-saving opportunities exist, by more consistently selecting cost-effective foreign currency rates, DOD risks paying more than would be required otherwise. Further, while DOD has used the FCFD account to cover losses that resulted from foreign currency fluctuations, it has not managed the FCFD account balance by basing the transfers of unobligated balances into the FCFD account on an analysis of realized and projected losses. Without basing its FCFD account balance on such analyses, DOD may be maintaining balances in the FCFD account that are hundreds of millions of dollars higher than needed to cover any losses it has experienced, and these amounts may have been more efficiently used supporting other defense activities or ultimately returned to Treasury, once expired. Moreover, DOD has not established guidance and other procedures to ensure that complete and accurate data are included in financial reporting on foreign currency funds, and this limits the quality of information available to effectively manage the FCFD account."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DOD. The Secretary of Defense ensures that: The Under Secretary of Defense (Comptroller), in coordination with the U.S. Army, Air Force, Navy, and Marine Corps, should conduct a review of the foreign currency rates used at disbursement to determine whether cost-saving opportunities exist by more consistently selecting cost- effective rates at disbursement. (Recommendation 1)", "The Under Secretary of Defense (Comptroller) should analyze realized and projected losses to determine the necessary size of the FCFD account balance and use the results of this analysis as the basis for transfers of unobligated balances to the account. (Recommendation 2)", "The Under Secretary of Defense (Comptroller) should revise the Financial Management Regulation to include guidance on ensuring that data are complete and accurate, including assignment of responsibility for correcting erroneous data in its Foreign Currency Fluctuations Defense (O&M) reports. (Recommendation 3)", "The Secretary of the Army should develop a plan with timelines for implementing changes to its General Fund Enterprise Business System to accurately record its disbursements, consistent with DOD Financial Management Regulation guidance. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix II, DOD concurred with our first, third, and fourth recommendations and outlined its plan to address them. DOD partially concurred with our second recommendation that the Under Secretary of Defense (Comptroller) analyze realized and projected losses to determine the necessary size of the FCFD account balance and use the results of the analysis as the basis for transfers of unobligated balances to the account. DOD also provided technical comments, which we incorporated in the report, where appropriate.", "In partially concurring with our second recommendation, DOD stated that projecting foreign currency gains or losses can be difficult given that foreign currency rates can be volatile due to various factors, such as trade balances, money supply, and national income, as well as arbitrary disturbances that affect foreign currency rates that cannot be predicted or forecasted, such as the departure of the United Kingdom from the European Union. DOD noted that because of the risk and volatility associated with foreign currency rates, the Congress established the FCFD account.", "We agree that forecasting foreign currency rates is challenging due to market volatility and include examples in our report of the effect of foreign currency rate fluctuations on DOD\u2019s planned foreign currency obligations. Our report also describes the relationship between gains and losses and foreign currency fluctuations, and the movement of funds from the FCFD account to offset any losses. As our report also discusses, DOD calculates actual and projected losses due to foreign currency fluctuations and uses those projections as the basis, at least in part, for any transfers out of the FCFD account to cover losses experienced in the military services\u2019 O&M and MILPERS appropriations. However, our report also notes that DOD does not consider its calculations of actual and future projected losses when making transfers of unobligated O&M and MILPERS balances to replenish the FCFD account. Instead, since fiscal year 2012, DOD has kept the FCFD account balance at the maximum level allowed by statute by using unobligated balances before they are canceled and are no longer available to DOD, regardless of whether the funds were needed in the account to offset any projected losses.", "DOD\u2019s comments also stated that projecting gains or losses for foreign currency to determine the size of the FCFD account opens the door to greater uncertainty and risk at a time when the department is working to rebuild readiness and implement the National Defense Strategy. Our report describes the characteristics of the FCFD account that provide DOD with flexibility to manage market volatility, thereby helping to address uncertainty and reduce risk. For example, DOD can make multiple transfers of funds to the FCFD account throughout a fiscal year in response to unforeseen foreign currency fluctuations. The FCFD account can also receive funds from transfers of actual foreign currency gains and/or unobligated balances. As we also noted, DOD made use of its authority to transfer expired unobligated MILPERS and O&M amounts into the FCFD account in the event that actual losses exceeded the projected amounts and additional transfers were deemed necessary.", "We continue to believe that by analyzing actual and projected losses and basing the transfer of any unobligated balances on these losses, DOD would be better positioned to determine the size of the FCFD account balance that is necessary to meet its intended purpose. Further, such analyses would provide opportunities to more efficiently use unobligated balances for other defense activities or return the balances to Treasury.", "We are sending copies of this report to the Secretary of Defense, the Under Secretary of Defense (Comptroller), the Secretary of the Army, the Secretary of the Navy, the Secretary of the Air Force, the Commandant of the Marine Corps, and appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-5431 or russellc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To describe the Department of Defense\u2019s (DOD) revised foreign currency budget rates since 2009 and the relationship between the revised budget rates and DOD\u2019s projected Operation and Maintenance (O&M) and Military Personnel (MILPERS) funding needs, we reviewed DOD\u2019s foreign currency budget rates for the period of fiscal years 2009 through 2017, and we identified any years during which DOD revised the initial budget rates. We compared DOD\u2019s initial foreign currency budget rates and revised foreign currency budget rates with rates published by the U.S. Treasury Department (Treasury) for fiscal years 2009 through 2017. This period corresponded with data available to us on DOD\u2019s initial and revised rates and allowed for use of the most current data available, since DOD had not yet decided whether or not to revise the fiscal year 2018 budget rates, while we were conducting our audit work. We chose rates published by Treasury for this comparison because Treasury has the sole authority to establish for all foreign currencies or credits the exchange rates at which such currencies are to be reported by all agencies of the government.", "Because Treasury rates are issued quarterly, we averaged Treasury\u2019s first and second quarter rates for each currency and compared the Treasury average with DOD\u2019s initial budget rates. Similarly, we computed an average of the third and fourth quarter Treasury rates for each currency and compared them with the DOD initial or revised budget rates, where applicable. These comparisons are meant to show the difference between DOD\u2019s budget rates and Treasury rates for the first 6 months of the fiscal year, and the difference between DOD\u2019s revised exchange rates and Treasury rates for the last 6 months of the fiscal year. Further, we analyzed the extent to which DOD\u2019s budget rates were within 10 percent of Treasury rates during these same years. We chose 10 percent as the basis for our analysis because Treasury\u2019s guidance states that amendments to the quarterly rates will be published during the quarter to reflect significant changes in the quarterly data, such as rate changes of 10 percent or more.", "Additionally, to understand the effect that revising the budget rates had on DOD\u2019s O&M and MILPERS funding estimates and on potential gains or losses due to foreign currency fluctuations, we used a three-step approach. First, we identified the amount of O&M and MILPERS funds DOD requested for each currency. We converted the U.S. Dollars requested to the total amount of foreign currency needed by multiplying the U.S. Dollars requested by DOD\u2019s initial budget rate. Second, we determined the total amount of U.S. Dollars required using the revised rates by dividing the total amount of foreign currency needed using DOD\u2019s initial budget rate by DOD\u2019s revised budget rate. We used this same approach to determine the total amount of U.S. Dollars required using the average Treasury rates. Third, we computed the differences in DOD\u2019s O&M and MILPERS foreign currency funding needs by subtracting the U.S. Dollars required to meet its foreign currency needs based on the average Treasury rates from the amounts required based on DOD\u2019s initial budget rates and DOD\u2019s revised budget rates, respectively. We discussed further with officials from the Office of the Under Secretary of Defense, Comptroller (OUSD(C)) the factors considered in revising the rates and whether those factors are communicated within and outside of the department.", "To evaluate the extent to which DOD has taken steps to reduce costs in selecting foreign currency rates at which to make disbursements and determine whether opportunities exist to gain additional savings, we reviewed accounting standards and any guidelines that exist regarding disbursements and calculations of foreign currency gains and losses, such as DOD\u2019s Financial Management Regulation 7000.14-R, which calls for the use of prevailing foreign currency rates to make disbursements. We also discussed with agency officials how those guidelines are being carried out, and whether DOD or the services have developed guidance that instructs the services in selecting rates used for disbursements in foreign currencies. Additionally, we examined a non-generalizable selection of data for DOD disbursements made during the months June and July 2017 from Treasury\u2019s International Treasury Service (ITS.gov) system to determine which rates DOD used during this period and what savings might be achievable from using alternate rates. We chose data from those 2 months because it was the most recent data available on disbursements at the time Treasury provided the data for our review. Additionally, we discussed with officials from OUSD(C) and the services any analysis and ongoing efforts to transition to more cost-effective rates, including savings that may result.", "To assess the extent to which DOD has effectively managed the Foreign Currency Fluctuations, Defense (FCFD) account to cover losses, and maintained quality information to manage these funds, we analyzed DOD data for fiscal years 2009 through 2016 on foreign currency gains and losses reported by each of the services as reported in their Foreign Currency Fluctuation, Defense (O&M) and (MILPERS) reports; movements of funds between the FCFD account and the services\u2019 O&M and MILPERS accounts; and the end-of-year FCFD account balances. We chose this time period in order to capture years in which both gains and losses were experienced, and for which DOD had complete data on gains and losses, fund transfers, and end-of-year balances for the FCFD account. Because the Army charges disbursements to the current fiscal year appropriation instead of the fiscal year appropriation that incurred the obligation, we requested that the Army adjust its reported data on foreign currency gains and losses and provide information consistent with how the other services report them, and with DOD\u2019s Financial Management Regulation. However, the Army was unable to provide us with data that were consistent with what was provided by the other services at the time of our review. We, therefore, were unable to use Army data for purposes of comparison with data provided by the other services. We compared the end-of-year FCFD account balances and the use of the account with guidelines established in our prior work on the importance of examining unobligated balances. Additionally, we reviewed and analyzed DOD financial reports on foreign currency gains or losses and compared the reports, including any identified discrepancies, against best practices and standards on accurate reporting and maintaining quality information, such as those in GAO\u2019s Standards for Internal Control in the Federal Government, and the Federal Accounting Standards Advisory Board\u2019s Handbook of Federal Accounting Standards and Other Pronouncements, as Amended.", "To determine the reliability of the data used in addressing these objectives, we analyzed DOD and Treasury foreign currency rates, data on DOD foreign currency disbursements, and DOD financial reporting data on foreign currency gains and losses to identify any missing or inaccurate information, and we discussed with agency officials any identified abnormalities and how the information was extracted from systems, when appropriate. We found the data to be sufficiently reliable for the purposes of our reporting objectives, with the exception of the financial reporting on financial gains and losses. Specifically, based on problems with the completeness and accuracy of DOD\u2019s financial reporting on foreign currency gains and losses, we found that these data were not sufficiently reliable for the purpose of computing exact totals for the gains and losses DOD experienced. However, because DOD uses these data as the basis for decisions related to management of the FCFD account, we included the data in our analysis to provide insight into the scope of gains and losses experienced. We also spoke with OUSD(C), military service, and Treasury officials regarding the process and systems used to input the reviewed data and generate the foreign currency reports we reviewed.", "We conducted this performance audit from February 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Matt Ullengren, Assistant Director; and Tulsi Bhojwani, Justin Bolivar, Carol Bray, Amie Lesser, Kelly Liptan, Felicia Lopez, Leah Nash, Randy Neice, Jacqueline McColl, Mike Silver, Roger Stoltz, Susan Tindall, John Trubey, Elaine Vaurio, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-42", "url": "https://www.gao.gov/products/GAO-19-42", "title": "Arctic Planning: Navy Report to Congress Aligns with Current Assessments of Arctic Threat Levels and Capabilities Required to Execute DOD's Strategy", "published_date": "2018-11-08T00:00:00", "released_date": "2018-11-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Navy is responsible for providing ready forces for current operations and contingency response in the Arctic Ocean. According to data from the National Snow and Ice Data Center, the coverage of sea ice in the Arctic has diminished significantly since 1981. This could potentially increase maritime activities there, leading to a need for a greater U.S. military and homeland security presence in the region.", "Public Law 115-91 required the Navy to report to Congress on the Navy's capabilities in the Arctic, including any capability gaps and requirements for ice-hardened vessels. It also included a provision for GAO to review the Navy's report. This report (1) assesses the extent to which the Navy's report aligns with current assessments of Arctic threat levels and capabilities required to execute DOD's 2016 Arctic Strategy and (2) describes any current requirements for ice-hardened vessels and DOD's approach for evaluating the capabilities needed as Arctic requirements evolve.", "GAO reviewed the Navy's report along with DOD's assessments of Arctic threats and naval capabilities. GAO also reviewed the 2016 DOD Arctic Strategy\u2014 the most current strategy, DOD and Department of State information on the freedom of navigation program as well as DOD's processes for developing capabilities and assessing Arctic capability gaps.", "GAO is not making any recommendations in this report. DOD provided written technical comments which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The Navy's June 2018 report aligns with Department of Defense (DOD) assessments that the Arctic is at low risk for conflict and that DOD has the capabilities to execute the 2016 DOD Arctic Strategy . The June 2018 report also aligns with assessments of Arctic capabilities and gaps in the Navy's 2014 roadmap for implementing the strategy. The June 2018 report states that the Navy can execute the strategy with subsurface, aviation, and surface assets. The report notes the significant limitations for operating surface ships in the Arctic, but states that the Navy has the capabilities required for executing the strategy , and so has no plan to design ice-hardened surface ships. In addition, DOD officials stated that the United States has options other than Navy surface ships for demonstrating the U.S. right to operate in the Arctic, including using Coast Guard vessels, Navy submarines, or military aircraft.", "Navy officials said that the Navy does not have a specific requirement for ice-hardening existing vessels or constructing new ones. The Navy plans to continue to use DOD's established process, the Joint Capabilities Integration and Development System to reassess Arctic-related requirements as conditions evolve (see fig.). In October 2017, the Joint Requirements Oversight Council validated U.S. Northern Command's initial capabilities document identifying three gaps in the ability to exercise/deploy, position, and conduct deterrence/decisive operations in ice-diminished Arctic waters. At the time of GAO's review, the Joint Staff had validated the capability gaps, which will now compete for resources with other issues designated for further study. Officials said additional study may identify alternative solutions such as adding capabilities to Coast Guard ships or partnering with allies to achieve common strategic goals in the Arctic."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to data from the National Snow and Ice Data Center, the coverage of sea ice in the Arctic has diminished significantly since 1981. This change could potentially increase commercial and other maritime activities there and, combined with competing sovereignty claims, lead to a need for a greater U.S. military and homeland security presence in the Arctic. The United States, along with Canada, Denmark, Norway, and Russia, borders the Arctic Ocean. In 2018, the Department of Defense (DOD) updated its National Defense Strategy emphasizing the need to deter aggression from Russia or China, both of which have expressed interest in the Arctic.", "DOD\u2019s last Arctic Strategy was published in 2016 and defines the desired end-state for the Arctic: a secure and stable region where U.S. national interests are safeguarded, the U.S. homeland is defended, and nations work cooperatively to address challenges. Multiple DOD entities are involved in supporting Arctic operations. DOD\u2019s 2016 Arctic Strategy states that the Commander of the U.S. Northern Command is to advocate for the DOD capabilities required to operate in the Arctic environment, supporting DOD Arctic stakeholders in identifying capability requirements and shortfalls. According to the Navy\u2019s Arctic Roadmap for 2014 to 2030, the Navy has global leadership responsibilities to provide ready forces for current operations and contingency response that include the Arctic Ocean. The Naval Sea Systems Command\u2019s mission includes, among other things, providing materiel support to the Navy, such as ships and shipboard combat systems and components; coordinating shipbuilding and repair; and performing research, development, and test and evaluation for submarines and other undersea warfare. The Coast Guard stated in its 2013 Arctic Strategy that, to advance the U.S. interests in the Arctic region, the Coast Guard must work with stakeholders to promote maritime safety, security, and environmental responsibility in the region.", "The National Defense Authorization Act for Fiscal Year 2018 included a provision for the Navy to report on its Arctic capabilities. The act also included a provision that we review the Navy\u2019s report, which we refer to as the June 2018 report, within 90 days of the report\u2019s issuance. This report (1) assesses the extent to which the Navy\u2019s June 2018 report aligns with current Arctic threat level assessments and the capabilities required to execute DOD\u2019s 2016 Arctic Strategy and (2) describes any current requirements for ice-hardened vessels and DOD\u2019s approach for evaluating the capabilities needed as Arctic requirements evolve.", "We focused our review on the naval capabilities needed to execute DOD\u2019s 2016 Arctic Strategy, with a focus on surface capabilities. For objective one, two analysts independently assessed the June 2018 report against the capabilities needed to execute DOD\u2019s 2016 Arctic Strategy and the five elements required by the National Defense Authorization Act for Fiscal Year 2018. A third analyst reviewed these assessments and reconciled any discrepancies. We conducted interviews with DOD and Navy officials to identify current naval capabilities used to meet Arctic requirements and attended threat briefings and conducted interviews at the U.S. Northern Command and at the Office of Naval Intelligence to identify the current threat status in the Arctic region. We assessed the June 2018 report against the current naval capabilities and threat status identified in those interviews and briefings. We reviewed The United States Navy Arctic Roadmap for 2014 to 2030 that the Office of the Chief of Naval Operations issued in 2014 to provide guidance to prepare the Navy to respond effectively to future Arctic region contingencies, delineate the Navy\u2019s leadership role, and articulate the Navy\u2019s support to achieve national priorities in the Arctic. We reviewed information from DOD and the Department of State about the freedom of navigation program established in 1979 to maintain the global mobility of U.S. forces and unimpeded commerce. We also interviewed officials about the need for that program in the Arctic and about the program\u2019s benefits and risks. We reviewed a Navy technical document on operating ships in polar environments, and interviewed Naval Sea Systems Command and Coast Guard officials on what is known about the cost and feasibility of \u201cice- hardening\u201d existing ships for Arctic operations.", "For objective two, to determine how DOD identifies its evolving capabilities and the requirements of the Arctic, we reviewed the Chairman of the Joint Chiefs of Staff Instruction 3170.01I, Joint Capabilities Integration and Development System (JCIDS), which establishes the process for identifying, assessing, validating, and prioritizing joint military capability requirements. We also reviewed the U.S. Northern Command\u2019s fiscal year 2017 assessment of capability gaps related to the Arctic and discussed with U.S. Northern Command officials the capability gaps identified using this process. We did not validate the underlying data or assess the methodologies used in DOD\u2019s models and predictions. For a list of organizations we contacted for this review, see appendix I.", "We conducted this performance audit from January 2018 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Scientific research on and projections of the changes taking place in the Arctic vary, but there is a general consensus that the Arctic is warming and that its sea ice is diminishing. For example, scientists at the National Snow and Ice Data Center reported that for 2018 the minimum amount of sea ice coverage in the Arctic\u2014typically occurring in September each year\u2014was the sixth lowest in the satellite record and 656,000 square miles fewer than the mean for the 1981 through 2010 time frame. Further, the scientists found that the 12 lowest recordings of September ice coverage on satellite record have all occurred in the past 12 years. Figure 1 shows the sea ice coverage (i.e., extent) in the Arctic for September 2018 compared with the median ice edge for 1981 through 2010.", "While much of the Arctic Ocean remains ice-covered for the majority of the year, most scientific estimates predict there will be a continued decrease in sea ice coverage in the Arctic Ocean in the summer sometime in the next 20 to 40 years. According to the Navy\u2019s Arctic Roadmap for 2014 to 2030, while there may be less sea ice there in the future, the ice that remains will continue to be a challenge to those operating in the area.", "Most commercial ship activity in the Arctic is regional\u2014shipping into or out of the Arctic, mainly in support of commercial activity\u2014not trans- Arctic. However, according to the official Navy estimate from 2013, the decreasing coverage of sea ice will result in more open water allowing increased maritime activity along three trans-Arctic routes from 2012 through 2030: the Northern Sea Route, the Northwest Passage, and the Trans-Polar Route (see fig. 2). This development could, for example, reduce by thousands of miles and by several days of travel the shipping of goods between countries in Asia and North America.", "Increased economic activity in the Arctic could potentially increase the need for military capabilities there to safeguard U.S. interests. For example, estimates of significant oil, gas, and mineral deposits in the Arctic have increased the interest in exploration opportunities in the region. These resources include an estimated 13 percent of the world\u2019s undiscovered oil; 30 percent of the world\u2019s undiscovered gas; and approximately $1 trillion of minerals including gold, zinc, nickel, and platinum. According to information provided by the Department of State, the vast majority of these resources are within the undisputed continental shelf of the respective coastal states. Officials from the Department of State stated that disputed claims related to the small remaining portions of the Arctic seabed may be addressed within the international framework established by the United Nations Convention on the Law of the Sea.", "However, as we reported in 2015, even with the changing climate and growing interest in the region, several enduring characteristics will continue to provide challenges to surface navigation in the Arctic for the foreseeable future. These include large amounts of winter ice and increased movement of ice from spring to fall. Increased movement of sea ice makes its location less predictable, a situation that increases the risk that ships can become trapped or damaged by ice impacts. In addition, the lack of infrastructure in the Arctic region affects the reliability of shipping through the area. Economic factors such as risk costs, as well as changes in the shipping market resulting from the Panama Canal expansion may also affect the amount of shipping along these routes. As figure 3 shows, even as the seasonal ice decreases over time, the Navy has projected that the Arctic will remain impassable for most commercial ships for most of the year from 2012 through 2030. These factors combined are likely to affect the pace at which commercial activity will increase.", "We have previously examined emerging issues and challenges for the United States in the Arctic. See figure 4 for a timeline of our prior reports related to Arctic issues. We also include a list of our prior work related to the Arctic at the end of this report."], "subsections": []}, {"section_title": "The Navy\u2019s Report Aligns with Current Assessments of Arctic Threat Levels and Capabilities Required to Execute DOD\u2019s Arctic Strategy", "paragraphs": ["The Navy\u2019s June 2018 report aligns with DOD\u2019s assessments that the Arctic threat level remains low and that DOD has the capabilities required to execute its 2016 DOD Arctic Strategy. Specifically, the June 2018 report and the information it provides for each of the reporting elements discusses how the department can execute the 2016 DOD Arctic Strategy.", "The strategy contains two overarching objectives: to (1) ensure security, support safety, and promote defense cooperation and (2) prepare to respond to a wide range of challenges and contingencies to maintain stability in the region. These objectives reflect DOD\u2019s assessment that there is a low level of military threat in the Arctic, as well as the stated commitment of the Arctic nations to work within a common framework of diplomatic engagement. In the strategy, DOD identifies the types of investments that will need to be made over time as activity in the region increases; however, DOD also discusses the importance of assessing the needs in the Arctic and of balancing potential Arctic-specific capabilities investments against other national security priorities and fiscal realities. The Arctic threat assessment briefings we received from officials at the U.S. Northern Command and the Office of Naval Intelligence also reflected the low risk for conflict in the Arctic referenced in the Navy\u2019s June 2018 report. Below, we summarize the Navy\u2019s response to each reporting element, and our evaluation of whether the response aligns with current assessments of Arctic threat levels and capabilities required to execute DOD\u2019s 2016 Arctic Strategy."], "subsections": [{"section_title": "Report Provides Information on Current Naval Capabilities in the Arctic That Align with DOD\u2019s Strategy", "paragraphs": ["Reporting Element One: The Navy was required to report on the current naval capabilities of the Department of Defense in the Arctic region, with a particular emphasis on surface capabilities.", "The June 2018 report provides information on this required element, with the Navy stating that it relies on the submarine force as well as on aviation assets and surface operations when necessary to operate in the Arctic. These capabilities in the Arctic region are consistent with those identified in The United States Navy Arctic Roadmap for 2014 to 2030 to execute the 2016 DOD Arctic Strategy, and as corroborated in our discussions with U.S. Northern Command and Navy officials.", "In addition, the Navy discusses the significant limitations of its surface ships for Arctic operations in the June 2018 report. The limitations identified are consistent with information contained in the U.S. Navy Cold Weather Handbook for Surface Ships and with information we discussed with Naval Sea Systems Command officials who oversee modifications to the fleet and the acquisition of new ships. For example, Navy officials told us that top-side icing has detrimental effects on ships. As sea spray accumulates on a ship deck and freezes, a ship can lose some of the capabilities of its external sensors and radars and a ship\u2019s stability in the water decreases as the ship\u2019s center of gravity becomes top heavy. Navy and Coast Guard officials told us that while the Coast Guard regularly operates in the Arctic given its ice-breaking and maritime safety missions, among others, Navy surface ships have not been designed to maneuver and operate in icy waters. Although some of the Navy\u2019s T-class ships have some capability to operate in light or broken first-year ice due to the inherent strength of their hulls, traditional surface combatant ships (e.g., Cruisers, Destroyers, or Frigates) are not designed to operate in icy waters."], "subsections": []}, {"section_title": "Report Provides Information on the Gaps between Current Naval Capabilities and the Ability to Execute DOD\u2019s Strategy", "paragraphs": ["Reporting Element Two: The Navy was required to report on any gaps that exist between the current naval capabilities and the ability of the department to fully execute its updated strategy for the Arctic region.", "The June 2018 report provides information on this required element, with the Navy stating that the department can execute the 2016 DOD Arctic Strategy with current naval capabilities. The June 2018 report is similarly aligned with Navy assessments of Arctic capabilities and gaps contained in its plan, The United States Navy Arctic Roadmap for 2014 to 2030 that the Office of the Chief of Naval Operations issued in February 2014. This plan provides guidance to prepare the Navy to respond effectively to future Arctic Region contingencies, delineates the Navy\u2019s leadership role, and articulates the Navy\u2019s support to achieve national priorities in the region. At the time of our review, DOD was in the process of drafting another report\u2014on DOD arctic capability and resource gaps\u2014as required by section 1054 of the National Defense Authorization Act for Fiscal Year 2018. In addition, according to Navy officials, the Navy was also drafting its Arctic Strategic Outlook, which is a follow-up to The United States Navy Arctic Roadmap for 2014 to 2030. According to DOD and Navy officials, both forthcoming reports will focus on contextualizing Arctic needs within the framework of the 2018 National Defense Strategy. Because these efforts were not complete at the time of our review, we were unable to determine whether the Navy\u2019s June 2018 report aligns with these assessments."], "subsections": []}, {"section_title": "Report Provides Information on Any Gaps in Naval Capabilities Requiring the Ice- Hardening of Existing Vessels or the Construction of New Vessels to Achieve DOD\u2019s Strategy", "paragraphs": ["Reporting Element Three: The Navy was required to report on any gaps in the current naval capabilities that require ice-hardening of existing vessels or the construction of new vessels to preserve freedom of navigation in the Arctic region whenever and wherever necessary.", "The June 2018 report provides information on this required element, with the Navy stating that there are currently no validated capability gaps that require the Navy to ice-harden existing vessels or construct new ice- capable vessels to preserve freedom of navigation in the Arctic. Furthermore, the Navy stated that its current assets are sufficient to execute the 2016 DOD Arctic Strategy. As noted above, freedom of navigation operations are undertaken to, among other things, promote maritime stability and to challenge excessive sovereignty claims. In addition, DOD officials stated that the United States already has options other than Navy surface ships for demonstrating the United States\u2019 freedom to operate in the Arctic, including using Coast Guard vessels, Navy submarines, or military aircraft."], "subsections": []}, {"section_title": "Report Provides Information on Navy\u2019s Analysis and Recommendation for Ice- Hardening Vessels to Achieve DOD\u2019s Strategy", "paragraphs": ["Reporting Elements Four and Five: The Navy was required to provide an analysis and recommendation of which Navy vessels could be ice-hardened to effectively preserve freedom of navigation in the Arctic region when and where necessary, in all seasons and weather conditions, and an analysis of any cost increases or schedule adjustments that may result from ice-hardening existing or new Navy vessels.", "The June 2018 report provides some information on these required elements, with the Navy stating that it is not pursuing ice-hardening or the winterization of surface ships. According to the Navy, because there is no specific capability requirement for the Navy to ice-harden ships, the report does not list or name potential ice-hardening candidates among existing vessels or provide cost or schedule estimates for ice-hardening vessels. Officials with the Naval Sea Systems Command, which develops cost and schedule estimates for ship modifications and new construction, told us that they had not conducted life-cycle cost studies for ice-hardening existing ships because there is no capability requirement for an ice- hardened ship and, therefore, no ship design on which to base such a study or estimate.", "Furthermore, the June 2018 report states that the Navy is leveraging cooperative research with international partner-nations such as Canada, Denmark, Finland, and Norway, to better understand how other Arctic nations are meeting additional requirements for Arctic operations. Navy officials from the Naval Sea Systems Command stated that ships built to operate in ice and extreme cold environments have unique features, including stronger, thicker construction of all portions of the hull that would come into contact with ice; different hull form design; redesigned propellers constructed of higher than traditional strength material; increased strength ship parts, such as rudders and seawater intakes and discharges designed to resist the formation or accumulation of ice; and more powerful heating and ventilation to accommodate sustained operations in extreme cold environments, among other things. They also noted that research completed to date has advanced the Navy\u2019s knowledge in several of these areas including hull form and propeller design.", "Navy officials estimated that a new ship design might require 20 years to reach initial operational capability. They noted the process might take only 10 years if the Navy can leverage an ongoing program, such as the DDG-51 Class program. Navy officials cautioned that the combination of features that enable ice-capable ships to sustain operating in extreme cold environments could compromise other performance areas such as speed, range, and ship motion. Officials told us that this would add to the Navy\u2019s already strained efforts to maintain existing global naval presence requirements.", "Although the June 2018 report did not discuss any cost and schedule adjustments that might arise from ice-hardening or new ship construction, we have previously reported that the Navy has faced challenges meeting its shipbuilding cost, schedule, and performance goals over the past decade. Specifically, we found that the 11 lead ships most recently delivered to the Navy cost $8 billion more to construct than initially budgeted for. Navy officials stated that the Navy contractor construction yards currently lack expertise in the design for construction of winterized, ice-capable surface combatant and amphibious warfare ships. Accordingly ice-hardening and winterization design practices could introduce cost and schedule risk, challenging the execution of an ice- hardened new construction ship building program for an ice-capable ship. If the Navy executes this potential program without the requisite knowledge at key points it could be at risk of cost and schedule growth that we have seen in recent Navy shipbuilding programs. The Navy has faced these challenges in part because the department has proceeded with construction prior to completing technology development and ship design. We have found that successful ship building programs are based on sound business cases, starting with the lead ship, and on the attainment of critical levels of knowledge at key points in the process prior to making significant investments."], "subsections": []}]}, {"section_title": "The Navy Does Not Have a Capability Requirement to Ice- Harden Existing Vessels or Construct New Ones and Is Evaluating Arctic- Related Capabilities Using the Established DOD Process", "paragraphs": ["Navy officials said that the Navy does not currently have a specific capability requirement for ice-hardening existing vessels or for the construction of new ones, and stated that the Navy or Joint Force is unlikely to produce such a requirement in the near term. Navy officials told us that the Navy will continue to use DOD\u2019s established process, the Joint Capabilities Integration and Development System (JCIDS), which governs the department\u2019s requirements process, to assess Arctic-related capability requirements in the near and long term (see fig. 5). All DOD components use the JCIDS process or variations of the process within their organizations to identify, assess, validate, and prioritize joint military requirements.", "Before starting the JCIDS process, the military services, combatant commanders, and other DOD components conduct capabilities-based assessments or other studies to assess capability requirements and associated capability gaps and the associated risks. In October 2017, the Joint Requirements Oversight Council (JROC) validated U.S. Northern Command\u2019s initial capabilities document identifying three gaps in the ability to exercise/deploy, position, and conduct deterrence/decisive operations in ice-diminished Arctic waters. At the time of our review, the JROC had reviewed and validated the U.S. Northern Command\u2019s Arctic initial capabilities document and designated it for further study by the Navy. The validation of an initial capabilities document by the JROC is an early part of the JCIDS process, and informs updates to capability requirement documents related to specific materiel and nonmateriel capability solutions to be pursued.", "A Navy official stated that the capability gaps identified in the U.S. Northern Command\u2019s validated initial capabilities document will now compete for resources with other issues designated for study across the Navy. According to a Navy official, whenever the Navy initiates a study, this triggers the analysis of alternatives phase of the JCIDS process. Under this process, each alternative would need to be specifically evaluated for its costs and benefits. DOD officials noted that there are several analytical steps in the JCIDS process during which potential solutions for any identified gaps are analyzed. They told us that potential solutions might also include alternatives other than ice-hardening or new ship construction, such as adding capabilities to Coast Guard ships or partnering with allies to achieve common strategic goals in the Arctic.", "Even as the seasonal ice decreases over time, according to Navy officials, the Arctic will remain impassable for most commercial ships for most of the year. For these reasons, projections of increased Arctic sea activity remain uncertain. DOD, U.S. Northern Command, Navy, and Coast Guard officials told us that even as Arctic maritime activity is expected to increase, several enduring characteristics will continue to provide challenges to surface navigation in the Arctic for the foreseeable future. These challenges include large amounts of winter ice and increased movement of ice from spring to fall. As mentioned earlier, the increased movement of sea ice makes its location less predictable, a situation that is likely to increase the risk that ships can become trapped or damaged by ice impacts. Coast Guard officials noted that a challenging environment like the Arctic may result in a higher likelihood of incidents occurring. Further, responding to incidents with search and rescue operations are riskier to execute than in non-polar environments. In addition, the lack of infrastructure and logistical support in the Arctic affects maritime activities through that region."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We are not making any recommendations in this report. We provided a draft of our report to DOD, Department of Homeland Security, and the Department of State for comment. DOD, Department of Homeland Security, and Department of State provided technical comments, which we incorporated into this report as appropriate.", "We are sending copies of this report to the appropriate congressional committees. We are also sending copies to the Secretary of Defense, Secretary of State, and the Secretary of Homeland Security. In addition, this report will be available at no charge on our website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-3489 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Organizations We Interviewed", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Suzanne Wren (Assistant Director), Delia Zee (Analyst-in-Charge), John Beauchamp, Mae Jones, Amie Lesser, Ned Malone, and Shahrzad Nikoo made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Coast Guard Acquisitions: Polar Icebreaker Program Needs to Address Risks before Committing Resources. GAO-18-600. Washington, D.C.: September 4, 2018.", "Navy Shipbuilding: Past Performance Provides Valuable Lessons for Future Investments. GAO-18-238SP. Washington, D.C.: June 6, 2018.", "Coast Guard Acquisitions: Status of Coast Guard\u2019s Heavy Polar Icebreaker Acquisition. GAO-18-385R. Washington, D.C.: April 13, 2018.", "Coast Guard: Status of Polar Icebreaking Fleet Capability and Recapitalization Plan. GAO-17-698R. Washington, D.C.: September 25, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Arctic Planning: DOD Expects to Play a Supporting Role to Other Federal Agencies and Has Efforts Under Way to Address Capability Needs and Update Plans. GAO-15-566. Washington, D.C.: June 19, 2015.", "Climate Change Adaptation: DOD Can Improve Infrastructure Planning and Processes to Better Account for Potential Impacts. GAO-14-446. Washington, D.C.: May 30, 2014.", "Arctic Issues: Better Direction and Management of Voluntary Recommendations Could Enhance U.S. Arctic Council Participation. GAO-14-435. Washington, D.C.: May 16, 2014.", "Maritime Infrastructure: Key Issues Related to Commercial Activity in the U.S. Arctic over the Next Decade. GAO-14-299. Washington, D.C.: March 19, 2014.", "Managing for Results: Implementation Approaches Used to Enhance Collaboration in Interagency Groups. GAO-14-220. Washington, D.C.: February 14, 2014.", "Managing for Results: Key Considerations for Implementing Interagency Collaborative Mechanisms. GAO-12-1022. Washington, D.C.: September 27, 2012.", "Arctic Capabilities: DOD Addressed Many Specified Reporting Elements in Its 2011 Arctic Report but Should Take Steps to Meet Near- and Long- term Needs. GAO-12-180. Washington, D.C.: January 13, 2012.", "Coast Guard: Efforts to Identify Arctic Requirements Are Ongoing, but More Communication about Agency Planning Efforts Would Be Beneficial. GAO-10-870. Washington, D.C.: September 15, 2010.", "Alaska Native Villages: Limited Progress Has Been Made on Relocating Villages Threatened by Flooding and Erosion. GAO-09-551. Washington, D.C.: June 3, 2009."], "subsections": []}], "fastfact": []} {"id": "GAO-17-784T", "url": "https://www.gao.gov/products/GAO-17-784T", "title": "Low-Income Housing Tax Credit: Actions Needed to Strengthen Oversight and Accountability", "published_date": "2017-08-01T00:00:00", "released_date": "2017-08-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The LIHTC program, established under the Tax Reform Act of 1986, is the largest source of federal assistance for developing affordable rental housing and will represent an estimated $8.5 billion in forgone revenue in 2017. LIHTC encourages private-equity investment in low-income rental housing through tax credits. The program is administered by IRS and allocating agencies, which are typically state or local housing finance agencies established to meet affordable housing needs of their jurisdictions. Responsibilities of allocating agencies (in Section 42 of the Internal Revenue Code and regulations of the Department of the Treasury) encompass awarding credits, assessing the reasonableness of project costs, and monitoring projects.", "In this testimony, GAO discusses (1) how allocating agencies implement federal requirements for awarding LIHTCs, assess reasonableness of property costs, and monitor properties' ongoing compliance; and (2) IRS oversight of the LIHTC program. This statement is based primarily on three reports GAO issued in July 2015 ( GAO-15-330 ), May 2016 ( GAO-16-360 ), and February 2017 ( GAO-17-285R ). GAO also updated the status of recommendations made in these reports by reviewing new or revised IRS policies, procedures, and reports and interviewing IRS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In its May 2016 report on the Low-Income Housing Tax Credit (LIHTC) program of the Internal Revenue Service (IRS), GAO found that state and local housing finance agencies (allocating agencies) implemented requirements for allocating credits, reviewing costs, and monitoring projects in varying ways. Moreover, some allocating agencies' day-to-day practices to administer LIHTCs also raised concerns. For example,", "qualified allocation plans (developed by 58 allocating agencies) that GAO analyzed did not always mention all selection criteria and preferences that Section 42 of the Internal Revenue Code requires; and", "allocating agencies could increase (boost) the eligible basis used to determine allocation amounts for certain buildings if needed for financial feasibility. However, they were not required to document the justification for the increases. The criteria used to award boosts varied, with some allocating agencies allowing boosts for specific types of projects and one allowing boosts for all projects in its state.", "In its 2015 and 2016 reports, GAO found IRS oversight of the LIHTC program was minimal. Additionally, IRS collected little data on or performed limited analysis of compliance in the program. Specifically, GAO found that", "Since 1986, IRS conducted seven audits of the 58 allocating agencies we reviewed. Reasons for the minimal oversight may include LIHTC being viewed as a peripheral program in IRS in terms of its mission and priorities for resources and staffing.", "IRS had not reviewed the criteria allocating agencies used to award discretionary basis \u201cboosts,\u201d which raised concerns about oversubsidizing projects (and reducing the number of projects funded).", "IRS guidance to allocating agencies on reporting noncompliance was conflicting. As a result, allocating agencies' reporting of property noncompliance was inconsistent.", "IRS had not participated in and leveraged the work of the physical inspection initiative of the Rental Policy Working Group\u2014established to better align the operations of federal rental assistance programs\u2014to augment its databases with physical inspection data on LIHTC properties that the Department of Housing and Urban Development (HUD) maintains.", "In its prior reports, GAO made a total of four recommendations to IRS. As of July 2017, IRS had implemented one recommendation to include relevant IRS staff in the working group. IRS has not implemented the remaining three recommendations, including improving the data quality of its LIHTC database, clarifying guidance to agencies on reporting noncompliance, and evaluating how the information HUD collects could be used for identifying noncompliance issues. In addition, because of the limited oversight of LIHTC, in its 2015 report GAO asked that Congress consider designating certain oversight responsibilities to HUD because the agency has experience working with allocating agencies and has processes in place to oversee the agencies. As of July 2017, Congress had not enacted legislation to give HUD an oversight role for LIHTC."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our work on the Low-Income Housing Tax Credit (LIHTC) program administered by the Internal Revenue Service (IRS) and allocating agencies, which typically are state or local authorities established to meet the affordable housing needs of the residents of their states. LIHTC, established under the Tax Reform Act of 1986, is the largest source of federal assistance for developing affordable rental housing. Each state receives an annual allocation of LIHTCs, determined by statutory formula. Allocating agencies then competitively award the tax credits to owners of qualified rental housing projects that reserve all or a portion of their units for low-income tenants. In 2017, LIHTC will represent an estimated $8.5 billion in forgone revenue to the federal government.", "My statement today will focus on (1) how allocating agencies implement federal requirements for awarding LIHTCs, assess reasonableness of property costs, and monitor properties\u2019 ongoing compliance; and (2) IRS\u2019s oversight of the LIHTC program. This statement is based primarily on three reports we issued in July 2015, May 2016, and February 2017. To conduct the work for the three reports, among other methodologies, we reviewed IRS regulations and guidance, including how allocating agencies and taxpayers are selected for review. We also conducted a structured analysis of 58 Qualified Allocation Plans (QAP), which outline processes for awarding LIHTCs and compliance monitoring responsibilities. We selected a nonprobability, nongeneralizable sample of nine allocating agencies for site visits, and during these visits, we reviewed files for randomly selected housing developments to determine how each agency addressed federal requirements for awarding LIHTCs, assessed the reasonableness of development costs, and monitored properties\u2019 compliance with program requirements. We also interviewed officials from IRS, the Department of the Treasury (Treasury), the Department of Housing and Urban Development (HUD), the National Council of State Housing Agencies (NCSHA), and selected allocating agencies. For our 2017 report, we gathered data for 32 syndicators in total\u201431 through a no-cost contract with CohnReznick, a national accounting firm\u2014and one survey response directly from a syndicator. More detailed information on our scope and methodology can be found in each of the reports cited throughout this testimony. To update the status of recommendations from our 2015 and 2016 reports, we reviewed new or revised IRS policies, procedures, and reports and interviewed IRS officials.", "We performed the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of IRS Administration of LIHTC Program", "paragraphs": ["IRS administration of the LIHTC program involves overseeing compliance on the part of allocating agencies and taxpayers and developing and publishing regulations and guidance. IRS is responsible for reviewing LIHTC information on three IRS forms that are the basis of LIHTC program reporting and then determining whether program requirements have been met. Taxpayer noncompliance with LIHTC requirements may result in IRS denying claims for the credit in the current year or recapturing\u2014taking back\u2014credits claimed in prior years.", "Published guidance may include revenue rulings and procedures, notices, and announcements. Other guidance for the program includes an Audit Technique Guide for Completing Form 8823 that includes specific instructions for allocating agencies, including when site visits and file reviews are to be performed, and guidelines for determining noncompliance in areas such as health and safety standards, rent ceilings, income limits, and tenant qualifications."], "subsections": []}, {"section_title": "Role of Allocating Agencies", "paragraphs": ["State and local allocating agencies are responsible for day-to-day administration of the LIHTC program based on Section 42 of the Internal Revenue Code and Treasury regulations. More specifically, allocating agencies are responsible for Awarding tax credits. Each state receives an annual allocation of LIHTCs, determined by statutory formula. Allocating agencies then competitively award the tax credits to owners of qualified rental housing projects that reserve all or a portion of their units for low-income tenants, consistent with the agencies\u2019 QAPs. Developers typically attempt to obtain funding for their projects by attracting third-party investors willing to contribute equity to the projects; the project investors then can claim the tax credits.", "Monitoring costs. Section 42 states that allocating agencies must consider the reasonableness of costs and their uses for proposed LIHTC projects, allows for agency discretion in making this determination, and also states that credits allocated to a project may not exceed the amount necessary to assure its feasibility and its viability as a low-income housing project. However, Section 42 does not provide a definition or offer guidance on determining how to calculate these amounts.", "Monitoring compliance. After credits are awarded, Treasury regulations state that allocating agencies must conduct regular site visits to physically inspect units and review tenant files for eligibility information. The agencies also have reporting and notification requirements. For example, allocating agencies must notify IRS of any noncompliance found during inspections and ensure that owners of LIHTC properties annually certify they met certain requirements for the preceding 12-month period."], "subsections": []}, {"section_title": "Role of Investors and Syndicators", "paragraphs": ["Developers of awarded projects typically attempt to obtain funding for their projects by attracting third-parties willing to invest in the project in exchange for the ability to claim tax credits. The developer sells an ownership interest in the project to one or more investors, or in many instances, to a fund managed by a syndicator who acts as an intermediary between the developer and investors.", "Investors and syndicators play several roles in the LIHTC market. For example, syndicators help initially connect investors and developers and oversee acquisition of projects. Once a project is acquired, syndicators perform ongoing monitoring and asset management to help ensure the project complies with LIHTC requirements and is financially sound. Syndicators attempt to identify potential problems and intercede if necessary, such as replacing under- or nonperforming general partners, and may use their own reserves to help resolve problems. In exchange for these services, syndicators typically are compensated through an initial acquisition fee\u2014usually a percentage of the gross equity raised\u2014 and an annual asset management fee.", "Syndicators that we surveyed for our 2017 report were nonprofit or for- profit entities, generally had multistate operations, and averaged more than 20 years of experience with the LIHTC program. Of the 32 syndicators we surveyed, the syndicators collectively had raised more than $100 billion in LIHTC equity since 1986, helping to fund more than 20,000 properties and about 1.4 million units placed-in-service through 2014. Projects for which these syndicators raised equity in 2005\u20132014 represented an estimated 75 percent of all LIHTC properties placed-in- service in that period."], "subsections": []}]}, {"section_title": "Selected Allocating Agencies Implemented Differing Practices for Key LIHTC Requirements", "paragraphs": ["As we reported in 2016, allocating agencies implemented requirements for QAPs in varying ways and had processes in place to meet requirements for credit awards. Allocating agencies also had procedures to assess costs, but determined award amounts for projects differently, used various cost limits and benchmarks to determine reasonableness of costs, and used widely varying criteria for basis boosts. Agencies also had processes in place to monitor compliance. However, some of these practices raised concerns."], "subsections": [{"section_title": "Agencies Implemented Requirements for Allocation Plans and Award Credits in Varying Ways", "paragraphs": ["In our 2016 report, we generally found that allocating agencies implemented requirements for QAPs in varying ways and had processes in place to meet requirements for awarding the tax credit.", "Based on our 2016 review of 58 QAPs and our nine site visits, we found the QAPs did not always contain, address, or mention preferences and selection criteria required in Section 42. Rather, some allocating agencies incorporated the information into other LIHTC program documents, or implemented the requirements in practice.", "While Section 42 specifies some selection criteria (such as project location or tenant populations with special housing needs), it also more broadly states that a QAP set forth selection criteria \u201cappropriate to local conditions.\u201d As a result, allocating agencies have the flexibility to create their own methods and rating systems for evaluating applicants. We found that nearly all the allocating agencies that we reviewed used points or a threshold system for evaluating applicants. They used criteria such as qualifications of the development team, cost effectiveness, or leveraging of funds from other federal or state programs.", "According to Section 42, allocating agencies must notify the chief executive officer (or the equivalent) of the local jurisdiction in which the project is to be located. However, some agencies imposed an additional requirement of letters of support from local officials. Specifically, as of 2013, we found that of the 58 agencies in our review,12 agencies noted that their review or approval of applications was contingent on letters of support, and another 10 agencies awarded points for letters of local support. HUD officials have cited fair housing concerns in relation to any preferences or requirements for local approval or support because of the discriminatory influence these factors could have on where affordable housing is built. In December 2016, IRS issued a revenue ruling that clarified that Section 42 neither requires nor encourages allocating agencies to reject all proposals that do not obtain the approval of the locality where the project developer proposes to place the project.", "Allocating agencies we visited for our 2016 report had processes in place to meet other Section 42 requirements, including awarding credit to nonprofits and long-term affordability of projects. Allocating agencies must allocate at least 10 percent of the state housing credit ceiling to projects involving qualified nonprofit organizations. All nine allocating agencies we visited had a set-aside of at least 10 percent of credits to be awarded to projects involving nonprofits. Section 42 also requires allocating agencies to execute an extended low-income housing commitment of at least 30 years before a building can receive credits. For example, one allocating agency we visited required developers to sign agreements for longer extended-use periods, while some agencies awarded points to applications whose developers elect longer periods."], "subsections": []}, {"section_title": "Agencies We Reviewed Had Procedures to Assess Costs and Used Widely Varying Criteria for Basis Boosts", "paragraphs": ["Allocating agencies we reviewed for our 2016 report had procedures to assess costs, but determined award amounts for projects differently and used various cost limits and benchmarks to determine reasonableness of costs. All nine allocating agencies we visited required applicants to submit detailed cost and funding estimates, an explanation of sources and uses, and expected revenues as part of their applications. These costs were then evaluated to determine a project\u2019s eligible basis (total allowable costs associated with depreciable costs in the project), which in turn determined the qualified basis and ultimately the amount of tax credits to be awarded.", "Reasonableness of costs. We found that allocating agencies had different ways for determining the reasonableness of project costs. Based on our analysis of 58 QAPs and our nine site visits, agencies had established various limits against which to evaluate the reasonableness of submitted costs, such as applying limits on development costs, total credit awards, developer fees, and builder\u2019s fees. Section 42 does not provide a definition of reasonableness of costs, giving allocating agencies discretion on how best to determine what costs are appropriate for their respective localities.", "Discretionary basis boosts. Allocating agencies commonly \u201cboosted\u201d the basis for projects, but used widely varying criteria for doing so. Section 42 notes that an increase or \u201cboost\u201d of up to 130 percent in the eligible basis can be awarded by an allocating agency to a housing development in a qualified census tract or difficult development area.", "According to our QAP analysis, 44 of 58 plans we reviewed included criteria for awarding discretionary basis boosts, with 16 plans explicitly specifying the use of basis boosts for projects as needed for financial or economic feasibility. The discretionary boosts were applied to different types of projects and on different scales (for example, statewide or citywide).", "For example, we found one development that received a boost to the eligible basis for having received certain green building certifications, although the applicant did not demonstrate financial need or request the boost. The allocating agency told us that all projects with specified green building certifications received the boost automatically, as laid out in its QAP. At the time of our review, agency officials said that the agency had changed its practices to prevent automatic basis boosts from being applied and required additional checks for financial need.", "In another QAP we reviewed, one agency described an automatic 130 percent statewide boost for all LIHTC developments. According to the officials, the automatic statewide boost remained in effect because officials made the determination that nearly all projects would need it for financial feasibility.", "Section 42 requires that allocating agencies determine that \u201cdiscretionary basis boosts\u201d were necessary for buildings to be financially feasible before granting them to developers. Section 42 does not require allocating agencies to document their analysis for financial feasibility (with or without the basis boost). However, legislative history for the Housing and Economic Recovery Act of 2008 included expectations that allocating agencies would set standards in their QAPs for which projects would be allocated additional credits, communicate the reasons for designating such criteria, and publicly express the basis for allocating additional credits to a project. In addition, NCSHA (a nonprofit advocating for state allocating agencies) recommends that allocating agencies set standards in their QAPs to determine eligibility for discretionary basis boosts and make the determinations publicly available."], "subsections": []}, {"section_title": "Agencies We Visited Had Processes for Monitoring Compliance", "paragraphs": ["In our 2016 report we found that the allocating agencies we visited had processes for and conducted compliance monitoring of projects consistent with Section 42 and Treasury regulations. Treasury regulations require allocating agencies to conduct on-site physical inspections for at least 20 percent of the project\u2019s low-income units and file reviews for the tenants in these units at least once every 3 years. In addition, allocating agencies must annually review owner certifications that affirm that properties continue to meet LIHTC program requirements.", "Allocating agencies we visited followed regulatory requirements on when to conduct physical inspections and tenant file reviews.", "Allocating agencies we visited generally used electronic databases to track the frequency of inspections, file reviews, and certifications, although most of these agencies documented these reviews on paper.", "All the allocating agencies we visited had inspection and review processes in place to monitor projects following the 15-year compliance period, as required under Section 42. Allocating agencies must execute an extended low-income housing commitment to remain affordable for a minimum of 30 years before a tax credit project can receive credits. After the compliance period is over, the obligation for allocating agencies to report to IRS on compliance issues ends and investors are no longer at risk for tax credit recapture."], "subsections": []}]}, {"section_title": "IRS Oversight of LIHTC Has Been Minimal", "paragraphs": ["Our prior reports found IRS conducted few reviews of allocating agencies and had not reviewed how agencies determined basis boosts. Data on noncompliance were not reliable and IRS used little of the reported program information. IRS had not directly participated in an interagency initiative to augment HUD\u2019s databases with LIHTC property inspection data. Both our 2015 and 2016 reports concluded that opportunities existed to enhance oversight of the LIHTC program, specifically by leveraging the knowledge and experience of HUD."], "subsections": [{"section_title": "IRS Conducted Few Reviews of Allocating Agencies and Had Not Reviewed How Agencies Determined Basis Boosts", "paragraphs": ["Few reviews of allocating agencies. In our 2015 report, we found that IRS had conducted seven audits (reviews) of allocating agencies from 1986 (inception of the program) through May 2015. In the audits, IRS found issues related to QAPs, including missing preferences and selection criteria.", "But in both our 2015 and 2016 reports, IRS officials stated that they did not regard a regular review of QAPs as part of their responsibilities as outlined in Section 42 and therefore did not regularly review the plans. IRS officials said that allocating agencies have primary responsibility to ensure that the plans meet Section 42 preferences and selection criteria. IRS officials noted that review of a QAP to determine if the plan incorporated the elements specified in Section 42 could occur if IRS were to audit an allocating agency.", "No review of agencies\u2019 discretionary basis boosts. In our 2016 report, we found IRS had not reviewed the criteria allocating agencies used to award discretionary basis boosts. The use of basis boosts has implications for LIHTC housing production because of the risk of oversubsidizing projects, which would reduce the amount of the remaining allocable subsidies and yield fewer LIHTC projects overall within a state.", "IRS also had not provided guidance to agencies on how to determine the need for the additional basis to make projects financially feasible. IRS officials told us that Section 42 gives allocating agencies the discretion to determine if projects receive a basis boost and does not require documentation of financial feasibility. Additionally, IRS officials explained that because the overall amount of subsidies allocated to a state is limited, the inherent structure of the program discourages states from oversubsidizing projects. However, during our 2016 review, we observed a range of practices for awarding discretionary basis boosts, including a blanket basis boost that could result in fewer projects being subsidized and provide more credits than necessary for financial feasibility. We concluded that because IRS did not regularly review QAPs, many of which list criteria for discretionary basis boosts, IRS was unable to determine the extent to which agency policies could result in oversubsidizing of projects."], "subsections": []}, {"section_title": "Some Program Data Were Not Reliable and IRS Used Little of Reported Program Information", "paragraphs": ["Unreliable data. We reported in 2015 that IRS had not comprehensively captured information reported for the program in its Low-Income Housing Credit database and the existing data were not complete and reliable. IRS guidance requires the collection of data on the LIHTC program in an IRS database, which records information submitted by allocating agencies and taxpayers on three forms. The forms include", "Credit allocation and certification (Form 8609). The two-part form is completed by the allocating agency and the taxpayer. Agencies report the allocated amount of tax credits available over a 10-year period for each building in a project. The taxpayer reports the date on which the building was placed-in-service (suitable for occupancy).", "Noncompliance or building disposition (Form 8823). Allocating agencies must complete and submit this form to IRS if an on-site physical inspection of a LIHTC project finds any noncompliance. The form records any findings (and corrections of previous findings) based on the inspection of units and review of the low-income tenant certifications.", "Annual report (Form 8610). IRS staff review the reports to ensure allocations do not exceed a statutorily prescribed ceiling for that year.", "Based on our analysis of the information in the database, we found in 2015 that the data on credit allocation and certification information were not sufficiently reliable to determine if basic requirements for the LIHTC program were being achieved. For example, we could not determine how often LIHTC projects were placed-in-service within required time frames. We concluded that without improvements to the data quality of credit allocation and certification information, it was difficult to determine if credit allocation and placed-in-service requirements had been met by allocating agencies and taxpayers, respectively. Thus, we recommended that IRS should address weaknesses identified in data entry and programming controls to ensure reliable data are collected on credit allocations.", "At the time of our 2015 report, IRS acknowledged the need for improvements in its controls and procedures (including data entry and quality reviews). IRS officials agreed that these problems should be corrected and data quality reviews should be conducted on an ongoing basis. As of March 2017, in response to our recommendation, IRS officials said that they had explored possibilities to improve the database, which not only houses credit allocation information, but also data from noncompliance and building disposition forms. Specifically, IRS is working to move the database to a new and updated server, which will address weaknesses identified in data entry and programming controls. IRS expects to complete the data migration step by early fall of 2017. Until IRS implements its plan to improve the data, this recommendation will remain open.", "Limited noncompliance data, analysis, and guidance on reporting. We found in our 2015 and 2016 reports that IRS had done little with the information it collects on noncompliance. IRS had captured little information from the Form 8823 submissions in its database and had not tracked the resolution of noncompliance issues or analyzed trends in noncompliance. As of April 2016, the database included information from about 4,200 of the nearly 214,000 Form 8823s IRS received since 2009 (less than 2 percent of forms received).", "For our 2015 report, officials told us the decision was made during the 2008\u20132009 timeframe to input information only from forms that indicated a change in building disposition, such as a foreclosure. IRS focused on forms indicating this change for reasons including the serious nature of the occurrence for the program and impacts on taxpayers\u2019 ability to receive credit. Officials also stated it was not cost effective to input all the form information and trend analysis on all types of noncompliance was not useful for purposes of ensuring compliance with the tax code.", "In addition, as we reported in both 2015 and 2016, IRS had assessed little of the noncompliance information collected on the Form 8823 or routinely used it to determine trends in noncompliance. Because little information was captured in the Low-Income Housing Credit database, IRS was unable to provide us with program-wide information on the most common types of noncompliance. Furthermore, IRS had no method to determine if issues reported as uncorrected had been resolved or if properties had recurring noncompliance issues.", "In our 2016 report, we also found inconsistent reporting on the noncompliance forms, the reasons for which included conflicting IRS guidance, different interpretations of the guidance by allocating agencies, and lack of IRS feedback about agency submissions.", "IRS developed guidelines for allocating agencies to use when completing the Form 8823, the \u201cfundamental purpose\u201d of which was identified as providing standardized operational definitions for the noncompliance categories listed on the form. The IRS guide adds that it is important that noncompliance be consistently identified, categorized, and reported and notes that the benefits of consistency included enhanced program administration by IRS.", "Allocating agencies we visited had various practices for submitting Form 8823 to IRS, including different timing of submissions, reporting on all violations (whether minor or corrected during inspections) or not, and amounts of additional detail provided. Partly because of these different practices, the number of forms each of the nine agencies told us they sent to IRS in 2013 varied from 1 to more than 1,700.", "We concluded that without IRS clarification of when to send in the Form 8823, allocating agencies will continue to submit inconsistent noncompliance data to IRS, which will make it difficult for IRS to efficiently distinguish between minor violations and severe noncompliance, such as properties with health and safety issues. We recommended that IRS should clarify what to submit and when\u2014in collaboration with the allocating agencies and Treasury\u2014to help IRS improve the quality of the noncompliance information it receives and help ensure that any new guidance is consistent with Treasury regulations.", "In August 2016, IRS stated it would review the Form 8823 Audit Technique Guide to determine whether additional guidance and clarification were needed for allocating agencies to report noncompliance information on the form. If published legal guidance is required, IRS stated that it will submit a proposal for such guidance for prioritization. IRS indicated an expected implementation date by November 2017. In addition, in March 2017, officials stated that IRS Counsel attended an industry conference with allocating agencies at which issues related to the Form 8823 were discussed.", "Lack of participation in data initiative. Moreover, in our 2016 report we found IRS had not taken advantage of the important progress HUD made through the Rental Policy Working Group (working group)\u2014which was established to better align the operation of federal rental policies across the administration\u2014to augment its databases with LIHTC property inspection data. This data collection effort created opportunities for HUD to share inspection data with IRS that could improve the effectiveness of reviews for LIHTC noncompliance. However, the IRS Small Business/Self-Employed Division managing the LIHTC program had not been involved in the working group. We concluded that such involvement would allow IRS to leverage existing resources, augment its information on noncompliance, and better understand the prevalence of noncompliance.", "We recommended that staff from the division participate in the physical inspection initiative of the working group and also recommended that the IRS Commissioner evaluate how IRS could use HUD\u2019s real estate database, including how the information might be used to reassess reporting categories on Form 8823 and reassess which categories of noncompliance information to review for audit potential. As of March 2017, IRS had implemented our recommendation to include the appropriate staff at the working group meetings. However, IRS officials stated that since HUD\u2019s database with property inspection data was not complete as of March 2017 and contained data from 30 states, it was unclear how the database could be used. IRS officials said they would continue exploring the HUD database if the data for all LIHTC properties were included and it was possible to isolate the LIHTC property data from other rental properties in the HUD database."], "subsections": []}, {"section_title": "Leveraging Experience of HUD May Augment IRS\u2019s Capacity to Oversee Program", "paragraphs": ["Both our 2015 and 2016 reports found that opportunities existed to enhance oversight of the LIHTC program, specifically by leveraging the knowledge and experience of HUD. We found in 2015 that while LIHTC is the largest federal program for increasing the supply of affordable rental housing, LIHTC is a peripheral program in IRS in terms of resources and mission. Oversight responsibilities for the program include monitoring allocating agencies and taxpayer compliance. However, as we have discussed previously, IRS oversight has been minimal and IRS has captured and used little program information. As we previously stated, such information could help program managers and congressional decision makers assess the program\u2019s effectiveness.", "HUD\u2500which has a housing mission\u2500collects and analyzes information on low-income rental housing, including LIHTC-funded projects. As we reported in 2015, HUD\u2019s role in the LIHTC program is generally limited to the collection of information on tenant characteristics (mandated by the Housing and Economic Recovery Act of 2008). However, it has voluntarily collected project-level information on the program since 1996 because of the importance of LIHTC as a source of funding for affordable housing. HUD also has sponsored studies of the LIHTC program that use these data. HUD\u2019s LIHTC databases, the largest federal source of information on the LIHTC program, aggregates project-level data that allocating agencies voluntarily submit and information on tenant characteristics that HUD must collect. Since 2014, HUD also has published annual reports analyzing data it must collect on tenants residing in LIHTC properties. As part of this report, HUD compares property information in its tenant database to the information in its property database to help assess the completeness of both databases.", "In our 2015 report, we also discussed HUD\u2019s experience in working with allocating agencies. While multiple federal agencies administer housing- related programs, HUD is the lead federal agency for providing affordable rental housing. Much like LIHTC, HUD\u2019s rental housing programs rely on state and local agencies to implement programs. HUD is responsible for overseeing these agencies, including reviewing state and local consolidated plans for the HOME Investment Partnership and Community Development Block Grant programs\u2014large grant programs that also are used to fund LIHTC projects. HUD also has experience in directly overseeing allocating agencies in their roles as contract administrators for project-based Section 8 rental assistance. HUD has processes, procedures, and staff in place for program evaluation and oversight of state and local agencies that could be built upon and strengthened.", "In our 2015 report, we concluded that significant resource constraints affected IRS\u2019s ability to oversee taxpayer compliance and precluded wide-ranging improvement to such functions, but that IRS still had an opportunity to enhance oversight of LIHTC. We also concluded that leveraging the experience and expertise of another agency with a housing mission, such as HUD, might help offset some of IRS\u2019s limitations in relation to program oversight. HUD\u2019s existing processes and procedures for overseeing allocating agencies could constitute a framework on which further changes and improvements in LIHTC could be effected. However, enhancing HUD\u2019s role could involve additional staff and other resources. An estimate of potential costs and funding options for financing enhanced federal oversight of the LIHTC program would be integral to determining an appropriate funding mechanism.", "We asked that Congress consider designating HUD as a joint administrator of the program responsible for oversight. As part of the deliberation, we suggested that Congress direct HUD to estimate the costs to monitor and perform the additional oversight responsibilities, including a discussion of funding options. Treasury agreed that it would be useful for HUD to receive ongoing responsibility for, and resources to perform, research and analysis on the effectiveness of LIHTCs in increasing the availability of affordable rental housing. Treasury noted that such research and analysis are not part of IRS\u2019s responsibilities or consistent with its expertise in interpreting and enforcing tax laws. However, Treasury stated that responsibility for interpreting and enforcing the code should remain entirely with IRS. Our report noted that if program administration were changed, IRS could retain certain key responsibilities consistent with its tax administration mission.", "In our 2016 report, we concluded that IRS oversight of allocating agencies continued to be minimal, particularly in reviewing QAPs and allocating agencies\u2019 practices for awarding discretionary basis boosts. As a result, we reiterated the recommendation from our 2015 report that Congress should consider designating HUD as a joint administrator of the program responsible for oversight due to its experience and expertise as an agency with a housing mission.", "In response to our 2016 report, HUD stated it remains supportive of mechanisms to use its significant expertise and experience administering housing programs for enhanced effectiveness of LIHTC. HUD also stated that enhanced interagency coordination could better ensure compliance with fair housing requirements and improve alignment of LIHTC with national housing priorities. As of July 2017, Congress had not enacted legislation to give HUD an oversight role for LIHTC.", "Chairman Hatch, Ranking Member Wyden, and Members of the Committee, this concludes my prepared statement. I would be happy to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information about this testimony, please contact me at 202-512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony include Nadine Garrick Raidbard, Assistant Director; Anar N. Jessani, Analyst in Charge; William R. Chatlos; Farrah Graham; Daniel Newman; John McGrail; Barbara Roesmann; and MaryLynn Sergent.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-153T", "url": "https://www.gao.gov/products/GAO-18-153T", "title": "Information Technology: Management Attention Is Needed to Successfully Modernize Tax Processing Systems", "published_date": "2017-10-04T00:00:00", "released_date": "2017-10-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The IRS, a bureau of the Department of the Treasury, relies extensively on IT to annually collect more than $3 trillion in taxes, distribute more than $400 billion in refunds, and carry out its mission of providing service to America's taxpayers in meeting their tax obligations. For fiscal year 2016, IRS expended approximately $2.7 billion for IT investments, 70 percent of which was allocated for operational systems.", "GAO has long reported that the effective and efficient management of IT acquisitions and operational investments has been a challenge in the federal government. Accordingly, in February 2015, GAO introduced a new government-wide high-risk area, Improving the Management of IT Acquisitions and Operations. GAO has also reported on challenges IRS has faced in managing its IT acquisitions and operations, and identified opportunities for IRS to improve the management of these investments.", "In light of these challenges, GAO was asked to testify about IT management at IRS. To do so, GAO summarized its prior work regarding IRS's IT management, including the agency's management of operational, or legacy, IT systems."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has issued a series of reports in recent years which have identified numerous opportunities for the Internal Revenue Service (IRS) to improve the management of its major acquisitions and operational, or legacy, information technology (IT) investments. For example,", "In June 2016, GAO reported that IRS had developed a structured process for allocating funding to its operations activities, consistent with best practices; however, GAO found that IRS did not have a similarly structured process for prioritizing modernization activities to which the agency allocated hundreds of millions of dollars for fiscal year 2016. Instead, IRS officials stated that they held discussions to determine the modernization efforts that were of highest priority to meet IRS's future state vision and technology roadmap, and considered staffing resources and lifecycle stage. However, they did not use formal criteria for making final determinations. GAO concluded that establishing a structured process for prioritizing modernization activities would better assist Congress and other decision makers in ensuring that the right priorities are funded. Accordingly, GAO recommended that IRS establish, document, and implement policies and procedures for prioritizing modernization activities. IRS agreed with the recommendation and has efforts underway to address it.", "In the same report, GAO noted that IRS could improve the accuracy of reported performance information for key development investments to provide Congress and other external parties with pertinent information about the delivery of these investments. This included investments such as Customer Account Data Engine 2, which IRS is developing to replace its 50-year old repository of individual tax account data, and the Return Review Program, IRS's system of record for fraud detection. GAO recommended that IRS take steps to improve reported investment performance information. IRS agreed with the recommendation, and has efforts underway to address it.", "In a May 2016 report on legacy IT systems across the federal government, GAO noted that IRS used assembly language code to program key legacy systems. Assembly language code is a computer language initially used in the 1950s that is typically tied to the hardware for which it was developed; it has become difficult to code and maintain. One investment that used this language is IRS's Individual Master File which serves as the authoritative data source for individual taxpayer accounts. GAO noted that, although IRS has been working to replace the Individual Master File, the bureau did not have time frames for its modernization or replacement. Therefore, GAO recommended that the Department of Treasury identify and plan to modernize and replace this legacy system, consistent with applicable guidance from the Office of Management and Budget. The department had no comments on the recommendation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made a number of recommendations to IRS to improve its management of IT acquisitions and operations. IRS has generally agreed with the recommendations and is in various stages of implementing them."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent work related to the Internal Revenue Service\u2019s (IRS) management of information technology (IT). IRS relies extensively on IT systems to annually collect more than $3 trillion in taxes, distribute more than $400 billion in refunds, and carry out its mission of providing service to America\u2019s taxpayers in meeting their tax obligations. For fiscal year 2016, IRS expended approximately $2.7 billion for IT investments, including $1.9 billion, or 70 percent, for operational systems, and approximately $800 million, or 30 percent, for development and modernization.", "As you know, however, the effective and efficient acquisition and management of IT investments has been a long-standing challenge in the federal government. IRS, in particular, has faced challenges in managing its acquisitions and operations, and we have reported on opportunities for the agency to improve the management of its IT investments.", "My statement today summarizes our prior reports that have addressed IRS\u2019s IT management, including the management of its operational, or legacy, systems. A more detailed discussion of the objectives, scope, and methodology for the work conducted is included in these reports.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The mission of IRS, a bureau within the Department of the Treasury, is to (1) provide America\u2019s taxpayers top quality service by helping them understand and meet their tax responsibilities and (2) enforce the law with integrity and fairness to all. In carrying out its mission, IRS annually collects over $3 trillion in taxes from millions of taxpayers, and manages the distribution of over $400 billion in refunds. To guide its future direction, the agency has two strategic goals: (1) deliver high quality and timely service to reduce taxpayer burden and encourage voluntary compliance; and (2) effectively enforce the law to ensure compliance with tax responsibilities and combat fraud."], "subsections": [{"section_title": "IRS Relies on Major IT Investments for Tax Processing", "paragraphs": ["Effective management of IT is critical for agencies to achieve successful outcomes. This is particularly true for IRS, given the role of IT in enabling the agency to carry out its mission and responsibilities. For example, IRS relies on information systems to process tax returns; account for tax revenues collected; send bills for taxes owed; issue refunds; assist in the selection of tax returns for audit; and provide telecommunications services for all business activities, including the public\u2019s toll-free access to tax information.", "For fiscal year 2016, IRS was pursuing 23 major and 114 non-major IT investments to carry out its mission. According to the agency, it expended approximately $2.7 billion on these investments during fiscal year 2016, including $1.9 billion, or 70 percent, for operations and maintenance activities, and approximately $800 million, or 30 percent, for development, modernization, and enhancement. We have previously reported on a number of the agency\u2019s major investments, to include the following investments in development, modernization, and enhancement:", "The Affordable Care Act investment encompasses the planning, development, and implementation of IT systems needed to support tax administration responsibilities associated with key provisions of the Patient Protection and Affordable Care Act. IRS expended $253 million on this investment in fiscal year 2016.", "Customer Account Data Engine 2 is being developed to replace the Individual Master File investment, IRS\u2019s authoritative data source for individual tax account data. A major component of the program is a modernized database for all individual taxpayers that is intended to provide the foundation for more efficient and effective tax administration and help address financial material weaknesses for individual taxpayer accounts. Customer Account Data Engine 2 data is also expected to be made available for access by downstream systems, such as the Integrated Data Retrieval System for online transaction processing by IRS customer service representatives. IRS expended $182.6 million on this investment in fiscal year 2016.", "The Return Review Program is IRS\u2019s system of record for fraud detection. As such, it is intended to enhance the agency\u2019s capabilities to detect, resolve, and prevent criminal and civil tax noncompliance. In addition, it is intended to allow analysis and support of complex case processing requirements for compliance and criminal investigation programs during prosecution, revenue protection, accounts management, and taxpayer communications processes. According to IRS, as of May 2017, the system has helped protect over $4.5 billion in revenue. IRS expended $100.2 million on this investment in fiscal year 2016.", "We have also reported on the following investments in operations and maintenance:", "Mainframes and Servers Services and Support provides for the design, development, and deployment of server; middleware; and large systems and enterprise storage infrastructures, including supporting systems software products, databases, and operating systems. This investment has been operational since 1970. IRS expended $499.4 million on this investment in fiscal year 2016.", "Telecommunications Systems and Support provides for IRS\u2019s network infrastructure services such as network equipment, video conference service, enterprise fax service, and voice service for over 85,000 employees at about 1,000 locations. According to IRS, the investment supports the delivery of services and products to employees, which translates into service to taxpayers. IRS expended $336.4 million on this investment in fiscal year 2016.", "Individual Master File is the authoritative data source for individual taxpayer accounts. Using this system, accounts are updated, taxes are assessed, and refunds are generated as required during each tax filing period. Virtually all IRS information system applications and processes depend on output, directly or indirectly, from this data source. IRS expended $14.3 million on this investment in fiscal year 2016."], "subsections": []}, {"section_title": "GAO, Congress, and the Administration Have Highlighted the Need for Government-wide Improvements for IT Acquisitions and Operations", "paragraphs": ["In fiscal year 2017, the federal government planned to spend more than $89 billion for IT that is critical to the health, economy, and security of the nation. However, we have reported that prior IT expenditures have often resulted in significant cost overruns, schedule delays, and questionable mission-related achievements. In light of these ongoing challenges, in February 2015, we added improving the management of IT acquisitions and operations to our list of high-risk areas for the federal government. This area highlights several critical IT initiatives in need of additional congressional oversight, including (1) reviews of troubled projects; (2) efforts to increase the use of incremental development; (3) efforts to provide transparency relative to the cost, schedule, and risk levels for major IT investments; (4) reviews of agencies\u2019 operational investments; (5) data center consolidation; and (6) efforts to streamline agencies\u2019 portfolios of IT investments. We noted that implementation of these initiatives has been inconsistent and more work remains to demonstrate progress in achieving acquisitions and operations outcomes. Between fiscal years 2010 and 2015, we made about 800 recommendations related to this high-risk area to the Office of Management and Budget and agencies. As of September, 2017, about 54 percent of these recommendations had been implemented.", "The Federal Information Technology Acquisition Reform provisions (commonly referred to as FITARA), enacted as a part of the Carl Levin and Howard P. \u2018Buck\u2019 McKeon National Defense Authorization Act for Fiscal Year 2015, aimed to improve federal IT acquisitions and operations and recognized the importance of the initiatives mentioned above by incorporating certain requirements into the law. For example, among other things, the act requires the Office of Management and Budget to publicly display investment performance information and review federal agencies\u2019 IT investment portfolios.", "The current administration has also initiated additional efforts aimed at improving federal IT. Specifically, in March 2017, the administration established the Office of American Innovation, which has a mission to, among other things, make recommendations to the President on policies and plans aimed at improving federal government operations and services and modernizing federal IT. Further, in May 2017, the administration established the American Technology Council, which has a goal of helping to transform and modernize federal agency IT and how the federal government uses and delivers digital services. Recently this council worked with several agencies to develop a draft report on modernizing IT in the federal government. The council released the draft report for public comment in August 2017."], "subsections": []}]}, {"section_title": "GAO Reviews Have Identified Weaknesses with IRS\u2019s Management of Its Modernization Activities and Legacy Systems", "paragraphs": ["In reviews that we have undertaken over the past several years, we have identified various opportunities for the IRS to improve the management of its IT investments. These reviews have identified a number of weaknesses with the agency\u2019s reporting on the performance of its modernization investments to Congress and other stakeholders. In this regard, we have pointed out that information on investments\u2019 performance in meeting cost, schedule, and scope goals is critical to determining the agency\u2019s progress in completing key IT investments. We have also stressed the importance of the agency addressing weaknesses in its process for prioritizing modernization activities. Accordingly, we have made a number of related recommendations, which IRS is in various stages of implementing.", "In our June 2012 report on IRS\u2019s performance in meeting cost, schedule, and scope goals for selected investments, we noted that, while IRS reported on the cost and schedule of its major IT investments, the agency did not have a quantitative measure of scope\u2014a measure that shows whether these investments delivered planned functionality. We stressed that having such a measure is a good practice as it provides information about whether an investment has delivered the functionality that was paid for. Accordingly, we recommended that the agency develop a quantitative measure of scope for its major IT investments, to have more complete information on the performance of these investments. In response, IRS started developing a quantitative measure of scope for selected investments in December 2015 and has been working to gradually expand the measure to other investments.", "In April 2013, based on another review of IRS\u2019s performance in meeting cost, schedule, and scope goals, we reported that there were weaknesses, to varying degrees, in the reliability of IRS\u2019s investment performance information. Specifically, we found that IRS had not updated investment cost and schedule variance information with actual amounts on a timely basis (i.e., within the 60-day time frame required by the Department of Treasury) in about 25 percent of the activities associated with the investments selected in our review. In addition, the agency had not specified how project managers should estimate the cost and schedule performance of ongoing projects.", "As a result of these findings, we recommended that IRS ensure that its projects consistently follow guidance for updating performance information 60 days after completion of an activity and develop and implement guidance that specifies best practices to consider when estimating ongoing projects\u2019 progress in meeting cost and schedule goals. IRS agreed with, and subsequently addressed, the recommendation related to updating performance information on a timely basis. However, the agency partially disagreed with the recommendation to develop guidance on estimating progress in meeting cost and schedule goals for ongoing projects. In this regard, we had suggested the use of earned value management data as a best practice to determine projected cost and schedule amounts. IRS did not agree with the use of the technique, stating that it was not part of the agency\u2019s current program management processes and that the cost and burden to use earned value management would outweigh the value added.", "We disagreed with the agency\u2019s view of earned value management because best practices have found that its value generally outweighs the cost and burden of its implementation (although we suggested it as one of several examples of practices that could be used to determine projected amounts). We also stressed that implementing our recommendation would help improve the reliability of reported cost and schedule variance information, and that IRS had flexibility in determining which best practices to use to calculate projected amounts. For those reasons, we maintained that our recommendation was warranted. However, IRS has yet to address the recommendation.", "We reported in April 2014, that the cost and schedule performance information that IRS reported for its major investments was for the fiscal year only. We noted that this reporting would be more meaningful if supplemented with cumulative cost and schedule performance information in order to better indicate progress toward meeting goals. In addition, we noted that the reported variances for selected investments were not always reliable because the estimated and actual cost and schedule amounts on which they depended had not been consistently updated in accordance with Department of Treasury reporting requirements as we had previously recommended.", "We recommended that IRS report more comprehensive and reliable cost and schedule information for its major investments. The agency agreed with our recommendation and said it believed it had addressed the recommendation in its quarterly reports to Congress. We disagreed with IRS\u2019s assertion, however, noting that, while the report includes cumulative costs, they are cumulative for the fiscal year, not for the investment or investment segment as we recommended and they therefore do not account for cost variances from prior fiscal years. We therefore maintained our recommendation.", "In February 2015, after assessing the status and plans of the Return Review Program and Customer Account Data Engine 2, we reported that these investments had experienced significant variances from initial cost, schedule, and scope plans; yet, IRS did not include these variances in its reports to Congress because the agency had not addressed our prior recommendations. Specifically, IRS had not addressed our recommendation to report on how delivered scope compared to what was planned, and it also did not address guidance for determining projected cost and schedule amounts, or the reporting of cumulative cost and schedule performance information. We stressed that implementing these recommendations would improve the transparency of congressional reporting so that Congress has the appropriate information needed to make informed decisions. We made additional recommendations for the agency to improve the reliability and reporting of investment performance information and management of selected major investments. IRS agreed with the recommendations and has since addressed them.", "In our most recent report in June 2016, we assessed IRS\u2019s process for determining its funding priorities for both modernization and operations. We found that the agency had developed a structured process for allocating funding to its operations activities consistent with best practices, which specify that an organization should document policies and procedures for selecting new and reselecting ongoing IT investments, and include criteria for making selection and prioritization decisions.", "However, IRS did not have a similarly structured process for prioritizing its modernization activities, to which the agency allocated hundreds of millions of dollars for fiscal year 2016. Agency officials stated that discussions were held to determine the modernization efforts that were of highest priority to meet IRS\u2019s future state vision and technology roadmap. The officials reported that staffing resources and lifecycle stage were considered, but there were no formal criteria for making final determinations. Senior IRS officials said they did not have a structured process for the selection and prioritization of business systems modernization activities because the projects were established; and there were fewer competing activities than for operations support.", "Nevertheless, we stressed that, while there may have been fewer competing activities, a structured, albeit simpler, process that is documented and consistent with best practices would provide transparency into the agency\u2019s needs and priorities for appropriated funds. We concluded that such a process would better assist Congress and other decision makers in carrying out their oversight responsibilities. Accordingly, we recommended that IRS develop and document its processes for prioritizing IT funding. The agency agreed with the recommendations and has taken steps to address them.", "Further, we found that IRS had reported complete performance information for two of the six selected investments in our review, to include a measure of progress in delivering scope, which we have been recommending since 2012. However, the agency did not always use best practices for determining the amount of work completed by its own staff, resulting in inaccurate reports of work performed. Consequently, we recommended that IRS modify its processes for determining the work performed by its staff. The agency disagreed with the recommendation, stating that the costs involved would outweigh the value provided. Specifically, IRS stated that modifying the use of the level of effort measure would equate to a certified earned value management system, which would add immense burden on IRS\u2019s programs on various fronts and would outweigh the value it provides. However, we did not specify the use of an earned value management system in our report and believe other methods could be used to more reliably measure work performed.. In addition, we believed that it is a reasonable expectation for IRS to reliably determine the actual work completed, as opposed to assuming that work is always completed as planned since, as noted in our report, 22 to 100 percent of the work for selected projects was performed by IRS staff. Accordingly, we maintained that the recommendation was still warranted."], "subsections": [{"section_title": "IRS Faces Challenges with Managing Its Aging Legacy Systems", "paragraphs": ["Our work has also emphasized the importance of IRS more effectively managing its aging legacy systems. For example, in November 2013, we reported on the extent to which 10 of the agency\u2019s large investments had undergone operational analyses\u2014a key performance evaluation and oversight mechanism required by the Office of Management and Budget to ensure investments in operations and maintenance continue to meet agency needs. We noted that IRS\u2019s Mainframe and Servers Services and Support had not had an operational analysis for fiscal year 2012. As a result, we recommended that the Secretary of Treasury direct appropriate officials to perform an operational analysis for the investment, including ensuring that the analysis addressed the 17 key factors identified in the Office of Management and Budget\u2019s guidance for performing operational analyses. The department did not comment on our recommendation but subsequently implemented it.", "In addition, we previously reported on legacy IT systems across the federal government, noting that these systems were becoming increasingly obsolete and that many of them used outdated software languages and hardware parts that were unsupported. As part of that work, we noted that the Department of the Treasury used assembly language code\u2014a computer language initially used in the 1950s and typically tied to the hardware for which it was developed\u2014and Common Business Oriented Language (COBOL)\u2014a programming language developed in the late 1950s and early 1960s\u2014to program its legacy systems.", "It is widely known that agencies need to move to more modern, maintainable languages, as appropriate and feasible. For example, the Gartner Group, a leading IT research and advisory company, has reported that organizations using COBOL should consider replacing the language and, in 2010, noted that there should be a shift in focus to using more modern languages for new products. The use of COBOL presents challenges for agencies such as IRS given that procurement and operating costs associated with this language will steadily rise, and because fewer people with the proper skill sets are available to support the language.", "Further, we reported that IRS\u2019s Individual Master File was over 50 years old and, although IRS was working to modernize it, the agency did not have a time frame for completing the modernization or replacement. Thus, we recommended that the Secretary of the Treasury direct the Chief Information Officer to identify and plan to modernize and replace legacy systems, as needed, and consistent with the Office of Management and Budget\u2019s draft guidance on IT modernization, including time frames, activities to be performed, and functions to be replaced or enhanced. The department had no comments on our recommendation. We will continue to follow-up with the agency to determine the extent to which this recommendation has been addressed. In addition, we have ongoing work identifying risks associated with IRS\u2019s legacy IT systems, and the agency\u2019s management of these risks.", "In summary, IRS faces longstanding challenges in managing its IT systems. While effective IT management has been a prevalent issue throughout the federal government, it is especially concerning at IRS given the agency\u2019s extensive reliance on IT to carry out its mission of providing service to America\u2019s taxpayers in meeting their tax obligations. Thus, it is important that the agency establish, document, and implement policies and procedures for prioritizing its modernization efforts, as we have recently recommended, and provide Congress with accurate information on progress in delivering such modernization efforts. In addition, we have emphasized the need for IRS to address the inherent challenges associated with aging legacy systems so that it does not continue to maintain investments that have outlived their effectiveness and are consuming resources that outweigh their benefits. Continued attention to implementing our recommendations will be vital to helping IRS ensure the effective management of its efforts to modernize its aging IT systems and ensure its multibillion dollar investment in IT is meeting the needs of the agency.", "Chairman Buchanan, Ranking Member Lewis, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact me at (202) 512-9286 or at pownerd@gao.gov. Individuals who made key contributions to this testimony are Sabine Paul (Assistant Director), Rebecca Eyler, and Bradley Roach (Analyst in Charge)."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["IRS 2013 Budget: Continuing to Improve Information on Program Costs and Results Could Aid in Resource Decision Making, GAO-12-603 (Washington, D.C.: June 8, 2012)", "Information Technology: Consistently Applying Best Practices Could Help IRS Improve the Reliability of Reported Cost and Schedule Information, GAO-13-401 (Washington, D.C.: April 17, 2013)", "Information Technology: Agencies Need to Strengthen Oversight of Multibillion Dollar Investments in Operations and Maintenance, GAO-14-66 (Washington, D.C.: Nov. 6, 2013)", "Information Technology: IRS Needs to Improve the Reliability and Transparency of Reported Investment Information, GAO-14-298 (Washington, D.C.: April 2, 2014)", "Information Technology: Management Needs to Address Reporting of IRS Investments\u2019 Cost, Schedule, and Scope Information, GAO-15-297 (Washington, D.C.: February 25, 2015)", "Information Technology: Federal Agencies Need to Address Aging Legacy Systems, GAO-16-468 (Washington, D.C.: May 25, 2016)", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-18-414", "url": "https://www.gao.gov/products/GAO-18-414", "title": "2020 Census: Actions Needed to Improve In-Field Address Canvassing Operation", "published_date": "2018-06-14T00:00:00", "released_date": "2018-07-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The success of the decennial census depends in large part on the Bureau's ability to locate every household in the United States. To accomplish this monumental task, the Bureau must maintain accurate address and map information for every location where a person could reside. For the 2018 End-to-End Test, census workers known as listers went door-to-door to verify and update address lists and associated maps in selected areas of three test sites\u2014Bluefield-Beckley-Oak Hill, West Virginia; Pierce County, Washington; and Providence County, Rhode Island.", "GAO was asked to review in-field address canvassing during the End-to-End Test. This report determines whether key address listing activities functioned as planned during the End-to-End Test and identifies any lessons learned that could inform pending decisions for the 2020 Census. To address these objectives, GAO reviewed key documents including test plans and training manuals, as well as workload, productivity and hiring data. At the three test sites, GAO observed listers conducting address canvassing."]}, {"section_title": "What GAO Found", "paragraphs": ["The Census Bureau (Bureau) recently completed in-field address canvassing for the 2018 End-to-End Test. GAO found that field staff known as listers generally followed procedures when identifying and updating the address file; however, some address blocks were worked twice by different listers because the Bureau did not have procedures for reassigning work from one lister to another while listers work offline. Bureau officials told GAO that they plan to develop procedures to avoid duplication but these procedures have not been finalized. Duplicating work decreases efficiency and increases costs.", "GAO also found differences between actual and projected data for workload, lister productivity, and hiring.", "For the 2020 Census, the Bureau estimates it will have to verify 30 percent of addresses in the field. However, at the test sites, the actual workload ranged from 37 to 76 percent of addresses. Bureau officials told GAO the 30 percent was a nationwide average and not site specific; however, the Bureau could not provide documentation to support the 30 percent workload estimate.", "At all three test sites listers were significantly more productive than expected possibly because a design change provided better quality address and map data in the field, according to the Bureau.", "Hiring, however, lagged behind Bureau goals. For example, at the West Virginia site hiring was only at 60 percent of its goal. Bureau officials attributed the shortfall to a late start and low unemployment rates.", "Workload and productivity affect the cost of address canvassing. The Bureau has taken some steps to evaluate factors affecting its estimates, but continuing to so would help the Bureau refine its assumptions to better manage the operation's cost and hiring.", "Listers used laptops to connect to the Internet and download assignments. They worked offline and went door-to-door to update the address file, then reconnected to the Internet to transmit their completed assignments. Bureau officials told GAO that during the test 11 out of 330 laptops did not properly transmit address and map data collected for 25 blocks. Data were deleted on 7 laptops. Because the Bureau had known there was a problem with software used to transmit address data, it created an alert report to notify the Bureau staff if data were not properly transmitted. However, Bureau officials said that either responsible staff did not follow procedures to look at the alert reports or the reports were not triggered. The Bureau is working to fix the software problem and develop new alert reports, but has not yet determined and addressed why these procedures were not followed.", "The Bureau's data management reporting system did not always provide accurate information because of a software issue. The system was supposed to pull data from several systems to create a set of real-time cost and progress reports for managers to use. Because the data were not accurate, Bureau staff had to rely on multiple systems to manage address canvassing. The Bureau agreed that not only is inaccurate data problematic, but that creating workarounds is inefficient. The Bureau is developing new requirements to ensure data are accurate but these requirements have not been finalized."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations to the Department of Commerce and Bureau including to: (1) finalize procedures for reassigning work, (2) continue to evaluate workload and productivity data, (3) fix software problem, or determine and address why procedures were not followed, and (4) finalize report requirements to ensure data are accurate. The Department of Commerce agreed with GAO's recommendations, and the Bureau provided technical comments that were incorporated, as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is constitutionally mandated to undertake the decennial census, a complex and costly activity\u2014estimated at $15.6 billion (dollars inflated to the current 2020 Census time frame fiscal years 2012-2023) for the 2020 Census. The data that the census produces are used to apportion the seats of the U.S. House of Representatives; realign the boundaries of the legislative districts of each state; allocate hundreds of billions of dollars in federal financial assistance; and provide a social, demographic, and economic profile of the nation\u2019s people to guide policy decisions at each level of government.", "The success of the census depends largely on the ability of the Census Bureau (Bureau) to locate every person residing in the United States. To accomplish this monumental task, the Bureau must maintain accurate address and map information for every person\u2019s residence. If the Bureau\u2019s address list and maps are inaccurate, people can be missed, counted more than once, or included in the wrong location. In an effort to help control costs, the Bureau is using new procedures to build its address list for 2020. As these procedures have not been used in prior decennials, the Bureau has conducted several tests in the last few years to help ensure the new approach will function as planned and produce a complete and accurate address database. The 2018 End-to-End Test is the last opportunity to demonstrate census technology and procedures\u2014 including new methods for building the address list\u2014across a range of geographic locations, housing types, and demographic groups under census-like conditions before the 2020 Census.", "On August 28, 2017, the Bureau began what it calls the \u201cin-field\u201d address canvassing operation for the End-to-End Test where temporary census employees known as listers walked the streets of designated census blocks. In three test sites\u2014Bluefield-Beckley-Oak Hill, West Virginia; Pierce County, Washington; and Providence County, Rhode Island\u2014 listers knocked on doors and, using laptops connected to the internet, verified the address and geographic location of assigned housing units and identified any additions, deletions, and any other changes that need to be made to the address list. For example, they would add converted basements, attics, and other \u201chidden\u201d housing units to the list.", "You asked us to review how the address canvassing operation performed as part of the 2018 End-to-End Test. This report (1) determines the extent to which key \u201cin-field\u201d address listing activities functioned as planned and (2) identifies any lessons learned that could potentially affect pending decisions for the 2020 Census.", "To address these objectives, we reviewed key documents including the 2018 End-to-End Test plan that discussed the goals and objectives for the test, as well as training manuals and other related documents for address canvassing. We interviewed Bureau staff at the three 2018 Census test sites including census field supervisors (CFS), address listers, and office personnel to discuss what went well and what challenges they faced during address canvassing. At each test site, the Bureau selected Census field staff for us to interview and observe from among those working on the days of our visits. At all three test sites, we observed listers conduct address canvassing. In addition, we used the training manuals to determine whether listers collected address information as prescribed by the Bureau. In total we conducted 18 in-field observations of listers and used a data collection instrument to document our observations. These observations are not generalizable. We also interviewed Bureau headquarters officials to discuss the use of management reports for monitoring and overseeing the operation.", "We reviewed workload estimates, address lister productivity rates, and hiring information for each test site in order to report how many housing units were included at each test site, how many addresses the Bureau expected to canvass per hour, and how many people they needed to hire. To assess the reliability of these data, we reviewed available documentation and interviewed knowledgeable officials. We found the data to be sufficiently reliable for the purposes of our reporting objectives. We also met periodically with Bureau headquarters staff to discuss progress of the operation.", "We conducted this performance audit from July 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Bureau\u2019s address canvassing operation updates its address list and maps, which are the foundation of the decennial census. An accurate address list both identifies all households that are to receive a notice by mail requesting participation in the census (by Internet, phone, or mailed- in questionnaire) and serves as the control mechanism for following up with households that fail to respond to the initial request. Precise maps are critical for counting the population in the proper locations\u2014the basis of congressional apportionment and redistricting.", "Our prior work has shown that developing an accurate address list is challenging\u2014in part because people can reside in unconventional dwellings, such as converted garages, basements, and other forms of hidden housing. For example, as shown in figure 1, what appears to be a single-family house could contain an apartment, as suggested by its two doorbells.", "During address canvassing, the Bureau verifies that its master address list and maps are accurate to ensure the tabulation for all housing units and group quarters is correct. For the 2010 Census, the address canvassing operation mobilized almost 150,000 field workers to canvass almost every street in the United States and Puerto Rico to update the Bureau\u2019s address list and map data\u2014and in 2012 reported the cost at nearly $450 million. The cost of going door-to-door in 2010, along with the emerging availability of imagery data, led the Bureau to explore an approach for 2020 address canvassing that would allow for fewer boots on the ground.", "Traditionally, the Bureau went door-to-door to homes across the country to verify addresses. This \u201cin-field address canvassing\u201d is a labor-intensive and expensive operation. To achieve cost savings, in September 2014 the Bureau decided to use a reengineered approach for building its address list for the 2020 Census and not go door-to-door (or \u201cin-field\u201d) across the country, as it has in prior decennial censuses. Rather, some areas (known as \u201cblocks\u201d) would only need a review of their address and map information using computer imagery and third-party data sources\u2014 what the Bureau calls \u201cin-office\u201d address canvassing procedures.", "According to the Bureau\u2019s address canvassing operational plan, in-office canvassing had two phases:", "During the first phase, known as \u201cInteractive Review,\u201d Bureau employees use current aerial imagery to determine if areas have housing changes, such as new residential developments or repurposed structures, or if the areas match what is in the Bureau\u2019s master address file. The Bureau assesses the extent to which the number of housing units in the master address file is consistent with the number of units visible in the current imagery. If the housing shown in the imagery matches what is listed in the master address file, then those areas are considered to be resolved or stable and would not be canvassed in-field.", "During the second phase, known as \u201cActive Block Resolution,\u201d employees would try to resolve coverage concerns identified during the first phase and verify every housing unit by virtually canvassing the entire area. As part of this virtual canvass, the Bureau would compare what is found in imagery to the master address file data and other data sources in an attempt to resolve any discrepancies. If Bureau employees still could not reconcile the discrepancies, such as housing unit count or street locations with what is on the address list, then they would refer these blocks to in-field address canvassing.", "However, in March 2017, citing budget uncertainty the Bureau decided to discontinue the second phase of in-office review for the 2020 Census. According to the Bureau, in order to ensure that the operations implemented in the 2018 End-to-End Test were consistent with operations planned for the 2020 Census, the Bureau added the blocks originally resolved during the second phase of in-office review back into the in-field workload for the test. The cancellation of Active Block Resolution is expected to increase the national workload of the in-field canvassing workload by 5 percentage points (25 percent to 30 percent).", "During in-field address canvassing, listers use laptop computers to compare what they see on the ground to what is on the address list and map. Listers confirm, add, delete, or move addresses to their correct map positions. At each housing unit, listers are trained to speak with a knowledgeable resident to confirm or update address data, ask about hidden housing units, confirm the housing unit location on the map, (known as the map spot) and collect a map spot using global positioning systems (GPS). If no one is available, listers are to use house numbers and street signs to verify the address data. The data are transmitted electronically to the Bureau.", "The Census Bureau expects that the End-to-End Test for address canvassing will identify areas for improvement and changes that need to be made for the 2020 Census. Our prior work has shown the importance of robust testing. Rigorous testing is a critical risk mitigation strategy because it provides information on the feasibility and performance of individual census-taking activities, their potential for achieving desired results, and the extent to which they are able to function together under full operational conditions.", "In February 2017, we added the 2020 Census to GAO\u2019s High-Risk List because operational and other issues are threatening the Bureau\u2019s ability to deliver a cost-effective enumeration. We reported on concerns about the Bureau\u2019s capacity to implement innovative census-taking methods, uncertainties surrounding critical information technology systems, and the quality of the Bureau\u2019s cost-estimates. Underlying these issues are challenges in such essential management functions as the Bureau\u2019s ability to: collect and use real-time indicators of cost, performance, and schedule; follow leading practices for cost estimation; scheduling; risk management; IT acquisition, development, testing, and security; and cost-effectively deal with contingencies including, for example, fiscal constraints, potential changes in design, and natural disasters."], "subsections": []}, {"section_title": "The Listers Generally Followed Procedures, but the Bureau Experienced Some Issues Reassigning Work, Estimating Workload and Lister Productivity, and Managing to Staffing Goals", "paragraphs": ["The Bureau completed in-field address canvassing as scheduled by September 29, 2017, canvassing approximately 340,400 addresses. Most of the listers we observed generally followed procedures. For example, 15 of 18 listers knocked on doors, and 16 of 18 looked for hidden housing units, which is important for establishing that address lists and maps are accurate and for identifying hard-to-count populations. Those procedures include taking such steps as: comparing the housing units they see on the \u201cground\u201d to the housing units on the address list, knocking on all doors so they could speak with a resident to confirm the address (even if the address is visible on the mailbox or house) and to confirm that there are no other living quarters such as a basement apartment, looking for \u201chidden housing units\u201d, looking for group quarters such as group homes or dormitories, and confirming the location of the housing unit on a map with GPS coordinates collected on the doorstep.", "To the extent procedures were not followed, it generally occurred when listers did not go up to the door and speak with a resident or take a map spot on the doorstep. Failure to follow procedures could adversely affect a complete count, as addresses could be missed or a group quarter could be misclassified as a residential address. After we alerted the Bureau to our observations, the Bureau agreed moving forward, to emphasize the importance of following procedures during training for in-field address canvassing."], "subsections": [{"section_title": "Some Listers Duplicated Each Other\u2019s Work Due to a Lack of Operational Procedures for Reassigning Work", "paragraphs": ["Address canvassing has tight time frames, so work needs to be assigned efficiently. Sometimes this means the Bureau needs to reassign work from one lister to another. During address canvassing, the Bureau discovered that reassigned census blocks sometimes would appear in both the new and the original listers\u2019 work assignments. In some cases, this led to blocks being worked more than once, which decreased efficiency, increased costs, and could create confusion and credibility issues when two different listers visit a house.", "According to Bureau procedures, listers were instructed to connect to the Bureau\u2019s Mobile Case Management (MCM) system to download work assignments (address blocks) and to transmit their completed work at the beginning and end of the work day but not during the work day. Thus during the work day, they were unaware when unworked blocks had been reassigned to another lister. Bureau officials also told us that the Listing and Mapping Application (LiMA) software used to update the address file and maps was supposed to have the functionality to prevent blocks from being worked more than once, but this functionality was not developed because of budget cuts.", "For 2020, Bureau officials told us they plan to create operational procedures for reassigning work. According to Bureau officials, they plan to require supervisors to contact the original lister when work is reassigned. We have requested a copy of those procedures; however, the Bureau has not finalized them. Standards for Internal Control in the Federal Government (Standards for Internal Control) call for management to design control activities, such as policies and procedures to achieve objectives. Finalizing these procedures should help prevent blocks from being canvassed more than once."], "subsections": []}, {"section_title": "The Bureau Has Not Evaluated Workload, Productivity Rates, and Staffing Assumptions for Address Canvassing", "paragraphs": ["The Bureau conducts tests under census-like conditions, in part, to verify 2020 Census planning assumptions, such as workload, how many houses per hour a lister can verify (also known as a lister\u2019s productivity rate), and how many people the Bureau needs to hire for an operation. Moreover, one of the objectives of the test is to validate that the operations being tested are ready at the scale needed for the 2020 Census. For the 2018 End-to-End Test, the Bureau completed in-field address canvassing on time at two sites and early at one site; despite workload increases at all three test sites and hiring shortfalls at two sites. The Bureau credits this success to better than expected productivity. As the Bureau reviews the results of address canvassing, evaluating the factors that affected workload, productivity rates, and staffing and making adjustments to its estimates, if necessary, before the 2020 Census would help the Bureau ensure that address canvassing has the appropriate number of staff and equipment to complete the work in the required time frame."], "subsections": [{"section_title": "Workload", "paragraphs": ["For the 2020 Census, the Bureau estimates it will have to send 30 percent of addresses to the field for listers to verify. However, at the three test sites, the workload was higher than this estimate (see table 1). At one test site, the percent of addresses verified through in-field address canvassing was 76 percent or 46 percentage points more than the Bureau\u2019s expected 2020 Census in-field address canvassing workload estimate of 30 percent.", "Bureau officials told us that the 30 percent in-field workload estimate is a national average and is not specific to any of the three test sites. Prior to the test, officials said that the Bureau also knew that the West Virginia site was assigning new addresses to some of the test site\u2019s housing units due to local government emergency 911 address conversion and that the in-field workload would be greater in West Virginia when compared to the other test sites.", "We requested documentation for the Bureau\u2019s original estimate that 30 percent of the 133.8 million expected addresses would be canvassed in- field for the 2020 Census. However, the Bureau was unable to provide us with documentation to support how they arrived at the 30 percent estimate. Instead, the Bureau provided us with a November 2017 methodology document that showed three in-field address canvassing workload scenarios, whereby, between 41.9 and 45.1 percent of housing units would need to go to the field for address canvassing. The three scenarios consider a range of stability in the address file as well as different workload estimates for in-field follow-up. At 30 percent the Bureau would need to canvass about 40.2 million addresses; however, at 41.9 and 45.1 percent the Bureau would need to canvass between 56 million and 60.4 million addresses, respectively. According to Bureau officials, they are continuing to assess whether changes to its in-office address canvassing procedures would be able to reduce the in-field address canvassing workload to 30 percent, while at the same time maintaining address quality. However, Bureau officials did not provide us with documentation to show how the in-field address canvassing workload would be reduced because the proposed changes were still being reviewed internally.", "Workload for address canvassing directly affects cost \u2013 the greater the workload the more people as well as laptop computers needed to carry out the operation. We found that the 30 percent workload threshold is what is reflected in the December 2017 updated 2020 Census cost estimate that was used to support the fiscal year 2019 budget request. Thus, if the 30 percent threshold is not achieved then the in-field canvassing workload will likely increase for the 2020 Census and the Bureau would be at risk of exceeding its proposed budget for the address canvassing operation.", "Standards for Internal Control call for organizations to use quality information to achieve their objectives. Thus, continuing to evaluate and finalize workload estimates for in-field address canvassing with the most current information will help ensure the Bureau is well-positioned to conduct addressing canvassing for the 2020 Census. For example, according to Bureau officials, preliminary workload estimates will need to be delivered by January 2019 for hiring purposes and the final in-field workload numbers for address canvassing will need to be determined by June 2019 for the start of address canvassing, which is set to begin in August 2019. Moreover, by February 2019 the Bureau\u2019s schedule calls for it to determine how many laptops will be needed to conduct 2020 Census address canvassing."], "subsections": []}, {"section_title": "Lister Productivity", "paragraphs": ["At the test sites, listers were substantially more productive than the Bureau expected. The expected production rate is defined as the number of addresses expected to be completed per hour, and it affects the cost of the address canvassing operation. This rate includes time for actions other than actually updating addresses, such as travel time. In the 2010 Census the rates reflected different geographic areas, and the country was subdivided into three areas: urban/suburban, rural, and very rural. According to Bureau officials, for the 2020 Census the Bureau will have variable production rates based on geography, similar to the design used in the 2010 Census. The Bureau told us they have not finalized the 2020 Census address canvassing production rates.", "Table 2 shows the expected and actual productivity rates (addresses per hour) for the in-field address canvassing operation at all three test sites.", "To ensure address canvassing for the test was consistent with the 2020 Census, Bureau officials told us they included the blocks resolved during the now discontinued second phase of in-office review, into the in-field workload for the test. The Bureau attributed the greater productivity to this discontinued second phase. Bureau officials told us that they believe that listers spent less time updating those blocks because they had already been resolved, and any necessary changes were already incorporated. Moreover, while benefitting from the second phase of in-office address canvassing may be one explanation for why listers were more productive. Bureau officials told us that they are unable to evaluate the differences in expected versus actual productivity for blocks added to the workload as a result of the discontinued second phase because of limitations with the data. However, there could be other reasons as well such as travel time and geography. Standards for Internal Control require that organizations use quality information to achieve their objectives. Therefore, continuing to evaluate other factors from the 2018 End-to-End Test that may have increased or could potentially decrease productivity will be important for informing lister productivity rates for 2020, as productivity affects the number of listers needed to carry out the operation, the number of staff hours charged to the operation, and the number of laptops to be procured."], "subsections": []}, {"section_title": "Hiring", "paragraphs": ["For the 2018 End-to-End Test address canvassing operation, the Bureau hired fewer listers than it assumed it needed at two sites and hired more at the other site. In West Virginia, 60 percent of the required field staff was hired and in Washington, 74.5 percent of the required field staff was hired. Nevertheless, the operation finished on schedule at both these sites. In contrast in Rhode Island the Bureau hired 112 percent of the required field staff and finished early.", "According to Bureau officials, both the West Virginia and Washington state test sites started hiring field staff later than expected because of uncertainty surrounding whether the Bureau would have sufficient funding to open all three test sites for the 2018 End-to-End Test. When a decision was made to open all three sites for the address canvassing operation only, that decision came late, and Bureau officials told us that once they were behind in hiring and were never able to catch up because of low unemployment rates and the short duration of the operation. According to Bureau officials, their approach to hiring for the 2018 End-to-End Test was similar to that used for the 2010 and 2000 Censuses. In both censuses the Bureau\u2019s goal was to recruit and hire more workers than it needed because of immutable deadlines and attrition.", "After the 2010 Census we reported that the Bureau had over recruited; conversely, for the 2000 Census the Bureau had recruited in the midst of one of the tightest labor markets in three decades. Thus we recommended, and the Bureau agreed to evaluate current economic factors that are associated with and predictive of employee interest in census work, such as national and regional unemployment levels, and use these available data to determine the potential temporary workforce pool and adjust its recruiting approach. The Bureau implemented this recommendation, and used unemployment and 2010 Census data to determine a base recruiting goal at both the Los Angeles, California and Houston, Texas 2016 census test sites. Specifically, the recruiting goal for Los Angeles was reduced by 30 percent.", "Bureau officials told us that it continues to gather staffing data from the 2018 End-to-End Test that will be important to consider looking forward to 2020. Although address canvassing generally finished on schedule even while short staffed, Bureau officials told us they are carefully monitoring recruiting and hiring data to ensure they have sufficient staff for the test\u2019s next census field operation non-response follow-up, when census workers go door-to-door to follow up with housing units that have not responded. Non-response follow-up is set to begin in May 2018. According to test data as of March 2018, the Bureau is short of its recruiting goal for this operation which is being conducted in Providence County, Rhode Island. The Bureau\u2019s goal is to recruit 5,300 census workers and as of March 2018, the Bureau had only recruited 2,732 qualified applicants to fill 1,166 spots for training and deploy 1,049 census workers to conduct non-response follow-up. Bureau officials told us they believe that low unemployment is making it difficult to meet its recruiting goals in Providence County, Rhode Island, but they are confident they will be able to hire sufficient staff without having to increase pay rates.", "Recruiting and retaining sufficient staff to carry out operations as labor- intensive as address canvassing and nonresponse follow-up for the 2020 Census is a huge undertaking with implications for cost and accuracy. Therefore, striking the right staffing balance for the 2020 Census is important for ensuring deadlines are met and costs are controlled."], "subsections": []}]}]}, {"section_title": "Resolving Challenges from the Address Canvassing Test Will Better Position the Bureau for the 2020 Census", "paragraphs": [], "subsections": [{"section_title": "The Bureau Does Not Have Procedures to Ensure All Collected Address Canvassing Data Are Retained", "paragraphs": ["Bureau officials told us that during the test 11 out of 330 laptop computers did not properly transmit address and map data collected for 25 blocks. The lister-collected address file and map data are supposed to be electronically transmitted from the listers\u2019 laptops to the Bureau\u2019s data processing center in Jeffersonville, Indiana. The data are encrypted and remain on the laptop until the laptops are returned to the Bureau where the encrypted data are deleted. Prior to learning that not all data had properly transmitted off the laptops, data on seven of the laptops was deleted. Data on the remaining four laptops were still available. In Providence, Rhode Island, where the full test will take place, the Bureau recanvassed blocks where data were lost to ensure that the address and map information for nonresponse follow-up was correct. Recanvassing blocks increases costs and can lead to credibility problems for the Bureau when listers visit a home twice.", "Going into address canvassing for the End-to-End Test, Bureau officials said they knew there was a problem with the LiMA software used to update the Bureau\u2019s address lists and maps. Specifically, address and map updates would not always transfer when a lister transmitted their completed work assignments from the laptop to headquarters. Other census surveys using LiMA had also encountered the same software problem. Moreover, listers were not aware that data had not transmitted because there was no system-generated warning. Bureau officials are working to fix the LiMA software problem, but told us that the software problem has been persistent across other census surveys that use LiMA and they are not certain it will be fixed.", "Bureau officials told us that prior to the start of address canvassing they created an alert report to notify Bureau staff managing the operation at headquarters if data were not properly transmitted. When transmission problems were reported, staff was supposed to remotely retrieve the data that were not transmitted. This workaround was designed to safeguard the data but according to officials was not used. Bureau officials told us that they do not know whether this was because the alert reports were not viewed by responsible staff or whether the alert report to notify the Bureau staff managing the operation was not triggered. Bureau officials told us they recognize the importance of following procedures to monitor alert reports, and acknowledge that the loss of data on seven of the laptops may have been avoided had the procedures that alert reports get triggered and monitored been followed; however, officials did not know why the procedures were not followed.", "For 2020, if the software problem is not resolved, then officials said the Bureau plans to create two new alert reports to monitor the transmission of data. One report would be triggered when the problem occurs and a second report would capture a one-to-one match between data on the laptop and data transmitted to the data center so that discrepancies would be immediately obvious. While these new reports should help ensure that Bureau staff are alerted when data has not properly transmitted, the Bureau has not determined and addressed why the procedures that required an alert report get triggered and then reviewed by Bureau staff did not work as intended. Standards for Internal Control require that organizations safeguard data and follow policies and procedures to achieve their objectives. Thus, either fixing the LiMA software problem, or if the software problem cannot be fixed, then determining and addressing why procedures that alert reports get triggered and monitored were not followed would position the Bureau to help prevent future data losses."], "subsections": []}, {"section_title": "More Useful and Accurate Monitoring Data for Field Supervisors Would Strengthen Management of Operations", "paragraphs": ["To effectively manage address canvassing, the Bureau needs to be able to monitor the operation\u2019s progress in near real time. Operational issues such as listers not working assigned hours or falling behind schedule need to be resolved quickly because of the tight time frames of the address canvassing and subsequent operations. During the address canvassing test, the Bureau encountered several challenges that hindered its efforts to efficiently monitor lister activities as well as the progress of the address canvassing operation."], "subsections": [{"section_title": "System Alerts Were Not Consistently Used by Supervisors", "paragraphs": ["The Bureau provides data-driven tools for the census field supervisors to manage listers, including system alerts that identify issues that require the supervisor to follow-up with a lister. For the address canvassing operation, the system could generate 14 action codes that covered a variety of operational issues such as unusually high or low productivity (which may be a sign of fraud or failure to follow procedures) and administrative issues such as compliance with overtime and completion of expense reports and time cards.", "During the operation, over 8,250 alerts were sent to CFSs or about 13 alerts were sent per day per CFS. Each alert requires the CFS to take action and then record how the alert was resolved. CFSs told us and the Bureau during debriefing sessions that they believed many of the administrative alerts were erroneous and they dismissed them. For example, during our site visit one CFS showed us an alert that incorrectly identified that a timecard had not been completed. The CFS then showed us that the lister\u2019s timecard had indeed been properly completed and submitted. CFSs we spoke to said that they often dismissed alerts related to expense reports and timecards and did not pay attention to them or manage them. Bureau officials reported that one CFS was fired for not using the alerts to properly manage the operation.", "To assist supervisors, these alerts need to be reliable and properly used. Bureau officials said that they examined alerts for errors after we told them about our observation. They reported that they did not find any errors in the alerts. They believe that CFSs may not fully understand that the alerts stay active until they are marked as resolved by the CFS. For example, if a CFS gets an alert that a lister has not completed a timecard the alert will remain active until the CFS resolves the alert by stating the time card was completed. The Bureau\u2019s current CFS manual does not address that by the time a CFS sees the alert a lister may have already taken action to resolve it. Because this was a reoccurring situation, CFSs told us they had a difficult time managing the alerts.", "Standards for Internal Control call for an agency to use quality information to achieve objectives. Bureau officials acknowledge that it is a problem that some CFSs view the alerts as erroneous and told us they plan to address the importance of alerts in training. We spoke to Bureau officials about making the alerts more useful to CFSs, such as by differentiating between critical and noncritical alerts and streamlining alerts by perhaps combining some of them. Bureau officials told us they would monitor the alerts during the 2018 End-to-End Test\u2019s nonresponse follow-up operation and make adjustments if appropriate. However, while the Bureau told us it will monitor alerts for the non-response follow-up operation, the Bureau does not have a plan for how it will examine and make alerts more useful.", "Ensuring alerts are properly followed up on is critical to the oversight and management of an operation. If the CFSs view the alerts as unreliable, they could be likely to miss key indicators of fraud such as unusually high or low productivity or an unusually high or low number of miles driven. Moreover, monitoring overtime alerts and the submission of daily time cards and expense reports is also important to ensure that overtime is appropriately approved before worked and that listers get paid on time."], "subsections": []}, {"section_title": "The Bureau\u2019s Management Dashboard Did Not Always Display Accurate Information", "paragraphs": ["Another tool the Bureau uses to monitor operations is its Unified Tracking System (UTS), a management dashboard that combines data from a variety of Census systems, bringing the data to one place where the users can run or create reports. It was designed to track metrics such as the number and percentage of blocks assigned and blocks completed as well as the actual expenditures of an operation compared to the budgeted expenditures. However, information in UTS was not always accurate during address canvassing. For example UTS did not always report the correct number of addresses assigned and completed by site. As a result, Bureau managers reported they did not rely on UTS and instead used data from the source systems that fed into it. Bureau officials agreed that inaccurate data is a problem and that this workaround was inefficient as users had to take extra time to go to multiple systems to get the correct data.", "Bureau officials reported problems importing information from the feeder systems into UTS because of data mismatches. They said that address canvassing event codes were not processed sequentially, as they should have been, which led to inaccurate reporting. Bureau officials told us that they did not specify that the codes needed to be processed in chronological order as part of the requirements for UTS. Bureau officials said UTS passed the requisite readiness reviews and tests. However, Bureau officials also acknowledged that some of these problems could have been caught by exception testing which was not done prior to production.", "To resolve this issue for 2020, Bureau officials stated they are developing new requirements for UTS to automatically consider the chronological order of event codes. The Bureau told us they are working on these UTS requirements and will provide us with documentation when they are complete. They also said the Bureau plans to implement a process which compares field management reports with UTS reports to help ensure that the reports have the same definitions and are reporting accurate information. Standards for Internal Control call for an organization\u2019s data be complete and accurate and processed into quality information to achieve their objectives. Thus, finalizing UTS requirements for the address canvassing reporting should help increase efficiency for the 2020 Census by avoiding time consuming workarounds."], "subsections": []}]}, {"section_title": "The Bureau Does Not Have Documented Procedures to Address Broadband Internet Service Coverage Gaps", "paragraphs": ["The Bureau has taken significant steps to use technology to reduce census costs. These steps include using electronic systems to transmit listers\u2019 assignments and address and map data. However, during the address canvassing test, several listers and CFSs at the three test sites experienced problems with Internet connections primarily during training. The West Virginia site, which was more rural than the other sites, experienced the most problems with Internet connectivity. All six West Virginia CFSs reported Internet connectivity problems during the operation. As a work around, CFSs told us that a couple of their listers transmitted their work assignments from libraries where they could access the Internet.", "Bureau officials stated that the laptops in the 2018 End-to-End Test only used two broadband Internet service providers, which may have contributed to some of the Internet access issues. Bureau officials added that despite the reported Internet connectivity issues, the 2018 End-to- End Test for address canvassing finished on schedule and without any major problems. While this might be true for the test, we have previously reported that minor problems can become big challenges when the census scales up to the entire nation. Therefore, it is important that these issues get resolved before August 2019 when in-field address canvassing for the 2020 Census is set to begin.", "The Bureau is analyzing the cellular network coverage across all 2020 Census areas using coverage maps and other methods to determine which carrier is appropriate (including a backup carrier) for geographic areas where network coverage is limited. According to Bureau officials, they anticipate identifying the cellular carriers for each of its 248 area census offices by the summer of 2018. The officials said they are considering both national and regional carriers to provide service in some geographic areas because the best service provider in a certain geographic area may not be one of the national providers, but a regional provider. In those cases, listers and other staff in those areas will receive devices with the regional carrier. According to Bureau officials, for the 2020 Census, the ability to access multiple carriers should provide field staff with better connectivity around the country.", "We also found that there was no guidance for listers and CFSs on what to do if they experienced Internet connectivity problems and were unable to access the Internet. Bureau officials told us that staff in the field can use different methods to access the Internet, such as using home wireless networks or mobile hotspots located at libraries, or coffee shops to transmit data. However, the Bureau did not provide such instructions to listers. In addition, the Bureau also does not define what constitutes a secure Internet public connection. Ensuring data are safeguarded is important because census data are confidential. Bureau officials told us that the Bureau plans to provide instructions to field staff on what to do if they are unable to access census systems and what constitutes a secure Internet connection for the next 2018 End-to-End Test field operation, non-response follow-up. However, the Bureau has not finalized or documented these instructions. Standards for Internal Control call for management to design control activities, such as providing instructions to employees to achieve objectives. Finalizing these instructions to field staff will help ensure listers have complete information on how to handle problems with Internet connectivity and that data are securely transmitted."], "subsections": []}, {"section_title": "The Bureau Has Not Identified Alternative Sites for Listers to Take Online Training When Access to the Internet is Unavailable", "paragraphs": ["Some listers had difficulty accessing the Internet to take online training for address canvassing. This is the first decennial census that the Bureau is using online training, in previous decennials training was instructor-led in a class room. According to the Bureau, in addition to the Bureau provided laptop, listers also needed a personal home computer or laptop and Internet access at their home in order to complete the training. However, while the Bureau reported that listers had access to a personal computer to complete the training, we found some listers did not have access to the Internet at their home and were forced to find workarounds to access the training.", "According to American Community Survey data from 2015, among all households, 77 percent had a broadband Internet subscription. Bureau officials told us they are aware that not all households have access to the Internet and that the Bureau\u2019s field division is working on back-up plans for accessing online training. Specifically, Bureau officials told us for 2020 they plan to identify areas of the country that could potentially have connectivity issues and plan to identify alternative locations such as libraries or community centers where Internet connections are available to ensure all staff has access to training. However, they have not finalized those plans to identify locations for training sites. Standards for Internal Control call for management to design control activities, such as having plans in place to achieve objectives. Finalizing these plans to identify alternative training locations will help ensure listers have a place to access training."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Bureau\u2019s re-engineered approach for address canvassing shows promise for controlling costs and maintaining accuracy. However, the address canvassing operation in the 2018 End-to-End test identified the need to reexamine assumptions and make some procedural and technological improvements. For example, at a time when plans for in- field address canvassing should be almost finalized, the Bureau is in the process of evaluating workload and productivity assumptions to ensure sufficient staff are hired and that enough laptop computers are procured. Moreover, Bureau officials have not finalized (1) procedures for reassigning work from one lister to another to prevent the unnecessary duplication of work assignments, (2) instructions for using the Internet when connectivity is a problem to ensure listers have access to training and the secure transmission of data to and from the laptops, and (3) plans for alternate training locations. To ensure address and map data are not lost during transmission, Bureau officials will also need to either (1) fix the problem with the LiMA software used to update the address and map files or (2) determine and address why procedures that alert reports be triggered and monitored were not followed.", "Finally, the Bureau has made progress in using data driven technology to manage address canvassing operations. However, ensuring data used by supervisors to oversee and monitor operations are both useful and accurate will help field supervisors take appropriate action to address supervisor alerts and will help managers monitor the real-time progress of the address canvassing operation. With little time remaining it will be important to resolve these issues. Making these improvements will better ensure address canvassing for the actual enumeration, beginning in August 2019, fully functions as planned and achieves desired results."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following seven recommendations to the Department of Commerce and the Census Bureau:", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau continues to evaluate and finalize workload estimates for in-field address canvassing as well as evaluates the factors that impacted productivity rates during the 2018 End-to-End Test and, if necessary, make changes to workload and productivity assumptions before the 2020 Census in-field address canvassing operation to help ensure that assumptions that impact staffing and the number of laptops to be procured are accurate. (Recommendation 1)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau finalizes procedures for reassigning blocks to prevent the duplication of work. (Recommendation 2)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau finalizes backup instructions for the secure transmission of data when the Bureau\u2019s contracted mobile carriers are unavailable. (Recommendation 3)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau finalizes plans for alternate training locations in areas where Internet access is a barrier to completing training. (Recommendation 4)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau takes action to either fix the software problem that prevented the successful transmission of data, or if that cannot be fixed, then determine and address why procedures that alert reports be triggered and monitored were not followed. (Recommendation 5)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau develops a plan to examine how to make CFS alerts more useful so that CFSs take appropriate action, including alerts a CFS determines are no longer valid because of timing differences. (Recommendation 6)", "Secretary of Commerce should ensure the Director of the U.S.", "Census Bureau finalizes UTS requirements for address canvassing reporting to ensure that the data used by census managers who are responsible for monitoring real-time progress of address canvassing are accurate before the 2020 Census. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Commerce. In its written comments, reproduced in appendix I the Department of Commerce agreed with our recommendations. The Census Bureau also provided technical comments that we incorporated, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we are sending copies of this report to the Secretary of Commerce, the Under Secretary of Economic Affairs, the Acting Director of the U.S. Census Bureau, and interested congressional committees. The report also will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you have any questions about this report please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Lisa Pearson, Assistant Director; Kate Wulff, Analyst-in-Charge; Mark Abraham; Devin Braun; Karen Cassidy; Robert Gebhart; Richard Hung; Kirsten Lauber; Krista Loose; Ty Mitchell; Kayla Robinson; Kate Sharkey; Stewart Small; Jon Ticehurst; and Timothy Wexler made key contributions to this report."], "subsections": []}]}], "fastfact": ["The success of the census depends in large part on the Census Bureau's ability to record every location where a person resides. An ever-changing housing inventory and \"hidden\" housing\u2014such as a converted attic or shed that may not show up in records\u2014make this huge task even more difficult.", "As part of a test run, census workers went door-to-door to try to record each housing unit in selected areas in 3 states. We reviewed this effort and found the workers generally followed procedures but software problems sometimes kept them from transmitting data they collected.", "We made 7 recommendations for the 2020 Census."]} {"id": "GAO-18-241", "url": "https://www.gao.gov/products/GAO-18-241", "title": "Hanford Waste Treatment Plant: DOE Needs to Take Further Actions to Address Weaknesses in Its Quality Assurance Program", "published_date": "2018-04-24T00:00:00", "released_date": "2018-04-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOE and its contractor are building the WTP\u2014which consists of multiple facilities\u2014to treat a large portion of nuclear waste at Hanford. The project has faced persistent challenges, including quality assurance problems that have delayed it by decades and more than tripled its costs, to nearly $17 billion. DOE's quality assurance framework aims to ensure that all problems are identified and do not recur.", "Senate Report 114-49 accompanying the National Defense Authorization Act for Fiscal Year 2016 included a provision for GAO to carry out an ongoing evaluation of the WTP. This first report examines (1) the actions DOE has taken to identify and address WTP quality assurance problems, (2) the extent to which DOE has ensured that quality assurance problems have been identified and do not recur, and (3) the extent to which DOE's organizational structure at ORP provides the Quality Assurance Division with independence to effectively oversee the contractor's quality assurance program. GAO reviewed DOE documents and obtained the insights of ORP's internal experts on WTP quality assurance efforts and outcomes."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy (DOE) has taken several actions to identify and address quality assurance problems at the Waste Treatment and Immobilization Plant (WTP) at its Hanford site in Washington. Among the actions taken is the implementation of the Managed Improvement Plan by DOE's Office of River Protection (ORP) and the WTP contactor. The plan is intended to ensure that the WTP can operate in compliance with DOE-approved safety and quality requirements. The contractor has stated that the plan is fully implemented, but GAO found that a number of key activities may be incomplete and ORP officials will not be able to verify the extent of implementation until December 2018.", "According to DOE documents that GAO reviewed and ORP quality assurance experts GAO spoke with, ORP has not ensured that all WTP quality assurance problems have been identified and some previously identified problems are recurring. For example, a 2016 DOE report found quality assurance problems, such as engineering errors and construction deficiencies, that neither ORP nor the contractor had identified when the work was conducted. ORP quality assurance experts GAO spoke with reiterated the issues identified in reports. In addition, DOE audits have found that previously identified quality assurance problems have recurred in key areas, such as the procurement of items that do not meet requirements or perform as specified. These problems were also raised by several of the ORP quality assurance experts GAO interviewed. According to these experts, such recurring problems may lead to significant rework at WTP facilities in the future if work is not stopped and the issues addressed. ORP's quality assurance framework requires the contractor to determine the extent to which quality assurance problems exist in all WTP structures, systems, and components when such problems are identified, and allows ORP to stop work at a facility if recurring issues arise. However, ORP has neither directed the contractor to make this determination nor stopped work when problems recur because it has confidence in the Managed Improvement Plan.", "ORP's organizational structure may not provide its Quality Assurance Division with sufficient independence from the office's upper management to oversee the contractor's quality assurance program effectively. GAO has previously found that an oversight organization should be structurally distinct and separate from program offices responsible for cost and schedule performance to avoid conflict between mission objectives and safety. However, a 2017 DOE headquarters assessment found that ORP's Quality Assurance Division's effectiveness has been limited. This is because in some cases ORP upper management had mischaracterized its findings, and in other instances, ORP upper management had not used this division to evaluate the extent of potential quality assurance problems. ORP quality assurance experts GAO spoke to were also concerned that ORP's organizational structure does not always ensure the independence of the division. For example, two of these experts described instances when ORP upper management had downgraded the division's findings so that the contractor could take less stringent corrective measures. By providing the Quality Assurance Division adequate independence, DOE can better ensure that compliance with nuclear safety requirements will not be subordinated to other project management goals, such as meeting cost and schedule targets."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOE direct the WTP contractor to determine the extent of problems in WTP structures, systems, and components and order work stops when problems recur, and DOE should direct ORP to revise its organizational structure to ensure the independence of the Quality Assurance Division. DOE generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Energy (DOE) is responsible for one of the world\u2019s largest environmental cleanup programs: the treatment and disposal of millions of gallons of radioactive and hazardous waste at its 586-square- mile Hanford Site in southeastern Washington State. This waste was created as a by-product of producing plutonium and other special nuclear materials for nuclear weapons, starting during World War II and continuing until the late 1980s. The most hazardous and radioactive waste is stored in 177 large underground tanks. However, as of January 2017, none of the tank waste had been treated for disposal because the facilities intended to treat a significant portion of this waste\u2014known collectively as the Waste Treatment and Immobilization Plant (WTP)\u2014 have faced persistent technical and management challenges that have increased the project\u2019s cost by billions of dollars and added decades to the waste treatment schedule. Among these challenges, DOE has had difficulty ensuring that WTP engineering, procurement, and construction work meets nuclear safety and quality requirements.", "In 2000, DOE awarded a contract to Bechtel National, Incorporated, to design, construct, and commission the WTP. The WTP is a complex, first- of-a-kind project and is being constructed under a design-build contract. In the design-build approach, technology development activities, plant design, and construction occur simultaneously rather than sequentially.", "DOE no longer allows the use of the design-build approach for complex, first-of-a-kind facilities but has continued to use it for the WTP.", "In December 2012, the WTP Engineering Division of DOE\u2019s Office of River Protection (ORP) issued a memorandum that recommended that all activities affecting engineering design, construction, and installation of structures, systems, and components be stopped because the division had found that it could not verify that completed work met nuclear safety and quality requirements. According to the memorandum, stopping work would help the department avoid future nuclear safety and quality compromises and substantial rework. Instead of stopping all work at the WTP, ORP management stopped work only on those facilities that faced the most significant technical challenges. Around this time, ORP issued nine \u201cPriority Level One\u201d findings\u2014findings reflecting problems that if uncorrected could have serious effects on safety, quality, and operability of a nuclear facility, as well as on the environment, according to ORP\u2019s quality assurance guidance. Seven of the nine findings were issued by ORP\u2019s WTP Engineering Division in 2012 and focused on engineering and nuclear safety. The other two were issued by ORP\u2019s Quality Assurance Division in 2013 and focused on the contractor\u2019s quality assurance program.", "Federal regulations require DOE contractors to establish DOE-approved quality assurance programs. Under an approved quality assurance program, the contractor must establish and implement processes to detect and prevent quality problems; identify, control, and correct items, services, and processes that do not meet established requirements; identify the causes of problems and work to prevent recurrence as a part of correcting the problems; and plan and conduct independent assessments to measure the adequacy of work performance and to promote improvement. ORP\u2019s two Priority Level One findings related to quality assurance deficiencies found that the contractor\u2019s quality assurance program did not effectively ensure that work was being completed to meet these requirements. Significantly, one of the two findings concluded that the contractor\u2019s overall quality assurance program was not fully effective. The other finding concluded that the contractor\u2019s Corrective Action Program to address quality assurance problems was not fully effective. Overall, ORP determined that the deficiencies in the contractor\u2019s quality assurance program were the most serious type\u2014 those that could result in a systemic breakdown in safety or quality or that could have a serious effect on worker health and safety, the public and environment, and facility operations. In addition, the report stated that the deficiencies warranted immediate attention by the contractor and required corrective measures and a high degree of ORP oversight.", "We have reported on the need for effective oversight of nuclear safety\u2014 including quality assurance programs\u2014across the DOE complex, finding in 2008 that a strong management and oversight program is needed to ensure that DOE\u2019s nuclear operations are carried out in a safe and environmentally acceptable manner. Also in 2008, we identified key elements that any nuclear safety oversight organization should have in order for it to provide effective independent oversight. For example, we found that the organization should be structurally distinct and separate from DOE program offices to avoid management interference or conflict between program office mission objectives, such as cost and schedule performance, and safety.", "Senate Report 114-49 accompanying the Senate version of the National Defense Authorization Act for Fiscal Year 2016 includes a provision for GAO to carry out an ongoing evaluation of issues related to the WTP. This first report (1) describes the actions DOE has taken to identify and address quality assurance problems at the WTP, (2) examines the extent to which DOE has ensured that all quality assurance problems have been identified and will not recur, and (3) examines the extent to which DOE\u2019s organizational structure at ORP provides the independence to effectively oversee the WTP contractor\u2019s quality assurance program.", "To describe the actions DOE has taken to identify and address quality assurance problems at the WTP, we obtained and reviewed DOE documents and reports that describe ORP and contractor actions, including the contractor\u2019s root cause analyses of quality assurance problems at the WTP. In addition, we reviewed DOE orders, ORP procedures, and documents that describe the requirements DOE is to follow to ensure that work meets quality assurance requirements and that the contractor has implemented corrective measures for identified quality assurance problems.", "To examine the extent to which DOE has ensured that all quality assurance problems have been identified and will not recur, we reviewed internal and external assessments, audits, and reviews of ORP\u2019s and the contractor\u2019s quality assurance programs. In addition, we reviewed technical and management issues that were reported to the contractor\u2019s Corrective Action Management Program database from January 1, 2014, when the contractor started to implement corrective measures, to September 31, 2017, to identify significant quality assurance problems and issues.", "To examine the extent to which DOE\u2019s organizational structure at ORP provides the independence to effectively oversee the WTP contractor\u2019s quality assurance program, we obtained and reviewed internal and external reports and assessments conducted by ORP, DOE\u2019s Office of Environmental Management\u2019s Office of Standards and Quality Assurance, DOE\u2019s Office of Enterprise Assessment, DOE\u2019s Office of Inspector General, and the Defense Nuclear Facilities Safety Board, on the portions of WTP engineering, procurement, and construction that have been subject to review and examination for adherence to quality assurance requirements. In addition, we examined ORP\u2019s record of implementing DOE headquarters office\u2019s audit and assessment recommendations designed to improve the WTP quality assurance program dating back to January 2012.", "To address all of our objectives, we also conducted semi-structured interviews, which we used to obtain information from staff with ORP\u2019s Quality Assurance, WTP Construction Oversight and Assurance, and WTP Engineering Divisions who are involved in the oversight of the contractor\u2019s quality assurance program. The group consisted of all nine subject matter experts that ORP management identified as employees primarily responsible for WTP quality assurance oversight. In this report, we refer to this group as ORP quality assurance experts. During the semi- structured interviews, we asked a series of questions on DOE\u2019s and the contractor\u2019s compliance with quality assurance requirements, as well as questions on the resolution of problems with the contractor\u2019s quality assurance program and DOE\u2019s oversight of the program. In several cases, all nine ORP quality assurance experts were not able to answer our questions for various reasons, such as not having recent experience working in a particular quality assurance area. In addition to conducting semi-structured interviews, for all objectives we interviewed DOE officials with ORP; the Inspector General\u2019s Office at Hanford; and DOE headquarters offices, including the Office of Environmental Management\u2019s Office of Standards and Quality Assurance and the Office of Enterprise Assessments. We also interviewed WTP contractors, officials from the Washington State Department of Ecology, and officials from the Defense Nuclear Facilities Safety Board.", "We conducted this performance audit from February 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes DOE\u2019s tank waste treatment approach at Hanford and DOE\u2019s quality assurance framework and requirements."], "subsections": [{"section_title": "DOE\u2019s Tank Waste Treatment Approach", "paragraphs": ["Cleanup of the Hanford Site is governed by two main compliance agreements: (1) the 1989 Hanford Federal Facility Agreement and Consent Order, or Tri-Party Agreement, an agreement between DOE, the Washington State Department of Ecology, and the Environmental Protection Agency, and (2) a 2010 consent decree. The Tri-Party Agreement was signed in May 1989 and lays out a series of legally enforceable milestones for completing major activities in Hanford\u2019s waste treatment and cleanup process. The Tri-Party Agreement has been amended a number of times to establish additional enforceable milestones for certain WTP construction and tank waste retrieval activities, among other things. Under the Tri-Party Agreement, DOE must complete waste treatment at the Hanford Site by 2047.", "The overall mission of the WTP is to treat and immobilize a large part of 54 million gallons of radioactive and chemical waste stored in 177 underground storage tanks. The WTP is the most technically complex and largest construction project within DOE\u2019s Office of Environmental Management, occupying 65 acres of the Hanford Site. Some of DOE\u2019s tank waste is highly radioactive material\u2014known as high-level waste\u2014 mixed with hazardous waste. Under current law, this waste must be vitrified\u2014a process in which the waste is immobilized in glass\u2014prior to disposal. Low-activity waste is DOE\u2019s term for the portion of the tank waste at Hanford with low levels of radioactivity. Low-activity waste is primarily the liquid portion of the tank waste that remains after as much radioactive material as technically and economically practical has been removed.", "The WTP consists of the following set of facilities that are designed to separate waste into low-activity and high-level waste streams and, once completed, treat these waste streams in separate facilities using vitrification.", "Pretreatment Facility. This facility is to receive the waste from the tanks and separate it into high-level and low-activity waste streams.", "Low-Activity Waste Facility. This facility is to receive the low-activity waste from the Pretreatment facility and immobilize it by vitrification. The canisters of vitrified waste will be permanently disposed of at another facility at Hanford.", "High-Level Waste Facility. This facility is to receive the high-level waste from the Pretreatment Facility and immobilize it by vitrification. The canisters of vitrified waste will be stored on-site until a final repository is established.", "Effluent Management Facility. The Effluent Management Facility is being built to evaporate much of the secondary waste produced during low-activity waste processing and vitrification at the Low- Activity Waste Facility.", "Analytical Laboratory. This facility will conduct analyses as needed, such as testing samples of the vitrified waste to ensure that it meets certain criteria and regulatory requirements for disposal.", "Balance of Facilities. These facilities consist of the 22 support facilities that make up the plant infrastructure, such as cooling water systems and silos that hold vitrifying materials.", "In part because of the 2012 work stoppage at the WTP\u2019s Pretreatment and High-Level Waste Facilities, in 2012 DOE adopted a phased waste treatment strategy through which the department aims to begin treating some of the low-activity waste before resolving all WTP technical issues. During the first phase of this strategy, DOE plans to implement a Direct Feed Low-Activity Waste (DFLAW) approach to transfer some low- activity waste from the tanks to the WTP\u2019s Low-Activity Waste Facility for vitrification before the Pretreatment Facility is completed. The approach relies on construction of a new facility\u2014the Low-Activity Waste Pretreatment System\u2014designed to remove highly radioactive particles from liquid tank waste before sending the waste stream to the Low- Activity Waste Facility. During later phases, DOE intends to complete the WTP Pretreatment Facility and High-Level Waste Facilities. DOE also plans to construct a Tank Waste Characterization and Staging Facility under a different contract to stage, mix, sample, and characterize high- level waste from the tanks prior to delivery to the Pretreatment Facility. Figure 1 illustrates WTP and other facilities planned for Hanford tank waste treatment."], "subsections": []}, {"section_title": "DOE\u2019s Quality Assurance Framework and Requirements", "paragraphs": ["A set of federal regulations, DOE orders, and ORP procedures collectively make up DOE\u2019s quality assurance framework that aims to ensure that all WTP quality assurance problems can be identified and that identified problems do not recur. DOE\u2019s quality assurance regulations require DOE contractors to establish DOE-approved quality assurance programs. The regulations specify that under an approved program, the contractor\u2019s quality assurance program must, among other things, (1) establish and implement processes to detect and prevent quality problems; (2) identify, control, and correct items, services, and processes that do not meet established requirements; (3) procure items and services that meet established requirements and perform as specified; (4) plan and conduct independent assessments to measure item and service quality, to measure the adequacy of work performance, and to promote improvement; and (5) maintain items to prevent damage, loss, or deterioration. In addition, DOE Order 226.1B requires that DOE\u2019s organizations and contractors implement oversight processes that ensure that relevant quality assurance problems are evaluated and corrected on a timely basis to prevent recurrence.", "The WTP contract requires compliance with these regulations and requirements. The WTP contract specifies that as the owner of the WTP project, DOE is responsible for providing quality assurance oversight of the WTP. ORP\u2019s Quality Assurance Division provides such oversight, for example, by doing the following:", "Reviewing a sampling of the contractor\u2019s documentation on the WTP\u2019s engineering, procurement, and construction.", "Conducting audits and assessments to ensure that the contractor\u2019s work complies with applicable quality assurance requirements.", "Assessing the effectiveness of the contractor\u2019s Corrective Action Management Program, which involves identifying, documenting, planning, addressing, and tracking actions required to resolve or correct problems.", "Both the contractor\u2019s and ORP\u2019s quality assurance programs require that corrective actions to address significant problems with the quality of the work must include a determination of the extent to which the problematic conditions exist (known as an extent-of-condition review) as well as the underlying causes of those conditions. If corrective actions do not address the conditions, ORP\u2019s quality assurance policy allows the office to call for a suspension of work. ORP\u2019s stop work procedure includes the process ORP is to follow when the Quality Assurance Division Director, in consultation with ORP management, determines that work needs to be suspended as a result of the occurrence or reoccurrence of significant quality assurance problems. ORP updated this procedure in February 2016 to describe the type of quality assurance deficiencies that should trigger consideration of work stoppage. According to the updated procedure, characteristics of a deficiency that can trigger an order to stop work include, but are not limited to, problems that will result in $25 million or more in loss of productivity, construction rework, or environmental damage or a significant quality problem that if left uncorrected can result in construction delays or create adverse safety conditions. Until February 2016, ORP did not have precise criteria describing the conditions under which it should evaluate work for possible stoppage, according to a DOE headquarters report."], "subsections": []}]}, {"section_title": "ORP Has Taken Several Actions to Identify and Address Quality Assurance Problems at the WTP, but All Planned Actions Have Not Been Completed", "paragraphs": ["ORP has taken several actions to identify and address quality assurance problems at the WTP, but all planned actions have not been completed. In 2013 ORP conducted a comprehensive audit, which resulted in several actions, including when the office had the contractor begin implementing a Managed Improvement Plan (MIP) in 2014. The MIP is intended to ensure that the WTP could operate in compliance with DOE-approved safety and quality requirements. Implementation of the MIP was to be completed by April 2016. Although the contractor reported that the implementation was complete, some of the plan\u2019s corrective measures have not been fully implemented, according to contractor documents we reviewed and quality assurance experts we spoke to. In addition, ORP\u2019s effort to verify the extent to which the contractor has implemented MIP corrective measures is not scheduled to be complete until at least December 2018."], "subsections": [{"section_title": "Actions Taken to Identify and Address Quality Assurance Problems at the WTP", "paragraphs": ["ORP has taken several actions to identify and address quality assurance problems at the WTP. After the partial work stoppage in 2012, ORP conducted an audit in 2013 to evaluate the adequacy, implementation, and effectiveness of the contractor\u2019s quality assurance program. The audit found that the contractor\u2019s quality assurance program was generally adequate. However, it also found that the contractor\u2019s quality assurance program was not fully effective in several areas. In response to the audit, ORP and the WTP contractor took the following actions:", "Developed compensatory measures. At ORP\u2019s request, in 2013, the contractor started implementing \u201ccompensatory measures\u201d to ensure that ongoing WTP work during a 2-year performance improvement period would meet DOE quality and safety requirements. For example, in September 2013, the contractor implemented a measure requiring senior management review of all condition reports and their associated levels of significance. According to ORP officials, the compensatory measures were intended to be additional, temporary internal controls to ensure that work at the WTP did not result in new or recurring quality assurance problems.", "Initiated the MIP. To systematically integrate compensatory measures, the contractor developed the MIP to address all quality assurance problems identified in the two Priority Level One findings and the seven Priority Level One findings associated with engineering and nuclear safety. In August 2014, the contractor started implementing the MIP. The MIP is a set of 52 corrective measures intended to establish processes, procedures, and metrics to produce an overall quality program that ensures that the WTP can safely operate in compliance with DOE-approved nuclear safety requirements, according to the contractor. The measures include the following:", "Actions to enhance external independent oversight. This measure calls for the contractor to conduct assessments using external subject matter experts to evaluate the ability of the contractor\u2019s quality assurance program to identify precursors to potential problems and their causes. This measure responds to the 2013 audit in which DOE concluded that the contractor\u2019s quality assurance program could not ensure compliance with requirements. Specifically, the audit found that the contractor\u2019s quality assurance program was not fully effective in several areas, including, but not limited to, design, software quality, procurement, and ensuring that identified problems are corrected.", "Actions to ensure that procured items and services meet requirements and perform as specified. This measure is intended to ensure that the contractor\u2019s processes and procedures to identify and ensure the quality of technical products meet requirements. The nuclear industry uses \u201ccommercial grade dedication\u201d to refer to the process by which the contractor or subcontractor verifies that an item (e.g., an electric switch) or service (e.g., design of an electrical system) can meet commercial quality and safety requirements and be approved for use in a nuclear facility. It requires the contractor to perform source verification, perform inspections and tests, and assess the processes that control the quality of purchased items and services to help ensure that critical components of procured items and services are designed, fabricated, assembled, installed, and tested with appropriate documentation to support their compliance with WTP safety requirements. This measure also responds to DOE\u2019s 2013 audit, which found that the contractor had inadequate control over the quality of purchased items and services.", "Actions to control and correct items and processes that do not meet requirements. This measure is intended to allow the contractor to identify and ensure that materials and equipment that have been received, and that will be received in the future, meet requirements. The contractor is to conduct comprehensive reviews of previously received material and equipment, as well as all future deliveries, to help ensure the verification, accuracy, and completeness of documentation for materials and equipment received from suppliers. This measure also responds to DOE\u2019s 2013 audit, which found that the contractor had received components that did not comply with safety requirements.", "Performed targeted audits to test compensatory measures and the implementation of the MIP. To assess the effectiveness of the compensatory measures and the MIP, ORP performed targeted audits. For example, to assess the extent to which the contractor has addressed quality assurance program deficiencies, in early 2017 ORP\u2019s Quality Assurance Division conducted a \u201cvertical slice audit.\u201d This audit reviewed engineering, procurement, and construction of a key system that will be needed for initial WTP operations.", "Because of the long-standing quality assurance problems at the WTP, DOE required ORP to closely monitor the contractor\u2019s implementation of the MIP. Specifically, as a result of a DOE Office of Enforcement investigation into the contractor\u2019s quality assurance and corrective action management programs, DOE entered into a Consent Order with the contractor in 2015. The Consent Order required the contractor to complete the actions identified in the MIP to the extent necessary to restore quality assurance program to full effectiveness by April 30, 2016. The Consent Order does not preclude DOE from reopening the investigation or issuing an enforcement action if there is a recurrence of nuclear safety deficiencies similar to those identified in the Consent Order or the if contractor fails to complete actions required by the Consent Order in a timely and effective manner to prevent recurrence of the identified issues."], "subsections": []}, {"section_title": "Corrective Measures to Address Quality Assurance Problems at the WTP Have Not Been Fully Implemented", "paragraphs": ["The contractor has not fully implemented corrective measures for all identified quality assurance problems, according to contractor documents we reviewed. In August 2017, the contractor reported that it had finished its actions to implement the MIP. However, according to the contractor\u2019s MIP status update accompanying the contractor\u2019s report, 13 of the 52 corrective measures specified in the MIP had not been fully implemented. Our review of these 13 MIP corrective measures we found that 9 were intended to exclusively or partially address weaknesses in the contractor\u2019s quality assurance program. For example, the two corrective measures to ensure that WTP facilities\u2019 computer software meets requirements were not complete, according to the MIP status update. These corrective measures included improving the software procurement process and revising the quality assurance manual.", "In addition, of the 39 measures that the contractor considers complete, some do not appear to be fully implemented, according to one ORP quality assurance expert that we spoke to. For example, one ORP quality assurance expert disagreed with the contractor\u2019s assessment that a corrective measure for documentation pertaining to radiographic film\u2014 which is needed for conducting quality assurance reviews of certain equipment\u2014was fully implemented. This corrective measure calls for the contractor to review purchase orders for radiographic film and then store the radiographic film as documentation of compliance with nuclear quality standards. According to the expert, radiographic film reviews are still not consistently conducted, and radiographic film documentation is still not consistently stored. In cases where such documentation is incomplete or missing, the contractor is at times forced to re-create the documentation at considerable cost to DOE. According to ORP\u2019s MIP oversight plan, it will take the office until at least December 2018 to verify the extent to which the contractor has implemented each of the 52 MIP corrective measures."], "subsections": []}]}, {"section_title": "ORP Has Not Ensured That All Quality Assurance Problems Have Been Identified, and Some Previously Identified Problems Are Recurring", "paragraphs": ["According to DOE documents we reviewed and ORP quality assurance experts we spoke with, ORP\u2019s actions have not ensured that all quality assurance problems have been identified at the WTP, and some previously identified problems are recurring. Specifically, according to DOE documents and the experts we spoke with, ORP\u2019s oversight has not ensured that the contractor has identified all quality assurance problems in structures, systems, and components that were completed and installed before the 2012 work stoppage or identified all such problems in newer structures, systems, and components needed for initial WTP operations. In addition, according to the documents we reviewed and experts we interviewed, previously identified quality assurance problems are recurring."], "subsections": [{"section_title": "ORP Oversight Has Not Ensured That the Contractor Has Identified All Quality Assurance Problems", "paragraphs": ["Recent DOE reviews have found that ORP has not ensured that all quality assurance problems have been identified at the WTP. First, a 2016 DOE Office of Enterprise Assessment report found quality assurance deficiencies that neither ORP nor the contractor had identified at the time the work was conducted. The report identified numerous construction deficiencies, procurement and supplier deficiencies, engineering errors, maintenance issues, and materials with expired shelf lives. For example, the report identified welding deficiencies on tanks designed to hold nuclear waste that were identified in a WTP facility several years after the tanks were installed. The report concluded that the contractor is aware that significant quality assurance problems likely exist in older structures, systems, and components. This report noted that much of the equipment in older structures, systems, and components was manufactured and delivered to the project from 5 to 10 years ago\u2014and some of this equipment was supplied by vendors or manufacturers that are no longer in business\u2014which could lead to costly rework.", "Second, a 2015 DOE Inspector General report found that the contractor had procured $4 billion in parts and materials through fiscal year 2014, but ORP and the contractor had not always identified problems with the quality of procured items in a timely manner. For example, the report found that in about 45 percent of the nearly 1,400 procurement problems reviewed, the contractor did not identify the problems until at least 2 years after the items arrived on site. The report also found that in many cases the contractor canceled its efforts to recover the costs to resolve the problems because of the length of time that had passed. The report concluded that these problems were caused by weaknesses in the contractor\u2019s quality assurance program and that the contractor\u2019s procedures to prevent or identify problems with procured items were not always followed effectively.", "The findings of these reports are consistent with the views of ORP quality assurance experts we spoke with who stated that ORP oversight has not ensured that the contractor has identified all quality assurance problems in structures, systems, and components\u2014particularly those that were completed and installed before the 2012 work stoppage. These quality assurance experts said that because quality assurance problems have not been identified, they expect significant rework will be needed for work that was completed before 2012. Specifically, most of the ORP quality assurance experts (seven of the nine) told us that they expect rework will be needed for existing WTP facilities, such as the Pretreatment and High- Level Waste Facilities. One of these seven quality assurance experts noted that the contractor does not have a complete record of the documentation for key systems and equipment, which is required for demonstrating compliance with nuclear safety standards and eventual permitting of WTP facilities for operation. According to this expert, the extent of this shortcoming is not known, but fixing it\u2014that is, creating a complete record of required documentation\u2014may lead to years of delays.", "ORP Quality Assurance Division officials told us that because ORP\u2019s focus is on ensuring that facilities needed for initial operations will be ready to operate by December 2023, they have not been directed by ORP management to focus on identifying all quality assurance problems for work completed before 2012 for facilities needed for later phases of WTP operations, such as structures, systems, and components of the Pretreatment and High-Level Waste Facilities. In addition, they stated that there may be significant changes to these facilities needed for the WTP\u2019s later phases, making it unnecessary for them to review the extent of quality assurance problems until it is known what parts of the facilities will remain and which parts will not.", "However, similar problems appear to exist in WTP facilities needed for initial operations. ORP quality assurance experts that we interviewed also stated that ORP oversight has not always ensured that all quality assurance problems in facilities needed for the initial WTP operations, or DFLAW, have been identified. Five experts told us that issues such as identifying problematic items, services, and processes had not been fully resolved. Specifically, these ORP quality assurance experts told us that when quality assurance problems are identified in structures, systems, or components needed for DFLAW, ORP does not always ensure that the contractor identifies the extent to which such problems may exist in other areas affected by the same structures, systems, or components. For example, an ORP quality assurance expert cited an instance in which an ORP quality assurance team reviewed a sample of 25 procurement \u201cpackages\u201d (out of thousands) for a DFLAW facility and identified 143 problems\u2014significantly more problems than the team expected for such a small sample. Consistent with ORP quality assurance requirements, this ORP quality assurance expert recommended to ORP upper management that the contractor determine the extent to which such problems could affect other structures, systems, and components needed for DFLAW. However, according to an ORP memo, ORP upper management did not require the contractor to implement this recommendation, instead citing \u201cextenuating circumstances\u201d and requiring a lesser corrective action than what was recommended. Three ORP quality assurance experts told us that they believe that because problems have not been comprehensively assessed, there may be equipment and systems within DFLAW that will fail to meet their intended functions.", "We also found that although ORP conducted its vertical slice audit in 2017 to test its compensatory measures and the MIP to improve quality assurance, the audit report notes that it was focused on only one system within the Low-Activity Waste Facility. According to ORP officials, there are numerous structures, systems, and components in facilities needed for DFLAW that have not been audited or reviewed in a manner similar to the vertical slice audit. Both the contractor\u2019s and ORP\u2019s quality assurance programs require that corrective actions to address significant problems with the quality of the work include a determination of the extent to which the problematic conditions exist as well as the underlying causes of those conditions. Until ORP requires the WTP contractor to determine the full extent to which problems exist in all WTP structures, systems, and components, DOE lacks a comprehensive understanding of all potential quality assurance problems at all WTP facilities."], "subsections": []}, {"section_title": "Previously Identified Quality Assurance Problems Are Recurring", "paragraphs": ["DOE requires its program offices, such as ORP, and contractors to have oversight processes to ensure that quality assurance problems are evaluated and corrected in a timely basis to prevent recurrence. However, several DOE documents we reviewed show that previously identified quality assurance problems have recurred in recent years, including the following: In 2015, an ORP audit report identified recurring weaknesses in quality assurance for the contractor\u2019s process for procuring commercial items for use in a nuclear facility. For example, ORP found that the contractor\u2019s internal controls for this process were not consistently performed; did not consistently comply with procedural requirements; and, in many cases, did not establish reasonable assurance that procured systems, services, and components acquired from 2010 to 2014 would perform their intended safety functions.", "In a 2015 report on the design and operability of key systems and components for the Low-Activity Waste Facility, ORP found that the quality of computer systems software was not in full compliance with DOE requirements, leading to conditions where personnel and the environment may not be adequately protected. ORP had identified a similar problem in 2008, when it found that the contractor\u2019s computer programs used in engineering calculations were not always verified to show that they produced correct solutions within defined limits for all parameters, as required by the contractor\u2019s quality assurance manual. ORP had also previously identified WTP computer software quality problems in 2010 when it issued a Priority Level Two finding on software procedures and another Priority Level Two finding on software testing.", "In 2017, ORP\u2019s Quality Assurance Division issued a report that examined the contractor\u2019s quality assurance program and found problems in quality assurance areas that had been previously identified. The report noted that in 6 of 19 quality assurance program areas, the contractor\u2019s performance was marginal\u2014and in need of improvement\u2014or indeterminate. These 6 areas included identifying, controlling, and correcting items, services, and processes that do not meet established requirements; maintaining items to prevent damage, loss, or deterioration; and procuring items and services that meet established requirements and perform as specified.", "ORP quality assurance experts that we spoke with also stated that previously identified quality assurance problems are recurring, including some in areas where the contractor had implemented corrective measures. These quality assurance experts told us that quality assurance problems are recurring in several key areas, including those areas identified in the documents described above: (1) procurement of items and services that do not meet established requirements or perform as specified; (2) software that does not meet established requirements; and (3) a maintenance program that does not prevent damage, loss, or deterioration of WTP structures, systems, and components. For example, see the following.", "Procurement of items and services that do not meet requirements or perform as specified. Four out of the five ORP quality assurance experts we interviewed who had recent experience with the procurement of items and services told us that problems with procured items and services that do not meet established requirements or perform as specified are not fully resolved. One of these ORP quality assurance experts stated that an ORP team recently reviewed a random sample of 45 of the roughly 30,000 procurements the contractor had made for the WTP and identified a number of instances where materials did not meet requirements, which resulted in one Priority Level Two finding\u2014which represents a serious issue that indicates an adverse condition, such as a noncompliance or breakdown of a management system\u2014and five Priority Level Three findings. The expert noted that this was many more deficiencies than the team expected for such a small sample.", "Settlement of Allegations of Contractors Knowingly Mischarging Costs at the Waste Treatment and Immobilization Plant (WTP) In November 2016, the WTP contractor and certain subcontractors agreed to pay $125 million to resolve allegations under the False Claims Act that they made false statements and claims to the Department of Energy (DOE) by charging DOE for deficient nuclear quality materials, services, and testing that were provided to the WTP at DOE\u2019s Hanford Site. The contract required materials, testing, and services to meet certain nuclear quality standards. The Department of Justice alleged that the defendants violated the False Claims Act by charging the government the cost of complying with these standards when they failed to do so. In particular, the Department of Justice alleged that the defendants improperly billed the government for materials and services from vendors that did not meet quality control requirements, for piping and waste vessels that did not meet quality standards, and for testing from vendors that did not have compliant quality programs. As part of the settlement, the contractors admitted no wrongdoing, and the United States did not concede that its claims were not well founded.", "Software that does not meet requirements. ORP quality assurance experts told us that problems are recurring in certain areas where items and processes do not meet requirements, such as computer software quality assurance, despite the contractor developing two MIP corrective measures in this area. Two ORP quality assurance experts reported that problems with software quality are recurring. One ORP quality assurance expert added that the contractor often fails to develop software quality documentation that is needed to demonstrate compliance with quality requirements when permitting facilities for operation. As a result, the contractor will have to re-create this documentation at some cost.", "A maintenance program that does not prevent damage, loss, or deterioration. Each of the three ORP quality assurance experts with knowledge in this area told us that the contractor had not established a fully effective WTP maintenance program, particularly for the Pretreatment and High-Level Waste Facilities, and as a result, structures, systems, and components at these facilities have deteriorated and been damaged. Such statements are consistent with findings of the Defense Nuclear Facilities Safety Board, which reported in April 2016 that systems and components stored in an outdoor storage yard were not properly covered and showed signs of being affected by water, sand, or animals. In March 2016, ORP reported significant water intrusion into several areas of the High- Level Waste Facility. As a result, some of the facility\u2019s structures, systems, and components had deteriorated and will require costly rework. The contractor notified DOE in April 2017 that because DOE\u2019s focus is on completing facilities needed for initial WTP operations, it would submit a proposal to change the WTP contract to account for the increased scope, cost, and schedule of long-term maintenance, storage, and management of procured and partially installed structures, systems, and components at those facilities not needed for initial WTP operations.", "Consistent with its quality assurance procedures, ORP can use its authorities\u2014such as those under the Consent Order and its quality assurance policy\u2014to stop work if corrective measures do not prevent quality assurance problems from recurring. However, ORP has not used such authorities. ORP senior officials told us that they did not consider it necessary to stop work because of the recurrence of problems in certain areas because they plan to evaluate the extent of the contractor\u2019s implementation of MIP corrective measures over the next year and have allowed work to continue because they believe that the contractor\u2019s quality assurance program is generally adequate. Without directing ORP to use its authorities to stop work in areas where quality assurance problems are recurring until it can verify that the problems are corrected and will not recur, DOE may face future rework that could increase costs and schedule delays for the WTP."], "subsections": []}]}, {"section_title": "ORP\u2019s Organizational Structure May Not Provide Sufficient Independence for Effective Oversight of the WTP Contractor\u2019s Quality Assurance Program", "paragraphs": ["A 2017 assessment from DOE headquarters and our interviews with nine ORP quality assurance experts suggest that ORP\u2019s organizational structure does not provide the quality assurance function with sufficient independence from upper management\u2014which includes the ORP Manager and the WTP Federal Project Director\u2014to effectively oversee the contractor\u2019s quality assurance program. Our prior work has found that to be independent, an oversight organization should be structurally distinct and separate from program offices responsible for achieving the program\u2019s mission to avoid management interference or conflict between program office mission objectives and safety. At ORP, however, the Quality Assurance Division is not fully separate and independent from the upper management of the WTP project, which manages cost and schedule performance. We believe that such a structure has the potential to create a conflict of interest.", "Specifically, we found that ORP\u2019s Quality Assurance Division performs assessments of the contractor\u2019s quality assurance program, among other things, and reports its findings to ORP upper management, including the ORP Manager, who has the discretion to determine whether and to what extent to require the contractor to take action in response to findings. When quality assurance issues are identified, ORP upper management must balance its mission of meeting cost and schedule targets with its responsibility to ensure that nuclear safety and quality standards are met. However, these are two potentially conflicting responsibilities because meeting WTP cost and schedule targets may be threatened if serious quality assurance problems are identified.", "A February 2017 external assessment from DOE headquarters noted that ORP\u2019s Quality Assurance Division\u2019s effectiveness has been limited because, in some instances, its findings have been mischaracterized by ORP upper management, and in others, ORP upper management has not used this division effectively to evaluate the extent of potential quality assurance problems. This assessment found that ORP had not performed adequate oversight of the contractor\u2019s MIP and that some critical quality assurance areas were not receiving the necessary scrutiny from ORP. Further, the assessment found that ORP management sometimes mischaracterized the seriousness of the Quality Assurance Division\u2019s findings and, as a result, did not require the contractor to conduct extent-of-condition review for significant quality assurance problems. While this assessment stated that ORP had an effective quality assurance program, it concluded that three of the eight quality assurance areas the assessment team reviewed were not fully effective, including ORP\u2019s ability to conduct assessments of the contractor\u2019s quality assurance program.", "A Cautionary Tale: Quality Assurance Problems Doom Commercial Nuclear Power Plant In the commercial nuclear industry, there is a notable example of a construction project that faced significant quality assurance challenges. In the 1970s and early 1980s, Cincinnati Gas & Electric attempted to construct a commercial nuclear power plant, known as the Zimmer Plant, near Moscow, Ohio. After 10 years of construction and more than $2 billion spent, the company abandoned its effort to construct the plant. An independent review mandated by the Nuclear Regulatory Commission in 1982 concluded that several issues impeded successful construction of the Zimmer Plant as a commercial nuclear power plant. These issues included (1) the company\u2019s failure to elevate its commitment to quality and quality assurance to an equal status with cost and schedule, (2) the regulator\u2019s failure to hold the company accountable for quality in design and construction, and (3) the company\u2019s inadequate quality assurance procedures. To recoup some of the $2 billion spent in attempting to construct this commercial nuclear power plant, Cincinnati Gas & Electric later converted facilities built at the site for use in a coal-fired power plant. management and the contractor place cost and schedule performance above identifying and resolving quality assurance issues. One quality assurance expert specified that ORP\u2019s culture does not encourage staff to identify quality assurance problems or ineffective corrective measures. This expert said that people who discover problems are not rewarded; rather, their findings are met with resistance, which has created a culture where quality assurance staff are hesitant to identify quality assurance problems or problems with corrective measures. This expert added that quality assurance is subordinate to cost and schedule\u2014that is, senior managers responsible for approving quality assurance findings are more concerned with whether WTP construction meets schedule milestones than identifying and resolving quality assurance issues. This expert compared the WTP to the Zimmer Power Plant\u2014a power plant in Ohio that was designed to be a nuclear power plant but that was never licensed because of unresolved quality assurance problems and a focus on schedule over construction quality.", "As stated earlier, in October 2008, we identified key elements that any nuclear safety oversight organization should have in order for it to provide effective independent oversight. For example, we found that an organization should be structurally distinct and separate from DOE program offices to avoid management interference or conflict between program office mission objectives, such as cost and schedule performance and safety. We also found that the organization should have sufficient authority to require program offices to effectively address its findings and recommendations.", "ORP\u2019s Assistant Manager for Technical and Regulatory Support and ORP senior quality assurance staff told us that ORP\u2019s organizational structure ensures that the quality assurance function is sufficiently independent of ORP management. These officials and the ORP Quality Assurance Program Description state that the Quality Assurance Division is structured to report directly to the ORP Assistant Manager for Technical and Regulatory Support and the ORP Manager. They also cited the ORP Quality Assurance Program policy, which states that the Quality Assurance Division has the authority and overall responsibility to independently audit the contractor\u2019s quality assurance program to verify the achievement of quality. According to these officials, this organizational structure ensures independence from cost and schedule considerations and ensures objectivity in quality assurance evaluations, and they added that the ORP Manager evaluates differing opinions without any hindrances or organizational bias.", "Given that some previously identified problems are recurring at the WTP, including some in areas where the contractor had implemented corrective measures, and given the findings of the 2017 headquarters assessment and the statements of ORP\u2019s quality assurance experts outlined above, we are concerned that ORP\u2019s organizational structure may not entirely ensure that the Quality Assurance Division meets key elements for a nuclear safety oversight organization to provide effective independent oversight. According to ORP reports and officials, in ORP\u2019s current organizational structure, upper level management retains discretion in how to resolve quality assurance problems. As a result, the Quality Assurance Division does not have sufficient authority to ensure that its findings are addressed and its recommendations are implemented. By revising ORP\u2019s organizational structure so that the quality assurance function is independent of ORP upper-level management, DOE can have better assurance that compliance with nuclear safety requirements will not be subordinated to meeting cost and schedule targets."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["For years DOE has faced quality assurance problems at the WTP. Upon learning in 2012 that it could not verify that engineering, procurement, and construction at the WTP met nuclear safety and quality requirements, ORP directed the contractor to implement quality assurance corrective measures to ensure that problems would be identified and prevented from recurring. However, 5 years later, the contractor has not fully implemented all planned corrective measures. Moreover, in some areas where the contractor has stated that corrective measures are now in place, ORP continues to encounter quality assurance problems similar to those it encountered in the past. When and where problems have recurred, ORP has not always required the contractor to determine the extent to which the problems may affect all parts of the WTP. By directing ORP to require the WTP contractor, where quality assurance problems have been identified, to determine the full extent to which problems exist in all WTP structures, systems, and components, DOE will gain a comprehensive understanding of all quality assurance problems at all WTP facilities. In addition, ORP has not always used its authorities to stop work when problems are detected before they are fully corrected. Without directing ORP to use its authorities to stop work in areas where quality assurance problems are recurring until it can verify that the problems are corrected and will not recur, DOE may face future rework that could increase costs and schedule delays for the WTP.", "Also of concern is the potential lack of sufficient independence of ORP\u2019s Quality Assurance Division from ORP\u2019s upper management. This has resulted in ORP upper management not always allowing its own experts to fully examine the contractor\u2019s work even when problems have recurred. At other times, this has resulted in the significance of identified problems\u2014and strength of associated corrective measures\u2014being reduced. DOE\u2019s ability to effectively self-regulate a high-hazard nuclear facility not only depends on vigorous oversight of the contractor by the program office but also on active oversight by an independent group. The WTP is the largest and most technically complex cleanup project managed by DOE, and we recognize that meeting its cost and schedule targets places immense pressure on ORP upper management. However, meeting those targets is further threatened when quality assurance problems are downgraded. By revising ORP\u2019s organizational structure so that the quality assurance function is independent of ORP upper management, DOE can have better assurance that compliance with nuclear safety requirements will not be subordinated to meeting cost and schedule targets."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOE: The Secretary of Energy should direct ORP to require the WTP contractor to determine the full extent to which problems exist in all WTP structures, systems, and components.", "The Secretary of Energy should direct ORP to use its authorities to stop work in areas where quality assurance problems are recurring until ORP\u2019s Quality Assurance Division can verify that the problems are corrected and will not recur.", "The Secretary of Energy should revise ORP\u2019s organizational structure so that the quality assurance function is independent of ORP upper management."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided DOE with a draft of this report for its review and comment. In its written comments, reproduced in appendix I, DOE generally agreed with the findings in the report and its recommendations. DOE agreed with our first two recommendations and described actions it has under way and planned to address them. In addition, DOE agreed with our third recommendation\u2014to revise ORP\u2019s organizational structure so that the quality assurance function is independent of ORP upper management\u2014in principle. While DOE states that it believes that the current ORP quality assurance reporting relationship meets all established requirements, it also states that the report identifies instances that indicate that ORP could be strengthened to improve the effectiveness and independence of its quality assurance functions. In response to our recommendation, DOE plans to direct ORP to assess the quality assurance functional reporting lines, responsibilities, and processes to enhance the independence of the quality function from cost and schedule influences and to strengthen and clarify quality assurance reporting to the ORP Manager. This planned action is a positive first step toward implementing our recommendation.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Energy; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nathan Anderson (Assistant Director), Mark Braza, Scott Fletcher, Ellen Fried, Richard Johnson, Paul Kazemersky, and Peter Ruedel made key contributions to this report."], "subsections": []}]}], "fastfact": ["The nuclear waste treatment plant DOE and its contractor are building at DOE\u2019s Hanford site in Washington has faced persistent challenges, and the cost of the project has more than tripled to nearly $17 billion.", "We found that DOE's quality assurance efforts did not always ensure detection of problems such as engineering errors and construction deficiencies, and some problems are recurring.", "We recommended that DOE direct the contractor to determine the full extent of plant problems, stop work when problems recur, and establish a more independent quality assurance effort."]} {"id": "GAO-18-28", "url": "https://www.gao.gov/products/GAO-18-28", "title": "NASA Human Space Exploration: Integration Approach Presents Challenges to Oversight and Independence", "published_date": "2017-10-19T00:00:00", "released_date": "2017-10-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NASA is undertaking a trio of closely related programs to continue human space exploration beyond low-Earth orbit. All three programs (SLS, Orion, and EGS) are working toward a launch readiness date of no earlier than October 2019 for the first test flight. Each program is a complex technical and programmatic endeavor. Because all three programs must work together for launch, NASA must integrate the hardware and software from the separate programs into a working system capable of meeting its goals for deep space exploration.", "The House Committee on Appropriations report accompanying H.R. 2578 included a provision for GAO to assess the progress of NASA's human space exploration programs. This report assesses (1) the benefits and challenges of NASA's approach for integrating these three programs and (2) the extent to which cross-program risks could affect launch readiness. GAO examined NASA policies, the results of design reviews, risk data, and other program documentation and interviewed NASA and other officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The approach that the National Aeronautics and Space Administration (NASA) is using to integrate its three human spaceflight programs into one system ready for launch offers some benefits, but it also introduces oversight challenges. To manage and integrate the three programs\u2014the Space Launch System (SLS) vehicle; the Orion crew capsule; and supporting ground systems (EGS)\u2014NASA's Exploration Systems Development (ESD) organization is using a more streamlined approach than has been used with other programs, and officials GAO spoke with believe that this approach provides cost savings and greater efficiency. However, GAO found two key challenges to the approach:", "The approach makes it difficult to assess progress against cost and schedule baselines. SLS and EGS are baselined only to the first test flight. In May 2014, GAO recommended that NASA baseline the programs' cost and schedule beyond the first test flight. NASA has not implemented these recommendations nor does it plan to; hence, it is contractually obligating billions of dollars for capabilities for the second flight and beyond without establishing baselines necessary to measure program performance.", "The approach has dual-hatted positions, with individuals in two programmatic engineering and safety roles also performing oversight of those areas. As the image below shows, this presents an environment of competing interests.", "These dual roles subject the technical authorities to cost and schedule pressures that potentially impair their independence. The Columbia Accident Investigation Board found in 2003 that this type of tenuous balance between programmatic and technical pressures was a contributing factor to that Space Shuttle accident.", "NASA has lowered its overall cross-program risk posture over the past 2 years, but risk areas\u2014related to software development and verification and validation, which are critical to ensuring the integrated body works as expected\u2014remain. For example, delays and content deferral in Orion and SLS software development continue to affect ground systems software development and could delay launch readiness. GAO will continue to monitor these risks."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider directing NASA to establish baselines for SLS and EGS's missions beyond the first test flight. NASA's ESD organization should no longer dual-hat officials with programmatic and technical authority responsibilities. NASA partially concurred with our recommendation and plans to address it in the next year. But NASA did not address the need for the technical authority to be independent from programmatic responsibilities for cost and schedule. GAO continues to believe that this component of the recommendation is critical."]}], "report": [{"section_title": "Letter", "paragraphs": ["The National Aeronautics and Space Administration (NASA) is nearing the point when billions of dollars invested should begin to pay off with the first launch of systems needed to support deep space exploration by humans. This deep space exploration requires the capability to transport crew and large masses of cargo beyond low Earth orbit to distant destinations including the moon and eventually Mars. The Exploration Systems Development (ESD) organization within NASA\u2019s Human Exploration and Operations Mission Directorate is responsible for managing and integrating the three programs developing the specific capabilities needed.", "The Space Launch System (SLS) program is developing a vehicle to launch a crew capsule and cargo beyond low-Earth orbit.", "The Orion Multi-Purpose Crew Vehicle (Orion) program is developing a crew capsule to transport humans beyond low-Earth orbit.", "The Exploration Ground Systems (EGS) program is developing systems and infrastructure to support assembly, test, and launch of the SLS and Orion crew capsule, and recovery of the Orion crew capsule.", "This portfolio of three programs is estimated to cost almost $24 billion\u2014to include two Orion flights and one each for SLS and EGS\u2014and constitute more than half of NASA\u2019s planned development budget. All three programs are necessary for the first integrated test flight, Exploration Mission 1 (EM-1), and are working to a launch readiness date of no earlier than October 2019.", "NASA intends for ESD\u2019s portfolio of programs\u2014SLS, Orion, and EGS\u2014to provide an important capability for human exploration missions. Each of these programs represents a large, complex technical and programmatic endeavor. In addition, since all three programs must work together for launch, NASA faces the additional challenge of integrating the hardware and software from the separate programs into a working system capable of effectively meeting its goals for deep space exploration. Our prior work has shown that the integration and test phase often reveals unforeseen challenges leading to cost growth and schedule delays.", "GAO has designated NASA\u2019s management of acquisitions as a high-risk area for more than two decades. In February 2017, we found that the agency has continued to make progress in reducing risk on major projects after previously struggling with poor cost estimation, weak oversight, and risk underestimation. We also found that the Orion, SLS, and EGS programs are generally better positioned for success than past crewed vehicle efforts that were canceled after facing acquisitions problems and funding-related issues. Nevertheless, as we have reported, management weaknesses\u2014including overly ambitious schedules, unreliable cost estimating, limited reserves, and operating for extended periods of time without definitized contracts\u2014have increased the likelihood that the programs will incur schedule delays and cost overruns, particularly when coupled with the technical risks that are inherent in any human spaceflight development. In April 2017, we found that it was unlikely that the ESD programs would achieve the planned November 2018 launch readiness date and recommended that NASA reassess the date. NASA agreed with this recommendation and stated that it would establish a new launch readiness date in fall 2017. Subsequently, in June 2017, NASA sent notification to Congress that EM-1\u2019s recommended launch date would be no earlier than October 2019.", "The House Committee on Appropriations included a provision in its 2015 report for GAO to review the acquisition progress of NASA\u2019s human exploration programs, including Orion, SLS, and EGS. This report is the latest in a series of reports addressing the mandate. This report assesses (1) the benefits and challenges of NASA\u2019s approach for integrating and assessing the programmatic and technical readiness of Orion, SLS, and EGS; and (2) the extent to which ESD is managing cross-program risks that could affect launch readiness.", "To assess the benefits and challenges of NASA\u2019s approach for integration, we obtained and analyzed NASA program policies governing program and technical integration, including cost, schedule, and risk. We obtained and analyzed ESD implementation plans to assess the role of ESD in cross program integration of SLS, Orion, and EGS and reviewed briefings explaining ESD\u2019s approach to programmatic and technical integration, including implementation of systems engineering and integration. In addition, we assessed the scope of NASA\u2019s funding estimates for the second exploration mission and beyond against best practices criteria outlined in GAO\u2019s cost estimating guidebook. We reviewed the 2003 Columbia Accident Investigation Board Report\u2019s findings and recommendations related to culture and organizational management of human spaceflight programs as well as the Constellation program\u2019s lessons learned report. We met with the technical authorities and other representatives from the NASA Office of the Chief Engineer, Office of Safety and Mission Assurance, Crew Health and Safety, and addressed cost and budgeting issues with the Chief Financial Officer, and discussed and documented their roles in executing and overseeing the ESD programs. We also interviewed outside subject matter experts to gain their insight of ESD\u2019s implementation of NASA\u2019s program management policies on the independent technical authority structure.", "To assess the extent to which ESD is managing cross-program risks that could affect launch readiness, we obtained and reviewed NASA and ESD risk management policies, detailed monthly and quarterly briefings and documentation from Cross-Program Systems Integration and Programmatic and Strategic Integration teams explaining ESD\u2019s approach to identifying, tracking, and mitigating cross-program risks. We conducted an analysis of ESD\u2019s risk dataset and the programs\u2019 detailed risk reports which list program risks and their potential schedule impacts, including mitigation efforts to date. We examined risk report data from Design to Synchronization (Design to Sync) to Build to Synchronization (Build to Sync) and focused our analyses to identify risks with current mitigation plans to determine if risk mitigation plans are proceeding on schedule. We supplemented this analysis with interviews of responsible ESD officials. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Human spaceflight at NASA began in the 1960s with the Mercury and Gemini programs leading up to the Apollo moon landings. After the last lunar landing, Apollo 17, in 1972, NASA shifted its attention to low earth orbit operations with human spaceflight efforts that included the Space Shuttle and International Space Station programs through the remainder of the 20th century. In the early 2000s, NASA once again turned its attention to cislunar and deep space destinations, and in 2005 initiated the Constellation program, a human exploration program that was intended to be the successor to the Space Shuttle. The Constellation program was canceled, however, in 2010 due to factors that included cost and schedule growth and funding gaps.", "Following Constellation, the National Aeronautics and Space Administration Authorization Act of 2010 directed NASA to develop a Space Launch System, to continue development of a crew vehicle, and prepare infrastructure at Kennedy Space Center to enable processing and launch of the launch system. To fulfill this direction, NASA formally established the SLS program in 2011. Then, in 2012, the Orion project transitioned from its development under the Constellation program to a new development program aligned with SLS. To transition Orion from Constellation, NASA adapted the requirements from the former Orion plan with those of the newly created SLS and the associated ground systems programs. In addition, NASA and the European Space Agency agreed that it would provide a portion of the service module for Orion. Figure 1 provides details about the heritage of each SLS hardware element and its source as well as identifies the major portions of the Orion crew vehicle.", "The EGS program was established to modernize the Kennedy Space Center to prepare for integrating hardware from the three programs as well as processing and launching SLS and Orion and recovery of the Orion crew capsule. EGS is made up of nine major components, including: the Vehicle Assembly Building, Mobile Launcher, Launch Control Center and software, Launch Pad 39B, Crawler-Transporter, Launch Equipment Test Facility, Spacecraft Offline Processing, Launch Vehicle Offline Processing, and Landing and Recovery. See figure 2 for pictures of the Mobile Launcher, Vehicle Assembly Building, Launch Pad 39B, and Crawler-Transporter.", "NASA\u2019s Exploration Systems Development (ESD) organization is responsible for directing development of the three individual human spaceflight programs\u2014SLS, Orion, and EGS\u2014into a human space exploration system. The integration of these programs is key because all three systems must work together for a successful launch. The integration activities for ESD\u2019s portfolio occur at two levels in parallel throughout the life of the programs: as individual efforts to integrate the various elements managed within the separate programs and as a joint effort to integrate the three programs into an exploration system.", "The three ESD programs support NASA\u2019s long term goal of sending humans to distant destinations, including Mars. NASA\u2019s approach to developing and demonstrating the technologies and capabilities to support their long term plans for a crewed mission to Mars includes three general stages of activities\u2014Earth Reliant, Proving Ground, and Earth Independent.", "Earth Reliant: From 2016 to 2024, NASA\u2019s planned exploration is focused on research aboard the International Space Station. On the International Space Station, NASA is testing technologies and advancing human health and performance research that will enable deep space, long duration missions.", "Proving Ground: From the mid-2020s to early-2030s, NASA plans to learn to conduct complex operations in a deep space environment that allows crews to return to Earth in a matter of days. Primarily operating in cislunar space\u2014the volume of space around the moon featuring multiple possible stable staging orbits for future deep space missions\u2014NASA will advance and validate capabilities required for humans to live and work at distances much farther away from our home planet, such as on Mars.", "Earth Independent: From the early-2030s to the mid-2040s, planned activities will build on what NASA learns on the space station and in deep space to enable human missions to the vicinity of Mars, possibly to low-Mars orbit or one of the Martian moons, and eventually the Martian surface.", "The first launch of the integrated ESD systems, EM-1, is a Proving Ground mission. EM-1 is planned as an uncrewed test flight currently planned for no earlier than October 2019 that will fly about 70,000 kilometers beyond the moon. The second launch, Exploration Mission 2 (EM-2), which will utilize an evolved SLS variant with a more capable upper stage, is also a Proving Ground mission planned for no later than April 2023. EM-2 is expected to be a 10- to 14-day crewed flight with up to four astronauts that will orbit the moon and return to Earth to demonstrate the baseline Orion vehicle capability. NASA eventually plans to develop larger and more capable versions of the SLS to support Proving Ground and Earth Independent missions after EM-2.", "As noted above, in April 2017 we found that given the combined effects of ongoing technical challenges in conjunction with limited cost and schedule reserves, it was unlikely that the ESD programs would achieve the November 2018 launch readiness date. We recommended that NASA confirm whether the EM-1 launch readiness date of November 2018 was achievable, as soon as practicable but no later than as part of its fiscal year 2018 budget submission process. We also recommended that NASA propose a new, more realistic EM-1 date if warranted. NASA agreed with both recommendations and stated that it was no longer in its best interest to pursue the November 2018 launch readiness date. Further, NASA stated that, in fall 2017, it planned to establish a new launch readiness date. Subsequently, in June 2017, NASA sent notification to Congress that EM-1\u2019s recommended launch date would be no earlier than October 2019.", "The life cycle for NASA space flight projects consists of two phases\u2014 formulation, which takes a project from concept to preliminary design, and implementation, which includes building, launching, and operating the system, among other activities. NASA further divides formulation and implementation into pre-phase A through phase F. Major projects must get approval from senior NASA officials at key decision points before they can enter each new phase. The three ESD programs are completing design and fabrication efforts prior to beginning Phase D system assembly, integration and test, launch and checkout. Figure 3 depicts NASA\u2019s life cycle for space flight projects."], "subsections": []}, {"section_title": "NASA\u2019s Integration Approach Offers Some Benefits but Complicates Oversight and Impairs Independence", "paragraphs": ["NASA\u2019s approach for integrating and assessing programmatic and technical readiness, executed by ESD, differs from prior NASA human spaceflight programs. This new approach offers some cost and potential efficiency benefits. However, it also brings challenges specific to its structure. In particular, there are oversight challenges because only one of the three programs, Orion, has a cost and schedule estimate for EM-2. NASA is already contractually obligating money on SLS and EGS for EM- 2, but the lack of cost and schedule baselines for these programs will make it difficult to assess progress over time. Additionally, the approach creates an environment of competing interests because it relies on dual- hatted staff to manage technical and safety aspects on behalf of ESD while also serving as independent oversight of those same areas."], "subsections": [{"section_title": "Integration Approach Differs from Past Human Spaceflight Programs", "paragraphs": ["NASA is managing the human spaceflight effort differently than it has in the past. Historically, NASA used a central management structure to manage human spaceflight efforts for the Space Shuttle and the Constellation programs. For example, both the Shuttle and Constellation programs were organized under a single program manager and used a contractor to support integration efforts. Additionally, the Constellation program was part of a three-level organization\u2014the Exploration Systems Mission Directorate within NASA headquarters, the Constellation program, and then projects, including the launch vehicle, crew capsule, ground systems, and other lunar-focused projects, managed under the umbrella of Constellation. Figure 4 illustrates the three-level structure used in the Constellation program.", "In the Constellation program, the programmatic workforce was distributed within the program and projects. For example, systems engineering and integration organizations\u2014those offices responsible for making separate technical designs, analyses, organizations and hardware come together to deliver a complete functioning system\u2014were embedded within both the Constellation program and within each of the projects.", "NASA\u2019s current approach is organized with ESD, rather than a contractor, as the overarching integrator for the three separate human spaceflight programs\u2014SLS, Orion, and EGS. ESD manages both the programmatic and technical cross-program integration, and primarily relies on personnel within each program to implement its integration efforts. Exploration Systems Integration, an office within ESD, leads the integration effort from NASA headquarters. ESD officials stated that this approach is similar to that used by the Apollo program, wherein the program was also managed out of NASA headquarters. Within Exploration Systems Integration, the Cross-Program Systems Integration sub-office is responsible for technical integration and the Programmatic and Strategic Integration sub-office is responsible for integrating the financial, schedule, risk management, and other programmatic activities of the three programs. The three programs themselves perform the hardware and software integration activities. This organizational structure that consists of two levels is shown in figure 5.", "ESD is executing a series of six unique integration-focused programmatic and technical reviews at key points within NASA\u2019s acquisition life cycle, as shown in figure 6, to assess whether NASA cost, schedule, and technical commitments are being met for the three-program enterprise.", "These reviews cover the life cycle of the integrated programs to EM-1, from formulation to readiness to launch. Some of these reviews are unique to ESD\u2019s role as integration manager, For example, ESD established two checkpoints\u2014Design to Sync in 2015 and Build to Sync in 2016. The purpose of Design to Sync was to assess the ability of the integrated preliminary design to meet system requirements, similar to a preliminary design review and the purpose of Build to Sync was to assess the maturity of the integrated design in readiness for assembly, integration, and test, similar to a critical design review (CDR). At both events, NASA assessed the designs as ready to proceed. Key participants in these integration reviews include ESD program personnel and the Cross-Program Systems Integration and Programmatic and Strategic Integration staff that are responsible for producing and managing the integration activities."], "subsections": []}, {"section_title": "ESD\u2019s Integration Approach Offers Some Cost Avoidance and Potential Efficiency Gains", "paragraphs": ["ESD\u2019s integration approach offers some benefits in terms of cost avoidance relative to NASA\u2019s most recent human spaceflight effort, the Constellation program. NASA estimated it would need $190 million per year for the Constellation program integration budget. By comparison, between fiscal years 2012 and 2017, NASA requested an average of about $84 million per year for the combined integration budgets of the Orion, SLS, EGS, and ESD. This combined average of about $84 million per year represents a significant decrease from the expected integration budget of $190 million per year under the Constellation program. In addition, as figure 7 shows, NASA\u2019s initial estimates for ESD\u2019s required budget for integration are close to the actuals for fiscal years 2012-2017. NASA originally estimated that ESD\u2019s budget for integration would require approximately $30 million per year. ESD\u2019s integration budget was less than $30 million in fiscal years 2012 and 2013 and increased to about $40 million in fiscal year 2017\u2014an average of about $30 million a year.", "According to NASA officials, some of the cost avoidance can be attributed to the difference in workforce size. The Constellation program\u2019s systems engineering and integration workforce was about 800 people in 2009, the last full year of the program; whereas ESD\u2019s total systems engineering and integration workforce in 2017 was about 500 people, including staff resident in the individual programs.", "ESD officials also stated that, in addition to cost avoidance, their approach provides greater efficiency. For example, ESD officials said that decision making is much more efficient in the two-level ESD organization than Constellation\u2019s three-level organization because the chain of command required to make decisions is shorter and more direct. ESD officials also indicated that the post-Constellation elimination of redundant systems engineering and integration staff at program and project levels contributed to efficiency. Additionally, they stated that program staff are invested in both their respective programs and the integrated system because they work on behalf of the programs and on integration issues for ESD. Finally, they said another contribution to increased efficiency was NASA\u2019s decision to establish SLS, Orion, and EGS as separate programs, which allowed each program to proceed at its own pace.", "One caveat to this benefit, however, is that ESD\u2019s leaner organization is likely to face challenges to its efficiency in the integration and test phases of the SLS, Orion, and EGS programs. We analyzed the rate at which ESD has reviewed and approved the different types of launch operations and ground processing configuration management records for integrated SLS, Orion, and EGS operations, and found that the process is proceeding more slowly than ESD anticipated. For example, as figure 8 illustrates, ESD approved 403 fewer configuration management records than originally planned in the period from March 2016 through June 2017. According to an ESD official, the lower-than-planned approval rate resulted from the time necessary to establish and implement a new review process as well as final records being slower to arrive from the programs for review than ESD anticipated. Additionally, the official stated that the records required differing review timelines because they varied in size and scope.", "As figure 8 shows, ESD originally expected the number of items that needed review and approval to increase and create a \u201cbow wave\u201d during 2017 and 2018. In spring 2017, ESD re-planned its review and approval process and flattened the bow wave. The final date for review completion is now aligned with the new planned launch readiness date of no earlier than October 2019, which added an extra year to ESD\u2019s timeframe to complete the record reviews. While the bow wave is not as steep as it was under the original plan, ESD will continue to have a large number of records that require approval in order to support the launch readiness date. An ESD official stated that NASA had gained experience managing such a bow wave as it prepared for Orion\u2019s 2014 exploration flight test launch aboard a Delta IV rocket and as part of the Constellation program\u2019s prototype Ares launch in 2009, but acknowledged that ESD will need to be cautious that its leaner staff is not overwhelmed with documentation, which could slow down the review process."], "subsections": []}, {"section_title": "ESD\u2019s Approach Complicates Oversight Because There Is No Mechanism to Assess Affordability beyond First Mission", "paragraphs": ["ESD is responsible for overall affordability for SLS, Orion, and EGS, while each of the programs develops and maintains an individual cost and schedule baseline. The baseline is created at the point when a program receives NASA management approval to proceed into final design and production. In their respective baselines, as shown in table 1, SLS and EGS cost and schedule are baselined to EM-1, and Orion\u2019s are baselined to EM-2. NASA documentation indicates that Orion\u2019s baselines are tied to EM-2 because that is the first point at which it will fulfill its purpose of carrying crew. Should NASA determine it is likely to exceed its cost estimate baseline by 15 percent or miss a milestone by 6 months or more, NASA is required to report those increases and delays\u2014along with their impacts\u2014to Congress. In June 2017, NASA sent notification to Congress that the schedule for EM-1 has slipped beyond the allowed 6- month threshold, but stated that cost is expected to remain within the 15 percent threshold.", "NASA has not established EM-2 cost baselines or expected total life- cycle costs for SLS and EGS, including costs related to the larger and more capable versions of SLS needed to implement the agency\u2019s plans to send crewed missions to Mars. GAO\u2019s Cost Estimating and Assessment Guide, a guidebook of cost estimating best practices developed in concert with the public and private sectors, identifies baselines as a critical means for measuring program performance over time and addresses how a baseline backed by a realistic cost estimate increases the probability of a program\u2019s success. In addition, prior GAO work offers insight into the benefits of how baselines enhance a program\u2019s transparency. For example, we found in 2009 that costs for the Missile Defense Agency\u2019s (MDA) ballistic missile defense system had grown by at least $1 billion, and that lack of baselines for each block of capability hampered efforts to measure progress and limited congressional oversight of MDA\u2019s work. MDA responded to our recommendation to establish these baselines and, in 2011, we reported that MDA had a new process for setting detailed baselines, which had resulted in a progress report to Congress more comprehensive than the one it provided in 2009.", "To that end, we have made recommendations in the past on the need for NASA to baseline the programs\u2019 costs for capabilities beyond EM-1; however, a significant amount of time has passed without NASA taking steps to fully implement these recommendations. Specifically, in May 2014, we recommended that, to provide Congress with the necessary insight into program affordability, ensure its ability to effectively monitor total program costs and execution, and to facilitate investment decisions, NASA\u2019s Administrator should direct the Human Exploration and Operations Mission Directorate to:", "Establish a separate cost and schedule baseline for work required to support the SLS for EM-2 and report this information to the Congress through NASA\u2019s annual budget submission. If NASA decides to fly the SLS configuration used in EM-2 beyond EM-2, establish separate life cycle cost and schedule baseline estimates for those efforts, to include funding for operations and sustainment, and report this information annually to Congress via the agency\u2019s budget submission; and", "Establish separate cost and schedule baselines for each additional capability that encompass all life cycle costs, to include operations and sustainment, because NASA intends to use the increased capabilities of the SLS, Orion, and ground support efforts well into the future and has chosen to estimate costs associated with achieving the capabilities.", "As part of the latter recommendation, we stated that, when NASA could not fully specify costs due to lack of well-defined missions or flight manifests, the agency instead should forecast a cost estimate range\u2014 including life cycle costs\u2014having minimum and maximum boundaries and report these baselines or ranges annually to Congress via the agency\u2019s budget submission.", "In its comments on our 2014 report, NASA partially concurred with these two recommendations, noting that much of what it had already done or expected to do would address them. For example, the agency stated that establishing the three programs as separate efforts with individual cost and schedule commitments met GAO\u2019s intent as would its plans to track and report development, operations, and sustainment costs in its budget to Congress as the capabilities evolved. In our response, we stated that while NASA\u2019s prior establishment of three separate programs lends some insight into expected costs and schedule at the broader program level, it does not meet the intent of the two recommendations because cost and schedule identified at that level is unlikely to provide the detail necessary to monitor the progress of each block against a baseline. Further, reporting the costs via the budget process alone will not provide information about potential costs over the long term because budget requests neither offer all the same information as life-cycle cost estimates nor serve the same purpose. Life-cycle cost estimates establish a full accounting of all program costs for planning, procurement, operations and maintenance, and disposal and provide a long-term means to measure progress over a program\u2019s life span.", "In 2016, NASA requested closure of these recommendations, citing, among other factors, changes to the programs\u2019 requirements, design, architecture, and concept of operations. However, NASA\u2019s request did not identify any steps taken to meet the intent of these two recommendations, such as establishing cost and schedule baselines for EM-2, baselines for each increment of SLS, Orion, or ground systems capability, or documentation of life cycle cost estimates with minimum and maximum boundaries. Further, a senior level ESD official told us that NASA does not intend to establish a baseline for EM-2 because it is not required to do so. The limited scope that NASA has chosen to use as the basis for formulating the programs\u2019 cost baselines does not provide the transparency necessary to assess long-term affordability. Plainly, progress cannot be assessed without a baseline that serves as a means to compare current costs against expected costs; consequently, it becomes difficult to assess program affordability and for Congress to make informed budgetary decisions.", "NASA\u2019s lack of action in regards to our 2014 recommendations means that it is now contractually obligating NASA to spend billions of dollars in potential costs for EM-2 and beyond without a baseline against which to assess progress. For example: in fiscal year 2016, the SLS program awarded two contracts to Aerojet Rocketdyne: a $175 million contract for RL-10 engines to power the exploration upper stage during EM-2 and EM-3 and a $1.2 billion contract to restart the RS-25 production line required for engines for use beyond EM-4, and to produce at least 4 additional RS-25 engines; in 2017, SLS modified the existing Boeing contract upwards by $962 million for work on the exploration upper stage that SLS will use during EM-2 and future flights; and on a smaller scale, in fiscal year 2016 the EGS program obligated $4.8 million to support the exploration upper stage and EM-2.", "As illustrated by these contracting activities, the SLS program is obligating more funds for activities beyond EM-1 than Congress directed. Specifically, of approximately $2 billion appropriated for the SLS program, the Consolidated Appropriations Act, 2016 directed that NASA spend not less than $85 million for enhanced upper stage development for EM-2. NASA has chosen to allocate about $360 million of its fiscal year 2016 SLS appropriations towards EM-2, including enhanced upper stage development, additional performance upgrades, and payload adapters, without a baseline to measure progress and ensure transparency. The NASA Inspector General (IG) also recently reported that NASA is spending funds on EM-2 efforts without a baseline in place and expressed concerns about the need for EM-2 cost estimates. Because NASA has not implemented our recommendations, it may now be appropriate for Congress to take action to require EM-2 cost and schedule baselines for SLS and EGS, and separate cost and schedule baselines for additional capabilities developed for Orion, SLS, and EGS for missions beyond EM-2. These baselines would be important tools for Congress to make informed, long-term budgetary decisions with respect to NASA\u2019s future exploration missions, including Mars."], "subsections": []}, {"section_title": "Organizational Structure Impairs Independence of Engineering and Safety Technical Oversight", "paragraphs": ["NASA\u2019s governance model prescribes a management structure that employs checks and balances among key organizations to ensure that decisions have the benefit of different points of view and are not made in isolation. As part of this structure, NASA established the technical authority process as a system of checks and balances to provide independent oversight of programs and projects in support of safety and mission success through the selection of specific individuals with delegated levels of authority. The technical authority process has been used in other parts of the government for acquisitions, including the Department of Defense and Department of Homeland Security. ESD is organizationally connected to three technical authorities within NASA.", "The Office of the Chief Engineer technical authority is responsible for ensuring from an independent standpoint that the ESD engineering work meets NASA standards,", "The Office of Safety and Mission Assurance technical authority is responsible for ensuring from an independent standpoint that ESD products and processes satisfy NASA\u2019s safety, reliability, and mission assurance policies, and", "The Office of Chief Health and Medical technical authority is responsible for ensuring from an independent standpoint that ESD programs meet NASA\u2019s health and medical standards.", "These NASA technical authorities have delegated responsibility for their respective technical authority functions directly to ESD staff. According to NASA\u2019s project management requirements, the program or project manager is ultimately responsible for the safe conduct and successful outcome of the program or project in conformance with governing requirements and those responsibilities are not diminished by the implementation of technical authority.", "ESD has established an organizational structure in which the technical authorities for engineering and safety and mission assurance (S&MA) are dual hatted to also serve simultaneously in programmatic positions. The chief engineer technical authority also serves as the Director of ESD\u2019s Cross Program System Integration Office and the S&MA technical authority also serves as the ESD Safety and Mission Assurance Manager. In their programmatic roles for ESD, the individuals manage resources, including budget and schedule, to address engineering and safety issues. In their technical authority roles, these same individuals are to provide independent oversight of programs and projects in support of safety and mission success. Having the same individual simultaneously fill both a technical authority role and a program role creates an environment of competing interests where the technical authority may be subject to impairments in their ability to impartially and objectively assess the programs while at the same time acting on behalf of ESD in programmatic capacities. This duality makes them more subject to program pressures of cost and schedule in their technical authority roles. Figure 9 describes some of the conflicting roles and responsibilities of these officials in their two different positions.", "The concurrency of duties leaves the positions open to conflicting goals of safety, cost, and schedule and increases the potential for the technical authorities to become subject to cost and schedule pressures. For example: the dual-hatted engineering and S&MA technical authorities serve on decision-making boards both in technical authority and programmatic capacities, making them responsible for providing input on technical and safety decisions while also keeping an eye on the bottom line for ESD\u2019s cost and schedule; and the technical authorities are positioned such that they have been the reviewers of the ESD programmatic areas they manage\u2014in essence, \u201cgrading their own homework.\u201d For example, at ESD\u2019s Build to Sync review in 2016, the engineering and S&MA technical authorities evaluated the areas that they manage in their respective capacities as ESD Director of Cross Program System Integration and ESD Safety and Mission Assurance Manager. This process relied on their abilities as individuals to completely separate the two hats\u2014using one hand to put on the ESD hat and manage technical and safety issues within programmatic cost and schedule constraints and using the other hand to take off that hat and assess the same issues with an independent eye.", "NASA officials identified several reasons why the dual-hat structure works for their purposes. Agency officials stated that one critical factor to successful dual-hatting is having the \u201cright\u201d people in those dual-hat positions\u2014that is, personnel with the appropriate technical knowledge to do the work and the ability to act both on behalf of ESD and independent of it. Officials also indicated that technical authorities retain independence because their technical authority reporting paths and performance reviews are all within their technical authority chain of command rather than under the purview of the ESD chain of command.", "Additionally, agency officials said that dual-hat roles are a commonplace practice at NASA and cited other factors in support of the approach, including that: it would not be an efficient use of resources to have an independent technical authority with no program responsibilities because that person would be unlikely to have sufficient program knowledge to provide useful insight and could slow the program\u2019s progress; a technical authority that does not consider cost and schedule is not helpful to the program because it is unrealistic to disregard those aspects of program management; a strong dissenting opinion process is in place and allows for issues to be raised through various levels to the Administrator level within NASA; and", "ESD receives additional independent oversight through three NASA internal organizations\u2014the independent review teams that provide independent assessments of a program\u2019s technical and programmatic status and health at key points in its life cycle; the NASA Engineering and Safety Center that conducts independent safety and mission success-related testing, analysis, and assessments of NASA\u2019s high- risk projects; and the Aerospace Safety Advisory Panel (ASAP) that independently oversees NASA\u2019s safety performance.", "These factors that NASA officials cite in support of the dual-hat approach minimize the importance of having independent oversight and place ESD at risk of fostering an environment in which there is no longer a balance between preserving safety with the demands of maintaining cost and schedule. The Columbia Accident Investigation Board (CAIB) report\u2014the result of an in-depth assessment of the technical and organizational causes of the Columbia accident\u2014concluded that NASA\u2019s organization for the Shuttle program combined, among other things, all authority and responsibility for schedule, cost, safety, and technical requirements and that this was not an effective check and balance. The CAIB report recommended that NASA establish a technical authority to serve independently of the Space Shuttle program so that employees would not feel hampered to bring forward safety concerns or disagreements with programmatic decisions. The Board\u2019s findings that led to this recommendation included a broken safety culture in which it was difficult for minority and dissenting opinions to percolate up through the hierarchy; dual Center and programmatic roles vested in one person that had confused lines of authority, responsibility, and accountability and made the oversight process susceptible to conflicts of interest; and oversight personnel in positions within the program, increasing the risk that these staffs\u2019 perspectives would be hindered by too much familiarity with the programs they were overseeing.", "ESD officials stated that they had carefully and thoughtfully implemented the intent of the CAIB; they said they had not disregarded its finding and recommendations but instead established a technical authority in such a way that it best fit the context of ESD\u2019s efforts. These officials did acknowledge, though, that the dual hat approach does not align with the CAIB report\u2019s recommendation to separate programmatic and technical authority or with NASA\u2019s governance framework. Further, over the course of our review, we spoke with various high-ranking officials outside and within NASA who expressed some reservations about ESD\u2019s dual hat approach. For example:", "The former Chairman of the CAIB stated that, even though the ESD programs are still in development, he believes the technical authority should be institutionally protected against the pressures of cost and schedule and added that NASA should never be lulled into dispensing of engineering and safety independence because human spaceflight is an extremely risky enterprise.", "Both NASA\u2019s Chief Engineer and Chief of S&MA acknowledged there is inherent conflict in the concurrent roles of the dual hats, while also expressing great confidence in the ESD staff now in the dual roles.", "NASA\u2019s Chief of S&MA indicated that the dual-hat S&MA structure is working well within ESD, but he believes these dual-hatted roles may not necessarily meet the intent of the CAIB\u2019s recommendation because the Board envisioned an independent safety organization completely outside the programs.", "NASA\u2019s Chief Engineer stated that he believes technical authority should become a separate responsibility and position as ESD moves forward with integration of the three programs and into their operation as a system.", "As these individuals made clear, ensuring the ESD engineering and S&MA technical authorities remain independent of cost and schedule conflicts is key to human spaceflight success and safety. Along these lines, the ASAP previously conveyed concerns about NASA\u2019s implementation of technical authority that continue to be valid today. In particular, the ASAP stated in a 2013 report that NASA\u2019s technical authority was working at that time in large measure due to the well- qualified, strong personnel that had been assigned to the process. The panel noted, however, that should there be a conflict or weakening of the placement of strong individuals in the technical authority position, this could introduce greater risk into a program. Although a current ASAP official stated she had no concerns with ESD\u2019s present approach to technical authority, the panel\u2019s prior caution remains applicable, and the risk that the ASAP identified earlier could be realized if not mitigated by eliminating the potential for competing interests within the ESD engineering and S&MA positions.", "NASA is currently concluding an assessment of the implementation of the technical authority role to determine how well that function is working across the agency. According to the official responsible for leading the study, the assessment includes examining the evolution of the technical authority role over the years and whether NASA is spending the right amount of funds for those positions. NASA expects to have recommendations in 2017 on how to improve the technical authority function, but does not expect to address the dual hat construct. A principle of federal internal controls is that an agency should design control activities to achieve objectives and respond to risks, which includes segregation of key duties and responsibilities to reduce the risk of error, misuse, or fraud. By overlapping technical authority and programmatic responsibilities, NASA will continue to run the risk of creating an environment of competing interests for the ESD engineering and S&MA technical authorities."], "subsections": []}]}, {"section_title": "ESD Risk Posture Has Improved, but Key Risk Areas Remain for the Integration Effort", "paragraphs": ["Despite the development and integration challenges associated with a new human spaceflight capability, ESD has improved its overall cross- program risk posture over the past 2 years. Nonetheless, it still faces key integration risk areas within software development and verification and validation (V&V). Both are critical to readiness for EM-1 because software acts as the \u201cbrain\u201d that ties SLS, Orion, and EGS together in a functioning body, while V&V ensures the integrated body works as expected. The success of these efforts forms the foundation for a launch, no matter the date of EM-1."], "subsections": [{"section_title": "ESD\u2019s Cross-Program Risk Posture Has Improved", "paragraphs": ["We have previously reported on individual SLS, Orion, and EGS program risks that were contributing to potential delays within each program. For example, in July 2016, we found that delays with the European Service Module\u2014which will provide services to the Orion crew module in the form of propulsion, consumables storage, and heat rejection and power\u2014could potentially affect the Orion program\u2019s schedule. Subsequently, in April 2017, we found that those delays had worsened and were contributing to the program likely not making a November 2018 launch readiness date. All three programs continue to manage such individual program risks, which is to be expected of programs of this size and complexity. The programs may choose to retain these risks in their own risk databases or elevate them to ESD to track mitigation steps. A program would elevate a risk to ESD when decisions are needed by ESD management, such as a need for additional resources or requirement changes. Risks with the greatest potential for negative impacts are categorized as top ESD risks. In addition to these individual programs risks that are elevated to ESD, ESD is also responsible for overseeing cross-program risks that affect multiple programs. An example of a cross-program risk is the potential for delayed delivery of data from SLS and Orion to affect the EGS software development schedule.", "ESD has made progress reducing risks over the last 2 years, from the point of the Design to Sync preliminary design review equivalent for the integrated programs to the Build to Sync critical design review equivalent. As figure 10 illustrates, ESD has reduced its combined total of ESD and cross program risks from 39 to 25 over this period, and reduced the number of high risks from about 49 percent of the total to about 36 percent of the total.", "The ESD risk system is dynamic, with risks coming into and dropping out of the system over time as development proceeds and risk mitigation is completed. A total of 29 of the 39 risks within the ESD risk portfolio were removed from the register and 15 risks were added to the register between November 2014, prior to Design to Sync, and March 2017, after Build to Sync. Examples of risks removed over this time period include risks associated with late delivery of Orion and SLS ground support equipment hardware to EGS and establishing a management process to identify risks stemming from the programs being at differing points in development.", "Nine risks remained active in the system over the 2-year period we analyzed, and NASA experienced delays in the length of time it anticipated it would take to complete mitigation of the majority of these nine risks. Three of these nine risks that have remained active in the risk system since before Design to Sync are still classified as high risk; the remaining six are classified as medium risk. Mitigation is an action taken to eliminate or reduce the potential severity of a risk, either by reducing the probability of it occurring, by reducing the level of impact if it does occur, or both. ESD officials indicated a number of reasons why risks could take longer to mitigate. For instance, risks with long-term mitigation strategies may go for extended periods of time without score changes. In addition, ESD may conduct additional risk assessments and determine that certain risks need to be reprioritized over time and that resources should be focused towards higher risks. In addition, some risk mitigation steps are tied to hardware delivery and launch dates, and as those delay, the risk mitigation steps will as well. As illustrated in table 2, we found that six of these nine risks were related to software and V&V and represented some of the primary causes in terms of estimated completion delays. On average, the estimated completion dates for these six risks were delayed about 16 months. In addition, the two V&V risks that have remained active since before Design to Sync were still considered top ESD risks as of March 2017 when we completed this analysis."], "subsections": []}, {"section_title": "Software Development Is a Key Risk Area Facing the Integration Effort", "paragraphs": ["Software development is one of the top cross-program technical issues facing ESD as the programs approach EM-1. Software is a key enabling technology required to tie the human spaceflight systems together. Specifically, for ESD to achieve EM-1 launch readiness, software developed within each of the programs has to be able to link and communicate with software developed in other programs in order to enable a successful launch. Furthermore, software development continues after hardware development and is often used to help resolve hardware deficiencies discovered during systems integration and test.", "ESD has defined six critical paths\u2014the path of longest duration through the sequence of activities that determines the program\u2019s earliest completion date\u2014for its programs to reach EM-1, and three are related to software development. These three software critical paths support interaction and communication between the systems the individual programs are developing\u2014SLS to EGS software, Orion to EGS software, and the Integrated Test Laboratory (ITL) facility that supports Orion software and avionics testing as well as some SLS and EGS testing. The other critical paths are development of the Orion crew service module, SLS core stage, and the EGS Mobile Launcher. Because of software\u2019s importance to EM-1 launch readiness, ESD is putting a new method in place to measure how well these software efforts are progressing along their respective critical paths. To that end, it is currently developing a set of \u201cKey Progress Indicators\u201d milestones that will include baseline and forecast dates. Officials indicated that these metrics will allow ESD to better track progress of the critical path software efforts toward EM-1 during the remainder of the system integration and test phase. ESD officials have indicated, however, that identifying and establishing appropriate indicators is taking longer than expected and proving more difficult than anticipated.", "One of the software testing critical paths, the ITL, has already experienced delays that slipped completion of planned software testing from September 2018 until March 2019, a delay of 6 months. Officials told us that this delay was primarily due to a series of late avionics and software deliveries by the European Space Agency for Orion\u2019s European Service Module. The delay in the Orion testing in turn affects SLS and EGS software testing and integration because those activities are informed by the completion of the Orion software testing. Furthermore, some EGS and SLS software testing scheduled to be conducted within the ITL has been re-planned as a result of the Orion delays.", "The Orion program indicates that it has taken action to mitigate ITL issues as they arise. For example, the European Service Module avionics and software delivery delay opened a 125-day gap between completion of crew module testing and service module testing. Orion officials indicated that the program had planned to proceed directly into testing of the integrated crew module and service module software and systems, but the integrated testing cannot be conducted until the service module testing is complete.", "As illustrated by figure 11, to mitigate the impact of the delay, Orion officials indicated that the program filled this gap by rescheduling other activities at the ITL such as software integration testing and dry runs for the three programs. These adjustments narrowed the ITL schedule gap from 125 days to 24 days. The officials stated that they will continue to adjust the schedule to eliminate gaps.", "The other two software critical paths\u2014SLS to EGS and Orion to EGS software development\u2014are also experiencing software development issues. In July 2016, for example, we found that delays in SLS and Orion requirements development, as well as the programs\u2019 decisions to defer software content to later in development, were delaying EGS\u2019s efforts to develop ground command and control software and increasing cost and schedule.", "Furthermore, ESD reports show that delays and content deferral in the Orion and SLS software development continue to affect EGS software development and could delay launch readiness. For example, the EGS data throughput risk that both ESD and EGS are tracking is that the ground control system software is currently not designed to process the amount of telemetry it will receive and provide commands to SLS and ground equipment as required during launch operations. EGS officials stated that, if not addressed, the risk is that if there is a SLS or Orion failure, the ground control system software may not display the necessary data to launch operations technicians. EGS officials told us that the reason for the mismatch between the data throughput being sent to the ground control software and how much is it designed to process is that no program was constrained in identifying its data throughput. These officials stated that retrospectively, they should have established an interface control document to manage the process. The officials also stated that the program is taking steps to mitigate this risk, including defining or constraining the data parameters and buying more hardware to increase the amount of data throughput that can be managed, but will not know if the risk is fully mitigated until additional data are received and analyzed during upcoming tests. For example, EGS officials stated that the green run test will provide additional data to help determine if the steps they are taking address this throughput risk. If the program determines the risk is not fully mitigated and additional software redesign is required, it could lead to schedule delays.", "ESD officials overseeing software development acknowledged that software development for the integrated systems is a difficult task and said they expect to continue to encounter and resolve software development issues during cross-program integration and testing. As we have found in past reviews of NASA and Department of Defense systems, software development is a key risk area during system integration and testing. For example, we found in April 2017 that software delivery delays and development problems with the U.S. Air Force\u2019s F-35 program experienced during system integration and testing were likely to extend that program\u2019s development by 12 months and increase its costs by more than $1.7 billion."], "subsections": []}, {"section_title": "Verification and Validation Will Remain Key Risk Area to Monitor as NASA Establishes and Works towards New Launch Readiness Date", "paragraphs": ["Verification and validation (V&V) is acknowledged by ESD as a top cross- program integration risk that NASA must monitor as it establishes and works toward a new EM-1 launch readiness date. V&V is a culminating development activity prior to launch for determining whether integrated hardware and software will perform as expected. V&V consists of two equally important aspects: verification is the process for determining whether or not a product fulfills the requirements or specifications established for it at the start of the development phase; and validation is the assessment of a planned or delivered system ability to meet the sponsor\u2019s operational need in the most realistic environment achievable during the course of development or at the end of development.", "Like software development and testing, V&V is typically complex and made even more so by the need to verify and validate how SLS, Orion, and EGS work together as an integrated system.", "ESD\u2019s V&V plans for the integrated system have been slow to mature. In March 2016, leading up to ESD\u2019s Build to Sync review, ESD performed an audit of V&V-related documentation for the program CDRs and ESD Build to Sync. The audit found that 54 of 257 auditable areas (21 percent) were not mature enough to meet NASA engineering policy guidance for that point in development. According to ESD documentation, there were several causes of this immaturity, including incomplete documentation and inconsistent requirements across the three programs. NASA officials told us that our review prompted ESD to conduct a follow-up and track the status of these areas. As of June 2017, 53 of the 54 auditable areas were closed, which means these areas are at or have exceeded CDR level of maturity\u20146 months after Build to Sync was completed. NASA officials indicated that the remaining one auditable area, which is related to the test plan for the integrated communication network, was closed in August 2017.", "Nevertheless, other potential V&V issues still remain. According to ESD officials, distributing responsibility for V&V across the three programs has created an increased potential for gaps in testing. If gaps are discovered during testing, or if integrated systems do not perform as planned, money and time for modifications to hardware and/or software may be necessary, as well as time for retesting. This could result in delayed launch readiness. As a result, mature V&V plans are needed to ensure there are no gaps in planned testing. ESD officials indicated that a NASA Engineering and Safety Center review of their V&V plans, requested by ESD\u2019s Chief Engineer to address concerns about V&V planning, would help define the path forward for maturing V&V plans. V&V issues add to cost and schedule risk for the program because they may take more time and money to resolve than ESD anticipates. In some cases, they may have a safety impact as well. For example, if the structural models are not sufficiently verified, it increases flight safety risks. Each of the programs bases its individual analyses on the models of the other programs. As a result, any deficiencies discovered in one can have cascading effects through the other systems and programs. We will continue to monitor ESD\u2019s progress mitigating risks as NASA approaches EM-1."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["NASA is at the beginning of the path leading to human exploration of Mars. The first phase along that path, the integration of SLS, Orion, and EGS, is likely to set the stage for the success or failure of the rest of the endeavor. Establishing a cost and schedule baseline for NASA\u2019s second mission is an important initial step in understanding and gaining support for the costs of SLS, Orion, and EGS, not just for that one mission but for the Mars plan overall. NASA\u2019s ongoing refusal to establish this baseline is short-sighted, because EM-2 is part of a larger conversation about the affordability of a crewed mission to Mars. While later stages of the Mars mission are well in the future, getting to that point in time will require a funding commitment from the Congress and other stakeholders. Much of their willingness to make that commitment is likely to be based on the ability to assess the extent to which NASA has met prior goals within predicted cost and schedule targets.", "Furthermore, as ESD moves SLS, Orion, and EGS from development to integrated operations, its efforts will reach the point when human lives will be placed at risk. Space is a severe and unforgiving environment; the Columbia accident showed the disastrous consequences of mistakes. As the Columbia Accident Investigation Board report made clear, a program\u2019s management approach is an integral part of ensuring that human spaceflight is as safe and successful as possible. The report also characterized independence as key to achieving that safety and success. ESD\u2019s approach, however, tethers independent oversight to program management by vesting key individuals to wear both hats at the same time. As a result, NASA is relying heavily on the personality and capability of those individuals to maintain independence rather than on an institutional process, which diminishes lessons learned from the Columbia accident."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration.", "Congress should consider requiring the NASA Administrator to direct the Exploration Systems Development organization within the Human Exploration and Operations Mission Directorate to establish separate cost and schedule baselines for work required to support SLS and EGS for Exploration Mission 2 and establish separate cost and schedule baselines for each additional capability that encompass all life cycle costs, to include operations and sustainment. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to the Exploration Systems Development organization.", "Exploration Systems Development should no longer dual-hat individuals with both programmatic and technical authority responsibilities. Specifically, the technical authority structure within Exploration Systems Development should be restructured to ensure that technical authorities for the Offices of the Chief Engineer and Safety and Mission Assurance are not fettered with programmatic responsibilities that create an environment of competing interests that may impair their independence. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["NASA provided written comments on a draft of this report. These comments are reprinted in appendix II. NASA also provided technical comments, which were incorporated as appropriate.", "In responding to a draft of our report, NASA partially concurred with our recommendation that the Exploration Systems Development (ESD) organization should no longer dual-hat individuals with both programmatic and technical authority responsibilities. Specifically, we recommended that the technical authority structure within ESD should be restructured to ensure that technical authorities for the Offices of Chief Engineer and Safety and Mission Assurance are not fettered with programmatic responsibilities that create an environment of competing interests that may impair their independence. In response to this recommendation, NASA stated that it created the technical authority governance structure after the Columbia Accident Investigation Board report and that the dual- hat technical authority structure has been understood and successfully implemented within ESD. NASA recognized, however, that as the program moves from the design and development phase into the integration and test phase, it anticipates that the ESD environment will encounter more technical issues that will, by necessity, need to be quickly evaluated and resolved. NASA asserted that within this changed environment it would be beneficial for the Engineering Technical Authority role to be performed by the Human Exploration and Operations Chief Engineer (who reports to the Office of the Chief Engineer). NASA stated that over the next year or so, it would solicit detailed input from these organizations and determine how to best support the program while managing the transition to integration and test and anticipated closing this recommendation by September 30, 2018.", "We agree that NASA should solicit detailed input from key organizations within the agency as it transitions away from the dual hat technical authority structure to help ensure successful implementation of a new structure. In order to implement this recommendation, however, NASA needs to assign the technical authority role to a person who does not have programmatic responsibilities to ensure they are independent of responsibilities related to cost and schedule performance. To fulfill this, this person may need to reside outside of the Human Exploration and Operations Mission Directorate and NASA should solicit input from the Office of the Chief Engineer when making this decision to ensure that there are no competing interests for the technical authority. Moreover, in its response, NASA does not address the dual-hat technical authority role for Safety and Mission Assurance. We continue to believe that similar changes for this role would be appropriate as well.", "Further, in response to this recommendation, NASA makes two statements that require additional context. First, NASA stated that GAO\u2019s recommendation was focused on overall Agency technical authority management. While this review involved meeting with the heads of the Office of Chief Engineer and the Office of Safety and Mission Assurance, the scope of this review and the associated recommendation are limited to ESD. Second, NASA stated \u201cAs you found, we agree that having the right personnel in senior leadership positions is essential for a Technical Authority to be successful regardless of how the Technical Authority is implemented.\u201d To clarify, this perspective is attributed to NASA officials in our report and does not represent GAO\u2019s position.", "We are sending copies of this report to NASA\u2019s Administrator and to appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report assesses (1) the benefits and challenges of the National Aeronautics and Space Administration\u2019s (NASA) approach for integrating and assessing the programmatic and technical readiness of Orion, SLS, and EGS; and (2) the extent to which the Exploration Systems Development (ESD) organization is managing cross-program risks that could affect launch readiness.", "To assess the benefits and challenges of NASA\u2019s approach for integrating and assessing the programmatic and technical readiness of its current human spaceflight programs relative to other selected programs, we reviewed and analyzed NASA policies governing program and technical integration, including cost, schedule, and risk. We obtained and analyzed ESD implementation plans to assess the role of ESD in cross program integration of the three programs. We reviewed the 2003 Columbia Accident Investigation Board\u2019s Report\u2019s findings and recommendations related to culture and organizational management of human spaceflight programs as well as the Constellation program\u2019s lessons learned report. We reviewed detailed briefings and documentation from Cross-Program Systems Integration and Programmatic and Strategic Integration teams explaining ESD\u2019s approach to programmatic and technical integration, including implementation of systems engineering and integration. We interviewed NASA officials to discuss the benefits and challenges of NASA\u2019s integration approach and their roles and responsibilities in managing and overseeing the integration process. We met with the technical authorities and other representatives from the NASA Office of the Chief Engineer, Office of Safety and Mission Assurance, Crew Health and Safety, addressed cost and budgeting issues with the Chief Financial Officer and discussed and documented their roles in executing and overseeing the ESD programs. We also interviewed outside subject matter experts to gain their insight of ESD\u2019s implementation of NASA\u2019s program management policies on the independent technical authority structure. Additionally, we compared historical budget data from the now- cancelled Constellation program to ESD budget data and quantified systems engineering and integration budget savings through preliminary design review, the point at which the Constellation program was cancelled. In addition, we assessed the scope of NASA\u2019s funding estimates for the second exploration mission and beyond against best practices criteria outlined in GAO\u2019s cost estimating guidebook. We assessed the reliability of the budget data obtained using GAO reliability standards as appropriate. We compared the benefits and challenges of NASA\u2019s integration approach to that of other complex, large-scale government programs, including NASA\u2019s Constellation and the Department of Defense\u2019s Missile Defense Agency programs.", "To determine the extent to which ESD is managing cross-program risks that could affect launch readiness, we obtained and reviewed NASA and ESD risk management policies; detailed monthly and quarterly briefings; and documentation from Cross-Program Systems Integration and Programmatic and Strategic Integration teams explaining ESD\u2019s approach to identifying, tracking, and mitigating cross-program risks. We reviewed Cross-Program Systems Integration systems engineering and systems integration areas as well as Programmatic and Strategic Integration risks, cost, and schedule to determine what efforts presented the highest risk to cross program cost and schedule. We conducted an analysis of ESD\u2019s risk dataset and the programs\u2019 detailed risk reports, which list program risks and their potential schedule impacts, including mitigation efforts to date. We examined risk report data from Design to Sync to Build to Sync and focused our analyses to identify risks with current mitigation plans to determine if risk mitigation plans are proceeding on schedule. We did not analyze risks that were categorized under \u201cAccept,\u201d \u201cCandidate,\u201d \u201cResearch,\u201d \u201cUnknown,\u201d or \u201cWatch\u201d because these risks were not assigned an active mitigation plan by ESD. To assess the reliability of the data, we reviewed related documentation and interviewed knowledgeable agency officials. We determined the data was sufficiently reliable for identifying risks and schedule delays associated with those risks. We examined ESD integrated testing facility schedules to determine the extent to which they can accommodate deviation in ESD\u2019s planned integrated test schedule. We also interviewed program and contractor officials on technical risks, potential impacts, and risk mitigation efforts underway and planned.", "We conducted this performance audit from August 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Molly Traci (Assistant Director), LaTonya Miller, John S. Warren Jr., Tana Davis, Laura Greifner, Roxanna T. Sun, Samuel Woo, Marie P. Ahearn, and Lorraine Ettaro made key contributions to this report."], "subsections": []}]}], "fastfact": ["NASA is developing 3 programs to put astronauts into space\u2014the Orion crew vehicle, Space Launch System, and Exploration Ground Systems. All 3 programs must work together.", "We found challenges in NASA's approach to integrating these programs. For example, the technical authorities for engineering and safety also have program roles that include managing resources. When technical authorities must also deal with cost and schedule pressures, it can potentially impair their independence. A review board concluded this type of tension contributed to the 2003 Columbia shuttle accident.", "We made recommendations to strengthen oversight and independence."]} {"id": "GAO-18-177", "url": "https://www.gao.gov/products/GAO-18-177", "title": "Homeland Defense: Urgent Need for DOD and FAA to Address Risks and Improve Planning for Technology That Tracks Military Aircraft", "published_date": "2018-01-18T00:00:00", "released_date": "2018-01-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD has until January 1, 2020, to equip its aircraft with ADS-B Out technology that would provide DOD, FAA, and private citizens the ability to track their flights in real-time and track flight patterns over time. This technology is a component of NextGen, a broader FAA initiative that seeks to modernize the current radar-driven, ground-based air transportation system into a satellite-driven space-based system.", "Senate Report 114-255 included a provision for GAO to assess the national defense implications of FAA's implementation of ADS-B. This report assesses the extent to which (1) DOD and FAA have identified operations and security risks and approved solutions to address these risks to ADS-B Out -equipped military aircraft; and (2) DOD has implemented key tasks in the 2007 memorandum on implementing NextGen.", "GAO analyzed risks identified by DOD and FAA related to ADS-B vulnerabilities, and how they could affect current and future air defense and air traffic missions. GAO also reviewed the tasks in the 2007 NextGen Memorandum and assessed whether the eight tasks specifically related to ADS-B were implemented."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2008, the Department of Defense (DOD) and the Department of Transportation's Federal Aviation Administration (FAA) have identified a variety of risks related to Automatic Dependent Surveillance-Broadcast (ADS-B) Out technology that could adversely affect DOD security and missions. However, they have not approved any solutions to address these risks. Compared with other tracking technology, ADS-B Out provides more information, such as an aircraft's precise location, velocity, and airframe dimensions, and better enables real-time and historical flight tracking. Individuals\u2014including adversaries\u2014could track military aircraft equipped with ADS-B Out technology, presenting risks to physical security and operations. This readily available public information allowed GAO to track various kinds of military aircraft. ADS-B Out is also vulnerable to electronic warfare and cyber-attacks. Since FAA is planning to divest radars as part of ADS-B implementation, homeland defense could also be at risk, since the North American Aerospace Defense Command relies on information from FAA radars to monitor air traffic. DOD and FAA have drafted a memorandum of agreement that focuses on equipping aircraft with ADS-B Out but does not address specific security risks. Unless DOD and FAA focus on these risks and approve one or more solutions in a timely manner, they may not have time to plan and execute actions that may be needed before January 1, 2020\u2014when all aircraft are required to be equipped with ADS-B Out technology.", "Of the eight tasks associated with the implementation of ADS-B Out technology in the 2007 DOD NextGen memorandum\u2014issued by the Deputy Secretary of Defense to ensure that the NextGen vision for the future national airspace system met DOD's requirements and the appropriate management of DOD's resources\u2014DOD has implemented two, has partially implemented four, and has not implemented two. DOD has established a joint program office and identified a lead service, but it has only partially validated ADS-B Out requirements, developed a directive, issued an implementation plan, and incorporated NextGen into the planning, budgeting, and programming process. DOD has not taken significant action to integrate the needs and requirements of DOD components related to ADS-B into cohesive plans and policies for inclusion in NextGen joint planning and development, and has not provided periodic and recurring NextGen progress reports to the Deputy Secretary of Defense. As a result of DOD not fully implementing the 2007 NextGen memorandum, DOD components have lacked direction and cohesion while trying to address FAA's requirement to equip military aircraft.", "This is a public version of a classified report GAO issued in January 2018."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that DOD and FAA approve one or more solutions to address ADS-B -related security risks; and that DOD implement key tasks to facilitate consistent, long-term planning and implementation of NextGen. DOD and the Department of Transportation generally concurred and described planned actions to implement the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2010, the Federal Aviation Administration (FAA) issued a final rule that requires all aircraft\u2014including military aircraft\u2014flying in specified airspace within the national airspace system as of January 1, 2020, to be equipped with technology that would transmit flight information to an enabled receiver. This technology\u2014known as Automatic Dependent Surveillance- Broadcast (ADS-B) Out\u2014is a key component of the FAA\u2019s Next Generation Air Transportation System (NextGen), which seeks to modernize the current ground-based radar system to a satellite-derived system for automated aircraft position reporting, navigation, and digital communications. ADS-B Out uses an aircraft\u2019s avionics equipment to broadcast the aircraft\u2019s position, altitude, and velocity to any ground, air, or space-based receiver.", "Over the years, the Department of Defense (DOD) has expressed concern about the operations security risk of openly transmitting flight data from military aircraft. For example, in DOD\u2019s 2008 comments about FAA\u2019s draft rule requiring ADS-B Out technology, the department informed FAA that it was possible to identify and potentially compromise DOD aircraft conducting sensitive missions in the United States due to ADS-B Out technology. The North American Aerospace Defense Command (NORAD) and DOD have also expressed concerns about the FAA\u2019s plan to decommission FAA legacy radar systems on which NORAD relies to conduct aerospace warning and aerospace control missions, and on which DOD relies to conduct its air traffic missions. In addition, a number of assessments conducted by DOD, FAA, and others have identified security concerns inherent in ADS-B Out technology that could leave aircraft, tactical air traffic control systems, and FAA radars vulnerable to electronic warfare- and cyber-attacks by individuals, groups, or nation-state actors (hereinafter referred to as \u201cadversaries\u201d) and other types of interference. In addition, according to these assessments, adversaries could create false signals (that is, \u201cspoofing\u201d) or jam signals from ADS-B Out technology to obscure air traffic control and surveillance visibility.", "Recognizing the importance of participating in the NextGen interagency partnership, the Deputy Secretary of Defense issued a memorandum in 2007 designating the Air Force as the lead service responsible for representing DOD in the partnership, including leading and coordinating associated efforts across the department. In addition, the memorandum identified key tasks to help ensure and enhance the department\u2019s ability to operate seamlessly with civil aviation in both national and international airspace.", "Senate Report 114-255, accompanying a bill for the National Defense Authorization Act of Fiscal Year 2017, included a provision that we assess the national defense implications of FAA\u2019s implementation of ADS-B as part of the agency\u2019s NextGen modernization effort. This report assesses the extent to which (1) DOD and FAA have identified security and operations risks and approved solutions to address these risks to military aircraft equipped with ADS-B Out technology; and (2) DOD has implemented key tasks in the 2007 Deputy Secretary of Defense memorandum on implementing NextGen (hereinafter referred to as the 2007 NextGen memorandum). This is a public version of a classified report that we issued in January 2018. This report does not identify specific classified details of DOD assessments, security risks, and other actions DOD is taking to address security risks related to ADS-B Out or the NextGen system that DOD deemed to be sensitive. Although the information provided in this report is less detailed, it addresses the same objectives as our classified report. In addition, the overall methodology used for both reports is the same.", "To assess the extent to which DOD and FAA have identified risks and approved solutions to address these risks to military aircraft equipped with ADS-B Out technology, we reviewed policies, procedures, guidance, assessments, and other relevant documents from NORAD, DOD, and FAA. These documents address ADS-B implementation, acquisition, operations, cybersecurity, risk management and mitigation, and any other issues that may be pertinent to identifying and addressing operations and security risks resulting from ADS-B. We also reviewed publicly available literature discussing potential ADS-B cybersecurity vulnerabilities. We interviewed officials from NORAD, DOD, and FAA about potential risks, vulnerabilities, and mitigation strategies. We also reviewed classified intelligence reports that assessed the vulnerabilities of ADS-B technology. While military aircraft and existing radar systems may be equipped with other devices (such as Mode S transponders) that could also pose security risks, this report focused primarily on risks and potential solutions associated with ADS-B Out technology that FAA mandated DOD to install on its aircraft by January 1, 2020. To understand DOD and FAA coordination, we reviewed laws, guidance, and directives related to agency cooperation for the NextGen system and implementation of ADS- B technology. This included the 2010 FAA final rule published in the Federal Register that provided guidelines and requirements for coordination between agencies and the 2007 NextGen memorandum on implementing NextGen.", "To assess the extent to which DOD has implemented key tasks in the 2007 NextGen memorandum, we compared the actions taken, if any, to implement eight tasks directed by the Deputy Secretary of Defense. We selected these eight from the list of twenty tasks in the memorandum. We selected these eight tasks because, if completed, these eight tasks would be significant to the development of plans and policies related to the implementation of the FAA\u2019s ADS-B Out technology requirement. To evaluate completion of the selected tasks, we reviewed documents and interviewed DOD officials to determine the degree to which DOD has implemented the tasks identified by the 2007 NextGen memorandum. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from June 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FAA Next Generation Air Transportation System", "paragraphs": ["In December 2003 Congress enacted the Century of Aviation Reauthorization Act, laying the foundation for NextGen. The intent of NextGen is to increase air transportation-system capacity, enhance airspace safety, reduce delays experienced by airlines and passengers, lower fuel consumption, and lessen adverse environmental effects from aviation, among other benefits. This effort is a multi-year, incrementally iterative transformation that will introduce new technologies and leverage existing technologies to affect every part of the national airspace system. These new technologies will use an Internet Protocol-based network to communicate. NextGen consists of components that provide digital communications between controllers and pilots, and that also use satellite-based surveillance to aid in airspace navigation. Because of these new communication methods, NextGen increases reliance on integrated information systems and distribution of information, digital communication methods, and global positioning system (GPS) technology that may put the air traffic control system at greater risk for intentional or unintentional information-system failures and breaches. We have previously reported on progress that FAA has made in implementing NextGen. For example, in 2015 we found that FAA faces cybersecurity challenges in at least three areas: (1) protecting air-traffic control information systems, (2) protecting aircraft avionics used to operate and guide aircraft, and (3) clarifying cybersecurity roles and responsibilities among multiple FAA offices. Among other recommendations, we recommended\u2014and FAA concurred\u2014that the agency should assess developing a cybersecurity threat model."], "subsections": []}, {"section_title": "Evolution of Tracking Military Aircraft in the National Airspace", "paragraphs": ["Historically, FAA and DOD capabilities have allowed both agencies\u2014as well as NORAD\u2014to monitor and track military aircraft flying in the national airspace. For example, FAA maintains two layers of radar\u2014primary surveillance radar and secondary surveillance radar\u2014to track and identify aircraft flying in the national airspace system. Primary surveillance radar identifies the location of aircraft flying in the national airspace by transmitting a signal and calculating the amount of time that passes until that signal bounces off the aircraft and returns to the radar. FAA also uses secondary surveillance radar that transmits an interrogation signal to aircraft flying in the national airspace. A receiver on the aircraft receives the interrogation signal and then transmits a broadcast back to this radar with flight information. Table 1 shows the evolution and capabilities of different transponders that broadcast aircraft information to receivers. The fields identified in the table are critical for identifying and tracking aircraft. Of the different transponder modes and technology, ADS-B Out provides the most precise and comprehensive data. ADS-B Out makes it easier for third parties to identify and track aircraft, as ADS-B Out broadcasts include registration number, precise location, aircraft dimensions, and other information. This additional information reduces the need to identify aircraft using private databases and to determine aircraft location by comparing time difference of arrival among receivers.", "The content of these aircraft broadcasts varies depending on the type of transmitter providing the information from the aircraft. For example, earlier broadcast systems, including the Mode 3/A and Mode C systems, transmit a temporary four-digit transmit code (commonly referred to as a squawk code) assigned by air traffic control that facilitates aircraft tracking during a single flight. Since FAA was the sole source of flight data for systems preceding Mode S, the agency could filter out military aircraft flight information for security reasons before providing information to the public about other aircraft flying in the national airspace."], "subsections": [{"section_title": "Mode S Transponder", "paragraphs": ["Mode S transponders provide more information than do the Mode 3/A and Mode C transponders. For example, the Mode S transponder broadcast identifies an aircraft-specific, 24-bit fixed address (commonly known as the ICAO address) assigned under International Civil Aviation Organization (ICAO) standards. An aircraft retains this fixed address based on its registration, and thereby facilitates aircraft identification until the aircraft is reregistered and receives a new ICAO address.", "FAA and aviation groups have reported that with the proliferation of commercial and amateur receivers, the public can now track individual aircraft by receiving the aircraft\u2019s ICAO address, squawk code, and altitude. In addition, these entities have reported that since aviation groups and hobbyists have connected the receivers, the networked receivers can calculate and identify the latitude and longitude of the aircraft they are tracking. In addition, according to these reports, some groups maintain aircraft information databases and receiver networks that can identify aircraft by ICAO address and can locate aircraft by comparing the time difference of arrival of Mode S signals between three or more receivers. Using data derived from this work, interested parties\u2014 including adversaries (for example, foreign intelligence entities, terrorists, and criminals)\u2014can identify military aircraft by type and registration number, and can track the aircraft while in flight through Mode S fixed address broadcasts. Using this readily available public information, we were able to track various kinds of military aircraft that were equipped with Mode S transponders."], "subsections": []}, {"section_title": "ADS-B Technology", "paragraphs": ["ADS-B consists of two distinct aircraft information services, ADS-B Out and ADS-B In. As previously stated, ADS-B Out technology is one of the main components of FAA\u2019s NextGen effort. It is a performance-based surveillance technology using GPS-enabled satellites to produce flight information, such as an aircraft\u2019s location and velocity, and according to FAA, it is more precise than radar. These precise data provide air traffic controllers and pilots with more accurate information to keep aircraft safely separated in the national airspace. This technology combines aircraft avionics, a positioning capability, and ground infrastructure to enable accurate transmission of information from aircraft to the air traffic control system. This technology periodically transmits information without a pilot or operator involved (that is, Automatic); collects information from GPS or other suitable navigation systems (that is, Dependent); provides a method of determining 3-dimensional position and identification of aircraft, vehicles, or other assets (that is, Surveillance); and transmits the information available to anyone with the appropriate receiving equipment (that is, Broadcast). Using this readily available public information, we were able to track various kinds of military aircraft that were equipped with ADS-B transponders. ADS-B In is the technology that enables receivers to have direct access to information broadcasted through ADS- B Out transponders.", "FAA\u2019s final rule requiring all aircraft that fly in certain categories of airspace to equip with ADS-B by January 1, 2020, applies to the ADS-B Out technology. FAA has not issued a rule or requirement for aircraft to equip with the ADS-B In technology, as of July 2017. However, according to representatives from Airlines for America, an airline industry advocacy organization, airlines have begun to install the ADS-B In capability on commercial aircraft due to the benefits they anticipate from the capability (for example, the ability of passenger airliners to reduce separation standards to save time and reduce fuel consumption). In addition, according to Air Force officials, the Air Force plans to install ADS-B In on future KC-46 transport/tanker aircraft. This report focuses on the ADS-B Out requirement when referencing ADS-B technology unless otherwise noted.", "According to DOD and FAA documents and officials, FAA has identified ADS-B implementation as providing an opportunity to save costs by divesting a number of secondary-surveillance radars. According to FAA officials, as of April 2017 the agency was re-evaluating its original ADS-B backup strategy and the need for retaining additional secondary- surveillance radars. According to these officials, FAA plans to maintain all high-altitude secondary-surveillance radars and the low-altitude secondary-surveillance radars around 30 or more of the busiest airports."], "subsections": []}]}, {"section_title": "Relationship between FAA and DOD in Managing National Airspace", "paragraphs": ["The FAA and DOD are to cooperate in order to regulate airspace use. Specifically, the FAA is responsible for providing air navigation services, including air traffic control across most of the United States, and is leading the overall NextGen efforts in the United States. The FAA\u2019s air traffic control system works to prevent collisions involving aircraft operating in the national airspace system, while also facilitating the flow of air traffic and supporting national security and homeland defense missions. In addition, in accordance with International Civil Aviation Organization guidelines, the FAA has categorized airspace as controlled, uncontrolled, or not used in the United States. According to the ADS-B Out rule, after January 1, 2020, no person may operate an aircraft in certain categories of airspace defined by the rule unless otherwise authorized by air traffic control authorities.", "DOD conducts its missions within the national airspace system as both an aircraft operator and, as delegated by the FAA, as provider of air traffic control and other air navigation services. DOD has the authority to certify its own aircraft, manage airspace, and provide air traffic control-related services in accordance with FAA requirements. DOD also provides guidance to FAA concerning security matters pertaining to the national airspace system. DOD is responsible for ensuring that DOD components, such as the military services, have sufficient access to airspace to meet security requirements, and that civilian and military aircraft can operate safely both domestically and abroad. DOD also releases airspace to the FAA when it does not need the space for military purposes.", "The FAA also works with DOD to ensure aviation safety between civil and military aircraft. The FAA designates airspace over certain parts of the United States as Special Use Airspace, because the areas may have prohibited airspace, restricted airspace, warning areas, or alert areas. It might be hazardous for civil aircraft to operate in that restricted airspace due to these designations. Special Use Airspace allows military aircraft to operate safely in separate, clearly defined airspace in order to conduct missions in support of the National Security Strategy and the National Military Strategy. The FAA also issues safety briefings that could identify military-protected, temporarily flight-restricted areas, to prevent civil pilots from flying into the airspace. These briefings also include information such as flight safety advice and information on air traffic technology, such as ADS-B. The FAA also shares radar information with NORAD to support the defense of North America over areas such as the National Capital Region surrounding Washington, D.C."], "subsections": []}, {"section_title": "Roles and Responsibilities", "paragraphs": ["The FAA is responsible for providing airspace navigation services within the United States and has a particular entity\u2014the FAA Office of NextGen\u2014that directs its NextGen requirements. In 2007 the Deputy Secretary of Defense designated the Air Force as the lead service for representing DOD and for leading and coordinating efforts across DOD. To accomplish this responsibility, the Air Force established a Lead Service Office, hereinafter referred to as the DOD Lead Service Office. These and numerous other entities have a role in implementing NextGen and ADS-B, as shown in table 2 below."], "subsections": []}]}, {"section_title": "DOD and FAA Have Identified Security and Mission Risks Related to ADS-B Out Technology but Have Not Approved Any Solutions to Mitigate Them", "paragraphs": ["Since 2008, DOD and FAA have identified a variety of ADS-B- related risks that could adversely affect military security and missions. While DOD and FAA have identified some potential mitigations for these risks, the departments have not approved any solutions."], "subsections": [{"section_title": "DOD and FAA Have Identified Risks to DOD Security and Missions Related to ADS-B Technology", "paragraphs": ["Documents we reviewed and officials we met with identified a variety of operations and physical security risks that could adversely affect DOD missions. These risks arise from information broadcast by ADS-B itself, as well as from potential ADS-B vulnerabilities to electronic warfare- and cyber-attacks, and from the potential divestment of secondary- surveillance radars."], "subsections": [{"section_title": "ADS-B Information Presents Operations and Physical Security Risks", "paragraphs": ["Information broadcasted from ADS-B transponders poses an operations security risk for military aircraft. For example, a 2015 assessment that RAND conducted on behalf of the U.S. Air Force stated that the broadcasting of detailed and unencrypted position data for fighter aircraft, in particular for a stealth aircraft such as the F-22, may present an operations security risk. The report noted that information about the F- 22\u2019s precise position is classified Secret, which means that unauthorized disclosure of this information could reasonably be expected to cause serious damage to the national security. Similarly, in 2012 MITRE issued a report on behalf of the DOD Lead Service Office that identified a number of risks\u2014including the ability to track movement in and out of restricted airspaces and changes in operations\u2014to ADS-B-equipped aircraft.", "In addition to these documents, DOD officials identified a number of increased operations and physical security risks associated with aircraft equipped with ADS-B technology. In DOD\u2019s 2008 comments about FAA\u2019s draft rule requiring ADS-B Out technology, the department informed FAA that DOD aircraft could be identified conducting special flights for sensitive missions in the United States and potentially compromised due to ADS-B technology. Such sensitive missions could include low-observable surveillance, combat air patrol, counter-drug, counter-terrorism, and key personnel transport. While some military aircraft are currently equipped with Mode S transponders that provide individuals who have tracking technology the altitude of the aircraft, ADS- B poses an increased risk. Specifically, according to documents we reviewed and officials we met with, a confluence of the following three issues has led to ADS-B technology presenting more risks to DOD aircraft, personnel, equipment, and operations:", "Additional information. The additional information provided through ADS-B technology\u2014 including the aircraft\u2019s precise location, velocity, and airframe dimensions\u2014increases both direct physical risks to DOD aircraft, personnel, and equipment, and long-term risks to DOD air operations.", "Accessibility of information. ADS-B technology also introduces risks to aircraft, personnel, equipment, and operations, because it provides information to the public that was not previously accessible. FAA filters information about DOD\u2019s flights so that the information is not available to the public via any FAA data feed. According to FAA officials, this filtering was effective for protecting such information for Mode-S equipped DOD aircraft until the 2012 timeframe, when the capability of third-party networked receivers started to allow position determination for such aircraft. With ADS-B, aircraft location and other information is broadcast from the aircraft, where FAA cannot filter it. While individuals and groups could obtain additional information about DOD flights operating with Mode S, such as an aircraft\u2019s fixed address, information such as geographic location and velocity was not included in broadcasts. Individuals could estimate location and velocity of DOD flights by locating the signal through privately owned receiver networks. By equipping military aircraft with ADS-B technology, individuals and groups would receive additional identifiers, location information, and airframe information through aircraft broadcasts and, as a result, could identify and track aircraft without the use of fixed address databases and with less receiver infrastructure.", "Historical data. ADS-B technology better enables individuals and groups to track flights in real time and use computer programs to log ADS-B transmissions over time. Therefore, individuals or groups could observe flight paths in detail, identify patterns-of-life, or counter or exploit DOD operations."], "subsections": []}, {"section_title": "ADS-B Could Affect Current and Future Air Defense and Air Traffic Missions", "paragraphs": ["While NORAD and DOD officials told us that they will benefit from information provided by ADS-B technology, NORAD, DOD, and professional organizations\u2019 documents and officials also noted that electronic warfare- and cyber-attacks\u2014and the potential divestment of secondary-surveillance radars as a result of reliance on ADS-B\u2014could adversely affect current and future air operations.", "For example, a 2015 Institute of Electrical and Electronics Engineers article about ADS-B stated that ADS-B is vulnerable to an electronic- warfare attack\u2014such as a jamming attack\u2014whereby an adversary can effectively disable the sending and receiving of messages between an ADS-B transmitter and receiver by transmitting a higher power signal on the ADS-B frequencies. The article notes that while jamming is a problem common to all wireless communication, the effect is severe in aviation due to the system\u2019s inherently wide-open spaces, which are impossible to control, as well as to the importance and criticality of the transmitted data. As a stand-alone method, jamming could create problems within the national airspace. Jamming can also be used to initiate a cyber-attack on aircraft or ADS-B systems. According to the article in the 2015 Institute of Electrical and Electronics Engineers publication, adversaries could use a cyber-attack to inject false ADS-B messages (that is, create \u201cghost\u201d aircraft on the ground or air); delete ADS-B messages (that is, make an aircraft disappear from the air traffic controller screens); and modify messages (that is, change the reported path of the aircraft). The article states that jamming attacks against ADS- B systems would be simple, and that ADS-B data do not include verification measures to filter out false messages, such as those used in spoofing attacks.", "FAA officials stated that the agency is aware of these possible attacks, and that it addresses such vulnerabilities by validating ADS-B data against primary- and secondary-surveillance radar tracks. Both FAA and DOD have identified a potential solution to address this vulnerability. However, this solution has not been tested and as of November 2017, no testing has been scheduled.", "In addition to electronic warfare- and cyber-attacks, both NORAD and DOD officials expressed concerns that the air defense and military air traffic control missions would be affected if FAA were to divest secondary- surveillance radars following ADS-B implementation. According to DOD and FAA documents and officials, FAA has identified ADS-B implementation as an opportunity to save costs by divesting a number of secondary-surveillance radars. However, according to NORAD and DOD officials, in those locations where FAA divests of radars, the missions would be at higher risk if an aircraft operator were to turn off the aircraft\u2019s ADS-B technology; if an adversary were to conduct an electronic or cyber-attack on the ADS-B system; or if the ADS-B system were to experience a technical failure.", "According to NORAD command officials, the command relies on information from FAA radars to monitor air traffic in the national airspace system. If an aircraft is operating without ADS-B, if a GPS or ADS-B system fails, or if an adversary has jammed an aircraft\u2019s GPS signal or ADS-B transmissions, then the command will have to rely on primary- and secondary-surveillance radar to track the aircraft\u2019s location.", "FAA officials stated that FAA is chiefly responsible for air safety, while NORAD and DOD are chiefly responsible for air defense, and that they believe there will be sufficient radar coverage for DOD to conduct its missions. FAA officials stated that they will maintain sufficient backup systems to ensure air traffic safety for all flights, and will maintain radar in excess of their needs to support NORAD\u2019s missions. FAA officials stated that they will maintain all primary-surveillance radar, all high-altitude secondary-surveillance radar, and low-altitude secondary-surveillance radar near at least thirty major flight terminals. However, according to NORAD and DOD officials, FAA has not proposed an updated legacy primary- and secondary-surveillance radar divestment plan since 2012 for use by NORAD and DOD in assessing potential effects on the mission. NORAD is a bi-national command that requires support from U.S. federal agencies\u2014not just DOD\u2014and relies on FAA radar to support its mission, and it will need to ensure that sufficient air surveillance resources are in place."], "subsections": []}]}, {"section_title": "DOD and FAA Have Not Approved Any Solutions to Address ADS-B Risks", "paragraphs": ["Although DOD, FAA, and other organizations have identified risks to military security and missions since 2008, DOD and FAA have not approved any solutions to address these risks. This is because DOD and FAA have focused on equipping military aircraft with ADS-B technology and have not focused on solving or mitigating security risks from ADS-B. The approach being taken by FAA and DOD will not address key security risks that have been identified, and delays in producing an interagency agreement have significantly reduced the time available to implement any agreed-upon solutions before January 1, 2020, when the full deployment of ADS-B Out is required. Federal internal control standards state that federal agencies should make risk-based decisions in a timely manner. Specifically, OMB Circular A-123 states that management should evaluate and document internal control issues and determine appropriate corrective actions for internal control deficiencies on a timely basis. In the case of equipping military aircraft with ADS-B technology and addressing any risks associated with it, DOD and FAA have shared responsibility.", "In 2008 DOD informed FAA that military aircraft would need special accommodations to the ADS-B Out rule due to national security concerns, such as sensitive missions and electronic warfare vulnerabilities. In 2010 FAA responded to DOD\u2019s comments to the draft ADS-B Out rule stating that the agency would collaborate with departments or agencies, including DOD and the Department of Homeland Security, to develop memorandums of agreement to accommodate their national defense mission requirements while supporting the needs of all other national airspace system users. Since that time, DOD components have identified actions that could mitigate some of the risks. For example, DOD and others have identified such mitigations as masking DOD aircraft identifiers, maintaining current inventory of primary-surveillance radars, allowing pilots to turn off ADS-B broadcasts, and seeking an exemption from installing ADS-B technology on select military aircraft (for example, fighter and bomber aircraft). However, as of June 2017\u2014almost 7 years after FAA acknowledged that it would address DOD\u2019s concerns (and less than 3 years before full deployment of ADS-B Out is required)\u2014DOD and FAA have not approved any solutions to these risks. The DOD\u2019s Lead Service Office and FAA have focused on developing a memorandum of agreement that they hope will create a framework for future collaboration at the local level. However, our work and that of NORAD and other DOD components identified a number of limitations to DOD\u2019s Lead Service Office and FAA\u2019s dependence on this draft memorandum of agreement. For example, the draft memorandum does not address the following: the details necessary to establish solutions or mitigations between DOD and FAA for identified security risks. The draft memorandum focuses on equipage of ADS-B technology on military aircraft, cost estimates, and agency and office responsibilities. DOD acknowledges that it will equip military aircraft with ADS-B technology and operate to the greatest extent possible by the January 1, 2020, compliance date. However, the draft memorandum does not identify solutions for the identified operations and physical security risks. the electronic warfare and cyber-attack concerns and the effect on sensitive defense missions that DOD has identified. the flexibility required by NORAD to support freedom of movement within the continental United States, Alaska, and Canada airspace for military missions. The draft memorandum would place negotiating accommodations for NORAD\u2019s bi-national mission at the local level\u2014 an act that NORAD officials characterized as unfeasible because military aircraft supporting NORAD missions require uninhibited airspace access throughout the United States and Canada, as a response may be required anywhere and at any time. According to NORAD officials, the command would incur a significant burden to finalize memorandums of agreement with more than 600 air traffic control facilities and ensure commonality with all facilities in the continental United States and Alaska. Furthermore, NORAD officials stated that these missions should not be limited by local restrictions created by the ADS-B Out rule. For example, DOD aircraft flying over one state while supporting an Operation Noble Eagle mission could be stationed at a military base in another state and thus not have an agreement with local FAA controllers. potential mission risks associated with the divestment of secondary- surveillance radars.", "Delays in the completion of a memorandum of agreement have exacerbated uncertainty as to whether security issues will be addressed in any manner. DOD and FAA have met to discuss the existing draft memorandum of agreement since December 2016. In April 2017 officials from DOD Lead Service Office told us that they expected DOD and FAA to finalize the memorandum of agreement by June 2017; however, in May 2017 DOD officials informed us that the estimated completion date had slipped to February 2018.", "A significant amount of work will likely need to be accomplished between the eventual approval of the memorandum and implementation in a timely manner. For example, FAA officials acknowledged that the agency would need to issue, update, or both issue and update internal guidance once the memorandum is signed prior to local FAA officials being able to negotiate and agree to arrangements with local military commanders. Similarly, the draft memorandum, if approved, would place a significant burden on local DOD entities to negotiate agreements. For example, the Army expressed concerns that local negotiations\u2014at 76 locations, according to Army estimates\u2014would take from 1 to 2 years to complete after FAA and DOD have signed the memorandum of agreement. Army officials also highlight concerns that local FAA air traffic controllers may not enter into agreements with Army units, or that local agreements will be contingent upon the density of local air traffic or the personalities of those negotiating the agreements. Additionally, assuming that actions are agreed upon among the key stakeholders\u2014DOD, FAA, and NORAD\u2014to resolve or mitigate the identified security risks, DOD, FAA and NORAD will need sufficient time to implement these actions. This is due to the complexity of the ADS-B vulnerabilities and potential mitigations for operations and physical security, electronic warfare, cyber-attack, and potential effects of secondary-radar divestment.", "As of June 2017, DOD and FAA had not identified any other solutions that could address the risks and concerns identified by DOD and others since 2008. Unless FAA and DOD approve one or more solutions that address all the risks associated with ADS-B technology, DOD security and military missions could face unmitigated risks. These include physical, cyber- attack, and electronic warfare security risks, as well as risks associated with divesting secondary-surveillance radars. Furthermore, unless FAA and DOD focus on the security risks of ADS-B and approve one or more solutions in a timely fashion, they may not have time to plan for and execute any technical, programmatic, or policy actions that may be necessary before all of DOD\u2019s aircraft are required to be equipped with ADS-B technology on January 1, 2020."], "subsections": []}]}, {"section_title": "DOD Has Achieved Mixed Implementation of Key ADS-B Tasks Directed in 2007", "paragraphs": ["Of the eight tasks associated with the implementation of ADS-B Out technology in the 2007 DOD NextGen memorandum\u2014issued by the Deputy Secretary of Defense to ensure that the NextGen vision for the future national airspace system met DOD\u2019s requirements and the appropriate management of DOD\u2019s resources\u2014DOD has implemented two, has partially implemented four, and has not implemented two. Specifically, we found that DOD has implemented the following two tasks:", "Establishing a Joint Program Office. The Deputy Secretary of Defense directed the Secretary of the Air Force to establish and provide administrative support for a DOD Joint Program Office for NextGen. According to the 2007 NextGen memorandum, the office is responsible for coordinating DOD activities related to the NextGen effort, facilitating technology transfer for those research and development activities with potential NextGen application, and advocate for DOD interests, requirements, and capabilities in NextGen. The Air Force established a Joint Program Office to provide services to the entire military aviation community on communication navigation surveillance/air traffic management issues in various capacities. Officials from the DOD Joint Program Office told us that the office has tested various avionic systems for methods of meeting ADS-B requirements. The office has also established an Internet portal for the services to order avionics, including those associated with ADS-B technology.", "Appointing a DOD representative to the FAA\u2019s interagency Joint Planning and Development Office. The 2007 NextGen memorandum directed that the Secretary of the Air Force appoint a DOD representative to the Joint Planning and Development Office\u2019s board of directors responsible for assisting in the development and coordination of DOD-wide policies and decisions concerning NextGen. In March 2012 DOD\u2019s Lead Service Office appointed an Air Force officer who also manages the DOD Lead Service Office as the DOD representative to the FAA\u2019s interagency Joint Planning and Development Office.", "DOD partially implemented the following four tasks:", "Validating NextGen program requirements. The 2007 NextGen memorandum directed that the Secretary of the Air Force document and seek validation for NextGen program requirements through the Joint Capabilities Integration Development System process. The Air Force took the initial step in having its NextGen program requirements validated through DOD\u2019s Joint Capabilities Integration Development System process in October 2014. However, the focus of the assessment was on the Air Force\u2019s requirements and not that of other military services or components. This is not fully consistent with the 2007 memo, which states that the Air Force\u2014as the lead service\u2014 should integrate the needs and requirements of the DOD components into cohesive plans and policies for inclusion in NextGen joint planning and development.", "Establishing guidance on DOD NextGen responsibilities and objectives. The 2007 NextGen memorandum directed the Assistant Secretary of Defense for Homeland Defense and Global Security, the DOD Chief Information Officer, and the Director of Administration, in consultation with the DOD Lead Service, to submit a proposed DOD directive within 180 days specifying the department\u2019s objectives with respect to NextGen and the continuing roles and responsibilities of the Lead Service and the DOD Policy Board on Federal Aviation. In 2013, about 5 years after the original due date for the180-day requirement, DOD updated its DOD Directive 5030.19, DOD Responsibilities on Federal Aviation. While the updated directive references the responsibilities of the DOD Policy Board on Federal Aviation and the Secretary of the Air Force, per the 2007 NextGen memorandum, the directive does not specify DOD\u2019s objectives with respect to NextGen, as required by the memorandum.", "Developing an initial plan defining actions, responsibilities, and milestones for DOD\u2019s NextGen efforts: The 2007 NextGen memorandum required DOD\u2019s Lead Service, in coordination with the principal members of the DOD Policy Board on Federal Aviation, to develop an initial plan defining actions, responsibilities, and milestones for DOD\u2019s participation in the NextGen efforts and FAA\u2019s Joint Planning and Development Office. This initial plan was to include an implementation plan for the NextGen Joint Program Office and was to be updated semiannually. In 2013 the Air Force, in executing its responsibilities as Lead Service, issued a DOD NextGen Implementation Plan to describe the strategy, principles, and actions for the transition of DOD aviation operations (air and ground) to the national airspace system environment defined by FAA in its NextGen Implementation Plan. We found that the 2013 plan identified responsibilities of DOD components and established indicators meant to give a sense of progress made in NextGen implementation. However, the plan did not include detailed transition planning for ADS- B and was not updated semiannually, as required.", "Incorporating NextGen into the planning, budgeting, and programming process: According to the 2007 NextGen memorandum, the Secretary of the Air Force is to coordinate DOD- wide NextGen planning, budgeting, and programing guidance in conjunction with the Under Secretary of Defense for Policy and the Director of Program Analysis and Evaluation for consideration in the formulation of planning and programming guidance documents. The memorandum also directed DOD components to coordinate with the Air Force on NextGen programs they agreed to support using inter- service memorandums of understanding, and to fund procurement through service annual program objective memorandum processes. DOD provided evidence that the military departments used the program objective memorandum process to fund ADS-B Out. However, the DOD Lead Service Office did not provide department- wide planning, budgeting, and programming guidance for ADS-B or any other NextGen elements to DOD components. Similarly, DOD did not provide any inter-service memorandums of understanding that would document NextGen programs that the services agreed to fund. According to officials from the DOD Lead Service Office, this office is not responsible for planning, budgeting, and programming because the office is organizationally located within the Air Force Headquarters Office of the Deputy Chief of Staff for Operations. However, while the office may not be responsible for planning, budgeting, and programming within the Air Force, the office can issue\u2014or coordinate the issuance\u2014of such guidance, as directed by the Deputy Secretary of Defense.", "DOD had not taken significant action or fully implemented the following two actions: Integrating NextGen requirements into plans and policies: The Secretary of the Air Force, in executing the service\u2019s responsibilities as Lead Service, did not integrate the needs and requirements of DOD components related to ADS-B into cohesive plans and policies for inclusion in NextGen joint planning and development, as directed by the Deputy Secretary of Defense in 2007. According to officials from the DOD Lead Service Office, they met the intent of these tasks through the 2012 United States Air Force Next Generation Air Transportation System Keystone Document, the 2013 Department of Defense (DOD) Mid-Term NextGen Concept of Operations, and the 2013 Department of Defense (DOD) Mid-Term Next Generation (NextGen) Implementation Plan. However, the Air Force NextGen Keystone Document applies to the Air Force and not to NORAD or other DOD components. In addition, the DOD Mid-Term NextGen Concept of Operations and the DOD Mid-Term NextGen Implementation Plan do not discuss planning for ADS-B Out requirements, which are critical to NextGen.", "Providing periodic and recurring NextGen progress reports: The Assistant Secretary of Defense for Homeland Defense and Global Security did not provide periodic and recurring NextGen progress reports to the Deputy Secretary of Defense, as instructed in the 2007 NextGen memorandum. According to the memorandum, the Assistant Secretary was designated as the principal staff assistant for NextGen and was responsible for oversight, support, and advocacy for the lead service with respect to the interagency and Joint Planning and Development Office. Officials from the Office of the Deputy Assistant Secretary of Defense for Homeland Defense Integration and from Defense Support to Civil Authorities acknowledged that the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security had not tracked ADS-B implementation or provided progress reports to the Deputy Secretary of Defense\u2014with the exception of advocating for ADS-B installation exemptions for aircraft that could not comply with the mandate\u2014for retention of ground-based radars, and some minimal advocacy related to compliance with the FAA ADS-B Out rule.", "DOD could not provide a clear explanation with regard to those requirements that we determined not to have been fully implemented. Officials from the DOD Lead Service Office provided a number of potential reasons to explain why the memorandum\u2019s tasks might not have been fully implemented. For example, as noted earlier, officials stated that other documents captured those requirements. Further, officials told us they believe that implementation of many of the preceding tasks was accomplished through other means, although our analysis concluded that the task was either not implemented or was partially implemented, as noted previously. These officials also noted that\u2014although there is no expiration date on the 2007 NextGen memorandum\u2014many DOD officials consider such memorandums to be applicable for 12 to 18 months. In addition, DOD Lead Service Office officials noted that many DOD components had not assigned a high level of priority to NextGen implementation.", "As a result of DOD\u2019s not fully implementing the 2007 NextGen memorandum\u2014including developing or revising a DOD directive that specifies DOD\u2019s objectives with respect to NextGen, issuing an implementation plan that includes detailed transition planning for ADS-B and is updated semiannually, and providing recurring progress reports to the Deputy Secretary of Defense\u2014DOD components have lacked direction and cohesion while trying to address FAA\u2019s requirement to equip military aircraft. For example:", "Officials from the Air Force Life Cycle Management Center\u2019s Fighters and Bombers Directorate told us that they have not been provided any guidance. The directorate does not intend to install ADS-B technology on Air Force fighters or bombers until they receive DOD guidance. Yet, the deadline to equip DOD aircraft that will fly in the national airspace remains January 1, 2020.", "DOD does not have a coordinated or accurate schedule for equipping ADS-B technology on military aircraft. Although DOD submitted a schedule to Congress in June 2015, officials from the DOD Lead Service Office told us that the timeframes for that plan were no longer accurate, and that the plan would be updated as part of the memorandum of agreement in February 2018.", "Some DOD components have installed or plan to install civilian GPS receivers on their aircraft to meet FAA\u2019s ADS-B technical requirements. According to DOD officials, DOD aircraft that equip with commercial GPS receivers will not be as protected from GPS security issues as they would have been had they used a military GPS receiver. According to officials from the Office of the DOD Chief Information Officer, the office with primary responsibility for GPS receiver security policy, no one within DOD\u2014including the DOD Lead Service Office or other DOD components\u2014had made them aware that DOD components were installing civilian receivers on aircraft.", "Since\u2014according to an official within the DOD Lead Service Office\u2014 neither the Office of the Assistant Secretary of Defense for Homeland Defense and Global Security nor any other elements of the Office of the Under Secretary of Defense for Policy were engaged in discussion regarding the draft memorandum of agreement with the DOD Lead Service Office and FAA, the Secretary of Defense\u2019s senior policy advisor may not be aware of provisions that may be incorporated in the agreement. For example, the draft memorandum of agreement contains a provision that could result in the department\u2019s being financially responsible for sharing the costs of sustaining secondary- surveillance radars. According to a 2007 FAA document, it will cost FAA approximately $442 million to maintain these radars from fiscal years 2017 to 2035.", "If DOD components do not fully implement key tasks that would facilitate assurance of DOD requirements in the future NextGen system and appropriate management of DOD resources\u2014such as those tasks that the Deputy Secretary of Defense originally directed in 2007, or any tasks that the Secretary deems appropriate\u2014DOD may risk having less efficient and less effective implementation of NextGen requirements, increased costs of implementation, or missed opportunities to address operations risks."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The NextGen system has the potential to increase the efficiency and effectiveness of the nation\u2019s expanding air traffic. As with many such procedural and technological innovations, DOD stands to benefit from NextGen\u2019s vision. As is the case with all such electronic and cyber systems in the information age, this must be balanced with sufficient consideration of the operations and security effects for DOD. DOD and FAA have not approved any solutions that address risks resulting from ADS-B on DOD aircraft\u2014including operations, physical, cyber, and electronic warfare security risks, as well as risks associated with divesting secondary-surveillance radars. Unless DOD and FAA focus their efforts on the security aspects of ADS-B on DOD aircraft and produce one or more solutions to these risks, DOD aircraft and missions will be exposed to unmitigated risks that could jeopardize safety, security, and mission success. Also, unless DOD fully implements the tasks that would facilitate consistent, long-term planning and implementation of NextGen throughout the department, DOD\u2019s full integration into the NextGen system and the integrity and security of DOD\u2019s forces and missions will be hindered. Given the amount of time that has transpired since DOD initially raised security concerns in 2008 and the amount of time it will take to formalize, operationalize, and train employees to implement any agreements prior to the January 1, 2020, deadline, it is critical that both DOD and FAA make this a high priority."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations, including one to the Secretaries of Defense and Transportation, and one to the Secretary of Defense: We recommend that the Secretaries of Defense and of Transportation address ADS-B Out security concerns by approving one or more solutions that address ADS-B Out -related security risks or incorporating mitigations for security risks into the existing draft memorandum of agreement. These approved solutions should address operations, physical, cyber-attack, and electronic warfare security risks; and risks associated with divesting secondary-surveillance radars. The solution or mitigations should be approved as soon as possible in order to allow sufficient time for implementation.", "We recommend that the Secretary of Defense direct DOD components to implement key tasks that would facilitate consistent, long-term planning and implementation of NextGen\u2014such as those tasks that the Deputy Secretary of Defense originally directed in 2007, or any tasks that the Secretary deems appropriate based on a current assessment of the original tasks."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to DOD and the Department of Transportation for review and comment. Written comments from DOD on the classified draft and from the Department of Transportation on this report are reprinted in their entirety in appendixes II and III, respectively, and summarized below. DOD and the Department of Transportation also provided technical comments, which we incorporated as appropriate.", "The Department of Transportation concurred and DOD partially concurred with the first recommendation to approve one or more solutions that address ADS-B Out security risks or incorporating mitigations for security risks into the existing draft memorandum of agreement and that these solutions should address operations, physical, cyber-attack, and electronic warfare security risks as well as risks associated with divesting secondary-surveillance radar. In its written comments, the Department of Transportation stated that it has recently developed and is now in the process of validating military flight tracking risk mitigation solutions that are technologically viable and operationally effective. Both the Department of Transportation and DOD stated that they would approve one or more solutions to address ADS-B Out related security risks. For example, both departments stated that among other actions, they would complete a memorandum of agreement between FAA and DOD that would incorporate security concerns identified in the report. DOD estimated that the memorandum of agreement will be signed in February 2018. We believe the steps identified by both the Department of Transportation and DOD, if implemented as planned, would meet the intent of our recommendation.", "DOD partially concurred with the second recommendation to implement key tasks that would facilitate consistent, long-term planning and implementation of NextGen\u2014such as those tasks that the Deputy Secretary of Defense originally directed in 2007 or any tasks that the Secretary deems appropriate based on a current assessment of the original tasks. DOD stated the Secretary of the Air Force would identify within the next 120 days which relevant key tasks would facilitate the implementation of NextGen to include assessing the status of tasks that were directed in the Deputy Secretary of Defense memorandum, \u201cImplementation of the Next Generation Air Transportation within the Department of Defense 2007.\u201d DOD stated that the assessment would include a comprehensive review of modernization efforts regarding NextGen and other global initiatives and that includes suitable security and cybersecurity mitigation measures. DOD also stated that the Policy Board for Federal Aviation would track key task implementation in coordination with the Secretary of the Air Force and other appropriate DOD officials. This would also include periodic updates to the Deputy Secretary of Defense. We believe these steps would meet the intent of our recommendation if implemented as planned.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretary of Homeland Security; the Secretary of Transportation; and the commander of NORAD. We are also sending copies to the Under Secretary of Defense for Policy; the Under Secretary of Defense for Acquisition, Technology, and Logistics; the Chairman of the Joint Chiefs of Staff; the Secretaries of the military departments; and the Administrator of FAA. In addition, the report is available at no charge on the GAO website http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9971 or kirschbaumj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Senate Report 114-255, accompanying a bill for the National Defense Authorization Act of Fiscal Year 2017, included a provision that we assess issues related to the defense implications of implementation of the Federal Aviation Administration\u2019s (FAA) Next Generation Air Transportation System (NextGen) and Automatic Dependent Surveillance\u2014Broadcast (ADS-B), a main component of NextGen. This report assesses the extent to which (1) the Department of Defense (DOD) and the FAA have identified security and operations risks and approved solutions to address these risks to military aircraft equipped with ADS-B Out technology; and (2) DOD has implemented key tasks in the 2007 Deputy Secretary of Defense memorandum on implementing NextGen.", "The scope of our review included all DOD and Department of Transportation offices responsible for oversight or administration of ADS- B implementation by DOD as part of the NextGen program. Our review also included Airlines for America, as it represented a significant portion of the civil aviation industry in negotiations with FAA on ADS-B implementation. Table 3 contains a list of the organizations and offices we contacted during the course of our review.", "To assess the extent to which DOD and FAA have identified security and operations risks and approved solutions to address these risks to military aircraft equipped with ADS-B Out technology, we reviewed policies, procedures, guidance, assessments, and other relevant documents from DOD, FAA, and NORAD that address ADS-B Out implementation, acquisition, operations, and cybersecurity risk management and mitigation, and any other issues that might be pertinent to identifying and addressing operations and security risks resulting from ADS-B Out. We also reviewed publicly available literature discussing potential ADS-B Out cybersecurity vulnerabilities. Specifically, we conducted a literature review of work related to vulnerabilities in ADS-B technology. To identify studies that potentially highlighted vulnerabilities that we could discuss with agency officials, we conducted key-word searches of government and private databases to identify public, private, academic, and other professional research related to ADS-B vulnerabilities. The government databases we searched included those of GAO, the Congressional Research Service, the Congressional Budget Office, and agency Inspectors General. The private databases searched include Web of Science, ProQuest, and ProQuest Professional. To determine relevance to our review, we assessed whether article subjects were related to vulnerabilities or vulnerability mitigations for ADS-B systems. We reviewed those studies cited in our report and found their methodologies to be sufficient. To further address our objective, we interviewed officials from NORAD, DOD, the military services, and FAA on potential risks, vulnerabilities, and mitigation strategies. We did not conduct independent security and vulnerability assessments of ADS-B technology to corroborate or validate security risks identified by NORAD, DOD, FAA, and others. While military aircraft and existing radar systems may be equipped with devices (including Mode S transponders) that could also pose security risks, this report focused on risks and potential solutions associated with ADS-B Out technology that FAA mandated DOD to install on its aircraft by January 1, 2020.", "We also visited multiple public websites to understand the extent to which the public could track current military flights over the United States. We met with a representative from one of these websites to understand the underlying sources of information and how the information was used to compile the images.", "To understand DOD and FAA coordination, we reviewed laws, guidance, and directives related to agency cooperation for the NextGen system and implementation of ADS-B technology. This included the 2010 FAA Federal Register entry that provided guidelines and requirements for coordination between agencies and the 2007 Deputy Secretary of Defense memorandum on implementing NextGen, which states that DOD components must develop cohesive plans and policies.", "To assess the extent to which DOD has implemented key tasks in the 2007 Deputy Secretary of Defense memorandum on implementing NextGen, we reviewed the Deputy Secretary of Defense\u2019s 2007 NextGen memorandum and identified 20 tasks that were directed by the Deputy Secretary for the purpose of ensuring that NextGen meets DOD requirements, and that DOD\u2019s resources are appropriately focused and managed. We focused on the 8 tasks wherein the accomplishment of the task would be significant to the development of plans and policies related to the implementation of the FAA\u2019s ADS-B Out technology requirement. To evaluate the implementation status of these 8 tasks, we collected relevant documentation, interviewed officials from DOD, and reviewed this information. Initially, two analysts separately reviewed this information to determine whether each of the 8 tasks was implemented or not implemented. Later, a panel of four analysts collectively reviewed both sets of analyses completed for each task and determined whether a task would be better categorized as partially implemented, instead of implemented, or as not implemented.", "We conducted this performance audit from June 2016 to January 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": [{"section_title": "This report (GAO-18-177) is an unclassified version of GAO-18-176C\u2014which had report number GAO-17-509C at the time it was transmitted to DOD for comment.", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tommy Baril (Assistant Director), Tracy Barnes, David Beardwood, Virginia Chanley, Benjamin Emmel, Kevin Newak, Joshua Ormond, Matthew Sakrekoff, Amanda Weldon, and Edwin Yuen made major contributions to this report.", "Colleen Candrl, Mark Canter, Raj Chitikila, Tracy Harris, Kirk Kiester, Amie Lesser, Nicholas Marinos, Madhav Panwar, John Shumann, James Tallon, and Cheryl Weissman also made contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Next Generation Air Transportation System: Improved Risk Analysis Could Strengthen FAA\u2019s Global Interoperability Efforts. GAO-15-608. Washington, D.C.: July 29, 2015 Air Traffic Control: FAA Needs a More Comprehensive Approach to Address Cybersecurity As Agency Transitions to NextGen. GAO-15-370. Washington D.C.: April 14, 2015.", "National Airspace System: Improved Budgeting Could Help FAA Better Determine Future Operations and Maintenance Priorities. GAO-13-693. Washington, D.C.: August 22, 2013.", "NextGen Air Transportation System: FAA Has Made Some Progress in Midterm Implementation, but Ongoing Challenges Limit Expected Benefits, GAO-13-264. Washington D.C.: April 8, 2013.", "Next Generation Air Transportation System: FAA Faces Implementation Challenges. GAO-12-1011T. Washington, D.C.: September 12, 2012.", "Next Generation Air Transportation: Collaborative Efforts with European Union Generally Mirror Effective Practices, but Near-Term Challenges Could Delay Implementation, GAO-12-48. Washington, D.C.: November 3, 2011."], "subsections": []}], "fastfact": []} {"id": "GAO-19-66", "url": "https://www.gao.gov/products/GAO-19-66", "title": "VA Health Care: Improvements Needed in Suicide Prevention Media Outreach Campaign Oversight and Evaluation", "published_date": "2018-11-15T00:00:00", "released_date": "2018-12-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Veterans suffer a disproportionately higher rate of suicide than the civilian population. VA has estimated that an average of 20 veterans die by suicide per day, and in 2018, VA identified suicide prevention as its highest clinical priority. VHA's suicide prevention media outreach campaign\u2014its collective suicide prevention outreach activities\u2014helps raise awareness among veterans and others in the community about suicide prevention resources. VHA has contracted with an outside vendor to develop suicide prevention media outreach content.", "GAO was asked to examine VHA's suicide prevention media outreach campaign. This report examines the extent to which VHA (1) conducts activities for its suicide prevention media outreach campaign, and (2) evaluates the effectiveness of its campaign. GAO reviewed relevant VHA documents and data on the amount, type, and cost of suicide prevention outreach activities since fiscal year 2013. GAO also reviewed VHA's contract for developing suicide prevention outreach content and interviewed VA and VHA officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) conducts national suicide prevention media outreach on various platforms to raise awareness about VHA's suicide prevention resources. The primary focus of this campaign since 2010 has been to raise awareness of the Veterans Crisis Line (VCL), VHA's national hotline established in 2007 to provide support to veterans in emotional crisis. GAO found that VHA's suicide prevention media outreach activities declined in recent years due to leadership turnover and reorganization. For example, the amount of suicide prevention content developed by VHA's contractor for social media decreased in fiscal years 2017 and the first 10 months of 2018 after increasing in each of the 4 prior years.", "VHA officials reported not having leadership available for a period of time to make decisions about the suicide prevention media outreach campaign. GAO found that VHA did not assign key leadership responsibilities or establish clear lines of reporting, and as a result, its ability to oversee the outreach campaign was hindered. Consequently, VHA may not be maximizing its reach with suicide prevention media content to veterans, especially those who are at-risk.", "VHA evaluates the effectiveness of its suicide prevention media outreach campaign by collecting data on metrics, such as the number of people that visit the VCL website. However, VHA has not established targets for the majority of these metrics. Officials said they have not established targets because, apart from one industry-wide target they use, they lack meaningful targets for evaluating the campaign. However, VHA could use information about how its metrics performed in the past to develop reasonable and meaningful targets for future performance. Without established targets for its metrics, VHA is missing an opportunity to better evaluate the effectiveness of its suicide prevention media outreach campaign."]}, {"section_title": "What GAO Recommends", "paragraphs": ["VHA should (1) establish an approach to oversee its suicide prevention media outreach campaign that includes clear delineation of roles and responsibilities, and (2) establish targets for its metrics to improve evaluation efforts. VA concurred with GAO's recommendations and described steps it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Suicide is a public health problem facing all populations, particularly veterans. After military service, veterans suffer a disproportionately higher rate of suicide than the civilian population. According to the Department of Veterans Affairs (VA), veterans accounted for 14.3 percent of all deaths by suicide among United States adults in 2015, despite constituting only 8.3 percent of the adult population. VA reported in June 2018 that an average of 20 veterans died by suicide each day in 2015, and that an average of 6 of these 20 veterans (30 percent) were recent users of VA\u2019s Veterans Health Administration\u2019s (VHA) health care services. Suicide is not unique to veterans; the Centers for Disease Control and Prevention (CDC) reports that suicide was the tenth leading cause of death in the United States in 2015. However, according to VA, the rate of suicide is higher for veterans than non-veterans (see figure 1).", "VHA conducts national outreach to veterans and others in the community to raise awareness about suicide prevention and services available through VA, as one of several VHA initiatives to help reduce suicides in the veteran community. Since 2010, VHA has awarded multiple contracts to the same vendor to develop content for suicide prevention media outreach. Questions have been raised about the effectiveness of VHA\u2019s collective suicide prevention media outreach activities, also referred to as its suicide prevention media outreach campaign. You asked us to review VHA\u2019s suicide prevention media outreach activities and related oversight. In this report, we examine: 1. the extent to which VHA conducts activities for its suicide prevention media outreach campaign; and 2. the extent to which VHA evaluates the effectiveness of its suicide prevention media outreach campaign.", "To examine the extent to which VHA conducts activities for its suicide prevention media outreach campaign, we reviewed VHA\u2019s contract to develop suicide prevention outreach content from fiscal years 2013 through 2016 and its contract to develop suicide prevention and mental health outreach content in fiscal years 2017 and 2018. VHA\u2019s first such contract began in 2010; however, the Federal Acquisition Regulation only requires federal agencies to maintain contract documentation for a period of 6 years after the last payment. Therefore, we did not include the initial contract or associated outreach in our review due to the lack of available documentation. We also requested and reviewed data on the amount and type of outreach content that VHA\u2019s contractor developed from fiscal year 2013 through fiscal year 2018. We interviewed VHA officials responsible for implementation and oversight of the contract about the data. We also obtained written responses from the contractor about the steps it took to compile and ensure the accuracy of the data. On the basis of these actions, we found these data to be sufficiently reliable for the purpose of our reporting objective.", "We also reviewed documentation and interviewed VHA officials who worked on the campaign about VHA\u2019s suicide prevention media outreach campaign, outreach activities, and VHA leadership officials\u2019 involvement in the campaign, and plans moving forward. We compared VHA\u2019s outreach campaign and related activities with federal internal control standards related to control environment and monitoring. We also interviewed relevant other VHA and VA officials who played a role in the suicide prevention media outreach campaign, including officials in VA\u2019s Office of Acquisitions, Logistics, and Construction and VHA\u2019s Office of Communications.", "To examine the extent to which VHA evaluates the effectiveness of its suicide prevention media outreach campaign, we reviewed documentation of VHA\u2019s evaluation efforts, including monthly monitoring reports, to identify any performance metrics VHA monitors and any targets established for those metrics. We also reviewed the 2016 contract to identify any requirements for the contractor to monitor and report on the effectiveness of the campaign. Additionally, we interviewed VHA officials responsible for monitoring and evaluating the campaign and reviewed supporting documentation. Specifically, we asked officials about the extent to which they had evaluated the campaign\u2019s effectiveness since fiscal year 2013, their evaluation processes and tools, and any plans for completing future evaluations. We then compared VHA\u2019s evaluation efforts to criteria we developed in previous bodies of work for designing program evaluations, as well as to federal internal control standards for monitoring.", "We conducted this performance audit from December 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VA Suicide Prevention", "paragraphs": ["VA has undertaken a number of initiatives to help prevent veteran suicide, including identifying suicide prevention as VA\u2019s highest clinical priority in its strategic plan for fiscal years 2018 through 2024 (see fig. 2).", "VA uses CDC\u2019s research on risk factors and prevention techniques to inform its approach to suicide prevention in the veteran community. There is no single determining cause for suicide; instead, suicide occurs in response to biological, psychological, interpersonal, environmental, and societal influences, according to the CDC. Specifically, suicide is associated with risk factors that exist at the individual level (such as a history of mental illness or substance abuse, or stressful life events, such as divorce or the death of a loved one), community level (such as barriers to health care), or societal level (such as the way suicide is portrayed in the media and stigma associated with seeking help for mental illness). According to VA, veterans may possess risk factors related to their military service, such as a service-related injury or a difficult transition to civilian life. CDC reports that protective factors\u2014influences that help protect against the risk for suicide\u2014include effective coping and problem- solving skills, strong and supportive relationships with friends and family, availability of health care, and connectedness to social institutions such as school and community.", "VA\u2019s 2018 National Strategy for Suicide Prevention identifies four focus areas: (1) healthy and empowered veterans, families, and communities; (2) clinical and community preventative services; (3) treatment and support services; and (4) surveillance, research, and evaluation. Collectively, these four areas encompass 14 goals for preventing veteran suicide, one of which is implementing communication designed to prevent veteran suicide by changing knowledge, attitude, and behaviors.", "VHA\u2019s suicide prevention media outreach campaign is just one of its initiatives intended to reduce veteran suicide. For example, in 2007, VHA established the Veteran\u2019s Crisis Line (VCL), a national toll-free hotline that supports veterans in emotional crisis. Veterans, as well as their family and friends, can access the VCL by calling a national toll-free number\u20141-800-273-8255\u2014and pressing \u201c1\u201d to be connected with a VCL responder, regardless of whether these veterans receive health care through VHA. VHA added the option to communicate with VCL responders via online chat in 2009, followed by text messaging in 2011. Another VHA suicide prevention initiative is the Recovery Engagement and Coordination for Health \u2013 Veterans Enhanced Treatment initiative, or REACH VET. Established in 2016, REACH VET uses predictive modeling to analyze existing data from veterans\u2019 health records to identify veterans at increased risk for adverse outcomes, such as suicide, hospitalization, or illness."], "subsections": []}, {"section_title": "VHA\u2019s Suicide Prevention Media Outreach Campaign", "paragraphs": ["Suicide prevention officials within VHA\u2019s Office of Mental Health and Suicide Prevention (OMHSP) are responsible for implementing the suicide prevention media outreach campaign. Since 2010, VHA has used a contractor to develop suicide prevention media outreach content and monitor its effectiveness. In September 2016, VHA awarded a new contract to the same contractor to provide both suicide prevention and mental health media outreach. Under the 2016 contract, the suicide prevention and mental health outreach campaigns remain separate and are overseen by separate suicide prevention and mental health officials, both within OMHSP. VHA officials told us that beginning in fiscal year 2019, VHA will separate the contract for suicide prevention and mental health media outreach. Specifically, VHA will utilize an existing agreement with a different contractor for suicide prevention media outreach while the existing contractor will continue to provide mental health media outreach.", "According to VHA, the purpose of its suicide prevention media outreach campaign is to raise awareness among veterans, their families and friends, and the general public about VHA resources that are available to veterans who may be at risk for suicide. The primary focus of the outreach campaign since 2010 has been to raise awareness of the services available through the VCL.", "VHA\u2019s suicide prevention media outreach falls into two main categories: unpaid and paid. Unpaid media outreach content is typically displayed on platforms owned by VA or VHA, or is disseminated by external organizations or individuals that share VHA suicide prevention content at no cost, as discussed below (see fig. 3).", "Social media. VA and VHA each maintain national social media accounts on platforms such as Facebook, Twitter, and Instagram, and post content, including suicide prevention content developed by VHA\u2019s contractor. VHA also works with other federal agencies, non-governmental organizations, and individuals that post its suicide prevention content periodically.", "Public service announcements (PSA). VHA\u2019s contractor typically develops two PSAs per year, which various local and national media networks display at no cost to VHA.", "Website. VHA\u2019s contractor maintains the content displayed on the VCL website (veteranscrisisline.net), including much of the content it develops for other platforms, such as PSAs and social media content. Visitors to the website can both view the content on the website and share it on their own platforms.", "Paid digital media. An example of paid digital media includes online keyword searches, in which VHA pays a search engine a fee for its website to appear as a top result in response to selected keywords, such as \u201cveterans crisis line\u201d or \u201cveteran suicide.\u201d Paid digital media also includes social media posts for which VHA pays a fee to display its content to a widespread audience, such as users with a military affiliation.", "Paid \u201cout-of-home\u201d media: \u201cOut-of-home\u201d refers to the locations where this type of content is typically displayed. Examples include billboards, bus and transit advertisements, and local and national radio commercials.", "VHA recognizes September as Suicide Prevention Month each year. During this month, VHA establishes a theme and increases its outreach activities, including a combination of both paid and unpaid media outreach. According to VHA, it typically incorporates additional outreach techniques during this month, such as enlisting the support of celebrities or hosting live chat sessions on social media platforms, including Facebook and Twitter."], "subsections": []}]}, {"section_title": "VHA\u2019s Suicide Prevention Media Outreach Activities Declined in Recent Years Due to Leadership Turnover and Reorganization VHA\u2019s Suicide Prevention Media Outreach Activities Declined in Fiscal Years 2017 and 2018", "paragraphs": ["VHA\u2019s suicide prevention media outreach activities declined in fiscal years 2017 and 2018 compared to earlier years of the campaign. We identified declines in social media postings, PSAs, paid media, and suicide prevention month activities, as discussed below.", "Social media. The amount of social media content developed by VHA\u2019s contractor decreased in 2017 and 2018, after increasing in each of the prior four years. Specifically, VHA reported that its contractor developed 339 pieces of social media content in fiscal year 2016, compared with 159 in fiscal year 2017, and 47 during the first 10 months of fiscal year 2018 (see fig. 5.).", "PSAs. VHA\u2019s contractor is required to develop two suicide prevention PSAs in each fiscal year. VHA officials said that the development of the two PSAs was delayed in fiscal year 2018. Specifically, as of August 2018, VHA reported that one PSA was completed, but had not yet aired, and another PSA was in development. As a result of this delay, VHA had not aired a suicide prevention PSA on television or radio in over a year; this is the first time there has been a gap of more than a month since June 2012.", "Paid media. VHA had a total budget of $17.7 million for its suicide prevention and mental health media outreach for fiscal year 2018, of which $6.2 million was obligated for suicide prevention paid media. As of September 2018, VHA said it had spent $57,000 of its $6.2 million paid media budget. VHA officials estimated that they would spend a total of $1.5 million on suicide prevention paid media for fiscal year 2018 and indicated that the remaining funds would be de-obligated from the contract at the end of the fiscal year and not used for suicide prevention media outreach. VHA officials indicated that the reason they did not spend the remaining funds on suicide prevention paid media in fiscal year 2018 was that the approval of the paid media plan was delayed due to changes in leadership and organizational realignment of the suicide prevention program. As a result, VHA officials said they limited the paid media outreach in fiscal year 2018 to activities that were already in place, including 25 keyword search advertisements, and 20 billboards and 8 radio advertisements in selected cities across the United States.", "In prior fiscal years, VHA conducted a variety of digital and out-of- home suicide prevention paid media. For example, in fiscal year 2015, with a suicide prevention paid media budget of more than $4 million, VHA reported that it ran 58 advertisements on Google, Bing, and Facebook, and ran 30 billboards, 180 bus advertisements, more than 19,000 radio advertisements, 252 print advertisements, and 39 movie theatre placements in selected cities across the United States. VHA ran similar types of paid media in fiscal years 2013, 2014, and 2016 with variation in quantities based on the approved budget in each of these years. In fiscal year 2017, VHA had a budget of approximately $1.7 million to spend on paid media for both the suicide prevention and mental health outreach campaigns. However, VHA spent less than 10 percent of the funds (approximately $136,000) to run paid advertisements on Google and Bing for suicide prevention in fiscal year 2017; the remainder was spent on mental health outreach.", "Suicide Prevention Month. VHA documentation indicated that Suicide Prevention Month 2017 was a limited effort. VHA officials said that this was because they did not begin preparing early enough. In May 2018, VHA officials indicated that they were similarly behind schedule for planning Suicide Prevention Month 2018, though they told us in August 2018 that they had caught up."], "subsections": [{"section_title": "VHA Leadership Turnover and Reorganization Resulted in the Decline in Suicide Prevention Media Outreach Activities", "paragraphs": ["VHA officials told us that the decrease in suicide prevention media outreach activities was due to leadership turnover and reorganization since 2017. For example, VHA officials said the National Director for Suicide Prevention position was vacant from July 2017 through April 2018. VHA filled the role temporarily with a 6-month detail from another agency from October 2017 through March 2018 and then hired this individual as the permanent director on April 30, 2018. VHA officials that worked on the campaign told us they did not have leadership available to make decisions about the suicide prevention campaign during this time. For example, VHA officials said they did not have a kick-off meeting between VHA leadership and VHA\u2019s contractor at the beginning of fiscal year 2018\u2014a requirement of the contract\u2014because there was no leadership available to participate in this meeting.", "The officials also reported that suicide prevention leadership was not available for weekly meetings to discuss suicide prevention outreach activities, even after the suicide prevention program obtained an acting director on detail from another agency. VHA staff said that at that time, they focused their suicide prevention media outreach efforts on areas that did not require leadership input, such as updating the VCL website. The absence of leadership available to provide direction and make decisions on the suicide prevention media outreach campaign is inconsistent with federal internal control standards for control environment, which require agencies to assign responsibilities to achieve its objectives. If a key role is vacant, management needs to determine by whom and how those responsibilities will be fulfilled in order to meet its objectives.", "Officials that worked on the campaign told us they shifted their focus away from the suicide prevention media outreach campaign toward the mental health outreach campaign due to reorganization of the offices responsible for suicide prevention activities in 2017. Specifically, under the new organization, and in the absence of suicide prevention program leadership, the officials began reporting directly to mental health program leadership and became more focused on the mental health outreach aspects of the contract. Following the reorganization, officials that worked on the campaign did not have a clear line of reporting to the suicide prevention program. This is also inconsistent with federal internal control standards for control environment, which require agencies to establish an organizational structure and assign responsibilities, such as establishing lines of reporting necessary information to management.", "VHA officials told us that one of the highest priorities for the suicide prevention program since the beginning of fiscal year 2018 was to establish a national strategy for preventing veteran suicides. The national strategy, issued in June 2018, includes suicide prevention outreach as one of the strategy\u2019s 14 goals. The national strategy also emphasizes VHA\u2019s plans to shift to a public health approach to suicide prevention outreach. The public health approach focuses less on raising awareness of the VCL and more on reaching veterans before the point of crisis. VHA officials told us they have been trying to shift to a public health approach since 2016. Some of the campaign themes and messages have reflected this shift; for example, the \u201cBe There\u201d campaign theme that was adopted in fiscal year 2016\u2014and has remained the theme since\u2014 emphasizes the message that everyone has a role in helping veterans in crisis feel less alone and connecting them to resources. However, VHA officials told us in May 2018 that they were just beginning to conceptualize what the suicide prevention outreach campaign should look like moving forward. Leadership officials also said that while they were developing the national strategy, they delegated the responsibility for implementing the suicide prevention outreach campaign to other officials working on the campaign.", "The decline in VHA\u2019s suicide prevention media outreach activities over the past 2 fiscal years is inconsistent with VA\u2019s strategic goals, which identify suicide prevention as the agency\u2019s top clinical priority for fiscal years 2018 through 2024. Further, VHA has continued to obligate millions of dollars to its suicide prevention media outreach campaign each year. Since fiscal year 2017, VHA has obligated $24.6 million to the contract for media outreach related to both suicide prevention and mental health.", "By not assigning key leadership responsibilities and clear lines of reporting, VHA\u2019s ability to oversee the suicide prevention media outreach activities was hindered and these outreach activities decreased. As a result, VHA may not have exposed as many people in the community, such as veterans at risk for suicide, or their families and friends, to its suicide prevention outreach content. Additionally, without establishing responsibility and clear lines of reporting, VHA lacks assurance that it will have continuous oversight of its suicide prevention media outreach activities in the event of additional turnover and reorganization in the future, particularly as VHA begins implementing the suicide prevention media outreach campaign under its new agreement that begins in fiscal year 2019."], "subsections": []}]}, {"section_title": "VHA Monitors Metrics for Its Suicide Prevention Media Outreach Campaign, but Has Not Established Targets against Which to Evaluate the Campaign\u2019s Effectiveness VHA Monitors Metrics for Its Suicide Prevention Media Outreach Campaign", "paragraphs": ["VHA works with its contractor to create and monitor metrics to help gauge the effectiveness of its suicide prevention media outreach campaign in raising awareness among veterans and others about VHA services, such as the VCL. The metrics primarily focus on the number of individuals who were exposed to or interacted with VHA\u2019s suicide prevention content across various forms of outreach, including social media, PSAs, and websites. According to VHA, the metrics are intended to help VHA ensure that its media outreach activities achieve intended results, such as increasing awareness and use of the resources identified on the VCL website. Examples of metrics monitored by VHA and its contractor include those related to (1) social media, such as the number of times a piece of outreach content is displayed on social media; (2) PSAs, such as the total number of markets and television stations airing a PSA; and (3) the VCL website, such as the total traffic to the website, as well as the average amount of time spent on a page and average number of pages viewed per visit.", "VHA\u2019s contractor is required to monitor the metrics and report results on a monthly basis. Specifically, the contractor provides monthly monitoring reports to VHA that summarize how outreach is performing, such as the number of visits to the VCL website that were driven from paid media sources. Officials noted these reports are key sources of information for VHA on the results of its outreach. VHA officials also told us they informally discuss certain metrics during weekly meetings with VHA\u2019s contractor. In addition, VHA works with its contractor to conduct a more in-depth analysis of outreach efforts during and after Suicide Prevention Month each year."], "subsections": [{"section_title": "VHA Lacks Metric Targets to Evaluate the Effectiveness of Its Suicide Prevention Media Outreach Campaign", "paragraphs": ["VHA has not established targets for the majority of the metrics it uses to help gauge the effectiveness of its suicide prevention media outreach campaign. As a result, VHA does not have the information it needs to fully evaluate the campaign\u2019s effectiveness in raising awareness of VHA\u2019s suicide prevention resources among veterans, including the VCL. For example, we found that VHA\u2019s contractor\u2019s monitoring reports\u2014a summary of key metrics that VHA uses to routinely monitor information regarding the campaign\u2014generally focused on outreach \u201chighlights\u201d and positive results. The reports did not set expectations based on past outreach or targets for new outreach, and lacked more comprehensive information on whether outreach performed against these expectations. For example:", "A monitoring report from 2018 showed that during one month, there were 21,000 social media mentions of keywords specific to VA suicide prevention, such as \u201cVCL\u201d or \u201cveteran suicide,\u201d across social media platforms. These mentions earned 120 million impressions; however, there was no indication of the number of keyword mentions or impressions that VHA expected based on its media outreach activities. In addition, the report did not indicate the proportion of mentions that VHA believed were specifically driven by its outreach activities, and there also was no indication of whether these mentions were positive or negative, or what actions to take based on this information.", "Another monitoring report from January 2017 showed that paid advertising drove 39 percent of overall website traffic during one month, while unpaid sources drove the remaining 61 percent. However, there was no information indicating the amounts of paid advertising that VHA conducted during this monitoring period, and whether this amount of website traffic from paid advertising met expectations.", "VHA\u2019s 2016 Suicide Prevention Month summary report showed that there were 194,536 visits to the VCL website, roughly an 8 percent increase from the Suicide Prevention Month in 2015. However, the report did not indicate whether this increase from the prior year met expectations, or a different result was expected.", "VHA officials told us that they have not established targets for most of the suicide prevention media outreach campaign because they lack meaningful targets for the metrics to help evaluate the campaign. VHA officials said that the only target they have established is for each PSA to rank in the top 10 percent of the Nielsen ratings because this is the only meaningful target available that is accepted industry-wide. VHA officials stated that using any other targets would be arbitrary. For the remaining metrics, VHA officials told us they assess the outcomes of their campaign by comparing data from year to year, and examining any changes in the outcomes over time. However, VHA could set targets that capture the number of people who viewed or interacted with its outreach content, similar to its Nielsen target set for television viewership. Doing so would help VHA evaluate whether the campaign has been effective in raising awareness of VHA\u2019s suicide prevention resources. Further, creating targets for these additional metrics need not be arbitrary, because VHA could use information about how its metrics performed in the past to develop reasonable and meaningful targets for future performance. VHA could also adjust the targets over time to reflect changes in its metrics or approach to the campaign, such as changes to its paid media budget each year.", "Federal internal control standards for monitoring require agencies to assess the quality of its performance by evaluating the results of activities. Agencies can then use these evaluations to determine the effectiveness of its programs or need for any corrective actions. Further, VA\u2019s June 2018 National Strategy for Preventing Veteran Suicide also emphasizes the importance of the agency evaluating the effectiveness of its outreach. The absence of established targets leaves VHA without a framework to effectively evaluate its campaign. Our prior work has shown that establishing targets allows agencies to track their progress toward specific goals. In particular, we have developed several key attributes of performance goals and measures including, when appropriate, the development of quantifiable, numerical targets for performance goals and measures. Such targets can facilitate future evaluations of whether overall goals and objectives were achieved by allowing for comparisons between projected performance and actual results. Further, establishing targets for its outreach metrics will enable VHA officials to determine whether outreach performed as expected and raised awareness of VHA resources such as the VCL, including identifying outreach efforts that worked particularly well and those that did not. In doing so, VHA officials will have the opportunity to make better informed decisions in their suicide prevention media outreach campaign to support VA\u2019s overall goal of reducing veteran suicides."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["VA has stated that preventing veteran suicide is its top clinical priority; yet VHA\u2019s lack of leadership attention to its suicide prevention media outreach campaign in recent years has resulted in less outreach to veterans. While VHA identifies the campaign as its primary method of raising suicide prevention awareness, it has not established an effective oversight approach to ensure outreach continuity. This became particularly evident during a recent period of turnover and reorganization in the office responsible for the suicide prevention outreach campaign. Moving forward, VHA has an opportunity to improve its oversight to ensure that its outreach content reaches veterans and others in the community to raise awareness of VHA\u2019s suicide prevention services, particularly as VHA begins working with a new contractor beginning in fiscal year 2019.", "VHA is responsible for evaluating the effectiveness of its suicide prevention media outreach campaign in raising awareness about VHA services that are available to veterans who may be at risk for suicide. To do so, VHA collects and monitors data on campaign metrics to help gauge the effectiveness of its suicide prevention media outreach campaign in raising such awareness, but has not established targets for the majority of these metrics because officials reported that there are no meaningful, industry-wide targets for them. We disagree with VHA\u2019s assertion that other targets would not be meaningful; VHA collects data on its metrics that it can use to develop reasonable and meaningful targets for future performance. In the absence of established targets, VHA cannot evaluate the effectiveness of the campaign, and make informed decisions about which activities should be continued to support VA\u2019s overall goal of reducing veteran suicides."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to VA: 1. The Under Secretary for Health should establish an approach for overseeing its suicide prevention media outreach efforts that includes clear delineation of roles and responsibilities for those in leadership and contract oversight roles, including during periods of staff turnover or program changes. (Recommendation 1) 2. The Under Secretary for Health should require officials within the Office of Suicide Prevention and Mental Health to establish targets for the metrics the office uses to evaluate the effectiveness of its suicide prevention media outreach campaign. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to VA for review and comment. In its written comments, summarized below and reprinted in Appendix I, VA concurred with our recommendations. VA described ongoing and planned actions and provided a timeline for addressing our recommendations. VA also provided technical comments, which we incorporated as appropriate.", "In response to our first recommendation, to establish an oversight approach that includes delineation of roles and responsibilities, VA acknowledged that organizational transitions and realignments within OMHSP contributed to unclear roles and responsibilities in 2017 and 2018. VA said that OMHSP has made organizational improvements, including hiring a permanent Director for Suicide Prevention and establishing a new organizational structure. In its comments, VA requested closure of the first recommendation based on these actions.", "However, to fully implement this recommendation, VA will need to provide evidence that it has established an oversight approach for the suicide prevention media outreach campaign. This would include providing information about the roles and responsibilities, as well as reporting requirements, for contract and leadership officials involved in the suicide prevention media outreach campaign under the new organizational structure and the new contract. VA will also need to demonstrate that it has a plan in place to ensure continued oversight of the suicide prevention media campaign in the event of staff turnover or program changes.", "In response to our second recommendation, to establish targets against which to evaluate suicide prevention metrics, VA said it has plans to work with communications experts to develop metrics, targets, and an evaluation strategy to improve its evaluation of its suicide prevention program efforts, including outreach. VA expects to complete these actions by April 2019.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of Veterans Affairs. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at DraperD@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia A. Mann (Assistant Director), Kaitlin McConnell (Analyst-in-Charge), Kaitlin Asaly, and Jane Eyre made key contributions to this report. Also contributing were Jennie Apter, Emily Bippus, Valerie Caracelli, Lisa Gardner, Jacquelyn Hamilton, Teague Lyons, Vikki Porter, and Eden Savino."], "subsections": []}]}], "fastfact": ["Preventing veteran suicide is one of the Department of Veterans Affairs' highest priorities. VA reports that an average of 20 veterans die by suicide each day. Since 2010, VA has conducted national outreach to raise awareness about suicide prevention resources for veterans.", "However, we found that VA's outreach activities dropped off in 2017 and 2018, and the office responsible for these activities lacked consistent leadership. We also found that VA did not have clear goals for evaluating the effectiveness of its outreach activities.", "We recommended VA improve its oversight and evaluation of its suicide prevention outreach activities."]} {"id": "GAO-19-209", "url": "https://www.gao.gov/products/GAO-19-209", "title": "Defense Acquisitions: Information on Workforce, Organizational Structure, and Budgeting for Selected Programs", "published_date": "2019-03-25T00:00:00", "released_date": "2019-03-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2018, DOD estimated that its 82 major defense acquisition programs would cost over $1.69 trillion in total to acquire. DOD relies on program offices\u2014composed of civilian, military and contractor support personnel\u2014to manage and oversee these technically complex programs.", "GAO was asked to review factors affecting DOD's personnel needs for its acquisition programs and how DOD budgets for the costs associated with these personnel.", "This report describes (1) factors affecting the workforce size, composition, and mix of contractor and government personnel, as well as organizational structure for selected programs; and (2) how personnel costs associated with those selected programs are included in DOD's budget justification documents.", "GAO reviewed DOD acquisition, workforce, and financial management policies and regulations and identified a non-generalizable sample of 11 major defense acquisition programs, including programs from each military department that were recently approved to enter into system development. GAO requested information from each of these programs to identify the number and type of personnel supporting the program, reviewed program documentation, and interviewed program officials. GAO also reviewed DOD's budget justification documents for fiscal years 2018 and 2019."]}, {"section_title": "What GAO Found", "paragraphs": ["The workforce size, composition, and mix, as well as the organizational structure of the 11 Department of Defense (DOD) major defense acquisition programs GAO reviewed were influenced by several interrelated factors. These factors include the government's role in developing and integrating key technologies, the availability of government personnel to provide the skills needed, and whether the program was managed as part of a portfolio of related programs or as a stand-alone program. For example, programs that assumed more responsibility for developing and integrating key technologies generally had a larger workforce, which was primarily composed of engineering and technical personnel. Program officials GAO met with stated that they generally prefer to use government personnel, but use contractor support when the number of government personnel allocated to the program is not sufficient to meet their needs, the technical skills are not available or are limited within the government, or to fulfill short-term tasks that are too brief to justify hiring government personnel. GAO also found that DOD structured the 11 programs to allow them to leverage available personnel with the necessary skills. Two programs were structured as standalone programs because they were new, high priority, and complex. The other nine programs were managed as a part of a portfolio of related programs. For example, the Air Force's F-15 program office manages a number of programs that add capabilities to the existing system.", "DOD's Financial Management Regulation, which governs the formulation and presentation of DOD's budget request, gives DOD flexibility in how it submits program personnel costs. Consequently, the personnel costs for the 11 programs GAO reviewed were not separately and distinctly identified from other costs. For example, costs for civilian and military personnel are often centrally funded through appropriations categories that support many DOD activities and do not provide information on specific program personnel costs. GAO also found that costs for contractor support are often combined with other costs in individual program budget exhibits."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year the Department of Defense (DOD) spends billions of dollars to develop, produce, and field its weapon systems. In 2018, DOD estimated that its 82 major defense acquisition programs would cost over $1.69 trillion to develop and procure. These programs range from adding new capabilities to older platforms, like the B-2 bomber, to developing new weapon systems, such as the Columbia Class Ballistic Missile Submarine. DOD establishes program offices to manage and oversee the development, production, and sustainment of these technically complex acquisition programs. To support its programs, DOD relies on a workforce consisting of military and civilian personnel, such as program managers, contracting officers, and engineers. These government personnel are also supported by contractor personnel and other organizations.", "You asked us to review issues related to how military departments meet program personnel needs and how DOD budgets for the costs associated with these personnel. This report describes (1) factors affecting the workforce size, composition, and mix, as well as organizational structure for selected major defense acquisition programs and (2) how personnel costs associated with those selected programs are included in DOD\u2019s budget justification documents. For the purposes of this report, we refer to the group of government and contractor support personnel dedicated to and responsible for managing and supporting system acquisitions as a \u201cprogram,\u201d rather than a program office.", "To address both objectives, we used data collected as part of our annual assessment of DOD weapon programs to identify major defense acquisition programs that were at similar phases in DOD\u2019s acquisition process. DOD Instruction 5000.02, the overarching policy governing the operation of the defense acquisition system, requires that programs entering the system development phase of the acquisition process provide an estimate, among other things, of their personnel needs. We selected 11 programs, representing each military department, that were most recently approved to enter system development as of March 2018. The 11 programs we selected follow:", "Department of the Air Force", "F-15 Eagle Passive Active Warning and Survivability System (EPAWSS)", "B-2 Defensive Management System Modernization (DMS-M)", "Military Global Positioning System User Equipment (MGUE)", "Department of the Army", "Armored Multi-Purpose Vehicle (AMPV)", "Paladin Integrated Management (PIM)", "Common Infrared Countermeasure (CIRCM)", "Joint Air-to-Ground Missile (JAGM)", "Department of the Navy", "Next Generation Jammer Mid-Band (NGJ Mid-Band)", "Joint Precision Approach and Landing System (JPALS)", "John Lewis Class Fleet Replenishment Oiler (T-AO)", "The results from these 11 case studies are not generalizable to all 82 major defense acquisition programs, but we used them to better understand and illustrate the factors that influence a program\u2019s size, composition, and mix, as well as organizational structure.", "We used a standardized data collection instrument to obtain program personnel data on three workforce characteristics for each of the 11 programs:", "Size\u2014the overall number of full-time equivalent personnel, including military, civilian, contractor support, and Federally Funded Research and Development Center (FFRDC) personnel supporting the program.", "Composition\u2014the acquisition functions performed by personnel supporting the program and the resulting skill mix. We grouped these functions into four categories: (1) program management; (2) engineering and technical; (3) logistics; and (4) contracting, business, and support.", "Mix\u2014the type of personnel supporting the program, including military, civilian, contractor and FFRDC personnel. For the purposes of this report, \u201ccontractor\u201d refers to the support contractors who provide technical and administrative services to DOD\u2019s major defense acquisition programs rather than prime contractors that develop and produce those weapon systems or products.", "For additional information on these programs, see GAO-18-360SP.", "DOD officials stated that program personnel often change over time; therefore, the associated data we collected are not static. The data reported to us by the 11 selected programs provided a snapshot\u2014as reported between December 2017 and June 2018\u2014of the personnel supporting the program. To assess the consistency and reliability of these data, we interviewed officials from each of the 11 programs to determine how the data were derived and compared the data with available program documentation that addressed workforce requirements, such as acquisition strategies, cost analysis documents, and organizational charts. Based on these steps, we determined that the data were sufficiently reliable to identify and compare the programs\u2019 workforce size, composition, and mix.", "To describe the organizational structure of the selected programs, we reviewed some of the documentation required to proceed to the system development phase of the defense acquisition process. We also reviewed organizational charts and interviewed officials representing each of the selected programs. To identify the factors affecting workforce size, composition, and mix of the selected programs, we obtained and reviewed program documentation, including acquisition strategies. We interviewed officials from each of the selected programs as well as the following DOD organizations that were involved in the policy and process of manpower planning for acquisition programs:", "Office of the Under Secretary of Defense for Personnel and", "Office of the Assistant Secretary of the Army for Acquisition, Logistics,", "Army Program Executive Office Ground Combat Systems;", "Army Program Executive Office Intelligence, Electronic Warfare and", "Army Program Executive Office Missiles and Space;", "Air Force Life Cycle Management Center;", "Air Force Space and Missile Systems Center;", "Naval Sea Systems Command; and", "Naval Air Systems Command.", "Based on the discussions with program officials and review of acquisition- related documents, we identified the overarching factors that affected the workforce size, composition, and mix, as well as the organizational structure of the selected programs.", "To identify how personnel costs for the 11 selected programs are included in DOD\u2019s budget justification documents, we reviewed the DOD Financial Management Regulation that governs DOD input to the President\u2019s annual budget request, among other things. We reviewed relevant DOD portions of the fiscal years 2018 and 2019 President\u2019s Budget and the specific budget exhibits for each of the 11 programs. We also interviewed officials from Office of the Under Secretary of Defense (Comptroller), the military departments, and Program Executive Office (PEO), and program officials responsible for developing the budget request for the 11 selected programs to obtain information on how military departments budget for their personnel.", "We conducted this performance audit from November 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD acquires new weapons for its warfighters through a management process known as the defense acquisition process. This process has multiple phases, including: (1) technology maturation and risk reduction, (2) engineering and manufacturing development, and (3) production and deployment. In this report we refer to these three phases as concept development, system development, and production. Programs typically complete a series of milestone reviews and other key decision points that authorize entry into a new acquisition phase.", "DOD Instruction 5000.02 delegates responsibility for developing and procuring weapon systems to the military departments and other defense agencies. This policy does not specify a standard organizational structure\u2014or program structure\u2014to manage acquisition programs, but rather states that programs are to be tailored as much as possible to the characteristics of the product being acquired, and to the totality of circumstances associated with the program including operational urgency and risk factors. In addition, DOD\u2019s guidance for managing its workforce states that the approach should be flexible, adaptive to program changes, and responsive to new management strategies.", "DOD decides how many personnel and how much program funding to request for each military department through the Planning, Programming, Budgeting, and Execution (PPBE) process. DOD programming policy requires the military departments and defense agencies to develop a program objective memorandum that identifies and prioritizes requirements and total funding needs for the current budget year and 4 additional years into the future. As a part of this process, the departments also estimate the personnel requirements and program funding needed to execute their mission, including support for the commands and PEOs that are responsible for managing acquisition programs. The results of the PPBE process, including proposed funding levels for programs, are captured in the President\u2019s annual budget request to Congress. For example, in its budget request, DOD identifies and requests the total number of civilian full-time equivalent personnel, among other things. Congress then authorizes and appropriates the funding to pay for civilian personnel for each military department. When budgeting for contracted services, DOD estimates the cost of the tasks to be performed but not the number of individuals that may perform those tasks. The military departments, commands and PEOs then distribute approved funding (which, in part, is used to pay for civilian personnel and contractor support) to the various organizations including the programs that are responsible for managing and supporting defense acquisitions.", "Each military department has a different approach to developing its budget request, and program budgets may be spread across multiple types of appropriations that are organized into various categories based on their purpose such as research, development, testing and evaluation, or procurement. Similarly, the military departments fund their personnel through several different types of appropriations, including (1) operation and maintenance; (2) military personnel; and (3) research, development, test, and evaluation. Requests for funding are included in different documents and often presented in multiple volumes that can be hundreds of pages long. DOD\u2019s Financial Management Regulation provides instructions for the formulation and presentation of the budget request to Congress, including general categories of costs that might be included in program specific budgets. In addition, the regulation requires DOD components to include specific budget exhibits for certain acquisition programs to provide more insight into those programs\u2019 funding needs."], "subsections": []}, {"section_title": "Several Factors Affect the Workforce Size, Composition, and Mix, As Well As the Organizational Structure of Selected DOD Acquisition Programs", "paragraphs": ["Several interrelated factors influenced the workforce size, composition, and mix, as well as the organizational structure of the 11 major defense acquisition programs we reviewed. We found the following:", "Program workforce size and composition were influenced by the degree to which the program assumed responsibility for technical development and integration, as well as the program\u2019s stage within the acquisition life cycle.", "Program workforce mix varied depending on the use of contractor personnel, which was based on the workload requirements and the availability of government personnel to provide the skills needed.", "Programs were generally structured as either stand-alone\u2014new, high priority, complex weapon system platforms with dedicated personnel\u2014or as part of a portfolio of related programs to share personnel across programs."], "subsections": [{"section_title": "Factors Affecting Selected Programs\u2019 Workforce Size and Composition", "paragraphs": ["The number and composition of personnel that supported the selected major defense acquisition programs varied considerably. As shown in figure 1, the total number of personnel supporting the 11 selected programs ranged from 30 to 397, and the composition of those personnel varied based on the needs of the program.", "While program officials cited a number of factors that influenced the selected programs\u2019 workforce size and composition, including department priority and complexity, we identified two overarching factors\u2014(1) the level of program responsibility for technical development and integration, and (2) the stage of the acquisition life cycle.", "First, we found programs that assume more responsibility for technical development and integration have more personnel\u2014primarily those that perform engineering as well as test and evaluation functions. The two largest of the selected programs we reviewed, the Navy\u2019s Next- Generation Jammer Mid-Band (NGJ Mid-Band) and Columbia Class Ballistic Missile Submarine (Columbia), assumed significant responsibility for system development and integration, activities a prime contractor often undertook for the other programs we reviewed. For example,", "NGJ Mid-Band officials explained that the program is responsible for overseeing software integration and other efforts directly. In this case, in addition to personnel assigned to the program office, the Navy relies on personnel from other organizations such as the Naval Air Warfare Center Aircraft Division instead of a prime contractor to develop the software needed to operate the system, conduct system testing, and manage integration into the platform.", "Similarly, the Columbia program maintains responsibility for many aspects of development and integration of the submarine including most hull, mechanical, and electrical components. As a result, about two-thirds of the 309 personnel supporting the program are performing engineering and technical tasks.", "In contrast, two programs with fewer personnel, the Air Force\u2019s B-2 Defensive Management System Modernization program (DMS-M) and Navy\u2019s John Lewis Class Fleet Replenishment Oiler (T-AO), assigned significant responsibility for development and integration to their respective prime contractors. The Defensive Management System Modernization program reported to us that it has a total of 11 engineering and technical personnel, and T-AO reported that it has 35 engineering and technical personnel.", "Secondly, we found that program workforce size and composition changed in response to the amount and nature of the work programs perform at different stages of the acquisition life cycle. For example, officials from our selected programs stated they generally planned to increase in size as they progressed from concept development to system development and also planned to concurrently increase the proportion of engineering and technical personnel. Program officials stated that as the program progresses into the logistics support stage, the number of personnel supporting the program generally decreases as programs release some personnel to other assignments while retaining enough personnel to manage the logistics support stage. Figure 2 shows how the size and composition of Army\u2019s Joint-Air-to-Ground Missile (JAGM) program changed from concept development into production.", "A program\u2019s total development and procurement cost was not necessarily related to the number of personnel supporting the program for the 11 programs we reviewed. All 11 selected programs are classified as major defense acquisition programs and ranged in total acquisitions cost from $1.5 billion to $103.2 billion. Our analysis, shown in table 1 below, indicates that total cost did not significantly influence the number of personnel supporting these programs."], "subsections": []}, {"section_title": "Selected Programs Used Contractor Support to Help Meet Workload Requirements", "paragraphs": ["All 11 selected programs used contractors to help meet workload requirements, but the level of contractor support varied from approximately 5 percent to 72 percent of total program personnel, as shown in figure 3.", "Program officials told us that while they generally try to use civilian or military personnel to meet workload requirements, they use contractor support when the number of government personnel allocated to the program is not sufficient to meet their needs, the technical skills are not available or are limited within the government, or to fulfill short-term tasks that are too brief to justify hiring government personnel.", "Program officials stated the extent to which their programs use contractor support often depends on the number civilians allocated to the program by the command or PEO. In the case of the three selected programs with the fewest personnel, the officials stated that the number of personnel authorizations allocated to the program by their respective command or PEO did not meet their estimated workload requirements. For example, the B-2 Defensive Management System Modernization program estimated it needed 82 personnel in fiscal year 2018, but was only allocated 13 personnel. As a result, program officials stated that they used program funds to pay for contractor support personnel to partially offset the government civilian staffing shortfalls. Officials at the Air Force Life Cycle Management Center, the organization that allocated personnel to the B-2 program office, told us that civilian personnel are allocated based on the risk associated with each program.", "Program officials told us that contractor support personnel are used to augment civilian and military personnel by providing skills or technical expertise that are limited or not available in the government. We found that over two-thirds of the contractors that supported the 11 selected programs we reviewed were performing engineering and technical functions. For example, the John Lewis Class Fleet Replenishment Oiler (T-AO) is a commercially-derived ship design. As such, program officials stated that the required engineering expertise resides in the commercial sector, which resulted in contracted engineers comprising about 77 percent of the program\u2019s total engineering personnel.", "Program officials also stated that it is more effective to use contractor support personnel to perform tasks that are relatively short in duration than to go through the lengthy process of hiring government personnel. Contracting for support allows the program to grow and shrink to meet personnel requirements as they change. For example, Joint Air-to-Ground Missile program officials stated they contracted for support to execute tasks that are not recurring, such as developing the required documents to get approval to start production.", "Among the 11 programs we reviewed, the Air Force\u2019s Military Global Positioning System User Equipment (MGUE) program has a unique workforce mix. Twenty-four percent of MGUE\u2019s program personnel were military, and MGUE was the only one of the 11 selected programs that had FFRDC personnel. Program officials stated that the challenge of obtaining civilian personnel with the required technical skills in a high cost-of-living area around Los Angeles, California required the program to rely more heavily on military personnel and contractors to support the program. Program officials stated this is in part because it is easier to assign military personnel in high cost-of-living areas than it is to hire civilian personnel. In addition, programs in the Air Force\u2019s Space and Missile Systems Center often rely on FFRDC personnel from Aerospace Corporation, which is located in the Los Angeles area and provides technical expertise that is specific to space systems. Program officials from the other 10 programs we reviewed reported that they did not have FFRDC personnel."], "subsections": []}, {"section_title": "Military Departments Structured Selected Acquisition Programs to Leverage Available Personnel with the Necessary Skills", "paragraphs": ["While differences existed in the organizational structure of the 11 programs we reviewed, we identified factors that affected which of the two common approaches the military departments used to leverage available personnel with the necessary skills:", "New, high priority, complex weapon system platforms that require a significant amount of development and integration, such as the Navy\u2019s Columbia and the Army\u2019s Armored Multi-Purpose Vehicle, are structured as distinct standalone program offices with dedicated program personnel.", "Nine of the 11 selected programs were managed in a portfolio-based program structure which included multiple related acquisition programs. For these portfolio-based programs, personnel were shared across the related programs to help meet fluctuating workload requirements and maximize personnel resources.", "Figure 4 compares the structure of a standalone program to the structure of a portfolio-based program with multiple acquisition programs managed under it. The figure also illustrates how the Air Force\u2019s MGUE program was situated within the Air Force\u2019s Global Positioning Systems portfolio of programs.", "In both types of organizational structures illustrated above, the PEO and the program office have personnel that oversee and support the programs. These personnel may be dedicated to one program or may split time between multiple portfolio-based programs. For example, the Air Force PEO for Space has more than 5,000 military, civilian, and contractor personnel and is responsible for managing 41 programs, the responsibility for which is distributed among multiple program offices. One of these program offices, the Global Positioning Systems program office, has 628 personnel. This program office is responsible for overseeing and supplementing the staff of several programs, including the Military Global Positioning System User Equipment Program, which has about 70 personnel.", "According to PEO and program officials, acquisition programs may be managed within portfolios for several different reasons:", "Programs are part of the same weapon system platform. The B-2 Defensive Management System Modernization program and the F-15 Eagle Passive Active Warning Survivability System program are examples of upgrades to existing systems on mature aircraft and are managed within a portfolio of programs within the B-2 and F-15 system program offices, respectively.", "Programs have interrelated technologies. The Air Force\u2019s MGUE program is managed within the GPS program office, which also manages other GPS satellite and ground system programs.", "Programs have related acquisition strategies. The Navy\u2019s John Lewis Class Fleet Replenishment Oiler (T-AO) program is managed within a portfolio of commercially designed and developed ships. This program is managed within a program office that oversees approximately 85 types of commercially derived auxiliary ships, boats, service craft, and special mission ships.", "Regardless of how the acquisition program is structured, other DOD organizations also provide personnel to support a program\u2019s workload requirements. There are various specialized DOD organizations that support programs and provide specific acquisition functions or skill sets, such as contracting, cost estimating, and engineering. For the 11 selected programs we reviewed, these organizations supported multiple programs and were either structured (1) within the PEO that was responsible for the programs we reviewed or (2) external to the PEO. These external support organizations include contracting commands, warfare centers, and engineering organizations that are intended to provide the program specialized technical expertise from across the military department. Program officials stated that these organizations may share personnel with a program on a full or part-time basis, and the shared personnel may or may not be co-located with the program. Figure 5 is a notional representation of the way that programs are supported by different organizations.", "The major defense acquisition programs we reviewed used different approaches to organizing and leveraging support organizations. For example:", "The Navy programs we reviewed relied on naval warfare centers to provide the engineering expertise necessary to design, build, maintain, and repair the Navy\u2019s aircraft, ships, and submarines. For example, the Navy\u2019s NGJ Mid-Band relies heavily on warfare centers, including the Naval Air Warfare Center Weapons Division and the Naval Air Warfare Center Aircraft Division, to support the program. We found that about 60 percent of the total number of personnel supporting the program office were from these organizations.", "The Army programs we reviewed relied on support organizations such as the Army Contracting Command for contracting functions, the Aviation and Missile Research Development and Engineering Center for engineering expertise, and others to provide life cycle management support.", "The Air Force programs we reviewed relied on support organizations established within their command. For example, Air Force\u2019s Life Cycle Management Center has organizations dedicated to supporting all of its programs. These organizations provide support, such as contracting and cost estimating expertise, to programs managed under the Air Force\u2019s Life Cycle Management Center. Personnel within these organizations are not staffed to one particular program, but share their time among many of the programs the Center is responsible for managing."], "subsections": []}]}, {"section_title": "Personnel Costs for Selected DOD Acquisition Programs Are Included in Multiple Parts of the Budget Justification Documents and Are Not Specifically Identified for Individual Programs", "paragraphs": ["The personnel costs for each major defense acquisition program we reviewed are included in different parts of the President\u2019s annual budget request, including budget justification documents, but are not always clearly identifiable due to different approaches used to report such costs. The DOD Financial Management Regulation gives the military departments flexibility in how they submit program personnel costs. For example, it suggests the use of \u201ctypical\u201d personnel cost categories for research, development, test, and evaluation programs to include in their individual program budget exhibits, but it also allows the departments to use the personnel cost categories they deem to be the most appropriate when formulating the budget request. In reviewing DOD\u2019s budget requests for fiscal years 2018 and 2019 associated with the 11 selected programs, we found that personnel costs are budgeted for in two main ways\uf8e7centrally by the military department, or by an individual program\uf8e7depending on whether the requests are for military, civilian, or contractor support services. Personnel costs that are program-funded are included in individual program budget justification requests, whereas personnel costs that are centrally funded by the military departments are aggregated into one or more line items in the military department\u2019s specific appropriation request. Table 2 shows how each military department funds military and civilian personnel and contractor support services for major defense acquisition programs.", "Each military department centrally budgets for military personnel through its respective Military Personnel appropriation requests, which aggregate personnel funding. These requests include funding for pay, travel, and other personnel-related costs. As these costs are combined and not associated with a specific program, we could not determine the costs of the military personnel supporting the 11 selected programs by reviewing DOD\u2019s budget justification documentation. In contrast, support contractor costs were included in each program\u2019s individual budget request.", "The military departments also centrally budget for some civilian personnel, but there are differences between the departments regarding which appropriations categories they use to request these funds. Regardless of the appropriation, we found that the budget requests do not identify civilian personnel costs by specific program; therefore, we could not determine the costs of the centrally funded civilian personnel supporting the 11 programs we selected. For example, in fiscal year 2019, the Air Force requested funding for the civilian personnel supporting its acquisition programs in development through the Research, Development, Test, and Evaluation appropriation. It grouped the costs into eight categories that represent various missions such as Cyber, Network, and Business Systems; Global Battle Management; and Nuclear Systems. The Air Force budget request indicates the total amount of funds requested, but does not identify the estimated number of personnel that these funds will support. Figure 6 illustrates how the Air Force requested funds for its civilian acquisition workforce in fiscal year 2019.", "The Navy and Army request funds for civilian personnel primarily through their respective operation and maintenance appropriations. This appropriation is used to fund a wide range of costs necessary to manage, operate and maintain worldwide facilities and military operations. These operation and maintenance budgets are divided into numerous categories related to various missions, functions, or activities. For example, the Navy\u2019s Operation and Maintenance budget requests funding for civilian personnel in several categories, such as \u201cShip Operational Support and Training\u201d and \u201cAdministration.\u201d The Army Operation and Maintenance budget requests funding for civilian acquisition personnel in one combined category labeled as \u201cOther Service Support.\u201d", "Apart from the portions of the budget described above, certain DOD programs have specific budget exhibits that identify its funding requirements. In reviewing the exhibits for the 11 selected programs, we found that individual program requests include personnel costs that are not funded centrally such as contractor support services costs, but these costs are generally not specifically identified as personnel costs. For example, according to program officials, the Air Force\u2019s B-2 Defensive Management Modernization program requested funds in its exhibit accompanying the fiscal year 2019 Research Development, Test, and Evaluation budget request labeled \u201cPMA,\u201d which stands for Program Management Administration. According to program officials, PMA includes costs for contractor support services, government travel, and other costs but does not include civilian personnel costs (see figure 7).", "In reviewing and discussing the budget exhibits for the 11 selected programs with program officials, we found that personnel costs, including civilian, contractor, and FFRDC, were generally spread across multiple budget request lines that were associated with various tasks but were not specifically identified as personnel costs. These include the following:", "Development Test & Evaluation For example, the Navy\u2019s Joint Precision Approach and Landing System\u2019s fiscal year 2019 Research Development, Test and Evaluation budget exhibit included personnel costs across seven lines that represented various efforts including ship integration, test and evaluation, systems engineering, and program management support, as shown in figure 8.", "Of the 11 program\u2019s fiscal year 2019 budgets we reviewed, one identified personnel costs on a single line, and the remaining 10 programs included personnel costs in two or more budget lines."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD provided technical comments that we incorporated into this report as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Acting Secretary of Defense and the Secretaries of the Army, Navy, and Air Force, as well as the Under Secretary of Defense for Personnel and Readiness. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Justin Jaynes (Assistant Director); Bradley Terry (Analyst-in-Charge); Matthew T. Crosby; Stephanie Gustafson; Heather B. Miller; Karen Richey; Miranda Riemer; Robin Wilson; and Chris Zakroff made significant contributions to this review."], "subsections": []}]}], "fastfact": ["DOD relies on a mix of government personnel and contractors to carry out its multi-billion dollar major acquisition programs for new ships, planes, and more.", "We reviewed, among other things, the number and type of personnel working at 11 major programs. DOD does not specify one way for structuring programs and they varied widely. Programs:", "Had staff sizes ranging from 30 to 397", "Generally had more personnel, especially in engineering, if they were developing key technologies for their projects", "Generally preferred to use government personnel, but sometimes used contractors to meet workload needs or fulfill short-term tasks"]} {"id": "GAO-18-336T", "url": "https://www.gao.gov/products/GAO-18-336T", "title": "Prescription Opioids: Medicare Should Expand Oversight Efforts to Reduce the Risk of Harm", "published_date": "2018-01-17T00:00:00", "released_date": "2018-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Misuse of prescription opioids can lead to overdose and death. In 2016, over 14 million Medicare Part D beneficiaries received opioid prescriptions, and spending for opioids was almost $4.1 billion. GAO and others have reported on inappropriate activities and risks associated with these prescriptions.", "This statement is based on GAO's October 2017 report (GAO-18-15) and discusses (1) CMS oversight of beneficiaries who receive opioid prescriptions under Part D, and (2) CMS oversight of providers who prescribe opioids to Medicare Part D beneficiaries. For the October 2017 report, GAO reviewed CMS opioid utilization and prescriber data, CMS guidance for plan sponsors, and CMS's strategy to prevent opioid misuse. GAO also interviewed CMS officials, the six largest Part D plan sponsors, and 12 national associations selected to represent insurance plans, pharmacy benefit managers, physicians, patients, and regulatory and law enforcement authorities."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS), within the Department of Health and Human Services (HHS), provides guidance on the monitoring of Medicare beneficiaries who receive opioid prescriptions to plan sponsors\u2014private organizations that implement the Medicare drug benefit, Part D\u2014but lacks information on most beneficiaries at risk of harm from opioid use.", "CMS provides guidance to plan sponsors on how they should monitor opioid overutilization among Medicare Part D beneficiaries, and requires them to implement drug utilization review systems that use criteria similar to CMS's. CMS's criteria focused on beneficiaries who do all the following: (1) receive prescriptions of high doses of opioids, (2) receive prescriptions from four or more providers, and (3) fill prescriptions at four or more pharmacies. According to CMS, this approach focused actions on beneficiaries the agency determined to have the highest risk of harm.", "CMS's criteria, including recent revisions, do not provide sufficient information about the larger population of potentially at-risk beneficiaries. CMS estimates that while 33,223 beneficiaries would have met the revised criteria in 2015, 727,016 would have received high doses of opioids regardless of the number of providers or pharmacies. In 2016, CMS began to collect information on some of these beneficiaries using a higher dosage threshold for opioid use. This approach misses some who could be at risk of harm, based on Centers for Disease Control and Prevention guidelines. As a result, CMS is limited in its ability to assess progress toward meeting the broader goals of its Opioid Misuse Strategy for the Medicare and Medicaid programs, which includes activities to reduce the risk of harm to beneficiaries from opioid use.", "CMS oversees the prescribing of drugs at high risk of abuse through a variety of projects, but does not analyze data specifically on opioids. According to CMS officials, CMS and plan sponsors identify providers who prescribe large amounts of drugs with a high risk of abuse, and those suspected of fraud or abuse may be referred to law enforcement. However, GAO found that CMS does not identify providers who may be inappropriately prescribing large amounts of opioids separately from other drugs, and does not require plan sponsors to report actions they take when they identify such providers. As a result, CMS is lacking information that it could use to assess how opioid prescribing patterns are changing over time, and whether its efforts to reduce harm are effective."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In the October 2017 report, GAO made three recommendations that CMS (1) gather information on the full number of at-risk beneficiaries receiving high doses of opioids, (2) identify providers who prescribe high amounts of opioids, and (3) require plan sponsors to report to CMS on actions related to providers who inappropriately prescribe opioids. HHS concurred with the first two recommendations, but not with the third. GAO continues to believe the recommendation is valid, as discussed in the report and in this statement."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here to discuss our recently released report on oversight of opioid prescribing in the Medicare program. Misuse of prescription opioids, which are used to treat both acute and chronic pain, has become a serious public health problem for the U.S. population, including Medicare beneficiaries. The Centers for Disease Control and Prevention (CDC) reported that from 1999 to 2013 the rate of drug poisoning deaths from prescription opioids nearly quadrupled from 1.4 to 5.1 per 100,000 people. In addition, the Department of Health and Human Services (HHS) Office of Inspector General (HHS-OIG) reported that 14.4 million people (about one-third) who participate in Medicare Part D received at least one prescription for opioids in 2016, and that Part D spending for opioids in 2016 was almost $4.1 billion. GAO and the HHS- OIG have previously reported on inappropriate activities that can be associated with such prescriptions, including \u201cdoctor shopping\u201d to receive multiple opioid prescriptions from different providers; the diversion of prescription drugs for uses other than what was intended; and questionable prescribing practices by providers, including those in Medicare.", "In March 2015, HHS announced plans to make addressing opioid abuse a high priority through two broad goals: (1) decreasing opioid overdoses and overall overdose deaths, and (2) decreasing the prevalence of opioid use disorder. In 2016, CDC issued guidelines with recommendations for prescribing opioids in outpatient settings for chronic pain. The guidelines recommended that providers use caution when prescribing opioids at any dose, carefully reassess evidence of individual benefits and risks when increasing opioid dosage to 50 mg morphine-equivalent dose (MED) per day or more, and either avoid or carefully justify dosage at 90 mg MED or more. CDC guidelines also noted that providers should use additional caution in prescribing opioids to patients aged 65 and older, because the drugs can accumulate in the body to toxic levels. Further, in January 2017, the Centers for Medicare & Medicaid Services (CMS), the HHS agency that administers Medicare, issued its Opioid Misuse Strategy for the Medicaid and Medicare programs, including Medicare Part D. The strategy includes the agency\u2019s plans to address concerns about beneficiary use of opioids and the prescribing of opioids by providers.", "My remarks today discuss the findings and recommendations from our report on CMS efforts to oversee prescription opioids. Accordingly, this testimony focuses on (1) how CMS oversees beneficiaries who receive opioid prescriptions under Medicare Part D, and (2) how CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries. For our report, we reviewed CMS opioid utilization and prescriber data, CMS guidance for plan sponsors, and CMS\u2019s strategy to prevent opioid misuse. We also interviewed officials from CMS, the six largest Part D plan sponsors\u2014private organizations, such as health insurance companies, contracted by CMS to provide outpatient drug benefit plans to Medicare beneficiaries\u2014and 12 national associations selected to represent insurance plans, pharmacy benefit managers, physicians, patients, and regulatory and law enforcement agencies. More detailed information on our objectives, scope, and methodology for that work can be found in the issued report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "CMS Delegates Monitoring of Beneficiaries who Receive Opioid Prescriptions to Plan Sponsors, but Does Not Have Sufficient Information on Those Most at Risk for Harm", "paragraphs": [], "subsections": [{"section_title": "CMS Delegates Monitoring of Individual Beneficiaries\u2019 Opioid Prescriptions to Plan Sponsors", "paragraphs": ["Our October 2017 report found that CMS provides guidance to Medicare Part D plan sponsors on how the plan sponsors should monitor opioid overutilization problems among Part D beneficiaries. The agency includes this guidance in its annual letters to plan sponsors, known as call letters; it also provided a supplemental memo to plan sponsors in 2012. Among other things, these guidance documents instructed plan sponsors to implement a retrospective drug utilization review (DUR) system to monitor beneficiary utilization starting in 2013. As part of the DUR systems, CMS requires plan sponsors to have methods to identify beneficiaries who are potentially overusing specific drugs or groups of drugs, including opioids.", "Also in 2013, CMS created the Overutilization Monitoring System (OMS), which outlines criteria to identify beneficiaries with high-risk use of opioids and to oversee sponsors\u2019 compliance with CMS\u2019s opioid overutilization policy. Plan sponsors may use the OMS criteria for their DUR systems, but they have some flexibility to develop their own targeting criteria within CMS guidance. At the time of our review, the OMS considered beneficiaries to be at a high risk of opioid overuse when they met all three of the following criteria: 1. received a total daily MED greater than 120 mg for 90 consecutive 2. received opioid prescriptions from four or more providers in the previous 12 months, and 3. received opioids from four or more pharmacies in the previous 12 months.", "The criteria excluded beneficiaries with a cancer diagnosis and those in hospice care, for whom higher doses of opioids may be appropriate.", "Through the OMS, CMS generates quarterly reports that list beneficiaries who meet all of the criteria and who are identified as high-risk, and then distributes the reports to the plan sponsors. Plan sponsors are expected to review the list of identified beneficiaries, determine appropriate action, and then respond to CMS with information on their actions within 30 days. According to CMS officials, the agency also expects that plan sponsors will share any information with CMS on beneficiaries that they identify through their own DUR systems. We found that some actions plan sponsors may take include", "Case management. Case management may include an attempt to improve coordination issues, and often involves provider outreach, whereby the plan sponsor will contact the providers associated with the beneficiary to let them know that the beneficiary is receiving high levels of opioids and may be at risk of harm.", "Beneficiary-specific point-of-sale (POS) edits. Beneficiary-specific POS edits are restrictions that limit these beneficiaries to certain opioids and amounts. Pharmacists receive a message when a beneficiary attempts to fill a prescription that exceeds the limit in place for that beneficiary.", "Formulary-level POS edits. These edits alert providers who may not have been aware that their patients are receiving high levels of opioids from other doctors.", "Referrals for investigation. According to the six plan sponsors we interviewed, the referrals can be made to CMS\u2019s National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC), which is responsible for identifying and investigating potential Part D fraud, waste, and abuse, or to the plan sponsor\u2019s own internal investigative unit, if they have one. After investigating a particular case, they may refer the case to the HHS-OIG or a law enforcement agency, according to CMS, NBI MEDIC, and one plan sponsor.", "Based on CMS\u2019s use of the OMS and the actions taken by plan sponsors, CMS reported a 61 percent decrease from calendar years 2011 through 2016 in the number of beneficiaries meeting the OMS criteria of high risk\u2014from 29,404 to 11,594 beneficiaries\u2014which agency officials consider an indication of success toward its goal of decreasing opioid use disorder.", "In addition, we found that CMS relies on separate patient safety measures developed and maintained by the Pharmacy Quality Alliance to assess how well Part D plan sponsors are monitoring beneficiaries and taking appropriate actions. In 2016, CMS started tracking plan sponsors\u2019 performance on three patient safety measures that are directly related to opioids. The three measures are similar to the OMS criteria in that they identify beneficiaries with high dosages of opioids (120 mg MED), beneficiaries that use opioids from multiple providers and pharmacies, and beneficiaries that do both. However, one difference between these approaches is that the patient safety measures separately identify beneficiaries who fulfill each criterion individually."], "subsections": []}, {"section_title": "CMS Does Not Have Sufficient Information on Most Beneficiaries Potentially at Risk for Harm", "paragraphs": ["Our October 2017 report also found that while CMS tracks the total number of beneficiaries who meet all three OMS criteria as part of its opioid overutilization oversight across the Part D program, it does not have comparable information on most beneficiaries who receive high doses of opioids\u2014regardless of the number of providers and pharmacies used\u2014and who therefore may be at risk for harm, according to CDC guidelines. These guidelines note that long-term use of high doses of opioids\u2014those above a MED of 90 mg per day\u2014are associated with significant risk of harm and should be avoided if possible.", "Based on the CDC guidelines, outreach to Part D plan sponsors, and CMS analyses of Part D data, CMS has revised its current OMS criteria to include more at-risk beneficiaries beginning in 2018. The new OMS criteria define a high user as having an average daily MED greater than 90 mg for any duration, and who receives opioids from four or more providers and four or more pharmacies, or from six or more providers regardless of the number of pharmacies, for the prior 6 months. Based on 2015 data, CMS found that 33,223 beneficiaries would have met these revised criteria. While the revised criteria will help identify beneficiaries who CMS determined are at the highest risk of opioid misuse and therefore may need case management by plan sponsors, OMS will not provide information on the total number of Part D beneficiaries who may also be at risk of harm. In developing the revised criteria, CMS conducted a one-time analysis that estimated there were 727,016 beneficiaries with an average MED of 90 mg or more, for any length of time during a 6 month measurement period in 2015, regardless of the number of providers or pharmacies used. These beneficiaries may be at risk of harm from opioids, according to CDC guidelines, and therefore tracking the total number of these beneficiaries over time could help CMS to determine whether it is making progress toward meeting the goals specified in its Opioid Misuse Strategy to reduce the risk of opioid use disorders, overdoses, inappropriate prescribing, and drug diversion. However, CMS officials told us that the agency does not keep track of the total number of these beneficiaries, and does not have plans to do so as part of OMS. (See fig. 1.)", "We also found that in 2016, CMS began to gather information from its patient safety measures on the number of beneficiaries who use more than 120 mg MED of opioids for 90 days or longer, regardless of the number of providers and pharmacies. The patient safety measures identified 285,119 such beneficiaries\u2014counted as member-years\u2014in 2016. However, this information does not include all at-risk beneficiaries, because the threshold is more lenient than indicated in CDC guidelines and CMS\u2019s new OMS criteria. Because neither the OMS criteria nor the patient safety measures include all beneficiaries potentially at risk of harm from high opioid doses, we recommended that CMS should gather information over time on the total number of beneficiaries who receive high opioid morphine equivalent doses regardless of the number of pharmacies or providers, as part of assessing progress over time in reaching the agency\u2019s goals related to reducing opioid use. HHS concurred with our recommendation."], "subsections": []}]}, {"section_title": "CMS Oversees Providers through its Contractor and Plan Sponsors, but Efforts Do Not Specifically Monitor Opioid Prescriptions", "paragraphs": ["Our October 2017 report found that CMS oversees providers who prescribe opioids to Medicare Part D beneficiaries through its contractor, NBI MEDIC, and the Part D plan sponsors.", "NBI MEDIC\u2019s data analyses to identify outlier providers. CMS requires NBI MEDIC to identify providers who prescribe high amounts of Schedule II drugs, which include but are not limited to opioids. Using prescription drug data, NBI MEDIC conducts a peer comparison of providers\u2019 prescribing practices to identify outlier providers\u2014the highest prescribers of Schedule II drugs. NBI MEDIC reports the results to CMS.", "NBI MEDIC\u2019s other projects. NBI MEDIC gathers and analyzes data on Medicare Part C and Part D, including projects using the Predictive Learning Analytics Tracking Outcome (PLATO) system. According to NBI MEDIC officials, these PLATO projects seek to identify potential fraud by examining data on provider behaviors.", "NBI MEDIC\u2019s investigations to identify fraud, waste, and abuse. NBI MEDIC officials conduct investigations to assist CMS in identifying cases of potential fraud, waste, and abuse among providers for Medicare Part C and Part D. The investigations are prompted by complaints from plan sponsors; suspected fraud, waste, or abuse reported to NBI MEDIC\u2019s call center; NBI MEDIC\u2019s analysis of outlier providers; or from one of its other data analysis projects.", "NBI MEDIC\u2019s referrals. After identifying providers engaged in potential fraudulent overprescribing, NBI MEDIC officials said they may refer cases to law enforcement agencies or the HHS-OIG for further investigation and potential prosecution.", "Plan sponsors\u2019 monitoring of providers. CMS requires all plan sponsors to adopt and implement an effective compliance program, which must include measures to prevent, detect, and correct Part C or Part D program noncompliance, as well as fraud, waste, and abuse. CMS\u2019s guidance focuses broadly on prescription drugs, and does not specifically address opioids.", "Our report concluded that although these efforts provide valuable information, CMS lacks all the information necessary to adequately oversee opioid prescribing. CMS\u2019s oversight actions focus broadly on Schedule II drugs rather than specifically on opioids. For example, NBI MEDIC\u2019s analyses to identify outlier providers do not indicate the extent to which they may be overprescribing opioids specifically. According to CMS officials, they direct NBI MEDIC to focus on Schedule II drugs, because these drugs have a high potential for abuse, whether they are opioids or other drugs. However, without specifically identifying opioids in these analyses\u2014or an alternate source of data\u2014CMS lacks data on providers who prescribe high amounts of opioids, and therefore cannot assess progress toward meeting its goals related to reducing opioid use, which would be consistent with federal internal control standards. Federal internal control standards require agencies to conduct monitoring activities and to use quality information to achieve objectives and address risks. As a result, we recommended that CMS require NBI MEDIC to gather separate data on providers who prescribe high amounts of opioids. This would allow CMS to better identify those providers who are inappropriately and potentially fraudulently overprescribing opioids. HHS agreed, and noted that it intends to work with NBI MEDIC to identify trends in outlier prescribers of opioids.", "Our report also found that CMS also lacks key information necessary for oversight of opioid prescribing, because it does not require plan sponsors to report to NBI MEDIC or CMS cases of fraud, waste, and abuse; cases of overprescribing; or any actions taken against providers. Plan sponsors collect information on cases of fraud, waste, and abuse, and can choose to report this information to NBI MEDIC or CMS. While CMS receives information from plan sponsors who voluntarily report their actions, it does not know the full extent to which plan sponsors have identified providers who prescribe high amounts of opioids, or the full extent to which sponsors have taken action to reduce overprescribing. We concluded that without this information, it is difficult for CMS to assess progress in this area, which would be consistent with federal internal control standards. In our report, we recommended that CMS require plan sponsors to report on investigations and other actions taken related to providers who prescribe high amounts of opioids. HHS did not concur with this recommendation. HHS noted that plan sponsors have the responsibility to detect and prevent fraud, waste, and abuse, and that CMS reviews cases when it conducts audits. HHS also stated that it seeks to balance requirements on plan sponsors when considering new regulatory requirements. However, without complete reporting\u2014such as reporting from all plan sponsors on the actions they take to reduce overprescribing\u2014we believe that CMS is missing key information that could help assess progress in this area. Due to the importance of this information for achieving the agency\u2019s goals, we continue to believe that CMS should require plan sponsors to report on the actions they take to reduce overprescribing. - - - - - In conclusion, a large number of Medicare Part D beneficiaries use potentially harmful levels of prescription opioids, and reducing the inappropriate prescribing of these drugs is a key part of CMS\u2019s strategy to decrease the risk of opioid use disorder, overdoses, and deaths. Despite working to identify and decrease egregious opioid use behavior\u2014such as doctor shopping\u2014among Medicare Part D beneficiaries, CMS lacks the necessary information to effectively determine the full number of beneficiaries at risk of harm, as well as other information that could help CMS assess whether its efforts to reduce opioid overprescribing are effective. It is important that health care providers help patients to receive appropriate pain treatment, including opioids, based on the consideration of benefits and risks. Access to information on the risks that Medicare patients face from inappropriate or poorly monitored prescriptions, as well as information on providers who may be inappropriately prescribing opioids, could help CMS as it works to improve care.", "Chairman Jenkins, Ranking Member Lewis, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgements", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact me at (202) 512-7114 or CurdaE@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this statement. Other individuals who made key contributions to this testimony include Will Simerl (Assistant Director), Carolyn Feis Korman (Analyst-in-Charge), Amy Andresen, Drew Long, Samantha Pawlak, Vikki Porter, and Emily Wilson.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["What can Medicare do to help address the nation's opioid crisis?", "We've previously found problems such as \"doctor shopping\" and questionable prescribing practices in Medicare's prescription drug benefits. With 14.4 million people receiving at least one opioid prescription through Medicare in 2016, reducing opioid overprescribing could make a difference.", "We looked at Medicare's efforts to reduce inappropriate opioid prescribing, and we revisit our analysis in this testimony. We suggested ways to help Medicare collect information on doctor investigations and at-risk beneficiaries that could help it determine whether its efforts are working."]} {"id": "GAO-17-789", "url": "https://www.gao.gov/products/GAO-17-789", "title": "Navy and Marine Corps Training: Further Planning Needed for Amphibious Operations Training", "published_date": "2017-09-26T00:00:00", "released_date": "2017-09-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Navy and Marine Corps have identified a need to improve their ability to conduct amphibious operations\u2014an operation launched from the sea by an amphibious force.", "Senate and House reports accompanying bills for the National Defense Authorization Act for Fiscal Year 2017 included provisions for GAO to review Navy and Marine Corps training. This report examines the extent to which (1) the Navy and Marine Corps have completed training for amphibious operations priorities and taken steps to mitigate any training shortfalls, (2) these services' efforts to improve naval integration for amphibious operations incorporate leading collaboration practices, and (3) the Marine Corps has integrated selected virtual training devices into operational training. GAO analyzed training initiatives; interviewed a nongeneralizable sample of officials from 23 units that were selected based on their training plans; analyzed training completion data; and selected a nongeneralizable sample of six virtual training devices to review based on factors such as target audience.", "This is a public version of a classified report GAO issued in August 2017. Information that DOD deemed classified has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["Navy and Marine Corps units that are deploying as part of an Amphibious Ready Group and Marine Expeditionary Unit (ARG-MEU) completed their required training for amphibious operations, but other Marine Corps units have been limited in their ability to conduct training for other amphibious operations\u2013related priorities. GAO found that several factors, to include the decline in the fleet of the Navy's amphibious ships from 62 in 1990 to 31 today limited the ability of Marine Corps units to conduct training for other priorities, such as recurring training for home-station units (see figure). As a result, training completion for amphibious operations was low for some but not all Marine Corps units from fiscal years 2014 through 2016. The services have taken steps to address amphibious training shortfalls, such as more comprehensively determining units that require training. However, these efforts are incomplete because the services do not have an approach to prioritize available training resources, evaluate training resource alternatives, and monitor progress towards achieving priorities. Thus, the services are not well positioned to mitigate any training shortfalls.", "The Navy and Marine Corps have taken some steps to improve coordination between the two services, but have not fully incorporated leading collaboration practices to improve integration of the two services\u2014naval integration\u2014for amphibious operations. For example, the Navy and Marine Corps have not defined and articulated common outcomes for naval integration that would help them align efforts to maximize training opportunities for amphibious operations.", "The Marine Corps has taken steps to better integrate virtual training devices into operational training, but gaps remain in its process to develop and use them. GAO found that for selected virtual training devices, the Marine Corps did not conduct front-end analysis that considered key factors, such as the specific training tasks that a device would accomplish; consider device usage data to support its investment decisions; or evaluate the effectiveness of existing virtual training devices because of weaknesses in the service's guidance. As a result, the Marine Corps risks investing in devices that are not cost-effective and whose value to operational training is undetermined."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Navy and Marine Corps develop an approach for amphibious operations training and define and articulate common outcomes for naval integration; and that the Marine Corps develop guidance for the development and use of its virtual training devices. The Department of Defense concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Navy and the U.S. Marine Corps (collectively referred to as U.S. naval forces) maintain forces that are capable of conducting an amphibious operation\u2014a military operation that is launched from the sea by an amphibious force, embarked in ships or craft, with the primary purpose of introducing a landing force ashore to accomplish the assigned mission. According to the Department of Defense (DOD), the future security environment will require forces to train across the full range of military operations\u2014including types of operations that have not been prioritized in recent years, such as amphibious operations. However, over the last 15 years, deployments to the Middle East and Afghanistan have required U.S. naval forces to focus training on preparing for success in stability and counterinsurgency operations, while limiting training in amphibious operations, among other areas. To reinvigorate the ability of U.S. naval forces to fight effectively in an amphibious environment, among other areas, strategic guidance such as the Navy\u2019s A Design for Maintaining Maritime Superiority and the Marine Corps Operating Concept has established goals to better integrate and sufficiently train forces for amphibious operations.", "Preparing to train forces for amphibious operations requires integration between the Navy and Marine Corps, and significant resources. For example, the services must schedule amphibious ships to be used for training, develop operational concepts, and design and execute exercises. Training for amphibious operations also requires resources, including access to Navy ships and support craft, as well as an adequate amount of range space to realistically portray force movements and to conduct live-fire training exercises. However, certain resources for amphibious training are constrained. For example, the number of amphibious ships in the Navy\u2019s fleet has been in decline, dropping from 62 in 1990 to 31 today.", "The Marine Corps has stated that the use of live, virtual, and constructive training could help overcome some of the limitations of training in a live- only environment, while sufficiently replicating a complex operational environment. However, we have previously reported on several factors that have affected DOD\u2019s ability to efficiently and effectively integrate virtual training devices into training plans. In 2013, for example, we found that the Marine Corps lacked key performance and cost information that would enhance its ability to determine the optimal mix of live and virtual training and prioritize related investments. We recommended that the Marine Corps develop metrics and a methodology to compare the costs of live versus virtual training. In response, the Marine Corps conducted an assessment to identify which of its virtual training devices could support unit-level training. We discuss this and other actions the Marine Corps has taken related to virtual training later in this report.", "Additionally, in 2016 we reported that the Army and the Air Force had not fully integrated the development and sustainment of their respective virtual training devices with service-wide training requirements and strategies because their management approaches are fragmented. We recommended that the Army update its policies for virtual training devices to conduct additional front-end planning; define the process for analyzing the effectiveness of its devices; and better integrate the devices into training strategies. We also recommended that the Air Force develop a risk-based investment strategy that identifies and prioritizes capability needs and includes a timeline for addressing them. In response, DOD has identified some actions the Army and Air Force are taking that would improve the management of virtual training programs and address our recommendations once fully implemented.", "Both the Senate and House reports accompanying bills for the National Defense Authorization Act for Fiscal Year 2017 included provisions for us to review Navy and Marine Corps training requirements. This report examines the extent to which (1) the Navy and Marine Corps have completed training for amphibious operations priorities and taken steps to mitigate any training shortfalls, (2) the Navy\u2019s and Marine Corps\u2019 efforts to improve naval integration for amphibious operations incorporate leading collaboration practices, and (3) the Marine Corps has integrated selected virtual training devices into its operational training.", "This report is a public version of a classified report that we issued in August 2017. DOD deemed some of the information in our August report to be classified, which must be protected from loss, compromise, or inadvertent disclosure. Therefore, this report omits classified information on select Marine Corps units\u2019 ability to complete training for amphibious operations. Although the information provided in this report is more limited, the report addresses the same objectives as the classified report and uses the same methodology.", "To determine the extent to which the Navy and Marine Corps have completed training for amphibious operations priorities and taken steps to mitigate any training shortfalls, we analyzed unit-level readiness data and deployment certification reports over the most recent 3-year period\u2014from fiscal years 2014 through 2016\u2014and compared those data against the services\u2019 training requirements. We analyzed 3 years of training data because training requirements for Marine Corps units are reviewed and updated on a 3-year cycle. We performed data-reliability procedures on the unit-level readiness data by comparing the data against related documentation and surveying knowledgeable officials on controls over reporting systems, and determined that the data presented in our findings were sufficiently reliable for the purposes of this report. We interviewed Navy and Marine Corps officials to discuss amphibious operations training priorities and any factors that limited training for amphibious operations. We selected a nongeneralizable sample of Marine Corps units to speak with in order to interview geographically dispersed units. We analyzed data on requests for amphibious ships to support Marine Corps training and assessed the reliability of data by speaking with knowledgeable officials, and determined they were sufficiently reliable for the purposes of presenting the number of actual requests submitted and fulfilled. In addition, we reviewed processes and initiatives established by the Navy and Marine Corps to identify and assess training shortfalls for amphibious operations and evaluated these processes and initiatives against practices identified in our prior work on strategic training, such as the need to prioritize available resources to support an agency\u2019s mission and goals; and risk management, such as evaluating and selecting alternatives, and monitoring the progress made and the results achieved, in an effort to address operational capability gaps.", "To determine the extent to which the Navy\u2019s and Marine Corps\u2019 efforts to improve naval integration for amphibious operations incorporate leading collaboration practices, we reviewed Navy and Marine Corps documents, including A Cooperative Strategy for 21st Century Seapower and the Marine Corps Operating Concept, that discuss the goal of improving naval integration. We also reviewed mechanisms that have been established to coordinate training, observed a working group focused on amphibious operations, and interviewed officials across both services to discuss efforts to improve naval integration. We assessed the extent to which the Navy\u2019s and Marine Corps\u2019 efforts to improve naval integration have followed applicable leading practices for collaboration that we have identified in our prior work. Specifically, we have identified eight practices described in our prior work that can help enhance and sustain collaboration. We selected seven of the eight practices most relevant to the Navy\u2019s and Marine Corps\u2019 collaborative efforts to improve naval integration.", "To determine the extent to which the Marine Corps has integrated selected virtual training devices into its operational training, we collected information on the development, use, and evaluation of virtual training devices and their integration into training strategies. We focused on the Marine Corps\u2019 integration of virtual training devices into operational training because the Navy does not have virtual training devices that simulate amphibious operations, including ship-to-shore movement, according to Navy officials. We selected a nongeneralizable sample of six virtual training devices that support command and ground-based units based on factors such as the device\u2019s applicability to amphibious operations training, location, and type of training tasks (individual or collective training) for which the devices are used. We reviewed documentation on actions the Marine Corps has taken to incorporate the selected devices into operational training and assessed the extent to which these actions followed DOD training strategy and our leading practices for managing strategic training. Further details on our scope and methodology can be found in appendix I.", "The performance audit upon which this report is based was conducted from May 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from August 2017 to September 2017 to prepare this unclassified version of the original classified report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Naval Forces Involved in Amphibious Operations", "paragraphs": ["An amphibious operation is a military operation launched from the sea by an amphibious force, embarked in ships or craft, with the primary purpose of introducing a landing force ashore to accomplish an assigned mission. An amphibious force is comprised of an (1) amphibious task force and (2) landing force together with other forces that are trained, organized, and equipped for amphibious operations. The amphibious task force is a group of Navy amphibious ships, most frequently deployed as an Amphibious Ready Group (ARG). The landing force is a Marine Air- Ground Task Force\u2014which includes certain elements, such as command, aviation, ground, and logistics\u2014embarked aboard the Navy amphibious ships. A Marine Expeditionary Unit (MEU) is the most-commonly deployed Marine Air-Ground Task Force. Together, this amphibious force is referred to as an ARG-MEU.", "The Navy\u2019s amphibious ships are part of its surface force. An ARG consists of a minimum of three amphibious ships, typically an amphibious assault ship, an amphibious transport dock ship, and an amphibious dock landing ship. Figure 1 shows the current number of amphibious ships by class and a description of their capabilities.", "The primary function of amphibious ships is to provide transport to Marines and their equipment and supplies. The ARG includes an amphibious squadron that is comprised of a squadron staff, tactical air control squadron detachment, and fleet surgical team. This task organization also includes a naval support element that is comprised of a helicopter squadron for search and rescue and antisurface warfare, two landing craft detachments for cargo lift, and a beachmaster unit detachment to control beach traffic.", "An MEU consists of around 2,000 Marines, their aircraft, their landing craft, their combat equipment, and about 15 days\u2019 worth of supplies. The MEU includes a standing command element; a ground element consisting of a battalion landing team; an aviation element consisting of a composite aviation squadron of multiple types of aircraft; and a logistics element consisting of a combat logistics battalion. Figure 2 provides an overview of the components of a standard ARG-MEU.", "An amphibious force can be scaled to include a larger amphibious task force, such as an Expeditionary Strike Group, and a larger landing force, such as a Marine Expeditionary Brigade or Marine Expeditionary Force (MEF) for larger operations. A Marine Expeditionary Brigade is comprised of 3,000 to 20,000 personnel and is organized to respond to a full range of crises, such as forcible entry and humanitarian assistance. A MEF is the largest standing Marine Air-Ground Task Force and the principal Marine Corps warfighting organization. Each MEF consists of 20,000 to 90,000 Marines. MEFs are used in major theater war and other missions across the range of military operations. There are three standing MEFs\u2014I MEF at Camp Pendleton, California; II MEF at Camp Lejeune, North Carolina; and III MEF in Okinawa, Japan."], "subsections": []}, {"section_title": "Navy and Marine Corps Training for Amphibious Operations", "paragraphs": ["Navy ships train to a list of mission-essential tasks that are assigned based on the ship\u2019s required operational capabilities and projected operational environments. Most surface combatants, including cruisers, destroyers, and all amphibious ships, have mission-essential tasks related to amphibious operations. The Navy uses a phased approach to training, known as the Fleet Response Training Plan. The training plan for amphibious ships is broken up into five phases: maintenance, basic, advanced, integrated, and sustainment. The maintenance phase is focused on the completion of ship maintenance, with a secondary focus on individual and team training. The basic phase focuses on development of core capabilities and skills through the completion of basic-level inspections, assessments, and training requirements, among other things. This phase can include certification in areas such as mobility, communications, amphibious well-deck operations, aviation operations, and warfare training. The basic phase of training requires limited Marine Corps involvement\u2014mainly to certify amphibious ships for well-deck and flight-deck operations. The advanced phase focuses on advanced tactical training, including amphibious planning. The integrated phase is where individual units and staffs are aggregated into an Amphibious Ready Group (ARG) and train with an embarked MEU or other combat units. The sustainment phase includes training to sustain core skills and provides an additional opportunity for training with Marine Corps units, when possible.", "Marine Corps units train to accomplish a set of mission-essential tasks for the designed capabilities of the unit. For example, the mission-essential tasks for a Marine Corps infantry battalion include amphibious operations, offensive operations, defensive operations, and stability operations. Many Marine Corps units within the command, aviation, ground, and logistics elements have an amphibious-related mission-essential task. The Marine Corps uses a building-block approach to accomplish training, progressing from individual through collective training. For example, an assault amphibian vehicle battalion will progress through foundational, individual, and basic amphibious training\u2014such as waterborne movement and ship familiarization\u2014to advanced amphibious training, such as live training involving ship-to-shore movement conducted under realistic conditions.", "Marine Corps unit commanders use Training and Readiness manuals to help develop their training plans. Training and Readiness manuals describe the training events, frequency of training required to sustain skills, and the conditions and standards that a unit must accomplish to be certified in a mission-essential task. To be certified in the mission- essential task of amphibious operations, Marine Corps units must train to a standard that may require the use of amphibious ships. For example, ground units with amphibious-related mission-essential tasks will not be certified until live training involving sea-based operations and ship-to- shore movement has been conducted under realistic conditions. Similarly, for aviation squadrons, training for amphibious operations (called sea- based aviation operations) will not be certified until live training involving sea-based operations has been conducted under realistic conditions, including aviation operations from an amphibious platform. Similar types of units, such as all infantry battalions, may train on the same mission- essential tasks. However, unit commanders are ultimately responsible for their units\u2019 training, and a variety of factors can lead commanders to adopt different approaches to training, such as the units\u2019 assigned missions or deployment locations.", "Marine Corps units that are scheduled to deploy as part of an ARG-MEU will follow a standardized 6-month predeployment training program that gradually builds collective skill sets over three phases, as depicted in figure 3."], "subsections": []}, {"section_title": "Marine Corps\u2019 Use of Virtual Training Devices", "paragraphs": ["The Marine Corps\u2019 use of virtual training devices has increased over time. Virtual training devices were first incorporated into training for the aviation community, which has used simulators for more than half a century. The Marine Corps\u2019 ground units did not begin using simulators and simulations until later. Specifically, until the 1980s, training in the ground community was primarily live training. Further advances in technology resulted in the acquisition of simulators and simulations with additional capabilities designed to help individual Marines and units acquire and refine skills through more concentrated and repetitive training. For example, the Marine Corps began using devices that allowed individual Marines to conduct training in basic and advanced marksmanship and weapons employment tactics. More recently, during operations in Iraq and Afghanistan, the Marine Corps introduced a number of new virtual training devices to prepare Marines for conditions on the ground and for emerging threats. For example, to provide initial and sustainment driver training, the Marine Corps began using simulators that can be reconfigured to replicate a variety of vehicles. In addition, in response to an increase in vehicle rollovers, the Marine Corps began using egress trainers to train Marines to safely evacuate their vehicles. The Marine Corps has also developed virtual training devices that can be used to train Marines in collective training, such as amphibious operations. For example, the Marine Air-Ground Task Force Tactical Warfare Simulation is a constructive simulation that provides training on planning and tactical decision making for the Marine Corps\u2019 command element. See figure 4 for a description of examples of Marine Corps devices that can be used for individual through collective training."], "subsections": []}]}, {"section_title": "Navy and Marine Corps Units Completed Training for Certain Amphibious Operations Priorities but Not Others, and Efforts to Mitigate Training Shortfalls Are Incomplete", "paragraphs": ["Navy and Marine Corps units that are deploying as part of an ARG-MEU completed their required training for amphibious operations, but several factors have limited the ability of Marine Corps units to conduct training for other amphibious operations\u2013related priorities. The Navy and Marine Corps have taken steps to identify and address amphibious training shortfalls, but their efforts to mitigate these shortfalls have not prioritized available training resources, systematically evaluated among potential training resource alternatives to accomplish the services\u2019 amphibious operations training priorities, or monitored progress toward achieving the priorities."], "subsections": [{"section_title": "Navy and Marine Corps ARG-MEU Deploying Units Completed Required Training for Amphibious Operations, but Several Factors Have Limited Training for Other Marine Corps Amphibious Operations Priorities", "paragraphs": ["Navy and Marine Corps units deploying as part of ARG-MEUs have completed required training for amphibious operations, but the Marine Corps has been unable to consistently accomplish training for other service amphibious operations priorities. We found that Navy amphibious ships have completed training for amphibious operations. Specifically, based on our review of deployment certification messages from 2014 through 2016, we found that each deploying Navy ARG completed training for the amphibious operations mission in accordance with training standards. Similarly, we found that each MEU completed all of its mission-essential tasks that are required during the predeployment training program. These mission-essential tasks cover areas such as amphibious raid, amphibious assault, and noncombatant evacuation operations, among other operations.", "However, while the Marine Corps has completed amphibious operations training for the MEU, based on our review of unit-level readiness data from fiscal year 2014 through 2016 we found that the service has been unable to fully accomplish training for its other amphibious operations priorities, which include home-station unit training to support contingency requirements, service-level exercises, and experimentation and concept development for amphibious operations. Specific details of these shortfalls were omitted because the information is classified.", "Additionally, Marine Corps officials cited shortfalls in their ability to conduct service-level exercises that train individuals and units on amphibious operations-related skills, as well as provide opportunities to conduct experimentation and concept development for amphibious operations. In particular, officials responsible for planning and executing these exercises told us that one of the biggest challenges is aligning enough training resources, such as amphibious ships, to accurately replicate a large-scale amphibious operation. For example, officials from III MEF told us that the large-scale amphibious exercise Ssang Yong is planned to be conducted every other year, but that the exercise requires the availability and alignment of two ARG-MEUs in order to have enough forces to conduct the exercise. These officials stated that this alignment may only happen every 3 years, instead of every other year, as planned. In addition, officials from I MEF and II MEF told us that their large-scale amphibious exercises are intended to be a Marine Expeditionary Brigade\u2013level training exercise, however, these exercises are typically only able to include enough amphibious ships to support a MEU, while the other forces must be simulated. Despite these limitations, Navy and Marine Corps officials have identified these service-level exercises as a critical training venue to support training for the Marine Expeditionary Brigade command element and to rebuild the capability to command and control forces participating in amphibious operations.", "Based on our analysis of interviews with 23 Marine Corps units, we found that all 23 units cited the lack of available amphibious ships as the primary factor limiting training for home-station units. The Navy\u2019s fleet of amphibious ships has declined by half in the last 25 years, from 62 in 1990 to 31 today, with current shipbuilding plans calling for four additional amphibious ships to be added by fiscal year 2024, increasing the total number of amphibious ships to 35 (see fig. 5).", "Navy and Marine Corps officials noted a number of issues that can affect the amount of training time that is available with the current amphibious fleet. In particular, the current fleet of ships is in a continuous cycle of maintenance, ARG-MEU predeployment training, and sustainment periods, leaving little additional time for training with home-station units and participation in service-level exercises. Navy officials told us that the Optimized Fleet Response Plan may provide additional training opportunities for Marine Corps units during the amphibious ships\u2019 sustainment periods. Given the availability of the current inventory of amphibious ships, Marine Corps requests to the Navy for amphibious ships and other craft have been difficult to fulfill. For example, data from I MEF showed that the Navy was unable to fulfill 293 of 314 (93 percent) of I MEF requests for Navy ship support for training in fiscal year 2016. Similarly, data from II MEF showed that in fiscal year 2016 the Navy was unable to fulfill 19 of 40 requests for ship services. We identified issues with the completeness of this request data. Specifically, we found that the data may not fully capture the Marine Corps\u2019 demand for amphibious ships. As a result, this information may overstate the ability of the Navy to fulfill these requests. We discuss these data-reliability issues further below.", "Marine Corps officials from the 23 units we interviewed also cited other factors that limit opportunities for amphibious operations training, such as the following:", "Access to range space: Seventeen of 23 Marine Corps units we interviewed identified access to range space as a factor that can limit their ability to conduct amphibious operations training. Unit officials told us that priority for training resources, including range access, is given to units that will be part of a MEU deployment, leaving little range time available for other units. In addition, unit officials told us that the amount of range space available can affect the scope and realism of the training that they are able to conduct. Training for amphibious operations can require a large amount of range space, because the operational area extends from the offshore waters onto the landing beach and further inland. A complete range capability requires maneuver space, tactical approaches, and air routes that allow for maneuverability and evasive actions. However, officials from II MEF told us that the size of the landing beach near Camp Lejeune, North Carolina makes conducting beach-clearing operations infeasible. Adequate ranges have been identified as a challenge across DOD. For example, according to DOD\u2019s 2016 Report to Congress on Sustainable Ranges, some Marine Corps installations lack fully developed maneuver corridors, training areas, and airspace to adequately support ground and air maneuver inland from landing beaches.", "Maintenance delays, bad weather, and transit time: Ten of 23 Marine Corps units told us that changes to an amphibious ship\u2019s schedule resulting from maintenance overruns or bad weather can also reduce the time available for a ship to be used for training. In addition, the transit time a ship needs to reach Marine Corps units can further reduce the time available for training. This is a particular challenge for II MEF units stationed in North Carolina and South Carolina that train with amphibious ships stationed in Virginia and Florida. According to II MEF officials, transit time to Marine Corps units can take up to 18 hours in good weather, using up almost a full day of available training time for transit.", "High pace of deployments: Five of 23 Marine Corps units told us that the high pace of deployments and need to prepare for upcoming deployments limited their opportunity to conduct training for amphibious operations. For example, II MEF officials told us that an infantry battalion that is scheduled to deploy as part of a Special Purpose Marine Air-Ground Task Force to Africa generally does not embark on an amphibious ship or have amphibious operations as part of its assigned missions. As a result, the unit will likely not conduct amphibious operations during its predeployment training."], "subsections": []}, {"section_title": "Efforts to Identify and Address Amphibious Training Shortfalls Lack Strategic Training and Risk-Management Practices", "paragraphs": ["The Navy and Marine Corps have taken some steps to mitigate the training shortfall for their amphibious operations priorities, but these efforts are incomplete because they have not prioritized available training resources, systematically evaluated among potential training resource alternatives to accomplish the services\u2019 amphibious operations training priorities, or monitored progress toward achieving the priorities. The Navy and Marine Corps are in the process of identifying (1) the amount of amphibious operations capabilities and capacity that are needed to achieve the services\u2019 wartime requirements, and (2) the training resources and funding required to meet the amphibious operations- related training priorities. First, in December 2016, the Navy conducted a force structure assessment that established a need for a fleet of 38 amphibious ships. Based on the assessment, the Chief of Naval Operations and the Commandant of the Marine Corps determined that increasing the Navy\u2019s amphibious fleet from a 31-ship to a 38-ship amphibious fleet would allow the Marine Corps to meet its wartime needs of having enough combined capacity to transport two Marine Expeditionary Brigades. Specifically, a 38-ship fleet would provide 17 amphibious ships for each Marine Expeditionary Brigade, plus four additional ships to account for ships that are unavailable due to maintenance. According to Navy and Marine Corps officials, an increase in the number of amphibious ships should create additional opportunities for the Navy and Marine Corps to accomplish amphibious operations training.", "Second, the Marine Corps has also recognized a need to improve the capacity and experience of its forces to conduct amphibious operations and is taking steps to identify the training resources and funding required to meet its amphibious operations\u2013related training priorities. To accomplish this task, in 2016 the Marine Corps initiated the Amphibious Operations Training Requirements review. As a part of this review, the Marine Corps has comprehensively determined units that require amphibious operations training and is in the process of refining the training and readiness manuals for each type of Marine Corps unit to include an amphibious-related mission-essential task as appropriate, and better emphasizing the types of conditions and standards for amphibious training in the manuals. According to officials, as of May 2017, Marine Corps Forces Command has reviewed the mission-essential tasks for 60 unit types and found 31 unit types already had a mission-essential task for amphibious operations, while another 5 unit types required that an amphibious-related mission-essential task be added. The review further found that the other 24 unit types do not require a mission-essential task for amphibious operations. In addition, the Marine Corps Training and Education Command noted in its review that certain training standards within the training manuals are being refined in order to distinguish between levels of training accomplished. For example, for ground-based units, such as infantry battalions, an additional training standard was added for all amphibious-related mission-essential tasks that a unit would not be considered both trained and certified unless live training using amphibious ships has been conducted under realistic conditions.", "The Amphibious Operations Training Requirements review is also intended to accomplish other actions to better define the services\u2019 amphibious operations training priorities, but these actions were incomplete at the time of our review. Specifically, the review will also establish an objective for the number of Marine Corps forces that must be trained and ready to conduct amphibious operations at a given point in time, and the amount of funding for ship steaming days that is required to provide training for the services\u2019 amphibious operations priorities. According to officials responsible for the Amphibious Operations Training Requirements review, an outcome of the review is expected to be a combined Navy and Marine Corps directive signed by the Chief of Naval Operations and the Commandant of the Marine Corps that should provide guidance to better define a naval objective for amphibious readiness and required ship steaming days. Marine Corps officials estimated that the issuance of the directive will be in the summer of 2017.", "With these two efforts, the Navy and Marine Corps have been proactive in identifying the underlying problems with training for amphibious operations, and their ongoing efforts indicate that addressing this training shortfall is a key priority for the two services. In particular, the proposed Navy and Marine Corps directive that will result from the Amphibious Operation Training Requirements review should help establish a naval objective for amphibious readiness with the corresponding units that need to be trained and ready in amphibious operations, as well as a basis for estimating the required amount of training resources, such as ship steaming days, to meet amphibious operations training priorities. When completed, the development of this directive is an important first step to clearly identify the total resources needed for amphibious operations training.", "However, the Navy\u2019s and Marine Corps\u2019 current approach for amphibious operations training does not incorporate strategic training and leading risk-management practices. Specifically, we found the following:", "The Marine Corps does not prioritize all available training resources: Based on our prior work on strategic training, we found that agencies need to align their training processes and available resources to support outcomes related to the agency\u2019s missions and goals, and that those resources should be prioritized so that the most- important training needs are addressed first. For certain units that are scheduled to deploy as part of an ARG-MEU, the Navy and Marine Corps have a formal training program that specifies the timing and resource needs across all phases of the training, including the number of days embarked on amphibious ships that the Navy and Marine Corps need to complete their training events. Officials stated that available training resources, including access to amphibious ships for training, are prioritized for these units.", "However, for other Marine Corps units not scheduled for a MEU deployment, officials described an ad hoc process to allocate any remaining availabilities of amphibious ship training time among home- station units. Specifically, officials stated that the current process identifies units that are available for training when an amphibious ship becomes available rather than a process that aligns the next highest- priority units with available training resources. For example, officials at Headquarters Marine Corps told us that the Navy will identify training opportunities with amphibious ships at quarterly scheduling conferences. The Marine Corps will fill these training opportunities with units that are available to accomplish training during that period, but not based on a process that identifies its highest-priority home- station units for training. Similarly, a senior officer with First Marine Division told us that he would prioritize home-station units that have gone the longest without conducting amphibious-related training, which may not be the units with the highest priority for amphibious operations training.", "The Navy and Marine Corps have recognized the need for reinstituting a recurring training program for home-station units, but efforts to implement such a program have not been started at the time of our review. According to Navy officials, the Navy and Marine Corps have had a recurring training program in the past to provide home- station units with amphibious operations training called the Type Commander Amphibious Training series, or TCAT, but this program was phased out 15 years ago with the implementation of the Fleet Response Training Plan that is more focused on ARG-MEU training. Navy and Marine Corps officials told us that reinstituting a similar training program would allow the services to better prioritize training resources and align units to achieve the services\u2019 proposed naval objective for amphibious readiness. Without establishing a process to prioritize available training resources for home-station units, the Navy and Marine Corps cannot be certain that scarce training opportunities are being aligned with their highest-priority needs.", "The Navy and Marine Corps do not systematically evaluate a full range of training resource alternatives to achieve amphibious operations training priorities: Our prior work on risk management has found that evaluating and selecting alternatives are critical steps for addressing operational capability gaps. Based on our interviews with officials across the Marine Expeditionary Forces and review of documentation, we identified a number of alternatives that could help mitigate the risk to the services\u2019 amphibious capability due to limited training opportunities. These alternatives include utilizing additional training opportunities during an amphibious ship\u2019s basic phase of training; using alternative platforms for training, such as Marine Prepositioning Force ships, or the amphibious ships of allies; utilizing smaller Navy craft or pier-side ships to meet training requirements; and leveraging developmental and operational test events.", "However, the Navy and Marine Corps have not developed a systematic approach to explore and incorporate selected training resource alternatives into home-station training plans. Specifically, officials told us that the combined Navy and Marine Corps directive that is expected to be completed later this year will better define a naval objective for amphibious readiness and the required training resources to achieve it, and will provide guidance to the two services to better identify training resource alternatives for home-station training. Based on our review of briefing materials on the Amphibious Operations Training Requirements review, however, we found that the services have discussed using some training resource alternatives to mitigate amphibious operations training shortfalls, such as pier-side ships to minimize the required number of ship steaming days, but the services have not systematically evaluated potential alternatives. Marine Corps officials told us that fully evaluating resource alternatives, particularly the use of simulated training and pier-side ships, could allow for more amphibious training without the need for additional steaming days. Fully exploring alternatives, such as utilizing alterative platforms and pier-side ships, and incorporating a broader range of training resource alternatives into training will be important as the Navy and Marine Corps try to achieve their training priorities and could help bridge the time gap until more amphibious ships are introduced into the fleet.", "The Navy and Marine Corps have not developed a process or set of metrics to monitor progress toward achieving its amphibious operations training priorities and mitigating existing shortfalls: Our prior work on risk management has found that monitoring the progress made and results achieved are other critical steps for addressing operational capability gaps. Marine Corps officials told us that the service uses the readiness reporting system (Defense Readiness Reporting System\u2014Marine Corps) to measure the capabilities and capacity of its units to perform amphibious operations. While this reporting system allows the Marine Corps to assess the current readiness of units to perform the amphibious operations mission-essential task\u2014an important measure\u2014the system does not provide other information. For example, it does not allow officials to assess the status of service-wide progress in achieving its amphibious operations priorities or monitor efforts by the Marine Expeditionary Forces in establishing comprehensive amphibious operations training programs.", "Marine Corps officials told us that they may need to capture and track additional information, such as the number of amphibious training events scheduled and completed. However, as noted above, we found that the Marine Corps does not capture complete data that could be used for these assessments, such as demand for training time with amphibious ships. For example, officials from I MEF told us they do not capture the full demand for training time with Navy ships because unit commanders will not always submit a request that they believe is unlikely to be filled. In addition, these officials stated that their requests are prescreened before being submitted to the Navy to ensure that the requests align with known periods of available ship time. As a result, requests for amphibious ships and crafts are supply- driven, instead of demand-driven, which could affect the services\u2019 ability to monitor progress in accomplishing unit training because an underlying metric is incomplete. Establishing a process to monitor progress in achieving amphibious operations training priorities will better enable the Navy and Marine Corps to ensure that their efforts are accomplishing the intended results and help assess the extent to which the services have mitigated any amphibious operations training shortfalls."], "subsections": []}]}, {"section_title": "More Comprehensively Incorporating Collaboration Practices Would Further Naval Integration Efforts for Amphibious Operations", "paragraphs": ["The Navy and Marine Corps have taken some steps to improve coordination between the two services, but the services have not fully incorporated leading collaboration practices that would help drive efforts to improve naval integration for amphibious operations. Our prior work on interagency collaboration has found that certain practices can help enhance and sustain collaboration among federal agencies. These key practices include (1) defining and articulating a common outcome; (2) establishing mutually reinforcing or joint strategies; (3) identifying and addressing needs by leveraging resources; (4) agreeing on roles and responsibilities; (5) establishing compatible policies, procedures, systems, and other means to operate across agency boundaries; (6) developing mechanisms to monitor, evaluate, and report on results; and (7) reinforcing agency accountability for collaborative efforts through plans and reports, among others.", "Common outcomes and joint strategy: The Navy and Marine Corps have issued strategic documents that discuss the importance of improving naval integration, but the services have not developed a joint strategy that defines and articulates common outcomes to achieve naval integration. We have found that collaborative efforts require agency staff working across agency lines to define and articulate the common outcome or purpose they are seeking to achieve that is consistent with their respective agency goals and mission. In addition, collaborating agencies need to develop strategies that work in concert with those of their partners. These strategies can help in aligning the partner agencies\u2019 activities, processes, and resources to accomplish common outcomes. Further, joint strategies can benefit from establishing specific objectives, related actions, and subtasks with measurable outcomes, target audiences, and agency leads.", "Based on our review of Navy and Marine Corps strategic-level documents, both services identify the importance of improving naval integration, but these documents do not define and articulate outcomes that are common among the services or identify actions and time frames to achieve common outcomes that would be included a joint strategy. Instead, the documents describe naval integration in varying ways, including as a means to improve the capabilities of naval forces to perform essential functions, such as sea control and maritime security; exercise command and control for large-scale operations, including amphibious operations; and establish concepts to conduct naval operations in contested environments, among other areas. For example, strategic documents developed by the Navy only broadly discuss naval integration. In March 2015, the Department of the Navy issued an updated version of A Cooperative Strategy for 21st Century Seapower. This document discusses building the future naval force, including the need to organize and equip the Marine Expeditionary Brigade to exercise command and control of joint and multinational task forces for larger operations and enable the MEF for larger operations. In January 2016, the Department of the Navy published A Design for Maintaining Maritime Superiority, stating the need to deepen operational relationships with other services to include current and future planning, concept and capability development, and assessment.", "Marine Corps strategic documents provide a more-detailed and expansive list of areas for improved integration with the Navy, but do not provide guidance on how to achieve those areas. For example, in March 2014, the Marine Corps issued Expeditionary Force 21, which describes the need to increase naval integration, including operational integration between the Marine Expeditionary Brigade and the Navy\u2019s Expeditionary Strike Group. Further, in September 2016 the Marine Corps issued a Marine Corps Operating Concept that establishes five tasks needed for the Marine Corps to build its future force, including integrating the naval force to fight at and from the sea.", "According to Navy and Marine Corps officials, naval integration is a broad term, has different meanings across various service organizations, and is not commonly understood. For example, officials told us that the services have identified the need to develop more-precise language around the term naval integration and articulate common outcomes to create a more- integrated approach to develop naval capabilities. Another senior Marine Corps training official told us that clear guidance is needed on how to define outcomes for naval integration for Navy and Marine Corps command-level staff. In particular, the official stated that without guidance it is unclear how an integrated staff should be composed\u2014whether as two separate Navy and Marine Corps command staffs that should work together, or as one staff composed of both Navy and Marine Corps personnel. The continuing lack of common outcomes and a joint strategy could limit the Navy and Marine Corps ability to achieve their goals for naval integration. Further, joint strategies for improving naval integration could help ensure that services efforts are aligned to maximize available training opportunities and resources.", "Compatible policies, procedures, and systems: The Navy and Marine Corps have established several mechanisms to better coordinate their respective capabilities for amphibious operations training, but have not fully established compatible policies, procedures, and systems to foster and build naval integration. We have found that agencies need to address the compatibility of standards, policies, procedures, and data systems that will be used in the collaborative effort. These policies can be used to provide clarity about roles and responsibilities, including how the collaborative effort will be led.", "The Marine Corps has established a working group that provides a forum for collaboration for amphibious operations. Specifically, Marine Corps Forces Command established a Maritime Working Group to develop and manage a continuing Navy\u2013Marine Corps quarterly collaborative process that is comprised of officials from the services\u2019 headquarters, components, and operating forces. According to its mission statement, the Maritime Working Group is intended to align naval amphibious exercise planning to inform force development, war games, experimentation, and coalition participation in order to advance concepts; influence doctrine; inform naval exercise design and sourcing; inform capabilities development; and increase naval warfighting readiness. Based on our observation of the Maritime Working Group in September 2016, we found that the forum covered a broad range of topics including exercise prioritization, experimentation, and planning for future Navy exercises. Following the meeting, a summary of the topics discussed was provided to all participants as well as follow-on actions to be completed.", "However, we found that the Navy and Marine Corps have not fully established compatible policies and procedures, such as common training tasks and standards and agreed-upon roles and responsibilities, to ensure their efforts to achieve improved naval integration are consistent and sustained. For example, on the West Coast, the Navy and Marine Corps organizations 3rd Fleet and I MEF have issued guidance that formalizes policies that assign 1st Marine Expeditionary Brigade and Expeditionary Strike Group 3 with the responsibilities to conduct joint training. This guidance addresses the importance of Navy and Marine Corps interoperability by formalizing procedures, assigning responsibility, and providing general policy regarding training certification standards for these units. Officials from Fleet Forces Command noted that there is not similar guidance for East Coast\u2013based units for the 2nd Marine Expeditionary Brigade and Expeditionary Strike Group 2. According to a Navy inspection report, Fleet Forces Command officials stated that they did not institute a deployment certification program for Expeditionary Strike Group 2 because of changing priorities at the command. As a result, the services lack clarity on the roles and responsibilities for these organizations\u2014another key collaboration practice\u2014that is needed to ensure these improvements are prioritized to further and sustain the collaborative effort.", "Both the Navy and Marine Corps have also identified areas where more- compatible training is needed to improve the skills and abilities of naval forces to perform certain missions. For example, Marine Corps training guidance from III MEF identifies a number of areas where Marine Corps units could improve collective naval capabilities by expanding training with the Navy, including areas such as joint maneuver, seizure and defense of forward naval bases, and facilitating maritime maneuver, among others. The Marine Corps Operating Concept also identifies other areas where integration with the Navy should be enhanced, including for intelligence, surveillance, and reconnaissance; operating in a distributed or disaggregated environment; and employment of fifth-generation aviation, such as the F-35. However, the services have been limited in their efforts to improve naval integration in these areas because they have not established compatible training tasks and standards that would institutionalize Navy and Marine Corps unit-level training requirements. Marine Corps officials told us that without compatible training tasks and standards, there is not a mechanism to force continued integration between the services outside of forces deploying as part of an ARG-MEU to help develop integrated naval capabilities.", "We also found that some of the Navy and Marine Corps\u2019 systems for managing and conducting integrated training are incompatible, leading to inefficiencies in the process to manage training events involving Navy and Marine Corps units. For example, the Marine Corps has developed a system called Playbook to help align Navy and Marine Corps resources for training exercises that have been scheduled through the Force Synchronization process. At the time of our review, the Marine Corps was in the process of inputting data for all of its scheduled training exercises, including experiments and war games, into the system in order to align training resources and capabilities to its highest priority exercises and help build a training and exercise plan through 2020. However, the Navy uses several other data systems to track and capture its training resource requirements, and these systems are incompatible with Playbook. The lack of interface requires the Marine Corps to manually input and reconcile Navy information into its system. This can cause certain inefficiencies in arranging training. For example, officials from III MEF told us that adjustments to the Navy\u2019s maintenance schedule for amphibious ships are not always communicated in advance, which can create a misalignment in the availability of amphibious ships and Marine Corps units to conduct training exercises. The Marine Corps has identified the need to define the Navy\u2019s use of Playbook and explore a potential interface with Navy systems, but, as of May 2017, officials said that any evaluation, including potential cost-benefit analyses for addressing the interoperability issues, had not yet taken place. By having incompatible systems to schedule training, the services remain at risk of missing opportunities to maximize training opportunities for amphibious operations.", "Leverage resources to maximize training opportunities: The Navy and Marine Corps have identified certain opportunities where the two services can better leverage resources to conduct additional amphibious operations training together, but these opportunities have not been fully maximized. We have found that collaborating agencies should look for opportunities to address needs by leveraging each other\u2019s resources, thus obtaining additional benefits that would not be available if they were working separately. Marine Corps Forces Command and Fleet Forces Command, as well as Marine Corps Forces Pacific and Pacific Fleet, have each established a Campaign Plan for Amphibious Operations Training. The purpose of these plans is to align resources for larger, service-level exercises for amphibious operations over a 5-year period. The goal of these exercises is to develop operational proficiency for a Marine Expeditionary Brigade\u2013level contingency or crisis, but the specific focus of the exercise can change from year to year. For example, in 2017 the Bold Alligator exercise will focus on joint forcible entry operations and anti-access / area denial, whereas in prior years the focus has been on other operational areas, such as crisis response. We found that the Navy and Marine Corps also use mechanisms, such as scheduling conferences, to coordinate and prioritize requests for ship services for these exercises, as well as for other training events.", "The services are looking to better leverage available training resources for amphibious operations, but enhancing their collaborative efforts could take greater advantage of potential training opportunities. For example, Navy officials have stated that the Surface Warfare Advanced Tactical Training initiative could provide an additional training opportunity for Marine Corps units to train with Navy ships. This initiative is intended to provide amphibious ships with a period of training focused on advanced tactical training, such as defense of the amphibious task force, and multiunit ship-to-shore movement, among other objectives. According to a Navy official responsible for the development of this initiative, its primary focus is on advanced tactical training for Navy personnel, but greater integration with the Marine Corps may be needed to accomplish certain training objectives, such as air defense. Further, it would provide an opportunity for the Marine Corps to achieve additional amphibious operations training. However, according to this official, the Marine Corps did not provide input into how its capabilities could be fully incorporated into the Navy\u2019s advanced tactics training or identify potential opportunities to maximize amphibious operations training for both services.", "Further, the Marine Corps officials told us that there are opportunities to use transit time during Navy community-relations events, such as port visits, to conduct amphibious training for home-station units, but these events are not always identified with enough lead time to take full advantage of the training opportunity. According to officials at II MEF, Marine Corps units typically need at least 6 months of advance notice to align their forces and equipment for the potential training opportunity. Further, Marine Corps officials told us that the Navy does not always have a fully trained staff with the amphibious ship during these events, which can limit the comprehensiveness of the training that Marine Corps units are able to accomplish. These officials also stated that the flight deck or well deck may not be certified for use at the time of these community- relations events, further limiting their utility for Marine Corps training. Despite these limitations, Marine Corps officials have told us that these events can still provide training benefits, such as ship familiarization for Marines, but that these opportunities still require advanced notice. By improving coordination over its training resources, the services will be better positioned to take full advantage of these scarce training opportunities.", "Mechanisms to monitor results and reinforce accountability: The Navy and Marine Corps have processes to evaluate and report on the results of specific training exercises, but have not developed mechanisms to monitor, evaluate, and report on results nor jointly reinforced accountability for their naval integration efforts through agency plans and reports. We have found that agencies need to monitor and evaluate their efforts to enable them to identify areas for improvement and help decision makers obtain feedback for improving operational effectiveness. Further, agency plans and reports can reinforce accountability by aligning goals and strategies with the collaborative effort.", "For large-scale exercises, such as Bold Alligator, the Marine Corps conducts reviews that identify actions that should be sustained moving forward, as well as areas that should be improved in future exercises, including issues related to naval integration. However, the services have not established other processes or mechanisms to monitor, evaluate, and report on results that are needed to measure progress in achieving service-level goals for naval integration and to align efforts to maximize training opportunities for amphibious operations. For example, the Marine Corps does not have a process to monitor and report on results for the critical tasks identified in its Marine Corps Operating Concept, including those tasks related to naval integration, such as integrating command structures, developing concepts for littoral operations in a contested environment, and conducting expeditionary advanced base operations. Monitoring progress against these tasks, as well as common outcomes, once defined, should help the Navy and Marine Corps track progress toward achieving improved naval integration.", "While the Navy and Marine Corps have taken some steps to improve naval integration in recent years, these efforts are still in the early stages. In particular, Navy and Marine Corps officials stated that the services have not yet defined or articulated common outcomes needed to achieve naval integration because they have not determined who would be responsible for this effort or when to begin its development. Defining and articulating common outcomes for naval integration would allow the services to more effectively incorporate other leading collaboration practices aimed at those common outcomes, to the extent deemed appropriate, such as developing a joint strategy, establishing compatible policies, leveraging resources, and monitoring results."], "subsections": []}, {"section_title": "The Marine Corps Has Not Fully Integrated Its Virtual Training Devices into Operational Training", "paragraphs": ["The Marine Corps has taken some steps to better integrate virtual training devices into its operational training. However, the Marine Corps\u2019 process to manage the development and use of its virtual training devices in operational training plans has gaps."], "subsections": [{"section_title": "The Marine Corps Has Taken Some Steps to Integrate Virtual Training Devices into Operational Training", "paragraphs": ["The Marine Corps has taken some steps to integrate virtual training devices into operational training and has other efforts under way. In 2013, we reported that the Marine Corps did not have information on the performance and cost of virtual training that would assist the service in assessing and comparing the benefits of virtual training as it sought to optimize the mix of live and virtual training to meet requirements and prioritize training investments. We also found that the Marine Corps had not developed overall metrics or indicators to measure how the use of virtual training devices had contributed to improving the effectiveness of training, or identified a methodology to identify the costs associated with using virtual training. We recommended that the Marine Corps develop outcome-oriented performance metrics for assessing the effect of virtual training on improving performance or proficiency and develop a methodology to identify the costs of virtual training in order to compare the costs of using live and virtual training. Further, in 2015 the Commandant of the Marine Corps issued guidance that stated the service will focus on better leveraging virtual training technology and that all types of Marine Corps forces should make extensive use of virtual training where appropriate.", "In response to our recommendations and the Commandant\u2019s guidance, in 2015 the Marine Corps Training and Education Command created a Simulation Assessment Working Group with stakeholders from across the Marine Corps to identify training events that could be supported by virtual training devices and incorporate those devices into Training and Readiness manuals. The working group found that over 7,000 of the 12,000 training events reviewed could use a virtual training device to either fully or partially meet the training standard of that event. The group also identified 135 events that may only be performed using the virtual training device or must be performed with the device as a prerequisite to live training. Based on the results of the working group, Training and Education Command updated the corresponding unit-specific Training and Readiness manuals to identify where a training event could be completed using a virtual training device. While this action represents some progress toward better incorporating virtual training devices into operational training, our recommendations remain open because the Marine Corps\u2019 efforts to develop specific outcome-oriented performance metrics to assess virtual training or a methodology to make more- informed comparisons between the costs of live and virtual training are not yet complete. According to a senior Training and Education Command official, the Marine Corps is working to update its training information management system to better capture this information.", "In 2015, the Marine Corps also issued a Concept of Operations (CONOPS) for the United States Marine Corps Live, Virtual, and Constructive \u2013 Training Environment (LVC-TE) (hereafter referred to as Concept of Operations) that is intended to describe the live, virtual, and constructive training environment based on operational requirements in sufficient detail to continue the development of this training capability. According to the Concept of Operations, the goal in implementing the live, virtual, and constructive training environment is to expand training opportunities, reduce training costs, improve safety, and maintain high levels of proficiency and readiness. The Concept of Operations estimates that the live, virtual, and constructive training environment will be implemented in 2022.", "Lastly, the Marine Corps has an ongoing effort to better inform users of the availability of virtual training devices that support ground-based units. Specifically, the Marine Corps Training and Education Command is developing a Ground Training Simulations Implementation Plan that is intended to provide a framework for the use of current and future virtual training devices for ground units. The Ground Training Simulations Implementation Plan is modeled after the processes used by the Marine Corps\u2019 aviation community to integrate simulators into aviation training. The Marine Corps estimates that the plan will be finalized in the summer of 2017. According to a Training and Education Command official involved in the plan\u2019s development, the plan will help address a challenge the Marine Corps has faced in educating commanders on the availability and capabilities of available virtual training devices. This challenge is consistent with information we gathered during our visit to selected Marine Corps installations. Officials at the two Battle Simulation Centers we visited, for example, told us that unit commanders do not always know what virtual training devices are available and how they can be used to meet training requirements."], "subsections": []}, {"section_title": "Marine Corps Process to Manage the Development and Use of Virtual Training Devices in Operational Training Plans Has Gaps", "paragraphs": ["The Marine Corps process to manage the development and use of virtual training devices in operational training plans has gaps due to a lack of guidance. Specifically, the Marine Corps does not (1) include consideration of critical factors for integrating virtual training devices into operational training in its front-end planning to support the acquisition of its virtual training devices, (2) consistently consider expected and actual usage data for virtual training devices to support its investment decisions, or (3) consistently evaluate the effectiveness of its virtual training devices for operational training."], "subsections": [{"section_title": "Front-End Planning", "paragraphs": ["The Marine Corps\u2019 process for conducting front-end planning and analysis to support the acquisition of its virtual training devices does not include consideration of critical factors for integrating virtual training devices into operational training, such as the specific training tasks the device is intended to address, how the device would be used to meet proficiency goals, or available time for units to train with the device. DOD\u2019s Strategic Plan for the Next Generation of Training for the Department of Defense states that the right mix of live, virtual, and constructive training capabilities will depend on training tasks and objectives, required proficiency, and available training time, among other factors. In addition, we have previously found that part of the front-end analysis process for training and development programs should include a determination of the skills and competencies in need of training and how training will build proficiency for those skills and competencies.", "Based on our analysis of the Marine Corps\u2019 front-end planning documents (called system development documents) for the six virtual training devices included in our review, we found that documentation for five of the six devices did not include specific training tasks. In addition, the documentation for two devices specified that specific training tasks would be identified during the verification and validation phase, which is a type of analysis that typically takes place after the device has already been acquired, according to a senior Training and Education Command official. While the documentation for all of the devices included a high- level discussion of relevant mission areas, documentation for five out of six devices did not identify specific training tasks, such as specific training events in a unit\u2019s Training and Readiness manual, that the device was intended to address. For example, documentation for the Combined Arms Command and Control Training Upgrade System includes a high-level discussion of mission areas that the device supports, such as force application, command and control, and battlespace awareness. It also states that the device is to support training events, but it does not specify what those events are. In addition, none of the system development documents we reviewed identified proficiency goals or considered available training time for the units to use the device.", "According to officials at Training and Education Command, many virtual training devices in the Marine Corps\u2019 inventory were developed based on urgent needs to meet capability gaps identified by warfighters and were not based on training requirements. Of the six devices included in our review, three of the devices were acquired to meet urgent warfighter needs\u2014the Family of Egress Trainers\u2014Modular Amphibious Egress Trainer, the Operator Driver Simulator, and the Supporting Arms Virtual Trainer. However, the system development documents we reviewed for those three devices were completed after the devices had been fielded to meet the urgent needs, but still did not identify specific training tasks or proficiency goals, or consider available training time for the units to use the device. Moreover, the system development documents for two of the remaining three devices we reviewed did not contain this information.", "While the Marine Corps did not identify and assess these factors in the front-end planning process, the Marine Corps has begun taking steps to identify these factors through efforts such as the Simulation Assessment Working Group. However, these efforts are occurring after the devices have already been acquired and fielded, leading to decisions that have potential cost implications. For example, in its analysis, the Simulation Assessment Working Group did not fully consider alternative devices that could be used to achieve specific training tasks because its methodology was to identify the one virtual training device that was considered the \u201cbest in breed\u201d simulator for conducting each training event rather than considering all devices that could be used for the event, including those that might be more cost-effective. Officials at II MEF told us that this methodology did not include an evaluation of the device\u2019s cost compared to other devices that could achieve similar training outcomes. For example, these officials told us that the Supporting Arms Virtual Trainer was identified as a \u201cbest in breed\u201d device for a number of training events, including calls for fire and close air support. However, these officials stated that the Deployable Virtual Training Environment device is a lower- cost alternative that could achieve similar outcomes for many of the training events that do not require the level of realism provided by the Supporting Arms Virtual Trainer. Based on information provided by Training and Education Command, the acquisition cost for the Supporting Arms Virtual Trainer is about $4.5 million per system while the acquisition cost for the Deployable Virtual Training Environment laptop is around $3,700 (see fig. 6).", "The Marine Corps\u2019 front-end planning process to support the acquisition of virtual training devices has gaps because the service does not have specific policies to ensure the process considers key factors. Specifically, Navy and Marine Corps acquisition policies we reviewed do not require that front-end planning consider specific training tasks the device is intended to address, how the device would be used to meet proficiency goals, or available time for units to train with the device. Training and Education Command officials acknowledged the gaps in the Marine Corps\u2019 process and stated that the front-end process for future device acquisitions would identify specific training tasks that a device will address. However, without guidance that specifically addresses these factors, the Marine Corps does not have a reasonable basis to ensure that it is acquiring the right number and type of virtual training devices to meet its operational training needs."], "subsections": []}, {"section_title": "Expected and Actual Usage Data", "paragraphs": ["The Marine Corps does not consistently consider expected and actual usage data for virtual training devices to support its investment decisions. Our prior work has found that agencies should establish measures that they can use in assessing training programs, such as expected training hours, which reflect the usage rates of the training program. However, the Marine Corps did not establish expected usage rates in its system development documents for five of the six virtual training devices included in our review, and a senior Training and Education Command official said it also has not established expected usage rates since acquiring the devices. For example, the system development document for the Supporting Arms Virtual Trainer stated that the usage of the device could replace up to 33 percent of the live-fire missions required to retain annual currency, but the document does not specify that units are expected to use the device to replace that high of a percentage of the live-fire missions. As a result, the Marine Corps does not have a baseline against which to assess actual usage of the device. Only the system development document for the Marine Air-Ground Task Force Tactical Warfare Simulation included usage targets, stating that usage is expected to be extensive and estimates that the device will be used for 700 hours per system per year. However, the system development documents for the other four devices we reviewed did not include any information on expected usage rates.", "Additionally, the Marine Corps has not consistently collected actual usage data for its virtual training devices, which could be used to inform continued investments in existing virtual training devices. During our review, a senior Marine Corps Training and Education Command official told us that Training and Education Command collects data for about two- thirds of the Marine Corps\u2019 total inventory of virtual training devices, but usage data are not available for certain devices. More specifically, the Marine Corps provided usage data for three of the six devices that were included in our review, but it was unable to provide usage data for certain systems, such as the Marine Air-Ground Task Force Tactical Warfare Simulation and the Combined Arms Command and Control Training Upgrade System. This official stated that contractors collect data on these devices, but there is no Marine Corps\u2019 system to collect data on the number of Marines or hours trained. Specifically, contractors submit spreadsheets on a monthly basis showing the number of Marines who have used the device, but these data are not included in any formal reports and there is no standard database for collecting or evaluating them.", "The Marine Corps has not considered actual usage data in its decision making for additional investments in certain virtual training devices, despite low usage rates for a number of those devices. For example, according to available contractor data, actual usage for the Operator Driver Simulator was significantly lower than the current available hours. Based on data provided by Training and Education Command, the Operator Driver Simulator was used for approximately 7,600 hours in fiscal year 2015 and 5,600 hours in fiscal year 2016, but was available for use for approximately 192,000 hours. However, based on the results of the Simulation Assessment Working Group, Training and Education Command estimated that to accomplish all training events linked to the Operator Driver Simulator would require about 570,000 available training hours. As a result, the Simulator Assessment Working Group recommended various investment options for the Operator Driver Simulator that ranged from $56 million to $121 million, despite the current low utilization and excess capacity. Officials from Training and Education Command told us that they anticipate an increase in user demand for the Operator Driver Simulator based on guidance from the Commandant of the Marine Corps to make driver certification more rigorous. However, officials from Marine Corps Systems Command stated that current Operator Driver Simulators have deficiencies in supporting driver training and, therefore, Marines choose to drive live vehicles instead.", "The Marine Corps has not considered expected and actual usage of its virtual training devices to support investment decisions due to a lack of guidance on establishing and collecting usage data. Marine Corps training guidance for ground units states that virtual training devices shall be used, as applicable, when constraints limit the use of realistic training conditions, but it does not identify the extent to which virtual training devices are expected to be used. Without guidance on setting usage- rate expectations and assessing actual usage, the Marine Corps risks sustained investment in virtual training devices that do not meet operational training needs."], "subsections": []}, {"section_title": "Evaluate the Effectiveness of Devices", "paragraphs": ["We also found that the Marine Corps was not consistently evaluating the effectiveness of its virtual training devices to accomplish operational training. Our prior work has shown that agencies need to develop processes that systematically plan for and evaluate the effectiveness of their training and development efforts. These evaluations should include data measures, both quantitative and qualitative, to assess training results in areas such as increased user proficiency. Further, evaluations of training effectiveness should be used to make decisions on whether resources should be reallocated or redirected.", "The Marine Corps uses the verification and validation report process as its primary assessment of a virtual training device after it has been fielded, according to the senior Training and Education Command official with whom we spoke. However, based on our review of postfielding analyses for the virtual training devices included in our review, we found that the Marine Corps does not have a consistent process for selecting devices for which to complete these analyses or how the analysis should be conducted. More specifically, we were provided with verification and validation reports for only three of the six devices in our review\u2014the Supporting Arms Virtual Trainer, the Family of Egress Trainers\u2014Modular Amphibious Egress Trainer, and the Operator Driver Simulator\u2014as well as plans to complete these reports for two other devices. According to a senior Training and Education Command official, Training and Education Command considers certain factors to prioritize the completion of verification and validation reports, such as planned investments for major upgrades on a device. The official also stated that Training and Education Command prioritized completing reports for these virtual training devices to specifically align with recommendations made by the Simulation Assessment Working Group. However, the Simulation Assessment Working Group does not take place on a recurrent basis, and therefore the recommendations from the group do not establish a process for prioritizing future verification and validation reports. Officials from Marine Corps Systems Command told us that program managers are now trying to perform verification and validation reports for future acquisitions prior to full acceptance of the training systems, but that this step is not mandatory.", "Additionally, there is not a consistent process to include training effectiveness evaluations within the verification and validation report itself. The verification and validation process is not required to include an evaluation of effectiveness based on current guidance, but as noted in the verification and validation report for the Family of Egress Trainers\u2014 Modular Amphibious Egress Trainer, such an evaluation is essential to determine whether the capabilities of a virtual training device satisfy requirements to improve training performance and combat readiness. In two instances, the verification and validation reports for the Operator Driver Simulator and Family of Egress Trainers\u2014Modular Amphibious Egress Trainer both included evaluations of the effectiveness of the devices in improving user proficiency, which concluded that the devices enabled Marines to successfully pass related training courses. In another instance, the Marine Corps did not conduct a training effectiveness analysis as part of the verification and validation process. Specifically, for the Supporting Arms Virtual Trainer, Marine Corps Systems Command attempted to conduct a training effectiveness evaluation, but training activity data for a statistically significant sampling of the target training audience were unavailable, which suggests the need for improved data on device usage.", "We further found that the training effectiveness evaluations that the Marine Corps did complete differed in how they were conducted, which can affect the quality of the information the evaluations provide. For example, the training effectiveness evaluation for the Operator Driver Simulator was conducted to determine whether the device effectively trained Marines to perform tasks required for one specific training and readiness event. The methodology included collecting training activity data from 1 fiscal year in one location and for one of the Operator Driver Simulator vehicle variants. The report noted that conducting a more- complete evaluation, along with additional data collection, would better identify opportunities to improve and enhance training. In contrast, the training effectiveness evaluation for the Family of Egress Trainers\u2014 Modular Amphibious Egress Trainer also collected training activity data, but collected data from multiple training sites and for all training courses conducted during the 1-year period used for the evaluation. According to officials from Marine Corps Systems Command, the effectiveness evaluation methods may vary based on the type of training being executed and how well the training requirements are defined. These officials stated that when the device\u2019s training requirements have been more thoroughly defined, the effectiveness evaluation can be more targeted.", "The Navy and Marine Corps acquisition policy and guidance documents we reviewed do not establish a process to consistently evaluate the training effectiveness of virtual training devices, including identifying the devices to be evaluated and determining what data should be collected and assessed. According to a senior Training and Education Command official, evaluating effectiveness is not a required part of the verification and validation process and is an area that needs to be addressed. The Marine Corps\u2019 Concept of Operations also identified a lack of guidance for conducting effectiveness analyses. Specifically, the Concept of Operations identifies a lack of policy guiding live, virtual, and constructive training capabilities and benefits. It also identifies a training gap on the linkages between live, virtual, and constructive training, as well as a policy gap around the lack of guidance on analysis of virtual training devices after they have been fielded. Without guidance establishing a well-defined process to consistently evaluate the effectiveness of virtual training devices for training\u2014including the selection of devices, guidelines on conducting the analysis, and the data that should be collected and assessed\u2014the Marine Corps risks investing in devices whose value to operational training is undetermined."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The Navy and Marine Corps have identified the need to rebuild the capability to conduct amphibious operations and to reinvigorate naval integration between the services toward that end. However, the Navy and Marine Corps have not completed efforts needed to mitigate their training shortfalls for amphibious operations. Specifically, the services have not developed an approach to prioritize available training resources, systematically evaluate among training resource alternatives to achieve amphibious operations priorities, and monitor progress toward achieving them. Without such an approach, the services are not well positioned to mitigate existing amphibious operations training shortfalls and begin to rebuild their amphibious capability as the services await the arrival of additional amphibious ships into the fleet. In addition, while the Navy and Marine Corps have taken a number of positive steps to improve coordination between the two services, they need to define and articulate common outcomes for naval integration. This first critical step will enable them to fully incorporate other leading collaboration practices aimed at a common purpose, such as developing a joint strategy; more fully establishing compatible policies, procedures, and systems; better leveraging resources; and establishing mechanisms to monitor results that are needed to achieve service-level goals for naval integration and to align efforts to maximize training opportunities for amphibious operations. Further, the Marine Corps\u2019 process to integrate virtual training devices into operational training has gaps. Developing guidance for the development and use of virtual training devices would help close these gaps, which is critical as virtual training will become increasingly important to the development of the capability of Marines, including the capability for conducting amphibious operations, among other mission areas."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To better mitigate amphibious operations training shortfalls, we recommend the Secretary of Defense direct the Secretary of the Navy, in coordination with the Chief of Naval Operations and Commandant of the Marine Corps, to develop an approach, such as building upon the Amphibious Operations Training Requirements review, to prioritize available training resources, systematically evaluate among training resource alternatives to achieve amphibious operations priorities, and monitor progress toward achieving them.", "To achieve desired goals and align efforts to maximize training opportunities for amphibious operations, we recommend the Secretary of Defense direct the Secretary of the Navy, in coordination with the Chief of Naval Operations and Commandant of the Marine Corps, to clarify the organizations responsible and time frames to define and articulate common outcomes for naval integration, and use those outcomes to develop a joint strategy; more fully establish compatible policies, procedures, and systems; better leverage training resources; and establish mechanisms to monitor results.", "To more effectively and efficiently integrate virtual training devices into operational training, we recommend that the Secretary of Defense direct the Commandant of the Marine Corps to develop guidance for the development and use of virtual training devices that includes developing requirements for virtual training devices that consider and document training tasks and objectives, required proficiency, and available training time; setting target usage rates and collecting usage data; and conducting effectiveness analysis of virtual training devices that defines a consistent process for performing the analysis, including the selection of the devices to be evaluated, guidelines on conducting the analysis, and the data that should be collected and assessed."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of the classified report to DOD for review and comment. The department\u2019s comments on the classified report are reprinted in Appendix II. In its comments, DOD concurred with all three recommendations. DOD stated that it will review the status of actions the Navy and Marine Corps plan to take in response to all three recommendations within the next twelve months.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Office of the Under Secretary of Defense for Personnel and Readiness, the Secretary of the Navy, and the Commandant of the Marine Corps. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you have any questions about this report or need additional information, please contact me at (202) 512-5431 or russellc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report are to determine the extent to which (1) the Navy and Marine Corps have completed training for amphibious operations priorities and taken steps to mitigate any training shortfalls, (2) the Navy\u2019s and Marine Corps\u2019 efforts to improve naval integration for amphibious operations incorporate leading collaborative practices, and (3) the Marine Corps has integrated selected virtual training devices into its operational training.", "This report is a public version of a classified report that we issued in August 2017. DOD deemed some of the information in our August report to be classified, which must be protected from loss, compromise, or inadvertent disclosure. Therefore, this report omits classified information on select Marine Corps units\u2019 ability to complete training for amphibious operations. Although the information provided in this report is more limited, the report addresses the same objectives as the classified report and uses the same methodology.", "We focused our review on Navy and Marine Corps organizations and units that have a role in the development and execution of training requirements for amphibious operations. For the Navy, we focused on the training requirements and accomplished training for amphibious ships. For the Marine Corps, we focused on selected active-component units that have identified training requirement for amphibious operations, including Marine Expeditionary Units (MEU) and other units with a mission-essential task for amphibious operations. We selected a nongeneralizable sample of 23 Marine Corps units to speak with in order to interview geographically dispersed units under each Marine Expeditionary Force, as well as units across all elements of the Marine Air-Ground Task Force (i.e., command, ground combat, aviation combat, and logistics combat forces). See below for the list of 23 Marine Corps units. We focused on the Marine Corps\u2019 integration of virtual training devices into operational training because the Navy does not have virtual training devices that simulate amphibious operations, including ship-to- shore movement, according to Navy officials. In addition, we focused on Marine Corps virtual training devices that are used to support the command and ground elements of the Marine Air-Ground Task Force. We selected a nongeneralizable sample of six virtual training devices based on the target training audience, applicability to amphibious operations training, location, and type of training events (individual or collective training) for which the devices are used. The devices included in our review are the Combined Arms Command and Control Training Upgrade System, Marine Air-Ground Task Force Tactical Warfare Simulation, Supporting Arms Virtual Trainer, Amphibious Assault Vehicle Turret Trainer, Family of Egress Trainers\u2014Modular Amphibious Egress Trainer, and Operator Driver Simulator.", "To determine the extent to which the Navy and Marine Corps have completed training for amphibious operations priorities and taken steps to mitigate any training shortfalls, we analyzed deployment certification reports for all Amphibious Ready Group (ARG)\u2014Marine Expeditionary Unit (MEU) deployments over the most-recent 3-year period. We also analyzed unit-level readiness data for all Marine Corps\u2019 infantry battalions, assault amphibian vehicle battalions, Osprey tilt-rotor aircraft squadrons, and Marine Expeditionary Brigades over the most-recent 3- year period\u2014from fiscal years 2014 through 2016\u2014and compared those data against unit-level training requirements for amphibious operations. We analyzed 3 years of training data because training requirements for Marine Corps units are reviewed and updated on a 3-year cycle. We performed data-reliability procedures on the unit-level readiness data by comparing the data against related documentation and surveying knowledgeable officials on controls over reporting systems and determined that the data presented in our findings were sufficiently reliable for the purposes of this report. We interviewed Navy and Marine Corps officials to discuss any factors that limited their ability to conduct training for amphibious operations. We assessed the reliability of data on amphibious ship requests by speaking with knowledgeable officials and determined the data were sufficiently reliable for the purposes of presenting the number of actual requests submitted and fulfilled. In addition, we reviewed processes and initiatives established by the Navy and Marine Corps to identify and assess training shortfalls for amphibious operations, including the Marine Corps\u2019 Amphibious Operations Training Requirements review, and evaluated these processes and initiatives against our prior work on strategic training and risk management.", "To determine the extent to which the Navy\u2019s and Marine Corps\u2019 efforts to improve naval integration for amphibious operations incorporate leading collaboration practices, we reviewed the Navy and Marine Corps documents, including A Cooperative Strategy for 21st Century Seapower and the Marine Corps Operating Concept, that discuss the goal of improving naval integration. We also reviewed mechanisms that have been established to coordinate training, including campaign plans for amphibious operations; observed a working group focused on amphibious operations; and interviewed officials with both services to discuss efforts to improve naval integration. We assessed the extent to which the Navy\u2019s and Marine Corps\u2019 efforts toward improving naval integration have followed leading practices for collaboration that we have identified in our prior work. Specifically, we have identified eight practices described in our prior work that can help enhance and sustain collaboration. We selected seven of the eight practices most relevant to issues we identified in our prior work on collaboration to assess the status of Navy and Marine Corps collaborative efforts to improve naval integration. Based on our analysis, we selected the following seven practices: define and articulate a common outcome; establish mutually reinforcing or joint strategies; identify and address needs by leveraging resources; agree on roles and responsibilities; establish compatible policies, procedures, and other means to operate across agency boundaries; develop mechanisms to monitor, evaluate, and report on results; and reinforce agency accountability for collaborative efforts through agency plans and reports.", "To determine the extent to which the Marine Corps has integrated selected virtual training devices into its operational training, we collected information on the development, usage, and evaluation of virtual training devices, and their integration into operational training plans. We reviewed documentation on actions the Marine Corps has taken to integrate its virtual training devices into operational training, including documentation on the Simulation Assessment Working Groups and the Ground Training Systems Plan. We reviewed DOD and Marine Corps acquisition policies and interviewed Marine Corps officials responsible for the acquisition and oversight of virtual training devices at Training and Education Command and Marine Corps Systems Command and officials responsible for management of the virtual training devices at the Battle Simulation Centers at Camp Lejeune, North Carolina, and Camp Pendleton, California. We reviewed acquisition documents for each of the selected devices, including Capability Production Documents and Capability Development Documents, and assessed the extent to which these documents included key information as identified in leading practices for managing strategic training and DOD\u2019s Strategic Plan for the Next Generation of Training for the Department of Defense. We also reviewed documentation on the Marine Corps process to include expected and actual usage data for virtual training devices to support investment decisions. Further, we reviewed analyses conducted after the selected devices had been fielded through Verification and Validation Reports and evaluated the extent these documents assessed the effectiveness of the virtual training devices for improving user proficiency.", "The performance audit upon which this report is based was conducted from May 2016 to August 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate, evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with DOD from August 2017 to September 2017 to prepare this unclassified version of the original classified report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Navy", "paragraphs": [], "subsections": []}, {"section_title": "Marine Corps", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Matthew Ullengren, Assistant Director; Russell Bryan; William Carpluk; Ron La Due Lake; Joanne Landesman; Kelly Liptan; Shahrzad Nikoo; and Roxanna Sun made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-176", "url": "https://www.gao.gov/products/GAO-19-176", "title": "Internal Revenue Service: Strategic Human Capital Management is Needed to Address Serious Risks to IRS's Mission", "published_date": "2019-03-26T00:00:00", "released_date": "2019-03-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IRS faces a number of challenges that pose risks to meeting its mission if not managed effectively. Key to addressing IRS's challenges is its workforce. Cultivating a well-equipped, diverse, flexible, and engaged workforce requires strategic human capital management.", "GAO was asked to review IRS's enterprise-wide strategic workforce planning efforts. GAO assessed (1) how IRS defines its workforce needs and develops strategies for shaping its workforce; (2) the extent to which IRS identified the critical skills and competencies it will require to meet its goals, and its strategy to address skills gaps in its workforce; and (3) the extent to which IRS's Human Capital Office has the capacity to hire employees in hard to fill positions.", "GAO analyzed trends in staffing across IRS and in selected mission critical occupations; compared IRS strategic workforce management processes, practices, and activities with federal regulations and leading practices; analyzed IRS documents and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service (IRS) has scaled back strategic workforce planning activities in recent years. IRS officials told GAO that resource constraints and fewer staff with strategic workforce planning skills due to attrition required IRS to largely abandon strategic workforce planning activities.", "However, a number of indicators, such as increasing rates of retirement eligible employees and declining employee satisfaction, led IRS to determine that continuing to make short-term, largely nonstrategic human capital decisions was unsustainable. One way IRS sought to address these issues was to develop a strategic workforce plan and associated workforce planning initiative. Initiative implementation, however, is behind schedule and on hold. IRS attributed the delay to a combination of: 1) personnel resources redirected to implement Public Law 115-97\u2014commonly referred to as the Tax Cuts and Jobs Act, 2) lack of workforce planning skills within its Human Capital Office, and 3) delayed deployment at the Department of the Treasury (Treasury) related to a new workforce planning system. As a result, IRS lacks information about what mission critical skills it has on board, where skills gaps exist, and what skills will be needed in the future.", "IRS staffing has declined each year since 2011, and declines have been uneven across different mission areas. GAO found the reductions have been most significant among those who performed enforcement activities, where staffing declined by around 27 percent (fiscal years 2011 through 2017). IRS attributed staffing declines primarily to a policy decision to strictly limit hiring. Agency officials told GAO that declining staffing was a key contributor in decisions to scale back activities in a number of program and operational areas, particularly in enforcement, where the number of individual returns audited from fiscal years 2011 through 2017 declined by nearly 40 percent.", "IRS has skills gaps in mission critical occupations, and the agency's efforts to address these skills gaps do not target the occupations in greatest need, such as tax examiners and revenue officers. However, the results of an interagency working group effort that began in 2011, and was intended to address skill gaps among IRS revenue agents and other occupations with skills gaps across the government, may hold important lessons for addressing skills gaps in other mission critical occupations at IRS.", "IRS's Human Capital Office has limited staffing capacity to hire employees in hard to fill positions, which holds risks for the agency's ability to implement the Tax Cuts and Jobs Act. IRS is undertaking a variety of activities to improve its hiring capacity, but has not determined how each activity will be evaluated and will contribute to increased hiring capacity or associated outcomes. In addition, changes in the agency's hiring processes have been confusing to managers and contributed to hiring delays. Clear guidance on hiring request requirements would better position IRS to avoid the risk of hiring delays for mission critical occupations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations to IRS that include implementing its delayed workforce planning initiative, evaluate actions to improve the agency's hiring capacity, and address changes in its processes that have contributed to hiring delays. IRS agreed with GAO's recommendations. GAO also recommends Treasury clarify guidance to IRS on a forthcoming workforce planning system. Treasury agreed with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Internal Revenue Service\u2019s (IRS) mission is to \u201cprovide America\u2019s taxpayers with top-quality service by helping them understand and meet their tax responsibilities as well as enforce the law with integrity and fairness to all.\u201d For fiscal year 2017, IRS reported that it: collected more than $3.4 trillion in gross taxes; processed more than 245.4 million federal tax returns and supplemental documents and issued almost 122 million refunds amounting to almost $437 billion; provided taxpayer assistance through almost 495.6 million visits to assisted more than 63.2 million taxpayers through correspondence, its toll-free telephone helpline, or at Taxpayer Assistance Centers; and audited almost 1.1 million tax returns.", "At the same time, IRS faces a number of challenges that pose risks to meeting its mission if not managed effectively. IRS\u2019s budget has declined by about $2.1 billion (15.7 percent) from fiscal years 2011 through 2018, after adjusting for inflation. Concurrent with declining resources are increasing responsibilities, including implementing relevant aspects of the Foreign Account Tax Compliance Act; Patient Protection and Affordable Care Act; and Public Law 115-97\u2014commonly referred to as the Tax Cuts and Jobs Act\u2014which included significant changes to corporate and individual tax law. In addition to these new mandates, we have previously reported IRS faces a number of ever-evolving and significant challenges protecting taxpayer information, preventing identity theft and fraud, and modernizing an aging technology infrastructure. For these reasons and others, IRS\u2019s enforcement of tax laws has been on our High- Risk List since we first established the list in 1990.", "Key to addressing IRS\u2019s challenges is its workforce. In our past work, we have noted how an organization\u2019s workforce defines its character, affects its capacity to perform, and represents its knowledge base. An agency\u2019s workforce, including its human capital office, can play a central role in transforming an agency into a high-performing organization. Cultivating a well-equipped, diverse, flexible, and engaged workforce requires strategic workforce planning. Strategic workforce planning addresses two critical needs: (1) aligning an organization\u2019s human capital program with its current and emerging mission and programmatic goals; and (2) developing long-term strategies for acquiring, developing, and retaining staff to achieve those programmatic goals.", "You asked us to review IRS\u2019s enterprise-wide strategic workforce planning efforts. In this report, we assess (1) how IRS defines its workforce needs and develops strategies for shaping its workforce; (2) the extent to which IRS identified the critical skills and competencies it will require to meet its goals, and describe its strategy to address skills gaps in its workforce; and (3) the extent to which IRS\u2019s Human Capital Office has the capacity to hire employees in hard to fill positions.", "To address objective 1, we reviewed IRS\u2019s implementation of strategic workforce planning practices by comparing legal, regulatory, and policy requirements; standards for internal controls; and leading practices in strategic workforce planning with IRS practices and processes. We analyzed documents that explain IRS\u2019s programs, policies, and practices designed to help the agency recruit, develop, and retain the critical staff needed to achieve program goals, and interviewed IRS officials. We met with Department of the Treasury (Treasury) and Taxpayer Advocate Service officials to understand their role and responsibilities for coordinating with and providing oversight of IRS activities. We compared IRS\u2019s practices for monitoring and evaluating progress toward human capital goals, including bi-monthly reporting, with requirements articulated in Office of Personnel Management (OPM) regulations and leading practices we have previously identified for monitoring and measuring program performance. We analyzed results from the 2011 through 2017 Federal Employee Viewpoint Survey (FEVS) and compared them with IRS activities to determine how well those activities meet staff needs. We analyzed OPM\u2019s Enterprise Human Resources Integration (EHRI) data to determine retirement eligibility of senior and nonsenior IRS staff and staff across the federal government.", "To address objective 2, in addition to activities we performed to address objective 1, we analyzed Office of Management and Budget data to determine trends in the number of full-time equivalents (FTE). We interviewed IRS business division officials and reviewed documents related to IRS tax examiners and revenue officers. We selected these two mission critical occupations from a nongeneralizable sample based on a number of factors, including the results of a Treasury risk assessment, to illustrate how IRS has implemented strategies, policies, and processes for identifying and addressing skills gaps, among other purposes. We interviewed Treasury, OPM, and IRS officials to determine how they identified and addressed skills gaps among another mission-critical occupation, IRS revenue agents. To determine staffing trends within these occupations, we analyzed data from EHRI. We interviewed IRS officials to understand how its Human Capital Office (HCO) conducts skills and competency assessments. We analyzed IRS\u2019s audit rate of individual and corporate returns for fiscal years 2011 through 2017 based on data reported by IRS in its annual Data Book.", "To address objective 3, we reviewed documentation related to IRS human resources (HR) hiring requirements, including the Internal Revenue Manual (IRM) and policies explaining the exception hiring process. We interviewed officials from each of IRS\u2019s major business divisions\u2014Wage and Investment, Large Business and International, Tax Exempt and Government Entities, and Small Business/Self-Employed\u2014to further understand their hiring experience and impressions of time-to-hire and candidate quality results. We reviewed the results of skills and competency assessments previously conducted of IRS\u2019s HR workforce. We interviewed senior officials responsible for IRS\u2019s hiring function. We also reviewed the purpose of systems used to process and onboard new hires. To examine how staffing changed for hiring human resource managers from fiscal years 2011 through 2017, we analyzed EHRI data. To assess data reliability, we reviewed our past data reliability assessments of systems we used and conducted electronic testing to evaluate the accuracy and completeness of the data used in our analyses. For EHRI and FEVS, we also conducted interviews with knowledgeable agency officials. We determined the data from these systems were sufficiently reliable for our purposes.", "We conducted this performance audit from August 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The mission of IRS\u2019s HCO includes providing \u201chuman capital strategies and tools for recruiting, hiring, developing, retaining, and transitioning a highly-skilled and high-performing workforce to support IRS mission accomplishments,\u201d and developing and implementing \u201ctechnology- enabled systems and processes to improve human capital planning and management and empower employees to achieve their potential.\u201d HCO is headed by the Human Capital Officer who reports to the Deputy Commissioner for Operations Support and is to \u201cprovide executive leadership and direction in all matters relating to the Service\u2019s employees, overseeing the design, development, and delivery of comprehensive, agency-wide human capital management and development programs that contribute to the Service\u2019s vision and mission.\u201d", "Worklife Benefits and Performance (WBP) and Employment, Talent and Security (ETS) are two subdivisions within HCO responsible for supporting many of IRS\u2019s strategic human capital management activities. Among WBP\u2019s responsibilities are: agency-wide strategic workforce planning; workforce planning consultation and support;", "OPM/Treasury/IRS workforce planning pilots, projects, and initiatives; IRS workforce data reporting; analyzing workforce projections; and attrition analysis.", "ETS is responsible for providing policies, products, and services that support business efforts to identify, recruit, hire, and advance a workforce with the competencies necessary to achieve current and future organizational performance goals. In particular, ETS \u201cpartners with business units to develop strategic hiring plans that drive the hiring decision by planning, executing and evaluating the type of position to be filled based on agency-wide workforce, attrition and workload needs.\u201d"], "subsections": [{"section_title": "Strategic Human Capital Management \u2013 High-Risk Area", "paragraphs": ["Strategic human capital management, which includes workforce planning activities, is a persistent challenge across the federal government. We designated strategic human capital management across the government as a high-risk issue in 2001 because of the federal government\u2019s long- standing lack of a consistent strategic approach to human capital management. In February 2011, we narrowed the focus of this high-risk issue to the need for agencies to close skills gaps in mission-critical occupations. Agencies can have skills gaps for different reasons: they may have an insufficient number of employees or their employees may not have the appropriate skills or abilities to accomplish mission-critical work. Moreover, current budget and long-term fiscal pressures, the changing nature of federal work, and a potential wave of employee retirements that could produce gaps in leadership and institutional knowledge threaten to aggravate the problems created by existing skills gaps. Mission-critical skills gaps both within federal agencies and across the federal workforce continue pose a high risk to the nation because they can impede the government from cost-effectively serving the public and achieving results."], "subsections": []}, {"section_title": "IRS Budget", "paragraphs": ["IRS\u2019s budget declined by about $2.1 billion (15.7 percent) from fiscal years 2011 through 2018 (see figure 1). The President\u2019s fiscal year 2019 budget request was $11.135 billion. This amount is less than the fiscal year 2000 level for IRS, after adjusting for inflation. IRS requested an additional $397 million to cover implementation expenses for Tax Cuts and Jobs Act over the next 2 years and received $320 million for implementation pending submission of a spending plan, which IRS provided in June 2018. We previously reported IRS would direct the majority of the money toward technological updates.", "The Tax Cuts and Jobs Act made a number of significant changes to the tax law affecting both individuals and corporations. For example, for individual taxpayers, for tax years 2018 through 2025, tax rates were lowered for nearly all income levels, personal exemptions were eliminated while the standard deduction was increased, and certain credits, such as the child tax credit, were expanded. To implement the changes, IRS must (1) interpret the law; (2) create or revise hundreds of tax forms, publications, and instructions; (3) publish guidance and additional materials; (4) reprogram return processing systems; and (5) hire additional staff and train its workforce to help taxpayers understand the law. IRS\u2019s HCO estimated that the agency would need to hire and train new staff to fill approximately 1,100 positions requiring a variety of competencies, and provide additional training on tax law changes for current employees. HCO will be responsible for recruiting and hiring new employees with the needed skills."], "subsections": []}]}, {"section_title": "IRS is in the Early Stages of Defining and Addressing its Workforce Needs", "paragraphs": [], "subsections": [{"section_title": "IRS Strategic Workforce Planning Is Fragmented and Activities to Address Skills Needs Are Not Routinely Performed", "paragraphs": ["IRS has scaled back strategic workforce planning activities in recent years. Prior to 2011, IRS staff within its HCO or other dedicated program office conducted and coordinated agency-wide strategic workforce planning efforts. IRS officials told us that resource constraints and fewer staff with strategic workforce planning skills due to attrition since 2011 required HCO to largely abandon strategic workforce planning activities. Instead, HCO generally focused its efforts on completing HR transactions, such as retirements and benefits processing, meeting legal compliance activities, and facilitating hiring of seasonal employees.", "Since 2011, key human capital activities\u2014such as developing an inventory of skills, identifying skills gaps, and attrition forecasting\u2014 became increasingly fragmented and shifted to the individual business divisions and program offices. IRS officials cited management familiarity of programmatic needs, challenges, processes, and culture as a benefit of workforce planning autonomy at business divisions and program offices. However, the officials told us these activities were often performed only to the extent those divisions had the time, resources, and top management interest. As a result, the quality of key human capital activities was uneven across the agency, if performed at all. In addition, HCO officials told us the lack of an agency-wide strategy and HCO authority to manage and coordinate strategic workforce planning efforts put the agency at greater risk for unnecessary duplication of effort in HR activities; development of redundant and generally noninteroperable systems used to maintain human capital information; and failure to effectively identify and retain personnel with critical skills and experience across the agency.", "IRS\u2019s Information Technology (IT) is an example of an individual program office that has taken steps to address skills needs. IT developed a skills and competency inventory of its workforce. IRS officials told us maintaining and updating the inventory has been particularly helpful to informing IT hiring and training decisions, given the rapid nature of change in the technology industry and competition for top talent from the private sector. In June 2018, we found IRS had not fully implemented any of the key IT workforce planning practices we have previously identified. We recommended IRS should fully implement IT workforce planning practices, including (1) setting the strategic direction for workforce planning; (2) analyzing the workforce to identify skills gaps; (3) developing strategies and implementing activities to address skills gaps; and (4) monitoring and reporting on progress in addressing skills gaps. IRS agreed with our recommendation, but stated its efforts to address these issues were limited solely due to diversion of IT resources to implementation of the Tax Cuts and Jobs Act. We concluded that until the agency fully implemented these practices, it would continue to face challenges in assessing and addressing the gaps in knowledge and skills that are critical to the success of its key IT investments.", "A number of indicators led IRS to determine that continuing to make short-term, largely nonstrategic human capital decisions was unsustainable, according to IRS officials. For example, IRS has relatively high rates of employees eligible to retire. Nearly half of IRS\u2019s Senior Executive Service (SES) is eligible to retire (see figure 2). Retirement eligibility rates among both SES and non-SES employees is not only greater than the rate at other federal agencies, but are also trending higher according to our analysis of OPM data.", "We have previously reported that the high rate of federal employees eligible for retirement creates both an opportunity and a challenge for agencies. If accompanied with appropriate strategic and workforce planning, it may create an opportunity for agencies to align their workforce with needed skills and leadership levels to meet their existing and evolving mission requirements. However, it means agencies will need succession planning efforts as well as effective sources and methods for recruiting and retaining candidates to avoid the loss of technical expertise in mission-critical skills. IRS is trying to mitigate the loss of institutional memory and meet its current obligations by re-employing recently retired employees (also known as re-employed annuitants). However, according to HCO officials, as of October 2018, the agency is struggling to bring recently retired employees back in part because many had taken other employment. HCO is focusing on other activities, such as contract staffing services, to meet workload demands. As we discuss later in this report, IRS is taking a number of actions to address staffing shortages, but the effectiveness of those efforts are not yet known.", "IRS\u2019s FEVS results also indicate the agency is at risk of losing employees with critical skills. For example, IRS\u2019s results for the Global Satisfaction Index\u2014a measure generated by OPM that combines employees\u2019 responses about satisfaction with their job, pay, the organization, and their willingness to recommend their organization as a good place to work\u2014fell below the government-wide average in 2013. Relatedly, our analysis of fiscal year 2016 IRS exit survey results found 32 percent of separating employees indicated poor office morale strongly influenced their decision to leave. Though improving since 2015, IRS continued to lag behind the government-wide average as of 2017, the most recent year of data available at the time of this study (see figure 3)."], "subsections": []}, {"section_title": "Key Initiative Delay Has Hampered IRS\u2019s Ability to Fully Address Its Workforce Needs", "paragraphs": ["In 2016, IRS determined the agency needed to develop a strategic workforce plan and conduct related workforce planning activities to help mitigate the risks associated with fragmented human capital activities as discussed above, according to HCO officials. IRS provided authority to HCO to be the central coordinating body to lead that effort, hereafter referred to as the workforce planning initiative. In March 2018, IRS issued an update to its Internal Revenue Manual stating HCO\u2019s responsibilities. For example, IRS provided HCO authority to: conduct strategic workforce planning annually that is aligned with Treasury\u2019s mission, goals, and objectives; perform data analysis of the current and future workforce, identify gaps, and submit solutions that will enable the organization to meet its mission, goals, and objectives; ensure the existence and integration of human capital planning functions into the workforce planning process, including skills assessments, competency models, recruitment planning, training and development, and retention and succession planning; provide guidance and direction for IRS-wide workforce planning ensure the implementation of an agency-wide skills assessment and competency model framework; and communicate commitment for a consistent, repeatable, and systematic workforce planning process to enable improved and integrated management of human capital initiatives.", "The IRM also describes IRS\u2019s workforce planning process, which includes a five-phase strategic workforce planning model that is intended to align with OPM\u2019s workforce planning model (see figure 4).", "Implementing the strategic workforce planning model and conducting related initiative activities could help the agency ensure its human capital programs align with its mission, goals, and objectives through analysis, planning, investment, and measurement, as required in federal regulation. Furthermore, we determined elements of the initiative addressed key principles we have previously identified for effective workforce planning. For example, the model includes steps to analyze the workforce to determine the critical skills and competencies the agency needs to achieve current and future programmatic results, and to monitor and evaluate the agency\u2019s progress toward its human capital goals. As a result, the initiative could position IRS to systematically identify the workforce needed for the future, develop strategies for identifying and closing skills gaps, and shape its workforce.", "However, IRS\u2019s implementation of its workforce planning initiative has been delayed. Phase 1 (Enterprise Strategy and Planning) of the workforce planning initiative was underway as of the first quarter of fiscal year 2018, and IRS was scheduled to complete this phase by the second quarter of fiscal year 2018. IRS reports show the agency originally anticipated completing all five phases by June 2018. According to IRS officials, however, IRS now anticipates Phase 1 activities to resume after the opening of the 2020 tax filing season and, as of November 2018, could not estimate a completion date for any of the five phases.", "The workforce planning initiative has been delayed for three primary reasons, according to IRS documents and officials: 1. Redirection of resources to Tax Cuts and Jobs Act implementation. IRS granted extensions at the request of business divisions and commissioner-level organizations that needed to redirect resources to support the implementation of Tax Cuts and Jobs Act. To implement the 119 provisions of the Tax Cuts and Jobs Act, we reported that IRS would need to (1) interpret the law; (2) create or revise nearly 500 tax forms, publications, and instructions; (3) publish guidance and additional materials; (4) reprogram 140 interrelated return processing systems; (5) hire additional staff and train its workforce to help taxpayers understand the law and how it applies to them; and (6) conduct extensive taxpayer outreach. In addition to redirecting staff, IRS has used overtime and compensatory hours to complete necessary activities in time for the 2019 filing season. 2. Lack of workforce planning skills. As part of a Treasury pilot, IRS conducted a self-assessment of key competencies within HCO as well as within business division-based HR offices. The assessment found competency around workforce planning was among the lowest ranked skills within HCO. According to HCO officials, IRS lacks training and resources available to help its human capital staff develop competency in workforce planning. HCO officials told us they plan to leverage IRS\u2019s Workforce Planning Council to develop strategic workforce planning skills. HCO officials told us the council has training designed to help the HR staff understand how to gather data, use technology, and perform other activities that contribute to IRS\u2019s strategic workforce planning efforts. In addition to a lack of strategic workforce planning skills, a number of key HCO personnel with strategic workforce planning expertise have recently separated from IRS, according to HCO officials. 3. Information system deployment delay. Treasury is developing the Integrated Talent Management system (ITM). Treasury intends ITM to provide the agency with greater visibility of its total workforce, and help its bureaus, including IRS, with workforce planning activities such as succession planning and competency management. Treasury officials told us as of November 2018, ITM is still in development and its deployment has been delayed for a number of reasons, including the need for Treasury to complete system implementation plans and user guides, and address system administration issues at the bureaus.", "IRS HCO officials told us they opted to wait on ITM rather than moving forward with a number of Phase 2 (Workforce Analysis) activities. IRS HCO officials said they needed this, or a similar software tool, to ensure reliable data capture, make analysis more efficient, and help managers conduct routine updates of workforce planning efforts rather than static, one-time data calls. HCO also opted to wait for ITM to avoid potentially redundant reprogramming of existing systems. However, HCO officials noted that even when ITM is eventually deployed, IRS would need to train business divisions on its use, further lengthening the time needed before conducting Phase 2 activities. Treasury officials told us that ITM would complement rather than replace existing systems and processes.", "Our analysis of Treasury documents and interviews with Treasury and IRS HCO officials found it was unclear when an ITM module related to talent management and strategic workforce planning will be deployed and available for IRS\u2019s use, the functions it will include, and how IRS\u2019s existing systems and processes would be affected. As a result, IRS lacks the information needed to make staffing and technology decisions related to the workforce planning initiative, putting the initiative at risk of further delay."], "subsections": []}, {"section_title": "IRS Could Improve Reporting on the Status of its Workforce Planning Initiative", "paragraphs": ["Treasury is required to conduct data-driven reviews via HRstat. HRStat is a strategic human capital performance evaluation process that identifies, measures, and analyzes human capital data to inform the impact of an agency\u2019s human capital management on organizational results with the intent to improve human capital outcomes. HRstat is also a proven leadership strategy that can help agency officials monitor their progress towards addressing important human capital efforts, such as closing skills gaps.", "Treasury uses HRstat to monitor the progress of its bureaus in meeting their human capital goals, including IRS\u2019s implementation of the workforce planning initiative. In preparation for the data-driven reviews, each bureau, including IRS, submits HRStat information to Treasury. Treasury and bureau officials discuss the results and make related strategic decisions during bi-monthly Human Capital Advisory Council meetings. Our review of IRS HRstat reports, however, found additional information is needed to more fully reflect the status of the workforce planning initiative and related challenges. For example: in the January, March, May and July 2018 HRstat submissions, IRS 1) reported a status of green (on schedule) for \u201cIncreased efforts for development of long-term IRS workforce staffing plan\u201d, and 2) indicated under Key Issues/Challenges that completing the initiative was dependent on ITM deployment; in the July 2018 HRstat submission, IRS moved several milestones to future fiscal years, and identified ITM delays as a significant risk to the workforce planning initiative schedule; in the September 2018 HRstat submission, IRS reported the status of the workforce planning initiative was no longer on schedule. The report identified ITM delays as the cause, but did not include other reasons for the delay, specifically the redirection of resources to Tax Cuts and Jobs Act implementation and a lack of strategic workforce planning skills within HCO.", "Federal strategic human capital standards state agencies are to communicate in an open and transparent manner to facilitate cross- agency collaboration to achieve mission objectives. In addition, agency leaders should hold managers accountable for knowing the progress being made in achieving goals and, if progress is insufficient, understand why and having a plan for improvement. More complete HRStat information could help IRS and Treasury take fuller advantage of a key opportunity to discuss and address workforce planning initiative delays at Human Capital Advisory Council meetings."], "subsections": []}]}, {"section_title": "IRS is Not Fully Addressing Skills Gaps in Its Workforce", "paragraphs": [], "subsections": [{"section_title": "Strict Hiring Limits Contributed to Annual Declines in IRS Full-Time Equivalents Since 2011", "paragraphs": ["IRS full-time equivalents (FTE) have declined each year since 2011, and declines have been uneven across different mission areas (see figure 5). From fiscal years 2011 through 2017, IRS FTEs declined from 95,501 to an estimated 77,685, an 18.7 percent reduction. Our analysis of the President\u2019s Budget data produced by OMB found the reductions have been most significant within IRS Enforcement, where staffing declined by 27 percent (fiscal years 2011 through 2017). In comparison, staff supporting Taxpayer Service activities declined by 8.2 percent, while staff within Operations Support declined by 12.7 percent (fiscal years 2011 through 2017.) IRS estimated FTEs would continue to decline across the three areas in fiscal year 2018.", "IRS attributed staffing declines primarily to a policy decision to strictly limit hiring. According to IRS, declining budgets over multiple years necessitated decisions for how to reduce and control labor and labor- related costs, which accounted for around 74 percent of its budget allocations in fiscal year 2017. One way IRS sought to control costs was its decision to implement the Exception Hiring Process beginning in fiscal year 2011. The process effectively froze replacement of employees lost to attrition in most program areas, placed limits on external (nonseasonal) hiring, added additional approval steps for new hires, and placed priority on acquiring information technology and cybersecurity staff, according to IRS officials. The Exception Hiring Process remains in place, but as we discuss later, has evolved over time because IRS has received supplemental funding and other priority areas have emerged. IRS also limited overtime and training as a means of controlling costs."], "subsections": []}, {"section_title": "Declining Staffing Contributed to IRS Decisions to Scale Back Enforcement Activities", "paragraphs": ["Available staff was a key factor in decisions to scale back a number of program activities, most predominantly in enforcement, according to IRS officials. IRS officials told us that, unlike other areas where the agency is legally required to perform certain functions, the agency has flexibility to curtail many enforcement activities when attrition rates increase. Auditing tax returns, for example, is a critical part of IRS\u2019s strategy to ensure tax compliance and address the tax gap, or the difference between taxes owed and those paid on time. Our analysis of IRS data shows the number of individual returns audited has declined each year between fiscal years 2011 through 2017, a 40 percent decline (see figure 6).", "Reduced audit rates were not limited to individual returns. IRS data show that audit rates of large corporations with assets $10 million or greater declined from 17.7 percent in fiscal year 2011 to 7.9 percent in fiscal year 2017.", "We have previously reported on other areas in which staffing declines affected IRS operations, including fewer nonfiler investigations, private letter rulings, elimination of a bankruptcy program, and increases in the time needed to close innocent spouse appeals. In addition, we have made recommendations to IRS to better target its limited enforcement resources so it can, for example, 1) maximize revenue yield of the income tax, and 2) more effectively audit large partnerships. IRS agreed with the recommendations and took some action to close them. As of October and July 2018, respectively, those recommendations have not been fully addressed."], "subsections": []}, {"section_title": "IRS Has Skills Gaps in Key Occupations", "paragraphs": ["As previously discussed, IRS is in the initial stages of implementing a strategic workforce planning model, which could provide IRS with information needed to understand what critical skills and competencies are needed to meet its mission. However, according to IRS officials, the agency has not used such a framework in recent years, making it difficult to determine where skills gaps exist.", "Nonetheless, our analysis of Treasury documents, Enterprise Human Resources Integration data, and interviews with agency officials found IRS currently has skills gaps in key occupations. In fiscal year 2017, Treasury conducted a department-wide analysis of mission critical occupations (MCO) at risk of skills gaps. Treasury analyzed four factors to determine and rank MCOs at highest risk for skills gaps: 1) 2-year retention rate, 2) quit rate, 3) retirement rate, and 4) applicant quality. Analysis of these factors can help build the predictive capacity of agencies to identify mission critical skills gaps as they emerge. The following are the MCOs relevant to IRS that Treasury determined to be at medium or moderate risk for skills gaps, in order of risk: human resources specialist, tax law specialist.", "In light of staff attrition since 2011, particularly within enforcement occupations, we selected tax examiners and revenue officers to demonstrate how IRS has implemented strategies, policies, and processes for identifying and addressing skills gaps, and to identify critical instances where those efforts have affected IRS\u2019s ability to identify and close critical skills gaps."], "subsections": [{"section_title": "Tax Examiners", "paragraphs": ["Tax examiners are responsible for responding to taxpayer\u2019s inquiries regarding preparation of a variety of tax returns, related schedules and other documentation; resolving account inquiries; advising taxpayers of enforcement actions; and managing sensitive case problems designated as requiring special case handling. In addition, tax examiners analyze and resolve tax-processing problems; adjust taxpayer accounts; prepare and issue manual refunds; and compute tax, penalty, and interest.", "IRS documents note that the level of supervision, complexity, contacts, and the scope of assigned workload varies for tax examiners across performance levels. At the entry level, tax examiners are responsible for receiving and initiating contacts with taxpayers to gather information and resolve issues, and to gain compliance with laws and regulations while dealing with taxpayers that may be evasive under sensitive situations. At the intermediate level, tax examiners are responsible for handling a wide variety of the most difficult or sensitive tax processing problems. Their work products affect the taxpayer\u2019s filing status and tax liability for current, prior, and future reporting requirements. At the senior\u2014or expert\u2014level, tax examiners serve as a work leader over employees engaged in accomplishing tax examining work, as well as perform a full range of examination duties that include adjusting tax, penalty, and interest on taxpayers\u2019 accounts and closing cases.", "Our analysis of OPM data found that, from fiscal years 2011 through 2017, the agency lost 18 percent of its total tax examiner workforce (see figure 7). Additionally, the number of tax examiners in the intermediate level declined by 34 percent during that same period. IRS officials told us replacing tax examiners is particularly difficult not only because of the general hiring restrictions affecting the entire IRS, but also because of the significant amount of specialized expertise that must be developed to perform in a specific area of tax law.", "According to IRS officials, in 2018 and in response to declining tax examiner personnel, IRS doubled the dollar amount thresholds tax examiners use to select refunds for additional audit. IRS officials told us this means thousands of refunds that would have received additional scrutiny due to errors or anomalies are no longer considered for follow-up review by tax examiners, and the government is potentially missing significant opportunities to collect revenue and enforce tax laws.", "Three of the four business divisions within IRS identified skill gaps among its tax examiners.", "Large Business and International (LB&I). According to LB&I officials, long-term vulnerability with their tax examiners is a major concern, in part because LB&I has been unable to replenish its tax examiner workforce given external hiring constraints and internal promotion concerns (i.e., internal promotions can leave staffing gaps at the lower ranks putting them at risk for skills gaps). According to LB&I officials, having fewer tax examiners\u2014specifically fewer tax examiners in key geographic locations\u2014is affecting its mission. For example, LB&I reviews tax returns of foreign nationals and overseas taxpayers, which are predominantly paper-based returns and have to be processed manually. LB&I officials told us manual paper return processing is time intensive and, with fewer tax examiners, puts IRS at greater risk of having to pay interest to taxpayers for withholding refunds due to processing delays.", "Small Business/Self-Employed (SB/SE). According to SB/SE officials, gaps among tax examiners are evident and, as a result, SB/SE has reduced work plans and increased the use of overtime. Within SB/SE\u2019s Campus Exam/Automated Underreporter program, officials identified staffing gaps that they attributed to the general inability to hire behind attrition. According to SB/SE officials, as managers and lead vacancies arise, tax examiners are often detailed to fill the positions, which reduce the number of tax examiners available to perform the work.", "Wage and Investment (W&I). According to W&I officials, they have identified tax examiner skills gaps within their Accounts Management, Submission Processing, and Return Integrity and Compliance Services programs. To address identified skills gaps within W&I, officials said they conduct annual Strategic Hiring Summits bringing together stakeholders and business partners to jointly address filing season staffing needs, staffing barriers and gaps, and hiring lessons learned from prior filing seasons. According to W&I officials, these efforts continue to improve their targeted hiring and timeliness of its onboarding efforts. Other strategies that W&I plans to implement are to bring in tax examiners earlier and provide them with the full spectrum of training upfront rather than spreading the training out over months or years. Additionally, they said tax examiners are going to be cross trained on multiple types of inventory to increase their skills and to address inventory backlogs."], "subsections": []}, {"section_title": "Revenue Officers", "paragraphs": ["Revenue officers are IRS civil enforcement employees who are trained to conduct face-to-face contact with business and individual taxpayers who have not resolved their tax obligations in response to prior correspondence or contact. The role of revenue officers involves explaining to taxpayers why they are not in compliance, advising them of their financial obligation, and when necessary, taking appropriate enforcement action. According to IRS, the goal is voluntary taxpayer compliance through payment arrangements or compromises. However, for taxpayers that remain noncompliant, revenue officers are trained to take civil enforcement actions, such as filing a notice of lien to protect the government\u2019s interest, including and up to seizing personal and business property.", "According to IRS officials, it takes 4 to 5 years to train a new hire to become an experienced senior or expert revenue officer. The senior or expert levels are of particular importance to IRS\u2019s enforcement efforts. An internal IRS study completed in June 2018 found that 84 percent of all successful fraud referrals came from revenue officers at the senior/expert skill level. Senior revenue officers also serve as classroom instructors and perform on-the-job training of intermediate and entry-level staff. According to IRS officials, this additional responsibility directly affects senior revenue officers\u2019 ability to work fraud cases.", "Our analysis of OPM data shows that the total number of revenue officers at IRS declined by nearly 40 percent from fiscal years 2011 through 2017, and entry-level revenue officers declined by 86 percent during that same period (see figure 8). IRS officials told us the declines were due to a combination of attrition, limited hiring, and promotions.", "IRS decided to scale back nonfiler investigations in light of declining staffing, according to IRS officials. We reported in tax year 2010 that IRS started 3.5 million individual nonfiler cases and 4.3 million business nonfiler cases. In tax year 2014, nonfiler cases dropped to 2 million for individuals and 1.8 million for businesses, a reduction of 43 percent and 58 percent, respectively. More recently in fiscal year 2018, IRS data show nonfiler investigations declined to 0.8 million for individuals and 0.4 million for businesses."], "subsections": []}]}, {"section_title": "IRS Collaborated with OPM and Treasury to Address Skills Gaps among Revenue Agents", "paragraphs": ["Since we designated addressing agencies\u2019 mission critical occupation skills gaps as a high-risk area in 2011, OPM and agencies have launched a number of initiatives to close skills gaps. For example, in 2011, OPM and the Chief Human Capital Officer Council established an interagency working group to identify mission critical occupations (MCO) at high risk for skills gaps. The working group, also known as the Federal Agency Skills Team (FAST), identified skills gaps in six government-wide occupations, such as cybersecurity, human resources (HR) specialists, and acquisition. The FAST also identified agency-specific MCOs at high risk for skills gaps, which included IRS revenue agents. Subsequently, Treasury was designated leader of a FAST subteam to develop a plan for closing skills gaps among revenue agents. Treasury convened a group of revenue agents from each of IRS\u2019s business divisions, IRS human resource specialists with workforce planning expertise, and members of IRS\u2019s training group. Table 1 shows the process the subteam used to identify and address the causes of revenue agent skills gaps.", "The FAST brainstormed potential causes for skills gaps among revenue agents (see figure 9). According to FAST documents, this process helped the team understand the range of contributing factors that led to lower than acceptable 2-year retention rates and a high quit rate among revenue agents.", "Now that FAST identified the potential causes for the two indicators, Treasury officials told us IRS is responsible for developing and implementing strategies to close skills gaps among its revenue agents and reporting on its progress. According to IRS documents, as of July 2018, the agency established communications with revenue agents to increase awareness about detail and developmental opportunities that are posted on IRS\u2019s Service-wide Detail Opportunities web page, and is developing a plan for more effectively including revenue agents in management training. Related IRS performance measures show that posted detail opportunities for revenue agents have increased from 24 in fiscal year 2016 to 69 in fiscal year 2018."], "subsections": []}, {"section_title": "IRS\u2019s HCO Provides Services to Help Address Skills Gaps, but Does Not Have the Capacity to Fully Meet Needs", "paragraphs": ["For a limited number of mission critical occupations, HCO provides support to business divisions and program offices that need help addressing workforce capacity concerns. For example, HCO conducts competency assessments when a business division or program is seeking to identify the top candidates for hire or promotion. Determining critical competencies can help agencies effectively meet demographic, technological, and other forces that are challenging government agencies to change activities they perform and the goals that they must achieve, how they do their business, and even who does the government\u2019s business. HCO also conducts skills assessments when a division or program office needs to determine the skill level of their existing employees for the purposes of training, hiring, retention, or staffing decisions. Agencies can use both competency and skills assessments to help identify and address skills gaps.", "For competency assessments, HCO officials told us they develop annual work plans that prioritize assessment scheduling for certain occupations based on factors including available funding, business division, or program office staff availability to assist HCO with subject matter expertise, and the age of the competency model or assessment. For example, in 2017, HCO supported a competency assessment for special agents within its Criminal Investigations (CI) division. CI special agents are forensic accountants searching for evidence of criminal conduct. HCO officials told us competency assessments for special agents are a priority due to rapidly evolving sophistication of schemes to defraud the government and increasing use of automated financial records. IRS used information resulting from the competency assessment to revamp the special agent hiring process. According to HCO officials, results from the competency assessment have helped IRS reduce the cost and time to assess applicants while improving the overall candidate pool.", "Skills assessments supported by HCO have been used in some limited cases to help IRS identify and address skills gaps among certain MCOs. According to HCO officials, they provide skills assessments upon request by a business division and program office, assuming personnel and funding resources are available. IRS business divisions or program offices cover costs associated with large-scale assessments where contractor support is needed to supplement HCO\u2019s staff. Skills assessments among occupations with smaller populations usually do not incur costs to the divisions. HCO has supported requested skills assessments of information technology specialists, revenue agents, and human resources specialists in recent years. IRS documents show these assessments were used in part to identify and address skills gaps within these occupations.", "Unlike competency assessments, however, IRS does not create a work plan or otherwise prioritize skills assessments to address those occupations most in need. As discussed above, Treasury has identified MCOs at moderate to high risk for skills gaps, yet skills assessments have not addressed all the occupations identified as highest risk. Leading practices in strategic workforce management state that agencies should determine the critical skills and competencies its workforce needs to achieve current and future agency goals and missions, and identify gaps, including those that training and development strategies can help address. A work plan for addressing skills gaps could help IRS remediate gaps on a timely basis. Without a plan, IRS risks having to continue scaling back mission-critical activities as it has done in recent years."], "subsections": []}]}, {"section_title": "IRS Faces Challenges in Its Ability to Hire Key Employees", "paragraphs": [], "subsections": [{"section_title": "HCO Has Limited Staffing Capacity to Hire New Employees", "paragraphs": ["As previously discussed, Treasury found IRS is at risk of skills gaps among its mission critical occupations, including its HR specialists. In light of related agency-wide hiring limits, IRS offered early retirement incentives for eligible hiring specialists and did not backfill other specialists when they left the agency. HCO has lost more than half of its hiring specialists since 2011. According to HCO, the hiring skills of remaining specialists atrophied as those specialists were redirected to other priority HR areas.", "Many of HCO\u2019s hiring and other HR responsibilities, however, have remained constant or increased. For example, in fiscal year 2017, IRS hired around 6,700 seasonal employees to assist with the filing season and HCO expects that number to increase in future fiscal years. HCO officials told us the pace of internal hiring (i.e., promotions) remained constant over the past several years. IRS has recently prioritized hiring to address information technology and cybersecurity areas, as well as implementation of the Tax Cuts and Jobs Act. As a result of the combination of fewer hiring specialists and new hiring requirements, HCO officials said its capacity to hire and carry out other important human capital and HR functions is highly strained.", "In 2018, HCO identified improving hiring capacity as its top priority and is exploring a variety of options, including:", "HCO surge contracting: Contractors will be used in locations across the employment offices to assist with hiring and personnel security.", "Leverage Administrative Resource Center (ARC) services. ARC is part of Treasury and provides administrative services, including HR support for various federal agencies. HCO engaged ARC in May 2018 to assist with developing hiring qualifications.", "OPM shared services. IRS is exploring use of OPM shared services for help in the hiring process.", "Business-based HR teams: Teams within the divisions have been given authority to post internal merit promotion supervisory vacancy announcements, which will reduce HCO\u2019s workload for this function.", "HCO will retain responsibility for building positions, setting pay, and processing personnel actions, and will provide a dedicated point of contact for questions and quality review.", "Federal Executive Board team: A group of Interagency Agreement detailees supported by Wage and Investment (W&I) to work W&I vacancy announcement backlogs. IRS officials told us that, as of November 2018, this option had not been successful.", "HCO interagency detail opportunity: Employees detailed from other federal agencies into HR positions throughout HCO using interagency agreements.", "HCO officials told us they are generally monitoring the status of these activities, but cited competing priorities as a reason they have not determined how each activity will be evaluated in achieving increased hiring capacity and associated outcomes. Periodic measurement of an agency\u2019s progress toward human capital goals and the extent that human capital activities contributed to achieving programmatic goals provides information for effective oversight by identifying performance shortfalls and appropriate corrective actions. Without a means for gauging the relative success of its capacity-building activities, IRS risks spending its limited HCO resources on activities that may not help the agency meet its desired hiring outcomes."], "subsections": []}, {"section_title": "IRS Has Identified Hiring Risks Related to Tax Cuts and Jobs Act Implementation", "paragraphs": ["IRS established a risk register as part of efforts to identify, prioritize, and mitigate risks to IRS\u2019s implementation of the Tax Cuts and Jobs Act, including a number of risks related to its ability to hire. A risk register is used to identify the source of risks, owners to manage the treatment of those risks, and track the success of risk mitigation strategies over time. Risk registers or other comprehensive risk reports are an essential element of a successful enterprise risk management program.", "The risk register shows that a lack of strategic workforce planning in recent years is contributing to a number of risks IRS has faced in implementing the Tax Cuts and Jobs Act. For example:", "Large Business and International (LB&I) is having difficulty hiring senior advisors needed to develop training and compliance strategies. The risk register indicates mitigation efforts in this area, such as extending detail opportunities, have failed and there are potential major impacts to the program. According to LB&I officials, staffing declines in related skills prior to the Tax Cuts and Jobs Act have exacerbated difficulties in this area.", "Business units have been unable to identify critical hiring needs for the Tax Cuts and Jobs Act. As of October 2018, HCO is coordinating with business units to help determine hiring needs so that it can prioritize agency hiring efforts.", "In a related risk, IRS determined the lack of personnel and resources within W&I may hinder its ability to identify hiring needs for the fiscal year 2019 filing season. According to IRS, \u201cthe filing season may be impacted by significant resource constraints largely due to onboarding concerns, resulting in lost revenue, increased cost, and significant reputational impact to the IRS.\u201d As of October 2018, IRS stated it has completed necessary hiring plans and determined this risk has minimal to no impact to IRS\u2019s ability to carry out the upcoming filing season.", "Table 2 shows additional examples of risks related to hiring identified by IRS, steps the agency is taking to mitigate those risks, and the status as of October 2018.", "In September 2018, the Treasury Inspector General for Tax Administration (TIGTA) reviewed IRS\u2019s information technology readiness for implementing Tax Cuts and Jobs Act. TIGTA reported IRS used standard position descriptions for hiring efforts and had not defined specific knowledge, skills, abilities, and other requirements necessary for positions it expects to hire for Tax Cuts and Jobs Act implementation, and/or back-filling existing positions due to personnel performing related activities. We did not review position descriptions for the purposes of this report. However, as previously discussed, without information about what skills and skills gaps exist across the agency, IRS lacks important information needed to inform hiring and training resource decisions."], "subsections": []}, {"section_title": "Changes to IRS\u2019s Hiring Process Have Contributed to Hiring Delays", "paragraphs": ["It can take a year or longer from the time when a supervisor notifies his or her division of a staffing need to the time the employee is on board, according to IRS documents and our interviews. HCO officials attributed much of this time to gathering required information and approvals associated with IRS\u2019s \u201cException Hiring Process.\u201d", "In fiscal year 2011, IRS instituted the process in part to help the agency prioritize hiring decisions in a highly constrained budget environment. The Exception Hiring Process added approval layers to IRS\u2019s regular hiring requirements, including direct approval from the Deputy Commissioner for Operations Support, the Deputy Commissioner for Services and Enforcement, or the Chief of Staff for direct reports to the Commissioner. Also as part of this process, the Chief Financial Officer performs a cost assessment to determine the affordability of any requested new hire, and HCO determines if multiple hiring requests can be consolidated into a smaller number of positions.", "Our review of IRS budget operating guidance and interviews found Exception Hiring Process requirements have changed over time. Initially in 2011, every new hire was subject to the Exception Hiring Process. Since 2011, hiring requirements have eased in some circumstances. For example, in 2014, business division directors were given authority to approve internal hires (i.e., promotions) within their own business division. More recently, new hires in cybersecurity, information technology, or those needed to implement the Tax Cuts and Jobs Act were not subject to the same requirements as hiring requests in other occupations.", "According to HCO officials, easing hiring requirements in certain circumstances was necessary to help the agency bring on critical hires more quickly. However, based on their interactions with managers in the business divisions, HCO officials said the evolving and nonuniform Exception Hiring Process requirements has been confusing to managers requesting new hires. Business divisions and program offices often submitted hiring requests without required information or approvals. This has resulted in hiring delays, according to HCO officials. HCO officials told us that issuing clearer guidance to business managers would help ensure business divisions submit hiring requests that are complete, which would reduce the risk of hiring delays."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In light of declining resources and increasing requirements, IRS is taking the initial steps to reinstate a strategic approach to workforce planning that the agency scaled back in recent years. IRS has recently provided its HCO with authority to lead and coordinate agency-wide strategic workforce planning efforts. However, full implementation of an IRS initiative to conduct agency-wide strategic workforce planning has been put on hold as other activities have taken priority, and a key workforce planning system being developed by Treasury has been delayed. As a result, these efforts remain fragmented, and IRS lacks an inventory of its current workforce, has neither developed the competency and staffing requirements nor conducted agency-wide activities associated with analyzing the workforce to identify skills gaps, or developed strategies to address skills gaps. Additionally, IRS could improve reporting of its progress in addressing skills gaps. This critical information will help provide assurance that its fragmented human capital activities are well managed or that resources are being effectively allocated.", "High attrition among IRS employees, particularly in complex enforcement occupations and lower-than-average employee satisfaction rates, puts IRS at continued risk of skills gaps. These skills gaps have already been a significant contributor to IRS\u2019s decisions to scale back important enforcement activities that are critical to promoting voluntary compliance and closing the tax gap. However, IRS has not targeted its limited resources to addressing issues among the mission critical occupations most at risk of skills gaps. Instead, activities such as skills gaps assessments are only conducted to the extent business divisions and program offices make resources available, and management is aware of and inclined to seek assistance from IRS\u2019s HCO. Reporting on the results of efforts to close skills gap and developing a work plan or other mechanism for prioritizing assessments would better position IRS to address key gaps. Additionally, the results of an interagency working group effort intended to address skill gaps among IRS revenue agents and other occupations with skills gaps across the government may hold important lessons for addressing skills gaps among mission critical occupations at IRS.", "Each of these issues is exacerbated by limited capacity within HCO, which has redirected its resources to implementing the Tax Cuts and Jobs Act and meeting other routine transactional human resource requirements. HCO is leveraging a range of activities intended to help the agency meet immediate hiring needs. Measuring the extent to which each of activities is effective would help HCO target resources to the most effective activities as it seeks to improve its capacity for hiring employees in hard to fill positions in the future. In addition, issuing clear guidance on hiring request requirements would better position IRS to avoid hiring delays for mission-critical occupations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making seven recommendations, six to IRS and one to Treasury. Specifically: The Commissioner of the IRS should fully implement the workforce planning initiative, including taking the following actions: (1) conducting enterprise strategy and planning, (2) conducting workforce analysis, (3) creating a workforce plan, (4) implementing the workforce plan, and (5) monitoring and evaluating the results. (Recommendation 1)", "The Secretary of the Treasury should issue clarifying guidance to IRS about the Integrated Talent Management system, including when the workforce planning and talent management modules will be deployed and available for IRS\u2019s use, the functions it will include, and how IRS\u2019s existing systems and processes within business divisions and program offices will be affected. (Recommendation 2)", "The Commissioner of IRS should ensure the Human Capital Officer improves reporting for its workforce planning initiative in its bi-monthly HRstat information submissions to Treasury. The submissions should include the original implementation schedule, changes to the original schedule, delays in implementation and each of their causes, and IRS\u2019s strategy to address the causes of those delays. (Recommendation 3)", "The Commissioner of IRS should ensure the Human Capital Officer and Deputy Commissioner for Services and Enforcement report the results of efforts to close skills gaps among revenue agents, including lessons learned, that may help inform strategies for conducting skills gap assessment efforts for other mission critical occupations. (Recommendation 4)", "The Commissioner of IRS should ensure the Human Capital Officer and Deputy Commissioner for Services and Enforcement collaborate to develop a work plan or other mechanism that prioritizes and schedules skills assessments for mission critical occupations at highest risk of skills gaps, such as those identified by Treasury or where key activities have been scaled back, for the purposes of developing a strategy to close the gaps. (Recommendation 5)", "The Commissioner of IRS should direct the Human Capital Officer to measure the extent to which each of its activities for improving hiring capacity are effective in producing desired hiring capacity outcomes, including strategies used to mitigate hiring risks associated with Tax Cuts and Jobs Act implementation hiring. (Recommendation 6)", "The Commissioner of IRS should direct the Human Capital Officer and Chief Financial Officer to issue clarifying guidance on the current Exception Hiring Process, including clarifying areas where hiring limitations that were used in previous years are no longer applicable. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of the Internal Revenue Service, the Secretary of the Treasury, and the Acting Director of the Office of Personnel Management for review and comment. In a letter from IRS\u2019s Deputy Commissioner for Operations Support, reproduced in appendix II, IRS agreed with our six recommendations directed to it. The letter states there is room for improvement in implementing its strategic workforce plan and the associated workforce planning initiative, and IRS will provide a detailed corrective action plan in their 180-day response to Congress. IRS also provided technical comments, which we incorporated as appropriate.", "For Treasury, the Acting Director, Human Capital Strategic Management, the Office of the Deputy Assistant Secretary for Human Resources and Chief Human Capital Officer, emailed comments stating Treasury agreed with the one recommendation directed to it. In the comments, Treasury wrote, \u201cthe [Deputy Assistant Secretary for Human Resources and Chief Human Capital Officer] will continue to provide guidance, policy and direction on how the ITM is used to meet Workforce Planning objectives.\u201d Treasury provided technical comments on the recommendation directed to it, and we revised the recommendation as appropriate to recognize that bureaus, not Treasury, implement the ITM.", "OPM did not have comments.", "We are sending copies of this report to interested congressional committees, the Commissioner of IRS, the Secretary of the Treasury, and other interested parties. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512- 9110 or McTigueJ@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["You asked us to review the Internal Revenue Service\u2019s (IRS) enterprise- wide strategic workforce planning efforts. In this report, we assess (1) how IRS defines its workforce needs and develops strategies for shaping its workforce; (2) the extent to which IRS identified the critical skills and competencies it will require to meet its goals, and describe its strategy to address skills gaps in its workforce; and (3) the extent to which IRS\u2019s Human Capital Office has the capacity to hire employees in hard to fill positions.", "For our first objective, to determine how IRS defines its workforce needs, we conducted a review of IRS\u2019s implementation of its strategic workforce planning process. We compared IRS\u2019s strategic workforce planning guidance, policies, and procedures, as well as the Department of the Treasury\u2019s (Treasury) guidance and policies to (1) Office of Personnel Management (OPM) regulations and guidance on strategic workforce planning, (2) our reports on key principles for effective strategic workforce planning, and (3) standards for internal controls. To describe how IRS workforce planning process aligns with standards, we reviewed IRS\u2019s documentation of its programs, policies, and practices for recruiting, developing, and retaining the staff needed to achieve program goals. We compared that information with requirements articulated in OPM regulations and best practices we has identified. To include prior actions and concerns previously identified as related to IRS\u2019s strategic human capital planning, we reviewed our prior relevant reports and those from the Treasury Inspector General for Tax Administration.", "We also used several databases to examine IRS\u2019s workforce trends. To analyze trends in IRS\u2019s full-time equivalent employment, we used the Office of Management and Budget\u2019s (OMB) budget database, MAX Information System (MAX), for fiscal years 2011 through 2017. To analyze employee engagement and employee global satisfaction at IRS, we analyzed IRS results from OPM\u2019s fiscal years 2011 through 2017 Federal Employee Viewpoint Survey (FEVS). To determine retirement eligibility of SES and non-SES IRS staff, we analyzed data in OPM\u2019s Enterprise Human Resources Integration (EHRI) database. To assess the reliability of EHRI, OMB Max, and FEVS data, we reviewed our past data reliability assessments and conducted electronic testing to evaluate the accuracy and completeness of the data used in our analyses. For EHRI and FEVS, we also interviewed knowledgeable agency officials. We determined the data used from these three systems to be sufficiently reliable for our purposes.", "We supplemented our review of documentation by interviewing relevant IRS, Treasury, and OPM officials. We interviewed IRS officials from the Human Capital Office including the Human Capital Officer, Large Business & International (LB&I), Small Business Self Employed (SB/SE), Tax Exempt and Government Entities (TE/GE), and Wage & Investment (W&I) business divisions to understand how IRS assesses its workforce needs and develops strategies for shaping its workforce. We interviewed OPM officials about regulatory requirements and their perspective on strategic human capital planning requirements, as well as their experience working with Treasury and IRS. We met with Treasury and Taxpayer Advocate Service officials to understand their role and responsibilities for coordinating with and providing oversight of IRS activities. We reviewed IRS\u2019s practices and related documentation for monitoring and evaluating progress toward human capital goals, including Treasury\u2019s HRStat reports.", "For objective 2, to assess the extent IRS identified and described critical skills required to meet its goals, in addition to activities performed to address objective 1, we selected a nongeneralizable sample of occupations identified by IRS as mission critical to illustrate how IRS has implemented strategies, policies, and processes for identifying and addressing skills gaps, and to identify critical instances where those efforts have affected IRS\u2019s ability to identify and close critical skills gaps. Because IRS\u2019s workforce planning efforts are generally conducted by mission critical occupations (MCO), we selected MCOs as our unit of analysis. We excluded MCOs with characteristics that made them unlikely to yield new or useful information for the purposes of our report. MCOs were excluded from our analysis if they (1) were under review as part of our recent or ongoing work, (2) had small numbers of staff (less than 100), or (3) were assessed by Treasury to be at low risk for skills gaps. The Treasury assessment ranked MCOs in order of risk for skills gaps based on", "2-year retention rate, applicant quality.", "Based on these criteria, we selected revenue officers and tax examiners as occupational case illustrations representing tax enforcement activities. These two occupations, in tandem with discussion of Treasury\u2019s efforts to close skills gaps among revenue agents, while not generalizable, provided illustrative examples for this objective. We analyzed IRS\u2019s audit rate of individual and corporate returns to show a change in the number of audits for fiscal years 2011 through 2017 based on data reported by IRS in its annual Data Book.", "To obtain information to illustrate the current state of the selected MCOs located within the four business divisions, we sent the business divisions a semistructured set of written questions coupled with a request to provide corroborating documents to support their responses. We asked each business division for information about related MCOs, including: hiring data and retirement eligibility rates for MCOs; skills, competency, or staffing gaps identified among its MCOs; and any resource tradeoff decisions made as a result of skills gaps.", "To supplement the information we gathered from responses to our written question responses, we also reviewed IRS and Treasury documents for addressing skills gaps for revenue agents that were conducted after we identified mission critical skills gaps as a government-wide high-risk issue in 2011.", "For objective 3, to assess the extent IRS\u2019s Human Capital Office has the capacity to hire employees in hard to fill positions, we reviewed documentation related to IRS hiring requirements, including the Internal Revenue Manual and policy explaining the Exception Hiring Process. We interviewed division directors from each of IRS\u2019s major business divisions (W&I, LB&I, TE/GE, and SBSE) to understand their hiring experience and impressions of time-to-hire and candidate quality results related to the exception hiring process. We interviewed senior officials responsible for IRS\u2019s hiring function. We reviewed documentation related to systems used to process and onboard new hires.", "We conducted this performance audit from August 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Tom Gilbert (Assistant Director), Shea Bader (Analyst-in-Charge), Crystal Bernard, Jacqueline Chapin, James Andrew Howard, Meredith Moles, Steven Putansu, and Robert Robinson made major contributions to this report. Devin Braun, Regina Morrison, Erin Saunders-Rath, and Sarah Wilson provided key assistance."], "subsections": []}]}], "fastfact": ["Fewer individual and corporate tax returns have been audited in recent years, largely because IRS doesn't have the people it needs to enforce existing tax laws while implementing new laws. As a result, billions of dollars in taxes go unpaid every year. Enforcing tax laws, a High Risk area, is critical to promoting voluntary compliance and collecting unpaid taxes.", "IRS's workforce is the key to addressing its challenges. Cultivating a well-equipped and engaged workforce requires strategic human capital management that will help IRS focus its current and future hiring needs.", "We made 6 recommendations to improve IRS's human capital management."]} {"id": "GAO-18-56", "url": "https://www.gao.gov/products/GAO-18-56", "title": "Forest Service: Improvements Needed in Internal Controls over Budget Execution Processes", "published_date": "2018-01-31T00:00:00", "released_date": "2018-01-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Forest Service, an agency within USDA, performs a variety of tasks as steward of 193 million acres of public forests and grasslands. Its budget execution process for carrying out its mission includes (1) allotments, which are authorizations by an agency to incur obligations within a specified amount, and (2) unliquidated obligations, which represent budgetary resources that have been committed but not yet paid. Deobligation refers to an agency's cancellation or downward adjustments of previously incurred obligations, which may result in funds that may be available for reobligation.", "GAO was asked to review the Forest Service's internal controls over its budget execution processes. This report examines the extent to which the Forest Service properly designed control activities over (1) allotments of budgetary resources, its system for administrative control of funds, and any fund transfers between Forest Service appropriations; (2) reimbursables and related collections; and (3) review and certification of unliquidated obligations.", "GAO reviewed the Forest Service's policies, procedures, and other documentation and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal years 2015 and 2016, the Forest Service received discretionary no-year appropriations of $5.1 billion and $5.7 billion, respectively. It is critical for the Forest Service to manage its budgetary resources efficiently and effectively. While the Forest Service had processes over certain of its budget execution activities, GAO found the following internal control deficiencies:", "Budgetary resources . The purpose statute requires that amounts designated in appropriations acts for specific purposes are used as designated. The Forest Service did not have an adequate process and related control activities to reasonably assure that amounts were used as designated. In fiscal year 2017, GAO issued a legal opinion that the Forest Service had failed to comply with the purpose statute with regard to a $65 million line-item appropriation specifically provided for the purpose of acquiring aircraft for the next-generation airtanker fleet. Further, the Forest Service lacked a process and related control activities to reasonably assure that unobligated no-year appropriation balances from prior years were reviewed for their continuing need; did not have a properly designed system for administrative control of funds, which keeps obligations and expenditures from exceeding limits authorized by law; and had not properly designed control activities for fund transfers to its Wildland Fire Management program. These deficiencies increase the risk that the Forest Service may make budget requests in excess of its needs.", "Reimbursable agreements . To carry out its mission, the Forest Service enters into reimbursable agreements with agencies within the U.S. Department of Agriculture (USDA), other federal agencies, state and local government agencies, and nongovernment entities. The Forest Service (1) did not have adequately described processes and related control activities in manuals and handbooks for its reimbursable agreement processes and (2) lacked control activities related to segregating incompatible duties performed by line officers and program managers. For example, line officers may be responsible for initiating cost sharing agreements, modifying cost settlement packages, and changing or canceling the related receivable, which represent incompatible duties. As a result, programs and resources may not be protected from waste, fraud, and mismanagement.", "Unliquidated obligations . The Forest Service's processes and control activities over the review and certification of unliquidated obligations were not properly designed to reasonably assure the best use of funds and that unliquidated obligations would be efficiently and effectively deobligated and made available for other program needs. Further, the current process, as designed, was inconsistent with USDA and Forest Service policy.", "In addition, the Forest Service's manuals and handbooks, which provide directives for the areas that GAO reviewed, had not been reviewed by management in accordance with the Forest Service's 5-year review policy. Further, standard operating procedures and desk guides prepared by staff to supplement the manuals and handbooks were not issued as directives and therefore were not considered official policy. This increases the risk that control activities may not be consistently performed across the agency."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 11 recommendations to improve processes and related internal control activities over the management of the Forest Service's budgetary resources, reimbursable receivables and collections, and its process for reviewing unliquidated obligations. The Forest Service generally agreed with the report and stated that it has made significant progress to address the report findings."]}], "report": [{"section_title": "Letter", "paragraphs": ["As steward of a reported 193 million acres of public forests and grasslands, the Forest Service, an agency within the U.S. Department of Agriculture (USDA), performs a variety of tasks, such as fighting wildland fires, restoring forest landscapes and rivers, and patrolling and maintaining the national forests\u2019 remote recreational trails. In fiscal years 2015 and 2016, the Forest Service received discretionary appropriations of $5.1 billion and $5.7 billion, respectively, to carry out its mission at national forests, national grasslands, and research stations across the country. For fiscal year 2016, the Forest Service\u2019s largest program, the Wildland Fire Management program, received $2.4 billion or 42 percent of the fiscal year\u2019s discretionary appropriated funds, of which about $1.9 billion was for preparedness and fire suppression subprograms.", "With geographically widespread operations and a diverse portfolio of work, it is critical for the Forest Service to manage its budgetary resources efficiently and effectively. Specifically, this includes (1) making budgetary resources available to program activities timely, (2) allotting resources to programs for the purposes provided in applicable appropriations acts, (3) timely deobligating funds from unliquidated obligations that the agency determined are no longer needed, and (4) efficiently and effectively managing unobligated balances.", "You asked us to review the Forest Service\u2019s internal control practices over its budget execution processes. This report examines the extent to which the Forest Service properly designed control activities over (1) allotments of budgetary resources, its system for administrative control of funds, and any fund transfers between Forest Service appropriations; (2) reimbursables and related collections; and (3) reviews and certification of unliquidated obligations.", "To assess the design of the Forest Service\u2019s control activities over its budget execution processes, we obtained an understanding of entity-level controls at the Forest Service related to its (1) allotments of budgetary resources, its system for administrative control of funds, and any related fund transfers between Forest Service appropriations; (2) reimbursables and related collections; and (3) reviews and certification of unliquidated obligations. We interviewed agency officials to gain an understanding of the Forest Service\u2019s business processes. We reviewed Forest Service documents, which included a list of control objectives with applicable control activities and policies and procedures related to its budget execution processes. We reviewed these documents to determine whether the control activities were clearly described and whether the roles and responsibilities associated with the ownership and operation of the controls were clearly defined to help ensure that the control activities would achieve the applicable control objective(s). Appendix I provides a more detailed description of our scope and methodology, and appendix II provides additional details on standards for internal control in the federal government.", "While our audit focused on control activities over the three areas of the Forest Service\u2019s budget execution processes discussed, we did not evaluate the control environment, risk assessment, information and communications, and monitoring components of internal control. Had we done so, additional deficiencies may or may not have been identified as part of our audit.", "We conducted this performance audit from August 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Forest Service Mission and Structure", "paragraphs": ["The Forest Service\u2019s mission includes sustaining the nation\u2019s forests and grasslands; managing the productivity of those lands for the benefit of citizens; conserving open space; enhancing outdoor recreation opportunities; and conducting research and development in the biological, physical, and social sciences. The agency carries out its responsibilities in three main program areas: (1) managing public lands, known collectively as the National Forest System, through nine regional offices, 154 national forests, 20 national grasslands, and over 600 ranger districts; (2) conducting research through its network of seven research stations, multiple associated research laboratories, and 81 experimental forests and ranges; and (3) working with state and local governments, forest industries, and private landowners and forest users in the management, protection, and development of forest land in nonfederal ownership, largely through its nine regional offices. According to the Forest Service, it employs a workforce of over 30,000 employees across the country. However, this number grows by thousands in the summer months, when the agency hires seasonal employees to conduct fieldwork, respond to wildland fires, and meet the visiting public\u2019s needs.", "The Office of the Chief of the Forest Service is located in Washington, D.C., with 27 offices reporting directly to the Office of the Chief, as illustrated in figure 1.", "The nine national forest regions, each led by a regional forester, oversee the national forests and grasslands located in their respective regions. Each national forest or grassland is headed by a supervisor, the seven research stations are each led by a station director, and a state and private forestry area is headed by an area director. The Forest Service collectively refers to its forest regions, research stations, and area as RSAs. The RSAs are organized differently according to their operations, and comparable operations within the RSAs, such as collections from reimbursable agreements, may be processed differently in the various regions and stations, resulting in highly decentralized operations. In addition, the offices of the Chief Financial Officer (CFO); Deputy Chief of Business Operations (includes the budget office); and eight other offices located in the Washington, D.C., headquarters also report directly to the Office of the Chief of the Forest Service."], "subsections": []}, {"section_title": "Forest Service Budget and Control Activities", "paragraphs": ["The Forest Service receives appropriations for its various programs and for specific purposes to meet its mission goals. Prior to fiscal year 2017, the Forest Service\u2019s budgetary resources consisted primarily of no-year funds. Its budget office in Washington, D.C., initiates apportionment requests and monitors the receipt of Department of the Treasury (Treasury) warrants. Upon receipt of the warrant, the apportionment is recorded in the financial system and then the budget office develops an allocation summary detailing the allocation of its budget authority by fund, programs within the funds, and distribution of funds at the regional, station, and area levels. The Forest Service may also transfer funds from other appropriations to the appropriations account that funds its fire suppression activities when available funds appropriated for fire suppression and the Federal Land Assistance, Management, and Enhancement (FLAME) fund will be exhausted within 30 days.", "The Forest Service\u2019s administrative policies, practices, and procedures are issued in its Directive System, which provides a unified system for issuing, storing, and retrieving internal direction that governs Forest Service programs and activities. The Directive System consists of the Forest Service\u2019s manuals and handbooks. The manuals contain management objectives, policies, and responsibilities and provide general direction to Forest Service line officers and staff directors for planning and executing their assigned programs and activities. The handbooks provide detailed direction to employees and are the principal source of specialized guidance and instruction for carrying out directions issued in the manuals. Line officers at the national and RSA levels have authority to issue directives in the manuals and handbooks under their respective jurisdictions. The Forest Service\u2019s policy states that the Directive System is the only place where Forest Service policy and procedures are issued. In addition to the Directive System, Forest Service staff have also developed standard operating procedures (SOP) and desk guides to supplement guidance provided in directives. However, the SOPs and desk guides are not part of the Forest Service Directive System and therefore are not official policy and procedures."], "subsections": []}]}, {"section_title": "Forest Service Did Not Properly Design Control Activities for Its Allotments Process, Administrative Control of Funds, and Fund Transfers", "paragraphs": ["While the Forest Service had documented processes for allotting its budgetary resources, it did not have an adequate process and related control activities for reasonably assuring that (1) amounts designated in appropriations acts for specific purposes are used as designated and (2) unobligated no-year appropriation balances from prior years were reviewed for their continuing need. In addition, the Forest Service did not have a properly designed and documented system for administrative control of funds. Finally, the Forest Service had not properly designed control activities for fund transfers for fire suppression activities under its Wildland Fire Management program."], "subsections": [{"section_title": "Forest Service Does Not Have an Adequate Process and Related Control Activities for Reasonably Assuring That Appropriated Amounts Are Used for the Purposes Designated", "paragraphs": ["While the Forest Service had documented processes for allotting its budgetary resources, it did not have an adequate process and related control activities to reasonably assure that amounts designated in appropriations acts for specific purposes are used as designated\u2014as required by the purpose statute, which states that \u201cappropriations shall be applied only to the objects for which the appropriations were made except as otherwise provided by law.\u201d We reviewed Forest Service documents about its budget authority processes, which included control objectives, related control activities, and processes over the allotment of its budgetary resources. We found that these documents, including manuals and handbooks, did not include an adequate process and related control activities for assuring that appropriated amounts are used for the purposes designated. For example, such a process would include the Forest Service allotting appropriated funds for specific programs or objects as provided in the applicable appropriation act, by either using specific budget line items already defined in the Forest Service\u2019s financial system or creating new budget line items, as needed.", "Standards for Internal Control in the Federal Government states that management should define objectives clearly to enable the identification of risks and design appropriate control activities to achieve objectives and respond to the risks identified.", "As a result of the Forest Service not having an adequate process and related control activities for assuring that appropriated amounts are used for the purposes designated, the Forest Service did not properly allocate certain funds for specific purposes detailed in the appropriations acts for fiscal years 2015 and 2016. For example, in fiscal year 2015, the Forest Service did not set aside in its financial system the $65 million specified in the fiscal year 2015 appropriations act for acquiring aircraft for the next- generation airtanker fleet. According to Forest Service documents, as of January 6, 2016, $35 million of the designated funds was used for other purposes. In February 2017, we issued a legal opinion, related to the Forest Service\u2019s use of the $65 million, which concluded that the Forest Service had failed to comply with the purpose statute. According to USDA\u2019s Office of General Counsel, \u201cthis lack of any separate apportionment or account for the next-generation airtanker fleet was due to the fact that it was a new item, not included in the agency\u2019s budget request, and added late in the appropriations process.\u201d Similarly, in fiscal year 2016, the Forest Service did not create new budget line items to reserve in its financial system $75 million for the Forest Inventory and Analysis Program specified in the fiscal year 2016 appropriations act. Rather than creating a new budget line item for the program specified in the appropriations act, the funds were combined with an existing budget line item, making it difficult to track related budget amounts and actual expenditures. The lack of an adequate process and related control activities to reasonably assure that appropriated amounts are used for the purpose designated also increases the risk that the Forest Service may violate the Antideficiency Act."], "subsections": []}, {"section_title": "Forest Service Lacked a Process and Related Control Activities over the Review of Unobligated No- Year Funds from Prior Years", "paragraphs": ["The Forest Service did not have a process and related control activities to reasonably assure that unobligated, no-year funds from prior years were reviewed for continuing need. We reviewed the Forest Service\u2019s budget authority process document and related manuals and handbooks, which documented control objectives and procedures over its budgetary resources and the guidance for administrative control of funds. We found that these documents did not include a process for reviewing the Forest Service\u2019s unobligated, no-year funds from prior years and related control activities to reasonably assure that such funds were reviewed for continuing need. Such reviews, if performed, may identify unneeded funds that could be reallocated to other programs needing additional budgetary resources, if consistent with the purposes designated in appropriations acts.", "The USDA Budget Manual states as a department policy that \u201cagencies of the Department have a responsibility to review their programs continually and recommend, when appropriate, deferrals or rescissions.\u201d The USDA Budget Manual further states the following: \u201cAgency officials should remain alert to this responsibility since the establishment of reserves is an important phase of budgetary administration. If it becomes evident during the fiscal year that any amount of funds available will not be needed to carry out foreseeable program requirements, it is in the interest of good management to recommend appropriate actions, thereby maintaining a realistic relationship between apportionments, allotments, and obligations.\u201d", "However, the Forest Service did not develop a directive addressing the control objectives, related risks, and control activities for implementing this USDA policy.", "Up until fiscal year 2017, Forest Service budgetary resources consisted primarily of no-year funds. At the beginning of each fiscal year, unobligated balances of no-year funds are carried forward and reapportioned to become part of budget authority available for obligation in the new fiscal year. Unobligated balances can increase during the fiscal year due to deobligation of prior years\u2019 unliquidated obligations that the Forest Service determines it no longer needs. These resources are immediately available to the Forest Service to the extent authorized by law without further legislation or action from Office of Management and Budget (OMB) unless the apportionment states otherwise. According to Forest Service officials, unobligated funds reported in the Forest Service\u2019s September 30, 2016, Statement of Budgetary Resources included $351 million in discretionary unobligated no-year funds, appropriated as far back as fiscal year 1999.", "The Forest Service did not identify and define a process and control objectives related to its review of unobligated no-year funds from prior years for continuing need. As a result, the Forest Service did not have reasonable assurance that prior no-year unobligated balances were properly managed and considered in its annual budget requests. This increased the risk that the Forest Service may make budget requests in excess of its needs. Additionally, the Forest Service could miss opportunities to use its prior year unobligated no-year funds more timely and effectively, for example, using these funds for other Forest Service program needs, if consistent with the purposes designated in appropriations acts. During our work, we brought this issue to management\u2019s attention, and in response, Forest Service officials stated that the Forest Service is planning to develop a quarterly process to review available balances and, as needed, redirect funds to agency priorities. However, as of July 2017, the Forest Service had not yet developed this review process. Further, Congress rescinded about $18 million of the Forest Service\u2019s prior year unobligated balances and required it to report unobligated balances quarterly within 30 days after the close of each quarter and appropriated multi-year funds instead of no- year funds to the Forest Service for fiscal year 2017."], "subsections": []}, {"section_title": "Forest Service Did Not Have a Properly Designed Comprehensive System for Administrative Control of Funds", "paragraphs": ["The Forest Service issued guidance related to administrative control of funds in manuals and handbooks, which USDA did not review and approve prior to their issuance. Based on our review of these documents, we found that the processes and related control activities over the administrative control of funds were dispersed in numerous manuals and handbooks, which may hamper a clear understanding of the overall system. Further, the system lacked key elements that would allow it to serve as an adequate system of administrative control of funds. For example, in its manuals and handbooks the Forest Service did not identify, by title or office, those officials with the authority and responsibility for obligating the service\u2019s appropriated funds, such as funds for contracts, travel, and training. As a result, the responsibility for obligating funds was not clearly described and properly assigned in Forest Service policy as required by the USDA Budget Manual and OMB Circular No. A-11.", "OMB Circular No. A-11 states that the Antideficiency Act requires that the agency head prescribe, by regulation, a system of administrative control of funds, and OMB provided a checklist in appendix H to the circular that agencies can use for drafting their fund control regulations. This requirement is consistent with those in the USDA Budget Manual, which prescribes budgetary administration through a system of administrative controls for its component agencies, including the Forest Service. The USDA Budget Manual states that to the extent necessary for effective administration, (1) the heads of USDA component agencies may delegate to subordinate officials responsibilities in connection with the administrative distribution of funds within apportionments and allotments and the monitoring, control, and reporting of the occurrence of obligations and expenditures under apportionments and allotments and (2) the chain of such responsibility shall be clearly defined. In addition, USDA requires its component agencies to promulgate and maintain administrative control of funds regulation and to send such regulation to USDA\u2019s Office of Program and Budget Analysis for review and approval prior to issuance.", "Because the Forest Service has not developed and issued a comprehensive system for administrative control of funds that considers all aspects of the budget execution processes, it cannot reasonably assure that (1) programs will achieve their intended results; (2) the use of resources is consistent with the agency\u2019s mission; (3) programs and resources are protected from waste, fraud, and mismanagement; and (4) laws and regulations are followed.", "We also found that the Forest Service had not reviewed and updated most of its administrative control of funds guidance in the manuals and handbooks for over 5 years. The USDA Budget Manual requires each component to periodically review its funds control system for overall effectiveness and to assure that it is consistent with its agency programs and organizational structures. Further, Forest Service policy also requires routine review, every 5 years, of policies and procedures in its Directive System. According to Forest Service officials, when directives are up for review and update, a staff from the Office of Regulatory and Management Services (ORMS) sends an e-mail reminder to notify responsible personnel that updates to applicable directives are needed. However, we found that the Forest Service does not have adequate controls in place to monitor the reviews and any updates of the manuals and handbooks in its Directive System to reasonably assure that their efforts resulted in timely updates. As a result, the Forest Service is at risk that guidance for its system for administrative control of funds may lose relevance as processes change over time and control activities may become inadequate."], "subsections": []}, {"section_title": "Forest Service Control Activities for Wildland Fire Suppression Related Fund Transfers Were Not Properly Designed", "paragraphs": ["The Forest Service did not have properly designed control activities over its process for fund transfers related to wildland fire suppression activities. The Forest Service receives appropriations for necessary expenses for (1) fire suppression activities on National Forest System lands, (2) emergency fire suppression on or adjacent to such lands or other lands under fire protection agreement, (3) hazardous fuels management on or adjacent to such lands, and (4) state and volunteer fire assistance. Transfer of funds from other Forest Service programs to its fire suppression activities occurs when the Forest Service has exhausted all available funds appropriated for the purpose of fire suppression and the FLAME fund. A key aspect of this process is assessing the FLAME forecast, which the Forest Service uses to predict the costs of fighting wildland fires for a given season, and developing a strategy to identify specific programs and the amounts that may be transferred to pay for fire suppression activities when needed. The process for reviewing the FLAME forecast and strategizing the fund transfers was documented in the Basic Budget Desk Guide created by staff in the Forest Service\u2019s Strategic Planning and Budget Analysis Office. However, the desk guide did not contain evidence of review by responsible officials. As a result, the Forest Service lacked reasonable assurance that the desk guide was complete and appropriate for its use.", "The Basic Budget Desk Guide included a listing of actions to be performed by the analyst for reviewing the FLAME forecast report and developing a strategy for fund transfer from other programs. However, the desk guide did not specify the factors to be considered when developing the strategy. For example, it did not call for documentation addressing the rationale for the strategy or an assessment of the risk that the fund transfer could have on the programs from which the funds would be transferred. The desk guide also did not describe the review and approval of the strategy by a responsible official(s) prior to the fund transfer request sent to the Chief of the Forest Service.", "According to Standards for Internal Control in the Federal Government, management should design control activities to achieve objectives and respond to risks and that such control activities should be designed at the appropriate levels in the organizational structure. Further, management may design a variety of transaction control activities for operational processes, which may include verifications, authorizations and approvals, and supervisory control activities.", "The lack of properly designed control activities for supervisory review of the desk guide and strategy to identify the amounts for fund transfers does not provide the Forest Service reasonable assurance that the objectives of the fund transfers\u2014including mitigating the risk of a shortfall of funding for other critical Forest Service program activities, such as payroll or other day-to-day operating costs\u2014will be efficiently and effectively achieved."], "subsections": []}]}, {"section_title": "Forest Service Did Not Have Properly Designed Processes and Related Control Activities for Reimbursable Receivables and Collections", "paragraphs": ["The Forest Service enters into various reimbursable agreements with agencies within USDA, other federal agencies, state and local government agencies, and nongovernment entities to carry out its mission for public benefit. The reimbursable agreements may be for the Forest Service to provide goods and services to a third party or to receive goods and services from a third party, or may be a partnership agreement with a third party for a common goal. According to Forest Service officials, the two distinct types of Forest Service reimbursable agreements are (1) fire incident cooperative agreements and (2) reimbursable and advanced collection agreements (RACA).", "The Forest Service did not have documented processes and related control activities for its fire incident cooperative agreements to reasonably assure the effectiveness and efficiency of its related fire incident operations. In addition, processes and related control activities applicable to RACAs were not adequately described in applicable manuals and handbooks in the Directive System, to reasonably assure that control activities could be performed consistently and effectively. Further, certain RACA processes in the Directive System had not been timely reviewed by management and did not reflect current processes. Moreover, as previously discussed, SOPs and desk guides developed in field offices related to RACA processes were not in the Forest Service\u2019s Directive System. Finally, the Forest Service lacked control activities segregating incompatible duties performed by line officers and program managers in creating reimbursable agreements and the final disposition of related receivables."], "subsections": [{"section_title": "Forest Service Did Not Have Documented Processes and Related Control Activities for Fire Incident Cooperative Agreements", "paragraphs": ["The Forest Service did not have documented processes and related control activities for its fire incident cooperative agreements to reasonably assure the effectiveness and efficiency of its related fire incident operations and reliable reporting internally and externally.", "As part of the service\u2019s mission objective to suppress wildland fires, Forest Service officials stated that they enter into 5-year agreements referred to as master cooperative agreements with federal, state, and other entities. These agreements document the framework for commitment and support efficient and effective coordination and cooperation among the parties in suppressing fires, when they occur. The master cooperative agreements do not require specific funding commitments as amounts are not yet known. These agreements vary from region to region because of the differing laws and regulations pertaining to the participating states and other entities. These variations can also result in different billing and collection processes between regions. When a fire occurs, supplemental agreements, which are based on the framework established in the applicable master cooperative agreements, are signed by relevant parties for each fire incident. These agreements establish the share of fire suppression costs incurred by the Forest Service and amounts related to entities that benefitted from those fire suppression efforts. These supplemental agreements require commitment and obligation of funds. As indicated in figure 2, the Forest Service\u2019s obligations for fire suppression activities ranged from $412 million to $1.4 billion over the 10-year period from fiscal years 2007 through 2016.", "In response to our request for documentation of processes and related control activities over its fire incident cooperative agreements, Forest Service officials stated that processes and related control activities over reimbursable agreements were applicable to both fire incident cooperative agreements and RACAs. However, based on our review of the Forest Service\u2019s processes and related control activities over its reimbursable agreements, we found that the unique features of fire incident cooperative agreements (as compared to features of RACAs) were not addressed in the processes and related controls for reimbursable agreements. For example, there was no process and related control activities over the negotiation and review of (1) a fire incident master cooperative agreement, which is developed before a fire occurs, and (2) supplemental agreements, which are signed by all relevant parties after the start of a fire incident. These supplemental agreements detail, among other things, the terms for (1) fire department resource use, (2) financial arrangements, and (3) specific cost-sharing agreements.", "Another unique feature of fire incident cooperative agreements, which was not covered in process documents for its reimbursable agreements, was the preparation of the Cost Settlement Package. The preparation of this package does not start until after the fire has ended and the Forest Service has received and paid all bills. According to Forest Service officials, a fire incident is deemed to have ended when there are no more resources (firefighters and equipment) on the ground putting out the fire. However, this definition was not documented in the Forest Service\u2019s manuals and handbooks in the Directive System. Based on our review of documentation that the Forest Service provided for four fire incidents, we found that for these incidents the Cost Settlement Packages and the billings took several months to years to complete after the fire incident. According to Forest Service officials, delays in preparing the Cost Settlement Package in many cases were due to parties involved in suppressing the fires taking a long time to submit their invoices to the Forest Service for payment. Because the preparation of Cost Settlement Packages was not included in the process documents, the Forest Service did not have a defined time frame for when, in relation to the end of the fire, the Cost Settlement Package must be completed. For example, in one case we reviewed, the bill for a cost settlement was sent 9 months after the fire occurred, and in another case, settlement occurred approximately 2 years after the fire occurred. For both fire incidents, based on the reports we reviewed, the fires were contained within a week or two, but the Forest Service does not have a policy for documenting the date when the fire incident is deemed to have ended.", "Because of the complexity of the process for negotiating and determining the reimbursable amounts from all the costs that the Forest Service pays for a fire incident, the reimbursable amounts may take time to negotiate, and subsequent billing to and collection from parties may take much longer. Forest Service officials stated that some receivables that were not going to be collected until after its financial system\u2019s aging process for receivables deemed such receivables uncollectible and a bad debt are tracked in a spreadsheet outside its financial system. We found that the Forest Service did not have a documented process and related control activities to reasonably assure that its Budget Office was informed of these older receivables being tracked in a spreadsheet and the related progress of collection activities that local program managers and line officers perform, which could affect the reliability of the reported reimbursable receivable amounts.", "According to Standards for Internal Control in the Federal Government, management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. Without proper communication, important information, such as amounts that the Forest Service will receive from fire incident cost settlement negotiations, may not be considered in the Forest Service\u2019s strategy for the effective and efficient management of fund transfers for fire suppression activities."], "subsections": []}, {"section_title": "Forest Service Manuals and Handbooks for RACAs Did Not Adequately Describe the Processes and Related Control Activities and Were Not Timely Reviewed", "paragraphs": ["Processes and related control activities applicable to RACAs were not adequately described in Forest Service manuals and handbooks in its Directive System. RACAs, which may be for research or other nonemergency purposes, are billed and collected based on previously agreed upon billing and collection terms. In accordance with the Forest Service\u2019s Directive System, policies related to business processes, such as RACAs, are documented in its manuals while procedures for performing specialized activities are documented in its handbooks. We found that the manuals and handbooks in the Directive System did not adequately describe the processes and related control activities over the RACA processes to enable efficient and effective performance of the work by appropriate and responsible personnel. The manuals and handbooks related to RACAs state that a manager review the documentation to ensure that the funding supports the objective of the agreement, the agreement is the correct instrument for funding the project, all relevant terms and conditions have been included in the agreement, the entity\u2019s financial strength and capability are acceptable, and all applicable regulations and OMB circulars have been addressed. However, there was no discussion in the manuals and handbooks about when the manager needs to perform the reviews and how these reviews were to be documented. Further, in response to our inquiry regarding procedures performed to assess the entity\u2019s financial strength and capability are acceptable before a RACA is signed, Forest Service officials stated that there is currently no formal process for determining financial capability for RACAs. For reimbursable agreements, the Forest Service\u2019s process documented in its handbook consisted of completing a creditworthiness checklist. However, the handbook did not describe procedures for (1) completing the checklist and (2) documenting responsible personnel\u2019s review and approval of an entity\u2019s acceptable financial capability.", "Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Management\u2019s design of internal control establishes and communicates the who, what, when, where, and why of internal control execution to personnel. Documentation also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel. Further, the standards also explain that management clearly document internal control in a manner that allows the documentation to be readily available and properly managed and maintained.", "In addition, the manuals and handbooks applicable to the RACAs have not been timely reviewed by management, and had not been updated to reflect current processes. For example, the document that serves as direction for Forest Service personnel on how to enter into RACAs referred to an outdated financial system that was replaced in fiscal year 2013. Further, the manuals and handbooks for the RACA processes had no indication that they had been reviewed within the past 5 years. Forest Service policy requires routine review, every 5 years, of policies and procedures in its Directive System. According to Forest Service officials, a staff member from ORMS sends an e-mail to officials responsible for updating these policies and procedures. However, appropriate control activities have not been designed to reasonably assure that updates were made, reviewed, approved, and issued as needed for continued relevance and effectiveness.", "Without adequate descriptions of processes and related control activities in its manuals and handbooks over RACAs, the Forest Service is at risk that processes and related control activities may not be properly, consistently, and timely performed. Further, because it lacks a process and related controls for monitoring and reviewing the updates of the guidance and various process documents in the Directive System, the Forest Service is at risk that its policies and procedures may not provide appropriate agency-wide direction in achieving control objectives, particularly when financial systems change and old processes may no longer be applicable."], "subsections": []}, {"section_title": "Forest Service Standard Operating Procedures and Desk Guides for RACA Processes Were Not in the Directive System and Lacked Sufficient Details", "paragraphs": ["SOPs and desk guides related to RACA processes were not in the Directive System and are not considered official Forest Service policy and procedures. Forest Service field staff responsible for various processes generally developed SOPs and desk guides to document day-to-day procedures for employees in carrying out RACA processes to supplement the manuals and handbooks. However, the SOPs and desk guides did not reference the applicable manuals and handbooks they supplemented. Further, the SOPs and desk guides did not provide descriptions of (1) review procedures for authorization, completeness, and validity of RACAs and related receivables; (2) detailed review procedures to be performed and by whom; (3) timing of review procedures; and (4) how to document the completion of the review procedures. Finally, SOPs and desk guides did not have evidence that responsible officials reviewed and approved them to authorize their use. These SOPs and desk guides are only available in the field office where these were developed, and if similar SOPs and desk guides were developed in other field offices, control activities and how they are performed could vary. We also noted that these SOPs and desk guides were not timely updated to reflect processes and systems currently in use. For example, there were many instances where the SOPs and desk guides referred to systems that the Forest Service no longer used.", "Standards for Internal Control in the Federal Government states that management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. Effective documentation assists in management\u2019s design of internal control by establishing and communicating the who, what, when, where, and why of internal control execution to personnel. Documentation also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel and to achieve the entity\u2019s objectives. Management assigns responsibility and delegates authority to key roles throughout the entity.", "As a result of the issues discussed above, the Forest Service is at risk that control activities may not be properly and consistently performed and its related control objectives may not be achieved efficiently and effectively. In addition, the Forest Service is at risk that knowledge for performing the control activities may be limited to a few personnel or lost altogether in the event of employee turnover."], "subsections": []}, {"section_title": "Forest Service Lacked Adequate Segregation of Duties over Reimbursable Agreements", "paragraphs": ["The Forest Service lacked control activities over the segregation of incompatible duties performed by line officers and program managers for reimbursable agreements and any adjustments affecting the final disposition of related receivables. Field offices manage the majority of Forest Service projects, including authorizing the agreements and monitoring related collection. The Forest Service line officer for fire incident cooperative agreements and program managers for RACA at the RSA, unit, or field levels initiate and develop the terms of the agreements and are also responsible for any subsequent negotiation of the agreements. In the process of negotiating and settling costs, the line officer or program manager has the authority to cancel or change related receivables that they deemed uncollectible. For example, in a fire incident, the line officer at the region or field level is involved in both developing a Cost Share Agreement and after the fire incident has ended, negotiating the Cost Settlement Package with parties involved in the agreement to determine the final settlement amount that the Forest Service will be reimbursed for expenses paid in suppressing the fire incident. Therefore, the line officer is responsible for initiating the Cost Share Agreement, modifying the Cost Settlement Package, and changing or canceling the related receivable, which represent conflicting duties. We also found that the Forest Service did not have any mitigating controls, such as independent approval of any adjustments affecting the final disposition of receivables, to mitigate the risk of these incompatible duties.", "Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Segregation of duties contributes to the design, implementation, and operating effectiveness of control activities. To achieve segregation of key functions, management can divide responsibilities among different people to reduce the risk of error, misuse, or fraud. This may include separating the responsibilities for authorizing or approving transactions, processing and recording them, and reviewing the transactions so that no one individual controls all key aspects of a transaction or event.", "Forest Service officials stated they did not consider segregating the conflicting duties related to reimbursable agreements because these line officers and program managers were most familiar with the terms of the agreement and the activities performed. However, a lack of adequate segregation of conflicting duties or proper monitoring and review of conflicting duties for receivables from reimbursable agreements could result in receivables not being collected, and an increased risk of fraud."], "subsections": []}]}, {"section_title": "Forest Service Did Not Have Properly Designed Processes and Related Control Activities for Reviewing Unliquidated Obligations", "paragraphs": ["The Forest Service\u2019s processes and related control activities over review of unliquidated obligations were not properly designed to reasonably assure optimum utilization of funds and were inconsistent with USDA and Forest Service policy. Further, Forest Service manuals and handbooks related to the review of unliquidated obligations did not clearly describe control activities and were not timely reviewed by management. The Forest Service reported unliquidated obligations of approximately $2.6 billion and $2.5 billion in its financial statements as of September 30, 2015, and 2016, respectively. In fiscal year 2016, the Forest Service deobligated about $319 million of its unliquidated obligations from prior years."], "subsections": [{"section_title": "Forest Service Processes and Control Activities for Review and Certification of Unliquidated Obligations Were Not Properly Designed", "paragraphs": ["The Forest Service\u2019s procedures related to the review of unliquidated obligations were not properly designed and were inconsistent with USDA and Forest Service policy. In accordance with USDA Departmental Regulation (Regulation 2230-001) and related Forest Service policy, the Forest Service identifies and reviews unliquidated obligations that have been inactive for at least 12 months to determine whether delivery or performance of goods or services is still expected to occur. Once a determination has been made that an unliquidated obligation can be deobligated, program or procurement personnel are to notify finance personnel, in writing, within 5 days of the determination to process the deobligation. Within 15 days of receipt of the written notification, the unliquidated obligations are to be adjusted in the financial management system. The Forest Service CFO is then to be notified in writing that the deobligation was processed. Within 1 month of the close of each quarter, the Forest Service CFO is to submit to USDA\u2019s Associate CFO for Financial Operations a certification stating that the Forest Service has performed reviews of its unliquidated obligations and taken appropriate actions, such as promptly deobligating an unliquidated obligation that is no longer needed. However, the Forest Service\u2019s quarterly certifications are inconsistent with USDA and Forest Service policy because the months included in each quarterly review do not line up with the months outlined in policy. For example, as shown in table 1, based on policy the certification due on October 31, covers the months July through September. However in practice, the certification that the Forest Service prepared for October 31 covers May through July. As a result, the review and certification for August and September would be delayed an entire quarter.", "According to Forest Service officials, it takes considerable time to produce accurate unliquidated obligations reports from USDA\u2019s financial system and then distribute them to field offices. Therefore, there is not sufficient time for the field offices to review and deobligate amounts not needed from the unliquidated obligations balances to meet USDA\u2019s certification timing and requirements. However, the Forest Service has not developed other processes and control activities that could help meet USDA and Forest Service policy and reasonably assure that unliquidated obligations are reviewed timely and appropriate actions are taken. As a result, there is an increased risk that the Forest Service may not achieve its control objectives of optimum utilization of funds and timely adjustments of obligated balances."], "subsections": []}, {"section_title": "Forest Service Processes and Control Activities for Reviewing Unliquidated Obligations in Manuals and Handbooks Were Not Adequately Described and Timely Reviewed", "paragraphs": ["The Forest Service\u2019s process and related control activities over its review of unliquidated obligations and resulting certifications were not adequately described in manuals and handbooks in its Directive System. Further, the manuals and handbooks were not timely reviewed and updated to reflect processes and systems currently in use.", "In accordance with the Forest Service\u2019s Directive System, policies are documented in its manuals while procedures for performing specialized activities are documented in its handbooks. However, we found that the Forest Service\u2019s processes and related control activities for reviewing unliquidated obligations were not adequately described and documented in such manuals and handbooks. Although parts of the applicable section of the handbook referred to procedures, there were no detailed descriptions of the processes, and only references to objectives of the procedures for reviewing unliquidated obligations were listed. For example, in identifying unliquidated obligations for review, the narrative description of the procedures in the handbook states that the responsible obligating official must review each selected unliquidated obligation to determine whether (1) delivery or performance of goods or services has occurred or is expected to occur and (2) accounting corrections to the obligation data in the accounting system are necessary. The handbook also refers to an unliquidated obligations report listing the unliquidated obligations that must be reviewed. The narrative does not provide any detailed procedures that obligating officials or responsible personnel need to perform, how to perform those procedures, and how those control activities are to be documented. The guidance in the handbook was supplemented by two desk guides. However, the desk guides are outside the Forest Service\u2019s Directive System and, as previously noted, the Directive System is the only place where the Forest Service\u2019s policy and procedures are issued. In addition, these desk guides did not reference the applicable guidance in the Directive System that they were supplementing. Further, the process and related control activities for adjusting unliquidated obligations within 15 days of receipt of written notification, as stated in USDA\u2019s policy, were not described in either the handbooks or the desk guides.", "Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks to achieve an effective internal control system. Management\u2019s design of internal control establishes and communicates the who, what, when, where, and why of internal control execution to personnel. Documentation also provides a means to retain organizational knowledge and mitigate the risk of having that knowledge limited to a few personnel. Further, the standards also explain that management clearly document internal control in a manner that allows documentation to be readily available and that documentation be properly managed and maintained.", "In addition, manuals and handbooks for processes related to review and certification of unliquidated obligations had no evidence that they had been reviewed within the past 5 years for ongoing relevance and effectiveness. According to a Forest Service manual, all service-wide directives, except interim directives, shall be reviewed at least once every 5 years. The Forest Service does not have an effective process in place to monitor the reviews and any updates of the manuals and handbooks in its Directive System. As previously discussed, while ORMS sends an e- mail requesting that the applicable officials review and update the guidance in the manuals and handbooks, there is no follow-up process to help ensure that documents were reviewed and updated as needed.", "Because the Forest Service\u2019s process and related control activities over its review and certification of unliquidated obligations were not adequately described in its manuals and handbooks, the Forest Service is at risk that its control activities may not reasonably assure that control objectives provide (1) optimum utilization of funds and (2) for unliquidated obligations that are no longer needed to be efficiently and effectively deobligated and made available for other program needs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Adequate processes and related control activities over the Forest Service\u2019s budgetary resources are critical in reasonably assuring that these resources are timely and effectively available for its mission operations, including fire suppression. However, we identified deficiencies in the Forest Service\u2019s processes and related controls over allotments, unobligated no-year funds from prior years, administrative control of funds, fund transfers, reimbursable agreements, and available funds from deobligation of unliquidated obligations. Deficiencies ranged from a lack of processes to control activities that were not properly designed, resulting in an increased risk that Forest Service funds may not be effectively and efficiently monitored and used. In addition, the Forest Service\u2019s manuals and handbooks, which provide the directives for the areas we reviewed, had not been reviewed by management in accordance with the Forest Service\u2019s 5-year review policy. Further, Forest Service staff prepared SOPs and desk guides that documented control activities, but they were not issued as official policy and had not been reviewed and approved by responsible officials. As a result, the Forest Service is at increased risk that the control activities may not be consistently performed across the agency and that the guidance in the SOPs and desk guides may not comply with agency policy in the Directive System."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To improve internal controls over the Forest Service\u2019s budget execution processes, we are making the following 11 recommendations: The Chief of the Forest Service should (1) revise its process and (2) design, document, and implement related control activities to reasonably assure that amounts designated in appropriations acts for specific purposes are properly used for the purposes specifically designated. (Recommendation 1)", "The Chief of the Forest Service should (1) develop a process and (2) design, document, and implement related control activities to reasonably assure that unobligated no-year funds from prior years are reviewed for continuing need. (Recommendation 2)", "The Chief of the Forest Service should (1) design, document, and implement a comprehensive system for administrative control of funds and (2) submit it for review and approval by USDA before issuance, as required by the USDA Budget Manual. (Recommendation 3)", "The Chief of the Forest Service should design, document, and implement control activities over the preparation and approval of a fire suppression fund transfers strategy, to specify all appropriate factors to be considered in developing and documenting the strategy, and incorporate these control activities into the Directive System. (Recommendation 4)", "The Chief of the Forest Service should design, document, and implement processes and related control activities for its fire incident cooperative agreements to reasonably assure efficient and effective operations and timely and reliable reporting of reimbursable receivables related to fire incident cooperative agreements, and incorporate them in the Directive System. (Recommendation 5)", "The Chief of the Forest Service should update the RACA manuals and handbooks to adequately describe the processes and related control activities applicable to RACAs to reasonably assure that staff will know (1) how and when to perform processes and control activities and (2) how to document their performance. (Recommendation 6)", "The Chief of the Forest Service should design, document, and implement segregation of duties or mitigating control activities over reimbursable agreements and any adjustments affecting the final disposition of related receivables. (Recommendation 7)", "The Chief of the Forest Service should modify, document, and implement control activities consistent with USDA and Forest Service policy to reasonably assure that unliquidated obligations are reviewed timely and appropriate actions are taken. (Recommendation 8)", "The Chief of the Forest Service should adequately describe the processes and related control activities for unliquidated obligations review and certification processes in manuals and handbooks within the Directive System. (Recommendation 9)", "The Chief of the Forest Service should develop, document, and implement a process and related control activities to reasonably assure that manuals and handbooks for allotments, reimbursable agreements, and review of unliquidated obligations are reviewed and updated every 5 years, consistent with Forest Service policy. (Recommendation 10)", "The Chief of the Forest Service should develop, document, and implement a process and related control activities to reasonably assure that SOPs and desk guides (1) clearly refer to guidance in the Directive System for allotments, reimbursable agreements, and review of unliquidated obligations and (2) are reviewed and approved by responsible officials prior to use. (Recommendation 11)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USDA for comment. In its comments, reproduced in appendix III, the Forest Service stated that it generally agreed with the report and that it has made significant progress to address the report\u2019s findings. Specifically, the Forest Service stated that its financial policies concerning budget execution have been revised to address our concerns with allotments, unliquidated obligations, commitments, and administrative control of funds as prescribed by OMB Circular No. A-11. Further, the Forest Service stated that it has undertaken an in-depth review of its unliquidated obligations and modified the certification process to comply with the USDA requirement.", "We are sending copies of this report to the appropriate congressional committees and to the Secretary of Agriculture and the Chief of the Forest Service. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-9869 or khana@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the extent to which the Forest Service properly designed control activities over (1) allotments of budgetary resources, its system for administrative control of funds, and any fund transfers between Forest Service appropriations; (2) reimbursables and related collections; and (3) unliquidated obligations.", "We reviewed the Forest Service\u2019s process documents and control activities, policies and procedures from its manual and handbooks in its Directive System, and other guidance in the form of standard operating procedures (SOP) and desk guides to obtain an understanding of internal controls at the Forest Service related to our three objectives. We reviewed the control activities that the Forest Service identified to determine whether the activities would achieve the control objectives that the service identified and whether the activities were consistent with Standards for Internal Control in the Federal Government. We also reviewed recent relevant GAO and U.S. Department of Agriculture (USDA) Office of Inspector General reports to obtain background information related to the Forest Service\u2019s budget execution processes. We evaluated the design of the Forest Service\u2019s control activities based on data for fiscal year 2016.", "To address our first objective, we reviewed Forest Service process documents related to allotments and budget authority to obtain an understanding of control activities over the allotments of budgetary resources, its system for administrative control of funds, and any related fund transfers between Forest Service appropriations. The process documents included a list of control objectives and related control activities that the Forest Service had used to assess its internal controls. We also reviewed the related guidance in appendix H to Office of Management and Budget Circular No. A-11, Preparation, Submission, and Execution of the Budget for Administrative Control of Funds, to identify requirements that agencies must meet to ascertain whether their controls over funds management are properly designed. We interviewed key officials from the Forest Service\u2019s Strategic Planning, Budget and Accountability Office to gain an understanding of their processes for allotments of budgetary resources, its system for administrative control of funds, and fund transfers between Forest Service appropriations for wildland fire suppression activities, including how each of their risk assessments were performed and their plans to mitigate the risks. We reviewed and analyzed the processes documented in the manuals and handbooks collectively referred to as directives to determine whether the processes and control activities were designed to achieve the Forest Service\u2019s stated objectives. Specifically, we examined the Forest Service\u2019s control activities to determine whether these sufficiently communicated the procedures to be performed and the documentation to be prepared. We also reviewed USDA Budget Manual to determine whether Forest Service guidance was consistent with USDA\u2019s requirements for all of its component agencies, specifically requirements related to the administrative control of funds.", "To address our second objective, we reviewed the Forest Service\u2019s policies, procedures, and other documentation and interviewed agency officials to develop an understanding of its processes related to reimbursable agreements and related collection activities. We first identified, through interviews with Forest Service officials, the different kinds of reimbursable agreements that the Forest Service enters into with other USDA components, other federal agencies, state and local government agencies, and nongovernment entities to carry out its mission for the benefit of the public. Two distinct types of reimbursable agreements include (1) fire incident cooperative agreements and (2) reimbursable and advanced collection agreements. We reviewed Forest Service process documents and templates related to these two types of reimbursable agreements provided to obtain an understanding of control activities over reimbursable processes. We reviewed the list of control objectives and related control activities that the Forest Service identified to determine whether the control activities were designed to achieve the applicable control objectives.", "To address our third objective, we reviewed the Forest Service\u2019s policies, procedures, and other documentation related to and interviewed agency officials about unliquidated obligations to develop an understanding of the Forest Service\u2019s review and certification processes for unliquidated obligations balances. We reviewed the Forest Service\u2019s control activities related to its process for reviewing unliquidated obligations to obtain an understanding of control activities around its process and to determine whether the control activities were designed to achieve the applicable control objectives.", "Based on the results of our evaluation of the Forest Service\u2019s design of internal control activities over the budget execution processes, we did not evaluate the implementation of the control activities or whether they were operating as designed.", "While our audit objectives focused on certain control activities related to (1) allotments of budgetary resources, the Forest Service\u2019s system for administrative control of funds, and related fund transfers; (2) reimbursables and related collections for reimbursable agreements; and (3) unliquidated obligations, we did not evaluate all control activities and other components of internal control. If we had done so, additional deficiencies may or may not have been identified that could impair the effectiveness of the control activities evaluated as part of this audit.", "We conducted this performance audit from August 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Standards for Internal Control in the Federal Government", "paragraphs": ["Standards for Internal Control in the Federal Government provides the overall framework for establishing and maintaining internal control. Internal control represents an agency\u2019s plans, methods, policies, and procedures used to fulfill its mission, strategic plan, goals, and objectives. Internal control is a process by an entity\u2019s oversight body, management, and other personnel to provide reasonable assurance that the objectives of the entity will be achieved. When properly designed, implemented, and operating effectively, it provides reasonable assurance that the following objectives are achieved: (1) effectiveness and efficiency of operations, (2) reliability of internal and external reporting, and (3) compliance with applicable laws and regulations. Internal control is not one event, but a series of actions that occur throughout an entity\u2019s operations. The five components of internal control are as follows:", "Control Environment - The foundation for an internal control system that provides the discipline and structure to help an entity achieve its objectives.", "Risk Assessment - Assesses the risks facing the entity as it seeks to achieve its objectives and provides the basis for developing appropriate risk responses.", "Control Activities - The actions management establishes through policies and procedures to achieve objectives and respond to risks in the internal control system, which includes the entity\u2019s information system.", "Information and Communication - The quality information management and personnel communicate and use to support the internal control system.", "Monitoring - Activities management establishes and operates to assess the quality of performance over time and promptly resolve the findings of audits and other reviews.", "An effective internal control system has each of the five components of internal control effectively designed, implemented, and operating with the components operating together in an integrated manner. In this audit, we assessed the design of control activities at the Forest Service related to its (1) allotments of budgetary resources and any related fund transfers between Forest Service appropriations, (2) reimbursables and related collections, and (3) review of unliquidated obligations."], "subsections": []}, {"section_title": "Appendix III: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made key contributions to this report: Roger Stoltz (Assistant Director), Meafelia P. Gusukuma (Auditor-in-Charge), Tulsi Bhojwani, Cory Mazer, Sabrina Rivera, and Randy Voorhees."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-268", "url": "https://www.gao.gov/products/GAO-18-268", "title": "U.S. Ports of Entry: CBP Public-Private Partnership Programs Have Benefits, but CBP Could Strengthen Evaluation Efforts", "published_date": "2018-03-15T00:00:00", "released_date": "2018-03-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["International trade and travel to the United States is increasing. On a typical day in fiscal year 2016, CBP officers inspected nearly 1.1 million passengers and pedestrians and over 74,000 truck, rail, and sea containers at 328 U.S. land, sea, and air ports of entry, according to CBP. To help meet the increased demand for these types of CBP services, since 2013, CBP has entered into public-private partnerships under RSP and DAP. The RSP allows partners to reimburse CBP for providing services that exceed CBP's normal operations, such as paying overtime for CBP personnel that provide services at ports of entry outside normal business hours. The DAP enables partners to donate property or provide funding for port of entry infrastructure improvements.", "The Cross-Border Trade Enhancement Act of 2016 included a provision for GAO to review the RSP and DAP. This report examines: (1) how CBP approves and administers RSP and DAP agreements, (2) the status of RSP and DAP agreements, including the purposes for which CBP has used funds and donations, and (3) the extent to which CBP monitors and evaluates program implementation. GAO reviewed partnership agreements and data on program usage. GAO also interviewed CBP and partner officials at 11 ports of entry selected based on a mix of port of entry and agreement types."]}, {"section_title": "What GAO Found", "paragraphs": ["Within the Department of Homeland Security, U.S. Customs and Border Protection (CBP) uses criteria and follows documented procedures to evaluate and approve public-private partnership applications and administer the Reimbursable Services Program (RSP) and Donations Acceptance Program (DAP). For example, RSP applications undergo an initial review by CBP officials at the affected ports of entry before they are scored by an expert panel of CBP officials at headquarters. The panel evaluates RSP applications against seven criteria, such as impact on CBP operations. Similarly, DAP proposals are evaluated by CBP officials against seven operational and six technical criteria, such as real estate implications. Further, if the proposal involves real estate controlled by the General Services Administration (GSA), CBP and GSA officials collaborate on DAP selection decisions and project implementation. To administer the RSP and DAP, CBP has documented policies and procedures, such as standard operating procedures and implementation frameworks. For example, CBP uses a standard procedure to guide the process for RSP partners to request services and to provide reimbursement. For DAP projects, CBP, GSA (if applicable), and partners follow an implementation framework that includes a project planning and design phase.", "The number of public-private partnerships is increasing, and partnerships provide a variety of additional services and infrastructure improvements at ports of entry. From fiscal years 2013 through 2017, CBP selected over 100 partners for RSP agreements that could impact 112 ports of entry and other CBP-staffed locations, and the total number of RSP partnerships doubled from fiscal year 2016 to 2017. According to CBP, since partners began requesting reimbursable services in 2014, CBP has provided its partners nearly 370,000 officer overtime hours of services, which led to over $45 million in reimbursed funds. As a result, CBP inspected an additional 8 million travelers and over 1 million personal and commercial vehicles at ports of entry. Similar to the RSP, the number of DAP partnerships more than doubled from fiscal year 2016 to 2017, and totals 16 projects that impact 13 ports of entry as of November 2017. The donations include improvements, such as the installation of new inspection booths and equipment and removal of traffic medians, and are intended to support over $150 million in infrastructure improvements.", "CBP uses various processes to monitor and evaluate its partnerships, but could benefit from establishing an evaluation plan to assess overall program performance. For example, CBP conducts regular audits of RSP records to help ensure that CBP bills and collects funds from its partners accurately, and uses guidance, such as the DAP Implementation Roadmap, to identify and monitor project milestones and tasks. However, as of November 2017, CBP had not developed an evaluation plan\u2014which could include, among other things, measurable objectives, performance criteria, and data collection plans\u2014to assess the overall performance of the RSP and DAP, consistent with Office of Management and Budget guidance and leading practices. Given CBP's staffing challenges and anticipated growth of the RSP and DAP, an evaluation plan could better position CBP to further integrate evaluation activities into program management."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CBP develop an evaluation plan to assess the overall performance of the RSP and DAP. DHS concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["On a typical day in fiscal year 2016, nearly 1.1 million passengers and pedestrians and over 74,000 truck, rail, and sea containers worth approximately $6.3 billion entered the United States through 328 U.S. land, sea, and air ports of entry (POE), according to U.S. Customs and Border Protection (CBP). Within the Department of Homeland Security (DHS), CBP is the lead federal agency charged with a dual mission of keeping terrorists and their weapons, criminals and their contraband, and inadmissible aliens out of the country while facilitating the flow of legitimate international travel and trade through the nation\u2019s POEs. CBP\u2019s Office of Field Operations is responsible for enforcing passenger and cargo processing activities related to security, trade, immigration, and agricultural inspection at the nation\u2019s POEs. In April 2016, the CBP Human Resources Management Assistant Commissioner and Office of Field Operations Deputy Assistant Commissioner testified before Congress that the agency continues to face significant challenges in meeting its staffing goals due to hiring and retention challenges; meanwhile, the amount of international travel and trade to the United States continues to increase. For example, from fiscal years 2014 to 2016, the number of international travelers entering the United States increased about 4 percent, and the number of cargo containers entering the country increased about 6 percent. Further, in 2015, CBP conducted a study on its POEs that identified the need for $5 billion to meet its infrastructure and technology requirements.", "Since 2013, CBP has entered into public-private partnerships with stakeholders, such as port authorities or local municipalities that own or manage the ports or private companies that conduct business through the ports, under its Reimbursable Services Program (RSP) to cover CBP\u2019s cost of providing certain services at POEs. Such services include those supporting customs, agricultural processing, border security, or immigration inspection matters. For example, the RSP enables entities to pay the overtime costs of CBP personnel who may provide such services outside normal business hours. A second public-private partnership program\u2014the Donations Acceptance Program (DAP)\u2014enables entities, such as local municipalities, to donate personal or real property, nonpersonal services, or provide funding related to land acquisition, design, construction, repair or alteration, and operations and maintenance to CBP and the General Services Administration (GSA) at POEs. The Office of Field Operations\u2019 Alternative Funding Programs (AFP) office manages and oversees both programs at the headquarters level for CBP. GSA\u2019s Public Building Services office manages and oversees the DAP at the headquarters level for GSA.", "The Cross-Border Trade Enhancement Act of 2016 included a provision for GAO to review the agreements and funds and donations that CBP and GSA have received under the RSP and DAP. This report examines: (1) how CBP approves and administers public-private partnership agreements under its RSP and DAP, (2) the status of RSP and DAP agreements, including the purposes for which CBP has used the funds and donations from these agreements, and (3) the extent to which CBP has processes in place to monitor and evaluate the implementation of these programs.", "To examine how CBP approves and administers public-private partnership agreements under its RSP and DAP, we collected and reviewed CBP\u2019s criteria for evaluating and approving applications and standard operating procedures, as well as policy documents for administering the RSP and DAP. We attended an RSP application evaluation review panel in September 2017 to observe how CBP officials deliberate the merits of RSP applications and apply RSP selection criteria. We also attended an AFP office visit to the Baltimore Field Office in October 2017 where we observed AFP officials train local CBP officials and meet with new partner officials. We also interviewed CBP and partner officials at 11 POEs\u2014to reflect a range of POE types (land, air, and sea), type of partnerships, and geographic diversity\u2014and conducted site visits at 10 of these POEs to observe local operations. We used a non- probability sample for our site visit selections and thus cannot generalize our findings to all POEs with an RSP or DAP agreement; however, the site visits provided insight into how these agreements are working at the POEs. We also interviewed CBP and GSA officials at headquarters to learn about how headquarters officials administer the programs.", "To examine the status of RSP and DAP agreements, including the purposes for which CBP uses funds and donations from these agreements, we collected and analyzed all Reimbursable Services Agreements, Donations Acceptance Agreements, and Memoranda of Understanding (MOU) for both the RSP and DAP from fiscal year 2013 through 2017. As mentioned above, we interviewed CBP, GSA, and partner officials at 11 POEs and conducted site visits at 10 of these POEs to observe local operations and gain insights on how CBP is administering the programs at the POEs. We also interviewed CBP officials at headquarters, GSA officials at headquarters and in regional offices, and officials from four travel and trade industry associations selected based on the nature of the associations to gain insights on public-private partnerships agreements. We collected and analyzed data on the actual use of RSP agreements, such as the number of travelers processed and cargo containers inspected since the program started, as well as the amount that partners have reimbursed CBP through each agreement. We reviewed existing information about the data and the system that produced them and interviewed agency officials knowledgeable about the data. We determined that these data were sufficiently reliable for the purposes of our reporting objectives.", "To examine the extent to which CBP has processes in place to monitor and evaluate the implementation of these agreements, we collected and reviewed CBP\u2019s documentation for evaluating the programs, including standard operating procedures, among other documents. We collected and analyzed a selection of work ticket and billing data for the RSP from fiscal years 2014 through 2017. We assessed the reliability of these data by performing electronic testing for obvious errors in accuracy and completeness, reviewing existing information about the data and the system that produced them, and interviewing agency officials knowledgeable about the data. We determined that the data were sufficiently reliable for the purposes of this report. In October 2017 we also received demonstrations on the systems that CBP uses to document and audit work ticket and billing data. We interviewed officials at CBP and GSA headquarters to gain insights on how the agencies use qualitative information to monitor program performance and share best practices. We assessed whether CBP\u2019s efforts were consistent with Office of Management and Budget guidance for making program expansion decisions and leading practices for program evaluation from the American Evaluation Association.", "We conducted this performance audit from March 2017 to March 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "CBP Staffing and Infrastructure", "paragraphs": ["In fiscal year 2017, approximately 24,000 CBP officers performed a variety of functions at over 300 air, land, and sea POEs, including inspecting travelers and cargo containers, among other activities. According to CBP, increases in passenger and cargo volumes are outpacing CBP\u2019s staffing resources, resulting in increased passenger wait times and cargo backups, among other things. For example, in fiscal year 2017, CBP identified a need for an additional 2,516 CBP officers across all POEs. Further, as of 2017, CBP estimated that it needed approximately $5 billion to meet infrastructure and technology requirements at about 167 land POEs. To help identify and mitigate resource challenges, CBP developed its Resource Optimization Strategy, an integrated, long-term plan to improve operations at all POEs. The Strategy consists of three components:", "Business transformation: utilize new technology, such as Automated Passport Control kiosks, or new processes, such as trusted traveler programs, to increase CBP operational efficiencies;", "Workload Staffing Model: utilize modeling techniques to help ensure that existing staffing resources are appropriately aligned with threat environments while maximizing cost efficiencies; and", "Alternative funding strategies: utilize public-private partnership agreements, such as RSP and DAP, to supplement regular appropriated resources."], "subsections": []}, {"section_title": "Overview and Evolution of the RSP", "paragraphs": ["The RSP enables partnerships between CBP and private sector or government entities, allowing CBP to provide new or additional services upon the request of partners. These services can include customs, immigration, or agricultural processing; border security and support at any facility where CBP provides, or will provide, services; and may cover costs such as salaries, benefits, overtime expenses, administration, and transportation costs. According to authorizing legislation, RSP agreements are subject to certain limitations, including that they may not unduly and permanently impact existing services funded by an appropriations act or fee collection. According to AFP officials, the purpose of the RSP is to provide new or additional CBP services at POEs that the component would otherwise not have been able to provide. From 2013 to 2017, the number of RSP agreements has increased as new authorizing legislation has expanded participant eligibility and made the program permanent. Table 1 below outlines the evolution of RSP through its different legislative authorities."], "subsections": []}, {"section_title": "Overview and Evolution of the DAP", "paragraphs": ["The DAP permits CBP and GSA to accept donations from private and public sector entities, such as private or municipally-owned seaports or land border crossings. Donations may include real property, personal property, money, and non-personal services, such as design and construction services. Donated resources may include improvements to existing facilities, new facilities, equipment and technology, and operations and maintenance costs, among other things. In terms of the types of locations that may accept donations, donations may be used for activities related to land acquisition, design, construction, repair, alteration, operations, and maintenance, including installation or deployment of furniture, fixtures, equipment or technology, at an existing CBP-owned land POE; a new or existing space at a CBP air or sea POE; or a new or existing GSA-owned land POE. CBP and GSA may not accept donations at a leased land POE, nor is CBP able to accept a donation at or for a new land POE if the combined fair market value of the POE and donation exceeds $50 million. Additionally, CBP may not use monetary donations accepted under the DAP to pay salaries of CBP employees performing inspection services. Finally, CBP may not accept donations on foreign soil. Table 2 below depicts the evolution of DAP authorizing legislation since the program\u2019s inception in 2014.", "Figures 1 and 2 depict the location and number of RSP and DAP agreements in place through fiscal year 2017."], "subsections": []}]}, {"section_title": "CBP Uses Criteria and Documented Procedures to Evaluate and Approve Public-Private Partnership Applications and Administer Programs", "paragraphs": [], "subsections": [{"section_title": "CBP Uses Criteria and Procedures to Approve Public-Private Partnership Applications and Coordinate with Partners", "paragraphs": [], "subsections": [{"section_title": "RSP Application Process", "paragraphs": ["CBP has developed detailed guidance on the RSP application process, including application timeframes, requirements, and evaluation criteria, and this guidance is on CBP\u2019s website. According to this guidance, in 2017, CBP expanded the RSP application submission period. Whereas in prior years applications were accepted during a single one-month window, prospective partners may now submit applications throughout the year. Under this new process, CBP evaluates submissions three times per year\u2014beginning in March, July, and November. According to CBP, the submission period was expanded in part because new legislative authorities removed previous restrictions on the number of RSP agreements CBP can enter into each year. The overarching RSP application process\u2014from application submission through CBP evaluation and applicant notification\u2014is depicted in figure 3.", "According to CBP\u2019s procedures for accepting and reviewing applications, potential partners first submit a letter of application that includes a variety of logistical information concerning the stakeholders, services to be requested, location of services to be requested, available facilities, and funding. For example, in submitting a letter of application, an applicant is to estimate how many hours of services it may request per month and identify the applicant\u2019s available budget for the first fiscal year of the partnership, among other things. According to the application guidance, prospective applicants are encouraged to work with local CBP officials at individual POEs to develop letters of application. After submission, CBP officials at the affected POEs, including affected CBP Field Offices, review applications and communicate their findings and recommendations to the AFP office. In addition, the CBP Office of Chief Counsel reviews the applications for legal sufficiency and may suggest that CBP request additional information from applicants.", "Next, CBP convenes an expert panel consisting of two senior CBP officials who are not part of the AFP office to consider POE and legal comments on the applications, among other information provided by AFP officials. The panel deliberates and scores each proposal based on seven criteria, and all proposals that achieve a certain minimum score are accepted. The seven evaluation criteria used to weigh the merits of potential new partnership agreements are listed in table 3.", "The scoring scale ranges from -5 to 5, and the 7 criteria are weighted based on potential impact. For example, impact to CBP operations is weighted more heavily than other agency support. In September 2017, we observed an RSP application review panel. Among other things, we observed senior CBP officials, who were independent from the AFP office, score 31 RSP applications that impacted 46 CBP Field Office locations. The panel members based their deliberations on set criteria and reached consensus on which applications to approve. Finally, Congress and approved partners are notified of the selections. Where CBP denies a proposal for an agreement, it is to provide the reason for denial unless such reason is law enforcement sensitive or withholding the reason for denial is in the national security interests of the United States.", "Once CBP approves an application, CBP and its prospective new partners follow documented procedures to formalize the agreements and prepare all involved stakeholders, including new partners and local CBP officials, for Reimbursable Services Agreement implementation. The process to establish new RSP partnerships at specific POEs is depicted in figure 4 below.", "After CBP notifies the applicant of its selection, officials from the AFP office schedule a site visit to meet with local CBP officials at the POEs and the new partners. According to CBP program requirements, the purpose of the site visit is to discuss workload and services, and to verify that the POE facilities and equipment meet CBP\u2019s required specifications. AFP officials also provide program training to CBP Field Office and POE officials, as well as to new partners on the processes to request and fulfill RSP service requests, among other things. We attended an AFP office visit to CBP\u2019s Baltimore Field Office in October 2017 and observed AFP officials sharing best practices with local CBP officials and new RSP partners. According to CBP\u2019s procedures, before any RSP services can be provided, CBP and the prospective partners must sign a legally binding Reimbursable Services Agreement. Among other things, the Reimbursable Services Agreement establishes that the partner will reimburse CBP for the costs of services provided under the RSP authorizing legislation, including the officer overtime rates, benefits, and a 15 percent administrative fee. Further, the partner agrees to reimburse CBP for these services within 15 days of billing through a Department of the Treasury system. Finally, local CBP Field Office and partner officials negotiate a local MOU that outlines the services, schedules, and other conditions for the POE location(s) covered by the Reimbursable Services Agreement."], "subsections": []}, {"section_title": "DAP Application Process", "paragraphs": ["Similar to the RSP application process, CBP, in conjunction with GSA, utilizes criteria and documented processes to evaluate DAP proposals and implement the program. More specifically, in alignment with the most recent DAP authorizing legislation, CBP and GSA developed the Section 482 Donation Acceptance Authority Proposal Evaluation Procedures & Criteria Framework (Framework) for receiving, evaluating, approving, planning, developing, and formally accepting donations under the program. The initial steps of the Framework, which encompass the DAP application process, are depicted in figure 5.", "In prior years, CBP accepted large-scale proposals, defined by CBP as $5 million or more, during one application and evaluation cycle per year. Beginning in fiscal year 2017, CBP accepts large-scale proposals on a rolling basis, using a streamlined process for expedited review. CBP also accepts small-scale proposals, defined by CBP as less than $5 million, on a rolling basis. According to AFP officials, CBP undertakes considerable effort to provide early education about the program to potential partners who plan to apply for a DAP agreement, including discussing CBP\u2019s operational needs at the POEs. The Framework notes that this outreach helps prospective donors gauge their willingness and ability to work cooperatively with CBP and GSA on potential POE improvements and also helps applicants enhance the viability of their submissions.", "After a DAP proposal is submitted and checked for completeness, CBP and GSA subject matter experts evaluate the proposal against seven operational and six technical criteria (see table 4 below). The evaluators reach consensus on proposed recommendations and submit their evaluation results to CBP and GSA senior leadership for consideration. Leadership reviews the recommendations and other pertinent information and determines whether or not to select proposals.", "In accordance with legislative requirements, CBP must notify DAP applicants of the determination to approve or deny a proposal not later than 180 days after receiving the completed proposal. Figure 6 depicts all three phases of the DAP Framework from selecting a proposal to signing a formal Donations Acceptance Agreement.", "Phase 2 of the Framework begins shortly after CBP notifies new partners of DAP selections. CBP officials then initiate a series of biweekly calls with GSA officials, if applicable, and the partner. AFP officials provide partners with documentation in the form of a high-level roadmap which contains a sequence of activities and deliverables CBP expects from the partners, and all stakeholders convene to track progress against planned activities and milestones. CBP, GSA, and the partner also meet to discuss the technical implementation of the donation.", "AFP and GSA officials conduct a site visit to meet with new partners; obtain a visual understanding of how CBP, GSA, and the partner will implement the donation; and help the partner begin the planning and development phase. CBP, GSA, and the partner negotiate a MOU on roles and responsibilities and terms and conditions of the donation. CBP then provides the partner with its technical standards and other operational requirements, such as space and staffing needs, under a non- disclosure agreement. The partner then begins to plan and develop its conceptual proposal into an executable project in close coordination with CBP and GSA. By the end of Phase 2, CBP, GSA, as applicable, and the partner confirm that all pre-construction development activities are complete, no outstanding critical risks exist, and that the appropriate agencies are prepared to request future funding, as applicable.", "Finally, stakeholders move to Phase 3 of the Framework to formalize the terms and conditions under which either CBP, GSA, or both, may accept the proposed donation. After CBP, GSA and the partner agree to the provisions of the project plan, they sign the legally binding Donations Acceptance Agreement, and stakeholders proceed to project execution."], "subsections": []}]}, {"section_title": "CBP Administers the Public-Private Partnerships Using Documented Policies and Procedures, and Implementation of the Programs Can Vary by Port", "paragraphs": ["CBP has documented standard operating procedures, roadmaps, and other formally documented policies and procedures to administer the RSP and DAP. In addition, as mentioned above, AFP officials conduct site visits to the POEs with new RSP and DAP agreements, and provide formal training for CBP personnel at Field Offices and POEs.", "The general process for administering RSP\u2013from requesting and fulfilling services to billing and collecting payments\u2013is dictated by standard operating procedures, as shown in figure 7.", "In general, RSP partners submit a formal request for services by completing an electronic form and calendar access via CBP\u2019s Service Request Portal. Once the partner submits the request, the portal sends an electronic copy of the request to the partner\u2019s email and the port\u2019s RSP email inbox. CBP supervisors at the POE access the Service Request Portal to review, edit, approve, deny, or cancel requests. The system tracks and requires CBP officials to comment on any requests that CBP edits, denies, or cancels, and sends an email notification of CBP\u2019s decision to the partner. If CBP approves the request, the Service Request Portal creates a line item with information about the request, such as codes for the location and partner, as well as the hours CBP officers will work.", "Next, CBP officers enter line item information\u2014information on accounting codes for the location and partner and the actual hours CBP officers worked to fulfill the request\u2014into CBP\u2019s overtime management system. At the end of every shift, CBP supervisors review and approve the amount of overtime and other data entered into the overtime management system. In addition, data from this system is checked for accuracy and certified weekly by both CBP POE and AFP officials. After the overtime and request information is checked, payroll data generated from the overtime management system, including salary and benefits information for each officer that worked RSP overtime, uploads to CBP\u2019s financial accounting system at the end of each pay period, or every 14 days. CBP bills its partners for two full pay periods, and the partner has 15 days to make a full payment through the partner\u2019s account with the Department of the Treasury. After the partner makes the payment through the Department of the Treasury collection system, CBP National Finance Center officials reimburse the CBP annual Operations & Support account initially used to pay its officers for all of the RSP overtime worked during that pay cycle by moving the expenses to the RSP officer payroll fund.", "Although the general request and billing processes for RSP services are the same across all POEs regardless of location or mode\u2014air, land, or, sea\u2014CBP and its partners have flexibility to tailor RSP implementation based on local conditions or needs. Some of this implementation variation is documented in locally negotiated MOUs. For example, CBP\u2019s partner at Miami International Airport in Florida relies on CBP to schedule RSP overtime daily based on CBP expertise. CBP officials at the airport developed their own software templates to plan, track, and manage CBP officers for RSP overtime for a given amount of available overtime funding. At the Pharr land POE in Texas, CBP staff at the POE submit recommended RSP overtime request proposals to the partner based on local conditions, including staffing, and the partner decides whether to submit a formal request to CBP. In all of these instances, RSP partners and CBP Field Office and POE officials expressed satisfaction with their more customized administration processes.", "CBP and its partners also noted some challenges to implementing RSP and DAP agreements, but partners generally agreed that the program benefits outweighed the challenges. For example, some DAP partners we met with mentioned that navigating GSA requirements was difficult and sometimes caused delays. GSA officials we met with noted that they are educating partners on GSA building standards and the GSA approvals process for donations, among other things, to help partners manage their timelines and expectations. GSA officials noted that they are working with CBP and partner officials to manage and learn from these early implementation challenges.", "CBP, GSA, and DAP partners also acknowledged a lack of clarity about which entity or entities are responsible for the long-term operations and maintenance costs of DAP infrastructure projects, although CBP has taken steps to address this issue. GSA pricing procedures dictate that once a POE receives an improvement, it charges the customer (CBP) for the additional operating costs, such as utilities. CBP officials acknowledged that the long term sustainability of donations, specifically the costs of operations, maintenance, and technology for infrastructure- based donations, needs to be addressed, and officials reported taking initial steps. For example, once CBP and its partner complete the planning of a project and GSA has calculated the project\u2019s estimated operating expenses, the AFP office begins working with the CBP Office of Facilities & Asset Management to budget for such costs with the goal of reaching a mutually acceptable partnership for donations that will have long-term sustainability.", "CBP officials noted that the agency cannot commit to funding that is not guaranteed for the future. To mitigate budget uncertainty, CBP now includes language in its MOU and Donations Acceptance Agreement templates stating that upon project completion, the partner will be responsible for all costs and expenses related to the operations and maintenance of the donation until the federal government has the available funding and resources to cover such costs. According to AFP officials, CBP also makes efforts to educate its DAP partners on the budgeting process and associated timeframes with project completion.", "CBP officials noted that the majority of projects are in the early stages of development, and it will be years before the projects are complete. Furthermore, GSA officials stated that the actual operating and maintenance costs associated with DAP projects will not be known until about 1 year after the projects are completed."], "subsections": []}]}, {"section_title": "Public-Private Partnerships Are Increasing and Provide a Variety of Additional Services and Infrastructure Improvements", "paragraphs": [], "subsections": [{"section_title": "RSP Partnerships are Increasing and Provide a Variety of Additional Services at POEs", "paragraphs": ["As noted previously, as CBP\u2019s authorities to enter into new RSP agreements expanded to an unlimited number of agreements per year, and in total, for all types of POEs in 2017, the number of applications that CBP has selected has also increased. For example, in fiscal year 2013, CBP received 16 applications from interested stakeholders and selected five of these applications for partnerships, while in fiscal year 2017 cycle 2, CBP received 31 applications from interested stakeholders and tentatively selected 30 for partnerships. From fiscal year 2013 through fiscal year 2017 cycle 2, CBP has tentatively selected over 100 partners for RSP agreements. This figure includes RSP agreements under the authorities provided in Section 481 that allow CBP to enter into agreements with small airports to pay for additional CBP officers above the number of officers assigned at the time the agreement was reached. Figure 8 details this information for each application cycle.", "As mentioned above, once CBP selects an application for a new reimbursable services partnership, CBP and its partner sign a legally binding Reimbursable Services Agreement. From fiscal years 2013 through 2017 cycle 2, CBP selected 114 applications and entered into 69 Reimbursable Services Agreements with partners. As mentioned previously, local CBP officials also work with the partner to negotiate the terms of an MOU, which outlines how the partnership will work at the POE. As of November 2017, CBP and its partners were implementing 54 MOUs from partnerships that they entered into from fiscal years 2013 through 2017. Of those 54 MOUs, 10 cover agreements at land POEs, 22 cover agreements at sea POEs, and 23 cover agreements at air POEs. According to AFP officials, during the process of negotiating the MOUs with its partners, CBP and the partner often agree to include a variety of services that the partner can request, so that if a need arises, there is a record that CBP has agreed to provide those services under the MOU. CBP and its partners also negotiate a variety of other terms for the agreements in the MOUs, including the types of requests for services the partner can make, expectations for how often CBP and its partners communicate, and how to amend the MOU, among others terms. Table 5 provides details about the existing 54 MOUs.", "As noted in the above table, MOUs detail a variety of services that CBP officers can provide at the POEs, and the types of services vary by POE type. For example, most MOUs across land, air, and sea POEs allow partners to request services for freight or cargo processing, while a majority of the MOUs at air POEs allow CBP to provide services for traveler processing and to address unanticipated irregular operations or diversions. In addition, all MOUs allow partners to submit ad-hoc requests that partners make for services in advance. Most of these MOUs also allow partners to make urgent requests for immediate services.", "In examining the MOUs, we found that 44 of the 54 MOUs, or 81 percent, indicate that CBP and its partner meet at least quarterly to discuss how the partnership is going. Further, CBP and some of its partners meet more often. For example, CBP and its partners agreed to meet monthly in accordance with 23 MOUs, while CBP and its partners agreed to meet weekly according to 3 MOUs. All partners we interviewed that have utilized their RSP agreements reported that maintaining strong communication between CBP and the partner is important to implementing the RSP agreements at the POEs. Appendix I has additional information about each of the 54 current MOUs.", "Tables 6 and 7 provide the amount that partners reimbursed CBP for overtime services, the total number of overtime hours that CBP officers worked for each fiscal year from 2014 through 2017, and the total number of travelers and vehicles that CBP officers inspected during RSP partner requests for services from fiscal years 2014 through 2017 respectively."], "subsections": []}, {"section_title": "DAP Partnerships Provide for Infrastructure Improvements at POEs", "paragraphs": ["Similar to the RSP, the number of DAP partnerships more than doubled in fiscal year 2017. In fiscal years 2015 and 2016, CBP selected seven DAP proposals. In fiscal year 2017, CBP selected 9 DAP proposals. Combined, these 16 DAP projects affect 13 POEs.", "The donations that partners will provide CBP and GSA, as applicable, include a variety of POE improvements such as the installation of new inspection booths and equipment, removal of traffic medians, and new cold inspection facilities, as well as smaller items such as a high-capacity perforating machine, which reduces document processing time and allows CBP officers to focus on more critical operational duties, among other donations. According to CBP, these 16 donation proposals combined are intended to support over $150 million in infrastructure improvements at U.S. POEs. CBP also expects a variety of benefits from these donations, including support for local and regional trade industries and tourism, reductions in border wait times, and increased border security and officer safety, among others. Table 8 provides information on the scope and status of DAP projects that CBP and GSA have selected since CBP established the DAP in fiscal year 2015.", "As noted in the table above, CBP has fully accepted six donations, including the donation of a high capacity perforating machine to facilitate the processing of titles and other documents at the Freeport Sea POE in fiscal year 2016, the removal of traffic medians at the Ysleta Land POE, and recurring luggage donations in fiscal year 2017. Figure 9 is a photo of the high capacity perforating machine that CBP accepted at the Port of Freeport Sea POE from its partner Red Hook Terminals in 2016.", "As mentioned above, once CBP selects an application for a new donation partnership, CBP, GSA, if applicable, and partner officials negotiate the terms of a MOU, which outlines intentions of the partnerships for projects that require coordinated planning and development. CBP currently has MOUs for 9 of its 16 DAP projects. The MOUs contain a variety of project- specific information, including the scope of the project, a list of documents that CBP and GSA may request to determine whether the project is ready for execution, and details on donor warranty and continuing financial responsibility after CBP and GSA accepts the donation. As mentioned previously, CBP classifies donations under the DAP into two categories: small-scale donations, which are reviewed on an expedited basis, and large-scale donations. For example, the Salvation Army\u2019s recurring donation of six to nine pieces of luggage per year to support Office of Field Operations canine training activities is a small-scale donation. Large-scale donations are donations with an estimated value of $5 million or more and are moderate to significant in size, scope, and complexity. For example, the City of Laredo\u2019s donation for construction of four additional commercial vehicle lanes and booths, roadways and infrastructure, and exit booths and related technologies is a large-scale donation."], "subsections": []}]}, {"section_title": "CBP Uses Various Processes to Monitor and Evaluate Its Partnerships, but Could Benefit from Establishing an Evaluation Plan to Assess Overall Program Performance", "paragraphs": [], "subsections": [{"section_title": "CBP Has Various Processes to Monitor and Evaluate the Implementation and Benefits of Its Public- Private Partnership Programs", "paragraphs": [], "subsections": [{"section_title": "RSP Audits, Metric Reports, and Partner Satisfaction Surveys", "paragraphs": ["Given that partner requests for RSP services are predominately for the purposes of CBP officer overtime, CBP primarily monitors the RSP through audits. Specifically, CBP conducts regular audits using information from its Service Request Portal, its overtime management system, and its internal accounting system to ensure partners appropriately reimburse CBP for the overtime services officers provide under the RSP. Figure 10 describes how and when CBP uses these tools to conduct audits as part of the RSP request, fulfillment, and billing processes.", "As noted previously, CBP officers who work RSP overtime enter information from the Service Request Portal, such as the partner code and POE code, into CBP\u2019s overtime management system for the actual hours that the officer worked to complete the request. At the end of every shift, CBP supervisors review and approve the information entered into the overtime management system, which contains the information needed for CBP to bill its RSP partner for the services that it performed, such as the number of hours each CBP officer worked to fulfill RSP requests and the salary and benefits information for those officers. POE supervisors then update the Service Request Portal records so that they reflect what CBP officers actually worked. On Mondays, AFP officials and CBP POE supervisors conduct concurrent audits of weekly overtime management system reports and reconcile these data with the information from the Service Request Portal to ensure that CBP will bill the partner appropriately. At the end of two pay period cycles, or every 28 days, officials at CBP\u2019s National Finance Center review the payroll and benefits information that was uploaded from the overtime management system into CBP\u2019s financial management system to confirm that it matches the appropriate partner code. This ensures that the correct partner is billed for the reimbursable services that CBP provided.", "Generally, CBP and partner officials we met with did not have any problems with the billing and payment process, and CBP officials noted that any discrepancies in the billing information between the Service Request Portal, the overtime management system, or the financial accounting system, such as the partner code or the number of hours that CBP officers worked, are usually identified and corrected during the weekly audits. Further, in October 2017, we received a demonstration of how partners and CBP manage requests for services in the Service Request Portal, how CBP officers and supervisors at the POEs enter and review overtime information, and how CBP runs reports in its financial accounting system during the audit process. In addition, we conducted a test of the data from the overtime management system and the billing information from the financial accounting system for a selection of partners across eight pay periods from fiscal years 2014 through 2017 to determine if CBP billed its partners appropriately. Specifically, for each of the eight selected pay periods, we randomly selected one RSP partner from the universe of partners who used RSP services during the period. We then compared the number of RSP overtime hours logged in CBP\u2019s overtime management system for the selected partners and pay periods with the number of hours on the corresponding partner bills. In all eight cases, the amount of RSP overtime hours logged by CBP officials matched the overtime hours billed to the partners. Our observations, review of applicable documentation, and testing provided reasonable assurance that CBP is being appropriately reimbursed by partners for the services that it provided under the RSP.", "To evaluate the benefits of RSP services, the AFP office develops metrics reports on the services that CBP performed while fulfilling RSP requests throughout the billing cycle that it provides its partners. These metrics reports include data, such as the number of overtime hours CBP officers worked, the number of travelers CBP processed, the number of containers CBP inspected, and the average wait times CBP recorded during RSP overtime services, among other data. According to AFP officials, this information about the impact of reimbursable services helps partners make informed decisions when assessing their future requests. The AFP office works with partners to ensure that the information CBP provides in these reports is useful and will provide additional data upon the partners\u2019 request, as applicable.", "CBP also conducts annual RSP partner satisfaction surveys to obtain feedback and evaluate overall satisfaction with program implementation. In 2015 and 2016, RSP partners expressed high levels of satisfaction about the level of services CBP provided, the request and fulfilment process, the billing and payment process, the monthly and annual metrics reports that CBP provides its partners, and the program\u2019s ability to meet partner goals. Additionally, partners generally responded that the program allowed them to achieve their goals, which primarily focused on reducing wait times and increasing their own customer satisfaction levels."], "subsections": []}]}, {"section_title": "Monitoring and Evaluation of DAP Implementation and Benefits", "paragraphs": ["CBP has guidance that it follows to monitor and evaluate the implementation of DAP projects, and CBP and its partners use tools such as implementation roadmaps and other policy documents, such as standard operating procedures, to administer and monitor the progress of DAP projects at the POEs. For example, CBP develops project roadmaps for all donation projects in close collaboration with its partner, GSA (as applicable), and other entities involved in the project, and shares them with project participants. The roadmap identifies a variety of project milestones and tasks, such as drafting the MOU and completing the technical requirements package, among other things. The roadmap also tracks the number of days that CBP expects will be required to complete each task, which helps CBP to ensure that all stakeholders meet project milestones.", "CBP also monitors overall DAP implementation by collecting quantitative data on the efficiency of DAP processes to inform program and process improvements. For example, from 2015 to 2016, CBP consolidated certain elements of its application evaluation process to reduce the number of days it takes to evaluate and approve applications from an average of 144 days to 75 days for large-scale donations. Similarly, from 2015 to 2016, CBP determined that it could gain efficiencies by establishing a separate application evaluation and approval process for small-scale donation applications to better accommodate small-scale donations, and delegated approval and acceptance authority to the Office of Field Operations Executive Assistant Commissioner. This new process expedited the proposal evaluation timeline for small-scale donations from approximately 27 days to 14 days. In addition, GSA implemented a similar delegation authority for approval and acceptance of small-scale donations in fiscal year 2017, which decreased GSA\u2019s application evaluation process from approximately 57 days to 25 days from fiscal year 2016 to 2017.", "In addition to monitoring the implementation of the overall program and the progress of specific DAP projects, CBP works with its partners to evaluate the benefits of each project. Specifically, during the planning and development phase of a donation, AFP officials coordinate with local CBP officials and DAP partners to develop a plan for identifying, measuring, and reporting on the local benefits to be derived from accepted donations upon project completion. CBP has completed its evaluation of the benefits of one completed small-scale project. For example, CBP estimated that the donated perforating machine at the Freeport Sea POE will save CBP 166 officer hours and approximately $7,450 in salary and maintenance costs per year. For large-scale projects, CBP is working with its partners to develop these evaluation plans, but it is too early for CBP to evaluate the benefits given that most of these projects are in the early planning and development phases. CBP shares its findings on benefits with its partners to help them assess their return on investment and so that they can share that information with their own local stakeholders."], "subsections": []}, {"section_title": "CBP Is Taking Steps to Plan for the Expansion of Its RSP and DAP, but Could Benefit from Establishing an Evaluation Plan to Assess Overall Program Performance", "paragraphs": ["CBP is taking steps to monitor the existing use and impacts of RSP and DAP and to plan for further expansion of these programs. For example, in addition to the monthly metrics reports that CBP provides its RSP partners, AFP officials told us that they monitor the fulfillment rates of formal partner requests for RSP services. The current fulfillment rate across all of CBP\u2019s RSP agreements is over 99 percent. In addition, as noted previously, AFP officials coordinate with local CBP officials and DAP partners to develop a plan for identifying, measuring, and reporting on the local benefits to be derived from accepted donations upon project completion. Furthermore, with regard to planning for future program expansion, CBP has taken steps to plan for the additional oversight activities that it expects at the headquarters level as the RSP expands. For example, CBP is hiring new staff members and contractors for the AFP office, as well as reimbursing the Office of Finance for one staff position and embedding one staff member in the Budget Office to help complete the increased number of financial transactions and audits. In addition, the AFP office is considering the future impact of DAP projects on staffing and other resources at the affected POEs, and is working with Field Office, POE, and partner officials to identify and budget for anticipated operational needs, with assistance from CBP\u2019s Workload Staffing Model and Planning, Program Analysis and Evaluation offices.", "These efforts to monitor and evaluate the impacts of the programs and plan for further expansion are positive steps that should help position CBP to manage anticipated increases in the number of agreements going forward. Furthermore, prior to Sections 481 and 482 authorities, in accordance with the report of the Senate Appropriations Committee accompanying the Department of Homeland Security Appropriations Act, 2013, CBP submitted semiannual reports to Congress on its Section 560 partnerships for fiscal years 2014 through 2016. CBP included information in these reports on the benefits of RSP services. For example, CBP compared baseline traveler and vehicle volume and wait times at participating POEs from previous years to the traveler and vehicle volume and wait times during time periods when CBP provided reimbursable services.", "Subsequently, in accordance with the Consolidated Appropriations Act, 2014, CBP developed an evaluation plan with objectives, criteria, evaluation methodologies, and data collection plans to be used to evaluate RSP and DAP performance on an annual and aggregated basis. However, the provision requiring that an evaluation plan be established for the section 559 pilot program was repealed by the Cross- Border Trade Enhancement Act of 2016. This Act requires that CBP report to Congress annually to identify the activities undertaken and the agreements entered into under the RSP and DAP but does not require that CBP develop or report on an evaluation plan for these programs. As of November 2017, CBP had not decided whether it will use a performance evaluation plan going forward. However, in December 2017, AFP officials acknowledged that such a plan\u2014that examines RSP and DAP performance at the programmatic level\u2014could benefit program management and augment evaluation activities already conducted by the AFP office. We reviewed draft versions of CBP\u2019s fiscal year 2017 reports to Congress on new Section 481 fee agreements and new Section 482 donation agreements. Both reports detailed how CBP responded to changes in legislative authorities for the RSP and DAP and listed its fiscal year 2017 selections for public-private partnership agreements, but did not include an evaluation plan or identify measures for tracking program performance going forward.", "Further, while the AFP office tracks the fulfillment rates of requests for RSP services and is working with its partners and other CBP components to monitor and plan for program expansion, CBP could benefit from a more robust assessment of possible impacts of staffing challenges on program expansion. As mentioned above, as of fiscal year 2017, CBP has an overall staffing shortage of 2,516 officers, according to CBP\u2019s Workload Staffing Model analysis, and CBP officer hiring remains an agency-wide challenge. We identified some staffing challenges that could affect CBP\u2019s management and implementation of its RSP and DAP programs, which roughly doubled in the number of agreements from fiscal year 2016 to 2017. As of November 2017, public-private partnership agreements were in place at approximately one-third of all U.S. POEs. With the removal of the limit on the number of air agreements that CBP can enter each year, some POEs have or are anticipated by CBP to have more than one RSP agreement in place. According to AFP officials, if there are multiple RSP partnerships at the same POE, CBP will try to accommodate all partner requests. Generally, the AFP office expects the POEs to handle requests on a first-come, first-serve basis. As the number of RSP partners increase across POEs, requests for services are likely to also increase, according to CBP officials. While it is too soon for CBP to assess the extent to which fulfillment rates may change over time, if at all, with the expansion of the program, officials noted that RSP agreements do not guarantee that CBP will be able provide all services that partners request, and that RSP services are above and beyond what CBP would normally provide. According to CBP, the recent increase in the mandated cap on officer overtime pay from $35,000 to $45,000 has allowed CBP officers to work more RSP overtime. Nevertheless, it is unclear how CBP will evaluate and address any increase in RSP agreements that may outpace the staff available to fulfill service requests.", "As noted previously, new authorities for the RSP also allow CBP to enter into agreements that allow partners to reimburse CBP for up to five additional officers, above the number assigned at the time the agreement was reached, at small airports. In fiscal year 2017, CBP selected four partners for this type of reimbursable services agreement. For its agreement with the Rhode Island Airport Corporation, CBP relocated three officers from the Boston-Logan International Airport, one of the busiest U.S. international airports, to T.F. Green State International Airport, which inspects less than 100,000 international travelers annually. AFP officials noted that, in accordance with legislation, the Port Director overseeing the port of origin for the CBP officer(s) added to small airports must determine that the movement of the officer(s) from one POE to another in fulfilling RSP agreements for additional CBP officers does not permanently affect operations at any other POE, including the POE that the officer(s) depart. However, CBP has not planned for how individual POEs or the agency more broadly would make these determinations or how CBP would evaluate any longer term impacts on overall CBP officer staffing resulting from the movement of officers among POEs.", "Office of Management and Budget guidance for making program expansion decisions indicates that agencies should evaluate cost- effectiveness in a manner that presents facts and supporting details among competing alternatives, including relative costs, benefits, and performance tradeoffs. Further, in September 2016 we developed a list of leading practices for evaluation based on the American Evaluation Association\u2019s An Evaluation Roadmap for a More Effective Government, including development of an evaluation plan or agenda, a description of methods and data sources in evaluation reports, procedures for assuring evaluation quality, and tracking the use of evaluation findings in management or reforms, among others. CBP is taking steps to monitor its RSP and DAP and plan for program expansion. However, given its staffing challenges, CBP could benefit from developing and implementing an evaluation plan for assessing overall RSP and DAP performance. Such a plan could further integrate evaluation activities into program management and could better position CBP to assess relative costs, benefits, and performance trade-offs as CBP expands its RSP and DAP, and consider the extent to which any future program changes may be needed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The amount of legitimate travel and trade entering through the nation\u2019s POEs continues to increase each year. To date, CBP and its partners have utilized public-private partnerships to help meet an increased demand for CBP services and infrastructure improvements at POEs, and agency officials and program partners have generally concurred that the RSP and DAP have been effective in helping to bridge CBP resource gaps and improve partner operations. However, given CBP\u2019s officer hiring and retention challenges and its finite resources for addressing infrastructure needs at POEs, CBP\u2019s ability to monitor and evaluate the implementation of its public-private partnership programs is essential to ensuring that CBP leaders have the information that they need to make program decisions and identify and respond to challenges as the programs expand. As CBP continues to expand its public-private partnership programs, evaluating the RSP and DAP at the program level could better position CBP leaders to assess the relative costs, benefits, and performance trade-offs of continuing to expand the programs. It could also better position CBP to identify and respond to expansion challenges, such as CBP officer staffing."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The CBP Commissioner should develop and implement an evaluation plan to be used to assess the overall performance of the RSP and DAP, which could include, among other things, measurable objectives, performance criteria, evaluation methodologies, and data collection plans to inform future program decisions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS and GSA for their review and comment. GSA indicated that it did not have any comments on the draft report via e-mail. DHS provided written comments, which are noted below and reproduced in full in appendix II, and technical comments, which we incorporated as appropriate.", "DHS concurred with our recommendation and described the actions it plans to take in response. Specifically, DHS stated that CBP will develop and implement a plan to assess the overall performance of the RSP and DAP to inform future program decisions. The plan will evaluate current partnerships, including but not limited to: service denial rate; trend analysis of frequency and type of requests; annual stakeholder survey results; impact of multiple stakeholders in one port location on levels of service provided; impact of unanticipated operations and maintenance costs associated with property donations; and staffing implications on donations of upgraded port infrastructure. If implemented effectively, these planned actions should address the intent of our recommendation.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, the Administrator of the General Services Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Details of U.S. Customs and Border Protection Reimbursable Services Program Agreement Memoranda of Understanding", "paragraphs": ["Since 2013, U.S. Customs and Border Protection (CBP) has entered into public-private partnerships with private sector or government entities under its Reimbursable Services Program (RSP) to cover CBP\u2019s cost of providing certain services at U.S. ports of entry (POE) upon the request of partners. As of the end of fiscal year 2017, CBP approved 114 applications for reimbursable fee agreements. These services can include customs, immigration, agricultural processing, border security and support at any facility where CBP provides, or will provide services and may cover costs such as salaries, benefits, overtime expenses, administration, and transportation costs. Once CBP selects an application for a new reimbursable services partnership, CBP and its partner sign a legally binding Reimbursable Services Agreement, which is a standard legal form that CBP uses for all new RSP agreements. Local CBP officials then work with the partner to negotiate the terms of a Memorandum of Understanding (MOU), which outlines how the partnership will work at the POE.", "In the following table, we provide select details from the 54 existing MOUs between CBP and its partners in the RSP.", "In addition to the partners listed in the table above, CBP has also signed Reimbursable Services Agreements with the following partners, but has not completed negotiating the terms of an MOU as of the end of fiscal year 2017.", "Fiscal year 2016 partners: 1. City of Charlotte Aviation Department 2. Dole Fresh Fruit Company (Port of Wilmington, Delaware; Port Everglades; and Port of Freeport)", "3. GT USA LLC 4. Port of Galveston 5. Presidio Port Authority Local Government Corporation 6. Red Hook Container Terminal, LLC 7. United Parcel Service Co."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kirk Kiester (Assistant Director), Dominick Dale, Michele Fejfar, Eric Hauswirth, Stephanie Heiken, Susan Hsu, Elizabeth Leibinger, David Lutter, and Sasan J. \u201cJon\u201d Najmi made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-267T", "url": "https://www.gao.gov/products/GAO-18-267T", "title": "Veterans Affairs Information Technology: Historical Perspective on Health System Modernization Contracts and Update on Efforts to Address Key FITARA-Related Areas", "published_date": "2017-12-07T00:00:00", "released_date": "2017-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The use of IT is crucial to helping VA effectively serve the nation's veterans and, each year, the department spends billions of dollars on its information systems and assets. However, VA has faced challenges spanning a number of critical initiatives related to modernizing its major systems. To improve all major federal agencies' acquisitions and hold them accountable for reducing duplication and achieving cost savings, in December 2014 Congress enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act , or FITARA).", "GAO was asked to summarize its previous and ongoing work regarding VA's history of efforts to modernize VistA, including past use of contractors, and the department's recent effort to acquire a commercial electronic health record system to replace VistA. GAO was also asked to provide an update on VA's progress in key FITARA-related areas, including (1) data center consolidation and optimization, (2) incremental system development practices, and (3) software license management. VA generally agreed with the information upon which this statement is based."]}, {"section_title": "What GAO Found", "paragraphs": ["For nearly two decades, the Department of Veterans Affairs (VA) has undertaken multiple efforts to modernize its health information system\u2014the Veterans Health Information Systems and Technology Architecture (known as VistA). Two of VA's most recent efforts included the Integrated Electronic Health Record (iEHR) program, a joint program with the Department of Defense (DOD) intended to replace separate systems used by VA and DOD with a single system; and the VistA Evolution program, which was to modernize VistA with additional capabilities and a better interface for all users. VA has relied extensively on assistance from contractors for these efforts. VA obligated over $1.1 billion for contracts with 138 contractors during fiscal years 2011 through 2016 for iEHR and VistA Evolution. Contract data showed that the 15 key contractors that worked on both programs accounted for $741 million of the funding obligated for system development, project management, and operations and maintenance to support the two programs (see figure). VA recently announced that it intends to change its VistA modernization approach and acquire the same electronic health record system that DOD is implementing.", "With respect to key FITARA-related areas, the department has reported progress on consolidating and optimizing its data centers, although this progress has fallen short of targets set by the Office of Management and Budget. VA has also reported $23.61 million in data center-related cost savings, yet does not expect to realize further savings from additional closures. In addition, VA's Chief Information Officer (CIO) certified the use of adequate incremental development for 10 of the department's major IT investments; however, VA has not yet updated its policy and process for CIO certification as GAO recommended. Finally, VA has issued a software licensing policy and has generated an inventory of its software licenses to inform future investment decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made multiple recommendations to VA aimed at improving the department's IT management. VA has generally agreed with the recommendations and begun taking responsive actions."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to participate in today\u2019s hearing on the information technology (IT) efforts of the Department of Veterans Affairs (VA). As you know, the use of IT is crucial to helping VA effectively serve the nation\u2019s veterans and, each year, the department spends billions of dollars on its information systems and assets.", "Over many years, however, VA has experienced challenges in managing its IT projects and programs, which, in turn, has contributed to questions about the efficiency and effectiveness of the department\u2019s operations. These challenges have spanned a number of critical initiatives related to modernizing major systems within the department, including its electronic health information system\u2014the Veterans Health Information Systems and Technology Architecture (VistA). We have previously reported on the challenges that the department has faced in managing this system, as well as other aspects of its IT.", "Further, given the challenges that federal agencies, including VA, have long encountered in managing IT acquisitions, in December 2014 Congress enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA). This law was intended to improve agencies\u2019 acquisitions and enable Congress to hold agencies accountable for reducing duplication and achieving cost savings.", "At your request, my testimony today summarizes our work that has examined VA\u2019s history of efforts to modernize its health information system, VistA, including past uses of contractors across multiple modernization initiatives, and the department\u2019s plan to acquire a commercial electronic health record system to replace VistA. In addition, the testimony provides an update on VA\u2019s progress in key FITARA- related areas, including (1) data center consolidation and optimization, (2) incremental system development practices, and (3) software license management.", "In developing this testimony, we relied on our previously published reports that discussed the history of the department\u2019s VistA modernization efforts, as well as the department\u2019s efforts regarding data center consolidation and optimization, incremental system development practices, and software license management. We also considered information provided by the department on its actions in response to our previous recommendations in these areas. The reports cited throughout this statement include detailed information on the scope and methodology for our prior reviews.", "Further, the statement summarizes key findings from a draft report that is based on our ongoing review of selected VistA modernization contracts and the department\u2019s recent efforts to acquire a commercial electronic health record system. This draft report is currently with VA for its comments. We anticipate issuing the final report in January 2018.", "For our ongoing review of the VistA modernization efforts, we obtained available data from VA on the associated contracts, related dollar obligations, and expected contractor activities for modernization tasks. In this regard, VA was able to provide the requested data for two modernization initiatives with activities that spanned the time period from fiscal year 2011 through fiscal year 2016.", "To determine the key contractors for the two modernization initiatives, we first identified all of the contractors that worked on the initiatives. We then ranked the contractors according to the total dollars obligated for contracts that each contractor had been awarded. We designated the top 15 ranked contractors, in terms of dollars obligated, as key contractors. We assessed the reliability of the contract data we received from VA and determined that the data were sufficiently reliable for the purposes of our review.", "To determine VA\u2019s current plans for modernizing VistA, we reviewed draft program schedules, organization charts, congressional testimonies of the VA Secretary, a White House press conference transcript, departmental press releases, and the department\u2019s justification for awarding a non- competitive contract for a commercial off-the-shelf (COTS) electronic health record system. We also met with senior VA officials to obtain updated information on the efforts.", "The work upon which this statement is based is being or was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA\u2019s mission is to promote the health, welfare, and dignity of all veterans in recognition of their service to the nation by ensuring that they receive medical care, benefits, social support, and lasting memorials. In carrying out this mission, the department operates one of the largest health care delivery systems in America, providing health care to millions of veterans and their families at more than 1,500 facilities.", "The department\u2019s three major components\u2014the Veterans Health Administration (VHA), the Veterans Benefits Administration (VBA), and the National Cemetery Administration (NCA)\u2014are primarily responsible for carrying out its mission. More specifically, VHA provides health care services, including primary care and specialized care, and it performs research and development to improve veterans\u2019 needs. VBA provides a variety of benefits to veterans and their families, including disability compensation, educational opportunities, assistance with home ownership, and life insurance. Further, NCA provides burial and memorial benefits to veterans and their families.", "Collectively, the three components rely on approximately 340,000 employees to provide services and benefits. These employees work in VA\u2019s Washington, D.C. headquarters, as well as 170 medical centers, approximately 750 community-based outpatient clinics, 300 veterans centers, 56 regional offices, and more than 130 cemeteries situated throughout the nation."], "subsections": [{"section_title": "VA Relies Extensively on IT", "paragraphs": ["The use of IT is critically important to VA\u2019s efforts to provide benefits and services to veterans. As such, the department operates and maintains an IT infrastructure that is intended to provide the backbone necessary to meet the day-to-day operational needs of its medical centers, veteran- facing systems, benefits delivery systems, memorial services, and all other systems supporting the department\u2019s mission. The infrastructure is to provide for data storage, transmission, and communications requirements necessary to ensure the delivery of reliable, available, and responsive support to all VA staff offices and administration customers, as well as veterans.", "According to department data as of October 2016, there were 576 active or in-development systems in VA\u2019s inventory of IT systems. These systems are intended to be used for the determination of benefits, benefits claims processing, and access to health records, among other services. VHA is the parent organization for 319 of these systems. Of the 319 systems, 244 were considered mission-related and provide capabilities related to veterans\u2019 health care delivery. For example, VHA\u2019s systems provide capabilities to establish and maintain electronic health records that health care providers and other clinical staff use to view patient information in inpatient, outpatient, and long-term care settings.", "VistA serves an essential role in helping the department to fulfill its health care delivery mission. Specifically, VistA is an integrated medical information system for all veterans\u2019 health information. It was developed in-house by the department\u2019s clinicians and IT personnel and has been in operation since the early 1980s. As such, the system has long been vital to helping ensure the quality of health care received by the nation\u2019s veterans and their dependents.", "VistA is comprised of more than 200 applications that assist in the delivery of health care and perform other important functions within the department, including financial management, enrollment, and registration. Some of these applications have been in operation for over 30 years and, according to VA, have become increasingly difficult and costly to maintain. As such, the department has expended extensive resources to modernize the system and increase its ability to allow for the viewing or exchange of patient information with the Department of Defense (DOD) and private sector health providers. In addition, as we recently reported, VHA has unaddressed needs that indicate its current health IT systems, including VistA, do not fully support the organization\u2019s business functions. Specifically, about 39 percent of all requests related to health IT needs have remained unaddressed after more than 5 years.", "Electronic health records are particularly crucial for optimizing the health care provided to veterans, many of whom may have health records residing at multiple medical facilities within and outside the United States. Taking steps toward interoperability\u2014that is, collecting, storing, retrieving, and transferring veterans\u2019 health records electronically\u2014is significant to improving the quality and efficiency of care. One of the goals of interoperability is to ensure that patients\u2019 electronic health information is available from provider to provider, regardless of where it originated or resides."], "subsections": []}, {"section_title": "VA Manages IT Resources Centrally", "paragraphs": ["Since 2007, VA has been operating a centralized organization, the Office of Information and Technology (OI&T), in which most key functions intended for effective management of IT are performed. This office is led by the Assistant Secretary for Information and Technology\u2014VA\u2019s Chief Information Officer (CIO). The office is responsible for providing strategy and technical direction, guidance, and policy related to how IT resources are to be acquired and managed for the department, and for working closely with its business partners\u2014such as VHA\u2014to identify and prioritize business needs and requirements for IT systems. Among other things, OI&T has responsibility for managing the majority of VA\u2019s IT-related functions, including the maintenance and modernization of VistA. As of 2016, OI&T was comprised of more than 15,000 staff, with more than half of these positions filled by contractors."], "subsections": []}, {"section_title": "VA Requested Nearly $4.1 Billion for Fiscal Year 2018", "paragraphs": ["For fiscal year 2018, the department\u2019s budget request included nearly $4.1 billion for IT. The department requested approximately $359 million for new systems development or modernization efforts, approximately $2.5 billion for maintaining existing systems, and approximately $1.2 billion for payroll and administration. For example, in its fiscal year 2018 budget submission, the department requested appropriations to support five IT portfolios, including the development and operations and maintenance for programs and projects related to the:", "Medical portfolio, which provides technology solutions to deliver modern, high-quality medical care capabilities to veterans ($944.2 million);", "Benefit portfolio, which addresses the technology needs managed by the Veterans Benefit Administration ($296.9 million);", "Memorial Affairs portfolio, which provides support for the modernization of applications and services for National Cemeteries at 133 locations nationwide ($24.5 million);", "Corporate portfolio, which consists of back office operations supporting the major business lines and department management ($270.6 million); and", "Enterprise IT, which provides the underlying infrastructure to enable the other portfolios to operate and includes such things as cybersecurity, data centers, cloud services, telephony, enterprise software, and data connectivity ($1.289 billion)."], "subsections": []}, {"section_title": "VA\u2019s Management of IT Has Contributed to High- Risk Designations", "paragraphs": ["In 2015, we designated VA Health Care as a high-risk area for the federal government and, currently, we continue to be concerned about the department\u2019s ability to ensure that its resources are being used cost- effectively and efficiently to improve veterans\u2019 timely access to health care. In part, we identified limitations in the capacity of VA\u2019s existing systems, including the outdated, inefficient nature of certain systems and a lack of system interoperability\u2014that is, the ability to exchange and use electronic health information\u2014as contributors to the department\u2019s IT challenges related to health care. These challenges present risks to the timeliness, quality, and safety of the health care. While we recently reported that the department has begun to demonstrate leadership commitment to addressing IT challenges, more work remains.", "Also, in February 2015, we added Improving the Management of IT Acquisitions and Operations to our list of high-risk areas. Specifically, federal IT investments too frequently fail or incur cost overruns and schedule slippages while contributing little to mission-related outcomes. We have previously testified that the federal government has spent billions of dollars on failed IT investments, including, for example, VA\u2019s Scheduling Replacement Project, which was terminated in September 2009 after spending an estimated $127 million over 9 years; and its Financial and Logistics Integrated Technology Enterprise program, which was intended to be delivered by 2014 at a total estimated cost of $609 million, but was terminated in October 2011 due to challenges in managing the program.", "This high-risk area highlighted several critical IT initiatives in need of additional congressional oversight, including (1) reviews of troubled projects; (2) efforts to increase the use of incremental development; (3) efforts to provide transparency relative to the cost, schedule, and risk levels for major IT investments; (4) reviews of agencies\u2019 operational investments; (5) data center consolidation; and (6) efforts to streamline agencies\u2019 portfolios of investments. We noted that agencies\u2019 implementation of these initiatives was inconsistent and that more work remained to demonstrate progress in achieving IT acquisition and operation outcomes.", "We also recently issued an update to our high-risk report and noted that, while progress has been made in addressing the high-risk area of IT acquisitions and operations, significant work remains to be completed. For example, we noted, among other things, that additional work was needed to establish action plans for federal agencies to modernize or replace obsolete systems. Specifically, we pointed out that many federal systems use outdated software languages and hardware, which has increased spending on operations and maintenance of technology investments.", "VA was among a handful of departments with one or more archaic legacy systems. As discussed in our recent report on legacy systems used by federal agencies, we identified 2 of the department\u2019s systems as being over 50 years old, and among the 10 oldest investments and/or systems that were reported by 12 selected agencies.", "Personnel and Accounting Integrated Data (PAID)\u2014This 53-year old system automates time and attendance for employees, timekeepers, payroll, and supervisors. It is written in Common Business Oriented Language (COBOL), a programming language developed in the late 1950s and early 1960s, and runs on IBM mainframes.", "Benefits Delivery Network (BDN)\u2014This 51-year old system tracks claims filed by veterans for benefits, eligibility, and dates of death. It is a suite of COBOL mainframe applications.", "Ongoing uses of antiquated systems, such as PAID and BDN, contribute to agencies spending a large, and increasing, proportion of their IT budgets on operations and maintenance of systems that have outlived their effectiveness and are consuming resources that outweigh their benefits. Accordingly, we have recommended that VA identify and plan to modernize or replace its legacy systems. The department concurred with our recommendation and stated that it plans to retire and replace PAID with the Human Resources Information System Shared Service Center in 2017. The department also stated that it has general plans to roll the capabilities of BDN into another system and to retire BDN in 2018."], "subsections": []}, {"section_title": "FITARA Is Intended to Help VA and Other Agencies Improve Their Acquisitions of IT", "paragraphs": ["Congress enacted federal IT acquisition reform legislation (commonly referred to as the Federal Information Technology Acquisition Reform Act, or FITARA) in December 2014. This legislation was intended to improve agencies\u2019 acquisitions of IT and enable Congress to monitor agencies\u2019 progress and hold them accountable for reducing duplication and achieving cost savings. The law applies to VA and other covered agencies. It includes specific requirements related to seven areas, including data center consolidation and optimization, agency CIO authority, and government-wide software purchasing.", "Federal data center consolidation initiative (FDCCI). Agencies are required to provide the Office of Management and Budget (OMB) with a data center inventory, a strategy for consolidating and optimizing their data centers (to include planned cost savings), and quarterly updates on progress made. The law also requires OMB to develop a goal for how much is to be saved through this initiative, and provide annual reports on cost savings achieved.", "Agency CIO authority enhancements. CIOs at covered agencies are required to (1) approve the IT budget requests of their respective agencies, (2) certify that IT investments are adequately implementing incremental development, as defined in capital planning guidance issued by OMB, (3) review and approve contracts for IT, and (4) approve the appointment of other agency employees with the title of CIO.", "Government-wide software purchasing program. The General Services Administration is to develop a strategic sourcing initiative to enhance government-wide acquisition and management of software. In doing so, the law requires that, to the maximum extent practicable, the General Services Administration should allow for the purchase of a software license agreement that is available for use by all executive branch agencies as a single user. Expanding upon FITARA, the Making Electronic Government Accountable by Yielding Tangible Efficiencies Act of 2016, or the \u201cMEGABYTE Act,\u201d further enhanced CIOs\u2019 management of software licenses by requiring agency CIOs to establish an agency software licensing policy and a comprehensive software license inventory to track and maintain licenses, among other requirements.", "In June 2015, OMB released guidance describing how agencies are to implement FITARA. This guidance is intended to, among other things: assist agencies in aligning their IT resources with statutory establish government-wide IT management controls that will meet the law\u2019s requirements, while providing agencies with flexibility to adapt to unique agency processes and requirements; clarify the CIO\u2019s role and strengthen the relationship between agency CIOs and bureau CIOs; and strengthen CIO accountability for IT costs, schedules, performance, and security."], "subsections": []}]}, {"section_title": "VA Has Pursued Four VistA Modernization Initiatives Since 2001, with About a Billion Dollars Obligated for Contractors\u2019 Activities During Fiscal Years 2011 through 2016", "paragraphs": ["In our draft report that is currently with VA for comments, we discuss the history of VA\u2019s efforts to modernize its health information system, VistA. These four efforts\u2014HealtheVet, the integrated Electronic Health Record (iEHR), VistA Evolution, and the Electronic Health Record Modernization (EHRM)\u2014reflect varying approaches that the department has considered to achieve a modernized health care system over the course of nearly two decades. The modernization efforts are described as follows.", "In 2001, VA undertook its first VistA modernization project, the HealtheVet initiative, with the goals of standardizing the department\u2019s health care system and eliminating the approximately 130 different systems used by its field locations at that time. HealtheVet was scheduled to be fully implemented by 2018 at a total estimated development and deployment cost of about $11 billion. As part of the effort, the department had planned to develop or enhance specific areas of system functionality through six projects, which were to be completed between 2006 and 2012. Specifically, these projects were to provide capabilities to support VA\u2019s Health Data Repository and Patient Financial Services System, as well as the Laboratory, Pharmacy, Imaging, and Scheduling functions.", "In June 2008, we reported that the department had made progress on the HealtheVet initiative, but noted issues with project planning and governance. In June 2009, the Secretary of Veterans Affairs announced that VA would stop financing failed projects and improve the management of its IT development projects. Subsequently, in August 2010, the department reported that it had terminated the HealtheVet initiative.", "In February 2011, VA began its second modernization initiative, the iEHR program, in conjunction with DOD. The program was intended to replace the two separate electronic health record systems used by the two departments with a single, shared system. Moreover, because both departments would be using the same system, this approach was expected to largely sidestep the challenges that had been encountered in trying to achieve interoperability between their two separate systems.", "Initial plans called for the development of a single, joint system consisting of 54 clinical capabilities to be delivered in six increments between 2014 and 2017. Among the agreed-upon capabilities to be delivered were those supporting laboratory, anatomic pathology, pharmacy, and immunizations. According to VA and DOD, the single iEHR system had an estimated life cycle cost of $29 billion through the end of fiscal year 2029.", "However, in February 2013, the Secretaries of VA and DOD announced that they would not continue with their joint development of a single electronic health record system. This decision resulted from an assessment of the iEHR program that the secretaries had requested in December 2012 because of their concerns about the program facing challenges in meeting deadlines, costing too much, and taking too long to deliver capabilities. In 2013, the departments abandoned their plan to develop the integrated system and stated that they would again pursue separate modernization efforts.", "In December 2013, VA initiated its VistA Evolution program as a joint effort of VHA and OI&T that was to be completed by the end of fiscal year 2018. The program was to be comprised of a collection of projects and efforts focused on improving the efficiency and quality of veterans\u2019 health care by modernizing the department\u2019s health information systems, increasing the department\u2019s data exchange and interoperability with DOD and private sector health care partners, and reducing the time it takes to deploy new health information management capabilities. Further, the program was intended to result in lower costs for system upgrades, maintenance, and sustainment. According to the department\u2019s March 2017 cost estimate, VistA Evolution was to have a life cycle cost of about $4 billion through fiscal year 2028.", "Since initiating VistA Evolution in December 2013, VA has completed a number of key activities that were called for in its plans. For example, the department delivered capabilities, such as the ability for health providers to have an integrated, real-time view of electronic health record data through the Joint Legacy Viewer, as well as the ability for health care providers to view sensitive DOD notes and highlight abnormal test results for patients. VA also initiated work to standardize VistA across the 130 VA facilities and released enhancements to its legacy scheduling, pharmacy, and immunization systems. In addition, the department released the enterprise Health Management Platform, which is a web- based user interface that assembles patient clinical data from all VistA instances and DOD.", "Although VistA Evolution is ongoing, VA is currently in the process of revising its plan for the program as a result of the department recently announcing its pursuit of a fourth VistA modernization program (discussed below). For example, the department determined that it would no longer pursue additional development or deployment of the enterprise Health Management Platform\u2014a major VistA Evolution component\u2014 because the new modernization program is envisioned to provide similar capabilities.", "In June 2017, the VA Secretary announced a significant shift in the department\u2019s approach to modernizing VistA. Specifically, rather than continue to use VistA, the Secretary stated that the department plans to acquire the same electronic health record system that DOD is implementing. In this regard, DOD has contracted with the Cerner Corporation to provide a new integrated electronic health record system. According to the Secretary, VA has chosen to acquire this same product because it would allow all of VA\u2019s and DOD\u2019s patient data to reside in one system, thus enabling seamless care between the department and DOD without the manual and electronic exchange and reconciliation of data between two separate systems.", "The VA Secretary added that this fourth modernization initiative is intended to minimize customization and system differences that currently exist within the department\u2019s medical facilities, and ensure the consistency of processes and practices within VA and DOD. When fully operational, the system is intended to be the single source for patients to access their medical history and for clinicians to use that history in real time at any VA or DOD medical facility, which may result in improved health care outcomes. According to VA\u2019s Chief Technology Officer, Cerner is expected to provide integration, configuration, testing, deployment, hosting, organizational change management, training, sustainment, and licenses necessary to deploy the system in a manner that meets the department\u2019s needs.", "To expedite the acquisition, in June 2017, the Secretary signed a \u201cDetermination and Findings,\u201d which noted a public interest exception to the requirement for full and open competition, and authorized VA to issue a solicitation directly to the Cerner Corporation. According to the Secretary, VA expects to award a contract to Cerner in December 2017, and deployment of the new system is anticipated to begin 18 months after the contract has been signed.", "VA\u2019s Executive Director for the Electronic Health Records Modernization System stated that the department intends to incrementally deploy the new system to its medical facilities. Each facility is expected to continue using VistA until the new system has been deployed at that location. All VA medical facilities are anticipated to have the new system implemented within 7 to 8 years after the first deployment.", "Figure 1 shows a timeline of the four efforts that VA has pursued to modernize VistA since 2001."], "subsections": [{"section_title": "VA Obligated about $1.1 Billion for VistA Modernization Contracts During Fiscal Years 2011 through 2016", "paragraphs": ["For iEHR and VistA Evolution, the two modernization initiatives for which VA could provide contract data, the department obligated approximately $1.1 billion for contracts with 138 different contractors during fiscal years 2011 through 2016. Specifically, the department obligated approximately $224 million and $880 million, respectively, for contracts associated with these efforts. Of the 138 contractors, 34 of them performed work supporting both iEHR and VistA Evolution. The remaining 104 contractors worked exclusively on either iEHR or VistA Evolution.", "Funding for the 34 contractors that worked on both iEHR and VistA Evolution totaled about $793 million of the $1.1 billion obligated for contracts on the two initiatives. Obligations for contracts awarded to the top 15 of these 34 contractors (which we designated as key contractors) accounted for about $741 million (about 67 percent) of the total obligated for contracts on the two initiatives. The remaining 123 contractors were obligated about $364 million for their contracts.", "The 15 key contractors were obligated about $564 million and $177 million for VistA Evolution and iEHR contracts, respectively. Table 1 identifies the key contractors and their obligated dollar totals for the two efforts.", "Additionally, we determined that, of the $741 million obligated to the key contractors, $411 million (about 55 percent) was obligated for contracts supporting the development of new system capabilities, $256 million (about 35 percent) was obligated for contracts supporting project management activities, and $74 million (about 10 percent) was obligated for contracts supporting operations and maintenance for iEHR and VistA Evolution. VA obligated funds to all 15 of the key contractors for system development, 13 of the key contractors for project management, and 12 of the key contractors for operations and maintenance. Figure 2 shows the amounts obligated for each of these areas.", "Further, based on the key contractors\u2019 documentation, for the iEHR program, VA obligated $102 million for development, $65 million for project management, and $10 million for operations and maintenance. For the VistA Evolution Program, VA obligated $309 million for development, $191 million for project management, and $64 million for operations and maintenance. Figure 3 shows the amounts obligated for contracts on the VistA Evolution and iEHR programs for development, project management, and operations and maintenance.", "In addition, table 2 shows the amounts that each of the 15 key contractors were obligated for the three types of contract activities performed on iEHR and VistA Evolution."], "subsections": []}, {"section_title": "VA Is in the Process of Developing Plans for Its Latest VistA Modernization Initiative", "paragraphs": ["Industry best practices and IT project management principles stress the importance of sound planning for system modernization projects. These plans should identify key aspects of a project, such as the scope, responsible organizations, costs, schedules, and risks. Additionally, planning should begin early in the project\u2019s lifecycle and be updated as the project progresses.", "Since the VA Secretary announced that the department would acquire the same electronic health record system as DOD, VA has begun planning for the transition from VistA Evolution to EHRM. However, the department is still early in its efforts, pending the contract award. In this regard, the department has begun developing plans that are intended to guide the new EHRM program. For example, the department has developed a preliminary description of the organizations that are to be responsible for governing the EHRM program. Further, the VA Secretary announced in congressional testimony in November 2017, a key reporting responsibility for the program\u2014stating that the Executive Director for the Electronic Health Records Modernization System will report directly to the department\u2019s Deputy Secretary. In addition, the department has developed a preliminary timeline for deploying its new electronic health record system to VA\u2019s medical facilities, and a 90-day schedule that depicts key program activities. The department also has begun documenting the EHRM program risks.", "Beyond the aforementioned planning activities undertaken thus far, the Executive Director stated that the department intends to complete a full suite of planning and acquisition management documents to guide the program, including a life cycle cost estimate and an integrated master schedule to establish key milestones over the life of the project. To this end, the Executive Director told us that VA has awarded two program management contracts to support the development of these plans to MITRE Corporation and Booz Allen Hamilton.", "According to the Executive Director, VA also has begun reviewing the VistA Evolution Roadmap, which is the key plan that the department has used to guide VistA Evolution since 2014. This review is expected to result in an updated plan that is to prioritize any remaining VistA enhancements needed to support the transition from VistA Evolution to the new system. According to the Executive Director, the department intends to complete the development of its plans for EHRM within 90 days after award of the Cerner contract, which is anticipated to occur in December 2017.", "Further, beyond the development of plans, VA has begun to staff an organizational structure for the modernization initiative, with the Under Secretary of Health and the Assistant Secretary for Information and Technology (VA\u2019s Chief Information Officer) designated as executive sponsors. It has also appointed a Chief Technology Officer from OI&T, and a Chief Medical Officer from VHA, both of whom are to report to the Executive Director.", "VA\u2019s efforts to develop plans for EHRM and to staff an organization to manage the program encompass key aspects of project planning that are important to ensuring effective management of the department\u2019s latest modernization initiative. However, the department remains early in its modernization planning efforts, many of which are dependent on the system acquisition contract award, which has not yet occurred. The department\u2019s continued dedication to completing and effectively executing the planning activities that it has identified will be essential to helping minimize program risks and guide this latest electronic health record modernization initiative to a successful outcome\u2014one which VA, for almost two decades, has yet to achieve."], "subsections": []}]}, {"section_title": "VA\u2019s Progress toward Consolidating and Optimizing Data Centers and Addressing Other Key FITARA-Related Area Falls Short of Performance Targets", "paragraphs": ["Beyond managing its system modernization efforts, such as VistA, VA has to ensure the effective implementation of the IT acquisition requirements called for in FITARA. Pursuant to FITARA, in August 2016, the Federal CIO issued a memorandum that announced the Data Center Optimization Initiative (DCOI). According to OMB, this new initiative supersedes and builds on the results of FDCCI, and is also intended to improve the performance of federal data centers in areas such as facility utilization and power usage.", "Among other things, DCOI requires 24 federal departments and agencies, including VA, to develop plans and report on strategies (referred to as DCOI strategic plans) to consolidate inefficient infrastructure, optimize existing facilities, improve security posture, and achieve costs savings. Further, the memorandum establishes a set of five data center optimization metrics and performance targets intended to measure agency\u2019s progress in the areas of (1) server utilization and automated monitoring, (2) energy metering, (3) power usage effectiveness, (4) facility utilization, and (5) virtualization. The guidance also indicates that OMB is to maintain a public dashboard that will display consolidation-related costs savings and optimization performance information for the agencies.", "However, in a series of reports that we issued from July 2011 through August 2017, we noted that, while data center consolidation could potentially save the federal government billions of dollars, weaknesses existed in several areas, including agencies\u2019 data center consolidation plans, data center optimization, and OMB\u2019s tracking and reporting on related cost savings. Further, we previously reported that VA\u2019s progress toward closing data centers, and realizing the associated cost savings, lagged behind that of other covered agencies.", "More recently, VA reported a total inventory of 415 data centers, of which 39 had been closed as of August 2017. While the department anticipates another 10 data centers will be closed by the end of fiscal year 2018, these closures fall short of the targets set by OMB. Specifically, even if VA meets all of its planned targets for closure, it will only close about 9 percent of its tiered data centers and about 18.7 percent of its non-tiered data centers by the end of fiscal year 2018, which is short of the respective 25 and 60 percent targets set by OMB. Further, while VA has reported $23.61 million in data center-related cost savings and avoidances for 2012 through August 2017, the department does not expect to realize further savings from the additional 10 data center closures in the next year.", "In addition, in August 2017 we reported that agencies needed to address challenges in optimizing their data centers in order to achieve cost savings. Specifically, we noted that, according to the 24 agencies\u2019 data center consolidation initiative strategic plans as of April 2017, most agencies were not planning to meet OMB\u2019s optimization targets by the end of fiscal year 2018.", "As of February 2017, VA reported meeting one of the five data center optimization metrics related to power usage effectiveness. Also, the department\u2019s data center optimization strategic plan indicates that the department plans to meet three of the five metrics by the end of fiscal year 2018. Further, while OMB directed agencies to replace manual collection and reporting of metrics with automated tools no later than fiscal year 2018, VA had only implemented automated tools at 6 percent of its data centers."], "subsections": [{"section_title": "VA\u2019s CIO Has Certified Adequate Incremental Development for Its Major IT Investments for Fiscal Year 2017, but Needs to Update Related Policy", "paragraphs": ["OMB has emphasized the need to deliver investments in smaller parts, or increments, in order to reduce risk, deliver capabilities more quickly, and facilitate the adoption of emerging technologies. In 2010, it called for agencies\u2019 major investments to deliver functionality every 12 months and, since 2012, every 6 months. Subsequently, FITARA codified a requirement that agency CIOs certify that IT investments are adequately implementing incremental development, as defined in the capital planning guidance issued by OMB. Later OMB guidance on the law\u2019s implementation\u2014issued in June 2015\u2014directed agency CIOs to define processes and policies for their agencies which ensure that they certify that IT resources are adequately implementing incremental development.", "Between May 2014 and November 2017, we reported on agencies\u2019 efforts to utilize incremental development practices for selected major investments. In November 2017, we noted that agencies reported that 62 percent of major IT software development investments were certified by the agency CIO as using adequate incremental development in fiscal year 2017, as required by FITARA. VA\u2019s CIO certified the use of adequate incremental development for all 10 of its major IT investments. However, VA had not yet updated the department\u2019s policy and process for the CIO\u2019s certification of major IT investments\u2019 adequate use of incremental development, in accordance with OMB\u2019s guidance on the implementation of FITARA as we recommended. The department stated that it plans to address our recommendation to establish a policy and that the policy is targeted for completion in 2017."], "subsections": []}, {"section_title": "VA Has Made Progress in Developing and Using a Comprehensive Inventory of Software Licenses", "paragraphs": ["Federal agencies engage in thousands of licensing agreements annually. Effective management of software licenses can help organizations avoid purchasing too many licenses that result in unused software. In addition, effective management can help avoid purchasing too few licenses, which results in noncompliance with license terms and causes the imposition of additional fees. Federal agencies are responsible for managing their IT investment portfolios, including the risks from their major information system initiatives, in order to maximize the value of these investments to the agency.", "OMB developed a policy that requires agencies to conduct an annual, agency-wide IT portfolio review to, among other things, reduce commodity IT spending. Such areas of spending could include software licenses. We previously identified seven elements that a comprehensive software licensing policy should address: identify clear roles, responsibilities, and central oversight authority within the department for managing enterprise software license agreements and commercial software licenses; establish a comprehensive inventory (at least 80 percent of software license spending and/or enterprise licenses in the department) by identifying and collecting information about software license agreements using automated discovery and inventory tools; regularly track and maintain software licenses to assist the agency in implementing decisions throughout the software license management life cycle; analyze software usage and other data to make cost-effective provide training relevant to software license management; establish goals and objectives of the software license management consider the software license management life-cycle phases (i.e., requisition, reception, deployment and maintenance, retirement, and disposal phases) to implement effective decision making and incorporate existing standards, processes, and metrics.", "We previously made recommendations to VA to (1) develop an agency- wide comprehensive policy for the management of software licenses that includes guidance for using analysis to better inform investment decision making, (2) employ a centralized software license management approach that is coordinated and integrated with key personnel, (3) establish a comprehensive inventory of software licenses using automated tools, (4) track and maintain a comprehensive inventory of software licenses using automated tools and metrics, (5) analyze agency-wide software license data to identify opportunities to reduce costs and better inform investment decision making, and (6) provide software license management training to appropriate personnel.", "Consistent with our recommendation, in July 2015, VA issued a comprehensive software licensing policy that addressed weaknesses we previously identified. The department also issued a directive that documents VA\u2019s software license management policy and responsibilities for central management of agency-wide software licenses, consistent with our recommendations. By implementing our recommendations, VA should be better positioned to consistently and cost-effectively manage software throughout the agency.", "In August 2017, the department also provided documentation showing that it had generated a comprehensive inventory of software licenses using automated tools for the majority of agency software license spending or enterprise-wide licenses. This inventory can serve to reduce redundant applications and help identify other cost saving opportunities.", "Further, the department implemented a solution to analyze agency-wide software license data, including usage and costs. This solution should allow VA to identify cost saving opportunities and inform future investment decisions. In addition, the department has provided information indicating that appropriate personnel receive software license management training.", "In conclusion, VA has made extensive use of numerous contractors and has obligated more than $1 billion for contracts that supported two of four VistA modernization programs that the department has initiated. VA has recently begun the fourth modernization program in which it plans to replace VistA with the same commercially available electronic health record system that is used by DOD. However, the department\u2019s latest modernization effort is in the early stages of planning and is dependent on the system acquisition contract award in December 2017. VA\u2019s completion and effective execution of plans will be essential to guiding this latest electronic health record modernization initiative to a successful outcome.", "Beyond VistA, the department continues to make progress on key FITARA-related initiatives. Although the department has made progress in the area of software licensing, additional actions in the areas of data center consolidation and optimization, as well as incremental system development can better position VA to effectively manage its IT. We plan to continue to monitor the department\u2019s progress on these important activities.", "Chairman Hurd, Ranking Member Kelly, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact David A. Powner at (202) 512-9286 or pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony statement. GAO staff who made key contributions to this statement are Mark Bird (Assistant Director), Jacqueline Mai (Analyst in Charge), Justin Booth, Chris Businsky, Rebecca Eyler, Paris Hawkins, Valerie Hopkins, Brandon S. Pettis, Jennifer Stavros-Turner, Eric Trout, Christy Tyson, Eric Winter, and Charles Youman.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-136", "url": "https://www.gao.gov/products/GAO-18-136", "title": "Democracy Assistance: State Should Improve Accountability Over Funding; USAID Should Assess Whether New Processes Have Improved Award Documentation", "published_date": "2017-12-14T00:00:00", "released_date": "2017-12-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Supporting efforts to promote democracy has been a foreign policy priority for the U.S. government. In recent years, USAID and State have allocated about $2 billion per year toward democracy assistance overseas. Congress required USAID and State to each establish guidelines for and report on the use of contracts, grants, and cooperative agreements for certain democracy programs.", "GAO was asked to review U.S. democracy assistance. This report (1) examines funding USAID, NED, and State obligated for democracy assistance primarily through contracts, grants, and cooperative agreements and (2) evaluates documentation of USAID award-type decisions, among other objectives.", "GAO analyzed USAID, NED, and State democracy assistance award data for fiscal years 2012\u20132016. GAO also reviewed relevant regulation and agency policies and analyzed documentation for a nongeneralizable sample of USAID awards selected based on factors such as award type, program area, and country."]}, {"section_title": "What GAO Found", "paragraphs": ["In fiscal years 2012\u20132016, the U.S. Agency for International Development (USAID) obligated $5.5 billion and the National Endowment for Democracy (NED) obligated $610.2 million in democracy assistance funding. The total funding the Department of State (State) obligated for democracy assistance could not be reliably determined. One-third of all USAID obligations were provided through public international organizations (PIOs), which under USAID guidance are composed principally of countries or other organizations designated by USAID; 94 percent of PIO obligations were provided to the World Bank for democracy assistance projects in Afghanistan. The remaining two-thirds of USAID obligations were provided through contracts, grants (excluding PIOs), and cooperative agreements. Of the 10 State bureaus providing democracy assistance, 3 were unable to provide reliable funding data for fiscal years 2012\u20132016. Data from these bureaus were incomplete, nonstandard, or inaccurate. Federal internal control standards call for agencies to use quality information from reliable sources to achieve intended objectives and to monitor activities. Without such data, State cannot effectively monitor its democracy assistance programming and report reliable data externally.", "For the awards GAO sampled, USAID generally did not document decisions about whether to award a contract, grant, or cooperative agreement (known as award-type decisions) in a complete and timely manner. According to applicable USAID guidance, agency officials were required to (1) document the final award-type decision with their written determination, including a rationale based on the requirements of the Federal Grant and Cooperative Agreement Act, and (2) complete this documentation before award solicitation occurs or, for noncompetitive awards, before USAID initiated communications with a potential sole-source awardee. However, USAID provided both complete and timely documentation of the award-type decision for 5 of the 41 awards GAO sampled. For the remaining 36 awards, the documentation was either incomplete, not timely or timeliness was indeterminate, or both (see table). While USAID has taken steps to improve documentation for award-type decisions by updating its guidance and templates, it has not assessed whether these updates have resulted in complete and timely documentation. It is important that USAID document these decisions in advance of solicitation because the selection of an award type may affect requirements for administering the award, including competition and oversight requirements and whether or not profit is permissible."]}, {"section_title": "What GAO Recommends", "paragraphs": ["State should improve the reliability and completeness of its democracy assistance funding data, and USAID should assess whether steps taken are resulting in complete and timely documentation of democracy assistance award-type decisions. State and USAID concurred with GAO's recommendations and described actions planned or under way to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Supporting efforts to promote democracy throughout the world has been a long-standing foreign policy priority for the U.S. government. In fiscal years 2012 through 2016, the U.S. Agency for International Development (USAID) and the U.S. Department of State (State) have allocated about $2 billion per year toward democracy assistance activities related to rule of law and human rights, good governance, political competition and consensus-building, and civil society. USAID, the National Endowment for Democracy (NED), and State are largely responsible for providing this assistance. These agencies carry out this responsibility through a variety of implementing partners, including for-profit and nonprofit organizations.", "USAID, NED, and State provide democracy assistance primarily through three types of awards: contracts, grants, and cooperative agreements. One of the stated purposes of the Federal Grant and Cooperative Agreement Act of 1977 was to promote increased discipline in the selection and use of types of contracts, grants, and cooperative agreements. Nevertheless, award-type decisions by federal agencies have been the subject of litigation in federal court in the past. Recently, Congress required USAID and State to each establish guidelines for clarifying program design and objectives for democracy programs, including the use of contracts versus grants and cooperative agreements in the conduct of certain democracy programs. Congress also required USAID and State to report on their use of these three award types for democracy programs.", "You asked us to review U.S. democracy assistance provided through various types of awards. This report (1) examines funding USAID, NED, and State obligated for democracy assistance primarily through contracts, grants, and cooperative agreements; (2) evaluates documentation of USAID award-type decisions; and (3) compares USAID contracts with grants and cooperative agreements across selected award elements.", "To examine funds obligated by USAID, NED, and State for democracy assistance by award type, we obtained and analyzed data on awards that USAID, NED, and State administered during fiscal years 2012 through 2016 under the Democracy, Human Rights, and Governance (DRG) portfolio. We assessed the reliability of these data by reviewing related documentation; interviewing knowledgeable officials; and conducting electronic or manual data testing for missing, nonstandard, or duplicative data; among other things. We determined that data provided by USAID, NED, and State, except for data from State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL), State\u2019s Bureau of European and Eurasian Affairs (EUR), and State\u2019s Bureau of South and Central Asian Affairs (SCA), were sufficiently reliable for the purposes of our report. For the USAID, NED, and State data that were sufficiently reliable, we analyzed the amount of funding by award type, among other variables. We assessed State\u2019s data reliability challenges against criteria for using quality information in federal internal control standards.", "To evaluate USAID\u2019s award-type decisions, we reviewed relevant regulations and agency policies. We also selected a roughly proportional, random, nongeneralizable sample of 41 awards\u201413 contracts, 5 grants, and 23 cooperative agreements\u2014from USAID\u2019s total population of 1,733 contracts, grants, and cooperative agreements. We selected these 41 awards based on key characteristics such as award type, DRG program area, and place of performance. The sample was drawn from awards for the 14 countries for which USAID obligated the most democracy funding. Democracy assistance projects in these countries received over 70 percent of USAID\u2019s democracy assistance funding. For the selected awards, we obtained and analyzed documentation relevant to the award-type decision.", "To compare USAID contracts with grants and cooperative agreements, we selected key award elements\u2014competition, cost sharing and profit, scope of work, and oversight requirements\u2014to examine based on consultations with acquisition and assistance subject matter experts. We conducted a review of documentation associated with the same sample of 41 USAID awards we reviewed to evaluate award-type decisions. Using information collected from the documentation, we analyzed the selected awards\u2019 competition (if any), cost sharing and profit (if allowed), scope of work, and selected oversight activities. For more details on our scope and methodology, see appendix I, and for more information on the 14 countries for which USAID obligated the most democracy funding, see appendix II. We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Democracy Assistance Program Areas", "paragraphs": ["The U.S. government supports various types of democracy assistance activities, which USAID and State categorize under the DRG portfolio. USAID and State use their Updated Foreign Assistance Standardized Program Structure and Definitions to categorize and define DRG program areas. As updated in April 2016, this document defines the aims of DRG as \u201cto advance freedom and dignity by assisting governments and citizens to establish, consolidate, and protect democratic institutions, processes, and values, including participatory and accountable governance, rule of law, authentic political competition, civil society, human rights, and the free flow of information.\u201d Prior to the 2016 update, DRG program areas were (1) rule of law and human rights, (2) good governance, (3) political competition and consensus-building, and (4) civil society. Each program area features different program elements, as shown in table 1."], "subsections": []}, {"section_title": "USAID, NED, and State Roles and Responsibilities Related to Democracy Assistance Overseas", "paragraphs": ["Multiple bureaus and offices in USAID and State, as well as NED, provide funding for democracy assistance programs, as shown in table 2. USAID provides democracy assistance through contracts, grants, and cooperative agreements, while NED provides democracy assistance only through grants. INL was the only State bureau that reported providing a significant amount of democracy assistance through contracts in addition to grants and cooperative agreements, while other bureaus primarily use grants and cooperative agreements."], "subsections": []}, {"section_title": "USAID, NED, and State Democracy Assistance Funding during Fiscal Years 2012 through 2016", "paragraphs": ["Combined allocations for democracy assistance administered by USAID and State ranged from about $2 billion to about $3 billion per year, and NED funding ranged from about $100 million to about $170 million annually during fiscal years 2012 through 2016, as shown in figure 1.", "USAID\u2019s and State\u2019s combined allocations for democracy assistance varied by account in fiscal years 2012 through 2016. Economic Support Fund was the largest account ranging from 50 to 63 percent of the total in fiscal years 2012 through 2016, as shown in figure 2."], "subsections": []}, {"section_title": "Laws, Regulations, and Polices Relevant to Award- Type Decisions", "paragraphs": ["The following laws, regulations, and policies are related to agencies\u2019 decisions to use a contract, grant, or cooperative agreement to implement democracy assistance programming:", "According to the Federal Grant and Cooperative Agreement Act of 1977, one of the purposes of the act is to promote a better understanding of government expenditures and help eliminate unnecessary administrative requirements on recipients of government awards by characterizing the relationship between executive agencies and contractors, states, local governments, and other recipients in acquiring property and services and in providing government assistance. The act provides agencies with criteria to be considered when making award-type decisions, including the intended nature of the relationship between the agency and recipient, as well as whether the principal purpose of the award is to benefit the federal government or to transfer a thing of value to a recipient to carry out a public purpose of support or stimulation authorized by law.", "The Competition in Contracting Act of 1984 requires agencies to obtain full and open competition for contracts through the use of competitive procedures in procurements unless otherwise authorized by law.", "The Federal Acquisition Regulation (FAR) establishes uniform policies and procedures for all executive agencies for acquisition through contracts. For example, the FAR includes policies and procedures to promote the requirement to obtain full and open competition for contracts. It defines the circumstances under which it is permissible for agencies to limit competition for contracts, including when there is an unusual or compelling urgency or when doing so is necessary for reasons of public interest or national security.", "The Office of Management and Budget\u2019s \u201cUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards,\u201d as codified in the Code of Federal Regulations (C.F.R.), establishes government-wide requirements for federal agencies administering grants and cooperative agreements with nonfederal entities. This regulation includes policies and procedures for award elements, including monitoring and reporting as well as cost sharing.", "USAID established agencywide guidance for making award-type decisions in its Automated Directives System (ADS), Chapter 304 (ADS 304). In addition to referencing the criteria established in the Federal Grant and Cooperative Agreement Act, this ADS guidance lists indications for when a specific award type should be used and also identifies factors that should not be primary considerations in making award-type decisions. According to USAID guidance, agreement officers and contract officers are individuals representing the U.S. government who are responsible for documenting the final determination of award-type decisions. USAID further outlines policies and procedures for administration of grants and cooperative agreements in ADS Chapter 303 (ADS 303) and for contracts in ADS Chapter 302 (ADS 302).", "State also established agencywide guidance for making award-type decisions in its Federal Assistance Directive. It references relevant legislation and instructs contracting and agreement officers to consult with State\u2019s Office of the Procurement Executive if disagreements regarding award-type decisions arise.", "The Consolidated Appropriations Act, 2016, required USAID and State to each establish guidelines for clarifying program design and objectives for democracy programs, including the use of contracts versus grants and cooperative agreements, for programs carried out with funds appropriated by the act. For more information on USAID and State guidance related to award-type decisions, see appendix III."], "subsections": []}, {"section_title": "USAID\u2019s Award Process and Award Life Cycle", "paragraphs": ["USAID officials are to make award-type decisions based on applicable laws, regulations, and policies, some of which are described above. Figure 3 provides an overview of the considerations in making this determination based on USAID guidance.", "ADS 304 provides the following definitions and guidance to USAID personnel as to what award type to select:", "A contract is a mutually binding legal instrument in which the principal purpose is the acquisition, by purchase, lease, or barter, of property or services for the direct benefit or use of the federal government, or in the case of a host country contract, the host government agency that is a principal, signatory party to the instrument. According to ADS 304, USAID personnel shall use a contract when the principal purpose of this legal relationship is the acquisition of property or services for the direct benefit of a federal government agency.", "A grant is a legal instrument used when the principal purpose is the transfer of money, property, services or anything of value to a recipient in order to accomplish a public purpose of support or stimulation authorized by Federal statute and when substantial involvement by USAID is not anticipated. USAID personnel are instructed to use a grant when the principal purpose of the relationship with an awardee is to transfer money, property, services, or anything of value to that awardee to carry out a public purpose of support or stimulation authorized by federal statute; and the agency does not anticipate substantial involvement between itself and the awardee during the performance of the activity.", "A cooperative agreement is a legal instrument used when the principal purpose is the transfer of money, property, services, or anything of value to a recipient in order to accomplish a public purpose of support or stimulation authorized by federal statute and when substantial involvement by USAID is anticipated. According to ADS 304, USAID personnel must use a cooperative agreement when the principal purpose of the relationship with an awardee is to transfer a thing of value to that awardee in order to carry out a public purpose; and the agency anticipates substantial involvement between itself and the awardee during the performance of the activity. The active engagement of USAID officials with awardees in certain programmatic elements of a project constitutes substantial involvement. Such activities include approval of the awardee\u2019s implementation plan and of specified key personnel.", "In addition to awarding contracts, grants and cooperative agreements to private organizations (such as a for-profit business or a nongovernmental organization), USAID makes awards to federal agencies and public international organizations. Under USAID guidance, a public international organization is an international organization composed principally of countries or other related organizations designated by USAID. USAID maintains a list of public international organizations and international agricultural research centers that are considered public international organizations. These organizations include the United Nations and related organizations, such as the Food and Agriculture Organization, and international financial institutions, such as the World Bank Group. USAID officials noted that public international organizations normally receive grants.", "Under USAID guidance, awards to public international organizations and interagency agreements do not require the same award-type decisions as those required by ADS 304 for contracts, grants, and cooperative agreements. Awards made to public international organizations are governed by USAID guidance separate from the guidance that applies to awards to other types of organizations, and interagency agreements are governed by guidance separate from contracts, grants, and cooperative agreements.", "According to USAID\u2019s guidance, the award-type decision should occur early in the preaward stage within the life cycle of an award. Award type- decisions impact other elements of awards because different regulations and guidance are applicable based on award type. For example, competition and oversight requirements differ for contracts compared with grants and cooperative agreements. Similarly, award-type decisions affect whether the recipient of an award is eligible to make a profit. The award life cycle contains preaward and award implementation stages, as shown in figure 4."], "subsections": []}]}, {"section_title": "USAID Obligated $5.5 Billion and NED Obligated $610.2 Million in Democracy Assistance Funding; Total Funding State Obligated Cannot Be Reliably Determined", "paragraphs": ["During fiscal years 2012 through 2016, USAID obligated $5.5 billion and NED obligated $610.2 million in democracy assistance funding, and the total such funding that State obligated cannot be reliably determined. In providing democracy assistance, USAID obligated more through grants and cooperative agreements combined than contracts, but its obligations through different award types varied by fiscal year and DRG program area. NED provided democracy assistance only through grants, and its obligations remained generally constant by fiscal year but varied by DRG program area. State bureaus that were able to provide reliable data provided democracy assistance primarily through grants and cooperative agreements. INL was the only State bureau that reported providing a significant amount of democracy assistance through contracts in addition to grants and cooperative agreements, but INL was one of the three State bureaus unable to provide reliable data."], "subsections": [{"section_title": "USAID Obligated $5.5 Billion in Democracy Assistance through Contracts, Grants, and Cooperative Agreements", "paragraphs": [], "subsections": [{"section_title": "USAID Obligated About Two- Thirds of Its Democracy Assistance Funding through Contracts and Cooperative Agreements, and One-Third through Grants to Public International Organizations", "paragraphs": ["USAID obligated $5.5 billion in democracy assistance funding during fiscal years 2012 through 2016, about 31 percent through contracts; about 33 percent through cooperative agreements; about 4 percent through grants, excluding grants to public international organizations (PIO); and about 32 percent through grants to PIOs. Of the $5.5 billion in democracy assistance, USAID obligated over $1.7 billion of all its democracy assistance through grants to PIOs. The three countries for which USAID obligated the most funds for democracy assistance projects were Afghanistan, Iraq, and South Sudan. Democracy assistance projects in Afghanistan received over $2 billion or 37 percent of USAID\u2019s total democracy assistance obligations during fiscal years 2012 through 2016. Moreover, two grants to the World Bank for the Afghanistan Reconstruction Trust Fund totaling $1.5 billion during fiscal years 2012 through 2016 accounted for 85 percent of the total democracy assistance funds USAID obligated through grants to PIOs during that period.", "For both total obligations and number of awards, USAID awarded more of its democracy assistance through grants and cooperative agreements combined than through contracts, as shown in figure 5.", "Contracts and cooperative agreements each accounted for roughly one- third of total obligations, while grants, excluding those to PIOs, accounted for 4 percent of total obligations during fiscal years 2012 through 2016. Excluding grants to PIOs, the number of grants and obligations for grants on average were significantly less than cooperative agreements, as shown in table 3.", "USAID\u2019s democracy assistance obligations through contracts, grants, and cooperative agreements have varied during fiscal years 2012 to 2016, with significant increases in USAID\u2019s obligations through grants to the World Bank in fiscal years 2012 and 2015, as shown in figure 6. These increases were driven by two large grants to the World Bank for the Afghanistan Reconstruction Trust Fund. Specifically, the World Bank received more than $820 million in fiscal year 2012 and more than $360 million in fiscal year 2015. During fiscal years 2012 to 2016, the World Bank accounted for 93 percent of grants to PIOs. For more details on USAID obligations through different award types by fiscal year and DRG program area, see appendix IV.", "USAID\u2019s democracy assistance obligations for good governance varied the most compared with the other three DRG program areas, rule of law and human rights, political competition and consensus-building, and civil society, as shown in figure 7. This variation was again due to two large grants to the World Bank for the Afghanistan Reconstruction Trust Fund, which were categorized under good governance.", "As shown in figure 8, USAID provided more democracy assistance in the area of good governance, over $2 billion more than the next largest program area. Excluding USAID obligations through grants to PIOs, USAID obligated more democracy assistance through contracts than through grants and cooperative agreements combined for the two program areas of good governance and rule of law and human rights. For the two other program areas\u2014civil society and political competition and consensus-building\u2014USAID obligated less through contracts."], "subsections": []}]}, {"section_title": "NED Obligated Over $610.2 Million in Democracy Assistance Funding through Grants", "paragraphs": ["NED obligated over $610.2 million in democracy assistance funding through a single award type\u2014grants\u2014during fiscal years 2012 through 2016. The three countries for which NED obligated the most funds for democracy assistance are in Eurasia and Asia. NED\u2019s obligations remained generally constant in the past few fiscal years, as shown in figure 9.", "NED\u2019s approved funding varied across the four DRG program areas. According to NED officials, NED does not maintain obligations data for awards by DRG program areas, as defined by USAID and State. Therefore, NED categorized its grants into DRG program areas for projects when funds were approved rather than when funds were obligated to provide a general sense of funding by DRG program area. NED approved the most funding in the area of good governance followed closely by political competition and consensus-building and then by civil society. NED\u2019s approved funding in all program areas, except for civil society, increased over the years, as shown in figure 10."], "subsections": []}, {"section_title": "State Reported Obligating About $3 Billion in Democracy Assistance through Grants, Cooperative Agreements, and Contracts, but Data for Roughly Half of State\u2019s Obligations Were Unreliable", "paragraphs": ["State reported obligating approximately $3 billion in democracy assistance funding during fiscal years 2012 through 2016 primarily through grants and cooperative agreements, but also through contracts. Seven of 10 State bureaus that were able to provide reliable data obligated $1.7 billion primarily through grants and cooperative agreements; the remaining three bureaus that were unable to provide reliable data reported obligating about $1.4 billion through all three award types."], "subsections": [{"section_title": "Seven State Bureaus Providing Reliable Data Obligated $1.7 Billion in Democracy Assistance Funding Primarily through Grants and Cooperative Agreements", "paragraphs": ["The seven State bureaus that were able to provide reliable data collectively obligated $1.7 billion for fiscal years 2012 through 2016 primarily through grants and cooperative agreements, as shown in table 4. Of these State bureaus, the Bureau of Democracy, Human Rights, and Labor obligated the most with about $1.2 billion in democracy assistance through 547 grants and 56 cooperative agreements for that period. The three regions for which the Bureau of Democracy, Human Rights, and Labor obligated the most funds for democracy assistance were the Near East, East Asia and Pacific, and the Western Hemisphere.", "Three State bureaus\u2014INL, EUR, and SCA\u2014were unable to provide reliable data on democracy assistance obligations for fiscal years 2012 through 2016. Collectively, these three bureaus reported obligating about $1.4 billion in democracy assistance during this period: INL, about $1.1 billion; EUR, about $150 million; and SCA, about $160 million. INL was the only State bureau that reported providing a significant amount of democracy assistance through contracts in addition to grants and cooperative agreements.", "We deemed data from these three bureaus unreliable because the data were incomplete, nonstandard, or inaccurate. For example, INL did not provide democracy assistance data for Colombia, Egypt, and Kenya until we identified these countries as potentially missing based on our comparison of INL data with USAID data. According to data INL subsequently provided, the democracy assistance projects in these three countries received about $49 million of the approximately $1.1 billion in democracy assistance obligated by INL in fiscal years 2012 through 2016. According to INL officials, the initial data INL provided did not include records of awards for these countries because awards were miscoded when the data were entered; for example, some awards were coded under the broad category of law enforcement rather than under specific DRG program areas. According to INL officials, this erroneous law enforcement code was used for all of Colombia\u2019s programs and for some programs in other countries such as Egypt and Kenya. According to INL officials, for two additional countries, Tunisia and Morocco, the regional post did not always use codes associated with DRG program areas or personnel entered incorrect codes.", "INL also provided incomplete data for multiple data fields, including the dates for periods of performance. INL was missing the start date for 74 percent of records and the end date for almost 75 percent of records for fiscal years 2012 through 2015. A September 2014 State Office of Inspector General report on INL found, among other things, that because State\u2019s budgeting and accounting systems are not designed to manage foreign assistance, INL staff were required to engage in time-consuming, inefficient, and parallel processes to track the bureau\u2019s finances. According to INL officials, INL has made improvements in its data since the Inspector General report was published. However, INL was missing the start date for 69 percent of records and the end date for almost 71 percent of records for fiscal year 2016. According to INL, data fields such as these were incomplete because contract officers and agreement officers were not required to enter values for these data fields into State systems until October 2016.", "EUR and SCA also initially provided incomplete, inaccurate, or nonstandard data for multiple data fields. According to State officials, this was due to manual data entry and transfer errors. For example, dates were in various formats and recipient names were sometimes listed in the field intended for recipient categories, which did not allow for the systematic analysis of records. While EUR generally provided more complete and standard data for fiscal year 2016 compared with fiscal years 2012 through 2015, EUR still provided nonstandard codes to identify award subtype for 5.3 percent of its fiscal year 2016 records. For example, \u201cESF,\u201d an abbreviation for the Economic Support Fund, was listed as the award subtype for multiple contracts.", "Furthermore, we identified 145 duplicate EUR records. EUR officials in Washington, D.C., noted that some of the duplicates resulted from their efforts to validate the data they had collected from staff in each country. Subsequently, these officials\u2014who manually merged, analyzed, and validated data to correct it\u2014identified additional duplicates beyond the 145 that we had identified. According to EUR officials, the bureau\u2019s obligation data for democracy assistance awards were maintained in separate databases at posts, rather than in a centralized database. In validating the data they had collected, EUR officials identified duplicate records amounting to at least 5 percent of the records during fiscal years 2012 through 2016. On the basis of our independent analysis of the same dataset, we were able to confirm that about 4 percent of the EUR records were duplicate records. Data on democracy assistance awards are maintained in the countries where the awards are made. To obtain award level data, EUR headquarters personnel had to ask staff in each country to manually compile and report award data.", "In addition, SCA did not initially provide data for Afghanistan and Pakistan, including award-type data. Records associated with these two countries accounted for about 92 percent of SCA\u2019s total democracy assistance funding. We identified these countries as potentially missing based on our comparison of SCA data with USAID data. SCA subsequently provided the missing data on democracy assistance awards made in Afghanistan and Pakistan; the data resided within a separate database.", "SCA democracy assistance awards are allocated across three offices within SCA and EUR, and information regarding democracy assistance programs is not currently managed through a centralized database. According to SCA officials, due to the lack of a centralized database, they would need to carefully coordinate across the three offices. However, despite the coordination efforts of these offices, SCA did not include Afghanistan and Pakistan in their initial submission of data to us, and the additional data SCA subsequently submitted through EUR for Central Asia still contained nonstandard and missing values.", "A June 2017 State Office of Inspector General report determined that State cannot obtain timely and accurate data necessary to provide central oversight of foreign assistance activities and meet statutory and regulatory reporting requirements. For example, the report said that State cannot readily analyze its foreign assistance by country or programmatic sector. Similarly, we found that State cannot readily analyze its foreign assistance agencywide by country or for its DRG portfolio since INL, EUR, and SCA did not provide reliable DRG award data, including incomplete or duplicative data associated with certain countries. According to the report, this lack of data hinders State\u2019s leadership from strategically managing foreign assistance resources, identifying whether programs are achieving their objectives, and determining how well bureaus and offices implement foreign assistance programs. In September 2014, State began the Foreign Assistance Data Review to better understand and document issues with its agencywide data and multiple budget, financial, and program management systems, but State does not plan to complete its Foreign Assistance Data Review until fiscal year 2021. The Consolidated Appropriations Act, 2016, requires State to report on its use of the various award types, and the Office of Management and Budget\u2019s Bulletin No. 12-01 requires State to report quarterly on its foreign assistance activities. Given these reporting requirements, State would not be able to provide accurate and complete data on democracy assistance unless INL, EUR, and SCA took immediate steps to address their data deficiencies. Federal internal control standards call for agencies to use quality information from reliable sources to achieve intended objectives and to effectively monitor activities. Without reliable democracy assistance data from all relevant bureaus, State cannot effectively monitor its democracy assistance programming and report reliable data externally."], "subsections": []}]}]}, {"section_title": "USAID Generally Lacked Complete and Timely Documentation of Award-Type Decisions", "paragraphs": ["USAID generally did not document award-type decisions in a complete and timely manner for the awards in our sample. Specifically, USAID provided complete and timely documentation of the award-type decision for 5 of the 41 awards we reviewed. For the remaining 36 awards, the documentation was either incomplete, not timely, or both. According to ADS 304, contract and agreement officers must determine whether to use a contract, grant, or cooperative agreement, including a rationale based on criteria outlined in the Federal Grant and Cooperative Agreement Act."], "subsections": [{"section_title": "USAID Did Not Have Complete Documentation of Award-Type Decisions for 14 of the 41 Awards in Our Sample", "paragraphs": ["Consistent with the requirements of ADS 304, USAID personnel documented the rationale for using a contract, grant, or cooperative agreement for 27 of the 41 awards we reviewed. As table 5 shows, the number of awards in our sample with complete and incomplete documentation of the award-type decision varies by award type.", "ADS 304 requires contract and agreement officers to document the selection of an award type, including the rationale for the award-type decisions based on the requirements of the Federal Grant and Cooperative Agreement Act. USAID provided documentation of the award-type decision for 31 of the awards in our sample but lacked such documentation for 10 awards. However, for 4 of the 31 awards with documentation of the award-type decision, the documentation was not complete because it did not include a rationale for choosing between grants, cooperative agreements, and contracts on the basis of criteria in the Federal Grant and Cooperative Agreement Act, as required by USAID guidance.", "The documentation of the award-type decision for these 4 awards, which were all contracts, outlined the rationale for selecting a particular type of contract, information that is required by the FAR. However, the documentation for these 4 awards did not address the decision to use a contract rather than a grant or cooperative agreement, including a rationale based on the requirements outlined in the Federal Grant and Cooperative Agreement Act, as required by ADS 304. For example, documentation for one contract provided a rationale for selecting a firm- fixed-price contract based on the level of risk, which is in accordance with requirements of the FAR. However, the documentation did not indicate the rationale for deciding to use a contract rather than a grant or cooperative agreement as required by ADS 304. Without documentation of the rationale for award-type decisions as required under USAID guidance, USAID cannot demonstrate that award-type decisions are made based on the requirements outlined in the Federal Grant and Cooperative Agreement Act."], "subsections": []}, {"section_title": "USAID Lacked Timely Documentation of Award- Type Decisions for 25 of the 31 Awards for Which It Provided Documentation", "paragraphs": ["For the 31 awards in our sample for which USAID provided documentation of the award-type decision, 6 met the timeliness standard set by USAID guidance, and 25 did not, as shown in table 6. While 5 award-type decisions were both timely and complete, one award that met the timeliness standard lacked a required component.", "According to ADS 304, contract and agreement officers must document the final award-type decision before a solicitation is issued or before USAID initiates communications with a potential sole source recipient. We found that 25 awards lacked timely documentation of the award-type decision because the decision was documented after the solicitation was issued or timeliness was indeterminate because the documentation lacked a date or other indication of when in the process this determination was documented. Without this, we could not determine whether the award-type decisions were documented prior to solicitation or before USAID initiated communications with a potential sole source recipient. Instances in which final award-type decisions were documented after the issuance of a solicitation or communication with a potential sole source recipient include the following:", "Solicitation for one of the contracts in our sample occurred in 2011, but the award-type decision was not documented until 2013.", "The award-type decision for one of the grants in our sample was documented after the grant was awarded, which occurs after the solicitation is issued.", "Solicitation for one cooperative agreement in our sample occurred in 2010, but the award-type decision was not documented until 2012.", "According to USAID officials, the agency\u2019s practice prior to October 2016 was to include award-type decisions in a comprehensive document that was intended to record all key decisions made throughout the award process. This document was finalized at the end of the award process. However, USAID officials also stated that they have introduced new processes and procedures, including making updates to relevant guidance, templates, and instructions that they believe will result in more timely and complete documentation of award-type decisions. Specifically, in 2016 USAID issued an update to ADS 304 that includes examples of when to use contracts, grants, and cooperative agreements and provides additional information about the legal framework for making award-type decisions. In 2017, USAID also issued revised templates to guide the documentation of award-type decisions. According to USAID officials, in addition to clarifying the ADS 304 guidance and developing new templates, USAID is also developing specific guidance for DRG programs that it expects to release at a future date. For additional information about this DRG-specific guidance, see app. III.", "USAID has taken steps to improve documentation for award-type decisions by updating its guidance and templates but has not assessed whether these updates have resulted in timely and complete documentation of award-type decisions. USAID officials stated that assessments are conducted at the sub-bureau or mission level, rather than by specific sectors, such as for DRG programs. As a result, USAID officials do not have plans to assess whether the newly updated processes and procedures have resulted in more timely documentation of DRG award-type decisions. It is important that USAID document the award-type decision before it publishes a solicitation for the award because award-type decisions impact other award elements, such as the requirements for competition and oversight and whether profit is permissible under the award. Until USAID assesses its updated processes and procedures, it cannot know if the steps it has taken have resulted in complete and timely documentation of award-type decisions as required by USAID guidance."], "subsections": []}]}, {"section_title": "USAID Contracts Differed from Grants and Cooperative Agreements for Selected Award Elements", "paragraphs": ["For the awards in our sample, contracts generally differed from grants and cooperative agreements in terms of competition, scope of work, cost sharing and profit, and oversight requirements, among other characteristics. We identified differences in three award elements\u2014 competition, cost sharing and profit, and oversight requirements\u2014that were generally consistent with the unique requirements provided for in procurement regulations and agency guidance. We also identified differences between the award types with regard to scope of work, and found certain activities were conducted under all three award types."], "subsections": [{"section_title": "USAID Used Competition Procedures for a Greater Proportion of Contracts than for Grants and Cooperative Agreements in Our Sample, due to Differences in Award Types\u2019 Applicable Legal Frameworks", "paragraphs": ["USAID awarded most, but not all, of the contracts in our sample using full and open competition, according to USAID data. Different federal and USAID requirements are in place regarding the use of competition procedures to award contracts than apply to grants and cooperative agreements. In accordance with the FAR, executive agencies such as USAID are required to promote and provide for full and open competition in awarding contracts, with only limited exemptions.", "USAID did not require full competition for any of the grants in our sample and required it for only about one-third of the cooperative agreements, according to USAID data. For the 41 awards in our sample, table 7 shows how many of each award type used full competition, limited competition, or no competition, based on USAID data.", "Below are examples of the rationale USAID provided for limiting competition for selected contracts, grants, and cooperative agreements:", "USAID limited competition for one of the contracts in our sample because of potential impairment to a foreign aid program, and another contract was limited to local competitors. This exemption to full and open competition is based on a unique statutory authority available to USAID and other agencies operating foreign assistance programs, which has been implemented in the USAID Supplement to the FAR. USAID also exempted one of the contracts in our sample from full and open competition using a provision in the FAR that allows for solicitation from a single source when the purchase falls below a threshold of $150,000. However, USAID officials indicated that they erroneously cited FAR 13.106-1(b), which permits sole source awards for acquisitions not exceeding the simplified acquisition threshold if only one source is reasonably available, when they should have cited FAR 13.501(a)(2)(i), which permits sole source acquisitions of commercial items (including brand-name items) for acquisitions greater than $150,000.", "For two of the grants in our sample, USAID limited the awards to local competition, according to USAID officials.", "For one cooperative agreement in our sample, competition was limited, according to USAID data, but USAID did not provide additional information on how the award competition was limited. The recipient of this award had submitted an unsolicited application, which under ADS 303, may be included in a relevant competition for an award, if USAID finds that the unsolicited application reasonably fits an existing program. USAID found that this unsolicited application was responsive to an existing solicitation and thus provided no additional justification.", "For more information on the rationales USAID used to exempt contracts, grants, and cooperative agreements in our sample from full and open competition, see appendix V."], "subsections": []}, {"section_title": "Contracts More Often Included a Greater Number of Activities Working with Host-Country Governments or Other National Institutions, While Grants and Cooperative Agreements More Often Included a Greater Number of Activities Working with Civil Society Organizations", "paragraphs": ["We found that the scope of work for contracts, grants, and cooperative agreements included similar types of activities. We also found that contracts more often included a greater number of activities working with the host-country government or other major national institutions, and grants and cooperative agreements more often included a greater number of activities working with civil society organizations.", "Seven of the 13 contracts in our sample included more activities focused on engaging with host-country governments and national institutions, while only 2 of the 13 contracts included more activities focused on engaging civil society organizations. Grants and cooperative agreements, by contrast, more often included a greater number of activities to support civil society organizations and media organizations than government or major national institutions of the country of performance. Three of the 5 grants in our sample included more objectives or activities focused on engaging civil society organizations, rather than engaging with host government or other major national institutions, while none of the grants included more objectives or activities related to the host government or other major national institutions. Cooperative agreements slightly more often included a greater number of objectives or activities to engage civil society organizations than they did to work with host government and national institutions, with 9 cooperative agreements including more objectives or activities focused on engaging civil society organizations and 7 with more objectives or activities focused on engaging host governments or other national institutions.", "Below are some examples of the activities and types of parties engaged with as stated in the awards in our sample:", "One contract in our sample provided various advisors to assist the government of a foreign country in implementing transparent policies, laws, and systems to strengthen public financial management and provide for a well-regulated financial sector, among other things. For more information on program objectives for selected democracy assistance awards by contract type, see appendix VI.", "A grant in our sample sought to increase the capacity of civil society organizations and the media to promote transparent democratic elections and political processes, among other things. Activities under the scope of work for this award included building alliances with stakeholders, conducting election-day observations, and analyzing electoral results.", "A cooperative agreement in our sample was intended to support a political transition through, among other things, organizational capacity development and grant-making opportunities for civil society organizations working to raise awareness about electoral events.", "In addition, for our award sample, we found that activities such as technical assistance, training, and local capacity building were conducted under grants, cooperative agreements, and contracts."], "subsections": []}, {"section_title": "Estimated Profits Ranged from 1 to 6 Percent of Estimated Contract Cost; Cost Sharing Ranged from Less Than 1 to 74 Percent of Total Value of Grants and Cooperative Agreements", "paragraphs": ["Eight of the 13 contracts in our sample were cost-plus-fixed-fee contracts, under which the contractor is reimbursed its costs in implementing the program in addition to a fee (profit) that is fixed at the outset. For these 8 contracts, the estimated percentage of profit ranged from about 1 to 6 percent of the estimated contract cost. According to the FAR, under cost-plus-fixed-fee contracts, the fee cannot exceed 10 percent of the contract\u2019s estimated cost excluding fee. The average estimated fixed fee percentage for these contracts was about 5 percent of the estimated contract cost.", "While USAID contracts may be structured to provide for contractor profit in accordance with the FAR, USAID guidance does not allow profit under grants and cooperative agreements. For the grants and cooperative agreements in our sample, the awards did not specifically provide any fee (profit), and the awardees often agreed to contribute to the cost of the program through cost sharing. In addition, USAID guidance identifies cost sharing\u2014whereby an awardee contributes to the total cost of an agreement\u2014as an important element of the USAID-awardee relationship for grants and cooperative agreements. According to this guidance, although there is no general requirement for the awardees of grants and cooperative agreements to share in providing the costs of programs, cost sharing can be a mechanism to help awardees build their organizational capacity. For the awards in our sample, USAID included provisions for cost sharing in 3 of the 5 grants, and the awardees agreed to contribute about 11 percent, 13 percent, and 74 percent of the respective total award funding, including the cost share amount. USAID also included cost sharing provisions in 10 of the 23 cooperative agreements, with the awardee contribution ranging from less than 1 percent to 36 percent of the total award funding, including the cost share amount. All of the grants and cooperative agreements that included cost sharing provisions were awarded to nonprofit organizations, according to USAID data. Some of these awardees agreed to contribute to cost sharing by covering in-kind costs, such as donated time from volunteer legal specialists, and others agreed to contribute cash to cover some of the direct costs of implementing programs, such as personnel and benefits.", "According to USAID officials, cost sharing is rarely used under USAID contracts because under a cost sharing contract the contractor agrees to absorb a portion of its costs in expectation of substantial compensating benefits, such as certain research and development efforts, and these circumstances rarely occur under USAID\u2019s programming. USAID did not include cost sharing provisions in any of the 13 contracts in our sample. For additional information about profit in our sample, see table 8.", "Table 9 provides additional information about cost sharing under the awards in our sample.", "Below are some examples of profit and cost sharing arrangements included in contracts, grants, and cooperative agreements in our sample:", "A contract in our sample sought to, among other things, improve the access of vulnerable and disadvantaged populations to the country\u2019s legal system by engaging in activities such as working to build the capacity of government and civil society organizations to be more responsive to the needs of these populations. Under this award, the contractor was to receive approximately $1.7 million in profit, which was 4 percent of the estimated value of the award.", "The awardee for a grant in our sample agreed to provide $2.1 million of the program costs, about 74 percent of the total cost of the program, which sought to develop public opinion survey research capacity in the host country, among other things. USAID\u2019s grant to this awardee funded additional support for the program, which the awardee was already executing prior to USAID assistance.", "A cooperative agreement in our sample included a requirement for the awardee to contribute about 9 percent of program expenditures, or about $3 million, for a program that sought to improve access to health services, as well as strengthen health delivery systems and health governance."], "subsections": []}, {"section_title": "Contracts Had Different Oversight and Evaluation Requirements Than Grants and Cooperative Agreements, due to Differences in Award Types\u2019 Applicable Legal Frameworks", "paragraphs": ["We found that USAID oversight requirements differed for contracts compared with grants and cooperative agreements for the awards in our sample. This is because contracts (1) at times required more frequent reporting and (2) more often required evaluations of the contractor\u2019s performance.", "Reporting requirements: We found that while most awards in our sample required quarterly financial and performance reporting, some contracts required these reports to be submitted monthly. USAID required quarterly financial and performance reporting for the majority of grants and cooperative agreements in our sample. None of the grants or cooperative agreements in our sample included requirements for financial reporting more frequently than quarterly, and no grants and only one cooperative agreement included a more frequent performance reporting requirement.", "According to Title 2 of the Code of Federal Regulations (C.F.R.), Section 200.327, under grants and cooperative agreements, financial reports must be collected by agencies with the frequency required by the award, but no less frequently than annually and no more frequently than quarterly, except in unusual circumstances, such as where more frequent reporting is necessary for effective monitoring of the award. USAID officials confirmed that there would have to be a reason to justify quarterly or more frequent reporting requirements for grants or cooperative agreements. For example, considerations related to risk could result in the need for more frequent reporting for grants and cooperative agreements.", "Table 10 shows the financial and performance reporting requirements for the contracts, grants, and cooperative agreements in our sample.", "Evaluations of performance: For the majority of contracts in our sample, USAID included provisions for evaluation of the contractor\u2019s performance at the conclusion of performance. According to the FAR, evaluations of a contractor\u2019s performance shall be prepared at the time the work under the contract is completed, and, for contracts longer than 1 year, interim evaluations should be prepared at least annually. USAID officials indicated that there is no similar government-wide or USAID requirement for grants and cooperative agreements. None of the grants and only a few of the cooperative agreements in our sample included such evaluation provisions. However, USAID officials noted that, in accordance with USAID policy, the past performance of a potential awardee is considered in conducting risk assessments for grants and cooperative agreements.", "Table 11 shows the number of USAID contracts, grants, and cooperative agreements in our sample that included provisions for evaluation of the contractor or awardee\u2019s performance.", "For most of the contracts in our sample, award documentation indicated that the contractor\u2019s performance would be assessed on a variety of factors such as quality of service, cost control, timeliness of performance, and effectiveness of key personnel. These evaluations form the basis of the contractor\u2019s performance record for the contract. Only one contract in our sample had no requirement for a performance evaluation of the contractor, and that award was for the rental of a hotel ballroom and related services for an event.", "For three of the cooperative agreements in our sample that included provisions for the evaluation of the awardee\u2019s performance, the award documentation indicated that USAID officials were to ensure prudent management of the award and to make the achievement of program objectives easier by, among other things, evaluating the awardee and its performance. One cooperative agreement included a provision that USAID will fund or conduct an external midterm evaluation during the second year of the project. For the one remaining cooperative agreement with an evaluation provision, documentation indicated that the evaluation would be used to inform a decision about a potential follow-on award."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Democracy assistance has been a key component of U.S. foreign assistance, supporting activities related to rule of law and human rights, good governance, political competition and consensus-building, and civil society. USAID and State together have allocated about $2 billion annually for democracy assistance in fiscal years 2012 through 2016. USAID\u2019s information systems enable it to track and report the amount of democracy assistance funding through contracts, grants, and cooperative agreements. However, State lacks the ability to provide comparable agencywide data. The quality of democracy assistance award data provided by 10 State bureaus and offices varied, and three of these bureaus were unable to provide reliable data. Of the State bureaus, INL is the only bureau that regularly makes use of contracts, and it provided unreliable data. Without reliable data from INL, State cannot accurately report on its use of the various award types. In addition, since EUR\u2019s and SCA\u2019s award data are maintained across embassies, offices, and the two bureaus, opportunities for data errors may increase when regional data needs to be compiled. Without reliable data from all relevant bureaus, State cannot be sure that it is fully and accurately reporting on democracy assistance awards, which limits, among other things, congressional oversight of democracy assistance funding.", "While USAID requirements for complete and timely documentation of award-type decisions have existed since at least 2011, for our sample of 41 USAID awards for which an award-type decision was required, only 5, or about 12 percent, had both complete and timely documentation of the award-type decision. USAID recently introduced processes and procedures to improve the documentation of these decisions. However, until USAID assesses its updated processes and procedures, it cannot know if the changes resulted in award-type decisions being documented in a complete and timely manner, as required by its guidance, or if additional steps are needed."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making three recommendations, two to State and one to USAID.", "The Secretary of State should direct the Bureau of International Narcotics and Law Enforcement Affairs to identify and address factors that affect the reliability of its democracy assistance data, such as miscoded or missing data. (Recommendation 1)", "The Secretary of State should direct the Director of the Office of U.S. Foreign Assistance Resources to implement a process to improve the reliability, accessibility, and standardization of democracy assistance data across the geographic regions of the Bureaus of European and Eurasian Affairs and South and Central Asian Affairs, such as utilizing a centralized database for award data. (Recommendation 2)", "The USAID Administrator should direct the Office of Acquisition and Assistance to assess whether current processes and procedures as outlined in revised guidance result in complete and timely documentation of award-type decisions for democracy assistance. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State, USAID, and NED for review and comment. State, USAID, and NED provided technical comments on the draft, which we incorporated as appropriate. State and USAID also provided written comments in letters that are reproduced in appendices VII and VIII, respectively. In their written comments, both State and USAID concurred with our recommendations. State also requested that the report provide more information about its commitment and efforts to improve accountability of foreign assistance under its Foreign Assistance Data Review process. We have added more details about these efforts, including a discussion of State\u2019s recent report to Congress on the outcomes of Phases One and Two of its four-phase review, which is expected to be completed in fiscal year 2021. State\u2019s letter also described other efforts to improve the quality and accessibility of data at the bureau- level and at posts.", "In its written comments, USAID stated that it will take steps to assess documentation of award-type decisions and planned to complete this assessment by September 30, 2018. USAID also underscored certain details regarding required documentation of award-type decisions for some awards in our sample of 41 USAID democracy assistance awards. USAID noted that three contracts in our sample consisted of task orders, which do not require award-type decision documentation separate from their base awards under USAID guidance, according to agency officials. The draft report included these details, and we added more information to the report to further clarify them.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of State, the Administrator of the U.S. Agency for International Development, and the President of the National Endowment for Democracy. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) examines funding that the U.S. Agency for International Development (USAID), National Endowment for Democracy (NED), and U.S. Department of State (State) obligated for democracy assistance through contracts, grants, and cooperative agreements; (2) evaluates USAID documentation of award-type decisions; and (3) compares USAID contracts with grants and cooperative agreements across selected award elements.", "To examine funds obligated by USAID, NED, and State for democracy assistance by award types, we obtained data on awards that USAID, NED, and State administered during fiscal years 2012 through 2016 under the Democracy, Human Rights, and Governance (DRG) portfolio. The data we obtained included awards to public international organizations (PIO). However, awards to PIOs are governed by USAID guidance separate from the guidance that applies to awards to other types of organizations. The data we obtained also included interagency agreements. However, interagency agreements are governed by separate USAID guidance that does not require the same award-type decision as when agencies obligate funds to entities through contracts, grants, and cooperative agreements. We analyzed the award data for fiscal years 2012 through 2016 but did not include fiscal year 2011 data in our analysis because State did not consistently track obligations data at the award level prior to fiscal year 2012, according to State officials. We assessed the reliability of these data by reviewing related documentation; interviewing knowledgeable officials; and conducting electronic or manual data testing for missing, nonstandard, or duplicative data; among other things. We determined that data provided by USAID, NED, and State, except for data from State\u2019s Bureau of International Narcotics and Law Enforcement Affairs (INL), Bureau of European and Eurasian Affairs (EUR), and Bureau of South and Central Asian Affairs (SCA), were sufficiently reliable for the purposes of our report. For the USAID, NED, and State data that were sufficiently reliable, we analyzed the amount of funding by award type, among other variables. We assessed State\u2019s data reliability challenges against federal internal control standards.", "To evaluate USAID\u2019s award-type decisions, we reviewed relevant regulations and agency policies, and we interviewed knowledgeable agency officials about these polices. State and NED were not included in our sample because most State bureaus did not regularly use all three types of awards and NED only provides assistance through grants. In addition, three State bureaus were unable to provide reliable data from which to select a sample. We also selected a roughly proportional, random, nongeneralizable sample of 41 awards\u201413 contracts, 5 grants, and 23 cooperative agreements. These awards were selected based on characteristics, such as award type, DRG program area, and place of performance. The sample focused on the 14 countries for which USAID obligated the most democracy funding. Democracy assistance projects in these 14 countries received over 70 percent of USAID\u2019s democracy assistance funding. The sample was also limited to contracts, grants, and cooperative agreements that were awarded by USAID in fiscal years 2012 through 2015 because fiscal year 2015 was the most recent fiscal year for which data were available at the time of our sample selection. We excluded (1) grants made to PIOs because these awards are governed by USAID guidance separate from the guidance that applies to awards to other types of organizations; (2) interagency agreements because engaging other federal agencies through interagency agreements does not require the same award-type decision under USAID guidance as when agencies obligate funds to entities through contracts, grants, and cooperative agreements; and (3) awards that fell below the simplified acquisition threshold, which is $150,000, because there are different acquisition procedures allowable for awards that fall below the threshold. For the selected awards, we obtained and analyzed preaward documentation relevant to the award-type decision and evaluated this documentation against the relevant regulations and agency guidance. To ensure accuracy, we cross-checked information from the documentation for the selected awards with USAID\u2019s award data.", "In collaboration with subject-matter experts, we selected four award elements\u2014competition, cost sharing and profit, scope of work, and oversight requirements\u2014for a comparison of contracts with grants and cooperative agreements. To compare USAID contracts with grants and cooperative agreements across selected award elements, we obtained and conducted a review of documentation associated with the same sample of 41 USAID awards. Additionally, we obtained information about award recipients from a public database maintained at SAM.gov. Using information collected from the documentation, we analyzed the selected awards\u2019 competition, cost sharing and profit, scope of work, and oversight activities. Subsequently, we reviewed the documentation and applicable legal frameworks, including federal regulations and guidance pertaining to the award elements we selected, to compare differences between award types. We also interviewed relevant agency officials as well as the leading industry organizations that represent implementers of foreign assistance programs to better understand the use of various award types.", "We conducted this performance audit from July 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: USAID\u2019s Use of Various Award Types for Democracy Assistance by Place of Performance during Fiscal Years 2012 through 2015", "paragraphs": ["Our nongeneralizable sample of U.S. Agency for International Development (USAID) awards was limited to fiscal years 2012 through 2015 and to the 14 countries for which USAID obligated the most democracy funding, which accounted for over 70 percent of USAID\u2019s democracy assistance funding. Total USAID democracy assistance funding for projects in Afghanistan was greater than for any other country, amounting to almost 39 percent of USAID\u2019s total democracy assistance obligations during fiscal years 2012 through 2015. The total USAID democracy assistance funding for projects in Afghanistan included obligations to public international organizations (PIOs) of more than $827 million in fiscal year 2012, more than $55 million in fiscal year 2013, more than $48 million in fiscal year 2014, and more than $369 million in fiscal year 2015. USAID\u2019s use of award types for democracy assistance varied across these 14 countries during fiscal years 2012 through 2015, as shown in figure 11."], "subsections": []}, {"section_title": "Appendix III: USAID and State Guidance in Response to the Consolidated Appropriations Act, 2016", "paragraphs": ["The Consolidated Appropriations Act, 2016, states that not later than 90 days after enactment of the act, the U.S. Department of State (State) and U.S. Agency for International Development (USAID), following consultation with democracy program implementing partners, shall each establish guidelines for clarifying program design and objectives for democracy programs, including the use of contracts versus grants and cooperative agreements in the conduct of democracy programs carried out with funds appropriated by the act. The joint explanatory statement accompanying the act further elaborated that the act requires the development of guidelines for the use of contracts versus grants and cooperative agreements for the unique objectives of democracy programs, and that the guidelines should assist contracting and agreement officers in selecting the most appropriate mechanism for democracy programs, among other things.", "In 2016, USAID released its revised agencywide guidance, Automated Directives System (ADS) Chapter 304 (ADS 304), on how to make award- type decisions between contracts, grants, and cooperative agreements. According to USAID officials, USAID expects to release guidance further clarifying ADS 304 at a future date. USAID intends to issue the guidance after it completes final consultations with implementing partners, the Congress, and other stakeholders. It includes scenarios and examples to further clarify existing government-wide and agencywide guidance. According to USAID officials, in drafting its guidance to further clarify ADS 304, USAID pursued multiple rounds of review within USAID, and with implementing partners, the Congress, and other stakeholders.", "According to State, it met the requirement to establish additional guidelines for democracy assistance through State\u2019s release of a Program Design and Performance Management Toolkit in fall 2016 and State\u2019s updating of its Federal Assistance Directive in May 2017. The aim of the Program Design and Performance Management Toolkit was to clarify program design and objectives for foreign assistance programs broadly. The Federal Assistance Directive combined both policies and procedures from the Federal Assistance Policy Directive and the Procedural Desk Guide into one document and clarified appropriate mechanisms for all programs. Although applicable to democracy programs, neither of these actions was specific to democracy programs. According to State, the Bureau of Democracy, Human Rights, and Labor; the Bureau of International Narcotics and Law Enforcement; and other relevant State bureaus that work closely with democracy assistance implementing partners consult regularly with and provide guidance to implementing partners on the use of the guidelines."], "subsections": []}, {"section_title": "Appendix IV: USAID Obligations through Different Award Types by Fiscal Year and Democracy, Human Rights, and Governance (DRG) Program Area", "paragraphs": ["U.S. Agency for International Development (USAID) democracy assistance obligations through different award types varied by fiscal year and DRG program area, as shown in tables 12, 13, and 14."], "subsections": []}, {"section_title": "Appendix V: Regulations and Policy Allowing USAID to Limit Competition for Contracts, Grants, and Cooperative Agreements", "paragraphs": ["Regulations, law, and policy enable the U.S. Agency for International Development (USAID) to limit competition in awarding contracts, grants, and cooperative agreements under certain circumstances. One source of USAID\u2019s authority to limit competition for contracts is the Competition in Contracting Act of 1984, as implemented in the Federal Acquisition Regulation (FAR), which outlines policies and procedures for acquisition by all federal agencies, including policies and procedures pertaining to exemptions from competition. In addition, for contracts awarded under USAID programs, the FAR, among other regulations and legislation, contains specific provisions on exemptions from competition. For grants and cooperative agreements, USAID\u2019s Automated Directives System Chapter 303 outlines circumstances under which competition can be limited.", "In accordance with applicable policies, procedures, and guidance, USAID can use some exemptions from competition only for contracts and others only for grants and cooperative agreements. For example, USAID can limit competition for contracts for the sake of public interest or when circumstances are such that competition would compromise U.S. national security; however, according to USAID officials, they rarely have cause to use these grounds for limiting competition. USAID guidance outlines some unique exemptions to competition for grants and cooperative agreements. For example, USAID can exempt follow-on awards, which are the same or substantively similar to recently completed awards, if the awardee will be the same, or can exempt awards from competition in certain instances when USAID has received an unsolicited application.", "For the awards in our sample, USAID limited competition for only 3 of the 13 contracts, based on USAID data. However, for one of these contracts, USAID officials indicated that they erroneously cited FAR 13.106-1(b), which permits sole source awards for acquisitions not exceeding the simplified acquisition threshold if only one source is reasonably available, when they should have cited FAR 13.501(a)(2)(i), which permits sole source acquisitions of commercial items (including brand-name items) for acquisitions greater than $150,000. For the exemptions from competition that USAID used for these awards, see table 15.", "USAID exempted from full competition all five of the grants and 15 of the 23 cooperative agreements in our sample. Table 16 outlines exemptions from competition that USAID may use for grants and cooperative agreements in our sample."], "subsections": []}, {"section_title": "Appendix VI: Program Objectives of Selected USAID Democracy Assistance Awards by Contract Type", "paragraphs": ["For the contracts in our sample, we found that program objectives varied by type of contract. For example, the firm fixed price award and three of the four indefinite quantity awards in our sample procured goods and services with specific deliverables that were directly for the U.S. Agency for International Development\u2019s (USAID) benefit. Nearly all of the cost- plus-fixed-fee contracts sought to achieve improvements in the public sector of the country of performance through activities such as supporting developments in public policy or strengthening national institutions. For examples of differences in program objectives by contract type in our sample, see table 17."], "subsections": []}, {"section_title": "Appendix VII: Comments from the U.S. Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mona Sehgal (Assistant Director), Justine Lazaro (Analyst-in-Charge), Lindsey Cross, Christopher Hayes, Carl Barden, Karen Cassidy, David Dayton, Timothy DiNapoli, Justin Fisher, Alexandra Jeszeck, Heather Latta, Madeline Messick, Natarajan Subramanian, Alex Welsh, and Bill Woods made key contributions to this report."], "subsections": []}]}], "fastfact": ["Promoting democracy abroad has been a long-standing U.S. priority.", "We examined how much money U.S. agencies pledged for democracy assistance in fiscal 2012-2016 and how they awarded the funds.", "We found USAID obligated $5.5 billion, but we could not determine a total for the State Department because some of its bureaus could not provide reliable data. In addition, in our sample we found USAID seldom documented award-related decisions in a complete and timely manner.", "We recommended that State improve data reliability and that USAID assess whether its new processes are improving award documentation."]} {"id": "GAO-18-341", "url": "https://www.gao.gov/products/GAO-18-341", "title": "Medicare: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending", "published_date": "2018-04-20T00:00:00", "released_date": "2018-05-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CMS required prior authorization as a demonstration in 2012 for certain power mobility devices, such as power wheelchairs, in seven states. Under the prior authorization process, MACs review prior authorization requests and make determinations to approve or deny them based on Medicare coverage and payment rules. Approved requests will be paid as long as all other Medicare payment requirements are met.", "GAO was asked to examine CMS's prior authorization programs. GAO examined 1) the changes in expenditures and the potential savings for items and services subject to prior authorization demonstrations, 2) reported benefits and challenges of prior authorization, and 3) CMS's monitoring of the programs and plans for future prior authorization. To do this, GAO examined prior authorization program data, CMS documentation, and federal internal control standards. GAO also interviewed CMS and MAC officials, as well as selected provider, supplier, and beneficiary groups."]}, {"section_title": "What GAO Found", "paragraphs": ["Prior authorization is a payment approach used by private insurers that generally requires health care providers and suppliers to first demonstrate compliance with coverage and payment rules before certain items or services are provided to patients, rather than after the items or services have been provided. This approach may be used to reduce expenditures, unnecessary utilization, and improper payments. The Centers for Medicare & Medicaid Services (CMS) has begun using prior authorization in Medicare through a series of fixed-length demonstrations designed to measure their effectiveness, and one permanent program. According to GAO's analyses, expenditures decreased for items and services subject to a demonstration. GAO's analyses of actual expenditures and estimated expenditures in the absence of the demonstrations found that estimated savings from all demonstrations through March 2017 could be as high as about $1.1 to $1.9 billion. While CMS officials said that prior authorization likely played a large role in reducing expenditures, it is difficult to separate the effects of prior authorization from other program integrity efforts. For example, CMS implemented a durable medical equipment competitive bidding program in January 2011, and according to the agency, it resulted in lower expenditures.", "Many provider, supplier, and beneficiary group officials GAO spoke with reported benefits of prior authorization, such as reducing unnecessary utilization. However, provider and supplier group officials reported that providers and suppliers experienced some challenges. These include difficulty obtaining the necessary documentation from referring physicians to submit a prior authorization request, although CMS has created templates and other tools to address this concern. In addition, providers and suppliers reported concerns about whether accessories deemed essential to the power wheelchairs under the permanent durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) program are subject to prior authorization. In practice, Medicare Administrative Contractors (MAC) that administer prior authorization programs review these accessories when making prior authorization determinations, even though they are not technically included in the program and therefore cannot be provisionally affirmed. As a result, providers and suppliers lack assurance about whether Medicare is likely to pay for these accessories. This is contrary to a CMS stated benefit of prior authorization\u2014to provide assurance about whether Medicare is likely to pay for an item or service\u2014and to federal internal control standards, which call for agencies to design control activities that enable an agency to achieve its objectives.", "CMS monitors prior authorization through various MAC reports. CMS also reviews MAC accuracy and timeliness in processing prior authorization requests and has contracted for independent evaluations of the demonstrations. Currently, prior authorization demonstrations are scheduled to end in 2018. Despite its interest in using prior authorization for additional items, CMS has not made plans to continue its efforts. Federal internal control standards state that agencies should identify, analyze, and respond to risks related to achieving objectives. CMS risks missed opportunities for achieving its stated goals of reducing costs and realizing program savings by reducing unnecessary utilization and improper payments."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS (1) subject accessories essential to the power wheelchairs in the permanent DMEPOS program to prior authorization and (2) take steps, based on results from evaluations, to continue prior authorization. The Department of Health and Human Services neither agreed nor disagreed with GAO's recommendations but said it would continue to evaluate prior authorization programs and take GAO's findings and recommendations into consideration in developing plans or determining appropriate next steps."]}], "report": [{"section_title": "Letter", "paragraphs": ["Prior authorization is a payment approach used by private insurers that generally requires health care providers and suppliers to first demonstrate compliance with coverage and payment rules before certain items or services are provided to patients, rather than after the items or services have been provided. This approach may be used to reduce expenditures, unnecessary utilization, and improper payments. The Centers for Medicare & Medicaid Services (CMS)\u2014the agency within the Department of Health and Human Services (HHS) that administers the Medicare program\u2014has begun using prior authorization to help ensure program integrity for selected items and services with high levels of unnecessary utilization and improper payments. In fiscal year 2017, the federal government made an estimated $36.2 billion in improper payments for the Medicare fee-for-service program. Since 1990, we have designated Medicare a high-risk program because of its size, complexity, and susceptibility to mismanagement and improper payments.", "CMS required prior authorization as a demonstration in 2012 for certain power mobility devices in seven states. CMS conducts demonstrations to test or measure the effect of program changes, such as new or innovative payment approaches. Since that time, CMS has expanded this demonstration to additional states and implemented three additional demonstrations for other items or services, such as non-emergency hyperbaric oxygen therapy, and established a permanent program for certain types of power wheelchairs. For the purposes of our report, we refer to the demonstrations and the permanent program collectively as prior authorization programs unless otherwise noted.", "You asked us to review CMS\u2019s use of prior authorization in Medicare, including findings from current programs, benefits and challenges, and any opportunities for expansion. This report examines 1. the changes in expenditures and the potential savings for items and services subject to prior authorization demonstrations. 2. the reported benefits and challenges of prior authorization. 3. CMS\u2019s monitoring of prior authorization programs and its plans for future prior authorization.", "To determine changes in expenditures and the potential savings for items and services subject to prior authorization demonstrations, we analyzed Medicare monthly expenditure data. We did not analyze expenditure data for the permanent program because it was implemented in March 2017. We calculated monthly expenditures for each demonstration for 2 time periods: 1) the 6 months prior to implementation of each demonstration and 2) the start of implementation of each demonstration through March 2017, the month for which the most recent reliable data were available at the time of our analysis. We analyzed these data separately for three groups of states: initial demonstration states (states that were part of the initial implementation), expansion demonstration states (states added after the initial implementation of the demonstration), and non- demonstration states (states that were never part of the demonstration). We calculated average monthly expenditures by state for each of the three groups of states. We then estimated potential savings by comparing average monthly expenditures before and after implementation in initial and expansion demonstration states. For the power mobility device demonstration, we also estimated potential savings from reduced expenditures in non-demonstration states, since CMS officials stated that savings may occur in all states\u2014even those not part of the demonstration\u2014in part because they think that larger nationwide suppliers could have improved their compliance with CMS policies in all states based on their experiences with prior authorization. Finally, we analyzed the effect of prior authorization over time by determining the percentage of the total reduction in expenditures that took place in the first 6 months of implementation for each demonstration. We did not independently verify the accuracy of these data on CMS\u2019s Medicare expenditures; however, we checked these data for obvious errors and omissions, compared analyses results to CMS\u2019s publicly reported information about expenditures, and interviewed CMS officials to resolve any identified discrepancies. On the basis of these actions, we determined that these data were sufficiently reliable for the purpose of our reporting objectives. We also interviewed CMS officials and reviewed CMS documents, such as CMS\u2019s annual program integrity report, to identify other program integrity efforts that may have affected expenditures.", "To identify reported benefits and challenges of prior authorization, we interviewed multiple stakeholders. First, we interviewed a non- generalizable sample of officials from nine Medicare beneficiary and provider and supplier groups to learn about their experiences with Medicare prior authorization, including challenges they faced and their views on program benefits. Second, we interviewed officials from CMS and the six Medicare Administrative Contractors (MAC) that administer the Medicare prior authorization programs about program benefits and challenges implementing and conducting the programs. When possible, we reviewed relevant documentation, such as the prior authorization programs\u2019 operational guides, to corroborate information reported by stakeholders. Third, we interviewed a sample of four private health insurers and two associations that represent health insurers about their experiences with prior authorization. To identify private health insurers, we considered which insurers had the greatest market share among large group insurers in states with Medicare prior authorization programs and which offered Medicare Advantage plans, as well as whether the insurer had been discussed in stakeholder interviews as having particularly relevant experience. We then compared CMS\u2019s efforts to mitigate reported challenges to federal standards for internal controls related to control activities.", "To determine the monitoring CMS conducts of prior authorization and its plans for future prior authorization, we obtained and reviewed CMS and Medicare contractor documents including Federal Register notices, proposed and final rules, and CMS prior authorization demonstration status updates. We interviewed CMS officials regarding the agency\u2019s monitoring of prior authorization and the extent to which the agency has plans for future prior authorization. We also interviewed private health insurers about their prior authorization programs and the evaluations they conduct, including how they determine whether to add or remove items and services from prior authorization. We then compared CMS\u2019s efforts in these areas to identified federal standards for internal control related to risk assessment.", "We conducted this performance audit from November 2016 through April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since September 2012, CMS has subjected selected items and services to prior authorization and pre-claim reviews\u2014a process similar to prior authorization where review takes place after services have begun\u2014 through four fixed-length demonstrations and a permanent program. The prior authorization demonstrations are for certain power mobility devices, repetitive scheduled non-emergency ambulance services, non- emergency hyperbaric oxygen therapy, and home health services; while the permanent program is for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items. By using prior authorization, CMS generally seeks to reduce expenditures, unnecessary utilization, and improper payments, although specific objectives for the programs vary based on the statutory authority CMS used to initiate each."], "subsections": [{"section_title": "Medicare Prior Authorization Programs", "paragraphs": ["Power mobility devices demonstration: In September 2012, CMS implemented prior authorization for certain scooters and power wheelchairs, items the agency has identified with historically high levels of fraud and improper payments, for Medicare beneficiaries in seven states: California, Florida, Illinois, Michigan, New York, North Carolina, and Texas. The demonstration, established under Section 402(a) of the Social Security Amendments of 1967, is intended to develop or demonstrate improved methods for the investigation and prosecution of fraud in providing care or services under Medicare. In October 2014, CMS expanded the demonstration to 12 additional states: Arizona, Georgia, Indiana, Kentucky, Louisiana, Maryland, Missouri, New Jersey, Ohio, Pennsylvania, Tennessee, and Washington. CMS also extended the program, which was originally scheduled to end in 2015, until August 2018.", "CMS officials reported that since the prior authorization programs\u2019 implementation, the agency made more than 100 referrals to its contractors that investigate fraud. However, due to the length of time fraud investigations typically take, results from these referrals are not yet available. extended the program, which was originally scheduled to end in 2017, through November 2018.", "Non-emergency hyperbaric oxygen therapy demonstration: In March 2015, CMS implemented prior authorization for non-emergency hyperbaric oxygen therapy in three states the agency has identified with high utilization and improper payment rates, based on the therapy facility\u2019s location: Illinois, Michigan, and New Jersey. Medicare covers hyperbaric oxygen therapy for certain conditions, such as diabetic wounds of the lower extremities, after there have been 30 days of no measurable signs of healing during standard wound care treatment. According to CMS, previous experience indicates that hyperbaric oxygen therapy has a high potential for improper payments and raises concerns about beneficiaries receiving medically unnecessary care. The demonstration, established under Section 1115A of the Social Security Act, is intended to reduce expenditures while preserving or enhancing quality of care. The demonstration ended in February 2018.", "Home health services demonstration: In August 2016, CMS implemented prior authorization for home health services in Illinois. The demonstration, established under Section 402(a) of the Social Security Amendments of 1967, is intended to develop or demonstrate improved methods for the investigation and prosecution of fraud in providing care or services under Medicare. The demonstration was originally scheduled to incorporate other states the agency has identified with high rates of fraud and abuse: Florida, Massachusetts, Michigan, and Texas. However, as of April 2017, CMS paused the demonstration while it considered making improvements. As of February 2018, the demonstration has not resumed.", "Permanent DMEPOS program: In December 2015, CMS established a permanent prior authorization program for certain DMEPOS items under Section 1834(a)(15) of the Social Security Act. This program aims to reduce unnecessary utilization for certain DMEPOS items. To select the items that would be subject to prior authorization, CMS compiled a Master List of items that 1) appear on the DMEPOS Fee Schedule list, 2) have an average purchase fee of $1,000 or greater (adjusted annually for inflation) or an average rental fee schedule of $100 or greater (adjusted annually for inflation), and 3) meet one of these two criteria: the item was identified in a GAO or HHS Office of Inspector General report that is national in scope and published in 2007 or later as having a high rate of fraud or unnecessary utilization, or the item is listed in the 2011 or later published Comprehensive Error Rate Testing program\u2019s annual report. CMS may choose specific items from this Master List to include on the required prior authorization list, and there is no set end date for requiring prior authorization for those items. CMS may suspend prior authorization for those items at any time. (See app. I for the items on the Master List.) In March 2017, CMS began requiring prior authorization for two types of group 3 power wheelchairs from the Master List for beneficiaries with a permanent address in selected states (Illinois, Missouri, New York, and West Virginia) and expanded the program nationwide in July 2017. As of February 2018, CMS has not identified any other items from the Master List for prior authorization. See figure 1 for each prior authorization program\u2019s implementation and end dates."], "subsections": []}, {"section_title": "Medicare Prior Authorization Process", "paragraphs": ["MACs that administer the prior authorization programs review prior authorization requests for items and services, along with supporting documentation, to determine whether all applicable Medicare coverage and payment rules have been met. CMS expects requests for prior authorization to include all documentation necessary to show that coverage requirements have been met, for example face-to-face examination documentation or the detailed product description. The referring physician\u2014or the physician who conducts the face-to-face examination of the beneficiary and orders the item or service\u2014provides this documentation to a provider or supplier who subsequently furnishes the item or service. According to multiple MACs\u2019 officials, the provider or supplier who furnishes the item or service typically submits the prior authorization request. CMS has specified that MACs review initial prior authorization requests and make a determination within 10 business days. MACs make one of the following decisions:", "Provisionally affirm (approve) \u2013 Documentation submitted meets Medicare\u2019s coverage and payment rules. A prior authorization provisional affirmation is a preliminary finding that a future claim submitted to Medicare for the item or service meets Medicare\u2019s coverage and payment requirements and will likely be paid.", "Non-affirm (deny) \u2013 Documentation submitted does not meet Medicare rules or the item or service is not medically necessary. However, a non-affirmed request may be revised and resubmitted for review an unlimited number of times prior to the submission of the claim for payment. CMS has specified that MACs make a determination on a resubmission within 20 business days.", "For the demonstrations, claims that are submitted without a prior authorization provisional affirmation are subject to prepayment review, which is medical review before the claim is paid. In addition, for the home health services and power mobility devices demonstrations, claims submitted without a prior authorization provisional affirmation that are determined payable during the medical review will be subject to a 25 percent reduction in payment. For the permanent program, claims that are submitted without a prior authorization provisional affirmation are denied. (See fig. 2 for the prior authorization process.)", "As of March 31, 2017, MACs had processed over 337,000 prior authorization requests\u2014about 264,000 initial requests and about 73,000 resubmissions, as shown in table 1.", "MACs\u2019 provisional affirmation rates for both initial and resubmitted prior authorization requests rose in each demonstration between their implementation and March 2017, often by 10 percentage points or more. For example, the provisional affirmation rate for initial submissions for repetitive scheduled non-emergency ambulance services rose from 28 percent in the first 6 months after implementation (December 2014 through May 2015) to 66 percent in the most recent 6 months for which data are available (October 2016 through March 2017). Some MAC officials attributed this rise in part to provider and supplier education, which improved documentation being submitted."], "subsections": []}]}, {"section_title": "Medicare Expenditures Decreased After Prior Authorization Began in Four Demonstrations", "paragraphs": [], "subsections": [{"section_title": "Expenditures Decreased After Prior Authorization Began and Estimated Savings May be as High as About $1.1 to $1.9 Billion, with Most Occurring Soon After Implementation", "paragraphs": ["According to our analysis, expenditures decreased for items and services subject to prior authorization in four demonstrations. For example, expenditure decreases in initial demonstration states from implementation through March 2017 ranged from 17 percent to 74 percent. Figure 3 shows the average monthly expenditures per state from 6 months prior to the start of each demonstration through March 2017 for each of three groups of states: states that were part of the initial demonstration, states that were part of the demonstration expansion, and non-demonstration states. (See app. II for monthly expenditures for items and services covered under each demonstration from their implementation through March 2017.)", "Our analysis also shows potential savings for items and services subject to prior authorization, based on the difference between actual expenditures and estimates of what expenditures would have been in the absence of the demonstrations. For each demonstration, we estimated expenditures had the demonstration not been implemented by assuming that expenditures would have remained at their average for the 6 months prior to the demonstration starting in each state. We then compared actual expenditures to these estimated expenditures and found that potential savings could be as high as about $1.1 to $1.9 billion.", "Estimated potential savings in states that were part of the demonstrations since either their initial implementation or expansion may be as high as $1.1 billion. For items and services subject to prior authorization in these states, estimated expenditures in the absence of the demonstrations would have been over $2.1 billion, while actual expenditures were about $1.0 billion.", "Estimated potential savings may be as high as about $1.9 billion if, for the power mobility device demonstration, we estimate savings in both demonstration states and non-demonstration states since implementation. With this method, estimated savings since the power mobility device demonstration\u2019s implementation change from over $600 million in demonstration states since each state\u2019s implementation to about $1.4 billion in all states since the demonstration began in September 2012, a nearly $800 million increase. This increase is due to including non-demonstration states in the analysis and changing the assumptions for expanded demonstration states in the analysis. CMS officials have reported that certain power mobility device expenditures have declined significantly in both demonstration states and non-demonstration states in part because they think that larger nationwide suppliers improved their compliance with CMS policies in all states based on their experiences with prior authorization. CMS did not make a similar statement for the other demonstrations, and in December 2017, CMS officials said that the agency has not analyzed expenditures in non- demonstration states for the other demonstrations. See table 2 for estimated potential savings for prior authorization demonstrations from implementation through March 2017.", "According to our analysis, more than half of the reduction in monthly expenditures took place within the first 6 months of each demonstration. We calculated the average monthly expenditures for the 6 months prior to the start of each demonstration, the monthly expenditures in the 6th month after implementation, and the monthly expenditures in March 2017 for initial demonstration states in the power mobility device, repetitive scheduled non-emergency ambulance services, and non-emergency hyperbaric oxygen therapy demonstrations. We compared these expenditures and found that 58, 99, and 91 percent of the reduction in monthly expenditures during this time took place during the first 6 months of each demonstration, respectively."], "subsections": []}, {"section_title": "Other CMS Efforts May Have Contributed to Expenditure Reductions", "paragraphs": ["CMS had other program integrity efforts underway before implementing prior authorization, and these efforts may have also contributed to the reduction in expenditures for items and services subject to prior authorization in these demonstrations. CMS officials said that it is likely that prior authorization played a large role in the expenditure reduction for those select items and services. However, CMS officials also reported that it is difficult to separate the effects of prior authorization from other program integrity efforts, and the agency has not developed a methodology for determining the independent effect of prior authorization on expenditures. We found that some of these other program integrity efforts have addressed provider screening and enrollment and certain durable medical equipment, and these may have contributed to the reductions in Medicare expenditures.", "Provider screening and enrollment: CMS has taken steps to keep potentially fraudulent providers and suppliers from billing Medicare. For example, in September 2011, CMS began revalidating providers\u2019 and suppliers\u2019 enrollment in Medicare to ensure that they continue to be eligible to bill Medicare. Revalidation involves confirming that the provider or supplier continues to meet Medicaid program requirements, including ensuring that a provider or supplier does not employ or contract with individuals who have been excluded from participation in federal health care programs. We previously reported that screening all providers and suppliers\u2014not just the ones subject to prior authorization\u2014resulted in over 23,000 new applications being denied or rejected and over 703,000 existing enrollment records being deactivated or revoked from March 2011 through December 2015. We also reported that CMS estimated the revised process avoided $2.4 billion in total Medicare payments to ineligible providers and suppliers from March 2011 to May 2015, some of which may have been payments for items and services subject to prior authorization. in July 2013, CMS implemented moratoria on enrollment of new providers for home health services and for repetitive, scheduled non- emergency ambulance transport in select counties. As of January 2018, CMS had extended the home health services moratoria statewide to Florida, Illinois, Michigan, and Texas and the repetitive, scheduled non-emergency ambulance transport moratoria statewide to Pennsylvania and New Jersey. During a moratorium, no new applications to enroll as a billing provider of the affected service types are reviewed or approved. In October 2017, CMS officials said that home health and non-emergency ambulance services\u2019 expenditures may have been affected by provider enrollment moratoria.", "Certain durable medical equipment pricing, payments, and education and outreach: CMS has taken steps to change how certain durable medical equipment is paid for and to provide ongoing durable medical equipment education and outreach. For example, in January 2011, CMS implemented a DMEPOS competitive bidding program required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Under the program, only competitively selected contract suppliers can furnish certain durable medical equipment items at competitively determined prices to Medicare beneficiaries in designated areas. CMS began the program in 9 of the largest metropolitan areas, and in July 2013 expanded to an additional 100 large metropolitan areas. In January 2016, CMS implemented competitive bidding program-based adjusted prices for non-designated areas for durable medical equipment items that were previously, or are currently, included in the competitive bidding program. According to CMS, the program\u2014which generally results in lower competitively bid prices\u2014is reducing expenditures for approximately half of the beneficiaries receiving power mobility devices nationwide. We have previously reported that prices decreased for power mobility devices in the competitive bidding program; some of these devices are also subject to prior authorization. in January 2011, CMS eliminated the lump sum purchase option for standard power wheelchairs. This change reduced expenditures for power wheelchairs used on a short-term basis because payments for short-term rentals are lower than for the purchase of these items. durable medical equipment MACs and CMS provide continuous DMEPOS education and outreach. According to CMS, the education and outreach may have contributed to reducing expenditures for power mobility devices by helping providers and suppliers to understand how to bill correctly and to submit fewer claims that do not meet Medicare coverage and payment requirements."], "subsections": []}]}, {"section_title": "Providers and Suppliers Reported that Prior Authorization Is an Effective Tool, but They Face Difficulty Obtaining Documentation, and Concerns Exist for One Program", "paragraphs": [], "subsections": [{"section_title": "Many Providers and Suppliers Reported Prior Authorization Benefits, and CMS Has Addressed Some of Their Initial Concerns", "paragraphs": ["Many of the officials we interviewed representing provider, supplier, and beneficiary groups, as well as CMS and MACs, reported benefits to prior authorization. Officials from some of these groups said that prior authorization is an effective tool to reduce unnecessary utilization and improper payments. Some officials who reported benefits said that prior authorization helps educate providers and suppliers about allowable items and services under Medicare and improves providers\u2019 and suppliers\u2019 documentation. Some officials also said that providers and suppliers appreciate the assurance of knowing that Medicare is likely to pay for these items and services. Officials from three provider and supplier groups said that by getting provisional prior authorization, their claims will likely not be denied, and they can thus avoid the appeals process, for which there are significant delays. In addition, officials from two provider and supplier groups believe that prior authorization may deter fraudulent suppliers from participating in Medicare. Because of these benefits, these provider and supplier group officials recommended that CMS expand its use of prior authorization.", "In addition, CMS has improved the prior authorization programs by responding to some of the providers\u2019 and suppliers\u2019 initial concerns. For example, for the power mobility device demonstration, CMS and MAC officials that process DMEPOS claims reported that providers and suppliers were initially confused about whether beneficiaries with representative payees\u2014persons or organizations authorized to accept payment on a beneficiary\u2019s behalf\u2014were exempt from the prior authorization program. To address this issue, CMS revised and clarified its guidance related to representative payees. In addition, for the non- emergency hyperbaric oxygen therapy demonstration, officials from CMS and a MAC administering the demonstration said that providers and suppliers raised concerns that a Medicare-covered condition (compromised skin grafts) included in the demonstration required immediate care and therefore should not be subject to prior authorization. In response, CMS removed the condition from the list of conditions subject to prior authorization."], "subsections": []}, {"section_title": "Providers and Suppliers Report Difficulty Obtaining Documentation for Prior Authorization Requests, and CMS Is Taking Steps to Address This Challenge", "paragraphs": ["Some provider and supplier group officials we interviewed reported that obtaining the documentation necessary to submit a prior authorization request can be difficult. For example, some of these officials told us that providers and suppliers may spend 3 to 7 weeks obtaining necessary documentation from referring physicians and other relevant parties before submitting a prior authorization request. While CMS\u2019s documentation requirements did not change under prior authorization, officials from a provider and supplier group we spoke with said that prior authorization exacerbates existing documentation challenges because they must obtain all required documentation before providing items and services to beneficiaries. As we noted in a previous report, two durable medical equipment MACs said that referring physicians may lack financial incentives to submit proper documentation since they are unaffected if a durable medical equipment or home health claim is denied due to insufficient documentation, while the provider or supplier submitting the claim loses the payment.", "Furthermore, according to some provider and supplier group representatives, CMS\u2019s documentation requirements can be difficult to meet. Representatives from one supplier and provider group said that there is a high standard of proof to meet the information needed to support their medical necessity requirements. For example, documentation in the medical record is required to show whether the referring physician considered other options. Also, representatives from another provider and suppler group said that, unlike private insurers, CMS has more requirements that providers and suppliers consider administrative. For instance, MACs deny prior authorization requests for missing physician signatures.", "In addition, representatives from a provider and supplier group said it may be necessary to collect documentation from multiple providers that treated the beneficiary in order to meet CMS\u2019s medical necessity requirements. However, officials from one private insurer said that their medical necessity requirements for certain items and services may necessitate receiving documentation from several providers as well, although this does not occur often.", "CMS officials acknowledged that the agency\u2019s requirements may be more difficult to meet than those of private health insurers. However, this scrutiny may be beneficial because, unlike private insurers, Medicare must pay for health care delivered by any eligible physician willing to accept Medicare payment and follow Medicare requirements.", "We found that CMS and the MACs have taken some steps to assist providers and suppliers in obtaining documentation from referring physicians. For example, CMS has created e-clinical templates for home health services and power mobility devices that can be incorporated into progress notes to help ensure physicians meet medical necessity requirements. CMS and the MACs have also created documentation checklists, prior authorization coversheets, and other tools to assist providers and suppliers in verifying that they have obtained the documentation necessary to meet CMS\u2019s documentation requirements. Agency officials have stated that they are working on additional changes to reduce provider and supplier burden, for example, developing e-clinical templates for additional items and services.", "Furthermore, representatives from each of the MACs said that they call providers and suppliers that receive certain prior authorization non- affirmations to ensure suppliers and providers understand what information is required to obtain a provisional affirmation. Some MAC representatives said that having a phone conversation with suppliers allows them to resolve non-affirmations more expediently and reduces the number of resubmissions. Representatives from one MAC estimated that when they call providers and suppliers, they are able to resolve 50 to 80 percent of the issues that led to the non-affirmations. Several MAC representatives also said calling helps providers and suppliers gain a better understanding of CMS\u2019s documentation requirements, which will increase their likelihood of having future requests provisionally affirmed. In addition, CMS officials said that the agency encourages MACs to call referring physicians directly, when necessary, to remedy curable errors or obtain additional documentation needed to affirm a request because non- affirmation may be resolved faster without providers and suppliers serving as intermediaries."], "subsections": []}, {"section_title": "Providers and Suppliers Report Concerns about Whether the Permanent DMEPOS Program Includes Essential Accessories", "paragraphs": ["Providers and suppliers reported concerns about whether accessories deemed essential to group 3 power wheelchairs are subject to prior authorization and can be provisionally affirmed under the permanent DMEPOS program. According to CMS, the permanent DMEPOS program requires prior authorization for power wheelchair bases, but not for their accessories. CMS officials said this is because accessories do not meet the criteria for inclusion on the Master List. However, according to CMS, the MACs must review these accessories when they make prior authorization determinations because their decision to provisionally affirm a wheelchair base is based in part on their view of the medical necessity of the accessories. Therefore, if an essential accessory does not meet medical necessity requirements, a MAC will deny a prior authorization request for a power wheelchair base. In other words, in practice these accessories are subject to prior authorization, even though they are not technically included in the permanent DMEPOS program and therefore cannot be provisionally affirmed. As a result, providers and suppliers lack assurance about whether Medicare is likely to pay for these accessories.", "In December 2017, CMS officials stated that there have been preliminary discussions regarding the feasibility and effect of subjecting accessories essential to the group 3 power wheelchairs in the permanent DMEPOS program to prior authorization. However, CMS officials did not provide a timeframe for reaching a decision about whether they would do so. Federal internal control standards state that agencies should design control activities that enable an agency to achieve its objectives and should respond to any risks related to achieving those objectives. By not including essential accessories in prior authorization so they can be provisionally affirmed as appropriate, CMS may hinder its ability to achieve one of the stated benefits of the prior authorization program\u2014to allow providers and suppliers to know prior to providing the items whether Medicare will likely pay for them."], "subsections": []}]}, {"section_title": "CMS Monitors Prior Authorization But Has Not Made Plans for Prior Authorization in the Future", "paragraphs": [], "subsections": [{"section_title": "CMS Monitors Prior Authorization and Has Contracted for Evaluations of the Demonstrations", "paragraphs": ["We found that CMS monitoring includes reviewing MAC reports of the results of prior authorization requests, examining MAC timeliness and accuracy, and contracting for independent evaluations of the prior authorization demonstrations.", "CMS officials told us that they review weekly, monthly, and annual MAC reports that include information such as numbers of requests received, completed, approved, denied, and resubmitted.", "According to CMS officials, they monitor MAC timeliness through these reports and separately have a contractor review MAC accuracy in processing requests. According to these officials, they have not identified any issues with MAC timeliness, as the MACs currently meet the standards for processing initial requests within 10 business days and resubmissions within 20 business days. In addition, CMS officials said that a sample of MACs\u2019 prior authorization decisions is reviewed each month for accuracy for each of the prior authorization demonstrations, and the reviews have not identified any issues with these decisions.", "CMS officials said that they meet with providers and supplier groups regularly to solicit feedback, to identify issues that need to be addressed, and to determine whether there are any problems, such as reduced beneficiary access to care. According to CMS officials, they have not identified any negative impact on beneficiary access to care as a result of implementing prior authorization.", "CMS has contracted for independent evaluations of the power mobility device, repetitive scheduled non-emergency ambulance services, and non-emergency hyperbaric oxygen demonstrations. In December 2017, CMS officials told us that evaluations will be completed and results available after the demonstrations end. In December 2017, officials told us that they also plan to contract for an evaluation of the permanent program after more time has passed."], "subsections": []}, {"section_title": "Although Most Prior Authorization Is Scheduled to End in 2018, CMS Does Not Have Plans to Continue Efforts", "paragraphs": ["Most prior authorization programs are scheduled to end in 2018, with all the demonstrations concluding and only the limited permanent program remaining.", "The non-emergency hyperbaric oxygen demonstration ended in February 2018, the power mobility device demonstration in August 2018, and the repetitive scheduled non-emergency ambulance services demonstration in November 2018.", "The home health services demonstration has been on pause since April 2017 with no plans to resume as of February 2018, although CMS stated that they are considering improvements to the demonstration.", "The permanent program, which currently consists of two group 3 power wheelchairs, is the only prior authorization program that will remain. According to CMS officials, these wheelchairs are very low volume, and the HHS Office of the Inspector General reported that these wheelchairs represent just a small percentage of all durable medical equipment claims.", "CMS has not made plans for continuing expiring or paused prior authorization programs or expanding prior authorization. However, officials told us that they would like to see prior authorization for additional items. For example, CMS officials said that they have considered prior authorization for items such as hospital beds and oxygen concentrators, because these have high utilization or improper payment rates. In addition, in December 2017, CMS officials said that the agency is evaluating whether it has met the requirements for nationwide expansion of the repetitive scheduled non-emergency ambulance services demonstration established by the Medicare Access and CHIP Reauthorization Act of 2015. However, CMS officials also said that have not yet determined the next steps for the use of prior authorization. Federal internal control standards state that agencies should identify, analyze, and respond to risks related to achieving objectives. By not taking steps, based on results from the evaluations, to continue prior authorization, CMS risks missed opportunities for achieving its stated goals of reducing costs and realizing program savings by reducing unnecessary utilization and improper payments."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since September 2012, CMS has begun using prior authorization to ensure that Medicare coverage and payment rules have been met before the agency pays for selected items and services. During this time, expenditures for items and services subject to prior authorization have been reduced. We estimate potential savings may be as high as about $1.1 to $1.9 billion, although other CMS program integrity efforts may have contributed to these reductions. Many stakeholders, including providers, suppliers, and MAC officials, support prior authorization, citing benefits such as reduced unnecessary utilization. However, providers and suppliers report concerns about whether accessories deemed essential to group 3 power wheelchairs are subject to prior authorization and can be provisionally affirmed. By not including essential accessories in prior authorization, CMS may hinder its ability to achieve one of the stated benefits of the prior authorization program\u2014to allow providers and suppliers to know prior to providing the items whether Medicare will likely pay for them.", "All four prior authorization demonstrations are either paused or will end in 2018, and CMS does not have plans to extend these programs or expand the use of prior authorization to additional items and services with high rates of unnecessary utilization or improper payments. By not taking steps, based on results from the evaluations, to continue prior authorization, CMS risks missed opportunities for achieving its stated goals of reducing costs and realizing program savings by reducing unnecessary utilization and improper payments."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to CMS.", "The Administrator of CMS should subject accessories essential to the group 3 power wheelchairs in the permanent DMEPOS program to prior authorization. (Recommendation 1)", "The Administrator of CMS should take steps, based on results from evaluations, to continue prior authorization. These steps could include: resuming the paused home health services demonstration; extending current demonstrations; or, identifying new opportunities for expanding prior authorization to additional items and services with high unnecessary utilization and high improper payment rates. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for comment, and its comments are reprinted in appendix III. HHS also provided technical comments, which we incorporated as appropriate.", "HHS neither agreed nor disagreed with the recommendations but said it would continue to evaluate prior authorization programs and take our findings and recommendations into consideration in developing plans or determining appropriate next steps. In addition, in response to our recommendation to take steps to continue prior authorization, HHS noted that the President\u2019s fiscal year 2019 budget for HHS included a legislative proposal to extend its statutory authority to permanently require prior authorization for specified Medicare fee-for-service items and services to all Medicare fee-for-service items and services.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, the Administrator of the Centers for Medicare & Medicaid Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact A. Nicole Clowers at (202) 512-7114 or clowersa@gao.gov or Kathleen M. King at (202) 512-7114 or kingk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: List of Items That May Be Selected for Prior Authorization", "paragraphs": ["In December 2015, the Centers for Medicare & Medicaid Services (CMS) established a permanent prior authorization program for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). To select the items subject to prior authorization, CMS compiled a Master List of items that 1) appear on the DMEPOS Fee Schedule list, 2) have an average purchase fee of $1,000 or greater (adjusted annually for inflation) or an average rental fee schedule of $100 or greater (adjusted annually for inflation), and 3) meet one of these two criteria: the item was identified in a GAO or Department of Health and Human Services Office of Inspector General report that is national in scope and published in 2007 or later as having a high rate of fraud or unnecessary utilization, or the item is listed in the 2011 or later published Comprehensive Error Rate Testing program\u2019s annual report. The information presented in this appendix was reprinted from information in a December 2015 final rule. We did not edit it in any way, such as to spell out abbreviations. (See table 3 for the Master List.)"], "subsections": []}, {"section_title": "Appendix II: Expenditure Data for Items and Services Subject to Prior Authorization", "paragraphs": ["Tables 4 through 7 present monthly expenditures for items and services subject to prior authorization in initial demonstration states, expansion demonstration states, and non-demonstration states from 6 months prior to each demonstration\u2019s implementation through March 2017, the most recent month for which reliable data is available."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Martin T. Gahart (Assistant Director), Lori Achman (Assistant Director), Peter Mangano (Analyst-in- Charge), Sylvia Diaz Jones, and Mandy Pusey made key contributions to this report. Also contributing were Sam Amrhein, Muriel Brown, Eric Wedum, and Jennifer Whitworth."], "subsections": []}]}], "fastfact": ["In an effort to reduce improper payments and reduce expenses, the Medicare program has experimented with requiring prior authorization. This means beneficiaries need approval before they can receive certain services or items like powered wheelchairs.", "We found this approach, which started in 7 states in 2012, reduced spending on these items and services by as much as $1.9 billion. Providers and suppliers reported benefits from the approach, but also had concerns about uncertainties created over what is covered.", "Most prior authorization programs are slated to end. We recommended Medicare take steps to continue prior authorization.", "Prior Authorization Programs\u2019 Implementation and End Dates"]} {"id": "GAO-18-180", "url": "https://www.gao.gov/products/GAO-18-180", "title": "Transportation Security Administration: Surface Transportation Inspector Activities Should Align More Closely With Identified Risks", "published_date": "2017-12-14T00:00:00", "released_date": "2017-12-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The global terrorist threat to surface transportation \u2013 freight and passenger rail, mass transit, highway, maritime and pipeline systems \u2013 has increased in recent years, as demonstrated by the 2017 London vehicle attacks and a 2016 thwarted attack on mass transit in the New York area. TSA is the primary federal agency responsible for securing surface transportation in the United States.", "GAO was asked to review TSA surface inspector activities. This report addresses (1) how TSA surface inspectors implement the agency's surface transportation security mission, and (2) the extent to which TSA has used a risk-based approach to prioritize and implement surface inspector activities. GAO analyzed TSA data on surface inspector activities from fiscal year 2013 through March 24, 2017, reviewed TSA program and risk documents and guidance, and observed surface inspectors conducting multiple activities. GAO also interviewed TSA officials in 17 of 49 surface field offices and 15 industry stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["Transportation Security Administration (TSA) surface transportation security inspectors\u2014known as surface inspectors\u2014conduct a variety of activities to implement the agency's surface security mission, including:", "Regulatory Inspections: Surface inspectors enforce freight rail, passenger rail, and maritime security regulations. GAO found that, according to TSA data, surface inspectors reported spending approximately 20 percent of their time on these activities from fiscal years 2013 to 2017.", "Non-regulatory assessments and assistance: Surface inspectors conduct voluntary assessments and provide training to surface transportation entities, among other things. GAO found that, according to TSA data, inspectors reported spending approximately 80 percent of their time on these activities.", "In addition to mission-related activities, surface inspectors can assist with aviation-related activities. However, GAO found that TSA has incomplete information on the total time surface inspectors spend on these activities because of limitations in TSA's data system. Addressing these limitations would provide TSA with complete information when making decisions about inspector activities.", "GAO also found that TSA prioritized inspector activities in the surface transportation mode with the lowest risk because TSA did not incorporate risk assessment results when planning and monitoring activities. Specifically, in fiscal year 2016, the last full year for which data on inspectors' activities in the surface modes was available, surface inspectors reported spending more than twice as much time on the lowest risk surface transportation mode according to TSA risk assessments than on the highest risk surface transportation mode. Incorporating risk assessment results when prioritizing inspector activities would help TSA ensure that its surface security resources address the highest risks.", "In fiscal year 2017, TSA fully implemented a new risk mitigation program\u2014Risk Mitigation Activities for Surface Transportation (RMAST)\u2014intended to focus time and resources on high-risk surface transportation entities and locations. However, GAO found that TSA has not identified or prioritized these high-risk entities and locations, or defined the RMAST program's objectives and associated activities in a measurable and clear way. According to TSA officials, they have not done so because there are too many potential entities to list them all for prioritization and TSA has not identified an approach for determining the effectiveness of activities under the program. However, prioritizing high-risk entities, such as by type, characteristics, or location does not require a complete list of entities. By identifying and prioritizing high-risk entities and locations for RMAST, and clearly defining the program's activities and objectives, TSA would be better able to implement RMAST activities in a risk-based manner and measure their effectiveness.", "This is a public version of a sensitive report that GAO issued in October 2017. Information that TSA deemed sensitive has been omitted."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that TSA (1) address limitations in its data system to collect complete information, (2) ensure inspector activities more closely align with the results of risk assessments, (3) identify and prioritize entities and locations for its risk mitigation program, and (4) define measurable and clear objectives for the program. TSA concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Mass transit bombings and vehicle attacks in cities such as Brussels, London and St. Petersburg, as well as planned attacks in the New York area and other U.S. cities demonstrate terrorist persistence in targeting surface transportation. The surface transportation network includes passenger rail, mass transit, freight rail, highway, pipeline, and maritime modes. Surface transportation systems generally rely on an open infrastructure that is difficult to monitor and secure due to its multiple access points, hubs serving multiple carriers, and in some cases, lack of access barriers. Securing these systems is further complicated by the number of private and public stakeholders involved in operating and protecting the system and the need to balance security with the expeditious flow of people and goods. According to the Mineta Institute for Transportation, terrorist attacks against surface transportation are becoming more frequent and the overall risk for a surface transportation attack has increased over the past 40 years. According to the Transportation Security Administration (TSA), an attack on a surface transportation system in the United States could potentially lead to significant casualties and economic damage and disruption worth billions of dollars.", "TSA, within the U.S. Department of Homeland Security (DHS), is the primary U.S. federal agency responsible for securing all four general modes of land-based transportation \u2013 mass transit and passenger rail, freight rail, highway and motor carrier, and pipeline \u2013 and supports maritime security efforts by deploying 222 surface transportation security inspectors, known as surface inspectors, in 49 locations throughout the country. TSA\u2019s surface domain includes nearly 140,000 miles of railroad track, over 2.5 million miles of pipeline, and 4 million miles of roads, that facilitate 10 billion annual passenger trips on mass transit systems, school bus transport for 24 million students riding school buses each day, and nearly 800,000 daily shipments of hazardous material. TSA has an annual surface security operating budget of around $111 million, which represents approximately 3 percent of TSA\u2019s total budget, while the remainder of the budget is dedicated primarily to aviation operations, according to TSA. TSA\u2019s role in surface transportation security varies by mode. For example, TSA plays a regulatory role in freight rail, passenger rail, and maritime facility security. TSA also provides guidance and encourages voluntary implementation of security best practices to surface transportation entities, and relies on cooperation from system operators, and local, state, and federal security partners.", "DHS and TSA officials have stated that they use risk-based security to deliver the most effective security in the most efficient manner. We have previously reviewed TSA surface transportation initiatives, and in March 2009 reported that TSA had not conducted a comprehensive risk assessment for securing mass transit and passenger rail. We recommended that TSA conduct a risk assessment that included all elements of risk, and TSA took actions to implement the recommendation, including developing the Transportation Sector Security Risk Assessment (TSSRA) in 2010, which examines and assesses the terrorism risk for all transportation modes for which TSA is responsible.", "You asked us to review the activities that TSA surface inspectors perform in support of TSA\u2019s surface security mission. This report examines (1) how TSA surface inspectors implement the agency\u2019s surface transportation security mission and (2) the extent to which TSA has used a risk-based approach to prioritize and implement surface inspector activities.", "This report is a public version of a prior sensitive report that we issued in October 2017. TSA deemed some of the information in the prior report sensitive security information, which must be protected from public disclosure. Therefore, this report omits sensitive information regarding the specific risks facing particular surface transportation modes as determined by TSA. However, the report addresses the same questions as the sensitive report and the overall methodology used for both reports is the same.", "To collectively address these objectives, we reviewed relevant statutes, regulations, and strategic documents, such as provisions in the Implementing Recommendations of the 9/11 Commission Act of 2007 (9/11 Commission Act), TSA surface security and related regulations, and TSA\u2019s National Strategy for Transportation Security 2016, among others. We also analyzed TSA data from the surface module of TSA\u2019s Performance and Results Information System (PARIS) from fiscal years 2013 through March 24, 2017, the most recent data available, to identify the time surface inspectors reported spending on regulatory and non- regulatory activities and in each transportation mode. We analyzed data from fiscal years 2013 through March 2017 to compare multiple years of data for purposes of identifying any trends or variances in the data over time, as well as to capture data after program reorganizations.", "We assessed the reliability of data from the surface module of PARIS by, for example, interviewing TSA officials responsible for entering, reviewing, or using PARIS data and electronically testing the data, among other steps. We determined that PARIS surface module data on inspector activities were sufficiently reliable for our purposes \u2013 to describe how surface inspectors reported spending their time using summary-level data \u2013 with some limitations. Specifically, the aviation data we report from the surface module represents the minimum aviation activities surface inspectors conducted, and the inspection counts and compliance rates we report for fiscal year 2013 represent partial year data. See appendix I for more information on how we assessed the reliability of these data and the limitations we identified.", "Additionally, we conducted interviews with TSA officials in 17 of 49 surface field offices, selected based on a variety of factors including their unique surface transportation environments; all 6 TSA Regional Security Inspectors (RSIs) and 15 industry stakeholders in the freight rail, passenger rail/mass transit, highway, and maritime modes. For more information on how we selected field offices and industry stakeholders for our interviews, see appendix I. Our interviews with TSA officials and industry stakeholders are not generalizable, but provided us with important insights into the implementation of TSA surface transportation security programs, the challenges surface inspectors may face, and the transportation industry\u2019s interaction with TSA surface inspectors.", "To further address our first objective and describe how TSA surface inspectors implemented the agency\u2019s surface transportation security mission, we examined TSA strategic and program documents. We also observed inspectors conducting program activities including a Baseline Assessment for Security Enhancement (BASE) review, a regional Intermodal \u2013 Security Training and Exercise Program (I-STEP) exercise, and an Exercise Information System (EXIS) exercise. We used the results of our analysis of PARIS data to describe the number of each type of regulatory inspection surface inspectors conducted from fiscal years 2013 to 2017, regulatory compliance rates for those inspections, and how surface inspectors reported spending their time on all activities in the surface module of PARIS. To evaluate the effects of this limitation on TSA\u2019s implementation of its surface activities, we compared the results of our data analysis and our interviews with TSA officials to Standards for Internal Control in the Federal Government.", "To further address our second objective, we analyzed TSA risk guidance and examined TSA\u2019s cross-modal risk assessments in the TSSRA from fiscal years 2013 to 2016. To evaluate the extent to which TSA considered risk when it staffed TSA surface inspectors, we reviewed TSA\u2019s fiscal year 2017 surface inspector staffing model\u2014the only model TSA used during the period we examined\u2014and interviewed TSA officials responsible for developing and executing staffing, and compared that process to TSA risk guidance. To determine the extent to which TSA prioritized surface inspector activities based on risk we compared surface inspector work plan requirements and the work plan development process, as described by TSA officials, to risk information, including results from the TSSRA and TSA risk guidance. See appendix I for more information on the risk information we used to assess the surface inspector work plans. To determine the extent to which TSA\u2019s implementation of surface inspector activities aligned with risk, we compared the results of our analysis of PARIS surface module data on the time surface inspectors spent in each surface mode to the results of the TSSRA cross-modal risk assessments from fiscal years 2013 to 2017. We also identified the types of information TSA used in its fiscal year 2015 analysis of surface inspector time and activities to determine what TSA considered when it monitored how surface inspector activities were implemented. Furthermore, to evaluate the extent to which TSA\u2019s Risk Mitigation Activities for Surface Transportation (RMAST) program was risk-based and TSA had established measurable goals for the program, we compared the results of our analysis of PARIS surface module data, program descriptions, and interviews with TSA officials responsible for planning and implementing the program to TSA\u2019s risk guidance and Standards for Internal Control in the Federal Government.", "The performance audit upon which this report is based was conducted from April 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2017 to December 2017 to prepare this nonsensitive version of the original report for public release. This public version was also prepared in accordance with these standards. More details about the scope and methodology of our work are contained in appendix I."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "TSA Roles and Responsibilities", "paragraphs": ["The Aviation and Transportation Security Act designated TSA as the primary federal agency responsible for securing all modes of transportation. In fiscal year 2005, Congress appropriated funds for surface transportation security, and the accompanying conference report directed that some of those funds go to rail compliance inspectors, the predecessors to today\u2019s surface transportation security inspectors\u2014 referred to as surface inspectors.", "Public and private transportation entities have the principal responsibility to carry out safety and security measures for their services. As such, TSA coordinates with public and private transportation entities to identify vulnerabilities, share intelligence information, and work to mitigate security risks to the system. See table 1 for examples of the entities TSA works with to secure the various surface transportation modes."], "subsections": []}, {"section_title": "TSA Surface Security Budget and Regulations", "paragraphs": ["In fiscal year 2005, $10 million of TSA\u2019s surface transportation security appropriation was to hire and deploy up to 100 rail compliance inspectors. TSA assigned inspectors to oversee security and provide oversight and assistance to railroads, and subsequently, other surface transportation modes, including mass transit and passenger rail, freight rail, highway, and pipeline sectors. TSA has since increased the number of surface inspectors, and since 2013 has maintained more than 200 Full Time Equivalent (FTE) positions. See table 2 for additional details on the number of TSA surface inspector FTEs from fiscal years 2013 through 2017.", "In August 2007, the 9/11 Commission Act was signed into law and required TSA to issue security regulations for freight and passenger rail, among other requirements. TSA also issued regulations governing surface transportation security on its own initiative. As of July 2017, TSA has issued the following regulations related to surface transportation:", "Rail Inspections: Issued in November 2008, 49 C.F.R. part 1580 requires certain freight railroad carriers and passenger rail operations (passenger railroad carriers and rail transit systems) to designate a rail security coordinator, notify the Transportation Security Operations Center regarding any significant security concerns, and, if applicable, ensure a secure chain of custody of rail cars containing certain hazardous materials, and be able to provide location and shipping information for certain rail cars, among other things. The hazardous materials subject to this regulation include certain explosives, toxic inhalation hazardous materials (TIH), and radioactive materials. See appendix II for additional details.", "Maritime Inspections: TSA also partners with the U.S. Coast Guard (USCG) in securing maritime ports, facilities and vessels. TSA\u2019s responsibilities include enrolling Transportation Worker Identification Credential (TWIC) applicants, conducting background checks to assess the individual\u2019s security threat, and issuing TWICs. In addition, TSA is authorized to conduct inspections of persons using TWIC to access the secured area of a regulated maritime facility."], "subsections": []}, {"section_title": "TSA Organizational Structure for Managing Its Surface Inspectors", "paragraphs": ["Surface inspectors work under the direct command authority of the Federal Security Director (FSD) in the field. As of fiscal year 2017, TSA used a staffing model to allocate surface inspector staff to 49 different field offices, separated into seven geographic regions around the country. According to TSA, all but one surface field office locations are at or near major airports. Figure 1 depicts surface field office locations by region.", "Surface inspector policies and procedures, and operational oversight are managed separately.", "Program Guidance: Within TSA\u2019s Office of Security Operations, the Surface Compliance Branch plans surface transportation security activities and programs, and develops an annual work plan that lays out the minimum required activities to be completed for surface inspectors in the field. The Office of Security Policy and Industry Engagement (OSPIE) collects and analyzes data on certain surface inspector activities such as the Baseline Assessment for Security Enhancement (BASE) program, TIH attendance rates, and freight rail compliance rates; coordinates with industry stakeholders, and; develops strategic plans, among other things.", "Operational oversight: The Assistant Federal Security Director for Inspections (ASFD-I) in each field office manages surface inspectors on a day-to-day basis, oversees the scheduling of surface inspector work plan activities, and reviews inspectors\u2019 documentation of activities in PARIS, TSA\u2019s system of record. FSDs are ultimately responsible for ensuring that surface inspectors complete their annual work plan requirements.", "In 2010, TSA created the Regional Security Inspector (RSI) position in an effort to improve oversight of surface inspectors in the field and standardize inspections across field offices. One RSI is assigned to each of the seven geographic regions and serves as a liaison between TSA headquarters staff and surface inspectors in the field. Each RSI is also assigned to be the lead liaison between TSA and the Class I railroads within their assigned geographic region. See figure 2 for surface inspectors\u2019 command structure as of 2017."], "subsections": []}, {"section_title": "TSA Risk-Based Security for Surface Transportation", "paragraphs": ["TSA documents state that it employs a risk-based approach for securing transportation modes and identifies managing risk as one of its strategic goals to help identify and plan security priorities and activities. According to TSA officials, TSA uses the National Infrastructure Protection Plan (NIPP) risk management framework and the DHS Risk Management Fundamentals as its primary risk guidance. In June 2006, DHS issued the NIPP which established a six-step risk management framework to establish national priorities, goals and requirements. Most recently updated in 2013, the NIPP defines risk as a function of three elements: threat, vulnerability and consequence. Threat is an indication of the likelihood that a specific type of attack will be initiated against a specific target or class of targets. Vulnerability is the probability that a particular attempted attack will succeed against a particular target or class of targets. Consequence is the effect of a successful attack. TSA uses the TSSRA, a bi-annual risk assessment that considers the three elements of risk to measure the risk of various terrorist attack scenarios, evaluate transportation modes, and identify surface security priorities."], "subsections": []}]}, {"section_title": "Surface Inspectors Conduct Regulatory Inspections and Voluntary Security Assessments but TSA Has Incomplete Information on Their Activities", "paragraphs": [], "subsections": [{"section_title": "Surface Inspectors Enforce Regulations through Inspections and Assist Surface Transportation Entities on a Voluntary Basis", "paragraphs": ["Surface inspectors conduct a variety of activities to implement TSA\u2019s surface transportation security mission, including (1) regulatory inspections for freight and passenger rail systems, (2) regulatory TWIC inspections, and (3) non-regulatory security assessments and training which surface transportation entities participate in on a voluntary basis. Surface inspector activities are, in part, determined by an annual surface work plan that lays out the minimum required number of surface inspector activities to be completed by each field office. Specifically, the work plan requirements are designed to take up about one-third of inspectors\u2019 available working hours, with the expectation that the other two-thirds of inspectors\u2019 time will be used for related activities, such as documentation and follow-up, or other tasks as determined by local AFSD-Is and FSDs in the field.", "To develop the annual surface work plan, officials from Office of Security Operation\u2019s Surface Compliance Branch and OSPIE meet with each of the RSIs once a year to determine the requirements for each office. According to TSA officials, they rely on the previous year\u2019s requirements as well as data on surface inspectors\u2019 past activities as logged in PARIS as a starting point to develop the requirements, and adjust the work plan based on their professional judgment of the unique environment in each field office\u2019s area of responsibility. TSA officials stated that they consider variables such as the compliance rates for inspections, the amount of TIH materials being shipped through an area, and any other relevant risk- related information when they develop the work plan."], "subsections": [{"section_title": "Regulatory Rail Inspections", "paragraphs": ["Surface inspectors conduct inspections to enforce several freight and passenger rail security requirements. Table 3 provides descriptions of these inspections and appendix II provides a complete listing of TSA\u2019s regulatory activities.", "TSA also tracks the rate at which the inspected entities comply with the regulations discussed in table 3. According to TSA data, on average, overall compliance rates for inspections have remained relatively high, and the compliance rates have generally improved over the years as entities have become more familiar with the processes and expectations of each type of inspection."], "subsections": []}, {"section_title": "Regulatory Maritime Inspections", "paragraphs": ["Surface inspectors work with the USCG to conduct inspections of TWIC card holders attempting to access the secured area of maritime facilities regulated by the Maritime Transportation Security Act of 2002 (MTSA). TSA first issued the TWIC regulation in 2007 in cooperation with the USCG, and according to TSA officials, began nationwide implementation of TSA inspection of TWICs at maritime facilities in fiscal year 2017. Surface inspectors scan cards using a TWIC card reader to verify that the card presented is valid and belongs to the card holder. TSA may pursue civil enforcement and can refer violators for criminal proceedings through the USCG. TSA officials stated they set the total minimum required TWIC inspections at 1,315 combined across all surface inspector field offices for fiscal year 2017 as a starting point, and would modify the requirements in subsequent years, as discussed below. According to TSA, it is too soon to determine compliance rates for TWIC inspections."], "subsections": []}, {"section_title": "Non-regulatory Security Activities", "paragraphs": ["Surface inspectors perform a variety of non-regulatory surface-related activities, such as various types of assessments, which require surface entities\u2019 voluntary participation. Table 4 provides a list of key non- regulatory activities surface inspectors perform. For a full list of activities surface inspectors perform see appendix II."], "subsections": []}]}, {"section_title": "TSA Has Taken Steps to Expand the BASE Review Program and Address Implementation Challenges", "paragraphs": ["Since 2006, TSA has made adjustments to the BASE program to expand its use to more surface modes and address implementation challenges. To conduct a BASE review, surface inspectors use a standardized checklist to evaluate and score an entity\u2019s security policies and procedures for areas such as employee security training, cybersecurity, and facility access control, among other items. According to TSA officials, the results of the BASE reviews are intended to help track the entity\u2019s progress in implementing specific security measures over time and improve overall security posture among surface transportation entities, as well as inform transportation security grant funding. Surface inspectors also use entities\u2019 BASE review scores to help inform Exercise Information System (EXIS) training programs inspectors facilitate for transportation entities.", "Initially, the BASE program was designed to assess large mass transit entities in major metropolitan areas that transported 60,000 riders or more daily. TSA officials stated in 2017 that TSA has completed initial and follow up BASE reviews for the top 100 mass transit agencies in the country which comprise approximately 80 percent of the ridership in the United States. In 2012, TSA expanded the BASE reviews to the highway mode to include trucking, motor coach, and school bus operators.", "Additionally, TSA has taken steps to address challenges related to the implementation of the BASE reviews, including an initial lack of training and guidance for surface inspectors in conducting and evaluating the BASE reviews and difficulty applying the BASE template for smaller mass transit entities and highway entities. For example, surface inspectors we interviewed at six field offices indicated that they received limited to no training to conduct the initial BASE reviews. Office of Security Operations officials acknowledged that the BASE program initially lacked scoring guidance to allow surface inspectors to make objective evaluations. Additionally, two industry entities we spoke with stated that some BASE questions, as initially developed, seemed inappropriate or irrelevant given the scope of their operation, and that their scores reflected areas that they were not able to modify based on their limited size and resources. Further, in 2010, the DHS Office of Inspector General reported that TSA needed to provide increased training and guidance for inspectors to ensure that BASE assessments gather effective, objective data.", "In response, officials from TSA\u2019s Surface Compliance Branch stated that they established a BASE Advisory Panel and held a series of training workshops throughout the country on how to conduct BASE assessments. Specifically, in fiscal year 2014, TSA established a panel comprised of mass transit experts to adjust the BASE tool by modifying topics and removing outdated questions in an effort to improve the quality and applicability of the assessments for the industry stakeholders. TSA has also modified the BASE template over time to include areas such as cybersecurity and active shooter training, among others. TSA reported that it held a series of 16 workshops in 2015 around the country where headquarters officials met with inspectors to train them on how to conduct BASE assessments and correctly apply scoring guidance to help ensure inspectors applied the BASE criteria consistently. Moreover, in fiscal year 2016, TSA developed a targeted BASE that focuses only on an entity\u2019s areas of concern as identified by surface inspectors in a previous BASE review. Further, TSA is piloting a modified BASE template in fiscal year 2017 that eliminates questions that may not apply for smaller mass transit and highway entities. According to Surface Compliance Branch and OSPIE officials, these changes have led to more consistent and more reliable results in the BASE scores. We believe that TSA efforts to improve training and guidance as well as establishing the BASE Advisory Panel will help address the agency\u2019s previous concerns related to the implementation of the BASE review."], "subsections": []}, {"section_title": "TSA Has Incomplete Data on Surface Inspector Activities because It Cannot Account for All Aviation-related Activities", "paragraphs": ["According to TSA headquarters and field officials, in addition to surface inspection activities, surface inspectors are tasked, to varying degrees, with aviation activities. However, TSA officials told us that they are unable to identify the total time surface inspectors spend on aviation activities because of data limitations. For example, surface inspectors may perform aviation activities on a regular basis as a \u201cduty agent,\u201d or on an as- needed basis as determined by their local manager\u2014their AFSD-I. TSA guidance directs surface inspectors to report the time they spend on all activities into TSA\u2019s PARIS database. TSA officials responsible for managing PARIS told us that it has two independent modules \u2013 aviation and surface \u2013 and that surface inspectors enter aviation-related activities in both the aviation and surface modules. Specifically, TSA guidance directs surface inspectors to document their time serving as \u201cduty agent\u201d in the surface module of PARIS, but to document time spent on aviation inspections, incidents, or investigations \u2013 including those that take place during an inspector\u2019s time serving as the duty agent \u2013 into the aviation module of PARIS. See table 5 for examples of the types of aviation activities surface inspectors record in each separate PARIS module.", "TSA officials told us that it is not possible to identify the time surface inspectors document in the aviation module of PARIS because there is no efficient, reliable way to distinguish surface inspectors from aviation or cargo inspectors in the data.", "Since TSA cannot reliably identify activities surface inspectors have entered into the aviation module of PARIS, TSA is only aware of the portion of time surface inspectors spent on aviation activities that was logged in the surface module. As a result, TSA does not have complete information on how surface inspector resources are being used or the extent to which surface inspectors are being used to perform aviation activities. According to some surface inspectors we spoke to, these resources can be substantial. Surface inspectors we interviewed at 16 of the 17 TSA field offices contacted stated that they perform aviation duties. One inspector stated she had received calls to respond to 12 different aviation incidents in one shift as duty inspector, and other inspectors stated that each incident report could subsequently take between 2 and 12 hours to complete. Surface inspectors from another office located near a major airport told us they have to work overtime to complete aviation incident reports and still meet their required surface activities. Further, we met with surface inspectors stationed at four different major airports who each estimated spending 20 percent, 25 percent, 30 percent, and 50 percent of their total working hours on aviation tasks, respectively.", "Standards for Internal Control in the Federal Government states that agencies should use complete information to make informed decisions and evaluate the agency\u2019s performance in achieving key objectives. As stated previously, one of TSA\u2019s key objectives is to employ a risk-based approach to all operations to identify, manage, and mitigate risk. Standards for Internal Control in the Federal Government also states that agencies should clearly document all activities in a manner that allows the documentation to be readily available for examination. Without having access to complete information on all inspector activities, including aviation activities, TSA cannot monitor how frequently surface inspectors are being used to support aviation. In addition, by not using complete information on how much time surface inspectors spend working in support of aviation, TSA is limited in its ability to make informed future decisions on annual resource needs for surface inspectors, which will be especially important as TSA takes steps to expand its inspection activities with the promulgation of new surface security regulations. By addressing the limitations in the aviation module of PARIS, TSA would be able to more reliably access complete information on all inspector activities. Also, it would have the information it needs to make fully informed decisions about surface inspector resources and activities, and to evaluate surface inspectors\u2019 performance in achieving key surface security objectives.", "Since there is no way to identify surface inspectors in the aviation module of PARIS at the aggregate level, we were unable to conduct our own analysis of all surface inspector activities. However, we were able to analyze data on how surface inspectors reported spending their time in the surface module of PARIS, including time spent on aviation activities as documented in this particular module. Our analysis showed that from fiscal years 2013 to 2017, surface inspectors reported spending approximately 80 percent of their time on non-regulatory activities, while spending approximately 20 percent on regulatory inspections. Figure 3 shows a breakdown of the time surface inspectors recorded spending in the surface module of PARIS for fiscal year 2016, the most recent complete year of data available. See appendix III for similar breakdowns for each fiscal year from 2013 to 2017."], "subsections": []}]}, {"section_title": "TSA Used a Risk- Informed Process to Allocate Surface Inspector Staff, But Inspector Activities Did Not Align With Risk", "paragraphs": [], "subsections": [{"section_title": "TSA Used a Risk-Informed Model to Allocate Surface Inspectors to Field Offices", "paragraphs": ["In fiscal year 2017, TSA\u2019s Surface Compliance Branch implemented an updated staffing model to redistribute 222 surface-funded positions across its 49 surface field offices based on the factors described in table 6 below.", "TSA considered four of these factors \u2013 HTUA/Urban Area Security Initiative (UASI), Mass Transit, TWIC, and TIH \u2013 to be related to risk. For example, TSA derived its list of HTUAs based on risk assessments conducted under the UASI program. We have previously reported that the UASI methodology for determining risk scores and distributing grant funds is reasonable, and that UASI grant allocations are strongly associated with a city\u2019s current relative risk score. Additionally, according to TSA, inspectors focus on entities within surface transportation modes or shipments of certain hazardous materials the agency determines could pose the greatest security vulnerability and which could potentially be more likely to be targeted by terrorists.", "The DHS Risk Lexicon 2010 and the 2013 NIPP risk management framework, which are TSA\u2019s primary risk guidance, define risk-informed decision-making as the determination of a course of action predicated on the assessment of risk, the expected impact of that course of action on that risk, as well as other relevant factors. The DHS Risk Lexicon 2010 further states that risk-informed decision-making may also take into account multiple sources of information not included specifically in the assessment of risk. Because TSA considered multiple risk factors in addition to other information, such as the number of regulated entities in an area and the number of required activities, in its staffing model, we determined that TSA used a risk-informed model to allocate surface inspector staff to its 49 offices."], "subsections": []}, {"section_title": "Between Fiscal Years 2013 and 2017 Surface Inspector Activities Did Not Align With Identified Risks for Surface Transportation Modes", "paragraphs": ["TSA surface inspectors perform a wide range of regulatory and non- regulatory activities to fulfill the agency\u2019s objective of employing risk- based security, but we found that between fiscal years 2013 and 2017 surface inspector activities did not align with the risks TSA identified for surface transportation. To inform its security strategy, TSA assesses risk within and across the aviation, freight rail, passenger rail/mass transit, highway, and pipeline modes approximately every 2 years using the TSSRA. According to the TSSRA\u2019s cross-modal risk assessments between fiscal years 2013 and 2017, one particular surface mode consistently posed the highest risk, and another consistently posed the lowest risk out of all surface transportation modes. For example, in fiscal year 2016, TSA found that the lowest risk mode posed approximately 6 percent of domestic total risk while the highest risk mode posed 27 percent of domestic total risk. However, our analysis of data from the surface module of PARIS showed that inspectors reported spending between 35 and 45 percent of their time on the lowest risk mode between fiscal year 2013 and fiscal year 2016 \u2013 the most time spent on any surface mode. Of the time reported in the surface module of PARIS in fiscal year 2016, surface inspectors reported spending 38 percent of their time on the lowest risk transportation mode while they reported spending approximately 16 percent of their time on the highest risk surface mode according to the TSSRA. See figure 4 for a comparison between the percent of time inspectors recorded spending on each mode and the percent of risk identified in the TSSRA.", "We found that TSA did not use the results of risk assessments that measure threat, vulnerability, and consequence, like the TSSRA, when it developed surface inspector work plans, or when it monitored activities inspectors conducted, including those in addition to the minimum work plan requirements. While TSA officials told us that they considered the results of the TSSRA, TSA officials could not provide evidence that they incorporated the results of the TSSRA or other risk assessments when developing the work plan and monitoring inspector activities, as required by DHS risk management guidance. For example, TSA officials could not provide documentation of how and why they selected certain work plan activities to address lower risk modes, or how they monitored the extent to which implemented activities aligned with or addressed risks."], "subsections": [{"section_title": "Monitoring Activity Implementation", "paragraphs": ["We found that TSA did not incorporate the results of the TSSRA or other risk assessments when it monitored how surface inspector activities were implemented beyond the minimum requirements laid out in the work plan. Specifically, we found that between fiscal years 2013 and 2017, inspectors spent about half their working hours fulfilling work plan requirements. Surface Compliance Branch officials told us that they reviewed PARIS data on all surface inspector activities, as reported in the surface module of PARIS, annually to inform staffing decisions and conducted detailed analysis of surface inspector time starting in fiscal year 2015. However, this analysis did not evaluate the extent to which surface inspector time beyond the work plan requirements corresponded to surface transportation risks as identified by the TSSRA or other risk assessments. Further, TSA officials told us that they did not think surface inspector time should be compared to risks identified in cross-modal risk assessments like the TSSRA because required regulatory inspections are unpredictable and can take a significant amount of time. However, as previously discussed, we found that, of the time reported in the surface module of PARIS, inspectors reported spending approximately 20 percent of their time on regulatory inspections, with the remaining 80 percent spent on non-regulatory activities.", "More than half of the industry representatives we spoke to (9 of 15) identified benefits from inspectors\u2019 activities in surface transportation modes other than freight rail. For example, two of the three representatives of MTSA-regulated companies we spoke to said that TSA\u2019s TWIC inspections had significant benefits for the security of their facilities, and stated that they wanted more TWIC inspections and civil enforcement activities from inspectors because these activities discourage misuse of TWICs at their facilities. Representatives from two maritime companies, one highway company, and three public transportation systems told us that they wanted TSA surface inspectors to do more. Additionally, a representative for one national industry organization stated that his organization was concerned that TSA is mainly focused on freight rail when the principal threat resides in the passenger and mass transit modes, and suggested that TSA deploy inspection resources from the freight rail mode to support more non- regulatory initiatives in the passenger rail/mass transit mode.", "According to TSA, the agency employs a risk-based approach \u2013 which the DHS Risk Lexicon defines as using the assessment of risk as the primary decision driver \u2013 to all operations to identify, manage, and mitigate risk in all TSA lines of business. One TSA risk strategy document specifically emphasizes the importance of linking the TSSRA, among other risk assessments, to the identification of risk-reduction activities as part of a risk-based approach to security. Moreover, the NIPP risk management framework and the DHS Risk Management Fundamentals Doctrine, which TSA officials told us are TSA\u2019s primary risk management guidance documents, also state that entities should systematically prioritize and implement activities and resources to mitigate and manage risks identified in risk assessments. These documents also state that monitoring implemented decisions and comparing observed and expected effects to influence subsequent risk management decisions are key steps in the homeland security risk management process. The DHS Risk Management Fundamentals Doctrine further states that agencies should document the development and selection of alternative risk management actions, including assumptions and risk strategies such as the decision to not take action and accept risk, in order to provide decision-makers with a clear picture of the benefits of each action. It also explains that the risk management process allows organizations to clearly explain the rationale behind resource decisions.", "TSA did not use the results of risk assessments \u2013 such as the TSSRA \u2013 or other risk information when it developed its surface inspector work plan requirements. Instead, TSA prioritized the lowest-risk surface transportation mode, reducing the amount of surface security resources available to address identified risks in other, higher-risk surface transportation modes. As a result, TSA\u2019s limited surface transportation security resources were not used in a risk-based way. By incorporating the results of its risk assessments when it plans and monitors surface inspector activities, including those not required by the work plan, TSA would be better able to ensure that its limited surface transportation security resources are being used to effectively and efficiently address the highest risks to surface transportation, especially as risks evolve. Incorporating risk assessment results in planning and monitoring surface inspector activities will also allow TSA to ensure that its surface inspectors are making progress toward achieving TSA\u2019s objective of risk- based security. Additionally, by documenting its risk mitigation decisions and strategies, TSA would be able to more clearly explain the rationale for its resource decisions, including when TSA decides to accept risk or prioritize lower-risk activities for any reason."], "subsections": []}]}, {"section_title": "TSA Cannot Ensure That New Risk Mitigation Efforts Address High-Risk Entities and Locations", "paragraphs": ["In fiscal year 2012, TSA began developing the Risk Mitigation Activities for Surface Transportation (RMAST) program in support of TSA\u2019s risk- based security initiative. According to TSA\u2019s fiscal year 2017 work plan, the RMAST program incorporates specific risk reduction measures and focuses time and resources on high-risk locations through (1) public observation, (2) site security observations, and (3) stakeholder engagement activities. Though TSA field officials told us that inspectors have been conducting these activities in some format in the past, TSA began piloting this particular program in fiscal year 2014 and made RMAST a work plan requirement for each office starting in fiscal year 2017.", "In addition to TSA demonstrating its commitment to the RMAST program by adding it as a required work plan activity, we found that inspectors reported spending an increasing amount of time conducting RMASTs since fiscal year 2014, and that RMASTs now comprise a larger percentage of inspector time (see table 7).", "Although surface inspectors reported spending an increasing amount of time on RMAST activities, we found that TSA has not identified or prioritized the high-risk entities and locations on which the RMAST program is intended to focus time and resources. For example, the fiscal year 2017 surface inspector work plan states that the required number of RMASTs each office should conduct was developed based on the presence of applicable stakeholders in each office\u2019s area, but we found that TSA did not identify any such stakeholders in its work plan. Specifically, while the work plan guidance directed surface inspectors to conduct RMASTs with entities that fit \u201clisted\u201d criteria, this list consisted of all surface modes of transportation for which TSA has authority and did not include any criteria surface inspectors could use to identify the highest-risk and most critical locations, such as by type, characteristics, or location of high-risk entities. TSA officials told us that they have not identified high-risk entities for RMAST because there are too many potential entities and stated that there is no way to provide a full list of all entities in each office\u2019s area. However, the intent of the RMAST program is to focus time and resources on high-risk entities and locations, which precludes the need to provide a complete list of all surface transportation entities in each area. Further, TSA officials told us that TSA has not provided any guidance to the field beyond the work plan on how to identify appropriate entities for RMASTs, but that they rely on surface field offices to identify the highest-risk entities in their own areas. Officials from three field offices told us that inspectors try to conduct RMASTs based on threat information or previous BASE scores, but inspectors in one of those offices said that the intelligence information they receive from TSA is insufficient to help them identify threats and conduct outreach for RMASTs. As previously discussed, the NIPP risk management framework and the DHS Risk Management Fundamentals Doctrine both state that entities should identify and assess risks and prioritize resources to mitigate those risks. If TSA identified and prioritized the types of high-risk entities and locations it intends the RMAST program to reach, surface inspectors would have information that would enable them to implement these activities in a more risk-based manner."], "subsections": [{"section_title": "Defining Measurable and Clear Objectives", "paragraphs": ["While TSA has identified broad objectives for the RMAST program, it has not defined these objectives \u2013 and associated program activities \u2013 in a measurable and clear way. Specifically, in its description of RMAST in the fiscal year 2017 work plan implementation guidance, TSA stated that the RMAST program will be risk-based, intelligence-driven, and mitigate current threats and vulnerabilities, but did not provide further information that would allow TSA to measure progress toward achieving these objectives. Similarly, in its budget justifications for fiscal years 2014, 2015, and 2016 TSA stated that RMAST is intended to improve security and reduce the need for stakeholders to stretch limited resources to harden security at their most critical and high-risk locations, but TSA did not describe how it would measure whether security had improved, or if stakeholders\u2019 resource needs were reduced. While our review of the fiscal year 2017 work plan guidance showed that TSA identified general categories of activities \u2013 public observation, site security observation, and stakeholder engagement \u2013 TSA did not identify what specific activities within each of these categories constitute an RMAST, or describe how those activities would help TSA achieve its objectives for the RMAST program. Some inspectors told us that the purpose of RMAST was unclear, that they had not been given the tools to perform RMAST in an effective and efficient way, or that the observation component of RMAST was not a valuable activity. TSA has not defined the RMAST program\u2019s objectives and associated activities in a measurable and clear way because, according to TSA officials, TSA has not identified an approach for determining the effectiveness of activities conducted under the program.", "Standards for Internal Control in the Federal Government states that management should establish proper controls \u2013 including the establishment and review of clearly defined objectives and performance measures \u2013 so that program objectives and processes are understood at all levels and progress toward achieving objectives can be assessed. By defining the program\u2019s objectives and associated activities in a measurable and clear way, TSA would be better positioned to measure progress toward achieving the program\u2019s goal of mitigating current threats and vulnerabilities, and surface inspectors may better understand how to effectively carry out the program."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["TSA has employed surface inspectors for a variety of regulatory and non- regulatory activities intended to mitigate risks to surface transportation and enhance the security of the United States\u2019 surface transportation systems and networks. Working with surface transportation entities, who have the primary responsibility for securing their respective entities, TSA surface inspectors enforce security regulations for the freight and passenger rail modes, but spend the majority of their time conducting non-regulatory activities such as security assessments, exercises, and observations. While TSA uses information on some surface inspector activities to monitor and make decisions on these activities, limitations in the PARIS data system prevent TSA from readily accessing complete information on how much time inspectors spend working in support of aviation. Without addressing these limitations TSA is limited in its ability to make informed future decisions on annual resource needs for surface inspectors, which will be especially important as TSA take steps to expand its inspection activities with the promulgation of new surface security regulations. Given that TSA spends only about 3 percent of its budget on surface activities, it is crucial that the agency have complete information on how resources are being used in order to best allocate these limited federal surface transportation security resources.", "According to TSA, the agency implements risk-based security \u2013 security activities that are driven primarily by the assessment of risk \u2013 to deliver the most effective security in the most efficient manner. While TSA has implemented a risk-informed process to allocate surface inspectors to its field offices, it has not taken steps to ensure that surface inspector activities align more closely to the risks TSA has identified in its risk assessments. As a result TSA could continue to prioritize its limited resources to lower risk surface modes, leaving fewer resources available for higher risk modes. By using the results of risk assessments like the TSSRA when it plans and monitors surface inspector activities, TSA would be better able to ensure that limited surface transportation security resources are used to effectively and efficiently address the highest surface transportation security risks. Additionally, by documenting its risk mitigation decisions and strategies, TSA would be able to more clearly explain the rationale for its resource decisions, including when TSA decides to accept risk or prioritize lower-risk activities for any reason.", "Furthermore, by identifying and prioritizing highest risk entities and locations for its new RMAST program, surface inspectors would have information that would enable them to implement risk mitigation activities in more of a risk-based way. In addition, by clearly defining the program\u2019s goals and activities, TSA would be better able to measure whether RMAST activities are achieving the program\u2019s goal of increasing surface transportation security."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to TSA: The Administrator of TSA should address limitations in TSA\u2019s data system, such as by adding a data element that identifies individuals as surface inspectors, to facilitate ready access to information on all surface inspector activities. (Recommendation 1)", "The Administrator of TSA should ensure that surface inspector activities align more closely with higher-risk modes by incorporating the results of surface transportation risk assessments, such as the TSSRA, when it plans and monitors surface inspector activities, and that TSA documents its rationale for decisions to prioritize activities in lower-risk modes over higher-risk ones, as applicable. (Recommendation 2)", "The Administrator of TSA should identify and prioritize high-risk entities and locations for TSA\u2019s Risk Mitigation Activities for Surface Transportation (RMASTs). (Recommendation 3)", "The Administrator of TSA should define clear and measurable objectives for the RMAST program. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for their review and comment. DHS provided written comments, which are noted below and reproduced in full in appendix IV, and technical comments, which we incorporated as appropriate.", "DHS concurred with all four recommendations in the report and described actions underway or planned to address them. With regard to the first recommendation that TSA address limitations in its data system to facilitate ready access to information on all surface inspector activities, DHS concurred and stated TSA\u2019s Compliance Division will maintain a staffing tool that identifies the modal assignments of transportation security inspectors that can be used to more effectively analyze all surface inspector activities. If fully implemented, such that data on all activities surface inspectors perform are readily accessible, this system should address the intent of the recommendation.", "With regard to the second recommendation that TSA align surface inspector activities more closely with higher-risk modes by incorporating the results of surface transportation risk assessments, such as the TSSRA, when it plans inspector activities, and document its rationale for decisions to prioritize activities in lower-risk modes, TSA concurred and stated relevant risk information would be more clearly incorporated into the Surface Work Plan development process. Further, TSA plans to explain decisions and rationale for deviating surface inspector planned activities from mirroring the TSSRA in its program guidance documentation. TSA estimates it will complete this process by January 31, 2018. If TSA is able to fully incorporate risk assessment results, such as the TSSRA, into its decisions for assigning surface inspector tasks across surface transportation modes, and document its rationale if planned inspector activities do not align with risk assessment results, TSA\u2019s planned actions would address the intent of the recommendation.", "With regard to the third recommendation to identify and prioritize high-risk entities and locations for TSA\u2019s Risk Mitigation Activities for Surface Transportation (RMAST), TSA concurred and stated the Surface Compliance Branch will prioritize entities for RMAST activities within the Surface Work Plan or other applicable program guidance documents using results from the TSSRA and using high threat urban area designations. TSA estimates this process will be completed by January 31, 2018 and if fully implemented, this process should address the intent of the recommendation.", "With regard to the fourth recommendation that TSA define clear and measurable objectives for the RMAST program, TSA concurred and stated the Surface Compliance Branch has clarified in program guidance documents how to apply and measure certain security outcomes resulting from RMAST activities to security vulnerabilities identified from a previous BASE assessment or other security assessment program. Documentation corroborating these actions was not provided to GAO before the issuance of this report. However, if TSA is able to clearly state the purpose and objectives of RMAST activities, and track the extent to which these objectives have been met, this additional program guidance should address the intent of the recommendation.", "We are sending copies of this report to interested congressional committees, the Secretary of Homeland Security, and the Administrator of the Transportation Security Administration. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) how Transportation Security Administration (TSA) surface inspectors implement the agency\u2019s surface transportation security mission, and (2) the extent to which TSA has used a risk-based approach to prioritize and implement surface inspector activities.", "This report is a public version of a prior sensitive report that we issued in October 2017. TSA deemed some of the information in the prior report sensitive security information, which must be protected from public disclosure. Therefore, this report omits sensitive information regarding the specific risks facing particular surface transportation modes as determined by TSA. However, the report addresses the same questions as the sensitive report and the overall methodology used for both reports is the same.", "To obtain background information and answer both questions we (1) reviewed background documents, including TSA strategic documents and previous GAO and Department of Homeland Security (DHS) Inspector General reports, (2) analyzed TSA data on surface inspector activities, and (3) conducted non-generalizable interviews of surface inspectors, their supervisors, and industry stakeholders.", "To understand TSA\u2019s roles and responsibilities for surface security, as well as its mission, we examined statutes and regulations, including the Aviation and Transportation Security Act, the Implementing Recommendations of the 9/11 Commission Act of 2007, and TSA surface security and related regulations. We also reviewed DHS and TSA strategic documents including TSA\u2019s National Strategy for Transportation Security 2016, the DHS National Infrastructure Protection Plan (NIPP) 2013, and the fiscal years 2016 to 2018 strategic plans for TSA\u2019s Office of Security Operations and the Office of Security Policy and Industry Engagement. Additionally, we reviewed previous GAO and DHS Office of Inspector General reports on TSA\u2019s surface security efforts and surface inspector programs.", "To evaluate how surface inspectors implemented TSA\u2019s surface security mission and the extent to which this implementation was based on risk, we analyzed data from the surface module of the Performance and Results Information System (PARIS) on the activities of surface inspectors from fiscal year 2013 through March 24, 2017, the most recent data available. Based on TSA documents, regulations, and interviews with TSA data and program officials, we categorized surface inspector activities according to regulatory and non-regulatory activities and by mode, and calculated the total time surface inspectors reported spending for each category. We analyzed data from fiscal years 2013 through 2017 to ensure that we could compare several years of data and analyze data obtained after reorganizations of the surface inspector command structure in fiscal year 2010 and offices in mid-fiscal year 2013. We did not review data from the aviation module of PARIS because, as discussed below, it was not feasible to identify the data surface inspectors entered into this module, and, based on our interviews with TSA data officials and our review of related documentation, we determined that all other surface inspector activities were documented in the surface module of PARIS.", "To determine the reliability of data from the surface module of PARIS we (1) reviewed related documentation such as data dictionaries, schema, PARIS reliability assessments from previous GAO audits, TSA analyses of PARIS data, and data entry guidance, (2) interviewed TSA officials responsible for entering, reviewing, or using PARIS data, including headquarters officials, field office supervisors, and surface inspectors, (3) electronically and manually tested the data for completeness and obvious errors, such as duplicates and consistency with secondary sources, and (4) conducted internal logic tests on certain time-related fields in the data. Through these steps, we identified some inconsistencies in the data including incomplete data on surface inspectors\u2019 aviation activities and non-specific data elements for inspection activities in fiscal year 2013, among others. However, we determined that for our purposes \u2013 to describe how surface inspectors reported spending their time at the summary-level \u2013 these inconsistencies did not affect the reliability of the PARIS surface module data and these data were reliable with some limitations.", "Specifically, based on interviews with TSA data officials and our review of TSA data entry guidance, we determined that the data in the surface module of PARIS did not represent the complete activities conducted by surface inspectors because they enter some aviation activities separately in the aviation module of PARIS. Further, we determined that it was not feasible to distinguish aviation activities documented by surface inspectors in the aviation module from aviation activities documented by cargo or aviation inspectors in this module at the aggregate level. However, based on our testing, review of related documentation, and interviews with TSA data officials, we determined that the data surface inspectors entered into the surface module of PARIS, including data on some aviation activities, were reliable for our purposes. As a result, we reported data on surface inspectors\u2019 aviation activities as documented in the surface module of PARIS, with the limitation that these data represent the minimum aviation activities surface inspectors actually conducted.", "Additionally, through our analysis of PARIS data on regulatory inspections surface inspectors conducted in fiscal year 2013 and interviews with TSA data officials, we found that 25 percent of the total inspections in fiscal year 2013 (1,990 of 8,083) were documented under data elements that did not specify the type of inspection conducted. According to TSA officials, there are no additional data elements that would allow us to identify the specific type of inspection surface inspectors conducted for these 1,990 inspections. As a result, we determined that this portion of the fiscal year 2013 data was not reliable for our purposes of identifying the number of specific inspection types surface inspectors conducted. However, we found that the remaining 78 percent of inspection data for fiscal year 2013 was reliable for our purposes. As a result, the inspection counts and compliance rates we reported for fiscal year 2013 represent partial year data.", "To obtain the perspectives of a wide sample of TSA officials on both surface inspector activities and TSA\u2019s use of risk, we conducted semi- structured interviews with surface inspectors and/or their supervisors in 17 of 49 field offices. We also interviewed the 6 Regional Security Inspectors (RSIs), who cover all seven TSA regions. We interviewed inspectors and supervisors from at least 2 offices in each region and selected the offices based on a variety of factors including geographic dispersion, staff level, surface transportation environment, and whether the office was co-located with a major airport. We physically visited 6 offices and conducted the remainder of our interviews remotely. We selected the offices we traveled to based on the location of GAO staff, the availability of industry representatives in the area, and the opportunity to observe surface inspector assessments, tabletop exercises, and other activities. The results of our interviews are not generalizable, but provide insight into how surface inspectors and their supervisors implement TSA surface programs and the challenges they may face, if any.", "To gain insight into the experience surface transportation industry stakeholders have had with TSA surface inspectors, we interviewed 15 industry stakeholders in four surface modes including 3 freight rail stakeholders, 3 maritime stakeholders, 3 highway stakeholders, and 6 passenger rail/mass transit stakeholders. We selected industry stakeholders based on their involvement and familiarity with TSA surface inspectors, the surface mode in which they operate, their ridership, and TSA recommendation. Three of these stakeholders consisted of national trade associations representing the highway, freight rail, and mass transit modes of transportation. As with our interviews with TSA surface inspectors and supervisors, our interviews with industry stakeholders are not generalizable but provided us with valuable information on the transportation industry\u2019s interaction with TSA surface inspectors.", "To further address our first objective and describe how TSA surface inspectors implemented the agency\u2019s surface transportation security mission, we examined TSA strategic and program documents including surface inspector work plans and implementation guidance from fiscal years 2013 to 2017, the TSA Inspector Compliance Manual, and TSA surface security regulations, and reviewed public testimony by TSA leadership. To understand how TSA has implemented the Baseline Assessment for Security Enhancement (BASE) program in particular, we reviewed TSA program documents and guidance for the BASE program, including the BASE workbook, and observed a BASE review on a mass transit entity. We also observed a regional Intermodal \u2013 Security Training Exercise Program (I-STEP) exercise and an Exercise Information System (EXIS) exercise, and interviewed TSA officials in headquarters, and inspectors and supervisors in the field.", "We used the results of our analysis of PARIS surface module data, specifically the number of each type of regulatory inspection TSA inspectors conducted from fiscal years 2013 to 2017, and PARIS data on the violations found during those inspections, to calculate regulatory compliance rates. We also used the results of our analysis of PARIS surface module data to describe how surface inspectors reported spending their time. As previously stated, we found the PARIS surface module data to be reliable for this purpose, with the limitation that TSA data on the time surface inspectors reported spending on aviation activities was incomplete because we could not identify surface inspector activities entered into the aviation module of PARIS. To evaluate the effects of this limitation, we compared the results of our data analysis, our reviews of PARIS documentation, and our interviews with TSA officials to Standards for Internal Control in the Federal Government.", "To further address our second objective, the extent to which TSA has used a risk-based approach to prioritize and implement surface inspector activities, we analyzed TSA\u2019s risk guidance as contained in the NIPP risk management guidance, the DHS 2010 Risk Lexicon, and the DHS Risk Management Fundamentals to understand how TSA should assess and use risk information. To understand the risks TSA has identified for surface transportation modes during the time period we examined, we analyzed TSA\u2019s cross-modal risk assessments in three Transportation Security Sector Risk Assessments (TSSRA) published between May 2013 and July 2016.", "We reviewed TSA\u2019s fiscal year 2017 surface inspector staffing model and supporting documents and data and interviewed TSA officials responsible for developing and executing staffing. We compared that process to TSA risk guidance to evaluate the extent to which TSA considered risk when it staffed TSA surface inspectors for fiscal year 2017. We assessed only the fiscal year 2017 staffing model because TSA\u2019s previous staffing model was last used in fiscal year 2011, which is outside our scope.", "To determine the extent to which TSA prioritized surface inspector activities based on risk when it planned these activities, we identified, compiled and analyzed activity requirements from surface inspector work plans and associated implementation guidance from fiscal years 2013 to fiscal year 2017. We (1) compared them to each other to identify changes in planned surface inspector activities over time and (2) compared them to results from the TSSRA, as well as other risk information including unattended rates for Toxic Inhalation Hazard (TIH) rail cars and the presence of Maritime Transportation Security Act of 2002-regulated facilities in each office\u2019s area. We also interviewed TSA officials in headquarters and the field who were responsible for developing the surface inspector work plan about the process and information they considered during work plan development, and compared this information to TSA risk guidance.", "To determine the extent to which TSA\u2019s implementation of surface inspector activities aligned with risk, we compared the results of our analysis of PARIS surface module data on the time surface inspectors spent in each surface mode to the results of the TSSRA cross-modal risk assessments from fiscal years 2013 to 2017. As previously discussed, we determined the data to be reliable for our purposes. We also compared the results of our analysis of PARIS surface module data to our analysis of work plan requirements to identify the amount of time surface inspectors reported spending on work plan activities. In addition, we identified the types of information TSA used in its fiscal year 2015 analysis of surface inspector time and activities to determine what TSA considered when it monitored how surface inspector activities were implemented.", "Additionally, we used the results of our analysis of PARIS surface module data to determine the percent of total time surface inspectors reported spending on Risk Mitigation Activities for Surface Transportation (RMAST) between fiscal years 2013 and 2017. To understand TSA\u2019s objectives for the RMAST program, we analyzed program descriptions in TSA congressional budget justifications and TSA\u2019s fiscal year 2017 work plan and work plan implementation guidance. We also conducted interviews with TSA officials in headquarters, and inspectors and supervisors in the field, and observed an RMAST activity to understand how TSA has implemented the program. We compared the results of our analysis and interviews to TSA\u2019s risk guidance and Standards for Internal Control in the Federal Government to evaluate the extent to which the program was risk-based and to which TSA had established measurable goals for the program.", "The performance audit upon which this report is based was conducted from April 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We subsequently worked with TSA from September 2017 to December 2017 to prepare this nonsensitive version of the original report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Surface Inspector Activities", "paragraphs": ["Appendix II: Surface Inspector Activities 2005 High-visibility activities, such as patrols, passenger and baggage screening, and canine activities to introduce unpredictability, increase security, and deter potential terrorist actions on multiple modes of transportation. Managed by the U.S. Federal Air Marshal Service and conducted by TSA personnel, which may include surface inspectors. 2006 A voluntary review in which surface inspectors evaluate the security programs of transportation entities, offer technical assistance, and share best practices. TSA uses BASE to, among other things, determine priorities for allocating mass transit and passenger rail security grants, such as those provided through the Transportation Security Grant Program. 2006 Local field assessments of critical infrastructure, station and other facilities for mass transit, passenger rail, and commuter rail and bus systems. Station profiles provide detailed information of specific station-related intelligence, such as the locations of exits, telephones, CCTV, electrical power, station mangers etc. 2007 Inspectors verify that Toxic Inhalation Hazard (TIH) rail cars at rail yards within high- threat urban areas that transport TIH on a regular and reoccurring basis are being attended by railroad personnel. Inspectors also conduct \u201cwildcard\u201d RRS, during which they observe locations which do not normally handle TIH on a regular and recurring basis to determine if TIH cars are present, and if they are being attended by railroad personnel. 2008 Detailed assessments that focus on the vulnerabilities of high-population areas where TIH materials are moved by rail in significant quantities, and that provide site- specific mitigation strategies and lessons learned. 2008 I-STEP, which is managed through the Office of Security Policy and Industry Engagement, consists of contractor-facilitated exercises designed to help multimodal surface transportation entities closely examine their security programs and operational efforts. TSA facilitates I-STEP exercises across all surface transportation modes to help operators, law enforcement, first responders, and related entities test and evaluate their security plans, including prevention and preparedness capabilities, ability to respond to threats, and interagency coordination. TSA updates I-STEP scenarios as new threats emerge, helping industry partners prepare to implement the most appropriate countermeasures. 2014 Quality assurance assessments of Transportation Worker Identification Credential (TWIC) enrollment centers to, according to TSA officials, review contractor performance. 2015 EXIS consists of exercises facilitated by surface inspectors that utilize software developed by TSA for stakeholder use, generally focus on one entity, and are intended to build on the findings of a previously completed BASE assessment."], "subsections": [{"section_title": "Start Date (fiscal year)", "paragraphs": ["2017 A program intended to focus time and resources on high-risk and critical assets, facilities and other infrastructure through the following activities: (1) public observation to identify suspicious activities, security vulnerabilities and/or suspicious behaviors that could be indicative of pre-operational planning related to terrorism; (2) site security observation to determine if the physical security measures and operational deterrence components are in place to effectively mitigate risk, and (3) stakeholder engagement including TSA\u2019s public security awareness programs and improvised explosive device (IED) and intelligence briefings.", "In this table, passenger rail and rail transit systems consist of: each passenger railroad carrier, including each carrier operating light rail or heavy rail transit service on track that is part of the general railroad system of transportation, each carrier operating or providing intercity passenger train service or commuter or other short-haul railroad passenger service in a metropolitan or suburban area (as described by 49 U.S.C. \u00a7 20102), and each public authority operating passenger train service; (b) each passenger railroad carrier hosting an operation described in paragraph (a) of this section; (c) each tourist, scenic, historic, and excursion rail operator, whether operating on or off the general railroad system of transportation; (d) each operator of private cars, including business/office cars and circus trains, on or connected to the general railroad system of transportation, and (e) each operator of a rail transit system that is not operating on track that is part of the general railroad system of transportation, including heavy rail transit, light rail transit, automated guideway, cable car, inclined plane, funicular, and monorail systems. 49 C.F.R. \u00a7 1580.200."], "subsections": []}]}, {"section_title": "Appendix III: Surface Inspector Time Spent on Activities Reported in the Surface Module of PARIS for Fiscal Years 2013 to 2017", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the U.S Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Jennifer Grover (202) 512-7141 or groverj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Christopher E. Ferencik, Assistant Director; Brendan Kretzschmar, Analyst in Charge; Nanette Barton, and Katherine Blair made key contributions to this report. Also contributing to the report were, Charles Bausell, Katherine Davis, Eric Erdman, Anthony Fernandez, Eric D. Hauswirth, Paul Hobart, Tracey King, Christopher Lee, Mara McMillen, Amanda Miller, Claudia Rodriguez, Christine San, McKenna Storey, Natalie Swabb, Michelle Vaughn, Adam Vogt, Johanna Wong."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-348", "url": "https://www.gao.gov/products/GAO-18-348", "title": "Military Personnel: DOD Should Improve Its Oversight of the Exceptional Family Member Program", "published_date": "2018-05-08T00:00:00", "released_date": "2018-05-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Military families with special medical and educational needs face unique challenges because of their frequent moves. To help assist these families, DOD provides services plans, which document the support a family member requires. The National Defense Authorization Act for Fiscal Year 2017 included a provision for GAO to review the Services' EFMPs, including DOD's oversight of these programs.", "This report examines the extent to which (1) each Service provides family support and (2) the Services monitor and DOD evaluates assignment coordination and family support.", "GAO analyzed DOD and Service-specific EFMP guidance and documents; analyzed fiscal year 2016 EFMP data (the most recent available); visited seven military installations, selected for their large numbers of military-connected students; and interviewed officials responsible for implementing each Service's EFMP, as well as officials in OSN that administer DOD's EFM policy."]}, {"section_title": "What GAO Found", "paragraphs": ["The support provided to families with special needs through the Department of Defense's (DOD) Exceptional Family Member Program (EFMP) varies widely for each branch of Military Service. Federal law requires DOD's Office of Special Needs (OSN) to develop a uniform policy that includes requirements for (1) developing and updating a services plan for each family with special needs and (2) resources, such as staffing, to ensure an appropriate number of family support providers. OSN has developed such a policy, but DOD relies on each Service to determine its compliance with the policy. However, Army and Navy officials said they have not received feedback from OSN about the extent to which their Service-specific guidance complies. Federal internal control standards call for developing clear policies to achieve agency goals. In addition, DOD's most recent annual reports to Congress do not indicate the extent to which each Service provides services plans or allocates sufficient resources for family support providers. According to GAO's analysis, the Military Services have developed relatively few services plans, and there is wide variation in the number of family support providers employed, which raises questions about potential gaps in services for families with special needs (see table).", "Each Service uses various mechanisms to monitor how servicemembers are assigned to installations (assignment coordination) and obtain family support, but DOD has not established common performance measures to assess these activities. DOD has taken steps to better support families with special needs, according to the DOD officials GAO interviewed. For example, DOD established a working group to identify gaps in services. However, OSN officials said that DOD lacks common performance measures for assignment coordination and family support because the Services have not reached consensus on what those measures should be. In addition, OSN does not have a process to systematically evaluate the results of the Services' monitoring activities. Federal internal control standards call for assessing performance over time and evaluating the results of monitoring activities. Without establishing common performance measures and assessing monitoring activities, DOD will be unable to fully determine the effect of its efforts to better support families with special needs and the adequacy of the Services' EFMPs as required by federal law."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes a total of three recommendations to DOD. DOD should assess and report to Congress on the extent to which each Service provides sufficient family support personnel and services plans, develop common performance metrics for assignment coordination and family support, and evaluate the results of the Services' monitoring activities. DOD agreed with these recommendations and plans to develop performance metrics for assignment coordination and develop plans to evaluate the Services' monitoring activities."]}], "report": [{"section_title": "Letter", "paragraphs": ["Military families with special medical or educational needs face a unique set of challenges due to their frequent moves within the United States and to overseas installations. With each move, a family with special needs often must find new specialized medical care providers or a new school that can provide appropriate special education services. Recent executive branch, congressional, and advocacy group initiatives have focused on increasing support for these families, which the White House deemed a top national security policy priority in 2011. As of February 2018, the Services\u2019 Exceptional Family Member Programs (EFMP) collectively serve more than 132,500 enrolled military family members with special needs.", "The National Defense Authorization Act (NDAA) for Fiscal Year 2017 included a provision for GAO to assess the effectiveness of the Services\u2019 EFMPs, including the Department of Defense\u2019s (DOD) role in providing guidance for these programs. These programs include, among other things, family support services, such as referrals to military or community resources for families with special needs; and a process for considering the medical or educational needs of these families before they are relocated (known as assignment coordination.) This report examines (1) the extent to which each Service has provided family support as required by DOD and (2) the extent to which the Services monitor and DOD evaluates assignment coordination and family support.", "To address the first objective, we obtained and reviewed documentation to assess how the Air Force, Army, Marine Corps, and Navy provide family support services in the continental United States (CONUS). In addition, we visited seven installations in five states to learn more about how service-specific guidance for the EFMP is implemented. We selected these installations because they serve a large segment of the total population of families with special needs enrolled in the Services\u2019 EFMPs, including high concentrations of military-connected children attending local schools and children attending U.S. DOD schools. At each installation we visited, we conducted group interviews with a self-selected group of military family members and caregivers enrolled in the EFMP that have used family support services (see app. III for more information about these interviews, which provide illustrative examples of issues raised by families with special needs regarding the EFMP). We also obtained program data from the Air Force, Army, Marine Corps, and Navy and interviewed representatives from each Service about the data to determine that the selected data variables from each service are sufficiently reliable for the purposes of providing summary results about family support for fiscal year 2016. Finally, we spoke with representatives from advocacy groups at the national level selected for their expertise on military families with special needs and the EFMP.", "To address the second objective, we reviewed each service\u2019s procedures for monitoring assignment coordination and family support, as well as DOD\u2019s efforts to monitor these EFMP components across the Services. Specifically, we reviewed policies and procedures included in Service- specific guidance related to monitoring, including DOD-required certifications for family support services and related quality assurance activities for assignment coordination, such as site-visits from each Service\u2019s headquarters. In addition, we discussed required monitoring activities with personnel from each Service\u2019s headquarters and EFMP managers at each installation we visited. Finally, we assessed these monitoring activities against DOD\u2019s monitoring requirements; standards for internal control in the federal government; and GAO\u2019s body of work on leading practices in performance measurement, which help federal agencies determine if their goals are being achieved.", "For both objectives, we interviewed agency officials and reviewed relevant federal laws and regulations. A more detailed discussion of our scope and methodology can be found in appendix I.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The EFMP provides support to families with special needs at their current and proposed locations. Servicemembers relocate frequently, generally moving every 3 years if in the Army, Marine Corps, and Navy, and every 4 years if in the Air Force. In fiscal year 2016, the Military Services relocated approximately 39,000 servicemembers enrolled in the EFMP to CONUS installations.", "To implement DOD\u2019s policy on support for families with special needs, DOD requires each Service to establish its own EFMP for active duty servicemembers. EFMPs are to have three components\u2014identification and enrollment, assignment coordination, and family support.", "Identification and enrollment: Medical and educational personnel at each installation are responsible for identifying eligible family members with special medical or educational needs to enroll in the EFMP. Once identified by a qualified medical provider, active duty servicemembers are required to enroll in their service\u2019s EFMP. Servicemembers are also required to self-identify when they learn a family member has a qualifying condition.", "Assignment coordination: Before finalizing a servicemember\u2019s assignment to a new location, DOD requires each Military Service to consider any family member\u2019s special needs during this process, including the availability of required medical and special educational services at a new location.", "Family support: DOD requires each Military Service\u2019s EFMP to include a family support component through which it helps families with special needs identify and gain access to programs and services at their current, as well as proposed, locations. Servicemembers assigned to a joint base would receive family support from the Service that is responsible for leading that installation. For example, an Airman assigned to a joint base where the Army is the lead would receive family support from the Army installation\u2019s EFMP.", "As required by the NDAA for Fiscal Year 2010, DOD established the Office of Community Support for Military Families with Special Needs (Office of Special Needs or OSN) to develop, implement, and oversee a policy to support these families. Among other things, this policy must (1) address assignment coordination and family support services for families with special needs; (2) incorporate requirements for resources and staffing to ensure appropriate numbers of case managers are available to develop and maintain services plans that support these families; and (3) include requirements regarding the development and continuous updating of a services plan for each military family with special needs. OSN is also responsible for collaborating with the Services to standardize EFMP components as appropriate and for monitoring the Services\u2019 EFMPs. OSN has been delegated the responsibility of implementing DOD\u2019s policy for families with special needs by the Undersecretary of Defense for Personnel and Readiness through the Assistant Secretary for Manpower and Reserve Affairs according to DOD officials. Currently, OSN is administered under the direction of the Deputy Assistant Secretary of Defense for Military Community and Family Policy through the Office of Military Family Readiness Policy. In addition, each Military Service has designated a program manager for its EFMP who is also responsible for working with OSN to implement its EFMP (see fig. 1).", "DOD\u2019s guidance for the EFMP (1) identifies procedures for assignment coordination and family support services; (2) designates the Assistant Secretary of Defense for Manpower and Reserve Affairs as being responsible for monitoring overall EFMP effectiveness; (3) assigns the OSN oversight responsibility for the EFMP, including data review and monitoring; and (4) directs each Service to develop guidance for overseeing compliance with DOD requirements for their EFMP. Table 1 provides an overview of the procedures each Service must establish for the assignment coordination and family support components of the EFMP.", "As a part of its guidance for monitoring military family readiness programs, DOD also requires each Military Service to certify or accredit its family readiness services, including family support services provided through the EFMP. In addition, DOD states that each Service must balance the need for overarching consistency across EFMPs with the need for each Service to provide family support that is consistent with their specific mission. To accomplish this, each Service is required to jointly work with DOD to develop a performance strategy, which is a plan that assesses the elements of cost, quality, effectiveness, utilization, accessibility, and customer satisfaction for family readiness services. In addition, each Military Service is required to evaluate their family readiness services using performance goals that are linked to valid and reliable measures such as customer satisfaction and cost. DOD also requires each Service to use the results of these evaluations to inform their assessments of the effectiveness of their family readiness services for families with special needs."], "subsections": []}, {"section_title": "Key Aspects of Support for Families with Special Needs Vary Widely Across the Services, Leading to Potential Gaps in Assistance for Families with Special Needs", "paragraphs": ["According to DOD officials, each Military Service provides family support services in accordance with DOD guidance as well as Service-specific guidance. However, we found wide variation in each Service\u2019s requirements for family support personnel as well as the practices and expectations of EFMP staff. As a result the type, amount, and frequency of assistance enrolled families receive varies from Service to Service and when a servicemember from one Service is assigned to a joint base led by another Service (see table 2).", "For example, in terms of a minimum level of contact for families with special needs enrolled in the EFMP, the Services vary in the frequency with which they require family support providers to contact families with special needs:", "The Marine Corps specifies a frequency (quarterly) with which families with special needs should be contacted by their family support providers.", "The Air Force has each installation obtain a roster of families with special needs enrolled in the EFMP on a monthly basis, but it does not require family support providers to, for example, use this information to regularly contact these families.", "The Navy assigns one of three service levels to each family member enrolled in the EFMP. These service levels are based on the needs of each family with special needs; family support providers are responsible for assigning a \u201cservice level\u201d that directs the frequency with which the family must be contacted.", "The Army has no requirements for how often families with special needs should be contacted.", "The Services also vary as to whether they offer legal assistance to families with special needs as follows:", "The Marine Corps employs two attorneys who can represent families with special needs who fail to receive special education services from local school districts, as specified in their children\u2019s individualized education programs (IEP). They can also advise EFMP-enrolled families on their rights and options if a family believes their child needs special education services from a local school district (e.g., an IEP).", "The Air Force, Army, and Navy choose not to employ special education attorneys. Officials with whom we spoke said families with special needs in these Services can receive other types of assistance that may help them resolve special education legal issues. For example, Air Force officials said servicemembers and their families can receive support from attorneys that provide general legal assistance on an installation, Army officials said installation EFMP managers can refer families with special needs to other organizations that provide legal support, and Navy officials said families can find support through working with their installation\u2019s School Liaison Officers."], "subsections": [{"section_title": "Services Plans", "paragraphs": ["The NDAA for Fiscal Year 2010 requires DOD\u2019s policy to include requirements regarding the development and continuous updating of a services plan (SP) for each family with special needs, and DOD has specifically required these plans as part of the provision of family support services. These plans describe the necessary services and support for a family with special needs and document and track progress toward meeting related goals. According to DOD guidance, these plans should also document the support provided to the family, including case notes. In addition, the DOD reference guide for family support providers emphasizes that timely, up-to-date documentation is especially important each time a family relocates, as military families regularly do. Therefore, SPs are an important part of providing family support during the relocation process, and provide a record for the gaining installation. Requiring timely and up-to-date documentation is consistent with federal internal control standards, which state that agencies should periodically review policies, procedures, and related control activities for continued relevance and effectiveness in achieving their objectives. SPs follow families with special needs each time they relocate and without timely and up-to-date documentation, DOD cannot ensure that all families continue to receive required medical and/or special educational services once they relocate to another installation.", "For every Service the number of SPs was relatively few when compared to the number of servicemembers (known as sponsors) or the number of family members enrolled in the EFMP (see table 3).", "The Services and OSN provided a range of reasons as to why the Services do not develop and maintain a SP for each family with special needs. For example, Air Force officials said their family support providers consider the needs of each family with special needs before determining whether a SP will help them receive the required services. In addition, Army and Marine Corps officials said they may not develop these plans if families do not request them. Further, according to a Navy official, some families lack the required SPs because installations may not have the staff needed to develop them\u2014even though DOD requires the Services to maintain sufficient staff and certify their EFMPs. OSN officials with whom we spoke also said that the Services may not have developed many SPs during fiscal year 2016 because DOD had not yet approved a standardized form that could be used to meet this requirement. Finally, OSN officials also said that each family with special needs enrolled in the EFMP may not need a SP because their condition does not require this type of family support."], "subsections": []}, {"section_title": "Resources", "paragraphs": ["To meet requirements of the NDAA for Fiscal Year 2010, in April 2017, DOD issued to the Services guidance that directed them to \u201crogram, budget, and allocate sufficient funds and other resources, including staffing,\u201d to meet DOD\u2019s policy objectives for the EFMP. According to OSN officials, DOD relies on each Service to determine what level of funds and resources is sufficient and what constitutes an appropriate number of family support personnel. To determine family support providers and related personnel staffing levels, the Service officials with whom we spoke said they consider a number of factors, including the number of families with special needs enrolled in the EFMP at any given installation (see app. II for more information about the EFMP data by installation). See Table 4 for a summary of EFMP family support providers and other key personnel at CONUS installations.", "As required by DOD, all of the Services employ family support providers to assist families with special needs. In addition, some Services employ additional personnel to support implementation of the EFMP (see sidebar). For example, the Air Force employs family support coordinators to administer its EFMP and no other personnel are dedicated to assisting these coordinators or enrolled families. The Army employs \u201csystem navigators\u201d who provide individualized support to families with special needs at selected installations through its EFMP, as well as other personnel to administer the EFMP. workers at most of its CONUS installations to administer individualized support to families with special needs. In addition, the Marine Corps employs program managers, administrative assistants, as well as training and education outreach specialists.", "The Navy contracts regional case liaisons and case liaisons at selected CONUS installations to administer individualized support to families with special needs. In addition, the Navy employs collateral duty case liaisons who assist with the delivery of family support services at all other CONUS installations.", "Senior OSN officials said they rely on each Service to determine the extent to which its EFMP complies with DOD\u2019s policy for families with special needs because they consider OSN to be a policy-making organization that is not primarily responsible for assessing compliance. In addition, these officials said the Services need flexibility to implement DOD\u2019s policy for families with special needs because they each have unique needs and the number of enrolled families in the EFMP is constantly changing. However, DOD has not developed a standard for determining the sufficiency of funding and resources each Service allocates for family support. Air Force officials at one of the installations we visited said the Air Force identified the lack of staff and funding to provide individualized support to most families with special needs as an issue. In addition, officials from the Army and Navy said they have not received any guidance from OSN officials about their Service-specific guidance, including requirements for resources and services plans. Further, the Services may not know the extent to which their Service- specific guidance complies with DOD\u2019s policy for families with special needs.", "The NDAA for Fiscal Year 2010 requires DOD to identify and report annually to the congressional defense committees on gaps in services for military families with special needs and to develop plans to address these gaps. However, DOD\u2019s most recent reports to the congressional defense committees did not address the relatively few SPs being created for families with special needs, or whether the Services are providing sufficient resources to ensure an appropriate number of family support providers. Federal internal control standards require that agencies establish control activities, such as developing clear policies, in order to accomplish agency objectives such as those of the Services\u2019 EFMPs. Without fully identifying and addressing potential gaps in family support across these programs, some families with special needs may not get the assistance they require, particularly when they relocate."], "subsections": []}]}, {"section_title": "Each Service Has Mechanisms to Monitor EFMP Assignment Coordination and Family Support Activities, but DOD Lacks Common Performance Measures and a Process to Fully Evaluate These Activities Each Service Has Mechanisms to Monitor Assignment Coordination and Family Support", "paragraphs": ["Each Service monitors EFMP assignment coordination and family support using a variety of mechanisms, such as regularly produced internal data reports. However, DOD has not yet established common performance measures to track the Services\u2019 progress in implementing its standard procedures over time or developed a process to evaluate the overall effectiveness of each Service\u2019s assignment coordination and family support procedures.", "DOD requires each Service to monitor implementation of their EFMP, including their procedures for assignment coordination and family support. To comply with this requirement, each Service has developed guidance that establishes monitoring protocols and assigns oversight responsibilities. Officials from each Service told us they use internal data reports from each installation to monitor assignment coordination and family support.", "To monitor assignment coordination, officials from each Service told us their headquarters reviews proposed assignment locations for families with special needs enrolled in the EFMP. These officials said monitoring proposed assignment locations helps ensure that enrolled families will be able to access required services at their new installations. In addition, Army officials said each Army unit commander is responsible for tracking the number of families with special needs that have expired enrollment paperwork because it affects assignment coordination worldwide. Several years ago, the Army determined that 25 percent of soldiers (over 13,000) enrolled in the EFMP had expired enrollment paperwork, complicating the task of considering each enrolled family\u2019s special medical or educational needs as part of proposed relocations. In response, in August 2011, the Army revised its policies and procedures for updating enrollment paperwork which would help ensure a family member\u2019s special needs are considered during the assignment coordination process.", "To monitor family support provided by installations worldwide, each Military Service told us they use a variety of mechanisms (see table 5).", "The Marine Corps pays particular attention to customer satisfaction. Marine Corps officials told us that every three years Marine Corps headquarters administers a survey of family members enrolled in the EFMP. We previously reported that organizations may be able to increase customer satisfaction by better understanding customer needs and organizing services around those needs. This survey is one of the primary ways Marine Corps headquarters measures customer satisfaction with family support services at installations worldwide. Marine Corps officials also said this survey helps ensure its EFMP is based on the current needs of families with special needs."], "subsections": [{"section_title": "DOD Has Not Developed Common Performance Measures or Fully Developed a Process for Evaluating the Results of the Services\u2019 Monitoring Activities", "paragraphs": ["To improve its oversight of the EFMP and implement its policy for families with special needs, DOD, through OSN, has several efforts under way to standardize the Services\u2019 procedures for assignment coordination and family support. However, DOD has not developed common performance measures to monitor its progress toward these efforts and has not developed a process for assessing the Services\u2019 related monitoring activities. Federal internal control standards emphasize the importance of assessing performance over time and evaluating the results of monitoring activities."], "subsections": [{"section_title": "DOD Has Begun to Standardize Procedures", "paragraphs": ["To help improve family member satisfaction by addressing gaps in support that may exist between Services, OSN has begun to standardize procedures for assignment coordination and family support. To date, OSN\u2019s efforts have focused on ensuring each Service\u2019s EFMP considers the needs of family members during the assignment process and helps family members identify and gain access to community resources. According to OSN\u2019s April 2017 Report to Congress, the long-term goal of these efforts is to help ensure that all families with special needs enrolled in the EFMP receive the same level of service regardless of their Military Service affiliation or geographic location. In addition, OSN officials told us its standardized procedures will also help DOD perform required oversight by improving its access to Service-level data and its ability to validate each Service\u2019s monitoring activities.", "To date, efforts to standardize assignment coordination and family support have included efforts such as developing new family member travel screening forms which will be the official documents used during the assignment coordination process and completing a DOD-wide customer service satisfaction survey on EFMP family support (see table 6).", "Despite its efforts to begin standardizing assignment coordination and family support services, DOD is unable to measure its progress in standardizing assignment coordination and family support procedures for families with special needs and assessing the Services\u2019 performance of these processes because it has not yet developed common metrics for doing so. Federal internal control standards emphasize the importance of agencies assessing performance over time. We have also reported on the importance of federal agencies engaging in large projects using performance metrics to determine how well they are achieving their goals and to identify any areas for improvement. By using performance metrics, decision makers can obtain feedback for improving both policy and operational effectiveness. Additionally, by tracking and developing a baseline for all measures, agencies can better evaluate progress made and whether or not goals are being achieved\u2014thus providing valuable information for oversight by identifying areas of program risk and causes of risks or deficiencies to decision makers. Through our body of work on leading performance management practices, we have identified several attributes of effective performance metrics relevant to OSN\u2019s work (see table 7).", "OSN officials said each Service is currently responsible for assessing the performance of its own EFMP, including the development of Service- specific goals and performance measures. OSN officials said that they recognize the need to continually measure the department\u2019s progress overall in implementing its policy for families with special needs, and are considering ways to do so. They also said they have encountered challenges to developing common performance measures. In addition, OSN officials said its efforts to reach consensus among the Services about performance measures for the overall EFMP are still ongoing because each Service wants to maintain its own measures, and DOD has not required them to reach a consensus. Absent common performance measures, DOD is unlikely to fully determine whether its long-standing efforts to improve support for families with special needs are being implemented as intended."], "subsections": []}, {"section_title": "DOD Does Not Systematically Review the Services\u2019 Monitoring Activities", "paragraphs": ["DOD requires each Service to monitor its own family readiness programs, including procedures for assignment coordination and family support through the EFMP, but lacks a systematic process to evaluate the results of these monitoring activities. To monitor family readiness services, as required by DOD, each Service must accredit or certify its family support services, including the EFMP, using standards developed by a national accrediting body not less than once every 4 years. In addition, personnel from each Service\u2019s headquarters are required to periodically visit installations as a part of their monitoring activities for assignment coordination, among other things. The Services initially had the Council on Accreditation accredit family support services provided through their installations\u2019 EFMPs using national standards developed for military and family readiness programs, according to the officials with whom we spoke. However, by 2016, each Service was certifying installations\u2019 family support services using standards that meet those of a national accrediting body, Service-specific standards, and best practices. According to officials from each Service with whom we spoke, this occurred due to changes in the funding levels allocated to this activity. Table 8 provides an overview of the certification process currently being used by each Service.", "OSN officials said they do not have an ongoing process to systematically review the results of the Services\u2019 activities, including the certification of EFMPs because they choose to rely on the Services to develop their own monitoring activities and ensure they provide the desired outcomes. In doing so, DOD allows each Service to develop its own processes for certifying installations\u2019 family support services, including the selection of standards. In addition, OSN officials told us that efforts to standardize certification of EFMPs are ongoing because the Military Services have not been able to reach consensus on a set of standards that can be used across DOD for installations\u2019 family support services. Further, OSN has not established a process to assess the results of the Services\u2019 processes for certifying installations\u2019 family support services. Federal standards for internal control state that management should evaluate the results of monitoring efforts\u2014such as those the Services are conducting on their own\u2014to help ensure they meet their strategic goals. The lack of such a process hampers OSN\u2019s ability to monitor the Services\u2019 EFMPs and determine the adequacy of such programs as required by the NDAA for Fiscal Year 2010."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["OSN\u2019s job of developing a policy for families with special needs that will work across DOD\u2019s four Services is challenging given the size, complexity, and mission of the U.S. military. It has had to consider, among other things, the Services\u2019 mission requirements, resource constraints, and the myriad demands on servicemembers and their families during their frequent relocations. Anything that further complicates a relocation\u2014such as not receiving the required family support services for family members with special needs\u2014potentially affects readiness or, at a minimum, makes an already stressful situation worse. By providing little direction on how the Services should provide family support or what the scope of family support services should be, some servicemembers get more\u2014or less\u2014from the EFMP each time they relocate, including when a servicemember from one Service is assigned to a joint base led by another Service.", "By largely deferring to the Services to design, implement, and monitor their EFMPs\u2019 performance, DOD cannot, as required by the NDAA for Fiscal Year 2010, fully determine the adequacy of the Services\u2019 EFMPs in serving families with special needs, including any gaps in services these families receive, because it has not built a systematic process to do so. Instead, it relies on the Services to self-monitor and address, within each Service, the results of monitoring activities. However, because servicemembers relocate frequently and often depend on the EFMP of a Service other than their own, a view of EFMP performance across all of the Services is essential to ensuring, for example, that relocating servicemembers get consistent EFMP service delivery no matter where they are stationed. Evaluating and developing program improvements based on the results of the Services\u2019 monitoring would help DOD ensure the Services\u2019 EFMPs achieve the desired outcomes and improve its ability to assess the overall effectiveness of the program."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOD: We recommend the Secretary of Defense direct the Office of Special Needs (OSN) to assess the extent to which each Service is (1) providing sufficient resources for an appropriate number of family support providers, and (2) developing services plans for each family with special needs, and to include these results as part of OSN\u2019s analysis of any gaps in services for military families with special needs in each annual report issued by the Department to the congressional defense committees. (Recommendation 1)", "We recommend that the Secretary of Defense direct the Office of Special Needs (OSN) to develop common performance metrics for assignment coordination and family support, in accordance with leading practices for performance measurement. (Recommendation 2)", "We recommend that the Secretary of Defense implement a systematic process for evaluating the results of monitoring activities conducted by each Service\u2019s EFMP. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Defense (DOD) for comment. DOD provided written comments, which are reproduced in appendix IV. DOD also provided technical comments, which we incorporated as appropriate.", "DOD agreed with all three of our recommendations.", "In its written comments, DOD stated that additional performance metrics need to be developed for assignment coordination and that it is in the process of measuring families\u2019 satisfaction with family support provided through the EFMP. DOD also stated that it is developing plans for evaluating the results of each Service\u2019s monitoring activities for the EFMP.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Defense and Education, and other interested parties. The report also is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The National Defense Authorization Act (NDAA) for Fiscal Year 2017 includes a provision for GAO to assess the effectiveness of the Department of Defense\u2019s (DOD) Exceptional Family Member Programs (EFMP). This report focuses on the assignment coordination and family support components of the EFMP for dependents with special needs and examines: (1) the extent to which each Service has provided family support as required by DOD, and (2) the extent to which the Services monitor and DOD evaluates assignment coordination and family support. To address these objectives, we used a variety of data collection methods. Key methods are described in greater detail below.", "For both objectives, we reviewed relevant federal laws, regulations, and DOD guidance and documentation that pertain to the EFMP, including the following:", "The NDAA for Fiscal Year 2010, which established the Office of Special Needs and defined program requirements for assisting families with special needs, including assignment coordination and family support.", "DOD\u2019s guidance for administering the EFMP. We assessed how DOD implements the requirements in the NDAA for Fiscal Year 2010; how each Service implements assignment coordination and family support; and how the Services and DOD monitor assignment coordination and family support using performance measures. Specially, we reviewed DOD Instruction 1315.19 - Exceptional Family Member Program; Service-specific guidance and related documents from the Air Force, Army, Marine Corps, and Navy; and DOD Instruction 1342.22 - Military Family Readiness.", "Standards for internal control in the federal government related to the documentation of responsibilities through policies, performance measures, and evaluating the results of monitoring activities. We compared each Service\u2019s procedures for monitoring assignment coordination and family support to these standards.", "To determine the extent of the Services\u2019 EFMP family support, we obtained and analyzed fiscal year 2016 EFMP data (the most recent available) for each Service. We reviewed DOD policy to identify data variables that each Service maintains related to its EFMP. We used these data to summarize key characteristics of each Service\u2019s EFMP. The selected variables provided Service-wide and installation-specific EFMP information on, the number of continental United States (CONUS) and outside the continental United States (OCONUS) installations; the number of servicemembers (sponsors) enrolled in the EFMP; the number of family members with special needs enrolled in the EFMP; the number of EFMP family support personnel; and the number of services plans created for families with special needs enrolled in the EFMP.", "We determined that the selected data variables from each Service are sufficiently reliable for the purposes of providing summary results about family support for fiscal year 2016.", "To learn more about how the Services implement their EFMPs, we visited seven installations in five states. We selected the seven installations based on their location in states with the largest number of military- connected students in school year 2012-2013 (the most recent available and reliable data) or in states with the largest percentage of students enrolled in U.S. DOD schools as of May 2017, as well as their status as a joint base. At each installation, we interviewed installation officials, EFMP managers, selected family support personnel, and family members and caregivers enrolled in the program. In states we visited that had the largest number of military-connected students, the EFMP personnel we interviewed collectively served 66 percent of students who attend local public schools and 42 percent of the students attending U.S. DOD schools.", "To obtain illustrative examples about how the EFMP serves families with special needs, we conducted seven group interviews with EFMP-enrolled family members and caregivers (one at each of the seven installations we visited). Using a prepared script, we asked participants to describe how they were identified and enrolled in the EFMP, how they were assigned to new installations, and the types of family support services they received. We also asked about how these services aligned with their family member\u2019s EFMP-eligible condition, the benefits and challenges they experienced, as well as their overall satisfaction. A total of 38 self- selected volunteers participated in the seven group discussions. While the participants in these groups included a variety of family members and caregivers, the number of participants and groups were very small relative to the total number of family members enrolled in the EFMP. Their comments are not intended to represent all EFMP-enrolled family members or caregivers. Other EFMP-enrolled family members and caregivers may have had other experiences with the program during the same period.", "Finally, for both objectives, we conducted interviews with a variety of DOD, Service-level, and nonfederal officials. We spoke with DOD officials from the Office of the Assistant Secretary of Defense\u2013Offices of Manpower and Reserve Affairs, Military Community and Family Policy, Military Family Readiness Policy, and Special Needs. We also spoke with EFMP Managers from Air Force, Army, Marine Corps, and Navy headquarters. We also met with officials from selected national military family advocacy organizations including the National Military Family Association; the Military Family Advisory Network; and the Military Officers Association of America to discuss the EFMP.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Services\u2019 Fiscal Year 2016 Exceptional Family Member Program Data", "paragraphs": ["Each Service has an Exceptional Family Member Program (EFMP) that provides support to military families with special needs. The tables below present the following information on selected EFMP and family support categories for each Service\u2019s program at continental United States (CONUS) and outside the continental United States (OCONUS) installations in fiscal year 2016:", "City, state or country;", "Number of exceptional family members;", "Number of family support providers (by Full-Time Equivalent);", "Number of family support provider vacancies;", "Number of services plans;", "Number of indirect contacts; and", "Number of direct contacts.", "The information below is listed sequentially in alphabetical order by Service."], "subsections": []}, {"section_title": "Appendix III: Issues Identified by Discussion Group Participants", "paragraphs": ["We held small group discussions with Exceptional Family Member Program (EFMP) participants at the seven military installations we visited. Family members and caregivers who attended each session reported they had children or spouses with EFMP-eligible conditions. The discussion group participants were self-selected; and their comments are not intended to represent all EFMP -enrolled family members or caregivers in fiscal year 2016. In addition, other EFMP -enrolled family members and caregivers may have had different experiences with the program during the same period. There were a total of 38 participants representing all the Services. The following issues were discussed by one or more participants during the small group discussions at the installations we visited. The issues that emerged relate to the current and future overall effectiveness of the EFMP.", "Overall Satisfaction with EFMP (Discussed by 30 of 38 participants): Measure of participants\u2019 approval of the family support services offered and experience with the EFMP.", "Many participants expressed overall satisfaction with the EFMP.", "Several participants expressed dissatisfaction with the EFMP.", "A participant expressed dissatisfaction with the lack of consistency in the provision of family support services (i.e., special education advocacy) across installations.", "School Liaison Officers (Discussed by 20 of 38 participants): Serve as the primary point of contact for school-related matters as well as assist military families with school issues.", "Several participants noted that they received no response to their request for assistance from their School Liaison Officer or they only received general information.", "Several participants said School Liaison Officers were not helpful.", "Some participants found School Liaison Officers were helpful.", "Some participants were unaware of School Liaison Officers being available at their installation and the service(s) they provide.", "A few participants said School Liaison Officers did not follow up on requests for information.", "A participant noted there seems to be a disconnect between family support services provided through the EFMP and services provided by School Liaison Officers.", "Family Support Personnel (Discussed by 12 of 38 participants): Provide information and referral to military families with special needs.", "Some participants at one installation noted that the EFMP was understaffed.", "Some participants at one installation noted high turnover of family support personnel.", "Some participants noted family support personnel did not provide support for their family with special needs.", "Stigma (Discussed by 12 of 38 participants): A perception that participating in the EFMP may limit a soldier\u2019s assignment opportunities and/or compromise career advancement.", "Several participants believe there is still stigma associated with participating in the EFMP.", "Some participants said participating in the EFMP has not affected career advancement.", "Assignment Coordination (Discussed by 10 of 38 participants): The assignment of military personnel in a manner consistent with the needs of armed forces that considers locations where care and support for family members with special needs are available.", "Some participants found the assignment coordination process challenging.", "Some participants described limitations with the assignment coordination process.", "A few participants noted there is a lack of information among families with special needs regarding how to express the need for stabilization and /or continuity of care.", "A few participants cited the challenges of assignment coordination as contributing to their decision to retire.", "One participant commented that the opinion of a medical professional was not reflected in the assignment coordination process.", "Special Education Services (Discussed by 10 of 38 participants): The provision of staff capable of assisting families with special needs with special education and disability law advice and/or assistance and attendance at individualized education program (IEP) meetings where appropriate.", "Several participants who had a family support provider assist them with preparing for or attending a school-based meeting, including IEP meetings, spoke positively of their experience(s).", "Some participants at one installation agreed that assistance from family support providers during meetings with school officials regarding special education services is helpful.", "A few participants who were unable to get assistance with special education services from the EFMP sought the services of private attorneys at their own expense.", "Family Support Services (Discussed by 9 of 38 participants): The non-clinical case management delivery of information and referral for families with special needs, including the development and maintenance of a services plan.", "Some participants found that family support providers were helpful.", "Some participants could not identify needed resources or were unaware of the resources or services available to them.", "One participant noted that the family support provider had minimal contact.", "One participant said navigating the system can be challenging.", "Surveys (Discussed by 8 of 38 participants): The process of collecting data from a respondent using a structured instrument and survey method to ensure the accurate collection of data.", "Several participants noted that they had not or rarely had the opportunity to evaluate the family support services provided through the EFMP.", "One participant noted that comment cards used by each service are not effective for evaluating the EFMP.", "Warm hand-off (Discussed by 6 of 38 participants): Assistance to identify needed supports or services and facilitating the initial contact or meeting with the next program.", "Many participants at one installation agreed that the warm hand-off process worked well for them.", "Several participants said they found the warm hand-off process helpful when moving from one installation to the next.", "Outreach (Discussed by 5 of 38 participants): Developing partnerships with military and civilian agencies and offices (local, state, and national), improving program awareness, providing information updates to families, and hosting and participating in EFMP family events.", "Some participants found it difficult to obtain information regarding the types of family support services that are available.", "A few participants noted that communications regarding the EFMP were not targeted to address their needs.", "A few participants noted communications regarding the EFMP are untimely, (e.g., newsletters not issued periodically).", "Joint Base Family Support Services (Discussed by 1 of 38 participants): Family support services provided by the lead Service of the Joint Base that is different from that of the servicemember enrolled in the EFMP.", "One participant said that using family support services on joint bases may pose a challenge as each Service has different rules and procedures and as a result provides different types of family support services."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Bill MacBlane (Assistant Director), Brian Egger (Analyst-in-Charge), Patricia Donahue, Holly Dye, Robin Marion, James Rebbe, Shelia Thorpe, and Walter Vance made significant contributions to this report. Also contributing to this report were Lucas Alvarez, Bonnie Anderson, Connor Kincaid, Brian Lepore, Daniel Meyer, and Mimi Nguyen."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-57", "url": "https://www.gao.gov/products/GAO-19-57", "title": "Federal Real Property Asset Management: Agencies Could Benefit from Additional Information on Leading Practices", "published_date": "2018-11-05T00:00:00", "released_date": "2018-11-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government is the largest real property owner in the United States and spends billions of dollars to operate and maintain these assets, which include buildings, roads, bridges, and utility systems. Federal agencies are responsible for developing asset management policies, processes, and plans. In 2014, the ISO 55000 asset management standards were issued.", "GAO was asked to examine federal agencies' real property asset management practices and the applicability of ISO 55000. This report discusses: (1) key characteristics of an effective asset management framework and how selected federal agencies' frameworks reflect these characteristics, and (2) whether government-wide asset management guidance and information reflect standards and key characteristics of an effective asset management framework, among other objectives.", "To conduct this work, GAO reviewed the ISO 55000 standards, relevant studies and literature, and interviewed 22 experts and 10 practitioners. GAO selected six federal agencies as case studies, including agencies with the largest real property portfolio and some agencies that were using the ISO 55000 standards. GAO reviewed documentation and interviewed officials from these six agencies, GSA, and OMB."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identified six key characteristics of an effective asset management framework (see table 1) that can help federal agencies manage their assets and resources effectively. GAO identified these key characteristics through reviews of the International Organization for Standardization (ISO) 55000 standards\u2014an international consensus standard on asset management\u2014studies and articles on asset management practices, and interviews with experts. GAO reviewed the asset management practices of six federal agencies: the U.S. Coast Guard (Coast Guard); U.S. Army Corps of Engineers (Corps); General Services Administration (GSA); National Park Service (Park Service); National Aeronautics and Space Administration (NASA); and U.S. Forest Service (Forest Service). Each of the six federal-agency frameworks GAO reviewed included some of the key characteristics.", "Source: GAO analysis of ISO 55000 standards, asset management literature, and comments from experts. | GAO-19-57", "While the Office of Management and Budget (OMB) has issued guidance to inform federal agencies' real property management efforts, the existing guidance does not reflect an effective asset management framework because it does not fully align with ISO 55000 standards and the key characteristics. For example, this guidance does not direct agencies to develop a comprehensive approach to asset management that incorporates strategic planning, capital planning, and operations, or maintaining leadership support, promoting a collaborative organizational culture, or evaluating and improving asset management practices. In addition, the guidance does not reflect information on successful agency asset management practices, information that officials from three of the six agencies GAO spoke with said would be helpful to them. OMB staff said that they did not plan to update existing government-wide guidance because OMB's real property management focus has shifted to the Reduce the Footprint initiative, which emphasizes efficiently managing and using buildings and warehouse space, rather than all assets. Without a more comprehensive approach, as described above, federal agencies may not have the knowledge needed to maximize the value of their limited resources."]}, {"section_title": "What GAO Recommends", "paragraphs": ["OMB should take steps to improve information on asset management to reflect leading practices. OMB had no comments on this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is the largest real property owner in the United States and spends billions of dollars annually to operate and maintain its real property portfolio. While the General Services Administration (GSA) provides real property asset management guidance and support to federal agencies\u2014such as support to reduce their space requirements and to effectively manage their inventory and reduce costs\u2014federal agencies are responsible for developing asset management policies, processes, and plans for their portfolios. Specifically, Executive Order 13327, issued in 2004, directed federal agencies to develop an asset management planning process and plan to promote the efficient and economical use of their real property assets. A number of standards and leading practices exist to guide organizations in developing an effective asset management framework, including the International Organization for Standardization (ISO) \u201cISO 55000\u201d standards which were published in 2014. The ISO 55000 standards are international consensus standards that describe leading practices for implementing, maintaining, and improving an effective asset management framework to manage all types of assets including real property assets. While some federal agencies have taken steps to adopt some of the practices described in ISO 55000, it is unclear what actions have been taken across the federal portfolio or what standards and leading practices may be the most applicable to the federal government.", "You asked us to examine federal agencies\u2019 real property asset management practices and the applicability of ISO 55000. This report discusses: key characteristics of an effective asset management framework and how selected federal agencies\u2019 frameworks reflect these characteristics; views of selected asset management experts and practitioners on challenges and benefits to implementing an asset management framework; and whether government-wide asset management guidance and information reflect standards and key characteristics of an effective asset management framework.", "To address all three objectives, we collected information from and interviewed a judgmental sample of 22 asset management experts. To identify the potential experts, we performed a literature search and obtained recommendations from preliminary interviews with asset management practitioners, who included representatives from public and private organizations knowledgeable about asset management practices. We then selected the 22 experts using a variety of criteria including type and depth of their experience, affiliations with asset management trade associations, experience with federal asset management practices, relevant published work on our topic, and recommendations from other entities. We interviewed each of these experts using a semi-structured format with open-ended questions and conducted a content analysis of their responses to identify recurring themes. The information gathered from our interviews with experts and practitioners is useful in illustrating a range of views on asset management issues, but is not generalizable.", "To identify key characteristics of an effective asset management framework and how selected federal agencies\u2019 reflect them, we obtained and reviewed the ISO 55000 standards, which include leading practices, and literature on asset management practices and analyzed our interviews with asset management experts. We synthesized information from these sources and identified six commonly mentioned characteristics. To compare selected agencies\u2019 asset management efforts to the six key characteristics that we identified, we selected a non- generalizable sample of six bureau-level and independent federal agencies as case studies. We used a variety of criteria to select agencies, including selecting agencies with the largest number of real property assets and the largest real property portfolio replacement values. We also included in our selection some agencies that were using the ISO 55000 standards, and that were recommended by practitioners we interviewed. We selected the following agencies (1) the U.S. Coast Guard (Coast Guard); (2) the U.S. Army Corps of Engineers (Corps); (3) GSA; (4) the National Park Service (Park Service); (5) the National Aeronautics and Space Administration (NASA); and (6) the U.S. Forest Service (Forest Service). We reviewed documents and interviewed officials from each of the six selected agencies to learn about the agencies\u2019 practices, their experiences with the ISO 55000 standards, and the challenges they have faced in conducting asset management. In addition, we analyzed fiscal year 2017 Federal Real Property Profile (FRPP) data, as managed by GSA, to obtain information about each agency\u2019s portfolio, such as the number of real property assets and total asset-replacement value, and to obtain examples of the types of buildings and structures owned by the six selected agencies. We conducted a data reliability assessment of the FRPP data by interviewing GSA officials and reviewing documentation, and concluded the data were reliable for the purposes of our reporting objectives. We also visited four locations from our case study agencies to discuss and view examples of how our selected case-study agencies are conducting asset management. Agencies are not required to follow the key characteristics we identified and we did not evaluate the extent to which they did so. Instead, we provide this information as illustrative examples of how the agencies\u2019 asset management practices reflect these characteristics.", "To determine the 32 experts\u2019 and practitioners\u2019 views on challenges and benefits to implementing an asset management framework, we interviewed and synthesized information from our interviews with all 32 and analyzed the responses to identify key themes. These individuals included the 22 experts previously mentioned and 10 practitioners from public and private organizations we selected who were familiar with asset management practices and the ISO 55000 standards.", "To assess whether government-wide guidance and information on asset management reflect standards and key characteristics of an effective asset management framework, we reviewed current Office of Management and Budget (OMB), GSA, and Federal Real Property Council (FRPC) federal guidance and evaluated the extent to which this guidance incorporated practices in the ISO 55000 standards and in the key characteristics. We selected practices described in ISO 55000 because it is the international-consensus asset management standard. We also interviewed officials from the OMB and GSA about their role in supporting federal agencies\u2019 asset management efforts. In addition, we obtained information from our interviews with asset management experts and practitioners about practices that could be applicable to the federal government and opportunities to improve federal agencies\u2019 approaches. Lastly, we obtained documents and interviewed representatives from federal, provincial, and municipal governments in Canada\u2014a country with over 20 years of experience in asset management\u2014to learn about their practices, including their use of the ISO 55000 standard. We also conducted a site visit to Canada to discuss and view examples of assets in these municipalities (see appendix I for more information on Canada\u2019s asset management practices). For more information on our scope and methodology, see appendix II.", "We conducted this performance audit from August 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["ISO 55000 defines asset management as \u201cthe coordinated activity of an organization to realize value from assets.\u201d This approach includes, for example: developing an understanding of how each of an organization\u2019s assets contributes to its success; managing and investing in those assets in such a way as to maximize that success; and fostering a culture of effective decision making through leadership support, policy development, and staff training.", "While ISO defines an asset as any item, thing, or entity that has potential or actual value to an organization, in this report we focus on real property assets. Asset management can help federal agencies optimize limited funding and make decisions to better target their policy goals and objectives. See fig. 1 for an example of an asset management framework.", "Asset management as a distinct concept developed in the 1980s, and since that time, organizations around the world have published a number of standards and leading practices. These include:", "Publicly Available Specification (PAS) 55: The British Standards Institution published this standard in its final form in 2008. This standard focuses on the management of physical assets such as real property and describes leading asset management practices in areas such as life cycle planning, risk management, cost avoidance, and collaborative decision-making. Additionally, the standard provides a checklist for organizations to assess the maturity of their asset management framework. Some public services, utilities, and oil and gas sectors in the United Kingdom and other countries have adopted this standard. The British Standards Institution formally withdrew this standard in 2015 after the publication of ISO 55000, but it remains in use as a reference for many organizations.", "ISO 55000: This standard, published in 2014, is a series of three documents, collectively referred to as \u201cISO 55000.\u201d It is based on the earlier PAS 55 standard but with stated applicability to all types of assets as opposed to just the physical assets covered by PAS 55. Committees with members from more than 30 countries identified common asset management practices and developed this international consensus standard that, according to ISO, applies to the broadest possible range of assets, organizations, and cultures. Some public and private sector organizations from around the world including utilities, infrastructure management firms, cities, federal agencies, and others have adopted the standard for their real property assets. See appendix III for a summary of the key elements of the ISO 55000 standards.", "International Infrastructure Management Manual: Initially published in 2000, this manual became one of the first sets of internationally accepted asset management leading practices. The Institute of Public Works Engineering Australasia published the most recent edition in 2015. The current manual complements the ISO 55000 standards and includes case studies of how organizations in different sectors have approached asset management. It provides detailed information on how to create and implement an effective asset management framework, such as how to incorporate estimates of future demand for services. Various organizations, particularly in sectors that manage physical assets, have adopted the manual as a reference.", "In the United States, within the federal government\u2019s executive branch, OMB and GSA are responsible for providing leadership in managing federal real property\u2014one of the government\u2019s major assets. OMB is tasked with overseeing how federal agencies devise, implement, manage, and evaluate programs and policies. OMB has provided direction to federal agencies by issuing various government-wide policies, guidance, and memorandums related to asset management. For example:", "OMB\u2019s 2017 Capital Programming Guide outlines a capital- programming process, including how agencies should effectively and collectively manage a portfolio of capital assets and requirements for agencies strategic asset management plans;", "OMB\u2019s Circular A-123 directs agencies to conduct enterprise risk management assessments to identify significant risks to agency goals and operations;", "OMB\u2019s Memorandum 18-21 expands the responsibilities of federal agencies\u2019 senior real property officers in leading and directing the agency\u2019s real property program.", "GSA\u2019s Office of Government-wide Policy is generally responsible for identifying, evaluating, and promoting best practices to improve the efficiency of real property management processes. This office has provided guidance for federal agencies and published performance measures.", "In 2004, the President issued Executive Order 13327 directing Chief Financial Officers Act (CFO Act) agencies to designate a senior real property officer responsible for establishing an asset management- planning process and developing a plan to carry out this process. Among other things, this plan was to describe the agency\u2019s process for: identifying and categorizing all real property managed by the agency, prioritizing actions needed to improve the operational and financial management of the agency\u2019s real property inventory, using life-cycle cost estimations for those actions, and identifying asset management goals and measuring progress towards those goals. The order also required agencies to manage their real property assets in a manner that supports the agency\u2019s asset management plan, goals, and strategic objectives.", "In addition, Executive Order 13327 tasked GSA with providing policy oversight and guidance to inform federal agencies\u2019 real property management efforts and required that OMB review agencies\u2019 efforts in implementing their asset management plans and completing the other requirements specified in the executive order. The executive order also established the Federal Real Property Council (FRPC)\u2014chaired by OMB and composed of senior management officials from CFO agencies\u2014and called for the FRPC to develop guidance, collect best practices, and help federal agencies improve the management of real property assets. In response to this executive order, in 2004 the FRPC developed guidance describing guiding principles that agencies\u2019 asset management practices should align with, requirements for what agencies should include in their asset management plans, and a template for agencies to follow when compiling these plans. Specifically, the guidance stated that each real property asset\u2019s management plan should link the asset management framework to the agency\u2019s strategic goals and objectives, describe a process for periodically evaluating assets, and describe a process for continuously monitoring the agency\u2019s framework.", "More recent federal asset management initiatives have focused on efficiently managing and reducing federal agencies\u2019 real property holdings. For example, in 2012 OMB directed the 24 CFO Act agencies to maintain their civilian real-estate inventory at or below their then-current levels, a policy known as Freeze the Footprint. In 2015, OMB issued its National Strategy for the Efficient Use of Real Property and its accompanying Reduce the Footprint policy requiring the CFO Act agencies to set annual targets for reducing their portfolio of domestic office and warehouse space. Subsequently, the Federal Assets Sale and Transfer Act of 2016 established the Public Buildings Reform Board to identify opportunities for the federal government to reduce its inventory of civilian real property and reduce its costs. The act also requires the head of each executive agency to provide annually to GSA information describing the nature, use, and extent of the agency\u2019s real property assets. In addition, the Federal Property Management Reform Act of 2016 codified the Federal Real Property Council to, among other things, ensure efficient and effective real-property management while reducing costs to the federal government. The act requires executive branch agencies to annually submit to the Federal Real Property Council a report on all excess and underutilized real property in their inventory."], "subsections": []}, {"section_title": "Effective Asset Management Frameworks Include Six Key Characteristics Reflected in Selected Agencies\u2019 Practices", "paragraphs": ["Based on our review of the ISO 55000 standards, asset management literature, and interviews with experts, we identified six key characteristics of an effective asset management framework: (1) establishing formal policies and plans, (2) maximizing an asset portfolio\u2019s value, (3) maintaining leadership support, (4) using quality data, (5) promoting a collaborative organizational culture, and (6) evaluating and improving asset management practices (see fig. 2). See appendix II for a more detailed explanation of how we identified these key characteristics.", "Each of the six federal agencies we reviewed had a real property asset management framework that included some of these key characteristics. However, agencies varied in how they performed activities in these areas. In addition, the scope and maturity level of the agencies\u2019 asset management frameworks varied. For example, while some agencies\u2019 asset management policies applied to large portions of their portfolios, other agencies\u2019 policies applied to only certain portions of their portfolios. In addition, two agencies\u2014the Corps and Coast Guard\u2014told us they were using the ISO 55000 standards. For example, according to Corps officials, the Corps is in the process of incorporating elements of the ISO 55000 standards into its frameworks. Coast Guard officials told us they were using the ISO 55000 standards as a benchmark to compare against their existing framework. According to OMB and GSA officials, some of the differences in agencies\u2019 asset management frameworks can be attributed to differences such as agency mission needs and the types of assets that each manages. For example, the real property asset portfolios of the six agencies we reviewed differed substantially in the types, numbers, and total replacement values of the assets. See table 1 for more information on the agencies\u2019 asset portfolios and fig. 3 for examples of agency assets and their primary uses.", "Below we discuss the six key characteristics of an effective asset management framework and how the six selected agencies performed asset management activities in these areas."], "subsections": [{"section_title": "Establishing Formal Policies and Plans", "paragraphs": ["Formal policies and plans can help agencies utilize their assets to support their missions and strategic objectives. According to literature we reviewed, developing a formal asset management plan can help agencies take a more strategic approach in their asset management decision making and identify key roles and responsibilities, resources required to implement their plans, potential implementation obstacles and strategies for overcoming these obstacles. In addition, several experts we interviewed stated that having an asset management plan that describes the overarching goals of the organization and how the organization\u2019s assets relate to those goals is an important element of an asset management framework. Each of the six agencies we reviewed had some documentation such as asset management plans, investment strategies, or technical orders that lay out how the agency conducts asset management activities. This documentation covered important areas such as collecting data, prioritizing assets, and making investment decisions, along with documentation detailing the roles and responsibilities of key officials, for example: In 2014, the Corps published a Program Management Plan for Civil Works Asset Management that laid out a vision, tenets, and objectives for asset management along with the roles and responsibilities of key officials. Corps officials told us that this document functions as a strategic asset management plan for the Corps\u2019 Civil Works asset portfolio, and the plan contains foundational principles such as how the Corps will assess risk and measure the performance of its framework.", "Since 2006, the Coast Guard Civil Engineering program has been developing a series of manuals, process guides, and technical orders that provide detailed procedures to support implementation of an overarching asset management model. Coast Guard officials told us this model will cover all of the Coast Guard\u2019s real property assets and reflect the agency\u2019s mission and objectives.", "In addition, each of the six agencies we reviewed had developed a formal asset management plan in response to Executive Order 13327 from 2004. One agency had a plan that officials said reflected their current practices. Officials from the remaining five agencies told us that the practices contained within their original asset management plans had been superseded by later policy documents. For example:", "NASA officials told us the agency\u2019s 2008 Real Property Asset Management Plan no longer reflects NASA\u2019s overarching asset management framework. Officials said that NASA instead uses a series of policy documents, procedural requirements, and annual data calls to set out its framework.", "Park Service officials told us the agency\u2019s 2009 Asset Management Plan is still in place, though some of the practices in that document have been superseded by more recent policy documents including the Capital Investment Strategy.", "Further, five of the agencies linked their asset management goals and objectives to their agency mission and strategic objectives in their asset management plans. For example, GSA\u2019s 2012 plan states that it supports GSA\u2019s overall mission and goals, as well as the mission of the Public Buildings Service, by organizing real property decision making and supporting the Public Buildings Service\u2019s objectives for owned assets."], "subsections": []}, {"section_title": "Maximizing an Asset Portfolio\u2019s Value", "paragraphs": ["Prioritizing investments can help agencies better target resources toward assets that will provide the greatest value to the agency in meeting its missions and strategic objectives. Each of the six agencies we reviewed has documentation describing a process for prioritizing asset investments. For example, each agency has documentation describing a scoring process for prioritizing projects based on specific criteria, such as the risks an asset poses to agency operations, asset condition, project cost, and project impact. Some agency officials told us that scoring projects in this manner provides an objective foundation for decision making that can lead to more consistent investment decisions and improved transparency. In addition, each of the six agencies have implemented, or are in the process of implementing, a centralized decision-making process for prioritizing high value projects and delegating approval for lower cost projects to local or regional offices. The agencies vary, however, in the types of projects for which they use centralized decision-making and the degree to which they use the project scores, for example:", "NASA field centers are authorized to independently prioritize and approve certain projects with total costs under $1 million. For larger projects, however, NASA field centers develop project scores based on a mission dependency index measuring the relative risk an asset poses to NASA\u2019s missions. To prioritize and approve these larger projects, NASA headquarters staff consider projects submitted by centers using the mission dependency scores, asset conditions, and other factors such as flooding risk, and make funding decisions using NASA\u2019s available budget.", "GSA categorizes each of its assets into tiers based on the asset\u2019s financial performance and capital investment needs. Additionally, since 2017 GSA has been using an Asset Repositioning Tool, which uses more detailed data analysis to rank assets within each tier. GSA uses these designations when prioritizing asset investments. For projects with projected costs below the prospectus level (approximately $3.1 million in fiscal year 2018), GSA regions use each asset\u2019s tier and core designation to allocate funds across the region\u2019s asset portfolio. For larger projects, the GSA Administrator and GSA\u2019s Public Buildings Service Commissioner and Deputy Commissioner are responsible for determining the priority level of projects.", "The Corps is in the process of implementing a procedure that would base funding decisions for maintenance and repair projects on a portfolio-wide comparison of scores, with the goal of approving the projects that will reduce the greatest amount of risk. This differs from the Corps\u2019 previous system of allocating projects\u2019 funding to local divisions and districts based on historical amounts and staff judgement. To prioritize projects, the Corps calculates a score for each project based on an assessment of the asset\u2019s condition and the risk the asset poses to operations. For example, the Corps measures risk for a lock and dam component such as a gate (see fig. 5) based on the potential economic impact of failure to users (e.g., shipping companies that use the waterway). The Corps has a plan to implement this process by 2020, a plan that Corps officials told us they expect to complete on schedule.", "Officials from these agencies told us that more centralized decision- making processes can provide improved standardization and clarity in the prioritization process, particularly for high value projects, and can help ensure that mission-critical projects receive funding. As an example, Coast Guard officials cited a project involving a permanent repair to a failed steam heating pipe at the Coast Guard Yard near Baltimore. They said that this failure left several key buildings, including the Coast Guard\u2019s primary ship-painting facility, with intermittent service and an inability to complete certain critical tasks. According to officials, the Coast Guard\u2019s centralized decision-making process scored this project as a high priority because of the importance of the facilities involved, the impact of the failure, and the fragility of the temporary pipe that runs on the surface amongst other equipment (see fig. 4).", "Leadership buy-in is important for organizational initiatives, and experts told us that management support is vital to implementing an asset management framework. However, officials from two of the six agencies told us that they have received varying levels of leadership support for asset management, for example:", "Corps officials told us that it can be a challenge to make senior leadership understand the value that improved asset management practices can provide to the agency, value that they said can affect the level of support the program gets.", "Forest Service officials told us that they have faced challenges obtaining the resources they need to develop their asset management program.", "In addition, in 2015 the Coast Guard received a report it had commissioned to examine the level of alignment between its asset management framework and the ISO 55000 standards. This report concluded, among other things, that the Coast Guard has faced challenges with strategic leadership related to asset management, including in balancing budgetary support for long-term initiatives\u2014like developing an asset management framework\u2014against short-term infrastructure investment needs and in communicating asset management policies."], "subsections": []}, {"section_title": "Using Quality Data", "paragraphs": ["Using quality information when making decisions about assets can help agencies ensure that they get the most value from their assets. Experts we spoke with cited data elements such as inventory information (e.g., asset age and location); condition information (e.g., how well the asset is performing); replacement value; and level of service (e.g., how the asset helps the agency meet its missions and strategic objectives) as important for maximizing an asset\u2019s value. Each of the six agencies collected inventory and condition data on their assets, and used this data to make decisions about its assets, for example:", "The Forest Service requires its units, such as national forests and grasslands, to inventory and verify 100 percent of their asset data over a 5-year cycle. It has developed a standardized process for units to collect specific types of data for this inventory, such as condition data and deferred maintenance. According to Forest Service officials, the data tracked in the system informs several investment decisions, such as decisions on decommissioning of assets.", "GSA developed the Building Assessment Tool Survey to assess the overall condition of its assets and what investments they need. GSA uses the data collected from the survey, conducted every 2 years, to calculate a Facility Condition Index, which is the asset\u2019s current needs divided by its replacement value.", "The Corps\u2019 2017 policy for operational condition assessments lays out a methodology for assessing condition based on visible attributes and asset performance, such as the degree to which water is leaking around a lock gate (see fig. 5 for an example of what Corps officials described as a minor water leak). Under this policy, Corps officials assign a letter grade to the performance of each individual component within a Corps\u2019 asset. Corps officials told us that there are key differences between this system and the maintenance management system they used previously. For example, officials said the Corps is now able to more easily compare the condition of its assets across the portfolio, and grade the condition of more types of asset components, a process that Corps officials said gives them a more complete understanding of how their assets are performing.", "Some agencies told us that they faced challenges related to collecting and maintaining asset data, for example,", "The Park Service uses data on the condition of its assets to calculate a facility condition index. Park Service officials told us that when they developed their asset management program in the early 2000\u2019s they had to change many of their existing data collection processes and train their staff to manage the new data.", "NASA field centers are required to assess assets and enter key asset data into NASA\u2019s database, but according to NASA Headquarters officials, they have faced challenges collecting data from some Centers. For example, NASA Centers are required to review and revalidate the mission dependency scores for each of their assets every 3 years, but Headquarters officials told us not all Centers have entered such scores on all assets."], "subsections": []}, {"section_title": "Promoting a Collaborative Organizational Culture", "paragraphs": ["Aligning staff activities toward effective asset management and communicating information across traditional agency boundaries can ensure that agencies make effective decisions about their assets. Officials from three of the agencies we reviewed told us that having staff embrace asset management is a key to successful implementation, for example,", "Park Service officials told us they implemented an organizational change-management process and provided additional training to staff in key asset management areas such as data collection. Finally, they said that they tried to prevent asset management requirements from overwhelming the other tasks staff perform by, for example, considering staff time constraints when developing their data collection processes. Officials told us that they continue to streamline these processes to reduce field staff workload.", "The Corps\u2019 Program Management Plan includes chapters on communications strategies and organizational change management to promote an asset management culture.", "While these agency officials told us that obtaining leadership and staff buy-in is important for asset management implementation to be effective, officials from three of our six selected federal agencies cited managing organizational culture changes as an implementation challenge. For example, Corps officials told us that, prior to developing their framework, the different functional areas in the Civil Works Program were each responsible their own assets and were not sharing asset information across areas. As a result, the Corps struggled with getting staff to work together and coordinate on asset management activities. To help mitigate this issue, Corps officials told us they have assigned dedicated asset management staff to each regional district to facilitate communication at the local level between staff in different functional areas, and developed a community of practice to discuss maintenance issues including asset management."], "subsections": []}, {"section_title": "Evaluating and Improving Asset Management practices", "paragraphs": ["Continuously evaluating the performance of an agency\u2019s asset management framework and implementing needed changes can optimize the value the agency\u2019s assets provide. According to literature we reviewed, an asset management plan should be evaluated and continuously improved over time to ensure it still reflects the organization\u2019s goals. Officials from each of the six agencies told us that they collect data to measure the performance of their asset management policies, and two agencies have continuous evaluation processes laid out in their asset management plans. For example:", "GSA\u2019s asset management plan describes the data GSA uses to track the performance of its framework, including information on operating costs, asset condition, asset utilization, operating income, and energy.", "The Corps evaluates its program by conducting maturity assessments. According to the Corps\u2019 2014 Program Management Plan, these assessments measure the maturity level of its asset management program to review and identify gaps in achieving the asset management system\u2019s vision and objectives while efficiently using resources. Corps officials told us they self-assessed their own operations at the low end of the maturity scale, and they are using the results of the assessment to inform revisions to their Program Management Plan.", "In addition, officials from five of the six agencies told us they are in the process of developing or implementing major changes to their asset management policies, including developing new policies for collecting data, measuring asset criticality, and prioritizing investments, for example:", "The Coast Guard has been developing its asset management model since 2006 and, as previously mentioned, is in the process of developing manuals, process guides, and technical orders to support this model.", "NASA officials told us that they are in the midst of developing new policies and guidance for asset management based on a recently completed business process assessment. Officials said that the new process under development would involve more centralized planning and management across NASA instead of the more center-based asset management program they currently use, along with improved data collection practices.", "Park Service is undertaking a program focused on improving the operation and maintenance of its real property portfolio. Officials told us that there are two major pieces to this effort, one to improve efficiency of their data collection process by streamlining and consolidating systems to reduce the data collection and management burden on staff, and another to expand the Park Service\u2019s investment strategies to reflect the agency's top priorities and strengthen the role of the Developmental Advisory Board to ensure consistent application of investment goals."], "subsections": []}]}, {"section_title": "Experts and Practitioners Said Implementing an Asset Management Framework Can Be Challenging but Also Provides Benefits", "paragraphs": [], "subsections": [{"section_title": "Experts and Practitioners Cited Managing Organizational Culture Changes and Capacity as Challenges to Implementing an Asset Management Framework", "paragraphs": ["According to our interviews with asset management experts and practitioners whom we selected, organizations can face challenges implementing an asset management framework. The two challenges most frequently mentioned were managing both organizational culture changes and capacity challenges, such as lack of skills and knowledge of management practices."], "subsections": [{"section_title": "Managing Organizational Culture Changes", "paragraphs": ["Almost all the experts and over half of the practitioners we interviewed stated that managing the organizational culture changes that result from implementing a new asset management framework is a challenge. For example, several experts and practitioners stated that an effective framework requires enterprise-wide policies to manage assets and that changing the organizational culture from one in which departments or divisions are used to working independently to one that promotes interdepartmental coordination and information sharing can be challenging. Specifically, one expert representing a U.S. municipality told us that a key implementation challenge it faced was in setting up policies to promote more information sharing across the organization. This expert stated that previously the organization\u2019s data systems were not set up to share information across departments, leading to data silos that hindered coordination across the agency. Similarly, another expert stated that asset management is by nature a multidisciplinary practice, which crosses through many functional silos that are typically present in large organizations. These silos are necessary to allow for the required level of specialization, but if these silos do not communicate, inefficiencies and errors in asset management result. He stated that in these organizations, a key challenge in implementing an asset management framework is getting officials in these different departments to agree upon and transition to a common set of goals and direction for the framework.", "Several experts and practitioners stated that obtaining the leadership and staff buy-in that is critical for asset management implementation to be effective can be a challenge. For example, one expert representing an organization that had recently implemented a new asset management framework stated that it faced resistance from some of its staff. These employees had been working for the organization for a long time, had not been updating their skills over time and were resistant to having to learn a new process. In addition, it was difficult to convince staff previously invested in the old decision-making process to adjust to a new process. A study examining asset management practices of public agencies in New Zealand found that obtaining buy-in and support from leadership and staff was critical. According to this study, for asset management to be successful, it has to become part of the organization\u2019s culture, and for that to happen, leadership needs to \u201cbuy-into\u201d the process, the reason why it is important, and the value of its outputs."], "subsections": []}, {"section_title": "Managing Capacity Challenges", "paragraphs": ["Over half of the experts and all of the practitioners we interviewed cited capacity challenges to implementing an effective asset management framework, such as lack of skills, knowledge of management practices, asset data, and resources.", "Some experts and practitioners stated that implementing an effective framework might require skills and competencies that the organization may not currently have. For example, one expert stated that organizations might not have the in-house expertise needed to implement a risk management approach. Similarly, a practitioner representing an asset management firm that provides consulting services to municipalities noted that lack of in-house expertise could lead to the organization\u2019s over-reliance on consultants; such over- reliance, in turn, can result in the organization\u2019s not following through with the new asset management practices once the consultants finish their work.", "Several experts and practitioners also stated that some organizations struggle with collecting and managing data needed to conduct asset management. For example, one expert stated that an important first step to implementing an asset management framework is to develop comprehensive records of the organization\u2019s assets. However, according to this expert, it is difficult to actually collect and use good information about assets to deliver robust planning. The age of assets can compound this challenge because with older assets sometimes the original plans and specifications have been lost.", "Several experts and practitioners also mentioned lack of sufficient resources as an implementation challenge. Specifically, one expert noted that obtaining funding to support asset management activities is a challenge. This expert stated that it is more difficult to secure funding for improving components of an asset management framework, such as improving data collection processes, than it is to secure funding for tangible investments in new assets. As we previously discussed, some of the experts that we interviewed stated that evaluating and continually improving asset management practices is an important characteristic of an effective asset management framework."], "subsections": []}, {"section_title": "Addressing Culture Change and Capacity Challenges", "paragraphs": ["Experts and practitioners we interviewed identified potential strategies for addressing and overcoming implementation challenges, including strategies for managing culture change and capacity challenges such as lack of skills and resources. See table 2 for the strategies experts and practitioners identified.", "We have previously reported on practices and implementation steps that can help agencies manage organizational change and transform their cultures to meet current and emerging needs, maximize performance, and ensure accountability. Several of these practices\u2014such as involving employees in the transformation effort, ensuring top leadership drives the transformation effort, and establishing a communication strategy\u2014could address some of the potential change-management challenges that agencies might face when implementing an asset management framework. For example, in our prior work on organizational change we have noted that a successful transformation must involve employees and their representatives from the beginning to increase employees\u2019 understanding and acceptance of organizational goals and objectives, help establish new networks and break down existing organizational silos, and gain their ownership for the changes that are occurring in the organization. Some of the experts we interviewed who had implemented ISO 55000 stated that they involved employees in the transformation effort. For example, one expert representing an organization with recent success in implementing ISO 55000 stated that the managers at person\u2019s organization involved staff in the implementation process, which helped foster ownership of the new asset management program."], "subsections": []}]}, {"section_title": "Experts and Practitioners Cited Improved Data and Other Benefits to Adopting an Asset Management Framework", "paragraphs": ["Asset management experts and practitioners we interviewed cited a number of potential benefits to adopting an asset management framework that aligns with the six characteristics we identified, including: (1) improved data and information about assets, (2) better-informed decisions, and (3) financial benefits."], "subsections": [{"section_title": "Improved Data and Information about Assets", "paragraphs": ["About half of the experts and practitioners we interviewed stated that implementing an asset management framework that aligns with the six characteristics we identified previously and discussed can result in an organization\u2019s collecting more detailed and quality information about assets. For example:", "One expert representing a U.S. municipality that had recently implemented a new asset management framework stated that it now collects and tracks more detailed asset data, including information about the condition and performance of its assets. According to this expert, this more detailed information provides asset managers with a better understanding of how much asset repairs actually cost in the long term, how long repairs take, and which assets are most critical to repair or replace. Additionally, they are in the process of integrating this data into the organization\u2019s capital-improvement project modeling, a step that in turn has allowed the asset managers to make better investment decisions. This expert also noted that collecting detailed data about the municipality\u2019s assets has enabled the asset managers to provide more information to the public and to decision-makers.", "Another expert we interviewed representing an organization that had recently adopted a new asset management framework stated that its data have improved as a result. According to this expert, prior to implementing the program, the organization had a good inventory of its assets, but it was missing dynamic information about condition and performance. The managers made several changes to address this situation, including investing in information technology systems and infrastructure to collect and track condition data in real time. As a result, the organization is now able to track trends in asset performance failures and anticipate that over time it will predict future performance failures with this information."], "subsections": []}, {"section_title": "Better-Informed Decisions", "paragraphs": ["Most of the experts and all of the practitioners who responded to this question stated that another benefit of implementing an asset management framework is that it can help organizations make better- informed asset management decisions. For example, some of these experts and practitioners stated that having a framework that includes improving interdepartmental coordination, collecting more detailed data, and having a strategic approach to asset management helps organizations make better-informed decisions about how to maintain and invest in their assets. In addition, about one-half of the experts stated such a framework can also help organizations better understand the risks the organization faces and make informed decisions about the organization\u2019s assets. For example:", "One expert stated that a benefit to implementing an asset management framework that incorporates interdepartmental coordination is that everyone within the organization is working to achieve the same goals in both the short-term and long-term, which results in better decisions and better customer service. This expert worked with a foreign network operator to implement an asset management system that would support the company\u2019s goals for increasing its electric grid capacity. He found that for different assets, the company had adopted different asset strategies to deal with future demand growth, approaches that resulted in misaligned asset strategies. The differences in the individual asset strategies were identified and realigned. If these differences had not been recognized, this lack of coordination could have resulted in inefficient decision- making and the loss of time and money.", "Another expert representing a U.S. municipality stated that by implementing an asset management framework, the municipality\u2019s program managers are now able to make better-informed asset management decisions and present information and proposals to the city council and budget committee. In addition, this detailed information has allowed managers to better assess the condition of their assets across the portfolio and to compare it to industry standards in the respective asset classes."], "subsections": []}, {"section_title": "Financial Benefits", "paragraphs": ["Over half of the experts and a third of the practitioners we interviewed stated that effective asset management practices can result in financial benefits to the organization, such as cost avoidance and better management of financial resources. For example,", "One expert stated that asset management can lead to a greater understanding of budget needs and better long-term capital and lifecycle investment planning. In addition, this expert stated overall that asset management improves clarity in terms of where funds are spent. This enhanced insight can then inform asset management decision-making to produce future cost savings.", "A practitioner representing a local municipality in Canada stated that since implementing an asset management framework, the municipality is now making better-informed decisions about maintenance and have identified and eliminated unneeded maintenance activities, steps that have resulted in cost savings. For example, by analyzing condition data, the municipality identified an optimal point in time for addressing maintenance issues on its roads and achieved a fivefold-to-tenfold cost reduction over previous repairs."], "subsections": []}]}]}, {"section_title": "Government-Wide Asset Management Information Does Not Fully Reflect an Effective Asset Management Framework", "paragraphs": [], "subsections": [{"section_title": "Experts and Practitioners Cited ISO 55000 Standards as a Resource to Inform Agency Efforts", "paragraphs": ["Experts and practitioners we interviewed most often cited the ISO 55000 standards as a useful resource that provided a solid foundation for an asset management framework and could inform federal agencies\u2019 asset management efforts. Specifically, these experts and practitioners stated that the standards are flexible and adaptable to different types of organizations regardless of size or organization mission, applicable to different types of assets, and internationally accepted and credible. About half of the experts we interviewed had used the standards, and some of these experts shared examples of how their organization\u2019s asset management approach improved by implementing ISO 55000. See, for example, the experience of Pacific Gas & Electric below.", "Pacific Gas and Electric\u2019s (PG&E) experience with International Organization for Standardization (ISO) 55001 standard: In 2014 and 2017, PG&E, a public utility company in California, attained Publicly Available Specification (PAS) 55 and ISO 55001 certification and recertification for its natural gas operations. Its physical assets include gas transmission and distribution pipelines, pressure regulator stations, gas storage facilities, and meters. According to PG&E, a key benefit from implementing the standards is that PG&E has developed a consistent strategy for managing its natural gas operations assets. This, according to PG&E, has enabled the utility to develop a framework for program managers from different parts of the organization, such as finance, operations, engineering and planning, to collaborate more effectively and work together to wards one strategic goal rather than competing with one another for funding. According to PG&E, this new structure allows the program managers to prioritize investment decisions across their asset portfolio to align with corporate objectives.", "Officials from five of the six agencies we interviewed stated that they were familiar with the ISO 55000 standards, and officials from the Corps stated that they use selected practices from ISO 55000. Corps officials stated that using the standard has provided several benefits to their organization. For example, they stated that using the standard has informed their budget process and has helped them make better-informed decisions about critical reinvestment. In addition, it has allowed them to develop a consistent approach to managing all of their physical assets across different lines of business.", "However, officials from four agencies raised some concerns about using these standards. These included concerns about upfront costs and resources needed to implement the standards and their applicability to the federal government given the size, scope, and uniqueness of agencies\u2019 assets, and the diverse missions of each agency. For example, officials from one selected agency stated that in their view, the standards are better suited for private organizations because federal agencies have federal requirements they need to meet, such as those for disposition of real property, which may affect their asset management decision making. We have previously reported on challenges federal agencies face with disposing of assets in part due to legal requirements agencies must follow.", "Several experts and officials from one practitioner organization we interviewed stated that they thought that federal agencies across the government could implement the ISO 55000 standard. The experts stated that key benefits of implementing the standard would be that it would result in a more consistent asset management approach and help federal agencies better manage resources. For example, one expert stated that a key benefit of implementing the standard would be to drive federal agencies to be better stewards of their resources by better utilizing mission assets. In addition, some experts and practitioners also stated that federal agencies do not need to implement the full standard or seek certification to achieve results; agencies can decide which practices in the standard are most relevant to their organization and implement those practices. The ISO technical committee that produced the ISO 55000 standards is drafting a new standard on asset management in the public sector. According to ISO, this standard, expected to be published in December 2019, will provide guidance to any public entity at the federal, state, or local level including more detailed information on how to implement an asset management framework."], "subsections": []}, {"section_title": "Government-Wide Asset Management Information Lacks Many Elements of an Effective Asset Management Framework", "paragraphs": ["While OMB has issued government-wide requirements and guidance to federal agencies related to asset management, this guidance does not present a comprehensive approach to asset management because it does not fully align with standards and key characteristics, nor does it provide a clearinghouse of information on best practices for federal real property management to agencies as required by Executive Order 13327.", "As mentioned earlier, OMB has issued various government-wide policies, guidance, and memorandums related to federal asset management. For example, in response to Executive Order 13327 in 2004, the FRPC\u2014 chaired by OMB\u2014developed guiding principles for agencies\u2019 asset management practices and for developing a real property asset management plan. Specifically, the guidance stated that each real property asset management plan should, among other things: link the agency\u2019s asset management framework to the agency\u2019s strategic goals and objectives, describe a process for periodically evaluating assets, and describe a process for continuously monitoring the agency\u2019s framework.", "In addition, OMB\u2019s Circular A-11 describes requirements for the agency capital planning process, such as prioritizing assets to support agency priorities and objectives, while OMB\u2019s Circular A-123 describes risk management requirements for agencies, and OMB\u2019s Memorandum 18-21 describes requirements for an agency\u2019s senior real property officers, such as coordinating real property planning and budget formulation. Further, the Federal Assets Sale and Transfer Act and the Federal Property Management Reform Act\u2014both of 2016\u2014collectively contain provisions related to asset management including establishing procedures for agencies to follow when disposing of real property assets and requiring agencies to submit data on leases to the FRPC.", "Taken as a whole, the OMB guidance lacks many of the elements called for by the ISO 55000 standards and the key characteristics we identified. For example, the guidance: covers several different areas of asset management but does not direct agencies to develop a comprehensive approach to asset management that incorporates strategic planning, capital planning, and operations, as recommended by the ISO 55000 standards and the key characteristics we identified. directs agencies to continuously monitor their asset management frameworks and identify performance measures but does not direct agencies to use the results to improve their asset management frameworks in areas such as overall governance, decision making, and data collection, as called for in ISO 55000 standards and the key characteristics we identified. directs agencies to have a senior official in charge of coordinating the real property management activities of the various parts of the organization but does not direct agencies to demonstrate leadership commitment to asset management or to define asset management roles and responsibilities for each element of the agency, as called for in ISO 55000 standards and the key characteristics we identified. directs agencies to ensure that their real property management practices enhance their decision making, but does not direct agencies to actively promote a culture of information sharing or ensure that the agencies\u2019 decisions are made on an enterprise-wide basis, as called for in ISO 55000 standards and the key characteristics we identified. directs agencies to identify asset management goals and enhance decision making, but does not direct agencies to establish the scope of their asset management frameworks by, for example, determining how the agency should group or organize the management of its different types of assets, as called for in ISO 55000 standards.", "Moreover, OMB staff told us that while the executive order\u2019s requirements for federal agencies to develop an asset management plan and related processes remain in effect, OMB\u2019s real property management focus has shifted to the National Strategy for the Efficient Use of Real Property and its accompanying Reduce the Footprint initiatives issued in 2015. These initiatives emphasize efficiently managing and using space, rather than overall asset management. OMB staff said that they view asset management as a tactical activity, separate from broader strategic and capital planning efforts, where agencies make operational-level policies to support their real property portfolio. However, this approach to asset management differs from ISO\u2019s definition of asset management, which encompasses both the capital-planning and asset management levels of OMB\u2019s policy model. Under the Reduce the Footprint initiative, federal agencies are required to submit annual Real Property Efficiency plans that specify their overall strategic and tactical approach to managing real property, provide a rationale for and justify their optimum portfolio, and direct the identification and execution of real property disposals, efficiency improvements, and cost-savings measures. As a result, according to OMB staff, they no longer require agencies to develop a comprehensive asset management plan.", "We recognize that reducing, and more efficiently managing government- owned and leased space are important goals. However, effective asset management is a more comprehensive objective that seeks to best leverage assets to meet agencies missions and strategic objectives. For example, some agencies have high-value real property assets that are not building space, such as those at the Corps and the Park Service. See table 2 for examples of these types of assets at the six selected agencies in our review. For example, the Corps has over 700 dams\u2014the age and criticality of which require the Corps to conduct regular maintenance and, in some cases, major repairs to assure continued safe operation. In 2015, the Corps estimated the cost of fixing all of its dams that need repair at $24 billion. Similarly, in 2016, we reported that the Park Service\u2019s deferred maintenance for its assets averaged about $11.3 billion from fiscal year 2009 through fiscal year 2015 and that in each of those years, deferred maintenance for paved roads made up the largest share of the agency\u2019s deferred maintenance\u2014about 44 percent. Assets classified as paved roads in the Park Service\u2019s database include bridges, tunnels, paved parking areas, and paved roadways. For these and other agencies with similar portfolios, the agencies\u2019 Real Property Efficiency plans are not relevant to managing the bulk of their assets, and the guidance primarily focused on buildings and office space is of limited use. In addition, without specific information to help all federal agencies evaluate their current practices and develop more comprehensive asset management approaches, federal agencies may not have the knowledge needed to maximize the value of their limited resources.", "In addition, while Executive Order 13327 requires the FRPC to provide a clearinghouse of information on best practices for federal real property management, this information is currently lacking from existing guidance or other available sources. GSA officials and OMB staff stated they do not currently have plans to compile this information. Because of this, existing guidance falls short of what an effective asset management framework might include. GSA officials told us that while certain agencies have shared information on asset management at meetings of the FRPC, the council does not take minutes or make this information readily available to agencies outside of the meetings. Given OMB\u2019s shift in focus, OMB staff said that they did not plan to update their guidance. However, Standards for Internal Control in the Federal Government state that communicating information, such as leading practices, is vital for agencies to achieve their objectives.", "Further, government-wide information in some cases is not available, such as information on practices federal agencies have successfully used to conduct asset management. There is merit to having key information on successful agency practices readily accessible for federal agencies to use. For example, officials from three of the six agencies we spoke with said information on best practices for asset management would be helpful to them in developing their agencies asset management frameworks. Such information could include practices that are described in ISO 55000 and that federal agencies have successfully used to improve asset management. For example, one agency official stated that it would be useful to have a compilation of asset management practices that federal agencies use to determine if any of those practices might be applicable to an agency. Similarly, an official from another agency stated that the agency is currently evaluating opportunities to improve its asset management program and that the agency would be interested in learning more about asset management processes across the federal government in order to inform the agency\u2019s asset management efforts. Without information such as these officials described, federal agencies lack access to practices geared to them on how to develop an asset management plan and other asset management practices."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["Federal agencies collectively hold billions of dollars in real property assets\u2014ranging from buildings, warehouses, and roads to structures including beacons, locks, and dams\u2014and are charged with managing these assets. The effective management of all of an agency\u2019s real property assets plays an important role in its ability to execute its mission now and into the future. However, because existing federal asset management guidance does not fully reflect standards and the key characteristics, such as, directing agencies to develop a comprehensive approach to asset management that incorporates strategic planning, capital planning, and operations, federal agencies may not have the knowledge needed to maximize the value of their limited resources. In addition, because there is no central clearinghouse of information to support agencies\u2019 asset management efforts, as required by Executive Order 13327, agencies may not know how best to implement asset management activities, including using quality data to inform decisions and prioritize investments. A reliable central source of information on current effective asset management practices could support agencies in making progress in their asset management efforts, helping them more efficiently fulfill their missions and avoid unnecessarily expending resources. Further, sharing experiences across the government could assist agencies\u2019 efforts to adopt, assess, and tailor an asset management approach appropriate to their needs and to support efforts to more strategically manage their real property portfolios."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["We are making the following recommendation to OMB: The Director of OMB should take steps to improve existing information on federal asset management to reflect leading practices such as those described in ISO 55000 and the key characteristics we identified and make it readily available to federal agencies. These steps could include updating asset management guidance and developing a clearinghouse of information on asset management practices and successful agency experiences. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report for review to the Office of Management and Budget, the General Services Administration, the National Aeronautics and Space Administration, and the Departments of Agriculture, Defense, Homeland Security, and the Interior.", "The Forest Service within the Department of Agriculture agreed with our findings and noted that GAO's key characteristics for effective asset management will help the Forest Service manage their assets and resources effectively. Further, the Forest Service stated that asset management leading practices are critical in measuring efficiencies and meeting strategic goals for its diverse and large portfolio. The Forest Service\u2019s written comments are reproduced in appendix IV. The Departments of Homeland Security and the Interior, and the General Services Administration provided technical comments, which we incorporated as appropriate. The Office of Management and Budget, the Department of Defense, and the National Aeronautics and Space Administration had no comments on the draft report.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of the Departments of Agriculture, Defense, Homeland Security, and the Interior; the Administrators of the General Services Administration and National Aeronautics and Space Administration; and the Director of the Office of Management and Budget. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Asset Management in Canada", "paragraphs": ["As of 2016, public entities in Canada owned about $800 billion worth of infrastructure assets including roads, bridges, buildings, waste and storm water facilities, and public transportation assets. Municipalities owned the majority of these assets, around 60 percent, with provincial and federal entities owning around 38 percent and 2 percent respectively."], "subsections": [{"section_title": "Asset Management Policy and Support", "paragraphs": [], "subsections": [{"section_title": "Federal Asset Management Policies", "paragraphs": ["The federal government of Canada owns or leases approximately 20,000 properties containing about 37,000 buildings with about 300 million square feet of floor space. In the fiscal year that ended in 2016, the federal government spent around $7.5 billion on managing its real property portfolio, of which about 80 percent went to operating expenditures and about 20 percent went to capital investments such as acquisitions and renovations. This portfolio is managed and controlled by 64 federal agencies, departments, and \u201cCrown corporations\u201d with primary uses including post offices, military facilities, government offices, employee housing, and navigation facilities such as lights. The Treasury Board of Canada, supported by the Treasury Board Secretariat, provides policy direction to agencies and departments for their real property assets along with approving certain larger projects, acquisitions, and disposals. The Treasury Board of Canada Secretariat is currently conducting a portfolio-wide review of the federal government\u2019s real property management in order to develop a road map for the most efficient and effective model for federal real property asset management. Treasury Board Secretariat officials told us that they have preliminarily found that the federal government does not have a government-wide asset management strategy and faces challenges related to the availability of current and consistent asset condition data."], "subsections": []}, {"section_title": "Federal and Provincial Support for Municipal Asset Management", "paragraphs": ["Municipalities own and manage most of Canada\u2019s public infrastructure, and in recent years, municipal governments have been leaders in developing and implementing asset management frameworks. By the early 2000\u2019s several large cities including Hamilton, Calgary, and Edmonton began developing frameworks to reduce costs and improve the management of certain types of municipal assets such as those related to water distribution and treatment. More recently, the federal government and several provincial governments have promoted asset management for municipalities in a variety of ways including by awarding grants and attaching requirements to infrastructure funding. Some of these programs have focused on small municipalities that make up the large majority of the total but may face particular challenges in obtaining the resources to develop and implement an asset management framework.", "The federal government provides infrastructure funding to municipalities through several programs, including the Federal Gas Tax Fund. This fund provides around $1.5 billion in funding to municipalities each year for projects such as water treatment, roads and bridges, broadband connectivity, airports, and public transit, and does not require yearly reauthorization. Each of Canada\u2019s municipalities receives funding through this program by formula, and funds are routed through the provinces, which can attach their own requirements. In the 2014 set of agreements between the federal government and the provinces, provinces were required to institute asset management requirements for municipalities to receive gas tax funds, and each of the provinces developed separate requirements for municipalities under its jurisdiction. These requirements took several forms. For example, Ontario required each municipality to develop an asset management plan by the end of 2016 while Nova Scotia has withheld a small portion of its total provincial gas tax allocation to use toward developing a province-wide asset management framework for municipalities to use.", "The federal government also provides funding to municipalities for asset management. Through the Municipal Asset Management Program, administered by the Federation of Canadian Municipalities (FCM), Infrastructure Canada made available $38 million over 5 years for Canadian municipalities and partnering not-for-profit organizations to improve municipal asset management practices. The maximum grant amount for municipalities is $38,000. Eligible activities under this program include assessing asset condition, collecting data on asset costs, implementing asset management policies, training staff, and purchasing software. FCM officials told us that, as of March 2018, they had received 253 grant applications and that, of the grants they had disbursed so far, around:", "25 percent of grantees used the funds for data projects,", "15 percent to develop asset management plans,", "2 percent for staff training,", "4 percent for asset management system operations, and", "60 percent for some combination of these purposes.", "Canadian provinces have also taken several actions to improve asset management practices at the municipal level by establishing requirements for municipalities in their jurisdiction or by providing funding programs. For example, in 2017, Ontario issued an asset management planning regulation, which requires municipalities to develop a strategic asset management policy by July 1, 2019, and then develop progressively more detailed asset management planning documents in later years. In addition to this regulation, in 2014, Ontario also introduced a funding program for small and rural municipalities to provide long-term, formula and application-based funding for these municipalities to develop and repair their infrastructure. Under the program, municipalities are required to have an asset management plan as a condition of receiving funding. In addition, municipalities can use formula-based program funds for certain asset management activities including purchasing software, staff training, or direct staff activity related to asset management. In 2016, Ontario announced plans to increase the funding available per year from about $75 million to about $150 million in 2019."], "subsections": []}]}, {"section_title": "Experiences with Implementing Asset Management Frameworks", "paragraphs": [], "subsections": [{"section_title": "Selected Federal Asset Management Experiences", "paragraphs": ["Much of the federal government\u2019s real property is managed by a federal department known as Public Services and Procurement Canada (PSPC) whose nationwide portfolio includes around 350 owned buildings and an additional 1,200 building leases. PSPC uses a portfolio-wide asset management framework, which begins with developing national portfolio strategies and plans every 5 years. Staff in each of PSPC\u2019s five regional offices then use these plans to develop regional and community-based portfolio strategies and plans, which then inform annual management plans for each PSPC asset. To determine how to best allocate funds across its portfolio of assets, PSPC places each of its assets into one of four tiers based on three major criteria: (1) the asset\u2019s strategic importance to PSPC\u2019s portfolio as measured by criteria such as the asset\u2019s location and design, (2) the asset\u2019s operating and functional performance such as cost per unit area, and (3) the asset\u2019s condition based on a metric called the Liability Condition Index, which measures the risk an asset poses to continuing operations and occupant safety. Using this method, PSPC designates its highest tier assets as those that have excellent financial performance, that have non-financial attributes that support PSPC\u2019s objectives, and that are not expected to need major capital investments in the next 5 years. The lowest tier assets have poor performance and are in need of either major investments or disposal in the next 5 to 10 years.", "PSPC officials told us that they are in the midst of making major changes to their asset management framework, including by moving to a component-based system of accounting where they will treat each asset as 12 components, including 11 for the building such as roofs or heating and air conditioning systems, and 1 for tenant equipment. Additionally, PSPC plans to move to more modern enterprise systems to eliminate paper records and improve the quality of the data they use to make budgeting decisions. Officials said that they consider the ISO 55000 requirements when evaluating their asset management framework, but they also use other best practices from the private sector that they said better suit their needs by providing more detailed information on how to develop and implement the various elements of an asset management framework."], "subsections": []}, {"section_title": "Selected Municipal Asset Management Experiences", "paragraphs": ["Over the past 20 years, several Canadian municipalities have developed detailed asset management frameworks to improve management efficiency and cost-effectiveness as well as to obtain improved levels of service from municipal infrastructure. In the late 1990\u2019s, the City of Hamilton, Ontario, began developing an asset management framework for its core municipal infrastructure assets, and in 2001, the city established an office dedicated to asset management within its public works department, which produced its most recent municipal asset management plan for public works in 2014. This plan sets a strategic vision and goals for the asset management program, which are designed to align with the city\u2019s overall strategic plan, capital and operating budgets, master plan, and other business documents, and describes how the city\u2019s asset management activities will support the objectives laid out in those documents. Additionally, the asset management plan provides an overview of the current state of Hamilton\u2019s infrastructure assets in four categories: drinking water supply, wastewater management, storm water management, and roads and bridges. The plan states the total value of the assets in each category and, the condition of those assets and has an indicator of the recent trends in the condition of those assets. The plan also defines the levels of service Hamilton aims to provide in each of the four main asset categories and sets goals for each category such as safety, reliability, regulatory compliance, and customer service. Next, the plan defines an asset management strategy for the city, which includes taking an inventory of assets, measuring asset condition, assessing risk, measuring the performance of the asset management framework, making coordinated citywide decisions, and planning for capital investments. Finally, the document contains a plan for managing each of the four main asset categories over their entire life cycles.", "Hamilton officials stressed the importance of collecting and using quality data when deciding where and when to allocate resources. They told us that the data they have collected under their asset management framework have allowed them to make better-informed investment decisions, and have provided them with the information necessary to make business cases for investment and to better defend their decisions when they solicit funding from the City Council. For example, officials described how the city assesses the condition of its road network and uses the results to prioritize investment in its assets. To assess the condition of each road, the city uses a 100-point scale where, for example, above 60 indicates the road is only in need of preventative maintenance and 20 or less indicates the road is in need of total reconstruction. Officials said that a total reconstruction could cost ten times as much as a minor rehabilitation and that the window of time between when a road needs only a minor rehabilitation and a full reconstruction is only around 10 years. Because of this, Hamilton officials said that it is important to conduct rehabilitation on roads and other infrastructure assets before they deteriorate to the point where they either fail or are in need of a full rehabilitation. For example, Hamilton undertook a major re-lining project for a storm sewer that was in danger of complete collapse, as shown in fig. 6. Officials told us this project would preserve storm sewer service at significantly lower cost than waiting for the structure to fail or completely rebuilding it, either of which would have been cost prohibitive. Additionally, Hamilton officials noted that they do not need all of their assets to be at a 100 rating and that their asset management framework directs them to allow some assets to deteriorate to a certain extent while rehabilitating others by making investment decisions on a system-wide service basis, as opposed to an individual project basis.", "The City of Calgary, Alberta, began developing its asset management framework in the early 2000\u2019s, first focusing on the Calgary\u2019s municipal water-management assets because they are expensive to maintain and are only funded from water utility customer bills, as opposed to tax revenue. City officials told us that the primary impetus for initially exploring asset management was to be able to maintain levels of service as the city rapidly expanded in both population and physical size; this expansion forced Calgary to make major investments in the water system. Since that time, Calgary has expanded its asset management framework to include nearly all of its assets, including its software, bridges, public recreation facilities, and even its trees. Between 2008 and 2010, the Calgary took steps to align its asset management to its business processes, steps that culminated with the development of the city\u2019s first citywide asset management policy in 2010.", "Calgary officials told us that between 2004 and 2008 they worked to align their initial asset management framework with the British Standards Institution Publicly Available Specification 55 (PAS 55). After this experience, officials from Calgary participated in the development of the ISO 55000 standards and provided the Standards Committee information about tactics for asset management such as policy development and business strategy. When the ISO 55000 standards were officially published in 2014, the city began working on aligning their asset management framework with the new standards, a process that led to a new framework including a strategic asset management plan, which city officials published in 2016. Calgary officials said that aligning their asset management framework with the ISO 55000 standards has given them support from the city\u2019s top management and has improved their relationship with the various bodies that audit the city\u2019s operations because it gives them a common language to use when describing management processes. Calgary officials told us that the ISO 55000 standards are credible internationally recognized best practices and that in practice they are a good guide for developing an asset management framework. However, Calgary is not planning on certifying its operations to the ISO 55000 standard because officials told us that they are not required to be certified; certification is expensive and needs to be repeated; and they are unsure of what additional value certification to the standards would provide.", "The City of Ottawa, Ontario, began developing its asset management framework in 2001. Since that time, the city\u2019s asset management framework has gone through several versions, the most recent of which it developed beginning in 2012 based on PAS 55. Ottawa officials told us that implementing their asset management framework has allowed them to collect better information about their assets and improve their long-term financial-infrastructure-planning process. While Ottawa officials developed and implemented an asset management framework, they have a number of ongoing initiatives to further develop some areas of the framework. For example, officials said that they consider determining the levels of service to be provided by each asset class the most difficult aspect of asset management, especially for those assets that do not necessarily provide a measureable service. Ottawa officials are working on ways to better measure the services each of their assets provides and the levels of risk that each asset poses to these service levels. Officials said that accurately measuring service and risk levels is critical for their financial planning and will allow them to improve how they prioritize funding and ensure that funds are spent on priority assets. See fig. 7 for an example of an asset officials said was intended to improve levels of service for Ottawa\u2019s pedestrian multi-use pathways. Another ongoing initiative is an updated report card for the condition of the city\u2019s assets, which officials said they use to transparently communicate to stakeholders the current state of their infrastructure."], "subsections": []}]}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report discusses: (1) key characteristics of an effective asset management framework, and how selected federal agencies\u2019 frameworks reflect these characteristics; (2) views of selected asset management experts and practitioners on challenges and benefits to implementing an asset management framework; and (3) whether government-wide asset management guidance and information reflect standards and key characteristics of an effective asset management framework.", "To obtain information for all three objectives, we reviewed relevant literature, including academic and industry literature on asset management, publications describing asset management leading practices, and the ISO 55000 and related standards. We selected the ISO 55000 standards because they are international consensus standards on asset management practices. We also reviewed laws governing federal real-property asset management, Office of Management and Budget\u2019s (OMB) guidance and prior GAO reports describing agencies\u2019 real-property management and efforts to more efficiently manage their real property portfolios.", "In addition, to address all three objectives, we collected information from and interviewed a judgmental sample of 22 experts to obtain their perspectives on various asset management issues. To identify possible experts to interview, we first worked to identify relevant literature published in the topic area. Specifically we searched in October 2017 for scholarly and industry trade articles and other publications that examined effective asset management practices. We limited our search to studies and articles published from January 2014 through January 2017. From this search, we screened and identified studies and articles for relevance to our report and selected those that discussed asset management practices and the ISO 55000 standards. In addition, we conducted preliminary interviews with selected asset management practitioners, who included representatives from public and private organizations knowledgeable about asset management practices, to learn about key asset management issues and obtain recommendations about experts in this field. Through these methods, we identified a total of 82 possible candidates to interview.", "To ensure a diversity of perspectives, we used the following criteria to assess and select a sample from this group: type and depth of an expert\u2019s experience, affiliations with asset management trade associations, experience with government asset management practices, relevance of published work to our topic, and recommendations from other entities. We selected a total of 22 experts representing academia, private industries, foreign private and public entities, and entities that have implemented ISO 55000. See table 3 for a list of experts whom we interviewed. Their views on asset management practices are not generalizable to those of all experts; however, we were able to secure the participation of a diverse, highly qualified group of experts and believe their views provide a balanced and informed perspective on the topics discussed.", "We interviewed the selected 22 experts between January 2018 and February 2018 and used a semi-structured interview format with open- ended questions for those interviews. We identified the topics that each of the experts would be able to respond to, based on the individual\u2019s area of expertise and each responded to questions in the semi-structured interview guide in the areas in which they had specific knowledge. During these interviews, we asked for experts\u2019 views on key characteristics of an effective asset management system, opportunities for improving federal agencies\u2019 asset management approaches, experiences with using ISO 55000, and their views on the applicability of ISO 55000 to the federal government. After conducting these semi-structured interviews, we conducted a content analysis of the interview data. To conduct this analysis, we organized the responses by interview question, and then one GAO analyst reviewed all of the interview responses to questions and identified recurring themes. Using the identified themes, the analyst then developed categories for coding the interview responses and independently coded the responses for each question. To ensure the accuracy of our content analysis, a second GAO analyst reviewed the first analyst\u2019s coding of the interview responses, and then the two analysts reconciled any discrepancies.", "To identify key characteristics of an effective asset management framework and how selected federal agencies\u2019 frameworks reflect these characteristics, we obtained and analyzed the ISO 55000 standards, which include leading practices, and asset management literature, and we analyzed information collected from our interviews with experts. We synthesized information from these sources to identify six commonly mentioned characteristics. We then selected six bureau-level and independent agencies as case studies and compared these agencies\u2019 asset management frameworks to the six key characteristics that we identified. Because the agencies are not required to follow the key characteristics we identified, we did not evaluate the extent to which agencies\u2019 efforts met these characteristics. Instead, we provide this information as illustrative examples of how the agencies\u2019 asset management practices reflect these characteristics.", "We used a variety of criteria to select these agencies, such as: whether the agency was among the agencies that had the largest real property portfolio; replacement value and total square footage of the portfolio; extent to which the bureau or independent agency had a notable asset management program as described by recommendations from practitioners we interviewed; and whether the agency was implementing the ISO 55000 standards. In order to ensure that we had a diversity of experiences and expertise from across the federal government, we limited our selection to independent agencies and one bureau-level entity from each cabinet department. Based on these factors, we selected: (1) U.S. Coast Guard (Coast Guard); (2) U.S. Army Corps of Engineers (Corps); (3) General Service Administration (GSA); (4) National Aeronautics and Space Administration (NASA); (5) National Parks Service (Park Service); and (6) United States Forest Service (Forest Service). While our case-study agencies are not generalizable to all Chief Financial Officers Act (CFO) agencies, they provide a range of examples of agencies\u2019 experiences with implementing asset management practices.", "We reviewed documents and interviewed officials from each of the six selected agencies to learn about the agency\u2019s practices, its experiences with the ISO 55000 standards, and challenges it has faced in conducting asset management. In addition, we analyzed fiscal year 2017 Federal Real Property Profile (FRPP) data, as managed by GSA, to obtain information about each agency\u2019s portfolio, such as the number of real property assets and total asset-replacement value, and to obtain examples of the types of buildings and structures owned by the six selected agencies. The Corps and Coast Guard noted small differences between our analysis of the FRPP data and the data from their reporting systems. For example, the Corps reported having 139,744 real property assets as of August 2018 with an estimated asset replacement value $273.4 billion as of September 2017. In addition, the Coast Guard reported 44,226 real property assets with an estimated asset replacement value of $17.6 billion as of September 2017. To ensure consistency, and because these differences were small, we relied on FRPP data rather than data from these agencies\u2019 reporting systems.", "We conducted a data reliability assessment of the FRPP data by reviewing documentation, interviewing GSA officials, and verifying data with officials from our selected agencies, and concluded the data were reliable for the purposes of our reporting objectives. We also visited four locations from our case study agencies to discuss and view examples of how our selected case-study agencies are conducting asset management. Specifically, we visited the Park Service\u2019s Santa Monica, CA, Mountains National Recreation Area; the Coast Guard\u2019s Baltimore Shipyard in Curtis Bay, MD; the Corps\u2019 Washington Aqueduct in Washington, D.C.; and the Brandon Road Lock and Dam in Joliet, IL. We selected these locations based on several factors including geographic and agency diversity, costs to travel to location, recommendations from officials at our case study agencies, and extent to which the location provided illustrative examples of how federal agencies are managing their assets.", "To determine the 32 experts\u2019 and practitioners\u2019 views on challenges and benefits to implementing an asset management framework, we analyzed information collected from our interviews with the 22 experts previously mentioned. We also reviewed documents from and interviewed asset management practitioners from 10 additional organizations familiar with asset management practices and the ISO 55000 standards. The 10 organizations included representatives from private industry, one federal agency and local municipalities in Canada. We selected these additional 10 organizations by reviewing published materials related to asset management and referrals from our preliminary interviews. We interviewed the 32 experts and practitioners about their views on challenges and benefits to conducting asset management, ISO 55000, and illustrative examples of practices in other countries. The information gathered from our interviews with experts and practitioners is not generalizable but is useful in illustrating a range of views on asset management issues. See table 4 for a list of organizations we interviewed.", "To assess whether government-wide guidance and information on asset management reflect standards and key characteristics of an effective asset management framework, we reviewed current federal guidance and evaluated the extent to which this guidance incorporates practices described in the ISO 55000 standards and the six key characteristics of an effective asset management framework that we identified. Specifically, we reviewed the Federal Real Property Council\u2019s (FRPC\u2019s) 2004 Guidance for Improved Asset Management, OMB\u2019s, National Strategy for the Efficient Use of Real Property 2015-2020: Reducing the Federal Portfolio through Improved Space Utilization, Consolidation, and Disposal and OMB\u2019s Implementation of OMB Memorandum M-12-12 Section 3: Reduce the Footprint, Management Procedures Memorandum No. 2015- 01. We also reviewed other OMB guidance, such as OMB\u2019s 2017 Capital Programming Guide, OMB\u2019s Circular A-123, OMB\u2019s Memorandum 18- 21 and other guidance. In addition, we reviewed asset management requirements in the Federal Real Property Management Act of 2016 and in the Federal Assets Sale Transfer Act of 2016. We interviewed OMB and GSA officials about their role in supporting federal agencies\u2019 asset management efforts. In addition, we obtained information from our interviews with the 32 asset management experts and practitioners about practices that could be applicable to the federal government and opportunities to improve federal agencies\u2019 asset management approaches.", "Lastly, we obtained documents and, as previously discussed, interviewed representatives from private organizations, federal agencies, and local municipalities in Canada\u2014a country with over 20 years of experience in conducting asset management\u2014to learn about their asset management practices, including their use of the ISO 55000 standard. We also conducted a site visit to Canada to learn more about their practices and to view examples of assets in local municipalities. See appendix I for more information on Canada\u2019s asset management practices.", "We conducted this performance audit from August 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Key Elements of the International Organization for Standardization (ISO) 55000 Standards", "paragraphs": [], "subsections": [{"section_title": "ISO 55000 Section", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Amelia Shachoy, Assistant Director; Maria Mercado, Analyst-in-Charge; Sarah Arnett; Melissa Bodeau; Leia Dickerson; Alex Fedell; Geoffrey Hamilton; Terence Lam; Malika Rice; Kelly Rubin; and Tasha Straszewski made key contributions to this report."], "subsections": []}]}], "fastfact": ["The federal government spends billions of dollars to operate and maintain its real property assets, which include buildings, roads, and bridges. Agencies are responsible for managing these assets efficiently and cost-effectively.", "We identified 6 key characteristics of effective asset management. For example, we found that leadership support\u2014with leaders clearly articulating their support and providing resources\u2014can help.", "The federal information available to help agencies maximize the value of their assets wasn't consistent with leading practices and didn't reflect the key characteristics we identified, so we recommended improving it."]} {"id": "GAO-18-562", "url": "https://www.gao.gov/products/GAO-18-562", "title": "Chemical Terrorism: A Strategy and Implementation Plan Would Help DHS Better Manage Fragmented Chemical Defense Programs and Activities", "published_date": "2018-08-22T00:00:00", "released_date": "2018-09-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Recent chemical attacks abroad and the threat of using chemical weapons against the West by the Islamic State of Iraq and Syria (ISIS) have raised concerns about the potential for chemical attacks occurring in the United States. DHS's chemical defense responsibilities include, among others, managing and coordinating federal efforts to prevent and protect against domestic chemical attacks.", "GAO was asked to examine DHS's chemical defense programs and activities. This report examines (1) DHS programs and activities to prevent and protect against domestic chemical attacks and (2) the extent to which DHS has integrated and coordinated all of its chemical defense programs and activities. GAO reviewed documentation and interviewed officials from relevant DHS offices and components and reviewed DHS strategy and planning documents and federal laws and directives related to chemical defense."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) manages several programs and activities designed to prevent and protect against domestic attacks using chemical agents (see figure). Some DHS components have programs that focus on chemical defense, such as the Science and Technology Directorate's (S&T) chemical hazard characterization. Others have chemical defense responsibilities as part of their broader missions, such as U.S. Customs and Border Protection (CBP), which interdicts chemical agents at the border. DHS recently consolidated some chemical defense programs and activities into a new Countering Weapons of Mass Destruction (CWMD) Office.", "However, GAO found and DHS officials acknowledged that DHS has not fully integrated and coordinated its chemical defense programs and activities. Several components\u2014including CBP, U.S. Coast Guard, the Office of Health Affairs, and S&T\u2014have conducted similar activities, such as acquiring chemical detectors or assisting local jurisdictions with preparedness, separately, without DHS-wide direction and coordination. As components carry out chemical defense activities to meet mission needs, there is a risk that DHS may miss an opportunity to leverage resources and share information that could lead to greater effectiveness addressing chemical threats. It is too early to tell the extent to which the new CWMD Office will enhance the integration of DHS's chemical defense programs and activities. Given the breadth of DHS's chemical defense responsibilities, a strategy and implementation plan would help the CWMD Office (1) mitigate the risk of fragmentation among DHS programs and activities, and (2) establish goals and identify resources to achieve these goals, consistent with the Government Performance and Results Modernization Act of 2010. This would also be consistent with a 2012 DHS effort, since abandoned, to develop a strategy and implementation plan for all chemical defense activities, from prevention to recovery. DHS officials stated the 2012 effort was not completed because of leadership changes and competing priorities."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Assistant Secretary for the CWMD Office develop a strategy and implementation plan to help DHS guide, support, integrate, and coordinate chemical defense programs and activities. DHS concurred with the recommendation and identified actions to address it."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Honorable Daniel M. Donovan, Jr. Chairman Subcommittee on Emergency Preparedness, Response, and Communications Committee on Homeland Security House of Representatives Recent chemical attacks in Malaysia and Syria, a thwarted chemical attack in Australia, and the threat of using chemical weapons against the West by the Islamic State of Iraq and Syria (ISIS) have sparked concerns about the potential for chemical attacks occurring in the United States. In March 2017, an exiled relative of the leader of North Korea was killed in Malaysia after he was allegedly exposed to the chemical nerve agent VX. In April 2017, a chemical attack in Syria using the nerve agent sarin killed approximately 100 people and injured hundreds more. In July 2017, Australian police foiled an alleged terrorist plot to bring down a plane by using a device that would have generated an explosion and released a toxic gas inside the plane. Similarly, according to Department of Homeland Security (DHS) officials, ISIS has become increasingly interested in conducting and inspiring chemical attacks in the West, with the goal of increasing fear, enhancing the lethal nature of attacks, and adding greater complexity into response efforts.", "According to the National Academies and DHS, chemical attacks involve releasing toxic chemicals with the intent to do harm. In addition, according to DHS, ISIS-inspired homegrown extremists or other domestic actors who choose to pursue chemical attacks could use toxic chemicals and crude methods to release them, such as releasing toxic gases from a pressurized tank by breaching the tank with an improvised explosive device. For example, facilities containing toxic chemicals or the trucks, vessels, or rail cars used to transport these chemicals could be attacked to cause a chemical release. Toxic chemicals that could be used in an attack include industrial and commercial chemicals, such as chlorine or ammonia, and chemical toxins of biological origin, such as ricin.", "DHS has a number of chemical defense responsibilities, programs, and activities spread across its various components. They include, for example, being responsible for managing domestic chemical incidents; developing and implementing chemical detection technology; providing chemical preparedness guidance and support to state, local, territorial, and tribal partners; and regulating and supporting the security of facilities that use or store certain chemicals. DHS\u2019s efforts to address a terrorist chemical attack involve a wide range of components including the Countering Weapons of Mass Destruction (CWMD) Office, the National Protection and Programs Directorate (NPPD), the Science and Technology Directorate (S&T), the Federal Emergency Management Agency (FEMA), U.S. Customs and Border Protection (CBP), the Transportation Security Administration (TSA), and the U.S. Coast Guard.", "In light of the range of DHS components involved in chemical defense and concerns that some terrorist organizations have threatened to use chemical agents to attack the United States, you asked us to examine DHS\u2019 chemical defense efforts and whether these programs and activities are positioned to address the threat of chemical terrorism. This report examines (1) DHS programs and activities to prevent and protect against domestic chemical attacks and (2) the extent to which DHS has integrated and coordinated all of its chemical defense programs and activities.", "To meet our two objectives, we reviewed and discussed with DHS officials relevant legislation, presidential directives, and DHS documentation to understand DHS\u2019s responsibilities related to domestic chemical defense. We reviewed, among others, the Homeland Security Act of 2002; the DHS Appropriations Act, 2007; the Protecting and Securing Chemical Facilities from Terrorist Attacks Act of 2014; the 2007 Homeland Security Presidential Directive on domestic chemical defense; the 2003 Homeland Security Presidential Directive on management of domestic incidents; the 2011 Presidential Policy Directive on national preparedness; the 2007 Homeland Security Presidential Directive on medical countermeasures against weapons of mass destruction; the 2013 Presidential Policy Directive on critical infrastructure security and resilience; the 2004 Homeland Security Presidential Directive on defense of U.S. agriculture and food; the 2014 DHS Quadrennial Homeland Security Review; the Fiscal Years 2014\u20132018 DHS Strategic Plan; the 2013 DHS National Infrastructure Protection Plan; and the 2016 DHS National Response Framework.", "To identify the programs and activities that DHS has to prevent and protect against chemical attacks, we reviewed DHS documentation and interviewed DHS officials. Specifically, we reviewed a 2016 DHS presidential transition issue paper that identified DHS components as having activities intended to reduce the risk of chemicals being used as weapons. Also, we reviewed documentation provided by DHS and interviewed officials from the following components: the Office of Health Affairs (OHA), S&T, NPPD, FEMA, CBP, TSA, the Office of Intelligence and Analysis, the U.S. Coast Guard, and the U.S. Secret Service. For example, we reviewed documentation and interviewed officials from OHA\u2019s Chemical Defense Program about chemical defense demonstration projects it conducted from fiscal year 2009 through fiscal year 2017 in five jurisdictions: Baltimore, Maryland; Boise, Idaho; Houston, Texas; New Orleans, Louisiana; and Nassau County, New York. We also reviewed documentation and interviewed officials from S&T\u2019s Chemical and Biological Defense Division on its chemical detection work conducted in 2016 and 2017 in New York and New Jersey. In addition, we reviewed documentation and interviewed officials from S&T\u2019s Chemical Security Analysis Center on its work analyzing chemical threats and risks, such as the Chemical Terrorism Risk Assessment, which is used to determine the risk associated with different terrorist scenarios and to assess how proposed measures might reduce that risk. Further, we reviewed documentation and interviewed officials from NPPD\u2019s Infrastructure Security Compliance Division on its Chemical Facility Anti- Terrorism Standards (CFATS) program, which regulates security at certain chemical facilities, and reviewed our related body of work, including recent reports. Moreover, we reviewed documentation and interviewed officials from NPPD\u2019s Office of Infrastructure Protection on its Sector Outreach and Programs Division (SOPD) that represents DHS as the sector-specific agency for the chemical sector and works in conjunction with other NPPD divisions to assure the security of the chemical sector. In addition, we reviewed documentation and interviewed officials representing NPPD\u2019s Federal Protective Service. Moreover, we reviewed documentation and interviewed officials from the new CWMD Office on its efforts to consolidate some of DHS\u2019s chemical, biological, radiological, and nuclear programs, including the status of initial steps to establish the office\u2019s mission, integrated strategic goals, structure, plans, processes, and procedures.", "To assess the extent to which DHS has integrated and coordinated all of its chemical defense programs and activities, we reviewed DHS documentation and interviewed DHS officials on the department\u2019s efforts. Specifically, we examined DHS\u2019s 2017 action to consolidate some chemical, biological, radiological, and nuclear functions into one office and a 2012 DHS effort to develop a strategy and related implementation plan to integrate and coordinate the department\u2019s chemical defense programs and activities. In so doing, we reviewed the 2012 DHS strategy for responding to and recovering from a chemical attack, which the department approved for limited departmental use and distribution. In addition, we examined the extent of DHS\u2019s efforts to integrate and coordinate its chemical defense programs and activities relative to the laws and presidential directives cited above that set forth DHS responsibilities regarding chemical defense, national preparedness, and critical infrastructure protection, and the DHS chemical response and recovery strategy and other planning documents cited above. We also compared the extent of these DHS efforts with criteria in the Government Performance and Results Act of 1993 (GPRA), as updated by the GPRA Modernization Act of 2010 (GPRAMA). This act provides guidance for federal departments and agencies to establish strategies and plans for achieving results, develop measurable goals and related measures, and identify resources that will be required to achieve the goals.", "We conducted this performance audit from January 2017 through August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Chemical attacks have emerged as a prominent homeland security risk because of recent attacks abroad using chemical agents and the interest of ISIS in conducting and inspiring chemical attacks against the West. DHS\u2019s OHA officials have stated that nationwide preparedness for a chemical attack is critical to prevent, protect against, mitigate, respond to, and recover from such an attack because it could occur abruptly, with many victims falling ill quickly, and with a window of opportunity of a few hours to respond effectively. Also, recent incidents in Malaysia and the United Kingdom demonstrate that chemical agents can be used to target individuals and can contaminate other individuals near the attack area. Chemicals that have been used in attacks include chlorine, sarin, and ricin, all of which can have deadly or debilitating consequences for individuals exposed to them; see figure 1."], "subsections": [{"section_title": "Laws and Presidential Directives Guiding DHS\u2019s Chemical Defense Efforts", "paragraphs": ["Various laws guide DHS\u2019s efforts to defend the nation from chemical threats and attacks. For example, under the Homeland Security Act of 2002, as amended, the Secretary of Homeland Security, through the Under Secretary for Science and Technology, has various responsibilities, to include conducting national research and developing, testing, evaluating, and procuring technology and systems for preventing the importation of chemical and other weapons and material; and detecting, preventing, protecting against, and responding to terrorist attacks. Under former Section 550 of the DHS Appropriations Act, 2007, DHS established the CFATS program to, among other things, identify chemical facilities and assess the security risk posed by each, categorize the facilities into risk-based tiers, and inspect the high-risk facilities to ensure compliance with regulatory requirements.", "DHS\u2019s responsibilities with regard to chemical defense are also guided by various presidential directives promulgated following the September 11, 2001, terror attacks against the United States; see table 1."], "subsections": []}, {"section_title": "Our Work on Duplication, Overlap, and Fragmentation of Federal Programs", "paragraphs": ["In 2010, Public Law 111-139 included a provision for us to identify and report annually on programs, agencies, offices, and initiatives\u2014either within departments or government-wide\u2014with duplicative goals and activities. In our annual reports to Congress from 2011 through 2018 in fulfillment of this provision, we described areas in which we found evidence of duplication, overlap, and fragmentation among federal programs, including those managed by DHS. To supplement these reports, we developed a guide to identify options to reduce or better manage the negative effects of duplication, overlap, and fragmentation, and evaluate the potential trade-offs and unintended consequences of these options. In this report, we use the following definitions:", "Duplication occurs when two or more agencies or programs are engaged in the same activities or provide the same services to the same beneficiaries.", "Overlap occurs when multiple programs have similar goals, engage in similar activities or strategies to achieve those goals, or target similar beneficiaries. Overlap may result from statutory or other limitations beyond the agency\u2019s control.", "Fragmentation occurs when more than one agency (or more than one organization within an agency) is involved in the same broad area of national interest and opportunities exist to improve service delivery."], "subsections": []}]}, {"section_title": "DHS Has Several Chemical Defense Programs and Activities Intended to Prevent and Protect Against Chemical Attacks", "paragraphs": ["DHS manages several programs and activities designed to prevent and protect against domestic chemical attacks. Prior to December 2017, for example, three DHS components\u2014OHA, S&T, and NPPD\u2014had specific programs and activities focused on chemical defense. In December 2017, DHS created the CWMD Office, which, as discussed later in this report, consolidated the majority of OHA and some other DHS programs and activities intended to counter weapons of mass destruction such as chemical weapons. Other DHS components\u2014such as CBP, the Coast Guard, and TSA\u2014have chemical defense programs and activities as part of their broader missions. These components address potential chemical attacks as part of an all-hazards approach to address a wide range of threats and hazards. Appendix I discusses in greater detail DHS\u2019s programs and activities that focus on chemical defense, and appendix II discusses DHS components that have chemical defense responsibilities as part of an all-hazards approach. Table 2 identifies the chemical defense responsibilities of each DHS component, and whether that component has a specific chemical defense program or an all-hazards approach to chemical defense.", "Figure 2 shows that fiscal year 2017 funding levels for three of the programs that focus on chemical defense totaled $77.3 million. Specifically, about $1.3 million in appropriated funds was available for OHA for its Chemical Defense Program activities and S&T had access to about $6.4 million in appropriated funds for its Chemical Security Analysis Center activities. The CFATS program had access to about $69.6 million in appropriated funds\u2014or 90 percent of the $77.3 million for the three programs\u2014to regulate high-risk facilities that produce, store, or use certain chemicals. OHA officials stated that their efforts regarding weapons of mass destruction over the last few years had focused mostly on biological threats rather than chemical threats. For example, $77.2 million in fiscal year 2017 appropriated funds supported OHA\u2019s BioWatch Program to provide detection and early warning of the intentional release of selected aerosolized biological agents in more than 30 jurisdictions nationwide. By contrast, as stated above, OHA and S&T had access to about $7.7 million in fiscal year 2017 appropriated funds for chemical defense efforts.", "We could not determine the level of funding for components that treated chemical defense as part of their missions under an all-hazards approach because those components do not have chemical defense funding that can be isolated from funding for their other responsibilities. For example, among other things, CBP identifies and interdicts hazardous chemicals at and between ports of entry as part of its overall mission to protect the United States from threats entering the country."], "subsections": []}, {"section_title": "A Chemical Strategy and Implementation Plan Would Enhance DHS Efforts to Integrate and Coordinate Its Chemical Defense Programs and Activities", "paragraphs": ["DHS\u2019s chemical defense programs and activities have been fragmented and not well coordinated, but DHS recently created the CWMD Office to, among other things, promote better integration and coordination among these programs and activities. While it is too early to tell the extent to which this new office will enhance this integration and coordination, developing a chemical defense strategy and related implementation plan would further assist DHS\u2019s efforts."], "subsections": [{"section_title": "DHS\u2019s Efforts to Address Chemical Attacks Have Been Fragmented and Not Well Coordinated", "paragraphs": ["DHS\u2019s chemical defense programs and activities have been fragmented and not well coordinated across the department. As listed in table 2 above, we identified nine separate DHS organizational units that have roles and responsibilities that involve conducting some chemical defense programs and activities, either as a direct mission activity or as part of their broader missions under an all-hazards approach. We also found examples of components conducting similar but separate chemical defense activities without DHS-wide direction and coordination.", "OHA and S&T\u2014two components with specific chemical defense programs\u2014both conducted similar but separate projects to assist local jurisdictions with preparedness. Specifically, from fiscal years 2009 to 2017, OHA\u2019s Chemical Defense Program conducted chemical demonstration projects in five jurisdictions\u2014Baltimore, Maryland; Boise, Idaho; Houston, Texas; New Orleans, Louisiana; and Nassau County, New York\u2014to assist the jurisdictions in enhancing their preparedness for a large-scale chemical terrorist attack. According to OHA officials, they worked with local officials in one jurisdiction to install and test chemical detectors without having department-wide direction on these detectors\u2019 requirements. Also, according to S&T officials, the Chemical and Biological Defense Division worked with three jurisdictions in New York and New Jersey to help them purchase and install chemical detectors for their transit systems beginning in 2016 again without having department-wide direction on chemical detector requirements.", "The Secret Service, CBP, and the Coast Guard\u2014three components with chemical defense activities that are part of their all-hazards approach\u2014also conducted separate acquisitions of chemical detection or identification equipment, according to officials from those components. For example, according to Secret Service officials, the agency has purchased chemical detectors that agents use for personal protection of protectees and assessing the safety of designated fixed sites and temporary venues. Also, according to CBP officials, CBP has purchased chemical detectors for identifying chemical agents at ports of entry nationwide. Finally, according to Coast Guard officials, the agency has purchased chemical detectors for use in maritime locations subject to Coast Guard jurisdiction.", "Officials from OHA, S&T, and the CWMD Office acknowledged that chemical defense activities had been fragmented and not well- coordinated. They stated that this fragmentation occurred because DHS had no department-wide leadership and direction for chemical defense activities.", "We recognize that equipment, such as chemical detectors, may be designed to meet the specific needs of components when they carry out their missions under different operating conditions, such as an enclosed space by CBP or on open waterways by the Coast Guard. Nevertheless, when fragmented programs and activities that are within the same department and are responsible for the same or similar functions are executed without a mechanism to coordinate them, the department may miss opportunities to leverage resources and share information that leads to greater effectiveness."], "subsections": []}, {"section_title": "DHS Has Begun to Consolidate Some Chemical Defense Programs and Activities", "paragraphs": ["As discussed earlier, DHS has taken action to consolidate some chemical defense programs and activities. Specifically, in December 2017, DHS consolidated some of its chemical, biological, radiological, and nuclear defense programs and activities under the CWMD Office. The CWMD Office consolidated the Domestic Nuclear Detection Office; the majority of OHA; selected elements of the Science and Technology Directorate, such as elements involved in chemical, biological, and integrated terrorism risk assessments and material threat assessments; and certain personnel from the DHS Office of Strategy, Policy, and Plans and the Office of Operations Coordination with expertise on chemical, biological, radiological, and nuclear issues. According to officials from the CWMD Office, the fiscal year 2018 funding for the office is $457 million. Of this funding, OHA contributed about $121.6 million and the Domestic Nuclear Detection Office contributed about $335.4 million. Figure 3 shows the initial organizational structure of the CWMD Office as of June 2018.", "As of July 2018, according to the Assistant Secretary of CWMD, his office supported by DHS leadership is working to develop and implement its initial structure, plans, processes, and procedures. To guide the initial consolidation, officials representing the CWMD Office said they plan to use the key practices for successful transformations and reorganizations identified in our past work. For example, they noted that they intend to establish integrated strategic goals, consistent with one of these key practices\u2014establish a coherent mission and integrated strategic goals to guide the transformation. These officials stated that the goals include those intended to enhance the nation\u2019s ability to prevent attacks using weapons of mass destruction, including toxic chemical agents; support operational components in closing capability gaps; and invest in and develop innovative technologies to meet technical requirements and improve operations. They noted that the latter might include networked chemical detectors that could be used by various components to help them carry out their mission responsibilities in the future. However, the officials stated that all of the new office\u2019s efforts were in the initial planning stages and none had been finalized. They further stated that the initial setup of the CWMD Office covering the efforts to consolidate OHA and the Domestic Nuclear Detection Office may not be completed until the end of fiscal year 2018.", "It is still too early to determine the extent to which the creation of the CWMD Office will help address the fragmentation and lack of coordination on chemical defense efforts that we have identified. Our prior work on key steps for assisting mergers and transformations shows that transformation can take years to complete. One factor that could complicate this transformation is that the consolidation of chemical defense programs and activities is limited to certain components within DHS, such as OHA, and not others, such as some parts of S&T and NPPD. Officials from the CWMD Office stated that they intend to address this issue by coordinating the office\u2019s chemical security efforts with other DHS components that are not covered by the consolidation, such as those S&T functions that are responsible for developing chemical detector requirements. These officials also stated that they intend to address fragmentation by coordinating with and supporting DHS components that have chemical defense responsibilities as part of their missions under an all-hazards approach, such as the Federal Protective Service, CBP, TSA, the Coast Guard, and the Secret Service. Furthermore, the officials stated that they plan to coordinate DHS\u2019s chemical defense efforts with other government agencies having chemical programs and activities at the federal and local levels."], "subsections": []}, {"section_title": "DHS\u2019s Prior Efforts and Recent Reorganization Offer an Opportunity for More Strategic Coordination", "paragraphs": ["In October 2011, the Secretary of Homeland Security designated FEMA to coordinate the development of a strategy and implementation plan to enhance federal, state, local, tribal and territorial government agencies\u2019 ability to respond to and recover from a catastrophic chemical attack. In November 2012, DHS issued a chemical response and recovery strategy that examined core capabilities and identified areas where improvements were needed. The strategy identified a need for, among other things, (1) a common set of catastrophic chemical attack planning assumptions, (2) a formally established DHS oversight body responsible for chemical incident response and recovery, (3) a more rapid way to identify the wide range of chemical agents and contaminants that comprise chemical threats, and (4) reserve capacity for mass casualty medical care. The strategy also identified the principal actions needed to fill these gaps.", "For example, with regard to identifying the range of chemical agents and contaminants that comprise chemical threats, the strategy focused on the capacity to screen, search for, and detect chemical hazards (and noted that this area was cross-cutting with prevention and protection). The strategy stated that, among other things, the Centers for Disease Control and Prevention, the Department of Agriculture and Food and Drug Administration, the Department of Defense, the Environmental Protection Agency, and DHS components, including the Coast Guard, provide screening, search, and detection capabilities. However, the strategy noted that \u201cDHS does not have the requirement to test, verify, and validate commercial-off-the-shelf (COTS) chemical detection equipment purchased and fielded by its various constituent agencies and components, nor by the first responder community.\u201d", "According to a November 2012 memorandum transmitting the response and recovery strategy to DHS employees, the distribution of the strategy was only to be used for internal discussion purposes and was not to be distributed outside of DHS because it had not been vetted by other federal agencies and state, local, tribal, and territorial partners. The memorandum and the strategy further stated that DHS was developing a companion strategy focused on improving the national capacity to prevent, protect against, and mitigate catastrophic chemical threats and attacks and noted that once this document was complete, DHS would engage with its partners to solicit comments and feedback. The strategy also stated that DHS intended to develop a separate implementation plan that would define potential solutions for any gaps identified, program any needed budget initiatives, and discuss programs to enhance DHS\u2019s core capabilities and close any gaps.", "DHS officials representing OHA and S&T told us that DHS had intended to move forward with the companion strategy and the accompanying implementation plan but the strategy and plan were never completed because of changes in leadership and other competing priorities within DHS. At the time of our discussion and prior to the establishment of the CWMD Office, OHA officials also noted that DHS did not have a singular entity or office responsible for chemical preparedness. An official representing S&T also said that the consolidation of some chemical, biological, radiological, and nuclear efforts may help bring order to chemical defense efforts because DHS did not have an entity in charge of these efforts or a strategy for guiding them.", "Now that DHS has established the CWMD Office as the focal point for chemical, biological, radiological, and nuclear programs and activities, DHS has an opportunity to develop a chemical defense strategy and related implementation plan to better integrate and coordinate the department\u2019s programs and activities to prevent, protect against, mitigate, respond to, and recover from a chemical attack. The Government Performance and Results Act of 1993 (GPRA), as updated by the GPRA Modernization Act of 2010 (GPRAMA), includes principles for agencies to focus on the performance and results of programs by putting elements of a strategy and plan in place such as (1) establishing measurable goals and related measures, (2) developing strategies and plans for achieving results, and (3) identifying the resources that will be required to achieve the goals. Although GPRAMA applies to the department or agency level, in our prior work we have reported that these provisions can serve as leading practices for strategic planning at lower levels within federal agencies, such as planning for individual divisions, programs, or initiatives.", "Our past work has also shown that a strategy is a starting point and basic underpinning to better manage federal programs and activities such as DHS\u2019s chemical defense efforts. A strategy can serve as a basis for guiding operations and can help policy makers, including congressional decision makers and agency officials, make decisions about programs and activities. It can also be useful in providing accountability and guiding resource and policy decisions, particularly in relation to issues that are national in scope and cross agency jurisdictions, such as chemical defense. When multiple agencies are working to address aspects of the same problem, there is a risk that duplication, overlap, and fragmentation among programs can result in wasting scarce funds, confuse and frustrate program customers, and limit overall program effectiveness. A strategy and implementation plan for DHS\u2019 chemical defense programs and activities would help mitigate these risks. Specifically, a strategy and implementation plan would help DHS further define its chemical defense capability, including opportunities to leverage resources and capabilities and provide a roadmap for addressing any identified gaps. By defining DHS\u2019s chemical defense capability, a strategy and implementation plan may also better position the CWMD Office and other components to work collaboratively and strategically with other organizations, including other federal agencies and state, local, tribal, and territorial jurisdictions.", "Officials from the CWMD Office agreed that the establishment of the new office was intended to provide leadership to and help guide, support, integrate, and coordinate DHS\u2019s chemical defense efforts and that a strategy and implementation plan could help DHS better integrate and coordinate its fragmented chemical defense programs and activities."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Recent chemical attacks abroad and the threat of ISIS to use chemical weapons against the West have sparked concerns about the potential for chemical attacks occurring in the United States. DHS components have developed and implemented a number of separate chemical defense programs and activities that, according to DHS officials, have been fragmented and not well coordinated within the department. In December 2017, DHS consolidated some of its programs and activities related to weapons of mass destruction, including those related to chemical defense, by establishing the new CWMD Office. It is too early to tell whether and to what extent this office will help address fragmentation and the lack of coordination across all DHS\u2019s weapons of mass destruction efforts, including chemical efforts. However, as part of its consolidation, the CWMD Office would benefit from developing a strategy and implementation plan to guide, support, integrate, and coordinate DHS\u2019s programs and activities to prevent, protect against, mitigate, respond to, and recover from a chemical attack. A strategy and implementation plan would also help the CWMD Office guide DHS\u2019s efforts to address fragmentation and coordination issues and would be consistent with the office\u2019s aim to establish a coherent mission and integrated strategic goals."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Assistant Secretary for Countering Weapons of Mass Destruction should develop a strategy and implementation plan to help the Department of Homeland Security, among other things, guide, support, integrate and coordinate its chemical defense programs and activities; leverage resources and capabilities; and provide a roadmap for addressing any identified gaps. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and GAO Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided comments, which are reproduced in full in appendix III and technical comments, which we incorporated as appropriate. DHS concurred with our recommendation and noted that the Assistant Secretary for CWMD will coordinate with the DHS Under Secretary for Strategy, Policy, and Plans and other stakeholders to develop a strategy and implementation plan that will better integrate and direct DHS chemical defense programs and activities. DHS estimated that it will complete this effort by September 2019. These actions, if fully implemented, should address the intent of this recommendation.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Homeland Security, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Department of Homeland Security Chemical Defense Programs", "paragraphs": ["At the time our review began, the Department of Homeland Security (DHS) had three headquarters components with programs and activities focused on chemical defense. These were the Office of Health Affairs\u2019 (OHA) Chemical Defense Program; the Science and Technology Directorate\u2019s (S&T) Chemical and Biological Defense Division and Chemical Security Analysis Center (CSAC); and the National Protection and Programs Directorate\u2019s (NPPD) Chemical Facility Anti-Terrorism Standards (CFATS) program and Sector Outreach and Programs Division. Each component had dedicated funding to manage the particular chemical defense program or activity (with the exception of the Sector Outreach and Programs Division because this division funds DHS activities related to all critical infrastructure sectors, including the chemical sector). On December 7, 2017, DHS established the Countering Weapons of Mass Destruction (CWMD) Office, which incorporated most of OHA and selected elements of S&T, together with other DHS programs and activities related to countering chemical, biological, radiological, and nuclear threats. According to DHS, the CWMD Office was created to, among other things, elevate and streamline DHS\u2019s efforts to prevent terrorists and other national security threat actors from using harmful agents, such as chemical agents, to harm Americans and U.S. interests."], "subsections": [{"section_title": "Office of Health Affairs, Chemical Defense Program", "paragraphs": ["OHA, which was subsumed by the CWMD Office in December 2017, was responsible for enhancing federal, state, and local risk awareness and planning and response mechanisms in the event of a chemical incident through the Chemical Defense Program. This program provided medical and technical expertise to OHA leadership and chemical defense stakeholders including DHS leadership, DHS components, the intelligence community, federal interagency partners, and professional and academic preparedness organizations. The program\u2019s efforts focused on optimizing local preparedness and response to chemical incidents that exceed the local communities\u2019 capacity and capability to act during the first critical hours by providing guidance and tools for first responders and supporting chemical exercises for preparedness. DHS\u2019s Chief Medical Officer was responsible for managing OHA.", "The Chemical Defense Program expended about $8.3 million between fiscal years 2009 and 2017 in chemical demonstration projects and follow-on funding to assist five jurisdictions in their chemical preparedness: Baltimore, Maryland; Boise, Idaho; Houston, Texas; New Orleans, Louisiana; and Nassau County, New York. For example, in Baltimore, OHA assisted the Maryland Transit Administration with the selection and installation of chemical detection equipment to integrate new technology into community emergency response and planning. In the other four locales, OHA assisted these partners in conducting multiple scenarios specific to each city based on high-risk factors identified by the Chemical Terrorism Risk Assessment (CTRA), which is a risk assessment produced by CSAC every 2 years. Such scenarios included indoor and outdoor scenarios in which persons were \u201cexposed\u201d to either an inhalant or a substance on their skin. Figure 4 summarizes the scenarios conducted in each city and some of the lessons learned.", "According to OHA summary documentation, a key finding from this work was that timely decisions and actions save lives and manage resources in response to a chemical incident. Since the completion of the five-city project, OHA has been working to, among other things, continue to develop a lessons learned document based on the project, as well as a related concept of operations, that state and local jurisdictions could use to respond to chemical incidents.", "As of December 7, 2017, OHA was consolidated into the CWMD Office and its functions transferred to the new office, according to officials from the CWMD Office. The Chief Medical Officer is no longer responsible for managing OHA but serves as an advisor to the Assistant Secretary for Countering Weapons of Mass Destruction and as the principal advisor to the Secretary and the Administrator of FEMA on medical and public health issues related to natural disasters, acts of terrorism, and other man-made disasters, among other things."], "subsections": []}, {"section_title": "Science and Technology Directorate, Chemical Defense Activities", "paragraphs": ["S&T\u2019s Homeland Security Advanced Research Projects Agency includes the Chemical and Biological Defense Division, which supports state and local jurisdictions by, for example, providing them help in modeling potential chemical attacks. The Chemical and Biological Defense Division worked with the City of New York to develop chemical detection modeling by simulating a chemical attack. As a result of the simulation, New York City officials wanted to implement mechanisms to prevent the potential consequences of a chemical attack in a large city.", "S&T\u2019s Office of National Laboratories includes the CSAC, which identifies and characterizes the chemical threat against the nation through analysis and scientific assessment. CSAC is responsible for producing, among other things, the CTRA, a comprehensive evaluation of the risks associated with domestic toxic chemical releases produced every 2 years. CSAC officials chair the Interagency Chemical Risk Assessment Working Group that meets to develop the CTRA, identify chemical hazards, and produce a list of priority chemicals. This working group is comprised of DHS components, federal partners, and private industry officials that share industry information to ensure accurate and timely threat and risk information is included in the CTRA. To complement the CTRA, CSAC developed a standalone CTRA desktop tool that DHS components can use to conduct risk-based modeling of a potential chemical attack and provide results to DHS components, such as the U.S. Secret Service, for advance planning of large-scale events.", "In addition, CSAC conducts tailored risk assessments addressing emerging threats such as fentanyl, a synthetic opioid that has caused numerous deaths across the United States. CSAC sends these assessments, along with other intelligence and threat information, to relevant DHS components, federal agencies, state and local partners, and private entities so this information can be used in planning and decision making. Officials from eight DHS components we spoke with said they use CSAC information in their work and that CSAC products are useful.", "CSAC conducted two exercises, known as Jack Rabbit I and II, to experimentally characterize the effects of a large-scale chemical release and to understand the reason for the differences seen between real-world events and modeling predictions. These exercises were intended to strengthen industry standards in chemical transportation, as well as response and recovery plans. Outputs and data from these exercises have been used to write first responder guidelines for these types of events and are being taught in nationwide fire and hazmat courses. The fiscal year 2018 President\u2019s Budget request did not ask for an appropriation to fund CSAC. However, the Consolidated Appropriations Act, 2018, did provide funding for CSAC. Furthermore, in May 2018, the Secretary delegated responsibility for conducting the non-research and development functions related to the Chemical Terrorism Risk Assessment to the CWMD Office."], "subsections": []}, {"section_title": "National Protection and Programs Directorate, Chemical Facility Anti- Terrorism Standards (CFATS) Program and Other Chemical Facility Security Activities", "paragraphs": ["The CFATS program uses a multitiered risk assessment process to determine a facility\u2019s risk profile by requiring facilities in possession of specific quantities of designated chemicals of interest to complete an online questionnaire. CFATS program officials said they also use CSAC data as part of the process for making decisions about which facilities should be covered by CFATS, and their level of risk. If CFATS officials make a determination that a facility is high-risk, the facility must submit a vulnerability assessment and a site security plan or an alternative security program for DHS approval that includes security measures to meet risk- based performance standards. We previously reported on various aspects of the CFATS program and identified challenges that DHS was experiencing in implementing and managing the program. We made a number of recommendations to strengthen the program to include, among other things, that DHS verify that certain data reported by facilities is accurate, enhance its risk assessment approach to incorporate all elements of risk, conduct a peer review of the program to validate and verify DHS\u2019s risk assessment approach, and document processes and procedures for managing compliance with site security plans. DHS agreed with all of these recommendations and has either fully implemented them or taken action to address them.", "The Sector Outreach and Programs Division works to enhance the security and resilience of chemical facilities that may or may not be considered high-risk under the CFATS program and plays a nonregulatory role as the sector-specific agency for the chemical sector. The Sector Outreach and Programs Division works with the chemical sector through the Chemical Sector Coordinating Council, the Chemical Government Coordinating Council, and others in a public-private partnership to share information on facility security and resilience. In addition, the division and the coordinating councils help enhance the security and resilience of chemical facilities that may or may not be considered high-risk under the CFATS program. The division and councils are to collaborate with federal agencies, chemical facilities, and state, local, tribal, and territorial entities to, among other things, assess risks and share information on chemical threats and chemical facility security and resilience. Further, the Protective Security Coordination Division in the Office of Infrastructure Protection works with facility owners and operators to conduct voluntary assessments at facilities."], "subsections": []}]}, {"section_title": "Appendix II: Department of Homeland Security Components\u2019 Chemical Defense Responsibilities as Part of an All-Hazards Approach", "paragraphs": ["Department of Homeland Security (DHS) components conduct various prevention and protection activities related to chemical defense. These activities are managed by individual components as part of their overall mission under an all-hazards approach.", "U.S. Coast Guard - The Coast Guard uses fixed and portable chemical detectors to identify and interdict hazardous chemicals as part of its maritime prevention and protection activities. It also responds to hazardous material and chemical releases in U.S. waterways. The Coast Guard also staffs the 24-hour National Response Center, which is the national point of contact for reporting all oil and hazardous materials releases into the water, including chemicals that are discharged into the environment. The National Response Center also takes maritime reports of suspicious activity and security breaches at facilities regulated by the Maritime Transportation Security Act of 2002. Under this act, the Coast Guard regulates security at certain chemical facilities and other facilities possessing hazardous materials.", "U.S. Customs and Border Protection (CBP) - CBP interdicts hazardous chemicals at U.S. borders and ports of entry as part of its overall mission to protect the United States from threats entering the country. Among other things, CBP has deployed chemical detectors to point of entry nationwide that were intended for narcotics detection, but can also be used by CBP officers to presumptively identify a limited number of chemicals. Also, CBP\u2019s National Targeting Center helps to screen and identify high-risk packages that may contain hazardous materials at ports of entry. In addition, CBP\u2019s Laboratories and Scientific Services Directorate manages seven nationally accredited field laboratories, where staff detect, analyze, and identify hazardous substances, including those that could be weapons of mass destruction. When CBP officers send suspected chemical weapons, narcotics, and other hazardous materials to the labs, the labs use various confirmatory analysis technologies, such as infrared spectroscopy and mass spectrometry, to positively identify them. Also, the Directorate has a 24-hour Teleforensic Center for on-call scientific support for CBP officers who have questions on suspected chemical agents.", "Federal Emergency Management Agency (FEMA) - FEMA provides preparedness grants to state and local governments for any type of all-hazards preparedness activity, including chemical preparedness. According to FEMA data, in fiscal year 2016, states used about $3.5 million, local municipalities used about $48.5 million, and tribal and territorial municipalities used about $80,000 in preparedness grant funding for chemical defense including prevention and protection activities, as well as mitigation, response, and recovery efforts related to a chemical attack.", "Office of Intelligence and Analysis (I&A) - I&A gathers intelligence information on all homeland security threats including chemical threats. Such threat information is compiled and disseminated to relevant DHS components and federal agencies. For example, I&A works with CSAC to provide intelligence information for the CTRA and writes the threat portion of that assessment. I&A also receives information from CSAC on high-risk gaps in intelligence to help better inform chemical defense intelligence reporting. Also, the Under Secretary of I&A serves as the Vice-Chair of the Counterterrorism Advisory Board. This board is responsible for coordinating, facilitating, and sharing information regarding DHS\u2019s activities related to mitigating current, emerging, perceived, or possible terrorist threats, including chemical threats; and providing timely and accurate advice and recommendations to the Secretary and Deputy Secretary of Homeland Security on counterterrorism issues.", "NPPD\u2019s Federal Protective Service (FPS) - FPS secures federally- owned and leased space in various facilities across the country. Federal facilities are assigned a facility security level determination ranging from a Level 1 (low risk) to a Level 5 (high risk). As part of its responsibility, FPS is to conduct Facility Security Assessments of the buildings and properties it protects that cover all types of hazards including a chemical release, in accordance with Interagency Security Committee standards and guidelines. FPS is to conduct these assessments at least once every 5 years for Level 1 and 2 facilities, and at least once every 3 years for Level 3, 4, and 5 facilities. FPS conducts the assessments using a Modified Infrastructure Survey Tool.", "Transportation Security Administration (TSA) - TSA efforts to address the threat of chemical terrorism have been focused on the commercial transportation of bulk quantities of hazardous materials and testing related to the release of commercially transported chemicals that could be used as weapons of mass destruction. TSA\u2019s activities with respect to hazardous materials transportation aim to reduce the vulnerability of shipments of certain hazardous materials through the voluntary implementation of operational practices by motor carriers and railroads, and ensure a secure transfer of custody of hazardous materials to and from rail cars at chemical facilities. Also, in May 2003, TSA began requiring that all commercial motor vehicle operators licensed to transport hazardous materials, including toxic chemicals, must successfully complete a comprehensive background check conducted by TSA. According to TSA documents, approximately 1.5 million of the nation\u2019s estimated 6 million commercial drivers have successfully completed the vetting process. Additionally, TSA has also recently partnered with five mass transit and passenger rail venues, together with other DHS components such as DHS\u2019s Science and Technology Directorate and the U.S. Secret Service, to test chemical detection technologies for such venues. In addition, TSA is responsible for the Transportation Sector Security Risk Assessment, which examines the potential threat, vulnerabilities, and consequences of a terrorist attack involving the nation\u2019s transportation systems. This assessment\u2019s risk calculations for several hundred specific risk scenarios, including chemical weapons attacks, are based on the elements of threat, vulnerability and consequence using a combination of subject matter expert judgments and modeling results.", "U.S. Secret Service - The Secret Service is responsible for protecting its protectees and designated fixed sites and temporary venues from all threats and hazards, including chemical threats. For example, the Secret Service conducts security assessments of sites, which may involve chemical detection, and coordinates with other agencies for preparedness or response to threats and hazard incidents. In addition, the Secret Service has a Hazardous Agent Mitigation Medical Emergency Response team, dedicated to responding to numerous hazards, including chemical threats and incidents."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, John Mortin (Assistant Director), Juan Tapia-Videla (Analyst-in-Charge), Michelle Fejfar, Ashley Grant, Imoni Hampton, Eric Hauswirth, Tom Lombardi, Sasan J. \u201cJon\u201d Najmi, Claire Peachey, and Kay Vyas made key contributions to this report."], "subsections": []}]}], "fastfact": ["Recent attacks using chemical agents abroad have sparked concerns about potential similar attacks occurring in the United States. What is the Department of Homeland Security doing about it?", "We found that DHS recently consolidated some of its chemical defense programs into a new Countering Weapons of Mass Destruction Office. But several agency's components, including Customs and Border Protection and the U.S. Coast Guard, still run their own programs.", "Sharing resources and information department-wide could make DHS's chemical defense more effective. We recommended developing a strategy and implementation plan to better manage chemical defense."]} {"id": "GAO-18-611T", "url": "https://www.gao.gov/products/GAO-18-611T", "title": "Summer Meals: Improvements Needed to Address Participation Estimates and Program Challenges", "published_date": "2018-07-17T00:00:00", "released_date": "2018-07-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes information contained in GAO's May 2018 report entitled Summer Meals: Actions Needed to Improve Participation Estimates and Address Program Challenges , GAO-18-369 . It addresses (1) what is known about SFSP participation, (2) other programs that help feed low-income children over the summer, and (3) challenges in providing summer meals to children and the extent to which USDA provides assistance to address these challenges.", "For its May 2018 report, GAO reviewed relevant federal laws, regulations, and guidance; analyzed USDA's SFSP data for fiscal years 2007 through 2016; and surveyed state agencies responsible for administering the SFSP in 50 states and the District of Columbia. GAO also visited a nongeneralizable group of 3 states and 30 meal sites, selected based on Census data on child poverty rates and urban and rural locations, and analyzed meal site data from these 3 states. In addition, GAO interviewed USDA, state, and national organization officials, as well as SFSP providers, including sponsors and site operators."]}, {"section_title": "What GAO Found", "paragraphs": ["Nationwide, the total number of meals served to children in low-income areas through the Summer Food Service Program (SFSP) increased from 113 to 149 million (about 32 percent) from fiscal year 2007 through 2016, according to GAO's May 2018 report. GAO noted that the U.S. Department of Agriculture (USDA) directed states to use the number of meals served, along with other data, to estimate the number of children participating in the SFSP. However, GAO found that participation estimates had been calculated inconsistently from state to state and year to year. In 2017, USDA took steps to improve the consistency of participation estimates, noting they are critical for informing program implementation and strategic planning. However, GAO determined that the method USDA directed states to use would continue to provide unreliable estimates of participation, hindering USDA's ability to use them for these purposes.", "Other federal and nonfederal programs helped feed low-income children over the summer to some extent, according to states GAO surveyed and SFSP providers and others GAO interviewed for its May 2018 report. For example, GAO found that in July 2016, about 26 million meals were served through a separate federal program that allowed school meal providers to serve summer meals, according to USDA data. Some children also received summer meals through nonfederal programs operated by faith-based organizations and foodbanks, though GAO's state survey and interviews with SFSP meal providers and national organizations indicated the reach of such efforts was limited.", "In GAO's May 2018 report, states and SFSP meal providers reported challenges with issues related to meal sites, participation, and program administration, though USDA, state, and local officials had taken some steps to address these issues. Seventeen states in GAO's survey and several providers in the states GAO visited reported a challenge with ensuring meal sites were in safe locations. To address this issue, USDA granted some states and providers flexibility from the requirement that children consume meals on-site. However, GAO found that USDA had not broadly communicated the circumstances it considered when granting this flexibility or reported to Congress on the use of flexibilities with respect to the on-site requirement in areas where safety was a concern, per requirements. As a result, neither USDA nor Congress knew whether these flexibilities were helping provide meals to children and meeting program goals. Further, officials from national and regional organizations GAO interviewed, as well as providers GAO visited, reported challenges related to the administrative burden associated with participating in multiple child nutrition programs. Although USDA had established program and policy simplifications to help lessen related burdens, the persistence of challenges in this area suggested that information had not reached all relevant state agencies, potentially limiting children's access to meals by discouraging provider participation."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its May 2018 report, GAO made four recommendations, including that USDA improve estimates of children's participation in SFSP, communicate the circumstances it considers when granting flexibilities to ensure safe meal delivery, evaluate and annually report to Congress on its use of waivers and demonstration projects when granting these flexibilities, and disseminate information about existing flexibilities available to streamline administrative requirements for providers participating in multiple child nutrition programs. USDA generally agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the U.S. Department of Agriculture\u2019s (USDA) Summer Food Service Program (SFSP). A federal nutrition program created in 1968, SFSP is designed to provide food service to children in low-income areas during periods when area schools are closed for vacation. In fiscal year 2017, USDA spent $485 million to provide 152 million meals to children through the SFSP.", "USDA\u2019s Food and Nutrition Service (FNS) oversees the SFSP, which is administered by the states and operated by a variety of public and private nonprofit organizations and government entities that sponsor meals for children at supervised sites such as schools, camps, parks, churches, and libraries. FNS is responsible for issuing regulations, instructions, and guidance; overseeing program administration; and reimbursing states for meals served that meet program requirements. State agencies are responsible for approving and monitoring sponsors who, in turn, are responsible for monitoring and managing their meal sites.", "SFSP meals must meet certain requirements in order to be eligible for federal reimbursement; for example, the meal must be served and consumed on-site at an approved meal site. States may approve different types of meal sites, including open sites, closed enrolled sites, and camps. For example, open sites operate in an area where at least half of the children are eligible for free or reduced-price school meals (referred to as \u201carea eligible\u201d), according to data from entities such as schools or the U.S. Census Bureau. Meals must also meet federal requirements for menu components, meal times, and nutrition.", "Some flexibilities are available to FNS in implementing the SFSP program, under its waiver and demonstration authorities. For example, the Secretary of Agriculture has statutory authority to waive, upon request of a state or eligible service provider, certain child nutrition program requirements, including some for the SFSP. To grant a waiver request, the Secretary must determine that the waiver would facilitate the state or service provider\u2019s ability to carry out the purpose of the program, and that the waiver will not increase the overall cost of the program to the federal government, among other things. In the event a waiver request is submitted, the Secretary is required to act promptly and state in writing whether the waiver request is granted or denied, and why. The Secretary is also required to periodically review the performance of waiver recipients, and submit an annual report to Congress summarizing the use of waivers and their effectiveness, among other details.", "In addition to this waiver authority, the Secretary is also authorized to carry out demonstration projects to develop and test methods of providing access to summer meals for low-income children in urban and rural areas, to reduce or eliminate the food insecurity and hunger of low- income children and improve their nutritional status. The Secretary is required to provide for an independent evaluation of the demonstration projects carried out under this authority, and submit an annual report to Congress on the status of each project and the results of the evaluations.", "My testimony today summarizes the findings from our May 2018 report on summer meals. This statement addresses (1) what is known about SFSP participation, (2) other programs that help feed low-income children over the summer, and (3) challenges in providing summer meals to children and the extent to which USDA provides assistance to address these challenges. To address these objectives, we reviewed relevant federal laws, regulations, and guidance; analyzed USDA\u2019s SFSP data for fiscal years 2007 through 2016; and surveyed state agencies responsible for administering the SFSP in 50 states and the District of Columbia. We also visited a nongeneralizable group of 3 states and 30 meal sites, selected based on Census data on child poverty rates and urban and rural locations, and analyzed meal site data from these 3 states. In addition, we interviewed USDA, state, and national organization officials, as well as SFSP providers, including sponsors and site operators. Our work was performed in accordance with generally accepted government auditing standards. More details on our scope and methodology can be found in the issued report.", "In brief, we found that although USDA collects information about the actual number of meals served to children through the SFSP program\u2014 which is one indicator of program participation\u2014USDA\u2019s estimates of the number of children participating in the SFSP were unreliable. As a result, USDA\u2019s understanding of children\u2019s participation in the SFSP was limited, impairing its ability to both inform program implementation and facilitate strategic planning and outreach to areas with low participation.", "Other federal and nonfederal programs helped feed low-income children over the summer to some extent. These federal programs included the National School Lunch Program\u2019s Seamless Summer Option, which provides nutrition assistance benefits solely in the summer, and several federal programs that operate year-round. Nonfederal programs, commonly operated by local faith-based organizations and foodbanks, also helped feed low-income children in the summer, but states and local organizations reported that these had limited reach.", "Finally, there were gaps in USDA\u2019s efforts to address reported challenges related to SFSP meal site safety and program administration. Although USDA had granted some states and sponsors flexibility from the requirement that children consume meals on-site when safety at the site was a concern, the agency did not broadly communicate the circumstances it considers when granting this flexibility, hindering its usefulness in ensuring safe summer meal delivery to children. Additionally, while FNS had established program and policy simplifications to help lessen the administrative burden on sponsors participating in multiple child nutrition programs, challenges in this area persisted. Some of these simplifications had not been shared recently with states, potentially discouraging sponsor participation in child nutrition programs and limiting children\u2019s access to meals.", "My statement will highlight four recommendations we made in our May report that USDA should implement to help improve SFSP participation estimates and address challenges reported by states and sponsors related to meal site safety and duplicative paperwork. In oral comments, FNS officials, including the Deputy Administrator for Child Nutrition Programs, generally agreed with the recommendations in the report."], "subsections": [{"section_title": "The Number of SFSP Meals Served Generally Increased from 2007 through 2016, but Estimates of Children Participating Were Unreliable", "paragraphs": ["The total number of SFSP meals served nationwide during the summer\u2014 one indicator of program participation\u2014increased from 113 million meals in fiscal year 2007 to 149 million meals in fiscal year 2016, or by 32 percent. Although almost half of the total increase in meals served in the summer months was due to increases in lunches, when comparing across each of the meal types, supper and breakfast had the largest percentage increases over the 10-year period, 50 and 48 percent, respectively (see table 1). The increase in SFSP meals over this time period was generally consistent with increases in the number of meals served in the National School Lunch Program (NSLP), the largest child nutrition assistance program, during this period.", "Although states reported the actual number of SFSP meals served to FNS for reimbursement purposes, they estimated the number of children participating in SFSP, and these participation estimates have been calculated inconsistently, impairing FNS\u2019s ability to inform program implementation and facilitate strategic planning and outreach to areas with low participation. Specifically, state agencies calculated a statewide estimate of children\u2019s participation in the SFSP, referred to as average daily attendance (ADA), using sponsor-reported information on the number of meals served and days of operation in July of each year. However, according to our review of states\u2019 survey responses and FNS documents, states\u2019 methods for calculating ADA have differed from state to state and from year to year. For example, although FNS directed states to include the number of meals served in each site\u2019s primary meal service\u2014which may or may not be lunch\u2014some states calculated ADA using only meals served at lunch. In addition, five states reported in our survey that the method they used to calculate ADA in fiscal year 2016 differed from the one they used previously.", "While FNS clarified its instructions in May 2017 to help improve the consistency of states\u2019 ADA calculations moving forward, ADA, even if consistently calculated, remained an unreliable estimate of children\u2019s daily participation in SFSP for at least two reasons. First, ADA did not account for existing variation in the number of days that each site serves meals to children. Specifically, because FNS\u2019s instructions indicated that sites\u2019 ADAs were to be combined to provide a statewide ADA estimate, differences in the number of days of meal service at each site were disregarded. As a result, ADA did not reflect the average number of children served SFSP meals daily throughout the month. Second, ADA was an unreliable estimate of children\u2019s participation in SFSP because it did not account for state variation in the month with the greatest number of SFSP meals served. According to FNS officials, the agency instructed states to calculate ADA for July because officials identified this as the month with the largest number of meals served nationwide. However, according to our analysis of nationwide FNS data, in summer 2016, 26 states served more SFSP meals in June or August than in July.", "Although FNS had taken some steps to identify other data that states collect on the SFSP, at the time of our May 2018 report, FNS had not yet used this information to help improve its estimate of children\u2019s participation in the program. In 2015, FNS published a Request for Information, asking whether states or sponsors collected any SFSP data that were not reported to FNS, and received responses from 15 states. The responses suggested some states collected additional data, such as site-level data, that may allow for an improved estimate of children\u2019s SFSP participation, potentially addressing the issues identified in our analysis. FNS also followed up with several of these states in 2016 and 2017 to explore the feasibility of collecting additional data and improving estimates of children\u2019s SFSP participation. FNS stated in a May 2017 memo to states that it is critical that the agency\u2019s means of estimating children\u2019s participation in the SFSP is as accurate as possible because it helps inform program implementation at the national level and facilitates strategic planning and outreach to areas with low participation. Yet, at the time of our report, FNS had not taken further action to improve the estimate. In our May 2018 report, we concluded that FNS\u2019s limited understanding of children\u2019s participation in the SFSP impaired its ability to both inform program implementation and facilitate strategic planning and outreach to areas with low participation.", "To improve FNS\u2019s estimate of children\u2019s participation in the SFSP, we recommended that FNS focus on addressing, at a minimum, data reliability issues caused by variations in the number of operating days of meal sites and in the months in which states see the greatest number of meals served. FNS generally agreed with this recommendation."], "subsections": []}, {"section_title": "Other Federal and Nonfederal Programs Helped Feed Low- Income Children over the Summer to Some Extent", "paragraphs": ["Other federal and nonfederal programs that operate solely in the summer, as well as those operating year-round, helped feed low-income children in the summer months. For example, in 2016, FNS data indicated about 26 million meals were served through the NSLP\u2019s Seamless Summer Option, a separate federal program that streamlines administrative requirements for school meal providers serving summer meals. Some children also received summer meals through nonfederal programs operated by entities such as faith-based organizations and foodbanks, though the reach of these efforts was limited, according to our state survey and interviews with providers and national organizations at the time of our report. For example, of the 27 states that reported in our survey awareness of the geographic coverage of these nonfederal programs, 11 states indicated that they operated in some portions of the state\u2014the most common state response."], "subsections": []}, {"section_title": "States and SFSP Providers Faced Challenges with Meal Sites, Participation, and Program Administration, and FNS Actions Had Addressed Some, but Not All Areas", "paragraphs": ["States and SFSP providers reported challenges with issues related to meal site availability, children\u2019s participation, and program administration, though federal, state, and local entities had taken steps to improve these areas. For example, a lack of available transportation, low population density, and limited meal sites posed challenges for SFSP implementation in rural areas, according to states we surveyed, selected national organizations, and state and local officials in the three states we visited. In response, state and local entities took steps, such as transporting meals to children by bus, to address these issues\u2014efforts that FNS supported through information sharing and grants.", "States and SFSP providers also reported challenges with meal site safety, and FNS\u2019s efforts to address this area were limited. Seventeen states reported in our survey that ensuring summer meal sites are in safe locations was moderately to very challenging. Some states and sponsors took steps to help address this issue, and FNS also used its available authorities to grant some states and sponsors flexibility with respect to the requirement that children consume summer meals on site, such as when safety at the site is a concern. However, our review of FNS documentation showed FNS had not clearly communicated to all states and sponsors the circumstances it considers when deciding whether to grant this flexibility. These circumstances\u2014described in letters the agency sent to requesting states\u2014generally included verification that violent crime activities occurred within both a 6-block radius of the meal site and 72 hours prior to the meal service. Although FNS officials explained that they reviewed state and sponsor requests for flexibility due to safety concerns on a case-by-case basis, they also acknowledged that the set of circumstances they used to approve state and sponsor requests for flexibility, which we identified in their letters to states, had been used repeatedly. Further, states and sponsors reported challenges obtaining the specific data needed for approval of a site for this type of flexibility, including inconsistent availability of timely data, which hampered some providers\u2019 efforts to ensure safe delivery of meals.", "We concluded that unless FNS shared information with all states and sponsors on the circumstances it considered when deciding whether to grant flexibility with respect to the requirement that children consume summer meals on site, states and sponsors would likely continue to be challenged to use this flexibility, hindering its usefulness in ensuring safe summer meal delivery to children. We therefore recommended that FNS communicate to all SFSP stakeholders the circumstances it considers in approving requests for flexibility with respect to the requirement that children consume SFSP meals on-site in areas that have experienced crime and violence, taking into account the feasibility of accessing data needed for approval, to ensure safe delivery of meals to children. FNS generally agreed with this recommendation.", "We also found that while FNS had issued reports to Congress evaluating some of its demonstration projects, as required under its statutory authorities, the agency had not issued any such reports to Congress specifically on the use of flexibilities with respect to the on-site requirement in areas where safety was a concern. As previously discussed, the agency is required to annually submit certain reports to Congress regarding the use of waivers and evaluations of projects carried out under its demonstration authority. FNS officials told us that they had not evaluated or reported on these flexibilities, in part, because they had limited information on their outcomes.", "We concluded that without understanding the impact of its use of these flexibilities, neither FNS nor Congress knew whether these flexibilities were helping provide meals to children\u2014the goal of the program. Accordingly, we recommended that FNS evaluate and annually report to Congress, as required by statute, on its use of waivers and demonstration projects to grant states and sponsors flexibility with respect to the requirement that children consume SFSP meals on-site in areas experiencing crime or violence, to improve understanding of the use and impact of granting these flexibilities on meeting program goals. FNS generally agreed with this recommendation.", "Although FNS had established program and policy simplifications to help lessen the administrative burden on sponsors participating in multiple child nutrition programs, challenges in this area persisted, indicating that information had not reached all relevant state agencies. According to officials we spoke with from a national organization involved in summer meals, management of each child nutrition program and the processes related to applications, funding, and oversight were fragmented in many states. For example, in one of the states we visited, a sponsor that provided school meals during the school year told us they had to fill out 60 additional pages of paperwork to provide summer meals, which they described as significant burden. FNS officials told us that some of the duplicative requirements might have been a function of differences in statute, and although FNS provided guidance to states on simplified procedures for sponsors participating in more than one child nutrition program, some states might have chosen not to implement them.", "We concluded that without further efforts from FNS to disseminate information on current options for streamlining administrative requirements across multiple child nutrition programs, overlapping and duplicative administrative requirements may limit children\u2019s access to meals by discouraging sponsor participation in child nutrition programs. We recommended that FNS disseminate information about the existing streamlining options, and FNS generally agreed with this recommendation.", "Chairman Rokita, Ranking Member Polis, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Kathryn A. Larin at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony include Rachel Frisk, Melissa Jaynes, and Claudine Pauselli.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-565", "url": "https://www.gao.gov/products/GAO-18-565", "title": "Health Insurance Exchanges: HHS Should Enhance Its Management of Open Enrollment Performance", "published_date": "2018-07-24T00:00:00", "released_date": "2018-08-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2014, millions of consumers have purchased health insurance from the exchanges established by the Patient Protection and Affordable Care Act. Consumers can enroll in coverage during an annual open enrollment period. HHS and others conduct outreach during this period to encourage enrollment and ensure the exchanges' long-term stability. HHS announced changes to its 2018 outreach, prompting concerns that fewer could enroll, potentially harming the exchanges' stability.", "GAO was asked to examine outreach and enrollment for the exchanges using healthcare.gov. This report addresses (1) 2018 open enrollment outcomes and any factors that may have affected these outcomes, (2) HHS's outreach efforts for 2018, and (3) HHS's 2018 enrollment goals. GAO reviewed HHS documents and data on 2018 open enrollment results and outreach. GAO also interviewed officials from HHS and 23 stakeholders representing a range of perspectives, including those from 4 navigator organizations, 3 issuers, and 6 insurance departments, to obtain their non-generalizable views on factors that likely affected 2018 enrollment."]}, {"section_title": "What GAO Found", "paragraphs": ["About 8.7 million consumers in 39 states enrolled in individual market health insurance plans offered on the exchanges through healthcare.gov during the open enrollment period for 2018 coverage. This was 5 percent less than the 9.2 million who enrolled for 2017 and continued a decline in enrollment from a peak of 9.6 million in 2016. Among the 23 stakeholders we interviewed representing a range of perspectives, most reported that plan affordability played a major role in exchange enrollment\u2014both attracting and detracting from enrollment. In 2018, total premiums increased more than expected, and, as a result, plans may have been less affordable for consumers, which likely detracted from enrollment. However, most consumers receive tax credits to reduce their premiums, and stakeholders reported that plans were often more affordable for these consumers because higher premiums resulted in larger tax credits, which likely aided exchange enrollment. Stakeholders had mixed opinions on the effects that other factors, such as the impact of reductions in federal advertising and the shortened open enrollment period, might have had on enrollment.", "The Department of Health and Human Services (HHS), which manages healthcare.gov enrollment, reduced consumer outreach for the 2018 open enrollment period:", "HHS spent 90 percent less on its advertising for 2018 ($10 million) compared to 2017 ($100 million). Officials told us that the agency's approach for 2018 was to focus on low-cost, high-performing forms of advertising.", "HHS reduced funding by 42 percent for navigator organizations\u2014which provide in-person enrollment assistance for consumers\u2014spending $37 million in 2018 compared to $63 million in 2017 due to a shift in administration priorities. HHS allocated the funding using data that it acknowledged were not reliable in December 2016. The lack of quality data may affect HHS's ability to effectively manage the navigator program.", "Unlike in prior years, HHS did not set any numeric targets related to 2018 total healthcare.gov enrollment; officials told us that they instead focused on enhancing the consumer experience for the open enrollment period. Setting numeric targets would allow HHS to monitor and evaluate its overall performance, a key aspect of federal internal controls. Further, while HHS reported meeting its goal of enhancing the consumer experience, such as by improving healthcare.gov availability, it did not measure aspects of the consumer experience it had identified as key in 2017, such as successful outreach events. Absent a more complete assessment, HHS may not be able to fully assess its progress toward its goal of enhancing the consumer experience and may miss opportunities to improve other aspects of the consumer experience."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to HHS, including that it ensure the data it uses for determining navigator organization awards are accurate, set numeric enrollment targets, and assess other aspects of the consumer experience. HHS agreed with two recommendations, but disagreed with the need to set numeric targets. GAO maintains that such action is important."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 2014, millions of consumers have purchased individual market health insurance plans through the health insurance exchanges\u2014or marketplaces\u2014established under the Patient Protection and Affordable Care Act (PPACA). PPACA directed each state to establish an exchange\u2014referred to as a state-based exchange\u2014or elect to use the federally facilitated exchange established by the Department of Health and Human Services (HHS). Each year the exchanges offer an open enrollment period during which eligible consumers may enroll in or change their coverage. Consumers enroll in the federally facilitated exchange though HHS\u2019s healthcare.gov website, and some state-based exchanges have chosen to also use healthcare.gov for enrollment. HHS facilitates enrollment for states that use the healthcare.gov website and is required to perform outreach and education activities to educate consumers about the exchanges and to encourage enrollment.", "Some health policy and insurance industry experts assert that the long- term stability of the exchanges will require sufficient levels of enrollment, including enrollment among young or otherwise healthy individuals who might be less likely to purchase health insurance. Specifically, bringing these younger, healthier individuals into the exchanges would reduce adverse selection\u2014where less-healthy individuals who expect or plan for high use of health care services disproportionately enroll in coverage leading to higher premiums that can ultimately discourage healthy individuals from enrolling. Some experts have also asserted that consumer outreach plays a key role in reducing adverse selection. For example, while sick individuals may be motivated to enroll in exchange coverage to obtain their needed treatment, healthier individuals may need to be reminded and encouraged to do so\u2014which these experts contend is the role of effective outreach.", "Beginning with the open enrollment period for 2014 coverage\u2014the exchanges\u2019 first open enrollment period\u2014HHS conducted broad public relations and advertising outreach to familiarize the public with the availability of exchange coverage. However, beginning in 2017, HHS announced several changes to its exchange outreach activities. For example, it suspended certain planned marketing and advertising during the final week of the 2017 open enrollment period and scaled back its outreach efforts for the 2018 open enrollment period. In addition, the agency reduced the length of the 2018 open enrollment period for states using healthcare.gov for enrollment, from about 13 weeks to about 6 weeks. These changes led to questions among various stakeholders, such as certain research and advocacy organizations, about whether the number and health needs of those enrolled in the exchanges would meet expectations or present challenges to the long-term stability of health insurance markets. However, other research and advocacy organizations contend that these and other changes collectively helped to simplify or reduce unnecessary costs of the program. For the 2018 open enrollment period, for example, HHS emphasized the availability of agents and brokers that could assist consumers with enrollment and simplified its enrollment process by allowing consumers to enroll in healthcare.gov coverage through certain partner websites.", "You asked us to examine how 2018 open enrollment period outcomes compared to those for 2017 and to review how HHS\u2019s outreach efforts affected 2018 enrollment. In this report, we examine: 1. how 2018 open enrollment outcomes for healthcare.gov compared with those for 2017, and any factors that affected 2018 enrollment; 2. how HHS\u2019s outreach efforts for the 2018 open enrollment period compared to those for 2017; and 3. HHS\u2019s 2018 enrollment goals for the health insurance exchanges.", "To examine how 2018 open enrollment outcomes compared with those for 2017 and any factors that may have affected 2018 enrollment, we examined HHS data on 2017 and 2018 open enrollment period results for the 39 states that used the federal healthcare.gov website for enrollment. We also reviewed HHS data on open enrollment period results for 2016 for additional context. To assess these data for reliability, we reviewed supporting documentation, examined trends reported in these data, and interviewed HHS officials. We found the data sufficiently reliable for the purposes of our reporting objective. We also analyzed HHS information, interviewed health policy experts, and reviewed publications by these experts related to exchange enrollment to identify factors that had the potential to affect 2018 enrollment. (See app. I for a list of these factors.) Using this list of factors, we conducted structured interviews with officials from 23 stakeholder organizations to gather their viewpoints as to whether and how these or other factors affected 2018 health insurance exchange enrollment. We selected organizations to reflect a wide range of perspectives and included HHS-funded navigator organizations that provide in-person consumer enrollment assistance, issuers, state insurance departments, professional trade organizations, research and advocacy organizations, and state-based exchanges. We identified themes for reporting according to our analysis of the frequency with which the stakeholders we interviewed identified factors as having a certain impact. While we selected stakeholders to include a broad range of perspectives, their viewpoints are not generalizable beyond the 23 organizations included in our interviews. Additional information about the stakeholders we interviewed is presented in appendix II.", "To examine how HHS\u2019s outreach efforts for the 2018 open enrollment period compared to those for 2017, we obtained and reviewed HHS data from both periods, including its budgets for advertising and navigator funding, and its allocation of that funding to various advertising techniques and to navigator organizations. We also reviewed associated HHS documentation, including a study on the effectiveness of advertising during the 2017 open enrollment period and documentation of HHS\u2019s navigator organization funding process. In addition, we reviewed relevant PPACA provisions and HHS regulations and guidance and interviewed officials from HHS to learn more about the agency\u2019s outreach efforts for both open enrollment periods. We interviewed representatives from our selected navigator organizations and a group that hosts an online community for navigators to obtain additional context. We reviewed self- reported data that all navigator organizations provided to HHS on the number of outreach events they performed during the 2017 and 2018 open enrollment periods. We also reviewed information HHS published about its outreach for both open enrollment periods, and compared HHS\u2019s outreach efforts to relevant standards for internal control in the federal government.", "To examine HHS\u2019s 2018 enrollment goals for the health insurance exchanges, we interviewed HHS officials to understand their goals for the enrollment period and compared them to relevant federal internal control standards. To examine the agency\u2019s performance with respect to its goals, we reviewed relevant performance data. To assess these data for reliability, we interviewed agency officials and examined trends in the data. We found the data sufficiently reliable for the purposes of our reporting objective.", "We conducted this performance audit from September 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Considerations for Exchange Enrollment and Plan Selection", "paragraphs": ["Qualified health plans sold through the exchanges must meet certain minimum requirements, including those related to benefits coverage. Beyond these requirements, many elements of plans can vary, including their cost and availability. Those who opt to enroll in a plan generally pay for their health care in two ways: (1) a premium to purchase the insurance, and (2) cost-sharing for the particular health services they receive (for example, deductibles, coinsurance, and co-payments)."], "subsections": [{"section_title": "Metal Tiers", "paragraphs": ["Qualified health plans are offered at one of four metal tiers that reflect the out-of-pocket costs that may be incurred by a consumer. These tiers correspond to the plan\u2019s actuarial value\u2014a measure of the relative generosity of a plan\u2019s benefits that is expressed as a percentage of the covered medical expenses expected to be paid, on average, by the issuer for a standard population and set of allowed charges for in-network providers. In general, as actuarial value increases, consumer cost- sharing decreases. The actuarial values of the metal tiers are: bronze (60 percent), silver (70 percent), gold (80 percent), and platinum (90 percent). If an issuer sells a qualified health plan on an exchange, it must offer at least one plan at the silver level and one plan at the gold level; issuers are not required to offer bronze or platinum plans."], "subsections": []}, {"section_title": "Financial Assistance", "paragraphs": ["Individuals purchasing coverage through the exchanges may be eligible, depending on their incomes, to receive financial assistance to offset the costs of their coverage. According to HHS, more than 80 percent of enrollees obtained financial assistance in the first half of 2017, which came in the form of premium tax credits or cost-sharing reductions.", "Premium tax credits. These are designed to reduce an eligible individual\u2019s premium costs, and can either be paid in advance on a monthly basis to an enrollee\u2019s issuer\u2014referred to as advance premium tax credits\u2014or received after filing federal income taxes for the prior year. To be eligible for premium tax credits, enrollees must generally have household incomes of at least 100, but no more than 400, percent of the federal poverty level. The amount of the premium tax credit varies based on enrollees\u2019 income relative to the cost of premiums for their local benchmark plan\u2014which is the second lowest cost silver plan available\u2014but consumers do not need to be enrolled in the benchmark plan in order to be eligible for these tax credits.", "Cost-sharing reductions. Enrollees who qualify for premium tax credits, have household incomes between 100 and 250 percent of the federal poverty level, and enroll in a silver tier plan may also be eligible to receive cost-sharing reductions, which lower enrollees\u2019 deductibles, coinsurance, and co-payments.", "To reimburse issuers for reduced cost-sharing from qualified enrollees, HHS made payments to issuers (referred to as cost-sharing reduction payments) until October 2017, when it discontinued these payments. Despite HHS\u2019s decision to discontinue cost-sharing reduction payments, issuers are still required under PPACA to offer cost-sharing reductions to eligible enrollees. Since consumers who receive these reductions are generally enrolled in silver plans, insurance commissioners in most states instructed the issuers in their states to increase 2018 premiums for silver plans offered on the exchanges to reflect the discontinued federal payments. This has been referred to as \u201csilver-loading\u201d and resulted in substantial increases in exchange-based silver plan premiums for 2018. (See fig.1.) Because the amount of an eligible enrollee\u2019s premium tax credit is based on the premium for the enrollee\u2019s local benchmark plan (the second lowest cost silver plan available to an enrollee), the value of this form of financial assistance also increased significantly for 2018.", "As we have previously reported, the number and type of plans available in the health insurance exchanges varies from year to year. Issuers can add new plans and adjust or discontinue existing plans from year to year, as long as the plans meet certain minimum requirements\u2014such as covering essential health benefits. Issuers can also extend or restrict the locations in which they offer plans. According to HHS, while individuals seeking 2018 coverage were able to select from an average of 25 plans across the various metal tiers, 29 percent of consumers were able to select from plans from only one issuer."], "subsections": []}, {"section_title": "Exchange Outreach", "paragraphs": ["HHS performs outreach to increase awareness of the open enrollment period and facilitate enrollment among healthcare.gov consumers\u2014 including those new to the exchanges as well as those returning to renew their coverage. Outreach to these different types of enrollees can vary. For example, while outreach to those new to the exchanges may focus more on the importance of having insurance, outreach to existing enrollees may focus on encouraging them to go back to the exchange to shop for the best option."], "subsections": []}, {"section_title": "Consumer Assistance", "paragraphs": ["All exchanges are required to carry out certain functions to assist consumers with their applications for enrollment and financial assistance, among other things. HHS requires exchanges to operate a website and toll-free call center to address the needs of consumers requesting assistance with enrollment, and to conduct outreach and educational activities to help consumers make informed decisions about their health insurance options. HHS administers the federal healthcare.gov website, which allows consumers in states using the website for enrollment to directly compare health plans based on a variety of factors, such as premiums and provider networks. HHS also operates a Marketplace Call Center to respond to consumer questions about enrollment. Consumers may apply for coverage through the call center, the website, via mail, or in person (in some areas), with assistance from navigator organizations or agents and brokers.", "Navigators. PPACA required all exchanges to establish \u201cnavigator\u201d programs to conduct public education activities to raise awareness of the availability of coverage available through the exchanges, among other things. As part of HHS\u2019s funding agreement with navigator organizations in states using the federally facilitated exchange, HHS requires them to maintain relationships with consumers who are uninsured or underinsured. They must also examine consumers\u2019 eligibility for other government health programs, such as Medicaid, and provide other assistance to consumers\u2014for example, by helping them understand how to access their coverage.", "Agents and Brokers. Licensed by states, agents and brokers may also provide assistance to those seeking to enroll in a health plan sold on the exchanges; however, they are generally paid by issuers. They may sell products for one issuer from which they receive a salary, or from a variety of issuers and be paid a commission for each plan they sell."], "subsections": []}]}]}, {"section_title": "Enrollment through Healthcare.gov Was 5 Percent Lower in 2018 than 2017, and Stakeholders Reported That Plan Affordability Likely Played a Major Role in Enrollment", "paragraphs": [], "subsections": [{"section_title": "Exchange Enrollment through Healthcare.gov Was 5 Percent Lower in 2018 than 2017", "paragraphs": ["About 8.7 million consumers enrolled in healthcare.gov plans during the open enrollment period for 2018 coverage, 5 percent less than the 9.2 million who enrolled for 2017. This decline continues a trend from 2016, when a peak of 9.6 million consumers enrolled in such plans. Since that peak, enrollment has decreased by 9 percent. Enrollment in plans sold by state-based exchanges that use their own enrollment website has remained relatively stable during the same time period, with just over 3.0 million enrollees each year since 2016. Overall, enrollment in federal and state exchanges has declined 7 percent from a peak of nearly 12.7 million enrollees in 2016, largely driven by the decrease in enrollment in exchanges using healthcare.gov. (See table 1.) HHS officials told us that they did not want to speculate on the specific factors that affected enrollment this year, but noted that the exchanges are designed for consumers to utilize as needed, which includes degrees of fluctuation from year to year. A decreased demand for exchange-based insurance could be influenced by increases in the numbers of people with other types of health coverage, such as coverage through other public programs, or that which is sponsored by their employers.", "Enrollees who were new to healthcare.gov coverage comprised a smaller proportion of total enrollees in 2018 than in 2017, continuing a trend seen in prior years. The proportion of new enrollees decreased from 33 percent (3 million) in 2017 to 28 percent (2.5 million) in 2018 (see fig. 2). Some stakeholders noted the importance of enrolling new, healthy enrollees each year to maintain the long-term viability of the exchanges. However, other stakeholders noted that they had expected the number and proportion of new enrollees to decrease over time because a large majority of those who wanted coverage and were eligible for financial assistance had likely already enrolled. The increasing proportion of enrollees who return to the exchanges for their coverage could also demonstrate their need for or satisfaction with this coverage option.", "The demographic characteristics of enrollees remained largely constant from 2017 through 2018. For example, the proportion of enrollees with household incomes of 100 to 250 percent of the federal poverty level remained similar at 71 percent in 2017 and 70 percent in 2018. In addition, the proportion of enrollees whose households were located in rural areas was 18 percent in both years. However, the proportion of healthcare.gov enrollees aged 55 and older increased from 27 percent in 2017 to 29 percent in 2018. Appendix III provides detailed information on the characteristics of enrollees in 2017 and 2018."], "subsections": []}, {"section_title": "Stakeholders Reported That Plan Affordability Likely Played a Major Role in 2018 Exchange Enrollment and Plan Selection", "paragraphs": ["According to stakeholders we interviewed, plan affordability likely played a major role in 2018 exchange enrollment\u2014both attracting and detracting from enrollment\u2014and enrollees\u2019 plan selection. In 2018, premiums across all healthcare.gov plans increased an average of 30 percent\u2014more than expected given overall health cost trends. As a result of these premium increases, plans were less affordable in 2018 compared to 2017 for exchange consumers without advance premium tax credits (15 percent in 2018). One driver of these premium increases was the elimination of federal cost-sharing reduction payments to issuers in late 2017, which resulted in larger premium increases for silver tier plans (the most popular healthcare.gov metal tier). For example, among enrollees who did not use advance premium tax credits, the average monthly premium amount paid for silver plans increased 45 percent (from $424 in 2017 to $614 in 2018). Average premiums for these enrollees also increased for bronze and gold plans, but not by as much\u201422 percent for bronze plans (from $374 in 2017 to $455 in 2018) and 23 percent for gold plans (from $509 in 2017 to $628 in 2018). Most stakeholders we interviewed told us the decreased affordability of plans likely resulted in lower enrollment in exchange plans for these consumers. Some stakeholders we interviewed reported personally encouraging consumers who were not eligible for premium tax credits to purchase their coverage off of the exchanges, where they could often purchase the same health insurance plan for a lower price.", "However, despite overall premium increases, plans became more affordable for the more than 85 percent of exchange consumers who used advance premium tax credits, because the value of the premium tax credits increased significantly in order to compensate for the higher premiums of silver plans. For example, the average value of monthly advance premium tax credits for those enrolled in any exchange plan increased 44 percent, from $383 in 2017 to $550 in 2018\u2014the largest increase in the program\u2019s history. As a result, enrollees who used advance premium tax credits faced lower net monthly premiums on average in 2018 than they had in 2017\u2014specifically, enrollees\u2019 average net monthly premiums across all plans decreased 16 percent from $106 in 2017 to $89 in 2018. According to most stakeholders we interviewed, the enhanced affordability of net monthly premiums among consumers who used advance premium tax credits likely encouraged enrollment among this group. (See fig. 3).", "Stakeholders we interviewed also noted that plan affordability likely played a major role in enrollees\u2019 plan selection, including the metal tier of their coverage. This finding is consistent with our prior work which showed that plan cost\u2014including premiums\u2014is a driving factor in exchange enrollees\u2019 selection of a plan. Specifically, we found that while silver plans remained the most popular healthcare.gov metal tier, covering 65 percent of all enrollees in 2018, this proportion decreased 9 percentage points from 2017 as more enrollees selected bronze and gold plans. (See fig. 4.)", "Stakeholders reported that consumers using advance premium tax credits benefitted from enhanced purchasing power in 2018 due to the impact of silver loading, which likely served as a driving factor in these consumers\u2019 plan selections. Specifically, they noted that the increased availability of free bronze and low-cost gold plans (after tax credits were applied) for such consumers likely explained why many enrollees moved from silver to bronze or gold plans for 2018. While average monthly net premiums paid by these consumers decreased overall from 2017 to 2018 due to the tax credits, the changes were most pronounced for those enrolled in bronze or gold plans (which decreased 36 and 39 percent, respectively), compared to silver plans (which decreased 13 percent). Separately, the enhanced affordability of gold plans, along with the richer benefits they offer, likely led some consumers to move from silver to gold plans in 2018. While the average monthly net premium amount paid for gold plans in 2018 ($207) remained higher than that for less generous silver plans ($88) among those using advance premium tax credits, it was nearly 40 percent lower than the average net premium for gold plans in 2017 ($340). Stakeholders also reported that consumers in some areas were able to access gold plans for a lower cost than silver plans. The proportion of enrollees in gold plans using advance premium tax credits increased from 49 percent to 74 percent\u2014signaling that many enrollees used their higher tax credits to enroll in richer gold plan coverage.", "As the proportion of enrollees with silver plans declined for 2018, so too did the proportion of enrollees with cost-sharing reductions\u2014which are generally only available to those with silver plans. Specifically, 54 percent of healthcare.gov enrollees received these subsidies in 2018, 6 percentage points lower than the 60 percent who received these subsidies in 2017."], "subsections": []}, {"section_title": "Stakeholders Reported That a Variety of Other Factors Likely Affected 2018 Enrollment", "paragraphs": ["Stakeholders we interviewed reported that a variety of factors other than plan affordability also likely affected 2018 exchange enrollment, but opinions on the impact of each factor were mixed. Specifically, most stakeholders we interviewed, including all 4 navigator organizations and 3 professional trade organizations, reported that consumer confusion about PPACA and its status likely played a major role in detracting from 2018 healthcare.gov enrollment. Some of these stakeholders attributed consumers\u2019 confusion about the exchanges to efforts to repeal and replace PPACA. In addition, many stakeholders attributed consumer confusion to the Administration\u2019s negative statements about PPACA. Further, many stakeholders reported that as a result of the public debate during 2017 over whether to repeal and replace PPACA many consumers had questions about whether the law had been repealed and whether insurance coverage was still available through the exchanges. However, other stakeholders reported that this debate likely did not affect enrollment and consumers who were in need of exchange-based coverage were likely able to find the information they required to enroll. In addition, many stakeholders noted that consumer understanding and enrollment was aided through increased outreach and education events conducted by many groups, including some state and local governments, hospitals, issuers, and community groups. Many stakeholders also noted that the volume of exchange-related news increased significantly before and during the open enrollment period for 2018 coverage, in part due to the ongoing political debate about the future of the exchanges. These stakeholders agreed that this increase in reporting about the exchanges likely resulted in increased consumer awareness and enrollment, even in cases where the coverage negatively portrayed the exchanges.", "Many stakeholders also said that reductions in HHS outreach and advertising of the open enrollment period likely detracted from 2018 enrollment, in part because any reduction in promoting enrollment detracts from overall consumer awareness and understanding of the program and its open enrollment period. In particular, some stakeholders reported that outreach and advertising are especially important for increasing new enrollment, especially among younger and healthier consumers whose enrollment can help ensure the long-term stability of the exchanges. However, other stakeholders reported that these reductions likely had no effect on enrollment, noting that most consumers who needed exchange-based coverage were already enrolled in it and were well aware of the program, and also noting that enrollment in 2018 did not dramatically change compared with that of 2017.", "Stakeholders we interviewed were largely divided on the effects of other factors on 2018 healthcare.gov enrollment, including the shorter 6-week open enrollment period. For example, about half of the stakeholders said that the shorter open enrollment period likely led fewer to enroll due to lack of consumer awareness of the new deadline, as well as to challenges related to the reduced capacity of those helping consumers to enroll. However, many others said that the shorter open enrollment period likely had no effect. In particular, some of these stakeholders noted that enrollment in 2018 was similar to that for 2017 and that during prior open enrollment periods the majority of consumers had enrolled by December 15, as this was the deadline for coverage that began in January. Figure 5 displays the range of stakeholder views on factors affecting 2018 healthcare.gov enrollment, and appendix IV provides selected stakeholder views of factors affecting 2018 healthcare.gov enrollment."], "subsections": []}]}, {"section_title": "HHS Reduced Consumer Outreach for 2018 and Used Problematic Data to Allocate Navigator Funding", "paragraphs": ["HHS reduced its consumer outreach\u2014including paid advertising and navigator funding\u2014for the 2018 open enrollment period. Further, HHS allocated the navigator funding using a narrower approach and problematic data, including consumer application data that it acknowledged were unreliable and navigator organization-reported goal data that were based on an unclear description of the goal, and which HHS and navigator organizations likely interpreted differently."], "subsections": [{"section_title": "HHS Reduced Paid Advertising", "paragraphs": ["HHS reduced the amount it spent on paid advertising for the 2018 open enrollment period by 90 percent, spending $10 million as compared to the $100 million it spent for the 2017 open enrollment period. HHS officials reported that their 2018 advertising approach was a success, noting that they cut wasteful spending on advertising, which resulted in a more cost- effective approach. HHS officials told us that the agency elected to reduce funding for paid advertising to better align with its spending on paid advertising for the Medicare open enrollment period. According to the officials, HHS targeted its reduced funding toward low-cost forms of paid advertising that HHS studies showed were effective in driving enrollment, and that could be targeted to specific populations, such as individuals aged 18 to 34 and individuals who had previously visited healthcare.gov. For example, for 2018, HHS spent about 40 percent of its paid advertising budget on two forms of advertising aimed at reaching these populations.", "Specifically, HHS spent $1.2 million on the creation of two digital advertising videos that were targeted to potential young enrollees, and $2.7 million on search advertising, in which Internet search engines displayed a link to healthcare.gov when individuals used relevant search terms. HHS followed up with individuals that visited the link to encourage them to enroll. Agency officials said they focused some of their paid advertising on individuals aged 18 to 34 because in the prior open enrollment period many individuals in this age range enrolled after December 15\u2014the deadline for the 2018 open enrollment period. HHS officials said they did not use paid television advertising because it was too expensive and because it was not optimal for attracting young enrollees\u2014although a 2017 HHS study found this was one of the most effective forms of paid advertising for enrolling new and returning individuals during the prior open enrollment period. See appendix V for HHS\u2019s expenditures for paid advertising for the 2017 and 2018 open enrollment periods."], "subsections": []}, {"section_title": "HHS Reduced Navigator Funding and Used a Narrower Approach and Problematic Data to Allocate It", "paragraphs": ["HHS reduced navigator funding by 42 percent for 2018, spending $37 million compared to the $63 million it spent for 2017. According to HHS officials, the agency reduced this funding due to a shift in the Administration\u2019s priorities. For the 2018 open enrollment period, HHS planned to rely more heavily on agents and brokers\u2014another source of in-person consumer assistance, who, unlike navigator organizations that are funded through federal grants, are generally paid for by the issuers they represent. HHS took steps to highlight their availability to help consumers and enable consumers to enroll through them. For example, for the 2018 open enrollment period, HHS made a new \u201cHelp on Demand\u201d tool available on healthcare.gov that connected consumers directly to local agents or brokers. HHS also developed a streamlined enrollment process for those enrolling through agents and brokers.", "HHS also changed its approach for allocating the navigator funding to focus on a narrower measure of navigator organization performance than it had used in the past. According to HHS officials, in prior years, HHS awarded funding based on navigator organizations\u2019 performance on a variety of tasks, such as the extent to which navigator organizations met their self-imposed goals for numbers of public outreach events and individuals assisted with applications for exchange coverage and selection of exchange plans. HHS officials said the agency previously also took state-specific factors, such as the number of uninsured individuals in a state, into account when awarding funding. HHS calculated preliminary navigator funding awards for 2018 using this approach. However, according to HHS officials, the agency later decided to change both its budget and approach for allocating navigator funding for 2018 to hold navigator organizations more accountable for the number of individuals they enrolled in exchange plans. In its new funding allocation approach, rather than taking into account navigator organization performance on a variety of tasks, HHS only considered performance in achieving one goal\u2014the number of individuals each navigator organization planned to assist with selecting or enrolling in exchange plans for 2017 coverage. In implementing this new approach, HHS compared the number of enrollees whose 2017 exchange coverage applications included navigator identification numbers with each navigator organization\u2019s self-imposed goal. For navigator organizations that did not appear to meet their goals, HHS decreased their preliminary 2018 award amounts proportionately. For navigator organizations that appeared to meet or exceed their goals, HHS left their preliminary 2018 award amounts unchanged. Based on this change in approach, HHS offered 81 of its 98 navigator organizations less funding for 2018, with decreases ranging from less than 1 percent to 98 percent of 2017 funding levels. HHS offered 4 of the 98 navigator organizations increased funding and 13 the same level of funding they received for 2017 (see fig. 6).", "We found that the data HHS used for its revised funding approach were problematic for multiple reasons. In particular, prior to using the 2017 consumer application data as part of its 2018 funding calculations, HHS had acknowledged that these data were unreliable, in part because navigators were not consistently entering their identification numbers into applications during the 2017 open enrollment period. Specifically, HHS stated in a December 9, 2016, email to navigator organizations that the application data were unreliable and thus could not be used. Over 4 million individuals had enrolled in 2017 coverage by December 10, 2016, so it is likely that many of the applications that HHS used in its 2018 funding calculation included incomplete or inaccurate information with respect to navigator assistance. HHS provided guidance to navigator organizations in the December 2016 email on the importance of, and locations for, entering identification numbers into applications to help improve the reliability of the data. However, some data reliability issues may have remained throughout the 2018 open enrollment period, as two of the navigator organizations we interviewed reported ongoing challenges entering navigator identification numbers into applications during this period. For example, representatives from one navigator organization reported that the application field where navigators enter their identification number was at times pre-populated with an agent or broker\u2019s identification number. Consumer application data may therefore still be unreliable for use in HHS navigator funding decisions that would be expected later this year for 2019.", "Moreover, the 2017 goal data that HHS used in its funding calculation were also problematic because HHS described the goal in an unclear manner when it asked navigator organizations to set their goals. As a result, HHS\u2019s interpretation of the goal was likely different than how it was interpreted and established by navigator organizations. Specifically, in its award application instructions, HHS asked navigator organizations to provide a goal for the number of individuals that they \u201cexpected to be assisted with selecting/enrolling in (including re- enrollments)\u201d but HHS did not provide guidance to navigator organizations on how it would interpret the goal. HHS officials told us that they wanted to allow navigator organizations full discretion in setting their goals, since the organizations know their communities best. In its funding calculation, HHS interpreted this goal as the number of individuals navigator organizations planned to enroll in exchange plans. However, as written in the award application instructions, the goal could be interpreted more broadly, because not all individuals whom navigators assist with the selection of exchange plans ultimately apply and enroll in coverage. Representatives from one navigator organization we spoke with said they did interpret this goal more broadly than how it was ultimately interpreted by HHS\u2014and thus set it as the number of consumers they planned to assist in a variety of ways, not limiting it to those they expected to assist through to the final step of enrollment in coverage. The navigator organization therefore set a higher goal than it otherwise would have, had it understood HHS\u2019s interpretation of the goal, and ultimately received a decrease in funding for 2018.", "As a result, we found that two of the three inputs in HHS\u2019s calculation of 2018 navigator organization awards were problematic (see fig. 7).", "HHS\u2019s reduced funding and revised funding allocation approach resulted in a range of implications for navigator organizations. According to HHS officials, eight of the navigator organizations that were offered reduced funding for 2018\u2014with reductions ranging from 50 to 98 percent of 2017 funding levels\u2014declined their awards and withdrew from the program. HHS reported asking the remaining navigator organizations to focus on re-enrolling consumers who had coverage in 2017 and resided in areas where issuers reduced or eliminated plan offerings for 2018, and informing consumers about the shortened open enrollment period for 2018 coverage. Representatives of the navigator community group we interviewed reported that many navigator organizations did focus their resources on enrollment and cut back on outreach efforts, particularly in rural areas. According to self-reported navigator organization data provided by HHS, navigator organizations collectively reported conducting 68 percent fewer outreach events during the 2018 open enrollment period as compared to the 2017 period. Representatives from the navigator organizations we interviewed also reported making changes to their operations; for example, officials from one of the navigator organizations reported cutting staff and rural office locations. Officials from another navigator organization said that they focused their efforts on contacting prior exchange enrollees to assist them with re-enrollment, instead of finding and enrolling new consumers, and de-prioritized assistance with Medicaid enrollment. The three navigator organizations we spoke with that had funding cuts for 2018 also reported that their ability to perform the full range of navigator duties during the rest of the year would be compromised because they needed to make additional cuts in their operations\u2014such as reducing staff and providing less targeted assistance to underserved populations\u2014in order to reduce total costs. One of the three navigator organizations reported that it may go out of business at the end of the 2018 award year.", "HHS\u2019s narrower approach to awarding funding; lack of reliable, complete data on the extent to which navigator organizations enrolled individuals in exchange plans; and lack of clear guidance to navigator organizations on how to set their goals could hamper the agency\u2019s ability to use the program to meet its objectives. Federal internal control standards state that management should use quality information to achieve the agency\u2019s objectives, such as by using relevant, reliable data for decision-making. Without reliable performance data and accurate goals, HHS will be unable to measure the effectiveness of the navigator program and take informed action as necessary. Further, because HHS calculated awards using problematic data, navigator organizations may have received awards that did not accurately reflect their performance in enrolling individuals in exchange plans. Additionally, HHS\u2019s narrow focus on exchange enrollment limited its ability to make decisions based on relevant information. Moving forward, this may affect navigator organizations\u2019 interests and abilities in providing a full range of services to their communities, including underserved populations. This, in turn, could affect HHS\u2019s ability to meet its objectives, such as its objective of improving Americans\u2019 access to health care."], "subsections": []}]}, {"section_title": "HHS Did Not Set Numeric Enrollment Targets for 2018, and Instead Focused on Enhancing Certain Aspects of Consumers\u2019 Experiences", "paragraphs": ["HHS did not set any numeric enrollment targets for 2018 related to total healthcare.gov enrollment, as it had in prior years. In prior years, HHS used numeric targets to monitor enrollment progress during the open enrollment period and focus its resources on those consumers that it believed had a high potential to enroll in exchange coverage. For example, HHS established a target of enrolling a total of 13.8 million individuals during the 2017 open enrollment period and also set numeric enrollment targets for 15 regional markets that the agency identified as presenting strong opportunities for meaningful enrollment increases, partly due to having a high percentage of eligible uninsured individuals. HHS used these regional target markets to focus its outreach, travel, and collaborations with local partners. According to agency officials, during prior open enrollment periods, HHS monitored its performance with respect to its targets and revised its outreach efforts in order to better meet its goals.", "According to federal internal control standards, agencies should design control activities to achieve their objectives, such as by establishing and monitoring performance measures. HHS has recognized the importance of these internal controls by requiring state-based exchanges to develop performance measures and report on their progress. Without developing numeric targets for healthcare.gov enrollment, HHS\u2019s ability to both perform high level assessments of its performance and progress and to make critical decisions about how to use its resources is hampered. HHS may also be unable to ensure that it meets its objectives\u2014including its current objective of improving Americans\u2019 access to health care, including by stabilizing the market and implementing policies that increase the mix of younger and healthier consumers purchasing plans through the individual market.", "HHS leadership decided against setting numeric enrollment targets for the 2018 open enrollment period and instead focused on a goal of enhancing the consumer experience, according to HHS officials. Specifically, HHS officials measured the consumer experience based on its assessment of healthcare.gov availability and functionality, and call center availability and customer satisfaction. HHS officials told us that they selected these measures of the consumer experience because healthcare.gov and the call center represent two of the largest channels through which consumers interact with the exchange. HHS reported meeting its goal based on consumers\u2019 improved experiences with these two channels, some of which had been problematic in the past. (See fig. 8.)", "Healthcare.gov. According to HHS officials, the healthcare.gov website achieved enhanced availability and functionality for the 2018 open enrollment period, continuing a trend in improvements over prior years. While HHS scheduled similar periods of healthcare.gov downtime for maintenance in 2017 and 2018, the website had less total downtime during the 2018 open enrollment period because the agency needed to conduct less maintenance. HHS officials attributed the increased availability in part to an operating system upgrade and comprehensive testing of the website that they conducted before the 2018 open enrollment period began. In addition, unlike prior years, HHS officials said that the agency published scheduled maintenance information for 2018 to reduce scheduling conflicts for consumers and groups providing enrollment assistance. HHS also reported enhancing the functionality of the website for the 2018 open enrollment period, including by adding new tools, such as a \u201chelp on demand\u201d feature that links consumers with a local agent or broker willing to assist them, as well as updated content that included more plain language. Many stakeholders we interviewed told us that healthcare.gov functioned well during the open enrollment period and was more available than it had been in prior years.", "Call Center Assistance. According to HHS officials, the call center reduced wait times and improved customer satisfaction scores in 2018, continuing a trend in improvements over prior years. HHS officials reported average wait times of 5 minutes, 38 seconds for the 2018 open enrollment period\u2014almost four minutes shorter than the average wait time experienced during a comparable timeframe of the 2017 open enrollment period. HHS officials attributed this reduction in wait times to improvements in efficiency, including scripts that used fewer words and generated fewer follow-up questions. In addition, there was a modest reduction in call center volume during similar timeframes of the 2017 and 2018 open enrollment periods. Officials from many stakeholders we interviewed reported that call center assistance was more readily available this year than it had been in prior years. HHS officials also reported an average call center customer satisfaction score of 90 percent in 2018 compared to 85 percent in 2017, based on surveys conducted at the end of customer calls.", "Although HHS officials reported that the agency met its goal of enhancing specific aspects of the consumer experience for the 2018 open enrollment period, HHS narrowly defined its goal and excluded certain aspects of the consumer experience that it had identified as key as recently as 2017. More specifically, in 2017, HHS reported that successful outreach and education events and the availability of in-person consumer assistance, such as that provided by navigators to help consumers understand plan options, were key aspects of the consumer experience. However, HHS did not include these key items when measuring progress toward their 2018 goal of enhancing the consumer experience. Federal internal control standards state that agencies should identify risks that affect their defined objectives and use quality information to achieve these objectives, including by identifying the information required to achieve the objectives and address related risks. By excluding key aspects of the consumer experience in its evaluation of its performance, HHS\u2019s assessment of the consumer experience may be incomplete. For example, as noted above, some stakeholders we interviewed told us that consumer confusion likely detracted from enrollment for 2018, and some linked this outcome to HHS\u2019s reduced role in promoting exchange enrollment, including navigator support, which may have resulted in less in-person consumer assistance through navigators. HHS\u2019s assessment of the consumer experience, which focused only on consumers who used the website or reached out to the call center during open enrollment, did not account for the experiences of those who interacted with the health insurance exchanges through other channels, such as through navigators or agents and brokers."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Some experts have raised questions about the long-term stability of the exchanges absent sufficient enrollment, including among young and healthy consumers. To encourage exchange enrollment, HHS has traditionally conducted a broad outreach and education campaign, including funding navigator organizations that provide in-person enrollment assistance. For the 2018 open enrollment period, HHS reduced its support of navigator organizations and changed its approach for allocating navigator funding to focus on exchange enrollment alone. HHS allocated the funding based on performance data that were problematic for multiple reasons, including because some of the underlying data were unreliable. As a result, navigator organizations received funding that reflected a more limited evaluation of their performance than HHS had used in the past, and that may not have accurately reflected their performance. This raises the risk that navigator organizations will decrease the priority they place on fulfilling a range of other duties for which they are responsible, including providing assistance to traditionally underserved populations, which some navigator organizations we interviewed reported they had either decreased or planned to decrease due to reduced funding. HHS\u2019s lack of complete and reliable data on navigator organization performance hampers the agency\u2019s ability to make appropriately informed decisions about funding. Moreover, its focus on enrollment alone in awarding funding may affect navigator organizations\u2019 ability to fulfill the full range of their responsibilities, which could in turn affect HHS\u2019s ability to use the program as a way to meet its objective of enhancing Americans\u2019 access to health care.", "In addition, the lack of numeric enrollment targets for HHS to evaluate its performance with respect to the open enrollment period hampers the agency\u2019s ability to make informed decisions about its resources. HHS reported achieving a successful consumer experience for the 2018 open enrollment period based on enhancing its performance in areas that had been problematic in the past. However, the agency\u2019s evaluation of its performance did not include aspects of the consumer experience that it identified in 2017 as key, and for which stakeholders reported problems in 2018. As a result, its assessment of its performance in enhancing the consumer experience was likely incomplete. Absent a more complete assessment, HHS may not have the information it needs to fully understand the consumer experience."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to HHS:", "The Secretary of HHS should ensure that the approach and data it uses for determining navigator award amounts accurately and appropriately reflect navigator organization performance, for example, by 1. providing clear guidance to navigator organizations on performance goals and other information they must report to HHS that will affect their future awards, 2. ensuring that the fields used to capture the information are functioning properly, and 3. assessing the effect of its current approach to funding navigator organizations to ensure that it is consistent with the agency\u2019s objectives. (Recommendation 1)", "The Secretary of HHS should establish numeric enrollment targets for healthcare.gov, to ensure it can monitor its performance with respect to its objectives. (Recommendation 2)", "Should the agency continue to focus on enhancing the consumer experience as a goal for the program, the Secretary of HHS should assess other aspects of the consumer experience, such as those it previously identified as key, to ensure it has quality information to achieve its goal. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for comment. In its comments, reproduced in appendix VI, HHS concurred with two of our three recommendations. HHS also provided technical comments, which we incorporated as appropriate.", "HHS concurred with our recommendation that it ensure that the approach and data it uses for determining navigator awards accurately and appropriately reflect navigator organization performance. In its comments on our draft report, HHS stated that it had notified navigator organizations that their funding would be linked to the organizations\u2019 self-identified performance goals and their ability to meet those goals. On July 10, 2018, HHS issued its 2019 funding opportunity announcement for the navigator program, which required those applying for the award to set performance goals, including for the number of consumers assisted with enrollment and re-enrollment in exchange plans, and also states that failure to meet such goals may negatively impact a recipient\u2019s application for future funding. In its comments, HHS also noted that it is in the process of updating the healthcare.gov website so that individual applications can hold the identification numbers of multiple entities, such as navigators, agents or brokers, and will work to ensure that the awards align with agency objectives.", "HHS also concurred with our recommendation that the agency assess other aspects of the consumer experience, such as those it previously identified as key, to ensure it has quality information to achieve its goal. HHS noted that it had assessed the consumer experience based on the availability of the two largest channels supporting exchange operations, and also noted that it will consider focusing on other aspects of the consumer experience as needed.", "HHS did not concur with our recommendation that the agency establish numeric enrollment targets for healthcare.gov, to ensure that it can monitor its performance with respect to its objectives. Specifically, HHS noted that there are numerous external factors that can affect a consumer\u2019s decision to enroll in exchange coverage that are outside of the control of HHS, including the state of the economy and employment rates. HHS stated that it does not believe that enrollment targets are relevant to assess the performance of a successful open enrollment period related to the consumer experience. Instead, it believes a more informative performance metric would be to measure whether everyone who utilized healthcare.gov, who qualified for coverage, and who desired to purchase coverage, was able to make a plan selection.", "We continue to believe that the development of numeric enrollment targets is important for effective monitoring of the program and management of its resources. Without establishing numeric enrollment targets for upcoming open enrollment periods, HHS\u2019s ability to evaluate its performance and make informed decisions about how it should deploy its resources is limited. We also believe that these targets could help the agency meet its program objectives of stabilizing the market and of increasing the mix of younger and healthier consumers purchasing plans through the individual market. Furthermore, HHS has previously demonstrated the ability to develop meaningful enrollment targets using available data. For example, in prior years, HHS developed numeric enrollment targets based on a range of factors, including the number of exchange enrollees, number of uninsured individuals, and changes in access to employer-sponsored insurance, Medicaid, and other public sources of coverage. In addition, the agency set numeric enrollment targets for regional markets that took these and other factors into account. Once these targets were established, HHS officials were able to use them to monitor progress throughout the open enrollment period and revise its efforts as needed.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of HHS. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: GAO List of Factors That May Have Affected 2018 Healthcare.gov Enrollment", "paragraphs": ["We identified a list of factors that may have affected 2018 healthcare.gov enrollment based on a review of Department of Health and Human Services information, interviews with health policy experts, and review of recent publications by these experts related to 2018 exchange enrollment.", "Factors related to the open enrollment period:", "Open enrollment conducted during a shorter 6-week open enrollment period.", "Consumer awareness of this year\u2019s open enrollment deadline.", "Factors related to plan availability and plan choice:", "Plan affordability for consumers ineligible for financial assistance.", "Plan affordability for consumers eligible for financial assistance.", "Consumers\u2019 perceptions of plan affordability.", "Availability of exchange-based plan choices.", "Availability of off-exchange plan choices.", "Consumer reaction to plan choices.", "Factors related to outreach and education:", "Reductions in federal funding allocated to outreach and education, and lack of television and other types of advertising.", "Top Administration and agency officials\u2019 messaging about the health insurance exchanges and open enrollment.", "National and local media reporting on the exchanges and open enrollment.", "Local outreach and education events conducted by federally funded navigator organizations.", "Outreach and education efforts and/or advertising by some states, issuers, advocacy groups, community organizations, and agents and brokers.", "Factors related to enrollment assistance and tools:", "Availability of one-on-one enrollment assistance from federally funded navigator organizations.", "Availability of one-on-one enrollment assistance from agents and brokers.", "Updates to the content and function of the healthcare.gov website.", "Availability of the healthcare.gov website during the open enrollment period.", "Availability of assistance through the call center during the open enrollment period.", "Consumer understanding of the Patient Protection and Affordable Care Act and its status.", "Automatic re-enrollment occurred on the last day of the open enrollment period."], "subsections": []}, {"section_title": "Appendix II: Information about Stakeholders Interviewed", "paragraphs": [], "subsections": [{"section_title": "Number of organizations interviewed", "paragraphs": ["4 Navigator organizations were selected to reflect a range in: (1) amount of 2018 award from the Department of Health and Human Services (HHS); (2) change in HHS award amount from 2017; (3) region; and (4) target population.", "Insurance departments in six states that use the federally facilitated exchanges were selected to reflect a range with respect to: (1) 2018 healthcare.gov enrollment outcomes; (2) strategies used for calculating 2018 premiums to compensate for the loss of federal cost-sharing reduction payments; (3) changes in 2018 navigator organization award amounts; and (4) the number of issuers offering 2018 exchange coverage in the state. 3 Three issuers were selected who offered 2018 plans on healthcare.gov exchanges; two of which sold exchange plans in multiple states. 5 Five research and consumer advocacy organizations were selected to provide a range of perspectives with respect to the law and issues related to exchange outreach and enrollment. 3 Three professional trade associations were selected to collectively represent the perspectives of regulators, issuers, and consumer assisters. 2 Two state-based exchanges were selected based on the length of their open enrollment periods\u2014one had one of the shortest open enrollment periods and the other had one of the longest open enrollment periods for 2018.", "Navigator organizations, among other things, carry out public education activities and help consumers enroll in a health insurance plan offered through the exchange. HHS awards financial assistance to navigator organizations that provide these services in states using the federally facilitated exchange. An issuer is an insurance company, insurance service, or insurance organization that is required to be licensed to engage in the business of insurance in a state. State-based exchanges are able to set their own budget and strategy for promoting exchange enrollment and set the length of their open enrollment periods."], "subsections": []}, {"section_title": "Metal tier of selected plan Bronze", "paragraphs": [], "subsections": []}, {"section_title": "Household income", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix IV: Selected Stakeholder Views of Factors Likely Affecting 2018 Enrollment in Healthcare.gov Plans", "paragraphs": ["We identified a list of factors that may have affected 2018 healthcare.gov enrollment based on a review of Department of Health and Human Services (HHS) information, interviews with health policy experts, and review of recent publications by these experts related to 2018 exchange enrollment. Using this list, we conducted structured interviews with officials from 23 stakeholder organizations to gather their viewpoints as to whether and how these or other factors affected 2018 health insurance exchange enrollment. Organizations interviewed were selected to reflect a wide range of perspectives and included HHS-funded navigator organizations that provide in-person consumer enrollment assistance, issuers, state insurance departments, professional trade organizations, research and advocacy organizations, and state-based exchanges. Table 2 displays a range in stakeholder views about the impact of these factors."], "subsections": []}, {"section_title": "Appendix V: HHS Paid Advertising Expenditures for 2017 and 2018 Open Enrollment Periods", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Gerardine Brennan, Assistant Director; Patricia Roy, Analyst-in-Charge; Priyanka Sethi Bansal; Giao N. Nguyen; and Fatima Sharif made key contributions to this report. Also contributing were Muriel Brown, Laurie Pachter, and Emily Wilson."], "subsections": []}]}], "fastfact": ["We examined 2018 enrollment in Affordable Care Act health insurance exchanges and federal efforts to encourage enrollment.", "We found:", "About 8.7 million people bought insurance in 2018 through the federal website (healthcare.gov), 5% less than in 2017.", "Health and Human Services reduced its advertising and other consumer outreach. The 23 stakeholders we interviewed had mixed views about the effects of these reductions on enrollment.", "HHS did not set enrollment targets for 2018, but reported meeting its goal of enhancing specific aspects of consumer experience.", "We recommended that HHS take steps to better manage its performance."]} {"id": "GAO-18-100", "url": "https://www.gao.gov/products/GAO-18-100", "title": "Medicare Fee-For-Service: Modernizing Cost-sharing Design Would Involve Trade-offs, the Results of Which Would Depend on Time Horizon", "published_date": "2018-01-09T00:00:00", "released_date": "2018-02-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To address concerns with the current Medicare FFS cost-sharing design, various groups have proposed modernizing the design to make it simpler and include features found in private plans. These proposals have generally included a single deductible, modified cost-sharing requirements (e.g., a uniform coinsurance), and the addition of a cap on beneficiaries' annual cost-sharing responsibilities.", "GAO was asked to review how modernized cost-sharing designs would affect beneficiaries' costs over multiple years. This report describes implications of the current cost-sharing design; options for modernizing; and how modernized cost-sharing designs could directly and indirectly affect beneficiaries' costs.", "GAO reviewed studies related to modernizing Medicare's cost-sharing design and interviewed authors of those studies and other experts. GAO also used summarized Medicare claims data from 2007 to 2014 (the most recent data available) to develop four illustrative modernized designs, each including a single deductible, uniform coinsurance, and an annual cap while maintaining Medicare program spending similar to the current design. For each design, GAO calculated how beneficiaries' annual cost-sharing responsibilities compared with the current design over a 1-, 4-, and 8-year time horizon.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO and others have raised concerns about the design of Medicare fee-for-service (FFS) cost-sharing\u2014the portion of costs beneficiaries are responsible for when they receive care. The current cost-sharing design has been largely unchanged since Medicare's enactment in 1965, can be confusing for beneficiaries, and can contribute to overuse of services. Additionally, the design leaves some beneficiaries exposed to catastrophic costs that can exceed tens of thousands of dollars annually. The complexity of the design and lack of an annual cap on cost-sharing responsibilities also increases demand for supplemental insurance, which can cost beneficiaries thousands annually and further contribute to overuse of services.", "Modernizing Medicare FFS's cost-sharing design to include features found in private plans could help address these concerns, but would involve design trade-offs. For example, adding an annual cap on cost-sharing responsibilities while maintaining Medicare's aggregate share of costs similar to the current design would involve a trade-off between the level of the cap and other cost-sharing requirements.", "In analyzing four illustrative FFS cost-sharing designs, GAO found that the direct effect of modernizing the design on beneficiaries' cost-sharing responsibilities\u2014that is, the effect when holding utilization and enrollment constant\u2014would depend on the specific revisions and the time horizon examined. For example, GAO found that", "During year 1, cost-sharing designs that feature relatively low deductibles (costs a beneficiary is responsible for before Medicare starts to pay) and relatively high caps would result in a median annual beneficiary cost-sharing responsibility close to or below that of the current design. In contrast, designs with relatively low caps\u2014and therefore greater beneficiary protection from catastrophic costs\u2014would result in a median annual cost-sharing responsibility above that of the current design.", "By the end of 8 years, there would still be differences in the median annual beneficiary cost-sharing responsibility across different designs, but they would become less pronounced.", "Modernizing the Medicare FFS cost-sharing design would also affect beneficiaries' costs indirectly through altered incentives. The studies GAO reviewed and experts GAO interviewed identified several types of behavioral responses that would influence the net effect of a modernized design on beneficiaries' out-of-pocket costs, including changes in beneficiaries' demand for and insurers' supply of supplemental insurance; changes in beneficiaries' use of services; changes in Medicare beneficiaries' enrollment in FFS versus Medicare's private plan alternative; and interactions among these and other behavioral responses, including effects on the price of supplemental insurance."]}], "report": [{"section_title": "Letter", "paragraphs": ["GAO and others have long noted concerns about the design of Medicare fee-for-service (FFS) cost-sharing\u2014the portion of costs for covered services that beneficiaries are responsible for when they receive care. Generally, health care insurers set three types of cost-sharing parameters: (1) deductibles\u2014costs a beneficiary is responsible for before the health insurance plan will start to pay any costs; (2) coinsurance or copayments (per-service payments) once the deductible is met; and (3) caps\u2014limits on the maximum cost-sharing amount a beneficiary can be responsible for during a year for covered services. Medicare FFS\u2019s cost- sharing is complicated and not well designed to discourage unnecessary use of services. For example, Medicare FFS\u2019s cost-sharing design includes two separate deductibles: a relatively high deductible for hospital services, which are usually not discretionary and are less likely to be influenced by cost-sharing requirements, and a relatively low deductible for outpatient services, which are more often discretionary and likely to be influenced by cost-sharing requirements. In addition, Medicare FFS lacks an annual cap, which can leave beneficiaries vulnerable to catastrophic costs.", "To address these concerns, various groups have proposed revising Medicare FFS\u2019s cost-sharing design, which has been largely unchanged from when Medicare was enacted in 1965. Specifically, groups have proposed that Medicare FFS\u2019s cost-sharing design be simplified and include features found in private plans (including in Medicare Advantage (MA), the private plan alternative to Medicare FFS), which have evolved over time to promote prudent use of health care services and protect beneficiaries from catastrophic care costs. Although the specifics of each proposal to revise Medicare FFS\u2019s cost-sharing design have varied, the proposals have generally shared three features. First, they have proposed establishing a single deductible to replace the current separate deductibles for hospital and outpatient services. Second, they have proposed modifying the per-service payments, with some proposals suggesting moving to a uniform coinsurance that would be the same for all services and others suggesting variable copayments tied to the clinical value of the service. Third, they have proposed adding an annual cap.", "Modernizing Medicare\u2019s cost-sharing design would have both direct and indirect effects on beneficiaries\u2019 costs. The direct effect would be how the revised design would change beneficiaries\u2019 cost-sharing responsibilities for a given set of services. The indirect effect would be that the altered incentives under a revised design would trigger behavioral responses, such as changes in beneficiaries\u2019 utilization of health care services, enrollment in supplemental insurance to help cover their Medicare cost- sharing responsibilities, or enrollment in Medicare FFS or MA. The indirect and direct effects together would determine how a modernized design would affect beneficiaries\u2019 total out-of-pocket costs for covered services (the amount of cost-sharing paid directly by the beneficiary plus the premiums (monthly fees) that beneficiaries pay for their Medicare coverage and other supplemental insurance they may have).", "Some studies have examined how modernizing Medicare\u2019s cost-sharing design would affect beneficiaries financially; however, they have primarily focused on first-year effects and may have understated the advantages to beneficiaries of adding an annual cost-sharing cap. Over longer time horizons, the percentage of beneficiaries who would benefit from a catastrophic coverage cap in at least 1 year increases. However, as the time horizon lengthens it becomes more difficult to predict beneficiaries\u2019 behavioral responses and their interactions with any degree of confidence. Analyzing the direct effect of a modernized cost-sharing design\u2014the effect on beneficiaries\u2019 cost-sharing responsibilities, holding utilization and enrollment constant\u2014over multiple years provides a baseline for understanding how the effect would vary depending on the parameters of the revised design and the time horizon examined. In turn, discussing behavioral responses that might be triggered by this direct effect provides a fuller picture of how a modernized cost-sharing design might affect beneficiaries\u2019 total out-of-pocket costs.", "You requested that we examine the potential annual and multiyear effects on beneficiaries\u2019 costs if the Medicare FFS cost-sharing design were modernized to include a single deductible, uniform coinsurance above the deductible, and an annual cap. This report describes 1. implications of the current Medicare FFS cost-sharing design and options for modernizing while maintaining Medicare\u2019s and beneficiaries\u2019 aggregate share of costs; 2. how modernized cost-sharing designs could directly affect beneficiaries\u2019 cost-sharing responsibilities; and 3. how modernized cost-sharing designs could indirectly affect beneficiaries\u2019 out-of-pocket costs.", "To identify implications of the current cost-sharing design and options for modernizing, we reviewed relevant studies and analyzed summary Medicare claims data. In particular, we reviewed studies exploring implications of the current design and potential options for modernizing, as well as studies and documentation on cost-sharing design in private plans, including those in MA. We also analyzed claims data from 2014 (the most recent year of data available at the time we began our study) to describe beneficiaries\u2019 cost-sharing responsibilities under the current design. We also used claims data to develop four illustrative options for modernized cost-sharing designs, each of which included a single deductible, uniform coinsurance, and an annual cap, while maintaining Medicare\u2019s aggregate share of costs similar to the current design when holding health care utilization and beneficiary enrollment constant. To do so, we first identified the approximately 28 million Medicare FFS beneficiaries who were continuously enrolled in Medicare FFS from January 2007 through December 2014 or their death. We then calculated each beneficiary\u2019s annual cost-sharing responsibilities under the current design and what they would have been under a revised design, holding utilization and enrollment constant. To identify the specific parameters for each illustrative design, we started with one of the four caps applicable to MA plans in 2014 and a uniform coinsurance of 20 percent (the same level as the coinsurance for most Part B services under the current design). We then tested different possible levels of the deductible until we found a level that maintained Medicare program spending and the split of costs between Medicare and beneficiaries similar to the current design.", "To illustrate how modernized cost-sharing designs could directly affect beneficiaries\u2019 cost-sharing responsibilities, we used the same cohort of 28 million beneficiaries. First, we calculated the distribution of these beneficiaries\u2019 1-year, 4-year, and 8-year annual cost-sharing responsibilities\u2014including the median and maximum responsibility\u2014 under the current cost-sharing design and each of the four illustrative designs, and compared these distributions. Second, we calculated the percentage of beneficiaries who would have experienced a change in their annual cost-sharing responsibilities in specified ranges\u2014including at least $100 lower or at least $100 higher than their responsibilities under the current design\u2014and the average change among these groups. We also calculated how these changes were related to whether a beneficiary reached the cap at least once. To assess the accuracy of the summary Medicare claims data, we reviewed related documentation; interviewed Centers for Medicare & Medicaid Services (CMS) officials knowledgeable about the data; conducted checks for missing, duplicative, or erroneous data; and compared our results with published data. Based on these activities, we determined that the data we used were sufficiently reliable for the purposes of our reporting objectives.", "To identify how modernized cost-sharing designs could indirectly affect beneficiaries\u2019 out-of-pocket costs, we reviewed relevant studies and interviewed experts. The experts we interviewed included staff from CMS\u2019s Office of the Actuary; organizations that conducted studies on modernizing the Medicare FFS cost-sharing design (the Congressional Budget Office, Kaiser Family Foundation, and Medicare Payment Advisory Commission (MedPAC)); and other entities with insight on some of the potential effects of modernizing the Medicare FFS cost-sharing design (the American Academy of Actuaries and National Association of Insurance Commissioners).", "We conducted this performance audit from March 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Medicare FFS Program", "paragraphs": ["In 2016, Medicare spent about $380 billion on health care services for beneficiaries enrolled in Medicare FFS, which consists of two separate parts: Medicare Part A, which primarily covers hospital services, and Medicare Part B, which primarily covers outpatient services. The majority of the 38 million Medicare FFS beneficiaries were enrolled in both Part A and Part B, although about 5 million were enrolled in Part A only and 0.3 million were enrolled in Part B only."], "subsections": []}, {"section_title": "Medicare FFS Cost- Sharing Design", "paragraphs": ["The general design of Medicare FFS cost-sharing has been largely unchanged since Medicare\u2019s enactment in 1965. It includes separate deductibles for Part A and Part B services, a variety of per-service copayments and coinsurance after the deductibles are met, and no cap on beneficiaries\u2019 cost-sharing responsibilities (see table 1)."], "subsections": []}, {"section_title": "Supplemental Insurance among Medicare FFS Beneficiaries", "paragraphs": ["The current cost-sharing design leaves beneficiaries exposed to potentially catastrophic cost-sharing, and in part because of that, in 2015, 81 percent of Medicare FFS beneficiaries obtained supplemental insurance that covered some or all of their Medicare cost-sharing responsibilities, often in exchange for an additional premium (see table 2). For example, in 2015, 31 percent of Medicare FFS beneficiaries purchased a private Medigap plan, the most common types of which fully insulated them from Medicare cost-sharing responsibilities in exchange for an average annual premium of $2,400. Another 20 percent of Medicare FFS beneficiaries enrolled in Medicaid, which generally covered most of their Medicare cost-sharing responsibilities; however, these low- income beneficiaries generally only paid a limited or no premium for this supplemental coverage."], "subsections": []}]}, {"section_title": "Medicare FFS Cost- sharing Can Be Confusing and Lead to Overuse of Services; Modernizing Could Address Concerns, but Would Involve Trade-offs", "paragraphs": ["The current Medicare FFS cost-sharing design can be confusing, contribute to beneficiaries\u2019 overuse of services, and leave beneficiaries exposed to catastrophic costs. Modernizing the design could address these concerns, but would involve trade-offs. For example, as shown in four illustrative designs that we evaluated, maintaining Medicare\u2019s share of costs would involve a trade-off between the level of the cap and the deductible (or other cost-sharing)."], "subsections": [{"section_title": "Medicare FFS Cost- sharing Design Can Be Confusing, Contribute to Beneficiaries\u2019 Overuse of Services, and Leave Them Exposed to Catastrophic Costs", "paragraphs": ["As noted by Medicare advocacy groups and others, the current Medicare FFS cost-sharing design, which includes multiple deductibles, can be confusing for beneficiaries. In 2014, 16 percent of Medicare FFS beneficiaries were responsible for at least one Part A deductible for an episode of inpatient care as well as the annual Part B deductible. (Medicare FFS beneficiaries may be subject to more than one Part A deductible during the year, as the Part A deductible applies to each admission to an inpatient hospital or skilled nursing facility that occurs more than 60 consecutive days after the prior admission.) The Congressional Budget Office has cited the separate deductibles as one way in which Medicare FFS cost-sharing is more complicated than private plans. In 2016, according to a survey conducted by the Kaiser Family Foundation, only 1 percent of workers with employer-sponsored insurance had a separate deductible for inpatient services. Moreover, inpatient services tend to be nondiscretionary, and one or more deductibles for those services can create a financial burden for beneficiaries, while having minimal effect on their use of inpatient services.", "The cost-sharing design also affects beneficiaries\u2019 utilization of services. For example, as noted by the bipartisan Simpson-Bowles Fiscal Commission, the lack of a coherent cost-sharing system is a significant contributor to overuse and misuse of care. This is particularly true for services such as home health and clinical laboratory services, which currently have no cost-sharing under Medicare FFS and thus do not provide beneficiaries an incentive to decline care of negligible value. Because of these concerns, MedPAC recommended adding a cost- sharing requirement for home health services that were not preceded by hospitalization or post-acute care, noting that the current lack of cost- sharing has likely contributed to the significant rise in utilization for these services, which suggests some overuse.", "At the same time, the lack of an annual cost-sharing cap prevents Medicare FFS from fulfilling a key purpose of health insurance: protecting beneficiaries from catastrophic medical expenses. While most beneficiaries had cost-sharing responsibilities under $2,000 in 2014, 1 percent\u2014over 300,000 beneficiaries\u2014had responsibilities over $15,000, including several hundred beneficiaries with responsibilities between $100,000 and $3 million. (See fig. 1.) Given the risk of catastrophic medical expenses, a focus group of current and future Medicare beneficiaries convened by MedPAC indicated that an annual cap is the cost-sharing design feature they were most interested in seeing added to the Medicare benefit. Annual caps are a common design feature of private plans, as most are required to have an annual cap, including those participating in MA. Specifically, since 2011, CMS has required most MA plans to have an annual cap of $6,700 or less and grants them additional flexibility in their cost-sharing design if they voluntarily set their cap at or below $3,400. The mandatory and voluntary caps for certain MA plans that provide both in- and out-of-network coverage are the same ($6,700 and $3,400) for in-network services, and 1.5 times higher ($10,000 and $5,100) for combined in- and out-of-network services.", "In addition to these implications of the cost-sharing design itself, the American Academy of Actuaries and others have noted that the complexity and the possibility of unlimited responsibilities increases demand for supplemental insurance, which can lead to added costs for beneficiaries and the Medicare program. It is uncommon for beneficiaries enrolled in private health insurance to have supplemental coverage. By insulating beneficiaries from some or all cost-sharing responsibilities (and not just catastrophic costs), supplemental insurance further reduces the incentives for beneficiaries to evaluate the need for discretionary care. In part because of these reduced incentives, we previously estimated that both beneficiaries\u2019 average total out-of-pocket costs and average Medicare program spending were higher for Medicare FFS beneficiaries with Medigap than those with FFS only."], "subsections": []}, {"section_title": "Modernizing Medicare FFS Cost-sharing Could Address Concerns, but Would Involve Design Trade-offs", "paragraphs": ["Modernizing Medicare FFS cost-sharing could address these concerns, but would involve design trade-offs. Specifically, as proposed by various groups, revising Medicare\u2019s cost-sharing design to include a single deductible, modified cost-sharing requirements, and an annual cost- sharing cap could address concerns with the current cost-sharing design. However, there are multiple options for revising within this broad framework, including two key design trade-offs that would affect the extent to which a modernized structure would address concerns about the current design (and possibly also raise new concerns).", "One trade-off centers on how to modify the existing complicated set of cost-sharing requirements for different services. While the reform proposals have generally suggested moving to a single deductible, they have varied in how to modify the subsequent per-service payments. Some proposals have emphasized the value of simplicity and suggested replacing the complex set of per-service payments above the deductible with a uniform coinsurance. A uniform coinsurance would simplify the cost-sharing design, provide beneficiaries insight into the total cost of each service, and introduce cost-sharing for certain potentially discretionary services, such as home health services. However, as noted by the Medicare Payment Advisory Commission and Congressional Budget Office, uniform coinsurance also has drawbacks, such as a fixed percentage of an unknown bill being harder for beneficiaries to understand and predict than copayments. Other proposals have emphasized the need to set cost-sharing based on the value of services, and have suggested moving Medicare toward a value-based insurance design in which per-service cost-sharing would vary based on the clinical value of the service to an individual beneficiary. While a value-based design would specifically target cost-sharing to promote prudent use of health care services, implementing it is challenging in practice and would be more complicated for beneficiaries to understand and for CMS to administer, though CMS is testing the feasibility of value-based insurance design in MA.", "A second design trade-off centers on how to set the level of the deductible and the annual cap. As shown in the four illustrative cost- sharing designs we evaluated, the lower the cap, the higher the deductible (or other cost-sharing requirements) would need to be to maintain Medicare\u2019s and beneficiaries\u2019 aggregate share of costs similar to that of the current design. For example, holding utilization and enrollment constant, we found that even without any deductible, a uniform coinsurance of 18 percent (a level below the existing 20 percent coinsurance for most Part B services) would be sufficient to add a cap near $10,000 (the mandatory cap for certain MA plans that allow beneficiaries to see any provider). In contrast, it would take a deductible near $1,225 (a level similar to the existing Part A deductible for each inpatient episode) and a uniform coinsurance of 20 percent to establish a cap of $3,400 (the voluntary cap for most MA plans). (See table 3.)", "Different levels of the deductible and cap would address certain concerns of the current design raised by GAO and others but also could create new ones. For example, as our analysis of four illustrative cost-sharing designs shows, designs with relatively high caps would provide some additional protection from catastrophic costs while maintaining a deductible and coinsurance near or below the current levels for Part B services. However, per an analysis conducted by Kaiser Family Foundation and the Urban Institute, half of Medicare beneficiaries in 2016 were living on less than $26,200 in income; thus, caps of $6,700 or higher may still leave some beneficiaries vulnerable to costs that are catastrophic for them and may not significantly decrease the associated demand for supplemental insurance. In contrast, designs with relatively low caps would provide greater protection from catastrophic costs. However, as noted by the Congressional Budget Office, beneficiaries who reached the cap would have less incentive to use services prudently. In addition, the higher deductible needed to offset a lower cap while maintaining Medicare\u2019s share of costs could present a financial barrier for some beneficiaries to obtain necessary care."], "subsections": []}]}, {"section_title": "Direct Effect of Modernizing Medicare FFS Cost- sharing Design Would Depend on Specific Revisions and Time Horizon", "paragraphs": ["The direct effect of modernizing the Medicare FFS cost-sharing design (i.e., the effect when holding utilization and enrollment constant) on beneficiaries\u2019 cost-sharing responsibilities would depend on the specific revisions and the time horizon examined. As we noted above, modernizing the FFS cost-sharing design while maintaining Medicare\u2019s aggregate share of costs similar to the current design requires a trade-off between the level of the deductible and cap. At the beneficiary level, this design trade-off affects beneficiaries\u2019 annual cost-sharing and the degree to which beneficiaries would be protected from catastrophic costs. One way of viewing how the design trade-off affects beneficiaries is to compare across different designs the median annual cost-sharing responsibility with the level of the cap (see fig. 2). In examining the direct effect of the four illustrative modernized designs we analyzed, we found the following:", "During year 1, cost-sharing designs that feature relatively low deductibles and relatively high caps would result in a median annual beneficiary cost-sharing responsibility close to or below that of the current design. In contrast, designs with relatively low caps\u2014and therefore greater beneficiary protection from catastrophic costs\u2014 would result in a median annual beneficiary cost-sharing responsibility above that of the current design. For example, during year 1 of a design with no deductible, 18 percent coinsurance, and a cap near $10,000, we found that the median annual cost-sharing responsibility would be $479, which is below that of the current design ($621), despite the addition of a cap. In contrast, during year 1 of a design with a $1,225 deductible, 20 percent coinsurance, and a cap near $3,400, the median annual cost-sharing responsibility would be $1,486, which is 2.4 times higher than that of the current design. However, in exchange for this higher median annual cost-sharing responsibility, beneficiaries would have much greater protection from catastrophic costs, as their annual cost-sharing responsibilities would be capped near $3,400.", "By the end of 8 years, there would still be differences in the median annual beneficiary cost-sharing responsibility across different designs, but they would become less pronounced\u2014despite the significantly different levels of catastrophic protection. As beneficiaries age and become more likely to have catastrophic costs in at least one year, the median annual cost-sharing responsibility would increase, regardless of the cost-sharing design. However, by the end of 8 years the differences in the median annual cost-sharing responsibility across different designs would become less pronounced. For example, the median annual cost-sharing responsibility under the design with a cap near $10,000 would increase from below that of the current design in year 1 to 1.1 times higher than the current design by the end of 8 years. In contrast, the median annual cost-sharing responsibility under the design with the cap near $3,400 would decrease from 2.4 times higher than the current design in year 1 to only 1.6 times higher by the end of 8 years. (See app. I table 4 for more details, including results on our other two illustrative designs and results over 4 years.)", "The same patterns held when looking at how the design trade-off affects beneficiaries in another way: the percentage of beneficiaries with cost- sharing responsibilities lower and higher than under the current design (see fig. 3). In examining the direct effect of our four illustrative designs, we found the following:", "During year 1, designs that feature relatively low deductibles and relatively high caps would result in a minority of beneficiaries having cost-sharing responsibilities that are at least $100 higher than under the current design. In contrast, designs with relatively high deductibles and relatively low caps would result in the majority of beneficiaries having cost-sharing responsibilities that are higher than under the current design. For example, during year 1 of a design with no deductible, 18 percent coinsurance, and a cap near $10,000, 16 percent of beneficiaries would have cost-sharing responsibilities at least $100 higher than their responsibilities under the current design. In contrast, during year 1 of a design with a $1,225 deductible, 20 percent coinsurance, and a cap near $3,400, 69 percent of beneficiaries would have cost-sharing responsibilities at least $100 higher than their responsibilities under the current design.", "By the end of 8 years, there would still be differences across the designs, but they would become less pronounced\u2014despite levels of catastrophic protection that vary significantly. Over a longer time horizon, a larger percentage of beneficiaries would reach the cap at least once, regardless of the cost-sharing design (ranging from 23 percent reaching the cap at least once over 8 years under the design with a cap near $10,000 to 66 percent under the design with a cap near $3,400). However, the subset of these beneficiaries who nonetheless had annual cost-sharing responsibilities at least $100 higher would also increase. Whether this increase would be augmented or offset by the changes over time in the percentage of beneficiaries who never reached the cap and had higher cost-sharing responsibilities would depend on the specific design. For example, the percentage of beneficiaries with annual cost-sharing responsibilities at least $100 higher than the current design would increase from 16 percent in year 1 to 38 percent by year 8 under the design with a cap near $10,000. In contrast, this percentage would decrease from 69 percent in year 1 to 67 percent by year 8 under the design with a cap near $3,400. (See app. I tables 5 and 6 for more details, including results on our other two illustrative designs and results over 4 years.)"], "subsections": []}, {"section_title": "Modernizing Medicare Cost- sharing Design Would Affect Costs Indirectly through Behavioral Responses", "paragraphs": ["Modernizing the Medicare FFS cost-sharing design would affect beneficiaries\u2019 costs indirectly through beneficiaries\u2019 and supplemental insurers\u2019 behavioral responses to altered incentives, according to the studies we reviewed and the experts we spoke to. These studies and experts identified several types of behavioral responses that would influence the net effect of a modernized design on beneficiaries\u2019 out-of- pocket costs, including changes in beneficiaries\u2019 demand for, and insurers\u2019 supply of, supplemental insurance; changes in beneficiaries\u2019 utilization of services; changes in Medicare beneficiaries\u2019 enrollment in FFS versus MA; and interactions among these and other behavioral responses, including effects on the price of supplemental insurance.", "According to studies we reviewed and experts we spoke to, implementing a modernized cost-sharing design would likely trigger changes in the demand for and supply of supplemental insurance. For example, a focus group of current and future Medicare beneficiaries convened by MedPAC and a report from the American Academy of Actuaries stated that the addition of an annual cap would reduce the need of some beneficiaries to purchase supplemental insurance. While beneficiaries who drop their supplemental insurance would then need to pay all their Medicare cost- sharing responsibilities, those might be less than their annual premium for supplemental insurance. Additionally, according to the same MedPAC study and a Congressional Budget Office report, retiree coverage may change under a modernized design. For example, with a cap in place, there would be less difference between employer-sponsored plans and Medicare, and employers may choose to alter the supplemental insurance they offer. CMS officials told us that this would continue the trend of private employers reducing retiree health coverage.", "Several studies we reviewed and experts we interviewed indicated that implementing a modernized design could also trigger changes in utilization of Medicare services, the extent of which would affect beneficiaries\u2019 out-of-pocket costs. For example, the RAND Health Insurance Experiment (HIE), which some experts consider to be the most comprehensive study on price and utilization, found that patients were \u201cmoderately sensitive to price.\u201d The RAND HIE found that patients respond to increases in cost-sharing that they need to pay at least partly out-of-pocket by decreasing their use of some services. Similarly, CMS officials told us that they would expect utilization to decrease as beneficiaries\u2019 out-of-pocket costs increased, while a study in the American Economic Review found that the addition of a copayment led to a decline in office visits. The RAND HIE study suggests that a 10 percent increase in cost-sharing would lead to a 1 to 2 percent decline in patients\u2019 use of services. In the case of the RAND HIE study, cost- sharing affected the number of contacts people initiated with their physician, which impacted preventive care and diagnostic tests. The study found that this could potentially affect patients\u2019 use of both effective and less effective services.", "According to several studies and interviews with experts, design changes could trigger other behavioral responses. For example, a study by the Kaiser Family Foundation and a report by the Congressional Budget Office both anticipated that a modernized design could change the proportion of Medicare beneficiaries who decide to enroll in FFS or MA. Similarly, officials from the American Academy of Actuaries told us that they would expect a change in demand for MA under a modernized design. Under the current Medicare design, all MA plans have an annual cap that protects beneficiaries from catastrophic medical expenses. Between 2008 and 2017, the percentage of Medicare beneficiaries who chose to enroll in an MA plan increased from 22 to 33 percent. CMS officials told us that the increases in MA enrollment may be due in part to the requirement that MA plans must include an annual cost-sharing cap. The Kaiser Family Foundation study found that a modernized design, similar to that of an MA plan, might incentivize some MA beneficiaries to move back to FFS.", "According to experts we interviewed and studies we reviewed, different behavioral responses described above would also likely interact and affect beneficiaries\u2019 out-of-pocket costs. CMS officials told us that when all of the factors contributing to out-of-pocket costs are combined, it is difficult to assess the net effect of a modernized cost-sharing design on beneficiaries\u2019 out-of-pocket costs. For example, officials with the National Association of Insurance Commissioners emphasized that as both demand for supplemental insurance and expected utilization changed, supplemental premiums would also change, which would change out-of- pocket costs. Similarly, studies by both MedPAC and the Congressional Budget Office found that changes in beneficiaries\u2019 level of supplemental insurance might trigger additional changes in utilization, which would also result in changes to the pricing of supplemental insurance. Specifically, if a number of relatively healthy beneficiaries dropped their supplemental insurance, and the beneficiaries left were sicker (that is, more costly), premiums for supplemental insurance might increase. Officials from the Congressional Budget Office told us that, conversely, if the more costly beneficiaries dropped their supplemental insurance, premiums might be lower."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services for comment. The Department provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or cosgrovej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Direct Effect on Medicare Beneficiaries\u2019 Cost-sharing Responsibilities under Four Illustrative Cost-sharing Designs", "paragraphs": ["The direct effect of modernizing the Medicare fee-for-service (FFS) cost- sharing design (i.e., the effect when holding utilization and enrollment constant) on beneficiaries\u2019 cost-sharing responsibilities would depend on the specific revisions and the time horizon examined. Tables 4, 5, and 6 present the direct effect of modernizing the Medicare FFS cost-sharing design on beneficiaries\u2019 cost-sharing responsibilities under four illustrative designs. Each table presents the direct effect of each illustrative design over 1-, 4-, and 8-year time horizons."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Greg Giusto (Assistant Director), Alison Binkowski, George Bogart, Reed Meyer, Beth Morrison, Brandon Nakawaki, and Brian O\u2019Donnell made key contributions to this report. Also contributing were Todd Anderson, Emei Li, Yesook Merrill, Vikki Porter, and Frank Todisco."], "subsections": []}]}], "fastfact": ["Medicare beneficiaries must cover a portion of the costs of services they receive. The rules governing traditional Medicare\u2019s cost-sharing have changed little since the program began in 1965, while private insurance has evolved to include features that traditional Medicare lacks, such as an annual cap on the costs for which beneficiaries are responsible.", "As a result, Medicare beneficiaries can face catastrophic costs exceeding tens of thousands of dollars annually.", "In this report, we analyzed four scenarios for modernizing Medicare cost-sharing rules and how such changes could affect beneficiaries' costs."]} {"id": "GAO-18-236", "url": "https://www.gao.gov/products/GAO-18-236", "title": "Aviation Security: TSA Uses Current Assumptions and Airport-Specific Data for Its Staffing Process and Monitors Passenger Wait Times Using Daily Operations Data", "published_date": "2018-02-01T00:00:00", "released_date": "2018-02-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TSA employs about 43,000 TSOs who screen over 2 million passengers and their baggage each day at airports in the United States. TSA allocates TSOs to airports using both a computer-based staffing model and information from airports that are intended to provide each airport with the optimum number of TSOs. In the spring of 2016, long screening checkpoint lines at certain U.S. airports raised questions about TSA's process for allocating TSOs to airports.", "The Aviation Security Act of 2016 includes a provision for GAO to review TSA's process for allocating TSOs. This report examines how (1) TSA modifies staffing assumptions and tailors staffing levels to airports' needs, (2) TSA monitors wait times and throughput and adjusts resources accordingly, and (3) TSA shares information with stakeholders about staffing and related screening procedures at airports. GAO reviewed TSA documentation describing how the agency modifies staffing assumptions and manages stakeholder coordination. GAO also analyzed passenger wait time and throughput data from January 2015 through May 2017 for the 28 airports monitored by headquarters. GAO visited eight airports selected on the basis of passenger volume and other factors and interviewed TSA officials and stakeholders at those locations.", "GAO is not making any recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) modifies staffing assumptions used in its computer-based staffing model (model) and tailors staffing levels to individual airport needs. Specifically, TSA works with a contractor annually to evaluate the assumptions used in the model and modifies the model's assumptions as needed. For example, TSA adjusted its model after contractor evaluations conducted in fiscal years 2016 and 2017 found that transportation security officers (TSO) needed more time to screen passengers and their baggage when using one type of screening equipment. Moreover, in 2016, TSA began using forecasts on the number of passengers screened at each airport's checkpoints (throughput) to better allocate staff commensurate with the expected rate of increase in passenger throughput at each airport. Furthermore, prompted by the long wait times at some airports in 2016, for the 2017 model TSA officials used actual expedited screening data, specific to each individual airport, rather than relying on the system-wide estimate used in 2016. TSA officials also use other information specific to each airport\u2014such as staff training needs\u2014to further tailor the TSO allocation because the initial allocation resulting from the model does not reflect the full range of operating conditions at individual airports.", "TSA uses data to monitor passenger wait times and throughput on a daily basis and responds to increases. For example, TSA's Airport Operations Center (AOC) monitors daily wait times and passenger throughput from 28 airports that TSA officials say represent the majority of passenger throughput nationwide or are operationally significant. Furthermore, TSA officials at airports are required to report to the AOC when an event occurs\u2014such as equipment malfunctions\u2014that affects airport screening operations and results in wait times that are greater than 30 minutes in standard screening lanes. GAO analyzed wait time data for the AOC-monitored airports for the period of January 2015 through May 2017 and found that TSA's reported wait times met its standard of less than 30 minutes in standard screening 99 percent of the time. Within that time frame, two airports accounted for the longest wait times in the spring of 2016. TSA officials identified several tools, such as passenger screening canines, that they use to respond to increases in passenger wait times at these airports.", "TSA has taken steps to improve information sharing with airline and airport officials (stakeholders) about staffing and related airport screening operations, and most stakeholders GAO interviewed reported improved satisfaction with information sharing. However, some stakeholders noted differences in the type and extent of information shared. According to TSA officials, stakeholders can elevate any problems they experience with information sharing within TSA to ensure information is shared regularly with stakeholders."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security\u2019s Transportation Security Administration (TSA) employs about 43,000 transportation security officers (TSOs) who screen over 2 million passengers and their accessible and checked baggage each day at airports in the United States. TSA allocates TSOs to airports using its Resource Allocation Plan (RAP), which is intended to provide each airport with the optimum number of TSOs needed to screen passengers for threats to aviation security, such as prohibited and other potentially dangerous items. In the spring of 2016, unusually long screening checkpoint lines at certain major U.S. airports raised questions about TSA\u2019s process for allocating TSOs to airports. Identifying and deploying the right number of TSOs to meet individual airport needs throughout the United States is a critical TSA responsibility for carrying out the agency\u2019s mission to protect the nation\u2019s transportation systems, while also ensuring the free movement of people and commerce.", "To implement passenger screening and pursue efficient operations, in addition to relying on TSOs, TSA works with officials from airlines and airports, as well as officials from associations that represent airlines and airports. In this report, we refer to all of these officials as \u2018stakeholders.\u2019 At airports, Federal Security Directors (FSDs) and their designees work with individual airport operators and airlines to, among other things, adjust TSA resources (i.e., TSOs and screening assets such as metal detectors) in response to increases in the number of passengers that are screened at each checkpoint (throughput) and monitor passenger wait times at checkpoints.", "In 2007, we reviewed the RAP (referred to as the Staffing Allocation Model at that time) and recommended, among other things, that TSA establish a mechanism to ensure periodic assessment of the assumptions, such as passenger and checked baggage screening rates, underlying the RAP. TSA agreed with the recommendation and in December 2007 developed a plan to periodically assess the RAP\u2019s assumptions.", "The Aviation Security Act of 2016 includes a provision for GAO to conduct a review of TSA\u2019s RAP. This report addresses (1) how TSA modifies staffing assumptions and has mechanisms in place to tailor TSO staffing levels to individual airports\u2019 needs, (2) how TSA monitors wait times and throughput and adjusts resources accordingly, and (3) how TSA has shared information with stakeholders about staffing and related screening procedures at airports, and what are the views of selected stakeholders on these information sharing efforts.", "To gather information for each of our objectives, we visited eight airports \u2013 Chicago O\u2019Hare International, Chicago Midway International, Dallas/Fort Worth International, Dallas Love Field, Los Angeles International, Hollywood Burbank International, Ronald Reagan Washington National, and Richmond International. We selected these airports based on a variety of factors, including the number of TSOs, passenger volume, differences in geography, and longer-than-usual wait times in fiscal year 2016, when passengers experienced long screening wait times at a number of airports. At each airport, we interviewed airport- level TSA officials, TSOs, airport operators, and airline officials. The results from our site visits cannot be generalized to all airports at which TSA has screeners. However, they provided important context about, and insights into, TSA\u2019s operations and coordination with stakeholders at airports.", "To determine how TSA modifies its staffing assumptions, we reviewed TSA guidance and policies, including the agency\u2019s plan for assessing the assumptions used in the RAP, such as the frequency and methods for reviewing passenger and baggage screening processes. In addition, to determine whether TSA modified assumptions used in the RAP, we reviewed TSA internal reports regarding the assumptions used in the RAP in 2016 and 2017 as well as a 2016 assessment of TSA\u2019s approach to staffing at airports overall. To evaluate the extent to which TSA has mechanisms in place to tailor staffing allocations to individual airports\u2019 needs, we analyzed TSA procedures, such as annual reviews of individual airports\u2019 configurations conducted by airport-level officials that govern staffing allocation, including procedures for modifying the RAP and tailoring staffing allocations to individual airports\u2019 needs. We reviewed data on TSA staffing allocations and interviewed TSA headquarters officials responsible for modifying the RAP to confirm our understanding of the processes used and TSA officials at the airport-level regarding any modifications to airport staffing levels resulting from this process.", "To determine how TSA monitors wait times and throughput and adjusts resources accordingly, we reviewed TSA documentation on wait times and throughput, such as TSA\u2019s Operations Directive, Reporting Customer Throughput and Wait Times, as well as TSA reports on wait times and throughput. To better understand trends in passenger wait times, we analyzed wait time and throughput data for the period of January 2015 through May 2017 for 28 airports that, according to TSA headquarters officials, represent the majority of passenger throughput nationwide or are operationally significant. According to TSA directives and TSA headquarters officials, TSA began requiring that FSDs and their designees collect actual instead of estimated wait times for all airports in July 2014, so we began our analysis in 2015, the first full calendar year after this requirement was in place. We assessed the reliability of the data used in our analyses by checking the data for any discrepancies, reviewing TSA reports on the quality of the data, as well as related database documentation, and working with agency officials responsible for compiling the data to understand the data collection and reporting methodologies. We determined that passenger wait time data and throughput data for the 28 airports monitored by TSA headquarters were sufficiently reliable for the purposes of our reporting objectives. Additionally, using the same data, we analyzed the extent to which TSA met its wait time standards for the period of January 2015 through May 2017 at the 28 airports. We also interviewed headquarters officials responsible for overseeing TSA\u2019s collection and use of wait time and throughput data. To obtain the perspective of TSA officials at airports, we interviewed FSDs and their designees at the eight airports we visited to determine the tools they use to respond to increases in passenger wait times and throughput.", "To determine how TSA shares information with stakeholders about airport staffing and related screening procedures, we reviewed TSA guidance that directs FSDs to share information with stakeholders and directs headquarters officials to facilitate daily conference calls with stakeholders. We also reviewed TSA documentation, such as agendas and attendance sheets, for meetings between FSDs and airport stakeholders held from October 2016 through March 2017 for the eight airports we visited to verify that the meetings took place. We selected this time period because the TSA guidance directing FSDs to meet with stakeholders became effective in October 2016. Additionally, we interviewed TSA headquarters officials and TSA airport-level officials such as FSDs and their designees at the eight airports we visited to determine how TSA shares information about staffing and related screening procedures at airports with stakeholders. The results from the airport-level interviews with TSA officials at these eight airports we visited cannot be generalized to all airports at which TSA has screeners, but provided insights on how FSDs and their designees share information with stakeholders at their respective airports during the time of our review.", "To determine the views of selected stakeholders on TSA\u2019s information sharing efforts, we interviewed airline and airport officials at the eight airports we visited, as well as TSOs at those locations, to obtain their perspectives on TSA efforts to share information consistent with the Aviation Security Act and TSA guidance. For each of the eight airports we visited, we interviewed airport officials representing the airport authority that oversees airport operations and airline officials from the airline with the greatest number of passengers at the respective airport. The FSD or FSD designee selected the TSOs we interviewed during our site visits based on TSO schedule availability. Furthermore, we interviewed industry association officials from the American Association of Airport Executives (AAAE), Airports Council International-North America (ACI-NA), and Airlines for America to obtain their insights on both TSA\u2019s headquarters and airport-level information sharing. We chose these industry associations because they work directly with TSA headquarters- level officials and the associations\u2019 members work directly with TSA airport-level officials such as FSDs and their designees. The results from the interviews with airline and airport officials at the eight airports we visited and the three industry associations cannot be generalized to all stakeholders, but provided insights on how these select stakeholders viewed TSA\u2019s information sharing efforts.", "We conducted this performance audit from August 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "TSA Processes for Allocating TSOs across Airports", "paragraphs": ["At TSA headquarters, the Office of Security Operations (OSO) has primary responsibility for operation of the RAP and allocation of TSOs across airports. Within OSO, the Staffing and Scheduling Division oversees the RAP. To allocate staff to the nearly 440 TSA-regulated airports in the United States, OSO is to use a combination of computer- based modeling and line-item adjustments based on airport-specific information. First, the agency is to work with a contractor to evaluate the assumptions\u2014such as rates of expedited screening\u2014used by the computer-based staffing allocation model (model) to determine the optimal number of TSOs at each airport based on airport size and configuration, flight schedules, and the time it takes to perform checkpoint and baggage screening tasks. Second, after the model has determined how many TSOs are required for each airport, headquarters-level staff are to make line item adjustments to account for factors such as differences in staff availability and training needs that affect each airport. Figure 1 below provides additional details regarding TSA\u2019s process to determine the number of TSOs at airports."], "subsections": []}, {"section_title": "TSA\u2019s Process for Evaluating Information Used in the RAP", "paragraphs": ["As previously discussed, in 2007, we recommended that TSA establish a mechanism to periodically assess the assumptions in the RAP (prior to fiscal year 2017, known as the Staffing Allocation Model) to ensure that staffing allocations accurately reflect operating conditions that may change over time. TSA implemented this recommendation by developing an evaluation plan for regularly assessing the assumptions used in the staffing model. Assumptions include the number of passengers or bags that can be screened each hour by TSA equipment and the time TSOs require to operate discrete sections of the screening process, such as conducting pat-downs or searches of passengers\u2019 carry-on baggage. The evaluation plan states that TSA is to assess (1) the time it takes to screen passengers using TSA equipment and (2) the number of staff needed to operate the equipment. Results from these assessments are to inform the assumptions used in the model to determine the base allocation of TSOs to U.S. airports.", "TSA uses the evaluation plan as well as airport-level characteristics to systematically evaluate the assumptions used in the model on a regular basis:", "Evaluation plan: TSA\u2019s evaluation plan recommends evaluating the time it takes to perform 19 aspects of passenger and checked baggage screening processes at least every two years and includes detailed procedures for doing so. For instance, the evaluation of passenger screening processes involves observing operations at selected airports to determine the average time it takes for one passenger to remove items of clothing and prepare his or her belongings for screening. Similarly, the evaluation determines how many passengers can be processed each hour during selected aspects of screening, such as by travel document checkers or via advanced imaging technology (AIT), often referred to as body scanners.", "Individual airport characteristics: Each year, TSA airport-level staff, such as FSDs or their designees, are to review the information in the model to ensure that information on the number of checkpoints and each checkpoint configuration and the number of flights departing the airport each day is accurate."], "subsections": []}, {"section_title": "TSA Processes for Conducting Passenger and Checked Baggage Screening, and Collecting Wait Time Data at Airports", "paragraphs": ["At the airport level, FSDs and their designees are responsible for overseeing TSA security activities, including passenger and checked baggage screening. TSOs at airports follow standard operating procedures that guide screening processes and utilize technology such as AITs or walk through metal detectors (WTMD) to screen passengers and their accessible property. TSOs also inspect checked baggage to deter, detect, and prevent the carriage of any unauthorized explosive, incendiary, or weapon onboard an aircraft. Checked baggage screening is conducted in accordance with standard operating procedures and generally is accomplished through the use of explosives detection systems or explosives trace detection systems. TSA employs an expedited screening program, known as TSA Pre\uf0fc\u00ae that assesses passenger risk to aviation security prior to their arrival at an airport checkpoint. According to TSA, expedited screening involves a relatively more efficient and convenient screening process for individuals from whom TSA has obtained sufficient information to determine them to be of lower risk and thus undergo an expedited screening process, compared to the standard screening process a traveler may undergo, for whom TSA does not have such information in advance.", "Finally, at each airport, TSA is to collect throughput data on the number of passengers screened under both expedited and standard screening and monitor passenger wait times at screening checkpoints. TSA airport officials are to submit passenger throughput and wait time data on a daily basis to OSO\u2019s Performance Management Division at TSA headquarters, which compiles the data through the Performance Measurement Information System (PMIS), TSA\u2019s web-based data collection system."], "subsections": []}, {"section_title": "TSA Offices Responsible for Sharing Information with Stakeholders about Airport Operations", "paragraphs": ["TSA\u2019s OSO and the Office of Security Policy and Industry Engagement (OSPIE) are both responsible for sharing information with stakeholders about airport operations. In response to the Aviation Security Act, OSO issued guidance in October 2016 intended to ensure that FSDs share information with stakeholders. OSPIE communicates TSA information about airport operations, such as how TSOs are allocated across airports, to stakeholders."], "subsections": []}]}, {"section_title": "TSA Modifies Its Staffing Assumptions and Relies on Airport Information to Tailor TSO Staffing Levels to Individual Airports", "paragraphs": [], "subsections": [{"section_title": "TSA Modifies Its Staffing Assumptions as Needed Based on Contractor and TSA Officials\u2019 Evaluations and Passenger Throughput Forecasts", "paragraphs": ["In fiscal years 2016 and 2017, TSA modified the assumptions used in its model, as needed, to reflect changes identified through annual evaluations performed by a contractor. The contractor is specifically tasked with evaluating the assumptions related to the time needed to screen passengers and their baggage. For example, TSA officials stated that they increased the expected time needed to screen passengers for one type of passenger screening equipment in fiscal year 2017 because the contractor found that the actual time needed was more than the assumption TSA used in fiscal year 2016. Similarly, in fiscal year 2016, TSA allocated fewer staff to review images of checked baggage, compared to previous years, because the contractor\u2019s evaluation determined it took TSOs less time to review the images than the time observed in previous years.", "In addition to modifying its model based on evaluations performed by contractors, TSA officials at the headquarters level review and modify other assumptions in the model to ensure they are accurate. For example, prompted by the long waits in the spring of 2016, officials stated that they modified the model for the 2017 fiscal year based on their evaluation of the 2016 assumptions. Specifically, TSA assumed that 50 percent of airline passengers would use expedited screening in 2016, but only an average of 27 percent of passengers used expedited screening that year. According to the officials, TSA modified this assumption in fiscal year 2017 and now uses TSA Pre\uf0fc\u00ae Program data specific to each individual airport in the model. Similarly, officials told us that, since TSA was established in November 2001, many employees will reach 15 years of service with the federal government in fiscal years 2016 and 2017, resulting in increased annual leave allowances. In response, officials have increased the amount of annual leave they expect employees to use and rely on airport-specific data regarding employee tenure to estimate annual leave for the coming year.", "TSA has also modified the way it develops assumptions regarding passenger throughput at each airport. For example, beginning in fiscal year 2016, TSA used passenger throughput forecasts to allocate staff commensurate with the expected rate of increase in passenger throughput at each airport. The estimated increase in passenger throughput for each fiscal year is based primarily on national and airport- level data from the previous 3 months from PMIS, TSA\u2019s web-based data collection system, and flight forecast data from the airline industry, as well as additional input from other sources. Prior to fiscal year 2016, TSA planned for passenger throughput during the busiest 28 days from the previous fiscal year and did not adjust the assumption for the annual increase in passenger throughput, which increased two percent in 2014 and four percent in 2015. A TSA headquarters official responsible for overseeing the RAP stated that the agency compared projected passenger throughput to actual passenger throughput for fiscal year 2017 to determine the accuracy of the projections and concluded that no significant changes to the method of forecasting were necessary for fiscal year 2018."], "subsections": []}, {"section_title": "TSA Uses Airport-Level Information to Tailor Staffing Levels to Individual Airport Needs Using Line Item Adjustments", "paragraphs": ["According to TSA officials, each airport in the United States has unique characteristics that make it difficult to apply a one-size-fits-all solution to staffing security operations. For instance, officials told us that some airports are allocated additional staff to account for the time needed to transport TSOs to off-site training facilities. Because the staffing allocation resulting from TSA\u2019s model does not reflect the full range of operating conditions at individual airports, TSA headquarters officials use airport-specific information to further adjust allocations by changing individual line items within the allocation after running the model on both an annual and an ad hoc basis. TSA headquarters officials stated that they have developed methodologies for making standard line item adjustments such as training requirements, overtime, and annual and sick leave. Officials told us they review the methodologies each year and use their professional judgement to modify the methodologies to account for changes in airport needs as well as budget constraints. We found that through its process of tailoring staffing allocations to individual airports\u2019 needs, TSA is able to respond to the circumstances at each individual airport.", "TSA headquarters officials also use airport-specific data on staff availability, training needs, supervisory needs, and additional security layers to manually adjust the model\u2019s staffing allocation output at a line item level. For instance, headquarters officials use the previous years\u2019 data on staff sick leave for each airport to evaluate whether they are allocating the appropriate amount of sick leave to their staff allocations on an individual airport basis. According to TSA headquarters officials, sick leave use can vary by airport and region of the country. Similarly, officials stated that they adjust the model\u2019s output to account for individual airport staff\u2019s training needs so that each airport\u2019s staff can meet TSA\u2019s annual training requirements.", "In addition, according to TSA officials at both the headquarters and airport levels, airport-level officials can request exceptions\u2014modifications to their staffing allocation\u2014based on unusual airport conditions that are difficult to address, such as problematic checkpoint configurations or lack of space for security operations. For instance, officials at one airport said that they had been granted exceptions for one checkpoint because pillars and curves within the checkpoint prevented the lanes in the checkpoint from screening passengers at the rate assumed by the model. TSA officials at the headquarters level review requests for exceptions and use their professional judgement to determine whether the exception will be granted.", "Finally, in some cases, TSA may adjust an airport\u2019s staffing allocation outside of the annual staffing allocation process and may do so as the result of significant and unforeseen changes in airport operations. For instance, TSA officials stated that one airport was allocated additional staff for the remainder of the fiscal year when the airport opened a new terminal mid-year so that the additional checkpoints could be properly staffed. Officials at another airport we visited said that they had been allocated additional staff when an airline extended its operational hours to ensure appropriate staffing for the additional hours of operation."], "subsections": []}]}, {"section_title": "TSA Uses Data to Monitor Airport Operations and Respond to Increases in Passenger Wait Times and Throughput", "paragraphs": [], "subsections": [{"section_title": "TSA Uses Passenger Wait Time and Throughput Data to Monitor Airport Operations on a Daily Basis", "paragraphs": ["TSA collects passenger wait time and throughput data and uses those data to monitor daily operations at airports. TSA\u2019s Operations Directive (directive), Reporting Customer Throughput and Wait Times, provides instructions for collecting and reporting wait time and passenger throughput data for TSA screening lanes. Regarding wait time data, according to the directive, FSDs or their designees at all Category X, I, and II airports must measure wait times every operational hour in all TSA expedited and standard screening lanes. The directive requires wait times to be measured in actual time, using a verifiable system such as wait time cards, closed circuit television monitoring, or another confirmable method. The directive indicates that wait times should be measured from the end of the line in which passengers are waiting to the WTMD or AIT units. FSDs or their designees at Category III and IV airports may estimate wait times initially, but the directive requires them to measure actual wait times when wait times are estimated at 10 minutes or greater. The directive also requires FSDs or their designees to collect passenger throughput data directly from the WTMD and AIT units. According to TSA headquarters officials, the machines have sensors that collect the number of passengers that pass through each hour, and TSOs retrieve the data directly from the units. All airports regardless of category are required to enter their wait time and throughput data daily into PMIS, TSA\u2019s web-based data entry program, no later than 3:30 AM Eastern Time of the next calendar day so that the data can be included in the morning\u2019s Daily Leadership Report (discussed in more detail below).", "To monitor operations for all airports, TSA compiles a daily report utilizing a variety of PMIS data points, including wait time and throughput data. The Office of Security Operations\u2019 Performance Management Division disseminates the Daily Leadership Report to TSA officials, including regional directors and FSDs and their designees every morning detailing the previous day\u2019s wait times and throughput figures, among other data points. The Performance Management Division includes a quality assurance addendum with each Daily Leadership Report, indicating missing or incorrect data, to include wait time and throughput data, and TSA has procedures in place intended to ensure officials at the airports correct the data in PMIS within 2 weeks.", "In addition to the Daily Leadership Report, TSA utilizes wait time and throughput data to monitor airport operations at 28 airports in near real time. In May 2016, TSA established the Airport Operations Center (AOC) that conducts near real time monitoring of the operations of 28 airports that, according to TSA headquarters officials, represent the majority of passenger throughput nationwide or are operationally significant. TSA requires the 28 airports monitored by the AOC to enter passenger wait time data and throughput data into PMIS hourly (whereas the remaining airports are only required to submit data once daily, by 3:30 AM Eastern Time, as described above) so that AOC officials can monitor the operations in near real time. In addition, TSA officials at airports are required to report to the AOC when an event occurs\u2014such as equipment malfunctions, weather-related events, or unusually high passenger throughput\u2014that affects airport screening operations and results in wait times that are greater than TSA\u2019s standards of 30 minutes in standard screening lanes or greater than 15 minutes in expedited screening lanes.", "If an airport is undergoing a period of prolonged wait times, the AOC coordinates with the Regional Director and the FSD to assist in deploying resources. For example, over the course of the summer of 2016, after certain airports experienced long wait times in the spring of 2016 as confirmed by our analysis, the AOC assisted in deploying additional passenger screening canines and TSOs to those airports that experienced longer wait times. The AOC disseminates a morning and evening situational report to TSA airport-level officials and airport stakeholders summarizing nationwide wait times, highlighting wait times at the top airports and any hot spots (unexpected passenger volume or other operational challenges) that may have occurred since the most recent report was issued. In addition to the near real time monitoring of the 28 airports, the AOC also monitors operations at all other airports and disseminates information to airports and stakeholders as needed.", "To determine the extent to which TSA exceeded its wait time standards, we analyzed wait time data for the 28 airports monitored by the AOC for the period of January 2015 through May 2017 for both standard and expedited screening. Our analysis shows that TSA met its wait time standard of less than 30 minutes in standard screening at the 28 AOC airports 99.3 percent of the time for the period of January 2015 through May 2017. For expedited screening for the same time period at the same airports, we found that 100 percent of the time passengers were reported to have waited 19 minutes or less. Additionally, our analysis confirmed that the percentage of passengers in standard screening waiting over 30 minutes increased in 2016 during the months of March, April, and May as compared to 2015 at all 28 airports monitored by the AOC."], "subsections": []}, {"section_title": "TSA Airport Officials Use a Variety of Tools to Respond to Increases in Passenger Wait Times and Throughput", "paragraphs": ["FSDs and their staff at the airports we visited identified a variety of tools that they utilize to respond to increases in passenger wait times and/or throughput.", "TSOs from the National Deployment Force (NDF)\u2014teams of additional TSOs\u2014are available for deployment to airports to support screening operations during major events and seasonal increases in passengers. For example, TSA officials at one airport we visited received NDF officers during busy holiday seasons and officials at another airport received officers during the increase in wait times in the spring and summer of 2016.", "TSA officials at select airports use passenger screening canines to expedite the screening process and support screening operations during increased passenger throughput and wait time periods. For example, TSA officials at one airport we visited emphasized the importance of passenger screening canines as a useful tool to minimize wait times and meet passenger screening demands at times when throughput is high. Officials at another airport we visited rely on these canines in busy terminals during peak periods. According to officials at two of the airports we visited, the use of passenger screening canines helped them to reduce wait times due to increased passenger volumes in the spring and summer of 2016.", "TSA officials at airports also utilize part-time TSOs and overtime hours to accommodate increases in passenger throughput and wait times. For example, according to officials at all eight of the airports we visited, they use overtime during peak travel times, such as during holiday travel seasons, and officials usually plan the use of overtime in advance. Additionally, TSA officials at four of the airports we visited told us they use part-time TSOs to help manage peak throughput times throughout the day.", "According to TSA officials at two of the airports we visited, they move TSOs between checkpoints to accommodate increases in passenger throughput at certain checkpoints and to expedite screening operations. For example, TSA officials at one airport we visited have a team of TSOs that terminal managers can request on short notice. Officials at the other airport estimated that they move TSOs between terminals about 40 times per day."], "subsections": []}]}, {"section_title": "TSA Has Taken Steps to Improve Information Sharing with Stakeholders and Most Stakeholders We Interviewed Reported Improved Satisfaction", "paragraphs": [], "subsections": [{"section_title": "TSA Improved Information Sharing with Stakeholders through Daily Conference Calls, Presentations, and Meetings", "paragraphs": ["TSA headquarters has taken steps intended to improve information sharing with stakeholders about staffing and related screening procedures at airports. For example, TSA officials hold daily conference calls with industry association, airline, and airport officials at the 28 airports monitored by the AOC. According to TSA headquarters officials, TSA established the daily conference call as a mechanism intended to ensure timely communication with stakeholders and to help identify and address challenges in airport operations such as increases in passenger wait times. Also, TSA headquarters officials stated that they conducted a series of presentations and meetings with industry, airline, and airport officials to discuss TSA\u2019s RAP, security enhancements at airports, and airport screening processes, among other things. For example, TSA\u2019s headquarters officials shared information about the fiscal year 2017 RAP in October 2016 during a briefing at an industry conference and a meeting with airline representatives, airline engineers, and Federal Aviation Administration officials. Additionally, TSA headquarters officials facilitated a stakeholder meeting in May 2017 to discuss planned improvements for the TSA Pre\uf0fc\u00ae Program and met with stakeholders in June 2017 to discuss security enhancements and changes to screening procedures for carry-on baggage.", "In addition to headquarters-level initiatives, at the eight airports we visited, we found that FSDs shared information with airport and airline officials by meeting on an ongoing basis to discuss TSA staffing and related screening procedures. For example, according to the FSDs and airline and airport officials at all eight airports we visited, FSDs met with stakeholders on a daily, weekly, monthly, or quarterly basis. During these meetings, FSDs and airline and airport officials told us that FSDs discussed TSO staffing levels at the airports, instances when passenger screening wait times were long at security checkpoints, and TSA screening equipment performance, among other things."], "subsections": []}, {"section_title": "Stakeholders Reported Improved Satisfaction with TSA Headquarters Information Sharing Efforts and with Most FSDs", "paragraphs": ["Stakeholders told us that TSA headquarters officials and most FSDs improved information sharing since fiscal year 2016. With regard to TSA headquarters officials\u2019 information sharing efforts, officials from all three industry associations we interviewed stated that, since fiscal year 2016, TSA headquarters improved information sharing with their association member companies and attributed that improvement, in part, to the daily conference call between TSA and stakeholders. For example, officials from one industry association stated that the calls benefited members by facilitating collaboration with TSA to more quickly identify and address problems, such as malfunctioning screening equipment, before the problems negatively affected passengers. An official from another industry association told us that the daily conference call improved communication substantially between TSA and the organization by providing a regular opportunity to discuss airport security issues and TSA\u2019s plans to resolve those issues.", "Additionally, stakeholders we interviewed generally reported positive relationships or improved information sharing with FSDs, but also noted differences in the type and extent of information that FSDs shared. For example, officials at seven of eight airlines and all eight airports we visited stated that they have positive relationships with their FSDs and that their FSDs were accessible and available when needed, while the remaining airline official noted improving access to information. Furthermore, officials from all three industry associations cited improved information sharing between their members at airports and FSDs since fiscal year 2016, but officials from two association noted that some FSDs still do not regularly share information, such as changes in the number of TSOs staffed at individual airports. According to TSA headquarters officials, stakeholders can elevate any problems they experience with FSDs sharing information to regional directors who are responsible for ensuring that FSDs engage regularly with stakeholders."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to DHS for comment. We received technical comments which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of Homeland Security, the Administrator of TSA and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have questions about this report, please contact me at (202) 512-7141 or groverj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "GAO Staff and Acknowlegements", "paragraphs": ["In addition to the contact named above, Ellen Wolfe, Assistant Director; Joel Aldape, David Alexander, Chuck Bausell, David Beardwood, Wendy Dye, Miriam Hill, Susan Hsu, Thomas Lombardi, Kevin Newak, Heidi Nielson, and Natalie Swabb made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-417", "url": "https://www.gao.gov/products/GAO-18-417", "title": "DOD Personnel: Further Actions Needed to Strengthen Oversight and Coordination of Defense Laboratories' Hiring Efforts", "published_date": "2018-05-30T00:00:00", "released_date": "2018-05-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD's defense labs help sustain, among other things, U.S. technological superiority and the delivery of technical capabilities to the warfighter. Over time Congress has granted unique flexibilities\u2014such as the ability to hire qualified candidates who meet certain criteria using direct hire authorities\u2014to the defense labs to expedite the hiring process and facilitate efforts to compete with the private sector.", "Senate Report 114-255 included a provision for GAO to examine the labs' hiring structures and effective use of hiring authorities. This report examines (1) the defense labs use of existing hiring authorities and officials' views on the benefits of authorities and challenges of hiring; (2) the extent to which DOD evaluates the effectiveness of hiring, including hiring authorities at the defense labs; and (3) the extent to which DOD has time frames for approving and implementing new hiring authorities. GAO analyzed DOD hiring policies and data; conducted a survey of 16 defense lab officials involved in policy-making; interviewed DOD and service officials; and conducted nongeneralizable interviews with groups of officials, supervisors, and new hires from 6 labs\u20142 from each of the 3 military services, selected based on the labs' mission."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) laboratories (defense labs) have used the laboratory-specific direct hire authorities more than any other category of agency-specific or government-wide hiring authority for science, technology, engineering, and mathematics personnel. As shown below, in fiscal years 2015\u20142017 the labs hired 5,303 personnel out of 11,562 total hires, or 46 percent using these direct hire authorities. Lab officials, however, identified challenges to hiring highly qualified candidates, such as delays in processing security clearances, despite the use of hiring authorities such as direct hire.", "Source: GAO analysis of Department of Defense data. | GAO-18-417 .", "a Other includes all other defense laboratory-specific direct hiring authorities used.", "b All other includes remaining five categories of hiring authorities.", "c Percentages may not sum to total due to rounding.", "DOD and the defense labs track hiring data, but the Defense Laboratories Office (DLO) has not obtained or monitored these data or evaluated the effectiveness of the labs' hiring, including the use of hiring authorities. While existing lab data can be used to show the length of time of the hiring process, effectiveness is not currently evaluated. According to lab officials, timeliness data do not sufficiently inform about the effectiveness of the authorities and may not reflect a candidate's perception of the length of the hiring process. Further, the DLO has not developed performance measures to evaluate the effectiveness of hiring across the defense laboratories. Without routinely obtaining and monitoring hiring data and developing performance measures, DOD lacks reasonable assurance that the labs' hiring and use of hiring authorities\u2014in particular, those granted by Congress to the labs\u2014result in improved hiring outcomes.", "DOD does not have clear time frames for approving and implementing new hiring authorities. The defense labs were unable to use a direct hire authority granted by Congress in fiscal year 2015 because it took DOD 2\u00bd years to publish a federal register notice\u2014the process used to implement new hiring authorities for the labs\u2014for that authority. DOD officials identified coordination issues associated with the process as the cause of the delay and stated that DOD is taking steps to improve coordination\u2014including meeting to formalize roles and responsibilities for the offices and developing a new approval process\u2014between offices responsible for oversight of the labs and personnel policy. However, DLO's new federal register approval process does not include time frames for specific stages of coordination. Without clear time frames for its departmental coordination efforts related to the approval and implementation of new hiring authorities, officials cannot be certain they are taking action in a timely manner."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD (1) routinely obtain and monitor defense lab hiring data to improve oversight; (2) develop performance measures for evaluating the effectiveness of hiring; and (3) establish time frames to guide hiring authority approval and implementation. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The rapidly changing technological landscape necessitates that the Department of Defense (DOD) pursue innovative ways to sustain and advance its military superiority with a focus on new capabilities and efficiencies to address existing and emerging threats. To support these efforts, DOD\u2019s defense laboratory enterprise\u2019s vision includes sustaining U.S. technological superiority, preparing for an uncertain future, and accelerating the delivery of technical capabilities to the warfighter. In February 2016 the then-Assistant Secretary of Defense for Research and Engineering testified that the department employed more than 39,000 scientists and engineers in DOD\u2019s 63 laboratories, warfare centers, and engineering centers, spanning 22 states. The Assistant Secretary recognized that, to meet the needs of the warfighter, the department must recruit and retain the best and brightest military and civilian scientists and engineers.", "Staffing the enterprise, specifically the laboratories, is complicated by factors such as the high demand for science and technology workers, competition with the private sector, the requirement for U.S. citizenship, the need for new hires to obtain security clearances, and the aging of the federal science and technology workforce. These factors have contributed to concerns about the outlook for a workforce that supports the department\u2019s mission. In May 2016 the Senate Armed Services Committee recognized the defense laboratory enterprise as a unique national resource carrying out work that is vital to the national security interests of the United States. According to the committee, it has taken steps to provide the defense laboratories with certain flexibilities from federal rules and regulations that could hinder the laboratories\u2019 ability to carry out their critical missions. These flexibilities include greater pay- setting authority and the ability to hire qualified candidates who meet certain criteria using direct hire\u2014authorities that are intended to expedite the hiring process and facilitate efforts to compete with the private sector. The committee further stated that its ultimate goal is to help ensure that the laboratories and lab employees have the desired flexibility to experiment and innovate as necessary to meet the needs of those responsible for ensuring the national defense.", "Senate Report 114-255 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision for us to examine the various hiring structures at the defense laboratories, the time it takes to hire personnel, and whether the laboratories are using existing hiring authorities effectively. This report examines (1) the defense laboratories use of existing hiring authorities and what officials view as the benefits of authorities and incentives and the challenges in hiring; (2) the extent to which DOD evaluates the effectiveness of hiring, including hiring authorities, at the defense laboratories; and (3) the extent to which DOD has time frames for approving and implementing new hiring authorities.", "For our first objective, we reviewed the authorities used to hire science, technology, engineering, and mathematics (STEM) personnel at 15 of the 17 defense laboratories. We selected these 15 laboratories because the remaining 2 laboratories were in the process of being implemented at the time of our review. We obtained and analyzed documentation, including past National Defense Authorization Acts (fiscal years 1995 through 2017), guidance related to government-wide hiring authorities, and federal register notices on existing hiring authorities for the defense laboratories.", "We obtained data that were coordinated by the Defense Manpower Data Center and prepared by the Defense Civilian Personnel Advisory Service\u2019s Planning and Accountability Directorate. These hiring action data included hiring process milestone dates and the type of hiring authority used for each civilian hire at the defense laboratories in fiscal years 2015 through 2017. We selected these years because they were the three most recent years for which hiring data were available and because doing so would allow us to identify any trends in the use of hiring authorities or the length of time taken to hire. The data we obtained were extracted from the Defense Civilian Personnel Data System (DCPDS) using the Corporate Management Information System. Based on discussions with officials from the Defense Civilian Personnel Advisory Service and the Defense Manpower Data Center and reviews of additional documentation provided to support the data file, we determined that these data were sufficiently reliable for the purposes of reporting the frequency with which the labs used specific hiring authorities and calculating the time it takes the labs to hire, or time to hire, for fiscal years 2015 through 2017.", "We also administered a survey to 16 officials who served as their respective laboratories\u2019 representatives to the Laboratory Quality Enhancement Program (LQEP) Panel on Personnel, Workforce Development, and Talent Management, in order to collect information on the use of specific hiring authorities, their perceptions about the effectiveness of those authorities, and their perceptions about any barriers to hiring. Given the panel members\u2019 knowledge of their labs\u2019 hiring processes, we determined that they would be best positioned to respond to our survey. We received a response rate of 100 percent to our questionnaire of 16 laboratory representatives from the Panel. A copy of our questionnaire can be found in appendix II. We also interviewed defense laboratory supervisors and recent hires to obtain their perspectives on the hiring process. These individuals were selected by their respective defense laboratories\u2019 points of contact based on specific criteria we provided, including, for example, participation in hiring activities and the amount of time since they were hired. However, the views obtained from these officials, supervisors, and recent hires are not generalizable and are presented solely for illustrative purposes.", "For our second and third objectives, we reviewed guidance and policies for collecting and analyzing laboratory personnel data related to the implementation and use of hiring authorities by these labs. We interviewed DOD, military service, and defense laboratory officials to discuss and review their hiring processes and procedures for STEM personnel, the use of existing hiring authorities, and efforts to document and evaluate time-to-hire metrics. We also met with DOD officials from the Office of the Under Secretary of Defense for Personnel and Readiness and the Office of the Under Secretary of Defense for Research and Engineering to discuss processes and procedures for implementing new hiring authorities granted by Congress. We evaluated their efforts to determine whether they met federal internal control standards, including that management should design appropriate types of control activities to achieve the entity\u2019s objectives, such as conducting top-level reviews of actual performance and establishing an organizational structure, assigning responsibilities, and delegating authority to achieve an organization\u2019s objectives. We provide further details on our scope and methodology in appendix III.", "We conducted this performance audit from November 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Defense Laboratories", "paragraphs": ["The National Defense Authorization Act (NDAA) for Fiscal Year 1995 authorized the Secretary of Defense to conduct personnel demonstration projects at the department\u2019s laboratories designated as Science and Technology Reinvention Laboratories. The demonstration projects were established to give laboratory managers more authority and flexibility in managing their civilian personnel. These projects function as the vehicles through which the department can determine whether changes in personnel management concepts, policies, or procedures, such as flexible pay or hiring authorities, would result in improved performance and would contribute to improved DOD or federal personnel management. Table 1 presents a list of the 15 defense laboratories included in the scope of our review.", "The Defense Laboratories Office\u2014within the Office of the Undersecretary of Defense for Research and Engineering (Research and Engineering)\u2014 carries out a range of core functions related to the defense labs, including the aggregation of data, analysis of capabilities, and alignment of activities, as well as advocacy for the defense labs. The National Defense Authorization Act for Fiscal Year 2017 gave authority to conduct and evaluate defense laboratory personnel demonstration projects to the Under Secretary of Defense for Research and Engineering and, accordingly, the Defense Laboratories Office. The Defense Laboratories Office supports the Research and Engineering mission by helping to ensure comprehensive department-level insight into the activities and capabilities of the defense laboratories.", "The LQEP was chartered on April 15, 1994 to improve productivity and effectiveness of the defense laboratories through changes in, among other things, personnel management and contracting processes. The NDAA for Fiscal Year 2017 established a new organizational structure for the program, adding two new panels while also specifying that two previously existing subpanels on personnel and infrastructure would continue to meet. The NDAA for Fiscal Year 2017 requires the department to maintain a LQEP Panel on Personnel, Workforce Development, and Talent Management\u2014one of the four panels established by a February 14, 2018 charter signed by the Under Secretary of Defense for Research and Engineering. The purpose of the panel is to help the LQEP achieve the following goals: (1) review and make recommendations to the Secretary of Defense on current policies and new initiatives affecting the defense laboratories; (2) support implementation of quality enhancement initiatives; and (3) conduct assessments and data analysis. The LQEP Panel on Personnel, Workforce, Development, and Talent Management includes representatives from each of the defense laboratories, as well as from the Army, Navy, Air Force, appropriate defense agencies, and Office of the Under Secretary of Defense for Research and Engineering."], "subsections": []}, {"section_title": "Hiring Authorities", "paragraphs": ["A hiring authority is the law, executive order, or regulation that allows an agency to hire a person into the federal civil service. Among other roles, hiring authorities determine the rules (or a subset of rules within a broader set) that agencies must follow throughout the hiring process. These rules may include whether a vacancy must be announced, who is eligible to apply, how the applicant will be assessed, whether veterans preference applies, and how long the employee may stay in federal service. Hiring authorities may be government-wide or granted to specific agencies."], "subsections": [{"section_title": "Government-wide (Title 5) Hiring Authorities", "paragraphs": ["Competitive (Delegated) Examining. This is the traditional method for making appointments to competitive service positions, and it requires adherence to Title 5 competitive examining requirements. The competitive examining process requires agencies to notify the public that the government will accept applications for a job, screen applications against minimum qualification standards, apply selection priorities such as veterans preference, and assess applicants\u2019 relative competencies or knowledge, skills, and abilities against job-related criteria to identify the most qualified applicants. Federal agencies typically assess applicants by rating and ranking them based on their experience, training, and education. Figure 1 depicts the Office of Personnel Management\u2019s (OPM) 80-day standard roadmap for hiring under the competitive process.", "Governmentwide (Title 5) Direct Hire Authority. This authority allows agencies to appoint candidates to positions without regard to certain requirements in Title 5 of the United States Code, with OPM approval. A direct hire authority expedites hiring by eliminating specific hiring rules. In order for an agency to use direct hire, OPM must determine that there is either a severe shortage of candidates or a critical hiring need for a position or group of positions. When using the direct hire authority, agencies must adhere to certain public notice requirements.", "The Pathways Programs. These programs were created to ensure that the federal government continues to compete effectively for students and recent graduates. The current Pathways Programs consist of the Internship Program, the Recent Graduates Program, and the Presidential Management Fellows Program. Initial hiring is made in the excepted service, but it may lead to conversion to permanent positions in the competitive service.", "Veterans-Related Hiring Authorities. These include both the Veterans Recruitment Appointment Authority and the Veterans Employment Opportunities Act authority. The Veterans Recruitment Appointment authority allows for certain exceptions from the competitive examining process. Specifically, agencies may appoint eligible veterans without competition under limited circumstances or otherwise through excepted service hiring procedures. The Veterans Employment Opportunities Act authority is a competitive service appointment authority that allows eligible veterans to apply for positions announced under merit promotion procedures when an agency accepts applications from outside of its own workforce."], "subsections": []}, {"section_title": "DOD-specific Hiring Authorities", "paragraphs": ["The Defense Laboratory Direct Hire Authorities. These include the following four types of direct hire authorities granted to the defense laboratories by Congress for hiring STEM personnel: (1) direct hire authority for candidates with advanced degrees; (2) direct hire authority for candidates with bachelor\u2019s degrees; (3) direct hire authority for veterans; and (4) direct hire authority for students currently enrolled in a graduate or undergraduate STEM program. The purpose of these direct hire authorities is to provide a streamlined and accelerated hiring process to allow the labs to successfully compete with private industry and academia for high-quality scientific, engineering, and technician talent.", "The Expedited Hiring Authority for Acquisition Personnel. This authority permits the Secretary of Defense to designate any category of positions in the acquisition workforce as positions for which there exists a shortage of candidates or there is a critical hiring need; and to utilize specific authorities to recruit and appoint qualified persons directly to positions so designated.", "The Science, Mathematics, and Research for Transformation (SMART) Scholarship-for-Service Program. This program was established pursuant to 10 USC \u00a72192a, as amended, and is funded through the National Defense Education Program. The SMART scholarship for civilian service program provides academic funding in exchange for completing a period of full-time employment with DOD upon graduation."], "subsections": []}]}]}, {"section_title": "The Defense Laboratories Have Used Direct Hire Authorities and Other Incentives to Help Hiring Efforts, but Officials Reported Challenges in Hiring Highly Qualified Candidates", "paragraphs": ["The labs have used the defense laboratory-specific direct hire authorities more than any other category of agency-specific or government-wide hiring authority. Defense laboratory officials we surveyed reported that these direct hire authorities had been the most helpful to the labs\u2019 efforts to hire highly qualified candidates for STEM positions, and also reported that the use of certain incentives had been helpful in this effort. However, even with access to the authorities, these defense laboratory officials identified challenges associated with the hiring process that affected their ability to hire highly qualified candidates."], "subsections": [{"section_title": "Defense Laboratories Used the Direct Hire Authorities Most Frequently for Hiring STEM Candidates, and the Use of These Authorities Has Increased since 2015", "paragraphs": ["For fiscal years 2015 through 2017, the defense laboratories used laboratory-specific direct hire authorities more often than any other category of hiring authorities when hiring STEM personnel. Moreover, the defense laboratories\u2019 use of these direct hire authorities increased each year from fiscal year 2015 through fiscal year 2017. Of the 11,562 STEM hiring actions in fiscal years 2015 through 2017, approximately 46 percent were completed using one of the defense laboratory direct hire authorities. The second and third most used hiring authorities were internal hiring actions and the expedited hiring authority for acquisition personnel, each of which comprised approximately 12 percent of the hiring actions during the time period. Table 2 provides information on the overall number of hiring actions by hiring authority for fiscal years 2015 through 2017.", "The laboratory-specific direct hire authorities include the direct hire authorities for candidates with advanced degrees, candidates with bachelor\u2019s degrees, and candidates who are veterans\u2014authorities were granted by Congress in prior legislation. Among the defense laboratory direct hire authorities, the direct hire authority for candidates with bachelor\u2019s degrees was used for 55 percent of all direct hires, for a total of 2,920 hiring actions for fiscal years 2015 through 2017. During the same time frame, the labs used the direct hire authority for candidates with advanced degrees for approximately 36 percent (1,919 hiring actions) of all direct hires, and the direct hire authority for veteran candidates for approximately 9 percent (455 hiring actions). In addition, for less than one percent of the direct hires, either the labs used another category of laboratory-specific direct hire authority or we were unable to determine which type of direct hire authority was used during those same three fiscal years. See table 3 for information on the defense labs\u2019 use of the defense laboratory-specific direct hire authorities for fiscal years 2015 through 2017.", "In fiscal year 2017 the defense labs used the defense laboratory direct hire authorities for 54 percent of STEM hiring actions completed, representing an increase of approximately 16 percentage points relative to fiscal year 2015, when 38 percent were hired under defense lab direct hire authorities. For additional information on the labs\u2019 use of hiring authorities in fiscal years 2015 through 2017, as well as hiring authority data by laboratory, see appendix IV. One laboratory official explained that the increased use of the direct hire authorities could be a result of the NDAA for Fiscal Year 2016, which increased the laboratories\u2019 allowable use of the direct hire authority for candidates with bachelor\u2019s degrees from 3 percent to 6 percent, and use of the direct hire authority for veterans from 1 percent to 3 percent, of the total number of scientific and engineering positions at each laboratory at the end of the preceding fiscal year. The direct hire authority for candidates with bachelor\u2019s degrees was used most often\u2014for 1,151 out of 1,835 hiring actions\u2014as compared with the other direct hire authorities in fiscal year 2017. See table 4 for more information on the laboratories\u2019 use of all hiring authorities in fiscal year 2017. In addition, table 5 provides more information on the labs\u2019 use of the direct hire authorities in fiscal year 2017."], "subsections": []}, {"section_title": "Laboratory Officials Reported That Certain Hiring Authorities and Incentives Have Helped Defense Laboratories Hire Highly Qualified Candidates", "paragraphs": ["Defense laboratory officials we surveyed most frequently identified the three defense laboratory-specific direct hire authorities as having helped to hire highly qualified candidates (see figure 2) and to hire quickly (see figure 3). Specifically, 15 of 16 respondents to our survey stated that each of the three direct hire authorities had been helpful in hiring highly qualified candidates, and that the direct hire authorities for veterans and for candidates with an advanced degree had helped them to hire quickly. Moreover, all 16 survey respondents stated that the direct hire authorities for candidates with a bachelor\u2019s degree had helped them to hire quickly. Among the three direct hire authorities, the one for candidates with bachelor\u2019s degrees was reported to be the most helpful to the laboratories\u2019 hiring efforts, according to our survey results.", "A majority of the laboratory officials we surveyed also stated that the Expedited Hiring Authority and the Science, Mathematics, and Research for Transformation (SMART) Program had both helped facilitate their efforts to hire highly qualified candidates and to hire them quickly. According to our survey, the least helpful hiring authority that lab officials reported using was the delegated examining unit authority. Six of 16 survey respondents stated that the delegated examining unit authority had helped them to hire highly qualified candidates, while 9 of 16 stated that the authority had hindered this effort. Three of 16 survey respondents stated that the delegated examining unit authority had helped them to hire quickly, while 12 of 16 stated that the use of this authority had hindered their ability to hire quickly.", "During our interviews with laboratory officials, hiring officials and supervisors described the defense laboratory direct hire authorities as being helpful in their hiring efforts. For example, hiring officials from one lab stated that the direct hire authorities were the easiest authorities to use, and that since their lab had started using them, job offer acceptance rates had increased and their workload related to hiring had decreased. A hiring official from another laboratory stated that the use of direct hire authorities had allowed their lab to be more competitive with the private sector in hiring, which is useful due to the high demand for employees in research fields. A supervisor from one lab stated that the use of direct hire authorities was not only faster than the competitive hiring process, but it also allowed supervisors a greater ability to get to know candidates early in the process to determine whether they met the needs of a position. In comparison, hiring managers we interviewed at one laboratory stated that the Pathways Program is not an effective means of hiring students because the program requires a competitive announcement. Supervisors also stated that the application process for Pathways can be cumbersome and confusing for applicants and may cause quality applicants to be screened out early. Defense laboratory officials who responded to our survey also stated that the process takes too long and that quality applicants may drop out of the process due to the length of the process.", "Defense laboratory hiring data also indicated that use of the defense laboratory direct hire authorities resulted in faster than median hiring times. As shown in table 6, the median time to hire for STEM positions at the defense laboratories in fiscal year 2017 was 88 days. The median time to hire when using the defense laboratories\u2019 direct hire authorities, Pathways, or the SMART program authority was faster than that of the median for all categories combined. The median time to hire when using the competitive hiring process was approximately twice as long as when using the labs\u2019 direct hire authorities. Our full analysis of defense laboratory hiring data, including the time to hire by hiring authority category, for fiscal years 2015 through 2017 can be found in appendix V.", "Defense laboratory officials also cited the use of incentives as helpful in hiring highly qualified candidates, as shown in figure 4. According to our survey results, the defense laboratories\u2019 flexibility in pay setting under their demonstration project authority was generally considered to be the most helpful incentive, with 13 of 16 survey respondents stating that this incentive had very much helped them to hire highly qualified candidates.", "During interviews, laboratory officials described the use of these incentives as being particularly helpful if a candidate is considering multiple job offers because the incentives can help make the lab\u2019s offer more competitive with offers from other employers. Multiple hiring officials stated that they would generally not include such incentives in an initial offer, but that if the candidate did not accept that offer, they would consider increasing the salary or offering a bonus. A hiring official from one lab stated that his lab has not offered many recruitment bonuses in recent years, because their acceptance rate has been sufficiently high without the use of that incentive.", "Many of the recently hired lab employees whom we interviewed also cited incentives, including bonuses and student loan repayment, as factoring into their decisions to accept the employment offers for their current positions. For example, one recently hired employee stated that the lab\u2019s student loan repayment program was a significant factor in his decision to accept employment at the lab rather than with private industry. Recently hired employees also cited less tangible benefits of working at the labs, including the work environment, job stability, and type of work performed, as key factors in their decisions to accept their current positions. One newly hired employee stated that, while she could earn more money in a private-sector job, the defense laboratory position would afford her the freedom to pursue the type of work she is currently doing, and that this was a major consideration in her decision to accept it. Another newly hired employee similarly stated that he was interested in the type of research conducted at the lab where he now works, and that he was attracted to the opportunity to contribute to the national defense, while also taking advantage of benefits that support the pursuit of higher education."], "subsections": []}, {"section_title": "Defense Laboratory Officials We Surveyed Identified Challenges That Affect Their Ability to Hire Highly Qualified Candidates", "paragraphs": ["Defense laboratory officials we surveyed reported that, although the available hiring authorities and incentives are helpful, they experience a range of challenges to their ability to hire highly qualified candidates, as shown in figure 5, ranging in order from the most to the least frequently cited. In addition, figure 6 shows the extent to which officials reported selected top challenges that hindered their respective labs\u2019 abilities to hire highly qualified candidates.", "Defense laboratory officials described how hiring challenges identified in our survey affect their ability to hire high quality candidates. Specifically, these challenges are as follows:", "Losing quality candidates to the private sector: Fifteen of 16 survey respondents stated that this was a challenge, and 12 of the 15 stated that this challenge had somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates for STEM positions since October 2015. Hiring officials and supervisors we interviewed stated that private-sector employers can make on-the-spot job offers to candidates at college career fairs or other recruiting events, whereas the labs are unable to make a firm job offer until later in the hiring process.", "Government-wide hiring freeze: Fifteen of 16 survey respondents identified this as a challenge, with 13 of those reporting that it had either somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates for STEM positions since October 2015. Multiple hiring officials and supervisors we interviewed stated that they had lost candidates whom they were in the process of hiring because the candidates had accepted other offers due to the delays created by the hiring freeze. In addition, some officials stated that, although the freeze had been lifted, their labs\u2019 hiring efforts were still affected by backlogs created by the freeze, or were adapting to new processes that were implemented as a result of the freeze.", "Delays with the processing of security clearances: Fifteen of 16 survey respondents cited this as a challenge; 12 of the 15 stated that this challenge had somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates for STEM positions since October 2015. A supervisor from one lab stated that he was in the process of trying to hire two employees whose hiring actions had been delayed due to the security clearance process. The supervisor stated that he had been told it could potentially take an additional 6 months to 1 year to complete the process, and that he believed this may cause the candidates to seek other employment opportunities. In other cases, hiring officials stated that employees may be able to begin work prior to obtaining a clearance, but that they may be limited in the job duties they can perform while waiting for their clearance to be granted. The government-wide personnel security clearance process was added to GAO\u2019s High Risk List in 2018, based on our prior work that identified, among other issues, a significant backlog of background investigations and delays in the timely processing of security clearances.", "Inability to extend a firm job offer until a final transcript is received: Fourteen of 16 survey respondents stated that this was a challenge, with 10 of the officials responding that it had somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates. One hiring official stated that top candidates will often receive 5 to 10 job offers prior to graduation, and that his lab\u2019s may be the only one of those offers that is characterized as tentative. Multiple officials noted that career fairs can often occur several months prior to graduation, so the lab would have to wait for the duration of this time before extending a firm offer to a candidate who has been identified.", "Delays with processing personnel actions by the external human resources office: Thirteen of 16 survey respondents stated that this presented a challenge, and 9 of the 13 stated that this challenge had somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates for STEM positions since October 2015. Multiple hiring officials stated that employees at their human resource offices may not have an understanding of either the technical nature of the positions being filled at the lab or the lab\u2019s unique hiring authorities, and that this lack of knowledge could create delays. Other officials noted that their servicing human resource offices seemed to be inflexible regarding certain paperwork requirements. For example, officials at one lab stated that their human resource office requires candidates\u2019 resumes to be formatted in a particular way, and that they have been required to ask candidates to make formatting changes to their resumes. An official at another lab stated that the lab has faced similar challenges with regard to the formatting of transcripts and has had to request clarifying documentation from the university. In both cases, the officials described these requirements as embarrassing, and as a delay to the hiring process. Further, both a supervisor and a newly hired employee we interviewed noted that it is difficult to learn the status of an application when it is being processed by the human resource office.", "Overall length of the hiring process: Twelve of 16 survey respondents cited this as a challenge; 11 of the 12 stated that this challenge had somewhat or very much hindered their lab\u2019s ability to hire highly qualified candidates for STEM positions since October 2015. Hiring officials and supervisors we interviewed stated that their lab had lost candidates due to the length of the hiring process. One supervisor we interviewed stated that he has encountered candidates who really wanted to work at his lab but had had to pursue other opportunities because they could not afford to wait to be hired by the lab. Multiple newly hired employees we interviewed described the process as slow or lengthy, but described reasons why they were willing to wait. For example, some employees were already working at their lab in a contractor or post-doctoral fellowship position, and accordingly they were able to continue in these positions while completing the hiring process for the permanent positions they now hold. One employee stated that if the process had gone on any longer, he likely would have accepted another offer he had received, while another employee stated that he knew of at least two post- doctoral fellows at his lab who chose not to continue in the hiring process for a permanent position at the lab due to the length of the hiring process."], "subsections": []}]}, {"section_title": "DOD and the Defense Labs Track Hiring Data, but the Defense Laboratories Office Has Not Obtained and Monitored These Data or Evaluated the Effectiveness of Hiring at the Laboratories", "paragraphs": ["The department and the defense laboratories track hiring data that can be used to evaluate some aspects of the individual labs\u2019 hiring efforts, but the Defense Laboratories Office has not routinely obtained or monitored these data or evaluated the effectiveness of hiring, including the use of hiring authorities, across the defense laboratories as a whole. Laboratory hiring data are captured at the department level in the Defense Civilian Personnel Data System (DCPDS)\u2014the department\u2019s system of record for personnel data. In addition, the individual defense laboratories track hiring data, including the type of hiring authority used and certain milestone dates that can be used to measure the length of the hiring process, known as time to hire.", "According to OPM guidance and our prior work, time to hire is a measure that may inform about the effectiveness of the hiring process, and federal agencies are required to report time to hire for certain types of hiring actions to OPM. Defense laboratory officials stated that, from their perspectives, the time- to-hire metric does not sufficiently inform about the effectiveness of the use of specific authorities, particularly when using the most commonly tracked milestones\u2014from the initiation of a request for personnel action to an employee\u2019s entrance-on-duty date. For example, officials stated that when a direct hire authority is used to hire a candidate who is completing the final year of his or her educational program, the lab may identify and provide a tentative offer to this candidate several months prior to graduation, consistent with private- sector recruitment methods. In this case, officials stated that the length of time between the initiation of the request for personnel action and the candidate\u2019s entrance-on-duty date, following his or her graduation, could span a period of several months. According to defense laboratory officials, the total number of days for this hiring action gives the appearance that the use of the hiring authority was not efficient in this case; however, officials stated that it would have been effective from the supervisor\u2019s perspective, because the use of the hiring authority resulted in the ability to recruit a highly qualified candidate in a manner that was more competitive with the private sector.", "Further, time-to-hire data, as reflected by the milestone dates that are currently tracked across the defense laboratories, may not reflect a candidate\u2019s perception of the length of the hiring process. More specifically, a candidate may consider the hiring process to be completed upon receiving a job offer (either tentative or final), which could occur weeks or months before the candidate\u2019s entrance-on-duty date, the commonly used end-point for measuring time to hire. According to officials, the length of time from when the offer is extended to entrance on duty can be affected by a candidate\u2019s individual situation and preferences, such as the need to complete an educational program or fulfill family or professional responsibilities prior to beginning work in the new position. In other cases, certain steps of the hiring process, such as completing the initial paperwork or obtaining management approval, may occur after a candidate has been engaged but prior to the initiation of a request for personnel action\u2014the commonly used start-point for measuring time to hire. In this situation, the candidate\u2019s perception of the length of the hiring process may be longer than what is reflected by the time-to-hire data.", "For the reasons described above, some defense laboratories measure time to hire using milestones that they have determined more appropriately reflect the effectiveness of their hiring efforts. For example, officials from one lab stated that they have sought to measure the length of the hiring process that occurs prior to the request for personnel action, while officials from some labs stated that they measure time to hire using the tentative offer date as an end-point. In addition, some laboratories informally collect other types of data that they use in an effort to evaluate their hiring efforts, such as the reasons why candidates decline a job offer or feedback on the hiring process from newly hired employees.", "However, officials from the Defense Laboratories Office stated that their office has not conducted any review of the effectiveness of defense laboratory hiring, including the use of hiring authorities, across the labs. The National Defense Authorization Action for Fiscal Year 2017 gave authority to conduct and evaluate defense laboratory personnel demonstration projects to the Office of the Under Secretary of Defense for Research and Engineering, under which the Defense Laboratories Office resides. Defense Laboratories Office officials stated that the office has not evaluated the effectiveness of defense laboratory hiring because it does not have access to defense laboratory hiring data, has not routinely requested these data from the labs or at the department level to monitor the data, and has not developed performance measures to evaluate the labs\u2019 hiring. As noted, laboratory hiring data are captured at the department level in DCPDS and in a variety of service- and laboratory- specific systems and tools. However, the Defense Laboratories Office does not have access to these data and, according to one official, the office would not have access to defense laboratory hiring data unless officials specifically requested them from the labs or from the Defense Manpower Data Center, which maintains DCPDS. According to the official, the Defense Laboratories Office has not routinely requested such data in the past, in part because their role did not require evaluation of such data.", "In addition, the Defense Laboratories Office has not developed performance measures to evaluate the effectiveness of hiring across the defense laboratories or the labs\u2019 use of hiring authorities. An official from the Defense Laboratories Office stated that the office may begin to oversee the effectiveness of the defense laboratories\u2019 hiring efforts and, in doing so, may consider establishing performance measures to be used consistently across the labs, which could include time-to-hire or other measures. However, as of March 2018, the office had not established such measures for use across the defense laboratories nor provided any documentation on any planned efforts.", "Standards for Internal Control in the Federal Government states that management should design appropriate types of control activities to achieve the entity\u2019s objectives, including top-level reviews of actual performance and the comparison of actual performance with planned or expected results. Further, consistent with the principles embodied in the GPRA Modernization Act of 2010, establishing a cohesive strategy that includes measurable outcomes can provide agencies with a clear direction for implementation of activities in multi-agency cross-cutting efforts. We have previously reported that agencies are better equipped to address management and performance challenges when managers effectively use performance information for decision making.", "Without routinely obtaining and monitoring defense laboratory hiring data and developing performance measures, the Defense Laboratories Office cannot effectively oversee the effectiveness of hiring, including the use of hiring authorities, at the defense laboratories. Specifically, without performance measures for evaluating the effectiveness of the defense laboratories\u2019 hiring, and more specifically the use of hiring authorities, the department lacks reasonable assurance that these authorities\u2014in particular, those granted by Congress to the defense laboratories\u2014are resulting in improved hiring outcomes. In addition, without evaluating the effectiveness of the defense laboratories\u2019 hiring efforts, the department cannot understand any challenges experienced by the labs or determine appropriate strategies for mitigating these challenges. As a result, the department and defense laboratories may be unable to demonstrate that they are using their authorities and flexibilities effectively, or that such authorities and flexibilities should be maintained or expanded for future use."], "subsections": []}, {"section_title": "DOD Does Not Have Clear Time Frames for Approving and Implementing New Hiring Authorities for the Defense Laboratories", "paragraphs": ["DOD does not have clear time frames for its process for approving and implementing new hiring authorities for the defense laboratories. Section 1105 of the Carl Levin and Howard P \u201cBuck\u201d McKeon National Defense Authorization Act for Fiscal Year 2015 established a direct hire authority for students enrolled in a scientific, technical, engineering, or mathematics course of study at institutions of higher education on a temporary or term basis. Officials from the Defense Laboratories Office stated that the labs were unable to use the authority because the department\u2019s current process\u2014the publication of a federal register notice\u2014for allowing the laboratories to use the hiring authority took longer than anticipated. On June 28, 2017\u20142 \u00bd years after the authority was granted in the NDAA for Fiscal Year 2015\u2014the department published a federal register notice allowing the defense laboratories the authority to use the direct hire for students.", "DOD officials stated that the department has typically published a federal register notice whenever the defense laboratories are granted a new hiring authority in legislation\u2014for example, when an NDAA is issued, or when certain modifications to the demonstration projects are made. The Defense Civilian Personnel Advisory Service\u2014through its personnel policymaking role for the department\u2014at the time required that the federal register notice process be used to implement any hiring authorities granted to the defense labs by Congress in legislation. These procedures were published in DOD Instruction 1400.37. DOD officials identified coordination issues that occurred during the approval process of the federal register notice across the relevant offices as the cause of the delay associated with this federal register notice.", "Changes to DOD organizational structures further complicated the process of implementing new hiring authorities for defense laboratories. Specifically, in late 2016 a provision in the NDAA for Fiscal Year 2017 shifted the authority to conduct and evaluate defense laboratory personnel demonstration projects from the Office of the Under Secretary of Defense for Personnel and Readiness to the Office of the Under Secretary of Defense for Research and Engineering. Within the Office of the Under Secretary of Defense for Research and Engineering, the Defense Laboratories Office has been tasked with the responsibility for matters related to the defense laboratories. According to the Director of the Defense Laboratories Office, informal discussions about the transition began shortly after the NDAA for Fiscal Year 2017 was passed in late 2016. According to that official, despite the shift in oversight responsibility, coordination between the offices of the Under Secretaries for Research and Engineering and for Personnel and Readiness is required on issues related to civilian personnel, including defense laboratory federal register notices.", "Although a formal process for coordination did not exist at the start of our review, officials from the Defense Laboratories Office stated that representatives from the offices have met approximately five times since December 2016 and were taking steps to establish a coordination process for implementing new authorities. According to officials from the Defense Laboratories Office, during those meetings as well as during other, less formal interactions, officials have taken steps to formalize the roles and responsibilities of the relevant offices. According to officials from the Defense Laboratories Office, as of May 2018 the office was drafting a memorandum to formalize the roles and responsibilities of the Defense Laboratories Office and the Office of the Under Secretary of Defense for Personnel and Readiness to correspond to the federal register notice approval process; however, officials did not provide a completion date.", "The Defense Laboratories Office established and documented its own federal register approval process in spring 2017 and updated it in early 2018. The aforementioned memorandum would further describe the roles and responsibilities for the Offices of the Under Secretary for Research and Engineering and the Deputy Assistant Secretary of Defense for Civilian Personnel Policy in carrying out the updated process. According to officials, this is the process the office will use moving forward for coordination and approval of any future federal register notices. On March 6, 2018, the Office published a federal register notice that rescinds the earlier instruction published by the Defense Civilian Personnel Advisory Service of the Office of the Under Secretary of Personnel and Readiness. By rescinding that instruction\u2014including the earlier process for approving requests from the labs and federal register notices\u2014the Defense Laboratories Office can, according to officials, publish its own process and guidance.", "In a 2016 presentation to the Joint Acquisition/Human Resources Summit on the defense laboratories, the Chair of the Laboratory Quality Enhancement Program Personnel Subpanel stated that a renewed and streamlined approval process would be beneficial to the creation of new authorities, among other things. Although Defense Laboratories Office officials provided a flowchart of the office\u2019s updated federal register approval process for coordination, this process did not include time frames for specific stages of the coordination. Officials stated that they cannot arbitrarily assign time frames or deadlines for a review process because any time frames will be contingent on the other competing priorities of each office, and other tasks may take priority and thus push review of a federal register notice down in order of priority. Our prior work has found that other federal agencies identify milestones, significant events, or stages in the agency-specific rulemaking process, and track data associated with these milestones. That work also found that, despite variability across federal agencies in the length of time taken by the federal rulemaking process, scheduling and budgeting for rulemaking are useful tools for officials to manage regulation development and control the resources needed to complete a rule.", "Standards for Internal Control in the Federal Government further establishes that management should design control activities to achieve objectives and respond to risks. Further, management should also establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. Moreover, documentation is a necessary part of an effective internal control system. The level and nature of documentation may vary based on the size and complexity of the organization and its processes. The standards also underscore that specific terms should be fully and clearly set forth such that they can be easily understood. Our prior work on interagency collaboration has also found that overarching plans can help agencies overcome differences in missions, cultures, and ways of doing business, and can help agencies better align their activities, processes, and resources to collaborate effectively to accomplish a commonly defined outcome.", "Without establishing and documenting clear time frames for its process for departmental coordination efforts related to the approval and implementation of new hiring authorities, the department cannot be certain that it is acting in the most efficient or effective manner possible. Moreover, the defense laboratories may not promptly benefit from the use of congressionally granted hiring authorities, relying instead on other existing authorities. Doing so could, according to officials, have the unintended consequence of complicating the hiring process, increasing hiring times, or resulting in the loss of highly qualified candidates."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The future of the department\u2019s technological capabilities depends, in large part, on its investment in its people\u2014the scientists and engineers who perform research, development, and engineering. To that end, Congress has granted the defense laboratories specific hiring authorities meant to encourage experimentation and innovation in their approaches to building and strengthening their workforces. The defense laboratories have used most of these authorities as a part of their overall hiring efforts. However, without obtaining and monitoring hiring data and developing performance measures, the Defense Laboratories Office may not be in a position to provide effective oversight of the defense laboratories\u2019 hiring, including the use of hiring authorities, or to evaluate the effectiveness of specific hiring authorities. Moreover, the absence of clear time frames to facilitate timely decision-making and implementation of any new hiring authorities may impede the laboratories\u2019 ability to make use of future authorities when authorized by Congress. Until the department addresses these issues, it lacks reasonable assurance that the defense laboratories are taking the most effective approach toward hiring a workforce that is critical to the military\u2019s technological superiority and ability to address existing and emerging threats."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making three recommendations to DOD.", "The Secretary of Defense should ensure that the Defense Laboratories Office routinely obtain and monitor defense laboratory hiring data to improve the oversight of the defense laboratories\u2019 use of hiring authorities. (Recommendation 1)", "The Secretary of Defense should ensure that the Defense Laboratories Office develop performance measures to evaluate the effectiveness of the defense laboratories\u2019 use of hiring authorities as part of the labs\u2019 overall hiring to better inform future decision making about hiring efforts and policies. (Recommendation 2)", "The Secretary of Defense should ensure that the Defense Laboratories Office, in collaboration with the Under Secretary of Defense for Personnel and Readiness and the Laboratory Quality Enhancement Panel\u2019s Personnel Subpanel, establish and document time frames for its coordination process to direct efforts across the relevant offices and help ensure the timely approval and implementation of hiring authorities. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix VI, DOD concurred with our recommendations, citing steps the department has begun and plans to take to improve oversight and coordination of the defense laboratories\u2019 hiring efforts. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and other interested parties, including the Defense Laboratories Office and defense laboratories. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions regarding this report, please contact Brenda Farrell at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Department of Defense Science, Technology, Engineering, and Mathematics (STEM) Occupations", "paragraphs": ["The term \u201cSTEM\u201d refers to the fields of science, technology, engineering, and mathematics. The following figure identifies the Department of Defense\u2019s broad categories of STEM occupations, as well as the specific occupational series within each category."], "subsections": []}, {"section_title": "Appendix II: Copy of GAO Questionnaire Administered to the Defense Laboratory Officials", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the defense laboratories use of existing hiring authorities and what officials view as the benefits of authorities and incentives and the challenges in hiring; (2) the extent to which the Department of Defense (DOD) evaluates the effectiveness of hiring, including hiring authorities, at the defense laboratories; and (3) the extent to which DOD has time frames for approving and implementing new hiring authorities.", "To address these objectives, we included in the scope of our review science, technology, engineering, and mathematics (STEM) hiring at the 15 defense laboratories designated as Science and Technology Reinvention Laboratories (STRL) that were implemented at the time of our review within the Army, Navy, and Air Force. We included 9 Army laboratories: Armament Research, Development, and Engineering Center; Army Research Laboratory; Aviation and Missile Research, Development, and Engineering Center; Communications-Electronics Research, Development, and Engineering Center; Edgewood Chemical and Biological Center; Engineer Research and Development Center; Medical Research and Materiel Command; Natick Soldier Research, Development, and Engineering Center; and Tank Automotive Research, Development, and Engineering Center. We included 5 Navy laboratories: Naval Air Systems Command Warfare Centers, Weapons Division and Aircraft Division; Naval Research Laboratory; Naval Sea Systems Command Warfare Centers, Naval Surface and Undersea Warfare Centers; Office of Naval Research; and Space and Naval Warfare Systems Command, Space and Naval Warfare Systems Center, Atlantic and Pacific. We included 1 Air Force laboratory: Air Force Research Laboratory. We excluded 2 additional defense laboratories within the Army\u2014the Army Research Institute and the Space and Missile Defense Command\u2014because these defense laboratories were in the process of being implemented at the time of our review.", "For our first objective, we obtained and analyzed documentation, including past National Defense Authorization Acts (fiscal years 1995 through 2017), guidance related to government-wide hiring authorities, and federal register notices on existing hiring authorities used by the defense laboratories to hire STEM personnel. We obtained data that were coordinated by the Defense Manpower Data Center and prepared by the Defense Civilian Personnel Advisory Service\u2019s Planning and Accountability Directorate. These data included, among other things, hiring process milestone dates and type of hiring authority used for each civilian hire at the defense laboratories for fiscal years 2015 through 2017. We selected these years because they were the three most recent years for which hiring data were available, and because doing so would allow us to identify any trends in the use of hiring authorities or the length of time taken to hire. The data we obtained were extracted from DCPDS using the Corporate Management Information System.", "The team refined the data to include only those hiring actions that were made by the 15 defense laboratories included within the scope of our review. In addition, we excluded hiring actions that used a 700-series nature of action code, which denotes actions that relate to position changes, extensions, and other changes, which we determined should not be included in our analysis. We included actions that used nature of action codes in the 100-series (appointments) and 500-series (conversions to appointments). For the purpose of calculating time to hire, we also excluded records with missing dates and those for which the time-to-hire calculation resulted in negative number (that is, the record\u2019s request for personnel action initiation date occurred after the enter-on- duty date). Specifically, we excluded 92 actions for which no request for personnel action initiation date was recorded and 205 actions for which the date occurred after the enter-on-duty date, for a total of 2.57 percent of all hiring actions. We included in our calculation 7 actions for which the request for personnel action initiation date was the same date as the enter-on-duty date, resulting in a time to hire of zero days.", "To determine the extent to which the defense laboratories use existing hiring authorities, based on the department\u2019s data, we analyzed the current appointment authority codes identified for individual hiring actions. Current appointment authority codes are designated by the Office of Personnel Management and are used to identify the law, executive order, rule, regulation, or other basis that authorizes an employee\u2019s most recent conversion or accession action. Based on our initial review of the data, we determined that, in some cases, more than one distinct current appointment authority code could be used to indicate the use of a certain hiring authority. Alternately, a single current appointment authority code could in some cases be used for indicating more than one type of authority. In these cases, the details of the specific type of hiring authority that was used for the hiring action can be recorded in the description field associated with the current appointment authority code field. For this reason, in order to determine the type of hiring authority used, it was necessary to analyze the description fields for the current appointment authority code when certain codes were used. Two analysts independently reviewed each description and identified the appropriate hiring authority. Following this process, the two analysts compared their work and resolved any instances in which the results of their analyses differed. A data analyst used the results to produce counts of the number of times various categories of hiring authorities were used, as well as the average time to hire for each hiring authority category.", "For those instances where the analysts could not identify a hiring authority on the basis of the three digit codes or the description fields, the hiring actions were assigned to an \u201cunknown\u201d category. We note that the \u201cunknown\u201d category included 591 hiring actions, or approximately 5 percent of the total data for fiscal years 2015 through 2017. In addition, within the laboratory-specific direct hire authority category, if a determination could not be made about the specific type of laboratory- specific direct hire authority used, the hiring action was captured in the \u201cdirect hire authority, unspecified\u201d category because the action was clearly marked as one of the laboratory-specific direct hire authorities but the type of authority (for example, direct hire for veterans) was unclear. Of the 5,303 hiring actions identified as a laboratory-specific direct hire authority, 0.1 percent of the hiring actions fell into the unspecified category. Based on the aforementioned steps and discussions with officials from the Defense Civilian Personnel Advisory Service and the Defense Manpower Data Center and reviews of additional documentation provided to support the data file, as well as interviews with officials from 13 of the laboratories about their data entry and tracking, we determined that these data were sufficiently reliable for the purposes of reporting the frequency with which the labs used specific hiring authorities and calculating the time it takes the labs to hire, or time to hire, for fiscal years 2015 through 2017.", "To describe officials\u2019 views of hiring authorities and other incentives, we conducted a survey of officials at each of the defense laboratories on (1) their perceptions of the various hiring authorities and incentives, (2) whether those authorities and incentives have helped or hindered hiring efforts, (3) the extent to which they experienced barriers to using hiring authorities, and (4) any challenges during the hiring process, among other things. We administered the survey to the official at each defense laboratory who was identified as the Laboratory Quality Enhancement Program Personnel, Workforce Development, and Talent Management Panel point of contact, because we determined that this individual would be the most knowledgeable about his or her lab\u2019s hiring process and use of hiring authorities. One laboratory\u2014the Space and Naval Warfare Systems Command Centers\u2014had two designated Laboratory Quality Enhancement Program Personnel, Workforce Development, and Talent Management Panel points of contact, one for each of its command centers (Atlantic and Pacific). Because the contacts would each be knowledgeable about his or her lab\u2019s hiring processes for their respective command centers, we chose to include both command centers in our survey. As a result, we included a total of 16 laboratory officials in our survey.", "We drafted our questionnaire based on the information obtained from our initial interviews with department, service, and laboratory personnel. We conducted pretests to check that (1) the questions were clear and unambiguous, (2) terminology was used correctly, (3) the questionnaire did not place an undue burden on agency officials, (4) the information could feasibly be obtained, and (5) the survey was comprehensive and unbiased. We conducted five pretests to include representatives from each of the three services, as well as from corporate research laboratories and from research, development, and engineering centers. We conducted the pretests\u2014with the assistance of a GAO survey specialist\u2014by telephone and made changes to the content and format of the questionnaire after each pretest, based on the feedback we received. Key questions from the questionnaire used for this study are presented in appendix II.", "We sent a survey notification email to each laboratory\u2019s identified point of contact on July 6, 2017. On July 10, 2017, we sent the questionnaire by email as a Microsoft Word attachment that respondents could return electronically after marking checkboxes or entering responses into open answer boxes. One week later, we sent a reminder email, attaching an additional copy of the questionnaire, to everyone who had not responded. We sent a second reminder email and copy of the questionnaire to those who had not responded 2 weeks following the initial distribution of the questionnaire. We received questionnaires from all 16 participants by August 4, 2017, for a 100 percent response rate. Between July 26 and October 5, 2017, we conducted additional follow-up with 11 of the respondents via email to resolve missing or problematic responses.", "Because we collected data from every lab, there was no sampling error. However, the practical difficulties of conducting any survey may introduce errors, commonly referred to as non-sampling errors. For example, differences in how a particular question is interpreted, the sources of information available to respondents, how the responses were processed and analyzed, or the types of people who do not respond can influence the accuracy of the survey results. We took steps in the development of the survey, the data collection, and the data analysis to minimize these non-sampling errors and help ensure the accuracy of the answers that were obtained. For example, a survey specialist designed the questionnaire, in collaboration with analysts having subject matter expertise. Then, as noted earlier, the draft questionnaire was pretested to ensure that questions were relevant, clearly stated, and easy to comprehend. The questionnaire was also reviewed by internal subject matter experts and an additional survey specialist.", "Data were electronically extracted from the Microsoft Word questionnaires into a comma-delimited file that was then imported into a statistical program for quantitative analyses and Excel for qualitative analyses. We examined the survey results and performed computer analyses to identify inconsistencies and other indications of error, and we addressed such issues as necessary. Quantitative data analyses were conducted by a survey specialist using statistical software. An independent data analyst checked the statistical computer programs for accuracy.", "To obtain information on department- and service-level involvement in and perspectives of defense laboratory hiring, we interviewed officials at the Defense Personnel Advisory Service, Defense Laboratories Office, Army Office of the Assistant G-1 for Civilian Personnel, and Navy Office of Civilian Human Resources. In addition, we interviewed hiring officials, first-line supervisors, and newly hired employees from a non- generalizable sample of six defense laboratories or subordinate level entities within a laboratory (for example, division or directorate) to obtain their perspectives on the hiring process. We selected the six laboratories based on the following two criteria: (1) two laboratories from each of the three services, and (2) a mix of both corporate research laboratories and research and engineering centers. In addition, because some hiring activities can occur at subordinate levels within a laboratory\u2014such as a division or directorate\u2014we included at least one subordinate level entity for each service. In total, we selected: Army Research Laboratory Sensors and Electron Devices directorate; Aviation and Missile Research, Development, and Engineering Center (Army); Naval Research Laboratory; Naval Air Warfare Center Weapons Division; Air Force Research Laboratory Information directorate; and Air Force Research Laboratory Space Vehicles directorate. For each lab, we requested to interview the official(s) most knowledgeable about the lab\u2019s hiring process, supervisors who had recently hired, and newly hired employees.", "We initially requested to interview one group each of supervisors and newly hired employees. Following our first round of interviews at one laboratory, we requested to interview two groups each of supervisors and newly hired employees. Subsequent to this request, at one lab we were able to conduct one supervisor interview and at a second lab we were able to conduct one newly hired employee interview, due to scheduling constraints. The views obtained from these officials, supervisors, and recent hires are not generalizable and are presented solely for illustrative purposes.", "For our second and third objectives, we reviewed guidance and policies for collecting and analyzing laboratory personnel data related to the implementation and use of hiring authorities by these labs. We interviewed DOD, military service, and defense laboratory officials to discuss and review their hiring processes and procedures for STEM personnel, the use of existing hiring authorities, and efforts to document and evaluate time-to-hire metrics. We also met with DOD officials from the Office of the Under Secretary of Defense for Personnel and Readiness and the Office of the Under Secretary of Defense for Research and Engineering to discuss processes and procedures for implementing new hiring authorities granted by Congress. We evaluated their efforts to determine whether they met federal internal control standards, including that management should design appropriate types of control activities to achieve the entity\u2019s objectives, including top-level reviews of actual performance, and should establish an organizational structure, assigning responsibilities and delegating authority to achieve an organization\u2019s objectives.", "We conducted this performance audit from November 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: The Department of Defense Laboratories\u2019 Use of Hiring Authorities for Fiscal Years 2015, 2016, and 2017", "paragraphs": ["We analyzed three years of Department of Defense hiring data obtained from the Defense Civilian Personnel Data System to identify the defense laboratories\u2019 use of hiring authorities. We found that the defense laboratories completed a total of 11,562 STEM hiring actions in fiscal years 2015 through 2017 and used the defense laboratory direct hire authorities the most often when hiring STEM personnel. Table 7 provides information on the laboratories\u2019 use of hiring actions by hiring authority for fiscal years 2015, 2016, and 2017.", "Table 8 provides a breakdown of the individual labs\u2019 use of hiring authorities in fiscal years 2015 through 2017."], "subsections": []}, {"section_title": "Appendix V: Defense Laboratory Time to Hire Data by Hiring Authority Category for Fiscal Years 2015, 2016, and 2017", "paragraphs": ["We analyzed three years of the DOD hiring data to identify time to hire using various types of hiring authorities when hiring for Science, Technology, Engineering, and Math (STEM) occupations at the defense laboratories. Tables 9, 10, 11, and 12 below show the frequency of actions for each hiring authority category and the average, minimum, maximum, median, 25th percentile, and 75th percentile of the number of days to hire for each category in fiscal years 2015 through 2017 and for all three years combined."], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Vincent Balloon (Assistant Director), Isabel Band, Vincent Buquicchio, Joseph Cook, Charles Culverwell, Serena Epstein, Christopher Falcone, Robert Goldenkoff, Cynthia Grant, Chelsa Gurkin, Amie Lesser, Oliver Richard, Michael Silver, John Van Schaik, Jennifer Weber, and Cheryl Weissman made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-295", "url": "https://www.gao.gov/products/GAO-18-295", "title": "Heavy Equipment: Selected Agencies Should Improve Guidance for Purchases and Leases", "published_date": "2018-02-27T00:00:00", "released_date": "2018-02-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies use heavy equipment such as cranes and forklifts to carry out their missions, but there is no government-wide data on federal agencies' acquisition or management of this equipment.", "GAO was asked to review federal agencies' management of heavy equipment. This report, among other objectives, examines: (1) the number, type, and costs of heavy equipment items that are owned by 20 federal agencies and (2) the heavy equipment that selected agencies recently acquired as well as how they decided whether to purchase or lease this equipment.", "GAO collected heavy equipment inventory data as of June 2017 from the 24 agencies that have chief financial officers responsible for overseeing financial management. GAO also selected three agencies (using factors such as the heavy equipment fleet's size) and reviewed their acquisitions of and guidance on heavy equipment. These agencies' practices are not generalizable to all acquisitions but provide insight into what efforts these agencies take to acquire thousands of heavy equipment items. GAO also interviewed officials at the three selected agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["Of the 24 agencies GAO reviewed, 20 reported owning over 136,000 heavy equipment items such as cranes, backhoes, and forklifts, and spending over $7.4 billion (in 2016 dollars) to acquire this equipment. The remaining 4 agencies reported that they do not own any heavy equipment.", "The three selected agencies GAO reviewed in-depth\u2014the Air Force within the Department of Defense (DOD), and the Fish and Wildlife Service and the National Park Service within the Department of the Interior (Interior)\u2014spent about $360 million to purchase about 3,500 heavy equipment assets in calendar years 2012 through 2016 and over $5 million to lease heavy equipment from fiscal years 2012 through 2016. Officials from all three agencies stated that they consider mission needs and the availability of equipment leases when deciding whether to lease or purchase heavy equipment. Federal regulations provide that agencies should consider whether it is more economical to lease or purchase equipment when acquiring heavy equipment, and federal internal control standards require that management clearly document all transactions in a manner that allows the documentation to be readily available for examination. However, in reviewing selected leases and purchases of heavy equipment from these three agencies, GAO found that officials did not consistently conduct or document lease-versus-purchase analyses. Officials at the Air Force and Interior said that there was a lack of clarity in agency policies about when they were required to conduct and document such analyses. Without greater clarity on when lease-versus-purchase analyses should be conducted and documented, these agencies may not be spending funds on heavy equipment effectively."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The Department of the Interior and the Air Force should clarify the circumstances in which lease-versus-purchases analyses for heavy equipment acquisitions are to be conducted and documented. The Departments of the Interior and Defense concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies use a variety of heavy equipment\u2014such as cranes, backhoes, and forklifts\u2014to carry out their missions. This type of equipment can cost over $2 million per item. There is no government- wide information on how much heavy equipment agencies own and there are no requirements for agencies to report on their ownership, use, or cost of this equipment. This is in part due to the lack of a generally accepted definition of heavy equipment. As the government continues to seek opportunities to reduce costs, it is important to understand how agencies determine the need for heavy equipment and how their methods may affect the cost of their heavy equipment fleet.", "You asked us to identify data on federally owned heavy equipment and agencies\u2019 efforts to manage utilization of their heavy equipment. This report addresses: the number, type, and cost of heavy equipment items that are owned by 20 federal agencies; the heavy equipment items that selected agencies have recently acquired and how agencies decided whether to purchase or lease this equipment; and how selected agencies manage the utilization of their heavy equipment.", "To identify the number, type, and cost of heavy equipment owned by federal agencies, we first developed a definition of heavy equipment for the purposes of our review. Specifically, we identified 12 federal supply classes in which the majority of items are self-propelled equipment and include items such as backhoes, cranes, excavators, tractors, and warehouse trucks. The selected federal supply classes do not include classes specific to passenger vehicles and combat and tactical items, as these items are generally not considered to be heavy equipment. We validated our selection of federal supply classes with agency officials we interviewed, who agreed that the selected classes are generally considered to be heavy equipment. We then contacted the personal property managers at each of the 24 agencies covered by the Chief Financial Officers Act (CFO Act) and requested data on each agency\u2019s heavy equipment inventory. We received inventory data from 20 of the 24 agencies either at the department level or from different components within the agency, depending on how the data were maintained. Officials at four agencies\u2014the Department of Education, the Department of the Treasury, the General Services Administration (GSA), and the Small Business Administration\u2014indicated that the agency does not own heavy equipment. We did not verify the data or responses received, but did review the data for inconsistencies and removed outliers; the results of our data collection effort are used only for descriptive purposes and are not generalizable beyond the 24 CFO Act agencies. We found these data to be sufficiently reliable for our purposes. For a complete list of agencies that responded to our data collection effort, as well as information on whether they reported at the departmental level, see appendix I.", "To determine the heavy equipment items that selected agencies recently acquired and how these agencies decided whether to purchase or lease this equipment, we identified agencies that reported the highest obligations for construction and/or heavy equipment in Federal Procurement Data System-Next Generation (FPDS-NG). We then identified additional factors such as spending on leases and a mix of civilian and military departments. Through this process, we selected the departments of Defense and the Interior for further review. Working with department officials, we selected three agencies within those two departments that had the highest number of heavy equipment items based on their inventory data, among other criteria: the U.S. Air Force (Air Force), the Fish and Wildlife Service (FWS), and the National Park Service (NPS). For each agency, we used data from our data collection effort to determine what heavy equipment the agency had purchased in calendar years 2012 through 2016 and requested data on heavy equipment leased in fiscal years 2012 through 2016. We obtained and reviewed these three selected agencies\u2019 guidance documents on acquiring heavy equipment and reviewed eight heavy equipment acquisitions from the three selected agencies to determine if the acquisitions followed relevant guidance and Standards for Internal Control in the Federal Government. To select these acquisitions, we randomly selected two purchases each from the Air Force, NPS, and FWS as well as two leases each from the Air Force and FWS, for a total of ten acquisitions. During our review, Interior identified guidance from 2013 on lease-versus-purchase analysis. We excluded one FWS lease and one NPS purchase from our analysis because they occurred prior to the issuance of this guidance. As a result, we reviewed a total of eight acquisitions. Any findings from our review of the selected agencies and analysis of these procurement decisions are not generalizable within each department or across the federal government. However, these acquisitions provide examples of these three agencies\u2019 practices in deciding whether to lease or purchase heavy equipment.", "To determine how the three selected agencies managed the utilization of their heavy equipment, we reviewed the selected agencies\u2019 policies and interviewed agency officials from each of the three agencies to determine whether each agency has guidance for managing heavy equipment. For those agencies with guidance for managing heavy equipment, we reviewed the guidance to determine if and how selected agencies measured and documented heavy equipment utilization. For more information about our scope and methodology, see appendix II.", "We conducted this performance audit from October 2016 to February 2018 in accordance with generally accepted government auditing standards Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Acquiring Heavy Equipment", "paragraphs": ["Agencies generally acquire equipment from commercial vendors and through GSA, which contracts for the equipment from commercial vendors. In acquiring heavy equipment from a commercial vendor or GSA, agencies can purchase or lease the equipment. Generally, agencies use the term \u201clease\u201d to refer to acquisitions that are time-limited and therefore distinct from purchases. The term \u201clease\u201d is used to refer to both long-term and short-term leases. For example, the three agencies we reviewed in-depth use the term \u201crental\u201d to refer to short-term leases of varying time periods. According to Air Force officials, they define rentals as leases that are less than 120 days while FWS and NPS officials said they generally use the term rental to refer to leases that are a year or less. For the purposes of this report, we use the term \u201crental\u201d to refer to short-term leases defined as rentals by the agency and \u201clong-term lease\u201d to refer to a lease that is not considered a rental by the agency. (See fig. 1.)", "In 2013, GSA began offering heavy equipment through its Short-Term Rental program, which had previously been limited to passenger vehicles, in part to eliminate ownership and maintenance cost for infrequently used heavy equipment. Under this program, agencies can request a short-term equipment rental (less than a year) from GSA, and GSA will work with a network of commercial vendors to provide the requested heavy equipment."], "subsections": []}, {"section_title": "Heavy Equipment Reporting, Data, and Acquisition Requirements", "paragraphs": ["Unlike for some other types of federal property, there are no central reporting requirements for agencies\u2019 inventories of heavy equipment. However, each federal agency is required to maintain inventory controls for its property, which includes heavy equipment. Agencies maintain inventory data through the use of agency-specific databases, and each agency can set its own requirements for what data are required and how these data are maintained. For example, while an agency may choose to maintain data in a headquarters database, it could also choose to maintain data at the local level. As another example, an agency may decide to track and maintain data on the utilization of its heavy equipment (such as the hours used) or may choose not to have such data or require any particular utilization levels.", "The Federal Acquisition Regulation (FAR) governs the acquisition process of executive branch agencies when acquiring certain goods and services, including heavy equipment. Under the FAR, agencies should consider whether to lease equipment instead of purchasing it based on several factors. Specifically, the FAR provides that agency officials should evaluate cost and other factors by conducting a \u201clease-versus-purchase\u201d analysis before acquiring heavy equipment. Additionally, DOD\u2019s regulations require its component agencies to prepare a justification supporting lease-versus-purchase decisions if the equipment is to be leased for more than 60 days."], "subsections": []}]}, {"section_title": "Twenty Agencies Own Over 136,000 Pieces of Heavy Equipment, at an Acquisition Cost of Over $7.4 Billion", "paragraphs": [], "subsections": [{"section_title": "Agencies Report Owning Over 136,000 Pieces of Heavy Equipment of Various Types", "paragraphs": ["Twenty agencies reported data on their owned heavy equipment, including the (1) number, (2) types, (3) acquisition year, and (4) location of agencies\u2019 owned heavy equipment in their inventories as of June 2017."], "subsections": [{"section_title": "Number", "paragraphs": ["The 20 agencies reported owning over 136,000 heavy equipment items. DOD reported owning most of this heavy equipment\u2014over 100,000 items, about 74 percent. (See app. I for more information on agencies\u2019 ownership of these items.) The Department of Agriculture reported owning the second highest number of heavy equipment items\u2014almost 9,000 items, about 6 percent. (See fig. 2.) Four agencies\u2014the Nuclear Regulatory Commission, the Department of Housing and Urban Development, the Office of Personnel Management, and the Agency for International Development\u2014reported owning five or fewer heavy equipment items each.", "The 20 agencies reported owning various types of heavy equipment, such as cranes, backhoes, and road maintenance equipment in five categories: (1) construction, mining, excavating, and highway maintenance equipment; (2) airfield-specialized trucks and trailers; (3) self-propelled warehouse trucks and tractors; (4) tractors; and (5) soil preparation and harvesting equipment.", "Thirty-eight percent (almost 52,000 items) were in the construction, mining, excavating, and highway maintenance category (see fig. 3). Fifteen of the 20 agencies reported owning at least some items in this category.", "Twenty-four percent (over 33,000 items) were in the airfield- specialized trucks and trailers category, generally used to service and re-position aircraft on runways. DOD reported owning 99 percent (over 32,000) of these items, while 9 other agencies, including the Department of Labor and the National Aeronautics and Space Administration, reported owning the other one percent (317 items).", "Twenty-two percent (over 29,000 items) were in the self-propelled warehouse trucks and tractors category, which includes equipment such as forklift trucks. All 20 agencies reported owning at least one item in this category, and five agencies\u2014the Agency for International Development, Department of Housing and Urban Development, the Environmental Protection Agency, the Nuclear Regulatory Commission, and the Office of Personnel Management\u2014reported owning only items in this category. (For additional information on agencies\u2019 ownership of heavy equipment in various categories, see app. I.)", "The twenty agencies reported acquiring their owned heavy equipment between 1944 and 2017, with an average of about 13 years since acquisition (see fig. 4). One heavy equipment manager we interviewed reported that a dump truck can last 10 to 15 years, whereas other types of equipment can last for decades if regularly used and well-maintained.", "The 20 agencies reported that over 117,000 heavy equipment items (86 percent) were located within the United States or its territories. Of these, about one-fifth (over 26,000) were located in California and Virginia, the two states with the most heavy equipment (see fig. 5).", "Of the equipment located outside of the United States and its territories, 94 percent was owned by the Department of Defense. The rest was owned by the Department of State (714 items in 141 countries from Afghanistan to Zimbabwe) and the National Science Foundation (237 items in areas such as Antarctica)."], "subsections": []}]}, {"section_title": "Agencies Reported Spending Over $7.4 Billion to Purchase Heavy Equipment, Although Actual Costs Were Greater Than Reported", "paragraphs": ["The twenty agencies reported spending over $7.4 billion in 2016 dollars to acquire the heavy equipment they own (see table 1). However, actual spending was higher because this inflation-adjusted figure excludes over 37,000 heavy equipment items for which the agencies did not report acquisition cost or acquisition year, or both. Without this information, we could not determine the inflation-adjusted cost and therefore did not include the cost of these items in our calculation. The Army owns almost all of these items, having not reported acquisition cost or acquisition year, or both, for 36,589 heavy equipment items because, according to Army officials, the data were not available centrally but may have been available at individual Army units and would have been resource- intensive to obtain.", "The heavy equipment items reported by the 20 agencies ranged in acquisition cost from zero dollars to over $2 million in 2016 dollars, with an average acquisition cost in 2016 dollars of about $78,000, excluding assets with a reported acquisition cost of $0. Of the items which we adjusted to 2016 dollars and for which non-zero acquisition costs were provided:", "94 percent cost less than $250,000 and accounted for 57 percent of the total adjusted acquisition costs (See fig. 6.)", "6 percent of items cost more than $250,000 and accounted for 43 percent of the adjusted acquisition costs. (See fig. 6.)", "High-cost items included a $779,000 hydraulic crane acquired by the National Aeronautics and Space Administration in 1997 ($1.2 million in 2016 dollars), a $1.4 million ultra-deep drilling simulator acquired by the Department of Energy in 2009 ($1.6 million in 2016 dollars), and several $2.2 million well-drilling machines acquired by the Air Force in 2013 ($2.3 million in 2016 dollars)."], "subsections": []}]}, {"section_title": "Three Selected Agencies Purchased Almost 3,500 Pieces of Heavy Equipment in Calendar Years 2012 through 2016, but Did Not Consistently Document Lease- Versus-Purchase Analyses", "paragraphs": [], "subsections": [{"section_title": "Air Force, FWS, and NPS Purchased Almost 3,500 Pieces of Heavy Equipment in Calendar Years 2012 through 2016; Limited Information Is Available on Leases", "paragraphs": ["In calendar years 2012 through 2016, the Air Force, FWS, and NPS purchased almost 3,500 pieces of heavy equipment through GSA and private vendors at a total cost of about $360 million to support mission needs. (See table 2.) These agencies also spent over $5 million on long- term leases and rentals during this time period.", "The Air Force spent over $300 million to purchase over 2,600 heavy equipment assets in calendar years 2012 through 2016 that were used to support and maintain its bases globally. For example, according to Air Force officials, heavy equipment is often used to maintain runways and service and reposition aircraft on runways. While the majority of Air Force heavy equipment purchased in this time period is located in the United States, 41 percent of this heavy equipment is located outside the United States and its territories in 17 foreign countries to support global military bases.", "The Air Force could not provide complete information on its heavy equipment leases for fiscal years 2012 through 2016. Specifically, the Air Force provided data on 33 commercial heavy equipment leases that were ongoing as of August 2017 but could not provide cost data for these leases because this information is not tracked centrally. Additionally, the Air Force could not provide any data on leases that occurred previously because, according to Air Force officials, lease records are removed from the Air Force database upon termination of the lease. Officials said that rentals are generally handled locally and obtaining complete data would require a data call to over 300 base contracting offices. Air Force officials stated that rentals are generally used in unique situations involving short- term needs such as responding to natural disasters. For example, following Hurricane Sandy, staff at Langley Air Force Base in Virginia used rental equipment to clean up and repair the base. Although Air Force did not provide complete information on rentals, data we obtained from GSA\u2019s Short-Term Rental program indicated that Air Force rented heavy equipment in 46 transactions not reflected in the Air Force data we received totaling over $3.7 million since GSA began offering heavy equipment through its Short-Term Rental program, which had previously been limited to passenger vehicles, in part program in 2013.", "FWS spent over $32 million to purchase 348 heavy equipment assets from calendar years 2012 through 2016. FWS used its heavy equipment to maintain refuge areas throughout the United States and its territories, including maintaining roads and nature trails. FWS also used heavy equipment to respond to inclement weather and natural disasters. Most of the heavy equipment items purchased by FWS were in the construction, mining, excavating, and highway maintenance equipment category and include items such as excavators, which were used for moving soil, supplies, and other resources.", "FWS officials reported that they did not have any long-term leases for any heavy equipment in fiscal years 2012 through 2016 because they encourage equipment sharing and rentals to avoid long-term leases whenever possible. FWS officials provided data on 228 rentals for this time period with a total cost of over $1 million. Information regarding these rentals is contained in an Interior-wide property management system, the Financial Business Management System (FBMS). FWS officials told us that they have not rented heavy equipment through GSA\u2019s program because they have found lower prices through local equipment rental companies.", "NPS spent over $27 million to purchase 471 heavy equipment assets from calendar years 2012 through 2016. NPS uses heavy equipment\u2014 located throughout the United States and its territories\u2014to maintain national parks and respond to inclement weather and natural disasters. For example, NPS used heavy equipment such as dump trucks, snow plows, road graders, and wheel loaders to clear and salt the George Washington Memorial Parkway in Washington, D.C., following snow and ice storms. Most of the heavy equipment items purchased by NPS were in the construction, mining, excavating, and highway maintenance equipment category and include items such as excavators, which are used for moving soil, supplies, and other resources.", "NPS reported spending about $360,000 on 230 long-term leases and rentals in fiscal years 2012 through 2016, not including rentals through GSA\u2019s Short-Term Rental program, which had previously been limited to passenger vehicles, in part program. As with FWS, NPS leases and rentals are contained in FBMS, which is Interior\u2019s property management system. Data we obtained from GSA\u2019s Short-Term Rental program, which had previously been limited to passenger vehicles, in part program indicated that NPS rented heavy equipment in 26 transactions totaling over $200,000 since GSA began offering heavy equipment through its Short-Term Rental program, which had previously been limited to passenger vehicles, in part program in 2013, for a potential total cost of over $560,000 for these long-term leases and rentals."], "subsections": []}, {"section_title": "Selected Agencies Did Not Consistently Conduct and Document Lease-versus- Purchase Analyses", "paragraphs": ["As mentioned earlier, the FAR provides that executive branch agencies seeking to acquire equipment should consider whether it is more economical to lease equipment rather than purchase it and identifies factors agencies should consider in this analysis, such as estimated length of the period that the equipment is to be used, the extent of use in that time period, and maintenance costs. This analysis is commonly referred to as a lease-versus-purchase analysis. While the FAR does not specifically require that agencies document their lease-versus-purchase analyses, according to federal internal control standards, management should clearly document all transactions and other significant events in a manner that allows the documentation to be readily available for examination and also communicate quality information to enable staff to complete their responsibilities.", "As discussed below, we found that most acquisitions we reviewed from FWS, NPS, and the Air Force did not contain any documentation of a lease-versus-purchase analysis. Specifically, officials were unable to provide documentation of a lease-versus-purchase analysis for six of the eight acquisitions we reviewed. FWS officials were able to provide documentation for the other two. Officials told us that a lease-versus- purchase analysis was not conducted for five of the six acquisitions and did not know if such analysis was conducted for the other acquisition. According to agency officials, the main reason why analyses were not conducted or documented for these six acquisitions is that the circumstances in which such analyses were to be performed or documented were not always clear to FWS, NPS, and Air Force officials."], "subsections": [{"section_title": "Interior", "paragraphs": ["In addition to the FAR, Interior has agency guidance stating that bureaus should conduct and document lease-versus-purchase analyses. This July 2013 guidance\u2014that FWS and NPS are to follow\u2014states that requesters of equipment valued at $15,000 or greater should perform a lease-versus- purchase analysis when requesting heavy equipment. According to the guidance, this analysis should address criteria in the FAR and include a discussion of the financial and operating advantages of alternate approaches that would help contracting officials determine the final appropriate acquisition method. At the time the guidance was issued, Interior also provided a lease-versus-purchase analysis tool to aid officials in conducting this analysis. Additionally, in April 2016, Interior issued a policy to implement the July 2013 guidance. The 2016 policy clarifies that program offices are required to complete Interior\u2019s lease-versus-purchase analysis tool and provide the completed analysis to the relevant contracting officer.", "Within Interior, bureaus are responsible for ensuring that procurement requirements are met, including the requirements and directives outlined in Interior\u2019s 2013 guidance and 2016 policy on lease-versus-purchase analyses, according to agency officials. Within FWS, local procurement specialists prepare procurement requests and ensure that procurement requirements are met and that all viable options have been considered. Regional equipment managers review these procurement requests, decide whether to purchase or lease the requested equipment, and prepare the lease-versus-purchase analysis tool if the procurement specialist has indicated that it is required. Within NPS, local procurement specialists are responsible for ensuring that all procurements adhere to relevant requirements and directives, including documenting the lease- versus-purchase analysis.", "Of the three FWS heavy equipment acquisitions we reviewed for which the 2013 Interior guidance was applicable, one included a completed lease-versus-purchase analysis tool; one documented the rationale for purchasing rather than leasing, although it did not include Interior\u2019s lease- versus-purchase analysis tool; and one did not include any documentation related to a lease-versus-purchase analysis. (See table 3.)", "Regarding the acquisition for which no documentation of a lease-versus- purchase analysis was provided\u2014a 12-month lease of an excavator and associated labor costs for over $19,000\u2014FWS officials initially told us that a lease-versus-purchase analysis was not required because the equipment lease was less than $15,000, and Interior\u2019s guidance required a lease-versus-purchase analysis for procurements of equipment valued at $15,000 or greater. However, we found the guidance did not specify whether the $15,000 threshold includes the cost of labor. We also found that Interior\u2019s guidance did not specify if a lease-versus-purchase analysis was required if the total cost of a rental is less than the purchase price. FWS officials acknowledged that Interior guidance is not clear and that it would be helpful for Interior to clarify whether these leases require a lease-versus-purchase analysis.", "NPS officials were unable to provide documentation of a lease-versus- purchase analysis for the single heavy equipment acquisition we reviewed\u2014the purchase of a wheeled tractor in 2015 for $43,177. According to these officials, they could not do so because of personnel turnover in the contracting office that would have documented the analysis. In addition, they told us that they believe that such analyses are not always completed for heavy equipment acquisitions because responsibility for completing these analyses is unclear. Specifically, they told us that it was unclear whether the responsibility lies with the official requesting the equipment, the contracting personnel who facilitate the acquisition, or the property personnel who manage inventory data. However, when we discussed our findings with Interior and NPS officials, NPS officials were made aware of the 2016 Interior policy that specifically requires program offices\u2014the officials requesting the equipment\u2014to complete the lease-versus-purchase analysis and provide documentation of this analysis to the contracting officer. As a result, NPS officials told us at the end of our review that program office officials will now be required to complete the lease-versus-purchase analysis tool and document this analysis."], "subsections": []}, {"section_title": "Air Force", "paragraphs": ["According to Air Force officials responsible for managing heavy equipment, financial or budget personnel at individual bases are responsible for conducting lease-versus-purchase analyses, also called economic analyses, to support purchase and lease requests. Air Force fleet officials told us that they then review these requests from a fleet perspective, considering factors such as whether the cost information provided in the request is from a reputable source, expected maintenance costs, and whether a requesting base has the capability to maintain the requested equipment. However, they said they do not check to ensure that a lease-versus-purchase analysis was completed or review the analysis. Equipment rentals can be approved at individual bases.", "In our review of four Air Force heavy equipment acquisitions, we found no instances in which Air Force officials documented a lease-versus- purchase analysis (see table 4).", "For the acquisitions that we reviewed, Air Force officials told us they did not believe a lease-versus-purchase analysis was required because the new equipment was either replacing old equipment that was previously approved or could be deployed. Accordingly, the Air Force purchased two forklifts in 2013 without conducting lease-versus-purchase analyses because the forklifts were replacing old forklifts that were authorized in 1997 and 2005. Furthermore, Air Force officials told us that both of these forklifts could be deployed and indicated that lease-versus-purchase analyses are not required for deployable equipment. However, the Air Force does not have guidance that describes the circumstances that require either a lease-versus-purchase analysis or documentation of the rationale for not completing such analysis.", "Although we identified several instances in which officials in the three selected agencies did not document lease-versus-purchase analyses, officials from these agencies stated that they consider mission needs and equipment availability, among other factors, when making these decisions. For example, Air Force officials told us following Hurricane Sandy, staff at Langley Air Force Base in Virginia used rental equipment to clean and repair the base because the equipment was needed immediately to ensure the base could meet its mission. Moreover, availability of heavy equipment for lease or rental, which can be affected by factors such as geography and competition for equipment, is a key consideration. For example, FWS officials told us that the specialized heavy equipment sometimes needed may not be available for long-term lease or rent in remote areas such as Alaska and the Midway Islands, so the agency purchases the equipment. In addition, some agency officials told us that they may purchase heavy equipment even if that equipment is needed only sporadically if there is likely to be high demand for rental equipment. For example, following inclement weather or a natural disaster, demand for certain heavy equipment rentals can be high and equipment may not be available to rent when it is needed.", "While we recognize that mission needs and other factors are important considerations, without greater clarity regarding when to conduct or document lease-versus-purchase analyses, officials at FWS, NPS, and Air Force may not be conducting such analyses when appropriate and may not always make the best acquisition decisions. These agencies could be overspending on leased equipment that would be more cost- effective if purchased or overspending to purchase equipment when it would be more cost-effective to lease or rent. Moreover, without documenting decisions on whether to purchase or lease equipment, they lack information that could be used to inform future acquisition decisions for similar types of equipment or projects."], "subsections": []}]}]}, {"section_title": "Air Force and FWS Periodically Assess Heavy Equipment Utilization; NPS Does Not But Is Developing Guidance to Do So", "paragraphs": ["Air Force guidance requires that fleet managers collect utilization data for both vehicles and heavy equipment items, such as the number of hours used, miles traveled, and maintenance costs. The Air Force provided us with utilization data for over 18,000 heavy equipment items and uses such data to inform periodic base validations. Specifically, Air Force officials said that every 3 to 5 years each Air Force base reviews the on- base equipment to ensure that the installation has the appropriate heavy equipment to complete its mission and reviews utilization data to identify items that are underutilized. If heavy equipment is considered underutilized, the equipment is relocated\u2014either moved to another location or sent to the Defense Logistics Agency for reuse or transfer to another agency. According to Air Force officials the Air Force has relocated over 700 heavy equipment items based on the results of the validation process and other factors such as replacing older items and agency needs since 2014.", "Similarly, FWS guidance for managing heavy equipment utilization sets forth minimum utilization hours for certain types of heavy equipment and describes requirements for reporting utilization data. FWS provided us with utilization data on over 3,000 heavy equipment items. According to officials, condition assessments of heavy equipment are required by FWS guidance every 3 to 5 years. According to FWS officials, condition assessments inform regional-level decision making about whether to move equipment to another FWS location or dispose of the equipment.", "In contrast, NPS does not require the collection of utilization data to evaluate heavy equipment use and does not have guidance for managing heavy equipment utilization. However, NPS officials told us that they recognize the need for such guidance. NPS officials shared with us draft guidance that they have developed, which would require collection of utilization data for heavy equipment such as hours or days of usage each month. According to NPS officials, they plan to send the guidance to the NPS policy office for final review in March 2018. Until this guidance is completed and published, NPS is taking interim actions to manage the utilization of its heavy equipment. For example, NPS officials stated that they have asked NPS locations to collect and post monthly utilization data, discussed the collection of utilization data at fleet meetings, and distributed job aids to support this effort. During the course of our review, NPS officials provided us with some utilization data for about 1,400 of the more than 2,400 NPS heavy equipment items. Specifically, for the 1,459 heavy equipment items for which NPS provided utilization data, 541 items had utilization data for each month. For the remaining 918 items, utilization data were reported for some, but not all months."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The federal government has spent billions of dollars to acquire heavy equipment. There is no requirement that agencies report on the inventory of this equipment, as there is no standard definition of heavy equipment. When deciding how to acquire this equipment, agencies\u2019 should conduct a lease-versus-purchase analysis as provided in the FAR, which is a critical mechanism to ensure agencies are acquiring the equipment in the most cost-effective manner. Because FWS, NPS and the Air Force were unclear when such an analysis was required, they did not consistently conduct or document analyses of whether it was more economical to purchase or lease heavy equipment. In the absence of clarity on the circumstances in which lease-versus-purchase analyses for heavy equipment acquisitions are to be conducted and documented, the agencies may not be spending funds on heavy equipment cost- effectively."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations\u2014one to the Air Force and one to the Department of the Interior.", "The Secretary of the Air Force should develop guidance to clarify the circumstances in which lease-versus-purchase analyses for heavy equipment acquisitions are to be conducted and documented. (Recommendation 1)", "The Secretary of the Interior should further clarify in guidance the circumstances in which lease-versus-purchase analyses for heavy equipment acquisitions are to be conducted and documented. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Departments of Agriculture, Defense, Energy, Homeland Security, Housing and Urban Development, the Interior, Justice, Labor, State, and Veterans Affairs; General Services Administration; National Aeronautics and Space Administration; National Science Foundation; Nuclear Regulatory Commission; Office of Personnel Management; and U.S. Agency for International Development.", "The departments of Agriculture, Energy, Homeland Security, Housing and Urban Development, Justice, State and Veterans Affairs, as well as the General Services Administration, National Aeronautics and Space Administration, National Science Foundation, Nuclear Regulatory Commission, Office of Personnel Management; and U.S. Agency for International Development did not have comments. The Department of Labor provided technical comments, which we incorporated as appropriate. In written comments, reproduced in appendix III, the Department of Defense stated that it concurred with our recommendation and plans to issue a bulletin to Air Force contracting officials. In written comments, reproduced in appendix IV, the Department of the Interior stated that it concurred with our recommendation and plans to implement it.", "If you or members of your staff have any questions about this report, please contact me at (202) 512-2834 or RectanusL@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Table of 20 Agencies\u2019 Heavy Equipment Inventories by Category, as of June 2017", "paragraphs": [], "subsections": [{"section_title": "Agency Department of Agriculture", "paragraphs": ["Specialized Trucks and Trailers 37 .", "Self-Propelled Warehouse Trucks and Tractors 1,733 3 . . . . . . ."], "subsections": []}, {"section_title": "Department of Commerce", "paragraphs": [". . . . ."], "subsections": []}, {"section_title": "U.S. Census Bureau Department of Defense", "paragraphs": [". . . . . . ."], "subsections": []}, {"section_title": "Agency Department of Energy", "paragraphs": ["Specialized Trucks and Trailers 7 .", "Self-Propelled Warehouse Trucks and Tractors 2,925 134 . . . . . . . . . ."], "subsections": []}, {"section_title": "Department of Health and Human Services", "paragraphs": [". . . . . ."], "subsections": []}, {"section_title": "Department of Homeland Security", "paragraphs": [". ."], "subsections": []}, {"section_title": "Agency", "paragraphs": ["Specialized Trucks and Trailers .", "Self-Propelled Warehouse Trucks and Tractors 146 . . . ."], "subsections": []}, {"section_title": "Department of Housing and Urban Development Department of the Interior Bureau of Indian Affairs", "paragraphs": [". . 7 . . ."], "subsections": []}, {"section_title": "Department of Justice", "paragraphs": ["- 109 . . ."], "subsections": []}, {"section_title": "Agency Department of State Department of Transportation", "paragraphs": ["Self-Propelled Warehouse Trucks and Tractors 575 64 40 . . . . ."], "subsections": []}, {"section_title": "Department of Veterans Affairs", "paragraphs": [". . . ."], "subsections": []}, {"section_title": "Environmental Protection Agency National Aeronautics and Space Administration National Science Foundation", "paragraphs": [". . 4 . . . . . . . . ."], "subsections": []}, {"section_title": "Agency", "paragraphs": ["Nuclear Regulatory Commission Office of Personnel Management Social Security Administration United States Agency for International Development Grand Total . . . ."], "subsections": []}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses: (1) the number, type, and cost of heavy equipment items that are owned by the 24 CFO Act agencies; (2) the heavy equipment items selected agencies have recently acquired and how selected agencies decided to purchase or lease this equipment; and (3) how selected agencies manage the utilization of their heavy equipment.", "To identify the number, type, and cost of heavy equipment owned by federal agencies, we first interviewed officials at the General Services Administration to determine whether there were government-wide reporting requirements for owned heavy equipment and learned that there are no such requirements. We then obtained and analyzed data on agencies\u2019 spending on equipment purchases and leases from the Federal Procurement Data System\u2013Next Generation (FPDS-NG), which contains government-wide data on agencies\u2019 contracts. However, in reviewing the data available and identifying issues with the reliability of the data, we determined that data on contracts would not be sufficient to answer the question of what heavy equipment the 24 CFO Act agencies own. We therefore conducted a data collection effort to obtain heavy equipment inventory information from the 24 CFO Act agencies, which are the Departments of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, Homeland Security, Housing and Urban Development, the Interior, Justice, Labor, State, Transportation, the Treasury, and Veterans Affairs; Environmental Protection Agency; General Services Administration; National Aeronautics and Space Administration; National Science Foundation; Nuclear Regulatory Commission; Office of Personnel Management; Small Business Administration; Social Security Administration; and Agency for International Development.", "Because there is no generally accepted definition of heavy equipment, we identified 12 federal supply classes in which the majority of items are self- propelled equipment but not passenger vehicles or items that are specific to combat and tactical purposes, as these items are generally not considered to be heavy equipment. (See table 5.) We then vetted the appropriateness of these selected supply classes with Interior, FWS, NPS, and Air Force agency officials, as well as with representatives from a fleet management consultancy and a rental company, and they generally agreed that items in selected federal supply classes are considered heavy equipment. Federal supply classes are used in FPDS- NG and are widely used in agencies\u2019 inventory systems. Overall, about 90 percent of the heavy equipment items that agencies reported were assigned a federal supply class in the agency\u2019s inventory data. In discussing heavy equipment categories in the report, we use the category titles below.", "To identify points of contact at the 24 CFO Act agencies, we obtained GSA\u2019s list of contact information for agencies\u2019 national utilization officers, who are agency property officers who coordinate with GSA. As a preliminary step, we contacted these individuals at each of the 24 CFO Act agencies and asked them to either confirm that they were the appropriate contacts or provide contact information for the appropriate contact and to inform us if they do not own heavy equipment. Officials at 4 agencies\u2014Department of Education, Department of the Treasury, General Services Administration, and Small Business Administration\u2014 indicated that the agency did not own any items in the relevant federal supply classes. Officials at 16 of these agencies indicated that they would be able to respond on a departmental level because the relevant inventory data are maintained centrally, while officials at 4 agencies indicated that we would need to obtain responses from officials at some other level because the relevant inventory data are not maintained centrally. (See table 7 for a list of organizations within the 20 CFO Act agencies that indicated they own relevant equipment and responded to our data collection effort.)", "After identifying contacts responsible for agencies\u2019 heavy-equipment inventory data, we prepared data collection instruments for requesting information on heavy equipment and tested these documents with representatives from 4 of the 20 CFO Act agencies that indicated they own heavy equipment to ensure that the documents were clear and logical and that respondents would be able to provide the requested data and answer the questions without undue burden. These agency representatives were selected to provide a variety of spending on federal supply group 38 equipment as reported in FPDS-NG, civilian and military agencies, and different levels at which the agency would be responding to the data collection effort (e.g., at the departmental level or at a sub- departmental level).", "Our data collection instrument requested the following data on respondent organizations\u2019 owned assets in 12 federal supply classes as of June 2017: Respondents provided data on original acquisition costs in nominal terms, with some acquisitions occurring over 50 years ago. In order to provide a fixed point of reference for appropriate comparison, we present in our report inflation-adjusted acquisition costs using calendar year 2016 as the reference. To adjust these dollar amounts for inflation, we used the Bureau of Labor Statistic\u2019s Producer Price Index by Commodity for Machinery and Equipment: Construction Machinery and Equipment (WPU112), compiled by the Federal Reserve Bank of St. Louis. We conducted the data collection effort from July 2017 through October 2017 and received responses from all 20 agencies that indicated they own heavy equipment. In order to assess the reliability of agencies\u2019 reported data, we collected and reviewed agencies\u2019 responses regarding descriptions of their inventory systems, frequency of data entry, agency uses of the data, and agencies\u2019 opinions on potential limitations of the use of their data in our analysis. We conducted some data cleaning, which included examining the data for obvious errors and eliminating outliers. We did not verify the data or responses received; the results of our data collection effort are used only for descriptive purposes and are not generalizable beyond the 24 CFO Act agencies. Based on the steps we took, we found these data to be sufficiently reliable for our purposes.", "To determine the heavy equipment items that selected agencies recently acquired and how these agencies decided whether to purchase or lease this equipment, we first used data from the FPDS-NG to identify agencies that appeared to have the highest obligations for construction or heavy equipment, or both, and used this information, along with other factors, to select DOD and Interior. At the time, in the absence of a generally accepted definition of heavy equipment, we reviewed data related to federal supply group 38\u2014construction, mining, excavating, and highway maintenance equipment\u2014because (1) we had not yet defined heavy equipment for the purposes of our review; (2) agency officials had told us that most of what could be considered heavy equipment was in this federal supply group; and (3) our analysis of data from usaspending.gov showed that about 80 percent of spending on items that may be considered heavy equipment were in this federal supply group. In meeting with officials at these departments, we learned that agencies within each department manage heavy equipment independently, so we requested current inventory data for Interior bureaus and the DOD military departments and selected three agencies that had among the largest inventories of construction and/or heavy equipment at the time, among other criteria: the U.S. Air Force (Air Force); the Fish and Wildlife Service (FWS); and the National Park Service (NPS). We then used information from our data collection effort\u2014which included the number, type, cost, acquisition year and other data elements\u2014to determine heavy equipment items that these agencies acquired during 2012 through 2016. We interviewed agency officials to determine what lease data were available from the three selected agencies. We assessed the reliability of these data with agency official interviews and reviewed the data for completeness and potential outliers. We determined that the data provided were sufficiently reliable for the purposes of documenting leased and rental heavy equipment. We also obtained data from GSA\u2019s Short- Term Rental program, which had previously been limited to passenger vehicles, in part program for August 2012, when the first item was rented under this program, to February 2017, when GSA provided the data. We used these data to identify selected agencies\u2019 rentals of heavy equipment through GSA\u2019s Short-Term Rental program, which had previously been limited to passenger vehicles, in part program and associated costs. We interviewed officials from GSA\u2019s Short-Term Rental program to discuss the program history as well as the reliability of their data on these rented heavy equipment items. We determined that the data were sufficiently reliable for our purposes.", "To determine how the three selected agencies decide whether to purchase or lease heavy equipment, we interviewed fleet and property managers at these selected agencies and asked them to describe their process for making these decisions as well as to identify relevant federal and agency regulations and guidance. We reviewed relevant federal and agency regulations and guidance regarding how agencies should make these decisions, including: Federal Acquisition Regulation, Office of Management Budget\u2019s A-94, Guidelines and Discount Rates for Benefit- Cost Analysis of Federal Programs, Defense Federal Acquisition Regulation Supplement, Air Force Manual 65-506, Air Force Guidance Memorandum to Air Force Instruction 65-501, and Interior\u2019s Guidance On Lease Versus Purchase Analysis and Capital Lease Determination for Equipment Leases. We also reviewed the Standards for Internal Control in the Federal Government for guidance on documentation as well as past GAO work that reviewed agencies\u2019 lease-versus-purchase analyses.", "To determine whether the three selected federal agencies documented lease-versus-purchase decisions for selected acquisitions and adhered to relevant agency guidance, we selected and reviewed a non-generalizable sample of 10 heavy equipment acquisitions\u2014two purchases each from the Air Force, FWS, and NPS, and two leases each from the Air Force and FWS. Specifically, we used inventory data obtained through our data collection effort, described above, to randomly select two heavy equipment purchases from each selected agency using the following criteria: calendar years 2012 through 2016; the two federal supply classes most prevalent in each selected agency\u2019s heavy equipment inventory, as determined by the data collection effort described above; and for NPS and FWS, acquisition costs of over $15,000.", "In addition, we used lease data provided by the Air Force and FWS to randomly selected two heavy equipment leases per agency. Because NPS could not provide data on heavy equipment leases, we did not select or review any NPS lease decisions. To select the Air Force and FWS leases we used the following criteria: fiscal years 2012 through 2016; for the Air Force, which included federal supply classes in the lease data provided, the two federal supply classes most prevalent in the lease data and for FWS, which did not include federal supply class in the lease data provided, the two federal supply classes most prevalent in the purchase data; and for FWS, leases over $15,000.", "After selecting these acquisitions, we determined that one FWS lease and one NPS purchase we selected pre-dated Interior\u2019s 2013 guidance on lease-versus-purchase analysis and excluded these acquisitions from our analysis for a total of eight acquisitions. In reviewing agencies\u2019 documentation related to these acquisitions, we developed a data collection instrument to assess the extent to which agencies documented lease-versus-purchase analyses and, in the case of FWS and NPS, adhered to relevant Interior guidance. We supplemented our review of these acquisition decisions with additional information by interviewing officials at the three selected agencies and requesting additional information to understand specific circumstances surrounding each procurement. Our findings are not generalizable across the federal government or within each selected department.", "To determine how selected agencies manage heavy equipment utilization, we interviewed officials at the three selected agencies to identify departmental and agency-specific guidance and policies and to determine whether utilization requirements exist. We reviewed guidance identified by these officials, including Interior and Air Force vehicle guidance, both of which apply to heavy equipment, and FWS\u2019s Heavy Equipment Utilization and Replacement Handbook. We also compared their practices to relevant Standards for Internal Control in the Federal Government. For the selected agencies with guidance for managing heavy equipment\u2014Air Force and FWS\u2014we reviewed the guidance to determine if and how selected agencies measured and documented heavy equipment utilization. For example, we reviewed whether selected agencies developed reports for managing heavy equipment utilization such as Air Force validation reports and FWS conditional assessment reports. We also reviewed Air Force, FWS, and NPS utilization data for heavy equipment but we did not independently calculate or verify the utilization rate for individual heavy equipment items because each heavy equipment item (backhoe, forklift, tractor, etc.,) has different utilization requirements depending on various factors such as the brand, model, or age of equipment. However, we did request information about agency procedures to develop and verify utilization rates. We assessed the reliability of the utilization data with agency official interviews and a review of the data for completeness and potential outliers. We determined that the data were sufficiently reliable for the purposes of providing evidence of utilization data collection for heavy equipment assets.", "We also visited the NPS George Washington Memorial Parkway to interview equipment maintenance officials regarding the procurement and management of heavy equipment and to document photos of heavy equipment. We selected this site because of its range of heavy equipment and close proximity to the Capital region.", "We conducted this performance audit from October 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, John W. Shumann (Assistant Director), Rebecca Rygg (Analyst in Charge), Nelsie Alcoser, Melissa Bodeau, Terence Lam, Ying Long, Josh Ormond, Kelly Rubin, Crystal Wesco, and Elizabeth Wood made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-76", "url": "https://www.gao.gov/products/GAO-19-76", "title": "Airline Consumer Protections: Additional Actions Could Enhance DOT's Compliance and Education Efforts", "published_date": "2018-11-20T00:00:00", "released_date": "2018-11-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Airlines recently came under scrutiny for their treatment of passengers\u2014including a high-profile incident in which a passenger was forcibly removed from an overbooked flight. However, airlines maintain that service has improved, citing better on-time performance and lower airfares. DOT has the authority to issue and enforce certain consumer protection requirements. DOT also educates passengers about their rights.", "GAO was asked to examine airline consumer protection issues. This report examines, among other issues, (1) trends in DOT's data on airline service; (2) the effectiveness of DOT's compliance efforts; and (3) the extent to which DOT's passenger education efforts align with key practices for consumer outreach. GAO reviewed DOT data on airline service and analyzed passenger complaint data for the 12 largest domestic airlines from 2008 through 2017; reviewed relevant documents and data on DOT's compliance program; assessed DOT's educational efforts against key practices for successful consumer outreach; and interviewed DOT officials. GAO interviewed or obtained written information from 11 of the 12 airlines."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Transportation's (DOT) data offered mixed information on whether airlines' service improved from 2008 through 2017. While DOT's operational data on rates of late flights, denied boardings, and mishandled baggage generally suggested improvement, the rate of passenger complaints received by DOT increased about 10 percent\u2014from about 1.1 complaints per 100,000 passengers to 1.2 complaints per 100,000 passengers.", "DOT conducts five key activities to ensure airlines' compliance with consumer protection requirements (see table). However, GAO found that DOT lacked performance measures to help it evaluate some of these activities and that it could improve its procedures (i.e., guidance documents and training materials), that analysts use to code passenger complaints.", "Performance measures : DOT has established objectives for each of its five key compliance activities that state what it seeks to achieve; however, DOT lacks performance measures for three objectives. For example, DOT lacks a performance measure for conducting inspections of airlines' compliance with consumer protection requirements at airlines' headquarters and at airports. As a result, DOT is missing opportunities to capture critical information about airlines' compliance with consumer protection requirements.", "Procedures : DOT has procedures to help analysts code passenger complaints and identify potential consumer protection violations. GAO found that DOT's guidance for coding passenger complaints did not consistently include definitions or examples that illustrate appropriate use or help analysts select among the various complaint categories. Additional procedures would help DOT ensure that complaints are consistently coded and that potential violations are properly identified.", "GAO found that while DOT has taken steps to educate passengers on their rights, its efforts did not fully align with four of nine key practices GAO previously identified for conducting consumer education. For example, while DOT has defined the goals and objectives of its outreach efforts, it has not used budget information to prioritize efforts or established performance measures to assess the results. DOT has also not solicited input directly from passengers to understand what they know about their rights. Taking such actions would provide DOT with greater assurance that its efforts are meeting passengers' needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that DOT: develop performance measures for compliance activities, improve its procedures for coding airline passengers' complaints, and improve how passenger education aligns with GAO's key practices. DOT concurred with our recommendations and provided technical comments, which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year hundreds of millions of passengers rely on airlines to get them to their destination without incident. However, if a service incident does occur\u2014such as a delayed or cancelled flight, mishandled or lost baggage, an unsatisfactory customer-service experience, or a denied boarding\u2014a passenger\u2019s experience can quickly deteriorate. For example, video of a passenger being forcibly removed from an overbooked United Express flight awaiting departure at Chicago\u2019s O\u2019Hare International Airport on April 9, 2017, went viral on social media, focusing national attention on the common airline business practice of overbooking flights\u2014which can lead to denied boardings\u2014and what is allowed under federal regulation. Despite the public attention, airlines have maintained that these high- profile incidents are isolated and that service has improved in recent years, citing better on-time performance, lower airfares, and newer aircraft. More recently, some airlines\u2019 services and treatment of passengers, as well as their traveling pets, have come under additional public scrutiny, as have related federal requirements. For example, airlines have called for additional regulation of service animals after instances in which passengers tried to misrepresent pets as emotional support animals to avoid certain fees and requirements.", "While U.S. airlines\u2019 business practices were largely deregulated following the Airline Deregulation Act of 1978, a number of consumer protections for airline passengers (i.e. \u201cconsumer protections\u201d) are in place at the federal level. For example, some consumer protections are in federal statute, such as the Air Carrier Access Act of 1986, as amended, which prohibits airlines from discriminating against individuals based on a disability. Federal statutes have also authorized the Department of Transportation (DOT) to regulate certain areas affecting passengers. For example, DOT has the authority to stop airlines from engaging in unfair or deceptive practices, or unfair methods of competition, and may promulgate consumer protection regulations under that authority. In particular, under that authority, among others, DOT has issued three final rules on Enhancing Airline Passenger Protections since 2009, with the most recent rule issued in November 2016. These rules have, among other things, restricted long tarmac delays, significantly increased compensation amounts for passengers who are involuntarily denied boarding, and required certain airlines to post information about their fees and on-time performance on their websites. Despite these protections, some congressional members have questioned if additional consumer protections are needed and whether passengers know about their existing rights. More recently, in October 2018, the FAA Reauthorization Act of 2018 was enacted and includes a number of consumer protection provisions.", "You asked us to examine airline consumer protection issues. This report: describes trends in DOT\u2019s data on airline service from 2008 through 2017 and airlines\u2019 actions to improve service, assesses how effectively DOT ensures airlines\u2019 compliance with consumer protection requirements, and assesses the extent to which DOT\u2019s airline passenger education efforts align with key practices for consumer outreach.", "At your request, we also examined the relationship between airline competition and airline customer service (see app. I).", "The scope of this report focused on airline consumer protection issues overseen by DOT. To describe trends in airline service, we analyzed DOT\u2019s operational data\u2014including data on late flights and cancellations, denied boardings, and mishandled baggage\u2014and passenger complaints submitted to DOT from 2008 through 2017. We limited our analysis of passenger complaints to \u201cselected\u201d airlines that were required to report operational data to DOT in 2017\u2014the most recent year of available data when we started our review\u2014because they were the largest U.S. domestic passenger airlines in 2016. To assess the reliability of DOT\u2019s data, we reviewed DOT reports, analyzed data to identify any outliers, and interviewed DOT program officials about how the data were collected and used. We determined that the data were sufficiently reliable for our purposes, including to present high-level trends in passenger service over time. To understand airlines\u2019 actions to enhance service from 2013 through 2017, we conducted a literature search of popular press articles and interviewed or obtained written responses from representatives from 11 of the 12 selected airlines. We requested interviews with all selected 12 airlines; 11 airlines agreed to be interviewed or provided written responses (Alaska Air Group representatives provided written responses on behalf of both Alaska and Virgin America as the airlines have merged since 2016), and 1 airline declined to be interviewed. Given the dynamic nature of the industry, we asked about business practices and reviewed passenger satisfaction data for the most recent 5-year period.", "To determine how effectively DOT ensures airlines\u2019 compliance with consumer protection requirements, we conducted multiple interviews with DOT officials and reviewed DOT\u2019s data and documents on its compliance activities from 2008 through 2017. We then evaluated selected DOT compliance activities against principles of Standards for Internal Control in the Federal Government related to DOT\u2019s policies and procedures for coding passenger complaints, case management system, and performance measures. We also compared DOT\u2019s use of performance measures against other leading practices for successful performance measures.", "To understand the extent to which DOT\u2019s passenger education efforts align with key practices for consumer outreach, we assessed DOT\u2019s efforts to disseminate educational materials against key practices we identified in prior work. We believe the key practices we identified in 2007 remain relevant today since the practices are not time-sensitive. DOT officials agreed that these key practices were relevant to conducting consumer outreach. See appendix II for more information on our scope and methodology.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "State of the Airline Industry", "paragraphs": ["In the U.S. commercial airline industry, passengers travel by air on network, low-cost, and regional airlines. With thousands of employees and hundreds of aircraft, network airlines support large, complex hub- and-spoke operations, which provide service at various fare levels to many destinations. Low-cost airlines generally operate less costly point- to-point service using fewer types of aircraft. Regional airlines typically operate small aircraft\u2014turboprops or regional jets with up to 100 seats\u2014and generally provide service to smaller communities on behalf of network airlines.", "The U.S. airline industry\u2019s financial health has improved greatly in recent years due in part to increased demand for air travel as a result of the improved economy, industry reorganization, and changes in business practices. Starting in 2007, airlines faced a number of major challenges, including volatile fuel prices, the financial crisis, and the ensuing recession of 2007\u20132009. These events led to a wave of domestic airline bankruptcies, five airline mergers, and changes in airlines\u2019 business practices. In all, these circumstances\u2014such as the improved economy and new airline business practices\u2014contributed to record level profits for airlines. For example, in 2017, U.S. airlines reported an after-tax net profit of $13.4 billion for domestic operations, according to DOT data.", "As the industry recovered from the recession and passenger traffic began to rebound, airlines began to exercise \u201ccapacity restraint\u201d by carefully controlling the number of seats on flights to achieve higher load factors in order to control costs and improve profitability. Because capacity restraint may result in fewer empty seats on many flights, this practice also limits airlines\u2019 ability to rebook passengers if a flight is delayed or cancelled. Airlines have also made changes in their ticket pricing. For example, airlines now generally \u201cunbundle\u201d optional services from the base ticket price and charge ancillary fees for those services. Unbundling may result in passengers paying for services that were previously included in the price of the ticket. Additionally, certain aspects of customer service quality are tied to the class of ticket passengers purchase. For example, purchasing a \u201cbasic economy\u201d ticket may include restrictions, such as not allowing passengers to select seats or charging for carry-on bags, that would not apply to a higher priced ticket class. Similarly, the quality of seating varies based on the ticket class purchased\u2014even within the main cabin of the aircraft. Moreover, while the recent airline mergers have resulted in some new service options for passengers in certain markets, they have also reduced consumers\u2019 choice of airlines on some routes and can result in higher ticket prices. At the same time, low-cost airlines provide greater competition in the markets they serve, which may help to keep prices in check."], "subsections": []}, {"section_title": "Factors That Affect Passengers\u2019 Satisfaction with Service", "paragraphs": ["Many factors\u2014from booking a flight through collecting checked baggage\u2014may contribute to passengers\u2019 level of satisfaction with an airline\u2019s service, according to an airline industry association and market research organizations (see fig.1). For example, one industry survey found that passengers most valued affordable airfare, convenient flight schedules, and reliable on-time departures and arrivals."], "subsections": []}, {"section_title": "DOT\u2019s Regulatory, Compliance, and Education Efforts", "paragraphs": ["DOT\u2019s regulatory activities include issuing consumer protection regulations. Specifically, DOT may issue or amend consumer protection regulations under its statutory authority to prohibit unfair or deceptive practices, or unfair methods of competition by airlines, among others. As mentioned previously, under this authority DOT has promulgated various regulations to enhance airline consumer protections since 2009 (see table 1).", "When regulations are promulgated, agency officials must determine how to promote compliance and deter noncompliance. Agencies charged with promoting regulatory compliance, including DOT, usually adopt a program that consists of two types of activities: those that encourage compliance and those that enforce the regulations. Compliance assistance helps regulated entities, such as U.S. airlines, understand and meet regulatory requirements, whereas activities such as monitoring, enforcement, and data reporting deter noncompliance and ensure that entities follow requirements. Agencies choose a mix of compliance activities that will achieve their desired regulatory outcome.", "DOT promotes airlines\u2019 compliance with consumer protection requirements through a number of activities, and it educates passengers on their rights. For example, DOT has the authority to investigate whether an airline has been, or is engaged, in an unfair or deceptive practice or an unfair method of competition in air transportation or the sale of air transportation. If DOT finds that an airline has violated consumer protection requirements, DOT may take enforcement action against the airline by, for example, assessing civil penalties. In addition to promoting airlines\u2019 compliance with consumer protection requirements, DOT also conducts activities aimed at educating passengers about their rights and the services provided by airlines. For example, DOT has an aviation consumer protection website where it highlights passengers\u2019 rights and describes how to file complaints with DOT, in addition to other consumer resources. Within DOT\u2019s Office of the Secretary (OST), the Office of the Assistant General Counsel for Aviation Enforcement and Proceedings and its Aviation Consumer Protection Division are responsible for these efforts. According to DOT officials, the annual appropriation to OST\u2019s Office of the General Counsel provides funding for DOT\u2019s consumer protection activities, among other things. At the end of fiscal year 2017, DOT employed 38 staff\u2014including 18 attorneys and 15 analysts\u2014to conduct these activities, according to DOT officials."], "subsections": []}]}, {"section_title": "DOT\u2019s Data Provide Mixed Information on Improvement in the Quality of Airline Service; Selected Airlines Indicate They Are Taking Steps Intended to Enhance Service DOT\u2019s Data Provide Mixed Information on the Quality of Airline Services", "paragraphs": ["DOT\u2019s data, which include both operational measures of airline service, as well as passenger complaints received by DOT, provide mixed information on whether service improved from 2008 through 2017. DOT requires reporting airlines to provide operational data, including information on late, cancelled, or diverted flights; mishandled baggage; and denied boardings. These data showed some general improvement in the quality of airline service from 2008 through 2017. However, during the same time period, the total number of passenger complaints filed with DOT increased for \u201cselected\u201d airlines. Moreover, while these data may be imperfect measures of service quality, they do provide some indication of the passenger experience. DOT publishes data on both operational performance and passengers\u2019 complaints in its monthly Air Travel Consumer Report to inform the public about the quality of services provided by airlines."], "subsections": [{"section_title": "Selected Airlines Indicate They Have Taken a Variety of Actions to Enhance Passenger Service", "paragraphs": ["Representatives from all 11 selected airlines highlighted actions they took to enhance passenger service since 2013, including in some of the areas discussed above. While customer service is important for airlines, these actions can also be motivated in part by other factors\u2014including compliance with certain consumer protection requirements or DOT consent orders, or competition with other airlines. For example, one airline developed a wheelchair tracking system in response to DOT enforcement, which also contributed to the airline\u2019s goal to improve its services to passengers with disabilities. Additional examples of service improvements are listed below.", "On-time performance. Representatives we interviewed from almost all selected airlines (10 of 11) reported taking actions intended to improve on-time performance or mitigate challenges associated with flight delays and cancellations. These actions varied across airlines from those intended to improve operational performance to those intended to improve the comfort of passengers. For example, one airline began tracking flights that were \u201cat-risk\u201d of meeting DOT\u2019s definition of a chronically delayed flight, so it could, among other things, swap crews or substitute aircraft and avoid these types of delays. According to DOT regulations, airlines with a chronically delayed flight for more than four consecutive one-month periods are engaging in a form of unrealistic scheduling, which is an unfair or deceptive practice and an unfair method of competition. Airlines have also used technology, such as text-messaging updates, to communicate with passengers during delays and cancellations (8 of 9); increased the number of situations where passengers are compensated during delays and cancellations (5 of 9); and empowered customer service agents to provide food, beverages, and entertainment to passengers during flight delays (1 of 9). For example, one airline e-mails all passengers that experience long delays with an apology and voucher for future travel, regardless of whether the delay was within the airline\u2019s control. While DOT has some requirements for airlines on delays and cancellations, such as on tarmac delays and chronically delayed flights, it generally does not require airlines to compensate passengers for delays.", "Baggage handling. Representatives we interviewed from almost all network and low-cost airlines (8 of 9) reported investing resources in order to improve baggage-handling efforts and minimize the effects to passengers whose bags are lost or delayed. Among other things, airlines upgraded baggage technology (5 of 9); modernized the claims process, so passengers could complete forms on-line (3 of 9); and instituted replacement baggage programs, where passengers get a replacement bag at the airport (2 of 9). For example, one airline invested several million dollars to use radio frequency identification technology (RFID) to track bags, as well as allowing passengers to track their baggage via an application on their smartphone. Another airline introduced a policy to use FedEx to deliver delayed bags if the airline cannot return them within 24 hours. Since 2011, DOT has required certain airlines to make every reasonable effort to return mishandled baggage within 24 hours.", "Quality of interaction with airline staff. Representatives we interviewed from almost all selected airlines (10 of 11) reported improving training programs in an attempt to enhance interactions between airline staff and passengers. For example, one airline worked with the Disney Institute to provide training to staff on relating to guests during travel disruptions and de-escalating conflict. While airlines have increased customer service training, representatives from one industry association said that the training would be more beneficial if it was provided on a more regular basis. Two airlines also expanded their customer service departments\u2019 hours to better match when passengers travel. According to DOT officials, airlines are not required to provide customer service training to staff.", "Passengers with disabilities. Representatives we interviewed from almost all network and low-cost airlines (8 of 9) reported taking actions intended to improve services for passengers with disabilities. These actions included programs to replace damaged or misplaced wheelchairs or other assistive devices (3 of 9); improving seating and access to lavatories in the aircraft (1 of 9); and using RFID technology to track wheelchairs (1 of 9). For example, representatives from one airline told us they have retrofitted their larger single aisle aircraft lavatories to be wheelchair accessible. Two airlines also reported changing policies pertaining to emotional support animals. For example, one airline has an online registration for emotional support animals where passengers must submit all documentation at least 48 hours in advance of the flight; according to representatives, the process allows the airline to validate the required paperwork, while providing relevant information to passengers with emotional support animals and ensuring the safety of everyone onboard the aircraft.", "Involuntary denied boardings. Representatives we interviewed from network and low-cost airlines (9) reported taking steps to reduce or eliminate involuntary denied boardings. Representatives from three airlines said they have reduced or stopped overbooking flights, and other representatives (5 of 9) said their airlines have begun soliciting volunteers to be \u201cbumped\u201d off a flight (i.e., give up their seat) earlier in the process. Two conduct reverse auctions where they ask passengers what compensation they would accept to take an alternative flight. Airlines are also offering additional incentives to encourage passengers to voluntarily switch to flights with available seats (5 of 9)\u2014including travel vouchers with fewer restrictions or that cover ancillary fees, gift cards for Amazon and other retailers, or large travel credits of up to $10,000."], "subsections": []}]}, {"section_title": "DOT Conducts Multiple Activities to Monitor Airline Compliance, but Opportunities Exist to Improve These Efforts\u2019 Effectiveness", "paragraphs": ["DOT promotes and monitors airlines\u2019 compliance with consumer protection requirements and deters noncompliance in five key ways, such as by reviewing passenger complaint data and taking enforcement action where it identifies violations. However, we found that DOT could improve its procedures to provide additional assurances that analysts consistently code passengers\u2019 complaints and properly identify potential consumer protection violations, in addition to more fully utilizing data from DOT\u2019s information systems to inform its compliance program. Further, while DOT has objectives for each of its five key compliance activities, it lacks performance measures for three of these objectives. As a result, DOT is limited in its ability to assess progress toward achieving its goal of promoting airlines\u2019 compliance with consumer protection requirements or to identify and make any needed improvements."], "subsections": [{"section_title": "DOT Conducts Five Key Compliance Activities", "paragraphs": ["DOT conducts five key activities to help airlines understand and comply with consumer protection requirements: (1) providing compliance assistance to airlines, (2) processing complaints from passengers, (3) conducting compliance inspections of airlines at headquarters and airports, (4) conducting airline investigations, and (5) enforcing airlines\u2019 compliance with consumer protection requirements. Collectively, these key compliance activities are intended to help airlines understand and meet consumer protection requirements and deter noncompliance.", "Providing compliance information to airlines. DOT attorneys assist airlines in meeting consumer protection requirements by developing guidance materials and responding to questions. DOT publishes these materials\u2014such as topic-specific webpages and frequently asked questions\u2014on its website. Attorneys and analysts also informally respond to questions or requests for information from airline representatives.", "Processing complaints from passengers. As previously stated, passengers may file complaints with DOT via its website, by mail, or through DOT\u2019s telephone hotline. DOT analysts use a web application\u2014the Consumer Complaints Application system\u2014to receive, code, and track passenger complaints. In 2017, DOT\u2019s 15 analysts processed about 18,000 air travel-related complaints. Initial processing involves reviewing the information in the complaint, notifying complainants that their complaint was received, and transmitting the complaint to the relevant airline for action. Analysts assign one of 15 high-level complaint category codes (e.g., \u201cadvertising\u201d or \u201cdiscrimination\u201d) to each complaint as well as more specific lower-level complaint codes and codes indicating a potential violation of consumer protection requirements as necessary. Analysts initially code a complaint based on the passenger\u2019s perception of events and not on an assessment of whether the complaint is a potential violation of consumer protections. According to DOT officials, when initially coding passenger complaints, analysts generally use their judgment to code each passenger\u2019s complaint based on the primary issue. While analysts handle a variety of complaints, DOT may designate specific analysts to handle more complex complaint codes, such as disability complaints. On a monthly basis, DOT provides airlines the opportunity to review the complaints received and the agency\u2019s categorization of each complaint. At that time, airlines have an opportunity to challenge DOT\u2019s categorizations. According to DOT officials, a limited number of complaints are recoded as a result of this process.", "Conducting compliance inspections of airlines at headquarters and airports. DOT analysts and attorneys inspect airlines at airline headquarters and airports to assess their compliance with consumer protection requirements. From 2008 through 2016, analysts and attorneys conducted compliance inspections of airlines at the airlines\u2019 headquarters, but DOT has not conducted any such inspections since September 2016. Beginning in 2015, DOT initiated compliance inspections of airlines at airports, and DOT continued to conduct these inspections through 2018. According to DOT officials, they have exclusively conducted on-site inspections of airlines at airports in recent years due, in part, to limited resources and budget unpredictability. However, officials stated that they would consider conducting more inspections of airlines at airline headquarters in the future.", "Inspections of airlines at airlines\u2019 headquarters examine customer service policies and passenger complaints received directly by airlines, among other things. According to DOT officials, these inspections represent a \u201cdeep dive\u201d into an airline\u2019s relevant policies and involve collecting and analyzing data prior to and after their weeklong visit, as well as interviewing corporate personnel. DOT analysts and attorneys use the agency\u2019s inspection checklist to assess compliance with a variety of regulated areas such as the inclusion of certain information on the airline\u2019s website and the proper reporting of data to DOT (e.g., mishandled baggage and on-time performance data). According to DOT data, between 2008 and 2016 DOT completed inspections at 33 U.S. airlines\u2019 headquarters. These 33 inspections identified 23 systemic violations, resulting in consent orders. Two inspections resulted in warning letters, and eight did not identify any systemic violations. The assessed penalty amounts for these inspections ranged from $40,000 to $1,200,000.", "Inspections of airlines at airports examine staff\u2019s knowledge of certain consumer protection requirements and the availability and accuracy of signage and documentation. Such inspections provide DOT the opportunity to examine multiple airlines in one visit. According to DOT officials, during these unannounced inspections, attorneys and analysts focus on assessing compliance through observation and interviews with randomly selected airline employees. For example, analysts and attorneys may confirm the availability of information on compensation for denied boarding from an airline gate agent or review an airline\u2019s required signage on compensation for mishandled baggage to determine whether the information is accurate. According to DOT data, DOT inspected 12 to 14 U.S. airlines annually\u2014most multiple times\u2014at 51 domestic airports from 2015 through 2017. In 2017, DOT conducted inspections at 18 domestic airports that included inspecting 12 U.S. airlines multiple times. In total, from 2015 through 2017, DOT found violations of various consumer protection requirements for 13 airlines that DOT addressed through warning letters. In addition, DOT found violations related to incorrect (e.g., out-of-date) or missing notices regarding baggage liability limits or oversales compensation for 8 airlines that were settled by consent orders with penalties between $35,000 and $50,000.", "Conducting airline investigations. According to DOT officials, attorneys determine whether to open an investigation by weighing numerous factors, including whether they believe an airline is systematically violating consumer protection requirements. Attorneys may initiate an investigation based on findings from trends in passenger complaints, compliance inspections, monitoring of airline websites and news media, or information supplied by other entities, including other DOT offices or governmental agencies. According to DOT officials, after gathering preliminary information, an attorney may notify the airline of his or her investigation, request information for further analysis, and then determine whether a violation has occurred and which enforcement action, if any, is appropriate. Attorneys document these investigations using DOT\u2019s case management system. From 2008 to 2017, DOT initiated almost 2,500 investigations as shown in table 2 below.", "Enforcing airlines\u2019 compliance with consumer protection requirements. When investigations result in a determination that a violation occurred, DOT may pursue enforcement action against the airline by, for example; (1) seeking corrective actions through warning letters; (2) consent orders (which may include fines); or (3) commencement of a legal action (see table 2). According to DOT officials, attorneys consider a number of factors in determining the appropriate enforcement action, including whether there is evidence of recidivism or systemic misconduct, and the number of passengers affected. According to DOT data, most investigations result in administrative closures and findings of no violation.", "According to DOT officials, when attorneys decide to issue a consent order, they work with their managers to arrive at an initial civil penalty level and then negotiate with the airline to arrive at a final settlement agreement and civil penalty amount if applicable. DOT has criteria for setting civil penalties, but officials describe the process as \u201cmore art than science\u201d because facts and circumstances always vary. Civil penalties assessed in consent orders often include three parts: mandatory penalties, credits, and potential future penalties (see table 3). A mandatory penalty is the portion of the assessed penalty that must be paid immediately or in installments over a specified period of time. A credit is the portion of the assessed penalty that DOT allows an airline to not pay in order to give credit to the airline for spending funds on passenger compensation or toward specific service improvements, both of which must be above and beyond what is required by existing requirements. A potential future penalty is the portion of the assessed penalty that the airline will pay if DOT determines that the airline violated certain requirements during a specified period of time.", "Our review of 76 consent orders for our 12 selected airlines where a penalty was assessed found that DOT issued penalties totaling $17,967,000 from 2008 through 2017. Of this, 47 percent ($8,437,700) comprised mandatory penalties paid by the airline. The remaining amounts were either credits or potential future penalties. According to DOT officials, credits are a better way to effect positive change than merely assessing a mandatory penalty. For example, one recent consent order included violations of regulations regarding assistance for passengers with disabilities, among other things. The airline and DOT agreed to an assessed civil penalty amount of $400,000, $75,000 of which was credited to the airline for compensation to customers filing disability-related complaints in certain years and for implementation of an application to provide real-time information and response capabilities to a wheelchair dispatch and tracking system, among other things. However, our review found that consent orders do not always ensure future compliance. Specifically, we found 14 instances where an airline received multiple consent orders for the same regulatory violation. Three of these instances\u2014each for different airlines\u2014related to violations of the \u201cfull fare rule,\u201d and two\u2014also for different airlines\u2014related to airlines\u2019 failure to adhere to customer service plans."], "subsections": []}, {"section_title": "Improvements to DOT\u2019s Procedures Could Provide Greater Assurance That Passengers\u2019 Complaints Are Consistently Coded and that Consumer Protection Violations are Properly Identified", "paragraphs": ["We found that while DOT has some procedures (i.e., guidance documents and on-the-job training) in place for coding passenger complaints, it lacks others that could help ensure that analysts consistently code complaints and that potential consumer protection violations are properly identified. Federal internal control standards state that agencies should design control activities to achieve objectives and establish and operate monitoring activities to evaluate results. By designing and assessing control activities, such as procedures and training, agencies are able to provide management with assurance that the program achieves its objectives, which in this case involve identifying instances of airline noncompliance.", "DOT has taken some steps to help analysts code passenger complaints and properly identify potential violations of consumer protection requirements:", "Guidance documents. DOT developed two documents to guide complaint processing and evaluation\u2014a coding sheet that helps analysts determine how to code complaints and identify potential consumer protection violations, and a user guide that describes how analysts should enter complaint information into the web application. However, we found that these documents may not be clear or specific enough to ensure that analysts consistently coded complaints or properly identified potential consumer protection violations. For example, while the coding sheet includes explanatory notes in 9 of the 15 complaint categories, it does not include definitions and examples for each of DOT\u2019s 15 complaint categories that would illustrate appropriate use of a complaint code, a gap that could result in inconsistent coding.", "On-the-job training. DOT supplements its guidance documents with on-the-job training, which officials told us helps analysts consistently code complaints and identify potential consumer protection violations; however, DOT has not established formal training materials to ensure all new analysts get the same information. DOT pairs each newly- hired analyst with a senior analyst to be their coach and instruct them on how to code complaints. According to DOT officials, senior and supervisory analysts determine when new analysts are able to code and work independently but continue to monitor their work as needed and determined by the senior analyst. DOT officials stated that while the agency does not regularly check the extent to which complaints are consistently coded, supervisory analysts check analysts\u2019 complaint coding on an as-needed basis throughout the year, as well as during semi-annual performance reviews. However, DOT does not provide formal training materials or other guidance to ensure that senior analysts are conveying the same information during these informal, on-the-job training sessions.", "DOT officials stated that the combination of the existing guidance, procedures, and hands-on training provides adequate assurance that analysts share a common understanding of the complaint categories resulting in complaints being consistently coded. As a result, DOT officials have not developed additional guidance documents or established formal training materials.", "While DOT officials said they believe their procedures and on-the-job training are sufficient to ensure that complaints are consistently coded and that potential consumer protection violations are properly identified, a recent DOT Office of Inspector General (OIG) report found that DOT analysts did not identify when to code complaints as potential consumer protection violations for a sample of frequent flyer complaints the agency reviewed. As a result, in 2016, the DOT OIG recommended that DOT provide additional training on what constitutes an unfair or deceptive practice to strengthen oversight of airlines\u2019 frequent flyer programs. In response, DOT created a special team to process frequent flyer complaints and developed and provided review team analysts and other members with training on how to review complaints and identify potential violations related to airlines\u2019 frequent flyer programs.", "Improving DOT\u2019s procedures that analysts use to code complaints and identify potential consumer protection violations could provide DOT with additional assurances that analysts: share a common understanding of the definitions of all the complaint codes, are coding complaints in each category consistently, and are identifying potential consumer protection violations. Consistent coding among analysts is important for a number of reasons. First, according to DOT officials, passengers use complaint data\u2014which are publicly reported in DOT\u2019s Air Travel Consumer Report\u2014to make decisions about air travel, including which airlines to fly. Second, DOT analysts and attorneys use complaint data to guide their compliance activities (e.g., selecting airlines for inspections and investigations, and determining proper enforcement actions)."], "subsections": []}, {"section_title": "DOT Is Missing Opportunities to Use Its Case Management System to Help Inform Its Compliance Program", "paragraphs": ["We found that while DOT\u2019s case management system allows attorneys to track investigations, it lacks functionality that would allow DOT officials to more efficiently use data from the system to inform other key activities, such as making compliance and enforcement decisions. Federal internal control principles state that agencies should design an entity\u2019s information system and related control activities to achieve objectives and respond to risks, which in this case involve using data from DOT\u2019s case management system to inform its compliance activities.", "Our review of DOT\u2019s case management system identified the following limitations that affect DOT\u2019s ability to use data from its case management system to target resources and accurately monitor trends in violations, compliance activities, and the results of its enforcement actions:", "Key data are optional. Attorneys are not required to complete certain key data fields in the case management system. For example, attorneys are not required to document the outcome of an investigation in the \u201cenforcement action\u201d field. According to officials, while attorneys do not always complete this field, they often choose to document the outcome of investigations in the case notes. Even if that information is captured in the case notes section, attorneys can only access that information by individually reviewing each case file.", "Data entries are limited. Attorneys cannot record multiple consumer protection violations for a single investigation in the case management system. As a result, when multiple violations occur, attorneys must use their professional judgement to select the primary violation to record. Our review of the 76 consent orders against selected airlines resulting from airline investigations identified 24 instances\u2014or more than 30 percent\u2014where an airline violated multiple consumer protection regulations. While this is a small subset of all investigations (2,464) DOT completed across our timeframe, it suggests investigations could include violations of multiple consumer protection regulations.", "Data entries do not reflect DOT\u2019s compliance activities. While the case management system includes a field for attorneys to document the source of investigations, the field\u2019s response options do not fully correspond to DOT\u2019s key compliance activities or align to DOT\u2019s documentation listing the sources of investigations. For example, the field that tracks the source of an investigation includes an option to identify passenger complaints as the source but not an inspection of an airline. Officials told us that, like the outcomes of investigations, attorneys often document the source of an investigation in the case notes. However, as mentioned previously, information captured in the case notes section can only be accessed by individually reviewing each case file.", "Limited reporting capabilities exist. Attorneys are limited in their ability to run reports to understand trends across multiple investigations, according to DOT officials. For example, the case management system lacks a function to run reports by certain data fields. Specifically, according to DOT officials, attorneys cannot run reports by the airline name data field and must instead type in the airline name to create a report, a process that could produce unreliable results if an airline\u2019s name is inconsistently entered into the database.", "According to DOT officials, the case management system\u2019s capabilities are limited largely because the database was designed as a mechanism for attorneys to manage ongoing investigations. DOT officials told us that, while the database has successfully fulfilled that role, officials have increasingly used data from the case management system to make enforcement decisions. For example, DOT attorneys use information from the case management system to inform civil penalty amounts. In addition, DOT uses data from the case management system to analyze the results of investigations and inspections, as well as the details of consent orders in order to target future compliance activities. However, because of limited reporting capabilities, attorneys and managers must manually create summary documents from the case management system\u2019s data, work that could be time consuming and subject to manual errors, and that does not address the issue that some data are not entered into various data fields in the first place.", "Recognizing limitations with the case management system, DOT has taken steps to improve the system. Specifically, starting in June 2018, DOT began working with a contractor to update the case management system\u2019s functionality. Among other things, the updates are intended to improve the system\u2019s ability to run reports, which could enhance DOT\u2019s ability to examine trends in enforcement actions and penalty amounts, and allow the system to track investigation milestones. While DOT\u2019s planned updates may help DOT officials better examine trends in enforcement actions, the planned updates do not fully address the issues we identified above, particularly related to collecting complete data. Collecting complete and comprehensive data in the case management system could allow DOT to better track trends in its investigations, inspections, and enforcement actions and to use that information to make data-driven decisions about future compliance activities and enforcement actions."], "subsections": []}, {"section_title": "DOT Lacks Performance Measures for Three of Five of Its Compliance Program Objectives", "paragraphs": ["While DOT has five objectives for its key compliance program activities, it has not established performance measures for three of these objectives. Objectives communicate what results the agency seeks to achieve, and performance measures show the progress the agency is making toward achieving those objectives. Federal internal control standards state that agencies should define objectives clearly to enable the identification of risks and define risk tolerances. They further state that management defines objectives in measurable terms, so that performance toward those objectives can be assessed. Additionally, the Government Performance and Results Act of 1993 (GPRA), as enhanced by the GPRA Modernization Act of 2010, requires agencies to develop objective, measurable, and quantifiable performance goals and related measures and to report progress in performance reports in order to promote public and congressional oversight, as well as to improve agency program performance.", "In fiscal years 2017 and 2018, DOT developed objectives for each of its five key compliance activities; however, as illustrated in table 4 below, DOT does not have performance measures for three of its objectives.", "For the three objectives for which DOT has not established performance measures, it has documented qualitative measures in internal agency documents. For example, while DOT has not developed a performance measure related to enforcing airlines\u2019 compliance with consumer protection requirements, it summarized enforcement cases in fiscal year 2017 that illustrated actions the agency had taken to achieve this objective. For instance, one enforcement action included a consent order against an airline with an assessed penalty of $1.6 million for violating DOT\u2019s tarmac delay rule. DOT highlighted similar accomplishments for educating airlines and conducting inspections. For example, DOT issued guidance to help airlines understand their legal obligations to not discriminate against passengers in air travel on the basis of race, color, national origin, religion, sex or ancestry, and the agency highlighted identifying unlawful practices by multiple airlines during an inspection of airlines at an airport. While the actions described may provide DOT with some information on whether it is achieving its objectives, they fall short of internal control standards that call for federal agencies to define objectives in measureable terms to assess performance.", "DOT officials stated that they have not developed performance measures to monitor progress toward achievement of some objectives because it is difficult to develop quantifiable performance measures. We have previously reported that officials from other enforcement agencies with similar objectives found it challenging to develop performance measures in part due to the reactive nature of enforcement as well as the difficultly of quantifying deterrence, but were ultimately able to do so. Developing performance measures for all objectives would allow DOT to more fully assess the effectiveness of its efforts at promoting airlines\u2019 compliance with consumer protection requirements. Specifically:", "Providing compliance information to airlines. DOT has not developed quantifiable performance measures to assess how well DOT educates airlines about consumer protection requirements. For example, DOT does not have a performance measure for developing and disseminating guidance for specific rules or to issue information on new rules within a certain time frame. Rather, officials told us that they proactively e-mail stakeholders new consumer protection rules\u2014 rather than relying on stakeholders having to find them on DOT\u2019s website or Regulations.gov\u2014and if officials receive the same question repeatedly, about the same requirement they might issue guidance on the topic. According to DOT officials, these activities help ensure that stakeholders are complying with relevant consumer protection requirements. DOT officials did not provide a specific reason for why they do not have a performance measure related to this objective. However, without such a measure, DOT cannot be sure that it is providing timely educational materials to clarify new consumer protection requirements and assist airlines in complying with these requirements.", "Conducting compliance inspections of airlines at headquarters and airports. DOT lacks quantifiable performance measures related to conducting inspections of airlines at airlines\u2019 headquarters and at airports. Having such a measure could help ensure that DOT conducts these activities. Specifically, we found that while DOT continues to conduct inspections of airlines at airports, it has not conducted inspections at airlines\u2019 headquarters since 2016, despite having identified this compliance activity as a key priority in planning documents. According to DOT officials, they have not conducted inspections at airlines\u2019 headquarters for two primary reasons. First, DOT officials said inspections at airlines\u2019 headquarters require significant staff resources, which DOT has allocated to other compliance activities in recent years. Second, officials said that no airline was an obvious choice for an inspection at its headquarters because DOT had not received a disproportionate number of complaints against a specific airline to suggest an inspection was warranted. However, the DOT OIG previously directed the agency to make these inspections a priority and to allocate resources accordingly, and DOT officials themselves have said that these inspections provide incentives for airlines\u2019 continued compliance regardless of whether one airline has an obvious problem. Establishing performance measures for conducting both types of inspections would provide greater assurance that DOT conducts these activities on a regular basis.", "Moreover, officials told us that inspections at airlines\u2019 headquarters examine specific consumer protection requirements that are not examined during inspections at airports, and that inspections at headquarters help promote compliance. Among other things, inspections at airlines headquarters allow DOT officials to: (1) review training manuals and training records; (2) examine a sample of passengers\u2019 complaint data received directly by the airlines, including disability and discrimination complaints; and (3) verify that airlines are current on reporting data such as on mishandled baggage and denied boardings to DOT. Performance measures related to how often and under what circumstances compliance inspections should take place could provide assurance that DOT conducts these activities, and is not missing opportunities to monitor airlines\u2019 compliance with consumer protection requirements.", "Enforcing airlines\u2019 compliance with consumer protections. DOT officials told us that they have not developed performance measures for enforcement actions because they would not want to have performance measures that were punitive or reactive by, for example, requiring the agency to collect a certain penalty amount from airlines. While we acknowledge the complexity and risks involved in setting these types of performance measures, as mentioned previously, other agencies have done so. For example, one of the Federal Trade Commission\u2019s performance measures is to focus 80 percent of enforcement actions on consumer complaints. Without a performance measure for enforcement activities, DOT is missing opportunities to assess the effectiveness of these activities and make any needed changes. We have previously reported that performance measurement gives managers crucial information to identify gaps in program performance and plan any needed improvements."], "subsections": []}]}, {"section_title": "DOT Has Made Recent Improvements, but Its Passenger Education Efforts Do Not Fully Align with Key Consumer Outreach Practices", "paragraphs": [], "subsections": [{"section_title": "DOT Updated Its Website to More Effectively Educate Passengers on their Rights", "paragraphs": ["DOT\u2019s primary vehicle for educating passengers is its aviation consumer protection website, which it relaunched in November 2017 (see fig. 3). According to DOT officials, as part of the relaunch, DOT improved the navigability and accessibility of the website by, among other things, arranging material by topic, adding icons for various subjects, and including a link for the website on DOT\u2019s aviation homepage. The website now includes summaries of passengers\u2019 rights on a number of issues including tarmac delays, overbookings, mishandled baggage, and disability issues, as well as DOT\u2019s rules, guidance issued to airlines and others, and enforcement orders on key consumer protection issues. Moreover, the website is now accessible to people with disabilities. Moving forward, DOT has a number of additional updates planned through fiscal year 2019. For example, DOT plans to update its website with information on frequent flyer issues, optional services and fees, and codeshare agreements by the end of calendar year 2018. According to DOT officials, while not statutorily required to conduct these education activities, passenger education is a key effort to ensuring airlines\u2019 compliance.", "DOT also has numerous other efforts to educate passengers on their rights. For example:", "Establishing resources for passengers. DOT developed Fly Rights\u2014an online brochure that details how passengers can avoid common travel problems\u2014in addition to material on unaccompanied minors, family seating, and a glossary of common air travel terms. DOT also developed training tools (e.g., brochures, digital content, and videos) on the rights of passengers with disabilities under the Air Carrier Access Act of 1986 and its implementing regulations, including wheelchair assistance at airports and onboard aircraft, traveling with a service animal, and traveling with assistive devices. While some of these materials were developed primarily for airline employees and contractor staff, others were developed to directly assist passengers with disabilities by providing helpful tips on airlines\u2019 responsibilities, according to DOT officials.", "Building consumer education information into existing regulations. Passenger education is built into certain consumer protection requirements, according to DOT officials. For example, when an airline involuntarily denies a passenger boarding, immediately after the denied boarding occurs the airline must provide a written statement explaining the terms, conditions, and limitations of denied boarding compensation, and describing the airline\u2019s boarding priority rules and criteria.", "Responding to complaints. DOT officials said they include information on an airline\u2019s responsibilities when responding to passenger complaints. For example, if a passenger submits a complaint to DOT about not receiving compensation for a delayed or cancelled flight, the DOT analyst may inform the passenger that airlines are generally not required to compensate passengers in these instances."], "subsections": []}, {"section_title": "DOT\u2019s Educational Efforts Fully Align with Five of Nine Key Practices", "paragraphs": ["We compared DOT\u2019s efforts to educate airline passengers about their rights against key practices for consumer outreach GAO identified in prior work and found that DOT\u2019s efforts fully align with five of the nine key practices (see fig. 4). For example, we found that DOT has successfully identified the goals and objectives of its passenger education program and identified the appropriate media mix for disseminating its materials. Similarly, we found that DOT had identified and engaged stakeholders, a step that, according to DOT officials, allowed them to better tailor materials.", "However, as summarized in the figure below, we found that DOT only partially met or did not meet the remaining four key practices.", "For example, DOT\u2019s actions do not align with the key practice to \u201cidentify resources\u201d and only partially align with the key practice to \u201cdevelop consistent, clear messages\u201d based on the established budget. According to a senior DOT official, DOT has not identified budgetary resources because, while important, DOT\u2019s educational efforts are secondary to the office\u2019s other efforts. Further, officials said that it has been difficult for the agency to develop a budget when it has been operating under a continuing resolution for some part of the fiscal year for the last decade. However, without identifying short- and long-term budgetary resources and planning activities accordingly, DOT is missing an opportunity to plan educational efforts or prioritize needs based on available resources.", "In addition, we found DOT\u2019s efforts only partially align with the key practice that calls for an agency to research its target audience. While DOT has solicited some input from stakeholder groups such as those representing passengers with disabilities, DOT has not solicited feedback directly from passengers to understand what they know about their rights. DOT officials said they have not sought such feedback because they have not identified a method for doing so that would be statistically generalizable and not cost prohibitive. While costs are always an issue when considering budget priorities, we have previously reported on other agencies\u2019 direct consumer outreach efforts that while not statistically generalizable were nonetheless useful for understanding the effect of the agencies\u2019 efforts. For example, the Bureau of Consumer Financial Protection has used focus groups to understand its outreach efforts. Bureau of Consumer Financial Protection officials previously told GAO that while obtaining information through such efforts was resource intensive, it allowed them to assess the performance of their outreach activities. In another case, an agency surveyed users that access its website to help it understand whether its outreach efforts were effective. Obtaining input from passengers directly on what information they want or what they know about their rights would provide DOT with greater assurance that educational materials are appropriately tailored to meet a wide range of passengers\u2019 needs.", "Finally, DOT has not established performance measures to understand the quality of its passenger education materials (i.e., process measures) or the effectiveness of its efforts (i.e., outcome measures). DOT officials said that they receive informal input from stakeholders on the quality of the materials and track website traffic to understand whether materials are reaching passengers. Officials said they believe that these mechanisms provide them with some assurance that the materials are meeting passengers\u2019 needs and that passengers are accessing and using the materials. While these mechanisms may provide DOT with some information on how often materials are accessed online, they do not help it understand the quality of the materials and measure the success of its passenger education efforts. For example, while DOT officials track website traffic, they have not established a related performance measure. A number of different measures could be used to track processes and outcomes related to the use of its website, including the time consumers spend on the website, number of website pages viewed, bounce rate (i.e., percentage of visitors who looked at only one page and immediately left the site), or user\u2019s perception of the experience of their visit. Establishing such measures would provide DOT with greater assurances that its educational efforts are appropriately tailored to passengers and leading to improved understanding of passengers\u2019 rights, including whether any adjustments are needed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To enforce consumer protection requirements, such as those preventing unfair or deceptive practices or unfair methods of competition by airlines, DOT has conducted almost 2,500 investigations and issued about 400 consent orders over the last decade. However, DOT lacks reasonable assurance that its approach is achieving the highest level of airlines\u2019 compliance, given its available resources. For example, DOT has not assessed whether its procedures and training materials help analysts consistently code passengers\u2019 complaints and identify potential consumer protection violations. Additionally, DOT has not fully used data from its case management system to inform its compliance program. Moreover, in the absence of comprehensive performance measures, DOT lacks a full understanding of the extent to which it is achieving its goal of airlines\u2019 compliance with consumer protection requirements and whether any programmatic changes may be warranted. Improvements in these areas would provide DOT with additional information to target its resources and improve compliance.", "DOT has taken positive steps to educate passengers about their rights\u2014 through its revamped website and other educational resources. Nevertheless, DOT could improve its efforts by more fully following key practices GAO previously identified for conducting consumer education, such as by: seeking feedback directly from consumers; identifying short- and long-term budget resources; and establishing performance measures.", "Taking such actions would provide DOT with greater assurance that its efforts are meeting passengers\u2019 needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to DOT:", "The Office of the Secretary should assess its procedures and training materials for coding airline passengers\u2019 complaints, as appropriate, to help ensure that passengers\u2019 complaints are consistently coded and that potential consumer protection violations are properly identified. (Recommendation 1)", "The Office of the Secretary should assess the feasibility and cost of updating its airline case management system to address data and reporting limitations, and to undertake those updates that are cost effective and feasible. (Recommendation 2)", "The Office of the Secretary should establish performance measures for each of its objectives for its five key airline-compliance activities. (Recommendation 3)", "The Office of the Secretary should capture feedback directly from airline passengers or identify other mechanisms to capture passengers\u2019 perspectives to inform DOT\u2019s education efforts. (Recommendation 4)", "The Office of the Secretary should identify available short- and long- term budgetary resources for DOT\u2019s airline-passenger education efforts. (Recommendation 5)", "The Office of the Secretary should develop performance measures for DOT\u2019s efforts to educate airline passengers. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT for review and comment. DOT provided written comments, which are reprinted in appendix IV, and technical comments, which we incorporated as appropriate. DOT concurred with our recommendations and officials said that they had begun taking steps to address the recommendations.", "We are sending copies of this report to the appropriate congressional committees, DOT, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at 202-512-2834 or vonaha@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Studies on the Effect of Market Structure on Elements of Airlines\u2019 Customer Service", "paragraphs": ["Since its deregulation in 1978, numerous studies have examined the effects of competition in the airline industry. Most have examined the link between competition and pricing on specific airline routes\u2014i.e., airline service between two airports or cities. These routes are viewed as the relevant markets for competitive analysis because they reflect the products that consumers purchase and for which airlines set prices. These studies have examined the pricing effect: (1) of route competition, (2) of the extent of an airline\u2019s presence at airports, and (3) of mergers in the evolving airline industry. Studies have generally shown (1) that prices tend to be higher when fewer airlines serve a city-pair market and (2) that airline dominance at airports can be associated with higher market prices. Other studies have also shown that the presence of a low-cost airline on a route\u2014or even the threat of entry by a low-cost airline\u2014is associated with lower fares.", "In addition, some studies have examined whether there is a link between the level of competition in city-pair markets and certain elements of customer service quality, such as the incidence and length of delays, cancellations, lost baggage, flight frequency, and denied boarding. While competition generally lowers prices, the effect of competition on the quality of service is more ambiguous. On the one hand, firms may compete on quality of service; in this instance, competition leads to higher service, but it is also possible that a firm facing less competition may invest in quality of service to more fully differentiate among passengers. A variety of factors could influence the association between competition and customer service. These factors include, for example: the cost of providing higher levels of quality, the extent to which consumers have full knowledge of quality, the extent to which consumers change future purchasing decisions based on quality, and the value consumers place on product quality relative to product price.", "In the context of the airline industry, airline investments that underlie the provision of consumer services are not necessarily route-specific as they more likely relate to investments airlines make at airports, or at the overall airline level. For example, airlines make decisions about the extent to which resources\u2014such as the number of aircraft and customer service personnel\u2014are available at a given airport. Moreover, policies regarding training of gate and customer service personnel likely take place at the corporate level as do decisions about the configuration of aircraft, which may have related quality of service factors. Also, because airlines provide a service that involves a large network, some elements of quality may relate to the broad decisions regarding the management of that network. For example, if a flight is delayed on one route, it may affect the timeliness of several downstream flights due to the late arrival of the aircraft, pilots, and flight attendants, and airlines may take these networked effects into consideration in ways that could affect customer service. Still, some decisions that airlines make do have route-specific consequences that could influence customer service, such as decisions on flight scheduling, and which flights to cancel or delay in the face of operational disruptions.", "Some empirical airline literature on the impact of competition on certain quality factors predates several airline mergers, and some was conducted more recently. In the earlier literature, several studies found a linkage between the competitiveness of airline markets and customer service outcomes such as on-time performance, cancellations, mishandled baggage and flight frequency. These studies generally found that more competitive markets are associated with an improvement in one or more of these aspects of customer service. For example, one study found a small increase in the number of cancelled flights when a route was served by only one airline, and another found that such routes had, on average, slightly longer delays. However, the extent of these improvements has typically been small, such as an association with a small reduction in cancellations or a reduced average delay of just a few minutes. On the other hand, some studies found that delays and cancellations are less common when they involve airlines\u2019 hub airports\u2014especially when a flight is destined for an airline\u2019s hub airport.", "In order to look more closely at the relationship between market competition and airline customer service in recent years, we reviewed several more current studies. Specifically, because the nature of the airline industry\u2014particularly its competitive landscape\u2014transformed after the 2007\u20132009 recession, we selected studies that included at least some of the study period post-recession. We identified six studies that met our criteria for inclusion, each of which examined some aspect of the link between airline market competition and one or more element of customer service.", "As with the earlier studies, these more recent studies generally found greater competition was associated with some improved customer service. Specifically, some studies found that flight delays were, on average, a little longer, and flight cancellations more likely when markets were more highly concentrated or in the aftermath of an airline merger. For example, one study found that a particular level of increased route concentration was associated with about a 4-minute average increase in flight delay. Another study found a similar effect on delay and also found a slightly higher incidence of cancellations on more concentrated routes. These increases in delays and cancellations were generally small. In the case of mergers, the findings are somewhat mixed. One study we reviewed found increased cancellations and more delays after mergers, but the effects tended to diminish over time, while another study did not find an effect of mergers on these measures of customer service. Another study found that the effect of mergers on consumer welfare\u2014as measured by both price and flight frequency\u2014may be idiosyncratic to the specific airlines involved in the merger and the state of competition in the broader market at the time of the merger. Finally, a GAO study that examined the effect of the tarmac delay rule on flight cancellations found that flights on routes where either the originating or destination airport was a hub airport for the airline had a lower likelihood of cancellation, possibly indicating a focus by airlines on maintaining smooth operations as much as possible. Generally, the differing findings on the extent or existence of quality impacts could be the result of varied methodologies in these analyses, including differing model specifications, variable measurements, and analysis time frames.", "Finally, while these studies provide insight into the link between competition and certain aspects of service quality, some elements of airline\u2019s service quality are harder to explore in this way. For example, there are no data that would be readily usable in empirical analyses on the effect of competition on certain quality measures such as the extent airline websites are user-friendly, the ability to be rebooked on a different flight when a flight is missed or was cancelled, the helpfulness of airline staff, and consumer satisfaction with airline cabin amenities, such as seat comfort and availability and quality of food for sale. Moreover, while studies examine effects of competition at the route level, the national airline industry has become more concentrated in the past decade due to a series of bankruptcies and mergers. The reduced competition at this broad level may also have implications for customer service, such as the level of service provided at airports and policies on flight cancellations and rebooking."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives for this report were to: (1) describe trends in DOT data on airline service from 2008 through 2017 and airlines\u2019 actions to improve service; (2) assess how effectively DOT ensures airlines\u2019 compliance with consumer protection requirements; and (3) assess the extent to which DOT\u2019s airline passenger education efforts align with key practices for consumer outreach. We also examined the relationship between airline competition and customer service (app. I).", "The scope of this report focused on issues regarding consumer protections for airline passengers (i.e., \u201cconsumer protections\u201d) overseen by DOT. We focused our analysis on the time period 2008 through 2017 unless otherwise noted because it encompassed key additions or amendments to consumer protection regulations, including Enhancing Airline Passenger Protections I, II, and III. For each of our objectives, we reviewed documents and data from DOT and airlines, to the extent possible. We also conducted multiple interviews with officials from DOT\u2019s Office of the Assistant General Counsel for Aviation Enforcement and Proceedings and its Aviation Consumer Protection Division, in addition to a non-generalizable sample of 25 stakeholders\u2014including representatives from 11 airlines, 3 market research organizations, 3 aviation academics, and 8 industry associations representing airlines, airline staff, and airline passengers.", "To describe trends in airline service, we analyzed DOT operational data and passenger complaints submitted to DOT from 2008 through 2017. Specifically, we analyzed DOT\u2019s data on late flights; cancellations; diverted flights (i.e., flights operated from the scheduled origin point to a point other than the scheduled destination point in the airline\u2019s published schedule); voluntary and involuntary denied boardings; and mishandled baggage to describe airlines\u2019 operational performance. From 2008 through 2017, DOT required airlines with at least one percent of domestic scheduled-passenger revenues in the most recently reported 12-month period to report this data for reportable flights\u2014we refer to these airlines as \u201creporting airlines\u201d throughout our report. We also obtained data for passenger complaints submitted to DOT and analyzed the data to identify the frequency, types, and changes in complaints over time. We limited our analysis of passenger complaint data to \u201cselected\u201d airlines that were required to report operational data to DOT in 2017\u2014 the most recent year of available data when we started our review\u2014because they were the 12 largest U.S. domestic passenger airlines in 2016. To assess the reliability of the operational data and complaints, we conducted electronic testing of the data to identify any outliers, compared our results to DOT published data, and interviewed DOT officials about how the data were collected and used. Because our interviews with DOT officials indicated that no changes had been made to the processes used to collect and maintain both data sources, we also relied on our past data reliability assessments from recently issued GAO reports, assessments that found that both data sources are sufficiently reliable for providing information on trends over time. Therefore, we determined that the data were sufficiently reliable for our purposes, including to present high-level trends in service over time. Moreover, we also reviewed analyses from three market research organizations that we identified during the course of our work\u2014 J.D. Power and Associates, the American Customer Satisfaction Index, and the Airline Quality Rankings\u2014to provide additional information on airline service quality. We interviewed the authors to understand how they conducted the analyses; however, we did not evaluate the underlying methodologies. We determined that the results were reliable enough to report their high-level trends on passenger satisfaction.", "To understand airlines\u2019 actions to enhance service, we interviewed or received written responses from 11 of 12 selected airlines. We conducted interviews with airline representatives using a semi-structured interview instrument, which included questions pertaining to business practices aimed at improving service from 2013 through 2017, among other things. We conducted three pretests with one airline and two industry groups. Representatives from each group provided technical comments, which we incorporated, as appropriate. We limited our timeframe to the most recent 5 years because business practices in the industry evolve quickly and we wanted to highlight the most relevant and recent practices. During interviews, we asked selected airline representatives whether these practices were documented in contracts of carriage or other customer commitment documents and reviewed those documents as appropriate. During these interviews, we also asked selected airline representatives if they considered certain aspects of their passenger complaint data they receive directly from passengers to be proprietary, and all airline representatives said the data were proprietary. To inform interviews with selected airlines representatives and to understand recent airlines business practices aimed at improving service for passengers, we also conducted a literature search of trade publications and industry reports from 2013 through 2017. Where relevant, we used information from this literature search as additional context and as a basis for our questions to airline representatives regarding specific business practices.", "To describe how DOT ensures airlines\u2019 compliance with consumer protection requirements, we reviewed DOT\u2019s documentation of the policies, procedures, and guidance that describe its five key compliance activities. In addition, we conducted multiple interviews with staff from DOT\u2019s Office of the Assistant General Counsel for Aviation Enforcement and Proceedings and its Aviation Consumer Protection Division. To identify trends in DOT\u2019s key compliance activities from 2008 through 2017, we analyzed reports and data DOT provided on the number and results of its airline inspections, investigations, enforcement actions, and civil penalties\u2014including data from DOT\u2019s case management system. To assess the reliability of the data, we interviewed DOT officials to understand how the data are collected and used and the steps DOT takes to ensure the data are accurate, complete, and reliable. We determined that the data were reliable enough to summarize trends in DOT\u2019s investigation and enforcement actions from 2008 through 2017.", "To determine how effectively DOT implements its compliance program, we assessed selected key compliance activities\u2014i.e., coding passenger complaints, using the case management system to inform compliance activities, and developing objectives and related performance measures\u2014against selected principles of Standards of Internal Control in the Federal Government related to control activities. We also summarized other leading practices for developing performance measures, in addition to our past work, which has identified other agencies with successful performance measures.", "To understand the extent to which passenger education materials developed by DOT align with key practices for consumer outreach, we reviewed DOT\u2019s educational materials and assessed them against nine key practices we previously developed for consumer education planning. In that prior work, GAO convened an expert panel of 14 senior management-level experts in strategic communications to identify the key practices of a consumer education campaign. We believe the key practices the expert panel identified in 2007 remain relevant today since the practices are not time-sensitive. In addition to reviewing relevant materials, we also conducted interviews with DOT officials to understand their outreach efforts. During these interviews, DOT officials agreed that these criteria were relevant to conducting consumer outreach. For a complete list of the criteria and corresponding definitions, see appendix III.", "To understand the impact of airline competition on customer service provided to passengers we conducted a literature search of pertinent studies in scholarly, peer-reviewed journals, conference papers, and government publications. We restricted our review to results published between January 1, 2012, and December 31, 2017, and our search yielded 57 academic results and 10 government studies. Of these results, we reviewed each abstract to determine whether it was relevant to our objective based on criteria we established. For example, we limited results to those looking at the U.S. airline system and eliminated results that focused solely on airfares. In total, we found that 5 academic studies and 1 government study were ultimately relevant and sufficiently reliable for our report. Moreover, we also summarized 6 additional studies that we identified by reviewing the bibliographies of our selected studies or that were identified as key pieces of research in the field to summarize prior work in this area.", "We conducted this performance audit from September 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Key Practices for Conducting Consumer Outreach", "paragraphs": ["GAO previously identified nine key practices that are important to conducting a consumer education campaign (see table 5)."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Andrew Von Ah, (202) 512-2834 or vonaha@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, other key contributors to this report were Jonathan Carver, Assistant Director; Melissa Swearingen, Analyst-in-Charge; Amy Abramowitz; Lacey Coppage; Caitlin Cusati; Delwen Jones; Kelsey Kreider; Ethan Levy; Gail Marnik; SaraAnn Moessbauer; Malika Rice; Minette Richardson; Pamela Snedden; and Laurel Voloder."], "subsections": []}]}], "fastfact": ["Remember when a passenger was forcibly removed from an overbooked flight? Recent customer service issues like this have prompted Congress to question if the Department of Transportation is doing enough to protect passengers.", "We summarized airline consumer protections and trends in DOT service data (like on-time flights) and passenger complaints. We found that while service generally improved in recent years, complaints increased.", "We also found DOT could improve its airline oversight and passenger education efforts. We made 6 recommendations, including that DOT capture feedback from passengers directly to inform its education efforts."]} {"id": "GAO-18-394", "url": "https://www.gao.gov/products/GAO-18-394", "title": "Lead Paint in Housing: HUD Should Strengthen Grant Processes, Compliance Monitoring, and Performance Assessment", "published_date": "2018-06-19T00:00:00", "released_date": "2018-06-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Lead paint in housing is the most common source of lead exposure for U.S. children. HUD awards grants to state and local governments to reduce lead paint hazards in housing and oversees compliance with lead paint regulations in its rental assistance programs. The 2017 Consolidated Appropriations Act, Joint Explanatory Statement, includes a provision that GAO review HUD\u2019s efforts to address lead paint hazards. This report examines HUD\u2019s efforts to (1) incorporate statutory requirements and other relevant federal standards in its lead grant programs, (2) monitor and enforce compliance with lead paint regulations in its rental assistance programs, (3) adopt federal health guidelines and environmental standards for its lead grant and rental assistance programs, and (4) measure and report on the performance of its lead efforts. GAO reviewed HUD documents and data related to its grant programs, compliance efforts, performance measures, and reporting. GAO also interviewed HUD staff and some grantees."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Housing and Urban Development\u2019s (HUD) lead grant and rental assistance programs have taken steps to address lead paint hazards, but opportunities exist for improvement. For example, in 2016, HUD began using new tools to monitor how public housing agencies comply with lead paint regulations. However, HUD could further improve efforts in the following areas:", "Lead grant programs. While its recent grant award processes incorporate statutory requirements on applicant eligibility and selection criteria, HUD has not fully documented or evaluated these processes. For example, HUD\u2019s guidance is not sufficiently detailed to ensure consistent and appropriate grant award decisions. Better documentation and evaluation of HUD\u2019s grant program processes could help ensure that lead grants reach areas at risk of lead paint hazards. Further, HUD has not developed specific time frames for using available local-level data to better identify areas of the country at risk for lead paint hazards, which could help HUD target its limited resources.", "Oversight. HUD does not have a plan to mitigate and address risks related to noncompliance with lead paint regulations by public housing agencies. We identified several limitations with HUD\u2019s monitoring efforts, including reliance on public housing agencies\u2019 self-certifying compliance with lead paint regulations and challenges identifying children with elevated blood lead levels. Additionally, HUD lacks detailed procedures for addressing noncompliance consistently and in a timely manner. Developing a plan and detailed procedures to address noncompliance with lead paint regulations could strengthen HUD\u2019s oversight of public housing agencies.", "Inspections. The lead inspection standard for the Housing Choice Voucher program is less strict than that of the public housing program. By requesting and obtaining statutory authority to amend the standard for the voucher program, HUD would be positioned to take steps to better protect children in voucher units from lead exposure as indicated by analysis of benefits and costs.", "Performance assessment and reporting. HUD lacks comprehensive goals and performance measures for its lead reduction efforts. In addition, it has not complied with annual statutory reporting requirements, last reporting as required on its lead efforts in 1997. Without better performance assessment and reporting, HUD cannot fully assess the effectiveness of its lead efforts."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes nine recommendations to HUD including to improve lead grant program and compliance monitoring processes, request authority to amend its lead inspection standard in the voucher program, and take additional steps to report on progress. HUD generally agreed with eight of the recommendations. HUD disagreed that it should request authority to use a specific, stricter inspection standard. GAO revised this recommendation to allow HUD greater flexibility to amend its current inspection standard as indicated by analysis of the benefits and costs."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Centers for Disease Control and Prevention (CDC) have estimated that approximately half a million U.S. children (ages 1 to 5) have blood lead levels higher than most children\u2019s levels. According to CDC, no safe level of lead in the blood has been identified. When absorbed into the body, especially in young children, lead can damage the brain and nervous system, slow development and growth, and cause learning or behavioral problems. According to CDC, lead-based paint hazards, such as dust containing lead and chips from deteriorated lead-based paint, are the most common source of lead exposure for U.S. children. Young children are at greater risk of being exposed to lead because they often crawl on the floor, have frequent hand-to-mouth activity, and intentionally ingest nonfood items. Also, exposure to lead impacts young children more because of their small body size and weight compared to adults.", "The Department of Housing and Urban Development\u2019s (HUD) most recent survey of housing conditions estimated that roughly 35 percent of U.S. homes (37 million) contained some lead-based paint. Additionally, the survey estimated that 93 percent of the homes with lead paint were built before 1978\u2013\u2013the year the United States banned lead-containing paint used in housing. HUD has certain statutory responsibilities related to reducing lead exposure in housing, which include, awarding grants to states and local governments to help address lead paint hazards in private, low-income housing and promulgating lead paint regulations for HUD\u2019s rental assistance programs.", "The 2017 Consolidated Appropriations Act, Joint Explanatory Statement, Division K, includes a provision for GAO to report on HUD\u2019s policies, procedures, and processes for addressing lead paint hazards in housing. This report examines HUD\u2019s efforts to (1) incorporate statutory requirements and other relevant federal standards in its lead grant programs; (2) monitor and enforce compliance with lead paint regulations for its rental assistance programs; (3) adopt federal health guidelines and environmental standards for lead paint hazards in its lead grant and rental assistance programs; and (4) measure and report on its performance related to making housing lead-safe. The provision also directs GAO to review opportunities to improve coordination and leveraging of public and private (i.e., nonfederal) sources of funds to reduce federal costs associated with identifying and remediating lead paint hazards. Information about nonfederal sources of funds used by grantees as part of HUD\u2019s lead grant programs is included in appendix I of this report.", "In this report, we examine lead paint hazards in housing and we focus on HUD\u2019s lead hazard control grant programs and its two largest rental assistance programs that serve the most families with children: the Housing Choice Voucher (voucher) and public housing programs.", "To address the first objective, we compared HUD\u2019s lead grant programs\u2019 processes with statutory requirements and federal internal control standards. For example, we reviewed HUD\u2019s annual notices of funding availability to identify the criteria HUD has used to evaluate grant applications and determine the extent to which the 2017 notices incorporated statutory requirements. We also compared HUD\u2019s lead grant program processes to the Office of Management and Budget (OMB) requirements for competitively awarded grants. To review the extent to which grant awards have gone to counties with indicators of lead paint hazard risk, we analyzed HUD\u2019s grant data from 2013 through 2017 and county-level U.S. Census Bureau data on the age of housing and poverty level of individuals in the United States. HUD\u2019s grant data were not available electronically before 2013, when the agency started using grants management software. We determined the HUD and Census data were sufficiently reliable for our purposes\u2013\u2013to identify the locations and grant award amounts for HUD grantees and to identify counties with older housing and individuals living in poverty. Additionally, we interviewed HUD staff about the agency\u2019s grant application and award processes. To obtain information and perspectives from HUD grantees, we also reviewed a nongeneralizable sample of 20 grant applications and interviewed 10 of the 20 grantees. We conducted site visits to 5 of the 10 grantees we interviewed. We selected these grantees to achieve variation in geographic locations and the type of HUD grants they had previously received, among other things.", "To address the second objective, we reviewed relevant laws and HUD\u2019s lead paint regulations and guidance and internal memorandums related to its efforts to monitor and enforce compliance with these regulations. We reviewed HUD databases used to monitor compliance and observed HUD staff demonstrating these databases. We reviewed HUD documentation of instances of potential noncompliance by public housing agencies (PHA) with lead paint regulations and enforcement actions HUD has taken. We compared HUD\u2019s regulatory compliance monitoring and enforcement approach to federal internal control standards. We interviewed HUD staff about internal procedures for monitoring and enforcing compliance of lead paint regulations. To address the third objective, we compared HUD\u2019s programs and regulations with relevant CDC health guidelines and Environmental Protection Agency (EPA) standards. We also interviewed staff from CDC and EPA to obtain information about their health guidelines and environmental standards related to lead.", "To address the fourth objective, we reviewed HUD documentation related to performance goals, measures, program evaluations, and reporting requirements, including HUD\u2019s recent annual performance reports. We compared HUD\u2019s practices against leading practices for assessing program performance and federal internal control standards. Finally, we interviewed HUD staff to understand performance goals, measures, and reporting HUD has used to assess its lead efforts. Appendix II contains a more detailed description of our objectives, scope, and methodology.", "We conducted this performance audit from March 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Agencies and Key Regulations Related to Lead Paint Hazards", "paragraphs": ["While HUD has primary responsibility for addressing lead paint hazards in federally-assisted housing, EPA also has responsibilities related to setting federal lead standards for housing. EPA sets federal standards for lead hazards in paint, soil, and dust. Additionally, EPA regulates the training and certification of workers who remediate lead paint hazards. CDC sets a health guideline known as the \u201cblood lead reference value\u201d to identify children exposed to more lead than most other children. As of 2012, CDC began using a blood lead reference value of 5 micrograms of lead per deciliter of blood. For children whose blood lead level is at or above CDC\u2019s blood lead reference value, health care providers and public health agencies can identify those children who may benefit the most from early intervention. CDC\u2019s blood lead reference value is based on the 97.5th percentile of the blood lead distribution in U.S. children (ages 1 to 5), using data from the National Health and Nutrition Examination Survey. Children with blood lead levels above CDC\u2019s blood lead reference value have blood lead levels in the highest 2.5 percent of all U.S. children (ages 1 to 5). HUD, EPA, and the Department of Health and Human Services (HHS) are members of the President\u2019s Task Force on Environmental Health Risks and Safety Risks to Children. HUD co- chairs the lead subcommittee of this task force with EPA and HHS. The task force published the last national lead strategy in 2000.", "The primary federal legislation to address lead paint hazards and the related requirements for HUD is the Residential Lead-Based Paint Hazard Reduction Act (Title X of the Housing and Community Development Act of 1992). We refer to this law as Title X throughout this report. Title X required HUD to, among other things, promulgate lead paint regulations, implement the lead hazard control grant programs, and conduct research and reporting, as discussed throughout this report.", "The two key regulations that HUD has issued under Title X are the Lead Disclosure Rule and the Lead Safe Housing Rule:", "Lead Disclosure Rule. In 1996, HUD and EPA jointly issued the Lead Disclosure Rule. The rule applies to most housing built before 1978 and requires sellers and lessors to disclose any known information, available records, and reports on the presence of lead paint and lead paint hazards and provide an EPA-approved information pamphlet prior to sale or lease.", "Lead Safe Housing Rule. In 1999, HUD first issued the Lead Safe Housing Rule, which applies only to housing receiving federal assistance or federally-owned housing being sold. The rule established procedures for evaluating whether a lead paint hazard exists, controlling or eliminating the hazard, and notifying occupants of any lead paint hazards identified and related remediation efforts. The rule established an \u201celevated blood lead level\u201d as a threshold that requires landlords and PHAs to take certain actions if a child\u2019s blood test shows lead levels meeting or exceeding this threshold. In 2017, HUD amended the rule to align its definition of an \u201celevated blood lead level\u201d with CDC\u2019s blood lead reference value. This change lowered the threshold that generally required landlords and PHAs to act from 20 micrograms to 5 micrograms of lead per deciliter of blood. According to the rule, when a child under age 6 living in HUD-assisted housing has an elevated blood lead level, the housing provider must take several steps. These generally include testing the home and other potential sources of the child\u2019s lead exposure within 15 days, ensuring that identified lead paint hazards are addressed within 30 days of receiving a report detailing the results of that testing, and reporting the case to HUD."], "subsections": []}, {"section_title": "HUD Offices Involved in Lead Efforts and HUD\u2019s Rental Assistance Programs", "paragraphs": ["Office of Lead Hazard Control and Healthy Homes (Lead Office). HUD\u2019s Lead Office is primarily responsible for administering HUD\u2019s two lead hazard control grant programs, providing guidance on HUD\u2019s lead paint regulations, and tracking HUD\u2019s efforts to make housing lead-safe. The Lead Office collaborates with HUD program offices on its oversight and enforcement of lead paint regulations. For instance, the Lead Office issues guidance, responds to questions about requirements of lead paint regulations, and provides training and technical assistance to HUD program staff, PHA staff, and property owners. The Lead Office\u2019s oversight efforts also include maintaining email and telephone hotlines to receive complaints and tips from tenants or homeowners, among others, as they pertain to lead paint regulations. Additionally, the Lead Office, in collaboration with EPA, contributes to the operation of the National Lead Information Center\u2013\u2013a resource that provides the general public and professionals with information about lead, lead hazards, and their prevention.", "Office of Public and Indian Housing (PIH). HUD\u2019s PIH oversees and enforces HUD\u2019s lead paint regulations for the rental assistance programs. As discussed earlier, this report focuses on the two largest rental assistance programs serving the most families with children\u2013\u2013the Housing Choice Voucher and public housing programs.", "Housing Choice Voucher program. In the voucher program, eligible families and individuals are given vouchers as rental assistance to use in the private housing market. Generally, eligible families with vouchers live in the housing of their choice in the private market. The voucher generally pays the difference between the family\u2019s contribution toward rent and the actual rent for the unit. Vouchers are portable; once a family receives one, it can take the voucher and move to other areas where the voucher program is administered. In 2017, there were roughly 2.5 million vouchers available.", "Public housing program. Public housing is reduced-rent developments owned and operated by the local PHA and subsidized by the federal government. PHAs receive several streams of funding from HUD to help make up the difference between what tenants pay in rent and what it costs to maintain public housing. For example, PHAs receive operating and capital funds through a formula allocation process. PHAs use operating funds to pay for management, administration, and day-to-day costs of running a housing development. Capital funds are used for modernization needs, such as replacing roofs or remediating lead paint hazards. According to HUD rules, generally families that are income-eligible to live in public housing pay 30 percent of their adjusted income toward rent. In 2017, there were roughly 1 million public housing units available.", "For both of these rental assistance programs, the Office of Field Operations (OFO) within PIH oversees PHAs\u2019 compliance with lead paint regulations, in conjunction with HUD field office staff. The office has a risk-based approach to overseeing PHAs and performs quarterly risk assessments. Also within PIH, staff from the Real Estate Assessment Center are responsible for inspecting the physical condition of public housing properties.", "Office of Policy Development and Research (PD&R). HUD\u2019s PD&R is the primary office responsible for data analysis, research, and program evaluations to inform the development and implementation of programs and policies across HUD offices."], "subsections": []}, {"section_title": "HUD\u2019s Lead Hazard Control Grant Programs", "paragraphs": ["of the total grant amount, while the Lead Hazard Reduction Demonstration grant program has required at least a 25 percent match.", "For fiscal years 2013\u20132017, HUD awarded $527 million for its lead hazard control grants, which included 186 grants to state and local jurisdictions (see fig. 1). In these 5 years, about 40 percent of grants awarded went to jurisdictions in the Northeast and 31 percent to jurisdictions in the Midwest\u2013\u2013regions of the country known to have a high prevalence of lead paint hazards.", "Additionally, in these 5 years, 90 percent of grant awards went to grantees at the local jurisdiction level (cities, counties, and the District of Columbia). The other 10 percent of grant awards went to state governments. During this time period, HUD awarded the most grants to jurisdictions in Ohio (17 grants), Massachusetts and New York (15 grants each), and Connecticut (14 grants)."], "subsections": []}]}, {"section_title": "HUD Has Incorporated Relevant Requirements for Awarding Recent Lead Grants, but Could Better Document and Evaluate Grant Processes", "paragraphs": [], "subsections": [{"section_title": "Lead Grant Programs Have Incorporated Statutory Requirements for Eligibility and Selection", "paragraphs": ["HUD\u2019s Lead-Based Paint Hazard Control grant and the Lead Hazard Reduction Demonstration grant programs have incorporated Title X statutory requirements through recent annual funding notices and their grant processes. Title X contains applicant eligibility requirements and selection criteria HUD should use to award lead grants.", "To be eligible to receive a grant, applicants need to be a state or local jurisdiction, contribute matching funds to supplement the grant award, have an approved comprehensive affordable housing strategy, and have a certified lead abatement program (if the applicant is a state government).", "HUD has incorporated these eligibility requirements in its grant programs\u2019 2017 funding notices, which require applicants to demonstrate that they meet these requirements when they apply for a lead grant. According to the 2017 funding notices, applicants must detail the sources and amounts of their matching contributions in their applications. Similarly, applicants must submit a form certifying that the proposed grant activities are consistent with their local affordable housing strategy. HUD\u2019s 2017 funding notices state that if applicants did not meet these eligibility requirements, HUD would not consider their applications.", "Additionally, Title X requires HUD to award lead grants according to the following applicant selection criteria: the extent to which an applicant\u2019s proposed activities will reduce the risk of lead poisoning for children under the age of 6; the degree of severity and extent of lead paint hazards in the applicant\u2019s jurisdiction; the applicant\u2019s ability to supplement the grant award with state, local, or private funds; the applicant\u2019s ability to carry out the proposed grant activities; and other factors determined by the HUD Secretary to ensure that the grants are used effectively.", "In its 2017 funding notices, HUD incorporated the Title X applicant selection criteria through five scoring factors that it used to assess lead grant applications. HUD allocated a certain number of points to each scoring factor. Applicants are required to develop their grant proposals in response to the scoring factors. When reviewing applications, HUD staff evaluated an applicant\u2019s response to the factors and assigned points for each factor. See table 1 for a description of the 2017 lead grant programs\u2019 scoring factors and points.", "As shown in table 1, HUD awarded the most points (46 out of 100) to the \u201csoundness of approach\u201d scoring factor, according to HUD\u2019s 2017 funding notices. Through this factor, HUD incorporated Title X selection criteria on an applicant\u2019s ability to carry out the proposed grant activities and supplement a grant award with state, local, or private funds. For example, HUD\u2019s 2017 funding notices required applicants to describe their detailed plans to implement grant activities, including how the applicants will establish partnerships to make housing lead-safe. Specifically, HUD began awarding 2 of the 100 points to applicants who demonstrated partnerships with local public health agencies to identify families with children for enrollment in the lead grant programs. Additionally, HUD asked applicants to identify partners that can help provide assistance to complete the lead hazard control work for high-cost housing units. Furthermore, HUD required applicants to identify any nonfederal funding, including funding from the applicants\u2019 partners. Appendix I includes examples of state, local, and nongovernmental funds that selected grantees planned to use to supplement their lead grants."], "subsections": []}, {"section_title": "HUD Has Taken Actions Consistent with OMB Requirements but Has Not Fully Documented or Evaluated Its Lead Grant Programs\u2019 Processes", "paragraphs": ["In its lead grant programs, HUD has taken actions that were consistent with OMB\u2019s requirements for competitively awarded grants. OMB generally requires federal agencies to: (1) establish a merit-review process for competitive grants that includes the criteria and process to evaluate applications; and (2) develop a framework to assess the risks posed by applicants for competitive grants, among other things. Through a merit-review process, an agency establishes and applies criteria to evaluate the merit of competitive grant applications. Such a process helps to ensure that the agency reviews grant applications in a fair, competitive, and transparent manner. Consistent with the OMB requirement to establish a merit review process, HUD has issued annual funding notices that communicate clear and explicit evaluative criteria. In addition, HUD has established processes for reviewing and scoring grant applications using these evaluative criteria, and selects grant recipients based on the review scores (see fig. 2). For example, applicants that score at or above 75 points are qualified to receive awards from HUD. Also, HUD awards funds beginning with the highest scoring applicant and proceeds by awarding funds to applicants in a descending order until funds are exhausted. Furthermore, consistent with the OMB requirement to develop a framework to assess applicant risks, HUD has developed a framework to assess the risk posed by lead grant applicants by, among other things, deeming ineligible those applicants with past performance deficiencies or those that do not have a financial management system that meets federal standards.", "However, HUD has not fully documented or evaluated its lead grant processes in reviewing and scoring the grants and making award decisions: Documenting grant processes and award decisions. While HUD has established processes for its lead grant programs, it lacks documentation, including detailed guidance to help ensure that staff carry out processes consistently and appropriately. Federal internal control standards state that agency management should develop and maintain documentation of its internal control system. Such documentation assists agency management by establishing and communicating the processes to staff. Additionally, documentation of processes can provide a means to retain organizational knowledge and communicate that knowledge as needed to external parties.", "The Lead Office\u2019s Application Review Guide describes its grant application review and award processes at a high level but does not provide detailed guidance for staff as to how tasks should be performed. For example, the Guide notes that reviewers score eligible applications according to factors contained in the funding notices but does not describe how the reviewers should allocate points to the subfactors that make up each factor. Lead Office staff told us that creating detailed scoring guidance would be challenging because applicants\u2019 proposed grant activities differ widely, and they said that scoring grant applications is a subjective process. While scoring grant applications may involve subjective judgments, improved documentation of grant review and scoring processes, including additional direction to staff, can help staff apply their professional judgment more consistently in evaluating applications. By better documenting processes, HUD can better ensure that staff evaluate applications consistently.", "Additionally, HUD has not fully documented its rationale for deciding which applicants receive lead grant awards and for deciding the dollar amounts of grant awards to successful applicants. In prior work examining federal grant programs, one recommended practice we identified is that agencies should document the rationale for award decisions, including the reasons individual applicants were selected or not and how award funding amounts were determined. While HUD\u2019s internal memorandums listed the applicants selected and the award amounts, these memorandums did not document the rationale for these decisions or provide information sufficient to help applicants understand award outcomes. Lead Office staff told us that most grantees have received the amount of funding they requested in their applications, which was generally based on HUD\u2019s maximum grant award amount. Lead Office staff said they could use their professional judgment to adjust award amounts to extend funding to more applicants when applicants received similar scores.", "However, the Lead Office\u2019s documentation we reviewed did not explain this type of decision making. For example, in 2017, when two applicants received identical scores on their applications, HUD awarded each applicant 50 percent of the remaining available funds rather than awarding either applicant the amount they requested. Representatives of one of the two grantees told us they did not know why the Lead Office had not provided them the full amount they had requested. Lead Office staff told us that, to date, HUD has not considered alternative ways to award grant funding amounts. By fully documenting grant award processes, including the rationale for award decisions and amounts, HUD could provide greater transparency to grant applicants about its grant award decisions.", "Evaluating processes. HUD lacks a formal process for reviewing and updating its lead grant funding notices, including the factors and point allocations used to score applications. Federal internal control standards state that agencies should implement control activities through policies and that periodic review of policies and procedures can provide assurance of their effectiveness in achieving the agency\u2019s objectives. Lead Office staff told us that previous changes to the factors and point allocation used to score applicants have been made based on informal discussions among staff. However, the Lead Office does not have a formal process to review and evaluate the relevance and appropriateness of the factors or points used to score applicants. Lead Office staff told us that they have never analyzed the scores applicants received for the factors to identify areas where applicants may be performing well or poorly or to help inform decisions about whether changes may be needed to the factors or points.", "Additionally, HUD has not changed the threshold criteria used to make award decisions since the threshold was established in 2003. As previously shown in figure 2, applicants who received at least 75 points (out of 100) have been qualified to receive a grant award. However, HUD grant documentation, including the funding notices and the Application Review Guide, does not explain the significance of this 75-point threshold. Lead Office staff stated that this threshold was first established in 2003 by HUD based on OMB guidance. A formal review of this 75-point threshold can help HUD determine whether it remains appropriate for achieving the grant programs\u2019 objectives. Furthermore, by periodically evaluating processes for reviewing and scoring grant applications, HUD can better determine whether these processes continue to help ensure that lead grants reach areas of the country at greater risk for lead paint hazards."], "subsections": []}, {"section_title": "HUD Has Begun to Develop Analyses to Help More Fully Identify Areas at Risk for Lead Paint Hazards but Has Not Set Time Frames for Using Local-Level Data", "paragraphs": ["HUD has begun to develop analyses and tools to inform its efforts to target outreach and ensure that grant awards go to areas of the country that are at risk for lead paint hazards. However, HUD has not developed time frames for incorporating the results of the analyses into its lead grant programs\u2019 processes. HUD has required jurisdictions applying for lead grants to include data on the need or extent of the problem in their jurisdiction (i.e., scoring factor 2). Additionally, Lead Office staff told us that HUD uses information from the American Healthy Homes Survey to obtain information on lead paint hazards across the country. However, the staff explained that the survey was designed to provide meaningful results at the regional level and did not include enough homes in its sample to provide information about housing conditions, such as lead paint hazards, at the state or local level. Because HUD awards lead grants to state and local jurisdictions, it cannot effectively use the survey results to help the agency make award decisions or inform decisions about areas for potential outreach.", "In early 2017, the Lead Office began working with PD&R to develop a model to identify local jurisdictions (at the census-tract level) that may be at heightened risk for lead paint hazards. Lead Office staff said that they hope to use results of this model to develop geographic tools to help target HUD funding to areas of the country at risk for lead paint hazards but not currently receiving a HUD lead grant. Lead Office staff said that they could reach out to these at-risk areas, help them build the capacity needed to administer a grant, and encourage them to apply. For example, HUD has identified that Mississippi and two major metropolitan areas in Florida (Miami and Tampa) had not applied for a lead grant. HUD has conducted outreach to these areas to encourage them to apply for a lead grant. In 2016, the City of Jackson, Mississippi, applied for and received a lead grant.", "Though the Lead Office has collaborated with PD&R on the model, HUD has not developed specific time frames to operationalize the model and incorporate the results of the model for using local-level data to help better identify areas at risk for lead paint hazards. Federal internal control standards require agencies to define objectives clearly to enable the identification of risks. This includes clearly defining time frames for achieving the objectives. Setting specific time frames could help to ensure that HUD operationalizes this model in a timely manner. By operationalizing a model that incorporates local data on lead paint hazard risk, HUD can better target its limited grant resources towards areas of the country with significant potential for lead hazard control needs.", "We performed a county-level analysis using HUD and Census Bureau data and found that most lead grants from 2013 through 2017 have gone to counties with at least one indicator of lead paint hazard risk. Information we reviewed, such as relevant literature, suggests that the two common indicators of lead paint hazard risk are the prevalence of housing built before the 1978 lead paint ban and the prevalence of individuals living below the poverty line. We defined areas with lead paint hazard risk as counties that had percentages higher than the corresponding national percentages for both of these indicators. The estimated average percentage nationwide of total U.S. housing stock constructed before 1980 was 56.9 percent and the estimated average percentage nationwide of individuals living below the poverty line was 17.5 percent. As shown in figure 3, our analysis estimated that 18 percent of lead grants from 2013 through 2017 have gone to counties with both indicators above the estimated national percentages, 59 percent of grants have gone to counties with estimated percentages of old housing above the estimated national percentage, and 7 percent of grants have gone to counties that had estimated poverty rates above the estimated national percentage. (For an interactive version of this map, click here.) When HUD finalizes its model and incorporates information into its lead grant processes, HUD will be able to better target its grant resources to areas that may be at heightened risk for lead paint hazards."], "subsections": []}]}, {"section_title": "HUD Could Take Additional Steps to Monitor Compliance with Lead Paint Regulations", "paragraphs": [], "subsections": [{"section_title": "HUD Has Taken Steps to Strengthen Compliance Monitoring for Lead Paint Regulations", "paragraphs": ["In 2016, HUD began to incorporate new steps to monitor PHAs\u2019 compliance with lead paint regulations for nearly 4,000 PHAs. Previously, according to PIH staff, HUD required only that PHAs annually self-certify their compliance with lead paint laws and regulations, and HUD\u2019s Real Estate Assessment Center inspectors check for lead paint inspection reports and disclosure forms at public housing properties during physical inspections. Starting in June 2016, PIH began using new tools for HUD field staff to track PHAs\u2019 compliance with lead paint requirements in the voucher and public housing programs.", "As shown in figure 4, PIH\u2019s compliance oversight processes for the voucher and public housing programs include various monitoring tools for overseeing PHAs. Key components of PIH\u2019s lead paint oversight processes include the following:", "Tools for tracking lead hazards and cases of elevated blood levels in children. HUD uses two databases to monitor PHAs\u2019 compliance with lead paint regulations: (1) the Lead-Based Paint Response Tracker, which PIH uses to collect and monitor information on the status of lead paint-related documents, including lead inspection reports and disclosure forms, in public housing properties but not in units with voucher assisted households; and (2) the Elevated Blood Lead Level Tracker, which PIH uses to collect and monitor information reported by PHAs on cases of elevated blood levels in children living in voucher and public housing units. In June 2016, OFO began using the Lead-Based Paint Response Tracker database to store information on public housing units and to help HUD field office staff to follow up with PHAs that have properties missing required lead documentation. In July 2017, OFO began using information recorded in the Elevated Blood Lead Level Tracker to track whether PHAs started lead remediation activities in HUD- assisted housing within the time frames required by the Lead Safe Housing Rule.", "Lead paint hazards included in PHAs\u2019 risk assessment scores.", "OFO assigns scores to PHAs based on their relative risk in four categories: physical condition, financial condition, management capacity, and governance. OFO uses these scores to identify high- and very high-risk PHAs that will receive on-site full compliance reviews. In July 2017, OFO incorporated data from the Real Estate Assessment Center into the physical condition category of its Risk Assessment Protocol to help account for potential lead paint hazards at public housing properties.", "Questions about lead paint included as part of on-site full compliance reviews. In fiscal year 2016, HUD field offices began conducting on-site full compliance reviews at high- and very high-risk PHAs as part of HUD\u2019s compliance monitoring program to enhance oversight and accountability of PHAs. In fiscal year 2017, as part of the reviews, HUD field office staff started using a compliance monitoring checklist to determine if PHAs comply with major HUD rules and to gather additional information on the PHAs. This checklist included lead-related questions that PIH field office staff use to determine whether PHAs meet the requirements in lead paint regulations for both the voucher and public housing programs.", "In 2016, OFO and HUD field offices began using information from the new monitoring efforts to identify potential noncompliance by PHAs with lead paint regulations and help the PHAs resolve the identified issues. According to HUD data, as of November 2017, the Lead-Based Paint Response Tracker indicated that 9 percent (357) of PHAs were missing both lead inspection reports and lead disclosure forms for one or more properties. There were 973 PHAs missing one of the two required documents. OFO staff told us that they prioritized following up with PHAs that were missing both documents. According to OFO staff, PHAs can resolve potential noncompliance by submitting adequate lead documentation to HUD. OFO staff told us the agency considers missing lead documentation as \u201cpotential\u201d noncompliance because PHAs may provide the required documentation or they may be exempt from certain requirements (e.g., HUD-designated elderly housing)."], "subsections": []}, {"section_title": "HUD Does Not Have a Plan to Mitigate Risks Associated with Its Compliance Monitoring Approach", "paragraphs": ["While HUD has taken steps to strengthen compliance monitoring processes, it does not have a plan to identify and address the risks of noncompliance by PHAs with lead paint regulations. Federal internal control standards state that agencies should identify, analyze, and respond to risks related to achieving the defined objectives. Furthermore, when an agency has made significant changes to its processes\u2014as HUD has done with its compliance monitoring processes\u2014management review of changes to these processes can help the agency determine that its control activities are designed appropriately.", "Our review found that HUD does not have a plan to help mitigate and address risks related to noncompliance with lead paint regulations by PHAs (i.e., ensuring lead safety in assisted housing). Additionally, our review found several limitations with HUD\u2019s new compliance monitoring approach, which include the following:", "Reliance on PHA self-certifications. HUD\u2019s compliance monitoring processes rely in part on PHAs self-certifying that they are in compliance with lead paint regulations, but recent investigations have found that some PHAs may have falsely certified that they were in compliance. In November 2017, HUD filed a fraud complaint against two former officials of the Alexander County (Illinois) Housing Authority, alleging that the former official, among other things, falsely certified to HUD that the Housing Authority was in compliance with lead paint regulations. Further, PIH staff told us there are ongoing investigations related to potential noncompliance with lead paint regulations and false certifications at two other housing authorities.", "Lack of comprehensive data for the public housing program.", "OFO started to collect data for the public housing program in the Lead-Based Paint Response Tracker in June 2016 and the inventory of all public housing properties includes units inspected since 2012. In addition, HUD primarily relies on the presence of lead inspection reports but does not record in the database when inspections and remediation activities occurred and does not determine whether they are still effective. Because of this, the information contained in the lead inspection reports may no longer be up-to-date. For example, a lead inspection report from the 1990s may provide evidence that abatement work was conducted at that time, but according to PIH staff, the housing may no longer be lead-safe.", "Lack of readily available data for the voucher program. The voucher program does not have readily available data on housing units\u2019 physical condition and compliance with lead paint regulations because data on the roughly 2.5 million units in the program are kept at the PHA level. According to PIH staff, HUD plans to adopt a new system for the voucher program that will include standardized, electronic data for voucher units. PIH staff said the new system (Uniform Physical Condition Standards for Vouchers Protocol) will allow greater oversight and provide HUD the ability to conduct data analysis for voucher units.", "Challenges identifying children with elevated blood lead levels.", "For several reasons, PHAs face ongoing challenges receiving information from state and local public health departments on the number of children identified with elevated blood lead levels. First, children across the U.S. are not consistently screened and tested for exposure to lead. Second, according to CDC data, many states use a less stringent health guideline to identify children compared to the health standard that HUD uses (i.e., CDC\u2019s current blood lead reference value). PIH staff told us that some public health departments may not report children with elevated blood levels to PHAs because they do not know that a child is living in a HUD- assisted unit and needs to be identified using the more stringent HUD standard. Lastly, Lead Office staff told us that privacy laws in some states may impose restrictions on public health departments\u2019 ability to share information with PHAs.", "Limited coverage of on-site compliance reviews. While full on-site compliance reviews can be used to determine if PHAs are in compliance with lead paint regulations, OFO conducts a limited number of these reviews annually. For example, in Fiscal Year 2017, OFO conducted 72 reviews of the roughly 4,000 total PHAs. Based on OFO information, there are 973 PHAs that are missing either lead inspection reports or lead disclosure forms indicating some level of potential noncompliance.", "HUD\u2019s steps since June 2016 to enhance monitoring of PHAs\u2019 compliance with lead paint regulations have some limitations that create risks in its new compliance monitoring approach. By developing a plan to help mitigate and address the various limitations associated with the new compliance monitoring approach, HUD could further strengthen its oversight and help ensure that PHAs maintain lead-safe housing units."], "subsections": []}, {"section_title": "HUD Lacks Detailed Procedures to Address Noncompliance and Make Enforcement Decisions", "paragraphs": ["HUD does not have detailed procedures to address PHA noncompliance with lead paint regulations or to determine when enforcement decisions may be needed. Lead Office staff told us that their enforcement program aims to ensure that PHAs have the information necessary to remain in compliance with lead paint regulations. According to federal internal control standards, agencies should implement control activities through policies and procedures. Effective design of procedures to address noncompliance would include documenting specific actions to be performed by agency staff when deficiencies are identified and related time frames for these actions.", "While HUD staff stated that they address PHA noncompliance through ongoing communication and technical assistance to PHAs, HUD has not documented specific actions to be performed by staff when deficiencies are identified. OFO staff told us that in general, PIH has not needed to take many enforcement actions because field offices are able to resolve most lead paint regulation compliance concerns with PHAs through ongoing communication and technical assistance. For example, HUD field offices sent letters to PHAs when Real Estate Assessment Center inspectors could not locate required lead inspection reports and lead disclosure forms, and requested that the PHA send the missing documentation within 30 days. However, OFO\u2019s fiscal years 2015\u20132017 internal memorandums on monitoring and oversight guidance for HUD field offices did not contain detailed procedures, including time frames or criteria HUD staff would use to determine when to consider whether a more formal enforcement action might be warranted.", "Additionally, Lead Office staff said if efforts to bring a PHA into compliance are unsuccessful, the Lead Office would work in conjunction with PIH and HUD\u2019s Office of General Counsel\u2019s Departmental Enforcement Center to determine if an enforcement action is needed, such as withholding or delaying funds from a PHA or imposing civil money penalties on a PHA. Lead Office staff also told us that instead of imposing a fine on a PHA, HUD would rather work with the PHA to resolve the lead paint hazard. However, the Lead Office provided no documentation detailing the specific steps or time frames HUD staff would follow to determine when a noncompliance case is escalated to the Office of General Counsel. In a March 2018 report to Congress, HUD noted that children continued to test positive for lead in HUD-assisted housing in 2017. In the same report, HUD notes PIH and the Lead Office will continue to work with PHAs to ensure compliance with lead paint regulations. By adopting procedures that clearly describe when lead paint hazard compliance efforts are no longer sufficient and enforcement decisions are needed, HUD can better keep PHAs accountable in a consistent and timely manner."], "subsections": []}]}, {"section_title": "HUD\u2019s Blood Lead Level Standard Aligns with CDC Guidelines and Lead Inspection Standards Are Less Stringent in the Voucher Program HUD\u2019s Blood Lead Level Standard Aligns with the Current CDC Health Guideline", "paragraphs": ["The standard HUD uses to identify children with elevated blood lead levels and initiate lead hazard control activities in its rental assistance aligns with the health guideline set by CDC in 2012. HUD also uses CDC\u2019s health guideline in its lead grant programs. In HUD\u2019s January 2017 amendment to the Lead Safe Housing Rule, HUD made its standard for lead in a child\u2019s blood more stringent by lowering it from 20 micrograms to 5 micrograms of lead per deciliter of blood, matching CDC\u2019s health guideline (i.e., blood lead reference value). Specifically, HUD\u2019s stronger standard allows the agency to respond more quickly when children under 6 years old are exposed to lead paint hazards in voucher and public housing units. The January 2017 rule also established more comprehensive testing for children and evaluation procedures for HUD assisted housing. According to HUD\u2019s press release that accompanied the rule, by aligning HUD\u2019s standard with CDC\u2019s guidance, HUD can respond more quickly in cases when a child who lives in HUD assisted housing shows early signs of lead in their blood. The 2017 rule notes HUD will revise the agency\u2019s elevated blood lead level to align with future changes HHS may make to its recommended environmental intervention level."], "subsections": [{"section_title": "HUD\u2019s Lead Dust Standards Align with EPA\u2019s for Rental Assistance Programs and Exceed Them for Lead Grant Programs", "paragraphs": ["HUD\u2019s standards for lead dust levels align with EPA standards for its rental assistance programs and exceed EPA standards for the lead grant programs. In 2001, EPA published a final rule on lead paint hazard standards, including lead dust clearance standards. The rule established standards to help property owners, contractors, and government agencies identify lead hazards in residential paint, dust, and soil and address these hazards in and around homes. Under these standards, lead is considered a hazard when equal to or exceeding 40 micrograms of lead in dust per square foot sampled on floors and 250 micrograms of lead in dust per square foot sampled on interior window sills. In 2004, HUD amended the Lead Safe Housing Rule to incorporate the 2001 EPA lead dust standards as HUD\u2019s standards. Since this time, HUD has used EPA\u2019s 2001 lead hazard standards in its rental assistance programs.", "In February 2017, HUD released policy guidance for its lead grantees requiring them to meet new and more protective requirements for identifying and addressing lead paint hazards in the lead grant programs than those imposed by EPA\u2019s 2001 standards that HUD uses in the rental assistance programs. For example, the policy guidance requires grantees to consider lead dust a hazard on floors at 10 micrograms per square foot sampled (down from 40) and on window sills at 100 micrograms per square foot sampled (down from 250). The policy guidance noted that the new requirements are supported by scientific evidence on the adverse effects of lead exposure at low blood lead levels in children. Further, the policy guidance established a standard for porch floors\u2013\u2013an area that EPA has not covered\u2013\u2013because porch floors can be both a direct exposure source for children and a source of lead dust that can be tracked into the home.", "On December 27, 2017, the United States Court of Appeals for the Ninth Circuit ordered EPA to issue a proposed rule updating its lead dust hazard standard and the definition of lead-based paint within 90 days of the decision becoming final and a final rule within 1 year of the proposed rule. Because HUD\u2019s Lead Safe Housing Rule generally defines lead paint hazards and lead dust hazards to mean the levels promulgated by EPA, if EPA changes its 2001 standards those new standards would be used in HUD\u2019s rental assistance programs. On March 16, 2018, EPA filed a request to the court asking for clarification for when EPA is required to issue the proposed rule and followed up with a motion seeking clarification or an extension. In response to EPA\u2019s motion, on March 26, 2018, the court issued an order clarifying time frames and ordered that the proposed rule be issued within 90 days from March 26, 2018."], "subsections": []}, {"section_title": "HUD Uses a Less Stringent Lead Inspection Standard for the Voucher Program", "paragraphs": ["HUD\u2019s Lead Safe Housing Rule requires a stricter lead inspection standard for public housing than for voucher units. According to HUD staff, HUD does not have the authority to require the more stringent inspection in the voucher program. While HUD has acknowledged that moving to a stricter inspection standard for voucher units would provide greater assurance that these units are lead-safe and expressed its plan to support legislative change to authorize it to impose a more stringent inspection standard, HUD has not requested authority from Congress to amend its inspection standard for the voucher program.", "For voucher units, HUD requires PHAs to ensure that trained inspectors conduct visual assessments to identify deteriorated paint for housing units inhabited by a child under 6 years old. In a visual assessment, an inspector looks for deteriorated paint and visible surface dust but does not conduct any testing of paint chips or dust samples from surfaces to determine the presence of lead in the home\u2019s paint. By contrast, for public housing units, HUD requires a stronger inspection process. Lead- based paint inspections are required for pre-1978 public housing units. If that inspection identifies lead-based paint, PHAs must then perform a risk assessment. In a risk assessment, in addition to conducting a visual inspection, an inspector tests for the presence of lead paint by collecting and testing samples of paint chips and surface dust, and typically using a specialized device (an X-ray fluorescence analyzer) to measure the amount of lead in the paint on a surface, such as a wall, door, or window sill.", "Staff from HUD\u2019s Lead Office and the Office of General Counsel told us that Title X did not include specific risk assessment requirements for voucher units, and HUD does not believe, therefore, that it has the statutory authority to require an assessment more thorough than a visual assessment of voucher units. As of May 2018, HUD had not requested statutory authority to change the visual assessment standard used in the voucher program. However, HUD previously acknowledged the limitation of the weaker inspection standard in a June 2016 publication titled Lead- Safe Homes, Lead-Free Kids Toolkit. In this publication, HUD noted its plans to support legislative change to strengthen lead safety in voucher units by eliminating reliance on visual-only inspections. Staff from HUD\u2019s Lead Office and Office of General Counsel told us the agency recognizes that risk assessments are more comprehensive than visual assessments. The staff noted that, by definition, a risk assessment is a stronger inspection standard than a visual-only assessment because it includes additional identification and testing.", "In responding to a draft of this report, HUD cited the need to conduct and evaluate the results of a statistically rigorous study on the impacts of requiring a lead risk assessment versus a visual assessment, such as the impact on leasing times and the availability of housing for low-income families. HUD further noted that such a study could explore whether alternative options to the full risk assessment standard (such as targeted dust sampling) could achieve similar levels of protection for children in the voucher program. Requesting and obtaining authority to amend the standard for the voucher program would not preclude HUD from doing such a study. Such analysis might support a range of options based on consideration of health effects for children, housing availability, and other relevant factors.", "Because HUD\u2019s Lead Safe Housing Rule contains a weaker lead inspection standard for the voucher program children living in voucher units may be less protected from lead paint hazards than children living in public housing. By requesting and obtaining statutory authority to amend the voucher program inspection standard, HUD would be positioned to take steps to ensure that children in the voucher program are provided better protection as indicated by analysis of the benefits and costs from amending the standard."], "subsections": []}]}, {"section_title": "HUD Could Better Measure and Report on Performance of Lead Efforts", "paragraphs": ["HUD has taken limited steps to measure, evaluate, and report on the performance of its programmatic efforts to ensure that housing is lead- safe. First, HUD has tracked one performance measure for its lead grant programs but lacks comprehensive performance goals and measures. Second, while HUD has evaluated the effectiveness of its Lead-Based Paint Hazard Control grant program, it has not formalized plans and does not have a time frame for evaluating its lead paint regulations. Third, HUD has not issued an annual report on the results of its lead efforts since 1997.", "A key aspect to promoting improved federal management and greater efficiency and effectiveness is that agencies set goals and report on performance. We have previously reported that a program performance assessment contains three key elements\u2013\u2013program goals, performance measures, and program evaluations (see fig. 5). In our prior work, we have noted that both the executive branch and congressional committees need evaluative information to help them make decisions about the programs they oversee\u2013\u2013information that tells them whether, and why, a program is working well or not.", "Program goals and performance measures. HUD has tracked one performance measure for making private housing units lead-safe as part of its lead grant programs but lacks goals and performance measures that more fully cover the range of its lead efforts. In addition to our prior work on program goals and performance measures, federal internal control standards state that management should define objectives clearly and that defining objectives in measurable terms allows agency management to assess performance toward achieving objectives. According to Lead Office staff, HUD provides information on its goals and performance measures related to its lead efforts in the agency\u2019s annual performance reports. For example, the fiscal year 2016 report contains information about the number of private housing units made lead-safe as part of HUD\u2019s lead grant programs but does not include any performance measures on HUD\u2019s lead efforts for the voucher and public housing programs. Lead Office staff told us HUD does not have systems to count the number of housing units made lead-safe in these two housing programs. The staff said the Lead Office and PIH recently began discussing whether data from an existing HUD database could be used to count units made lead-safe within these programs. However, they could not provide additional details on the status of all these efforts. Without comprehensive goals and performance measures, HUD does not know the results it is achieving with all its lead paint hazard reduction efforts. Moreover, HUD may be missing opportunities to use performance information to improve the results of its lead efforts.", "Program evaluations. HUD has evaluated the effectiveness of its Lead- Based Paint Hazard Control grant program but has not taken similar steps to evaluate the Lead Safe Housing Rule or Lead Disclosure Rule. As previously stated, our prior work on program performance assessment has noted the importance of program evaluations to know how well a program is working relative to its objectives. Additionally, Title X required HUD to conduct research to evaluate the long-term cost-effectiveness of interim lead hazard control and abatement strategies. For its Lead-Based Paint Hazard Control Grant program, HUD has contracted with outside experts to conduct evaluations. For example, the National Center for Healthy Housing and the University of Cincinnati\u2019s Department of Environmental Health evaluated whether the lead hazard control methods used by grantees continued to be effective 1, 3, 6, and 12 years later.", "The evaluations concluded that the lead hazard control activities used by grantees substantially reduced lead dust levels and the original evaluation and those completed 1 and 3 years later were also associated with substantial declines in the blood lead levels of children living in the housing remediated using lead grant program funds.", "HUD has general plans to conduct evaluations of the Lead Safe Housing Rule and the Lead Disclosure Rule, but Lead Office and PD&R staff said they did not know when or if the studies will begin. In a 2016 publication, HUD noted its plans to evaluate the Lead Safe Housing Rule requirements and noted that such an evaluation would contribute toward policy recommendations and program improvements. Additionally, in its 2017 Research Roadmap, PD&R outlined HUD\u2019s plans for two studies to evaluate the effectiveness of requirements within the Lead Safe Housing and Lead Disclosure Rules. However, PD&R and Lead Office staff were not able to provide a time frame for when the studies would begin. PD&R staff told us that the plans noted within the Research Roadmap were HUD\u2019s first step in research planning and prioritization but that appropriations for research have been prescriptive in recent years (i.e., tied to specific research topics) and fell short of the agency\u2019s research needs. By studying the effectiveness of requirements included within the Lead Safe Housing and Lead Disclosure Rules, including the cost- effectiveness of the various lead hazard control methods, HUD could have more complete information to assess how effectively it uses federal dollars to make housing units lead-safe.", "Reporting. HUD has not reported on its lead efforts as required since 1997. Title X includes annual and biennial reporting requirements for HUD. Staff from HUD\u2019s Lead Office and General Counsel told us that in 1998 the agency agreed with the congressional committees of jurisdiction that HUD could satisfy this reporting requirement by including the required information in its annual performance reports. Lead Office staff told us HUD\u2019s recent annual performance reports do not contain specific information required by law and that HUD has not issued other publicly available reports that contain the Title X reporting requirements. Title X requires HUD to annually provide Congress information on its progress in implementing the lead grant programs; a summary of studies looking at the incidence of lead poisoning in children living in HUD-assisted housing; the results of any required lead technical studies; and estimates of federal funds spent on lead hazard evaluation and reduction in HUD-assisted housing. As previously stated, the annual performance reports have provided information on the number of housing units made lead-safe through the agency\u2019s lead grant programs, but not through the voucher or public housing programs. In March 2018, Lead Office staff told us HUD plans to submit separate reports on the agency\u2019s lead effort, covering the Title X reporting requirements, starting in fiscal year 2019. By HUD complying with Title X statutory reporting requirements, Congress and the public will be in a position to better know the progress HUD is making toward ensuring that housing is lead-safe."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Lead exposure can cause serious, irreversible cognitive damage that can impair a child for life. Through its lead grant programs and oversight of lead paint regulations, HUD is helping to address lead paint hazards in housing. However, our review identified specific areas where HUD could improve the effectiveness of its efforts to identify and address lead paint hazards and protect children in low-income housing from lifelong health problems:", "Documenting and evaluating grant processes. HUD could improve documentation for its lead grant programs\u2019 processes by providing more specific direction to staff and documenting grant award rationale. In doing so, HUD could better ensure that grant program staff score grant applications consistently and appropriately and provide greater transparency about its award decisions. Additionally, periodically evaluating its grant processes and procedures could help HUD better ensure that its lead grants reach areas most at risk for lead paint hazards.", "Identifying areas at risk for lead hazards. By developing specific time frames to finalize and incorporate the results of its model to more fully identify areas at risk for lead paint hazards, HUD can better identify and conduct outreach to at-risk localities that its lead grant programs have not yet reached.", "Overseeing compliance with lead paint regulations. False self- certifications of compliance by some PHAs and other limitations in HUD\u2019s compliance monitoring approach make it essential for HUD to develop a plan to mitigate and address limitations, as well as establish procedures to determine when enforcement decisions are needed. These actions could further strengthen HUD\u2019s oversight and keep PHAs accountable for ensuring that housing units are lead-safe.", "Amending inspection standard in the voucher program. Children living in voucher units may receive less protection from lead paint hazards than children living in public housing units because HUD applies different lead inspection standards to the two programs. HUD could ensure that children in the voucher program are provided better protection from lead by requesting and obtaining statutory authority to amend the voucher program inspection standard as indicated by analysis of the benefits and costs of amending the standard.", "Assessing and reporting on performance. Fully incorporating key elements of performance assessment\u2014by developing comprehensive goals, improving performance measures, and adhering to reporting requirements\u2014could better enable HUD to assess its own progress and target its resources toward lead efforts that maximize impact. Additionally, HUD may be missing opportunities to inform the Congress and the public about how HUD\u2019s lead efforts have helped reduce lead poisoning in children."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following nine recommendations to HUD:", "The Director of HUD\u2019s Lead Office should ensure that the office more fully documents its processes for scoring and awarding lead grants and its rationale for award decisions. (Recommendation 1)", "The Director of HUD\u2019s Lead Office should ensure that the office periodically evaluates its processes for scoring and awarding lead grants. (Recommendation 2)", "The Director of HUD\u2019s Lead Office, in collaboration with PD&R, should set time frames for incorporating relevant data on lead paint hazard risks into the lead grant programs\u2019 processes. (Recommendation 3)", "The Director of HUD\u2019s Lead Office and the Assistant Secretary for PIH should collaborate to establish a plan to mitigate and address risks within HUD\u2019s lead paint compliance monitoring processes. (Recommendation 4)", "The Director of HUD\u2019s Lead Office and the Assistant Secretary for PIH should collaborate to develop and document procedures to ensure that HUD staff take consistent and timely steps to address issues of PHA noncompliance with lead paint regulations. (Recommendation 5)", "The Secretary of HUD should request authority from Congress to amend the inspection standard to identify lead paint hazards in the Housing Choice Voucher program as indicated by analysis of health effects for children, the impact on landlord participation in the program, and other relevant factors. (Recommendation 6)", "The Director of the Lead Office should develop performance goals and measures to cover the full range of HUD\u2019s lead efforts, including its efforts to ensure that housing units in its rental assistance programs are lead-safe. (Recommendation 7)", "The Director of the Lead Office, in conjunction with PD&R, should finalize plans and develop a time frame for evaluating the effectiveness of the Lead Safe Housing and Lead Disclosure Rules, including an evaluation of the long-term cost effectiveness of the lead remediation methods required by the Lead Safe Housing Rule. (Recommendation 8)", "The Director of the Lead Office should complete statutory reporting requirements, including but not limited to its efforts to make housing lead-safe through its lead grant programs and rental-assistance programs, and make the report publicly available. (Recommendation 9)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HUD for review and comment. We also provided the relevant excerpts of the draft report to CDC and EPA for their review and technical comments. In written comments, reproduced in appendix III, HUD disagreed with one of our recommendations and generally agreed with the remaining eight. HUD and CDC also provided technical comments, which we incorporated as appropriate. EPA did not have any comments on the relevant excerpts of the draft report provided to them.", "In its general comments, HUD noted that the lead grant programs and HUD\u2019s compliance assistance and enforcement of lead paint regulations have contributed significantly to, among other things, the low prevalence of lead-based paint hazards in HUD-assisted housing. Further, HUD said the lead grant programs and compliance assistance and enforcement of lead paint regulations have played a critical part in developing and maintaining the national lead-based paint safety infrastructure. HUD asked that this contextual information be included in the background of the report. The draft report included detailed information on the purpose and scope of HUD\u2019s lead grant programs, two key regulations related to lead paint hazards, and efforts to make housing lead-safe. Furthermore, the draft report provided context on other federal agencies\u2019 role in establishing relevant standards and guidelines for lead paint hazards. We made no changes in response to this comment because we did not think it was necessary for background purposes.", "HUD disagreed with the draft report\u2019s sixth recommendation to request authority from Congress to use the risk assessment inspection standard to identify lead paint hazards in the Housing Choice Voucher program. As discussed in the report, HUD\u2019s Lead Safe Housing Rule requires a more stringent lead inspection standard (risk assessments) for public housing than for Housing Choice Voucher units, for which a weaker inspection standard is used (visual assessments). In its written comments, HUD said that before deciding whether to request the statutory authority to implement risk assessments for voucher units, it would need to conduct and evaluate the results of a statistically rigorous study on the impacts of requiring a lead risk assessment versus a visual assessment, such as the impact on leasing times and the availability of housing for low-income families. HUD further noted that such a study could explore whether alternative options to the full risk assessment standard (such as targeted dust sampling) could achieve similar levels of protection for children in the voucher program. We note that requesting and obtaining authority to amend the standard for the Housing Choice Voucher program would not preclude HUD from doing such a study. We acknowledge that the results of such a study might support a range of options. Therefore, we revised our recommendation to provide HUD with greater flexibility in how it might amend the lead inspection standard for the voucher program based on consideration of not only leasing time and availability of housing, as HUD emphasized in its written comments, but also based on the health effects on children. The need for HUD to review the lead inspection standard for the voucher program is underscored by the greater number of households with children served by the voucher program compared to public housing, as well as recent information indicating that more children with elevated blood lead levels are living in voucher units than in public housing.", "HUD generally agreed with our remaining eight recommendations and provided specific information about planned steps and other considerations related to implementing them. For example, in response to our first three recommendations on the lead grant programs, HUD outlined specific steps it plans to take, such as updating its guidance for scoring grant applications and reviewing its grant application scoring methods to identify potential improvements. In response to our fourth and fifth recommendations to the Director of HUD\u2019s Lead Office on compliance monitoring and enforcement of lead paint regulations, HUD noted that PIH should be the primary office for these recommendations with the Lead Office providing support. While these recommendations had already recognized the need for the Lead Office to collaborate with PIH, we reworded them to clarify that it is not necessary for the Lead Office to have primary responsibility for their implementation.", "HUD generally agreed with our seventh and eighth recommendations, but noted some considerations for implementing them. For our seventh recommendation about performance goals and measures, HUD noted that it will re-examine the availability of information from the current housing databases to determine whether data on housing unit production can be added to the existing data collected. HUD noted if that information is not sufficient, it would need to obtain Office of Management and Budget approval and have sufficient funds for such an information technology project. For our eighth recommendation about evaluating the Lead Safe Housing and Lead Disclosure Rules, HUD noted if its own resources are insufficient, the time frame for implementing this recommendation may depend on the availability of funding for contracted resources. Finally, in response to our ninth recommendation, HUD said that it will draft and submit annual and biennial reports to the congressional authorizing and appropriations committees and then post the reports on the Lead Office\u2019s public website.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Housing and Urban Development, the Administrator of the Environmental Protection Agency, and the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Nonfederal Funding Sources Used by Selected Grantees of HUD Lead Hazard Control Grants", "paragraphs": ["Under the Department of Housing and Urban Development\u2019s (HUD) Lead-Based Paint Hazard Control and the Lead Hazard Reduction Demonstration grant programs, HUD competitively awards grants to state and local jurisdictions, as authorized by the Residential Lead-Based Paint Hazard Reduction Act (Title X of the Housing and Community Development Act of 1992). Title X requires each grant recipient to make matching contributions with state, local, and private funds (i.e., nonfederal) toward the total cost of activities. For the Lead-Based Paint Hazard Control grant and the Lead Hazard Reduction Demonstration grant programs, the matching contribution has been set at no less than 10 percent and 25 percent, respectively, of the total grant amount. For example, if the total grant amount is $3 million, then state or local jurisdictions must provide at least $300,000 and $750,000, respectively, for each grant program, in additional funding toward the cost of activities. HUD requires lead grant applicants to include information on the sources and amounts of grantees\u2019 matching contributions as part of their grant applications. Additionally, Title X requires HUD to award grants in part based on an applicant\u2019s ability to leverage state, local, and private funds to supplement the federal grant funds.", "To identify the nonfederal funding sources grantees used in the lead hazard control grants, we selected and reviewed the lead grant applications of 20 HUD grantees and interviewed representatives from 10 of these. We selected these grantees based on their geographic locations; the number of HUD lead grants they had previously received; experience with HUD\u2019s lead hazard control grants; and whether they have received both grants from 2013 through 2017. Grantees we selected included entities at the state, municipality, and county levels. Information from our grant application reviews and interviews of grantees cannot be generalized to all HUD grantees.", "Based on our review of the selected grant applications and interviews of selected grantees, we found that grantees planned to use the following types of nonfederal funding sources as their matching contributions to support their lead grants activities:", "State and local funds. Eighteen of the 20 grantees we selected noted that they planned to use state or local funding sources to supplement HUD\u2019s grant funds. The state and local funding sources included state or local general funds and local property taxes or fees. For example, grantees in Connecticut, Baltimore, and Philadelphia used state or local general funds to cover personnel and operating costs. Additionally, grantees in Alameda County (California), Hennepin County (Minnesota), Malden, St. Louis, and Winnebago County (Illinois) planned to use local taxes, including property taxes or fees, such as real estate recording and building permit fees, to cover some costs associated with their lead hazard control grants activities.", "Community Development Block Grant funds. Ten of the 20 grantees we selected indicated that they planned to use Community Development Block Grant (CDBG) program funds to cover part of the costs of their lead hazard control grants. CDBG program funds can be used by states and local communities for housing; economic development; neighborhood revitalization; and other community development activities. For example, grantees in Baltimore and Memphis noted in their grant applications that they planned to use the funds to cover costs related to personnel, operations, and training.", "Nongovernmental contributions or discounts. Eight of 20 grantees we selected stated that they anticipated some forms of nongovernmental contributions from nonprofit organizations or discounts from contractors to supplement the lead grants. For example, all eight grantees stated that they expected to receive matching contributions from nonprofit organizations.", "Table 2 summarizes the nonfederal funds by source that the 20 selected grantees planned to use, based on our review of these grantees\u2019 applications.", "Furthermore, almost all of the selected grantees stated in their grant applications or told us that they expected to receive or have received other nonfederal funds in excess of their matching contributions. For example, 15 grantees stated that they generally required or encouraged property owners or landlords to contribute toward the lead hazard remediation costs. Also, grantees in Baltimore, District of Columbia, Lewiston, and Providence indicated that they expected to receive monetary or in-kind donations from organizations to help carry out lead hazard remediation, blood lead-level testing, or training. Additionally, the grantee in Alameda County (California) told us that they have received nonfederal funds from a litigation settlement with a private paint manufacturer."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report examines the Department of Housing and Urban Development\u2019s (HUD) efforts to (1) incorporate statutory requirements and other relevant federal standards in its lead grant programs; (2) monitor and enforce compliance with lead paint regulations for its rental assistance programs; (3) adopt federal health guidelines and environmental standards for lead hazards in its lead grant and rental assistance programs; and (4) measure and report on its performance related to making housing lead-safe.", "In this report, we examine lead paint hazards in housing, and we focus on HUD\u2019s lead hazard control grant programs and its two largest rental assistance programs that serve the most families with children: the Housing Choice Voucher (voucher) and public housing programs.", "To address all four objectives, we reviewed relevant laws, such as the Residential Lead-Based Paint Hazard Reduction Act (Title X of the Housing and Community Development Act of 1992, referred to as Title X throughout this appendix) and relevant HUD regulations, such as the Lead Safe Housing Rule and a January 2017 amendment to this rule. To examine trends in funding for HUD\u2019s lead grant programs for the past 10 years, we also reviewed HUD\u2019s budget information for fiscal years 2008 through 2017. We interviewed HUD staff from the Office of Lead Hazard Control and Healthy Homes (Lead Office), Office of Public and Indian Housing (PIH), Office of Policy Development and Research (PD&R), and other relevant HUD program and field offices. Finally, we reviewed our prior work and those of HUD\u2019s Office of Inspector General.", "To address the first objective, we reviewed HUD\u2019s Notices of Funding Availability (funding notices), policies, and procedures to identify HUD\u2019s grant award processes for the Lead-Based Paint Hazard Control grant and Lead Hazard Reduction Demonstration grant programs. For example, we reviewed HUD\u2019s annual notices of funding availability from 2013 through 2017 to identify HUD\u2019s scoring factors for evaluating grant applications. We compared HUD\u2019s grant award processes in 2017 with Title X statutory requirements, the Office of Management and Budget (OMB) requirements for awarding federal grants, and relevant federal internal control standards. We also interviewed HUD staff about the agency\u2019s grant application review and award processes.", "To determine the extent to which HUD\u2019s grants have gone to counties in the United States potentially at high risk for lead paint hazards, we compared grantee locations from HUD\u2019s lead grant data for grants awarded from 2013 through 2017 with county-level data on two indicators of lead paint hazard risk from the 2011\u20132015 American Community Survey\u2014a continuous survey of households conducted by the U.S. Census Bureau. We analyzed HUD\u2019s grant data to determine the number and dollar amount of grants received by each grantee, and the grantees\u2019 addresses. We then conducted a geographic analysis to determine whether each HUD lead grant went to a county that met at least one, both, or neither of the two commonly known indicators of lead paint hazard risk\u2014the age of housing and poverty level. We identified these two indicators through a review of relevant academic literature, agency research, and state lead modelling methodologies.", "We used data from the 2011\u20132015 American Community Survey because the data covered a time frame that best aligned with the 5 years of lead grant data (2013 through 2017). Using its county-level data, we calculated an estimated average percentage nationwide of housing units built before 1980 (56.9 percent) and an estimated average percentage nationwide of individuals living below the poverty level (17.5 percent). We used 1980 as a benchmark for age of housing because the American Community Survey data for age of housing is separated by the decade of construction and 1980 was closest in time to the 1978 federal lead paint ban. We categorized counties based on whether their levels of pre-1980 housing and poverty were above one, both, or neither of the respective national average percentage for each indicator. The estimated average nationwide and county-level percentages of the two indicators (e.g., older housing and poverty rate) are expressed as a range of values. For the lower and upper ends of the range, we generated a 95 percent confidence interval that was within plus or minus 20 percentage points.", "We classified a county as above the estimated average percentages nationwide if the county\u2019s confidence interval was higher and did not overlap with the nationwide estimate\u2019s confidence interval. We omitted the data for 12 counties that we determined were unreliable for our purposes. We analyzed data starting in 2013 because that was the first year for which these grant data were available electronically. We also interviewed HUD staff to understand their efforts and plans to perform similar analyses using indicators of lead paint hazard risk. To assess the reliability of HUD\u2019s grant data, we reviewed documentation of HUD\u2019s grant database, interviewed Lead Office staff on the processes HUD used to collect and ensure the reliability of the data, and tested the data for missing values, outliers, and obvious errors. To assess the reliability of the American Community Survey data, we reviewed statistical information from the Census Bureau and other publicly available documentation on the survey and conducted electronic testing of the data. We determined that the HUD grant data and American Community Survey county-level data on age of housing and poverty were sufficiently reliable for identifying areas at risk of lead paint hazards and determining the extent to which lead grants from 2013 through 2017 have gone to at-risk areas.", "Furthermore, to obtain information about how HUD works with grantees to achieve program objectives, we conducted in-person site visits to five grantees located in five localities (Alameda County, California; Atlanta, Georgia; Baltimore, Maryland; District of Columbia; and San Francisco, California); and interviewed an additional five grantees on the telephone (Hennepin County, Minnesota; Lewiston, Maine; Malden, Massachusetts; Providence, Rhode Island; and Winnebago County, Illinois). In addition, we reviewed the grant applications of the 10 grantees we spoke to and an additional 10 grantees from 10 additional jurisdictions (State of Connecticut; Cuyahoga County, Ohio; Denver, Colorado; Monroe County, New York; Philadelphia, Pennsylvania; Memphis, Tennessee; San Antonio, Texas; St. Louis, Missouri; Tucson, Arizona; and State of Vermont).", "We selected the 10 grantees for site visits or interviews based on the following criteria: geographic variation, number of years the grantees had HUD\u2019s lead grants, and grantees that have received both types of lead grants from 2013 through 2017. We selected the 10 additional grantees\u2019 applications for review based on geographic diversity and to achieve a total of two applications for each year during our 5-year time frame, with at least one application from each of the two HUD lead grant programs. As part of our review of selected grant applications, we identified nonfederal funding sources used by grantees, such as local tax revenues, contractor discounts, and property owner contributions. Information from the selected grantees and grant applications review cannot be generalized to those grantees we did not include in our review. Additionally, we interviewed representatives from housing organizations to obtain additional examples of any nonfederal funding sources, such as state or local bond measures, or low-interest loans to homeowners.", "To address the second objective, we also reviewed HUD guidance and internal memorandums related to its efforts to monitor and enforce compliance with lead paint regulations for public housing agencies (PHA), the entities that manage HUD\u2019s voucher and public housing rental assistance programs. In addition, we reviewed HUD\u2019s documentation of databases it uses to monitor compliance, including the Lead-Based Paint Response Tracker and the Elevated Blood Lead Level Tracker, and observed HUD staff\u2019s demonstrations of these databases. HUD staff also provided a demonstration of the Record and Process Inspection Data database (known as \u201cRAPID\u201d) used by HUD\u2019s Real Estate Assessment Center to collect physical inspection data for public housing units. We obtained and reviewed information from HUD about instances of potential noncompliance with lead paint regulations by PHAs as of November 2017 and enforcement actions HUD has taken. We compared HUD\u2019s regulatory compliance monitoring and enforcement approach to federal internal control standards. We interviewed staff from HUD\u2019s Lead Office, Office of General Counsel, Office of Field Operations, and field staff, including four HUD regional directors in areas of the country known to have a high prevalence of lead paint hazards, about internal procedures for monitoring and enforcing compliance with lead paint regulations by the PHAs within their respective regions.", "To address the third objective on HUD\u2019s adoption of federal health guidelines and environmental standards for lead paint hazards in its lead grant and rental assistance programs, we reviewed relevant rules and HUD documentation. To identify relevant federal health guidelines and environmental standards, we reviewed guidelines and regulations from the Centers for Disease Control and Prevention (CDC) and the Environmental Protection Agency (EPA) and interviewed staff from each agency. To identify state and local laws with different requirements than these federal guidelines and standards, we obtained information from and interviewed staff from CDC\u2019s Public Health Law Program and the National Conference of State Legislatures. We compared HUD\u2019s requirements to CDC\u2019s health guideline known as the \u201cblood lead reference value\u201d and EPA\u2019s standards for lead-based paint hazards and lead-dust clearance standards. Finally, we reviewed information in HUD\u2019s 2017 funding notices and lead grant programs\u2019 policy guidance about requirements for grantees as they pertain to health guidelines and environmental standards. We also interviewed HUD staff about how HUD has used the findings from lead technical study grants to consider changes to HUD\u2019s requirements and processes regarding identifying and addressing lead paint hazards for the grant programs.", "To address the fourth objective, we reviewed HUD documentation related to performance goals and measures, program evaluations, and reporting. For example, we reviewed HUD\u2019s recent annual performance reports to identify goals and performance measures related to HUD\u2019s efforts to make housing lead-safe. Further, we reviewed Title X to identify requirements related to evaluating and reporting on HUD\u2019s lead efforts. We reviewed program evaluations and related studies completed by outside experts for the lead grant programs and interviewed staff from one of the organizations that conducted the evaluations. In addition, we interviewed Lead Office and PD&R staff about the agency\u2019s plans to evaluate the requirements in the Lead Safe Housing Rule and reviewed corresponding agency documentation about these plans. Additionally, we reviewed the Lead Office\u2019s most recent strategic plan (2009) and annual report (1997) on the agency\u2019s lead efforts. We compared HUD\u2019s use of performance goals and measures, program evaluations, and reporting against leading practices for assessing program performance and federal internal control standards. Finally, we interviewed staff from HUD to understand goals and performance measures used by the agency to assess their lead efforts.", "We conducted this performance audit from March 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, John Fisher (Assistant Director), Beth Faraguna (Analyst in Charge), Enyinnaya David Aja, Farah Angersola, Carol Bray, William R. Chatlos, Anna Chung, Melinda Cordero, Elizabeth Dretsch, Christopher Lee, Marc Molino, Rebecca Parkhurst, Tovah Rom, Tyler Spunaugle, and Sonya Vartivarian made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-68", "url": "https://www.gao.gov/products/GAO-19-68", "title": "Missile Defense: Air Force Report to Congress Included Information on the Capabilities, Operational Availability, and Funding Plan for Cobra Dane", "published_date": "2018-12-17T00:00:00", "released_date": "2018-12-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["First fielded in 1976 on Shemya Island in Alaska, the Cobra Dane radar faces growing sustainment challenges that DOD plans to address through modernization projects. Anticipating future needs, DOD began investing in new radar systems that share capabilities with Cobra Dane to support ballistic missile defense and space surveillance, including the LRDR (Alaska), the Space Fence (Marshall Islands), and the Pacific Radar (location to be determined).", "The conference report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision that GAO review the Air Force's report to Congress on the operation and sustainment of Cobra Dane. This report identifies information included in the Air Force's report and describes additional information that GAO reviewed on (1) the capabilities of the Cobra Dane radar and other planned radars to meet DOD's mission requirements, (2) Cobra Dane's operational availability and the plan to mitigate the effect on those missions when Cobra Dane is not available, and (3) DOD's funding plan and project cost estimates for the operation and sustainment of Cobra Dane and its site at Shemya Island. GAO reviewed the Air Force report and related documentation, and interviewed relevant officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In its January 2018 report to Congress, the Air Force reported how the Cobra Dane radar and the Long Range Discrimination Radar (LRDR) have shared and unique capabilities to support ballistic missile defense and space surveillance missions. The report noted that the respective locations of both radar systems affect their ability to provide those capabilities. The Department of Defense (DOD) also has other radar investments\u2014the Pacific Radar and the Space Fence, which, according to DOD officials, may reduce DOD's reliance on Cobra Dane to provide ballistic missile defense and space surveillance capabilities.", "The Air Force's report to Congress noted that Cobra Dane met its requirement for operational availability, which refers to the percentage of time that the radar is able to meet its missions. GAO found that the Air Force has developed procedures to mitigate risks when Cobra Dane is not available. For example, U.S. Northern Command and Missile Defense Agency (MDA) officials stated that they can mitigate risks when Cobra Dane is not available by using the Sea-Based X-band radar to provide support for ballistic missile defense. The Air Force would face some limitations in its ability to conduct space surveillance if Cobra Dane were not available, as Cobra Dane tracks objects no other radar can track. However, MDA officials noted there are no plans to take Cobra Dane offline long enough to compromise space surveillance.", "The Air Force and MDA plan to contribute total funding of $278.6 million for the operation and sustainment of Cobra Dane, according to their fiscal year 2019 budget plans. Specifically, the Air Force and MDA plan to share funding for the operation and maintenance of the Cobra Dane radar and for three modernization projects that make up their sustainment plan for the radar. Further, the Air Force report noted that the Air Force also plans to provide $140 million in funding for the sustainment and maintenance of operational access to Cobra Dane's site at Shemya Island. In addition, GAO found that the Air Force developed a total cost estimate for one project\u2014known as the transmitter group replacement\u2014but not for its other two projects. Air Force officials plan to complete cost estimates for those two projects in conjunction with their fiscal year 2020 budget submission."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Cobra Dane radar faces growing sustainment challenges that the Department of Defense (DOD) plans to address through modernization projects. The Air Force fielded Cobra Dane in 1976 on Shemya Island, Alaska. In subsequent years, Cobra Dane has undergone upgrades and changes to its mission. From 1977 to 1994, the Air Force used Cobra Dane to support a primary mission of intelligence gathering, and to provide early warning of missile threats and conduct space surveillance (tracking objects in space) as additional missions. In 1994, the Air Force stopped using Cobra Dane to support missile warning. The Air Force also ceased using Cobra Dane for space surveillance for 5 years, but continued to operate the radar in a limited capacity to support intelligence gathering. In 2004, the Missile Defense Agency (MDA) completed upgrades to Cobra Dane so that it could contribute to a new ballistic missile defense mission. Since MDA completed the upgrades, the Air Force has used Cobra Dane to support ballistic missile defense and space surveillance missions. In anticipating future needs, DOD began investing in new radar systems that will provide varying mission capabilities. However, DOD does not intend for any one of these systems to be a complete replacement for Cobra Dane. Radar investments include the Long Range Discrimination Radar (LRDR) at Clear Air Force Station in Alaska; the Space Fence at Kwajalein Atoll, Marshall Islands; and the Pacific Radar. See figure 1 for a photo of the Cobra Dane radar.", "Congress has expressed interest in DOD\u2019s plan to use Cobra Dane to meet various mission requirements and how it would maximize the radar\u2019s reliability and minimize life-cycle costs. Specifically, the conference report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 (\u201cthe Act\u201d) included a provision that the Air Force, in coordination with MDA and U.S. Northern Command, submit a report on the Cobra Dane radar to the congressional defense committees with its fiscal year 2019 budget request. The report was to outline the capabilities of Cobra Dane and alternative radars, DOD\u2019s plan for the operation and sustainment of Cobra Dane, and the costs to sustain Cobra Dane and its site at Shemya Island. The Air Force submitted the report in January 2018.", "The conference report accompanying the Act also included a provision that we review the Air Force\u2019s report to Congress. This report identifies information included in the Air Force\u2019s report and describes additional information that we reviewed on (1) the capabilities of the Cobra Dane radar and other planned radars to meet DOD\u2019s mission requirements, (2) Cobra Dane\u2019s operational availability and the plan to mitigate the effect on those missions when Cobra Dane is not operationally available, and (3) DOD\u2019s funding plan and project cost estimates related to the operation and sustainment of Cobra Dane and its site at Shemya Island.", "For all objectives, we reviewed the Air Force report to Congress and identified information related to requirements outlined in the conference report. We interviewed officials from Headquarters Air Force, Air Force Space Command, the Air Force Life Cycle Management Center, MDA, U.S. Northern Command, and U.S. Strategic Command to discuss information contained within the Air Force report, and to identity other information and documentation relevant to each of our three objectives.", "For objective one, we also reviewed documentation that outlined the capabilities of Cobra Dane and other radar investments. Our review included MDA\u2019s reports on the LRDR and its analysis of alternatives on ballistic missile defense sensors. We also reviewed a U.S. Strategic Command briefing for information on the capabilities of Cobra Dane and alternative radar systems. We did not independently review the quality of the technical materials or the process by which MDA or U.S. Strategic Command assessed the capabilities of Cobra Dane or other radar systems because doing so was beyond the scope of our review to describe additional information on the capabilities of Cobra Dane and other radar investments.", "For objective two, we also reviewed documentation related to the operational availability of Cobra Dane and the associated effects if Cobra Dane is not available, including Air Force data on the operational availability and space surveillance performance of Cobra Dane. We asked cognizant Air Force officials questions about the reliability of their operational availability data and reviewed relevant documentation on how they calculate that data. We determined that we could use these data for the limited purpose of describing the reported operational availability of Cobra Dane compared to its requirement. We also reviewed U.S. Northern Command\u2019s analysis on the abilities of various radar systems to track missile threats targeting U.S. locations.", "For objective three, we also reviewed documentation related to DOD\u2019s plans to fund the operation and sustainment of Cobra Dane and to identify project cost estimates. Specifically, we reviewed documents from the Air Force and MDA, such as budget submissions, funding profiles, and cost estimates. We did not independently assess the underlying budget data or cost estimates from the documentation we reviewed because doing so was beyond the scope of our review to describe additional information on DOD\u2019s funding plan and project cost estimates.", "We conducted this performance audit from June 2018 to November 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Cobra Dane and other radar systems can provide capabilities that contribute to a range of missions, such as ballistic missile defense, space surveillance, and intelligence-gathering missions. DOD uses Cobra Dane and other radar systems to provide information over a short period of time to ground-based interceptors so they can hit their targets. Such radar systems contribute to ballistic missile defense by tracking incoming missile threats, classifying the missile threat, and determining if a threat was intercepted successfully. In addition, some radar systems can provide discrimination capabilities, which allow for that radar to identify a warhead when a missile threat deploys decoys at the same time. Radar systems can also have the capability to contribute to a space surveillance mission, which provides an awareness of space objects within or near the Earth\u2019s orbit and their movements, capabilities, and intent. Finally, radars can also contribute intelligence-gathering capabilities. Each radar system\u2019s ability to contribute to various missions can be dependent on that radar\u2019s inherent capabilities and physical location.", "See table 1 for a description of selected radar systems that can provide some or all of these capabilities.", "Various offices within the Air Force, in coordination with MDA, are responsible for the operation and sustainment of the Cobra Dane radar. Since 2013, Air Force Space Command has overseen the operation of Cobra Dane, and contributes to the sustainment of Cobra Dane\u2019s site at Shemya Island. The Air Force Life Cycle Management Center has overall responsibility of the sustainment of the Cobra Dane radar. In addition, MDA works in coordination with the Air Force and combatant commands to develop, test, and field ballistic missile defense assets. MDA also shares funding with the Air Force to operate and sustain Cobra Dane.", "U.S. Northern Command and U.S. Strategic Command define priorities for the overall radar infrastructure and establish the various missions that those radar systems are intended to meet. U.S. Northern Command oversees the homeland ballistic missile defense mission, and establishes operational objectives for radar systems operating in its region. U.S. Northern Command officials told us that they are the end user for Cobra Dane. U.S. Strategic Command has established a ballistic missile defense and a space surveillance mission, both of which are supported by Cobra Dane. Further, U.S. Strategic Command\u2019s components coordinate global missile defense and space operations planning."], "subsections": []}, {"section_title": "Air Force Reported That Cobra Dane and LRDR Can Contribute to Various Missions, and We Found That Additional Radar Investments May Reduce Reliance on Cobra Dane", "paragraphs": [], "subsections": [{"section_title": "Air Force Reported That Cobra Dane and LRDR Contribute Both Shared and Unique Capabilities to Their Respective Missions", "paragraphs": ["In its January 2018 report to Congress, the Air Force described how Cobra Dane and LRDR can meet mission requirements through their shared and unique capabilities, as well as how their locations affect their ability to provide those capabilities for DOD\u2019s ballistic missile defense mission. MDA studies we reviewed found that locating LRDR at Clear Air Force Station allows for operational advantages and cost savings."], "subsections": [{"section_title": "Ballistic Missile Defense and Space Surveillance Missions", "paragraphs": ["The Air Force included information in its report to Congress on the ballistic missile defense capabilities of Cobra Dane and LRDR, and the effects of each radar\u2019s location on those capabilities. Specifically, the Air Force report stated that both radars have the capabilities to track and classify missile threats. However, the report incorrectly stated that both radar systems have the inherent capability to determine if a missile threat is successfully intercepted. MDA documentation that we reviewed shows that Cobra Dane does not yet have this capability. When we shared our finding with Air Force and MDA officials, they agreed that this reported capability was incorrectly identified in the Air Force report to Congress. MDA officials also told us that Cobra Dane could provide this capability in the future if it implements software changes, but they are unlikely to do this until calendar year 2025.", "The Air Force report also noted that LRDR would have a unique capability, once it is operational, to discriminate missile threats from any deployed decoys. See table 2 for a summary of what the Air Force reported for the ballistic missile defense capabilities of Cobra Dane and LRDR.", "In addition to identifying ballistic missile defense capabilities of each radar, the Air Force report noted that both Cobra Dane and LRDR will have the inherent capabilities to support space surveillance and intelligence-gathering missions. DOD officials we spoke to confirmed that they have plans to use those inherent capabilities to support these other missions. For example, U.S. Strategic Command identified that DOD needs Cobra Dane to support its space surveillance mission. Further, Air Force and MDA officials told us that they use Cobra Dane to track small objects that no other radar system can track. MDA officials told us that LRDR could be used for space surveillance. However, Air Force and U.S. Strategic Command officials stated that there are no plans to use LRDR\u2019s space surveillance capabilities as a replacement for Cobra Dane. Additionally, Air Force officials told us that neither Cobra Dane nor LRDR is required to support an intelligence-gathering mission.", "The Air Force also included information in its report on how the locations of Cobra Dane and LRDR affect their abilities to contribute to the ballistic missile defense mission. For example, the Air Force reported that Cobra Dane\u2019s location at Shemya Island, Alaska, allows it to track missile threats from North Korea earlier in their trajectories than LRDR would be able to track at Clear Air Force Station, Alaska. This is consistent with an MDA analysis that we reviewed that outlined additional advantages provided by Cobra Dane\u2019s location at Shemya Island. According to that analysis, Cobra Dane can begin tracking missile threats approximately 210 seconds earlier than LRDR. Air Force officials told us that the additional time to track missile threats allows the warfighter an earlier opportunity to intercept a missile threat and deploy additional interceptors if the first attempt fails. Further, the MDA analysis described a tracking gap between the areas covered by LRDR\u2014once it is operational at Clear Air Force Station\u2014and the two sets of AN/TPY-2 radars that are currently located in Japan. Without Cobra Dane\u2019s coverage of this gap, the analysis found that the warfighter would have a more limited opportunity to intercept a missile threat from North Korea. Figure 2 shows how Cobra Dane covers a gap between the LRDR (once operational) and the two AN/TPY-2 radars in Japan.", "The Air Force report also noted that LRDR\u2019s geographic location has its own advantages in contributing to ballistic missile defense compared to Cobra Dane\u2019s location. For example, the Air Force report noted that LRDR\u2019s location would allow it to track missile threats later in their trajectories beyond Cobra Dane\u2019s coverage as those threats make their way to the continental United States. We also found that MDA has determined LRDR will have other advantages due to its location. For example, an MDA analysis that we reviewed found that LRDR\u2019s location will allow for the radar system to contribute to ballistic missile defense from North Korean and Iranian threats. Absent LRDR, this analysis determined that there are no other radar systems that are located in a position to provide the capability to discriminate missile threats and determine if a threat was successfully intercepted."], "subsections": []}, {"section_title": "Determination of LRDR Location", "paragraphs": ["In addition to what the Air Force reported, we found that DOD decided to locate LRDR at Clear Air Force Station in Alaska after considering the advantages and disadvantages of other locations. For example, MDA completed studies that examined how LRDR could perform at various locations in Alaska, and the cost-effectiveness of constructing and sustaining the radar at those sites. In a June 2015 analysis, MDA compared how LRDR could perform in discriminating missile threats when co-locating it with Cobra Dane at Shemya Island or placing it at Clear Air Force Station. MDA determined that LRDR could provide more real-time discrimination information for missile threats targeting Alaska and the continental United States if it constructed the radar at Clear Air Force Station versus Shemya Island. Additionally, MDA identified in an October 2016 study that the department could obtain operational advantages and cost savings by constructing LRDR at Clear Air Force Station, Alaska, when compared to constructing it at Shemya Island, Alaska. Specifically, MDA determined that Clear Air Force Station could provide better results for 11 of the 13 factors it reviewed compared to Shemya Island. For example, MDA determined that locating LRDR at Clear Air Force Station would result in lower costs and enhanced system performance."], "subsections": []}]}, {"section_title": "DOD Has Made Other Investments in Radar Systems That May Reduce Its Reliance on Cobra Dane to Meet Mission Requirements", "paragraphs": ["According to DOD officials and documents we reviewed, other radar investments may reduce the department\u2019s reliance on Cobra Dane for ballistic missile defense and space surveillance, given that U.S. Northern Command identified it has a need for Cobra Dane after DOD begins operating LRDR in fiscal year 2021. Specifically, the Pacific Radar and Space Fence may reduce DOD\u2019s reliance on Cobra Dane to support ballistic missile defense and space surveillance, respectively.", "Pacific Radar: According to DOD officials, the department may no longer need Cobra Dane to meet the ballistic missile defense mission after MDA fields a new radar in the Pacific region in fiscal year 2025. MDA began developing the Pacific Radar to provide additional missile threat tracking and discrimination capabilities. According to U.S. Northern Command and MDA officials, the Pacific Radar may fill the gap in tracking missile threats currently covered by Cobra Dane.", "Space Fence: The Air Force has also determined it will no longer have a requirement for Cobra Dane to provide space surveillance once the Space Fence is fully operational. The Air Force plans for the Space Fence to be operational in fiscal year 2019. According to a U.S. Strategic Command briefing, the Space Fence will provide the same capabilities as Cobra Dane. Air Force officials noted that they want to continue relying on Cobra Dane for space surveillance when the Space Fence is operational, as long as the radar is available and used to contribute to ballistic missile defense."], "subsections": []}]}, {"section_title": "Air Force Reported That Cobra Dane Generally Meets Its Requirements for Operational Availability, and We Found That the Air Force Can Mitigate Radar Downtime for Its Missions", "paragraphs": ["In its January 2018 report to Congress, the Air Force noted that Cobra Dane met its requirement for operational availability\u2014i.e., the percentage of time that the radar system is able to meet its ballistic missile defense and space surveillance missions. Specifically, the Air Force report noted that Cobra Dane had been available an average of 91 percent of the time over a 2-year period (January 2016 through December 2017), which exceeded the 90 percent requirement for operational availability.", "Information that we reviewed from a more recent 2-year period (August 2016 through July 2018) showed that Cobra Dane\u2019s 2-year average for operational availability had declined to approximately 88 percent\u2014below the 90 percent requirement. Air Force officials stated that the decline in the operational availability over the more recent two-year period was due to a few instances where they needed to take Cobra Dane off-line for extended periods of scheduled downtime (e.g., regular operations and maintenance, calibration of instruments). Further, they noted that when Cobra Dane is not operationally available, the reason is usually due to scheduled downtime.", "Officials also told us there was one instance of unscheduled downtime (e.g., part or system failure) in that 2-year period which required emergency maintenance on the radar\u2019s mission control hardware. We also reviewed Air Force data on the frequency of unscheduled downtime between August 2016 and July 2018, which show that Cobra Dane is able to contribute to its missions without unscheduled downtime 99.7 percent of the time.", "According to U.S. Northern Command and MDA officials, they can mitigate the effect on the ballistic missile defense mission if they know far enough in advance that Cobra Dane will not be operationally available\u2014 such as during scheduled downtime. Officials stated that they do this by moving a transportable radar, known as the Sea-Based X-band radar, to specific locations in the Pacific Ocean to provide additional tracking coverage of missile threats. A U.S. Northern Command analysis that we reviewed describes how DOD can deploy the Sea-Based X-band radar at particular locations in the Pacific Ocean to supplement Cobra Dane. This analysis found that U.S. Northern Command can lose the ability to track some missile threat trajectories if Cobra Dane is not available and the Sea-Based X-band radar is not deployed.", "We also reviewed Air Force data on space surveillance, which shows that the Air Force would face some limitations in its ability to complete its space surveillance mission when Cobra Dane is not operationally available. According to the data, Cobra Dane tracks 3,300 space objects each day that cannot be tracked by any other radar system. Air Force officials noted that when Cobra Dane is not operationally available for space surveillance for short periods (less than 24 hours), they can overcome that downtime without losing track of those unique objects. However, officials told us that it would take six months to reacquire all of the small space objects that Cobra Dane tracks, if they encounter any significant scheduled or unscheduled downtime. MDA officials told us there are no scheduled plans to take Cobra Dane down long enough to compromise DOD\u2019s ability to conduct space surveillance."], "subsections": []}, {"section_title": "Air Force Reported That DOD Has Plans to Fund Cobra Dane and Its Site, and We Found That It Has Developed Cost Estimates for Some Projects", "paragraphs": [], "subsections": [{"section_title": "Air Force Reported the Funding for the Operation and Sustainment of Cobra Dane, and We Found That DOD Has Developed Cost Estimates for Some Modernization Projects", "paragraphs": ["In its January 2018 report to Congress, the Air Force projected that the Air Force and MDA would contribute total funding of $278.6 million based on their fiscal year 2019 budget plans for the operation and sustainment of Cobra Dane. According to the report, the Air Force and MDA plan to share funding for the operation and maintenance of the Cobra Dane radar, and for three modernization projects that make up their sustainment plan for the radar. Table 3 outlines the plan for how the Air Force and MDA will share funding for the operation and maintenance of Cobra Dane.", "In addition, the Air Force included information in its report on how the Air Force and MDA plan to share funding to support Cobra Dane\u2019s three modernization projects. Specifically, the Air Force and MDA plan to redesign parts for three sets of obsolete systems: (1) mission system replacement; (2) traveling wave tubes; and (3) transmitter groups. The Air Force has identified that it no longer has vendors that manufacture some critical parts, and failure of any of the three systems could result in Cobra Dane not being available to meet mission requirements. As such, the Air Force determined that it could sustain these three systems more effectively if they were redesigned. Table 4 summarizes the reported funding for the three projects that make up the Cobra Dane sustainment plan.", "In addition to what the Air Force reported, we identified that the Air Force developed a total cost estimate for its transmitter group replacement, but not for its other two projects. For the other two projects, Air Force officials stated that they plan to complete estimates for the total costs in conjunction with their fiscal year 2020 budget submission. In August 2016, the Air Force estimated that the transmitter group replacement would have a total cost of $91.2 million, but reported it would fund this project at $94.0 million through fiscal year 2023 (see table 4). Air Force officials plan to request the transfer of any unused funding to the other projects once it completes the transmitter group project. The Air Force also completed a partial cost estimate for the traveling wave tube redesign\u2014covering the redesign of the parts and replacement of 1 of 12 groups of parts\u2014estimating that the first phase would cost $16.0 million. Further, Air Force officials told us that they have not yet developed a total cost estimate for the mission system replacement.", "We also found that the Air Force and MDA expedited Cobra Dane\u2019s mission system replacement project, but Air Force officials told us they face challenges in expediting the other two projects without compromising Cobra Dane\u2019s operational availability. For the mission system replacement, MDA requested additional funding in fiscal year 2018. Air Force and MDA officials told us that the additional funding they received allowed them to prioritize the mission system replacement and advance its timeline earlier that year. Air Force officials stated that they explored ways to expedite the two other projects: the traveling wave tubes and transmitter groups. However, they stated that replacing too many parts at the same time will result in their having to take Cobra Dane off-line for longer periods of time. According to Air Force and MDA officials, they may look for opportunities to expedite timeframes for their other two projects as long as the amount of scheduled downtime is kept to acceptable levels."], "subsections": []}, {"section_title": "The Air Force Reported the Funding for the Operation and Sustainment of Shemya Island", "paragraphs": ["In its report to Congress, the Air Force identified that it plans to provide $140 million in funding for the sustainment and maintenance of operational access to Cobra Dane\u2019s site at Shemya Island based on its fiscal year 2019 budget plans. According to the report, the Air Force is solely responsible for funding all work related to the operation and sustainment of Shemya Island, shared between two of its major commands: Air Force Space Command and Pacific Air Forces. Table 5 summarizes the information the Air Force included in its report on how funding will be shared for Shemya Island.", "We also reviewed a support agreement between Air Force Space Command and Pacific Air Forces that identifies how they will sustain the site and the calculation for sharing costs. The agreement describes the specific work to sustain the site, including maintaining the airfield, support facilities, and communication infrastructure. Air Force officials told us that they are constantly addressing challenges related to operational access to the site at Shemya Island, but Air Force Space Command and Pacific Air Forces work together to address those challenges."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for review and comment. DOD told us that it had no comments on the draft report.", "We are sending copies of this report to the Secretary of Defense; the Under Secretary of Defense for Acquisitions and Sustainment; the Secretary of the Air Force; the Director of the Missile Defense Agency; and the Commanders of U.S. Northern Command and U.S. Strategic Command. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Joe Kirschbaum at (202) 512-9971 or kirschbaumj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to the report are listed in Appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kevin O\u2019Neill (Assistant Director), Scott Bruckner, Vincent Buquicchio, Martin De Alteriis, Amie Lesser, and Richard Powelson made key contributions to the report."], "subsections": []}]}], "fastfact": ["DOD plans to invest over $278 million to operate, maintain, and modernize its Cobra Dane radar system\u2014which helps defend against incoming missiles and tracks space objects such as satellites and debris. These investments are needed because the system has been operating for over 40 years, and key components are obsolete.", "The Air Force occasionally has to take Cobra Dane offline to address failing parts or for routine maintenance, but we found that DOD has a mobile radar system it can use when Cobra Dane is scheduled to be offline.", "We also found that DOD is planning to invest in new radar systems that may reduce its reliance on Cobra Dane."]} {"id": "GAO-18-609SP", "url": "https://www.gao.gov/products/GAO-18-609SP", "title": "Managing for Results: Government-wide Actions Needed to Improve Agencies' Use of Performance Information in Decision Making", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["To reform the federal government and make it more efficient and effective, agencies need to use data about program performance. The benefit of collecting performance information is only fully realized when it is used by managers to make decisions aimed at improving results.", "GAO was asked to review agencies' use of performance information. This report assesses, among other things, the extent to which: (1) 24 agencies' reported use of performance information and related leading practices has changed since 2013 and (2) the Executive Branch has taken actions to enhance the use of performance information.", "To address the first objective, GAO analyzed results from its 2017 survey of federal managers, and compared them to 2013 results. The survey covered a stratified random sample of 4,395 managers from the 24 Chief Financial Officers Act agencies. The survey had a 67 percent response rate and results can be generalized to the population of managers government-wide and at each agency. For the second objective, GAO reviewed agency documents and interviewed staff from OMB and the PIC."]}, {"section_title": "What GAO Found", "paragraphs": ["Agencies' reported use of performance information to make decisions, and leading practices that can promote such use, generally has not improved since GAO's last survey of federal managers in 2013. However, GAO's survey results continue to point to certain practices that could help agencies improve managers' use of performance information. For example, as shown in the table below, GAO's survey found that managers whose programs were subject to data-driven reviews (regular reviews used to assess progress on select agency goals) to a greater extent reported statistically significantly greater use of performance information to make decisions.", "The Executive Branch has begun taking steps to improve the use of performance information within agencies and across the government. For example,", "In the President's Management Agenda and government-wide reform plan, released in March and June 2018 respectively, the administration acknowledged the need to do more, and announced a goal, among other actions, to improve the use of data in federal decision making. However, the Office of Management and Budget (OMB) and others responsible for this goal have yet to fully develop action plans to hold agencies accountable for achieving it.", "The Performance Improvement Council (PIC), which is chaired by OMB, has undertaken efforts to improve the use of performance information by, for example, creating a working group on agency performance reviews. But it has not yet taken a systematic approach to identify and share proven practices that led to, or challenges that may be hampering, increased use of performance information by managers. GAO's survey results identified agencies that may have insights into such practices and challenges.", "More fully developing action plans for the new goal, and identifying and sharing proven practices and challenges, could help ensure the Executive Branch takes further steps to improve the use of performance information by managers within agencies and across the federal government."]}, {"section_title": "What GAO Recommends", "paragraphs": ["To improve the use of performance information within agencies and across the federal government, GAO recommends that OMB work with (1) fellow goal leaders to more fully develop action plans for the new goal to improve the use of data and (2) the PIC to prioritize efforts to identify and share proven practices and challenges. OMB had no comments on this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government is one of the world\u2019s largest and most complex entities. It oversees a broad array of programs central to protecting the health, safety, and security of the American public. As the nation confronts both new and long-standing challenges, the public expects the government to be more transparent and accountable. This requires federal agencies to focus on their performance and improving results. To modernize the federal government and improve agencies\u2019 abilities to achieve results, the Office of Management and Budget (OMB) released the President\u2019s Management Agenda and its plan to reform and reorganize the federal government. These initiatives propose a range of reform efforts and priorities designed to address the complex and interconnected challenges facing federal agencies.", "To successfully implement reforms and improve their operations and results, agencies will need to robustly manage their performance. This involves not only measuring progress toward goals, but also using that information to identify and correct problems, improve program implementation, and make other important management and resource allocation decisions. However, for more than two decades, our work has highlighted weaknesses in the use of performance information in decision making across the federal government. For example, in September 2017, we found that the use of performance information (i.e., data collected to measure progress toward agency goals) in various decision- making activities generally was unchanged or even declined government- wide, as reported by federal managers on a periodic survey we have conducted since 1997. These persisting weaknesses could hinder agencies\u2019 abilities to achieve critical results.", "Based on the aggregated, government-wide level survey results presented in our September 2017 report, you asked us to review individual agencies\u2019 use of performance information in decision making. This report assesses the extent to which: the reported use of performance information and related leading practices at 24 agencies has changed compared to our prior survey in 2013; being subject to data-driven reviews related to managers\u2019 reported use of performance information and leading practices; and the Executive Branch has taken actions to enhance agencies\u2019 use of performance information in various decision-making activities.", "To address the first and second objectives, we analyzed relevant results from our 2017 survey of federal managers on organizational performance and management issues. We administered the web-based survey to a stratified random sample of 4,395 managers at 24 agencies between November 2016 and March 2017. We received usable questionnaires from about 67 percent of the eligible sample. The weighted response rate at each agency generally ranged from 57 percent to 82 percent, except for the Department of Justice, which had a weighted response rate of 36 percent. The maximum margin of error for the government-wide estimates was less than or equal to 6 percentage points, and the maximum margin of error for agency estimates was less than 20 percentage points. These results are generalizable to the population of managers government-wide and at each individual agency. The 2017 results are comparable to those from other surveys we conducted in 1997, 2000, 2003, 2007, and 2013.", "To further address the first objective, we conducted various statistical analyses on selected survey questions related to the use of performance information and practices that can promote such use. For the use of performance information, we selected the same set of 11 survey questions used in our last report on our 2013 survey that focused on agency-level survey results. Using 2017 survey data, we conducted statistical analyses and ensured that these 11 questions were still positively correlated and no changes were necessary. As in that September 2014 report, we updated our index to create a single score for each agency to approximate its reported use of performance information in decision making as of 2017. We also reviewed our 2017 survey and identified 22 questions that reflect five management practices\u2014identified by our past work\u2014that can promote the use of performance information in decision making. Of those 22 questions, we selected 10 questions that our analyses showed had statistically significant associations with greater reported use of performance information.", "For the index and each question described above, we calculated results for each agency based on the 2017 survey results. We then determined if each agency\u2019s results were statistically significantly different from (1) their prior results in 2013 and (2) the government-wide average results in 2017. We focus on statistically significant results throughout the report because these indicate that observed relationships between variables and differences between groups are likely to be valid, after accounting for the effects of sampling and other sources of survey error. Because our audit work was limited to analyzing and summarizing the results of our 2017 survey, we did not conduct any audit work at the agencies to determine what may have caused any statistically significant changes. Appendix I presents the relevant survey results for each of the 24 agencies.", "To further address the second objective, we used 2017 survey results to identify managers who reported they were familiar with their agency\u2019s data-driven reviews. For those who reported familiarity with the reviews, we identified the extent managers reported that their programs had been subject to those reviews. Based on the extent they were subject to reviews, we assessed differences among managers\u2019 (1) index scores and (2) responses on the 10 questions that reflect leading practices that can promote the use of performance information.", "For the third objective, we identified and reviewed various resources (i.e., guidance, guides, and playbooks) developed by OMB and the Performance Improvement Council (PIC) that could support agencies\u2019 use of performance information. We also reviewed our past work that assessed Executive Branch activities to enhance the use of performance information. Lastly, we reviewed documents on recent cross-agency efforts to improve the use of data in federal decision making, and interviewed OMB and PIC staff about any actions they have taken, or planned to take, to further support the use of performance information across the federal government. Appendix II provides additional details on the objectives, scope, and methodology of this report.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Use of Performance Information in the Federal Government", "paragraphs": ["Concerned that the federal government was more focused on program activities and processes than the results to be achieved, Congress passed the Government Performance and Results Act of 1993 (GPRA). GPRA sought to focus federal agencies on performance by requiring agencies to develop long-term and annual goals, and measure and report on progress towards those goals annually. Based on our analyses of the act\u2019s implementation, we concluded in March 2004 that GPRA\u2019s requirements had laid a solid foundation for results-oriented management. At that time, we found that performance planning and measurement had slowly yet increasingly become a part of agencies\u2019 cultures. For example, managers reported having significantly more performance measures in 2003 than in 1997, when GPRA took effect government-wide.", "However, the benefit of collecting performance information is fully realized only when that information is actually used by managers to make decisions aimed at improving results. Although our 2003 survey found greater reported availability of performance information than in 1997, it also showed managers\u2019 use of that information for various management activities generally had remained unchanged. Based on those results, and in response to a request from Congress, in September 2005, we developed a framework intended to help agencies better incorporate performance information into their decision making. As shown in figure 1, we identified five leading practices that can promote the use of performance information for policy and program decisions; and four ways agency managers can use performance information to make program decisions aimed at improving results.", "Our September 2005 report also highlighted examples of how agencies had used performance information to improve results. For example, we described how the Department of Transportation\u2019s National Highway Traffic Safety Administration used performance information to identify, develop, and share effective strategies that increased national safety belt usage\u2014which can decrease injuries and fatalities from traffic accidents\u2014 from 11 percent in 1985 to 80 percent in 2004.", "Subsequently, the GPRA Modernization Act of 2010 (GPRAMA) was enacted, which significantly expanded and enhanced the statutory framework for federal performance management. The Senate Committee on Homeland Security and Governmental Affairs report accompanying the bill that would become GPRAMA stated that agencies were not consistently using performance information to improve their management and results. The report cited the results of our 2007 survey of federal managers. That survey continued to show little change in managers\u2019 use of performance information. The report further stated that provisions in GPRAMA are intended to address those findings and increase the use of performance information to improve performance and results. For example, GPRAMA requires certain agencies to designate a subset of their respective goals as their highest priorities\u2014known as agency priority goals\u2014and to measure and assess progress toward those goals at least quarterly through data-driven reviews.", "Our recent work and surveys suggest that data-driven reviews are having their intended effect. For example, in July 2015, we found that agencies reported that their reviews had positive effects on progress toward agency goals and efforts to improve the efficiency of operations, among other things. In addition, for those managers who were familiar with their agencies\u2019 data-driven reviews, our 2013 and 2017 surveys showed that the more managers viewed their programs as being subject to a review, the more likely they were to report their agencies\u2019 reviews were driving results and conducted in line with our leading practices. Recognizing the important role these reviews were playing in improving data-driven decision making, our management agenda for the presidential and congressional transition in 2017 included a key action to expand the use of data-driven reviews beyond agency priority goals to other agency goals.", "More broadly, our recent surveys of federal managers have continued to show that reported government-wide uses of performance information generally have not changed or in some cases have declined. As we found in September 2017, and as illustrated in figure 2, the 2017 update to our index suggests that government-wide use of performance information did not improve between 2013 and 2017. In addition, it is statistically significantly lower relative to our 2007 survey, when we created the index.", "Moreover, in looking at the government-wide results on the 11 individual survey questions that comprise the index, we found few statistically significant changes in 2017 when compared to (1) our 2013 survey or (2) the year each question was first introduced. For example, in comparing 2013 and 2017 results, two questions had results that were statistically significantly different:", "The percentage of managers who reported that employees who report to them pay attention to their agency\u2019s use of performance information was statistically significantly higher (from 40 to 46 percent).", "The percentage of managers who reported using performance information to adopt new program approaches or change work processes was statistically significantly lower (from 54 to 47 percent).", "As we stated in our September 2017 report, the decline on the latter question was of particular concern as agencies were developing plans to improve their efficiency, effectiveness, and accountability, as called for by an April 2017 memorandum from OMB."], "subsections": []}, {"section_title": "The Administration\u2019s Plans for Federal Performance Management", "paragraphs": ["In early 2017, the administration announced several efforts intended to improve government performance. OMB issued several memorandums detailing the administration\u2019s plans to improve government performance by reorganizing the government, reducing the federal workforce, and reducing federal agency burden. As part of the reorganization efforts, OMB and agencies were to develop government-wide and agency reform plans, respectively, designed to leverage various GPRAMA provisions. For instance, the April 2017 memorandum mentioned above stated that OMB intends to monitor implementation of the reforms using, among other things, agency priority goals. While many agency-specific organizational improvements were included in the President\u2019s fiscal year 2019 budget, released in February 2018, OMB published additional government-wide and agency reform proposals in June 2018.", "The President\u2019s Management Agenda (PMA), released in March 2018, outlines a long-term vision for modernizing federal operations and improving the ability of agencies to achieve outcomes. To address the issues outlined in the PMA, the administration established a number of cross-agency priority (CAP) goals. CAP goals, required by GPRAMA, are to address issues in a limited number of policy areas requiring action across multiple agencies, or management improvements that are needed across the government.", "The PMA highlights several root causes for the challenges the federal government faces. Among them is that agencies do not consistently apply data-driven decision-making practices. The PMA states that smarter use of data and evidence is needed to orient decisions and accountability around service and results. To that end, in March 2018, the administration established the Leveraging Data as a Strategic Asset CAP goal to improve the use of data in decision making to increase the federal government\u2019s effectiveness."], "subsections": []}, {"section_title": "Federal Performance Management Leadership Roles and Responsibilities", "paragraphs": ["Over the past 25 years, various organizations, roles, and responsibilities have been created by executive action or in law to provide leadership in federal performance management. At individual agencies and across the federal government, these organizations and officials have key responsibilities for improving performance, as outlined below.", "OMB: At least every four years, OMB is to coordinate with other agencies to develop CAP goals\u2014such as the one described earlier on leveraging data as an asset\u2014to improve the performance and management of the federal government. OMB is also required to coordinate with agencies to develop annual federal government performance plans to define, among other things, the level of performance to be achieved toward the CAP goals. Following GPRAMA\u2019s enactment, OMB issued guidance for initial implementation, as required by the act, and continues to provide updated guidance in its annual Circular No. A-11, additional memorandums, and other means.", "Chief Operating Officer (COO): The deputy agency head, or equivalent, is designated as the COO, with overall responsibility for improving agency management and performance through, among other things, the use of performance information.", "President\u2019s Management Council (PMC): The PMC is comprised of OMB\u2019s Deputy Director for Management and the COOs of major departments and agencies, among other individuals. Its responsibilities include improving overall executive branch management and implementing the PMA.", "Performance Improvement Officer (PIO): Agency heads designate a senior executive as the PIO, who reports directly to the COO. The PIO is responsible for assisting the head of the agency and COO to ensure that agency goals are achieved through, among other things, the use of performance information.", "Performance Improvement Council (PIC): The PIC is charged with assisting OMB to improve the performance of the federal government. It is chaired by the Deputy Director for Management at OMB and includes PIOs from each of the 24 Chief Financial Officers Act agencies, as well as other PIOs and individuals designated by the chair. Among its responsibilities, the PIC is to work to resolve government-wide or cross-cutting performance issues, and facilitate the exchange among agencies of practices that have led to performance improvements.", "Previously, the General Service Administration\u2019s (GSA) Office of Executive Councils provided analytical, management, and administrative support for the PIC, the PMC, and other government-wide management councils. In January 2018, the office was abolished and its functions, staff, and authorities, along with those of the Unified Shared Services Management Office, were reallocated to GSA\u2019s newly created Shared Solutions and Performance Improvement Office."], "subsections": []}]}, {"section_title": "Agencies\u2019 Use of Performance Information in Decision Making and Related Leading Practices Generally Has Not Improved", "paragraphs": [], "subsections": [{"section_title": "Reported Use of Performance Information in Decision Making Generally Has Not Improved at Individual Agencies Since 2013", "paragraphs": ["As at the government-wide level\u2014where, as described earlier, the use of performance information did not change from 2013 to 2017\u2014managers\u2019 reported use of performance information at most agencies also did not improve since 2013 (illustrated in figure 3).", "At the agency level, 3 of the 24 agencies had statistically significant changes in their index scores\u20141 increase (National Science Foundation) and 2 decreases (Social Security Administration and the Office of Personnel Management). Also, in 2017, 6 agencies had results that were statistically significantly different\u20144 higher and 2 lower\u2014than the government-wide average (see sidebar).", "Throughout the report, we highlight two different types of statistically significant results\u2014changes from our last survey in 2013 and differences from the 2017 government-wide average. The former indicates when an agency\u2019s reported use of performance information or leading practices has measurably improved or declined. The latter indicates when it is statistically significantly higher or lower than the rest of government. These results suggest agencies have taken actions that led to improvements in their use of performance information. For example, when a result is a statistically significant increase since 2013, as with the National Science Foundation index score in 2017, this suggests that the agency has adopted practices that led to a measurable increase in the use of performance information by managers.", "When a result is statistically significantly higher than the government-wide average, like GSA\u2019s 2017 index score, this suggests that the agency\u2019s use of performance information is among the highest results when compared to the rest of government. These agencies could also have insights into practices that led to relatively high levels of performance information use. Finally, when a result is a statistically significant decrease since 2013, as with the Social Security Administration\u2019s index score in 2017, or statistically significantly lower than the government-wide average, like the Department of Homeland Security\u2019s 2017 index score, this suggests the agencies face challenges that are hampering their ability to use performance information. Appendix III provides each agency\u2019s index scores from 2007, 2013, and 2017 to show changes between survey years.", "When we disaggregated the index and analyzed responses from the 11 questions that comprise the index\u2014which could help pinpoint particular actions that improved the use of performance information\u2014we similarly found relatively few changes in agencies\u2019 recent results. Specifically, we identified 16 instances where agency responses on individual questions were statistically significantly different from 2013 to 2017\u201410 increases and 6 decreases. This represents about 6 percent of the total possible responses to the 11 survey questions from each of the agencies.", "In addition, we found 12 instances where an agency\u2019s result on a question was statistically significantly higher (11) or lower (1) than the government-wide average in 2017. For example, the percentage of Social Security Administration (SSA) managers reporting that their peers use performance information to share effective approaches was statistically significantly higher than the government-wide average. Although SSA\u2019s index score had a statistically significant decline in 2017 compared to 2013, the agency\u2019s index score remains relatively high, as it has in prior years. The scope of our work has not allowed us to determine definitively what factors caused the decline in SSA\u2019s index score and whether the decline is likely to continue, although its result on this particular question may indicate a continued strength. Each agency\u2019s results on the 11 questions that comprise the index are presented in appendix I. The agencies\u2019 respective statistically significant results are identified in figure 4.", "While some agencies had statistically significant improvements on individual questions, and could point to actions that led to improvements in their use of performance information, these improvements should be considered in relation to the range of agency results and the government- wide average. In figure 4, there are five agencies with statistically significant increases on responses to individual questions, where those results were not statistically significantly higher than the government-wide average (see arrows without plus signs for the Departments of Agriculture, Defense, and Justice; the Environmental Protection Agency; and the National Science Foundation). While these represent improvements, they should be considered in relation to the range of agency results and the government-wide average (provided in detail in the agency summaries in appendix I). For example, in 2017, the percentage of managers at the Department of Agriculture who reported that upper management use performance information to inform decisions about program changes was statistically significantly higher than in 2013. However, the department\u2019s 2017 result (37 percent) was relatively lower when compared to the maximum agency result on that question (60 percent). Appendix I presents the results on the index and the 11 questions that comprise it for each of the 24 agencies."], "subsections": []}, {"section_title": "Individual Agencies\u2019 Reported Use of Leading Practices Generally Remains Unchanged", "paragraphs": ["When we compared government-wide and agency-level results on selected survey questions that reflect practices that promote the use of performance information, we found that results between 2013 and 2017 generally remained unchanged. As described earlier, there are 10 survey questions that both reflect the five leading practices identified in our past work and had statistically significant associations with higher index scores. As shown in figure 5, government-wide results on 2 of the 10 questions were statistically significantly different, both increases, from 2013 to 2017. Despite these two increases, the overall results suggest these practices are not widely followed government-wide. On most of the 10 questions, only about half (or fewer) of the managers reported their agencies were following them to a \u201cgreat\u201d or \u201cvery great\u201d extent.", "When we analyzed agency-level responses to these 10 questions, we also found relatively few changes in recent results. Specifically, our analysis found 20 instances\u201416 increases and 4 decreases\u2014where agencies\u2019 responses on individual questions were statistically significantly different from 2013 to 2017. This represents about 8 percent of the total possible responses to the 10 survey questions from each of the agencies.", "In addition, we found 10 instances where an agency\u2019s result on a question was statistically significantly higher (8) or lower (2) than the government-wide average in 2017. Each agency\u2019s results on these 10 questions are presented in appendix I, and the statistically significant results are identified in figure 6.", "Those agencies with results on individual questions that are either statistically significantly higher than 2013, higher than the 2017 government-wide average, or both may have taken actions in line with our leading practices for promoting the use of performance information. For example, the National Science Foundation had both types of statistically significant results on a question about having sufficient information on the validity of their performance data. Here, the agency\u2019s result increased 27 percentage points from 2013 to 2017. While the scope of our review does not allow us to definitively determine the reasons for the National Science Foundation\u2019s higher results, they suggest the agency has taken recent actions that greatly improved the availability and accessibility of information on the validity of performance data. In both 2013 and 2017, our analyses found this particular question to be the strongest predictor of higher performance information use when we tested for associations between the questions that reflect leading practices and our index."], "subsections": []}]}, {"section_title": "Managers Whose Programs Were Subject to Data- Driven Reviews Reported Greater Use of Performance Information and Leading Practices", "paragraphs": ["Our 2017 survey results show that managers who reported their programs were subject to data-driven reviews also were more likely to report using performance information in decision making to a greater extent (see figure 7). For the 35 percent of managers who reported being familiar with data-driven reviews, those who reported their programs had been subject to data-driven reviews to a \u201cgreat\u201d or \u201cvery great\u201d extent had index scores that were statistically significantly higher than those whose programs were subject to these reviews to a lesser extent.", "Similarly, we found that being subject to data-driven reviews to a greater extent was also related to greater reporting of agencies following practices that can promote the use of performance information. As figure 8 shows, managers who reported their programs were subject to these reviews to a \u201cgreat\u201d or \u201cvery great\u201d extent more frequently reported that their agencies followed the five leading practices that promote the use of performance information, as measured by the 10 related survey questions associated with higher scores on the index. For example, of the estimated 48 percent of managers who reported their programs were subject to data-driven reviews to a \u201cgreat\u201d or \u201cvery great\u201d extent, 72 percent also reported that managers at their level (peers) effectively communicate performance information on a routine basis to a \u201cgreat\u201d or \u201cvery great\u201d extent. Conversely, for the 24 percent of managers who reported their programs were subject to data-driven reviews to a \u201csmall\u201d or \u201cno\u201d extent, only 30 percent reported that managers at their level do this to a \u201cgreat\u201d or \u201cvery great\u201d extent."], "subsections": []}, {"section_title": "Opportunities Exist for the Executive Branch to Increase the Use of Performance Information within Agencies", "paragraphs": [], "subsections": [{"section_title": "Disparities Exist in the Use of Performance Information by Senior Agency Leaders and Managers at Lower Levels", "paragraphs": ["Our past work has found that the Executive Branch has taken steps to improve the use of performance information in decision making by senior leaders at federal agencies. However, our survey results indicate those steps have not led to similar improvements in use by managers at lower levels. Through its guidance to implement GPRAMA, OMB developed a framework for performance management in the federal government that involves agencies setting goals and priorities, measuring performance, and regularly reviewing and reporting on progress. This includes expectations for how agency senior leaders should use performance information to assess progress towards achieving agency priority goals through data-driven reviews, and strategic objectives through strategic reviews. For example, GPRAMA requires, and OMB\u2019s guidance reinforces, that data-driven reviews should involve the agency head, Chief Operating Officer, Performance Improvement Officer, and other senior officials responsible for leading efforts to achieve each goal.", "OMB\u2019s guidance also identifies ways in which agency leaders should use the results of those reviews to inform various decision-making activities, such as revising strategies, formulating budgets, and managing risks. Our past work also found that agencies made progress in implementing these reviews and using performance information. In July 2015, we found that agencies generally were conducting their data-driven reviews in line with GPRAMA requirements and our related leading practices, including that agency leaders used the reviews to drive performance improvement. In addition, in September 2017, we reported on selected agencies\u2019 experiences in implementing strategic reviews and found that the reviews helped direct leadership attention to progress on strategic objectives.", "Despite those findings, our survey results continue to show that the reported use of performance information by federal managers has generally not improved, and actually declined at some agencies. This could be because of the two different groups of agency officials covered by our work. GPRAMA\u2019s requirements, and the federal performance management framework established by OMB\u2019s guidance, apply at the agency-wide level and generally involve senior leaders. Our past work reviewing implementation of the act therefore focused on improvements in the use of performance information by senior leaders at the agency- wide level. In contrast, our surveys covered random samples of mid- and upper-level managers within those agencies, including at lower organizational levels such as component agencies. Their responses indicate that the use of performance information more broadly within agencies\u2014at lower organizational levels\u2014generally has not improved over time. The exception to this was managers whose programs were subject to the data-driven reviews required by GPRAMA. As described above, those managers were more likely to report greater use of performance information in their agencies. This reinforces the value of the processes and practices put in place by GPRAMA. Our survey results suggest that limited actions have been taken to diffuse processes and practices related to the use of performance information to lower levels within federal agencies, where mid-level and senior managers make decisions about managing programs and operations.", "Although OMB staff agreed that diffusing processes and practices to lower levels could lead to improved use of performance information, they told us they have not directed agencies to do so for a few reasons. First, OMB staff expressed concerns about potentially imposing a \u201cone-size-fits- all\u201d approach on agencies. They stated that agencies are best positioned to improve their managers\u2019 use of performance information, given their individual and unique missions and cultures, and the environments in which they operate. We agree that it makes sense for agencies to be able to tailor their approaches for those reasons. OMB\u2019s existing guidance provides an overarching framework that recognizes the need for flexibility and for agencies to tailor their approaches. Moreover, given the long- standing and cross-cutting nature of this challenge, a government-wide approach also would provide a consistent focus on improving the use of performance information more extensively within agencies.", "OMB staff also told us that they believed it would go beyond their mandate to direct agencies to extend GPRAMA requirements to lower levels. GPRAMA requires OMB to provide guidance to agencies to implement its requirements, which only apply at the agency-wide level. As noted earlier, however, GPRAMA also requires OMB to develop cross- agency priority (CAP) goals to improve the performance and management of the federal government. The President\u2019s Management Agenda established a CAP goal to leverage data as a strategic asset, in part, to improve the use of data for decision making and accountability throughout the federal government. This new CAP goal presents an opportunity for OMB and agencies to identify actions to expand the use of performance information in decision making throughout agencies."], "subsections": []}, {"section_title": "Plan for New CAP Goal Does Not Yet Contain Required Elements for Successful Implementation", "paragraphs": ["As of June 2018, the action plan for implementing the Leveraging Data as a Strategic Asset CAP goal is limited. According to the President\u2019s Management Agenda and initial CAP goal action plan, the goal primarily focuses on developing and implementing a long-term, enterprise-wide federal data strategy to better govern and leverage the federal government\u2019s data. It is through this strategy that, among other things, the administration intends to improve the use of data for decision making and accountability. However, the strategy is under development and not expected to be released until January 2019, with a related plan to implement it expected in April 2019.", "The existing action plan, released in March 2018 and updated in June 2018, does not yet include specific steps needed to improve the use of data\u2014including performance information\u2014more extensively within agencies. According to the action plan for the goal, potential actions currently under consideration focus on establishing agency \u201clearning agendas\u201d that prioritize the development and use of data and other evidence for decision-making; building agency capacity to use data and other evidence; and improving the timeliness of performance information and other data, and making that information available to decision makers and the public.", "Although developing learning agendas and building capacity could help improve the use of performance information in agencies, improving availability of data may be less effective. For example, as our past survey results have shown, increasing the availability of performance information has not resulted in corresponding increases in its use in decision making.", "We recognize that the CAP goal was created in March 2018. Nonetheless, it is important that OMB and its fellow goal leaders develop the action plan and related federal data strategy consistent with all key requirements to better ensure successful implementation. The action plan does not yet include complete information related to the following GPRAMA requirements: performance goals that define the level of performance to be achieved each year for the CAP goal; the various federal agencies, organizations, programs, and other activities that contribute to the CAP goal; performance measures to assess overall progress towards the goal as well as the progress of each agency, program, and other activity contributing to the goal; and clearly defined quarterly targets.", "Consistent with GPRAMA, Standards for Internal Control in the Federal Government identifies information that agencies are required to include in their plans to help ensure they achieve their goals. The standards state that objectives\u2014such as improving the use of data in decision making\u2014 should be clearly defined to enable the identification of risks. Objectives are to be defined in specific terms so they can be understood at all levels of the entity\u2014in this case, government-wide as well as within individual agencies. This involves defining what is to be achieved, who is to achieve it, how it will be achieved, and the time frames for achievement.", "Ensuring that future updates to the new CAP goal\u2019s action plan includes all required elements is particularly important, as our previous work has found that some past CAP goal teams did not meet all planning and reporting requirements. For example, in May 2016 we found that most of the CAP goal teams we reviewed had not established targets for all performance measures they were tracking. This limited the transparency of their efforts and the ability to track progress toward established goals. We recommended that OMB, working with the Performance Information Council (PIC), report on actions that CAP goal teams are taking, or plan to take, to develop such targets and performance measures. OMB staff generally agreed and, in July 2017, told us they were working, where possible, to assist the development of measures for CAP goals. However, the recommendation has not been addressed and OMB staff said the next opportunity to address it would be when the administration established new CAP goals (which took place in March 2018). Following the initial release of the new CAP goals, CAP goal teams are to more fully develop the related action plans through quarterly updates. Given the ongoing importance of meeting these planning and reporting requirements, we will continue to monitor the status of actions to address this recommendation as implementation of the new CAP goals proceeds."], "subsections": []}, {"section_title": "Our Survey Results Identify Additional Opportunities for the PIC to Improve Federal Use of Performance Information", "paragraphs": ["While the PIC, which is chaired by OMB, has contributed to efforts to enhance the use of performance information, our survey results identify additional opportunities to further those efforts. The PIC\u2019s past efforts have included hosting various working groups and learning events for agency officials to provide performance management guidance, and developing resources with relevant practices. For example, the PIC created a working group focused on agency performance reviews, which was used to share recommendations for how agencies can implement reviews, along with a guide with practices for effectively implementing strategic reviews. In January 2018, staff supporting the PIC joined with staff from another GSA office to create a new group called Fed2Fed Solutions. This group consults with agencies and provides tailored support, such as data analysis and performance management training for agency officials, to help them address specific challenges related to organizational transformation, data-driven decision making, and other management improvement efforts.", "Our survey results identify useful information related to potential promising practices and challenges that OMB and the PIC could use to inform efforts to enhance the use of performance information more extensively within agencies (e.g., at lower levels). As was previously described, the PIC has responsibilities to (1) facilitate the exchange among agencies of proven practices, and (2) work to resolve government- wide or cross-cutting performance issues, such as challenges. Our analyses of 2017 survey results identified instances where agencies may have found effective ways to enhance the use of performance information by agency leaders and managers in decision making, as well as instances where agencies (and their managers) face challenges in doing so.", "Specifically, based on analyses of our survey responses, we identified 14 agencies that may have insights into specific practices that led to recent improvements in managers\u2019 use of performance information, or ways that they maintain relatively high levels of use by their managers when compared to the rest of the government. Figure 9 summarizes the agencies identified earlier in the report that had statistically significant increases, or results higher than the government-wide average, on our index or individual survey questions. As the figure shows, several agencies had statistically significant results across all three sets of analyses and therefore may have greater insights to offer: the General Services Administration, National Aeronautics and Space Administration, and the National Science Foundation.", "In addition, our analyses identified nine agencies where results suggest managers face challenges that have hampered their ability to use performance information. Figure 10 summarizes the agencies identified earlier in the report that had statistically significant decreases, or results lower than the government-wide average, on our index or individual survey questions. As the figure shows, the Office of Personnel Management had statistically significant decreases in all three sets of analyses.", "Four agencies\u2014the Departments of the Treasury and Veterans Affairs, the Nuclear Regulatory Commission, and the Social Security Administration\u2014were common to both of the figures above. That is, they had results that indicate they may have insights on some aspects of using performance information and face challenges in other aspects. As was mentioned earlier, to provide proper context, these results should be considered in relation to the range of agency results and the government- wide average (provided in detail in the agency summaries in appendix I).", "Given the prioritization of other activities, such as the recent creation of the Fed2Fed Solutions program, the PIC has not yet undertaken a systematic approach that could improve the use of performance information by managers at lower levels within agencies. Such an approach would involve identifying and sharing practices that have led to improved use, as well as identifying common or cross-cutting challenges that have hampered such use. The results of our analyses could help the PIC do so, and in a more targeted manner. By identifying and sharing proven practices, the PIC could further ensure that agency leaders and managers are aware of effective or proven ways they can use performance information to inform their decisions across the spectrum of activities they manage within their agencies. Those proven practices also may help agency leaders and managers resolve any identified challenges.", "Furthermore, in September 2017, we found that, for the estimated 35 percent of managers who reported familiarity with data-driven reviews, the more they viewed their programs being subject to a review, the more likely they were to report the reviews were driving results and were conducted in line with our leading practices for using performance information. Despite the reported benefits of and results achieved through data-driven reviews, they were not necessarily widespread. As noted above, GPRAMA requires agencies to conduct such reviews for agency priority goals, which represent a small subset of goals, and they are required at the departmental level. These reasons may explain why most managers reported they were not familiar with the reviews.", "As a result, we recommended that OMB should work with the PIC to identify and share among agencies practices for expanding the use of data-driven reviews. OMB staff agreed with our recommendation but have yet to address it. In June 2018, OMB updated its annual guidance to agencies to explicitly encourage them to expand data-driven reviews to include other goals, priorities, and management areas as applicable to improve organizational performance. However, as of June 2018, OMB and the PIC have yet to take any steps to identify and share practices for expanding the use of these reviews in line with our recommendation. Given the additional analyses we conducted for this report\u2014which show that being subject to data-driven reviews is related to greater reported use of performance information and leading practices that promote such use\u2014we continue to believe these further actions would help agencies implement these reviews more extensively. We reiterate the importance of the September 2017 recommendation and will continue to monitor OMB\u2019s progress to address it."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["For more than 20 years, our work has highlighted weaknesses in the use of performance information in federal decision making. While the Executive Branch has taken some actions in recent years, such as establishing a framework for performance management across the federal government, our survey results underscore that more needs to be done to improve the use of performance information more extensively within agencies and government-wide. The President\u2019s Management Agenda and its related CAP goal to leverage data as a strategic asset present an opportunity to do so, as it aims to improve data-driven decision making. As OMB and its fellow goal leaders more fully develop the action plan for achieving this goal, providing additional details for its plans to improve data-driven decision making would help provide assurance that it can be achieved.", "As part of those initiatives, our survey results could provide a useful guide for targeting efforts. Officials at each agency could use these results to identify areas for additional analysis and potential actions that could help improve the use of performance information across the agency and at lower levels. Similarly, OMB and the PIC could use the results to identify broader issues in need of government-wide attention. It will also be important, however, for OMB and the PIC to go beyond this analysis and work with agencies to identify and share proven practices for increasing the use of performance information at lower levels within agencies, as well as challenges that may be hampering agencies\u2019 ability to do so."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to OMB: The Director of OMB should direct the leaders of the Leveraging Data as a Strategic Asset CAP Goal to ensure future updates to the action plan, and the resulting federal data strategy, provide additional details on improving the use of data, including performance information, more extensively within federal agencies. The action plan should identify performance goals; contributing agencies, organizations, programs, and other activities; those responsible for leading implementation within these contributors; planned actions; time frames; and means to assess progress. (Recommendation 1)", "The Director of OMB, in coordination with the PIC, should prioritize efforts to identify and share among agencies proven practices for increasing, and challenges that hamper, the use of performance information in decision making more extensively within agencies. At a minimum, this effort should involve the agencies that our survey suggests may offer such insights. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Director of the Office of Management and Budget for review and comment. We also provided a draft of the report to the heads of each of the 24 federal agencies covered by our survey.", "OMB had no comments, and informed us that it would assess our recommendations and consider how best to respond.", "We are sending copies of this report to congressional requesters, the Director of the Office of Management and Budget, the heads of each of the 24 agencies, and other interested parties. This report will also be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or mcneilt@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Summaries of Agency Survey Results", "paragraphs": [], "subsections": [{"section_title": "U.S. Department of Agriculture", "paragraphs": ["(USDA) (Goverment-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Commerce", "paragraphs": ["(Commerce) (Goverment-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to 5 Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Defense", "paragraphs": ["(Goverment-wide) (DOD)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Education", "paragraphs": ["(Education) (Goverment-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Energy", "paragraphs": ["(Government-wide) (Energy)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Health & Human Services", "paragraphs": ["(HHS) (Goverment-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Partices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Homeland Security", "paragraphs": ["(DHS) (Goverment-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Housing and Urban Development", "paragraphs": ["(Government-wide) (HUD)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of the Interior", "paragraphs": ["(Interior) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Justice", "paragraphs": ["(DOJ) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Labor", "paragraphs": ["(DOL) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of State", "paragraphs": ["(State) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Transportation", "paragraphs": ["(DOT) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of the Treasury", "paragraphs": ["(Treasury) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Department of Veterans Affairs", "paragraphs": ["(Government-wide) (VA)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "U.S. Agency for International Development", "paragraphs": ["(Goverment-wide) (USAID)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}]}, {"section_title": "Environmental Protection Agency", "paragraphs": ["(Government-wide) (EPA)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "General Services Administration", "paragraphs": ["(Government-wide) (GSA)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "National Aeronautics and Space Administration", "paragraphs": ["(Government-wide) (NASA)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "National Science Foundation", "paragraphs": ["(Government-wide) (NSF)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Nuclear Regulatory Commission", "paragraphs": ["(NRC) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Office of Personnel Management", "paragraphs": ["(Government-wide) (OPM)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Partices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Small Business Administration", "paragraphs": ["(SBA) (Government-wide)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}, {"section_title": "Social Security Administration", "paragraphs": ["(Government-wide) (SSA)"], "subsections": [{"section_title": "11 Questions that Comprise the Index", "paragraphs": [], "subsections": []}, {"section_title": "Performance information is used to:", "paragraphs": ["10. The individual I report to 11. Employees that report to me 0 Percent of managers reporting \u201cGreat\u201d or \u201cVery Great\u201d"], "subsections": []}, {"section_title": "10 Questions Related to Leading Practices That Promote the Use of Performance Information", "paragraphs": [], "subsections": []}, {"section_title": "Leading Practices:", "paragraphs": [], "subsections": []}, {"section_title": "Aligning agencywide goals, objectives, and measures", "paragraphs": [], "subsections": []}, {"section_title": "Improving the usefulness of performance information", "paragraphs": [], "subsections": []}, {"section_title": "Communicate performance information frequently and effectively", "paragraphs": [], "subsections": []}]}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report responds to a request that we analyze agency-level results from our 2017 survey of federal managers at the 24 agencies covered by the Chief Financial Officers (CFO) Act of 1990, as amended, to determine the extent agencies are using performance information. This report assesses the extent to which: 1. the reported use of performance information and related leading practices at 24 agencies has changed compared to our prior survey in 2013; 2. being subject to data-driven reviews related to managers\u2019 reported use of performance information and leading practices; and 3. the Executive Branch has taken actions to enhance agencies\u2019 use of performance information in various decision-making activities.", "From November 2016 through March 2017, we administered our online survey to a stratified random sample of 4,395 individuals from a population of 153,779 mid- and upper-level civilian managers and supervisors at the 24 CFO Act agencies. The management levels covered general schedule (GS) or equivalent schedules at levels comparable to GS-13 through GS-15, and career Senior Executive Service (SES) or equivalent. We obtained the sample from the Office of Personnel Management\u2019s Enterprise Human Resources Integration database as of September 30, 2015\u2014the most recent fiscal year data available at the time. The sample was stratified by agency and whether the manager or supervisor was a member of the SES. To help determine the reliability and accuracy of the database elements used to draw our sample of federal managers for the 2017 survey, we checked the data for reasonableness and the presence of any obvious or potential errors in accuracy and completeness and reviewed our past analyses of the reliability of this database. We concluded in our September 2017 report that the data used to draw our sample were sufficiently reliable for the purpose of the survey. For the 2017 survey, we received usable questionnaires from about 67 percent of the eligible sample. The weighted response rate at each agency generally ranged from 57 percent to 82 percent, except the Department of Justice, which had a weighted response rate of 36 percent. The overall survey results are generalizable to the population of managers government-wide and at each individual agency.", "To assess the potential bias from agencies with lower response rates, we conducted a nonresponse bias analysis using information from the survey and sampling frame as available. The analysis confirmed discrepancies in the tendency to respond to the survey related to agency and SES status. The analysis also revealed some differences in response propensity by age and GS level; however, the direction and magnitude of the differences on these factors were not consistent across agencies or strata. Our data may be subject to bias from unmeasured sources for which we cannot control. Results, and in particular estimates from agencies with low response rates such as the Department of Justice, should be interpreted with caution. However, the survey\u2019s results are comparable to five previous surveys we conducted in 1997, 2000, 2003, 2007, and 2013.", "To address the first objective, we used data from our 2017 survey to update agency scores on our use of performance information index. This index, which was last updated using data from our 2013 survey, averages managers\u2019 responses on 11 questions related to the use of performance information for various management activities and decision making. Using 2017 survey data, we conducted statistical analyses to ensure these 11 questions were still positively correlated. That analysis confirmed that no negative correlations existed and therefore no changes to the index were needed. Figure 11 shows the questions that comprise the index.", "After calculating agency index scores for 2017, we compared them to previous results from 2007 and 2013, and to the government-wide average for 2017, to identify any statistically significant differences. We focus on statistically significant results because these indicate that observed relationships between variables and differences between groups are likely to be valid, after accounting for the effects of sampling and other sources of survey error. For each of the 11 questions that comprise the index, we identified individual agency results, excluding missing and no basis to judge responses, and determined when they were statistically significantly different from (1) the agency\u2019s results on the same question in 2013, or (2) the government-wide average results on the question in 2017. In this report, we analyzed and summarized the results of our 2017 survey of federal managers. Due to the limited scope of the engagement, we did not conduct additional audit work to determine what may have caused statistically significant changes between our 2017 and past survey results.", "To further address this objective we completed several statistical analyses that allowed us to assess the association between the index and 22 survey questions that we determined relate to leading practices we previously found promote the use of performance information. See figure 12 for the 22 specific questions related to these five practices that we included in the analysis.", "When we individually tested these 22 survey questions (bivariate regression), we found that each was statistically significantly and positively related to the index in 2017. This means that each question, when tested in isolation from other factors, was associated with higher scores on the index. However, when all 22 questions were tested together (multivariate regression), we found that 5 questions continued to be positively and significantly associated with the index in 2017, after controlling for other factors.", "To conduct this multivariate analysis, we began with a base model that treated differences in managers\u2019 views of agency performance management use as a function of the agency where they worked. We found, however, that a model based on agency alone had little predictive power (R-squared of 0.04). We next examined whether managers\u2019 responses to these questions reflecting practices that promote the use of performance information related to their perceptions of agency use of performance information, independent of agency. The results of this analysis are presented in table 1 below. Each coefficient reflects the increase in our index associated with a one-unit increase in the value of a particular survey question.", "Our final multivariate regression model had an R-squared of 0.67, suggesting that the variables in this model explain approximately 67 percent of the variation in the use index. We also tested this model controlling for whether a respondent was a member of the SES and found similar results.", "As shown above in table 1, five questions related to three of the leading practices that promote agencies\u2019 use of performance information were statistically significant in 2017. These results suggest that, when controlling for other factors, certain specific efforts to increase agency use of performance information\u2014such as providing information on the validity of performance data\u2014may have a higher return and lead to higher index scores.", "With respect to aligning agency-wide goals, objectives, and measures, we found that each increase in terms of the extent to which individuals felt that managers aligned performance measures with agencywide goals and objectives was associated with a 0.08 increase in their score on the use index.", "In terms of improving the usefulness of performance information, we found that having information on the validity of performance data for decision making was the strongest predictor in our model (0.18). As measured here, taking steps to ensure the performance information is useful and appropriate was associated with almost as large a change in a managers\u2019 index score (0.16).", "In terms of developing agency capacity to use performance information, we found that having sufficient analytical tools to collect, analyze, and use performance information (0.07), and providing or paying for training that would help link their programs to achievement of agency strategic goals (0.10), were also statistically significantly related to a manager\u2019s reported use of performance information.", "When we combined these results with what we previously found through a similar analysis of 2013 survey results in September 2014, we identified 10 questions that have had a statistically significant association with higher index scores. This reinforces the importance of the five leading practices to promote the use of performance information. For each of these questions, which are outlined in figure 13 below, we determined when agency results were statistically significantly different from 2013 results or the 2017 government-wide average.", "For the second objective, we examined, based on the extent they responded their programs had been subject to agency data-driven reviews, differences in managers\u2019 use index scores and responses on questions related to practices that promote the use of performance information. We grouped managers based on the extent they reported their programs had been subject to these reviews, from \u201cno extent\u201d through \u201cvery great extent.\u201d We then calculated the average index scores for the managers in each of those five categories.", "We also examined differences in how managers responded to the 10 questions reflecting practices that can promote the use of performance information based on the extent they reported their programs had been subject to data-driven reviews. We grouped managers into three categories based on the extent they reported their programs had been subject to these reviews (no-small extent, moderate extent, great-very great extent). We then compared how these groups responded to the ten questions.", "For the third objective, we reviewed our past work that assessed Executive Branch activities to enhance the use of performance information; various resources (i.e., guidance, guides, and playbooks) developed by the Office of Management and Budget (OMB) and the Performance Improvement Council (PIC) that could support agencies\u2019 use of performance information; and the President\u2019s Management Agenda, and related materials with information on cross-agency efforts to improve the use of data in federal decision making.", "Lastly, for the third objective we also interviewed OMB and PIC staff about any actions they have taken, or planned to take, to further support the use of performance information across the federal government.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: Comparison of 2007, 2013, and 2017 Agency Use of Performance Information Index Scores", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the above contact, Benjamin T. Licht (Assistant Director) and Adam Miles (Analyst-in-Charge) supervised this review and the development of the resulting report. Arpita Chattopadhyay, Caitlin Cusati, Meredith Moles, Dae Park, Amanda Prichard, Steven Putansu, Alan Rozzi, Shane Spencer, and Khristi Wilkins also made key contributions. Robert Robinson developed the graphics for this report. Alexandra Edwards, Jeff DeMarco, Mark Kehoe, Ulyana Panchishin, and Daniel Webb verified the information presented in this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Results of the Periodic Surveys on Organizational Performance and Management Issues Managing for Results: Further Progress Made in Implementing the GPRA Modernization Act, but Additional Actions Needed to Address Pressing Governance Challenges. GAO-17-775. Washington, D.C.: September 29, 2017.", "Supplemental Material for GAO-17-775: 2017 Survey of Federal Managers on Organizational Performance and Management Issues. GAO-17-776SP. Washington, D.C.: September 29, 2017.", "Program Evaluation: Annual Agency-wide Plans Could Enhance Leadership Support for Program Evaluations. GAO-17-743. Washington, D.C.: September 29, 2017.", "Managing for Results: Agencies\u2019 Trends in the Use of Performance Information to Make Decisions. GAO-14-747. Washington, D.C.: September 26, 2014.", "Managing for Results: Executive Branch Should More Fully Implement the GPRA Modernization Act to Address Pressing Governance Challenges. GAO-13-518. Washington, D.C.: June 26, 2013.", "Managing for Results: 2013 Federal Managers Survey on Organizational Performance and Management Issues, an E-supplement to GAO-13-518. GAO-13-519SP. Washington, D.C.: June 26, 2013.", "Program Evaluation: Strategies to Facilitate Agencies\u2019 Use of Evaluation in Program Management and Policy Making. GAO-13-570. Washington, D.C.: June 26, 2013.", "Government Performance: Lessons Learned for the Next Administration on Using Performance Information to Improve Results. GAO-08-1026T. Washington, D.C.: July 24, 2008.", "Government Performance: 2007 Federal Managers Survey on Performance and Management Issues, an E-supplement to GAO-08-1026T. GAO-08-1036SP. Washington, D.C.: July 24, 2008.", "Results-Oriented Government: GPRA Has Established a Solid Foundation for Achieving Greater Results. GAO-04-38. Washington, D.C.: March 10, 2004.", "Managing for Results: Federal Managers\u2019 Views on Key Management Issues Vary Widely Across Agencies. GAO-01-592. Washington, D.C.: May 25, 2001.", "Managing for Results: Federal Managers\u2019 Views Show Need for Ensuring Top Leadership Skills.GAO-01-127. Washington, D.C.: October 20, 2000.", "The Government Performance and Results Act: 1997 Governmentwide Implementation Will Be Uneven. GAO/GGD-97-109. Washington, D.C.: June 2, 1997."], "subsections": []}], "fastfact": ["Information about whether and how well agencies are reaching their goals is essential to making the federal government more effective. This only works, however, when federal managers use that data to make decisions.", "Despite various efforts aimed at increasing managers\u2019 use of data in decision making, our work has found little change over the past 20 years. The Office of Management and Budget has begun taking steps to address this issue, and our work identified additional practices\u2014such as data-driven reviews\u2014that can lead to increased use of data.", "We recommended that OMB do more to further improve managers' use of performance information."]} {"id": "GAO-19-233", "url": "https://www.gao.gov/products/GAO-19-233", "title": "Ground Combat Forces: The Marine Corps Should Take Actions to Track Training Funds and Link Them to Readiness", "published_date": "2019-04-08T00:00:00", "released_date": "2019-04-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Training is key to building readiness\u2014the military's ability to fight and meet the demands of its missions. Through the Department of Defense (DOD) budget cycle, the Marine Corps estimates or programs its funding needs for training and spends funds to accomplish its training mission. Questions have been raised about whether the Marine Corps' training budget estimates are sufficiently detailed to determine training costs at the unit level or the expected readiness generated by those costs.", "House Report 115-200 included a provision for GAO to examine the military services' budgeting processes to build unit-level training readiness. This report examines the extent to which the Marine Corps (1) tracks unit-level training funds for ground combat forces through the budget cycle, and (2) links ground combat forces' unit-level training funds to readiness. GAO analyzed budget data and studies conducted by the Marine Corps and others, examined tools used by units to link training funds with readiness, and interviewed knowledgeable officials at various levels in the Marine Corps."]}, {"section_title": "What GAO Found", "paragraphs": ["The Marine Corps cannot fully track all unit-level training funds for ground combat forces through the budget cycle. According to GAO's analysis of data provided by the Marine Expeditionary Forces (MEFs), the principal warfighting organization for the Marine Corps, units can track some, but not all, funds for training exercises from the budget request through use of the funds. The Marine Corps cannot fully track all training funds through the budget cycle, in part, because it has not established the consistent use of fiscal codes. Two key fiscal codes that officials identified as relevant to track funds for unit-level training are the Marine Corps Programming Code (MCPC) and the Special Interest Code (SIC). The Marine Corps uses MCPCs to program funds, but GAO found that when the Marine Corps spends those funds, it uses a different set of fiscal codes. This makes it difficult to link the programmed intent of funds to the execution of those funds. The Marine Corps uses SICs to track funds associated with training exercises, but GAO found that units do not use SICs consistently. For example, officials at all three MEFs told GAO that units generate SICs for large-scale training exercises, but may not do so for small-scale exercises. The Marine Corps is taking steps to align fiscal codes across the budget cycle, but this effort is in its early stages and will not include MCPCs, and may not address the inconsistent use of SICs. Without the ability to track unit-level training funds through the budget cycle, the Marine Corps lacks readily available data to assess whether funds were obligated consistent with their programmed intent and to adequately forecast and defend budget requests for training.", "Although internal Marine Corps assessments and guidance state that the Marine Corps needs an enterprise-wide process to link resources to readiness, the Marine Corps has made little progress establishing a link between training funds for ground combat forces and readiness. The Marine Corps identified challenges with linking funds to readiness in a series of reports from fiscal years 2009 through 2014, citing factors such as stove-piped efforts and limited data availability and quality. Guidance directed that the Deputy Commandant for Programs and Resources organize quality coordination events with key stakeholders to synchronize activities within major lines of effort, but officials from this office stated that they have not been given the authority to direct the various efforts. Therefore, challenges have persisted, in part, because the Marine Corps has not designated a single entity with authority to oversee and coordinate efforts to link training funds to readiness. In the absence of a single oversight entity, two separate and overlapping tools were developed\u2014the Cost to Run a MEF (C2RAM) tool and the Predictive Readiness Model (PRM). Although each tool had its own particular use and design, both were intended to link resources to readiness. Moreover, both faced similar challenges, such as data quality limitations, and relied on some of the same data sources. The Marine Corps recently assessed and discontinued development of PRM, however, it has not assessed C2RAM and how it could support an enterprise wide performance management process linking resources to readiness. Without dedicating a single entity with authority, and conducting an assessment of C2RAM, the Marine Corps is unlikely to make headway in addressing the challenges posed by trying to link resources to readiness."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Marine Corps (1) tracks training funds through the budget cycle, (2) designates a single entity to oversee establishment of a process that links resources to readiness, and (3) conducts an assessment of C2RAM. DOD concurred, and based on its comments, GAO modified one recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Training is key to building mission readiness\u2014the military\u2019s ability to fight and meet the demands of assigned missions. To build readiness, the Marine Corps uses funds from its Operation and Maintenance (O&M) account to pay for training and education requirements for active Marine Corps forces, among other items. To develop its budget requests and allocate resources to provide capabilities necessary to accomplish its missions, the Marine Corps follows the Planning, Programming, Budgeting, and Execution process, which we refer to as the budget cycle, for purposes of this report. In fiscal year 2017, the Marine Corps obligated approximately $1.4 billion for its operational forces to be able to rapidly deploy ready forces in support of combatant commanders. In testimony before Congress in 2017, the Commandant of the Marine Corps stated that the instability of and the level of funding available adversely impacted readiness. However, the House Armed Services Committee reported that the Marine Corps\u2019 budget estimates for training are not sufficiently detailed to determine training costs at the unit level or the amount of readiness expected to be generated by those costs.", "A House report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 contained a provision for us to examine the military services\u2019 budgeting processes to build unit-level training readiness and their processes for evaluating the amount of readiness generated from unit-level training costs. In this report, we focus on the Marine Corps. Specifically, we examined the extent to which the Marine Corps (1) tracks unit-level O&M training funds for ground combat forces through the budget cycle; and (2) links unit-level training funds for ground combat forces to readiness.", "For objective one, we analyzed fiscal year 2017 budget data collected from the Marine Expeditionary Forces (MEFs). We collected data for this fiscal year because it was the most recently completed fiscal year for which actual obligated amounts could be obtained. We discussed the systems used to provide these data with knowledgeable Marine Corps officials. We determined that the data were sufficiently reliable to assess the availability of fiscal year 2017 funding for unit-level training exercises; however, we identified issues with tracking unit-level O&M training fund data, as discussed later in this report. Further, we reviewed a series of reports issued by the Marine Corps from fiscal years 2009 through 2014, which evaluated the health of the Marine Corps, including its use of fiscal codes, through an enterprise-wide study of resource investments, organizational activities, and readiness outcomes. In addition, we reviewed documents and interviewed knowledgeable officials at Marine Corps headquarters, major command, and various unit levels, including MEF, division, and regiment, about the Marine Corps\u2019 annual O&M budget process for ground combat forces. This report focuses on ground combat forces, which conduct a myriad of training exercises at the MEFs.", "For objective two, we reviewed reports and other documentation about Marine Corps efforts to evaluate readiness levels achieved from O&M obligations for training for ground combat forces. We also were briefed on and observed the operation of systems used to track training funds and readiness at Marine Forces Command, I MEF, II MEF, and III MEF. This observation enhanced our understanding of the efforts taken by the Marine Corps to link training funds to readiness. Further, we reviewed documents and interviewed knowledgeable officials at Marine Corps headquarters, major command, and unit levels about the Marine Corps\u2019 efforts to evaluate the readiness levels achieved from O&M training funds for ground combat forces. We assessed this information against Marine Corps Order 5230.23, Performance Management Planning, which calls for the development and implementation of an enterprise-wide performance management process that links resources to institutional readiness via a robust analytic framework, as well as Standards for Internal Control in the Federal Government, which states that management should establish an organizational structure, assign responsibility, and delegate authority to achieve its objective. Further details on our scope and methodology can be found in appendix I.", "We conducted this performance audit from August 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Marine Corps Organizational Structure", "paragraphs": ["The Marine Corps, within the Department of the Navy, organizes itself into different Marine Air Ground Task Forces. Each Marine Air Ground Task Force consists of a command element that includes a ground combat element, air combat element, and logistics combat element that can conduct operations across a broad range of crisis and conflict situations. As shown in figure 1, there are four types of Marine Air Ground Task Forces: Marine Expeditionary Forces (MEFs), Marine Expeditionary Brigades, Marine Expeditionary Units, and Special Purpose Marine Air Ground Task Forces. The MEF is the principal warfighting organization for the Marine Corps and consists of one or more divisions, including subordinate units such as regiments and battalions. There are three MEFs in the active component of the Marine Corps: I MEF\u2014Camp Pendleton, California; II MEF\u2014Camp Lejeune, North Carolina; and III MEF\u2014Okinawa, Japan.", "Headquarters Marine Corps consists of the Commandant of the Marine Corps (Commandant) and the staff organizations, which are responsible for advising and assisting the Commandant to carry out duties. For example, the Deputy Commandant for Programs and Resources is responsible for developing, defending, and overseeing the Marine Corps\u2019 financial requirements and the Deputy Commandant for Plans, Policies, and Operations is responsible for establishing policy, procedures, training, and guidance on unit readiness reporting."], "subsections": []}, {"section_title": "Marine Corps Unit-Level Training", "paragraphs": ["Marine Corps units train to their core missions\u2014the fundamental missions a unit is organized or designed to perform\u2014and their assigned missions\u2014those missions which an organization or unit is tasked to carry out. Units train to a list of Mission Essential Tasks that are assigned based on the unit\u2019s required operational capabilities and projected operational environments. For example, the Mission Essential Tasks for a Marine Corps infantry battalion include amphibious operations, offensive operations, defensive operations, and stability operations. Marine Corps Training and Readiness manuals describe the training events, frequency of training required to sustain skills, and the conditions and standards that a unit must accomplish to be certified in a Mission Essential Task."], "subsections": []}, {"section_title": "Marine Corps Readiness", "paragraphs": ["Unit commanders are responsible for their units\u2019 readiness, including assessing and reporting their units\u2019 capabilities to accomplish Mission Essential Tasks to specified conditions and standards. Unit readiness assessments are tracked in the Defense Readiness Reporting System\u2013 Marine Corps. This information provides Marine Forces Command, Headquarters Marine Corps, the Office of the Secretary of Defense, Joint Staff, and Combatant Commands, among others, a means to assess ground combat forces\u2019 readiness trends and to assist with strategic and operational planning."], "subsections": []}, {"section_title": "Marine Corps O&M Budget", "paragraphs": ["The Marine Corps\u2019 O&M budget funds a wide range of activities, including the recruiting, organizing, training, sustaining, and equipping of the service. The Department of Defense (DOD) uses the Planning, Programming, Budgeting, and Execution (PPBE) process to allocate resources to provide capabilities necessary to accomplish the department\u2019s missions. In this report, we refer to the PPBE process as the budget cycle. The budget cycle includes the following phases:", "The planning phase of the budget cycle examines the military role and defense posture of the United States and DOD in the world environment and considers enduring national security objectives, as well as the need for efficient management of defense resources.", "The programming phase of the budget cycle involves developing proposed programs consistent with planning, programming, and fiscal guidance, reflecting, among other things, the effective allocation of resources.", "The budgeting phase of the budget cycle refers to developing and submitting detailed budget estimates for programs.", "The execution phase of the budget cycle involves spending funds.", "The Marine Corps\u2019 Office of Programs and Resources has multiple divisions that support Program Objective Memorandum (POM) development, strategy, independent analysis, budget justification and legislative coordination, among others. Two key divisions that have responsibilities regarding Marine Corps resources are:", "The Budget and Execution Division is responsible for leading development and submission of the POM, providing quality control over programmatic and financial data, and allocating funds to major commands. According to a Marine Corps official, the division also assists with defending the Marine Corps\u2019 budget request to Congress and others.", "The Program Analysis and Evaluation Division is responsible for providing Marine Corps senior leaders with independent and objective analysis to inform resource allocation decisions and assessing institutional risk.", "The Program Budget Information System (PBIS) is the primary information system used by the Navy and Marine Corps in the programming and budgeting phases of the budget cycle to develop and submit financial plans (i.e., the POM and the budget) to the Office of the Secretary of Defense. Once appropriated, funds are passed via allocation and allotment to subordinate units and executed via the Standard Accounting, Budgeting, and Reporting System (SABRS). SABRS is used to (1) record and report financial information; (2) provide an accounting and reporting system for the execution of appropriations; and (3) record financial transactions that originate from source systems."], "subsections": []}]}, {"section_title": "The Marine Corps Cannot Fully Track All Unit-Level Training Funds for Ground Combat Forces through the Budget Cycle", "paragraphs": ["Our analysis of data from the three MEFs for fiscal year 2017 funds shows that the MEFs had some data available that could be used to track some training funds from budget request to obligation. According to the Marine Corps\u2019 Financial Guidebook for Commanders, as part of the budget cycle, commanders should determine the cost involved in meeting requirements, among other things. To help develop a sound budget, commanders need to know what they were and were not able to accomplish as a result of funding in previous years. However, Marine Corps officials told us they faced limitations tracking training funds, as discussed below. Specifically, as shown in table 1, we found that I MEF and II MEF were able to provide data on their fiscal year 2017 budget request, allotment, and obligations for training exercises directed at the MEF and division level, but data on exercises at smaller unit levels, such as regiments and battalions, were not consistently available because officials at those levels do not always track funds for these exercises. We found that III MEF was able to provide obligations data for fiscal year 2017 training exercises at all unit levels, but was not able to provide data on funds requested and allotted by training exercise. Officials at III MEF stated that these data were not available because III MEF incurs several large one-time expenses that contribute to training, but allocating those costs across specific training exercises is difficult.", "One of the primary reasons that the Marine Corps cannot fully track all training funds through the budget cycle is that the Office of Programs and Resources has not established the consistent use of fiscal codes to provide greater detail about the use of funds across the budget cycle phases, and the accuracy of these fiscal codes is sometimes questionable. The Marine Corps uses a variety of fiscal codes to track funds in the programming and execution phases of the budget cycle in the PBIS and SABRS systems, respectively. Some of these codes are used across DOD, while others are specific to the Marine Corps. Two key fiscal codes that officials identified as relevant to efforts to track funds for unit-level training are the Marine Corps Programming Code (MCPC) and the Special Interest Code (SIC). However, we identified limitations with how these fiscal codes are applied, as detailed below.", "MCPCs are used to program funds for intended use, but are not clearly linked to executed funds. When the Marine Corps programs funds for intended use, it uses MCPCs to identify the funds; however, when it executes those funds, it uses a different set of fiscal codes to identify them. As a result, the Marine Corps cannot link the programmed intent of the funds to the execution of the funds, making it difficult to track funds through the budget cycle. In fiscal years 2011, 2012, and 2013, the Marine Corps found in a series of reports that it faced challenges tracking funds through the budget cycle, in part because MCPCs were used to program funds, but not to track them in the execution phase. According to the fiscal year 2012 report, such tracking would enable the Marine Corps to improve financial traceability and add consistently reliable program execution data that would promote an understanding of the current fiscal environment to Marine Corps financial managers, comptrollers and others.", "In 2014, the Marine Corps implemented a process to include MCPCs in the execution phase of the budget cycle. The process enabled SABRS to automatically generate MCPCs for executed funds, based on the fiscal codes already used in the execution phase of the budget cycle. According to officials in the Office of Programs and Resources, this process increased the amount of executed funding that could be linked to an MCPC. However, Marine Corps officials told us that the mapping of MCPCs used in the programming phase to those used in the execution phase were not cleanly aligned, causing uncertainty about their linkage. The MCPCs associated with executed funds are estimates based on subject matter expert and working group mapping of fiscal codes to an MCPC and require continuous manual validation to ensure their accuracy. Additionally, the data quality of the multiple execution fiscal codes that are used to generate MCPCs is questionable because the data quality of the various underlying systems that feed data into SABRS is poor, according to officials in the Office of Programs and Resources. Senior Marine Corps officials from the Office of Programs and Resources told us that due to these limitations, analysts cannot be certain that executed funds associated with an MCPC as reflected in SABRS correspond to the purpose for which the funds associated with the same MCPC were programmed in the Program Budget Information System. This limits the Marine Corps\u2019 ability to assess the extent to which funds were executed consistent with their programmed intent and track funds through the budget cycle.", "SICs are not used consistently across units. The Marine Corps uses SICs to track funds associated with individual training exercises. However, units, including the MEF and its subordinate units, do not consistently use SICs in identifying funds associated with all training exercises. Specifically, officials at all three MEFs told us that units generate SICs for large-scale training exercises directed at the MEF or division level, but may not generate SICs to track expenses for small-scale exercises at lower unit levels such as the regiment and battalion, making it difficult to track those funds. Officials at I MEF and II MEF stated that tracking costs associated with small-scale exercises is less consistent because units are not required to use SICs to track funds associated with exercises at those levels, and SICs associated with each exercise may change from year to year. Further, officials at I MEF and II MEF stated that supply officers are responsible for financial management at units below the division level, and they may not prioritize use of SICs. Officials at III MEF stated that tracking costs associated with specific exercises was difficult because officials could not attribute several large one-time training expenses to specific training exercises. Officials at all three MEFs stated that there is currently no systematic way to ensure that SICs are used accurately to associate funds executed with training exercises, which means they do not have complete or consistent data on costs associated with individual training exercises. As a result, commanders may lack accurate data for making resource decisions about training exercises needed to complete Mission Essential Tasks and improve units\u2019 training readiness.", "In 2014, the Marine Corps issued Marine Corps Order 5230.23, Performance Management Planning, with the mission of linking resources to readiness and requiring the Deputy Commandant for the Office of Programs and Resources to ensure visibility and traceability of funds through the budget cycle and accounting systems for all organizational units and programs.", "Officials in the Office of Programs and Resources cited one effort to align inconsistent fiscal codes, but this effort will not directly address the challenges we have identified. According to officials in the Office of Programs and Resources, the Marine Corps is currently conducting a fiscal code alignment effort to address inconsistent use of fiscal codes, but this effort is in its early stages, and the Marine Corps has not yet developed clear guidance for implementation of the effort. Further, while the Marine Corps uses a variety of fiscal codes to track funds in the programming and execution phases of the budget cycle, an official from the Budget and Execution division told us that this effort will focus on fiscal codes that are used across DOD due to manpower limitations. However, MCPCs are unique to the Marine Corps and not recognized in larger DOD budgeting systems. As a result, the fiscal code alignment effort will not include aligning MCPCs across the programming and execution phases of the budget cycle, even though the Marine Corps will continue to use MCPCs. Additionally, although an official told us that SIC codes will be a part of this effort, implementation guidance for the effort was still under development and as a result, it is unclear whether the effort will address the inconsistent use of SICs across unit-level training exercises. Without the ability to track unit-level training funds through the budget cycle, including aligning MCPCs and ensuring consistent use of SIC codes, the Marine Corps lacks data to assess the extent to which funds were obligated consistent with their programmed intent and to adequately forecast and defend budget requests for training. As a result, commanders may face challenges making informed resource decisions."], "subsections": []}, {"section_title": "The Marine Corps Has Made Limited Progress Establishing a Link between Training Funds for Ground Combat Forces and Readiness", "paragraphs": [], "subsections": [{"section_title": "The Marine Corps Identified a Need to Link Training Funds to Readiness, but Did Not Designate Responsibility to Meet That Need", "paragraphs": ["Although internal Marine Corps assessments and guidance state that the Marine Corps needs an enterprise-wide process to link resources to readiness, the Marine Corps has made little progress fulfilling this need. The Marine Corps has been aware for years of the challenges it faces in explaining its resource needs in its budget estimates to Congress. As stated in its 2009 Financial Guidebook for Commanders, \u201cMany of the congressional cuts the Marine Corps receives are because of an inability to explain why we spent the money the way we did.\u201d From fiscal years 2009 through 2014, the Marine Corps Office of Programs and Resources issued a series of classified and unclassified reports\u2014referred to as the Marine Corps Strategic Health Assessments\u2014that evaluated the health of the Marine Corps. The reports cited a number of factors inhibiting the Marine Corps\u2019 ability to link funding to readiness, including stove-piped efforts, lack of an analytical framework, limited data availability, and poor data quality. For example, the fiscal year 2013 and 2014 reports found that the lack of a comprehensive model to connect the output of institutional processes to readiness measures hindered the Marine Corps\u2019 ability to link funding to readiness. Table 2 below summarizes some of the key related findings in the reports.", "In fiscal year 2014, the Marine Corps stopped issuing the Marine Corps Strategic Health Assessments, in part, because the person responsible for preparing the analyses moved to another position. A senior Marine Corps official also told us that the reports were discontinued because producing them was no longer a priority for Marine Corps leadership. However, the Marine Corps also issued guidance in August 2014 calling for an enterprise-wide effort to link institutional resources to readiness. Specifically, Marine Corps Order 5230.23 called for the development and implementation of an enterprise-wide performance management process that links resources to institutional readiness via a robust analytic framework. The order included requirements to, among other things, identify readiness goals, develop strategic performance indicators, and improve data and business processes to include ensuring the visibility and traceability of funds.", "While implementing this order could address a number of the findings in the Marine Corps Strategic Health Assessments, Marine Corps officials told us that the service had not prioritized implementation of this order. Specifically, the Marine Corps did not designate a single oversight entity with the authority to enforce the order and directly oversee and coordinate efforts to link training funds to readiness. For example, although the order directed the Deputy Commandant for Programs and Resources to organize a quarterly coordination event of key stakeholders to synchronize activities within each major line of effort, officials from this office told us that they have not been given the authority to direct the various efforts. As a result, problems identified in the Marine Corps Strategic Health Assessments have persisted, and the Marine Corps does not have a comprehensive model to connect the output of institutional processes to readiness measures, as called for in the fiscal year 2013 Marine Corps Strategic Health Assessment.", "According to Standards for Internal Control in the Federal Government, management should establish an organizational structure, assign responsibility, and delegate authority to achieve its objective. Marine Corps officials told us the benefits of having a single entity to oversee efforts to tie funds to readiness include having one authority responsible for ensuring a consistent data architecture\u2014how data will be collected, stored and transferred across the Marine Corps\u2014and data quality. Further, having a single entity would help ensure a unified approach that would help analysts better answer questions about how funds affect readiness."], "subsections": []}, {"section_title": "Marine Corps Has Not Assessed Its Current Initiative to Link Dollars to Readiness", "paragraphs": ["In the absence of a single entity responsible for overseeing the Marine Corps\u2019 efforts to link training funds to readiness, two different organizations within the Marine Corps developed separate and overlapping initiatives. First, in 2012, the Commanding General of II MEF directed the development of C2RAM, a tool that attempts to link funding to readiness for ground combat forces by capturing and correlating resources and requirements associated with specific unit-level training exercises. C2RAM was developed in response to our recommendation that the Marine Corps develop results-oriented performance metrics that can be used to evaluate the effectiveness of its training management initiatives. The tool, a complex excel-based spreadsheet, is used to capture day-to-day operating costs for training exercises to meet a unit\u2019s core and assigned Mission Essential Tasks for training readiness requirements. For example, unit operations and resource officials enter data on training exercise costs and the Mission Essential Tasks expected to be accomplished by each exercise, and the tool uses this data to project the unit\u2019s expected training readiness levels. Further, commanders can use the tool to project the expected effect of decreases in funding on training readiness levels. According to Marine Corps officials, they spent approximately $11 million on the C2RAM initiative from fiscal years 2012 through 2017.", "Second, in 2015, the Headquarters Marine Corps Office of Programs and Resources adopted and made adjustments for Marine Corps purposes to the Air Force\u2019s Predictive Readiness Assessment system and test-piloted it with Marine Corps units. The Marine Corps\u2019 system was known as the Predictive Readiness Model (PRM). PRM was designed to evaluate the complex interactions between resources and readiness to help inform decisions about resource allocations and readiness outcomes. According to Headquarters Marine Corps officials, PRM attempted to map approximately 500 causal factors related to readiness ratings. The effort involved input from more than 70 subject matter experts from multiple Marine Corps organizations. In addition, data input into PRM was obtained from various authoritative sources, including readiness, financial, and training systems of record, as well as other unauthoritative sources, including C2RAM. According to Marine Corps officials, as of June 2018, the Corps had spent approximately $4 million to develop PRM. In March 2019, while responding to a draft of this report, the Marine Corps stated that it decided to discontinue development of PRM because the model did not meet its objectives.", "While these initiatives were both designed to help the Marine Corps link dollars to readiness, each had its own particular use and design. For example, unlike C2RAM, which focuses only on the training pillar of readiness for ground combat forces, PRM focused on all pillars of readiness tracked by the Marine Corps for ground combat forces and air combat forces. In addition, while PRM attempted to capture all training data, C2RAM does not. For example, it does not capture data on individual training. Moreover, while C2RAM is primarily used at the MEF level and below to help inform commanders\u2019 decisions about how much training funding to request and identify the effect of funding on readiness, PRM was designed to help officials in Marine Corps Headquarters make service-wide decisions about budget development and resource allocation.", "During our review, we found data quality and classification challenges faced by both PRM and C2RAM, as discussed below.", "Data quality limitations. Some Headquarters Marine Corps officials questioned the accuracy and reliability of some of the data planned for use in PRM because the data had to be aggregated from multiple sources that have varying degrees of internal control. In addition, officials told us that existing data were insufficient or are not currently collected, so, in some cases, PRM had to rely on the opinion of subject matter experts to determine how causal factors affect readiness. According to Marine Corps officials at various levels, C2RAM data quality is questionable because data is manually input by various sources with varying degrees of expertise. This is exacerbated by weak processes for conducting quality checks of the data. Moreover, officials stated that cost data may be inaccurate because units may neglect to update cost estimates with actual costs after a training event is completed. Further, C2RAM is not consistently used across all three MEFs. For example, when we visited II MEF, we learned that their resource management officials do not use C2RAM to build their budgets because of concerns about data quality.", "Classification of Data. Another challenge that both efforts faced is the classification of aggregated data. Readiness data are classified; budget data are generally not. When these data are combined, the resulting data are classified, potentially making the tool less useful and available to officials seeking to make informed decisions about resource allocation. For example, C2RAM is currently an unclassified system that captures fiscal and training data, but not readiness data. However, officials at I Marine Expeditionary Force told us that if readiness data were incorporated into the tool, it could become classified, which would limit its availability and usefulness to lower unit levels.", "As the Marine Corps found in its Fiscal Year 2012 Strategic Health Assessment, its stove-piped processes often require integration at the senior leadership level to develop a comprehensive view of issues, including the effect of dollars on readiness. Development of C2RAM and PRM, however, was not integrated, resulting in two separate systems\u2014 each devoted to tackling the same problem, but in different ways and with similar weaknesses, such as data quality limitations. Moreover, there was some overlap between the two systems. For example, C2RAM was one of the many data sources for PRM. In addition, both PRM and C2RAM used some of the same data sources. For instance, both systems relied on information captured in the Marine Corps Training Information Management System as well as on data captured in SABRS.", "The Marine Corps assessed the feasibility of moving forward with the PRM tool and, in March 2019, while responding to a draft of this report, the Marine Corps stated that they decided to discontinue its development. However, the Marine Corps has not assessed C2RAM as part of an enterprise wide performance management process that links resources to readiness. For example, the Marine Corps could learn from the experience of commanders at the MEF level who find C2RAM useful and consider the extent to which those usability considerations could and should be brought into a service-wide model. Without conducting this analysis, the Marine Corps is unlikely to make headway in tackling the challenges posed by trying to link resources to readiness."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To meet the demands of its missions, the future security environment will require military forces to train across the full range of military operations, according to DOD. While the Marine Corps continues to ask for increased funding, according to a congressional report, the Marine Corps is unable to provide sufficient detail in its O&M budget estimates for training that would allow Congress to determine the benefits gained from additional funding. The Marine Corps has been aware for many years of the importance of providing accurate budget justifications to Congress. A number of factors have made it challenging for the Marine Corps to provide Congress the information it needs. First, the Marine Corps cannot fully track training funds through the budget cycle, making it difficult for the Marine Corps to, among other things, show that training funds were spent as planned. Second, the Marine Corps has not prioritized tackling the longstanding problem of how to link training resources to readiness. Although the Marine Corps has a standing order to develop an enterprise- wide performance management framework that links resources to readiness via a robust analytical framework, no single entity has been assigned the authority to enforce this order. In the absence of that leadership, certain components of the Marine Corps have developed their own, independent initiatives that were designed to achieve the same objective of linking funding to readiness, but had their own specific approaches and intended uses. Moreover, the Marine Corps has not assessed whether C2RAM provides an enterprise-wide performance management process linking resources to readiness. Until the Marine Corps assigns the authority needed to oversee development and implementation of a methodologically sound approach and assesses the degree to which C2RAM could be used, it will continue to face challenges making fully informed decisions about how much money it needs for training purposes and what it can reasonably expect to deliver for that money in terms of readiness gains."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations: The Secretary of the Navy should ensure that the Deputy Commandant for the Office of Programs and Resources oversee development and implementation of an approach to enable tracking of unit-level training funds through the budget cycle. This approach should include aligning MCPCs across the Marine Corps and ensuring consistent use of SIC codes. (Recommendation 1)", "The Secretary of the Navy should ensure that the Commandant of the Marine Corps designates a single entity responsible for directing, overseeing, and coordinating efforts to achieve the objective of establishing an enterprise-wide performance management process that links resources to readiness. (Recommendation 2)", "The Secretary of the Navy should ensure that the Commandant of the Marine Corps assesses C2RAM to determine the extent to which this system, or elements of this system, should be adapted for use in an enterprise-wide performance management process linking resources to readiness. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, DOD concurred with all three of the recommendations in the draft report and stated that the Marine Corps would take actions to track unit-level training funds, link resources to readiness, and examine C2RAM, as discussed below. DOD\u2019s comments are reprinted in appendix II. DOD also provided technical comments, which we incorporated as appropriate.", "DOD concurred with the third recommendation in the draft report that the Secretary of the Navy should ensure that the Commandant of the Marine Corps assesses C2RAM and PRM and determine the extent to which these systems or elements of these systems could and should be adapted for use in the enterprise-wide performance management process linking resources to readiness. In its comments, the Marine Corps stated that work to develop PRM had been discontinued because the model did not satisfy the Marine Corps objectives. Given that the Marine Corps\u2019 decision to stop development of PRM mitigates the potential for overlapping initiatives moving forward, we revised the report and recommendation to focus on the Marine Corps assessing C2RAM for use in the enterprise-wide performance management process linking resources to readiness. The Marine Corps stated in its written response that C2RAM has potential utility for supporting an understanding of resources to readiness and it will examine the system further.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Defense, the Secretary of the Navy, and the Commandant of the Marine Corps. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or FieldE1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report evaluates the extent to which the Marine Corps (1) tracks unit- level Operations and Maintenance (O&M) training funds for ground combat forces through the budget cycle; and (2) links unit-level training funds for ground combat forces to readiness. This report focuses on ground combat forces which conduct a myriad of training at the Marine Expeditionary Forces (MEF).", "For our first objective, we requested and analyzed budget request, allocation, and obligations training exercise data for fiscal year 2017 from I Marine Expeditionary Force (MEF), II MEF, and III MEF. We collected data for this fiscal year because it was the most recently completed fiscal year for which actual obligated amounts could be obtained. We used this data request to determine the Marine Corps\u2019 ability to provide the data as well as determine the source or sources they used to provide the data. We discussed the systems\u2014Cost to Run a Marine Expeditionary Force (C2RAM) and Standard Accounting, Reporting, and Budgeting System (SABRS)\u2014used to provide this data with knowledgeable Marine Corps officials, including discussion of the data reliability concerns with these systems which are identified in this report. We interviewed knowledgeable officials about the systems, reviewed the user guide for one of the systems, and observed how data was input and extracted to form reports. Although we found the data to be insufficient to consistently identify and fully track unit-level O&M training funding data though the budget cycle, we determined that the data we obtained were sufficiently reliable to provide information about the availability of fiscal year 2017 funding amounts requested, allotted, and obligated for unit-level training exercises, as discussed in this report.", "We also reviewed and analyzed data from a series of classified and unclassified reports that were issued by the Marine Corps from fiscal year 2009 through fiscal year 2014. These reports, known as the Marine Corps Strategic Health Assessment (MCSHA), evaluated the health of the Marine Corps, including its use of fiscal codes, through an enterprise- wide study of resource investments, organizational activities, and readiness outcomes. We also reviewed data about Marine Corps Programming Codes (MCPC) and Special Interest Codes (SIC) in Marine Corps documents such as the MCSHAs as well as the Standard Accounting, Budgeting, and Reporting System (SABRS) Customer Handbook. We assessed this information against Marine Corps Order 5230.23, Performance Management Planning, which requires the Deputy Commandant for Programs and Resources to ensure visibility and traceability of funds through the budget cycle and accounting systems for all organizational units and programs, as well as Standards for Internal Control in the Federal Government, which states that management should design an entity\u2019s information system to ensure, among other things, that data is readily available to users when needed.", "For our second objective, we reviewed reports and supporting documentation on Marine Corps efforts to evaluate readiness levels achieved from O&M obligations for ground combat forces training and observed the operation of systems used to track training funds and readiness. Specifically, we reviewed and analyzed the MCSHAs to identify challenges that the Marine Corps reported facing in attempting to link training funds to readiness. As a part of our review of supporting documentation, we reviewed and analyzed the MCSHAs from fiscal years 2011 through 2014 issued by the Marine Corps Office of Program Analysis and Evaluation to summarize some of the key findings identified by the Marine Corps related to linking training funds to readiness. We reviewed these reports because they intended to provide a comprehensive overview of the health of the Marine Corps. From these reports, we identified and summarized key findings related to our review. Specifically, one GAO analyst reviewed the four reports to identify reported findings that prevent the Marine Corps from linking resources to readiness, such as stove-piped processes and inconsistent data management processes, while a second analyst confirmed the summary from this review. We shared our summary of key findings with Marine Corps officials and they concurred.", "In addition, we reviewed guidance and other related documents on the Predictive Readiness Model (PRM) and Cost to Run a Marine Expeditionary Force (C2RAM). We were briefed on and observed data being input into the C2RAM model and queries being run from that data. We were able observe the summary reports that resulted from the queries which helped to enhance our understanding of the Marine Corps efforts to link training funds to readiness. In addition, we reviewed previously issued GAO reports related to the issue. We assessed this information against Marine Corps Order 5230.23, Performance Management Planning, which calls for the development and implementation of an enterprise-wide performance management process that links resources to institutional readiness via a robust analytic framework, as well as Standards for Internal Control in the Federal Government, which states that management should establish an organizational structure, assign responsibility, and delegate authority to achieve its objective.", "To answer the two objectives for this review, we interviewed knowledgeable officials from the following offices:", "Office of the Secretary of Defense", "Cost Assessment and Program Evaluation", "Personnel and Readiness, Force Readiness", "Headquarters Marine Corps, Washington, D.C.", "Office of Programs and Resources", "Budget and Execution Division", "Program Analysis and Evaluation Division", "Command, Control, Communications, and Computers", "Marine Forces Command \u2013 Norfolk, Virginia", "Marine Corps Training and Education Command \u2013 Quantico, Virginia I Marine Expeditionary Force \u2013 Camp Pendleton, California II Marine Expeditionary Force \u2013 Camp Lejeune, North Carolina III Marine Expeditionary Force \u2013 Okinawa, Japan.", "We conducted this performance audit from August 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Margaret Best, Assistant Director; William J. Cordrey; Pamela Davidson; Angela Kaylor; Amie Lesser; Tamiya Lunsford; Samuel Moore, III; Shahrzad Nikoo; Clarice Ransom; Cary Russell; Matthew Ullengren; and Sonja Ware made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Marine Corps continues to request more money to train its forces on day-to-day operations and to prepare them for rapid deployment. However, a congressional report said that the Corps' budget estimates haven't included sufficient detail for Congress to determine what benefits more funding would bring.", "We found that the Marine Corps can't fully track training funds or link them to mission readiness\u2014its ability to fight and meet its assigned missions.", "We recommended that the Marine Corps better align its efforts to track funds through the budget cycle and designate an entity to oversee a process that links dollars to readiness.", "Marine Corps Ground Combat Forces Training"]} {"id": "GAO-19-84", "url": "https://www.gao.gov/products/GAO-19-84", "title": "Nuclear Weapons: NNSA Has Taken Steps to Prepare to Restart a Program to Replace the W78 Warhead Capability", "published_date": "2018-11-30T00:00:00", "released_date": "2018-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Defense and NNSA have sought for nearly a decade to replace the capabilities of the aging W78 nuclear warhead used by the U.S. Air Force. NNSA undertakes LEPs to refurbish or replace the capabilities of nuclear weapons components. In fiscal year 2014, NNSA was directed to suspend a program that was evaluating a capability that could replace the W78 and also be used by the U.S. Navy. NNSA's most recent estimate\u2014reported in October 2018\u2014was that the combined program would cost about $10 billion to $15 billion. NNSA has been directed by the 2018 Nuclear Posture Review to restart a program to replace the W78 for the Air Force in fiscal year 2019. The 2018 Nuclear Posture Review also directed NNSA and the Navy to further evaluate whether the Navy could also use the warhead.", "Senate report 115-125 included a provision for GAO to review NNSA's progress on the program to replace the W78.", "GAO's report describes NNSA's steps in key early planning areas\u2014including program management, technology assessment, and coordination with facilities and capabilities\u2014to prepare to restart a program to replace the W78. GAO reviewed documentation on areas such as program management, technologies, and facilities needed for the program, and interviewed NNSA and DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy's National Nuclear Security Administration (NNSA) has taken steps to prepare to restart a life extension program (LEP) to replace the capabilities of the Air Force's W78 nuclear warhead\u2014a program which was previously suspended. According to NNSA officials, these steps are typically needed to conduct any LEP. Therefore, they can be undertaken despite the current uncertainty about whether the final program will develop the warhead for the Air Force only or for both the Air Force and the Navy. Specifically, NNSA has taken the steps described below:", "Program management. NNSA has begun to establish the program management functions needed to execute a W78 replacement program, as required by NNSA's program execution instruction. For example, NNSA has started to develop a risk management plan to define the process for identifying and mitigating risks. In addition, NNSA has created a preliminary schedule to restart the program in fiscal year 2019 in the feasibility and design options phase with the goal of producing the first unit in fiscal year 2030. (See figure)", "Technology assessment. In May 2018, NNSA completed an assessment of 126 technologies for potential use in a W78 replacement. These included nine technologies that are needed to replace obsolete or no longer available technologies or materials. These are considered \u201cmust-do\u201d because they are the only technologies or materials available to meet minimum warhead requirements established by the Department of Defense and NNSA. NNSA officials said that in fiscal year 2019 they will use the assessment to further evaluate technologies for potential use in the warhead.", "Coordination with facilities and capabilities. NNSA's program manager is identifying the facilities and capabilities needed to provide components for the warhead. This information will be used to produce a report that identifies aspects of the program\u2014including facilities and capabilities to support it\u2014that could affect the program's schedule and technical risk. However, several of the needed facilities must be built or repaired, and these activities are separately managed and supported outside the W78 replacement program\u2014representing a critical external risk to the program. As mitigation, the program intends to coordinate with the offices that oversee these facilities to draft agreements that describe the work to be performed and timeframes, among other things."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations. NNSA and DOD provided technical comments, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["For nearly a decade, the Department of Defense (DOD) and the Department of Energy\u2019s (DOE) National Nuclear Security Administration (NNSA) have sought to replace the capabilities of the W78 nuclear warhead\u2014one of two U.S. Air Force intercontinental ballistic missile (ICBM) warheads. Critical components within the W78 are aging, and the military\u2019s requirements for, among other things, the safety and security features of this warhead have changed since it entered the stockpile in 1979. NNSA is responsible for delivering nuclear warheads to the U.S. Air Force and the U.S. Navy, which are organized under DOD, for use in their weapons delivery systems. NNSA and DOD undertake life extension programs (LEPs) to refurbish or replace nuclear weapons components to, among other things, extend the lives of these weapons and enhance the safety and security of the stockpile.", "The Nuclear Weapons Council is the joint DOD and DOE activity responsible for matters related to executive-level management of the nuclear weapons stockpile. The Nuclear Weapons Council serves as the focal point for interagency analyses and decisions to maintain and manage U.S. nuclear weapons, and reviews and approves proposed LEPs. When undertaking an LEP, DOD, with input from NNSA, defines the performance, safety, and security requirements for the warhead\u2014 known as the military characteristics\u2014which DOD refines over time and finalizes before NNSA begins production. NNSA develops warhead designs to meet these requirements and is ultimately responsible for producing the warheads. The Nuclear Weapons Council is also used to resolve larger questions regarding design and costs for LEPs.", "The April 2010 Nuclear Posture Review (NPR)\u2014which described presidential policy on the role of nuclear weapons in national security\u2014 directed NNSA and DOD to study options to replace the capabilities of the W78 nuclear warhead in an ICBM system. The NPR also directed the agencies to study whether the resulting warhead could also be fielded by the U.S. Navy in its submarine launched ballistic missile (SLBM) system, making the weapon an \u201cinteroperable\u201d warhead. In September 2010, DOD and NNSA began assessing concepts for an interoperable warhead to extend the life of the W78 and the Navy\u2019s W88 warhead. DOD subsequently began drafting military characteristics that captured a set of joint Air Force and Navy requirements, including an interoperable nuclear explosive package\u2014the explosive core of the weapon\u2014and adaptable nonnuclear components for the Air Force\u2019s ICBM and Navy\u2019s SLBM systems.", "From 2011 through 2014, NNSA, with input from DOD, assessed concepts for the warhead based on the draft military characteristics and completed initial feasibility studies analyzing various warhead design options. NNSA concluded, on the basis of these studies, that the initial design concepts that it proposed could, in principle, be fielded in both Air Force and Navy delivery systems. During this period, the warhead replacement program was initially referred to as the W78 LEP, then as the W78/88-1 LEP, and then subsequently as the Interoperable Warhead 1 (IW1). During this four year period, NNSA expended about $114.5 million on the program, according to information provided by NNSA.", "In fiscal year 2014, in part because of budget constraints, the Nuclear Weapons Council directed NNSA to suspend the program for an anticipated 5 years, with resumption planned in fiscal year 2020. At the time the program was suspended, NNSA had selected the major components of the nuclear explosive package to replace the capabilities of the W78 and briefed the Nuclear Weapons Council on some of those choices.", "In February 2018, DOD issued a new NPR that revised nuclear weapons policy and programs. Rather than endorsing the interoperable warhead concept, it directed NNSA and DOD to restart the program to replace the W78 warhead and to continue to investigate the feasibility of fielding the nuclear explosive package in a Navy SLBM system. It also directed NNSA to restart the W78 replacement warhead program a year early, in fiscal year 2019, to better align its schedule with the Air Force\u2019s schedule for modernizing its ICBM system. NNSA\u2019s most recent preliminary cost estimate\u2014reported in October 2018 and based on a program to provide a warhead to both the Air Force and Navy\u2014was that the program would cost about $10 billion to $15 billion from fiscal year 2019 through fiscal year 2041.", "The Senate Armed Services Committee report 115-125 accompanying S. 1519, a bill for the National Defense Authorization Act for Fiscal Year 2018, includes a provision for GAO to report on NNSA\u2019s progress on the IW1. This report describes the steps that NNSA has taken to prepare a W78 replacement program for restart.", "To describe the steps that NNSA has taken to prepare a W78 replacement program for restart, we focused on the agency\u2019s planning and activities during fiscal years 2015 through 2018. In particular, we focused on planning activities related to program management and personnel, technology development and assessment, and coordination with facilities and capabilities because they are key areas in the early planning phases of NNSA\u2019s LEP process. We reviewed documentation on NNSA\u2019s planning for program management, technologies, and facilities for a W78 replacement program, such as internal briefing documents and a technology readiness assessment that NNSA completed in May 2018 in preparation to restart the program. We interviewed NNSA officials as well as contractors from Lawrence Livermore, Los Alamos National Laboratory (Los Alamos), and Sandia National Laboratories (Sandia) to obtain information about the planning for program management and personnel, technology, and facilities needed for the program. We interviewed contractors at these laboratories because they are involved in the design of the nuclear warheads and warhead components. We also interviewed NNSA officials in the Office of Technology Maturation to learn about technology development related to a W78 replacement, and in the Office of Systems Engineering and Integration to learn about the results of the technology readiness assessment and the potential impact of the program on facilities within the nuclear security enterprise. We also interviewed officials from DOD\u2019s Office of the Deputy Assistant Secretary of Defense for Nuclear Matters, the Air Force Nuclear Weapons Center, the Navy Strategic Systems Programs, and the U.S. Strategic Command to learn about their roles in preparing to restart the program and in setting requirements for the warhead.", "We conducted this performance audit from October 2017 to November 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section describes (1) NNSA\u2019s weapons design and production sites; (2) the framework for managing LEPs, known as the Phase 6.X process, and NNSA\u2019s program execution instruction; and (3) NNSA\u2019s technology development and assessment process."], "subsections": [{"section_title": "NNSA Weapons Design and Production Sites", "paragraphs": ["NNSA oversees three national security laboratories\u2014Lawrence Livermore in California, Los Alamos in New Mexico, and Sandia in New Mexico and California. Lawrence Livermore and Los Alamos are the design laboratories for the nuclear components of a weapon, while Sandia works with both to design nonnuclear components and as the system integrator. Los Alamos led the original design of the W78, but Lawrence Livermore is leading current efforts to design the replacement warhead.", "NNSA also oversees four nuclear weapons production plants\u2014the Pantex Plant in Texas, the Y-12 National Security Complex in Tennessee, the Kansas City National Security Campus in Missouri, and the Savannah River Site in South Carolina. In general, the Pantex Plant assembles, maintains, and dismantles nuclear weapons; the Y-12 National Security Complex produces the secondary and the radiation case; the Kansas City National Security Campus produces nonnuclear components; and the Savannah River Site replenishes a component known as a gas transfer system that transfers boost gas to the primary during detonation."], "subsections": []}, {"section_title": "Phase 6.X Process for Managing LEPs and NNSA\u2019s Program Management Directive", "paragraphs": ["DOD and NNSA have established a process, known as the Phase 6.X process, to manage life extension programs. According to a Nuclear Weapons Council document, NNSA\u2019s Office of Defense Programs will follow this process to manage a W78 replacement program. As shown in figure 1, this process includes key phases or milestones that a nuclear weapon LEP must undertake before proceeding to subsequent steps.", "In January 2017, while the program was still suspended, NNSA issued a supplemental directive that defines additional activities that NNSA offices should conduct in support of the Phase 6.X process. For example, as discussed below, NNSA\u2019s supplemental directive established a new requirement during Phase 6.1 (Concept Assessment) that NNSA conduct a technology readiness assessment of technologies proposed for potential use in the warhead. In addition, NNSA\u2019s Office of Defense Programs issued a program execution instruction that defines enhanced program management functions for an LEP and other programs. This instruction also describes the level of program management rigor that the LEP must achieve as it advances through the Phase 6.X process."], "subsections": []}, {"section_title": "NNSA\u2019s Technology Development and Assessment Process", "paragraphs": ["According to NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship Management Plan, NNSA extends the life of existing U.S. nuclear warheads by replacing aged nuclear and non-nuclear components with modern technologies. In replacing these components, NNSA seeks approaches that will increase safety, improve security, and address defects in the warhead. Several technologies are frequently developed concurrently before one approach is selected. According to NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship Management Plan, this approach allows selection of the option which best meets warhead requirements and reduces the risks and costs associated with an LEP. NNSA conducts technology readiness assessments to provide a snapshot in time of the maturity of technologies and their readiness for insertion into a program\u2019s design and schedule, according to NNSA\u2019s guidance. NNSA\u2019s assessments also look at the ability to manufacture the technology. NNSA measures technological maturity using technology readiness levels (TRLs) on a scale from TRL 1 (basic principles developed) through TRL 9 (actual system operation). Similarly, NNSA measures manufacturing readiness using manufacturing readiness levels (MRL) on a scale from MRL 1 (basic manufacturing implications identified) through MRL 9 (capability in place to begin full rate production). According to NNSA\u2019s guidance, NNSA recommends but does not require that an LEP\u2019s critical technologies reach TRL 5 (technology components are integrated with realistic supporting elements) at the beginning of Phase 6.3 (Development Engineering). At the end of Phase 6.3, it recommends that a technology be judged to have achieved MRL 5 (capability to produce prototype components in a production relevant environment). However, according to NNSA officials, lower TRLs and MRLs may be accepted in circumstances where a technology is close to achieving the desired levels or the program team judges that the benefit of the technology is high and worth the increased risk that it may not be sufficiently mature when the program needs it."], "subsections": []}]}, {"section_title": "NNSA Has Taken Steps to Prepare to Restart a Program to Replace the W78 Nuclear Warhead Capability", "paragraphs": ["NNSA has taken steps to prepare to restart a program to replace the W78 nuclear warhead capability. According to NNSA officials, these steps are typically needed to conduct any LEP. Therefore, they can be undertaken despite the uncertainty about whether the final program will develop the warhead for the Air Force only or for both the Air Force and the Navy. Specifically, NNSA has (1) taken initial steps to establish the program management functions needed to execute the program and assemble personnel for a program management team; (2) assessed technologies that have been under development while the program was suspended that could potentially be used to support a W78 replacement; and (3) initiated plans for the facilities and capabilities needed to provide the nuclear and nonnuclear components for the warhead.", "At the time of our review, NNSA and DOD officials stated that, in response to the 2018 NPR, they planned to restart a program that would focus on replacing the capabilities of the W78 for the Air Force; however, the extent to which the program would focus on providing a nuclear explosive package for the Navy was uncertain. DOD officials said that the Navy plans to complete a study examining the feasibility of using the nuclear explosive package developed for the W78 replacement warhead in its SLBM system by the end of fiscal year 2019. According to DOD officials, the Nuclear Weapons Council will make a decision about developing an interoperable warhead for the Air Force and the Navy based on the results of the study but, as of August 2018, had not established time frames for making that decision. According to Air Force and NNSA officials, if the Nuclear Weapons Council decided that the Navy should participate in the program, then NNSA would not need to redo the work planned for fiscal year 2019."], "subsections": [{"section_title": "Program Management and Personnel", "paragraphs": ["NNSA has taken initial steps to establish the program management functions needed to execute the program and assemble personnel for a program management team, as follows:", "Program management. In fiscal year 2018, NNSA started to establish the program management functions needed to execute a W78 replacement program, as required in the Office of Defense Programs\u2019 program execution instruction. In preparation for the program restart, NNSA assigned a manager for a W78 replacement program who is taking or plans to take steps to implement these functions. For example, among other steps, the W78 replacement program manager told us that he had started developing the risk management plan to define the process for identifying and mitigating risks that may impact the program. The program manager also said NNSA had started to adapt a standardized work breakdown structure for life extension programs to define and organize the W78 replacement program\u2019s work scope for restart. An initial version of this work breakdown structure would be completed before the program restarts in fiscal year 2019, according to the program manager. Further, as NNSA refines the scope of work, the agency will refine and tailor the work breakdown structure. At the time of our review, this work was under development and therefore we were not able to review these plans and tools.", "In addition, as of July 2018, NNSA had created a preliminary schedule for a W78 replacement program under the Phase 6.X process (see fig. 2).", "According to NNSA\u2019s preliminary schedule, the program will:", "Restart in Phase 6.2 (Feasibility and Design Options) in the third quarter of fiscal year 2019. NNSA previously completed Phase 6.1 and was authorized by the Nuclear Weapons Council to start Phase 6.2 in June 2012. During Phase 6.2, NNSA plans to, among other things, select design options and develop cost estimates of the selected design options.", "Conduct Phase 6.2A (Design Definition and Cost Study) for one year beginning in the fourth quarter of fiscal year 2021. During this phase, for example, NNSA plans to develop a preliminary cost estimate for the program, called a weapons design and cost report, and also produce an independent cost estimate.", "Start Phase 6.3 (Development Engineering) in the fourth quarter of fiscal year 2022 and transition to Phase 6.4 (Production Engineering) in the mid-2020s. During these phases, NNSA will develop the final design as well as begin producing selected acquisition reports, which detail the total program cost, schedule, and performance, among other things. According to the W78 program manager, the military characteristics will be finalized in Phase 6.4 and before that point DOD will continue to update the requirements.", "Achieve production of the first warhead\u2014Phase 6.5\u2014by the second quarter of fiscal year 2030 so that it can be fielded on the Air Force\u2019s planned Ground Based Strategic Deterrent that same year.", "Start Phase 6.6 (Full Scale Production) by the second quarter of fiscal year 2031.", "When the program restarts in fiscal year 2019, NNSA intends to develop or finalize initial versions of other plans and tools such as a requirements management plan, according to the program manager. (See appendix I for a detailed description of the steps NNSA is taking or plans to take to establish the program management functions needed to execute a W78 replacement program, according to the manager for the W78 replacement program.)", "The program manager also told us that as the program progresses through Phases 6.2 (Feasibility and Design Options), 6.2A (Design Definition and Cost Study), and 6.3 (Development Engineering), NNSA will increase the maturity of the program management processes and tools, consistent with the Office of Defense Programs\u2019 program execution instruction. For example, in Phases 6.2 and 6.2A, NNSA intends to establish an earned value management system (EVM)\u2014used to measure the performance of large, complex programs. In Phase 6.3, NNSA will further develop the system to be consistent with DOE and industry standards, as specified in the program execution instruction. NNSA officials said they will need to achieve sufficient program management rigor in Phase 6.3 to effectively report to Congress on the status and performance of the program as NNSA develops cost and schedule baselines.", "Personnel. At the time of our review, NNSA was reconstituting a program management team. Specifically, as mentioned above, NNSA assigned a new program manager in March 2017. In the spring of 2018, NNSA began assigning additional federal staff and contractor support to help ramp up the program in advance of the fiscal year 2019 restart date. According to the program manager, he expected to complete a plan in the late summer or early fall of 2018 that NNSA could use to hire additional federal staff needed to manage the program in fiscal year 2019. The advanced development and implementation of staffing plans prior to each phase of an LEP was a key lesson learned from an NNSA review of another LEP\u2014the W76- 1."], "subsections": []}, {"section_title": "Technology Development and Assessment", "paragraphs": ["While the program was suspended, NNSA supported other programs that developed weapons technologies\u2014including materials and manufacturing processes\u2014that could potentially be used by the W78 replacement program and potentially by other future life extension programs. Specifically, according to NNSA officials, NNSA supported the development of technologies through ongoing LEPs (such as the W80-4 LEP) and other technology maturation projects (such as the Joint Technology Demonstrator) that could support future LEPs. For example, the W80-4 program has supported development at Lawrence Livermore of certain new materials as a risk mitigation strategy in case certain legacy materials used in the secondary are not available. According to NNSA officials, NNSA will likely continue to develop these new materials for use in future weapons, including the W78 replacement. In addition, contractors at Lawrence Livermore told us that test demonstrations conducted under the Joint Technology Demonstrator have helped to mature potential technologies for a W78 replacement. Examples they cited included additively manufactured mounts and cushions for securing and stabilizing the nuclear explosive package inside the Air Force\u2019s aeroshell.", "In May 2018, in anticipation of the restart of a W78 replacement program and to retroactively address NNSA\u2019s new supplemental requirement to conduct a technology readiness assessment in Phase 6.1, NNSA\u2019s Office of Systems Engineering and Integration completed a technology readiness assessment that evaluated the maturity of technologies potentially available for the W78 replacement program. According to NNSA officials, the assessment identified and evaluated technologies that NNSA would have available for the next LEP, irrespective of whether the final program will replace the W78 warhead in ICBMs only or will also be used in the Navy\u2019s SLBMs.", "The assessment evaluated 126 technologies based on proposals from the laboratories and production sites. As shown in table 1 below, the proposals related to key functional areas of the warhead, including the nuclear explosive package and the arming, fuzing, and firing mechanism\u2014which provides signaling that initiates the nuclear explosive chain. For the W78 warhead replacement, DOD divided the military characteristics into two categories: threshold or minimum requirements (or \u201cneeds\u201d) and objective or optional requirements (or \u201cwants\u201d). NNSA\u2019s assessment grouped the technologies into one of three categories, as follows.", "Must do. A technology deemed \u201cmust do\u201d means that it is the only technology available that can meet a minimum requirement (or \u201cneed\u201d) for the warhead to function. The technology that previously fulfilled this requirement is generally obsolete or no longer produced, and there are no alternatives.", "Must do (trade space). \u201cMust do (trade space)\u201d technologies fulfill a minimum requirement (or \u201cneed\u201d) for the warhead, but there are two or more technologies that could meet this need. NNSA must evaluate and select which technology it will use to fulfill the need.", "Trade space. \u201cTrade space\u201d technologies are those that can meet an optional requirement (or \u201cwant\u201d) for the warhead.", "Among the nine \u201cmust do\u201d technologies that NNSA evaluated, for example, was a new manufacturing process being developed at Sandia to produce a type of magnesium oxide\u2014needed for use in the thermal batteries that power the warhead\u2019s firing mechanism\u2014that is no longer available from a vendor and for which NNSA\u2019s existing supplies are limited. For this new process, the assessment team estimated that it had completed TRL 1 (basic principles developed) but had not yet reached MRL 1 (basic manufacturing implications identified). The technology readiness assessment noted that for technologies with a TRL of 3 or less, an MRL of 1 or less is expected. In addition, according to the report, Sandia estimated that it may cost about $7.1 million to develop the material and manufacturing process to TRL 5 and MRL 4 during fiscal years 2018 through 2023\u2014when the program is slated to reach Phase 6.3\u2014to achieve a level of readiness where it could potentially be included in the design of the W78 replacement warhead.", "Among the 59 \u201cmust do (trade space)\u201d technologies that NNSA evaluated were, for example, two new gas transfer system technologies developed by Sandia that may offer advantages compared with the existing technology. A gas transfer system is a required capability (or \u201cmust do\u201d) but, according to the technology readiness assessment report, NNSA needs to compare the costs, benefits, and risks of these new technologies with the traditional technology (i.e., evaluate the \u201ctrade space\u201d) and make a selection among them. The first new technology was a gas transfer system bottle made out of aluminum that could be cheaper, weigh less, and last longer than the gas transfer system used in the W78. According to the technology readiness assessment report, the assessment team estimated the aluminum-based bottle had completed TRL 2 but did not have enough information to estimate an MRL. Sandia estimated that it would cost about $6.5 million to achieve TRL 5 and MRL 4 during fiscal years 2018 through 2023. The second Sandia technology involved an advanced gas transfer system technology. The assessment team estimated that this technology had completed TRL 3 but did not have enough information to estimate an MRL. Sandia estimated that it would cost about $5.4 million to achieve TRL 5 and MRL 4 during fiscal years 2018 through 2023. According to the technology readiness assessment report, NNSA will need to further evaluate these approaches as well as the traditional technology to make a selection for a W78 replacement program.", "The 75 \u201ctrade space\u201d technologies that the assessment team evaluated included, for example, several proposed by Lawrence Livermore, Los Alamos, and Sandia for providing an advanced safety feature to prevent unauthorized detonation of the warhead. As mentioned above, when NNSA extends the life of existing U.S. nuclear warheads it also seeks approaches that will increase the safety and improve security of the warhead. According to the report, the laboratories proposed similar concepts that varied in maturity levels and estimated costs for further development. Specifically, the assessment team estimated the Lawrence Livermore and Los Alamos technologies to have completed TRL 4 and Sandia\u2019s proposal to have completed TRL 3. Regarding MRLs, the assessment team also estimated Lawrence Livermore\u2019s technology to have completed MRL 1, Los Alamos\u2019s technology to be at MRL 1, and did not have enough information to estimate the MRL for Sandia\u2019s technology. In addition, according to the report, Lawrence Livermore estimated costs of about $31.2 million to $45.6 million to further mature its technology during fiscal years 2018 through 2023. Los Alamos estimated costs of about $72.1 million to $154.5 million to further mature its technology during the same period. Sandia estimated costs of about $8.2 million to further mature its technology during the same period. Because the feature is not a minimum requirement, NNSA officials told us that they are continuing to evaluate the costs, benefits, and risks of including the feature.", "According to NNSA\u2019s manager for the W78 replacement program and key staff involved in preparing to restart the program, when the program restarts in fiscal year 2019 they will use the assessment to identify specific technologies or groups of technologies (i.e., trade spaces) to further evaluate for potential use in the warhead. These officials said they will continue evaluating technologies and make selections of preferred options at the same time that the warhead\u2019s program requirements and priorities are refined during Phases 6.2 and 6.2A. According to the program manager, NNSA will produce a technology development plan for technologies selected for a W78 replacement during Phase 6.2 and 6.2A and that will identify the current readiness levels of the technologies, key risks, and estimated costs to bring them to TRL 5 in Phase 6.3.", "In addition, the technology readiness assessment team made several recommendations to the NNSA Deputy Administrator for Defense Programs regarding the development of technologies that could provide benefits to the nuclear security enterprise overall. For example, the assessment team observed that 21 of the proposed technologies for a W78 replacement involved the use of additive manufacturing. The assessment noted that, if successful, these technologies could reduce component production costs and schedule risks for future LEPs compared to current methods. The team recommended that the Office of Defense Programs conduct an analysis to validate these capabilities and develop a nuclear enterprise-wide effort to address additive manufacturing for a W78 replacement, future LEPs, and other applications. According to the NNSA official who led the assessment, at the time of our review, the assessment team was preparing to present its enterprise-wide recommendations to the Office of Defense Program\u2019s senior leadership; therefore, specific follow-on actions had not yet been decided."], "subsections": []}, {"section_title": "Coordination with Facilities and Capabilities", "paragraphs": ["The manager of the W78 replacement program said that he has begun to identify the facilities and capabilities at the laboratories and production sites that will be needed to provide the nuclear and nonnuclear components for a W78 replacement, and plans to draft formal agreements to help ensure coordination with them. According to the program manager, collecting the information that identifies facilities and capabilities\u2014including a rough idea of key milestone dates for when the program will need to use them\u2014is the first step in producing a major impact report, which is required upon completion of Phase 6.2 and accompanies the final Phase 6.2 study report delivered to the Nuclear Weapons Council. Among other things, a major impact report identifies aspects of the program\u2014including facilities and capabilities to support it\u2014 that could affect the program\u2019s schedule and technical risk, according to the Phase 6.X guidelines.", "According to an NNSA official and contractor representatives, many of the existing nuclear and nonnuclear components of the W78 are outdated or unusable and a W78 replacement will need all newly manufactured components. As a result, NNSA will need to exercise numerous manufacturing capabilities in support of this effort, and the facilities and capabilities must be ready to support the work. However, many of the facilities that may be needed to provide components for a W78 replacement program are outdated and are undergoing modernization to either build new facilities or repair existing facilities and capabilities, which represents a critical external risk to the program. According to NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship and Management Plan, these planned modernization activities will require sustained and predictable funding over many years to ensure they are available to support the weapons programs. Some examples of NNSA activities to build or repair facilities and capabilities that will provide nuclear or nonnuclear components for a W78 replacement warhead\u2014and which may have schedule, cost, or capacity issues that could impact the program\u2014 include:", "Plutonium pit production facilities. NNSA does not currently have the capability to manufacture sufficient quantities of plutonium pits for a W78 replacement program. NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship and Management Plan stated that the agency will increase its capability to produce new pits over time, from 10 pits per year in fiscal year 2024 to 30 pits per year in fiscal year 2026, and as many as 50 to 80 pits per year by 2030. NNSA is refurbishing its pit production capabilities at Los Alamos to produce at least 30 pits per year. In addition, in May 2018, NNSA announced its intention to repurpose the Mixed Oxide Fuel Fabrication Facility at the Savannah River Site in South Carolina to produce at least an additional 50 pits per year by 2030. NNSA officials told us that they will need both the Los Alamos and Savannah River pit production capabilities to meet anticipated pit requirements for the W78 replacement program and for future warhead programs.", "Uranium processing facilities. NNSA\u2019s construction of the Uranium Processing Facility at the Y-12 National Security Complex will help ensure NNSA\u2019s continued ability to produce uranium components for the W78 replacement program. NNSA plans to complete the facility for no more than $6.5 billion by the end of 2025\u2014approximately 4 years before the scheduled delivery of the first production unit of a W78 replacement program warhead. This effort is part of a larger NNSA plan to relocate and modernize other enriched uranium capabilities performed in a legacy building at the Y-12 National Security Complex to other existing buildings or in newly constructed buildings.", "Lithium production facility. NNSA will require lithium for a W78 replacement warhead. The United States no longer maintains full lithium production capabilities and relies on recycling as the only source of lithium for nuclear weapon systems. According to the Fiscal Year 2018 Stockpile Stewardship and Management Plan, NNSA has analyzed options to construct a new lithium production facility, and a conceptual design effort is next, with an estimated completion date of fiscal year 2027 for the new facility. Until the facility is available, NNSA has developed a bridging strategy to fill the interim supply gaps.", "Radiation-hardened microelectronics facility. Nuclear warheads, such as a W78 replacement warhead, include electronics that must function reliably in a range of operational environments. NNSA has a facility at Sandia that produces custom, strategic radiation-hardened microelectronics for nuclear weapons. In August 2018, NNSA officials told us that this facility, known as Microsystems and Engineering Sciences Applications, can remain viable until 2040\u2014but would need additional investment.", "The W78 replacement program manager told us that the need for newly manufactured components coupled with the scale of NNSA\u2019s modernization activities means that a comprehensive coordination effort will be necessary to ensure that the facilities and capabilities are ready to provide components for the warhead by the end of the 2020s. Because these activities are separately managed and supported outside the W78 replacement program, NNSA considers progress on them to represent a critical external risk to the program.", "NNSA is taking or plans to take some action to mitigate this external risk at the program and agency level. One step that the program plans to take to address this risk is to draft formal agreements\u2014called interface requirements agreements\u2014with other NNSA program offices that oversee the deliverables and schedules for the design, production, and test facilities that are needed for the program. These agreements describe the work to be provided by these external programs, including milestone dates for completing the work; funding; and any risks to cost, schedule, or performance. The W78 program manager stated that they are generally drafted toward the end of Phase 6.2 through Phase 6.2A and largely finalized in Phase 6.3\u2014though small adjustments may be made into Phase 6.4 (Production Engineering).", "At the agency level, in response to a direction in the 2018 NPR, NNSA officials told us that the agency is also developing an agency-wide integrated master schedule that is intended to align NNSA\u2019s enterprise- wide modernization schedule with milestone delivery dates for nuclear weapons components. The W78 program manager and other NNSA officials told us that the information they provide on the facilities and capabilities needed, as well as milestone dates, will be integrated into this schedule and used to help ensure that the facilities and capabilities are ready to support the program."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to NNSA and DOD for comment. NNSA and DOD provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Defense and Energy, the Administrator of NNSA, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or bawdena@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to the report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: NNSA\u2019s Program Management Functions to Execute a W78 Replacement Program", "paragraphs": ["The table below identifies the steps NNSA is taking or plans to take to establish the program management functions needed to execute a W78 replacement program. NNSA was directed by the Nuclear Weapons Council to suspend the program in fiscal year 2014 and the 2018 Nuclear Posture Review directed NNSA to restart the program in fiscal year 2019. The NNSA Office of Defense Program\u2019s program execution instruction defines enhanced program management functions for a warhead life extension program (LEP) such as the W78 replacement program and other programs. The instruction also describes the level of program management rigor that the LEP must achieve as it advances through the Department of Defense and NNSA process for managing life extension programs called the Phase 6.X process. This process includes key phases or milestones that a nuclear weapon life extension program must undertake before proceeding to subsequent steps. NNSA completed Phase 6.1 (Concept Assessment) and started Phase 6.2 (Feasibility and Design Options) activities before the program was suspended in fiscal year 2014. NNSA, therefore, plans to restart the program in Phase 6.2."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Allison B. Bawden, (202) 512-3841 or bawdena@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, William Hoehn (Assistant Director), Brian M. Friedman (Analyst in Charge), and Julia T. Coulter made significant contributions to this report. Also contributing to this report were Antoinette Capaccio, Pamela Davidson, Penney Harwell Caramia, Greg Marchand, Diana Moldafsky, Cynthia Norris, Katrina Pekar-Carpenter, and Sara Sullivan."], "subsections": []}]}], "fastfact": ["The National Nuclear Security Administration is preparing to restart a program to replace the W78 nuclear warhead, which is used in Air Force intercontinental ballistic missiles. The goal is to produce the first W78 replacement warhead in fiscal year 2030. Pending further study, this replacement warhead may also be used in Navy submarine launched ballistic missiles.", "NNSA has taken steps in", "program management, such as developing a risk management plan", "assessing technologies for potential use", "coordinating with facilities needed to provide warhead components"]} {"id": "GAO-19-229", "url": "https://www.gao.gov/products/GAO-19-229", "title": "Navy Readiness: Actions Needed to Address Costly Maintenance Delays Facing the Attack Submarine Fleet", "published_date": "2018-11-19T00:00:00", "released_date": "2018-11-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to the Navy, its 51 attack submarines provide the United States an asymmetric advantage to gather intelligence undetected, attack enemy targets, and insert special forces, among others. These capabilities make attack submarines some of the most\u2013requested assets by the global combatant commanders.", "GAO was asked to review the readiness of the Navy's attack submarine force. This report discusses the extent to which the Navy (1) has experienced maintenance delays in its attack submarine fleet and costs associated with any delays; and (2) has addressed any challenges and developed mitigation plans for any maintenance delays. GAO analyzed readiness information from fiscal years 2008-2018, operating and support costs, maintenance performance, and other data; visited attack submarines and squadrons; and interviewed public and private shipyard and fleet officials.", "This is a public version of a classified report issued in October 2018. Information the Department of Defense deemed classified or sensitive, such as attack submarine force structure requirements and detailed data on attack submarine maintenance delays, has been omitted."]}, {"section_title": "What GAO Found", "paragraphs": ["The Navy has been unable to begin or complete the vast majority of its attack submarine maintenance periods on time resulting in significant maintenance delays and operating and support cost expenditures. GAO's analysis of Navy maintenance data shows that between fiscal year 2008 and 2018, attack submarines have incurred 10,363 days of idle time and maintenance delays as a result of delays in getting into and out of the shipyards. For example, the Navy originally scheduled the USS Boise to enter a shipyard for an extended maintenance period in 2013 but, due to heavy shipyard workload, the Navy delayed the start of the maintenance period. In June 2016, the USS Boise could no longer conduct normal operations and the boat has remained idle, pierside for over two years since then waiting to enter a shipyard (see figure). GAO estimated that since fiscal year 2008 the Navy has spent more than $1.5 billion in fiscal year 2018 constant dollars to support attack submarines that provide no operational capability\u2014those sitting idle while waiting to enter the shipyards, and those delayed in completing their maintenance at the shipyards.", "The Navy has started to address challenges related to workforce shortages and facilities needs at the public shipyards. However, it has not effectively allocated maintenance periods among public shipyards and private shipyards that may also be available to help minimize attack submarine idle time. GAO's analysis found that while the public shipyards have operated above capacity for the past several years, attack submarine maintenance delays are getting longer and idle time is increasing. The Navy may have options to mitigate this idle time and maintenance delays by leveraging private shipyard capacity for repair work. But the Navy has not completed a comprehensive business case analysis as recommended by Department of Defense guidelines to inform maintenance workload allocation across public and private shipyards. Navy leadership has acknowledged that they need to be more proactive in leveraging potential private shipyard repair capacity. Without addressing this challenge, the Navy risks continued expenditure of operating and support funding to crew, maintain, and support attack submarines that provide no operational capability because they are delayed in getting into and out of maintenance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Navy conduct a business case analysis to inform maintenance workload allocation across public and private shipyards. The Department of Defense concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Navy spends over $9 billion annually to operate and sustain its fleet of 51 attack submarines\u2014consisting of 33 Los Angeles class, 3 Seawolf class, and 15 Virginia class submarines\u2014that vary in age, size, and capability. These submarines are responsible for attacking enemy surface ships and submarines, intelligence collection and surveillance, striking land targets, and special operations force insertion. According to Navy documentation, attack submarines\u2019 stealthy nature provides an asymmetric advantage for gathering intelligence undetected and, due to their nuclear power, allows for prolonged underwater operations with few practical limits. These capabilities make attack submarines some of the most\u2013requested assets by the geographic combatant commanders.", "Providing the military forces needed to deter war and to protect the security of the United States is a fundamental mission of the Department of Defense (DOD), and DOD has made the sustainment of ready forces a priority for meeting mission needs. Each of the military services is generally smaller and less combat-ready today than it has been in many years. We reported in May 2016 that the Navy faced significant challenges in rebuilding readiness, with maintenance delays limiting the ability of Navy forces to surge to respond to unforeseen crises or contingencies. In August 2018, we reported that as the military services take steps to rebuild the readiness of their forces, they continue to be challenged by a demand for forces that, at times, outpaces the available supply. DOD has recognized the challenges associated with low readiness and has made rebuilding the readiness of the military forces a priority.", "You asked us to complete a review of the readiness of the Navy\u2019s attack submarine force. This report is a public version of a classified report that we issued on October 31, 2018. This report discusses the extent to which the Navy (1) has experienced maintenance delays in its attack submarine fleet and costs associated with any delays; and (2) has addressed any challenges and developed mitigation plans for any maintenance delays. The classified report included an objective discussing attack submarine readiness goals and wartime requirements. DOD deemed this information to be classified, which must be protected from loss, compromise, or inadvertent disclosure. Consequently, this public version excludes that information.", "Further, this public report omits certain information that DOD deemed to be sensitive related to (1) attack submarine force structure requirements, (2) detailed data on attack submarine maintenance delays, (3) attack submarine cannibalization rates, (4) maintenance prioritization at the Navy\u2019s public shipyards, (5) maintenance duration forecasting, and (6) additional recommendations we made to address these issues. Although the information provided in this report is more limited, it uses the same methodology as the classified report.", "For our first objective, we reviewed data from Naval Sea Systems Command on maintenance schedule performance for all attack submarine depot-level maintenance periods for fiscal years 2008\u20142018 and any idle periods (that is, time awaiting maintenance and unable to conduct normal operations) during that time period. We determined maintenance delays by identifying the elapsed time between the expected completion date and the actual completion date; and we determined idle periods by identifying the length of time during which a submarine awaiting maintenance was unable to conduct normal operations. We also determined the total amount of time for which a submarine was unavailable due to actual maintenance and idle time. To estimate costs associated with maintenance delays and idle time, we calculated average daily cost factors using data from the Navy\u2019s Visibility and Management of Operating and Support Costs system. We also interviewed Navy fleet and squadron officials, submarine crews, and shipyard officials to understand factors affecting operational availability.", "For our second objective, we reviewed the Navy\u2019s plans to mitigate any maintenance delay challenges and interviewed Navy headquarters, fleet, and squadron officials, as well as public and private shipyard officials, to discuss these plans. We visited the three public shipyards\u2014Portsmouth Naval Shipyard, Norfolk Naval Shipyard, and Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility\u2014that perform the majority of attack submarine maintenance; the two private shipyards that conduct attack submarine maintenance; and Navy facilities in Connecticut, Virginia, Hawaii, and Guam. We evaluated the Navy\u2019s plans to address any challenges against criteria in federal standards for internal control, the Department of Defense\u2019s business case analysis guidebook, A Guide to the Project Management Body of Knowledge, and guidance in the Secretary of the Navy\u2019s December 2017 Strategic Readiness Review on assessing risks to fleet readiness.", "To assess the reliability of the data sources used in conducting our analysis, we reviewed systems documentation and interviewed officials to understand system operating procedures, organizational roles and responsibilities, and error-checking mechanisms. We selected the time frames for each of the data series above after assessing their availability and reliability to maximize the amount of data available for us to make meaningful comparisons. We assessed the reliability of each of the data sources based on Navy documentation and interviews with Navy officials. We also conducted our own error checks to identify potentially inaccurate or questionable data, and we discussed with officials any data irregularities we found. We determined that the data series were sufficiently reliable for the purposes of summarizing attack submarine readiness trends and related information. Our scope and methodology are discussed in greater detail in appendix I.", "The performance audit upon which this report is based was conducted from August 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We worked with DOD to prepare this unclassified version of the report for public release. This public version was also prepared in accordance with these standards."], "subsections": [{"section_title": "Background", "paragraphs": ["The Navy currently has 51 attack submarines\u2014comprising 33 Los Angeles class, 3 Seawolf class, and 15 Virginia class submarines (see fig. 1). Attack submarines are homeported at bases in the United States: in New London, Connecticut; Pearl Harbor, Hawaii; Norfolk, Virginia; San Diego, California; and Bangor, Washington; 4 are homeported overseas, in the U.S. territory of Guam.", "Submarine Safety Controls and Culture On April 10, 1963, the USS Thresher (SSN 593) sank during deep submergence tests off the coast of New England. One hundred and twelve officers and enlisted sailors and 17 civilians perished in the tragedy. The accident investigation concluded that the Navy did not have adequate procedures in place to prevent and respond to a catastrophic flooding incident. time, and that maintenance delays reduce the amount of time during which ships and submarines are available for training and operations.", "Submarine fleet and squadron officials emphasized the strict safety culture that permeates the submarine community. This emphasis on meeting safety certification criteria means that the Navy operates a supply-based submarine force that does not compromise on adherence to training and maintenance standards to meet combatant commander demands, according to these officials (see sidebar). Officials added that the Navy will delay deployment dates if necessary to ensure that these standards are met. As a result, deployed readiness is high and attack submarines are in excellent materiel condition as compared with the rest of the Navy fleet.", "The loss of the USS Thresher and its crew spurred the Navy to establish stringent safety requirements for submarines to prevent another loss at sea. Following the accident, the Navy established submarine safety certification criteria to provide maximum reasonable assurance that critical systems would protect the crew from flooding and allow the submarine to conduct an emergency surfacing should flooding occur. This program, known as SUBSAFE, is still in use today, to ensure that these critical systems receive a high quality of work and that all work is properly documented. According to the Navy, the SUBSAFE certification status of a submarine is fundamental to its mission capability, as it provides a thorough and systematic approach to quality, and to a culture that permeates the entire submarine community. According to Navy officials, since the SUBSAFE program was established in 1963, no SUBSAFE-certified submarine has ever been lost.", "The Navy has been unable to begin or complete the vast majority of its attack submarine maintenance periods on time resulting in significant maintenance delays and operating and support cost expenditures. Our analysis of Navy maintenance data shows that between fiscal year 2008 and the end of fiscal year 2018, attack submarines will have incurred 10,363 days of idle time and maintenance delays as a result of delays in getting into and out of the shipyards.", "Our analysis found that the primary driver affecting attack submarines are delays in completing depot maintenance. For example, of the 10,363 total days of lost time since fiscal year 2008, 8,472 (82 percent) were due to depot maintenance delays. As we previously reported, completing ship and submarine maintenance on time is essential to Navy readiness, as maintenance periods lasting longer than planned could reduce the number of days during which ships and crews are available for training or operations.", "Attack submarines also face delays in beginning maintenance when the public shipyards have no available capacity, in some cases forcing submarines to idle pierside because they are no longer certified to conduct normal operations. According to Navy officials, the SUBSAFE program\u2014its program to ensure and certify submarine safety\u2014requires submarines to adhere to strict maintenance schedules and pass materiel condition assessments before they are allowed to submerge. Attack submarines that go too long without receiving required maintenance are at risk of having their materiel certification expire. Should this certification expire, these submarines are restricted to sitting idle, pierside, while they wait until a shipyard has the capacity to begin their maintenance period (see fig. 2).", "We found that since fiscal year 2008, 14 attack submarines have spent a combined 61 months (1,891 days) idling while waiting to enter shipyards for maintenance. Idle time incurred while waiting to begin a maintenance period is often coupled with maintenance delays while at the shipyards, thus compounding total delays.", "We also found that the Navy incurs significant costs in operating and supporting submarines that are experiencing maintenance delays and idle time. We analyzed the operating and support costs the Navy incurs on average to estimate the costs of crewing, maintaining, and supporting attack submarines that are delayed in getting into and out of the shipyards. Using historical daily cost data the Navy adjusted for inflation, we estimated that since fiscal year 2008 the Navy has spent more than $1.5 billion in fiscal year 2018 constant dollars on attack submarines sitting idle while waiting to enter the shipyards, and on those delayed in completing their maintenance at the shipyards (see table 1). While the Navy would incur these costs regardless of whether the submarine was delayed, idled, or deployed, our estimate of $1.5 billion represents costs incurred from fiscal year 2008 through fiscal year 2018 for attack submarines without receiving any operational capability in return. While acknowledging the magnitude of these costs, Navy officials stated that there may be some benefits that could be realized from these operating and support costs since crews on idle attack submarines can conduct some limited training.", "Operating and support costs include payment of crew salaries, purchasing of spare parts, and conducting of maintenance, among other things, but they do not represent the full operational impact incurred by the Navy from the idle time and maintenance delays. For example, attack submarine depot-level maintenance requires the use of a drydock, and officials from the three public shipyards we visited told us that their drydock capacity was limited. A delayed attack submarine maintenance period can restrict the use of a drydock for much longer than originally anticipated, thereby preventing the shipyard from using that drydock to maintain other vessels, including other types of ships, or to conduct necessary repairs on the facilities."], "subsections": []}, {"section_title": "Navy Has Begun to Address Some Challenges Associated with Attack Submarine Maintenance Delays but Has Not Effectively Allocated Maintenance Periods to Limit Idle Time", "paragraphs": [], "subsections": [{"section_title": "Navy Is Addressing Some Challenges at the Public Shipyards", "paragraphs": ["The Navy has started to address workforce shortages and facilities needs at the public shipyards. These efforts to address the Navy\u2019s maintenance challenges are important steps, but they will require several years of sustained management attention to reach fruition. As we reported in September 2017, maintenance on ships and submarines may be delayed for numerous reasons, including workforce gaps and inexperience, the poor condition of facilities and equipment, parts shortages, changes in planned maintenance work, and weather. According to Navy officials, all of these issues continue to affect the Navy\u2019s ability to complete attack submarine maintenance on time. According to officials, the Navy has begun to address some of these challenges. For example:", "The public shipyards have been hiring to address workforce shortages. The number of civilian full-time employees at the shipyards increased from 25,087 in 2007 to 34,160 in 2017, with a goal to reach 36,100 by 2020. Navy officials cautioned that this newly hired workforce is largely inexperienced and will require time to attain full proficiency.", "The Navy has released a plan to guide public shipyard capital investments. In September 2017 we reported that the Navy projected an inability to support 50 planned submarine maintenance periods over the ensuing 23 years, due to capacity and capability shortfalls at the public shipyards. We recommended that the Navy develop a comprehensive plan for shipyard capital investment. In February 2018 the Navy published its shipyard optimization plan, outlining an estimated $21 billion investment needed to address shipyard facility and equipment needs over 20 years to meet the operational needs of the current Navy fleet, but not the larger fleet size planned for the future."], "subsections": []}, {"section_title": "Navy Has Not Effectively Allocated Maintenance Periods among the Public and Private Shipyards to Limit Attack Submarine Idle Time", "paragraphs": ["While the public shipyards have operated above capacity for the past several years, attack submarine maintenance delays are getting longer and idle time is increasing. The Navy expects the maintenance backlogs at the public shipyards to continue. We estimate that, as a result of these backlogs, the Navy will incur approximately $266 million in operating and support costs in fiscal year 2018 constant dollars for idle submarines from fiscal year 2018 through fiscal year 2023, as well as additional depot maintenance delays.", "The Navy may have options to mitigate idle time and maintenance delays. For example, officials at the private shipyards\u2014General Dynamics Electric Boat and Huntington Ingalls Industries-Newport News Shipbuilding\u2014told us that they will have available capacity for repair work for at least the next 5 years. Although the Navy has shifted about 8 million man-hours in attack submarine maintenance to private shipyards over the past 5 years, it has done so sporadically, having decided to do so in some cases only after experiencing lengthy periods of idle time. According to private shipyard officials, the sporadic shifts in workload have resulted in repair workload gaps that have disrupted private shipyard workforce, performance, and capital investment\u2014creating costs that are ultimately borne in part by the Navy.", "We believe that the Navy has not fully mitigated this challenge because it has not completed a comprehensive business case analysis to inform maintenance workload allocation across public and private shipyards, and to proactively minimize attack submarine idle time and maintenance delays. Such an analysis would help the Navy better assess private shipyard capacity to perform attack submarine maintenance and would help it incorporate a complete accounting of all costs, benefits, and risks, including: the large operating and support costs of having attack submarines sitting idle; the qualitative benefits associated with providing additional availability to the combatant commanders; and the potential for additional work at private shipyards to reduce schedule risk to submarine construction programs by allowing the yards to build and maintain a stable shipyard workforce.", "The April 2011 DOD Product Support Business Case Analysis Guidebook provides standards for DOD\u2019s process for conducting analyses of costs, benefits, and risks. It states that data sources used to conduct a business case analysis should be comprehensive and should include both quantitative and qualitative values. It notes that benefits, such as the availability of a weapon system, may be qualitative in nature, and that DOD should evaluate all possible support options, to include government- and contractor-provided maintenance. Navy leadership has acknowledged that they need to be more proactive in leveraging private shipyard repair capacity, but officials cautioned that maintenance could cost more at a private shipyard than at a public shipyard. However, without a complete accounting of all costs, benefits, and risks, the Navy will remain unable to determine whether the cost of performing a maintenance period at a private shipyard would outweigh the mission benefits of having reduced idle time, additional operational availability, and the potential for reduced risk to submarine construction programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The nation\u2019s investment in attack submarines provides the United States an asymmetric advantage to gather intelligence undetected, attack enemy targets, and insert special forces, among other capabilities. However, the Navy\u2019s attack submarine fleet has suffered from persistent and costly maintenance delays. Although the Navy has several activities underway to reduce maintenance delays for the attack submarine fleet, it has not yet taken additional steps to maximize attack submarine readiness that fully address challenges such as the allocation of maintenance periods between public and private shipyards. Without addressing this challenge, the Navy will not achieve the full benefit of the nation\u2019s investment in its attack submarines, and it risks continued expenditure of operating and support funding to crew, maintain, and support attack submarines that provide no operational capability because they are delayed in getting into and out of maintenance."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of the Navy should ensure that the Chief of Naval Operations conducts a business case analysis to inform maintenance workload allocation across public and private shipyards; this analysis should include an assessment of private shipyard capacity to perform attack submarine maintenance, and should incorporate a complete accounting of both (a) the costs and risks associated with attack submarines sitting idle, and (b) the qualitative benefits associated with having the potential to both mitigate risk in new submarine construction and provide additional availability to the combatant commanders."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of the classified version of the report to DOD for review and comment. That draft contained the same recommendation as this unclassified version as well as three additional recommendations DOD deemed sensitive. In written comments provided by DOD (reprinted in appendix II), DOD concurred with our recommendation stating that it has taken the first steps to take a more holistic view of submarine maintenance requirements and impacts across both the public and private shipyards.", "The Navy also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to congressional committees; the Secretary of Defense; the Secretary of the Navy, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3489 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To assess the extent to which the Navy has experienced maintenance delays in its attack submarine fleet, we analyzed attack submarine maintenance delay and idle time data from Naval Sea Systems Command, and we reviewed prior GAO work on shipyard maintenance delays. The Navy determines depot maintenance delays by counting each day in which a submarine maintenance period extends beyond the planned completion date. Two Navy offices within Naval Sea Systems Command\u2014that is, the Logistics, Maintenance, and Industrial Operations office and Program Executive Office Submarines\u2014track days incurred from depot-level maintenance delays and idle time. To determine the total number of days of maintenance delays for each fiscal year within our scope, we subtracted the planned completion date from the actual completion date to produce the number of days of maintenance delays for each maintenance period for each submarine. We added together the days of maintenance delays across all attack submarines for each fiscal year, and then added the fiscal year totals to produce the overall total. Although the data included some maintenance periods that began before fiscal year 2008, we counted days of maintenance delays only from periods that were incurred in fiscal years 2008 through 2018. We also tracked the total number of days that the Navy completed maintenance periods ahead of schedule\u2014that is, 153\u2014but we noted these separately instead of subtracting them from the total number of days of maintenance delays.", "To estimate costs associated with these delays, we analyzed annual data from fiscal years 2011 through 2017 (the most current data available at the time of our review) from the Navy\u2019s Visibility and Management of Operating and Support Costs system. We also reviewed prior work on determining the operating and support costs of Navy ships. The Navy calculates total operating and support expenditures for each attack submarine on an annual basis, as well as the yearly average expenditure for each attack submarine class, including Los Angeles class, Seawolf class, and Virginia class blocks one and two. For each class, we converted the Navy\u2019s annual class averages into daily average costs by adding the annual class averages together for each year that data were available, fiscal years 2011 through 2017, then dividing that number by the total number of days. We then multiplied the daily class average by the total number of days of maintenance delays and idle time incurred by submarines within that class, according to our calculations outlined above, between fiscal year 2008 and fiscal year 2018, and we added these totals together to produce the total estimated operating and support cost for days of maintenance delays and idle time incurred during this period. The data did not include annual class average costs for fiscal years 2008, 2009, 2010, or 2018. However, the annual class averages for fiscal years 2011 through 2017 did not show significant variation, so we applied these averages to 2008, 2009, 2010, and 2018.", "To assess the extent to which the Navy has addressed any challenges and developed mitigation plans for any maintenance delays, we reviewed the Navy\u2019s plans to address attack submarine maintenance delays and interviewed Navy headquarters, fleet, and squadron officials, attack submarine crews, and public and private shipyard officials to understand any plans to address attack submarine maintenance delays and idle time. We analyzed data on factors contributing to attack submarine maintenance delays, such as cannibalization rates. We visited three of the four public shipyards, including Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility, Portsmouth Naval Shipyard, and Norfolk Naval Shipyard, to observe operations, training, and the condition of the facilities and equipment, and to interview officials about challenges affecting operational efficiency and performance. We also met with Navy maintainers at Naval Station Norfolk and Naval Submarine Base New London, and with the crew of the submarine tenders USS Frank Cable (AS-40) and USS Emory S. Land (AS-39) in Guam. We toured the two private shipyards that conduct attack submarine repair work\u2014General Dynamics Electric Boat and Huntington Ingalls Industries-Newport News Shipbuilding\u2014and interviewed executives at both locations. We also toured attack submarines and met with crew leadership, selected according to which submarines and crews were available for tours at each of the sites we visited. We visited the USS Boise (SSN 764) at Naval Station Norfolk and four attack submarines in depot-level maintenance: the USS Albany (SSN 753), the USS Jefferson City (SSN 759), the USS New Mexico (SSN 779), and the USS Springfield (SSN 761). We met with the crews of two attack submarines assigned to the operating forces at the time of our visit, the USS Missouri (SSN 780) and the USS North Dakota (SSN 784). We evaluated the Navy\u2019s plans to address any challenges against criteria in federal standards for internal control, which state that agencies should evaluate performance in achieving key objectives and addressing risks; the Department of Defense\u2019s business case analysis guidebook, which provides standards for the process used to conduct analyses of costs, benefits, and risks; the Project Management Book of Knowledge, which provides best practices for project management; and the Secretary of the Navy\u2019s December 2017 Strategic Readiness Review, which calls for the early identification of systemic risks before problems occur.", "To assess the reliability of the data sources for conducting analyses to address all of the objectives in this report, we reviewed systems documentation and interviewed officials to understand system operating procedures, organizational roles and responsibilities, and error-checking mechanisms. We selected the time frames for each of the data series above after assessing their availability and reliability, to maximize the amount of data available for us to make meaningful comparisons. We assessed the reliability of each of the data sources. The Navy provided information based on our questions regarding data reliability, including information on an overview of the data, data-collection processes and procedures, data quality controls, and overall perceptions of data quality. The Navy provided documentation of how the systems are structured and what written procedures are in place to help ensure that the appropriate information is collected and properly categorized. Additionally, we interviewed Navy officials to obtain further clarification on data reliability, discuss how the data were collected and reported, and explain how we planned to use the data. We also conducted our own error checks to look for inaccurate or questionable data, and we discussed with officials any data irregularities we found. We conducted these assessments on the following data for attack submarines: Navy deployed and surge-ready submarines from fiscal years 2011 through 2018; maintenance timeliness from fiscal years 2000 through 2018; idle time from fiscal years 2008 through 2018; operating and support costs from fiscal years 2011 through 2017; and cannibalization rates from 2012 through 2017. Some of these data were used in prior reports, and their reliability had previously been assessed. After further assessing any data that we had not recently used, we determined that they were sufficiently reliable for the purposes of summarizing attack submarine readiness trends and related information.", "We interviewed officials, and where appropriate obtained documentation, at the following locations:", "Office of the Chief of Naval Operations", "Undersea Warfare Division (N97)", "Warfare Integration Division (N83)", "U.S. Fleet Forces Command", "Commander, Submarine Force, U.S. Atlantic Fleet", "Commander, Submarine Squadron 4", "Commander, Regional Support Group Groton", "Commander, Submarine Force, U.S. Pacific Fleet", "Commander, Submarine Squadron 1", "Commander, Submarine Squadron 7", "Commander, Submarine Squadron 15", "Naval Sea Systems Command (NAVSEA)", "Logistics, Maintenance, and Industrial Operations (NAVSEA 04)", "Program Executive Office, Submarines", "Attack Submarine Program Office (PMS 392)", "Submarine Maintenance Engineering, Planning, and Procurement (SUBMEPP)", "Supervisor of Shipbuilding, Conversion, and Repair (SUPSHIP)", "Newport News, Virginia", "Navy Education and Training Command", "Submarine Learning Facility Norfolk", "Navy Board of Inspection and Survey", "Norfolk Naval Shipyard, Norfolk, Virginia", "Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility, Pearl Harbor, Hawaii", "Portsmouth Naval Shipyard, Kittery, Maine", "Newport News Shipbuilding, Virginia, operated by Huntington Ingalls Industries", "Electric Boat, Groton, Connecticut, operated by General Dynamics The performance audit upon which this report is based was conducted from August 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We worked with DOD to prepare this unclassified version of the report for public release. This public version was also prepared in accordance with these standards."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Related GAO Products", "paragraphs": ["Report numbers with a C or RC suffix are Classified. Classified reports are available to personnel with the proper clearances and need to know, upon request.", "Columbia Class Submarine: Immature Technologies Present Risks to Achieving Cost Schedule and Performance Goals. GAO-18-158. Washington, D.C.: Dec. 21, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Affecting the Fleet. GAO-17-809T. Washington, D.C.: Sept. 19, 2017.", "Naval Shipyards: Actions Needed to Improve Poor Conditions that Affect Operations. GAO-17-548. Washington, D.C.: Sept. 12, 2017.", "Navy Readiness: Actions Needed to Address Persistent Maintenance, Training, and Other Challenges Facing the Fleet. GAO-17-798T. Washington, D.C.: Sept. 7, 2017.", "Military Readiness: DOD\u2019s Readiness Rebuilding Efforts May Be at Risk without a Comprehensive Plan. GAO-16-841. Washington, D.C.: Sept. 7, 2016.", "Navy and Marine Corps: Services Face Challenges to Rebuilding Readiness. GAO-16-481RC. Washington, D.C.: May 25, 2016. (SECRET//NOFORN)", "Military Readiness: Progress and Challenges in Implementing the Navy\u2019s Optimized Fleet Response Plan. GAO-16-466R. Washington, D.C.: May 2, 2016.", "Navy Force Structure: Sustainable Plan and Comprehensive Assessment Needed to Mitigate Long-Term Risks to Ships Assigned to Overseas Homeports. GAO-15-329. Washington, D.C.: May 29, 2015."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Suzanne Wren, Assistant Director; Chris Watson, Analyst in Charge; Herb Bowsher; Chris Cronin; Ally Gonzalez; Cynthia Grant; Carol Petersen; Amber Sinclair; and Cheryl Weissman made key contributions to this report."], "subsections": []}]}], "fastfact": ["Navy shipyards have been unable to keep up with maintenance demands for attack submarines. As a result, the Navy has spent $1.5 billion since 2008 to support submarines that it could not deploy.", "For example, the USS Boise has been docked for over 2 years while waiting for maintenance\u2014with the Navy paying to support it.", "The Navy has begun to hire more workers at its shipyards and, in some cases, has shifted more work to private shipyards.", "We recommended the Navy assess how to best use public and private shipyards to achieve the full benefit of the nation\u2019s investment in these submarines."]} {"id": "GAO-18-182", "url": "https://www.gao.gov/products/GAO-18-182", "title": "Federal Prisons: Information on Inmates with Serious Mental Illness and Strategies to Reduce Recidivism", "published_date": "2018-02-15T00:00:00", "released_date": "2018-02-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2016, SAMHSA estimated that about 10.4 million adults in the United States suffered from a serious mental illness, which generally includes conditions such as schizophrenia and bipolar disorder. As of May 27, 2017, BOP was responsible for overseeing 187,910 inmates and 7,831 of these inmates were considered to have a serious mental illness. Research has shown that inmates with serious mental illness are more likely to recidivate than those without.", "The 21st Century Cures Act directed GAO to report on the prevalence of crimes committed by persons with serious mental illness and the costs to treat these offenders\u2014including identifying strategies for reducing recidivism among these individuals. This report discusses (1) what is known about crimes committed by inmates with serious mental illness incarcerated by the federal and selected state governments; (2) what is known about the costs to the federal and selected state governments to incarcerate and provide mental health care services to those individuals; and (3) what strategies have the federal and selected state governments and studies identified for reducing recidivism among individuals with serious mental illness.", "GAO selected six states that varied in their adult incarceration rates and provided geographic diversity. At BOP and the six states' departments of corrections, GAO analyzed criminal offense and incarceration and mental health care cost data and interviewed officials about strategies for reducing recidivism for inmates with serious mental illness. The results from these six states are not generalizable, but provide insights. GAO also reviewed studies that analyzed the relationship between various programs and recidivism among offenders with mental illness."]}, {"section_title": "What GAO Found", "paragraphs": ["About two-thirds of inmates with a serious mental illness in the Department of Justice's (DOJ) Federal Bureau of Prisons (BOP) were incarcerated for four types of offenses\u2014drug (23 percent), sex offenses (18 percent), weapons and explosives (17 percent), and robbery (8 percent)\u2014as of May 27, 2017. GAO's analysis found that BOP inmates with serious mental illness were incarcerated for sex offenses, robbery, and homicide/aggravated assault at about twice the rate of inmates without serious mental illness, and were incarcerated for drug and immigration offenses at about half or less the rate of inmates without serious mental illness. GAO also analyzed available data on three selected states' inmate populations and the most common crimes committed by inmates with serious mental illness varied from state to state due to different law enforcement priorities, definitions of serious mental illness and methods of tracking categories of crime in their respective data systems.", "BOP does not track costs related to incarcerating or providing mental health care services to inmates with serious mental illness, but BOP and selected states generally track these costs for all inmates. BOP does not track costs for inmates with serious mental illness in part because it does not track costs for individual inmates due to resource restrictions and the administrative burden such tracking would require. BOP does track costs associated with mental health care services system-wide and by institution. System-wide, for fiscal year 2016, BOP spent about $72 million on psychology services, $5.6 million on psychotropic drugs and $4.1 million on mental health care in residential reentry centers. The six state departments of corrections each used different methods and provided GAO with estimates for different types of mental health care costs. For example, two states provided average per-inmate costs of incarceration for mental health treatment units where some inmates with serious mental illness are treated; however, these included costs for inmates without serious mental illness housed in those units.", "DOJ, Department of Health and Human Service's Substance Abuse and Mental Health Services Administration (SAMHSA), and criminal justice and mental health experts have developed a framework to reduce recidivism among adults with mental illness. The framework calls for correctional agencies to assess individuals' recidivism risk and substance abuse and mental health needs and target treatment to those with the highest risk of reoffending. To help implement this framework, SAMHSA, in collaboration with DOJ and other experts, developed guidance for mental health, correctional, and community stakeholders on (1) assessing risk and clinical needs, (2) planning treatment in custody and upon reentry based on risks and needs, (3) identifying post-release services, and (4) coordinating with community-based providers to avoid gaps in care. BOP and the six states also identified strategies for reducing recidivism consistent with this guidance, such as memoranda of understanding between correctional and mental health agencies to coordinate care. Further, GAO's literature review found that programs that reduced recidivism among offenders with mental illness generally offered multiple support services, such as mental health and substance abuse treatment, case management, and housing assistance."]}], "report": [{"section_title": "Letter", "paragraphs": ["Mental illness is widespread in the United States. According to figures from the Substance Abuse and Mental Health Services Administration (SAMHSA)\u2014an agency within the Department of Health and Human Services (HHS)\u2014an estimated 44.7 million adults in the United States suffered from a mental illness in 2016. Among those, about 10.4 million suffered from a serious mental illness, which generally includes conditions such as schizophrenia, bipolar disorder, major depression, and severe post-traumatic stress disorder (PTSD).", "At the federal and state levels, law enforcement components\u2014such as the Department of Justice\u2019s (DOJ) Federal Bureau of Prisons (BOP) and state departments of corrections\u2014are responsible for incarcerating individuals who are charged with or convicted of crimes. Some of these individuals have serious mental illness and require mental health care while incarcerated. Multiple U.S. courts over the years have determined that inmates have a constitutional right to adequate medical and mental health care. By statute, BOP is required to provide for suitable housing and the safekeeping, care, and subsistence of all persons charged with or convicted of offenses against the United States. As part of its duties, BOP is responsible for delivering adequate health care, including medical, dental, and mental health care, in a manner consistent with accepted community standards for a correctional environment. As of May 27, 2017, BOP incarcerated and was responsible for ensuring that about 187,910 inmates received medical and mental health care\u2014the agency considered 7,831 (4.2 percent) of these inmates to have a serious mental illness. See appendix I for the characteristics of BOP\u2019s inmate population with and without serious mental illness, as of May 27, 2017.", "Research has shown that inmates with serious mental illness are more likely to have higher rates of recidivism than those without. Further, inmates with co-occurring serious mental illness and substance use disorders are more likely to recidivate than those with serious mental illness alone.", "This report responds to the 21st Century Cures Act (Act), which directed us to report on the prevalence of crimes committed by persons with serious mental illness and the costs to treat the offenders\u2014including identifying strategies for reducing recidivism among individuals with serious mental illness. Specifically, this report addresses the following questions: 1. What is known about the crimes committed by inmates with serious mental illness who were incarcerated by the federal and selected state governments? 2. What is known about the costs to the federal and selected state governments to incarcerate and provide mental health services to incarcerated individuals with serious mental illness? 3. What strategies for reducing recidivism among individuals with serious mental illness have federal and selected state governments and studies identified?", "To address all three objectives, we reviewed documents, interviewed officials, and analyzed data obtained from BOP and selected states\u2019 departments of corrections. For objective 3, we also reviewed documents and interviewed officials from DOJ\u2019s Office of Justice Programs and HHS (SAMHSA and the National Institute of Mental Health). For purposes of this review, we based our work on the definitions of \u201cserious mental illness\u201d that are provided by each of the selected federal agencies and selected states\u2019 department of corrections. We selected six states based upon variation in the rate of incarcerated adults per capita to obtain a mix of states with high, medium, and low rates, specialist recommendations on data quality and quality of programs for inmates with serious mental illness, and variation in geography. Using these criteria, we selected California, New York, Ohio, Texas, Virginia, and Washington.", "To determine what types of crimes were committed by inmates with serious mental illness who were imprisoned by the federal government and selected state governments, we analyzed policies and guidance at BOP and the departments of corrections in selected states to determine how, if at all, the agencies define serious mental illness and the processes used to identify incarcerated inmates with serious mental illness. We also analyzed available data from BOP and the departments of corrections in selected states to identify the most serious types of crimes for which inmates with serious mental illness were convicted and incarcerated during fiscal year 2017. We focused on fiscal year 2017 as it was the most recent year of data available on BOP\u2019s population of inmates with serious mental illness. To assess the reliability of BOP\u2019s criminal offense data, tracked in BOP\u2019s SENTRY data system, we performed electronic data testing for obvious errors in accuracy and completeness and interviewed agency officials knowledgeable about the system to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report. We also interviewed officials from the selected state departments of corrections to determine the challenges they faced in recording, tracking, and maintaining data on inmates with serious mental illness, but we did not independently assess the internal controls associated with the selected states\u2019 data systems. We provided state level data as illustrative examples of the crimes committed by inmates with serious mental illness in selected states.", "To identify what is known about the costs to the federal government and selected state governments to incarcerate and provide mental health services to incarcerated individuals with serious mental illness, we interviewed officials from BOP\u2019s Reentry Services Division, Correctional Programs Division, Administration Division, Program Review Division, and Health Services Division, and the departments of corrections in selected states to discuss and obtain documentation on the processes and systems used to identify the costs to incarcerate and provide mental health services to inmates with serious mental illness\u2014including any challenges faced in tracking such costs. We obtained and analyzed BOP obligation data from fiscal year 2016, the last full year of cost data available, for the following budget categories for services related to mental illness: Psychology Services, psychotropic medications, and Residential Reentry Center mental health care costs. To assess the reliability of BOP\u2019s obligations data, we performed electronic testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about BOP\u2019s budget to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report.", "Additionally, we obtained and analyzed BOP data from the Psychology Data System (PDS) on the extent to which BOP personnel engaged in psychology services related to inmate psychological well-being during fiscal year 2016, to calculate the average psychology services interactions (by category) per inmate during fiscal year 2016. To assess the reliability of BOP\u2019s psychology services utilization services data, we performed electronic testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about BOP\u2019s psychology services to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report.", "To determine what strategies for reducing recidivism among individuals with serious mental illness have been identified by the federal government and selected state governments and in literature, we obtained and analyzed documents and interviewed officials from BOP and the selected states\u2019 corrections departments, as well as from DOJ and HHS organizations that support research, training, and programs related to mental health and recidivism. These DOJ organizations included the National Institute of Corrections within BOP, and the Bureau of Justice Assistance (BJA) and National Institute of Justice (NIJ) within the Office of Justice Programs. The HHS organizations included SAMHSA and the National Institute of Mental Health. We also interviewed subject matter specialists from the Council of State Governments Justice Center, Pew Charitable Trusts, and the Treatment Advocacy Center, which we selected to obtain perspectives from researchers and mental health and criminal justice organizations. Further, we conducted a literature review of studies that have sound methodologies and use primary data collection or secondary analysis to assess the impact of programs or interventions during incarceration or reentry on recidivism among adult offenders with mental illness. Appendix II contains a more detailed discussion of our objectives, scope, and methodology.", "We conducted this performance audit from February 2017 through February 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "BOP\u2019s Roles and Responsibilities in Providing Mental Health Care to Incarcerated Inmates", "paragraphs": ["To identity inmates with mental illness, BOP screens inmates prior to designation to a facility by reviewing an inmate\u2019s pre-sentence report and assigning preliminary medical and mental health screening levels. Once an inmate is designated to a BOP institution, the institution staff assesses inmates to provide an accurate mental health diagnosis and determination of the severity of any mental illness as well as determining their suicide risk. BOP also identifies the mental health needs of each inmate and matches the inmate to an institution with the appropriate resources. Institution mental health care levels range from 1 to 4, with 1 being institutions that care for the healthiest inmates and 4 being institutions that care for inmates with the most acute needs. Inmate mental health care levels are also rated in this manner from level 1 to level 4. After an inmate arrives at a BOP institution, during the admission and orientation process, every inmate receives information on mental health services available at that site. Table 1 identifies inmate mental health care levels and the percentage of all inmates by designated level. Throughout an inmate\u2019s incarceration, BOP psychologists, psychiatrists, and qualified mid-level practitioners (i.e., a physician assistant or nurse practitioner who is licensed in the field of medicine and possess specialized training in mental health care) can determine a new mental health care level following a review of records and a face-to-face clinical interview.", "BOP\u2019s Psychology Services Branch, which the Reentry Services Division oversees, provides most mental health services to inmates in BOP- operated institutions, including providing individualized psychological care and residential and non-residential treatment programs (Figure 1 shows BOP\u2019s organization for providing mental health services). BOP\u2019s Health Services Division manages psychiatry and pharmacy services. Most mental health treatment is provided in what BOP calls its mainline, or regular, institutions. Acutely ill inmates in need of psychiatric hospitalization, such as inmates suffering from schizophrenia or bipolar disorder, may receive these services at one of BOP\u2019s five medical referral centers, which provide inpatient psychiatric services as part of their mission. At BOP institutions, psychologists are available for formal counseling and treatment on an individual or group basis. In addition, staff in an inmate\u2019s housing unit is available for informal counseling. Psychiatric services available at the institution are enhanced by contract services from the community."], "subsections": []}, {"section_title": "BOP Criteria Used to Identify the Population of Inmates with Serious Mental Illness", "paragraphs": ["Prior to the passage of the 21st Century Cures Act, and at the beginning of our work, BOP defined serious mental illness in accordance with the agency\u2019s program statement\u2014which states that classification of an inmate as seriously mentally ill requires consideration of diagnoses; the severity and duration of symptoms; the degree of functional impairment associated with the illness; and treatment history and current treatment needs. In accordance with BOP\u2019s program statement, BOP used this guidance along with other variables to develop six criteria to identify the population of inmates with serious mental illness who were incarcerated in fiscal years 2016 and 2017\u2014the most recent fiscal years for which data on these criteria are available. The additional criteria to identify the population of inmates with serious mental illness are as follows: 1. Inmate was evaluated by BOP and assigned a mental health care level 3: An inmate requires enhanced outpatient mental health care such as weekly psychosocial intervention or residential mental health care. 2. Inmate was evaluated by BOP and assigned a mental health care level 4: An inmate requires acute care in a psychiatric hospital; the inmate is gravely disabled and cannot function in a general population environment. 3. Inmate was assigned a mental health study level 4: This indicated that the inmate was subject to a court ordered forensic study that required an inpatient setting. 4. Inmate was diagnosed to have one or more of 74 Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnoses, both active and in remission, that BOP considers a serious mental illness. 5. Inmate was evaluated by BOP and identified as having a chronic suicide risk, due to the inmate having a history of two or more suicide attempts. 6. Inmate was evaluated by BOP and assigned a psychology alert status. This designation was applied to inmates who were evaluated as having substantial mental health concerns and requiring extra care when changing housing or transferring institutions.", "On August 15, 2017, in a memorandum for the Comptroller General of the United States from the Acting Director of BOP, BOP defined \u201cserious mental illness\u201d for purposes of section 14016 of the 21st Century Cures Act as follows: Individuals with a serious mental illness are persons:", "Who currently or at any time during the past year,", "Have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the most current edition of the Diagnostic and Statistical Manual of Mental Disorders,", "That has resulted in functional impairment which substantially interferes with or limits one or more major life activities.", "The memorandum also stated that BOP may further operationalize this definition by identifying specific mental disorders which are to be classified as serious mental illness and providing examples of functional impairment specific to BOP\u2019s settings and/or populations. BOP officials indicated that BOP\u2019s program statement and the six criteria to identify the population of inmates with serious mental illness who were incarcerated in fiscal years 2016 and 2017 would coincide with the definition for \u201cserious mental illness\u201d provided in the memorandum for the Comptroller General of the United States for purposes of the 21st Century Cures Act and identify an identical set of BOP inmates with \u201cserious mental illness\u201d for fiscal years 2016 and 2017."], "subsections": []}, {"section_title": "Incarceration and Reentry Are Key Periods to Affect Recidivism", "paragraphs": ["The periods during incarceration in federal and state prisons and reentry into the community are considered to be key periods to implement interventions to reduce recidivism among individuals with serious mental illness, according to public health and correctional stakeholders. The Bureau of Justice Statistics has found that for all offenders, regardless of their mental health status, the highest rate of recidivism occurs during the first year after release from prison. Further, researchers have found that offenders with serious mental illness return to prison sooner than those without serious mental illness. Multiple factors may contribute to the cycle of repeated incarceration among individuals with serious mental illness. SAMHSA reports that individuals with mental illness face additional challenges upon reentering the community, including those associated with finding treatment providers, stable housing, and employment. Federal agencies have established interagency groups and other mechanisms to share information on how to address the challenges related to recidivism among offenders with serious mental illness. Examples of these information sharing mechanisms are described in appendix III.", "While the periods of incarceration and reentry are the focus of this review, there are other points in the criminal justice system where there are opportunities to intervene to prevent individuals with serious mental illness from becoming further involved with the system, such as during the initial law enforcement response or during court proceedings. Further, SAMHSA has identified connecting those in need of treatment to community mental health services before a behavioral health crisis begins as a way to prevent individuals with mental illness from becoming involved in the criminal justice system."], "subsections": []}]}, {"section_title": "The Type of Crimes Committed by Inmates with Serious Mental Illness Incarcerated by BOP and Selected States\u2019 Departments of Corrections Vary", "paragraphs": [], "subsections": [{"section_title": "BOP Inmates with Serious Mental Illness Were Incarcerated for Similar Crimes as BOP Inmates Without Serious Mental Illness, But Some Differences Exist", "paragraphs": ["About two-thirds of BOP inmates with a serious mental illness were incarcerated for four types of offenses\u2014drug offenses (23 percent), sex offenses (18 percent), weapons and explosives offenses (17 percent), and robbery (8 percent)\u2014as of May 27, 2017. As shown in figure 2, some differences in offenses exist between inmates with and without serious mental illness in BOP custody. Specifically, our analysis found that BOP inmates with serious mental illness were incarcerated for sex offenses, robbery, and homicide or aggravated assault at about twice the percentage of inmates without serious mental illness, and were incarcerated for drug and immigration offenses at about half or less the rate of inmates without serious mental illness.", "Additionally, we found some differences between BOP inmates with and without serious mental illness in the length and severity of sentences. Although a similar percentage of inmates with and without serious mental illness have life sentences (2.8 percent and 2.5 percent, respectively), a lower percentage of inmates with serious mental illness had sentences of 10 years or less (43.5 percent and 49.2 percent, respectively). About .06 percent (5 inmates) of inmates with serious mental illness and about .03 percent (52 inmates) of inmates without serious mental illness received a death sentence. See appendix I for additional information on the characteristics of BOP inmates with and without serious mental illness."], "subsections": []}, {"section_title": "The Most Common Types of Crimes Committed by Inmates with Serious Mental Illness Varied Among Selected States\u2019 Departments of Corrections", "paragraphs": ["Based on our analysis of available data provided by selected states\u2019 departments of corrections, the most common crimes committed by inmates with serious mental illness varied from state to state. The difference in types of crimes reported by states and BOP may be due to different priorities, laws, and enforcement priorities across the state and federal criminal justice systems, among other things. The federal and state governments also define serious mental illness differently, and they track different categories of crime in their respective data systems. The percentages and types of crimes committed by incarcerated inmates are shown in figures 3 through 5 below for three selected states\u2019 departments of corrections."], "subsections": [{"section_title": "New York", "paragraphs": ["The New York State Department of Corrections and Community Supervision (DOCCS) cared for 2,513 inmates with serious mental illness out of a total of 51,436 inmates as of December 31, 2016. Figure 3 shows the categories of offenses committed by inmates defined by DOCCS as having serious mental illness. Three out of four inmates with serious mental illness under the care of DOCCS were incarcerated for violent crimes. According to DOCCS program descriptions, diagnostic criteria for serious mental illness are: (1) an inmate is determined by the New York State Office of Mental Health to have specified mental health diagnoses; (2) an inmate is actively suicidal or has made a recent, serious suicide attempt; or (3) an inmate is diagnosed with serious mental illness, organic brain syndrome, or a severe personality disorder that is manifested in significant functional impairment such as acts of self-harm or other behaviors that have a serious adverse effect on life or on mental or physical health.", "The Virginia Department of Corrections cared for 527 inmates with serious mental illness out of a total of 30,052 inmates as of September 29, 2017. Figure 4 shows the crimes committed by inmates that Virginia defined as having serious mental illness. About one quarter of the inmates with serious mental illness in Virginia committed rape, sexual assault, and other assault crimes. Virginia policy defines an inmate with serious mental illness as an offender diagnosed with a psychotic disorder, bipolar disorder, major depressive disorder, PTSD or anxiety disorder, or any diagnosed mental disorder (excluding substance use disorders) currently associated with serious impairment in psychological, cognitive, or behavioral functioning that substantially interferes with the person\u2019s ability to meet the ordinary demands of living and requires an individualized treatment plan by a qualified mental health professional(s).", "The Washington Department of Corrections cared for 1,881 inmates with serious mental illness out of a total of 17,234 inmates as of June 30, 2017. Figure 5 shows the crimes committed by Washington inmates that Washington defined as having serious mental illness. About half of the inmates with serious mental illness in Washington committed assault or sex crimes. The Washington Department of Corrections defines serious mental illness as a substantial disorder of thought or mood which significantly impairs judgment, behavior, or capacity to recognize reality or cope with the ordinary demands of life within the prison environment and is manifested by substantial pain or disability. The Washington Department of Corrections\u2019 definition does not include inmates who are substance abusers or substance dependent\u2014including alcoholics and narcotics addicts\u2014or persons convicted of any sex offense, who are not otherwise diagnosed as seriously mentally ill."], "subsections": []}]}]}, {"section_title": "BOP Does Not Track Costs Related to Inmates with Serious Mental Illness but BOP and Selected States Generally Track Costs Related to Treating Inmates with Mental Illness", "paragraphs": [], "subsections": [{"section_title": "BOP Does Not Track Costs Related to Inmates with Serious Mental Illness", "paragraphs": ["According to BOP officials, the agency does not track costs specifically associated with inmates with serious mental illness due to resource restrictions and the administrative burden such tracking would require. BOP officials stated that BOP, unlike a hospital, is not structured to bill individual interactions; and noted that, generally, the correctional industry does not account for costs by tracking individual costs. BOP officials said that requiring BOP staff to gather individual cost data manually would be an extremely time consuming and burdensome process. In addition, BOP does not maintain the mental health care cost data necessary to calculate the individual inmate costs related to specific program areas (i.e., psychology and psychiatric services)."], "subsections": []}, {"section_title": "BOP Tracks Some Costs Related to Treating Inmates with Mental Illness", "paragraphs": ["BOP tracks the costs associated with incarcerating its overall inmate population and with providing mental health care services to inmates system-wide and separately by institution. For fiscal year 2016, BOP\u2019s institution-level data show that total incarceration costs vary by BOP institution (ranging from $15 million to over $247 million), for a number of reasons, including varying amounts of medical and mental health care available at each institution. Table 2 identifies BOP\u2019s costs for mental health care services provided to all inmates (including inmates with serious mental illness) for fiscal year 2016, the last year for which BOP had complete data during our audit work. The costs below are the most readily available BOP-wide costs directly related to mental health care. BOP\u2019s Psychology Services staff provides most inmate mental health services in BOP-operated institutions, including the provision of individualized psychological care. Psychotropic medication may be used to treat mental illness, although in some instances, BOP uses psychotropic medication to treat individuals with other kinds of health conditions. Residential Reentry Centers, also known as halfway houses, provide assistance to inmates nearing release, including some inmates with serious mental illness.", "BOP includes psychiatric treatment and services under medical care costs, but BOP does not track psychiatric costs separately. In July 2013, we reported that BOP also does not track its contractors\u2019 costs of providing mental health services to the 13 percent of BOP inmates housed in privately managed facilities. The performance-based, fixed- price contracts that govern the operation of BOP\u2019s privately managed facilities give flexibility to the contractors to decide how to provide mental health services.", "BOP tracks and maintains information on the number and types of inmate interactions with Psychology Services personnel. These interactions include clinical and non-clinical interactions between Psychology Services staff and inmates that may be crisis-oriented or routine, such as individual and group therapy. Based on our analysis of these data, in fiscal year 2016, BOP inmates with serious mental illness were more likely than other inmates to use 18 of the 20 services or programs tracked by Psychology Services. On average, we found that an inmate with serious mental illness had 9.6 clinical interventions compared to 0.24 clinical interventions for inmates without serious mental illness during fiscal year 2016. As a result, an average BOP inmate with serious mental illness was 40 times more likely to receive a clinical intervention than an average inmate without serious mental illness. BOP data do not capture the time and resources associated with any of the Psychology Services interactions; thus we cannot assign a cost value to differences between populations in receipt of these services. Appendix IV shows the extent to which BOP\u2019s inmate population received specific types of psychology services in fiscal year 2016."], "subsections": []}, {"section_title": "Selected States\u2019 Departments of Corrections Provided Estimated Costs for Inmate Mental Health Care", "paragraphs": ["The selected state departments of corrections provided us with estimates for different types of mental health care costs, but did not identify mental health care costs specifically for inmates with serious mental illness. Additionally, the states did not provide us with the total cost to incarcerate inmates with serious mental illness. For example, officials from one state said staff did not calculate costs separately for inmates with mental illness compared to inmates without mental illness as they did not believe an accurate comparison could be made. Officials from another state said that they did not track costs of incarceration or mental health services per inmate based on whether or not an inmate has mental illness, while officials from another state said they were not able to track costs for mental health services for inmates at the individual level. The selected state departments of corrections also used different methods to determine the costs of the mental health services they provided to their inmate population. For example:", "Two state departments of corrections provided us with the average per-inmate costs of incarceration for a mental health treatment unit or treatment center where some inmates with serious mental illness are treated, but these per-inmate costs also included incarceration costs for inmates without serious mental illness who were housed in these facilities.", "Another state department of corrections provided total psychotropic medication costs for all inmates and mental health care costs per offender. Mental health care costs per offender were averaged across all offenders, not exclusively those with serious mental illness.", "Two other states provided total costs for one budget item related to mental illness: total mental health program spending in one state, and psychiatric care expenditures in the other state. These costs were for all inmates, not exclusively for inmates with serious mental illness.", "Another state department of corrections provided an estimate for average mental health care costs per inmate with mental illness, but this estimate included all inmates diagnosed as having a mental illness, not exclusively those inmates diagnosed with serious mental illness."], "subsections": []}]}, {"section_title": "Targeting Treatments Based on Risk and Coordinating Transition Plans of Individuals with Serious Mental Illness Are among Strategies Identified by Federal and Selected State Agencies and Studies", "paragraphs": ["In 2012, the Council of State Governments Justice Center developed the Criminogenic Risk and Behavioral Health Needs Framework in collaboration with DOJ\u2019s National Institute of Corrections and Bureau of Justice Assistance, SAMHSA, and experts from correctional, mental health, and substance abuse associations. The framework is an approach to reduce recidivism and promote recovery among adults under correctional supervision with mental illness, substance use disorders, or both. It calls for correctional agencies to assess individuals\u2019 criminogenic risk (the risk of committing future crimes), substance abuse and mental health needs. The agencies are to use the results of the assessment to target supervision and treatment resources based on these risks and needs. Additionally, the framework states that individuals with the highest criminogenic risks should be prioritized for treatment to achieve the greatest effect on public safety outcomes.", "Mental health and substance abuse treatment There are a number of different approaches that can be tailored and combined to address an individual\u2019s mental health and substance abuse treatment needs. Examples include:", "Psychopharmacology.", "Approach that aims to address dysfunctional thoughts, moods, or behavior through time-limited counseling.", "To help implement the principles set forth in the framework, SAMHSA developed additional guidance in collaboration with the Council of State Governments Justice Center, the Bureau of Justice Assistance and experts from correctional, mental health, and substance abuse associations. This guidance is for mental health, correctional, and community stakeholders, and uses the Assess, Plan, Identify, Coordinate model to provide procedural guidelines to reduce recidivism and promote recovery at different points during incarceration and reentry. Table 3 below describes selected guidelines and examples of strategies that were identified by BOP and the six selected states that correspond to each element of the model.", "A residential treatment program for individuals with both substance use and mental disorders that uses a peer community to address substance abuse, psychiatric symptoms, cognitive impairments, and other common impairments. who are in recovery and have previously been involved in the criminal justice system provide support to others who are also involved in the criminal justice system.", "Forensic intensive case management. A case manager coordinates services in the community to help clients sustain recovery and prevent further involvement with the criminal justice system.", "Forensic Assertive Community Treatment (FACT). Treatment is coordinated by a multidisciplinary team, which may include psychiatrists, nurses, peer specialists, and probation officers. FACT teams have high staff-to-client ratios and are available around-the-clock to address clients\u2019 case management and treatment needs.", "Examples of Bureau of Prisons (BOP) and Selected State Strategies booking/intake process as feasible and throughout the criminal justice continuum to detect substance use disorders, mental disorders, co-occurring substance use and mental disorders, and criminogenic risk. Follow up with comprehensive assessment to guide program placement and service delivery. Assessment should include clinical needs, social support needs (e.g., housing, education, employment, and transportation), and risk factors.", "All six selected states and BOP have developed mental health assessments during the intake process. BOP officials stated that the agency is in the process of enhancing the predictive validity of its criminogenic risk assessment and expects to complete this project in 2018.", "One of the six selected states uses a multidisciplinary treatment team composed of a clinician, psychiatrist, and correctional counselor, to assess the treatment and programming needs of inmates with serious mental illness. In addition to mental health treatment, the multidisciplinary team assesses if the inmate is ready for and would benefit from institutional services such as academic and vocational education programs, work, or substance abuse counseling. These assessments occur at least annually, but may occur whenever an inmate\u2019s treatment needs have changed."], "subsections": [{"section_title": "Studies Indicate Some Promising Strategies to Reduce Recidivism Among Offenders with Mental Illness", "paragraphs": ["To identify strategies to reduce recidivism among offenders with mental illness during incarceration and reentry, we searched for studies that analyzed the relationship between programs and recidivism among offenders with mental illness. Our search identified about 200 publications. We used a systematic process to conduct the review, which appendix II describes in more detail. We ultimately identified 14 studies that (1) assessed correctional institution or reentry programs for offenders with mental illness implemented in the United States, (2) contained quantitative analyses of the effect of a program on recidivism, and (3) used sufficiently sound methodologies for conducting such analyses.", "The studies examined different kinds of recidivism outcomes (e.g., re- arrest, re-incarceration, reconviction) and one study often examined more than one recidivism outcome. We categorize the findings for each study as follows:", "Statistically significant reduction in recidivism: the study reported that one or more outcome measures indicated a statistically significant reduction in recidivism among program participants; the study may also have one or more recidivism outcome measures that were not statistically significant.", "Statistically significant increase in recidivism: the study reported that one or more outcome measures indicated a statistically significant increase in recidivism among program participants; the study may also have one or more recidivism outcome measures that were not statistically significant.", "No statistically significant effect on recidivism: the study reported only outcomes indicating no statistically significant effect on recidivism among program participants.", "The statistical significance finding categories are based on the effect of the program as a whole and do not indicate if or how all individual elements of the programs impacted recidivism. For additional information on recidivism findings, see appendices V and VI. See appendix VII for a bibliography of the studies.", "The results of the literature review provide insights into factors that can affect recidivism among individuals with mental illness; however, the following considerations should be taken into account: (1) the type of mental illness of program participants varied within and across programs making it difficult to generalize results to individuals with all types of mental illness; (2) the studies may not provide a full description of the programs; (3) not all participants may have used available program services; (4) studies assessed the programs as a whole and did not determine to what extent different elements of the programs impacted recidivism; and (5) some studies used designs which cannot control for all unobserved factors that could affect the recidivism results.", "Nine of the 14 studies we reviewed found statistically significant reductions in recidivism. The studies that found statistically significant reductions generally involved programs that offered multiple support services, as shown in figure 6. Providing mental health and substance abuse treatment (8 of 9 studies), case management (5 of 9 studies), release planning (5 of 9 studies), housing (6 of 9 studies) and employment assistance (4 of 9 studies) were the most common services across the programs where studies we reviewed found statistically significant reductions in recidivism. In addition, more than half of the programs that resulted in statistically significant reductions in recidivism were coordinated with multidisciplinary stakeholders, such as mental health providers, correctional officials, substance use specialists, social workers, and peer support specialists (7 of 9 studies), and community corrections agencies, such as probation or parole offices (6 of 9 studies). However, other studies found that programs that offered multiple support services did not reduce recidivism, suggesting that other factors may also affect recidivism. Such factors may include the extent to which participants used services, as well as other unique programmatic factors, such as addressing criminogenic risk or criminal thinking. We further discuss examples of programs that did and did not reduce recidivism below.", "For example, study 9 examined Washington\u2019s Dangerously Mentally Ill Program, in which a multidisciplinary committee determines which offenders meet the program criteria of having a mental illness and are at high risk of being dangerous to themselves or others six months prior to their release from prison. Members of the committee include representatives from the Department of Social and Health Services, Department of Corrections, law enforcement, and community mental health and substance abuse treatment agencies. Offenders designated for participation are immediately assigned a community mental health treatment provider and receive special transition planning prior to their release from prison. After release, and for up to five years, a variety of services are available to participants based on assessed needs. Services may include mental health and substance abuse treatment, housing and medical assistance, training, and other support services. Researchers found that program participants were about 42 percent less likely to be reconvicted of a new felony than similar offenders in the comparison group four years after release (recidivism rates were 28 percent and 48 percent, respectively).", "Two other studies (numbers 3 and 6) evaluated Colorado\u2019s Modified Therapeutic Community, a residential program that was provided both as a 12-month prison program and 6-month reentry program after release from prison for offenders with co-occurring mental illness and substance use disorders. Participants may have participated in only the prison program, only the reentry program, or both. Both programs use a cognitive-behavioral curriculum designed to help participants recognize and respond to the interrelationship of substance abuse, mental illness, and criminality and to use strategies for symptom management. The reentry program was coordinated with the community corrections agency, which provided the residential facility and monitored medication and compliance with parole terms for both participants and the comparison group. The reentry program also assisted with housing placement and employment. Researchers found that both the prison program and the reentry program resulted in statistically significant reductions in recidivism among participants. Specifically, the studies found that at 12 months post- release, prison program participants had a 9 percent reincarceration rate versus a 33 percent rate for the comparison group that did not participate in either program; and reentry program participants had a 19 percent reincarceration rate versus 38 percent for the comparison group. Further, researchers found that those who participated in both the prison and reentry program experienced the greatest reductions in recidivism, with a reincarceration rate of 5 percent versus a rate of 33 percent for the comparison group that did not participate in either program 12 months after release from prison.", "Studies that did not find a reduction in recidivism also provide insights on factors that may affect recidivism. For example, study 10 examined a Washington program to help enroll inmates with severe mental illness in Medicaid prior to their release from prison and found that jail and prison stays were higher among program participants than non-participants. The researchers hypothesized that receiving mental health treatment may have led to more interaction with authorities, putting participants at a greater risk of being caught violating the terms of their parole than non- participants. There was some evidence to support this: they found that most of the difference in prison days between participants and non- participants was the result of noncompliance with conditions of parole (technical violations) rather than the commission of new crimes. Further, the researchers conclude that Medicaid benefits alone are not enough to reduce arrests or keep people with severe mental illness out of jail or prison.", "In addition, study 11 examined Minnesota\u2019s release planning services for inmates with serious and persistent mental illness, which provided some of the same types of services as the programs that did reduce recidivism. For example, while incarcerated, inmates were provided pre-release planning to address vocational, housing, chemical dependency, psychiatric, disability, medical, medication, and transportation needs. However, this program did not result in any significant reduction in recidivism. The researchers conclude that including programming to target criminogenic risks and providing a continuum of care from the institution to the community, instead of only providing services in the institution, may make the program more effective at reducing recidivism."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ and HHS for review and comment. DOJ and HHS did not provide official written comments or technical comments.", "We are sending copies of this report to the Assistant Attorney General for Administration, Department of Justice, the Secretary of Health and Human Services, selected congressional committees, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or maurerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Characteristics of the Federal BOP\u2019s Inmate Population with and without Serious Mental Illness, as of May 27, 2017", "paragraphs": ["The population of Federal Bureau of Prisons (BOP) inmates with and without serious mental illness varies in several characteristics, see table 4."], "subsections": []}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["To address all three objectives, we reviewed documents, interviewed officials, and analyzed data obtained from the Federal Bureau of Prisons (BOP) and selected states\u2019 departments of corrections. For objective 3, we also reviewed documents and interviewed officials from the Department of Justice\u2019s (DOJ) Office of Justice Programs and the Department of Health and Human Services\u2019 (HHS) Substance Abuse and Mental Health Services Administrations (SAMHSA) and the National Institute of Mental Health. We selected six state departments of corrections (California, New York, Ohio, Texas, Virginia, and Washington) based upon variation in the rate of incarcerated adults per capita to obtain a mix of states with high, medium, and low rates, specialist recommendations on data quality and quality of programs for inmates with serious mental illness, and variation in geography. We contacted officials from SAMHSA and the National Institute of Mental Health and representatives from correctional accreditation organizations, as well as subject matter specialists from Pew Charitable Trusts and the Treatment Advocacy Center that we identified through previous work and asked for their recommendations of states that, in their view, had reliable data sources on the number of incarcerated individuals with serious mental illness and the costs of providing mental health services, as well as noteworthy programming for inmates with serious mental illness. The results from these six states are not generalizable, but provide insights. For purposes of this review, we based our work on the definition(s) of serious mental illness that are provided by each of the selected federal agencies and selected states\u2019 departments of corrections. We analyzed policies and guidance at BOP and the departments of corrections in selected states to determine how, if at all, the agencies define serious mental illness and the processes used to identify incarcerated inmates with serious mental illness. To determine the population of inmates with serious mental illness for the purposes of our work, BOP operationalized its definition of serious mental illness using six criteria, covering the required degree of mental health care, mental illness diagnoses, and suicide risk. BOP defined \u201cserious mental illness\u201d in accordance with the agency\u2019s program statement, BOP Program Statement 5310.16, Treatment and Care of Inmates with Mental Illness, May 1, 2014. On August 15, 2017, in a memorandum for the Comptroller General of the United States from the Acting Director of BOP, BOP defined \u201cserious mental illness\u201d for purposes of section 14016 of the 21st Century Cures Act. BOP officials indicated that BOP\u2019s program statement and the six criteria to identify the population of inmates with serious mental illness who were incarcerated in fiscal years 2016 and 2017 would coincide with the definition for \u201cserious mental illness\u201d provided in the memorandum for the Comptroller General of the United States for purposes of the 21st Century Cures Act and identify an identical set of BOP inmates with \u201cserious mental illness\u201d for fiscal years 2016 and 2017. BOP applied these criteria to inmate information in its SENTRY, Bureau Electronic Medical Record (BEMR), and Psychology Data System (PDS) data systems to identify inmates with serious mental illness. To assess the reliability of the these data, we performed electronic data testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about these systems to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for identifying the population of BOP inmates with serious mental illness, for the purposes of this report.", "To determine what types of crimes were committed by inmates with serious mental illness who were incarcerated by the federal and selected state governments we analyzed available data from BOP and the departments of corrections in selected states on the most serious types of crimes for which inmates with serious mental illness were incarcerated during fiscal year 2017. BOP officials track and maintain information on the types of crimes for which inmates have been incarcerated via SENTRY. We interviewed officials from BOP\u2019s Office of Research and Evaluation, Reentry Services Division, and Correctional Programs Division to discuss the number and types of crimes committed by BOP inmates with serious mental illness. To assess the reliability of BOP\u2019s criminal offense data, tracked in BOP\u2019s SENTRY system, we performed electronic data testing for obvious errors in accuracy and completeness, and interviewed agency officials from BOP\u2019s Office of Research and Evaluation knowledgeable about BOP\u2019s inmate tracking system to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report. We also interviewed and received written responses from officials from the selected state departments of corrections to determine the challenges they faced in recording, tracking, and maintaining data on inmates with serious mental illness, but we did not independently assess the internal controls associated with the selected states\u2019 data systems. We provided state level data as illustrative examples of the crimes committed by inmates with serious mental illness in selected states.", "To identify what is known about the costs to the federal and selected state governments to incarcerate and provide mental health services to incarcerated individuals with serious mental illness, we interviewed and received written responses from officials from BOP\u2019s Reentry Services Division, Correctional Programs Division, Administration Division, Program Review Division, and Health Services Division, and the departments of corrections in selected states to discuss and obtain documentation on the processes and systems used to track the costs to incarcerate and provide mental health services to inmates with serious mental illness, and obtain their perspectives on the challenges faced, if any, in tracking such costs. We analyzed BOP obligation data from fiscal year 2016 for the following budget categories: Psychology Services, psychotropic medications, and Residential Reentry Center mental health care costs. We included these obligation categories as indicators of BOP mental health care costs because our prior work identified that these services were used by inmates with mental illness. To assess the reliability of BOP\u2019s obligations data, we performed electronic testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about BOP\u2019s budget to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report. In response to our inquiries, the selected states provided various data on costs to incarcerate and provide mental health care to inmates under their supervision. We did not independently assess the internal controls associated with the selected states\u2019 data systems. We provided state level data as illustrative examples of the manner in which state correctional agencies tracked costs of incarceration and mental health care services for inmates under their supervision.", "Additionally, we obtained and analyzed BOP data from PDS on the extent to which inmates interacted with Psychology Services personnel and programs during fiscal year 2016, to calculate the average psychology services interactions (by category) per inmate during fiscal year 2016. To assess the reliability of BOP\u2019s psychology services utilization services data, we performed electronic testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about BOP\u2019s psychology services to determine the processes in place to ensure the integrity of the data. We determined that the data were sufficiently reliable for the purposes of this report.", "To determine what strategies for reducing recidivism among individuals with serious mental illness have been identified by the federal and selected state governments and in literature, we obtained and analyzed documents and interviewed officials from BOP and the selected states\u2019 corrections departments, as well as from DOJ and HHS organizations that support research, training, and programs related to mental health and recidivism. These DOJ organizations included the National Institute of Corrections, within BOP, and the Bureau of Justice Assistance and National Institute of Justice, within the Office of Justice Programs. The Department of Health and Human Services (HHS) organizations included SAMHSA and the National Institute of Mental Health. We also interviewed subject matter experts from the Council of State Governments Justice Center, Pew Charitable Trusts, and the Treatment Advocacy Center, which we selected to obtain perspectives from researchers and mental health and criminal justice organizations."], "subsections": [{"section_title": "Literature Review", "paragraphs": ["Further, we conducted a literature review of studies that have sound methodologies and use primary data collection or secondary analysis to assess the impact of programs or interventions during incarceration or reentry on recidivism among adult offenders with mental illness. To identify relevant studies, we took the following steps: 1. A GAO research librarian conducted searches of various research databases and platforms including ProQuest, MEDLINE, PsycINFO, Social SciSearch, and Scopus, among others, to identify scholarly and peer reviewed publications; government reports; and publications by trade associations, nonprofits and think tanks from 2008 through 2017, a period chosen to identify a comprehensive set of relevant and timely research. 2. We identified and reviewed selected additional studies that were cited within literature reviews, meta analyses and studies referenced on information-sharing websites, including the Council of State Governments\u2019 \u201cWhat Works in Reentry\u201d website, National Institute of Justice\u2019s \u201cCrime Solutions\u201d website, and SAMHSA\u2019s Registry of Evidence Based Practices and Programs, and other secondary sources published from 2000 through 2017. We chose this time period to ensure we identified key older, reliable studies we may have missed by virtue of our database search timeframe. We identified these secondary resources during the course of our audit through the previously discussed database search, interviews with agency officials and representatives from research, criminal justice, and mental health organizations, and by reviewing websites of relevant agencies.", "The literature search produced about 200 publications. To select studies that were relevant to our research objective two reviewers independently assessed the abstracts for each publication using the following criteria: 1. Program studied was implemented in the U.S. 2. Study described in the publication includes original data analysis to assess the impact of a program for adults with mental illness on recidivism.", "For those that met the above two criteria we obtained and reviewed the full text of the publication, using the same criteria. We also further categorized the studies that met the two criteria above into the following categories: 1) studies that evaluated programs implemented during the period of incarceration or reentry, 2) studies that evaluated programs meant to divert individuals with serious mental illness from jail or prison (e.g., mental health courts) and 3) other, for those interventions that did not fall into either of these categories. As our review focused on strategies to reduce recidivism during incarceration and reentry, we excluded the studies on diversion programs (the second category). We evaluated the 31 studies that fell into the incarceration and reentry and the other categories using a data collection instrument. The data collection instrument captured information on the elements of the program, the recidivism effects, and the study\u2019s methodology. The data collection instrument was initially filled out by one individual and then verified for accuracy by another individual; any differences in the individuals\u2019 assessments were discussed and reconciled.", "To determine if the findings of the 31 studies should be included in our review of the literature, the study reviewers conferred regarding each study and assessed if: 1) the study was sufficiently relevant to the objective; and 2) the study\u2019s methodology was sufficiently rigorous. With regard to the study\u2019s relevance, we included studies that evaluated: a program for individuals with mental illness incarcerated in prison or jail or provided directly upon release from prison or jail; or a program for individuals with mental illness that is not provided in a prison, jail, or directly upon release from prison or jail (e.g., in a psychiatric hospital or in the community after a psychiatric hospitalization), but is hypothesized to impact criminal justice involvement and could potentially be applied in a correctional setting.", "With regard to methodological rigor, two GAO methodologists used generally accepted social science standards to assess the design and analytic strategy of each study to ensure analyses were sufficiently sound to support the results and conclusions. Specifically, the methodologists examined such factors as how the effects of the programs were isolated (i.e., use of comparison groups and statistical controls); the appropriateness of treatment and comparison group selection, if used; and the statistical analyses used.", "As a result of this process, we found 18 studies within the scope of our review that used sufficiently sound methodologies. Some studies used a randomized controlled trial methodology or quasi-experimental research designs, and some studies used non-experimental designs to compare recidivism outcomes for a single population before and after the intervention. These studies used various recidivism measures, and some used more than one measure. For each of the 18 studies, we reviewed the study\u2019s findings related to recidivism, and categorized the findings based on statistical significance as follows:", "Statistically significant reduction in recidivism: the study reported that one or more outcome measures indicated a statistically significant reduction in recidivism among program participants; the study may also have one or more recidivism outcome measures that were not statistically significant.", "Statistically significant increase in recidivism: the study reported that one or more outcome measures indicated a statistically significant increase in recidivism among program participants; the study may also have one or more recidivism outcome measures that were not statistically significant.", "No statistically significant effect on recidivism: the study reported only outcomes indicating no statistically significant effect on recidivism among program participants.", "For a list of the 18 studies, see appendix VII.", "We conducted this performance audit from February 2017 through February 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix III: Federal Information Sharing Mechanisms to Address Recidivism among Individuals with Serious Mental Illness", "paragraphs": ["Federal agencies have established interagency groups and other mechanisms, such as web-based resources, to share information related to correctional mental health and reducing recidivism among individuals with serious mental illness, among other things. Examples of these information sharing mechanisms are described in table 5 below."], "subsections": []}, {"section_title": "Appendix IV: Federal Bureau of Prisons (BOP) Psychology Services Utilization Data for Incarcerated Inmates, Fiscal Year 2016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Findings of Studies Examining the Recidivism Effects of Non-Correctional Programs for Individuals with Mental Illness", "paragraphs": ["Our literature review also identified four studies that met the criteria of (1) containing quantitative analyses of the effect of a program for individuals with mental illness on recidivism, and (2) using sufficiently sound methodologies for conducting such analyses; but were in non-correctional settings, such as in a psychiatric hospital or in the community after a psychiatric hospitalization. While the findings from these studies may not be generalizable to a correctional setting, they may offer insights on effective strategies for reducing recidivism, as many of the program participants had a history of involvement with the criminal justice system.", "As shown in figure 7, half (2 of 4) of the studies found statistically significant reductions in recidivism. The non-correctional programs that were found to reduce recidivism included some of the same elements as the correctional programs that reduced recidivism, including mental health treatment (2 of 2 studies), substance abuse treatment (1 of 2 studies), case management (2 of 2 studies), release planning (1 of 2 studies), employment assistance (2 of 2 studies), housing assistance (1 of 2 studies), and multidisciplinary coordination among mental health providers, substance use specialists, social workers, and/or peer support specialists, for example (1 of 2 studies). However, similar to the literature on correctional programs, there were also studies that found that programs that offered multiple support services did not reduce recidivism, suggesting other factors may affect recidivism; such factors may include the extent to which participants used services, as previously noted, as well as other unique programmatic factors. We further discuss examples of programs that did and did not reduce recidivism below.", "For example, study 15 evaluated New York\u2019s Assisted Outpatient Treatment, a court-ordered treatment program for individuals with mental illness and a history of multiple hospitalizations or violence toward self or others. Individuals entering the program are assigned a case manager and prioritized for enhanced services that include housing and vocational services. Researchers found that the comparison group who never received Assisted Outpatient Treatment had nearly double the odds (odds ratio of 1.91) of being arrested than program participants during and shortly after the period of assignment to the program.", "The programs that were found not to reduce recidivism also provide some insights into factors that affect recidivism. For example, study 18 evaluated a Pennsylvania-based modified outpatient therapeutic community treatment program for individuals with co-occurring substance use disorder and emotional distress or mental illness and found that it had no significant effect on recidivism. Researchers attributed this finding to the program\u2019s emphasis on substance use rather than on addressing criminogenic risks."], "subsections": []}, {"section_title": "Appendix VI: Literature Review Findings for Selected Recidivism Measures", "paragraphs": ["The 14 studies we identified through our literature review that (1) assessed correctional institution or reentry programs for offenders with mental illness implemented in the United States (2) contained quantitative analyses of the effect of a program on recidivism, and (3) used sufficiently sound methodologies for conducting such analyses, used a number of different recidivism outcome measures, and some assessed more than one recidivism outcome measure. Tables 7, 8, and 9 below show the recidivism results for studies that measured reincarceration rates, reconviction rates, and number of days in jail or prison, which were reported by multiple studies. These do not represent all recidivism findings; some studies used other recidivism measures such as the number of arrests or convictions, odds ratio or hazard ratio of reincarceration, and self-reported criminal activity."], "subsections": []}, {"section_title": "Appendix VII: Bibliography", "paragraphs": ["This bibliography contains citations for the 18 studies we reviewed regarding programs for individuals with mental illness that may affect recidivism. (See appendix II for more information about how we identified these studies.) Following the citation we include the study numbers that we used to reference the study earlier in this report.", "Burke, C. and S. Keaton. San Diego County\u2019s Connections Program Board of Corrections Final Report. San Diego, CA: SANDAG, June 2004. (Study 1)", "Chandler, D.W. and G. Spicer. \u201cIntegrated Treatment for Jail Recidivists with Co-occuring Psychiatric and Substance Use Disorders.\u201d Community Mental Health Journal, vol. 42, no. 4 (2006):405-425. (Study 2)", "Compton, M.T., M.E. Kelley, A. Pope, K. Smith, B. Broussard, T.A. Reed, J.A. DiPolito, B.G. Druss, C. Li, and N.L. Haynes. \u201cOpening Doors to Recovery: Recidivism and Recovery Among Persons With Serious Mental Illnesses and Repeated Hospitalizations.\u201d Psychiatric Services, vol. 62, no. 2 (2016): 169-175. (Study 17)", "Cusack, K.J., J.P. Morrissey, G.S. Cuddleback, A. Prins, and D.M. Williams. \u201cCriminal Justice Involvement, Behavioral Health Service Use, and Costs of Forensic Assertive Community Treatment: A Randomized Trial.\u201d Community Mental Health Journal, vol. 46 (2010): 356-363. (Study 4)", "Duwe, G. \u201cDoes Release Planning for Serious and Persistent Mental Illness Offenders Reduce Recidivism? Results From an Outcome Evaluation.\u201d Journal of Offender Rehabilitation, vol. 54, no. 1 (2015): 19- 36. (Study 11)", "Link, B.G., M.W. Epperson, B.E. Perron, D.M. Castille, and L.H. Yang. \u201cArrest Outcomes Associated with Outpatient Commitment in New York State.\u201d Psychiatric Services, vol. 62, no. 5 (2011): 504-508. (Study 15)", "Mayfield, J. The Dangerous Mentally Ill Offender Program: Four-Year Felony Recidivism and Cost Effectiveness. Olympia, WA: Washington State Institute for Public Policy, February 2009. (Study 9)", "Morrissey, J.P., G.S. Cuddeback, A.E. Cuellar, and H.J. Steadman. \u201cThe Role of Medicaid Enrollment and Outpatient Service Use in Jail Recidivism Among Persons with Severe Mental Illness.\u201d Psychiatric Services, vol. 58, no. 6 (2007):794-801. (Study 5)", "Morrissey, J.P., M.E. Domino, and G.S. Cuddeback. \u201cExpedited Medicaid Enrollment, Mental Health Service Use, and Criminal Recidivism Among Released Prisoners With Severe Mental Illness.\u201d Psychiatric Services, vol. 67, no. 8 (2016): 842-849. (Study 10)", "Sacks, J.Y., K. McKendrick, and Z. Hamilton. \u201cA Randomized Clinical Trial of a Therapeutic Community Treatment for Female Inmates: Outcomes at 6 and 12 Months After Prison Release.\u201d Journal of Addictive Diseases, vol. 31, no. 3 (2012): 258-269. (Study 7)", "Sacks, S., M. Chaple, J.Y. Sacks, K. McKendrick, C.M. Cleland. \u201cRandomized Trial of a Reentry Modified Therapeutic Community for Offenders with Co-Occuring Disorders: Crime Outcomes.\u201d Journal of Substance Abuse Treatment, vol. 42 (2012): 247-259. (Study 3)", "Sacks, S, K. McKendrick, J.Y. Sacks, S. Banks, M. Harle. \u201cEnhanced Outpatient Treatment for Co-Occurring Disorders: Main Outcomes.\u201d Journal of Substance Abuse Treatment, vol. 34 (2008): 48-60. (Study 18)", "Sacks, S., J.Y. Sacks, K. McKendrick, S. Banks, and J. Stommel. \u201cModified TC for MICA Offenders: Crime Outcomes.\u201d Behavioral Sciences and the Law, vol. 22 (2004): 477-501. (Study 6)", "Taylor, N. An Analysis of the Effectiveness of Santa Clara County\u2019s Mentally Ill Offender Crime Reduction Program. Anne Arbor, MI: ProQuest Information and Learning Company, May 2005. (Study 14)", "Theurer, G. and D. Lovell. \u201cRecidivism of Offenders with Mental Illness Released from Prison to an Intensive Community Treatment Program.\u201d Journal of Offender Rehabilitation, vol. 47, no. 4 (2008): 385-406. (Study 8)", "Van Stelle, K.R., and D.P. Moberg. \u201cOutcome Data for MICA Clients After Participation in an Institutional Therapeutic Community.\u201d Journal of Offender Rehabilitation, vol. 39 no.1 (2004): 37-62. (Study 12)", "Yates, K.F., M. Kunz, A. Khan, J. Volavka, and S. Rabinowitz. \u201cPsychiatric Patients with Histories of Aggression and Crime Five Years after Discharge from a Cognitive-Behavioral Program.\u201d The Journal of Forensic Psychiatry and Psychology, vol. 21, no. 2 (2010):167-188. (Study 16)", "Zlotnick, C., J. Johnson, and L.M. Najavits. \u201cRandomized Controlled Pilot Study of Cognitive-Behavioral Therapy in a Sample of Incarcerated Women with Substance Use Disorder and PTSD.\u201d Behavior Therapy, vol. 40 (2009): 325-336. (Study 13)"], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Tom Jessor (Assistant Director); Frederick Lyles, Jr. (Analyst-in-Charge); Pedro Almoguera; David Blanding, Jr.; Billy Commons, III; Thomas C. Corless; Dominick Dale; Michele Fejfar; Eric Hauswirth; Valerie Kasindi; Heather May; Leia J. Dickerson; Sam Portnow; and Cynthia Saunders all made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-80", "url": "https://www.gao.gov/products/GAO-19-80", "title": "Grade-Crossing Safety: DOT Should Evaluate Whether Program Provides States Flexibility to Address Ongoing Challenges", "published_date": "2018-11-08T00:00:00", "released_date": "2018-11-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Crashes at highway-rail grade crossings are one of the leading causes of railroad-related deaths. According to FRA data, in 2017, there were more than 2,100 crashes resulting in 273 fatalities. Since 2009 crashes have occurred at a fairly constant rate. The federal government provides states funding to improve grade-crossing safety through FHWA's Section 130 Program. The persistence of crashes and deaths raises questions about the effectiveness of the federal grade-crossing-safety program.", "GAO was asked to review federal efforts to improve grade-crossing safety. This report examines: (1) the focus of FRA's grade-crossing-safety research, (2) how states select and implement grade-crossing projects and what data are available from FRA to inform their decisions, and (3) the challenges states reported in implementing and assessing projects and the extent to which FHWA assesses the program's effectiveness. GAO analyzed FRA data; reviewed FRA's, FHWA's, and states' documents; reviewed a study of states' selection of projects; and interviewed FRA and FHWA headquarters and field staff, and officials from a non-generalizable sample of eight states, selected to include a mix in the number of grade crossings and crashes, and geographic diversity."]}, {"section_title": "What GAO Found", "paragraphs": ["Research sponsored by the Federal Railroad Administration (FRA) has identified driver behavior as the main cause of highway-rail grade crossing crashes and that factors such as train and traffic volume can contribute to the risk of a crash. (See figure.) Over 70 percent of fatal crashes in 2017 occurred at grade crossings with gates.", "To meet the requirements of the federal grade-crossing program, states are responsible for selecting and ensuring the implementation of grade-crossing improvement projects. Most state DOT officials and other relevant transportation officials use local knowledge of grade crossings to supplement the results of models that rank grade crossings based on the risk of an accident. These states generally consider the same primary risk factors, such as vehicle and train traffic. FRA is taking steps to improve the data used in its model to help states assess risk factors at grade crossings. For example, FRA's grade-crossing inspectors will review and identify issues with railroad- and state-reported inventory data. FRA is currently developing guidelines, which it plans to finalize by the end of 2018, to implement these inspections as it has for other types of FRA inspections.", "Officials we spoke with in eight states reported challenges in pursuing certain types of projects that could further enhance safety, in part because of federal requirements. While safety has improved, many crashes occur at grade crossings with gates, and officials said there could be additional ways to focus program requirements to continue improving safety. States' and the Federal Highway Administration's (FHWA) reporting focuses on the program's funding and activity, such as the number and types of projects, yet the low number of crashes makes it difficult to assess the effectiveness of projects in reducing crashes and fatalities. FHWA reports the program has been effective in reducing fatalities by about 74 percent since 1975. However, since 2009, annually there have been about 250 fatalities\u2014almost one percent of total highway fatalities. FRA expects future crashes to grow, in part, due to the anticipated increase in rail and highway traffic. An evaluation of the program should consider whether its funding and other requirements allow states to adequately address ongoing safety issues. FHWA officials said they are not required to perform such evaluations. GAO has previously reported on the importance of program evaluations to determine the extent to which a program is meeting its objectives. An evaluation of the program could lead FHWA to identify changes that could allow states to more strategically address problem areas."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FHWA evaluate the program's requirements to determine if they allow states the flexibility to address ongoing safety issues. The Department of Transportation concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. railroad system consists of a vast network of operations. More than 780 railroads operate on 220,000 miles of track\u2014including about 210,000 highway-rail at-grade crossings (hereafter \u201cgrade crossings\u201d) meaning where public or private roads intersect with the tracks at the same level as the roadway. Crashes at grade crossings are one of the leading causes of railroad-related deaths and injuries, accounting for about 30 percent of railroad-related fatalities. One recent crash\u2014still under investigation\u2014occurred on January 31, 2018, when a chartered Amtrak train carrying members of Congress hit a refuse truck at a grade crossing near Crozet, Virginia. According to the National Transportation Safety Board\u2019s (NTSB) preliminary report, the crossing was equipped with lights and gates to warn of a train\u2019s presence, but witnesses reported the truck drove around the gates prior to the accident.", "Federal investments in grade-crossing safety improvement have noticeably reduced the number of deaths and injuries at public grade crossings. According to the Federal Railroad Administration\u2019s (FRA) data, since FRA began measuring in 1975, crashes at grade crossings have declined by over 80 percent and fatalities have dropped 70 percent. Crashes have leveled off in recent years, and since 2009, the number of grade-crossing crashes and fatalities has hovered at around 2,100 crashes and 250 fatalities per year. However, FRA expects future crashes to grow, in part, because of the anticipated increase in rail and highway traffic. The persistence of crashes and deaths raises questions as to whether improvements could be made to increase the effectiveness of FRA\u2019s rail-safety oversight activities and states\u2019 use of federal grade- crossing safety improvement funds.", "Within the U.S. Department of Transportation (DOT), the Federal Highway Administration (FHWA) and FRA are the two federal agencies primarily responsible for improving and overseeing safety at public grade crossings. FHWA\u2019s Railway-Highway Crossings Program (commonly referred to as the Section 130 Program) is the primary federal program for providing states, through a statutory formula, funding to address safety at grade crossings. FRA oversees railroad safety, including the safety of rail operations at grade crossings. FRA also awards safety discretionary grants to states, local governments, and other public entities to address rail planning, infrastructure, and safety issues. While these grants are not specifically targeted for grade-crossing safety, they may include improvements to rail-highway crossing safety.", "You requested that we review federal efforts to improve grade-crossing safety. This report examines: 1. What has been the focus of FRA\u2019s grade-crossing-safety research. 2. How states select and implement grade-crossing projects, and what railroad- and state-reported data are available from FRA to inform states\u2019 decisions. 3. The challenges states reported in implementing and assessing projects, and the extent to which FHWA assesses the program\u2019s effectiveness.", "The scope of this work focused on the nation\u2019s more than 128,000 grade crossings where public roads cross rail tracks. We focused our work on the Section 130 Program. For each of our objectives, we reviewed pertinent statutes and FHWA and FRA regulations and documents, and interviewed FHWA and FRA program officials in headquarters as well as a non-generalizable sample of 10 stakeholders from railroads, industry and transportation associations, and academia, in addition to a rail safety organization and a rail safety consultant. We also interviewed federal officials from the National Transportation Safety Board and the Volpe Center. We selected these organizations based on our initial background research, prior work, and input from other stakeholders, among other things. We also selected eight states for case studies to include a mix of state experiences based on several factors. We selected half of our states from those ranked in the top 25 percent of all states for the number of grade crossings and the amount of Section 130 Program funds received. We selected the other half to include a range of these factors. We also considered geographical diversity in our selections. For these eight states, we conducted in-depth interviews with the FHWA division staff assigned to those states and the FRA regional staff assigned to the regions that included those states, as well as officials from states\u2019 departments of transportation (state DOT), public utility commissions, and other state officials involved with state use of Section 130 Program funds (referred to collectively as \u201cstate officials\u201d in our report). We used a similar set of questions to collect information from the eight selected states on each of our objectives. Information from these state discussions cannot be generalized to other states; instead, we used the information for illustrative purposes, including when we describe the challenges interviewees reported facing. When appropriate, we indicate whether the challenges we summarize are shared by: \u201csome\u201d (two or three); \u201cmany\u201d (four or five); or \u201cmost\u201d (six or seven) of the state officials, but frequency is not necessarily indicative of the relative importance of a challenge or consensus, or lack thereof.", "We also conducted additional work related to each of the objectives.", "To describe the focus of FRA\u2019s grade-crossing-safety research, we examined FRA research aimed at understanding the causes of grade- crossing crashes and identifying potential safety improvements and described FRA efforts to test new approaches that could improve safety.", "To describe how states select and implement grade-crossing projects, and what FRA data are available to inform their decisions, we reviewed an academic study that included a literature review and interviews with state officials to describe how states select Section 130 Program projects. We also assessed the reliability of FRA\u2019s National Highway-Rail Crossing Inventory data, which are the only source for national statistics on grade-crossing characteristics. We tested whether the data were within reasonable ranges, were internally consistent, and appeared complete. We identified data reliability issues in FRA\u2019s crossing inventory that we will discuss more fully later in this report.", "To determine the challenges states reported in implementing and assessing projects and the extent to which FHWA assesses the program\u2019s effectiveness, we reviewed program requirements and state project information and other components from FHWA\u2019s 2016 and 2018 Biennial Section 130 Program progress reports to Congress. We also reviewed federal laws and guidance related to implementing projects and measuring performance. We interviewed state DOT officials from the eight selected states and other stakeholders on the challenges states face implementing projects and FHWA and FRA officials for their perspectives on managing the program, including how FHWA measures performance and assesses program effectiveness. We compared information collected from FHWA to federal internal control standards and criteria on program evaluation identified in our previous work. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from October 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Grade-Crossing-Safety Trends", "paragraphs": ["Grade-crossing safety has improved significantly since 1975, but since 2009, the number of crashes and fatalities at grade crossings has plateaued (see fig. 1). The yearly number of grade-crossing crashes declined from 12,126 in 1975 to 2,117 in 2017. In that time frame, fatalities dropped from 917 to 273. The most significant reductions in grade-crossing crashes and fatalities were achieved from 1975 to 1985, when states closed or improved the most dangerous crossings. Grade- crossing safety continued to improve until the mid-2000s, though at a slower rate. Since 2009, the number of grade-crossing crashes and fatalities remains at around 2,100 crashes and 250 fatalities a year. These fatalities typically make up less than one percent of all highway- related fatalities. The decrease in crashes and fatalities occurred as the volume of train and highway traffic generally increased over the years. FRA expects the traffic volumes to continue to increase and has expressed concern that grade-crossing crashes and fatalities may also increase."], "subsections": []}, {"section_title": "The Section 130 Program", "paragraphs": ["As a set-aside portion of FHWA\u2019s much larger Highway Safety Improvement Program (HSIP), the Section 130 Program provides funds to state DOTs for the elimination of hazards at highway-rail grade crossings. States determine what improvements need to be made at grade crossings. FHWA has oversight responsibilities regarding the use of federal funds as part of its administration of federal-aid highway programs and funding, including HSIP funds. FHWA uses a statutory formula to distribute to states Section 130 Program funds, which averaged $235 million per year during the last 10 years (fiscal years 2009 through 2018). Section 130 Program projects are funded at a 90 percent federal share, with the state or the roadway authority funding the remaining 10 percent. States have 4 years to obligate their program funds before they expire, meaning that in any given fiscal year, states can obligate funds appropriated in that year as well as any unobligated funds from the previous 3 fiscal years. In addition, states may choose to combine funds from multiple years to fund relatively expensive projects.", "The Section 130 Program\u2019s requirements direct states to establish an implementation schedule for grade-crossing-safety improvement projects that, at a minimum, include warning signs for all public grade crossings. Grade crossings are generally categorized as \u201cactive\u201d or \u201cpassive\u201d depending on the type of traffic control devices that are present. As of July 2018, according to FRA\u2019s National Highway-Rail Crossing Inventory, there were approximately 68,000 public grade crossings with electronic, or active, traffic control devices in the United States. Another approximately 58,000 public grade crossings have passive traffic-control devices, which include signs and supplementary pavement markings. The requirements also specify that at least 50 percent of Section 130 Program funding must be dedicated to the installation of protective devices at grade crossings, including traffic control devices. States can use remaining program funds for any hazard elimination project. States may also use program funds to improve warning signs and pavement markings or to improve the way the roadway aligns with the tracks (e.g., to ensure low-clearance vehicles do not get stuck on the tracks). In addition, states can use up to 2 percent of the funds to improve their grade-crossing inventories and to collect and analyze data. See figure 2 for examples of the types of projects eligible for Section 130 Program funds and graphical depictions of grade crossings before and after safety improvements have been made."], "subsections": []}, {"section_title": "The Federal Role in Grade-Crossing Safety", "paragraphs": ["FHWA and FRA are the primary agencies responsible for safety at grade crossings, and they both play key\u2014yet distinct\u2014roles. FHWA oversees the Section 130 Program and monitors states\u2019 uses of program funds through 52 division offices located in each state, the District of Columbia, and Puerto Rico and through headquarters staff in Washington, D.C. In addition, FHWA\u2019s division staff reviews states\u2019 processes for prioritizing and selecting grade-crossing-safety improvement projects. FHWA does not evaluate the appropriateness of individual grade-crossing projects, but instead helps states determine that projects meet program eligibility requirements. Division staff assists in the implementation of Section 130 Program state-administered projects, and they may participate in state- DOT-led, on-site reviews of grade crossings under consideration for Section 130 Program projects. FHWA headquarters staff is responsible for FHWA-wide initiatives, such as working with stakeholders to establish standards for traffic control devices and systems at grade crossings and for engineering oversight of state-administered safety improvement projects.", "FRA provides safety oversight of both freight and passenger railroads by: collecting and analyzing data; issuing and enforcing numerous safety regulations, including on grade-crossings\u2019 warning systems; conducting focused inspections, audits, and accident providing technical assistance to railroads and other stakeholders.", "Specifically, FRA oversees rail safety through eight regional offices and through headquarters staff in Washington, D.C. Regional staff monitor railroads\u2019 compliance with federal safety regulations through inspections and provide technical assistance and guidance to states. In 2017, FRA created a new discipline for grade-crossing safety and is hiring new grade-crossing inspectors. These inspectors conduct field investigations, identify regulatory defects and violations, recommend civil penalty assessments when appropriate, and may participate in state- DOT-led teams that conduct on-site reviews of grade crossings to evaluate potential safety improvements. According to FRA documentation, FRA\u2019s new inspectors will also work with a variety of stakeholders to institute new types of training, explore new safety concepts and technologies, and assist in the development of new or modified highway-rail grade-crossing-safety regulations, initiatives, and programs. The inspectors will also work with FHWA and other DOT operating administrations in a cooperative effort to improve grade- crossing safety. FRA regional staff also investigates select railroad crashes, including those at grade crossings, to determine root causation and any contributing factors, so that railroads can implement corrective actions. FRA headquarters staff develops analytical tools for states to use to prioritize grade-crossing projects. In addition, headquarters staff manages research and development to support improved railroad safety, including at grade crossings.", "FRA\u2019s Office of Railroad Safety maintains the National Highway-Rail Crossing Inventory database and the Railroad Accident/Incident Reporting System on grade-crossing crashes. Both states and railroads submit information to FRA\u2019s crossing inventory, which is designed to contain information on every grade crossing in the nation. Railroads submit information such as train speed and volume; states submit information such as highway speed limits and average annual daily traffic. The Rail Safety Improvement Act of 2008 added requirements for both railroads and states to periodically update the inventory; however, the Moving Ahead for Progress in the 21st Century Act (MAP-21) repealed a provision providing DOT authority to issue implementing regulations that would govern states\u2019 reporting to the inventory. According to FRA officials, while FRA\u2019s regulations do not require states to report the information, FRA encourages them to do so. FRA regulations require railroads to report and update their information in the inventory every 3 years or sooner in some instances, such as if new warning devices are installed or the grade crossing is closed. FRA\u2019s accident system contains details about each grade-crossing accident that has occurred. In addition to submitting immediate reports of fatal grade-crossing crashes, railroads are required to submit accident reports within 30 days after the end of the month in which the accident occurred and describe conditions at the time of the accident (e.g., visibility and weather); information on the grade crossing (e.g., type of warning device); and information on the driver (e.g., gender and age)."], "subsections": []}]}, {"section_title": "FRA Has Focused Research on Understanding and Addressing Risky Behavior by Drivers at Grade Crossings", "paragraphs": [], "subsections": [{"section_title": "Research Sought to Identify Risk Factors at Grade Crossings and Understand Driver Behavior", "paragraphs": ["In its role overseeing grade-crossing safety, FRA has sponsored a number of research efforts to better understand the causes of grade- crossing crashes and identify potential ways to improve engineering, education, and enforcement efforts. For example, FRA sponsored an in- depth data analysis of grade-crossing crashes to better identify which crossing characteristics increase the risk of an accident. The report, issued in 2017, found that the volumes of train and vehicle traffic at a crossing are the biggest predictors of grade-crossing crashes. Changes in vehicle and train traffic therefore affect the annual number of grade- crossing crashes. For example, as highway traffic decreased in 2008, possibly due to the economic recession and higher gas prices, so too did the number of grade-crossing crashes. As previously noted, FRA expects that the number of grade-crossing crashes will likely grow with anticipated increases in future train and highway traffic. As discussed below, vehicle and train volume are included in the U.S. DOT Accident Prediction Model, which some states use to select grade-crossing improvement projects. According to FRA officials, FRA is using the results of this recent in-depth data analysis to, in part, evaluate whether additional risk factors, such as the number of male drivers or trains carrying toxic materials, should be added to the model.", "FRA has targeted other research into understanding driver behavior at grade crossings, which is the leading cause of crashes. According to FRA\u2019s accident data, in 2017, 71 percent of fatal crashes at public grade crossings occurred at those with gates. In 2004, the DOT Inspector General (IG) reported that 94 percent of grade-crossing crashes from 1994 to 2003 could be attributed to risky driver behavior or poor judgement. State officials we spoke with explained that drivers may become impatient waiting at a grade crossing and decide to go around the gates. Drivers may also line up over the grade crossing in heavy vehicular traffic, and be unable to exit before the gates come down. See figure 3 for examples of risky driver behavior at grade crossings.", "To better understand driver behavior, FRA sponsored a John A. Volpe National Transportation Systems Center (Volpe Center) study that recorded and analyzed drivers\u2019 actions as they approached grade crossings. The researchers found that almost half of drivers were doing another task, such as eating, and over a third did not look in either direction while approaching passive grade crossings. We have previously reported, and many stakeholders we interviewed agreed, that in light of inappropriate driver behavior, technological solutions alone may not fully resolve safety issues at grade crossings. In addition, public-education and law-enforcement efforts can augment the effectiveness of technological solutions. According to FRA officials, they shared information on driver education with DOT\u2019s National Highway Traffic Safety Administration (NHTSA) as NHTSA works more closely with states on driver education manuals. According to DOT officials, NHTSA updates its driver education materials every 2\u20133 years and plans to consider including grade-crossing-safety materials in the next versions."], "subsections": []}, {"section_title": "FRA Works with States to Research New Safety Measures to Address Risky Behavior at Grade Crossings", "paragraphs": ["FRA is also working with states and localities to research and develop new protective devices and other safety measures targeted at improving driver behavior at grade crossings. As most fatal crashes happen at grade crossings already equipped with gates, FRA and state and local agencies are exploring whether additional safety measures can improve safety at those locations. For example, in 2016 and 2017, FRA\u2019s Grade Crossing Task Force worked with the Volpe Center and the City of Orlando to test whether photo enforcement at grade crossings could reduce risky driver behavior. The City of Orlando installed automated photo-enforcement devices at a grade crossing, and instead of issuing fines to drivers who had violated its warning devices, sent drivers a warning notice and educational safety materials. Eight months after the photo-enforcement system was installed, grade crossing violations decreased by 15 percent. While FRA judged these enforcement efforts successful at changing driver behavior, a 2015 FRA whitepaper noted that photo enforcement equipment is costly\u2014on average costing over $300,000 per crossing to install and operate for 2 years\u2014and may not be cost-effective for most grade crossings. FRA found that due to costs and state laws prohibiting photo-enforcement, only two photo- enforcement cameras were currently in operation at grade crossings across the country.", "States, localities, and FHWA are also exploring whether new types of pavement markings at grade crossings can improve driver behavior. According to DOT officials, FHWA is working with two states to develop new cross-hatch pavement markings for grade crossings that would comply with the Manual on Uniform Traffic Control Devices, similar to the \u201cdon\u2019t block the box\u201d type pavement markings used in intersections. FHWA also worked with a city to test the use of in-roadway lights to delineate the crossing. (See fig. 4).", "FRA and state DOTs are also trying to improve pedestrian safety at grade crossings by developing new safety measures. Grade-crossing accidents involving pedestrians are less frequent than those involving automobiles at grade crossings but have a higher fatality rate. While pedestrians were involved in only 9 percent of accidents at public crossings in 2017, almost 40 percent of fatal grade-crossing accidents involved pedestrians. To try to improve pedestrian safety, in 2012 the Volpe Center worked with New Jersey Transit to study whether adding additional pedestrian gate skirts\u2014 hanging gates that further block a crossing (see fig. 5)\u2014would prevent people from ducking under the gates. The Volpe Center reported that these new gates had mixed success. While incidents of people going under and around the gates decreased, more people chose to cross the tracks in the street rather than at the sidewalk.", "Finally, FRA is exploring new automated and connected vehicle technologies that could reduce risky driver behavior at grade crossings. FRA, FHWA, and officials from one state we interviewed said they anticipate that such technology will be critical to further improving safety. Specifically, FRA and FHWA are coordinating with DOT\u2019s Intelligent Transportation Systems Joint Program Office to develop pilot technology that would enable crossing infrastructure or trains to communicate wirelessly with vehicles. Vehicles can use this information to warn the driver that a crash or violation is imminent, or integrate with onboard active safety systems. According to FRA officials, they completed a proof of concept in 2013 and completed and tested a prototype of the technology in 2017. DOT officials said that DOT does not have a time frame for when automakers might begin incorporating such connected vehicle technologies and noted that retrofitting older cars with new equipment will likely make this a long-term effort.", "FRA shares information on its research in various ways with state DOTs, because states are responsible for deciding which safety measures to install at grade crossings. Specifically, FRA and FHWA jointly hold quarterly webinars with stakeholders, including state DOT officials, and conduct presentations at highway-rail safety workshops. Information on safety measures such as grade-crossing devices, signs, and markings are also included in the Railroad-Highway Grade Crossing Handbook. According to DOT officials, the handbook was developed jointly by FHWA and FRA. The last version of the handbook was updated in 2007 and includes some out of date information. FRA and FHWA officials said they began working on an update in 2017, but missed the July 2018 target completion date. According to FHWA officials, updating the handbook is a complex undertaking that has taken more time than they anticipated due to the extensive collaboration required among stakeholders. FHWA officials said they anticipate completing the update during the spring of 2019."], "subsections": []}]}, {"section_title": "States Use a Risk- Based Approach for Project Selection and May Use FRA Data", "paragraphs": [], "subsections": [{"section_title": "States Consider Risk when Identifying Grade- Crossing Improvement Projects", "paragraphs": ["The risk of crashes at public grade crossings within a state factors into states\u2019 selection of over 1,000 new Section 130 Program projects nationally each fiscal year. FHWA requires states to develop a grade crossing program that considers relative risk. FHWA officials said they review the methods that states use to select projects to ensure that risk is considered. According to a 2016 academic study of 50 states, most states use mathematical formulas, or \u201caccident prediction models,\u201d to help assess risk and identify grade crossings for potential projects. More specifically, these accident prediction models use factors such as grade crossing characteristics and accident history to rank grade crossings by risk. DOT provides one such model\u2014the Accident Prediction Model\u2014and some states have developed their own models. The study reported that 19 states used DOT\u2019s model and 20 states used a different model. It also found that the DOT and commonly used state models include some similar grade-crossing characteristics to predict accident risk. For example, the selected models reviewed all considered vehicle- and train- traffic volume, which FRA has found to be the strongest predictors of grade-crossing crashes.", "FRA makes its Accident Prediction Model available to states online through its Web Accident Prediction System. This system is an online tool that uses FRA\u2019s crossing inventory, crossing collision history, and the DOT Accident Prediction Model to predict accident risk for grade crossings in each state. Only one of the eight states in our review used the system as its primary source for ranking grade-crossing risk. Most of the other states perform their own calculations to rank grade crossings. Officials from two states said that they believe their state-maintained data are more reliable than FRA\u2019s crossing inventory and explained that they go directly to their contacts at railroads to get updated information on factors such as train volume.", "Accident prediction models are only one source of information states use when selecting Section 130 Program projects. According to the state officials we spoke with, a variety of other considerations can also influence their decisions, including the following:", "Proximity of projects together along a railroad \u201ccorridor\u201d in order to gain efficiencies and reduce construction costs.", "Requests from local jurisdictions or railroads. These stakeholders may have information on upcoming changes at a grade crossing, such as higher train volume or new housing developments nearby, which would increase risk but would not be reflected yet in the accident prediction model.", "Availability of local funding to provide the required 10 percent match for Section 130 Program projects, while trying to spread the funds fairly across the state.", "States may also consider grade crossings that have had close calls in the past, such as where a car narrowly avoided being hit by a train. FRA does not require railroads to report on these close calls, or \u201cnear misses;\u201d however, according to state officials, railroads sometimes provide this information to states on an ad-hoc basis. State officials from four of the eight states we spoke with said they considered near misses when selecting Section 130 Program projects. A 2004 Volpe Center report noted that studying close calls was a proactive way to improve safety. According to the report, FRA sponsored a workshop to learn about the benefits of collecting and analyzing close calls. However, stakeholders we interviewed noted challenges formalizing near-miss reporting. For example, Volpe Center officials said these reports are subjective in nature\u2014what one engineer considers a close call, others may not.", "FRA developed another online tool\u2014GradeDec\u2014to allow states to compare the costs and benefits for various grade-crossing improvement projects. GradeDec uses models to analyze a project\u2019s risk and calculate cost-benefit ratios and net present value for potential projects. FRA provides state DOTs with on-site GradeDec workshops upon request. While FRA officials noted that many state and local governments have registered to use the program, none of the state officials we spoke with identified GradeDec as a tool that they use to conduct cost-benefit analysis. Officials from two state DOTs we spoke with said that cost- benefit analyses could help them better identify and select the most cost- effective crossing safety projects in the future. According to the academic study of 50 states noted above, because of limited funding for grade-crossing improvements, states should consider the life-cycle costs of the projects as well as net present value to help select projects. As discussed later in this report, the small number of crashes at grade crossings can make it challenging to distinguish between different projects in terms of their effectiveness in reducing accidents.", "Finally, after they have considered risk factors and created a list of potential grade crossings for improvement, state officials, along with relevant stakeholders from railroads and local governments, conduct field reviews of the potential projects. According to state officials, these reviews help identify grade-crossing characteristics that may not be included in the accident prediction models, such as vegetation that would obstruct drivers\u2019 views."], "subsections": []}, {"section_title": "FRA Has Taken Steps to Improve Inventory Data and Is Formalizing How Inspectors Will Validate the Data\u2019s Accuracy", "paragraphs": ["In 2008, legislation was enacted mandating reporting by states and railroads to the National Highway-Rail Crossing Inventory. However, the fact that reporting to the inventory remained voluntary until 2015 has had lingering effects on the completeness of the data in the inventory. In 2015, as mandated by statute, FRA issued regulations requiring railroads to update certain data elements for all grade crossings every 3 years. However, our analysis of FRA\u2019s crossing inventory found that 4 percent of grade crossings were last updated in 2009 or earlier. In addition, because MAP-21 repealed DOT\u2019s authority to issue regulations that would govern state reporting to the inventory, state reporting of grade-crossing data remains voluntary, according to FRA officials, and all state-reported information is not complete. Our analysis of state-reported data in FRA\u2019s crossing inventory found varying levels of completeness. For example, while some state-reported data fields were almost entirely complete, 33 percent of public grade crossings were missing data on posted highway speed. We also found that of the crossings for which states reported the year when the highway-traffic count was conducted, 64 percent of the highway-traffic counts for public grade crossings, another important risk factor, had not been updated since 2009, or earlier. According to the 2015 final rule, FRA will continue to evaluate whether additional regulations to address state reporting are needed to maintain the crossing inventory\u2019s accuracy.", "FRA officials told us that improving inventory data will help them better deploy their limited resources, particularly their grade-crossing inspectors, and said that they have taken steps to help improve the data. In 2017, FRA regional officials conducted field reviews to verify the latitude and longitude data for grade crossings in the inventory, data that states are responsible for updating. In addition, FRA expects its grade-crossing inspectors as part of their inspections to review and identify issues with the railroad- and state-reported inventory data. According to FRA officials, FRA has begun to both transition its 19 grade-crossing managers into grade-crossing inspectors and also hire new inspectors, for an eventual total of 24 inspectors and eight regional specialists to supervise their activities.", "To help ensure railroads\u2019 compliance with crossing inventory regulations, officials said that the inspectors will use spot checks to validate the inventory data by comparing grade-crossing characteristics in the field with the information railroads submitted to the inventory. In addition, FRA has incorporated information on inventory-reporting requirements into the grade-crossing inspectors\u2019 training. Finally, FRA is currently developing guidelines for the grade-crossing inspections similar to those for other FRA safety disciplines. FRA headquarters officials acknowledged that they are still clarifying the details for the inspections that will be included in the compliance manuals that inspectors will use. Specifically, they said they are still determining appropriate inspector workloads and drafting specific guidelines that will need to be integrated into FRA\u2019s regional inspection plans.", "FRA officials said they are working to develop and make available inventory inspection guidance to the grade-crossing managers and inspectors by December 31, 2018. In the meantime, FRA held training that included information on inventory-reporting requirements. In August 2018, FRA developed guidance for grade-crossing inspections specific to quiet zones in response to a recommendation we made in 2017. It is important that FRA meets its goal to issue similar guidance specific to reviewing the accuracy of the inventory data, as FRA cannot have reasonable assurance that inspections that are already under way are being conducted in such a manner that would allow them to consistently identify data reliability issues at each crossing."], "subsections": []}]}, {"section_title": "States Reported Challenges Implementing Certain Project Types and Measuring Projects\u2019 Effectiveness, and FHWA\u2019s Efforts to Assess the Program\u2019s Effectiveness Have Limitations", "paragraphs": [], "subsections": [{"section_title": "The Program\u2019s Requirements and Other Challenges Cited by States Contribute to the Selection of Active- Warning Equipment Projects over Other Projects", "paragraphs": ["About 75 percent of all Section 130 Program projects states implemented in fiscal year 2016 involved installing or updating active grade-crossing equipment, including warning lights and protective gates (see fig. 6). The prevalence of this type of project is in part due to the Section 130 Program requirement that states spend at least 50 percent of funds on protective devices. Other than eliminating a grade crossing, adding protective devices has long been considered the most effective way of reducing the risk of a crash.", "Officials from six of eight state DOTs we interviewed told us that the numbers and types of grade-crossing projects they implement are dependent on the amount of Section 130 Program funding they receive and the cost of the projects. As previously described, funds are set aside from the Highway Safety Improvement Program and distributed to states by a statutory formula that includes factors such as the number of grade crossings in each state. Officials from six of the eight state DOTs we spoke to agreed that the set-aside nature of the program was crucial in allowing them to implement projects, many of which they said would not have been possible without Section 130 Program funds. For example, many said the formula funding ensures that grade-crossing projects are completed along with highway safety projects, particularly given the fact that fatalities resulting from grade-crossing crashes account for so few when compared to highway deaths. Overall, fatalities resulting from grade-crossing crashes account for less than 1 percent of all highway- related fatalities.", "In fiscal year 2018, the funds distributed ranged from a low of approximately $1.2 million for eight states and Washington, D.C., to over $16 million for California and over $19 million for Texas. The number of grade crossings in the eight states and Washington, D.C. ranged from 5 to 380, while California had almost 6,000 and Texas had over 9,000. Project implementation costs varied by project type and ranged widely depending on project scope. Based on 2016 DOT data, some typical project costs ranged as follows: adding signs to passive grade crossings\u2014$500 to $1,500; adding flashing lights and two gates to passive grade crossings\u2014 $150,000 to $300,000; adding four gates to grade crossings with flashing lights\u2014$250,000 - closing a grade crossing\u2014$25,000 to $100,000; and separating a grade crossing from traffic (Grade Separation)\u2014$5 million to $40 million.", "State officials we spoke with cited several challenges in pursuing certain types of controversial, innovative, and expensive projects that could help them address the evolving nature of risk at grade crossings and difficulty in measuring the effectiveness of their projects. First, most state DOT officials said that the cost of grade-separation projects and, at times, the controversy of eliminating grade crossings through closure reduces the number of these projects, while acknowledging that they are the most effective ways to improve safety. These types of projects made up only 3 percent of Section 130 Program projects in fiscal year 2016 (see fig. 6). Grade-separation projects are often more expensive than the annual Section 130 Program funding available to states. In 2018, only eight states received annual Section 130 Program funding sufficient to fund a $7-million grade-separation project. As discussed previously, to fund relatively expensive projects, states may choose to combine funds from multiple years. Also, states and railroads may make incentive payments to localities for the permanent closure of a grade crossing. In addition to the cost, most state DOT officials reported challenges obtaining local support for closing grade crossings. They said closures may inconvenience residents who use the road and force emergency responders to take longer routes, potentially slowing response times. Grade-separation projects address these safety concerns and may be more agreeable to residents, but they are substantially more expensive. While up to $7,500 in Section 130 Program funding can be used to help incentivize communities to close grade crossings, officials from some of our selected state DOTs said this amount is generally not enough to persuade local officials to support the closing.", "Second, officials from many state DOTs we interviewed also reported that the requirements of the Section 130 Program create challenges for them in implementing what they considered to be innovative projects. For example, the program requirement that 50 percent of funds be used on protective devices, combined with what one researcher described to us as the tendency by states to implement \u201cknown\u201d projects\u2014i.e., protective devices\u2014may impede states\u2019 selection of new, more innovative safety projects. Officials we interviewed from many state DOTs described challenges related to the program\u2019s requirements. They noted that they are prevented from using Section 130 Program funds for new types of safety technologies not yet incorporated into FHWA\u2019s Manual on Uniform Traffic Control Devices. As noted previously in this report, outside the Section 130 Program FHWA is working with states and localities to explore whether new types of pavement markings at grade crossings, not in the manual, can improve driver behavior. One state DOT official we interviewed suggested changes to allow states to fund one grade- crossing pilot project per year or to use a set percentage of program funds to finance a pilot project that could help them explore promising but as yet unproven technologies.", "Third, state DOT officials from four of the eight selected states also said it can be difficult to find funding for the required 10 percent state match. As previously mentioned, while certain rail-safety projects are eligible for up to 100 percent federal funding, Section 130 Program projects are funded at a 90 percent federal share. According to DOT documentation we reviewed, only some states have a dedicated source for such a match, and state DOT officials from one of our selected states said their state cannot use state funds for the 10 percent match. Some state DOT officials said this situation can drive project selection. For example, they sometimes chose projects based on which localities or railroads were willing to provide matching funds or offer cost savings.", "Finally, many state officials cited challenges in measuring the effectiveness of grade crossing projects in reducing crashes or the risk of crashes. In particular, state officials we spoke to said it can be difficult to use before-and-after crash statistics as a measure of effectiveness because of the low number and random nature of crashes. Also, as FRA research has shown and as FHWA and FRA have noted, reporting on before-and-after grade-crossing accident statistics can be misleading, given the infrequency of crashes and crashes that are not the result of grade crossing conditions. States\u2019 required Section 130 Program annual progress reports to the Secretary of DOT call for states to report on the effectiveness of the improvements they made. FHWA reporting guidance suggests they define effectiveness as the reduction in the number of fatalities and serious injuries after grade-crossing projects were implemented, consistent with statutory requirements. In addition, FHWA guidance states that consideration should be given to quantifying effectiveness in the context of fatalities and serious injuries. However, states often report no differences in crashes after specific projects were implemented, and there have been instances where states reported a slight increase in crashes. Such an increase does not necessarily mean that the project was not effective in reducing the overall risk of a crash. Also, not all projects are implemented at grade crossings where there has been a crash.", "Among other information, states also typically report information on funding and data on the numbers and types of projects implemented. In addition, the extent to which states report projects\u2019 effectiveness varies greatly. Given states\u2019 responsibility for implementing the Section 130 Program and the differences in the amounts of funding they receive, FHWA officials said states should determine and report on the appropriate effectiveness metrics for their programs. According to FHWA officials, during the 2017 reporting year, a few states requested examples of what to include when reporting effectiveness, and FHWA responded with examples of various methods they could use, such as a benefit-cost ratio or the percentage decrease in fatalities, serious injuries, and crashes. Regardless of the difficulty in measuring the effectiveness of specific projects, most state DOT officials we interviewed stressed the importance of the Section 130 Program in funding grade-crossing projects."], "subsections": []}, {"section_title": "FHWA Reports Provide Limited Insight into the Program\u2019s Effectiveness, and FHWA Has Not Evaluated Program Requirements in Light of Changing Risk Conditions", "paragraphs": ["FHWA\u2019s biennial report to Congress is intended to provide information to Congress on the progress being made by the states in implementing projects to improve safety and, in addition, make recommendations for future implementation of the program. FHWA reviews states\u2019 annual Section 130 Program reports and uses them to formulate the report to Congress every 2 years. FHWA\u2019s 2018 report highlights that the Section 130 Program has seen great success since 1975, with a decrease of approximately 74 percent in fatalities at the same time that there was an increase in vehicle and train traffic. The report described the latest available 10-year trend, from 2007 to 2016, as showing a 31 percent decrease in fatalities. Fatalities have also decreased when adjusted for train traffic. However, FHWA officials acknowledged in interviews with us that crashes and fatalities have remained constant since about 2009, with more recent data showing a slight increase in fatalities over the last 2 to 3 years, data that are consistent with the increases in overall roadway fatalities. The officials said increased train- and vehicle-traffic volumes could be contributing to that increase, in addition to other factors, such as more bicycle riders and pedestrians using grade crossings. As described earlier, states have generally already used Section 130 Program funding to address safety at the riskiest grade crossings by adding protective measures, typically lights and gates. Yet crashes continue to occur at these improved grade crossings. Given these trends and the challenges discussed earlier related to the requirements of the Section 130 Program, it is not clear whether the program remains effective in continuing to reduce the risk of crashes and fatalities at grade crossings.", "As required, FHWA\u2019s biennial report includes a section on \u201crecommendations for future implementation\u201d of the Section 130 Program. As part of this, FHWA reports on challenges and actions being taken to address them. FHWA\u2019s 2018 report identified one of the same challenges we heard about from state DOT officials related to the inability or unwillingness of local agencies to provide matching funds and the relatively low amount of funding designed to incentivize localities to close crossings. FHWA reported on its efforts to address these challenges, including by providing guidance, resources, and supportive training to states and local agencies and serving as a clearinghouse for innovative methods of supporting projects. However, with the exception of the funding challenge, FHWA\u2019s most recent report does not include the other challenges state officials identified to us related to the requirements of the Section 130 Program discussed above. These include program funding requirements that may impede innovative approaches and the difficulties of using before-and-after crash statistics to measure effectiveness.", "Many state DOT officials we spoke with said there may be an opportunity to more broadly assess the Section 130 Program at the national level. It could be more informative to comprehensively assess more detailed crash trends, such as those that look forward over multiple years across the more than 1,700 crashes nationwide, rather than on the approximately 35 that occur on average within a state, and identify strategies to address those trends. Doing so could help FHWA learn more about why crashes are continuing and what types of projects may be effective. There could be ways to evaluate the program in a more comprehensive way; many state DOT officials we interviewed told us such a comprehensive evaluation could help improve program effectiveness in a number of ways, including by enabling the program to better keep up with the rapid pace of technological change and re- examining eligibility requirements that limit the flexibility of states to consider other types of projects beyond engineering. Also, most state DOT officials we interviewed agreed that education and enforcement efforts are crucial to further improving safety, as did 8 out of 10 other stakeholders we spoke to, as well as officials from Volpe Center and NTSB. However, according to FHWA officials, those project types are not allowed under the Section 130 Program\u2019s requirements. The officials said FHWA has partnered with FRA and NHTSA on research efforts, such as driver-behavior studies, to inform grade-crossing safety issues. However, the officials said that FHWA has not conducted a program evaluation of the Section 130 Program to consider whether the program\u2019s funding and other requirements allow states to adequately address ongoing safety issues such as driver behavior. FHWA officials said that there is no federal requirement for them to conduct such a program evaluation.", "We have previously reported that an important component of effective program management is through program performance assessment, which helps establish a program\u2019s effectiveness\u2014the extent to which a program is operating as it was intended and the extent to which a program achieves what the agency proposes to accomplish. This type of evaluative information helps the executive branch and congressional committees make decisions about the programs they oversee. Assessing program performance includes conducting program evaluations, which are individual systematic studies that answer specific questions about how well a program is meeting its objectives. In addition, federal internal-control standards state that management should identify, analyze, and respond to significant changes in a program\u2019s environment that could pose new risks.", "FHWA officials said the fact that crashes and fatalities have held steady while the volume of train and vehicle traffic has increased is an indication that grade-crossing safety has continued to improve. However, specific to fatalities per million train-miles, FHWA\u2019s 2018 biennial report shows this rate to be fairly constant since 2009. As noted previously, FRA expects train and traffic volumes to continue to increase and has expressed concern that grade-crossing crashes and fatalities may also increase. Without conducting a program evaluation, FHWA cannot ensure that the Section 130 Program is achieving one of the national goals of the federal- aid highway program, to reduce fatalities and injuries. In addition, It is difficult to see how FHWA, in its biennial reports to Congress, could make informed recommendations for future program implementation without conducting a program evaluation to assess, among other things, whether program requirements first established some four decades ago continue to reduce fatalities and injuries. We note that as part of a program evaluation, some changes that FHWA, working with FRA, identifies as potentially having merit to improve the program\u2019s effectiveness could require a statutory change."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The continued number of crashes and fatalities at grade crossings with devices intended to warn of a train\u2019s presence calls into question whether the Section 130 Program is structured to help states continue making progress toward the national goal to reduce fatalities and injuries. An evaluation of the program\u2019s requirements could help determine whether Congress should consider better ways to focus federal funds to address the key factor in crashes\u2014risky driver behavior. An FHWA program evaluation could also help determine whether, for example, states could more strategically target emerging safety problems if changes were made to the types of projects eligible for funding under the Section 130 Program. FRA\u2019s new grade-crossing inspectors are meant to increase the effectiveness of FRA\u2019s rail-safety oversight activities, and accordingly, these FRA inspectors, along with FRA researchers, may be well positioned to help FHWA evaluate potential changes to improve the effectiveness of the Section 130 Program."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Administrator of FHWA, working with FRA, should evaluate the Section 130 Program\u2019s requirements to determine whether they allow states sufficient flexibility to adequately address current and emerging grade-crossing safety issues. As part of this evaluation, FHWA should determine whether statutory changes to the program are necessary to improve its effectiveness. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOT for review and comment. In written comments, reproduced in appendix II, DOT concurred with our recommendation. DOT also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Transportation, the Administrator of the Federal Highway Administration, and the Administrator of the Federal Railroad Administration. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) what has been the focus of Federal Railroad Administration\u2019s (FRA) grade-crossing-safety research, (2) how states select and implement grade-crossing projects and what railroad- and state-reported data are available from FRA to inform states\u2019 decisions, and (3) the challenges states reported in implementing and assessing projects and the extent to which the Federal Highway Administration (FHWA) assesses the program\u2019s effectiveness. The scope of this work focused on the nation\u2019s more than 128,000 public grade crossings. We did not include private grade crossings, as states can only use Railway- Highway Crossings Program (commonly referred to as the Section 130 Program) funds to improve safety at public grade crossings. While FRA provides safety grants to address rail issues, including for grade-crossing projects, we focused our work on the Section 130 Program because it is the primary source of federal funding directed at grade-crossing-safety improvement.", "For each objective we reviewed: pertinent statutes and FHWA and FRA regulations and documents; interviewed FHWA and FRA program officials in headquarters; and conducted in-depth interviews with a non- generalizable sample of organizations that included officials from 4 freight and passenger railroads, 12 state agencies from 8 states, 6 FRA regional offices, and 8 FHWA state division offices. We also spoke with representatives from relevant associations and officials from NTSB and Volpe Center. We selected these organizations based on our initial background research, prior work, and input from other stakeholders, among other things. See the paragraph below for additional selection details and table 5 for a complete list of organizations we spoke with.", "We selected eight states as part of our non-generalizable sample for interviews. These states included Arizona, California, Florida, Illinois, Missouri, New Jersey, North Carolina, and Pennsylvania. The states were selected to include a mix of state experiences based on a variety of factors, including the number of grade crossings and crashes at those crossings, and the amount of Section 130 Program funding they received. Specifically, we selected four states from those in the top 25 percent of all states in terms of their number of grade crossings and the amount of Section 130 Program funds they received. We selected the other four states to include a mix of these factors. We also considered geographical diversity and recommendations from FRA and FHWA officials. Within these eight states, we conducted in-depth interviews with FHWA division staff, FRA regional staff, and state officials. A variety of state agencies administer the Section 130 Program within their state; the state officials we spoke with from our eight selected states worked for agencies such as state departments of transportation, corporation commissions, and public utility commissions. We also spoke with a non-generalizable sample of four railroads: Amtrak, CSX, Norfolk Southern, and Sierra Northern. We selected railroads based on a variety of factors including geographic location and stakeholder recommendations.", "We also conducted additional work related to each of the objectives. To describe the focus of FRA\u2019s grade-crossing-safety research, we examined FRA research aimed at understanding the causes of grade- crossing crashes and identifying potential improvements and described FRA efforts to test new approaches that could improve safety. We did not assess the quality of FRA\u2019s research, as that was beyond the scope of this engagement. Instead, we described the nature of the research. We also spoke with FRA research and development staff, Volpe researchers, and state partners about this work.", "To describe how states select and implement grade-crossing projects, and what FRA data are available to inform their decisions, we reviewed an academic study that included a literature review and interviews with state officials to describe how states select Section 130 Program projects. We spoke with the researcher and determined the study to be reliable for the purposes of our reporting objectives. We also spoke with officials from our eight selected states, FHWA division staff, and FRA regional staff, and reviewed the states\u2019 2017 Section 130 Program reports. As part of this objective, we also assessed the reliability of data reported for all railroads in FRA\u2019s National Highway-Rail Crossing Inventory data as of August 31, 2018. For public grade crossings that were not closed, we examined a selection of fields within the database to identify the frequency of missing data (see table 1), data anomalies (see table 2), relational errors, where two related data fields had values that were incompatible (see table 3), and when the data was last updated (see table 4). Specifically, we conducted the following electronic tests on the crossing inventory data to determine if they were within reasonable ranges, were internally consistent, and appeared complete: Before conducting our analysis, we filtered the inventory data to only include open, public, at-grade crossings. To understand FRA\u2019s efforts to improve its crossing inventory data, we interviewed FRA regional and headquarters staff and reviewed job descriptions for FRA\u2019s new grade- crossing inspectors.", "Finally, to determine the challenges states reported in implementing and assessing grade-crossing safety projects and the extent to which FHWA assesses the program\u2019s effectiveness, we reviewed program requirements and state project data and other components from FHWA\u2019s 2016 and 2018 Section 130 Program biennial reports to Congress. We also reviewed FHWA\u2019s summary of fiscal year 2018 program funds provided to states and federal laws and guidance related to implementing projects and measuring performance. We interviewed state DOT officials from the eight selected states and other stakeholders on the challenges states reported in implementing and assessing projects, and FHWA and FRA officials for their perspectives on managing the program, including how FHWA measures performance and assesses program effectiveness. We compared information collected from FHWA and FRA to federal internal-control standards and criteria on program evaluation identified in our previous work. In addition, we reviewed FHWA and FRA documents designed to guide states, such as the Grade Crossing Handbook, the Manual on Uniform Traffic Control Devices, the Action Plan and Project Prioritization Noteworthy Practices Guide, and other related documents.", "We conducted this performance audit from November 2017 to November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Susan A. Fleming, (202) 512-2834, Flemings@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Maria Edelstein (Assistant Director); Gary Guggolz (Analyst in Charge); Steven Campbell; Tim Guinane; Ben Licht; Catrin Jones; Delwen Jones; SaraAnn Moessbauer; Malika Rice; Larry Thomas; and Crystal Wesco made key contributions to this report."], "subsections": []}]}], "fastfact": ["Where roads and train tracks meet, accidents can be deadly. A federal program helps states fund projects to make these crossings safer.", "State officials told us that the program's requirements favor certain projects, such as gates\u2014but most of the crashes since 2009 have happened at crossings with gates, largely because of impatient drivers who drive through or go around. Officials said that the requirements may be preventing them from using more innovative approaches.", "As greater rail and road use is expected in the future, we recommended that the Department of Transportation evaluate whether the program's requirements need to be more flexible."]} {"id": "GAO-18-46", "url": "https://www.gao.gov/products/GAO-18-46", "title": "TSA Modernization: Use of Sound Program Management and Oversight Practices Is Needed to Avoid Repeating Past Problems", "published_date": "2017-10-17T00:00:00", "released_date": "2017-10-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TSA conducts security threat assessment screening and credentialing activities for millions of workers and travelers in the maritime, surface, and aviation transportation industries that are seeking access to transportation systems. In 2008, TSA initiated the TIM program to enhance the sophistication of its security threat assessments and to improve the capacity of its supporting systems. However, the program experienced significant cost and schedule overruns, and performance issues, and was suspended in January 2015 while TSA established a new strategy. The program was rebaselined in September 2016 and is estimated to cost approximately $1.27 billion and be fully operational by 2021 (about $639 million more and 6 years later than originally planned).", "GAO was asked to review the TIM program's new strategy. This report determined, among other things, the extent to which (1) TSA implemented selected key practices for transitioning to Agile software development for the program; and (2) TSA and DHS are effectively overseeing the program's cost, schedule, and performance. GAO compared program documentation to key practices identified by the Software Engineering Institute and the Office of Management and Budget, as being critical to transitioning to Agile and for overseeing and governing programs."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration's (TSA) new strategy for the Technology Infrastructure Modernization (TIM) program includes using Agile software development, but the program only fully implemented two of six leading practices necessary to ensure successful Agile adoption. Specifically, the Department of Homeland Security (DHS) and TSA leadership fully committed to adopt Agile and TSA provided Agile training. Nonetheless, the program had not defined key roles and responsibilities, prioritized system requirements, or implemented automated capabilities that are essential to ensuring effective adoption of Agile. Until TSA adheres to all leading practices for Agile implementation, the program will be putting at risk its ability to deliver a quality system that strengthens and enhances the sophistication of TSA's security threat assessments and credentialing programs.", "TSA and DHS fully implemented one of the key practices for overseeing the TIM program, by establishing a process for ensuring corrective actions are identified and tracked. However, TSA and DHS did not fully implement the remaining three key practices, which impede the effectiveness of their oversight. Specifically,", "TSA and DHS documented selected policies and procedures for governance and oversight of the TIM program, but they did not develop or finalize other key oversight and governance documents. For example, TSA officials developed a risk management plan tailored for Agile; however, they did not update the TIM system life-cycle plan to reflect the Agile governance framework they were using.", "The TIM program management office conducted frequent performance reviews, but did not establish thresholds or targets for oversight bodies to use to ensure that the program was meeting acceptable levels of performance. In addition, department-level oversight bodies have focused on reviewing selected program life-cycle metrics for the TIM program; however, they did not measure the program against the rebaselined cost, or important Agile release-level metrics.", "TIM's reported performance data were not always complete and accurate. For example, program officials reported that they were testing every line of code, even though they were unable to confirm that they were actually doing so, thus calling into question the accuracy of the data reported.", "These gaps in oversight and governance of the TIM program were due to, among other things, TSA officials not updating key program management documentation and DHS leadership not obtaining consensus on needed oversight and governance changes related to Agile programs. Given that TIM is a historically troubled program and is at least 6 months behind its rebaselined schedule, it is especially concerning that TSA and DHS have not fully implemented oversight and governance practices for this program. Until TSA and DHS fully implement these practices to ensure the TIM program meets its cost, schedule, and performance targets, the program is at risk of repeating past mistakes and not delivering the capabilities that were initiated 9 years ago to protect the nation's transportation infrastructure."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 14 recommendations, including that DHS should prioritize requirements and obtain leadership consensus on oversight and governance changes. DHS concurred with all 14 recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The nation\u2019s maritime, surface, and aviation transportation systems and facilities are vulnerable and difficult to secure given their size, easy accessibility, large number of potential targets, and proximity to urban areas. In order to help reduce the threats to these critical transportation systems and facilities, the Transportation Security Administration (TSA), a component of the Department of Homeland Security (DHS), conducts various security threat assessment screening and credentialing activities for millions of workers and travelers seeking access to the maritime, surface transportation, and aviation industries.", "However, as we have previously reported, the effectiveness and the efficiency of the agency\u2019s threat assessments and credentialing programs have been hindered by stove-piped information technology (IT) systems and duplicative processes which cannot accommodate growing enrollment demand. Moreover, the current stove-piped environment limits TSA\u2019s ability to effectively detect malicious individuals that apply for multiple transportation credentials to try to gain access through at least one of them.", "In 2008, TSA initiated the Technology Infrastructure Modernization (TIM) program to, among other things, enhance the sophistication of its security threat assessments and improve the capacity of its systems. Specifically, the program is intended to provide a modern and centralized end-to-end credentialing system that includes registration and enrollment, individual security threat assessments, adjudication, credential issuance/management, and revocation for transportation workers and travelers. The program\u2019s initial baseline estimated that the program would be deployed in 2015 and cost about $631 million.", "However, the program experienced significant cost and schedule overruns, a significant increase in its requirements, and critical system performance and technical issues during its initial limited deployment in 2014. As a result, in January 2015, TSA suspended the program while it established a new strategy for developing and deploying the TIM system. The program was rebaselined in September 2016 and is now estimated to cost about $1.27 billion ($639 million more than originally planned). Further, full operational capability for the system is now planned for fiscal year 2021 (6 years later than originally planned).", "TSA officials decided to move away from implementing a commercial-off- the-shelf product for the program and instead planned to develop an open source system. Moreover, officials decided to use an Agile software development approach, rather than the traditional waterfall development approach the program had been using.", "Given the issues that the TIM program has faced in developing the system, you asked us to review the agency\u2019s current effort. Our objectives were to (1) describe TSA\u2019s past implementation efforts for the TIM program and its new implementation strategy; (2) determine the extent to which TSA\u2019s new strategy for the program addresses the challenges encountered during earlier implementation attempts; (3) determine the extent to which TSA has implemented selected key practices for transitioning to an Agile software development framework for the program; and (4) determine the extent to which TSA and DHS are effectively overseeing and governing the TIM program to ensure that it is meeting cost, schedule, and performance requirements.", "To address the first objective, we reviewed program documentation, such as initial and current acquisition program baselines, initial and current life- cycle cost estimates, acquisition decision memorandums, and program plans documenting a new strategy for implementing the TIM program. We used the information in this documentation to summarize TSA\u2019s earlier attempts to implement TIM capabilities and the program\u2019s new implementation strategy, including estimated costs, schedule, and key decisions made. In this report, we use the TIM program\u2019s objective estimated cost and schedule values (targets that reflect the most likely cost and schedule), and not the threshold cost and schedule values (ceilings which, if exceeded, initiate official replanning actions). We also interviewed TSA officials, including the TIM Director and Deputy Director, on the status of the program office\u2019s efforts.", "For the second objective, we reviewed program documentation on the challenges the TIM program office faced when it experienced cost, schedule, and system performance issues and synthesized the information to identify a consolidated list of key challenges the program had previously faced. We then reviewed documentation on the TIM program\u2019s new implementation strategy. We compared this new strategy to selected prior challenges and assessed the strategy against leading practices and guidance, such as DHS\u2019s Systems Engineering Lifecycle Guide and the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Development. We also conducted a site visit at the TSA Adjudication Center in Reston, Virginia, where we observed demonstrations of the information systems that are currently used to conduct security threat assessments.", "To address the third objective, we first reviewed leading practices and guidance from, among others, the Software Engineering Institute, the Office of Management and Budget (OMB), and DHS, and identified those practices that are critical to establish when transitioning to an Agile software development framework. Then, in consultation with GAO\u2019s internal Agile expert, we selected six practices that were most applicable to the status of the program. We then reviewed relevant program documentation, such as Agile training records, program plans, and status reports, and interviewed TSA and DHS officials to assess the extent that the program met these practices. We also observed Agile software development activities conducted at TSA facilities in Annapolis Junction, Maryland, and at a contractor\u2019s facilities in Beltsville, Maryland.", "To address the fourth objective, we reviewed leading practices and guidance from, among others, the Software Engineering Institute, OMB, DHS, and TSA, and identified four key practices in oversight and governance of programs using Agile software development. We then reviewed relevant TIM program management and governance documentation, such as program management plans, Agile contracts, schedules, cost estimates, program status reports, and artifacts from program oversight reviews. We also interviewed TSA and DHS officials to determine the extent to which these officials were following the key practices.", "To assess the reliability of the data that we used to support the findings in this report, we reviewed relevant program documentation to substantiate evidence obtained through interviews with agency officials. We determined that the data used in this report were sufficiently reliable for the purposes of our reporting objectives. We made appropriate attribution indicating the sources of the data. A full description of our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["As we have previously reported, transportation systems and facilities are vulnerable and difficult to secure given their size, easy accessibility, large number of potential targets, and proximity to urban areas. TSA\u2019s mission is to protect the nation\u2019s transportation systems by providing effective and efficient security to ensure freedom of movement for people and commerce. Accordingly, TSA is responsible for managing vetting and credentialing programs to ensure that individuals that transport hazardous materials or have unescorted access to secure or restricted areas of transportation facilities at maritime ports and TSA-regulated airports do not pose a security threat. In order to carry out this responsibility, TSA conducts background checks\u2014known as security threat assessments\u2014 on individuals seeking an endorsement, credential, access, and/or privilege (hereafter called a credential).", "Specifically, TSA reviews applicant information and searches government databases, such as criminal history records from federal, state, and local sources in the Federal Bureau of Investigation\u2019s National Crime Information Center database and Terrorist Screening Database, which is the federal government\u2019s consolidated terrorist watchlist. This information is used to determine whether the applicant has known ties to terrorism and whether the applicant may be otherwise precluded from obtaining a credential based on his or her immigration status and criminal history, among other factors. If TSA determines that an applicant does not pose a security threat, a credential may be supplied by an issuing entity. If it determines an applicant should be denied, the agency issues a preliminary determination of ineligibility letter to the applicant. The applicant may seek redress by appealing the determination or requesting a waiver.", "TSA\u2019s security threat assessments support over 30 credentialing programs in the maritime, surface, and aviation transportation segments. The largest programs include the Transportation Worker Identification Credential program for maritime workers, Hazardous Materials Endorsement program for commercially licensed drivers, the Aviation Worker program, and TSA Pre\uf0fc\u00ae for travelers at airport checkpoints. According to TIM program officials, these transportation programs are collectively estimated to have processed about 12.8 million enrollments by October 2017. Table 1 describes the largest transportation credentialing programs, by segment, and purpose of each."], "subsections": [{"section_title": "TSA Established the TIM Program to Address Shortcomings with Security Threat Assessments and Credentialing Systems", "paragraphs": ["TSA\u2019s legacy IT systems that are currently used to help conduct its security threat assessment and credentialing functions are an aggregation of stove-piped solutions that were developed over a period of time to support individual transportation screening programs. These systems are duplicative and lack needed sophistication to effectively detect, for example, if an individual is attempting to gain access to multiple facilities across different transportation programs in an effort to find any successful entry point. Early detection of this type of threat is difficult and time consuming because many aspects of the current systems are not fully automated.", "Additionally, we and the DHS Office of Inspector General (OIG) have previously reported numerous shortfalls with TSA\u2019s security threat assessment and credentialing systems.", "We reported in 2011 that the demand for security threat assessments is expected to continue to grow and the existing credentialing systems will not be able to accommodate this growing enrollment demand.", "In July 2013, we reported on functional limitations and technical problems with TSA\u2019s legacy credentialing systems that were to be addressed by the TIM system. These limitations included the inability to run reports to measure TSA response times to applicants, track adjudication of cases, and address case workload backlogs. We also reported on delays in processing new cases. We made recommendations to address these issues and DHS agreed with our recommendations. DHS has taken several actions to implement the recommendations, such as establishing a process for developing accurate workload projections and hiring additional adjudicators.", "In June 2015, DHS\u2019s OIG reported on issues with TSA\u2019s lack of continuous vetting once a credential was issued, referred to as recurrent vetting. For example, the OIG reported on the need for recurrent vetting of aviation workers. Specifically, it found that TSA did not have effective controls in place for ensuring that aviation workers had not committed crimes that would disqualify them from having unescorted access to secure areas of airports, and that they had lawful immigration status and were authorized to work in the United States. Instead, TSA depended on the commercial airports and air carriers to verify criminal histories of workers who already hold credentials, and on the credential holders themselves to report disqualifying crimes to the airports where they worked. The DHS OIG recommended that TSA pilot the Federal Bureau of Investigation\u2019s Rap Back program and take steps to institute recurrent vetting of criminal histories at all commercial airports. TSA concurred with the recommendation and stated that it planned to initiate a pilot Rap Back program to help ensure full implementation across all eligible TSA- regulated populations in the future.", "In September 2016, DHS\u2019s OIG reported that, although TSA required Transportation Worker Identification Credential cardholders to self- report to the administration and surrender their card when charged with a disqualifying offense, this self-reporting occurred only once between 2007 and 2016. The report also stated that TSA was testing two methods to implement recurrent vetting into its credentialing programs\u2014the Federal Bureau of Investigation\u2019s Rap Back program to check for criminal violations and the use of DHS\u2019s Automated Biometric Identification System to check for both criminal and immigration violations. However, TSA\u2019s plans did not include a method for determining the best approach, and the OIG reported that this would impede TSA\u2019s ability to implement recurrent vetting successfully and efficiently. Accordingly, the OIG recommended that TSA establish measurable and comparable criteria to use in evaluating and selecting the best criminal and immigration recurrent vetting option, and TSA concurred with this recommendation.", "Also, in September 2016, the DHS OIG reported that the background checks for the Transportation Worker Identification Credential program were not as reliable as they could be. For example, the OIG found that TSA did not have processes in place to ensure the proper separation of duties for adjudicators, who had the ability to assign, review, and perform quality assurance on the same case. The OIG also found missing supervisory review controls in the terrorism vetting process. Accordingly, the OIG recommended that TSA identify and implement additional internal controls and quality assurance procedures; TSA agreed with the recommendation. In response, TSA planned to make improvements to the TIM system to include an additional quality assurance component in which the system would automatically select cases for senior adjudicators to review and to incorporate into the overall reporting and monitoring activities.", "The TIM system is intended to address the shortfalls identified in these prior reports by providing a modern and centralized end-to-end credentialing system. The system is also intended to provide counter- terrorism and trend analytic capabilities to help identify unusual activities (e.g., credential shopping and using multiple aliases) across the entire credentialing process and all transportation populations supported by TSA\u2019s security threat assessments. In addition, the system is expected to enable automated recurrent vetting of individuals against criminal and immigration databases to ensure that a credential or endorsement is revoked if an individual commits a disqualifying act.", "The planned credentialing process that is to be supported by the TIM system includes:", "Registration and enrollment: Individuals seeking a credential or endorsement under one of the transportation programs supported by the system are expected to be able to apply for a security threat assessment at a Universal Enrollment Center or via the system\u2019s online portal. The biographic and biometric information collected from the applicant is to be received and processed by the system.", "Eligibility vetting and risk assessment: The system is to conduct automated vetting of the applicant\u2019s information against criminal, immigration, and terrorism watchlists to determine the security risk associated with allowing access privileges based on the criteria for the credential or endorsement that the individual is seeking to obtain. If the results return a flag for a potentially disqualifying factor, the applicant\u2019s case is to be sent for adjudication. TSA adjudicators are to use the system to review and adjudicate cases that did not pass automated vetting by comparing the applicant\u2019s information to the criteria for the credential or endorsement that the individual is seeking to obtain. The adjudicators are to determine the applicant\u2019s eligibility for the credential or endorsement, and approve or deny the individual\u2019s application.", "Issuance: When an applicant is approved through eligibility vetting or adjudication, the system is to notify the applicant of approval and provide instructions on how to receive the credential, which is to be activated by the system and supplied by the issuing entity. The applicant also is to be able to login to the online portal to view the status of the application.", "Verification and use: Use of the credential in secured areas is to be verified, including determining that the credential is authentic, that the individual is the correct recipient of the credential, and that the credential\u2019s status is valid (not revoked or expired).", "Revocation and expiration: The system is expected to conduct subsequent automated recurrent vetting of individuals who previously had been approved against criminal, immigration, and terrorist databases on an ongoing basis. If, as a result of recurrent vetting or self-reporting, there is new information indicating that an applicant\u2019s credential should be revoked, the system is to alert the adjudicators who are then to determine if revocation is needed. The system is to prompt credential expiration at the end of a specified period of time.", "Redress or waiver: An applicant that is denied a credential is to be able to apply to TSA to either appeal the decision, to include providing documentation to prove that he/she is eligible, or request a waiver from having to meet the eligibility criteria.", "Trend analytics: The system is to allow TSA\u2019s Office of Intelligence and Analysis users to select from a standardized suite of analysis tools that would allow them to identify unusual activities across transportation populations. A key objective would be to identify through analysis those adversaries and terrorists who may attempt to hide behind multiple personas and aliases.", "Figure 1 provides an overview of the intended future credentialing process which the TIM system is expected to support."], "subsections": []}, {"section_title": "Agile Software Development", "paragraphs": ["TIM program officials decided to adopt an Agile software development approach\u2014a type of incremental development\u2014which calls for the rapid delivery of software in small, short increments rather than in the typically long, sequential phases of a traditional waterfall software development approach. This decision is consistent with OMB\u2019s guidance as specified in its IT Reform Plan, as well as the legislation commonly referred to as the Federal Information Technology Acquisition Reform Act. Agile emphasizes early and continuous software delivery, as well as using collaborative teams and measuring progress with working software. Figure 2 provides a depiction of software development using the Agile approach compared to a waterfall approach.", "The Agile approach significantly differs in several ways from traditional waterfall software development. Table 2 highlights major differences between the Agile and waterfall software development approaches.", "Additionally, Agile practices integrate planning continuously throughout the life-cycle. Although Agile requires some high-level, up front planning, in general, planning in Agile focuses on the near term of the next few software releases. Planning sessions are conducted to support each release, iteration, and every work day. For example, development teams have daily meetings, where the team members discuss what they did yesterday and what they plan to do that day. Frequent planning is aimed at ensuring the program is delivering the needed capabilities to the end users.", "As we have previously reported, numerous frameworks are available to Agile practitioners to guide their Agile software development activities. Scrum is one common framework, which is widely used in the public and private sectors and its terminology is often used in Agile discussions. The following are key Scrum terminology and concepts:", "Product owners represent the end user community and have the authority to set business priorities, make decisions, and accept completed work.", "Scrum iterations (also called sprints) are where development teams build a piece of working software during a short, set period of time (e.g., 2 weeks). A collective set of sprints is bundled into a software release.", "Sprint teams (or development teams) conduct the Agile software development and testing work. These teams collaborate with minimal management direction, often co-located in work rooms. They meet daily and post their task status visibly, such as on wall charts.", "Scrum masters, similar to project managers, are responsible for removing impediments to the sprint teams\u2019 ability to deliver the product goals and deliverables.", "User stories convey the customers\u2019 requirements at the smallest and most discrete unit of work that must be done to create working software. Each user story is assigned a level of effort, called story points, which is a relative unit of measure used to communicate complexity and progress between the business and development sides of the project.", "To ensure that the product is usable at the end of every iteration, teams adhere to an agreed-upon definition of what constitutes acceptable, completed work.", "Backlogs are lists of requirements, such as user stories, to be addressed by working software. If new requirements or defects are discovered, these can be stored in the backlog to be addressed in future iterations.", "Velocity is a metric which is used to track the rate of work completed using the number of story points completed or expected to be completed in an iteration (i.e., sprint), or release. For example, if a team completed 100 story points during a 4-week iteration, the velocity for the team would be 100 story points every 4 weeks.", "Another framework, referred to as the Scaled Agile Framework (SAFe), is a governance model for organizations to use to align and collaborate the product delivery for modest to large numbers of Agile software development teams. The framework is intended to be applied to several organizational levels, including the development team level, the program level, and the portfolio level. It is also intended to provide a scalable and flexible governance framework that defines roles, artifacts, and processes for Agile software development across all levels of an organization.", "DHS has sought to establish Agile software development as the preferred method for acquiring and delivering IT capabilities. Specifically, in February 2016, the DHS Under Secretary for Management initiated an Agile software development pilot to improve the execution and oversight of the department\u2019s IT acquisitions. The Under Secretary for Management selected five DHS programs that were in various stages of the acquisition life-cycle, including the TIM program, to be part of the pilot.", "As part of this pilot initiative, DHS established integrated product teams designed to support each of the five programs in their efforts to adopt Agile practices. These teams were directed to focus on effectively planning and executing the pilot programs, as well as developing appropriate documentation to support program execution. According to the Under Secretary for Management, the department plans to use lessons learned from the pilots to develop and update policies and procedures for executing the pilot programs and future IT acquisitions. As of May 2017, department officials had not determined a completion date for the pilot.", "Additionally, DHS established a headquarters-level Agile team intended to collaborate across the department on improvements to policy, governance, and acquisition guidance. This group is intended to support Agile delivery; codify and publicize process improvement artifacts generated by the program-level integrated product teams; and eliminate redundancies and conflicting guidance so that oversight groups speak with one voice, reducing time through the acquisition process."], "subsections": []}, {"section_title": "DHS Oversight Framework", "paragraphs": ["In addition to the use of Agile software development principles, the TIM program is subject to the department\u2019s oversight framework. Specifically, the program is to adhere to DHS\u2019s acquisition policy, including its systems engineering life-cycle framework, which is intended to support efficient and effective delivery of IT capabilities. The Under Secretary for Management serves as the decision authority for the program, and is responsible for overseeing adherence to DHS\u2019s acquisition policies for the department\u2019s largest acquisition programs (i.e., those with life-cycle cost estimates of $1 billion or more).", "The Under Secretary for Management is supported by two offices within the department. The first of these offices\u2014the Office of Program Accountability and Risk Management (PARM)\u2014is responsible for DHS\u2019s overall acquisition governance process. PARM is responsible for, among other things, periodically conducting program health assessments to evaluate acquisition programs, in terms of a program\u2019s management, resources, planning and execution activities, requirements, cost and schedule, and how these factors are impacting a program\u2019s ability to deliver a capability.", "The other key supporting office\u2014the DHS Chief Information Officer (CIO)\u2014is responsible for, among other things, setting departmental IT policies, processes, and standards. The CIO is also responsible for ensuring that acquisitions comply with the department\u2019s IT management processes, technical requirements, and the approved enterprise architecture. Within the Office of the Chief Information Officer (OCIO), the Enterprise Business Management Office is to ensure that the department\u2019s IT investments align with its missions and objectives. As part of its responsibilities, this office periodically assesses investments to gauge how well they are performing through a review of program risk, human capital, cost and schedule, and requirements\u2014referred to as the CIO\u2019s program health assessment.", "According to the CIO, the Chief Technology Officer, which is responsible for leading the development of IT and standards across the department, and for management of the Agile pilot initiative, offers guidance and assistance to programs to help improve their execution. In addition, the Director of the Office of Test and Evaluation is to provide oversight of components\u2019 independent test and evaluation activities.", "The DHS Acquisition Review Board is chaired by the Under Secretary for Management and is made up of many executive level members including the CIO, the Executive Director of the Office of PARM, and the Chief Procurement Officer. The board is to meet periodically to oversee programs\u2019 business strategies, resources, management, accountability, and alignment to strategic initiatives. Additionally, the department has established executive steering committees, which generally are comprised of component and DHS executive-level members, such as the component CIO and Chief Financial Officer, as well as the DHS Chief Technology Officer and the Executive Director of the Office of PARM. The committees are to provide governance, oversight, and guidance to programs and their related projects and initiatives to help ensure successful development and operations.", "Figure 3 shows the organizational structure of the key DHS organizations with IT acquisition management responsibilities."], "subsections": []}, {"section_title": "TSA Organizations Involved with the TIM Program", "paragraphs": ["The TIM program office resides within the Mission Operations component of TSA\u2019s Office of Information Technology. The expected users of the TIM system come from multiple offices under the Office of Intelligence and Analysis, including the Security Threat Assessment Operations office, which is responsible for conducting the security threat assessments, and the Program Management office, which is responsible for managing TSA\u2019s maritime, surface, and aviation credentialing programs. The TIM program\u2019s Executive Steering Committee is chaired by the TSA CIO, who is the head of the Office of Information Technology, and the TSA Deputy Component Acquisition Executive, and meets quarterly. In addition, the TSA Operational Test Agent is to perform operational testing and evaluation of the TIM system\u2019s operational effectiveness, interoperability, cybersecurity, and suitability. As previously mentioned, the DHS Director of the Office of Test and Evaluation is to provide oversight of these test and evaluation activities.", "Figure 4 shows the key TSA organizations involved with the TIM program."], "subsections": []}]}, {"section_title": "After Experiencing Significant Cost, Schedule, and Performance Issues with the Initial TIM System Deployment, TSA Implemented a New Strategy", "paragraphs": ["The TIM program experienced significant cost, schedule, and performance issues during its initial implementation efforts. Specifically, in May 2014, TSA launched an initial version of a commercial-off-the-shelf (COTS) system for the maritime transportation segment of TIM that was to support the Transportation Worker Identification Credential program. However, as we previously reported, in September 2014, TSA reported to DHS that the program had breached its baseline because it had significant cost, schedule, and performance issues due to, among other things, the addition of newly created credentialing programs that were added to the program\u2019s scope, such as TSA Pre\uf0fc\u00ae and Chemical Facility Anti-Terrorism Standards.", "TIM program officials also reported in the breach remediation plan other issues that led to the breach, including different expectations between TSA officials and the contractor regarding the extent of reuse of system functionality among the different transportation segments. Specifically, TSA expected that it would be able to reuse more of the maritime functionality for the surface and aviation populations, while the contractor expected there to be less reuse.", "In January 2015, the Acting Under Secretary for Management directed program officials to suspend all planning and development efforts related to the other two segments of the program\u2014surface and aviation\u2014until the issues with the maritime segment could be resolved. In August 2015, program officials prepared a revised life-cycle cost estimate which increased costs to approximately $1.34 billion (about $713 million more than the original 2011 estimate), and delayed full deployment of the TIM system (to include all three transportation segments) to fiscal year 2022 (7 years later than originally planned).", "Also, in September 2015, the Director of the Office of Test and Evaluation issued a letter of assessment which concluded that initial operational testing of the COTS system for the maritime segment had determined that the system was not operationally effective and not operationally suitable. The Under Secretary for Management directed the DHS CIO to conduct a thorough review of the proposed plans for moving forward with the TIM program.", "After conducting the review, the CIO did not support the program\u2019s proposal. As a result, in November 2015, the Under Secretary for Management continued the suspension of all developmental efforts for the surface and aviation transportation segments, but authorized the program to continue resolving problems that were identified during initial operational testing for the COTS system being used by the maritime segment. The Under Secretary for Management also directed the CIO to form and lead an integrated product team with senior TSA representatives and the TIM program office to develop a new strategy for the program.", "In March 2016, DHS and TSA officials completed a new strategy for delivering TIM capabilities. This strategy included the following changes: replace proprietary COTS applications with custom-developed applications using open source code; transition traditional, large development teams using a waterfall system development methodology to an Agile software development framework to enable rapid, incremental development and deployment; and migrate from a defined, fixed data center environment to a scalable Federal Risk and Authorization Management Program (FedRAMP) certified cloud computing environment.", "Also, according to the new strategy, the move from the COTS product to an open source solution is to include replacing the COTS product that had already been deployed to the maritime segment with the open source solution. It is also to include replacing the legacy systems that support the credentialing programs from the other two transportation segments (surface and aviation) with the open source solution. TSA plans to incrementally transition the program from these legacy systems between fiscal years 2018 and 2021.", "Additionally, the system is expected to interface with at least 19 other information systems, including the following key systems:", "TSA\u2019s Transportation Vetting System, which conducts initial and recurrent name-based matching against defined terrorist related data sets.", "The Federal of Bureau of Investigation\u2019s National Crime Information Center, which is an electronic clearinghouse of crime data.", "DHS\u2019s Automated Biometric Identification System, also referred to as IDENT, which is the central DHS-wide system for storage and processing of biometric and associated biographic information for national security, law enforcement, immigration and border management, intelligence, and other background investigative purposes.", "TSA\u2019s Secure Flight, which identifies individuals who may pose a threat to aviation or national security and designates them for enhanced screening or prohibition from boarding an aircraft, as appropriate.", "The U.S. Citizenship and Immigration Service\u2019s Systematic Alien Verification for Entitlements, which is the primary data source for government agencies to verify legal entry and presence in the United States of a non-U.S. citizen or naturalized U.S. citizen.", "In April 2016, the Under Secretary for Management approved the TIM program\u2019s new strategy and, in September 2016\u2014almost 2 years after the program was initially suspended\u2014the program was rebaselined to reflect the new strategy. As we previously reported, the estimated cost and schedule in the revised baseline was significantly different than the initial baseline. The revised baseline estimate was for about $1.27 billion (a $74 million decrease from the previous 2015 cost estimate and an overall increase of $639 million from the original 2011 estimate), with full deployment planned for 2021 (a 1-year acceleration from the previous 2015 schedule and an overall delay of 6 years from the original 2011 schedule). Table 3 shows the estimated costs and schedules reflected in the initial and revised estimates.", "According to TIM officials, in the program\u2019s first 8 years (between October 2008 and September 2016), TSA spent over $280 million to deploy the initial COTS solution to the maritime segment and address critical fixes in the solution (i.e., the solution that TSA determined it needs to replace). Also during 2016, TSA began transitioning to an Agile software development framework. In September 2016, TSA issued two task orders to a contractor to provide Agile software development services. The orders were issued to the same design and development contractor that had assisted with the initial deployment of the TIM COTS solution.", "From October 2016 to June 2017, the program deployed four software releases using Agile software development practices. These releases were focused on, for example, deploying new functionality to the COTS system to enhance the criminal and immigration vetting data provided to adjudicators.", "In December 2016, between the first and second Agile releases, the program suspended new development for 1 month while officials reconsidered the order in which they would deliver functionality. Also during this period, the program developed and deployed a smaller release which program officials refer to as a \u201chalf release.\u201d According to program officials, this release did not produce any new capabilities and instead addressed operations and maintenance-related fixes to the deployed COTS system.", "After development of the second software release, at the end of March 2017, the program was reviewed by DHS\u2019s Acquisition Review Board. The purpose was to review the results of follow-on operational testing that was performed to determine whether the program had adequately addressed the prior system and usability issues and implementation of the program\u2019s new strategy. The meeting was also intended to discuss the status of several action items from a prior review board meeting that occurred in September 2016, such as finalizing a test and evaluation master plan, conducting a cybersecurity threat assessment, updating the program\u2019s mission needs statement and concept of operations, and establishing software development cost metrics. Implementation of the new strategy continues to be monitored by DHS and TSA oversight bodies."], "subsections": []}, {"section_title": "The New Strategy for the TIM Program Has Addressed Selected Prior Challenges, but Concerns Remain", "paragraphs": ["The new strategy for the TIM program addressed a number of major challenges that the program faced during earlier efforts to develop and deploy the system; nevertheless, key challenges remain. Specifically, of the seven major challenges that the program faced during its initial implementation of a COTS solution for the maritime segment, four challenges have been addressed related to (1) system performance and usability issues, (2) data migration issues, (3) information security testing, and (4) the inadequacy of the program\u2019s previous hosting facility. However, the remaining three challenges regarding constraints with COTS product, significant addition of new transportation programs (e.g., TSA Pre\uf0fc\u00ae), and insufficient stakeholder coordination and communication have not been fully addressed."], "subsections": [{"section_title": "Fixes Have Been Implemented to Address Critical System Performance and Usability Issues", "paragraphs": ["According to DHS guidance, among other things, an operational test and evaluation examines systems for operational effectiveness. Specifically, it tests for the ability of a system to accomplish a mission when used by representative users in the expected environment.", "The 2015 initial operational testing of the maritime segment (supporting the Transportation Worker Identification Credential program) found that the COTS system was extremely unreliable due to frequent critical failures, and had several system performance and usability issues that limited users\u2019 ability to execute tasks in a timely and accurate manner. These issues included lags, freezes, the need for excessive refreshes, inadequate reporting and case management functionalities, as well as an interface that was not user-friendly. For example, the system was unable to produce accurate reports on case workload and status, so users expended significant effort creating spreadsheets to manually assign cases and manage their progress. The system was also unable to perform certain waiver functions in a timely and complete manner, which resulted in a significant backlog.", "The program office has addressed the issues identified in the initial operational test report by first identifying a list of over 900 action items. According to TIM officials, they validated this list with the operational test agent and prioritized the action items with the product owners (i.e., end users) to identify which were the most critical to complete. For example, critical items included addressing issues with the waiver functions, assigning cases, and issuing credentials. The program implemented the critical fixes by developing seven software releases from September 2015 to October 2016. In January 2017, the TSA operational test agent reported that follow-on operational testing of the COTS system confirmed that the program had adequately addressed the prior system and usability issues. As a result, according to the test agent, the program\u2019s previously deployed maritime segment of the system performed as intended."], "subsections": []}, {"section_title": "Actions Have Been Taken to Better Account for the TIM Program\u2019s Future Data Migration Efforts", "paragraphs": ["According to leading practices, IT programs should identify potential problems before they occur. This allows programs to plan and execute activities to mitigate the risk of such problems having adverse impacts on the program.", "When the TIM program transitioned maritime users from the legacy system to the COTS system, according to TSA\u2019s breach remediation plan, program officials found that cleaning and properly migrating data was very difficult and time consuming because the legacy systems were old and the data mapping information was not readily evident. Program officials stated that the data migration efforts were also difficult because of the proprietary nature of the COTS product, which impacted the ability to effectively migrate data from legacy systems. The additional time needed for data migration resulted in higher than anticipated costs for the maritime transportation segment.", "Program officials have taken action to better account for the TIM program\u2019s future data migration efforts. Specifically, as part of the new strategy, the officials plan to defer legacy data migration until after system deployment efforts are complete to avoid disrupting deployment efforts. The strategy focuses on the program migrating only closed case data from the legacy systems to the new system. As such, adjudicators are to continue to complete and close any security threat assessment cases opened in the legacy system even after the new system is deployed, and the new system is to only handle newly opened security threat assessment cases. Once final disposition of the cases in the legacy system is complete, those cases would then be included in the closed case data migration effort, which is planned to occur at the end of development, around fiscal years 2020 to 2021.", "In addition, the new strategy includes streamlining the data migration by using the open source solutions to help simplify the migration of data on transportation populations from the legacy systems. As a result of the new approach, the program should be better positioned to more effectively migrate data during future transitions between the legacy systems and new system."], "subsections": []}, {"section_title": "Prior Information Security Weaknesses in the TIM System Have Been Addressed, and Deferred Cybersecurity Threat Testing Is Planned", "paragraphs": ["According to DHS guidance, the operational test and evaluation also should examine the department\u2019s systems for operational suitability, which is the degree to which a system is deployable and sustainable. The evaluation is to take into account factors such as reliability, maintainability, availability, and interoperability.", "The 2015 initial operational testing of the COTS system found that it was not suitable because the system had significant information security weaknesses. Specifically, the system inappropriately provided users with greater access than was necessary to do their jobs, which undermined the security benefits of controlling what different users were able to do in the system based on their role. The COTS system also contained critical and high-risk system security vulnerabilities which could result in the compromise of sensitive system information, such as passwords, and could hinder TSA officials\u2019 ability to effectively respond to incidents.", "Program officials took actions to address the security weaknesses previously identified. For example, in response to the findings from the initial operational testing, between September 2015 and October 2016, they developed and released fixes to the significant security weaknesses. In April 2017, the results of the follow-on operational testing confirmed that the COTS system was free of critical or high-risk system security vulnerabilities and that it appropriately restricted access to the system by only allowing users to access areas of the system needed to support their specific business tasks.", "In addition, critical steps to evaluate the system\u2019s cybersecurity have been planned, but not yet completed. Specifically, testing for realistic cybersecurity threats which is used to help categorize the system\u2019s risk- level in terms of confidentiality, integrity, and availability, was deferred until March 2018. Program officials decided to defer this test until new hosting environments for TIM are implemented, rather than testing TIM in an environment that will soon be retired. These environments are intended to enable the development, testing, and production of the system. However, implementation of those environments has been delayed until December 2017, and as a result, the cybersecurity vulnerability assessment has been deferred to March 2018. The identification of a time frame in which the program plans to conduct this important cybersecurity test is a step in the right direction, and avoiding additional delays will be important."], "subsections": []}, {"section_title": "TSA Decided to Discontinue Use of a DHS-Provided Cloud, and Recently Took Actions to Address Delays in Implementing Interim Hosting Environments", "paragraphs": ["According to OMB, a hosting facility or data center is to process or store data and must meet stringent availability requirements. Additionally, cloud computing can be used as a means for enabling on-demand access to shared and scalable pools of computing resources.", "During the initial implementation of TIM, the system was hosted in a cloud that operated out of a DHS data center (referred to as DHS Data Center 1). However, the DHS cloud was higher in operations and maintenance costs than the program originally planned, which presented a challenge for the program.", "To address this challenge, in 2016, TIM program officials decided to move the COTS system that was previously deployed (the maritime segment) out of the DHS cloud and set it up in a public cloud environment. They also planned to use the public cloud environment to develop, test, and operate the future TIM open-source based system. The officials planned to use a phased migration that consisted of first establishing hosting environments at two data centers\u2014DHS Data Center 1 and TSA Colorado Springs Operations Center. The officials planned to use the data centers for the development, testing, and production of the future TIM open-source based system, and then eventually transition to a public or hybrid cloud once the system reaches full operational capability in fiscal year 2021. As part of this approach, officials planned to establish 10 development, testing, and production environments at these data centers from January to July 2017, so that TIM\u2019s development teams did not have to compete for the same environments during Agile software development and testing efforts.", "While the program experienced delays in setting up its production environment, officials recently took actions to address these delays. Specifically, the program was expected to have a new production environment available at the TSA Colorado Springs Operations Center by March 2017; however, it was delayed until May 2017. Additionally, while migration of the TIM system to the new hosting environments was planned to occur by September 2017, it has been delayed. These delays have contributed, in part, to delays in other aspects of the program, including the execution of the cybersecurity vulnerability assessment, as well as delays in the implementation of automated testing and deployment tools (discussed later in this report). In response to these delays, program officials recently established a revised schedule in May 2017 for setting up the new environments by December 2017.", "Effectively executing against this updated schedule should help to keep the program on track with delivering these important environments and fully addressing the related challenge that the program experienced during its prior implementation efforts."], "subsections": []}, {"section_title": "TSA Decided to Move the TIM System from COTS to Open Source, but Implementation Plans Continue to Significantly Change", "paragraphs": ["According to leading practices and guidance, technology decisions should seek to enable services to scale easily and cost-effectively and to avoid vendor lock-in by, for example, using open source solutions. The benefits of using open source solutions can include improved software reliability and security through the identification and elimination of defects from continuous and broad peer review of publicly available source code that might otherwise go unrecognized by a more limited core development team; unrestricted ability to modify software source code; no reliance on a particular software vendor due to proprietary restrictions; reduced software licensing costs; and the ability to \u201ctest drive\u201d the software with minimal costs and administrative delays in a rapid prototyping and experimentation environment.", "Also, according to leading practices, IT programs should ensure that their plans include how they will transition from the current state to the final state of system operations. Such planning provides a mutual understanding to relevant stakeholders of how programs are to accomplish the transition.", "According to TSA\u2019s breach remediation plan, the TIM program\u2019s use of a COTS solution led to several challenges. For example, program officials reported that the COTS product restricted their ability to make changes to the product to improve system usability and, as previously discussed, impacted the ability to effectively migrate data from legacy systems because of the proprietary COTS product. Program officials also reported that they were highly dependent on the COTS vendor to remediate compatibility issues and resolve problems, which required additional time. The plan also stated that the COTS product required a complex system architecture which prevented the program from implementing modern software development and testing tools. Finally, use of the COTS product resulted in higher software licensing costs.", "The TIM program\u2019s new strategy is intended to address these challenges by moving away from using a COTS product to a custom-developed open source solution. However, the program\u2019s approach for developing and delivering this new solution has been in a continual state of fluctuation and implementation plans have not been defined. As such, this challenge has yet to be fully addressed. Specifically, In September 2016\u2014after the 2-year pause in the program and completion of its extensive rebaselining effort\u2014DHS and TSA officials decided that TSA would incrementally retire legacy systems as the transportation programs that use those systems are migrated to the open source solution; they also decided to eventually replace the COTS system that was previously deployed to support the maritime Transportation Worker Identification Credential program and migrate to the open source solution. This was to be completed using a staged approach between the migrations, and also by using two versions of the COTS system as well as the open source system. However, the program lacked a plan detailing how it was going to migrate from the current legacy state, to the interim environment (with the two versions of COTS plus an open source system), to the final state.", "As previously mentioned, in December 2016, new development for the TIM system was paused once again to, among other things, further evaluate the transitioning approach that was agreed to 3 months prior. Four months later (in mid-March 2017), program officials decided to continue pursuing the approach that was agreed to in September. Subsequently, the high-level implementation schedule was revised to adjust for delays that this most recent replanning effort contributed to (other contributing factors for the delay are discussed later in this report). The revised schedule delayed deployment of the initial Pre\uf0fc\u00ae capabilities by 6 months and other key functionality up to 12 months.", "Further adding to the fluctuation in the program, at the end of March 2017, the DHS Acquisition Review Board requested that the program\u2019s implementation approach be revised to accelerate the delivery of the TIM program\u2019s front-end interface for adjudication and redress functions. However, it is unclear how the acceleration of the development and implementation of these functions will impact the delivery of the other planned functionality, and what tradeoffs the program will need to make. Program officials were expected to develop an overview of the acceleration efforts associated with cost, schedule, risk, and impacts on the program and deliver it to PARM and the Office of the Chief Technology Officer in August 2017.", "As a result, while it has been 8 months since the TIM program was rebaselined, the details of how the program will transition from its current state, to an interim state, then to the final state of full open source, have yet to be determined. This is contrary to leading practices that we have previously identified, which state that when pursuing an IT modernization effort, organizations should develop a plan for transitioning from the current to the target environment.", "In response to our concerns, program officials stated that after they determine how they will adjust to incorporate the Acquisition Review Board\u2019s recent acceleration request, they will determine the details of how the program will achieve the desired final state. However, until the program establishes and implements specific time frames for determining key implementation details, including how it will transition the program from its current state to an interim state and to the final state, the TIM program office, and TSA and DHS oversight bodies cannot be certain about how the program will ultimately deliver its complete open source solution."], "subsections": []}, {"section_title": "New Transportation Programs Have Been Incorporated in TIM\u2019s Rebaselined Schedule, but the Program Is Experiencing Significant Delays", "paragraphs": ["According to leading practices, programs should manage changes to requirements as they evolve during the project. Programs should also ensure that planned schedules provide a realistic forecast for completion of activities, including providing reasonable slack (i.e., flexibility in the schedule).", "After the TIM program was initiated in 2008, it experienced significant increases in scope, such as the addition of TSA Pre\uf0fc\u00ae and Chemical Facility Anti-Terrorism Standards populations in 2012, which required more functionality and considerably more processing demands than originally planned. The TIM program was challenged to accommodate the additional work needed to incorporate these new transportation populations and capabilities, and, in part, contributed to a significant breach in its original cost and schedule estimates.", "To address the challenge, the TIM program incorporated the additional functionality and processing requirements into its cost and schedule rebaseline that was approved in September 2016. In addition, the program\u2019s new strategy addressed the need to be adaptable to accommodate any new transportation populations and capabilities that could be added in the future by taking an enterprise-level approach to providing capabilities.", "Nevertheless, while the TIM program incorporated TSA Pre\uf0fc\u00ae into its new plans, the implementation schedule for the program was very compressed and program officials did not establish a schedule that realistically forecasted when activities would be completed. Specifically, program officials planned to deploy initial TSA Pre\uf0fc\u00ae capabilities by May 2017 without any slack in the schedule. According to program officials, the reason for this approach, was because TSA Pre\uf0fc\u00ae was considered a high priority for migrating from its legacy system in order to accommodate an expected influx of applicants during the summer months. However, slack was not incorporated in the implementation schedule; therefore, when the program experienced schedule delays, it resulted in the program missing the May 2017 implementation deadline and being rescheduled to November 2017.", "The 6-month delay in delivering initial Pre\uf0fc\u00ae capabilities was due to the delays discussed in the prior section associated with replanning the strategy for transitioning to the open source system, as well as delays in onboarding additional development team members and setting up new development and production environments. The delay in delivering Pre\uf0fc\u00ae capabilities is especially problematic because program officials have reported that the legacy system is at risk of exceeding its processing capacity.", "Additionally, as previously mentioned, the program\u2019s revised schedule shows the delivery dates for almost all (8 of 10) capabilities being significantly pushed back\u2014with 2 capabilities being delayed up to 12 months. Moreover, not only were the implementation dates delayed for these efforts, the time to complete a number of these efforts was reduced by about 1 to 12 months\u2014thus further exacerbating our concerns about unrealistic schedules. Without a schedule that realistically forecasts when activities will be completed, TIM program officials cannot ensure that they will meet the dates that they have committed to, such as when key capabilities for TSA Pre\uf0fc\u00ae are to be deployed."], "subsections": []}, {"section_title": "Efforts to Improve Stakeholder Coordination and Communication for the TIM Program Have Begun, but Key Actions Have Not Been Implemented", "paragraphs": ["According to leading practices, programs should coordinate and collaborate with relevant stakeholders (i.e., those that are affected by or in some way accountable for the outcome of the program, such as program or work group members, suppliers, and end users). Stakeholder coordination includes, for example, involving stakeholders in reviewing and committing to program plans, agreeing on revisions to the plans, and identifying risks. Programs should also identify the needs and expectations of stakeholders and translate them into end user requirements.", "However, during prior implementation efforts with the COTS solution, the program experienced challenges with effectively coordinating and communicating with end-users. For example, according to program documentation, it had not adequately collaborated with end users in developing and implementing business requirements and conducting post-deployment user satisfaction assessments. This led to frustration among end users who felt inadequately informed and prepared for the new COTS system.", "To address this challenge, the TIM program\u2019s new strategy includes establishing a product owner role, which, as previously mentioned, is intended to represent the end user community and have the authority to set business priorities, make decisions, and accept completed work. The program\u2019s adoption of the Agile software development approach has also significantly increased the frequency of the program\u2019s engagement with stakeholders to define, test, and implement software releases.", "In addition, program officials established an organizational change management strategy in October 2016 that is intended to, among other things, focus broadly on establishing overall communication processes for program stakeholders. This strategy identifies key steps such as, establishing a communication team and hiring a communication lead to oversee the development and execution of the communication action plans, establishing a communication working group, and serving as chair of the communication working group. This group is to be responsible for developing four communication action plans for key stakeholder groups (e.g., new transportation populations, existing transportation populations, and management). These particular steps were to be completed from November 2016 through January 2017.", "However, while as of May 2017, the TIM program had implemented certain steps from the organizational change management strategy, such as establishing a communication team, the program has been delayed in implementing other steps. Specifically, the communication lead position was to be filled in November 2016. However, in March 2017 TIM program officials stated that the position had not yet been filled due to the federal hiring freeze. Additionally, because of the vacancy in the communication lead position, other key actions have been delayed, such as the development and execution of the communication action plans.", "Program officials have not established new time frames for completing the remaining steps outlined in the organizational change management strategy. Until these time frames are established and effectively executed, program officials will have less assurance that there will be effective communication with stakeholders and customers to ensure that the program is meeting their needs."], "subsections": []}]}, {"section_title": "The TIM Program Has Not Fully Implemented Leading Practices for Transitioning to Agile Software Development", "paragraphs": ["As discussed previously, transitioning a program from waterfall development to Agile software development is a significant effort, and requires the implementation of fundamental practices to ensure that the transition is successful. According to leading guidance, an organization transitioning to Agile software development should establish critical practices to help ensure successful adoption of the Agile approach, such as obtaining full support from leadership to adopt Agile processes, enhancing Agile knowledge, ensuring product owners are engaged with the development teams and have clearly defined roles, establishing a clear product vision, prioritizing backlogs of requirements, and implementing automated tools to enable rapid system development and deployment.", "While the TIM program has fully implemented the first two of these leading practices necessary to ensure the successful adoption of Agile, the remaining four practices have not been fully implemented. The gaps we have identified with the program\u2019s implementation of Agile are concerning given that it did not follow key IT acquisition best practices when using its waterfall development approach during the program\u2019s first 8 years and spent over $280 million on a system that TSA has determined it needs to replace."], "subsections": [{"section_title": "The TIM Program Has Received and Maintained Support from TSA and DHS Leadership to Adopt Agile Practices", "paragraphs": ["According to leading practices and guidance, an organization transitioning to Agile software development should get and maintain full support from the organization\u2019s leadership to adopt Agile processes. Leadership support helps empower employees to continuously improve the use of Agile software development practices.", "DHS and TSA leadership have approved the TIM program\u2019s adoption of Agile software development, and continue to support the transition. For example, the DHS OCIO worked closely with TSA officials in 2015 and 2016 to develop the new strategy for the program which included moving away from a waterfall development approach to Agile software development. As previously mentioned, the Under Secretary for Management selected the TIM program to be part of the DHS Agile pilot initiative in February 2016 and approved the program\u2019s new strategy in April 2016.", "Moreover, the DHS Office of the Chief Technology Officer has continued to provide guidance and resources to the program since it adopted Agile. For example, TIM program officials stated that the DHS Chief Technology Officer added two of the office\u2019s full-time and one part-time staff members to the TIM program. DHS and TSA officials stated that the Chief Technology Officer also provided an Agile coach to assist the TIM Program Manager about 3 days per week with establishing an Agile governance framework. Finally, DHS established an Agile Integrated Product Team that is co-chaired by PARM and the TIM Program Manager. The team meets bi-weekly to provide guidance on adopting Agile processes. As a result of the sustained leadership commitment, the program is better positioned to continuously improve its Agile practices."], "subsections": []}, {"section_title": "Key TIM Program Staff Have Received Agile Training to Enhance Knowledge", "paragraphs": ["According to leading practices and guidance, an organization transitioning to Agile software development should ensure that the entire program team receives Agile training. This allows organizations to achieve a faster shift away from the previous culture and processes and toward a more agile culture.", "Toward this end, the TIM program requires its Agile contractor to ensure that development teams are trained and skilled in Agile methods, as well as in the specific Agile frameworks the program has adopted, which include the Scrum and SAFe frameworks. Additionally, the program provided initial Agile training for key program staff when it began transitioning to Agile software development. Specifically, the program provided a mandatory 2-day Agile workshop in October and December 2016 which covered basic Agile principles and the Scrum and SAFe frameworks. This training was provided to many key staff members, including contractor support staff, a contracting officer representative, and product owners.", "Further, in December 2016, the program began providing training on the SAFe framework to its government employees. This training was tailored based on different roles, such as Agile practitioner, program manager or product owner, and scrum master. The training courses were provided to key staff members, including TIM program leadership, team leads, branch managers, and scrum masters. As a result of providing Agile training, the program\u2019s staff should be able to more effectively adopt and apply Agile software development processes."], "subsections": []}, {"section_title": "TIM Program Product Owners Frequently Engage with Development Teams, but Roles and Responsibilities Are Not Clearly Defined", "paragraphs": ["According to leading practices and guidance, an organization transitioning to Agile software development should designate a product owner who represents the user community and establishes priorities based on business needs, approves user stories and their acceptance criteria, and decides whether completed work meets the acceptance criteria and can be considered done. The product owner should also maintain close collaboration with the development teams by, among other things, providing daily support to help clarify requirements and attending key Agile meetings, such as sprint- and release-level planning sessions and system demonstrations. Additionally, roles and responsibilities among relevant stakeholders, such as the product owner, should be clearly defined and documented by the organization that is transitioning to Agile software development, so that the stakeholders are aware of their responsibilities and given the authority to perform their roles.", "The TIM program has two different groups of individuals that collectively share the responsibilities of product owner, and while these groups frequently engage with the development teams, program officials have not yet clearly defined the groups\u2019 roles and responsibilities. Specifically, according to program officials, the first group consists of five product owners that represent end users and are collectively responsible for supporting all development teams, attending all Agile meetings, and prioritizing and approving planned and completed work. In addition, according to program officials, these five individuals are also responsible for approving user stories associated with new system functionality.", "The other group is referred to as the solutions team, which includes, for example, the TIM Chief Architect and Chief Engineer. According to program officials, the technical work (which is to help enable the system functionality, such as ensuring network connectivity and proper software licenses) is approved by the solutions team.", "Nevertheless, while program officials told us about these high-level roles and responsibilities, the program\u2019s documentation does not clearly define them among the five product owners and the solutions team. Moreover, program officials have not defined the rules of engagement for these product owners, such as how competing priorities among different product owners should be handled.", "According to program officials, the lack of clearly defined roles and responsibilities has not been a problem for the program because the product owners and the solutions team regularly communicate and coordinate with each other, and thus far, have been in agreement on the priorities for the program. However, the program recently scaled up the amount of work being conducted simultaneously, which adds to the volume of the decisions that need to be made and the coordination that has to occur among the five product owners and solutions team. Thus, even if the program has not yet experienced issues with coordination, without more clarity in the roles and responsibilities among the groups that are responsible for prioritizing and accepting work, the program risks facing challenges in establishing priorities, approving user stories, and deciding whether completed work meets the acceptance criteria."], "subsections": []}, {"section_title": "The TIM Program Established a Vision, but It Does Not Always Align to the Requirements; Recent Corrective Actions Should Yield Improvements", "paragraphs": ["According to leading practices and guidance, a program transitioning to Agile software development should have a clearly defined vision. This can be in the form of a product roadmap, to guide the development of the product and to help inform the planning and requirements development of Agile software development releases.", "Consistent with leading practices, TSA established a vision for the TIM program. This vision is articulated in multiple documents\u2014including the Mission Needs Statement, Concept of Operations, and Operational Requirements Document. Officials also use a strategic roadmap to articulate the program\u2019s vision, which specifies the high-level system capabilities that are to be deployed over the life-cycle of the program through 2021.", "However, the program\u2019s vision has not always informed the planning of requirements for the software releases, as intended by leading practices. Specifically, the capabilities outlined in the program vision documents, such as the strategic roadmap, do not consistently map to program requirements. While 5 of the 10 capabilities in the strategic roadmap align to the high-level and large scope requirements, referred to as epics, the other half of the capabilities do not clearly align to the epics. For example, the adjudication and redress capabilities that are in the strategic roadmap do not align to any epic. In addition, the capability for public-facing portals does not clearly track to any epic.", "TIM officials recognized the alignment issues, and in August 2017, stated that they are in the process of establishing alignment from the program\u2019s vision down to the lowest level of requirements, by refining the program\u2019s vision and requirements. Officials also stated that they expected this effort to be completed by 2018. Effective execution of this effort should help ensure the program\u2019s vision is informing requirements planning."], "subsections": []}, {"section_title": "Requirements for the TIM System Have Not Been Fully Prioritized", "paragraphs": ["According to leading practices and guidance, a program transitioning to Agile software development should have a prioritized list of the requirements that are to be delivered\u2014referred to as the backlog. This backlog should be maintained so that the program can ensure it is always working on the highest priority requirements that will deliver the most value to the users. In addition, according to TIM Agile management documentation and program officials, the program\u2019s backlog of features (i.e., mid-sized requirements) is expected to represent the features that are to be delivered over the next several software releases. These features are to be assigned priority levels to help determine which should be selected for development when planning the next release.", "According to TIM Agile management documentation, the TIM program is expected to manage a backlog for each software release, which is to identify the features and their derived user stories (i.e., the smallest and most detailed requirements) that are to be delivered in a specific release. The documentation also indicates that each feature and user story is to be assigned priority levels to determine which should be included in the development of the next release and associated sprint. Figure 5 illustrates the intended prioritization in the features, releases, and user stories backlogs.", "However, as of July 2017, the program\u2019s backlogs did not contain specific prioritization levels for each of the features and user stories, as called for in DHS guidance. According to program officials, instead of assigning specific prioritization levels, they had more generally identified which features should be developed within the near-term (e.g., in the next several Agile releases). Program officials recognized that they still needed to prioritize their backlogs by assigning priority levels to all features and user stories, but they did not have a time frame for completing this effort.", "Without ensuring full prioritization of current and future features and user stories, the program is at risk of delivering functionality that is not aligned with the highest needs of those that are responsible for conducting security threat assessments to protect the nation\u2019s critical transportation infrastructure."], "subsections": []}, {"section_title": "The TIM Program Has Been Delayed in Implementing Many of the Planned Automated System Development and Deployment Tools", "paragraphs": ["According to leading practices and guidance, automating system development and deployment work and avoiding manual work is especially important for Agile programs, as it enhances the ability for rapid development and delivery of high quality software. Specifically, a program transitioning to Agile software development should use an automated tool for managing Agile activities, such as maintaining the product backlog and tracking the status of completed work. The program should also establish automated testing and deployment capabilities to improve the quality of the system. For example, according a DHS\u2019s Agile development instruction manual, the vast majority of software defects are discovered during system integration testing, and\u2014if automated\u2014this testing can be run multiple times on a sprint or release in order to identify more defects sooner. In addition, automated tools can enable more efficient processes for frequently integrating computer code that is developed by different team members (e.g., hourly or daily), in order to quickly detect any code integration errors. Automation of testing can also help decrease the risk of introducing security flaws due to human error.", "However, program officials deferred implementation of an automated Agile program management tool and many other testing and deployment tools. Specifically, while the program had been using Agile software development practices since October 2016, the program has not used an automated management tool for tracking the status of completed work for its first three Agile software releases. Instead the program has used spreadsheets that require TIM program officials to manually populate and track large amounts of program status information.", "Program officials had planned to implement an automated management tool by October 2016, but did not do so until the end of April 2017. According to the officials, the delay occurred because they were in the process of tailoring the SAFe governance framework and the management tool needed to be customized to reflect the tailored approach.", "Regarding tools for testing and deployment, as of May 2017, the program was only using 4 of the16 automated tools that program officials planned to use. These included tools that enable the management of software code development, defect tracking, and components of automated functional testing. However, the remaining 12 testing and deployment tools had not yet been implemented. These include, among others, tools that enable the automated building of software code, frequent merging of an individual piece of software code with the main code repository so that new changes are tested continuously (referred to as continuous integration), small automated tests to verify that each individual unit of code written by the developer works as intended, and installation of application patches to protect against known vulnerabilities. TIM program officials stated that these testing and deployment tools are not expected to be implemented until the new development, testing, and production environments are set up. However, as previously mentioned, the program has experienced challenges in implementing these environments.", "As a result, the program\u2019s use of manual processes have been time consuming, impeded visibility into the process, and hindered software testing. In addition, without automated tools, program performance metrics were being manually calculated and this increases the risk for incomplete and inaccurate data. While the automated Agile management tool has just been implemented, until the remainder of the automated Agile testing and deployment tools are implemented, the program is likely to continue to operate at reduced efficiency levels, and be limited in its ability to ensure product quality."], "subsections": []}]}, {"section_title": "TSA and DHS Have Not Fully Implemented Most Key Practices for Overseeing the TIM Program\u2019s Cost, Schedule, and Performance", "paragraphs": ["According to leading practices, to ensure effective program oversight of cost, schedule, and performance, organizations should: ensure that corrective actions are identified and tracked until the desired outcomes are achieved, document relevant governance and oversight policies and monitor program performance and progress, and rely on complete and accurate data to review performance against expectations.", "While TSA fully implemented the first practice, the remaining three practices were not fully implemented by DHS and TSA. As a result, the effectiveness with which the governance bodies oversee and monitor the program has been limited."], "subsections": [{"section_title": "TSA Established a Process for Ensuring Corrective Actions Are Identified and Tracked for the TIM Program", "paragraphs": ["According to leading practices, effective program oversight includes ensuring that corrective actions are identified and tracked until the desired outcomes are achieved. In this regard, governance bodies should collect and analyze data on program risks and issues and determine corrective actions to address them and track them to completion.", "TSA has established a process for ensuring that corrective actions are identified and tracked. Specifically, the program has a process for identifying corrective actions and monitoring the status of these actions in its weekly program status reviews. The program also uses an automated tool to track and maintain a complete list of all actions that have been identified. As of February 2017, the list contained 89 actions and included the status of the actions\u201483 of which had been tracked to completion. As a result of the program having a process that can identify and track corrective actions, it is better positioned to address significant deviations in cost, schedule, and performance parameters."], "subsections": []}, {"section_title": "TSA and DHS Have Documented Selected Oversight and Governance Processes for the TIM Program, but Other Key Processes Are Underdeveloped", "paragraphs": ["According to leading practices, effective program oversight includes the use of documented policies and procedures for program governance and oversight, such as reporting and control processes. These processes may include, among others, requiring programs to report on the status and progress of activities; expected or incurred program resource requirements; known risks, risk response plans, and escalation criteria; and benefits realized. Oversight and governance documentation may also include threshold criteria to use when analyzing performance, and the conditions under which a program or project would be terminated.", "TSA and DHS have documented selected policies and procedures for governance and oversight of the TIM program. Specifically, DHS documented procedures for its Acquisition Review Board and its Executive Steering Committee for the TIM program on how these governance bodies are to review the cost, schedule, and performance of the program. For example, according to the Committee\u2019s charter, it is responsible for assessing the health of the program and identifying major issues and risks, utilizing a standard reporting format at oversight meetings.", "TSA has also documented processes for the program\u2019s Agile milestone reviews, such as conducting workshops at the end of the release cycle to perform a system demonstration, review qualitative metrics, and promote continuous quality improvement. TSA also developed a risk management plan tailored for the Agile approach to guide TIM staff members in identifying, managing, and mitigating risks and issues impacting cost, schedule, and performance of the program. The agency also developed a test and evaluation master plan that outlines how it and DHS will conduct and oversee testing and evaluation of the program\u2019s capabilities under the new Agile software development approach.", "However, TSA and DHS have not developed or finalized other key oversight and governance documents. Specifically, three oversight and governance policies have not been finalized and/or appropriately updated: the TIM program\u2019s tailoring plan for SAFe, a DHS-level oversight policy for Agile programs, and DHS Office of the Chief Technology Officer\u2019s guidance for Agile programs to use for collecting and reporting on performance metrics.", "The TIM program has not updated its Systems Engineering Life Cycle Tailoring Plan (which outlines the Agile governance process and all milestone reviews that are required for planning and deploying Agile releases), to reflect changes in the way officials have reported using the SAFe governance framework. As a result, there are inconsistencies in the governance documentation. For example, the Systems Engineering Life Cycle Tailoring Plan describes four levels of governance\u2014portfolio, value stream, program, and team\u2014while program officials have reported omitting the value stream level from the governance framework. According to TSA officials in May 2017, they planned to update the Systems Engineering Life Cycle Tailoring Plan to reflect the revised governance framework, but they did not have a specific time frame for completing the revision. Until the TIM program fully updates its Systems Engineering Life Cycle Tailoring Plan to reflect the revised governance framework, the program lacks a clearly documented and repeatable governance process to effectively oversee the program.", "DHS officials stated that they plan to conduct biannual oversight reviews of the five Agile pilot programs (including TIM), instead of the annual reviews that are typically conducted for traditional waterfall development programs. According to the officials, the purpose of moving to biannual reviews is to better ensure cost, schedule, and performance remain on track for these Agile programs. However, officials in the Office of the Chief Technology Officer stated that DHS- level Agile governance and oversight policies and procedures have not been revised to reflect this new oversight approach because consensus among DHS leadership on related changes needs to be established before this new oversight approach can be documented in the department\u2019s guidance. As of May 2017, officials had not specified a time frame for reaching such consensus. Until DHS leadership reaches consensus on needed oversight and governance changes, and then documents and implements associated changes, the program continues to plan as though it is undergoing annual oversight reviews, versus biannual reviews.", "As of early May 2017, officials in the Office of the Chief Technology Officer were also in the process of drafting guidance for Agile programs to use for collecting and reporting on performance metrics, but did not know when this guidance will be finalized. According to TSA officials, in the absence of complete Agile guidance, the TIM program receives support from DHS\u2019s Agile team supporting the pilot initiative, which, as specified in the team\u2019s charter, is intended to help the program (as well as the other four pilot programs) facilitate Agile software development. However, this team is not intended to perform oversight functions to ensure that the program is meeting cost, schedule, and performance targets. Thus, until the Office of the Chief Technology Officer completes guidance for Agile programs to use for collecting and reporting on performance metrics, TIM program officials may not report the most informative Agile performance metrics to oversight entities."], "subsections": []}, {"section_title": "TSA and DHS Consistently Conduct Program Performance Reviews, but Lack Insights from Key Performance Metrics", "paragraphs": ["According to leading practices, effective program oversight includes monitoring program performance and progress by comparing actual cost, schedule, and performance data with estimates in the plan and identifying significant deviations from established targets or thresholds for acceptable performance levels. Program reviews are to be conducted at predetermined checkpoints or milestones in order to determine progress by measuring programs against cost, schedule, and performance metrics. In addition, Agile programs should be measured on, among other things, velocity (i.e., number of story points completed per sprint or release), development progression (e.g., the number of features and user stories planned and accepted), product quality (e.g., number of defects and unit test coverage), and user satisfaction.", "The TIM program management office conducts frequent and regular performance reviews and focuses on several important Agile release- level metrics. Specifically, program management officials monitor TIM\u2019s performance and progress during weekly program status review meetings and in periodic Agile reviews that are conducted at the end of each release. These reviews also include officials from the development teams and program stakeholders. The reviews focus on, among other things, velocity, progress, and product quality. They also include the status of key activities and risks impacting cost, schedule, and performance.", "Nevertheless, while the program management office uses performance metrics, the program has not established thresholds or targets for acceptable performance levels for these metrics. For example, program status reports showed that about 47 percent of the work that was planned to be completed in the first Agile release was accepted by the product owners. While the program appears to have been improving in this metric\u201474 percent was accepted in the second Agile release and 94 percent in the third Agile release\u2014program officials have not established the thresholds or targets to determine the acceptable level of performance.", "Program officials stated that they considered the performance in the first Agile release to be low, but they have not yet established targets or thresholds. According to program officials, they planned to establish targets based on the capacity of work that development teams are expected to complete in a release, which can be better predicted as the teams spend more time together. However, the program has since developed three releases and continues to lack performance thresholds and targets. Until program officials establish performance thresholds or targets, oversight bodies may lack important information to ensure the program is meeting acceptable performance levels.", "In addition, the program management office\u2019s performance reviews have included limited information on program cost. According to TIM officials, the program manager holds weekly meetings with the contract, finance, and budget groups to review costs associated with TIM\u2019s contracts. However, management does not review or produce reports on overall life- cycle cost performance for the program or Agile software development cost performance. Program officials said they have not yet determined how best to measure cost performance in an Agile software development environment. In September 2016, the Under Secretary for Management instructed the program to collaborate with DHS\u2019s Cost Analysis Division and the headquarters-level Agile integrated product team to establish agreed-upon software development cost metrics as well as a method for collecting and reporting on those metrics by the end of the March 2017. However, as of May 2017, this effort was still in progress. Until the TIM program begins collecting and reporting on Agile-related cost, oversight bodies will have limited information by which to monitor TIM costs.", "Department-level oversight bodies have focused on reviewing certain program life-cycle metrics for the TIM program. Specifically, the DHS Acquisition Review Board conducts periodic reviews of the program to monitor the program\u2019s performance and hold the program accountable.", "Since the program was rebaselined in September 2016 and transitioned to Agile software development, the Acquisition Review Board has conducted one review. In addition, the Executive Steering Committee, which is chaired by the TSA CIO and Deputy Component Acquisition Executive, and includes representatives from the DHS Chief Technology Officer and PARM, reviews the program quarterly. As of July 2017, the Executive Steering Committee had conducted three reviews of the TIM program since implementing its new development approach. These oversight bodies reviewed, for example, performance information such as comparisons of the dates that milestones were actually achieved, against the planned schedule, and the burnup charts for the program (i.e., graphical representations of accumulated story points planned and completed per release).", "However, the Acquisition Review Board and the Executive Steering Committee have not been measuring the program against the rebaselined life-cycle costs, or important Agile release-level metrics, which are essential for providing early indicators of issues with the program. For example, these oversight bodies did not review the program\u2019s velocity, number of features/user stories planned and accepted, product quality, or Agile software development cost metrics.", "In addition, while we have previously reported that there was overlap in the DHS OCIO\u2019s and the PARM office\u2019s assessments of certain IT programs, neither of these offices assessed the TIM program\u2019s progress against key Agile performance metrics or cost performance. Specifically, the DHS OCIO and the PARM office conducted periodic (monthly or quarterly health assessments) of the program that included, among other things, schedule and system performance indicators for the entire life- cycle of the program (similar to what is used to review traditional waterfall programs). While these metrics are useful for understanding the program\u2019s progress against the full schedule (60 months to full operational capability, or 30 Agile releases), they do not offer insight into the progress of individual Agile releases, which are deploying high-priority capabilities for the TIM program every 2 months. For example, as of April 2017, these two oversight bodies did not include Agile performance metrics which would have offered important insights into the progress of individual releases, such as velocity, progress metrics, quality metrics, post-deployment user satisfaction, or Agile software development costs. Thus, until DHS-level oversight bodies review key Agile performance and cost metrics and use them to inform management oversight decisions, the oversight bodies will be limited in their ability to obtain early indicators of any issues with the program, and to call for course correction, if needed.", "Recently, the TIM program also began measuring user satisfaction. Specifically, in April 2017, the DHS Acting Under Secretary for Management directed TSA\u2019s Operational Test Agent to implement a continuous evaluation dashboard based on the results from the program\u2019s third Agile release by the end of June 2017. This dashboard was to measure, among other things, post-deployment user satisfaction. TSA subsequently implemented the continuous evaluation dashboard in June 2017.", "Table 4 summarizes the extent to which performance metrics are reviewed by various oversight bodies."], "subsections": []}, {"section_title": "TSA and DHS Do Not Always Rely on Complete and Accurate TIM Performance Data", "paragraphs": ["According to leading practices, effective program oversight includes relying on complete and accurate data to review program performance against stated expectations. Complete and accurate data allow oversight bodies to have transparency into the performance of programs and helps them identify when course correction is needed.", "However, TIM\u2019s reported performance data were not always complete and accurate. Specifically, when reporting on the velocity (i.e., total number of story points completed per sprint and/or release across the development teams) of TIM\u2019s first release after it was deployed, program officials inconsistently reported velocity among the program\u2019s performance reports, thus calling into question the accuracy and completeness of the information. Since the data were being reported on a completed release, the velocity should have been reported as one consistent number that did not change. According to program officials, the reason for inconsistent reporting was that, despite best practices, the program\u2019s methodology for measuring velocity was not consistent and was calculated differently each time. For example, table 5 shows three different numbers that were to represent the collective velocity across the development teams, and that officials reported to program management after the deployment of the first software release.", "While there was less variation in the velocity data reported after the second software release was deployed, discrepancies were still present. For example, table 6 shows the different numbers that officials reported to TIM program management after the deployment of the second software release.", "Program officials stated that the reason for the inconsistencies in reported velocity data was that during the first release they were still in the process of adapting Agile and were working to determine how best to calculate velocity. However, as shown in table 6 inconsistent data continued to occur beyond that first release.", "These inconsistencies in reported data call into question the completeness and accuracy of the velocity numbers reported, and the potential impact on oversight bodies\u2019 ability to hold the program accountable. For example, velocity is most useful when tracked over time to ensure consistent performance and for forecasting how quickly development teams can work through the items in a backlog. However, without a complete and accurate velocity number from each release, it is difficult for oversight bodies to ensure the program is producing work at an acceptable pace to enable the program to meet its cost, schedule, and performance targets.", "In addition, the program had been reporting inaccurate unit test coverage data using a manual measurement approach. Specifically, from December 2016 to March 2017, program officials were reporting that, for each release, they tested every line of code, based on a manual estimate (i.e., 100 percent). However, testing each line of code manually is unrealistic because with manual tests, it is difficult to determine which function, line of code, or logic decision is executed, and which is not. As such, program officials were reporting that they were testing every line of code, even though they were unable to confirm that they were actually doing so, thus calling into question the reliability and accuracy of the data reported.", "In response to our concerns, program officials acknowledged that they could not confirm whether they had tested every line of code. Accordingly, program officials stopped estimating this metric manually and stated that they planned to begin measuring unit test coverage again once lines of code could be tracked using automated tools. As previously discussed, program officials stated that the testing and deployment tools are not expected to be implemented until the new development, testing, and production environments are set up. However, until the program has complete and accurate unit test code coverage data, program officials will not know if portions of its code are going untested, which could lead to undetected issues and impact the quality of the product."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["TSA\u2019s TIM program has taken notable steps to address several of the major issues it faced during prior system development and deployment efforts, such as implementing system fixes to address critical performance and usability issues found in the maritime segment. Nonetheless, a number of significant challenges have not been fully addressed. In particular, until the TIM program establishes specific time frames for determining key implementation details, ensures its schedule provides planned completion dates based on realistic estimates, and establishes new time frames for implementing the actions identified in the strategy, it is at significant risk of repeating past mistakes and experiencing the same pitfalls as it did during its initial implementation attempts. An indication of concern is that the program is currently experiencing a delay of at least 6 months in the rebaselined schedule for delivering TSA Pre\uf0fc\u00ae capabilities.", "While the program has also taken certain steps to successfully make the transition from a waterfall development approach to Agile software development\u2014a substantial and complex effort\u2014TIM has not defined key roles and responsibilities, prioritized features and user stories, or implemented automated capabilities that are essential to ensuring effective adoption of Agile. The gaps we identified with the program\u2019s implementation of Agile are concerning given that it did not follow key IT acquisition best practices when using its waterfall development approach, in which the program spent approximately 8 years and over $280 million on a system that TSA has determined it needs to replace. While selected corrective actions have been taken, until the TIM program is implemented in accordance with leading practices, the program will be putting at risk its ability to deliver a quality system that strengthens and enhances the sophistication of TSA\u2019s security threat assessment and credentialing programs.", "In addition, while TSA and DHS have implemented certain practices for overseeing and governing the program, the lack of other practices has impeded their oversight effectiveness, including the lack of thresholds or targets for acceptable performance levels, the lack of reporting on Agile- related cost metrics, and inconsistent measuring and reporting of program velocity and unit test coverage for software releases. These gaps limit the ability of DHS oversight bodies to obtain early indicators of any issues with the program, and to call for course corrections, if needed.", "Further, until DHS leadership reaches consensus on needed oversight and governance changes related to Agile programs, and then documents and implements associated changes to align oversight reviews with the timing of Agile software releases, the department will not be well positioned to hold the program accountable. Moreover, until the Office of the Chief Technology Officer completes guidance for Agile programs to use for collecting and reporting on performance metrics, and DHS-level oversight bodies require the TIM program to report on key Agile performance and cost metrics and use them to inform management oversight decisions, the department will also be limited in its ability to hold the TIM program accountable and ensure that it is meeting its cost, schedule, and performance targets."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 14 recommendations to DHS: The TSA Administrator should ensure that the TIM program management office establishes and implements specific time frames for determining key strategic implementation details, including how the program will transition from the current state to the final TIM state. (Recommendation 1)", "The TSA Administrator should ensure that the TIM program management office establishes a schedule that provides planned completion dates based on realistic estimates of how long it will take to deliver capabilities. (Recommendation 2)", "The TSA Administrator should ensure that the TIM program management office establishes new time frames for implementing the actions identified in the organizational change management strategy and effectively executes against these time frames. (Recommendation 3)", "The TSA Administrator should ensure that the TIM program management office defines and documents the roles and responsibilities among product owners, the solution team, and any other relevant stakeholders for prioritizing and approving Agile software development work. (Recommendation 4)", "The TSA Administrator should ensure that the TIM program management office establishes specific prioritization levels for current and future features and user stories. (Recommendation 5)", "The TSA Administrator should ensure that the TIM program management office implements automated Agile management testing and deployment tools, as soon as possible. (Recommendation 6)", "The TSA Administrator should ensure that the TIM program management office updates the Systems Engineering Life Cycle Tailoring Plan to reflect the current governance framework and milestone review processes. (Recommendation 7)", "The TSA Administrator should ensure that the TIM program management office establishes thresholds or targets for acceptable performance-levels. (Recommendation 8)", "The TSA Administrator should ensure that the TIM program management office begins collecting and reporting on Agile-related cost metrics. (Recommendation 9)", "The TSA Administrator should ensure that the TIM program management office ensures that program velocity is measured and reported consistently. (Recommendation 10)", "The TSA Administrator should ensure that the TIM program management office ensures that unit test coverage for software releases is measured and reported accurately. (Recommendation 11)", "The Secretary of Homeland Security should direct the Under Secretary for Management to ensure that appropriate DHS leadership reaches consensus on needed oversight and governance changes related to the frequency of reviewing Agile programs, and then documents and implements associated changes. (Recommendation 12)", "The Secretary of Homeland Security should direct the Under Secretary for Management to ensure that the Office of the Chief Technology Officer completes guidance for Agile programs to use for collecting and reporting on performance metrics. (Recommendation 13)", "The Secretary of Homeland Security should direct the Under Secretary for Management to ensure that DHS-level oversight bodies review key Agile performance and cost metrics for the TIM program and use them to inform management oversight decisions. (Recommendation 14)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DHS provided written comments on a draft of this report, which are reprinted in appendix II. In its comments, the department concurred with all 14 of our recommendations and described actions it has planned or taken to address them. For example, with regard to recommendation 6, which calls for DHS to implement automated Agile management testing and deployment tools, the department stated that TSA plans to implement such tools by June 30, 2018. Additionally, for recommendation 14, the department stated that DHS intends to ensure that oversight bodies review key Agile performance and cost metrics for the TIM program by June 30, 2018. If implemented effectively, these actions should address the weaknesses we identified.", "The department also described recent actions that it and TSA had taken to address three of the recommendations, and requested that we consider these recommendations resolved. Specifically, in response to recommendation 9, calling for TSA to ensure that the TIM program management office begins collecting and reporting on Agile-related cost metrics, the department stated that the program is now reporting these metrics on a monthly basis. In response to recommendation 10, calling for TSA to ensure that the program\u2019s velocity is measured and reported consistently, the department stated that velocity is now being reported consistently and in accordance with DHS guidelines. Further, in response to recommendation 13, which calls for DHS to complete guidance for Agile programs to use for collecting and reporting on performance metrics, the department stated that the guidance had recently been published and provided to us. However, to date, we have received only draft versions of the guidance. We will work with the department to obtain finalized documentation related to the three recommendations, to determine if the recent actions fully address the recommendations.", "In addition to the aforementioned comments, we received technical comments from DHS and TSA officials, which we incorporated, as appropriate.", "We are sending copies of this report to the Secretary of Homeland Security and interested congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) describe the Transportation Security Administration\u2019s (TSA) past implementation efforts for the Technology Infrastructure Modernization (TIM) program and its new implementation strategy; (2) determine the extent to which TSA\u2019s new strategy for the program addresses the challenges encountered during earlier implementation attempts; (3) determine the extent to which TSA has implemented selected key practices for transitioning to an Agile software development framework for the program; and (4) determine the extent to which the TSA and the Department of Homeland Security (DHS) are effectively overseeing and governing the TIM program to ensure that it is meeting cost, schedule, and performance requirements.", "To address our first objective, we reviewed program documentation, such as initial and current acquisition program baselines, initial and current life- cycle cost estimates, acquisition decision memorandums, and program plans documenting a new strategy for implementing the program. We used the information in this documentation to summarize the program\u2019s earlier attempts to implement TIM capabilities and its new implementation strategy for delivering the program, including estimated costs, schedule, and key decisions made. We also interviewed TSA officials, including the TIM Director and Deputy Director, on the status of TIM program office efforts.", "To determine the extent to which the TIM program\u2019s new strategy addresses the challenges encountered during earlier implementation attempts, we reviewed documentation on the challenges the TIM program faced when it breached cost and schedule thresholds and experienced system performance issues, such as those described in initial operational test reports, the breach remediation plan, and the results of a technical evaluation of program challenges. We synthesized the information in these documents to identify a consolidated list of key challenges the program had faced. We did not include challenges that were already being evaluated as part of other objectives, such as the use of the waterfall software development approach. We then reviewed documentation on the program\u2019s new strategy, such as plans documenting the new strategy, follow-on operational test reports, program schedules, program status reports, and identified risks. We assessed the extent to which the new strategy outlined in these documents addressed the prior challenges by comparing them against criteria identified in leading practices and guidance, such as DHS\u2019s Systems Engineering Lifecycle Guide and the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Development. In addition, we conducted a site visit at the TSA Adjudication Center in Reston, Virginia. During this site visit, we observed demonstrations of the current commercial-off-the- shelf system and legacy systems for TSA Pre\uf0fc\u00ae and Aviation Workers, and we interviewed adjudicators and supervisors on current security threat assessment processes and limitations. Further, we interviewed TSA officials, including the TIM Director and Deputy Director, on the program office\u2019s efforts to address prior challenges.", "To determine the extent to which the program has implemented selected key practices for transitioning to an Agile software development framework, we identified leading practices and guidance outlined in the following sources:", "GAO, Software Development: Effective Practices and Federal Challenges in Applying Agile Methods", "Software Engineering Institute, Agile Readiness and Fit", "TechFAR handbook", "TSA Agile Scrum guidance", "CMMI\u00ae for Development, version 1.3", "Software Engineering Institute, Agile Metrics After reviewing the sources listed, in consultation with our internal expert, we grouped practices that were identified as being critical to establish when transitioning to an Agile software development framework, and selected the practices that were most relevant based on the status of the program\u2019s transition and we discussed the practice areas with TSA officials. The practices included: full support from leadership to adopt Agile processes, enhancing Agile knowledge, ensuring product owners are engaged with the development teams and have clearly defined roles, establishing a clear product vision, prioritized backlogs of requirements, and implementing automated tools to enable rapid system development and deployment.", "We reviewed program management documentation against these practices, such as Agile training records, Agile contracts, program roadmaps, backlogs, test plans, Agile release artifacts, program status reports, and identified risks. Additionally, we observed Agile release and sprint development activities at TSA facilities in Annapolis Junction, Maryland, and at a contractor\u2019s facilities in Beltsville, Maryland, and we observed a demonstration of how user stories map from high-level capabilities and tracked through development and testing.", "We also interviewed TSA officials, including the TIM Director and Deputy Director and the five TIM product owners, on their efforts to transition the program to an Agile software development framework. Further, we interviewed DHS officials, including the Chief Technology Officer, on their efforts to conduct an Agile pilot to assist programs like TIM in adopting Agile software development processes. We assessed the evidence against leading practices to determine the extent to which TSA met the practices.", "To determine the extent to which TSA and DHS are effectively overseeing and governing the program to ensure that it is meeting cost, schedule, and performance requirements, we identified leading practices and guidance outlined in the following sources:", "TSA Agile Scrum guidance", "CMMI for Development, version 1.3", "Software Engineering Institute, Agile Metrics After reviewing the sources listed, we grouped practices related to oversight and governance for programs using Agile software development into four key practice areas and we discussed the practices with DHS and TSA officials. These areas included:", "Document relevant governance and oversight policies and procedures.", "Monitor program performance and progress.", "Rely on complete and accurate data to review performance against expectations.", "Ensure that corrective actions are identified and tracked until the desired outcomes are achieved.", "To assess the extent that TSA and DHS had addressed these key practices, we reviewed the most current program management and governance documentation as of April 2017. Specifically, we analyzed documentation on program management processes, such as TIM\u2019s Systems Engineering Life Cycle Tailoring Plan, TIM Agile and Technical Strategy, TIM Agile software development contract, and draft DHS Agile Acquisition Program Delivery Metrics Playbook; and artifacts from TIM\u2019s program execution and review, such as Agile release artifacts, program status reports, contractor status reports, program schedules, life-cycle cost estimates, risk registers, TSA Executive Steering Committee reviews, DHS program health assessments, DHS Agile pilot integrated product team meetings, DHS Office of the Chief Technology Officer Agile pilot reviews, and DHS Acquisition Review Board reviews.", "Additionally, we interviewed TSA officials, including the TIM Director and Deputy Director, on their efforts to oversee TIM\u2019s development. Further, we interviewed DHS officials, including the Chief Technology Officer, on their efforts to oversee the program\u2019s Agile software development activities. We compared this evidence against leading practices to determine the extent to which TSA and DHS met the practices.", "To assess the reliability of the data that we used to support the findings in this report, we reviewed relevant program documentation to substantiate evidence obtained through interviews with agency officials. We determined that the data used in this report were sufficiently reliable for the purposes of our reporting objectives. We made appropriate attribution indicating the sources of the data.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following staff made key contributions to this report: Shannin G. O\u2019Neill (Assistant Director), Jeanne Sung (Analyst in Charge), Jennifer Beddor, Rebecca Eyler, Bruce Rackliff, and Dwayne Staten."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-452T", "url": "https://www.gao.gov/products/GAO-18-452T", "title": "Freedom of Information Act: Agencies Are Implementing Requirements but Need to Take Additional Actions", "published_date": "2018-03-13T00:00:00", "released_date": "2018-03-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FOIA requires federal agencies to provide the public with access to government records and information based on the principles of openness and accountability in government. Each year, individuals and entities file hundreds of thousands of FOIA requests for information on numerous topics that contribute to the understanding of government actions. In the last 9 fiscal years, federal agencies subject to FOIA have received about 6 million requests.", "GAO was asked to summarize its draft report on federal agencies' compliance with FOIA requirements. GAO's objectives, among others, were to (1) determine the extent to which agencies have implemented selected FOIA requirements; (2) describe the methods established by agencies to reduce backlogged requests and the effectiveness of those methods; and (3) identify any statutory exemptions that have been used by agencies as the basis for withholding (redacting) information from requesters.", "To do so, GAO selected 18 agencies based on their size and other factors and assessed their policies against six FOIA requirements. GAO also reviewed the agencies' backlog reduction plans and developed a catalog of statutes that agencies have used to withhold information."]}, {"section_title": "What GAO Found", "paragraphs": ["In its draft report, GAO determined that all 18 selected agencies had implemented three of six Freedom of Information Act (FOIA) requirements reviewed. Specifically, all agencies had updated response letters to inform requesters of the right to seek assistance from FOIA public liaisons, implemented request tracking systems, and provided training to FOIA personnel. For the three additional requirements, 15 agencies had provided online access to government information, such as frequently requested records, 12 agencies had designated chief FOIA officers, and 5 agencies had published and updated their FOIA regulations to inform the public of their operations. Until these agencies address all of the requirements, they increase the risk that the public will lack information that ensures transparency and accountability in government operations.", "The 18 selected agencies had backlogs of varying sizes, with 4 agencies having backlogs of 1,000 or more requests during fiscal years 2012 through 2016. These 4 agencies reported using best practices identified by the Department of Justice, such as routinely reviewing metrics, as well as other methods, to help reduce their backlogs. Nevertheless, these agencies' backlogs fluctuated over the 5-year period (see figure). The 4 agencies with the largest backlogs attributed challenges in reducing their backlogs to factors such as increases in the number and complexity of FOIA requests. However, these agencies lacked plans that described how they intend to implement best practices to reduce backlogs. Until agencies develop such plans, they will likely continue to struggle to reduce backlogs to a manageable level.", "Agencies used various types of statutory exemptions to withhold information when processing FOIA requests during fiscal years 2010 to 2016. The majority of these fell into the following categories: personally identifiable information, national security, law enforcement and investigations, and confidential and commercial business information."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO's draft report contains recommendations to selected agencies to post records online, designate chief FOIA officers, update regulations consistent with requirements, and develop plans to reduce backlogs."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to participate in today\u2019s hearing on the Freedom of Information Act (FOIA). As you know, FOIA was enacted into law more than 50 years ago, requires federal agencies to provide the public with access to government records and information based on the principles of openness and accountability in government. Each year, individuals and entities file hundreds of thousands of FOIA requests for information on numerous topics that contribute to the understanding of government actions. In the last 9 fiscal years, agencies subject to FOIA have reported receiving about 6 million requests.", "Given the significance of FOIA, Congress has had a longstanding interest in the manner in which the act is being implemented, including the extent to which federal agencies respond to FOIA requests, the timeliness of the responses, and the number and nature of exemptions claimed by agencies in withholding requested information. Since 1978, we have issued a number of reports that have addressed various aspects of federal agencies\u2019 efforts to implement the act.", "As requested, this statement summarizes key preliminary findings based on our draft report reviewing, among other things, federal agencies\u2019 compliance with FOIA requirements, backlogs, and use of exemptions. Specifically, this statement (1) determines the extent to which agencies have implemented selected FOIA requirements; (2) describes the methods established by agencies to reduce backlogged requests and the effectiveness of those methods; (3) identifies any statutory (b)(3) exemptions that have been used by agencies as the basis for withholding (redacting) information. The draft report on FOIA compliance is currently out for comment with selected agencies. Accordingly, the draft report is subject to revision prior to final issuance, expected in April 2018.", "In our FOIA draft report, for our first and second objectives, we reviewed the FOIA-related actions of a nonprobability sample of federal agencies. We identified these agencies by considering the following factors: the number of FOIA requests received, the sizes of FOIA backlogs, and the average time for processing FOIA requests for fiscal years 2012 through 2016. We also chose the agencies to represent a range of sizes (by number of employees)\u2014large (10,000 or more), medium (1,000 to 9,999), and small (999 or fewer). Based on these criteria, we selected 18 agencies for our review.", "For the first objective, we reviewed six FOIA requirements outlined in the FOIA Improvement Act of 2016 and the OPEN Government Act of 2007. These specific requirements call for agencies to (1) update response letters, (2) implement tracking systems, (3) provide FOIA training, (4), provide required records online, (5) designate chief FOIA officers, and (6) update and publish timely and comprehensive regulations. We then obtained and reviewed available documentation from the 18 selected agencies describing their decisions and actions related to the requirements. We also interviewed relevant officials at each selected agency, the Office of Management and Budget (OMB) and the Department of Justice\u2019s (Justice) Office of Information Policy (OIP) to discuss the status of efforts to develop a government-wide FOIA request portal, as required by the 2016 amendments to FOIA. The findings related to our first objective are not generalizable to the 117 FOIA reporting agencies.", "For the second objective, we first reviewed requirements for agencies to produce backlog reduction plans, as outlined in Justice\u2019s annual chief FOIA officer report guidance and OMB\u2019s Open Government Directive of 2009. We then determined whether agencies had developed such plans as required, by interviewing relevant agency personnel and reviewing existing plans. Further, we analyzed data on Justice\u2019s FOIA.gov website to identify any instances of a reported reduction in an agency\u2019s FOIA backlog when the agency had a backlog reduction plan in place.", "To address the third objective, we developed a catalog of (b)(3) statutes that agencies previously have used to withhold information in FOIA records under the (b)(3) exemption. To develop the catalog, we compiled a list of (b)(3) exemptions, along with the number of times each exemption was used by at least 1 of 117 agencies for which annual FOIA report data covering fiscal years 2010 through 2016 were available on Justice\u2019s FOIA.gov website and could use.", "In addition, this statement summarizes our findings based on an additional report, being issued today, which provides information regarding federal court decisions that pertain to the improper withholding of FOIA records. For this report we reviewed Justice\u2019s annual FOIA Litigation and Compliance reports for calendar years 2008 through 2016 to identify instances in which the department had notified OSC of a lawsuit regarding improperly withheld FOIA records. We focused our review on these specific years because the OPEN Government Act of 2007 amended FOIA to require Justice to report on court findings. Justice began including this information in its 2008 FOIA Litigation and Compliance reports, and at the time of our review, had completed reports through calendar year 2016.", "The work upon which this testimony is based is being conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Freedom of Information Act establishes a legal right of access to government information on the basis of the principles of openness and accountability in government. Before FOIA\u2019s enactment in 1966, an individual seeking access to federal records faced the burden of establishing a \u201cneed to know\u201d before being granted the right to examine a federal record. FOIA established a \u201cright to know\u201d standard, under which an organization or person could receive access to information held by a federal agency without demonstrating a need or reason. The \u201cright to know\u201d standard shifted the burden of proof from the individual to a government agency and required the agency to provide proper justification when denying a request for access to a record.", "Any person, defined broadly to include attorneys filing on behalf of an individual, corporations, or organizations, can file a FOIA request. For example, an attorney can request labor-related workers\u2019 compensation files on behalf of his or her client, and a commercial requester, such as a data broker who files a request on behalf of another person, may request a copy of a government contract. In response, an agency is required to provide the relevant record(s) in any readily producible form or format specified by the requester, unless the record falls within a permitted exemption that provides limitations on the disclosure of information."], "subsections": [{"section_title": "FOIA Amendments and Guidance Call for Improvements in How Agencies Process Requests", "paragraphs": ["Various amendments have been enacted and guidance issued to help improve agencies\u2019 processing of FOIA requests, including:", "The Electronic Freedom of Information Act Amendments of 1996 (e- FOIA amendments) strengthened the requirement that federal agencies respond to a request in a timely manner and reduce their backlogged requests. The amendments, among other things, made a number of procedural changes, including allowing a requester to limit the scope of a request so that it could be processed more quickly and requiring agencies to determine within 20 working days whether a request would be fulfilled. This was an increase from the previously established time frame of 10 business days.", "The amendments also authorized agencies to multi-track requests\u2014 that is, to process simple and complex requests concurrently on separate tracks to facilitate responding to a relatively simple request more quickly. In addition, the amendment encouraged online, public access to government information by requiring agencies to make specific types of records available in electronic form.", "Executive Order 13392, issued by the President in 2005, directed each agency to designate a senior official as its chief FOIA officer. This official was to be responsible for ensuring agency-wide compliance with the act by monitoring implementation throughout the agency and recommending changes in policies, practices, staffing, and funding, as needed. The chief FOIA officer was directed to review and report on the agency\u2019s performance in implementing FOIA to agency heads and to Justice on an annual basis. (These are referred to as chief FOIA officer reports.)", "The OPEN Government Act, which was enacted in 2007, made the 2005 executive order\u2019s requirement for agencies to have a chief FOIA officer a statutory requirement. It also required agencies to submit an annual report to Justice outlining their administration of FOIA, including additional statistics on timeliness. Specifically, the act called for agencies to adequately track their agency\u2019s FOIA request processing information throughout the reporting year and then produce reports on that topic to comply with FOIA reporting requirements and Justice guidance for reporting.", "The FOIA Improvement Act of 2016 addressed procedural issues, including requiring that agencies: (1) make records available in an electronic format if they have been requested three or more times; (2) notify requesters that they have a minimum of 90 days to file an administrative appeal, and (3) provide dispute resolution services at various times throughout the FOIA process. This act also created more duties for chief FOIA officers, including requiring them to offer training to agency staff regarding FOIA responsibilities. The act also revised and added new obligations for OGIS, and created the Chief FOIA Officers Council to assist in compliance and efficiency. Further, the act required OMB, in consultation with Justice, to create a consolidated online FOIA request portal that allows the public to submit a request to any agency through a single website."], "subsections": []}, {"section_title": "FOIA Authorizes Agencies to Use Other Federal Statutes to Withhold Information Prohibited from Disclosure", "paragraphs": ["In responding to requests, FOIA authorizes agencies to utilize one of nine exemptions to withhold portions of records, or the entire record. Agencies may use an exemption when it has been determined that disclosure of the requested information would harm an interest related to certain protected areas. These nine exemptions can be applied by agencies to withhold various types of information, such as information concerning foreign relations, trade secrets, and matters of personal privacy.", "One such exemption, the statutory (b)(3) exemption, specifically authorizes withholding information under FOIA on the basis of a law which: requires that matters be withheld from the public in such a manner as to leave no discretion on the issue; or establishes particular criteria for withholding or refers to particular types of matters to be withheld; and if enacted after October 28, 2009, specifically refers to section 552(b)(3) of title 5, United States Code.", "To account for agencies use of the statutory (b)(3) exemptions, FOIA requires each agency to submit, in its annual report to Justice, a complete listing of all statutes that the agency relied on to withhold information under exemption (b)(3). The act also requires that the agency describe for each statute identified in its report (1) the number of occasions on which each statute was relied upon; (2) a description of whether a court has upheld the decision of the agency to withhold information under each such statute; and (3) a concise description of any information withheld. Further, to provide an overall summary of the statutory (b)(3) exemptions used by agencies in a fiscal year, Justice produces consolidated annual reports that list the statutes used by agencies in conjunction with (b)(3)."], "subsections": []}, {"section_title": "Processing a FOIA Request", "paragraphs": ["As previously noted, agencies are generally required by the e-FOIA amendments of 1996 to respond to a FOIA request within 20 working days. Once received, the request is to be processed through multiple phases, which include assigning a tracking number, searching for responsive records, and releasing the records response to the requester.", "Also, as relevant, FOIA allows a requester to challenge an agency\u2019s final decision on a request through an administrative appeal or a lawsuit. Specifically, a requester has the right to file an administrative appeal if he or she disagrees with the agency\u2019s decision on their request. Agencies have 20 working days to respond to an administrative appeal.", "Figure 1 provides a simplified overview of the FOIA request and appeals process.", "In a typical agency, as indicated, during the intake phase, a request is logged into the agency\u2019s FOIA tracking system, and a tracking number is assigned. The request is then reviewed by FOIA staff to determine its scope and level of complexity. The agency then typically sends a letter or email to the requester acknowledging receipt of the request, with a unique tracking number that the requester can use to check the status of the request.", "Next, FOIA staff (non-custodian) begin the search to retrieve the responsive records by routing the request to the appropriate program office(s).This step may include requesting that the custodian (owner) of the record search and review paper and electronic records from multiple locations and program offices.", "Agency staff then process the responsive records, which includes determining whether a portion or all of any record should be withheld based on FOIA\u2019s exemptions. If a portion or all of any record is the responsibility of another agency, FOIA staff may consult with the other agency or may send (\u201crefer\u201d) the document(s) to that other agency for processing. After processing and redaction, a request is reviewed for errors and to ensure quality. The documents are then released to the requester, either electronically or by regular mail.", "In addition, FOIA allows requesters to sue an agency in federal court if the agency does not respond to a request for information within the statutory time frames or if the requesters believe they are entitled to information that is being withheld by the agency. Further, the act requires the Office of Special Counsel (OSC) to initiate a proceeding to determine whether disciplinary action is warranted against agency personnel in cases involving lawsuits where a court has found, among other things that agency personnel may have acted arbitrarily or capriciously in responding to a FOIA request. The act requires Justice to notify OSC when a lawsuit meets this requirement."], "subsections": []}, {"section_title": "FOIA Oversight and Implementation", "paragraphs": ["Responsibility for the oversight of FOIA implementation is spread across several federal offices and other entities. These include Justice\u2019s OIP, NARA\u2019s OGIS, and the Chief FOIA Officers Council. These oversight agencies and the council have taken steps to assist agencies to address the provisions of FOIA.", "Justice\u2019s OIP is responsible for encouraging agencies\u2019 compliance with FOIA and overseeing their implementation of the act. In this regard, the office, among other things, provides guidance, compiles information on FOIA compliance, provides FOIA training, and prepares annual summary reports on agencies\u2019 FOIA processing and litigation activities. The office also offers FOIA counseling services to government staff and the public.", "Issuing guidance. OIP has developed guidance, available on its website, to assist federal agencies by instructing them in how to ensure timely determinations on requests, expedite the processing of requests, and reduce backlogs. The guidance also informs agencies on what should be contained in their annual FOIA reports to Justice\u2019s Attorney General.", "The office also has documented ways for federal agencies to address backlog requests. In March 2009 the Attorney General issued guidance and related policies to encourage agencies to reduce their backlogs of FOIA requests. In addition, in December 2009, OMB issued a memorandum on the OPEN Government Act, which called for a reduction in backlogs and the publishing of plans to reduce backlogs. Further, in August 2014, OIP held a best practices workshop and issued guidance to agencies on reducing FOIA backlogs and improving timeliness of agencies\u2019 responses to FOIA requests. The OIP guidance instructed agencies to obtain leadership support, routinely review FOIA processing metrics, and set up staff training on FOIA.", "Overseeing agencies\u2019 compliance. OIP collects information on compliance with the act by reviewing agencies\u2019 annual FOIA reports and chief FOIA officer reports. These reports describe the number of FOIA requests received and processed in a fiscal year, as well as the total costs associated with processing and litigating requests.", "Providing training. The office offers an annual training class that provides a basic overview of the act, as well as hands-on courses about the procedural requirements involved in processing a request from start to finish. In addition, it offers a seminar outlining successful litigation strategies for attorneys who handle FOIA cases.", "Preparing administrative and legal annual reports. OIP prepares two major reports yearly\u2014one related to agencies\u2019 annual FOIA processing and one related to agencies\u2019 FOIA litigation and compliance. The first report, compiled from agencies\u2019 annual FOIA reports, contains statistics on the number of requests received and processed by each agency, the time taken to respond, and the outcome of each request, as well as other statistics on FOIA administration such as number of backlogs, and the use of exemptions to withhold information from a requestor. The second report describes Justice\u2019s efforts to encourage compliance with the act and provides a listing of all FOIA lawsuits filed or determined in that year, the exemptions and/or dispositions involved in each case, and any court-assessed costs, fees, and penalties.", "NARA\u2019s OGIS was established by the OPEN Government Act of 2007 to oversee and assist agencies in implementing FOIA. OGIS\u2019s responsibilities include reviewing agency policies and procedures, reviewing agency compliance, recommending policy changes, and offering mediation services.", "The 2016 FOIA amendments required agencies to update response letters to FOIA requesters to include information concerning the roles of OGIS and agency\u2019s FOIA public liaisons. As such, OGIS and Justice worked together to develop a response letter template that includes the required language for agency letters. In addition, OGIS, charged with reviewing agency\u2019s compliance with FOIA, launched in 2014 a FOIA compliance program. OGIS also developed a FOIA compliance self- assessment program, which is intended to help OGIS look for potential compliance issues across federal agencies.", "The Chief FOIA Officers Council is co-chaired by the Director of OIP and the Director of OGIS. Council members include senior representatives from OMB, OIP, and OGIS, together with the chief FOIA officers of each agency, among others. The council\u2019s FOIA-related responsibilities include: developing recommendations for increasing compliance and disseminating information about agency experiences, ideas, best practices, and innovative approaches; identifying, developing, and coordinating initiatives to increase transparency and compliance; and promoting the development and use of common performance measures for agency compliance. Selected Agencies Collect and Maintain Records That Can Be Subject to FOIA Requests.", "The 18 agencies selected for our review are charged with a variety of operations that affect many aspects of federal service to the public. Thus, by the nature of their missions and operations, the agencies have responsibility for vast and varied amounts of information that can be subject to a FOIA request. For example, the Department of Homeland Security\u2019s (DHS) mission is to protect the American people and the United States homeland. As such, the department maintains information covering, among other things, immigration, border crossings, and law enforcement. As another example, the Department of the Interior\u2019s (DOI) mission includes protecting and managing the Nation\u2019s natural resources and, thus, providing scientific information about those resources. Table 1 provides details on each of the 18 selected agencies\u2019 mission and the types of information they maintain.", "The 18 selected agencies reported that they received and processed more than 2 million FOIA requests from fiscal years 2012 through 2016. Over this 5-year period, the number of reported requests received fluctuated among the agencies. In this regard, some agencies saw a continual rise in the number of requests, while other agencies experienced an increase or decrease from year to year. For example, from fiscal years 2012 through 2014, DHS saw an increase in the number of requests received (from 190,589 to 291,242), but in fiscal year 2015, saw the number of requests received decrease to 281,138. Subsequently, in fiscal year 2016, the department experienced an increase to 325,780 requests received.", "In addition, from fiscal years 2012 through 2015, the reported numbers of requests processed by the selected agencies showed a relatively steady increase. However, in fiscal year 2016, the reported number of requests processed by these agencies declined. Figure 2 provides a comparison of the total number of requests received and processed in this 5-year period."], "subsections": []}]}, {"section_title": "Selected Agencies Implemented the Majority of FOIA Requirements Reviewed", "paragraphs": ["Among other things, the FOIA Improvement Act of 2016 and the OPEN Government Act of 2007 calls for agencies to (1) update response letters, (2) implement tracking systems, (3) provide FOIA training, (4), provide required records online, (5) designate chief FOIA officers, and (6) update and publish timely and comprehensive regulations. As part of our ongoing work, we determined that the 18 selected agencies included in our review had implemented the majority of the six FOIA requirements evaluated. Specifically,", "18 agencies updated response letters, implemented tracking systems,", "15 agencies provided required records online, and", "12 agencies designated chief FOIA officers.", "However, only 5 of the agencies published and updated their FOIA regulations in a timely and comprehensive manner. Figure 3 summarizes the extent to which the 18 agencies implemented the selected FOIA requirements.", "Beyond these selected agencies, Justice\u2019s OIP and OMB also had taken steps to develop a government-wide FOIA request portal that is intended to allow the public to submit a request to any agency from a single website."], "subsections": [{"section_title": "Selected Agencies Have Updated Their FOIA Response Letters", "paragraphs": ["The 2016 amendments to FOIA required agencies to include specific information in their responses when making their determinations on requests. Specifically, agencies must inform requesters that they may seek assistance from the FOIA Public Liaison, file an appeal to an adverse determination within a period of time that is not less than 90 days after the date of such adverse determination; and seek dispute resolution services from the FOIA Public Liaison of the agency or OGIS.", "Among the 18 selected agencies, all had updated their FOIA response letters to include this required information."], "subsections": []}, {"section_title": "All Selected Agencies Had Implemented FOIA Tracking Systems", "paragraphs": ["Various FOIA amendments and guidance call for agencies to use automated systems to improve the processing and management of requests. In particular, the OPEN Government Act of 2007 amended FOIA to require that federal agencies establish a system to provide individualized tracking numbers for requests that will take longer than 10 days to process and establish telephone or Internet service to allow requesters to track the status of their requests.", "Further, the President\u2019s January 2009 Freedom of Information Act memorandum instructed agencies to use modern technology to inform citizens about what is known and done by their government. In addition, FOIA processing systems, like all automated information technology systems, are to comply with the requirements of Section 508 of the Rehabilitation Act (as amended). This act requires federal agencies to make their electronic information accessible to people with disabilities.", "Each of the 18 selected agencies had implemented a system that provides capabilities for tracking requests received and processed, including an individualized number for tracking the status of a request. Specifically,", "Ten agencies used commercial automated systems, (DHS, EEOC, FDIC, FTC, Justice, NTSB, NASA, Pension Benefit Guaranty Corporation, and USAID).", "Three agencies developed their own agency systems (State, DOI, and TVA).", "Five agencies used Microsoft Excel or Word to track requests (Administrative Conference of the United States, American Battle Monuments Commission, Broadcasting Board of Governors, OMB, and U.S. African Development Foundation).", "Further, all of the agencies had established telephone or Internet services to assist requesters in tracking the status of requests; and they used modern technology (e.g., mobile applications) to inform citizens about FOIA. For example, the commercial systems allow requesters to submit a request and track the status of that request online. In addition, DHS developed a mobile application that allows FOIA requesters to submit requests and check the status of existing requests."], "subsections": []}, {"section_title": "All Reviewed Agencies\u2019 Chief FOIA Officers Have Offered FOIA Training", "paragraphs": ["The 2016 FOIA amendments require agencies\u2019 chief FOIA officers to offer training to agency staff regarding their responsibilities under FOIA. In addition, Justice\u2019s OIP has advised every agency to make such training available to all of their FOIA staff at least once each year. The office has also encouraged agencies to take advantage of FOIA training opportunities available throughout the government.", "The 18 selected agencies\u2019 chief FOIA officers offered FOIA training opportunities to staff in fiscal years 2016 and 2017. For example:", "Eleven agencies provided training that gave an introduction and overview of FOIA (the American Battle Monuments Commission, EEOC, Justice, FDIC, FTC, NARA, Pension Benefit Guaranty Corporation, State, TVA, U.S. African Development Foundation, and USAID).", "Three agencies offered training for their agencies\u2019 new online FOIA tracking and processing systems (DOI, NTSB, and Pension Benefit Guaranty Corporation).", "Three agencies provided training on responding to, handling, and processing FOIA requests (DHS, DOI, and State).", "Three agencies offered training on understanding and applying the exemptions under FOIA (FDIC, FTC, and U.S. African Development Foundation).", "Two agencies offered training on the processing of costs and fees (NASA and TVA)."], "subsections": []}, {"section_title": "The Majority of Selected Agencies Post Required Records Online", "paragraphs": ["Memorandums from both the President and the Attorney General in 2009 highlight the importance of online disclosure of information and further direct agencies to make information available without a specific FOIA request. Further, the 2016 FOIA amendments require online access to government information and require agencies to make information available to the public in electronic form for up to four categories: agency final opinions and orders, administrative staff manuals of interest to the public, and frequently requested records.", "While all 18 agencies that we reviewed post records online, only 15 of them had posted all categories of information, as required by the FOIA amendments. Specifically, 7 agencies\u2014the American Battle Monuments Commission, the Pension Benefit Guaranty Corporation, and EEOC, FDIC, FTC, DOJ, and State\u2014had, as required, made records in all four categories publicly available online. In addition, 5 agencies that were only required to publish online records in three of the categories\u2014the Administrative Conference of the United States, Broadcasting Board of Governors, DHS, OMB, and USAID\u2014 had done so. Further, 3 agencies that were only required to publish online records in two of the categories\u2014U.S. African Development Foundation, NARA, and TVA\u2014 had done so. The remaining 3 agencies\u2014DOI, NASA, and NTSB\u2014had posted records online for three of four required categories.", "Regarding why the three agencies did not post all of their four required categories of online records, DOI officials stated that the agency does not make publically available all FOIA records that have been requested 3 or more times, as it does not have the time to post all such records that have been requested. NASA officials explained that, while the agency issues final opinions, it does not post them online. As for NTSB, while its officials said they try to post information that is frequently requested, they do not post the information on a consistent basis Making the four required categories of information available in electronic form is an important step in allowing the public to easily access to government documents. Until these agencies make all required categories of information available in electronic form, they cannot ensure that they are providing the required openness in government."], "subsections": []}, {"section_title": "Most Reviewed Agencies Designated a Senior Official as a Chief FOIA Officer", "paragraphs": ["In 2005, the President issued an executive order that established the role of a Chief FOIA Officer. In 2007, amendments to FOIA required each agency to designate a chief FOIA officer who shall be a senior official at the Assistant Secretary or equivalent level.", "Of the 18 selected agencies, 12 agencies have Chief FOIA Officers who are senior officials at the Assistant Secretary or equivalent level. The Assistant Secretary level is comparable to senior executive level positions at levels III, IV, and V. Specifically,", "State has designated its Assistant Secretary of Administration, Bureau", "DOI and NTSB had designated its Chief Information Officers;", "Administrative Conference of the United States, Broadcasting Board of Governors, FDIC, NARA, and U.S. African Development Foundation have designated their general counsels; and Justice, NASA, TVA, and USAID designated their Associate Attorney General, Associate Administrator for Communications, the Vice President for Communications, and the Assistant Administrator for the Bureau of Management, respectively.", "However, 6 agencies \u2014 American Battle Monuments Commission DHS, EEOC, Pension Benefit Guaranty Corporation, FTC, and OMB \u2014 do not have chief FOIA officers that are senior officials at the Assistant Secretary or equivalent level. According to officials from 5 of these agencies, the agencies all have chief FOIA officers and officials believed they had designated the appropriate officials. Officials at FTC acknowledged that the chief FOIA officer position is not designated at a level equivalent to an Assistant Secretary but a senior position within the agency. However, while there are chief FOIA officers at these agencies, until the chief FOIA officers are designated at the Assistant Secretary or equivalent level, they will lack assurance regarding the necessary authority to make decisions about agency practices, personnel, and funding."], "subsections": []}, {"section_title": "Most Reviewed Agencies Have Not Updated Regulations as Required to Inform the Public of Their FOIA Operations", "paragraphs": ["FOIA requires federal agencies to publish regulations in the Federal Register that inform the public of their FOIA operations. Specifically, in 2016, FOIA was amended to require agencies to update their regulations regarding their FOIA operations. To assist agencies in meeting this requirement, OIP created a FOIA regulation template for agencies to use as they update their regulations. Among other things, OIP\u2019s guidance encouraged agencies to: describe their dispute resolution processed, describe their administrative appeals process for response letters of notify requesters that they have a minimum of 90 days to file an inform requesters that the agency may charge fees for requests determined as \u201cunusual\u201d circumstances ; and update the regulations in a timely manner (i.e., update regulations by 180 days after the enactment of the 2016 FOIA amendment.)", "Five agencies in our review\u2014DHS, DOI, FDIC, FTC, and USAID\u2014 addressed all five requirements in updating their regulations. In addition, seven agencies addressed four of the five requirements: the Administrative Conference of the United States, EEOC, Justice, NARA, NTSB, Pension Benefit Guaranty Corporation, and TVA did not update their regulations in a timely manner.", "Further, four agencies addressed three or less requirements (U.S. African Development Foundation, State, NASA, and Broadcasting Board of Governors) and two agencies (American Battle Monuments Commission and OMB) did not address any of the requirements. Figure 4 indicates the extent to which the 18 agencies had addressed the five selected requirements.", "Agencies that did not address all five requirements provided several explanations as to why their regulations were not updated as required:", "American Battle Monuments Commission stated that while they updated their draft regulation in August 2017, it is currently unpublished due to internal reviews with the General Counsel in preparation for submission to the Federal Register. No new posting date has been established. American Battle Monuments Commission last updated its regulation in February 26, 2003.", "State officials noted that their regulation was updated two months prior to the new regulation requirements but did not provide a specific reason for not reissuing its regulation. As such, they explained that they have a working group reviewing their regulation for updates, with no timeline identified. State last updated its regulation on April 6, 2016.", "NASA officials did not provide a reason for not updating its regulation as required. Officials did, however, state that its draft regulation is with the Office of General Counsel for review. NASA last updated its regulations on August 11, 2017.", "Broadcasting Board of Governors officials did not provide a reason for not updating its regulation as required. Officials did, however, note that the agency is in the process of updating its regulation and anticipates it will complete this update by the end of 2018. The Broadcasting Board of Governors last updated its regulation on February 2, 2002.", "OMB officials did not provide a reason for not updating the agency\u2019s regulation as required. Officials did, however, state that due to a change in leadership they do not have a time frame for updating their regulation. OMB last updated its regulation on May 27, 1998.", "The chief FOIA officer at the U.S. African Development Foundation stated that, while the agency had updated and submitted their regulation to be published in December 2016, they were unpublished due to an error that occurred with the acknowledgement needed to publish the regulation on the federal register. The regulation was subsequently published on February 3, 2017. The official further noted that when the agency responds to FOIA requests it has not charged a fee for unusual circumstances, and therefore they did not believe they had to disclose information regarding fees in its regulation.", "Until these six agencies publish updated regulations that address the necessary requirements, as called for in FOIA and OIP guidance, they likely will be unable to provide the public with required regulatory and procedural information to ensure transparency and accountability in the government."], "subsections": []}, {"section_title": "Justice and OMB Have Taken Steps to Develop an Online FOIA Request Portal", "paragraphs": ["The 2016 FOIA amendments required OMB to work with Justice to build a consolidated online FOIA request portal. This portal is intended to allow the public to submit a request to any agency from a single website and include other tools to improve the public\u2019s access to the benefits of FOIA. Further, the act required OMB to establish standards for interoperability between the consolidated portal and agency FOIA systems. The 2016 FOIA amendments did not provide a time to develop the portal and standards.", "With OMB\u2019s support, Justice developed an initial online portal. Justice\u2019s OIP officials stated that they expect to update the portal to provide basic functionality that aligns with requirements of the act, including the ability to make a FOIA request, and technical processes for interoperability amongst agencies\u2019 various FOIA systems. According to OIP officials, in partnership with OMB, OIP was able to identify dedicated funding source to operate and maintain the portal to ensure its success in the long term, with major agencies sharing in the costs to operate, maintain, and fund any future enhancements designed to improve FOIA processes. The first iteration of the National FOIA portal launched on Justice\u2019s foia.gov website on March 8, 2018."], "subsections": []}]}, {"section_title": "Agencies Have Methods to Reduce Backlogged Requests, but Their Efforts Have Shown Mixed Results", "paragraphs": ["In our draft report, we determined that the 18 selected agencies in our review had FOIA request backlogs of varying sizes, ranging from no backlogged requests at some agencies to 45,000 or more requests at other agencies. Generally, the agencies with the largest backlogs had received the most requests. In an effort to aid agencies in reducing their backlogs, Justice\u2019s OIP identified key practices that agencies can use. However, while the agencies reported using these practices and other methods, few of them managed to reduce their backlogs during the period from fiscal year 2012 through 2016. In particular, of the four agencies with the largest backlogs, only one\u2014NARA\u2014reduced its backlog. Agencies attributed their inability to decrease backlogs to the number and complexity of requests, among other factors. However, agencies also lack comprehensive plans to implement practices on an ongoing basis."], "subsections": [{"section_title": "Agencies Have FOIA Request Backlogs of Varying Sizes, and Most Increased from Fiscal Year 2012 through 2016", "paragraphs": ["The selected agencies in our review varied considerably in the size of their FOIA request backlogs. Specifically, from fiscal year 2012 through 2016, of the 18 selected agencies", "10 reported a backlog of 60 or fewer requests, and of these 10 agencies, 6 reported having no backlog in at least 1 year.", "4 agencies had backlog numbers between 61 and 1,000 per year; and", "4 agencies had backlogs of over 1,000 requests per year.", "The four agencies with backlogs of more than 1,000 requests for each year we examined were Justice, NARA, State and DHS. Table 2 shows the number requests and the number of backlogged request for the 18 selected agencies during the 5-year period.", "Over the 5-year period, 14 of the 18 selected agencies experienced an increase in their backlogs in at least 1 year. By contrast, 2 agencies (Administrative Conference of the United States and the U.S. African Development Foundation) reported no backlogs, and 3 agencies (American Battle Monument Commission, NASA and NARA) reported reducing their backlogs. Further, of the four agencies with the largest backlogs (DHS, State, Justice, and NARA) only NARA reported a backlog lower in fiscal year 2016 than in fiscal year 2012. Figure 5 shows the trends for the four agencies with the largest backlogs, compared with the rest of the 18 agencies.", "In most cases, agencies with small or no backlogs (60 or fewer) also received relatively few requests. For example, the Administrative Conference of the United States and the U.S. African Development Foundation reported no backlogged requests during any year but also received fewer than 30 FOIA requests a year. The American Battle Monuments Commission also received fewer than 30 requests a year and only reported 1 backlogged request per year in 2 of the 5 years examined. However, the Pension Benefit Guaranty Corporation and FDIC received thousands of requests over the 5-year period, but maintained zero backlogs in a majority of the years examined. PBGC received a total of 19,120 requests during the 5-year period and only reported a backlog of 8 requests during one year, fiscal year 2013. FDIC received a total of 3,405 requests during the 5-year period and reported a backlog of 13 requests in fiscal year 2015 and 4 in fiscal year 2016.", "The four agencies with backlogs of 1,000 or more (Justice, NARA, State, and DHS) received significantly more requests each year. For example, NARA received between about 12,000 and 50,000 requests each year, while DHS received from about 190,000 to 325,000 requests. In addition, the number of requests NARA received in fiscal year 2016 was more than double the number received in fiscal year 2012. DHS received the most requests of any agency\u2014a total of 1,320,283 FOIA requests over the 5- year period."], "subsections": []}, {"section_title": "Agencies Identified a Variety of Methods to Reduce Backlogs, but Few Saw Reductions", "paragraphs": ["The Attorney General\u2019s March 2009 memorandum called on agency chief FOIA officers to review all aspects of their agencies\u2019 FOIA administration and report to Justice on steps that have been taken to improve FOIA operations and disclosure. Subsequent Justice guidance required agencies are to include in their chief FOIA officer reports information on their FOIA request backlogs, including whether the agency experienced a backlog of requests; whether that backlog decreased from the previous year; and, if not, reasons the backlog did not decrease. In addition, agencies that had more than 1,000 backlogged requests in a given year were required to describe their plans to reduce their backlogs. Beginning in fiscal year 2015, these agencies were to describe how they implemented their plans from the previous year and whether that resulted in a backlog reduction.", "In addition, Justice\u2019s OIP identified best practices for reducing FOIA backlogs. The office held a best practices workshop on reducing backlogs and improving timeliness. The office then issued guidance in August 2014 which highlighted key practices to improve the quality of a FOIA program. OIP identified the following methods in its best practices guidance.", "Utilize resources effectively. Agencies should allocate their resources effectively by using multi-track processing, making use of available technology, and shifting priorities and staff assignments to address needs and effectively manage workloads.", "Routinely review metrics. Agencies should regularly review their FOIA data and processes to identify challenges or barriers. Additionally, agencies should identify trends to effectively allocate resources, set goals for staff, and ensure needs are addressed.", "Emphasize staff training. Agencies should ensure FOIA staff are properly trained so they can process requests more effectively and with more autonomy. Training and engagement of staff can also solidify the importance of the FOIA office\u2019s mission.", "Obtain leadership support. Agencies should ensure that senior management is involved in and supports the FOIA function in order to increase awareness and accountability, as well as make it easier to obtain necessary resources or personnel.", "Agencies identified a variety of methods that they used to address their backlogs. These included both the practices identified by Justice, as well as additional methods.", "Ten agencies maintained relatively small backlogs of 60 or fewer requests and were thus not required to develop plans for reducing backlogs. However, 2 of these 10 agencies, who both received significant numbers of requests, described various methods used to maintain a small backlog:", "PBGC officials credits its success to training, not only for FOIA staff, but all Incoming personnel, while also awarding staff for going above and beyond in facilitating FOIA processing. Pension Benefit Guaranty Corporation has incorporated all the best practices identified by OIP, including senior leadership involvement that supports FOIA initiatives and program goals, routine review of metrics to optimize workflows, effective utilization of resources and staff training.", "According to FDIC officials, its overall low backlog numbers are attributed to a trained and experienced FOIA staff, senior management involvement, and coordination among FDIC divisions. However, FDIC stated the reason for the increase in backlogs in fiscal year 2015 was due to increased complexity of requests.", "The 4 agencies with backlogs greater than 60 but fewer than 1,000 (EEOC, DOI, NTSB, and USAID) reported using various methods to reduce their backlogs. However, all 4 showed an increase over the 5-year period.", "EEOC officials stated that it had adopted practices recommended by OIP such as multi-track processing, reviewing workloads to ensure sufficient staff, and using temporary assignments to address needs. However, it has seen a large increase in its backlog numbers, going from 131 in fiscal year 2012 to 792 in fiscal year 2016. EEOC attributed the rise in backlogs to an increase in requests received, loss of staff, and the complex and voluminous nature of requests.", "DOI, according to agency officials, has also tried to incorporate reduction methods and best practices, including proactively releasing information that may be of interest to the public, thus avoiding the need for a FOIA request; enhanced training for its new online FOIA tracking and processing system; improved inter-office collaboration; monthly reports on backlogs and weekly charts on incoming requests to heighten awareness among leadership; and monitoring trends. Yet, DOI has seen an increase in its backlog, from 449 in fiscal year 2012 to 677 in fiscal year 2016, an increase of 51 percent. DOI attributed the increase to loss of FOIA personnel, increase in the complexity of requests, increase in FOIA-related litigation, increase in incoming requests, and staff having additional duties.", "Officials at NTSB stated that it utilized contractors and temporary staff assignments to augment staffing and address backlogs. Despite the effort, NTSB saw a large increase in backlogs, from 62 in fiscal year 2012 to 602 in fiscal year 2016. Officials stated that reason for the increase was due to increased complexity of requests, including requests for \u201cany and all\u201d documentation related to a specific subject, often involving hundreds to thousands of pages per request.", "According to USAID officials, the agency conducts and reviews inventories of its backlog and requests to remove duplicates and closed cases, group and classify requests by necessary actions and responsive offices, and initiate immediate action. In addition, USAID seeks to identify tools and solutions to streamline records for review and processing. However, its backlog numbers have continually increased, from 201 in fiscal year 2012 to 318 in fiscal year 2016. USAID attributes that increase to increase in the number of requests, loss of FOIA staff, increased complexity and volume of requests, competing priorities, and world events that may drive surges in requests.", "Of the four agencies with the largest backlogs, all reported taking steps that in some cases included best practices identified by OIP; however, only NARA successfully reduced its backlog by the end of the 5-year period.", "Justice made noted that it efforts to reduce its backlog by incorporating best practices. Specifically, OIP worked with components within Justice through the Component Improvement Initiative to identify causes contributing to a backlog and assist components in finding efficiencies and overcoming challenges. The Chief FOIA Officer continued to provide top-level support to reduction efforts by convening the department\u2019s FOIA Council to manage overall FOIA administration. In addition, many of the components created their own reduction plans, which included hiring staff, utilizing technology, and providing more training, requester outreach, and multitrack processing.", "However, despite these efforts, the number of backlogs steadily increased during the 5-year period, from 5,196 in fiscal year 2012 to 10,644 in fiscal year 2016, an overall increase of 105 percent. Justice attributes the increase in backlogs to several challenges, including an increase of incoming requests and an increase in the complexity of those requests. Other challenges that Justice noted were staff shortages and turnover, reorganization of personnel, time to train incoming staff, and the ability to fill positions previously held by highly qualified professionals.", "NARA officials stated that one key step NARA took was to make corrections in its Performance Measurement and Reporting System. They noted that this system previously comingled backlogged requests with the number of pending FOIA requests, skewing the backlog numbers higher. The improvements included better accounting for pending and backlogged cases, distinguishing between simple and complex requests, and no longer counting as open cases that were closed within 20 days, but not until the beginning of the following fiscal year. In addition, officials also stated that the FOIA program offices have been successful at working with requesters to narrow the scope of requests.", "NARA also stated that it was conducting an analysis of FOIA across the agency to identify any barriers in the process. Officials also identified other methods, including using multi-track processing, shifting priorities to address needs, improved communication with agencies, proactive disclosures, and the use of mediation services.", "NARA has shown significant progress in reducing its backlog. In fiscal year 2012 it had a backlog of 7,610 requests, which spiked to 9,361 in fiscal year 14. However, by fiscal year 2016 the number of backlogged requests had dropped to 2,932 despite an more than doubling of requests received for that fiscal year. However, NARA did note challenges to reducing its backlog numbers, namely, the increase in the number of requests received.", "State developed and implemented a plan to reduce its backlog in fiscal year 2016. The plan incorporated two best practices by focused on identifying the extent of the backlog problem and developing ways to address the backlog with available resources. According to State officials, effort was dedicated to improve how FOIA data was organized and reported. Expedited and litigation cases were top priorities, whereas in other cases a first in first out method was employed.", "Even with these efforts, however, State experienced a 117 percent increase in its backlog over the 5-year period. State\u2019s backlog doubled from 10,045 in fiscal year 2014 to 22,664 in fiscal year 2016. Among the challenges to managing its backlog, State reported an increase in incoming requests, a high number of litigation cases, and competing priorities. Specifically, the number of incoming requests for State increase by 51 percent during the 5-year period. State has also reported that it has allocated 80 percent of its FOIA resources to meet court-ordered productions associated with litigation cases, resulting in fewer staff to work on processing routine requests. This included, among other efforts, a significant allocation of resources in fiscal year 2015 to meet court-imposed deadlines to process emails associated with the former Secretary of State, resulting in a surge of backlogs.", "In 2017 State began an initiative to actively address its backlogs. The Secretary of State issued an agency-wide memorandum stating the department\u2019s renewed efforts by committing more resources and workforce to backlog reduction. The memo states new processes are to be implemented for both the short and long-term, and the FOIA office has plans to work with the various bureaus to outline the tasks, resources, and workforce necessary to ensure success and compliance. With renewed leadership support, State has reported significant progress in its backlog reduction efforts.", "DHS, in its chief FOIA officer reports, reported that it implemented several plans to reduce backlogs. The DHS Privacy office, which is responsible for oversight of the department\u2019s FOIA program, worked with components to help eliminate the backlog. The Privacy Office sent monthly emails to component FOIA officers on FOIA backlog statistics, convened management meetings, conducted oversight, and reviewed workloads. Leadership met weekly to discuss the oldest pending requests, appeals, and consultations, and determined needed steps to process those requests.", "In addition, several other DHS components implemented actions to reduce backlogs. Customs and Border Protection hired and trained additional staff, encouraged requesters to file requests online, established productivity goals, updated guidance, and utilized better technology. U.S. Citizenship and Immigration Services, National Protection and Programs Directorate, and Immigration and Customs Enforcement increased staffing or developed methods to better forecast future workloads ensure adequate staffing. Immigration and Customs Enforcement also implemented a commercial off-the-shelf web application, awarded a multi-million dollar contract for backlog reduction, and detailed employees from various other offices to assist in the backlog reduction effort.", "Due to efforts by the Privacy Office and other components, the backlog dropped 66 percent in fiscal year 2015, decreasing to 35,374. Yet, despite the continued efforts in fiscal year 2016, the backlog numbers increased again, to 46,788. DHS attributes the increases in backlogs to several factors, including an increase in the number of requests received, increased complexity and volume of responsive records for those requests, loss of staff and active litigation with demanding production schedules.", "One reason the eight agencies with significant backlogs may be struggling to consistently reduce their backlogs is that they lack documented, comprehensive plans that would provide a more reliable, sustainable approach to addressing backlogs. In particular, they do not have documented plans that describe how they will implement best practices for reducing backlogs over time, including specifying how they will use metrics to assess the effectiveness of their backlog reduction efforts and ensure that senior leadership supports backlog reduction efforts, among other best practices identified by OIP.", "While agencies with backlogs of 1,000 or more are required to describe backlog reduction efforts in their chief FOIA officer reports, these consist of a high-level narrative and do not include a specific discussion of how the agencies will implement best practices over time to reduce their backlog. In addition, agencies with backlogs of fewer than 1,000 requests are not required to report on backlog reduction efforts; however, the selected agencies in our review with backlogs in the hundreds still experienced an increase over the 5-year period.", "Without a more consistent approach, agencies will continue to struggle to reduce their backlogs to a manageable level, particularly as the number and complexity of requests increase over time. As a result, their FOIA processing may not respond effectively to the needs of requesters and the public."], "subsections": []}]}, {"section_title": "Various Types of Statutory Exemptions Exist and Many Have Been Used by Agencies", "paragraphs": ["FOIA requires agencies report annually to Justice on their use of statutory (b)(3) exemptions. This includes specifying which statutes they relied on to exempt information from disclosure and the number of times they did so. To assist agencies in asserting and accounting for their use of these statutes, Justice instructs agencies to consult a running list of all the statutes that have been found to qualify as proper (b)(3) statutes by the courts.", "However, agencies may also use a statute not included in the Justice list, because many statutes that appear to meet the requirements of (b)(3) have not been identified by a court as qualifying statutes. If the agency uses a (b)(3) statute that is not identified in the qualifying list, Justice guidance instructs the agency to include information about that statute in its annual report submission. Justice reviews the statute and provides advice to the agency, but does not make a determination on the appropriateness of using that statute under the (b)(3) exemption.", "Based on data agencies reported to Justice, during fiscal years 2010 to 2016, agencies claimed 237 statutes as the basis for withholding information. Of these statutes, 75 were included on Justice\u2019s list of qualifying statutes under the (b)(3) exemption. Further, we identified 140 additional statutes that were not identified in our 237 statutes claimed by agencies during fiscal years 2010 to 2016, but have similar provisions to other (b)(3) statutes authorizing an agency to withhold information from the public.", "We found that the 237 statutes cited as the basis for (b)(3) exemptions during the period from fiscal year 2010 to 2016 to fell into eight general categories of information. These categories were (1) personally identifying information, (2) national security, (3) commercial, (4) law enforcement and investigations, (5) internal agency, (6) financial regulation, (7) international affairs, and (8) environmental. Figure 6 identifies the eight categories and the number of agency-claimed (b)(3) statutes in each of the categories.", "Of the 237 (b)(3) statutes cited by agencies, the majority\u2014178\u2014fell into four of the eight categories:", "Forty-nine of these statutes related to withholding personally identifiable information including, for example, a statute related to withholding death certificate information provided to the Social Security Administration.", "Forty-five statutes related to the national security category. For example, one statute exempted files of foreign intelligence or counterintelligence operations of the National Security Agency.", "Forty-two statutes were in the law enforcement and investigations category, including a statute that exempts from disclosure information provided to Justice pursuant to civil investigative demands pertaining to antitrust investigations.", "Forty-two statutes fell into the commercial category. For example, one statute in this category related to withholding trade secrets and other confidential information related to consumer product safety.", "The remaining 59 statutes were in four categories: internal agency functions and practices, financial regulation, international affairs, and environmental. The environmental category contained the fewest number of statutes and included, for example, a statute related to withholding certain air pollution analysis information.", "As required by FOIA, agencies also reported the number of times they used each (b)(3) statute. In this regard, 33 FOIA-reporting agencies indicated that they had used 10 of the 237 (b)(3) statutes more than 200,000 times. Of these 10 most-commonly used statutes, the single most-used statute (8 U.S.C \u00a7 1202(f)) related to withholding records pertaining to the issuance or refusal of visas to enter the United States. It was used by 4 agencies over 58,000 times.", "Further, of the 10 most-commonly used statutes, the statute used by the greatest number of agencies (26 U.S.C \u00a7 6103) related to the withholding of certain tax return information; it was used by 24 FOIA-reporting agencies about 30,000 times. By contrast, some statutes were only used by a single agency. Specifically, the Department of Veterans Affairs used a statute related to withholding certain confidential veteran medical records (38 U.S.C. \u00a7 7332) more than 16,000 times. Similarly, EEOC used a statute related to employment discrimination on the basis of disability (42 U.S.C. \u00a7 12117) more than 10,000 times.", "Table 4 shows the 10 most-used statutes under the (b)(3) exemption, the agency that used each one most frequently, and the number of times they were used by that agency for the period covering fiscal years 2010 through 2016."], "subsections": [{"section_title": "Most Statutes Enacted after 2009 That Were Used by Agencies Did Not Specifically Cite the (b)(3) Exemption", "paragraphs": ["The OPEN FOIA Act of 2009 amended FOIA to require that any federal statute enacted subsequently must specifically cite paragraph (b)(3) of FOIA to qualify as a (b)(3) exemption statute. Prior to 2009, a federal statute qualified as a statutory (b)(3) exemption if it (1) required that the matters be withheld from the public in such a manner as to leave no discretion on the issue, or (2) established particular criteria for withholding or refers to particular types of matters to be withheld.", "In response to the amendment, in 2010, Justice released guidance to agencies stating that any statute enacted after 2009 must specifically cite to the (b)(3) exemption to qualify as a withholding statute. Further, the guidance encouraged agencies to contact Justice with questions regarding the implementation of the amendment.", "Even with this guidance, we found that a majority of agency-claimed statutes during fiscal years 2010 through 2016 did not specifically cite the (b)(3) exemption. Specifically, of the 237 (b)(3) statutes claimed by agencies, 103 were enacted or amended after 2009 and, thus, were subject to the requirement of the OPEN FOIA Act. Of those 103 statutes, 86 lacked the required statutory text that cited exemption (b)(3) of FOIA.", "Figure 7 shows the number of agency-claimed statutes subject to the OPEN FOIA Act of 2009 requirement that did not cite the (b)(3) exemption.", "Agencies are using these statutes as the basis for withholding information when responding to a FOIA request. This is despite these statutes not having a reference to the (b)(3) exemption as required by the 2009 FOIA amendments."], "subsections": []}]}, {"section_title": "Federal Court Decisions Have Not Required the Office of Special Counsel to Initiate Disciplinary Actions for the Improper Withholding of Records", "paragraphs": ["In our report, being issued today, we found that, according to the available information and Justice and OSC officials, since fiscal year 2008, no court orders have been issued that have required OSC to initiate a proceeding to determine whether disciplinary action should be taken against agency FOIA personnel. Specifically, officials in Justice\u2019s Office of Information Policy stated that there have been no lawsuits filed by a FOIA requester that have led the courts to conduct all three requisite actions needed for Justice to refer a court case to OSC.", "Justice\u2019s litigation and compliance reports identified six court cases (between calendar years 2013 and 2016) in which the requesters sought a referral from the courts in an attempt to have OSC initiate an investigation. However, in all six cases, the courts denied those requests, finding that each case did not result in the courts taking the three actions necessary to involve OSC.", "Thus, given these circumstances, Justice has not referred any court orders to OSC to initiate a proceeding to determine whether disciplinary action should be taken against agency FOIA personnel. For its part, OSC officials confirmed that the office has neither received, nor acted on, any such referrals from Justice. As such, OSC has not had cause to initiate disciplinary actions for the improper withholding of FOIA records.", "In summary, the 18 agencies we selected for review fully implemented half of the six FOIA requirements reviewed and the vast majority of agencies implemented two additional requirements. However, 5 agencies published and updated their FOIA regulations in a timely and comprehensive manner. Fully implementing FOIA requirements will better position agencies to provide the public with necessary access to government records and ensure openness in government.", "The selected agencies in our review varied considerably in the size of their backlogs. While 10 reported a backlog of 60 or fewer requests, 4 had backlogs of over 1,000 per year. Agencies identified a variety of methods that they used to address their backlogs, including practices identified by Justice, as well as additional methods. However, the selected agencies varied in the success achieved for reducing their backlogs. This was due, in part, to a lack of plan that describes how the agencies will implement best practices for reducing backlogs over time. Until agencies develop plans to reduce backlogs, they will be limited in their ability to respond effectively to the needs of requesters and the public.", "Accordingly, our draft report contains 23 planned recommendations to selected agencies. These recommendations address posting records online, designating chief FOIA officers, updating regulations consistent with requirements, and developing plans to reduce backlogs. Implementation of our recommendations should better position these agencies to address FOIA requirements and ensure the public is provided with access to government information.", "Chairman Grassley, Ranking Member Feinstein, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you have any questions on matters discussed in this testimony, please contact David A. Powner at (202) 512-9286 or at pownerd@gao.gov. Individuals who made key contributions to this testimony are Anjalique Lawrence (assistant director), Lori Martinez (analyst in charge), Gerard Aflague, David Blanding, Christopher Businsky, Rebecca Eyler, James Andrew Howard, Carlo Mozo, David Plocher, and Sukhjoot Singh.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-263", "url": "https://www.gao.gov/products/GAO-18-263", "title": "Bank Secrecy Act: Derisking along the Southwest Border Highlights Need for Regulators to Enhance Retrospective Reviews", "published_date": "2018-02-26T00:00:00", "released_date": "2018-02-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Some Southwest border residents and businesses have reported difficulties accessing banking services in the region. GAO was asked to review if Southwest border residents and businesses were losing access to banking services because of derisking and branch closures.", "This report (1) describes the types of heightened BSA/AML compliance risks that Southwest border banks may face and the BSA/AML compliance challenges they may experience; (2) determines the extent to which banks have terminated accounts and closed branches in the region and the reasons for any terminations and closures; and (3) evaluates how regulators have assessed and responded to concerns about derisking in the region and elsewhere, and how effective their efforts have been; among other objectives. GAO surveyed a nationally representative sample of 406 banks, which included the 115 banks that operate in the Southwest border region; analyzed Suspicious Activity Report filings; developed an econometric model on the drivers of branch closures; and interviewed banks that operate in the region."]}, {"section_title": "What GAO Found", "paragraphs": ["\u201cDerisking\u201d is the practice of banks limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering. The Southwest border region is a high-risk area for money laundering activity, in part, because of a high volume of cash and cross-border transactions, according to bank representatives and others. These types of transactions may create challenges for Southwest border banks in complying with Bank Secrecy Act/anti-money laundering (BSA/AML) requirements because they can lead to more intensive account monitoring and investigation of suspicious activity. GAO found that, in 2016, bank branches in the Southwest border region filed 2-1/2 times as many reports identifying potential money laundering or other suspicious activity (Suspicious Activity Reports), on average, as bank branches in other high-risk counties outside the region (see figure).", "According to GAO's survey, an estimated 80 percent (+/- 11 percent margin of error) of Southwest border banks terminated accounts for BSA/AML risk reasons. Further, according to the survey, an estimated 80 percent (+/- 11) limited or did not offer accounts to customers that are considered high risk for money laundering because the customers drew heightened regulatory oversight\u2014behavior that could indicate derisking. Counties in the Southwest border region have been losing bank branches since 2012, similar to national and regional trends. Nationally, GAO's econometric analysis generally found that counties that were urban, younger, had higher income or had higher money laundering-related risk were more likely to lose branches. Money laundering-related risks were likely to have been relatively more important drivers of branch closures in the Southwest border region.", "Regulators have not fully assessed the BSA/AML factors influencing banks to derisk. Executive orders and legislation task the Department of the Treasury's Financial Crimes Enforcement Network (FinCEN) and the federal banking regulators with reviewing existing regulations through retrospective reviews to determine whether they should be retained or amended, among other things. FinCEN and federal banking regulators have conducted retrospective reviews of parts of BSA/AML regulations. The reviews, however, have not evaluated how banks' BSA/AML regulatory concerns may influence them to derisk or close branches. GAO's findings indicate that banks do consider BSA/AML regulatory concerns in providing services. Without assessing the full range of BSA/AML factors that may be influencing banks to derisk or close branches, FinCEN, the federal banking regulators, and Congress do not have the information needed to determine if BSA/AML regulations and their implementation can be made more effective or less burdensome."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FinCEN and the federal banking regulators conduct a retrospective review of BSA regulations and their implementation for banks. The review should focus on how banks' regulatory concerns may be influencing their willingness to provide services. The federal banking regulators agreed to the recommendation. FinCEN did not provide written comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["Money laundering and terrorist financing pose threats to national security and the integrity of the financial system. The Bank Secrecy Act (BSA) is an important tool in federal law enforcement efforts to detect and deter the use of financial institutions for criminal activity, including money laundering and terrorist financing. The BSA and its implementing regulations generally require financial institutions, including banks, to collect and retain various records of customer transactions, verify customers\u2019 identities, maintain anti-money laundering (AML) programs, and report suspicious transactions.", "In recent years, some Southwest border residents and businesses reported difficulty accessing banking services, including experiencing bank account terminations. In addition, reports of bank branch closings in the region added to questions about the ability of residents to access banking services. You and others have raised questions about whether some banks may be engaging in \u201cderisking\u201d\u2014the practice of banks limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering.", "This report (1) describes the types of heightened BSA/AML compliance risks that Southwest border banks may face and the BSA/AML compliance challenges they may experience; (2) determines the extent to which banks are terminating accounts and are closing bank branches in the Southwest border region and their reasons for any terminations and closures; (3) describes what Southwest border banking customers and others told us about any effects of account terminations and branch closures on Southwest border communities; and (4) evaluates how the Department of the Treasury\u2019s (Treasury) Financial Crimes Enforcement Network (FinCEN) and the federal banking regulators\u2014the Board of Governors of the Federal Reserve System (Federal Reserve), Federal Deposit Insurance Corporation (FDIC), and the Office of the Comptroller of the Currency (OCC)\u2014have assessed and responded to concerns about derisking in the Southwest border region and elsewhere, and the effectiveness of those efforts.", "We defined the Southwest border region as all counties that have at least 25 percent of their landmass within 50 miles of the U.S.-Mexico border. Thirty-three counties in Arizona, California, New Mexico, and Texas fell within this definition. To describe the types of heightened BSA/AML compliance risks that Southwest border banks may face and the BSA/AML compliance challenges they may experience, we interviewed 19 Southwest border banks, a variety of banking industry groups and trade associations, and officials from the federal banking regulators. In addition, we analyzed data on Suspicious Activity Reports (SAR), Currency Transaction Reports (CTR), and BSA/AML enforcement actions and violations identified during bank examinations. We also reviewed documentation from BSA/AML examinations of selected Southwest border banks to gain additional context about BSA/AML violations.", "To determine the extent to which banks are terminating accounts and their reasons why, we administered a web-based survey to a nationally representative sample of banks in the United States, which includes 115 Southwest border banks, for a total survey sample of 406 banks. In the survey, we asked banks about terminations of accounts and limitations on account offerings related to BSA/AML risk, the types of customers for which the banks terminate or limit account offerings, and the reasons for these decisions for the period January 1, 2014, to December 31, 2016. We obtained a weighted survey response rate of 46.5 percent. See appendix I for additional information about our survey methodology and appendix II for information on survey results. To assess the extent to which banks have closed branches in the Southwest border region and the reasons why, we analyzed trends in bank branch closures by comparing trends in branch closures in the Southwest border region to national and regional trends, as well as trends in high-risk areas elsewhere. We also combined the data on branch closures with demographic, economic, and money laundering-related risk data and conducted an econometric analysis designed to examine the potential drivers of branch closures (see app. III for information on the econometric analysis). We also interviewed representatives from Southwest border banks about the time and resources required to file SARs and how they approached the decision to close a branch.", "To describe what Southwest border banking customers and others said about any effects of account terminations and branch closures on Southwest border communities, we conducted site visits to three communities: Nogales, Arizona; San Ysidro, California; and McAllen, Texas. We selected these communities to achieve a sample of locations that collectively satisfied the following criteria: (1) counties with different classifications of how rural or urban they are, (2) counties that experienced different rates of branch closures from 2013 through 2016, and (3) counties that had received different designations by the federal banking regulators as distressed or underserved. We conducted a total of five discussion groups across the three locations and summarized participants\u2019 responses about how they were affected by account terminations and branch closures in their communities. Three of the five discussion group sessions included business banking customers and the other two sessions included nonbusiness retail banking customers. We also interviewed economic development specialists, industry and trade organizations that focus on border trade and commerce, and chambers of commerce and municipal officials representing Southwest border communities.", "To evaluate how FinCEN and the federal banking regulators have assessed and responded to concerns about derisking and the effectiveness of those efforts, we reviewed agency documentation and guidance the agencies issued to banks related to derisking. We also reviewed documentation on BSA/AML retrospective reviews that FinCEN and the federal banking regulators have conducted. In addition, we reviewed various executive orders that, among other things, require most executive branch agencies, and encourage independent agencies, to develop a plan to conduct retrospective analyses, and Office of Management and Budget guidance implementing those executive orders. Finally, we interviewed officials from FinCEN and the federal banking regulators about the actions they have taken related to derisking, as well as retrospective reviews they had conducted on BSA regulations.", "To assess the reliability of the data we used, we reviewed related documentation; conducted electronic testing of the data for missing data, outliers, or any obvious errors; and interviewed knowledgeable officials about the data. We concluded that all applicable data were sufficiently reliable for the purposes of describing BSA/AML compliance risks and challenges for Southwest border banks; identifying banks to survey on account terminations and limitations; evaluating branch closure trends in the Southwest border region and elsewhere, and the factors driving those closures; and describing the effects for Southwest border communities experiencing branch closures and account terminations. Appendix I provides more information on our scope and methodology.", "We conducted this performance audit from March 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The BSA established reporting, recordkeeping, and other AML requirements for financial institutions. By complying with BSA/AML requirements, U.S. financial institutions assist government agencies in the detection and prevention of money laundering and terrorist financing by, among other things, maintaining compliance policies, conducting ongoing monitoring of customers and transactions, and reporting suspicious financial activity. Regulation under and enforcement of BSA involves several federal agencies. FinCEN is responsible for administering the BSA, has authority for enforcing compliance with its requirements and implementing regulations, and also has the authority to enforce the act, including through civil money penalties. FinCEN issues regulations under BSA and relies on the examination functions performed by other federal regulators, including the federal banking regulators. FinCEN also collects, analyzes, and maintains the reports and information filed by financial institutions under BSA and makes those reports available to law enforcement and regulators.", "FinCEN has delegated BSA/AML examination authority for banks to the federal banking regulators. The federal banking regulators have issued their own BSA regulations that require banks to establish and maintain a BSA compliance program which, among other things, requires banks to identify and report suspicious activity. The banking regulators are also required to review compliance with BSA/AML requirements and regulations which they generally do every 12 to 18 months as a part of their routine safety and soundness examinations. Federal banking regulators take a risk-based approach to BSA examinations\u2014that is, they review key customers of risk or specific problems identified by the bank. Among other things, examiners review whether banks have an adequate system of internal controls to ensure ongoing compliance with BSA/AML regulations. The federal banking regulators may take enforcement actions using their prudential authorities for violations of BSA/AML requirements. They may also assess civil money penalties against financial institutions and individuals independently, or concurrently with FinCEN."], "subsections": [{"section_title": "Components of Banks\u2019 BSA/AML Compliance Programs", "paragraphs": ["All banks are required to establish an AML compliance program that includes policies, procedures, and processes which, at a minimum, must provide for: a system of internal controls to ensure ongoing compliance, a designated individual or individuals responsible for managing BSA compliance (BSA compliance officer), training for appropriate personnel, independent testing for BSA/AML compliance, and appropriate risk-based procedures for conducting ongoing customer due diligence.", "BSA/AML regulations require that each bank tailor a compliance program that is specific to its size and own risks based on factors such as the products and services offered, customers, types of transactions processed, and locations served. BSA/AML compliance programs may include the following components:", "Customer Identification Program (CIP)\u2014Banks must have written procedures for opening accounts and, at a minimum, must obtain from each customer their name, date of birth, address, and identification number before opening an account. In addition, banks\u2019 CIPs must include risk-based procedures for verifying the identity of each customer to the extent reasonable and practicable. Banks must also collect information on individuals who are beneficial owners of a legal entity customer in addition to the information they are required to collect on the customer under the CIP requirement.", "Customer Due Diligence (CDD)\u2014CDD procedures enable banks to predict with relative certainty the types of transactions in which a customer is likely to engage, which assists banks in determining when transactions are potentially suspicious. Banks must document their process for performing CDD and implement and maintain appropriate risk-based procedures for conducting ongoing customer due diligence. These procedures include, but are not limited to, understanding the nature and purpose of customer relationships for the purpose of developing a customer risk profile, and conducting ongoing monitoring to identify and report suspicious transactions and, on a risk basis, to maintain and update customer information.", "Enhanced Due Diligence (EDD)\u2014Customers who banks determine pose a higher money laundering or terrorist financing risk are subject to EDD procedures. EDD for higher-risk customers helps banks understand these customers\u2019 anticipated transactions and implement an appropriate suspicious activity monitoring system. Banks review higher-risk customers and their transactions more closely at account opening and more frequently throughout the term of their relationship with the bank.", "Suspicious Activity Monitoring\u2014Banks must also have policies and procedures in place to monitor transactions and report suspicious activity. Banks use different types of monitoring systems to identify or alert staff of unusual activity. A manual transaction monitoring system typically targets specific types of transactions (for example, those involving large amounts of cash and those to or from foreign areas) and includes a manual review of various reports generated by the bank\u2019s information systems in order to identify unusual activity. An automated monitoring system can cover multiple types of transactions and use various rules, thresholds, and scenarios to identify potentially suspicious activity. These systems typically use computer programs to identify individual transactions, patterns of unusual activity, or deviations from expected activity. Banks that are large, operate in many locations, or have a large volume of higher-risk customers typically use automated monitoring systems.", "Banks also must comply with certain reporting requirements, including:", "CTR: A bank must electronically file a CTR for each transaction in currency\u2014such as a deposit or withdrawal\u2014of more than $10,000.", "SAR: Banks are required to electronically file a SAR when a transaction involves or aggregates at least $5,000 in funds or other assets, and the institution knows, suspects, or has reason to suspect that the transaction meets certain criteria qualifying as suspicious."], "subsections": []}, {"section_title": "Regulatory Requirements Related to Account Terminations and Branch Closures", "paragraphs": ["Generally, the federal banking regulators do not direct banks to open, close, or maintain individual accounts. However, banks generally include policies and procedures to describe criteria for not opening, or closing, an account in their BSA/AML compliance program. For example, although there is no requirement for a bank to close an account that is the subject of a SAR filing, a bank should develop policies and procedures that indicate when it will escalate issues identified as the result of repeat SAR filings on accounts, including criteria on when to close an account. Additionally, a bank\u2019s CIP should contain procedures for circumstances when a bank cannot verify the customer\u2019s identity, including procedures that include circumstances in which the bank should not open an account and when the bank should close an account.", "Federal banking regulators also cannot prohibit banks from closing branches. However, FDIC-insured banks are required to submit a notice of any proposed branch closing to their primary banking regulator no later than 90 days prior to the date of the proposed branch closing. The notice must include a detailed statement of the reasons for closing the branch and statistical or other information in support of the reasons. Banks are also required to mail a notice to the customers of the branch proposed to be closed at least 90 days prior to the proposed closing and must post a notice to customers in the branch proposed to be closed at least 30 days prior to the proposed closing. The notice should state the proposed date of closing and either identify where branch customers may obtain service following that date or provide a telephone number for customers to call to determine such alternative sites."], "subsections": []}, {"section_title": "Characteristics and Money Laundering-Related Risks of the Southwest Border Region", "paragraphs": ["In October 2017, Mexico was the second largest goods trading partner of the United States in terms of both imports and exports, according to U.S. Census trade data. Trade with Mexico is an important component of Southwest border states\u2019 economies, which benefit from their proximity to the international border and the related seaports and inland ports for the exportation and importation of goods. The fresh produce industry is an example of a key industry in the border region. The fresh produce industry encompasses several activities involved with importation, inspection, transportation, warehousing, and distribution of Mexican- grown produce to North American markets, all of which provide employment opportunities and revenues to local economies. Another key industry in the region is manufacturing. The Southwest border has played a role in a growing trend known as production sharing, in which companies\u2014predominantly based in the United States\u2014locate some operations in Mexico, thus achieving lower costs in the overall production process. Local Southwest border communities also benefit from pedestrians crossing into the United States from Mexico to visit and shop in their communities. For example, Department of Transportation border crossing data show that in September 2017, nearly 750,000 pedestrians entered the United States at the San Ysidro, California, border crossing\u2014 the busiest pedestrian port of entry into the country.", "The Department of State has identified Mexico as a major money laundering country. As a result of its proximity to Mexico, the Southwest border region faces high money laundering and related financial crime risks. The U.S.-Mexico border includes major population centers, transportation hubs, and large tracts of uninhabited desert. According to Treasury\u2019s 2015 National Money Laundering Risk Assessment, criminal organizations have used the vast border to engage in cross-border drug trafficking, human smuggling, and money laundering. The 2015 assessment also states that bulk cash smuggling remains the primary method Mexican drug trafficking organizations use to move illicit proceeds across the Southwest border into Mexico. Some cash collected domestically to pay the drug trafficking organizations for drugs is channeled from distribution cells across the United States to cities and towns along the Southwest border, and from there is smuggled into Mexico. All counties within the Southwest border region have been identified as either a High Intensity Financial Crime Area (HIFCA) or a High Intensity Drug Trafficking Area (HIDTA) with the vast majority being identified as both (see fig. 1). HIFCAs and HIDTAs aim to concentrate law enforcement efforts at the federal, state, and local levels to combat money laundering and drug trafficking in designated high-intensity money laundering zones and in areas determined to be critical drug-trafficking regions of the United States, respectively."], "subsections": []}]}, {"section_title": "Southwest Border Banks Report Heightened BSA/AML Compliance Risks and Challenges Due to Volume of High- Risk Customers", "paragraphs": ["Several characteristics of the Southwest border region make the region a high-risk area for money laundering activity. These characteristics, which require additional efforts for Southwest border banks to comply with BSA/AML requirements, include high volumes of cash transactions, cross-border transactions, and foreign accountholders. Bank representatives we spoke with said that they manage these added BSA/AML compliance challenges through activities such as more frequent monitoring and investigating of suspicious activities, but that these efforts require an investment of resources."], "subsections": [{"section_title": "Volume of Cash Transactions and Cross- Border Trade Increases Risk for Money Laundering and Terrorist Financing", "paragraphs": ["Money laundering risk is high in the Southwest border region because of the high volume of cash transactions, the number of cross-border transactions, and foreign accountholders, according to bank representatives, federal banking regulators, and others. Cash transactions increase the BSA/AML compliance risk for banks because the greater anonymity associated with using cash results in greater risk for money laundering or terrorist financing. A regional economic development specialist noted, for example, that Mexican nationals who shop in border communities typically use cash as a payment form. Further, representatives from a regional trade group told us that border businesses prefer payment in cash over checks from Mexican banks because of potential variations in the exchange rate before a peso- denominated check clears. The trade group representatives we spoke with also noted that currency exchanges also add to the volume of cash transactions in the region. In June 2010, the Mexican finance ministry published new AML regulations that restricted the amounts of physical cash denominated in U.S. dollars that Mexican financial institutions could receive. According to FinCEN officials and some of the federal bank examiners we spoke with, these regulations altered the BSA/AML risk profile of some U.S. banks, particularly those in the Southwest border region. For example, U.S. banks started receiving bulk shipments of currency directly from Mexican nationals and businesses, rather than from Mexican banks. This increased BSA/AML compliance risk for the U.S. banks because they now had to assess the risk of each individual customer shipping them currency, rather than the collective risk from their Mexican banking counterparts. In addition, according to FinCEN, the regulations added to the level of cash in the Southwest border region because businesses in the region saw higher levels of cash payments from Mexican customers. This also created additional risk for U.S. banks when these businesses deposited the cash payments.", "Our review of data on banks\u2019 CTR filings confirmed that bank branches that operate in Southwest border region counties handle more large cash transactions than bank branches elsewhere. For example, our analysis found that bank branches in Southwest border region counties generally file more CTRs than bank branches in comparable counties in the same border states or in other high-risk financial crime or drug trafficking counties that are not in border states. Specifically, in 2016, bank branches in Southwest border region counties filed nearly 30 percent more CTRs, on average, than bank branches in comparable counties elsewhere in their same state, and about 60 percent more than those in other high-risk counties outside the region. Similar differences occurred in 2014 and 2015 (see fig. 2).", "Cross-border transactions are also higher risk for money laundering because international transfers can present an attractive method to disguise the source of funds derived from illegal activity. Certain industries, such as agriculture, that are prevalent in the Southwest border region have legitimate business practices that could appear suspicious without sufficient context, regional representatives said. For example, representatives of one produce industry association we spoke with said produce distributors often import produce from Mexican farmers and pay them via wire transfer, which the farmers may then immediately withdraw in cash to pay laborers. Transactions that involve cross-border wire transfers and immediate withdrawals of cash may raise suspicion of money laundering that requires further scrutiny by the bank. BSA/AML regulations generally require banks to keep additional documentation for domestic and international fund transfers of $3,000 or more, including specific identifying information about the originator and beneficiary of the transaction. If the bank sends or receives funds transfers to or from institutions in other countries, especially those with strict privacy and secrecy laws, the bank should have policies and procedures to determine whether the amounts, the frequency of the transfer, and countries of origin or destination are consistent with the nature of the business or occupation of the customer.", "Southwest border banks cited foreign accountholders as another type of high-risk customer for money laundering and terrorist financing. These types of customers are prevalent in the Southwest border region, examiners said, and can create challenges for banks to verify and authenticate their identification, source of funds, and source of wealth. Southwest border banks and others cited these types of customers as adding BSA/AML compliance risk for banks, particularly if the accountholders do not reside in the United States. These customers may also have more frequent funds transfers to other countries. Foreign accountholders who are \u201csenior foreign political figures\u201d also create additional money laundering and terrorist financing risk because of the potential for their transactions to involve the proceeds from foreign-official corruption. Some Southwest border banks told us they provide accounts to senior foreign political figures, but may limit the number of those types of accounts."], "subsections": []}, {"section_title": "Southwest Border Banks\u2019 High-Risk Customers Require More Intensive Due Diligence and Monitoring", "paragraphs": ["The volume of high-risk customers and cross-border transactions can lead to more intensive account monitoring and investigation of suspicious transactions, Southwest border bank representatives said. Performing effective due diligence and complying with CIP requirements for higher- risk customers and transactions can be more challenging because banks might need specialized processes for higher-risk customers and transactions than for those that are lower-risk. For example, representatives from some Southwest border banks told us their BSA/AML compliance staff travel to Mexico or collect information from sources in Mexico to establish the legitimacy of businesses across the border. Another bank said they ask to see 3 months of some high-risk businesses\u2019 previous bank statements to determine the typical volume of cash and wire transfers and that this type of due diligence is very time- consuming. The bank also collects details about the recipients of the wired funds in an effort to determine the legitimacy of the payments. Some Southwest border banks also described using special processes to evaluate BSA/AML compliance risks for foreign customers and said they used extra caution before accepting them as customers. These special processes included translating business documents from Spanish to English to certify the legitimacy of business customers and developing internal expertise on currently acceptable identity documents issued by foreign governments.", "Southwest border bank representatives we spoke with said addressing these compliance challenges also can require more resources for monitoring high-risk customers and investigating suspicious transactions. High-risk customers require additional detail to be collected when accounts are opened and on an ongoing basis. Representatives of one Southwest border bank explained that they monitor high-risk customers\u2019 transactions more frequently\u2014every 3 months, compared to every 6 months for medium-risk customers. Further, high volumes of cash activity can generate substantial numbers of alerts in bank monitoring systems, and these alerts are evaluated by banks to determine whether SARs should be filed. Transaction structuring, which involves attempts to evade the $10,000 CTR filing requirement by, for example, making several smaller transactions, is a common source of alerts, some bank representatives said. Several banks we interviewed cited the investigation of potential structuring as one of their common BSA/AML compliance activities. Although many banks have monitoring software to generate suspicious activity alerts, representatives said the flagged transactions generally are investigated manually and can be a labor-intensive part of banks\u2019 overall BSA/AML compliance programs. Southwest border bank representatives we spoke with also told us that their suspicious activity monitoring systems often generate \u201cfalse positives\u201d\u2014meaning further investigation leads to a determination that no SAR filing is warranted. As a result, the total number of SAR filings can actually understate banks\u2019 total BSA/AML compliance efforts associated with suspicious transaction monitoring.", "We found that bank branches in Southwest border region counties filed more SARs, on average, from 2014 through 2016 than bank branches in comparable counties in the same border states or in other high-risk financial crime or drug trafficking counties that are not in border states. For example, in 2016, bank branches in Southwest border region counties filed three times as many SARs, on average, as bank branches operating in other counties within Southwest border states and about 2.5 times as many SARs, on average, as bank branches in other high-risk financial crime or drug trafficking counties in nonborder states. These differences in SAR filings showed a similar pattern in 2014 and 2015 (see fig. 3).", "Federal banking regulators cited some Southwest border banks for noncompliance with BSA/AML requirements from January 2009 through June 2016. Those citations included 41 formal or informal enforcement actions taken against Southwest border banks. FinCEN also took two formal enforcement actions during that period. As part of the bank examination process, the federal banking regulators also cited Southwest border banks for 229 BSA/AML violations from January 2009 through June 2016. Of these, SAR-related violations were the most common type of violation (33 percent). This was followed closely by violations related to BSA/AML monitoring and compliance (31 percent)\u2014a category we defined to include competencies such as having an adequate system of BSA/AML internal controls and providing adequate BSA/AML training (see fig. 4)."], "subsections": []}]}, {"section_title": "Risks Related to Money Laundering Appear to Be a Factor in Reduced Access to Banking Services for Southwest Border Customers", "paragraphs": ["Our nationally representative survey found that most Southwest border banks terminated accounts for reasons related to BSA/AML risk from January 2014 through December 2016 and limited, or did not offer, accounts to certain customer types, consistent with BSA/AML purposes. However, our survey also found that many Southwest border banks may also be engaging in derisking. Nationally, our econometric analysis suggests that counties that were urban, younger, had higher income, or had higher money laundering-related risk were more likely to lose branches. Money laundering-related risks were likely to have been relatively more important drivers of branch closures in the Southwest border region."], "subsections": [{"section_title": "Some Account Terminations and Limitations Are Consistent with BSA/AML Purposes", "paragraphs": [], "subsections": [{"section_title": "Most Southwest Border Banks Terminated Accounts Because of Suspicious Activity", "paragraphs": ["Most Southwest border banks reported terminating accounts for reasons related to BSA/AML risk. Based on our survey results, from January 1, 2014, through December 31, 2016, we estimate that almost 80 percent of Southwest border banks had terminated personal or business accounts for reasons related to BSA/AML risk. For the subset of Southwest border banks whose operations extend outside of the Southwest border region, we estimate that almost 60 percent reported that they terminated business or personal accounts domiciled in their Southwest border branches. For banks that did not operate in the Southwest border region (non-Southwest border banks), account terminations related to BSA/AML risk varied by the size of the bank. For example, an estimated 93 percent of medium banks and an estimated 95 percent of large banks terminated accounts for reasons related to BSA/AML risk, compared to an estimated 26 percent of small banks. Among the five types of businesses we identified for our survey as high risk for money laundering and terrorist financing, cash-intensive small businesses (for example, retail stores, restaurants, and used car dealers) were the most common types of business accounts that Southwest border banks reported terminating for reasons related to BSA/AML risk. For example, over 70 percent of Southwest border banks reported terminating cash-intensive small business accounts. Between 45 percent and 58 percent of Southwest border banks cited terminating accounts for the remaining four categories of high-risk business accounts we identified: money services businesses, domestic businesses engaged in cross-border trade, nontrade-related foreign businesses, and foreign businesses engaged in cross-border trade.", "Bank-Reported Data on Accounts Terminated in 2016 for BSA/AML Reasons In response to our survey, several banks provided data on the number of accounts they terminated in 2016 for reasons related to BSA/AML risk. We found that two extra-large banks (those banks with $50 billion or greater in assets) were responsible for the majority of these account terminations for both business and personal accounts. These terminations accounted for less than half a percent of the extra-large banks\u2019 overall accounts. These numbers only represent account terminations for the banks that provided data and are not generalizable to the population of banks.", "The most common reason related to BSA/AML risk banks reported for terminating accounts from January 2014 through December 2016 was the filing of SARs associated with the accounts. Based upon our survey, we estimate that 93 percent of Southwest border banks terminated accounts because of the filing of SARs. Through discussions with Southwest border bank representatives, we found that banks vary the level of internal investigations they conduct into the suspicious activity before deciding to terminate an account as a result of a certain number of SAR filings. Representatives from 3 of the 19 Southwest border banks we spoke with told us that their account closure policies generally required the automatic termination of an account when a certain number of SARs\u2014ranging from 1 to 4\u2014were filed for an account. Representatives from two other Southwest border banks said a certain number of SARs filed for one account would lead to an automatic review of the account that would determine whether or not the account should be closed. Other Southwest border bank representatives we interviewed did not indicate having a specific policy for terminating accounts related to the number of SAR filings, but some of these representatives said that SAR filings were one of the factors that could lead to account terminations.", "Figure 5 shows the survey estimates for the other BSA/AML reasons Southwest border banks cited for terminating accounts. Some commonly cited reasons were the failure of the customer to respond adequately to requests for information as part of customer due diligence processes and the reputational risk associated with the customer type. For example, an estimated 80 percent of Southwest border banks cited the failure of the customer to respond adequately to requests for information as part of customer due diligence processes. Some Southwest border bank representatives told us that sometimes customers do not provide adequate documentation in response to their due diligence inquiries. These representatives said that after a certain number of attempts to obtain the documentation, the lack of customer responsiveness results in them terminating the account. A bank may also terminate an account if the activity of the customer could risk the reputation of the bank. About 68 percent of Southwest border banks that terminated accounts cited the reputational risk associated with the customer type as a reason for terminating an account. Some Southwest border bank representatives we spoke with said they have closed accounts due to the nature of the business. For example, some bank representatives said they have closed accounts for gambling and marijuana businesses. In addition, law enforcement officials from the Southwest Border Anti-Money Laundering Alliance told us that they thought that some of the accounts terminated by Southwest border banks were a result of the information the banks were given from local law enforcement and other federal agencies. For example, when funnel accounts\u2014accounts in one geographic area that receive multiple cash deposits and from which funds are withdrawn in a different geographic area with little time elapsing between the deposits and withdrawals\u2014were first identified by law enforcement as a money laundering method, banks responded by closing these types of accounts. Non-Southwest border banks generally reported the same primary reasons for terminating accounts as Southwest border banks. The top two reasons for terminating accounts cited by non-Southwest border banks that responded to the survey was the filing of SARs associated with the accounts and the failure of the customer to respond adequately to requests for information as part of customer due diligence processes.", "A majority of Southwest border banks and non-Southwest border banks reported limiting or not offering accounts to certain types of businesses considered high risk for money laundering and terrorist financing, particularly money services businesses and foreign businesses. For example, the estimates for Southwest border banks that have limited, or not offered, accounts to nontrade-related foreign businesses is 76 percent, money service businesses is 75 percent, and foreign businesses engaged in cross-border trade is 72 percent. The most common reason (cited by 88 percent of Southwest border banks) for limiting, or not offering, an account to these types of businesses was that the business type fell outside of the bank\u2019s risk tolerance\u2014the acceptable level of risk an organization is willing to accept around specific objectives. Similarly, 69 percent of Southwest border banks cited the inability to manage the BSA/AML risk associated with the customer (for example, because of resource constraints) as a factor for limiting, or not offering, accounts. Representatives from some Southwest border banks we spoke with explained that they do not have the resources needed to conduct adequate due diligence and monitoring for some of the business types considered high risk for money laundering and terrorist financing. As a result, they told us that they no longer offer accounts for certain business lines. For example, a representative from one Southwest border bank told us that the bank no longer offers accounts to money services businesses because of the BSA/AML compliance requirements and monitoring needed to service those types of accounts. In particular, they stated they do not have the resources to monitor whether the business has the appropriate BSA/AML compliance policies and procedures in place and to conduct site visits to ensure it is operating in compliance with BSA/AML requirements. Another Southwest border bank representative told us they have stopped banking services for used clothing wholesalers who export their product to Mexico because they were unable to mitigate the risk associated with these types of businesses. They explained that these companies\u2019 business models involve many individuals crossing the U.S.- Mexico border to purchase with cash pallets of clothing to import to Mexico. The bank representative explained that the business model for this industry made it very hard to identify the source of the large volumes of cash.", "Other reasons Southwest border banks reported for limiting, or not offering, certain types of business accounts are shown in figure 6. Similar to the reasons given by Southwest border banks, the most common reason that non-Southwest border banks reported limiting, or not offering accounts, to certain types of businesses considered high risk for money laundering and terrorist financing was that the customer type fell outside of the bank\u2019s risk tolerance."], "subsections": []}]}, {"section_title": "Other Account Terminations and Limitations Raise Concerns about Derisking", "paragraphs": ["The second most common reason\u2014cited by 80 percent of Southwest border banks\u2014for limiting, or not offering, accounts to certain types of businesses considered high risk for money laundering and terrorist financing, was that the customer type drew heightened BSA/AML regulatory oversight\u2014behavior that could indicate derisking. For example, representatives from one Southwest border bank explained that they no longer offer accounts to money services businesses because they want to be viewed from a good standpoint with their regulator. They added that banking for these types of customers is very high risk for the bank with very little reward. Another bank that operates in the Southwest border region explained that rather than being able to focus on their own BSA/AML risk assessment and the performance of accounts, they feel pressured to make arbitrary decisions to close accounts based on specific concerns of their examiners. Several Southwest border bank representatives also described how recent BSA/AML law enforcement and regulatory enforcement actions have caused them to become more conservative in the types of businesses for which they offer accounts. For example, representatives from one Southwest border bank we spoke with stated that many of the banks that do business in the Southwest border region have stopped servicing cross-border businesses due to a large enforcement action in which the allegations against the bank cited an ineffective AML program that exposed it to illicit United States/Mexico cross-border cash transactions. A representative from another Southwest border bank explained that his bank could have a large banking business in one of the state\u2019s border towns, but the bank has chosen not to provide services there because if BSA/AML compliance deficiencies are identified from servicing that area, the penalties could be high enough to shut down the whole bank. In addition, while banks may terminate accounts because of SAR filings as a method to manage money laundering and terrorist financing risk and to comply with BSA/AML requirements, some of these terminations may be related to derisking. For example, some Southwest border bank representatives we spoke with as part of this review, as well as other banks and credit unions we spoke with in a previous review, told us that they have filed SARs to avoid potential criticism during examinations, not because they thought the observed activity was suspicious. Non-Southwest border banks also commonly cited the inability to manage risk associated with the customer type and heightened regulatory oversight as reasons for limiting, or not offering, accounts.", "Our survey results and discussions with Southwest border bank representatives are consistent with what a senior Treasury official identified in a 2015 speech as causing correspondent banking and money services business account terminations. The speech noted that a number of interrelated factors may be resulting in the terminations, but that the most frequently mentioned reason related to efforts to comply with AML and terrorist financing requirements. In particular, banks raised concerns about (1) the cost of complying with AML and terrorist financing regulations, (2) uncertainty about supervisors\u2019 expectations regarding what is appropriate due diligence, and (3) the nature of the enforcement and supervisory response if they get it wrong. The speech noted that banks said that they made decisions to close accounts not so much because they were unable to manage the illicit finance risks but because the costs associated with taking on those risks had become too high. It further stated that there is a gap between what supervisory agencies have said about the standards they hold banks to and banks\u2019 assessment of those standards, and that there was still a perception among banks that supervisory and enforcement expectations lack transparency, predictability, and consistency. The senior Treasury official noted this perception feeds into higher anticipated compliance costs and when banks input this perceived risk into their cost-benefit analysis, it may eclipse the potential economic gain of taking on a new relationship."], "subsections": []}, {"section_title": "Southwest Border Bank Branch Closures Have Been Concentrated in a Small Number of Communities", "paragraphs": ["Counties in the Southwest border region have been losing bank branches since 2012, similar to national and regional trends, as well as trends in other high-risk financial crime or drug trafficking counties that are outside the region. Most of the 32 counties (18 counties or nearly 60 percent) comprising the Southwest border region did not lose bank branches from 2013 through 2016, but 5 counties lost 10 percent or more of their branches over this time period (see top panel of fig. 7). Those 5 counties are Cochise, Santa Cruz, and Yuma, Arizona; Imperial, California; and Luna, New Mexico.", "Within those counties we identified as having the largest percentage loss of branches, sometimes those losses were concentrated in smaller communities within the county (see bottom panel of fig. 7). For example, Calexico in Imperial County, California, lost 5 of its 6 branches from 2013 through 2016. In Santa Cruz County in Arizona, one zip code in Nogales accounted for all of the branch losses in the county from 2013 through 2016, losing 3 of its 9 branches. More generally, branch losses can vary substantially across different zip codes in a county (see for example bottom panel of fig. 7). In other instances, counties that lost a relatively small share of their branches can contain communities that lost a more substantial share\u2014for example San Ysidro in San Diego County lost 5 of its 12 branches (about 42 percent) while the county as a whole lost only 5 percent of its branches from 2013 through 2016.", "Based on our analysis, counties losing branches in the Southwest border region tended to have substantially higher SAR filings, on average, than Southwest border region counties that did not lose branches. That is, counties that lost branches from 2013 through 2016 had about 600 SAR filings per billion dollars in deposits, on average, and counties that did not lose branches had about 60 SAR filings per billion dollars in deposits, on average (see fig. 8)."], "subsections": []}, {"section_title": "Empirical Evidence Suggests Demographic and Money Laundering- Related Risk Factors Are Drivers of Branch Closures", "paragraphs": ["The econometric models we developed and estimated generally found that demographic and money laundering-related risk factors were important predictors of national bank branch closures. These models are subject to certain limitations, some of which we detail later in this section as well as appendix III, and as such, we interpret the results with some degree of caution. In general, our results suggest that counties were more likely to lose branches, all else equal, if they were (1) urban, had a higher per capita personal income, and had a younger population (proportion under 45); or (2) designated as a HIFCA or HIDTA county, or had higher SAR filings. We term the latter three characteristics (HIFCA, HIDTA, and SAR filings) \u201cmoney laundering-related risk factors.\u201d While our models are unable to definitively identify the causal effect of BSA/AML regulation on branch closures from these money laundering- related risk factors, the impact of the SAR variables, in particular, could reflect a combination of BSA/AML compliance effort and the underlying level of suspicious or money laundering-related activity in a county.", "Our econometric models are based on all counties with bank branches in the United States and are designed to predict whether a county will lose a branch the following year based on the characteristics of the county. The models included demographic, economic, and money laundering-related risk factors that might have influenced branch closures nationally since 2010 (see app. III for additional information on our models). The demographic factors included in our models are Rural-Urban Continuum Codes, age profile (proportion of the county over 45), and the level of per capita income. We chose these demographic factors, in particular, because they are associated with the adoption of mobile banking, which may explain the propensity to close branches in a community. The economic factors included in our models\u2014intended to reflect temporary or cyclical economic changes affecting the county\u2014are the growth of per capita income, growth in building permits (a measure of residential housing conditions), and growth of the population. The money laundering- related risk factors, as described previously, are whether a county has been designated a HIFCA or a HIDTA and the level of suspicious or possible money laundering-related activity reported by bank branches in the county, as represented by SAR filings.", "Demographic characteristics of counties were important predictors of branch closures. Our results were consistent with those demographic characteristics associated with the adoption of mobile banking. As such, our results are consistent with the hypothesis that mobile banking is among the factors leading some banks to close branches. The most urban counties were about 22 percentage points more likely to lose one or more branches over the next year than the most rural counties. A county with 70 percent of the population under 45 was about 9 percentage points more likely to lose one or more branches over the next year than a county with half the population under 45. A county with per capita income of $50,000 was about 7 percentage points more likely to lose one or more branches over the next year than a county with per capita income of $20,000.", "Money laundering-related characteristics of a county were also important predictors of branch closures in our models. HIDTA counties were about 11 percentage points more likely to lose one or more branches over the next year than non-HIDTA counties (the effect in HIFCA counties is less significant statistically and smaller in magnitude). A county with 200 SARs filed per billion dollars in bank deposits was about 8 percentage points more likely to lose one or more bank branches over the next year than a county where no bank branch had filed a SAR. Southwest border bank officials we spoke with generally said that SAR filings were a time- and resource-intensive process, and that the number of SARs filings\u2014to some extent\u2014reflected the level of effort, and overall BSA compliance risk, faced by the bank. That said, the impact of SAR variables in our models could reflect a combination of (1) the extent of BSA/AML compliance effort and risk faced by the bank, as expressed by bank officials, and (2) the underlying level of suspicious or money laundering- related activity in a county.", "Money laundering-related risk factors were likely to have been relatively more important drivers of branch closures in the Southwest border region because it had much higher SAR filings and a larger share of counties designated as HIDTAs than the rest of the country. More generally, given the characteristics of Southwest border counties and the rest of the United States, our models suggest that while demographic factors have been important drivers of branch closures in the United States overall, risks associated with money laundering were likely to have been relatively more important in the Southwest border region. Specifically, the Southwest border region is roughly as urban as the rest of the country, has a somewhat lower per capita income (about $35,000 in the Southwest border region versus about $41,000 elsewhere) and is somewhat younger on average (about 40 percent 45 and over in the Southwest border region versus about 45 percent elsewhere), but money laundering-related risk factors were relatively more prevalent, based on our measures, in the Southwest border region.", "Southwest border bank representatives we interviewed told us they considered a range of factors when deciding whether or not to close a branch. For example, most Southwest border bank representatives that we spoke with about the reasons for branch closures (6 of 10) told us that BSA/AML compliance challenges were not part of the decision to close a branch. However, most Southwest border bank representatives said that the financial performance of the branch is one of the most important factors they consider when deciding to close a branch, and as described previously, BSA/AML compliance can be resource intensive, which may affect the financial performance of a branch. Further, nearly half of the Southwest border bank representatives we spoke with (4 of 10), did mention that BSA/AML compliance costs could be among the factors considered in determining whether or not to close a branch. In addition, at least one bank identified closing a branch as one option to address considerable BSA/AML compliance challenges. Finally, some Southwest border bank representatives (3 of 10) also mentioned customer traffic in the branch or the availability of mobile banking as relevant to their decision to close a branch."], "subsections": []}]}, {"section_title": "Select Border Communities Raised Concerns That Branch Closures and Account Terminations Reduced Economic Growth and Access to Banking Services", "paragraphs": ["Communities we visited in Arizona, California, and Texas experienced multiple bank branch closures from 2013 through 2016. Some local banking customers that participated in the discussion groups we held in these communities also reported experiencing account terminations. While perspectives gathered from our visits to the selected cities cannot be generalized to all locations in Southwest border counties, stakeholders we spoke with noted that these closures affected key businesses and local economies and raised concerns about economic growth."], "subsections": [{"section_title": "Border Communities We Visited Experienced Account Terminations and Branch Closures", "paragraphs": ["According to some discussion group participants, local businesses, economic development specialists, and other stakeholders (border stakeholders) in the three Southwest border communities we visited, banks in their communities terminated the accounts of longtime established customers, sometimes without notice or explanation. They acknowledged that, because of their proximity to the U.S.-Mexico border, their communities were susceptible to money laundering-related activity and described how banks\u2019 increased efforts to comply with BSA/AML requirements may have influenced banks\u2019 decisions to terminate accounts. Each of the three Southwest border communities we visited\u2014 Nogales, Arizona; San Ysidro, California; and McAllen, Texas\u2014also experienced multiple bank branch closures from 2013 through 2016 (see fig. 9).", "Our analysis shows that from 2013 through 2016, these communities lost a total of 12 bank branches, 9 of which were branches of large or extra- large banks, based on asset size. But the percentage of branch closures in some communities was more significant in locations where there were already a limited number of branch options. For instance, Nogales (3 of its 9 branches closed) and San Ysidro (5 of its 12 branches closed) both lost a third or more of all their bank branches compared to McAllen where approximately 6 percent of its branches were closed (4 of its 63 branches closed)."], "subsections": []}, {"section_title": "Account Terminations and Branch Closures Affected Key Southwest Border Businesses and Customers and Concerns about Limited Economic Growth Were Reported", "paragraphs": ["According to border stakeholders we spoke with, businesses engaged in cross-border trade, cash-intensive businesses, and Mexican nationals\u2014 all significant parts of the border economy\u2014were affected by account terminations and branch closures in the three communities we visited. For example, the cross-border produce industry accounts for almost 25 percent of jobs and wages in Nogales, according to a 2013 study prepared for Nogales Community Development. One produce business owner who had an account terminated told us that she was told that the volume of funds deposited into the account from her affiliated Mexican business created security risks that the bank was no longer willing to sustain, and she was unable to negotiate with the bank to keep it open. She said that it took almost 7 months to open a new account and that it involved coordination among bankers in multiple cities on both sides of the border. While some produce businesses and economic development specialists we spoke with explained that some regional banks in their communities have opened accounts for some small- to medium-sized produce businesses, they still have concerns about the long-term effects of limited access to banking services on smaller produce firms. One economic development specialist explained that these small companies often rely on local banks for funding, which enables them to develop and bring innovation to the produce industry.", "Some discussion group participants who we spoke with also described challenges related to account terminations that cash-intensive businesses face in operating in the Southwest border region because of banks\u2019 increased emphasis on BSA/AML compliance. They explained that cash transactions raised suspicions for banks because of their associated money laundering risk; however, cash is a prevalent payment source for legitimate businesses in the region. For example, one money services business owner who participated in our discussion group in San Ysidro said that because his business generates large volumes of cash, he struggles to keep a bank account as a result of banks\u2019 oversight of and caution regarding cash transactions. He said his business account has been closed three times over the past 35 years and that banks have declined his requests to open an account at least half a dozen times. Similarly, another discussion group participant explained that companies that import automobiles into Mexico use cash to pay for cars in the United States and that trying to make these large cash deposits raised suspicions for U.S. banks.", "Border stakeholders we spoke with also described how challenges associated with branch closures and terminations of accounts of Mexican nationals affected the Southwest border communities we visited. Border communities like San Ysidro are home to retail businesses, such as restaurants and clothing stores. According to our analysis of Bureau of Transportation Statistics data, an average of almost 69,000 personal vehicle passengers and 25,000 pedestrians entered the United States daily in September 2017 through the San Ysidro land port of entry. Economic development specialists told us that these visitors spend money on goods and services in local border communities. For example, one economic development specialist in Arizona estimated that Mexican nationals spend about $1 billion in Pima County alone each year, and another one estimated that 70 percent of the sales taxes collected in Nogales are paid by Mexican customers who cross the border to shop. One of the specialists explained that Mexicans\u2014both Mexican day travelers to Tucson, as well as those who own U.S. real estate and travel to the United States for other investment business\u2014used to visit the region and withdraw money from their U.S. bank accounts and subsequently spend money in border communities. He explained that Mexican nationals find it easier to have U.S. bank accounts to use while visiting and shopping on the U.S. side of the border. However, some discussion group participants said that because Mexican nationals have faced difficulties maintaining U.S. bank accounts, they have made fewer trips across the border and engaged in less commerce, which has affected the economies in their communities. Some participants also said that branch closures have affected businesses\u2019 sales volumes in their communities. For example, one participant said that when branches closed in the San Ysidro Boulevard area\u2014which is at the base of the pedestrian border crossing\u2014businesses have had difficulty thriving due to reduced foot traffic by customers.", "According to border stakeholders we spoke with, branch closures also resulted in fewer borrowing options and limited investment in the communities, which they thought hindered business growth. For example, one discussion group participant explained that middle-sized businesses, such as those with revenues of approximately $2 million\u2013$25 million, have fewer borrowing options when branches closed in the community because the remaining regional and smaller banks may not have the capital to support the lending needs of businesses that size. One economic development specialist and some discussion group participants also suggested that branch closures limited opportunities for local business expansion when banks outside the community are reluctant to lend to them. For example, in Tucson, Arizona, one specialist said that small businesses are having difficulty getting loans, which affects the ability of businesses to grow. To fill the void, some local businesses have turned to alternative lending options, such as title loan companies, accounts receivable lending companies, and family members as alternative funding sources. Rigorous academic research we reviewed suggests that branch closures reduce small business lending and employment growth in the area immediately around the branch. Our analysis of branch closure data based on estimates from this research suggests closed branches in the communities we visited could have amounted to millions of dollars in reduced lending and hundreds of fewer jobs. For example, in McAllen, Texas, this research suggests that the loss of four bank branches could have reduced employment growth by over 400 jobs and small business lending by nearly $3.5 million."], "subsections": []}, {"section_title": "Discussion Group Participants in Communities We Visited Reported Reduced Access to Banking Services", "paragraphs": ["Some discussion group participants said that as a result of branch closures and account terminations in the Southwest border communities we visited, they traveled further to conduct banking activities, paid higher fees for new banking alternatives, and experienced difficulty completing banking transactions. Some participants told us that they had to travel further to their new banking location, which resulted in additional costs and inconvenience for customers. For instance, some participants in Nogales and San Ysidro said they had to travel 20 to 40 minutes further to the next closest bank branch, with one participant noting that this especially created difficulty for elderly bank customers. One discussion group participant said that when their local bank branch closed, they kept their account with that bank and traveled more than 70 miles to the next closest branch because they were afraid that they would not be able to open an account with another bank. Another participant also noted the additional cost of gas and time lost for other important matters as a result of traveling further to a branch. Other participants also noted that they experienced longer lines at their new branches because of the higher volume of customers from closed branches. Some participants also found that some banking alternatives were more expensive than their previous banking options when their accounts were terminated or a local branch closed. For instance, some discussion group participants said they paid higher fees at their new bank and one participant mentioned that she received a lower interest rate on her deposits at her new bank. Some participants also mentioned that some banking alternatives they used, such as currency exchanges, were more expensive than their previous banking options.", "Some discussion group participants also told us that they experienced difficulty completing banking transactions in their communities as a result of branch closures or banks\u2019 increased efforts to comply with BSA/AML requirements. For example, some participants from one discussion group session said that only an automated teller machine (ATM) was available in their community after their branch closed and it was not appropriate for all types of banking transactions. Further, some participants were unsatisfied with not being able to get in-person assistance from bank staff when their branch closed. For instance, one participant said that without a local branch, there was no nearby bank personnel to help her when the local ATM malfunctioned. Further, while acknowledging banks\u2019 need to comply with BSA/AML requirements, some discussion group participants explained that some banking transactions have become more difficult, such as banks requiring additional forms of identification and limitations placed on cash transactions. Some participants, many who were longtime customers with their bank, also noted their disapproval with banks\u2019 additional questioning and documentation requirements, and that there was little acknowledgment by the bank of their value as a legitimate customer or of their knowledge about them as a customer. Some participants acknowledged that they did not experience this challenge because of the increasing availability of mobile banking options, which allow customers to complete some transactions without going to a physical branch location. As another example, one business owner said she mostly used online banking and has a check reader in her office that she uses to deposit checks directly into her business accounts."], "subsections": []}]}, {"section_title": "Regulators Have Not Fully Assessed the BSA/AML Factors Influencing Banks to Reduce Services", "paragraphs": ["The results of our survey (for both Southwest border banks and non- Southwest border banks) and discussions with Southwest border bank representatives indicate that banks are terminating accounts and limiting services, in part, as a way to manage perceived regulatory concerns about facilitating money laundering. In addition, the econometric models we developed and estimated also generally found that money laundering- related risk factors that could be reflective, in part, of BSA/AML compliance effort and risks, were an important predictor of national bank branch closures, and likely to have been relatively more important in the Southwest border region. Regulators have taken some actions in response to derisking, including issuing guidance and conducting some agency reviews. Regulators have also conducted retrospective reviews on some BSA/AML requirements. However, regulators have taken limited steps aimed at addressing how banks\u2019 regulatory concerns and BSA/AML compliance efforts may be influencing banks to engage in derisking or close branches."], "subsections": [{"section_title": "Regulators Have Issued Guidance and Taken Some Actions Related to Derisking", "paragraphs": ["FinCEN and the federal banking regulators have responded to concerns about derisking on a national level by issuing guidance to banks and conducting some evaluations within their agencies to understand the extent to which derisking is occurring. The guidance issued by regulators has been aimed at clarifying BSA/AML regulatory expectations and discouraging banks from terminating accounts without evaluating risk presented by individual customers or banks\u2019 abilities to manage risks. The guidance has generally encouraged banks to use a risk-based approach to evaluate individual customer risks and not to eliminate entire categories of customers. Some of the guidance issued by regulators attempted to clarify their expectations specifically for banks\u2019 offering of services to money services businesses. For example, in March 2005, the federal banking regulators and FinCEN issued a joint statement on providing banking services to money services businesses to clarify the BSA requirements and supervisory expectations as applied to accounts opened or maintained for this type of customer. The statement acknowledged that money services businesses were losing access to banking services as a result of concerns about regulatory scrutiny, the risks presented by these types of accounts, and the costs and burdens associated with maintaining such accounts. In addition, in November 2014, OCC issued a bulletin which explained that OCC-supervised banks are expected to assess the risks posed by an individual money services business customer on a case-by-case basis and to implement controls to manage the relationship commensurate with the risks associated with each customer. More recently, Treasury and the federal banking regulators issued a joint fact sheet on foreign correspondent banking which summarized key aspects of federal supervisory and enforcement strategy and practices in the area of correspondent banking.", "In addition to issuing guidance, FDIC and OCC have taken some steps aimed at trying to determine why banks may be terminating accounts because of perceived regulatory concerns. For example, in January 2015, FDIC issued a memorandum to examiners establishing a policy that examiners document and report instances in which they recommend or require banks to terminate accounts during examinations. The memorandum noted that recommendations or requirements to terminate accounts must be made and approved in writing by the Regional Director before being provided to and discussed with bank management and the board of directors. As of December 2017, FDIC officials stated that there were no instances of recommendations or requirements for account terminations being documented by examiners. In 2016, OCC reviewed how the institutions it supervises develop and implement policies and procedures for evaluating customer risks as part of their BSA/AML programs and for making risk-based determinations to close customer accounts. OCC focused its review on certain large banks\u2019 evaluation of risk for foreign correspondent bank accounts. This effort resulted in OCC issuing guidance to banks on periodic evaluation of the risks of foreign correspondent accounts. The guidance describes corporate governance best practices for banks\u2019 consideration when conducting these periodic evaluations of risk and making account retention or termination decisions on their foreign correspondent accounts. Further, OCC\u2019s Fiscal Year 2018 Bank Supervision Operating Plan noted that examiners should be alert to banks\u2019 BSA/AML strategies that may inadvertently impair financial inclusion. However, as of September 2017, OCC officials stated that the agency has not identified any concerns related to financial inclusion.", "Treasury and the federal banking regulators have also participated in a number of international activities related to concerns about the decline in the number of correspondent banking and money services business accounts. For example, FDIC, OCC, and the Federal Reserve participate in the Basel Committee on Banking Supervision\u2019s Anti-Money Laundering/Counter Financing of Terrorism Experts Group. Recent efforts of the group involved revising guidelines to update and clarify correspondent banking expectations. Treasury leads the U.S. engagement to the Financial Action Task Force (FATF)\u2014an inter- governmental body that sets standards for combating money laundering, financing of terrorism, and other related threats to the integrity of the international financial system\u2014which has issued guidance on correspondent banking and money services businesses. Treasury also participates in the efforts to combat derisking that are occurring through the Financial Stability Board\u2019s Correspondent Banking Coordination Group, the Global Partnership for Financial Inclusion, and the International Monetary Fund.", "The federal banking regulators also met with residents and businesses in the Southwest border region to discuss concerns related to derisking in the region. For example, FDIC officials hosted a BSA/AML workshop in Nogales, Arizona, in 2015 for banks, businesses, trade organizations, and others. Officials from the Federal Reserve and OCC also participated in the workshop during which the regulators tried to clarify BSA/AML regulatory requirements and expectations. In addition, OCC officials told us that they met with representatives of the Fresh Produce Association of the Americas, who had concerns about banks not providing services in the region. OCC officials spoke to the produce industry representatives about various money laundering schemes and the role of the agency\u2019s examiners during the meeting."], "subsections": []}, {"section_title": "BSA/AML Regulatory Reviews Have Not Evaluated All Factors Influencing Banks to Derisk and Close Branches", "paragraphs": ["Evaluation of BSA/AML regulations and their implementation is essential to ensuring the integrity of the financial system while facilitating financial inclusion. Without oversight of regulations after implementation, they might prove to be less effective than expected in achieving their intended goals, become outdated, or create unnecessary burdens. Regulations may also change the behaviors of regulated entities and the public in ways that cannot be predicted prior to implementation. Some regulators and international standard setters recognize that establishing a balanced BSA/AML regulatory regime is challenging. For example, in a 2016 speech, the then Comptroller of the Currency Curry stated that preventing money laundering and terrorist financing are important goals, but that a banking system that is truly safe and sound must also meet the legitimate needs of its customers and communities. FinCEN officials also told us that while the agency\u2019s mission is to safeguard the financial system from illicit use and combat money laundering, they also must be cautious that their efforts do not prevent people from using the system. Further, FATF acknowledged that AML and counter-terrorism financing safeguards can affect financial inclusion efforts. FATF explained that applying an overly cautious approach to safeguards for money laundering and terrorist financing can have the unintended consequence of excluding legitimate businesses and consumers from the formal financial system.", "Executive orders encourage and legislation requires agencies to review existing regulations to determine whether they should be retained, amended, or rescinded, among other things. Retrospective reviews of existing rules help agencies evaluate how existing regulations are working in practice. A retrospective review is an important tool that may reveal that an existing rule\u2014while needed\u2014has not operated as well as expected, and that changes may be warranted. Retrospective reviews seek to make regulatory programs more effective or less burdensome in achieving their regulatory objectives. Many recent presidents have directed agencies to evaluate or reconsider existing regulations. For example, in 2011 President Obama issued Executive Orders 13563 and 13579. Among other provisions, Executive Orders 13563 and 13579 require executive branch agencies and encourage independent regulatory agencies, such as the federal banking regulators, respectively, to develop and implement retrospective review plans for existing significant regulations. Further, the Trump Administration has continued to focus on the need for agencies to improve regulatory effectiveness while reducing regulatory burdens. Executive Order 13777, issued by President Trump in February 2017, also reaffirms the objectives of previous executive orders and directs agency task forces to identify regulations which, among other criteria, are outdated, unnecessary, or ineffective. In addition to the executive orders, the Economic Growth and Regulatory Paperwork Reduction Act (EGRPRA) requires federal banking regulators to review the regulations they prescribe not less than once every 10 years and request comments to identify outdated, unnecessary, or unduly burdensome statutory or regulatory requirements."], "subsections": [{"section_title": "FinCEN and Federal Banking Regulators\u2019 BSA/AML Retrospective Reviews", "paragraphs": ["FinCEN and the federal banking regulators have all participated in retrospective reviews of different parts of the BSA/AML regulations. For example, FinCEN officials told us that they review each new or significantly amended regulation to assess its clarity and effectiveness within 18 months of its effective date. Each assessment is targeted to the specific new regulation, or significant change to existing regulations, and a determination is made on how best to evaluate its effectiveness. FinCEN officials explained that the agency consistently receives feedback from all of the relevant stakeholders, including law enforcement, regulated entities, relevant federal agencies, and the public, which informs their retrospective reviews. Based on the specific findings of an assessment, FinCEN considers whether to publish guidance or whether additional rule making is required. For example, FinCEN officials explained that they revised the money services business definitions to adapt to evolving industry practice as part of the regulatory review process.", "As part of fulfilling their requirements under EGRPRA, the federal banking regulators\u2014through the Federal Financial Institutions Examination Council (FFIEC)\u2014have also participated in retrospective reviews of BSA/AML regulations. As part of the 2017 EGRPRA review, FFIEC received several public comments on BSA/AML requirements, including increasing the threshold for filing CTRs, the SAR threshold, and the overall increasing cost and burden of BSA compliance. The federal banking regulators referred the comments to FinCEN. FinCEN is not a part of the EGRPRA review and is not required to consider the comments; however, in its response in the 2017 EGRPRA report, the agency stated that it finds the information helpful when assessing BSA requirements. FinCEN officials and the federal banking regulators stated that the agencies are working to address the BSA-related EGRPRA comments\u2014particularly those related to CTR and SAR filing requirements\u2014through the BSA Advisory Group (BSAAG), which established three subcommittees to address some of the concerns raised during the EGRPRA process. One subcommittee is reviewing the metrics used by industry, law enforcement, and FinCEN to assess the value and effectiveness of BSA reporting. Another subcommittee is focusing on how SAR filing requirements could be streamlined or reduced while maintaining the value of the data, and the third subcommittee is focusing on issues related to the filing of CTRs. FinCEN and the federal banking regulators are also considering, through the advisory group, the EGRPRA comments that involve the supervisory process and expectations related to BSA examinations of financial institutions. FinCEN officials stated that there have been significant discussions during two BSAAG meetings since the 2017 EGRPRA report was issued and that, as of November 2017, all of these efforts are ongoing. In addition to the BSAAG, regulators also told us that that the FFIEC BSA/AML working group has discussed EGRPRA and other compliance burden issues at its recent meetings and is trying to promote BSA examination consistency through its monthly meetings and with the interagency FFIEC BSA/AML examination manual.", "The actions FinCEN and the federal banking regulators have taken related to derisking\u2014issuing guidance, conducting internal agency reviews, and meeting with affected Southwest border residents\u2014have not been aimed at addressing and, if possible ameliorating, the full range of factors that influence banks to engage in derisking, in particular banks\u2019 regulatory concerns and BSA/AML compliance efforts. Further, the actions regulators have taken to address concerns raised in BSA/AML retrospective reviews have focused primarily on the burden resulting from the filing of CTRs and SARs, but again, these actions have not evaluated how regulatory concerns may influence banks to engage in derisking or close branches. Federal internal control standards call for agencies to analyze and respond to risks to achieving their objectives. Further, guidance implementing Executive Orders 13563 and 13579 states that agencies should consider conducting retrospective reviews on rules that unanticipated circumstances have overtaken.", "Our evidence shows that derisking may be an unanticipated response from the banking industry to BSA/AML regulations and their implementation. For example, our evidence demonstrates that banks not only terminate or limit customer accounts as a way to address legitimate money laundering and terrorist financing threats, but also, in part, as a way to manage regulatory concerns. Further, our econometric models and discussions with bank representatives suggest that BSA/AML compliance costs and risks can play a role in the decision to close a branch. The actions FinCEN and the federal banking regulators have taken to address derisking and the retrospective reviews that have been conducted have not been broad enough to evaluate all of the BSA/AML factors banks consider when they derisk or close branches, including banks\u2019 regulatory concerns which may influence their willingness to provide services. Without assessing the full range of BSA/AML factors that may be influencing banks to derisk or close branches, FinCEN, the federal banking regulators, and Congress do not have the information they need to determine if adjustments are needed to ensure that the BSA/AML regulations and their implementation are achieving their regulatory objectives in the most effective and least burdensome way."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["BSA/AML regulations promote the integrity of the financial system by helping a number of regulatory and law enforcement agencies detect money laundering, drug trafficking, terrorist financing, and other financial crimes. As with any regulation, oversight after implementation is needed to ensure the goals are being achieved and that unnecessary burdens are identified and ameliorated. The collective findings from our work indicate that BSA/AML regulatory concerns have played a role in banks\u2019 decisions to terminate and limit accounts and close branches. However, the actions taken to address derisking by the federal banking regulators and FinCEN and the retrospective reviews conducted on BSA/AML regulations have not fully considered or addressed these effects. Retrospective reviews help agencies evaluate how existing regulations are working in practice and can assist to make regulatory programs more effective or less burdensome in achieving their regulatory objectives. BSA/AML regulations have helped to detect money laundering and other financial crimes, but there are also real concerns about the unintended effects, such as derisking, that these regulations and their implementation may be having. While it is important to evaluate how effective BSA/AML regulations are in helping to identify money laundering, terrorist financing, and other financial crimes, it is also important to identify and attempt to address any unintended outcomes. We have found that reduced access to banking services can have consequential effects on local communities. However, without evaluating how banks\u2019 regulatory concerns may be affecting their decisions to provide services, the federal banking regulators, FinCEN, and Congress do not have the information to determine if BSA/AML regulations and their implementation can be made more effective or less burdensome in achieving their regulatory objectives."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to FinCEN and the three federal banking regulators in our review\u2014FDIC, the Federal Reserve, and OCC\u2014to jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks.", "The Director of FinCEN should jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks with FDIC, the Federal Reserve, and OCC. This review should focus on how banks\u2019 regulatory concerns may be influencing their willingness to provide services. In conducting the review, FDIC, the Federal Reserve, OCC, and FinCEN should take steps, as appropriate, to revise the BSA regulations or the way they are being implemented to help ensure that BSA/AML regulatory objectives are being met in the most effective and least burdensome way. (Recommendation 1)", "The Chairman of FDIC should jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks with the Federal Reserve, OCC, and FinCEN. This review should focus on how banks\u2019 regulatory concerns may be influencing their willingness to provide services. In conducting the review, FDIC, the Federal Reserve, OCC, and FinCEN should take steps, as appropriate, to revise the BSA regulations or the way they are being implemented to help ensure that BSA/AML regulatory objectives are being met in the most effective and least burdensome way. (Recommendation 2)", "The Chair of the Federal Reserve should jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks with FDIC, OCC, and FinCEN. This review should focus on how banks\u2019 regulatory concerns may be influencing their willingness to provide services. In conducting the review, FDIC, the Federal Reserve, OCC, and FinCEN should take steps, as appropriate, to revise the BSA regulations or the way they are being implemented to help ensure that BSA/AML regulatory objectives are being met in the most effective and least burdensome way. (Recommendation 3)", "The Comptroller of the Currency should jointly conduct a retrospective review of BSA/AML regulations and their implementation for banks with FDIC, the Federal Reserve, and FinCEN. This review should focus on how banks\u2019 regulatory concerns may be influencing their willingness to provide services. In conducting the review, FDIC, the Federal Reserve, OCC and FinCEN should take steps, as appropriate, to revise the BSA regulations or the way they are being implemented to help ensure that BSA/AML regulatory objectives are being met in the most effective and least burdensome way. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to CFPB, the Department of Justice, the Federal Reserve, FDIC, Treasury/FinCEN, and OCC. The Federal Reserve, FDIC, and OCC provided written comments that have been reproduced in appendixes IV\u2013VI, respectively. Treasury/FinCEN did not provide a written response to the report. FDIC, Treasury/FinCEN, and OCC provided technical comments on the draft report, which we have incorporated, as appropriate. CFPB and the Department of Justice did not have any comments on the draft of this report.", "In their written responses, the Federal Reserve, FDIC, and OCC agreed to leverage ongoing interagency work reviewing BSA/AML regulations and their implementation for banks to address our recommendation. We agree that using existing interagency efforts is an appropriate means for conducting a retrospective review of BSA/AML regulations that focuses on evaluating how banks\u2019 BSA/AML regulatory concerns may be influencing their willingness to provide services.", "The Federal Reserve, FDIC, and OCC also raised concerns with some of the findings of our report and the methodologies we used. For example, in their responses, each agency discussed that the report did not take into consideration the extent to which law enforcement activities may be a driver of account terminations and branch closures in the Southwest border region. In response to this comment, we added some information to the report that we received from law enforcement officials about instances in which some account terminations were the result of law enforcement\u2019s identification of suspicious accounts. This type of account termination, however, is not included in our definition of the term \u201cderisking,\u201d because such terminations are consistent with BSA/AML purposes. In addition, when we discuss the role that enforcement actions have played in making Southwest border banks more conservative in their account offerings, we\u2019ve clarified the language to ensure it encompasses both regulatory enforcement actions taken by the federal banking regulators and criminal enforcement actions taken by law enforcement agencies. Treasury/FinCEN\u2019s technical comments also noted that the report did not take into consideration the 2010 Mexican exchange control regulations and their subsequent changes, which it considers to be the most important catalyst of changes to BSA risk profiles for banks in the Southwest border region. To address this comment, we added language describing these regulations and their potential effects on Southwest border banks.", "In its written response, the Federal Reserve stated that the report does not find a causal linkage between the agency\u2019s regulatory oversight and derisking decisions made by some banks that operate along the Southwest border (see app. IV). OCC made a similar comment in its technical comments on the draft report. While the methodologies used in our report included a nationally representative survey of banks, econometric modeling of potential drivers of branch closures, and discussions with bank representatives, do not on their own allow us to make a definitive causal linkage between regulation and derisking, the collective evidence we gathered indicates that banks\u2019 BSA/AML regulatory concerns have played a role in their decisions to terminate and limit accounts and close branches. We believe that, based on this evidence, further examination by the federal banking regulators and FinCEN into how banks\u2019 perceived regulatory concerns are affecting their offering of services is warranted.", "OCC\u2019s written response noted that the definition of derisking we used is inconsistent with definitions used by other regulatory bodies and that our definition encompasses a wide range of situations in which banks limit certain services or end customer relationships (see app. VI). Treasury/FinCEN also made a similar comment in its technical comments on the draft report. OCC\u2019s letter notes that FATF and the World Bank define derisking as situations in which financial institutions terminate or restrict business relationships with entire countries or classes of customers in order to avoid, rather than to manage, AML-related risks. We, however, defined derisking for the purposes of our report as the practice of banks limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering because it best described the bank behavior we wanted to examine. While we recognize that there are narrower definitions of derisking that focus solely on the treatment of entire countries or classes of customers, we chose to focus on banks\u2019 perceived regulatory concerns because these concerns could influence banks\u2019 decisions to provide services in a variety of ways. Moreover, including perceived regulatory concerns as a factor enabled us to examine whether there were ways the federal regulators may be able to improve the implementation of BSA/AML to reduce the effects of derisking on different populations of banking customers. Furthermore, our definition is broader and allows us to include individual decisions banks make to terminate or limit accounts, as well as whole categories of customer accounts. Our decision to define derisking in this manner was based on, among other things, discussions we had with representatives of Southwest border banks who indicated such behavior was occurring. We added additional information on the definition of derisking we chose to our scope and methodology section (see app. I).", "OCC\u2019s response letter also notes that because we focus exclusively on BSA/AML regulatory issues, the report does not take into consideration other reasons that banks terminate account relationships. We recognize that banks may terminate accounts for a variety of reasons, some of which are not related to BSA/AML regulatory issues. However, because the focus of our review was to determine why banks are terminating accounts for BSA/AML regulatory reasons, we did not seek to identify all the potential reasons banks may terminate accounts.", "Finally, OCC\u2019s letter states that the agency has concerns regarding our econometric analysis and the conclusions that can be drawn from it. FDIC made similar comments in its technical comments on the draft report. In response to these comments, we have clarified how we interpret the effect of money laundering-related risk in our models. We agree that the econometric results on their own do not provide definitive evidence that regulatory burden is causing branch closures, but our econometric models and discussions with bank representatives together suggest that BSA/AML compliance costs and risks can play a role in the decision to close a branch.", "FDIC\u2019s written letter states that the report does not distinguish account or branch closures resulting from suspected money laundering or other illicit financial transactions from closures that may have resulted from ineffective or burdensome regulations. In response to this concern, we revised language in the report to ensure that we do not imply that instances in which banks limit services or terminate relationships based on credible evidence of suspicious or illegal activity reflects derisking behavior. As noted above, we also clarified how we interpret the effect of money laundering-related risk on branch closures in our models and recognize that our econometric results alone do not provide definitive evidence that regulatory burden is causing branch closures. However, our econometric models coupled with discussions we had with bank representatives suggest that BSA/AML compliance costs and risks can play a role in the decision to close a branch. FDIC\u2019s letter also stated that our report highlighted that 1 in 10 branch closures may be due to \u201ccompliance challenges.\u201d This statement is incorrect. The report states that nearly half of the Southwest border bank representatives (4 of 10) we spoke with mentioned that BSA/AML compliance costs could be among the factors considered in whether or not to close a branch. Further, we identified one bank that considered closing a branch as an option to address considerable BSA/AML compliance challenges. In addition, most Southwest border bank representatives we spoke with said that the financial performance of the branch is one of the most important factors they consider when deciding to close a branch, and as we describe in the report, BSA/AML compliance can be resource intensive, which may affect the financial performance of a branch.", "We are sending copies of this report to the appropriate congressional committees, the Director of Financial Crimes Enforcement Network, the Chairman of the Federal Deposit Insurance Corporation, the Chair of the Board of Governors of the Federal Reserve System, the Comptroller of the Currency, the Attorney General, the Acting Director of the Bureau of Consumer Financial Protection, and other interested parties. The report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-8678 or evansl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are listed on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to (1) describe the types of heightened Bank Secrecy Act/anti-money laundering (BSA/AML) compliance risks that Southwest border banks may face and the BSA/AML compliance challenges they may experience; (2) determine the extent to which banks are terminating accounts and closing bank branches in the Southwest border region and their reasons for any terminations or closures; (3) describe what Southwest border banking customers and others told us about any effects of account terminations and branch closures on Southwest border communities; and (4) evaluate how the Department of the Treasury\u2019s (Treasury) Financial Crimes Enforcement Network (FinCEN) and the federal banking regulators\u2014the Board of Governors of the Federal Reserve System (Federal Reserve), Federal Deposit Insurance Corporation (FDIC), and Office of the Comptroller of the Currency (OCC)\u2014have assessed and responded to concerns about derisking in the Southwest border region and elsewhere, and the effectiveness of those efforts.", "We defined \u201cderisking\u201d to mean the practice of banks limiting certain services or ending their relationships with customers to, among other things, avoid perceived regulatory concerns about facilitating money laundering. We developed this definition by reviewing various existing definitions used by international banking industry standard setters and others, including the Financial Action Task Force (FATF)\u2014an intergovernmental body that, among other things, sets standards for combating money laundering; the Bank for International Settlements; the World Bank; and the Global Partnership for Financial Inclusion. We also reviewed guidance and other documentation issued by the federal banking regulators, Treasury, and FinCEN; research reports on derisking; an industry survey; and testimonial evidence from several banks we interviewed. The methodologies we used allowed us to gather information on a variety of factors that may be causing banks to limit services, while our definition of derisking allowed us to focus on the role played by the federal regulators in implementing BSA/AML requirements.", "We defined the Southwest border region as all counties that have at least 25 percent of their landmass within 50 miles of the U.S.-Mexico border. Thirty-three counties fell within this definition. They are: Cochise, Pima, Santa Cruz, and Yuma, Arizona; Imperial and San Diego, California; Dona Ana, Hidalgo, and Luna, New Mexico; and Brewster, Brooks, Cameron, Culberson, Dimmit, Edwards, El Paso, Hidalgo, Hudspeth, Jeff Davis, Jim Hogg, Kenedy, Kinney, La Salle, Maverick, Presidio, Starr, Terrell, Uvalde, Val Verde, Webb, Willacy, Zapata, and Zavala, Texas. We excluded credit unions from the scope of our review based on discussions with and information received from the National Credit Union Administration (NCUA)\u2014which oversees credit unions for compliance with BSA/AML requirements\u2014and two regional credit union groups that cover the Southwest border states. These groups noted that neither branch closures nor account terminations by credit unions were prevalent in the Southwest border region.", "To describe the types of heightened BSA/AML compliance risks that Southwest border banks may face and the BSA/AML compliance challenges they may experience, we analyzed data from FinCEN on the volume of Suspicious Activity Reports (SAR) and Currency Transaction Reports (CTR) filed by bank branches in Southwest border counties and compared the volume of those filings to filings in similar geographic areas outside the Southwest border region from 2014 through 2016. To adjust for variances in the size of counties, which may be reflected in the number of SAR and CTR filings by counties, we standardized the quantity of SARs and CTRs filed by county by calculating the number of SAR and CTR filings per billion dollars in bank branch deposits. We used data from FDIC\u2019s Summary of Deposits database for information on bank branch deposits. To construct comparison groups that were comparable along some key dimensions, we matched Southwest border counties to counties with the same 2013 Rural-Urban Continuum Code (RUCC), which measures how urban or rural a county is, and by population if there was more than one potential matching county. We undertook this process for two comparison groups, one for counties in Southwest border states, but not directly on the U.S.-Mexico border, and one for counties outside the Southwest border states that were designated as High Intensity Financial Crimes Areas (HIFCA) or High Intensity Drug Trafficking Areas (HIDTA). In addition, we analyzed data on BSA/AML bank examination violations using nonpublic data provided by FDIC, OCC, and the Federal Reserve from January 2009 through June 2016. We obtained data for all Southwest border banks (if they had been cited for a BSA/AML compliance violation during the period we reviewed), as well as aggregated data for all banks in the United States that received a BSA/AML compliance violation during the period we reviewed. Because each regulator categorized violations differently, we developed a set of categories to apply to violations across all three regulators. We analyzed the distribution of violations by category. In addition, we analyzed data on BSA/AML informal enforcement actions provided by the federal banking regulators and formal BSA/AML enforcement actions taken by the federal banking regulators and FinCEN from January 2009 through June 2016. We also reviewed documentation from BSA/AML examinations of selected Southwest border banks to gain additional context about BSA/AML violations.", "We also interviewed representatives from 19 Southwest border banks. Using data from FDIC\u2019s Summary of Deposits database, we identified all Southwest border banks as of June 30, 2016. We then selected banks to interview in the following ways. First, we interviewed four of the five largest Southwest border banks (based on asset size). Second, as part of our site visits to communities in the Southwest border region (described below), we interviewed nine Southwest border banks that operate in or near the communities we visited\u2014 Nogales, Arizona; San Ysidro, California; and McAllen, Texas. We selected banks in these communities based on the following criteria: (1) the number of branches the bank operates in the Southwest border region, focusing on banks that operate only a few branches in the region; (2) the size of the bank based on assets; and (3) the bank\u2019s primary federal regulator. We focused our selection on banks that operate fewer branches in the region because we interviewed four of the five largest banks in the region that operate many branches in the region. To the extent that a bank was located in the community and willing to speak with us, we interviewed at least one bank that was regulated by each federal banking regulator (Federal Reserve, FDIC, and OCC). Third, we interviewed six additional Southwest border banks as part of the development of our bank survey (described in more detail below) and also asked them questions related to their efforts to comply with BSA/AML requirements. We selected these banks using the same criteria we used for the selection of banks in our site visit communities: the bank\u2019s primary federal regulator, size of the bank (based on assets), and number of branches. For the interviews, we used a semistructured interview protocol, and responses from bank officials were open-ended to allow for a wide variety of perspectives and responses. Responses from these banks are not generalizable to all Southwest border banks. In addition to the interviews with banks, we also interviewed officials from FDIC, Federal Reserve, and OCC, as well as BSA/AML examination specialists from each federal banking regulator to gain their perspectives on the risks faced by banks in the Southwest border region.", "To determine the extent to which banks are terminating accounts in the Southwest border region and the reasons for the terminations, we administered a web-based survey to a nationally representative sample of banks to obtain information on bank account terminations for reasons related to BSA/AML risk. In the survey, we asked banks about limitations and terminations of accounts related to BSA/AML risk, the types of customer categories being limited or terminated, and the reasons for these decisions. We administered the survey from July 2017 to September 2017, and collected information for the 3-year time period of January 1, 2014, to December 31, 2016. Appendix II contains information on the survey results.", "To identify the universe of banks, we used data from FDIC\u2019s Statistics on Depository Institutions database. Our initial population list contained 5,922 banks downloaded from FDIC\u2019s Statistics on Depository Institutions database as of December 31, 2016. We stratified the population into five sampling strata and used a stratified random sample. First, banks that did not operate in the Southwest border region (non-Southwest border banks) were stratified into four asset sizes (small, medium, large, and extra- large). Second, to identify the universe of Southwest border banks, we used FDIC\u2019s Summary of Deposits database as of June 30, 2016. This is a hybrid stratification scheme.", "Our initial sample size allocation was designed to achieve a stratum-level margin of error no greater than plus or minus 10 percentage points for an attribute level at the 95 percent level of confidence. Based upon prior surveys of financial institutions, we assumed a response rate of 75 percent to determine the sample size for the asset size strata. Because there are only 17 extra-large banks in the population, we included all of them in the sample. We also included the entire population of 115 Southwest border banks as a separate certainty stratum. We reviewed the initial population list of banks in order to identify nontraditional banks not eligible for this survey. We treated nontraditional banks as out-of- scope. We also reviewed the initial population list to determine whether subsidiaries of the same holding company should be included separately in the sample. In addition, during the administration of our survey, we identified six banks that had been bought and acquired by another bank, as well as one additional bank that was nontraditional and, therefore, not eligible for this survey. We treated these sample cases as out-of-scope; this adjusted our population of banks to 5,805 and reduced our sample size to 406. We obtained a weighted survey response rate of 46.5 percent.", "Because we followed a probability procedure based on random selections, our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (for example, plus or minus 7 percentage points). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. Confidence intervals are provided along with each sample estimate in the report. All survey results presented in the body of this report are generalizable to the estimated population of 5,805 in-scope depository institutions, except where otherwise noted.", "The practical difficulties of conducting any survey may introduce errors, commonly referred to as nonsampling errors. For example, difficulties in interpreting a particular question or sources of information available to respondents can introduce unwanted variability into the survey results. We took steps in developing the questionnaire, collecting the data, and analyzing the results to minimize such nonsampling error. To inform our methodology approach and our survey development, we conducted interviews with representatives from seven selected Southwest border banks. From these interviews, we gathered information on the type and amount of data banks keep on account terminations for reasons related to BSA/AML risk. The selection process used to identify these banks is described above. We conducted pretests of the survey with four banks. We selected these banks to achieve variation in geographic location (within and outside the Southwest border region) and asset size (small, large, extra large). The pretests of the survey were conducted to ensure that survey questions were clear, to obtain any suggestions for clarification, and to determine whether representatives would be able to provide responses to questions with minimal burden. We also interviewed the federal banking regulators; federal, state, and local law enforcement officials; and bank industry associations, to obtain their perspectives on banks\u2019 experience with account terminations.", "To determine the extent to which banks have closed branches in the Southwest border region and the reasons for the closures, we analyzed data from a variety of sources and interviewed bank officials. To assess trends in bank branch closures, we analyzed data from FDIC\u2019s Summary of Deposits database on the size and location of bank branches. Our measure of bank branches includes both full-service and limited-service branches. Limited-service branches provide some conveniences to bank customers but generally offer a reduced set of bank services. As of 2016, limited-service branches were about 2.5 percent of branches in the Southwest border region. We compared growth rates for all branches in the Southwest border region and only full-service branches, for 2013 through 2016, and found that they were almost identical (-5.92 percent and -5.93 percent, respectively). We combined the Summary of Deposits data on the size and location of bank branches with demographic, economic, and money laundering-related risk data from the U.S. Census Bureau, U.S. Department of Commerce\u2019s Bureau of Economic Analysis, and FinCEN, among other sources. We then utilized the merged dataset to conduct an econometric analysis of the potential drivers of branch closures (see app. III for information on the econometric analysis). We also compared trends in branch closures in the Southwest border region to national trends, as well as trends in counties in Southwest border states that were not in the Southwest border region, and trends in HIFCA and HIDTA counties not in Southwest border states. We also interviewed representatives from banks that operate in the Southwest border region about the time and resources required to file SARs and how they approached the decision to close a branch.", "To describe what Southwest border banking customers and others told us about any effects of account terminations and branch closures in Southwest border communities, we conducted site visits to communities in three of the four Southwest border states (Nogales, Arizona; San Ysidro, California; and McAllen, Texas). We selected these communities to achieve a sample of locations that collectively satisfied the following criteria: (1) counties with different classifications of how rural or urban they are based on their RUCC classification; (2) counties that experienced different rates of branch closures from 2013 through 2016; and (3) counties that had received different designations by the federal banking regulators as distressed or underserved as of June 1, 2016. Perspectives gathered from our visits to the selected cities cannot be generalized to all locations in Southwest border counties.", "During our site visits, we conducted a total of five discussion groups and summarized participants\u2019 responses about how they were affected by account terminations and branch closures in their communities. Discussion groups included a range of 2 to10 participants with varied experiences related to access to banking services in their area, including customers whose accounts were terminated or branch was closed. Participants were selected using a convenience sampling method, whereby we coordinated with local city government and chamber of commerce officials who agreed to help us recruit participants and identify facilities where the discussion groups were held. Local officials disseminated discussion group invitations and gathered demographic data on potential participants. Three of the five discussion group sessions included business banking customers\u2014persons representing businesses that utilize banking services (such as banking accounts or business loans). The other two sessions included nonbusiness retail banking customers\u2014persons with individual experience with banking services (such as a personal checking or savings account) and were conducted in Spanish. Each session was digitally recorded, translated (if necessary), and transcribed by an outside vendor, and we used the transcripts to summarize participant responses. An initial coder assigned a code that best summarized the statements from discussion group participants and provided an explanation of the types of discussion group participant statements that should be assigned to a particular code. A separate individual reviewed and verified the accuracy of the initial coding. The initial coder and reviewer discussed orally and in writing any disagreements about code assignments and documented consensus on the final analysis results. Discussion groups are intended to generate in- depth information about the reasons for the participants\u2019 views on specific topics. The opinions expressed by the participants represent their points of view and may not represent the views of all residents in the Southwest border region.", "We also interviewed various border stakeholders including economic development specialists, industry and trade organizations that focus on border trade and commerce, as well as chamber of commerce and municipal officials representing border communities. We reviewed recent articles on the effects of account terminations and branch closures on communities as well as research organization, industry, and government reports. Finally, we reviewed academic studies on the effects of branch closings on communities. In particular, we focused our review on one recent paper that estimated the impact of branch closings, using detailed geographic and lending data, on employment growth and small business lending, among other outcomes. We identified the census tracts of all branch closures in our three site visit communities from 2013 through 2016 and applied impact estimates from this research to the level of small business lending and employment in these communities, based on data from Community Reinvestment Act reporting (small-business lending) and the U.S. Census American Community Survey (employment).These results are intended to illustrate an approximate magnitude of effects and not produce precise estimates of local impacts.", "To evaluate how FinCEN and the federal banking regulators have assessed and responded to concerns about derisking and the effectiveness of those efforts, we reviewed guidance the agencies issued to banks related to derisking, related agency memorandums and documents, and an OCC internal analysis on derisking. We also reviewed guidance from FATF on AML and terrorist financing measures and financial inclusion. In addition, we reviewed various executive orders that require most executive branch agencies, and encourage independent agencies, to develop a plan to conduct retrospective analyses, and Office of Management and Budget guidance implementing those executive orders. We reviewed Treasury documentation on BSA regulatory reviews and the BSA-related components of the 2007 and 2017 Economic Growth and Regulatory Paperwork Reduction Act reports issued by the Federal Financial Institutions Examination Council (FFIEC). We also reviewed federal internal control standards related to risk assessment. Finally, we interviewed officials from FinCEN and the federal banking regulators about the actions they have taken related to derisking, as well as retrospective reviews they had conducted on BSA regulations.", "We utilized multiple data sources throughout our review and took steps to assess the reliability of each one. First, to assess the reliability of data in FDIC\u2019s Summary of Deposits database we discussed the appropriateness of the database for our purposes with FDIC officials, reviewed related documentation, and conducted electronic testing for missing data, outliers, or any obvious errors. Second, to assess the reliability of FinCEN\u2019s data on SAR and CTR filings, we interviewed knowledgeable agency officials on the appropriateness of the data for our purposes, any limitations associated with the data, and the methods they used to gather the data for us. We also reviewed related documentation and conducted electronic testing to identify missing data, outliers, and any obvious errors. Third, we assessed the reliability of the HIFCA and HIDTA county designations by interviewing officials from FinCEN, the Office of National Drug Control Policy, and the National HIDTA Assistance Center on changes to county designations over time and reviewed related documentation. Fourth, to assess the reliability of FDIC\u2019s Statistics on Depository Institutions database, we reviewed related documentation and conducted electronic testing of the data for missing data, outliers, or any obvious errors. Fifth, we interviewed officials from FDIC, the Federal Reserve, and OCC on the data the agencies collect related to BSA/AML bank exam violations and also asked them questions related to methods they used to gather the data for us and any limitations associated with the data. We also manually reviewed the data for any obvious errors and followed up with agency officials, as needed. Finally, for data we obtained from the U.S. Census Bureau (American Community Survey data on population and age and the Residential Building Permits Survey), the Bureau of Economic Analysis (Local Area Personal Income), and Department of Agriculture (Rural-Urban Continuum Codes), we reviewed related documentation, interviewed knowledgeable officials about the data, when necessary, and conducted electronic testing of the data for missing data, outliers, or any obvious errors. We concluded that all applicable data were sufficiently reliable for the purposes of describing BSA/AML risks and compliance challenges for Southwest border banks; identifying banks to survey on account terminations and limitations; evaluating branch closure trends in the Southwest border region and elsewhere, and the factors driving those closures; and describing the effects for Southwest border communities experiencing branch closures and account terminations.", "We conducted this performance audit from March 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Responses to Selected Questions from GAO\u2019s Survey of Banks on Account Terminations and Limitations", "paragraphs": ["From July 2017 to September 2017, we administered a web-based survey to a nationally representative sample of banks. In the survey, we asked banks about the number of account terminations for reasons related to Bank Secrecy Act/anti-money laundering (BSA/AML) risk; whether banks are terminating, limiting, or not offering accounts to certain types of customer categories; and the factors influencing these decisions. We collected information for the 3-year time period of January 1, 2014, to December 31, 2016. All survey results presented in this appendix are generalizable to the population of banks, except where otherwise noted. We obtained a weighted survey response rate of 46.5 percent. Because our estimates are from a generalizable sample, we express our confidence in the precision of our particular estimates as 95 percent confidence intervals. Responses to selected questions we asked in our survey that were directly applicable to the research objectives in this report are shown below. Survey results presented in this appendix are categorized into three groups (1) all banks nationwide, (2) Southwest border banks, and (3) non-Southwest border banks, unless otherwise noted. Our survey was comprised of closed- and open-ended questions. In this appendix, we do not provide information on responses provided to the open-ended questions. For a more detailed discussion of our survey methodology, see appendix I.", "Questions 15 through 23 applied only to banks in our sample that had branches domiciled both inside and outside of the Southwest border region in order to obtain information on their accounts domiciled in the Southwest border region.", "All the percentage estimates for this question are not statistically reliable.", "All the percentage estimates for this question are not statistically reliable.", "Between January 1, 2014 and December 31, 2016, did the bank terminate any cash-intensive small business checking, savings, or money market accounts domiciled in the bank\u2019s Southwest border branches for reasons related to BSA/AML risk? (Check one.) (Question 21)", "All the percentage estimates for this question are not statistically reliable."], "subsections": []}, {"section_title": "Appendix III: Econometric Analysis of Bank Branch Closures", "paragraphs": ["This technical appendix outlines the development, estimation, results, and limitations of the econometric model we described in the report. We undertook this analysis to better understand factors that may have influenced banks to close branches in recent years."], "subsections": [{"section_title": "Model Development and Specification", "paragraphs": ["We developed a number of econometric models that included demographic, economic, and risk factors that might have influenced branch closures nationally since 2010. We developed these models based on a small number of relevant studies, our discussions with banks and regulators, and our own prior empirical work on banking. Our models are based on all counties with bank branches in the United States and are designed to predict whether a county will lose a branch the following year based on the characteristics of the county. Because we are modeling a binary outcome (whether or not a county lost a branch) we use a specific functional form for our regression models known as a logistic regression (logit).", "The demographic factors included in our models are rural-urban continuum codes, age profile (proportion of the population of the county over 45), and the level of per capita income. We chose these demographic factors, in particular, because they tend to be associated with the adoption of mobile banking, which may explain the propensity to close branches in a community. The economic factors included in our models\u2014intended to reflect temporary or cyclical economic changes affecting the county\u2014are the growth of per capita income, growth in building permits (a measure of residential housing conditions), and growth of the population. The money laundering-related risk factors are whether a county has been designated a High Intensity Financial Crime Area (HIFCA) or a High Intensity Drug Trafficking Area (HIDTA), and the level of suspicious or possible money laundering-related activity reported by bank branches in the county (known as Suspicious Activity Report (SAR) filings). HIDTA and HIFCA designations in our model could proxy for a number of features of a county, including but not limited to the intensity of criminal activity related to drug trafficking or financial crimes. Bank officials we spoke with generally said that SAR filings were a time and resource-intensive process, and that the number of SARs filings\u2014to some extent\u2014reflected the level of effort, and overall BSA compliance risk, faced by the bank. That said, the impact of SAR variables in our models could reflect a combination of (1) the extent of BSA/AML compliance effort and risk faced by the bank, as described by bank officials, and (2) the underlying level of suspicious or money laundering- related activity in a county.", "We constructed variables from the following data sources to estimate our models:", "Net branch closures and the size of deposits in each county, from Federal Deposit Insurance Corporation\u2019s (FDIC) Summary of Deposits;", "Rural-urban continuum codes, from the U.S. Department of", "Population growth and age profile in each county, from the Census Bureau\u2019s American Community Survey;", "Per capita income, from Bureau of Economic Analysis Local Area", "Building permits by county, from the Census Bureau;", "HIFCA and HIDTA county designations from the Financial Crimes Enforcement Network (FinCEN) and the Office of National Drug Control Policy, respectively; and", "SAR filings by depository institution branches, from FinCEN We estimated a large number of econometric models to ensure that our results were generally not sensitive to small changes in our model, in other words, to determine if our results were \u201crobust.\u201d Our results, as described in the body of the report, were highly consistent across models and were generally both statistically and economically significant\u2014that is, results of this size are unlikely to occur at random if there were no underlying relationship (p-values of interest are almost always less than 0.001), and the estimated impacts on the probability of branch closures are substantively relevant.", "For our baseline model, we estimated branch closures (dependent variable: 1/0 for whether or not a county lost one or more branches, on net, that year) as a function of the 1 year lagged share of the population over 45 in the county, a rural-urban continuum code, level of per capita income, population growth, growth in the value of building permits, growth in per capita income, whether or not the county is a HIDTA, and the level of suspicious activity report filings per billion dollars of deposits held in the county, including time and state fixed effects. Economic variables were adjusted for inflation (converted to constant 2015 dollars) using appropriate price indices. We generally estimated models with cluster robust standard errors, clustering at the county. See the logistic regression equation for our baseline model below, where the c subscript represents the county and the t subscript represents the year.", "Where f is the cumulative logistic function: \ud835\udc53\ud835\udc53(\ud835\udc67\ud835\udc67)= \ud835\udc66\ud835\udc66\ud835\udc67\ud835\udc671+\ud835\udc66\ud835\udc66\ud835\udc67\ud835\udc67 Full year SAR filings are only available for 2014\u20132016 which is generally the limiting factor on the time dimension of our panel. Because FinCEN changed reporting requirements as of April 2013, we were able to obtain an additional year of data by calculating SAR filings for 4 truncated years, which is April\u2013December 2013, April\u2013December 2014, April\u2013December 2015, and April\u2013December 2016. As we discussed earlier in the report, this variable is an important geographic measure of money laundering- related risk, based on a bank-reported measure of the extent of suspicious or money-laundering related activity associated with branches located in a particular county. After confirming that results were similar for full year and truncated year SARs, we continued estimation with truncated year SARs to benefit from the additional year of data. We report estimates from the version of our baseline model that includes truncated year SARs. Marginal effects for select coefficients (and associated p- values) are reported in table 20 below along time period, sample size, and goodness-of-fit (pseudo r-squared).", "Generally speaking, across our baseline specifications and robustness tests, counties were more likely to lose branches, all else equal, if they were (1) urban, high income, and had a younger population (proportion under 45), or (2) designated HIFCA, HIDTA, or had higher SAR filings. Economic variables were generally not statistically significant.", "Below is a list of robustness tests\u2014changing how or which variables influenced branch closures in the model, over what time period\u2014we performed. Unless specifically noted the results described above were very similar in the models listed below (i.e., robust):", "As an alternative to total SARs as an indicator of money laundering- related risk, we estimated a model with only those SARs that were classified as money laundering or structuring. Total SARs include suspicious activity that may be unrelated to money laundering or structuring, including, for example, check fraud.", "As an alternative to HIDTAs as a county risk designation we estimated a model with HIFCA county designations. The impact of HIFCAs in the model was smaller magnitude and less statistically significant.", "We estimated a model interacting HIDTAs with SARs (the interaction suggests SARs have a larger impact on non-HIDTA counties).", "We estimated models restricted to only rural counties or only urban counties. SARs and HIDTAs have larger effects in urban counties and the impact of the age profile and per capita income are not statistically significant in the model with only rural counties.", "We estimated models with MSA fixed effects or state-year fixed effects, in addition to state and year fixed effects.", "We estimated models that assumed that economic conditions from the previous 2 years were relevant or only economic conditions from 2 years prior. Our baseline model assumed only the prior year\u2019s economic conditions influenced branch closures.", "We estimated a panel logit with random effects.", "We estimated a panel logit with county fixed effects. None of the results discussed above are statistically significant when county fixed effects are introduced. This suggests that the model is identified primarily based on cross-sectional (differences between counties that persist over time) rather than time series variation in the relevant variables. The role of county fixed effects here may also indicate the presence of unobserved, county characteristics that are omitted from our models, although it is generally not possible to simultaneously estimate the role of highly persistent factors that influence branch closures while including fixed effects.", "We estimated models where we omitted small percentage changes in branches from our indicator dependent variable\u2014for example, we estimated models with indicators equal to one only if branch losses were above 3 percent or 5 percent (omitting smaller branch losses from the dependent variable altogether). Generally speaking, demographic factors have less explanatory power for larger loss levels although SARs remains statistically significant and at practically meaningful magnitudes. This suggests that higher SARs are relatively better at explaining larger branch losses while demographic factors are better at explaining smaller branch losses.", "Despite the robustness of our results and our efforts to control for relevant factors, our results are subject to a number of standard caveats. The variables we use come from a number of datasets, and some of them have sampling error, relied on imputation, or are better thought of as proxy variables that measure underlying factors of interest with some degree error. As such, our statistical measures, including standard errors, p-values, and goodness of fit measures such as pseudo r-squared, should be viewed as approximations. Some of the effects we measure based on these variables may reflect associational rather than causal relationships. Also, our regression models may be subject to omitted variable bias or specification bias\u2014for example, it is unlikely that we have been able to quantify and include all relevant factors in bank branching decisions, and even where we have measured important drivers with sufficient precision the functional form assumptions embedded in our choice of regression model (e.g., logistic regression) are unlikely to be precisely correct. Should omitted variables be correlated with variables that we include, the associated coefficient may be biased. We interpret our results, including our statistical measures and coefficients values, with appropriate caution."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Board of Governors of the Federal Reserve System", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Federal Deposit Insurance Corporation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Office of the Comptroller of the Currency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Stefanie Jonkman (Assistant Director), Christine Houle (Analyst in Charge), Carl Barden, Timothy Bober, Rebecca Gambler, Toni Gillich, Michael Hansen, Michael Hoffman, Jill Lacey, Patricia Moye, Erica Miles, Marc Molino, Steve Robblee, Tovah Rom, Jerry Sandau, Mona Sehgal, Tyler Spunaugle, and Verginie Tarpinian made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-88", "url": "https://www.gao.gov/products/GAO-18-88", "title": "Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework", "published_date": "2017-12-05T00:00:00", "released_date": "2017-12-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CMS, an agency within the Department of Health and Human Services (HHS), provides health coverage for over 145 million Americans through its four principal programs, with annual outlays of about $1.1 trillion. GAO has designated the two largest programs, Medicare and Medicaid, as high risk partly due to their vulnerability to fraud, waste, and abuse. In fiscal year 2016, improper payment estimates for these programs totaled about $95 billion.", "GAO's Fraud Risk Framework and the subsequent enactment of the Fraud Reduction and Data Analytics Act of 2015 have called attention to the importance of federal agencies' antifraud efforts. This report examines (1) CMS's approach for managing fraud risks across its four principal programs, and (2) how CMS's efforts managing fraud risks in Medicare and Medicaid align with the Fraud Risk Framework.", "GAO reviewed laws and regulations and HHS and CMS documents, such as program-integrity manuals. It also interviewed CMS officials and a sample of CMS stakeholders, including state officials and contractors. GAO selected states based on fraud risk and other factors, such as geographic diversity. GAO selected contractors based on a mix of companies and geographic areas served."]}, {"section_title": "What GAO Found", "paragraphs": ["The approach that the Centers for Medicare & Medicaid Services (CMS) has taken for managing fraud risks across its four principal programs\u2014Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the health-insurance marketplaces\u2014is incorporated into its broader program-integrity approach. According to CMS officials, this broader program-integrity approach can help the agency develop control activities to address multiple sources of improper payments, including fraud. As the figure below shows, CMS views fraud as part of a spectrum of actions that may result in improper payments.", "CMS's efforts managing fraud risks in Medicare and Medicaid partially align with GAO's 2015 A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework). This framework describes leading practices in four components: commit , assess , design and implement , and evaluate and adapt . CMS has shown commitment to combating fraud in part by establishing a dedicated entity\u2014the Center for Program Integrity\u2014to lead antifraud efforts. Furthermore, CMS is offering and requiring antifraud training for stakeholder groups such as providers, beneficiaries, and health-insurance plans. However, CMS does not require fraud-awareness training on a regular basis for employees, a practice that the framework identifies as a way agencies can help create a culture of integrity and compliance. Regarding the assess and design and implement components, CMS has taken steps to identify fraud risks, such as by designating specific provider types as high risk and developing associated control activities. However, it has not conducted a fraud risk assessment for Medicare or Medicaid, and has not designed and implemented a risk-based antifraud strategy. A fraud risk assessment allows managers to fully consider fraud risks to their programs, analyze their likelihood and impact, and prioritize risks. Managers can then design and implement a strategy with specific control activities to mitigate these fraud risks, as well as an appropriate evaluation approach consistent with the evaluate and adapt component. By developing a fraud risk assessment and using that assessment to create an antifraud strategy and evaluation approach, CMS could better ensure that it is addressing the full portfolio of risks and strategically targeting the most-significant fraud risks facing Medicare and Medicaid."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that CMS (1) provide and require fraud-awareness training to its employees, (2) conduct fraud risk assessments, and (3) create an antifraud strategy for Medicare and Medicaid, including an approach for evaluation. HHS concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Centers for Medicare & Medicaid Services (CMS)\u2014an agency within the Department of Health and Human Services (HHS)\u2014provides health coverage for over 145 million Americans, but its programs are susceptible to fraud. Instances of fraud in CMS programs have been regularly and widely reported, involving multimillion-dollar scams and false claims. For example, in 2015 a Michigan oncologist was sentenced for submitting $34 million in fraudulent claims to Medicare and private insurance companies for administering medically unnecessary chemotherapy to 553 patients. Every year, the federal government investigates hundreds of fraud cases involving CMS programs and during fiscal year 2016 won or negotiated about $2.5 billion in health-care fraud judgments and settlements as a result of federal investigations and prosecutions.", "According to the Congressional Budget Office (CBO), annual mandatory outlays for CMS\u2019s four principal programs\u2014Medicare, Medicaid, the Children\u2019s Health Insurance Program (CHIP), and the health-insurance marketplaces\u2014total about $1.1 trillion. Total outlays across these CMS programs are projected to nearly double in the next 10 years. Medicare and Medicaid are the largest CMS programs, covering approximately 129 million individuals in fiscal year 2016, with total outlays of about $1 trillion.", "In addition to their size and related expenditures, the complexities of these programs\u2014such as Medicare\u2019s four distinct program parts and the variation in states\u2019 design and implementation of Medicaid\u2014pose challenges to CMS oversight and present opportunities to be exploited for fraud. We have designated Medicare and Medicaid as high-risk programs due to their size, complexity, and vulnerability to fraud, waste, and abuse. Although the extent of fraud in Medicare and Medicaid is unknown, given the large size of the programs even a small percentage of fraud poses significant risks to the integrity of these programs.", "This report addresses CMS fraud risk management efforts in light of GAO\u2019s July 2015 A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework), which describes key components and leading practices for agencies to proactively and strategically manage fraud risks. Our objectives were to determine: (1) CMS\u2019s approach for managing fraud risks across its four principal programs and (2) how CMS\u2019s efforts for managing fraud risks in Medicare and Medicaid align with GAO\u2019s Fraud Risk Framework. We performed our work under the authority of the Comptroller General to assist Congress with its oversight.", "To address both objectives, we reviewed relevant laws, regulations, and HHS and CMS documents, such as strategic plans, reports to Congress, program-integrity manuals, guidance, and other documents issued from 2011 through 2017. We also reviewed reports by GAO and the HHS Office of the Inspector General (OIG) on antifraud and program-integrity topics across Medicare and Medicaid.", "Furthermore, for both objectives, we interviewed CMS officials from the Center for Program Integrity (CPI) as well as officials from other centers and offices within CMS. We interviewed a nongeneralizable sample of CMS stakeholders including states, contractors, private health-insurance plans, federal law-enforcement agencies, as well as industry experts.", "For our sample of stakeholders, we selected four states\u2014Florida, Maryland, Michigan, and Oregon\u2014based on health-care fraud risk factors. We selected two states (Florida and Michigan) meeting our high- risk criteria: the presence of Medicare Fraud Strike Force Teams, temporary moratoriums on certain newly enrolling providers and suppliers in specific geographic areas, and a high number of Medicaid fraud investigations. We also selected two states (Maryland and Oregon) that did not meet our high-risk criteria. These four states also represented a mix of Medicaid spending, enrollment in managed care, and geographic variation. For each state, we interviewed state officials from the Medicaid program-integrity unit, Medicaid Fraud Control Unit (MFCU), and state audit organization.", "In addition to the states, we interviewed national and regional CMS contractors. We interviewed all national contractors that we identified as most directly involved in CMS\u2019s antifraud and program-integrity efforts; there were six such contractors. We also interviewed six regional CMS contractors. We identified six types of regional CMS antifraud and program-integrity contractors, and interviewed one of each type. We selected these contractors to achieve a mix of companies holding each type of regional contract (some companies hold more than one type of contract), and to ensure geographic diversity of the areas they serve. We also interviewed officials from one national and one regional private health-insurance plan. We chose these two plans because they are among larger plans that provide Medicare, Medicaid, and commercial services. We chose one large regional and one national health-insurance plan to obtain a diversity of perspectives.", "In addressing our second objective, we evaluated CMS\u2019s efforts against the four components of the Fraud Risk Framework: (1) commit to combating fraud by creating an organizational culture and structure conducive to fraud risk management; (2) plan regular fraud risk assessments and assess risks to determine a fraud risk profile; (3) design and implement strategy with specific control activities to mitigate assessed fraud risks and collaborate to help ensure effective implementation; and (4) evaluate outcomes using a risk-based approach and adapt activities to improve fraud risk management. In doing so, we reviewed agency documents and information obtained from interviews that enabled us to compare CMS\u2019s antifraud efforts against each of these components. We did not evaluate the effectiveness of individual CMS fraud control activities and other antifraud efforts we describe in the report.", "We conducted this performance audit from May 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CMS has four principal programs: Medicare, Medicaid, CHIP, and the health-insurance marketplaces. See table 1 for information about the four programs.", "As discussed earlier, Medicare and Medicaid are CMS\u2019s largest programs and have been growing steadily (see fig. 1). CBO projects that, in 2026, under current law, Medicare spending will reach $1.3 trillion. Medicaid is also expected to continue to grow\u2014program spending is projected to increase 66 percent to over $950 billion by fiscal year 2025, and more than half of the states have chosen to expand their Medicaid programs by covering certain low-income adults not historically eligible for Medicaid coverage, as authorized under the Patient Protection and Affordable Care Act of 2010 (PPACA).", "The two programs\u2019 use of managed-care delivery systems to provide care has also increased. For example, the number and percentage of Medicare beneficiaries enrolled in Medicare Part C has grown steadily over the past several years, increasing from 8.7 million (20 percent of all Medicare beneficiaries) in calendar year 2007 to 17.5 million (32 percent of all Medicare beneficiaries) in calendar year 2015. As of July 1, 2015, nearly two-thirds of all Medicaid beneficiaries were enrolled in managed- care plans and about 40 percent of expenditures in fiscal year 2015 were for health-care services delivered through managed care."], "subsections": [{"section_title": "CMS Funding to Address Fraud, Waste, and Abuse", "paragraphs": ["CMS receives appropriations to carry out antifraud activities through several funds including the Health Care Fraud and Abuse Control (HCFAC) program and the Medicaid Integrity Program. The HCFAC program was established under the Health Insurance Portability and Accountability Act of 1996 to coordinate federal, state, and local law- enforcement efforts to address health-care fraud and abuse and to conduct investigations and audits, among other things. In fiscal year 2016, CMS received $560 million through the HCFAC program appropriations. The Medicaid Integrity Program, established by the Deficit Reduction Act of 2005, supports contracts to audit and identify overpayments in Medicaid claims, and provides technical assistance for states\u2019 program-integrity efforts. According to CMS, it received $75 million every year since fiscal year 2009 through the Medicaid Integrity Program appropriations. According to CMS, in fiscal year 2016, total program-integrity obligations to address fraud, waste, and abuse for Medicare and Medicaid were $1.45 billion."], "subsections": []}, {"section_title": "Fraud Vulnerabilities and Improper Payments in Medicare and Medicaid", "paragraphs": ["As mentioned previously, we designated Medicare and Medicaid as high- risk programs starting in 1990 and 2003, respectively, because their size, scope, and complexity make them vulnerable to fraud, waste, and abuse. Similarly, the Office of Management and Budget (OMB) designated all parts of Medicare as well as Medicaid \u201chigh-priority\u201d programs because these programs report $750 million or more in estimated improper payments in a given year. We also highlighted challenges associated with improper payments in Medicare and Medicaid in our annual report on duplication and opportunities for cost savings in federal programs.", "Improper payments are a significant risk to the Medicare and Medicaid programs and can include payments made as a result of fraud. Improper payments are payments that are either made in an incorrect amount (overpayments and underpayments) or those that should not be made at all. For example, CMS estimated in fiscal year 2016 that the Medicare fee-for-service (FFS) improper payment rate was 11 percent (approximately $41 billion) and the Medicaid improper payment rate was 10.5 percent (approximately $36 billion). Improper payment measurement does not specifically identify or estimate improper payments due to fraud."], "subsections": []}, {"section_title": "Types of Health-Care Fraud and Fraud Risk", "paragraphs": ["Health-care fraud can take many forms, and a single case can involve more than one scheme. Schemes may include fraudulent billing for services not provided, services provided that were not medically necessary, and services intentionally billed at a higher level than appropriate. These fraud schemes may include compensating providers, beneficiaries, or others for participating in the fraud scheme. Fraud can be regionally focused or can target particular service areas such as home-health services, or durable medical equipment such as wheelchairs. Fraud may also have nonfinancial effects. For example, patients may be subjected to harmful or unnecessary services by fraudulent providers. Fraud can be perpetrated by different actors, such as providers, beneficiaries, health-insurance plans, as well as organized crime.", "Fraud and \u201cfraud risk\u201d are distinct concepts. Fraud is challenging to detect because of its deceptive nature. Additionally, once suspected fraud is identified, alleged fraud cases may be prosecuted. If the court determines that fraud took place, then fraudulent spending may be recovered. Fraud risk exists when individuals have an opportunity to engage in fraudulent activity, have an incentive or are under pressure to commit fraud, or are able to rationalize committing fraud. When fraud risks can be identified and mitigated, fraud may be less likely to occur.", "Although the occurrence of one or more cases of health-care fraud indicates there is a fraud risk, a fraud risk can exist even if fraud has not yet been identified or occurred. Suspicious billing patterns, certain types of health-care providers, or complexities in program design may indicate a risk of fraud. Information to help identify potential fraud risks may come from various sources, including whistleblowers, agency officials, contractors, law-enforcement agencies, beneficiaries, or providers."], "subsections": []}, {"section_title": "Fraud Risk Management Standards and Guidance", "paragraphs": ["According to federal standards and guidance, executive-branch agency managers are responsible for managing fraud risks and implementing practices for combating those risks. Federal internal control standards call for agency management officials to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that as part of this overall assessment, management should consider the potential for fraud when identifying, analyzing, and responding to risks. Risk management is a formal and disciplined practice for addressing risk and reducing it to an acceptable level.", "In July 2015, GAO issued the Fraud Risk Framework, which provides a comprehensive set of key components and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. The Fraud Risk Framework describes leading practices in four components: commit, assess, design and implement, and evaluate and adapt, as depicted in figure 2.", "The Fraud Reduction and Data Analytics Act of 2015, enacted in June 2016, requires OMB to establish guidelines for federal agencies to create controls to identify and assess fraud risks and design and implement antifraud control activities. The act further requires OMB to incorporate the leading practices from the Fraud Risk Framework in the guidelines. In July 2016, OMB published guidance about enterprise risk management and internal controls in federal executive departments and agencies. Among other things, this guidance affirms that managers should adhere to the leading practices identified in the Fraud Risk Framework. Further, the act requires federal agencies to submit to Congress a progress report each year for 3 consecutive years on the implementation of the controls established under OMB guidelines, among other things."], "subsections": []}]}, {"section_title": "CMS Manages Fraud Risks as Part of Its Agency-Wide Program-Integrity Activities and through an Extensive Network of Stakeholders", "paragraphs": [], "subsections": [{"section_title": "Fraud Risk Management Is a Part of CMS\u2019s Broader Program-Integrity Approach", "paragraphs": ["CMS\u2019s antifraud efforts for its four principal programs are part of the agency\u2019s broader program-integrity approach to address fraud, waste, and abuse. CMS\u2019s Center for Program Integrity (CPI) is the agency\u2019s focal point for program integrity across the programs. According to CMS, its approach to program-integrity allows it to \u201caddress the whole spectrum of fraud, waste, and abuse.\u201d For example, CMS describes its program- integrity activities as addressing unintentional errors resulting from providers being unaware of recent policy changes on one end of the spectrum, through somewhat more-serious patterns of abuse such as billing for a more-expensive service than was performed (known as upcoding), and finally up to serious fraudulent activities, such as billing for services that were not provided. CMS then aims to target its corrective actions to fit the risk. See figure 3 for CMS\u2019s description of the spectrum of fraud, waste, and abuse that its program-integrity activities aim to address.", "Within its program-integrity activities, CMS has established several control activities that are specific to managing fraud risks, while others serve broader program-integrity purposes. According to CMS officials, the agency\u2019s antifraud control activities mainly focus on providers in Medicare FFS. Officials told us that when CPI began operating, its primary focus was developing program integrity for Medicare FFS and, as a result, it is the most \u201cmature\u201d of all of CPI\u2019s programs. CMS\u2019s specific fraud control activities include, for example, the Fraud Prevention System (FPS), a predictive-analytics system that helps identify potentially fraudulent payments in Medicare FFS, and the Unified Program Integrity Contractors (UPIC), which detect and investigate aberrant provider behavior and potential fraud in Medicare and Medicaid. Other control activities serve broader program-integrity purposes such as to reduce improper payments resulting from error, waste, and abuse in addition to preventing or detecting potential fraud. For example, CMS provides education and outreach to Medicare providers and beneficiaries on issues identified through data analyses in order to reduce improper payments and to increase their awareness of fraud.", "HHS and CMS department- and agency-wide strategic plans guide CMS\u2019s program-integrity activities\u2014including antifraud activities. The program-integrity goals identified in the HHS strategic plan primarily focus on improper payments and are driven by statutory requirements. For example, the HHS strategic plan for fiscal years 2014\u20132018 includes performance goals of reducing the percentage of improper payments made under Medicare FFS and Medicare Parts C and D. One antifraud- focused goal in the HHS strategic plan is to increase the percentage of Medicare providers and suppliers identified as high risk that receive administrative actions, such as suspending payments to providers or revoking providers\u2019 billing privileges.", "HHS and CMS department- and agency-wide strategic plans also include an emphasis on fraud prevention and early detection\u2014a leading practice in the Fraud Risk Framework\u2014and moving away from a \u201cpay-and-chase\u201d model. For example, the HHS strategic plan calls for \u201cfostering early detection and prevention of improper payments by focusing on preventing bad actors from enrolling or remaining in Medicare and Medicaid\u201d and to \u201cuse public-private partnerships to prevent and detect fraud across the health care industry by sharing fraud-related information and data between the public and private sectors.\u201d As a part of this emphasis on prevention, CMS developed FPS in response to the Small Business Jobs Act of 2010, which required CMS to implement predictive-analytics technologies. Also, the Patient Protection and Affordable Care Act of 2010 (PPACA) included provisions to strengthen Medicare and Medicaid\u2019s provider enrollment standards and procedures, among other program-integrity provisions."], "subsections": []}, {"section_title": "CMS Uses an Extensive Network of Stakeholders to Manage Fraud Risks and Plays Varying Roles in These Relationships", "paragraphs": ["CMS works with an extensive and complex network of stakeholders to manage fraud risks in its four principal programs. In Medicaid and CHIP, CMS partners with and oversees the 50 states and the District of Columbia. Until the Deficit Reduction Act of 2005 expanded CMS\u2019s role in Medicaid program integrity to provide effective federal support and assistance to states\u2019 efforts to combat fraud, waste, and abuse, states were primarily responsible for Medicaid program integrity. Each state has its own Medicaid program-integrity unit, Medicaid Fraud Control Unit (MFCU), and state audit organization.", "CMS also uses numerous contractors to conduct the majority of its program-integrity activities. Since the enactment of Medicare in 1965, contractors have played an integral role in the administration of the program. The original Medicare program was designed so that the federal government contracted with health insurers or similar organizations experienced in handling physician and hospital claims to pay Medicare claims. Later, the Health Insurance Portability and Accountability Act of 1996 required the Secretary of Health and Human Services to enter into contracts to promote the integrity of the Medicare program. According to CMS officials, in fiscal year 2016 contractors received 92 percent of CMS\u2019s program-integrity funding. Medicare and Medicaid program- integrity contractors play a variety of roles: (1) processing and reviewing claims, (2) conducting site visits of providers enrolling in Medicare, (3) auditing claims and recovering overpayments, (4) performing data analysis, and (5) investigating aberrant claims and provider behaviors, among other things. States also use contractors in many of these roles for managing program integrity.", "Additionally, multiple private health-insurance plans in Medicare Parts C and D and over 200 health-insurance plans in Medicaid managed care also carry out program-integrity activities. For the health-insurance marketplaces, CMS is responsible for operating the federally facilitated marketplace and overseeing the state-based marketplaces. CMS also developed the Federal Data Services Hub, which acts as a portal for exchanging information between state-based marketplaces, the federally facilitated marketplace, and state Medicaid agencies, among other entities, as well as other external partners, including other federal agencies, such as the Internal Revenue Service. Finally, law- enforcement groups, including the joint Department of Justice (DOJ) and HHS OIG Medicare Fraud Strike Force Teams, identify, investigate, and prosecute instances of fraud in CMS programs. See figure 4 for a depiction of CMS\u2019s stakeholder network for managing fraud risks. This figure illustrates approximate numbers of stakeholders (through the concentration of dots), but not the extent of individual stakeholder roles.", "CMS provides oversight to, or partners with, these stakeholders to manage fraud risks. For oversight, CMS creates policies and guidance to direct stakeholders\u2019 antifraud efforts, such as Medicare and Medicaid program-integrity manuals and the Medicaid Provider Enrollment Compendium. CMS also provides technical assistance to states in areas such as provider enrollment and data analysis. In areas where CMS does not have a primary role, it acts as a partner by collaborating and coordinating program-integrity and antifraud activities. For example, CMS is directly responsible for Medicare program integrity, but, in Medicaid and CHIP, states are the first line of program-integrity efforts. Similarly, CMS maintains control over Medicare FFS program integrity, but within Medicare managed care, it provides guidance for health- insurance plans to carry out their own program-integrity activities.", "In the health-insurance marketplaces, CMS reviews state-based marketplaces\u2019 procedures for verifying applicant eligibility for coverage. For example, it conducts annual reviews of the state-based marketplaces, which include a review of states\u2019 fraud, waste, and abuse policies.", "See figure 5 for a further description of CMS\u2019s and various stakeholders\u2019 roles and responsibilities in fraud risk management.", "CMS also facilitates collaboration among federal, state, and private entities for managing fraud risks. In 2012, CMS created the Healthcare Fraud Prevention Partnership (HFPP) to share information with public and private stakeholders and to conduct studies related to health-care fraud, waste, and abuse. According to CMS, as of October 2017, the HFPP included 89 public and private partners, including Medicare- and Medicaid-related federal and state agencies, law-enforcement agencies, private health-insurance plans (payers), and antifraud and other health- care organizations. The HFPP has conducted studies that pool and analyze multiple payers\u2019 claims data to identify providers with patterns of suspect billing across payers. In a recent report, participants separately told us that the HFPP\u2019s studies helped them to identify and take action against potentially fraudulent providers and payment vulnerabilities of which they might not otherwise have been aware, and fostered both formal and informal information sharing.", "CMS\u2019s relationships with stakeholders were varied in terms of maturity and extent of information sharing, according to stakeholders we interviewed. While some relationships between CMS and stakeholders have been long-standing, some are developing, and others exist on an ad hoc basis. For example, CMS has had a long-standing relationship with state Medicaid program-integrity units, by collaborating through monthly meetings of the Medicaid Fraud and Abuse Technical Advisory Group, sending fraud alerts, and offering courses through the Medicaid Integrity Institute. However, in our interviews with state program-integrity units, and as we recently reported, some state Medicaid agencies shared concerns about the communication, level of policy guidance, and technical support provided by and received from CMS for managing fraud risks in Medicaid. This concern was echoed by state audit officials, with whom CMS recently initiated coordination to build relationships that would facilitate state auditing of Medicaid programs.", "CMS also has varying relationships with its law-enforcement partners. For example, the relationship between CMS and DOJ\u2019s Health Care Fraud unit, which leads the DOJ and HHS OIG Medicare Fraud Strike Force Teams, has been ad hoc. According to CMS and DOJ officials, the interactions between the agencies have been based on specific fraud cases such as coordination of national takedowns when DOJ provided CMS with the names of providers committing fraud so that CMS could suspend them consistently with the timing of the enforcement efforts. According to CMS officials, they coordinate more with HHS OIG, working together on payment suspensions and revocations for OIG cases, or working with it to take administrative actions against large providers."], "subsections": []}]}, {"section_title": "CMS\u2019s Efforts Managing Fraud Risks in Medicare and Medicaid Are Partially Aligned with the Fraud Risk Framework", "paragraphs": ["CMS\u2019s antifraud efforts partially align with the Fraud Risk Framework. Consistent with the framework, CMS has demonstrated commitment to combating fraud by creating a dedicated entity to lead antifraud efforts. It has also taken steps to establish a culture conducive to fraud risk management, although it could expand its antifraud training to include all employees. CMS has taken some steps to identify fraud risks in Medicare and Medicaid; however, it has not conducted a fraud risk assessment or developed a risk-based antifraud strategy for Medicare and Medicaid as defined in the Fraud Risk Framework. CMS has established monitoring and evaluation mechanisms for its program-integrity control activities that, if aligned with a risk-based antifraud strategy, could enhance the effectiveness of fraud risk management in Medicare and Medicaid."], "subsections": [{"section_title": "CMS Has Shown Commitment to Combating Fraud by Creating an Organizational Structure and Taking Steps to Establish a Culture Conducive to Fraud Risk Management CMS\u2019s Organizational Structure Includes a Dedicated Entity for Program-Integrity and Antifraud Efforts", "paragraphs": ["The commit component of the Fraud Risk Framework calls for an agency to commit to combating fraud by creating an organizational culture and structure conducive to fraud risk management. This component includes establishing a dedicated entity to lead fraud risk management activities.", "Within CMS, the Center for Program Integrity (CPI) serves as the dedicated entity for fraud, waste, and abuse issues in Medicare and Medicaid, which is consistent with the Fraud Risk Framework. CPI was established in 2010, in response to a November 2009 Executive Order on reducing improper payments and eliminating waste in federal programs. This formalized role, according to CMS officials, elevated the status of program-integrity efforts, which previously were carried out by other parts of CMS.", "As an executive-level Center\u2014on the same level with five other executive-level Centers at CMS, such as the Center for Medicare and the Center for Medicaid and CHIP Services\u2014CPI has a direct reporting line to executive-level management at CMS. The Fraud Risk Framework identifies a direct reporting line to senior-level managers within the agency as a leading practice. According to CMS officials, this elevated organizational status offers CPI heightened visibility across CMS, attention by CMS executive leadership, and involvement in executive- level conversations.", "Additionally, in 2014, CMS established a Program Integrity Board that has brought together senior officials across CMS Centers on a monthly basis to coordinate on fraud and program-integrity vulnerabilities. According to CPI officials, the board is one of the mechanisms through which CPI engages other executive-level offices at CMS. CPI chairs the meetings and typically develops meeting agendas to solicit information from and disseminate information to other CMS units or stakeholders. Further, the board may establish small working groups, known as integrated project teams, to address specific vulnerabilities. For example, according to CMS officials, in 2016 the board established a Marketplace integrated project team to resolve potential fraud eligibility and enrollment issues in the federally facilitated marketplace using the Fraud Risk Framework.", "CPI has further demonstrated commitment to addressing fraud, waste, and abuse through several organizational changes with the goal of improving coordination and communication of program-integrity activities across Medicare and Medicaid. Most recently, in 2014, CPI reorganized its structure to align functional areas across Medicare and Medicaid, where possible. Previously, separate units within CPI administered their own program-integrity activities for Medicare and Medicaid programs. For example, CPI established a Provider Enrollment and Oversight Group, responsible for provider screening and enrollment functions in both Medicare and Medicaid. According to CMS officials, if CPI employees identify an issue in provider enrollment in Medicare, the same CPI employees also consider how this issue applies to Medicaid. According to CMS officials, the reorganization has helped CPI to look at vulnerabilities in a crosscutting way and to facilitate communication across programs.", "Similarly, since 2016, CPI began shifting contracting functions from separate Medicare and Medicaid regional contractors that identify and investigate cases of potential fraud and conduct audits to five regional UPICs responsible for a range of program-integrity and fraud-specific activities in both Medicare FFS and Medicaid. According to CMS, the purpose of the UPICs is to coordinate provider investigations across Medicare and Medicaid, improve collaboration with states by providing a mutually beneficial service, and increase contractor accountability through coordinated oversight. CMS officials told us that UPIC integration is a cornerstone of CMS\u2019s contract management strategy and would help to ensure communication and coordination across Medicare and Medicaid program-integrity efforts. CMS plans to award all the UPIC contracts by the end of 2017, ultimately phasing out the ZPICs and Medicaid Integrity Contractors."], "subsections": [{"section_title": "CMS Has Taken Steps to Create a Culture Conducive to Fraud Risk Management but Could Enhance Antifraud Training for Employees", "paragraphs": ["The commit component of the Fraud Risk Framework also includes creating an organizational culture to combat fraud at all levels of the agency.", "Consistent with the Fraud Risk Framework, CMS has promoted an antifraud culture by demonstrating a senior-level commitment to combating fraud through public statements, increased resource levels, and internal and external coordination.", "In addition to HHS and CMS strategic documents discussed earlier, CMS and CPI leaders have testified publicly about CMS\u2019s commitment to preventing fraud and protecting taxpayers and beneficiaries. For example, CPI\u2019s former Director testified in May 2016 before the House Committee on Energy and Commerce\u2019s Subcommittee on Oversight and Investigations that \u201cCMS is deeply committed to our efforts to prevent waste, fraud and abuse in Medicare and Medicaid programs, protecting both taxpayers and the beneficiaries that we serve.\u201d More recently, CMS\u2019s new Administrator testified in her February 2017 confirmation hearing regarding her intent to prioritize efforts around preventing fraud and abuse.", "CPI\u2019s budget and resources have increased over time to support its ongoing program-integrity mission. According to CMS, program-integrity obligations for Medicare and Medicaid increased from about $1.02 billion in fiscal year 2010 to $1.45 billion in fiscal year 2016. According to CMS officials, the Health Care Fraud and Abuse Control (HCFAC) account, one of the primary sources of CPI funding, has never received a funding reduction. Additionally, in 2015, CPI received additional funding based on a discretionary cap adjustment to HCFAC. Similarly, CPI staff resources have increased over time. According to CMS, CPI\u2019s full-time equivalent positions increased from 177 in 2011 to 419 in 2017.", "Consistent with leading practices in the Fraud Risk Framework to involve all levels of the agency in setting an antifraud tone, CPI has also worked collaboratively with other CMS Centers. In addition to engaging executive-level officials of other CMS Centers through the Program Integrity Board, CPI has worked collaboratively with other Centers within CMS to incorporate antifraud features into new program design or policy development and established regular communication at the staff level. For example:", "Center for Medicare and Medicaid Innovation (CMMI). When developing the Medicare Diabetes Prevention Program, CMMI officials told us they worked with CPI\u2019s Provider Enrollment and Oversight Group and Governance Management Group to develop risk-based screening procedures for entities that would enroll in Medicare to provide diabetes-prevention services, among other activities. The program was expanded nationally in 2016, and CMS determined that an entity may enroll in Medicare as a program supplier if it satisfies enrollment requirements, including that the supplier must pass existing high categorical risk-level screening requirements.", "Center for Medicaid and CHIP Services (CMCS). CMCS officials told us they worked closely with CPI to issue Medicaid guidance and best practices to states on home and community-based services that incorporate program-integrity provisions. A senior CMCS official told us that, to address fraud, CMS has requested that states include provider information on claims to determine whether providers are meeting eligibility criteria.", "Center for Medicare (CM). In addition to building safeguards into programs and developing policies, CM officials told us that there are several standing meetings, on monthly, biweekly, and weekly bases, between groups within CM and CPI that discuss issues related to provider enrollment, FFS operations, and contractor management. A senior CM official also told us that there are ad hoc meetings taking place between CM and CPI: \u201cWe interact multiple times daily at different levels of the organization. Working closely is just a regular part of our business.\u201d", "CMS has also demonstrated its commitment to addressing fraud, waste, and abuse to its stakeholders. Representatives of CMS\u2019s extensive stakeholder network whom we interviewed\u2014state officials, contractors, and officials from public and private entities\u2014generally recognized the agency\u2019s commitment to combating fraud. In our interviews with stakeholders, officials observed CMS\u2019s increased commitment over time to address fraud, waste, and abuse and cited examples of specific CMS actions. State officials, for example, told us that the Medicaid Integrity Institute, a training center coordinated jointly by CMS and DOJ, has been a helpful resource for states to build capacity to address fraud and program integrity. CMS contractors told us that CMS\u2019s commitment to combating fraud is incorporated into contractual requirements, such as requiring (1) data analysis for potential fraud leads and (2) fraud- awareness training for providers. Officials from entities that are members of the HFPP, specifically, a health-insurance plan and the National Health Care Anti-Fraud Association, added that CMS\u2019s effort to establish the HFPP and its ongoing collaboration and information sharing reflect CMS\u2019s commitment to combat fraud in Medicare and Medicaid.", "The Fraud Risk Framework identifies training as one way of demonstrating an agency\u2019s commitment to combating fraud. Training and education intended to increase fraud awareness among stakeholders, managers, and employees, serves as a preventive measure to help create a culture of integrity and compliance within the agency. The Fraud Risk Framework discusses requiring all employees to attend training upon hiring and on an ongoing basis thereafter.", "To increase awareness of fraud risks in Medicare and Medicaid, CMS offers and requires training for stakeholder groups such as providers, beneficiaries, and health-insurance plans. Specifically, through its National Training Program and Medicare Learning Network, CMS makes available training materials on combating Medicare and Medicaid fraud, waste, and abuse. These materials help to identify and report fraud, waste, and abuse in CMS programs and are geared toward providers, beneficiaries, as well as trainers and other stakeholders. Separately, CMS requires health-insurance plans working with CMS to provide annual fraud, waste, and abuse training to their employees.", "However, CMS does not offer or require similar fraud-awareness training for the majority of its workforce. For a relatively small portion of its overall workforce\u2014specifically, contracting officer representatives who are responsible for certain aspects of the acquisition function\u2014CMS requires completion of fraud and abuse prevention training every 2 years. According to CMS, 638 of its contracting officer representatives (or about 10 percent of its overall workforce) completed such training in 2016 and 2017. Although CMS offers fraud-awareness training to others, the agency does not require fraud-awareness training for new hires or on a regular basis for all employees because the agency has focused on providing process-based internal controls training for its employees.", "While fraud-awareness training for contracting officer representatives is an important step in helping to promote fraud risk management, fraud- awareness training specific to CMS programs would be beneficial for all employees. Such training would not only be consistent with what CMS offers to or requires of its stakeholders and some of its employees, but would also help to keep the agency\u2019s entire workforce continuously aware of fraud risks and examples of known fraud schemes, such as those identified in successful OIG investigations. Such training would also keep employees informed as they administer CMS programs or develop agency policies and procedures. Considering the vulnerability of Medicare and Medicaid programs to fraud, waste, and abuse, without regular required training CMS cannot be assured that its workforce of over 6,000 employees is continuously aware of risks facing its programs.", "Although CMS has shown commitment to combating fraud, at times CPI\u2019s efforts to combat fraud compete with other mission priorities, such as (1) ensuring beneficiary access to health-care services and (2) limiting provider burden. CPI leadership has been aware of this inherent challenge. For example, at a congressional hearing in May 2016, CPI\u2019s Director stated that \u201cour efforts strike an important balance: protecting beneficiary access to necessary health care services and reducing the administrative burden on legitimate providers and suppliers, while ensuring that taxpayer dollars are not lost to fraud, waste, and abuse.\u201d", "Beneficiary access to care. In accordance with its mission statement, providing and improving beneficiaries\u2019 access to health care is a CMS priority. CMS\u2019s commitment to providing access to high-quality care and coverage is reflected in the agency\u2019s mission statement and is one of its four strategic goals. As a result, before taking administrative actions against a Medicare Part A provider, such as a hospice, or providers in rural areas, CMS officials told us that they first look at whether there is a sufficient number of providers in an area by running a provider search by provider county and adjacent counties and considering how heavily populated an area is with Medicare beneficiaries. According to these officials, rather than taking an administrative action against a provider that would limit beneficiaries\u2019 access to services, the agency may enter into a corrective action plan with the provider. CMS officials told us that revoking a provider\u2019s enrollment in Medicare, an option available to CMS in cases of provider noncompliance or misconduct, is rare.", "Administrative burden on providers. According to CMS documents and officials, concern over placing undue burden on providers\u2014the majority of whom are presumed to be honest\u2014provides a counterforce to implementing program-integrity control activities. CMS\u2019s web page entitled Reducing Provider Burden states: \u201cCMS is committed to reducing improper payments but must be mindful of provider burden because medical review is a resource-intensive process for both the healthcare provider and the Medicare review contractor.\u201d Two CMS contractors told us that they scaled back or did not pursue audits of providers\u2019 documentation because of provider burden or sensitivity considerations. One contractor removed providers from audit samples after some providers opposed having to supply multiple medical records. CPI officials told us that they want to reduce provider burden in a logical manner. For example, according to CMS officials, in the Medicare FFS Recovery Audit Program, CMS established limits on Additional Documentation Requests, which are requests for medical documentation supporting a claim being reviewed. CMS requires such documentation adjustments so that they align with a providers\u2019 claim denial rates. Providers with low denial rates will have lower documentation requirements, while providers with high denial rates will have higher documentation requirements, thus adjusting provider burden based on demonstrated compliance."], "subsections": []}]}, {"section_title": "CMS Has Taken Steps to Identify Program Fraud Risks but Has Not Conducted a Fraud Risk Assessment for Medicare or Medicaid", "paragraphs": [], "subsections": [{"section_title": "CMS Has Taken Steps to Identify Some Fraud Risks for Medicare and Medicaid", "paragraphs": ["The assess component of the Fraud Risk Framework calls for federal managers to plan regular fraud risk assessments and to assess risks to determine a fraud risk profile. Identifying fraud risks is one of the steps included in the Fraud Risk Framework for assessing risks to determine a fraud risk profile.", "CMS has taken steps to identify some fraud risks through several control activities that target areas the agency has designated as higher risk within Medicare and Medicaid, including specific provider types, such as home health agencies, and specific geographic locations. As discussed earlier, CMS officials told us that CPI initially focused on developing control activities for Medicare FFS and considers these activities to be the most mature of all CPI efforts to address fraud risks. CMS has identified fraud risks in the following selected examples, which are not an exhaustive list of its control activities.", "Data analytics to assist investigations in Medicare FFS. In 2011, CMS implemented FPS, a data-analytic system that screens all Medicare FFS claims to identify health-care providers with suspect billing patterns for further investigation. Medicare FFS contractors\u2014ZPICs and UPICs\u2014 have used FPS to identify and prioritize leads for investigations of potential fraud by high-risk Medicare FFS providers. Contractors told us that FPS allows them to quickly identify and triage leads. CMS\u2019s guidance requires contractors to prioritize investigations with the greatest program impact or urgency and identifies required criteria for prioritizing investigations, such as patient abuse or harm, multistate fraud, and high dollar amount of potential overpayments. One contractor we interviewed developed a risk-prioritization model that incorporated CMS\u2019s required criteria, such as patient harm, as well as additional criteria, such as provider spikes in billing, into a tool that automatically creates a provider risk score to help the contractor focus and prioritize investigative resources.", "Prior authorization for Medicare FFS services or supplies. CMS published a final rule in December 2015 that identifies a master list of durable medical equipment, prosthetics, orthotics, and supplies for which CMS can require prior authorization before suppliers submit a Medicare FFS claim. In this rule, CMS identified 135 items that are frequently subject to unnecessary utilization and stated that the agency expects the final rule to result in savings in the form of reduced unnecessary utilization, fraud, waste, and abuse. Under this program, prior authorization is a condition of payment for claims. CMS can choose which items on the master list to subject to prior authorization. For example, in March 2017, it began requiring prior authorization for selected power wheelchairs in four states and expanded the prior authorization program for these items to all states in July 2017.", "CMS also began to test the use of prior authorization on a voluntary basis through a series of fixed-length demonstrations for items and services that have been associated with high levels of improper payments, including high incidences of fraud in some cases, and unnecessary utilization in certain geographic areas. For example, CMS began implementing a voluntary prior authorization demonstration in September 2012 for other power mobility devices, such as power scooters, in seven states where historically there has been extensive evidence of fraud and improper payments. CMS expanded the demonstration to an additional 12 states in October 2014, for a total of 19 states. According to the initial Federal Register notice, CMS planned to use the demonstration to develop improved methods for investigation and prosecution of fraud to protect federal funds from fraudulent actions and the resulting improper payments. Under the demonstration, providers and suppliers are encouraged\u2014but not required\u2014to submit a request for prior authorization for certain items before they provide the item to the beneficiary and submit a claim for payment.", "Revised provider screening and enrollment processes for Medicare FFS and Medicaid FFS. In response to PPACA, in 2011 CMS implemented a revised screening process for providers and suppliers who enroll in Medicare and Medicaid based on identified provider risk categories. CMS placed all Medicare provider and supplier types into one of three risk categories\u2014limited, moderate, or high\u2014based on its assessment of the potential risk of fraud, waste, and abuse each provider and supplier type poses. For example, CMS designated prospective (newly enrolling) home health agencies and prospective suppliers of durable medical equipment, prosthetics, orthotics, and supplies in the high-risk category. According to the final rule and our interviews with CMS officials, CMS developed these risk-based categories based on its review and synthesis of various information sources about the fraud risks posed by each provider and supplier type, including (1) the agency\u2019s experience with claims data used to identify potentially fraudulent billing practices, (2) expertise of contractors responsible for investigating and identifying Medicare fraud, and (3) GAO and OIG reports. CMS designated specific screening activities for each risk category, with increased requirements for moderate- and high-risk provider and supplier types. For example, moderate- and high-risk providers and suppliers must receive preenrollment site visits, and high-risk providers and suppliers also are subject to fingerprint-based criminal-background checks. As part of the revised screening process, beginning in September 2011, CMS also undertook its first program-wide effort to rescreen, or revalidate, the enrollment records of about 1.5 million existing Medicare FFS providers and suppliers, to determine whether they remain eligible to bill Medicare.", "Temporary provider enrollment moratoriums for certain providers and geographic areas for Medicare FFS and Medicaid FFS. CMS identified certain provider types and geographic areas as high risk for fraud and used its authority under PPACA to implement temporary moratoriums to suspend enrollment of such Medicare and Medicaid providers in those areas. For example, in July 2016, CMS extended temporary moratoriums statewide on the enrollment of new Medicare Part B nonemergency ambulance suppliers and Medicare home health agencies statewide in six states, as applicable. The statewide moratoriums also apply to Medicaid. According to the Federal Register notice, CMS imposed the temporary moratoriums based on qualitative and quantitative factors suggesting a high risk of fraud, waste, or abuse, such as law-enforcement expertise with emerging fraud trends and investigations. CMS\u2019s data analysis also confirmed the agency\u2019s determination of a high risk of fraud, waste, and abuse for these provider and supplier types within certain geographic areas, according to the notice.", "Medicaid state program integrity reviews and desk reviews. CMS tailored state Medicaid program-integrity reviews to areas it identified as high risk for improper payments, such as personal care services, which may also be at high risk for fraud. In March 2017, we reported that, from fiscal years 2014 through 2016, CMS conducted focused reviews of state program-integrity efforts in 31 states, reviewing 10 or 11 states annually. For each state, CMS tailored its focused reviews to the state\u2019s managed care plans and relevant other high-risk areas, including provider enrollment and screening, nonemergency medical transportation, and personal care services. CMS and state officials we spoke with as part of that work told us that the tailored oversight had been beneficial and helped identify areas for improvement. CMS has also initiated desk reviews of state program-integrity efforts. According to CMS, these desk reviews allow the agency to provide states with customized program- integrity oversight.", "Vulnerability tracking system for Medicare. CPI recently initiated an effort to centralize and formalize a vulnerability tracking process for Medicare, which could support identification of specific fraud risks, both in Medicare and possibly Medicaid. As described by CPI officials, the process aims to collect information on fraud-related vulnerabilities from CMS employees, contractors, and other sources, such as GAO and HHS OIG reports."], "subsections": []}, {"section_title": "CMS Has Not Conducted a Fraud Risk Assessment for Medicare or Medicaid", "paragraphs": ["The assess component of the Fraud Risk Framework calls for federal managers to plan regular fraud risk assessments and assess risks to determine a fraud risk profile. Furthermore, federal internal control standards call for agency management to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that, as part of this overall assessment, management should consider the potential for fraud when identifying, analyzing, and responding to risks.", "The Fraud Risk Framework states that, in planning the fraud risk assessment, effective managers tailor the fraud risk assessment to the program by, among other things, identifying appropriate tools, methods, and sources for gathering information about fraud risks and involving relevant stakeholders in the assessment process. Fraud risk assessments that align with the Fraud Risk Framework involve (1) identifying inherent fraud risks affecting the program, (2) assessing the likelihood and impact of those fraud risks, (3) determining fraud risk tolerance, (4) examining the suitability of existing fraud controls and prioritizing residual fraud risks, and (5) documenting the results. (See fig. 6.)", "Although, as discussed earlier, CMS has identified some fraud risks posed by providers in Medicare FFS and, to a lesser degree, Medicaid FFS, the agency has not conducted a fraud risk assessment for either the Medicare or Medicaid program. Such a risk assessment would provide the detailed information and insights needed to create a fraud risk profile, which, in turn, is the basis for creating an antifraud strategy.", "According to CMS officials, CMS has not conducted a fraud risk assessment for Medicare or Medicaid because, within CPI\u2019s broader approach of preventing and eliminating improper payments, its focus has been on addressing specific vulnerabilities among provider groups that have shown themselves particularly prone to fraud, waste, and abuse. With this approach, however, it is unlikely that CMS will be able to design and implement the most-appropriate control activities to respond to the full portfolio of fraud risks.", "A fraud risk assessment consists of discrete activities that build upon each other. Specifically: Identifying inherent fraud risks affecting the program. As discussed earlier, CMS has taken steps to identify fraud risks. However, CMS has not used a process to identify inherent fraud risks from the universe of potential vulnerabilities facing Medicare and Medicaid programs, including threats from various sources. According to CPI officials, most of the agency\u2019s fraud control activities are focused on fraud risks posed by providers. The Fraud Risk Framework discusses fully considering inherent fraud risks from internal and external sources in light of fraud risk factors such as incentives, opportunities, and rationalization to commit fraud. For example, according to CMS officials, the inherent design of the Medicare Part C program may pose fraud risks that are challenging to detect. A fraud risk assessment would help CMS identify all sources of fraudulent behaviors, beyond threats posed by providers, such as those posed by health-insurance plans, contractors, or employees.", "Assessing the likelihood and impact of fraud risks and determining fraud risk tolerance. CMS has taken steps to prioritize fraud risks in some areas, but it has not assessed the likelihood or impact of fraud risks or determined fraud risk tolerance across all parts of Medicare and Medicaid. Assessing the likelihood and impact of inherent fraud risks would involve consideration of the impact of fraud risks on program finances, reputation, and compliance. Without assessing the likelihood and impact of risks in Medicare or Medicaid or internally determining which fraud risks may fall under the tolerance threshold, CMS cannot be certain that it is aware of the most-significant fraud risks facing these programs and what risks it is willing to tolerate based on the programs\u2019 size and complexity.", "Examining the suitability of existing fraud controls and prioritizing residual fraud risks. CMS has not assessed existing control activities or prioritized residual fraud risks. According to the Fraud Risk Framework, managers may consider the extent to which existing control activities\u2014whether focused on prevention, detection, or response\u2014mitigate the likelihood and impact of inherent risks and whether the remaining risks exceed managers\u2019 tolerance. This analysis would help CMS to prioritize residual risks and to determine mitigation approaches. For example, CMS has not established preventive fraud control activities in Medicare Part C. Using a fraud risk assessment for Medicare Part C and closely examining existing fraud control activities and residual risks, CMS could be better positioned to address fraud risks facing this growing program and develop preventive control activities. Further, without assessing existing fraud control activities and prioritizing residual fraud risks, CMS cannot be assured that its current control activities are addressing the most-significant risks. Such analysis would also help CMS determine whether additional, preferably preventive, fraud controls are needed to mitigate residual risks, make adjustments to existing control activities, and potentially scale back or remove control activities that are addressing tolerable fraud risks.", "Documenting the risk-assessment results in a fraud risk profile. CMS has not developed a fraud risk profile that documents key findings and conclusions of the fraud risk assessment. According to the Fraud Risk Framework, the risk profile can also help agencies decide how to allocate resources to respond to residual fraud risks. Given the large size and complexity of Medicare and Medicaid, a documented fraud risk profile could support CMS\u2019s resource-allocation decisions as well as facilitate the transfer of knowledge and continuity across CMS staff and changing administrations.", "Senior CPI officials told us that the agency plans to start a fraud risk assessment for Medicare and Medicaid after it completes a separate fraud risk assessment of the federally facilitated marketplace. This fraud risk assessment for the federally facilitated marketplace eligibility and enrollment process is being conducted in response to a recommendation we made in February 2016. In April 2017, CPI officials told us that this fraud risk assessment was largely completed, although in September 2017 CPI officials told us that the assessment was undergoing agency review. CPI officials told us that they have informed CM and CMCS officials that there will be future fraud risk assessments for Medicare and Medicaid; however, they could not provide estimated timelines or plans for conducting such assessments, such as the order or programmatic scope of the assessments.", "Once completed, CMS could use the federally facilitated marketplace fraud risk assessment and apply any lessons learned when planning for and designing fraud risk assessments for Medicare and Medicaid. According to the Fraud Risk Framework, factors such as size, resources, maturity of the agency or program, and experience in managing risks can influence how the entity plans the fraud risk assessment. Additionally, effective managers tailor the fraud risk assessment to the program when planning for it. The large scale and complexity of Medicare and Medicaid as well as time and resources involved in conducting a fraud risk assessment underscore the importance of a well-planned and tailored approach to identifying the assessment\u2019s programmatic scope. Planning and tailoring may involve decisions to conduct a fraud risk assessment for Medicare and Medicaid programs as a whole or divided into several subassessments to reflect their various component parts (e.g., Medicare FFS, Medicaid managed care) as well as determining the timing and order of assessments (e.g., concurrently or consecutively for Medicare and Medicaid).", "CMS\u2019s existing fraud risk identification efforts as well as communication channels with stakeholders could serve as a foundation for developing a fraud risk assessment for Medicare and Medicaid. The leading practices identified in the Fraud Risk Framework discuss the importance of identifying appropriate tools, methods, and sources for gathering information about fraud risks and involving relevant stakeholders in the assessment process. CMS\u2019s fraud risk identification efforts discussed earlier could provide key information about fraud risks and their likelihood and impact. Further, existing relationships and communication channels across CMS and its extensive network of stakeholders could support building a comprehensive understanding of known and potential fraud risks for the purposes of a fraud risk assessment. For example, the fraud vulnerabilities identified through data analysis and information sharing with states, health-insurance plans, law-enforcement organizations, and contractors through the HFPP could inform a fraud risk assessment. CPI\u2019s Command Center missions\u2014facilitated collaboration sessions that bring together experts from various disciplines to improve the processes for fraud prevention in Medicare and Medicaid\u2014could bring together experts to identify potential or emerging fraud vulnerabilities or to brainstorm approaches to mitigate residual fraud risks.", "As CMS makes plans to move forward with a fraud risk assessment for Medicare and Medicaid, it will be important to consider the frequency with which the fraud risk assessment would need to be updated. While, according to the Fraud Risk Framework, the time intervals between updates can vary based on the programmatic and operating environment, assessing fraud risks on an ongoing basis is important to ensure that control activities are continuously addressing fraud risks. The constantly evolving fraud schemes, the size of the programs in terms of beneficiaries and expenditures, as well as continual changes in Medicare and Medicaid programs\u2014such as development of innovative payment models and increasing managed-care enrollment\u2014call for constant vigilance and regular updates to the fraud risk assessment."], "subsections": []}]}, {"section_title": "CMS Has Not Developed a Risk-Based Antifraud Strategy for Medicare and Medicaid, Which Would Include Plans for Monitoring and Evaluation", "paragraphs": [], "subsections": [{"section_title": "CMS Has Not Developed a Risk-Based Antifraud Strategy", "paragraphs": ["The design and implement component of the Fraud Risk Framework calls for federal managers to design and implement a strategy with specific control activities to mitigate assessed fraud risks and collaborate to help ensure effective implementation.", "According to the Fraud Risk Framework, effective managers develop and document an antifraud strategy that describes the program\u2019s approach for addressing the prioritized fraud risks identified during the fraud risk assessment, also referred to as a risk-based antifraud strategy. A risk- based antifraud strategy describes existing fraud control activities as well as any new fraud control activities a program may adopt to address residual fraud risks. In developing a strategy and antifraud control activities, effective managers focus on fraud prevention over detection, develop a plan for responding to identified instances of fraud, establish collaborative relationships with stakeholders, and create incentives to help effectively implement the strategy. Additionally, as part of a documented strategy, management identifies roles and responsibilities of those involved in fraud risk management activities; describes control activities as well as plans for monitoring and evaluation, creates timelines, and communicates the antifraud strategy to employees and stakeholders, among other things.", "As discussed earlier, CMS has some control activities in place to identify fraud risk in Medicare and Medicaid, particularly in the FFS program. However, CMS has not developed and documented a risk-based antifraud strategy to guide its design and implementation of new antifraud activities and to better align and coordinate its existing activities to ensure it is targeting and mitigating the most-significant fraud risks.", "Antifraud strategy. CMS officials told us that CPI does not have a documented risk-based antifraud strategy. Although CMS has developed several documents that describe efforts to address fraud, the agency has not developed a risk-based antifraud strategy for Medicare and Medicaid because, as discussed earlier, it has not conducted a fraud risk assessment that would serve as a foundation for such strategy.", "In 2016, CPI identified five strategic objectives for program integrity, which include antifraud elements and an emphasis on prevention. However, according to CMS officials, these objectives were identified from discussions with CMS leadership and various stakeholders and not through a fraud risk assessment process to identify inherent fraud risks from the universe of potential vulnerabilities, as described earlier and called for in the leading practices. These strategic objectives were presented at an antifraud conference in 2016, but were not announced publicly until the release of the Annual Report to Congress on the Medicare and Medicaid Integrity Programs for Fiscal Year 2015 in June 2017.", "Stakeholder relationships and communication. CMS has established relationships and communicated with stakeholders, but, without an antifraud strategy, stakeholders we spoke with lacked a common understanding of CMS\u2019s strategic approach. Prior work on practices that can help federal agencies collaborate effectively calls for a strategy that is shared with stakeholders to promote trust and understanding. Once an antifraud strategy is developed, the Fraud Risk Framework calls for managers to collaborate to ensure effective implementation. Although some CMS stakeholders were able to describe various CMS program- integrity priorities and activities, such as home health being a fraud risk priority, the stakeholders could not communicate, articulate, or cite a common CMS strategic approach to address fraud risks in its programs.", "Incentives. The Fraud Risk Framework discusses creating incentives to help ensure effective implementation of the antifraud strategy once it is developed. Currently, some incentives within stakeholder relationships may complicate CMS\u2019s antifraud efforts. As discussed earlier, CMS is a partner and provides oversight to states\u2019 program-integrity functions. Officials from one state told us that they were reluctant to share their program vulnerabilities because CMS would use this information to later audit the state. Among contractors, CMS encourages information sharing through conferences and workshops; however, competition for CMS business among contractors can be a disincentive to information sharing. CMS officials acknowledged this concern and said that they expect contractors to share information related to fraud schemes, outcomes of investigations, and tips for addressing fraud, but not proprietary information such as algorithms to risk-score providers.", "Without developing and documenting an antifraud strategy based on a fraud risk assessment, as called for in the design and implement component of the Fraud Risk Framework, CMS cannot ensure that it has a coordinated approach to address the range of fraud risks and to appropriately target and allocate resources for the most-significant risks. Considering fraud risks to which the Medicare and Medicaid programs are most vulnerable, in light of the malicious intent of those who aim to exploit the programs, would help CMS to examine its current control activities and potentially design new ones with recognition of fraudulent behavior it aims to prevent. This focus on fraud is distinct from a broader view of program integrity and improper payments by considering the intentions and incentives of those who aim to deceive rather than well-intentioned providers who make mistakes. Also, continued growth of the programs, such as growth of Medicare Part C and Medicaid managed care, call for consideration of preventive fraud control activities across the entire network of entities involved.", "Further, considering the large size and complexity of Medicare and Medicaid and the extensive stakeholder network involved in managing fraud in the programs, a strategic approach to managing fraud risks within the programs is essential to ensure that a number of existing control activities and numerous stakeholder relationships and incentives are being aligned to produce desired results. Once developed, an antifraud strategy that is clearly articulated to various CMS stakeholders would help CMS to address fraud risks in a more coordinated and deliberate fashion. Thinking strategically about existing control activities, resources, tools, and information systems could help CMS to leverage resources while continuing to integrate Medicare and Medicaid program-integrity efforts along functional lines. A strategic approach grounded in a comprehensive assessment of fraud risks could also help CMS to identify future enhancements for existing control activities, such as new preventive capabilities for FPS or additional fraud factors in provider enrollment and revalidation, such as provider risk scoring, to stay in step with evolving fraud risks."], "subsections": []}, {"section_title": "CMS Has Established Monitoring and Evaluation Mechanisms That Could Inform a Risk-Based Antifraud Strategy for Medicare and Medicaid", "paragraphs": ["The evaluate and adapt component of the Fraud Risk Framework calls for federal managers to evaluate outcomes using a risk-based approach and adapt activities to improve fraud risk management. Furthermore, according to federal internal control standards, managers should establish and operate monitoring activities to monitor the internal control system and evaluate the results, which may be compared against an established baseline. Ongoing monitoring and periodic evaluations provide assurances to managers that they are effectively preventing, detecting, and responding to potential fraud.", "CMS has established monitoring and evaluation mechanisms for its program-integrity activities that it could incorporate into an antifraud strategy.", "In Medicare, CMS has taken steps to measure the rate of fraud in a particular service area. We have previously reported that agencies may face challenges measuring outcomes of fraud risk management activities in a reliable way. These challenges include the difficulty of measuring the extent of deterred fraud, isolating potential fraud from legitimate activity or other forms of improper payments, and determining the amount of undetected fraud. Despite these challenges, CMS has taken steps to estimate a fraud baseline\u2014meaning the rate of probable fraud\u2014in the home health benefit. In fiscal year 2016, CMS conducted a pretest in the Miami-Dade area of Florida to evaluate its potential measurement approach that could later be used in a nationwide study of probable fraud among home health agencies. The pretest was not a random sample and was not intended to produce a rate of fraud, but instead was intended to test the interview instruments and data-collection methodology CMS might use in a study nationwide. CMS and its contractor collected information from home health agencies, the attending providers, and Medicare beneficiaries in the Miami-Dade area in order to test these interview instruments. CMS completed this pretest, but, according to CMS officials, the agency does not yet have plans to roll out a nationwide study that would estimate a probable fraud rate for the Medicare FFS home health benefit.", "In its 2015 annual report to Congress, CMS stated that \u201cdocumenting the baseline amount of fraud in Medicare is of critical importance, as it allows officials to evaluate the success of ongoing fraud prevention activities.\u201d CMS officials working on the pilot told us that having an estimate of the rate of fraud in home health benefits would allow CMS to reliably assess its efforts at eliminating or reducing fraud. Without a baseline, officials said, the agency cannot know whether its antifraud efforts are as effective as they could be. We previously reported that the lack of a baseline for the amount of health-care fraud that exists limits CMS\u2019s ability to determine whether its activities are effectively reducing health care fraud and abuse. A baseline estimate could provide an understanding of the extent of fraud and, with additional information on program activities, could help to inform decision making related to allocation of resources to combat health-care fraud.", "As described in the Fraud Risk Framework, in the absence of a fraud baseline, agencies can gather additional information on the short-term or intermediate outcomes of some antifraud initiatives, which may be more readily measured. For example, CMS has developed some performance measures to provide a basis for monitoring its progress towards meeting the program-integrity goals set in the HHS Strategic Plan and Annual Performance Plan. Specifically, CMS measures whether it is meeting its goal of \u201cincreasing the percentage of Medicare FFS providers and suppliers identified as high risk that receive an administrative action.\u201d CMS does not set specific antifraud goals for other parts of Medicare or Medicaid; other CMS performance measures relate to measuring or reducing improper payments in CHIP, Medicaid, and the various parts of Medicare.", "CMS uses return-on-investment and savings estimates to measure the effectiveness of its Medicare program-integrity activities and FPS. For example, CMS uses return-on-investment to measure the effectiveness of FPS and, in response to a recommendation we made in 2012, CMS developed outcome-based performance targets and milestones for FPS. CMS has also conducted individual evaluations of its program-integrity activities, such as an interim evaluation of the prior-authorization demonstration for power mobility devices that began in 2012 and is currently implemented in 19 states.", "Commensurate with greater maturity of control activities in Medicare FFS compared to other parts of Medicare and Medicaid, monitoring and evaluation activities for Medicare Parts C and D and Medicaid are more limited. For example, CMS calculates savings for its program-integrity activities in Medicare Parts C and D, but not a full return-on-investment. CMS officials told us that calculating costs for specific activities is challenging because of overlapping activities among contractors. CMS officials said they continue to refine methods and develop new savings estimates for additional program-integrity activities.", "According to the Fraud Risk Framework, effective managers develop a strategy and evaluate outcomes using a risk-based approach. In developing an effective strategy and antifraud activities, managers consider the benefits and costs of control activities. Ongoing monitoring and periodic evaluations provide reasonable assurance to managers that they are effectively preventing, detecting, and responding to potential fraud. Monitoring and evaluation activities can also support managers\u2019 decisions about allocating resources, and help them to demonstrate their continued commitment to effectively managing fraud risks.", "As CMS takes steps to develop an antifraud strategy, it could include plans for refining and building on existing methods such as return-on- investment or savings measures, and setting appropriate targets to evaluate the effectiveness of all of CMS\u2019s antifraud efforts. Such a strategy would help CMS to efficiently allocate program-integrity resources and to ensure that the agency is effectively preventing, detecting, and responding to potential fraud. For example, while doing so would involve challenges, CMS\u2019s strategy could detail plans to advance efforts to measure a potential fraud rate through baseline and periodic measures. Fraud rate measurement efforts could also inform risk assessment activities, identify currently unknown fraud risks, align resources to priority risks, and develop effective outcome metrics for antifraud controls. Such a strategy would also help CMS ensure that it has effective performance measures in place to assess its antifraud efforts beyond those related to providers in Medicare FFS, and establish appropriate targets to measure the agency\u2019s progress in addressing fraud risks.", "As CMS makes plans to move forward with a strategy and to further develop evaluation and monitoring mechanisms, it will be important to share its efforts with stakeholders. The Fraud Risk Framework states that effective managers communicate lessons learned from fraud risk management activities to stakeholders. For example, CMS could be a leader to states in measuring the effectiveness of program-integrity efforts. Officials in three of the four states we spoke with expressed interest in receiving CMS guidance on how to measure the effectiveness of their Medicaid program-integrity efforts, such as by providing models for how to calculate return-on-investment."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Medicare and Medicaid provide health insurance to over 129 million Americans, but the size\u2014in terms of number of beneficiaries and amount of expenditures\u2014as well as complexity of these programs make them inherently susceptible to fraud and improper payments. CMS currently manages these risks across its programs as part of a broader approach to identifying and controlling for multiple sources of improper payments and by developing relationships with an extensive network of stakeholders. In Medicare and Medicaid specifically, we note that CMS has taken many important steps toward implementing a strategic approach for managing fraud. However, the agency could benefit by more fully aligning its efforts with the four components of the Fraud Risk Framework.", "CMS is well positioned to leverage its fraud risk management efforts\u2014 such as demonstrated leadership for combating fraud, existing control activities, and stakeholder relationships\u2014to provide additional antifraud training, as well as to develop an antifraud strategy based on fraud risk assessments for Medicare and Medicaid. We recognize that the effort may be challenging, given the size and complexity of Medicare and Medicaid, and the need to balance antifraud activities with CMS\u2019s other mission priorities. However, by not employing the actions identified in the Fraud Risk Framework and incorporating them in its approach to managing fraud risks, CMS is missing a significant opportunity to better ensure employee vigilance against fraud, and to organize and focus its many antifraud and program-integrity activities and related resources into a comprehensive strategy. Such a strategy would (1) provide reasonable assurance that CMS is targeting the most-significant fraud risks in its programs and (2) help protect the government\u2019s substantial and growing investments in these programs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to CMS:", "The Administrator of CMS should provide fraud-awareness training relevant to risks facing CMS programs and require new hires to undergo such training and all employees to undergo training on a recurring basis. (Recommendation 1)", "The Administrator of CMS should conduct fraud risk assessments for Medicare and Medicaid to include respective fraud risk profiles and plans for regularly updating the assessments and profiles. (Recommendation 2)", "The Administrator of CMS should, using the results of the fraud risk assessments for Medicare and Medicaid, create, document, implement, and communicate an antifraud strategy that is aligned with and responsive to regularly assessed fraud risks. This strategy should include an approach for monitoring and evaluation. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS and DOJ for comment. HHS provided written comments, which are reprinted in appendix I. DOJ did not have comments. HHS and DOJ also provided technical comments, which we incorporated as appropriate.", "In commenting on this report, HHS agreed with our three recommendations. Specifically, in response to our first recommendation to provide required fraud-awareness training to all employees, HHS stated that it will develop and implement a fraud-awareness training plan to ensure all CMS employees receive training.", "Regarding our second recommendation to conduct fraud risk assessments for Medicare and Medicaid, HHS stated that it is currently conducting a fraud risk assessment on the federally facilitated marketplace and, when this assessment is complete, will apply the lessons learned in assessing this program to fraud risk assessments of Medicare and Medicaid.", "In response to our third recommendation to create, document, implement, and communicate an antifraud strategy that is aligned with and responsive to regularly assessed fraud risks, HHS stated that it will develop respective risk-based antifraud strategies after completing fraud risk assessments for Medicare and Medicaid.", "We are sending copies of this report to the Acting Secretary of Health and Human Services, the Administrator of CMS, the Assistant Attorney General for Administration at DOJ, as well as appropriate congressional committees and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-6722 or bagdoyans@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tonita Gillich (Assistant Director), Irina Carnevale (Analyst-in-Charge), Michael Duane, Laura Sutton Elsberg, and Catrin Jones made key contributions to this report. Also contributing to the report were Lori Achman, James Ashley, Colin Fallon, Leslie V. Gordon, Maria McMullen, Sabrina Streagle, and Shana Wallace."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-667T", "url": "https://www.gao.gov/products/GAO-18-667T", "title": "Information Security: Supply Chain Risks Affecting Federal Agencies", "published_date": "2018-07-12T00:00:00", "released_date": "2018-07-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IT systems are essential to the operations of the federal government. The supply chain\u2014the set of organizations, people, activities, and resources that create and move a product from suppliers to end users\u2014for IT systems is complex and global in scope. The exploitation of vulnerabilities in the IT supply chain is a continuing threat. Federal security guidelines provide for managing the risks to the supply chain.", "This testimony statement highlights information security risks associated with the supply chains used by federal agencies to procure IT systems. The statement also summarizes GAO's 2012 report that assessed the extent to which four national security-related agencies had addressed such risks. To develop this statement, GAO relied on its previous reports, as well as information provided by the national security-related agencies on their actions in response to GAO's previous recommendations. GAO also reviewed federal information security guidelines and directives."]}, {"section_title": "What GAO Found", "paragraphs": ["Reliance on a global supply chain introduces multiple risks to federal information systems. Supply chain threats are present during the various phases of an information system's development life cycle and could create an unacceptable risk to federal agencies. Information technology (IT) supply chain-related threats are varied and can include:", "installation of intentionally harmful hardware or software (i.e., containing \u201cmalicious logic\u201d);", "installation of counterfeit hardware or software;", "failure or disruption in the production or distribution of critical products;", "reliance on malicious or unqualified service providers for the performance of technical services; and", "installation of hardware or software containing unintentional vulnerabilities, such as defective code.", "These threats can have a range of impacts, including allowing adversaries to take control of systems or decreasing the availability of materials needed to develop systems. These threats can be introduced by exploiting vulnerabilities that could exist at multiple points in the supply chain. Examples of such vulnerabilities include the acquisition of products or parts from unauthorized distributors; inadequate testing of software updates and patches; and incomplete information on IT suppliers. Malicious actors could exploit these vulnerabilities, leading to the loss of the confidentiality, integrity, or availability of federal systems and the information they contain.", "GAO reported in 2012 that the four national security-related agencies in its review\u2014the Departments of Defense, Justice, Energy, Homeland Security (DHS)\u2014varied in the extent to which they had addressed supply chain risks. Of the four agencies, Defense had made the most progress addressing the risks. It had defined and implemented supply chain protection controls, and initiated efforts to monitor the effectiveness of the controls. Conversely, Energy and DHS had not developed or documented policies and procedures that defined security measures for protecting against IT supply chain threats and had not developed capabilities for monitoring the implementation and effectiveness of the measures. Although Justice had defined supply chain protection measures, it also had not developed or documented procedures for implementing or monitoring the measures.", "Energy and Justice fully implemented the recommendations that GAO made in its 2012 report and resolved the deficiencies that GAO had identified with their supply chain risk management efforts by 2016. DHS also fully implemented two recommendations to document policies and procedures for defining and implementing security measures to protect against supply chain threats by 2015, but could not demonstrate that it had fully implemented the recommendation to develop and implement a monitoring capability to assess the effectiveness of the security measures."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its 2012 report, GAO recommended that Justice, Energy, and DHS take eight actions, as needed, to develop and document policies, procedures, and monitoring capabilities that address IT supply chain risk. The departments generally concurred with the recommendations and subsequently implemented seven recommendations and partially implemented the eighth recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to testify at today\u2019s hearing on keeping adversaries away from the homeland security supply chain. As you know, federal agencies and the owners and operators of our nation\u2019s critical infrastructure rely extensively on information technology (IT) and IT services to carry out their operations. Securing this technology, its supply chain, and the information it contains is essential to protecting national and economic security.", "Since 1997, we have identified federal information security as a governmentwide high-risk area. In 2003, we expanded this high-risk area to include protecting systems supporting our nation\u2019s critical infrastructure.", "My statement provides an overview of the information security risks associated with the supply chains used by federal agencies to procure IT equipment, software, or services. The statement also discusses our 2012 assessment of the extent to which four national security-related agencies\u2014the Departments of Defense, Justice, Energy, and Homeland Security (DHS)\u2014had addressed these risks.", "In developing this testimony, we relied on our previous reports, as well as information provided by the national security-related agencies on their actions in response to our previous recommendations. We also considered information contained in special publications issued by the National Institute of Standards and Technology (NIST) and a directive issued by DHS. A more detailed discussion of the objectives, scope, and methodology for this work is included in each of the reports that are cited throughout this statement.", "The work on which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions. We believe that the evidence obtained provided a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The design and development of information systems can be complex undertakings, consisting of a multitude of pieces of equipment and software products, and service providers. Each of the components of an information system may rely on one or more supply chains\u2014that is, the set of organizations, people, activities, information, and resources that create and move a product or service from suppliers to an organization\u2019s customers.", "Obtaining a full understanding of the sources of a given information system can also be extremely complex. According to the Software Engineering Institute, the identity of each product or service provider may not be visible to others in the supply chain. Typically, an acquirer, such as a federal agency, may only know about the participants to which it is directly connected in the supply chain. Further, the complexity of corporate structures, in which a parent company (or its subsidiaries) may own or control companies that conduct business under different names in multiple countries, presents additional challenges to fully understanding the sources of an information system. As a result, the acquirer may have little visibility into the supply chains of its suppliers.", "Federal procurement law and policies promote the acquisition of commercial products when they meet the government\u2019s needs. Commercial providers of IT use a global supply chain to design, develop, manufacture, and distribute hardware and software products throughout the world. Consequently, the federal government relies heavily on IT equipment manufactured in foreign nations.", "Federal information and communications systems can include a multitude of IT equipment, products, and services, each of which may rely on one or more supply chains. These supply chains can be long, complex, and globally distributed and can consist of multiple tiers of outsourcing. As a result, agencies may have little visibility into, understanding of, or control over how the technology that they acquire is developed, integrated, and deployed, as well as the processes, procedures, and practices used to ensure the integrity, security, resilience, and quality of the products and services. Table 1 highlights possible manufacturing locations of typical components of a computer or information systems network.", "Moreover, many of the manufacturing inputs required for these components\u2014whether physical materials or knowledge\u2014are acquired from various sources around the globe. Figure 1 depicts the potential countries of origin of common suppliers of various components in a commercially available laptop computer."], "subsections": [{"section_title": "Federal Laws and Guidelines Require the Establishment of Information Security Programs and Provide for Managing Supply Chain Risk", "paragraphs": ["The Federal Information Security Modernization Act (FISMA) of 2014 requires federal agencies to develop, document, and implement an agency-wide information security program to provide information security for the information systems and information that support the operations and assets of the agency. The act also requires that agencies ensure that information security is addressed throughout the life cycle of each agency information system. FISMA assigns NIST the responsibility for providing standards and guidelines on information security to agencies. In addition, the act authorizes DHS to develop and issue binding operational directives to agencies, including directives that specify requirements for the mitigation of exigent risks to information systems.", "NIST has issued several special publications (SP) that provide guidelines to federal agencies on controls and activities relevant to managing supply chain risk. For example,", "NIST SP 800-39 provides an approach to organization-wide management of information security risk, which states that organizations should monitor risk on an ongoing basis as part of a comprehensive risk management program.", "NIST SP 800-53 (Revision 4) provides a catalogue of controls from which agencies are to select controls for their information systems. It also specifies several control activities that organizations could use to provide additional supply chain protections, such as conducting due diligence reviews of suppliers and developing acquisition policy, and implementing procedures that help protect against supply chain threats throughout the system development life cycle.", "NIST SP 800-161 provides guidance to federal agencies on identifying, assessing, selecting, and implementing risk management processes and mitigating controls throughout their organizations to help manage information and communications technology supply chain risks.", "In addition, as of June 2018, DHS has issued one binding operational directive related to an IT supply chain-related threat. Specifically, in September 2017, DHS issued a directive to all federal executive branch departments and agencies to remove and discontinue present and future use of Kaspersky-branded products on all federal information systems. In consultation with interagency partners, DHS determined that the risks presented by these products justified their removal.", "Beyond these guidelines and requirements, the Ike Skelton National Defense Authorization Act for Fiscal Year 2011 also included provisions related to supply chain security. Specifically, Section 806 authorizes the Secretaries of Defense, the Army, the Navy, and the Air Force to exclude a contractor from specific types of procurements on the basis of a determination of significant supply chain risk to a covered system. Section 806 also establishes requirements for limiting disclosure of the basis of such procurement action."], "subsections": []}]}, {"section_title": "IT Supply Chains Introduce Numerous Information Security Risks to Federal Agencies", "paragraphs": ["In several reports issued since 2012, we have pointed out that the reliance on complex, global IT supply chains introduces multiple risks to federal information and telecommunications systems. This includes the risk of these systems being manipulated or damaged by leading foreign cyber-threat nations such as Russia, China, Iran, and North Korea. Threats and vulnerabilities created by these cyber-threat nations, vendors or suppliers closely linked to cyber-threat nations, and other malicious actors can be sophisticated and difficult to detect and, thus, pose a significant risk to organizations and federal agencies.", "As we reported in March 2012, supply chain threats are present at various phases of a system\u2019s development life cycle. Key threats that could create an unacceptable risk to federal agencies include the following.", "Installation of hardware or software containing malicious logic, which is hardware, firmware, or software that is intentionally included or inserted in a system for a harmful purpose. Malicious logic can cause significant damage by allowing attackers to take control of entire systems and, thereby, read, modify, or delete sensitive information; disrupt operations; launch attacks against other organizations\u2019 systems; or destroy systems.", "Installation of counterfeit hardware or software, which is hardware or software containing non-genuine component parts or code. According to the Defense Department\u2019s Information Assurance Technology Analysis Center, counterfeit IT threatens the integrity, trustworthiness, and reliability of information systems for several reasons, including the facts that (1) counterfeits are usually less reliable and, therefore, may fail more often and more quickly than genuine parts; and (2) counterfeiting presents an opportunity for the counterfeiter to insert malicious logic or backdoors into replicas or copies that would be far more difficult in more secure manufacturing facilities.", "Failure or disruption in the production or distribution of critical products. Both man-made (e.g., disruptions caused by labor, trade, or political disputes) and natural (e.g., earthquakes, fires, floods, or hurricanes) causes could decrease the availability of material needed to develop systems or disrupt the supply of IT products critical to the operations of federal agencies.", "Reliance on a malicious or unqualified service provider for the performance of technical services. By virtue of their position, contractors and other service providers may have access to federal data and systems. Service providers could attempt to use their access to obtain sensitive information, commit fraud, disrupt operations, or launch attacks against other computer systems and networks.", "Installation of hardware or software that contains unintentional vulnerabilities, such as defects in code that can be exploited. Cyber attackers may focus their efforts on, among other things, finding and exploiting existing defects in software code. Such defects are usually the result of unintentional coding errors or misconfigurations, and can facilitate attempts by attackers to gain unauthorized access to an agency\u2019s information systems and data, or disrupt service.", "We noted in the March 2012 report that threat actors can introduce these threats into federal information systems by exploiting vulnerabilities that could exist at multiple points in the global supply chain. In addition, supply chain vulnerabilities can include weaknesses in agency acquisition or security procedures, controls, or implementation related to an information system. Examples of the types of vulnerabilities that could be exploited include acquisitions of IT products or parts from sources other than the original manufacturer or authorized reseller, such as independent distributors, brokers, or on the gray market; lack of adequate testing for software updates and patches; and incomplete information on IT suppliers.", "If a threat actor exploits an existing vulnerability, it could lead to the loss of the confidentiality, integrity, or availability of the system and associated information. This, in turn, can adversely affect an agency\u2019s ability to carry out its mission."], "subsections": []}, {"section_title": "Four National Security-Related Agencies Have Acted to Better Address IT Supply Chain Risks for Their Information Systems", "paragraphs": ["In March 2012, we reported that the four national security-related agencies (i.e., Defense, Justice, Energy, and DHS) had acknowledged the risks presented by supply chain vulnerabilities. However, the agencies varied in the extent to which they had addressed these risks by (1) defining supply chain protection measures for department information systems, (2) developing implementing procedures for these measures, and (3) establishing capabilities for monitoring compliance with, and the effectiveness of, such measures.", "Of the four agencies, the Department of Defense had made the most progress addressing the risks. Specifically, the department\u2019s supply chain risk management efforts began in 2003 and included: a policy requiring supply chain risk to be addressed early and across a system\u2019s entire life cycle and calling for an incremental implementation of supply chain risk management through a series of pilot projects; a requirement that every acquisition program submit and update a \u201cprogram protection plan\u201d that was to, among other things, help manage risks from supply chain exploits or design vulnerabilities; procedures for implementing supply chain protection measures, such as an implementation guide describing 32 specific measures for enhancing supply chain protection and procedures for program protection plans identifying ways in which programs should manage supply chain risk; and a monitoring mechanism to determine the status and effectiveness of supply chain protection pilot projects, as well as monitoring compliance with and effectiveness of program protection policies and procedures for several acquisition programs.", "Conversely, our report noted that the other three agencies had made limited progress in addressing supply chain risks for their information systems. For example:", "The Department of Justice had defined specific security measures for protecting against supply chain threats through the use of provisions in vendor contracts and agreements. Officials identified (1) a citizenship and residency requirement and (2) a national security risk questionnaire as two provisions that addressed supply chain risk. However, Justice had not developed procedures for ensuring the effective implementation of these protection measures or a mechanism for verifying compliance with, and the effectiveness of these measures. We stressed that, without such procedures, Justice would have limited assurance that its departmental information systems were being adequately protected against supply chain threats.", "In May 2011, the Department of Energy revised its information security program, which required Energy components to implement provisions based on NIST and Committee on National Security Systems guidance. However, the department was unable to provide details on implementation progress, milestones for completion, or how supply chain protection measures would be defined. Because it had not defined these measures or associated implementing procedures, we reported that the department was not in a position to monitor compliance or effectiveness.", "Although its information security guidance mentioned the NIST control related to supply chain protection, DHS had not defined the supply chain protection control activities that system owners should employ. The department\u2019s information security policy manager stated that DHS was in the process of developing policy that would address supply chain protection, but did not provide details on when it would be completed. In the absence of such a policy, DHS was not in a position to develop implementation procedures or to monitor compliance or effectiveness.", "To assist Justice, Energy, and DHS in better addressing IT supply chain- related security risks for their departmental information systems, we made eight recommendations to these three agencies in our 2012 report. Specifically, we recommended that Energy and DHS: develop and document departmental policy that defines which security measures should be employed to protect against supply chain threats.", "We also recommended that Justice, Energy, and DHS: develop, document, and disseminate procedures to implement the supply chain protection security measures defined in departmental policy, and develop and implement a monitoring capability to verify compliance with, and assess the effectiveness of, supply chain protection measures.", "The three agencies generally agreed with our recommendations and, subsequently, implemented seven of the eight recommendations. Specifically, we verified that Justice and Energy had implemented each of the recommendations we made to them by 2016. We also confirmed that DHS had implemented two of the three recommendations we made to that agency by 2015.", "However, as of fiscal year 2016, DHS had not fully implemented our recommendation to develop and implement a monitoring capability to verify compliance with, and assess the effectiveness of, supply chain protections. Although the department had developed a policy and approach for monitoring supply chain risk management activities, it could not provide evidence that its components had actually implemented the policy. Thus, we were not able to close the recommendation as implemented. Nevertheless, the implementation of the seven recommendations and partial implementation of the eighth recommendation better positioned the three agencies to monitor and mitigate their IT supply chain risks.", "In addition, we reported in March 2012 that the four national security- related agencies had participated in interagency efforts to address supply chain security, including participation in the Comprehensive National Cybersecurity Initiative, development of technical and policy tools, and collaboration with the intelligence community. In support of the cybersecurity initiative, Defense and DHS jointly led an interagency initiative on supply chain risk management to address issues of globalization affecting the federal government\u2019s IT. Also, DHS had developed a comprehensive portfolio of technical and policy-based product offerings for federal civilian departments and agencies, including technical assessment capabilities, acquisition support, and incident response capabilities. The efforts of the four agencies could benefit all federal agencies in addressing their IT supply chain risks.", "In summary, the global IT supply chain introduces a myriad of security risks to federal information systems that, if realized, could jeopardize the confidentiality, integrity, and availability of federal information systems. Thus, the potential exists for serious adverse impact on an agency\u2019s operations, assets, and employees. These factors highlight the importance and urgency of federal agencies appropriately assessing, managing, and monitoring IT supply chain risk as part of their agencywide information security programs.", "Chairmen King and Perry, Ranking Members Rice and Correa, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to answer your questions."], "subsections": []}, {"section_title": "Contact and Acknowledgments", "paragraphs": ["If you have any questions regarding this statement, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov. Other key contributors to this statement include Jeffrey Knott (assistant director), Christopher Businsky, Nancy Glover, and Rosanna Guerrero.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-161", "url": "https://www.gao.gov/products/GAO-19-161", "title": "Automated Trucking: Federal Agencies Should Take Additional Steps to Prepare for Potential Workforce Effects", "published_date": "2019-03-07T00:00:00", "released_date": "2019-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Automated vehicle technology may eventually make commercial trucking more efficient and safer, but also has the potential to change the employment landscape for nearly 1.9 million heavy and tractor-trailer truck drivers, among others. GAO was asked to examine the potential workforce effects of automated trucking.", "This report addresses (1) what is known about how and when automated vehicle technologies could affect commercial trucks; (2) what is known about how the adoption of automated trucks could affect the commercial trucking workforce; and (3) the extent to which DOT and DOL are preparing to assist drivers whose jobs may be affected. GAO reviewed research since 2014 on automated trucking technology, viewed demonstrations of this technology, and analyzed federal data on the truck driver workforce. GAO also interviewed officials from DOT and DOL, as well as a range of stakeholders, including technology developers, companies operating their own trucking fleets, truck driver training schools, truck driver associations, and workforce development boards."]}, {"section_title": "What GAO Found", "paragraphs": ["Automated trucks, including self-driving trucks, are being developed for long-haul trucking operations, but widespread commercial deployment is likely years or decades away, according to stakeholders. Most technology developers said they were developing trucks that can travel without drivers for part of a route, and some stakeholders said such trucks may become available within 5 to 10 years. Various technologies, including sensors and cameras, could help guide a truck capable of driving itself (see figure). However, the adoption of this technology depends on factors such as technological limitations and public acceptance.", "Stakeholders GAO interviewed predicted two main scenarios for how the adoption of automated trucks could affect the trucking workforce, which varied depending on the future role of drivers or operators. Technology developers, among others, described one scenario in which self-driving trucks are used on highway portions of long-haul trips. Stakeholders noted this scenario would likely reduce the number of long-haul truck drivers needed and could decrease wages because of lower demand for such drivers. In contrast, groups representing truck drivers, among others, predicted a scenario in which a truck would have an operator at all times for complex driving and other non-driving tasks, and the number of drivers or operators would not change as significantly. However, stakeholders lacked consensus on the potential effect this scenario might have on wages and driver retention. Most stakeholders said automated trucking could create new jobs, and that any workforce effects would take time\u2014providing an opportunity for a federal response, such as any needed policy changes.", "The Department of Transportation (DOT) is consulting with the Department of Labor (DOL) to conduct a congressionally-directed analysis of the workforce impacts of automated trucking by March 2019. As part of this analysis, DOT and DOL have coordinated to conduct stakeholder outreach. However, they do not currently plan to convene stakeholders on a regular basis to gather information because they have focused on completing this analysis first. Continuing to convene stakeholders could provide the agencies foresight about policy changes that may be needed to prepare for any workforce effects as this technology evolves."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that both DOT and DOL should continue to convene key stakeholders as the automated trucking technology evolves to help the agencies analyze and respond to potential workforce changes that may result. DOT and DOL agreed with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Emerging automated and self-driving vehicle technology has the potential to change the employment landscape for the commercial motor carrier industry, including for the nearly 1.9 million people who drive heavy and tractor-trailer trucks in the United States. This technology may eventually create opportunities to decrease the roughly 4,000 traffic fatalities that involve large trucks annually and may make trucking more efficient, as well as easier on drivers. However, the prospective deployment of this technology also raises questions about its future effects on employment in the industry, including on the numbers of drivers and types of skills that will be needed to operate and maintain these newer trucks. Recent media reports have highlighted these questions about the over $700 billion-a- year U.S. trucking industry, with some reports suggesting large-scale, imminent job loss. However, addressing these questions entails making some assumptions both about how the technology might continue to develop and how, once adopted, it could affect the workforce.", "You asked us to examine the potential workforce impacts of automated trucking technology, and how federal agencies are preparing to assist workers whose jobs may be affected. This report examines: (1) what is known about how and when automated vehicle technologies could affect commercial trucks; (2) what is known about how the adoption of automated trucks could affect the commercial trucking workforce; and (3) the extent to which the Department of Transportation (DOT) and the Department of Labor (DOL) are preparing to assist drivers whose jobs may be affected by automated trucking.", "To describe how and when automated vehicle technologies could affect the current fleet of commercial trucks, we conducted a review of key research since 2014 related to automated vehicle technologies for commercial trucks. We visited California, where we viewed demonstrations of this emerging technology and interviewed representatives of one truck manufacturer and four automated truck technology developers. We selected California because it had the largest number of these developers that we identified through our research efforts. We also interviewed officials from DOT and selected stakeholders, including researchers; representatives from truck manufacturers and companies operating their own trucking fleet; and representatives of national industry organizations and a national safety organization. The views of the stakeholders we interviewed are illustrative examples and may not be generalizable. For more information about how we selected stakeholders, see appendix I.", "To describe how the adoption of automated trucks could affect the current and future trucking workforce, we analyzed 2017 employment level and wage data from DOL\u2019s Bureau of Labor Statistics (BLS) and 2017 demographic data from the Census Bureau. Additionally, we reviewed key research on possible employment effects of automated trucking technology. We also interviewed organized labor representatives, industry stakeholders, and representatives of four truck driver training schools. We selected these schools in part based on recommendations from an association of truck driver training schools, and included two accredited and two nonaccredited schools in our selection. We interviewed officials from four local workforce development board as well. We selected three of these boards due to the prevalence of trucking jobs in their areas and one board because it was in an area that several stakeholders suggested could be early to adopt automated trucking technology. In addition, we interviewed officials from the Departments of Education, Labor, Transportation, and Veterans Affairs.", "To determine the extent to which DOT and DOL are preparing to assist current and future drivers, we interviewed federal officials, local workforce development board officials, and representatives from a national association of state and local workforce organizations. We compared agencies\u2019 efforts against their strategic plans as well as Standards for Internal Control in the Federal Government. Additionally, for all the objectives, we reviewed relevant federal laws and regulations, as well as agency documentation. See appendix I for more information on our objectives, scope, and methodology.", "We conducted this performance audit from August 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Trucking Industry", "paragraphs": ["In 2016, commercial trucks transported about 70 percent of all U.S. freight, and over 250,000 heavy trucks were sold in the same year. These trucks operate within a diverse industry that can be distinguished in several ways:", "Long-haul vs. local-haul. Long-haul trucking operations are so named because the drivers frequently drive hundreds of miles for a single route and can be on the road for days or weeks at a time. For these operations, freight is usually shipped from a single customer and may fill an entire trailer by either space or weight. Long-haul trucking also includes \u201cless-than-truckload\u201d freight shipments, or freight combined from multiple customers. In comparison, local-haul trucking operations may involve delivering packages and shipments between a customer and a freight company\u2019s drop-off point, where they are combined with other shipments in preparation to move them over longer distances. This type of operation also includes local cement trucks, as well as moving shipping containers at ports and moving freight a short distance from a train that has transported it long-distance to near its destination.", "For-hire vs. private (in-house). Different types of companies\u2014or carriers\u2014engage in long-haul and local trucking and are known either as \u201cfor-hire\u201d (those that transport goods for others) or \u201cprivate\u201d (those that transport their own goods in their own trucks). For instance, J.B. Hunt is a for-hire carrier that transports goods for clients, while Walmart is a private carrier that uses its in-house fleet of trucks to transport its own goods between its distribution centers and its stores.", "Carrier size. In addition, carriers vary in size, with fleets ranging from one truck to tens of thousands of trucks. For example, a person might own and drive one for-hire truck; these are known as \u201cowner- operators.\u201d By contrast, the largest for-hire trucking companies in the country can have fleets of over 20,000 tractors and even more trailers.", "Operating costs. Driver compensation represents either the largest or second-largest cost component for truck carriers, depending on the price of fuel; each typically accounts for about one-third of total operating costs. Other operating costs include purchasing truck tractors and trailers, as well as repair and maintenance of the trucks and trailers, and insurance."], "subsections": []}, {"section_title": "Truck Drivers", "paragraphs": ["BLS data indicate that in 2017, the United States had nearly 1.9 million truck drivers categorized as \u201cheavy and tractor-trailer truck drivers,\u201d who operate trucks over 26,000 pounds. This category includes many different kinds of drivers, including long-haul and local-haul, along with cement or garbage truck drivers and drivers of specialty loads, such as trucks transporting cars, logs, or livestock. The number of heavy and tractor-trailer truck drivers has increased over the last 5 years, from fewer than 1.6 million in 2012, and is projected to increase to about 2 million drivers by 2026. The trucking industry has also had high annual driver turnover, according to industry reports\u2014approaching 100 percent for large, truckload carriers, though it can be less for small, truckload carriers. This turnover includes drivers who move to other carriers and others who leave the field altogether or retire. Some companies that experience lower turnover rates are able to provide drivers with predictable schedules and coordinate around the various obligations the drivers may have. Firms must balance the costs of scheduling drivers to return home more frequently with the costs of high turnover rates.", "Industry reports have noted that companies find it difficult to hire and retain sufficient numbers of long-haul drivers, even with wages reportedly rising for many drivers. Heavy and tractor-trailer truck drivers make more on average\u2014$44,500 in 2017\u2014than other types of drivers, according to BLS data. Many drivers, including most drivers working in long-haul trucking, are compensated on a per-mile basis rather than a per-hour basis. The per-mile rate varies from employer to employer and may depend on the type of cargo and the experience of the driver. Some long-haul truck drivers are paid a share of the revenue from shipping."], "subsections": []}, {"section_title": "Truck Driver Training", "paragraphs": ["In order to operate certain commercial vehicles, including heavy trucks and tractor-trailers, drivers must obtain a state-issued commercial driver\u2019s license (CDL). DOT administers the federal CDL program through the Federal Motor Carrier Safety Administration by setting federal standards for knowledge and driving skills tests, among other requirements. CDL applicants must have a state motor vehicle driver\u2019s license and must be at least 21 years old to operate in interstate commerce. Prior to receiving a CDL, applicants must first pass the knowledge test and meet other federal requirements, after which they are eligible to pursue a commercial learner\u2019s permit. After receiving the learner\u2019s permit, applicants must wait at least 14 days before taking the skills test. During this period, applicants may train on their own with a CDL holder, with a truck driver training school\u2014a private school or public program run through a community college, for example\u2014or with a motor carrier to prepare for the skills test. Applicants must pass all three parts of the skills test\u2014pre- trip inspection, basic control skills, and an on-the-road driving test\u2014in the type of vehicle they intend to operate with their license. Apart from the CDL requirements, some truck driving jobs (such as those that involve handling hazardous materials) require additional endorsements, and some employers require on-the-job training.", "DOL and other federal agencies administer programs that can be used to provide training for truck drivers. For example, DOL administers federal employment and training programs, such as those funded through the Workforce Innovation and Opportunity Act (WIOA), which provide training dollars that can be used by prospective truck drivers, among others. Likewise, the Department of Education provides federal student aid funds that can be used at eligible accredited trucking schools, and DOT and the Department of Veterans Affairs both operate programs that can assist veterans interested in becoming truck drivers."], "subsections": []}, {"section_title": "Federal Regulation of Trucking", "paragraphs": ["Federal regulation of trucking is focused primarily on interstate trucking activity; states can have separate regulations related to intrastate motor carriers. DOT is the lead federal agency responsible for overall vehicle safety, including commercial truck safety. The agency also regulates other aspects of commercial trucking, such as the maximum number of hours truck drivers are allowed to drive. For example, under current hours of service regulations, a truck driver may drive a maximum of 11 total hours within a 14-hour window after coming on duty. In addition, DOT regulates CDL standards and the maximum weight of trucks allowed on the Interstate Highway System, among other things. Until recently, DOT\u2019s National Highway Traffic Safety Administration led automated vehicles policy with a focus on passenger vehicles. However, DOT\u2019s October 2018 federal automated vehicles policy was developed by the Office of the Secretary of Transportation and includes several different modes of transportation, including automated commercial trucks."], "subsections": []}, {"section_title": "Automated Trucks", "paragraphs": ["Automated vehicles can perform certain driving tasks without human input. They encompass diverse automated technologies ranging from relatively simple driver assistance systems to self-driving vehicles. Certain automated features, like adaptive cruise control, can adjust vehicle speed in relation to other objects on the road and are currently available on various truck models. DOT has adopted a framework for automated driving developed by the Society of Automotive Engineers International, which categorizes driving automation into 6 levels (see fig. 1).", "Commercial trucks with Level 0 and 1 technologies, as outlined in figure 1, are already available for private ownership and are currently used on public roadways. Level 0 encompasses conventional trucks where a human driver controls all aspects of driving and technologies can warn drivers of safety hazards, such as lane departure warning, but do not take control away from the driver and are not considered automated. Level 1 technologies incorporate automatic control over one major driving function, such as steering or speed, and examples include adaptive cruise control and automatic emergency braking.", "The Society of Automotive Engineers International categorizes vehicles with Level 3, 4, and 5 technologies as Automated Driving Systems. At Level 3, the system can take full control of the vehicle in certain conditions. However, a human driver must maintain situational awareness at all times to ensure the vehicle is functioning safely. At Level 4, automation controls all aspects of driving in certain driving conditions and environments, such as on highways in good weather. In these particular driving conditions and environments, a human driver would not be required to take over the driving task from the automated vehicle and the system would ensure the vehicle is functioning safely. At Level 5, the vehicle can operate fully, in any condition or environment, without a human driver or occupant. There are various automated vehicle technologies that could help guide a vehicle capable of driving itself, including cameras and other sensors (see fig. 2)."], "subsections": []}]}, {"section_title": "Widespread Deployment of Platooning and Self- Driving Long-Haul Trucks Is Likely Years Away, and Several Factors Will Affect Timeframes", "paragraphs": [], "subsections": [{"section_title": "Platooning and Self- Driving Trucks Are Being Developed, Generally for Long-Haul Trucking", "paragraphs": ["According to stakeholders we spoke with and literature we reviewed, automated trucks, including self-driving trucks, are being developed, generally for long-haul trucking. Specifically, we found there could be various types of automation for long-haul trucks, including platooning, self-driving for part of a route, and self-driving for an entire route.", "Platooning. Technology developers and researchers told us there is ongoing development and testing of truck platoons, which involve one or more trucks following closely behind a lead truck, linked by wireless\u2014or vehicle-to-vehicle\u2014communication (see fig. 3).", "In a platoon, the driver in the lead truck controls the braking and acceleration for all of the connected trucks in the platoon, while the driver in each following truck controls its own steering. Several stakeholders we interviewed and three studies we reviewed identified potential benefits from platooning, including fuel savings and increased safety, for example, due to the trucks\u2019 faster reaction times for braking.", "Self-driving for part of a route. Most of the technology developers we spoke with said they were developing automated trucks that will be self-driving for part of a long-haul route, such as exit-to-exit on highways (see fig. 4).", "Representatives from one developer explained that their truck uses self- driving software installed on the truck. The software instructs the truck what to do, such as to steer or brake. In addition, cameras and other sensors on the truck\u2019s exterior provide the self-driving software with a view of the truck\u2019s surroundings to inform the software\u2019s instructions. For example, Light Detection and Ranging (LIDAR) sensors use lasers to map a truck\u2019s surroundings (see fig. 5).", "Such trucks would operate with no driver intervention under favorable conditions, such as on highways in good weather. Two developers said that in their business models a driver would be in the truck for the first and last portions of the route to assist with picking up and dropping off trailers at hubs outside urban areas. Alternatively, one developer said a remote driver\u2014one not in the truck but operating controls from another location\u2014would drive the first and last portions of a route. Stakeholders identified potential benefits of self-driving for part of a route, such as increased safety, labor cost savings, and addressing what they said is a truck driver shortage. Research funded by industry also suggests that an automated truck could improve productivity by, for example, continuing to drive to a destination while a human in the truck conducts other work or rests. In addition, one study noted that the most likely scenario for widespread adoption of automated trucks is the one in which trucks are capable of self-driving from exit-to-exit.", "Self-driving for an entire route. None of the technology developers we interviewed told us they are planning to develop automated trucks that are self-driving for an entire route (see fig. 6).", "Such trucks would be able to drive under all weather and environmental conditions. A person would not be expected to operate these trucks at any time. The potential benefits of these kinds of trucks are similar to those of trucks that are self-driving for part of a route, with higher potential labor savings because a person would not need to drive the first and last portions of a route."], "subsections": []}, {"section_title": "Widespread Deployment of Automated Trucks May Be Years to Decades Away, Depending on Technological, Operational, and Other Factors", "paragraphs": [], "subsections": [{"section_title": "Anticipated Timeframes", "paragraphs": ["Stakeholders we spoke with generally indicated that it will be years to decades before the widespread deployment of automated commercial trucks (see text box). However, many stakeholders also noted the uncertainty of predicting a specific timeframe for particular technologies.", "Platooning. Many stakeholders said that platooning will likely deploy within the next 5 years and will be the first automated trucking technology to be widely available. Notably, one company that is developing platooning technology said it could begin deployment in 2019. In addition, DOT officials told us that truck platoons are currently being tested, but that it would be difficult to estimate when there might be widespread adoption of platooning technology.", "Self-driving for part of a route. Automated trucks that are self- driving for part of a route may become available for commercial use within the next 5 to 10 years, according to several stakeholders, including technology developers. While such trucks may begin appearing on roads in that timeframe, other stakeholders, including two researchers, said widespread deployment may take more than 10 years. DOT officials noted that multiple variables make it difficult to develop a precise estimate for the deployment and widespread adoption of trucks that are self-driving for part of a route.", "Self-driving for an entire route. Although none of the technology developers told us they are developing trucks that would be self- driving for an entire route, other stakeholders we spoke with said such trucks could become available in more than a decade. However, most stakeholders either did not provide a timeframe for, or said they did not know, when such trucks might become available. Similarly, at a listening session in August 2018, DOT officials told attendees that it will be decades before large trucking operations replace their fleets of conventional trucks with trucks that self-drive for an entire route.", "One Stakeholder\u2019s Description of Anticipated Timeframes for Overall Automated Truck Adoption One researcher described an anticipated timeframe for automated truck adoption in which there is an initial, long period of development and testing, which would include making technological adjustments. This period would then be followed by a period of automated truck adoption\u2014i.e., when such trucks replace human drivers. At that point, technology developers and truck manufacturers would also encounter scenarios in which it may not be desirable to use an automated truck, such as for the transport of hazardous materials, according to the researcher. Such scenarios would limit the extent to which automated trucks could replace human drivers."], "subsections": []}, {"section_title": "Factors That May Affect Timing", "paragraphs": ["Stakeholders we interviewed and the literature we examined identified technological, operational, infrastructure, legal, and other factors that may affect automated truck development and deployment.", "Stakeholders and literature identified several technology-related limitations that may affect the timing of automated truck deployment. Specifically, several stakeholders and a study noted that automated trucks may require simpler operating environments, such as highways, in the near term because they are less complex for the technology to navigate than roads in an urban setting, for example. Even so, a highway presents its own challenges, several stakeholders said. For instance, a developer, a manufacturer, and a researcher we spoke with told us that Light Detection and Ranging (LIDAR)\u2014a costly and complex technology\u2014may not be as useful at higher speeds due to its limited range and its inability to process information about the surrounding environment as quickly as needed at these speeds. Further, one manufacturer told us that LIDAR is not as durable as it needs to be for commercial trucking\u2014for example, able to withstand dirt and debris. Stakeholders also discussed the need to have backup systems built into trucks\u2019 automated systems in case of technology failures, including the ability to guide the truck to a safe stop.", "Stakeholders identified several operational factors that may pose challenges for the deployment of automated trucks. For example, several stakeholders said that there may be challenges with self-driving trucks with no person inside when responding to a tire blowout or other mechanical problems. Likewise, several stakeholders said there must be ways for a self-driving truck to respond to required safety inspections and communicate with inspectors. Representatives from a safety organization noted that a truck could potentially communicate a unique identification number through an electronic device. This number would give the inspector information about the truck, such as safety information from the sensors on automated trucks. Additionally, several stakeholders said platooning may not be practical for logistical reasons, for instance, if trucks are not traveling on the same routes or if cargo is not ready to depart at the same time. In addition, according to stakeholders we spoke with and literature we reviewed, the lead truck in a platoon will save less on fuel than the following trucks. If trucking fleets adopt platooning systems that work on commercial trucks across different companies\u2014i.e., systems that are interoperable\u2014distributing fuel savings in a manner agreeable to all parties involved may be challenging. Representatives from two fleet owners and one industry association we spoke with raised concerns about platooning across different companies, including that companies might not partner with other fleets to platoon trucks because they would be primarily concerned with their own fuel savings, not with saving fuel for their competitors. In addition to these operational factors, stakeholders noted that automated trucks may be prohibitively expensive for some smaller fleet owners, including owner-operators, particularly when these trucks are first deployed.", "Several stakeholders and relevant literature noted that certain infrastructure factors may affect the development, testing, and deployment of automated trucks. For example, a few stakeholders said if one truck picks up or drops off trailers for another truck at a location near highways, land acquisition near these highways may be an issue. Representatives from a developer that planned to acquire land for its business model said the land acquisition could take 5 to 10 years. The representatives explained that they found enabling direct access to freeways is more difficult than simply acquiring vacant land. They planned to partner with states to create hubs on under-utilized land with existing freeway access by, for example, repurposing abandoned rest stops. In addition to land acquisition, two technology developers and a study identified the need for widely available data connectivity and the related ability to use connected vehicle technologies as an infrastructure challenge. Connected technologies allow vehicles to communicate with other vehicles (vehicle-to-vehicle), roadway infrastructure (vehicle-to- infrastructure), and personal communication devices. Connectivity has potential implications for, among other things, the maps self-driving trucks use to navigate routes and obstacles, as well as the ability for trucks in a platoon to communicate with one another effectively. However, because the ability for vehicles to communicate with infrastructure is not ubiquitous, two of the developers we spoke with are not taking into account connected infrastructure as they develop and test their automated trucks. Two stakeholders also expressed concern about platooning trucks and the stress they could place on bridges, for example, that were not designed to hold the weight of two or more heavy trucks at once. In addition, stakeholders noted that automated trucks may encounter difficulties with things like road work or construction zones. This may be because the truck relies on pre-built maps, in addition to sensors, that would potentially be outdated or might not reflect current road conditions, including any recent or temporary changes.", "Several legal factors may affect the timing of development, testing, and deployment for automated trucks, according to our stakeholder interviews and literature review. Many stakeholders expressed concern about the possibility of a \u201cpatchwork\u201d of state laws related to automated trucks that could affect interstate trucking, with some saying they would like to see a shared national framework. For example, one technology developer said that this emerging patchwork can make it difficult for an automated truck to travel across the country without a driver, because some states specifically prohibit self-driving vehicles, including trucks. However, this same developer said that some states are less restrictive regarding the need for a driver in a self-driving truck, and that others have ambiguous regulations. Several stakeholders we spoke with and two studies we reviewed noted that liability issues may arise and become more complex for automated trucks. This may be because, for example, more parties may become involved. One of these stakeholders\u2014a fleet owner\u2014said that these parties could include the software developer, the truck manufacturer, the owner of the truck, and, if applicable, the truck driver. These issues could be addressed under the current liability system, and courts would decide the various liability issues on a case-by-case basis.", "In addition, several stakeholders have requested that DOT clarify whether existing regulations require that human drivers always be present in automated trucks, particularly those capable of Level 4 and 5 driving automation, in which at least some of the driving is done by the automated truck. Two technology developers have requested that DOT confirm that regulations that apply to human drivers do not apply to automated trucks, and one of these developers also requested confirmation that a truck capable of at least Level 4 automation is allowed to operate without a human on board, which could permit testing without a person in the truck. In Preparing for the Future of Transportation: Automated Vehicles 3.0, DOT\u2019s automated vehicles voluntary guidance, the agency laid out its approach to its automated vehicles policy. DOT\u2019s guidance stated that, going forward, DOT will interpret and, consistent with all applicable notice and comment requirements, adapt the definitions of \u201cdriver\u201d and \u201coperator\u201d to recognize that such terms do not refer exclusively to a human, but may include an automated system. In the same guidance document, DOT also noted that regulations will no longer assume that the driver of a commercial truck is always human or that a human is necessarily present inside of a truck during its operation.", "A few stakeholders also said that DOT may have to clarify the hours of service rules if a human driver is in an automated truck that is self-driving for part or all of a route. This is because under current hours of service regulations, a human driver may drive a maximum of 11 total hours within a 14-hour window after coming on duty. However, if a truck self-drives for at least part of a route, it is unclear if a human driver would need to comply with the existing hours of service requirements and, if not, how the driver would account for worked time. For example, if the human driver is not actively engaged in the driving task, whether monitoring the automated driving system or even sleeping, there could be a question about whether that time would be counted toward \u201cdriving,\u201d according to the requirements. For a list of potential legal factors identified by stakeholders or in literature that may affect timing for the development and deployment of automated commercial trucks, and related DOT information, see appendix II.", "Stakeholders and relevant literature identified several other factors, such as public perception and cybersecurity, that could affect timing for the development and deployment of automated trucks. Several stakeholders we interviewed and a study we reviewed noted that public acceptance concerning the safety of platooning and self-driving trucks may pose a challenge to the deployment of these trucks. One researcher we spoke with said interactions between truck platoons and cars may be problematic, because drivers may need to speed in order to change lanes around the platoons of trucks following each other closely. Similarly, other stakeholders told us that it may be difficult for the public to accept large automated commercial trucks. Two of these stakeholders said this is particularly true for a heavy truck without a human driver on board\u2014 implying that vehicle size and weight play roles in the public\u2019s acceptance of these types of automated vehicles. Several stakeholders also expressed concerns about cybersecurity and automated trucks\u2019 reliance on wireless communication and self-driving software. They said connectivity could leave automated trucks vulnerable to cyberattacks."], "subsections": []}]}]}, {"section_title": "Workforce Changes Due to Automated Trucking Will Depend in Part on the Role of Future Drivers or Operators, and Will Take Time to Develop", "paragraphs": [], "subsections": [{"section_title": "Workforce Effects of Automated Trucking Could Include Changes to Employment Levels, Wages, Retention, and Skills", "paragraphs": ["Predicting workforce changes in light of future automated trucking is inherently challenging, as it is based on uncertainties about how the trucking industry will respond to new technologies that face operational, regulatory, and other factors that could affect deployment. Many of the stakeholders we interviewed declined to predict various possible workforce effects, because they said to do so was too speculative. However, stakeholders we spoke with and literature we reviewed presented two main scenarios for the future trucking workforce: one in which trucks would be self-driving for part of a route, without a driver or operator, and the other in which trucks would require a driver or operator in the truck for the entire route. An operator would monitor truck operations and may not always function as a traditional driver. Because most stakeholders agreed that the prospect of using fully self-driving trucks for an entire route is either unlikely or at least several decades into the future\u2014and no developer we spoke with was planning to develop a fully self-driving truck\u2014we do not discuss the workforce effects of that scenario in this report."], "subsections": [{"section_title": "Potential Effects If Truck Has No Driver or Operator for Part of Route", "paragraphs": ["Technology developers we spoke with generally envisioned trucks that are self-driving for part of a route, which they said would potentially lead to significant workforce changes. Several technology developers and researchers, along with two studies, said trucks that are self-driving for part of a route could decrease the number of long-haul drivers, and perhaps decrease wages and affect retention as well. Additionally, any displaced drivers may need new skills if they change jobs, according to several stakeholders we spoke with and studies we reviewed.", "Employment levels: Technology developers we interviewed generally predicted the number of long-haul jobs would decrease with the adoption of trucks that are self-driving for part of a route. Drivers constitute a significant operational cost, so part of the reported economic rationale for self-driving trucks is to employ fewer drivers, allowing companies to transport the same amount of freight\u2014or more\u2014at lower labor costs. Several studies have analyzed the potential number of driving jobs that might be eliminated in this scenario, but the studies specifically noted the speculative, long-term nature of those estimates and the inability to identify the number of current long-haul truck drivers whose jobs could be lost sometime in the future. Estimates in the studies we reviewed ranged from under 300,000 driver jobs lost to over 900,000 jobs lost\u2014out of a total of nearly 1.9 million heavy and tractor-trailer truck driver jobs, according to BLS data\u2014and in each case over periods of 10 to 20 years or more.", "Although long-haul jobs would decrease in this scenario, local-haul jobs could increase and offset those losses, according to a study and several stakeholders, including two technology developers. The study, for example, said that automated trucking would drive long-haul trucking costs down, leading more companies to use trucking to ship goods. As a result, demand for trucking could increase, leading to an increased demand for local-haul truck drivers on either end of the long-haul routes, two studies noted.", "Several stakeholders we spoke with agreed that any decrease in long- haul jobs would likely not affect many current drivers because most will have voluntarily left driving for a different job or retired by the time self-driving trucks are widely deployed. According to the Census Bureau\u2019s American Community Survey data, the average age of truck and sales delivery drivers from 2012 through 2016 was 46. Many stakeholders also said that trucking fleets are currently having difficulty hiring and retaining qualified drivers, and two technology developers said automation could help move goods in an environment in which it is difficult to find workers.", "Technology developers also told us they are focusing the initial development of automated trucking technology in the southwest United States because of its good weather and long highways. As a result, any future job losses could first occur there. Additionally, BLS data show that the estimated concentration of truck driving jobs varies in different areas of the country (see fig. 7). One study noted that trucking job losses in more regionally concentrated occupations are likely to pose more challenges for workers, because more workers with similar skills in the same labor markets will be out of work at the same time, and thus the whole local economy will be more likely to suffer.", "Wages: If the truck is self-driving for parts of a route, wages for long- haul drivers could decrease because there would be lower demand for\u2014or greater supply of\u2014such drivers, according to several stakeholders. Moreover, one study noted that average long-haul wages could decrease because the jobs most likely to be automated include those that tend to be unionized and have higher wages and benefits, such as jobs at parcel delivery companies and some private carriers. Similarly, drivers changing occupations might face significant wage reductions in new occupations that do not require retraining, according to a researcher and one study. Wages for local-haul drivers\u2014generally lower than for long-haul drivers\u2014could decrease as well, because transitioning long-haul drivers could increase competition for those jobs, according to two studies. One technology developer presented a different perspective, saying that wages for local-haul drivers could increase from current levels due to increased overall demand for trucking.", "Retention: Overall, retention of truck drivers could improve if the long-haul portion of the route becomes self-driving, lessening time drivers spend away from home\u2014a key reason long-haul drivers leave the profession, according to many stakeholders. However, retention may depend on several factors, including wages, time at home, and other working conditions, making it more difficult to predict self-driving trucks\u2019 effect on retention.", "Skills: Long-haul drivers have skills that would transfer to local-haul routes, so additional training may not be needed for those who move to local-haul routes. However, displaced long-haul drivers seeking to move to a different occupation or industry may need additional training, according to several stakeholders and two studies. From 2012-2016, the highest level of education attainment for almost 65 percent of truck and sales delivery drivers was high school or its equivalent."], "subsections": []}, {"section_title": "Potential Effects If Driver or Operator Remains in Truck", "paragraphs": ["Most officials from truck driver training schools, organizations representing truck drivers, and workforce development boards envisioned automated trucks as continuing to need either a driver or some kind of operator in the truck, with several noting that drivers may need to do non- driving tasks. Automated trucking with an operator in the truck would have a more limited effect on the numbers of truck drivers, but would still result in workforce changes, according to several stakeholders. As with the driverless scenario, many stakeholders said future developments were so uncertain that they could not predict how automated trucking would affect various aspects of the workforce, such as wages or retention.", "Employment levels: Under this scenario, automated trucking would have a more limited effect on employment levels. Several stakeholders noted, for example, that a person would still be needed in the truck to manage emergencies, repair flat tires, and secure cargo, among other duties. (See text box.) For example, one study noted that even for trucking jobs identified as the most likely to be automated, driving may represent only about half of drivers\u2019 total work time. Additionally, particular kinds of long-haul trucking may present different non-driving tasks that could make automating those driving jobs more difficult.", "Wages: If the truck has an operator, several stakeholders said that wages might increase if increased skills are needed to operate more sophisticated equipment. However, several other stakeholders said wages might not change significantly or could decrease with fewer driving tasks. Two studies noted that wage changes were difficult to predict and could be affected by specific policy interventions.", "Truck Drivers: Responsible for More than Just Driving Truck drivers have many responsibilities other than driving a truck. Non-driving tasks for heavy and tractor-trailer truck drivers can include: checking vehicles to ensure that mechanical, safety, and emergency equipment is in good working order; loading or unloading trucks, including checking contents for any damage; inspecting loads to ensure that cargo is secure; and performing basic vehicle maintenance tasks, such as adding fuel or radiator fluid; performing minor repairs; or removing debris from loaded trailers.", "Retention: Many stakeholders said new technology could help the trucking industry bring in and retain more people\u2014such as women and younger workers\u2014if it could, for example, make truck driving safer, less stressful, and less physically demanding. Others cautioned that automated technology may not decrease truck operators\u2019 time away from home, because they would still have to be in the truck for the entirety of long-haul routes. One stakeholder, who was also a truck driver, said that many truck drivers enjoy driving, so automating aspects of that task would not necessarily entice those drivers to stay in the job. Two other stakeholders noted that some drivers may not want to learn how the new technology works and could leave the field rather than drive automated trucks.", "Skills: Future truck operators may need new skills to work with automated technology that assists rather than replaces them, many stakeholders noted. For example, operators may need to adapt to technology that takes over a number of the standard driving functions, such as braking, staying in a designated lane, and keeping a safe distance from other vehicles. Operators may also need to understand how to monitor software and hardware used to automate the driving function and how to make appropriate use of advanced safety systems. Furthermore, officials from many truck driver training schools and workforce development boards said additional certification beyond the standard CDL may be needed in order to demonstrate an understanding of how to operate the technology in automated trucks. In some instances, the skills needed may vary across trucking companies and trucks, requiring further on-the-job training."], "subsections": []}, {"section_title": "New Trucking-Related Jobs", "paragraphs": ["Regardless of their vision for how automated trucking might materialize, many stakeholders said there could be new trucking-related occupations, such as specialized technicians, mechanics, and engineers, which will accompany the deployment of automated trucks. For example, one study noted that these jobs could include producing the technology used by automated trucks, in addition to jobs created as a result of potential greater spending on other consumer goods and services, in the event that automated trucking decreases overall industry transportation costs. Another study noted that autonomous trucks, e-commerce, and economic growth are together poised to create many new trucking jobs. However, new jobs may be located in different geographical areas than any jobs lost, and as noted above, may require different skills than the prior jobs. One study noted this development could potentially leave lower-skilled workers competing for jobs that pay little and have few opportunities for advancement."], "subsections": []}]}, {"section_title": "Stakeholders Said the Anticipated Timeframe for Automated Trucking\u2019s Effects on the Workforce Provides an Opportunity for a Federal Response", "paragraphs": ["While many stakeholders we spoke with and several studies we reviewed stated that the potential workforce effects of automated trucking were difficult to predict, they generally agreed that any effect would not occur for at least 5 to 10 years. Several stakeholders and two studies said this time horizon provides an opportunity for federal agencies and workers to prepare for potential workforce changes. One of these studies noted that trucking policy is complex; any changes could take a long time to fully materialize. That same study suggested that now is the appropriate time for policy research and debate. The other study and several stakeholders stated that potential workforce effects are not set in stone, and that public policy could influence specific workforce outcomes. That study said that with advance planning, the federal government and other stakeholders could realize the possible benefits of automated trucks and other vehicles while mitigating potential workforce effects and other costs."], "subsections": []}]}, {"section_title": "DOT and DOL Could Take Additional Steps to Fully Consider Automated Trucking\u2019s Potential Workforce Effects, as Technology Evolves", "paragraphs": [], "subsections": [{"section_title": "DOT Has Gathered Stakeholder Perspectives to Inform Potential Regulatory Changes, and DOL Has Incorporated Technology Changes into Employment Projections", "paragraphs": ["DOT and DOL have both taken some steps to prepare for the potential workforce effects of automated trucking. DOT has held events to obtain stakeholder perspectives on automated vehicles policy, including how it affects commercial long-haul trucks. For example, DOT had public listening sessions in 2017 and 2018 to solicit information on the design, development, testing, and integration of Automated Driving Systems, and requests for comment to inform potential rulemaking efforts for the Federal Motor Carrier Safety Regulations. DOT officials said their role during these discussions was to hear stakeholder concerns. They also said that their ongoing goal is to identify barriers in their regulations to safe deployment of automated driving technology. Stakeholders have raised concerns about the potential workforce effects of automated trucks at DOT\u2019s listening sessions. For example, after participants questioned potential job losses at a listening session in August 2018, DOT officials said that automation may eventually change the role of a truck driver from driver to technician and that any changes would probably not be immediate. DOL officials said they have participated in some of DOT\u2019s listening sessions.", "For its part, DOL has taken steps to study how automated trucking may affect the near-term demand for truck drivers as part of their standard, biennial employment projections for all occupations. DOL officials said they consulted experts and economic studies prior to publishing their most recent projections, covering 2016 to 2026, and included information on possible effects of automation in projections for heavy and tractor- trailer truck drivers. The projections state that the demand for these drivers is expected to grow by 5.8 percent between 2016 and 2026, with an average of over 200,000 job openings each year, of which 10,000 are projected to be new jobs. DOL\u2019s analysis anticipated that automation will not reduce the number of drivers by 2026. DOL officials said that they expect automation to assist drivers rather than displace them in the near term. Unlike estimates developed by other researchers, these numbers do not include potential job losses after 2026, though DOL officials noted that the agency\u2019s next projections, for 2018 to 2028, will incorporate information on how automated trucking technology has evolved since the 2016-2026 projections. Additionally, officials said the agency is transitioning to annual updates of projections to more quickly incorporate developing information.", "Congress has directed DOT to consult with DOL to study the workforce impacts of automated trucking technology. Specifically, the Explanatory Statement accompanying the Consolidated Appropriations Act, 2018 instructs the Secretary of Transportation to consult with the Secretary of Labor to conduct a comprehensive analysis of the effect of advanced driver-assistance systems and highly automated vehicle technology on drivers and operators of commercial vehicles, including commercial trucks. Congress directed DOT to include stakeholder outreach in its analysis and provide information on workers who may be displaced as a result of such technology, as well as minimum and recommended training requirements for operating vehicles with these systems. DOL officials told us that they have begun collaborating with DOT on this study by consulting with organized labor and other stakeholders. In October 2018, DOT issued a request for information to solicit comments on the scope of this analysis and detailed several potential research questions, including which commercial drivers are likely to be affected and what skills might be needed to operate new vehicles or transition to new jobs. DOT also announced that it is planning to coordinate with the Departments of Commerce and Health and Human Services, in addition to consulting with DOL to conduct this analysis. The Explanatory Statement directs DOT to conduct this analysis by March 23, 2019, and DOT officials told us they expect to meet this deadline and report on the analysis by that date."], "subsections": []}, {"section_title": "DOL and DOT Do Not Have Plans to Gather and Share Information about the Potential Workforce Effects of Automated Trucking as Technology Evolves", "paragraphs": [], "subsections": [{"section_title": "Convening Key Groups of Stakeholders on an Ongoing Basis to Gather Information", "paragraphs": ["DOL and DOT have taken some steps to convene stakeholders to inform DOT\u2019s analysis of automated trucking in advance of March 2019. However, DOL and DOT have not made plans to continue collaborating to convene key groups of stakeholders as the technology evolves to gather information about potential workforce effects of automated trucking. Insofar as automated trucking technology is still evolving, convening stakeholders solely to inform the March 2019 analysis will not provide agency officials with sufficient information about important developments that may occur after the analysis is completed. This analysis will be an important step. However, DOT must complete it before potential workforce effects can be more fully predicted. After its completion, developers will likely continue to test their technologies, and issues related to operational and other factors that will affect the deployment of automated trucks may change or be resolved. For the agencies to more fully understand these developments and clarify the range of associated workforce effects, they would need to collaborate and to continue to gather information in the future, for example by continuing to convene key groups of stakeholders as the technology evolves. The majority of stakeholders we spoke with, including representatives from local workforce development boards, truck driver training schools, technology developers, and groups representing truck drivers, told us it would be helpful for federal agencies to play a convening role so that DOL and DOT can better anticipate and understand any potential workforce changes. Several stakeholders also said that convening stakeholders would enable DOL and DOT to surface different parties\u2019 concerns. Additionally, our recent report on emerging technologies found that federal agencies can play an important role in convening stakeholders to gather information in areas where technology is still under development, including information on the research plans of industry stakeholders and ways to address national needs.", "Continuing to convene stakeholders could also help agencies to identify any information or data gaps that may need to be addressed to understand the potential workforce effects of automated trucking. DOL officials said that because the technology is still advancing, the related workforce effects, including the magnitude of any job losses, are uncertain. They also said they do not have information to identify the number of long-haul truck drivers, whose jobs may be the most likely to be affected by automation. Specifically, the occupational code DOL uses to classify heavy and tractor-trailer truck drivers captures drivers who operate any type of heavy truck. Along with long-haul drivers, this code includes other drivers whose jobs may be harder to automate, such as tow truck operators. Experts who participated in the National Science Foundation-sponsored workshop on the potential workforce effects of automated trucking also identified information gaps. They noted that more information is needed in several areas, including a better understanding of current truck drivers\u2019 skills beyond driving, how those skills might translate to other occupational areas, and new jobs and skills that will be required with the deployment of automated trucks. DOL officials said that the agency provides information on knowledge, skills, and abilities for various driver occupations, as well as detailed work activities, on its Occupational Information Network (O*NET). However, that information is based on surveys to current workers and therefore does not include what skills future drivers may need as automated technology evolves.", "DOL officials told us they do not typically convene stakeholders on an industry-specific basis. They also said that state and local workforce development boards are best positioned to identify and respond to changes in their local economy and employment needs, because these boards include members from the local business community who know which industries are growing in their local labor markets. However, there are close to 1.9 million heavy and tractor-trailer truck drivers across the country, making the trucking industry an important segment of the national workforce. In addition, one of DOL\u2019s objectives in its fiscal year 2018-2022 strategic plan is to provide timely, accurate, and relevant information on labor market activity, working conditions, and price changes. While DOL officials said they consider the agency\u2019s national labor statistics as the primary tool in understanding macroeconomic changes, they acknowledged that gathering information from local boards and other stakeholders may complement those statistics. DOL officials said they may consider continuing to convene stakeholders to learn more about automated trucking if they find that their current efforts with DOT provide fruitful information, but they currently do not have plans to do so. If DOL waits until the effects of automated trucking on the workforce are widespread enough to affect multiple local economies, the agency will have missed the opportunity to proactively gather information that could help it anticipate large-scale workforce changes in this important industry before they take effect.", "DOT officials told us they have likewise not made plans to work with DOL to convene stakeholders on an ongoing basis to gather information. Rather, they said they have concentrated on developing the analysis described by the Explanatory Statement accompanying the Consolidated Appropriations Act, 2018 and they do not plan to update that analysis after it is completed. Nonetheless, one of the objectives outlined by DOT in its fiscal year 2018-2022 strategic plan is to promote economic competitiveness by supporting the development of appropriately skilled transportation workers (including truck drivers who transport freight) and strategies to meet emerging workforce challenges. Working with DOL to gather and analyze information from stakeholders as technology continues to develop could assist DOT in meeting this goal. DOT has previously collaborated with DOL on transportation workforce issues. For example, in 2015, DOT and DOL worked with the Department of Education on a blueprint for aligning investments in transportation, including trucking, with career pathways. The report highlighted potential future growth areas in the transportation industry and identified potential jobs that may be in demand through 2022. Unless DOL and DOT continue to gather information from stakeholders as automated trucking technology evolves, they may be unable to fully anticipate the emerging workforce challenges that may result. DOT\u2019s prior efforts to convene stakeholders to address automated vehicles could serve as a model for gathering information from stakeholders about automated trucking. For example, DOT held a series of meetings across the country to gather information, identify key issues, and support the transportation community to integrate automated vehicles onto roads for its National Dialogue on Highway Automation. Further, analyzing information from ongoing meetings with stakeholders could help DOT as it considers potential workforce-related regulatory changes that might be affected by automated truck technologies, such as the requirements to obtain a commercial driver\u2019s license or the maximum number of hours commercial truck drivers are permitted to work."], "subsections": []}, {"section_title": "Sharing Information", "paragraphs": ["DOL has not provided information to stakeholders about the potential workforce effects of automated trucking technology, including how the skills needed to operate a truck may change in the future. DOL officials told us they have not done so, in part, because they do not yet know how skills and training needed to be a truck driver might change, if at all. Representatives from all of the truck driver training schools and training associations we interviewed said they expect drivers to need new skills to operate or maintain automated trucks, and that future truck drivers may need an additional certification or endorsement to their commercial driver\u2019s license. However, in the absence of specific information about future skill changes, they all said they did not know what specific adjustments would be needed to their curriculum. Additionally, nearly all stakeholders we spoke with\u2014including representatives of technology developers, truck driver training schools, and local workforce development boards\u2014told us that federal agencies can help prepare the future workforce by sharing information with stakeholders about impending workforce changes. In particular, some workforce officials we spoke with said they would benefit from information about technology developers\u2019 plans that would affect future demand or skills for truck drivers.", "Furthermore, DOL officials told us that heavy and tractor-trailer truck driving was the most common type of occupational training funded through the WIOA Adult and Dislocated Worker programs between April 2017 and March 2018, the most recent period for which data are available. Specifically, local workforce development boards provided funding from these programs to roughly 17,000 individuals for heavy and tractor-trailer truck driver training during that year, or about 15 percent of all individuals who received training services that began within that timeframe. This was more than twice as many individuals as those who received funding for nursing assistant training, the second most frequently funded type of training through these programs.", "As previously noted, one of DOL\u2019s strategic objectives is to provide timely and accurate labor market information. In addition, according to Standards for Internal Control in the Federal Government, an agency\u2019s management should externally communicate the necessary quality information to achieve the entity\u2019s objective. This includes communicating quality information so that external parties can help the entity address related risks. Additionally, our work has shown that federal agencies can play an important role in sharing information. We have noted that such information sharing is important to help maintain U.S. competiveness. DOT\u2019s strategic plan highlights the agency\u2019s concern that the lack of credentialed workers, combined with projected retirements, threaten to cause significant worker shortages, and that the introduction of innovations and new technologies adds additional complexity for workforce development. Consulting with DOT to provide stakeholders with information about how automated technology could affect the number of trucking jobs and the skills needed to drive or operate commercial trucks would better position local workforce development boards, truck driver training schools, and others to adequately prepare the workforce for future needs."], "subsections": []}, {"section_title": "Responding to Potential Job Losses", "paragraphs": ["DOL officials said that existing employment and training programs administered by the agency, usually through grants, are generally designed to respond to economic changes that may result in job losses, including any that may result from automated trucking. In addition, DOL officials said that the agency has several resources to support state and local workforce areas to respond to mass layoffs and help workers upgrade their skills. For example, Rapid Response, which is carried out by states and local workforce development agencies, can provide services to employees after a layoff, including career counseling, job search assistance, and information about unemployment insurance and training opportunities. Additionally, under WIOA, local workforce development boards can use up to 20 percent of their Adult and Dislocated Worker allocations to help fund the cost of providing incumbent worker training designed to help avert potential layoffs or increase the skill levels of employees. While these programs may help mitigate any future job losses due to automated trucking, DOL would be better positioned to help local economies leverage them effectively if the agency continued to convene stakeholders, building on its efforts to gather and share good information on when and how those workforce effects are likely to materialize as technology evolves."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Automated and self-driving technology for commercial trucks could make the industry safer and more efficient, but it also introduces significant uncertainties for the trucking workforce that DOL and DOT, in consultation with other federal agencies and stakeholders, can help navigate. For example, there is uncertainty about the widespread deployment of self-driving trucks as well as what the resulting effects will be on employment levels, wages, and needed skills. Although technology companies generally envision self-driving trucks being used for long-haul routes\u2014which could result in fewer long-haul trucking jobs\u2014other stakeholders argued that a truck will always need a driver or operator. Stakeholders we interviewed also lacked consensus about what automated trucking might mean for wages and what new skills will be needed to drive or operate automated trucks.", "Federal agencies have an opportunity to prepare truck drivers for the possible workforce effects of automated trucking. Many stakeholders noted that the effects would be gradual, giving the government time to act, but studies note the effects could eventually be significant, possibly affecting hundreds of thousands of truck driving jobs.", "DOT is taking an important step toward learning about these workforce effects by consulting with DOL and other stakeholders to inform DOT\u2019s analysis of these developments. However, these agencies have not made plans to continue to convene stakeholders to gather information on an ongoing basis or update their analysis as the technology evolves and the effects become more apparent. Doing so could allow DOL and DOT the foresight to consider whether additional policy changes are needed to prepare for any possible future workforce effects. Similarly, DOL\u2019s publication of routine employment projections and current driver skills and tasks provide useful information. However, DOL has not shared information on what skills drivers might require in the future with other key stakeholders, including technology developers, industry experts, truck driver representatives, training schools, local workforce development boards, and other relevant federal agencies. As a result, those stakeholders may miss an opportunity to better anticipate and plan for changes that may arise from automated trucking technology, including potential labor displacement, wage changes, and the need for new skills."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations, including two for the Department of Labor and two for the Department of Transportation: 1. The Secretary of Labor should collaborate with the Secretary of Transportation to continue to convene key groups of stakeholders to gather information on potential workforce changes that may result from automated trucking as the technology evolves, including analyzing needed skills and identifying any information or data gaps, to allow the agencies to fully consider how to respond to any changes. These stakeholders could include, for example, representatives of other relevant federal agencies, technology developers, the trucking industry, organizations that represent truck drivers, truck driver training schools, state workforce agencies, and local workforce development boards. (Recommendation 1) 2. The Secretary of Transportation should collaborate with the Secretary of Labor to continue to convene key groups of stakeholders to gather information on potential workforce changes that may result from automated trucking as the technology evolves, including analyzing needed skills and identifying any information or data gaps, to allow the agencies to fully consider how to respond to any changes. These stakeholders could include, for example, representatives of other relevant federal agencies, technology developers, the trucking industry, organizations that represent truck drivers, truck driver training schools, state workforce agencies, and local workforce development boards. (Recommendation 2) 3. The Secretary of Transportation should consult with the Secretary of Labor to further analyze the potential effects of automated trucking technology on drivers to inform potential workforce-related regulatory changes, such as the requirements to obtain a commercial driver\u2019s license or hours of service requirements (e.g., the maximum hours commercial truck drivers are permitted to work). This could include leveraging the analysis described by the Explanatory Statement accompanying the Consolidated Appropriations Act, 2018 once it is complete, as well as information the department obtains from stakeholders as the technology evolves. (Recommendation 3) 4. The Secretary of Labor should consult with the Secretary of Transportation to share information with key stakeholders on the potential effects of automated trucking on the workforce as the technology evolves. These stakeholders could include, for example, representatives of other relevant federal agencies, technology developers, the trucking industry, organizations that represent truck drivers, truck driver training schools, state workforce agencies, and local workforce development boards. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to the Departments of Education, Labor (DOL), Transportation (DOT), and Veterans Affairs. We received formal written comments from DOL and DOT, which are reproduced in appendices III and IV, respectively. In addition, DOL and DOT provided technical comments, which we have incorporated as appropriate. The Departments of Education and Veterans Affairs did not have comments on our report.", "In its written comments, DOL agreed with our recommendations and noted several efforts that it said will help the agency assess and provide information on the potential workforce effects of evolving technologies, such as automated trucking. For example, DOL noted that the agency\u2019s employment projections incorporate expert interviews and other information to identify shifts in industry employment. DOL is also currently consulting with DOT to study these workforce effects, and agreed to consider what other information and stakeholder meetings remain necessary after that study\u2014due in March 2019\u2014is completed. Likewise, DOL agreed to share related information as the technology evolves, and the agency noted it currently publishes employment projections and other occupational information. While useful, these efforts alone will not allow DOL to sufficiently anticipate the future workforce effects of automated trucking. For instance, the broad employment projections do not provide estimates specifically for the long-haul truck drivers who could be affected by automated trucking first. Further, DOL\u2019s occupational information is based on surveys of current workers, so it does not include the skills future drivers will need as automated trucking evolves. Therefore, we continue to believe that convening stakeholders and sharing information about potential workforce effects in the future will position DOL to better understand and inform key stakeholders of these changes.", "In its written comments, DOT agreed with our recommendations. DOT noted two of its current efforts related to automated trucking technology, namely its October 2018 automated vehicles voluntary guidance, Preparing for the Future of Transportation: Automated Vehicles 3.0, and its forthcoming Congressionally-directed research on the impact of automated vehicle technologies on the workforce.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of Education, Labor, Transportation, and Veterans Affairs, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact us at (202) 512-7215 or brownbarnesc@gao.gov or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine: (1) what is known about how and when automated vehicle technologies could affect commercial trucks; (2) what is known about how the adoption of automated trucks could affect the commercial trucking workforce; and (3) the extent to which the Department of Transportation (DOT) and Department of Labor (DOL) are preparing to assist drivers whose jobs may be affected by automated trucking.", "For all the objectives, we reviewed relevant federal laws and regulations as well documentation from DOT and DOL. To determine the extent to which federal agencies are preparing to assist current and future drivers, we compared DOT and DOL\u2019s efforts against their strategic plans as well as Standards for Internal Control in the Federal Government. Additionally, we:", "Conducted Interviews: We interviewed officials from several federal agencies to obtain relevant information about our objectives, including the Departments of Education, Labor, Transportation, and Veterans Affairs, as well as the National Science Foundation.", "To obtain information about all of our objectives, we also interviewed other selected stakeholders. We used our initial research and interviews to develop a list of stakeholder categories that would provide informed perspectives, which when taken as a whole, provided a balanced perspective to answer our objectives. We selected stakeholders who had a range of perspectives regarding the timing for adoption of automated trucking technology, and how this adoption could affect the truck driving workforce. We used the following criteria to select interviewees: 1. authored a report, article, book, or paper regarding automated trucking technology or its potential workforce effects; 2. participated in panels, hearings, or roundtables regarding automated trucking or its potential workforce effects; or 3. was recommended by at least one of our interviewees.", "We interviewed organized labor representatives; researchers; and representatives from three truck manufacturers and three companies operating their own trucking fleet; two national industry organizations; one national safety organization; four truck driver training schools; an association of state and local workforce organizations; and four local workforce development boards. We selected the schools in part based on recommendations from an association of truck driver training schools, and included two accredited and two non-accredited schools in our selection. We selected three of the workforce development boards due to the prevalence of trucking jobs in their areas and the other board because it was in an area that several stakeholders suggested could be early to adopt automated trucking technology.", "Additionally, we visited California, where we interviewed representatives of four automated truck technology developers and a manufacturer, and viewed demonstrations of automated trucking technology. We selected California because it had the largest number of technology developers that we identified through our research efforts.", "We asked all of these stakeholders a core set of questions, as well as tailored questions based on their expertise. Some of the questions we asked stakeholders varied, and some stakeholders chose not to answer every question we asked because they either did not think they had sufficient knowledge about the specific question or did not want to make predictions about future industry developments. Therefore, we generally did not report the specific number of stakeholder responses in this report. The views of the stakeholders we interviewed are illustrative examples and may not be generalizable. For a full list of stakeholders we interviewed, see table 1.", "Analyzed federal data. To examine how the adoption of automated trucks could affect the current and future trucking workforce, we analyzed relevant data from the Bureau of Labor Statistics (BLS) and the Census Bureau on the current trucking workforce. Specifically, we examined BLS\u2019s Occupational Employment Statistics to obtain employment level and wage data for heavy and tractor-trailer truck drivers (Standard Occupational Classification code 53-3032). The Occupational Employment Statistics survey is a federal-state cooperative program between the Bureau of Labor Statistics and State Workforce Agencies. The survey provides estimates regarding occupational employment and wage rates for the nation as a whole, by state, by metropolitan or nonmetropolitan area, and by industry or ownership. Data from self-employed persons are not included in the estimates. For our analysis of geographic concentration of heavy and tractor-trailer truck driving jobs, we carried out a one-sided test at the 0.05 percent level of significance of the null hypothesis that a region\u2019s concentration is equal to or less than twice the national concentration versus the alternative hypothesis, that the region\u2019s concentration is greater than twice the national concentration. We classified the results, excluding any unreliable areas (i.e., areas with a 95 percent confidence level margin of error for the estimated number of truck drivers that was larger than 30 percent of the estimate itself). We used Poisson tests because these are more appropriate for event occurrences in smaller populations or on a small number of cases. In addition, we analyzed data from the Census Bureau\u2019s American Community Survey regarding the education level, sex, and age of current truck drivers and other drivers. The American Community Survey is an ongoing survey that collects information about the U.S. population such as jobs and occupations, educational attainment, income and earnings and other topics. According to the Census Bureau\u2019s description of the American Community Survey, this survey uses a series of monthly samples to produce annually updated estimates for the same small areas (census tracts and block groups) formerly surveyed via the decennial census long-form sample. Based on our review of related documents and interviews with knowledgeable agency officials, we found the data to be reliable for our purposes.", "Synthesized literature. To explore how and when automated vehicle technologies could affect the current fleet of commercial trucks and gather information about the possible employment effects of this technology, we conducted a review of key research related to automated vehicle technologies for commercial trucks. We searched bibliographic databases for articles that were published between January 1, 2014 and May 22, 2018 and included key terms such as \u201cautonomous\u201d, \u201cautomated\u201d, \u201cdriverless\u201d, and \u201ctruck platoon\u201d to describe the trucking technology. We also asked the researchers we interviewed to identify any studies that may be relevant to our work.", "Our search initially resulted in over 250 articles with potential relevance to our objectives. Two analysts reviewed the abstracts of these articles to determine if the articles in this initial search were germane to our objectives. We excluded any articles that were not relevant to our objectives or did not meet our standards for empirical analysis.", "We included articles that were published in peer review journals, by industry, or by government agencies, as well as articles that were recommended by researchers we interviewed. We identified a final list of 12 studies that met our criteria. Although we reviewed each study\u2019s methodological approach, we did not independently assess the evidence in the articles or verify the analysis of the evidence that was used to come to the conclusions these studies reached."], "subsections": []}, {"section_title": "Appendix II: Potential Legal Factors That May Affect Timing of Automated Trucking", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": ["Cindy Brown Barnes or Susan Fleming, (202) 512-7215 or brownbarnesc@gao.gov or flemings@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["GAO staff who made major contributions to this report include Brandon Haller (Assistant Director), Rebecca Woiwode (Assistant Director), Drew Nelson (Analyst-in-Charge), MacKenzie Cooper, Marcia Fernandez, and Hedieh Fusfield. Additional assistance was provided by Susan Aschoff, David Ballard, James Bennett, Melinda Cordero, Patricia Donahue, Philip Farah, Camilo Flores Monckeberg, David Hooper, Angie Jacobs, Michael Kniss, Terence Lam, Ethan Levy, Sheila R. McCoy, Madhav Panwar, James Rebbe, Benjamin Sinoff, Pamela Snedden, Almeta Spencer, John Stambaugh, Walter Vance, Sonya Vartivarian, and Stephen C. Yoder."], "subsections": []}]}], "fastfact": ["What could self-driving trucks mean for hundreds of thousands of the nation's long-haul truck drivers?", "We found two possible scenarios:", "Long-haul highway driving will be fully automated, resulting in fewer trucking jobs and possibly lower wages, or", "Self-driving trucks may still need operators, possibly changing the skillset and wages without significantly affecting the number of trucking jobs", "Because widespread use of self-driving trucks is still years to decades away, we recommend that the Departments of Labor and Transportation consult with stakeholders on an ongoing basis to help the agencies analyze and respond to any workforce changes."]} {"id": "GAO-19-207", "url": "https://www.gao.gov/products/GAO-19-207", "title": "Nuclear Waste: DOE Should Take Actions to Improve Oversight of Cleanup Milestones", "published_date": "2019-02-14T00:00:00", "released_date": "2019-02-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["EM manages DOE's radioactive and hazardous waste cleanup program using compliance agreements negotiated between DOE and other federal and state agencies. Within the agreements, milestones outline cleanup work to be accomplished by specific deadlines. EM's cleanup program faces nearly $500 billion in future environmental liability, which has grown substantially.", "GAO was asked to review DOE's cleanup agreements. This report examines the extent to which EM (1) tracks the milestones in cleanup agreements for EM's cleanup sites; (2) has met, missed, or postponed cleanup-related milestones at selected sites and how EM reports information; and (3) has analyzed why milestones are missed or postponed and how EM considers those reasons when renegotiating milestones.", "GAO reviewed agreements and milestones at EM's 16 cleanup sites and compared information tracked by EM headquarters and these sites; interviewed officials from four selected sites (chosen for variation in location and scope of cleanup, among other factors); and reviewed EM guidance related to milestone negotiations."]}, {"section_title": "What GAO Found", "paragraphs": ["The cleanup process at the 16 sites overseen by the Department of Energy's (DOE) Office of Environmental Management (EM) is governed by 72 agreements and hundreds of milestones specifying actions EM is to take as it carries out its cleanup work. However, EM headquarters and site officials do not consistently track data on the milestones. EM headquarters and site officials provided GAO with different totals on the number of milestones in place at the four sites GAO selected for review. These discrepancies result from how headquarters and selected sites define and track milestones. First, not all sites make the same distinction between major (i.e., related to on-the-ground cleanup) and non-major milestones and, as a result, are not consistently reporting the same milestones to EM headquarters. Second, sites do not consistently provide EM headquarters with the most up-to-date information on the status of milestones at each site. These inconsistencies limit EM's ability to use milestones to manage the cleanup mission and monitor its progress.", "EM does not accurately track met, missed, or postponed cleanup-related milestones at the four selected sites, and EM's milestone reporting to Congress is incomplete. EM sites renegotiate milestone dates before they are missed, and EM does not track the history of these changes. This is because once milestones change, sites are not required to maintain or track the original milestone dates. GAO has previously found that without a documented and consistently-applied schedule change control process, program staff may continually revise the schedule to match performance, hindering management's insight into the true performance of the project. Further, since 2011, EM has not consistently reported to Congress on the status of the milestones each year, as required, and the information it has reported is incomplete. EM reports the most recently renegotiated milestone dates with no indication of whether or how often those milestones have been missed or postponed. Since neither EM headquarters nor the sites track renegotiated milestones and their baseline dates at the sites, milestones do not provide a reliable measure of program performance.", "EM officials at headquarters and selected sites have not conducted root cause analyses on missed or postponed milestones; thus, such analyses are not part of milestone negotiations. Specifically, EM has not done a complex-wide analysis of the reasons for missed or postponed milestones. Similarly, officials GAO interviewed at the four selected sites said that they were not aware of any site-wide review of why milestones were missed or postponed. Best practices for project and program management outlined in GAO's Cost Estimating and Assessment Guide note the importance of identifying root causes of problems that lead to schedule delays. Additionally, in a 2015 directive, DOE emphasized the importance of conducting such analysis. Analyzing the root causes of missed or postponed milestones would better position EM to address systemic problems and consider those problems when renegotiating milestones with regulators. Without such analysis, EM and its cleanup regulators lack information to set more realistic and achievable milestones and, as a result, future milestones are likely to continue to be pushed back, further delaying the cleanup work. As GAO has reported previously, these delays lead to increases in the overall cost of the cleanup."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that EM establish a standard definition of milestones across the cleanup sites, track and report original and renegotiated milestone dates, and identify the root causes of why milestones are missed or postponed. In commenting on a draft of this report, DOE agreed with three of the recommendations and partially agreed with a fourth."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Energy (DOE) faces nearly $500 billion in future environmental liabilities related to the cleanup of nuclear and hazardous waste at its 16 sites around the country. These liabilities have grown substantially despite DOE spending roughly $6 billion annually on its cleanup program. The waste is primarily a result of decades of producing material for the nation\u2019s nuclear weapons program and can pose risks to human health and the environment. The waste consists of millions of gallons of radioactive waste in underground storage tanks, thousands of tons of spent (used) nuclear fuel and special nuclear material, large volumes of transuranic and mixed low level waste, and huge quantities of contaminated soil and water. At many of its sites, DOE has had difficulty making significant progress on the cleanup, particularly for the most dangerous wastes and at sites with the most challenging cleanup work. Because of the large and expanding estimated costs of cleaning up these sites, in 2017, we designated the federal government\u2019s environmental liabilities\u2014more than 80 percent of which pertain to DOE\u2014as a new high- risk area. In January 2019, we noted that the estimated cost to complete the cleanup was likely to increase.", "DOE\u2019s Office of Environmental Management (EM) is responsible for managing DOE\u2019s cleanup program and overseeing the contractors that carry out the cleanup work at EM\u2019s sites. Federal laws\u2014including the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended (CERCLA); the Resource Conservation and Recovery Act of 1976, as amended (RCRA); and the Atomic Energy Act of 1954, as amended\u2014govern cleanup at these sites. EM\u2019s cleanup work has been implemented under cleanup agreements negotiated between DOE sites and federal and state regulatory agencies, such as the U.S. Environmental Protection Agency (EPA) and state environmental protection agencies. EM uses milestones\u2014dates by which certain tasks are to be completed\u2014as a tool for managing and tracking progress on site cleanup, along with earned value management systems and performance metrics. EM also reports to Congress on the status of these milestones and bases its annual request for cleanup funding in part on the need to meet site milestones. However, in 1995 and 2002, for example, we reported that milestones, as developed and used by DOE, were not a good measure of EM\u2019s cleanup progress and recommended that DOE set national cleanup priorities and renegotiate milestones based on those priorities. In 2015, an independent review found that the use of cleanup agreements negotiated by individual EM sites, rather than a more centralized approach, sometimes caused EM to focus its scarce resources on outdated milestones and lower-priority risks to human health and the environment.", "You asked us to review EM\u2019s cleanup agreements that set requirements and milestones for EM\u2019s cleanup approach at its 16 sites and how EM has performed in meeting those milestones historically. This report examines the extent to which EM (1) tracks the milestones in cleanup agreements in place at EM\u2019s cleanup sites; (2) has met, missed, or postponed cleanup-related milestones at selected sites and how EM reports that information; and (3) has analyzed why milestones are missed or postponed and how, if at all, EM considers those reasons when renegotiating milestones with regulators.", "To review and summarize the number of cleanup agreements and corresponding milestones in place at EM\u2019s cleanup sites, we collected and examined all of the cleanup agreements for EM\u2019s 16 active cleanup sites. We also collected EM\u2019s publicly reported lists of cleanup milestones\u2014as found in DOE\u2019s Future-Years Plans submitted to Congress in 2012 and 2017\u2014as well as updated lists that we obtained from EM headquarters. In addition, we gathered lists of milestones from some of the sites, as described below. We compared information provided by EM headquarters and the sites to identify discrepancies, if any, regarding the number and status of the milestones. We also compared EM\u2019s approach to tracking milestones against GAO\u2019s standards for internal control in the federal government.", "To analyze the extent to which EM has met, missed, or postponed cleanup-related milestones at selected sites and how EM reports that information, we selected a nongeneralizable sample of four sites\u2014Idaho National Laboratory in Idaho; Savannah River Site in South Carolina; Los Alamos National Laboratory in New Mexico; and the Hanford Site in Washington\u2014for in-depth review. We selected these sites to ensure diversity in (1) geographic location, (2) the responsible DOE agency (EM is responsible for the cleanup at the 16 sites, but the National Nuclear Security Administration oversees five of the sites), (3) the size of the annual cleanup budget (selecting both large and small budgets), and (4) the size of the total environmental liability (selecting both large and small liabilities). Findings from these sites cannot be generalized to sites that we did not include in our review. From each of the selected sites, we collected EM\u2019s public reports on historical and current data on the number and status of milestones and reviewed, analyzed, and summarized this information. We reviewed DOE\u2019s 2017 cleanup policy and associated policies and procedures and met with officials from each of the sites in the sample to find out more about site efforts to track how often milestones had been met, missed, or postponed. To evaluate how EM reported this information, we compared DOE\u2019s 2012 and 2017 reports to Congress and EM\u2019s internal milestone reporting systems at headquarters and the sites. We also compared EM\u2019s reporting against the requirement to report to Congress and best practices for project schedules.", "To evaluate the extent to which EM has analyzed why milestones are missed or postponed, we interviewed EM headquarters and site officials. To analyze the extent to which EM considers those reasons when renegotiating milestones, we reviewed EM\u2019s orders and guidance that govern the process of negotiating cleanup milestones with regulators. We compared this guidance against best practices in project and program management.", "We conducted this performance audit from May 2017 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["EM oversees a nationwide complex of 16 sites. A majority of the sites were created during World War II and the Cold War to research, produce, and test nuclear weapons (see figure 1). Much of the complex is no longer in productive use but still contains vast quantities of radioactive and hazardous materials related to the production of nuclear weapons. In 1989, EM began carrying out activities around the complex to clean up, contain, safely store, and dispose of these materials. Starting at about the same time, DOE documents indicate that EM and state and federal regulators entered into numerous cleanup agreements that defined the scope of cleanup work and established dates for coming into compliance with applicable environmental laws. EM has spent more than $170 billion since it began its cleanup program, but its most challenging and costly cleanup work remains, according to EM documents.", "The processes that govern the cleanup at EM\u2019s nuclear waste sites are complicated, involving multiple laws, agencies, and administrative steps. EM\u2019s cleanup responsibilities derive from different laws, including CERCLA, RCRA, the Atomic Energy Act, and state hazardous waste laws. Federal facility agreements, compliance orders, and other compliance agreements also govern this cleanup.", "Federal facility agreements are generally enforceable agreements that DOE enters into with EPA and affected states under CERCLA and applicable state laws. For each federal facility listed on the National Priorities List, EPA\u2019s list of seriously contaminated sites, section 120 of CERCLA requires the relevant federal agency to enter into an interagency agreement with EPA for the completion of all necessary cleanup actions at the facility. The interagency agreement must include, among other things, the selection of the cleanup action and schedule for its completion. Interagency agreement provisions can be renegotiated, as necessary, to incorporate new information, adjust schedules, and address changing conditions.", "States generally issue federal facility compliance orders to DOE under RCRA and the Federal Facilities Compliance Act. RCRA prohibits the treatment, storage or disposal of hazardous waste without a permit from EPA or a state that EPA has authorized to implement and enforce a hazardous waste management program. Under the Federal Facilities Compliance Act, federal agencies are subject to state hazardous waste laws and state enforcement actions, including compliance orders. RCRA regulations establish detailed and often waste-specific requirements for the management and disposal of hazardous wastes, including the hazardous waste component of mixed waste. Tri-party agreements among DOE, EPA, and the relevant state often serve as both a federal facility agreement and a compliance order.", "In addition to federal facility agreements, other types of agreements governing cleanup at specific sites may also be in place, including administrative compliance orders, court-ordered agreements, and settlement agreements. Administrative compliance orders are orders from state agencies enforcing state hazardous waste management laws. Court-ordered agreements result from lawsuits initiated primarily by states. Settlement agreements are agreements between parties that end a legal dispute.", "These agreements may include milestones\u2014dates by which DOE commits to plan and carry out its cleanup work at the sites. DOE has identified two different types of milestones: enforceable and planning milestones. Generally, an enforceable milestone has a fixed, mandatory due date, subject to the availability of appropriated funds, whereas a planning milestone is not enforceable and usually represents a placeholder or shorter term of work. In this report, we are examining any enforceable milestone that derives from either federal facility agreements or other compliance agreements.", "EM manages its cleanup program based on internal guidance, on milestone commitments to regulators, and in consultation with a variety of stakeholders. First, according to EM officials, EM manages cleanup activities based on requirements listed in a cleanup policy that it issued in July 2017 along with guidance listed in standard operating policies and procedures associated with this policy. The 2017 cleanup policy states that EM will apply DOE\u2019s project management principles described in Order 413.3B to its operations activities in a tailored way. Second, EM\u2019s budget requests are explicit regarding the role the milestones play in the cleanup effort. For example, in its fiscal year 2019 request to Congress, EM stated that the request addresses cleanup \u201cgoverned through enforceable regulatory milestones.\u201d Third, in addition to the milestone commitments to EPA and state environmental agencies, other stakeholders involved include county and local governmental agencies, citizen groups, and other organizations. These stakeholders advocate their views through various public involvement processes, including site- specific advisory boards."], "subsections": []}, {"section_title": "At EM\u2019s 16 Cleanup Sites, Cleanup Is Governed by 72 Agreements, but EM Headquarters and Sites Do Not Consistently Define or Track Milestones", "paragraphs": ["At EM\u2019s 16 cleanup sites, cleanup is governed by 72 agreements and hundreds of cleanup milestones. These agreements include federal facility agreements generally negotiated between DOE, the state, and EPA, and compliance orders from state regulators. These agreements may impose penalties for missing milestones and may amend or modify earlier agreements, including extending or eliminating milestone dates. Within the agreements, hundreds of milestones outline deadlines for specific actions to be taken by EM as it carries out its cleanup work. However, because EM lacks a standard definition of milestones, some sites track milestones differently than EM headquarters, limiting EM\u2019s ability to monitor performance."], "subsections": [{"section_title": "At EM\u2019s 16 Cleanup Sites, Cleanup Is Governed by 72 Agreements, Most of Which Include Cleanup Milestones", "paragraphs": ["In total, DOE has entered into 72 cleanup agreements at EM\u2019s 16 cleanup sites. The agreements were initially signed between 1985 and 2009 (see table 1). With the exception of the Moab Uranium Mill Tailings Remedial Action Project in Utah and the Waste Isolation Pilot Plant in New Mexico, each site is governed by at least one cleanup agreement. Twelve are governed by multiple agreements (up to as many as 17 at the Savannah River Site, for example).", "Twelve sites are governed by federal facility agreements, generally with the relevant state and EPA. These agreements generally set out a sequence for accomplishing the work, tend to cover a relatively large number of cleanup activities, and include milestones that DOE must meet. All of the 12 sites with federal facility agreements are also governed by additional compliance agreements that have been negotiated at each site subsequent to the initial federal facility agreement or other agreement with the state. These agreements may impose penalties for missing milestones and may amend or modify earlier agreements, including extending or eliminating milestone dates. For example, the Hanford Site is subject to three consent decrees that resulted from litigation in which the state of Washington sued DOE for failing to meet certain cleanup milestones."], "subsections": []}, {"section_title": "EM Headquarters and Selected Cleanup Sites Do Not Consistently Define or Track Milestones", "paragraphs": ["EM headquarters and cleanup site officials provided us with different totals on the number of milestones in place at the four sites we selected for further review. Both federal facility agreements and other compliance agreements contain milestones with which EM must comply and, according to EM officials and our review of the agreements, these agreements collectively contain hundreds of milestones. However, milestone information that EM headquarters and site officials shared with us was not consistent. For example, for milestones due in fiscal years 2018 through 2020, officials at EM headquarters identified 135 enforceable cleanup milestones at the four selected sites, which was less than half of the number of such milestones officials at those sites reported to us (see table 2).", "These discrepancies result from how headquarters and selected sites define and track milestones.", "Milestone definitions. EM headquarters officials said that they are primarily concerned with milestones related to on-the-ground cleanup; that is, cleanup activities that actually result in waste being removed, treated, or disposed of. EM officials said they consider these to be major milestones. However, not all sites make the same distinction between major and non-major milestones and, as a result, are not consistently reporting the same types of milestones to EM headquarters. For example, officials at the Savannah River Site track milestones in a federal facility agreement that lists 79 milestones due in fiscal years 2018 through 2020. This agreement makes no distinction between major and non-major milestones and includes administrative activities, such as revisions to cleanup reports, in its milestone totals. EM headquarters officials, on the other hand, do not include these activities as major milestones and list only 43 milestones due in the same time frame. Similarly, Hanford officials do not distinguish between major or other milestones in their internal tracking. As a result, Hanford officials are tracking 178 milestones due in fiscal years 2018 through 2020, whereas EM headquarters officials are tracking 57 for the same time frame at Hanford.", "Requirements for updating milestones. Sites do not consistently provide EM headquarters with the most up-to-date information on the status of milestones at each site. This is because EM requirements governing the submission of milestone information do not specify when or how often sites are to update this information, so sites have the discretion to choose when to send updated milestone data to headquarters. As a result, the information on the list of milestones used to track cleanup performance by EM headquarters may differ from the more up-to-date information kept by the sites. For example, officials at each of the four sites we examined stated that they try to send updated information on the status of milestones to headquarters on an annual basis, though they sometimes send it less frequently. Officials at EM headquarters acknowledged that their list of milestones is not always up-to-date because of the lag between when a milestone changes at the site and when sites update that information in the EM headquarters\u2019 database.", "In addition to inconsistencies in tracking and defining milestones, lists of milestones maintained by EM headquarters and the four selected sites may not include all cleanup milestones governing the cleanup work at the site. We found two cases in which permits at two sites included milestones that neither EM headquarters nor site officials included in their list of sites\u2019 cleanup milestones. For example, milestones related to a major construction project at one of the selected sites we reviewed\u2014 Savannah River\u2014are not listed in either EM headquarters\u2019 or the Savannah River Site\u2019s list of enforceable milestones. According to South Carolina state environmental officials, milestones associated with this project are part of a separate permit and dispute resolution agreement not connected to the federal facility agreement or one of the sites\u2019 compliance agreements. Recently, DOE acknowledged in its fiscal year 2019 budget request that this project has faced technical challenges, and officials noted that the previously agreed-upon start date for operating this project would be delayed. However, this milestone and its delay are not included in either EM headquarters\u2019 or Savannah River\u2019s list of milestones. Similarly, officials at the Hanford Site said that some milestones governing Hanford\u2019s cleanup are part of the site wide RCRA permit issued by the state, which is separate from its federal facility agreement, and, as a result, officials do not track this information in the same Hanford milestone tracking system and do not report it to EM headquarters.", "EM does not have a standard definition of milestones for either sites or headquarters to use for reporting and monitoring cleanup milestones or guidance on how often sites should update the status of milestones. EM headquarters officials cited guidance that sites can refer to when entering their milestone data into the headquarters-managed database. This guidance addresses how to submit milestone data but does not include a definition of milestones or specify how often sites should update the information. EM headquarters officials noted that sites have the discretion to input milestones as they choose. EM\u2019s lack of a standard definition of milestones limits management\u2019s ability to use milestones to manage EM\u2019s cleanup mission and monitor its progress. We have previously found that poorly defined, incomplete, or missing requirements make it difficult to hold projects accountable, result in programs or projects that do not meet user needs, and can result in cost and schedule growth. In addition, according to Standards for Internal Control in the Federal Government, information and communication are vital for an entity to achieve its objectives. According to these standards, the first principle of information and communication is that management should define the information requirements at the relevant level and the requisite specificity for appropriate personnel. Without this, EM\u2019s ability to use milestones for managing and measuring the performance of its cleanup program is limited."], "subsections": []}]}, {"section_title": "EM Does Not Track Sites\u2019 Renegotiated Milestone Dates and Has Not Consistently Reported Milestone Information to Congress as Required", "paragraphs": ["EM relies on cleanup milestones, among other metrics, to measure the overall performance of its operations activities. However, sites regularly renegotiate milestones they are at risk of missing, and EM does not track data on the history of postponed milestones. As a result, EM cannot accurately track the progress of cleanup activities to meet these milestones. Additionally, EM has not consistently reported required information to Congress, and the information it has reported is incomplete. For example, in its report to Congress on the status of the enforceable milestones, EM includes the latest (meaning the most recently renegotiated) milestone dates with no indication of whether or how often those milestones have been missed or postponed."], "subsections": [{"section_title": "Sites Renegotiate Milestone Dates Before They Are Missed, and EM Does Not Track How Often This Occurs", "paragraphs": ["Site officials typically renegotiate enforceable milestones they are at risk of missing with their regulators, in accordance with the modification procedures established in federal facility agreements. EM officials said that sites have the ability to renegotiate milestones before they are missed. For example, the Hanford Site Federal Facility Agreement allows DOE to request an extension of any milestone; the request must include, among other things, DOE\u2019s explanation of the good cause for the extension. As long as there is consensus among EM and its regulators, the milestone is changed. Similarly, the Los Alamos Federal Facility Agreement requires site officials to negotiate cleanup milestones each fiscal year. Because renegotiated milestones are not technically missed, EM avoids any fines or penalties associated with missed milestones.", "Site officials we interviewed at the four selected sites stated that it is common for regulators and sites to renegotiate milestones before sites miss them. For example, at the Savannah River Site, both DOE and South Carolina officials said they could not recall any missed milestones among the thousands of milestones completed since the cleanup began. Similarly, Hanford officials told us that since the beginning of the cleanup effort in 1989, more than 1,300 milestones had been completed and only 62 had actually been missed because, in most cases, whenever milestones were at risk of being missed, they were renegotiated. However, officials at these sites could not provide us with the exact number of times milestones had been renegotiated. This is because once milestones are changed, sites are not required to maintain or track the original milestones. As a result, the new milestones become the new agreed-upon time frame, essentially resetting the deadline.", "Because EM does not track the original baseline schedule for renegotiated milestone dates, milestones do not provide a reliable measure of program performance. According to best practices identified in GAO\u2019s schedule assessment guide, agencies should formally establish a baseline schedule against which performance can be measured. In particular, we have previously found that management does not have the ability to identify and mitigate the effects of unfavorable performance without a formally established baseline schedule against which it can measure performance. We have also found that, without a documented and consistently-applied schedule change control process, program staff may continually revise the schedule to match performance, hindering management\u2019s insight into the true performance of the project. In addition, DOE\u2019s internal project management policies call for steps to maintain a change control process, including setting a baseline schedule for completing certain activities and maintaining a record of any subsequent deviations from that baseline. EM uses milestones as one of its metrics for measuring the performance of its cleanup efforts, since the milestones are effectively schedule targets. However, since neither EM headquarters nor the sites track renegotiated milestones and their baseline dates at the sites, EM cannot accurately use milestones for managing and measuring the performance of its cleanup program."], "subsections": []}, {"section_title": "EM Has Not Consistently Reported Required Information to Congress, and the Information It Has Reported Is Incomplete", "paragraphs": ["EM has not consistently reported required information to Congress on the status of its milestones. The National Defense Authorization Act for Fiscal Year 2011 established a requirement for EM to annually provide Congress with a future-years defense environmental cleanup plan. This plan is to contain, among other things, information on the current dates for enforceable milestones at specified cleanup sites, including whether each milestone will be met and, if not, an explanation as to why and when it will be met. However, since 2011, EM has only provided Congress with the required annual plan in 2 years\u20142012 and 2017\u2014and EM officials told us in September 2018 that they were unsure when EM would release the next future-years plan. EM officials said that, instead of the annual plan, they have provided oral briefings to Congressional staff during the 4 years when a formal report was not produced.", "In addition, our analysis of the 2012 and 2017 plans EM submitted to Congress identified three ways in which the plans provide inaccurate or incomplete information on EM\u2019s enforceable milestones.", "No historical record. First, the plans contain no indication of whether each milestone date reported is the original date for that milestone or whether or how many times the milestones listed have been missed or postponed. Instead, the plans report the latest (and most recently renegotiated) dates for the milestones without listing the original dates or acknowledging that some of the milestones have been delayed, in some cases by several years, beyond their original agreed-upon completion dates. For example, we found that at least 14 milestones from the 2012 plan were repeated in the 2017 plan with new forecasted completion dates, but the 2017 plan gave no indication that these milestones had been postponed (see table 3). The milestones\u2019 due dates had been pushed back by as many as 6 years without any indication in the 2017 report that they were delayed. As noted above, EM headquarters does not track changes to milestones and EM officials at both headquarters and the sites said that they have not historically kept a record of the original baseline dates for renegotiated milestones they change. As a result, EM officials could not readily provide information on whether the other milestones listed in the 2012 report met their listed due date or whether they were postponed. Headquarters officials stated that to gather this information they would need to survey officials at each site.", "Inaccurate forecast. Second, the forecast completion dates for milestones listed in the 2012 and 2017 plans may not present an accurate picture of the status of the milestones and EM\u2019s cleanup efforts. For example, in the 2012 plan, DOE reported that four out of 218 milestones were at risk of missing their planned completion date, while the rest were on schedule. As discussed above, we found 14 of the milestones in the 2012 plan had been postponed and listed again in the 2017 plan. Similarly, the 2017 plan listed only one milestone out of 154 as forecasted to miss its due date. However, because EM does not have a historical record of the changes made to the milestones, it is unclear how many of these milestones represented their original due dates.", "Incomplete list. Third, the plans did not include milestones from all of the 10 DOE cleanup sites that EM is required to report on. In 2012, EM did not report milestone information for two of the 10 sites that were required to be included in the plan. In the 2017 plan, information was missing for one of the 10 required sites. EM headquarters officials said that this could be because some sites did not update their milestone information or some sites may still be renegotiating new milestones. However, neither report indicated that data were missing for these sites.", "As a result of these issues, DOE\u2019s future-years defense environmental cleanup plans provide only a partial picture of the milestones and overall cleanup progress made across the cleanup complex, and actual progress made in cleanup is not transparent to Congress. The absence of reliable and complete information on the progress of EM\u2019s cleanup mission limits EM\u2019s ability to manage its mission and complicates Congress\u2019s ability to oversee the cleanup work."], "subsections": []}]}, {"section_title": "EM Does Not Analyze the Root Causes of Missed or Postponed Milestones and Does Not Have Guidelines for Considering Root Causes When Renegotiating New Milestones", "paragraphs": ["Best practices and DOE requirements for project management call for a root cause analysis when problems lead to schedule delays, but EM officials at both headquarters and selected sites have not analyzed reasons why milestones are missed or postponed. According to best practices identified in GAO\u2019s cost estimating guide, agencies should identify root causes of problems that lead to schedule delays and renegotiated milestones. Specifically, when risks materialize (i.e., when milestones are missed or delayed), risk management should provide a structure for identifying and analyzing root causes. The benefits of doing so include developing a better understanding of the factors that caused milestones to be missed and providing agencies with information to more effectively address those factors in the future. In addition, DOE has recently emphasized the importance of doing this kind of analysis. In 2015, DOE issued a directive requiring sites to do a root cause analysis when the project team, program office, or independent oversight offices determine that a project has breached its cost or schedule thresholds. This directive, which applies to all programs and projects within DOE, calls for \u201can independent and objective root cause analysis to determine the underlying contributing causes of cost overruns, schedule delays, and performance shortcomings,\u201d such as missed or postponed milestones.", "However, EM has not done a complex-wide analysis of the reasons for missed or postponed milestones. Similarly, officials we interviewed at the four selected sites said that they were not aware of any site-wide review of why milestones were missed or postponed. According to headquarters officials, this analysis has not been done because EM has determined that DOE requirements governing this type of analysis apply only to contract schedules, not regulatory milestones, and that missed or postponed milestones are not necessarily an indication of cleanup performance shortcomings. However, as previously noted in this report, missing or postponing milestones is a systemic problem across the cleanup complex that makes it difficult for DOE to accurately identify cleanup performance shortcomings. Because EM has not analyzed why it has missed or postponed milestones, EM cannot address these systemic problems and consider those problems when renegotiating milestones with regulators. Without such analysis, EM and its cleanup regulators lack information to set more realistic and achievable milestones and, as a result, future milestones are likely to continue to be pushed back, further delaying the cleanup work. As we have reported previously, these delays lead to increases in the overall cost of the cleanup."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The federal government faces a large and growing future environmental liability, the vast majority of which is related to the cleanup of radioactive and hazardous waste at DOE\u2019s 16 sites around the country. EM has responsibility for addressing the human health and environmental risks presented by this contamination in the most cost-effective way. However, most of EM\u2019s largest projects are significantly delayed and over budget, and state regulators for nearly all of EM\u2019s cleanup sites have responded by initiating enforcement actions, often leading to additional agreements, including administrative orders and court settlements, in addition to initial federal facility agreements to ensure those risks are addressed.", "EM relies on cleanup milestones, among other metrics, to measure the overall performance of its operations activities, and EM reports that very few of its cleanup milestones over the past 2 decades have been missed. However, EM\u2019s self-reported performance in achieving milestones does not provide an accurate view of actual progress in cleaning up sites. EM has not established clear definitions for tracking and reporting milestones and does not have any requirements governing the way sites are to update milestone information. As a result, EM\u2019s internal tracking of these milestones has inconsistencies. Additionally, since the requirement to annually report on the status of milestones was set in 2011, EM has produced only two reports to Congress, and these were inaccurate and incomplete. Without a clear and consistent approach to collecting and reporting this data, including the history of milestone changes, EM cannot accurately use milestones for managing and measuring the performance of its cleanup program. The absence of reliable and complete information on the progress of EM\u2019s cleanup mission also limits EM\u2019s and Congress\u2019s ability to oversee the cleanup work. In addition, without a root cause analysis of why milestones are missed or postponed, EM and its cleanup regulators lack information to set more realistic and achievable milestones. As a result, future milestones are likely to continue to be pushed back, further delaying the cleanup work, which will likely increase cleanup costs and risks to human health and the environment."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DOE: The Assistant Secretary of DOE\u2019s Office of Environmental Management should update EM\u2019s policies and procedures to establish a standard definition of milestones and specify requirements for both including and updating information on milestones across the complex. (Recommendation 1)", "The Assistant Secretary of DOE\u2019s Office of Environmental Management should track original milestone dates as well as changes to its cleanup milestones. (Recommendation 2)", "The Assistant Secretary of DOE\u2019s Office of Environmental Management should comply with the requirements in the National Defense Authorization Act by reporting annually to Congress on the status of its cleanup milestones and including a complete list of cleanup milestones for all sites required by the act. The annual reports should also include, for each milestone, the original date along with the currently negotiated date. (Recommendation 3)", "The Assistant Secretary of DOE\u2019s Office of Environmental Management should conduct root cause analyses of missed or postponed milestones. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE for review and comment. DOE provided written comments, which are reproduced in appendix II; the agency also provided technical comments that we incorporated in the report as appropriate. Of the four recommendations in the report, DOE agreed with three, and partially agreed with one.", "Regarding the recommendation that DOE update EM\u2019s policies and procedures to establish a standard definition of milestones and specify requirements for both including and updating information on milestones across the complex, the agency agreed with the recommendation. DOE stated that these policy-driven reforms can improve the efficiency of milestone tracking.", "Regarding the recommendation that DOE track changes to cleanup milestones, the agency agreed with the recommendation. DOE stated that EM currently monitors milestone status, including changes as the need for changes are identified and as part of its ongoing communication with field offices, and therefore DOE considers the recommendation to be closed. However, as we noted in the report, neither EM headquarters nor the sites track the original baseline schedule for renegotiated milestone dates. We adjusted the language of the recommendation to make clear that the EM Assistant Secretary should track original milestone dates as well as changes to cleanup milestones. DOE stated in its written comments that EM does not believe that tracking original and changed milestones will strengthen EM's ability to use milestones to manage and measure the performance of its cleanup program. However, as we noted in this report, according to best practices identified in GAO's schedule assessment guide, agencies should formally establish a baseline schedule against which performance can be measured. We have found that, without a documented and consistently-applied schedule change control process, program staff may continually revise the schedule to match performance, hindering management's insight into the true performance of the project. In addition, DOE's internal project management policies call for steps to maintain a change control process, including setting a baseline schedule for completing certain activities and maintaining a record of any subsequent deviations from that baseline.", "Regarding our recommendation that DOE comply with the requirements in the National Defense Authorization Act by reporting annually to Congress on the status of its cleanup milestones and including a complete list of cleanup milestones for all sites required by the act, the agency partially agreed with the recommendation. DOE stated that additional budget and clarification of purpose and scope would be required to fulfill this recommendation. As we point out in our report, DOE has not fully complied with requirements established by the act, including not submitting all required annual reports and, even when DOE did submit these reports, its reporting omitted information about some sites. DOE stated that EM is reviewing options to address this recommendation.", "Regarding our recommendation that DOE conduct root cause analyses of performance shortcomings that lead to missed or postponed milestones, the agency agreed with the recommendation and stated that EM is evaluating options to implement it. However, DOE stated that there may be multiple reasons why milestones are changed, and not all of the changes are due to DOE performance. To acknowledge the uncertainty in the causes of missed or postponed milestones, we adjusted the language of the recommendation to clarify that the EM Assistant Secretary should conduct root cause analyses of missed or postponed milestones.", "In addition, in its written comments, DOE disagreed with the draft report's description of the process and authorities related to renegotiating compliance milestones, stating that EM cannot and does not unilaterally delay/postpone milestones and that EPA and state regulator approval of milestone changes is required. We agree, and the report states that it is common for regulators and sites to renegotiate milestones before sites miss them. DOE also disagreed with the draft report\u2019s characterization of the coordination between EM sites and headquarters in tracking milestones. In particular, DOE\u2019s written comments state that site-specific databases include all regulatory compliance milestones drawn from applicable agreements, while the headquarters database tracks major enforceable milestones. However, as our report notes, because not all sites make the same distinction between major and non-major milestones, sites are not consistently reporting the same types of milestones to EM headquarters. In addition, DOE\u2019s written comments state that EM sites and headquarters routinely collaborate and discuss the status of milestones via meetings and EM periodically requests that sites verify the data in the EM headquarters database. Nevertheless, as our report notes, EM requirements governing the submission of milestone information do not specify when or how often sites are to update this information.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Energy, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Department of Energy (DOE) Cleanup Sites", "paragraphs": [], "subsections": [{"section_title": "Brookhaven National Laboratory", "paragraphs": ["The Brookhaven National Laboratory was established in 1947 by the Atomic Energy Commission. Formerly Camp Upton, a U.S. Army installation site, Brookhaven is located on a 5,263-acre site on Long Island in Upton, NY, approximately 60 miles east of New York City. Historically, Brookhaven was involved in the construction of accelerators and research reactors such as the Cosmotron, the High Flux Beam Reactor, and the Brookhaven Graphite Research Reactor. These accelerators and reactors led the way in high-energy physics experiments and subsequent discoveries but also resulted in radioactive waste. To complete the cleanup mission, DOE is working to build and operate groundwater treatment plants, decontaminate and decommission the High Flux Beam Reactor and the Brookhaven Graphite Research Reactor, and dispose of some wastes off-site."], "subsections": []}, {"section_title": "Energy Technology Engineering Center", "paragraphs": ["The Energy Technology Engineering Center occupies 90 acres within the 290 acre Santa Susana Field Laboratory 30 miles north of Los Angeles, California. The area was primarily used for DOE research and development activities. In the mid-1950s, part of the area was set aside for nuclear reactor development and testing, primarily related to the development of nuclear power plants and space power systems, using sodium and potassium as coolants. In the mid-1960s, the Energy Technology Engineering Center was established as a DOE laboratory for the development of liquid metal heat transfer systems to support the Office of Nuclear Energy Liquid Metal Fast Breeder Reactor program. DOE is now involved in the deactivation, decommissioning, and dismantlement of contaminated facilities on the site."], "subsections": []}, {"section_title": "Hanford Site", "paragraphs": ["DOE is responsible for one of the world\u2019s largest environmental cleanup projects: the treatment and disposal of millions of gallons of radioactive and hazardous waste at its 586 square mile Hanford Site in southeastern Washington State. Hanford facilities produced more than 20 million pieces of uranium metal fuel for nine nuclear reactors along the Columbia River. Five plants in the center of the Hanford Site processed 110,000 tons of fuel from the reactors, discharging an estimated 450 billion gallons of liquids to soil disposal sites and 53 million gallons of radioactive waste to 177 large underground tanks. Plutonium production ended in the late 1980s. Hanford cleanup began in 1989 and now involves (1) groundwater monitoring and treatment, (2) deactivation and decommissioning of contaminated facilities, and (3) the construction of the waste treatment and immobilization plant intended, when complete, to treat the waste in the underground tanks."], "subsections": []}, {"section_title": "Idaho National Laboratory", "paragraphs": ["DOE\u2019s Idaho Site is an 890-square-mile federal reserve, situated in the Arco Desert over the Snake River Plain Aquifer in central Idaho. The Idaho Cleanup Project involves the environmental cleanup of the Idaho Site, contaminated with legacy wastes generated from World War II-era conventional weapons testing, government-owned research and defense reactors, spent nuclear fuel reprocessing, laboratory research, and defense missions at other DOE sites."], "subsections": []}, {"section_title": "Lawrence Livermore National Laboratory", "paragraphs": ["The 1-square-mile Lawrence Livermore National Laboratory site is an active, multi-program DOE research laboratory about 45 miles east of San Francisco. A number of research and support operations at Lawrence Livermore handle, generate, or manage hazardous materials that include radioactive wastes. The site first was used as a Naval Air Station in the 1940s. In 1951, it was transferred to the U.S. Atomic Energy Commission and was established as a nuclear weapons and magnetic fusion energy research facility. Over the past several years, Lawrence Livermore constructed several treatment plants for groundwater pumping and treatment and for soil vapor extraction. These systems will continue to operate until cleanup standards are achieved."], "subsections": []}, {"section_title": "Los Alamos National Laboratory", "paragraphs": ["Los Alamos National Laboratory is located in Los Alamos County in north central New Mexico. The laboratory, founded in 1943 during World War II, served as a secret facility for research and development of the first nuclear weapon. The site was chosen because the area provided controlled access, steep canyons for testing high explosives, and existing infrastructure. The Manhattan Project\u2019s research and development efforts that were previously spread throughout the nation became centralized at Los Alamos and left a legacy of contamination. Today, the Los Alamos National Laboratory Cleanup Project is responsible for the treatment, storage, and disposition of a variety of radioactive and hazardous waste streams; removal and disposition of buried waste; protection of the regional aquifer; and removal or deactivation of unneeded facilities."], "subsections": []}, {"section_title": "Moab Uranium Mill Tailings Project", "paragraphs": ["The Moab Site is located about 3 miles northwest of the city of Moab in Grand County, Utah. The former mill site encompasses approximately 435 acres, of which about 130 acres is covered by the uranium mill tailings pile. Uranium concentrate (called yellowcake), the milling product, was sold to the U.S. Atomic Energy Commission through December 1970 for use in national defense programs. After 1970, production was primarily for commercial sales to nuclear power plants. During its years of operation, the mill processed an average of about 1,400 tons of ore a day. The milling operations created process-related wastes and tailings, a radioactive sand-like material. The tailings were pumped to an unlined impoundment in the western portion of the Moab Site property that accumulated over time, forming a pile more than 80 feet thick. The tailings, particularly in the center of the pile, have a high water content. Excess water in the pile drains into underlying soils, contaminating the ground water."], "subsections": []}, {"section_title": "Nevada National Security Site", "paragraphs": ["In 1950, President Truman established what is now known as the Nevada National Security Site in Mercury, Nevada, to perform nuclear weapons testing activities. In support of national defense initiatives, a total of 928 atmospheric and underground nuclear weapons tests were conducted at the site between 1951 and 1992, when a moratorium on nuclear testing went into effect. Today, the site is a large, geographically-diverse research, evaluation, and development complex that supports homeland security, national defense, and nuclear nonproliferation. In Nevada, DOE activities focus on groundwater, soil, and on-site facilities; radioactive, hazardous, and sanitary waste management and disposal; and environmental planning."], "subsections": []}, {"section_title": "Oak Ridge Reservation", "paragraphs": ["DOE\u2019s Oak Ridge Reservation is located on approximately 33,500 acres in eastern Tennessee. The reservation was established in the early 1940s by the Manhattan Engineer District of the U. S. Army Corps of Engineers and played a role in the production of enriched uranium during the Manhattan Project and the Cold War. DOE is now working to address excess and contaminated facilities, remove soil and groundwater contamination, and enable modernization that allows the National Nuclear Security Administration to continue its national security and nuclear nonproliferation responsibilities and the Oak Ridge National Laboratory to continue its mission for advancing technology and science."], "subsections": []}, {"section_title": "Paducah Gaseous Diffusion Plant", "paragraphs": ["The Paducah Gaseous Diffusion Plant, located within an approximately 650-acre fenced security area in in McCracken County in western Kentucky, opened in 1952 and played a role in the production of enriched uranium during and after the Cold War until ceasing production for commercial reactor fuel purposes in 2013. Decades of uranium enrichment and support activities required the use of a number of typical and special industrial chemicals and materials. Plant operations generated hazardous, radioactive, mixed (both hazardous and radioactive), and nonchemical (sanitary) wastes. Past operations also resulted in soil, groundwater, and surface water contamination at several sites located within plant boundaries."], "subsections": []}, {"section_title": "Portsmouth Gaseous Diffusion Plant", "paragraphs": ["The Portsmouth Gaseous Diffusion Plant is located in Pike County, Ohio, in southern central Ohio, approximately 20 miles north of the city of Portsmouth, Ohio. Like the Paducah Plant, this facility was also initially constructed to produce enriched uranium to support the nation\u2019s nuclear weapons program and was later used by commercial nuclear reactors. Cleanup activities here are similar to those at the Paducah Plant."], "subsections": []}, {"section_title": "Sandia National Laboratories", "paragraphs": ["The Sandia National Laboratories comprises 2,820 acres within the boundaries of the 118 square miles of Kirtland Air Force Base and is located about 6 miles east of downtown Albuquerque, New Mexico. It is managed by the National Nuclear Security Administration. Sandia National Laboratories was established in 1945 for nuclear weapons development, testing, and assembly for the Manhattan Engineering District. Beginning in 1980, the mission shifted toward research and development for nonnuclear components of nuclear weapons. Subsequently, the mission was expanded to research and development on nuclear safeguards and security and multiple areas in science and technology."], "subsections": []}, {"section_title": "Savannah River Site", "paragraphs": ["The Savannah River Site complex covers 198,344 acres, or 310 square miles, encompassing parts of Aiken, Barnwell, and Allendale counties in South Carolina, bordering the Savannah River. The site is a key DOE industrial complex responsible for environmental stewardship, environmental cleanup, waste management, and disposition of nuclear materials. During the early 1950s, the site began to produce materials used in nuclear weapons, primarily tritium and plutonium-239. Five reactors were built to produce nuclear materials and resulted in unusable by-products, such as radioactive waste. About 35 million gallons of radioactive liquid waste are stored in 43 underground tanks. The Defense Waste Processing Facility is processing the high-activity waste, encapsulating radioactive elements in borosilicate glass, a stable storage form. Since the facility began operations in March 1996, it has produced more than 4,000 canisters (more than 16 million pounds) of radioactive glass."], "subsections": []}, {"section_title": "Separations Process Research Unit", "paragraphs": ["The Separations Process Research Unit is an inactive facility located at the Knolls Atomic Power Laboratory in Niskayuna, New York, near Schenectady. The Mohawk River forms the northern boundary of this site. Built in the late 1940s, its mission was to research the chemical process to extract plutonium from irradiated materials. Equipment was flushed and drained, and bulk waste was removed following the shutdown of the facilities in 1953. Today, process vessels and piping have been removed from all the research unit\u2019s facilities. In 2010, cleanup of radioactivity and chemical contamination in the Lower Level Railroad Staging Area, Lower Level Parking Lot, and North Field areas was completed."], "subsections": []}, {"section_title": "Waste Isolation Pilot Plant", "paragraphs": ["The Waste Isolation Pilot Plant is an underground repository located near Carlsbad, New Mexico, that is used for disposing of defense transuranic waste. The plant is managed by DOE\u2019s Office of Environmental Management and is the only deep geological repository for the permanent disposal of defense generated transuranic waste."], "subsections": []}, {"section_title": "West Valley Demonstration Project", "paragraphs": ["The West Valley Demonstration Project occupies approximately 200 acres within the 3,345 acres of land called the Western New York Nuclear Service Center. The project is located approximately 40 miles south of Buffalo, New York. The West Valley Demonstration Project Act of 1980 established the project. The act directed DOE to solidify and dispose of the high-level waste and decontaminate and decommission the facilities used in the process. The land and facilities are not owned by DOE. Rather, the project premises are the property of the New York State Energy Research and Development Authority. DOE does not have access to the entire 3,345 acres of property."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nico Sloss (Assistant Director), Jeffrey T. Larson (Analyst in Charge), Natalie M. Block, Antoinette C. Capaccio, R. Scott Fletcher, Cindy K. Gilbert, Richard P. Johnson, Jeffrey R. Rueckhaus, Ilga Semeiks, Sheryl E. Stein, and Joshua G. Wiener made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Energy is tasked with cleaning up waste from Cold War nuclear weapons production, much of which is hazardous or radioactive. DOE spends about $6 billion a year on this cleanup, and faces about $500 billion in future liabilities.", "Agreements between DOE and its regulators set requirements and milestones (deadlines) for the work at each cleanup site.", "We found that DOE didn't accurately track or report whether milestones were met, missed, or postponed. We also found that sites continually renegotiate milestones they are at risk of missing.", "We made 4 recommendations to address these and other issues we found."]} {"id": "GAO-18-34", "url": "https://www.gao.gov/products/GAO-18-34", "title": "Veterans Affairs Contracting: Improvements in Buying Medical and Surgical Supplies Could Yield Cost Savings and Efficiency", "published_date": "2017-11-09T00:00:00", "released_date": "2017-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA medical centers spend hundreds of millions of dollars annually on medical supplies and services. In December 2016, VA instituted a major change in how it purchases medical supplies\u2014the MSPV-NG program\u2014to gain effectiveness and efficiencies.", "GAO was asked to examine VA's transition to the MSPV-NG program and its use of emergency procurements. This report assesses the extent to which (1) VA's implementation of MSPV-NG was effective in meeting program goals, and (2) VA awards contracts on an emergency basis. GAO analyzed VA's MSPV-NG requirements development and contracting processes, and identified key supply chain practices cited by four leading hospital networks. GAO also reviewed a non-generalizable sample of 18 contracts designated in VA's database as emergency procurements with high dollar values; and met with contracting, logistics, and clinical officials at 6 medical centers, selected based on high dollar contract obligations in fiscal years 2014-2016 and geographic representation."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) established the Medical Surgical Prime Vendor-Next Generation (MSPV-NG) program to provide an efficient, cost-effective way for its facilities to order supplies, but its initial implementation was flawed, lacked an overarching strategy, stable leadership, and sufficient workforce that could have facilitated medical center buy-in. VA developed requirements for a broad range of MSPV-NG items with limited clinical input. As a result, the program has not met medical centers' needs, and usage remains far below VA's 40 percent target. VA also established cost avoidance as a goal for MSPV-NG, but currently only has a metric in place to measure broader supply chain cost avoidance, not savings specific to MSPV-NG. Also, starting in June 2015, VA planned to award competitive contracts for MSPV-NG items, but instead, 79 percent were added using non-competitive agreements. (See figure.) This was done primarily to meet VA's December 2016 deadline to establish the formulary, the list of items available for purchase through MSPV-NG.", "The roll-out of MSPV-NG ran counter to practices of leading hospitals that GAO spoke with, which highlighted key steps, such as prioritizing supply categories and obtaining continuing clinician input to guide decision-making. VA has taken steps to address some deficiencies identified in the first phase of implementation and is considering a new approach for this program. However, until VA addresses the existing shortcomings in the MSPV-NG program, such as the lack of medical center buy-in, it will face challenges in meeting its goals.", "Medical centers often rely on emergency procurements to obtain routine goods and services\u2014some of which could be made available at lower cost via MSPV-NG. Sixteen of the 18 contracts in GAO's sample were not competed, which puts the government at risk of paying more. For instance, one medical center procured medical gas on an emergency basis through consecutive non-competitive contracts over a 3-year period. VA policy clearly defines emergency actions; however, inefficiencies in planning, funding, and communication at the medical centers contributed to emergency procurements, resulting in the contracting officers quickly awarding contracts with no competition."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 10 recommendations, including that VA expand clinician input in requirements development, calculate MSPV-NG cost avoidance, establish a plan for awarding future competitive contracts, and identify opportunities to strategically procure supplies and services frequently purchased on an emergency basis. VA agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In December 2016, the Department of Veterans Affairs (VA) launched the next generation of the Medical Surgical Prime Vendor program as its primary means for purchasing supplies, such as bandages and scalpels, for 170 VA medical centers to meet the health care needs of about 7 million veterans. In fiscal year 2015, VA obligated $465 million for these types of supplies, and, in 2016, it stated that it planned to achieve $150 million in cost avoidance through a supply chain transformation effort, which includes the Medical Surgical Prime Vendor-Next Generation (MSPV-NG) program. In addition to leveraging VA\u2019s large buying power, the department\u2019s other stated goals for this program were to standardize supplies used across VA medical centers and improve supply chain efficiency.", "The transition to MSPV-NG has been a major effort, involving stakeholders from the Veterans Health Administration\u2019s (VHA) Procurement and Logistics Office and VA\u2019s Strategic Acquisition Center (SAC), as well as logistics and clinical personnel at every medical center. The program also includes hundreds of new contracts with individual supply vendors and a new set of prime vendor contracts to distribute the supplies. This transition represents a significant change to how medical and surgical supplies are purchased, which has raised questions about whether MSPV-NG will appropriately balance medical needs with logistical efficiency. Effective supply chain management is an essential part of delivering quality health care to veterans. For instance, in April 2017, the VA Inspector General released an interim report detailing supply management issues at the District of Columbia VA Medical Center that posed risks to patient care. Moreover, VHA\u2019s procurement of routine goods on an urgent or emergency basis at medical centers, as our prior work indicated has occurred, has the potential to strain VA\u2019s acquisition workforce.", "You requested that we examine VA\u2019s transition to the MSPV-NG program and the extent to which the department contracts for goods and services on an emergency basis. This report assesses the extent to which (1) VA\u2019s implementation of MSPV-NG has been effective in meeting program goals; and (2) VHA awards contracts on an emergency basis for routine supplies and ongoing services and what, if any, impact these awards have on VHA\u2019s acquisition function.", "To review the extent to which VA\u2019s transition to MSPV-NG has been effective, we reviewed policy, communications, briefings, and other documents. We reviewed prior GAO reports on best practices for organizational transformation, as well as internal control standards. We also interviewed supply chain managers from four leading hospital networks regarding their medical supply management practices. We selected the hospital networks because they were identified by an industry study as having leading supply chain practices. During interviews, we asked these supply chain managers a standard set of questions about processes followed to standardize their hospital networks\u2019 supply chain. VA had also identified two of these hospital networks as having leading supply chain practices, and used the industry study to identify these hospital networks. We used this information from the leading hospital networks to compare the key steps\u2014identified by each of the four hospital networks\u2014followed in standardizing their medical supply chains to those steps that VA followed when implementing the MSPV-NG program. We also confirmed these key steps with the leading hospital networks. To assess VA\u2019s MSPV-NG contracting process, we obtained data on the contents of the formulary (a list of specific items that medical centers are allowed to purchase), and determined that it was sufficiently reliable for our reporting objectives by tracing data to a sample of source documents, among other steps. We analyzed the data to determine what acquisition instrument was used to add items or change the composition of the formulary over time. We conducted site visits to three Veterans Integrated Service Networks (VISNs), selected based on highest total contract obligations in fiscal years 2014 through 2016, geographic diversity, and other factors, and interviewed VISN leadership. We visited two medical centers within each selected VISN and interviewed officials, such as Chief Supply Chain Officers, clinicians, and ordering officers. We also interviewed VHA- and VA-wide procurement leaders, program office managers, and managers and members of three integrated product teams who helped develop requirements for supply items\u2014selected based on those responsible for the largest number of items. Finally, we obtained and analyzed data on VA\u2019s metrics for the program. We determined the data were sufficiently reliable for our purpose of measuring utilization by interviewing officials responsible for maintaining the data and other measures.", "To assess the extent to which VHA awards contracts on an emergency basis, we reviewed VA-provided contracting data from fiscal years 2014 through 2016. We determined these data were sufficiently reliable for our reporting objective by reviewing information on system controls, among other things. We used these data to select a non-generalizable sample of 18 contract files, chosen from the three VISNs based on their designated urgency level, among other criteria. We interviewed the contracting officer and medical center customer for each selected contract, as well as leadership of the selected contracting offices. See appendix I for a more detailed scope and methodology.", "We conducted this performance audit from November 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA serves veterans of the U.S. armed forces and provides health, pension, burial, and other benefits. The department\u2019s three operational administrations\u2014VHA, Veterans Benefits Administration, and National Cemetery Administration\u2014operate largely independently from one another. Each has its own contracting authority, though all three also work with national contracting organizations under the Office of Acquisition, Logistics, and Construction for certain types of purchases, such as medical equipment and information technology. VHA, which provides medical care to about 7 million veterans at 170 medical centers, is by far the largest of the three administrations. These medical centers are organized into 18 VISNs, organizations that manage medical centers and associated clinics across a given geographic area. Each VISN is served by a corresponding Network Contracting Office. Figure 1 shows the organizational structure of the procurement function at VA."], "subsections": [{"section_title": "MSPV-NG Program", "paragraphs": ["For over a decade, each of VA\u2019s 170 medical centers used VHA\u2019s legacy MSPV program to order medical supplies, such as bandages and scalpels. Many of those items were purchased using the Federal Supply Schedules, which provided medical centers with a great deal of flexibility. As we reported in 2016, this legacy program, however, prevented VHA from standardizing items used across its medical centers and affected its ability to leverage its buying power to achieve greater cost avoidance. Standardization is a process of narrowing the range of items purchased to meet a given need in order to improve buying power, simplify supply chain management, and provide clinical consistency. For example, a hospital network might find that it purchases 100 varieties of bandages, but might ultimately determine\u2014with input from clinicians\u2014that it can narrow those choices down to 10 varieties to fill most needs, which would provide greater consistency and allow the hospital to negotiate lower prices. In part because the legacy MSPV program limited standardization, VHA decided to transition to a new iteration, called MSPV-NG.", "VHA launched the MSPV-NG program in December 2016 but allowed a 4-month transition period. After April 2017, medical centers could no longer use the legacy program. MSPV-NG now restricts ordering to a narrow \u201cformulary\u201d\u2014a list of specific items that medical centers are allowed to purchase. VA has had a formulary in place for pharmaceuticals since 1997, and many leading hospital networks rely on a similar formulary approach when it comes to purchasing their own medical supplies. VHA policy requires medical centers to use MSPV-NG\u2014as opposed to other means such as open market purchase card transactions\u2014when purchasing items that are available in the formulary. Figure 2 illustrates the program structure and key participants involved in the transition to MSPV-NG.", "VA\u2019s primary MSPV-NG program goals are to:", "Standardize requirements for supply items for greater clinical consistency.", "Achieve cost avoidance by leveraging VA\u2019s substantial buying power when making competitive awards; VA set a goal of achieving $150 million in cost avoidance in 2016 through a supply chain transformation effort, of which MSPV-NG is a primary part.", "Achieve greater efficiency in ordering and supply chain management, including a metric of ordering 40 percent of medical centers\u2019 supplies from the MSPV-NG formulary.", "Involve clinicians in requirements development to ensure uniform clinical review of medical supplies.", "VHA gave responsibility for developing and implementing MSPV-NG to its Healthcare Commodity Program Executive Office (program office), an organization within VHA\u2019s Procurement and Logistics Office. According to documentation, the program office and SAC, a VA-wide contracting organization, identified several steps to allow for a successful transition to MSPV-NG. These steps included the following: 1. Identify and develop requirements \u2013 Determine which types of medical supplies should be made available to medical centers via the MSPV-NG formulary and their key characteristics. The program office was responsible for this aspect of the transition. 2. Award contracts and establish agreements \u2013 SAC was responsible for awarding distribution contracts to a select number of prime vendors within certain geographic areas to deliver supplies to medical centers. SAC was also responsible for awarding contracts and establishing agreements with suppliers that provide the products themselves, which set prices for individual items. 3. Implement MSPV-NG at medical centers \u2013 MSPV-NG orders are placed by ordering officers\u2014members of the logistics staff at each medical center that are delegated authority by SAC contracting officers to place orders for medical supplies. Each medical center\u2019s most frequently purchased items\u2014referred to as their core list\u2014vary based on the type of care provided, local preferences, and other factors."], "subsections": []}, {"section_title": "Leading Practices for Organizational Transformation Efforts", "paragraphs": ["We have previously reported that organizational transformations (such as MSPV-NG) require careful planning and implementation to be successful. For instance, one leading practice is for leadership to set clear implementation goals and a timeline to achieve them. Likewise, communicating a strategy and progress to stakeholders\u2014as well as seeking feedback\u2014is a hallmark of successful organizational transformations. We have reported that at the center of any serious change management initiative are the people. Thus, to facilitate success, is to recognize the \u201cpeople\u201d element and implement strategies to help individuals maximize their full potential in the organization, while simultaneously managing the risk of reduced productivity and effectiveness that often occurs as a result of the changes. Building on the lessons learned from the experiences of large private and public sector organizations, the key practices and implementation steps that we identified in our prior work can help agencies transform their cultures so that they can be more results oriented, customer focused, and collaborative in nature. Standards for Internal Control in the Federal Government also identify related principles, such as the importance of the tone from the top and ensuring that data used in decision-making are reliable."], "subsections": []}, {"section_title": "Supply Chain Practices Identified by Selected Leading Hospital Networks", "paragraphs": ["Leading hospital networks we spoke with have similar goals to VA in managing their supply chains, including clinical standardization and reduced costs. In managing their supply chain efforts, the leading hospital networks we identified take consistent approaches to drive change and achieve savings. These hospitals reported they analyze their spending to identify items purchased most frequently, and which ones would be the best candidates to standardize first to yield cost savings. These hospitals also acknowledge that this is an iterative process and do not attempt to standardize all categories of medical supplies at a single time, but instead prioritize categories of supplies based on the potential for standardization. The hospitals\u2019 supply chain managers establish consensus with clinicians through early and frequent collaboration on supply chain standardization.", "These hospitals also continually involve clinicians in determining key supply characteristics and evaluating potential items, understanding that clinician involvement is critical to the success of any effort to standardize their medical supply chain. For example, a supply chain official from one large hospital we spoke with stated that selecting an item that does not meet clinician needs could damage clinician buy-in for future efforts, so they take great care to be thorough in taking clinician input into account. Supply chain officials from these leading hospitals have reported positive results from these efforts, such as increased cost savings and the potential for improved patient care.", "By tackling a few specific categories at a time and communicating with clinicians on an ongoing basis about the outcomes of these processes and the decisions taken, these hospitals are able to achieve efficiencies, including significant cost savings in some cases, while maintaining buy-in from their clinicians. Figure 3 depicts the key steps that selected hospitals\u2019 supply chain managers reported following when standardizing their medical supply chains, including the critical role of clinicians throughout the process."], "subsections": []}, {"section_title": "Emergency Procurements", "paragraphs": ["The Federal Acquisition Regulation (FAR) generally requires agencies to contract using full and open competition, but permits contracting without full and open competition in specified circumstances, such as when the agency\u2019s need for supplies or services is of unusual and compelling urgency. The VHA Procurement Manual describes an emergency as a situation\u2014such as response to fires or floods\u2014where delay in award of a contract would result in financial or physical injury to the VA or a veteran. The manual also states that neither a lack of advance planning nor concerns about a need to obligate funds before the end of the fiscal year are valid justifications for an urgent or emergency procurement request.", "For needs that cannot be met through MSPV-NG, medical centers submit purchase requests to their local VHA contracting office\u2014the Network Contracting Office. The contracting office provides medical centers with expected lead times for various types of procurements, which can be from days to months, depending on the complexity of the requested item. However, if a medical center has an urgent need that must be met more quickly than the expected lead times, the customer submitting the request can identify it as an emergency. The purchase request is entered into two VA data systems, the Integrated Funds Distribution Control Point Activity, Accounting and Procurement and VA\u2019s Electronic Contract Management System (eCMS). The medical center designates the priority level of the request as: 1. Emergency: life threatening cases, emergency physical plant repair, and requires acquisition action within 24 hours; 2. Special: urgent, non-life threatening, and requires acquisition action within 72 hours; and 3. Standard: all other cases and requires acquisition action within 40 days.", "Incoming requests are screened by Network Contracting Office managers and assigned to individual contracting officers, who must prioritize emergency requests over other pending contract actions. Figure 4 illustrates the typical process for submitting and awarding an emergency procurement."], "subsections": []}]}, {"section_title": "VHA\u2019s Implementation of MSPV-NG Program Has Not Yet Achieved Its Goals", "paragraphs": ["VHA\u2019s implementation of the MSPV-NG program\u2014from its initial work to identify a list of supply requirements in 2015, through its roll-out of the formulary to medical centers in December 2016\u2014was not executed in line with leading practices. Despite changes aimed at improving implementation, the agency continues to face challenges that have precluded achievement of program goals. Specifically, VHA lacked a documented program strategy, leadership stability, and workforce capacity for the transition that\u2014if in place\u2014could have facilitated buy-in for the change throughout the organization. Furthermore, the initial requirements development process and tight time frames contributed to ineffective contracting processes. As a result, VHA developed an initial formulary that did not meet the needs of the medical centers. VA made some changes in the second phase of requirements development to address deficiencies identified in the initial roll out, namely by increasing the level of clinical involvement. However, VHA has not yet achieved its goals for utilization and cost avoidance."], "subsections": [{"section_title": "VA Lacked an Overarching Strategy for Implementing MSPV-NG", "paragraphs": ["VA did not document a clear overall strategy for the MSPV-NG program at the start and has not done so to date. According to program office and SAC officials responsible for developing and executing the program, no document existed at the outset of the MSPV-NG program that outlined the overall strategy. About 6 months after our initial requests for a strategy or plan, an official provided us with an October 2015 plan focusing on the mechanics of establishing the MSPV-NG formulary. However, this plan was used only within the VHA Procurement and Logistics Office and had not been approved by VHA or VA leadership. Leading practices for organizational transformation state that agencies must have well-documented plans and strategies for major initiatives (such as MSPV-NG) and communicate them clearly and consistently to all involved\u2014which included VHA headquarters, the SAC, and all 170 medical centers. Without such a strategy, VA could not ensure that all stakeholders understood VHA\u2019s approach for MSPV-NG and worked together in a coordinated manner to achieve program goals. This is also in contrast to the practices of several leading hospital networks we met with, which placed an emphasis on designing and communicating a strategy and governance structure for their medical supply standardization efforts before making any changes to purchasing. If VA continues to move forward with MSPV-NG without an overarching strategy that it communicates to all stakeholders to ensure they understand VHA\u2019s approach for MSPV-NG, VA will continue to face challenges in meeting program goals."], "subsections": []}, {"section_title": "Leadership Instability and Staffing Shortages Were Obstacles to Effective Implementation of MSPV- NG", "paragraphs": ["Leadership instability and workforce challenges also made it difficult for VA to execute its transition to MSPV-NG. Due to a combination of budget and hiring constraints, and lack of prioritization within VA, the program office, which has primary responsibility for implementing MSPV-NG, has never been fully staffed and has experienced instability in leadership. As of January 2017, 24 of the office\u2019s 40 positions were filled, and program office officials stated that this lack of staff affected their ability to implement certain aspects of the program within the planned time frames. Our work has shown that leadership buy-in is necessary to ensure that major programs like MSPV-NG have the resources and support they need to execute their missions. We have also previously found that leadership must set a tone at the top and demonstrate strong commitment to improve and address key issues. However, leadership of VHA\u2019s Procurement and Logistics Office changed frequently during the implementation of MSPV-NG, and two of its leaders, the Chief Procurement and Logistics Officer and the Deputy Chief Logistics Officer, were serving in an acting capacity. A similar instability in leadership affected the program office itself. Since the inception of MSPV-NG, the program office has had four directors, two of whom were acting and two of whom were fulfilling the director position while performing other collateral duties. For instance, one of the acting MSPV-NG program office directors was on detail from a VISN office to fulfill the position but had to abruptly leave and return to her VISN position due to a federal hiring freeze. Without prioritizing the hiring of the program director position on a permanent basis, this lack of stability could continue to affect execution of MSPV-NG.", "Moreover, VA\u2019s Chief Acquisition Officer (CAO), whose responsibilities include oversight of VA acquisition programs such as MSPV-NG, is serving in an acting capacity and is not a \u201cnon-career employee.\u201d By statute, VA is required to appoint or designate a non-career employee as the agency\u2019s CAO. VA provided information to show that since 2009, VA has designated career employees as \u201cacting\u201d CAOs rather than appointing or designating non-career employees to the CAO position. As we reported in 2012, clear, strong, and effective leadership, including a CAO, is key to an effective acquisition function that can execute complicated procurements like MSPV-NG. By appointing a CAO in a non-acting capacity, VA could improve the effectiveness of its acquisition function. During our 2012 review, VA indicated that it sought to establish an Assistant Secretary for Acquisition, Logistics, and Construction, who would serve as VA\u2019s CAO. In connection with the current review, VA\u2019s Office of General Counsel cited a statutory limitation on the number of assistant secretaries that may be established within VA as the reason it has not established that additional assistant secretary position. VA\u2019s Office of General Counsel indicated that the agency was considering requesting, in the reform plan that VA was required to submit to the Office of Management and Budget in September 2017, a change to the statute that limits the number of VA assistant secretaries. However, subsequently, VA\u2019s Office of General Counsel indicated that the plan will not include such a request. By not appointing or designating a non- career employee as CAO, VA will continue to be noncompliant with the statute. Figure 5 summarizes the history of leadership changes in these positions, which are all currently filled in an acting capacity.", "Further, according to officials, leadership vacancies at medical centers and competing demands on logistics staff time made implementation of MSPV-NG more challenging at the selected VISNs and medical centers we visited. For instance, longstanding vacancies in the Chief Supply Chain Officer positions existed at one of the VISNs and its medical center that we visited. The VISN-level position was vacant for about 4 years, with Chief Supply Chain Officers from individual medical centers filling in for periods of time, according to the current Chief Supply Chain Officer, who took the position in January 2017. In one medical center within that VISN, the local position was also vacant for several years, according to the current Chief Supply Chain Officer, who took the position in 2016. He stated that he found that the staffing of the office had suffered in the absence of a leader, leaving it poorly-equipped to execute the transition to MSPV-NG. Medical center logistics staff also had several other major transformation efforts to manage alongside the MSPV-NG transition, such as implementing a new system for managing equipment. Several Chief Supply Chain Officers we interviewed stated that these additional demands made it challenging for their staff to implement the MSPV-NG program."], "subsections": []}, {"section_title": "The MSPV-NG Initial Requirements Development Process Had Limited Clinician Involvement and Did Not Prioritize Categories of Supplies", "paragraphs": ["The MSPV-NG program office initially developed requirements for medical and surgical supply categories\u2014identifying items to include in the formulary\u2014based almost exclusively on prior supply purchases, with limited clinician involvement. The program office concluded in its October 2015 formulary plan that relying on data on previous clinician purchases would be sufficient and that clinician input would not be required for identifying which items to include in the initial formulary. Further, rather than standardizing purchases of specific categories of supplies\u2014such as bandages or scalpels\u2014program officials told us they identified medical and surgical items on which VA had spent $16,000 or more annually and ordered at least 12 times per year, and made this the basis for the formulary. Officials said this analysis initially yielded a list of about 18,000 items, which the program office further refined to about 6,000 items by removing duplicate items or those that were not considered consumable commodities, such as medical equipment.", "In 2015, the program office also took the lead in developing requirements for these 6,000 items. In documentation, and as confirmed by agency officials, we found that the program office did not solicit input from clinicians for most items and did not prioritize categories of supplies. Instead, the program office relied on historical purchase data to set requirements across medical and surgical categories because officials said they thought this would provide a good representation of medical centers\u2019 needs. This approach to requirement development stood in sharp contrast to those of the leading hospital networks we met with, which relied heavily on clinicians to help drive the standardization process and focused on individual categories of supplies rather than addressing all categories simultaneously."], "subsections": []}, {"section_title": "Initial Requirements Development and Tight Time Frames Contributed to Ineffective Contracting Practices for Initial Formulary", "paragraphs": ["Based on the requirements developed by the program office, SAC began to issue solicitations for the 6,000 items on the initial formulary in June 2015. From June 2015 to January 2016, medical supply companies responded to only about 30 percent of the solicitations. As a result, according to SAC officials, they conducted outreach and some of these companies told SAC that VHA\u2019s requirements did not appear to be based on clinical input and instead consisted of manufacturer-specific requirements that favored particular products instead of broader descriptions. Furthermore, SAC did not solicit large groups of related items, but rather issued separate solicitations for small groups\u2014 consisting of 3 or fewer items\u2014of supply items. This is contrary to industry practices of soliciting large groups of related supplies together. Therefore, according to SAC officials, some medical supply companies told them that submitting responses to SAC\u2019s solicitations required more time and resources than they were willing to commit.", "By its April 2016 deadline for having 6,000 items on the formulary, SAC had been working on the effort for over a year and had competitively awarded contracts for about 200 items, representing about 3 percent of the items. Without contracts for the items on the formulary in place, VA delayed the launch of the MSPV-NG program until December 2016. To continue the legacy MSPV program through the new launch date, SAC awarded bridge contracts\u2014short-term sole-source contracts\u2014to its legacy prime vendor contractors for a second year. We previously reported that bridge contracts had resulted in higher costs to the government. In part because of these costs, SAC officials stated that VA leadership did not view a third set of bridge contracts for the legacy MSPV program as a viable option. As a result of the pressure not to miss the revised December 2016 deadline, which VA documents we reviewed stated would have been \u201ccatastrophic,\u201d SAC abandoned its original goal of using competitive procedures and relied instead on a non-competitive strategy for placing most of the items on the MSPV-NG initial formulary. Starting in August 2016, SAC established 175 limited source blanket purchase agreements with Federal Supply Schedule vendors to complete the initial Phase 1 formulary. While this approach enabled the MSPV- NG program office to establish the formulary more quickly, it did so at the expense of one of the primary goals of the MSPV-NG program\u2014 leveraging VA\u2019s buying power to obtain cost avoidance through competition.", "We previously reported that a senior VA procurement official said VA could save 30 percent, on average, on the prices available under the Federal Supply Schedules when awarding competitive contracts that leveraged VA\u2019s buying power under the legacy MSPV program. The discounts VA obtained from these limited source agreements were generally much less. We reviewed a non-generalizable sample of 10 randomly-selected limited source blanket purchase agreements and found that most items (332 of the 376 items covered by these agreements) were discounted 5 percent or less. Competition is the cornerstone of the acquisition system; its benefits are well established, including saving the taxpayer money. As shown in figure 6, the non- competitive agreements awarded in the last few months before the launch of MSPV-NG accounted for approximately 79 percent of the items on the January 2017 version of the formulary."], "subsections": []}, {"section_title": "Initial Formulary and Unclear Communication Contributed to a Lack of Medical Center Buy-In for MSPV-NG Implementation", "paragraphs": ["Once VA\u2019s MSPV-NG initial formulary was established in December 2016, each medical center was charged with implementing it. Previously, medical centers had hundreds of thousands of items they could obtain through the legacy MSPV program. In order to transition to the new formulary\u2014consisting of around 6,000 items at launch\u2014the program office directed medical centers to determine if items they had ordered in the past could be fulfilled by the formulary. To do this, each medical center\u2019s Chief Supply Chain Officer\u2014the head of the logistics office\u2014was to review their center\u2019s core list of previously ordered items to try to identify matches on the MSPV-NG formulary in three different categories: 1. Direct matches \u2013 For some items, the exact same item a medical center had been purchasing was available in the formulary. Identifying these matches may not necessarily be simple, as the names and identification numbers were not typically the same. 2. Potential clinical equivalents \u2013 Many items that were no longer available under the MSPV-NG formulary had close matches on the formulary. However, because these were not exactly the same, work was required to ensure that they were clinically equivalent\u2014in nearly all cases, this required clinician input. Clinical Product Review Committees at each medical center, which are comprised of clinicians and others, are responsible for approving new supplies before they are introduced to a medical center. 3. Items without matches \u2013 Finally, there were some items that medical centers had been purchasing for which logistics staff were not able to identify a clinical equivalent in the MSPV-NG formulary. In these cases, logistics staff sought non-MSPV methods of obtaining the same items they had previously purchased\u2014usually via purchase card transactions and, in a few cases, via requests to their local contracting office to award new contracts for the items.", "Figure 7 shows the typical process for identifying MSPV-NG matches for core list items at individual VA medical centers, as described by logistics officials at the selected medical centers.", "According to logistics officials we spoke with, the MSPV-NG formulary matching process was challenging for the selected medical centers, and they had varying levels of success, in part, due to incomplete guidance from the program office. The MSPV-NG program office provided some guidance, including a tool for identifying direct matches, but three of the Chief Supply Chain Officers at the selected medical centers stated that they did not find it very helpful, in part, because it only included matches for the highest-volume items. Based on our discussions with the MSPV- NG program office and selected medical centers, as well as our review of communications provided to medical centers, the program office provided various emails and held conference calls, but did not provide complete guidance to summarize the steps medical centers should take to execute the matching process. Without complete guidance, each selected VISN and medical center approached the process somewhat differently. One medical center devoted a great deal of effort to matching items early on, had completed its review, and determined its purchasing strategy for nearly all core list items before the transition period was complete. Others devoted less attention to this and planned instead to rely on purchase cards to continue buying the same items they had purchased under the legacy MSPV program, which works against VA\u2019s goal of leveraging buying power through MSPV-NG.", "The amount of clinician input on the matching process varied among medical centers in our review, in part, because the various communications from the program office did not provide complete information on how to involve clinicians and Clinical Product Review Committees at medical centers. While the program office asked medical centers to involve clinicians, it did not specify a process for how to do so, and centers were left to develop their own approaches. For example, in one selected VISN, the Deputy Chief Medical Officer became involved with the logistics office coordination effort and obtained active participation from clinicians at each medical center, who formed working groups to review potential clinical equivalent matches. In other VISNs and medical centers, there was little concerted effort to involve clinicians at this stage of the process, and only a few clinical equivalent items were reviewed and matched with clinical input. Without effective matching to the formulary, VA cannot achieve the MSPV-NG utilization rates it needs to meet the program\u2019s goals. Without complete guidance, these centers may be unable to effectively match their core lists to the MSPV-NG formulary and, thus, increase their utilization of it.", "The MSPV-NG formulary also continued to change while the medical centers were working to match their core list items, which made the process more challenging. Several clinicians and logistics staff at the medical centers we visited expressed frustration about the frequency by which items were being added and deleted on the formulary and the impact it had on their purchasing strategies. Our analysis found that in April 2017, 690 items were added to the formulary, but, in June, 628 items were deleted. These medical center officials also noted that they had not received any communications from the program office or SAC regarding why items were being added and deleted, and were unsure why the changes were taking place. SAC and MSPV-NG program office officials stated that these continuing changes stemmed from several factors, including elimination of duplicate items from multiple vendors and addition of other items identified as necessary by VHA or medical centers. In some cases, medical center officials told us that that they were less willing to expend effort on the matching process because the formulary was a moving target. Without visibility into or an understanding of the criteria used by the program office on its process for adding or removing items on the formulary, medical centers will likely continue to face challenges in matching their items to the formulary. See Table 1 for the number of items added and deleted from the formulary from January to July 2017.", "Many medical centers were unable to find direct matches or substitutes for a substantial number of items on their core lists, which negatively impacted utilization rates for the initial formulary. In October 2015, the program office estimated that the items on the initial formulary would meet 80 percent or more of the medical centers\u2019 needs. However, according to SAC, as of June 2017, only about a third of the items on the initial version of the formulary were being ordered in any significant quantity by medical centers, indicating that many items on the formulary may not be those that are needed by medical centers. Senior VHA acquisition officials attributed this mismatch to shortcomings in their initial requirements development process as well as with VA\u2019s purchase data.", "VA set out a target that medical centers would order 40 percent of their supplies from the MSPV-NG formulary, but utilization rates are below this target with a nationwide average utilization rate across medical centers of about 24 percent as of May 2017. Instead of fully using MSPV-NG, the selected medical centers are purchasing many items through other means, such as purchase cards or new contracts awarded by their local contracting office, in part, because they said the formulary does not meet their needs. These approaches run counter to the goals of the MSPV-NG program and result in VA not making the best use of taxpayer dollars. Specifically, Chief Supply Chain Officers\u2014who are responsible for managing the ordering and stocking of medical supplies at the six selected medical centers\u2014told us that many items they needed were not included in the MSPV-NG formulary. As discussed above, the difficult transition process also created a lack of clinician desire to find substitutes on the formulary. As such, we found that these six medical centers generally fell below VA\u2019s stated utilization target that medical centers order 40 percent of their items from the MSPV-NG formulary. As shown in figure 8, among the six selected medical centers we reviewed, one met the target, while the remaining five were below 25 percent utilization. The one facility that met the target, Hampton VA Medical Center, is categorized by VA as a smaller, less complex facility, and had fewer items to match, which could contribute to its higher utilization.", "The utilization rate is VA\u2019s primary metric for the success of MSPV-NG\u2014 broad usage of the formulary is necessary for VA to meet its goals of more efficient supply purchasing, standardization, and cost avoidance. Utilization is calculated by dividing the purchases made via MSPV-NG by the total purchases under the medical supply budget category. This is the same metric used under the legacy MSPV program, and most medical centers were meeting the 40 percent target prior to the transition to MSPV-NG. Officials stated that the current metric does not provide enough information and, as a result, VHA is in the process of preparing a new metric to more precisely assess MSPV-NG use and effectiveness, and has begun conducting routine surveys of its medical centers to obtain their feedback on MSPV-NG.", "Greater utilization of MSPV-NG is essential to VA achieving the cost avoidance goal of $150 million for its supply chain transformation effort. Under the legacy MSPV program, the National Acquisition Center tracked cost avoidance achieved by comparing prices for competitively-awarded MSPV supply contracts with prices available elsewhere. However, VHA officials stated that they are not currently tracking cost avoidance related specifically to MSPV-NG. VHA officials told us they plan to use a new cost avoidance metric that compares total supply spending for VHA as a whole across fiscal years. This new metric, however, does not measure whether cost savings are being achieved specifically through MSPV-NG. Officials stated the broader metric was more useful than measuring cost avoidance specific to MSPV-NG.", "VA\u2019s practices are in contrast with those of the leading hospitals we met with, which maintain detailed, item-level data on cost avoidance and use them to inform future supply requirements and contracting. These hospitals we interviewed reported substantial cost savings from their standardization efforts. For example, the director of supply chain management at one leading hospital network stated that it achieved a goal of $100 million in cost savings on medical supplies in the first 2 years of their standardization effort, and an additional $35 million annually in the several years since. This hospital achieved these results despite its purchasing power being less than VA\u2019s. Without calculating cost avoidance attributable to MSPV-NG, VHA cannot assess whether the program is meeting its goals, nor can it use cost avoidance data to guide future MSPV-NG requirement development and contracting strategy efforts."], "subsections": []}, {"section_title": "VA Encouraged Greater Clinical Involvement in the Second Phase of Requirements Development, but Faced Further Staffing and Schedule Constraints", "paragraphs": ["In Phase 2 of MSPV-NG, the program office has taken some steps to incorporate greater clinical involvement in subsequent requirement development, but both its requirements development and SAC\u2019s contracting efforts have been hampered by staffing and schedule constraints. Work on Phase 2 began while medical centers were implementing Phase 1 and beginning to order from the MSPV-NG formulary. Figure 9 shows key dates in the concurrent requirements development, contracting, and implementation processes for Phases 1 and 2.", "In the fall of 2016, the program office began to establish panels of clinicians\u2014including physicians, surgeons, and nurses working in the medical centers\u2014to serve on MSPV-NG integrated product teams (IPT) assigned to the task of developing updated requirements for the second phase of the formulary. The IPTs were to review categories of medical supplies such as operating room surgical supplies and patient exam room instruments and supplies. According to VA officials and our analysis, this revised approach was based on a recognition that more robust mechanisms were needed for incorporating clinician input, in part, because VA had sought information on best practices from leading hospital networks, and because of shortcomings with the Phase 1 requirements that became apparent in the contracting process. Similar to the analysis performed in support of the initial formulary, the MSPV-NG program office analyzed updated data on medical center supply purchases to generate a list that had grown from the 6,000 items established for the initial formulary to a new total of about 9,900 items for these new IPTs to review.", "The program office set a March 2017 deadline to complete this second, IPT-based phase of requirements development\u2014VHA ultimately met this compressed timeline, but in a rushed manner that limited the impact of the clinical involvement. Program officials said they had difficulty recruiting clinicians to participate, and the program office\u2019s first IPTs were not established until the fall of 2016. In December 2016, slightly more than half (20 of the 38) of the IPTs had begun their work to review items and develop updated requirements. Many of the remaining IPTs were still looking for additional clinicians to participate. Program officials said they received assistance from the Assistant Deputy Under Secretary for Health for Administrative Operations in December 2016. According to program officials, this involvement proved critical in successfully recruiting staff to participate in some of the remaining IPTs, which were then able to make progress in reviewing each item in the formulary.", "However, the program office did not provide training for the IPTs on how to carry out their work until late January 2017, about 2 months before the IPTs were scheduled to complete the development of all medical and surgical requirements. Further, staff on the IPTs had to complete their responsibilities while simultaneously managing their regular workload as physicians, surgeons, or nurses. By early March 2017, the IPTs still had about 4,200 of the 9,900 items to review. Faced with meeting this unrealistic time frame, the MSPV-NG program office had 9 IPT members travel to one location\u2014with an additional 10 members participating virtually\u2014to meet for 5 days to review the remaining items. Members told us that this time pressure limited the extent to which they were able to pursue the goal of standardizing supplies, and that their review ended up being more of a data validation exercise than a standardization review.", "In addition, the program office attempted to pursue standardization across all supply categories rather than those with the greatest potential for standardization and cost avoidance and continues to lack a strategy for doing so going forward. Standards for Internal Control in the Federal Government state that management should define what is to be achieved and who is to achieve it, how it will be achieved, and the time frames for achievement. In addition, this approach runs counter to how leading hospitals standardize their supply chains by tackling individual categories one at a time and obtaining deep clinician involvement. Without a strategy for how best to prioritize these items by category for future phases of the requirement development process, these IPTs will be limited in fully contributing to VHA\u2019s goals of more efficient supply purchasing, standardization, and cost avoidance."], "subsections": [{"section_title": "VA Plans to Replace Limited Source Blanket Purchase Agreements, but Faces Challenges Doing So Before They Expire", "paragraphs": ["SAC\u2019s ongoing Phase 2 contracting effort also faces an unrealistic schedule. The SAC plans to replace the existing Phase 1 limited source agreements with competitive awards based on the Phase 2 requirements generated by the IPTs, but it may not be able to keep up with expiring agreements. Because they were made on a non-competitive basis, the Phase 1 limited source blanket purchase agreements were established for a period of one year. In order to keep the full formulary available, the SAC director said his staff must award several hundred contracts before the Phase 1 limited source agreements expire later this year. However, the SAC director stated that doing so will be difficult because his staff must award between 200 to 250 contracts in a 3-month period from the end of September 2017 through December 2017. To adhere to this ambitious schedule, each of the 15 contracting staff on the MSPV-NG team would need to award between 13 to 17 contracts within 3 months, equaling one contract per staff member every 5 to 6 days, which is significantly faster than SAC\u2019s typical pace. SAC officials acknowledged that it is unlikely that they will be able to award the 200 to 250 contracts by the time the existing limited source agreements expire. According to SAC officials, they are in the process of hiring more staff to deal with the increased workload. Further, the SAC division director told us that they cancelled all outstanding Phase 2 solicitations in September 2017 due to low response rates, protests from service-disabled veteran-owned small businesses, and changes in overall MSPV-NG strategy. SAC is still assessing alternative approaches, which poses additional challenges for replacing expiring agreements by December 2017.", "For cases where limited source agreements expire without new contracts in place, SAC officials said they intend to use a different type of agreement called a distribution and pricing agreement as a stopgap. They stated that the use of these agreements with suppliers who have existing limited source agreements would prevent items from falling off the formulary. However, like BPAs, the agreements are not contracts\u2014the supplier informally agrees to continue to sell its products to VA at the same price and terms. SAC officials stated that VA has not used these types of agreements previously, and they pose a risk in that the supplier is not required to perform and VA has no remedy if the supplier opts to end the agreement or raise the price. These agreements also do not allow VA to achieve its goal of achieving greater cost avoidance through supply standardization and competitive contracts. Despite the unrealistic time frames and the risks of the stopgap approach, VA has not developed a plan for how to mitigate these risks, established an achievable schedule for making the competitive Phase 2 contract awards, or prioritized the various categories of supplies. Establishing such a plan would help ensure that VA is better positioned to mitigate risks and prioritize supply categories that are most likely to yield cost avoidance."], "subsections": []}]}, {"section_title": "VA Is Revising Its Approach to MSPV-NG", "paragraphs": ["VA is currently revising its approach to MSPV-NG requirement development to adopt a model that focuses on clinician-driven sourcing, a key step that leading hospital networks reported following in standardizing their medical supply chains. The MSPV-NG program office continues to refine its strategy for requirement development and is seeking greater clinician involvement in future requirement development efforts, which it refers to as clinician-driven sourcing. For example, program officials said they plan to involve VHA\u2019s national clinical program offices\u2014groups of clinicians at VHA that provide national policy and leadership within their clinical specialty\u2014to obtain greater buy-in from senior clinical leaders and to implement a more structured approach for identifying clinicians willing to serve on integrated product teams. This approach, if implemented effectively, could mitigate some of the prior challenges in recruiting clinicians to participate. However, these efforts are in their early stages, and the MSPV-NG program office has not outlined whether or how it will use input from these clinical groups to prioritize its requirements development and standardization efforts. Without input from these national clinical program offices, VA will continue to be challenged to focus on supply categories that offer the best opportunity for standardization and cost avoidance.", "Senior VHA and MSPV-NG program officials also told us each VA medical center was expected to use a standing committee, known as the Clinical Product Review Committee, to review new items to include on the formulary and to evaluate opportunities to streamline the formulary through standardization. This approach will likely require additional effort on the part of the MSPV-NG program office to implement, as some centers\u2019 clinicians said the Clinical Product Review Committees were not operating as intended.", "VA is also exploring major changes in its contracting strategy for MSPV- NG. Specifically, MSPV-NG program office and SAC officials plan to replace the current contract and formulary process with a new contract where the vendor would not only provide distribution services, but also develop the formulary. In October 2017, VA sought information from industry on their capabilities to support such a program. VA stated that its target completion date for this new MSPV-NG contracting strategy is December 2018. To date, VA has provided only limited details on this potential new approach, thus, we cannot assess whether it has the potential to address the shortcomings with the current MSPV-NG approach described in this report."], "subsections": []}]}, {"section_title": "Frequent Use of Emergency Procurements Impacts VHA\u2019s Ability to Strategically Manage Its Acquisitions", "paragraphs": ["Some emergencies are to be expected, as VHA operates one of the largest health care systems in the country. However, VHA designated a substantial number of its procurements in fiscal year 2016 as emergencies, and we found that it frequently uses emergency procurements to buy routine supplies and on-going services that do not warrant the emergency designation defined in VHA guidance. Among the 18 contract actions we reviewed from three VISNs, we found instances of emergency procurements caused by shortcomings in planning, funding, and communication. These emergency procurements strain the capacity of VA\u2019s acquisition workforce and put the government at risk of paying more than it should for goods and services."], "subsections": [{"section_title": "Emergency Procurements Account for Almost Two Billion Dollars\u2019 Worth of VHA Contract Obligations", "paragraphs": ["Based on our analysis of VA data, we found that emergency procurements accounted for approximately 20 percent of VHA\u2019s overall contract actions in fiscal year 2016, with obligations totaling about $1.9 billion. As shown in figure 10, we found that the percentage of requests designated as emergencies varied across the 19 VISNs."], "subsections": []}, {"section_title": "Some Selected Procurements Identified as Emergencies Stemmed from Lack of Planning, Communication Problems, and Other Factors", "paragraphs": ["We selected a non-generalizable sample of 18 contract actions designated by customers as emergencies. Most of these contracts were not awarded on a competitive basis, and half cited the unusual and compelling urgency exception to full and open competition. Table 2 shows instances in which the 18 contract actions were awarded without competition, those that cited unusual and compelling urgency as the basis for use of non-competitive procedures, and our observations on the main contributing factor to designating these procurements as emergencies.", "Additional information on each of the contributing factors follows."], "subsections": [{"section_title": "Planning Challenges", "paragraphs": ["VHA guidance specifies that neither a lack of acquisition advance planning nor concerns about a need to obligate funds before the end of the fiscal year are valid justifications for an urgent or emergency procurement request. However, among our selected contract actions, lack of planning by customers was a principal contributing cause, leading to 7 of the 18 contract actions being procured as emergencies, resulting in some non-competitive awards to the incumbent vendor for the same requirement. For instance, one medical center procured medical gas on an emergency basis through consecutive non-competitive contracts. The initial contract was terminated because the company was not licensed by the state where services were being provided, which led to a 3-month emergency contract being awarded to a different vendor. This was followed by a series of non-competitive bridge contracts to that incumbent vendor over a 3-year period. In another case, a medical center routinely procured custom surgical packs through consecutive emergency sole- source purchase orders. The contracting officer\u2019s representative told us the medical center may be paying more for custom surgical packs ordered on an emergency basis than it would under a competitive, long- term contract."], "subsections": []}, {"section_title": "Funding Issues", "paragraphs": ["Funding uncertainty also contributed to three awards being designated as emergencies. For example, one medical center submitted an emergency request to outsource patient laundry due to funding uncertainties for repairs of on-site, VA-owned and operated laundry equipment. The contracting officer\u2019s representative stated that the VISN could not provide funds to repair the equipment, leading to a series of last-minute emergency requests, a few months at a time, for contracted patient laundry services to prevent a gap in service.", "At another VISN, a large amount of funding became available late in the fiscal year, which led to an emergency request to purchase postage to ensure the funding was spent before it expired at the end of that fiscal year. The contracting office issued an order for $890,000 worth of metered mail postage, which medical center staff told us would cover 1 to 2 years of usage."], "subsections": []}, {"section_title": "Lack of Communication", "paragraphs": ["We found that shortcomings in communication between customers and contracting offices also contributed to eight awards made on an emergency basis for routine items. For one of the contracts in our review, a medical center resubmitted a request in January 2016 to purchase equipment for a new operating room that had previously been submitted as a standard request months earlier. However, the contracting officer\u2019s representative at the medical center told us that no action was taken by the contracting office, and he did not receive a response for 6 months. The medical center then upgraded the request to an emergency since the operating room was scheduled to open in June 2016. The contracting officer\u2019s representative noted that delays procuring the equipment past the scheduled opening date would delay the opening of the new operating room and possibly result in the rescheduling or cancelling of procedures, affecting patient care. After the order was upgraded to an emergency, the equipment was ultimately delivered before the operating room was opened.", "In another case, an inventory manager routinely submitted emergency purchase requests for cardiac catheters as a strategy to manage stock levels. The reason he cited was that he was uncertain how long it would take the contracting office to fulfill standard requests. He stated that the contracting office\u2019s time frames for standard orders are unpredictable, and more consistent communication about the expected delivery date of any given order would reduce his need to place emergency orders. He noted that being able to plan around delivery dates was important for maintaining stock at designated levels for the various types of catheters used in the cardiology department. Figure 11 shows a medical center stock room and designated stock levels for one type of catheter. The \u201cL\u201d indicates the standard stock level, and \u201cR\u201d indicates the level of stock at which refill is needed. Ordering officers use these levels to inform when they should place orders."], "subsections": []}]}, {"section_title": "Overreliance on Emergency Procurements Can Drive Up Costs and Overtax the Workforce", "paragraphs": ["In addition to being contrary to VHA guidance, overuse of emergency procurement requests has negative effects on the overall operation of VA\u2019s procurement system. In reviewing the 18 selected contracts, we identified two primary effects\u2014the potential for increased costs and increased burden on the contracting workforce that could take resources away from other important efforts."], "subsections": [{"section_title": "Increased Costs", "paragraphs": ["As noted above, half of the contract actions we reviewed (9 out of 18) cited unusual and compelling urgency as the basis for the use of non- competitive procedures. When unusual and compelling urgency exists, an agency may limit competition to the firms it reasonably believes can perform the work in the time available. In all nine cases, however, there was no competition at all, which puts the government at risk of paying more than it should for goods and services. Promoting competition\u2014 even in a limited form\u2014increases the potential for quality goods and services at a lower price. We have previously reported that competition in contracting is a critical tool for achieving the best return on investment and that it can improve contractor performance and promote accountability for results."], "subsections": []}, {"section_title": "Burden on the Contracting Workforce", "paragraphs": ["Emergency procurement requests must be processed quickly, and contracting officers have limited ability to question the validity of an emergency request. Nevertheless, many of the contracting officials we spoke with that had responsibility for our 18 selected contracts told us they generally communicate directly with the requestor to clarify the requirement and assess the nature of the request. As stated in the VHA procurement manual, contracting officers generally must process emergencies within 5 days or less. However, the manual acknowledges that different Network Contracting Offices assign different time frames to priority categories. For instance, officials from all three selected Network Contracting Offices told us they generally process emergencies immediately. Several contracting officials we interviewed stated that, because they do not have clinical expertise, they infrequently question the medical center staff customer about whether their request is truly an emergency. Even if they work with customers to reach a compromise, such as purchasing a smaller quantity to fill just the immediate need, emergencies still require immediate attention and result in deprioritizing other tasks. The impact on the contracting officer workload can be exacerbated by low staffing levels. For example, none of the three Network Contracting Offices we visited were staffed to their authorized levels. Table 3 shows the number of emergency actions processed by each selected Network Contracting Office in fiscal year 2016, along with staff levels.", "We have previously reported that when contracting officers process frequent and emergency small-dollar transactions, it reduces their ability to plan ahead and take a strategic view of procurement needs. Several of the VA contracting officials we spoke with noted that regularly processing emergency contracts and extensions affects their ability to work on bigger-picture efforts, some of which would reduce workload. For instance, one contracting officer stated that awarding emergency contract extensions has prevented him from competitively awarding more than 40 lab contracts. In these cases, the contracting officer stated that he instead extended the period of performance of the non-competitive contracts to the incumbent vendors. In addition, emergency contracts are generally awarded for short periods of time\u2014often 1 year or less\u2014while competitive contracts often have terms of 5 years. According to some contracting officers we spoke with, this can result in contracting officers spending much of their time tending to a large number of short-term contracts, instead of a smaller number of fully-competed contracts with longer periods of performance."], "subsections": []}]}, {"section_title": "Better Planning and Management of Contracting Strategies May Help Reduce Emergencies", "paragraphs": ["We found that greater planning and coordination between medical center and contracting staff can help to leverage VA\u2019s buying power by employing principles of strategic sourcing\u2014a process that moves away from numerous individual procurements to a broader aggregate approach\u2014and thereby reducing the need for emergencies. For example, inventory managers responsible for two of the selected cardiac catheter contracts in our sample stated that managing catheter inventory was difficult because of the unpredictability of the needs, the high cost of the items, and the long turnaround times from their respective contracting offices. As a result, they had to place frequent emergency orders to keep stock at safe levels. One inventory manager noted, however, that there is no longer a need to place emergency orders for catheters because the SAC has since put in place a purchasing agreement that enabled her to place orders directly, without requiring involvement from the contracting office. In addition to reducing contracting office workload, the supply technician said this agreement greatly reduced the amount of work required to place an order and allowed her to more effectively maintain her inventory with short and predictable turnaround times. She also stated that the agreement protected against the frequent price increases she experienced when purchasing the catheters on the open market through the contracting office. The agreement also reduced workload for the local VISN contracting office. In analyzing eCMS data on awards from fiscal years 2014 through 2016, we identified several types of goods and services that were repeatedly purchased on an emergency basis through stand-alone contract actions. This suggests there may be additional opportunities, at both the VISN and national levels, to reduce emergencies by making supplies and services available through more efficient, competitively-awarded contract vehicles. In addition to reducing burden on logistics and contracting staff, reviewing existing spending to find opportunities to leverage buying power is also in line with strategic sourcing best practices.", "MSPV-NG is one such contracting mechanism for procuring routine supplies, and a more strategic approach to developing requirements for the formulary could help avoid some emergency procurements. Our analysis of VA eCMS data found that many awards designated as emergencies were for medical-surgical items, some of which could likely be purchased through MSPV-NG. Figure 12 shows the number of medical-surgical procurements designated as emergencies within each VISN in fiscal year 2016.", "Within our sample of 18 contract actions, we found several instances of reoccurring emergency procurements for medical-surgical supplies, such as custom surgical packs and catheters. Procuring routine supplies on an emergency basis defeats the objectives of MSPV-NG to leverage VA\u2019s large buying power and make the process of ordering supplies more efficient and transparent. However, while data on emergency procurements are available, VHA\u2019s Procurement and Logistics Office does not currently analyze this data to identify items frequently purchased on an emergency basis to determine whether such items could be referred to SAC to be added to the MSPV-NG formulary. In addition, local VISN Network Contracting Offices have also not used available data on emergency purchases to identify items frequently purchased on an emergency basis. Steps by VHA\u2019s Procurement and Logistics Office and individual VISN contracting offices to review such data and identify opportunities for leveraging MSPV-NG or other national contracts could help VA achieve greater efficiency. Purchasing medical supplies through individual emergency contract actions is much less efficient than using MSPV-NG; moreover, by making numerous individual procurements at the local level and not leveraging its aggregate buying power, VA is paying more for items than it needs to."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Any major organizational change requires a solid strategic plan that is communicated with stakeholders, stable leadership, and stakeholder involvement and buy-in. VHA was missing all of these elements when it rolled out the MSPV-NG program, which presented obstacles to effective implementation and buy-in and affected the program\u2019s ability to meet its goals. Moving forward, without an overall strategy that is communicated to all stakeholders and enhanced leadership stability, VHA will likely continue to face these challenges. In addition, in the initial requirements development process, VHA relied on prior purchase data\u2014rather than clinician input\u2014and did not prioritize categories of medical supplies, both of which veered from practices employed by leading hospital networks. Once the initial formulary was established, medical centers faced challenges matching supply items to the formulary and took varying approaches, in part, due to incomplete guidance on key aspects of the process and frequent changes in the items on the formulary. Providing complete guidance and communicating the criteria and processes for adding or removing items from the formulary would help centers more effectively match items to the formulary, thereby increasing utilization, which as of May 2017 was below VA\u2019s established target. Further, because it does not calculate cost avoidance attributable to MSPV-NG, VA cannot accurately measure the extent to which the program is contributing to its overall cost avoidance goal.", "VA made changes during the second phase of requirements development, in particular to encourage greater clinician involvement. However, the program faces an unrealistic contracting schedule and has not yet developed a plan for how to manage or mitigate the associated risks. Establishing such a plan is essential for risk mitigation, and supply category prioritization could help VA target those categories most likely to yield cost avoidance. In addition, while the program is planning to involve national clinical program offices to obtain greater clinician buy-in, it has not outlined whether or how it will use input from these groups to prioritize its requirements development efforts. Without such input, VA will continue to face challenges focusing on those supply categories that offer the best opportunity for standardization and cost avoidance. Further, VA is considering another major change in its MSPV program in which the prime vendor may absorb some of the work currently conducted by SAC. However, VA may face challenges in this new approach until it addresses the existing shortcomings in the MSPV-NG program, such as the absence of a documented overall strategy, insufficient clinician involvement in the requirements development process, and lack of medical center buy-in.", "Meanwhile, among the 18 contract actions we reviewed, we found shortcomings in planning and communication that led to medical centers\u2019 overreliance on emergency procurements to obtain routine goods and services\u2014some of which could be made available via MSPV-NG\u2014 bypassing effective contracting practices like competition. These emergency procurements can be a particular drain on resources, especially those of contracting officers who must respond immediately to fulfill emergency orders. Identifying opportunities to more strategically purchase frequently purchased goods and services\u2014both at the local levels and nationwide through the MSPV-NG program\u2014could help minimize these workforce challenges and minimize costs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making 10 recommendations to VA.", "The Director of the MSPV-NG program office should, with input from the Strategic Acquisition Center (SAC), develop, document, and communicate to stakeholders an overarching strategy for the program, including how the program office will prioritize categories of supplies for future phases of requirement development and contracting. (Recommendation 1)", "The VHA Chief Procurement and Logistics Officer should take steps to prioritize the hiring of the MSPV-NG program office\u2019s director position on a permanent basis. (Recommendation 2)", "The Secretary of Veterans Affairs should assign the role of Chief Acquisition Officer to a non-career employee, in line with statute. (Recommendation 3)", "The Director of the MSPV-NG program office should provide complete guidance to medical centers for matching equivalent supply items, which could include defining the roles of clinicians and local Clinical Product Review Committees. (Recommendation 4)", "The Director of the MSPV-NG program office should, with input from SAC, communicate to medical centers the criteria and processes for adding or removing items from the formulary. (Recommendation 5)", "The VHA Chief Procurement and Logistics Officer, in coordination with SAC, should calculate cost avoidance achieved by MSPV-NG on an ongoing basis. (Recommendation 6)", "The MSPV-NG program office and SAC should establish a plan for how to mitigate the potential risk of gaps in contract coverage while SAC is still working to make competitive Phase 2 awards, which could include prioritizing supply categories that are most likely to yield cost avoidance. (Recommendation 7)", "The VHA Chief Procurement and Logistics Officer should use input from national clinical program offices to prioritize its MSPV-NG requirements development and standardization efforts beyond Phase 2 to focus on supply categories that offer the best opportunity for standardization and cost avoidance. (Recommendation 8)", "The VHA Chief Procurement and Logistics Officer should direct VISN Network Contracting Offices to work with medical centers to identify any opportunities to more strategically purchase goods and services frequently purchased on an emergency basis. For example, offices could do this by analyzing existing data. (Recommendation 9)", "VHA Chief Procurement and Logistics Officer should analyze data on items that are frequently purchased on an emergency basis, determine whether such items are suitable to be added to the MSPV-NG formulary, and work with SAC to make any suitable items available via MSPV-NG. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs for review and comment. VA provided written comments on a draft of this report. In its written comments, reprinted in appendix II, VA concurred with all of our 10 recommendations.", "In its response to our recommendation that VA assign the role of Chief Acquisition Officer to a non-career employee, as required by statute, VA stated that it is unable to implement the recommendation without congressional action and requested closure of the recommendation. We asked VA officials what congressional action they believe is necessary to follow the recommendation. The officials told us they believe the CAO position should be assigned to an assistant secretary, but that the number of assistant secretaries within VA is limited by statute. We decline to close this recommendation. VA should assign the role of CAO to a non-career employee, as required by statute. If VA maintains its view that it cannot meet this requirement without congressional action, then VA should request the specific congressional action that VA believes is necessary.", "VA provided technical comments on the draft report, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or by email at oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["You requested that we examine the Department of Veterans Affairs\u2019 (VA) transition to the Medical Surgical Prime Vendor-Next Generation (MSPV- NG) program and the extent to which the department contracts for good and services on an emergency basis. This report addresses the extent to which: (1) VA\u2019s implementation of MSPV-NG was effective in meeting program goals, and (2) Veterans Health Administration (VHA) awards contracts on an emergency basis for routine supplies and ongoing services, and what impact, if any, these awards have on VHA\u2019s acquisition function.", "To review the extent to which implementation of MSPV-NG was effective, we reviewed policy and guidance related to the program. We obtained and analyzed the MSPV-NG program\u2019s formulary development plan, which explained the program\u2019s rationale for pursuing its initial requirements development approach. We also obtained and reviewed additional program documentation, including communications to medical centers and other stakeholders, briefings, and training and tools provided to medical centers. We interviewed leaders in the VHA Procurement and Logistics Office and Healthcare Commodity Program Executive Office (the program office for MSPV-NG), as well as other staff involved in planning and executing aspects of MSPV-NG. We also interviewed VA\u2019s Chief Acquisition Officer during the development of MSPV-NG, cognizant Office of General Counsel staff, and others regarding the program. We also interviewed supply chain managers from four leading hospital networks regarding their medical supply management practices. We selected the hospital networks because they were identified by an industry study as having leading supply chain practices. During interviews, we asked each of these supply chain managers a standard set of questions about processes followed to standardize their hospital networks\u2019 supply chain. VA had also identified two of these hospital networks as having leading supply chain practices and used the industry study to identify these hospital networks. We used this information from the leading hospital networks to compare the key steps\u2014identified by each of the four hospital networks\u2014followed in standardizing their medical supply chains to those steps that VA followed when implementing the MSPV-NG program. We also confirmed these key steps with the leading hospital networks.", "We conducted site visits at a non-generalizable selection of three Veterans Integrated Service Networks (VISNs), and two medical centers within each selected VISN:", "VISN 6: Durham, North Carolina", "Durham, North Carolina VA Medical Center", "Hampton, Virginia VA Medical Center", "VISN 8: St. Petersburg, Florida", "Tampa, Florida VA Medical Center", "Gainesville, Florida VA Medical Center", "VISN 22: Long Beach, California", "Long Beach, California VA Medical Center", "San Diego, California VA Medical Center The VISNs were selected primarily based on highest total contract obligations in fiscal years 2014 through 2016 and representation of multiple geographic areas and prime vendor contractors. The first site visit to VISN 22 was also chosen based on the rollout schedule for the graphical user interface, an IT system related to MSPV-NG. The final site visit to VISN 6 was also chosen as the VISN with the highest percentage of contract actions designated as emergencies over the fiscal year 2014 through 2016 period. The selected medical centers in each VISN were chosen based on our review of VA Electronic Contract Management System (eCMS) data on emergency procurements within each VISN (see below) and geographic proximity to the VISN office location. At each selected VISN, we interviewed the Chief Supply Chain Officer and other members of leadership. At medical centers in each selected VISN, we met with the Chief Supply Chain Officer, ordering officers, other logistics staff, clinicians involved in the MSPV-NG transition, and on-site representatives of the prime vendor contractors.", "We evaluated MSPV-NG program office status briefings and integrated product team training briefings, which documented the planned role of clinicians in the Phase 2 requirements development process. We interviewed VHA Procurement and Logistics Office leadership, other MSPV-NG program office staff, and integrated product team managers and clinicians about the evolution of the program office\u2019s requirements development approach, including the role of clinicians in preparing item descriptions and evaluating items. Three integrated product teams were selected for interviews based on those that covered the greatest number of items, as well as for diversity of types of medical supplies. We also met with members of additional integrated product teams during site visits to the selected medical centers.", "We obtained and analyzed the Strategic Acquisition Center\u2019s acquisition strategy for MSPV-NG supply contracts and discussed its evolution with the Center\u2019s acquisition staff. We analyzed the MSPV-NG formulary as of January 2017 to determine what acquisition instrument was used to add a particular item to the formulary, how the cumulative total of items by award type changed from fiscal year 2014 to fiscal year 2017, and when certain MSPV-NG items would be removed from the formulary because the underlying acquisition instrument had expired. We also analyzed the contents of the formulary monthly from January to July 2017 to determine the number of items added and deleted each month. We determined that the MSPV-NG formulary data were sufficiently reliable for the purposes of our reporting objectives. For the formulary data, we corroborated the supplier\u2019s name, award number, award type, and the award\u2019s effective and expiration dates with data in the Federal Procurement Data System- Next Generation. We were also able to corroborate the total number of items on the January 2017 MSPV-NG formulary through other documentation, such as program briefings. To determine the level of discounts obtained by the MSPV-NG program office, we randomly selected 10 limited source blanket purchase agreements. We reviewed each agreement and compared the price for each item on the supplier\u2019s price list with the item\u2019s Federal Supply Schedule price. We obtained and analyzed the current MSPV-NG indefinite delivery, indefinite quantity solicitations and the Defense Logistics Agency\u2019s documentation on distribution and pricing agreements. We also reviewed related prior GAO reports and relevant parts of the Federal Acquisition Regulation.", "We obtained information on the metrics used by VA to assess the performance of MSPV-NG, primarily the utilization metric, which is calculated by VA based on budget object code spending data from the financial system and MSPV-NG spending data. We obtained data on the performance of the six selected medical centers for May 2017 and July 2017. We also interviewed officials responsible for maintaining this data to gather information on processes, accuracy, and completeness, as well as on planned changes in the metric. We found the utilization metric data to be sufficiently reliable for our purposes.", "To assess the extent to which VA has awarded contracts on an emergency basis for routine supplies and ongoing services, and the effect on VA\u2019s acquisition function, we obtained and analyzed VA and VHA policy and guidance documents, reviewed relevant parts of the Federal Acquisition Regulation, and reviewed prior GAO reports. We obtained eCMS data for fiscal years 2014 through 2016, and analyzed these data to determine the number of actions designated by customers as emergencies, the percentage of actions designated as emergencies in each VISN, and the total obligations attributed to these actions. We also calculated the number and value of all actions designated as emergencies in selected Product and Service Codes related to medical supplies and services for fiscal year 2016. We determined that these eCMS data were sufficiently reliable for the purposes of determining the extent of emergency procurements by reviewing information on system controls and conducting validation of data, including tracing selected information to source documents for the contracts that we selected.", "We selected a non-generalizable sample of 18 contracts from the three selected VISNs. The selection was based primarily on: contracts designated by the customer as emergencies in eCMS data; use of the term \u201cemergency\u201d or \u201curgent\u201d in the description field; high dollar value; and", "Product and Service Codes for services and medical supplies.", "We obtained and reviewed the contract files for each of the selected contracts, which are also stored in eCMS, including signed awards, limited competition justifications, work statements, and other documents. We compared key information, such as extent of competition, against data reported in eCMS. We interviewed the requesters\u2014in most cases the contracting officer\u2019s representative\u2014for all selected contracts. We also visited Network Contracting Offices for each of the three selected VISNs and interviewed leadership at each location, as well as the contracting officials responsible for each selected contract. Finally, we met with a Strategic Acquisition Center contracting officer to discuss a related contract award.", "We conducted this performance audit from November 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Lisa Gardner, Assistant Director; Emily Bond; Matthew T. Crosby; Lorraine Ettaro; Michael Grogan; Jeff Hartnett; Katherine Lenane; Teague Lyons; Roxanna Sun; and Colleen Taylor made key contributions to this report."], "subsections": []}]}], "fastfact": ["The VA launched a new program last year, MSPV-NG, to streamline the way its medical centers buy supplies for treating 7 million vets.", "As with any organizational transformation, the program's success depended on having a strong strategic plan, stable leadership, good communication, and stakeholder buy-in. But as we report here, the VA was missing these elements when it launched the program; as a result, the program has yet to achieve key goals of cost savings and greater efficiency.", "We made 10 recommendations for how the VA can better manage future phases of the program and improve its purchasing."]} {"id": "GAO-18-130", "url": "https://www.gao.gov/products/GAO-18-130", "title": "Defense Business Systems: DOD Needs to Continue Improving Guidance and Plans for Effectively Managing Investments", "published_date": "2018-04-16T00:00:00", "released_date": "2018-04-16T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD spends billions of dollars each year on systems that support its key business areas, such as personnel and logistics. For fiscal year 2018, DOD reported that these business system investments are expected to cost about $8.7 billion. The NDAA for Fiscal Year 2016 requires DOD to perform activities aimed at ensuring that business system investments are managed efficiently and effectively, to include taking steps to limit their complexity and cost.", "The NDAA also includes a provision for GAO to report every 2 years on the extent to which DOD is complying with the act's provisions on business systems. For this report, GAO assessed, among other things, the department's guidance for managing defense business system investments and its business and IT enterprise architectures (i.e., descriptions of DOD's current and future business and IT environments and plans for transitioning to future environments). To do so, GAO compared the department's system certification guidance and architectures to the act's requirements. GAO also interviewed cognizant DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has made progress in complying with most legislative provisions for managing its defense business systems, but additional actions are needed. For example, the National Defense Authorization Act (NDAA) for Fiscal Year 2016 required DOD and the military departments to issue guidance to address five requirements for reviewing and certifying the department's business systems. While DOD has issued guidance addressing all of these requirements, as of February 2018, the military departments had shown mixed progress.", "\u25cf Fully addressed: The department provided evidence that it fully addressed this requirement.", "\u25d0 Partially addressed: The department provided evidence that it addressed some, but not all, portions of this requirement.", "\u25cc Not addressed: The department did not provide any evidence that it addressed this requirement.", "Source: GAO analysis of Department of Defense documentation. | GAO-18-130", "The military departments' officials described plans to address the gaps in their guidance; however, none had defined when planned actions are to be completed. Without guidance that addresses all five requirements, the military departments risk developing systems that, among other things, are overly complex and costly to maintain.", "DOD has efforts underway to improve its business enterprise architecture, but its information technology (IT) architecture is not complete. Specifically, DOD's business architecture includes content called for by the act. However, efforts to improve this architecture to enable the department to better achieve outcomes described by the act, such as routinely producing reliable business and financial information for management, continue to be in progress. In addition, DOD is updating its IT enterprise architecture, which describes, among other things, the department's computing infrastructure. However, the architecture lacks a road map for improving the department's IT and computing infrastructure for each of the major business processes. Moreover, the business and IT enterprise architectures have yet to be integrated, and DOD has not established a time frame for when it intends to do so. As a result, DOD lacks assurance that its IT infrastructure will support the department's business priorities and related business strategies."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making six recommendations, including that DOD and the military departments establish time frames for, and issue, required guidance; and that DOD develop a complete IT architecture and integrate its business and IT architectures. DOD concurred with three and partially concurred with three recommendations. GAO continues to believe all of the recommendations are warranted as discussed in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) spends billions of dollars each year to acquire modernized systems that are fundamental to achieving its business transformation goals, including systems that address key areas such as personnel, financial management, health care, and logistics. However, while DOD\u2019s capacity for modernizing its business systems has improved over time, significant challenges remain. We have designated the department\u2019s business systems modernization program as high risk since 1995.", "In addition, we have reported that significant potential exists for identifying and avoiding costs associated with duplicative functionality across the department\u2019s portfolio of defense business systems. Since 1995, we have made a series of recommendations aimed at strengthening the department\u2019s institutional approach to business systems modernization and reducing the risks associated with its key investments. Congress included provisions consistent with our recommendations in the department\u2019s annual authorizing legislation for fiscal year 2005, and in subsequent amendments. Most recently, the National Defense Authorization Act for Fiscal Year 2016 (NDAA), which was enacted in November 2015, included provisions that revised U.S. Code Title 10, Section 2222. These provisions required DOD to perform certain activities aimed at ensuring that its business system investments are managed efficiently and effectively.", "The NDAA included provisions for GAO to assess, biennially, the department\u2019s compliance with the provisions in the act. Accordingly, our objective for this review was to assess the extent to which actions taken by DOD comply with the act\u2019s provisions to: 1. establish guidance for effectively managing its defense business 2. develop and maintain a defense business enterprise architecture and information technology (IT) enterprise architecture, in accordance with relevant laws and Office of Management and Budget (OMB) policies and guidance; 3. use the Defense Business Council to provide advice to the Secretary on developing the business enterprise architecture, reengineering the department\u2019s business processes, developing and deploying business systems, and developing requirements for business systems; and 4. ensure that covered business systems are reviewed and certified in accordance with the act.", "To assess the extent to which actions taken by DOD comply with the act\u2019s provisions to establish guidance for effectively managing its defense business system investments, we obtained and reviewed the department\u2019s guidance for managing business system investments. We then compared the guidance with the act\u2019s requirements that the guidance include six specific elements related to managing business system investments.", "We also assessed DOD\u2019s guidance for managing business system investments relative to the act\u2019s certification requirements. Specifically, we compared the DOD Deputy Chief Management Officer\u2019s (DCMO) April 2017 certification guidance with the act\u2019s certification requirements. In addition, we compared the guidance established by the Departments of the Air Force, the Army, and the Navy for certifying their business systems with the act\u2019s certification requirements.", "To assess the extent to which actions taken by DOD comply with the act\u2019s provisions to develop and maintain a defense business enterprise architecture in accordance with relevant laws and OMB policies and guidance, we reviewed the department\u2019s business enterprise architecture, version 10, which was released in February 2013. We also reviewed data in the department\u2019s Integrated Business Framework\u2014Data Alignment Portal system and DOD IT Portfolio Repository\u2014which the department defined as part of its business enterprise architecture. We compared the architecture with the act\u2019s requirements and OMB policy and guidance for the architecture\u2019s content. We also reviewed the department\u2019s January 2017 plan for improving the architecture and changes in the plan since it was issued.", "To assess the extent to which actions taken by DOD comply with the act\u2019s provisions regarding DOD\u2019s IT enterprise architecture, we first determined the extent to which the IT architecture addressed relevant laws and OMB policies and guidance. In particular, we reviewed the department\u2019s information enterprise architecture, which the department considers its IT enterprise architecture. The information enterprise architecture was released in August 2012. We compared its content with the act\u2019s requirements and OMB policy and guidance for enterprise architectures to determine if it includes a plan for improving the IT and computing infrastructure for each of the department\u2019s major business processes, as required by the act.", "We also assessed the extent to which the department has integrated its business and IT enterprise architectures. To do this, we obtained and reviewed documentation about the architectures, including the department\u2019s business enterprise architecture compliance guide and DOD Directive 8000.01: Management of the Department of Defense Information Enterprise. Further, we reviewed business and IT architecture working group meeting documentation that discussed plans to update each architecture.", "To assess the extent to which actions taken by DOD comply with the act\u2019s provisions to use the Defense Business Council to provide advice to the Secretary on developing the business enterprise architecture, reengineering the department\u2019s business processes, developing and deploying business systems, and developing requirements for business systems, we reviewed Defense Business Council meeting documentation, including meeting summaries and presentations, to identify instances in which the Council discussed the topics. We also discussed with officials in the Office of the DCMO how the Council provides advice on these topics to the Secretary of Defense.", "To assess the extent to which actions taken by DOD comply with the act\u2019s provisions to ensure that covered business systems are reviewed and certified in accordance with the act, we reviewed a nongeneralizable sample of business systems from DOD\u2019s two categories of covered defense business systems that require certification. To select the sample, we considered Category I systems, which were systems that were expected to have a total amount of budget authority of more than $250 million over the period of the current future-years defense program, and Category II systems, which were systems that were expected to have a total amount of budget authority of between $50 million and $250 million over the period of the future-years defense program.", "We further categorized the Category II systems into four groups\u2014those owned by the Air Force, the Army, Navy, and the remaining DOD components. We selected one system with the highest expected cost over the course of the department\u2019s future-years defense program from each group. This resulted in our selection of five systems: one Category I system, one Category II system from each military department, and one Category II system from the remaining DOD components.", "We reviewed, respectively, DOD\u2019s Healthcare Management System Modernization Program; Air Force\u2019s Maintenance, Repair and Overhaul initiative; Army\u2019s Reserve Component Automation System; Navy\u2019s Electronic Procurement System; and the Defense Logistics Agency\u2019s Defense Agencies Initiative Increment 2. We compared documentation of the certifications for fiscal year 2017 of the five systems with the requirements in the act.", "We supplemented our analyses with interviews of cognizant DOD officials. Specifically, we interviewed officials in the department\u2019s Office of the DCMO, Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics, and Office of the Chief Information Officer (CIO). We also interviewed officials in the Offices of the Chief Management Officers of the Departments of the Air Force, Army, and Navy, as well as other cognizant military department officials. Additional details on our objectives, scope, and methodology are contained in appendix I.", "We conducted this performance audit from January 2017 to March 2018, in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objective. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": [{"section_title": "Background", "paragraphs": ["DOD is the largest U.S. federal department and one of the most complex organizations in the world. In support of its military operations, the department manages many interdependent business functions, including logistics management, procurement, health care management, and financial management. DOD relies extensively on IT to support its business functions.", "According to its IT investment data, the department has 2,097 business system investments. The department\u2019s fiscal year 2018 IT budget request states that DOD plans to spend about $8.7 billion in fiscal year 2018 on its defense business systems.", "The IT budget organizes investments by mission areas. The four mission areas are enterprise information environment, business, warfighting, and defense intelligence. Figure 1 shows the amount of DOD\u2019s requested fiscal year 2018 IT budget that the department plans to spend on each mission area.", "The department further organizes its IT budget by segments. For example, the business mission area includes segments such as financial management, health, and human resource management. Figure 2 shows the department\u2019s projected fiscal year 2018 spending for each segment in the business mission area.", "GAO designated the department\u2019s business systems modernization efforts as high risk in1995 and has continued to do so in the years since. DOD currently bears responsibility, in whole or in part, for half of the programs (17 of 34 programs) across the federal government that we have designated as high risk. Seven of these areas are specific to the department, and 10 other high-risk areas are shared with other federal agencies.", "Collectively, these high-risk areas are linked to the department\u2019s ability to perform its overall mission and affect the readiness and capabilities of U.S. military forces. DOD\u2019s business systems modernization is one of the department\u2019s specific high-risk areas and is essential for addressing many of the department\u2019s other high-risk areas. For example, modernized business systems are integral to the department\u2019s efforts to address its financial and supply chain high-risk areas.", "Since 2005, we have issued 11 reports in response to mandates directing GAO to assess DOD\u2019s actions to respond to business system modernization provisions contained in Section 2222 of Title 10, United States Code. These reports contained 23 recommendations to help strengthen the department\u2019s management of its business systems. As of September 2017, the department had implemented 13 of the recommendations and 2 had been closed as not implemented. The other 8 recommendations remain open. The 11 reports are listed in appendix II."], "subsections": [{"section_title": "The NDAA for Fiscal Year 2016 Included Provisions for Managing Defense Business Systems", "paragraphs": ["The NDAA for Fiscal Year 2016 included provisions requiring DOD to perform certain activities aimed at ensuring that its business system investments are managed efficiently and effectively. Specifically, the act established requirements for the department related to issuing policy and guidance for managing defense business systems; developing and maintaining a defense business enterprise architecture; establishing a Defense Business Council to provide advice to the Secretary on managing defense business systems; and obtaining approvals before systems proceed into development (or if no development is required, into production or fielding) and related annual reviews.", "According to the Joint Explanatory Statement accompanying the NDAA for Fiscal Year 2016, the act revised Section 2222 of Title 10, United States Code, to streamline requirements and clarify the responsibilities of senior officials related to acquiring and managing business systems. Key revisions pertain to:", "Covered defense business systems. The code previously defined a covered defense business system as a system having a total cost of over $1 million over the period of the future-years defense program.", "As revised, the code now defines a covered defense business system as a system that is expected to have a total amount of budget authority over the period of the current future-years defense program of over $50 million.", "Priority defense business systems. The act established a new category of system, called a priority defense business system. This is a system that is (1) expected to have a total amount of budget authority of over $250 million over the period of the current future- years defense program, or (2) designated by the DCMO as a priority defense business system based on specific program analyses of factors including complexity, scope, and technical risk, and after notification to Congress of such designation.", "Thresholds and officials responsible for review and certification of defense business systems. The code previously stated that the DCMO had responsibility for reviewing and certifying all defense business system investments over $1 million over the future-years defense program. The revised code states that, unless otherwise assigned by the Secretary of Defense, military department Chief Management Officers (CMO) are to have approval authority for their covered defense business system investments below $250 million over the future-years defense program. The DCMO is to have approval authority for defense business systems owned by DOD components other than the military departments, systems that will support the business process of more than one military department or other component, and priority defense business systems.", "Certification requirements. The code previously required that a defense business system program be reviewed and certified, at least annually, on the basis of its compliance with the business enterprise architecture and appropriate business process reengineering. In addition to these requirements, the revised code requires that the business system program be reviewed and certified on the basis of having valid, achievable requirements and a viable plan for implementing the requirements; having an acquisition strategy designed to eliminate or reduce the need to tailor commercial off-the- shelf systems; and being in compliance with the department\u2019s auditability requirements."], "subsections": []}, {"section_title": "Key Roles and Responsibilities for Managing Defense Business Systems", "paragraphs": ["DOD Instruction 5000.75: Business Systems Requirements and Acquisition assigns roles and responsibilities for managing defense business system investments. Table 1 identifies the key entities and their responsibilities for managing defense business system investments."], "subsections": []}]}, {"section_title": "DOD Has Made Progress in Complying with Legislative Provisions for Managing Defense Business Systems, but More Remains to Be Done", "paragraphs": ["DOD has taken steps to address provisions of the NDAA for Fiscal Year 2016 related to defense business system investments. Specifically, as called for in the act, the department has established guidance that addresses most legislative requirements for managing its defense business systems; however, the military departments are still developing guidance to fully address certification requirements for their systems.", "Further, DOD has developed a business enterprise architecture and is in the process of updating the architecture to improve its content. The department also has a plan to improve the usefulness of the business enterprise architecture; however, the department has not delivered the plan\u2019s intended capabilities. In addition, the department is in the process of updating its IT enterprise architecture; however, it does not have a plan for improving the department\u2019s IT and computing infrastructure for each of the major business processes. Further, the department has not yet demonstrated that the business enterprise architecture and the IT enterprise architecture are integrated.", "The department fully addressed the act\u2019s requirement related to defense business system oversight. Specifically, the department\u2019s governance board, called the Defense Business Council, addressed legislative provisions to provide advice to the Secretary of Defense.", "Lastly, DOD and the military departments did not apply new legislative requirements when certifying business systems for fiscal year 2017. Instead, the DOD DCMO certified the systems in our sample in accordance with the previous fiscal year\u2019s (fiscal year 2016) certification requirements."], "subsections": [{"section_title": "DOD Issued Guidance Addressing Most Legislative Requirements for Managing Business Systems", "paragraphs": ["The NDAA for Fiscal Year 2016 required the Secretary of Defense to issue guidance by December 31, 2016 to provide for the coordination of, and decision making for, the planning, programming, and control of investments in covered defense business systems. The act required this guidance to address six elements:", "Policy to ensure DOD business processes are continuously reviewed and revised to implement the most streamlined and efficient business processes practicable and eliminate or reduce the need to tailor commercial off-the-shelf systems to meet or incorporate requirements or interfaces that are unique to the department.", "A process to establish requirements for covered defense business systems.", "Mechanisms for planning and controlling investments in covered defense business systems, including a process for the collection and review of programming and budgeting information for covered defense business systems.", "Policy requiring the periodic review of covered defense business systems that have been fully deployed, by portfolio, to ensure that investments in such portfolios are appropriate.", "Policy to ensure full consideration of sustainability and technological refreshment requirements, and the appropriate use of open architectures.", "Policy to ensure that best acquisition and systems engineering practices are used in the procurement and deployment of commercial systems, modified commercial systems, and defense-unique systems to meet DOD missions.", "Of these six elements called for by the act, the department has issued guidance that fully addresses four elements and partially addresses two elements. Table 2 summarizes our assessment of DOD\u2019s guidance relative to the act\u2019s requirements.", "DOD fully addressed the element requiring policy to ensure that the business processes of the department are continuously reviewed and revised. For example, DOD Instruction 5000.75 requires the functional sponsor of a defense business system to engage in continuous process improvement throughout all phases of the business capability acquisition cycle. The department also fully addressed the element to provide a process for establishing requirements for covered defense business systems with DOD Instruction 5000.75, which introduces the business capability acquisition cycle for business system requirements and acquisition.", "In addition, DOD fully addressed the element to provide mechanisms for planning and controlling investments in covered defense business systems. Specifically, the department\u2019s Financial Management Regulation; Directive 7045.14 on its planning, programming, budgeting, and execution process; and the April 2017 Defense Business System Investment Management Guidance provide such mechanisms. For example, the April 2017 investment management guidance includes a process, called the integrated business framework, which the department is to follow for selecting, managing, and evaluating the results of investments in defense business systems. In addition, the directive assigns the DOD CIO responsibility for participating in the department\u2019s annual resource allocation process and for advising the Secretary and Deputy Secretary of the Defense on IT resource allocations and investment decisions.", "Further, DOD fully addressed the requirement for a policy requiring the periodic review of covered business systems that have been fully deployed, by portfolio, to ensure that investments in such portfolios are appropriate. Specifically, the department\u2019s April 2017 Defense Business System Investment Management Guidance requires the department to annually review an organization\u2019s plan for managing its portfolio of defense business systems over the period of the current future-years defense program (e.g., Army\u2019s plan for its financial management systems) to ensure, among other things, that the portfolio is aligned with applicable functional strategies (e.g., DOD\u2019s strategy for its financial management functional area).", "DOD partially addressed the element requiring policy to ensure full consideration of sustainability and technological refreshment requirements, and the appropriate use of open architectures. Specifically, the department established policy requiring consideration of open architectures, but it has not established policy requiring consideration of sustainability and technological refreshment requirements. The Office of the DCMO stated that future guidance is expected to provide a policy to ensure full consideration of sustainability and technological refreshment requirements. However, the department could not provide a time frame for when the guidance will be developed and issued. Without a policy requiring full consideration of sustainability and technological refreshment requirements for its defense business system investments, the department may not be able to ensure that it has a full understanding of the costs associated with these requirements. As a result, the department may not be able to effectively manage spending on these systems.", "DOD has also partially addressed the element requiring policy to ensure that best acquisition and systems engineering practices are used in the procurement and deployment of commercial, modified-commercial, and defense-unique systems. Specifically, the department has established policy requiring the acquisition of business systems to be aligned with commercial best practices and to minimize the need for customization of commercial products to the maximum extent possible. On the other hand, the department has not established policy to ensure the use of best systems engineering practices.", "With regard to this finding, officials in the Office of the DCMO asserted that DOD Instruction 5000.75 addresses the requirement. However, while the instruction requires the system acquisition strategy to include a description of how the program plans to leverage systems engineering, it does not require the use of best systems engineering practices. Without a policy requiring the use of best systems engineering practices in the procurement and deployment of commercial, modified, and defense- unique systems, the department may be limited in its ability to effectively balance meeting system cost and performance objectives."], "subsections": [{"section_title": "DOD Issued Guidance that Addresses New Certification Requirements, and the Military Departments Have Made Mixed Progress in Issuing Supporting Guidance", "paragraphs": ["In addition to guidance for addressing the aforementioned legislative requirements for business systems management, the NDAA for Fiscal Year 2016 requires the Secretary to direct the DCMO and the CMO of each of the military departments to issue and maintain supporting guidance, as appropriate and within their respective areas of responsibility. In this regard, one of the key areas for which the DCMO and military department CMOs are to provide supporting guidance is the review and certification of defense business systems in accordance with specific requirements.", "Specifically, the act requires that, for any fiscal year in which funds are expended for development or sustainment pursuant to a covered defense business system program, the appropriate approval official is to review the system to determine if the system: has been, or is being, reengineered to be as streamlined and efficient as practicable, and whether the implementation of the system will maximize the elimination of unique software requirements and unique interfaces; is in compliance with the business enterprise architecture or will be in compliance as a result of planned modifications; has valid, achievable requirements, and a viable plan for implementing those requirements (including, as appropriate, market research, business process reengineering, and prototyping activities); has an acquisition strategy designed to eliminate or reduce the need to tailor commercial off-the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and is in compliance with the department\u2019s auditability requirements.", "The act and DOD Instruction 5000.75 define the systems that the DOD DCMO is responsible for certifying and the systems that military department CMOs are responsible for certifying.", "Consistent with the act, in April 2017, the DCMO issued guidance for certifying officials that addresses the certification requirements. Table 3 provides our rating and assessment of the DCMO\u2019s guidance for implementing defense business system certification requirements.", "By establishing guidance requiring that defense business systems be certified on the basis of the legislative requirements, the department is better positioned to ensure that a covered system does not proceed into development (or, if no development is required, into production or fielding) without the appropriate due diligence. Further, the department has taken steps which should help ensure that funds are limited to systems in development or sustainment that meet these requirements."], "subsections": []}, {"section_title": "Air Force and Navy Guidance Partially Addresses Certification Requirements; Army Has Not Yet Issued Guidance", "paragraphs": ["The military departments have made mixed progress in developing supporting guidance to assist in making certification decisions regarding systems within their respective areas of responsibility. More specifically, the Air Force has issued supporting guidance that addresses three of the act\u2019s five certification requirements, but does not address the remaining two requirements. Navy has issued guidance that addresses two of the certification requirements, partially addresses one requirement, and does not address two requirements. The Army has not yet issued guidance on any of the five certification requirements.", "Table 4 provides an overview of our assessment of the Air Force\u2019s, Navy\u2019s, and Army\u2019s guidance relative to the NDAA for Fiscal Year 2016 certification requirements. Each department\u2019s efforts are further discussed following the table.", "Air Force. In April 2017, the Department of the Air Force issued guidance for certifying business systems for fiscal year 2018. The guidance addresses the requirements that a system be certified on the basis of sufficient business process reengineering, business enterprise architecture compliance, and valid requirements and a viable plan to implement them. Specifically, the guidance states that Air Force core defense business systems are required to comply with the business process reengineering guidance prescribed in the DCMO\u2019s February 2015 Defense Business Systems Investment Management Process Guidance and for systems to assert compliance with the architecture through DCMO\u2019s Integrated Business Framework\u2014Data Alignment Portal. In addition, the guidance states that the department must follow DOD Instruction 5000.75, which requires that certifying officials determine that business requirements are valid and capability efforts have feasible implementation plans.", "However, the Air Force guidance does not address the remaining two certification requirements. Officials in the office of the Air Force DCMO acknowledged that the Air Force\u2019s business system certification guidance does not address determining how the acquisition strategy is designed to eliminate or reduce the need to tailor commercial off-the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable or is in compliance with DOD\u2019s auditability requirements.", "In May 2017, Air Force DCMO officials stated that the department was in the process of developing guidance. However, as of December 2017, the Air Force had not described specific plans to update its business system certification guidance.", "Navy. The Department of the Navy issued guidance in May 2016.", "This guidance addresses the requirements that a system be certified on the basis of sufficient business process reengineering and business enterprise architecture compliance. In this regard, the guidance provides guidelines for documenting business process reengineering and requires verification that business process reengineering is complete. The guidance also specifies that defense business systems are to map alignment with the business enterprise architecture in DCMO\u2019s Integrated Business Framework\u2013Data Alignment Portal.", "Navy\u2019s guidance partially addresses the certification requirement for determining if a defense business system has valid requirements and a viable plan to implement them. Specifically, the guidance includes information on validating requirements; however, it does not include information on determining if a system has a viable plan to implement the requirements.", "In addition, Navy\u2019s guidance does not address the remaining two certification requirements, which are to determine that the covered defense business system has an acquisition strategy that eliminates or reduces the need to tailor commercial-off-the-shelf systems, and that the system is in compliance with DOD\u2019s auditability requirements. In August 2017, officials in the Office of the Under Secretary of the Navy (Management) stated that the office was in the process of updating its May 2016 Defense Business System Investment Certification Manual. The officials stated that the goal is to issue interim investment certification guidance by May 2018. As of November 2017, however, Navy had not established a plan for when it expects to publish finalized certification guidance.", "Army. The Department of the Army has not issued guidance that addresses any of the act\u2019s certification requirements. The Army issued a template that was to be used to develop fiscal year 2018 portfolio review submissions. However, the template does not address any of the certification requirements.", "Officials in the Army\u2019s Office of Business Transformation explained that the Army used DOD DCMO\u2019s 2014 guidance to certify its business systems for fiscal year 2017. In May 2017, they stated that the Army was in the process of developing guidance to implement DOD\u2019s new instruction. In November 2017, an official in the Army\u2019s Office of Business Transformation stated that the office was in the process of completing the guidance and aimed to provide it to the Deputy Under Secretary\u2019s office for signature in January 2018. However, the department has not committed to a specific time frame for when the new guidance is expected to be issued.", "Without guidance for the certification authority to determine that defense business systems have addressed each of the act\u2019s certification requirements, the Air Force, Navy, and Army risk allowing systems to proceed into development or production that do not meet these requirements. In particular, the military departments risk wasting funds on developing and maintaining systems that do not have valid requirements and a viable plan to implement the requirements, introduce unnecessary complexity, or that do not adequately support the Department of Defense\u2019s efforts to meet its auditability requirements."], "subsections": []}]}, {"section_title": "DOD Has Efforts Underway to Improve Its Business Enterprise Architecture, but Its IT Architecture Is Not Complete", "paragraphs": ["According to the NDAA for Fiscal Year 2016, DOD is to develop and maintain a defense business enterprise architecture to guide the development of integrated business processes within the department. In addition, the act states that the business architecture must be consistent with the policies and procedures established by the Director of the Office of Management and Budget. Among other things, OMB policy calls for agencies to develop an enterprise architecture that describes the current architecture, target architecture, and a transition plan to get to the target architecture. The act also calls for the business architecture to contain specific content, including policies, procedures, business data standards, business information requirements, and business performance measures that are to apply uniformly throughout the department.", "DOD has developed a business enterprise architecture that is intended to help guide the development of its defense business systems. The department issued version 10 of the business architecture, which is currently being used to support system certification decisions, in February 2013. The business architecture and related documentation include content describing aspects of the current architecture, target architecture, and a transition plan to get to the target architecture. In addition, the business architecture includes content that addresses the act\u2019s requirements. Table 5 provides examples of required content in DOD\u2019s business enterprise architecture.", "Nevertheless, some content included in version 10 of the business architecture is outdated and incomplete. For example, version 10 of the business architecture\u2019s repository of laws, regulations, and policies was last updated in February 2013, and officials in the Office of the DOD CIO and Office of the DCMO confirmed that they are not current. Further, the department\u2019s March 2017 business architecture compliance guidance stated that not all relevant business data standards are identified in the business architecture. In addition, based on our review, information about performance measures documented in the architecture is incomplete. For example, target values for performance measures associated with acquisition and logistics initiatives are not identified.", "According to officials in the Office of the DCMO, the department is working to update the business architecture. Specifically, the department has developed version 11 of the business architecture to, in part, replace outdated architecture content. According to the officials, version 11 of the architecture is currently available online, but version 10 remains the official version of the business enterprise architecture used for system certification decisions. The officials stated that the department continues to add content to version 11, and they expect that it will be used as the basis of system certification decisions for fiscal year 2019.", "In addition, DOD has ongoing work to address a key recommendation we made in July 2015 associated with improving the usefulness of its business architecture. In particular, we reported that the majority of military department portfolio managers that we surveyed believed that the business architecture had not been effective in meeting intended outcomes. For example, only 25 percent of the survey respondents reported that the business architecture effectively enabled DOD to routinely produce timely, accurate, and reliable business and financial information for management purposes. In addition, only 38 percent reported that the business architecture effectively guided the implementation of interoperable defense business systems. As a result, we reported that the architecture had produced limited value and recommended that the department use the results of our survey to determine additional actions that can improve the department\u2019s management of its business enterprise architecture activities.", "In response to our recommendation, DOD identified opportunities to address our survey findings and developed a plan for improving its ability to achieve architecture-related outcomes. DOD\u2019s business enterprise architecture improvement plan was signed by the Assistant DCMO in January 2017. However, the department has not yet demonstrated that it has delivered the capabilities described by the plan; thus, we will continue to monitor DOD\u2019s progress to fully address this recommendation."], "subsections": [{"section_title": "DOD Has Taken Steps to Develop Its IT Enterprise Architecture, but Does Not Have a Plan That Provides a Road Map for Improving the Department\u2019s IT and Computing Infrastructure", "paragraphs": ["In addition to the business enterprise architecture, according to the act, the DOD CIO is to develop an IT enterprise architecture. This architecture is to describe a plan for improving the IT and computing infrastructure of the department, including for each of the major business processes.", "Officials in the Office of the DOD CIO stated that the department considers its information enterprise architecture to be its IT enterprise architecture. The DOD CIO approved version 2.0 of its information enterprise architecture in August 2012. According to DOD documentation, this architecture describes the department\u2019s current information enterprise (i.e., information resources, assets, and processes used to share information across the department and with its mission partners) and includes a vision for the target information enterprise; documents required capabilities, and the activities, rules, and services needed to provide them; and includes information for applying and complying with the architecture.", "Nevertheless, while the architecture includes content describing the department\u2019s current and target information enterprise, which is consistent with OMB guidance, it does not include a transition plan that provides a road map for improving the department\u2019s IT and computing infrastructure. Related to this finding, DCMO officials did not agree with our assessment concerning the department\u2019s IT enterprise architecture transition plan. In this regard, officials in the Office of the DCMO stated that the department\u2019s DOD IT Portfolio Repository includes information for managing efforts to improve IT and computing infrastructure at the system level. According to the repository\u2019s data dictionary, this information can include system life cycle start and end dates, as well as information that supports planning for a target environment.", "However, documentation describing DOD\u2019s information enterprise architecture does not identify the DOD IT Portfolio Repository as being part of the architecture. Moreover, it does not include a plan for improving the department\u2019s IT and computing infrastructure for each of the major business processes. Officials in the Office of the CIO acknowledged that the architecture does not include such plans. According to the officials, the department is currently developing version 3.0 of its information enterprise architecture (i.e., its IT enterprise architecture). The officials stated that the department does not currently intend for the architecture to include a plan for improving the department\u2019s IT and computing infrastructure that addresses each of the major business processes. They added, however, that there is an effort to ensure that functional areas, such as human resources management, are included. DCMO officials stated that the department has not defined how the DOD IT enterprise architecture needs to be segmented for each major business process because the infrastructure requirements seem to be similar for each of the processes.", "Without an architecture that includes a plan for improving its IT and computing infrastructure, including for each of the major business processes, DOD risks not ensuring that stakeholders across the department have a consistent understanding of the steps needed to achieve the department\u2019s future vision, agency priorities, potential dependencies among investments, and emerging and available technological opportunities."], "subsections": []}, {"section_title": "DOD Has Not Demonstrated That Its Business and IT Architectures Are Integrated", "paragraphs": ["According to the act, the DOD business enterprise architecture is to be integrated into the DOD IT enterprise architecture. The department\u2019s business architecture compliance guide also recognizes that the business architecture is to be integrated with the IT enterprise architecture.", "However, the department has not demonstrated that it has integrated the business enterprise architecture into the information enterprise architecture. Specifically, the department did not provide documentation associated with either architecture that describes how the two are, or are to be, integrated. The business enterprise architecture compliance guide states that DOD Directive 8000.01 implements the requirement that the two architectures are to be integrated. However, the directive does not address how they are, or are to be, integrated.", "Officials in the Offices of the CIO and the DCMO described steps they were taking to coordinate the development of the next versions of the information enterprise architecture (i.e., IT enterprise architecture) and business enterprise architecture. However, these steps were not sufficient to help ensure integration of the two architectures. Specifically, in June 2017, officials in the Office of the DOD CIO stated they were participating in the development of the next version of the business architecture and that the DOD CIO is represented on the Business Enterprise Architecture Configuration Control Board. Officials in the Office of the DCMO confirmed that DOD CIO officials participate on the board. However, officials from the Office of the DCMO said that, until it met in June 2017 the board had not met since 2014. Moreover, documentation of the June 2017 meeting, and a subsequent November 2017 meeting, did not indicate that the board members had discussed integration of the department\u2019s business and information enterprise architectures.", "In addition, officials in the Office of the DCMO reported that the office has not actively participated in the information enterprise architecture working group. Further, our review of meeting minutes from this working group did not identify participation by officials in the Office of the DCMO, or that integration of the architectures was discussed. The Office of the DCMO described other mechanisms for its sharing of information about architectures with the Office of the DOD CIO. For example, the Office of the DCMO stated that it participates with DOD CIO bodies governing version 3.0 development. Nevertheless, the Office of the DCMO reiterated that technical integration of the architectures has not been designed.", "Until DOD ensures that its business architecture is integrated into its IT enterprise architecture, the department may not be able to ensure that its business strategies capitalize on technologies and that its IT infrastructure will support DOD\u2019s business priorities and related business strategies."], "subsections": []}]}, {"section_title": "The Defense Business Council Addressed Legislative Provisions to Provide Advice on Defense Business Systems to the Secretary of Defense", "paragraphs": ["The NDAA for Fiscal Year 2016 requires the Secretary to establish a Defense Business Council, chaired by the DCMO and the DOD CIO, to provide advice to the Secretary on: developing the business enterprise architecture, reengineering the department\u2019s business processes, developing and deploying business systems, and developing requirements for business systems.", "DOD established the department\u2019s Defense Business Council in October 2012, prior to the act. According to its current charter, dated December 2014, the Council is co-chaired by the DCMO and the DOD CIO. In addition, the Council is to serve as the principal governance body for vetting issues related to managing and improving defense business operations. Among other things, it serves as the investment review board for defense business system investments.", "The Defense Business Council charter also states that the Council was established as a principal supporting tier of governance to the Deputy\u2019s Management Action Group. The Deputy\u2019s Management Action Group was established by an October 2011 memorandum issued by the Deputy Secretary of Defense. According to information published on DCMO\u2019s website, the group was established to be the primary civilian-military management forum that supports the Secretary of Defense, and is to address top department issues that have resource, management, and broad strategic and/or policy implications. The group\u2019s primary mission is to produce advice for the Deputy Secretary of Defense in a collaborative environment and to ensure that the group\u2019s execution aligns with the Secretary of Defense\u2019s priorities. According to the Office of the DCMO, the Defense Business Council determines whether or not to elevate a topic to the Deputy\u2019s Management Action Group to address on behalf of the Secretary.", "Based on our review of meeting documentation for 27 meetings that the Defense Business Council held between January 2016 and August 2017, the Council discussed the four topics on which the NDAA for Fiscal Year 2016 requires it to provide advice to the Secretary. According to the Office of the DCMO, during the discussions of these topics, the Council did not identify any issues related to the topics that needed to be elevated to the Deputy\u2019s Management Action Group. Table 6 identifies the number of meetings in which the Council discussed each topic during this time period.", "By ensuring that the required business system topics are discussed during Defense Business Council meetings, the department should be positioned to raise issues to the Deputy\u2019s Management Action Group, and ultimately, to advise the Secretary of Defense on matters associated with these topics."], "subsections": []}, {"section_title": "DOD Certified Selected Business Systems for Fiscal Year 2017 on the Basis of Earlier Certification Requirements", "paragraphs": ["The NDAA for Fiscal Year 2016 requires that, for any fiscal year in which funds are expended for development or sustainment pursuant to a covered defense business system program, the Secretary of Defense is to ensure that a covered business system not proceed into development (or, if no development is required, into production or fielding) unless the appropriate approval official reviews the system to determine if the system meets five key requirements, as previously discussed in this report. In addition, the act requires that the appropriate approval official certify, certify with conditions, or decline to certify that the system satisfies these five requirements.", "The department issued DOD Instruction 5000.75, which established business system categories and assigned certifying officials, consistent with the act. Table 7 describes the business system categories and the assigned certifying officials, as defined in DOD Instruction 5000.75.", "The DOD DCMO certified the five systems in our sample (which included the military departments\u2019 systems) for fiscal year 2017. However, these certifications were issued in accordance with the previous fiscal year\u2019s (fiscal year 2016) certification requirements. Those requirements had stipulated that a defense business system program was to be reviewed and certified on the basis of the system\u2019s compliance with the business enterprise architecture and appropriate business process reengineering, rather than on the basis of having met all five requirements identified in the NDAA for Fiscal Year 2016.", "Specifically, DCMO certified the systems on the basis of determining that the systems were in compliance with the business enterprise architecture and had been sufficiently reengineered. However, none of the systems were certified on the basis of a determination that they had valid, achievable requirements and a viable plan for implementing them; had an acquisition strategy to reduce or eliminate the need to tailor commercial off-the-shelf systems; or were in compliance with the department\u2019s auditability requirements.", "Officials in the Offices of the DOD DCMO, the Air Force DCMO, the Under Secretary of the Navy (Management), and Army Business Transformation told us that the systems were not certified relative to three of the requirements because the department did not issue guidance to reflect changes made by the NDAA for Fiscal Year 2016 in time for the fiscal year 2017 certification process. Prior to the NDAA for Fiscal Year 2016, relevant legislation and DOD guidance only called for annual determinations to be made regarding whether a system complied with the business enterprise architecture and whether appropriate business process reengineering had been conducted.", "In January 2016, the DCMO issued a memorandum stating that the department planned to issue new guidance and policy to implement the new legislation by the end of February 2016. However, the department did not issue additional guidance addressing the new certification requirements until April 2017. The system certifications, which were required by the act to be completed before systems could spend fiscal year 2017 funds, occurred in August and September 2016.", "In explaining the delay in issuing new guidance on the certification requirements, officials in the Office of the DCMO stated that the statutory deadline for issuing guidance was December 31, 2016. They added that, given this statutory deadline, and the start of fiscal year 2017 on October 1, 2016, it was their determination that Congress did not intend for the NDAA for Fiscal Year 2016\u2019s certification requirements to be fully implemented before fiscal year 2017 started. DCMO officials stated that they intend for the department to use the certification requirements established by the NDAA for Fiscal Year 2016 for future system certifications.", "While it was reasonable for the department to use the earlier guidance for its fiscal year 2017 certifications, given that the new guidance had not yet been issued, it will be important going forward that the department certifies business systems on the basis of the certification requirements established in the NDAA for Fiscal Year 2016 and its related guidance addressing these requirements. Certifying systems on the basis of the act\u2019s requirements should help ensure that funds are not wasted on developing and maintaining systems that do not have valid requirements and a viable plan to implement the requirements, that introduce unnecessary complexity, or that impede the Department of Defense\u2019s efforts to meet its auditability requirements."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Since the NDAA for Fiscal Year 2016 was signed in November 2015, DOD has issued guidance that addresses most provisions of the NDAA for Fiscal Year 2016 related to managing defense business system investments. However, the department has not established policies requiring consideration of sustainability and technology requirements and the use of best systems engineering practices in the procurement and deployment of its systems. Having these policies would better enable the department to ensure it is efficiently and effectively procuring and deploying its business systems.", "In addition, the Air Force, the Army, and Navy have made mixed progress in issuing guidance to assist in making certification decisions regarding systems within their respective areas of responsibility. Specifically, the Air Force and Navy issued guidance on the certification of business systems that does not fully address new certification requirements, while the Army has not issued any updated guidance for its certifications. As a result, the Air Force, Navy, and Army risk wasting funds on developing and maintaining systems that do not have valid requirements and a viable plan to implement the requirements, introduce unnecessary complexity, or do not adequately support the Department of Defense\u2019s efforts to meet its auditability requirements.", "Also, DOD has developed an IT architecture, but this architecture does not address the act\u2019s requirement that it include a plan for improving the department\u2019s IT and computing infrastructure, including for each business process. In addition, DOD\u2019s plans for updating its IT architecture do not address how the department intends to integrate its business and IT architectures, as called for by the act. As a result, DOD risks not having a consistent understanding of what is needed to achieve the department\u2019s future vision, agency priorities, potential dependencies among investments, and emerging and available technological opportunities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making six recommendations, including three to the Secretary of Defense and one to each of the Secretaries of the Air Force, the Navy and the Army: The Secretary of Defense should define a specific time frame for finalizing, and ensure the issuance of (1) policy requiring full consideration of sustainability and technological refreshment requirements for its defense business system investments; and (2) policy requiring that best systems engineering practices are used in the procurement and deployment of commercial systems, modified commercial systems, and defense-unique systems to meet DOD missions. (Recommendation 1)", "The Secretary of the Air Force should define a specific time frame for finalizing, and ensure the issuance of guidance for certifying the department\u2019s business systems on the basis of (1) having an acquisition strategy designed to eliminate or reduce the need to tailor commercial off- the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and (2) being in compliance with DOD\u2019s auditability requirements. (Recommendation 2)", "The Secretary of the Navy should define a specific time frame for finalizing, and ensure the issuance of guidance for certifying the department\u2019s business systems on the basis of (1) having a viable plan to implement the system\u2019s requirements; (2) having an acquisition strategy designed to eliminate or reduce the need to tailor commercial off-the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and (3) being in compliance with DOD\u2019s auditability requirements. (Recommendation 3)", "The Secretary of the Army should define a specific time frame for finalizing, and ensure the issuance of guidance for certifying the department\u2019s business systems on the basis of (1) being reengineered to be as streamlined and efficient as practicable, and determining that implementation of the system will maximize the elimination of unique software requirements and unique interfaces; (2) being in compliance with the business enterprise architecture; (3) having valid, achievable requirements and a viable plan to implement the requirements; (4) having an acquisition strategy designed to eliminate or reduce the need to tailor commercial off-the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and (5) being in compliance with DOD\u2019s auditability requirements. (Recommendation 4)", "The Secretary of Defense should ensure that the DOD CIO develops an IT enterprise architecture which includes a transition plan that provides a road map for improving the department\u2019s IT and computing infrastructure, including for each of its business processes. (Recommendation 5)", "The Secretary of Defense should ensure that the DOD CIO and Chief Management Officer work together to define a specific time frame for when the department plans to integrate its business and IT architectures and ensure that the architectures are integrated. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DOD provided written comments on a draft of this report, which are reprinted in appendix III. In the comments, the department stated that it concurred with three of the recommendations and partially concurred with three of the recommendations. DOD also provided evidence that it has fully addressed one of the recommendations. In addition, DOD provided technical comments that we incorporated in the report, as appropriate.", "DOD stated that it concurred with our first recommendation, which called for it to define a specific time frame for finalizing, and ensure the issuance of, policies that fully address provisions in the NDAA for Fiscal Year 2016. Furthermore, the department stated that it had complied with the recommendation. Specifically, the department stated that it had published its defense business systems investment management guidance in April 2017. This guidance identifies DOD\u2019s Financial Management Regulation, Volume 2B, Chapter 18 \u201cInformation Technology\u201d and supporting IT budget policy and guidance as well as DOD Instruction 5000.75 and supporting acquisition policy and guidance. The department stated that the Financial Management Regulation specifically addresses the requirement for sustainability and technological refreshment requirements for its defense business system investments.", "While DOD reported taking this action, we do not agree that the department has complied with our recommendation. In reviewing the department\u2019s guidance, we found that none of the cited management documents includes a policy requiring consideration of sustainability and technological refreshment requirements for DOD\u2019s defense business systems. Further, none of these documents includes a policy requiring that best systems engineering practices be used in the procurement and deployment of commercial, modified-commercial, and defense unique systems.", "Without a policy requiring full consideration of sustainability and technological refreshment requirements for its defense business system investments, the department may not be able to ensure that it has a full understanding of the costs associated with these requirements. Further, without a policy requiring the use of best systems engineering practices in systems procurement and deployment, the department may be limited in its ability to effectively balance meeting system cost and performance objectives. Accordingly, we continue to believe that our recommendation is valid.", "The department concurred with our second recommendation, that the Secretary of the Air Force define a specific time frame for finalizing, and ensure the issuance of, guidance that fully addresses certification requirements, in accordance with the NDAA for Fiscal Year 2016. Moreover, the department stated that the Air Force has complied with the recommendation. Specifically, DOD stated that Air Force Manual 63-144 details the consideration of using existing commercial solutions without modification or tailoring.", "However, while the manual provides a foundation on which the Air Force can build, it is not sufficient to fully address our recommendation because it does not include guidance on certifying business systems on the basis of having an acquisition strategy that eliminates or reduces the need to tailor commercial-off-the-shelf systems. In addition, the department did not demonstrate that the Air Force has issued guidance for certifying business systems on the basis of being in compliance with DOD\u2019s auditability requirements. Rather, the Air Force stated that it has pending guidance that addresses the acquisition strategy and auditability requirements. We plan to evaluate the guidance to determine the extent to which it addresses our recommendation after it is issued.", "The department partially agreed with our third recommendation, that the Secretary of the Navy define a specific time frame for finalizing, and ensure the issuance of, guidance that fully addresses certification requirements. Specifically, DOD stated that Navy agreed to issue guidance. Subsequently, on March 8, 2018, Navy issued its updated guidance.", "However, Navy disagreed with the recommendation, as written, and suggested that GAO revise the recommendation to state that \u201cThe Secretary of the Navy should ensure guidance is issued according to established timeline for certifying the department\u2019s business systems. . .\u201d According to Navy, this change would support alignment with the timeline for certifying the department\u2019s business systems driven by the Chief Management Officer investment review timeline.", "Based on our analysis, we found the guidance that Navy issued to be consistent with our recommendation. Thus, we plan to close the recommendation as fully implemented. We have also annotated this report, where appropriate, to explain that the Navy issued guidance while the draft of this report was at the department for comment. On the other hand, we did not revise the wording of our recommendation, as we believe it appropriately reflected the importance of Navy taking action to ensure the issuance of its guidance.", "The department stated that it concurred with our fourth recommendation, which called for the Secretary of the Army to define a specific time frame for finalizing, and ensure the issuance of, guidance for certifying the department\u2019s business systems on the basis of the certification requirements. Furthermore, on March 23, 2018, the Army issued its guidance. However, because of the timing of this report relative to when the Army provided its guidance to us (on March 27, 2018), we have not yet completed an assessment of the guidance. We have annotated this report, where appropriate, to reflect the Army\u2019s action on our recommendation.", "The department stated that it partially concurred with our fifth recommendation. This recommendation called for the DOD CIO to develop an IT enterprise architecture which includes a transition plan that provides a road map for improving the department\u2019s IT and computing infrastructure, including for each of its business processes. Toward this end, the department agreed that the DOD CIO should develop an architecture that enables improving the department\u2019s IT and computing infrastructure for each of its business processes. However, the department also stated that the recommendation is not needed because the goal is already being accomplished by a set of processes, organizations, protocols, and architecture data.", "For example, the department described processes and relationships between the Office of the DOD CIO and the Office of the Chief Management Officer and the boards that support the department\u2019s business and IT enterprise architectures. In particular, the department stated that information enterprise architecture data relevant to the business enterprise are accessed via the DOD Information Enterprise Architecture Data Selection Wizard and imported into the business enterprise architecture. The department further stated that, if the business capability acquisition cycle process indicates a need to improve the IT or computing infrastructure, the Office of the Chief Management Officer has a protocol to initiate a proposal to change the information enterprise architecture.", "We agree that the department\u2019s processes, organizations, protocols, and architecture data are keys to successful IT management. However, during the course of our audit, we found that documentation describing DOD\u2019s IT architecture did not include a plan for improving the department\u2019s IT and computing infrastructure for each of the major business processes. Moreover, officials in the Office of the CIO acknowledged that the architecture did not include such a plan.", "Without a transition plan that provides a road map for improving the department\u2019s IT and computing infrastructure, including for each of its business processes, it will be difficult for the department to rely on its personnel to timely and proactively manage and direct modernization efforts of such a magnitude as DOD\u2019s systems modernization efforts. Further, without such a plan, DOD risks not being able to ensure that stakeholders across the department have a consistent understanding of the steps needed to achieve the department\u2019s future vision, agency priorities, potential dependencies among investments, and emerging and available technological opportunities. Thus, we maintain that the department should fully implement our recommendation.", "The department stated that it partially concurred with our sixth recommendation, that the DOD CIO and DCMO work together to define a specific time frame for when the department plans to integrate its business and IT architectures. In particular, the department stated that it agrees that the DOD CIO and Chief Management Officer should work together to establish a time frame and ensure coordination and consistency of the IT and business architectures. However, the department disagreed with the use and intent of the term \u201cintegrate,\u201d as stated in the recommendation, although it did not explain the reason for this disagreement. Instead, it proposed that we change our recommendation to read \u201cThe GAO recommends the Secretary of Defense ensure the DoD CIO and CMO work together to define a specific timeline for coordinating its business and IT architectures to achieve better enterprise alignment among the architectures.\u201d", "We agree that it is important to achieve coordination and consistency between the business and IT architectures. However, the department did not provide documentation associated with either architecture that describes how the two are, or are to be, integrated, as called for by the NDAA for Fiscal Year 2016 and DOD guidance.", "Integrating the architectures would help ensure that business strategies better capitalize on existing and planned technologies and that IT solutions and infrastructure support business priorities and related business strategies. Thus, we continue to believe that our recommendation is valid. However, we have updated the recommendation to state that the DOD CIO and the Chief Management Officer should work together. We made this change because, effective February 1, 2018, the Secretary of Defense eliminated the DCMO position and expanded the role of the Chief Management Officer, in accordance with the National Defense Authorization Act for Fiscal Year 2018.", "We are sending copies of this report to appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; and the Director of the Office of Management and Budget. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["Our objective was to determine the actions taken by the Department of Defense (DOD) to comply with provisions included in the National Defense Authorization Act for Fiscal Year 2016 (NDAA). These provisions require DOD to perform certain activities aimed at ensuring that its business system investments are managed efficiently and effectively. Specifically, we determined to what extent DOD has 1. established guidance for effectively managing its defense business 2. developed and maintained a defense business enterprise architecture and information technology (IT) enterprise architecture, in accordance with relevant laws and Office of Management and Budget (OMB) policies and guidance; 3. used the Defense Business Council to provide advice to the Secretary on developing the business enterprise architecture, reengineering the department\u2019s business processes, developing and deploying business systems, and developing requirements for business systems; and 4. ensured that covered business systems are reviewed and certified in accordance with the act.", "To address the extent to which DOD has established guidance for effectively managing defense business system investments, we obtained and analyzed the department\u2019s guidance, as well as the guidance established by the Departments of the Air Force, Army, and Navy, for managing defense business systems relative to the act\u2019s requirements. Specifically, the NDAA for Fiscal Year 2016 required the Secretary of Defense to issue guidance, by December 31, 2016, to provide for the coordination of and decision making for the planning, programming, and control of investments in covered defense business systems. The act required this guidance to include the following six elements:", "Policy to ensure DOD business processes are continuously reviewed and revised to implement the most streamlined and efficient business processes practicable and eliminate or reduce the need to tailor commercial off-the-shelf systems to meet or incorporate requirements or interfaces that are unique to the department.", "Process to establish requirements for covered defense business systems.", "Mechanisms for planning and controlling investments in covered defense business systems, including a process for the collection and review of programming and budgeting information for covered defense business systems.", "Policy requiring the periodic review of covered defense business systems that have been fully deployed, by portfolio, to ensure that investments in such portfolios are appropriate.", "Policy to ensure full consideration of sustainability and technological refreshment requirements, and the appropriate use of open architectures.", "Policy to ensure that best acquisition and systems engineering practices are used in the procurement and deployment of commercial systems, modified commercial systems, and defense-unique systems to meet DOD missions.", "We assessed the February 2017 DOD Instruction 5000.75, Business Systems Requirements and Acquisitions, and April 2017 defense business system investment management guidance, which the department issued to address the act\u2019s requirements. In addition, we assessed the department\u2019s Financial Management Regulation and directive on its planning, programming, budgeting, and execution process, which the department stated also address the act\u2019s provisions.", "We also assessed DOD\u2019s guidance for managing business system investments relative to the act\u2019s business system certification requirements. The act requires that the Secretary of Defense ensure that a covered defense business system not proceed into development (or, if no development is required, into production or fielding) unless the appropriate approval official determines that the system meets five requirements. The act further requires for any fiscal year in which funds are expended for development or sustainment pursuant to a covered defense business system program, the appropriate approval official to review the system to determine if the system: has been, or is being, reengineered to be as streamlined and efficient as practicable, and whether the implementation of the system will maximize the elimination of unique software requirements and unique interfaces; is in compliance with the business enterprise architecture or will be in compliance as a result of planned modifications; has valid, achievable requirements, and a viable plan for implementing those requirements (including, as appropriate, market research, business process reengineering, and prototyping activities); has an acquisition strategy designed to eliminate or reduce the need to tailor commercial off-the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and is in compliance with the department\u2019s auditability requirements.", "We compared Office of the Deputy Chief Management Office (DCMO) certification guidance with the act\u2019s certification requirements. In addition, we compared the guidance established by the Departments of the Air Force, the Army, and the Navy for certifying their business systems with the act\u2019s certification requirements.", "We also interviewed cognizant officials responsible for managing defense business system investments at DOD, including the military departments. Specifically, we interviewed officials in the Office of the DCMO, the Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics, the Office of the Chief Information Officer (CIO), and the Offices of the CMOs in the Departments of the Air Force, Army, and Navy.", "To determine the extent to which DOD has developed and maintained a defense business enterprise architecture and IT enterprise architecture, in accordance with relevant laws and OMB policy and guidance, we assessed the business enterprise architecture against the relevant laws and OMB policy and guidance; the IT enterprise architecture against the relevant laws and OMB policy and guidance; and the department\u2019s efforts to integrate its business and IT architectures against the act\u2019s requirement.", "To determine the extent to which the department has developed and maintained a business enterprise architecture in accordance with relevant laws and OMB policy and guidance, we reviewed version 10 of its business enterprise architecture, which was released in February 2013, and related information relative to the act\u2019s requirements; U.S. Code, Title 44, Section 3601, which defines an enterprise architecture; and OMB policy and guidance. We also reviewed version 11 of the architecture to determine the extent to which it differed from version 10.", "Further, we reviewed the department\u2019s business enterprise architecture improvement plan, which it developed in response to a recommendation we made in July 2015. Specifically, we recommended that the department use the results of our portfolio manager survey to determine additional actions that could improve the department\u2019s management of its enterprise architecture activities. In response to our recommendation, the department developed and approved a plan in January 2017. We assessed the extent to which the department had delivered the planned capabilities relative to the plan. We also reviewed the extent to which the delivery dates of the three planned capabilities and associated tasks changed over time relative to the plan.", "To assess the extent to which the department developed and maintained an IT enterprise architecture in accordance with relevant laws and OMB policy and guidance, we reviewed content from the department\u2019s IT enterprise architecture and compared it with requirements from the act, U.S. Code, Title 44, Section 3601, and OMB policy and guidance.", "Specifically, we reviewed version 2.0 of the department\u2019s information enterprise architecture, which was released in August 2012, relative to the act\u2019s requirement for the DOD CIO to develop an IT enterprise architecture that is to describe a plan for improving the IT and computing infrastructure of the department, including for each of the major business processes. We reviewed volumes I and II of the information enterprise architecture and the four enterprise-wide reference architectures to determine if the architecture described a plan for improving the IT and computing infrastructure of the department, as called for by the act. We also reviewed whether the architecture included content that described the current and the target environments, and a transition plan to get from the current to the target environment, consistent with OMB policy and guidance.", "To determine the extent to which the department has integrated its business and IT architectures, as required by the act, we reviewed DOD Directive 8000.01, Management of the Department of Defense Information Enterprise. We also reviewed meeting documentation from the information enterprise architecture working group responsible for the development of an updated architecture. In addition, we reviewed meeting documentation from the Business Enterprise Architecture Configuration Control Board to identify any discussions among CIO and DCMO officials regarding integration of the two architectures, as well as the level of participation by both parties.", "Finally, we interviewed officials in the Office of the DCMO and the Office of the CIO about efforts to develop and maintain a business enterprise architecture, develop an IT enterprise architecture, and integrate the business and IT architectures.", "To determine the extent to which the department has used the Defense Business Council to provide advice to the Secretary of Defense on developing the business enterprise architecture, reengineering the department\u2019s business processes, developing and deploying business systems, and developing requirements for business systems, in accordance with the act, we analyzed the department\u2019s December 2014 Defense Business Council Charter and April 2017 defense business systems investment management guidance. We compared information in the charter and guidance to the requirement that the Secretary establish the Defense Business Council to advise the Secretary on the required defense business system topics.", "In addition, we obtained and analyzed meeting summaries and briefings for 27 Defense Business Council meetings that took place from January 2016 through August 2017. Specifically, we assessed the frequency with which the meetings held during this time period addressed the required topics. We chose this time period because 2016 was the first calendar year following the enactment of the NDAA for Fiscal Year 2016. Further, we chose August 2017 as our end date because it was the last month\u2019s data that we could reasonably expect to obtain and review within our reporting time frame. We also interviewed officials in the Offices of the DCMO and CIO about the Defense Business Council and the Deputy\u2019s Management Action Group, which is the governance entity to which the Council reports.", "To determine the extent to which DOD has ensured that covered business systems are reviewed and certified in accordance with the act, we reviewed a nongeneralizable sample of business systems from DOD\u2019s two categories of covered defense business systems that require certification. To select the sample, we considered Category I systems, which were systems that were expected to have a total amount of budget authority of more than $250 million over the period of the current future- years defense program, and Category II systems, which were systems that were expected to have a total amount of budget authority of between $50 million and $250 million over the period of the future-years defense program.", "We further categorized the Category II systems into four groups\u2014those owned by the Air Force, the Army, Navy, and the remaining DOD components. We selected one system with the highest expected cost over the course of the department\u2019s future-years defense program from each group. This resulted in our selection of five systems: one Category I system, one Category II system from each military department, and one Category II system from the remaining DOD components.", "We reviewed, respectively, DOD\u2019s Healthcare Management System Modernization Program; Air Force\u2019s Maintenance, Repair and Overhaul initiative; Army\u2019s Reserve Component Automation System; Navy\u2019s Electronic Procurement System; and the Defense Logistics Agency\u2019s Defense Agencies Initiative Increment 2. We determined that the number of systems we selected was sufficient for our evaluation.", "For each system, we assessed the extent to which it had been certified on the basis of the five certification requirements in the act. Specifically, we evaluated investment decision memos and certification assertions to determine if each system had been certified according to the act\u2019s requirements, which include ensuring that the system had been, or was being, reengineered to be as streamlined and efficient as practicable, and the implementation of the system would maximize the elimination of unique software requirements and unique interfaces; was in compliance with the business enterprise architecture or would be in compliance as a result of planned modifications; had valid, achievable requirements, and a viable plan for implementing those requirements; had an acquisition strategy designed to eliminate or reduce the need to tailor commercial off- the-shelf systems to meet unique requirements, incorporate unique requirements, or incorporate unique interfaces to the maximum extent practicable; and was in compliance with the department\u2019s auditability requirements. We did not determine whether the certification assertions were valid. For example, we did not evaluate business process reengineering activities to determine if they were sufficient. We also interviewed DOD DCMO and military department officials about the certification of these systems.", "To determine the reliability of the business system cost data used to select the systems, we reviewed system documentation for the three systems DOD uses to store data, which include the Defense Information Technology Investment Portal, the DOD Information Technology Portfolio Repository, and the Select and Native Programming-Information Technology system. In this regard, we requested and reviewed department responses to questions about the systems and about how the department ensures the quality and reliability of the data. In addition, we requested and reviewed documentation related to the systems (e.g., data dictionaries, system instructions, and user training manuals) and reviewed the data for obvious issues, including missing or questionable values. We also reviewed available reports on the quality of the inventories (e.g., inspector general reports). We found the data to be sufficiently reliable for our purpose of selecting systems for evaluation.", "We conducted this performance audit from January 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Prior GAO Reports on Department of Defense Business System Modernization", "paragraphs": ["Since 2005, we have issued 11 reports assessing DOD\u2019s actions to respond to business system modernization provisions contained in U.S. Code, Title 10, Section 2222. The reports are listed below.", "DOD Business Systems Modernization: Additional Action Needed to Achieve Intended Outcomes, GAO-15-627 (Washington, D.C.: July 16, 2015).", "Defense Business Systems: Further Refinements Needed to Guide the Investment Management Process, GAO-14-486 (Washington, D.C. May 12, 2014).", "DOD Business Systems Modernization: Further Actions Needed to Address Challenges and Improve Accountability, GAO-13-557 (Washington, D.C.: May 17, 2013).", "DOD Business Systems Modernization: Governance Mechanisms for Implementing Management Controls Need to Be Improved, GAO-12-685 (Washington, D.C.: June 1, 2012).", "Department of Defense: Further Actions Needed to Institutionalize Key Business System Modernization Management Controls, GAO-11-684 (Washington, D.C.: June 29, 2011).", "Business Systems Modernization: Scope and Content of DOD\u2019s Congressional Report and Executive Oversight of Investments Need to Improve, GAO-10-663 (Washington, D.C.: May 24, 2010).", "DOD Business Systems Modernization: Recent Slowdown in Institutionalizing Key Management Controls Needs to Be Addressed, GAO-09-586 (Washington, D.C.: May 18, 2009).", "DOD Business Systems Modernization: Progress in Establishing Corporate Management Controls Needs to Be Replicated Within Military Departments, GAO-08-705 (Washington, D.C.: May 15, 2008).", "DOD Business Systems Modernization: Progress Continues to Be Made in Establishing Corporate Management Controls, but Further Steps Are Needed, GAO-07-733 (Washington, D.C.: May 14, 2007).", "Business Systems Modernization: DOD Continues to Improve Institutional Approach, but Further Steps Needed, GAO-06-658 (Washington, D.C.: May 15, 2006).", "DOD Business Systems Modernization: Important Progress Made in Establishing Foundational Architecture Products and Investment Management Practices, but Much Work Remains, GAO-06-219 (Washington, D.C.: November 23, 2005)."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, individuals making contributions to this report include Michael Holland (Assistant Director), Cheryl Dottermusch (Analyst in Charge), John Bailey, Chris Businsky, Camille Chaires, Nancy Glover, James Houtz, Anh Le, Tyler Mountjoy, Monica Perez-Nelson, Priscilla Smith, and Adam Vodraska."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-459", "url": "https://www.gao.gov/products/GAO-18-459", "title": "Animal Use in Federal Research: Agencies Share Information, but Reporting and Data Quality Could Be Strengthened", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Research facilities, including those managed by federal agencies, use a wide range of animals in research and related activities each year. The Animal Welfare Act and the Health Research Extension Act have varying requirements for federal agencies and others to protect the welfare of and report on the use of different research animals to APHIS and NIH.", "GAO was asked to review several issues related to animals used in federal research. This report examines (1) the extent to which APHIS and NIH have provided federal facilities with guidance for reporting their animal use programs, (2) the extent to which APHIS and NIH have shared agencies' animal use information with the public, and (3) stakeholder views on federal agencies' sharing additional information. GAO identified federal agencies that used vertebrate animals in research in fiscal years 2014 through 2016, reviewed their reports to APHIS and NIH, and examined publicly available data. GAO also surveyed a nongeneralizable sample of stakeholders from federal agencies and animal advocacy, research and science, and academic organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Health and Human Services' (HHS) National Institutes of Health (NIH) and the U.S. Department of Agriculture's (USDA) Animal and Plant Health Inspection Service (APHIS) have provided guidance to federal research facilities on what they must report about their animal use programs under the Health Research Extension Act and the Animal Welfare Act, respectively. Federal research facilities we reviewed met NIH's reporting instructions. However, APHIS's instructions have not ensured consistent and complete reporting in three areas: research with birds, activities outside the United States, and field studies outside a typical laboratory. By clarifying its instructions, APHIS could improve the quality of animal use data it receives from agencies.", "APHIS and NIH voluntarily share some information about agencies' animal research with the public. In particular, APHIS posts to its website data on agencies' annual use of animals covered by the Animal Welfare Act, and NIH publicly posts a list of research facilities with approved animal use programs. However, APHIS does not describe potential limitations related to the accuracy and completeness of the data it shares as called for by USDA guidance. For example, APHIS does not explain that the data do not include birds used for activities that are covered by the Animal Welfare Act and may include field studies that are not covered by the act. APHIS could increase the data's usefulness to the public by making such disclosures.", "Federal agencies may have additional information about their animal use programs, including data on vertebrate species used but not reported to APHIS; the purpose of research activities; and internal inspection reports. However, stakeholders GAO surveyed had different views on agencies' sharing such data with the public. Some stakeholders, particularly animal advocacy organizations, cited the need for more transparency and oversight while others, including federal agencies and research and science organizations, raised concerns about the additional administrative burden on agencies.", "Source: GAO analysis of the Animal Welfare Act and the Office of Laboratory Animal Welfare's Public Health Service Policy on Humane Care and Use of Laboratory Animals. | GAO-18-459 .", "a The act covers research funded by the public health service agencies of the U.S. government."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that APHIS clarify its reporting instructions and fully describe the potential limitations of the animal use data it makes available to the public. USDA stated that APHIS will take steps to implement GAO's recommendations, with the exception of clarifying reporting instructions for activities outside the United States. GAO continues to believe that APHIS needs to ensure complete reporting of such activities by federal facilities."]}], "report": [{"section_title": "Letter", "paragraphs": ["U.S. research facilities, including those managed by federal agencies, use a wide range of animal species in research, testing, teaching, and experimentation. These activities can occur in laboratories or field settings and have many purposes, such as developing knowledge about human disease diagnosis and treatment, testing medicines and other products for toxicity, training professionals in veterinary methods, and conserving animal populations. Federal agencies conducted research using animals at about 120 domestic and international research facilities in fiscal years 2014 through 2016. For example, the Departments of Defense, Health and Human Services (HHS), and Veterans Affairs have used rats, mice, nonhuman primates, and other species in research on disease prevention and treatment. The U.S. Department of Agriculture (USDA) has used cattle, poultry, and other agricultural species in research on animal production and health and on the effects of animal agriculture on the environment, among other things. The Departments of Commerce and the Interior and other agencies have also conducted conservation research on a wide range of species, often in the field.", "Research with animals has led to advances in scientific understanding, but it has also raised concerns about animal welfare. In particular, concerns about the welfare of animals used in research encompass a range of factors, such as efforts to minimize pain, the suitability of living conditions, the negative effects on wild populations when animals are removed or handled, and the care provided for animals when they are no longer needed for research. In response to these and other concerns, the U.S. government has implemented statutes, regulations, and policies that govern how animals are to be cared for and used for certain purposes, including research conducted by federal and nonfederal facilities.", "In particular, the USDA\u2019s Animal and Plant Health Inspection Service (APHIS) is responsible for implementing the Animal Welfare Act. APHIS is to: implement standards for the humane handling, care, treatment, and transportation of the species covered by the act, routinely inspect nonfederal research facilities for compliance with those standards, and collect information from federal and nonfederal research facilities about their uses of animals covered by the act.", "The HHS\u2019s National Institutes of Health (NIH) is responsible for establishing guidelines implementing certain provisions of the Health Research Extension Act of 1985. Specifically, NIH is responsible for reviewing federal and nonfederal research facilities\u2019 animal care and use programs to determine whether they meet relevant standards and are thereby eligible to receive funding from HHS\u2019s Public Health Service agencies, including NIH. To complete this review, NIH collects information from research facilities about their use of animals. NIH\u2019s review includes federal agencies that wish to receive Public Health Service funding.", "These and other statutes also address, to varying degrees, actions that federal and nonfederal research facilities must take to collect and report information about their animal research activities to APHIS, NIH, or the public. For example, the regulations implementing the Animal Welfare Act require that all research facilities annually report information about their use of certain animals to APHIS. Likewise, the Health Research Extension Act requires that facilities that receive Public Health Service funding report information about their animal use program to NIH. The public may request information about agencies\u2019 research activities using procedures established under the Freedom of Information Act (FOIA), which requires federal agencies to provide the public with access to government information, with some exceptions, on the basis of the principles of openness and accountability in government.", "You asked us to review several issues related to federal agencies\u2019 use of animals in research and related activities\u2014specifically, research with their own staff using their own facilities and equipment. This report examines: the extent to which APHIS and NIH provided federal agencies with guidance for reporting on their animal use programs, the extent to which APHIS and NIH share information on animal use with the public, and stakeholders\u2019 views on federal agencies\u2019 sharing of additional information.", "We focused our review on federal agencies that conduct research with vertebrate animals. Our review did not examine the research performed by nonfederal entities using federal funding. We sought to identify agencies that conduct activities with vertebrate species because the Animal Welfare Act and the Health Research Extension Act govern activities with vertebrate species but not activities with invertebrate species.", "Using these criteria, we focused our review on 10 agencies that we identified as conducting such activities (with their own staff using their own facilities and equipment) during fiscal years 2014, 2015, or 2016. The agencies are Commerce, Defense, HHS, Department of Homeland Security (DHS), Interior, USDA, VA, the Environmental Protection Agency (EPA), the National Aeronautics and Space Administration (NASA), and the Smithsonian Institution. We chose to analyze these agencies\u2019 activities and compliance with the reporting requirements over the 3-year period in order to better identify issues that might not be evident in examining a single year, and fiscal year 2016 was the most recent year for which data reported to APHIS were available. To identify these 10 agencies, we contacted a total of 14 independent agencies that we believed were likely to conduct research using vertebrate animal species based on information from USDA, HHS, and other relevant sources. We asked the 14 agencies to identify the species of vertebrate animals that they used in research within the 3-year time frame. Four agencies responded that they did not conduct research with vertebrate animals in fiscal years 2014 through 2016. Therefore, they did not meet our criteria for inclusion in our review. See appendix I for detailed information on the activities of the 10 agencies included in our review.", "To examine the extent to which APHIS and NIH provided federal agencies with guidance for reporting on their animal use programs, we took the following steps:", "APHIS. We reviewed the Animal Welfare Act and its implementing regulations and interviewed agency officials to identify relevant reporting requirements and determine whether they were consistent with APHIS\u2019s reporting instructions. To assess the instructions, we examined how agencies followed them in practice. In particular, we obtained from APHIS the data that federal agencies or their facilities submitted for fiscal years 2014 through 2016 to determine whether agencies submitted reports as expected.", "NIH. We reviewed the Health Research Extension Act and accompanying NIH policy to identify the information that federal research facilities must provide to NIH to be eligible for Public Health Service funding. We also reviewed NIH\u2019s guidance to research facilities on how to obtain eligibility for funding. To assess the guidance, we examined its implementation through NIH and other federal agencies\u2019 actions. In particular, we determined whether NIH had current approvals for all federal research facilities receiving such funding through interviews with NIH officials and by reviewing NIH documents. We then reviewed a sample of 16 assurances from federal facilities chosen by randomly selecting a facility from each agency or sub-agency that had approved animal care and use programs. We compared the information in the selected assurance documents with NIH\u2019s guidance to determine whether the documents contained key information.", "We also took steps to assess the reliability of information that APHIS provided us about federal agencies and facilities that report to it under the Animal Welfare Act and information that NIH provided on federal research facilities receiving Public Health Service funding. In particular, we cross- checked animal use information from APHIS with animal use information we obtained directly from the 10 agencies in our review of their facilities\u2019 research activities. In addition, we checked summary data on animal use that we obtained from APHIS against the annual reports that federal agencies sent to APHIS under the Animal Welfare Act to determine whether the data were consistent. We also reviewed NIH\u2019s website for information about research facilities with approved assurances, and we reviewed NIH documentation and queried NIH officials about their process for ensuring that facilities receiving Public Health Service funding for animal research have an assurance. Based on these steps, we determined that the APHIS and NIH information on federal facilities that conduct animal research was sufficiently reliable for examining APHIS and NIH guidance to agencies on reporting about their animal use programs.", "To examine the extent to which APHIS and NIH share information on animal use with the public, we interviewed agency officials and reviewed agency websites. In particular, we interviewed APHIS officials to identify the agency\u2019s current policies and procedures for collecting and posting to its website the annual reports the agency receives from research facilities. We reviewed the APHIS website to document the timespan covered by the data that are posted and the methods by which the data can be searched by the public. We also reviewed APHIS\u2019s posting of annual report data against USDA\u2019s data quality requirements, which state that USDA\u2019s agencies and its offices will strive to ensure that the information they disseminate for the public is substantively accurate, reliable, and unbiased and presented in an accurate, clear, complete, and unbiased manner. We interviewed NIH officials to identify the agency\u2019s policies and procedures for making public information about research facilities that seek approval for a Public Health Service animal welfare assurance, such as the identity of facilities with approved assurances or descriptions of their animal care programs.", "For insight into stakeholders\u2019 views on federal agencies\u2019 sharing additional information, we surveyed federal departments and agencies that conduct research as well as nonfederal organizations and individuals we identified as having knowledge and interest in animal research. We surveyed the 10 federal agencies that we identified as conducting research with vertebrate animals in fiscal years 2014, 2015, or 2016. All 10 agencies provided at least one response, with some providing responses from multiple sub-agencies or components. The total number of federal responses was 20.", "We also sent surveys to a nongeneralizable sample of 28 nonfederal stakeholders identified using a \u201csnowball selection\u201d methodology. We sought to gather perspectives from a variety of stakeholders, and our sample included organizations that advocate on behalf of animals; research and science organizations; individuals from academia; and other stakeholders we identified as having knowledge of animal research issues and a national focus or representation. Nineteen of these 28 groups completed the survey. See app. II for a complete list of respondents.", "The survey asked about specific types of information about animal use and whether stakeholders believed federal agencies should proactively and routinely share such information with the public on a website or by other means. In particular, we asked respondents for their views on whether agencies should routinely make available to the public information that we determined agencies may possess for internal decision-making purposes and, under certain circumstances, may provide to other parties, including NIH or a private organization for accreditation of a facility\u2019s animal care program. Such information could include data on all vertebrate animals used, information on the purpose of specific research activities, and general descriptions of the agency\u2019s animal care program. The survey also asked whether stakeholders reviewed and used annual reports that APHIS posts on its website and what changes stakeholders would like to see, if any, in how APHIS collects and posts annual report data on its website. See app. III for a summary of the stakeholders\u2019 suggested changes. We included these questions to understand the extent to which stakeholders use available data and whether they had suggestions for changes in how APHIS currently makes data routinely available. We did not ask stakeholders a similar question about NIH because that agency does not proactively provide data to the public about federal agencies\u2019 use of animals in research.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Department of Agriculture Administers the Animal Welfare Act", "paragraphs": ["USDA\u2019s APHIS is responsible for implementing the Animal Welfare Act. The act and its implementing regulations govern, among other things, how federal and nonfederal research facilities must treat particular species of warm-blooded animals to ensure their humane treatment when used in research, teaching, testing, or experimentation. The Animal Welfare Act\u2019s definition of \u201canimal\u201d excludes birds, rats of the genus Rattus, and mice of the genus Mus when those animals are bred for use in research. The act also excludes horses not used for research purposes and other farm animals used or intended for use as food or fiber or in certain types of research. The Animal Welfare Act also excludes cold- blooded animals\u2014such as fish, reptiles, or amphibians\u2014and invertebrates. See table 1 for a summary of the animals covered and not covered by the Animal Welfare Act. (Animals covered by the Health Research Extension Act are also included in table 1 and described in the next section.)", "The Animal Welfare Act and its regulations contain specific standards for research facilities. These include:", "Registration. Nonfederal research facilities that conduct activities regulated by the Animal Welfare Act must register with APHIS. The act does not require that federal research facilities register with APHIS. APHIS does, however, assign federal research facilities certificate numbers that it uses to track whether they have submitted their required annual report (see below). As of March 2018, APHIS had assigned such numbers to 157 federal research facilities. Some of these federal research facilities, such as VA, have elected to report information to APHIS on an individual basis, while others, such as the HHS\u2019s Centers for Disease Control and Prevention, submit a single report covering research facilities in several states.", "Annual report. Reporting facilities that used or intended to use live animals in research, tests, experiments, or for teaching must submit a retrospective annual report about those animals to APHIS on or before December 1 of each calendar year.", "Standards for humane handling, care, treatment, and transportation of animals. The Animal Welfare Act directs research facilities to meet certain standards of care for the animal species that are covered by the act. The standards of care are tailored to particular species of animals or groups of species. Institutional Animal Care and Use Committees. Research facilities must appoint a committee to, at least semi-annually, review the facility\u2019s program for humane care and use of animals, to inspect all facilities, and to prepare reports of its evaluation. The committee is responsible for reviewing research proposals to determine whether the proposed activities are in accordance with the act or there is an acceptable justification for a departure from the act.", "Federal inspections. APHIS officials have the authority to inspect nonfederal research facilities, records, and animals to enforce the provisions of the act. The Animal Welfare Act does not expressly provide APHIS the authority to inspect federal research facilities, and APHIS will not do so unless invited.", "The Animal Welfare Act exempts farm animals, other than horses, from its coverage when they are used or intended for use as food or fiber or in agricultural research that is intended to improve animal nutrition, breeding, management, or production efficiency, or to improve the quality of food or fiber. According to officials with USDA\u2019s Agricultural Research Service (ARS), most of the agency\u2019s research activities fall under this exemption. Nevertheless, in February 2016, APHIS and ARS signed a memorandum of understanding concerning laboratory animal welfare. The intent of the memorandum of understanding is to maintain and enhance agency effectiveness and avoid duplication by allowing APHIS to use applicable sections of the Animal Welfare Act\u2019s requirements, regulations, and standards to inspect ARS animal research facilities. Among the provisions of the memorandum, ARS agreed to register its animal research facilities with APHIS and submit an annual report to APHIS. As of March 2018, 35 ARS animal research facilities were voluntarily registered with APHIS, and ARS facilities submitted their first annual reports for activities conducted in fiscal year 2016."], "subsections": []}, {"section_title": "NIH Administers the Health Research Extension Act", "paragraphs": ["NIH, within the Department of Health and Human Services, administers the Health Research Extension Act. The act calls for the Director of NIH to establish guidelines that govern how certain research institutions that conduct activities using animals are to consider animal welfare. In particular, the guidelines govern how those research institutions\u2014 including federal facilities\u2014that receive funding from Public Health Service agencies are to ensure the humane treatment of all vertebrate animals used in biomedical or behavioral science research. NIH conducts site visits at selected institutions to assess compliance with the act. Whereas the Animal Welfare Act applies to certain warm-blooded animals, the definition of animals used for the purposes of the Health Research Extension Act covers all vertebrates, including mice, rats, and fish species that are commonly used in laboratory research (see table 1).", "Under the act, research institutions are required to provide certain information to NIH in order to be eligible for Public Health Service funding. In particular, they must provide for NIH approval a document that describes their animal care and use program and that assures that the facility meets applicable standards. NIH calls for research institutions to provide, among other information, a commitment to comply with all applicable provisions of the Animal Welfare Act and other federal statutes and regulations relating to animals, a description of the facility, and an \u201caverage daily inventory\u201d of species housed at the facility. In addition, research institutions approved for Public Health Service funding must annually report changes in their animal use program to NIH. As of September 2017, NIH had approved 111 federal facilities across 8 agencies for funding under the act."], "subsections": []}]}, {"section_title": "APHIS and NIH Have Instructed Federal Agencies to Provide Data on Animal Use, but APHIS\u2019s Instructions Have Not Ensured Consistent and Complete Reporting", "paragraphs": ["As directed by the regulations implementing the Animal Welfare Act, the 10 agencies we reviewed submitted to APHIS the required annual reports on their use of animals covered by the act from fiscal years 2014 through 2016. However, APHIS\u2019s reporting instructions have not ensured consistent and complete reporting because they have been unclear about which animal species, activities, and activity locations are required to be reported for the purposes of the Animal Welfare Act. Federal facilities that conduct activities with animals using Public Health Service funding that we reviewed met NIH requirements to provide assurance documentation about their animal use programs and to provide required annual reports for fiscal years 2014 through 2016."], "subsections": [{"section_title": "Federal Agencies Generally Report to APHIS on Animal Use, but APHIS Has Not Provided Sufficient Instructions to Ensure Consistent and Complete Reporting", "paragraphs": ["The Animal Welfare Act regulations require federal agencies that use or intend to use live animals in research to report on their use of these animals. As directed by APHIS, these agencies, or their individual research facilities, must submit an annual report to APHIS on or before December 1 of each calendar year. APHIS instructs research facilities to submit an annual report that: includes information about animals covered by the Animal Welfare Act\u2019s regulations and the number of such animals used as well as those held for use but not used, and provides assurances that the facility has met applicable standards, such as standards for the appropriate use of anesthetic, analgesic, and tranquilizing drugs.", "In addition, facilities must report whether the animals fall into one of three categories related to pain or distress and the efforts the facilities took to relieve pain or distress. Facilities must also attach a summary of any activity that did not meet the standards of the act but that were approved by the facility\u2019s Institutional Animal Care and Use Committee.", "All 10 of the federal agencies we reviewed submitted annual reports to APHIS showing that their facilities had used animals in research in fiscal years 2014 through 2016. APHIS has procedures in place to track which agencies\u2019 facilities have reported and to notify any that have not done so. For example, APHIS has developed schedules for sending reminders to facilities that have not yet reported. APHIS expects federal research facilities that it has assigned certificate numbers but that did not use any animals in a particular fiscal year to submit a report with that information.", "APHIS data show that the 10 federal agencies in our review reported that their facilities used more than 210,000 animals covered by the Animal Welfare Act in fiscal years 2014 through 2016. However, in our comparison of federal agencies\u2019 annual reports to APHIS with their responses to our request for information about their activities, we found instances in which agencies did not report activities covered by the act or did not report similar activities consistently across facilities. These conditions resulted, in part, from APHIS not providing sufficient instructions on the research activities that federal agencies are to include in their annual reports. Additionally, we found that facilities reported species not covered by the act. As a result, the data that research facilities submit to APHIS in their annual reports may not accurately reflect the facilities\u2019 uses of animals covered by the act. We identified three areas in which federal agencies\u2019 annual reports were inconsistent or incomplete: birds, animal use outside the United States, and field studies."], "subsections": [{"section_title": "Use of Birds", "paragraphs": ["The Animal Welfare Act and birds", "Animal Welfare Act The term animal excludes birds bred for use in research.", "APHIS\u2019s 2017 instructions for completing the annual report \u201co NOT report the use of \u2026 birds, reptiles, fish or other animals w hich are exempt from the regulation under the .\u201d", "In 2002, Congress amended the definition of animal in the Animal Welfare Act to exclude birds that are bred for use in research. However, APHIS instructs facilities to not report any birds in their annual reports, regardless of whether they were bred for research. Five agencies reported to us that their research facilities used birds in fiscal years 2014 through 2016\u2014including some not bred for research and therefore potentially covered by the act\u2014but that they followed APHIS\u2019s instructions to not report them. According to APHIS officials, since Congress amended the definition of animal in the act, the agency has been aware of the need to define which birds are covered by the act and should, among other things, be reported to APHIS by research facilities. The officials said that until the agency has defined birds covered by the act, they do not believe that it is appropriate to require research facilities to report their use of birds.", "However, as of February 2018, APHIS had not provided us with a schedule or plan for defining birds covered by the act or for developing reporting requirements for those birds. As a result, it is unclear when, or if, APHIS will require research facilities to report their use and treatment in research of birds that are covered by the Animal Welfare Act. Until APHIS develops such requirements, federal (and other) research facilities will have incomplete information about what information they should include in annual reports submitted to APHIS, and APHIS will not have assurance that annual reports from research facilities fully reflect research activities covered by the act."], "subsections": []}, {"section_title": "Animal Use outside the United States", "paragraphs": ["The Animal Welfare Act and reporting facilities", "Animal Welfare Act regulations \u201cThe reporting facility shall be that segment of the research facility, or that department, agency, or instrumentality of the United States, that uses or intends to use live animals in research, tests, experiments, or for teaching.\u201d", "APHIS\u2019s 2017 Instructions for completing the annual report The instructions do not instruct federal research facilities to report activities involving animal use outside the United States.", "The Animal Welfare Act regulations define a reporting facility to include a department, agency, or instrumentality of the United States. Officials from USDA\u2019s Office of the General Counsel told us that there is no exclusion in the act or its regulations for federal research facilities that are located outside of the United States. However, APHIS does not instruct federal research facilities to report activities involving animal use outside the United States. Of the 10 agencies with federal research facilities that submitted annual reports to APHIS, we identified three through our initial contacts and follow-up interviews that conduct activities outside the United States involving animals that may be covered by the Animal Welfare Act: the Departments of Commerce and Defense and the Smithsonian Institution. We found that officials from the three agencies had a different understanding of their obligation to report those activities to APHIS. A senior official from the Department of Commerce\u2019s National Marine Fisheries Service said that he knew of no reason to not report on studies conducted outside the United States and that the agency had reported such activities in fiscal year 2017. On the other hand, officials from the Department of Defense and the Smithsonian Institution told us that APHIS officials have instructed them not to report activities conducted outside of the United States. As a result, the Department of Defense and the Smithsonian Institution did not report animal use in their non-domestic facilities in fiscal years 2014 through 2016. With instructions from APHIS that federal research agencies report all activities covered by the Animal Welfare Act, regardless of location, APHIS and the public would have greater assurance that annual reports fully reflect activities covered by the act and that agencies are reporting such activities consistently."], "subsections": []}, {"section_title": "Animal Use in Field Studies", "paragraphs": ["The Animal Welfare Act and field studies", "Animal Welfare Act regulations \u201cField study means a study conducted on free-living w ild animals in their natural habitat. How ever, this term excludes any study that involves an invasive procedure, harms, or materially alters the behavior of an animal under study.\u201d", "APHIS\u2019s 2017 instructions for completing APHIS\u2019s instructions do not sufficiently clarify the conditions under w hich a field study w ould be invasive, harmful, or materially alter behavior and, therefore, be covered under the act.", "APHIS exempts some research involving wild animals from the requirements of the Animal Welfare Act regulations, including annual reporting. Specifically, in promulgating the current definition of \u201cfield studies\u201d in regulation, APHIS stated, \u201cif the research project meets the definition of field studies, the research project would not fall under the regulation.\u201d To qualify for this exemption, a study must take place in a free-living, wild animal\u2019s natural habitat and not involve an invasive procedure, harm, or materially alter the behavior of an animal under study. APHIS\u2019s instructions for annual reporting note this exemption. However, they do not sufficiently clarify the conditions under which a field study would qualify, nor do they point to any source providing clarifying language. For example, the instructions do not describe criteria research facilities could use to identify activities that are invasive, harmful, or materially alter behavior.", "We found that agencies have interpreted the field study exemption differently. For example,", "Officials from three agencies within the Department of the Interior told us that the agencies did field research with many species in fiscal years 2014 through 2016, but we found the agencies had different approaches to reporting that research to APHIS. Specifically, the U.S. Geological Survey and National Park Service reported using dozens of animal species to APHIS while the Fish and Wildlife Service did not report any. An official with the Fish and Wildlife Service explained to us that the agency did not report the animals to APHIS because they were only held temporarily. Officials from the Fish and Wildlife Service and U.S. Geological Service told us that APHIS\u2019s guidance on field studies is confusing and causes discrepancies in reporting.", "NASA conducts research involving temporary capture, blood sampling, and tagging of animals to study any possible effects of NASA\u2019s launch sites on the surrounding ecosystem, but the agency does not include these activities in its annual reports to APHIS. The National Marine Fisheries Service conducts field research also involving temporary capture, blood sampling, and tagging of marine mammals for various purposes. Some of the service\u2019s research facilities have reported these types of activities to APHIS, and according to a service official, the other facilities plan to do so. An official from the service also told us that the agency has received inconsistent guidance from APHIS about what field research to report.", "The National Marine Fisheries Service\u2019s facilities that have reported animal research to APHIS have represented a large portion of the overall number of animals that federal facilities reported in fiscal years 2014 through 2016. For example, in fiscal year 2016, the agency\u2019s facilities accounted for nearly 16,000 of about 82,000 animals reported to APHIS by the 10 federal agencies in our review. Therefore, whether these activities should or should not be reported will have a large effect on the total number of animals that federal facilities reported using for research.", "APHIS officials told us that they are developing additional clarifying guidance on field studies and will publish the guidance for public comment in the third quarter of fiscal year 2018. However, APHIS has not yet released a draft of this guidance. A draft with criteria for identifying which field studies are covered by the Animal Welfare Act and therefore should be reported\u2014for example, because the studies are considered to be invasive, harmful, or materially alter behavior\u2014would enable APHIS to ensure that the research community\u2019s views are incorporated. With clearer instructions that include such criteria, APHIS and the public would have greater assurance that annual reports fully reflect activities covered by the act."], "subsections": []}]}, {"section_title": "Federal Research Facilities We Reviewed Met Instructions to Report Information on Their Animal Care and Use Programs to NIH", "paragraphs": ["NIH has provided guidance to federal and nonfederal research facilities about what they are required to report on their animal use, and federal facilities we reviewed met those requirements. In order to obtain funding from the Public Health Service agencies, research facilities must obtain approval from NIH of their animal welfare assurance statement and must provide annual reports to NIH. To obtain an approved assurance, a research facility must provide NIH with information about its animal care and use program. NIH provides facilities with a sample assurance document that describes the required information, including assurances of compliance with animal welfare standards signed by appropriate officials, a roster of Institutional Animal Care and Use Committee membership, an average daily census of animals, and other information. NIH\u2019s approval of an animal care program lasts up to 5 years, and according to NIH officials, the agency typically begins its review of a renewal after 4 years. To help facilities meet the annual report requirement, NIH provides an annual-reporting sample document that directs research facilities to update the animal care and use committee\u2019s roster and to note any change in accreditation from the private accreditation organization AAALAC International and describe any significant changes in their animal care program, such as the species or number of animals maintained in housing. NIH officials told us the purpose of the assurances is to ensure that the proper facilities and procedures are in place to properly care for the animals, and that NIH does not use them as a public reporting tool.", "Health Research Extension Act of 1985 animal care committees at each entity w hich conducts biomedical and behavioral research with funds provided under this Act (including the National Institutes of Health and the national research institutes) to assure compliance w ith the guidelines established [by the Director of NIH].", "NIH has procedures to ensure that facilities that seek to receive funding from Public Health Service agencies have animal care programs with active assurances. NIH provided us with its data for tracking which facilities were receiving Public Health Service funding and which facilities had approved programs. As of November 2017, according to NIH data, all of the federal facilities receiving funding from Public Health Service agencies for activities involving animals had an active assurance. Using a sample of 16 assurances from federal facilities, we found that these assurances contained information called for by NIH, including signatures from institutional officials, rosters of Institutional Animal Care and Use Committees, and animal inventories. NIH data show that all assured facilities submitted annual reports in calendar years 2014, 2015, and 2016."], "subsections": []}]}, {"section_title": "APHIS and NIH Publicly Share Some Federal Animal Use Information, but APHIS Does Not Describe the Quality of the Information It Shares", "paragraphs": ["APHIS and NIH publicly report some information about federal agencies\u2019 use of research animals. Although the Animal Welfare Act does not require APHIS to share this information, APHIS posts the following on its website:", "Annual reports from research facilities. Research facilities\u2019 annual reports include data on the species and numbers of animals held and used for research, categorized by the steps taken to minimize pain and distress to the animal. The annual reports also include the facility\u2019s explanation of any exceptions to the Animal Welfare Act\u2019s standards and regulations during the reporting year. As of April 2018, APHIS\u2019s website included research facilities\u2019 annual reports from fiscal years 1999 through 2017.", "National summaries of the annual reports. APHIS prepares national summaries using the annual reports submitted by research facilities. APHIS\u2019s annual national-summary reports include data provided by research facilities on species and numbers of animals, categorized by state and by the steps taken to minimize pain and distress to the animal. As of March 2018, APHIS\u2019s website had national summary reports for fiscal years 2008 through 2016. The national summaries do not categorize the data by types of facilities, such as federal or nonfederal research facilities.", "Reports of APHIS inspections. The APHIS inspection reports\u2014 typically of nonfederal facilities\u2014could contain such information as descriptions of non-compliance, the number of animals involved in noncompliance, a correction deadline and a description of what should be done to correct the problem, and the date of the inspection. As of March 2018, APHIS\u2019s website contained reports of inspections at three federal facilities, including a zoo and an aquarium. This number does not include ARS research facilities, which APHIS inspects as part of its 2016 memorandum of understanding with ARS. As of March 2018, APHIS\u2019s website contained inspection reports for 19 ARS research facilities.", "USDA\u2019s Chief Information Officer has provided guidance directing the department\u2019s agencies and offices to strive to ensure and maximize, among other things, the objectivity of information disseminated to the public. To ensure objectivity, the guidance directs that USDA agencies and offices ensure that the information they disseminate is presented in an accurate, clear, complete, and unbiased manner.", "APHIS has not fully implemented this guidance for the animal use data it shares publicly. In particular, APHIS does not explain on its website potential limitations related to the accuracy and completeness of the annual reports that it provides to the public or in the national summaries of the annual reports that APHIS prepares. For example, APHIS does not explain that research facilities\u2019 annual reports may contain data on animals used for activities that are not covered by the Animal Welfare Act regulations, such as excluded field studies. Additionally, APHIS does not explain that the annual reports do not include birds not bred for research\u2014and consequently covered by the Animal Welfare Act\u2014 because APHIS has instructed facilities to not report any birds. Furthermore, APHIS does not explain that it does not validate the accuracy and completeness of agencies\u2019 reporting. In particular, APHIS officials told us that they have the opportunity to validate reporting when they inspect nonfederal facilities, but do not have the authority to inspect federal research facilities unless invited to do so.", "Some stakeholders responded to our survey that they use the data that APHIS reports on animal use to identify trends and practices within the research community. By fully implementing USDA guidance by explaining what the data represent and possible issues with their quality, APHIS could have more assurance that it is providing these data to users in a manner that is as accurate, clear, complete and unbiased as possible. Users could then be better equipped to properly analyze or assess the quality of the data, interpret the annual reports, and draw conclusions based on these data.", "NIH posts a list of federal and nonfederal facilities with active assurances on its website. The Health Research Extension Act does not require NIH to make such information available through a public website, but NIH policy directs the agency to provide to Public Health Service agencies a list of facilities with such assurances. The list includes facilities that receive Public Health Service funding and facilities that have voluntarily requested NIH\u2019s review and approval of their programs. Our review did not identify federal facilities that were missing from or incorrectly included in NIH\u2019s posted list of assured facilities.", "NIH does not regularly post other information\u2014such as the facilities\u2019 average daily inventory of animals, the date they obtained an assurance, or the date they submitted their most recent annual report.\u2014from research facilities\u2019 assurance documents. Therefore, we did not review in detail the information that agencies provide to NIH to determine its accuracy."], "subsections": []}, {"section_title": "Stakeholder Groups Have Differing Views on Whether Agencies Should Share Additional Animal Use Information with the Public", "paragraphs": ["Federal agencies may have additional information about their animal use programs. However, stakeholders who responded to our survey had different views about whether federal agencies should proactively and routinely make more information on animal use available to the public on their websites or other means than the data that APHIS and NIH currently provide. Stakeholders other than animal advocacy organizations\u2014 including federal agencies, research organizations, academia, and others\u2014generally expressed the view that federal agencies should not routinely make additional information available to the public, citing reasons including the existence of other methods to obtain this information and administrative burden. In contrast, stakeholders from animal advocacy organizations cited the need for more transparency and oversight as reasons that federal agencies should make additional information routinely available to the public, among other reasons. (See app. III for more information about stakeholders\u2019 responses to our questions).", "More specifically, we asked stakeholders to provide their views on whether federal agencies should proactively and routinely report certain types of information to the public. We selected 10 types of information for stakeholders to consider, including some types of information that federal agencies may have for internal purposes and, in some instances, may provide to other agencies or organizations but that neither they nor others are required to proactively share with the public. The types of information we asked stakeholders to consider included data on vertebrate animals that are not covered by the Animal Welfare Act, internal or external inspection reports, and general descriptions of agencies\u2019 animal use programs. See table 2 for the complete list of types of information we asked stakeholders to consider.", "For stakeholder groups that generally expressed the view that federal agencies should not make additional information available to the public on a proactive and routine basis, one of the most frequently cited reasons included that the public could obtain this information through other publicly available means. For example, several stakeholders said that agencies\u2019 reports of noncompliance to APHIS or NIH and data on resource expenditures are already available via the FOIA. One federal stakeholder said that it provides the public with information about the nature and extent of field research when it is required by the Marine Mammal Protection Act of 1972 or the Endangered Species Act of 1973 to obtain permits; the permitting processes include public notice and comment. In addition, some stakeholders said that certain types of information, such as the identity of the species used and the purpose and expected benefit of specific research projects are already published in peer-reviewed journals that are accessible to the public.", "Several stakeholders also responded that providing additional information would impose an administrative burden on agencies. For example, several stakeholders said any potential public benefit from the additional information shared with the public would not justify the effort to collect and share the information, and one stakeholder said that providing certain types of information would reduce the time they have to do actual research. In addition, one stakeholder said that a requirement to make additional information available to the public would be in direct conflict with a 2016 law that directed NIH, the Food and Drug Administration, and USDA to look for ways to reduce administrative burdens associated with animal welfare regulations.", "Other less frequently cited reasons that stakeholders gave for not believing that agencies should proactively and routinely share additional information with the public included:", "Certain information, such as expenditures on animal use, could be difficult to collect from disparate sources. For example, one federal agency said that much of its animal use funding is allocated in different areas of research and that it would need guidance to collect data on expenditures separately from each area.", "Disseminating information could jeopardize the security of facilities or personnel or disclose proprietary data. For example, one stakeholder said agency reports contain key details about federal research facilities that opposition groups could use to target personnel in those facilities.", "Disseminating information could confuse the public unless appropriate context is provided. One stakeholder said that the passive dissemination of data on animal research on a website, without appropriate context, would potentially increase public confusion and add misplaced scrutiny on animal use in federal research facilities.", "For those stakeholder groups that generally expressed the view that federal agencies should make additional information available to the public on a proactive and routine basis, the most frequently cited reasons were the importance of transparency to allow the public to assess and understand animal use in federal research facilities and the need for oversight and accountability of federal agencies\u2019 use of animals. For example, some stakeholders responded that sharing additional information with the public would aid their efforts to monitor the reduction, refinement, and replacement of animals used in federal research. One stakeholder also mentioned that sharing additional information could be easily done on a website and would give the public a more complete picture of the use of animals by federal research facilities. Several stakeholders also expressed the need for greater oversight and accountability of federal agencies\u2019 use of animals. For example, two stakeholders said that making additional information available about the degree to which animals experience pain or distress would help them assess whether federal programs\u2019 animal use is in compliance with specific provisions related to pain and distress in the Animal Welfare Act. Stakeholder groups less frequently cited other reasons for favoring routine reporting, such as:", "FOIA requests can take several months and sometimes years for agencies to fulfil.", "Certain information, such as the number of all vertebrate animals used by each agency\u2014including those not reported under the Animal Welfare Act\u2014should be easy to disseminate because federal agencies already collect or compile it for internal purposes.", "Additional reporting would align the federal government with other countries\u2019 practices. For example, according to one stakeholder, the European Union categorizes and publicly releases animal use numbers that are more detailed than those reported in the United States."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["APHIS and NIH routinely collect information about federal agencies\u2019 research with vertebrate animals and provide the public with related information. Having access to this information can help the public observe trends in animal use in research and learn about facilities\u2019 compliance with standards of humane care.", "Federal agencies met NIH\u2019s requirements for reporting on their animal use, but the data federal agencies provided to APHIS were not always consistent or complete. This situation resulted in part from APHIS\u2019s not providing sufficient instructions to federal research facilities for reporting on their use of animals covered by the Animal Welfare Act. In particular, APHIS instructs facilities to not report any birds in their annual reports, regardless of whether the birds are covered by the act. Although aware of this limitation, APHIS has not provided a schedule or plan for defining birds covered by the act or for developing reporting requirements for those birds. In addition, APHIS\u2019s instructions have not sufficiently clarified two areas of confusion and differing understanding among federal agencies: first, activities that involve animal use outside the United States and, second, the specific conditions under which field studies are or are not covered by the act. APHIS plans to develop clarifying guidance on field studies and will publish the guidance for public comment. By defining the birds that need to be reported, by instructing federal research facilities to report research activities outside the United States, and by working with the research community to develop clear criteria for identifying field studies, APHIS would have greater assurance that the data it receives from research facilities fully reflect the activities covered by the Animal Welfare Act.", "APHIS has also not fully implemented the USDA\u2019s information dissemination policy that calls for the department\u2019s agencies to ensure information is presented in an accurate, clear, complete, and unbiased manner. In particular, APHIS does not explain issues related to the completeness and accuracy of the data it provides to the public, for example, issues such as inconsistencies in the types of field studies reported by federal agencies. By fully explaining these issues, the agency would improve users\u2019 ability to accurately interpret and analyze the data."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to APHIS: The Administrator of APHIS should develop a timeline for (1) defining birds that are not bred for research and that are covered by the Animal Welfare Act, and (2) requiring that research facilities report to APHIS their use of birds covered by the act. (Recommendation 1)", "The Administrator of APHIS should instruct federal agencies to report their use of animals covered by the Animal Welfare Act in federal facilities located outside of the United States. (Recommendation 2)", "In developing the definition of field studies, the Administrator of APHIS should provide research facilities with clear criteria for identifying field studies that are covered by the Animal Welfare Act\u2019s regulations and that facilities should report to APHIS as well as field studies that facilities should not report. (Recommendation 3)", "The Administrator of APHIS should ensure APHIS fully describes on its website how the agency compiles annual report data from research facilities, what the data represent, and any potential limitations to the data\u2019s completeness and accuracy. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Commerce, Defense, HHS, DHS, Interior, USDA, VA, EPA, NASA, and the Smithsonian Institution. USDA and VA provided written comments on the draft, which are presented in appendixes IV and V, respectively. In its written comments, USDA said that APHIS provided planned corrective actions and timeframes for implementing three of our four recommendations; APHIS disagreed with one recommendation. In its written comments, VA said that the report\u2019s conclusions were consistent with our findings.", "Regarding our first recommendation that the Administrator of APHIS develop a timeline for (1) defining birds that are not bred for research and that are covered by the Animal Welfare Act, and (2) requiring that research facilities report to APHIS their use of birds covered by the act, USDA stated that APHIS will submit a recommendation and timeline by September 30, 2018, to USDA officials regarding the development of a definition for birds. USDA\u2019s comments did not specifically respond to our recommendation that APHIS also develop a timeline for requiring that research facilities report their use of birds covered by the act; we continue to believe that APHIS should develop such a timeline.", "USDA\u2019s written comments stated that APHIS disagreed with our second recommendation that the Administrator of APHIS should instruct federal agencies to report their use of animals covered by the Animal Welfare Act in federal facilities located outside of the United States. USDA provided several reasons for the disagreement:", "USDA stated that the absence of an exclusion to the requirements of the Animal Welfare Act or its regulations for federal research located outside of the United States does not create a requirement to collect information about such facilities\u2019 use of animals. However, the Animal Welfare Act regulations define a reporting facility to include a department, agency, or instrumentality of the United States. In addition, officials from USDA\u2019s Office of the General Counsel told us that there is no exclusion in the act or its regulations for federal research facilities that are located outside the United States. We have no reason to believe that such facilities should be excluded from the requirements of the Animal Welfare Act or its implementing regulations. We also note that in February 2018, APHIS officials told us that if federal agencies\u2019 activities involving animals outside of the United States are in fact covered by the Animal Welfare Act based on the specific facts and circumstances of their activities, they should report those activities to APHIS.", "USDA\u2019s comments stated that the collection of information related to research activities outside of the United States does not enable or inform its daily administration of the Animal Welfare Act and its charge to ensure the humane treatment of animals. Rather, USDA stated that our recommendation would impose an additional regulatory burden on federal research facilities. As stated above, we have no reason to believe that such facilities should be excluded from the requirements of the Animal Welfare Act or its implementing regulations. Without such an exclusion, the regulatory burden already exists; our recommendation would simply have APHIS instruct federal agencies to meet that regulatory requirement.", "Finally, USDA commented that our recommendation would place APHIS in the position of collecting different information from \u201creporting facilities,\u201d as defined in the regulations, which in turn, would impact any summary presentation of information involving the use of animals. We understand that, if our recommendation were implemented, APHIS may receive \u201cdifferent\u201d information from federal and nonfederal facilities; that is, federal research facilities might report activities outside of the United States while nonfederal facilities would not. However, as stated above, we have no reason to believe that such facilities should be excluded from the requirements of the Animal Welfare Act or its implementing regulations. Without such an exclusion, activities covered by the Animal Welfare Act in federal facilities located outside of the United States must already be reported. We also note that, as we state in our fourth recommendation, APHIS should inform the public about the nature of its data. That information could include describing any differences in reporting by federal and nonfederal research facilities.", "For the reasons given above, we continue to believe that the Administrator of APHIS should instruct federal agencies to report their use of animals in activities covered by the Animal Welfare Act in federal facilities located outside of the United States.", "In response to our third recommendation that the Administrator of APHIS take certain steps to clarify the definition of field studies that are covered by the Animal Welfare Act, USDA stated that APHIS agreed to issue a guidance document by December 31, 2018. We appreciate APHIS\u2019s commitment to issuing new guidance on field studies, but note that USDA\u2019s written comments did not directly respond to the language in our draft recommendation that called for the agency to provide research facilities with clear examples of field studies that are covered by the Animal Welfare Act regulations. We also note that the Forest Service stated in technical comments that the extensive number and variation in wildlife species preclude providing specific examples of activities that meet a prescribed definition of a field study. The Forest Service suggested that we modify our recommendation to call for APHIS to provide criteria for how research facilities should determine which studies qualify as an exempted field study. We agreed with that suggestion and modified our recommendation to call on APHIS to provide research facilities with criteria to help research facilities determine which studies are covered by the Animal Welfare Act.", "APHIS agreed with our fourth recommendation that the Administrator of APHIS direct the agency to fully describe animal use data on its website. USDA\u2019s comments stated that, beginning with the fiscal year 2017 summary activities, APHIS will describe how it compiles annual report data from research facilities, what the data represent, and any potential limitations to the data\u2019s completeness and accuracy. USDA stated that APHIS will update the website with this information by September 30, 2018.", "In its written comments, VA stated that our overall descriptions of its animal research program were accurate. The agency also stated that it looks forward to a time when the use of animals in research is no longer needed, but until that time, the agency will use all necessary research strategies to reduce and prevent the suffering of veterans.", "APHIS, HHS, and DHS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Secretary of Commerce, the Secretary of Defense, the Secretary of Health and Human Services, the Secretary of Homeland Security, the Secretary of the Interior, the Secretary of Veterans Affairs, the Administrator of the Environmental Protection Agency, the Administrator of the National Aeronautics and Space Administration, the Secretary of the Smithsonian Institution, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact us at (202) 512-3841 or morriss@gao.gov or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Animal Species Used in Research by Federal Agencies in Fiscal Years 2014 through 2016", "paragraphs": ["Federal agencies conduct research with animals for a variety of purposes, including to benefit human or animal populations. We identified 10 agencies that conducted research using vertebrate animals in fiscal years 2014, 2015, or 2016 with their own staff using their own facilities and equipment. Federal agencies also fund activities that use animals, meaning that the research is done by a nonfederal entity. However, we did not include those activities in our review.", "In the process of identifying federal agencies that conducted research with animals, we also identified the wide range of vertebrate animal species that these agencies used from fiscal years 2014 through 2016. In response to our survey of agencies, we learned that some agencies conducted research with a dozen or more species of animal while others conducted activities with hundreds of species. For example, NASA reported to GAO that it used 16 species while the National Museum of Natural History\u2014one of the four animal research facilities within the Smithsonian Institution that responded to our survey\u2014reported it conducted research on about 1,400. Table 3 shows groups of vertebrate species the 10 agencies reported to GAO that they used in research in fiscal years 2014 through 2016.", "Some of the species groups shown in table 3 are not covered by the Animal Welfare Act (i.e., amphibians, fish, and reptiles), while some animal species within a group may not be covered by the act. For example, farm animals are not covered by the Animal Welfare Act if researchers use them for agricultural purposes, such as improving animal nutrition, breeding management, or production efficiency, or for improving the quality of food or fiber, but are covered if researchers use them for human health purposes. Mice and rats are not covered by the Animal Welfare Act if they are of the genus Mus or Rattus and bred for use in research. Similarly, the act does not cover birds bred for use in research. Furthermore, agencies may have used animal species in a field study that is not covered by Animal Welfare Act regulations. Agencies are not required by the Animal Welfare Act to report their use of animals that are not covered by the act to the U.S. Department of Agriculture\u2019s Animal and Plant Health Inspection Service (APHIS). Nevertheless, the agencies are required by other policies and statutes to ensure that they treat those animals humanely."], "subsections": []}, {"section_title": "Appendix II: List of Federal and Nonfederal Participants in GAO\u2019s Survey", "paragraphs": [], "subsections": [{"section_title": "Federal departments, agencies, and components:", "paragraphs": [], "subsections": []}, {"section_title": "Animal advocacy organizations:", "paragraphs": [], "subsections": []}, {"section_title": "Research and science organizations:", "paragraphs": [], "subsections": []}, {"section_title": "Academic stakeholders (speaking as individuals and not on behalf of their institutions):", "paragraphs": [], "subsections": []}, {"section_title": "Other stakeholders:", "paragraphs": ["American Association for Laboratory Animal Science AAALAC International (formerly known as the Association for Assessment and Accreditation of Laboratory Animal Care International)"], "subsections": []}]}, {"section_title": "Appendix III: Analysis of GAO\u2019s Survey about Whether Federal Agencies Should Publicly Provide Information on Their Use of Animals in Research, Testing, and Training", "paragraphs": ["As described in this report, GAO conducted a survey of federal agencies and stakeholder groups regarding their opinions on whether federal agencies should proactively and routinely and publicly share information about their animals on a website or other means. The graphics in this appendix illustrate the responses to our survey by stakeholder group. The stakeholder groups included 20 federal departments, agencies, and sub- agencies that conduct animal research on vertebrate species; eight animal advocacy organizations that advocate on behalf of animals; six research and science organizations; and five other stakeholders including individuals in academia and other knowledgeable entities. Stakeholders from federal agencies, research organizations, and academia and other entities except animal advocacy organizations generally expressed the view that federal agencies should not make additional information made routinely available to the public. (See figs. 1, 2, and 3, respectively.) In contrast, animal advocacy organizations generally expressed the view that federal agencies should make additional information routinely available to the public. (See fig. 4.) Figure 5 provides examples of stakeholders\u2019 statements explaining their views on whether federal agencies should or should not provide additional information to the public.", "GAO also asked stakeholder groups in the survey about their opinion regarding whether the Animal and Plant Health Inspection Service (APHIS) should modify how it collects and posts annual report data under the Animal Welfare Act. Seventeen of 39 stakeholders responded that they would like to see changes to the way APHIS collects and posts annual report data. Specifically, all stakeholders from animal advocacy organizations and individuals in academia would like to see changes to how APHIS collects and posts annual report data while some stakeholders from federal agencies and research and science organizations also noted that they would like to see changes. Table 4 provides examples of stakeholders\u2019 views and suggestions regarding such changes."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff acknowledgments", "paragraphs": ["In addition to the individuals named above, Mary Denigan-Macauley (Acting Director), Joseph Cook (Assistant Director), Ross Campbell (Analyst-in-Charge), Kevin Bray, Tara Congdon, Hayden Huang, Marc Meyer, Amber Sinclair, and Rajneesh Verma made key contributions to this report."], "subsections": []}]}], "fastfact": ["Federal agencies must treat research animals humanely in their quest to answer scientific questions. As a check on their practices, the agencies must submit data about their animal use to the Animal and Plant Health Inspection Service (APHIS) and the National Institutes of Health.", "Concerned members of the public seek data on animal use to help ensure humane treatment. We found that agencies publicly report some data on animal use but do not report other data unless asked.", "We also found that agencies may not accurately report their animal use to APHIS because of inadequate instructions. We recommended that APHIS improve its instructions."]} {"id": "GAO-18-693T", "url": "https://www.gao.gov/products/GAO-18-693T", "title": "Energy Infrastructure Permitting: Factors Affecting Timeliness and Efficiency", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress recognizes the harmful effects of permitting delays on infrastructure projects and has passed legislation to streamline project reviews and hold agencies accountable. For example, in 2015 Congress passed the Fixing America's Surface Transportation Act, which included provisions streamlining the permitting process. Federal agencies, including the Department of the Interior and FERC, play a critical role by reviewing energy infrastructure projects to ensure they comply with federal statutes and regulations.", "This testimony discusses factors GAO found that can affect energy infrastructure permitting timeliness and efficiency. To do this work, GAO drew on reports issued from July 2012 to December 2017. GAO reviewed relevant federal laws, regulations, and policies; reviewed and analyzed federal data; and interviewed tribal, federal, state and industry officials, among others."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's prior work has found that the timeliness and efficiency of permit reviews may be affected by a range of factors. For the purposes of this testimony, GAO categorized these factors into five categories.", "Coordination and Communication. GAO found that better coordination between agencies and applicants is a factor that could result in more efficient permitting. Coordination practices that agencies can use to streamline the permitting process include the following:", "Designating a Lead Coordinating Agency . GAO found having a lead agency to coordinate the efforts of federal, state, and local stakeholders is beneficial to permitting processes. For example, in a February 2013 report on natural gas pipeline permitting, industry representatives and public interest groups told GAO that the interstate process was more efficient than the intrastate process because in the interstate process the Federal Energy Regulatory Commission (FERC) was lead agency for the environmental review.", "Establishing Coordinating Agreements among Agencies . In the February 2013 report, GAO reported that FERC and nine other agencies signed an interagency agreement for early coordination of required environmental and historic preservation reviews to encourage the timely development of pipeline projects.", "Human Capital. Agency and industry representatives cited human capital factors as affecting the length of permitting reviews. Such factors include having a sufficient number of experts to review applications. GAO reported in November 2016 on long-standing workforce challenges at the Department of the Interior's Bureau of Indian Affairs (BIA), such as inadequate staff resources and staff at some offices without the skills to effectively conduct such reviews. GAO recommended that Interior incorporate effective workforce planning standards by assessing critical skills and competencies needed to fulfill its responsibilities related to energy development. Interior agreed with this recommendation, and BIA stated that its goal is to develop such standards by the end of fiscal year 2018.", "Collecting and Analyzing Accurate Milestone Information. GAO's work has shown that a factor that hinders efficiency and timeliness is that agencies often do not track when permitting milestones are achieved, such as the date a project application is submitted or receives final agency approval. Having quality information on permitting milestones can help agencies better analyze process deficiencies and implement improvements.", "Incomplete Applications. Agency officials and agency documents cited incomplete applications as affecting the duration of reviews. For example, in a 2014 budget document, BLM reported that\u2014due to personnel turnover in the oil and gas industry\u2014operators were submitting inconsistent and incomplete applications for drilling permits, delaying permit approvals.", "Significant Policy Changes. Policy changes unrelated to permitting can affect permitting time frames. For example, after the 2010 Deepwater Horizon incident and oil spill, Interior issued new safety requirements for offshore drilling. GAO found that review times for offshore oil and gas drilling permits increased after these safety requirements were implemented."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made numerous recommendations about ways to improve energy infrastructure permitting processes. Federal agencies have implemented a number of GAO's recommendations and taken steps to implement more efficient permitting, but several of GAO's recommendations remain open, presenting opportunities to continue to improve permitting processes."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our work on the role of federal agencies in the permitting processes for energy infrastructure projects.", "Federal agencies, including the Department of the Interior and the Federal Energy Regulatory Commission (FERC), play a critical role in ensuring that energy infrastructure projects developed in the United States comply with a wide range of federal statutes and regulations. Perhaps the most notable is the National Environmental Policy Act (NEPA), which requires federal agencies to evaluate the potential environmental effects of actions they propose to carry out, fund, or approve, such as by permit.", "Over the years, we have issued numerous reports describing the role of federal agencies in permitting various types of energy infrastructure, including onshore and offshore oil and gas projects, natural gas pipelines, and liquefied natural gas (LNG) export facilities. Two common themes emerge from these reports. First, permitting processes are varied and complex, often requiring an applicant to comply with a range of federal, state, and local laws and regulations. Second, permitting processes can involve several federal and state agencies, as well as other stakeholders, many of whom have approval responsibilities. For example, to construct an LNG export facility, an applicant must coordinate with federal agencies such as FERC\u2014the lead agency responsible for the environmental and safety review\u2014as well as the U.S. Coast Guard\u2014which assesses waterway suitability; the applicant may also need permits from, among others, the U.S. Army Corps of Engineers for dredging activities and the U.S. Environmental Protection Agency for permits under the Clean Air Act. In addition to federal permits and consultations, applicants may also be required to obtain other permits under state and local law. Because of the wide variety of projects, locations, and state and local laws, permitting requirements vary by project. Public interest groups and the public also contribute to the process.", "We have found that inefficiencies in the permitting process can have real world effects. For example, in a June 2015 report on Indian energy development, we reported that a review by the Bureau of Indian Affairs (BIA) could be a lengthy process and increase development costs and project development times, resulting in missed development opportunities and lost revenue and jeopardizing the viability of projects. As we reported then, the Acting Chairman for the Southern Ute Indian Tribe reported in 2014 that BIA\u2019s review of some of its energy-related documents took as long as 8 years, and during that time the tribe estimated it lost $95 million in revenues.", "Congress has recognized the harmful effects of permitting delays and passed legislation to streamline permitting and to hold agencies accountable, including Fixing America\u2019s Surface Transportation Act. When Congress passed this act in 2015, it included provisions for streamlining the infrastructure permitting process and codified into law the use of a permitting dashboard to track project timelines.", "This testimony discusses factors that can affect permitting timeliness and efficiency. This statement draws on findings from our reports issued from July 2012 to December 2017. In conducting that work, we reviewed relevant federal laws, regulations, and policies; reviewed and analyzed federal data; and interviewed tribal, federal, state and industry officials, among others. More detailed information on our scope and methodology can be found in each of the cited reports.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions."], "subsections": [{"section_title": "Factors Affecting Federal Infrastructure Permitting", "paragraphs": ["In our prior work, we identified a range of factors that can affect permitting timeliness and efficiency. For the purposes of this statement, we have categorized the factors into five broad categories: 1) coordination and communication, 2) human capital, 3) collecting and analyzing accurate milestone information, 4) incomplete applications, and 5) significant policy changes."], "subsections": [{"section_title": "Coordination and Communication", "paragraphs": ["Effective coordination and communication between agencies and applicants is a critical factor in an efficient and timely permitting process. Standards for internal control in the federal government call for management to externally communicate the necessary quality information to achieve the entity\u2019s objectives, including by communicating with and obtaining quality information from external parties. We found that better coordination between agencies and applicants could result in more efficient permitting. For example, in our February 2013 review of natural gas pipeline permitting, we reported that virtually all applications for pipeline projects require some level of coordination with one or more federal agencies, as well as others, to satisfy requirements for environmental review. For example, BIA is responsible for, among other things, approving rights of way across lands held in trust for an Indian or Indian tribe and must consult and coordinate with any affected tribe.", "We have reported on coordination practices that agencies use to streamline the permitting process, including the following."], "subsections": [{"section_title": "Designating a Lead Coordinating Agency", "paragraphs": ["We have found that having a lead agency coordinate efforts of federal, state, and local stakeholders is beneficial to permitting processes. For example, in our February 2013 review on natural gas pipeline permitting, industry representatives and public interest groups told us that the interstate process was more efficient than the intrastate process because in the interstate process FERC was designated the lead agency for the environmental review. Other agencies may also designate lead entities for coordination. For example, in a November 2016 report, we described how BIA had taken steps to form an Indian Energy Service Center that was intended to, among other things, help expedite the permitting process associated with Indian energy development. We recommended that BIA involve other key regulatory agencies in the service center so that it could more effectively act as a lead agency."], "subsections": []}, {"section_title": "Establishing Coordinating Agreements among Agencies", "paragraphs": ["Establishing coordinating agreements among agencies can streamline the permitting process and reduce time required by routine processes. For example, in our February 2013 review of natural gas pipeline permitting, we reported that FERC and nine other agencies signed an interagency agreement for early coordination of required environmental and historic preservation reviews to encourage the timely development of pipeline projects."], "subsections": []}, {"section_title": "Using Mechanisms to Expedite Routine or Less Risky Reviews", "paragraphs": ["Agencies can also use mechanisms to streamline reviews of projects that are routine or less environmentally risky. For example, under NEPA, agencies may categorically exclude actions that an agency has found\u2014in NEPA procedures adopted by the agency\u2014do not individually or cumulatively have a significant effect on the human environment and for which, therefore, neither an environmental assessment nor an environmental impact statement is required. Also under NEPA, agencies may rely on \u201ctiering,\u201d in which broader, earlier NEPA reviews are incorporated into subsequent site-specific analyses. Tiering is used to avoid duplication of analysis as a proposed activity moves through the NEPA process, from a broad assessment to a site-specific analysis. Such a mechanism can reduce the number of required agency reviews and shorten the permitting process."], "subsections": []}]}, {"section_title": "Human Capital", "paragraphs": ["Agency and industry representatives cited human capital factors as affecting the length of permitting reviews. Such factors include having a sufficient number of experts to review applications. Some examples include: In June 2015 and in November 2016, we reported concerns associated with BIA\u2019s long-standing workforce challenges, such as inadequate staff resources and staff at some offices without the skills needed to effectively review energy-related documents. In November 2016 we recommended that Interior direct BIA to incorporate effective workforce planning standards by assessing critical skills and competencies needed to fulfill BIA\u2019s responsibilities related to energy development.", "For a September 2014 report, representatives of companies applying for permits to construct LNG export facilities told us that staff shortages at the Pipeline and Hazardous Safety Materials Administration delayed spill modeling necessary for LNG facility reviews.", "In an August 2013 review of Interior\u2019s Bureau of Land Management (BLM) and oil and gas development, industry representatives told us that BLM offices process applications for permit to drill at different rates, and inadequate BLM staffing in offices with large application workloads are one of the reasons for these different rates.", "Agencies have taken some actions to mitigate human capital issues. For example, we reported in August 2013 that BLM had created special response teams of 10 to 12 oil and gas staff from across BLM field offices to help process applications for permits to drill in locations that were experiencing dramatic increases in submitted applications. In July 2012, we recommended that Interior instruct two of its bureaus to develop human capital plans to help manage and prepare for human capital issues, such as gaps in critical skills and competencies."], "subsections": []}, {"section_title": "Collecting and Analyzing Accurate Milestone Information", "paragraphs": ["Our work has shown that a factor that hinders efficiency and timeliness is that agencies often do not track when permitting milestones are achieved, such as the date a project application is submitted or receives final agency approval to determine if they are achieving planned or expected results. In addition, our work has shown that agencies often do not collect accurate information, which prevents them from analyzing their processes in order to improve and streamline them. The following are examples of reports in which we discussed the importance of collecting accurate milestone information: In December 2017, we found that the National Marine Fisheries Service and the U.S. Fish and Wildlife Service were not recording accurate permit milestone dates, so it was not possible to determine whether agencies met statutory review time frames. We recommended that these agencies clarify how and when staff should record review dates so that the agencies could assess the timeliness of reviews.", "We found in June 2015 that BIA did not have a documented process or the data needed to track its review and response times; to improve the efficiency and transparency of BIA\u2019s review process, we recommended that the agency develop a process to track its review and response times and improve efforts to collect accurate review and response time information.", "We found in an August 2013 report that BLM did not have complete data on applications for permits to drill, and without accurate data on the time it took to process applications, BLM did not have the information it needed to improve its operations. We recommended that BLM ensure that all key dates associated with the processing of applications for permits to drill are completely and accurately entered into its system to improve the efficiency of the review process.", "Standards for internal control in the federal government call for management to design control activities to achieve objectives and respond to risks, including by comparing actual performance with planned or expected results and analyzing significant differences. Without tracking performance over time, agencies cannot do so. The standards also call for agency management to use quality information to achieve agency objectives; such information is appropriate, current, complete, accurate, accessible, and provided on a timely basis. As we have found, having quality information on permitting milestones can help agencies identify the duration of the permitting process, analyze process deficiencies, and implement improvements."], "subsections": []}, {"section_title": "Incomplete Applications", "paragraphs": ["According to agency officials we spoke with and agency documents we reviewed, incomplete applications are a factor that can affect the duration of reviews. For example, in a 2014 BLM budget document, BLM reported that\u2014due to personnel turnover in the oil and gas industry\u2014operators were submitting inconsistent and incomplete applications for permits to drill, which was delaying the approval of permits. In a February 2013 report, officials we spoke with from Army Corps of Engineers district offices said that incomplete applications may delay their review because applicants are given time to revise their application information. Deficiencies within agency IT systems may also result in incomplete applications. As we noted in a July 2012 report, Interior officials told us that their review of oil and gas exploration and development plans was hindered by limitations in its IT system that allowed operators to submit inaccurate or incomplete plans, after which plans were returned to operators for revision or completion.", "Agencies can reduce the possibility of incomplete applications by encouraging early coordination between the prospective applicant and the permitting agency. According to agency and industry officials we spoke with, early coordination can make the permitting process more efficient. One example of early coordination is FERC\u2019s pre-filing process, in which an applicant may communicate with FERC staff to ensure an application is complete before formally submitting it to the commission."], "subsections": []}, {"section_title": "Significant Policy Changes", "paragraphs": ["Changes in U.S. policy unrelated to permitting are a factor that can also affect the duration of federal permitting reviews. For example, in September 2014, we reported that the Department of Energy did not approve liquefied natural gas exports to countries without free-trade agreements with the United States for a period of 16 months. We found that the Department stopped approving applications while it conducted a study of the effect of liquefied natural gas exports on the U.S. economy and the national interest. Exporting liquefied natural gas was an economic reversal from the previous decade in which the United States was expected to become an importer of liquefied natural gas.", "Policy changes can result from unforeseen events. After the Deepwater Horizon incident and oil spill in 2010, Interior strengthened many of its safety requirements and policies to prevent another offshore incident. For example, Interior put new safety requirements in place related to well control, well casing and cementing, and blowout preventers, among other things. In a July 2012 report, we found that after the new safety requirements went into effect, review times for offshore oil and gas drilling permits increased, as did the number of times that Interior returned a permit to an operator.", "In conclusion, our past reports have identified varied factors that affect the timeliness and efficiencies of federal energy infrastructure permitting reviews. Federal agencies have implemented a number of our recommendations and taken steps to implement more efficient permitting, but several of our recommendations remain open, presenting opportunities to continue to improve permitting processes.", "Chairmen Palmer and Gianforte, Ranking Members Raskin and Plaskett, and Members of the Subcommittees, this concludes my prepared statement. I would be pleased to answer any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact Frank Rusco, Director, Natural Resources and Environment, who may be reached at (202) 512-3841 or RuscoF@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this testimony include Christine Kehr (Assistant Director), Dave Messman (Analyst-in-Charge), Patrick Bernard, Marissa Dondoe, Quindi Franco, William Gerard, Rich Johnson, Gwen Kirby, Rebecca Makar, Tahra Nichols, Holly Sasso, and Kiki Theodoropoulos.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Federal agencies play a critical role in ensuring that energy infrastructure projects comply with federal statutes and regulations. We testified about the role of federal agencies in reviewing and permitting various types of energy infrastructure, such as offshore oil and gas projects.", "We found that a number of factors affect the timeliness and efficiency of these reviews\u2014such as coordination between federal agencies, the number of experts that agencies have to review applications, whether agencies are tracking and collecting milestone information, the completeness of applications, and changes in federal policy that affect reviews."]} {"id": "GAO-18-376", "url": "https://www.gao.gov/products/GAO-18-376", "title": "Foster Care: Additional Actions Could Help HHS Better Support States' Use of Private Providers to Recruit and Retain Foster Families", "published_date": "2018-05-30T00:00:00", "released_date": "2018-05-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Foster care caseloads have increased in recent years due, in part, to the national opioid epidemic. States have struggled to find foster families for children who can no longer live with their parents, including those who need TFC services. States may use private providers, such as non-profit and for-profit organizations, to help recruit and retain foster families. States may also use federal funds provided by HHS for these efforts. GAO was asked to review states' efforts to recruit and retain foster families.", "This report examines: (1) how state child welfare agencies recruit foster families, including those who provide TFC services, (2) any challenges in recruiting and retaining foster families, and (3) the extent to which HHS provides support to child welfare agencies in these efforts. GAO reviewed relevant federal laws, regulations, and guidance; interviewed HHS officials; surveyed child welfare agencies in all states and the District of Columbia; held discussion groups with private providers and foster parents who provide TFC services; and conducted interviews with officials in California, Georgia, and Indiana, which were selected for factors such as changes in foster care caseloads, opioid abuse rates, and geographic location."]}, {"section_title": "What GAO Found", "paragraphs": ["States employ a range of strategies to recruit foster families and nearly all use private providers to recruit, particularly for therapeutic foster care (TFC) services, in which parents receive training and support to care for children who need a higher level of care. Recruitment strategies include searching for relatives, conducting outreach to the community, targeting certain populations, and obtaining referrals from current foster families. In response to GAO's national survey, 49 states reported using private providers to recruit foster families. In the three selected states where GAO conducted interviews, private providers were responsible for both recruiting and retaining foster families, such as helping families become licensed and providing them with support (see fig.).", "States reported various challenges with recruiting and retaining foster families in response to GAO's survey. In recruiting families, over two-thirds of states reported challenges such as limited funding and staff, which can make prioritizing recruitment efforts difficult; extensive licensing processes; and difficulties finding families willing to care for certain children, such as those with high needs. In retaining families, 29 states reported concerns about inadequate support for foster families, which can include difficulties contacting child welfare agency caseworkers. In addition, 31 states reported limited access to services needed to care for children, such as child care.", "The U.S. Department of Health and Human Services (HHS) provides a number of supports to help states recruit and retain foster families, including technical assistance with their recruitment programs, guidance and information, and funding. Most states GAO surveyed found HHS's supports moderately or very helpful. However, several private providers GAO interviewed in three selected states said they have not received guidance or information from child welfare agencies about recruiting and retaining foster families. In addition, 11 of the 14 providers said they were unaware of related HHS supports and all of them described concerns about communication with child welfare agencies. HHS officials said they encourage states to involve all relevant stakeholders in their efforts, though HHS has focused on supporting child welfare agencies. Consistent with internal control standards on communication, determining whether information on working with private providers would be useful to states could help HHS better support states' use of private providers in efforts to recruit and retain foster families."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends HHS seek feedback from states on whether information on effective ways to work with private providers to recruit and retain foster families would be useful and if so, provide such information. HHS agreed with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["After steady declines for more than a decade, foster care caseloads nationwide rose from about 400,000 children in fiscal year 2012 to nearly 440,000 in fiscal year 2016. According to a recent study by the U.S. Department of Health and Human Services (HHS), the national opioid epidemic has contributed to this increase because parents under the influence of opioids are often unable to care for their children. Child welfare officials in many states have noted challenges finding placements for children who can no longer live with their parents, and media reports have described instances in which children were placed in hotel rooms, emergency shelters, and child welfare offices until appropriate placements could be found.", "States may place children in a variety of settings depending on a child\u2019s needs, including placements with unrelated foster parents, relatives, or in congregate care settings such as group homes and residential treatment centers. States may use several federal funding sources administered by HHS to assist in these efforts. However, a 2015 HHS study found agreement among multiple child welfare stakeholders that children are best served in family settings, and many states have reduced the number of children in congregate care in the last decade. The reduction in states\u2019 use of congregate care has contributed to the need for foster families, particularly for children who require a higher level of care, such as those who have severe mental health conditions or who are medically fragile. A potential alternative to congregate care is therapeutic foster care, a family-based model in which children who need a higher level of care are placed with foster parents who are trained, supervised, and supported by qualified program staff to provide services such as crisis support, behavior management, medication monitoring, counseling, and case management. There is no national definition of therapeutic foster care and these programs can vary widely among states.", "You asked us to explore issues related to states\u2019 efforts to recruit and retain foster families. This report examines (1) how state child welfare agencies recruit foster families, including those who provide therapeutic foster care services; (2) what challenges, if any, there are in recruiting and retaining foster families; and (3) the extent to which HHS provides support to child welfare agencies in their efforts to recruit and retain foster families.", "To address all three of our objectives, we conducted a web-based survey of state child welfare agencies in the 50 states and the District of Columbia to obtain national information. The survey was administered in September 2017 and we obtained a 100 percent response rate. We also conducted interviews in three states\u2014California, Georgia, and Indiana\u2014 to obtain more in-depth information from officials from state child welfare agencies, representatives from 14 private foster care providers working with these child welfare agencies, and foster parents working with 8 of these providers. The three states were selected for in-person and phone interviews based on factors such as recent changes in foster care caseloads, opioid abuse rates, variation in child welfare administration systems (i.e., state- versus county-administered), and geographic location. In California, the only selected state with a county-administered child welfare system, we selected three counties\u2014Los Angeles, Sacramento, and Sonoma\u2014and interviewed officials from the respective county-level child welfare agencies. These counties were selected based on factors similar to those mentioned above, as well as variation in population density (i.e., rural versus urban). The information gathered in the three selected states is not generalizable to all states.", "To obtain perspectives on providing therapeutic foster care services specifically, we conducted two discussion groups with representatives from 17 private providers and one discussion group with eight sets of foster parents. Our discussion groups were held at a conference hosted by the Family Focused Treatment Association, a non-profit organization that aims to develop, promote, and support therapeutic foster care services. The information gathered in our discussion groups is not generalizable, though it provides valuable insights on the recruitment and retention of families who can provide therapeutic foster care services. To develop our methodologies, we reviewed related literature and interviewed child welfare experts. In addition, to examine how HHS supports child welfare agencies in their recruitment and retention efforts, we interviewed HHS officials and reviewed relevant documents obtained in these interviews. We also reviewed relevant federal laws, regulations, and HHS policies, as well as federal internal control standards. See appendix I for additional information on our objectives, scope, and methodology.", "We conducted this performance audit from January 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Placements for Children Entering and Exiting Foster Care", "paragraphs": ["Children enter foster care when they have been removed from their parents or guardians and placed under the responsibility of a child welfare agency. Reasons for a child\u2019s removal can vary, though 61 percent of nearly 275,000 removals during fiscal year 2016 involved neglect and 34 percent involved drug abuse by the parent(s), according to the most recent available HHS data. Child welfare agencies most commonly place children with unrelated foster parents, with relatives, or in congregate care settings. Coordinating placement and support services for these children, such as physical and mental health services, education, child care, and transportation, is typically the responsibility of child welfare agency caseworkers. Caseworkers may also coordinate placements for children exiting foster care, which most commonly include reunifications with the child\u2019s parents or permanent placements through adoption, legal guardianship, or other living arrangements with a relative. Children who age out of the foster care system without a permanent placement with a family may receive transitional supports, such as housing and job search services.", "Children placed in foster families\u2014including unrelated foster parents, relatives, and fictive kin (e.g., close family friends who are not relatives)\u2014 live in the family\u2019s home and are typically incorporated into an existing family structure. For example, these families may include biological children and other children in foster care. Families may receive a payment from the child welfare agency to help cover the costs of a child\u2019s care, as determined by each state. Families who are trained to provide therapeutic foster care services are supervised and supported by qualified program staff to care for children who need a higher level of care. Therapeutic foster care families may have fewer or no other children in the home, and parents in these families may be required to provide a higher level of care and supervision for the child. In addition, the payment provided to these families may be higher."], "subsections": []}, {"section_title": "Responsibilities for Recruiting and Retaining Foster Families", "paragraphs": ["States are primarily responsible for administering their child welfare programs, consistent with applicable federal laws and regulations. Their responsibilities include recruiting and retaining foster families and finding other appropriate placements for children. In recruiting foster families, states generally require that families undergo a licensing process that includes a home study to assess the suitability of the prospective parents, including their health, finances, and criminal history, and take pre-service training on topics such as the effects of trauma on a child\u2019s behavior. In retaining foster families, states may provide support to families, such as through ongoing training classes and regular visits from child welfare agency caseworkers if a child is placed in their home.", "State and county child welfare agencies may work with private foster care providers, commonly through contracts, to help them administer child welfare services. Private providers can include non-profit and for-profit organizations that provide a range of public and private services in addition to foster care, such as residential treatment, mental health, and adoption services. For foster care, private providers may be responsible for recruiting foster families, which may involve identifying prospective foster parents, providing information on and helping with the licensing process, and conducting home studies and training. If the child welfare agency places a child with a foster family working with a private provider, the private provider may also be responsible for activities that can help retain foster families, such as conducting regular visits with the family (in addition to visits from child welfare agency caseworkers) and helping them access needed services. Child welfare agencies may pay these providers based on the number of children placed. This payment may include an administrative payment to the private provider, as well as a payment that the private provider passes on to the foster family to help cover the costs of a child\u2019s care.", "Child welfare agencies and private providers may also work with other entities to recruit and retain foster families. For example, they may collaborate with community partners, such as faith-based organizations and schools, to share information about foster care and recruit families. Child welfare agencies and private providers may also work with direct service providers, such as hospitals and community-based mental health clinics, to obtain services to support children in foster care and their foster families, which can help retain these families."], "subsections": []}, {"section_title": "Federal Supports Related to Recruiting and Retaining Foster Families", "paragraphs": ["HHS\u2019s Administration for Children and Families (ACF) administers several federal funding sources that states can use to recruit and retain foster families, in addition to state, local, and other funds. For example, funding appropriated for title IV-E of the Social Security Act makes up the large majority of federal funding provided for child welfare, comprising about 89 percent of federal child welfare appropriations in fiscal year 2017 (approximately $7 billion of nearly $7.9 billion), according to ACF. These funds are available to states to help cover the costs of operating their foster care, adoption, and guardianship assistance programs. For example, in their foster care programs, states may use these funds for payments to foster families to help cover the costs of care for eligible children (e.g., food, clothing, and shelter) and for certain administrative expenses, including recruiting and training prospective foster parents. Title IV-E funds appropriated specifically for foster care programs totaled about $4.3 billion in fiscal year 2017, comprising about 61 percent of title IV-E funding, according to ACF.", "In addition, title IV-B of the Social Security Act is the primary source of federal child welfare funding available for child welfare services. States may use these funds for family support and family preservation services to help keep families together and reduce the need to recruit and retain foster families. Such services can include crisis intervention, family counseling, parent support groups, and mentoring. States may also use title IV-B funds to support activities to recruit and retain foster families. Federal appropriations for title IV-B comprised about 8 percent of federal child welfare appropriations (approximately $650 million of nearly $7.9 billion) in fiscal year 2017, according to ACF.", "ACF is responsible for monitoring states\u2019 implementation of these programs. For example, ACF monitors state compliance with title IV-B plan requirements through its review of states\u2019 5-year Child and Family Services Plans and Annual Progress and Services Reports. Child and Family Services Plans set forth a state\u2019s vision, goals, and objectives to strengthen its child welfare system, and Annual Progress and Services Reports provide annual updates on the progress made by states toward those goals and objectives. Child and Family Services Plans are required for a state to receive federal funding under title IV-B, and document the state\u2019s compliance with federal program requirements. One requirement is that states must describe in their plans how they will \u201cprovide for the diligent recruitment of potential foster and adoptive families that reflect the ethnic and racial diversity of children in the State for whom foster and adoptive homes are needed.\u201d In addition, ACF conducts Child and Family Services Reviews, generally every 5 years, to assess states\u2019 conformity with requirements under these federal programs. These reviews involve case file reviews and stakeholder interviews, and are structured to help states identify strengths and areas needing improvement within their agencies and programs. States found not to be in substantial conformity with federal requirements must develop a program improvement plan and undergo more frequent review."], "subsections": []}]}, {"section_title": "States Employ a Range of Strategies to Recruit Foster Families and Nearly All Use Private Providers to Recruit, Particularly for Therapeutic Foster Care", "paragraphs": [], "subsections": [{"section_title": "States Recruit Foster Families by Searching for Relatives, Conducting Outreach, Targeting Certain Populations, and Obtaining Referrals", "paragraphs": [], "subsections": [{"section_title": "Searching for Relatives or Fictive Kin", "paragraphs": ["In addition to the diligent recruitment requirements under title IV-B of the Social Security Act, states receiving federal foster care funds under title IV-E are generally required to search for relatives when a child enters foster care. In the three selected states\u2014California, Georgia, and Indiana\u2014child welfare officials said their first priority is to recruit relatives or fictive kin to care for children entering foster care, when appropriate. Officials in California and Georgia discussed recent initiatives to expand the search for relatives and fictive kin for children already in foster care. For example, county child welfare officials in California said they contracted with a private provider who they also use to recruit and retain foster families to conduct these searches. This particular private provider told us that they can access the child welfare agency\u2019s case management system to review information about each child to determine which relatives or fictive kin have already been contacted. The private provider said they may contact these relatives or fictive kin to see whether circumstances have changed such that they would now be able to care for the child. In addition, the private provider said they may use existing contacts, social media, and an identity search program to locate additional relatives or fictive kin for a child. This private provider reported that from July to September 2017, their searches yielded 36 additional relatives or fictive kin, on average, for each of the 23 children in one county for whom the private provider conducted a search. In addition, officials in Georgia said they initiated pilot projects in two regional offices to train staff on how to search for relatives and fictive kin."], "subsections": []}, {"section_title": "Community Outreach", "paragraphs": ["Community outreach to a broad population of prospective foster families is a moderately or very useful recruitment strategy, according to 36 states that responded to our survey. In addition, child welfare officials and 11 of the 14 private providers in the three selected states said they engage in community outreach events to recruit prospective foster families. For example, they said they attend local events (e.g., state fairs) or visit local organizations (e.g., faith-based organizations or schools) to provide information about becoming a foster parent. One private provider said they attend local markets and summer festivals to talk with prospective families and provide them with informational materials. Another private provider said they hold meetings for prospective foster parents to answer questions and provide additional information about foster care and the role of the private provider.", "In addition, 20 states reported in our survey that marketing campaigns, such as mailings and media advertisements, are a moderately or very useful recruitment strategy. In the three selected states, child welfare officials and 12 of the 14 private providers said they use different forms of media, such as newspapers, radio, television, billboards, social media, or printed advertisements, to solicit foster families. Child welfare officials we interviewed in Georgia and Indiana said they have implemented statewide media campaigns that incorporate both traditional and digital media. Officials in Georgia told us the campaigns have successfully increased inquiries through the agency\u2019s website and toll-free phone line. A private provider in one county said they worked with a marketing firm to create advertisements that were shown in movie theaters, which also resulted in additional inquiries from prospective families. With regard to therapeutic foster care services, private providers we spoke with in both of our discussion groups said they use strategies such as yard signs, television commercials, and social media to recruit therapeutic foster care families."], "subsections": []}, {"section_title": "Targeted Recruitment", "paragraphs": ["In our survey, nearly all states reported having targeted recruitment strategies as part of their recruitment plans or practices, such as strategies that focus on certain populations of prospective foster parents (e.g., those in faith-based communities or of a certain race), families for certain populations of children in foster care (e.g., teenagers and sibling groups), and families living in specific geographic locations. To help inform their recruitment strategies, 39 states reported in our survey that they collect and use information on children awaiting placement, such as their backgrounds and service needs, and 31 states reported that they collect and use information on available foster families, such as their preferences for placements and where they are located. In the three selected states, child welfare officials and 8 of the 14 private providers we interviewed said they use targeted recruitment to identify prospective foster families. In addition, child welfare officials and five private providers said they collect or use demographic data on children needing placement and available foster families to inform their efforts. For example, child welfare officials in one county said they use data to target recruitment efforts in the neighborhoods where children entered foster care. Similarly, one private provider told us they use data on the demographics of successful foster families to target recruitment efforts toward those types of families, such as social workers and parents whose children have grown up and left home (i.e., \u201cempty nesters\u201d).", "Targeted recruitment can be a particularly useful strategy to identify families who can provide therapeutic foster care services for children who need a higher level of care, such as those who have severe mental health conditions or who are medically fragile. In the three selected states, child welfare officials and four private providers said they use targeted recruitment strategies to search for families who can provide therapeutic foster care services. For example, child welfare officials in one state said they focus on recruiting individuals with specific skillsets, such as doctors and nurses who have experience working with children who need more care. Private providers in both of our discussion groups also said they use targeted recruitment strategies for these purposes."], "subsections": []}, {"section_title": "Referrals from Current Foster Families", "paragraphs": ["When asked in our survey about the usefulness of various recruitment strategies, states most often cited referrals from current foster families as a moderately or very useful recruitment strategy. In the three selected states, child welfare officials and all 14 private providers said they use referrals from current foster families to recruit new families, and the majority of these officials and private providers said such referrals are the most effective recruitment strategy. One private provider emphasized that current foster families are better recruiters than private providers because these families can speak from first-hand experience about the potential benefits and difficulties of caring for a child in foster care. Another private provider said that referrals occur through regular interactions in the community or through information meetings and events facilitated by private providers, such as movie nights. To encourage referrals, 6 of the 14 private providers in the three states said they offer financial incentives to current foster families who help recruit new families. For example, three of these private providers said they offer incentives ranging from $100 to $500. In regard to therapeutic foster care services, private providers in both of our discussion groups said referrals are the most effective recruitment strategy. Private providers in one group said they offer financial incentives ranging from $200 to $300, which generally are paid after a new family becomes licensed to provide therapeutic foster care services and a child has been placed in their home.", "Eight of the 14 private providers in the three selected states said they try, in general, to employ multiple types of recruitment strategies. Further, many of these private providers explained that prospective foster parents typically hear about foster care through multiple mediums before applying to become a parent. For example, a prospective parent might hear a radio advertisement, then see a billboard, and later talk to a private provider at a state fair before deciding to apply. Foster parents we spoke with in the three states, as well as in discussion groups on therapeutic foster care services, discussed a number of reasons why they became foster parents, including knowing others who had provided foster care, having the desire to give back, and wanting to expand their family by fostering with the intention to adopt a child (see text box)."], "subsections": []}]}, {"section_title": "Almost All States Reported Using Private Providers to Recruit Foster Families, Particularly for Therapeutic Foster Care", "paragraphs": ["In our survey, 49 states reported using private providers to recruit foster families, including 44 that use private providers to recruit families who can provide therapeutic foster care services for children who need a higher level of care. Specifically, 30 states reported that they use private providers to recruit both traditional and therapeutic foster care families, 14 reported that they use private providers to recruit therapeutic foster care families exclusively, and the remaining 5 reported that they use private providers to recruit traditional foster families exclusively. In the three selected states, child welfare officials said they initially developed agreements with private providers to recruit families who can provide therapeutic foster care services. However, as state caseloads have risen, these officials said they have also referred children who do not need therapeutic foster care services to private providers.", "Child welfare officials and private providers in the three selected states said that private providers in their states are responsible for both recruiting and retaining foster families. They said responsibilities of private providers can include helping families become licensed, suggesting possible matches between children and available families, and providing support to help families access services needed to care for children in foster care (see fig. 1).", "Child welfare officials and private providers in the three selected states described ways they have collaborated to recruit foster families, and discussed the benefits of using private providers to recruit and retain these families. For example, child welfare officials in one county said they collaborated with private providers to create common marketing materials that included information about the child welfare agency and each private provider, which helps prospective foster families decide which entity they want to work with. Officials and private providers in this county said collaborative recruitment efforts are an efficient use of resources and reduce competition in recruiting from the same pool of prospective foster families. Nearly all of the 14 private providers we interviewed in the three selected states said they can help child welfare agencies support foster families, particularly those who care for children who need more care than others, because they can maintain lower caseloads and be more accessible to families than child welfare agencies. These private providers explained that they accept placements for children only when they have available foster families and staff, whereas child welfare agencies cannot choose how many children they have in their caseloads.", "Specifically, four private providers noted that private providers typically maintain small caseloads, such as 10 children per private provider caseworker. In contrast, seven private providers said child welfare agencies manage larger caseloads\u2014as high as 40 children per caseworker\u2014which can strain their ability to support foster families. In addition, eight private providers said families can contact them 24 hours a day, which may not be the case with child welfare agency caseworkers.", "All of the 49 states that reported using private providers in our survey also reported having various oversight mechanisms to monitor them. These mechanisms include periodic audits and site visits, regular calls for information sharing, periodic check-ins with foster families working with private providers, and requirements for providers to develop recruitment plans. Child welfare officials in the three selected states provided detail on a range of oversight activities. For example, child welfare officials in Georgia said their agency conducts comprehensive audits of private providers annually, which include an examination of the facility, case file reviews, and staff interviews. In addition, county child welfare officials in California said their agency requires private providers to attend monthly meetings with agency staff and submit quarterly outcome reports."], "subsections": []}]}, {"section_title": "States Reported Various Recruitment and Retention Challenges, Including Difficulties Prioritizing Recruitment Efforts and Supporting Foster Families", "paragraphs": [], "subsections": [{"section_title": "In Recruiting Foster Families, States Reported Challenges with Prioritizing Efforts, Extensive Licensing Processes, and Finding Families Who Can Meet the Needs of Children Difficulties Prioritizing Recruitment Efforts", "paragraphs": ["In response to our survey, 34 states reported that limited resources to focus on foster family recruitment made their recruitment efforts moderately or very challenging. In the three selected states, child welfare officials raised concerns about their ability to prioritize foster family recruitment efforts, given large increases in their foster care caseloads and other demands for resources. Nationwide, caseloads increased by over 10 percent from fiscal years 2012 through 2016, according to HHS data. In addition, 8 of the 14 private providers in the three states told us that a lack of dedicated funding for recruitment from child welfare agencies made recruitment efforts challenging. One private provider said they have recently put recruitment efforts on hold to focus on serving children in existing placements.", "States also reported in our survey that eligibility requirements for federal foster care funding have affected their ability to prioritize resources for recruitment. Specifically, of the 34 states that provided a response on this issue, almost half reported that requirements that tie eligibility for receiving federal funds under title IV-E of the Social Security Act to income eligibility standards under the discontinued Aid to Families with Dependent Children program have affected their recruitment efforts to a moderate or great extent. States may use title IV-E funds to assist with the costs of operating their foster care programs, and are generally entitled to receive these funds based on the number of eligible children they have in their programs. To be eligible for title IV-E foster care funds, a child must have been removed from a home that meets income eligibility standards under the Aid to Families with Dependent Children program as of July 1996, among other criteria. The Aid to Families with Dependent Children program was replaced by the Temporary Assistance for Needy Families program beginning in 1996, and the income eligibility standards for title IV-E foster care funding have not been changed since then. We reported in 2013 that a family of four had to have an annual income below $15,911 to meet the income eligibility threshold in 1996. If adjusted for inflation, the threshold would have been $23,550 in 2013. Due, in part, to fewer families meeting these income eligibility standards, we found that the number of children who currently meet title IV-E eligibility requirements has declined. As a result, we reported that states have received less federal funding under title IV-E and have paid an increasingly larger share of funds for their foster care programs. The percentage of children eligible for title IV-E foster care funds decreased from about 54 percent in fiscal year 1996 to nearly 39 percent in fiscal year 2015, according to data published by the Congressional Research Service (see fig. 2). Given fiscal constraints, child welfare agencies, like other state agencies, may need to make difficult choices about how to allocate their limited resources.", "The process for licensing foster families can help ensure that children are placed in safe and stable environments that meet their needs. However, 35 states reported in our survey that lengthy licensing processes made it moderately or very challenging to recruit new foster families. In the three selected states, child welfare officials and 7 of the 14 private providers discussed extensive state licensing processes that may discourage prospective foster families, including delays in getting fingerprints, completing background checks, or reviewing applications. Some private providers said delays are likely caused by competing priorities at state licensing agencies or limited staff in child welfare agencies. One private provider told us that families may wait several months for approval after completing an application. Another private provider told us that in the past year, approval time frames for licenses have, in some cases, increased from 1 to 2 weeks to 3 to 6 months. In regard to therapeutic foster care services, private providers in both discussion groups raised similar concerns (see text box).", "Child welfare officials in California told us they are in the process of restructuring their licensing process to improve efficiencies and reduce burden for foster families. In addition, county child welfare officials in the state told us they are offering families additional support to help them through the licensing process, such as assigning staff to prospective foster families as soon as they initiate the licensing process to help them complete required paperwork and schedule pre-service training."], "subsections": [{"section_title": "Finding Families Who Can Meet the Needs of Children and Other Challenges", "paragraphs": ["In response to our survey, states reported difficulties finding families who can meet the needs of children, particularly for therapeutic foster care services. Specifically, 37 states reported that the needs of children entering foster care have increased, and 35 reported that there are not enough foster families willing to care for the types of children needing placement. For example, nearly all states cited difficulties finding families for children with aggressive behaviors and severe mental health needs, as well as for teenagers and sibling groups. Consequently, 36 states reported difficulties appropriately matching children with families, and 30 reported having moderately or significantly too few therapeutic foster care families (see text box).", "In the three selected states, child welfare officials and 7 of 14 private providers discussed similar challenges finding appropriate families for children needing placement. For example, officials in one state said the increased demand for both traditional and therapeutic foster care families has caused them to place children in the first available home rather than match them with families based on the family\u2019s preferences and ability to provide care. One private provider told us that due to the increasing number of referrals for placements, they are not able to be as selective during the matching process as they have been in the past. Another private provider said child welfare agencies may be so pressed to find placements for children that they may call foster families working with the private provider directly, which can put pressure on the family to agree to the placement even when the family does not believe the child is a good fit. One private provider told us that a foster family accepted a child who had been sleeping in the child welfare agency caseworker\u2019s office, but the placement was not a good fit and was eventually disrupted, which was traumatic for both the child and the foster family. Private providers in both of our discussion groups said finding families willing to provide therapeutic foster care services to children can be difficult. They noted that parents may be required to take on more documentation and supervision responsibilities for a child who requires a higher level of care and complete more intensive training, which may be difficult for working parents.", "In addition to challenges finding appropriate families for children, 34 states reported in our survey that a negative perception of foster care made it moderately or very challenging to recruit new families. Child welfare officials in two states and 5 of the 14 private providers we interviewed raised similar concerns. For example, child welfare officials in one county told us that they recruit foster families in an environment where media reports have highlighted challenges with overburdened caseworkers and turnover of agency directors. These officials also said foster parents may share negative experiences with family and friends, leading to an unfavorable impression of child welfare agencies within the community. In addition, child welfare officials in one state and four private providers said some families who provide foster care services have faced false allegations of child abuse and subsequent investigations. Some private providers said these investigations can be emotionally draining or disruptive to the family, and some said that fear of such allegations and investigations may deter prospective families from becoming a foster family. Other recruitment challenges cited by several child welfare officials, private providers, and foster parents we interviewed included concerns by prospective foster families about caring for children who have high needs or who are certain ages, or that providing foster care will disrupt their nuclear family. While many child welfare officials and private providers we spoke with acknowledged these negative perceptions and fears, parents in all eight foster parent groups we interviewed in the three states also discussed how being a foster family can be a positive experience. For example, several foster parents said providing foster care to different types of children has enhanced their family. Private providers and foster parents also said it is important to share personal experiences to bring understanding about what it is like to be a foster family. For example, one foster parent told us about a blog she writes to describe normal family activities that include children in foster care, such as taking family trips."], "subsections": []}]}, {"section_title": "In Retaining Foster Families, States Reported Challenges with Inadequate Support for Families and Limited Access to Services for Children", "paragraphs": [], "subsections": [{"section_title": "Inadequate Support for Foster Families", "paragraphs": ["In response to our survey, 29 states reported that inadequate support for foster families from the child welfare agency made it moderately or very challenging to retain these families. In the three selected states, all 14 private providers we interviewed and foster parents in all eight of the foster parent groups we spoke with emphasized the importance of supporting families in order to retain them. All 14 private providers discussed concerns about communication with child welfare agencies, which they said can affect the quality of services they provide to foster families. For example, 10 of the private providers said they have difficulty contacting or receiving a response from child welfare agency caseworkers when they try to obtain information needed to comply with child welfare agency requirements. One private provider explained that they are required to develop a service plan for each child they place with a family, and the plan must be signed by the child welfare agency caseworker within 5 days of placement. However, this private provider said they often cannot reach the caseworker to have plans reviewed and approved within the required time frame. Seven private providers told us that there often is confusion on the part of child welfare agency caseworkers about the role of private providers. For example, these private providers said child welfare agency caseworkers may not know which tasks the private providers are responsible for or may be unfamiliar with the paperwork they need to give to the private provider. Similarly, foster parents in five groups expressed dissatisfaction with the level of support they have received from child welfare agency caseworkers. These foster parents described instances in which they were unable to reach their caseworker during emergencies, such as when they needed permission to administer medications to their foster child. One foster parent told us she had waited approximately 8 weeks for her caseworker to approve her child\u2019s medication. This parent said she worked with her private provider to email the child welfare agency caseworker on a daily basis, but received no response. Foster parents in our discussion group raised similar concerns (see text box).", "Reasons why child welfare agency caseworkers may be limited in their ability to support foster families can include high caseloads and caseworker turnover. For example, 33 states reported in our survey that having too few staff and inadequate funding made it moderately or very challenging to retain foster families. In the three selected states, child welfare officials, 9 of 14 private providers, and foster parents in five of the eight foster parent groups noted that high caseloads contribute to a lack of support for foster families. Child welfare officials in one state said although their regulations stipulate a maximum caseload of 12 to 17, many caseworkers have caseloads that exceed those levels. In addition, a private provider in this state told us that child welfare agency caseworkers typically carry about 35 cases. Other private providers explained that the demands on child welfare caseworkers to meet basic paperwork and case planning requirements and conduct visits for a large caseload may prevent them from responding to requests or returning phone calls in a timely manner. Child welfare officials in two states, 11 private providers, and foster parents in three foster parent groups also explained that frequent caseworker turnover can affect the level of support foster families receive, particularly when new caseworkers are unfamiliar with a child\u2019s history and needs. One foster parent told us that she had worked with eight different child welfare agency caseworkers in a 19-month period. Another foster parent said she maintains all of her foster children\u2019s records, since in the past, documents have been lost in transfers between child welfare agency caseworkers. Child welfare officials in the three selected states acknowledged difficulties supporting foster families due to high caseloads or caseworker turnover. Officials in one state said they recently requested additional state funds to add 500 caseworker positions, and officials in another state said they have made efforts to revisit staffing levels following reductions during the economic recession in 2008.", "In addition, many private providers and foster parents we interviewed noted limitations with other supports for foster families. For example, 10 of 14 private providers and foster parents in three of the eight foster parent groups in the three states discussed their concerns about low payment rates for foster families, which some said may not adequately cover the costs of caring for a child. A 2012 study on payment rates for foster families found that basic payment rates (e.g., for traditional foster care services) in the majority of states fell below estimated costs of caring for a child, based on data from the U.S. Department of Agriculture. Five private providers and foster parents in five foster parent groups also discussed a lack of access to respite care services or a lack of \u201cvoice\u201d for foster parents in contributing to decisions regarding children in their care. These private providers and foster parents said these circumstances can be frustrating and cause parents to leave the system."], "subsections": []}, {"section_title": "Limited Access to Services for Children and Other Challenges", "paragraphs": ["In response to our survey, 31 states reported that inadequate access to services, such as child care and transportation, made it moderately or very challenging to retain foster families. In the three selected states, child welfare officials, 9 of 14 private providers, and foster parents in six of eight foster parent groups discussed similar difficulties. For example, they discussed difficulties accessing child care services, which some said are particularly needed because of the increasing number of opioid- affected infants coming into care. Some officials, private providers, and foster parents said their state may offer child care subsidies, but waitlists can be long, and foster families may have difficulties finding an approved childcare center, particularly for children who need a higher level of care. Further, child welfare officials, private providers, and foster parents discussed challenges accessing transportation services. For example, child welfare officials said children are sometimes moved to homes outside their original community due to a lack of available homes, which places a burden on foster families to transport children to physical and mental health appointments, regular visits with their biological families, and school. A private provider we interviewed said many parents who provide transportation to these various appointments also must go through a burdensome process to claim mileage reimbursement from the child welfare agency, so many parents do not submit a claim. In addition, child welfare officials, private providers, and foster parents discussed challenges accessing mental health services. For example, one private provider said they have been unable to find a qualified mental health provider who accepts Medicaid to deliver needed services to an autistic child. Further, child welfare officials we interviewed in one county discussed difficulties connecting children with therapists who have an understanding of childhood trauma.", "In addition to these challenges, child welfare officials and private providers we interviewed said many foster families leave the foster care system due to family or life changes, including adoptions of children in their care, retirements, health issues, and relocation to a different state."], "subsections": []}]}]}, {"section_title": "HHS Supports States\u2019 Recruitment and Retention Efforts with Technical Assistance, Guidance, and Funding, though Private Providers Were Unaware of Some Supports", "paragraphs": ["HHS\u2019s Administration for Children and Families (ACF) provides a number of supports to help state child welfare agencies in their efforts to recruit and retain foster families, according to ACF officials we interviewed and agency documents we reviewed. These supports include technical assistance, guidance and information, and funding.", "Technical assistance. ACF provided technical assistance through its National Resource Center for Diligent Recruitment (the Center), and subsequently, the Child Welfare Capacity Building Collaborative. The Center provided several types of technical assistance to achieve its aim of helping states develop and implement diligent recruitment programs to achieve outcomes such as improving permanency and placement stability for children in foster care. The Center provided on- and off-site coaching to states in a number of areas, such as developing a mix of general and targeted recruitment strategies, using existing data to target recruitment efforts, and developing a recruitment plan. Staff who worked at the Center reported providing direct technical assistance and training to 30 states. The Center also provided toolkits that guide states through the process of developing a comprehensive diligent recruitment plan to meet federal requirements. For example, the toolkits include discussion questions about the goals states have for their plans, suggestions on which stakeholders to include, and worksheets to help states analyze existing data. ACF officials told us that they also review states\u2019 diligent recruitment plans and may provide feedback to states.", "In addition, ACF provides technical assistance to states through its Child and Family Services Reviews. These reviews are generally conducted every 5 years and examine a number of factors in states\u2019 foster care programs to assess conformity with federal requirements, including factors related to recruiting and retaining foster families. In its reviews of 24 states in fiscal years 2015 and 2016, ACF reported deficiencies for 18. ACF officials said these deficiencies included a lack of adequate state recruitment plans and data used for recruitment efforts. In addition, they said they will be working with states to address identified deficiencies in subsequent program improvement plans, which are to be developed in consultation with ACF.", "Guidance and information. ACF provides a wide range of guidance and information to states to support their recruitment and retention efforts. For example, the Center distributed free monthly electronic newsletters that provided information on new tools, resources, and webinars related to foster family recruitment and retention. The Center also developed or provided links to publications on topics such as using data to inform recruitment efforts, taking a customer service approach in working with current and prospective foster families, and lessons learned from related projects funded by ACF. The Center facilitated information sharing among states by holding webinars, such as one on the benefits of implementing a comprehensive diligent recruitment program, and peer-to-peer networking events on topics such as recruiting, developing, and supporting therapeutic foster care families. In addition, ACF\u2019s Child Welfare Information Gateway is a website that provides access to a broad array of electronic publications, websites, databases, and online learning tools for improving child welfare practice. For example, its resources related to recruiting and retaining foster families include publications on strategies and tools, as well as examples from state and local child welfare agencies on promising practices.", "Funding. HHS administers a number of federal funding sources that states said they used for their foster family recruitment and retention efforts. For example, in our survey, states most often cited using child welfare funds under title IV-E and IV-B of the Social Security Act for these purposes in fiscal year 2016 (see fig. 3).", "ACF also provided a number of discretionary grants to support state efforts to recruit and retain foster families through the Adoption Opportunities program, which funds projects designed to eliminate barriers to adoption and help find permanent families for children, particularly older children, minority children, and those with special needs. Specifically, ACF awarded cooperative agreements to 22 states, localities, and non-profit organizations in fiscal years 2008 through 2013 for 5-year projects that aim to enhance recruitment efforts and improve permanency outcomes for children, among other things. For example, ACF awarded a cooperative agreement in 2010 to the county child welfare agency in Los Angeles, California to launch a project that targeted recruitment efforts to prospective foster families in African American, Latino, LGBT, and deaf communities to increase permanency outcomes for their foster care population. In addition, it awarded a cooperative agreement in 2013 to Oregon\u2019s state child welfare agency to implement a project that focused on developing customer service concepts in working with foster families, increasing community partnerships, and using data to inform recruitment efforts and outcome measures. In addition, ACF also awarded two cooperative agreements to Spaulding for Children to develop training for prospective and current foster and adoptive families. The first, awarded in fiscal year 2016, was for a 3-year project to develop a foster and adoptive parent training program to prepare families who can care for children who have high needs, such as children needing therapeutic foster care services. The second, awarded in fiscal year 2017, was for a 5-year project to develop a foster and adoptive parent training program for all individuals interested in becoming a foster family or adopting a child from foster care or internationally.", "In response to our survey, many states reported that they found these federal supports helpful to their recruitment and retention efforts. For example, guidance and information, such as the electronic newsletters, publications, and webinars provided by the Center, were cited most often by states as being moderately or very helpful (31 states). Over half the states reported that networking opportunities, such as peer-to-peer networking events facilitated by the Center, and technical assistance provided by the Center were moderately or very helpful to their efforts (28 and 27 states, respectively).", "However, similar to concerns raised by all 14 private providers in the three selected states about communication issues with child welfare agencies, several private providers told us they have not received guidance or information from these agencies about recruiting and retaining foster families, and most were unaware of some of the supports provided by ACF. Specifically, 11 of the 14 private providers said they were unaware of the National Resource Center for Diligent Recruitment, and 7 told us that the information offered by the Center would have been useful to their recruitment efforts had they known about it. For example, one private provider told us they have been trying to use data to more effectively recruit foster families, and the Center\u2019s resources on recruitment strategies and tools would have been helpful in these efforts.", "Another private provider said each private provider in their area conducts recruitment activities based on its own ideas and experiences, and the Center\u2019s resources would have been helpful in ensuring that they use the most effective strategies.", "ACF officials said they encourage states to involve all relevant stakeholders in their efforts to recruit and retain foster families. They acknowledged that ACF has not provided specific guidance and information to states on working with private providers, but noted that some supports, such as online publications and webinars, are available to private providers working in the public sector. ACF officials explained that their efforts have focused on child welfare agencies because these are the entities that receive federal funds. However, federal internal control standards state that agencies should communicate necessary information, both internally and externally, to achieve their objectives. The mission statement for ACF\u2019s Children\u2019s Bureau is to partner with federal, state, tribal, and local agencies to improve the overall health and well-being of the nation\u2019s children and families. According to its website, the Children\u2019s Bureau carries out a variety of projects to achieve its goals, such as providing guidance on federal law, policy, and program regulations, offering training and technical assistance to improve child welfare service delivery, and sharing research to help child welfare professionals improve their services. Given that almost all states use private providers to help them recruit foster families, and that private providers may be responsible for providing supports to help retain these families, it is important for HHS to determine whether additional information on working more effectively with private providers would be useful to states. This could help HHS better achieve its goals in supporting states\u2019 efforts to recruit and retain foster families."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["States face challenges recruiting and retaining foster care families and almost all states rely on private providers to help them meet the demand for appropriate foster families, particularly those who can provide therapeutic foster care services. However, private providers used by child welfare agencies in the three states where we conducted interviews raised concerns about the level of communication they have with these agencies. Such communication issues can affect the quality of services provided to support foster families, as well as the level of guidance and information private providers receive from child welfare agencies. Although HHS has provided various supports that states have found useful in their efforts to recruit and retain foster families, many of the private providers we spoke with were unaware of some supports that they said could have helped them. Given the important role private providers play in recruiting and retaining foster families, state feedback to HHS on whether child welfare agencies could benefit from information on how to work more effectively with private providers could help HHS determine whether it needs to take action to better support states\u2019 use of private providers."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["GAO recommends that the Secretary of Health and Human Services seek feedback from states on whether information on effective ways to work with private providers to recruit and retain foster families would be useful and if so, provide such information. For example, HHS can seek feedback from states through technical assistance and peer-to-peer networking activities. If states determine that information would be useful, examples of HHS actions could include facilitating information sharing among states on successful partnerships between states and private providers and encouraging states to share existing federal guidance and information. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretary of HHS for review and comment. HHS agreed with our recommendation and said it will explore with states whether additional materials specific to private providers would be useful. While HHS noted that it has no authority over private providers, it provided examples of ways the agency has supported states\u2019 efforts to recruit and retain foster families and encouraged them to involve private providers in these efforts. We believe that seeking feedback from states on whether they would like information on effective ways to work with private providers would be a useful first step. With that information, HHS could then determine if additional supports are needed to help states meet the demand for appropriate foster families. A letter conveying HHS\u2019s formal comments is reproduced in appendix II.", "We are sending copies to the appropriate congressional committees, the Secretary of the Department of Health and Human Services, and other interested parties. The report will also be available at no charge on the GAO website at www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": [], "subsections": [{"section_title": "Overview", "paragraphs": ["This report examines (1) how state child welfare agencies recruit foster families, including those who provide therapeutic foster care services, (2) challenges, if any, to recruiting and retaining families, and (3) the extent to which the U.S. Department of Health and Human Services (HHS) provides support to child welfare agencies in their efforts to recruit and retain foster families. To address our objectives, we administered a web- based survey of state child welfare agencies in the 50 states and the District of Columbia to obtain national information. To obtain more in- depth information, we interviewed child welfare officials, private providers, and foster parents in three selected states (California, Georgia, and Indiana). To obtain perspectives on providing therapeutic foster care services specifically, we conducted three discussion groups with private providers and foster parents at a national foster care conference. To develop our methodologies, we conducted a literature search related to foster care recruitment and retention, including for therapeutic foster care services, and we interviewed experts with a range of related research, policy, and direct service experience.", "To examine how HHS supports child welfare agencies in their efforts to recruit and retain foster families, we interviewed officials from HHS\u2019s Administration for Children and Families (ACF), Centers for Medicare & Medicaid Services, Office of the Assistant Secretary for Planning and Evaluation, and Substance Abuse and Mental Health Services Administration. We reviewed relevant documents obtained in these interviews and other information available on HHS\u2019s website, such as from the National Resource Center for Diligent Recruitment and the Child Welfare Information Gateway. We focused on HHS efforts from fiscal years 2012 through 2016. We also reviewed relevant federal laws, regulations, and HHS policies, as well as federal internal control standards."], "subsections": [{"section_title": "Survey of State Child Welfare Agencies", "paragraphs": ["To obtain nationwide information on our objectives, we surveyed officials from state child welfare agencies in the 50 states and the District of Columbia. The survey was administered in September 2017, and we obtained a 100 percent response rate. The survey used a self- administered, Web-based questionnaire, and state respondents received unique usernames and passwords.", "To develop the survey, we performed a number of steps to ensure the accuracy and completeness of the information collected, including an internal peer review by an independent GAO survey expert, a review by an external foster care expert, and pre-testing of the survey instrument. Pre-tests were conducted over the phone with child welfare officials in four states to check the clarity of the question and answer options, as well as the flow and layout of the survey. The states that participated in pre- testing were selected based on recommendations from foster care experts and variation in child welfare administration systems (i.e., state- versus county-administered) and use of private providers. We revised the survey based on the reviews and pre-tests. The survey was designed to gather information from state child welfare agencies rather than county- level child welfare agencies or private providers. As such, we included questions in the survey to ensure that respondents were knowledgeable about foster family recruitment and retention efforts if the state child welfare agency was not directly involved.", "Our survey included a range of fixed-choice and open-ended questions related to recruiting and retaining foster families, including those who provide therapeutic foster care services. These questions were grouped into six subsections that covered (1) the states\u2019 administrative structure for recruiting and retaining foster families, including the use of private providers; (2) information on states\u2019 recruitment and retention plans and the usefulness of various strategies in recruiting and retaining foster families; (3) challenges states face in their efforts; (4) perspectives on various federal supports in this area and any additional supports needed; (5) data collected and used in recruitment and retention efforts; and (6) oversight of county child welfare agencies and private providers, if applicable.", "To obtain our 100 percent response rate, we made multiple follow-up contacts by email and phone in September 2017 with child welfare officials who had not yet completed the survey. While all surveyed officials affirmatively checked \u201ccompleted\u201d at the end of the web-based survey, not all state child welfare agencies responded to every question or the sub-parts of every question. We conducted additional follow-up with a small number of state child welfare agencies to verify key responses.", "Because this was not a sample survey, it has no sampling errors. However, the practical difficulties of conducting any survey may introduce errors, commonly referred to as non-sampling errors. For example, unwanted variability can result from differences in how a particular question is interpreted, the sources of information available to respondents, or how data from respondents are processed and analyzed. We tried to minimize these factors through our reviews, pre-tests, and follow-up efforts. In addition, the web-based survey allowed state child welfare agencies to enter their responses directly into an electronic instrument, which created an automatic record for each state in a data file. By using the electronic instrument, we eliminated the errors associated with a manual data entry process. Lastly, data processing and programming for the analysis of survey results was independently verified to avoid any processing errors and to ensure the accuracy of this work."], "subsections": []}, {"section_title": "Interviews in Selected States", "paragraphs": ["To gather more in-depth information representing a variety of perspectives on our objectives, we interviewed officials from three state and three county child welfare agencies, representatives from 14 private foster care providers working with these agencies, and foster parents working with 8 of these private providers in the three selected states (California, Georgia, and Indiana). The states were selected based on factors such as recent changes in foster care and congregate care caseloads, opioid abuse rates estimated by HHS in June 2016, variation in child welfare administration systems (i.e., state- versus county- administered), and geographic location. Interviews were conducted during in-person site visits in California and Indiana and via phone in Georgia. We used semi-structured interview protocols for child welfare agencies, private providers, and foster parents that included open-ended questions on the strategies and challenges in recruiting and retaining foster families and federal supports in this area, among other topics. We interviewed officials from state-level child welfare agencies in each of these states. In California, the only selected state with a county-administered child welfare system, we selected three counties\u2014 Los Angeles, Sacramento, and Sonoma\u2014and conducted interviews with officials from the respective county-level child welfare agency. These counties were selected based on factors similar to those mentioned above as well as variation in population density (i.e., rural versus urban).", "In addition, we interviewed 14 private providers in the three selected states, including 3 private providers in California (1 in each county we visited), 4 in Georgia, and 7 in Indiana. Private providers were chosen for interviews from a list of all private providers working with state child welfare agencies to recruit foster families. This list was provided by child welfare officials from each selected state. We considered factors such as the number of foster families private providers worked with, their involvement in recruiting families who provide therapeutic foster care services, and geographic location.", "We interviewed foster parents working with 8 of the private providers mentioned above, including 2 groups of foster parents in California, 1 group in Georgia, and 5 groups in Indiana. Each of these groups included between one and three sets of foster parents (e.g., one foster parent or a couple). Due to the sensitivity of the topics discussed, we worked with private providers to identify foster parents who were able and willing to participate in interviews. We discussed several considerations for selecting foster parents, such as gathering parents with a range of experience providing foster care services to children in both traditional and therapeutic foster care settings. Because foster parents we interviewed self-selected to participate and were all working with private providers we interviewed, their views do not represent the views of all foster parents, such as those working directly with child welfare agencies. We also reviewed relevant documents that corroborated the information obtained in our interviews with child welfare agencies and private providers, such as recruitment plans, marketing materials, and child placement reports.", "Because we conducted interviews with a non-generalizable sample of child welfare officials, private providers, and foster parents, the information gathered in the three selected states is not generalizable. Although not generalizable, our selection methodologies provide illustrative examples to support our findings."], "subsections": []}, {"section_title": "Discussion Groups", "paragraphs": ["To obtain information specifically about efforts to recruit and retain families who provide therapeutic foster care services, we conducted three discussion groups at a conference hosted by the Family Focused Treatment Association, a non-profit organization that aims to develop, promote, and support therapeutic foster care services. The conference was held in July 2017 in Chicago, Illinois. We held two discussion groups with representatives from 17 private providers and one discussion group with eight sets of foster parents. To solicit participants, we used email to invite all individuals who registered for the conference to participate in our discussion groups. These emails explained our objectives and potential discussion topics related to recruiting and retaining therapeutic foster care families. Participants who volunteered were sorted into the three groups. Discussion groups for private providers and foster parents were guided by a GAO moderator using semi-structured interview protocols. These protocols included open-ended questions that encouraged participants to share their thoughts and experiences on recruiting and retaining therapeutic foster care families, including strategies and challenges in these efforts, as well as differences in providing therapeutic versus traditional foster care services.", "Discussion groups are not designed to (1) demonstrate the extent of a problem or to generalize results to a larger population, (2) develop a consensus to arrive at an agreed-upon plan or make decisions about what actions to take, or (3) provide statistically representative samples or reliable quantitative estimates. Instead, they are intended to generate in- depth information about the reasons for participants\u2019 attitudes on specific topics and to offer insights into their concerns about and support for an issue. For these reasons, and because discussion group participants were self-selected volunteers, the results of our discussion groups are not generalizable.", "We conducted this performance audit from January 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}]}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, the following staff members made key contributions to this report: Elizabeth Morrison (Assistant Director); Nhi Nguyen (Analyst-in-Charge); Luqman Abdullah; Laura Gibbons; and Elizabeth Hartjes. Also contributing to this report were Sarah Cornetto; Tiffany Johnson Lapuebla; Cheryl Jones; Kirsten Lauber; Serena Lo; Hannah Locke; Mimi Nguyen; Samuel Portnow; Ronni Schwartz; Almeta Spencer, and Kathleen van Gelder."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-590", "url": "https://www.gao.gov/products/GAO-18-590", "title": "Homeland Security: Clearer Roles and Responsibilities for the Office of Strategy, Policy, and Plans and Workforce Planning Would Enhance Its Effectiveness", "published_date": "2018-09-19T00:00:00", "released_date": "2018-09-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO has designated DHS management as high risk because of challenges in building a cohesive department. PLCY supports cohesiveness by, among other things, coordinating departmentwide policy and strategy. In the past, however, questions have been raised about PLCY's efficacy. In December 2016, the NDAA codified PLCY's organizational structure, roles, and responsibilities.", "GAO was asked to evaluate PLCY's effectiveness. This report addresses the extent to which (1) DHS established an organizational structure and processes and procedures that position PLCY to be effective, (2) DHS and PLCY have ensured alignment of workforce with priorities, and (3) PLCY has engaged relevant component staff to help identify and respond to emerging needs. GAO analyzed the NDAA, documents describing specific responsibilities, and departmentwide policies and strategies. GAO also interviewed officials in PLCY and all eight operational components."]}, {"section_title": "What GAO Found", "paragraphs": ["According to our analysis and interviews with operational components, the Department of Homeland Security's (DHS) Office of Strategy, Policy, and Plans' (PLCY) organizational structure and efforts to lead and coordinate departmentwide and crosscutting strategies\u2014a key organizational objective\u2013have been effective. For example, PLCY's coordination efforts for a strategy and policy executive steering committee have been successful, particularly for strategies. However, PLCY has encountered challenges leading and coordinating efforts to develop, update, or harmonize policies that affect multiple DHS components. In large part, these challenges are because DHS does not have clearly-defined roles and responsibilities with accompanying processes and procedures to help PLCY lead and coordinate policy in a predictable, repeatable, and accountable manner. Until PLCY's roles and responsibilities for policy are more clearly defined and corresponding processes and procedures are in place, situations where the lack of clarity hampers PLCY's effectiveness in driving policy are likely to continue. Development of a delegation of authority, which involves reaching agreement about PLCY's roles and responsibilities and clearly documenting them, had been underway. However, it stalled due to changes in department leadership. As of May 2018, the effort had been revived, but it is not clear whether and when DHS will finalize it.", "PLCY does some workforce planning as part of its annual budgeting process, but does not systematically apply key principles of the DHS Workforce Planning Guide to help ensure that PLCY's workforce aligns with its and DHS's priorities and goals. According to PLCY officials, the nature of its mission requires a flexible staffing approach. As such, a portion of the staff functions as generalists who can be assigned to meet the needs of different situations, including unexpected changing priorities due to an emerging need. However, shifting short-term priorities requires tradeoffs, which may divert attention and resources from longer-term priorities. As of June 5, 2018, PLCY also had a number of vacancies in key leadership positions, which further limited attention to certain priorities. According to PLCY officials, PLCY recently began a review to identify the office's authorities in the National Defense Authorization Act for Fiscal Year 2017 (NDAA) and other statutes, compare these authorities to the current organization and operations, and address any workforce capacity gaps. Employing workforce planning principles\u2014in particular, systematic identification of workforce demand, capacity gaps, and strategies to address them\u2014consistent with the DHS Workforce Planning Guide could better position PLCY to use its workforce as effectively as possible under uncertain conditions and to communicate effectively with DHS leadership about tradeoffs.", "Officials from PLCY and DHS operational components praised existing mechanisms to coordinate and communicate at the senior level, especially about strategy, but component officials identified opportunities to better connect PLCY and component staff to improve communication flow about emerging policy and strategy needs. Among the ideas offered by component officials to enhance communication and collaboration were holding routine small-group meetings, creating forums for periodic knowledge sharing, and maintaining accurate and up-to-date contact information for all staff-level stakeholders."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations. DHS concurred with three recommendations, including that DHS finalize a delegation of authority defining PLCY's roles and responsibilities and develop corresponding processes and procedures. DHS did not concur with a recommendation to apply the DHS Workforce Planning Guide to identify and communicate workforce needs. GAO believes this recommendation is valid as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security (DHS) was established by the Homeland Security Act of 2002 and began operations in 2003. That year, we designated implementing and transforming DHS as high risk because DHS had to transform 22 agencies\u2014several with major management challenges\u2014into one department. Further, failure to effectively address DHS\u2019s management and mission risks could have serious consequences for U.S. national and economic security. Given the significant effort required to build and integrate a department as large and complex as DHS, our initial high-risk designation addressed the department\u2019s implementation and transformation efforts to include associated management and programmatic challenges. We reported that the creation of DHS was an enormous undertaking and successfully transforming large organizations, even those undertaking less strenuous reorganizations, could take years to implement. Over the past 15 years, the focus of this high-risk area has evolved in tandem with DHS\u2019s maturation and evolution. The overriding tenet has consistently remained DHS\u2019s ability to build a single, cohesive, and effective department that is greater than the sum of its parts\u2014a goal that requires effective collaboration and integration of its various components and management functions.", "DHS\u2019s Office of Strategy, Policy, and Plans (PLCY) is responsible for some of these management functions, including developing and coordinating departmentwide policies and strategies, conducting analyses for senior leadership, and supporting the Secretary\u2019s initiatives. For example, PLCY develops and disseminates departmentwide policies in the form of directives and instructions, strategy documents required by statute, operational plans, and reports for Congress. The National Defense Authorization Act for Fiscal Year 2017 (NDAA), enacted in December 2016, established PLCY in statute. Although largely consistent with the roles and responsibilities of DHS\u2019s Office of Policy, as PLCY was named before enactment of the NDAA, implementation of the act required organizational changes designed to respond to certain challenges the office had identified as barriers to its ability to perform effectively.", "For a number of years, questions have been raised about the office\u2019s efficacy and engagement with key stakeholders, like the DHS operational components. For example, we have reported on challenges related to obtaining stakeholder feedback under the office\u2019s leadership of the 2010 and 2014 Quadrennial Homeland Security Reviews (QHSR). We have also reported on opportunities for select components of the office\u2014the Screening Coordination Office and the Office of International Affairs\u2014to implement better management controls to help enhance monitoring and accountability for their respective missions. DHS agreed with all of our recommendations in those prior reports.", "In light of past concerns about efficacy and the recent statutory changes, you asked us to review how PLCY is contributing to efforts to build a single, cohesive department by driving departmentwide and crosscutting strategy and policy. This report addresses the extent to which (1) DHS has established an organizational structure and processes and procedures that position PLCY to achieve its organizational objectives, (2) DHS and PLCY have ensured that PLCY\u2019s workforce is aligned with PLCY\u2019s and DHS\u2019s priorities and goals, and (3) PLCY has effectively engaged across the operational components to identify and respond to emerging policy and strategy needs.", "To address all three objectives, we analyzed key documents and interviewed officials from PLCY and other DHS offices, including officials responsible for policy, strategy, and plan development and implementation at all eight of DHS\u2019s operational components. Specifically, to better understand the roles and responsibilities of PLCY, DHS\u2019s eight operational components, and other offices at DHS, we reviewed the NDAA and analyzed documents, such as departmental directives that describe what is required and expected of each office. In addition, we interviewed officials from PLCY to understand its roles and responsibilities, workforce planning practices, and collaboration with DHS operational components.", "Furthermore, we interviewed officials from DHS\u2019s Office of the Under Secretary for Management to understand the differences between PLCY\u2019s roles and responsibilities and those of the Office of the Under Secretary for Management, who oversees all internal management operations and oversight of management functions for components at DHS headquarters. To further understand PLCY\u2019s engagement with DHS operational components as well as their perspectives on PLCY\u2019s roles and responsibilities, we conducted both unstructured and structured interviews with each of DHS\u2019s eight operational components. For the structured interviews, we developed a questionnaire that we tested internally before administering it to DHS officials. At the structured interviews, we asked officials at each operational component the same questions in the same order to ensure we collected information consistently and reliably across the different respondents. We compared our findings to Standards for Internal Control in the Federal Government, leading collaboration practices identified in our prior work, and the DHS Workforce Planning Guide to determine the extent to which PLCY is able to achieve its goals given its organizational structure, workforce planning, and communication and collaboration with operational components.", "We conducted this performance audit from July 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "PLCY Organizational Structure and Vacancies", "paragraphs": ["With the passage of the NDAA in December 2016, PLCY is to be led by an Under Secretary for Strategy, Policy, and Plans, who is appointed by the President with advice and consent of the Senate. The Under Secretary is to report directly to the Secretary of Homeland Security. Prior to the NDAA, the office was headed by an assistant secretary. Since the passage of the act, the undersecretary position has been vacant, and as of June 5, 2018, the President had not nominated an individual to fill the position. According to PLCY officials, elevating the head of the office to an undersecretary was important because it equalizes PLCY with other DHS management offices and DHS headquarters components. The NDAA further authorizes, but does not require, the Secretary to establish a position of deputy undersecretary within PLCY. If the position is established, the NDAA provides that the Secretary may appoint a career employee to the position (i.e., not a political appointee). In March 2018, the Secretary named a Deputy Under Secretary, who has been performing the duties of the Deputy Under Secretary and the Under Secretary since then. As shown in figure 1, PLCY is divided into five sub- offices, each with a different focus area.", "As of June 5, 2018, the top position in these sub-offices was an assistant secretary and two of the five positions were vacant. As of June 5, 2018, 6 of PLCY\u2019s 12 deputy assistant secretary positions were vacant or filled by acting staff temporarily performing the duties in the absence of permanent staff placement."], "subsections": []}, {"section_title": "PLCY\u2019s Policy and Strategy Responsibilities, and Strategic Priorities", "paragraphs": ["The NDAA codified many of the functions and responsibilities that PLCY had been carrying out prior to the act\u2019s enactment and, with a few exceptions as discussed later in this report, were largely consistent with the duties the office was already pursuing. According to the act and PLCY officials, one of the office\u2019s fundamental responsibilities is to lead, conduct, and coordinate departmentwide policy development and implementation, and strategic planning. According to PLCY officials, there are four categories of policy and strategy efforts that PLCY leads, conducts, or coordinates:", "Statutory responsibilities: among others, the Homeland Security Act, as amended by the NDAA, includes such responsibilities as establishing standards of validity and reliability for statistical data collected by the department, conducting or overseeing analysis and reporting of such data, and maintaining all immigration statistical information of U.S. Customs and Border Protection, U.S. Immigration and Customs Enforcement, and U.S. Citizenship and Immigration Services; the Immigration and Nationality Act includes such responsibilities as providing for a system for collection and dissemination to Congress and the public of information useful in evaluating the social, economic, environmental, and demographic impact of immigration laws, and reporting annually on trends in lawful immigration flows, naturalizations, and enforcement actions,", "Representing DHS in interagency efforts: coordinating or representing departmental policy and strategy positions for larger interagency efforts (e.g., interagency policy committees convened by the White House),", "Secretary\u2019s priorities: leading or coordinating efforts that correspond to the Secretary of Homeland Security\u2019s priorities (e.g., certain immigration or law-enforcement related issues), and", "Self-initiated activities: opportunities to better harmonize policy and strategy or create additional efficiencies given PLCY\u2019s ability to see across the department. For example, PLCY officials said that DHS observed an increase in e-commerce and small businesses shipping items via carriers other than the U.S. Postal Service, thus exploiting a gap in DHS monitoring, which covers the U.S. Postal Service and other traditional shipping entities. PLCY officials noted that DHS\u2019s interest in addressing e-commerce issues occurred just before opioids and other controlled substances were being mailed through small businesses and the U.S. Postal Service. As a result, PLCY developed an e-commerce strategy for, among other things, the shipping of illegal items and how to provide information to U.S. Customs and Border Protection before parcels are shipped to the United States from abroad.", "In accordance with the NDAA, as PLCY leads, conducts, and coordinates policy and strategy, it is to do so in a manner that promotes and ensures quality, consistency, and integration across DHS and applies risk-based analysis and planning to departmentwide strategic planning efforts. The NDAA further provides that all component heads are to coordinate with PLCY when establishing or modifying policies or strategic planning guidance to ensure consistency with DHS\u2019s policy priorities. In addition to the roles PLCY plays that are directly related to leading, conducting, and coordinating policy and strategy, the office is responsible for select operational functions. For example, PLCY is charged with operating the REAL ID and Visa Waiver Programs.", "The NDAA also conferred responsibilities to PLCY that had not been responsibilities of the DHS Office of Policy prior to the NDAA\u2019s enactment. Among other things, the NDAA charged PLCY with responsibility for establishing standards of reliability and validity for statistical data collected and analyzed by the department, and ensuring the accuracy of metrics and statistical data provided to Congress. In conferring this responsibility, the act also transferred to PLCY the maintenance of all immigration statistical information of the U.S. Customs and Border Protection, U.S. Immigration and Customs Enforcement, and U.S. Citizenship and Immigration Services.", "PLCY has established five performance goals: build departmental policy-making capacity, coordination, and foster the Unity of Effort, mature the office as a mission-oriented, component-focused organization that is responsive to DHS leadership, effectively engage and leverage stakeholders, enhance productivity and effectiveness of policy personnel through appropriate alignment of knowledge, skills, and abilities, and accountability, transparency, and leadership.", "PLCY officials stated that the office established the performance goals in fiscal year 2015 and they were still in effect as of fiscal year 2018."], "subsections": []}, {"section_title": "Homeland Security Crosscutting Missions and Functions", "paragraphs": ["As previously discussed, DHS has eight operational components. DHS also has six support components. Although each one has a distinct role to play in helping to secure the homeland, there are operational and support functions that cut across mission areas. For example, nearly every operational component has, as part of its security operations, a need for screening, vetting, and credentialing procedures and risk- targeting mechanisms. Likewise, nearly all operational components have some form of international engagement, deploying staff abroad to help secure the homeland before threats reach U.S. borders. Finally, as shown in figure 2, different aspects of broad mission areas fall under the purview of more than one DHS operational component."], "subsections": []}, {"section_title": "Key Departmentwide and Crosscutting Strategic Efforts", "paragraphs": ["PLCY is responsible for coordinating three key DHS strategic efforts: the QHSR, the DHS Strategic Plan, and the Resource Planning Guidance.", "The QHSR is a comprehensive examination of the homeland security strategy of the nation that is to occur every 4 years and include recommendations regarding the long-term strategy and priorities for homeland security of the nation and guidance on the programs, assets, capabilities, budget, policies, and authorities of DHS. The QHSR is to be conducted in consultation with the heads of other federal agencies, key DHS officials (including the Under Secretary, PLCY), and key officials from other relevant governmental and nongovernmental entities.", "The DHS Strategic Plan describes how DHS can accomplish the missions it identifies in the QHSR report, identifies high-priority mission areas within DHS, and lays the foundation for DHS to accomplish its Unity of Effort Initiative as well as various cross-agency priority goals in the strategic plan, such as cybersecurity.", "The Resource Planning Guidance describes DHS\u2019s annual resource allocation process in order to execute the missions and goals of the QHSR and DHS Strategic Plan. The Resource Planning Guidance contains guidance over a 5-year period and informs several forward- looking reports to Congress, including the annual fiscal year Congressional Budget Justification as well as the Future Years Homeland Security Program Report."], "subsections": []}]}, {"section_title": "PLCY Has Effectively Coordinated Intradepartmental Strategy Efforts, but Ambiguous Roles and Responsibilities Have Limited PLCY\u2019s Effectiveness in Coordinating Policy", "paragraphs": ["Although PLCY has effectively carried out key coordination functions at the senior level related to strategy, PLCY\u2019s ability to lead and coordinate policy have been limited due to ambiguous roles and responsibilities and a lack of predictable, accountable, and repeatable procedures."], "subsections": [{"section_title": "PLCY Has Effectively Conducted Key Coordination Functions at the Senior Level", "paragraphs": ["According to our analysis and interviews with operational components, PLCY\u2019s efforts to lead and coordinate departmentwide and crosscutting strategies\u2014a key organizational objective\u2014have been effective in providing opportunities for all relevant stakeholders to learn about and contribute to departmentwide or crosscutting strategy development. In this role, PLCY routinely serves as the executive agent for the Deputies Management Action Group and the Senior Leaders Council, which involve analytical and coordination support. PLCY also provides support for deputy- and principal-level decision making. For example, the Strategy and Policy Executive Steering Committee (S&P ESC) meetings have been used to discuss components\u2019 implementation plans for crosscutting strategies, PLCY\u2019s requests for information from components for an upcoming strategy, and updates on departmentwide strategic planning initiatives. According to PLCY and operational component officials, PLCY also provides leadership for the Resource Planning Guidance and Winter Studies, both of which help inform departmentwide resource decision- making. For example, officials from one operational component stated that PLCY\u2019s leadership of the Resource Planning Guidance is a helpful practice for coordination and collaboration on departmentwide or crosscutting strategies. The officials stated that PLCY reaches out to ensure that the component is covering the Secretary\u2019s priorities and this helps the component to ensure that its budget includes them. Furthermore, PLCY develops and coordinates policy options and opinions for the Secretary to present at the National Security Council and other White House-level meetings. For example, PLCY officials told us that, in light of allegations of Russian involvement in using poisonous nerve agents on two civilians in Great Britain, PLCY coordinated the collection of information to develop a policy recommendation for the Secretary to present at a National Security Council meeting."], "subsections": []}, {"section_title": "Ambiguity in Roles and Responsibilities and a Lack of Predictable, Repeatable, and Accountable Procedures Have Limited PLCY\u2019s Ability to Lead and Coordinate Policy", "paragraphs": ["PLCY has encountered challenges leading and coordinating efforts to develop, update, or harmonize policy\u2014also a key organizational objective\u2014because it does not have clearly-defined roles, responsibilities, and mechanisms to implement these responsibilities in a predictable, repeatable, and accountable way. Standards for Internal Control in the Federal Government states that management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. As such, an organization\u2019s management should develop an organizational structure with an understanding of the overall responsibilities and assign these responsibilities to discrete units to enable the organization to operate in an efficient and effective manner. An organization\u2019s management should also implement control activities through policies. It is important that an organization\u2019s management document and define policies and communicate those policies and procedures to personnel, so they can implement control activities for their assigned responsibilities. In addition, leading collaboration practices we have identified in our prior work include defining and articulating a common outcome, clarifying roles and responsibilities, and establishing mutually-reinforcing or joint strategies to enhance and sustain collaboration, such as the work that PLCY and the components need to do together to ensure that departmentwide and crosscutting policy is effective for all relevant parties.", "According to PLCY officials, in general, PLCY is responsible for leading the development of a policy when it crosses multiple components or if there is a national implication, including White House interest in the policy. However, PLCY officials acknowledged that this practice does not always make them the lead and there are no established criteria that define the circumstances under which PLCY (or another organizational unit) should lead development of policies that cut across organizational boundaries. PLCY officials said the lead entity for a policy is often announced in an email from the Secretary\u2019s office, on a case-by-case basis. According to PLCY officials, once components have been assigned responsibility for a policy, they have generally tended to retain it, and PLCY may not have oversight for crosscutting policies that are maintained by operational components. Therefore, there is no established, coordinated system of oversight to periodically monitor the need for policy harmonization, revision, or rescission.", "In the absence of clear roles and responsibilities, and processes and procedures to support them, PLCY and officials in 5 of the 8 components have encountered challenges in coordinating with each other. Although PLCY and most component officials we interviewed described overall positive experiences in coordinating with each other, we identified multiple instances of (1) confusion about which parties should lead and engage in policy efforts, (2) not engaging components at the right times, (3) incompatible expectations around timelines, and (4) uncertainty about PLCY\u2019s role and the extent to which it can and should identify and drive policy in support of a more cohesive DHS.", "Confusion about who should lead and engage. Officials from one operational component told us that they were tasked with leading a departmentwide policy development effort they believed was outside their area of responsibility and expertise. Officials in another operational component stated that components sometimes end up coordinating among themselves, but that policy development could be more effective and efficient if PLCY took the role of convener and facilitator to ensure the departmentwide perspective is present and all relevant stakeholders participate. Officials from a third component stated that they spent significant time and resources to develop a policy directly related to their component\u2019s mission. As the component got ready to implement the policy, PLCY became aware of it and asked the component to stop working on the policy, so PLCY could develop a departmentwide policy. According to component officials, while they were supportive of a departmentwide policy, PLCY\u2019s timing delayed implementation of the policy the component had developed and wasted the resources it had invested. Moreover, officials from four operational components told us that sometimes counselors from outside PLCY, such as the Secretary\u2019s office, have led policy efforts that seem like they should be PLCY\u2019s responsibility, which created more confusion about what PLCY\u2019s ongoing role should be. PLCY officials agreed that, at times, it has been challenging to define PLCY\u2019s role relative to counselors for the Secretary, and acknowledged that clear guidance to define who is leading which types of policy development and coordination would be helpful.", "Not engaging components at the right times. Officials from 5 of 8 operational components told us that they had not always been engaged at the right times by PLCY in departmentwide or crosscutting policies that affected their missions. For example, officials from an operational component described a crosscutting policy that had significant implications for some of its key operational resources, but the component was not made aware of the policy until it was about to be presented at the White House. Officials from another component stated that they learned of a new policy after it was in place and had to find significant training and software resources to implement it even though they viewed the policy as unnecessary for their mission. PLCY officials stated that, while they intend to identify all components that should be involved in a policy, there are times when PLCY is unaware a component is developing a policy that affects other components. PLCY officials said they will involve other components when PLCY becomes aware that a component is developing such a policy. PLCY officials stated that it would be helpful to have a process and procedures for cross-component coordination on policies to help guide engagement regardless of who is developing the policy.", "Incompatible expectations around timelines. Officials at 4 of 8 operational components stated that short timelines from PLCY to provide input and feedback can prevent PLCY from obtaining thoughtful and complete information from components. For example, officials from one component stated that PLCY asked them to perform an analysis that would inform major, departmental decision-making and quickly provide the analysis. Component officials told us that they did not understand why PLCY needed the analysis on such an accelerated timeline, which seemed inappropriate given the level of importance and purpose of the analysis. Officials from another component told us that PLCY had not always provided enough time to provide thoughtful feedback; therefore, component officials were not sure if PLCY really wanted their feedback. Officials from a third component stated that sometimes PLCY did not provide sufficient time for thoughtful input or feedback that had cleared the component\u2019s legal review, so component officials elected to miss PLCY\u2019s deadline and provide late feedback. PLCY officials told us that, frequently, timelines are not within their control, a situation that some component officials also noted during our interviews with them. However, PLCY officials agreed that a documented, predictable, and repeatable process and procedures for policies may help ensure PLCY provides sufficient comment time when in its control and may provide a basis to help negotiate timelines with DHS leadership in other situations. PLCY officials stated that, even with a documented process and procedures, there would still be circumstances when short timelines are unavoidable.", "Uncertainty about PLCY\u2019s role in driving policy harmonization. Policy officials at 6 of 8 operational components told us that they were unsure or not aware of PLCY\u2019s role in harmonizing policy across the department, and stated a desire for PLCY to be more involved in harmonizing or enhancing departmentwide and crosscutting policy or for greater clarity about PLCY\u2019s responsibility to play this role. As previously discussed, PLCY\u2019s policy and strategy efforts fall into four categories\u2014statutory responsibilities, interagency efforts, Secretary\u2019s priorities, and self- initiated activities; these activities include efforts to better harmonize policies and strategies. According to PLCY officials, the category with the lowest priority is self-initiated activities. PLCY officials stated that PLCY makes tradeoffs and rarely chooses to work on self-initiated projects over its other three categories of effort. According to the officials, PLCY\u2019s work on the other three higher-priority categories is sufficient to ensure that the office is effectively leading, conducting, and coordinating strategy and policy across the department. Given its organizational position and strategic priorities, PLCY is uniquely situated to identify opportunities to better harmonize or enhance departmentwide and crosscutting policy, a role that is in line with its strategic priority to build departmental policymaking capacity and foster Unity of Effort. In the absence of clear articulation of the department\u2019s expectations for PLCY in this role, it is difficult for PLCY and DHS leadership to make completely informed and deliberate decisions about the tradeoffs they make across any available resources."], "subsections": []}, {"section_title": "Past Efforts to Define and Codify PLCY\u2019s Roles and Responsibilities in a Delegation of Authority Remain Incomplete", "paragraphs": ["In addition to statutory authority that PLCY received in the NDAA, PLCY officials stated that a separate, clear delegation of authority\u2014a mechanism by which the Secretary delegates responsibilities to other organizational units within DHS\u2014is needed to help confront the ambiguous roles it has experienced in the past. PLCY officials stated that past efforts to finalize a delegation of authority have stalled during leadership changes and that the initiative has been a lower priority, in part, due to where PLCY is in its maturation process and DHS is in its evolution into a more cohesive department under the Unity of Effort. As of May 2018, the effort had been revived, but it is not clear whether and when DHS will finalize it.", "According to a senior official in the Office of the Under Secretary for Management, a delegation of authority is important for PLCY. He described the creation of a delegation of authority as a process that does more than simply delegate the Secretary\u2019s authority. He noted that defining PLCY\u2019s roles and responsibilities in relation to other organizational units presents an opportunity to engage all relevant components and agree on appropriate roles. He said that, earlier in the organizational life of the Office of the Under Secretary for Management, it went through a process like this, which has been vital in it being able to carry out its mission. He said now that PLCY has a deputy undersecretary in place, this is a good time to restart the process to develop the delegation of authority. Until the delegation or a similar process clearly and fully articulates PLCY\u2019s roles and responsibilities, PLCY and the operational components are likely to continue to experience limitations in collaboration on crosscutting and departmentwide policy."], "subsections": []}]}, {"section_title": "PLCY Identifies Workforce Needs during the Annual Budget Cycle, but Could Apply DHS Workforce Planning Guidance to Better Identify and Communicate Resource Needs", "paragraphs": ["PLCY determines its workforce needs through the annual budget process, but systematic identification of workforce demand, capacity gaps, and strategies to address them could help ensure that PLCY\u2019s workforce aligns with its and DHS\u2019s priorities and goals."], "subsections": [{"section_title": "PLCY Uses the Annual Budget Cycle to Determine Workforce Needs and Requires Flexibility in Staffing", "paragraphs": ["To determine its workforce needs each year, PLCY officials told us that, as part of the annual budget cycle, they work with PLCY staff and operational components to determine the scope of activities required for each PLCY area of responsibility and the associated staffing needs. PLCY officials said there are three skill sets needed to carry out the office\u2019s responsibilities: policy analysis, social science analysis, and regional affairs analysis. PLCY officials explained that the office\u2019s priorities can change rapidly as events occur and the Secretary\u2019s and administration\u2019s priorities shift. Therefore, according to PLCY officials, their staffing model must be flexible. They said that, rather than a defined system of full-time equivalents with set position types and levels, PLCY officials start with their budget allotment and consider current and potential emerging needs to set position types and levels, which may fluctuate significantly from year to year. In addition, PLCY officials stated that PLCY staff are primarily generalists and, given the versatility in skill sets of their workforce, PLCY has a lot of flexibility to move staff around if there is an emerging need. For example, if there is an emerging law enforcement issue that affects all law enforcement agencies, PLCY may be tasked with developing a policy to ensure the issue is addressed quickly and that the resulting policy is harmonized across the department and with other law enforcement agencies, such as the Department of Justice."], "subsections": []}, {"section_title": "PLCY Has Not Used DHS\u2019s Workforce Planning Guide to Analyze Workforce Gaps or Communicate Tradeoffs to DHS Management to Ensure Alignment with DHS Priorities", "paragraphs": ["While PLCY completes some workforce planning activities as part of its annual budgeting process, PLCY does not systematically address several aspects of the DHS Workforce Planning Guide that may create more efficient operations and greater alignment with DHS priorities. According to the DHS Workforce Planning Guide, workforce planning is a process that ensures the right number of people with the right skills are in the right jobs at the right time for DHS to achieve the mission. This process provides a framework to: align workforce planning to the department\u2019s mission and goals, predict, then assess how evolving missions, new processes, or environmental conditions may impact the way that work will be performed at DHS in the future, identify gaps in capacity, develop and implement strategies and action plans to address capacity and capability gaps, and continuously monitor the effectiveness of action plans and modify, as necessary.", "The DHS Workforce Planning Guide stipulates that an organization\u2019s management should not only lead and show support during the workforce planning process, but ensure alignment with the strategic direction of the agency. Moreover, Standards for Internal Control in the Federal Government states that management should use quality information to achieve the entity\u2019s objectives. For example, management uses an entity\u2019s operational processes to make informed decisions and evaluate the entity\u2019s performance in achieving key agency objectives.", "According to PLCY officials, the current staffing paradigm involves shifting the office\u2019s staff when new and urgent issues arise from the Secretary or White House, and adding these unexpected tasks to staff\u2019s existing responsibilities. However, this means that tradeoffs are made, resulting in some priority items taking longer to address or not getting attention at all. PLCY officials stated that they have been caught off-guard at times by changes in demands placed on PLCY and had to scramble to address the new needs.", "Additionally, PLCY officials said they have a number of vacancies, which hamper the office\u2019s ability to meet certain aspects of its mission. For example, PLCY\u2019s Office of Cyber, Infrastructure, and Resilience was created in 2015. According to PLCY officials, PLCY has had some resources to address cyber issues, however, there has not been funding to staff this office and an assistant secretary has not been appointed to lead it. Therefore, PLCY officials stated that PLCY has not been able to address its responsibilities for infrastructure resilience.", "Similarly, PLCY has limited capacity for risk analysis. A provision of the NDAA provides that PLCY is to: develop and coordinate strategic plans and long-term goals of the department with risk-based analysis and planning to improve operational mission effectiveness, including consultation with the Secretary regarding the quadrennial homeland security review under section 707 [6 U.S.C. \u00a7 347].", "However, PLCY officials acknowledged that their focus on identifying needs for risk analyses and conducting them has been limited, in part, because DHS disbanded the risk management office.", "Officials from one component told us that they contribute to a report that PLCY coordinates, called Homeland Security National Risk Characteristics, which is prepared as a precursor to the DHS Strategic Plan. PLCY officials stated that, outside of these foundational documents and some risk-based analyses completed as part of specific policy development efforts, PLCY does not have the capacity to complete any additional risk analysis activities.", "Although PLCY officials said they conduct some analysis of potential demands as a starting point for how to allocate PLCY\u2019s annual staffing budget, these efforts are largely informal and internal and have not resulted in a systematic analysis that provides PLCY and DHS management with the information they need to understand the effects of resource tradeoffs. Also, PLCY officials said they track accomplishments toward PLCY\u2019s strategic priorities as part of a weekly meeting and report, however, officials acknowledged they do not analyze what role workforce decisions have played in achieving or not achieving strategic priorities. Moreover, although PLCY officials stated that they have intermittent, in- person, informal communication about resource use, they have not used the principles outlined in the DHS Workforce Planning Guide to systematically identify and communicate workforce demands, capacity gaps, and strategies to address workforce issues. According to PLCY officials, they have not conducted such analysis, in part, because the Secretary\u2019s office has not requested it of them or the other DHS offices that are funded in the same part of the DHS budget. Regardless of whether the Secretary expects workforce analysis as part of the budgeting process, the DHS Workforce Planning Guide could be used within and outside of the budgeting process to help inform resource decision making throughout the year.", "PLCY officials stated that at the PLCY Deputy Under Secretary\u2019s initiative, they recently began a review of all relevant statutory authorities, which they will map against the current organizational structure and day- to-day operations. The Deputy Under Secretary plans to use the results of the review to enhance PLCY\u2019s efficiency and effectiveness, and the results could serve as a foundation for a more holistic and systematic analysis of workforce demand, any capacity gaps, and strategies to address them. Employing workforce planning principles\u2014in particular, systematic identification of workforce demand, capacity gaps, and strategies to address them\u2014consistent with the DHS Workforce Planning Guide could better position PLCY to use its workforce as effectively as possible under uncertain conditions. Moreover, using the DHS guide would help PLCY to systematically communicate information about any workforce gaps to DHS leadership, so there is transparency about how workforce tradeoffs affect PLCY\u2019s ability to support DHS goals."], "subsections": []}]}, {"section_title": "Additional External Communication Practices Could Enhance PLCY\u2019s Collaboration with DHS Stakeholders", "paragraphs": ["As discussed earlier, officials from PLCY and DHS operational components praised existing mechanisms to coordinate and communicate at the senior level, especially about strategy. However, component officials identified opportunities for PLCY to better connect at the staff level to identify and respond to emerging policy and strategy needs. Leading practices for collaboration that we have identified in our prior work state that it is important to ensure that all relevant participants have been included in a collaborative effort, and positive working relationships among participants from different agencies or offices can bridge organizational cultures. These relationships build trust and foster communication, which facilitate collaboration.", "Also, as previously stated, PLCY has mechanisms like the S&P ESC to communicate and coordinate with operational components and other DHS stakeholders at the senior level (e.g., Senior Executive Service officials). However, PLCY does not have a mechanism to effectively engage in routine communication and collaboration at the staff level (e.g., program and policy specialists working at operational components to oversee or implement policy and strategy functions). Specifically, officials with responsibility for policy and strategy at 6 of 8 operational components told us that they did not have regular contact with or know who to contact at PLCY for questions about policies or strategies, or that the reason they knew who to contact was because of existing working relationships, not because of efforts PLCY had undertaken to facilitate such contacts. In addition, some component officials noted that, when they tried to use the PLCY website to coordinate, they found it to be out of date and lacking sufficient information. PLCY officials acknowledged that the website needs improvement. They stated that the office has developed improved content for the website, but does not have the necessary staff to update the website. According to the officials, the needed staff should be hired soon and improved content should be on the website by the end of summer 2018.", "Although officials at 5 of the 8 operational components we interviewed stated that the quality of PLCY\u2019s coordination and collaboration has improved in the past 2 years or so, component officials offered several suggestions to enhance PLCY\u2019s coordination and collaboration, especially at the staff level. Among these were: conduct routine information sharing meetings with staff-level officials who have policy and strategy responsibilities at each operational component, clearly articulate points of contact, their contact information, and their portfolios at PLCY as well as at other policy and strategy stakeholders, ensure the PLCY website is up-to-date with contact information for PLCY and components that work in strategy and policy areas, and with relevant information about crosscutting strategy and policy initiatives underway, host a forum\u2014such as an annual conference\u2014to bring together policy and strategy officials from PLCY and DHS components to share ideas and make contacts, and prepare a standard briefing for component officials with strategy and policy responsibilities to help ensure that staff at all levels understand what PLCY does, how it works, and opportunities for engagement on emerging policy and strategy needs or identified harmonization opportunities.", "For example, officials from one component told us that they would like PLCY officials to have in-person meetings with component staff to discuss what PLCY does, who to contact in PLCY, where to find information about policies and strategies, and other relevant information to ensure a smooth working relationship between the component and PLCY.", "According to PLCY officials, the office recognizes the value of creating mechanisms to connect staff, who work on policy and strategy at all levels in DHS. PLCY officials said they have historically done a better job in coordinating at the senior level, but are interested in expanding opportunities to connect other staff with policy and strategy responsibilities. PLCY officials stated that they are considering creating a working group structure that mirrors existing organizational mechanisms to coordinate at the senior level, but have not taken steps to do so.", "Routine collaboration among PLCY, operational components, and other DHS offices at the staff level is important to ensure that PLCY is able to carry out its functions under the NDAA, including the effective coordination of policies and strategies. A positive working relationship among these stakeholders can build trust, foster communication, and facilitate collaboration. Such enhanced communication and collaboration across PLCY and among component officials with policy and strategy responsibility could help the department more quickly and completely identify emerging, crosscutting strategy and policy needs and opportunities to enhance policy harmonization."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["PLCY\u2019s efforts to lead, conduct, and coordinate departmentwide and crosscutting policies have sometimes been hampered by the lack of clearly-defined roles and responsibilities. In addition, PLCY does not have a consistent process and procedures for its strategy development and policymaking efforts. Without a delegation of authority or similar documentation from DHS leadership clearly articulating PLCY\u2019s missions, roles, and responsibilities\u2014along with defined processes and procedures to carry them out in a predictable and repeatable manner\u2014there is continuing risk that confusion and uncertainty about PLCY\u2019s authority, missions, roles, and responsibilities will limit its effectiveness.", "PLCY employs some workforce planning, but does not systematically apply key principles of the DHS Workforce Planning Guide to help predict workforce demand, and identify any workforce gaps and design strategies to address them. Without this analysis, PLCY faces limitations in ensuring that its workforce is aligned with its and DHS\u2019s priorities and goals. Moreover, the results of this analysis would better position PLCY to communicate to DHS leadership any potential tradeoffs in workforce allocation that would affect PLCY\u2019s ability to meet priorities and goals.", "PLCY could enhance its use of mechanisms for collaboration and communication with DHS stakeholders at the staff level. Implementation of additional mechanisms at the staff level for regular communication and coordination, including providing up-to-date information to stakeholders about the office, could help PLCY and operational components to better connect in order to identify and address emerging policy and strategy needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DHS: The Secretary of Homeland Security should finalize a delegation of authority or similar document that clearly defines PLCY\u2019s mission, roles, and responsibilities relative to DHS\u2019s operational and support components. (Recommendation 1)", "The Secretary of Homeland Security should create corresponding processes and procedures to help implement the mission, roles, and responsibilities defined in the delegation of authority or similar document to help ensure predictability, repeatability, and accountability in departmentwide and crosscutting strategy and policy efforts. (Recommendation 2)", "The Under Secretary for Strategy, Policy, and Plans should use the DHS Workforce Planning Guide to help identify and analyze any gaps in PLCY\u2019s workforce, design strategies to address any gaps, and communicate this information to DHS leadership. (Recommendation 3)", "The Under Secretary for Strategy, Policy, and Plans should enhance the use of collaboration and communication mechanisms to connect with staff in the components with responsibilities for policy and strategy to better identify and address emerging needs. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DHS. DHS provided written comments, which are reproduced in appendix I. DHS also provided technical comments, which we incorporated, as appropriate. DHS concurred with three of our recommendations and described actions planned to address them. DHS did not concur with one recommendation.", "Specifically, DHS did not concur with our recommendation that PLCY should use the DHS Workforce Planning Guide to help identify and analyze any gaps in PLCY\u2019s workforce, design strategies to address any gaps, and communicate this information to DHS leadership. The letter described a number of actions, including actions that are also described in the report, which PLCY takes to help ensure alignment of its staff with organizational needs. In the letter, PLCY officials pointed to the workforce activities PLCY undertakes as part of the annual budgeting cycle. We acknowledge that the actions described to predict upcoming priorities and resource needs as part of the annual budgeting cycle are in line with the DHS workforce planning principles. However, as we noted, there are opportunities to apply the workforce planning principles outside the annual budgeting cycle to provide greater visibility and awareness of resource tradeoffs to management inside PLCY and in the Secretary\u2019s office.", "In the letter, PLCY officials made note of the dynamic and changing nature of its operational environment, stating that it often required them to shift resources and priorities on a more frequent or ad hoc basis than many organizations. We acknowledged in the report that PLCY\u2019s operating environment requires it to maintain flexibility in its staffing approach. However, PLCY has a number of important duties, including helping foster Unity of Effort throughout the department and helping to ensure the availability of risk information for departmental decision making, that require longer-term, sustained attention and strategic management. During interviews, PLCY officials acknowledged that striking a balance between these needs has been difficult and at times they have faced significant struggles. The report describes some areas where, during the time we were conducting our work, it was clear that some tasks and functions, such as risk analyses, lacked the resources or focus necessary to ensure they received sustained institutional attention. It is because of PLCY\u2019s dynamic operating environment, coupled with the need for sustained institutional attention to other key responsibilities, that we recommended PLCY undertake workforce planning activities that would help generate better information for PLCY and DHS management to have full visibility and awareness of gaps and resource tradeoffs.", "Finally, the letter stated that because PLCY is a very small and flat organization, it is able to identify capacity gaps and develop action plans without obtaining all of the data collected through each recommended element, worksheet, form, and template of the model proposed in the DHS Workforce Planning Guide. We acknowledge that it would be counterproductive for PLCY to engage in data collection and analysis that are significantly more elaborate than its planning needs. Nevertheless, we continue to believe that PLCY could use the principles more robustly, outside the annual budgeting process, to help ensure that it identifies and communicates the effect that resource tradeoffs have on its ability to accomplish its multifaceted mission.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions concerning this report, please contact me at (404) 679-1875 or CurrieC@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in Appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff", "paragraphs": ["In addition to the contact named above, Kathryn Godfrey (Assistant Director), Joseph E. Dewechter (Analyst-in-Charge), Michelle Loutoo Wilson, Ricki Gaber, Dominick Dale, Thomas Lombardi, Ned Malone, David Alexander, Sarah Veale, and Michael Hansen made key contributions to this report."], "subsections": []}]}], "fastfact": ["Twenty-two agencies\u2014several with major management challenges\u2014combined to form the Department of Homeland Security in 2003. Since then, DHS has often struggled to build a cohesive, effective department, and its management has remained on our High Risk list.", "Its Office of Strategy, Policy, and Plans helps shape DHS by, for example, developing and coordinating departmentwide strategies and policies. The office has been effective with strategies, but a lack of clearly defined roles and responsibilities in DHS has hampered its efforts to develop and align policies.", "We recommended, among other things, that DHS more clearly define the office's role."]} {"id": "GAO-18-607", "url": "https://www.gao.gov/products/GAO-18-607", "title": "Medicaid: Access to Health Care for Low-Income Adults in States with and without Expanded Eligibility", "published_date": "2018-09-13T00:00:00", "released_date": "2018-10-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Under PPACA, states could choose to expand Medicaid coverage to certain uninsured, low-income adults. As of December 2017, 31 states and the District of Columbia chose to expand Medicaid to cover these adults, and 19 states did not.", "GAO was asked to provide information about the demographic characteristics of and access to health care services for low-income adults\u2014those with household incomes less than or equal to 138 percent of the federal poverty level\u2014in expansion and non-expansion states. This report describes 2016 national survey estimates of (1) the number and demographic characteristics for low-income adults who were uninsured in expansion and non-expansion states, (2) unmet medical needs for low-income adults in expansion and non-expansion states and by insurance status, (3) barriers to health care for low-income adults in expansion and non-expansion states and by insurance status, and (4) having a usual place of care and receiving selected health care services for low-income adults in expansion and non-expansion states and by insurance status.", "GAO obtained 2016 NHIS estimates from the National Center for Health Statistics (NCHS), the federal agency within the Department of Health and Human Services that maintains these survey data.", "NHIS is a household interview survey designed to be a nationally representative sample of the civilian, non-institutionalized population residing in the United States. Estimates were calculated for demographic characteristics for uninsured, low-income adults. In addition, estimates were calculated for unmet medical needs, barriers to health care, and having a usual place of care and receiving selected health services for low-income adults in expansion and non-expansion states and by insurance status The estimates were based on responses to selected survey questions. GAO selected these survey questions from the Family and Adult Access to Health Care and Utilization and another section of the 2016 NHIS.", "GAO took steps to assess the reliability of the 2016 NHIS estimates, including interviewing NCHS officials and examining the data for logical errors. GAO determined that the data were sufficiently reliable for the purposes of its analyses.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["According to the 2016 National Health Interview Survey (NHIS), an estimated 5.6 million uninsured, low-income adults\u2014those ages 19 through 64\u2014had incomes at or below the income threshold for expanded Medicaid eligibility as allowed under the Patient Protection and Affordable Care Act (PPACA). Estimates from this nationally representative survey showed that about 1.9 million of the 5.6 million uninsured, low-income adults lived in states that chose to expand Medicaid under PPACA, while the remaining 3.7 million lived in non-expansion states\u2014those that did not choose to expand Medicaid. In 2016, over half of uninsured, low-income adults were male, over half were employed, and over half had incomes less than 100 percent of the federal poverty level in both expansion and non-expansion states.", "The 2016 NHIS estimates showed that low-income adults in expansion states were less likely to report having any unmet medical needs compared with those in non-expansion states, and low-income adults who were insured were less likely to report having unmet medical needs compared with those who were uninsured. Among the low-income adults who were uninsured, those in expansion states were less likely to report having any unmet medical needs compared with those in non-expansion states.", "The 2016 NHIS estimates also showed that low-income adults in expansion states were less likely to report financial barriers to needed medical care and other types of health care, such as specialty care, compared with those in non-expansion states, and low-income adults who were insured were less likely to report financial barriers to needed medical care compared with those who were uninsured.", "Among low-income adults who were uninsured, those in expansion states were less likely to report financial barriers to needed medical care compared with those in non-expansion states.", "Finally, the 2016 NHIS estimates showed that low-income adults in expansion states were more likely to report having a usual place of care to go when sick or needing advice about their health and receiving selected health care services compared with those in non-expansion states. The estimates also showed that low-income adults who were insured were generally more likely to report having a usual place of care and receiving selected health care services compared with those who were uninsured. Among the uninsured, relatively similar percentages of low-income adults in expansion and non-expansion states reported having a usual place of care. Similarly, estimates showed that relatively similar percentages of low-income adults who were uninsured in expansion and non-expansion states reported receiving selected health care services, such as receiving a flu vaccine or a blood pressure check."]}], "report": [{"section_title": "Letter", "paragraphs": ["Historically, eligibility for Medicaid\u2014a federal-state health care financing program\u2014has been limited to certain categories of low-income individuals, including children, parents, pregnant women, and individuals who have disabilities or who are aged 65 and older. Beginning in 2014, the Patient Protection and Affordable Care Act (PPACA) gave states the option of expanding Medicaid eligibility beyond these categories to include certain adults with incomes that do not exceed 138 percent of the federal poverty level (FPL). As of December 2017, there were 31 \u201cexpansion states\u201d\u2014those states and the District of Columbia that chose to expand Medicaid eligibility\u2014and 19 \u201cnon-expansion states\u201d\u2014those that had not expanded Medicaid eligibility to this additional adult population.", "Several years have passed since PPACA gave states the option of expanding Medicaid eligibility. You asked us to provide the most recently available information on the demographic characteristics of uninsured, low-income adults, and the extent to which low-income adults are accessing health care services in two groups of states: expansion states and non-expansion states. This report describes what 2016 national survey estimates showed regarding: 1. the number and demographic characteristics for low-income adults who were uninsured in expansion and non-expansion states, 2. unmet medical needs for low-income adults in expansion and non- expansion states and by insurance status, 3. barriers to health care for low-income adults in expansion and non- expansion states and by insurance status, and 4. having a usual place of care and receiving selected health care services for low-income adults in expansion and non-expansion states and by insurance status.", "To address our research objectives, we used data from the 2016 National Health Interview Survey (NHIS), from the Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS). These data were the most recent data available when we conducted our analyses.", "To describe the number and demographic characteristics for low-income adults\u2014individuals ages 19 to 64, with incomes that did not exceed 138 percent FPL\u2014who were uninsured in expansion and non-expansion states, we requested that NCHS calculate estimates based on responses to survey questions on demographic characteristics. Responses to survey questions were calculated as an estimated percentage of the total population for three groups of low-income adults: those in expansion states, in non-expansion states, and for all states. We also requested that NCHS test for statistically significant differences between expansion states and non-expansion states. Using these estimates, we summarized the uninsured, low-income adult population by expansion states, non- expansion states, and all states combined for demographic characteristics including race and ethnicity, gender, and employment status.", "To describe unmet medical needs, barriers to health care, and having a usual place of care and receiving selected health care services for low- income adults in expansion and non-expansion states and by insurance status, we requested that NCHS also calculate estimates using the 2016 NHIS. Estimates were based on responses to selected survey questions and composite measures\u2014NCHS-developed measures based on responses to NHIS questions on related topics. We selected survey questions and their related composite measures from the Access to Health Care and Utilization and Health Behaviors sections of the 2016 NHIS. These survey questions and composite measures allowed us to summarize access to health care for low-income adults in terms of unmet medical needs, barriers to health care, and having a usual place of care and receiving selected health care services. Responses to survey questions and composite measures were calculated as an estimated percentage of the total population for eight groups of low-income adults: (1) those in expansion states, (2) those in non-expansion states, (3) those who had Medicaid in expansion states, (4) those who had Medicaid in non-expansion states, (5) those who had private health insurance in expansion states, (6) those who had private health insurance in non- expansion states, (7) those who were uninsured in expansion states, and (8) those who were uninsured in non-expansion states. We also requested that NCHS test for statistically significant differences between the groups of low-income adults, specifically: all low-income adults in expansion states compared with all low- income adults in non-expansion states; uninsured, low-income adults in expansion states compared with each of the four groups of insured, low-income adults\u2014low-income adults who had Medicaid in expansion states, low-income adults who had Medicaid in non-expansion states, low-income adults who had private health insurance in expansion states, and low-income adults who had private health insurance in non-expansion states; uninsured, low-income adults in non-expansion states compared with each of the four groups of insured, low-income adults; and uninsured, low-income adults in expansion states compared with uninsured, low-income adults in non-expansion states.", "We took steps to assess the reliability of the 2016 NHIS estimates, including interviewing NCHS officials and checking frequency distributions for missing estimates, outliers, and obvious errors. Based on this work, we determined that the estimates were sufficiently reliable for the purposes of our reporting objectives. Appendix I provides additional information on our scope and methodology.", "We conducted this performance audit from May 2017 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In fiscal year 2016, Medicaid covered an estimated 72.2 million low- income and medically needy individuals in the United States, and Medicaid estimated expenditures totaled over $575.9 billion. The federal government matches most state expenditures for Medicaid services on the basis of a statutory formula. States receive higher federal matching rates for certain services or populations, including an enhanced matching rate for Medicaid expenditures for individuals who became eligible for Medicaid under PPACA. Of the $575.9 billion in estimated expenditures for 2016, the federal share totaled over $363.4 billion and the states\u2019 share totaled $212.5 billion.", "The Centers for Medicare & Medicaid Services (CMS)\u2014a federal agency within the Department of Health and Human Services (HHS)\u2014and states jointly administer and fund the Medicaid program. States have flexibility within broad federal requirements to design and implement their Medicaid programs. States must submit a state Medicaid plan to CMS for review and approval. A state\u2019s approved Medicaid plan outlines the services provided and the groups of individuals covered. While states must cover certain mandatory populations and benefits, they have the option of covering other categories of individuals and benefits.", "PPACA permitted states to expand coverage to a new population\u2014non- elderly, non-pregnant adults who are not eligible for Medicare and whose income does not exceed 138 percent of the FPL. This expansion population comprised 20 percent of total Medicaid enrollment in 2017. (See fig. 1.)", "As of December 2017, 31 states and the District of Columbia had expanded Medicaid eligibility to the new coverage population allowed under PPACA and 19 states had not. Figure 2, an interactive map, illustrates states\u2019 Medicaid expansion status. See appendix II for additional information on figure 2."], "subsections": []}, {"section_title": "Survey Estimates Showed 5.6 Million Uninsured, Low- Income Adults Had Qualifying Incomes for Expanded Medicaid Coverage", "paragraphs": ["According to the NHIS estimates, 5.6 million low-income adults were uninsured in 2016. Of these 5.6 million, an estimated 1.9 million uninsured, low-income adults resided in expansion states, compared with an estimated 3.7 million in non-expansion states. Estimates of uninsured, low-income adults comprised less than 1 percent of the total population for all expansion states and 3 percent of the total population for all non- expansion states.", "NHIS estimates also showed that over half of uninsured, low-income adults were male, over half were employed, and over half had incomes less than 100 percent FPL. For some demographic characteristics, there were some statistically significant differences between uninsured, low- income adults in expansion states compared with these adults in non- expansion states. For example, expansion states had significantly larger percentages of uninsured, low-income males than non-expansion states. (See table 1.) See table 6 in appendix III for additional demographic characteristics of uninsured, low-income adults.", "Estimates from the 2016 NHIS showed some statistically significant differences in the health status of uninsured, low-income adults in expansion and non-expansion states. In particular, expansion states had a larger percentage of these adults who reported that their health was \u201cgood\u201d and a smaller percentage who reported their health as \u201cfair or poor\u201d than those in non-expansion states. However, the percentages of uninsured, low-income adults with responses of \u201cexcellent or very good\u201d in both expansion and non-expansion states were large\u201447 percent or larger, and the differences between the two groups of states were not statistically significant. (See fig. 3.) See table 7 in appendix III for additional information about the health status for uninsured, low-income adults."], "subsections": []}, {"section_title": "Survey Estimates Showed Low-Income Adults in Expansion States and Those Who Were Insured Were Less Likely to Report Any Unmet Medical Needs", "paragraphs": ["The 2016 NHIS estimates showed that smaller percentages of low- income adults in expansion states reported having any unmet medical needs compared with those in non-expansion states; and smaller percentages of those who were insured reported having any unmet medical needs compared with those who were uninsured, regardless of where they lived, for example:", "Low-income adults in expansion and non-expansion states.", "Access to Health Care: Measuring Any Unmet Medical Needs The National Center for Health Statistics, the federal agency that conducts the National Health Interview Survey (NHIS), developed a composite measure on any unmet medical needs, which was based on six survey questions on respondents\u2019 ability to afford different types of needed health care services. These questions asked whether in the past 12 months respondents could not afford medical care at any time; delayed seeking medical care due to worries about costs; or could not afford needed prescription drugs, mental health or counseling, dental care, or eyeglasses. percent or less of the low-income adults who had Medicaid or private health insurance in expansion or non-expansion states reported having any unmet medical needs, compared with 50 percent or more of those who were uninsured in expansion or non-expansion states. Further, among the uninsured, 50 percent of low-income adults living in expansion states reported any unmet medical needs, compared with 63 percent of those in non-expansion states. (See fig. 4.) See tables 8 and 9 in appendix IV for estimates of the composite measure we reviewed on any unmet medical needs."], "subsections": []}, {"section_title": "Survey Estimates Showed Low-Income Adults in Expansion States and Those Who Were Insured Were Less Likely to Report Financial Barriers to Health Care", "paragraphs": ["The 2016 NHIS estimates showed that smaller percentages of low- income adults in expansion states reported financial barriers to needed health care compared with those in non-expansion states; and smaller percentages of those who were insured reported financial barriers to needed health care compared with those who were uninsured, regardless of where they lived, for example:", "Low-income adults in expansion and non-expansion states. Nine percent of low-income adults in expansion states reported that they could not afford needed medical care, compared with 20 percent of low-income adults in non-expansion states.", "Low-income adults who were insured and uninsured. Twelve percent or less of low-income adults who had Medicaid or private health insurance in expansion or non-expansion states reported financial barriers to needed medical care, compared with 27 percent or more of those who were uninsured in expansion or non-expansion states. In addition, among low- income adults who were uninsured, a smaller percentage of those who lived in expansion states reported financial barriers to two of the six needed health care services compared with those who lived in non-expansion states. (See fig. 5.) See tables 10 through 13 in appendix V for estimates of all survey questions we reviewed on financial barriers to health care.", "The 2016 NHIS also collected information on non-financial barriers to health care. Specifically, the survey asked whether respondents had delayed health care due to non-financial reasons, such as they lacked transportation, were unable to get through on the phone, were unable to get a timely appointment, experienced long wait time at the doctor\u2019s office, or were not able to get to a clinic or doctor\u2019s office when it was open. The 2016 NHIS showed that the same or similar percentages of low-income adults in expansion and non-expansion states reported delaying care due to a lack of transportation or other non-financial reasons. Further, generally similar or larger percentages of low-income adults with insurance reported delaying care due to non-financial reasons, compared with those who were uninsured. See tables 14 and 15 in appendix V for estimates of low-income adults in expansion and non- expansion states and by insurance status on non-financial barriers to health care."], "subsections": []}, {"section_title": "Survey Estimates Showed Low-Income Adults in Expansion States and Those Who Were Insured Were Generally More Likely to Report Having a Usual Place of Care and Receiving Selected Health Care Services", "paragraphs": ["The 2016 NHIS estimates showed that a larger percentage of low-income adults in expansion states reported having a usual place of care compared with those in non-expansion states; and larger percentages of those who were insured reported having a usual place of care compared with those who were uninsured, regardless of where they lived, for example:", "Low-income adults in expansion and non-expansion states. Eighty-two percent of the low-income adults in expansion states reported having a usual place of care when they were sick or needed advice about their health, compared with 68 percent of those in non- expansion states.", "Access to Health Care: Having a Usual Place of Care The 2016 National Health Interview Survey (NHIS) asked respondents about whether they had a place they usually go when sick or need advice about their health.", "Low-income adults who were insured and uninsured. Seventy- eight percent or more of those who had Medicaid or private health insurance in expansion or non-expansion states reported having a usual place of care, compared with 46 percent or less of those who were uninsured in expansion or non-expansion states. Among the uninsured, similar percentages of low-income adults in expansion and non-expansion states reported having a usual place of care. (See fig. 6.) See tables 16 through 19 in appendix VI for estimates of all survey questions we reviewed on having a usual place of care."], "subsections": [{"section_title": "Survey Estimates Showed Low-Income Adults in Expansion States and Those Who Were Insured Were Generally More Likely to Report Receiving Selected Services", "paragraphs": ["The 2016 estimates showed that larger percentages of low-income adults in expansion states reported receiving selected health care services, such as a flu vaccine, compared with those in non-expansion states; and larger percentages of those with insurance reported receiving selected health care services compared with those who were uninsured, regardless of where they lived, for example:", "Low-income adults in expansion and non-expansion states.", "Thirty-one percent of low-income adults in expansion states reported receiving flu vaccinations, compared with 24 percent of those in non- expansion states. having their blood cholesterol checked by having their blood pressure checked by a doctor, nurse, or other health professional; visiting a hospital emergency department. percent or more of low-income adults who had Medicaid or private health insurance in expansion or non-expansion states reported receiving blood cholesterol checks, compared with 28 percent or less of low-income adults who were uninsured in expansion or non- expansion states. Among the uninsured, generally similar percentages of low-income adults in expansion and non-expansion states reported blood cholesterol checks, flu vaccines, and other selected services. (See fig. 7.) See tables 20 and 21 in appendix VI for estimates of all survey questions we reviewed on selected health care services.", "The 2016 NHIS also asked respondents whether they visited or had spoken to a health care professional about their health, including: a general doctor, such as a general practitioner, family doctor, and a nurse practitioner, physician\u2019s assistant, or midwife; and a doctor who specializes in a particular disease, with the exception of obstetricians, gynecologists, psychiatrists, and ophthalmologists.", "See tables 22 and 23 in appendix VI for estimates of low-income adults in expansion and non-expansion states and by insurance status on contacting health care professionals."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for comment. HHS provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the Secretary of Health and Human Services, the appropriate congressional committee, and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you are your staff members have any questions about this report, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["To describe national survey estimates of (1) the number and demographic characteristics of uninsured, low-income adults in expansion and non-expansion states; (2) unmet medical needs for low-income adults in expansion and non-expansion states and by insurance status; (3) barriers to health care for low-income adults in expansion and non- expansion states and by insurance status; and (4) having a usual place of care and receiving selected health care services for low-income adults in expansion and non-expansion states and by insurance status, we used data from the 2016 National Health Interview Survey (NHIS). The 2016 NHIS were the most recent data available when we conducted our analyses. This appendix describes the data source, study population, analyses conducted, study limitations, and data reliability assessment."], "subsections": [{"section_title": "Data Source", "paragraphs": ["The NHIS collects demographic, health status, health insurance, health care access, and health care service use data for the civilian, noninstitutionalized U.S. population. It is an annual, nationally representative, cross-sectional household interview survey. NHIS interviews are conducted continuously throughout the year for the National Center for Health Statistics (NCHS), which is a federal agency within the Department of Health and Human Services that compiles statistical information to help guide health policy decisions. Interviews are conducted in respondents\u2019 homes, and interviewers may conduct follow- up interviews over the telephone to complete an interview. Information about some NHIS respondents, such as information about their health status, may be obtained through an interview with another family member on behalf of the respondent.", "NHIS data are organized into several data files. Estimates used for our study are based on data with the 2016 Family and Sample Adult Core components of the 2016 NHIS. Sociodemographic, insurance, and select health care access and utilization variables were defined using data collected in the Family Core component of the survey, which includes data on every household member for the families participating in NHIS. Other measures of health care access and utilization examined in this study are based on data collected in the Sample Adult Core component. In this component, the respondent (i.e., the sample adult) is randomly selected from among all adults aged \u226518 years in the family. A proxy respondent might respond for the sample adult if, because of health reasons, the sample adult is physically or mentally unable to respond themselves. The 2016 imputed income files were used to define poverty thresholds, which is based on reported and imputed family income. The NHIS publicly released data files for 2016 include data for 40,220 households containing 97,169 persons, and the total household response rate was 67.9 percent."], "subsections": []}, {"section_title": "Study Population", "paragraphs": ["For this study we asked NCHS to provide estimates of low-income, non- elderly adults, which we defined as individuals ages 19 to 64, with family incomes that did not exceed 138 percent of the federal poverty level (FPL). We also requested that estimates be provided separately for respondents based on whether they resided in an expansion or non- expansion state, and whether they were covered by private health insurance, Medicaid, or had no insurance. We gave NCHS specifications for the definition of low-income, non-elderly adults; the states that should be classified as expansion or non-expansion states in calendar year 2016; and the respondents who should be classified as having private health insurance, Medicaid, or no insurance.", "We asked NCHS to exclude respondents who were noncitizens, were covered by Medicare, only received health care services through military health care or through the Indian Health Service, or had Supplemental Social Security Income. We also excluded adult females from the Sample Adult file who responded they were pregnant at the time of the interview. In addition, we asked NCHS to exclude individuals for which information was missing\u2014not recorded or not provided during the interview\u2014on health insurance coverage (Medicaid, private health insurance, Indian Health Service, military health care, or no health insurance), receipt of Supplemental Social Security Income, and U.S. citizenship.", "We classified individuals in our study population as residing in an expansion or non-expansion state based on their state of residence when they were interviewed for the 2016 NHIS. We classified the 30 states and the District of Columbia that expanded their Medicaid eligibility before July 1, 2016, as expansion states. The remaining 20 states were classified as non-expansion states. Louisiana expanded Medicaid coverage on July 1, 2016; therefore, we classified it as a non-expansion state. We decided not to classify Louisiana as an expansion state because we allowed a 6- month period for the effects of expansion to appear. Therefore, for Louisiana we only included NHIS respondents interviewed from January through June 2016 when Louisiana was a non-expansion state. Similarly, for two expansion states\u2014Alaska and Montana\u2014we only included individuals who were interviewed March through December 2016 and July through December 2016, respectively, after the state expanded Medicaid to allow for a 6-month time period for the effect of expansion to take place. (See table 2.)", "Table 3 below illustrates the sample size and population estimates of low- income sample adults by expansion state, non-expansion state, and national total.", "We classified NHIS respondents as having private health insurance, Medicaid, or no insurance based on the health insurance classification approach used by NCHS for NHIS. NCHS assigned NHIS respondents\u2019 health insurance classification based on a hierarchy of mutually exclusive categories in the following order: private health insurance, Medicaid, other coverage, and uninsured. Low-income adults with more than one coverage type were assigned to the first appropriate category in the hierarchy. Respondents were classified as having private health insurance if they reported that they were covered by any comprehensive private health insurance plan (including health maintenance and preferred provider organizations). Private coverage excluded plans that pay for one type of service, such as accidents or dental care. Respondents were classified as having Medicaid if they reported they were covered by Medicaid or by a state-sponsored health plan with no premiums or it was not known whether a premium was charged. Respondents were classified as being uninsured if they did not report having any private health insurance, Medicare, Medicaid, Children\u2019s Health Insurance Program, state-sponsored or other government-sponsored health plan, or military health plan. Respondents were also classified as being uninsured if they only had insurance coverage with a private plan that paid for one type of service, such as accidents or dental care."], "subsections": []}, {"section_title": "Analyses Conducted", "paragraphs": ["We gave NCHS officials specifications to calculate estimates from the 2016 NHIS for demographic characteristics, access to care, as well as composite measures of access to health care based on selected survey questions. Composite measures are NCHS-developed measures based on responses to NHIS questions covering related topics. The analysis included two composite measures: 1. any unmet medical needs, which is based on responses to six underlying survey questions that asked respondents about whether during the past 12 months they needed medical care but did not get it because they could not afford it; delayed seeking medical care because of worry about the cost; or did not get prescription medicines, mental health care or counseling, eyeglasses, or dental care due to cost; and 2. any non-financial barriers to health care, which is based on five underlying questions that asked respondents whether they delayed care in the past 12 months for any of the following reasons: could not get through on the telephone; could not get an appointment soon enough; waited too long to see the doctor after arriving at the doctor\u2019s office; the clinic/doctor\u2019s office was not open when respondent could get there; and did not have transportation.", "NCHS officials calculated our requested estimates of groups within our study population based on whether respondents resided in an expansion or non-expansion state and whether they had private health insurance, Medicaid, or were uninsured at the time of the interview. For each comparison\u2014such as comparisons of access to health care for respondents in expansion versus non-expansion states\u2014we asked NCHS to test for statistically significant differences. We identified a statistically significant difference when the p-value from a t-test of the difference in the estimated proportions between two study subgroups had a value of less than 0.05.", "To describe the number and demographic characteristics of uninsured, low-income adults, we compared estimates of selected demographic characteristics (race and ethnicity, gender, poverty status, and employment status) and reported health status for this group in expansion and non-expansion states. These and other estimates of demographic characteristics and reported health status from the 2016 NHIS for uninsured, low-income adults by expansion states, non-expansion states, and all states are provided in tables 6 and 7 in appendix III.", "To describe unmet medical needs, barriers to health care, and having a usual place of care and receiving selected services for all low-income adults in expansion and non-expansion states and by insurance status, we asked NCHS to calculate estimates based on responses to selected NHIS questions and NCHS composite measures. We selected these survey questions and composite measures from the Family and Adult Access to Health Care and Utilization and Adult Health Behaviors sections of the 2016 NHIS. To summarize estimates of low-income adults in expansion and non-expansion states and by insurance status, responses to selected survey questions and composite measures were calculated as an estimated percentage of the relevant group\u2019s total population for eight groups of low-income adults: (1) those in expansion states, (2) those in non-expansion states, (3) those who had Medicaid in expansion states, (4) those who had Medicaid in non-expansion states, (5) those who had private health insurance in expansion states, (6) those who had private health insurance in non-expansion states, (7) those who were uninsured in expansion states, and (8) those who were uninsured in non-expansion states.", "We asked NCHS to test for statistically significant differences for the estimates of access to care between selected groups of low-income adults. (See table 4.) The results of the tests for statistically significant differences for these comparison groups are in appendixes IV through VI."], "subsections": []}, {"section_title": "Study Limitations and Data Reliability Assessment", "paragraphs": ["Our study has some limitations. First, our study did not examine whether statistically significant differences in estimates of access to health care between respondents in expansion and non-expansion states were associated with the choice to expand Medicaid. Second, NHIS data are based on respondent-reported data, which may be subject to potential biases and recall of participants\u2019 use of health services and may be less accurate than administrative data or clinical data. Third, we could not report estimates of access to health care that did not meet NCHS\u2019s standards of reliability or precision.", "We assessed the reliability of NHIS data by reviewing NHIS data documentation; interviewing knowledgeable NCHS officials and academic researchers; and examining the data for logical errors, missing values, and values outside of expected ranges. We determined that the data were sufficiently reliable for the purposes of these analyses."], "subsections": []}]}, {"section_title": "Appendix II: Status of Medicaid Eligibility Expansion by States, as of 2017", "paragraphs": ["Under the Patient Protection and Affordable Care Act (PPACA), states may opt to expand their Medicaid programs\u2019 eligibility to cover certain low-income adults beginning January 2014. As of December 2017, 31 states and the District of Columbia had expanded their Medicaid programs as permitted under PPACA and 19 states had not. Table 5 lists the states that expanded Medicaid eligibility and those that did not. It also includes state population and other Medicaid data, which is presented in the roll-over information in interactive figure 2."], "subsections": []}, {"section_title": "Appendix III: Estimates of Demographic Characteristics and Health Status in Expansion and Non-Expansion States", "paragraphs": ["This appendix provides additional 2016 National Health Interview Survey (NHIS) estimates we obtained from the National Center for Health Statistics (NCHS). Table 6 presents estimates of selected demographic characteristics for low-income adults who were uninsured at the time of the survey interview. The table provides estimates for these adults based on whether they resided in states that expanded Medicaid eligibility as permitted under the Patient Protection and Affordable Care Act (PPACA) (referred to as expansion states) or states that did not (referred to as non- expansion states). We report statistically significant differences when comparing the responses of uninsured, low-income adults in expansion and non-expansion states.", "Table 7 shows estimates of the reported health status of uninsured, low- income adults based on whether they resided in an expansion or non- expansion state. The table provides the number and percent of these adults who reported that at the time of the interview their health status was excellent or very good; good; or fair or poor. The table also shows the extent to which these adults reported whether their health status was different at the time of the interview compared to the previous year. We report statistically significant differences when comparing the responses of uninsured, low-income adults in expansion and non-expansion states."], "subsections": []}, {"section_title": "Appendix IV: Estimates of Any Unmet Medical Needs in Expansion and Non- Expansion States and by Insurance Status", "paragraphs": ["This appendix provides estimates of any unmet medical needs for low- income adults\u2014individuals ages 19 to 64, with family incomes that did not exceed 138 percent of the federal poverty level (FPL)\u2014from the 2016 National Health Interview Survey (NHIS), which were produced by the National Center for Health Statistics (NCHS). Estimates are based on a composite measure of any unmet medical needs. Table 8 shows estimates of all low-income adults in expansion and non-expansion states. We also report statistically significant differences between low- income adults in expansion and non-expansion states.", "Table 9 shows estimates of six groups of low-income adults: (1) low- income adults who were uninsured in expansion states; (2) low-income adults who were uninsured in non-expansion states; (3) low-income adults who had Medicaid in expansion states; (4) low-income adults who had Medicaid in non-expansion states; (5) low-income adults who had private health insurance in expansion states; and (6) low-income adults who had private health insurance in non-expansion states. We also report any statistically significant differences when comparing the six groups of low-income adults, specifically: low-income adults who were uninsured in expansion states compared with each of the four groups of low-income adults who were insured\u2014 low-income adults who had Medicaid in expansion states, low-income adults who had Medicaid in non-expansion states, low-income adults who had private health insurance in expansion states, and low-income adults who had private insurance in non-expansion states; low-income adults who were uninsured in non-expansion states compared with each of the four groups of low-income adults who were insured; low-income adults who were uninsured in expansion states compared with low-income adults who were uninsured in non-expansion states; low-income adults who had Medicaid in expansion states compared with low-income adults who had Medicaid in non-expansion states; and low-income adults who had private health insurance in expansion states compared with low-income adults who had private health insurance in non-expansion states."], "subsections": []}, {"section_title": "Appendix V: Estimates of Barriers to Health Care in Expansion and Non-Expansion States and by Insurance Status", "paragraphs": ["This appendix provides estimates of barriers to health care for low- income adults\u2014individuals ages 19 to 64, with family incomes that did not exceed 138 percent of the federal poverty level (FPL)\u2014from the 2016 National Health Interview Survey (NHIS), which we obtained from the National Center for Health Statistics (NCHS). Estimates of financial barriers to needed medical, specialty, and other types of health care and prescription drugs are based on selected survey questions. Estimates of non-financial barriers to health care are based on responses to selected survey questions and a composite measure. Estimates are reported for:", "All low-income adults in expansion and non-expansion states. We also report statistically significant differences between low-income adults in expansion and non-expansion states.", "Six groups of low-income adults: (1) low-income adults who were uninsured in expansion states; (2) low-income adults who were uninsured in non-expansion states; (3) low-income adults who had Medicaid in expansion states; (4) low-income adults who had Medicaid in non-expansion states; (5) low-income adults who had private health insurance in expansion states; and (6) low-income adults who had private health insurance in non-expansion states. We also report any statistically significant differences when comparing the six groups of low-income adults, specifically: low-income adults who were uninsured in expansion states compared with each of the four groups of low-income adults who were insured\u2014low-income adults who had Medicaid in expansion states, low-income adults who had Medicaid in non-expansion states, low-income adults who had private health insurance in expansion states, and low-income adults who had private insurance in non-expansion states; low-income adults who were uninsured in non-expansion states compared with each of the four groups of low-income adults who were insured; low-income adults who were uninsured in expansion states compared with low-income adults who were uninsured in non- expansion states; low-income adults who had Medicaid in expansion states compared with low-income adults who had Medicaid in non- expansion states; and low-income adults who had private health insurance in expansion states compared with low-income adults who had private health insurance in non-expansion states.", "Financial barriers to medical, specialty, and other types of health care. Tables 10 and 11 present estimates and differences in estimates of responses to survey question that asked whether respondents did not obtain different types of needed health care services in the past 12 months because they could not afford it.", "Financial barriers to prescription drugs. Tables 12 and 13 present estimates and differences in estimates of survey question that asked respondents who had been prescribed medications whether they had taken actions during the past 12 months to save money on medications.", "Non-financial barriers to health care. Tables 14 and 15 present estimates and differences in estimates of the NCHS composite measure on any non-financial barriers to health care, which was based on responses to five survey questions on whether respondents delayed care in the past 12 months due to long wait times, a lack of transportation, and other non-financial reasons. Additionally, these tables present estimates and differences in estimates of responses to the composite measure\u2019s five underlying survey questions."], "subsections": []}, {"section_title": "Appendix VI: Estimates on Place of Care and Services in Expansion and Non- Expansion States and by Insurance Status", "paragraphs": ["This appendix provides estimates on having a usual place of care and receiving selected health care services for adults\u2014individuals ages 19 to 64, with family incomes that did not exceed 138 percent of the federal poverty level (FPL)\u2014from the 2016 National Health Interview Survey (NHIS), which we obtained from the National Center for Health Statistics (NCHS). Estimates are based on responses to selected survey questions on having a usual place of care, receiving selected health care services, and contacting health care professionals. Estimates are reported for:", "All low-income adults in expansion and non-expansion states. We also report statistically significant differences between low-income adults in expansion and non-expansion states.", "Six groups of low-income adults: (1) low-income adults who were uninsured in expansion states; (2) low-income adults who were uninsured in non-expansion states; (3) low-income adults who had Medicaid in expansion states; (4) low-income adults who had Medicaid in non-expansion states; (5) low-income adults who had private health insurance in expansion states; and (6) low-income adults who had private health insurance in non-expansion states. We also report any statistically significant differences when comparing the six groups of low-income adults, specifically: low-income adults who were uninsured in expansion states compared with each of the four groups of low-income adults who were insured\u2014low-income adults who had Medicaid in expansion states, low-income adults who had Medicaid in non-expansion states, low-income adults who had private health insurance in expansion states, and low-income adults who had private insurance in non-expansion states; low-income adults who were uninsured in non-expansion states compared with each of the four groups of low-income adults who were insured; low-income adults who were uninsured in expansion states compared with low-income adults who were uninsured in non- expansion states; low-income adults who had Medicaid in expansion states compared with low-income adults who had Medicaid in non- expansion states; and low-income adults who had private health insurance in expansion states compared with low-income adults who had private health insurance in non-expansion states.", "Having a usual place of care. Tables 16 through 19 present estimates and differences in estimates of survey questions that asked respondents about the place of care they usually go to when sick or need advice about their health and the type of place that respondents most often went.", "Receiving selected health care services. Tables 20 and 21 present estimates and differences in estimates of survey questions that asked respondents whether they had received a blood cholesterol check, flu vaccine, or other selected services.", "Contacting health care professionals. Tables 22 and 23 present estimates and differences in estimates of survey questions that asked respondents whether they had visited or spoken to a general doctor, specialist, or other health care professionals about their health in the past 12 months."], "subsections": []}, {"section_title": "Appendix VII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Katherine M. Iritani (Director), Tim Bushfield (Assistant Director), Deitra H. Lee (Analyst-in-Charge), Kristin Ekelund, Laurie Pachter, Vikki Porter, Merrile Sing, and Emily Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["As of December 2017, 31 states and the District of Columbia have expanded access to Medicaid for low-income adults under the Patient Protection and Affordable Care Act. In 2017, these adults made up 20% of all Medicaid recipients.", "We reviewed available survey results and found that low-income adults in states that expanded Medicaid generally reported better access to health care. For example, they were less likely to report having unmet medical needs (such as not being able to afford their prescriptions)\u2014whether or not they were insured."]} {"id": "GAO-19-168", "url": "https://www.gao.gov/products/GAO-19-168", "title": "Women-Owned Small Business Program: Actions Needed to Address Ongoing Oversight Issues", "published_date": "2019-03-14T00:00:00", "released_date": "2019-04-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2000, Congress authorized the WOSB program, allowing contracting officers to set aside procurements to women-owned small businesses in industries in which they are substantially underrepresented. To be eligible to participate in the WOSB program, firms have the option to self-certify or be certified by a third-party certifier. However, the 2015 NDAA changed the WOSB program by (1) authorizing SBA to implement sole-source authority, (2) eliminating the option for firms to self-certify as being eligible for the program and (3) allowing SBA to implement a new certification process.", "GAO was asked to review the WOSB program. This report discusses (1) the extent to which SBA has addressed the 2015 NDAA changes, (2) SBA's efforts to address previously identified deficiencies, and (3) use of the WOSB program. GAO reviewed relevant laws, regulations, and program documents; analyzed federal contracting data from April 2011 through June 2018; and interviewed SBA officials, officials from contracting agencies selected to obtain a range of experience with the WOSB program, and three of the four private third-party certifiers."]}, {"section_title": "What GAO Found", "paragraphs": ["The Small Business Administration (SBA) has implemented one of the three changes to the Women-Owned Small Business (WOSB) program authorized in the National Defense Authorization Act of 2015 (2015 NDAA). Specifically, in September 2015 SBA published a final rule to implement sole-source authority, effective October 2015. As of February 2019, SBA had not eliminated the option for program participants to self-certify that they are eligible to participate, as required by 2015 NDAA. SBA officials stated that this requirement would be addressed as part of the new certification process for the WOSB program, which they expect to implement by January 1, 2020.", "SBA has not addressed WOSB program oversight deficiencies identified in GAO's 2014 review (GAO-15-54). For example, GAO previously recommended that SBA establish procedures to assess the performance of four third-party certifiers\u2014private entities approved by SBA to certify the eligibility of WOSB firms. While SBA conducted a compliance review of the certifiers in 2016, it has no plans to regularly monitor them. By not improving its oversight of the WOSB program, SBA is limiting its ability to ensure third-party certifiers are following program requirements. In addition, the implementation of sole-source authority in light of these continued oversight deficiencies can increase program risk. Consequently, GAO maintains that its prior recommendations should be addressed. In addition, similar to previous findings from SBA's Office of Inspector General, GAO found that about 3.5 percent of contracts using a WOSB set-aside were awarded for ineligible goods or services from April 2011 through June 2018. SBA does not review contracting data that could identify this problem and inform SBA which agencies making awards may need targeted outreach or training. As a result, SBA cannot provide reasonable assurance that WOSB program requirements are being met and that the program is meeting its goals.", "While federal contract obligations to all women-owned small businesses and WOSB program set-asides have increased since fiscal year 2012, WOSB program set-asides remain a small percentage (see figure)."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that SBA develop a process for periodically reviewing the extent to which WOSB program set-asides are awarded for ineligible goods or services and use the results to address identified issues, such as through targeted outreach or training on the WOSB program. SBA agreed with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Women-owned businesses play an increasingly significant role in the U.S. economy. According to the most recent U.S. Census Survey of Business Owners, the number of women-owned businesses grew by almost 27 percent from 2007 through 2012. However, the federal goal of awarding 5 percent of procurements government-wide to women-owned small businesses has only been met once since fiscal year 2013. In 2000, Congress authorized the Women-Owned Small Business Federal Contracting Program (WOSB program) to, among other things, reserve contracts for qualified women-owned small businesses in industries where these businesses are substantially underrepresented. On October 7, 2010, the Small Business Administration (SBA) issued a final rule to implement the WOSB program, and the program began operating in 2011.", "SBA allows businesses to establish program eligibility through self- certification or certification by third-party certifiers. In 2014, we reviewed the WOSB program and found a number of deficiencies in SBA\u2019s oversight of the four SBA-approved third-party certifiers and in SBA\u2019s eligibility examination processes. In addition, in 2015 and 2018 the SBA Office of Inspector General (OIG) reviewed the WOSB program and also found several oversight deficiencies.", "In December 2014, the National Defense Authorization Act of 2015 (2015 NDAA) amended the WOSB program by, among other things, granting contracting officers the authority to award sole-source contracts to eligible women-owned small businesses (WOSB) and economically disadvantaged women-owned small businesses (EDWOSB). The act also removed firms\u2019 ability to self-certify as eligible for the WOSB program and allowed SBA to certify the eligibility of program participants as an additional alternative to third-party certification.", "You requested that we evaluate SBA\u2019s WOSB program, including any actions SBA has taken in response to the 2015 NDAA and to previously identified deficiencies, as well as usage of the program. This report examines (1) the extent to which SBA has implemented changes to the WOSB program made by the 2015 NDAA; (2) the extent to which SBA has implemented changes to address previously identified oversight deficiencies; and (3) changes in WOSB program use since 2011 and stakeholder views on its use, including since the 2015 implementation of sole-source authority.", "To address the first objective, we reviewed the 2015 NDAA, proposed regulations, and SBA documentation, and we interviewed SBA officials. To respond to the second and third objectives, we interviewed SBA officials, three of the WOSB program\u2019s four private third-party certifiers (referred to in the report as \u201cthird-party certifiers\u201d), three selected federal agencies (and three agency components within two of the agencies), and a total of eight selected contracting offices within the six selected agencies or components. Using data from the Federal Procurement Data System-Next Generation (FPDS-NG), we judgmentally selected the three federal agencies and three components (for a total of six selected agencies and components) because their WOSB dollar obligations (including competed and sole-source) were among the largest or because we had interviewed them for our prior work. Specifically, we selected the following six agencies or agency components: the Department of Homeland Security (DHS) and, within DHS, the Coast Guard; the Department of Defense (DOD) and, within DOD, the U.S. Army and U.S. Navy; and the General Services Administration (GSA). Within the components and GSA, we judgmentally selected eight contracting offices (two each from Coast Guard, U.S. Army, U.S. Navy, and GSA) based on whether they had a relatively large amount of obligations and had used multiple types of set-asides (competed or sole-source) to WOSBs or EDWOSBs.", "To address the second objective, we reviewed SBA policies and procedures for the WOSB program and SBA oversight activities, such as SBA compliance reviews of the four third-party certifiers. We analyzed FPDS-NG data on obligations for WOSB program set-aside contracts and the goods and services for which they were awarded\u2014represented by North American Industry Classification System (NAICS) codes\u2014against NAICS codes approved for WOSB program eligibility to determine if these contracts were made in eligible industries. We compared SBA\u2019s activities against federal internal control standards, GAO\u2019s framework for managing fraud risk, and our prior recommendations to SBA. We also reviewed relevant SBA OIG reports and interviewed SBA OIG officials.", "To address the third objective, we analyzed FPDS-NG data from April 2011 through June 2018 (the most recent data available during the period of our analysis) and identified trends in total obligation amounts of competed and sole-source contracts awarded under the WOSB program (including both WOSB and EDWOSB contracts). To determine the relative usage of the WOSB program, we compared data on obligations for set-asides under the WOSB program with federal contract obligations for WOSB-program-eligible goods and services to all woman-owned small businesses. We assessed the reliability of FPDS-NG data by reviewing available documentation and prior GAO data reliability assessments and by electronically testing for missing data, outliers, and inconsistent coding. We found the data to be reliable for the purposes of reporting on trends in the WOSB program and the usage of sole-source authority under the program. Appendix I provides more detail on our scope and methodology.", "We conducted this performance audit from October 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies conduct a variety of procurements that are reserved for small business participation through small business set-asides. The set- asides can be for small businesses in general, or they can be specific to small businesses that meet additional eligibility requirements in the Service-Disabled Veteran-Owned Small Business (SDVOSB), Historically Underutilized Business Zone (HUBZone), 8(a) Business Development (8(a)), and WOSB programs.", "The WOSB program enables federal contracting officers to identify and establish a sheltered market, or set-aside, for competition among WOSBs and EDWOSBs in certain industries. To determine the industries eligible under the WOSB program, SBA is required to conduct a study to determine which NAICS codes are eligible under the program and to report on such studies every 5 years. WOSBs can receive set-asides in industries in which SBA has determined that women-owned small businesses are substantially underrepresented. EDWOSBs can receive set-asides in WOSB-eligible industries as well as in an additional set of industries in which SBA has determined that women-owned small businesses are underrepresented but not substantially so. As of February 2019, there were a total of 113 four-digit NAICS codes (representing NAICS industry groups) eligible under the WOSB program\u201492 eligible NAICS codes for WOSBs and 21 for EDWOSBs.", "Additionally, businesses must be at least 51 percent owned and controlled by one or more women who are U.S. citizens to participate in the WOSB program. The owner must provide documents demonstrating that the business meets program requirements, including a document in which the owner attests to the business\u2019s status as a WOSB or EDWOSB. EDWOSBs are WOSBs that are controlled by one or more women who are citizens and who are economically disadvantaged in accordance with SBA regulations. According to SBA, as of early October 2018, there were 13,224 WOSBs and 4,488 EDWOSBs registered in SBA\u2019s online certification database.", "SBA\u2019s Office of Government Contracting administers the WOSB program by promulgating regulations, conducting eligibility examinations of businesses that receive contracts under a WOSB or EDWOSB set-aside, deciding protests related to eligibility for a WOSB set-aside, conducting studies to determine eligible industries, and working with other federal agencies in assisting WOSBs and EDWOSBs. According to SBA officials, the Office of Government Contracting also works at the regional and local levels with SBA\u2019s Small Business Development Centers and district offices, and with other organizations (such as Procurement Technical Assistance Centers), to help WOSBs and EDWOSBs obtain contracts with federal agencies. The services SBA coordinates include training, counseling, mentoring, facilitating access to information about federal contracting opportunities, and business financing. According to SBA, as of October 2018, there were two full-time staff within the Office of Government Contracting whose primary responsibility was the WOSB program.", "Initially, the program\u2019s statutory authority allowed WOSBs to be self- certified by the business owner or certified by an approved third-party national certifying entity as eligible for the program. Self-certification is free, but some third-party certification options require businesses to pay a fee. Each certification process requires businesses to provide signed representations attesting to their WOSB or EDWOSB eligibility. Businesses must provide documents supporting their status before submitting an offer to perform the requirements of a WOSB set-aside contract. In August 2016, SBA launched certify.sba.gov, which is an online portal that allows firms to upload required documents and track their submission and also enables contracting officers to review firms\u2019 eligibility documentation. According to the Federal Acquisition Regulation (FAR), contracting officers are required to verify that all required documentation is present in the online portal when selecting a business for an award. In addition, businesses must register and attest to being a WOSB in the System for Award Management, the primary database of vendors doing business with the federal government.", "In 2011, SBA approved four organizations to act as third-party certifiers:", "El Paso Hispanic Chamber of Commerce,", "NWBOC (previously known as the National Women Business Owners", "U.S. Women\u2019s Chamber of Commerce, and", "Women\u2019s Business Enterprise National Council.", "These organizations have been the WOSB program\u2019s third-party certifiers since 2011. According to SBA data, the Women\u2019s Business Enterprise National Council was the most active third-party certifier in fiscal year 2017\u2014performing 2,638 WOSB certification examinations. The U.S.", "Women\u2019s Chamber of Commerce, NWBOC, and El Paso Hispanic Chamber of Commerce\u2014completed 644, 105, and 12 certifications, respectively.", "As discussed previously, in 2014 we reviewed the WOSB program and found a number of deficiencies in SBA\u2019s oversight of the four SBA- approved third-party certifiers and in SBA\u2019s eligibility examination processes and we made related recommendations for SBA. In addition, in 2015 and 2018 the SBA OIG reviewed the WOSB program and also found oversight deficiencies, including evidence of WOSB contracts set aside for ineligible firms. In both reports, the SBA OIG also made recommendations for SBA. Further, in July 2015, we issued GAO\u2019s fraud risk framework, which provides a comprehensive set of key components and leading practices that serve as a guide for agency managers to use when developing efforts to combat fraud in a strategic, risk-based way. In July 2016, the Office of Management and Budget issued guidelines requiring executive agencies to create controls to identify and respond to fraud risks. These guidelines also affirm that managers should adhere to the leading practices identified in GAO\u2019s fraud risk framework."], "subsections": []}, {"section_title": "SBA Has Implemented One of the Three Changes Made by the 2015 NDAA", "paragraphs": ["As of February 2019, SBA had implemented one of the three changes that the 2015 NDAA made to the WOSB program\u2014sole-source authority. The two other changes\u2014authorizing SBA to implement its own certification process for WOSBs and requiring SBA to eliminate the WOSB self-certification option\u2014have not been implemented. The 2015 NDAA did not require a specific time frame for SBA to update its regulations. SBA officials have stated that they will not eliminate self- certification until the new certification process for the WOSB program is in place, which they expect to be completed by January 1, 2020."], "subsections": [{"section_title": "Sole-Source Authority Has Been Implemented", "paragraphs": ["In September 2015, SBA published a final rule to implement sole-source authority for the WOSB program (effective October 2015). Among other things, the rule authorized contracting officers to award a contract to a WOSB or EDWOSB without competition, provided that the contracting officer\u2019s market research cannot identify two or more WOSBs or EDWOSBs in eligible industries that can perform the requirements of the contract at a fair and reasonable price. In the final rule, SBA explained that it promulgated the sole-source rule before the WOSB certification requirements for two reasons. First, the sole-source rule could be accomplished by simply incorporating the statutory language into the regulations, whereas the WOSB certification requirements would instead require a prolonged rulemaking process. Second, SBA said that addressing all three regulatory changes at the same time would delay the implementation of sole-source authority. SBA described the sole-source mechanism as an additional tool for federal agencies to ensure that women-owned small businesses have an equal opportunity to participate in federal contracting and to ensure consistency among SBA\u2019s socioeconomic small business procurement programs.", "According to SBA, most of the 495 comments submitted about the sole- source rule supported the agency\u2019s decision to implement the authority quickly. However, the SBA OIG\u2019s June 2018 audit report cautioned that allowing sole-source contracting authority while firms can still self-certify exposes the WOSB program to unnecessary risk of fraud and abuse, and the report recommended that SBA implement a new certification process for the WOSB program per the 2015 NDAA. In addition, our previous report identified risks of program participation by ineligible firms associated with deficiencies in SBA\u2019s oversight structure. As we discuss in detail later, SBA has still not addressed these risks, which may be exacerbated by the implementation of sole-source authority without addressing the other changes made by the 2015 NDAA, including eliminating the self-certification option."], "subsections": []}, {"section_title": "A New WOSB Program Certification Process Has Not Been Implemented", "paragraphs": ["As of February 2019, SBA had not published a proposed rule for public comment to establish a new certification process for the WOSB program. Previously, in October 2017, an SBA official stated that SBA was about 1\u20132 months away from publishing a proposed rule. However, in June 2018, SBA officials stated that a cost analysis would be necessary before the draft could be sent to the Office of Management and Budget for review. Certain stages of the rulemaking process have mandated time periods, such as the required interagency review process for certain rules. In June 2017, we reported that SBA officials said that an increase in the number of statutorily mandated rules in recent years had contributed to delays in the agency\u2019s ability to promulgate rules in a more timely fashion. As of February 2019, SBA had not provided documentation or time frames for issuing a proposed rule or completing the rulemaking process. However, in response to the SBA OIG recommendation that SBA implement the new certification process, SBA stated that it would fulfill the recommendation (meaning implement a new certification process) by January 1, 2020.", "In December 2015, SBA published an advance notice of proposed rulemaking to solicit public comments to assist the agency with drafting a proposed rule to implement a new WOSB certification program. In the notice, SBA stated that it intends to address the 2015 NDAA changes, including eliminating the self-certification option, through drafting regulations to implement a new certification process. Previously, in its September 2015 final rule implementing sole-source authority, SBA stated that there was no evidence that Congress intended that the existing WOSB program, including self-certification, be halted before establishing the infrastructure and new regulations for a new certification program. The advance notice requested comments on various topics, such as how well the current certification processes were working, which of the certification options were feasible and should be pursued, whether there should be a grace period for self-certified WOSB firms to complete the new certification process, and what documentation should be required.", "Three third-party certifiers submitted comments in response to the advance notice of proposed rulemaking, and none supported the option of SBA acting as a WOSB certifier. One third-party certifier commented that such an arrangement is a conflict of interest given that SBA is also responsible for oversight of the WOSB program, and two certifiers commented that SBA lacked the required resources. The three third-party certifiers also asserted in their comments that no other federal agency should be allowed to become an authorized WOSB certifier, with one commenting that federal agencies should instead focus on providing contracting opportunities for women-owned businesses. All three certifiers also proposed ways to improve the current system of third-party certification\u2014for example, by strengthening oversight of certifiers or expanding their number. The three certifiers also suggested that SBA move to a process that better leverages existing programs with certification requirements similar to those of the WOSB program, such as the 8(a) program. In the advance notice, SBA asked for comments on alternative certification options, such as SBA acting as a certifier or limiting WOSB program certifications to the 8(a) program and otherwise relying on state or third-party certifiers. Further, in June 2018, SBA officials told us that they were evaluating the potential costs of a new certification program as part of their development of the new certification rule."], "subsections": []}]}, {"section_title": "SBA Has Not Fully Addressed Deficiencies in Oversight and Program Implementation", "paragraphs": [], "subsections": [{"section_title": "SBA Has Not Implemented Procedures to Regularly Monitor and Assess the Performance of Third- Party Certifiers", "paragraphs": ["SBA has not fully addressed deficiencies in its oversight of third-party certifiers that we identified in our October 2014 report. We reported that SBA did not have formal policies for reviewing the performance of its four approved third-party certifiers, including their compliance with their agreements with SBA. Further, we found that SBA had not developed formal policies and procedures for, among other things, reviewing the monthly reports that certifiers submit to SBA. As a result, we recommended that SBA establish comprehensive procedures to monitor and assess the performance of the third-party certifiers in accordance with their agreements with SBA and program regulations. While SBA has taken some steps to address the recommendation, as of February 2019 it remained open.", "In response to our October 2014 recommendation, in 2016 SBA conducted compliance reviews of the four SBA-approved third-party certifiers. According to SBA, the purpose of the compliance reviews was to ensure the certifiers\u2019 compliance with regulations, their signed third- party certifier certification form (or agreement) with SBA, and other program requirements. The compliance reviews included an assessment of the third-party certifiers\u2019 internal certification procedures and processes, an examination of a sample of applications from businesses that the certifiers deemed eligible and ineligible for certification, and an interview with management staff.", "SBA officials said that SBA\u2019s review team did not identify significant deficiencies in any of the four certifiers\u2019 processes and found that all were generally complying with their agreements. However, one compliance review report described \u201cgrave concerns\u201d that a third-party certifier had arbitrarily established eligibility requirements that did not align with WOSB program regulations and used them to decline firms\u2019 applications. SBA noted in the report that if the third-party certifier failed to correct this practice SBA could terminate the agreement. As directed by SBA, the third-party certifier submitted a letter to SBA outlining actions it had taken to address this issue, among others. The final compliance review reports for the other third-party certifiers also recommended areas for improvement, including providing staff with additional training on how to conduct eligibility examinations and reviewing certification files to ensure they contain complete documentation. In addition, two of the three compliance review reports with recommendations (including the compliance review report for the certifier discussed above) required the certifier to provide a written response within 30 days outlining plans to correct the areas. SBA officials said that they reviewed the written responses and determined that no further action was required.", "In January 2017, SBA\u2019s Office of Government Contracting updated its written Standard Operating Procedures (SOP) to include policies and procedures for the WOSB program, in part to address our October 2014 recommendation. The 2017 SOP discusses what a third-party-certifier compliance review entails, how often the reviews are to be conducted, and how findings are to be reported. The 2017 SOP notes that SBA may initiate a compliance review \u201cat any time and as frequently as the agency determines is necessary.\u201d In September 2018, SBA officials told us that they were again updating the SOP, in part to address deficiencies we identified in our prior work and during this review. However, as of February 2019, SBA had not provided an updated SOP.", "In addition, in April 2018, SBA finalized a WOSB Program Desk Guide that, according to SBA, is designed to provide program staff with detailed guidance for conducting oversight procedures, including compliance reviews of third-party certifiers. For example, the Desk Guide discusses how staff should prepare for a compliance review of a third-party certifier, review certification documents, and prepare a final report. However, the Desk Guide does not describe specific activities designed to oversee third-party certifiers on an ongoing basis. In November 2017, SBA officials told us that they planned to conduct additional compliance reviews of the third-party certifiers. However, in June 2018, officials said there were no plans to conduct further compliance reviews until the final rule implementing the new certification process was completed. Further, SBA officials said that the 2016 certifier compliance reviews did not result in significant deficiencies. However, as noted previously, one of the compliance review reports described a potential violation of the third-party certifier\u2019s agreement with SBA.", "Per written agreements with SBA, third-party certifiers are required to submit monthly reports that include the number of WOSB and EDWOSB applications received, approved, and denied; identifying information for each certified business, such as the business name; concerns about fraud, waste, and abuse; and a description of any changes to the procedures the organizations used to certify businesses as WOSBs or EDWOSBs.", "In our October 2014 report, we noted that SBA had not followed up on issues raised in the monthly reports and had not developed written procedures for reviewing them. At that time, SBA officials said that they were unaware of the issues identified in the certifiers\u2019 reports and that the agency was developing procedures for reviewing the monthly reports but could not estimate a completion date.", "In our interviews for this report, SBA officials stated that SBA still does not use the third-party certifiers\u2019 monthly reports to regularly monitor the program. Specifically, SBA does not review the reports to identify any trends in certification deficiencies that could inform program oversight. Officials said the reports generally do not contain information that SBA considers helpful for overseeing the WOSB program, although staff sometimes use the reports to obtain firms\u2019 contact information. SBA officials also said that staff very rarely receive information about potentially fraudulent WOSB firms from the third-party certifiers\u2014maybe three firms per year\u2014and that this information is generally received via email and not as part of the monthly reports. SBA officials said that when they receive information about potentially fraudulent firms, WOSB program staff conduct an examination to determine the firm\u2019s eligibility and report the results back to the certifier. However, a third-party certifier told us it has regularly reported firms it suspected of submitting potentially fraudulent applications in its monthly reports and that SBA has not followed up with them. In addition, two third-party certifiers said that if SBA is not cross-checking the list of firms included in their monthly reports, a firm deemed ineligible by one certifier may submit an application to another certifier and obtain approval.", "The three third-party certifiers we spoke with said that SBA generally had not communicated with them about their implementation of the program since the 2016 compliance reviews. However, SBA officials noted that three of the four third-party certifiers attended an SBA roundtable in March 2017 to discuss comments on the proposed rulemaking. In addition, SBA officials said that the third-party certifiers may contact them with questions about implementing the WOSB program, but SBA generally does not reach out to them.", "Although SBA has taken steps to enhance its written policies and procedures for oversight of third-party certifiers, it does not have plans to conduct further compliance reviews of the certifiers and does not intend to review certifiers\u2019 monthly reports on a regular basis. SBA officials said that third-party certifier oversight procedures would be updated, if necessary, after certification options have been clarified in the final WOSB certification rule. However, ongoing oversight activities, such as regular compliance reviews, could help SBA better understand the steps certifiers have taken in response to previous compliance review findings and whether those steps have been effective. In addition, leading fraud risk management practices include identifying specific tools, methods, and sources for gathering information about fraud risks, including data on fraud schemes and trends from monitoring and detection activities, as well as involving relevant stakeholders in the risk assessment process. Without procedures to regularly monitor and oversee third-party certifiers, SBA cannot provide reasonable assurance that certifiers are complying with program requirements and cannot improve its efforts to identify ineligible firms or potential fraud. Further, it is unclear when SBA\u2019s final rule will be implemented. As a result, we maintain that our previous recommendation should be addressed\u2014that is, that the Administrator of SBA should establish and implement comprehensive procedures to monitor and assess the performance of certifiers in accordance with the requirements of the third-party certifier agreement and program regulations."], "subsections": []}, {"section_title": "SBA Has Not Implemented Procedures to Improve Its Eligibility Examinations of WOSB Program Participants", "paragraphs": ["SBA also has not fully addressed deficiencies found in our 2014 review related specifically to eligibility examinations. We found that SBA lacked formalized guidance for its eligibility examination processes and that the examinations continued to identify high rates of potentially ineligible businesses. As a result, we recommended that SBA enhance its examination of businesses that register for the WOSB program to ensure that only eligible businesses obtain WOSB set-asides. Specifically, we suggested that SBA consider (1) completing the development of procedures to conduct annual eligibility examinations and implementing such procedures; (2) analyzing examination results and individual businesses found to be ineligible to better understand the cause of the high rate of ineligibility in annual reviews and determine what actions are needed to address the causes, and (3) implementing ongoing reviews of a sample of all businesses that have represented their eligibility to participate in the program.", "SBA has taken some steps to implement our recommendation\u2014such as by completing its 2017 SOP and its Desk Guide, both of which include written policies and procedures for WOSB program eligibility examinations. The 2017 SOP includes a brief description of what activities are entailed in the examinations, the staff responsible for conducting them, and how firms are selected. In addition, as noted previously, SBA officials told us in September 2018 that a forthcoming update to the SOP would address deficiencies we identified regarding WOSB eligibility examinations. However, as of February 2019, SBA had not provided an updated SOP. The Desk Guide contains more detailed information on eligibility examinations. It notes that a sample of firms is to be examined annually and it provides selection criteria, which can include whether the agency has received information challenging the firm\u2019s eligibility for the program. The Desk Guide also provides specific instructions on how to determine whether a firm meets the WOSB program\u2019s ownership, control, and financial requirements and what documentation should be consulted or requested.", "SBA does not collect reliable information on the results of its annual eligibility examinations. According to SBA officials, SBA has conducted eligibility examinations of a sample of businesses that received WOSB program set-aside contracts each year since fiscal year 2012. However, SBA officials told us that the results of annual eligibility examinations\u2014 such as the number of businesses found eligible or ineligible\u2014are generally not documented. As a result, we obtained conflicting data from SBA on the number of examinations completed and the percentage of businesses found to be ineligible in fiscal years 2012 through 2018. For example, based on previous information provided by SBA, we reported in October 2014 that in fiscal year 2012, 113 eligibility examinations were conducted and 42 percent of businesses were found to be ineligible for the WOSB program. However, during this review, we received information from SBA that 78 eligibility examinations were conducted and 37 percent of businesses were found ineligible in fiscal year 2012. We found similar disparities when we compared fiscal year 2016 data provided by SBA for this report with a performance memorandum summarizing that fiscal year\u2019s statistics. Regardless of the disparity between the data sources, the rate of ineligible businesses has remained significant. For example, according to documentation SBA provided during this review, in fiscal year 2017, SBA found that about 40 percent of the businesses in its sample were not eligible.", "In addition, SBA continues to have no mechanism for evaluating examination results in aggregate to inform the WOSB program. In 2014, we reported that SBA officials told us that most businesses that were deemed ineligible did not understand the documentation requirements for establishing eligibility. However, we also reported that SBA officials could not explain how they knew a lack of understanding was the cause of ineligibility among businesses and had not made efforts to confirm that this was the cause. In June 2018, SBA officials told us they did not analyze the annual examinations in aggregate for common eligibility issues because the examination results are unique to each WOSB firm. They noted that this was not necessary as WOSB program staff are familiar with common eligibility issues through the annual eligibility examinations. As we noted in 2014, by not analyzing aggregate examination results, the agency is missing opportunities to obtain meaningful insights into the program, such as the reasons many businesses are deemed ineligible.", "Also, SBA still conducts eligibility examinations only of firms that have already received a WOSB award. In 2014, we concluded that this sampling practice restricts SBA\u2019s ability to identify potentially ineligible businesses prior to a contract award. Similarly, during this review, SBA officials said that while some aspects of the sample characteristics have changed since 2012, the samples still generally consist only of firms that have been awarded a WOSB set-aside. In addition, officials said that the sample size of the eligibility examinations has varied over time and is largely based on the workload of WOSB program staff. Restricting the samples in this way limits SBA\u2019s ability to better understand the eligibility of businesses before they apply for and are awarded contracts, as well as its ability to detect and prevent potential fraud.", "SBA officials said that their other means of reducing participation by ineligible firms and mitigating potential fraud is through WOSB or EDWOSB status protests\u2014that is, allegations that a business receiving an award does not meet program eligibility requirements. A federal contractor can file a status protest against any firm receiving an award that represents itself as a WOSB in the System for Award Management for grounds that include failure to provide all required supporting documentation. The penalties for misrepresenting a firm\u2019s status, per regulation, include debarment or suspension. However, one third-party certifier expressed in its comments to the advance notice of proposed rulemaking on certification that status protests alone are not a viable option for protecting the integrity of the WOSB program. The certifier questioned how a firm could have sufficient information about a competitor firm to raise questions about its eligibility. According to SBA officials, 11 status protests were filed under the WOSB program in fiscal year 2018. Of these, four firms were deemed ineligible for the WOSB program, four were deemed eligible, and three status protests were dismissed. In fiscal year 2017, 9 status protests were filed; of these, three firms were found ineligible, two were found eligible, and four status protests were dismissed.", "We recognize that SBA has made some effort to address our previous recommendation by documenting procedures for conducting annual eligibility examinations of WOSB firms. However, leading fraud risk management practices state that federal program managers should design control activities that focus on fraud prevention over detection and response, to the extent possible. Without maintaining reliable information on the results of eligibility examinations, developing procedures for analyzing results, and expanding the sample of businesses to be examined to include those that did not receive contracts, SBA limits the value of its eligibility examinations and its ability to reduce ineligibility among businesses registered to participate in the WOSB program. These deficiencies also limit SBA\u2019s ability to identify potential fraud risks and develop any additional control activities needed to address these risks. As a result, the program may continue to be exposed to the risk of ineligible businesses receiving set-aside contracts. In addition, in light of these continued oversight deficiencies, the implementation of sole-source authority without addressing the other changes made by the 2015 NDAA could increase program risk. For these reasons, we maintain that our previous recommendation that SBA enhance its WOSB eligibility examination procedures should be addressed."], "subsections": []}, {"section_title": "SBA Has Not Addressed Previously Identified Issues with WOSB Set- Asides Awarded Under Ineligible Industry Codes", "paragraphs": ["In 2015 and 2018, the SBA OIG reported instances in which WOSB set- asides were awarded using NAICS codes that were not eligible under the WOSB program, and our analysis indicates that this problem persists. In 2015, the SBA OIG reported on its analysis of a sample of 34 WOSB set- aside awards and found that 10 awards were set aside using an ineligible NAICS code. The SBA OIG concluded that this may have been due to contracting officers\u2019 uncertainty about NAICS code requirements under the program and recommended that SBA provide additional, updated training and outreach to federal agencies\u2019 contracting officers on the program\u2019s NAICS code requirements. In response, SBA updated WOSB program training and outreach documents in March 2016 to include information about the program\u2019s NAICS code requirements.", "In 2018, the SBA OIG issued another report evaluating the WOSB program, with a focus on the use of the program\u2019s sole-source contract authority. Here, the SBA OIG identified additional instances of contracting officers using inaccurate NAICS codes to set aside WOSB contracts. Specifically, the SBA OIG reviewed a sample of 56 awards and found that 4 were awarded under ineligible NAICS codes. The report included two recommendations for SBA aimed at preventing and correcting improper NAICS code data in FPDS-NG: (1) conduct quarterly reviews of FPDS- NG data to ensure contracting officers used the appropriate NAICS codes and (2) in coordination with the Office of Federal Procurement Policy and GSA, strengthen controls in FPDS-NG to prevent contracting officers from using ineligible NAICS codes.", "SBA disagreed with both of these recommendations. In its response to the first recommendation, SBA stated that it is not responsible for the oversight of other agencies\u2019 contracting officers and therefore is not in a position to implement the corrective actions. With respect to the second recommendation, SBA stated that adding such controls to FPDS-NG would further complicate the WOSB program and increase contracting officers\u2019 reluctance to use it. SBA also stated its preference for focusing its efforts on ensuring that contracting officers select the appropriate NAICS code at the beginning of the award process.", "In our review, we also found several issues with WOSB program set- asides being awarded under ineligible NAICS codes. Our analysis of FPDS-NG data on all obligations to WOSB program set-asides from the third quarter of fiscal year 2011 through the third quarter of fiscal year 2018 found the following:", "3.5 percent (or about $76 million) of WOSB program obligations were awarded under NAICS codes that were never eligible for the WOSB program;", "10.5 percent (or about $232 million) of WOSB program obligations made under an EDWOSB NAICS code went to women-owned businesses that were not eligible to receive awards in EDWOSB- eligible industries; and", "17 of the 47 federal agencies that obligated dollars to WOSB program set-asides during the period used inaccurate NAICS codes in at least 5 percent of their WOSB set-asides (representing about $25 million).", "According to SBA officials we spoke with during this review, WOSB program set-asides may be awarded under ineligible NAICS codes because of human error when contracting officers are inputting data in FPDS-NG or because a small business contract was misclassified as a WOSB program set-aside. They characterized the extent of the issue as \u201csmall\u201d relative to the size of the FPDS-NG database and said that such issues do not affect the program\u2019s purpose. Rather than review FPDS-NG data that are inputted after the contract is awarded, SBA officials said that they have discussed options for working with GSA to add controls defining eligible NAICS codes for WOSB program set-aside opportunities on FedBizOpps.gov\u2014the website that contracting officers use to post announcements about available federal contracting opportunities. Adding controls to this system, officials said, would help contracting officers realize as they are writing the contract requirements that they should not set aside contracts under the WOSB program without reviewing the proper NAICS codes. However, SBA officials said that the feasibility of this option was still being discussed and that the issue was not a high priority. For these reasons, according to officials, SBA\u2019s updated oversight procedures described in the 2017 SOP and the Desk Guide do not include a process for reviewing WOSB program set-aside data in FPDS-NG to determine whether they were awarded under the appropriate NAICS codes.", "Further, as of November 2018, the WOSB program did not have targeted outreach or training that focused on specific agencies\u2019 use of NAICS codes. As noted previously, in March 2016, SBA updated its WOSB program training materials to address NAICS code requirements in response to a 2015 SBA OIG recommendation. In fiscal year 2018, SBA conducted three WOSB program training sessions for federal contracting officers, including (1) a virtual learning session, (2) a session conducted during WOSB Industry Day at the Department of Housing and Urban Development, and (3) a session conducted during a Department of Defense Small Business Training Conference. However, with the exception of the virtual learning session, these training sessions were requested by the agencies. SBA officials did not identify any targeted outreach or training provided to specific agencies to improve understanding of WOSB NAICS code requirements (or other issues related to the WOSB program).", "Congress authorized SBA to develop a contract set-aside program specifically for WOSBs and EDWOSBs to address the underrepresentation of such businesses in specific industries. In addition, federal standards for internal control state that management should design control activities to achieve objectives and respond to risks and to establish and operate monitoring activities to monitor and evaluate the results. Because SBA does not review whether contracts are being awarded under the appropriate NAICS codes, it cannot provide reasonable assurance that WOSB program requirements are being met or identify agencies that may require targeted outreach or additional training on eligible NAICS codes. As a result, WOSB contracts may continue to be awarded to groups other than those intended, which can undermine the goals of and confidence in the program."], "subsections": []}]}, {"section_title": "Federal Contracts to WOSB Set-Asides Remain Relatively Small, and Stakeholders Discussed Various Aspects of Program Use", "paragraphs": [], "subsections": [{"section_title": "The Percentage of Obligations to Women- Owned Small Businesses under the WOSB Program Increased Slightly since 2012", "paragraphs": ["Federal dollars obligated for contracts to all women-owned small businesses increased from $18.2 billion in fiscal year 2012 to $21.4 billion in fiscal year 2017. These figures include contracts for any type of good or service awarded under the WOSB program, under other federal programs, or through full and open competition. Contracts awarded to all women-owned small businesses within WOSB-program-eligible industries also increased during this period\u2014from about $15 billion to $18.8 billion, as shown in figure 1. However, obligations under the WOSB program represented only a small share of this increase. In fiscal year 2012, WOSB program contract obligations were 0.5 percent of contract obligations to all women-owned small businesses for WOSB-program- eligible goods or services (about $73.5 million), and in fiscal year 2017 this percentage had grown to 3.8 percent (about $713.3 million) (see fig. 1).", "From fiscal years 2012 through 2017, 98 percent of total dollars obligated for contracts to all women-owned small businesses in WOSB-program- eligible industries were not awarded under the WOSB program. Instead, these contracts were awarded without a set-aside or under other, longer- established socioeconomic contracting programs, such as HUBZone, the SDVOSB, and 8(a). For example, during this period, dollars obligated to contracts awarded to women-owned small businesses without a set-aside represented about 34 percent of dollars obligated for contracts to all women-owned small businesses in these industries (see fig. 2).", "As shown in table 1, six federal agencies\u2014DOD, DHS, Department of Commerce, Department of Agriculture, Department of Health and Human Services, and GSA\u2014collectively accounted for nearly 83 percent of the obligations awarded under the WOSB program from the third quarter of fiscal year 2011 through the third quarter of fiscal year 2018, with DOD accounting for about 49 percent of the total.", "Contracting officers\u2019 use of sole-source authority was relatively limited, representing about 12 percent of WOSB program obligations from January 2016 through June 2018. In fiscal year 2017\u2014the only full fiscal year for which we have data on sole-source authority\u2014about $77 million were obligated using sole-source authority. The share of sole-source awards as a percentage of total WOSB program set-asides also varied considerably by quarter\u2014from as low as 5 percent in the third quarter of 2016 to as high as 21 percent in the first quarter of 2017 (see fig. 3)."], "subsections": []}, {"section_title": "Stakeholders Discussed Various Issues Related to WOSB Program Usage", "paragraphs": ["We spoke with 14 stakeholder groups to obtain their views on usage of the WOSB program. These groups consisted of staff within three federal agencies (DHS, DOD, and GSA), eight contracting offices within these agencies, and three third-party certifiers. Issues stakeholders discussed included the impact of sole-source authority and program-specific NAICS codes on program usage. Stakeholders also noted the potential effect of other program requirements on contracting officers\u2019 willingness to use the program, and some suggested that SBA provide additional guidance and training to contracting officers.", "Sole-source authority. Participants in 12 of the 14 stakeholder groups commented on the effect of sole-source authority on WOSB program usage. Staff from 4 of the 12 stakeholder groups\u2014including three contracting offices\u2014said that sole-source authority generally had no effect on the use of the WOSB program. One of these stakeholders believed contracting officers seldom use the authority because they lack an understanding of how and when to use it; therefore, in this stakeholder\u2019s opinion, use of the WOSB program has not generally changed since the authority was implemented. However, staff from two contracting offices and one third-party certifier said that sole-source authority was a positive addition because, for example, it can significantly reduce the lead time before a contracting officer can offer a contract award to a firm. Staff from one of these two contracting offices stated that the award process can take between 60 to 90 days using sole-source authority, compared to 6 to 12 months using a competitive WOSB program set-aside. These staff also said that negotiating the terms of a sole-source contract is easier, from a contracting officer\u2019s perspective, because they can communicate directly with the firm. As discussed previously, SBA officials we interviewed said that adding sole-source authority to the WOSB program made the program more consistent with other existing socioeconomic set-aside programs, such as 8(a) and HUBZone.", "The remaining five stakeholder groups that discussed the effects of WOSB sole-source authority described difficulties with implementing it. Specifically, representatives from DHS, DOD, and one third-party certifier said that executing sole-source authority under the WOSB program is difficult for contracting officers because rules for sole-source authority under WOSB are different from those under other SBA programs, such as 8(a) and HUBZone. For example, the FAR\u2019s requirement that contracting officers justify, in writing, why they do not expect other WOSBs or EDWOSBs to submit offers on a contract is stricter under the WOSB program than it is for the 8(a) program. Further, staff from one contracting office noted that justifications for WOSB set-asides must then be published on a federal website. In contrast, contracting officers generally do not need to prepare and publish a justification under the 8(a) program. According to staff from another contracting office, it may be difficult to find more than one firm qualified to do the work under some WOSB-eligible NAICS codes, but contracting officers would still have to conduct market research and explain why they do not expect additional offers in order to set the contract aside for a WOSB.", "Program-specific NAICS codes. Participants in 13 of the 14 stakeholder groups we interviewed commented on the requirement that WOSB program set-asides be awarded within certain industries, represented by NAICS codes. For example, two third-party certifiers we interviewed recommended that the NAICS codes be expanded or eliminated to provide greater opportunities for WOSBs to win contracts under the program. Another third-party certifier said that some of its members focus their businesses\u2019 marketing efforts on industries specific to the WOSB program to help them compete for such contracts.", "Representatives from GSA and DHS made comments about limitations with respect to the WOSB program\u2019s NAICS code requirement. Staff we interviewed from three contracting offices made similar statements, adding that the NAICS codes limit opportunities to award a contract to a WOSB or EDWOSB because they are sufficient in some industry areas but not others. All five of these stakeholder groups suggested that NAICS codes be removed from the program\u2019s requirements to increase opportunities for WOSBs.", "Conversely, staff from five other contracting offices we interviewed generally expressed positive views about the WOSB program\u2019s NAICS code requirements and stated that eligible codes line up well with the services for which they generally contract. Finally, SBA officials noted that there are no plans to reassess the NAICS codes until about 2020. However, SBA officials also stated that the NAICS code requirements complicate the WOSB program and add confusion for contracting officers who use program, as compared to other socioeconomic programs that do not have such requirements, such as HUBZone or 8(a).", "Requirement to verify eligibility documentation. Staff from 7 of the 14 stakeholder groups we interviewed discussed the requirement for the contracting officer to review program eligibility documentation and how this requirement affects their decision to use the program. For example, staff from one contracting office said that using the 8(a) or HUBZone programs is easier because 8(a) and HUBZone applicants are already certified by SBA; therefore, the additional step to verify documentation for eligibility is not needed. GSA officials noted that eliminating the need for contracting officers to take additional steps to review eligibility documentation for WOSB-program set-asides\u2014in addition to checking the System for Award Management\u2014could create more opportunities for WOSBs by reducing burden on contracting officers. However, staff from two contracting offices said it is not more difficult to award contracts under the WOSB program versus other socioeconomic programs.", "WOSB program guidance. Staff from 13 of the14 stakeholder groups we interviewed discussed guidance available to contracting officers under the WOSB program. Most generally said that the program requirements outlined in the FAR are fairly detailed and help contracting officers implement the program. According to SBA officials, SBA provides training on WOSB program requirements to contracting officers in federal agencies by request, through outreach events, and through an annual webinar. SBA officials also said that the training materials include all the regulatory issues that contracting officers must address.", "However, representatives from two third-party certifiers described feedback received from their members about the need to provide additional training and guidance for contracting officers to better understand and implement the WOSB program. Staff from two contracting offices also expressed the need for SBA to provide additional training and guidance. Staff from one of these contracting offices said that the last time they received training on the WOSB program was in 2011, when the program was first implemented. Staff in the other contracting office added that the most recent version of a WOSB compliance guide they could locate online was at least 6 years old. SBA officials estimated that the WOSB compliance guide was removed from their public website in March 2016 because it was difficult to keep the document current and officials did not want to risk publishing a guide that was out-of-date. SBA officials also said that there are no plans to issue an updated guide as the FAR is sufficient.", "The stakeholder groups also identified positive aspects of the WOSB program. Specifically, staff from seven stakeholder groups believed that the program provided greater opportunities for women-owned small businesses to obtain contracts in industries in which they are underrepresented. In addition, staff from three stakeholder groups mentioned that SBA-led initiatives, such as the Small Business Procurement Advisory Council and SBA\u2019s co-sponsorship of the ChallengeHER program, help improve collaboration between federal agencies and the small business community and overall government contracting opportunities for women-owned small businesses."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The WOSB program aims to enhance federal contracting opportunities for women-owned small businesses. However, weaknesses in SBA\u2019s management of the program continue to hinder its effectiveness. As of February 2019, SBA had not fully implemented comprehensive procedures to monitor the performance of the WOSB program\u2019s third- party certifiers and had not taken steps to provide reasonable assurance that only eligible businesses obtain WOSB set-aside contracts, as recommended in our 2014 report. Without ongoing monitoring and reviews of third-party certifier reports, SBA cannot ensure that the certifiers are fulfilling the requirements of their agreements with SBA, and it is missing opportunities to gain information that could help improve the program\u2019s processes. Further, limitations in SBA\u2019s procedures for conducting, documenting, and analyzing eligibility examinations inhibit its ability to better understand the eligibility of businesses before they apply for and potentially receive contracts, which exposes the program to unnecessary risk of fraud. In addition, given that SBA does not expect to finish implementing the changes in the 2015 NDAA until January 1, 2020, these continued oversight deficiencies increase program risk. As a result, we maintain that our previous recommendations should be addressed.", "In addition, SBA has not addressed deficiencies that the SBA OIG identified previously\u2014and that we also identified during this review\u2014 related to WOSB set-asides being awarded under ineligible industry codes. Although SBA has updated its training and outreach materials for the WOSB program to address NAICS code requirements, it has not developed plans to review FPDS-NG data or provide targeted outreach or training to agencies that may be using ineligible codes. As a result, SBA is not aware of the extent to which individual agencies are following program requirements and which agencies may require targeted outreach or additional training. Reviewing FPDS-NG data would allow SBA to identify those agencies (and contracting offices within them) that could benefit from such training. Without taking these additional steps, SBA cannot provide reasonable assurance that WOSB program requirements are being met."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The SBA Administrator or her designee should (1) develop a process for periodically reviewing FPDS-NG data to determine the extent to which agencies are awarding WOSB program set-asides under ineligible NAICS codes and (2) take steps to address any issues identified, such as providing targeted outreach or training to agencies making awards under ineligible codes. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS, DOD, GSA, and SBA for review and comment. DHS, DOD, and GSA indicated that they did not have comments. SBA provided a written response, reproduced in appendix II, in which it agreed with our recommendation. SBA stated that it will implement a process to review WOSB program data extracted from FPDS-NG and certified by each agency. Specifically, through the government-wide Small Business Procurement Advisory Council, SBA plans to provide quarterly presentations to contracting agencies\u2019 staff that would include training and an analysis and review of the data. The response also reiterated that SBA has contacted GSA to implement a system change to FedBizOpps.gov that would prevent contracting officers from entering an invalid NAICS code for a WOSB program set-aside.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time we will send copies of this report to appropriate congressional committees and members, the Acting Secretary of DOD, the Secretary of DHS, the Administrator of GSA, the Administrator of SBA, and other interested parties. This report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8678 or shearw@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the extent to which the Small Business Administration (SBA) has implemented changes to the Women-Owned Small Business Program (WOSB program) made by the 2015 National Defense Authorization Act (2015 NDAA); (2) the extent to which SBA has implemented changes to address previously identified oversight deficiencies; and (3) changes in WOSB program use since 2011 and stakeholder views on its use, including since the 2015 implementation of sole-source authority.", "To describe the extent to which SBA has implemented changes to the WOSB program made by the 2015 NDAA, we reviewed relevant legislation, including the 2015 NDAA; related proposed regulations; and SBA documentation. We reviewed comment letters on the advance notice of proposed rulemaking for the new WOSB program certification process from three of the four SBA-approved third-party certifiers: the El Paso Hispanic Chamber of Commerce, the U.S. Women\u2019s Chamber of Commerce, and the Women\u2019s Business Enterprise National Council. To ensure the accuracy of our characterization of the comment letters, one staff member independently summarized the third-party certifiers\u2019 comments on the advance notice, and a second staff member then reviewed the results. We also interviewed SBA officials, including officials from SBA\u2019s Office of Government Contracting and Business Development.", "To respond to the second and third objectives, we conducted interviews on SBA\u2019s implementation and oversight of the WOSB program and its use with SBA officials, three of the WOSB program\u2019s four third-party certifiers, three selected agencies (and three agency components within two of the agencies), and a total of eight selected contracting offices within six selected agencies or components. Using data from the Federal Procurement Data System-Next Generation (FPDS-NG), we judgmentally selected the three federal agencies and three components (for a total of six federal agencies and components) because their WOSB program dollar obligations (including competed and sole-source) were among the largest or because we had interviewed them for our prior work. Specifically, we selected the following six agencies or agency components: the Department of Homeland Security (DHS) and, within DHS, the Coast Guard; the Department of Defense (DOD) and, within DOD, the U.S. Army and U.S. Navy; and the General Services Administration (GSA). Within the components and GSA, we judgmentally selected eight contracting offices (two each from Coast Guard, U.S. Army, U.S. Navy, and GSA) based on whether they had a relatively large amount of obligations and had used multiple types of WOSB program set- asides (competed or sole-source) to WOSBs or economically disadvantaged women-owned small businesses (EDWOSB).", "To address our second objective, we reviewed the findings and recommendations in our October 2014 report and in audit reports issued by the SBA Office of Inspector General (OIG) in May 2015 and June 2018. We also reviewed SBA documentation on the WOSB program, including SBA\u2019s 2017 Standard Operating Procedures and 2018 WOSB Program Desk Guide, results from 2016 compliance reviews of the four third-party certifiers, and SBA eligibility examinations from fiscal years 2012 through 2018. In addition, we analyzed FPDS-NG data on contract obligations to WOSB program set-asides from the third quarter of fiscal year 2011 through the third quarter of fiscal year 2018 to determine whether set-asides were made using eligible program-specific North American Industry Classification System (NAICS) codes. To conduct this analysis, we compared contract obligations in FPDS-NG with the NAICS codes eligible under the WOSB program at the time of the award for the time frame under review. The WOSB program\u2019s eligible NAICS codes have changed three times since the program was implemented in 2011, but the eligible industries have changed once. SBA commissioned the RAND Corporation to conduct the first study to assist SBA in determining eligible NAICS codes under the WOSB program. Based on the results of the RAND study, SBA identified 45 four-digit WOSB NAICS codes and 38 four-digit EDWOSB NAICS codes, for a total of 83 four-digit NAICS codes. WOSB and EDWOSB NAICS codes are different and do not overlap. In December 2015, the Department of Commerce issued the next study, which increased the total NAICS codes under the program to 113 four-digit codes, with 92 WOSB NAICS codes and 21 EDWOSB NAICS codes (which became effective March 2016). Often, there is a time lag between the effective date of NAICS codes and when they are entered in FPDS-NG. Therefore, we did not classify a contract as having an ineligible NAICS code if the code eventually became eligible under the WOSB program. We also excluded actions in FPDS-NG coded other than as a small business. These actions represented a small amount of contract obligations\u2014approximately $125,000. We compared SBA information on its oversight activities and responses to previously identified deficiencies, federal internal control standards, and GAO\u2019s fraud risk framework.", "We assessed the reliability of FPDS-NG data by considering their known strengths and weaknesses, based on our past work and through electronic testing for missing data, outliers, and inconsistent coding in the data elements we used for our analysis. We also reviewed FPDS-NG documentation, including the FPDS-NG data dictionary, FPDS-NG data validation rules, FPDS-NG user manual, prior GAO reliability assessments, and relevant SBA OIG audit reports. Based on these steps, we concluded that the data were sufficiently reliable for the purposes of reporting on trends in the WOSB program and the use of sole-source authority under the program.", "To describe how participation in the WOSB program has changed since 2011, including since the 2015 implementation of sole-source authority, we analyzed FPDS-NG data from the third quarter of fiscal year 2011 through the third quarter of fiscal year 2018. We identified any trends in WOSB program participation using total obligation dollars set aside for competitive and sole-source contracts awarded to WOSBs and EDWOSBs under the program. We also compared data on obligations for set-asides under the WOSB program with federal contract obligations for WOSB-program-eligible goods and services to all women-owned small businesses, including those made under different set-aside programs or with no set-asides, to determine the relative usage of the WOSB program. In our analysis, we excluded from WOSB program set-aside data actions in FPDS-NG coded other than as a small business (representing approximately $125,000) or coded under ineligible NAICS codes that were never eligible under the WOSB program (representing approximately $76.3 million).", "To describe stakeholder views on WOSB program use, we conducted semistructured interviews to gather responses from 14 stakeholder groups. These groups consisted of staff within three federal agencies (DHS, DOD, and GSA), eight contracting offices within these agencies, and three third-party certifiers (selection criteria described above). One person summarized the results of the interviews, and another person reviewed the summary of the interviews to ensure an accurate depiction of the comments. In addition, a third person then reviewed the summarized results.", "We conducted this performance audit from October 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Allison Abrams (Assistant Director), Tiffani Humble (Analyst-in-Charge), Pamela Davidson, Jonathan Harmatz, Julia Kennon, Jennifer Schwartz, Rebecca Shea, Jena Sinkfield, Tyler Spunaugle, and Tatiana Winger made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Women-Owned Small Business program aims to give these businesses an edge when competing for federal contracts in industries where women have traditionally been underrepresented.", "Each year, the Small Business Administration examines a sample of businesses that received contracts under the program to determine whether they were eligible to participate. In fiscal year 2017, SBA found about 40 percent of the businesses in its sample weren't eligible. Moreover, SBA doesn't use the examination results to improve its oversight.", "We made a recommendation and reiterated previous ones to address this and other persistent problems we found."]} {"id": "GAO-18-215T", "url": "https://www.gao.gov/products/GAO-18-215T", "title": "2020 Census: Actions Needed to Mitigate Key Risks Jeopardizing a Cost-Effective Enumeration", "published_date": "2017-10-31T00:00:00", "released_date": "2017-10-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["One of the Bureau's most important functions is to conduct a complete and accurate decennial census of the U.S. population. The decennial census is mandated by the Constitution and provides vital data for the nation. A complete count of the nation's population is an enormous undertaking as the Bureau seeks to control the cost of the census, implement operational innovations, and use new and modified IT systems. In recent years, GAO has identified challenges that raise serious concerns about the Bureau's ability to conduct a cost-effective count. For these reasons, GAO added the 2020 Census to its High-Risk list in February 2017.", "In light of these challenges, GAO was asked to testify about the reasons the 2020 Census was placed on the High-Risk List. To do so, GAO summarized its prior work regarding the Bureau's planning efforts for the 2020 Census. GAO also included observations from its ongoing work on the 2018 End-to-End Test. This information is related to, among other things, recent decisions on preparations for the 2020 Census; progress on key systems to be used for the 2018 End-to-End Test, including the status of IT security assessments; execution of the address canvassing operation at the test sites; and efforts to update the life-cycle cost estimate."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO added the 2020 Census to its high-risk list because of challenges associated with (1) developing and testing key innovations; (2) implementing and securing IT systems; and (3) controlling any further cost growth and preparing reliable cost estimates. The Census Bureau (Bureau) is planning several innovations for the 2020 Decennial Census, including re-engineering field operations by relying on automation, using administrative records to supplement census data, verifying addresses in-office using on-screen imagery, and allowing the public to respond using the Internet. These innovations show promise for controlling costs, but they also introduce new risks, in part because they have not been used extensively in earlier enumerations, if at all. As a result, robust testing is needed to ensure that key systems and operations will function as planned. However, citing budgetary uncertainties, the Bureau canceled its 2017 field test and then scaled back its 2018 End-to End Test. Without sufficient testing, operational problems can go undiscovered and the opportunity to improve operations will be lost, as key census-taking activities will not be tested across a range of geographic locations, housing types, and demographic groups.", "The Bureau continues to face challenges in managing and overseeing the information technology (IT) programs, systems, and contracts supporting the 2020 Census. For example, GAO's ongoing work indicates that the system development schedule leading up to the 2018 End-to-End test has experienced several delays. Further, the Bureau has not addressed several security risks and challenges to secure its systems and data, including making certain that security assessments are completed in a timely manner and that risks are at an acceptable level. Given that certain operations for the 2018 End-to-End Test began in August 2017, it is important that the Bureau quickly address these challenges. GAO plans to monitor the Bureau's progress as part of its ongoing work.", "In addition, the Bureau needs to control any further cost growth and develop cost estimates that reflect best practices. Earlier this month, the Department of Commerce (Department) announced that it had updated the October 2015 life-cycle cost-estimate and now projects the life-cycle cost of the 2020 Census will be $15.6 billion, more than $3 billion (27 percent) increase over its earlier estimate. The higher estimated life-cycle cost is due, in part, to the Bureau's failure to meet best practices for a quality cost-estimate. The Bureau and Department are still finalizing the documentation used to develop the $15.6 billion cost-estimate. Until these documents are complete and made available for inspection, GAO cannot determine the reliability of the estimate."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Over the past decade, we have made 84 recommendations specific to the 2020 Census to address the issues raised in this testimony and others. The Bureau generally has agreed with our recommendations. As of October 2017, 36 recommendations had not been implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the U.S. Census Bureau\u2019s (Bureau) progress in preparing for the 2020 Decennial Census. Conducting the decennial census of the U.S. population is mandated by the Constitution and provides vital data for the nation. The information that the census collects is used to apportion the seats of the House of Representatives; redraw congressional districts; allocate billions of dollars each year in federal financial assistance; and provide a social, demographic, and economic profile of the nation\u2019s people to guide policy decisions at each level of government. Further, businesses use census data to market new services and products and to tailor existing ones to demographic changes.", "For 2020, a complete count of the nation\u2019s population is an enormous undertaking as the Bureau seeks to control the cost of the census while it implements several innovations and manages the processes of acquiring and developing new and modified information technology (IT) systems. In recent years, we have identified challenges that raise serious concerns about the Bureau\u2019s ability to conduct a cost-effective count of the nation, including issues with the agency\u2019s research, testing, planning, scheduling, cost estimation, systems development, and IT security practices. Over the past decade, we have made 84 recommendations specific to the 2020 Census to help address these and other issues. The Bureau has generally agreed with those recommendations; however 36 of them had not been implemented as of October 2017. We also added the 2020 Decennial Census to GAO\u2019s High-Risk List in February 2017. As preparations for 2020 ramp-up, addressing the risks jeopardizing the 2020 Census by implementing our recommendations is more critical than ever.", "The Bureau is currently conducting the 2018 End-to-End Test, which began in August 2017 and runs through April 2019. It is the Bureau\u2019s final opportunity to test all key systems and operations to ensure readiness for the 2020 Census.", "My testimony today will describe (1) why we added the decennial census to our high risk list, and (2) the steps the Department of Commerce and the Bureau need to take going forward to mitigate the risks jeopardizing a cost-effective census.", "The information in this statement is based primarily on prior work regarding the Bureau\u2019s planning efforts for 2020. For that body of work, we reviewed, among other things, relevant Bureau documentation, including the 2020 Census Operational Plan, recent decisions on preparations for the 2020 Census, and outcomes of key IT milestone reviews. Other details on the scope and methodology for our prior work are provided in each published report on which this testimony is based. We also discussed the status of recommendations with Department of Commerce and Bureau staff.", "In addition, we included information in this statement from our ongoing work on the 2018 End-to-End Test. For our ongoing work examining the address canvassing operation, we reviewed plans for and the execution of the address canvassing portion of the 2018 End-to-End Test at each of the three test sites\u2014in Pierce County, Washington; Providence County, Rhode Island; and Bluefield-Beckley-Oak Hill, West Virginia. Across the three test sites, we observed 18 census workers conduct address canvassing operations and interviewed local office staff at each location. These observations are not generalizable.", "For our ongoing work on the readiness of the Bureau\u2019s IT systems, we collected and reviewed documentation on the status and plans for system development, testing, and security assessments for the 2018 End-to-End Test. This includes the Bureau\u2019s integration and implementation plan, solution architecture, and memorandums documenting outcomes of security assessments. We also interviewed agency officials.", "We provided a copy of the new information we are reporting in this testimony to the Bureau for comment on October 19, 2017. The Bureau provided technical comments, which we addressed as appropriate.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The cost of the census has been escalating over the last several decennials. The 2010 decennial was the costliest U.S. Census in history at about $12.3 billion, and was about 31 percent more costly than the $9.4 billion 2000 Census (in 2020 dollars). The average cost for counting a housing unit increased from about $16 in 1970 to around $92 in 2010 (in 2020 dollars). According to the Department of Commerce (Department), the total cost of the 2020 Census is now estimated to be approximately $15.6 billion dollars, more than $3 billion higher than previously reported by the Bureau.", "Meanwhile, the return of census questionnaires by mail (the primary mode of data collection) declined over this period from 78 percent in 1970 to 63 percent in 2010 (see figure 1). Declining mail response rates\u2014a key indicator in determining the cost-effectiveness of the census\u2014are significant and lead to higher costs. This is because the Bureau sends temporary workers to each non-responding household to obtain census data. As a result, non-response follow-up is the Bureau\u2019s largest and most costly field operation. In many ways, the Bureau has had to invest substantially more resources each decade to conduct the enumeration.", "Achieving a complete and accurate census is becoming an increasingly daunting task, in part, because the nation\u2019s population is growing larger, more diverse, and more reluctant to participate. When the census misses a person who should have been included, it results in an undercount; conversely, an overcount occurs when an individual is counted more than once. Such errors are particularly problematic because of their impact on various subgroups. Minorities, renters, and children, for example, are more likely to be undercounted by the census.", "The challenges to an accurate count can be seen, for example, in the difficulties associated with counting people residing in unconventional and hidden housing units, such as converted basements and attics. In figure 2, what appears to be a small, single-family house could contain an apartment, as suggested by its two doorbells. If an address is not in the Bureau\u2019s address file, its residents are less likely to be included in the census."], "subsections": [{"section_title": "The Bureau Plans to Rely Heavily on IT for the 2020 Census", "paragraphs": ["The Bureau plans to rely heavily on both new and legacy IT systems and infrastructure to support the 2018 End-to-End Test and the 2020 Census operations. For example, the Bureau plans to deploy and use 43 systems in the 2018 End-to-End Test. Eleven of these systems are being developed or modified as part of an enterprise-wide initiative called Census Enterprise Data Collection and Processing (CEDCaP), which is managed within the Bureau\u2019s IT Directorate. This initiative is a large and complex modernization program intended to deliver a system-of-systems to support all of the Bureau\u2019s survey data collection and processing functions, rather than continuing to rely on unique, survey-specific systems with redundant capabilities. According to Bureau officials, the remaining 32 IT systems are being developed or modified by the 2020 Census Directorate or other Bureau divisions.", "To support the 2018 End-to-End Test, the Bureau plans to incrementally deploy and use the 43 systems for nine operations from December 2016 through the end of the test in April 2019. These nine operations are: (1) in-office address canvassing, (2) recruiting staff for address canvassing, (3) training for address canvassing, (4) in-field address canvassing, (5) recruiting staff for field enumeration, (6) training for field enumeration, (7) self-response (i.e., Internet, phone, or paper), (8) field enumeration, and (9) tabulation and dissemination."], "subsections": []}]}, {"section_title": "Key Risks are Jeopardizing a Cost- Effective Enumeration", "paragraphs": ["We added the 2020 Census to our list of high-risk programs in February, 2017, because (1) innovations never before used in prior enumerations will not be fully tested; (2) the Bureau continues to face challenges in implementing and securing IT systems; and (3) the Bureau needs to control any further cost growth and develop reliable cost estimates. Each of these key risks are discussed in greater detail below; if not sufficiently addressed, these risks could adversely impact the cost and/or quality of the enumeration. Moreover, they compound the inherent challenges of conducting a successful census such as the nation\u2019s increasingly diverse population and concerns over personal privacy."], "subsections": [{"section_title": "Key Risk #1: Reduced Operational Testing Limits Confidence in 2020 Census Innovation Areas", "paragraphs": ["The basic design of the enumeration\u2014mail out and mail back of the census questionnaire with in-person follow-up for non-respondents\u2014has been in use since 1970. However, a key lesson learned from the 2010 Census and earlier enumerations, is that this \u201ctraditional\u201d design is no longer capable of cost-effectively counting the population.", "In response to its own assessments, our recommendations, and studies by other organizations, the Bureau has fundamentally re-examined its approach for conducting the 2020 Census. Specifically, its plan for 2020 includes four broad innovation areas: re-engineering field operations, using administrative records, verifying addresses in-office, and developing an Internet self-response option (see table 1).", "If they function as planned, the Bureau initially estimated that these innovations could result in savings of over $5 billion (in 2020 dollars) when compared to its estimates of the cost for conducting the census with traditional methods. However, in June 2016, we reported that the Bureau\u2019s life-cycle cost estimate of $12.5 billion, developed in October 2015, was not reliable and did not adequately account for risk. As discussed earlier in this statement, the Department has recently updated this figure and now estimates a life-cycle cost of $15.6 billion. At this higher level, the cost savings would be reduced to around $1.9 billion.", "While the planned innovations could help control costs, they also introduce new risks, in part, because they include new procedures and technology that have not been used extensively in earlier decennials, if at all. Our prior work has shown the importance of the Bureau conducting a robust testing program, including the 2018 End-to-End Test. Rigorous testing is a critical risk mitigation strategy because it provides information on the feasibility and performance of individual census-taking activities, their potential for achieving desired results, and the extent to which they are able to function together under full operational conditions. To address some of these challenges we have made several recommendations aimed at improving reengineered field operations, using administrative records, verifying the accuracy of the address list, and securing census responses via the Internet The Bureau has held a series of operational tests since 2012, but according to the Bureau, has scaled back recent tests because of funding uncertainties. For example, the Bureau canceled the field components of the 2017 Census Test including non-response follow-up, a key census operation. In November 2016, we reported that the cancelation of the 2017 field test was a lost opportunity to test, refine, and integrate operations and systems, and that it put more pressure on the 2018 End- to-End Test to demonstrate that enumeration activities will function under census-like conditions as needed for 2020. However, in May 2017, the Bureau scaled back the operational scope of the 2018 End-to-End and, of the three planned test sites; only the Rhode Island site would fully implement the 2018 End-to-End Test. The Washington and West Virginia state test sites would test just one field operation, address canvassing. In addition, due to budgetary concerns, the Bureau decided to remove three coverage measurement operations (and the technology that supports them) from the scope of the test.", "Without sufficient testing, operational problems can go undiscovered and the opportunity to improve operations will be lost, in part because the 2018 End-to-End Test is the last opportunity to demonstrate census technology and procedures across a range of geographic locations, housing types, and demographic groups."], "subsections": [{"section_title": "Operational Issues Observed in the End-to-End Test Will Need to Be Addressed", "paragraphs": ["On August 28, 2017, temporary census employees known as address listers began implementing the in-field component of address canvassing for the 2018 End-to-End Test. Listers walked the streets of designated census blocks at all three test sites to verify addresses and geographic locations. The operation ended on September 27, 2017. As part of our ongoing work, we visited all three test sites and observed 18 listers conduct address canvassing. Generally, we found that listers were able to conduct address canvassing as planned. However, we also noted several challenges. We shared the following preliminary observations from our site visits with the Bureau: Internet connectivity was problematic at the West Virginia test site. We spoke to four census field supervisors who described certain areas as dead spots where Internet and cell phone service were not available. We also were told by those same supervisors that only certain cell service providers worked in certain areas. In order to access the Internet or cell service in those areas, census workers sometimes needed to drive several miles.", "The allocation of lister assignments was not always optimal. Listers were supposed to be provided assignments close to where they live in order to optimize their local knowledge and to limit the numbers of miles being driven by listers to and from their assignment area. Bureau officials told us this was a challenge at all three test sites. Moreover, at one site the area census manager told us that some listers were being assigned work in another county even though blocks were still unassigned closer to where they resided. Relying on local knowledge and limiting the number of miles can increase both the efficiency and effectiveness of address canvassing.", "The assignment of some of the large blocks early in the operations was not occurring as planned. At all three 2018 End-to-End Test sites Bureau managers had to manually assign some large blocks (some blocks had hundreds of housing units). It is important to assign large blocks early on because leaving the large blocks to be canvassed until the end of the operation could jeopardize the timely completion of address canvassing.", "According to Bureau officials,during the test, completed address and map updates for some blocks did not properly transmit. This happened at all three test sites, and included data on 11 laptops for 25 blocks. The address and map information on seven of the laptops was permanently deleted. However, data on four laptops were still available. The Bureau is examining those laptops to determine what occurred that prevented the data from being transmitted. In Providence, Rhode Island, where the full test will take place, the Bureau recanvassed those blocks where data were lost to ensure that the address and map information going forward was correct. It will be important for the Bureau to understand what happened and ensure all address and map data is properly transmitted for the 2020 Census.", "We have discussed these challenges with Bureau officials who stated that overall they are satisfied with the implementation of address canvassing but also agreed that resolving challenges discovered during address canvassing, some of which can affect the operation\u2019s efficiency and effectiveness, will be important before the 2020 Census. We plan to issue a report early in 2018 on address canvassing at the three test sites."], "subsections": []}]}, {"section_title": "Key Risk #2: The Bureau Continues to Face Challenges Implementing and Securing IT Systems", "paragraphs": ["We have previously reported that the Bureau faced challenges in managing and overseeing IT programs, systems, and contractors supporting the 2020 Census. Specifically, it has been challenged in managing schedules, costs, contracts, governance and internal coordination, and security for its IT systems. As a result of these challenges, the Bureau is at risk of being unable to fully implement key IT systems necessary to support the 2020 Census and conduct a cost- effective enumeration. We have previously recommended that the Bureau take action to improve its implementation and management of IT in areas such as governance and internal coordination. We also have ongoing work reviewing each of these areas.", "Our ongoing work has indicated that the Bureau faces significant challenges in managing the schedule for developing and testing systems for the 2018 End-to-End Test that began in August 2017. In this regard, the Bureau still has significant development and testing work that remains to be completed. As of August 2017, of the 43 systems in the test, the Bureau reported that 4 systems had completed development and integration testing, while the remaining 39 systems had not completed these activities.", "Of these 39 systems, the Bureau reported that it had deployed a portion of the functionality for 21 systems to support address canvassing for the 2018 End-to-End Test; however, it had not yet deployed any functionality for the remaining 18 systems for the test. Figure 3 summarizes the development and testing status for the 43 systems planned for the 2018 End-to-End Test.", "Moreover, due to challenges experienced during systems development, the Bureau has delayed key IT milestone dates (e.g., dates to begin integration testing) by several months for several of the systems in the 2018 End-to-End Test. Figure 4 depicts the delays to the deployment dates for the operations in the 2018 End-to-End Test, as of August 2017.", "Our ongoing work also indicates that the Bureau is at risk of not meeting the updated milestone dates. For example, in June 2017 the Bureau reported that at least two of the systems expected to be used in the self- response operation (the Internet self-response system and the call center system) are at risk of not meeting the delayed milestone dates. In addition, in September 2017 the Bureau reported that at least two of the systems expected to be used in the field enumeration operation (the enumeration system and the operational control system) are at risk of not meeting their delayed dates.", "Combined, these delays reduce the time available to conduct the security reviews and approvals for the systems being used in the 2018 End-to- End Test. We previously testified in May 2017 that the Bureau faced similar challenges leading up to the 2017 Census Test, including experiencing delays in system development that led to compressed time frames for security reviews and approvals. Specifically, we noted that the Bureau did not have time to thoroughly assess the low-impact components of one system and complete penetration testing for another system prior to the test, but accepted the security risks and uncertainty due to compressed time frames. We concluded that, for the 2018 End-to- End Test, it will be important that these security assessments are completed in a timely manner and that risks are at an acceptable level before the systems are deployed.", "The Bureau noted that, if it continues to be behind schedule, key field operations for the 2018 End-to-End Test (such as non-response follow- up) could be delayed or canceled, which may affect the Bureau\u2019s ability to meet the test\u2019s objectives. As we stated earlier, without sufficient testing, operational problems can go undiscovered and the opportunity to improve operations will be lost. Bureau officials are evaluating options to decrease the impact of these delays on integration testing and security review activities by, for example, utilizing additional staff. We have ongoing work reviewing the Bureau\u2019s development and testing delays and the impacts of these delays on systems readiness for the 2018 End-to-End Test.", "The Bureau faces challenges in reporting and controlling IT cost growth. In April 2017, the Bureau briefed us on its efforts to estimate the costs for the 2020 Census, during which it presented IT costs of about $2.4 billion from fiscal years 2018 through 2021. Based on this information and other corroborating IT contract information provided by the Bureau, we testified in May 2017 that the Bureau had identified at least $2 billion in IT costs.", "However, in June 2017, Bureau officials in the 2020 Census Directorate told us that the data they provided in April 2017 did not reflect all IT costs for the 2020 program. The officials provided us with an analysis of the Bureau\u2019s October 2015 cost estimate that identified $3.4 billion in total IT costs from fiscal years 2012 through 2023. These costs included, among other things, those associated with system engineering, test and evaluation, and infrastructure, as well as a portion of the costs for the CEDCaP program.", "Yet, our ongoing work determined the Bureau\u2019s $3.4 billion cost estimate from October 2015 did not reflect its current plans for acquiring IT to be used during the 2020 Census and that the related costs are likely to increase: In August 2016, the Bureau awarded a technical integration contract for about $886 million, a cost that was not reflected in the $3.4 billion expected IT costs. More recently, in May 2017, we testified that the scope of work for this contract had increased since the contract was awarded; thus, the corresponding contract costs were likely to rise above $886 million, as well.", "In March 2017, the Bureau reported that the contract associated with the call center and IT system to support the collection of census data over the phone was projected to overrun its initial estimated cost by at least $40 million.", "In May 2017, the Bureau reported that the CEDCaP program\u2019s cost estimate was increasing by more than $400 million\u2014from its original estimate of $548 million in 2013 to a revised estimate of $965 million in May 2017.", "In June 2017, the Bureau awarded a contract for mobile devices and associated services for about $283 million, an amount that is about $137 million higher than the cost for these devices and services identified in its October 2015 estimate.", "As a result of these factors, the Bureau\u2019s $3.4 billion estimate of IT costs is likely to be at least $1.4 billion higher, thus increasing the total costs to at least $4.8 billion. Figure 5 identifies the Bureau estimate of total IT costs associated with the 2020 program as of October 2015, as well as anticipated cost increases as of August 2017.", "IT cost information that is accurately reported and clearly communicated is necessary so that Congress and the public have confidence that taxpayer funds are being spent in an appropriate manner. However, changes in the Bureau\u2019s reporting of these total costs, combined with cost growth since the October 2015 estimate, raise questions as to whether the Bureau has a complete understanding of the IT costs associated with the 2020 program. In early October 2017, the Secretary of Commerce testified that he expected the total IT costs for the 2020 Census to be about $4.96 billion. This estimate of IT costs is approximately $1.6 billion higher than the Bureau\u2019s October 2015 estimate and further confirms our analysis of expected IT cost increases discussed above. As of late October 2017, the Bureau and Department were still finalizing the documentation used to develop the new cost estimate. After these documents are complete and made available for inspection, as part of our ongoing work, we plan to evaluate whether this updated IT cost estimate includes the cost increases, discussed above, that were not included in the October 2015 estimate.", "Our ongoing work also determined that the Bureau faces challenges in managing its significant contractor support. The Bureau is relying on contractor support in many key areas of the 2020 Census. For example, it is relying on contractors to develop a number of key systems and components of the IT infrastructure. These activities include (1) developing the IT platform that is intended to be used to collect data from those responding via the Internet, telephone, and non-response follow-up activities; (2) procuring the mobile devices and cellular service to be used for non-response follow-up; and (3) developing the infrastructure in the field offices. According to Bureau officials, contractors are also providing support in areas such as fraud detection, cloud computing services, and disaster recovery.", "In addition to the development of key technology, the Bureau is relying on contractor support for integrating all of the key systems and infrastructure. The Bureau awarded a contract to integrate the 2020 Census systems and infrastructure in August 2016. The contractor\u2019s work was to include evaluating the systems and infrastructure and acquiring the infrastructure (e.g., cloud or data center) to meet the Bureau\u2019s scalability and performance needs. It was also to include integrating all of the systems, supporting technical testing activities, and developing plans for ensuring the continuity of operations. Since the contract was awarded, the Bureau has modified the scope to also include assisting with operational testing activities, conducting performance testing for two Internet self-response systems, and technical support for the implementation of the paper data capture system.", "However, our ongoing work has indicated that the Bureau is facing staffing challenges that could impact its ability to manage and oversee the technical integration contractor. Specifically, the Bureau is managing the integration contractor through a government program management office, but this office is still filling vacancies. As of October 2017, the Bureau reported that 35 of the office\u2019s 58 federal employee positions were vacant. As a result, this program management office may not be able to provide adequate oversight of contractor cost, schedule, and performance.", "The delays during the 2017 Test and preparations for the 2018 End-to- End Test raises concerns regarding the Bureau\u2019s ability to effectively perform contractor management. As we reported in November 2016, a greater reliance on contractors for these key components of the 2020 Census requires the Bureau to focus on sound management and oversight of the key contracts, projects, and systems. As part of our ongoing work, we plan to monitor the Bureau\u2019s progress in managing its contractor support.", "Effective IT governance can drive change, provide oversight, and ensure accountability for results. Further, effective IT governance was envisioned in the provisions referred to as the 2014 Federal Information Technology Acquisition Reform Act (FITARA), which strengthened and reinforced the role of the departmental CIO. The component CIO also plays a role in effective IT governance as subject to the oversight and policies of the parent department or agency implementing FITARA.", "To ensure executive-level oversight of the key systems and technology, the Bureau\u2019s CIO (or a representative) is a member of the governance boards that oversee all of the operations and technology for the 2020 Census. However, in August 2016 we reported on challenges the Bureau has had with IT governance and internal coordination, including weaknesses in its ability to monitor and control IT project costs, schedules, and performance. We made several recommendations to the Department of Commerce to direct the Bureau to, among other things, better ensure that risks are adequately identified and schedules are aligned. The Department agreed with our recommendations. However, as of October 2017, the Bureau had only fully implemented one recommendation and had taken initial steps toward implementing others.", "Further, given the schedule delays and cost increases previously mentioned, and the vast amount of development, testing, and security assessments left to be completed, we remain concerned about executive- level oversight of systems and security. Moving forward, it will be important that the CIO and other Bureau executives continue to use a collaborative governance approach to effectively manage risks and ensure that the IT solutions meet the needs of the agency within cost and schedule. As part of our ongoing work, we plan to monitor the steps the Bureau is taking to effectively oversee and manage the development and acquisition of its IT systems.", "In November 2016, we described the significant challenges that the Bureau faced in securing systems and data for the 2020 Census, and we noted that tight time frames could exacerbate these challenges. Two such challenges were (1) ensuring that individuals gain only limited and appropriate access to the 2020 Census data, including personally identifiable information (PII) (e.g., name, personal address, and date of birth), and (2) making certain that security assessments were completed in a timely manner and that risks were at an acceptable level. Protecting PII, for example, is especially important because a majority of the 43 systems to be used in the 2018 End-to-End Test contain PII, as reflected in figure 6.", "To address these and other challenges, federal law and guidance specify requirements for protecting federal information and information systems, such as those to be used in the 2020 Census. Specifically, the Federal Information Security Management Act of 2002 and the Federal Information Security Modernization Act of 2014 (FISMA) require executive branch agencies to develop, document, and implement an agency-wide program to provide security for the information and information systems that support operations and assets of the agency.", "Accordingly, the National Institute of Standards and Technology (NIST) developed risk management framework guidance for agencies to follow in developing information security programs. Additionally, the Office of Management and Budget\u2019s (OMB) revised Circular A-130 on managing federal information resources required agencies to implement the NIST risk management framework to integrate information security and risk management activities into the system development life cycle.", "In accordance with FISMA, NIST guidance, and OMB guidance, the Office of the CIO established a risk management framework. This framework requires that system developers ensure that each of the systems undergoes a full security assessment, and that system developers remediate critical deficiencies. In addition, according to the Bureau\u2019s framework, system developers must ensure that each component of a system has its own system security plan, which documents how the Bureau plans to implement security controls. As a result, system developers for a single system might develop multiple system security plans which all have to be approved as part of the system\u2019s complete security documentation. We have ongoing work that is reviewing the extent to which the Bureau\u2019s framework meets the specific requirements of the NIST guidance.", "According to the Bureau\u2019s framework, each of the 43 systems in the 2018 End-to-End Test will need to have complete security documentation (such as system security plans) and an approved authorization to operate prior to their use in the 2018 End-to-End Test. However, our ongoing work indicates that, while the Bureau is completing these steps for the 43 systems to be used in the 2018 End-to-End Test, significant work remains. Specifically, as we reported in October 2017:", "None of the 43 systems are fully authorized to operate through the completion of the 2018 End-to-End Test. Bureau officials from the CIO\u2019s Office of Information Security stated that these systems will need to be reauthorized because, among other things, they have additional development work planned that may require the systems to be reauthorized; are being moved to a different infrastructure environment (e.g., from a data center to a cloud-based environment); or have a current authorization that expires before the completion of the 2018 End-to-End Test. The amount of work remaining is concerning because the test has already begun and the delays experienced in system development and testing mentioned earlier reduce the time available for performing the security assessments needed to fully authorize these systems before the completion of the 2018 End-to-End test.", "Thirty-seven systems have a current authorization to operate, but the Bureau will need to reauthorize these systems before the completion of the 2018 End-to-End Test. This is due to the reasons mentioned previously, such as additional development work planned and changes to the infrastructure environments.", "Two systems have not yet obtained an authorization to operate.", "For the remaining four systems, the Bureau has not yet provided us with documentation about the current authorization status.", "Figure 7 depicts the authorization to operate status for the systems being used in the 2018 End-to-End Test, as reported by the Bureau.", "Because many of the systems that will be a part of the 2018 End-to-End Test are not yet fully developed, the Bureau has not finalized all of the security controls to be implemented; assessed those controls; developed plans to remediate control weaknesses; and determined whether there is time to fully remediate any deficiencies before the systems are needed for the test. In addition, as discussed earlier, the Bureau is facing system development challenges that are delaying the completion of milestones and compressing the time available for security testing activities.", "While the large-scale technological changes (such as Internet self- response) increase the likelihood of efficiency and effectiveness gains, they also introduce many information security challenges. The 2018 End- to-End Test also involves collecting PII on hundreds of thousands of households across the country, which further increases the need to properly secure these systems. Thus, it will be important that the Bureau provides adequate time to perform these security assessments, completes them in a timely manner, and ensures that risks are at an acceptable level before the systems are deployed. We plan to continue monitoring the Bureau\u2019s progress in securing its IT systems and data as part of our ongoing work."], "subsections": []}, {"section_title": "Key Risk #3: Lack of Reliable Costs Estimates Limits Support for 2020 Census Funding", "paragraphs": ["Earlier this month, the Department announced that it had updated the October 2015 life-cycle cost estimate and now projects the life-cycle cost of the 2020 Census will be $15.6 billion, more than a $3 billion (27 percent) increase over the Bureau\u2019s earlier estimate. The higher estimated life-cycle cost is due, in part, as we reported in June 2016, to the Bureau\u2019s failure to meet best practices for a quality cost-estimate. Specifically, we reported that, although the Bureau had taken steps to improve its capacity to carry out an effective cost estimate, such as establishing an independent cost estimation office, its October 2015 version of the estimate for the 2020 Census only partially met the characteristics of two best practices (comprehensive and accurate) and minimally met the other two (well-documented and credible). We also reported that risks were not properly accounted for in the cost estimate.", "We recommended that the Bureau take action to ensure its 2020 Census cost estimate meets all four characteristics of a reliable cost estimate, as well as properly account for risk to ensure there are appropriate levels for budgeted contingencies. The Bureau agreed with our recommendations. In response, the Department of Commerce reported that in May 2017, a multidisciplinary team was created to evaluate the 2020 Census program and to produce an independent cost estimate. Factors driving the increased cost-estimate include changes to assumptions relating to self- response rates, wage levels for temporary census workers, as well as the fact that major contracts and IT scale-up plans and procedures were not effectively planned, managed, and executed. The new estimate also includes a contingency of 10 percent of estimated costs per year as insurance against \u201cunknown-unknowns\u201d, such as a major cybersecurity event.", "The Bureau and Department are still finalizing the documentation used to develop the $15.6 billion cost-estimate. Until these documents are complete and made available for inspection, we cannot determine the reliability of the estimate. We will review the documentation when it is available. In order for the estimate to be deemed high quality, and thus the basis for any 2020 Census annual budgetary figures, the new cost- estimate will need to address the following four best practices, and do so as quickly as possible given the expected ramp-up in spending:", "Comprehensive. To be comprehensive an estimate should have enough detail to ensure that cost elements are neither omitted nor double-counted, and all cost-influencing assumptions are detailed in the estimate\u2019s documentation, among other things, according to best practices. In June 2016, we reported that, while Bureau officials were able to provide us with several documents that included projections and assumptions that were used in the cost estimate, we found the estimate to be partially comprehensive because it was unclear if all life-cycle costs were included in the estimate or if the cost estimate completely defined the program.", "Accurate. Accurate estimates are unbiased and contain few mathematical mistakes. We reported in June 2016 that the estimate partially met best practices for this characteristic, in part because we could not independently verify the calculations the Bureau used within its cost model, which the Bureau did not have documented or explained.", "Well-documented. Cost estimates are considered valid if they are well-documented to the point they can be easily repeated or updated and can be traced to original sources through auditing, according to best practices. In June 2016, we reported that, while the Bureau provided some documentation of supporting data, it did not describe how the source data were incorporated.", "Credible. Credible cost estimates must clearly identify limitations due to uncertainty or bias surrounding the data or assumptions, according to best practices. In June 2016, we reported that the estimate minimally met best practices for this characteristic in part because the Bureau carried out its risk and uncertainty analysis only for about $4.6 billion (37 percent) of the $12.5 billion total estimated life-cycle cost, excluding, for example, consideration of uncertainty over what the decennial census\u2019s estimated part will be of the total cost of CEDCaP."], "subsections": []}]}, {"section_title": "Continued Management Attention Needed to Keep Preparations on Track and Help Ensure a Cost- Effective Enumeration", "paragraphs": [], "subsections": [{"section_title": "2020 Challenges Are Symptomatic of Deeper Long-Term Organizational Issues", "paragraphs": ["The difficulties facing the Bureau\u2019s preparation for the decennial in such areas as planning and testing; managing and overseeing IT programs, systems, and contractors supporting the enumeration; developing reliable cost estimates; prioritizing decisions; managing schedules; and other challenges, are symptomatic of deeper organizational issues.", "Following the 2010 Census, a key lesson learned for 2020 we identified was ensuring that the Bureau\u2019s organizational culture and structure, as well as its approach to strategic planning, human capital management, internal collaboration, knowledge sharing, capital decision-making, risk and change management, and other internal functions are aligned toward delivering more cost-effective outcomes.", "The Bureau has made improvements over the last decade, and continued progress will depend in part on sustaining efforts to strengthen risk management activities, enhancing systems testing, bringing in experienced personnel to key positions, implementing our recommendations, and meeting regularly with officials from its parent agency, the Department of Commerce. Going forward, our experience has shown that the key elements needed to make progress in high-risk areas are top-level attention by the administration and agency officials to (1) leadership commitment, (2) ensuring capacity, (3) developing a corrective action plan, (4) regular monitoring, and (5) demonstrated progress. Although important steps have been taken in at least some of these areas, overall, far more work is needed.", "On the one hand, the Secretary of Commerce has taken several actions towards demonstrating leadership commitment. For example, the previously noted multidisciplinary review team included members with Bureau leadership experience, as well as members with private sector technology management experience. Additional program evaluation and the independent cost estimate was produced by a team from the Commerce Secretary\u2019s Office of Acquisition Management that included a member detailed from OMB. Commerce also reports senior officials are now actively involved in the management and oversight of the decennial. Likewise, with respect to monitoring, the Commerce Secretary reports having weekly 2020 Census oversight reviews with senior Bureau staff and will require metric tracking and program execution status on a real- time basis.", "On the other hand, demonstrating the capacity to address high risk concerns remains a challenge. For example, our ongoing work has indicated that the Bureau is facing staffing challenges that could impact its ability to manage and oversee the technical integration contractor. Specifically, the Bureau is managing the integration contractor through a government program management office, but this office is still filling vacancies. As of October 2017, the Bureau reported that 35 of 58, or 60 percent, of the office\u2019s federal employee positions were vacant. As a result, this program management office may not be able to provide adequate oversight of contractor cost, schedule, and performance.", "In the months ahead, we will continue to monitor the Bureau\u2019s progress in addressing in each of the 5 elements essential for reducing the risk to a cost-effective enumeration."], "subsections": []}, {"section_title": "Leadership Continuity Will Be Critical For Keeping Efforts on Track", "paragraphs": ["At a time when strong Bureau management is needed, vacancies in the agency\u2019s two top positions\u2014Director and Deputy Director\u2014are not helpful for keeping 2020 preparations on-track. These vacancies are due to the previous director\u2019s retirement on June 30, 2017, and the previous deputy director\u2019s appointment to be the Chief Statistician of the United States within the Office of Management and Budget in January 2017. Although interim leadership has since been named, in our prior work we have noted how openings in the Bureau\u2019s top position makes it difficult to ensure accountability and continuity, as well as to develop and sustain efforts that foster change, produce results, mitigate risks, and control costs over the long term.", "The census director is appointed by the President, by and with the advice and consent of the Senate, without regard to political affiliation. The director\u2019s term is a fixed 5-year term of office, and runs in 5-year increments. An individual may be reappointed and serve 2 full terms as director. The director\u2019s position was first filled this way beginning on January 1, 2012, and cycles every fifth year thereafter. Because the new term began on January 1, 2017, the time that elapses until a new director is confirmed counts against the 5-year term of office. As a result, the next director\u2019s tenure will be less than 5 years.", "Going forward, filling these top two slots should be an important priority. On the basis of our prior work, key attributes of a census director, in addition to the obvious ones of technical expertise and the ability to lead large, long-term, and high risk programs, could include abilities in the following areas:", "Strategic Vision. The Director needs to build a long-term vision for the Bureau that extends beyond the current decennial census. Strategic planning, human-capital succession planning, and life-cycle cost estimates for the Bureau all span the decade.", "Sustaining Stakeholder Relationships. The Director needs to continually expand and develop working relationships and partnerships with governmental, political, and other professional officials in both the public and private sectors to obtain their input, support, and participation in the Bureau\u2019s activities.", "Accountability. The life-cycle cost for a decennial census spans a decade, and decisions made early in the decade about the next decennial census guide the research, investments, and tests carried out throughout the decennial census. Institutionalizing accountability over an extended period may help long-term decennial initiatives provide meaningful and sustainable results."], "subsections": []}, {"section_title": "Further Actions Needed on Our Recommendations", "paragraphs": ["Over the past several years we have issued numerous reports that underscored the fact that if the Bureau was to successfully meet its cost savings goal for the 2020 Census, the Bureau needs to take significant actions to improve its research, testing, planning, scheduling, cost estimation, system development, and IT security practices. Over the past decade, we have made 84 recommendations specific to the 2020 Census to help address these and other issues. The Bureau has generally agreed with those recommendations; however 36 of them had not been implemented as of October 2017. We have designated 20 of these recommendations as a priority for the Department of Commerce and 5 have been implemented. In August 2017, we sent the Secretary of Commerce a letter that identified our open priority recommendations at the Department, 15 of which concern the 2020 Census. We believe that attention to these recommendations is essential for a cost-effective enumeration. The recommendations included implementing reliable cost estimation and scheduling practices in order to establish better control over program costs, as well as taking steps to better position the Bureau to develop an Internet response option for the 2020 Census. Appendix I summarizes our priority recommendations related to the 2020 Census and the actions the Department has taken to address them.", "On October 3, 2017, in response to our August 2017 letter, the Commerce Secretary noted that he shared our concerns about the 2020 Census and acknowledged that some of the programs had not worked as planned, and are not delivering the savings that were promised. The Commerce Secretary also stated that he intends to improve the timeliness for implementing our recommendations.", "We meet quarterly with Bureau officials to discuss the progress and status of open recommendations related to the 2020 Census. We are encouraged by the actions taken by the Department and the Bureau in addressing our recommendations. Implementing our recommendations in a complete and timely manner is important because it would improve the management of the 2020 Census and help to mitigate continued risks.", "In conclusion, while the Bureau has made progress in revamping its approach to the census, it faces considerable challenges and uncertainties in (1) implementing key cost-saving innovations and ensuring they function under operational conditions; (2) managing the development and security of key IT systems; and (3) developing a quality cost estimate for the 2020 Census and preventing further cost increases. Without timely and appropriate actions, these challenges could adversely affect the cost, accuracy, and schedule of the enumeration.", "For these reasons, the 2020 Census is a GAO high risk area. Going forward, continued management and Congressional attention\u2014such as hearings like this one\u2014will be vital for ensuring risks are managed, preparations stay on-track, and the Bureau is held accountable for implementing the enumeration as planned.", "We will continue to assess the Bureau\u2019s efforts to conduct a cost-effective enumeration and look forward to keeping Congress informed of the Bureau\u2019s progress. Chairman Johnson, Ranking Member McCaskill, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you have any questions about this statement, please contact Robert Goldenkoff at (202) 512-2757 or by e-mail at goldenkoffr@gao.gov or David A. Powner at (202) 512-9286 or by e-mail at pownerd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Other key contributors to this testimony include Lisa Pearson (Assistant Director); Jon Ticehurst (Assistant Director); Katherine Wulff (Analyst in Charge); Mark Abraham; Brian Bothwell; Jeffrey DeMarco; Hoyt Lacy; Jason Lee; Ty Mitchell; LaSonya Roberts; Kate Sharkey; Andrea Starosciak; Umesh Thakkar; and Timothy Wexler."], "subsections": []}]}, {"section_title": "Appendix I: Priority Recommendations from GAO\u2019s Work Related to the 2020 Census", "paragraphs": ["The Department of Commerce and Census Bureau have taken some actions to address our recommendations related to implementation of the 2020 Census; however, a large number of recommendations remain open. Since just prior to the 2010 Census, we have made 84 recommendations in 23 reports to the Department of Commerce and Census Bureau aimed at helping the Bureau prepare for and implement a successful 2020 Census (table 1). Of those 84, the Department of Commerce and the Census Bureau have implemented 48 recommendations. Thirty-six recommendations require additional action.", "Of these 84 recommendations, we have designated 20 as priorities for Commerce to address. The Census Bureau has taken some action on our priority recommendations, implementing 5 of the 20 priority recommendations we have made.", "The following table presents each of the 20 priority recommendations along with a summary of actions taken to address it."], "subsections": []}], "fastfact": ["Results of the 2020 Census will be used to apportion congressional seats, redraw districts, and allocate federal assistance. But the Census Bureau faces challenges, including:", "Controlling costs, estimated at $15.6 billion for 2020, up $3 billion from its original estimate.", "Counting a larger population in light of a historical decline in response rates.", "Managing innovations such as allowing online responses.", "Managing development and security of IT systems.", "We testified that management issues and development delays have increased risks to systems. We have made recommendations in past reports to improve census management and mitigate risks."]} {"id": "GAO-18-74", "url": "https://www.gao.gov/products/GAO-18-74", "title": "Global Positioning System: Better Planning and Coordination Needed to Improve Prospects for Fielding Modernized Capability", "published_date": "2017-12-12T00:00:00", "released_date": "2017-12-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GPS provides positioning, navigation, and timing data to civilian and military users who depend on this satellite-based system. Since 2000, DOD\u2014led by the Air Force\u2014has been working to modernize GPS and to keep the current system of satellites\u2014known as the GPS constellation\u2014operational, although these efforts have experienced cost and schedule growth.", "The National Defense Authorization Act for Fiscal Year 2016 contained a provision that the Air Force provide reports to GAO on GPS acquisition programs and that GAO brief the congressional defense committees. GAO briefed the committees in 2016 and 2017. This report summarizes and expands on information presented in those briefings.", "This report assesses the extent to which DOD faces acquisition challenges (1) sustaining the GPS constellation; (2) developing a new ground control system; and (3) developing and fielding modernized receivers. GAO analyzed GPS quarterly acquisition reports and data, acquisition strategies, software and test plans, and other documents, and interviewed DOD and contractor officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) acquisition of the next generation Global Positioning System (GPS) satellites, known as GPS III, faces a number of acquisition challenges, but these challenges do not threaten DOD's ability to continue operating the current GPS system, which DOD refers to as the constellation, in the near term. Projections for how long the current constellation will be fully capable have increased by nearly 2 years to June 2021, affording some buffer to offset any additional satellite delays. While the first GPS III satellite has a known parts problem, six follow-on satellites\u2014which do not\u2014are currently scheduled to be launched by June 2021.", "DOD is relying on a high-risk acquisition schedule to develop a new ground system, known as OCX, to control the broadcast of a modernized military GPS signal. OCX remains at risk for further delays and cost growth. To mitigate continuing delays to the new ground control system, the Air Force has begun a second new program\u2014Military-code (M-code) Early Use\u2014to deliver an interim, limited broadcast encrypted GPS signal for military use by modifying the current ground system. GAO will continue to monitor OCX progress.", "DOD has made some progress on initial testing of the receiver cards needed to utilize the M-code signal. However, additional development is necessary to make M-code work with over 700 weapon systems that require it. DOD has begun initial planning for some weapon systems, but more remains to be done to understand the cost and schedule needed to transition to M-code receivers. The preliminary estimate for integrating and testing a fraction of the weapon systems that need the receiver cards is over $2.5 billion through fiscal year 2021 with only 28 fully and 72 partially funded (see figure). The cost will increase by billions when as yet unfunded weapon systems are included.", "The level of development and procurement effort beyond the initial receiver cards is significant and will require close coordination across DOD. After the Air Force develops initial cards, the breadth and complexity of this acquisition will multiply, as the offices responsible for upgrading hundreds of weapon systems begin their own individual efforts to further develop and test the cards. However, DOD does not have an organization assigned to collect test data, lessons learned, and design solutions so that common design solutions are employed to avoid duplication of effort as multiple entities separately mature receiver cards. DOD therefore risks paying to repeatedly find design solutions to solve common problems because each program office is likely to undertake its own uncoordinated development effort."]}, {"section_title": "What GAO Recommends", "paragraphs": ["DOD should assign responsibility to an organization to collect test data, lessons learned, and design solutions so they may be shared. DOD concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than two decades, the satellite-based Global Positioning System (GPS) has provided positioning, navigation, and timing (PNT) data to civilian and military users worldwide. Given its ubiquity throughout the world, failure, malfunction, or jamming of GPS can severely disrupt day-to-day civilian and military activities across the globe. The Department of Defense (DOD) maintains and operates GPS, which consists of three segments: orbiting satellites that continuously broadcast position and time data; a ground control system that operates the satellites and monitors and corrects signal data; and receivers used by civilians and the military in aircraft, ships, land vehicles, munitions, and hand-held units. Since 2000, the Air Force has led the multi-billion dollar effort to modernize GPS to sustain the satellite constellation\u2014currently comprised of 31 satellites\u2014by providing new civilian and military signals, enhancing cybersecurity, developing modernized military receivers, and countering known threats.", "The National Defense Authorization Act for Fiscal Year 2016 contained a provision that the Air Force provide quarterly reports to GAO on the next generation GPS acquisition programs. The Act also contained a provision that GAO brief congressional defense committees on the first report, and at GAO\u2019s discretion, on subsequent quarterly reports. The Air Force delivered the first quarterly report to us on April 22, 2016. We assessed the report, briefed congressional committees in June 2016, and issued a report on that briefing. During fiscal years 2016 and 2017, we briefed the congressional defense committees several additional times regarding the ongoing work. This report summarizes and expands on those briefings. This report assesses the extent to which DOD faces acquisition challenges (1) sustaining the GPS constellation; (2) developing a new ground system to control the broadcast of a modernized military GPS signal called military-code, or M-code; and (3) developing and fielding modernized receiver cards across the department.", "To conduct our work, we reviewed Air Force GPS fiscal year 2016 and 2017 quarterly acquisition reports, program acquisition baselines, integrated master schedules, acquisition strategies, software development plans, test plans, and other documents for five programs:", "Next generation operational control system (OCX),", "Military GPS user equipment (MGUE),", "Contingency Operations (COps), and", "M-code Early Use (MCEU) programs.", "We also interviewed officials from the GPS III, OCX, MGUE, COps, and MCEU programs; the prime contractors from all five programs; the Defense Contract Management Agency; and, where applicable, officials from DOD\u2019s Office of Cost Assessment and Program Evaluation; the Office of the Director, Operational Test and Evaluation (DOT&E); Under Secretary of Defense for Acquisition, Technology, and Logistics (USD AT&L); Joint Staff / J-6 Space Branch; Air Force Space Command; and each of the military services involved with the planning and procurement of the MGUE program. Appendix I contains a more detailed description of our scope and methodology.", "We conducted this performance audit from February 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Collectively, the ongoing GPS acquisition effort aims to (1) modernize and sustain the existing GPS capability and (2) enhance the current GPS system by adding an anti-jam, anti-spoof cybersecure M-code capability. Figure 1 below shows how GPS satellites, ground control, and user equipment\u2014in the form of receiver cards embedded in systems\u2014function together as an operational system.", "Modernizing and sustaining the current GPS broadcast capability requires launching new satellites to replace the existing satellites that are near the end of their intended operational life as well as developing a ground control system that can launch and control both existing and new satellites. Sustaining the current GPS broadcast capability is necessary to ensure the quality and availability of the existing broadcast signals for civilian and military GPS receivers. The ongoing modernization of GPS began with three programs: (1) GPS III satellites; (2) OCX to control the satellites; and (3) MGUE increment 1 (which develops initial receiver test cards for military ships, ground vehicles, or aircraft). Table 1 describes these programs.", "Delays to OCX of more than 5 years led the Air Force to create two additional programs in 2016 and 2017 to modify the current GPS ground system to control GPS III satellites and provide a limited M-code broadcast. As a result, there are currently five total GPS modernization programs. Table 2 provides a description of the two new programs.", "All of the original GPS modernization programs\u2014GPS III, OCX, and MGUE\u2014have experienced significant schedule growth during development. Table 3 outlines several schedule challenges in the modernized GPS programs.", "We found in 2015 that unrealistic cost and schedule estimates of the new ground control system and receiver card development delays could pose significant risks to sustaining the GPS constellation and delivering M- code. At that time, we also made five recommendations so that DOD would have the information necessary to make decisions on how best to improve GPS modernization and to mitigate risks to sustaining the GPS constellation. We made four OCX-specific recommendations targeted to identify underlying problems, establish a high confidence schedule and cost estimate, and improve management and oversight. For MGUE, we recommended the Air Force add a critical design review before committing resources to allow the military services to fully assess the maturity of the MGUE design before committing test and procurement resources. DOD concurred with the four recommendations on OCX and partially concurred on the MGUE recommendation. Since 2015, our annual assessment of DOD weapon systems has shown that some of the original GPS programs have continued to face cost or schedule challenges, increasing the collective cost to modernize GPS by billions of dollars. Appendix III outlines the cost increases that have resulted."], "subsections": [{"section_title": "Key GPS Modernization Points", "paragraphs": ["According to our analysis, over the next decade or more, DOD plans to achieve three key GPS modernization points: (1) constellation sustainment, (2) M-code broadcast, and (3) M-code receivers fielded.", "Figure 2 shows the current sequencing of the three points and the intervals when they are planned to be achieved, if known.", "Throughout this report, we will use figures based on this one to highlight the separately-managed programs DOD plans to synchronize to achieve each of the three identified modernization points. Some GPS capabilities require the delivery of more than one program, which must compete for limited resources, such as testing simulators. The Air Force coordinates the interdependent activities of the different programs and contractors in order to achieve each modernization point."], "subsections": []}, {"section_title": "GPS Satellite Constellation", "paragraphs": ["The satellites in the GPS constellation broadcast encrypted military signals and unencrypted civilian signals and move in six orbital planes approximately 12,500 miles above the earth.", "What is a Global Positioning System (GPS) satellite orbital plane and how many are there?", "The GPS constellation availability performance standards commit the U.S. government to at least a 95 percent probability of maintaining a constellation of 24 operational GPS satellites to sustain the positioning services provided to both civilian and military GPS users. Therefore, while the minimum constellation consists of satellites occupying 24 orbital slots\u20144 slots in each of the six orbital planes\u2014the constellation actually has 31 total satellites, generally with more than four in each plane to meet the 95 percent probability standard. These additional satellites are needed to provide uninterrupted availability in case a satellite fails. The constellation includes three generations of satellites with varying capabilities and design lives.", "An orbital plane is an imaginary flat disc containing an Earth satellite\u2019s orbit. One orbital plane, as is shown above, represents the trajectory a GPS satellite follows as it circles the Earth in space. The GPS constellation has six orbital planes. Each contains at least 4 satellites that allow the constellation to meet the minimum requirement of 24 satellites.", "We found in 2010 and 2015 that GPS satellites have proven more reliable than expected, greatly exceeding their initially predicted life expectancies. Nevertheless, the Air Force must regularly replace satellites to meet the availability standard, since operational satellites have a finite lifespan. Excluding random failures, the operational life of a GPS satellite tends to be limited by the amount of power that its solar arrays can produce. This power level declines over time as the solar arrays degrade in the space environment until eventually they cannot produce enough power to maintain all of the satellite\u2019s subsystems. Consequently, the Air Force monitors the performance of operational satellites in order to calculate when new satellites need to be ready to join the constellation.", "The 10 GPS III satellites currently under contract and in production with Lockheed Martin will provide a range of performance enhancements over prior GPS satellite generations. The GPS III satellites were designed to provide a longer life than previous generations, greater signal accuracy, and improved signal integrity\u2014meaning that the user has greater assurance that the broadcast signal is correct. When they are eventually controlled through the OCX ground control system, the satellites will also offer a stronger M-code signal strength than prior GPS satellite generations. They will also include an additional civilian signal known as L1C, which will permit interoperability with European, Japanese, and other global navigation satellite systems for civilian users. Figure 3 describes the evolution of GPS satellite generations, including capabilities and life-span estimates."], "subsections": []}, {"section_title": "Ground Control Segment", "paragraphs": ["The current GPS ground control segment, OCS, primarily consists of software deployed at a master control station at Schriever Air Force Base, Colorado, and at an alternate master control station at Vandenberg Air Force Base, California. The ground control software is supported by 6 Air Force and 11 National Geospatial-Intelligence Agency monitoring stations located around the globe along with four ground antennas that communicate with the moving satellites. Information from the monitoring stations is processed at the master control station to determine satellite clock and orbit status. As each of the three ground control segment programs\u2014COps, MCEU, and OCX\u2014is completed or partially completed, they will each introduce new capabilities, eventually culminating in the delivery of the full M-code broadcast planned for January 2022."], "subsections": []}, {"section_title": "Receiver Cards", "paragraphs": ["GPS receiver cards determine a user\u2019s position and time by calculating the distance from four or more satellites using the navigation signals on the satellites to determine the card\u2019s location. All warfighters currently acquire, train with, and use GPS receivers. Until MGUE receiver cards are developed and available for production, all DOD weapon systems that use GPS will continue to use the current GPS Selective Availability/Anti- Spoofing Module (SAASM) receiver card or an older version. The Ike Skelton National Defense Authorization Act for Fiscal Year 2011 generally prohibits DOD from obligating or expending funds to procure GPS user equipment after fiscal year 2017 unless that equipment is capable of receiving M-code. Under certain circumstances this requirement may be waived or certain exceptions may apply. The increment 1 receiver cards range in size from approximately 2 inches by 3 inches for the ground card up to 6 inches by 6 inches for the aviation/maritime card. Figure 4 below shows an illustration of a MGUE receiver card.", "DOD has previously transitioned its weapon systems gradually from one generation of GPS receivers to the next. For example, some weapon systems have either upgraded or are still in the process of upgrading to the current SAASM receivers that were introduced in 2003, while others are still equipped with older cards. DOD anticipates that the length of time necessary to transition to MGUE will require users to operate with a mix of receiver cards. Hundreds of different types of weapon systems require GPS receiver cards, including ships, aircraft, ground vehicles, missiles, munitions, and hand-held devices, among others, across all military services. The Air Force funds the MGUE program, providing funding to the military services so they can acquire, integrate, and operationally test the receiver cards on four service-specific lead platforms. These platforms are intended to test the card in the military services\u2019 ground, aviation, and maritime environments: (1) Army\u2014Stryker ground combat vehicle; (2) Air Force\u2014B-2 Spirit bomber; (3) Marine Corps\u2014Joint Light Tactical Vehicle (JLTV); and (4) Navy\u2014DDG-51 Arleigh Burke destroyer. Figure 5 depicts selected weapon systems that will need to install M-code capable receiver cards."], "subsections": []}]}, {"section_title": "Acquisition Risks Persist on GPS III Satellites but Do Not Threaten Sustainment of the Constellation in the Short Term", "paragraphs": ["The Air Force has made some progress toward ensuring continued constellation sustainment since our September 2015 report and should be able to sustain the current service because of the length of life of the current satellites. The current GPS constellation is now projected to meet its availability performance standard (in the absence of operational GPS III satellites) into June 2021\u2014an increase of nearly 2 years over previous projections. This increase will give the Air Force more schedule buffer in the event of any additional delays to the GPS III satellite program. However, the Air Force still faces technical risks and schedule pressures in both the short and long term. In the short term, schedule compression with the first GPS III satellite is placing the satellite\u2019s launch and operation at risk of further delays. In the long term, most of the satellites under contract will have been launched before operational testing is completed, limiting Air Force corrective options if issues are discovered. Figure 6 shows the schedule for programs that need to be delivered to modernize and sustain the GPS satellite constellation."], "subsections": [{"section_title": "Progress: Programs Advancing to Support Constellation Sustainment Requirements", "paragraphs": ["The Air Force has made progress since our last report in September 2015 on the three programs (GPS III, OCX, and COps) needed to support GPS constellation sustainment, readying both ground control and the satellite for the first GPS III satellite\u2019s launch, testing, and eventual operation. Raytheon delivered OCX block 0, the launch and checkout system for GPS III satellites, in September 2017. The Air Force took possession of OCX block 0 in October 2017 and will finally accept it at a later date after OCX block 1 is delivered. Lockheed Martin completed the assembly, integration, and testing for the first GPS III satellite and in February 2017 the Air Force accepted delivery in advance of its currently scheduled May 2018 launch. As noted earlier, because of delays to OCX block 1, the Air Force initiated the COps program to ensure an interim means to control GPS III satellites. Without COps, no GPS III satellites can join the constellation to sustain it until OCX block 1 is operational in fiscal year 2022. In September 2016, COps formally started development, establishing a cost baseline of approximately $162 million to meet an April 2019 delivery. The COps program began software coding in November 2016, after a design review established that the product design would meet the Air Force\u2019s intended needs."], "subsections": []}, {"section_title": "Short-Term Challenges: Compressed and Concurrent Schedules, Component Issues with the First GPS III Satellite", "paragraphs": ["The Air Force continues to struggle with keeping multiple, highly compressed, interdependent, and concurrent program schedules synchronized in order to sustain and modernize the GPS constellation. Figure 7 shows some of the schedule challenges of the three programs needed for constellation sustainment and modernization.", "Launching and operating the new GPS III satellite is a highly complex effort, since it requires synchronizing the development and testing schedules of OCX block 0, the first GPS III satellite, and the COps programs. For the Air Force to achieve its objective of making the first GPS III satellite operational by September 2019, numerous challenges (discussed below) must be addressed in the next 18 months on all three programs. If any of the three programs cannot resolve their challenges, the operation of the first GPS III satellite\u2014and constellation sustainment\u2014may be delayed.", "OCX Block 0 and Pre-Launch Testing Schedules With the goal of launching the first GPS III satellite in March 2018, the Air Force restructured its pre-launch integrated satellite and ground system testing in the summer of 2016, compressing the overall testing timeframe from 52 weeks to 42 weeks. More OCX block 0 delays in early fiscal year 2017 complicated Air Force test plans, resulting in changes to the sequence and timing of events, the introduction of concurrency at various points throughout the testing, the use of incomplete software in early testing, and an increase in the likelihood of discovering issues later in pre- launch integrated testing. Air Force officials stated that some pre-launch testing revisions streamlined the overall test plan since the merging of certain test events allowed multiple objectives to be met by the same event. Raytheon delivered OCX block 0, the launch and checkout system for GPS III satellites, in September 2017. The Air Force took possession of OCX block 0 in October 2017 and will finally accept it at a later date after OCX block 1 is delivered. However, if issues requiring corrective work are discovered during subsequent integrated testing, the GPS III launch schedule may be delayed further since there is minimal schedule margin on OCX block 0 for correcting any additional problems that may be found.", "First GPS III Satellite Capacitors There are hundreds of capacitors\u2014devices used to store energy and release it as electrical power\u2014installed in each GPS III satellite. In 2016, while investigating capacitor failures, the Air Force discovered that the subcontractor, then known as Exelis (now Harris Corporation), had not conducted required qualification testing for the capacitor\u2019s operational use in GPS III satellites. The Air Force conducted a review of the components over many months, delaying program progress while a subcontractor qualified the capacitor design as suitable for use on the GPS III satellite. However, the Air Force concluded that Harris Corporation failed to properly conduct a separate reliability test of the particular production lot from which the questionable capacitors originated. The Air Force directed the contractor to remove and replace the capacitors from that production lot from the second and third GPS III satellites. After weighing the technical data and cost and schedule considerations, the Air Force decided to accept the first satellite and launch it \u201cas is\u201d with the questionable capacitors installed.", "The COps program is also pursuing a compressed and concurrent development and testing schedule to be operational as planned in September 2019. The COps acquisition strategy document acknowledges that the program\u2019s timeline is aggressive. DOT&E has highlighted the compressed COps schedule as a risk, since the limited time between the developmental and operational testing permits little time for the evaluation of test results and resolution of any deficiencies found. The COps program has already begun drawing from its 60-day schedule margin, with a quarter of this margin used within the first 5 months after development started. According to Air Force officials, this margin use was the result of unplanned delays certifying a software coding lab. Additionally, the program schedule has concurrent development and testing, which in our previous work we have noted is often a high risk approach but is sometimes appropriate for software development.", "COps faces further schedule risk from its need for shared test assets, particularly the GPS III satellite simulator, a hardware- and software- based ground system that simulates GPS III function, which is also required by the GPS III and OCX programs. According to a DOT&E official, the OCX program receives priority over COps for the use of the GPS III satellite simulator, since the testing asset is heavily needed in the development of the ground control system. Because of the competing demands for this resource, which Air Force and DOT&E officials maintain requires lengthy and complex software reconfigurations to repurpose the simulator from one test event to the next, the Air Force is using a less realistic and purely software-based simulator for the testing of COps, where possible."], "subsections": []}, {"section_title": "Short-Term Risk Mitigation: Nearly 2 Years of Schedule Buffer to When First GPS III Satellite Needed", "paragraphs": ["Recent data show that the current satellites in the GPS constellation are expected to remain operational longer than previously projected, creating an additional, nearly 2-year schedule buffer before the first GPS III satellite needs to be operational to sustain the current GPS constellation capability. The Air Force projected that the first GPS III satellite needed to be operational by September 2019 based on 2014 satellite performance data. However, our analysis of the Air Force\u2019s more recent May 2016 GPS constellation performance data indicates that, in order to continue meeting the constellation availability performance standard without interruption, the operational need for the first GPS satellite is now June 2021. This projection incorporates updated Air Force data from the current satellites that take into account an increase in solar array longevity expected for IIR and IIR-M satellites, according to Air Force officials. The Air Force is likely to meet the constellation\u2019s June 2021 operational requirement because there are seven GPS III satellites planned to be launched by June 2021. Figure 8 shows the events leading to the launch and operation of the first GPS III satellite, achieving constellation sustainment once the first GPS III is operational, and subsequent GPS III launches that continue to support sustainment.", "The nearly 2-year buffer between planned operation and actual need for the first GPS III satellite permits the Air Force additional time to resolve any development issues. Because of this additional 2-year schedule buffer, we are not making a recommendation at this time to address the short term challenges we have identified but will continue to assess the progress of each of the programs and risks to constellation sustainment in our future work."], "subsections": []}, {"section_title": "Long-Term Challenge: Most GPS III Satellites Under Contract Will Have Launched before Operational Testing Confirms Satellite Performance", "paragraphs": ["The Air Force risks additional cost increases, schedule delays, and performance shortfalls because operational testing to confirm that GPS III satellites work as intended with OCX blocks 1 and 2 will not be completed until after the planned launch of 8 of the 10 GPS III satellites currently under contract. Due to delays to the OCX final delivery, the new ground control system will not be completed in time to control the GPS III satellites for the first few years they are in orbit (approximately 3.5 years). Consequently, GPS III operational testing will now occur in three phases\u2014 1. in late fiscal year 2019 to confirm the satellites can perform similarly to the existing GPS satellites with COps; 2. in fiscal year 2020 to confirm the GPS III satellites can perform some of the new M-code capabilities with MCEU; and 3. in fiscal year 2022 to confirm the GPS III satellites can perform all of the new M-code capabilities with OCX blocks 1 and 2.", "The first GPS III satellite is projected to complete operational testing of legacy signal capabilities in September 2019. By that point, the Air Force plans to have launched 3 of the 10 GPS III satellites, the fourth satellite is expected to be delivered, and major integration work will be underway on satellites 5 through 8. Therefore, if satellite shortcomings are discovered during any phase of the operational testing, the Air Force will be limited to addressing such issues through software corrections to satellites already on orbit. If any of the three phases of operational testing reveals issues, the Air Force may face the need for potentially costly contract modifications and delivery delays for satellites not yet launched. To offset this risk, the Air Force has obtained performance knowledge of GPS III satellites through ground testing of the first satellite, and findings from this testing have driven modifications to all ten satellites. Because of the rigor of the ground testing of the first satellite, Air Force officials maintain that the knowledge that might be obtained through on-orbit operational testing of the first GPS satellite would be minimal. However, a DOT&E official said that ground testing is limited to assessing system responses that are induced through the testing process and therefore may omit phenomena that might be experienced in actual system operation on orbit. We will continue to track the progress of operational testing in our future work."], "subsections": []}]}, {"section_title": "Modernizing GPS Military Broadcast Challenged by High- Risk Development Schedules", "paragraphs": ["DOD has established high-risk schedules for modernizing the GPS broadcast, or M-code signal, produced by GPS satellites. These risks are manifest in different ways. In the near term, the Air Force plans to provide a limited M-code broadcast\u2014one that does not have all of the capabilities of OCX\u2014in the MCEU program in fiscal year 2020. However, the MCEU schedule is high risk for its dependency on the timely completion of the COps program, for its aggressive schedule, and because of competition for limited test resources. Further, the full M-code broadcast capability, planned for fiscal year 2022, is at high risk of additional delays because (1) it is dependent on unproven efficiencies in software coding, (2) the program has not yet completed a baseline review, which may identify additional time needed to complete currently contracted work, and (3) there are known changes to the program that must be done that are not included in the proposed schedule."], "subsections": [{"section_title": "High-Risk Programs Underlie Strategy to Deliver M-code Broadcast Capability", "paragraphs": ["As noted above, the Air Force\u2019s plans for delivering the M-code broadcast involve two separate high-risk programs\u2014MCEU and OCX blocks 1 and 2\u2014delivered at separate times to make an operational M-code signal available to the warfighter. Figure 9 highlights the current forecasted operational schedules to deliver limited M-code broadcast capabilities with MCEU and full M-code broadcast with OCX.", "The MCEU program, created because of multiple delays to OCX and to partially address that program\u2019s remaining schedule risk, is itself a high- risk program that is dependent on the timely development of COps. Estimated to cost approximately $120 million, MCEU formally entered the acquisition process in January 2017 as a software-specific program to modify OCS. To develop MCEU, Lockheed Martin officials stated they will leverage personnel with expertise maintaining and upgrading OCS as well as utilize the staff working on COps. With a planned December 2019 delivery for testing and a September 2020 target to begin operations, the MCEU program faces several schedule risks. The Air Force\u2019s proposed plan anticipates a compressed software development effort, which the Air Force describes as aggressive. The Air Force has also identified potential risks to the MCEU schedule from competing demands by GPS III, OCX, COps, and MCEU for shared test resources. Air Force officials specifically noted competing demands for the GPS III simulator test resource. If development or testing issues arise in these other programs, those issues could delay the availability of the satellite simulator and thereby disrupt the planned MCEU development effort. According to program officials, the Air Force is working to mitigate this threat to the MCEU program through the use of a software-based simulator, when possible. Additionally, MCEU software development work is dependent on the timely conclusion of the COps effort\u2014which, as previously mentioned, itself has an aggressive schedule and faces competition for a limited test resource. Air Force program officials have said that some Lockheed Martin staff planned to support MCEU will need to transfer from the COps effort. However, after reviewing the staffing plans at the MCEU contractor kickoff, Air Force officials said this is no longer viewed as a significant risk.", "OCX blocks 1 and 2 Raytheon has made some progress starting coding for OCX block 1 and taken the first steps toward implementing and demonstrating initial software development efficiencies that may benefit development for OCX blocks 1 and 2. The software efficiencies are built up in seven phases and need to be completed before the development process reaches each of the phases to take full advantage of the efficiencies they will create. Once ready, the efficiencies are inserted at different points in the software development schedule. For example, as of August 2017, the first of seven phases implementing the software development improvements was nearly complete, while the second phase was approximately two-thirds complete. Both are needed in place for insertion when the next phase of coding begins.", "Further, the Air Force proposed a new rebaselined schedule in June 2017 as the final step to getting the program back on track after declaring a critical Nunn-McCurdy unit cost breach in 2016 when the program exceeded the original baseline by more than 50 percent. A Nunn- McCurdy unit cost breach classified as critical is the most serious type of breach and requires a program to be terminated unless the Secretary of Defense submits a written certification to Congress that, among other things, the new estimate of the program\u2019s cost is reasonable and takes other actions, including restructuring the program. In October 2016, DOD recertified the program, with a 24-month schedule extension. Under this newer proposed schedule Raytheon forecasts delivering blocks 1 and 2 in December 2020 with 6 months of extra schedule\u2014a 30-month schedule extension\u2014to account for unknown technical issues before OCX blocks 1 and 2 are due to the Air Force in June 2021. The Air Force projects operating OCX in fiscal year 2022 after completing 7 months of operational testing post-delivery.", "Three factors place delivery of OCX blocks 1 and 2 in June 2021 at high risk for additional schedule delays and cost increases:", "First, the newly proposed June 2017 rebaselined schedule assumes significant improvements in the speed of software coding and testing that have not yet been proven, but will be introduced at various periods as software development proceeds. Whether Raytheon can achieve the majority of these efficiencies will not be known until the end of fiscal year 2018. However, the Defense Contract Management Agency, which independently oversees Raytheon\u2019s work developing OCX, noted in July 2017 a number of risks to the schedule, including that some initial assumed efficiencies had not been demonstrated. Specifically, they noted for initial coding on block 1 that Raytheon had achieved only 60 percent of the software integration maturity planned to that point in time in conjunction with greater numbers of software deficiencies that will require more time than planned to resolve.", "Second, the proposed rebaseline schedule has not yet undergone an integrated baseline review (IBR) to verify all of the work that needs to be done is incorporated into that schedule. The IBR is a best practice required by the Office of Management and Budget on programs with earned value management. An IBR ensures a mutual understanding between the government and the contractor of the technical scope, schedule, and resources needed to complete the work. We have found that too often, programs overrun costs and schedule because estimates fail to account for the full technical definition, unexpected changes, and risks. According to prior plans, the IBR would have taken place in early 2017, but it has been delayed multiple times for a number of reasons. A significant and recurring root cause of delays on the OCX program has been a lack of mutual understanding of the work between the Air Force and Raytheon.", "The IBR start was scheduled for November 2017 with completion in February 2018. Once conducted, the review may identify additional work not in the proposed schedule that needs to be completed before delivery. For example, Raytheon is conducting a review of hardware and software obsolescence. If significant additional obsolescence issues are found that need to be resolved before OCX blocks 1 and 2 are delivered, the projected delivery date may need to be delayed further at additional cost.", "Third, the OCX contract will likely be modified because the Air Force needs to incorporate into its contract with Raytheon a number of changes that are not currently a part of the proposed schedule. According to Air Force and contractor officials, negotiations are under way to determine which of these changes will be incorporated before OCX blocks 1 and 2 are delivered and which may be added after delivery. Air Force officials said that the incorporation of changes should be completed by February 2018.", "Schedule risk assessments for OCX blocks 1 and 2 delivery vary, making it unclear when the full M-code broadcast will finally be operational. Government assessments of Raytheon\u2019s performance continue to indicate more schedule delays are likely. Table 4 shows the varying assessments of potential schedule delays by the Defense Contract Management Agency and the Air Force to the proposed June 2021 delivery date and the subsequent operational date that occurs 7 months later.", "In 2015, we made four recommendations to the Secretary of Defense, one of which was to use outside experts to help identify all underlying problems on OCX and develop high confidence cost and schedule estimates, among others, in order to provide information necessary to make decisions and improve the likelihood of success. To date, none of these recommendations have been fully implemented but DOD has taken steps to address some of them. Further, because the Air Force has undertaken the COps and MCEU programs to provide interim capabilities to mitigate OCX delays for the full broadcast capability, we are not making additional recommendations at this time but will continue to monitor progress and risks to the acquisition of OCX."], "subsections": []}]}, {"section_title": "Greater Coordination Needed to Prevent Duplication of Effort Developing and Fielding M-code Receivers", "paragraphs": ["While technology development for the M-code receiver cards is underway, DOD has developed preliminary\u2014but incomplete\u2014plans to fully develop and field M-code receiver cards across the more than 700 weapon systems that will need to make the transition from the current technology. DOD has prepared initial cost and schedule estimates for department-wide fielding for a fraction of these weapon systems. While the full cost remains unknown, it is likely to be many billions of dollars greater than the $2.5 billion identified through fiscal year 2021 because there is significant work remaining to verify the initial cards work as planned and to develop them further after the MGUE increment 1 program ends. Without greater coordination of integration test results, lessons learned, and design solutions DOD is at risk of duplicated development work as multiple weapon system programs separately mature and field similar technologies on their own. Further, with the full M-code broadcast available in fiscal year 2022, a gap\u2014the extent of which is unknown\u2014between operationally broadcasting and receiving M- code exists. Figure 10 highlights the gap between the time the M-code signal will be operational and the undefined time M-code can be used by the military services."], "subsections": [{"section_title": "DOD Has Made Some Progress in Developing Technology for New M- code Receiver Cards", "paragraphs": ["The Air Force program to develop initial M-code receiver test cards has made progress by establishing an acquisition strategy for this effort and maturing receiver test cards. In January 2017, DOD approved the MGUE increment 1 program to formally begin development, and it defined the criteria to end the program as (1) verifying technical requirements on all types of final receiver test cards; (2) certifying readiness for operational testing by the Air Force Program Executive Officer; (3) completing operational testing for the four lead platforms for, at a minimum, at least the first card available; and (4) completing manufacturing readiness assessments for all three contractors.", "Within the MGUE increment 1 program, contractors are making progress toward delivering final hardware test cards and incremental software capabilities. For example, one contractor has achieved its initial security certification from the Air Force, which is a key step toward making the MGUE increment 1 receiver test card available for continued development and eventual procurement. Further, the MGUE increment 1 program is also conducting risk reduction testing in preparation for formal developmental verification testing, an important step that ensures the receiver cards meet technical requirements. Programs throughout DOD can make risk-based decisions to develop and test the receiver test cards after technical verification of the card\u2019s hardware and software. According to MGUE program officials, this is significant because it allows non-lead platforms to obtain and work with the cards sooner than the end date of operational testing on lead platforms."], "subsections": []}, {"section_title": "Significant Development Work Remains to Eventually Field M-code Receiver Cards", "paragraphs": ["Although the Air Force has made progress in maturing receiver test cards, significant development work remains to reach the point where the cards can ultimately be fielded on over 700 different weapon systems. For example, for MGUE increment 1, the Air Force must define additional technical requirements in order for the M-code receiver cards to be compatible and communicate with existing weapon systems. The Air Force will also need to conduct operational tests for each of the lead platforms\u2014the Stryker ground combat vehicle; B-2 Spirit bomber; JLTV; and DDG-51 Arleigh Burke destroyer\u2014before the full M-code signal is available with OCX. Because these tests will instead be conducted with the limited signal provided by MCEU, DOD risks discovering issues several years later once full operational testing is conducted. Further, according to military service officials and assessments by DOT&E, this operational testing will only be minimally applicable to other weapon systems because those other weapon systems have different operational requirements and integration challenges than the four lead platforms. As a result, additional development and testing will be necessary on an undetermined number of the remaining weapon systems to ensure the receiver cards address each system\u2019s unique interfaces and requirements. In 2018, DOD will also formally begin development for MGUE increment 2. Increment 2 will provide more compact receiver cards to be used when size, weight, and power must be minimized, such as on handheld receivers, space receivers, and munitions where increment 1 receiver cards are too large to work.", "The military services are working to mitigate some of these development challenges. For example, Army officials told us they do not plan to field MGUE receiver cards on its lead platform, the Stryker, due to ongoing gaps in technical requirements. In addition, there is not a lead platform to demonstrate increment 1 on munitions since munition requirements were planned to be addressed in increment 2. However, to address its needs, the Army has initiated efforts to modify the MGUE increment 1 receiver card for some munitions that would otherwise need to wait for MGUE increment 2 technologies. Individual munition program offices within other military services have begun to do so as well. According to military service officials from the Army, Navy, and Marine Corps, it is essential that user needs are met by increment 2, or they will have to conduct additional development and testing. The Army previously identified gaps in increment 1 that the Air Force has either addressed in increment 1, has deferred to increment 2, or will need to be addressed outside of the MGUE increment 1 and 2 programs. Army and Navy officials also stated that they were concerned that any disagreements in requirements for increment 2 could lead to further fielding delays.", "Finally, the transition from existing GPS receiver cards to M-code receiver cards is likely to take many years. We recently reported that transitioning all DOD platforms to the next generation of receiver cards will likely take more than a decade. A lengthy transition has happened before, as previous efforts to modernize GPS to the current receiver cards, begun in 2003, are still underway and the older receiver cards are still being used. As a result, DOD anticipates that warfighters will have to operate with a mix of older and newer receiver cards."], "subsections": []}, {"section_title": "DOD Has Begun Cost and Schedule Planning; Full Cost Is Unknown but Likely to be Many Billions of Dollars", "paragraphs": ["DOD has begun collecting preliminary information on M-code requirements for individual weapon systems. In December 2016, the USD AT&L directed the military services, the Missile Defense Agency (MDA), and Special Operations Command (SOCOM) to submit implementation plans with M-code investment priorities across weapon systems and munitions, including projected costs and schedules. According to DOD, these M-code implementation plans are intended to provide DOD with a management and oversight tool for the fielding effort. In February 2017, each organization submitted its own implementation plan to USD AT&L.", "These plans were then briefed to the PNT Executive Management Board and PNT Oversight Council in February and March, respectively.", "However, these implementation plans are preliminary and based on assumptions about the Air Force\u2019s ability to achieve MGUE increment 1 and 2 technical requirements, the timeline required to do so, and the amount of development and test work that will remain for the receiver cards to be ready for production and fielding after the programs end. Since the MGUE increment 2 program has not started development, it has not yet finalized requirements. Once approved, the increment 2 program office will produce an acquisition strategy, schedule, and cost estimate. However, after the MGUE increment 2 program ends there is no detailed plan for completing development, testing, and fielding of M-code receiver cards for weapon systems across the department.", "DOD has preliminary cost and schedule estimates for some weapon programs, but lacks a total cost at this point because the department does not include all efforts initiated by programs to meet specific needs, including those outside the MGUE increment 1 and 2 programs. The initial M-code implementation plans responded to what was requested but do not individually identify what the total cost will be for each organization to develop and field M-code receiver cards, so a total cost can be determined across DOD. Because USD AT&L required that the implementation plans include funding and schedule estimates for 2 to 3 years while directing that plans be resubmitted, at a minimum, every 2 years, weapon systems that will need M-code but were not considered an immediate priority were not included in the initial submissions. In addition, the military services, MDA, and SOCOM provided only initial cost estimates. According to military service officials, these estimates were based on the current MGUE increment 1 program schedule and technical development and include risk-based decisions to partially fund specific programs until the MGUE increment 1 program matures. According to a USD AT&L official, the plans would both facilitate M-code implementation planning for the department and inform the issuance of waivers. The official stated that as the acquisition programs critical to providing M-code capability mature, future implementations plans should provide more comprehensive estimates of cost and schedule to achieve M-code implementation for the department.", "Our analysis of the M-code receiver card implementation plans found that initial funding estimates indicate a cost of over $2.5 billion to integrate and procure M-code receiver cards on only a small number of weapon systems out of the hundreds of types that need M-code receiver cards. The full cost will be much larger\u2014likely many billions of dollars because the majority of the weapon systems that need M-code receiver cards are not funded yet or are only partially funded, according to the M-code implementation plans. Specifically, the military services, MDA, and SOCOM identified 716 types of weapon systems in their February 2017 implementation plans that require almost a million M-code receiver cards. For example, the JLTV fleet\u2014which provides protection for passengers against current and future battlefield threats for multiple military services\u2014is one type of weapon system that will eventually need almost 25,000 receiver cards. Of the 716 types of weapon systems that will need M-code receiver cards, only 28\u2014or less than 4 percent\u2014are fully funded through fiscal year 2021. The remainder have either partially funded M- code development and integration efforts (72 weapon systems), or do not yet have funding planned (616 weapon systems). Additionally, the preliminary estimates to develop and procure M-code receivers on selected weapon systems do not all include funding beyond fiscal year 2021 that will be needed for further development, integration, and procurement. This means that DOD and Congress do not have visibility into how much additional funding could be needed to fully fund the remaining 96 percent of all weapon systems that need M-code receivers. Figure 11 shows the M-code development and integration efforts that are funded, partially funded, or unfunded through fiscal year 2021 across DOD weapon systems that will need M-code receiver cards.", "Because the implementation plans are a first step toward providing DOD leadership insight on this large set of acquisitions and they will be updated at least every 2 years by the different organizations within DOD, we are not making a recommendation at this time. However, we will continue to monitor DOD\u2019s cost and schedule planning."], "subsections": []}, {"section_title": "DOD Risks Duplication of Effort Integrating and Testing M-code Receiver Cards", "paragraphs": ["The level of development and procurement effort beyond MGUE increments 1 and 2 is significant and will require close coordination among the military services, MDA, and SOCOM. While Joint Staff officials stated that the DOD Chief Information Officer is working with the military services and Joint Staff to produce a user equipment roadmap to help guide that coordination, they said that these efforts are not yet complete. DOD has designated the Air Force to lead initial development of both larger and smaller test cards that other organizations will need to develop further to meet their individual needs. After the Air Force develops initial cards for both sizes, the breadth and complexity of this acquisition will multiply, as the offices responsible for upgrading hundreds of weapon systems begin their own individual efforts to further develop and test the cards so they work for the unique needs of their specific system. While some common solutions are being developed, Air Force officials said the military services and individual weapon systems will have the freedom to go to the contractors and begin their own development efforts.", "DOD does not have a developed plan in place to help ensure that common design solutions are employed and that DOD avoids duplication of effort as multiple entities separately mature receiver cards. We previously found that duplication occurs when two or more agencies or programs are engaged in the same activities. In this case, because the individual organizations and program offices are likely to be pursuing individual and uncoordinated receiver card programs at different times with different contractors, DOD is at risk for significant duplication of effort. We previously found that establishing formal mechanisms for coordination and information sharing across DOD programs reduces the risk of gaps and results in more efficient and more effective use of resources. Internal control standards also state that establishing clear responsibilities and roles in achieving objectives is key for effective management. Further, DOD previously reported clear leadership ensures that programs and stakeholders are aligned with common goals.", "According to MGUE program officials, the MGUE increment 1 program is already capturing all issues observed in receiver test card risk reduction testing and sharing this information through a joint reporting system. However, while non-lead platforms may also report deficiencies in this system, there is no requirement that they do so, nor is there an entity responsible for ensuring data from testing, design, and development is shared between programs. We previously found that the absence of a formal process for coordination results in the potential for duplication, overlap, and fragmentation. DOD therefore risks paying to repeatedly find design solutions to solve common problems because each program office is likely to undertake its own uncoordinated development effort. Some duplicated effort may already be occurring. Air Force officials have expressed concern that work is already being duplicated across the military services in developing embedded GPS systems to be integrated into aircraft. According to multiple DOT&E assessments, the absence of a plan across the wide variety of intended interfaces leaves significant risk in integrating the receiver cards, and therefore fielding cost and schedule risk for DOD."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["GPS is a national asset for civilians and the military service members who depend upon it each day. Any disruption to the system would have severe economic and military consequences. In keeping the system sustained and modernizing it with additional capabilities, DOD has spent billions of dollars more than planned developing five interdependent GPS programs. Developing these technologies is complex work with the collective effort already years behind initial estimates to provide the warfighter with a means to counter known threats, such as jamming, to the current system. It will be many years before M-code receiver cards are fielded at a cost that remains unknown but that will be substantially higher than the estimated $2.5 billion already identified through fiscal year 2021. In the short term, it is unclear when there will be a receiver card ready for production after the end of operational testing, and in the long term DOD risks wasting resources duplicating development efforts on weapon systems with similar requirements. Without better coordination of this effort, DOD risks unnecessary cost increases and schedule delays because there is no established process or place for collecting and sharing development and integration practices and solutions between programs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following recommendation to DOD: The Secretary of Defense should ensure that the Under Secretary of Defense for Acquisition, Technology, and Logistics, as part of M-code receiver card acquisition planning, assign an organization with responsibility for systematically collecting integration test data, lessons learned, and design solutions and making them available to all programs expected to integrate M-code receiver cards. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Defense for review and comment. In its written comments, reproduced in appendix II, DOD concurred with the recommendation. DOD also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of the Air Force, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or by email at chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["To determine the extent to which there are acquisition risks to sustaining the Global Positioning System (GPS) satellite constellation, we reviewed the Air Force GPS quarterly reports, program acquisition baselines, integrated master schedules, acquisition strategies, software development plans, test plans, and other documents to the extent they existed for GPS III, Next Generation Operational Control System (OCX), and Contingency Operations (COps) programs. We also interviewed officials from the GPS III, OCX, and COps programs; the Air Force Space and Missile Systems Center\u2019s (SMC) GPS Enterprise Integrator office; the prime contractors from all three programs; the Defense Contract Management Agency; the Office of Cost Assessment and Program Evaluation; and the Office of the Director, Operational Test and Evaluation (DOT&E). We also reviewed briefings and other documents from each to evaluate program progress in development. We assessed the status of the currently operational GPS satellite constellation, interviewing officials from the Air Force SMC GPS program office and Air Force Space Command.", "To assess the risks that a delay in the acquisition and fielding of GPS III satellites could result in the GPS constellation falling below the 24 satellites required by the standard positioning service and precise positioning service performance standards, we employed a methodology very similar to the one we had used to assess constellation performance in 2009, 2010, and 2015. We obtained information dated May 2016 from the Air Force predicting the reliability for 63 GPS satellites\u2014each of the 31 current (on-orbit as of July 2017) and 32 future GPS satellites\u2014as a function of time. Each satellite\u2019s total reliability curve defines the probability that the satellite will still be operational at a given time in the future. It is generated from the product of two reliability curves\u2014a wear- out reliability curve defined by the cumulative normal distribution, and a random reliability curve defined by the cumulative Weibull distribution. For each of the 63 satellites, we obtained the two parameters defining the cumulative normal distribution, and the two parameters defining the cumulative Weibull distribution. For each of the 32 unlaunched satellites we included in our model, we also obtained a parameter defining its probability of successful launch, and its current scheduled launch date. The 32 unlaunched satellites include 10 GPS III satellites currently under contract and 22 GPS III satellites planned for contract award in late 2018; launch of the final GPS III satellite we included in our model is scheduled for October 2031. Using this information, we generated overall reliability curves for each of the 63 GPS satellites. We discussed with Air Force and Aerospace Corporation representatives, in general terms, how each satellite\u2019s normal and Weibull parameters were calculated. However, we did not analyze any of the data used to calculate these Air Force provided parameters.", "Using the reliability curves for each of the 63 GPS satellites, we developed a Monte Carlo simulation to predict the probability that at least a given number of satellites would be operational as a function of time, based on the GPS launch schedule as of May 2016. We conducted several runs of our simulation\u2014each run consisting of 10,000 trials\u2014and generated \u201csawtoothed\u201d curves depicting the probability that at least 24 satellites would still be operational as a function of time. We then used our Monte Carlo simulation model to examine the effect of delays to the operational induction of the GPS III satellites into the constellation. We reran the model based on month/year delay scenarios, calculating new probabilities that at least 24 satellites would still be operational as a function of time, determining in terms of month/year the point at which a satellite would be required to enter operations to maintain an uninterrupted maintenance of the 95 percent probability of 24 satellites in operation. The Air Force satellite parameters we used for the Monte Carlo simulation pre-dated the Air Force investigation into navigation payload capacitors and the subsequent decision to launch the first satellite \u201cas is\u201d with questionable parts. Therefore, the reliability parameters for this satellite were not informed by any possible subsequent Air Force consideration of the decision to launch the first GPS III satellite \u201cas is\u201d with these parts.", "To determine the extent to which the Department of Defense (DOD) faces acquisition challenges developing a new ground system to control the broadcast of a modernized GPS signal, we reviewed Air Force program plans and documentation related to cost, schedule, acquisition strategies, technology development, and major challenges to delivering M-code Early Use (MCEU) and OCX blocks 1 and 2. We interviewed officials from the MCEU and OCX program offices, SMC GPS Enterprise Integrator office, DOT&E, and the prime contractors for the two programs. For OCX, we also reviewed quarterly reviews, monthly program assessments, and slides provided by Raytheon on topics of our request. We also interviewed Office of Performance Assessments and Root Cause Analyses officials regarding root causes of the OCX program\u2019s cost and schedule baseline breach and Defense Contract Management Agency officials charged with oversight of the OCX contractor regarding cost and schedule issues facing the program\u2019s development efforts, major program risks, and technical challenges.", "To determine the extent to which DOD faces acquisition challenges developing and fielding modernized receiver cards across the department, we reviewed Air Force program plans and documentation related to M-code GPS User Equipment (MGUE) increment 1 cost, schedule, acquisition strategy, and technology development. We interviewed officials at the Air Force SMC GPS program office, MGUE program office, DOT&E, and the three MGUE increment 1 contractors\u2014 L3 Technologies, Raytheon, and Rockwell Collins. To identify the military services\u2019 respective development efforts and challenges in integrating MGUE with their lead platforms, we interviewed officials from the lead program offices for the Army\u2019s Defense Advanced GPS Receiver Distributed Device/Stryker, Air Force\u2019s B-2 aircraft, Navy\u2019s DDG-51 Arleigh Burke class destroyer, and Marine Corps Joint Light Tactical Vehicle. Additionally, to understand the extent to which DOD has a plan for implementing M-code for the warfighter, we analyzed DOD Positioning, Navigation, and Timing (PNT) plans and other DOD memorandum on GPS receiver cards. We also held discussions with and received information from officials at Office of the Undersecretary of Defense for Acquisition, Technology, and Logistics; Joint Staff / J-6 Space Branch; and military service officials from the offices responsible for developing M-code receiver card implementation plans.", "We conducted this performance audit from February 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GPS Modernization Cost Increases, Original Baseline vs. Current Estimate", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, David Best, Assistant Director; Jay Tallon, Assistant Director; Karen Richey, Assistant Director; Pete Anderson; Andrew Berglund; Brandon Booth; Brian Bothwell; Patrick Breiding; Erin Carson; Connor Kincaid; Jonathan Mulcare; Sean Sannwaldt; Alyssa Weir; Robin Wilson and Marie P. Ahearn made key contributions to this report."], "subsections": []}]}], "fastfact": ["Americans rely on the Global Positioning System daily. DOD is working to modernize GPS and deliver a more secure signal to military users, an effort that has taken longer than planned and cost more than expected.", "DOD faces risks as it simultaneously develops satellites, a ground system to operate them, and receiver cards that allow use of GPS signals. It will need to install receiver cards on hundreds of systems and, without better coordination, risks paying repeatedly to solve similar problems across the systems.", "We recommended that DOD assign responsibility to an organization to collect test data, lessons learned, and design solutions."]} {"id": "GAO-19-63", "url": "https://www.gao.gov/products/GAO-19-63", "title": "Information Technology: Agencies Need Better Information on the Use of Noncompetitive and Bridge Contracts", "published_date": "2018-12-11T00:00:00", "released_date": "2018-12-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government spends tens of billions of dollars each year on IT products and services. Competition is a key component to achieving the best return on investment for taxpayers. Federal acquisition regulations allow for noncompetitive contracts in certain circumstances. Some noncompetitive contracts act as \u201cbridge contracts\u201d\u2014which can be a useful tool to avoid a lapse in service but can also increase the risk of the government overpaying. There is currently no government-wide definition of bridge contracts.", "GAO was asked to review the federal government's use of noncompetitive contracts for IT. This report examines (1) the extent that agencies used noncompetitive contracts for IT, (2) the reasons for using noncompetitive contracts for selected IT procurements, (3) the extent to which IT procurements at selected agencies were bridge contracts, and (4) the extent to which IT procurements were in support of legacy systems. GAO analyzed FPDS-NG data from fiscal years 2013 through 2017 (the most recent and complete data available). GAO developed a generalizable sample of 171 fiscal year 2016 noncompetitive IT contracts and orders awarded by DOD, DHS, and HHS\u2014the agencies with the most spending on IT, to determine the reasons for using noncompetitive contracts and orders, and the extent to which these were bridge contracts or supported legacy systems."]}, {"section_title": "What GAO Found", "paragraphs": ["From fiscal years 2013 through 2017, federal agencies reported obligating more than $15 billion per year, or about 30 percent, of information technology (IT) contract spending on a noncompetitive basis (see figure).", "GAO found, however, that Departments of Defense (DOD), Homeland Security (DHS), and Health and Human Services (HHS) contracting officials misreported competition data in the Federal Procurement Data System-Next Generation (FPDS-NG) for 22 of the 41 orders GAO reviewed. GAO's findings call into question competition data associated with nearly $3 billion in annual obligations for IT-related orders. DHS identified underlying issues resulting in the errors for its orders and took corrective action. DOD and HHS, however, had limited insight into why the errors occurred. Without identifying the issues contributing to the errors, DOD and HHS are unable to take action to ensure that competition data are accurately recorded in the future, and are at risk of using inaccurate information to assess whether they are achieving their competition objectives.", "GAO found that DOD, DHS, and HHS primarily cited two reasons for awarding a noncompetitive contract or order: (1) only one source could meet the need (for example, the contractor owned proprietary technical or data rights) or (2) the agency awarded the contract to a small business to help meet agency goals.", "GAO estimates that about 8 percent of 2016 noncompetitive IT contracts and orders at DOD, DHS, and HHS were bridge contracts, awarded in part because of acquisition planning challenges. GAO previously recommended that the Office of Federal Procurement Policy define bridge contracts and provide guidance on their use, but it has not yet done so. GAO believes that addressing this recommendation will help agencies better manage their use of bridge contracts.", "Additionally, GAO estimates that about 7 percent of noncompetitive IT contracts and orders were used to support outdated or obsolete legacy IT systems. Officials from the agencies GAO reviewed stated these systems are needed for their mission or that they are in the process of modernizing the legacy systems or buying new systems."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommended DOD and HHS identify the reasons why competition data for certain orders in FPDS-NG were misreported and take corrective action. DOD and HHS concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government obligates tens of billions of dollars for products and services related to information technology (IT) each year. Meeting the federal government\u2019s IT needs is critical to the health, economy, and security of the nation. Competition for these IT products and services is a key component to fostering IT innovation and achieving the best return on investment for taxpayers. Federal agencies are generally required to award contracts competitively but are permitted to award noncompetitive contracts under certain circumstances, such as when only one contractor can meet the need or to eligible small businesses in order to meet agencies\u2019 small business goals.", "In some cases, noncompetitive contracts act as \u201cbridge contracts.\u201d While there is no government-wide definition for bridge contracts, GAO has defined it as an extension to an existing contract beyond the period of performance (including base and option years), or a new, short-term contract awarded on a sole-source basis to an incumbent contractor to avoid a lapse in service caused by a delay in awarding a follow-on contract. Bridge contracts can be a useful tool to avoid a gap in services and are typically envisioned as short-term. However, in October 2015, we found that some bridge contracts spanned multiple years, potentially undetected by approving officials. When noncompetitive bridge contracts are used frequently or for prolonged periods, the government is at risk of paying more than it should for products and services. In addition, our past work found that agencies are investing most of their IT dollars on maintaining legacy IT systems, which are becoming increasingly obsolete. For example, in May 2016, we found that many systems use outdated software languages and hardware parts that are no longer supported by their vendors. The government, in these instances, runs the risk of maintaining systems that have outlived their effectiveness.", "You asked us to review the federal government\u2019s use of noncompetitive contracts for IT, including the use of bridge contracts. This report examines (1) the extent to which agencies used noncompetitive contracts to procure IT products and services for fiscal years 2013 through 2017; (2) the reasons for using noncompetitive contracts for selected IT procurements; (3) the extent to which IT procurements at selected agencies were bridge contracts; and (4) the extent to which noncompetitive IT procurements at selected agencies were in support of legacy systems. For the last objective, you requested that we ascertain the extent to which our generalizable sample of contracts and orders were in support of legacy systems as defined by the Modernizing Government Technology Act (MGT), which was enacted in December 2017, after our work was underway.", "To examine the extent to which agencies used noncompetitive contracts and orders to procure IT products and services, we analyzed government-wide Federal Procurement Data System-Next Generation (FPDS-NG) data on IT obligations from fiscal years 2013 through 2017 (the most recent and complete data available). To define IT, we used the Office of Management and Budget\u2019s (OMB) Category Management Leadership Council list of IT product and service codes to identify IT- related products and services. To assess the reliability of the FPDS-NG data, we electronically tested for missing data, outliers, and inconsistent coding, and compared data on selected noncompetitive contracts to contract documentation we obtained. Based on these steps, we determined that FPDS-NG data were sufficiently reliable for describing general trends in government-wide and IT contract obligations data for fiscal years 2013 through 2017. We determined, however, that a subset of noncompetitive obligations were inaccurately coded as noncompetitive and thus not reliable. We explore this issue further in the body of this report.", "To determine the reasons for using noncompetitive contracts and orders for selected IT procurements, we selected the three agencies with the highest reported obligations on IT noncompetitive contracts for fiscal years 2012 through 2016 (the most recent year of data available at the time we began our review)\u2014the Departments of Defense (DOD), Homeland Security (DHS), and Health and Human Services (HHS). These three agencies collectively accounted for 70 percent of all noncompetitively awarded contracts for IT during this period. From these agencies, we selected a generalizable stratified random sample of 171 fiscal year 2016 noncompetitive contracts and orders for IT above the simplified acquisition threshold of $150,000 to determine the reasons for using noncompetitive contracts and orders. The sample was proportionate to the amount of noncompetitive contracts and orders for IT at each agency. For each of the contracts and orders in our generalizable sample, we analyzed selected contract documentation, such as justification and approval documents (J&A), exception to fair opportunity documents, and small business coordination records. Based on our review of documentation, we excluded 29 contracts and orders because they were awarded competitively, but had been miscoded as noncompetitive or as having an exception to fair opportunity. As a result, our sample consisted of 142 contracts and orders. See table 1 for a breakdown by agency.", "To determine the extent to which IT procurements at selected agencies were bridge contracts or in support of legacy systems, we leveraged the generalizable sample described above to estimate the percentage of bridge contracts and legacy IT systems at DOD, DHS, and HHS. Agencies provided information as to whether the contracts and orders within the generalizable sample met GAO\u2019s definition of a bridge contract and whether the systems they supported met the definition of legacy IT systems in OMB\u2019s draft IT Modernization Initiative or the definition provided under the Modernizing Government Technology Act (MGT). OMB\u2019s draft IT Modernization Initiative defined legacy systems as spending dedicated to maintaining the existing IT portfolio excluding provisioned services such as cloud, while the MGT Act defined them as an outdated or obsolete IT system. We verified the agencies\u2019 determinations of bridge contracts by reviewing documentation for the contracts and orders in our generalizable sample. To obtain additional insights into the bridge contracts and legacy systems, we selected a nonprobability sample of 26 contracts and orders from our generalizable sample of 142 contracts and orders for in-depth review. Our selection was based on factors such as obtaining a mix of bridge contracts and contracts used in support of legacy IT systems.", "For our in-depth review, we collected and analyzed contract file documentation for the selected contracts and orders. In cases where we selected a potential bridge contract, we also reviewed the contract preceding it, additional bridge contracts (if any), and, if awarded at the time of our review, the follow-on contract. We interviewed contracting and program officials to gain insights into the facts and circumstances surrounding the awards of IT noncompetitive contracts and orders. For bridge contracts and orders, we asked about the reasons why bridge contracts were needed and status of follow-on contracts; for legacy contracts, we asked about the nature of the requirement and plans to move to newer technologies or systems. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from April 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The federal government obligates tens of billions annually on IT. Prior IT expenditures, however, have too often produced failed projects\u2014that is, projects with multimillion dollar cost overruns and schedule delays and with questionable mission-related achievements. In our 2017 high risk series update, we reported that improving the management of IT acquisitions and operations remains a high risk area because the federal government has spent billions of dollars on failed IT investments."], "subsections": [{"section_title": "Awarding Contracts and Orders Noncompetitively", "paragraphs": ["Agencies are generally required to use full and open competition\u2014 meaning all responsible sources are permitted to compete\u2014when awarding contracts. However, the Competition in Contracting Act of 1984 recognizes that full and open competition is not feasible in all circumstances and authorizes contracting without full and open competition under certain conditions. In addition, there are competition- related requirements for other types of contract vehicles, including multiple award indefinite-delivery/indefinite-quantity (IDIQ) contracts and the General Services Administration\u2019s (GSA) Federal Supply Schedule (FSS). The rules regarding exceptions to full and open competition and other competition-related requirements are outlined in various parts of the Federal Acquisition Regulation (FAR). For example:", "Contracting officers may award a contract without providing for full and open competition if one of seven exceptions listed in FAR Subpart 6.3 apply. Examples of allowable exceptions include circumstances when products or services required by the agency are available from only one source, when disclosure of the agency\u2019s need would compromise national security, or when the need for products and services is of such an unusual and compelling urgency that the federal government faces the risk of serious financial or other injury. Generally, exceptions to full and open competition under FAR subpart 6.3 must be supported by written justifications that contain sufficient facts and rationale to justify use of the specific exception.", "Depending on the proposed value of the contract, the justifications require review and approval at successively higher approval levels within the agency.", "Contracting officers are also authorized to issue orders under multiple award IDIQ contracts noncompetitively. Generally contracting officers must provide each IDIQ contract holder with a fair opportunity to be considered for each order unless exceptions apply. Contracting officers who issue orders over certain thresholds under an exception to fair opportunity are required to provide written justification for doing so. In April 2017 we found that government-wide, more than 85 percent of all order obligations under multiple-award IDIQ contracts were competed from fiscal years 2011 through 2015.", "Orders placed under GSA\u2019s FSS program are also exempt from FAR part 6 requirements. However, ordering procedures require certain FSS orders exceeding the simplified acquisition threshold to be placed on a \u201ccompetitive basis,\u201d which includes requesting proposals from as many schedule contractors as practicable. If a contracting officer decides not to provide opportunity to all contract holders when placing an FSS order over the simplified acquisition threshold, that decision must be documented and approved. The FAR allows for orders to be placed under these circumstances based on the following justifications: when an urgent and compelling need exists; when only one source is capable of providing the supplies or services because they are unique or highly specialized; when in the interest of economy and efficiency, the new work is a logical follow-on to an original FSS order that was placed on a \u201ccompetitive basis;\u201d and when an item is \u201cpeculiar to one manufacturer.\u201d", "Agencies may also award contracts on a sole-source basis in coordination with the Small Business Administration (SBA) to eligible 8(a) program participants. While agencies are generally not required to justify these sole-source awards, contracts that exceed a total value of $22 million require a written justification in accordance with FAR Subpart 6.3."], "subsections": []}, {"section_title": "Bridge Contracts", "paragraphs": ["In certain situations, it may become evident that services could lapse before a subsequent contract can be awarded. In these cases, because of time constraints, contracting officers generally use one of two options: (1) extend the existing contract or (2) award a short-term stand-alone contract to the incumbent contractor on a sole-source basis to avoid a lapse in services. While no government-wide definition of bridge contracts exists, we developed the following definitions related to bridge contracts that we used for our October 2015 report:", "Bridge contract. An extension to an existing contract beyond the period of performance (including base and option years), or a new, short-term contract awarded on a sole-source basis to an incumbent contractor to avoid a lapse in service caused by a delay in awarding a follow-on contract.", "Predecessor contract. The contract in place prior to the award of a bridge contract.", "Follow-on contract. A longer-term contract that follows a bridge contract for the same or similar services. This contract can be competitively awarded or awarded on a sole-source basis.", "Contracts, orders, and extensions (both competitive and noncompetitive) are included in our definition of a \u201cbridge contract\u201d because the focus of the definition is on the intent of the contract, order, or extension.", "DOD and some of its components, including the Navy, the Defense Logistics Agency (DLA), and the Defense Information Systems Agency (DISA), have established their own bridge contract definitions and policies. Congress enacted legislation in 2017 that established a definition of \u201cbridge contracts\u201d for DOD and its components.", "For the purposes of this report, we use the same definition as we used in our October 2015 report to define bridge contracts, unless otherwise specified. We acknowledge that in the absence of a government-wide definition, agencies may have differing views of what constitutes a bridge contract. We discuss these views further in the body of this report.", "In our October 2015 report on bridge contracts, we found that the agencies included in our review\u2014DOD, HHS, and the Department of Justice\u2014had limited or no insight into their use of bridge contracts. In addition, we found that while bridge contracts are typically envisioned as short term, some bridge contracts included in our review involved one or more bridges that spanned multiple years\u2014potentially undetected by approving officials. The fact that the full length of a bridge contract, or multiple bridge contracts for the same requirement, is not readily apparent from documents that may require review and approval, such as an individual J&A, presents a challenge for those agency officials responsible for approving the use of bridge contracts. Approving officials signing off on individual J&As may not have insight into the total number of bridge contracts that may be put in place by looking at individual J&As alone.", "In October 2015, we recommended that the Administrator of the Office of Federal Procurement Policy (OFPP) take the following two actions: (1) take appropriate steps to develop a standard definition for bridge contracts and incorporate it as appropriate into relevant FAR sections; and (2) as an interim measure until the FAR is amended, provide guidance to agencies on: a definition of bridge contracts, with consideration of contract extensions as well as stand-alone bridge contracts; and suggestions for agencies to track and manage their use of these contracts, such as identifying a contract as a bridge in a J&A when it meets the definition, and listing the history of previous extensions and stand-alone bridge contracts.", "OFPP concurred with our recommendation to provide guidance to agencies on bridge contracts, and stated its intention is to work with members of the FAR Council to explore the value of incorporating a definition of bridge contracts in the FAR. As of November 2018, OFPP had not yet implemented our recommendations but has taken steps to develop guidance on bridge contracts. Specifically, OFPP staff told us they have drafted management guidance, which includes a definition of bridge contracts, and provided it to agencies\u2019 Chief Acquisition Officers and Senior Procurement Executives for review. OFPP staff told us they received many comments on the draft guidance and were in the process of addressing those comments."], "subsections": []}]}, {"section_title": "Agencies Obligated More than $10 Billion Annually for Information Technology on Noncompetitively Awarded Contracts and Orders, but Unreliable Data Obscures Full Picture", "paragraphs": ["Federal agencies reported annually obligating between $53 billion in fiscal year 2013 to $59 billion in fiscal year 2017 on IT-related products and services. Of that amount, agencies reported that more than $15 billion each year\u2014or about 30 percent of all obligations for IT products and services\u2014were awarded noncompetitively. However, in a generalizable sample of contracts and orders, we found significant errors in certain types of orders, which call into question the reliability of competition data associated with roughly $3 billion per year in obligations. As a result, the actual amount agencies obligated on noncompetitive contract awards for IT products and services is unknown."], "subsections": [{"section_title": "IT Contract Obligations Totaled More than $50 Billion Annually", "paragraphs": ["From fiscal years 2013 through 2017, we found that total IT obligations reported by federal agencies ranged from nearly $53 billion in fiscal year 2013 to $59 billion in fiscal year 2017. The amount obligated on IT products and services generally accounted for about one-tenth of total federal contract spending (see figure 1).", "For fiscal years 2013 through 2017, the three agencies we reviewed in more depth\u2014DOD, DHS and HHS\u2013\u2013collectively accounted for about two- thirds of federal IT spending (see figure 2)."], "subsections": []}, {"section_title": "Agencies Reported Obligating More than $15 Billion on Noncompetitive Contracts for IT Annually, but Full Extent of Noncompetitive Dollars Is Not Known Due to Unreliable Data", "paragraphs": ["From fiscal years 2013 through 2017, agencies reported in FPDS-NG obligating more than $15 billion\u2014about 30 percent of all annual IT obligations\u2014each year on noncompetitively awarded contracts and orders. We determined, however, that the agencies\u2019 reporting of certain competition data was unreliable (see figure 3).", "Specifically, we found that contracting officers miscoded 22 out of 41 orders in our sample, of which 21 cited \u201cfollow-on action following competitive initial action\u201d or \u201cother statutory authority\u201d as the legal authority for using an exception to fair opportunity. DOD contracting officers had miscoded 11 of the 21 orders, while DHS and HHS contracting officers had miscoded 4 and 6 orders, respectively. This miscoding occurred at such a high rate that it put into question the reliability of the competition data on orders totaling roughly $3 billion per year in annual obligations. In each of these cases, contracting officers identified these orders as being noncompetitively awarded when they were, in fact, competitively awarded. As an assessment of the extent to which contracts and orders that were identified as being competitively awarded were properly coded was outside the scope of our review, we are not in a position to assess the overall reliability of competition information of IT-related contracts.", "For these 21 orders, we found that DHS was aware of issues surrounding most of their miscodings and had taken actions to fix the problems, while DOD and HHS generally had limited insights as to why these errors occurred.", "DHS miscoded 4 orders, 3 of which were orders awarded under single award contracts. DHS officials told us that orders issued from single award contracts should inherit the competition characteristics of the parent contract. However, as FPDS-NG currently operates, contracting officers have the ability to input a different competition code for these orders. In this case, each of the single award contracts was competitively awarded and therefore all the subsequent orders issued from these contracts should be considered competitively awarded, as there are no additional opportunities for competition. DHS has taken actions to address this issue. DHS officials stated that in conjunction with DOD they have asked GSA, which manages the FPDS-NG data system, to modify FPDS-NG to automatically prefill competition codes for orders awarded under single award contracts. DHS officials noted that GSA expects to correct the issue in the first quarter of fiscal year 2019, which should mitigate the risks of agencies miscoding orders issued under single award contracts in the future. DHS officials have also provided training to their contracting personnel that single award orders must inherit the characteristics of the parent contract.", "DOD and HHS officials, on the other hand, had limited insights as to why their orders were miscoded. For example, DOD miscoded a total of 11 orders (5 orders awarded under single award contracts and 6 awarded under multiple award contracts). For 8 of these orders, contracting officers did not provide the reasons as to why these errors occurred. For the remaining 3 orders awarded\u2014each of which were issued under single award contracts\u2014contracting officials told us that they had used the \u201cfollow-on action following competitive initial action\u201d because the underlying contract had been competed. Similarly, at HHS, which miscoded a total of 6 orders (4 awarded under single award contracts and 2 awarded under multiple award contracts), component officials told us that these errors were accidental and could not provide any additional insight as to why these errors were made.", "While GSA\u2019s changes in the FPDS-NG system, when implemented, may help address the issue of miscoding competition data on orders issued from single award contracts, it will not address errors in coding for multiple award orders that cited exceptions to competition even when they were competed.", "The FAR notes that FPDS-NG data are used in a variety of ways, including assessing the effects of policies and management initiatives, yet we have previously reported on the shortcomings of the FPDS-NG system, including issues with the accuracy of the data. Miscoding of competition requirements may hinder the accomplishment of certain statutory, policy, and regulatory requirements. For example,", "The FAR requires agency competition advocates, among other duties and responsibilities, to prepare and submit an annual report to their agencies\u2019 senior procurement executive and chief acquisition officer on actions taken to achieve full and open competition in the agency and recommend goals and plans for increasing competition.", "OMB required agencies to reduce their reliance on noncompetitive contracts, which it categorized as high-risk, because, absent competition, agencies must negotiate contracts without a direct market mechanism to help determine price.", "Federal internal control standards state that management should use quality information to achieve an entity\u2019s objectives. Without identifying the reasons why contracting officers are miscoding these orders in FPDS-NG, DOD and HHS are unable to take action to ensure that competition data are accurately recorded, and are at risk of using inaccurate information to assess whether they are achieving their competition objectives.", "After excluding the $3 billion in annual obligations we determined was not sufficiently reliable, we found that from fiscal years 2013 through 2017 about 90 percent of noncompetitive IT obligations reported in FPDS-NG were used to buy services, hardware, and software (see figure 4).", "Services include the maintenance and repair of IT equipment as well as professional technology support. Hardware includes products such as fiber optic cables and computers, and software includes items such as information technology software and maintenance service plans."], "subsections": []}]}, {"section_title": "Agencies Cited That Only One Contractor Could Meet the Need or Small Business Requirements as Most Common Reasons for Awarding Noncompetitive Contracts", "paragraphs": ["The documentation for the contracts and orders at the three agencies we reviewed generally cited either that only one source could meet their needs or that they were awarding the contract sole-source to an 8(a) small business participant when noncompetitively awarding IT contracts or orders. Specifically, based on our generalizable sample, we estimate that nearly 60 percent of fiscal year 2016 noncompetitive contracts and orders at DOD, DHS, and HHS were awarded noncompetitively because agencies cited that only one contractor could meet the need, and approximately 26 percent of contracts and orders were awarded sole- source to an 8(a) small business participant. We estimate that agencies cited a variety of other reasons for not competing approximately 16 percent of noncompetitive contracts and orders, such as unusual and compelling urgency, international agreement, and national security.", "Within our sample of 142 contracts and orders, we analyzed J&As or similar documents to obtain additional detail as to why the contracts and orders were awarded noncompetitively. See table 2 for a breakdown of the overall reasons cited for awarding contracts noncompetitively within our sample.", "For 79 of the 142 contracts and orders we reviewed, agencies cited that only one source could meet the need. We found that this exception was the most commonly cited reason for a sole-source IT contract or order at DOD and DHS, but not at HHS. At HHS, the most common reason was that the contract or order was awarded on a sole source basis to an 8(a), which we discuss in more detail later. Agencies justified use of the \u201conly one source\u201d exception on the basis that the contractor owned the proprietary technical or data rights; the contractor had unique qualifications or experience; compatibility issues; or that a brand-name product was needed (see figure 5).", "The following examples illustrate the reasons cited by the agencies as to why only one contractor could meet their needs:", "Proprietary data rights issues and compatibility issues. The Navy issued a 9-month, approximately $350,000 order under an IDIQ contract for two data terminal sets. The terminal sets, which according to Navy officials, have been used by the Navy since the 1990s to exchange radar tracking and other information among airborne, land- based, and ship-board tactical data systems and with certain allies. The Navy\u2019s J&A document noted that the contractor owned the proprietary data rights to the transmitting equipment and software, and the Navy required the equipment to be compatible and interchangeable with systems currently fielded throughout the Navy. Furthermore, the document noted that seeking competition through the development of a new source would result in additional costs that would far exceed any possible cost savings that another source could provide and would cause unacceptable schedule delays.", "This example illustrates that decisions the program officials make during the acquisition process to acquire or not acquire certain rights to technical data can have far-reaching implications for DOD\u2019s ability to sustain and competitively procure parts and services for those systems, as we have previously reported. In our May 2014 report on competition in defense contracting, we found that 7 of 14 justifications we reviewed explained that the awards could not be competed due to a lack of technical data. All 7 of these justifications or supporting documents described situations, ranging from 3 to 30 years in duration, where DOD was unable to conduct a competition because data rights were not purchased with the initial award. We recommended in May 2014 that DOD ensure that existing acquisition planning guidance promotes early vendor engagement and allows both the government and vendors adequate time to prepare for competition. DOD concurred with our recommendation. In April 2015, DOD updated its acquisition guidance to incorporate new guidelines for creating and maintaining a competitive environment. These guidelines emphasize acquisition planning steps including involvement with industry in obtaining feedback on draft solicitations, market research, and requirements development.", "Unique qualifications and experience. DHS placed four separate orders under an IDIQ contract for data center support totaling approximately $7 million. The requirement was to maintain mission critical services during a data center support pilot, prototype, and transition period starting in fiscal year 2015. Among other things, DHS\u2019s J&A noted that no other contractors had sufficient experience with DHS\u2019s infrastructure and requirements necessary to maintain services at the required level during the transition period.", "HHS awarded an approximately $4 million contract to buy support services for an IT center for a 12-month ordering period, including options. HHS\u2019s J&A noted that only the incumbent contractor had the requisite knowledge and experience to operate and maintain the mission and business systems in the IT center during the transition of operations from one location to another. The justification further stated that HHS had no efforts underway to increase competition in the future as this requirement is not anticipated to be a recurring requirement. Program officials stated that they are migrating from legacy IT systems to a new commercial off-the-shelf system.", "Brand-name products. DOD awarded a 5-month, approximately $500,000 contract for brand name equipment and installation that supported various video-teleconference systems. The J&A stated that this particular brand name product was the only product that would be compatible with current configurations installed in one of its complexes. To increase competition in the future, the J&A stated that technical personnel will continue to evaluate the marketplace for commercially available supplies and installation that can meet DOD\u2019s requirements.", "For 42 of the 142 contracts and orders we reviewed, we found that agencies awarded a sole-source contract or order to 8(a) small business participants. HHS awarded 13 of its 23 sole-source contracts and orders we reviewed to 8(a) small business participants, DOD awarded 25 of 95, and DHS 4 of 24. We found that all contracts and orders in our review that were awarded on a sole-source basis to 8(a) small business participants were below the applicable competitive thresholds or otherwise below the FAR thresholds that require a written justification.", "As previously discussed, agencies may award contracts on a sole-source basis to eligible 8(a) participants, either in coordination with SBA or when they are below the competitive threshold. While agencies are generally not required to justify these smaller dollar value sole-source 8(a) awards, contracts that exceed a total value of $22 million require a written justification. Since none of the 8(a) sole source contracts and orders in our review required written justifications, the contract files generally did not provide the rationale behind the sole-source award.", "Policy and contracting officials from all three agencies we reviewed stated they made sole-source awards to 8(a) small business participants to help meet the agency\u2019s small business contracting goals and save time. HHS officials further stated that they consider their awards to 8(a) small business participants a success because they are supporting small businesses. Officials stated that once a requirement is awarded through the 8(a) program, the FAR requires that requirement be set aside for an 8(a) contractor unless the requirement has changed or that an 8(a) contractor is not capable or available to complete the work.", "For 23 of the 142 contracts and orders we reviewed, we found that agencies cited other reasons for awarding contracts and orders noncompetitively. For example:", "Urgent and compelling need. DHS\u2019s Coast Guard awarded an approximately 10-month, $6.5 million order (encompassing all options) for critical payroll services in its human resources management system under a GSA federal supply schedule contract. The Coast Guard justified the award based on an urgent and compelling need. A Coast Guard official explained that the efforts to competitively award a follow-on contract had been delayed as the Coast Guard had not developed a defined statement of work in a timely manner, and that the agency had received a larger number of proposals than initially anticipated. Therefore, the evaluation process took longer than expected. In addition, the Coast Guard\u2019s competitive follow-on contract, which was awarded in June 2018, was protested. In October 2018, GAO denied the protest and the Coast Guard is currently planning to transition to the newly awarded contract.", "International agreement. The Army placed an approximately 8- month, $1 million order under an IDIQ contract for radio systems and cited international agreement as the reason for a noncompetitive award. This order was part of a foreign military sales contract with the Government of Denmark.", "Authorized or required by statute. The Defense Logistics Agency (DLA) cited \u201cauthorized or required by statute\u201d when it placed an approximately $1.5 million, 12-month order under an IDIQ contract for sustainment support services for an application that is used for planning and initiating contracting requirements in contingency environments. DLA noted that this model was contracted under the Small Business Innovation Research Program, which supports scientific and technological innovation through the investment of federal research funds into various research projects.", "National security. The U.S. Special Operations Command (SOCOM) placed an approximately 8-month, $1 million order for radio spare parts and cited national security as the reason for a noncompetitive award."], "subsections": []}, {"section_title": "An Estimated Eight Percent of Fiscal Year 2016 IT Noncompetitive Contracts and Orders Were Bridges, and Agencies Have Difficulty Managing Them An Estimated Eight Percent of IT Noncompetitive Contracts and Orders in Fiscal Year 2016 Were Bridge Contracts", "paragraphs": ["We estimate that about 8 percent of contracts and orders above $150,000 in fiscal year 2016 at DOD, DHS, and HHS were bridge contracts. Consistent with our October 2015 findings, agencies we reviewed face continued challenges with oversight of bridge contracts, based on 15 contracts and orders we reviewed in-depth. For example, we found that in 9 of the 15 cases, bridge contracts were associated with additional bridges not apparent in the documentation related to the contract and order we reviewed, such as a J&A, and corresponded with longer periods of performance and higher contract values than initially apparent. Agency officials cited a variety of reasons for needing bridge contracts, including acquisition planning challenges, source selection challenges, and bid protests.", "Based on our generalizable sample, we estimate that about 8 percent of contracts and orders above $150,000 in fiscal year 2016 at DOD, DHS, and HHS were bridge contracts. We verified, using our definition of bridge contracts as criteria, that 13 of 142 contracts and orders in our generalizable sample were bridge contracts based on reviews of J&As, limited source justifications, or exceptions to fair opportunity, among other documents. In addition, we found two additional bridge contracts related to our generalizable sample while conducting our in-depth review, bringing the total number of bridge contracts we identified during this review to 15."], "subsections": [{"section_title": "Agencies Face Continued Challenges with Oversight of Bridge Contracts", "paragraphs": ["We found that the bridge contracts we reviewed were often longer than initially apparent from our review of related documentation, such as a J&A, and sometimes spanned multiple years. Bridge contracts can be a useful tool in certain circumstances to avoid a gap in providing products and services, but they are typically envisioned to be used for short periods of time. When we conducted an in-depth review of the bridge contracts, such as by reviewing the contract files for the predecessor, bridge, and follow-contracts, we found that in most cases, these involved one or more bridges that spanned longer periods and corresponded with higher contract values than initially apparent. Specifically, we found that 9 of the 15 bridge contracts had additional bridges related to the same requirement that were not initially apparent from documents requiring varying levels of approval by agency officials, such as the J&As. Collectively, agencies awarded bridge contracts associated with these 15 contracts and orders with estimated contract values of about $84 million (see table 3).", "The following examples illustrate contracts we reviewed in which the periods of performance were longer than initially apparent:", "HHS\u2019s Indian Health Service (IHS) awarded a 4-month, approximately $1.6 million bridge order for project management and support services for IHS\u2019s resource and patient management system. We found, however, that the predecessor contract had already been extended by 6 months before the award of the bridge order due to acquisition planning challenges associated with delays in developing the acquisition package for the follow-on contract. Subsequently, the 4- month bridge order was extended for an additional 6 months, in part because the follow-on award\u2014which had been awarded to a new contractor\u2014was protested by the incumbent contractor due to concerns over proposal evaluation criteria. Ultimately, the protest was dismissed. Following the resolution of the bid protest, officials awarded an additional 2-month bridge order for transition activities. In total, the bridge orders and extensions spanned 18 months and had an estimated value of about $4.7 million. Figure 6 depicts the bridge orders and extensions and indicates the 4-month bridge and 6-month extension we had initially identified.", "The Air Force awarded a 3-month, approximately $630,000 bridge contract to support a logistics system used to monitor weapon system availability and readiness. We found, however, that the Air Force had previously awarded a 3-month bridge contract due to delays resulting from a recent reorganization, which, according to Air Force officials, made it unclear which contracting office would assume responsibility for the requirement. The Air Force subsequently awarded an additional 3-month bridge contract due to acquisition planning challenges, such as planning for the award of the follow-on sole- source contract. The total period of performance for the bridges was 9 months with an estimated value of about $1.9 million (see figure 7).", "As of August 2018, 13 of the 15 bridge contracts had follow-ons in place\u20145 were awarded competitively and 8 were awarded noncompetitively. Two bridge contracts do not currently have follow-on contracts in place for various reasons. For example, in one instance, the Coast Guard\u2019s requirement for human resources and payroll support services has continued to operate under a bridge contract because the Coast Guard\u2019s planned follow-on contract\u2014a strategic sourcing IDIQ\u2014 was awarded in June 2018, and subsequently protested, among other delays."], "subsections": []}, {"section_title": "Officials Frequently Cited Acquisition Planning Challenges as Necessitating the Use of a Bridge Contract", "paragraphs": ["Based on our reviews of contract documentation and information provided by agency officials, we found that acquisition planning challenges were the principal cause for needing to use a bridge contract across the 15 bridge contracts we reviewed. In particular, acquisition packages prepared by program offices to begin developing a solicitation were often not prepared in a timely fashion. Acquisition packages include statements of work and independent government cost estimates, among other documents, and are generally prepared by the program office, with the assistance of the contracting office. In addition to acquisition planning challenges, officials cited delays in source selection and bid protests, among others, as additional reasons justifying the need to use a bridge contract (see figure 8).", "The following examples illustrate reasons officials cited for needing a bridge contract:", "DOD\u2019s DISA awarded a bridge contract for IT support services due to acquisition planning challenges, and specifically, the late submission of acquisition packages. According to contracting officials, the bridge contract was originally intended to consolidate 3 of the previous contracts associated with this requirement, but a fourth was added much later in the process. DISA contracting officials said that the program office did not submit acquisition package documentation in a timely manner, and, once submitted, the documentation required numerous revisions. These officials added that they had to award an additional bridge contract to avoid a lapse in service once they received a completed package from the program office because there was not enough time to do a competitive source selection and analysis.", "DOD\u2019s SOCOM extended an IDIQ contract for radio supplies and services due to source selection delays and acquisition workforce challenges. For example, contracting officials said they extended the IDIQ for 12 months because the contracting office was working on a source selection for the follow-on contract for modernized radios and simply did not have the manpower to award a new sustainment contract for the existing radios at the same time.", "DHS\u2019s Customs and Border Protection (CBP) awarded an approximately 16-month bridge contract in June 2016 for engineering and operations support of CBP\u2019s Oracle products and services due to bid protests associated with March 2016 orders for this requirement. We found the protests were filed on the basis that CBP had issued the task order on a sole-source basis, which precluded other contractors from competing for the award. GAO dismissed the protest in May 2016 as a result of CBP\u2019s stated intent to terminate the task order and compete the requirement as part of its corrective action plan.", "According to CBP contracting officials, they awarded the approximately16-month bridge contract to the incumbent contractor to continue services until GAO issued a decision and the services could be transitioned to the awardee. In September 2017, CBP officials awarded the competitive follow-on contract to a new vendor, but this award was also protested due to alleged organizational conflicts of interest, improperly evaluated technical proposals, and an unreasonable best-value tradeoff determination. As a result, CBP officials issued a stop-work order effective October 2017. To continue services during the protest, CBP officials extended the existing bridge contract by 3 months and then again by another 6 months. In January 2018, GAO dismissed the protest in its entirety and the stop-work order was lifted. According to a CBP contracting official, CBP did not exercise the final 3 months of options of the 6-month extension.", "In 2015, we found that the full length of a bridge contract, or multiple bridge contracts, is not always readily apparent from review of an individual J&A, which presents challenges for approving officials, as they may not have insight into the total number of bridges put into place by looking at individual J&As alone. We found a similar situation in our current review. For example, the J&As for the 8 bridge contracts with J&As did not include complete information on the periods of performance or estimated values of all related bridge contracts."], "subsections": []}, {"section_title": "In the Absence of Government-wide Guidance, Others Have Taken Steps to Define Bridge Contracts", "paragraphs": ["OFPP has not yet taken action to address the challenges related to the use of bridge contracts that we found in October 2015. At that time, we recommended that OFPP take appropriate steps to develop a standard definition of bridge contracts and incorporate it as appropriate into relevant FAR sections, and to provide guidance to federal agencies in the interim. We further recommended that the guidance include (1) a definition of bridge contracts, with consideration of contract extensions as well as stand-alone bridge contracts, and (2) suggestions for agencies to track and manage their use of these contracts, such as identifying a contract as a bridge in a J&A when it meets the definition, and listing the history of previous extensions and stand-alone bridge contracts back to the predecessor contract in the J&A. However, as of November 2018, OFPP had not yet done so. As a result, agencies continue to face similar challenges with regard to the use of bridge contracts that we identified in 2015 and there is a lack of government-wide guidance that could help to address them.", "In the absence of a federal government-wide definition, others have taken steps to establish a bridge contracts definition. For example, Congress has established a statutory definition of bridge contracts that is applicable to DOD and its components. Specifically, Section 851 of the National Defense Authorization Act for Fiscal Year 2018 defined a bridge contract as (1) an extension to an existing contract beyond the period of performance to avoid a lapse in service caused by a delay in awarding a subsequent contract; or (2) a new short-term contract awarded on a sole- source basis to avoid a lapse in service caused by a delay in awarding a subsequent contract. Section 851 requires that, by October 1, 2018, the Secretary of Defense is to ensure that DOD program officials plan appropriately to avoid the use of a bridge contract for services. In instances where bridge contracts were awarded due to poor acquisition planning, the legislation outlines notification requirements with associated monetary thresholds for bridge contracts.", "Acting on this requirement and in response to our prior bridge contracts report, DOD established a bridge contracts policy memorandum in January 2018. The policy defines bridge contracts as modifications to existing contracts to extend the period of performance, increase the contract ceiling or value or both, or a new, interim sole-source contract awarded to the same or a new contractor to cover the timeframe between the end of the existing contract and the award of a follow-on contract. The DOD policy excludes extensions awarded using the option to extend services clause as bridge contracts unless the extension exceeds 6 - months. In addition, DOD\u2019s bridge contract policy directs the military departments and DOD components to develop a plan to reduce bridge contracts and to report their results annually to the Office of the Under Secretary of Defense for Acquisition and Sustainment. As of August 2018, DHS and HHS did not have component- or department-level policies that define or provide guidance on the use of bridge contracts.", "Differing definitions of bridge contracts can lead to varying perspectives as to what constitutes a bridge contract. For example:", "Differing views on whether a contract within the 8(a) program can be a bridge. In one instance, we reviewed a 3-month, approximately $1.9 million bridge contract that DLA awarded to the incumbent contractor for a variety of IT contractor support services for DLA\u2019s Information Operations (J6). This bridge contract was awarded to continue services until DLA could award a 12-month, roughly $2.9 million sole- source contract (including all options) to an 8(a) small business participant to consolidate tasks from 20 contracts as part of a reorganization effort within J6. After that contract expired, DLA awarded a second 12-month, about $3 million contract (including all options) to the same 8(a) small business participant to continue these task consolidation efforts. DLA subsequently awarded a 2-month $122,000 contract extension to continue services until it could award a follow-on order under DLA\u2019s J6 Enterprise Technology Services (JETS) multiple award IDIQ contract, the award of which had also been delayed.", "Although the 8(a) contracts were not awarded to the incumbent of the initial 3-month bridge, we believe that these contracts could be considered bridge contracts as they were meant to bridge a gap in services until the reorganization efforts were complete and the JETS contract was awarded. DLA contracting officials, however, told us they do not consider the 8(a) contracts to be bridge contracts as these two contracts and the follow-on task order under JETS were awarded sole-source to 8(a) small business participants. DLA officials added that they plan to keep the requirement in the 8(a) program.", "Differing views as to whether contract extension are bridges. DOD\u2019s policy generally does not include contract extensions using the \u201coption to extend services\u201d clause as bridges, unless the option is extended beyond the 6 months allowed by the clause. Navy policy, however, states that using the option to extend services clause is considered a bridge if the option was not priced at contract award. Similarly, HHS officials stated that the department does not consider contract extensions using the \u201coption to extend services\u201d clause to be bridge contract actions if the total amount of the services covered are evaluated in the initial award, and if the length does not extend beyond the allowable 6 months. The differences among agencies\u2019 views and policies may be due to the extent to which the extensions are considered \u201ccompetitive\u201d. For the purposes of our definition, if the extension\u2014whether it was competed or not\u2014was used to bridge a gap in service until a follow-on contract could be awarded, then it would be considered a bridge.", "Without agreement as to what constitutes a bridge contract, agencies\u2019 efforts to improve oversight of and to identify challenges associated with the use of bridge contracts will be hindered. While we are not making any new recommendations in this area, we continue to believe that our October 2015 recommendation to OFPP to establish a government-wide definition and provide guidance to agencies on their use remains valid."], "subsections": []}]}, {"section_title": "New Definition Narrows Scope of Legacy IT Noncompetitive Contracts and Orders to About Seven Percent", "paragraphs": ["An estimated 7 percent of IT noncompetitive contracts and orders at selected agencies in fiscal year 2016 were in support of legacy IT systems as newly defined in statute, which is considerably fewer than we found when using the previous definition of legacy IT. At the time our review began, OMB\u2019s draft definition for legacy IT systems stated that legacy IT spending was spending dedicated to maintaining the existing IT portfolio, excluding provisioned services such as cloud. Using this definition, and based on our generalizable sample, we estimated that about 80 percent of IT noncompetitive contracts and orders over $150,000 in fiscal year 2016 at DOD, DHS, and HHS were awarded in support of legacy IT systems. In December 2017, however, Congress enacted the Modernizing Government Technology Act (MGT) as part of the National Defense Authorization Act for Fiscal Year 2018. This act defined a legacy IT system as an \u201coutdated or obsolete system of information technology.\u201d", "Using this new statutory definition of a legacy IT system, we requested that each agency reassess how it would characterize the nature of the IT system using the revised definition provided under the MGT Act. For the 142 contracts and orders we reviewed, we found that when using the new definition, agencies significantly reduced the number of contracts and orders identified as supporting legacy IT systems. For example, using the OMB draft definition agencies identified that 118 out of 142 contracts and orders were supporting legacy IT systems. However, when using the more recent MGT Act definition, agencies identified only 10 out of 137 contracts and orders as supporting legacy IT systems (see figure 9).", "Consequently, using the definition provided under the MGT Act, we estimate that about 7 percent of IT noncompetitive contracts and orders over $150,000 in fiscal year 2016 at DOD, DHS, and HHS were awarded in support of outdated or obsolete legacy IT systems.", "Agencies\u2019 program officials said that they are still supporting outdated or obsolete legacy IT systems (as defined by the MGT Act) because they are needed for the mission, or they are in the process of buying new updated systems or modernizing current ones. For example:", "Army officials awarded a 5-year, roughly $1.2 million contract to install, configure, troubleshoot, and replace Land Mobile Radio equipment at Ft. Sill, Oklahoma. An Army official noted that all equipment is older than 12 years and is nearing its end of life. The radio equipment, however, is required to support first responder and emergency service personnel critical communications. An Army official did not indicate any plans to modernize, but noted that the impact of this system not being supported would significantly affect all of Fort Sill\u2019s land mobile radio communications.", "The Air Force awarded a $218,000 order to buy repair services for the C-130H aircraft\u2019s radar display unit and electronic flight instrument. An Air Force official noted that legacy hardware that was bought through the order is part of critical systems that are required to safely fly the aircraft. The system, however, is obsolete and the associated hardware is no longer supported by the vendor. The official told us that there is currently a re-engineering effort to modernize the systems that use this hardware.", "HHS issued a 12\u2013month, nearly $2.5 million order to buy operations and maintenance support for a Food and Drug Administration (FDA) system used to review and approve prescription drug applications. According to an FDA program official, efforts are underway to retire the system by gradually transferring current business processes to a commercial-off-the-shelf solution that can better meet government needs. This official, however, told us that the system currently remains in use because FDA\u2019s Office of New Drugs is still heavily reliant on the system."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Competition is a cornerstone of the federal acquisition system and a critical tool for achieving the best possible return on investment for taxpayers. In the case of information technology, federal agencies awarded slightly under a third of their contract dollars under some form of noncompetitive contract. Further, our current work was able to quantify that about a tenth of all information technology-related contracts and orders were made under some form of a noncompetitively awarded bridge contract, which provides new context for the issues associated with their use. The challenges themselves, however, remain much the same since we first reported on the issue in 2015. OFPP has yet to issue guidance or promulgate revised regulations to help agencies identify and manage their use of bridge contracts, and our current work finds that the full scope of bridge contracts or the underlying acquisition issues that necessitated their use in the first place may not be readily apparent to agency officials who are approving their use. We continue to believe that our 2015 recommendation would improve the use of bridge contracts, and we encourage OFPP to complete its ongoing efforts in a timely fashion.", "The frequency of the errors in reporting and their concentration within a specific type of contract action signals the need for more management attention and corrective action. These errors resulted in the potential misreporting of billions of dollars awarded under orders as being noncompetitively awarded when, in fact, they were competed. One agency included in our review\u2014DHS\u2014has taken steps to address the problems that underlie the errors in coding and provided additional training to its staff. DOD and HHS could benefit from additional insight as to the reasons behind the high rates of miscoding to improve the accuracy of this information."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of two recommendations, one to DOD and one to HHS.", "The Secretary of Defense should direct the Under Secretary of Defense for Acquisition and Sustainment to identify the reasons behind the high rate of miscoding for orders awarded under multiple award contracts and use this information to identify and take action to improve the reliability of the competition data entered into FPDS-NG. (Recommendation 1)", "The Secretary of Health and Human Services should direct the Associate Deputy Assistant Secretary for Acquisition to identify the reasons behind the high rate of miscoding for orders awarded under multiple award contracts and use this information to identify and take action to improve the reliability of the competition data entered into FPDS-NG. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD, DHS, HHS, and OMB for review and comment. DOD and HHS provided written comments and concurred with the recommendation we made to each department.", "In its written response, reproduced in appendix II, DOD stated it will analyze FPDS-NG data in an effort to identify why the miscoding of orders on multiple award contracts occurs, and use the information to advise the contracting community of actions to improve the reliability of competition data.", "In its written response, reproduced in appendix III, HHS stated that the Division of Acquisition within HHS\u2019s Office of Grants and Acquisition Policy and Accountability uses a data quality management platform to ensure data accuracy. HHS is currently in the process of performing the annual data validation and verification of the acquisition community\u2019s contract data for fiscal year 2018. Once this process is complete the Division of Acquisition will contact contracting offices that produced records that were flagged as containing errors and provide recommendations that should help improve the fiscal year 2019 accuracy rating. HHS added that it will closely monitor those checks and all others to ensure contract data are accurate. However, in its letter, HHS did not specify how its annual data validation and verification process would specifically address the fact that we found a high rate of miscoding of competition data for certain orders.", "OMB staff informed us that they had no comments on this report. DHS, HHS and the Air Force provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of Homeland Security, the Secretary of Health and Human Services, and the Director of the Office of Management and Budget. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or dinapolit@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our report examines (1) the extent to which agencies used noncompetitive contracts to procure Information Technology (IT) products and services for fiscal years 2013 through 2017; (2) the reasons for using noncompetitive contracts for selected IT procurements; (3) the extent to which IT procurements at selected agencies were bridge contracts; and (4) the extent to which noncompetitive IT procurements at selected agencies were in support of legacy systems.", "To examine the extent to which agencies used noncompetitive contracts and orders to procure IT products and services, we analyzed government-wide Federal Procurement Data System-Next Generation (FPDS-NG) data on IT obligations from fiscal years 2013 through 2017. To define IT, we used the Office of Management and Budget\u2019s (OMB) Category Management Leadership Council list of IT products and service codes, which identified a total of 79 IT-related codes for IT services and products. Data were adjusted for inflation to fiscal year 2017 dollars, using the Fiscal Year Gross Domestic Product Price Index. To assess the reliability of the FPDS-NG data, we electronically tested for missing data, outliers, and inconsistent coding. Based on these steps, we determined that FPDS-NG data were sufficiently reliable for describing general trends in government-wide and IT contract obligations data for fiscal years 2013 through 2017.", "In addition, as we later describe, we compared data for a generalizable sample of 171 noncompetitive contracts and orders to contract documentation, and we determined that 29 of these had been inaccurately coded in FPDS-NG as noncompetitive. As such, we determined that the data were not reliable for the purposes of reporting the actual amount agencies obligated on noncompetitive contracts and orders for IT products and services. Specifically, we determined, that data for IT noncompetitive obligations awarded under multiple award contracts that cited \u201cfollow-on action following competitive initial action\u201d or \u201cother statutory authority\u201d as the legal authority for using an exception to fair opportunity for the Departments of Defense (DOD), Homeland Security (DHS), and Health and Human Services (HHS) in fiscal year 2016 were not reliable. Evidence from our review of this sample suggests there was a high rate of miscoding for these orders; thus, we applied these findings to the remaining agencies and fiscal years because we do not have confidence that the data were more reliable than what we had found.", "To determine the reasons for using noncompetitive contracts for selected IT procurements, we selected the three agencies with the highest reported obligations on IT noncompetitive contracts for fiscal years 2012 through 2016 (the most recent year of data available at the time we began our review)\u2014DOD, DHS and HHS. These three agencies collectively accounted for about 70 percent of all noncompetitively awarded contracts for IT during this period. From these agencies, we selected a generalizable stratified random sample of 171 fiscal year 2016 noncompetitive contracts and orders for IT above the simplified acquisition threshold of $150,000. The sample was proportionate to the amount of noncompetitive contracts and orders for IT at each agency.", "Based on our review of documentation collected for the generalizable sample, we excluded 29 contracts and orders because they were awarded competitively, but had been miscoded as noncompetitive or as having an exception to fair opportunity. As a result, our sample consisted of 142 contracts and orders. See table 4 for a breakdown by agency.", "To determine the extent to which IT procurements at selected agencies were bridge contracts or in support of legacy systems, agencies provided information as to whether the contracts and orders met GAO\u2019s definition of a bridge contract\u2014which we defined as an extension to an existing contract beyond the period of performance (including base and option years) or a new, short-term contract awarded on a sole-source basis to an incumbent contractor to avoid a lapse in service caused by a delay in awarding a follow-on contract\u2014and whether they met the definitions of legacy IT systems in OMB\u2019s draft IT Modernization Initiative and the Modernizing Government Technology Act (MGT). OMB\u2019s draft IT Modernization Initiative defined legacy systems as spending dedicated to maintaining the existing IT portfolio but excluding provisioned services, such as cloud, while the MGT Act defines them as outdated or obsolete.", "We verified the agencies\u2019 determinations of whether a contract or order was a bridge by reviewing documentation, such as justification and approval and exception to fair opportunity documents, for the contracts and orders in our generalizable sample, and conducting follow-up with agency officials as needed. We verified agencies\u2019 determination of whether or not a contract or order was in support of a legacy system, as defined in OMB\u2019s draft IT Modernization Initiative by reviewing the agencies\u2019 determination and comparing these determinations to additional documentation, such as the statement of work, and conducting follow-up with program officials about the nature of the requirement where needed. We verified agencies\u2019 determination of whether a contract or order was in support of a legacy system as defined in the MGT Act by reviewing agencies\u2019 rationale for these determinations and following up with agency officials where we identified discrepancies between the determination and rationale. To obtain additional insights into bridge contracts and legacy systems, we selected a nonprobability sample of 26 contracts and orders from our generalizable sample of 142 contracts and orders for in-depth review. We selected these contracts based on factors such as obtaining a mix of bridge contracts and other contracts used in support of legacy IT systems and location of the contract files.", "For our in-depth review of contracts and orders, we collected and analyzed contract file documentation for the selected contracts and orders and interviewed contracting and program officials to gain insights into the facts and circumstances surrounding the awards of IT noncompetitive contracts and orders. In cases where we selected a potential bridge contract, we also reviewed the predecessor contract, additional bridge contracts (if any), and, follow-on contract, if awarded at the time of our review. For bridge contracts and orders, we asked about the reasons why bridges were needed and the status of follow-on contracts. We verified, using the definition of bridge contracts that we developed for our October 2015 report as criteria, that 13 of 142 contracts and orders in our generalizable sample were bridge contracts based on reviews of justification and approval documents, limited source justifications, or exceptions to fair opportunity, among other documents. We acknowledge, however, that in the absence of a government-wide definition, agencies may have differing views of what constitutes a bridge contract.", "In addition, we found 2 additional bridge contracts not included in our generalizable sample while conducting our in-depth review. For example, we selected three noncompetitive orders from our generalizable sample for in-depth review that were used to buy accessories and maintenance for the U.S. Special Operations Command (SOCOM) PRC-152 and 117G radios. We found that although the three orders were not bridge contracts, the underlying indefinite delivery/ indefinite quantity (IDIQ) contract\u2014which outlines the terms and conditions, including pricing for the orders\u2014had been extended 12 months to continue services until the follow-on IDIQ could be awarded. We also selected an Air Force order for equipment for the Joint Strike Fighter instrumentation pallet for in-depth review. Further analysis revealed that the underlying IDIQ was extended for 5 additional months to continue services until officials could award a follow-on contract for this requirement. Including these 2 additional bridge contracts brings the total number of bridge contracts we identified during this review to 15. For legacy contracts and orders we asked about the nature of the requirement and plan to move to newer technologies or systems. The selection process for the generalizable sample is described in detail below."], "subsections": [{"section_title": "Selection Methodology for Generalizable Sample", "paragraphs": ["We selected a generalizable stratified random sample of 171 contracts and orders from a sample frame of 3,671 fiscal year 2016 IT noncompetitive contracts and orders, including orders under multiple award indefinite delivery/indefinite quantity contracts over $150,000 to generate percentage estimates to the population. We excluded contracts and orders with estimated values below the simplified acquisition threshold of $150,000 as these contracts have streamlined acquisition procedures. We stratified the sample frame into nine mutually exclusive strata by agency and type of award, i.e. contract, order, and multiple award order for each of the three agencies. We computed the minimum sample size needed for a proportion estimate to achieve an overall precision of at least plus or minus 10 percentage points or fewer at the 95 percent confidence level. We increased the computed sample size to account for about 10 percent of the population to be out of scope, such as competitive or non-IT contracts or orders. We then proportionally allocated the sample size across the defined strata and increased sample sizes where necessary so that each stratum would contain at least 10 sampled contracts or orders. The stratified sample frame and sizes are described in table 5 below.", "We selected contracts and orders from the following components:", "DOD: Air Force, Army, Navy, Defense Information Systems Agency, Defense Logistics Agency, Defense Security Service, Defense Threat Reduction Agency, U.S. Special Operations Command, and Washington Headquarter Services;", "HHS: Centers for Disease Control, Centers for Medicare and Medicaid Services, Food and Drug Administration, Indian Health Service, National Institutes of Health, and the Office of the Assistant Secretary for Administration;", "DHS: Federal Emergency Management Agency, Office of Procurement Operations, U.S. Citizenship and Immigration Services, U.S. Coast Guard, U.S. Customs and Border Protection, and the U.S. Secret Service.", "We excluded 29 contracts and orders as we determined they had been miscoded as noncompetitive or as not having an exception to fair opportunity. Based on these exclusions, we estimate the number of noncompetitive contracts and orders in this population was about 3,000 (+/- 6.7 percent). All estimates in this report have a margin of error, at the 95 percent confidence level, of plus or minus 9 percentage points or fewer.", "We conducted this performance audit from April 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Janet McKelvey (Assistant Director), Pete Anderson, James Ashley, Andrew Burton, Aaron Chua, Andrea Evans, Lorraine Ettaro, Julia Kennon, Miranda Riemer, Guisseli Reyes-Turnell, Roxanna Sun, Alyssa Weir, and Kevin Walsh made key contributions to this report."], "subsections": []}]}], "fastfact": ["Competition among companies for federal information technology contracts is critical to achieving the best return on investment for taxpayers. However, noncompetitive contracts\u2014including bridge contracts\u2014are also allowed under certain circumstances.", "Federal data estimates 30% of IT spending is noncompetitive\u2014or about $15 billion annually. However, this estimate may not be accurate. We found some agencies misreported whether certain orders were competitive or noncompetitive. This calls the federal estimate into question.", "We recommended that selected agencies identify the reason for these errors and correct the problem."]} {"id": "GAO-18-207", "url": "https://www.gao.gov/products/GAO-18-207", "title": "Small Business Research Programs: Agencies Need to Take Steps to Assess Progress Toward Commercializing Technologies", "published_date": "2018-01-31T00:00:00", "released_date": "2018-01-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Through the SBIR and STTR programs, federal agencies have awarded about 162,000 contracts and grants totaling $46 billion to small businesses to help them develop and commercialize new technologies. Eleven federal agencies participate in the SBIR program, and 5 agencies also participate in the STTR program. Each program has three phases, which take projects from initial feasibility studies through commercialization activities. SBA oversees both programs.", "In response to the 2011 reauthorization of the programs, SBA and the participating agencies developed benchmarks to measure small businesses' progress in developing and commercializing technologies. GAO was asked to review SBA's and the agencies' efforts related to these benchmarks. This report examines the extent to which SBA and the participating agencies have implemented these benchmarks, including assessing businesses against them and establishing the consequence of not meeting them. GAO analyzed award data and interviewed officials from SBA and the 11 participating agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["Data challenges have limited the Small Business Administration's (SBA) and the 11 participating federal agencies' efforts to assess businesses against two benchmarks\u2014the Transition Rate Benchmark and the Commercialization Benchmark\u2014of the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs.", "Transition Rate Benchmark. Small businesses that received more than 20 awards for the first phase of the programs in the past 5 fiscal years\u2014excluding the most recent fiscal year\u2014must have received an average of 1 award for the second phase of the programs for every 4 first phase awards. Since 2014, SBA and the agencies participating in the programs have regularly assessed small businesses against this benchmark. From 2014 through 2017, SBA determined that 4 to 7 businesses did not meet the benchmark each year. SBA officials provided GAO guidance on how to enter data into the programs' awards database they said is available to agencies, but GAO found evidence that suggests agencies are not fully utilizing it. For example, GAO found that the database used to perform the assessments contained inaccurate and incomplete data, such as about 2,700 businesses with multiple records with different spellings of their names and more than 1,400 instances in which a unique identification number had errors, such as an incorrect number of digits, all zeros, or hyphens. Thus, it could be difficult to determine which small businesses should be subject to the benchmark.", "Commercialization Benchmark. Small businesses that received more than 15 awards for the second phase of the programs in the past 10 fiscal years\u2014excluding the most recent 2 fiscal years\u2014must have received a certain amount of sales, investments, or patents resulting from their efforts. SBA and participating agencies have assessed small businesses against this benchmark only once, in 2014, and identified 12 businesses that did not meet the benchmark. This is, in part, due to challenges in collecting and verifying the accuracy of the data that small businesses report and that are needed to implement the benchmark, according to officials from SBA and several agencies. For example, agency officials told GAO that some needed data, such as for reported sales, are not consistently applicable across agencies or projects. The Small Business Act and policy directives provide flexibility in how the agencies can implement the benchmark. Working together to implement it as designed or revise it so that it can be implemented could allow the agencies to fulfill statutory requirements.", "SBA and the participating agencies have provided inconsistent information to small businesses about the consequence of not meeting the benchmarks. SBA and the agencies agreed to change how the consequence of not meeting the benchmarks was to be implemented, starting in 2017, from ineligibility to receive certain awards to ineligibility to submit certain proposals. However, as of November 2017, some agencies had not updated this information in their project solicitations. Furthermore, SBA has not updated this information in its policy directives. Without consistent information, businesses may be confused about their eligibility to submit proposals or receive awards and could invest time developing and submitting proposals when they are not eligible to do so."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 11 recommendations to SBA and other agencies to take actions to improve implementation of the benchmarks, including improving the reliability of award data; implementing or revising the Commercialization Benchmark; and updating information about the consequence of not meeting the benchmarks. SBA and these agencies agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies support research or research and development (R&D) projects at small businesses through the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs. Federal agencies have awarded about 162,000 contracts and grants, totaling about $46 billion, since the programs\u2019 inceptions in 1982 and 1992, respectively. Through the SBIR and STTR programs, federal agencies have sought to help small businesses develop and commercialize innovative technologies. For example, an SBIR award from the Department of Health and Human Services helped a small business develop glasses that allow people with color vision deficiency to see the full color palette, and this business has made more than $20 million in annual sales, according to information on the SBIR website.", "Federal agencies with obligations of $100 million or more for extramural R&D are required to participate in the SBIR program, and federal agencies with obligations of $1 billion or more for extramural R&D are required to also participate in the STTR program. Currently, 11 agencies participate in the SBIR program, and 5 of these agencies also participate in the STTR program, as shown in table 1.", "The Small Business Act authorizes the SBIR and STTR programs, and the Small Business Administration\u2019s (SBA) Office of Investment and Innovation is responsible for overseeing and coordinating the participating agencies\u2019 efforts for the programs. As part of SBA\u2019s oversight and coordination role, the agency issued SBIR and STTR policy directives to explain and outline requirements for agencies\u2019 implementation of these programs.", "The SBIR and STTR programs each include three phases: In phase I, agencies make awards to small businesses to determine the scientific and technical merit and feasibility of ideas that appear to have commercial potential. Phase I awards normally do not exceed $150,000. For SBIR, phase I awards generally last up to 6 months. For STTR, these awards generally last 1 year.", "In phase II, small businesses with phase I projects that demonstrate scientific and technical merit and feasibility, in addition to commercial potential, may compete for awards of up to $1 million to continue the R&D for an additional period, normally not to exceed 2 years.", "In phase III, small businesses pursue commercialization of technology developed in prior phases. Phase III work derives from, extends, or completes an effort made under prior phases, but it is funded by sources other than the SBIR and STTR programs. In this phase, small businesses are expected to raise funds from private investors, the capital markets, or funding sources within the agency that made the initial award other than the agency\u2019s SBIR or STTR program. Agencies can also participate in phase III by, for example, purchasing the technology developed in prior phases.", "The 2011 reauthorization of the SBIR and STTR programs amended the Small Business Act to require participating agencies to establish, and SBA to approve, minimum standards for businesses\u2019 progress in developing and commercializing technologies. In response to this requirement, SBA and the participating agencies worked together to develop two \u201cbenchmarks\u201d to serve as those minimum standards across all the participating agencies:", "Transition Rate Benchmark: Businesses that received more than 20 phase I awards over the prior 5 fiscal years\u2014excluding the most recent fiscal year\u2014must have received an average of 1 phase II award for every 4 phase I awards during this period. That is, the ratio of phase II to phase I awards must be at least 0.25.", "Commercialization Benchmark: Businesses that received more than 15 phase II awards over the prior 10 fiscal years\u2014excluding the most recent 2 fiscal years\u2014must have received an average of at least $100,000 in sales, investments, or both per phase II award received, or have received a number of patents resulting from the work equal to or greater than 15 percent of the number of phase II awards received during this period.", "The reauthorization act states that, generally, small businesses that do not meet the minimum standards may not participate in phase I of the SBIR or STTR program. The policy directives state that small businesses that do not meet the Transition Rate or Commercialization Benchmarks are ineligible to receive phase I awards starting on June 1, when the consequence period takes effect, through May 31 of the following year.", "You asked us to review SBA\u2019s and the participating agencies\u2019 efforts related to the benchmarks. This report examines the extent to which SBA and the participating agencies have implemented the Transition Rate Benchmark and the Commercialization Benchmark, including assessing businesses against them and establishing the consequence of not meeting them.", "To accomplish this objective, we reviewed relevant legislation and the SBIR and STTR policy directives to determine the requirements of SBA and the participating agencies for implementing the benchmarks. We reviewed project solicitations and agencies\u2019 websites, and we interviewed officials from SBA and each of the 11 participating agencies to obtain information about the agencies\u2019 efforts to implement the benchmarks. We reviewed the applicable lists of small businesses that SBA assessed as not having met a benchmark from 2014 through 2017 and analyzed SBIR and STTR program award data. Further, we reviewed Standards for Internal Control in the Federal Government and SBA\u2019s data policy and guidelines. We also performed electronic testing of the data to search for missing or incorrect information, and interviewed officials from SBA about the data. We found instances in which the award data were unreliable, which we discuss later in this report.", "We conducted this performance audit from April 2017 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The SBIR program was initiated in 1982 and has four main purposes: (1) use small businesses to meet federal R&D needs, (2) stimulate technological innovation, (3) increase commercialization of innovations derived from federal R&D efforts, and (4) encourage participation in technological innovation by small businesses owned by women and disadvantaged individuals. The STTR program was initiated a decade later, in 1992, and has three main purposes: (1) stimulate technological innovation, (2) foster technology transfer through cooperative R&D between small businesses and research institutions, and (3) increase private-sector commercialization of innovations derived from federal R&D.", "The SBIR and STTR programs are similar in that participating agencies identify topics for R&D projects and support small businesses, but the STTR program requires the small business to partner with a nonprofit research institution, such as a college or university or a federally funded research and development center.", "Each participating agency must manage its SBIR and STTR programs in accordance with program laws and regulations and the policy directives issued by SBA. In general, the programs are similar across participating agencies. All of the participating agencies follow the same general process to obtain proposals from and make awards to small businesses for both the SBIR and STTR programs. However, each participating agency has considerable flexibility in designing and managing specific aspects of these programs, such as determining research topics, selecting award recipients, and administering funding agreements. At least once a year, each participating agency issues a solicitation requesting proposals for projects in topic areas determined by the agency. Each participating agency uses its own process to review proposals and determine which proposals should receive awards. The agencies that participate in both SBIR and STTR programs usually use the same process for both programs. Also, each participating agency determines whether to provide the funding for awards as grants or contracts.", "According to the policy directives, SBA maintains a system that records SBIR and STTR award information\u2014using data submitted by the agencies\u2014as well as commercialization information, such as information about patents, sales, and investments reported by small businesses that received these awards. SBA is to use these data to assess small businesses that received awards against the benchmarks and identify any small businesses that did not meet the benchmarks. SBA is to initially assess the small businesses against the benchmarks and then in April of each year notify those that do not meet the benchmarks so that the businesses can review their award data and work with participating agencies to correct the database if necessary. SBA then is to analyze the award data again to identify, on June 1, those small businesses that still do not meet the benchmarks. These small businesses are then ineligible for certain awards from that date through May 31 of the following year."], "subsections": [{"section_title": "Data Challenges Have Limited the Implementation of the Benchmarks, and SBA and Participating Agencies Have Provided Inconsistent Information about the Consequence SBA and Participating Agencies Assessed Small Businesses against the Transition Rate Benchmark, but the Assessments Have Been Based on Inaccurate or Incomplete Data", "paragraphs": ["Data challenges have limited SBA\u2019s and the 11 participating agencies\u2019 efforts to fully implement the benchmarks. Since 2014, SBA and the participating agencies have regularly assessed small businesses against the Transition Rate Benchmark, but the assessments have been based on inaccurate or incomplete data. SBA and the participating agencies have assessed small businesses against the Commercialization Benchmark only once, in 2014, because of challenges in collecting and verifying the accuracy of data. In addition, SBA and the participating agencies have provided inconsistent information to small businesses about the consequence of not meeting the benchmarks.", "Since 2014, SBA and the participating agencies have regularly assessed small businesses against the Transition Rate Benchmark, which, in general, measures the rate at which businesses move projects from phase I to phase II. From 2014 through 2017, SBA determined that 4 to 7 small businesses did not meet the benchmark each year and placed those businesses on a list of those ineligible to receive certain additional awards.", "However, we found instances in which the data used to generate the list were inaccurate or incomplete. For example, we identified an instance in which the data in the awards database changed considerably after SBA\u2019s initial assessment, indicating that the data used for that assessment were inaccurate. SBA\u2019s list of small businesses subject to the benchmark in 2015 showed that a small business received 297 phase I awards during the assessment period. However, data received from SBA officials in August 2017 showed that this small business received only 1 phase I award. Agencies can update their data in the awards database at any time to, for example, submit additional award data or correct previously submitted award data, which is what an SBA official stated may have caused this change. Because the small business received only 1 award, it would not have been subject to the Transition Rate Benchmark. In this case, the change meant that SBA did not miss identifying a small business that should have been ineligible for an award; however, in other instances, changes to the data may lead SBA to miss identifying a small business that should have been ineligible for awards.", "In addition, we identified instances in which the publicly available data on awards were incomplete, including data that were missing or otherwise unusable. For example, based on our review of the award data from 2007 through 2016, we identified more than 2,700 small businesses that had multiple records with different spellings of the same business\u2019s name. Furthermore, we identified more than 1,400 instances in which a unique identification number had errors, such as having an incorrect number of digits, all zeros, or hyphens. SBA officials told us that the quality of the award information in the database has been an issue, and that accurate information is important because small businesses may avoid being identified as subject to the benchmark if their business names and identification numbers are different across multiple records. For example, if the database contains 18 phase I awards made within the assessment period to a small business with a certain unique identification number but also contains 3 other phase I awards within that period with a different or missing unique identification number, the small business may avoid being identified as subject to the benchmark because the data would suggest it did not meet the threshold of receiving more than 20 phase I awards, even if it did. As a result, it could be difficult to determine which small businesses actually received more than 20 awards and should be subject to the benchmark.", "Standards for Internal Control in the Federal Government state that management should use quality information to achieve the entity\u2019s objectives, and SBA\u2019s Information Quality Guidelines state that SBA seeks to ensure the quality, utility, and integrity of the information it shares with the public, among other things. SBA\u2019s policy directives for the SBIR and STTR programs state that SBA maintains a system that records SBIR and STTR award information, which is publicly available, and uses this information to calculate small businesses\u2019 performance against the benchmark. SBA officials told us they depend on the accuracy of the data received from the participating agencies to perform SBA\u2019s assessment. These officials also acknowledged that confirming the accuracy of SBA\u2019s annual assessments against the benchmarks has been challenging because agencies can update their data over time. SBA officials stated that they have sought to improve the quality of the data after the data are entered into the database, such as fixing instances in which small businesses\u2019 names were spelled differently across multiple records; however, the officials said that correcting the data already entered in the awards database is an ongoing and time-consuming process. SBA officials told us that there are errors in the database, in part because SBA has not worked with participating agencies to ensure that agencies enter high-quality, accurate data into the database. SBA officials provided us guidance on how to enter data that they said is available to agencies, but the errors we found suggest that agencies are not fully utilizing this guidance. As a result, SBA cannot reasonably ensure the quality and reliability of its award data and therefore cannot reasonably ensure that it has correctly assessed small businesses against the Transition Rate Benchmark."], "subsections": []}, {"section_title": "SBA and the Participating Agencies Assessed Small Businesses against the Commercialization Benchmark Only in 2014", "paragraphs": ["The Small Business Act requires agencies to evaluate whether small businesses have met a minimum performance standard for commercializing their technology. SBA and participating agencies do not know the extent to which small businesses are meeting the Commercialization Benchmark because SBA and the agencies have assessed businesses against the benchmark only once, in 2014, when SBA determined that 12 businesses did not meet the benchmark. This is in part because, according to officials from SBA and several agencies, they cannot collect and verify the accuracy of the data needed to implement the benchmark as written.", "For SBA and participating agencies to assess whether small businesses meet the Commercialization Benchmark, these small businesses must provide data on sales, investments, or patents resulting from the awards. However, agency officials told us about challenges related to obtaining the data they need to implement this benchmark. For example, agency officials told us that the needed data are not consistently applicable across agencies or projects. Specifically, these officials said that an agency may purchase the technology developed as a result of the SBIR or STTR award, while another agency may focus on funding technologies that will be sold on the commercial market, leading to different kinds of data on \u201csales.\u201d Additionally, officials from SBA and several of the participating agencies told us they have been unable to collect and verify the accuracy of the information from small businesses to assess them against the Commercialization Benchmark. In addition, officials from 2 agencies told us that small businesses can easily circumvent the benchmark by submitting incorrect data.", "The Small Business Act and the policy directives provide agencies flexibility in how they can implement the Commercialization Benchmark. Officials from participating agencies said that they thought the Commercialization Benchmark should be revised, but they provided differing views on how to do it. Officials from SBA and 2 agencies told us that they would consider having individual agencies develop a benchmark or metric tailored to their agency, in part because the definition of successful commercialization could vary across the agencies. However, officials acknowledged that collecting and verifying the accuracy of the data would still be a concern with this approach. Officials from 2 participating agencies told us that collecting and verifying the accuracy of the data is a significant amount of work, and officials from a third agency added that implementing the benchmark independently is impractical because they do not have the capability to track small businesses\u2019 commercialization efforts. Officials from 1 agency said they preferred to keep a uniform benchmark across the agencies, in part because having varying benchmarks could lead to a small business being eligible to participate in the programs with one agency but not with another. Although views differed across agencies, working together to find a way to implement the benchmark as designed or revising it so that it can be implemented could allow the agencies to fulfill the requirement in the Small Business Act.", "Officials from 3 agencies told us they would prefer to consider businesses\u2019 prior commercialization experience as part of their overall evaluation of businesses\u2019 proposals, rather than implement the current Commercialization Benchmark. The SBIR and STTR policy directives currently allow agencies to define the benchmark in terms other than revenue or investment, such as using a commercialization scoring system that rates awardees on their past commercialization success. Defining the benchmark in these terms could help agencies to implement the statutory requirement. Officials from SBA said they see the value of allowing reviewers to use professional judgment in determining the commercialization success of applicants, rather than assessing small businesses against standard criteria. Officials from 1 agency said that such a change could help achieve the goal of the benchmark without the challenges of collecting data from all small businesses participating in the programs.", "Nine of the 11 participating agencies currently consider prior commercialization experience as part of their evaluation when making award selections (see table 2), which shows that evaluating commercialization experience at individual agencies can be feasible. For example, project solicitations from the Department of Agriculture, the Department of Defense, and the National Science Foundation state that these agencies require applicants to provide sales or revenue information for products resulting from SBIR or STTR awards, and the Department of Homeland Security\u2019s solicitation requires applicants to provide a history of previous federal and nonfederal funding and subsequent commercialization of their products. All agencies consider commercialization potential when selecting these awards."], "subsections": []}, {"section_title": "SBA and Participating Agencies Have Provided Inconsistent Information to Small Businesses on the Consequence of Not Meeting the Benchmarks", "paragraphs": ["The consequence for small businesses not meeting the benchmarks is ineligibility to participate in phase I of the SBIR or STTR program for a year, according to the Small Business Act. SBA officials stated that they and the agencies initially interpreted this to mean that small businesses could not receive awards during the ineligibility period of June 1 through May 31 of the following year, and this is how the consequence is described in the SBIR and STTR policy directives. SBA officials told us that they and the participating agencies sought to change how to implement the consequence of businesses not meeting the benchmarks because of SBA\u2019s and agencies\u2019 difficulties in implementing the benchmarks. Officials from 4 agencies said that they generally evaluate and select awards shortly before SBA releases the list of ineligible companies, leading them to potentially select projects from small businesses that will be on the ineligible list by the time the award period begins. Based on our review of award data from October 2014 to May 2017, we identified 13 phase I awards across 5 small businesses with award start dates during the period that the business was ineligible to receive such awards. According to agency officials, each of these awards was selected before the small business became ineligible to receive the award. SBA and the participating agencies agreed to change how the consequence would be implemented, starting in 2017, so that small businesses that do not meet the benchmarks are ineligible to submit proposals, according to SBA officials.", "As of November 2017, however, the information available about this new way to implement the consequence was inconsistent because some of the agencies had not updated their project solicitations. Specifically, information in the most recent project solicitations available at that time for 2 agencies and one subunit of an agency stated that businesses that do not meet the benchmarks are ineligible to submit certain proposals, consistent with the revised approach for how to implement the consequence. However, the most recent project solicitations available at that time for 7 other agencies and the other subunit of the agency mentioned above instead stated that those businesses that do not meet the benchmarks are ineligible to receive certain awards, consistent with the prior approach for how to implement the consequence. One other agency directed users to SBA\u2019s website in its solicitation. Table 3 shows the information about the consequence of not meeting the benchmarks that each agency included in its most recent project solicitations as of November 2017.", "As of November 2017, the SBIR and STTR policy directives stated that the consequence for not meeting these benchmarks is ineligibility to receive certain awards. SBA officials told us they are in the process of updating the policy directives to reflect this change in how the consequence is implemented, but these officials said that it is a long process and they could not provide a timeframe for when the update would be complete. As mentioned earlier in this report, SBA\u2019s Information Quality Guidelines state that SBA seeks to ensure the quality, utility, and integrity of the information it shares with the public, among other things. Until participating agencies update their project solicitations and SBA updates its policy directives to accurately reflect agreed-upon practices about the consequence for small businesses that do not meet the benchmarks, small businesses may be confused about their eligibility to submit proposals and could invest time developing and submitting proposals when they are not eligible to do so."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Under the SBIR and STTR programs, federal agencies have awarded billions of dollars to small businesses to help these businesses develop and commercialize innovative technologies. SBA and the participating agencies have assessed these small businesses against the Transition Rate Benchmark, but those assessments have been based on inaccurate or incomplete data. Without ensuring the reliability of its data, SBA cannot reasonably ensure that it has correctly assessed small businesses against the Transition Rate Benchmark.", "SBA and the participating agencies developed a Commercialization Benchmark across all the participating agencies but have not fully implemented it, in part because they have been unable to collect information from the small businesses and verify the accuracy of that information. Working together to implement the benchmark as written or revise it so that it can be implemented could allow the agencies to fulfill the requirement in the Small Business Act to evaluate whether small businesses have met a minimum performance standard for commercializing their technology.", "Lastly, SBA and the participating agencies have provided inconsistent information to small businesses about the consequence of not meeting the benchmarks. Officials from SBA and the participating agencies had agreed to change how the consequence would be implemented, starting in 2017, because of difficulties implementing the benchmarks. However, as of November 2017, seven agencies, and a subunit of one agency, had not updated their project solicitations and SBA had not updated its policy directives. Without consistent information on the benchmarks, small businesses may be confused about their eligibility to submit proposals and could invest time developing proposals that they are not eligible to submit."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 11 recommendations, including 3 to SBA and 1 each to the Department of Commerce\u2019s National Oceanic and Atmospheric Administration; the Departments of Defense, Education, Energy, Health and Human Services, and Homeland Security; the Environmental Protection Agency; and the National Science Foundation. Specifically: The Director of the Office of Investment and Innovation within SBA should work with participating agencies to improve the reliability of its SBIR and STTR award data (Recommendation 1).", "The Director of the Office of Investment and Innovation within SBA should work with participating agencies to implement the Commercialization Benchmark or, if that is not feasible, revise the benchmark so that it can be implemented (Recommendation 2).", "The Director of the Office of Investment and Innovation within SBA should update the SBIR and STTR policy directives to accurately reflect how the consequence of the benchmarks is to be implemented (Recommendation 3).", "The SBIR Program Manager of the Department of Commerce\u2019s National Oceanic and Atmospheric Administration should update the agency\u2019s SBIR project solicitation to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 4).", "The SBIR Program Administrator within the Department of Defense should update the agency\u2019s SBIR and STTR project solicitations to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 5).", "The SBIR Program Manager within the Department of Education should update the agency\u2019s SBIR project solicitation to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 6).", "The SBIR Program Manager within the Department of Energy should update the agency\u2019s combined SBIR and STTR project solicitation to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 7).", "The SBIR/STTR Program Coordinator within the Department of Health and Human Services should update the agency\u2019s SBIR and STTR project solicitations to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 8).", "The SBIR Program Director within the Department of Homeland Security should update the agency\u2019s SBIR project solicitation to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 9).", "The SBIR Program Manager within the Environmental Protection Agency should update the agency\u2019s SBIR project solicitation to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 10).", "The SBIR and STTR Program Manager within the National Science Foundation should update the agency\u2019s SBIR and STTR project solicitations to accurately reflect how the consequence of not meeting the benchmarks is to be implemented (Recommendation 11)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to SBA and the 11 participating agencies for review and comment. In written comments, the Department of Commerce\u2019s National Oceanic and Atmospheric Administration; the Departments of Defense, Education, Energy, Health and Human Services, and Homeland Security; the Environmental Protection Agency; and SBA agreed with the respective recommendations directed to their agencies. Agencies\u2019 written comments are reproduced in appendixes I through VIII. An official from one agency\u2014the National Science Foundation\u2014stated in an email that the agency concurred with the recommendation and did not have any further comments. Two agencies\u2014the Department of Homeland Security and SBA\u2014also provided technical comments, which we incorporated as appropriate. Three agencies\u2014the Departments of Agriculture and Transportation, and the National Aeronautics and Space Administration\u2014as well as the Department of Commerce\u2019s National Institute of Standards and Technology stated via email that they had no technical or written comments.", "In its comments, SBA stated that it disagreed with a statement in our draft report that SBA had not worked with agencies to enter high-quality and accurate data into the database and provided us documentation of an instruction guide on entering data that SBA officials said was available to agencies. Based on our review of this information, we clarified the text of the report and modified the draft report\u2019s recommendation by removing the suggested example that SBA provide guidance to the agencies to improve SBIR and STTR award data reliability. SBA agreed with the revised recommendation.", "After we provided a draft of the report to the agencies for comment, the Departments of Education and Homeland Security took action on their respective recommendations. Specifically, in December 2017, the agencies issued new project solicitations that reflected the updated consequence of not meeting the benchmarks. We agree that these agencies fully implemented the recommendations we made to them in this report.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Agriculture, Commerce, Defense, Education, Energy, Health and Human Services, Homeland Security, and Transportation; the Administrators of the Small Business Administration, the Environmental Protection Agency, and the National Aeronautics and Space Administration; the Director of the National Science Foundation; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Education", "paragraphs": ["Error! No text of specified style in document."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Homeland Security", "paragraphs": ["Appendix VII: Comments from the Department of Homeland Security Error! No text of specified style in document."], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": ["Appendix IX: GAO Contact and Staff Acknowledgments Error! No text of specified style in document."], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hilary Benedict (Assistant Director), John Barrett, Natalie Block, Antoinette Capaccio, Tanya Doriss, Justin Fisher, Ellen Fried, Juan Garay, Cindy Gilbert, Perry Lusk, William Shear, and Elaine Vaurio made key contributions to this report."], "subsections": []}]}], "fastfact": ["Under two federal programs, agencies have awarded $46 billion to small businesses to develop and commercialize innovative technologies. The Small Business Administration and participating agencies set two benchmarks to assess the recipient's progress and eligibility for future awards. For example, small businesses must meet a certain amount of sales, investments, or patents resulting from their efforts.", "However, we found data problems that prevented the agencies from accurately measuring businesses against these benchmarks.", "We made several recommendations to SBA and agencies, including the need to improve data reliability."]} {"id": "GAO-19-155", "url": "https://www.gao.gov/products/GAO-19-155", "title": "Unmanned Aerial Systems: Air Force Pilot Promotion Rates Have Increased but Oversight Process of Some Positions Could Be Enhanced", "published_date": "2019-02-07T00:00:00", "released_date": "2019-02-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["An increasing number of Air Force missions use unmanned aerial systems, or RPAs, to provide their specialized capabilities in support of combat operations. The demand for crew members for these systems has grown rapidly. For example, RPA pilot requirements increased by 76 percent since fiscal year 2013 while those for fighter pilots stayed about the same. These requirements include pilots who serve in non-operational staff positions, such as trainers.", "Senate Report 115-125 included a provision that GAO review career advancement for Air Force RPA pilots compared to other pilots. This report, among other things, describes (1) the rates that RPA and other pilots were promoted; (2) the rates that non-operational staff positions requiring RPA pilot expertise were assigned to various organizations, and (3) the extent to which the Air Force has reviewed its oversight process to effectively manage non-operational staff positions requiring aviator expertise.", "Among other things, GAO analyzed Air Force pilot promotion data from 2006-2017. GAO also analyzed non-operational staff position data from fiscal years 2013-2018 and interviewed officials regarding the management and oversight of these positions."]}, {"section_title": "What GAO Found", "paragraphs": ["The promotion rates for Air Force Remotely Piloted Aircraft (RPA) pilots have been generally similar to those of other pilots since 2013 and have increased over time. See figure below for promotion rates from major to lieutenant colonel. Air Force officials stated that RPA pilot promotion rates increased because the creation of a dedicated career field resulted in more competitive candidates.", "Since 2013, over 75 percent of non-operational staff positions requiring RPA pilot expertise were assigned to various organizations within the Air Force, according to GAO's analysis. These positions carry out support and other noncombat-related activities as well as training functions and are essential to the development of officers. However, the overall number of these positions that require a RPA pilot is about one-tenth of the combined number of those requiring other pilots. For example, in fiscal year 2018, 83 non-operational staff positions required RPA pilots compared to 330 requiring fighter pilots. Air Force officials stated that the small number of RPA positions is because the career field is new.", "The Air Force has not reviewed its oversight process to ensure that it is efficiently managing its non-operational staff positions that require aviator expertise. Air Force officials explained that over the last 10 years, the Air Force reduced the number of squadrons but had not reviewed the number of non-operational staff positions. Similarly, the Air Force has had no widely accessible oversight process to monitor whether it had established an accurate number of non-operational staff positions required to support the new RPA career field. In August 2018, the Air Force identified 513 non-operational staff positions (out of 2,783) as needing further review because they lacked adequate justification of the need for aviator expertise. Officials described the process for managing these positions as time and labor intensive, which can cause delays in obtaining reliable information needed to inform decision-making. By reviewing this process, the Air Force may be able to identify opportunities to create efficiencies and more effectively manage its non-operational staff positions requiring aviator expertise."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Air Force review its oversight process for managing the non-operational staff positions, including those for RPA pilots, to identify opportunities to increase efficiencies. DOD concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["An increasing number of Air Force missions call for the use of Remotely Piloted Aircraft (RPAs) to provide their specialized capabilities in support of combat operations. The Air Force uses RPAs to gather intelligence, conduct surveillance and reconnaissance, and launch attacks against a variety of targets. RPA aircrews consist of two people\u2014a pilot and a sensor operator. The pilot\u2014in most cases a rated officer, i.e., an officer possessing aviation expertise\u2014flies the aircraft. The Air Force relied solely on manned aircraft pilots assigned to fly RPAs until 2010 when it established an RPA pilot career field for officers trained to fly only RPAs. The sensor operator\u2014an enlisted servicemember\u2014controls the aircraft\u2019s sensors that record video and other intelligence information. The demand for these skilled pilots and sensor operators has grown rapidly. For example, from fiscal years 2013 to 2018, the Air Force experienced about a 76 percent increase in its requirements of RPA pilots (1,366 to 2,404) while its requirements for fighter pilots remained about the same (3,976 to 3,951).", "Our prior work has identified challenges that the Air Force has experienced with the growth of the RPA pilot career field. For example, in April 2014, we found shortages of RPA pilots and that the Air Force faced challenges recruiting, developing, and retaining pilots and building their morale. Additionally, we found that RPA pilot promotion rates were lower than those for other career fields. The Air Force generally concurred with our seven recommendations in that report to address these issues and subsequently has fully implemented all but one recommendation to analyze the career field effect of being an RPA pilot to determine whether and how being an RPA pilot is related to promotions. Further, in January 2017, we found, among other things, that the Air Force could improve its strategic human capital planning, and we made three recommendations to the Air Force and two to the Office of the Under Secretary of Defense for Personnel and Readiness to which they generally concurred. As of July 2018, the Air Force had taken some action, but has not fully implemented these recommendations. Appendix I contains more details related to the recommendations that we have made regarding unmanned aerial systems pilot issues along with DOD\u2019s and the Air Force\u2019s actions taken to address them.", "In a report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018, the Senate Armed Services Committee included a provision for us to provide, among other things, the promotion rates for Air Force RPA pilots since our 2014 report as well as for RPA sensor operators. This report describes (1) the rates at which RPA pilots were promoted and nominated to attend developmental education opportunities as compared to the rates for pilots in other career fields; (2) the rates at which enlisted RPA sensor operators were promoted as compared to the rates for other enlisted servicemembers; (3) the rates at which non- operational staff positions requiring RPA pilot expertise were assigned among Air Force organizations; and (4) reviews the extent to which the Air Force has evaluated its oversight process used to manage non- operational staff positions requiring aviator expertise.", "To determine the rates at which RPA pilots have been promoted, we obtained from the Air Force Personnel Center data on the number of promoted officers and the number of officers eligible from 2006 through 2017 for pilots from four career fields\u2014bombers, fighters, mobility, and RPA\u2014who qualified as \u201cIn-the-Promotion-Zone\u201d to the ranks of major (grade O-4), lieutenant colonel (grade O-5), and colonel (grade O-6). The promotion rates from 2006 through 2012 were initially reported in our 2014 report on Air Force RPA workforce issues and included in this report for comparison purposes with the promotion rates from 2013 through 2017 that we calculated. From these data from 2013 through 2017, we calculated promotion rates to each rank for pilots from four career fields\u2014bombers, fighters, mobility, and RPAs\u2014by dividing the number of promoted officers by the number of eligible officers. We then compared the annual RPA pilot promotion rates we calculated to (1) those that we calculated for the other types of pilots to determine the extent to which the rates were similar and (2) the promotion rates that we reported in our 2014 report covering 2006 through 2012 to determine the extent to which the rates from 2013 through 2017 had changed from these previously reported promotion rates. Further, we reviewed Air Force documents governing the officer promotion processes and interviewed Headquarters Air Force Operations and Air Force Personnel Center officials to obtain their perspectives on trends in RPA pilot promotion rates.", "To determine the rates at which RPA pilots have been nominated to attend developmental education\u2014e.g. professional military education\u2014 opportunities as compared to the rates for pilots in other career fields, we analyzed intermediate and senior level developmental education nomination data for all eligible officers for academic years 2014 through 2018. In order to analyze data consistent with the promotion analyses we performed, we requested developmental education nomination data from the same time period. However, officials told us that no academic year 2013 data was available but that academic year 2018 data were available. Therefore, we obtained the most recent 5-year developmental education nomination data available, which covered academic years 2014 through 2018. From these data, we calculated nomination rates by dividing the number of nominated officers by the number of eligible pilots from four career fields\u2014bombers, fighters, mobility, and RPAs\u2014that competed for nominations. We then compared the annual RPA pilot nomination rates we calculated to those of the other types of pilots to determine the extent to which the rates were similar. We also reviewed Air Force documents governing the developmental education nomination process and interviewed Headquarters Air Force Personnel and Air Force Personnel Center officials about such processes.", "To determine the rates at which enlisted sensor operators have been promoted as compared to the rates for other enlisted servicemembers, we obtained from the Air Force Personnel Center data on the number promoted and the number eligible for promotion to the ranks of Staff Sergeant (grade E-5) through Chief Master Sergeant (grade E-9) for RPA sensor operators and the entire population of enlisted personnel. In order to analyze data consistent with promotion analyses we performed, we obtained this enlisted promotion data from the same period of 2013 through 2017. From these data, we calculated promotion rates for each year by dividing the number of promoted enlisted servicemembers by the number of eligible enlisted servicemembers. For each year, we compared the annual enlisted RPA sensor operator promotion rates to those of the entire population of enlisted servicemembers that were eligible for promotions to determine the extent to which the rates were similar. We also reviewed Air Force documents governing the enlisted promotion processes and interviewed Headquarters Air Force Personnel and Air Force Personnel Center officials to obtain their perspectives on trends in enlisted sensor operator promotion rates.", "To determine the rates at which non-operational staff positions that require RPA pilot expertise are assigned among Air Force organizations, we obtained the number of non-operational staff positions required and assigned within Air Force organizations for rated officers (i.e., have aviator expertise) from four selected careers fields\u2014bombers, fighters, mobility and RPA pilots. These data were obtained from Headquarters Air Force Operations, Headquarters Air Force Personnel, and Air Force Personnel Center. In order to analyze data consistent with the promotion analyses we performed, we obtained this non-operational staff position assignment data from the same fiscal years 2013 through 2017. Because fiscal year 2018 data became available during the time of our review, we also included it in our analysis. Therefore, we obtained the most recent 6- year non-operational staff position assignment data available, which covered fiscal years 2013 through 2018. From these data, we calculated annual non-operational staff position assignment rates by dividing the number of positions assigned by the number of positions required by Air Force organizations for the four types of pilots. We then compared the annual RPA non-operational staff position assignment rates to those calculated for the other types of pilots to determine the extent to which the rates were similar.", "Additionally, to determine the extent to which the Air Force has reviewed its oversight process to effectively manage its non-operational staff positions that require aviator expertise, we reviewed Air Force instructions related to the requirements and responsibilities for managing the process for reviewing and justifying the need for aviator expertise in non- operational staff positions. We evaluated Air Force practices for obtaining and using information for various Air Force organizations regarding their justification for aviator expertise in their non-operational staff positions against requirements from both the applicable Air Force instructions and the Standards for Internal Control in the Federal Government. This included the importance of designing control activities to achieve objectives and respond to risks and using quality information by identifying information requirements, obtaining relevant data from reliable sources in a timely manner, and processing the obtained data into quality information. Further, we also interviewed operations officials from both Headquarters Air Force and the Air Force Air Combat Command to obtain their perspectives of the process used to review and justify the need for aviator expertise in staff positions. Further, we also interviewed Headquarters Air Force officials regarding the status of their efforts to respond to a House of Representatives requirement for the Secretary of Air Force to report the results of a review of every staff position requiring aviator expertise within the Air Force.", "To assess the reliability of the data used for each of the objectives, we reviewed technical documentation for each data source to understand the methods used to collect, store, and maintain these data; assessed the data for errors, omissions, and inconsistencies; and interviewed officials from Headquarters Air Force operations directorate, Headquarters Air Force personnel directorate, and the Air Force Personnel Center who were familiar with the systems from which the data were extracted. We also considered the use of the data in prior related GAO reports. We determined that the data were sufficiently reliable for our purposes of reporting historical promotion, developmental education selection, and rated staff position allotment trends, respectively.", "We conducted this performance audit from January 2018 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Air Force RPA Aircrews", "paragraphs": ["RPA aircrews consist of a pilot and a sensor operator. The Air Force in most cases assigns officers to fly its RPAs. The Air Force relied solely on manned aircraft pilots to fly remotely piloted aircraft until 2010 when it established a RPA pilot career field (designated as Air Force Specialty Code 18X) for officers trained to fly only RPAs. As of December 2013, approximately 42 percent of the RPA pilots were temporarily assigned, manned aircraft pilots and manned aircraft pilot training graduates. Both of those groups of RPA pilots are temporarily assigned to fly RPAs with the assumption that after their tour they will return to flying their manned aircraft. By comparison, as of September 2018, manned aircraft pilots and manned aircraft pilot training graduates comprised only 17 percent of the RPA pilots. Further, the number of permanent RPA pilots has increased from 58 percent of all RPA pilots in December 2013, to 83 percent as of September 2018, as shown in figure 1.", "Additionally, Air Force enlisted personnel operate the RPAs\u2019 sensors, which provide intelligence, surveillance, and reconnaissance capabilities. As a crewmember, the RPA sensor operators provide assistance to the RPA pilot with all aspects of aircraft use, such as tracking and monitoring airborne, maritime and ground objects and continuously monitoring the aircraft and weapons systems status."], "subsections": []}, {"section_title": "Officer Promotion Process", "paragraphs": ["The Defense Officer Personnel Management Act, as amended, created a standardized system for managing the promotions for the officer corps of each of the military services. Pursuant to the established promotion system, the secretaries of the military departments must establish the maximum number of officers in each competitive category that may be recommended for promotion by competitive promotion boards. Within the Air Force, there are groups of officers with similar education, training, or experience, and these officers compete among themselves for promotion opportunities. There are several competitive categories including one that contains the bulk of Air Force officers called the Line of the Air Force, which includes RPA pilots, as well as pilots of manned aircraft and other operations-oriented careers.", "To determine the best-qualified officers for promotion to positions of increased responsibility and authority, the Air Force appoints senior officers to serve as members of a promotion selection board for each competitive category of officer in the Air Force. Promotion selection boards consist of at least five active-duty officers who are senior in grade to the eligible officers and who reflect the eligible population with respect to minorities and women, as well as career field, aviation skills, and command in an attempt to provide a balanced perspective. Promotion boards convene at the Air Force Personnel Center headquarters to perform a subjective assessment of each officer\u2019s relative potential to serve in the next higher grade by reviewing the officer\u2019s entire selection folder. This \u201cwhole-person concept\u201d involves the assessment of such factors as job performance, professional qualities, leadership, job responsibility, depth and breadth of experience, specific achievements, and academic and professional military education."], "subsections": []}, {"section_title": "Developmental Education Program Selection Process", "paragraphs": ["The Air Force developmental education programs expand expertise and knowledge as well as a path that helps to ensure that personnel receive the appropriate level of education throughout their careers. Officers have three opportunities to compete for intermediate developmental education programs, which focus on warfighting within the context of operations and leader development, such as at the Air Command and Staff College. Officers have four opportunities to compete for senior developmental education programs, such as at the Air War College, which are designed to educate senior officers to lead at the strategic level in support of national security, and in joint interagency, intergovernmental and multinational environments.", "A subset of developmental education is Professional Military Education, which includes resident and non-resident attendance options open to officers in both the intermediate and senior developmental education programs. Nonresident programs exist to provide individuals who have not completed resident programs an opportunity to complete them via correspondence, seminar, or other approved methods. Prior to 2017, officers who were identified by their promotion board as a developmental education candidate or \u201cselectee\u201d were assured of the opportunity to attend some form of developmental education in-resident program. However, in March 2017, the Air Force announced changes to its nomination process for officer developmental education by separating in- residence school selection status from promotion decisions. Since that time, commanders nominate candidates for in-residence, developmental education programs based on individual performance."], "subsections": []}, {"section_title": "Various Career Assignments for Officers with Aviation Expertise", "paragraphs": ["Officers with aviation expertise, including RPA pilots, at various points in their careers, may rotate through both flying and nonflying positions to broaden their career experiences. Operational positions, whether flying or nonflying, include those positions that exist primarily for conducting a military action or carrying out a strategic, tactical, service, training or administrative military mission. Operational positions include a range of flying positions, such as for RPA pilots, operating aircraft to gather intelligence or conduct surveillance, reconnaissance or air strikes against a variety of targets. Operational positions that are non-flying positions could include assignments as a close-air-support duty officer in an Air Operations Center.", "Non-operational staff positions are generally non-flying positions and include assignments to headquarters or combatant command positions. Certain non-operational staff positions can be filled only by qualified pilots. Other non-operational positions are more general in nature and are divided among officer communities to help carry out support activities, training functions, and other noncombat related activities in a military service. These positions could include positions such as a recruiter, working as an accident investigator, advisor to foreign militaries, or a policy position at an Air Force major command. The Air Force views nonoperational staff positions as a means to develop leaders with the breadth and depth of experience required at the most senior levels inside and outside the Air Force."], "subsections": []}, {"section_title": "Roles and Responsibilities Related to Aircrew Management", "paragraphs": ["Various offices within the Air Force have roles and responsibilities for the management of aircrew positions and personnel.", "The Deputy Chief of Staff for Operations is to establish and oversee policy to organize, train and equip forces for the Department of the Air Force. This specifically includes the responsibility for all matters pertaining to aircrew management.", "The Directorate of Operations is responsible for developing and overseeing the implementation of policy and guidance governing aircrew training, readiness, and aircrew requirements. The directorate is the approval authority for aircrew distribution plans, rated allocation oversight and any other areas that have significant aircrew management implications.", "The Operational Training Division produces the official Air Force aircrew personnel requirements projections, and in conjunction with the Military Force Policy Division, develops and publishes the Rated Management Directive, formerly known as the Rated Staff Allocation Plan, as approved by the Chief of Staff of the Air Force as designed to meet near-term operational as well as long-term leadership development requirements.", "The Office of the Deputy Chief of Staff for Manpower, Personnel, and Services has responsibilities that include developing personnel policies, guidance, programs, and other initiatives to meet the Air Force\u2019s strategic objectives to include accessions, assignments, retention, and career development.", "The Directorate of Force Management Policy, the Force Management Division analyzes officer, enlisted and civilian personnel issues. The division also maintains a variety of computer models and databases to analyze promotion, retention, accession, compensation and separation policy alternatives.", "Additionally, it is responsible for providing official aircrew personnel projections for use in various management analyses.", "The Air Force Personnel Center, one of three field-operating agencies reporting to the Deputy Chief of Staff of the Air Force, Manpower, Personnel and Services, conducts military and civilian personnel operations such as overseeing performance evaluations, promotions, retirements, separations, awards, decorations and education. The Center also directs the overall management and distribution of both military and civilian personnel."], "subsections": []}]}, {"section_title": "Since 2013 RPA Pilots Have Been Promoted and Nominated for Education Opportunities at Rates Generally Similar to Pilots in Other Fields", "paragraphs": [], "subsections": [{"section_title": "RPA Pilots Have Been Promoted at Rates Generally Similar to Those of Pilots in Other Career Fields", "paragraphs": ["Based on our analysis of Air Force promotion data, the percentage of RPA pilots promoted were generally similar in comparison to the promotion rates of pilots in other career fields since 2013. However, it is important to note that since the population of eligible RPA pilots to be considered for promotion was smaller than other pilot populations, the promotion of one or two RPA pilots could have a large effect on their promotion rate. For example, the RPA pilot promotion rates were within 10 percentage points of the promotion rates for the other types of pilots in each year of those years in 8 out of 10 promotion boards to major and to lieutenant colonel held during that time frame.", "RPA pilot promotion rates from captain to major were generally similar as the promotion rates for other pilots from 2014 through 2017, as shown in figure 2. For example, in 2014, 94 percent of eligible RPA pilots (29 of 31), bomber pilots (47 of 50), fighter pilots (189 of 201) and 91 percent of eligible mobility pilots (355 of 388) were promoted from captain to major. This is an improvement in promotion rates for RPA pilots compared to 2006 through 2012, where RPA pilot promotion rates fell below those for all other pilots in 5 of the 7 promotion boards held.", "Additionally, the promotion rates for RPA pilots from major to lieutenant colonel relative to other types of pilots in 2013 through 2017 showed a similar improvement compared to 2006 through 2012, as shown in figure 3. For example, in 2017, 75 percent of eligible RPA pilots (15 of 20) were promoted, which is generally similar to the promotion rates for the other pilots\u201478 percent for bomber pilots (18 of 23), 83 percent for fighter pilots (75 of 90), and 72 percent for mobility pilots (143 of 199). However, in 7 of the 8 promotion boards held from 2006 through 2012, RPA pilot promotion rates from major to lieutenant colonel fell below the promotion rates for all other pilots.", "The one exception to the promotion rates being generally similar was the rate at which RPA pilots were promoted from lieutenant colonel to colonel. In this case, the rates for RPA pilots diverged notably from the promotion rates of bomber, fighter, and mobility pilots from 2013 to 2017. For example, in 2016, 1 out of the 5 (20 percent) eligible RPA pilots was promoted to colonel. In contrast, 13 of 21 (62 percent), bomber pilots, 32 of 51 (63 percent) fighter pilots, and 34 of 65 (52 percent) mobility pilots were promoted from lieutenant colonel to colonel. However, the promotion rates of RPA pilots from lieutenant colonel to colonel that we calculated should be considered cautiously as fewer than 10 RPA pilots were eligible for promotion boards each year through this time period. The promotion of one or two officers could have a large effect on the promotion rate due to the small number of eligible RPA pilots.", "In April 2014, we reported that Air Force officials attributed the low RPA pilot promotion rates from 2006 through 2012 generally to the process that it used to staff RPA pilot positions at that time. Specifically, they stated that commanders generally transferred less competitive pilots from other pilot career fields to RPA squadrons to address the increased demand. Air Force officials also stated that these officers generally had in their records fewer of the factors that the Air Force Personnel Center identified that positively influence promotions than their peers. They said that because the bulk of RPA pilots who competed for promotion during the time of our previous review was transferred using this process, these were the reasons that RPA pilots had been promoted at lower rates than their peers.", "Air Force officials stated that they believed the trend of increased promotion rates for RPA pilots from 2013 through 2017 mostly reflected the change in the population of eligible pilots who were recruited and specialized as an RPA pilot (i.e., the 18X career field). According to Air Force officials, the creation and establishment of this career field resulted in an increase in the number of skilled and more competitive promotion candidates. Specifically, as of September 2018, the number of permanent RPA pilots outnumbered all other types of pilots serving as RPA pilots combined."], "subsections": []}, {"section_title": "RPA Pilots Have Been Nominated to Developmental Education Programs at Rates Similar to Pilots in Other Career Fields", "paragraphs": ["RPA pilots were nominated to attend developmental education programs, such as professional military education, at rates similar to the rates for other pilots from academic years 2014 through 2018, according to our analysis of Air Force data. An officer\u2019s attendance at developmental education programs can be a factor that is taken into consideration when being assessed for promotion. Our analysis showed that, for the academic years 2014 through 2018, nomination rates for RPA pilots to Intermediate and Senior Developmental Education programs combined ranged from a low of 25 percent for academic year 2016 to a high of 31 percent for academic year 2015. In comparison, nomination rates across the same time period for pilots in other career fields ranged from a low of 21 percent for mobility pilots for academic year 2016 to a high of 35 percent for fighter pilots for academic year 2014. Table 1 provides the various nomination rates for each of the different types of pilots that we analyzed."], "subsections": []}]}, {"section_title": "RPA Sensor Operators Have Been Promoted at Rates Similar to Other Enlisted Servicemembers", "paragraphs": ["The Air Force promoted enlisted RPA sensor operators at a rate similar to the rates of all enlisted servicemembers, according to our analysis of Air Force promotion data. Specifically, the Air Force promoted an average of 100 RPA sensor operators (or an average of 26 percent) annually for the period from 2013 through 2017. Similarly, the Air Force annually promoted an average of approximately 27,000 enlisted personnel (or an average of 25 percent) for the same period. Our analysis showed that in 2013 through 2017, promotion rates for RPA sensor operators ranged from a low of 18 percent in 2014 to a high of almost 35 percent in 2017. The promotion rates across the same time period for all other enlisted servicemembers ranged from a low of approximately 19 percent in 2014 to a high of 32 percent in 2017. Table 2 provides the various promotion rates that we analyzed.", "Air Force enlisted servicemembers in the lowest four levels (grades E1- E4) are selected for promotion based on time in grade and time in service. Selection for promotion to the next two levels, known as the non- commissioned officer levels (grades E5 and E6), is based on the Weighted Airman Promotion System to fill the requirement. This system provides weighted points for an individual\u2019s performance record and service decorations received, and the results of tests to assess an individual\u2019s promotion fitness and job skills and knowledge. Selection for promotion to the senior non-commissioned officer level (grades E7-E9) is based on the same Weighted Airman Promotion System plus the results from a central board evaluation. Servicemembers eligible for promotions to the non-commissioned ranks are assessed and then listed from the highest to lowest scores and offered promotion if they fall above a specific cutoff score established to meet quotas within each career field and for each rank.", "While enlisted servicemembers must pass knowledge and skills tests to qualify for promotions, officials explained that the resulting promotion rates essentially reflect requirements and are not indicative of competitiveness across career fields as with officer promotion rates. Officials stated that enlisted servicemember promotions are based on the service\u2019s numeric personnel requirements for each enlisted grade. To consider an enlisted servicemember for promotion from among those who are eligible, a vacancy must first be required at the next higher grade within that servicemember\u2019s occupational area, known as their Air Force Specialty Code that needs to be filled. For example, in 2017, the Air Force required promotions for 128 RPA sensor operators, and officials promoted that many enlisted servicemembers from the cohort of 370 eligible servicemembers."], "subsections": []}, {"section_title": "Air Force Assigned Non-operational Staff Positions Requiring RPA Pilots at High Rates Since 2013", "paragraphs": ["For each year since 2013, the Air Force has assigned over 75 percent of the non-operational staff positions that require an RPA pilot to the organizations that had requested those positions, according to our analysis of service headquarters data. However, the overall number of non-operational staff positions that require an RPA pilot is about one- tenth of the number of those requiring pilots in other career fields. For example, in fiscal year 2018 the Air Force had 83 non-operational staff positions that required an RPA pilot compared to 330 positions requiring fighter pilots. Air Force officials stated that the number of RPA positions was smaller than for other pilots because the career field is relatively new and still growing.", "Non-operational staff positions are generally non-flying positions and include assignments to headquarters or combatant command positions. Certain non-operational staff positions can be filled only by qualified pilots. Other non-operational positions are more general in nature and are divided among officer communities in a military service. Officers with aviation expertise, including RPA pilots, at various points in their careers may rotate through both flying and nonflying positions to broaden their career experiences and Air Force officials stated that staff assignments are essential to the development of officers who will assume greater leadership responsibilities.", "Headquarters Air Force prepares allocation or \u201cassignment\u201d plans to provide positions requiring aviator expertise to various Air Force commands and other entities. Under this process, these organizations identify the number of non-operational staff positions requiring aviator expertise (e.g., pilots) they require as well as indicate the type of aviator expertise that is needed to fill those positions, (e.g., fighter, bomber, RPA). Headquarters Air Force then determines the extent to which the staff position requirements can be met in accordance with senior leadership priorities designed to equitably manage the shortage of officers with aviation expertise. The results of this process are outlined in the Air Force\u2019s annual Rated Management Directive which reinforces each organization\u2019s flexibility for using their entitlements in non- operational staff and other positions.", "In some instances, the Air Force is able to assign enough positions to an organization to meet nearly all of its non-operational staff position requirements. For the purposes of our analyses, the assignment rate is determined by the number of positions assigned compared to the number of positions the organization required. For example, in fiscal year 2018 the Air Force assigned 99 percent of the non-operational staff positions that require an RPA pilot to the requesting entities. In other instances, the Air Force assignment rate of non-operational staff positions may be much lower because of competing management priorities or shortages of personnel in a career field. As a result, the Air Force\u2019s assignment of staff positions can vary across the different career fields. For example, the Air Force fighter pilot career field has had fewer fighter pilots than its authorization number since 2013. Therefore, the Air Force assignment rate for staff positions requiring fighter pilots is significantly lower than the rate for staff positions requiring other types of pilots. For example, in fiscal year 2017, the Air Force assignment rate for staff positions requiring a fighter pilot was 18 percent, which was less than a quarter of the rate for staff positions requiring an RPA pilot, as shown in table 3."], "subsections": []}, {"section_title": "The Air Force Has Not Reviewed Its Oversight Process to Manage Its Non- operational Staff Positions That Require Aviator Expertise", "paragraphs": ["The Air Force has not reviewed its oversight process to ensure that it is effectively and efficiently managing its review of non-operational staff positions that require aviator expertise, such as RPA pilots. Air Force officials explained that its oversight process for managing these positions requiring pilot expertise consists of a time-consuming, labor-intensive process of exchanging emails and spreadsheets with 57 organizations, such as various Air Force Major commands like the Air Combat Command, the Air Force Special Operations Command, and the National Guard Bureau. According to these officials, this process consists of the maintenance and exchange of spreadsheets and briefing slides with information about every position found throughout the Air Force and in various other entities that are required to be reviewed and validated annually. Additionally, this process is maintained by one official within the Headquarters Air Force who must exchange the spreadsheets via email approximately twice a year with officials from each of the organizations that are responsible for annually justifying their continued need for non- operational staff positions requiring aviator expertise. Air Force officials stated that this process does not always produce complete and accurate information in a timely manner as in some instances the information produced is not relevant by the time a complete review of the positions is accomplished.", "Headquarters Air Force officials familiar with its oversight responsibilities stated that using a different system would more efficiently and effectively support their ability to manipulate, analyze and share information among the applicable organizations and make informed decisions. For example, these officials explained that over the last 10 years, the Air Force drew down the number of squadrons, but did not do a good job of cross checking that reduced number of squadrons with a revised number of staff positions required for support. Therefore, the number of non- operational staff positions was not adjusted and are now artificially high in some career fields and others may have fewer non-operational staff positions than needed. These officials added that as the new RPA pilot career field has developed, there has been no timely and widely accessible system of checks and balances to establish an accurate number of non-operational staff positions required to support the career field. Further, they said that using a different system that allows them to have more timely and quality information would enhance their ability to manage and make decisions regarding the appropriate mix of expensive pilots and others with aviator expertise between operational line positions and non-operational staff position needs. They said this would better ensure that there is a reasonable range of non-operational staff positions required for each career field, such as for the growing RPA pilot career field.", "An October 2017 memorandum from the Air Force Chief of Staff stated that the number of non-operational staff positions which require aviation expertise must be brought into balance with the Air Force\u2019s ability to produce the appropriate number of officers with aviator expertise. The memorandum also stated that organizations were strongly encouraged to change their current requirements to meet the available current force levels including converting chronically unfilled non-operational staff positions requiring aviator expertise to positions specifically designated for RPA pilots. As a result of two separate reviews, Air Force officials identified hundreds of these positions that lacked adequate justification or qualifications to support the positions\u2019 requirement to be filled by officers with aviator expertise. For example, in August 2018, out of 2,783 non- operational staff positions, the Air Force found that 513 of these positions were evaluated as lacking adequate justification or mission qualifications to support the need for aviator expertise and 61 positions were eliminated after further review.", "Prior to 2010, according to officials, the Headquarters Air Force maintained a web-based management oversight system to review and approve the justifications for its non-operational staff positions requiring aviator expertise that allowed for wide access to and manipulation and timely analyses of information. Additionally, this former system provided multilevel coordination among Headquarters Air Force and its major commands for reviewing the justifications of all of the positions. According to Headquarters Air Force officials, the use of this management oversight system was discontinued in 2010 due to a decision to no longer fund the contractor maintaining the system. In October 2018, officials from one of the Air Force\u2019s Major Commands confirmed that the current oversight system in use is time-consuming, does not readily support information analysis and that plans to integrate it with another existing management system had not happened.", "The Headquarters Air Force official in charge of managing this process told us that he had submitted multiple requests over the last 3 years to integrate the information being managed with spreadsheets and emails into an existing personnel management system to improve the efficiency of the process. However, according to this official, higher priorities and funding issues have precluded the information from being integrated into another existing system. In September, 2018, another Air Force official told us that the Program Management Office that manages a system into which the information could be integrated was behind schedule in implementing several other system updates. Because of these delays, the official acknowledged that no review has yet been done of what is needed to provide the most efficient management oversight process of the information currently being managed via the spreadsheet process. The official said that before any actions could take place, a review of requirements and priorities would be needed in order to make a determination as to what changes could be made. Therefore, he said that there are no decisions or timelines available for reviewing a process that would provide the validation information for non-operational staff positions in a timelier and widely accessible manner.", "Air Force instructions state that major commands are required to perform annual aircrew requirements reviews including review and revalidation of all aircrew positions, except for rank of colonel or higher, to ensure aviator expertise is required, and report the results to the Headquarters Air Force Operations Training Division. Further, the Headquarters Air Force Operations Training Division has the responsibility to ensure a management process is in place to provide efficient and effective oversight of the major commands\u2019 annual review and revalidation of the aircrew position requirements process. Additionally, Standards for Internal Control in the Federal Government states that management should identify needed information, obtain the relevant information from reliable sources in a timely manner, and process the information into quality data to make informed decisions and evaluate its performance in achieving key objectives and addressing risks.", "By reviewing its oversight process, the Air Force may be able to identify a more efficient manner to manage its non-operational staff positions that require aviator expertise. A management oversight process that provides timely and widely accessible position justification information may help ensure that the proper type of aviator expertise needed in these positions is up to date. In turn, this could result in a more efficient use of the Air Force\u2019s short supply of expensive pilot resources, particularly fighter pilots, and could potentially improve its ability to assign and develop effective leaders, such as those within the growing RPA career field."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The Air Force continues to expand the use of RPAs in its varied missions of intelligence gathering, surveillance and reconnaissance, and combat operations. While the overall number of eligible RPA pilots is much smaller compared to other pilots, over the last 5 years RPA pilots have achieved promotions and nominations to attend developmental education programs at rates that were generally similar in comparison to pilots in other career fields. Additionally, non-operational staff positions requiring RPA pilots have been assigned to entities at high rates since 2013, but the number of positions available to them is smaller than the number that require fighter, bomber, and mobility pilots because the career field is still growing.", "Air Force officials have noted problems with the current oversight process which may be hindering its ability to efficiently and effectively manage these non-operational staff positions as required by Air Force policy. For example, the Air Force has recently identified that a large number of these positions designated as requiring officers with aviator expertise lacked adequate justification for that requirement. By reviewing the efficiency and effectiveness of its management oversight process that provides information in a timelier and more widely accessible manner, the Air Force could better ensure that it makes informed decisions regarding the need for pilots in certain non-operational staff positions and is in compliance with policy. It also could help ensure that the Air Force more efficiently uses its short supply of expensive pilot resources. Ultimately, this may positively affect its ability to assign and develop effective leaders, such as those within the growing RPA career field."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of the Air Force should review its management oversight process that provides information and documents the justifications of the Air Force\u2019s non-operational staff positions requiring aviator expertise, including RPA positions, to identify opportunities for increased efficiency and effectiveness and take any necessary actions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["In written comments reproduced in appendix II, DOD concurred with comments to the recommendation, and provided separate technical comments, which we incorporated as appropriate.", "DOD concurred with the recommendation to review the management oversight process that provides information and documents the justifications of the Air Force\u2019s non-operational staff positions requiring aviator expertise, including RPA positions, to identify opportunities for increased efficiency and effectiveness and to take any necessary actions. In its comments, DOD stated that it agrees the current oversight process is time-consuming and could be more efficient. However, it believes this process is effective because the Air Force was able to validate the need for having pilots fill a majority of its non-operational staff positions during a recent congressionally-mandated review of these positions. As we reported, this review of all staff positions requiring aviator expertise across the Air Force and other defense entities discovered more than 500 of approximately 2,800 positions that were initially found to be lacking adequate justifications, and 61 positions eventually were eliminated. We believe the Air Force\u2019s results from this one-time review is an example of how the current process is not consistently yielding up-to-date validations of positions. Further, DOD also stated that while a move to automating the process again has been considered, current funding shortfalls prevent the Air Force from establishing an automated system to increase the process\u2019s efficiency. We continue to believe that the Air Force should review its current process in order to identify any viable means to increase its efficiency and effectiveness. Such a review may provide the Air Force with opportunities to more consistently provide the proper type of aviator expertise needed to fill its staff positions as well as potentially provide more leadership opportunities to those within growing career fields, such as RPA pilots.", "We provided a draft of this report to DOD for review and comment.", "We are sending copies of this report to the appropriate congressional committees, the Acting Secretary of Defense, and the Secretary of the Air Force. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions regarding this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Steps Taken by the Department of Defense and the Air Force to Address Prior GAO Report Recommendations", "paragraphs": ["Since 2014, we have issued three reports assessing the Air Force\u2019s remotely piloted aircraft (RPA) workforce management.", "In April 2014, we found that the Air Force had shortages of pilots of remotely piloted aircraft (RPA) and faced challenges to recruit, develop, and retain pilots and build their morale. We also found that Air Force RPA pilots experienced potentially challenging working conditions and were promoted at lower rates than other career fields. We made seven recommendations, and the Air Force generally concurred with our recommendations. It has fully implemented all but one recommendation to analyze the career field effect of being an RPA pilot to determine whether and how being an RPA pilot is related to promotions.", "In May 2015, we found that the Air Force faced challenges ensuring that their RPA pilots completed their required training and that the Office of the Deputy Assistant Secretary of Defense for Readiness had not issued a training strategy that addresses if and how the services should coordinate with one another to share information on training pilots who operate unmanned aerial systems. We made one recommendation related to these findings with which DOD concurred. However, in September 2018, an official from the Office of Secretary of Defense for Readiness stated that there are compelling reasons why a training strategy is no longer necessary and that no action is planned to implement the recommendation.", "In January 2017, we found, among other things, that the Air Force had not fully tailored a strategy to address the UAS pilot shortage and evaluated their workforce mix of military, federal civilian, and private- sector contractor personnel to determine the extent to which these personnel sources could be used to fly UAS. We made five recommendations related to these findings with which the Air Force and DOD generally concurred. As of July 2018, the Air Force has taken some action to address the first three recommendations and officials from the Office of the Under Secretary of Defense for", "Personnel and Readiness have fully implemented the other two recommendations.", "In table 4, we present the recommendations that we made to the Air Force and the Under Secretary of Defense for Personnel and Readiness and summarize the actions taken to address those recommendations as of September 2018."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Lori Atkinson (Assistant Director), Rebecca Beale, Amie Lesser, Felicia Lopez, Grant Mallie, Ricardo Marquez, Richard Powelson, Amber Sinclair, and John Van Schaik made key contributions to this report."], "subsections": []}]}], "fastfact": ["Many Air Force unmanned aerial systems (UAS) are larger and more complex than commercial drones, requiring special training and investment in their pilots.", "Since 2013, promotion rates for UAS pilots have increased to match those of other pilots. However, there are relatively fewer non-flying positions\u2014which are essential for career development\u2014requiring UAS pilots' expertise.", "We recommended improving how the Air Force manages and justifies its non-flying pilot positions to help it better use its resources and develop leaders among UAS pilots.", "This text was updated due to an incorrect date."]} {"id": "GAO-18-536", "url": "https://www.gao.gov/products/GAO-18-536", "title": "Highway and Transit Projects: Better Data Needed to Assess Changes in the Duration of Environmental Reviews", "published_date": "2018-07-19T00:00:00", "released_date": "2018-07-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2005, the federal government has enacted various statutes aimed at accelerating the environmental review process for highway and transit projects. In addition, the Clean Water Act and the Endangered Species Act may require three federal agencies\u2014the Corps, FWS, and NMFS\u2014to issue permits or perform consultations before a project can proceed.", "GAO is required by statute to assess the extent to which statutory provisions have accelerated and improved environmental permitting and consulting processes for highway and transit projects. This report examines, among other things: 1) the impact of streamlining provisions on consulting and permitting time frames, and (2) additional actions used by federal resource agencies to streamline their reviews. GAO analyzed permitting and consulting data from the 3 federal agencies and interviewed officials from the 3 agencies, 16 agency field offices, and 7 state DOTs for their perspectives on the effect of streamlining provisions and other efforts. GAO selected these offices to include a range of locations and those with a greater number of permits and consultations, among other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["Federally funded highway and transit projects must be analyzed for their potential environmental effects, as required by the National Environmental Policy Act, and may be subject to other environmental protection laws, including the Clean Water Act and the Endangered Species Act. These laws may require the U.S. Army Corps of Engineers (Corps) to issue permit decisions and the U.S. Fish and Wildlife Service (FWS) and the National Marine Fisheries Service (NMFS) to conduct consultations before a project can proceed. These three agencies are referred to as \u201cresource agencies\u201d for this report. The three most recent transportation reauthorization acts include provisions that are intended to streamline various aspects of the environmental review process; 18 of these provisions could potentially affect time frames for the environmental permitting and consulting processes for highway and transit projects.", "While officials GAO interviewed at resource agencies and state departments of transportation (state DOT) noted that some actions called for by the 18 statutory provisions have helped streamline the consultation and permitting processes for highway and transit projects, GAO found that a lack of reliable agency data regarding permitting and consulting time frames hinders a quantitative analysis of the provisions' impact. Officials said, for example, that a provision that allows federal liaison positions at resource agencies to focus solely on processing applications for state DOT projects has helped avoid delays in permit and consultation reviews. However, none of the three resource agencies could provide enough reliable data to analyze changes in the durations of consultations and permit reviews over time for any of the provisions. Further, GAO identified limitations, such as negative or missing values, and inconsistent data entry practices for FWS and NMFS data. FWS and NMFS have limited controls, such as electronic safeguards and other data-entry procedures, to ensure the accuracy and reliability of their data on the duration of consultations. Left unaddressed, these data quality issues may impair the agencies' ability to accurately determine whether they are meeting their 135-day statutory and regulatory deadlines to complete consultations and provide biological opinions, and could affect their ability to provide accurate data on time frames for efforts of the Office of Management and Budget to track agencies' performance in conducting environmental reviews. While FWS and NMFS officials stated that the agencies plan to improve their tracking systems, the agencies do not have documented plans or time frames for the improvements and it is unclear whether the efforts will include internal controls to improve data reliability.", "Some federal resource agency and state DOT officials GAO interviewed identified additional actions that have been used to streamline the consultation and permitting processes to avoid delays in agency reviews. For example, 16 of the 23 resource agency and state DOT officials said that field office staff provided training to state DOT staff about the information field offices required for permit or consultation applications. Resource agency and state DOT officials also identified electronic systems with environmental data and for submitting documents as streamlining actions that have been helpful."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations, one to FWS and one to NMFS, to develop plans and time frames for improving their tracking systems and to develop internal controls to improve data reliability.", "The Departments of Commerce and Interior concurred with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Highway and transit projects that use federal funds are subject to federal requirements, including requirements under the National Environmental Policy Act (NEPA), to analyze the potential environmental effects of proposed projects; such evaluations are called environmental impact statements or environmental assessments, which we refer to in this report as \u201cenvironmental reviews\u201d. In addition, other environmental protection laws sometimes require \u201cfederal resource agencies\u201d\u2014such as the U.S. Army Corps of Engineers (Corps), the U.S. Fish and Wildlife Service (FWS), and the National Marine Fisheries Service (NMFS)\u2014to issue permit decisions or perform consultations before a project can proceed. Generally, as part of the environmental review, federal agencies are required, to the fullest extent possible, to integrate the NEPA requirements with other planning and environmental review procedures so that all run concurrently. For transportation projects, including highway and transit projects, additional streamlining provisions have been enacted for environmental reviews. Nonetheless, some view the NEPA environmental review process as time-consuming, while others have praised it for, among other things, helping protect the environment and bringing public participation into the government\u2019s decision making.", "The past three surface transportation reauthorization acts\u2014the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) in 2005, the Moving Ahead for Progress in the 21st Century Act (MAP-21) in 2012, and the Fixing America\u2019s Surface Transportation Act (FAST Act) in 2015\u2014contain a number of provisions aimed at accelerating the environmental review process for highway and transit projects. In addition, the Council on Environmental Quality (CEQ), an executive office of the White House established in NEPA, is responsible for overseeing NEPA implementation and issues regulations and guidance that, among other things, are intended to make environmental reviews more efficient.", "The FAST Act included provisions for us to assess, among other things, the extent to which the streamlining provisions in the three most recent transportation reauthorization acts have improved and accelerated the environmental permitting and consulting processes for highway and transit projects. This report: addresses the extent to which identified streamlining provisions have had an impact on the time frames for the environmental consulting and permitting processes; identifies actions taken by federal resource agencies to streamline their consulting and permitting reviews and identifies additional streamlining opportunities, if any; and describes the actions taken by CEQ to accelerate highway and transit projects.", "To evaluate the extent to which the streamlining provisions had an impact on the consulting and permitting processes for highway and transit projects, we reviewed the last three surface transportation reauthorizations to identify the relevant provisions. We identified 18 provisions that are intended to streamline various aspects of the NEPA environmental review process and could potentially affect the permitting and consultation processes of the three federal resource agencies. In addition, to obtain perspectives on the use and impact of the streamlining provisions, we conducted interviews with resource agency officials in Washington, D.C. and selected field and district offices, as well as state departments of transportation (state DOT) and transit agency officials, as described below. The officials we interviewed from three local transit agencies did not offer any perspectives on the use of streamlining actions or provisions related to environmental consulting and permitting and are therefore not included in this report. To determine the time frames for completing consultations and permit reviews, we analyzed the most recently available data on the time frames of consulting and permitting processes from the resource agencies for fiscal years 2009 through 2016. We checked for missing data, errors, and other discrepancies in the agencies\u2019 data to determine its reliability and to identify any potential limitations. While these were the best available consultation and permitting data maintained by these agencies, we found inconsistencies, errors, and limitations in some data; we address these flaws later in this report. We reviewed agency policies and procedures on ensuring accurate and reliable data and compared them with federal standards for internal controls.", "To examine the actions used by resource agencies to streamline environmental consulting and permitting, we interviewed officials in seven FWS field offices, seven Corps district offices, and two NMFS regional offices. We reviewed field office documents and policies used to accelerate environmental consulting and permitting reviews. We selected these offices based on several factors identified through analysis of federal resource agencies\u2019 data between fiscal years 2009 and 2016 to include locations with a relatively large number of consultations or permit decisions performed by each office, a mix of the average length of time for consultations or permit decisions by each office, a mix of different types of consultations or permit decisions performed by each office, and a mix of geographic regions. We also interviewed officials from seven state DOTs to discuss streamlining actions and additional opportunities to streamline the consulting and permitting processes. We selected the state DOTs based on our analysis of federal resource agency data between fiscal years 2009 and 2016 to include locations with a large number of consultations and permit decisions requested by state, a mix of average consultation or permit decision times by state, a mix of different types of consultations or permit decisions the states received, and a mix of geographic regions. We obtained the perspectives of these field, district, regional, and state DOT officials on additional efforts, beyond the statutory streamlining provisions, to accelerate the resource agencies\u2019 environmental consulting and permitting reviews. These responses from the interviews are not generalizable.", "To describe actions taken by CEQ, we reviewed guidance and regulations issued by the Council and interviewed CEQ officials about the Council\u2019s actions to help streamline the environmental review process for federal transportation projects. We also interviewed the Department of Transportation (DOT) and federal resource agency officials to discuss the extent to which CEQ actions resulted in streamlining environmental reviews.", "We conducted this performance audit from March 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Enacted in 1970, NEPA, along with subsequent CEQ implementing regulations, sets out an environmental review process that has two principal purposes: (1) to ensure that an agency carefully considers information concerning the potential environmental effects of proposed projects; and (2) to ensure that this information is made available to the public. DOT\u2019s Federal Highway Administration (FHWA) and Federal Transit Administration are generally the federal agencies responsible for NEPA compliance for federally funded highway and transit projects. Project sponsors\u2014typically state DOTs and local transit agencies\u2014may receive DOT funds, oversee the construction of highway and transit projects, develop the environmental review documents that are approved by federal agencies, and collaborate with federal and state stakeholders.", "In addition, the Clean Water Act and the Endangered Species Act are two key substantive federal environmental protection laws that may be triggered by a proposed transportation project and that may require the federal resource agencies to issue permit decisions or perform consultations before a project can proceed."], "subsections": [{"section_title": "Permits under Section 404 of the Clean Water Act", "paragraphs": ["Section 404 of the Clean Water Act generally prohibits the discharge of dredged or fill material, such as clay, soil or construction debris, into the waters of the United States, except as authorized through permits issued by the Corps. Before the Corps can issue a section 404 permit, it must determine that the discharge of material is in compliance with guidelines established by the Environmental Protection Agency.", "The Corps issues two types of permits: Individual permits: issued as a standard permit for individual projects, following a case-by-case evaluation of a specific project involving the proposed discharge of dredged or fill material and/or work or structures in navigable water.", "General permits: issued for categories of projects the Corps has identified as being similar in nature and causing minimal individual and cumulative adverse environmental impacts. General permits may be issued on a state, regional, or nationwide basis.", "In fiscal year 2016, the Corps completed approximately 250 individual permits and 10,750 general permits for transportation projects, based on agency data. The Corps is not required to complete its permit reviews within a specified time frame; however, it has performance metrics, including target time frames for issuing permit decisions based on permit type."], "subsections": []}, {"section_title": "Consultations under Section 7 of the Endangered Species Act", "paragraphs": ["The purpose of the Endangered Species Act is to conserve threatened and endangered species and the ecosystems upon which they depend. Section 7 of the Act directs federal agencies to consult with FWS or NMFS when an action they authorize, fund, or carry out, such as a highway or transit project, could affect listed species or their critical habitat. Section 7 also applies if non-federal entities receive federal funding to carry out actions that may affect listed species.", "Before authorizing, funding, or carrying out an action, such as a highway or transit project, lead federal agencies must determine whether the action may affect a listed species or its critical habitat. If a lead federal agency determines a proposed action may affect a listed species or its critical habitat, formal consultation is required unless the agency finds, with FWS\u2019 or NMFS\u2019 written concurrence, that the proposed action is not likely to adversely affect the species. Formal consultation is initiated when FWS or NMFS receives a complete application from the lead agency, which may include a biological assessment and other relevant documentation, which describe the proposed action and its likely effects. The formal consultation usually ends with the issuing of a biological opinion by FWS or NMFS, which generally must be completed within time frames specified in the Endangered Species Act and in its implementing regulations. Specifically, FWS and NMFS have 135 days to complete a formal consultation and provide a biological opinion to the lead federal agency and project sponsor in order for the project to proceed. The consultation period can be extended by mutual agreement of the lead federal agency and FWS or NMFS. In fiscal year 2016, FWS completed 179 formal consultations and NMFS completed 29 formal consultations for federally-funded highway and transit projects, based on agency data.", "The three most recent transportation reauthorization acts include provisions that are intended to streamline various aspects of the environmental review process for highway and transit projects. We identified 18 statutory provisions from these acts that could potentially affect time frames for the environmental permitting and consulting processes for highway and transit projects. Based on our review, we grouped the provisions into two general categories: Administrative and Coordination Changes and NEPA Assignment. See appendix II for a complete list and descriptions of the 18 provisions that we identified.", "The 16 Administrative and Coordination Changes provisions are process oriented. These provisions, for example: (1) establish time frames for the environmental review process, (2) encourage the use of planning documents and programmatic agreements, and (3) seek to avoid duplication in the preparation of environmental review documents. The two NEPA Assignment provisions authorize DOT to assign its NEPA responsibility to states."], "subsections": []}]}, {"section_title": "Agency Experience Suggests Streamlining Provisions Had Some Positive Effect, but Lack of Reliable Data Hinders Impact Assessment", "paragraphs": ["Resource agency and state DOT officials told us they believe that some actions called for by the 18 provisions we identified, such as programmatic agreements, have helped streamline the consulting and permitting processes. However, a lack of reliable agency data regarding permitting and consulting time frames hinders a quantitative analysis of the provisions\u2019 impact. Further, limitations in FWS and NMFS data, such as missing or incorrect data and inconsistent data entry, could impair the agencies\u2019 ability to determine whether the agencies are meeting statutory and regulatory requirements, such as the extent to which the agencies complete formal consultations and provide biological opinions within 135 days. FWS and NMFS have limited controls that would help ensure the completeness and accuracy of their data."], "subsections": [{"section_title": "Officials at Resource Agencies and State DOTs Identified Some Actions That Are Called for by Streamlining Provisions That May Accelerate Environmental Reviews", "paragraphs": ["Resource agency and state DOT officials we interviewed told us they believe that some actions called for by the provisions we identified have helped streamline the consulting and permitting processes. While these officials generally did not quantify or estimate the number of days review times may have been reduced, they did generally explain how the review processes were accelerated, depending upon the action being taken, for example:", "Programmatic agreements: Officials from 18 of the 23 state DOTs and federal resource agency field offices we spoke with told us that using programmatic agreements has generally helped reduce review times. Programmatic agreements can standardize the consulting and permitting processes for projects that are relatively routine in nature (e.g., repaving an existing highway). For example, one state DOT and an FWS field office have an agreement that establishes a consistent consultation process to address projects, such as pavement marking, that have either a minimal or no effect on certain federally protected species and their critical habitat. Programmatic agreements may contain review time targets that are shorter than those for reviews not subject to the agreements. For example, officials from one FWS field office said that they typically met the 60-day time limit that was established in one such agreement, compared to the standard 135- day period for completing formal consultations and issuing biological opinions. In part, DOT has assisted in establishing programmatic agreements affecting consultation and permit review processes. For example, according to DOT, its Every Day Counts initiative has helped create scores of programmatic agreements through efforts such as identifying best practices, performing outreach, developing new approaches, and improving existing ones. In our 2018 report on highway and transit project delivery, 39 of 52 state DOTs in our survey reported that programmatic agreements had sped up project delivery within their states.", "Federal liaison positions: Officials from 21 of the 23 selected state DOT and federal resource agency field offices told us that liaison positions at resource agency offices, which are positions held by federal employees who work on consultation and permit reviews for state DOTs, have streamlined the consultation and permit review processes. According to almost all of the selected officials, these positions provide benefits, such as dedicating staff to process the state DOTs\u2019 applications for permits and consultations, allowing state DOTs to prioritize projects, and enabling enhanced coordination between agencies to avoid conflicts and delays in the review process.", "For example, officials from one state DOT said that having a dedicated liaison at an FWS field office gave the state DOT a responsive point of contact, helped address workload concerns at the FWS field office, and enabled FWS office staff to attend interagency coordination meetings. According to DOT, as of November 2017, states had 43 full-time equivalent positions at FWS and 11 at NMFS. Corps officials stated that states had more than 40 full-time equivalent positions at the Corps in fiscal year 2017. In our 2018 report on highway and transit project delivery, 32 of 52 state DOTs in our survey reported that they had used this provision. We found that 23 of those state DOTs reported that it had sped up project delivery within their states.", "Early coordination: Officials from 18 of the 23 state DOT and federal resource agency field offices we spoke with told us that early coordination in consultation and permit review processes has generally reduced review times. According to most selected state DOT and resource agency officials, this early coordination can provide benefits, such as improving the quality of applications, avoiding later delays by identifying concerns early in the process, and allowing permitting to be considered in the design phase of projects. For example, officials at one of the Corps\u2019 district offices told us that they routinely hold pre-application meetings with state, DOT, and resource agency contacts to define what the Corps needs to process the application quickly and to avoid later problems. Similarly, in our 2018 report on highway and transit project delivery, 43 of 52 state DOTs in our survey reported that they had used this provision, and 27 of those reported that the provision had sped up project delivery within their states.", "Although selected federal resource agency and state DOT officials were able to identify actions called for by the provisions that they believe have helped streamline the consulting and permitting processes, officials from all three resource agencies said that their agencies had not analyzed the impact of the streamlining provisions on permit review or consultation time frames and did not have plans to do so in future."], "subsections": []}, {"section_title": "Lack of Resource Agencies\u2019 Data Hinders Analysis of Whether Streamlining Provisions Reduced Time to Conduct Reviews", "paragraphs": ["For two reasons, we were unable to quantify the impact the 18 streamlining provisions had on the three federal resource agencies\u2019 consultation and permit review time frames. First, factors other than the streamlining provisions may have also affected review times, limiting our ability to discern the extent to which the provisions had an impact. Second, the resource agencies could not provide enough reliable data for us to analyze changes in consultation and permit review durations over time.", "With respect to the first reason, factors other than the streamlining provisions can influence the durations of permit reviews and consultations, a situation that would make it difficult to establish whether the streamlining provisions in the reauthorization acts had a direct impact. In particular, officials from resource agencies and state DOTs we interviewed informed us that some offices took actions included in some of the various streamlining provisions before the three transportation reauthorizations were enacted. For example, officials at one FWS field office said that the office completed a programmatic agreement in 2004. Officials at one state DOT said that they had funded positions at resource agency offices for two decades. Corps officials said that the Corps implemented early coordination before the provision requiring this action was enacted. DOT officials also said that the provisions generally codified and expanded on existing actions. Further, factors such as staffing shortages at state DOTs and resource agency offices may also affect the length of consultations and permit reviews. Therefore, even if the durations of permit reviews and consultations could be evaluated over time with enough reliable data, it could be difficult to connect changes in the durations to the streamlining provisions with any confidence.", "Second, none of the three resource agencies could provide enough reliable data to evaluate trends in the duration of consultations and permit reviews after the 15 provisions were introduced in SAFETEA-LU and MAP-21, and the FAST Act was enacted too recently to evaluate any trends following the 3 provisions it introduced. To evaluate trends in permit review and consultation durations before and after the provisions were enacted, we would need sufficient data before and after their enactment. The SAFETEA-LU, MAP-21, and FAST Act provisions were enacted in August 2005, July 2012, and December 2015, respectively.", "Available Corps\u2019 data could not be used to determine trends in permit review durations before and after the SAFETEA-LU and MAP-21 provisions were enacted. Specifically, Corps officials told us that their data prior to October 2010 should not be used to evaluate trends due to changes in the Corps\u2019 data tracking system and data entry practices. The Corps did not provide more than one full fiscal year of data prior to 2012, and we would need more than one year of data to establish an adequate baseline in order to control for variations that may occur from year to year.", "Further, FWS and NMFS could not provide reliable data to evaluate trends in the durations of consultations before or after enactment of SAFETEA-LU and MAP-21. FWS and NMFS officials informed us of limitations in their agencies\u2019 consultation data that rendered the data incomplete prior to fiscal year 2009 and calendar year 2012 respectively, a circumstance that would prevent us from evaluating trends following SAFETEA-LU. Specifically, FWS officials told us that use of its data tracking system was not mandatory in all regions for consultation activities prior to fiscal year 2009. NMFS officials told us that data from its tracking system are incomplete prior to 2012, because some prior records did not transfer properly during a migration to a newer version of the database. Further, the weaknesses in more recent FWS and NMFS data that we identify below would also limit an analysis of changes in consultation durations following MAP-21.", "Finally, since the three agencies provided data through fiscal year 2016, we had less than one fiscal year of data following the December 2015 enactment of the FAST Act, an amount that was insufficient to evaluate trends in consultation and permit review durations following the Act\u2019s enactment."], "subsections": []}, {"section_title": "Weaknesses in FWS and NMFS Data Would Limit Analysis of Consultation Time Frames", "paragraphs": ["We identified limitations, such as incorrect or missing data and inconsistent data entry practices, in more recent FWS and NMFS data, and such limitations would limit future analysis of trends in the duration of consultations. We did not identify similar limitations in Corps data. These limitations could also hinder analyses of the extent to which the agencies meet statutory and regulatory requirements, such as the extent to which the agencies completed formal consultations and issued biological opinions within 135 days. Standards for internal control in the federal government state that agency management should use quality information to achieve the agency\u2019s objectives and should design appropriate controls for information systems that ensure that all transactions are completely and accurately recorded. Information systems should include controls to achieve validity, completeness, and accuracy of data during processing, including input, processing, and output controls. However, we identified errors in consultation data provided by FWS and NMFS officials. For example, FWS\u2019s data included 1,568 unique transportation-related formal consultations that started and concluded within fiscal years 2009 through 2016. Of those records, 27 had formal consultation initiation dates that followed the conclusion date, resulting in a negative duration; 113 lacked an initiation date, precluding a determination of the duration; and 19 had formal consultation initiation dates that preceded the dates on which FWS could begin work. NMFS officials said that records cannot be removed from the database once saved\u2014including duplicate, incomplete, withdrawn, or otherwise bad records\u2014and that the database does not always retain corrections after they are made. As a result, data exported from the database are manually reviewed for errors, according to NMFS officials. However, data provided to us after this manual review process still contained errors.", "Further, FWS and NMFS officials described limited controls to ensure the completeness and accuracy of their data. FWS officials said that they do not currently conduct systematic reviews to examine the accuracy of the data. The officials also said that they do not have procedures for follow-up when errors are found, although regional or headquarters staff may conduct outreach to an affected office if errors are found. FWS officials also acknowledged that the database lacks sufficient electronic safeguards on all fields to prevent errors. Similarly, NMFS officials said that NMFS has not tracked the accuracy of its data and that many fields in NMFS\u2019s database do not have safeguards to limit data entry errors.", "FWS and NMFS also lack procedures to ensure that they consistently track all data associated with consultation time frames. For example, FWS and NMFS officials could not provide data on whether formal consultations and the issuance of biological opinions that exceeded 135 days obtained extensions, data that officials would need to track the extent to which their agencies comply with the requirement to complete consultations and issue biological opinions within 135 days absent an extension. The officials said that the agencies do not require their staff to enter extension data, and that some staff enter extension dates but others do not. In addition, although hundreds of projects may be reviewed under a single programmatic agreement, FWS and NMFS do not record all projects reviewed under programmatic agreements. For example, NMFS officials told us that the agency\u2019s system is not designed for staff to enter individual actions reviewed under programmatic agreements. This process prevents comparisons of review time frames for individual projects under programmatic agreements with projects not reviewed under those agreements. FWS\u2019s database also does not require some critical information for determining consultation time frames, such as the initiation dates for formal consultations. Further, FWS headquarters officials acknowledged that differing field office procedures had contributed to varying record-keeping methods, and officials at five of the seven FWS field offices we interviewed told us that FWS\u2019s database is not used consistently among field offices.", "The quality of FWS\u2019s and NMFS\u2019s consultation data may limit the ability of the agencies to determine whether they are completing consultations within required time frames, as described above, and may also impact other internal and external uses of the data. For example, the quality of the data may limit the agencies\u2019 evaluation and management of their consultation processes. FWS officials said that FWS uses its data internally in calculating annual performance measures and to answer questions from senior leadership, among other purposes. NMFS officials said that NMFS uses its data internally to examine the agency\u2019s Section 7 workload, help set agency funding priorities, and track projects through the consultation process. FWS and NMFS will also have to ensure that their data systems can provide reliable data to comply with an executive order requiring federal agencies to track major infrastructure projects, including the time required to complete the processing of environmental reviews. The August 2017 executive order directed the Office of Management and Budget, in coordination with the Federal Permitting Improvement Steering Council, to issue guidance for establishing a system to track agencies\u2019 performance in conducting environmental reviews for certain major infrastructure projects. To meet this directive, this system is to include assessments of the time and costs for each agency to complete environmental reviews and authorizations for those projects, among other things. According to a multi-agency plan, system implementation is planned to begin in the fourth quarter of fiscal year 2018, and publishing of performance indicator data is planned to begin in the first quarter of fiscal year 2019. In addition, FWS has provided consultation data to outside researchers who have publicly reported them in a study and a web portal. NMFS makes some data for completed consultations publicly available through the internet.", "NMFS and FWS officials we interviewed said that the agencies are developing new versions of their databases, and FWS officials said that they will develop new standard-operating procedures and guidance for data entry. Specifically, FWS officials said that they have discussed the development of a new version of their database that would better track consultations chronologically and ensure greater data accuracy and consistency, but that effort is still in the planning stage. Those officials also said that they have formed a team to explore the development of new standard-operating procedures, training, and guidance for consistent data entry and that they are considering how to include data on whether consultations received extensions in the new system. NMFS officials said that the agency is modernizing its database, including improving data entry, error prevention, maintenance, and tracking of actions under programmatic agreements. However, FWS and NMFS officials could not provide specific time frames for implementation or documentation of these efforts. Therefore, it is not clear whether these efforts will include internal controls that address all of the types of issues we identified."], "subsections": []}]}, {"section_title": "Federal and State Officials Identified Additional Actions That Helped Resource Agencies Streamline Processes", "paragraphs": [], "subsections": [{"section_title": "Some Officials at Resource Agencies and State DOTs Took Actions to Improve Applications", "paragraphs": ["Officials at 19 of the 23 federal resource agency field offices and state DOTs we spoke with generally mentioned two additional actions, beyond the 18 provisions we identified, for streamlining the consultation and permitting process: field office assistance to lead federal agencies and project sponsors, including state DOTs, to improve applications for permits and consultations; and electronic systems for environmental screening and document submission.", "First, officials from some of the 16 federal resource agency field offices we spoke with stated that they provide assistance to lead federal agencies and project sponsors to clarify the information required in permit and consultation applications before they are submitted to the resource agency. Officials from 8 of those 16 offices stated that they provided that assistance in order to improve the quality and completeness of information included in the applications. Resource agency officials stated that the permit or consultation process is delayed when the lead federal agency or project sponsor does not initially provide the quantity or quality of information necessary for resource agencies\u2019 field office staff to complete permits and consultations. These staff must then request additional information from the lead federal agency or project sponsor, extending the permit or consultation reviews. Therefore, officials at 16 of the 23 federal resource agency field offices and state DOTs we spoke with said that field office staff provided training to state DOT staff to specify the information field offices required for initial permit or consultation applications. In addition, officials at 6 of the 23 resource agency field offices and state DOTs we spoke with created or were in the process of creating documents, such as application templates or checklists, that specify information required initially by field offices for applications. For example, according to officials at one FWS field office, a staff member created a standardized form letter for consultation applications that includes information for the state DOT to submit with its applications.", "Second, officials at federal resource agency field offices and state DOTs also identified electronic systems for environmental screening and document submission as helpful streamlining actions. Some state agencies created electronic systems for permitting and consultation applications, according to officials at 6 of the 23 resource agency field offices and state DOTs we spoke with. Some of those state agencies created systems for submitting application documentation, which can include multiple reports and studies related to an endangered species or its critical habitat. In addition, some of those state agencies created electronic tools that screen potential transportation project areas for environmental impacts. For example, in Pennsylvania, state agencies created two electronic systems. The first system allows application materials to be shared with multiple state and federal agencies while the second allows applicants to screen project areas for potential impacts on endangered species. The Pennsylvania Natural Heritage Program, a partnership between four state agencies, created a system that allows lead federal agencies or project sponsors to determine what potential environmental impacts, if any, exist in a proposed project\u2019s geographic area (fig. 1). According to field office officials who use this resource, it saves time and improves agency coordination on transportation projects. Officials at two additional offices stated that their state agencies were in the process of establishing such electronic systems. In addition, FWS has piloted additional capabilities for its existing electronic system that screens for species information. According to FWS officials, the current pilot is restricted to specific species included in existing programmatic agreements, but this updated system would guide applicants through the consultation application and allow electronic document submission.", "The federal resource agencies continue to seek out additional opportunities for their field offices to streamline the permitting and consultation processes, according to officials at 11 of the 16 field offices. Officials at four of those offices stated that they discuss additional streamlining opportunities at regular transportation-related meetings with other federal and state agency offices. However, beyond the streamlining actions and provisions cited above, officials at resource agency field offices and state DOTs did not identify additional opportunities used by multiple field offices to streamline permits and consultations."], "subsections": []}, {"section_title": "DOT Supports Actions to Streamline the NEPA Process", "paragraphs": ["DOT has a role in streamlining the overall NEPA process for transportation projects. Officials from DOT and its modal administrations, in coordination with federal resource agencies, participate in or support several efforts, including the following, to streamline the NEPA process:", "Coordination meetings: DOT officials participate in some early or regular coordination efforts, according to officials at some federal resource agency field offices and state DOTs we spoke with. For instance, according to officials at one Corps district office, DOT officials participate in some monthly meetings between federal and state agencies to discuss both specific transportation projects and recurring issues that may present streamlining opportunities.", "Transportation liaisons: As mentioned above, recipients of DOT funds may partially fund the transportation liaison positions at federal resource agency field offices. Officials at some resource agency field offices and state DOTs we spoke with stated that liaisons implemented streamlining actions at those offices. For example, officials at one FWS field office stated that the office\u2019s transportation liaisons are responsible for creating and maintaining programmatic agreements with the state DOT. In addition, DOT currently has interagency agreements to provide national transportation liaisons at resource agencies\u2014including the Corps, FWS, and NMFS\u2014who lead nationwide efforts, such as meetings among field offices where officials can share streamlining actions.", "Streamlining resource database: DOT maintains an online database of resources created by DOT and transportation liaisons for streamlining the NEPA process. The database, which is part of the Transportation Liaison Community of Practice online portal, includes programmatic agreements, regional streamlining efforts, and liaison- funding agreements, among other resources. The purpose of this database is to provide examples of streamlining actions for transportation liaisons and state DOT officials to use in implementing these actions with state and federal agency offices to streamline NEPA processes.", "DOT also participates in multi-agency efforts to identify recommendations for streamlining the NEPA process. Those efforts produced two multi- agency reports that have identified best practices for improving streamlining of the NEPA process:", "Red Book: In 2015, DOT coordinated with multiple federal agencies, including the resource agencies, to update the Red Book, a resource to help both federal and state agencies conduct concurrent environmental review processes and to improve coordination in the NEPA process for major transportation and other infrastructure projects. For instance, the Red Book recommended electronic information systems, including systems that share geographic information with the agencies involved, as a way to streamline the NEPA process.", "Annual interagency report: DOT and multiple federal agencies, including the resource agencies, contribute to the Federal Permitting Improvement Steering Council\u2019s annual report on recommended actions for federal agencies. In the reports for fiscal years 2017 and 2018, those recommended steps included actions taken by some resource agency field offices. For example, recommended steps in the 2017 report included the creation of electronic application submission systems and training to improve permit and consultation applications.", "DOT officials stated that they continue to seek additional streamlining opportunities with federal and state entities, including federal resource agencies and state DOTs, through outreach to those agencies. For example, the officials told us that they had reached out to the resource agencies and provided training to help them identify what basic application information is needed for certain types of projects that are unlikely to be fully designed at that point in the project\u2019s design. DOT officials also suggested that expanding the current streamlining actions that resource agencies have taken, such as utilizing the transportation liaison positions, would help streamline the process."], "subsections": []}]}, {"section_title": "The Council on Environmental Quality Has Issued Regulations and Guidance to Streamline NEPA Reviews", "paragraphs": ["CEQ oversees NEPA implementation, reviews and approves federal agency NEPA procedures, and issues regulations and guidance documents that govern and guide federal agencies\u2019 interpretation and implementation of NEPA. In addition, CEQ has focused some of its efforts on furthering the goal of streamlining environmental reviews. Those efforts have included publication of various guidance and memorandums on the effective use of programmatic reviews, according to CEQ officials. For example, CEQ issued regulations that direct agencies, to the fullest extent possible, to integrate the NEPA process into project planning at the earliest possible time to avoid delays and resolve potential issues, and to perform coordinated and concurrent environmental reviews to the extent possible to minimize duplication of effort. CEQ officials also noted that CEQ continues to co-chair the Transportation Rapid Response Team, a working group of federal agencies that facilitates interagency coordination and seeks to improve surface transportation project delivery consistent with environmental guidelines.", "CEQ periodically reviews and assesses its guidance and regulations to improve the effectiveness and timeliness of NEPA reviews, according to a CEQ official. For example, CEQ reviewed the environmental review processes of selected agencies in 2015 to identify model approaches that simplify the NEPA process and reduce the time and cost involved in preparing NEPA documents. CEQ used this review to identify and recommend changes to modernize NEPA\u2019s implementation, including using information technology, such as a web-based application that identifies environmental data from federal, state, and local sources within a specific location, to improve the efficiency of environmental reviews.", "On August 15, 2017, the President signed an executive order that directed CEQ to develop a list of actions it will take to enhance and modernize the environmental review and authorization process. In September 2017, CEQ outlined its actions to respond to the executive order in a Federal Register Notice. According to CEQ officials, in response to the executive order, CEQ is in the process of reviewing its existing regulations on the implementation of the provisions of NEPA to identify changes needed to update and clarify its regulations. In June 2018, CEQ published an advance notice of proposed rulemaking to solicit public comment on potential revisions to its regulations to ensure a more efficient, timely, and effective NEPA process consistent with the national environmental policy. In addition, CEQ, along with the Office of Management and Budget, issued guidance for federal agencies for processing environmental reviews and authorizations in accordance with the executive order\u2019s goal of reducing the time for completing environmental reviews for major infrastructure projects. Finally, CEQ officials stated that CEQ is leading an interagency working group, which includes representatives from the resource agencies, to review agency regulations and policies to identify impediments to the processing of environmental review and permitting decisions. CEQ anticipates the working group findings will address a number of issues relating to environmental reviews, including the environmental consulting and permitting processes."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The federal government has enacted a number of statutory provisions aimed at streamlining the environmental review process for highway and transit projects. However, while Corps, FWS, and NMFS officials believe that these provisions have helped streamline their permit reviews and consultations, the lack of data hinders quantification of any trends in the duration of those reviews. Furthermore, agency and government-wide efforts to track major infrastructure projects, such as the planned Office of Management and Budget performance tracking system, will be hindered without accurate and reliable data. FWS and NMFS do not have adequate internal control procedures in place to ensure accurate and reliable data and cannot accurately assess their ability to meet statutory and regulatory requirements for completing consultations and issuing biological opinions. Although FWS and NMFS are in the process of upgrading their data systems, the agencies do not have documented plans or time frames that identify what controls they will use to ensure accurate data on the time taken for consultation reviews."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of two recommendations, one to the Fish and Wildlife Service and one to the National Marine Fisheries Service.", "Specifically, we are making the following recommendation to the Fish and Wildlife Service: The Principal Deputy Director of the Fish and Wildlife Service should direct the Fish and Wildlife Service to develop plans and time frames for improving its new consultation tracking system and develop appropriate internal controls, such as electronic safeguards and other data-entry procedures, to ensure accurate data on the time taken for consultations. (Recommendation 1)", "We are making the following recommendation to the National Marine Fisheries Service: The Assistant Administrator for Fisheries should direct the National Marine Fisheries Service to develop plans and time frames for improving its new consultation tracking system and develop appropriate internal controls, such as electronic safeguards and other data-entry procedures, to ensure accurate data on the time taken for consultations. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of the report to the Departments of Transportation, Defense, Commerce, and Interior and the Council on Environmental Quality. The Departments of Commerce and Interior each provided written responses, which are reprinted in appendixes III and IV, respectively. The Departments of Commerce and Interior agreed with our recommendations. In addition, the Departments of Transportation, Defense, Commerce, and Interior and the Council on Environmental Quality provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to appropriate congressional committees, the Secretary of the Department of Transportation, Secretary of the Department of Defense, Secretary of the Department of the Interior, Secretary of the Department of Commerce, and other interested parties. In addition, this report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["Our work focused on federal-aid highway and transit projects and the provisions included in the past three surface-transportation reauthorizations that are intended to streamline the environmental consulting and permitting processes performed by the three federal resource agencies: Fish and Wildlife Service (FWS), National Marine Fisheries Service (NMFS), and the U.S. Army Corps of Engineers (Corps). This report (1) addresses the extent to which identified streamlining provisions had an impact on the time frames for the environmental consulting and permitting processes; (2) identifies actions taken by the resource agencies to streamline their consulting and permitting reviews and identifies additional streamlining opportunities, if any; and (3) describes the actions taken by the Council on Environmental Quality (CEQ) to accelerate highway and transportation projects.", "To identify relevant provisions that were aimed at streamlining the consulting and permitting processes for highway and transit projects, we reviewed the last three surface transportation reauthorization acts and relevant federal statutes, regulations, and guidance. The three reauthorizations we reviewed are as follows: the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU); the Moving Ahead for Progress in the 21st Century Act (MAP-21); and the Fixing America\u2019s Surface Transportation Act (FAST Act).", "We identified 18 provisions that are intended to streamline various aspects of the NEPA environmental review process and could potentially affect the permitting and consultation processes of the three federal resource agencies. Provisions were grouped into categories developed in a previous GAO report on project delivery for ease of understanding. In our review we identified relevant statutory provisions as they had been amended by the three surface transportation reauthorization acts. Some of the provisions, as originally enacted, were modified by subsequent legislation.", "To evaluate the extent to which the streamlining provisions had an impact on the consulting and permitting processes, we requested official responses from each of the three resource agencies on the impact of the 18 provisions we identified on the consulting and permitting processes. We also conducted interviews with resource agency officials in Washington, D.C. and the respective field, district, and regional offices to determine the use and impact of the streamlining provisions from the surface transportation reauthorization acts.", "To quantify the extent to which the streamlining provisions had an impact on the time frames for completing consultations and permit reviews, we requested data on the time frames of consulting and permitting from FWS, NMFS, and Corps data systems for fiscal years 2005 through 2016 for all federally funded highway and transit projects. We requested data from the resource agencies with a variety of information for each record that included the start and end dates for each consultation and permit decision, the type of consultation or permit decision, the project sponsor or entity requesting the consultation or permit decision, the project type, a description of the project, and the field, district, or regional office that received and entered each record. The agencies provided the most recently available data, which we analyzed. FWS was unable to provide us reliable data prior to fiscal year 2009; the Corps was unable to provide us reliable data prior to fiscal year 2011, and NMFS was unable to provide us reliable data prior to calendar year 2012. Agency officials stated that data prior to those years were unreliable because of various factors, such as NMFS\u2019s performing a data migration to a new system where some records did not transfer properly and Corps changes to its database in 2011 that made earlier data incomparable to post-2011 permit records. We performed checks to determine the reliability of the agency data and to identify potential limitations, such as missing data fields, errors, and discrepancies in calculations between records. We determined that the data provided by FWS and NMFS were not sufficiently reliable for examining the impact of the streamlining provisions on the time frames for completing consultation reviews. We also determined that the data provided by the Corps was sufficiently reliable to conduct analysis of permitting time frames, but because the Corps was unable to provide reliable data prior to fiscal year 2010, we were unable to examine the impact of streamlining provisions on the time frames for completing permit reviews. Our discussion in the report of resource agency data focuses on these limitations. We reviewed agency policies and procedures on ensuring accurate and reliable data and compared them with federal standards for internal controls.", "To examine the actions used by resource agencies to streamline consulting and permitting reviews, we interviewed officials in seven FWS field offices, seven Corps district offices, two NMFS regional offices, three transit agencies, and seven state departments of transportation (state DOTs) to discuss leading practices and additional opportunities for streamlining the consulting and permitting processes, as well as the use of the respective agency data systems. We reviewed field office documents and policies used to accelerate consulting and permitting. To select the federal resource agency field and district offices for interviews, we used the consultation and permit data collected from the agencies. We selected the offices based on a number of criteria identified through analysis of federal resource agency data between fiscal years 2009 and 2016, including: the most consultations or permit decisions performed; a mix of the average length of time for consultations or permit a mix of the types of consultations (e.g., formal or programmatic) or permit decisions (e.g., general or individual) performed by office; and a mix of geographic regions.", "For the selection of state DOTs, we used a number of selection criteria including: the most consultations and permit decisions requested by state; a mix of the average consultation or permit decision time by state; a mix of the types of consultations or permit decisions the states a mix of geographic regions.", "To select the transit agencies for interviews, we used a number of selection criteria including: high ridership numbers, substantial federal capital funding between 2005 and 2015, and a mix of geographic regions. We interviewed officials from these offices to identify actions that the offices use to accelerate the consulting and permitting processes, challenges in the processes, and potential actions that could be implemented to further streamline the consulting and permitting processes. The officials we interviewed from three local transit agencies did not offer any perspectives on the use of streamlining practices or provisions related to environmental consulting and permitting, and are therefore not included in this report. These interviews are not generalizable to all resource agency, state DOT, or transit agency offices.", "In addition, we met with transportation and environmental advocacy groups to discuss potential additional actions for consulting and permitting. We also reviewed federal reports and recommendations on best practices for streamlining environmental reviews for federal infrastructure projects, including highway and transit. These reports included the Department of Transportation\u2019s Red Book and the Federal Permitting Improvement Steering Council\u2019s annual best practices reports.", "To describe actions taken by CEQ, we reviewed guidance and regulations issued by CEQ and interviewed CEQ officials on the actions the Council has taken to help streamline the environmental review process for federal transportation projects. We also interviewed officials at the Department of Transportation and resource agencies to discuss the extent to which CEQ actions helped streamline environmental reviews for transportation projects.", "We conducted this performance audit from March 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Provisions from Recent Transportation Reauthorization Acts that May Streamline Consultation and Permit Reviews", "paragraphs": [], "subsections": [{"section_title": "Description of the provision and the transportation reauthorization act reference 1.", "paragraphs": ["Programmatic approaches: Directs the Department of Transportation (DOT) to allow for programmatic approaches to conducting environmental reviews for an environmental impact statement and to the extent determined appropriate, other projects. Requires DOT to seek opportunities with states to enter into programmatic agreements to carry out environmental and other project reviews. MAP-21: \u00a7\u00a7 1305(a) and 1318(d) and FAST Act: \u00a7 1304(b) (codified at 23 U.S.C. \u00a7 139(b)(3) and 23 U.S.C. \u00a7 109(note))", "Identifying participating agencies: Requires the lead agency to identify, no later than 45 days after the date of publication of a notice of intent to prepare an environmental impact statement or the initiation of an environmental assessment, any other federal and non-federal agencies that may have an interest in the project, and to invite those agencies to become participating agencies in the environmental review process for the project. SAFETEA-LU: \u00a7 6002(a) as amended by FAST Act: \u00a7 1304(d)(1) (codified at 23 U.S.C. \u00a7 139(d)(2))", "Concurrent reviews: Requires that each participating and cooperating agency carry out its obligations under other applicable law concurrently and do so in conjunction with the review required under the National Environmental Policy Act (NEPA), unless doing so would impair the ability of the agency to conduct needed analysis or otherwise to carry out those obligations, and that each agency should implement mechanisms to enable the agency to ensure completion of the environmental review process in a timely, coordinated, and environmentally responsible manner. SAFETEA-LU: \u00a7 6002(a) as amended by MAP-21: \u00a7 1305(c) (codified at 23 U.S.C. \u00a7 139(d)(7))", "Use single NEPA document: Requires to the maximum extent practicable and consistent with federal law, that the project\u2019s lead agency develop a single NEPA document to satisfy the requirements for federal approval or other federal action, including permits. FAST Act: \u00a7 1304(d)(2) (codified at 23 U.S.C. \u00a7 139(d)(8))", "Limiting participating agency responsibilities: Requires that participating agencies provide comments, responses, studies, or methodologies on areas within the special expertise or jurisdiction of the agency, and that an agency use the environmental review process to address any environmental issues of concern to the agency. FAST Act: \u00a7 1304(d)(2) (codified at 23 U.S.C. \u00a7 139(d)(9))", "Environmental checklist: Requires the development of a checklist by the lead agency, in consultation with participating agencies, as appropriate, to help identify natural, cultural, and historic resources. FAST Act: \u00a7 1304(e) (codified at 23 U.S.C. \u00a7 139(e)(5))", "Alternatives analysis: Requires the lead agency to determine the range of alternatives for consideration in any document that the lead agency is responsible for preparing for a project, and requires that those alternatives should be used to the extent possible in all reviews and permit processes required for the project, unless the alternatives must be modified to address significant new information or circumstances or for the lead agency or a participating agency to fulfill the agency\u2019s responsibilities under NEPA in a timely manner. SAFETEA-LU: \u00a7 6002(a) and FAST Act: \u00a7 1304(f) (codified at 23 U.S.C. \u00a7 139(f)(4))", "Coordination and scheduling: Requires a coordination plan for public and agency participation in the environmental review process within 90 days of notice of intent to prepare an EIS or the initiation of an EA, including a schedule for completion of the environmental review process for the project. SAFETEA-LU: \u00a7 6002(a) as amended by MAP-21: 1305(e) and FAST Act: \u00a7 1304(g) (codified at 23 U.S.C. \u00a7 139(g)(1))", "Description of the provision and the transportation reauthorization act reference 9.", "Issue resolution process: Establishes procedures to resolve issues between state DOTs and relevant resource agencies, including those issues that could delay or prevent an agency from granting a permit or approval, and describes lead and participating agency responsibilities. SAFETEA-LU: \u00a7 6002(a) as amended by MAP-21: \u00a7 1306, and FAST Act: \u00a7 1304(h) (codified at 23 U.S.C. \u00a7 139(h)) 10. Financial penalty provisions: Can cause a rescission of funding from the applicable office of the head of an agency, or equivalent office to which the authority for rendering the decision has been delegated by law, if that office fails to make a decision within certain time frames under any federal law relating to a project that requires the preparation of an EIS or EA, including the issuance or denial of a permit, license, or other approval. MAP-21: \u00a7 1306 as amended by FAST Act: \u00a7 1304(h)(3) (codified at 23 U.S.C. \u00a7 139(h)(7)) 11. Use of federal highway or transit funds to support agencies participating in the environmental review process: Allows a public entity to use its highway and transit funds to support a federal (including DOT) or state agency or Indian tribe participating in the environmental review process on activities that directly and meaningfully contribute to expediting and improving project planning and delivery. SAFETEA-LU: \u00a7 6002(a) as amended by MAP-21: \u00a7 1307, and FAST Act: \u00a7 1304(i) (codified at 23 U.S.C. \u00a7 139(j)) 12. 150-Day statute of limitations: Bars claims seeking judicial review of a permit, license, or approval issued by a federal agency for highway projects unless they are filed within 150 days after publication of a notice in the Federal Register announcing the final agency action, or unless a shorter time is specified in the federal law under which the judicial review is allowed. SAFETEA-LU: \u00a7 6002(a) as amended by MAP-21: \u00a7 1308 (codified at 23 U.S.C. \u00a7 139(l)) 13. Enhanced technical assistance and accelerated project completion: At the request of a project sponsor or a governor of the state in which the project is located, requires DOT to provide additional technical assistance for a project where EIS review has taken 2 years, and establish a schedule for review completion within 4 years. In providing assistance, DOT shall consult, if appropriate, with resource and participating agencies on all methods available to resolve the outstanding issues and projects delays as expeditiously as possible. MAP-21: \u00a7 1309 (codified at 23 U.S.C. \u00a7 139(m)) 14. Early coordination activities in environmental review process: Encourages early cooperation between DOT and other agencies, including states or local planning agencies, in the environmental review process to avoid delay and duplication, and suggests early coordination activities. Early coordination includes establishment of memorandums of agreement with states or local planning agencies. MAP-21: \u00a7 1320 (codified at 23 U.S.C. \u00a7 139(note)) 15. Planning documents used in NEPA review: To the maximum extent practicable and appropriate, authorizes the lead agency for a project and cooperating agencies responsible for environmental permits, approvals, reviews, or studies under federal law to use planning products, such as planning decisions, analysis, or studies, in the environmental review process of the project. MAP-21: \u00a7 1310 as amended by FAST Act: \u00a7 1305 (codified at 23 U.S.C. \u00a7 168(b)) 16. Programmatic mitigation plans used in NEPA review: Allows a state DOT or metropolitan planning organization to develop programmatic mitigation plans to address potential environmental impacts of future transportation projects. It also requires that any federal agency responsible for environmental reviews, permits, or approvals for a transportation project give substantial weight to the recommendations in a state or metropolitan programmatic mitigation plan, if one had been developed as part of the transportation planning process, when carrying out responsibilities under NEPA or other environmental law. MAP-21: \u00a7 1311 as amended by FAST Act: \u00a7 1306 (codified at 23 U.S.C. \u00a7 169(f))", "Description of the provision and the transportation reauthorization act reference 17. Categorical exclusion determination authority: Authorizes DOT to assign and a state to assume responsibility for determining if projects can be categorically excluded from NEPA review, and allows states that have assumed that responsibility to also assume DOT\u2019s responsibility for environmental review, consultation, or other actions required under federal law applicable to activities classified as categorical exclusions. SAFETEA-LU: \u00a7 6004(a), as amended by MAP-21: \u00a7 1312, and FAST Act: \u00a7 1307 (codified at 23 U.S.C. \u00a7 326) 18. Surface transportation project delivery program: Authorizes DOT to assign and a state to assume many federal environmental review responsibilities for highway, public transportation, and railroad projects, to be administered in accordance with a written agreement between DOT and the participating state. SAFETEA-LU: \u00a7 6005(a), as amended by MAP-21: \u00a7 1313 and FAST Act: \u00a7 1308 (codified at 23 U.S.C. \u00a7 327)"], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brandon Haller (Assistant Director), Lauren Friedman, Tobias Gillett, Rich Johnson, Delwen Jones, Hannah Laufe, Jeff Miller, Cheryl Peterson, Malika Rice, Alison Snyder, Kirsten White, and Elizabeth Wood made significant contributions to this report."], "subsections": []}]}], "fastfact": ["Since 2005, Congress has passed statutory provisions to help speed up the environmental review process for highway and transit projects. 3 federal agencies (the National Marine Fisheries Service, the Army Corps of Engineers, and the Fish and Wildlife Service) are often called on to review these projects.", "We looked at the time it takes to complete these environmental reviews. Agency officials told us that these provisions have helped make the review process faster, but we found that they lack reliable data and tracking systems to know for sure. We recommended that they develop better tracking systems and improve data quality."]} {"id": "GAO-19-100", "url": "https://www.gao.gov/products/GAO-19-100", "title": "Troubled Asset Relief Program: Monitoring of the Hardest Hit Fund Program Could Be Strengthened", "published_date": "2018-12-21T00:00:00", "released_date": "2018-12-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Treasury established the HHF program in 2010 to help stabilize the housing market and assist homeowners facing foreclosure in the states hardest hit by the housing crisis. Through HHF, Treasury has obligated a total of $9.6 billion in Trouble Asset Relief Program funds to 19 state HFAs. HFAs use funds to implement programs that address foreclosure and help stabilize local housing markets\u2014for example, by demolishing blighted properties. Congress extended HHF in 2015, and HFAs must disburse all HHF funds by December 31, 2021, or return them to Treasury.", "The Emergency Economic Stabilization Act of 2008 included a provision for GAO to report on Troubled Asset Relief Program activities. This report focuses on the HHF program and examines, among other objectives, (1) the extent to which Treasury's monitoring addresses leading practices for program oversight and (2) HFAs' progress toward program targets.", "GAO reviewed documentation of Treasury's HHF monitoring practices, interviewed HFAs (selected based on differences in program types implemented) and Treasury officials, and reviewed information on how HFAs developed program targets."]}, {"section_title": "What GAO Found", "paragraphs": ["For its Housing Finance Agency Innovation Fund for Hardest Hit Markets (HHF), the Department of the Treasury (Treasury) has addressed or partially addressed all 14 leading monitoring practices that GAO identified. For example, Treasury periodically collects performance data from housing finance agencies (HFA) and analyzes and validates these data. However, while Treasury requires HFAs to regularly assess the risks of their programs, it does not systematically collect or analyze these assessments. As a result, Treasury is missing an opportunity to ensure that HFAs are appropriately assessing their risk. Also, Treasury does not require HFAs to consistently document which of their staff are responsible for internal control execution. This documentation could help HFAs wind down their programs, particularly as staff turn over.", "Most HFAs met Treasury's goals for drawing down HHF funds, with $9.1 billion disbursed to HFAs as of September 2018. HHF programs have assisted hundreds of thousands of distressed homeowners since 2010. However, the data Treasury has collected are of limited use for determining how well HFAs met their goals for assisting households and demolishing blighted properties, or for evaluating the HHF program overall. For example, Treasury did not develop a consistent methodology for HFAs to use when setting performance targets, which limits Treasury's ability to compare across programs or assess the HHF program as a whole. Further, GAO's guide to designing evaluations states that where federal programs operate through multiple local public or private agencies, it is important that the data these agencies collect are sufficiently consistent to permit aggregation nationwide. Although HFAs have until the end of 2021 to disburse their HHF funds, many programs are beginning to close, making it too late for meaningful changes to Treasury's approach to performance measurement. However, should Congress authorize Treasury to extend the program beyond December 2021 or establish a similar program in the future, it would be useful at that time for Treasury to develop a program evaluation design that would allow the agency to assess overall program performance, as well as performance across HFAs and program types."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that Treasury collect and evaluate HFAs' risk assessments and routinely update staffing documentation. Treasury agreed with these recommendations and stated that it has already taken steps toward addressing them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The housing crisis that began in 2007 led to unprecedented home price declines, foreclosures, and high unemployment in certain parts of the country. In response, under the authority granted to it by the Emergency Economic Stabilization Act of 2008, the Department of the Treasury (Treasury) established the Troubled Asset Relief Program (TARP). Through TARP, Treasury funded housing programs intended to help prevent avoidable foreclosures and preserve homeownership, including the TARP Housing Finance Agency Innovation Fund for Hardest Hit Markets, also known as the Hardest Hit Fund (HHF). HHF, established in 2010, provides funding to selected states to develop innovative solutions to housing market difficulties in their states. As of October 2018, Treasury had obligated $9.6 billion to 19 state housing finance agencies (HFA)\u2014 state-chartered authorities established to help meet affordable housing needs\u2014to design and implement HHF programs. Participating HFAs have until December 31, 2021, to disburse these funds.", "The Emergency Economic Stabilization Act of 2008 provided GAO with broad oversight authorities for actions taken under TARP activities and included a provision that we report on TARP activities and performance. We have continued to provide updates on the HHF program. This report provides an update on the HHF program as of December 31, 2017. This report (1) determines the extent to which Treasury\u2019s monitoring of HHF addresses leading practices for program oversight, (2) provides information on HFAs\u2019 active programs and the status of HFAs\u2019 progress toward program targets, and (3) describes challenges in implementing HHF programs that HFAs and others identified.", "To assess the extent to which Treasury\u2019s monitoring of HHF addresses leading practices for program oversight, we obtained and reviewed documentation of Treasury\u2019s policies and procedures for monitoring the HHF program. We identified 14 monitoring and oversight practices based on a review of federal internal control standards, Office of Management and Budget (OMB) guidance, and GAO reports on leading monitoring activities. Although Treasury is not required to follow all of the guidance that we identified, we determined that the guidance describes practices that are helpful for creating an effective monitoring framework. We selected practices that focused on the structure of Treasury\u2019s oversight framework, the performance measures Treasury requires HFAs to track, goal setting, and communication with external parties. We assessed the extent to which Treasury\u2019s current monitoring policies and procedures addressed the leading practices. More specifically, we determined whether Treasury\u2019s monitoring policies and procedures addressed, partially addressed, or did not address leading practices. Additionally, we compared evidence of Treasury\u2019s 2016 and 2017 monitoring activities for all participating HFAs to the agency\u2019s monitoring policies and procedures.", "To describe active HHF programs and the status of HFAs\u2019 progress toward program targets, we reviewed contracts and quarterly performance reports to identify HHF programs that were active as of December 2017. We defined programs as active if they had a total allocation approved by Treasury, were accepting applications, and were disbursing HHF funds as of December 2017. For each of these programs, we reviewed the HFA\u2019s contract with Treasury to identify the most current targets for either assisting homeowners or demolishing blighted properties. We also analyzed quarterly performance reports on program outputs (defined as the products or services delivered) and outcomes (defined as the consequences of carrying out an activity). Through a review of program documentation and information from knowledgeable officials, we found that Treasury\u2019s output data on homeowners assisted and blighted properties demolished were sufficiently reliable for the purpose of describing program outputs. However, as we discuss later in this report, we found that outcomes data, such as the number of homeowners who are no longer participating in HHF programs, were not sufficiently reliable for our purposes due to differences in HFAs\u2019 interpretations of outcomes data definitions, among other things.", "To identify the factors that HFAs and other stakeholders viewed as challenges for the HHF program, we reviewed related audit reports and interviewed officials from four HFAs, selected based on their mix of HHF programs, proportion of HHF funds disbursed, and geographic diversity. For two of these HFAs, which had blight-elimination programs, we conducted site visits to observe activities related to blight elimination efforts. For this and the other objectives, we also interviewed mortgage servicers and organizations that work with HFAs and housing counseling agencies. To identify the factors that Treasury identified as challenges for the HHF program, we reviewed documentation of Treasury\u2019s monitoring reports for 2016 and 2017 and interviewed Treasury officials. See appendix I for a full description of our scope and methodology.", "We conducted this performance audit from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Treasury established HHF in February 2010 to help stabilize the housing market and assist homeowners facing foreclosure in the states hardest hit by the housing crisis. The HHF program is implemented by Treasury\u2019s Office of Financial Stability. Treasury obligated funds to 18 states and the District of Columbia. Treasury allocated funds to each state\u2019s HFA to help unemployed homeowners and others affected by house price declines. HFAs, in turn, design their own programs under HHF specific to local economic needs and circumstances pursuant to their contracts with Treasury.", "Treasury allocated $9.6 billion in HHF funding to 19 HFAs in five rounds. As described below, Treasury allocated $7.6 billion to participating HFAs during the first four rounds of funding, all of which occurred in 2010. HFAs were required to disburse these funds by December 2017.", "Round one: In February 2010, Treasury allocated $1.5 billion to the HFAs in the five states that had experienced the greatest housing price declines\u2014Arizona, California, Florida, Michigan, and Nevada.", "Round two: In March 2010, Treasury allocated $600 million to the HFAs in five states with a large proportion of their populations living in counties with unemployment rates above 12 percent in 2009\u2014North Carolina, Ohio, Oregon, Rhode Island, and South Carolina.", "Round three: In August 2010, Treasury allocated $2 billion to the HFAs in nine of the states funded in the previous rounds, along with the HFAs for eight additional states and the District of Columbia, all of which had unemployment rates higher than the national average in 2009. The additional HFAs that received funding were Alabama, the District of Columbia, Georgia, Illinois, Indiana, Kentucky, Mississippi, New Jersey, and Tennessee.", "Round four: In September 2010, Treasury allocated an additional $3.5 billion to the same 19 HFAs that received HHF funding through the previous rounds.", "In December 2015, the Consolidated Appropriations Act, 2016 authorized Treasury to make an additional $2 billion in unused TARP funds available to existing HHF participants. In early 2016, Treasury announced a fifth round of HHF funding. According to Treasury and HFA officials and other stakeholders, by that time some of the participating HFAs had begun to wind down their programs by letting go of program staff or making other changes after they had disbursed most of their funding from the first four rounds. Treasury allocated this additional $2 billion in two phases.", "Round five, phase one: In February 2016, Treasury allocated $1 billion to 18 of the HFAs that had previously been awarded HHF funds based on each state\u2019s population and utilization of previous HHF funds. In order to qualify for phase one funding, states had to have drawn at least 50 percent of their previously received funding.", "Round five, phase two: In April 2016, Treasury allocated an additional $1 billion to 13 HFAs that applied and sufficiently demonstrated to Treasury their states\u2019 ongoing housing market needs and the ability to effectively utilize additional funds. The HFAs that received funding were California, District of Columbia, Illinois, Indiana, Kentucky, Michigan, Mississippi, New Jersey, North Carolina, Ohio, Oregon, Rhode Island, and Tennessee.", "In conjunction with the fifth round of funding, Treasury extended the deadline for disbursement to December 31, 2021. Treasury also determined that HFAs must finish reviewing and underwriting all applications for final approval to participate in the program no later than December 31, 2020. HFAs that do not disburse HHF funds by the December 31, 2021, deadline will have to return the remainder of the funds to Treasury. See figure 1 for an overview of the allocation amounts and disbursement deadlines."], "subsections": [{"section_title": "HHF Programs", "paragraphs": ["Under HHF, HFAs designed locally tailored programs that address HHF\u2019s goals of preventing foreclosures and stabilizing housing markets. These programs had to meet the requirements of the Emergency Economic Stabilization Act of 2008 and be approved by Treasury. Treasury categorizes programs into six types, which are discussed in detail later in this report, including programs that provide monthly mortgage payment assistance and programs that reduce the principal of a mortgage. Programs vary by state in terms of eligibility criteria and other details.", "HFAs contract with various stakeholders to implement HHF programs, including mortgage servicers and, in some cases, housing counseling agencies and land banks. The types of stakeholders involved vary depending on program design. For example, HFAs with blight elimination programs may choose to provide HHF funding to a local land bank to demolish and green blighted properties in distressed housing markets.", "Also, HFAs may contract with housing counseling agencies approved by the Department of Housing and Urban Development (HUD) to identify eligible applicants at risk of foreclosure.", "HFAs are required to report performance information on each of their HHF programs to Treasury on a quarterly basis. This information includes outputs, such as the number of homeowners assisted or properties demolished, as well as outcomes, such as the number of homeowners who are no longer participating in HHF programs. The specific types of performance information that Treasury requires HFAs to report vary depending on the program type and include both intended and unintended consequences of the program. For example, HFAs with mortgage payment assistance programs must report on the number of homeowners who have transitioned out of the program due to specific changes in their circumstances, such as regaining employment. HFAs do not have to report on the number of borrowers who transitioned out of the program into foreclosure sales, short sales, or deeds-in-lieu of foreclosure for their down payment assistance programs because the assistance is provided on behalf of a buyer who is purchasing, not selling or otherwise exiting, the home. Treasury provides HFAs with spreadsheet templates, which HFAs are to fill out and submit back to Treasury. The templates include data-reporting guidance in the form of a data dictionary, which describes the data elements HFAs are to report."], "subsections": []}, {"section_title": "Participation Agreements", "paragraphs": ["Participating HFAs\u2019 HHF programs are governed by a participation agreement, or contract, with Treasury that outlines the terms and conditions in providing services that the HFA must meet as a recipient of HHF funds. Each agreement includes reporting requirements, program deadlines, and descriptions of permitted administrative expenses. Additionally, agreements include detailed descriptions of the HHF programs that Treasury has approved. Program descriptions include details such as eligibility criteria, structure of assistance, and the estimated number of participating homeowners.", "Participation agreements may be amended with Treasury approval to reflect changes to HHF programs, such as new requirements from Treasury or changes in the amounts HFAs allocate to each program. As an example, in 2015 Treasury added new conditions, called utilization thresholds, to each HFA\u2019s participation agreement. The thresholds establish the percentage of allocated funds each HFA was required to draw from its Treasury account by the end of each year from 2016 through 2018. If an HFA did not meet a threshold, Treasury reallocated a portion of the additional funds received during the fifth round to HFAs that did meet the threshold. If an HFA would like to make a change to an HHF program, the HFA must submit a request to Treasury that outlines the proposed change. Treasury reviews the proposal through an interdisciplinary committee and, if the proposal is approved, amends the participation agreement. As of December 2017, the 19 participating HFAs had each received approval from Treasury and executed between 9 and 21 amendments to their individual participation agreements."], "subsections": []}]}, {"section_title": "Treasury\u2019s Monitoring of HHF Addresses or Partially Addresses Leading Practices for Program Oversight", "paragraphs": ["Treasury\u2019s policies and procedures to monitor HFAs\u2019 implementation of the HHF program address 10 leading monitoring practices, including practices related to the collection of periodic performance reports and validation of performance through site visits. However, Treasury\u2019s assessment of HFAs\u2019 internal control programs, development of performance indicators, documentation of goals and measures, and documentation of HFAs\u2019 monitoring could better address leading practices (see fig. 2)."], "subsections": [{"section_title": "Treasury Addressed 10 Leading Practices for Monitoring", "paragraphs": [], "subsections": [{"section_title": "Regular Monitoring of Policies and Procedures", "paragraphs": ["Treasury created policies and procedures to guide regular oversight of HFAs\u2019 implementation of HHF. According to internal control standards for the federal government, management should design control activities to achieve objectives and implement control activities through policies\u2014 such as by periodically reviewing policies, procedures, and related control activities. In addition, management should establish and operate activities to monitor the internal control system and evaluate the results\u2014 for example, through ongoing monitoring procedures and separate evaluations. Treasury documented procedures for key areas of its monitoring framework, including providing funds to HFAs, evaluating HFAs\u2019 requests to change their programs, collecting financial and performance information from HFAs, conducting site visits, and addressing fraud detection and mitigation for Treasury\u2019s staff. Treasury regularly updates the policies and procedures it created and reviews its compliance oversight procedures annually. In addition, Treasury regularly conducts site visits to HFAs, as discussed below."], "subsections": []}, {"section_title": "Risk-Based Monitoring Approach", "paragraphs": ["Treasury uses a risk-based approach to selecting HFAs for its regular site visits. This approach is consistent with leading practices we have developed for managing fraud risk, which state that agencies should employ a risk-based approach to fraud monitoring by taking into account internal and external factors that can influence the control environment. In 2018, Treasury began using a point-based, 29-factor approach to selecting HFAs for site visits for compliance reviews, taking into account factors such as whether prior fraud was detected or reported, observations from HFAs\u2019 compliance reviews, administrative dollars spent compared to program assistance provided, and whether HFAs have documented blight-specific policies and procedures. According to Treasury staff, during site visits Treasury determines its test and sample sizes for a risk-based review of an HFA\u2019s programs.", "Treasury also uses a risk-based approach to responding to potentially impermissible payments, and according to Treasury staff, its responses depend on the circumstances. If an HFA notifies Treasury of issues related to inappropriate payments involving fraud, waste, or abuse, Treasury staff notify and work with the Office of the Special Inspector General for the Troubled Asset Relief Program (SIGTARP) to provide technical assistance as needed. In 2017, Treasury implemented additional procedures with regard to HFAs\u2019 administrative expenses. If Treasury identifies an administrative expense issue during a site visit, Treasury requires the visited HFA to undertake a multistep review of its administrative expenses, including reviewing additional administrative expenses if similar problems are identified during the initial review. The HFA is required to reimburse HHF for any administrative expenses that were not made in accordance with federal cost principles. Additionally, Treasury may require the HFA to create a plan for corrective action."], "subsections": []}, {"section_title": "Periodic Collection of Performance Reports and Data from Implementing Partners", "paragraphs": ["Treasury collects performance information from participating HFAs on a regular basis, which a compliance team receives and reviews. These efforts are consistent with internal control standards, which state that management should use quality information to achieve the entity\u2019s objectives, such as by obtaining relevant data from reliable sources. Treasury tracks its receipt of agencies\u2019 quarterly performance reports and financial statements, as well as HFAs\u2019 annual internal control certifications. Quarterly performance reports include information about homeowners, such as the number of homeowners who receive or are denied assistance. These reports also include program-specific performance data, such as the median assistance amount, and outcomes, such as the number of program participants who still own their home. According to HFAs\u2019 participation agreements, HFAs are required to report performance information through the end of their programs. In addition, Treasury collects informal monthly updates from HFAs on their program performance and is in frequent contact with HFAs by phone to obtain information on HFAs\u2019 performance, including any challenges states are facing, according to Treasury staff and HFAs with whom we met. Treasury also collects reports on the impact of blight elimination programs, which HFAs with these programs are required to submit to Treasury."], "subsections": []}, {"section_title": "Periodic Analysis of Performance Data", "paragraphs": ["Treasury regularly analyzes the performance and financial data that it collects through quarterly performance reports, quarterly unaudited financial statements, and annual audited financial statements that HFAs are required to submit. Periodic analysis of these materials is consistent with standards for internal control, which state that management should design control activities to achieve objectives and respond to risks\u2014for example, by establishing activities to monitor performance measures and indicators. Treasury uses information from quarterly performance reports to produce quarterly reports for the public on the number of homeowners who received or were denied assistance, among other things. Treasury also includes data on the extent to which states have spent their HHF funding in monthly reports to Congress. Additionally, Treasury analyzes quarterly unaudited and annual audited financial statements to monitor HFAs\u2019 spending of program funds and identify any areas of concern. According to Treasury staff, the agency also uses performance information HFAs report quarterly, such as the number of homeowners who receive or are denied assistance, to assess whether HFAs are making sufficient progress in effectively utilizing program funds to reach the targets for assisting homeowners."], "subsections": []}, {"section_title": "Procedures for Ensuring Quality of Performance Data", "paragraphs": ["Treasury has procedures to assess the quality of HFAs\u2019 performance data when reviewing quarterly performance reports and conducting site visits. These procedures are consistent with internal control standards, which state that management should use quality information to achieve the entity\u2019s objectives, such as by evaluating data sources for reliability. According to Treasury staff, beginning in the first quarter of 2018, Treasury required all participating HFAs to upload their performance data into a system that does basic data reliability testing, such as ensuring the numbers submitted by HFAs are consistent with data submitted for previous quarters. This system flags outliers or large changes for further review. Prior to this requirement, HFAs could use the system optionally. HFAs are able to upload their data as frequently as they want to check for errors or inconsistencies.", "After performance information is uploaded into the system, two Treasury staff review any issues flagged by the system and follow up with HFAs to resolve them. According to Treasury staff, as an additional validation step, Treasury staff conducts a reconciliation by checking whether the funds reported in HFAs\u2019 performance reports match the data in the HFAs\u2019 quarterly financial reports. After Treasury reviews each HFA\u2019s performance data, it combines that information to create quarterly reports. In addition, Treasury staff told us that they do a detailed review of HFAs\u2019 financial statements during site visits, including but not limited to the timeliness of financial reporting, corrections to reports after the reporting cycle, and supporting documentation for all categories of expenditures sampled during the review."], "subsections": []}, {"section_title": "Roles and Responsibilities of Personnel Responsible for Monitoring", "paragraphs": ["Treasury documents the offices that are responsible for receiving and reviewing monitoring materials, the deadlines for receiving this information, and the responsibilities of staff who execute internal control. This documentation is consistent with internal control standards, which state that management should implement control activities through policies, such as by documenting each unit\u2019s internal control responsibilities. The standards also state that management should remediate identified internal control deficiencies on a timely basis, such as by having personnel report internal control issues through established reporting lines. Treasury\u2019s policies and procedures document which offices are in charge of executing its monitoring procedures, such as collecting required documentation, conducting site visits, and evaluating HHF performance. Treasury informs HFAs of reporting lines to Treasury through phone calls and emails. Treasury and HFA staff also noted that they are in frequent contact with each other regarding administration of the program."], "subsections": []}, {"section_title": "Validation of Implementing Partners\u2019 Performance through Site Visits or Other Means of Verification", "paragraphs": ["Treasury uses regular (at least biennial) site visits, biweekly calls with HFAs, and monthly informal performance updates as means of validating HFAs\u2019 performance. These practices are consistent with OMB guidance, which states that a federal awarding agency may make site visits as warranted by program needs. Treasury uses its site visits to assess HFAs\u2019 program implementation, conduct its own analyses of program results, review HFAs\u2019 use of program funds, and review HFAs\u2019 implementation of internal controls. According to Treasury staff, Treasury also uses site visits to corroborate the information HFAs report on their program performance and use of HHF funds.", "According to HFAs with whom we met, site visits typically last multiple days and include entrance and exit conferences between Treasury and HFA staff. During site visits, Treasury staff review documentation related to homeowners and properties associated with the programs, quality assurance processes, antifraud procedures, information technology and data security, finances, and legal matters. After the site visit, Treasury issues a report documenting its observations. Within 30 days of receiving Treasury\u2019s written report, HFAs are required to provide Treasury with a written response describing how they will address any issues of concern."], "subsections": []}, {"section_title": "Procedures for Project Closeout", "paragraphs": ["Treasury included some procedures for project closeout in HFAs\u2019 participation agreements. Creating procedures for project closeout is consistent with OMB guidance, which states that agencies should close out federal awards when they determine that applicable administrative actions and all required work have been completed by the nonfederal entity. Participation agreements describe various procedures for closing out HHF programs, including requirements for the return of unexpended funds to Treasury and final reporting and provisions for reimbursement of expenses.", "In addition, according to Treasury staff, Treasury is in the process of developing and issuing wind-down guidance for HFAs in stages to address specific areas of program activity. Agency officials also discussed winding down the HHF program during Treasury\u2019s 2018 Annual Hardest Hit Fund Summit. The annual summit is a meeting that HFAs, servicers, and other stakeholders are invited to attend to facilitate information sharing among stakeholders involved in HHF. At the 2018 summit, the agency discussed topics that included final compliance and financial reviews, program change requests, operational timelines, and budgeting and staffing as they relate to the wind-down of HHF programs and operations. In addition, as states have begun to close some of their programs, Treasury has issued clarifying guidance to HFAs in order to effectively wind down the HHF program\u2014including on streamlining the process for requesting changes to programs. Treasury staff also performed outreach to each HFA in April 2018 about their wind-down plans and, according to Treasury staff, the agency expects to prepare written guidelines for HFAs on certain other topics related to winding down the program, including reporting requirements, as appropriate."], "subsections": []}, {"section_title": "Consideration of Performance Information in Making Management Decisions", "paragraphs": ["Treasury uses performance information to assess whether HFAs are performing at a satisfactory level. This practice is consistent with internal control standards, which state that management should establish and operate monitoring activities to monitor the internal control system and evaluate results, which can include evaluating and documenting the results of ongoing monitoring and separate evaluations to identify internal control issues. In addition, management should remediate identified internal control deficiencies on a timely basis. This can entail management completing and documenting corrective actions to remediate internal control deficiencies on a timely basis. Treasury staff described the agency\u2019s process of assessing HFAs\u2019 performance as \u201cholistic.\u201d As a part of this process, Treasury staff review the targets HFAs set for assisting households or demolishing blighted properties and monitor HFAs\u2019 utilization rates. According to Treasury staff, if performance and financial data suggest that an HFA is not making sufficient progress toward its performance targets or is drawing funds too slowly, Treasury collaborates with the HFA and the HFA must create a plan to improve its performance. If an HFA is not responsive to Treasury\u2019s efforts, Treasury issues a performance memorandum requiring the HFA to create a plan to address its deficiencies. As of October 2018, Treasury had issued performance memorandums to seven HFAs\u2014five in 2012 and two in 2015.", "Additionally, as mentioned previously, Treasury issues a report to each HFA following each site visit describing any issues of concern Treasury identified. Treasury requires HFAs to provide the agency with a written response to the report within 30 days of the report date describing the HFA\u2019s plan for addressing any deficiencies."], "subsections": []}, {"section_title": "Communication with External Parties to Address Risks and Achieve Objectives", "paragraphs": ["Treasury regularly communicates with HFAs, servicers, and other stakeholders interested in HHF, which is consistent with internal control standards that state management should externally communicate the necessary quality information to achieve the entity\u2019s objectives. This can include communicating with, and obtaining quality information from, external parties using established reporting lines. According to Treasury staff, Treasury holds biweekly calls with HFAs and servicers, facilitates issue-specific working groups between HFAs and stakeholders, and holds an annual summit related to HHF. HFA staff said Treasury staff are very responsive to program-related questions. Treasury\u2019s annual summit allows interested parties, such as HFAs, servicers, and other stakeholders, to discuss important issues related to HHF."], "subsections": []}]}, {"section_title": "Treasury Partially Addressed Four Leading Practices", "paragraphs": [], "subsections": [{"section_title": "Identification, Evaluation, and Monitoring of Risks", "paragraphs": ["To assist HFAs in designing their internal control activities, including defining program objectives, Treasury created an optional risk assessment matrix to help HFAs and their auditors identify and assess HFAs\u2019 risks. The matrix includes control objectives and example control activities, and it allows HFAs to determine their risk tolerances for each control objective. For example, for the risk of improper use of administrative funds, the matrix includes \u201censuring that appropriate documentation exists to support HHF administrative expenses\u201d as a control objective, and it lists routine review of administrative payments by internal auditors as an example control activity. HFAs can identify their risk tolerances as low, medium, or high in the matrix. This matrix is consistent with federal internal control standards, which state that management should define objectives clearly to enable the identification of risks and define risk tolerances.", "However, Treasury does not systematically collect or evaluate HFAs\u2019 risk assessments. HFAs\u2019 participation agreements require them to submit an annual certification of their internal control programs by an independent auditor to Treasury. According to Treasury staff, independent auditors sometimes choose to include HFAs\u2019 risk assessments with the annual certification, and during site visits Treasury obtains documentation of HFAs\u2019 internal control programs, which sometimes includes their risk assessments. Outside of these instances, Treasury does not routinely collect HFAs\u2019 risk assessments. Further, in those instances when Treasury does collect them, it does not analyze the assessments to evaluate whether the risk levels are appropriate. While Treasury does a more in-depth evaluation of HFAs\u2019 internal controls during site visits, this review does not include evaluating the appropriateness of the risk levels HFAs identified. For example, one of the risk assessment matrixes we reviewed listed the HFAs\u2019 administrative expenses as low-risk despite this HFA having a history of alleged improper-payment related issues with its HHF program, which Treasury\u2019s review would not have evaluated. Treasury officials told us that during site visits they may discuss the risk levels that HFAs determine, but Treasury has not asked or required any HFAs to change a risk level.", "Failure to collect and evaluate HFAs\u2019 risk assessments is inconsistent with an important practice for preventing fraud we have previously identified\u2014monitoring and evaluating the effectiveness of preventive activities, including fraud risk assessments and the antifraud strategy, as well as controls to detect fraud and response efforts. Further, according to internal control standards, management should identify, analyze, and respond to risks related to achieving the defined objectives, and an oversight body may oversee management\u2019s estimates of significance so that risk tolerances have been properly defined.", "According to Treasury staff, the risk assessment matrixes are intended for use by HFAs and their independent auditors in preparing for the annual certification. They said that risk tolerances, or levels, are to be assigned by HFAs and their independent auditors, not by Treasury, and that it would be inappropriate for Treasury to interfere with their determination. However, agreed-upon procedures performed by HFAs\u2019 independent auditors do not provide assurance or conclusion as to whether HFAs\u2019 risk levels are appropriate. For example, in two agreed-upon procedures reports we reviewed, the auditors stated that the procedures performed were based on the HFAs\u2019 risk matrixes, but they did not mention assessing whether the risk levels assigned to different controls were appropriate. Treasury staff also said that Treasury expands its sample size and criteria for specific programs or categories of expenses during a compliance review where repeated or significant observations have been previously found. However, by not collecting and evaluating HFAs\u2019 risk assessments, Treasury limits its ability to monitor the effectiveness of HFAs\u2019 preventive activities, controls to detect fraud, and response efforts. In addition, Treasury is missing an opportunity to help ensure that risk levels are appropriate."], "subsections": []}, {"section_title": "Documentation That Monitoring Plans Were Executed", "paragraphs": ["Treasury\u2019s documentation of its efforts to monitor HFAs is consistent with internal control standards, which state that management should establish and operate activities to monitor the internal control system and evaluate results and remediate deficiencies on a timely basis. More specifically, the standards cite as characteristics of these principles that management evaluate and document the results of ongoing monitoring and separate evaluations to identify internal control issues, and determine appropriate corrective actions for internal control deficiencies on a timely basis. Treasury addresses these criteria by documenting its monitoring findings through site visit reports, as previously discussed. Treasury requires HFAs to provide the agency with a plan to address any issue described in the site visit report within 30 days. In addition, Treasury addresses these criteria by documenting HFAs\u2019 responses and assessing whether the issue has been addressed at the next site visit. Furthermore, Treasury sets deadlines for and documents receipt of HFAs\u2019 annual internal control certifications, quarterly financial and performance reports, and annual audited financial statements. When underperforming HFAs are not responsive to Treasury\u2019s attempts to work with them to improve their performance, Treasury documents the issues it has found and requires the HFAs to create and submit a corrective plan.", "Treasury also directs HFAs to establish and execute their own internal control system, but it does not require HFAs to consistently document which of their staff are responsible for internal control execution. HFAs were required to submit staffing information within 90 days of joining HHF. However, HFAs are not required to regularly update this information. Further, Treasury\u2019s written procedures for reviewing HFAs\u2019 internal control programs during site visits do not include reviewing documentation of which HFA staff are responsible for responding to or reporting internal control issues. These practices are inconsistent with standards for internal control, which state that management should establish an organizational structure, assign responsibility, and delegate authority to achieve the entity\u2019s objectives. The standards also note that effective documentation can assist management\u2019s design of internal control by establishing the \u201cwho, what, when, where, and why\u201d of internal control execution.", "We asked Treasury if it encouraged HFAs to document which personnel are in charge of executing internal control procedures. Treasury staff referred us to the initial requirement that HFAs submit staffing information within 90 days of joining HHF and stated that there is no requirement that HFAs update this information. Further, Treasury staff said that during site visits they interview key HFA staff who execute internal controls and document these interviews. However, this practice does not help ensure that HFAs consistently provided updated information to their staff about which of their staff are responsible for internal control execution. Without requiring HFAs to routinely update their documentation, particularly as HFAs are winding down their HHF programs and staff begin to turn over, Treasury cannot be assured that HFAs are keeping their staff updated about who is responsible for monitoring issues and internal control execution."], "subsections": []}, {"section_title": "Development of Relevant Output and Outcome Performance Indicators", "paragraphs": ["Treasury and HFAs created quantitative output and outcome measures to assess HFAs\u2019 performance. For example, Treasury created utilization thresholds to help ensure HFAs spend their HHF funds in a timely manner. Also, HFAs created performance targets to estimate the number of homeowners they could assist (or blighted properties they could demolish) through HHF. These activities are consistent with an attribute of successful performance measures\u2014specifically, that measures should have a numerical goal.", "However, some of Treasury\u2019s performance measures are not clearly stated, and Treasury did not create consistent methodologies for HFAs to use to assess the performance of their HHF programs. In our previous work on attributes of successful measures, we identified that measures should be clearly stated and that the name and definition should be consistent with the methodology used to calculate them. While Treasury provided HFAs with a data dictionary to describe the information HFAs are required to report, Treasury defined the term \u201cunique applicants\u201d in a manner that allows HFAs to count applicants differently, leading to inconsistencies in HFAs\u2019 methodologies for calculating some performance measures. As discussed later in this report, Treasury also allowed and sometimes required HFAs to self-define some data elements.", "Additionally, performance measures should indicate how well different organizational levels are achieving goals. However, Treasury did not design a consistent methodology for HFAs to use to develop targets for the number of homeowners and properties their HHF programs may assist, and as discussed later in this report, HFAs we interviewed used different methodologies. Because some of Treasury\u2019s performance measures are not clearly stated and because Treasury did not design consistent methodologies for HFAs to use in setting targets, as HFAs close down their HHF programs, Treasury has a limited ability to compare performance across HFAs or aggregate these data to evaluate how well the HHF program as a whole is achieving its goals."], "subsections": []}, {"section_title": "Documentation of Goals and Measures and Their Relationship to Program Outputs", "paragraphs": ["Treasury created goals and measures to assess HHF performance, consistent with a practice we previously identified of creating performance goals and measures that address important dimensions of program performance and balance competing priorities. Treasury addressed this practice by creating utilization thresholds for HFAs and inserting them in HFAs\u2019 participation agreements. Treasury also addressed this practice by documenting its performance measures, using standardized spreadsheets through which HFAs regularly report on outputs and outcomes related to the services provided to distressed homeowners.", "However, Treasury has not explicitly documented the relationship between program outputs and the overall goals of the HHF program, and it does not generally require HFAs to establish intermediate goals unless the HFA has not met Treasury\u2019s performance expectations. This is inconsistent with practices we previously identified relating to results- oriented performance goals and measures. Among these practices are including explanatory information on goals and measures in performance plans and using intermediate goals to show progress or contributions toward intended results. The main goals of HHF are to prevent foreclosures and stabilize housing markets. However, Treasury has not documented the relationship between many of the program outputs it tracks and the main goals of the HHF program. According to Treasury, the relationship between its outputs and the goals of HHF can be inferred through various memorandums and materials it issued when HHF was created. However, these documents do not explicitly explain the rationale for the use of these output measures to assess HHF\u2019s ability to stabilize neighborhoods and prevent foreclosures. By not documenting the relationship between HHF\u2019s program outputs and services and the overall goals of the HHF program or requiring all HFAs to set intermediate goals, Treasury missed the opportunity to more proactively articulate a results- oriented focus for the HHF program."], "subsections": []}]}]}, {"section_title": "Most HFAs Have Met Thresholds for Withdrawing Funds, but Inconsistent Targets and Outcome Measures Limit the Assessment of Program Performance Most Homeowners Participating in HHF Were Assisted through Mortgage Payment Assistance Programs", "paragraphs": ["As of December 2017, the 19 participating HFAs had 71 active HHF programs. Active HHF programs fall under one of six Treasury-defined program types: mortgage assistance, reinstatement, transition assistance, principal reduction, down payment assistance, and blight elimination. Participating HFAs may have implemented additional HHF programs, but these programs had either stopped disbursing funds or had not received a total allocation from Treasury at the time of our review. Individual HFAs may implement multiple programs\u2014for example, the Mississippi HFA had two active programs, and the South Carolina HFA had five.", "The most common type of HHF program as of December 2017 was mortgage assistance, as shown in table 1. All 19 HFAs had active mortgage payment assistance programs as of December 2017. In contrast, 3 HFAs had active transition assistance programs.", "As of December 2017, we found that the 71 active HHF programs had assisted approximately 400,000 homeowners and demolished almost 24,000 blighted properties. According to Treasury data, the majority of homeowners who received HHF assistance participated in a mortgage payment assistance program. Treasury data also indicate that transition assistance programs assisted the smallest number of homeowners relative to other HHF program types (see table 2).", "HHF programs of the same program type can vary in a number of ways, including eligibility criteria, length of time implemented, and number of homeowners assisted. Within each program type, HFAs designed programs that sometimes varied based on specific housing needs. For example, while both the Nevada and Florida HFAs had active reinstatement programs as of December 2017, these programs had different eligibility criteria. The Nevada HFA\u2019s reinstatement program targeted low-to-moderate income homeowners who had fallen behind on their mortgages. The Florida HFA offered a similar reinstatement program for delinquent mortgages but also offered a program for senior homeowners who had fallen behind on property taxes and other fees.", "HHF programs also varied by duration and the amounts of assistance provided as of December 2017. For instance, since all HFAs initially launched mortgage payment assistance programs at the beginning of HHF, these programs have been active for an average of 7 years. In contrast, HFAs began implementing down payment assistance programs in 2015. Additionally, the median amount of assistance provided varied by program type. According to analysis of Treasury data from 2010 through 2017, assistance ranged from a median amount of $4,000 per household for transition assistance programs to over $42,000 per household for principal reduction programs.", "The HHF program is beginning to wind down. As of September 2018, Treasury had disbursed $9.1 billion of the $9.6 billion obligated under HHF. According to Treasury officials, although HFAs may continue issuing new approvals through December 31, 2020, most states have already begun to close down HHF programs or will do so by the end of 2018 as they exhaust their available funds. These include California and Florida, the two largest states in the program."], "subsections": [{"section_title": "Most HFAs Have Met Thresholds for Withdrawing Funds from Treasury", "paragraphs": ["According to Treasury officials, during the fifth round of funding Treasury established new conditions for HFAs, called utilization thresholds, to help maximize the use of the $2 billion in newly available funds. According to documentation from Treasury, if an HFA does not meet its utilization threshold, Treasury will reallocate a portion of the unused funds to HFAs that did. The amount reallocated to each HFA is determined by state population, the percentage of funds drawn by HFAs, and other factors.", "The utilization thresholds for 2016 and 2017 were structured as follows:", "2016. If an HFA did not draw at least 70 percent of its funding from rounds one through four by December 31, 2016, 50 percent of its round five funding would have been reallocated.", "2017. If an HFA did not draw at least 95 percent of its funding from rounds one through four by December 31, 2017, 75 percent of its round five funding would have been reallocated.", "Most HFAs have met Treasury\u2019s 2016 and 2017 utilization thresholds. More specifically, the 18 HFAs eligible for round five funding met the 2016 utilization threshold. As a result, Treasury did not reallocate any HHF funds for that year. As of December 2017, 17 of the 18 HFAs eligible for round five funding met the 2017 utilization threshold. The Nevada HFA drew 70 percent of its funding for rounds one through four as of December 31, 2017, and therefore did not meet the 2017 utilization threshold. As a result, Treasury reallocated approximately $6.7 million of the Nevada HFA\u2019s unused fifth round HHF funds to the 17 other HFAs.", "As of September 2018, all HFAs had met the 2018 utilization threshold, and Treasury had disbursed most of the funds obligated under HHF. If an HFA did not draw at least 80 percent of its participation cap by December 31, 2018, an amount equal to the portion of round five funding that had not been drawn from Treasury would have been reallocated."], "subsections": []}, {"section_title": "Data on the Extent to Which HHF Programs Met Targets Are of Limited Use Because Treasury Did Not Develop a Consistent Methodology for Calculating Targets", "paragraphs": ["The targets that HFAs set are of limited use for evaluating the performance of individual programs, program types, HFAs, or the HHF program overall. In their participation agreements, HFAs were required to estimate the number of homeowners they intended to assist and, if they had a blight elimination program, the number of blighted properties they intended to demolish for each of their HHF programs. Treasury refers to these estimates as targets.", "HFAs that we spoke with used different methodologies to calculate these targets. For instance, one of the HFAs we spoke to calculated targets for the number of homeowners they could assist by dividing the program\u2019s total allocation by the average amount of assistance it anticipated awarding to each homeowner. In contrast, another HFA calculated its target for assisting homeowners by dividing that program\u2019s total allocation by the maximum amount of assistance homeowners could be awarded through the program. According to Treasury staff, they did not develop a consistent methodology for HFAs to use in setting these targets because, in their view, HFAs are most familiar with local conditions and should have flexibility in adjusting the program criteria or creating new programs based on these conditions.", "Internal control standards state that management should define objectives clearly to enable the identification of risks and define risk tolerances. In particular, the standards note the importance of stating measurable objectives in a form that permits reasonably consistent measurement. Further, our guide to designing evaluations states that where federal programs operate through multiple local public or private agencies, it is important that the data agencies collect are sufficiently consistent to permit aggregation nationwide, which allows evaluation of progress toward national goals. Because Treasury did not develop a consistent methodology for HFAs to use when setting performance targets, the targets HFAs developed do not permit consistent measurement of program performance or an evaluation of how well the HHF program as a whole met its goals. However, with the program beginning to wind down, any changes going forward would not improve the consistency of previously collected data or Treasury\u2019s ability to evaluate the program as a whole."], "subsections": []}, {"section_title": "Treasury Collects Information on Outcomes for Some HHF Programs, but This Information Is of Limited Use", "paragraphs": [], "subsections": [{"section_title": "Treasury Requires HFAs to Report Some Outcome Information for Four Program Types", "paragraphs": ["Treasury collects quarterly data on outcomes from HFAs that implement four of the six HHF program types: mortgage payment assistance, principal reduction, reinstatement programs, and transition assistance programs. HFAs must track outcomes, both intended and unintended, until a household is no longer involved with an HHF program. Intended outcomes include, for example, the number of homeowners who completed or transitioned out of an HHF program as a result of regaining employment. Unintended outcomes include the number of homeowners who transitioned out of an HHF program into a foreclosure sale. The type of outcomes Treasury requires HFAs to track depends on the program type.", "Treasury did not design outcome measures in a way that would permit it to use these data to evaluate whether HFAs or the overall program are achieving the stated goals. More specifically, Treasury officials told us that the data they collect on outcomes cannot be used to compare the outcomes achieved by different HFAs or through different HHF program types. According to Treasury officials, HFAs have historically had different interpretations of Treasury\u2019s outcome measures. Treasury revised its template for HHF reporting in 2015 and 2017 to clarify certain performance-related terms. However, Treasury officials told us that conclusions drawn from HHF data on some outcomes are of limited use because HFAs interpret Treasury\u2019s guidance on these data differently. Additionally, after it made revisions to guidance on performance reporting in 2015, Treasury allowed\u2014and in some cases required\u2014HFAs to self- define certain data elements. For example, Treasury required HFAs to define how they calculate the median principal forgiveness awarded by an HHF program.", "As previously discussed, a key attribute of effective performance measurement is clearly stated performance measures with names and definitions that are consistent with the methodology used to calculate the measure. Additionally, we have noted in our guide to designing evaluations that a program\u2019s outcomes signal the ultimate benefits achieved by a program and should be considered when evaluating a program. Further, OMB has set the expectation that agencies should conduct evaluations of federal programs. However, because Treasury did not clarify certain outcome measures until 5 years into the program, or take steps to ensure that HFAs calculated alternative outcomes consistently, even after Treasury clarified its reporting guidance, the alternative outcomes data that Treasury collects are of limited use for evaluating the performance of HFAs, HHF programs by program type, or the HHF program overall. As many programs are closing, further clarification or changes would not capture the full scope of the program and would not improve such evaluations."], "subsections": []}, {"section_title": "Treasury Requires HFAs with Blight Elimination and Down Payment Assistance Programs to Conduct Impact Studies", "paragraphs": ["Treasury requires HFAs with blight elimination and down-payment assistance programs to identify indicators that are intended to track and quantify the HHF program\u2019s impact on targeted areas, although HFAs are not required to report outcomes data to Treasury in their quarterly performance reports for these program types. According to Treasury, blight elimination and down payment assistance programs are focused on stabilizing housing markets in targeted distressed areas to prevent foreclosures, and therefore they are not required to report individual-level outcomes for HFAs to report in quarterly performance reports. Treasury officials told us that the impact of these program types upon neighborhoods, such as increases in the values of properties in neighborhoods where down-payment assistance or blight elimination programs were used, may not be observable immediately but may appear over time. As of August 2018, four of eight HFAs with blight elimination programs had submitted impact studies to Treasury. Also, all HFAs with down payment assistance programs have submitted studies to Treasury.", "Three blight elimination program impact studies suggest that the programs had positive impacts on targeted areas, although two of the studies have important limitations. Studies on the programs in Michigan and Ohio found that home prices increased in communities where blighted properties were demolished. For example, the Ohio study found there was about a 4-dollar increase in home values for every dollar spent on the HHF-funded blight elimination program. However, this study examined only 1 of the 18 counties that were served by the Ohio HFA\u2019s blight elimination program. A study on the Illinois program found that certain key economic indicators had improved over a 6-year period in areas targeted by the program. For example, the percentage of negative equity mortgages in 9 of the 10 areas studied declined by an average of 7 percent between 2010 and 2016. However, the findings of this study do not isolate the independent effect of the Illinois HFA\u2019s blight elimination program because other factors, such as local economic conditions, could also affect the performance of key economic indicators."], "subsections": []}]}]}, {"section_title": "Stakeholders Identified a Variety of Challenges in Implementing HHF Programs", "paragraphs": [], "subsections": [{"section_title": "Treasury, HFAs, and Mortgage Servicers Described Challenges Related to Implementing Programs", "paragraphs": ["HHF stakeholders with whom we spoke described challenges in implementing HHF programs related to staffing and multiple funding rounds, program implementation, outreach to borrowers, program accessibility, the variety of programs and their status, and external factors. Both Treasury staff with responsibilities for monitoring HFAs\u2019 implementation of HHF and stakeholders told us that these were the types of topics discussed during regular phone calls and annual meetings. Stakeholders included staff from four HFAs that are implementing HHF programs, mortgage servicers and housing counseling agencies that are involved with HHF, and other interested organizations, including those that work with HFAs.", "Staffing and multiple funding rounds. All four HFAs and various stakeholders with whom we spoke told us that staff turnover at HFAs presents challenges. In some cases, turnover has been related to the way the HHF program has been funded. For example, staff from two HFAs mentioned that either they let staff go or their temporary staff found more permanent positions as the agencies spent down their initial HHF funds. When Congress authorized Treasury to make additional TARP funds available to HHF beginning in 2016, these HFAs had to hire and train new staff. Treasury officials told us that many HFAs encountered staffing challenges as a result of the program\u2019s fifth funding round. Additionally, staff from two servicers and an organization that advocates for HFAs told us that HFA turnover presents challenges because it takes time for new staff to become familiar with the program and for programs to ramp back up.", "Program implementation. Staff from most of the HFAs and servicers with whom we spoke, as well as Treasury staff and other stakeholders, told us that implementation of the HHF program was challenging. Specific implementation challenges mentioned by HFAs included creating an in- house information system to manage HHF data; managing refinancing requests from homeowners who have been awarded HHF funds (to help ensure the HFA\u2019s place as a lien-holder); and sharing information with servicers. While Treasury helped to develop a system to facilitate the sharing of loan-level information for the HHF program, one HFA and some servicers noted that the system has not always worked smoothly. Additionally, Treasury staff told us that a challenge HFAs are currently facing is the wind-down of the HHF program. They stated that HFAs must determine how they should advertise to the public, internal staff, and external partners that programs are closing; when they should stop accepting applications; and what resources are available for activities related to program closeout.", "Outreach to homeowners. All four HFAs and an advocacy organization told us that it can be challenging to effectively reach eligible homeowners. As an example, staff from one HFA told us that housing counseling agencies have been an effective tool for making homeowners aware of HHF programs but that there are fewer foreclosure counselors available to homeowners now compared to when the HHF program started in 2010. Staff from an HFA that closed its HHF programs to new applicants after the initial funding rounds told us that it was challenging to communicate to the public, and therefore to potential clients, that its HHF programs were reopening after they received additional funding. Additionally, a representative of a nonprofit organization that works to address challenges in the mortgage market told us that many people did not know about the HHF program and that program information was hard for consumers to find on many states\u2019 websites.", "Program accessibility. According to academic research and two stakeholders (an advocacy group and a housing counseling agency), the accessibility of an HFA\u2019s program can affect program participation. A 2014 study of Ohio\u2019s HHF program found that the design of the program hampered accessibility and therefore program participation. The program was designed to require registrants (those who started the application process) to continue the application process by working with a housing counseling agency. The study found that registrants who lived within 5 miles of their assigned housing counseling agency submitted a complete application almost 32 percent of the time, while those who lived over 50 miles away submitted a complete application about 18 percent of the time. Similarly, a representative for an organization that advocates on behalf of low-income homeowners noted that the design of one state HHF program requires applicants to meet with specific housing counseling agencies to complete the application process. However, the housing counseling agencies to which applicants are assigned may not be nearby. The representative stated that in some cases, homeowners are assigned to a housing counseling agency that is located 3 or 4 hours away from where the homeowners live. According to the advocacy group representative, this design is particularly challenging for elderly homeowners who may have trouble applying online and need personal help.", "Additionally, representatives for a housing counseling agency told us that their state HFA stopped involving community organizations to guide applicants throughout the application process once the HFA received additional HHF funding in 2016 and instead chose to work with applicants directly. They said this design may hurt homeowners who do not live near the HFA and would benefit from in-person assistance that could be provided close to their homes. A representative from the state\u2019s HFA confirmed that the HFA decided to work directly with applicants once it received additional HHF funds in 2016. The representative stated that while homeowners could also apply for HHF assistance online (after the HFA changed the program design in 2016), the HFA\u2019s system did not accept electronic signatures. Thus, homeowners without the ability to print and scan documents would need to come to the HFA\u2019s office to complete the application process.", "Variety of programs and their status. Treasury officials noted that the wide variety of programs that HFAs are implementing can create operational challenges for HFAs. As an example, the officials explained that HFAs may encounter challenges when their programs require coordination with local partners. For example, land banks can encounter delays in acquiring properties for demolition, and contractors may not do demolition work properly or may attempt to increase the amounts that they charge for their work after winning a contract.", "Five mortgage servicers with whom we spoke described similar challenges. For example, representatives from one servicer told us that it was challenging to work with the 19 different HFAs because they all implemented different HHF programs. The representative added that it was particularly challenging if an HFA had a change in either leadership or points of contact for the HHF program. Another servicer explained that servicers have to review each HFA\u2019s participation agreement and subsequent updates. This servicer noted that updates to agreements can create challenges, as the servicer needs to determine whether it can provide what the HFA is requesting. Representatives from this and a third servicer told us that it would have been helpful for servicers to have an up-to-date list of active HHF programs. Further, one servicer told us that it is challenging to help homeowners understand that each HFA and program has different requirements and guidelines. As previously discussed, Treasury communicates information to stakeholders, such as servicers, through regular conference calls. However, Treasury expects HFAs to keep their servicers abreast of the status of HHF programs because HFAs contract directly with servicers.", "Representatives from one HFA noted that it was challenging to keep servicers updated on changes to their HHF programs. For example, they reported that when the HFA made changes to its unemployment program, servicers confused the program with another of the agency\u2019s HHF programs. The representatives also stated that they have had to make many phone calls to try to keep servicers up to date.", "External factors. Treasury officials and other stakeholders noted that external factors such as changing market needs and natural disasters have created challenges for some HFAs. Treasury officials noted that some HFAs have had to change their HHF programs over time to respond to changes in local housing conditions. An organization that advocates for HFAs as well as an HFA similarly noted that changing housing markets present challenges for HFAs, which have to adjust their program offerings in an effort to continue to serve homeowners. As previously discussed, HFAs must obtain Treasury approval to add or revise their HHF programs, and they must document the changes by amending participation agreements. Treasury officials also noted that natural disasters can affect HHF programs because HFAs have to turn their attention to post-disaster housing needs. Additionally, Treasury officials stated that after a natural disaster it can become difficult to verify the eligibility of applicants, particularly if key documents have been lost or communication channels with homeowners or servicers are affected."], "subsections": []}, {"section_title": "Treasury and SIGTARP Also Identified Challenges through Their Monitoring and Oversight Activities", "paragraphs": ["Through its on-site monitoring efforts, Treasury has identified issues that participating HFAs must address for their HHF programs. During on-site reviews in 2016 and 2017, Treasury staff assessed selected HFAs\u2019 efforts in one or more Treasury-identified areas. As previously noted, Treasury\u2019s policy at the time of our review was to conduct on-site reviews of each participating HFA at least once every 2 years. In 2016 Treasury conducted on-site monitoring visits for 14 HFAs and identified issues that the HFAs needed to address to improve their HHF programs. Issues Treasury identified primarily fell into two areas. The first of these was monitoring processes and internal controls\u2014for example, Treasury found that one HFA had not developed documentation of its compliance procedures for a down payment assistance program. The other primary area was homeowner eligibility\u2014for example, Treasury found that an HFA had misclassified the reasons that some homeowners were not admitted into the state\u2019s HHF program.", "In 2017 Treasury conducted site visits to 15 HFAs. For this period, Treasury\u2019s most common issues related to homeowner eligibility and administrative expenses. According to Treasury officials, the increase in issues related to administrative expenses between 2016 and 2017 was a result of greater agency focus on this topic. Treasury observed, for example, that one HFA lacked sufficient documentation to support some administrative expenses and that another HFA had misclassified some administrative expenses. As previously discussed, HFAs are required to provide Treasury with a written plan describing how they will address issues Treasury identifies and reimburse HHF for any impermissible expenses.", "Through its oversight activities, SIGTARP reported that some participating HFAs have encountered challenges related to appropriate use of administrative expenses, management of their programs, and blight removal. In August 2017, SIGTARP reported that participating HFAs used $3 million in HHF funds for unnecessary expenses. The report maintained that some HFAs were using their administrative funds for expenses that were unnecessary. In a May 2018 hearing, SIGTARP testified that some HFAs were not following federal cost principles related to administrative expenses. Additionally, SIGTARP has issued reports describing mismanagement of the HHF program by specific HFAs, as well as challenges related to blight removal. While Treasury has disagreed with the dollar amount of administrative expenses used inappropriately by HFAs, it has also worked with HFAs and SIGTARP to address SIGTARP\u2019s findings."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["As HHF programs begin to close and participating HFAs take steps to ensure they spend all of their HHF funds before the program deadline, opportunities exist in two areas for Treasury to manage risk and improve program operation and closeout:", "By not consistently and routinely collecting HFAs\u2019 risk assessments, Treasury limits its ability to monitor and evaluate the effectiveness of HFAs\u2019 preventive activities, controls to detect fraud, and response efforts. Further, by not evaluating these risk assessments, Treasury is missing an opportunity to help ensure that risk levels are appropriate.", "As HFAs wind down their HHF programs and HFA staff are relieved of their HHF-related positions, maintaining updated and accurate staffing information can help ensure that HFA staff are informed of who in their own offices is responsible for internal control execution.", "Because Treasury did not implement the HHF program in a manner that is consistent with standards for program evaluation design we previously identified, the performance data that Treasury collects do not provide significant insights into the program\u2019s effectiveness. More specifically, Treasury did not clearly state some of its performance measures; lacks documentation of the relationship between program outputs and overall goals; did not design consistent methodologies for HFAs to use in setting did not require participating HFAs to use consistent methodologies to calculate outcomes.", "As a result, Treasury cannot aggregate key performance data or compare performance data across HFAs or HHF program types to demonstrate the results of the HHF program. As we have previously reported, OMB has set the expectation that agencies should conduct evaluations of federal programs. Moreover, our guide to designing evaluations states that where federal programs operate through multiple local public or private agencies, it important to ensure the data these agencies collect are sufficiently consistent to permit aggregation nationwide in order to evaluate progress toward national goals. Although HHF programs must stop disbursing funds by December 31, 2021, many of the programs have already ended or are in the process of winding down, making it too late for changes to Treasury\u2019s approach to performance measurement to have a meaningful impact. However, we note that if Treasury were to extend the current program, as it did after Congress provided additional funding in 2015, or if Congress were to establish a similar program due to a future housing crisis, it would be useful at that time for Treasury to develop a program evaluation design that would allow the agency to assess overall program performance, as well as assess performance across HFAs and program types."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to Treasury: The Assistant Secretary for Financial Institutions should annually collect and evaluate HFAs\u2019 risk assessments, which include HFAs\u2019 risk levels. (Recommendation 1)", "The Assistant Secretary for Financial Institutions should ensure that the documentation listing the HFA staff responsible for internal control execution is updated routinely. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Treasury for review and comment. In its comments, reproduced in appendix IV, Treasury agreed with our recommendations and stated that it has already taken steps toward addressing them by enhancing the existing review procedures for HFA\u2019s risk assessments and staffing updates. Treasury also provided a technical comment, which we incorporated.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Treasury, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. We will make copies available to others upon request. The report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or ortiza@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are listed on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to (1) determine the extent to which the Department of the Treasury\u2019s (Treasury) monitoring of the Hardest Hit Fund (HHF) addresses leading practices for program oversight, (2) provide information on housing finance agencies\u2019 (HFA) active programs and the status of HFAs\u2019 progress toward program targets, and (3) describe challenges in implementing HHF programs that HFAs and others identified.", "To determine the extent to which Treasury\u2019s monitoring of HHF addresses leading practices for program oversight, we used a scorecard methodology to compare Treasury\u2019s monitoring policies and procedures, as implemented by 2016, against leading practices for an effective monitoring framework. To create the framework, we reviewed key reports and guidance related to monitoring, oversight, and performance management. In particular we reviewed relevant leading practices from internal control standards; previous GAO work on results-oriented performance goals and measures, key attributes for successful performance measures, characteristics for successful hierarches of performance measures, and managing fraud risk; and Office of Management and Budget guidance on oversight. Although Treasury is not required to follow all of the guidance that we identified, we determined that the guidance describes practices that are helpful for creating an effective monitoring framework.", "To select the practices for the scorecard, we focused on practices relevant to the structure of an oversight framework (including fraud risk); performance measures; goal setting; and communication with external parties. We reviewed key reports and guidance and then vetted our selected practices with stakeholders knowledgeable about performance measurement, design methodology, fraud risk, and the law. Based on this review and input, we consolidated identified practices into 14 leading practices to apply to Treasury\u2019s monitoring framework.", "We then assessed Treasury\u2019s policies and procedures against the framework. Specifically, we reviewed the agencies\u2019 documented policies and procedures, reviewed documentation of how Treasury followed its policies and procedures, conducted interviews with Treasury staff responsible for overseeing HHF, and interviewed stakeholders, such as mortgage servicers, about Treasury\u2019s monitoring of HHF. We also interviewed staff from four HFAs about Treasury\u2019s monitoring of their programs; we selected the HFAs based on their mix of HHF programs, proportion of HHF funds disbursed, and geographic diversity. We also took into account whether stakeholders indicated that an HFA\u2019s implementation of the program was particularly successful or challenging. With regard to the documentation Treasury collects as part of its monitoring, we limited our review to its 2016 and 2017 monitoring activities, and we limited our review of Treasury\u2019s written policies and procedures to those implemented from January 2016 to September 2018. Two analysts independently reviewed agency policies and procedures to determine whether the policies were consistent with the 14 identified leading practices. Any disagreements in the determinations were resolved through discussion or with a third party, including the General Counsel\u2019s office. We categorized each practice as follows:", "Addressed: Treasury\u2019s policies and procedures reflect each component of the leading practice.", "Partially addressed: Treasury\u2019s policies and procedures reflect some but not all components of the leading practice.", "Not addressed: Treasury\u2019s policies and procedures do not reflect any of the components of the leading practice To describe active HHF programs and the status of HFAs\u2019 progress toward program goals, we reviewed program documents, administered a data collection instrument, and spoke with officials at four HFAs (selected as previously described) and Treasury. We defined active programs as those that had a total allocation approved by Treasury and were accepting applications and still disbursing funds to households or blight elimination projects as of December 2017. In order to identify which programs were active, we developed, collected, and reviewed a questionnaire in which HFAs provided information on when each of their HHF programs started and stopped disbursing funds. For each of the 71 active programs we identified, we reviewed quarterly performance reports as of December 2017 to compile descriptive information such as program outputs and outcomes.", "Through the review of program documentation and interviews with knowledgeable officials, we found that Treasury\u2019s output data were sufficiently reliable for our description of homeowners assisted and properties demolished. We also found that the data Treasury collected from HFAs on program outcomes were not reliable for the purpose of summarizing alternative outcomes by HFA or by program type. Treasury officials noted that the conclusions that can be drawn from alternative outcome data are inherently limited, particularly for the purpose of making comparisons between HFAs or program types, due to HFAs interpreting certain outcome measures differently, among other factors. Additionally, by comparing Treasury\u2019s outcome measures to leading practices, we found that their definitions were not clearly stated.", "We also identified four studies on the impact of HHF blight elimination programs and reviewed them for reliable methodology. We determined that one of the four studies was not reliable for the purpose of assessing the impact of blight programs on targeted areas. Two of the three studies that we determined to be reliable had important limitations. One study examined 1 of the 18 counties that were served by that HFA\u2019s blight elimination program. The other study did not isolate the independent effect of the HFA\u2019s blight elimination program because other factors, such as local economic conditions, could also affect the performance of key economic indicators. We reviewed each HFA\u2019s contract with Treasury as of December 2017 to identify each program\u2019s target for assisting homeowners or demolishing blighted properties. Through comparison with internal control standards, we found that these targets were not reliable for the purpose of describing HFAs\u2019 progress toward program goals because they were not stated in a form that permitted reasonably consistent measurement.", "To describe the factors Treasury identified as challenges for the HHF program, we analyzed Treasury\u2019s on-site compliance monitoring reports for 2016 and 2017. As a part of our analysis, we identified the HFAs that Treasury visited in 2016 and 2017 and the extent to which Treasury had observations related to five Treasury-identified areas: monitoring processes and internal controls, eligibility, program expenses and income, administrative expenses, and reporting.", "We also interviewed key stakeholders regarding their views of challenges related to implementation of the HHF program, particularly since 2012. We discussed challenges with Treasury staff with responsibilities for monitoring HFAs\u2019 implementation of the program; staff from four HFAs that are implementing HHF programs; six mortgage servicers that are involved with the HHF program; and two housing counseling agencies that are involved with the HHF program. For two of the HFAs with blight elimination programs, we conducted site visits to observe activities related to blight elimination. Additionally, we discussed challenges with other interested organizations, including an association for HFAs and an organization that brings together housing counselors, mortgage companies, investors, and other mortgage market participants to help address challenges in the mortgage market. Further, we reviewed reports issued by the Special Inspector General for the Troubled Asset Relief Program. We summarized the challenges that stakeholders described.", "We conducted this performance audit from November 2017 through December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Monitoring Scorecard", "paragraphs": ["To determine the extent to which the Department of the Treasury\u2019s (Treasury) policies and procedures for monitoring and oversight address leading monitoring practices, we identified factors for an effective monitoring framework based on a review of key reports and guidance and input from stakeholders knowledgeable about performance measurement, design methodology, fraud risk, and the law. To select the practices for the scorecard, we focused on factors relevant to the structure of an oversight framework (including fraud risk); performance measures; goal setting; and communication with external parties. We consolidated identified factors into 14 leading practices to apply to Treasury\u2019s oversight and monitoring framework. See Table 3 for the 14 leading practices and their underlying factors."], "subsections": []}, {"section_title": "Appendix III: Homeowners Assisted through the Hardest Hit Fund", "paragraphs": ["As shown in table 4, housing finance agencies (HFA) were implementing from one to seven Hardest Hit Fund (HHF) programs (excluding blight programs) as of the fourth quarter of 2017. We included programs for which HFAs were disbursing funds to homeowners. As of December 2017, individual HFAs had assisted from 807 to 86,220 homeowners.", "Eight HFAs were implementing active blight elimination programs as of December 2017, as shown in table 5. The number of blighted properties demolished by individual HFAs ranged from 0 to 13,925.", "The Department of the Treasury\u2019s 2017 utilization threshold requires that HFAs draw at least 95 percent of their HHF funding from rounds one through four by December 31, 2017 (see table 6). As of December 2017, 17 of 18 HFAs had drawn 95 percent or more of their funding from rounds one through four. The Nevada HFA had drawn 70 percent of its funding from rounds one through four."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jill Naamane, Assistant Director; Lisa Moore, Analyst in Charge; Vida Awumey; Farrah Graham; John Karikari; Moira Lenox; Benjamin Licht; Dan Luo; John McGrail; Marc Molino; Jennifer Schwartz; Shannon Smith; Estelle Tsay-Huang; and Erin Villas made key contributions to this report."], "subsections": []}]}], "fastfact": ["Treasury's Hardest Hit Fund provided nearly $10 billion to states that experienced high unemployment and large drops in home prices during the housing crisis. States use the funds to help homeowners avoid foreclosure or to demolish blighted properties.", "Treasury monitors states' use of these funds by collecting reports on performance and spending and conducting site visits, which are important monitoring practices. However, because states don\u2019t report the data in the same way, Treasury can\u2019t effectively evaluate state programs or the fund overall. We recommended that Treasury improve certain monitoring practices."]} {"id": "GAO-18-622", "url": "https://www.gao.gov/products/GAO-18-622", "title": "High-Risk Series: Urgent Actions Are Needed to Address Cybersecurity Challenges Facing the Nation", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies and the nation's critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014are dependent on information technology systems to carry out operations. The security of these systems and the data they use is vital to public confidence and national security, prosperity, and well-being.", "The risks to these systems are increasing as security threats evolve and become more sophisticated. GAO first designated information security as a government-wide high-risk area in 1997. This was expanded to include protecting cyber critical infrastructure in 2003 and protecting the privacy of personally identifiable information in 2015.", "This report provides an update to the information security high-risk area. To do so, GAO identified the actions the federal government and other entities need to take to address cybersecurity challenges. GAO primarily reviewed prior work issued since the start of fiscal year 2016 related to privacy, critical federal functions, and cybersecurity incidents, among other areas. GAO also reviewed recent cybersecurity policy and strategy documents, as well as information security industry reports of recent cyberattacks and security breaches."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has identified four major cybersecurity challenges and 10 critical actions that the federal government and other entities need to take to address them. GAO continues to designate information security as a government-wide high-risk area due to increasing cyber-based threats and the persistent nature of security vulnerabilities.", "GAO has made over 3,000 recommendations to agencies aimed at addressing cybersecurity shortcomings in each of these action areas, including protecting cyber critical infrastructure, managing the cybersecurity workforce, and responding to cybersecurity incidents. Although many recommendations have been addressed, about 1,000 have not yet been implemented. Until these shortcomings are addressed, federal agencies' information and systems will be increasingly susceptible to the multitude of cyber-related threats that exist."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made over 3,000 recommendations to agencies since 2010 aimed at addressing cybersecurity shortcomings. As of August 2018, about 1,000 still needed to be implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014 are dependent on information technology (IT) systems and electronic data to carry out operations and to process, maintain, and report essential information. The security of these systems and data is vital to public confidence and national security, prosperity, and well-being.", "Many of these systems contain vast amounts of personally identifiable information (PII), thus making it imperative to protect the confidentiality, integrity, and availability of this information and effectively respond to data breaches and security incidents, when they occur. Underscoring the importance of this issue, we continue to designate information security as a government-wide high-risk area in our most recent biennial report to Congress\u2014a designation we have made in each report since 1997.", "The risks to IT systems supporting the federal government and the nation\u2019s critical infrastructure are increasing as security threats continue to evolve and become more sophisticated. These risks include insider threats from witting or unwitting employees, escalating and emerging threats from around the globe, steady advances in the sophistication of attack technology, and the emergence of new and more destructive attacks.", "In particular, foreign nations\u2014where adversaries may possess sophisticated levels of expertise and significant resources to pursue their objectives\u2014pose increasing risks. Rapid developments in new technologies, such as artificial intelligence and the Internet of Things (IoT), makes the threat landscape even more complex and can also potentially introduce security, privacy, and safety issues that were previously unknown.", "Compounding these risks, IT systems are often riddled with security vulnerabilities\u2014both known and unknown. These vulnerabilities can facilitate security incidents and cyberattacks that disrupt critical operations; lead to inappropriate access to and disclosure, modification, or destruction of sensitive information; and threaten national security, economic well-being, and public health and safety. This is illustrated by significant security breaches reported by the Office of Personnel Management (OPM) in 2015 that resulted in the loss of PII for an estimated 22.1 million individuals and, more recently, in 2017, a security breach reported by Equifax\u2014one of the nation\u2019s largest credit bureaus\u2014 that resulted in the loss of PII for an estimated 148 million U.S. consumers.", "This report provides an update to the information security high-risk area by identifying actions that the federal government and other entities need to take to address cybersecurity challenges facing the nation. To do so, this report reflects work we conducted since the prior high-risk update was issued in February 2017, among other things. We also plan to issue an updated assessment of this high-risk area in February 2019.", "In conducting the work for this update, we first identified cybersecurity areas in which the federal government has experienced challenges. To do so, we primarily reviewed our prior work issued since the start of fiscal year 2016 related to privacy, critical federal functions, and cybersecurity incidents, among other areas (see appendix I for a list of our prior work).", "We also reviewed recent cybersecurity policy and strategy documents issued by the current administration, such as Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure; the National Security Strategy; and the Department of Homeland Security\u2019s (DHS) May 2018 cybersecurity strategy. We then analyzed these documents to determine the extent to which they included GAO\u2019s desirable characteristics of a national strategy. We also reviewed recent media and information security industry reports of cyberattacks and security breaches. Based on these actions, we identified four cybersecurity areas in which federal agencies had experienced challenges.", "To identify the actions needed to address each challenge area, we reviewed the findings of our work specific to each challenge, the status of our prior recommendations to the Executive Office of the President and federal agencies, and any actions taken by these entities to address our recommendations. In reviewing the status of prior recommendations, we also determined which recommendations had not been implemented and what additional actions, if any, the Executive Office of the President and federal agencies needed to take in order to address them. We then summarized the actions needed and the status of our prior recommendations. We also identified our ongoing work related to each action.", "We performed our work at the initiative of the U.S. Comptroller General. We conducted this performance audit from February 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["IT systems supporting federal agencies and our nation\u2019s critical infrastructures are inherently at risk. These systems are highly complex and dynamic, technologically diverse, and often geographically dispersed. This complexity increases the difficulty in identifying, managing, and protecting the numerous operating systems, applications, and devices comprising the systems and networks.", "Compounding the risk, federal systems and networks are also often interconnected with other internal and external systems and networks, including the Internet. This increases the number of avenues of attack and expands their attack surface. As systems become more integrated, cyber threats will pose an increasing risk to national security, economic well-being, and public health and safety.", "Advancements in technology, such as data analytics software for searching and collecting information, have also made it easier for individuals and organizations to correlate data (including PII) and track it across large and numerous databases. For example, social media has been used as a mass communication tool where PII can be gathered in vast amounts. In addition, ubiquitous Internet and cellular connectivity makes it easier to track individuals by allowing easy access to information pinpointing their locations. These advances\u2014combined with the increasing sophistication of hackers and others with malicious intent, and the extent to which both federal agencies and private companies collect sensitive information about individuals\u2014have increased the risk of PII being exposed and compromised.", "Cybersecurity incidents continue to impact entities across various critical infrastructure sectors. For example, in its 2018 annual data breach investigations report, Verizon reported that 53,308 security incidents and 2,216 data breaches were identified across 65 countries in the 12 months since its prior report. Further, the report noted that cybercriminals can often compromise a system in just a matter of minutes\u2014or even seconds, but that it can take an organization significantly longer to discover the breach. Specifically, the report stated nearly 90 percent of the reported breaches occurred within minutes, while nearly 70 percent went undiscovered for months.", "These concerns are further highlighted by the number of information security incidents reported by federal executive branch civilian agencies to DHS\u2019s U.S. Computer Emergency Readiness Team (US-CERT). For fiscal year 2017, 35,277 such incidents were reported by the Office of Management and Budget (OMB) in its 2018 annual report to Congress, as mandated by the Federal Information Security Modernization Act (FISMA). These incidents include, for example, web-based attacks, phishing, and the loss or theft of computing equipment.", "Different types of incidents merit different response strategies. However, if an agency cannot identify the threat vector (or avenue of attack), it could be difficult for that agency to define more specific handling procedures to respond to the incident and take actions to minimize similar future attacks. In this regard, incidents with a threat vector categorized as \u201cother\u201d (which includes avenues of attacks that are unidentified) made up 31 percent of the various incidents reported to US-CERT. Figure 1 shows the percentage of the different types of incidents reported across each of the nine threat vector categories for fiscal year 2017, as reported by OMB.", "These incidents and others like them can pose a serious challenge to economic, national, and personal privacy and security. The following examples highlight the impact of such incidents: In March 2018, the Mayor of Atlanta, Georgia, reported that the city was victimized by a ransomware cyberattack. As a result, city government officials stated that customers were not able to access multiple applications that are used to pay bills or access court related information. In response to the attack, the officials noted that they were working with numerous private and governmental partners, including DHS, to assess what occurred and determine how best to protect the city from future attacks.", "In March 2018, the Department of Justice reported that it had indicted nine Iranians for conducting a massive cybersecurity theft campaign on behalf of the Islamic Revolutionary Guard Corps. According to the department, the nine Iranians allegedly stole more than 31 terabytes of documents and data from more than 140 American universities, 30 U.S. companies, and five federal government agencies, among other entities.", "In March 2018, a joint alert from DHS and the Federal Bureau of Investigation (FBI) stated that, since at least March 2016, Russian government actors had targeted the systems of multiple U.S. government entities and critical infrastructure sectors. Specifically, the alert stated that Russian government actors had affected multiple organizations in the energy, nuclear, water, aviation, construction, and critical manufacturing sectors.", "In July 2017, a breach at Equifax resulted in the loss of PII for an estimated 148 million U.S. consumers. According to Equifax, the hackers accessed people\u2019s names, Social Security numbers (SSN), birth dates, addresses and, in some instances, driver\u2019s license numbers.", "In April 2017, the Commissioner of the Internal Revenue Service (IRS) testified that the IRS had disabled its data retrieval tool in early March 2017 after becoming concerned about the misuse of taxpayer data. Specifically, the agency suspected that PII obtained outside the agency\u2019s tax system was used to access the agency\u2019s online federal student aid application in an attempt to secure tax information through the data retrieval tool. In April 2017, the agency began notifying taxpayers who could have been affected by the breach.", "In June 2015, OPM reported that an intrusion into its systems had affected the personnel records of about 4.2 million current and former federal employees. Then, in July 2015, the agency reported that a separate, but related, incident had compromised its systems and the files related to background investigations for 21.5 million individuals. In total, OPM estimated 22.1 million individuals had some form of PII stolen, with 3.6 million being a victim of both breaches."], "subsections": [{"section_title": "Federal Information Security Included on GAO\u2019s High-Risk List Since 1997", "paragraphs": ["Safeguarding federal IT systems and the systems that support critical infrastructures has been a long-standing concern of GAO. Due to increasing cyber-based threats and the persistent nature of information security vulnerabilities, we have designated information security as a government-wide high-risk area since 1997. In 2003, we expanded the information security high-risk area to include the protection of critical cyber infrastructure. At that time, we highlighted the need to manage critical infrastructure protection activities that enhance the security of the cyber and physical public and private infrastructures that are essential to national security, national economic security, and/or national public health and safety.", "We further expanded the information security high-risk area in 2015 to include protecting the privacy of PII. Since then, advances in technology have enhanced the ability of government and private sector entities to collect and process extensive amounts of PII, which has posed challenges to ensuring the privacy of such information. In addition, high- profile PII breaches at commercial entities, such as Equifax, heightened concerns that personal privacy is not being adequately protected.", "Our experience has shown that the key elements needed to make progress toward being removed from the High-Risk List are top-level attention by the administration and agency leaders grounded in the five criteria for removal, as well as any needed congressional action. The five criteria for removal that we identified in November 2000 are as follows:", "Leadership Commitment. Demonstrated strong commitment and top leadership support.", "Capacity. The agency has the capacity (i.e., people and resources) to resolve the risk(s).", "Action Plan. A corrective action plan exists that defines the root cause, solutions, and provides for substantially completing corrective measures, including steps necessary to implement solutions we recommended.", "Monitoring. A program has been instituted to monitor and independently validate the effectiveness and sustainability of corrective measures.", "Demonstrated Progress. Ability to demonstrate progress in implementing corrective measures and in resolving the high-risk area.", "These five criteria form a road map for efforts to improve and ultimately address high-risk issues. Addressing some of the criteria leads to progress, while satisfying all of the criteria is central to removal from the list. Figure 2 shows the five criteria and illustrative actions taken by agencies to address the criteria. Importantly, the actions listed are not \u201cstand alone\u201d efforts taken in isolation from other actions to address high- risk issues. That is, actions taken under one criterion may be important to meeting other criteria as well. For example, top leadership can demonstrate its commitment by establishing a corrective action plan including long-term priorities and goals to address the high-risk issue and using data to gauge progress\u2014actions which are also vital to monitoring criteria.", "As we reported in the February 2017 high-risk report, the federal government\u2019s efforts to address information security deficiencies had fully met one of the five criteria for removal from the High-Risk List\u2014 leadership commitment\u2014and partially met the other four, as shown in figure 3. We plan to update our assessment of this high-risk area against the five criteria in February 2019."], "subsections": []}]}, {"section_title": "Ten Critical Actions Needed to Address Major Cybersecurity Challenges", "paragraphs": ["Based on our prior work, we have identified four major cybersecurity challenges: (1) establishing a comprehensive cybersecurity strategy and performing effective oversight, (2) securing federal systems and information, (3) protecting cyber critical infrastructure, and (4) protecting privacy and sensitive data. To address these challenges, we have identified 10 critical actions that the federal government and other entities need to take (see figure 4). The four challenges and the 10 actions needed to address them are summarized following the table. In addition, we also discuss in more detail each of the 10 actions in appendices II through XI."], "subsections": [{"section_title": "Establishing a Comprehensive Cybersecurity Strategy and Performing Effective Oversight", "paragraphs": ["The federal government has been challenged in establishing a comprehensive cybersecurity strategy and in performing effective oversight as called for by federal law and policy. Specifically, we have previously reported that the federal government has faced challenges in establishing a comprehensive strategy to provide a framework for how the United States will engage both domestically and internationally on cybersecurity related matters. We have also reported on challenges in performing oversight, including monitoring the global supply chain, ensuring a highly skilled cyber workforce, and addressing risks associated with emerging technologies. The federal government can take four key actions to improve the nation\u2019s strategic approach to, and oversight of, cybersecurity.", "Develop and execute a more comprehensive federal strategy for national cybersecurity and global cyberspace. In February 2013 we reported that the government had issued a variety of strategy- related documents that addressed priorities for enhancing cybersecurity within the federal government as well as for encouraging improvements in the cybersecurity of critical infrastructure within the private sector; however, no overarching cybersecurity strategy had been developed that articulated priority actions, assigned responsibilities for performing them, and set time frames for their completion.", "In October 2015, in response to our recommendation to develop an overarching federal cybersecurity strategy that included all key elements of the desirable characteristics of a national strategy, the Director of OMB and the Federal Chief Information Officer issued a Cybersecurity Strategy and Implementation Plan for the Federal Civilian Government. The plan directed a series of actions to improve capabilities for identifying and detecting vulnerabilities and threats, enhance protections of government assets and information, and further develop robust response and recovery capabilities to ensure readiness and resilience when incidents inevitably occur. The plan also identified key milestones for major activities, resources needed to accomplish milestones, and specific roles and responsibilities of federal organizations related to the strategy\u2019s milestones.", "Since that time, the executive branch has made progress toward outlining a federal strategy for confronting cyber threats. For example, a May 2017 presidential executive order required federal agencies to take a variety of actions, including better manage their cybersecurity risks and coordinate to meet reporting requirements related to cybersecurity of federal networks, critical infrastructure, and the nation. Additionally, the December 2017 National Security Strategy cites cybersecurity as a national priority and identifies related needed actions, such as including identifying and prioritizing risk, and building defensible government networks.", "Further, DHS issued a cybersecurity strategy in May 2018, which articulated seven goals the department plans to accomplish in support of its mission related to managing national cybersecurity risks. The strategy is intended to provide DHS with a framework to execute its cybersecurity responsibilities during the next 5 years to keep pace with the evolving cyber risk landscape by reducing vulnerabilities and building resilience; countering malicious actors in cyberspace; responding to incidents; and making the cyber ecosystem more secure and resilient.", "These efforts provide a good foundation toward establishing a more comprehensive strategy, but more effort is needed to address all of the desirable characteristics of a national strategy that we have previously recommended. The recently issued executive branch strategy documents did not include key elements of desirable characteristics that can enhance the usefulness of a national strategy as guidance for decision makers in allocating resources, defining policies, and helping to ensure accountability. Specifically, the documents generally did not include milestones and performance measures to gauge results, nor did they describe the resources needed to carry out the goals and objective. Further, most of the strategy documents lacked clearly defined roles and responsibilities for key agencies, such as DHS, the Department of Defense (DOD), and OMB, who contribute substantially to the nation\u2019s cybersecurity programs.", "Ultimately, a more clearly defined, coordinated, and comprehensive approach to planning and executing an overall strategy would likely lead to significant progress in furthering strategic goals and lessening persistent weaknesses. For more information on this action area, see appendix II.", "Mitigate global supply chain risks. The global, geographically disperse nature of the producers and suppliers of IT products is a growing concern. We have previously reported on potential issues associated with IT supply chain and risks originating from foreign- manufactured equipment. For example, in July 2017, we reported that the Department of State had relied on certain device manufacturers, software developers, and contractor support which had suppliers that were reported to be headquartered in a cyber-threat nation (e.g., China and Russia). We further pointed out that the reliance on complex, global IT supply chains introduces multiple risks to federal agencies, including insertion of counterfeits, tampering, or installation of malicious software or hardware.", "In July 2018, we testified that if such global IT supply chain risks are realized, they could jeopardize the confidentiality, integrity, and availability of federal information systems. Thus, the potential exists for serious adverse impact on an agency\u2019s operations, assets, and employees. These factors highlight the importance and urgency of federal agencies appropriately assessing, managing, and monitoring IT supply chain risk as part of their agency-wide information security programs. For more information on this action area, see appendix III.", "Address cybersecurity workforce management challenges. The federal government faces challenges in ensuring that the nation\u2019s cybersecurity workforce has the appropriate skills. For example, in June 2018, we reported on federal efforts to implement the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015. We determined that most of the Chief Financial Officers (CFO) Act agencies had not fully implemented all statutory requirements, such as developing procedures for assigning codes to cybersecurity positions. Further, we have previously reported that DHS and DOD had not addressed cybersecurity workforce management requirements set forth in federal laws. In addition, we have reported in the last 2 years that federal agencies (1) had not identified and closed cybersecurity skills gaps, (2) had been challenged with recruiting and retaining qualified staff, and (3) had difficulty navigating the federal hiring process.", "A recent executive branch report also discussed challenges associated with the cybersecurity workforce. Specifically, in response to Executive Order 13800, the Department of Commerce and DHS led an interagency working group exploring how to support the growth and sustainment of future cybersecurity employees in the public and private sectors. In May 2018, the departments issued a report that identified key findings, including: the U.S. cybersecurity workforce needs immediate and sustained improvements; the pool of cybersecurity candidates needs to be expanded through retraining and by increasing the participation of women, minorities, and veterans; a shortage exists of cybersecurity teachers at the primary and secondary levels, faculty in higher education, and training instructors; and comprehensive and reliable data about cybersecurity workforce position needs and education and training programs are lacking.", "The report also included recommendations and proposed actions to address the findings, including that private and public sectors should (1) align education and training with employers\u2019 cybersecurity workforce needs by applying the National Initiative for Cybersecurity Education Cybersecurity Workforce Framework; (2) develop cybersecurity career model paths; and (3) establish a clearinghouse of information on cybersecurity workforce development education, training, and workforce development programs and initiatives.", "In addition, in June 2018, the executive branch issued a government reform plan and reorganization recommendations that included, among other things, proposals for solving the federal cybersecurity workforce shortage. In particular, the plan notes that the administration intends to prioritize and accelerate ongoing efforts to reform the way that the federal government recruits, evaluates, selects, pays, and places cyber talent across the enterprise. The plan further states that, by the end of the first quarter of fiscal year 2019, all CFO Act agencies, in coordination with DHS and OMB, are to develop a critical list of vacancies across their organizations. Subsequently, OMB and DHS are to analyze these lists and work with OPM to develop a government-wide approach to identifying or recruiting new employees or reskilling existing employees. Regarding cybersecurity training, the plan notes that OMB is to consult with DHS to standardize training for cybersecurity employees, and should work to develop an enterprise-wide training process for government cybersecurity employees. For more information on this action area, see appendix IV.", "Ensure the security of emerging technologies. As the devices used in daily life become increasingly integrated with technology, the risk to sensitive data and PII also grows. Over the last several years, we have reported on weaknesses in addressing vulnerabilities associated with emerging technologies, including: IoT devices, such as fitness trackers, cameras, and thermostats, that continuously collect and process information are potentially vulnerable to cyber-attacks; IoT devices, such as those acquired and used by DOD employees or that DOD itself acquires (e.g., smartphones), may increase the security risks to the department; vehicles that are potentially susceptible to cyber-attack through technology, such as Bluetooth; the unknown impact of artificial intelligence cybersecurity; and advances in cryptocurrencies and blockchain technologies.", "Executive branch agencies have also highlighted the challenges associated with ensuring the security of emerging technologies. Specifically, in a May 2018 report issued in response to Executive Order 13800, the Department of Commerce and DHS issued a report on the opportunities and challenges in reducing the botnet threat. The opportunities and challenges are centered on six principal themes, including the global nature of automated, distributed attacks; effective tools; and awareness and education. The report also provides recommended actions, including that federal agencies should increase their understanding of what software components have been incorporated into acquired products and establish a public campaign to support awareness of IoT security. For more information on this action area, see appendix V.", "In our previously discussed reports related to this cybersecurity challenge, we made a total of 50 recommendations to federal agencies to address the weaknesses identified. As of August 2018, 48 recommendations had not been implemented. These outstanding recommendations include 8 priority recommendations, meaning that we believe that they warrant priority attention from heads of key departments and agencies. These priority recommendations include addressing weaknesses associated with, among other things, agency-specific cybersecurity workforce challenges and agency responsibilities for supporting mitigation of vehicle network attacks. Until our recommendations are fully implemented, federal agencies may be limited in their ability to provide effective oversight of critical government-wide initiatives, address challenges with cybersecurity workforce management, and better ensure the security of emerging technologies.", "In addition to our prior work related to the federal government\u2019s efforts to establish key strategy documents and implement effective oversight, we also have several ongoing reviews related to this challenge. These include reviews of: the CFO Act agencies\u2019 efforts to submit complete and reliable baseline assessment reports of their cybersecurity workforces; the extent to which DOD has established training standards for cyber mission force personnel, and efforts the department has made to achieve its goal of a trained cyber mission force; and selected agencies\u2019 ability to implement cloud service technologies and notable benefits this might have on agencies."], "subsections": []}, {"section_title": "Securing Federal Systems and Information", "paragraphs": ["The federal government has been challenged in securing federal systems and information. Specifically, we have reported that federal agencies have experienced challenges in implementing government-wide cybersecurity initiatives, addressing weaknesses in their information systems and responding to cyber incidents on their systems. This is particularly concerning given that the emergence of increasingly sophisticated threats and continuous reporting of cyber incidents underscores the continuing and urgent need for effective information security. As such, it is important that federal agencies take appropriate steps to better ensure they have effectively implemented programs to protect their information and systems. We have identified three actions that the agencies can take.", "Improve implementation of government-wide cybersecurity initiatives. Specifically, in January 2016, we reported that DHS had not ensured that the National Cybersecurity Protection System (NCPS) had fully satisfied all intended system objectives related to intrusion detection and prevention, information sharing, and analytics. In addition, in February 2017, we reported that the DHS National Cybersecurity and Communications Integration Center\u2019s (NCCIC) functions were not being performed in adherence with the principles set forth in federal laws. We noted that, although NCCIC was sharing information about cyber threats in the way it should, the center did not have metrics to measure that the information was timely, relevant and actionable, as prescribed by law. For more information on this action area, see appendix VI.", "Address weaknesses in federal information security programs. We have previously identified a number of weaknesses in agencies\u2019 protection of their information and information systems. For example, over the past 2 years, we have reported that: most of the 24 agencies covered by the CFO Act had weaknesses in each of the five major categories of information system controls (i.e., access controls, configuration management controls, segregation of duties, contingency planning, and agency-wide security management); three agencies\u2014the Securities Exchange Commission, the Federal Deposit Insurance Corporation, and the Food and Drug Administration\u2014had not effectively implemented aspects of their information security programs, which resulted in weaknesses in these agencies\u2019 security controls; information security weaknesses in selected high-impact systems at four agencies\u2014the National Aeronautics and Space Administration, the Nuclear Regulatory Commission, OPM, and the Department of Veterans Affairs\u2014were cited as a key reason that the agencies had not effectively implemented elements of their information security programs;", "DOD\u2019s process for monitoring the implementation of cybersecurity guidance had weaknesses and resulted in the closure of certain tasks (such as completing cyber risk assessments) before they were fully implemented; and agencies had not fully defined the role of their Chief Information Security Officers, as required by FISMA.", "We also recently testified that, although the government had acted to protect federal information systems, additional work was needed to improve agency security programs and cyber capabilities. In particular, we noted that further efforts were needed by agencies to implement our prior recommendations in order to strengthen their information security programs and technical controls over their computer networks and systems. For more information on this action area, see appendix VII.", "Enhance the federal response to cyber incidents. We have reported that certain agencies have had weaknesses in responding to cyber incidents. For example, as of August 2017, OPM had not fully implemented controls to address deficiencies identified as a result of its 2015 cyber incidents;", "DOD had not identified the National Guard\u2019s cyber capabilities (e.g., computer network defense teams) or addressed challenges in its exercises; as of April 2016, DOD had not identified, clarified, or implemented all components of its support of civil authorities during cyber incidents; and as of January 2016, DHS\u2019s NCPS had limited capabilities for detecting and preventing intrusions, conducting analytics, and sharing information.", "For more information on this action area, see appendix VIII.", "In the public versions of the reports previously discussed for this challenge area, we made a total of 101 recommendations to federal agencies to address the weaknesses identified. As of August 2018, 61 recommendations had not been implemented. These outstanding recommendations include 14 priority recommendations to address weaknesses associated with, among other things, the information security programs at the National Aeronautics and Space Administration, OPM, and the Security Exchange Commission. Until these recommendations are implemented, these federal agencies will be limited in their ability to ensure the effectiveness of their programs for protecting information and systems.", "In addition to our prior work, we also have several ongoing reviews related to the federal government\u2019s efforts to protect its information and systems. These include reviews of:", "Federal Risk and Authorization Management Program (FedRAMP) implementation, including an assessment of the implementation of the program\u2019s authorization process for protecting federal data in cloud environments; the Equifax data breach, including an assessment of federal oversight of credit reporting agencies\u2019 collection, use, and protection of consumer PII; the Federal Communication Commission\u2019s Electronic Comment Filing System security, to include a review of the agency\u2019s detection of and response to a May 2017 incident that reportedly impacted the system;", "DOD\u2019s efforts to improve the cybersecurity of its major weapon", "DOD\u2019s whistleblower program, including an assessment of the policies, procedures, and controls related to the access and storage of sensitive and classified information needed for the program; IRS\u2019s efforts to (1) implement security controls and the agency\u2019s information security program, (2) authenticate taxpayers, and (3) secure tax information; and the federal approach and strategy to securing agency information systems, to include federal intrusion detection and prevention capabilities and the intrusion assessment plan."], "subsections": []}, {"section_title": "Protecting Cyber Critical Infrastructure", "paragraphs": ["The federal government has been challenged in working with the private sector to protect critical infrastructure. This infrastructure includes both public and private systems vital to national security and other efforts, such as providing the essential services that underpin American society. As the cybersecurity threat to these systems continues to grow, federal agencies have millions of sensitive records that must be protected. Specifically, this critical infrastructure threat could have national security implications and more efforts should be made to ensure that it is not breached.", "To help address this issue, the National Institute of Standards and Technology (NIST) developed the cybersecurity framework\u2014a voluntary set of cybersecurity standards and procedures for industry to adopt as a means of taking a risk-based approach to managing cybersecurity.", "However, additional action is needed to strengthen the federal role in protecting the critical infrastructure. Specifically, we have reported on other critical infrastructure protection issues that need to be addressed. For example:", "DHS did not track vulnerability reduction from the implementation and verification of planned security measures at the high-risk chemical facilities that engage with the department, as a basis for assessing performance.", "Entities within the 16 critical infrastructure sectors reported encountering four challenges to adopting the cybersecurity framework, such as being limited in their ability to commit necessary resources towards framework adoption and not having the necessary knowledge and skills to effectively implement the framework.", "DOD and the Federal Aviation Administration identified a variety of operations and physical security risks that could adversely affect DOD missions.", "Major challenges existed to securing the electricity grid against cyber threats. These challenges included monitoring implementation of cybersecurity standards, ensuring security features are built into smart grid systems, and establishing metrics for cybersecurity.", "DHS and other agencies needed to enhance cybersecurity in the maritime environment. Specifically, DHS did not include cyber risks in its risk assessments that were already in place nor did it address cyber risks in guidance for port security plans.", "Sector-specific agencies were not properly addressing progress or metrics to measure their progress in cybersecurity.", "For more information on this action area, see appendix IX.", "We made a total of 21 recommendations to federal agencies to address these weaknesses and others. These recommendations include, for example, a total of 9 recommendations to 9 sector-specific agencies to develop methods to determine the level and type of cybersecurity framework adoption across their respective sectors. As of August 2018, all 21 recommendations had not been implemented. Until these recommendations are implemented, the federal government will continue to be challenged in fulfilling its role in protecting the nation\u2019s critical infrastructure.", "In addition to our prior work related to the federal government\u2019s efforts to protect critical infrastructure, we also have several ongoing reviews focusing on: the physical and cybersecurity risks to pipelines across the country responsible for transmitting oil, natural gas, and other hazardous liquids; the cybersecurity risks to the electric grid; and the privatization of utilities at DOD installations."], "subsections": []}, {"section_title": "Protecting Privacy and Sensitive Data", "paragraphs": ["The federal government has been challenged in protecting privacy and sensitive data. Advances in technology, including powerful search technology and data analytics software, have made it easy to correlate information about individuals across large and numerous databases, which have become very inexpensive to maintain. In addition, ubiquitous Internet connectivity has facilitated sophisticated tracking of individuals and their activities through mobile devices such as smartphones and fitness trackers.", "Given that access to data is so pervasive, personal privacy hinges on ensuring that databases of PII maintained by government agencies or on their behalf are protected both from inappropriate access (i.e., data breaches) as well as inappropriate use (i.e., for purposes not originally specified when the information was collected). Likewise, the trend in the private sector of collecting extensive and detailed information about individuals needs appropriate limits. The vast number of individuals potentially affected by data breaches at federal agencies and private sector entities in recent years increases concerns that PII is not being properly protected.", "Federal agencies should take two types of actions to address this challenge area. In addition, we have previously proposed two matters for congressional consideration aimed toward better protecting PII.", "Improve federal efforts to protect privacy and sensitive data. We have issued several reports noting that agencies had deficiencies in protecting privacy and sensitive data that needed to be addressed. For example:", "The Department of Health and Human Services\u2019 (HHS) Centers for Medicare and Medicaid Services (CMS) and external entities were at risk of compromising Medicare Beneficiary Data due to a lack of guidance and proper oversight.", "The Department of Education\u2019s Office of Federal Student Aid had not properly overseen its school partners\u2019 records or information security programs.", "HHS had not fully addressed key security elements in its guidance for protecting the security and privacy of electronic health information.", "CMS had not fully protected the privacy of users\u2019 data on state- based marketplaces.", "Poor planning and ineffective monitoring had resulted in the unsuccessful implementation of government initiatives aimed at eliminating the unnecessary collection, use, and display of SSNs.", "For more information on this action area, see appendix X.", "Appropriately limit the collection and use of personal information and ensure that it is obtained with appropriate knowledge or consent. We have issued a series of reports that highlight a number of the key concerns in this area. For example:", "The emergence of IoT devices can facilitate the collection of information about individuals without their knowledge or consent;", "Federal laws for smartphone tracking applications have not generally been well enforced;", "The FBI has not fully ensured privacy and accuracy related to the use of face recognition technology.", "For more information on this action area, see appendix XI.", "We have previously suggested that Congress consider amending laws, such as the Privacy Act of 1974 and the E-Government Act of 2002, because they may not consistently protect PII. Specifically, we found that while these laws and guidance set minimum requirements for agencies, they may not consistently protect PII in all circumstances of its collection and use throughout the federal government and may not fully adhere to key privacy principles. However, revisions to the Privacy Act and the E-Government Act have not yet been enacted.", "Further, we also suggested that Congress consider strengthening the consumer privacy framework and review issues such as the adequacy of consumers\u2019 ability to access, correct, and control their personal information; and privacy controls related to new technologies such as web tracking and mobile devices. However, these suggested changes have not yet been enacted.", "We also made a total of 29 recommendations to federal agencies to address the weaknesses identified. As of August 2018, 28 recommendations had not been implemented. These outstanding recommendations include 6 priority recommendations to address weaknesses associated with, among other things, publishing privacy impact assessments and improving the accuracy of the FBI\u2019s face recognition services. Until these recommendations are implemented, federal agencies will be challenged in their ability to protect privacy and sensitive data and ensure that its collection and use is appropriately limited.", "In addition to our prior work, we have several ongoing reviews related to protecting privacy and sensitive data. These include reviews of: IRS\u2019s taxpayer authentication efforts, including what steps the agency is taking to monitor and improve its authentication methods; the extent to which the Department of Education\u2019s Office of Federal Student Aid\u2019s policies and procedures for overseeing non-school partners\u2019 protection of federal student aid data align with federal requirements and guidance; data security issues related to credit reporting agencies, including a review of the causes and impacts of the August 2017 Equifax data breach; the extent to which Equifax assessed, responded to, and recovered from its August 2017 data breach; federal agencies\u2019 efforts to remove PII from shared cyber threat indicators; and how the federal government has overseen Internet privacy, including the roles of the Federal Communications Commission and the Federal Trade Commission, and strengths and weaknesses of the current oversight authorities."], "subsections": []}, {"section_title": "Continued Implementation of Our Recommendations Is Needed to Address Cybersecurity Weaknesses", "paragraphs": ["In conclusion, since 2010, we have made over 3,000 recommendations to agencies aimed at addressing the four cybersecurity challenges. Nevertheless, many agencies continue to be challenged in safeguarding their information systems and information, in part because many of these recommendations have not been implemented. Of the roughly 3,000 recommendations made since 2010, nearly 1,000 had not been implemented as of August 2018. We have also designated 35 as priority recommendations, and as of August 2018, 31 had not been implemented.", "The federal government and the nation\u2019s critical infrastructure are dependent on IT systems and electronic data, which make them highly vulnerable to a wide and evolving array of cyber-based threats. Securing these systems and data is vital to the nation\u2019s security, prosperity, and well-being. Nevertheless, the security over these systems and data is inconsistent and urgent actions are needed to address ongoing cybersecurity and privacy challenges. Specifically, the federal government needs to implement a more comprehensive cybersecurity strategy and improve its oversight, including maintaining a qualified cybersecurity workforce; address security weaknesses in federal systems and information and enhance cyber incident response efforts; bolster the protection of cyber critical infrastructure; and prioritize efforts to protect individual\u2019s privacy and PII. Until our recommendations are addressed and actions are taken to address the four challenges we identified, the federal government, the national critical infrastructure, and the personal information of U.S. citizens will be increasingly susceptible to the multitude of cyber-related threats that exist.", "We are sending copies of this report to the appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Nick Marinos at (202) 512-9342 or marinosn@gao.gov or Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix XII."], "subsections": []}]}]}, {"section_title": "Appendix I: Related GAO Reports", "paragraphs": ["Critical Infrastructure Protection: DHS Should Take Actions to Measure Reduction in Chemical Facility Vulnerability and Share Information with First Responders. GAO-18-538. Washington, D.C.: August 8, 2018.", "High-Risk Series: Urgent Actions Are Needed to Address Cybersecurity Challenges Facing the Nation. GAO-18-645T. Washington, D.C.: July 25, 2018.", "Information Security: Supply Chain Risks Affecting Federal Agencies. GAO-18-667T. Washington, D.C.: July 12, 2018.", "Information Technology: Continued Implementation of High-Risk Recommendations Is Needed to Better Manage Acquisitions, Operations, and Cybersecurity. GAO-18-566T. Washington, D.C.: May 23, 2018.", "Cybersecurity: DHS Needs to Enhance Efforts to Improve and Promote the Security of Federal and Private-Sector Networks, GAO-18-520T. Washington, D.C.: April 24, 2018.", "Electronic Health Information: CMS Oversight of Medicare Beneficiary Data Security Needs Improvement. GAO-18-210. Washington, D.C.: March 6, 2018.", "Technology Assessment: Artificial Intelligence, Emerging Opportunities, Challenges, and Implications. GAO-18-142SP. Washington, D.C.: March 28, 2018.", "GAO Strategic Plan 2018-2023: Trends Affecting Government and Society. GAO-18-396SP. Washington, D.C.: February 22, 2018.", "Critical Infrastructure Protection: Additional Actions Are Essential for Assessing Cybersecurity Framework Adoption. GAO-18-211. Washington, D.C.: February 15, 2018.", "Cybersecurity Workforce: Urgent Need for DHS to Take Actions to Identify Its Position and Critical Skill Requirements. GAO-18-175. Washington, D.C.: February 6, 2018.", "Homeland Defense: Urgent Need for DOD and FAA to Address Risks and Improve Planning for Technology That Tracks Military Aircraft. GAO-18-177. Washington, D.C.: January 18, 2018.", "Federal Student Aid: Better Program Management and Oversight of Postsecondary Schools Needed to Protect Student Information. GAO-18-121. Washington, D.C.: December 15, 2017.", "Defense Civil Support: DOD Needs to Address Cyber Incident Training Requirements. GAO-18-47. Washington, D.C.: November 30, 2017.", "Federal Information Security: Weaknesses Continue to Indicate Need for Effective Implementation of Policies and Practices. GAO-17-549. Washington, D.C.: September 28, 2017.", "Information Security: OPM Has Improved Controls, but Further Efforts Are Needed. GAO-17-614. Washington, D.C.: August 3, 2017.", "Defense Cybersecurity: DOD\u2019s Monitoring of Progress in Implementing Cyber Strategies Can Be Strengthened. GAO-17-512. Washington, D.C.: August 1, 2017.", "State Department Telecommunications: Information on Vendors and Cyber-Threat Nations. GAO-17-688R. Washington, D.C.: July 27, 2017.", "Internet of Things: Enhanced Assessments and Guidance Are Needed to Address Security Risks in DOD. GAO-17-668. Washington, D.C.: July 27, 2017.", "Information Security: SEC Improved Control of Financial Systems but Needs to Take Additional Actions. GAO-17-469. Washington, D.C.: July 27, 2017.", "Information Security: Control Deficiencies Continue to Limit IRS\u2019s Effectiveness in Protecting Sensitive Financial and Taxpayer Data. GAO-17-395. Washington, D.C.: July 26, 2017.", "Social Security Numbers: OMB Actions Needed to Strengthen Federal Efforts to Limit Identity Theft Risks by Reducing Collection, Use, and Display. GAO-17-553. Washington, D.C.: July 25, 2017.", "Information Security: FDIC Needs to Improve Controls over Financial Systems and Information. GAO-17-436. Washington, D.C.: May 31, 2017.", "Technology Assessment: Internet of Things: Status and implications of an increasingly connected world. GAO-17-75. Washington, D.C.: May 15, 2017.", "Cybersecurity: DHS\u2019s National Integration Center Generally Performs Required Functions but Needs to Evaluate Its Activities More Completely. GAO-17-163. Washington, D.C.: February 1, 2017.", "High-Risk Series: An Update. GAO-17-317. Washington, D.C.: February 2017.", "IT Workforce: Key Practices Help Ensure Strong Integrated Program Teams; Selected Departments Need to Assess Skill Gaps. GAO-17-8. Washington, D.C.: November 30, 2016.", "Electronic Health Information: HHS Needs to Strengthen Security and Privacy Guidance and Oversight. GAO-16-771. Washington, D.C.: September 26, 2016.", "Defense Civil Support: DOD Needs to Identify National Guard\u2019s Cyber Capabilities and Address Challenges in Its Exercises. GAO-16-574. Washington, D.C.: September 6, 2016.", "Information Security: FDA Needs to Rectify Control Weaknesses That Place Industry and Public Health Data at Risk. GAO-16-513. Washington, D.C.: August 30, 2016.", "Federal Chief Information Security Officers: Opportunities Exist to Improve Roles and Address Challenges to Authority. GAO-16-686. Washington, D.C.: August 26, 2016.", "Federal Hiring: OPM Needs to Improve Management and Oversight of Hiring Authorities. GAO-16-521. Washington, D.C.: August 2, 2016.", "Information Security: Agencies Need to Improve Controls over Selected High-Impact Systems. GAO-16-501. Washington, D.C.: May 18, 2016.", "Face Recognition Technology: FBI Should Better Ensure Privacy and Accuracy. GAO-16-267. Washington, D.C.: May 16, 2016.", "Smartphone Data: Information and Issues Regarding Surreptitious Tracking Apps That Can Facilitate Stalking. GAO-16-317. Washington, D.C.: May 9, 2016.", "Vehicle Cybersecurity: DOT and Industry Have Efforts Under Way, but DOT Needs to Define Its Role in Responding to a Real-world Attack. GAO-16-350. Washington, D.C.: April 25, 2016.", "Civil Support: DOD Needs to Clarify Its Roles and Responsibilities for Defense Support of Civil Authorities during Cyber Incidents. GAO-16-332. Washington, D.C.: April 4, 2016.", "Healthcare.gov: Actions Needed to Enhance Information Security and Privacy Controls. GAO-16-265. Washington, D.C.: March 23, 2016.", "Information Security: DHS Needs to Enhance Capabilities, Improve Planning, and Support Greater Adoption of Its National Cybersecurity Protection System. GAO-16-294. Washington, D.C.: January 28, 2016.", "Critical Infrastructure Protection: Sector-Specific Agencies Need to Better Measure Cybersecurity Progress. GAO-16-79. Washington, D.C.: November 19, 2015.", "Critical Infrastructure Protection: Cybersecurity of the Nation\u2019s Electricity Grid Requires Continued Attention. GAO-16-174T. Washington, D.C.: October 21, 2015.", "Maritime Critical Infrastructure Protection: DHS Needs to Enhance Efforts to Address Port Cybersecurity. GAO-16-116T. Washington, D.C.: October 8, 2015.", "Cybersecurity: National Strategy, Roles, and Responsibilities Need to Be Better Defined and More Effectively Implemented. GAO-13-187. Washington, D.C.: February 14, 2014.", "Information Resellers: Consumer Privacy Framework Needs to Reflect Changes in Technology and the Marketplace. GAO-13-663. Washington, D.C.: September 25, 2013.", "Privacy: Alternatives Exist for Enhancing Protection of Personally Identifiable Information. GAO-08-536. Washington, D.C.: May 19, 2008."], "subsections": []}, {"section_title": "Appendix II: Action 1\u2014Develop and Execute a More Comprehensive Federal Strategy for National Cybersecurity and Global Cyberspace", "paragraphs": ["Federal law and policy call for a risk-based approach to managing cybersecurity within the government, as well as globally. We have previously reported that the federal government has faced challenges in establishing a comprehensive strategy to provide a framework for how the United States will engage both domestically and internationally on cybersecurity related matters.", "More specifically, in February 2013, we reported that the government had issued a variety of strategy-related documents that addressed priorities for enhancing cybersecurity within the federal government as well as for encouraging improvements in the cybersecurity of critical infrastructure within the private sector; however, no overarching cybersecurity strategy had been developed that articulated priority actions, assigned responsibilities for performing them, and set time frames for their completion. Accordingly, we recommended that the White House Cybersecurity Coordinator in the Executive Office of the President develop an overarching federal cybersecurity strategy that included all key elements of the desirable characteristics of a national strategy including, among other things, milestones and performance measures for major activities to address stated priorities; cost and resources needed to accomplish stated priorities; and specific roles and responsibilities of federal organizations related to the strategy\u2019s stated priorities.", "In response to our recommendation, in October 2015, the Director of OMB and the Federal Chief Information Officer, issued a Cybersecurity Strategy and Implementation Plan for the Federal Civilian Government.", "The plan directed a series of actions to improve capabilities for identifying and detecting vulnerabilities and threats, enhance protections of government assets and information, and further develop robust response and recovery capabilities to ensure readiness and resilience when incidents inevitably occur. The plan also identified key milestones for major activities, resources needed to accomplish milestones, and specific roles and responsibilities of federal organizations related to the strategy\u2019s milestones.", "Since that time, the executive branch has made progress toward outlining a federal strategy for confronting cyber threats. Table 1 identifies these recent efforts and a description of their related contents.", "These efforts provide a good foundation toward establishing a more comprehensive strategy, but more effort is needed to address all of the desirable characteristics of a national strategy that we recommended. The recently issued executive branch strategy documents did not include key elements of desirable characteristics that can enhance the usefulness of a national strategy as guidance for decision makers in allocating resources, defining policies, and helping to ensure accountability. Specifically:", "Milestones and performance measures to gauge results were generally not included in strategy documents. For example, although the DHS Cybersecurity Strategy stated that its implementation would be assessed on an annual basis, it did not describe the milestones and performance measures for tracking the effectiveness of the activities intended to meet the stated goals (e.g., protecting critical infrastructure and responding effectively to cyber incidents). Without such performance measures, DHS will lack a means to ensure that the goals and objectives discussed in the document are accomplished and that responsible parties are held accountable.", "According to officials from DHS\u2019s Office of Cybersecurity and Communications, the department is developing a plan for implementing the DHS Cybersecurity Strategy and expects to issue the plan by the end of calendar year 2018. The officials stated that the plan is expected to identify milestones, roles, and responsibilities across DHS to inform the prioritization of future efforts.", "The strategy documents generally did not include information regarding the resources needed to carry out the goals and objectives. For example, although the DHS Cybersecurity Strategy identified a variety of actions the agency planned to take to perform their cybersecurity mission, it did not articulate the resources needed to carry out these actions and requirements. Without information on the specific resources needed, federal agencies may not be positioned to allocate such resources and investments and, therefore, may be hindered in their ability meet national priorities.", "Most of the strategy documents lacked clearly defined roles and responsibilities for key agencies, such as DHS, DOD, and OMB. These agencies contribute substantially to the nation\u2019s cybersecurity programs. For example, although the National Security Strategy discusses multiple priority actions needed to address the nation\u2019s cybersecurity challenges (e.g., building defensible government networks, and deterring and disrupting malicious cyber actors), it does not describe the roles, responsibilities, or the expected coordination of any specific federal agencies, including DHS, DOD, or OMB, or other non-federal entities needed to carry out those actions. Without this information, the federal government may not be able foster effective coordination, particularly where there is overlap in responsibilities, or hold agencies accountable for carrying out planned activities.", "Ultimately, a more clearly defined, coordinated, and comprehensive approach to planning and executing an overall strategy would likely lead to significant progress in furthering strategic goals and lessening persistent weaknesses."], "subsections": []}, {"section_title": "Appendix III: Action 2\u2014Mitigate Global Supply Chain Risks", "paragraphs": ["The exploitation of information technology (IT) products and services through the supply chain is an emerging threat. IT supply chain-related threats can be introduced in the manufacturing, assembly, and distribution of hardware, software, and services. Moreover, these threats can appear at each phase of the system development life cycle, when an agency initiates, develops, implements, maintains, and disposes of an information system. As a result, the compromise of an agency\u2019s IT supply chain can degrade the confidentiality, integrity, and availability of its critical and sensitive networks, IT-enabled equipment, and data.", "Federal regulation and guidance issued by the National Institute of Standards and Technology (NIST) set requirements and best practices for mitigating supply chain risks. The Federal Acquisition Regulation established codification and publication of uniform policies and procedures for acquisition by all executive branch agencies. Agencies are required by the Federal Acquisition Regulation to ensure that contracts include quality requirements that are determined necessary to protect the government\u2019s interest. In addition, the NIST guidance on supply chain risk management practices for federal information systems and organizations intends to assist federal agencies with identifying, assessing, and mitigating information and communications technology supply chain risks at all levels of their organizations.", "We have previously reported on risks to the IT supply chain and risks originating from foreign-manufactured equipment. For example: In July 2018, we testified that if global IT supply chain risks are realized, they could jeopardize the confidentiality, integrity, and availability of federal information systems. Thus, the potential exists for serious adverse impact on an agency\u2019s operations, assets, and employees. We further stated that in 2012 we determined that four national security-related agencies\u2014the Departments of Defense, Justice, Energy, Homeland Security (DHS)\u2014varied in the extent to which they had addressed supply chain risks. We recommended that three agencies take eight actions, as needed, to develop and document policies, procedures, and monitoring capabilities that address IT supply chain risk. The agencies generally concurred with the recommendations and subsequently implemented seven recommendations and partially implemented the eighth recommendation.", "In July 2017, we reported that, based on a review of a sample of organizations within the Department of State\u2019s telecommunications supply chain, we were able to identify instances in which device manufacturers, software developers and contractor support were reported to be headquartered in a leading cyber-threat nation. For example, of the 52 telecommunications device manufacturers and software developers in our sample, we were able to identify 12 that had 1 or more suppliers that were reported to be headquartered in a leading cyber-threat nation. We noted that the reliance on complex, global IT supply chains introduces multiple risks to federal agencies, including insertion of counterfeits, tampering, or installation of malicious software or hardware. Figure 5 illustrates possible manufacturing locations of typical network components.", "Although federal agencies have taken steps to address IT supply chain deficiencies that we previously identified, this area continues to be a potential threat vector for malicious actors to target the federal government. For example, in September 2017, DHS issued a binding operating directive which calls on departments and agencies to identify any use or presence of Kaspersky products on their information systems and to develop detailed plans to remove and discontinue present and future use of the products. DHS expressed concern about the ties between certain Kaspersky officials and Russian intelligence and other government agencies, and requirements under Russian law that allow Russian intelligence agencies to request or compel assistance from Kaspersky and to intercept communications transiting Russian networks."], "subsections": []}, {"section_title": "Appendix IV: Action 3\u2014Address Cybersecurity Workforce Management Challenges", "paragraphs": ["On May 11, 2017, the President issued an executive order on strengthening the cybersecurity of federal networks and critical infrastructure. The order makes it the policy of the United States to support the growth and sustainment of a workforce that is skilled in cybersecurity and related fields as the foundation for achieving our objectives in cyberspace. It directed the Secretaries of Commerce and Homeland Security (DHS), in consultation with other federal agencies, to assess the scope and sufficiency of efforts to educate and train the American cybersecurity workforce of the future, including cybersecurity- related education curricula, training, and apprenticeship programs, from primary through higher education.", "Nevertheless, the federal government continues to face challenges in addressing the nation\u2019s cybersecurity workforce.", "Agencies had not effectively conducted baseline assessments of their cybersecurity workforce or fully developed procedures for coding positions. In June 2018, we reported that 21 of the 24 agencies covered by the Chief Financial Officer\u2019s Act had conducted and submitted to Congress a baseline assessment identifying the extent to which their cybersecurity employees held professional certifications, as required by the Federal Cybersecurity Workforce Assessment Act of 2015. However, we found that the results of these assessments may not have been reliable because agencies did not address all of the reportable information and agencies were limited in their ability to obtain complete and consistent information about their cybersecurity employees and the certifications they held. We determined that this was because agencies had not yet fully identified all members of their cybersecurity workforces or did not have a consistent list of appropriate certifications for cybersecurity positions.", "Further, 23 of the agencies reviewed had established procedures for identifying and assigning the appropriate employment codes to their civilian cybersecurity positions, as called for by the act. However, 6 of the 23 did not address one or more of 7 activities required by OPM in their procedures, such as reviewing all filled and vacant positions and annotating reviewed position descriptions with the appropriate employment code. Accordingly, we made 30 recommendations to 13 agencies to fully implement two of the act\u2019s requirements on baseline assessments and coding procedures. The extent to which these agencies agreed with the recommendations varied.", "DHS and the Department of Defense (DOD) had not addressed cybersecurity workforce management requirements set forth in federal laws. In February 2018, we reported that, while DHS had taken actions to identify, categorize, and assign employment codes to its cybersecurity positions, as required by the Homeland Security Cybersecurity Workforce Assessment Act of 2014, its actions were not timely and complete. For example, DHS did not establish timely and complete procedures to identify, categorize, and code its cybersecurity position vacancies and responsibilities. Further, DHS had not yet completed its efforts to identify all of its cybersecurity positions and accurately assign codes to all filled and vacant cybersecurity positions. Table 2 shows DHS\u2019s progress in implementing the requirements of the Homeland Security Cybersecurity Workforce Assessment Act of 2014, as of December 2017.", "Accordingly, we recommended that DHS take six actions, including ensuring that its cybersecurity workforce procedures identify position vacancies and responsibilities; reported workforce data are complete and accurate; and plans for reporting on critical needs are developed. DHS agreed with our six recommendations, but had not implemented them as of August 2018.", "Regarding DOD, in November 2017, we reported that instead of developing a comprehensive plan for U.S. Cyber Command, the department submitted a report consisting of a collection of documents that did not fully address the required six elements set forth in Section 1648 of the National Defense Authorization Act for Fiscal Year 2016. More specifically, DOD\u2019s 1648 report did not address an element related to cyber incident training. In addition to not addressing the training element in the report, DOD had not ensured that staff were trained as required by the Presidential Policy Directive on United States Cyber Incident Coordination or DOD\u2019s Significant Cyber Incident Coordination Procedures.", "Accordingly, we made two recommendations to DOD to address these issues. DOD agreed with one of the recommendations and partially agreed with the other, citing ongoing activities related to cyber incident coordination training it believed were sufficient. However, we continued to believe the recommendation was warranted. As of August 2018, both recommendations had not yet been implemented.", "Agencies had not identified and closed cybersecurity skills gaps.", "In November 2016, we reported that five selected agencies had made mixed progress in assessing their information technology (IT) skill gaps. These agencies had started focusing on identifying cybersecurity staffing gaps, but more work remained in assessing competency gaps and in broadening the focus to include the entire IT community. Accordingly, we made a total of five recommendations to the agencies to address these issues. Four agencies agreed and one, DOD, partially agreed with our recommendations citing progress made in improving its IT workforce planning. However, we continued to believe our recommendation was warranted. As of August 2018, all five of the recommendations had not been implemented.", "Agencies had been challenged with recruiting and retaining qualified staff. In August 2016, we reported on the current authorities chief information security officers (CISO) at 24 agencies. Among other things, CISOs identified key challenges they faced in fulfilling their responsibilities. Several of these challenges were related to the cybersecurity workforce, such as not having enough personnel to oversee the implementation of the number and scope of security requirements. In addition, CISOs stated that they were not able to offer salaries that were competitive with the private sector for candidates with high-demand technical skills. Furthermore, CISOs stated that certain security personnel lacked the skill sets needed or were not sufficiently trained. To assist CISOs in carrying out their responsibilities and better define their roles, we made a total of 34 recommendations to the Office of Management and Budget (OMB) and 13 agencies in our review. Agency responses to the recommendations varied; as of August 2018, 18 of the 34 recommendations had not been implemented.", "Agencies have had difficulty navigating the federal hiring process. In August 2016, we reported on the extent to which federal hiring authorities were meeting agency needs. Although competitive hiring has been the traditional method of hiring, agencies can use additional hiring authorities to expedite the hiring process or achieve certain public policy goals. Among other things, we noted that agencies rely on a relatively small number of hiring authorities (as established by law, executive order, or regulation) to fill the vast majority of hires into the federal civil service.", "Further, while OPM collects a variety of data to assess the federal hiring process, neither it nor agencies used this information to assess the effectiveness of hiring authorities. Conducting such assessments would be a critical first step in making more strategic use of the available hiring authorities to more effectively meet their hiring needs. Accordingly, we made three recommendations to OPM to work with agencies to strengthen hiring efforts. OPM generally agreed with the recommendations; however, as of August 2018, two of them had not been implemented."], "subsections": []}, {"section_title": "Appendix V: Action 4\u2014Ensure the Security of Emerging Technologies", "paragraphs": ["The emergence of new technologies can potentially introduce security vulnerabilities for those technologies which were previous unknown. As we have previously reported, additional processes and controls will need to be developed to potentially address these new vulnerabilities. While some progress has been made to address the security and privacy issues associated with these technologies, such as the Internet of Things (IoT) and vehicle networks, there is still much work to be done. For example: IoT devices that continuously collect and process information are potentially vulnerable to cyber-attacks. In May 2017, we reported that the IoT has become increasingly used to communicate and process vast amounts of information using \u201csmart\u201d devices (such as fitness trackers, cameras, and thermostats). However, we noted that this emerging technology also presents new issues in areas such as information security, privacy, and safety. For example, IoT devices, networks, or the cloud servers where they store data can be compromised in a cyberattack. Table 3 provides examples of cyber- attacks that could affect IoT devices and networks.", "IoT devices may increase the security risks to federal agencies. In July 2017, we reported that IoT devices, such as those acquired and used by Department of Defense (DOD) employees or that DOD itself acquires (e.g., smartphones), may increase the security risks to the department. We noted that these risks can be divided into two categories, risks with the devices themselves, such as limited encryption, and risks with how they are used, such as unauthorized communication of information. The department has also identified notional threat scenarios, based on input from multiple DOD entities, which exemplify how these security risks could adversely impact DOD operations, equipment, or personnel. Figure 6 highlights a few examples of these scenarios.", "In addition, we reported that DOD had started to examine the security risks of IoT devices, but that the department had not conducted required assessments related to the security of its operations. Further, DOD had issued policies and guidance for these devices, but these did not clearly address all of the risks relating to these devices. To address these issues, we made two recommendations to DOD. The department agreed with our recommendations; however, as of August 2018, they had not yet been implemented.", "Vehicles are potentially susceptible to cyber-attack through networks, such as Bluetooth. In March 2016, we reported that many stakeholders in the automotive industry acknowledge that in-vehicle networks pose a threat to the safety of the driver, as an external attacker could gain control to critical systems in the car. Further, these industry stakeholders agreed that critical systems and other vehicle systems, such as a Bluetooth connection, should be separate in-vehicle networks so they could not communicate or interfere with one another. Figure 7 identifies the key interfaces that could be exploited in a vehicle cyber-attack.", "To enhance the Department of Transportation\u2019s ability to effectively respond in the event of a real-world vehicle cyberattack, we made one recommendation to the department to better define its roles and responsibilities. The department agreed with the recommendation but, as of August 2018, had not yet taken action to implement it.", "Artificial intelligence holds substantial promise for improving cybersecurity, but also posed new risks. In March 2018, we reported on the results of a forum we convened to discuss emerging opportunities, challenges, and implications associated with artificial intelligence. At the forum, participants from industry, government, academia, and nonprofit organizations discussed the potential implications of this emerging technology, including assisting with cybersecurity by helping to identify and patch vulnerabilities and defending against attacks; creating safer automated vehicles; improving the criminal justice system\u2019s allocation of resources; and improving how financial services govern investments.", "However, forum participants also highlighted a number of challenges and risks related to artificial intelligence. For example, if the data used by artificial intelligence are biased or become corrupted by hackers, the results could be biased or cause harm. Moreover, the collection and sharing of data needed to train artificial intelligence systems, a lack of access to computing resources, and adequate human capital were also challenges facing the development of artificial intelligence. Finally, forum participants noted that the widespread adoption raises questions about the adequacy of current laws and regulations.", "Cryptocurrencies provide an alternative to traditional government-issued currencies, but have security implications. In February 2018, we reported on trends affecting government and society, including the increased use of cryptocurrencies\u2014digital representations of value that are not government-issued\u2014that operate online and verify transactions using a public ledger called blockchain. We highlighted the potential benefits of this technology, such as anonymity and lower transaction costs, as well as drawbacks, including making it harder to detect money laundering and other financial crimes. Because of these capabilities and others, we noted the potential for virtual currencies and blockchain technology to reshape financial services and affect the security of critical financial infrastructures. Lastly, we pointed out that the use of blockchain technology could have more security vulnerabilities as computing power increases as a result of new advancements in quantum computing, an area of quantum information science."], "subsections": []}, {"section_title": "Appendix VI: Action 5\u2014Improve Implementation of Government-wide Cybersecurity Initiatives", "paragraphs": ["In January 2008, the President issued National Security Presidential Directive 54/Homeland Security Presidential Directive 23. The directive established the Comprehensive National Cybersecurity Initiative, a set of projects with the objective of safeguarding federal executive branch government information systems by reducing potential vulnerabilities, protecting against intrusion attempts, and anticipating future threats against the federal government\u2019s networks. Under the initiative, the Department of Homeland Security (DHS) was to lead several projects to better secure civilian federal government networks. Specifically, the agency established the National Cybersecurity and Communications Integration Center (NCCIC), which functions as the 24/7 cyber monitoring, incident response, and management center. Figure 8 depicts the Watch Floor, which functions as a national focal point of cyber and communications incident integration.", "The United States Computer Emergency Readiness Team (US-CERT), one of several subcomponents of the NCCIC, is responsible for operating the National Cybersecurity Protection System (NCPS), which provides intrusion detection and prevention capabilities to entities across the federal government.", "Although DHS is fulfilling its statutorily required mission by establishing the NCCIC and managing the operation of NCPS, we have identified challenges in the agency\u2019s efforts to manage these programs:", "DHS had not ensured that NCPS has fully satisfied all intended system objectives. In January 2016, we reported that NCPS had a limited ability to detect intrusions across all types of network types. In addition, we reported that the system\u2019s intrusion prevention capability was limited and its information-sharing capability was not fully developed. Furthermore, we reported that DHS\u2019s current metrics did not comprehensively measure the effectiveness of NCPS. Accordingly, we made nine recommendations to DHS to address these issues and others. The department agreed with our recommendations and has taken action to address one of them. However, as of August 2018, eight of these recommendations had not been implemented.", "DHS had been challenged in measuring how the NCCIC was performing its functions in accordance with mandated implementing principles. In February 2017, we reported instances where, with certain products and services, NCCIC had implemented its functions in adherence with one or more of its principles, as required by the National Cybersecurity Protection Act of 2014 and Cybersecurity Act of 2015. For example, consistent with the principle that it seek and receive appropriate consideration from industry sector-specific, academic, and national laboratory expertise, NCCIC coordinated with contacts from industry, academia, and the national laboratories to develop and disseminate vulnerability alerts.", "However, we also identified instances where the cybersecurity functions were not performed in adherence with the principles. For example, NCCIC is to provide timely technical assistance, risk management support, and incident response capabilities to federal and nonfederal entities, but it had not established measures or other procedures for ensuring the timeliness of these assessments. Further, we reported that NCCIC faces impediments to performing its cybersecurity functions more efficiently, such as tracking security incidents and working across multiple network platforms. Accordingly, we made nine recommendations to DHS related to implementing the requirements identified in the National Cybersecurity Protection Act of 2014 and the Cybersecurity Act of 2015. The department agreed with our recommendations and has taken action to address two of them. However, as of August 2018, the remaining seven recommendations had not been implemented."], "subsections": []}, {"section_title": "Appendix VII: Action 6\u2014Address Weaknesses in Federal Agency Information Security Programs", "paragraphs": ["The Federal Information Security Modernization Act of 2014 (FISMA) requires federal agencies in the executive branch to develop, document, and implement an information security program and evaluate it for effectiveness. The act retains many of the requirements for federal agencies\u2019 information security programs previously set by the Federal Information Security Management Act of 2002. These agency programs should include periodic risk assessments; information security policies and procedures; plans for protecting the security of networks, facilities, and systems; security awareness training; security control assessments; incident response procedures; a remedial action process, and continuity plans and procedures.", "In addition, Executive Order 13800 states that the President will hold agency heads accountable for managing cybersecurity risk to their enterprises. In addition, according to the order, it is the policy of the United States to manage cybersecurity risk as an executive branch enterprise because risk management decisions made by agency heads can affect the risk to the executive branch as a whole, and to national security.", "Over the past several years, we have performed numerous security control audits to determine how well agencies are managing information security risk to federal information systems and data through the implementation of effective security controls. These audits have resulted in the identification of hundreds of deficiencies related to agencies\u2019 implementation of effective security controls. Accordingly, we provided agencies with limited official use only reports identifying technical security control deficiencies for their respective agency. In these reports, we made hundreds of recommendations related to improving agencies\u2019 implementation of those security control deficiencies.", "In addition to systems and networks maintained by federal agencies, it is also important that agencies ensure the security of federal information systems operated by third party providers, including cloud service providers. Cloud computing is a means for delivering computing services via information technology networks. Since 2009, the government has encouraged agencies to use cloud-based services to store and process data as a cost-savings measure. In this regard, the Office of Management and Budget (OMB) established the Federal Risk and Authorization Management Program (FedRAMP) to provide a standardized approach to security assessment, authorization, and continuous monitoring for cloud products and services. FedRAMP is intended to ensure that cloud computing services have adequate information security, eliminate duplicative efforts, and reduce costs.", "Although there are requirements and government-wide programs to assist with ensuring the security of federal information systems maintained by federal agencies and third party providers, we have identified weaknesses in agencies\u2019 implementation of information security programs.", "Federal agencies continued to experience weaknesses in protecting their information and information systems due to ineffective implementation of information security policies and practices. In September 2017, we reported that most of the 24 agencies covered by the Chief Financial Officers (CFO) Act had weaknesses in each of the five major categories of information system controls (i.e., access controls, configuration management controls, segregation of duties, contingency planning, and agency-wide security management). Weaknesses in these security controls indicate that agencies did not adequately or effectively implement information security policies and practices during fiscal year 2016. Figure 9 identifies the number of agencies with information security weaknesses in each of the five categories.", "In addition, we found that several agencies had not effectively implemented some aspects of its information security program, which resulted in weaknesses in these agencies\u2019 security controls.", "In July 2017, we reported that the Security Exchange Commission did not always keep system security plans complete and accurate or fully implement continuous monitoring, as required by agency policy. We made two recommendations to the Security Exchange Commission to effectively manage its information security program. The agency agreed with our recommendations; however, as of August 2018, they had not been implemented.", "In another July 2017 report, we noted that the Internal Revenue Service (IRS) did not effectively support a risk-based decision to accept system deficiencies; fully develop, document, or update information security policies and procedures; update system security plans to reflect changes to the operating environment; perform effective tests and evaluations of policies, procedures, and controls; or address shortcomings in the agency\u2019s remedial process. Accordingly, we made 10 recommendations to IRS to more effectively implement security-related policies and plans. The agency neither agreed nor disagreed with the recommendations; as of August 2018, all 10 recommendations had not been implemented.", "In May 2017, we reported that the Federal Deposit Insurance Corporation did not include all necessary information in procedures for granting access to a key financial application; fully address its Inspector General findings that security control assessments of outsourced service providers had not been completed in a timely manner; fully address key previously identified weaknesses related to establishing agency-wide configuration baselines and monitoring changes to critical server files; or complete actions to address the Inspector General\u2019s finding that the Federal Deposit Insurance Corporation had not ensured that major security incidents are identified and reported in a timely manner. We made one recommendation to the agency to more fully implement its information security program. The agency agreed with our recommendation and has taken steps to implement it.", "In August 2016, we reported that the Food and Drug Administration did not fully implement certain security practices involved with assessing risks to systems; complete or review security policies and procedures in a timely manner; complete and review system security plans annually; always track and fully train users with significant security responsibilities; fully test controls or monitor them; remediate identified security weaknesses in a timely fashion based on risk; or fully implement elements of its incident response program. Accordingly, we issued 15 recommendations to the Food and Drug Administration to fully implement its agency-wide information security program. The agency agreed with our recommendations. As of August 2018, all 15 recommendations had been implemented.", "In May 2016, we reported that a key reason for the information security weaknesses in selected high-impact systems at four agencies\u2014National Aeronautics and Space Administration, Nuclear Regulatory Commission, the Office of Personnel Management, and Department of Veterans Affairs\u2014was that they had not effectively implemented elements of their information security programs. For example, most of the selected agencies had conducted information security control assessments for systems, but not all assessments were comprehensive. We also reported that remedial action plans developed by the agencies did not include all the required elements, and not all agencies had developed a continuous monitoring strategy. Table 4 identifies the extent to which the selected agencies implemented key aspects of their information security programs.", "Accordingly, we made 19 recommendations to the four selected agencies to correct these weaknesses. Agency responses to the recommendations varied. Further, as of August 2018, 16 of the 19 recommendations had not been implemented.", "DOD\u2019s monitoring of progress in implementing cyber strategies varied. In August 2017, we reported that the DOD\u2019s progress in implementing key strategic cybersecurity guidance\u2014the DOD Cloud Computing Strategy, DOD Cyber Strategy, and DOD Cybersecurity Campaign\u2014has varied. More specifically, we determined that the department had implemented the cybersecurity objectives identified in the DOD Cloud Computing Strategy and had made progress in implementing the DOD Cyber Strategy and DOD Cybersecurity Campaign. However, the department\u2019s process for monitoring implementation of the DOD Cyber Strategy had resulted in the closure of tasks as implemented before the tasks were fully implemented. In addition, the DOD Cybersecurity Campaign lacked time frames for completion and a process to monitor progress, which together provide accountability to ensure implementation.", "We made two recommendations to improve DOD\u2019s process of ensuring its cyber strategies are effectively implemented. The department partially concurred with these recommendations and identified actions it planned to take to address them. We noted that, if implemented, the actions would satisfy the intent of our recommendations. However, as of August 2018, DOD had not yet implemented our recommendations.", "Agencies had not fully defined the role of their Chief Information Security Officers (CISO), as required by FISMA. In August 2016, we reported that 13 of 24 agencies covered by the CFO Act had not fully defined the role of their CISO. For example, these agencies did not always identify a role for the CISO in ensuring that security controls are periodically tested; procedures are in place for detecting, reporting, and responding to security incidents; or contingency plans and procedures for agency information systems are in place. Thus, we determined that the CISOs\u2019 ability to effectively oversee these agencies\u2019 information security activities can be limited.", "To assist CISOs in carrying out their responsibilities and better define their roles, we made a total of 34 recommendations to OMB and 13 agencies in our review. Agency responses to the recommendations varied; as of August 2018, 18 of the 34 recommendations had not been implemented."], "subsections": []}, {"section_title": "Appendix VIII: Action 7\u2014Enhance the Federal Response to Cyber Incidents", "paragraphs": ["Presidential Policy Directive-41 sets forth principles governing the federal government\u2019s response to any cyber incident, whether involving government or private sector entities. According to the directive, federal agencies shall undertake three concurrent lines of effort when responding to any cyber incident: threat response; asset response; and intelligence support and related activities. In addition, when a federal agency is an affected entity, it shall undertake a fourth concurrent line of effort to manage the effects of the cyber incident on its operations, customers, and workforce.", "We have reviewed federal agencies\u2019 preparation and response to cyber incidents and have identified the following weaknesses:", "The Office of Personnel Management (OPM) had not fully implemented controls to address deficiencies identified as a result of a cyber incident. In August 2017, we reported that OPM did not fully implement the 19 recommendations made by the Department of Homeland Security\u2019s (DHS) United States Computer Emergency Readiness Team (US-CERT) after the data breaches in 2015. Specifically, we noted that, after breaches of personnel and background investigation information were reported, US-CERT worked with the agency to resolve issues and develop a comprehensive mitigation strategy. In doing so, US-CERT made 19 recommendations to OPM to help the agency improve its overall security posture and, thus, improve its ability to protect its systems and information from security breaches.", "In our August 2017 report, we determined that OPM had fully implemented 11 of the 19 recommendations. For the remaining 8 recommendations, actions for 4 were still in progress. For the other 4 recommendations, OPM indicated that it had completed actions to address them, but we noted further improvements were needed. Further, OPM had not validated actions taken to address the recommendations in a timely manner.", "As a result of our review, we made five other recommendations to OPM to improve its response to cyber incidents. The agency agreed with four of these and partially concurred with the one related to validating its corrective action. The agency did not cite a reason for its partial concurrence and we continued to believe that the recommendation was warranted. As of August 2018, three of the five recommendations had not been implemented.", "The Department of Defense (DOD) had not identified the National Guard\u2019s cyber capabilities (e.g., computer network defense teams) or addressed challenges in its exercises. In September 2016, we reported that DOD had not identified the National Guard\u2019s cyber capabilities or addressed challenges in its exercises.", "Specifically, DOD had not identified and did not have full visibility into National Guard cyber capabilities that could support civil authorities during a cyber incident because the department has not maintained a database that identifies National Guard cyber capabilities, as required by the National Defense Authorization Act for Fiscal Year 2007. In addition, we identified three types of challenges with DOD\u2019s cyber exercises that could limit the extent to which DOD is prepared to support civilian authorities in a cyber incident: limited access because of classified exercise environments; limited inclusion of other federal agencies and critical infrastructure owners; and inadequate incorporation of joint physical-cyber scenarios.", "In our September 2016 report, we noted that DOD had not addressed these challenges. Furthermore, we stated that DOD had not addressed its goals by conducting a \u201ctier 1\u201d exercise (i.e., an exercise involving national-level organizations and combatant commanders and staff in highly complex environments), as stated in the DOD Cyber Strategy.", "Accordingly, we recommended that DOD (1) maintain a database that identifies National Guard cyber capabilities and (2) conduct a tier 1 exercise to prepare its forces in the event of a disaster with cyber effects. The department partially agreed with our recommendations, stating that its current mechanisms and exercises are sufficient to address the issues highlighted in our report. However, we continued to believe the recommendations were valid. As of August 2018, our two recommendations had not been implemented.", "DOD had not identified, clarified, or implemented all components of its incident response program. In April 2016, we also reported that DOD had not clarified its roles and responsibilities for defense support of civil authorities during cyber incidents. Specifically, we found that DOD\u2019s overarching guidance about how it is to support civil authorities as part of its Defense Support of Civil Authorities mission did not clearly define the roles and responsibilities of key DOD entities, such as DOD components, the supported command, or the dual-status commander, if they are requested to support civil authorities in a cyber incident. Further, we found that, in some cases, DOD guidance provides specific details on other types of Defense Support of Civil Authorities-related responses, such as assigning roles and responsibilities for fire or emergency services support and medical support, but does not provide the same level of detail or assign roles and responsibilities for cyber support.", "Accordingly, we recommended that DOD issue or update guidance that clarifies DOD roles and responsibilities to support civil authorities in a domestic cyber incident. DOD concurred with the recommendation and stated that the department will issue or update guidance. However, as of August 2018, the department had not implemented our recommendation.", "DHS\u2019s NCPS had limited capabilities for detecting and preventing intrusions, conducting analytics, and sharing information. In January 2016, we reported that NCPS had a limited ability to detect intrusions across all types of network types. In addition, we reported that the system\u2019s intrusion prevention capability was limited and its information-sharing capability was not fully developed. Furthermore, we reported that DHS\u2019s current metrics did not comprehensively measure the effectiveness of NCPS. Accordingly, we made nine recommendations to DHS to address these issues and others. The department agreed with our recommendations and has taken action to address one of them. However, as of August 2018, eight of these recommendations had not been implemented."], "subsections": []}, {"section_title": "Appendix IX: Action 8\u2014Strengthen the Federal Role in Protecting the Cybersecurity of Critical Infrastructure", "paragraphs": ["The nation\u2019s critical infrastructure include both public and private systems vital to national security and other efforts including providing the essential services, such as banking, water, and electricity\u2014that underpin American society. The cyber threat to critical infrastructure continues to grow and represents a national security challenge. To address this cyber risk, the President issued Executive Order 13636 in February 2013 to enhance the security and resilience of the nation\u2019s critical infrastructure and maintain a cyber environment that promotes safety, security, and privacy.", "In accordance with requirements in the executive order which were enacted into law in 2014, the National Institute of Standards and Technology (NIST) facilitated the development of a set of voluntary standards and procedures for enhancing cybersecurity of critical infrastructure. This process, which involved stakeholders from the public and private sectors, resulted in NIST\u2019s Framework for Improving Critical Infrastructure Cybersecurity. The framework is to provide a flexible and risk-based approach for entities within the nation\u2019s 16 critical infrastructure sectors to protect their vital assets from cyber-based threats. Since then, progress has been made to protect the critical infrastructure of the nation but we have reported that challenges to ensure the safety and security of our infrastructure exist.", "The Department of Homeland Security (DHS) had not measured the impact of its efforts to support cyber risk reduction for high- risk chemical sector entities. In August 2018, we reported that DHS had strengthened its processes for identifying high-risk chemical facilities and assigning them to tiers under its Chemical Facility Anti- Terrorism Standards program. However, we found that DHS\u2019s new performance measure methodology did not measure reduction in vulnerability at a facility resulting from the implementation and verification of planned security measures during the compliance inspection process. We concluded that doing so would provide DHS an opportunity to begin assessing how vulnerability is reduced\u2014and by extension, risk lowered\u2014not only for individual high-risk facilities but for the Chemical Facility Anti-Terrorism Standards program as a whole.", "We also determined that, although DHS shares some Chemical Facility Anti-Terrorism Standards program information, first responders and emergency planners may not have all of the information they need to minimize the risk of injury or death when responding to incidents at high-risk facilities. This was due to first responders at the local level not having access or widely using a secure interface that DHS developed (known as the Infrastructure Protection Gateway) to obtain information about high-risk facilities and the specific chemicals they process.", "To address the weaknesses we identified, we recommended that DHS take actions to (1) measure reduction in vulnerability of high-risk facilities and use that data to assess program performance, and (2) encourage access to and wider use of the Infrastructure Protection Gateway among first responders and emergency planners. DHS concurred with both recommendations and outlined efforts underway or planned to address them.", "The federal government had identified major challenges to the adoption of the cybersecurity framework. In February 2018, we reported that there were four different challenges to adopting the cybersecurity framework, including limited resources and competing priorities, reported by entities within their sectors. We further reported that none of the 16 sector-specific agencies were measuring the implementation by these entities, nor did they have qualitative or quantitative measures of framework adoption. While research had been done to determine the use of the framework in the sectors, these efforts had yielded no real results for sector wide adoption. We concluded that, until sector-specific agencies understand the use of the framework by the implementing entities, their ability to understand implementation efforts would be limited. Accordingly, we made a total of nine recommendations to nine sector-specific agencies to address these issues. Five agencies agreed with the recommendations, while four others neither agreed nor disagreed; as of August 2018, all five recommendations had not been implemented.", "Agencies had not addressed risks to their systems and the information they maintain. In January 2018, we reported that the Department of Defense (DOD) and Federal Aviation Administration (FAA) identified a variety of operations and physical security risks related to Automatic Dependent Surveillance-Broadcast Out technology that could adversely affect DOD missions. These risks came from information broadcast by the system itself, as well as from potential vulnerabilities to electronic warfare- and cyber-attacks, and from the potential divestment of secondary-surveillance radars. However, DOD and FAA had not approved any solutions to address the risks they identified to the system. Accordingly, we recommended that DOD and FAA, among other things, take action to approve one or more solutions to address Automatic Dependent Surveillance- Broadcast Out-related security risks. DOD and FAA generally agreed with our recommendations; however, as of August 2018, they had not been implemented.", "Major challenges existed to securing the electricity grid against cyber threats. In October 2015, we testified on the status of the electricity grid\u2019s cybersecurity, reporting that entities associated with the grid have encountered several challenges. We noted that these challenges included implementation monitoring, built-in security features in smart grid systems, and establishing metrics for cybersecurity. We concluded that continued attention to these issues and cyber threats in general was required to help mitigate these risks to the electricity grid.", "DHS and other agencies needed to enhance cybersecurity in the maritime environment. In October 2015, we testified on the status of the cybersecurity of our nation\u2019s ports, concluding that steps needed to be taken to enhance their security. Specifically, we noted that DHS needed to include cyber risks in its risk assessments that are already in place as well as addressing cyber risks in guidance for port security plans. We concluded that, until DHS and the other stakeholders take steps to address cybersecurity in the ports, risk of a cyber-attack with serious consequences are increased.", "Sector-specific agencies were not properly addressing progress or metrics to measure their progress in cybersecurity. In November 2015, we reported that sector-specific agencies were not comprehensively addressing the cyber risk to the infrastructure, as 11 of the 15 sectors had significant cyber risk. Specifically, we noted that these entities had taken actions to mitigate their cyber risk; however, most had not identified incentives to promote cybersecurity in their sectors. We concluded that while the sector-specific agencies have successfully disseminated the information they possess, there was still work to be done to properly measure cybersecurity implementation progress. Accordingly, we made seven recommendations to six agencies to address these issues. Four of these agencies agreed with our recommendation, while two agencies did not comment on the recommendations. As of August 2018, all seven recommendations had not been implemented."], "subsections": []}, {"section_title": "Appendix X: Action 9\u2014Improve Federal Efforts to Protect Privacy and Sensitive Data", "paragraphs": ["Advancements in technology, such as new search technology and data analytics software for searching and collecting information, have made it easier for individuals and organizations to correlate data and track it across large and numerous databases. In addition, lower data storage costs have made it less expensive to store vast amounts of data. Also, ubiquitous Internet and cellular connectivity make it easier to track individuals by allowing easy access to information pinpointing their locations. the effectiveness of these procedures. Based on a survey of the schools, the majority of the schools had policies in place for records retention but the way these policies were implemented was highly varied for paper and electronic records. We also found that the oversight of the school\u2019s programs was lacking, as Federal Student Aid conducts reviews but does not consider information security as a factor for selecting schools. out provisions of the Patient Protection and Affordable Care Act. We made three recommendations to CMS related to defining procedures for overseeing the security of state-based marketplaces and requiring continuous monitoring of state marketplace controls. HHS concurred with our recommendations. As of August 2018, two of the recommendations had not yet been implemented.", "Poor planning and ineffective monitoring had resulted in the unsuccessful implementation of government initiatives designed to protect federal data. In July 2017, we reported that government initiatives aimed at eliminating the unnecessary collection, use, and display of Social Security numbers (SSN) have had limited success. Specifically, in agencies\u2019 response to our questionnaire on SSN reduction efforts, the 24 agencies covered by the Chief Financial Officers Act reported successfully curtailing the collection, use, and display of SSNs. Nevertheless, all of the agencies continued to rely on SSNs for important government programs and systems, as seen in figure 10."], "subsections": []}, {"section_title": "Appendix XI: Action 10\u2014Appropriately Limit the Collection and Use of Personal Information and Ensure That It Is Obtained with Appropriate Knowledge or Consent", "paragraphs": ["Given that access to data is so pervasive, personal privacy hinges on ensuring that databases of personally identifiable information (PII) maintained by government agencies or on their behalf are protected both from inappropriate access (i.e., data breaches) as well as inappropriate use (i.e., for purposes not originally specified when the information was collected). Likewise, the trend in the private sector of collecting extensive and detailed information about individuals needs appropriate limits. The vast number of individuals potentially affected by data breaches at federal agencies and private sector entities in recent years increases concerns that PII is not being properly protected.", "The emergence of IoT devices can facilitate the collection of information about individuals without their knowledge or consent. In May 2017, we reported that the IoT has become increasingly used to communicate and process vast amounts of information using \u201csmart\u201d devices (such as a fitness tracker connected to a smartphone). However, we noted that this emerging technology also presents new issues in areas such as information security, privacy, and safety.", "Smartphone tracking apps can present serious safety and privacy risks. In April 2016, we reported on smartphone applications that facilitated the surreptitious tracking of a smartphone\u2019s location and other data. Specifically, we noted that some applications could be used to intercept communications and text messages, essentially facilitating the stalking of others. While it is illegal to use these applications for these purposes, stakeholders differed over whether current federal laws needed to be strengthened to combat stalking. We also noted that stakeholders expressed concerns over what they perceived to be limited enforcement of laws related to tracking apps and stalking. In particular, domestic violence groups stated that additional education of law enforcement officials and consumers about how to protect against, detect, and remove tracking apps is needed.", "The Federal Bureau of Investigation (FBI) has not ensured privacy and accuracy related to the use of face recognition technology. In May 2016, we reported that the Department of Justice had not been timely in publishing and updating privacy documentation for the FBI\u2019s use of face recognition technology. Publishing such documents in a timely manner would better assure the public that the FBI is evaluating risks to privacy when implementing systems. Also, the FBI had taken limited steps to determine whether the face recognition system it was using was sufficiently accurate. We recommended that the department ensure required privacy-related documents are published and that the FBI test and review face recognition systems to ensure that they are sufficiently accurate. Of the six recommendations we made, the Department of Justice agreed with one, partially agreed with two, and disagreed with three. We continued to believe all the recommendations made were valid. As of August 2018, the six recommendations had not been implemented."], "subsections": []}, {"section_title": "Appendix XII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Jon Ticehurst, Assistant Director; Kush K. Malhotra, Analyst-In-Charge; Chris Businsky; Alan Daigle; Rebecca Eyler; Chaz Hubbard; David Plocher; Bradley Roach; Sukhjoot Singh; Di\u2019Mond Spencer; and Umesh Thakkar made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-77", "url": "https://www.gao.gov/products/GAO-19-77", "title": "Human Trafficking: State and USAID Should Improve Their Monitoring of International Counter-trafficking Projects", "published_date": "2018-12-04T00:00:00", "released_date": "2018-12-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Human trafficking is a pervasive problem throughout the world. Victims are often held against their will in slave-like conditions.", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for GAO to report on the programs conducted by specific agencies, including State, DOL, and USAID, that address trafficking in persons. Among other objectives, this report (1) identifies the recent projects in international counter-trafficking in persons that key U.S. agencies have awarded to implementing partners; and, for selected projects, assesses the extent to which key agencies have (2) documented their monitoring activities and (3) ensured the reliability of project performance information.", "GAO reviewed State, DOL, and USAID project documents and interviewed agency officials. GAO reviewed monitoring documents for 54 of the 57 projects that were active from the beginning of fiscal year 2016 through the end of fiscal year 2017. Of these 54 projects, GAO selected a nongeneralizable sample of 5 projects, based primarily on largest total award amounts, for review of the reliability of project performance information."]}, {"section_title": "What GAO Found", "paragraphs": ["The Departments of State (State), Labor (DOL), and the U.S. Agency for International Development (USAID)\u2014through agreements with implementing partners\u2014managed 120 international counter-trafficking in person projects during fiscal year 2017.", "GAO reviewed a selection of 54 counter-trafficking projects (37 State, 3 DOL, and 14 USAID), and found that DOL and USAID had fully documented their monitoring activities, while State had not. All three agencies used similar tools to monitor the performance of their projects, such as monitoring plans, performance indicators and targets, progress reports, and site visits. GAO found, however, that State did not fully document its monitoring activities for 16 of its 37 projects (43 percent). GAO found that State did not have the monitoring plans or complete progress reports for one-third of its projects and often lacked targets for performance indicators in its final progress reports. State officials said they had not required targets for each performance indicator for the projects GAO reviewed, or had not set targets due to limited resources in prior years. State has taken steps to improve its monitoring efforts, including issuing a November 2017 policy that requires targets to be set for each performance indicator and developing an automated data system that would require targets to be recorded. However, because the pilot data system allows targets to be recorded as \u201cto be determined\u201d and does not have controls to ensure entry of actual targets, it is uncertain whether performance targets will be regularly recorded. Without full documentation of monitoring activities and established performance targets, State has limited ability to assess project performance, including project efficiency or effectiveness.", "GAO reviewed the reliability of project performance information for 5 of the 54 counter-trafficking projects (2 State, 1 DOL, and 2 USAID) and found that State and USAID used inconsistent and incomplete performance information, while DOL used consistent and complete information. For example, some quarterly indicator results in State and USAID progress reports were inconsistent with annual total results, and narrative explanations for significant deviations from performance targets were sometimes not present in quarterly reports. According to agency officials, performance information from these projects is regularly used not only for direct project oversight but also for internal and external reporting, program decisions, and lessons learned. GAO found that State's and USAID's processes lack sufficient controls to ensure the reliability of project performance information, but did not find inadequate controls in DOL's process. For example, neither State nor USAID consistently used automated checks on indicator results to ensure consistency and completeness of performance indicator result calculations. In contrast, DOL used automated checks as part of its process. Without implementing controls to ensure that performance information is consistent and complete, State and USAID officials cannot fully or accurately understand what projects are, or are not, achieving, and how their efforts might be improved."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to State and one recommendation to USAID, including that both agencies establish additional controls to improve the consistency and completeness of project performance information, and that State maintain monitoring activity documentation and establish targets for each performance indicator. State and USAID concur with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Trafficking in persons, or human trafficking, is a longstanding and pervasive problem throughout the world, as traffickers buy, sell, and transport victims across national boundaries. Victims are often held against their will in slave-like conditions or forced to work in the commercial sex trade, garment factories, fishing boats, agriculture, domestic service, and other types of servitude. In addition to inflicting grave damage upon its victims, trafficking in persons is a multi-billion dollar industry that undermines government authority, distorts markets, fuels organized criminal groups and gangs, enriches transnational criminals and terrorists, and imposes social and public health costs. The Department of State (State) noted in its June 2018 Trafficking in Persons Report that terrorist organizations also use trafficking in persons to recruit adherents and finance their operations. Congress enacted the Trafficking Victims Protection Act of 2000 to combat trafficking in persons, and has reauthorized this act four times. The act, as amended, defines severe forms of trafficking in persons as (1) sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act is under age 18; or (2) the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion, for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. According to the International Labor Organization, in 2016, there were an estimated 24.9 million people in forced labor, including 4.8 million people in forced sexual exploitation. However, as we previously reported, estimates of the number of trafficking victims are often questionable due to data and methodological weaknesses.", "The National Defense Authorization Act for Fiscal Year 2017 includes a provision for GAO to report on the programs conducted by the Department of State (State), the Department of Labor (DOL), the United States Agency for International Development (USAID), the Department of Defense (DOD), and the Department of the Treasury (Treasury) that address human trafficking and modern slavery, including a detailed analysis of the effectiveness of such programs in limiting human trafficking and modern slavery. Three of these agencies\u2014State, DOL, and USAID\u2014have programs that design and award counter-trafficking projects to implementing partners, through contracts, grants, or cooperative agreements. These agencies then oversee and monitor these projects. Since DOD and Treasury officials did not identify these types of projects as part of their counter-trafficking in persons efforts, we provide background information on their efforts but do not cover these agencies in our reporting objectives. This report (1) identifies the recent projects in international counter-trafficking in persons that key U.S. agencies have awarded to implementing partners, and for selected projects, assesses the extent to which key agencies have (2) documented their monitoring activities, (3) ensured the reliability of the performance information they use in monitoring projects, and (4) reviewed the usefulness of the performance indicators they use in monitoring projects.", "To address these objectives, we reviewed relevant agency documents and interviewed agency officials. To report on agencies\u2019 programs, we asked knowledgeable officials at State, DOL, USAID, DOD, and Treasury to identify their projects that (1) had an international focus; (2) were delivered by implementing partners to external recipients, such as trafficking victims or host governments, as project beneficiaries; and (3) addressed trafficking in persons, modern slavery, or forced labor. Because State, DOL, and USAID managed such projects, we focus on them as the three key agencies for the purposes of our reporting objectives. According to officials from these three agencies, the projects they identified range from those with counter-trafficking in persons as a primary goal, to those in which this goal was integrated as part of the agency\u2019s activities. We used the lists of projects that these agencies provided to report the relevant counter-trafficking projects that agencies awarded to implementing partners to carry out the projects. For our first objective, we determined the projects that were active during fiscal year 2017, including those which began, were ongoing, or ended during fiscal year 2017, and interviewed agency officials to confirm project information.", "To analyze the effectiveness of agencies\u2019 programs in limiting human trafficking and modern slavery, we assessed the key agencies\u2019 monitoring efforts for a subset of the projects. We identified State\u2019s, DOL\u2019s, and USAID\u2019s projects that started before or during October 2015, which corresponded to the first quarter of fiscal year 2016, and were active through September 30, 2017, which corresponded to the fourth and last quarter of fiscal year 2017. This resulted in a selection of 54 projects\u2014 37 from State, 3 from DOL, and 14 from USAID\u2014for our review. To assess the extent to which State, DOL, and USAID documented their monitoring activities for selected projects, we reviewed documentation of key monitoring activities as specified in agency policy or the project award agreements, including (1) the monitoring plan for each project, (2) evidence of performance indicators and targets for each project, (3) fiscal year 2017 progress reports for each project, (4) final progress reports for the projects that ended by December 2017, and (5) evidence of the agency\u2019s site visits for each project. Additionally, we interviewed knowledgeable monitoring officials from each agency to understand agencies\u2019 monitoring process and application of monitoring requirements for counter-trafficking in persons projects.", "To assess the extent to which key agencies ensured the reliability of the performance information, as well as the extent to which they reviewed the usefulness of the performance indicators they use to monitor selected international counter-trafficking in persons projects, we selected for review a nongeneralizable sample of 5 projects\u20142 State projects, 1 DOL project, and 2 USAID projects\u2014out of the 54 counter-trafficking in persons projects identified by agencies that started before or during October 2015 and were active through fiscal year 2017. We based our selection of these projects primarily on the largest total award amounts. For these five selected projects, we collected 2 years of progress reports and other documents to assess the quantitative and qualitative performance information. We assessed whether quarterly or semi-annual indicator totals were consistent with annual and cumulative totals where these were reported. Using this quantitative information, we judgmentally selected indicators for inclusion in agency interviews where it appeared likely that numerical errors had occurred or there appeared to be significant project events, such as large over- or under-performance or the elimination of the indicator. We interviewed agency officials, including managers of each of the 5 projects, about the consistency and completeness of monitoring information in these projects for about 60 indicators identified through our analysis, as well as to determine whether our findings for these selected projects reflected general agency policies and procedures, and to understand the processes and systems agencies use to review indicators. We assessed the completeness and consistency of project performance data that State, DOL, and USAID use to monitor projects as part of our data reliability assessment. We found State and USAID data to be unreliable in the projects we reviewed. We discuss the implications of these unreliable data for State and USAID\u2019s project management and reporting in our findings and recommendations. We found the performance data that DOL used were consistent and complete for the project we reviewed. While we examined indicator and narrative information for consistency and completeness, we did not verify the accuracy of performance information. See appendix I for more details on our scope and methodology.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Human trafficking exploits individuals and often involves transnational criminal organizations, violations of labor and immigration codes, and government corruption. Many forms of trafficking\u2014including sex trafficking and labor trafficking\u2014can take place anywhere in the world and occur without crossing country boundaries. As discussed in State\u2019s annual Trafficking in Persons Report, trafficking victims include, for example, Asian and African women and men who migrate to the Persian Gulf region for domestic labor but then suffer both labor trafficking and sexual abuse in the homes of their employers. Some victims are children. For example, Pakistani children as young as 5 years are sold or kidnapped into forced labor to work in brick kilns, some of which are owned by government officials. Other victims are subjected to sexual exploitation. In some cases, women and girls have been bought and sold as sex slaves by members of the Islamic State. In other cases, adult men and women have been forced to engage in commercial sex, and children induced to do the same. Individuals, including men, are exploited in forced labor in a variety of industries. Burmese men, for example, have been forced to labor 20 hours a day, 7 days a week on fishing boats in Thailand. See figure 1 for examples of victims of trafficking in persons.", "Among other U.S. agencies involved in counter-trafficking in persons, State, DOL, USAID, DOD, and Treasury have various roles and responsibilities related to international counter-trafficking in persons, including some internationally-focused programs and activities that do not involve awards made to implementing partners, as follows:", "State. State leads the global engagement of the United States, and supports the coordination of efforts across the U.S government in counter-trafficking in persons. State\u2019s Office to Monitor and Combat Trafficking in Persons (TIP Office), established pursuant to the Trafficking Victims Protection Act of 2000, is responsible for bilateral and multilateral diplomacy, targeted foreign assistance, and public engagement on trafficking in persons. The office also prepares and issues an annual Trafficking in Persons Report that assesses the counter-trafficking efforts of governments and assigns them tier rankings. Furthermore, the TIP Office develops annual regional programming strategies, awards projects to implementing partners and oversees the project award process, and provides technical assistance to implementing partners. Other parts of State, including regional bureaus that cover geographic regions and functional bureaus that cover global issues such as human rights, are also responsible for work related to combating trafficking in persons.", "DOL. Within DOL, the Bureau of International Labor Affairs\u2019 (ILAB)", "Office of Child Labor, Forced Labor, and Human Trafficking (OCFT) conducts research, publishes reports, and administers projects awarded to implementing partners on international child labor, forced labor, and trafficking in persons. ILAB\u2019s reports include the annual Findings on the Worst Forms of Child Labor report, which assesses the efforts of approximately 140 countries and territories to eliminate the worst forms of child labor in the areas of laws and regulations, institutional mechanisms for coordinating and enforcement, and government policies and programs. ILAB also reports on the List of Goods Produced by Child Labor or Forced Labor showing goods and their source countries which ILAB has reason to believe are produced by child labor or forced labor in violation of international standards.", "USAID. USAID administers projects awarded to implementing partners that address counter-trafficking in persons, including increased investments in conflict and crisis areas, and integrating such projects into broader development projects. USAID field missions manage the majority of these counter-trafficking activities through projects that address trafficking challenges specific to the field mission\u2019s region or country. USAID\u2019s Center of Excellence on Democracy, Human Rights and Governance (DRG Center) in Washington, D.C. is responsible for oversight of USAID\u2019s counter- trafficking policy. The DRG Center is responsible for coordinating and reporting on USAID-wide counter-trafficking in persons efforts; oversees the implementation of USAID\u2019s counter-trafficking in persons policy in collaboration with regional bureaus and country missions; works with regional bureaus and country missions to gather counter- trafficking best practices and lessons learned; provides technical assistance and training to field and Washington-based staff on designing, managing, and monitoring and evaluating trafficking in persons projects; and conducts and manages research and learning activities related to combating trafficking in persons to collect data to inform the design of field projects.", "DOD. DOD\u2019s Combating Trafficking in Persons Program Management Office, under the Under Secretary of Defense for Personnel and Readiness in the Defense Human Resources Activity, develops trafficking awareness and training material for all DOD components. On December 16, 2002, the President signed National Security Presidential Directive 22, which declared the United States had a zero tolerance policy for trafficking in persons. The Combating Trafficking in Persons Program Management Office is responsible for overseeing, developing, and providing the tools necessary for implementing National Security Directive 22 within DOD. The office has developed several different training programs, designed to provide an overview of trafficking in persons (including signs of trafficking, key policies and procedures, and reporting procedures), as well as awareness materials for distribution to DOD components and defense contractors overseas.", "Treasury. Treasury has activities, but not specific programs, that may support wider U.S. efforts to address counter-trafficking in persons, according to Treasury officials. Pursuant to its mandate, components of Treasury\u2019s Office of Terrorism and Financial Intelligence (TFI), including Financial Crimes Enforcement Network (FinCEN), Office of Terrorist Financing and Financial Crimes (TFFC), and Office of Foreign Assets Control (OFAC) work on addressing illicit finance activities that support the wider goal of combating global trafficking in persons.", "Pursuant to the Trafficking Victims Protection Act of 2000, the President established the President\u2019s Interagency Task Force to Monitor and Combat Trafficking in Persons (PITF), which is a cabinet-level entity that consists of agencies across the federal government responsible for coordinating implementation of the Trafficking Victims Protection Act of 2000, among other activities. It is chaired by the Secretary of State; State, DOL, USAID, DOD, and Treasury are all PITF agencies. In addition, the Trafficking Victims Protection Act, as amended in 2003, established the Senior Policy Operating Group, which consists of senior officials designated as representatives of the PITF agencies."], "subsections": []}, {"section_title": "During Fiscal Year 2017, State, DOL, and USAID Managed 120 Counter- Trafficking in Persons Projects", "paragraphs": ["State, DOL, and USAID managed 120 projects in counter-trafficking in persons carried out by implementing partners during fiscal year 2017, according to information provided by officials with these agencies. These projects, as identified by agency officials, ranged from those focused on counter-trafficking in persons, to those in which counter-trafficking in persons was integrated into but was not the primary goal of the project. At these agencies, project officers work with the implementing partner on the administration and technical guidance of the project, such as reviewing progress reports. Table 1 shows a summary of these agencies\u2019 project information; appendix II provides more detailed information on all 120 projects.", "During fiscal year 2017, State managed 79 counter-trafficking projects, from those focused on individual countries, to regional and global ones that covered several countries, with a total award amount of approximately $62 million, according to information provided by State officials. State TIP Office managed 75 projects with total awarded amount of around $57 million. Award amounts per project ranged from approximately $150,000 to $2.55 million. For example,", "State TIP Office had 11 global projects totaling about $10 million and 6 regional projects in Africa amounting to about $4 million.", "State TIP Office had two projects in Ghana that received the highest amount of awards, approximately $2.5 million for each project.", "State TIP Office had four projects in India amounting to around $3 million, and four in Thailand totaling around $2.35 million.", "In addition to State TIP Office\u2019s projects, State\u2019s Bureau of Democracy, Human Rights, and Labor (DRL) managed four counter-trafficking projects with a reported total award amount of about $5 million, with two projects in Mauritania making up around 70 percent of DRL\u2019s total awarded amount.", "DOL\u2019s ILAB/OCFT managed six projects in fiscal year 2017 with a total award amount of approximately $31 million, according to DOL officials. These projects ranged from one scheduled to last for 5 years with an awarded amount of about $1 million, to one scheduled to last for about 4 years with an awarded amount of about $14 million. Three of DOL\u2019s projects were global projects, while two others focused on two countries each and one project focused on one country.", "USAID\u2019s projects during fiscal year 2017 consisted of 2 regional projects in Asia, and 33 individual projects in 22 different countries. Some of these USAID-identified projects were integrated projects with a broader development focus that includes USAID programmatic objectives other than counter-trafficking in persons. According to information provided by USAID officials, the award amount for all counter-trafficking in persons projects active in fiscal year 2017, including all integrated projects and standalone projects with a sole focus on combatting trafficking in persons, totaled around $296 million; and USAID\u2019s committed funding to these projects\u2019 activities related to counter-trafficking in persons was about $79 million as of September 2018. During fiscal year 2017, USAID focused on a few countries where the agency awarded multiple counter-trafficking projects, such as four projects in Nepal and four projects in Burma.", "According to officials, State, DOL, and USAID generally design projects to align with the \u201c3Ps approach\u201d\u2014prevention, protection, and prosecution\u2014 and to consider trends and recommendations identified in agency reports on foreign governments\u2019 counter-trafficking efforts. According to State\u2019s publicly available information, the \u201c3Ps\u201d approach serves as the fundamental counter-trafficking in persons framework used around the world, and the U.S. government follows this approach to 1. prevent trafficking in persons through public awareness, outreach, education, and advocacy campaigns; 2. protect and assist victims by providing shelters as well as health, psychological, legal, and vocational services; and 3. investigate and prosecute trafficking in persons crimes by providing training and technical assistance for law enforcement officials, such as police, prosecutors, and judges.", "State\u2019s publicly available information on the 3Ps noted that prevention, protection, and prosecution efforts are closely intertwined. Prosecution, for example, can function as a deterrent, potentially preventing the occurrence of human trafficking. Likewise, protection can empower those who have been exploited so that they are not victimized again once they re-enter society. A victim-centered prosecution that enables a survivor to participate in the prosecution is integral to protection efforts.", "In addition to the \u201c3Ps,\u201d a \u201c4th P\u201d\u2014for partnership\u2014serves as a complementary means to achieve progress across the \u201c3Ps\u201d and enlist all segments of society in the fight against human trafficking, according to State\u2019s publicly available information. Addressing the partnerships element, USAID\u2019s counter-trafficking policy seeks to increase coordination across a broad range of national, regional, and global stakeholders from civil society, government, the private sector, labor unions, media, and faith-based organizations."], "subsections": []}, {"section_title": "DOL and USAID Fully Documented Their Monitoring Activities for All Selected Projects, but State Did Not Fully Document Its Activities for 16 of 37 Selected Projects", "paragraphs": [], "subsections": [{"section_title": "State, DOL, and USAID Use Similar Tools to Monitor Performance of Their Counter-Trafficking in Persons Projects", "paragraphs": ["Monitoring is the collecting of data to determine whether a project is being implemented as intended and the tracking of progress through preselected performance indicators during the life of a project. State, DOL, and USAID use a number of similar tools\u2014according to their current policies, guidance, and agency officials\u2014to monitor the performance of their counter-trafficking in persons projects, including monitoring plans, indicators and targets, periodic progress reports, and final progress reports. The agencies also conduct site visits, but their policies vary on whether site visits are required for every project during implementation.", "Monitoring plan. The monitoring plan\u2014according to monitoring policies of the three agencies\u2014documents, among other things, all of the indicators and targets for the project as well as data collection frequency for each indicator. In addition, according to State TIP Office officials, the monitoring plan\u2019s indicators and targets for TIP Office- managed counter-trafficking in persons projects are to be organized in a logic model, which is a visual representation that shows the linkages among the project\u2019s goals, objectives, activities, outputs, and outcomes (see table 2). The logic model is intended to show relationships between what the project will do and what changes it expects to achieve.", "Indicators and Targets. Performance indicators\u2014according to monitoring policies of the three agencies\u2014are used to monitor progress and measure actual results compared to expected results. Targets are to be set for each performance indicator to indicate the expected results over the course of each period of performance. According to agency officials, the monitoring plan documents indicators and targets to be tracked and reported on through periodic progress reports to assess whether the project is likely to achieve the desired results. GAO has also found that a key attribute of effective performance measures is having a measurable target.", "Periodic progress reports. The reporting templates for the three agencies show that periodic progress reports\u2014which are submitted at established intervals during the project\u2019s implementation\u2014compare actual to planned performance and indicate the progress made in accomplishing the goals and objectives of the project, including reporting on progress toward the monitoring plan\u2019s indicator targets.", "Final progress report. The final progress report\u2014according to monitoring policies of the agencies or agency officials\u2014is a stand- alone report that provides a summary of the progress and achievements made during the life of the project.", "Site Visits. The three agencies policies vary on whether site visits are required for every project during implementation. For example, State\u2019s policy notes that site visits may be conducted to review and evaluate recipient records, accomplishments, organizational procedures, and financial control systems, as well as to conduct interviews and provide technical assistance as necessary. In 2015, the State TIP Office established a goal to conduct at least one site visit during the life time of every project. While site visits during a project\u2019s implementation are not required under DOL\u2019s policy, DOL officials explained that they use site visits when deemed necessary to supplement information from other forms of oversight. USAID\u2019s policy requires that a site visit be conducted for every project during implementation to provide activity oversight, inspect implementation progress and deliverables, verify monitoring data, and learn from activity implementation.", "In addition to these monitoring tools, State, USAID, and DOL officials told us that they rely on frequent communication with implementing partners as part of their monitoring process. Overall, monitoring is intended to help agencies determine whether the project is meeting its goals, update and adjust interventions and activities as needed, and ensure that funds are used responsibly."], "subsections": []}, {"section_title": "DOL and USAID Fully Documented Their Monitoring Activities for Selected Projects, while State Did Not", "paragraphs": ["We found, based on our review of 54 selected counter-trafficking in persons projects (37 State, 3 DOL, and 14 USAID), that DOL and USAID had fully documented their performance monitoring activities, while State did not fully document its activities for 16 of 37 (43 percent) of the projects we reviewed with project start dates between fiscal years 2011 to 2016.", "DOL\u2019s documented monitoring activities included the monitoring plan for each project as well as fiscal year 2017 semi-annual progress reports, including indicators and targets. USAID\u2019s documented monitoring activities included the monitoring plan for each project; fiscal year 2017 progress reports at the reporting frequency specified in the agreements for each project; the final progress report, including indicators and targets, for the three projects that ended as of December 2017; and evidence that at least one site visit was conducted during each project\u2019s implementation. Overall, the three agencies reported having conducted at least one site visit during the life time of the project for 47 of 54 (87 percent) of the selected projects.", "As shown in table 3, State did not fully document its monitoring activities (monitoring plan; fiscal year 2017 quarterly progress reports; and final progress report, including indicators and targets, for projects that ended as of December 2017) for 16 of the 37 selected projects we reviewed. Specifically, State did not have nine monitoring plans, five complete progress reports, or targets for each indicator in six of seven final progress reports for projects that ended as of December 2017. (See appendix III for detailed information on each of the 37 projects.)", "For the nine projects for which the monitoring plan was not documented, the State TIP Office indicated that it was unable to locate these documents or they were not completed because the projects were finalized when the TIP Office was beginning to institute the monitoring plan requirement. Although TIP Office officials told us that the TIP Office piloted and began to phase in the monitoring plan requirement over the course of 2014 and early 2015, eight of the nine projects without monitoring plans started in September or October 2015. We found that each of the nine projects had a logic model used to report progress in the fiscal year 2017 quarterly progress reports we reviewed, which would have provided TIP Office officials a basis for monitoring project performance at that point. However, federal standards for internal control call for agency management to design monitoring activities so that all transactions are completely and accurately recorded and so that management can evaluate project results. Specifically, internal controls specify that monitoring should be ongoing throughout the life of the project, which is consistent with State\u2019s current policy that generally requires completion of the monitoring plan prior to award. Without timely documentation of the monitoring plans at the start of the project, TIP Office officials may not be able to ensure that projects are achieving their goals, as intended, from the beginning of project operations.", "For the three projects for which the quarterly progress report for the first quarter of fiscal year 2017 had been partially completed, the State TIP Office indicated that the implementing partners began to use the TIP Office\u2019s quarterly reporting template for subsequent reports after TIP Office officials instructed the implementing partner to do so. For the one project where the quarterly progress report was not completed for the third quarter of fiscal year 2017, or partially completed for the fourth quarter of fiscal year 2017, the project officer provided possible reasons why the documents were not in the project\u2019s file, including that the implementing partner lacked the capacity to design a logic model. The project ended December 31, 2017. Federal standards for internal control call for agency management to design monitoring activities, such as performance reporting, so that all transactions are completely and accurately recorded, and project results can be continuously evaluated. As previously discussed, performance progress reports should compare actual to planned performance and indicate the progress made in accomplishing the goals and objectives of the project. Therefore, the TIP Office may lack information needed to assess project performance if it does not have access to complete monitoring documentation.", "For the six projects for which targets were not fully documented in the final progress reports, we found that targets were lacking for 110 of 253 (43 percent) of indicators across the six final progress reports. Our prior work on performance measurement identified 10 key attributes of performance measures\u2014such as having a measurable target\u2014that GAO has found are key to successfully measuring a project\u2019s performance. For example, our prior work has shown that numerical targets or other measurable values facilitate future assessments of whether overall goals and objectives are achieved because comparisons can be easily made between projected performance and actual results. State TIP Office officials explained that the final progress reports we reviewed lacked targets because the TIP Office had not required targets for each indicator for the projects we reviewed that started in fiscal years 2011 to 2016. State TIP Office officials also said that project officers may not have set targets due to limited resources in previous years. A lack of actual targets limits the TIP Office\u2019s ability to assess project performance, including effectiveness, and determine if implementation is on track or if any timely corrections or adjustments may be needed to improve project efficiency or effectiveness.", "According to State TIP Office officials, the TIP Office has taken steps to improve its documentation of monitoring activities, such as instituting a monitoring plan requirement; increasing staff, including hiring a monitoring and evaluation specialist; and developing standard templates for implementing partners to use for reporting. Moreover, in November 2017, State established a new policy asserting that, building on the logic model or project charter, bureaus and independent offices must set targets for each performance indicator to indicate the expected change over the course of each period of performance. It further notes that bureaus and independent offices should maintain documentation of project design, including the logic model. Additionally, State TIP Office officials said that State is developing a department-wide automated information management system (State Assistance Management System - Domestic, or SAMS-D) that officials expect to standardize entry of performance information and, under the new system targets, must be recorded for each indicator. State TIP Office officials have worked to pilot- test SAMS-D to provide feedback on the system, including suggestions to improve the completeness of data collection, according to TIP Office officials.", "Despite these efforts, the TIP Office\u2019s documentation of all monitoring activities, and implementation of its November 2017 requirement to set targets for all performance indicators, is uncertain. For example, even though the TIP Office informed us that it began to institute a monitoring plan requirement over the course of 2014 and early 2015, as previously noted, eight projects we reviewed that started in September or October 2015 did not have monitoring plans. In addition, according to State officials, in SAMS-D, targets could be recorded as \u201cto be determined\u201d and there are no controls in place to ensure that \u201cto be determined\u201d entries are replaced with actual targets. State officials said that SAMS-D has the capability to implement controls to alert users to update \u201cto be determined\u201d targets, but pilot users of SAMS-D, which include the TIP Office, have not provided feedback for this capability so far. Furthermore, State TIP Office officials informed us that the TIP Office cannot require all implementing partners to set targets, but that the TIP Office aspires to update relevant targets regularly in the future and would encourage implementing partners to update target values when appropriate. Without controls to ensure full documentation of monitoring activities and established performance targets, State is limited in its ability to assess project performance, including project efficiency or effectiveness."], "subsections": []}]}, {"section_title": "State and USAID Do Not Have Sufficient Controls to Ensure the Reliability of Project Information, while DOL Had Consistent and Complete Performance Information in the Project We Reviewed", "paragraphs": ["In our review of selected indicators in two State TIP Office and two USAID projects, we found that State and USAID used inconsistent and incomplete performance information to monitor these projects. We found that State TIP Office and USAID do not have sufficient controls in place to ensure that the performance information they use is reliable. In contrast, we found that DOL had consistent and complete performance information in a project we reviewed, and we identified no controls in DOL\u2019s process that were insufficient for assuring the reliability of this information."], "subsections": [{"section_title": "State and USAID Projects We Reviewed Showed Inconsistent and Incomplete Performance Information", "paragraphs": ["For selected indicators in two State TIP Office and two USAID projects, we found numerous errors or omissions in progress reports we reviewed, which resulted in inconsistent and incomplete performance information agencies used to monitor these projects. Specifically, we found examples of inconsistent information, which included many instances in which quarterly indicator totals differed from annual or cumulative totals reported separately on the same projects, and numbers reported in narrative information that differed from numbers reported as indicator values. In addition, we found examples of incomplete information, including narrative elements that were missing in whole or in part.", "Inconsistent Performance Information. We found numerous instances in which quarterly totals differed from annual or cumulative totals reported separately on the same projects. When these errors occurred, it was not possible to independently determine project performance based on report information. For example,", "For one State TIP Office project, reported cumulative progress overstated quarterly progress for at least 11 indicators (3 of which by 25 percent or more) and understated quarterly progress for at least 5 indicators (once by 25 percent or more). For example, for the indicator \u201cnumber of standardized reintegration protocols/guidelines/tools developed (case forms, family assessment, etc.,)\u201d State\u2019s cumulative performance report as of the 4th quarter of fiscal year 2017 indicated that two tools had been developed, whereas quarterly reports showed that only one had been developed.", "For one USAID project, the indicator \u201cnumber of assisted communes allocating and accessing funds for trafficking in persons prevention activities\u201d showed that annual results were 60, while quarterly report data combined showed that the number was 6, which USAID officials confirmed was the correct figure.", "For another USAID project, the indicator, \u201cnumber of food security private enterprises (for profit), producers organizations, water users associations, women\u2019s groups, trade and business associations, and community-based organizations receiving U.S. government assistance\u201d showed an annual result of one, while quarterly totals combined showed a total of three, which USAID officials confirmed was the correct figure.", "For the projects we reviewed, implementing partners produced narrative descriptions of progress made to accompany indicator results. We found cases in which numbers reported in narrative information were not consistent with numbers reported as indicator values. For example, for the State TIP Office indicator \u201cnumber of criminal justice practitioners trained\u201d for one project, indicator results for two quarters differed from results presented in the corresponding narrative during fiscal years 2016 to 2017. State officials found that the narrative information was correct for one of these inconsistencies and the indicator result was correct for the other. In addition, for one USAID indicator\u2014number of public awareness tools on trafficking in persons developed and disseminated\u2014the narrative report for one quarter described distributions that added up to 21,765 products, while the reported quantitative indicator total was 21,482. USAID officials confirmed that 21,765 was the correct figure.", "Incomplete Performance Information. Additionally, some quarterly reports had narrative elements that were incomplete in whole or in part, which made independent interpretation of project performance difficult or impossible.", "The implementing partner in one State TIP Office project copied and pasted significant portions of narrative information in quarterly reports for 2 years and, according to State TIP Office officials, did not fulfill a request by State TIP Office to include only current quarterly information in formal quarterly reports because it was focused on other activities. For nearly the entire period, the implementing partner indicated that it was \u201cfollowing up\u201d with government entities in three countries to set up counter-trafficking in persons training for government officials, but no indication was made in formal quarterly reports about the results of any of these follow-up activities.", "For one State TIP Office project, the indicator \u201cnumber of children receiving care, whose cases are reported to the police\u201d had no narrative information or incomplete narrative information provided for three of the four quarters in which activity occurred during our period of review (comprising almost 90 percent of reported performance under this indicator).", "For a USAID project, the implementing partner reported a combined performance number of approximately 200 from the first through third quarters of fiscal year 2017 for the indicator \u201cnumber of members of producer organizations and community based organizations receiving U.S. government assistance.\u201d However, annual performance for fiscal year 2017 was reported as nearly 1,700 organizations. USAID officials explained that this difference was the result of the implementing partner\u2019s misinterpretation of the indicator\u2019s definition when producing the quarterly reports, but the annual report narrative did not explain this correction.", "Additionally, for USAID\u2019s indicator on the \u201cnumber of public awareness tools on trafficking in persons developed and disseminated,\u201d no narrative information in the quarterly or annual reports explained how the last quarter of fiscal year 2016 performance approximately doubled from that of the previous quarter. Narrative information in the annual report described performance for the year only in general terms and did not clarify this significant change.", "In addition to direct project oversight, State TIP Office and USAID officials stated that performance information from progress reports that the agencies use to monitor counter-trafficking in persons projects is regularly used for internal and external reporting, program decisions, and lessons learned. For example, according to officials, this information is used by senior agency officials to inform their decision-making, in reports such as the Attorney General\u2019s Annual Report to Congress and Assessment of U.S. Government Activities to Combat Trafficking in Persons, and to fulfil other requests from Congress."], "subsections": []}, {"section_title": "Neither State TIP Office nor USAID Has Sufficient Controls to Ensure the Reliability of Performance Information", "paragraphs": ["Neither State TIP Office nor USAID has sufficient controls to ensure consistent and complete performance information, and both face challenges to data reliability stemming from information reported in non- standard formats, implementing partners with limited capacities to report performance information, and the time-consuming nature of reviewing reported information. Federal internal control standards state that management should obtain data from reliable internal and external sources. According to these standards, reliable internal and external sources should provide data that are reasonably free from error and bias and faithfully represent what they purport to represent; and management should evaluate both internal and external sources of data for reliability. Without implementing additional controls to ensure that performance information are consistent and complete, State and USAID officials may not fully or accurately understand what projects are, or are not, achieving and, therefore, how their efforts could be altered as needed. Further, reports that are prepared or program decisions that are made using the TIP Office monitoring reports could be based on inconsistent or incomplete information that does not accurately present project results."], "subsections": [{"section_title": "State Lacks Adequate Controls to Ensure the Reliability of Performance Information", "paragraphs": ["State TIP Office currently receives performance information using documents submitted by implementing partners, although this information is not compiled into a single data system and is not in a standardized format. While State provides suggested templates for reporting information, officials said that they cannot require implementing organizations to use these templates and we found that implementing partners provided information in varying formats.", "According to State TIP Office officials, project officers perform manual reviews of quantitative information in monitoring reports but have insufficient time to carry out detailed reviews of data reliability for all indicators. State TIP Office project officers also stated that the process of comparing narrative information to indicator information was time consuming and difficult. According to these officials, the quality of the information in progress reports also depends on the priorities and resources\u2014which can be limited\u2014of the implementing partner. In addition to reviewing progress reports, State project officers we spoke to said that they rely on site visits and frequent, less formal communication as part of their oversight process.", "Project officers for the State TIP Office projects we reviewed stated that they did not always examine performance trends over time or review consistency in reported cumulative totals\u2014which should be the sums of the previous and current quarters\u2019 reported results\u2014with quarterly totals, for reasons including the difficulty in assembling quarterly information in this manner and resource limitations. State TIP Office officials noted that they are aware of data quality problems in counter-trafficking in persons monitoring reports.", "State is developing SAMS-D, a system that officials expect to standardize entry of information from common performance indicators and logic models, according to State officials. These officials stated that if SAMS-D is deployed, State TIP Office could find it easier to analyze and revise logic models that implementing partners submit, as well as examine performance indicator results over time, since standardized data would be available in a centralized location. According to State officials, SAMS-D could be programmed with automatic checks or alerts under conditions defined by the TIP Office and the database programmer. For example, the system could require that fields be filled out in particular formats or provide an alert if performance under a certain indicator has significantly deviated from prior quarters or the indicator\u2019s target.", "State TIP Office officials said they were uncertain whether SAMS-D would become operational in 2019, as currently planned. According to officials, State TIP Office has participated in planning and pilot activities for SAMS- D, including testing monitoring tools with implementing partners. According to these officials, additional work is needed to develop rules and controls necessary to operationalize SAMS-D to meet the TIP Office\u2019s particular needs and ensure improved data. Another challenge to implementation of SAMS-D, according to these officials, is that some implementing partners are unable to maintain consistent internet connections necessary to upload information, impeding full roll-out of the system, and an alternative upload mechanism does not yet exist."], "subsections": []}, {"section_title": "USAID Lacks Adequate Controls to Ensure the Reliability of Performance Information", "paragraphs": ["According to USAID officials, overseas missions currently set many of their own policies and procedures for data quality oversight. For the two projects we reviewed, USAID relied on implementing partners to manage information, while it reviewed this information in addition to conducting site visits and communicating with implementing partners on a regular basis to monitor the projects. USAID officials attributed errors in the project reports we reviewed to factors including implementing partners\u2019 errors in manual computation and misunderstandings of indicator definitions. According to USAID officials, data quality errors due to factors such as transcription errors can also occur in the performance information USAID uses to monitor counter-trafficking in persons projects.", "USAID project officers for the projects we reviewed said that they regularly conducted manual analysis of information received from implementing partners, but USAID and implementing partners are often pressed for time during the quarterly reporting cycle. According to these project officers, some of the errors GAO found had already been identified by USAID implementing partners during their annual review process and corrected in the annual reports we reviewed. For example, for the USAID indicator \u201cvalue of new private sector investments in select value chains,\u201d quarterly totals overstated corrected annual results by more than $120,000\u2014approximately $170,000 instead of approximately $50,000. USAID officials said that they and the implementing partner had identified that the implementing partner was incorrectly including additional, unrelated data when producing its quarterly totals and while the annual total had been corrected to approximately $50,000, the annual report did not indicate that this error had occurred in the quarterly reports. USAID officials noted that the quality of the information in the progress reports also depends on the experience and capacity\u2014which can be limited\u2014of the implementing partner.", "According to USAID officials, USAID is currently building the Development Information Solution (DIS), an agency-wide information system that would provide USAID\u2019s operating units (such as headquarters bureaus or field missions) with a tool to better collect, track, and analyze information to improve how they manage their projects and overall strategies. Implementing partners would be able to access the DIS via a portal where they would directly enter project information and upload reports and supporting information, according to this official. In addition, this information would better inform USAID\u2019s decision-making at the operating unit level and agency level. A USAID official explained that USAID developed DIS partly as a result of USAID senior management\u2019s concern about the lack of one corporate system to collect data in a timely fashion and improve efficiency.", "A USAID official responsible for managing DIS informed us that the business case for DIS was approved in fiscal year 2016. Developers have regularly solicited input from across the agency, according to this official, and a pilot with six missions is expected to begin in November 2018. This official explained that USAID plans to have DIS operational by the end of 2019, but DIS\u2019s timeframe has been accelerated by a year, to 2019 from 2020, which may create programming and budget challenges, and unexpected challenges may also arise during the pilot process as mission needs for DIS are more fully assessed. USAID is currently developing training, deployment, and communications plans to prepare the agency for implementing DIS, according to officials."], "subsections": []}]}, {"section_title": "DOL Had Consistent and Complete Performance Information for the Selected Project and We Identified No Controls Insufficient to Ensure the Reliability of Performance Information", "paragraphs": ["We reviewed selected indicators and targets information in one DOL project and identified no significant consistency or completeness issues beyond early project stages. For example, for the indicator \u201cnumber of countries that ratify the International Labor Organization Protocol on Forced Labor,\u201d the October 2016 report contained no reported value for this indicator, while the subsequent report (April 2017) updated this figure to indicate a value of \u201c4\u201d for October 2016. DOL officials explained that a data reporting form had not yet been developed as of October 2016, but indicator performance was discussed in the October 2016 narrative and added to the data reporting form when it was developed. While DOL does not require that a project progress report discuss every indicator associated with an activity in the performance report narrative, according to officials, we found that explanations were present for every significant performance-related event that we identified for the fiscal year 2016 and fiscal year 2017 period.", "We did not identify any controls in DOL\u2019s process that were insufficient to ensure the reliability of performance monitoring information. DOL officials said that they use a system of spreadsheets with automated calculations and validation checks that are intended to standardize information submission and assure consistency and completeness of submitted information. These officials said that the project\u2019s Comprehensive Monitoring and Evaluation Plan defines rules for how information for indicators is to be collected and how indicators are to be computed from this information. According to these officials, DOL develops a customized indicator reporting form for each project in conjunction with implementing partners, which implementing partners complete as part of their regular reporting requirements. According to these officials, these spreadsheets contain formula checks to mitigate the risk of implementing partners making undisclosed changes to indicator results and array information in a standardized manner across reporting periods. Officials also commented that for internal reporting purposes, such as the Government Performance and Results Act, project officers can extract information from indicator templates in a manner that is not overly burdensome. According to officials, DOL is developing an enhancement to existing tools, expected in late 2019, which will provide a traceable way to send and receive reports from grant recipients; timestamps when reports are sent, received, and accepted; and tracking of performance monitoring communications between DOL and implementing partners. They plan to continue to use a spreadsheet-based system for tracking indicator information."], "subsections": []}]}, {"section_title": "State Does Not Have a Process to Ensure that All Performance Indicators are Useful, while USAID and DOL Have Established Processes to Regularly Review the Usefulness of Indicators State TIP Office Does Not Have a Process to Review All Indicators to Ensure Their Usefulness", "paragraphs": ["State TIP Office does not have a process to regularly review the number and content of indicators for counter-trafficking in persons projects to ensure that these indicators are useful and that collecting and reviewing information for them is not overly burdensome. State TIP Office officials acknowledged there are too many indicators for many counter-trafficking in persons projects. Project officers have the discretion to revise indicators if the scope of the project is not altered, according to State officials. In addition, according to these officials, changes that alter the project scope are possible with the consent of the implementing partner. However, State TIP Office project officers do not formally indicate which indicators they have determined are most useful and informed us that they have insufficient time and resources to do so as projects progress. One official who focuses on monitoring issues stated that, ideally, there should be three to five indicators per activity, and efforts have been made to reduce the number of indicators in some projects. For example, in one of the State TIP Office projects we reviewed\u2014which was designed prior to the hiring of this official\u2014had more than 230 indicators across 20 activities as of the first quarter of fiscal year 2017, which had been reduced to about 150 by the fourth quarter of fiscal year 2017.", "Our review of two State TIP Office projects showed that indicators did not change in some situations even when the project officer considered the indicator to have become less relevant. State project officers explained that, instead of only relying on indicator information, they regularly spoke with implementing partners for an understanding of what performance level to expect. While acknowledging errors in the numerical information for some indicators, project officers for the two projects we reviewed said that they sometimes overlooked reviews of all reported indicators in the quarterly progress reports because they consider some indicators to be less useful or unimportant and not needed for monitoring purposes, and burdensome to review in depth. These officials said that project officers focus on the indicators that they consider to be most important for project oversight or congressional requests.", "State TIP Office officials said that logic models, which include indicators, have improved significantly in recent years (including improvements to the suggested logic model template and the glossary of definitions), partly due to hiring additional monitoring staff, but that State has found the analysis of logic models to be difficult because of the absence of centralized and standardized information and a lack of staff capacity. In addition, project officers stated that they often rely on implementing partners for suggestions with regard to changing indicators. However, according to State officials, these implementing partners may be reluctant to bring up challenges they encounter out of concern that doing so may damage their relationship with State.", "State\u2019s Program Design and Performance Management Toolkit, rolled-out in 2017, states that indicators can be costly to collect and manage and should therefore be \u201cuseful,\u201d which includes having a clear utility for learning, tracking, informing decisions, or addressing ongoing program needs. This policy further states that indicators should also be \u201cadequate,\u201d which includes having only as many indicators in overall monitoring plan as are necessary and feasible to track key progress and results, inform decisions, conduct internal learning, and meet any external communication or reporting requirements. Further, federal internal control standards state that management should establish and operate monitoring activities, and, after doing so, may determine how often it is necessary to change the design of the internal control system as conditions change to effectively address objectives. Without a process to ensure that the number and content of counter-trafficking in persons project indicators are reviewed and modified as needed, project monitoring may be less efficient and effective as implementing partners and State TIP Office staff spend time collecting and reviewing indicator information that is not useful for project monitoring and management."], "subsections": [{"section_title": "DOL and USAID Have Established Processes to Regularly Review the Usefulness of Indicators", "paragraphs": ["DOL and USAID had processes in place to regularly review indicators for the projects we selected. DOL officials told us that project officers work with subject-matter experts to review the relevance of indicators in each semi-annual reporting period. These officials also stated that grantees are required to review their monitoring and evaluation plan annually, which includes the project\u2019s indicators, and to provide the most recent work plan with each semi-annual report. According to DOL officials, while not a DOL requirement, the project we reviewed incorporated a work plan for each component of the project defining when important activities were planned under each output indicator. We found that DOL and the implementing partner made regular changes to these project plans in response to changing conditions. These plans were consistently included in the monitoring documents and most elements were discussed in the associated narrative text.", "USAID conducts its project oversight primarily out of its overseas missions, according to USAID officials. According to USAID officials associated with the projects we reviewed, these officials should review the project\u2019s indicators annually, as well as when they determine a review is needed, such as when projects have changes in planned activities. USAID officials stated that this annual review process may be explicitly required in some agreements. According to these officials, missions or other operating units are required to manage and update reference sheets for indicators, which officials said are intended to define each indicator and the information to be collected to measure each indicator. Changes to these reference sheets are tracked, according to these officials. Projects we reviewed showed evidence of regular changes to indicators and associated targets. We spoke to project officers about several specific changes that we had identified. For many of these changes, the project officers provided information about their work with implementing partners to appropriately adjust program goals and expectations, such as adapting the project indicators and targets to unexpected or changing conditions."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given the grave suffering of victims and damaging effects on society that trafficking in persons imposes, and the U.S. government\u2019s reliance on implementing partners to carry out its counter-trafficking projects, performance monitoring is important to ensure that the United States funds projects that are effective, efficient, and achieve their intended counter-trafficking goals. In fiscal year 2017, State, DOL, and USAID managed 120 counter-trafficking projects and monitored the performance of the projects. However, weaknesses in State\u2019s and USAID\u2019s monitoring processes limit their ability to collect reliable performance information and assess project performance. First, we found that the State TIP Office did not fully document its monitoring activities for many of the projects we reviewed that started in between fiscal years 2011 to 2016. Monitoring the implementation of projects and fully documenting the results of such monitoring are key management controls to help ensure that project recipients use federal funds appropriately and effectively. The State TIP Office was also not setting targets for some project indicators, which may have limited the TIP Office\u2019s ability to determine if implementation was on track or if corrections needed to be made. Furthermore, we found that the State TIP Office and USAID used project performance information reported by the implementing partners\u2014used for internal and external reporting purposes\u2014that was not always consistent or complete, and did not have sufficient controls to ensure the reliability of performance information. Finally, to ensure effective and efficient monitoring, projects need to establish a reasonable number of indicators and update them as needed. However, we found that the State TIP Office does not regularly evaluate and revise all of its indicators for counter-trafficking in persons projects, which can have large numbers of indicators. As a result, the State TIP Office may be using information to monitor project performance that that is less useful and relevant for understanding project progress, and requires more resources and time for the implementing partners to produce and agency officials to review.", "State TIP Office officials noted that the TIP Office has taken steps to improve its monitoring process, and State and USAID officials explained that State and USAID are developing information management systems that may increase the quality and usefulness of the monitoring information they use. However, these systems are not fully designed or operational and their capabilities are not yet known. Thus, the potential of these systems to strengthen the ability of State and USAID to collect reliable performance information and assess their efforts to combat the serious problem of global trafficking in persons is unclear. State and USAID could benefit from making additional improvements to ensure their projects are being implemented as intended and achieving project goals to prevent trafficking in persons, protect victims, and prosecute trafficking crimes."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations, including four to State and one to USAID. Specifically: The Secretary of State should ensure that the Director of the TIP Office establishes targets for each performance indicator. (Recommendation 1)", "The Secretary of State should ensure that the Director of the TIP Office maintains documentation of all required monitoring activities, including monitoring plans, progress reports, and performance targets. (Recommendation 2)", "The Secretary of State should ensure that the Director of the TIP Office establishes additional controls to improve the consistency and completeness of performance information that the TIP Office uses to monitor counter-trafficking in persons projects. (Recommendation 3)", "The Secretary of State should ensure that the Director of the TIP Office establishes a process to review and update performance indicators, with the participation of implementing partners, to ensure that project monitoring remains efficient and effective. (Recommendation 4)", "The Administrator of USAID should establish additional controls to improve the consistency and completeness of performance information that USAID uses to monitor counter-trafficking in persons projects. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State, DOL, USAID, DOD, and the Treasury for review and comments. In State\u2019s and USAID\u2019s letters, reproduced in appendixes IV and V, respectively, both agencies concurred with our recommendations and described their planned actions to address the recommendations. In addition, State\u2019s letter indicated that our draft report did not fully recognize the investment State has made, and the changes underway, to improve the TIP Office\u2019s performance measurement and ensure complete and consistent documentation. State cited additional dedicated financial and personnel resources for monitoring and evaluation added over the past two years. We acknowledge and report on these positive steps, including the hiring of a monitoring and evaluation specialist and other TIP Office staff, in our report. USAID\u2019s letter included other comments that we have responded to in appendix V. Furthermore, State, DOL, USAID, and the Treasury provided technical comments, which we incorporated as appropriate. DOD had no comments.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of State, Labor, Defense, and Treasury; and the Administrator of USAID. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7141, or groverj@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2017 includes a provision for GAO to report on the programs conducted by the Department of State (State), the Department of Labor (DOL), the United States Agency for International Development (USAID), the Department of Defense (DOD), and the Department of the Treasury (Treasury) that address human trafficking and modern slavery, including a detailed analysis of the effectiveness of such programs in limiting human trafficking and modern slavery. Three of these agencies\u2014State, DOL, and USAID\u2014have programs that design and award counter-trafficking projects to implementing partners, through contracts, grants, or cooperative agreements. These agencies then oversee and monitor these projects. Since DOD and Treasury officials did not identify these types of projects as part of their counter-trafficking in persons efforts, we provided background information on their efforts but did not cover these agencies in our reporting objectives. This report (1) identifies the recent projects in international counter-trafficking in persons that key U.S. agencies have awarded to implementing partners, and for selected projects, assesses the extent to which key agencies have (2) documented their monitoring activities, (3) ensured the reliability of the performance information they use in monitoring projects, and (4) reviewed the usefulness of the performance indicators they use in monitoring projects.", "To address these objectives, we reviewed relevant agency documents and interviewed agency officials. To report on agencies\u2019 programs, we asked knowledgeable officials at State, DOL, USAID, DOD, and Treasury to identify their projects that (1) had an international focus; (2) were delivered by implementing partners to external recipients, such as trafficking victims or host governments, as project beneficiaries; and (3) addressed trafficking in persons, modern slavery, or forced labor. Because State, DOL, and USAID managed such projects, we focus on them as the three key agencies for the purposes of our reporting objectives. According to officials from these three agencies, the projects they identified range from those with counter- trafficking in persons as a primary goal, to those in which this goal was integrated as part of each agency\u2019s activities. We used the lists of projects that these agencies provided to report the relevant counter- trafficking projects that agencies awarded to implementing partners to carry out the projects. For our first objective, we determined the projects that were active during fiscal year 2017, including those which began, were ongoing, or ended during fiscal year 2017, and interviewed agency officials to confirm project information.", "To analyze the effectiveness of agencies\u2019 programs in limiting human trafficking and modern slavery, we assessed the key agencies\u2019 monitoring efforts for selected projects by examining the extent to which agencies have documented their monitoring activities, ensured the reliability of the performance information, and reviewed the usefulness of the performance indicators they use in monitoring projects.", "To assess the extent to which State, DOL, and USAID documented their monitoring activities for selected counter-trafficking in persons projects, we reviewed these agencies\u2019 monitoring policies and related guidance as well as the full agreements for the projects to identify specific required monitoring activities. The policies and related guidance included State\u2019s Grants Policy Directive Number 42 (GPD-42) related to monitoring assistance awards; Federal Assistance Policy Directive (FAPD), which according to a State official superseded State\u2019s grants policy directives, including GPD-42; Federal Assistance Directive, which superseded the FAPD; Program Design and Performance Management Toolkit; and Program and Project Design, Monitoring, and Evaluation Policy. We also reviewed State\u2019s Office to Monitor and Combat Trafficking in Persons standard operating procedures. For DOL, we reviewed its Management Procedures and Guidelines (MPG) as well as the Comprehensive Monitoring and Evaluation Plan Guidance Document referenced in the fiscal year 2017 MPG. For USAID, we reviewed\u2014from its Automated Directives System or ADS\u2014Chapter 203 on Assessing and Learning and Chapter 201 on Program Cycle Operational Policy, which according to USAID officials superseded Chapter 203. Once we determined what tools the agencies use to monitor their counter-trafficking in persons projects, we sought documentation of those tools to determine whether agencies were implementing those tools.", "To assess the agencies\u2019 monitoring efforts, we identified all of State\u2019s, DOL\u2019s, and USAID\u2019s projects that started before or during October 2015, which corresponds to the first quarter of fiscal year 2016, and were active through September 30, 2017, which corresponds to the fourth and last quarter of fiscal year 2017. This produced a list of a total of 57 State, DOL, and USAID projects. Out of these 57 projects, we excluded 3 projects from our selection for various reasons. We excluded one DOL project because DOL identified the project as being a research project for which certain agency performance monitoring requirements (e.g., indicators, targets) are not applicable. We also excluded two USAID projects because USAID identified each project as including several projects with various start and end dates, thus making it difficult to determine their time frames for inclusion in our report. This resulted in a selection of 54 projects\u201437 from State, 3 from DOL, and 14 from USAID. We reviewed documentation of key monitoring activities as specified in agency policy or the project award agreements to determine the extent to which the agencies had full documentation of key monitoring activities. We also applied federal standards for internal control, which call for agency management to design monitoring activities so that all transactions are completely and accurately recorded, and GAO\u2019s key attributes of effective performance measures, specifically the attribute of having a numerical target. We made our determinations of the extent to which agencies had full documentation of key monitoring activities, as follows:", "State (37 projects). To determine whether State had fully documented its monitoring activities, we reviewed the monitoring plan for each project; fiscal year 2017 quarterly progress reports for each project; and the final progress report, including indicators and targets, for the seven projects that ended as of December 2017.", "We determined that State had \u201cfully documented\u201d the monitoring plan, if State provided a monitoring plan worksheet for the project. If State did not provide a monitoring plan worksheet for the project, we determined the monitoring plan was \u201cnot documented.\u201d", "For each quarterly progress report for fiscal year 2017 as well as the final progress report for projects that ended as of December 2017, we determined that State had \u201cfully documented\u201d the report, if the report included both a qualitative and quantitative summary of progress. For the State TIP Office projects we reviewed, the qualitative summary of progress is captured in a narrative and the quantitative summary of progress is captured in the logic model. For the State DRL project we reviewed, the qualitative summary of progress is captured in a narrative and the quantitative summary of progress is captured in the monitoring plan. If either component\u2014narrative or quantitative summary\u2014was not documented, we determined that the report was \u201cpartially documented.\u201d If both components were not documented, we determined that the report was \u201cnot documented.\u201d", "We determined that State had \u201cfully documented\u201d indicators and targets for projects that ended as of December 2017, if the final progress report for the project included indicators as well as targets for each indicator. If the final progress report included indicators but did not specify targets for each indicator, we determined that indicators and targets were \u201cpartially documented.\u201d If the final progress report did not include indicators and targets, we determined that indicators and targets were \u201cnot documented.\u201d (We did not find any instances of \u201cnot documented.\u201d)", "DOL (3 projects). To determine whether DOL had full documentation of its monitoring activities, we reviewed the monitoring plan as well as fiscal year 2017 semi-annual progress reports for each project. Because DOL\u2019s three projects were ongoing as of December 2017, we reviewed the second semi-annual progress report for fiscal year 2017 to determine whether DOL had \u201cfully documented\u201d indicators and targets for each project. Overall, we determined that DOL had \u201cfully documented\u201d (1) the monitoring plan for each project, if the monitoring plan documented the performance metrics and data collection frequency for the project; (2) each fiscal year 2017 semi- annual progress report for the project, if the report included a qualitative and quantitative summary of progress for the period of performance; and (3) indicators and targets for the project, if the second semi-annual progress report included indicators as well as targets for each applicable indicator.", "USAID (14 projects). To determine whether USAID had full documentation of its monitoring activities, we reviewed the monitoring plan for each project; fiscal year 2017 progress reports at the reporting frequency specified in the agreements for each project; and the final progress report, including indicators and targets, for the three projects that ended as of December 2017. We also reviewed evidence of site visits conducted during the life time of the projects. Overall, we determined that USAID had \u201cfully documented\u201d (1) the monitoring plan for each project, if the monitoring plan documented performance metrics for the project; (2) the periodic progress reports for fiscal year 2017 as well as the final progress report for projects that ended as of December 2017, if the report included a qualitative and quantitative summary of progress for the period of performance; and (3) indicators and targets for the three projects that ended as of December 2017, if the final progress report included indicators as well as targets for each applicable indicator. We determined that USAID \u201cfully documented\u201d a project\u2019s site visit, if USAID provided evidence of having conducted at least one site visit during the life time of the project.", "Additionally, we interviewed knowledgeable monitoring officials from each agency to understand agencies\u2019 monitoring process and application of monitoring requirements for counter-trafficking in persons projects. Because State and DOL officials also identified site visits as a key tool they use to monitor their counter-trafficking in persons projects, we reviewed evidence of site visits conducted during the life time of the projects to report on these efforts. We also interviewed State TIP Office officials to discuss instances in which the agency did not have full documentation of key monitoring activities.", "To assess the extent to which key agencies have ensured the reliability of the performance information they use to monitor selected projects, we selected for review a nongeneralizable sample of 5 projects\u20142 State projects, 1 DOL project, and 2 USAID projects\u2014out of the 54 counter- trafficking in persons projects identified by agencies that started before or during October 2015 and were active through fiscal year 2017. We based our selection of these projects primarily on largest total award amounts. For these selected projects, we obtained 2 years of progress reports and other documents to assess the quantitative and qualitative performance information. We developed a standardized template to capture all quarterly or semi-annual indicator performance information reported for each of these projects and assessed whether quarterly or semi-annual totals were consistent with annual and cumulative totals where these were reported. Using this quantitative information, we judgmentally selected indicators for inclusion in agency interviews where it appeared likely that numerical errors had occurred or there appeared to be significant project events, such as large over- or under-performance or the elimination of the indicator. We interviewed agency officials, including managers of these five projects, about the consistency and completeness of monitoring information in these projects for about 60 indicators identified through our analysis. Additionally, we questioned these officials about performance report narrative information describing project activities that, in our judgement, appeared to be incomplete or inconsistent with respect to indicator results. We also used these interviews to determine whether our findings for these selected projects reflected general agency policies and procedures. We assessed the completeness and consistency of project performance data that State, DOL, and USAID use to monitor projects as part of our data reliability assessment. We found State and USAID data to be unreliable in the projects we reviewed. We discuss the implications of these unreliable data for State and USAID\u2019s project management and reporting in our findings and recommendations. We found the performance data that DOL used were consistent and complete for the project we reviewed. While we examined indicator data and narrative information for consistency and completeness, we did not verify the accuracy of performance information.", "To assess the extent to which key agencies have reviewed the usefulness of the performance indicators they use to monitor selected projects, we used the same nongeneralizable sample of five projects\u2014 two State projects, one DOL project, and two USAID projects. We interviewed agency officials, including managers of these five projects, about processes and systems they use to review the usefulness of indicators on an ongoing basis, such as when conditions in the project activity region change or if the agency and implementing partner learn that certain project activities are less effective than expected. We identified examples of indicators that had apparently been discontinued, as well as continued indicators that showed minimal progress, and we asked these officials to explain what had or had not been discontinued. We also used these interviews to determine whether our findings for these selected projects reflected general agency policies and procedures.", "We conducted this performance audit from October 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Three Key U.S. Agencies\u2019 Counter-trafficking in Persons Projects, Active in Fiscal Year 2017", "paragraphs": ["The Departments of State (State) and Labor (DOL), and U.S. Agency for International Development (USAID) managed 120 projects in counter- trafficking in persons carried out by implementing partners during fiscal year 2017, according to information provided by officials with these agencies. The three agencies used different approaches to identify relevant projects. For example, State reported projects with a primary goal of counter-trafficking in persons, while DOL and USAID included projects that may not have counter-trafficking in persons as a primary goal. Table 4 lists these agencies\u2019 reported project information for projects that were active during fiscal year 2017."], "subsections": []}, {"section_title": "Appendix III: State Documentation for Its Performance Monitoring Activities for 37 Counter-Trafficking in Persons Projects", "paragraphs": ["The Department of State (State) did not fully document its monitoring activities (monitoring plan; fiscal year 2017 quarterly progress reports; and final progress report, including indicators and targets, for projects that ended as of December 2017) for 16 of the 37 selected projects we reviewed with start dates between fiscal years 2011 to 2016. (See table 5.) For example, State\u2019s Office to Monitor and Combat Trafficking in Persons did not have monitoring plans for nine projects or targets for each indicator in six of seven final progress reports for projects that ended as of December 2017."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": [{"section_title": "GAO Comments", "paragraphs": ["1. USAID commented that it does not believe that our draft report reflected the existing controls the USAID mission in Ghana shared with us, and that the mission had furnished us with a file that, according to USAID, contained correct information for all indicators and their results from the time the activity began until our audit. While the mission provided us with a spreadsheet, this document included only annual performance totals for several years without accompanying quarterly totals, or quarterly or annual narrative information. We focused our analysis on the quarterly and annual performance reports to understand the extent to which USAID was ensuring the consistency and completeness of performance information, including associated narratives, underlying its aggregate and higher-level performance reports. We reported on inconsistent or incomplete performance information only after discussing and substantiating the specific errors we identified with USAID officials. Further, we recognize USAID\u2019s efforts to address errors that the agency identified prior to our review and we provide an example of such efforts in the report. 2. We have incorporated USAID\u2019s comment. Our report no longer characterizes USAID\u2019s regular activity monitoring and conversations with implementing partners as \u201cinformal.\u201d 3. USAID noted that our report does not discuss how the USAID mission in Ghana uses its third-party monitoring project\u2014Monitoring, Evaluation and Technical Support Services (METSS)\u2014to work with local organizations to improve their collection and analysis of data. We have added a reference to USAID\u2019s third-party monitoring project to the report where we discussed limited capacity of local partners as a cause of data reliability issues. 4. USAID commented that one of the Ghana counter-trafficking in persons indicators we examined in the integrated project (\u201cvalue of new private sector investments in selected value-chains\u201d), was not related to trafficking in persons and, therefore, was not directly related to the focus of our audit. As discussed in the Objectives, Scope, and Methodology section of our report (see app. I), we selected projects, including the integrated project in Ghana, based on a list of counter- trafficking in persons projects provided by USAID. Because the same operational policy that sets the monitoring and evaluation standards for the agency applied to all indicators within a given project, we examined available quarterly or semi-annual indicator data for all reported indicators in selected projects to determine the completeness and consistency of the data. We then conducted interviews with agency officials to discuss instances in which we identified potentially incomplete and inconsistent performance information, as well as whether our findings about the management of performance information for these selected projects reflected general agency policies and procedures."], "subsections": []}]}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Leslie Holen (Assistant Director), Victoria Lin (Analyst-in-Charge), Esther Toledo, and Andrew Kurtzman made key contributions to this report. The team benefited from the expert advice and assistance of Neil Doherty, Justin Fisher, Benjamin Licht, Grace Lui, and Aldo Salerno."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Human Trafficking: State Has Made Improvements in Its Annual Report but Does Not Explicitly Explain Certain Tier Rankings or Changes, GAO-17-56 (Washington, D.C.: December 5, 2016).", "Human Trafficking: Oversight of Contractors\u2019 Use of Foreign Workers in High-Risk Environments Needs to Be Strengthened. GAO-15-102 (Washington, D.C.: November 18, 2014).", "Human Trafficking: Monitoring and Evaluation of International Projects Are Limited, but Experts Suggest Improvements. GAO-07-1034 (Washington, D.C.: July 26, 2007).", "Human Trafficking: Better Data, Strategy, and Reporting Needed to Enhance U.S. Antitrafficking Efforts Abroad. GAO-06-825 (Washington, D.C.: July 18, 2006)."], "subsections": []}], "fastfact": ["Human trafficking victims are often held in slave-like conditions and forced to work in areas such as the commercial sex trade, factories, and agriculture.", "The Departments of State and Labor, and the U.S. Agency for International Development managed 120 counter-trafficking projects in FY 2017. These projects were carried out by grantees and others, and overseen by the agencies.", "We found some weaknesses in State\u2019s and USAID\u2019s monitoring of projects we reviewed, including the use of inconsistent and incomplete information to assess project performance.", "We made 5 recommendations to improve monitoring."]} {"id": "GAO-18-492", "url": "https://www.gao.gov/products/GAO-18-492", "title": "Export-Import Bank: The Bank Needs to Continue to Improve Fraud Risk Management", "published_date": "2018-07-19T00:00:00", "released_date": "2018-07-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to the Bank, it serves as a financier of last resort for U.S. firms seeking to sell to foreign buyers but that cannot obtain private financing for their deals. Its programs support tens of thousands of American jobs and enable billions of dollars in U.S. export sales annually, the Bank says. The Bank is also backed by the full faith and credit of the United States government, meaning that taxpayers could be responsible for Bank losses.", "The Export-Import Bank Reform Reauthorization Act of 2015 included a provision for GAO to review the Bank's antifraud controls within 4 years, and every 4 years thereafter. This report examines the extent to which the Bank has adopted the four components of GAO's Fraud Risk Framework\u2014commit to combating fraud; regularly assess fraud risks; design a corresponding antifraud strategy with relevant controls; and evaluate outcomes and adapt. GAO reviewed Bank documentation; interviewed a range of Bank managers; and surveyed Bank employees about the extent to which the Bank has established an organizational culture and structure conducive to fraud risk management."]}, {"section_title": "What GAO Found", "paragraphs": ["In managing its vulnerability to fraud, the Export-Import Bank of the United States (the Bank) has adopted some aspects of GAO's A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework). This framework describes leading practices in four components: organizational culture, assessment of inherent program risks, design of tailored antifraud controls, and evaluation of outcomes. As provided in the framework, for example, the Bank has identified a dedicated entity within the Bank to lead fraud risk management. GAO also found that Bank managers and staff generally hold positive views of the Bank's antifraud culture. However, GAO also found that management and staff hold differing views on key aspects of that culture. These differing views include how active the Bank should be in addressing fraud. For example, Bank managers told GAO the Bank's current approach has been appropriate for dealing with fraud. However, about one-third of Bank staff responding to a GAO employee survey said the Bank should be \u201cmuch more active\u201d or \u201csomewhat more active\u201d in preventing, detecting, and addressing fraud. These and other divergent views indicate an opportunity to better ensure the Bank sets an antifraud tone that permeates the organizational culture, as provided in the Fraud Risk Framework.", "GAO found the Bank has taken some steps to assess fraud risk. For example, the Bank's practice has generally been to assess particular fraud risks and lessons learned following specific instances of fraud encountered, according to Bank managers. However, the Bank has not conducted a comprehensive fraud risk assessment, as provided in the framework. The Bank has also been compiling a \u201cregister\u201d of risks identified across the organization, including fraud. This register, however, does not include some known methods of fraud, such as submission of fraudulent documentation, thus indicating it is incomplete. Without planning and conducting regular fraud risk assessments as called for in the framework, the Bank is vulnerable to failing to identify fraud risks that can damage its reputation or harm its ability to support U.S. jobs through greater exports. As provided in the framework, managers should determine where fraud can occur and the types of internal and external fraud the program faces, including an assessment of the likelihood and impact of fraud risks inherent to the program.", "At the conclusion of GAO's review, Bank managers said they will fully adopt the GAO framework. They said they plan to complete a fraud risk assessment by December 2018, and to determine the Bank's fraud risk profile\u2014that is, document key findings and conclusions from the assessment\u2014by February 2019. Work to adopt other framework components will begin afterward, the managers said. However, they did not provide details of how their efforts will be in accord with leading practices of the framework. As a result, GAO makes framework-specific recommendations in order to enumerate relevant issues and to present clear benchmarks for assessing Bank progress. This complete listing of recommendations is important in light of the Bank's recent embrace of the framework; recent changes in Bank leadership; and expected congressional consideration of the Bank's reauthorization in 2019."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes seven recommendations, centering on conducting a fraud risk assessment, tailored to the Bank's operations, to serve as the basis for the design and evaluation of appropriate antifraud controls. The Bank agreed with GAO's recommendations, saying it will take steps to improve its fraud risk management activities."]}], "report": [{"section_title": "Letter", "paragraphs": ["The mission of the Export-Import Bank of the United States (the Bank) is to support American jobs by facilitating the export of U.S. goods and services. According to the Bank, it serves as a financier of last resort for U.S. companies that are seeking to sell to foreign buyers but that cannot obtain private financing for their deals\u2014thus assuming credit and country risks the private sector is unable or unwilling to accept. To support these exports, the Bank offers loan, loan guarantee, and insurance programs. According to the Bank, its programs support tens of thousands of American jobs and enable billions of dollars in U.S. export sales annually.", "The Bank is backed by the full faith and credit of the United States government, meaning that taxpayers could be responsible for losses arising from Bank operations. Since 2011, the Bank\u2019s congressionally authorized exposure limit\u2014the total amount it may have outstanding in credit and insurance authority\u2014has increased from $100 billion and now stands at $135 billion. Total actual exposure as of September 30, 2017, was $72.5 billion. By number, a large majority of Bank transactions involve smaller companies and smaller amounts of assistance. By dollar amount, however, large transactions dominate activity, according to the Bank.", "The Bank requires periodic reauthorization from Congress. Congress last did so in 2015, after debate that included discussion of fraud risks at the Bank. As part of its 2015 reauthorization, Congress included a provision in the statute for us to review the adequacy of design and effectiveness of the Bank\u2019s antifraud controls, within 4 years of reauthorization, and every 4 years thereafter.", "This report examines the Bank\u2019s management of fraud risks in its export credit activities, by evaluating the extent to which the Bank has adopted the four components described in GAO\u2019s A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework). Specifically, we evaluate the extent to which the Bank has (1) established an organizational culture and structure conducive to fraud risk management; (2) planned regular fraud risk assessments and assessed risks to determine a fraud risk profile; (3) designed and implemented a strategy with specific control activities to mitigate assessed fraud risks; and (4) evaluated outcomes using a risk-based approach and adapted activities to improve fraud risk management.", "To evaluate the extent to which the Bank has adopted the components described in GAO\u2019s Fraud Risk Framework, we assessed Bank fraud risk management practices against provisions of the framework, which also incorporates concepts from Standards for Internal Control in the Federal Government (also known as the \u201cGreen Book\u201d). We reviewed Bank policy and governance documentation, plus other documentation; reviewed GAO and Bank Office of the Inspector General (OIG) reports on fraud and fraud risk management topics; and interviewed a range of Bank managers, at both the senior-management level and those overseeing relevant Bank operating units. We also surveyed Bank employees about their perceptions of the Bank\u2019s organizational culture and attitudes toward fraud and fraud risk management. Specifically, we surveyed all non- senior-management Bank employees (that is, those below the level of senior vice president, who are responsible for implementing, but not determining, Bank policy), and obtained a sufficient response rate\u201473.5 percent\u2014to capture a range of employee views. We present tallies of survey results for particular questions, as well as individual comments, in the main text of this report based on their relevance to the respective subject matter. See appendix I for a full discussion of our scope and methodology, including our survey methodology. Complete results of our survey are presented in appendix II.", "We conducted this performance audit from October 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Export credit agencies such as the Bank are usually government agencies, although some private institutions operate export credit programs on their respective governments\u2019 behalf, according to a Bank report on global export credit competition. These agencies offer financing for domestic companies to make sales to foreign buyers, in the form of products such as loans, guarantees, and insurance for exporters, according to the Organisation for Economic Co-operation and Development, which monitors international export credit activity.", "The Bank is one of several federal agencies promoting U.S. exports. According to the Bank, as of December 31, 2016, it had identified 96 export credit agencies worldwide. There have been significant changes in the role of export credit agencies since 2007 and the global financial crisis and the European debt crisis, according to the Bank. This is because ready access to credit before the global financial crisis has given way to caution in lending among private-sector banks, and also because other nations have adopted export credit agencies as a tool for national growth.", "For fiscal year 2014\u2014which the Bank says is the most recent year in which it operated with full authority\u2014 the Bank reported authorizing nearly $20.5 billion in financing in support of an estimated $27.5 billion worth of U.S. exports and nearly 165,000 American jobs. For fiscal year 2017, operating under reduced authority, the Bank reported authorizing more than $3.4 billion in financing to support $7.4 billion of exports and an estimated 40,000 jobs.", "The Bank, which has about 430 employees, was established under the Export-Import Bank Act of 1945. Under the act, the Bank must have a \u201creasonable assurance\u201d of repayment when providing financing; it must supplement, and not compete with, private capital; and it must provide terms that are competitive with foreign export credit agencies. Also relevant to whether the Bank provides assistance is whether foreign competitors of the U.S. exporter are receiving export credit assistance from their home nations, and thus the American exporter would need assistance to stay competitive. Over time, Congress has directed the Bank to support certain specific types of exports. Such requirements include using at least 25 percent of its authority to finance small-business exports; promoting exports related to renewable energy sources; and promoting financing for sub-Saharan Africa."], "subsections": [{"section_title": "Bank Product Types", "paragraphs": ["As described in figure 1, to support U.S. exports, the Bank offers four major types of financing: direct loans, loan guarantees, export-credit insurance, and working capital guarantees. Bank products generally have three maturity periods: Short-term transactions are for less than 1 year; medium-term transactions are from 1 to 7 years long; and long-term transactions are more than 7 years.", "For fiscal year 2017, the Bank reported it had exposure in 166 countries. Figure 2 shows Bank exposure by product type, geographic region, and economic sector, for fiscal year 2017. Its greatest exposure, by product type, was in loan guarantees. By geographic region, the largest exposure was the Asian market. By economic sector, exposure was biggest in aircraft products.", "Because the Bank\u2019s mission is to support U.S. jobs through exports, there are foreign-content eligibility criteria and limitations on the level of foreign content that may be included in a Bank financing package. For medium- and long-term transactions, for example, the Bank limits its support to 85 percent of the value of goods and services in a U.S. supply contract, or 100 percent of the U.S. content of an export contract, whichever is less. There are also requirements that certain products supported by the Bank must be shipped only on U.S.-flagged vessels.", "Defaults occur when transaction participants fail to meet their financial obligations. The Bank must report default rates to Congress quarterly. It calculates the default rate as overdue payments divided by financing provided. If the rate is 2 percent or more for a quarter, the Bank may not exceed the amount of loans, guarantees, and insurance outstanding on the last day of that quarter until the rate falls under 2 percent. As of March 31, 2018, the Bank reported its default rate at 0.438 percent."], "subsections": []}, {"section_title": "Bank Board of Directors and Vacancies", "paragraphs": ["The Bank is overseen by a Board of Directors (the Board), which has a key role in approving Bank transactions, because directors must approve medium- and long-term transactions of greater than $10 million. Since July 2015, however, the Board has lacked a quorum (at least three members), which has precluded approval of these large transactions.", "Also due to the lack of a quorum, new transaction activity has shifted away from larger transactions, according to Bank managers.", "The Bank\u2019s total exposure has recently declined by about a third, from $113.8 billion at the end of fiscal year 2013 to $72.5 billion at the close of fiscal year 2017, according to the Bank. In part during the period when the Board has lacked a quorum and been unable to approve large transactions, the amount of earnings the Bank has transferred to the Department of the Treasury has declined steadily, according to Bank figures. Since 2012, the amount the Bank transferred to the Treasury peaked at $1.1 billion in fiscal year 2013. In successive years, that transfer fell to $674.7 million in fiscal year 2014, $431.6 million in fiscal year 2015, and $283.9 million in fiscal year 2016, before reaching zero in fiscal year 2017. As the Board vacancies have continued, a backlog of Board-level transactions has grown, reaching an estimated $42.2 billion as of December 2017.", "The Board also has a key role in risk management, with members serving on the Bank\u2019s Risk Management Committee, which oversees portfolio stress testing and risk exposure, according to the Bank. Board members also approve the appointment of the chief risk officer (CRO), the chief ethics officer, and members of advisory committees.", "During the course of our review, in addition to the Board quorum issue, Bank senior leadership changed. According to the Bank, the following took place: The acting chairman of the Board and president of the Bank resigned. The vice chairman, first vice president, and acting agency head also later resigned. Subsequently, a new executive vice president, chief operating officer, and acting agency head was named. Following that, an acting president and Board chairman was named."], "subsections": []}, {"section_title": "Fraud Risk Management Standards and Guidance", "paragraphs": ["Fraud and \u201cfraud risk\u201d are distinct concepts. Fraud\u2014obtaining something of value through willful misrepresentation\u2014is challenging to detect because of its deceptive nature. Fraud risk exists when individuals have an opportunity to engage in fraudulent activity, have an incentive or are under pressure to commit fraud, or are able to rationalize committing fraud. When fraud risks can be identified and mitigated, fraud may be less likely to occur. Although the occurrence of fraud indicates there is a fraud risk, a fraud risk can exist even if actual fraud has not yet been identified or occurred.", "According to federal standards and guidance, executive-branch agency managers are responsible for managing fraud risks and implementing practices for combating those risks. Federal internal control standards call for agency management officials to assess the internal and external risks their entities face as they seek to achieve their objectives. The standards state that as part of this overall assessment, management should consider the potential for fraud when identifying, analyzing, and responding to risks. Risk management is a formal and disciplined practice for addressing risk and reducing it to an acceptable level.", "We issued our Fraud Risk Framework in July 2015. The Fraud Risk Framework provides a comprehensive set of leading practices, arranged in four components, which serve as a guide for agency managers developing efforts to combat fraud in a strategic, risk-based manner. The Fraud Risk Framework is also aligned with Principle 8 (\u201cAssess Fraud Risk\u201d) of the Green Book. The Fraud Risk Framework describes leading practices in four components: commit, assess, design and implement, and evaluate and adapt, as depicted in figure 3.", "The Fraud Reduction and Data Analytics Act of 2015, enacted in June 2016, requires the Office of Management and Budget (OMB) to establish guidelines for federal agencies to create controls to identify and assess fraud risks, and to design and implement antifraud control activities. The act also requires OMB to incorporate the leading practices of the Fraud Risk Framework in those guidelines. In July 2016, OMB published guidance on enterprise risk management and internal controls in federal executive departments and agencies. Among other things, this guidance affirms that managers should adhere to the leading practices identified in the Fraud Risk Framework. The act also requires federal agencies to submit to Congress a progress report each year, for 3 consecutive years, on implementation of the controls established under the OMB guidelines."], "subsections": []}]}, {"section_title": "The Bank Has Identified a Dedicated Entity to Lead Fraud Risk Management, but Management and Staff Disagree on Aspects of an Antifraud Culture", "paragraphs": ["The Bank has identified a dedicated entity to lead fraud risk management activities, as called for in the first component of GAO\u2019s Fraud Risk Framework. In addition, employees generally have a positive view of antifraud efforts across the Bank, according to our employee survey. However, we also found that management and staff have differing views on key aspects of the Bank\u2019s antifraud culture. In particular, we identified issues inconsistent with the notion of \u201can antifraud tone that permeates the organizational culture,\u201d as the Fraud Risk Framework calls for, in which there is agreement across the organization on key fraud issues and practices. These areas of disagreement on aspects of the Bank\u2019s antifraud culture include how active the Bank should be in preventing, detecting, and addressing fraud; and the adequacy of time for underwriting, which the Bank says is its primary safeguard against fraud. Bank managers said that our findings provide an opportunity for additional staff training on fraud issues."], "subsections": [{"section_title": "The Bank Has Identified a Dedicated Entity to Lead Fraud Risk Management Activities", "paragraphs": ["The Bank has identified two managers who serve as a dedicated entity for leading fraud risk management activities, managers told us. These are a vice president of the Credit Review and Compliance division (CRC) and an assistant general counsel in the Bank\u2019s Office of the General Counsel (OGC). According to Bank managers, they work together under the direction of the CRO, who was permanently named to the position on a part-time basis in September 2016. GAO\u2019s Fraud Risk Framework provides that the dedicated entity can be an individual or a team, depending on the needs of the agency. Hence, the Bank\u2019s arrangement is consistent with the framework. Before recently identifying the two managers as the dedicated entity, Bank managers told us there was no centralized entity responsible for fraud risk management. Likewise, Bank written procedures, dated February 2015, for preventing, detecting, and prosecuting fraud provided there is no \u201ccentral figure in charge\u201d of such efforts. The CRO told us that he oversees the two managers in their work as the dedicated entity.", "We also found that the two managers named to form the dedicated entity are involved in one of the key activities contemplated by the Fraud Risk Framework. Overall, these activities include serving as a repository of knowledge on fraud risks and controls; leading or assisting with trainings and other fraud-awareness activities; and coordinating antifraud initiatives. The two managers have helped develop and provide training, some of which is mandatory and targeted directly at fraud issues, managers told us. The Bank provides semiannual fraud training through OGC for claims-processing staff, Bank managers also said. Other training, while nominally not directed at fraud, can nevertheless involve fraud issues, Bank managers told us. For instance, managers told us recent training on shipping matters included a review of fraudulent shipping documentation, which is one way fraud can be perpetrated."], "subsections": []}, {"section_title": "Bank Managers and Staff Express Positive Views of Antifraud Culture, but They Hold Different Views on Key Aspects of That Culture", "paragraphs": ["GAO\u2019s Fraud Risk Framework calls for creating an organizational culture to combat fraud, such as by demonstrating senior-level commitment to fighting fraud and involving all levels of the agency in setting an antifraud tone. Bank managers, in interviews, and staff, in our employee survey, generally expressed positive views of the Bank\u2019s antifraud culture. For example, according to Bank managers, the Bank has maintained an antifraud culture, which they attribute to factors including: fraud and ethics training; internal controls; tone set at the top by management; a realization after fraud cases in the 2000s that the Bank cannot be solely reactive to fraud; and the pursuit of fraud cases by the Bank and its OIG.", "Our survey results indicate that Bank employees also generally have a positive view of antifraud tone across the Bank and attention paid to combating fraud. For example:", "Eighty percent said Bank management in general has established a clear antifraud tone, to the extent of \u201ca great deal\u201d or \u201ca lot.\u201d", "Employees said that based on senior management\u2019s actions, preventing, detecting, and addressing fraud is \u201cextremely\u201d or \u201cvery\u201d important to the Bank (86 percent).", "Staff expressed \u201ca great deal\u201d or \u201ca lot\u201d of confidence in senior management (76 percent), managers in their division (85 percent), and their peers (82 percent), to respond to fraud on a timely and appropriate basis.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cThe Bank has become much more sensitized to the risks of fraud over the last 10 years.\u201d \u201cThe progress made on combating fraud is tremendous. When I started, no one really cared, and fraud was common\u2026. Now, blatant attempts at fraud are a rarity.\u201d \u201cThere is a high degree of concern at all levels of the Bank regarding potential fraud, which has resulted in good oversight.\u201d", "We also found indications of disagreement among managers and staff about how active the Bank should be in preventing, detecting, and addressing fraud. Overall, Bank managers told us, the Bank\u2019s current approach has been appropriate for dealing with fraud. In particular, an OGC manager told us that with its underwriting and due diligence standards\u2014the process for assessing and evaluating an application before approval\u2014and established fraud procedures, the Bank has an appropriate strategy to mitigate fraud risks it knows about or envisions occurring. However, about one-third of survey respondents (35 percent) said the Bank should be \u201cmuch more active\u201d or \u201csomewhat more active\u201d in preventing, detecting, and addressing fraud. Less than half (44 percent) said the current level of activity should remain the same. Asked whether what they see as the Bank\u2019s current approach for overseeing fraud and fraud risk, based on the level of responsibilities of various parties involved, is the most effective way to do so, about 6 in 10 (62 percent) said yes. While Bank managers characterized our survey results as positive, these divergent views indicate room for strengthening antifraud culture, in light of the Fraud Risk Framework\u2019s goal of achieving shared views across the organization.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cThe Bank should be much more active in preventing, detecting, and addressing fraud, because the Bank handles business transactions that involve taxpayers\u2019 money.\u201d \u201cThe Bank needs more funding for technology to help with fraud prevention and additional Bank staff to spot/monitor fraud.\u201d \u201cThe first- and second-level managers have not done all they could to ensure fraud prevention. The front-line credit officers are the ones in the best position to detect fraud and management does not always support it.\u201d \u201cA more proactive approach to fraud detection, rather than a reactive approach, would be more prudent. This means trying to sniff out fraud the preapplication and underwriting stages.\u201d", "Another area where we identified differing views is in the adequacy of time for underwriting. Preapproval underwriting, and the due diligence done as part of that process, is the Bank\u2019s main control against fraud, according to Bank managers and procedures. However, during our review, Bank managers also acknowledged in interviews that their business involves potentially competing objectives: performing sufficient due diligence to prevent and detect fraud prior to approving transactions, while still processing transactions in a timely manner to meet customers\u2019 needs and achieve the Bank\u2019s mission.", "Some comments we received in our employee survey illustrated the tension between the competing objectives of thorough due diligence and timely processing of transactions.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cDetecting fraud is a very high priority, as is appropriate. But overemphasis on managing that risk would lead to a sense of paranoia when approaching any new risk.\u201d \u201cGiven all the other obligations we have, even more time spent on fraud detection means less time for other transaction-related work, with only marginal benefit.\u201d \u201cRisk is part of the business, and being overly cautious leads to never taking any risk and consequently not serving the customers.\u201d \u201cFraud is important to discuss, but it should not become the main force driving the organization. There needs to be more of a risk-based analysis when determining how much to concentrate on fraud.\u201d", "According to a Bank report on global export credit competition, transaction processing time is an important factor in customers\u2019 decisions to choose the Bank over foreign export-financing agencies. In recent years, the Bank has significantly reduced processing time. Bank statistics show that the percentage of transactions completed in 30 days or fewer grew from 57 percent in fiscal year 2009 to 91 percent in fiscal year 2016. For 100 days or fewer, the rate has increased from 90 percent to 99 percent over the same period.", "Bank managers told us they seek to strike the right balance between the competing objectives and believe they have done so. For example, according to the CRC division, the Bank chooses to perform some of its fraud-detection and mitigation activities after application approval\u2014such as through reviews of transactions selected on both a random and risk- based basis\u2014in order to not unduly delay processing applications. Under Bank practices, document review can be abbreviated, and, after underwriting approval, lenders may accept certain transaction documentation, such as invoices or shipping documents, at face value unless something appears suspicious, managers told us. In the particular case of processing short- and medium-term transactions, the Bank is alert to \u201cred flag\u201d items\u2014known warning signs, such as use of nonbank financial institutions, or participants that are trading entities rather than original equipment manufacturers, managers told us. But otherwise, the Bank limits the extent of its application investigation, according to the Bank\u2019s OGC. In particular, as the Bank\u2019s OGC told us, the Bank is required by law to make medium-term offerings a \u201csimple product.\u201d There is pressure both legally and commercially to process transactions quickly, because, otherwise, an exporter could lose its business opportunity, the Bank\u2019s OGC told us. In many of these transactions, both the exporter and buyer are small, the OGC also said, so it is more difficult to get information. As a result, according to the OGC, the Bank relies more on self-reporting by transaction parties. For these reasons, the Bank\u2019s OGC told us, for both short- and medium-term products, there are not as many \u201cinherent checks and balances\u201d in the process. We note that based on previous GAO work, self-reporting can present an opportunity for fraud.", "However, our survey results suggest that significant portions of Bank staff question whether the Bank is striking the right balance in providing sufficient time for preapproval review of transactions. Specifically, Bank staff raised concerns about the amount of time dedicated to the key task of preapproval review of applications. For each of the Bank\u2019s three major product maturity categories, we asked whether the application process provides enough time for Bank staff to conduct thorough due diligence on potential fraud risks. For short-term products\u2014which Bank managers said, as a category in general, have been the most susceptible to fraud recently\u2014less than half (47 percent) said there is \u201calways\u201d or \u201cusually\u201d enough time; and about 20 percent said there is \u201csometimes,\u201d \u201cseldom,\u201d or \u201cnever\u201d enough time. For both medium- and long-term products, about 6 in 10 (56 percent and 61 percent, respectively) said the application process \u201calways\u201d or \u201cusually\u201d provides enough time. As noted, while Bank managers characterized our survey results as positive, these views indicate an opportunity for the Bank to further set an antifraud tone that permeates the organizational culture.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cMore due diligence should be required in order to qualify for the U.S. government\u2019s support.\u201d \u201cThe Bank is more concerned with increasing sales than preventing fraud.\u201d", "Our survey also identified that while nearly half (48 percent) of respondents rated fraud as a \u201cvery significant\u201d or \u201csignificant\u201d risk to the Bank, there may be misunderstanding among employees on where responsibility lies for fraud risk management. We asked employees to describe the extent to which each of six offices or groups\u2014OGC, the OIG, the Office of Risk Management, Bank senior management, all bank staff and managers collectively, or others\u2014are responsible for overseeing fraud risk management activities at the Bank. The OIG received the highest response, with 73 percent saying it has \u201ca great deal of responsibility.\u201d Bank managers told us this result is to be expected, because staff associate issues of fraud with the OIG. However, these survey results suggest confusion\u2014lack of a shared view, from the standpoint of antifraud culture\u2014around the OIG\u2019s role, which includes investigating suspected fraud, rather than overseeing the Bank\u2019s fraud risk management activities. The OIG acknowledged to us that its role does not include responsibility for overseeing fraud risk management activities at the Bank.", "Asked about our findings overall, Bank managers told us they view our survey results as positive because the results indicate employees have a strong awareness of fraud and the risk it presents to the Bank. For example, regarding the results about the role of the OIG, they noted that staff are actively encouraged to report suspected fraud through channels\u2014first to OGC, for subsequent referral to the OIG. Thus, employees would understand the OIG as being responsive to fraud, and Bank managers believe this likely accounts for the survey result.", "Nevertheless, they said, our survey results provide an opportunity for more detailed training, to better communicate with staff. In particular, the Bank managers told us such training would focus on the Bank\u2019s approach to fraud, plus the Bank\u2019s organizational structure for addressing fraud. The training will also clarify that the OIG has an investigative function as well as an auditing function, they said. Our employee survey results underscore the potential benefit of further fraud training. Among respondents who said they have received fraud or fraud risk-related training provided by the Bank in the last 2 years, three-quarters said it was \u201cextremely\u201d or \u201cvery\u201d relevant to their job duties. Nearly two-thirds (63 percent) said it was \u201cextremely\u201d or \u201cvery\u201d useful to their duties. Overall, about half (52 percent) of respondents said fraud or fraud risk-related information obtained from management, or any Bank resources, has increased their understanding of fraud \u201ca great deal\u201d or \u201ca lot.\u201d", "The differences we identified in perceptions of fraud risk and fraud management responsibilities do not, by themselves, implicate the performance of any particular antifraud control, or suggest that any additional control is necessary. However, to the extent views on significant antifraud issues, such as how active the Bank should be in preventing, detecting, and addressing fraud, or adequacy of time devoted to underwriting, differ across the organization, the Bank cannot ensure that it is best setting an antifraud tone that permeates the organizational culture, as provided in the Fraud Risk Framework. In particular, as the framework describes, antifraud tone and culture are important parts of effective fraud risk management. These elements can provide an imperative among peers within an organization to address fraud risks, rather than have the organization rely solely on top-down directives."], "subsections": []}]}, {"section_title": "The Bank Has Taken Some Steps to Assess Known Fraud Risks but Has Not Conducted a Comprehensive Fraud Risk Assessment", "paragraphs": ["The Bank has taken some steps to assess fraud risk. However, it has not conducted a fraud risk assessment, tailored to its operations, or created a fraud risk profile, both as provided in the second component of GAO\u2019s Fraud Risk Framework. Further, under the framework, recent changes in the Bank\u2019s operating environment indicate a heightened need to do so. We also found that although the Bank has been compiling a \u201crisk register\u201d intended to catalog risks it faces across the organization, this compilation does not include some known fraud risks, indicating that the Bank\u2019s assessment is incomplete. In addition, we found that while the Bank has adopted a general position on the degree of risk it will tolerate, its current risk tolerance is not specific and measurable, as provided by federal internal control standards. Bank managers told us they will revise their fraud risk management practices to fully adopt the Fraud Risk Framework."], "subsections": [{"section_title": "The Bank Has Taken Some Steps to Assess Known Fraud Risks but Does Not Conduct Regular, Comprehensive Fraud Risk Assessments", "paragraphs": ["A leading practice of the Fraud Risk Framework calls for agencies to conduct fraud risk assessments at regular intervals, as well as when there are changes to the program or operating environment, because assessing fraud risks is an iterative process. Managers should determine where fraud can occur and the types of internal and external fraud the program faces. This includes an assessment of the likelihood and impact of fraud risks inherent to the program; that is, meaning both fraud risks known through fraud that has been experienced, as well as other fraud risk that can be identified, based on the nature of the program.", "According to a Bank report, FY2016 Enterprise Risk Assessment, the Bank is more susceptible to fraud, due to \u201cthe nature of the Bank\u2019s mission, the high volume of transactions it executes, and the need for various groups within the Bank to work together to successfully defend against fraud.\u201d The Bank\u2019s short- and medium-term products are more susceptible to fraud, according to Bank managers. Other indicators of fraud, according to the managers, include domestic geography, transactions that involve truck shipments; international geography, since conducting adequate due diligence can be more difficult in remote locations; and when there are smaller, less well-known parties on both sides of the transaction.", "In this environment, the Bank has taken some steps to assess known fraud risks. Generally, the Bank\u2019s practice has been to assess particular fraud risks and lessons learned following specific instances of fraud encountered, according to Bank managers. Because it has focused on fraud already encountered, the Bank\u2019s practice has not been of the comprehensive nature provided in the Fraud Risk Framework.", "As an example of its current approach, according to Bank managers, the Bank experienced \u201csignificant fraud\u201d in the early 2000s. This was chiefly in the medium-term program, and to a lesser degree, the short-term program, the managers said. As a result, the Bank made changes that reduced the fraud significantly, they said. Otherwise, according to the CRO, fraud has been addressed within product lines, as appropriate. Under its current approach, the Bank\u2019s risk assessments do not include areas where fraud has not already been detected, according to Bank managers. They acknowledged that approach could expose the Bank to fraud risks for activities not yet discovered.", "A key difference between the Bank\u2019s current approach, as illustrated above, and leading practices as provided in the Fraud Risk Framework, can be seen in how fraud risks are assessed. As described later, the Bank has been compiling risks it faces across the organization, with fraud risk among them. These efforts have focused on soliciting views of Bank staff. By contrast, the framework envisions a more comprehensive approach. Effective fraud risk assessments identify specific tools, methods, and sources for gathering information about fraud risks, according to the framework. Among other things, this can include data on trends from monitoring and detection activities. Under the framework, programs might develop surveys that specifically address fraud risks and related control activities. It may be possible, the framework suggests, to conduct focus groups, or engage relevant stakeholders, both internal and external, in one-on-one interviews or brainstorming about types of fraud risks.", "Thus, we found, the Bank\u2019s current process for assessing fraud risk has been generally reactive and episodic, rather than regularly planned and comprehensive. Rather than adopt a more proactive approach, the Bank has instead relied on the normal processing and review of transactions\u2014 which build in experience with previous fraud schemes\u2014as the truest test for identifying fraud issues or concerns, according to Bank managers.", "Recent changes in the Bank\u2019s program and operating environment also heighten the need for comprehensively assessing fraud risks, according to the Fraud Risk Framework. Such changes include the Bank\u2019s inability to approve large transactions due to the absence of a quorum. This has meant transaction activity has shifted to smaller transactions, which carry a greater risk of fraud, according to bank managers. Additionally, Congress recently mandated that the Bank increase its focus on small businesses, whose transactions present a different risk profile than those of the Bank\u2019s large customers, according to Bank managers. Further, the Bank\u2019s transaction backlog could also become an issue in the future. If a Board quorum is restored, there could be pressure to process transactions quickly in order to clear the backlog, which could undermine the quality of the underwriting process, according to documentation from the Office of the CRO.", "According to our review, the Bank\u2019s current antifraud controls further the goal of protecting Bank resources and providing \u201creasonable assurance\u201d of repayment. However, without planning and conducting regular fraud risk assessments, as identified in GAO\u2019s Fraud Risk Framework, the Bank is vulnerable to not identifying material risks that can hurt performance or its ability to fulfill its mission. As Bank managers acknowledged to us, the Bank faces acute reputational risk if new instances of large or otherwise significant fraud emerge."], "subsections": []}, {"section_title": "The Bank Has Been Working to Identify Major Organizational Risks, but Its Identification of Fraud Risks Is Incomplete", "paragraphs": ["The Bank has taken some steps in an effort to identify, manage, and respond to risks, including those related to fraud. It has been developing a \u201crisk register\u201d\u2014a compilation of risks across the organization. It has also recently completed an \u201centerprise risk assessment\u201d through an outside consultant. However, these efforts do not reach the full extent of the relevant leading practices of the Fraud Risk Framework. Specifically, the framework call for agencies to identify inherent fraud risks of a program, examine the suitability of existing fraud controls, and then to prioritize \u201cresidual\u201d fraud risks\u2014that is, risks remaining after antifraud controls are adopted.", "For the risk register, individual business units contribute items, such as indicating types of risk and likelihood, and methods to mitigate the risk. The register, through the Bank\u2019s Office of Risk Management, notes the risk of fraudulent deals generally, characterizing the likelihood as \u201csomewhat likely,\u201d but having the possibility of \u201cmajor\u201d financial, operational, legal, and reputational impacts. However, particular methods of fraud known to the Bank through experience\u2014such as applicants submitting fraudulent documentation\u2014are absent thus far. This indicates the register is incomplete, from the standpoint of identifying where fraud can occur and the types of internal and external fraud risks the program faces, as provided in GAO\u2019s Fraud Risk Framework. Other inherent fraud risks, such as those posed by the Bank\u2019s more limited understanding of transactions made when it delegates lending authority to other institutions, are also absent from its risk register. Work continues on developing the risk register, Bank managers told us. However, adoption of the risk register has been delayed, due to a reorganization of Bank management and the vacancies on the Board. Without a more comprehensive assessment of inherent fraud risks, the Bank cannot be assured of the extent to which existing controls effectively mitigate inherent risks.", "According to the chief risk officer, the Bank\u2019s risk register is part of a more wide-ranging \u201centerprise risk management\u201d strategy, which includes documenting a range of risks across the organization, including fraud. In March 2017, as part of this strategy, the Bank completed the enterprise risk assessment. Based on assessments by senior Bank managers, it identifies fraud risk\u2014defined as a \u201csignificant and high-profile fraud\u201d conducted against the Bank\u2014as one among a range of risks facing the Bank. Consistent with Bank managers\u2019 representations to us, the enterprise risk assessment ranks the likelihood of fraud risk as low against other risks the Bank faces\u2014fourth out of five among \u201coperational\u201d risks, and 24th out of 26 total identified risks. Figure 4 depicts how the Bank evaluates these operational risks, in a schematic pairing likelihood of the event with expected impact if they were to occur. In this context, fraud risk is the least prominent risk among the top operational risks identified.", "In addition to operational risks, the enterprise risk assessment also details six high risks facing the Bank overall. Among them are new or unfamiliar deal structures, which may present increased repayment risk; and doing business in new and unfamiliar technologies, sectors, and industries where the Bank has limited experience. Although fraud is not explicitly identified as a risk, we note these new activities could provide an opening for those seeking to commit fraud.", "During our review, Bank managers maintained that the enterprise risk assessment represents a \u201ccomprehensive fraud risk assessment\u201d undertaken by the Bank. They also, however, acknowledged that this assessment does not contain all the elements of a fraud risk assessment as described in GAO\u2019s Fraud Risk Framework. For instance, as noted, the Bank has not conducted a comprehensive assessment of inherent fraud risks, tailored to its operations.", "We note that because, as described above, the Bank has not undertaken a fraud risk assessment as envisioned by the Fraud Risk Framework, its ranking of fraud risk compared to other risks may change after it has completed such an assessment. This is because a comprehensive assessment may identify new fraud risks or produce revised assessments of known fraud risks, both of which could affect relative rankings of other risks."], "subsections": []}, {"section_title": "The Bank\u2019s Fraud Risk Tolerances Are Not Specific and Measurable", "paragraphs": ["A leading practice of the Fraud Risk Framework calls for agencies to determine fraud risk tolerance. Further, federal internal control standards state that managers should consider defining risk tolerances that are specific and measurable. In addition, under the framework, tolerance cannot be determined until the agency has identified inherent fraud risks and assessed their likelihood or impact.", "As part of its overall risk management activities, the Bank has adopted a general position on its fraud risk tolerance. Specifically, Bank managers told us that, by its nature, the Bank accepts more risk than the commercial sector; and some level of fraud is to be expected because it is not reasonable to eliminate all fraud in its programs. The instances of fraud encountered by the Bank in recent years have centered on small exposures, according to bank managers. Thus, the current level of fraud the Bank experiences is \u201cdefensible,\u201d given the Bank\u2019s mission and number of transactions it undertakes, according to the CRO. Bank managers said that fraud activity has steadily declined over the last decade, based on what they cited as fraud indicators that are reviewed by the Bank\u2019s OGC.", "Bank managers also pointed to claims as another indication of declining fraud activity. Transaction participants file claims for losses covered under Bank loan guarantee and insurance products, such as if a borrower fails to make required payments. The Bank considers fraud to be a subset of transactions that result in claims, and managers cited declining claims activity over the last decade as an indirect measure of fraud activity. Table 1 shows a history of claims paid for fiscal years 2008 through 2017.", "Overall, Bank managers told us that in light of the decline in fraud they described, the task facing the Bank is to make sure that staff do not lose their focus on fraud and become too comfortable.", "We asked the Bank to provide statistics supporting the claimed long-term decline in fraud activity, based on fraud indicators. In response, managers told us the indicators are actually not \u201cprecise or numerical measures.\u201d Instead, OGC noted the office is aware of fraud activity through \u201cconsultations and general sense of day-to-day business.\u201d As for claims, we note that not all fraud activity may result in claims. Consequently, an analysis of claims alone may not reveal a complete or accurate view of fraud activity. In addition, although Bank statistics we reviewed show a decline in number of claims filed from fiscal year 2014 through nearly the end of fiscal year 2017, the decline is likely attributable to the lapse in the Bank\u2019s authority in fiscal year 2015, according to a Bank report.", "While the Bank has adopted a general position on its fraud risk tolerance\u2014that the current level of fraud is defensible, given the Bank\u2019s mission\u2014its current risk tolerances are not specific and measurable. Without more specific and measurable risk tolerances, the Bank cannot be assured of the extent to which any fraud risks exceed the Bank\u2019s fraud risk tolerance. For example, a measurable risk tolerance could express willingness to tolerate an estimated amount of potentially fraudulent activity, given resource constraints in eliminating all fraud risks."], "subsections": []}, {"section_title": "The Bank Will Revise Its Practices, According to Managers", "paragraphs": ["After initially telling us that the Bank\u2019s fraud risk management practices are working well and do not need modification, Bank managers later told us they will revise their approach. They now plan to conduct periodic fraud risk assessments and assess risks to determine a fraud risk profile, as provided in GAO\u2019s Fraud Risk Framework, they said. Asked what prompted the changes, the CRO attributed them to our inquiries plus the Bank\u2019s own growing experience with enterprise risk management. Bank managers also noted that since 2013, there has been an evolution in Bank antifraud controls, as part of what they refer to as a continuous improvement process.", "Specifically, the Bank\u2019s new effort will include a range of new fraud management activities, according to the managers, starting with a fraud risk assessment and also including determining a fraud risk profile, on a priority-risk basis. The Bank also plans to identify residual risks and mitigating factors. In addition, according to the managers, this new work in addressing fraud risk is planned to include developing specific fraud risk tolerance or tolerances, with a metric for measuring such tolerance. As for implementation of the planned new approach, Bank managers stated they plan to complete a fraud risk assessment by December 2018 and to determine the Bank\u2019s fraud risk profile by February 2019.", "However, Bank managers did not provide us with documentation describing in detail how they plan to ensure their fraud risk assessments and fraud risk profile are consistent with GAO\u2019s Fraud Risk Framework. For example, we requested documentation of any specific plans to adopt any of the four components of GAO\u2019s framework. Bank managers told us they plan to work with an outside consultant, and provided an outline of planned activities. However, the information did not describe how the Bank will ensure its risk assessments and profile include a full range of inherent fraud risks, including known fraud risks that are absent from its current risk register. Similarly, the managers did not provide documentation describing how the Bank\u2019s fraud risk assessments and profile will include risk tolerances that are specific and measurable.", "Our employee survey results highlight the importance of the Bank\u2019s planned new approach. In comments, some respondents noted the changing nature of fraud, underscoring the importance of taking a wider, more proactive approach to fraud, which the Fraud Risk Framework encourages.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cThere are tricks that financial fraudsters would use that many of our staff are unaware of.\u201d \u201cThe biggest risk is that we cease to see fraud controls as an ever-evolving process.\u201d \u201cTypes of fraud are constantly changing.\u201d \u201cTo assume that thieves don\u2019t evolve is inane, and to assume that you have the best, most evolved mechanisms for combating fraud is presumptuous.\u201d", "Given the importance, under a more proactive approach, of being able to identify and react to new forms of fraud, we also asked employees how well they believe Bank senior management understands new or changing ways of attempting or committing fraud. About two-thirds (67 percent) said senior Bank management understands \u201cvery well\u201d or \u201cfor the most part,\u201d with the remaining respondents undecided or believing otherwise."], "subsections": []}]}, {"section_title": "The Bank Has Instituted Some Antifraud Controls but Not Developed a Strategy Based on a Fraud Risk Assessment, and Has Opportunities to Improve Fraud Awareness and Data Analytics", "paragraphs": ["The Bank has instituted a number of antifraud controls but has not developed an antifraud strategy based on a fraud risk profile, or implemented specific control activities to achieve such a strategy. This is because, as discussed earlier, it has not yet completed a fraud risk assessment tailored to its operations. As described in the third component of GAO\u2019s Fraud Risk Framework, agencies should design and implement a strategy with specific control activities to address risks identified in the fraud risk assessment. We also found the Bank has opportunities to improve antifraud controls through greater fraud awareness and use of data analytics. Leading practices for fraud risk management under the third component include fraud awareness and data analytics activities, which can enhance the agency\u2019s ability to prevent and detect fraud.", "The Bank currently employs a number of antifraud controls, both before and after transaction approval, which Bank managers told us include:", "Specific antifraud activities within individual business units, as they operate their respective programs.", "Review of transactions, including checking for fraud activity, following transaction approval.", "Later-stage review, such as examinations and recommendations by the Bank\u2019s OIG.", "Preapproval antifraud efforts: Underwriting is the initial step in preventing fraud, and underwriters have a heightened awareness of fraud and irregularities, Bank managers told us. Under the Bank\u2019s antifraud procedures, underwriters in the business units should be aware of fraud risks in their transactions and be alert to indications of fraud. Prior to approval, transactions and their participants go through several evaluations. These can assist underwriters in preventing fraud, according to Bank procedures. Figure 5 describes selected preapproval evaluations.", "According to the Bank, additional preapproval measures include analyzing lenders, focusing on sufficiency of due diligence or what appear to be a high level of claims; requiring collateral on most medium-term transactions; not allowing online applications to proceed unless applicants provide required information; and using a two-step approval process, in which both the underwriter and the underwriter\u2019s supervisor must approve certain transactions.", "Postapproval antifraud efforts: Postapproval monitoring is generally not directed specifically at fraud, but plays a key role in fraud detection. Specifically, Bank managers told us that the Bank typically learns of fraud through the claims process\u2014that is, after transactions are approved. Figure 6 describes postapproval monitoring.", "Later, third parties, such as the Bank\u2019s OIG, review transactions and operations, the chief risk officer told us. The Bank has developed a policy and expectations for employee conduct in matters of possible fraud, imposing a duty to report any \u201csuspicion\u201d of fraud to OGC or the OIG. In particular, OGC is not selective about what information it passes to OIG, a manager told us\u2014anything about Bank transactions is referred, no matter the strength of the evidence.", "In our employee survey, some respondents expressed concern that there is reliance on postapproval monitoring, versus greater scrutiny at the time of application.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \uf0d8 The current division of responsibilities \u201cis not the most effective way for the Bank to oversee fraud and fraud risk, as responsibility needs to be given to the teams on the front end\u2014such as the individual relationship managers and loan officers\u2014not on the back end.\u201d \uf0d8 The current arrangement \u201cseems to be more of an after-the-fact approach to potentially (if reluctantly) detecting fraud than any proactive encouragement to actively prevent fraud.\u201d", "Although the Bank has instituted these pre- and postapproval antifraud controls, they may not provide the most effective protection available. According to GAO\u2019s Fraud Risk Framework, the leading practice is for agencies to design and implement antifraud controls based on a strategy determined after performing a fraud risk assessment and creating a fraud risk profile. However, as previously discussed, the Bank has not yet completed such an assessment to determine such a profile. Consequently, the Bank cannot develop an antifraud strategy and associated controls that meet the leading practice until it has completed a fraud risk assessment and documented the results in a fraud risk profile.", "As noted earlier, Bank managers told us they now recognize the need to conduct assessments and develop a fraud risk profile for the Bank, and that they plan to complete this work by February 2019. They further told us that, after conducting a risk assessment and developing a fraud risk profile, they plan to design and implement antifraud controls as may be indicated by the assessment, in keeping with the framework\u2019s third component. Until the Bank creates an antifraud strategy based explicitly on a fraud risk assessment and corresponding fraud risk profile, and has designed and implemented specific control activities to prevent and detect fraud, it is at risk of failing to address fraud vulnerabilities that could hurt its performance, undermine its reputation, or impair its ability to fulfill its mission."], "subsections": [{"section_title": "The Bank Has Opportunities to Improve Fraud Awareness among Its Staff", "paragraphs": ["As provided in GAO\u2019s Fraud Risk Framework, increasing awareness of potential fraud schemes can serve a preventive purpose, by helping to create a culture of integrity and compliance, as well as to enable staff to better detect potential fraud. The Bank currently takes some steps to share information on fraud risks across the institution, through a variety of mechanisms, but it has opportunities to further improve information sharing to build fraud awareness.", "Training, cited earlier, is a leading practice of the Fraud Risk Framework, by which an agency can build fraud awareness. In particular, the framework cites requiring that all employees, including managers, attend training when hired and then on an ongoing basis thereafter. As discussed earlier, the Bank now conducts some training, and Bank managers told us they see our survey results as an opportunity to provide additional training. By extending training requirements to all employees, the Bank can seek to build awareness as broadly as possible, and with that, further reinforce antifraud tone and culture. Currently, according to our assessment of information the Bank provided, it does not offer dedicated fraud training across the organization, for all employees and on an ongoing basis.", "Another way to build fraud awareness is information sharing. For example, a manager in the Bank\u2019s OGC told us he monitors fraud activity and communicates relevant fraud-related information to other units in the Bank, based on considerations such as whether a situation could be repeated in other cases. However, there are limitations in information- sharing. For example, the Bank\u2019s OGC told us it restricts how widely it shares information on parties placed on an internally generated \u201cwatch list\u201d of parties that should be scrutinized. The Bank also cannot share information provided by OIG on parties in a confidential law enforcement database as being under investigation, managers said, because those parties may not know they are under investigation. The reasons for such caution, according to managers, include the Privacy Act of 1974 and fear of creating a \u201cde facto debarment list\u201d absent any formal findings of fraud. In addition, CRC division managers told us that when the division discovers fraud-related information, it communicates such information to appropriate Bank staff.", "Despite concerns, we found there are opportunities for greater compilation and sharing of information, and employees said in our survey that they believe wider sharing of fraud-related information would be beneficial to building fraud awareness and performing their duties. For example, one way of boosting fraud awareness would be if Bank managers comprehensively tracked referrals of suspected fraud matters to the OIG and shared case outcomes with Bank staff, Bank managers told us. However, Bank managers told us they do not currently maintain and share such information on cases of suspected fraud referred to the OIG. Relatedly, GAO\u2019s Fraud Risk Framework notes the opportunity for an agency to collaborate with its OIG when planning or conducting training, and promoting the results of successful OIG investigations internally.", "Some program managers also told us maintaining a repository of known fraud cases could aid in compliance and transaction approvals, but the Bank does not maintain and share this information with staff. In addition, as Bank managers acknowledge, compiling and maintaining information collected through the Bank\u2019s database checks on transaction participants could serve as a library of useful information. However, Bank managers told us they do not currently maintain and share such information.", "In our survey, we asked employees whether Bank management provides any information on outcomes of fraud cases involving the Bank or Bank staff. Nearly half of respondents (49 percent) said no. About a third (35 percent) said yes. Among a subset of employees who reported that their job duties include direct responsibility for fraud matters, the \u201cYes\u201d figure was higher but still less than a majority (41 percent). Some survey respondents noted lack of information-sharing about fraud practices and case outcomes, including that staff processing transactions must rely on personal memory for fraud issues that arose in previous transactions.", "Illustrative Comments from GAO\u2019s Survey of Bank Employees \u201cIn some cases, there is no way to track bad actors or suspected fraudsters unless someone working the new transaction remembers that there was an issue with the actor in a previous transaction.\u201d \u201cManagement seems to not want to discuss any fraud with staff. Instead, they should use the opportunity to educate staff about fraud that occurs and show the consequences that result. They need to be more open.\u201d \u201cWhile the Bank has put a lot of best practices in place, more could be done to more regularly communicate to staff about changing practices in committing and detecting fraud.\u201d \u201cOutcomes are rarely relayed to staff.\u201d", "Underscoring the value of sharing information, our survey also found that when Bank management does share fraud-related information, Bank staff tend to find it useful in carrying out their duties. For those reporting that management does share fraud information, more than half of respondents (54 percent) said they found such information was \u201cextremely\u201d or \u201cvery\u201d helpful in their job duties. Similarly, for those who reported they can readily access fraud-related information on their own from internal Bank resources, nearly two-thirds (63 percent) said the information was \u201cextremely\u201d or \u201cvery\u201d helpful.", "In response to our inquiries, Bank managers said they plan to evaluate the feasibility of maintaining and sharing case outcome and database query information. In addition, they said OGC is exploring how it might share more fraud-related information, but in a protected way. In particular, the Bank wants to be able to share information on \u201cintegrity factors,\u201d especially at the underwriting level. One way to do this might be distribution of fraud case studies as a refresher for staff, they said.", "Until the Bank makes greater efforts to share information on known fraud schemes or bad actors, the Bank forgoes the opportunity, as described in the Fraud Risk Framework, to build staff awareness that could enhance antifraud efforts in these ways. For example, by not sharing the outcomes of suspected fraud matters referred to the OIG, the Bank forgoes the opportunity to build awareness through lessons learned from actual cases, which could give staff especially relevant insight into future attempts at fraud."], "subsections": []}, {"section_title": "The Bank Has Opportunities to Improve Data Analytics to Fight Fraud", "paragraphs": ["GAO\u2019s Fraud Risk Framework cites data analytics as a leading practice for preventing and detecting fraud; in particular, to mitigate the likelihood and impact of fraud. We found the Bank makes limited use of data analytics for antifraud purposes. For example, it conducts analyses of claims cases, according to Bank managers, and, as noted earlier, considers fraud to be a subset of transactions that result in claims. Documentation of such activity provided to us by the Bank includes analyses and statistical summaries, such as number and types of claims filed, and tallies of claim decisions (for example, approved, denied).", "However, the Bank does not perform data analytics, which are additional leading practices described in the Fraud Risk Framework.", "According to one manager, the Bank does not perform data analytics on its transaction-related data because the Bank OIG does not provide a specific transaction number (or \u201cdeal number\u201d) necessary to link fraud cases it successfully pursues to the specific transactions from which the OIG action arises. Without that link, the Bank cannot distinguish transactions proven to be fraudulent from other, nonfraudulent transactions in its data, the Bank manager said. The link would be necessary for data-analytics purposes, the manager said. This inability to tie proven fraud cases to individual transactions, based on inability to obtain the key identifying information from the OIG, is a significant weakness in the Bank\u2019s postapproval transaction monitoring, the manager further said.", "The Bank and its OIG take different views on this linking information. The Bank has asked the OIG to provide these specific transaction numbers in an effort to link proven fraud cases to its transaction data, according to one Bank manager. OIG officials, meanwhile, told us they always notify the Bank when a conviction is made, and provide as much information as possible and appropriate under the circumstances, including company name and individual name. OIG officials also noted that, even without the specific transaction number the Bank requests, the Bank should nevertheless be able to use OIG-provided case data to search its own transaction files and successfully locate corresponding transactions.", "In response to our inquiries, Bank managers said they are now considering a move into data analytics, including predictive analytics, to guard against fraud. However, until the Bank has a feasible and cost- effective means of linking OIG cases to specific transactions, its ability to use data-analytics for antifraud purposes will be limited. Without the ability to make use of data-analytics, the Bank forgoes the opportunity to develop a best-practices antifraud tool that could aid in identifying potential fraud retrospectively, on transactions already approved, or prospectively, in advance of approval."], "subsections": []}]}, {"section_title": "The Bank Has Opportunities to Improve Monitoring and Evaluating Outcomes of Its Fraud Risk Management Activities", "paragraphs": ["The fourth and final component of GAO\u2019s Fraud Risk Framework calls for ongoing monitoring and periodic evaluations of the effectiveness of antifraud controls. This monitoring and evaluation should be from the specific perspective of antifraud controls established based on a comprehensive fraud risk assessment. Such activities can serve as an early warning system to help identify and resolve issues in fraud risk management\u2014whether they involve current controls or prospective changes. Ongoing monitoring and periodic evaluations provide assurances to managers that they are effectively preventing, detecting, and responding to potential fraud. Further, according to the framework, effective monitoring and evaluation focuses on measuring outcomes and progress toward achieving objectives.", "Because the Bank has not completed a comprehensive fraud risk assessment, or designed antifraud controls based on such an assessment, it is not in a position to fulfill this final component. Even at that, however, we found the Bank does not generally evaluate the effectiveness or efficiency of its current fraud risk management practices. For example, OGC and CRC managers\u2014who form the dedicated entity for managing fraud risks (as described earlier in component one)\u2014both told us they are unaware of any procedure to periodically assess the effectiveness of the Bank\u2019s fraud risk management policies. In addition, the Bank currently has no formal method for tracking fraud activity, according to a Bank manager. Thus, the Bank is not in a position to explicitly judge the effectiveness of antifraud controls. Further, as described earlier, Bank managers told us the fraud indicators they do track are not precise or numerical measures and that, instead, OGC is aware of fraud activity through a general sense of daily business.", "Following our inquiries, Bank managers told us they plan to revise their approach to monitoring, evaluating, and adapting their fraud risk management practices. They said they now plan to evaluate the effectiveness of those practices, following adoption of the second and third components of GAO\u2019s Fraud Risk Framework, and with the intent to adapt controls as indicated necessary, in accordance with the framework\u2019s fourth component. Timing will depend on implementation of the underlying fraud risk assessment, Bank managers told us. The Bank cannot be assured that its antifraud controls are optimal until it has fulfilled component four of GAO\u2019s Fraud Risk Framework in the comprehensive fashion envisioned, following previous full implementation of components two and three. In particular, it cannot be assured that current practices are adequate, based on inherent program risks."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Proactively and strategically managing fraud risks can aid the Bank\u2019s mission of supporting American jobs by facilitating U.S. exports, by reducing not only the risk of financial loss to the government, but also the risk of serious reputational harm to the Bank. The Bank has taken some steps to address fraud that are among leading practices identified in GAO\u2019s Fraud Risk Framework. But overall, the Bank has approached fraud risk management on a fragmented, reactive basis, and its antifraud activities have not been marshalled into the kind of comprehensive, strategic fraud risk management regime envisioned by GAO\u2019s Fraud Risk Framework and its leading practices.", "Chiefly, this is because the Bank has not anchored its fraud risk management policies in a comprehensive fraud risk assessment and corresponding risk profile, tailored to its operations, and then implemented controls designed to address the specific fraud risks identified in the assessment. Some fraud risk facing the Bank is already known, such as fabricated documentation. But as the Bank acknowledges, in addition to fraud risk inherent in its complex lines of business, it also faces significant risk from new or unfamiliar deal structures it may employ, and in new and unfamiliar technologies and industries it may service, where it has limited experience. Regular, comprehensive fraud risk assessments will address not only known types of fraud, but also seek to identify where fraud can occur and the types of fraud the program faces, including likelihood and impact.", "Accordingly, until the Bank begins conducting thorough, systematic assessments of its fraud risks, and compiles a risk profile prioritizing such risks, it cannot be assured that it satisfactorily understands its vulnerabilities to fraud and any gaps in its capabilities for addressing them. Following on from that, without developing and implementing an antifraud strategy that builds on the findings of the comprehensive risk assessments and risk profile, the Bank cannot be assured that its antifraud control activities are optimally designed for, and targeted to, the actual fraud risks its faces\u2014meaning that it could be failing to address significant risks or targeting the wrong ones. Finally, without establishing outcome-oriented metrics and then regularly reviewing progress toward meeting these goals, the Bank cannot be assured that its antifraud control activities are working as intended.", "As we concluded our review, the Bank, encouragingly, said it would adopt the more proactive approach described by GAO\u2019s Fraud Risk Framework. Thus, the Bank now needs to follow through on its stated intent to change its practices, and accomplish the tasks, described to us by Bank managers, as intended and in a timely fashion. This is true not only for current operations, but also prospectively, for the large transaction backlog the Bank faces, which Bank managers will process if or when the Bank\u2019s quorum issue is resolved, and which could stress Bank fraud controls.", "The Bank\u2019s identification of a dedicated entity to lead fraud risk management activities can be an important step in the right direction if that move now becomes the start of a sustained commitment. By fully adopting the elements of the framework, the Bank can strengthen its antifraud culture, better understand fraud risks facing its products and programs, and reshape how it monitors and evaluates the outcomes of its fraud risk management activities. In doing so, it will be better positioned to protect taxpayers and its multi-billion-dollar portfolio, while still meeting its mission to support American jobs and exports.", "Even though Bank managers have already told us they plan to implement the framework, they did not provide us documentation describing in detail how they will ensure their fraud risk assessment and fraud risk profile are consistent with leading practices of the framework\u2014such as by ensuring the risk assessment considers all inherent fraud risks and the risk profile reflects risk tolerances that are specific and measurable. Thus, we include the following framework-specific recommendations in order to comprehensively enumerate relevant issues we identified, as well as to present clear benchmarks of accountability for assessing Bank progress. This complete listing is important in light of the Bank\u2019s recent embrace of the framework; changes in the Bank\u2019s executive leadership and vacancies on the Bank Board; and expected congressional consideration of the Bank\u2019s reauthorization in 2019."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following seven recommendations to the Bank: The acting Bank president and Board chairman should ensure that the Bank evaluates and implements methods to further promote and sustain an antifraud tone that permeates the Bank\u2019s organizational culture, as described in GAO\u2019s Fraud Risk Framework. This should include consideration of requiring training on fraud risks relevant to Bank programs, for new employees and all employees on an ongoing basis, with the training to include identifying roles and responsibilities in fraud risk management activities across the Bank. (Recommendation 1)", "As the agency begins efforts to plan and conduct regular fraud risk assessments and to determine a fraud risk profile, the acting Bank president and Board chairman should ensure that the Bank\u2019s risk assessments and profile address not only known methods of fraud, including those that are absent from its current risk register, but other inherent fraud risks as well. (Recommendation 2)", "As the agency begins efforts to plan and conduct regular fraud risk assessments and to determine a fraud risk profile, the acting Bank president and Board chairman should ensure that the risk profile includes risk tolerances that are specific and measurable. (Recommendation 3)", "The acting Bank president and Board chairman should ensure that the Bank develops and implements an antifraud strategy with specific control activities, based upon the results of fraud risk assessments and a corresponding fraud risk profile, as provided in GAO\u2019s Fraud Risk Framework. (Recommendation 4)", "The acting Bank president and Board chairman should ensure that the Bank identifies, and then implements, the best options for sharing more fraud-related information\u2014including details of fraud case referrals and outcomes\u2014among Bank staff, to help build fraud awareness, as described in GAO\u2019s Fraud Risk Framework. (Recommendation 5)", "The acting Bank president and Board chairman should lead efforts to collaborate with the Bank\u2019s OIG to identify a feasible, cost-effective means to systematically track outcomes of fraud referrals from the Bank to the OIG, including creating a means to link the OIG\u2019s proven cases of fraud to the specific Bank transactions from which the OIG actions arose. If any such means are found to be feasible and cost-effective, the acting Bank president and Board chairman should direct appropriate staff to implement them, with such information to be used for purposes consistent with GAO\u2019s Fraud Risk Framework, such as data analytics. (Recommendation 6)", "The acting Bank president and Board chairman should ensure that the Bank monitors and evaluates outcomes of fraud risk management activities, using a risk-based approach and outcome-oriented metrics, and that it subsequently adapts antifraud activities or implements new ones, as determined to be appropriate and consistent with GAO\u2019s Fraud Risk Framework. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Bank for review and comment. In written comments, summarized below and reproduced in appendix III, the Bank agreed with our recommendations. The bank also provided technical comments, which we incorporated as appropriate.", "In its written comments, the Bank said it will take several steps to implement our recommendations to improve its fraud risk management activities. For example, the Bank stated it would continue to evaluate and implement methods to promote and sustain an antifraud tone that permeates the Bank\u2019s organizational culture. In assessing fraud risks, the Bank stated it will include not only known risks, but also other inherent risks not yet known to have led to fraud. Following a fraud risk assessment as provided in GAO\u2019s Fraud Risk Framework, the Bank stated that it will develop antifraud controls based on that assessment, subject to cost-benefit analysis. The Bank also stated that it will monitor and evaluate outcomes of its fraud risk management activities, and adapt existing controls or implement new controls as indicated, subject to cost- benefit analysis. The Bank further stated it will identify and implement ways to share more fraud-related information.", "In its written comments, the Bank also raised four concerns about our work.", "First, the Bank stated that it keeps substantial reserves for losses, which protect against taxpayer costs. We clarified our report to indicate that Bank officials told us they maintain reserves to protect against taxpayer costs. We did not evaluate the extent to which these reserves protect against taxpayer costs because doing so was outside the scope of our review.", "Second, the Bank stated our employee survey does not directly support some of the conclusions that we draw from responses received, and that only 24 percent of respondents were in the Export Finance area, which handles underwriting of Bank transactions. We note that the leading practices of the Fraud Risk Framework call for involving all levels of the agency in setting an antifraud tone that permeates the organizational culture. We also note that the Office of the Export Finance is not the only division involved in fraud control activities. For example, during our review, Bank managers told us that employees in the Credit Review and Compliance division, the Office of the General Counsel, and the Office of the Chief Financial Officer, among other offices, are also involved in fraud control activities. Thus, we believe it is appropriate that survey responses from those who work in these and other offices are included in our survey results. As noted in our report, Bank managers, in interviews, and staff, in our employee survey, generally expressed positive views of the Bank\u2019s antifraud culture, but they hold different views on key aspects of that culture. We believe that our survey results support these findings, as well as related conclusions and recommendation (Recommendation 1), with which the Bank agreed.", "Third, the Bank stated that it has been very effective in preventing, detecting, and prosecuting fraud in Bank transactions. Our review evaluated the extent to which the Bank has adopted leading practices for managing fraud risks, as described in the Fraud Risk Framework. We did not evaluate the operational effectiveness of specific Bank control activities for preventing, detecting, and prosecuting fraud because doing so was beyond the scope of our review.", "Fourth, the Bank stated that our report and the employee survey did not clearly and consistently distinguish between fraud and fraud risk, which may lead to confusion in both the survey responses and the analysis in the report. However, we define the terms \u201cactual fraud\u201d and \u201cfraud risk\u201d in our employee survey, which appears in appendix II. Further, as described in greater detail in appendix I, we pretested and modified the survey to ensure questions were understood by respondents and that we used correct terminology. This process allowed us to determine whether survey questions and answer choices were clear and appropriate. Thus, we believe the survey results support our findings. Overall, as noted, these findings include positive views of the Bank\u2019s antifraud culture as well as differing views on some aspects of that culture.", "We are sending copies of this report to the appropriate congressional committees, the acting president and Board chairman of the Bank, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-6722 or bagdoyans@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines management by the Export-Import Bank of the United States (the Bank) of fraud risks in its export credit activities, by evaluating the extent to which the Bank has adopted the four components described in GAO\u2019s A Framework for Managing Fraud Risks in Federal Programs (Fraud Risk Framework). Specifically, we evaluate the extent to which the Bank has established an organizational culture and structure conducive to planned regular fraud risk assessments and assessed risks to determine a fraud risk profile; designed and implemented a strategy with specific control activities to mitigate assessed fraud risks; and evaluated outcomes using a risk-based approach and adapted activities to improve fraud risk management.", "To examine the extent to which the Bank has adopted the components of GAO\u2019s Fraud Risk Framework, we reviewed Bank policy and governance documentation, plus other documentation; reviewed GAO and Bank Office of the Inspector General reports on fraud and fraud risk management topics; reviewed relevant reports of the Congressional Research Service and the Congressional Budget Office; and reviewed other reports and background information. Documentation we reviewed included Bank operating procedures, details of database search procedures, Bank annual reports, reports to Congress, the Bank\u2019s strategic plan, risk assessments, and other materials.", "We also interviewed a range of Bank managers, at both the senior- management level and those overseeing relevant Bank operating units. These included the Bank\u2019s chief financial officer, its chief risk officer, its acting chief operating officer, those with specific antifraud responsibilities, and others responsible for individual business units. These individual business units included those with responsibilities for monitoring transactions following approval.", "We then assessed our findings on the Bank\u2019s fraud risk management practices and its antifraud controls against provisions of the Fraud Risk Framework, which also incorporates concepts from GAO\u2019s Standards for Internal Control in the Federal Government."], "subsections": [{"section_title": "Survey Development and Administration", "paragraphs": ["To examine the extent to which the Bank has established an organizational culture and structure conducive to fraud risk management, we conducted a web-based survey of Bank employees. In our survey, we assessed, among other things, perceptions of the Bank\u2019s organizational culture and attitudes toward fraud and fraud risk management, and whether employees viewed senior Bank management as committed to establishing and maintaining an antifraud culture. We surveyed all non- senior-management Bank employees, regardless of their position or length of employment, who are responsible for implementing, but not determining, Bank policy (that is, those below the level of senior vice president). There were 403 employees in our survey population, and we received 296 responses, thus producing a response rate of 73.5 percent. We received sufficient representation across Bank offices and divisions, and, overall, obtained a range of employee views.", "To develop our survey instrument, we utilized background research, leading practices as identified in GAO\u2019s Fraud Risk Framework, interviews with Bank senior managers, and other sources. We conducted in-person pretests of survey questions with five Bank employees, varying in position, Bank office or division, and seniority, at Bank headquarters in Washington, D.C. We pretested the survey instrument to ensure the questions were understood by respondents, that we used correct terminology, and that the survey was not burdensome to complete. This process allowed us to determine whether the survey question and answer choices were clear and appropriate. We modified our survey instrument as appropriate based on pretest results and suggestions made by an independent survey specialist. The final survey instrument included closed- and open-ended questions on Bank management and tone-at- the-top; fraud-related training and information; antifraud environment; and personal experiences with fraud at the Bank. Throughout the survey instrument, we defined important terms, such as \u201csenior management,\u201d so respondents could interpret key concepts consistently through the survey.", "We administered the survey, via the World Wide Web, from July 31, 2017, through September 22, 2017. To do so, we obtained from Bank management a file of Bank employees with relevant identifying information. Before we opened the survey, the Bank president, at our suggestion, sent an email to employees notifying them of the forthcoming survey and encouraging them to respond. We also sent Bank employees a notification email describing the forthcoming survey, in advance of sending employees another email providing a unique username and password to access the web-based survey. To improve the response rate, we contacted Bank employees by phone who had not yet completed the survey (nonrespondents), to determine their eligibility, update their contact information, answer any questions or concerns about the survey, and seek their commitment to participate. We also sent multiple follow-up emails to nonrespondents encouraging them to respond, and provided instructions for taking the survey. These follow-up contacts reduced the possibility of nonresponse error. We sent our follow-up reminder emails to the survey population on August 10, 17, and 29, 2017, and September 1 and 14, 2017.", "Because we surveyed all non-senior-management employees, the survey did not involve sampling error. To minimize nonsampling errors, and to enhance data quality, we employed recognized survey design practices in the development of the survey instrument and in the collection, processing, and analysis of the survey data. We calculated frequencies for closed-ended responses and reviewed open-ended response for themes and illustrative examples. When we analyzed the survey data, an independent analyst checked statistical programs used to collect and process responses. We selected survey excerpts\u2014tallies of answers to selected questions, plus individual comments received from respondents\u2014presented in the main text of this report based on relevance to the respective subject matter.", "We conducted our performance audit from October 2016 to July 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Results of GAO Survey of Bank Employees: \u201cAnti-Fraud Controls at the Export-Import Bank of the United States\u201d", "paragraphs": ["Appendix II: Results of GAO Survey of Bank Employees: \u201cAnti-Fraud Controls at the Export-Import Bank of the United States\u201d", "As described in appendix I, GAO conducted a survey of employees of the Export-Import Bank of the United States (the Bank), to obtain their views on the Bank\u2019s organizational culture and attitudes toward fraud and fraud risk management. We surveyed 403 employees and obtained 296 responses, for a response rate of 73.5 percent. Our survey did not rely on a sample, as we distributed it to the entire employee population identified. Although originally presented through the World Wide Web, the questions and answer choices that follow are the same wording as shown to Bank employees. Results are tallied for each question. We omit, however, all individual responses to open-ended questions, in order to protect respondent anonymity. Underlined items indicate terms for which hyperlinked definitions were available in the original survey form."], "subsections": [{"section_title": "Please use these definitions when thinking about your answers\u2014", "paragraphs": ["\u201cFraud\u201d generally means obtaining something of value through willful misrepresentation; and in particular, misconduct involving Bank transactions.", "We mean it to include actual fraud, as found through the judicial system or an administrative process; as well as \u201cfraud risk\u201d \u2013 an opportunity, situation, or vulnerability that could allow for someone to engage in fraudulent activity.", "For this section and elsewhere, two additional definitions\u2014 \u201cSenior management\u201d refers to Bank managers at the senior vice president level and above. \u201cManagement in general\u201d refers to a broader management group \u2013 first-level supervisors and above. 4. In your view, to what extent has Bank management in general established a clear anti-fraud tone for the Bank?", "A great deal", "A lot", "Some", "A little", "Not at all", "Unsure/don\u2019t know Valid responses: 296 50.3% 29.4% 10.8% 2.7% 1.4% 5.4% 5. Based on the actions of Bank senior management in particular, how important do you think preventing, detecting, and otherwise addressing fraud is to the Bank?", "Extremely important", "Very important", "Not at all important", "Unsure/don\u2019t know 61.5% 25.0% 7.1% 1.7% 1.0% 3.7% 6. Based on the actions of the managers of your division in particular, how important do you think preventing, detecting, and otherwise addressing fraud is to the Bank?", "Extremely important", "Very important", "Not at all important", "Unsure/don\u2019t know 60.5% 27.9% 5.1% 1.7% 1.4% 3.4% 7. How clearly has Bank management in general communicated a standard of conduct that applies to all employees, and which includes the Bank\u2019s expectations of behavior concerning fraud?", "Extremely clearly", "Very clearly", "Somewhat clearly", "Slightly clearly", "Not at all clear", "Unsure/don\u2019t know Valid responses: 294 44.6% 33.3% 16.0% 1.7% 1.7% 2.7% 8. Based on your experience, for each entity below, which category best describes the level of responsibility the entity has for overseeing fraud risk management activities at the Bank?"], "subsections": []}, {"section_title": "9. Thinking about your response to question 8, do you believe your answer represents the most effective way", "paragraphs": ["for the Bank to oversee fraud and fraud risk?", "Yes", "No", "Unsure/don\u2019t know Valid responses: 295 62.4% 7.1% 30.5% 9(a). Why, or why not, is this the most effective way for the Bank to oversee fraud and fraud risk?"], "subsections": []}, {"section_title": "Fraud-Related Training and Information", "paragraphs": [], "subsections": []}, {"section_title": "10. Within the past two years, have you received fraud- or fraud risk-related training provided by the Bank", "paragraphs": ["23. In your view, should the Bank be more, or less, active in preventing, detecting, and otherwise addressing fraud or fraud risk?", "Much more active", "Somewhat more active", "Remain the same", "Much less active", "Unsure/don\u2019t know 9.8% 25.7% 43.6% 1.7% \u2013 19.3% 23(a). Why do you feel this is the appropriate level of activity for addressing fraud or fraud risk?"], "subsections": []}, {"section_title": "Priority and Employee Feedback", "paragraphs": [], "subsections": []}, {"section_title": "24. Among all the various activities of the Bank, where do you think preventing, detecting, and otherwise", "paragraphs": ["Excluding \u201cNot applicable to my job or experience\u201d\u2014", "Always enough time", "Usually enough time", "Sometimes enough time", "Seldom enough time", "Never enough time", "Unsure/don\u2019t know 14.9% 32.2% 14.4% 4.6% 1.1% 32.8% 31. If you have additional comments on any of the items above, or on fraud- or fraud risk-related issues at the Bank generally, please feel free to provide them below. 32. Would you be willing to speak with GAO regarding your answers to the survey, the topics raised above, or other fraud-related matters? 32(a). Please provide your name and contact information."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Export- Import Bank of the United States", "paragraphs": [], "subsections": [{"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jonathon Oldmixon (Assistant Director), Marcus Corbin, Carrie Davidson, David Dornisch, Paulissa Earl, Colin Fallon, Dennis Fauber, Kimberly Gianopoulos, Gina Hoover, Farahnaaz Khakoo-Mausel, Heather Latta, Flavio Martinez, Maria McMullen, Carl Ramirez, Christopher H. Schmitt, Sabrina Streagle, and Celia Thomas made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Export-Import Bank of the United States helps U.S. companies that want to sell to foreign buyers but can\u2019t get private financing. According to the Bank, its programs support tens of thousands of U.S. jobs annually. However, the Bank is backed by the U.S. government\u2014so taxpayers could be responsible for losses.", "We reviewed the Bank's controls for preventing losses from fraud. The Bank has taken steps to improve fraud risk management, including adopting some practices in our fraud risk management framework. However, it should conduct a comprehensive fraud risk assessment and use that to design antifraud controls. We made 7 recommendations."]} {"id": "GAO-19-179", "url": "https://www.gao.gov/products/GAO-19-179", "title": "Retirement Savings: Additional Data and Analysis Could Provide Insight into Early Withdrawals", "published_date": "2019-03-28T00:00:00", "released_date": "2019-04-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal law encourages individuals to save for retirement through tax incentives for 401(k) plans and IRAs\u2014the predominant forms of retirement savings in the United States. In 2017, U.S. plans and IRAs reportedly held investments worth nearly $17 trillion dollars. Federal law also allows individuals to withdraw assets from these accounts under certain circumstances. DOL and IRS oversee 401(k) plans, and collect annual plan data\u2014including financial information\u2014on the Form 5500. For both IRAs and 401(k) plans, GAO was asked to examine: (1) the incidence and amount of early withdrawals; (2) factors that might lead individuals to access retirement savings early; and (3) policies and strategies that might reduce the incidence and amounts of early withdrawals.", "To answer these questions, GAO analyzed data from IRS, the Census Bureau, and DOL from 2013 (the most recent complete data available); and interviewed a diverse range of stakeholders identified in the literature, including representatives of companies sponsoring 401(k) plans, plan administrators, subject matter experts, industry representatives, and participant advocates."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2013 individuals in their prime working years (ages 25 to 55) removed at least $69 billion (+/- $3.5 billion) of their retirement savings early, according to GAO's analysis of 2013 Internal Revenue Service (IRS) and Department of Labor (DOL) data. Withdrawals from individual retirement accounts (IRA)\u2014$39.5 billion (+/- $2.1 billion)\u2014accounted for much of the money removed early, were equivalent to 3 percent (+/- 0.15 percent) of the age group's total IRA assets, and exceeded their IRA contributions in 2013. Participants in employer-sponsored plans, like 401(k) plans, withdrew at least $29.2 billion (+/- $2.8 billion) early as hardship withdrawals, lump sum payments made at job separation (known as cashouts), and loan balances that borrowers did not repay. Hardship withdrawals in 2013 were equivalent to about 0.5 percent (+/-0.06 percent) of the age group's total plan assets and about 8 percent (+/- 0.9 percent) of their contributions. However, the incidence and amount of certain unrepaid plan loans cannot be determined because the Form 5500\u2014the federal government's primary source of information on employee benefit plans\u2014does not capture these data.", "Stakeholders GAO interviewed identified flexibilities in plan rules and individuals' pressing financial needs, such as out-of-pocket medical costs, as factors affecting early withdrawals of retirement savings. Stakeholders said that certain plan rules, such as setting high minimum loan thresholds, may cause individuals to take out more of their savings than they need. Stakeholders also identified several elements of the job separation process affecting early withdrawals, such as difficulties transferring account balances to a new plan and plans requiring the immediate repayment of outstanding loans, as relevant factors.", "Stakeholders GAO interviewed suggested strategies they believed could balance early access to accounts with the need to build long-term retirement savings. For example, plan sponsors said allowing individuals to continue to repay plan loans after job separation, restricting participant access to plan sponsor contributions, allowing partial distributions at job separation, and building emergency savings features into plan designs, could help preserve retirement savings (see figure). However, they noted, each strategy involves tradeoffs, and the strategies' broader implications require further study."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that, as part of revising the Form 5500, DOL and IRS require plan sponsors to report the incidence and amount of all 401(k) plan loans that are not repaid. DOL and IRS neither agreed nor disagreed with our recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal law encourages U.S. workers to save for retirement by authorizing tax incentives for the predominant forms of retirement savings in the United States\u2014employer-sponsored defined contribution (DC) plans like 401(k) plans and individual retirement accounts (IRA). In 2017, DC plans and IRAs reportedly held investments worth nearly $17 trillion dollars. Federal law also allows workers to access assets in employer- sponsored 401(k) plans before retirement under certain circumstances, such as financial hardship. Early access to retirement savings has been shown to benefit participants by encouraging plan participation, increasing participant contributions, and providing participants with a means of addressing their financial needs. Additionally, IRA owners can take a distribution from their IRA at any time for any reason. While such withdrawals occur for various reasons and can help workers facing financial difficulties, they can also affect a worker\u2019s long-term retirement security by reducing account assets and subjecting withdrawn amounts to additional taxation.", "You asked us to examine various aspects of early withdrawals of retirement savings from both IRAs and 401(k) plans. This report examines: (1) the incidence and amount of retirement savings being withdrawn early; (2) what is known about the factors that might lead individuals to access their retirement savings early; and (3) what strategies or policies, if any, might reduce the incidence and amount of early withdrawals of retirement savings.", "To examine the incidence and amount of early withdrawals from IRAs and 401(k) plans, we analyzed the most recent nationally representative data available from three relevant federal sources focusing on individuals ages 25 to 55, when possible. First, to examine recent incidence and amounts of IRA withdrawals and tax consequences of withdrawal, we analyzed published statistics from the Internal Revenue Service (IRS) for 2013. Second, to examine the incidence and amount of early withdrawals from 401(k) plans, we analyzed the most recently available data on individuals collected in 2013 for the 2014 panel of the U.S. Census Bureau\u2019s Survey of Income and Program Participation (SIPP), along with its Social Security Administration (SSA) supplement. Third, to examine the incidence and amount of participant loans not paid back to a plan (i.e., plan loans), we analyzed annual plan data from 2013 reported to the Department of Labor (DOL) on the Form 5500. We determined that the data from these three sources were sufficiently reliable for the purposes of our report. To learn what is known about factors that lead to early withdrawals, and possible strategies or policies that could reduce early withdrawals, we conducted site visits in four metropolitan areas\u2014Boston, Chicago, San Francisco, and Seattle\u2014and interviewed a diverse sample of stakeholders identified in the literature, including human resource professionals at companies sponsoring 401(k) plans, administrators of large and small plans, subject matter experts; industry representatives; and participant advocates. For more information on the methodology used in developing this report, see appendix I.", "We conducted this performance audit from October 2017 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Over the last 3 decades employers have shifted away from sponsoring defined benefit (DB) plans and toward DC plans. This shift also transfers certain types of risk\u2014such as investment risk\u2014from employers to employee participants. DB plans generally offer a fixed level of monthly annuitized retirement income based upon a formula specified in the plan, which usually takes into account factors such as a participant\u2019s salary, years of service, and age at retirement, regardless of how the plan\u2019s investments perform. In contrast, benefit levels in DC plans\u2014such as 401(k) plans\u2014depend on the contributions made to the plan and the performance of the investments in individual accounts, which may fluctuate in value. As we have previously reported, some experts have suggested that the portability of DC plans make them better-suited for a mobile workforce, and that such portability may lead to early withdrawals of retirement savings. DOL reported there were 656,241 DC and 46,300 DB plans in the United States in 2016.", "Tax incentives are in place to encourage employers to sponsor retirement plans and employees to participate in plans. Under the Employee Retirement Income Security Act of 1974 (ERISA), employers may sponsor DC retirement plans, including 401(k) plans\u2014the predominant type of DC plan, in which benefits are based on contributions to and the performance of the investments in participants\u2019 individual accounts. To save in 401(k) plans, participants contribute a portion of their income into an investment account, and in traditional 401(k) plans taxes are deferred on these contributions and associated earnings, which can be withdrawn without penalty after age 59\u00bd (if permitted by plan terms). As plan sponsors, employers may decide the amount of employer contributions (if any) and how long participants must work before having a non-forfeitable (i.e., vested) interest in their plan benefit, within limits established by federal law. Plan sponsors often contract with service providers to administer their plans and provide services such as record keeping (e.g., tracking and reporting individual account contributions); investment management (i.e., selecting and managing the securities included in a mutual fund); and custodial or trustee services for plan assets (e.g., holding the plan assets in a bank).", "Individuals also receive tax incentives to save for retirement outside of an employer-sponsored plan. For example, traditional IRAs provide certain individuals with a way to save pre-tax money for retirement, with withdrawals made in retirement taxed as income. In addition, Roth IRAs allow certain individuals to save after-tax money for retirement with withdrawals in retirement generally tax-free. IRAs were established under ERISA, in part, to (1) provide a way for individuals not covered by a pension plan to save for retirement; and (2) give retiring workers or individuals changing jobs a way to preserve assets from 401(k) plans by transferring their plan balances into IRAs. The Investment Company Institute (ICI) reported that 34.8 percent of households in the United States owned an IRA in 2017, a percentage that has generally remained stable since 2000. In 2017, IRA assets accounted for almost 33 percent (estimated at $9.2 trillion) of total U.S. retirement assets, followed by DC plans, which accounted for 27 percent ($7.7 trillion). Further, according to ICI, over 94 percent of funds flowing into traditional IRAs from 2000 to 2015 came from rollovers\u2014primarily from 401(k) plans."], "subsections": [{"section_title": "Oversight of IRAs and 401(k) Plans", "paragraphs": ["IRS, within the Department of the Treasury, is responsible for enforcing IRA tax laws, while IRS and DOL share responsibility for overseeing prohibited transactions relating to IRAs. IRS also works with DOL\u2019s Employee Benefits Security Administration (EBSA) to enforce laws governing 401(k) plans. IRS is primarily responsible for interpreting and enforcing provisions of the Internal Revenue Code (IRC) that apply to tax- preferred retirement savings. EBSA enforces ERISA\u2019s reporting and disclosure and fiduciary responsibility provisions, which, among other things, include requirements related to the type and extent of information that a plan sponsor must provide to plan participants.", "Employers sponsoring employee benefit plans subject to ERISA, such as a 401(k) plans, generally must file detailed information about their plan each year. The Form 5500 serves as the primary source of information collected by the federal government regarding the operation, funding, expenses, and investments of employee benefit plans. The Form 5500 includes information about the financial condition and operation of their plans, among other things. EBSA uses the Form 5500 to monitor and enforce plan administrators and other fiduciaries, and service providers\u2019 responsibilities under Title I of ERISA. IRS uses the form to enforce standards that relate to, among other things, how employees become eligible to participate in benefit plans, and how they become eligible to earn rights to benefits."], "subsections": []}, {"section_title": "Permitted Early Withdrawals of Retirement Savings", "paragraphs": ["In certain instances, sponsors of 401(k) plans may allow participants to access their tax-preferred retirement savings prior to retirement. Plan sponsors have flexibility under federal law and regulations to choose whether to allow plan participants access to their retirement savings prior to retirement and what forms of access to allow. Typically, plans allow participants to access their savings in one or more of the following forms:", "Loans: Plans may allow participants to take loans and limit the number of loans allowed. If the plan provides for loans, the maximum amount that the plan can permit as a loan generally cannot exceed the lesser of (1) the greater of 50 percent of the vested account balance, or $10,000 or (2) $50,000 less the excess of the highest outstanding balance of loans during the 1-year period ending on the day before the day on which a new loan is made over the outstanding balance of loans on the day the new loan is made. Plan loans are generally not treated as early withdrawals unless they are not repaid within the terms specified under the plan.", "Hardship withdrawals: Plans may allow participants facing a hardship to take a withdrawal on account of an immediate and heavy financial need, and if the withdrawal is necessary to satisfy the financial need. Though plan sponsors can decide whether to offer hardship withdrawals and approve applications for hardship withdrawals, IRS regulations provide \u201csafe harbor\u201d criteria regarding circumstances when a withdrawal is deemed to be on account of an immediate heavy financial need. IRS regulations allow certain expenses to qualify under the safe harbor including: (1) certain medical expenses; (2) costs directly relating to the purchase of a principal residence; (3) tuition and related educational fees and expenses for the participant, and their spouse, children, dependents or beneficiary; (4) payments necessary to prevent eviction from, or foreclosure on, a principal residence; (5) certain burial or funeral expenses; and (6) certain expenses for the repair of damage to the employee\u2019s principal residence. Plans that provide for hardship withdrawals generally specify what information participants must provide to the plan sponsor to demonstrate a hardship meets the definition of an immediate and heavy financial need.", "Early withdrawals of retirement savings may have short-term and long- term impacts on participants\u2019 ability to accumulate retirement savings. In the short term, IRA owners and participants in 401(k) plans who received a withdrawal before reaching age 59\u00bd generally pay an additional 10 percent tax for early distributions in addition to income taxes on the taxable portion of the distribution amount. The IRC exempts certain distributions from the additional tax, but the exceptions vary among 401(k) plans and IRAs. Early withdrawals of any type can result in the permanent removal of assets from retirement accounts thereby reducing the amounts participants can accumulate before retirement, including the loss of compounded interest or other earnings on the amounts over the participant\u2019s career."], "subsections": []}, {"section_title": "Disposition of Account Balances at Job Separation", "paragraphs": ["According to DOL\u2019s Bureau of Labor Statistics (BLS), U.S. workers are likely to have multiple jobs in their careers as average employee tenure has decreased. In 2017, BLS reported that from 1978 to 2014, workers held an average of 12 jobs between the ages of 18 and 50. BLS also reported in 2016 that the median job tenure for a worker was just over 4 years.", "Employees who separate from a job bear responsibility for deciding what to do with their accumulated assets in their former employer\u2019s plan. Recent research estimated that 10 million people with a retirement plan change jobs each year, many of whom faced a decision on how to treat their account balance at job separation. Plan administrators must provide a tax notice detailing participants\u2019 options for handling the balance of their accounts. When plan participants separate from their employers, they generally have one of three options: 1. They may leave the balance in the plan, 2. They may ask their employer to roll the money directly into a new qualified employer plan or IRA (known as a direct rollover), or 3. They may request a distribution. Once the participant receives the distribution he or she can (1) within 60 days, roll the distribution into a new qualified employer plan or IRA (in which case the money would remain tax-preferred); or (2) keep the distributed amount, and pay any income taxes or additional taxes associated with the distribution (known as a cashout).", "Sponsors of 401(k) plans may cash out or transfer separating participant accounts if an account balance falls below a certain threshold. The Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA) amended the IRC to provide certain protections for separating participants with account balances between $1,000 and $5,000 by requiring, in the absence of participant direction, plan sponsors to either keep the account in the plan or to transfer the account balance to an IRA to preserve its tax-preferred status. Plan sponsors may not distribute accounts with balances of more than $5,000 without participant direction, but have discretion to distribute account balances of $1,000 or less."], "subsections": []}, {"section_title": "Additional Tax Consequences for Early Withdrawals", "paragraphs": ["The IRC imposes an additional 10 percent tax (in addition to ordinary income tax) on certain early withdrawals from qualified retirement plans, which includes IRAs and 401(k) plans in an effort to discourage the use of plan funds for purposes other than retirement and ensure the favorable tax treatment for plan funds is used to provide retirement income. Employers are required to withhold 20 percent of the amount cashed out to cover anticipated income taxes unless the participant pursues a direct rollover into another qualified plan or IRA."], "subsections": []}, {"section_title": "Employee Financial Literacy and Financial Wellness", "paragraphs": ["Research has found that many employees are concerned about their level of savings and ability to manage their retirement accounts, and some employers provide educational services to improve employees\u2019 financial wellness and financial literacy and encourage them to save for retirement. A 2017 survey on employee financial wellness in the workplace found more than one-half of workers experienced financial stress and that insufficient emergency savings was a top concern for employees. Research has also found that limited financial literacy is widespread among Americans over age 50, and those who lack financial knowledge are less likely to successfully plan for retirement. In 2018, the Federal Reserve reported that three-fifths of non-retirees with participant-directed retirement accounts had little to no comfort managing their own investments. As we have previously reported, some employers have developed comprehensive programs aimed at overall improvement in employees\u2019 financial health. These programs, often called financial wellness programs, may help employees with budgeting, emergency savings, and credit management, in addition to the traditional information and assistance provided for retirement and health benefits."], "subsections": []}]}, {"section_title": "At Least $69 Billion Dollars in 2013 Left Retirement Accounts Early, Mostly from Individual Retirement Accounts", "paragraphs": ["In 2013, individuals ages 25 to 55 withdrew at least $68.7 billion early from their retirement accounts. Of this amount, IRA owners in this age group withdrew the largest share (about 57 percent) and 401(k) plan participants in this age group withdrew the rest (about 43 percent) However, a total amount withdrawn from 401(k) plans cannot be determined due to data limitations."], "subsections": [{"section_title": "Nearly $40 Billion Withdrawn Early from IRAs in 2013", "paragraphs": ["IRA withdrawals were the largest source of early withdrawals of retirement savings, accounting for an estimated $39.5 billion of the total $68.7 billion in early withdrawals made by individuals ages 25 to 55 in 2013. According to IRS estimates, 12 percent of IRA owners in this age group withdrew money early that year from their IRAs in 2013. The amount they withdrew early comprised a small percentage of their total IRA assets. Specifically, in 2013, the amount of early withdrawals was equivalent to 3 percent of the cohort\u2019s total IRA assets and, according to IRS estimates, the total amount withdrawn by this cohort exceeded their total contributions to IRAs in that year."], "subsections": []}, {"section_title": "At Least $29 Billion Withdrawn Early from 401(k) Plans in 2013", "paragraphs": ["At least $29.2 billion left 401(k) plans in 2013 in the form of hardship withdrawals, cashouts at job separation, and unrepaid plan loans, according to our analysis of 2013 SIPP data and data from DOL\u2019s Form 5500. Specifically, we found that:", "Hardship withdrawals were the largest source of early withdrawals from 401(k) plans with an estimated 4 percent (+/- 0.25) of plan participants ages 25 to 55 withdrawing an aggregate $18.5 billion in 2013. The amount of hardship withdrawals was equivalent to 0.5 percent (+/- 0.06) of the cohort\u2019s total plan assets and 8 percent (+/- 0.9) of the cohort\u2019s plan contributions made in 2013.", "Cashouts of account balances of $1,000 or more at job separation were the second largest source of early withdrawals from 401(k) plans. In 2013, an estimated 1.1 percent (+/- 0.11) of plan participants ages 25 to 55 withdrew an aggregate $9.8 billion from their plans that they did not roll into another qualified plan or IRA. Additionally, 86 percent (+/- 2.9) of these participants taking a cashout of $1,000 or more did not roll over the amount in 2013. The amounts cashed out and not rolled over were equivalent to 0.3 percent (+/- 0.05) of the cohort\u2019s total plan assets and 4 percent (+/- 0.75) of the cohort\u2019s total contributions made in 2013.", "Loan defaults accounted for at least $800 million withdrawn from 401(k) plans in 2013; however, the amount of distributions of unpaid plan loans is likely larger as DOL data cannot be used to quantify plan loan offsets that are deducted from participants\u2019 account balances after they leave a plan. As a result, the amount of loan offsets among terminating participants ages 25 to 55 cannot be determined with certainty. Specifically, DOL\u2019s Form 5500 instructions require plan sponsors to report unpaid loan balances in two separate places on the Form 5500, depending on whether the loan holder is an active or a terminated participant. For active participants, plan sponsors report loan defaults as a single line item on the Form 5500 (i.e., the $800 million in 2013 listed above). For terminated participants, plan sponsors report unrepaid plan loan balances as benefits paid directly to participants\u2014a category that also includes rollovers to employer plans and IRAs. According to a DOL official, as a result of this commingling of benefits on this line item, isolating the amount of loan offsets for terminated participants using the Form 5500 data is not possible. Without better data of the amount of unrepaid plan loans, the amount of loan offsets and the characteristics of plan participants who did not repay their plan loans at job separation cannot be determined."], "subsections": []}, {"section_title": "Additional Tax Consequences of Early Withdrawals Also Contributed to Reductions in Overall Savings", "paragraphs": ["IRA owners and plan participants taking early withdrawals paid $6.2 billion as a result of the additional 10 percent tax for early distributions in 2013, according to IRS estimates. Although the taxes are generally treated separately from the amounts withdrawn, IRA owners and plan participants are expected to pay any applicable taxes resulting from the additional 10 percent tax when filing their income taxes for the tax year in which the withdrawal occurred."], "subsections": []}, {"section_title": "Certain Characteristics Were Associated With Higher Incidence of Early Withdrawals", "paragraphs": ["Individuals with certain demographic and economic characteristics that we analyzed had higher incidence of early withdrawals of retirement savings, according to our analysis of SIPP data. The characteristics described below reflect statistically significant differences between comparison groups (a full listing of all demographic groups can be found in appendix III).", "Age. The incidence of IRA withdrawals was higher among individuals ages 45 to 54 (8 percent) than individuals ages 25 to 34 and 35 to 44.", "Education. Individuals with a high school education or less had higher incidence of cashouts (97 percent) and hardship withdrawals (7 percent) than individuals with some college or some graduate school education.", "Family size. Individuals in families of seven or more (8 percent) or in families of five to six (7 percent) had higher incidence of hardship withdrawals than individuals in smaller family groups we analyzed. Individuals living alone had higher incidence of IRA withdrawals than individuals living in the larger family groups.", "Marital status. Widowed, divorced, or separated individuals had higher incidence of IRA withdrawals (11 percent) and hardship withdrawals (7 percent) than married or never married individuals.", "Race. The incidence of hardship withdrawals among African American (10 percent) and Hispanic individuals (6 percent) was higher than among individuals who were White, Asian, or Other.", "Residence. The incidence of IRA withdrawals and hardship withdrawals was higher among individuals living in nonmetropolitan areas (7 percent and 6 percent, respectively) than among individuals living in metropolitan areas.", "Similarly, individuals with certain economic characteristics that we analyzed had higher incidence of early withdrawals of retirement savings, according to our analysis of SIPP data. The characteristics described below reflect statistically significant differences between comparison groups (a full listing of all demographic groups can be found in appendix III).", "Employer size. Individuals working for employers with fewer than 25 employees had higher incidence of IRA withdrawals (9 percent) than individuals working for employers with higher number of employees.", "Employment. Individuals working fewer than 35 hours per week had higher incidence of IRA withdrawals (7 percent) than employees working 35 hours or more.", "Household debt. Individuals with household debt of $5,000 up to $20,000 had higher incidence of IRA withdrawals (14 percent) than individuals with other debt amounts.", "Household income. Individuals with household income of less than $25,000 or $25,000 up to $50,000 had higher incidence of IRA withdrawals (12 percent and 9 percent, respectively) and hardship withdrawals (9 percent and 7 percent, respectively) than individuals with higher income amounts.", "Personal cash reserves. Individuals with personal cash reserves of less than $1,000 had higher incidence of IRA withdrawals (10 percent) and hardship withdrawals (6 percent) than individuals with larger reserves.", "Retirement assets. Individuals with combined IRA and 401(k) plan assets valued at less than $5,000 had higher incidence of hardship withdrawals (7 percent) than individuals with higher valued assets.", "Tenure in retirement plan. Individuals with fewer than 3 years in their retirement plan had higher incidence of hardship withdrawals (6 percent) than individuals with longer tenures."], "subsections": []}]}, {"section_title": "Plan Rule Flexibilities and Use of Retirement Assets for Pressing Financial Needs Said to Result in Early Withdrawals", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Said Plan Rules Governing Early Withdrawals May Lead to Reduced Savings for Some Participants", "paragraphs": ["Stakeholders we interviewed said that plan rules related to the disposition of account balances at job separation can lead participants to remove more than they need, up to and including their entire balance. We previously reported U.S. workers are likely to change jobs multiple times in a career. Plan sponsors may cash out balances of $1,000 or less at job separation, although they are not required to do so. As a result, plan participants with such balances, including younger employees and others with short job tenures, risk having their account balances distributed in full each time they change jobs. As shown in table 1, a separating employee must take multiple steps to ensure that an account balance remains tax-preferred.", "Participants who take a distribution from a plan with the intent of rolling it into another qualified plan or IRA must acquire additional funds to complete the rollover and avoid adverse tax consequences. Plan sponsors are required to withhold 20 percent of the account balance to pay anticipated taxes on the distribution. As a result, the sponsor then sends 80 percent of the account balance to the participant, who must acquire outside funds to compensate for the 20 percent withheld or forgo the preferential tax treatment of that portion of their account balance. For example, a participant seeking to roll over a retirement account with a $10,000 balance would receive an $8,000 distribution after tax withholding, requiring them to locate an additional $2,000 to complete the rollover within the 60-day period to avoid a taxable distribution of the withheld amount. If participants can replace the 20 percent withheld and complete the rollover within the 60-day period, they do not owe taxes on the distribution.", "Stakeholders said that the complexity of rolling a 401(k) account balance from one employer to another may encourage participants to take the relatively simpler route of rolling their balance into an IRA or cashing out altogether. They noted that separating participants had many questions when evaluating their options and had difficulty understanding the notice provided. For example, participants may not fully understand how the decisions made at job separation can have a significant impact on their current tax situation and eventual retirement security. One plan sponsor, describing concerns about giving investment advice, said she watched participants make what she judged to be poor choices with their account balances and felt helpless to intervene. Stakeholders also noted that the lack of a standardized rollover process sometimes bred mistrust among employers and complicated separating participants\u2019 ability to successfully facilitate a rollover between plans. For example, one stakeholder told us that some plans were hesitant to accept funds from other employer plans fearing that the funds might come from plans that have failed to comply with plan qualification requirements and could create problems for the receiving plan later on. Another stakeholder suggested that the requirement for plan sponsors to provide a notice to separating participants likely caused more participants to take the distribution.", "Stakeholders described loans as a useful source of funds in times of need and a way to avoid more expensive options, such as high-interest credit cards. They also noted that certain plan loan policies could lead to early withdrawals of retirement savings. (See fig. 1.)", "Loan repayment at job separation: Stakeholders said loan repayment policies can increase the incidence of defaults on outstanding loans. When participants do not repay their loan after separating from a job, the outstanding balance is treated as a distribution, which may subject it to income tax liability and, possibly, an additional 10 percent tax for early distributions. According to stakeholders, the process of changing jobs can inadvertently lead to a distribution of a participant\u2019s outstanding loan balance, when the participant could have otherwise repaid the loan.", "Extended loan repayment periods: Some plan sponsors allow participants to take loans to purchase a home. Stakeholders told us that the amounts of these home loans tended to be larger than general purpose loans and had longer repayment periods that these extended from 15 to 30 years. A stakeholder further noted that these loans could make it more likely that participants would have larger balances to repay if they lost or changed jobs.", "Multiple loans: While some plan sponsors noted that their plans limited the number of loans participants can take from their retirement plan, others do not. Some plan sponsors limited participants to between one and three simultaneous loans, and one plan administrator indicated that 92 percent of their plan-sponsor clients allowed no more than two simultaneous loans. Other plan sponsors placed no limit on the number of participant loans or limited loans to one or two per calendar year, in which case a participant could take out a new loan at the start of a calendar year regardless of whether or not outstanding loans had been repaid. Stakeholders described some participants as \u201cserial\u201d borrowers, who take out multiple loans and have less disposable income as a result of ongoing loan payments. One plan administrator stated that repeat borrowing from 401(k) plans was common, and some participants took out new loans to pay off old loans.", "Other loan restrictions: Allowing no loans or one total outstanding loan can cause participants facing economic shocks to take a hardship withdrawal, resulting in the permanent removal of their savings and subjecting them to income tax liability and, possibly, an additional 10 percent tax for early distributions and a suspension on contributions.", "Minimum loan amounts: Minimum loan amounts may result in participants borrowing more than they need to cover planned expenses. For example, a participant may have a $500 expense for which they seek a loan, but may have to borrow $1,000 due to plan loan minimums."], "subsections": []}, {"section_title": "Stakeholders Said Participants Take Early Withdrawals for Pressing Financial Needs", "paragraphs": ["Stakeholders said that plan participants take plan loans and hardship withdrawals for pressing financial needs. Many plan sponsors we interviewed said they used the IRS safe harbor exclusively as criteria when reviewing a participant\u2019s application for a hardship withdrawal. Stakeholders said the top two reasons participants took hardship withdrawals were to prevent imminent eviction or foreclosure and to cover out-of-pocket medical costs not covered by health insurance. Participants generally took loans to reduce debt, for emergencies, or to purchase a primary residence. Stakeholders also said that participants who experienced economic shocks stemming from job loss made early withdrawals. They said retirement plans often served as a form of insurance for those between jobs or facing a sudden economic shock and participants accessed their retirement accounts because, for many, they were the only source of savings. They cited personal debt, health care costs, and education as significant factors that affected employees across all income levels.", "Stakeholders said some participants also used their retirement savings to pay for anticipated expenses. Two plan administrators said education expenses were one of the reasons participants took hardship withdrawals. They said that participants accessed their retirement savings to address the cost of higher education, including paying off their own student loan debt or financing the college costs for family members. For example, plan administrators told us that some participants saved with the expectation of taking a hardship withdrawal to pay for college tuition. Other participants utilized hardship withdrawals to purchase a primary residence."], "subsections": []}, {"section_title": "Reasons for IRA Withdrawals Are Not Reported to IRS", "paragraphs": ["IRA owners generally may take withdrawals at any time and IRS does not analyze the limited information it receives on the reasons for IRA withdrawals. IRA owners can withdraw any amount up to their entire account balance at any time. In addition, IRAs have certain exceptions from the additional 10 percent tax for early distributions. For example, IRA withdrawals taken for qualified higher education expenses, certain health insurance premiums, and qualified \u201cfirst-time\u201d home purchases (up to $10,000) are excepted from the additional 10 percent tax. IRA owners who make an IRA distribution receive a Form1099-R or similar statement from their provider. On the Form 1099-R, IRA providers generally identify whether the withdrawal, among other things, can be categorized as a normal distribution, an early distribution, or a direct distribution to a qualified plan or IRA. For an early distribution, the IRA provider may identify whether a known exception to the additional 10 percent tax applies. For their part, IRA owners are required to report early withdrawals on their income tax returns, as well as the reason for any exception from the additional 10 percent tax for a limited number of items. In written responses to questions, an IRS official indicated that IRS collected data on the exemption reason codes, but did not use them."], "subsections": []}]}, {"section_title": "Stakeholders Suggested Strategies to Balance Access to Early Withdrawals with the Need to Build Long-term Retirement Savings", "paragraphs": [], "subsections": [{"section_title": "Some Plan Sponsors Have Implemented Policies to Preserve the Benefits of Early Withdrawals While Reducing Their Long-term Effects", "paragraphs": [], "subsections": [{"section_title": "Preserving 401(k) Account Balances at Job Separation", "paragraphs": ["Some plan sponsors we interviewed had policies in place that may reduce the long-term impact of early withdrawals of retirement savings taken at job separation. Policies suggested by plan sponsors included:", "Providing a periodic installment distribution option: Although some plan sponsors may require participants wanting a distribution to take their full account balance at job separation, other plan sponsors provided participants with an option of receiving their account balance in periodic installments. For example, one plan sponsor gives separating participants an option to receive periodic installment distributions at intervals determined by the participants. This plan sponsor said separating participants could select distributions on a monthly, quarterly, semi-annual or annual basis. These participants could also elect to stop distributions at any time, preserving the remaining balance in the employer\u2019s plan. The plan sponsor said the plan adopted this option to help separating participants address any current financial needs, while preserving some of the account balance for retirement. Another plan sponsor adopted a similar policy to address the cyclical nature of the employer\u2019s business, which can result in participants being terminated and rehired within one year.", "Offering partial distributions: One plan sponsor provided separated participants with the option of receiving a one-time, partial distribution. If a participant opted for partial distribution, the plan sponsor issued the distribution for the requested sum and preserved the remainder of the account balance in the plan. The plan sponsor adopted the partial distribution policy to provide separating participants with choices for preserving account balances, while simultaneously providing access to address any immediate financial needs.", "Providing plan loan repayment options for separated participants: Some plan sponsors allowed former participants to continue making loan repayments after job separation. Loan repayments after job separation reduce the loan default risk and associated tax implications for participants. Some plan sponsors said that separating participants who have the option to continue repaying an outstanding loan balance generally have three options: (1) to continue repaying the outstanding loan, (2) to repay the entire balance of the loan at separation within a set repayment period, or (3) not to repay the loan. Those participants who continue repaying their loans after separation generally have the option to set up automatic debit payments to facilitate the repayment. Those separated participants who do not set up loan repayment terms within established timeframes, or do not make a payment after the loan repayment plan has been established, default on their loan and face the associated tax consequences, including, possibly, an additional 10 percent tax for early distributions."], "subsections": []}, {"section_title": "Setting Limits on Plan Loans", "paragraphs": ["Some plan sponsors we spoke with placed certain limits on participant loan activity, which may reduce the incidence of loan defaults (see fig. 2).", "Limiting loan amounts to participant contributions: Some plan sponsors said they limited plan loans to participant contributions and any investment earnings from those contributions to reduce early withdrawals of retirement savings. For example, one plan sponsor\u2019s policy limited the amount a participant could borrow from their plan to 50 percent of participant contributions and earnings, compared to 50 percent of the total account balance.", "Implementing a waiting period after loan repayment before a participant can access a new loan: Some plan sponsors said they had implemented a waiting period between plan loans, in which a participant, having fully paid off the previous loan, was temporarily ineligible to apply for another. Among plan sponsors who implemented a waiting period, the length varied from 21 days to 30 days.", "Reducing the number of outstanding loans: Some plan sponsors we spoke with limited the number of outstanding plan loans to either one or two loans. One plan sponsor had previously allowed one new loan each calendar year, but subsequently revised plan policy to allow participants to have a total of two outstanding loans. The plan sponsor said the rationale was to balance limiting participant loan behavior with the ability of participants to access their account balance."], "subsections": []}, {"section_title": "Reducing Impact of Economic Shocks", "paragraphs": ["Some plan sponsors said they had expanded the definition of immediate and heavy financial need beyond the IRS safe harbor to better align with the economic needs of their participants. For example, one plan sponsor approved a hardship withdrawal to help a participant pay expenses related to a divorce settlement. Another plan sponsor developed an expanded list of qualifying hardships, including past-due car, mortgage, or rent payments; and payday loan obligations.", "Some plan sponsors implemented loan programs outside their plan, contracting with third-party vendors to provide short-term loans to employees. For example, one plan sponsor instituted a loan program that allowed employees to borrow up to $5,000 from a third-party vendor that would be repaid through payroll deduction. This plan sponsor said the loan program featured an 8 to 12 percent interest rate, and approval was not based on a participant\u2019s credit history. The plan sponsor also observed that they had fewer 401(k) loan applications since the third- party loan program was implemented. A second plan sponsor instituted a similar loan program that allowed employees to borrow up to $500 interest free from a third-party vendor. According to this sponsor, to qualify for a loan, an employee must demonstrate financial hardship and have no outstanding plan loans, and is required to attend a financial counseling course if their loans are approved."], "subsections": []}, {"section_title": "Improving Participants\u2019 Financial Wellness", "paragraphs": ["Some plan sponsors said they have provided workplace-based financial wellness resources for their participants to improve their financial literacy. Some implemented optional financial wellness programs that covered topics such as investment education, how plan loans work, and the importance of saving for emergencies. These plan sponsors told us they offered on-site financial counseling with representatives of the plan administrator to help provide guidance on financial decision-making; however, other plan sponsors said that\u2014despite their investment in participant-specific financial education\u2014participation in these programs was low."], "subsections": []}]}, {"section_title": "Stakeholders Suggested Strategies That Could Preserve the Benefits of Early Withdrawals While Reducing Their Long-term Effects", "paragraphs": ["Stakeholders suggested strategies that they believed could help mitigate the long-term effects of early withdrawals of retirement savings on IRA owners and plan participants. They noted that any of these proposed strategies, if implemented, could (1) increase the costs of administering IRAs and plans, (2) require changes to federal law or regulations, and (3) involve tradeoffs between providing access to retirement savings and preserving savings for retirement."], "subsections": [{"section_title": "Strategies for IRAs", "paragraphs": ["Stakeholders suggested several strategies that, if implemented, could help reduce early withdrawals from IRAs. These strategies centered on modifying existing rules to reduce early withdrawals from IRAs (and subsequently the amount paid as a result of the additional 10 percent tax for early distributions). Specifically, stakeholders suggested:", "Raising the age at which the additional 10 percent tax applies: Some stakeholders noted that raising the age at which the additional 10 percent tax for early distributions applies from 59\u00bd to 62 would align it with the earliest age of eligibility to claim Social Security and may encourage individuals to consider a more comprehensive retirement distribution strategy. However, other stakeholders cautioned that it could have drawbacks for employees in certain situations. For example, individuals who lose a job late in their careers could face additional tax consequences for accessing an IRA before reaching the age 62. In addition, one stakeholder said some individuals may shift to a part-time work schedule later in their careers as they transition to retirement and plan on taking IRA withdrawals to compensate for their lower wages.", "Allowing individuals to roll existing plan loans into an IRA: Some stakeholders said that allowing individuals to include an existing plan loan as part of a rollover into an IRA, although currently not allowed, would likely reduce plan loan defaults by giving individuals a way to continue repaying the loan balance. One stakeholder suggested that rolling an existing plan loan into an IRA could be administratively challenging for IRA providers, but doing so to repay the loan may ultimately preserve retirement savings.", "Allowing IRA loans: While currently a prohibited transaction that could lead to the cessation of an IRA, some stakeholders suggested that IRA loans could theoretically reduce the amounts being permanently removed from the retirement system through early IRA withdrawals. One stakeholder said an IRA loan would present a good alternative to an early withdrawal from an IRA account because it would give the account holder access to the balance, defer any tax implications, and improve the likelihood the loaned amount would ultimately be repaid. However, another stakeholder said that allowing IRA loans could increase early withdrawals, given the limited oversight of IRAs, as well as additional administrative costs and challenges for IRA providers."], "subsections": []}, {"section_title": "Strategies for 401(k) Plans", "paragraphs": ["Stakeholders suggested several strategies that, if implemented, could reduce the effect of cashouts at job separation from 401(k) plans.", "Simplifying the rollover process: Stakeholders proposed two modifications to the current rollover process that they believe could make the process more seamless and reduce the incidence of cashouts. First, stakeholders suggested that a third-party entity tasked with facilitating rollovers between employer plans for a separating participant would likely reduce the incidence of cashouts at job separation. Such an entity could automatically route a participant\u2019s account balance from the former plan to a new one. One stakeholder said having a third-party entity facilitate the rollover would eliminate the need for a plan participant to negotiate the process. Such a service, however, would likely come at cost that may likely be passed onto participants. Stakeholders also suggested direct rollovers of account balances between plans could further reduce the incidence of cashouts. One stakeholder, however, cautioned that direct rollovers could have downsides for some participants. For example, participants who prefer to keep their balance in their former employer\u2019s plan but provide no direction to the plan sponsor may inadvertently find their account balance rolled into a new employer\u2019s plan.", "Restricting cashouts to participant contributions only: Some stakeholders suggested limiting the assets a participant may access at job separation. For example, some stakeholders said that participants should not be allowed to cash out vested plan sponsor contributions, thus preserving those contributions and their earnings for retirement. However, this strategy could result in participants overseeing and monitoring several retirement accounts.", "Stakeholders suggested several strategies that, if implemented, could limit the adverse effect of hardship withdrawals on retirement savings.", "Narrowing the IRS safe harbor: Although some plan sponsors are expanding the reasons for a hardship to align with perceived employee needs, some stakeholders said narrowing the IRS safe harbor would likely reduce the incidence of early withdrawals. For example, some stakeholders suggested narrowing the definition of a hardship to exclude the purchase of a primary residence or for postsecondary education costs. In addition, one stakeholder said alternatives exist to finance home purchases (mortgages) and postsecondary education (student loans). Stakeholders noted that eliminating the purchase of a primary residence and postsecondary education costs from the IRS safe harbor would make hardship withdrawals a tool more strictly used to avoid sudden and unforeseen economic shocks. In combination with the two exclusions, one stakeholder suggested consideration be given to either reducing or eliminating the additional 10 percent tax for early distributions that may apply to hardship withdrawals.", "Replacing hardship withdrawals with hardship loans: Stakeholders said replacing a hardship withdrawal, which permanently removes money from the retirement system, with a no-interest hardship loan, which would be repaid to the account, would reduce early withdrawals. Under this suggestion, if the loan were not repaid within this predetermined time frame, the remaining loan balance could be considered a deemed distribution and treated as income (similar to the way a hardship withdrawal is treated now).", "Incorporating emergency savings features into 401(k) plans: Stakeholders said incorporating an emergency savings account into the 401(k) plan structure may help participants absorb economic shocks and better prepare for both short-term financial needs and long-term retirement planning. (See fig. 3.)", "In addition, stakeholders said participants with emergency savings accounts could be better prepared to avoid high interest rate credit options, such as credit cards or payday loans, in the event of an economic shock. Stakeholders had several ideas for implementing emergency savings accounts. For example, one stakeholder suggested that, were it allowed, plan sponsors could revise automatic account features to include automatic contributions to an emergency savings account. Some stakeholders also said emergency savings accounts could be funded with after-tax participant contributions to eliminate the tax implications when withdrawing money from the account. However, another stakeholder said emergency savings contributions could reduce contributions to a 401(k) plan."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["In the United States, the amount of aggregate savings in retirement accounts continues to grow, with nearly $17 trillion invested in 401(k) plans and IRAs. Early access to retirement savings in these plans may incentivize plan participation, increase participant contributions, and provide participants with a way to address their financial needs. However, billions of dollars continue to leave the retirement system early. Although these withdrawals represent a small percentage of overall assets in these accounts, they can erode or even deplete an individual\u2019s retirement savings, especially if the retirement account represents their sole source of savings.", "Employers have implemented plan policies that seek to balance the short- term benefits of providing participants early access to their accounts with the long-term need to build retirement savings. However, the way plan sponsors treat outstanding loans after a participant separates from employment has the potential to adversely affect retirement savings. In the event of unexpected job loss or separation, plan loans can leave participants liable for additional taxes. Currently, the incidence and amount of loan offsets in 401(k) plans cannot be determined due to the way DOL collects data from plan sponsors. Additional information on loan offsets would provide insight into how plan loan features might affect long-term retirement savings. Without clear data on the incidence of these loan offsets, which plan sponsors are generally required to include, (but not itemize) on the Form 5500, the overall extent of unrepaid plan loans in 401(k) plans cannot be known."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["To better identify the incidence and amount of loan offsets in 401(k) plans nationwide, we recommend that the Secretary of Labor direct the Assistant Secretary for EBSA, in coordination with IRS, to revise the Form 5500 to require plan sponsors to report qualified plan loan offsets as a separate line item distinct from other types of distributions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the Department of Labor, the Department of the Treasury, and the Internal Revenue Service for review and comment. In its written comments, reproduced in appendixes IV and V, respectively, DOL and IRS generally agreed with our findings, but neither agreed nor disagreed with our recommendation. DOL said it would consider our recommendation as part of its overall evaluation of the Form 5500, and IRS said it would work with DOL as it responds to our recommendation. The Department of Treasury provided no formal written comments. In addition, DOL, IRS, Treasury and two third-party subject matter experts provided technical comments, which we incorporated in the report, as appropriate As agreed with your staff, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Labor, Secretary of the Treasury, Commissioner of Internal Revenue, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or jeszeckc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff making key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this study were to determine: (1) what are the incidence and amount of retirement savings being withdrawn early; (2) what is known about the factors that might lead individuals to access their retirement savings early; and (3) what strategies or policies, if any, might reduce the incidence and amount of early withdrawals of retirement savings."], "subsections": [{"section_title": "Data Analysis", "paragraphs": ["To examine the incidence and amount of early withdrawals from individual retirement accounts (IRA) and 401(k) plans, we analyzed the most recent nationally representative data available in three relevant federal data sources, focusing our analysis on individuals in their prime working years (ages 25 to 55), when possible. For consistency, we analyzed data from 2013 from each data source because it was the most recent year that data were available for all types of early withdrawals we examined. We adjusted all dollar-value estimates derived from each data source for inflation and reported them in constant 2017 dollars. We determined that the data from these sources were sufficiently reliable for the purposes of our report.", "First, to examine recent incidence and amount of early withdrawals from IRAs and the associated tax consequences for individuals ages 25 to 55, we analyzed IRS estimates based on tax returns as filed by taxpayers before enforcement activity published by the Internal Revenue Service\u2019s (IRS) Statistics of Income Division for tax year 2013. Specifically, we analyzed the number of taxpayers reporting early withdrawals from their IRAs in 2013 and the aggregate amount of these withdrawals. To provide additional context on the scope of these early withdrawals, we analyzed the age cohort\u2019s total IRA contributions and the end-of-year fair market value of the IRAs, and compared these amounts to the aggregate amount withdrawn. To examine the incidence and amount of taxes paid as a result of the additional 10 percent tax for early distributions, we analyzed estimates on the additional 10 percent tax paid on qualified retirement plans in 2013. Although IRS did not delineate these data by age, we used these data as proxy because IRS assesses the additional 10 percent tax on distributions to taxpayers who have not reached age 59\u00bd. Given the delay between a withdrawal date and the date of the tax filing, it is possible that some of the taxes were paid in the year following the withdrawal. We reviewed technical documentation and developed the 95 percent confidence intervals that correspond to these estimates.", "Second, to examine the incidence and amount of early withdrawals from 401(k) plans, we analyzed data included in the 2014 panel of the U.S. Census Bureau\u2019s Survey of Income and Program Participation (SIPP)\u2014a nationally representative survey of household income, finances, and use of federal social safety net programs\u2014along with retirement account contribution and withdrawal data included in the SIPP\u2019s Social Security Administration (SSA) Supplement on Retirement, Pensions, and Related Content. Specifically, we developed percentage and dollar-value estimates of the incidence and amount of lump sum payments received and hardship withdrawals taken by participants in 401(k) plans in 2013. Because the SIPP is based upon a complex probability sample, we used Balanced Repeated Replication methods with a Fay adjustment to derive all percentage, dollar-total, and dollar-ratio estimates and their 95 percent confidence intervals. To better understand the characteristics of individuals who received a lump sum and/or took a hardship withdrawal in 2013, we analyzed a range of selected individual and household demographic variables and identified characteristics associated with a higher incidence of withdrawals. We applied domain estimation methods to make estimates for these subpopulations. (For a list of variables used and the results of our analysis, please see appendix III.) We attempted to develop a multiple regression model to estimate the unique association between each characteristic and withdrawals, but determined that the SIPP did not measure key variables in enough detail to develop persuasive causal explanations. The sample size of respondents receiving lump sums was too small to precisely estimate the partial correlations of many demographic variables at once. Even with adequate sample sizes, associations between broad demographic variables, such as age and income, likely reflected underlying causes, such as retirement and financial planning strategies, which SIPP did not measure in detail.", "Third, to examine the incidence and amount of unrepaid plan loans from 401(k) plans, we analyzed the latest filing of annual plan data that plan sponsors reported on the Form 5500 to the Department of Labor (DOL) for the 2013 plan year. We looked at unrepaid plan loans reported by sponsors of large plans (Schedule H) and small plans (Schedule I). For each schedule, we analyzed two variables related to unrepaid plan loans: (1) deemed distributions of participant loans (which captures the amount of loan defaults by active participants) and (2) benefits distributed directly to participants (which includes plan loan offsets for a variety of reasons, including plan loans that remain unpaid after a participant separates from a plan). Because plan sponsors report data in aggregate and do not differentiate by participant age, we calculated and reported the aggregate of loan defaults identified as deemed distributions in both schedules. We could not determine the amount of plan loan offsets based on the way that plan sponsors are required to report them. Specifically, plan sponsors are required to treat unrepaid loans occurring after a participant separates from a plan as reductions or offsets in plan assets, and are required to report them as part of a larger commingled category of offsets that also includes large-dollar items like rollovers of account balances to another qualified plan or IRA. As a result, we were unable to isolate and report the amount of this category of unrepaid plan loans."], "subsections": []}, {"section_title": "Literature Search", "paragraphs": ["To identify what is known about the factors that might lead individuals to access their 401(k) plans and IRAs and what strategies or policies might reduce the early withdrawal of retirement savings, we performed a literature search using multiple databases to locate documents regarding early withdrawals of retirement savings published since 2008 and to identify experts for interviews. The search yielded a wide variety of scholarly articles, published articles from various think tank organizations, congressional testimonies, and news reports. We reviewed these studies and identified factors that lead individuals to withdraw retirement savings early, as well as potential strategies or policies that might reduce this behavior. The search also helped us identify additional potential interviewees."], "subsections": []}, {"section_title": "Interviews", "paragraphs": ["To answer our second and third objectives, we visited four metropolitan areas and conducted 51 interviews with a wide range of stakeholders that we identified in the literature. In some cases, to accommodate stakeholder schedules, we conducted phone interviews or accepted written responses. Specifically, we interviewed human resource professionals from 22 private-sector companies (including 4 written responses), representatives from 8 plan administrators, 13 retirement research experts (including 1 written response), representatives from 4 industry associations, representatives from 2 participant advocacy organizations, and representatives from 2 financial technology companies.", "We conducted in-person interviews at four sites to collect information from three different groups: (1) human resource officials in private-sector companies, (2) top 20 plan administrators or recordkeepers, and (3) retirement research experts. We selected site visit locations in four metropolitan locations that were home to representatives of each group. To select companies for potential interviews, we reached out to a broad sample of Fortune 500 companies that offered a 401(k) plan to employees and varied by geographic location, industry, and number of employees. We selected plan administrators based on Pensions and Investments rankings for assets under management and number of individual accounts. We selected retirement research experts who had published research on early withdrawals from retirement savings, as well as experts that we had interviewed in our prior work. Based on these criteria, we conducted site visits in Boston, Massachusetts; Chicago, Illinois; the San Francisco Bay Area, California; and Seattle, Washington. We held interviews with parties in each category who responded affirmatively to our request. In each interview, we solicited names of additional stakeholders to interview. We also interviewed representatives of organizations, such as financial technology companies, participant advocacy organizations, industry associations, and plan administrators focused on small businesses, whose work we deemed relevant to our study.", "We developed a common question set for each stakeholder category that we interviewed. We based our interview questions on our literature review, research objectives, and the kind of information we were soliciting from each stakeholder category. In each interview, we asked follow-up questions based on the specific responses provided by interviewees.", "In our company interviews, we asked how companies administered retirement benefits for employees; company policies and procedures regarding separating employees and the disposition of their retirement accounts; company policies regarding plan loans, hardship withdrawals, and rollovers from other 401(k) plans; and company strategies to reduce early withdrawals from retirement savings.", "In our interviews with plan administrators, we asked about factors that led individuals to access their retirement savings early, how plan providers interacted with companies and separating employees, available data on loans and hardship withdrawals from client retirement plans, and potential strategies to reduce the incidence and amount of early withdrawals.", "In our interviews with retirement research experts, financial technology companies, participant advocacy organizations, and industry associations we asked about factors that led individuals to make early withdrawals from their retirement savings and any potential strategies that may reduce the incidence and amount of early withdrawals.", "In our interviews with plan administrators and retirement research experts, we also provided a supplementary table outlining 37 potential strategies to reduce early withdrawals from retirement savings. We asked interviewees to comment on the strengths and weaknesses of each strategy in terms of its potential to reduce early withdrawals, and gave them opportunity to provide other potential strategies not listed in the tables. We developed the list of strategies based on the results of our literature review.", "Some interviewees also provided us with additional data and documents to assist our research. For example, some companies and plan administrators we interviewed provided quantitative data on the number of plan participants, the average cashout or rollover amounts, the percentage of participants who took loans or hardship withdrawals from their retirement accounts, and known reasons for these withdrawals. Some research experts also provided us with documentation, including published articles and white papers that supplemented our interviews and literature review. All data collected through these methods are nongeneralizable and reflect the views and experiences of the respondents and not the entire population of their respective constituent groups."], "subsections": []}, {"section_title": "Analysis of Interview Responses", "paragraphs": ["To answer our second and third objectives, we analyzed the content of our stakeholder interview responses and corroborated our analysis with information obtained from our literature review and quantitative information provided by our interviewees. To examine what is known about the factors leading individuals to access retirement savings early, we catalogued common factors that stakeholders identified as contributing to early withdrawals from retirement savings. We also collected information on plan rules governing early participant withdrawals of retirement savings.", "To identify potential strategies or policies that might reduce the incidence and amount of early withdrawals, we analyzed interview responses and catalogued (1) company practices that employers identified as having an effect in reducing early withdrawals and (2) strategies that stakeholders suggested that could achieve a similar outcome. GAO is not endorsing or recommending any strategy in this report, and has not evaluated these strategies for their behavioral or other effects on retirement savings or on tax revenues."], "subsections": []}]}, {"section_title": "Appendix II: Selected Provisions Related to Early Withdrawals from 401(k) Plans and Individual Retirement Accounts (IRAs)", "paragraphs": ["Appendix II: Selected Provisions Related to Early Withdrawals from 401(k) Plans and Individual Retirement Accounts (IRAs)", "Requirements Provides an exception for distributions for qualified higher education expenses and for qualified \u201cfirst-time\u201d home purchases made before age 59\u00bd from the additional 10 percent tax for early distributions Defines \u201cqualified first-time homebuyer distribution\u201d and \u201cfirst-time homebuyer,\u201d and prescribes the lifetime dollar limit on such distributions, among other things.", "Allows eligible individuals to make tax-deductible contributions to individual retirement accounts, subject to limits based, for example, on income and pension coverage.", "Provides for the loss of exemption for an IRA if the IRA owner engages in a prohibited transaction, which results in the IRA being treated as distributing all of its assets to the IRA owner at the fair market value on the first day of the year in which the transaction occurred.", "Defines a prohibited transaction to include the lending of money or other extension of credit between a plan and a disqualified person.", "Requirements Allows eligible individuals to make contributions to a Roth IRA that are not tax- deductible. Distributions from the account can generally be treated as a qualified distribution if a distribution is made on or after the Roth IRA owner reaches age 59\u00bd and the distributions is made after the 5-taxable year period beginning when the account was initially opened.", "Defines a prohibited transaction to include the lending of money or other extension of credit between a plan and a disqualified person."], "subsections": []}, {"section_title": "Appendix III: Estimated Incidence of Certain Early Withdrawals of Retirement Savings", "paragraphs": ["Appendix III: Estimated Incidence of Certain Early Withdrawals of Retirement Savings 401(k) plans 401(k) plans ($1000 or more)"], "subsections": [{"section_title": "Category", "paragraphs": ["401(k) plans 401(k) plans ($1000 or more)"], "subsections": []}, {"section_title": "Category", "paragraphs": ["401(k) plans 401(k) plans ($1000 or more)", "Legend: * Sampling error was too large to report an estimate."], "subsections": []}]}, {"section_title": "Appendix V: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgment", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgment:", "paragraphs": ["In addition to the contact named above, Dave Lehrer (Assistant Director); Jonathan S. McMurray (Analyst-in-Charge); Gustavo O. Fernandez; Sean Miskell; Jeff Tessin; and Adam Wendel made key contributions to this report. James Bennett, Holly Dye, Sara Edmondson, Sarah Gilliland, Sheila R. McCoy, Ed Nannenhorn, Katya Rodriguez, MaryLynn Sergent, Linda Siegel, Rachel Stoiko, Frank Todisco, and Sonya Vartivarian also provided support."], "subsections": []}]}, {"section_title": "Related GAO Reports", "paragraphs": ["The Nation\u2019s Fiscal Health: Action Is Needed to Address the Federal Government\u2019s Future. GAO-18-299SP. Washington, D.C.: June 21, 2018.", "The Nation\u2019s Retirement System: A Comprehensive Re-evaluation is Needed to Better Promote Future Retirement Security. GAO-18-111SP. Washington, D.C.: October 18, 2017.", "Retirement Security: Improved Guidance Could Help Account Owners Understand the Risks of Investing in Unconventional Assets. GAO-17-102. Washington, D.C.: December 8, 2016. 401K Plans: Effects of Eligibility and Vesting Policies on Workers\u2019 Retirement Savings. GAO-17-69. Washington, D.C.: October 21, 2016.", "Retirement Security: Low Defined Contribution Savings May Pose Challenges. GAO-16-408. Washington, D.C.: May 5, 2016.", "Retirement Security: Shorter Life Expectancy Reduces Projected Lifetime Benefits for Lower Earners. GAO-16-354. Washington, D.C.: March 25, 2016.", "Social Security\u2019s Future: Answers to Key Questions. GAO-16-75SP. Washington, D.C.: October 27, 2015.", "Retirement Security: Federal Action Could Help State Efforts to Expand Private Sector Coverage. GAO-15-556. Washington, D.C.: September 10, 2015.", "Highlights of a Forum: Financial Literacy: The Role of the Workplace. GAO-15-639SP. Washington, D.C.: July 7, 2015. 401(K) Plans: Greater Protections Needed for Forced Transfers and Inactive Accounts. GAO-15-73. Washington, D.C.: November 21, 2014.", "Older Americans: Inability to Repay Student Loans May Affect Financial Security of a Small Percentage of Retirees. GAO-14-866T. Washington, D.C.: September 10, 2014.", "Financial Literacy: Overview of Federal Activities, Programs, and Challenges. GAO-14-556T. Washington, D.C.: April 30, 2014.", "Retirement Security: Trends in Marriage and Work Patterns May Increase Economic Vulnerability for Some Retirees. GAO-14-33. Washington, D.C.: January 15, 2014. 401(K) Plans: Labor and IRS Could Improve the Rollover Process for Participants. GAO-13-30. Washington, D.C.: March 7, 2013.", "Retirement Security: Women Still Face Challenges. GAO-12-699. Washington, D.C.: July 19, 2012. 401(K) Plans: Policy Changes Could Reduce the Long-term Effects of Leakage on Workers\u2019 Retirement Savings. GAO-09-715. Washington, D.C: August 28, 2009."], "subsections": []}], "fastfact": ["Usually, the money in a tax-deferred retirement account, like a 401(k) plan, stays there until retirement. However, you may be able to borrow or withdraw money from such accounts to meet pressing needs, such as medical bills.", "If you default on a loan from your retirement account, it counts as an early withdrawal, which may be subject to taxes and penalties. Early withdrawals can also erode your long-term savings.", "We reported on policies and strategies that might reduce early withdrawals, such as building emergency savings features into retirement plans. We also recommended improving information about defaults on retirement account loans."]} {"id": "GAO-18-620", "url": "https://www.gao.gov/products/GAO-18-620", "title": "Drinking Water: Approaches For Identifying Lead Service Lines Should Be Shared With All States", "published_date": "2018-09-21T00:00:00", "released_date": "2018-09-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The crisis in Flint, Michigan, brought increased attention to lead in drinking water infrastructure. Lead in drinking water primarily comes from corrosion of service lines connecting the water main to a house or building. In 1991, EPA issued the Lead and Copper Rule that required water systems to conduct a \u201cmaterials inventory\u201d of lead service lines. In light of the events in Flint, EPA sent a letter to all states in February 2016 encouraging them to work with water systems to publicly post the materials inventory, along with any additional updated maps or inventories of lead service linesactions the rule does not require.", "A House Committee report accompanying a bill for the Department of the Interior, Environment and Related Agencies Appropriations Act, 2017, includes a provision for GAO to review lead service lines. This report examines (1) what is known about the number of existing lead service lines among states and water systems and (2) states' responses to EPA's February 2016 request to work with water systems to publicize inventories of lead service lines and any steps EPA has taken to follow up on these responses. GAO reviewed existing studies of lead service lines, reviewed the websites of the 100 largest water systems, and interviewed EPA officials in headquarters and its 10 regional offices."]}, {"section_title": "What GAO Found", "paragraphs": ["The total number of lead service lines is unknown and while national, state, and local estimates exist, approaches used to count lead service lines vary. A 2016 American Water Works Association study estimated that nationally there were 6.1 million lead service lines, but the study has significant sampling limitations and, as a result, likely does not accurately reflect the total number of lead service lines nationwide. In addition, at least two statesMassachusetts and Washingtonpublished reports with estimates of lead service lines and reported 22,023 and 1,000-2,000 lead service lines as of 2016 and 2017, respectively. Certain water systems also have estimates, such as the approximately 7 percent of publicly owned lead service lines out of the area's total number of service lines cited by a representative for the system serving Cincinnati, Ohio and surrounding areas, as of May 2018.", "While most states informed the Environmental Protection Agency (EPA) that they intend to fulfill the agency's request to publicize inventories of lead service lines, EPA has identified potential challenges to these efforts. Of the approximately 43 states that responded that they would fulfill EPA's request, almost all (39) reported to EPA that, although they had encouraged water systems to publicize inventories, few systems had completed these actions. GAO found in January 2018 that, of the 100 largest water systems, 12 had publicized information on the inventory of lead service lines. According to EPA, among challenges in conducting inventories of lead service lines and publicizing information about lead service lines were concerns about posting on public websites information about lead service lines on private property; and a lack of records about the locations of lead service lines. EPA told GAO the agency was focused on state compliance with drinking water rules, and not following up with information on how states could address the challenges cited. By sharing information with all states about the approaches that some states and water systems are using to successfully identify and publicize information about lead service lines, including responses to potential challenges, EPA could encourage states to be more transparent to the public and support the agency's objectives for safe drinking water."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that EPA share information about the successful approaches states and water systems use to identify and publicize locations of lead service lines with all states. EPA agreed with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The crisis in Flint, Michigan, brought increased attention to the country\u2019s challenge of addressing lead in drinking water infrastructure. According to the U.S. Environmental Protection Agency (EPA) and others, there is no level of lead that is safe in drinking water. Lead poses the greatest risk to infants, children under the age of 6, and pregnant women. In children, it can delay growth, cause learning and behavioral problems, and lower IQ, while in pregnant women it can reduce fetal growth and cause premature birth. Lead in drinking water primarily comes from the corrosion of pipes (such as service lines made of lead) that connect the drinking water main (a primary pipeline) to a house or building. The corrosion results from a chemical interaction between water and pipes that wears the metal and allows lead to dissolve or lead particles to flake away over time. Other sources of lead in drinking water include solder that connects pipes, and fixtures made with lead or with brass that contains lead.", "Lead was widely used in plumbing materials, including service lines, until 1986 when the Safe Drinking Water Act (SDWA) was first amended to generally prohibit the new installation of lead pipes and solder. According to EPA, homes built before 1986 are more likely to have lead pipes, solder, and fixtures. Consequently, these homes are a priority for monitoring under EPA\u2019s Lead and Copper Rule, which minimizes the amount of lead in the nation\u2019s drinking water supply. As of December 2016, the approximately 68,000 drinking water systems covered by the Lead and Copper Rule served about 312 million people\uf8e7most of the U.S. population. When the Lead and Copper Rule was promulgated in 1991, it required all covered drinking water systems to collect information about the infrastructure that delivered water to customers, including any known lead pipes and lead service lines. The purpose of this effort\uf8e7 referred to as materials evaluation (hereafter materials inventory)\uf8e7was to identify locations that may have been particularly susceptible to high lead or copper concentrations, from which water systems would collect drinking water samples. According to 2010 EPA guidance, in developing the materials inventory, water systems should survey all records documenting the materials used to construct and repair the drinking water distribution system and buildings connected to the system.", "In a January 2016 letter to Michigan\u2019s Governor, EPA noted its concern with lack of transparency and accountability to the public in Flint. In light of events in Flint and other U.S. cities, EPA sent a letter to all state environmental commissioners in February 2016 requesting near-term actions to assure the public that EPA and the states were working together to address risks from lead in drinking water, and to increase transparency in water systems\u2019 implementation of the Lead and Copper Rule. In this letter, EPA encouraged states to work with water systems to post, on a public website, the water system\u2019s original materials inventory along with any additional updated maps or inventories of lead service lines\uf8e7actions the Lead and Copper Rule does not require. EPA also encouraged states to place an emphasis on large water systems, which EPA regulations define as those serving populations greater than 50,000.", "House Report No. 114-632, accompanying a bill for the Department of the Interior, Environment, and Related Agencies Appropriations Act, 2017, includes a provision for us to review the number of lead service lines. Our objectives were to examine (1) what is known about the number of existing lead service lines nationally, and among states and water systems; and (2) states\u2019 responses to EPA\u2019s February 2016 request to work with water systems to publicize inventories of lead service lines and any steps EPA has taken to follow up on these responses. This report addresses lead in drinking water, not other sources of lead such as paint, paint chips, dust, toys, or food.", "To examine what is known about the number of existing lead service lines nationally, and among states and water systems, we reviewed existing studies and other documents regarding the extent of and experience with such lines. We found three written studies with estimates of lead service lines\u2014one using national data and two that were state-specific. We took a number of steps, including conducting interviews with each study\u2019s authors, to examine the reliability of the data used in the studies. For the one study we reviewed that used national data, the data were of undetermined reliability because the sample of water systems included in the study was not generalizable to all water systems and the authors could not verify the accuracy of the information provided by water systems. Appendix I provides more information on our reasons for designating the data as undetermined reliability. For the two state-specific studies, we determined that the data represented reasonable efforts to estimate the number of lead service lines, although the states also could not verify the accuracy of the information provided by water systems. Therefore, we also found these estimates to be of undetermined reliability. Appendix I provides more information on our reasons for designating the data as undetermined reliability. We did not find any studies with information comparing the quality of estimates among water systems. However, we interviewed representatives of the Greater Cincinnati Water Works water system about their estimate and found the data to be sufficiently reliable for the purpose of describing their reported best available estimate. We also interviewed EPA staff about their knowledge of estimates provided by states and water systems; and subsequently interviewed officials in some of these states, namely Massachusetts, Ohio, and Washington. We also interviewed representatives of water organizations to identify potential studies and other sources of information about the number of lead service lines. We selected these organizations based on their knowledge of conducting inventories of lead service lines as a part of the process for replacing such lines.", "To examine states\u2019 responses to EPA\u2019s request and any steps EPA has taken to follow up on these responses, we reviewed the websites of the 100 largest water systems (by population served) to identify which water systems have made the information available to the public. We used a structured process to review each website for the presence or absence of such information so that we could reliably tabulate the results. We also conducted an in-depth, semi-structured interview with representatives from the Greater Cincinnati Water Works about their experiences in mapping lead service lines and providing the information to the public. We selected this water system based on the extent of its mapping initiative and based on recommendations from EPA and several nonprofit and water advocacy organizations. The results of this interview are not generalizable to other water systems but provide illustrative examples. We also conducted semi-structured interviews with officials in EPA\u2019s headquarters and all 10 of its regional offices. Finally, we compared EPA\u2019s actions to follow up on state responses with federal standards for internal control for information and communication.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Generally, the responsibility for reducing lead in drinking water and ensuring safe drinking water overall is shared by EPA, states, and local water systems. EPA is responsible for, among other things, national implementation of the Lead and Copper Rule, setting standards, overseeing states\u2019 implementation of the rule, and conducting some enforcement activities. However, most states have primary responsibility for enforcing the requirements under SDWA as amended. Water systems are generally subject to requirements under SDWA as amended, such as the Lead and Copper Rule, and are responsible for managing and funding the activities and infrastructure needed to meet those requirements.", "Such infrastructure includes storage facilities and drinking water mains and may include other pipes such as service lines. There are 1 million miles of drinking water mains in the country, according to a 2017 American Society of Civil Engineers study. As figure 1 illustrates, service lines are the smaller pipes that connect the water mains to homes and buildings. According to EPA guidance, service lines also include any smaller pipes used for connecting a service line to the water mains (e.g., gooseneck pipes which are also known as pigtails). Service lines can generally be made of lead, steel, copper, or plastic. Service lines can be fully owned by the water system (publicly owned) or by the homeowner (privately owned), or ownership can be shared. In most communities, lead service lines are partially owned by the water system and partially owned by the homeowner. With shared ownership, the water system typically owns the service line from the water main to the curb stop, and the homeowner owns the service line from the curb stop into the home. In such cases, each party is responsible for maintaining the part of the service line that it owns.", "In some circumstances, if lead levels are higher than the Lead and Copper Rule allows and other measures do not alleviate the problem, the Lead and Copper Rule requires water systems to replace lead service lines under the systems\u2019 control. The Lead and Copper Rule does not require homeowners to replace the portion of lead service lines they own, but if they choose to do so they are generally responsible for the associated costs. The Lead and Copper Rule allows for a partial replacement by the water system when an owner of a home or building is unable or unwilling to pay for replacement of the portion of the service line not owned by the water system."], "subsections": []}, {"section_title": "The Total Number of Lead Service Lines Is Unknown, and National, State, and Local Estimates Vary", "paragraphs": ["The total number of lead service lines is unknown and while national, state, and local estimates exist, approaches used to count lead service lines vary. The total number of lead service lines is unknown because, among other things, the Lead and Copper Rule does not require all water systems to collect such information. National, state, and local estimates exist, but the methods used to arrive at these estimates vary, making it challenging to compare estimates."], "subsections": [{"section_title": "The Lead and Copper Rule Does Not Generally Require Water Systems to Maintain Complete Information about Lead Service Lines or Report Such Information to EPA", "paragraphs": ["The total number of lead service lines is unknown, in part because the Lead and Copper Rule does not require all water systems to develop and maintain a complete inventory of lead service lines, and there are no national repositories of information about lead service lines. According to EPA headquarters officials we interviewed in 2017, the materials inventory required under the Lead and Copper Rule is not intended to be a census of lead service lines (and other lead pipes such as goosenecks/ pigtails). Instead, it is intended to provide sufficient information to develop a plan for periodically obtaining tap samples. For example, according to 2008 EPA guidance to water systems, if a system contains lead service lines, then, if possible, half of the sample sites should include those served by a lead service line.", "The Lead and Copper Rule requires water systems to conduct complete inventories only if the water system is required to begin replacing lead service lines. In these instances, water systems are required to expand the materials inventory to a complete inventory that identifies the total number of lead service lines for the purpose of tracking replacements over time. As we reported in 2017, based on the available data, the majority of the 68,000 water systems subject to the Lead and Copper Rule at the time of our review had not been required to replace lead service lines and therefore were not required to conduct complete inventories.", "Moreover, there are no national repositories for information about lead service lines. In September 2017, we recommended that, as a part of revisions to the Lead and Copper Rule, EPA require states to report data on lead pipes (including lead service lines) and incorporate these data in the agency\u2019s Safe Drinking Water Information System. EPA agreed with the recommendation but has not implemented it. In May 2018, EPA noted that it was in the process of reviewing comments received through consultations with state and local officials and tribes. According to EPA officials, final revisions to the Lead and Copper Rule are expected by February 2020. We continue to believe that EPA should collect data about lead pipes (including lead service lines) from states. By doing so, EPA and congressional decision makers would have important information at the national level on what is known about lead infrastructure in the country, thereby facilitating oversight of the Lead and Copper Rule."], "subsections": []}, {"section_title": "National, State, and Local Estimates of Lead Service Lines Exist, and Those We Reviewed Had Significant Limitations; but the Methods Used to Arrive at These Estimates Vary", "paragraphs": ["The total number of lead service lines is unknown, and while some entities have developed estimates of lead service lines at the national, state, or local water system level, the estimates we reviewed have significant limitations to their reliability. Moreover, the approaches used to arrive at these estimates vary, making it challenging to compare estimates. Nationally, according to EPA\u2019s October 2016 Lead and Copper Rule Revisions White Paper, there are an estimated 6.5 million to 10 million homes served by lead service lines. This range of estimates, based in part on data from a study for the 1991 Lead and Copper Rule, has significant limitations. In appendix I we explain why EPA\u2019s estimate may not accurately reflect the total number of lead service lines, nationwide.", "An April 2016 American Water Works Association study estimated 6.1 million lead service lines nationwide. The authors of this study extrapolated the number based on survey responses from 978 water systems in 2011 and 2013. While this study is the most recent attempt to provide a national estimate, it has significant limitations. First, the sample was not statistically representative of all 68,000 water systems subject to the Lead and Copper Rule. Rather, the water systems that responded to the American Water Works Association\u2019s survey are not a statistical sample. Second, according to the study\u2019s authors, survey responses were based on water systems\u2019 best guesses of the number of lead service lines in their systems. However, since water systems have not been required to maintain inventories of lead service lines, many of them do not know the exact number. For these reasons, we are not confident that the number accurately reflects the total number of lead service lines nationwide.", "An American Water Works Association official told us that the organization is not planning to update the study. EPA officials told us that they were not aware of a more recent study than the association\u2019s 2016 study. In addition, EPA officials said in May 2018 that the results in the American Water Works Association study likely represent a lower-bound estimate for the number of lead service lines in the country because the sample was not generalizable, and had other data quality issues. EPA officials in one region we interviewed said that estimates of lead service lines can decrease or increase as a water system replaces lead service lines and as a water system does or does not count lead service lines on private property.", "The Lead and Copper Rule does not require states to collect statewide information about lead service lines, but at least two states collected data from water systems in their states and published reports with these data:", "A 2016 report by the Massachusetts Department of Environmental Protection\u2019s Drinking Water Program reported 22,023 lead service lines and 15,809 lead goosenecks and pigtails statewide. The report counted goosenecks and pigtails separately from lead service lines. Officials from the Massachusetts Department of Environmental Protection told us that the state has about 2 million service lines total; therefore, about 1 percent of the total service lines are lead.", "A 2017 report by the Washington State Department of Health estimated 1,000-2,000 lead service lines statewide and 8,000 goosenecks statewide. According to Washington State officials, they continued to update their estimates in early 2018 with selected water utilities.", "Generally, the purpose of both studies, as stated in each report, was to identify areas in which water systems would need technical assistance in complying with the Lead and Copper Rule or state requirements. However, for the purposes of estimating the number of lead service lines, complete details were not available about the methodologies and some systems that did respond were only able to provide rough guesses rather than precise counts of lead service lines. EPA headquarters officials told us that Massachusetts and Washington were at the forefront of states\u2019 efforts to gather information about lead service lines. EPA officials also told us that they were not aware of any other states with published reports estimating the number of lead service lines. However, at least two states have also collected information about lead service lines but have not published the information in official reports, at the time of our review. For example, in 2016, officials in Indiana and Maryland sent questionnaires to water systems in their states asking for information about the number of lead service lines.", "A representative of a water association told us that, generally, water systems were in the beginning stages of conducting complete inventories of lead service lines. However, some local water systems also have estimates. For example, EPA officials told us that water systems in the states of Ohio, Michigan, and Washington had estimates of lead service lines. In May 2018, a representative of the Greater Cincinnati Water Works water system estimated there were approximately 7 percent of publicly owned and approximately 18 percent privately owned lead service lines out of a total of 240,000 service lines in the area served by that water system. In March 2018, representatives of the Greater Cincinnati Water Works water system said that their estimates of lead service lines are best characterized as what is known at any given point in time. These representatives also told us that they collect this information on a continual basis from historical and on-going maintenance records, reports of lead service lines by customers, and the water system\u2019s lead service line replacement program, among other sources.", "To conduct complete inventories and develop estimates, water systems have used varying approaches, which can hinder comparisons among states and water systems. The publicly available reports that existed as of May 2018 provide some insight into the various approaches water systems have used. For example, to identify lead service lines, water systems have used visual inspection or a combination of visual inspections, existing water system records, and discussions with homeowners. In addition, water systems have used various definitions of lead service lines. For example, water systems have counted: only active service lines delivering water to customers, or both active and inactive (no longer delivering water to customers) service lines; or only the publicly owned lead service lines, or both the publicly and privately owned portions of the lead service lines; or only lead service lines or the lead service lines and goosenecks/pigtails separately."], "subsections": []}]}, {"section_title": "Most States Reported Fulfilling EPA\u2019s Request, but Potential Challenges Remain that EPA Information Sharing Could Help to Address", "paragraphs": ["While most states informed EPA that they intend to fulfill the agency\u2019s request to work with water systems to publicize inventories of lead service lines, EPA has identified potential challenges to these efforts. Nonetheless, the agency has not followed up with all states since 2016 to share information about how to address these challenges. Most states that said they intended to fulfill EPA\u2019s request to encourage water systems to publicize materials inventories reported in subsequent letters to or meetings with EPA that they did so; however, as of May 2018, most large waters systems had not made such information public."], "subsections": [{"section_title": "Most States Reported Fulfilling EPA\u2019s Request to Encourage Water Systems to Publicize Materials Inventories, but Most Large Water Systems GAO Reviewed Did Not Do So", "paragraphs": ["Our analysis of states\u2019 written responses to EPA\u2019s 2016 request, and information obtained through interviews with EPA officials as of February 2018, found that most (43) of the 50 states indicated an intent to fulfill EPA\u2019s request, 3 states said that they may consider it, and 4 states did not intend to fulfill EPA\u2019s request. Of the approximately 43 states that responded that they would fulfill EPA\u2019s request, almost all (39) reported in subsequent letters to or meetings with EPA that they had encouraged water systems to publicize their materials inventories or other information about lead service lines. In these letters and meetings, states also reported taking other actions to increase their knowledge about lead service lines such as requesting that water systems update the materials inventory required by the Lead and Copper Rule, creating online repositories of maps of lead service lines, posting reports on lead service lines, and issuing requirements for water systems to collect information on lead service lines. For example, in May 2016, the governor of Washington issued a directive requiring the state\u2019s Department of Health to work with certain water systems to identify all lead service lines and lead components within 2 years. Figure 2 shows the number of states that reported fulfilling EPA\u2019s request or taking other related actions.", "Because EPA asked states to prioritize large water systems (those servicing populations greater than 50,000), we reviewed the websites for the 100 largest water systems. As of January 2018, we found 12 of these water systems had publicized information on the inventory of lead service lines; the rest had not. The information on the websites for the 12 water systems varied. For example, the water system for Tulsa, Oklahoma posted a map that highlighted where lead service lines may be present. Water systems such as Cincinnati, Ohio, Boston, Massachusetts, and Washington, D.C., provided interactive maps that showed locations identified as having lead service lines. See figure 3 for examples of the interactive maps of lead service lines that some selected large water systems have provided to the public. Water systems that serve populations greater than 50,000 but were not among the 100 largest water systems at the time of our review may have also publicized information on the inventory of lead service lines. For example, the water systems for Akron, Ohio, Flint, Michigan, and Providence, Rhode Island each publicized an interactive or other type of map of lead service lines."], "subsections": []}, {"section_title": "EPA Identified Potential Challenges to Publicizing Materials Inventories but Has Not Followed Up with All States about How to Address Such Challenges Since 2016", "paragraphs": ["EPA officials in the regional offices provided a range of reasons why water systems may be challenged in conducting inventories of lead service lines and making any information about lead service lines public, however, it has not followed up with all states about how to address such challenges since 2016. In September 2017, we reported that the six states that would not fulfill EPA\u2019s 2016 request had highlighted challenges in finding historical documentation about lead pipes to create plans for collecting tap water samples or in dedicating staff resources to do so. In January and February 2018, some officials whom we interviewed in EPA\u2019s 10 regional offices agreed that these would be challenges for states and water systems. The officials also mentioned additional potential challenges in conducting complete inventories of lead service lines or publicizing information about lead service lines. Table 1 describes the challenges mentioned by EPA officials in the 10 regional offices.", "Since the February 2016 letter, EPA followed up in July 2016 with a letter to the Association of State and Territorial Health Officials and Environmental Council of States, which represents all states. In that letter, EPA provided two examples of state practices that increase public transparency: some drinking water systems are providing online searchable databases that provide information on known locations of lead service lines, or are providing videos that show homeowners how to determine whether their home is served by a lead service line. The letter also said that EPA would continue to work with states to ensure that the identification of the locations of lead service lines remains a priority for drinking water systems.", "However, EPA has conducted limited follow-up since then, mainly, EPA headquarters and regional officials said, because they have focused their efforts on ensuring states appropriately comply with the Lead and Copper Rule. As previously noted in this report, posting materials inventories or other information about the location of lead service lines is not a requirement of the Lead and Copper Rule. In May 2018, EPA headquarters officials we interviewed said that they learned of some states\u2019 and water systems\u2019 efforts toward making information about lead service lines available to the public since 2016, through conferences and discussions with states. These headquarters officials told us that they have shared such efforts with those states who, in 2016, said they did not intend to fulfill EPA\u2019s 2016 request. For example, EPA shared how states that were publicizing information about lead service lines were addressing privacy concerns with states that originally said they would not fulfill EPA\u2019s request. However, as of January 2018, most of the 100 largest water systems had not made their materials inventories or additional maps or updated inventories public. According to EPA\u2019s February 2016 letter, the agency\u2019s objective in encouraging states to work with water systems to post, on a public website, the water system\u2019s original materials inventory along with any additional updated map or inventories of lead service lines was to assure the public that lead risks were being addressed. Under federal standards for internal control, management should externally communicate the necessary quality information, so that external parties can help to achieve the entity\u2019s objectives. By sharing information with all states about the approaches that some states and water systems are using to successfully identify and publicize information about lead service lines, including responses to potential challenges, EPA could encourage states to be more transparent to the public and support the agency\u2019s objectives for safe drinking water."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Lead service lines present a significant risk of lead contamination in drinking water. Publicizing drinking water systems\u2019 knowledge about lead service lines, and other lead infrastructure, would facilitate oversight of the Lead and Copper Rule. In September 2017, we recommended that, as a part of revisions to the Lead and Copper Rule expected by February 2020, EPA require states to report data on lead pipes (including lead service lines) and incorporate these data in the agency\u2019s Safe Drinking Water Information System. EPA agreed with the recommendation, and we continue to believe that EPA should require data about lead pipes (including lead service lines) from states. Most states reported that they had encouraged their water systems to publicize information about lead service lines in response to EPA\u2019s February 2016 requests. EPA headquarters officials told us that they had learned of some states\u2019 and water systems\u2019 efforts since 2016 and shared this information with the few states that said that they would not take action in response to EPA\u2019s letter. This information did in fact help at least one state take action, according to information we received from EPA and the state. By sharing information with all states about the approaches that some states and water systems are using to successfully identify and publicize information about lead service lines, including responses to potential challenges, EPA could encourage states to be more transparent to the public and support the agency\u2019s objectives for safe drinking water."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Assistant Administrator for Water of EPA\u2019s Office of Water should share information with all states about the approaches that some states and water systems are using to successfully identify and publicize information on lead service lines, including responses to potential challenges. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to EPA for review and comment. In its comments, reproduced in appendix II, EPA agreed with our recommendation. The agency also highlighted a recently developed website that showcases efforts to identify and replace lead service lines and said that it will continue to ensure states and water systems are aware of this resource.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of EPA, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives Scope and Methodology", "paragraphs": ["Our objectives were to examine (1) what is known about the number of existing lead service lines nationally, and among states and water systems; and (2) state responses to EPA\u2019s February 2016 request to work with water systems to publicize inventories of lead service lines and any steps EPA has taken to follow up on these responses.", "To examine what is known about the number of existing lead service lines nationally, and among states and water systems, we relied on interviews and publicly available reports for which we could assess the reliability of the data. We reviewed the requirements under the Lead and Copper Rule for assessing the number of lead service lines. We interviewed officials from EPA\u2019s Office of Water and the following water organizations concerning what these officials knew about the number of lead service lines nationally and among states and water systems: the American Water Works Association, Association of State Drinking Water Administrators, and Regional Community Assistance Partnership. We also interviewed an official with the Environmental Defense Fund regarding the available information about the number of lead service lines nationally and among states and water systems. We selected these organizations because they are all members of the Lead Service Line Replacement Collaborative, a consortium that provides information about voluntary lead service line replacement for states and water systems. On behalf of the Lead Service Line Replacement Collaborative, the organizations we spoke with are collecting examples of states\u2019 and water systems\u2019 experiences in conducting inventories of lead service lines, as the first step in replacing lead service lines. Using information from these interviews, we identified three published studies from the American Water Works Association, the state of Massachusetts, and the state of Washington. We interviewed the authors of the studies to determine the reliability, completeness, and accuracy of the data presented in the studies.", "For the 2016 American Water Works Association study, we determined that the data were of undetermined reliability because the responses of the water systems surveyed were not generalizable to all water systems and the study authors could not verify the accuracy of the information. Specifically, the sample in the 2016 American Water Works Association study was not based on a statistical sample, and therefore the sampling error was not calculated and information was not available to determine whether responding water systems were similar to nonresponding water systems. For example, the estimate is based on survey responses from 978 of the approximately 23,000 water systems that existed around the time of the surveys, and therefore may not represent all water systems nationwide. In addition, since many water systems do not have complete inventories of their lead service lines, the accuracy of data that water systems submitted in response to the survey is difficult to verify. For example, our interview with the study authors indicates that the information provided by water systems varied in quality, with some systems basing their responses on rough estimates. We based our determination about the data using the criteria of Total Survey Error, which is a framework for assessing the validity and reliability of survey estimates. It includes sampling error (the difference between the population and the sample), nonresponse error, measurement error (the difference between the true response and the response provided by the respondent) and coverage error (the discrepancy between the list of individuals that is used to select a sample and the target population). EPA\u2019s 2016 Lead and Copper Rule Revisions White Paper also identified an estimate of lead service lines. According to EPA officials, this estimate used data from the 2016 American Water Works Association study and a 1988 American Water Works Association study cited in the regulatory impact analysis for the 1991 Lead and Copper Rule. The 1991 estimate also had significant limitations in measurement error and representation error as well as a lack of documentation about key aspects of the methodology. As such, we determined the estimate was not reliable for the purposes of establishing the total number of lead service lines in existence as of 1991.", "The two state-specific studies represent reasonable efforts to estimate the number of lead service lines in these states. However, they generally could not verify the accuracy of the information provided by these systems because, as we note elsewhere in this report, water systems may not know the number of lead service lines they have. Therefore, for the state-specific studies, we also determined that the data were also of undetermined reliability. Finally, while the Greater Cincinnati Water Works water system did not publish a report about lead service lines, we collected the information through an in-person interview and corroborated the information through a review of the water system\u2019s geographic information system database. The Greater Cincinnati Water Works\u2019 GIS database includes the location and material information for all of the water system\u2019s distribution system. According to the Greater Cincinnati Water Works website, the water system continues to update its map as it obtains more information from its customers. Based on these steps we deemed the data provided by the water system to be sufficiently reliable for the purposes of describing the estimate reported by representatives of the Greater Cincinnati Water Works system.", "To examine states\u2019 responses to EPA\u2019s February 2016 request to work with water systems to publicize inventories of lead service lines and any steps EPA has taken to follow up on these responses, we relied both on the publicly available letters from each state to EPA and on interviews with EPA regional and headquarters officials. We did not interview state officials in all 50 states, but reviewed some state documents, where available. We used a standard set of open-ended questions to interview officials in EPA\u2019s headquarters and in each of the 10 regional offices. To analyze states\u2019 and EPA officials\u2019 responses, we conducted two analyses. Specifically, we conducted two analyses to summarize updates in state responses to EPA\u2019s February 2016 letter and EPA\u2019s responses to challenges states and water systems may face in conducting and publicizing materials inventories. To confirm each analysis, one analyst independently summarized the information and another analyst verified the accuracy of the information. All initial disagreements were discussed and reconciled. All numbers in our analysis are considered approximate because interpretations of the states\u2019 responses to EPA\u2019s 2016 letter can differ, and states may have taken actions after our interviews with EPA regional officials, or may have taken actions that they did not report to EPA. Figure 4 shows the EPA regions and the states within those regions. We also reviewed EPA documents related to EPA\u2019s request that states take certain actions following the events in Flint, Michigan. In addition, we reviewed federal regulations; EPA guidance to water systems on how to implement the Lead and Copper Rule; and other relevant documents such as an EPA white paper.", "Because EPA asked states to place an emphasis on working with large water systems to publicize their materials inventories or updated inventories or maps of lead service lines, we reviewed the websites of the 100 largest water systems by population. Our review was conducted in January to February 2018; and since then, additional water systems may have provided information to the public on lead service lines. We identified the largest water systems, based on population served, from data in EPA\u2019s Safe Drinking Water Information System/Fed. EPA has stated on its website that the agency acknowledges challenges related to the data in the Safe Drinking Water Information System/Fed, specifically underreporting of some data by states. GAO has also reported on EPA\u2019s challenges with the Safe Drinking Water Information System/Fed. Even with these challenges, the information on the populations served by water systems in the Safe Drinking Water Information System/Fed is generally reliable. We used a standard set of search terms on each website to ensure the consistency of our searches, as well as information from water organizations and EPA officials, where applicable. We counted a water system as having an inventory if the water system provided a map, interactive map, list of pipes or service lines, or numerical count of lead service lines available to the public. To ensure the completeness of this analysis, one analyst independently conducted the search of websites and another analyst verified the search. All initial disagreements were discussed and reconciled. We compared EPA\u2019s actions to follow up on state responses with federal standards for internal control for information and communication.", "We conducted this performance audit from October 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Environmental Protection Agency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Diane Raynes (Assistant Director); Tahra Nichols (Analyst in Charge); David Blanding, Jr.; Mark Braza; Lawrence Crockett, Jr.; Justin Fisher; Richard P. Johnson, and Jeanette Soares made key contributions to this report. In addition, Cynthia Norris and Dan Royer made important contributions."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Drinking Water: Additional Data and Statistical Analysis May Enhance EPA\u2019s Oversight of the Lead and Copper Rule. GAO-17-424. Washington, D.C.: September 1, 2017.", "Water Infrastructure: Information on Selected Midsize and Large Cities with Declining Populations. GAO-16-785. Washington, D.C.: September 15, 2016.", "Water Infrastructure: EPA and USDA Are Helping Small Water Utilities with Asset Management; Opportunities Exist to Better Track Results. GAO-16-237. Washington, D.C.: January, 27, 2016.", "Drinking Water: Unreliable State Data Limit EPA\u2019s Ability to Target Enforcement Priorities and Communicate Water Systems\u2019 Performance. GAO-11-381. Washington, D.C.: June 17, 2011.", "Drinking Water: The District of Columbia and Communities Nationwide Face Serious Challenges in Their Efforts to Safeguard Water Supplies. GAO-08-687T. Washington, D.C.: April 15, 2008.", "Drinking Water: EPA Should Strengthen Ongoing Efforts to Ensure That Consumers Are Protected from Lead Contamination. GAO-06-148. Washington, D.C.: January 4, 2006.", "District of Columbia\u2019s Drinking Water: Agencies Have Improved Coordination, but Key Challenges Remain in Protecting the Public from Elevated Lead Levels. GAO-05-344. Washington, D.C.: March 31, 2005.", "Drinking Water: Safeguarding the District of Columbia\u2019s Supplies and Applying Lessons Learned to Other Systems. GAO-04-974T. Washington, D.C.: July 22, 2004."], "subsections": []}], "fastfact": ["The water crisis in Flint, Michigan, highlighted dangers of lead in drinking water infrastructure. Lead enters drinking water primarily from old service lines between water mains and houses or buildings. The total number of lead service lines across the country is unknown.", "EPA asked states to publicize information about known locations of lead service lines. However, we found most of the largest water systems have not done so.", "We recommended that EPA share information on approaches for counting lead service lines with all states."]} {"id": "GAO-18-500", "url": "https://www.gao.gov/products/GAO-18-500", "title": "Consumer Protection: Gender-Related Price Differences for Goods and Services", "published_date": "2018-08-09T00:00:00", "released_date": "2018-08-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Gender-related price differences occur when consumers are charged different prices for the same or similar goods and services because of factors related to gender. While variation in costs and consumer demand may give rise to such price differences, some policymakers have raised concerns that gender bias may also be a factor. While the Equal Credit Opportunity Act and Fair Housing Act prohibit discrimination based on sex in credit and housing transactions, no federal law prohibits businesses from charging consumers different prices for the same or similar goods targeted to different genders.", "GAO was asked to review gender-related price differences for consumer goods and services sold in the United States. This report examines, among other things, (1) how prices compared for selected goods and services marketed to men and women, and potential reasons for any price differences; (2) what is known about price differences for men and women for products not differentiated by gender, such as mortgages; and (3) the extent to which federal agencies have identified and addressed any concerns about gender-related price differences.", "To examine these issues, GAO analyzed retail price data, reviewed relevant academic studies, analyzed federal consumer complaint data, and interviewed federal agency officials, industry experts, and academics."]}, {"section_title": "What GAO Found", "paragraphs": ["Firms differentiate many consumer products to appeal separately to men and women by slightly altering product attributes like color or scent. Products differentiated by gender may sell for different prices if men and women have different demands or willingness to pay for these product attributes. Of 10 personal care product categories (e.g., deodorants and shaving products) that GAO analyzed, average retail prices paid were significantly higher for women's products than for men's in 5 categories. In 2 categories\u2014shaving gel and nondisposable razors\u2014men's versions sold at a significantly higher price. One category\u2014razor blades--had mixed results based on two price measures analyzed, and two others\u2014disposable razors and mass-market perfumes\u2014showed no significant gender price differences. GAO found that the target gender for a product is a significant factor contributing to price differences identified, but GAO did not have sufficient information to determine the extent to which these gender-related price differences were due to gender bias as opposed to other factors, such as different advertising costs. Though the analysis controlled for several observable product attributes, such as product size and packaging type, all underlying differences in costs and demand for products targeted to different genders could not be fully observed.", "Studies GAO reviewed found limited evidence of gender price differences for four products or services not differentiated by gender\u2014mortgages, small business credit, auto purchases, and auto repairs. For example, with regard to mortgages, women as a group paid higher average mortgage rates than men, in part due to weaker credit characteristics, such as lower average income. However, after controlling for borrower credit characteristics and other factors, three studies did not find statistically significant differences in borrowing costs between men and women, while one found women paid higher rates for certain subprime loans. In addition, one study found that female borrowers defaulted less frequently than male borrowers with similar credit characteristics, and the study suggested that women may pay higher mortgage rates than men relative to their default risk. While these studies controlled for factors other than gender that could affect borrowing costs, several lacked important data on certain borrower risk characteristics, such as credit scores, which could affect analysis of gender disparities. Also, several studies analyzed small samples of subprime loans that were originated in 2005 or earlier, which limits the generalizability of the results.", "In their oversight of federal antidiscrimination statutes, the Bureau of Consumer Financial Protection, Federal Trade Commission, and Department of Housing and Urban Development have identified limited consumer concerns based on gender-related pricing differences. GAO's analysis of complaint data received by the three agencies from 2012\u20132017 found that they had received limited consumer complaints about gender-related price differences. The agencies provide general consumer education resources on discrimination and consumer awareness. However, given the limited consumer concern, they have not identified a need to incorporate additional materials specific to gender-related price differences into their existing consumer education resources."]}], "report": [{"section_title": "Letter", "paragraphs": ["Gender-related price differences can occur when manufacturers differentiate their products to appeal separately to female and male consumers, such as with clothing, personal care products, toys, and other consumer goods. In addition, businesses may offer different prices to female and male consumers for services, such as dry cleaning or haircuts, to account for different costs, different consumer preferences, or other factors associated with providing services to different genders. While manufacturing, marketing, or other cost differences may contribute to gender-related price differences, some policymakers have raised concerns that gender bias may play a role. Moreover, if female and male consumers pay different prices for similar products that they purchase frequently, such as personal care products, this could result in substantial differences in expenditures by gender over time. A consumer\u2019s annual spending on a product category can be significant, even when prices for products within that category are low.", "You asked us to review gender-related price differences for goods and services sold in the U.S. marketplace. This report examines (1) how prices compared for selected categories of consumer goods that are differentiated for men and women, and potential reasons for any significant price differences; (2) what is known about the extent to which men and women may pay different prices in, or experience different levels of access to, markets for credit and goods and services that are not differentiated based on gender; (3) the extent to which federal agencies have identified and taken steps to address any concerns about gender- related price differences; and (4) state and local government efforts to address concerns about gender-related price differences.", "To address our first objective, we purchased and analyzed Nielsen Company (Nielsen) data on retail prices paid for 10 personal care product categories for calendar year 2016. The product categories included underarm deodorants, body deodorants, disposable razors, nondisposable razors, razor blades, shaving creams, shaving gels, and three categories of fragrances. We selected these categories because they are commonly-purchased consumer goods that were categorized by gender in the Nielsen data. The women\u2019s and men\u2019s versions of personal care products we selected are generally more similar in terms of the form, size, and packaging in comparison to certain other consumer product categories that are also differentiated by gender, such as clothing. We used regression models to analyze data on retail prices paid for 10 categories of personal care products differentiated for men and women. We assessed the reliability of the Nielsen data by reviewing relevant documentation and conducting interviews with Nielsen representatives to review steps they took to collect and ensure the reliability of the data. In addition, we electronically tested data fields for missing values, outliers, and obvious errors. We determined that these data were sufficiently reliable for our purposes. For more details on the methodology for, and limitations of, our analysis of these retail price data, see appendix I.", "We also manually collected listed prices for 16 pairs of selected personal care products from four different retailer websites over two 7-day periods in January and March 2018. We selected comparable pairs of similar men\u2019s and women\u2019s products that were differentiated by product attributes, such as scent or color, and were commonly sold across retailers. We included product pairs from similar categories used in our analysis of the Nielsen data. For more details on our online price data collection and the limitations associated with interpreting the results, see appendix II.", "To address our second objective, we identified and reviewed studies that examined differences between the prices men and women paid for, or their access to, consumer services and goods that are not differentiated by gender\u2014specifically interest rates, pricing, or access for mortgages or other loan types while controlling for the effects of factors other than gender or sex. We also identified and reviewed three studies on differences in price for autos and auto repair services. We found the studies we reviewed to be reliable for purposes of determining what is known about price differences for the same products, though several studies analyzed nonrepresentative data samples, such as subprime mortgage loans, and thus the results are not generalizable.", "For our third objective, we reviewed relevant federal antidiscrimination statutes and agency documentation related to oversight and enforcement of these statutes. To learn about the potential extent of consumer concerns about price differences that could be based solely on gender or sex, we analyzed federal data on consumer complaints and investigations. We selected a random sample of gender-related consumer complaints from three databases managed by the Bureau of Consumer Financial Protection (BCFP), the Federal Trade Commission (FTC), and the Department of Housing and Urban Development (HUD), respectively, and counted the number of complaints alleging a perceived gender- related price difference. We assessed the reliability of these data by reviewing documentation and interviewing agency officials about these databases. We determined that these data were sufficiently reliable for our purposes of identifying complaints of gender-related price differences. In addition, we interviewed agency officials from BCFP, FTC, HUD, and the Department of Justice (DOJ), as well as industry experts and academics, on gender-related price differences.", "To address our fourth objective, we identified and reviewed three examples of state and local laws that specifically address gender-related price differences. We also interviewed officials from the state and localities that had enacted these laws. See appendix III for more information on our scope and methodology.", "We conducted this performance audit from October 2016 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Many consumer products\u2014such as deodorants, shaving products, and hair care products\u2014are differentiated to appeal specifically to men or women through differences in packaging, scent, or other product characteristics (see fig. 1). These differences related to gender can affect manufacturing and marketing costs that may contribute to price differences in products targeted to different genders.", "However, firms may also charge consumers different prices for the same (or very similar) goods and services even when there are no differences in costs to produce. To maximize profits, firms use a variety of techniques to charge prices close to the highest price different consumers are willing to pay. Firms may attempt to get segments of the consumer market to pay a higher price than another segment by slightly altering or differentiating the product. Based on the differentiated products, consumers self-select into different groups according to their preferences and what they are willing to pay. For example, some consumer goods have different versions of what is essentially the same product\u2014except for differences in packaging or features, such as scent\u2014with one version intended for women and another version intended for men. The two products may be priced differently because the firm expects that one gender will be willing to pay more for the product than the other based on preference for certain product attributes.", "Firms may also use some group characteristic, such as age or gender, to charge different prices because some groups may have differences in willingness or ability to pay. For example, a firm may offer discounted movie tickets to students or seniors, as they may have less disposable income. For the seller the cost of providing the movie is the same for any customer, but the seller is able to maximize its profits by offering tickets to different groups of customers at different prices. A firm\u2019s ability to differentiate prices depends on multiple factors, such as the firm\u2019s market power (so that competitors cannot put downward pressure on prices to eliminate the price differences), the presence of consumer segments with different demands and willingness to pay, and control over the sale of its product so it cannot be easily resold to exploit price differences.", "In addition, the extent to which consumers pay different prices for the same or similar goods can depend on other factors, such as consumers\u2019: willingness to purchase an item they believe may be priced higher for ability to compare prices and product characteristics and choose a product based on its characteristics rather than its price, choices about whether to purchase a more expensive version of the product (e.g., a branded item versus a cheaper store brand), choices about where to purchase the item (i.e., when different retailers sell the same item at different prices), and use of coupons or promotions.", "No federal law expressly prohibits businesses from charging different prices for the same or similar consumer goods and services targeted to men and women. However, consumer protection laws do prohibit sex discrimination in credit and real estate transactions. Specifically, the Equal Credit Opportunity Act (ECOA) prohibits creditors from discriminating against credit applicants based on sex or certain other characteristics and the Fair Housing Act (FHA) prohibits discrimination in the housing market on the basis of sex or certain other characteristics.", "ECOA and FHA (collectively known as the fair lending laws) prohibit lenders from, among other things, refusing to extend credit or using different standards in determining to extend credit based on sex. Credit, such as a credit card account or mortgage loan, is generally made available and priced based on a number of risk factors, including credit score, income, and employment history. A borrower with a lower credit score is likely to pay a higher interest rate on a loan, reflecting the greater risk to the lender that the borrower could default on the loan. In addition to the interest rate, borrowing costs for consumers can also include fees and other costs charged by lenders or brokers. However, there may be differences in average outcomes for men and women\u2014such as for availability of credit or interest rates\u2014if there are differences related to gender in the factors that determine creditworthiness, such as income.", "BCFP, FTC, the federal prudential regulators, and DOJ have the authority to investigate alleged violations of ECOA and are primarily responsible for enforcing the act\u2019s requirements, while HUD and DOJ share responsibility for enforcing the provisions of FHA. Further, BCFP and the prudential regulators oversee regulated entities for compliance with ECOA by, among other things, collecting complaints from the public and through routine inspections of the financial institutions they oversee. HUD and DOJ have the authority to bring enforcement actions for alleged violations of FHA."], "subsections": []}, {"section_title": "Prices Differed Significantly for Selected Men\u2019s and Women\u2019s Personal Care Products, but We Could Not Attribute the Differences to Bias as Opposed to Other Factors", "paragraphs": ["In 5 out of 10 product categories we analyzed, personal care products targeted to women sold at higher average prices than those targeted to men after controlling for certain observable factors. For 2 of the 10 product categories, men\u2019s versions sold at higher average prices. While the factors we controlled for likely proxy for various costs and consumer preferences, we could not fully observe all underlying differences in costs and demand for products targeted to different genders. As a result, we could not determine the extent to which the gender-based price differences we observed may be attributed to gender bias as opposed to other factors."], "subsections": [{"section_title": "For 5 of 10 Product Categories Analyzed, Women\u2019s Products Sold at Higher Average Prices Than Men\u2019s after Controlling for Some Observable Factors", "paragraphs": ["Women\u2019s versions of personal care products sold at a statistically significant higher average price than men\u2019s versions for 5 of the 10 personal care product categories we analyzed\u2014using two different price measures and after controlling for observable factors that could affect price, such as brands, product size or quantity, promotional expenses (see table 1) and other product-specific attributes (e.g., scent, special claims, form). Because women\u2019s and men\u2019s versions of the same product were frequently sold in different sizes, we compared prices using two price measures: average item price and average price per ounce or count of product. For 2 of the 10 product categories\u2014shaving gel and nondisposable razors\u2014men\u2019s versions sold at a statistically significant higher price using both price measures. For one category (razor blades), women\u2019s versions sold at a statistically significant higher average price per count, but there was no gender price difference using average item prices. Additionally, for two product categories\u2014disposable razors and mass-market perfumes\u2014there were no statistically significant price differences between men\u2019s and women\u2019s products using either price measure.", "In addition to this analysis of retail price scanner data, we also manually collected advertised online prices for a limited selection of personal care products targeted to women and men from several online retailers. Some price comparisons of advertised online prices for men\u2019s and women\u2019s versions of a product were similar to comparisons of average prices paid based on the Nielsen retail price scanner data. For example, for three pairs of comparable underarm deodorants, the women\u2019s deodorant was listed at a higher price per ounce on average than the men\u2019s deodorant (see app. II). In addition, for one pair of shaving gel products we analyzed, the men\u2019s shaving gel was listed at a higher price per ounce on average. However, for both pairs of nondisposable razors we analyzed, the women\u2019s razors were listed at a higher average price per count than the men\u2019s razors. This contrasted with the Nielsen data showing that men\u2019s nondisposable razors sold at higher prices on average than women\u2019s. An important limitation of our analysis of these advertised prices is that we were unable to determine the extent to which consumers actually paid these prices and in what volume the products were sold, and our results are not generalizable to the broader universe of prices for these products sold at other times or by other online retailers."], "subsections": []}, {"section_title": "We Could Not Determine the Extent to Which Price Differences May Be Due to Market Factors as Opposed to Gender Bias", "paragraphs": ["Though we found that the target gender for a product is a significant factor contributing to price differences we identified, we do not have sufficient information to determine the extent to which these gender- related price differences were due to gender bias as opposed to other factors. Versions differentiated to appeal to men and women can result in different costs for the manufacturer. Our econometric analysis controlled for many observable factors related to costs, such as product size, promotional activity, and packaging type. We also controlled for many product attributes such as forms, scents, and special claims that products make to account for underlying manufacturing cost differences. In addition, we controlled for brands, which can reflect consumer preferences. However, we do not have firm-level data on all cost differences\u2014for example, those related to advertising and packaging. As a result, we could not determine the extent to which the price differences we observed may be explained by remaining cost differences between men\u2019s and women\u2019s products.", "We also do not have the data to determine the extent to which men and women have different demands and willingness to pay for a product, which would be expected to affect the prices firms charge for differentiated products. For example, some academic experts we spoke with said that women may value some product attributes, such as design and scent, more than men do. If products differentiated to incorporate those attributes do not result in different costs, then differences in prices could be part of a firm\u2019s pricing strategy based on the willingness of one gender to pay more than another.", "The conditions necessary for firms to be able to implement a strategy of price differentiation likely exist for the personal care products we analyzed. First, our analysis suggests that due to industry concentration, there is limited market competition for the 10 personal care products we analyzed. With more market power, firms can more easily set different prices for different consumer segments. Second, firms have the ability to segment the market for personal care products by tailoring product characteristics related to gender, such as by labeling the product as women\u2019s deodorant or men\u2019s deodorant, or by altering scent or colors. Third, while men and women are able to freely purchase a product targeted to the opposite gender, certain factors may limit the extent to which this occurs. For example, some product differences such as scents may discourage one gender from buying products targeted to another gender. In addition, consumers may find it difficult and time- consuming to compare prices for similar men\u2019s and women\u2019s products because of the ways they are differentiated (such as product size and scents) and because they may be sold in different parts of a store."], "subsections": []}]}, {"section_title": "Studies We Reviewed Found Limited Evidence of Price Differences for Men and Women for Mortgages, Small Business Credit, and Auto Purchases", "paragraphs": ["We reviewed studies that compared prices for men and women in four markets where the product or service is not differentiated by gender: mortgages, small business credit, auto purchases, and auto repairs. First, we reviewed studies on mortgage and small business credit that analyzed interest rates and access to credit to identify any differences for men and women. Second, we reviewed studies that compared prices quoted to men and women in auto purchase and repair markets. However, several of these studies have important limitations, such as using nonrepresentative data samples, and the results are not generalizable."], "subsections": [{"section_title": "Studies on Mortgages Found Mixed Evidence of Disparities in Borrowing Costs between Men and Women", "paragraphs": ["Studies we reviewed found that women as a group pay higher interest rates on average than men in part due to weaker credit characteristics. After controlling for borrower credit characteristics and other factors, three studies did not find statistically significant differences in interest rates between men and women for the same type of mortgage, while one study found that women paid higher mortgage rates for certain subprime loans. In addition, one study found that female borrowers defaulted less frequently on their loans than male borrowers with similar credit characteristics, suggesting that women as a group may pay higher mortgage rates than men relative to their default risk. While these studies attempted to control for factors other than gender or sex that could affect borrowing costs, several lacked important data on certain borrower risk characteristics. For example, several studies we reviewed rely on Home Mortgage Disclosure Act of 1975 (HMDA) data, which did not include data on risk factors such as borrower credit scores that could affect analysis of disparities between men and women. Also, several studies analyzed nonrepresentative samples of loans, such as subprime loans or loans originated more than 10 years ago, which limits the generalizability of the results (see table 2).", "Three of the studies we reviewed found that while women on average were charged higher interest rates on mortgage loans than men, this difference was not statistically significant after controlling for other factors. For example, one study found that differences in mortgage interest rates between men and women became insignificant after controlling for differences in how men and women shop for mortgage rates. The authors used data from the 2004 Survey of Consumer Finances (SCF) to analyze the effect on interest rates of mortgage features, borrower characteristics such as gender, and market conditions. However, their analysis did not include data on some borrower credit characteristics such as credit score and debt-to-income ratio that could affect borrowing costs. Another study found that women were charged higher interest rates for subprime loans made in 2005, but once the authors controlled for observed risk characteristics there was no evidence of disparity in interest rates by gender of the borrower in the subprime market.", "However, the authors\u2019 data did not include any fees paid at loan origination, which could affect the overall cost of borrowing. A third study that examined disparities between men and women in subprime loans found no significant evidence that gender affected the cost of borrowing within the subprime market, though it did find that women\u2014particularly African American women\u2014were more likely to have subprime loans. The authors found that, even after controlling for some financial characteristics and loan terms, single African American women were more likely than non-Hispanic white couples to have subprime loans.", "One study analyzed subprime loans made by one large lender from 2003 through 2005 and found that women paid more for subprime mortgages than men after controlling for some risk factors. This study found that women had higher average borrowing costs\u2014as measured by annual percentage rate\u2014than men, and controlling for credit characteristics such as credit scores and debt-to-income ratios did not fully explain the differences. However, the authors did not control for other factors that could also affect borrowing costs, such as differences in education, shopping behaviors, and geographic location.", "Additionally, a research paper found that female-only borrowers\u2014that is, where the only borrower is a woman\u2014default less than male-only borrowers with similar loans and credit characteristics. The authors found that female-only borrowers on average pay more for their mortgage loans because they generally have weaker credit characteristics, such as lower income, and also because a higher percentage of these mortgage loans are subprime. However, after controlling for credit characteristics such as credit score, loan term, and loan-to-value ratio, among others, the analysis showed that these weaker credit characteristics do not accurately predict how well women pay their mortgage loans. Since pricing is tied to credit characteristics and not performance, women may pay more relative to their actual risk than do similar men."], "subsections": []}, {"section_title": "Studies on Small Business Credit Did Not Identify Gender Differences in Borrowing Costs but Found Mixed Evidence of Differences for Access to Credit", "paragraphs": ["Studies we reviewed on small business loans generally did not find differences in interest rates, though some found differences in denial rates and other accessibility issues between female- and male-owned firms. Most of the studies we reviewed used data from the 1993, 1998, or 2003 Survey of Small Business Finances (SSBF), which could limit the applicability or relevance of their findings today. A study that analyzed data from the 1993 SSBF did not find evidence that businesses owned by women paid more for credit than firms owned by white men. However, when the authors took into account the market concentration and competition, they found that white female-owned firms experienced increased denial rates in less competitive markets. In addition, the study found that women may avoid applying for credit in those markets because of the fear of being denied. For example, almost half of all small business owners who needed credit reported that they did not apply for credit, and these rates were even higher for businesses owned by women and minorities.", "Other studies found that women may have less access to small business credit than men, in part because of higher denial rates and because they may not apply for credit out of fear of rejection. For example, one study found that women-owned firms have higher loan denial rates compared with men; however, this is mainly due to differences in business characteristics of female- and male-owned firms. The authors also found that even when denial rates are the same for small businesses with similar characteristics, women\u2019s loan application rates are lower, suggesting that women may be discouraged from applying for credit by the higher overall denial rates for female-owned firms. Another study by one of the same authors examined the reasons why female borrowers may be discouraged from applying for a business loan compared to male business owners and found that it was mainly because they fear that their application will be rejected. A third study by the same author found that women in general did not have less access to credit than men, though newer female-owned firms received significantly lower loan amounts than requested compared to their male-owned counterparts. Similarly, the study also found that women with few years of experience managing or owning a business received significantly lower loan amounts compared with men with similar years of experience. A fourth study looked at six different types of loans, including lines of credit, and found that white women were significantly more likely than white men to avoid applying for a loan because they assume they would be denied. However, once the authors\u2019 model controlled for education differences, all gender disparities in applying for credit disappeared, though white women were still less likely than white men to have loans."], "subsections": []}, {"section_title": "Studies Found That Men and Women Paid or Were Quoted Different Prices for Auto Purchases and Auto Repairs", "paragraphs": ["Studies we reviewed on auto purchases and repairs found that a seller\u2019s expectation of what customers are willing to pay and how informed they seemed can differ by gender, which can affect the price customers are quoted. However, these studies were published in 1995 and 2001, which may limit the applicability or relevance of their findings today. The 2001 study we reviewed on auto purchases found that though women paid higher prices than men for car purchases on average, these differences declined when cars were purchased online. The authors suggest that this may be because Internet consumers can effectively convey their level of price knowledge and therefore may seem better informed to the sellers. They also suggest it could be because the dealerships have less information about online consumers and their willingness to pay, which may limit the extent of price differentiation. The 1995 study on auto purchases found that the dealers quoted significantly lower prices to white males than to female or African American test buyers using identical, scripted bargaining strategies in part because dealers may have made assumptions about women\u2019s willingness to bargain for lower prices.", "We also reviewed one study on auto repairs that found that women were quoted higher prices than men if they seemed uninformed about the cost of car repair when requesting a quote, but the price differences disappeared if the study participant mentioned an expected price. The study suggests that a potential explanation for this result could be that auto repair shops expect women to accept a price that is higher than the market average and men to accept a price below it."], "subsections": []}]}, {"section_title": "Federal Agencies Have Identified Limited or No Consumer Concerns about Price Differences Based on Sex or Gender", "paragraphs": [], "subsections": [{"section_title": "Federal Agencies Monitor Consumer Complaints and Identified Limited Examples of Concerns of Price Differences Based on the Consumer\u2019s Sex or Gender", "paragraphs": ["BCFP and HUD have responsibilities to monitor consumer complaints in the consumer credit and housing markets, respectively. Additionally, FTC monitors complaints about the consumer credit and consumer goods markets. All three agencies play a role in potentially monitoring or addressing issues of gender-related price differences and have online complaint forms for submission of consumer complaints:", "BCFP collects and reviews consumer complaints about financial products and services and provides complaints and related data in its Consumer Complaint Database. In 2017 BCFP received approximately 320,200 consumer complaints. The products that generated the most complaints in 2017 were \u201cCredit or consumer reporting,\u201d \u201cDebt collection,\u201d and \u201cMortgage.\" According to BCFP officials, BCFP also analyzes loan and demographics data collected through HMDA and other data sources to monitor and identify market trends. In addition, BCFP and the federal financial regulators examine fair lending practices of the institutions they regulate, and these examinations have uncovered sex discrimination in credit products by FDIC and NCUA.", "FTC receives complaints and the complaints are stored in the Consumer Sentinel Network, a database of consumer complaints received by FTC, as well as those filed with other federal and state agencies and organizations, such as mass marketing fraud complaints from the Council of Better Business Bureaus. The complaints in the Consumer Sentinel Network focus on consumer fraud, identity theft, and other consumer protection matters, such as debt collection, and can include complaints related to consumer credit markets.", "HUD receives consumer complaints about potential FHA violations through its website, via its toll-free phone hotline, and in writing. HUD monitors those complaints through its online HUD Enforcement Management System. HUD investigates all complaints for which it has jurisdictional authority. HUD may monitor complaints to identify trends, but HUD officials stated that the agency does not generally monitor consumer credit and housing market data, absent a specific complaint. In cases where HUD has jurisdictional authority under FHA, HUD offers conciliation between the parties. If resolution is not reached, and HUD determines there is reasonable cause to believe a violation has occurred, the parties may elect to have the matter heard in U.S. District Court or at HUD.", "In their oversight of federal antidiscrimination statutes, BCFP officials said they have not identified significant consumer concerns about price differences based on a consumer\u2019s sex or gender. FTC and HUD officials identified some examples of concerns of this nature. For example, FTC has taken enforcement actions alleging unlawful race- and gender-related price differences. HUD has also identified several cases where pregnant women and their partners applied for a mortgage while the woman was on maternity leave, and the couple\u2019s mortgage loan application was denied."], "subsections": []}, {"section_title": "Our Analysis of Federal Agency Data Identified Few Consumer Complaints about Price Differences Based on Sex or Gender", "paragraphs": ["BCFP, FTC, and HUD have received few consumer complaints about price differences related to sex or gender, according to our analysis of a sample of each agency\u2019s 2012\u20132017 complaint data (see table 3). In separate samples of 100 gender-related complaints at BCFP, HUD, and FTC, we found that 0, 4, and 1 complaint, respectively, were related to price differences based on sex or gender. Three of the complaints from HUD also cited differences in price based on other protected classes (such as race or ethnicity).", "Half of the academic experts and consumer groups we interviewed told us that in some markets it is difficult for consumers to observe and compare prices paid by other consumers, such as when prices are not posted or can be negotiated (e.g., car sales). In such cases, consumers may not know if other consumers are paying a higher or lower price than the price quoted to them. Most academic experts also told us that when consumers are aware that price differences could exist, they may make different decisions when making purchases. Additionally, officials from BCFP noted that price differences related to gender may be difficult for consumers to identify, or that consumers may not know where to complain."], "subsections": []}, {"section_title": "Agencies Provide Resources on Discrimination and Have Not Developed Other Consumer Education Efforts on Gender in Part Due to Limited Public Complaints", "paragraphs": ["The consumer education resources of BCFP, FTC, and HUD provide general consumer education resources on discrimination (i.e., consumer user guide or a website) and consumer awareness. Officials from BCFP and HUD said they have not identified a need to develop other consumer education resources specific to gender-related price differences. For example, BCFP\u2019s print and online consumer education materials are intended to inform consumers of their rights and protections related to credit discrimination, which includes discrimination based on sex or gender. The three agencies\u2019 consumer education materials also provide advice that could help consumers avoid paying higher prices regardless of their gender\u2014such as home-buying resources and resources on comparison shopping. However, the agencies have not developed additional educational resources focused specifically on potential gender- related price differences in part because few complaints on this topic have been collected in their databases, agency officials told us. FTC officials noted that it tries to focus its education efforts on topics that will have the greatest benefit to consumers, often determined by information it gathers through complaints and investigations.", "Representatives of five consumer groups and industry associations told us that they have received few complaints about gender-related price differences. However, four consumer groups noted that low concern could be the result of consumers being unaware of price differences related to gender. For example, as indicated above, price differences related to gender may be difficult for consumers to identify when they cannot determine whether they are paying a higher price than others. Representatives of two retailing industry associations similarly stated that they have not heard concerns about price differences related to gender."], "subsections": []}]}, {"section_title": "Some State and Local Governments Have Passed Laws to Address Concerns about Gender-related Price Differences", "paragraphs": ["In response to consumer complaints or concerns about gender disparities in pricing, at least one state (California) and two municipalities (Miami- Dade County and New York City) have passed laws or ordinances to prohibit businesses from charging different prices for the same or similar goods or services solely based on gender (see table 4). In addition, two of these laws included requirements related to promoting price transparency. California enacted the Gender Tax Repeal Act of 1995, which prohibits businesses from charging different prices for the same or similar services based on a consumer\u2019s gender. The law also requires certain businesses to display price information and disclose prices upon request, according to state officials with whom we spoke. Similarly, in 1997, Miami-Dade County passed the Gender Pricing Ordinance, which prohibits businesses from charging different prices based solely on a consumer\u2019s gender (though businesses are permitted to charge different prices if the goods or services involve more time, difficulty, or cost). In the same year, it also passed an ordinance that prohibits dry cleaning businesses from charging different prices for similar services based on gender. This ordinance also requires those businesses to post all prices on a clear and conspicuous sign, according to county officials with whom we spoke.", "State and local officials we interviewed identified benefits and challenges associated with these laws. For example, California, New York City, and Miami-Dade County officials noted that these laws give them the ability to intervene to address pricing practices that may lead to discrimination based on gender. In addition, California state officials said that the state\u2019s efforts to implement the Gender Tax Repeal Act helped to improve consumer awareness about gender price differences. However, officials from California and Miami-Dade County cited challenges associated with tracking relevant complaints. For example, Miami-Dade County\u2019s online complaint form includes a narrative section but does not ask for the complainant\u2019s gender. Consumers do not always identify their gender in the narrative or state that that was the reason for their treatment.", "Additionally, officials from California and Miami-Dade County stated that seeking out violations would be very resource-intensive, and they rely on residents to submit complaints about violations."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to BCFP, DOJ, FTC, and HUD. BCFP, FTC, and HUD provided technical comments on the report draft, which we incorporated where appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, BCFP, DOJ, FTC, HUD, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or cackleya@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Nielsen Retail Price Data Analysis Methodology", "paragraphs": ["We used a multivariate regression model to estimate the effect of gender (to which a product is targeted to) on the price of that product while controlling for other factors that may also affect the product\u2019s price. The factors that we controlled for were the product size, promotional and packaging costs, and other product characteristics discussed in detail later. We used scanner data from the Nielsen Company (Nielsen) for calendar year 2016 and analyzed the following 10 product categories: (1) underarm deodorants, (2) body deodorants, (3) shaving cream, (4) shaving gel, (5) disposable razors, (6) nondisposable razors, (7) razor blades, (8) designer perfumes, (9) mass-market perfumes, and (10) mass-market body sprays. We estimated the following regression model for each of our 10 product categories: P=\u03b1+\u03b2*Male + \u03bb* Size + \u03b8*Owner +\u03b7*Promotion+ \u03bc*X + \u03b4*Y + \u03b5 The dependent variable P in the above equation represents price. For our analysis, we constructed two measures of price. The first is the item price, estimated as the total dollar sales of an item (each item is depicted by a unique Universal Product Code (UPC) in the Nielsen data), divided by the total units sold of that item. The second measure of price that we use is price per ounce or price per count. This is estimated as the item price divided by the total quantity of product, where quantity or size depicts the number of ounces (as in the case of fragrances) or the count of blades in razor blade packs. The total quantity of the product is the ounces or counts of one item multiplied by the number of items included in a specific product configuration. For example, a 2-pack of deodorant sticks where each deodorant stick is 2.7 ounces would be a total quantity of 5.4 ounces.", "The variable Male in the above equation is an indicator variable depicting whether the product is designated as a \u201cmen\u2019s\u201d product in the Nielsen data. It is represented as a value of \u201c1\u201d for men\u2019s products and a value of \u201c0\u201d for women\u2019s products. The co-efficient for this variable, parameter \u03b2, would therefore show the price difference between a men\u2019s and women\u2019s product. A negative value would imply a lower price for products designated as men\u2019s products.", "The variable Size represents the most appropriate specification of the size of the product.", "Owner is a set of indicator variables representing all the brand owners selling a particular product. The brand of a product can be expected to have a substantial effect on prices for the kind of products we analyze because brands can be a proxy for quality for some consumers. However, we also found that firms often create gender-specific brands, so holding brands constant rendered most gender-based price comparisons infeasible. To overcome this, we hold owners instead of brands constant for our price comparison analysis.", "The variable Promotion represents the percentage of dollar sales that were sold on any type of promotion. This variable proxies for promotional costs to some extent based on the assumption that the greater the proportion of sales due to promotional activity, the greater the promotional costs.", "The variables X represent a set of indicator variables for packaging characteristics such as package delivery method (for example, roll-on or aerosol spray deodorants) or package shape (for example, bottle, tube, or can). We expect these characteristics to proxy for different costs associated with different packaging methods.", "The variables Y represent a set of indicator variables representing different product characteristics (for example, forms such as gel stick or smooth solid and claims such as \u201cactive cooling\u201d or \u201canti-wetness\u201d for underarm deodorants, and blade types such as \u201ctriple edge\u201d and \u201cflexible six\u201d for razors). These product characteristics may proxy for some underlying manufacturing costs or even consumer preferences. Since firms may create gender-specific product attributes\u2014scents like \u201csweet petals\u201d and \u201cpure sport\u201d or razor head types and colors to differentiate products between genders\u2014we did not always keep every product attribute constant when comparing prices. The idiosyncratic error term is represented by \u03b5.", "All of our regressions are weighted, with the proportion of units sold for a particular item in that year as the weight. This is because, for personal care products, there are large differences in units sold of various product types and brands, and therefore it not useful to compare simple un- weighted average prices. For example, for one company the highest selling men\u2019s deodorant stick sold almost 12 million units in 2016, and the highest selling women\u2019s deodorant stick sold over 8 million units. The average units sold for underarm deodorants as a whole was just over 300,000 units, and 1,000 products out of a total of almost 3,000 products had less than 100 units sold in 2016.", "The linear model we used has the usual shortcomings of being subject to specification bias to the extent the relationship between price and each of the independent variables is not linear. The model also does not include complete data on costs, such as advertising and packaging, or consumers\u2019 willingness to pay, both of which have an effect on the price differences. The model may thus also be subject to omitted variable bias. In addition, the model may have some endogeneity issues to the extent the product characteristics themselves are influenced by consumers\u2019 willingness to pay for some of those product features. To reduce the impact of any model misspecifications or heteroscedasticity, we used the robust (or Huber-White sandwich) estimator.", "We estimated the regression model above for each of the 10 products separately and for each of the two measures of price. We used Nielsen\u2019s in-store, retail price scanner data, which include information on total volume sold and dollar sales for items purchased at 228 retailers including grocery stores, drug stores, mass merchandisers (such as Target), dollar stores, club stores (such as Sam\u2019s Club), and convenience stores. The data capture 82 percent of all U.S. sales. Nielsen also projects sales for the remaining noncooperating retailers, and that information is included in this dataset. We excluded some very small brands that did not have enough units sold from our regression analysis in order to avoid outliers. These brands usually had less than 50,000 units sold over the entire year, and for some products they represented less than 1 percent of all units sold. We found that average retail prices paid were significantly higher for women\u2019s products than for men\u2019s in 5 out of 10 personal care products. In 2 categories, men\u2019s versions sold at a significantly higher price. One category had mixed results based on two price measures analyzed, and two others showed no significant gender price differences. A summary of our regression results is presented in table 5."], "subsections": []}, {"section_title": "Appendix II: Collection of Online Prices for Selected Personal Care Products", "paragraphs": ["We manually collected prices for 16 pairs of selected personal care products from the websites of four online retailers that also operated physical store locations. We selected comparable pairs of similar men\u2019s and women\u2019s products that were differentiated by product attributes, such as scent or color, and were sold at most or all of the four retailers. The products were selected based on several comparability factors such as brand, product claims, and number of blades in a razor. For two 1-week time periods in January and March 2018, we collected prices manually between 1:00 p.m. and 7:00 p.m. (ET) over two 7-day time periods. We collected listed prices and did not adjust the prices for any promotions that were available, such as online coupons or buy-one-get-one-free offers.", "Table 6 presents the results of our online price collection. These results have important limitations:", "The average prices shown are not generalizable to the broader universe of prices for these products sold at other times or by other online retailers.", "The data reflect prices advertised to consumers rather than the prices consumers actually paid.", "The data do not capture the volume of sales for each item for each retailer; in our analysis, we weighted all advertised prices equally across the retailers. As a result, differences we found within these advertised prices may not have translated into comparable differences in prices female and male consumers paid for these products online.", "The prices do not reflect any promotional discounts, volume discounts, or other discounts that may have been available to some or all consumers."], "subsections": []}, {"section_title": "Appendix III: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how prices compared for selected categories of consumer goods that are differentiated for men and women, and potential reasons for any significant price differences; (2) what is known about the extent to which men and women may pay different prices in, or experience different levels of access to, markets for credit and goods and services that are not differentiated based on gender; (3) the extent to which federal agencies have identified and taken steps to address any concerns about gender-related price differences; and (4) state and local government efforts to address concerns about gender-related price differences.", "To compare prices for selected goods that are differentiated for men and women, we purchased and analyzed Nielsen Company (Nielsen) data on retail prices paid for 10 personal care product categories for calendar year 2016. The product categories included underarm deodorants, body deodorants (typically sold as a spray), disposable razors, nondisposable razors, razor blades, shaving creams, shaving gels, and three categories of fragrances. We selected these categories of personal care products because they are commonly purchased consumer goods that were categorized by gender in the Nielsen data. The women\u2019s and men\u2019s versions of personal care products we selected are generally more similar in terms of the form, size, and packaging in comparison to certain other consumer product categories that are also differentiated by gender, such as clothing. We used regression models to analyze data on retail prices paid for the 10 categories of personal care products differentiated for women and men. To assess the reliability of the Nielsen data, we reviewed relevant documentation and conducted interviews with Nielsen representatives to review steps they took to collect and ensure the reliability of the data. In addition, we electronically tested data fields for missing values, outliers, and obvious errors. We determined that these data were sufficiently reliable for our purposes. For more details on the methodology for, and limitations of, our analysis of these retail price data, see appendix I.", "We also manually collected listed prices for 16 pairs of selected personal care products from four different retailer websites over two 7-day periods in January and March 2018. For each pair, we selected comparable men\u2019s and women\u2019s products that were differentiated by product attributes, such as scent or color, and were commonly sold across retailers. For more details on our online price data collection and the limitations associated with interpreting the results, see appendix II.", "To examine what is known about the extent to which men and women may be offered different prices or access for the same goods or services, we reviewed academic literature identified through a literature search covering the last 25 years. To identify existing studies from peer-reviewed journals, we conducted searches using subject and keyword searches of various databases, such as EconLit, Scopus, ProQuest, and Social SciSearch. We also used a snowball search technique\u2014meaning we reviewed relevant academic literature cited in our selected studies\u2014to identify additional studies. We performed these searches and identified articles from December 2016 to April 2018. From these searches, we identified 21 studies that appeared in peer-reviewed journals or research institutions\u2019 publications from 1995 through 2016 and were relevant to gender-related price differences for the same products. We reviewed and assessed each study\u2019s evaluation methodology based on generally accepted social science standards. See the bibliography at the end of this report for a list of the 21 studies.", "We then summarized the research findings. A GAO economist read and assessed each study, using the same data collection instrument. The assessment focused on information such as the types of disparities examined, the research design and data sources used, and methods of data analysis. The assessment also focused on the quality of the data used in the studies as reported by the researchers and any limitations of data sources for the purposes for which they were used. A second GAO economist reviewed each completed data collection instrument to verify the accuracy of the information included. As a result, the 21 studies that we selected for our review met our criteria for methodological quality. We found the studies we reviewed to be reliable for purposes of determining what is known about price differences for the same products. However, these studies have important limitations, such as using nonrepresentative data samples, and the results are not generalizable.", "To examine the federal role in overseeing gender-related price differences, we reviewed relevant federal statutes and agency guidance, and interviewed officials from the Federal Trade Commission (FTC), Bureau of Consumer Financial Protection (BCFP), the Department of Housing and Urban Development (HUD), and the Department of Justice (DOJ). To help identify the extent of concerns about gender-related price differences, we interviewed representatives from eight consumer groups, three industry associations, and four academic experts. Additionally, we reviewed a sample of consumer complaints from databases managed by BCFP, FTC, and HUD (Consumer Complaint Database, Consumer Sentinel Network, and Enforcement Management System, respectively). Complaints were submitted by consumers across the United States about various financial products, housing grievances, and other consumer protection concerns.", "To identify our universe of gender-related consumer complaints in BCFP and FTC databases, we used the following search terms that targeted sex or gender discrimination: discriminat, unfair, treat, decept, abus, female, woman, women, man, men, male, gender, sex, female, woman, women, man, men, male, gender, and sex. HUD\u2019s consumer complaint database is categorized by protected class (e.g., race, sex, national origin), so we did not need to use search terms to identify gender-related complaints.", "For the years 2012 through 2017, we identified 6,117 BCFP consumer complaint narratives; 10,472 FTC consumer complaints narratives; and 5,421 HUD consumer complaint narratives that were relevant to our scope. We then drew a stratified random probability sample of 100 gender-related consumer complaints from each database. To determine which complaints in our samples were about price differences related to gender or sex, two team members read through each complaint narrative and coded whether or not the complainant\u2019s narrative indicated that they felt that they paid or were charged more because of their gender or sex. A third team member conducted a final review of the results, and made a final determination in cases where there were differences in the first two team member\u2019s assessments.", "With this probability sample, each member of the study population had a nonzero probability of being included, and that probability could be computed for any member. We followed a probability procedure based on random selections and our sample is only one of a large number of samples that we might have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our particular sample\u2019s results as a 95 percent confidence interval (with a margin of error of 5.9 percent). This is the interval that would contain the actual population value for 95 percent of the samples we could have drawn. We assessed the reliability of these data by reviewing documentation and interviewing agency officials about the databases used to collect these complaints. We determined that these data were sufficiently reliable for our purposes of identifying complaints of gender- related price differences.", "To explore state and local efforts to address concerns about gender- related price differences, we conducted a literature search and identified three state or local laws or ordinances that specifically address gender- related price differences: California, Miami-Dade County, Florida, and New York City, New York. We reviewed these laws and ordinances and interviewed officials from these jurisdictions to discuss motivations for, oversight of, and the impact of these laws.", "We conducted this performance audit from October 2016 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix IV: Descriptive Statistics of Nielsen Retail Price Data", "paragraphs": ["For each of 10 personal care product categories we analyzed, we compared the overall average prices for women\u2019s products and men\u2019s products using two measures of average price: average item price and average price per ounce or count. While the second price measure adjusts the average price for quantity of product, these comparisons did not take into account the effect on price of differences in product brand, packaging, and other characteristics.", "As shown in table 7, adjusting the average item price to account for differences in product quantity (ounces or count) significantly affected the size and magnitude of gender price differences for several product categories. This is because men\u2019s products in the dataset were frequently larger in size or count compared with women\u2019s products in the same category. For example, women\u2019s disposable razors sold for 11 percent less than those targeted to men when we compared average item prices. However, when we compared average price per count of razors, women\u2019s disposable razors sold for 19 percent more on average than men\u2019s. This is because women\u2019s disposable razors had on average about one fewer razor per package. In 5 out of 10 product categories, women\u2019s versions of the product on average sold for a higher price per ounce or count than men\u2019s and these differences were statistically significant at the 95 percent confidence level for 4 products and at the 90 percent level for one product.", "Information about sales and relative sizes of different products targeted to men and women are presented in table 8 below."], "subsections": []}, {"section_title": "Appendix V: Selected Federal Agency Consumer Complaint Processes", "paragraphs": ["This appendix provides additional details about the consumer complaint processes at the Bureau of Consumer Financial Protection (BCFP), Federal Trade Commission (FTC), and Department of Housing and Urban Development (HUD). Consumers with a complaint about unfair treatment related to gender could submit a complaint to one of these agencies. BCFP and FTC monitor consumer complaints related to violations under the Equal Credit Opportunity Act, while HUD and the Department of Justice (DOJ) investigate housing discrimination complaints under the Fair Housing Act. These complaints could be about price differences because of gender."], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Alicia Puente Cackley, (202) 512-8678 or cackleya@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, John Fisher (Assistant Director), Jeff Harner (Analyst in Charge), Vida Awumey, Bethany Benitez, Namita Bhatia-Sabharwal, Kelsey Kreider, and Kelsey Sagawa made key contributions to this report. Also contributing to this report were Abigail Brown, Michael Hoffman, Jill Lacey, Oliver Richard, Tovah Rom, and Paul Schmidt."], "subsections": []}]}, {"section_title": "Appendix VII: Bibliography", "paragraphs": ["We reviewed literature to identify what is known about the extent to which female and male consumers may face different prices or access in markets for credit and goods and services that are not differentiated based on gender. This bibliography contains citations for the 20 studies and articles that we reviewed that compared prices or access for female and male consumers in markets where the product is not differentiated by gender (mortgages, small business credit, auto purchases, and auto repairs).", "Asiedu, Elizabeth, James A. Freeman, and Akwasi Nti-Addae. \u201cAccess to Credit by Small Businesses: How Relevant Are Race, Ethnicity, and Gender?\u201d The American Economic Review, vol. 102, no. 3 (2012): 532- 537.", "Ayers, Ian and Peter Siegelman. \u201cRace and Gender Discrimination in Bargaining for a New Car.\u201d The American Economic Review, vol. 85, no. 3. (1995): 304-321.", "Blanchard, Lloyd, Bo Zhaob, and John Yinger. \u201cDo lenders discriminate against minority and woman entrepreneurs?\u201d Journal of Urban Economics 63 (2008): 467\u2013497.", "Blanchflower, David G., Phillip B. Levine, and David J. Zimmerman. \u201cDiscrimination in the Small-Business Credit Market.\u201d The Review of Economics and Statistics, vol. 85, no. 4 (2003): 930-943.", "Busse, Meghan R., Ayelet Israeli, and Florian Zettelmeyer. \u201cRepairing the Damage: The Effect of Price Expectations on Auto Repair Price Quotes.\u201d National Bureau of Economic Research, Working Paper 19154 (2013).", "Cavalluzzo, Ken S., Linda C. Cavalluzzo, and John D. Wolken. \u201cCompetition, Small Business Financing, and Discrimination: Evidence from a New Survey.\u201d The Journal of Business, vol. 75, no. 4 (2002): 641- 679.", "Cheng, Ping, Zhenguo Lin, and Yingchun Liu. \u201cDo Women Pay More for Mortgages?\u201d The Journal of Real Estate Finance and Economics, vol. 43 (2011): 423-440.", "Cheng, Ping, Zhenguo Lin, and Yingchun Liu. \u201cRacial Discrepancy in Mortgage Interest Rates.\u201d The Journal of Real Estate Finance and Economics, vol. 51 (2015): 101-120.", "Cole, Rebel, and Tatyana Sokolyk. \u201cWho Needs Credit and Who Gets Credit? Evidence from the Surveys of Small Business Finances\u201d. Journal of Financial Stability, vol. 24 (2016), 40-60.", "Coleman, Susan. \u201cAccess to Debt Capital for Women- and Minority- Owned Small Firms: Does Educational Attainment Have an Impact?\u201d Journal of Developmental Entrepreneurship, vol. 9, no. 2 (2004): 127-143.", "Duesterhas, Megan, Liz Grauerholz, Rebecca Weichsel, and Nicholas A. Guittar. \u201cThe Cost of Doing Femininity: Gendered Disparities in Pricing of Personal Care Products and Services,\u201d Gender Issues, vol. 28, (2011): 175-191.", "Goodman, Laurie, Jun Zhu, and Bing Bai. \u201cWomen Are Better than Men at Paying Their Mortgages.\u201d Urban Institute, Research Report (2016).", "Haughwout, Andrew, et al. \u201cSubprime Mortgage Pricing: The Impact of Race, Ethnicity, and Gender on the Cost of Borrowing.\u201d Brookings- Wharton Papers on Urban Affairs (2009): 33-63.", "Mijid, Naranchimeg. \u201cGender differences in Type 1 credit rationing of small businesses in the US.\u201d Cogent Economics & Finance, vol. 3 (2015).", "Mijid, Naranchimeg. \u201cWhy are female small business owners in the United States less likely to apply for bank loans than their male counterparts?\u201d Journal of Small Business & Entrepreneurship, vol. 27, no. 2 (2015): 229- 249.", "Mijid, Naranchimeg and Alexandra Bernasek. \u201cGender and the credit rationing of small businesses.\u201d The Social Science Journal, vol. 50 (2013): 55-65.", "Morton, Fiona Scott, Florian Zettelmeyer, and Jorge Silva-Risso. \u201cConsumer Information and Price Discrimination: Does the Internet Affect the Pricing of New Cars to Women and Minorities?\u201d National Bureau of Economic Research, Working Paper 8668 (2001).", "O\u2019Connor, Sally. \u201cThe Impact of Gender in the Mortgage Credit Market.\u201d University of Wisconsin-Milwaukee Doctoral Dissertation (1996).", "Van Rensselaer, Kristy N., et al. \u201cMortgage Pricing and Gender: A Study of New Century Financial Corporation.\u201d Academy of Accounting and Financial Studies Journal, vol. 18, no. 4 (2014): 95-110.", "Wyly, Elvin and C.S. Ponder. \u201cGender, age, and race in subprime America.\u201d Housing Policy Debate, vol. 21, no. 4 (2011): 529-564.", "Zimmerman Treichel, Monica and Jonathan A. Scott. \u201cWomen-Owned Businesses and Access to Bank Credit: Evidence from Three Surveys Since 1987.\u201d Venture Capital, vol. 8, no. 1 (2006): 51-67."], "subsections": []}], "fastfact": ["Do women pay more than men for similar consumer products, giving rise to what some call a \u201cPink Tax\u201d? After controlling for product size and other factors, prices for half of the personal care items we looked at are higher for women, including deodorants and fragrances. Some men's items cost more, such as razors.", "Whether the price differences are due to gender bias is unclear. Ad costs and consumer preferences also affect pricing. No federal law prevents firms from charging different prices for men's and women's products.", "Three federal agencies that oversee antidiscrimination laws received few consumer complaints about gender bias in pricing."]} {"id": "GAO-18-343", "url": "https://www.gao.gov/products/GAO-18-343", "title": "Immigration Detention: Opportunities Exist to Improve Cost Estimates", "published_date": "2018-04-18T00:00:00", "released_date": "2018-04-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In fiscal year 2017, ICE operated on a budget of nearly $3 billion to manage the U.S. immigration detention system, which houses foreign nationals whose immigration cases are pending or who have been ordered removed from the country. In recent years, ICE has consistently had to reprogram and transfer millions of dollars into, out of, and within its account used to fund its detention system. The explanatory statement accompanying the DHS Appropriations Act, 2017, includes a provision for GAO to review ICE's methodologies for determining detention resource requirements. This report examines (1) how ICE formulates its budget request for detention resources, (2) how ICE develops bed rates and determines ADP for use in its budget process, and (3) to what extent ICE's methods for estimating detention costs follow best practices. GAO analyzed ICE's budget documents, including CBJs, for fiscal years 2014 to 2018, examined ICE's models for projecting ADP and bed rates, and evaluated ICE's cost estimating process against best practices."]}, {"section_title": "What GAO Found", "paragraphs": ["U.S. Immigration and Customs Enforcement (ICE) formulates its budget request for detention resources based on guidance from the Office of Management and Budget and the Department of Homeland Security (DHS). To project its detention costs, ICE primarily relies on two variables\u2014the average dollar amount to house one adult detainee for one day (bed rate) and the average daily population (ADP) of detainees.", "U.S. Immigration and Customs Enforcement's (ICE) Formula to Calculate Detention Costs", "GAO found a number of inconsistencies and errors in ICE's calculations for its congressional budget justifications (CBJs). For example, in its fiscal year 2015 budget request, ICE made an error that resulted in an underestimation of $129 million for immigration detention expenses. While ICE officials stated their budget documents undergo multiple reviews to ensure accuracy, ICE was not able to provide documentation of such reviews. Without a documented review process for reviewing the accuracy of its budget request, ICE is not positioned to ensure the credibility of its budget requests.", "ICE has models to project the adult bed rate and ADP for purposes of determining its budget requests. However, ICE consistently underestimated the actual bed rate due to inaccuracies in the model, and it is unclear if the ADP used in the budget justification is based on statistical analysis. GAO identified factors in ICE's bed rate model\u2014such as how it accounts for inflation and double counts certain costs\u2014that may lead to its inaccurate bed rate projections. For example, in fiscal year 2016, ICE's projections underestimated the actual bed rate by $5.42 per day. For illustrative purposes, underestimating the bed rate by $5 per day, assuming an ADP of 34,000, yields a more than $62 million underestimation in the detention budget request. By assessing its methodology and addressing identified inaccuracies, ICE could ensure a more accurate estimate of its actual bed rate cost. Additionally, ICE reported that the ADP projections in its CBJs are based on policy decisions that account, for example, for anticipated policies that could affect the number of ICE's detainees. While ICE's projected ADP may account for policy decisions, documenting the methodology and rationale by which it determined the projected ADP would help demonstrate how the number was determined and that it was based on sound assumptions.", "ICE's methods for estimating detention costs do not fully meet the four characteristics of a reliable cost estimate, as outlined in GAO's Cost Estimating and Assessment Guide . For example, while ICE's fiscal year 2018 detention cost estimate substantially met the comprehensive characteristic, it partially met the well-documented and accurate characteristics, and minimally met the credible characteristic. By taking steps to fully reflect cost estimating best practices, ICE could better ensure a more reliable budget request."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Director of ICE: (1) document and implement its review process to ensure accuracy in its budget documents; (2) assess ICE's adult bed rate methodology; (3) update ICE's adult bed rate methodology; (4) document the methodology and rationale behind the ADP projection used in budget requests; and (5) take steps to ensure that ICE's detention cost estimate more fully addresses best practices. DHS concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Homeland Security\u2019s (DHS) U.S. Immigration and Customs Enforcement (ICE), through its Enforcement and Removal Operations (ERO) directorate, manages the nation\u2019s immigration detention system, which houses foreign nationals detained while their immigration cases are pending or after being ordered removed from the country. ICE requested $2.2 billion for fiscal year 2017 to operate the immigration detention system. The DHS Appropriations Act, 2017, provided nearly $2.6 billion, around $380 million over the request, and ICE reprogrammed funds ultimately amounting to approximately $2.97 billion to fund the system during fiscal year 2017. The explanatory statement accompanying DHS\u2019s fiscal year 2017 appropriation states \u201cfor the past several years, the agency\u2019s forecast for the required number of detention beds and its cost estimates have resulted in budget requests that missed the mark by wide margins.\u201d In recent years, ICE has reprogrammed and transferred millions of dollars within, into, and out of the Custody Operations account to adjust for differences in funds provided versus actual costs of immigration detention as well as changes in immigration enforcement policy and migration patterns, among other factors. For example, in fiscal year 2015, ICE transferred $111.3 million out of the Custody Operations account; and in fiscal year 2016, ICE transferred and reprogrammed an additional $50.8 million for immigration detention purposes.", "To determine its immigration detention costs, ICE primarily relies on two variables\u2014the average dollar amount required to house one adult detainee for one day (bed rate) and the average daily population (ADP) of detainees. According to ICE, changes in policy may also have an impact on anticipated immigration detention cost estimates. For example, executive orders on border security and immigration enforcement issued in January 2017 led ICE officials to anticipate an increase in the population of detained individuals. ICE\u2019s fiscal year 2018 budget justification reflected this expectation, increasing the projected ADP by 49 percent over the fiscal year 2016 actual ADP and increasing the budget request to $3.6 billion for immigration detention\u2014more than $1 billion over the fiscal year 2017 appropriation.", "The explanatory statement accompanying the DHS Appropriations Act, 2017, includes a provision for us to review ICE\u2019s current methodologies for determining immigration detention resource requirements, including how it estimates the ADP, and ICE\u2019s efforts to improve the accuracy of its cost estimates and projections. This report examines (1) how ICE formulates its budget request for detention resources, (2) how ICE develops bed rates and determines ADP for use in its budget process, and (3) to what extent ICE\u2019s methods for estimating detention costs follow GAO best practices.", "To describe and assess how ICE formulates its budget request for detention resources, we analyzed ICE\u2019s congressional budget justifications, budget calculations, and supporting documentation from fiscal year 2014 through fiscal year 2018. Focusing on detention cost information during this time period allowed us to examine four years of data, as well as the data used to create the fiscal year 2018 budget request and cost estimate. Since ICE had not yet received an appropriation for fiscal year 2018 during the time of our review, we could not assess ICE\u2019s budget projection compared to actual costs for fiscal year 2018. We interviewed ICE and DHS officials to understand the steps in ICE\u2019s budget process and the calculations and methodology used within the budget requests. We also evaluated ICE\u2019s process against Office of Management and Budget (OMB) and DHS guidance for formulating budget requests, and Standards for Internal Control in the Federal Government.", "To describe and assess how ICE develops bed rates and determines the ADP for use in its budget process, we examined ICE\u2019s models for calculating and projecting bed rates and for tracking and forecasting ADP. We assessed the reliability of ICE\u2019s data used to calculate bed rate costs and ADP by reviewing the data used within the bed rate and ADP models and interviewing officials responsible for overseeing the models, and found the data sufficiently reliable for the purposes of this report. We also interviewed ICE and DHS officials to better understand how they calculate the bed rate and ADP variables, including the methodology they use and what factors they account for. We then compared ICE\u2019s projected bed rates and ADP from fiscal year 2014 through fiscal year 2017 to the actual bed rates and ADP to assess the accuracy of ICE\u2019s estimates. We examined the bed rate model to determine whether the formulas used were appropriate for their application and that all variables were correct to create an accurate bed rate. After examining the formulas in the model, we recreated the bed rate model using the appropriate formulas, formulated a bed rate using the appropriate calculations, and then utilized ICE\u2019s projected ADP to derive a cost estimate for detention beds. In addition, a GAO statistician evaluated ICE\u2019s ADP model to identify its strengths and weaknesses, described how ICE may apply the model, and assessed its practical forecasting value for the budget request justification. Finally, we evaluated ICE\u2019s methodology for projecting the bed rate and ADP against OMB\u2019s Circular A-11 and DHS\u2019s Resource Planning Guidance for determining and applying a proper inflation rate, accepted practices for statistical modeling, and federal internal control standards, as well as GAO\u2019s Cost Estimating and Assessment Guide.", "To assess the extent to which ICE\u2019s methods for estimating detention costs follow best practices, we evaluated ICE\u2019s process for developing its immigration detention cost estimates, specifically the most recent budget request, against GAO\u2019s best practices for cost estimation. We examined ICE\u2019s fiscal year 2018 congressional budget justification and supporting documentation and interviewed agency officials to understand how ICE formulated its fiscal year 2018 estimate for immigration detention resources. We compared our findings to the 12 best practices detailed in GAO\u2019s Cost Estimating and Assessment Guide. Based on documentation provided by ICE, a GAO analyst assessed ICE\u2019s estimate for detention costs for each of the 12 best practices. For our reporting needs, we collapsed these best practices into four general characteristics for sound cost estimating, which include: well documented, comprehensive, accurate, and credible. The assessment of each characteristic was based on an average of ICE\u2019s scores for the best practices included in that category. A second analyst verified the assessment and then management reviewed the results.", "We conducted this performance audit from May 2017 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federal Budget Process and Relevant ICE Entities", "paragraphs": ["The federal budget process provides the means for the President and Congress to make informed decisions between competing national needs and policies, to allocate resources among federal agencies, and ensure laws are executed according to established priorities. OMB, as part of the Executive Office of the President, is to guide the annual budget process, make decisions on executive agencies\u2019 budgets, aggregate submissions for agencies, and submit the consolidated document for the executive branch as the President\u2019s Budget Request to Congress. In support of the President\u2019s budget request, departments are to submit budget justifications to the congressional appropriations committees, typically to explain the key changes between the current appropriation and the amounts requested for the next fiscal year. During the process, OMB is to ensure that budget requests are consistent with presidential objectives and issue guidance to federal agencies through OMB Circular A-11, which provides instructions for submitting budget data and materials, as well as for developing budget justifications.", "Various offices within ICE are involved in developing ICE\u2019s annual budget request for immigration detention (see fig. 1). Two ICE entities integral to the budget request formulation are the Office of Budget and Program Performance (OBPP) and Enforcement and Removal Operations (ERO). Within ICE\u2019s Office of the Chief Financial Officer, OBPP is responsible for guiding ICE\u2019s annual budget request process, including analyzing and validating budget projections for all of ICE\u2019s directorates, including ERO. ERO is responsible for estimating the total amount of funding to cover costs of immigration detention. For the upcoming budget year, ERO determines the projected ADP, while OBPP determines the projected bed rate. ERO then utilizes the two variables of bed rate and ADP in its estimate of future detention costs. Other offices within ICE, such as Custody Management, Field Operations, Operations Support, Management and Administration, and the Office of Policy are involved in the formulation of other aspects of ICE\u2019s budget or in supervisory roles. Figure 1 is an organizational chart of ICE offices that are involved in the annual budget request for immigration detention resources."], "subsections": []}]}, {"section_title": "ICE Formulates Its Budget Request According to DHS Guidance, But Does Not Have a Documented Review Process to Ensure Accuracy of Budget Calculations", "paragraphs": [], "subsections": [{"section_title": "ICE Follows DHS Guidance and Uses Key Variables to Formulate its Budget Request", "paragraphs": ["ICE follows budget formulation guidance from DHS, and uses two key variables\u2014the bed rate and ADP\u2014when formulating its budget request. Approximately 20 months before the start of a particular fiscal year, the Secretary of Homeland Security provides its Resource Planning Guidance to all DHS components. This document works to align the department\u2019s planning, programming, and budgeting activities and execution activities over a five-year period, and sets forth the resource planning priorities of the department as they relate to its mission. The department planning priorities are to guide the DHS components as they develop their respective Resource Allocation Plans (RAP). After the Secretary issues the Resource Planning Guidance, DHS\u2019s Office of the Chief Financial Officer provides fiscal guidance to ICE that identifies an estimated allocation amount, which ICE is to budget to in its RAP submission.", "In developing its RAP, each of ICE\u2019s program offices determines its current budget needs and then submits Program Decision Options (PDO) to ICE leadership for any changes from the prior year\u2019s budget. Every ICE program and activity submits, in the form of a PDO, any changes that are to occur, including all programmatic increases, initiatives, reductions, or eliminations. Once all of the program offices submit their PDOs to ICE leadership, a council of leadership representatives from across ICE convenes to approve and prioritize the selected PDOs moving forward to DHS.", "ICE submits its RAP to DHS for a final decision with all pertinent information attached, such as the prioritized PDOs based on mission and department needs, fiscal changes to programs, and potential capital investments. During the Resource Allocation Decision (RAD) process, DHS leadership reviews all of the RAP submissions from across the department and approves or rejects the PDOs. Individual program offices work out any changes that may have occurred during the RAD process prior to the completion of the budget request and submission to OMB.", "DHS then submits a budget proposal on behalf of the entire department, inclusive of ICE, to OMB. OMB is to prepare a budget request for all of the executive departments and agencies, which is submitted to Congress as the President\u2019s budget. Following OMB decisions on agency budget requests, DHS submits a budget justification, inclusive of ICE, with more details to the congressional appropriations committees. Key steps in the overall process are shown in figure 2.", "When preparing the budget submission, ICE uses two key variables, the bed rate and ADP (see sidebar), to calculate a cost estimate for the resources needed for managing the immigration detention system. In order to determine the amount necessary to operate the detention system for adult detainees, ICE multiplies the projected ADP by the projected bed rate by the number of days in the year (see fig. 3). ICE then includes these costs as part of its Custody Operations account."], "subsections": []}, {"section_title": "ICE Does Not Have a Documented Review Process to Ensure the Accuracy of Budget Calculations", "paragraphs": ["ICE does not have a documented review process to ensure the accuracy of its budget calculations presented in its yearly congressional budget justifications (CBJ). Based on our review of CBJs from fiscal year 2014 to fiscal year 2018, there are a number of inconsistencies and errors in the numerical calculations pertaining to immigration detention costs. During our review of ICE\u2019s fiscal year 2014 and fiscal year 2015 budget requests, we calculated the total amounts requested for ICE\u2019s immigration detention costs using its formula (see fig. 3) and the ADP and bed rate figures provided in the budget request and compared it with ICE\u2019s requested amount. Based on our calculations, the amounts ICE requested are not consistent (by a difference of $34.7 million for fiscal year 2014 and $129 million for fiscal year 2015) with the figures used to develop their estimate. ICE officials acknowledged the error.", "Additionally, ICE\u2019s fiscal year 2017 budget request erroneously applied $2 million in costs from detention beds to transportation and removal, resulting in a request for $2 million less for detention beds and $2 million more for transportation and removal, a total of $4 million in errors in the agency\u2019s estimate. In response to the misapplication of $2 million, ICE officials stated that the CBJ still provided for the same net total because the two mistakes offset each other. Officials also stated that the final appropriation ultimately was not based on its budget request numbers and ICE\u2019s detention activities were funded at an amount that was greater than what they requested. The fiscal year 2018 request also contains a multiplication error that resulted in ICE requesting less funds\u2014$4,000\u2014 than using the correct calculation.", "ICE officials told us that there are multiple reviews of the budget documents prior to submission to ensure that the numbers presented are accurate and supportable. However, ICE could not provide us with any documentation that the reviews were conducted. ICE officials stated that reviews were typically completed using hard copies and then approval was verbal and not documented formally. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives and respond to risks. Such activities include review processes to ensure the accuracy of budget calculations prior to official submission and appropriate documentation of the reviews.", "While the final appropriations that Congress determines for ICE may ultimately be higher or lower than what ICE requested, generating and presenting an accurate picture of ICE\u2019s funding needs is necessary to provide Congress the information needed to make informed decisions. By developing and implementing a documented review process, it is more likely that relevant ICE officials are accountable for ensuring the accuracy of the budget requests and underlying calculations. Without a documented review process, ICE is not positioned to demonstrate the credibility of its budget requests. Furthermore, Congress may not have reliable information to make informed decisions about funding immigration detention needs."], "subsections": []}]}, {"section_title": "ICE Has Models for Developing Bed Rates and ADP But Could Improve Projections", "paragraphs": [], "subsections": [{"section_title": "ICE Uses Historical Costs to Develop its Projected Bed Rates But Underestimated Actual Bed Rates from Fiscal Years 2014 through 2017", "paragraphs": ["Bed Rate ICE\u2019s bed rate is based on four cost categories. Bed/guard costs: The contract costs of beds and guards at U.S. Immigration and Customs Enforcement\u2019s (ICE) various detention facilities. Health care: Medical expenses of the detainee population. Other direct costs: All costs that directly concern detainees, including payments to detainees for work programs, provisions and supplies for detainees, and telecommunications billed to individual facilities. Service-wide or indirect costs: Overhead expenses for ICE\u2019s management of the detention system, including rent, security, office equipment, and liability insurance.", "Although ICE bases its projected adult bed rate on historical costs, from fiscal year 2014 through fiscal year 2017, ICE underestimated the actual rate. ICE calculates the adult bed rate by tracking obligations and expenditures in four categories\u2014bed/guard costs, health care, other direct costs, and service-wide costs, also known as indirect costs. (See sidebar for more information.) We found that ICE has improved its process for collecting this information from its financial management system since 2014, when we previously reported that limitations in its data system required ICE personnel to manually enter codes to categorize relevant data. In fiscal year 2014, ICE introduced a new financial coding process that allows staff to pull costs\u2014the obligations and expenditures\u2014directly from its financial management system. This system is an improvement over the manual workarounds that ICE previously used and allows staff to pull the necessary data more easily for the purposes of calculating the projected bed rate.", "To estimate what ICE\u2019s projected adult bed rate will be two years into the future, ICE calculates and averages the year-over-year percentage change in costs since fiscal year 2009 and multiplies the current bed rate by this figure twice, following the formula outlined in figure 4.", "ICE calculates the year-over-year percentage change for each cost category\u2014bed/guard costs, health care, other direct costs, and service- wide costs\u2014and then applies the average of these changes to the current cost of the category. The final projected bed rate is the sum of the four cost categories. According to ICE, the average of the year-over-year percentage change serves as its inflation rate and more accurately reflects the annual escalation of its detention costs. Given that ICE must determine the projected bed rate almost two years into the future, ICE applies its inflation rate twice to the current costs.", "Although the formula outlined in figure 4 summarizes ICE\u2019s adult bed rate methodology, ICE\u2019s guidance notes that situations may occur in which it is advisable to adjust national bed rate projections to account for new trends or other changes. For example, in response to concerns from Congress about ICE\u2019s application of indirect costs, and the opportunity to revise the fiscal year 2017 bed rate, ICE officials told us they changed some of the methodology for the projected 2017 and 2018 bed rates.", "Although ICE\u2019s bed rate model is based on historical costs, from fiscal year 2014 through fiscal year 2017 ICE\u2019s adult bed rate projections underestimated the actual bed rate. Specifically, ICE underestimated the bed rate by $2.16 in fiscal year 2014, by $8.08 in fiscal year 2015, by $5.42 in fiscal year 2016, and by $0.31 in fiscal year 2017 (see fig. 5). For illustrative purposes, underestimating the bed rate by $5 per day, assuming an ADP of 34,000, yields a more than $62 million underestimation in the detention budget request.", "The bed rate model assumes that operations in the immigration detention system will continue without drastic changes and that past trends will continue since it bases its projections on historical costs. According to ICE officials, the bed rate model cannot anticipate a need to increase the capacity of the entire system, or anticipate a policy decision to close or continue operation of a facility. Either of these situations may cause the bed rate to change.", "Although certain situations may lead to unanticipated changes in the bed rate, we identified a number of factors in ICE\u2019s current bed rate model that have led to inaccuracies, including using incorrect inflation factors and mixing costs for family and adult facilities.", "ICE calculates the projected bed rate by using its own inflation rate based on the escalation of detention costs instead of a standard inflation rate provided by OMB or DHS, but did not provide documentation of its rationale. As described previously, ICE\u2019s inflation factor is based on an average of the year-over-year changes in costs since fiscal year 2009. OMB guidance states that it will provide agencies with economic assumptions to be used for budget requests, including inflation rates, and that agencies can consider price changes, such as bed/guard costs, as a factor in developing estimates. ICE officials told us that historical costs more accurately reflect potential increases, but did not provide us with documentation to support that rationale. According to ICE officials, by accepting the inflation factor used in ICE\u2019s budget request, OMB has given tacit, if not direct, approval for its usage.", "Based on our review of ICE\u2019s adult bed rate projections, historical costs may not be the best method for predicting future costs and assumes that past trends will continue, including negative inflation rates. Because the bed rate model accounts for changes on a per person basis, negative inflation factors could be due to decreasing costs or an increasing detainee population, both of which may change in the following year. For example, ICE\u2019s fiscal year 2018 bed rate model incorporates a negative inflation factor for health care costs even though in its budget justification ICE attributes part of the bed rate increase over the prior year to rising health care costs. Relying on historical costs may lead to inaccuracies if a deflationary trend does not continue as the model assumes.", "In our examination of the bed rate model, we also found that ICE did not calculate the percentage change correctly. Year-over-year percentage change compares the difference in costs in percentage terms and can be calculated by dividing the difference in costs by the starting costs. Instead of following this formula, ICE\u2019s bed rate model calculated the actual monetary difference between the two years and represented it as a percentage change. For example, from fiscal year 2009 to fiscal year 2010, the bed/guard rate increased from $77.50 to $81.59. Whereas the percentage change in the rate is 5.28 percent, ICE calculated the percentage change by subtracting one rate from the other ($4.09) and adding a percent sign (4.09%), thereby treating the dollar difference as a percentage change. (See table 1.)", "ICE officials stated that they decided to use the actual monetary difference as a way to account for inflation for the fiscal year 2018 adult bed rate. However, using the actual monetary difference in costs does not provide a percentage of change. It misrepresents a difference in price as a percentage. Further, we found that because ICE did not appropriately calculate the percentage change for each year, the average of year-over- year changes, which ICE uses as its inflation factor, is not correct. For example, ICE\u2019s inflation factor for the bed/guard rate is 2.74 percent, while the appropriate calculation is 3.28 percent. (See table 1.) (See Appendix I for more information and calculations.)", "In addition, when calculating the fiscal year 2018 projected bed rate, rather than following formulas contained in the bed rate model, ICE manually entered a different inflation factor for two cost categories\u2014other direct costs and service-wide costs\u2014instead of relying on the historical data. ICE added together the inflation factors indicated by the model for other direct costs and service-wide costs and then applied the combined inflation factor to both categories. By combining and manually entering the factors, ICE mistakenly introduced an additional error. Officials did not provide an explanation or documentation of why they manually entered these numbers or combined the two inflation factors except to state that it stemmed from the Congressional request to separate the costs.", "ICE\u2019s adult bed rate model includes information for family facilities, even though family facilities are budgeted separately and in a different manner from adult facilities. For its adult facilities, ICE contracts with the individual facilities to provide beds and the cost is dependent on the number of adults detained. ICE\u2019s family detention facilities, however, are operated by local governments or private companies and are funded through fixed price contracts that are not dependent on the number of people detained. (See sidebar for more information.)", "While ICE budgeted $291.4 million for its family facilities in fiscal year 2018, our analysis showed that ICE also included the population in its family facilities in the calculations of the adult bed rate. For example, in fiscal year 2018, ICE divided the obligations and expenditures for health care, other direct costs, and service-wide costs across the entire detainee population of adults and families, resulting in an adult bed rate that was lower than if the costs were divided by the adult population alone. Using this underestimated bed rate has resulted in a lower cost estimate than what ICE may need to sustain its adult population.", "Additionally, ICE double-counted some costs by budgeting for family facilities in both the adult bed rate and the total cost for family facilities. Specifically, we found that ICE included \u201cother direct costs\u201d associated with its family facilities when calculating its adult bed rate. Given that ICE already budgeted for these family facilities\u2019 costs as a line item within its budget for family facilities, calculating the adult bed rate in this way double-counts the costs for family facilities in the budget. ICE officials did not provide documentation or their rationale for including the family facilities in their adult bed rate model. (See Appendix I for more information and calculations.)", "Standards for Internal Control in the Federal Government states that management should use quality information to achieve objectives, defining quality information as appropriate, current, complete, accessible, and provided on a timely basis. Quality information is based on relevant data from reliable sources and relatively free from error. According to GAO\u2019s Cost Estimating and Assessment Guide, having a realistic estimate of projected costs facilitates effective resource allocation. Because information requirements should consider the expectations of external users, by basing its detention cost estimates on quality information, ICE would help ensure they are useful to Congress for making resource allocation decisions. Additionally, GAO\u2019s cost estimating guide states that applying correct inflation rates is an important step to ensure accurate cost estimates and that inflation assumptions should be well documented.", "According to ICE officials, ICE\u2019s most substantial change to the bed rate model since its creation in 2009 was a revision in 2014 to account for the costs of family facilities. In our review, we found that ICE includes information for family facilities in the adult bed rate model. By reviewing its bed rate model and methodology and correcting identified inaccuracies and other potential issues, ICE could improve its adult bed rate projections and better ensure its funding requests are credible and reliable."], "subsections": []}, {"section_title": "ICE Reported Using ADP Numbers Based on Policy Decisions to Calculate Budget Needs, But It Is Unclear How the ADP Figures Were Developed", "paragraphs": ["To calculate its budget needs, ICE reported using ADP figures that are based on policy decisions, but it is unclear if the ADP figures were based on statistical analysis. Further, ICE did not provide documentation on how it calculated the final ADP numbers used in its budget requests. For example, the fiscal year 2018 budget justification includes a projected ADP of 48,879 adults, a 63 percent increase over the fiscal year 2017 projected adult ADP (29,953) and a 49 percent increase over the fiscal year 2016 actual adult ADP (32,770). Although ICE provided a general explanation of various factors that influence ADP, including policy changes such as executive orders regarding immigration enforcement, the agency did not provide documentation quantifying the effect of these factors nor the calculations or methodology used to arrive at the 48,879 figure.", "In the absence of documentation, we reviewed ICE\u2019s CBJs from fiscal year 2014 through fiscal year 2018 and we could not identify a clear methodology that ICE used across the years for developing the ADP and using it to calculate its detention-related budget needs. For example, in the fiscal year 2018 CBJ, ICE did not independently determine the projected ADP for use as an input into its cost estimate. Rather, officials started with the prior year\u2019s funding level for detention costs, which officials told us they were directed to do by OMB, and calculated the ADP it could house with that amount. In the fiscal year 2017 budget justification, ICE used its projected ADP numbers from the previous year as starting points to calculate changes in its budget request. Additionally, while the appropriations act for fiscal year 2014 included a proviso that ICE\u2019s funding support at least 34,000 detention beds during the fiscal year, ICE included a lower number of detention beds (30,539) in its 2015 budget request.", "According to ICE officials, the ADP figures used in its budget requests are initially projected by ERO, but may be changed by ICE leadership, DHS leadership, or OMB. Officials said the final ADP figure is based on policy decisions that account for factors that could affect the detainee population\u2014for example, delays in immigration courts or the number of asylum officers on staff. According to officials, ICE prepares the budget request two years in advance of the year of execution with the best knowledge they have available at that time, including ADP projections. Officials stated that ADP is difficult to estimate given the unpredictable nature of events such as natural disasters, gang activity, or political upheaval in another part of the world, which may lead to an unanticipated increase in migration. Additionally, officials told us that various policy developments across the administration, DHS, or other agencies may affect immigration trends or enforcement. ICE officials also stated that because immigration detention facilities may receive detainees from other parts of the immigration system, ADP can be affected by actions taken by other actors involved in immigration enforcement, such as the Executive Office for Immigration Review, U.S. Customs and Border Protection, and U.S. Citizenship and Immigration Services. Such events could include, for example, delays in immigration court cases or an increase in the number of asylum cases, which could increase ADP.", "When asked to provide documentation for the fiscal year 2018 ADP projection of 51,379, ICE provided us a document containing tables and justification that explained the factors that impact ADP, but did not provide us the calculations or methodology used to arrive at the projected ADP. While the ADP used in its budget requests may be developed based on policy decisions, documenting the calculations and rationale by which the figure was developed would help to demonstrate how the number was determined and that it was based on sound decisions.", "Although ICE officials stated that ADP is difficult to forecast, the agency has developed a statistical model that may help predict the ADP. ERO\u2019s Law Enforcement Systems and Analysis (LESA) Office has developed a statistical model that uses population data directly pulled from ICE\u2019s Enforcement Information Database to forecast the ADP in upcoming years. (See sidebar for more information.) ERO began using the model in 2014, and according to officials, ICE currently uses it to estimate how much funding the agency will need for detention costs for the remainder of the fiscal year. The model describes historical trends, seasonal fluctuations, and random movement in the ADP, and then uses these historical patterns to make forecasts. Based on our evaluation, we found that this type of model was a reasonable method to forecast ADP, and that LESA\u2019s particular modeling choices were generally consistent with accepted statistical practices and appropriate for the data and application.", "Using LESA\u2019s model, ICE can produce a range of ADP forecasts under different scenarios, as well as confidence intervals for any particular forecast. Confidence intervals indicate the level of certainty around the model\u2019s forecast, depending on how wide the range is for the ADP forecast. Confidence in the model\u2019s forecasts decreases when the ADP range is smaller and when forecasting for later time periods. Because the model relies on historical data in making ADP forecasts, LESA is able to incorporate separate analysis of external or unexpected events to help inform the effects of similar events on ADP in the future. For example, according to ICE officials, LESA can conduct ad hoc analysis outside of the model of how potential policy decisions, such as a change in the number of field officers, may affect future ADP, if a similar event occurred in the past. Although new policies, processes, or political or economic events may cause the dynamics of ICE\u2019s detainee population to change in ways that historical data would not predict, incorporating this type of model into ICE\u2019s process to project ADP could potentially help provide useful and accurate forecasts in instances where ICE does have relevant historical data. ICE officials stated that ICE has used the LESA model in the past to inform the budget during the year of execution, but has only recently used it to provide confidence intervals for the ADP inputs into the budget projections when revising the projected fiscal year 2017 bed rate.", "According to GAO\u2019s Cost Estimating and Assessment Guide, having a realistic estimate of projected costs facilitates effective resource allocation. In addition, federal standards for internal control state that management should design control activities to achieve objectives, and as part of those control activities, management should clearly document significant events in a manner that allows the documentation to be readily available for examination. Without documenting the methodology or rationale behind the ADP numbers ICE uses to develop its budget request for immigration detention, Congress and other stakeholders do not have clear visibility into the number upon which ICE is basing its budget request. Additionally, by considering how or whether the LESA model could be incorporated into ICE\u2019s process for projecting ADP, ICE could leverage an existing model and identify potential improvements in the accuracy of its ADP projections based on historical data."], "subsections": []}]}, {"section_title": "ICE Does Not Fully Meet GAO Best Practices For Estimating Detention Costs", "paragraphs": ["ICE\u2019s cost estimate for immigration detention resources does not fully meet best practices outlined in GAO\u2019s Cost Estimating and Assessment Guide. As described earlier, the characteristics of a reliable cost estimate are comprehensive, well documented, accurate, and credible. As noted in table 2, ICE\u2019s cost estimate for fiscal year 2018 substantially met the comprehensive characteristic, partially met the well documented and accurate characteristics, and minimally met the credible characteristic. By not sufficiently meeting the best practices in all of the characteristics, the cost estimate for the immigration detention cannot be considered reliable.", "Based on our analysis, ICE substantially met the comprehensive characteristic by including all costs, but has double-counted certain costs, as described earlier, and has not clearly documented all ground rules and assumptions. Based on our analysis, ICE\u2019s cost estimate appears to include all government and contractor labor costs as well as material, equipment, facilities, and services to fund immigration detention, accounting for both the salary and expenses categories of the budget. ICE also adheres to DHS\u2019s Common Appropriations Structure, and follows the OMB Object Class structure for planning and tracking costs at a more granular level. Officials stated that they use past execution reports, historical data, and spend plans to help inform the necessary distribution of funding for immigration detention by project and object code.", "While ICE accounted for all costs, ICE did not directly address how the agency prevents omissions or double-counting in its cost estimate, and double-counted costs by including other direct costs for family facilities when estimating the cost to house adult detainees. Additionally, ICE did not identify ground rules and assumptions influencing the estimate. Officials said that several documents list ground rules and assumptions; however, the ground rules cited are very broad or have not been followed. For example, ICE guidance states that ICE shall fund sufficient detention beds to support current enforcement and removal priorities and mandatory detention requirements, but it does not provide a basis for determining a sufficient number of detention beds. Another important factor in determining the bed/guard rate for adult beds is tier utilization. Tier utilization refers to the use of bed space in detention centers. For example, at a given detention center, ICE may pay a lower rate if it houses more detainees. When determining the bed rate based on tier utilization, ICE did not provide documentation of the ground rules or assumptions behind the tier utilization percentage used to calculate the fiscal year 2018 bed rate. Finally, as noted earlier in this report, ICE has not documented its rationale for not following DHS or OMB guidance for applying inflation rates to the estimate.", "According to GAO\u2019s guide, given that cost estimates are based on limited information, defining ground rules and assumptions is important because they help identify the risks associated with these assumptions, including how changes in the assumptions could influence cost. Without clear documentation and rationale behind ground rules and assumptions, the estimate will not be able to be reconstructed when the budget staff and information used to develop the estimate are no longer available.", "Based on our analysis, ICE partially met the well documented characteristic by showing that its cost estimate had been reviewed by management and providing documentation that described its methodology in general. However, ICE did not show the formulas used to develop the cost estimate in sufficient detail to enable an outside party to fully follow its calculations or to re-create the fiscal year 2018 bed rate. Although the agency provided the bed rate model and showed what numbers were used as inputs into the model to project the fiscal year 2018 bed rate, it did not provide documentation that described the formulas used to calculate the projected bed rate. During our review of the bed rate model, we had to reconstruct the calculations step-by-step to identify the formulas and variables used to create the fiscal year 2018 bed rate.", "Additionally, ICE officials provided conflicting explanations regarding how they applied inflation to develop the projected fiscal year 2018 adult bed rate. In one instance, ICE officials said that they applied a 2.66 percent inflation factor to develop the fiscal year 2017 adult bed rate and then calculated and applied a cost adjustment to add more than 8,800 new beds, to produce the fiscal year 2018 bed rate. In another instance, ICE officials stated that the inflation factor was adjusted to 3.73 percent overall to develop the fiscal year 2017 bed rate and then they applied the cost adjustment to develop the fiscal year 2018 projected bed rate. These two explanations also differ from how the bed rate model applies inflation as described earlier in this report. ICE also did not document how the cost adjustment was calculated or the actual costs that the adjustment is based upon.", "When asked about documentation, ICE officials stated that the budget justification was not the appropriate document to cite detailed methodologies, but did not provide any additional supporting documentation. Documentation is essential for validating a cost estimate, including demonstrating that it is a reliable estimate of future costs. Consistent with GAO\u2019s guide, without a well documented cost estimate, ICE is not positioned to present the estimate\u2019s validity or answer questions about its basis. According to GAO\u2019s Cost Estimating and Assessment Guide, estimates that lack sufficient documentation are not useful for updates or information sharing and can hinder understanding and proper use.", "Based on our analysis, ICE partially met the accurate characteristic by basing the cost estimate on historical cost data and tracking the differences between the projected and actual bed rate and ADP. ICE officials stated that they utilized historical cost data for bed/guard contract costs, health care costs, overhead expenses, detainee wages and supplies, and detainee headcount and capacity utilization, among other categories to estimate detention costs. However, ICE did not provide evidence that it analyzes the reasons behind the variances between the cost estimate and actual numbers for each year, and as mentioned previously, we identified issues with the inflation rates used to project the bed rate and the inclusion of family facilities in the adult bed rate.", "While ICE tracks differences between the projected bed rate used in the cost estimate and the actual numbers for each fiscal year, officials did not provide evidence that they analyze the reasons for these variances nor that they use this information to reassess its assumptions or models and improve them. ICE officials said that variances between the projected and actual bed rates are documented in a quarterly report that is publicly available. While these reports track the bed rate in the execution year, they do not demonstrate that ICE tracks explanations for variances between that bed rate and the original cost estimate figures presented in the budget request. ICE provided a document that showed the bed rate projection and the year-end result for fiscal years 2013 through 2016 and quarter-end results for fiscal year 2017, but the document did not explain most of the changes from the projected and actual numbers. ICE officials also said that they conduct ad hoc analyses to identify and communicate sources of variance, but did not provide any related documentation.", "Without a comparison and analysis of the reasons behind the differences between the actual figures and the original estimates, ICE is not positioned to assess the quality of its projections and use that information to improve cost estimates. Tracking the forecast rate against the actual rate and tracking budget justification assumptions against actual conditions could offer insight into the quality of the forecasts, according to GAO\u2019s cost estimating guide.", "Based on our analysis, ICE minimally met the credible characteristic, and in particular did not conduct sensitivity or risk and uncertainty analyses to capture the cumulative effects if variables change. ICE also did not conduct any cross checks on the major cost elements using alternate methods to estimate cost. A sensitivity analysis reveals how a change in a single assumption, or variable, affects the cost estimate. A risk and uncertainty analysis would provide ICE a clear level of confidence about the estimate. ICE did not conduct a risk and uncertainty analysis for either the fiscal year 2018 cost estimate or the fiscal year 2018 bed rate model. Additionally, ICE\u2019s description of the LESA model to project ADP discussed forecast confidence levels, but ICE did not quantify the uncertainty around the ADP projection of 51,379 detainees used in the fiscal year 2018 budget justification. ICE also did not discuss the range of potential costs due to uncertainty in the ADP and bed rate projections. Having a range of costs around a point estimate is useful to decision makers because it conveys the level of confidence in achieving the most likely cost.", "Additionally, ICE did not provide any documentation showing that major cost elements were cross checked using a different method for calculating the cost estimate to see if results were similar. According to GAO\u2019s cost estimating guide, one way to reinforce the credibility of the cost estimate is to determine whether applying a different method produces similar results. If so, then confidence in the estimate increases, leading to greater credibility. ICE officials stated that internal and external auditors vetted the bed rate model and determined it to be credible, but this does not constitute an estimate cross check and using an alternate cost estimating method to cross check its estimate would provide greater assurance of its credibility. As noted previously, we found ICE\u2019s bed rate model underestimated the actual bed rates over several years.", "Unless all characteristics are met or substantially met, the cost estimate cannot be considered reliable. Additionally, a poor cost estimate can negatively affect a program by eventually requiring a transfer or reprogramming of funds. In recent years, ICE has consistently transferred and reprogrammed millions of dollars of funds to account for budgeting too little or too much for immigration detention costs. By improving the budget estimation to better reflect cost estimating best practices, ICE could ensure a more reliable budget request."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["As an agency, ICE operates the immigration detention system on a budget of nearly $3 billion. Although estimating immigration detention costs may be difficult, taking steps to improve ICE\u2019s cost estimating and budget request processes could help provide Congress with a more accurate picture of ICE\u2019s funding needs.", "Developing and implementing a documented review process for its annual budget request calculations could help ICE better ensure that its budget requests are consistently credible and reliable. Additionally, assessing its bed rate model and addressing the identified inaccuracies in its methodology could help ICE more accurately project the bed rate in upcoming years. As we noted, a difference of just five dollars in the bed rate amounts to a difference of tens of millions of dollars in the final budget calculation. Documenting the methodology or rationale behind the ADP projections would better position ICE to support the basis for its budget requests each year, and incorporating the use of a statistical model may help decision makers by providing more information about the numbers that ICE presents. Furthermore, taking steps to ensure that ICE fully addresses cost estimating best practices could ensure a more reliable overall estimate."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to ICE:", "The Director of ICE should take steps to document and implement its review process to ensure accuracy in its budget documents.", "The Director of ICE should take steps to assess ICE\u2019s adult bed rate methodology to determine the most appropriate way to project the adult bed rate, including any inflation rates used.", "The Director of ICE should take steps to update ICE\u2019s adult bed rate methodology by incorporating necessary changes based on its assessment, and ensure the use of appropriate inflation rates and the removal of family beds from all calculations.", "The Director of ICE should take steps to determine the most appropriate way to project the ADP for use in the congressional budget justification and document the methodology and rationale behind its ADP projection. As part of that determination, ICE should consider the extent to which a statistical model could be used to accurately forecast ADP.", "The Director of ICE should take steps to ensure that ICE\u2019s budget estimating process more fully addresses cost estimating best practices."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for the department\u2019s review and comment. DHS provided written comments, which are noted below and reproduced in full in appendix II, and technical comments, which we incorporated as appropriate. DHS concurred with our recommendations and described actions underway or the actions it plans to take in response.", "To our first recommendation, DHS stated that ICE recently implemented a more stringent process for the fiscal year 2020 budget cycle, and will work to more effectively document its review process and decisions during the budget formulation process. To our second recommendation, DHS stated that ICE has completed multiple third-party assessments of its bed rate methodology. We will evaluate any assessments provided and determine the extent to which those assessments meet the intent of the recommendation. To our third recommendation, DHS stated that ICE will provide GAO with documentation demonstrating updates to the adult bed rate methodology, including the use of an appropriate inflation rate and removal of family beds from calculation. We will evaluate any documentation provided and determine the extent to which ICE\u2019s actions meet the intent of the recommendation. To our fourth recommendation, DHS stated that ICE ERO developed a statistical modeling capability and provided that documentation and methodology to GAO. As previously noted in this report, we found that this type of model was a reasonable method to forecast ADP, and the particular modeling choices were generally consistent with accepted statistical practices and appropriate for the data and application. DHS began leveraging the model for its fiscal year 2019 budget cycle, and it will be important to see how the model is used in future budget justifications. To our fifth recommendation, DHS stated that ICE will implement the best practices for cost estimating to the degree that it is possible, specifically performing sensitivity and cost risk and uncertainty analyses to strengthen the credibility of its estimates. Implementing the best practices should help position ICE to produce a more reliable cost estimate. If implemented effectively, these actions should address the intent of our recommendations.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of the Department of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or GamblerR@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: GAO Analysis of U.S. Immigration and Customs Enforcement\u2019s Fiscal Year 2018 Bed Rate Model", "paragraphs": ["U.S. Immigration and Customs Enforcement (ICE) calculated a bed rate for fiscal year 2018 using a bed rate model built in Excel with data from its Federal Financial Management System and Enforcement Information Database. To project the fiscal year 2018 bed rate, ICE officials told us they used a different inflation factor from the ones set forth in guidance from the Office of Management and Budget (OMB) or the Department of Homeland Security (DHS). Specifically, ICE used an inflation factor based on the historical service costs. ICE did not provide a documented rationale for not using the OMB\u2019s inflation rate, written descriptions of the calculations within the bed rate model, or detailed ground rules and assumptions for the bed rate model.", "In examining the adult bed rate model used by ICE to project the fiscal year 2018 bed rate, we identified a number of inaccuracies and errors in the formulas used. Specifically: Instead of using the average of the percentage change in year-over- year costs, ICE used the average of the actual monetary difference in year-over-year costs and then applied that figure as a percentage; ICE added the inflation factors for two cost categories and then applied the combined rate to each category, which led to additional negative inflation; and ICE included information for family facilities, which were already budgeted as fixed priced contracts, in the calculation of the adult bed rate.", "ICE calculates a projected bed rate for two years into the future based on actual obligations and expenditures for four cost categories\u2014bed/guard costs, health care, other direct costs, and service-wide or indirect costs. Table 3 shows ICE\u2019s historical costs since fiscal year 2009 for these categories.", "Table 4 shows ICE\u2019s calculations to determine the projected fiscal year 2018 bed rate. To calculate the projected fiscal year 2018 bed rate, ICE applied its inflation factors twice to the fiscal year 2016 costs and then added a cost adjustment to account for the cost of adding new beds.", "ICE notes that the initial projected rate is for fiscal year 2017; however, this figure follows the formula that ICE would use to determine the fiscal year 2018 bed rate. With the change in administration during fiscal year 2017, ICE had the opportunity to revise its projected bed rate. ICE officials told us that they applied their inflation factors to fiscal year 2016 costs once to project the bed rate one year into the future and then applied their inflation factors a second time in order to account for an operational adjustment, which they estimated to be approximately 3 percent. ICE officials did not provide us with documentation of their calculations or analysis showing that compounding the inflation factors over two years was equivalent to one year\u2019s inflation plus an operational adjustment. In addition, because the inflation factors used in the bed rate model are based on historical costs, any operational costs should already have been accounted for in the model itself."], "subsections": [{"section_title": "Inflation Factors", "paragraphs": ["Using Actual Monetary Difference in Costs Instead of Percentage Change ICE\u2019s bed rate model is designed to use the average of year-over-year percentage change as its inflation rate. However, for the revised fiscal year 2017 and the projected fiscal year 2018 bed rates, ICE did not calculate the inflation rate based on year-over-year percentage changes, but based it on the actual monetary difference in yearly costs. ICE officials told us that in response to Congress\u2019s concerns about service- wide costs, ICE began separating service-wide costs from other direct costs in fiscal year 2017. Previously, the two cost categories had been combined as an \u201cother costs, miscellaneous\u201d cost category. ICE officials told us that when other direct costs were separated from service-wide costs, they discovered that the average of year-over-year percentage changes showed a large decrease (negative 20 percent) for other direct costs which was not reflected in a separate analysis conducted by ICE. Therefore, officials decided to use the average of the actual monetary difference in year-over-year costs instead. ICE officials did not provide documentation of this separate analysis. According to ICE officials, for consistency they decided to use the average of the actual monetary difference in year-over-year costs for all of the cost categories including bed/guard, health care, and service-wide costs. The bed rate model then applied these figures as inflation factors.", "Table 5 shows the results from ICE\u2019s calculation of yearly cost changes as percentages. In this table, ICE uses the formula of (Year 2 - Year 1)/100 and displays it as a percentage. For example, as noted in table 1, the fiscal year 2010 bed/guard rate was $81.59 and the fiscal year 2009 rate was $77.50. ICE calculated the change in the bed/guard rate for fiscal year 2010 as $81.59 - $77.50 = $4.09, and then replaced the dollar sign with a percent sign, thereby treating the dollar difference as a percentage change.", "Table 6 shows the results if the year-over-year change were calculated by comparing the actual percentage difference in costs. In this table, we use the formula of (Year 2 - Year 1) / Year 1 and display it as a percentage. For example, for fiscal year 2010, the percentage change in the bed/guard rate is 5.28 percent (or ($81.59 - $77.50) / $77.50), not 4.09 percent as calculated by ICE.", "Because of how ICE presented the percentage change for each year, the average of year-over-year changes, which ICE uses as its inflation factors, is not correct. For example, ICE\u2019s inflation factor for the bed/guard rate is 2.74 percent (see table 3), while the appropriate calculation is 3.28 percent (see table 4).", "Applying Combined Inflation Factor Twice In developing its fiscal year 2018 projected adult bed rate, ICE combined the inflation factors for two cost categories\u2014other direct costs and service-wide costs\u2014and applied the combined rate to each category. By using this combined rate, the bed rate model applies an additional -0.54 percent factor to the categories, which it otherwise would not have done if ICE applied the individual inflation factors for the categories.", "As noted in Table 7, ICE\u2019s year-over-year average change for other direct costs was -1.33 percent when ICE calculated it individually for the category, and was 0.78 percent for service-wide costs.", "Instead of applying these inflation factors (-1.33 and 0.78 percent) to the fiscal year 2016 costs for these categories, ICE added the two inflation factors for a total of -0.54 percent, based on the following calculation: - 1.3267 + 0.7833 = -0.5433. ICE then applied this combined inflation factor to both categories (see table 2). Officials did not provide us with a rationale or documentation of why they manually entered these numbers, or combined the two rates except that it stemmed from the Congressional request to separate the costs. By applying the combined inflation factor to both categories, ICE mistakenly introduced an additional error for these two cost categories."], "subsections": []}, {"section_title": "Family Facility Information in the Adult Bed Rate", "paragraphs": ["Counting Families in the Adult Bed Rate ICE\u2019s bed rate model divides the obligations and expenditures for health care, other direct costs, and service-wide costs by the entire detainee population of adults and families, resulting in an adult bed rate that is lower than if the costs were divided by the adult population alone. ICE\u2019s bed rate model is used to calculate a bed rate to estimate detention costs for the adult population. Family facilities operate on firm fixed price contracts and all cost categories for the family facilities\u2014bed/guard costs, health care costs, other direct costs, and service-wide costs\u2014are budgeted for separately from costs for adult detention in ICE\u2019s budget request. By dividing adult bed costs across its entire detainee population, ICE may be underestimating the total detention costs.", "To calculate the daily per person cost of health care, other direct costs, and service-wide or indirect costs, the bed rate model divides the total obligations and expenditures for each category by the number of mandays. Table 8 shows ICE\u2019s calculations using the formula: Obligations and Expenditures / Mandays for Adults and Families = Daily Per Person Rate By spreading these costs across the entire population, the bed rate model derives a lower daily per person cost than by considering only the adult detainee population. For example, ICE calculated the daily per person cost of health care in fiscal year 2016 as: $148,186,091 / 9,096,014 = $16.29.", "Table 9 shows what the daily per person cost of health care would be if the family population were removed from the calculation. Specifically, the daily per person health care cost would be $148,186,091 / 8,696,453 = $17.04 The result of a $0.75 underestimate in health care costs is an overall underestimation of approximately $13.4 million for the fiscal year 2018 immigration detention system cost estimate based on the calculation: $0.75 x 48,879 x 365 = $13,380,626.", "Including Family Facilities in Cost Data In addition to spreading total costs across the entire population, rather than just the adult population, ICE\u2019s bed rate model includes obligations and expenditures for family facilities. In examining ICE\u2019s data for other direct costs, we found that data from the three family facilities (Berks, Karnes, and South Texas) were included in the facility cost data. These three facilities\u2019 other direct costs totaled $222,425. Because these facilities operate on firm fixed price contracts that include other direct costs, and these costs were already budgeted at $5.5 million in the $291.4 million allotted for family facilities, these costs were double- counted in the model and the costs were added to the adult bed rate. It is unclear if cost data for family facilities are also included in the health care and in the service-wide costs used to calculate the adult bed rate. ICE officials did not provide documentation or their rationale for including the family facilities in their adult bed rate model.", "Table 10 demonstrates the effect of removing information for family facilities from the other direct cost data and then dividing by the adult population alone. This calculation results in a daily per adult rate for other direct costs of $1.75 for fiscal year 2016, which is 3 cents lower than the rate if the other direct costs for family facilities are included (and the costs are divided by the adult population alone)."], "subsections": []}]}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kirk Kiester (Assistant Director), Brian Bothwell, Pamela Davidson, Eric Hauswirth, Susan Hsu, Heather Keister, Sasan J. \u201cJon\u201d Najmi, Leah Q. Nash, Karen Richey, Daniela Rudstein, Jack Sheehan, and Jeff Tessin made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-141", "url": "https://www.gao.gov/products/GAO-19-141", "title": "Medicare: Payments for Certain Long-Term Care Hospitals that Specialize in Spinal Cord Treatment", "published_date": "2018-12-13T00:00:00", "released_date": "2018-12-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Centers for Medicare & Medicaid Services pays LTCHs for care provided to Medicare beneficiaries. There were about 400 LTCHs across the nation in 2016.", "The 21st Century Cures Act included a provision for GAO to examine certain issues pertaining to LTCHs. This report examines (1) the health care needs of Medicare beneficiaries who receive services from the two qualifying hospitals; (2) how Medicare LTCH payment polices could affect the two qualifying hospitals; and (3) how the two qualifying hospitals compare with other LTCHs and other facilities that may treat Medicare patients with similar conditions.", "GAO analyzed the most recently available Medicare claims and other data for the two qualifying hospitals and other facilities that treat patients with spinal cord injuries. GAO also interviewed HHS officials and stakeholders from the qualifying hospitals, other facilities that treat spinal cord patients, specialty associations, and others.", "GAO provided a draft of this report to HHS. HHS provided technical comments, which were incorporated as appropriate. We also provided the two qualifying hospitals summaries of information we collected from them, to confirm the accuracy of statements included in our draft report. We incorporated their comments, as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Spinal cord injuries may result in secondary complications that often lead to decreased functional independence and quality of life. The 21st Century Cures Act changed how Medicare pays certain long-term care hospitals (LTCH) that provide spinal cord specialty treatment. For these hospitals, the act included a temporary exception from how Medicare pays other LTCHs. Two LTCHs\u2014Craig Hospital in Englewood, Colorado and Shepherd Center in Atlanta, Georgia\u2014have qualified for this exception. GAO found that most Medicare beneficiaries treated at these two hospitals typically receive specialized care for multiple chronic conditions and other long-term complications that develop after initial injuries, such as pressure ulcers that can result in life-threatening infection. The two hospitals also provide specialty care for acquired brain injuries, such as traumatic brain injuries.", "GAO's simulations of Medicare payments to these two hospitals using claims data from two baseline years\u2014fiscal years 2013 and 2016\u2014illustrate potential effects of payment policies. LTCHs are paid under a two-tiered system for care provided to beneficiaries: they receive the LTCH standard federal payment rate\u2014or standard rate\u2014for certain patients discharged from the LTCH, and a generally lower rate\u2014known as a \u201csite-neutral\u201d rate\u2014for all other discharges. Under the temporary exception, Craig Hospital and Shepherd Center receive the standard rate for all discharges during fiscal years 2018 and 2019. Assuming their types of discharges remain the same as in fiscal years 2013 and 2016, GAO's simulations of Medicare payments in the baseline years indicate:", "Most of the discharges we examined would not qualify for the standard rate, if the exception did not apply.", "Medicare payments would generally decrease under fiscal year 2020 payment policy, once the exception expires.", "However, the actual effects of Medicare's payment policies on these two hospitals could vary based on factors, including the severity of patient conditions (e.g., Medicare payment is typically higher for more severe injuries), and whether hospitals' discharges meet criteria for the standard rate.", "Similarities and differences may exist between the two qualifying hospitals and other facilities that treat Medicare patients with spinal cord and brain injuries. Patients with spinal cord and brain injuries may receive care in other LTCHs, but GAO found that most Medicare beneficiaries at these other LTCHs are treated for conditions other than spinal cord and brain injuries. Certain inpatient rehabilitation facilities (IRF) also provide post-acute rehabilitation services to patients with spinal cord and brain injuries. While data limitations make a direct comparison between these facilities and the two qualifying hospitals difficult, GAO identified some similarities and differences. For example, officials from some IRFs we interviewed reported providing several of the same programs and services as the two qualifying hospitals to medically complex patients, but the availability of services and complexity of patients varied. Among other reasons, the different Medicare payment requirements that apply to LTCHs and IRFs affect the types of services they provide and the patients they treat."]}], "report": [{"section_title": "Letter", "paragraphs": ["Long-term care hospitals (LTCHs) provide care to individuals, including Medicare beneficiaries, who receive hospital services that require inpatient lengths of stay greater than 25 days, on average. The Medicare Payment Advisory Commission (MedPAC) estimates that Medicare spent approximately $5.1 billion on care provided to beneficiaries at 407 LTCHs nationwide in 2016. Traditionally, LTCHs have been paid by Medicare under the LTCH prospective payment system (PPS) at the LTCH PPS standard federal payment rate (hereafter standard rate). However, the Pathway for SGR Reform Act of 2013 introduced site-neutral payment policy, which changed Medicare\u2019s payment for services that could be provided in other less costly settings, beginning in fiscal year (FY) 2016. As a result, LTCH PPS is now a two-tiered payment system under which certain LTCH discharges continue to be paid at the standard rate, while other discharges are paid at a generally lower site-neutral rate. Site- neutral payment policy is being phased into the LTCH PPS over five years, with certain exceptions. In addition, statute provides that by fiscal year 2021 LTCHs will no longer receive the standard rate if they fail to meet certain requirements, raising concerns that some LTCHs may no longer provide care to certain patients if they are paid at the site-neutral rate.", "The 21st Century Cures Act provided a temporary exception to this two- tiered approach for certain LTCHs that provide spinal cord specialty treatment for cost reporting periods beginning during fiscal years 2018 and 2019. To qualify for this exception, LTCHs must meet three criteria and according to Centers for Medicare & Medicaid Services\u2019 (CMS) officials, two LTCHs did so\u2014Craig Hospital in Englewood, Colorado, and Shepherd Center in Atlanta, Georgia. Under current law, the LTCH PPS two-tiered payment system will apply to these hospitals after the exception expires, in fiscal year 2020 and beyond.", "The 21st Century Cures Act also included a provision for us to examine the LTCHs that qualify for this exception. In this report we describe: 1. the health care needs of Medicare beneficiaries who receive services from the two qualifying hospitals; 2. how Medicare LTCH payment policies could affect the two qualifying 3. how the two qualifying hospitals compare with other LTCHs and other facilities that may treat Medicare patients with similar conditions.", "To determine the health care needs of Medicare beneficiaries who receive services from the two qualifying hospitals, we reviewed documentation, analyzed Medicare claims data, and conducted interviews. Specifically, we reviewed documentation from the qualifying hospitals that describes the health care needs of their Medicare beneficiaries, including those beneficiaries receiving services for spinal cord injury, and acquired brain injuries, such as traumatic brain injury. We also analyzed Medicare claims data for federal fiscal years 2013 through 2016\u2014the most recent data available at the time of our analysis\u2014to identify commonly charged Medicare severity long term care diagnosis- related group (MS-LTC-DRG) codes at both hospitals. Finally, we interviewed representatives from the two qualifying hospitals; Department of Health and Human Services (HHS) officials, including officials from CMS, the National Institutes of Health, and the Administration for Community Living; as well as other selected stakeholders on the health care needs of these beneficiaries and the services they may receive from the qualifying hospitals. We selected these other stakeholders based on their relevant experience to cover a range of perspectives on the health care needs of patients with spinal cord injury or traumatic brain injury. We identified these stakeholders by conducting Internet searches on organizations that work with patients or conduct research on spinal cord and traumatic brain injuries, through analysis of Medicare claims data, or through referrals from agency officials and other stakeholders we interviewed. These stakeholders included: (1) health care providers with experience treating spinal cord or acquired brain injury patients, including providers from facilities that are among the National Institute on Disability, Independent, Living, and Rehabilitation Research (NIDILRR) Spinal Cord Injury and Traumatic Brain Injury Model Systems; (2) representatives from specialty associations, such as the National Association of Long- Term Hospitals and the American Academy of Physical Medicine and Rehabilitation; and (3) representatives from patient advocacy organizations, including the Christopher & Dana Reeve Foundation and the Brain Injury Association of America.", "To determine how Medicare LTCH payment policies could affect the two qualifying hospitals, we reviewed relevant laws and regulations, analyzed Medicare claims data, and interviewed officials and stakeholders. Specifically, we reviewed Medicare laws and regulations providing for payments to acute care hospitals and LTCHs from fiscal years 2016 through 2018. We also analyzed Medicare claims data for federal fiscal years 2013 through 2016 to determine the payments made to the two qualifying hospitals prior to the temporary exception. We then conducted simulations of Medicare payments to calculate what the two qualifying hospitals would have been paid for patient discharges that occurred in two baseline years\u2014fiscal years 2013 and 2016\u2014if applicable payment rules from future years were applied to those discharges. See appendix I for more information on how we conducted these simulations. In addition, we interviewed officials from HHS, including CMS, to gather information on how payment policies are being implemented. Lastly, we interviewed representatives from the two qualifying hospitals and some of the other stakeholder groups, officials from MedPAC, and state officials from Georgia and Colorado to determine how LTCH payment policies have, or are expected to, affect the two qualifying hospitals and other LTCHs.", "To describe how the two qualifying hospitals compare with other LTCHs and other facilities that may treat Medicare patients with similar conditions, we analyzed Medicare claims data for federal fiscal years 2013 through 2016, reviewed information provided by the qualifying hospitals and other stakeholders, and conducted interviews. Specifically, we reviewed Medicare claims data for LTCHs\u2014including the two qualifying hospitals\u2014and inpatient rehabilitation facilities (IRF), which provide intensive rehabilitation services to patients after illness, injury, or surgery. We reviewed information provided by selected facilities\u2014to identify similarities and differences in the types of patients treated and services provided, such as information on patient characteristics, clinical services provided, and staffing levels. Selected facilities included those designated as NIDILRR model systems for spinal cord injury and other facilities that treat high volumes of patients with similar conditions, as identified through our data analysis. In addition, we interviewed officials from HHS\u2014including CMS, the Office of the Assistant Secretary for Planning and Evaluation, and the Administration for Community Living\u2014 to gather information on what other types of facilities may treat patients with conditions similar to those treated at the qualifying hospitals, current work underway related to post-acute care, and the NIDILRR model systems program, respectively. In addition to the two qualifying hospitals and stakeholders previously noted for other components of our work, we also interviewed officials from certain accrediting organizations\u2014the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF) International\u2014to discuss their accreditation standards and obtain their perspectives on similarities and differences in the types of patients treated and services provided at the two qualifying hospitals and other facilities.", "We assessed the reliability of the Medicare claims data used in this report by reviewing relevant documentation and interviewing officials and representatives knowledgeable about the data. Based on these steps, we found the data were sufficiently reliable for the purpose of our reporting objectives.", "We conducted this performance audit from October 2017 through December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Spinal Cord Injury", "paragraphs": ["Spinal cord injuries are complex, lifelong injuries that typically result from acute traumatic damage to the spinal cord or nerves within the spinal column. In spinal cord injury patients, certain nervous system functions may be impaired temporarily or permanently lost, depending on the level and severity of the patient\u2019s injury. In addition to lower level nervous system functioning, spinal cord injury patients may develop secondary medical complications that can further decrease functional independence and quality of life, including, but not limited to:", "Autonomic dysreflexia: a condition that may result in life threatening hypertension\u2014high blood pressure\u2014due to impaired nervous system response, below the level of spinal cord injury.", "Depression: a medical mood disorder\u2014commonly affecting about one in five spinal cord injury patients\u2014that can cause physical and psychological symptoms (including changes in sleep and appetite, and thoughts of death or suicide).", "Impaired bowel and bladder functioning: potential inability to move waste through the colon and control, stop or release, urine\u2014which can lead to other life-threatening illnesses (such as autonomic dysreflexia) and/or infections.", "Pressure ulcers: a common complication affecting up to 80 percent of spinal cord injury patients that results from an area of the skin or underlying tissue that is damaged due to decreased blood flow, which can occur after extended periods of inactive sitting or lying, among other ways. Pressure ulcers\u2014also known as pressure sores or wounds\u2014can occur years after initial injury and may also result in life- threatening infections or amputation.", "Spasticity: a common condition that affects 65 to 78 percent of spinal cord injury patients and can result in symptoms ranging from mild muscle stiffness to severe, uncontrollable leg movements.", "Syringomyelia: a rare disorder that occurs when cerebrospinal fluid\u2014 normally found outside of the spinal cord and brain\u2014enters the interior of the spinal cord to form a cyst known as a syrinx. This cyst expands and elongates over time, destroying the center of the spinal cord. Symptoms can develop slowly and can include numbness, pain, effects on bowel and bladder function, or paralysis. While this condition can occur as a result of a trauma, such as a spinal cord injury, the majority of cases are associated with a complex brain abnormality."], "subsections": []}, {"section_title": "Brain Injury", "paragraphs": ["Acquired brain injuries occur after birth and are not hereditary, congenital, degenerative, or a result of birth trauma. Acquired brain injuries result in changes to the brain\u2019s neuronal activity, which can affect the physical integrity, metabolic activity, or functional ability of nerve cells in the brain. Acquired brain injuries can be either non-traumatic or traumatic in nature: non-traumatic brain injuries are caused by an internal force\u2014such as in the case of stroke, tumors, or drowning\u2014and traumatic brain injuries are caused by an external force\u2014such as in the case of car accidents, gunshot wounds, or falls. The severity of brain injury can often result in changes to physical, behavioral, and/or cognitive functioning. For example, according to one source, nearly 50 percent of all people with a traumatic brain injury experience depression within the first year after injury, and nearly two-thirds experience depression within 7 years post- injury. Depression can develop as a result of physical changes in the brain, emotional response to the injury, and other unrelated factors\u2014such as family history. Due to impaired cognitive functioning, traumatic brain injury patients may also experience difficulty communicating, concentrating, and processing and understanding information."], "subsections": []}, {"section_title": "Medicare Payment in LTCHs", "paragraphs": ["Acute care hospitals and LTCHs are paid under different Medicare payment systems by law. Acute care hospitals are paid under the inpatient prospective payment system (IPPS). LTCHs are paid under the LTCH PPS. Under both systems, Medicare classifies patients based on Medicare diagnosis groups, which organize patients based on their conditions and the care they receive. Medicare payments for LTCHs are typically higher than payments for acute care hospitals, to reflect the average resources required to treat Medicare beneficiaries who need long-term care.", "Traditionally, all LTCH discharges were paid at the LTCH PPS standard federal payment rate. The Pathway for SGR Reform Act of 2013 modified the LTCH PPS by establishing a two-tiered payment system\u2014 such that certain LTCH discharges continue to be paid at the standard rate and others are paid at a generally lower, site-neutral rate. In its March 2013 report, MedPAC described concerns regarding growth in the number of LTCHs and the extent to which some of their patients may otherwise be treated appropriately in less costly settings. To continue to be eligible for the standard rate, the discharge must generally have a preceding acute care hospital stay with either an intensive care unit stay of at least 3 days or an assigned diagnosis group based on the receipt of at least 96 hours of mechanical ventilation services in the LTCH, unless an exception applies. Discharges that do not qualify for the standard rate are to receive a blended site-neutral rate\u2014equal to 50 percent of the site-neutral rate and 50 percent of the standard rate\u2014for discharges in cost reporting periods beginning in fiscal years 2016 through 2019, and the full site-neutral rate for discharges in cost reporting periods beginning in fiscal year 2020.", "Beginning with cost reporting periods in fiscal year 2020, if fewer than half of an LTCH\u2019s discharges meet the statutory requirements to be paid at the standard rate, the LTCH will no longer receive any payments at that rate for discharges in future cost reporting periods until eligibility for receiving payments under that rate is reinstated. Under this scenario, all discharges in succeeding cost reporting periods would be paid at the generally lower rate that an acute care hospital would receive for providing comparable care until eligibility for receiving payments at the standard rate is reinstated. According to officials from HHS, the department intends to establish a process for how hospitals would have their eligibility for receiving payments at the standard rate reinstated as part of the fiscal year 2020 rule-making cycle. Since the two qualifying hospitals are currently only excepted from the statutory two-tiered payment structure for cost reporting periods beginning during fiscal years 2018 and 2019, these two hospitals must also meet the statutory 50 percent threshold in fiscal year 2020 and beyond in order to receive the standard rate for any future discharges until reinstated. See table 1 for more information on Medicare\u2019s LTCH PPS payment policies."], "subsections": []}, {"section_title": "The Two Qualifying Hospitals: Craig Hospital and Shepherd Center", "paragraphs": ["Two LTCHs have qualified for the temporary exception to site-neutral payments, according to CMS officials. Craig Hospital is a private, not-for- profit facility that has specialized in medical treatment, research, and rehabilitation for patients with spinal cord and brain injury since 1956. Craig Hospital is classified as an LTCH for the purposes of Medicare payment, and is licensed as a general hospital by the state of Colorado\u2014 which does not have separate designations for LTCHs. Craig Hospital has been selected as one of 14 NIDILRR Spinal Cord Injury Model Systems and one of 16 Traumatic Brain Injury Model Systems and is accredited by the Joint Commission.", "Shepherd Center is a private, not-for-profit facility that specializes in medical treatment, research, and rehabilitation for people with traumatic spinal cord injury and brain injury\u2014as well as neuromuscular disorders, including multiple sclerosis. Shepherd Center is classified as an LTCH for the purposes of Medicare payment, and as a specialty hospital\u2014which includes LTCHs\u2014by the state of Georgia. Shepherd Center is also currently designated as a NIDILRR Spinal Cord Injury Model System and is accredited by the Joint Commission. Shepherd Center also has several CARF International accredited specialty programs. Specifically, it has CARF-accredited inpatient rehabilitation specialty programs in spinal cord injury and brain injury\u2014for adults, children, and adolescents; and interdisciplinary outpatient medical rehabilitation specialty programs in spinal cord injury and brain injury\u2014for adults, children, and adolescents, among others.", "More than half of the Medicare discharges in fiscal year 2013 at the two qualifying hospitals\u201443 of 75 at Craig Hospital and 47 of 88 at Shepherd Center\u2014were within the diagnosis groups designated in section 15009(a) of the 21st Century Cures Act. (See table 2 below for more information.) Patients treated for these diagnosis groups may receive treatment for spinal disorders and injuries; medical back problems; degenerative nervous system disorders; skin grafts for skin ulcers; acquired brain injuries, such as traumatic brain injuries; or other significant traumas with major complicating and comorbid (simultaneous) conditions.", "Both qualifying hospitals have a variety of specialized inpatient and outpatient programs to help treat the complex health care needs of their patients, including those covered by Medicare. For example, both hospitals have wheelchair positioning clinics that can help prevent skin complications, such as pressure ulcers, that can occur in spinal cord patients. Both hospitals also have programs for those patients who need ventilator support such as diaphragmatic pacing\u2014support for patients with respiratory problems whose diaphragm, lungs, and nerves have limited function\u2014and ventilator weaning programs. In addition to clinical programs, both qualifying hospitals also provide transitional support, such as providing counseling and education to families of patients with these injuries."], "subsections": []}]}, {"section_title": "Most Medicare Beneficiaries Who Receive Services at the Two Qualifying Hospitals Need Specialized Follow- Up Care to Manage Long-Term Effects of Catastrophic Injury", "paragraphs": ["We found that most Medicare beneficiaries at the two qualifying hospitals need specialized services to manage the chronic, long-term effects of a catastrophic spinal cord or brain injury. Most of these patients are younger than 65 and ineligible for Medicare at the time of their initial injury, according to officials from the qualifying hospitals. Instead, according to officials, these patients typically become eligible for Medicare 2 years or more after their initial injury due to disability. Medicare beneficiaries at the two qualifying hospitals typically need care to manage comorbidities or the associated long-term complications of their injury. Officials from Craig Hospital said a significant number of their Medicare beneficiaries have comorbid conditions\u2014such as diabetes or cardiac problems\u2014upon admission, that can be further complicated by their injury. The officials said managing these comorbidities is as much of a medical challenge as managing the spinal or brain injury. Officials from both qualifying hospitals noted their Medicare beneficiaries who have a spinal cord or brain injury also frequently seek care after initial injury to address secondary complications resulting from their injury, including urinary tract infections; respiratory problems; and pressure ulcers.", "While the qualifying hospitals primarily treated traumatic spinal cord or brain injuries, we found that their Medicare populations differed from each other during the period from fiscal year 2013 to 2016. Specifically,", "Craig Hospital. Our review of Medicare claims data indicates more than 50 percent of the 246 Medicare discharges during this time were associated with Medicare diagnosis groups for spinal cord conditions. Specifically, during this time, Craig Hospital\u2019s Medicare discharges were commonly assigned to three diagnosis groups covering spinal procedures and spinal disorders and injuries. For example, officials from Craig Hospital told us that about 60 percent of Medicare beneficiaries in fiscal year 2016 required surgical care for a spinal cord injury. According to officials, most of these patients received surgery for syringomyelia\u2014a complication in spinal cord patients that generally develops years after their initial injury. These officials told us that Craig Hospital provided the pre- and post-operative care for those patients in fiscal year 2016; however, currently, Craig Hospital is only responsible for pre-operative assessments. The remaining 40 percent of their Medicare beneficiaries in fiscal year 2016 received care for new spinal cord injuries.", "Shepherd Center. Our review of Medicare claims data indicates the most common diagnosis group of the 365 Medicare discharges during this time\u2014fiscal year 2013 to fiscal year 2016\u2014related to treatment for skin grafts that can be associated with pressure ulcers, among other things. Shepherd Center officials confirmed that most of their Medicare beneficiaries received treatment for a pressure ulcer that occurred after initial injury which, as previously noted, can be so severe as to result in life-threatening infections. According to officials, most of their post-injury Medicare beneficiaries receive post-operative care and other wound management services following surgery to treat pressure ulcers, to ensure that the site will not tear again and to avoid reoccurrence. Other diagnosis groups for Medicare patients at Shepherd Center included those for spinal disorders and injuries and extensive operating room procedures unrelated to principal diagnosis. According to officials, beneficiaries in these diagnosis groups received treatment for a range of conditions, including traumatic injuries, urinary tract infections, neurogenic bladder and bowel or respiratory complications. Officials told us the hospital also served Medicare beneficiaries recovering from other acquired brain injuries, such as stroke, and paralyzing neuromuscular conditions, such as multiple sclerosis.", "Stakeholders we interviewed\u2014including providers at other facilities\u2014 noted that traumatic spinal cord and brain injury patients\u2014including those covered by Medicare\u2014require significant levels of care due to the complexity of their injuries as well as the immediate and long-term complications that can occur from the injuries. For example, most stakeholders told us these patients often require lifelong care due to the complexity and reoccurrence of comorbidities or secondary complications. Some of these stakeholders noted, for example, spinal cord and brain injury patients often face mental health or psychosocial conditions, such as depression or anxiety. Some stakeholders also emphasized that many spinal cord injury patients risk secondary complications that may not occur until years after injury, such as pneumonia, pressure ulcers, and other infections. A few stakeholders told us spinal cord and brain injury patients are often among the most complex patients they treat. As such, patients with spinal cord or brain injuries often require interdisciplinary care that covers a wide range of specialties\u2014including physiatry (rehabilitation medicine), neurology, cardiology, and pulmonology\u2014as well as specialized equipment or technology, such as eye glance tools to control call systems or the television."], "subsections": []}, {"section_title": "Medicare Policies May Have Modest Effects on Payments to the Two Qualifying Hospitals Depending on the Types of Patients Treated and Other Factors", "paragraphs": [], "subsections": [{"section_title": "Simulations of Medicare Payments to Qualifying Hospitals Illustrate Potential Effects of Payment Policies", "paragraphs": ["Simulations of Medicare payments illustrate the potential effects of Medicare\u2019s site-neutral payment policies, which were required by law, on the qualifying hospitals. Specifically, our simulations calculated what the qualifying hospitals would have been paid for Medicare patient discharges that occurred in two baseline years\u2014fiscal year 2013 (baseline year 1) and fiscal year 2016 (baseline year 2)\u2014if applicable payment policies from future years (2017 through 2021) were applied to those discharges. We selected two baseline years to account for differences in data, such as the number of discharges, between fiscal year 2016\u2014the most recent year of complete data available at the time we began our analysis\u2014and fiscal year 2013. Table 3 below provides a summary of Medicare discharges and payments to the qualifying hospitals during these two baseline years. Variation in utilization and patient mix across the baseline years allows the simulations to cover a range of possible changes in payments for the two hospitals.", "Our simulations indicated how Medicare\u2019s payment policies could have affected these baseline payments to each qualifying hospital:", "Fiscal Year 2017 Blended Site-Neutral Rate Policy: Discharges that do not meet criteria to receive the standard rate are to receive a blended site-neutral rate\u2014equal to 50 percent of the site-neutral rate and 50 percent of the standard rate. We found that while some of the baseline discharges would qualify for the standard rate, most discharges would have been paid at the blended site-neutral rate. Specifically, 8 to 20 percent of Craig Hospital\u2019s baseline Medicare discharges would have qualified for the standard rate, resulting in simulated payments of about $3.86 million (baseline year 1) and $3.22 million (baseline year 2) under blended site-neutral rate policy.", "For Shepherd Center, between 23 percent and 40 percent of baseline Medicare discharges would have qualified for the standard rate, resulting in simulated payments of about $5.16 million (baseline year 1) and $5.31 million (baseline year 2). Each of these simulated payments is an increase compared to actual payments made in the baseline years.", "Fiscal Years 2018 and 2019 Temporary Exception: The qualifying hospitals are receiving the standard rate for all discharges, due to the temporary exception. As a result, simulated payments under the temporary exception are about $3.74 million (baseline year 1) and $3.18 million (baseline year 2) for Craig Hospital and about $5.64 million (baseline year 1) and $5.75 million (baseline year 2) for Shepherd Center, which is an increase compared to actual payments made in the baseline years.", "Fiscal Year 2020 Two-Tiered Payment Rate: The temporary exception for the qualifying hospitals no longer applies; therefore, the site- neutral rate will apply to discharges not qualifying for the standard rate. We found that both qualifying hospitals would receive some payments at the standard rate, but that most of their discharges would be paid at the lower, site-neutral rate\u2014assuming similar caseloads (e.g., patient mix). As a result, simulated baseline year payments at Craig Hospital are about $3.47 million (baseline year 1) and $3.03 million (baseline year 2), and simulated baseline payments to Shepherd are about $4.42 million (baseline year 1) and $4.55 million (baseline year 2). The simulated payments therefore decrease compared to those in fiscal year 2019, and also generally decrease compared to actual payments made in the baseline years.", "Future Years Under 50 Percent Threshold: Under statute, unless 50 percent or more of the hospital\u2019s discharges in cost reporting periods beginning during or after fiscal year 2020 qualify for the standard rate, no subsequent payments will be made to a hospital at that rate in each succeeding cost reporting period. Most of the baseline year discharges did not qualify for the standard rate, and therefore simulated payments are based on the generally lower comparable acute care rate. However, simulated payments stayed about the same between fiscal year 2020 and 2021, in part due to differences in calculations for high-cost outlier payments. A high-cost outlier payment is made to hospitals for those cases that are extraordinarily costly, which can occur because of the severity of the case and/or a particularly long length of stay. Specifically, simulated payments were about $3.49 million (baseline year 1) and $3.02 million (baseline year 2) for Craig Hospital and about $4.24 million (baseline year 1) and $4.16 million (baseline year 2) for Shepherd Center. Without the high-cost outlier payments, the simulated payments would have decreased by at least $2 million. If the mix of patients at Craig Hospital and Shepherd Center changes so that they meet the 50 percent threshold in fiscal year 2020, then simulated payments for fiscal year 2021 could be higher. As of September 2018, Craig Hospital officials told us that they expect to meet the 50 percent threshold with their current patient mix. Shepherd Center officials told us they do not expect to meet the 50 percent threshold.", "See figures 1 and 2 below for the results of our simulations.", "Our simulations of payments assume the number and type of Medicare discharges at the two qualifying hospitals remain the same as those in fiscal years 2013 and 2016. However, the full effect of payment policy on future Medicare payments to the qualifying hospitals will depend on three key factors that are subject to change: 1. Severity of patient conditions: Medicare payment is typically higher for more severe injuries, such as a traumatic injury with major comorbidities or complications, relative to less severe injuries. In the two baseline years we used for our simulations\u2014fiscal year 2013 and fiscal year 2016\u2014more than half of the Medicare discharges at the qualifying hospitals were associated with conditions with multiple comorbidities and complications, as indicated by the diagnosis groups, and this level of severity is reflected in the simulation results. Future payments to qualifying hospitals will depend on the extent to which the severity of patient conditions changes over time. 2. Volume of discharges meeting criteria for the standard rate: As previously noted, for a hospital to receive the standard rate for a discharge, the discharge must meet certain criteria, such as having a preceding acute care hospital stay with either an intensive care unit stay of at least 3 days or an assigned diagnosis group based on the receipt of at least 96 hours of mechanical ventilation services in the LTCH. Our simulations reflect that in the two baseline years, about 23 percent of the fiscal year 2013 discharges and about 40 percent of the fiscal year 2016 discharges met the criteria to receive the standard rate for Shepherd Center; and about 8 percent of the fiscal year 2013 discharges and about 20 percent of the fiscal year 2016 discharges met the criteria for Craig Hospital. Changes to these amounts could affect future payments to the qualifying hospitals. In particular, if 50 percent or more of either hospital\u2019s discharges beginning in fiscal year 2020 meet the standard rate criteria, then the hospitals would be eligible for payments at the standard rate in fiscal year 2021, which may result in higher payments compared to our simulations. 3. Payment adjustments: LTCHs may receive a payment adjustment for certain types of discharges, such as short-stay outliers, interrupted stays, or high-cost outliers. In particular, most discharges at Craig Hospital received high-cost outlier payments (additional payments for extraordinarily costly cases) during the two baseline years\u201476 percent in fiscal year 2013 and 85 percent in fiscal year 2016. At Shepherd Center, at least 40 percent of discharges during the two baseline years received high-cost outlier payments\u2014about 42 percent in fiscal year 2013 and about 58 percent in fiscal year 2016. The amount of future payments to qualifying hospitals will depend on the extent to which they continue to have a high proportion of discharges with high-cost outlier payments."], "subsections": []}, {"section_title": "Qualifying Hospitals and Some Stakeholders Reported that Payment Policies May Result in Fewer Services Provided and Fewer Patients Served by LTCHs", "paragraphs": ["In addition to the effect on payments, officials from both qualifying hospitals and some stakeholders we interviewed noted that the LTCH site-neutral payment policies may result in fewer services provided and fewer patients served by the qualifying hospitals and other LTCHs. For example, officials from Craig Hospital told us they stopped providing post- operative care to patients requiring spinal surgery, such as patients with syringomyelia, in 2016\u2014instead referring them to other facilities\u2014in part because these discharges do not meet the criteria for the standard rate. As of September 2018, they told us they do not plan to provide this care in the future unless the temporary exception is extended. Officials from Shepherd Center told us while they have not yet made changes to services they offer to Medicare patients, they may limit which Medicare beneficiaries they serve in the future. For example, they told us that most of their Medicare beneficiaries were admitted from home or sought care in their outpatient clinic. When the temporary exception expires after fiscal year 2019, hospital officials expected that these patients will not qualify for the standard rate. Shepherd Center officials said they may not be able to serve similar patients in future years.", "MedPAC officials and some stakeholders\u2014a specialty association and health care providers with experience treating patients with similar conditions at other LTCHs\u2014told us that some LTCHs have changed the services they offer and the patients they treat to increase the proportion of discharges that qualify for the standard rate. For example,", "MedPAC officials cited reports that indicate how some LTCHs have adjusted to the site-neutral policies. For example, a 2018 MedPAC report indicated that LTCHs in one large for-profit chain were able to make adjustments so that, as of September 30, 2016, close to 100 percent of their Medicare discharges met the criteria to receive the standard rate.", "A representative from an LTCH association told us that many LTCHs have adjusted their patient mix by increasing the number of discharges that meet criteria for the standard rate and turning away some Medicare beneficiaries to reduce the number of discharges subject to the site-neutral rate. The representative noted that certain LTCHs have already been able to adjust their patient mix because they have existing programs in place that focus on chronic, critically ill patients who would have a preceding acute care hospital stay. The representative told us that some LTCHs specialize in care for patients who do not meet the criteria to receive the standard rate and would generally be paid at the site-neutral rate; therefore, changing their patient mix is not a viable strategy for these LTCHs. According to the stakeholder, as of February 2018, about two-thirds of all LTCHs are above the 50 percent threshold.", "Providers from another LTCH told us that before the site-neutral payment policy went into effect, only about 40 to 45 percent of its discharges met criteria for the standard rate. However, they worked to ensure most patients referred to the LTCH would qualify for the standard rate. Officials told us patients who do not meet the criteria for that rate typically either stay longer in the acute care hospital or are transferred to a different post-acute care setting, such as a skilled nursing facility. Officials noted that, in both cases, the patient may not receive the specialized services often required for their injuries, including those patients with spinal cord or brain injuries.", "A provider we interviewed from another LTCH said that, historically, the LTCH has accepted patients who acquire pressure ulcers at home following discharge, but they may choose not to continue this practice because the patients\u2019 discharges would not meet the criteria to receive the standard rate.", "A few of these stakeholders told us some LTCHs are in markets that do not have alternative providers of care, such as skilled nursing facilities, for patients who do not meet the criteria. These LTCHs may have difficulty adjusting their patient mix to avoid site-neutral payments. For example, a provider from one LTCH said his facility continues to take \u201csite-neutral patients\u201d because those patients often do not have another option to receive the specialized services they need. The provider emphasized concerns about the long-term viability of caring for those patients at the facility, because their care is paid at lower rates."], "subsections": []}]}, {"section_title": "Similarities and Differences May Exist Between the Two Qualifying Hospitals and Other Facilities that Treat Medicare Patients with Spinal Cord and Brain Injuries", "paragraphs": [], "subsections": [{"section_title": "The Two Qualifying Hospitals Treat Patients with Conditions Different Than Those at Most Other LTCHs, and Treat Fewer Medicare Patients", "paragraphs": ["Our review of Medicare claims data, other information, and interviews with stakeholders indicated the two qualifying hospitals treated Medicare beneficiaries with different conditions than most of those treated at other LTCHs. Our analysis of Medicare claims data indicates Craig Hospital and Shepherd Center treat very few patients in the Medicare diagnosis groups that are most common to other LTCHs. Specifically, for several years, MedPAC has reported that LTCH patient discharges are concentrated in a relatively small number of diagnosis groups. For example, in March 2018, MedPAC reported that 20 diagnosis groups accounted for over 61 percent of LTCH discharges at both for-profit and not-for-profit facilities, in fiscal year 2016. However, in fiscal year 2016, these diagnosis groups accounted for approximately 30 percent of Medicare discharges\u201426 out of 88\u2014at Shepherd Center, and most of these discharges fell within a single diagnosis group which covers a range of conditions. Craig Hospital did not discharge any Medicare beneficiaries assigned to these 20 diagnosis groups, in fiscal year 2016. The seven diagnosis groups that were used in the statutory criteria to except Craig Hospital and Shepherd Center from site-neutral payments were also not among these 20 diagnosis groups. For more information on the 20 diagnosis groups common to LTCHs in fiscal year 2016, see Appendix III, table 5.", "Our review of Medicare claims data and other information indicates the two qualifying hospitals also treat a relatively small number of Medicare beneficiaries, a key distinguishing factor from most other LTCHs. In March 2018, MedPAC reported that, on average, Medicare beneficiaries account for about two-thirds of LTCH discharges. However, Medicare claims data and other information provided by the two qualifying hospitals indicate Medicare beneficiaries account for a significantly smaller proportion (about 8 percent) of patients discharged from Craig Hospital and Shepherd Center in 2016. Specifically, 40 of the 486 patients discharged from Craig Hospital in fiscal year 2016 and 75 of the 912 patients discharged from Shepherd Center in calendar year 2016, were Medicare beneficiaries. Officials from the qualifying hospitals told us they treat few Medicare patients primarily because of the younger average age of persons with spinal cord injuries and acquired brain injuries.", "While patients with spinal cord and brain injuries may receive care in other LTCHs, most stakeholders we interviewed also suggested the two qualifying hospitals treat patients that are different from those treated at most other LTCHs, and can offer specialized care. Officials from the two qualifying hospitals told us that, relative to most other facilities\u2014including most traditional LTCHs\u2014they offer a more complete continuum of care to meet the needs of patients at different stages of spinal cord and brain injury treatment, without the need to transfer to different facilities. Officials also stated that, unlike most traditional LTCHs, they are able to offer more specialized care for patients with spinal cord and brain injuries, including more comprehensive rehabilitation services. Stakeholders we interviewed generally agreed that the two qualifying hospitals have developed expertise in treating spinal cord and brain injury patients and offer intensive rehabilitation services that are not provided in most other LTCHs. In addition, officials from the Colorado Department of Health Care Policy & Financing noted that Craig Hospital treats a patient population that is different from most other LTCHs in the state of Colorado. Specifically, according to officials, in comparison to other LTCHs in the state, Craig Hospital treats: (1) a higher percentage of patients with more severe conditions, (2) more patients from outside the state of Colorado, (3) fewer patients requiring ventilator weaning or requiring wound care\u2014 conditions typically characteristic of LTCH patients\u2014and (4) patients that are, on average, younger than most other LTCHs in the state of Colorado. In addition, a 2014 study of LTCHs conducted for the Georgia Department of Community Health found Shepherd Center was \u201cdistinctly different\u201d from other LTCHs in the state of Georgia, and most LTCHs nationwide."], "subsections": []}, {"section_title": "Patients with Conditions Treated at Qualifying Hospitals Could Also Receive Care in IRFs, But Differences in Payment Systems and Data Limitations Make a Direct Comparison Difficult", "paragraphs": ["Most stakeholders we interviewed suggested some IRFs provide specialty care to patients with catastrophic spinal cord, acquired brain injuries, or other paralyzing neuromuscular conditions. Most of the stakeholders we interviewed noted that\u2014like the two qualifying hospitals\u2014some IRFs have the expertise to treat patients with catastrophic spinal cord, acquired brain injuries, or other paralyzing neuromuscular conditions patients and thus, may also treat patients with similar conditions. According to CMS officials, IRFs are specifically designed to provide post-acute rehabilitation services to patients with spinal cord injuries, brain injuries, and other neuromuscular conditions. CMS officials noted that patients with these conditions typically respond well to intensive rehabilitation therapy provided in a resource intensive inpatient hospital environment and to the specific interdisciplinary approach to care that is provided in the IRF setting. Stakeholders also noted that patients with spinal cord injuries, brain injuries, and other neuromuscular conditions may receive care in other settings. However, some stakeholders noted that some of these providers\u2014such as skilled nursing facilities\u2014generally do not offer the specialized care these patients generally require.", "Differences in payment systems and data limitations make it difficult to directly compare the attributes of Medicare beneficiaries discharged from the two qualifying hospitals and IRFs, including the costs of care they receive. Medicare uses separate payment systems to pay LTCHs and IRFs, for care provided to beneficiaries. LTCHs are paid pre-determined fixed amounts for care provided to Medicare beneficiaries, under the LTCH PPS. Medicare beneficiaries treated in LTCHs are assigned to diagnosis groups (MS-LTC-DRGs) for each stay\u2014based on the patient\u2019s primary and secondary diagnoses, age, gender, discharge status, and procedures performed. IRFs are also paid pre-determined fixed amounts for care provided to Medicare beneficiaries, but under a separate system\u2014IRF PPS. Medicare beneficiaries treated in IRFs are assigned to case-mix groups\u2014based on age, and level of motor and cognitive function\u2014and then further assigned to one of four tiers (within these groups) based on the presence of specific comorbidities that may increase their cost of care. According to CMS officials, because the payment groups and assignments to those groups are different, it is difficult to directly compare LTCH patients, classified in diagnosis groups, with IRF patients, classified in case-mix groups. See Appendix II for more information on these payment systems.", "MedPAC has previously reported the differences in patient assessment tools used by post-acute care providers undermines Medicare\u2019s ability to compare the patients admitted, costs of care, and outcomes beneficiaries achieve in these settings, on a risk-adjusted basis. MedPAC has also reported that while similar beneficiaries can receive care in each setting, payments can differ considerably for comparable conditions, due to differences in payment systems. It has made recommendations to address these issues. The Improving Medicare Post-Acute Care Transformation Act of 2014 also requires the Secretary of HHS to collect and analyze common patient assessment information and, in consultation with MedPAC, submit a report to Congress recommending a post-acute care PPS. Such efforts may make future comparison of beneficiaries, costs of services, and outcomes of care across these settings possible."], "subsections": []}, {"section_title": "Some Information Suggests Similarities and Differences Between Qualifying Hospitals and IRFs that Specialize in Spinal Cord and Brain Injuries", "paragraphs": ["While data limitations make a direct comparison difficult, based on our review of other data and information, and interviews with stakeholders, we identified similarities and differences between the qualifying hospitals and certain IRFs that provide specialty treatment for catastrophic spinal cord injuries, acquired brain injuries, or other paralyzing neuromuscular conditions. Key similarities and differences include the following: Volume of services. Our review of Medicare claims data, other information, and interviews with stakeholders indicate that\u2014similar to the two qualifying hospitals\u2014some IRFs treat a high volume (at least 100) of patients with complex spinal cord injury, brain injury, and other related conditions. Officials from the two qualifying hospitals, as well as some other stakeholders we interviewed\u2014including officials from the Christopher & Dana Reeve Foundation and the Brain Injury Association of America\u2014emphasized the importance of facilities treating a high volume of patients with these specialized conditions, which can be an indicator of expertise in treating these patients. Our review of Medicare claims data for 1,148 IRFs in fiscal year 2016 identified 21 IRFs that treated at least 100 Medicare beneficiaries with non-traumatic and traumatic spinal cord injuries and 109 IRFs that treated at least 100 Medicare beneficiaries with non-traumatic and traumatic brain injuries.", "Our review of Medicare claims data indicated that, similar to the two qualifying hospitals\u2014some IRFs also treat a high volume of patients with \u201ccatastrophic\u201d injuries\u2014traumatic brain injury, traumatic spinal cord injury, and major multiple traumas with brain or spinal cord injuries. Specifically, we identified 25 IRFs that treated a high volume (at least 100) of Medicare beneficiaries with catastrophic injuries, in fiscal year 2016. In the absence of patient assessment data from the facilities, we did not independently evaluate the level and severity of these patients\u2019 injuries, which can vary due to the presence of other co-morbid conditions. The Medicare case mix indexes we reviewed for these 25 IRFs indicated that, relative to other IRFs, most of these facilities treat patients who are more resource intensive.", "Specialty accreditation and designation as model systems. Like Shepherd Center, some IRFs receive CARF-accreditation for specialty programs to treat spinal cord and brain injuries. According to most stakeholders, this accreditation indicates expertise in treating these patients, as CARF International has established standards using evidence-based practices, among other factors. Officials from the two qualifying hospitals also noted CARF International has a specific focus on quality and outcomes. However, officials from Shepherd Center noted similarities in care and services offered at CARF-accredited facilities would depend on the specialties for which they are certified.", "Most of the stakeholders we interviewed also noted that designation as a NIDILRR model system is an indicator of similar expertise in treating patients with spinal cord and brain injuries. According to the Model Systems Knowledge Translation Center, spinal cord injury and brain injury model systems are recognized as national leaders in medical research and patient care and provide the highest level of comprehensive specialty services from the point of injury through eventual re-entry into full community life. While stakeholders we interviewed from NIDILRR model systems indicated the model system designation is focused primarily on research, rather than clinical care, most noted that model systems\u2019 research often complements the facilities\u2019 clinical efforts to address the unique needs of these patients. Officials from HHS\u2019s Administration for Community Living also noted that all model system grantees must provide a continuum of care\u2014emergency care, acute medical care, acute medical rehabilitation, and post-acute care\u2014and that can happen in various provider types. According to officials from the qualifying hospitals and stakeholders from one other NIDILRR model system we interviewed, Craig Hospital and Shepherd Center are the only two LTCHs currently classified as spinal cord injury model systems; 12 of 14 spinal cord injury model systems are IRFs.", "Specialized programs and services. Similar to the two qualifying hospitals, some IRFs may also offer specialized programs and services for patients with brain and spinal cord injuries, but the availability of these programs and services may vary by facility. Officials from some of the IRFs that responded to our information request\u2014which included both NIDILRR facilities and IRFs with CARF-accredited programs\u2014told us they provide specialized programs and services for patients with similar conditions as those treated at two qualifying hospitals, and sometimes compete with the two qualifying hospitals for the same patients. For example, each IRF reported having interdisciplinary treatment teams; the capacity to provide medical management of medically complex and high acuity patients with spinal cord injury, traumatic brain injury, or other major multiple traumas associated with a brain or spinal cord injury; family education and training; and skin and wound programs or services, among other services. However, the availability of certain services\u2014including but not limited to ventilator-dependent weaning programs, diaphragmatic pacing, and outpatient programs for spinal cord and traumatic brain injury patients\u2014varied by facility.", "Staff with specialized training and clinical expertise. Similar to the two qualifying hospitals, most facilities that responded to our information request also reported having physicians, nurses, and physical and occupational therapists with specialty training in medical rehabilitation, spinal cord, and/or brain injury. However, the number of staff with these trainings, varied by facility. In comparison to the other facilities that responded to our information request, the number of nurses and physical and occupational therapists with these specialty trainings were generally higher at Craig Hospital and Shepherd Center. According to an American Spinal Injury Association consumer guideline that the Christopher & Dana Reeve Foundation typically provides to spinal cord injury patients and families, programs should regularly admit persons with spinal cord injury each year, to develop and maintain the necessary skills to manage a person with spinal cord injury, and a substantial portion of those admitted should have traumatic injuries.", "Out-of-state Admissions. Officials from the two qualifying hospitals emphasized they admit a significant number of patients from out-of-state, and our review of information provided by the qualifying hospitals and a select group of IRFs indicated the qualifying hospitals admit a higher percentage of patients from out-of-state. Specifically, information provided by these IRFs indicates that less than a quarter of patients admitted to these facilities, in 2016, were from out-of-state. Information provided by Craig Hospital and Shepherd Center indicate that about half of their patients were admitted from out-of-state in 2016. Officials from the Colorado Department of Health Care Policy & Financing also noted Craig Hospital treats a higher percentage of out-of-state patients, compared to IRFs in the state.", "Ability to treat medically complex patients. Officials from the two qualifying hospitals told us they treat more medically complex patients and provide a more complete range of medical services to spinal cord and brain injury patients, not provided by most IRFs. Specifically, officials from the two qualifying hospitals both noted they are able to treat patients much sooner in their recovery process than most IRFs, due to their LTCH status. Officials from the Shepherd Center noted that they have a 10-bed intensive care unit which allows them to take patients with certain injures that some IRFs may not be equipped to admit\u2014such as patients requiring advance medical management and advanced level procedural services and monitoring. Information provided by Shepherd Center indicated that, in calendar year 2017, approximately 20 percent of all inpatients were admitted to this unit and 13 percent of all inpatients were internally transferred to this unit after developing medical complications. According to officials, Craig Hospital does not have an intensive care unit, but noted their ability to similarly care for medically complex patients\u2014including telemetry (e.g., specialized heart monitoring) and one-to-one nursing care, if necessary. Most stakeholders we interviewed agreed that both qualifying hospitals\u2019 LTCH status provides certain advantages over IRFs, such as the ability to admit some medically complex patients earlier in the recovery process and longer lengths of stay. Stakeholders from most of the IRFs we interviewed also reported having the flexibility to admit some medically complex patients requiring more advanced level monitoring and resources earlier in the recovery process\u2014such as patients with disorders of consciousness.", "Officials from the two qualifying hospitals also said they offer a continuum of care that can meet patient\u2019s changing needs, without the need to transfer them to different facilities. Information provided by Craig Hospital indicated that 83 percent of patients treated at its facility, in 2016, were discharged to home, 13 percent were discharged to another post-acute care facility, and 3 percent were discharged to an acute care hospital. In 2016, approximately 91 percent of patients treated at Shepherd Center were discharged to home, 7 percent were discharged to another post- acute care facility, and 2 percent were discharged to an acute care hospital. Information provided by the IRFs that responded to our written request varied by facility, but\u2014similar to the two qualifying hospitals\u2014 each facility discharged more than 65 percent of patients to home.", "IRF payment criteria. CMS and most other stakeholders we interviewed noted that two Medicare payment policies applicable to IRFs, but not LTCHs, may contribute to their different patient populations. Specifically, to be classified for payment under Medicare\u2019s IRF PPS, at least 60 percent of the IRF\u2019s total inpatient population must require intensive rehabilitative treatment for one or more of 13 conditions\u2014which includes both spinal cord and brain injury. To be admitted to an IRF, Medicare beneficiaries must reasonably be expected to actively participate in and benefit from the intensive rehabilitation therapy program, typically provided in IRFs. According to HHS, per industry standard, the intensive rehabilitation therapy program is often demonstrated by providing three hours of rehabilitation services per day for at least five days per week, but this is not the only way such intensity can be demonstrated. Officials from the two qualifying hospitals told us they generally use Medicare\u2019s intensive rehabilitation requirement as a minimum standard for their rehabilitation patients\u2014even though they are not held to this requirement, for the purposes of Medicare payment\u2014but noted that some of their patients may not meet this requirement, due to their medical complexity.", "Length of stay and site-neutral payment requirements, for LTCHs. As previously noted, LTCHs\u2014including the two qualifying hospitals\u2014must have an average length of stay of greater than 25 days; IRFs are not subject to this requirement. The average length of stay for patients discharged from the Craig Hospital was about 60 days, in fiscal year 2016, and the average length of stay for patients discharged from Shepherd Center was about 53 days, in calendar year 2016.", "Stakeholders from the IRFs that responded to our information request reported average lengths of stay ranging from 14 to 31 days, for patients discharged in fiscal year 2016; the ranges of lengths of stay were slightly higher for spinal cord injury and traumatic brain injury inpatients for the IRFs, during the same period. LTCHs are also generally subject to site- neutral payment policy that is not applicable to IRFs and may decrease LTCHs payments for certain discharges, under Medicare.", "Other services provided. In addition to these Medicare specific differences, a few stakeholders we interviewed also noted the two qualifying hospitals receive additional funding from their strong philanthropic donor base that may allow them to provide other services and resources, not covered by Medicare or offered at some IRFs. For example, while a few IRFs that responded to our information request reported offering housing for families of injured patients, the two qualifying hospitals offer up to 30 days of free housing to families of newly injured rehabilitation patients, if both the family and patient live more than 60 miles from the hospital. Officials from Shepherd Center told us their revenues are supplemented by investment income and donor funds. Craig Hospital has also established a foundation that supports the hospital in achieving its goals through philanthropy."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS. HHS provided technical comments, which we incorporated as appropriate. We also provided the two qualifying hospitals summaries of information we collected from them, to confirm the accuracy of statements included in our draft report. We incorporated their comments, as appropriate.", "We are sending copies of this report to the Secretary of Health and Human Services and other interested parties. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or at farbj@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Methodology for Simulating Payments to Qualifying Hospitals", "paragraphs": ["This appendix describes our methodology for conducting simulations of payments for the two qualifying hospitals."], "subsections": [{"section_title": "Simulations of Payments", "paragraphs": ["We used Medicare claims data to conduct simulations of payments for the two qualifying hospitals. We first identified discharges at each hospital in two baseline years\u2014federal fiscal years 2013 and 2016. We selected fiscal year 2016 because it was the year with the most recent data available at the time of our analysis, and we selected a second baseline year because data for 2016 was different than data for other recent years. For example, the number of discharges for one qualifying hospital declined by nearly half between fiscal years 2013 and 2016. We chose fiscal year 2013 because data from that year was used to help determine which hospitals are subject to the temporary exception.", "To identify how to appropriately calculate the long-term care hospital (LTCH) payment for each of these discharges in future payment years, we reviewed applicable federal regulation and documents from the Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission (MedPAC), and interviewed officials from both organizations. See table 4 for the relevant components in the formulas, such as Medicare severity long-term care diagnosis related group (MS-LTC-DRG) weights, identified from final rule tables.", "When conducting these simulations, we made the following assumptions:", "For simulated payments for payment policies in effect for fiscal years 2017 and 2018, we used the base rates, relative weights (e.g., the MS-LTC-DRG weights), geometric mean length of stay, wage index, geographic adjustment factor, fixed-loss amounts, and outlier thresholds that were published in the final rule tables for LTCH and inpatient prospective payment system (IPPS) hospitals\u2014also known as acute care hospitals\u2014for each respective year. At the time we began our analysis, this information was not known for fiscal years 2019 through 2021. We chose to use the fiscal year 2018 rates when conducting simulations for payment policies in those years because historical trends showed that annual changes were minimal\u2014about 1 percent. Therefore, to the extent that these values continue to change over time, our findings may understate or overstate the amount that the qualifying hospitals would have been paid in our baseline years based on these future payment policies.", "The site-neutral payment policy did not apply to discharges from the fiscal year 2013 baseline year. Therefore, we examined Medicare claims data to determine whether each discharge would have met the criteria to receive the LTCH standard rate in that year. Specifically, we determined whether each discharge had an acute care hospital stay that immediately preceded their LTCH stay. We then determined whether the time at the acute care hospital included three or more days in the intensive care unit or whether there was a code on the LTCH claim that indicated at least 96 hours of mechanical ventilation services were provided. Per Medicare\u2019s payment policy, we assumed any discharge that met these two criteria would qualify for full LTCH payment rate, unless the case was a psychiatric or rehabilitation stay, as identified by the following MS-LTC-DRG codes: 876, 880, 881, 882, 883, 884, 885, 886, 887, 894, 895, 896, 897, 945, or 946.", "Under statute, unless 50 percent or more of the hospital\u2019s discharges beginning during or after 2020 qualify for the standard rate, no subsequent payments will be made to a hospital at that rate. Therefore, when calculating simulated payments for fiscal year 2021, we applied the 50 percent threshold. At the time of our analysis, CMS had not yet finalized this policy through rule-making. As of November 2018, CMS officials told us that it is unlikely that any payment adjustment under this provision would apply until 2022 because the percentage cannot be determined until after an LTCH\u2019s cost reporting period has ended and data have been submitted.", "Shepherd Center\u2019s fiscal year is different than the federal fiscal year.", "Therefore, the variables used to determine whether discharges in federal fiscal year 2016 met criteria to receive the standard rate were not available to use for some of the discharges that year. Of those discharges, we assumed that the same percentage of discharges that met the criteria to receive the standard rate in Shepherd\u2019s fiscal year\u201430 percent\u2014met the criteria in federal fiscal year 2016.", "When calculating site-neutral payments, we assumed that each discharge would be paid at a rate comparable to that for acute care hospitals\u2014the IPPS comparable amount rate. Site-neutral payments may also be based on the estimated cost-of-care, if it is lower than the IPPS comparable amount rate. However, over 90 percent of discharges at the qualifying hospitals were paid at the IPPS comparable amount rate in fiscal year 2016.", "Per CMS\u2019s recommendation, we applied the cost-to-charge ratio that was effective October 1, 2017, for each qualifying hospital, regardless of discharge date. For Craig Hospital this value was 0.442 and for Shepherd Center this value was 0.464. According to CMS officials, in general, these values do not change significantly when they are updated during the fiscal year. Therefore, they believe that using the values effective at the start of the fiscal year is a reasonable assumption.", "We excluded indirect medical education adjustments and disproportionate share hospital payments that are part of the IPPS comparable amount rate because, according to CMS, they were unlikely to have much impact for these hospitals.", "CMS reviewed each of these assumptions and agreed they were reasonable for purposes of our analysis. CMS also verified that we were correctly applying the formulas for calculating these payments and using the appropriate values from the final rules."], "subsections": []}]}, {"section_title": "Appendix II: Calculating Medicare Payments for Long-Term Care Hospitals and Inpatient Rehabilitation Facilities", "paragraphs": ["Figures 3 and 4 illustrate the methodology for calculating Medicare payments under the long-term care hospital (LTCH) prospective payment system (PPS) and the inpatient rehabilitation facility (IRF) PPS, respectively, as reported by the Medicare Payment Advisory Commission (MedPAC)."], "subsections": []}, {"section_title": "Appendix III: List of Common Diagnosis Groups for Long-Term Care Hospitals (LTCH)", "paragraphs": ["Appendix III: List of Common Diagnosis Groups for Long-Term Care Hospitals (LTCH)", "In its March 2018 annual report to the Congress, the Medicare Payment Advisory Commission (MedPAC) reported that 20 diagnosis groups accounted for over 61 percent of LTCH discharges at both for-profit and not-for-profit facilities, in fiscal year 2016. Table 5 provides a list of these 20 diagnosis groups."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgments", "paragraphs": ["In addition to the contact named above, Will Simerl, Assistant Director; Kathy King; Amy Leone, Analyst-in-Charge; Todd Anderson; Sam Amrhein; LaKendra Beard; Rich Lipinski; Jennifer Rudisill; and Eric Wedum made key contributions to this report. Also contributing were Leia Dickerson, Diona Martyn, Vikki Porter, and Lisa Rogers."], "subsections": []}]}], "fastfact": ["After an injury or illness, Medicare patients who need long-term care may be able to get that care at different types of facilities.", "Medicare payments to long-term care hospital facilities were typically higher than payments to other facilities because long-term care can take more resources, such as specialized equipment and staff.", "A 2013 law phased in lower Medicare payments to long-term care hospitals for patients who could be treated in less costly facilities. Two hospitals focusing on spinal cord care qualified for an exception to the new payments in fiscal years 2018-19. We reviewed the effects of the exception."]} {"id": "GAO-18-209T", "url": "https://www.gao.gov/products/GAO-18-209T", "title": "Strategic Petroleum Reserve: Preliminary Observations on the Emergency Oil Stockpile", "published_date": "2017-11-02T00:00:00", "released_date": "2017-11-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Over 4 decades ago, Congress authorized the SPR\u2014the world's largest government-owned stockpile of emergency oil\u2014to release oil to the market during supply disruptions and protect the U.S. economy from damage. The SPR is managed by DOE. According to DOE's strategic plan, the SPR benefits the nation by providing an insurance policy against actual and potential interruptions in U.S. petroleum supplies caused by international turmoil and hurricanes, among other things. The SPR also helps the United States meet its obligations, including to holding reserves of oil or refined petroleum products equaling 90 days of net petroleum imports, as one of 29 members of the IEA\u2014an international energy forum established to help members respond to major oil supply disruptions. The SPR held almost 674 million barrels of oil at the end of September 2017.", "This testimony primarily focuses on preliminary observations from ongoing work on (1) DOE's use of the SPR in response to domestic petroleum supply disruptions, (2) the extent to which the SPR is able to respond to domestic petroleum supply disruptions, and (3) how other IEA members structure their strategic reserves and extent to which DOE has examined these structures. GAO reviewed past work from August 2006 through September 2014 and DOE and IEA documentation. GAO also interviewed DOE and IEA officials, as part of GAO's ongoing work."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's preliminary analysis of Department of Energy (DOE) documents indicates that DOE has primarily used the Strategic Petroleum Reserve (SPR) to an exchange of oil to companies in response to domestic supply disruptions, such as hurricanes. In the event of a supply disruption, the SPR can supply the market by either exchanging oil for an equal quantity of oil plus an additional amount as a premium to be returned to the SPR in the future or selling stored oil. Since the SPR was authorized in 1975, DOE has released oil 11 times in response to domestic supply disruptions. All but one were in the form of an exchange, including six exchanges in response to hurricanes. For example, Hurricane Harvey in 2017 closed or restricted ports through which 2 million barrels of oil per day were imported. In response, DOE exchanged 5 million barrels of oil to Gulf Coast refineries. According to DOE officials, exchanges from the SPR allowed refineries to operate, ensuring continued production of refined petroleum products for use by consumers.", "Based on past GAO work and preliminary observations, the SPR is limited in its ability to respond to domestic supply disruptions, including severe weather events, for three main reasons. First, as GAO reported in September 2014 (GAO-14-807), the SPR is almost entirely composed of oil and not refined products like gasoline, which may not be effective in responding to all disruptions. For example, following Hurricanes Katrina and Rita, nearly 30 percent of U.S. refining capacity was shut down for weeks, disrupting supplies of gasoline and other petroleum products. The SPR could not mitigate the effects of disrupted supplies. Second, as GAO also reported in September 2014, the SPR is nearly entirely located in the Gulf Coast, so it may not be responsive to disruptions in other regions, such as the West Coast. Third, GAO's ongoing work reviewed DOE and energy task force reports that found that statutory authorities governing SPR releases may inhibit their use for regional disruptions.", "GAO's preliminary observations show that other International Energy Agency (IEA) member countries generally have used one of five reserve structures configured in various ways. The structures are defined by whether countries hold either public reserves (e.g., the SPR), industry reserves (e.g., placing reserve holding requirements on industry), or a combination. Most IEA members hold refined petroleum products in reserve, with many members holding at least a third of their reserves in these products. For example, in Germany, 55 percent of reserves are in petroleum products. In addition, some IEA members' reserves are geographically dispersed in their countries to respond to disruptions. For example, France has reserves in each of its seven regions and has used these to address fuel supply disruptions as a result of recent domestic strikes. DOE has taken some steps to evaluate other structures but has not formally evaluated the structures of other countries in over 35 years. In addition, DOE contractors studied the feasibility of regional product reserves in the Southeast and West Coast regions to address supply vulnerabilities from hurricanes and earthquakes, respectively but DOE did not finalize the two 2015 studies. In 2016, DOE released a long- term strategic review of the SPR that Congress had required and GAO recommended. However, DOE did not include the results of the two studies in its 2016 review."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations but will consider making them, as appropriate, as it finalizes its work."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our work on energy resilience, specifically preliminary observations from our ongoing work looking at the Strategic Petroleum Reserve (SPR)\u2014the world\u2019s largest government owned stockpile of emergency oil. U.S. energy systems are vulnerable to a range of potential disruptions, including from international events, such as conflicts or terrorism incidents that may affect oil supplies, and domestic ones, such as from hurricanes and other severe weather events, which can disrupt oil and gas supplies and cause temporary fuel or electricity shortages. Because of the central role that energy plays in the U.S. economy and the configuration of the nation\u2019s energy system, vulnerabilities may have wide-ranging implications for energy production and use, ultimately affecting transportation, industrial, agricultural, and other critical sectors of the economy that require reliable energy. We have reported on energy vulnerabilities as well as on federal efforts to address them. Recent experience with Hurricanes Harvey, Irma, and Maria underscores these vulnerabilities. In addition to damaging infrastructure and property, and causing the loss of life, the hurricanes disrupted the operations of refineries representing at least 15 percent of the nation\u2019s refining capacity, affected fuel distribution, and left millions of U.S. citizens without electricity.", "After the Arab oil embargo, over 4 decades ago, Congress authorized the creation of the SPR to include the ability to release oil to the market during supply disruptions and protect the U.S. economy from damage. The SPR is managed by the Department of Energy (DOE). The SPR held 673.7 million barrels of oil as of September 30, 2017 which is worth about $38.4 billion at prices as of October 30, 2017. According to DOE\u2019s 2014- 2018 strategic plan, the SPR benefits the nation by providing an insurance policy against actual and potential interruptions in petroleum supplies caused by international turmoil, hurricanes, accidents, or terrorist activities. Releasing SPR oil during a disruption is intended to mitigate damage to the economy by replacing disrupted oil supplies, thereby reducing price increases that can result in economic damage. When processed, oil is converted into refined petroleum products such as gasoline and diesel fuel.", "The SPR also helps the United States meet its stockholding obligations as a member of the International Energy Agency (IEA)\u2014an international energy forum of 29 member nations established in 1974 to help members respond to major oil supply disruptions. IEA members have agreed to fulfill obligations, including holding reserves of oil or refined petroleum products equaling 90 days of net petroleum imports, and to release these reserves, utilize demand restraint measures, increase surge production, or utilize fuel switching during an IEA collective action in response to oil supply disruptions. In September 2014, we found that changes including increasing oil production, shrinking oil imports, and changing oil and fuel distribution patterns have important implications for the SPR. In that report, we concluded that changing market conditions have implications for the size, location, and composition of the SPR, and recommended that the Secretary of Energy undertake a comprehensive reexamination of the appropriate size of the SPR. In addition, in 2015, Congress required the Secretary of Energy to complete a long-range strategic review of the SPR. DOE completed its review in August 2016 which reviewed the size, composition, infrastructure needs, and distribution capability of the reserve.", "My statement today is based primarily on preliminary observations from ongoing work and focuses on (1) how DOE has used the SPR to address domestic petroleum supply disruptions; (2) the extent to which the SPR is able to respond to domestic petroleum supply disruptions; and (3) how other IEA members have structured their strategic reserves and the extent to which DOE has evaluated these structures.", "As part of our ongoing work, we reviewed reports and studies, including by DOE, IEA, and the U.S. Energy Information Administration (EIA) and interviewed DOE and IEA officials. Specifically, to describe how DOE has used the SPR to address domestic petroleum supply disruptions, we reviewed DOE, IEA, and EIA documents. To examine the extent to which the SPR is able to respond to domestic petroleum supply disruptions, we reviewed documents and reports from DOE, IEA, and DOE\u2019s Inspector General and interviewed DOE officials. We also reviewed our past work from August 2006 through September 2014. To describe how other IEA members have structured their strategic reserve systems to respond to disruptions, we reviewed IEA documents on members\u2019 reserve systems, reviewed a French document on its reserve system, and interviewed IEA officials about these systems. To describe the extent to which DOE has evaluated these structured, we reviewed DOE documents and interviewed DOE officials. We shared the information in this statement with DOE, and the agency provided comments.", "We are conducting the work upon which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Strategic Petroleum Reserve", "paragraphs": ["The Energy Policy and Conservation Act (EPCA) of 1975 authorized the SPR, partly in response to the Arab oil embargo of 1973 to 1974 that caused a shortfall in the international oil market. The SPR is owned by the federal government, managed by DOE\u2019s Office of Petroleum Reserves, and maintained by Fluor Federal Petroleum Operations LLC. The SPR stores oil in underground salt caverns along the Gulf Coast in Louisiana and Texas. DOE established an initial target capacity for the SPR of 500 million barrels based on U.S. import levels and implemented a phased approach to create large underground oil storage sites in salt formations, to reach a physical storage capacity of 750 million barrels. The SPR currently maintains four storage sites with a physical capacity of 713.5 million barrels.", "Three recent laws required sales of oil from the SPR to fund its modernization and other national priorities. The Bipartisan Budget Act of 2015 provided for the drawdown and sale of 58 million barrels of oil from fiscal years 2018 through 2025 and authorized the sale of up to $2 billion worth of oil through fiscal year 2020 to be used for an SPR modernization program. The Fixing America\u2019s Surface Transportation Act provided for the drawdown and sale of 66 million barrels of oil from fiscal years 2023 through 2025. The 21st Century Cures Act provided for the drawdown and sale of 25 million barrels from fiscal years 2017 through 2019. DOE estimates that, as a result of these sales, the SPR will hold between 506 and 513 million barrels of oil by 2025. For member countries to meet net petroleum import obligations, the IEA counts both public and private oil reserves, although the United States meets its IEA obligation solely through the SPR. As of July 2017, according to IEA data, the SPR held the equivalent of 141 days of import protection and U.S. private oil held the equivalent of an additional 216 days, for a total of about 356 days. Based on EIA projections of net imports, between 506 and 513 million barrels of oil would be equivalent to about 242 and 245 days of net imports in 2025."], "subsections": []}, {"section_title": "Regional Refined Product Reserves", "paragraphs": ["The United States has two regional refined product reserves\u2014Northeast Home Heating Oil Reserve and Northeast Gasoline Supply Reserve.", "The Northeast Home Heating Oil Reserve, which is not part of the SPR, holds 1 million barrels of ultra-low sulfur distillate, used for heating oil, for homes and businesses in the northeastern United States, a region heavily dependent upon the use of heating oil, according to DOE\u2019s website. The distillate is stored in leased commercial storage in terminals located in three states: Connecticut, Massachusetts, and New Jersey. In 2000, President Clinton directed the creation of the reserve to hold approximately 10 days of inventory, the time required for ships to carry additional heating oil from the Gulf of Mexico to New York Harbor.", "The Northeast Gasoline Supply Reserve, a part of the SPR, holds a 1 million barrel supply of gasoline for consumers in the northeastern United States. According to DOE\u2019s website, this region is particularly vulnerable to gasoline disruptions as a result of hurricanes and other natural events. In response to Superstorm Sandy, which caused widespread gasoline shortages in the region in 2012, DOE conducted a test sale of the SPR and used a portion of the proceeds from the sale to create the reserve in 2014. The gasoline is stored in leased commercial storage in terminals located in three states: Maine, Massachusetts, and New Jersey."], "subsections": []}, {"section_title": "Statutory Release Authority for the SPR", "paragraphs": ["Under conditions prescribed by EPCA, as amended, the President has discretion to authorize the release of petroleum products from the SPR to minimize significant supply disruptions. In the event of an oil supply disruption, the SPR can supply the market by selling stored oil. Should the President order an emergency sale of SPR oil, DOE conducts a public sale, evaluates and selects offers, and awards contracts to the highest qualified bidders. Purchasers are responsible for making their own arrangements for the transport of the SPR oil to its final destination. The Secretary of Energy also is authorized to release petroleum products from the SPR through an exchange for the purpose of acquiring oil for the SPR. According to DOE officials, this authority is sometimes utilized in oil supply disruptions when a specific volume of SPR oil is provided to a private sector company in an emergency exchange for an equal quantity of oil plus an additional amount as a premium to be returned to the SPR in the future. According to DOE\u2019s website, emergency exchanges are generally requested by a company after an event outside the control of the company, such as a hurricane, disrupts commercial oil supplies. The Secretary of Energy is also authorized to carry out test drawdowns through a sale or exchange of petroleum products to evaluate SPR\u2019s drawdown and sales procedures. When oil is released from the SPR, it flows through commercial pipelines or on waterborne vessels to refineries, where it is converted into gasoline and other petroleum products, and then transported to distribution centers for sale to the public."], "subsections": []}, {"section_title": "Changing Petroleum Markets", "paragraphs": ["Petroleum markets have changed substantially in the 40 years since the establishment of the SPR, including increases in global markets, increases in domestic oil production, and declines in net petroleum imports.", "Increases in global markets. At the time of the Arab oil embargo, price controls in the United States prevented the prices of oil and petroleum products from increasing as much as they otherwise might have, contributing to a physical oil shortage that caused long lines at gasoline stations throughout the United States. Now that the oil market is global, the price of oil is determined in the world market, primarily on the basis of supply and demand. In the absence of price controls, scarcity is generally expressed in the form of higher prices, as purchasers are free to bid as high as they want to secure oil supply. In a global market, an oil supply disruption anywhere in the world raises prices everywhere. Releasing oil reserves during a disruption provides a global benefit by reducing oil prices in the world market.", "Increases in domestic oil production. Reversing a decades-long decline, U.S. oil production has generally increased in recent years. According to EIA data, U.S. production of oil reached its highest level in 1970 and generally declined through 2008, reaching a level of almost one-half of its peak. During this time, the United States increasingly relied on imported oil to meet growing domestic energy needs. However, recent improvements in technologies have allowed producers to extract oil from shale formations that were previously considered to be inaccessible because traditional techniques did not yield sufficient amounts for economically viable production. In particular, the application of horizontal drilling techniques and hydraulic fracturing\u2014a process that injects a combination of water, sand, and chemical additives under high pressure to create and maintain fractures in underground rock formations that allow oil and natural gas to flow\u2014have increased U.S. oil and natural gas production.", "Declines in net petroleum imports. One measure of the economy\u2019s vulnerability to oil supply disruptions is to assess net petroleum imports\u2014that is, imports minus exports. Net petroleum imports have declined by over 60 percent from a peak of about 12.5 million barrels per day in 2005 to about 4.8 million barrels per day in 2016. In 2006, net imports were expected to increase in the future, increasing the country\u2019s reliance on foreign oil. However, imports have declined since then and, according to EIA\u2019s most recent forecast, are expected to remain well below 2005 import levels into the future. Canada and Mexico are the nation\u2019s major foreign sources for imported oil. Furthermore, the United States has increased its exports of oil and refined petroleum products."], "subsections": []}]}, {"section_title": "DOE Has Primarily Used Exchanges from the SPR to Private Companies to Address Domestic Petroleum Disruptions", "paragraphs": ["To quantify how DOE has used the SPR to address domestic petroleum supply disruptions, we reviewed DOE and EIA documents. We also reviewed our past work from August 2006 to January 2014.", "Our preliminary analysis indicates that DOE has primarily used exchanges to private companies in response to domestic supply disruptions such as hurricanes and other events. DOE has released oil 24 times from 1985 through September 2017, including 11 releases in response to domestic supply disruptions. Of these 11 releases, 10 were exchanges, including 6 exchanges in response to hurricanes. One of the 11 releases was an SPR sale in response to Hurricane Katrina, which was part of an IEA coordinated action release. Historic releases from the SPR are shown in figure 1.", "Our preliminary analysis also indicates that the six exchanges from DOE to U.S. refineries in response to hurricanes totaled about 28 million barrels.", "Based on our preliminary analysis of DOE documents, most recently, in response to Hurricane Harvey in 2017, DOE exchanged 5 million barrels of oil to Gulf Coast refineries that requested supplies. Refinery operations largely depend on a supply of oil and feedstocks. Hurricane Harvey closed or restricted ports through which 2 million barrels of oil per day were imported, and several refineries had no supply options except for SPR oil. According to DOE officials, exchanges from the SPR have allowed refineries to continue to operate until alternative supply sources became available, ensuring continued production of refined petroleum products for use by consumers.", "Based on our preliminary analysis of DOE documents, DOE\u2019s most significant response to a hurricane was in 2005 following Hurricane Katrina. As we reported in January 2014, oil platforms were evacuated and damaged, virtually shutting down all oil production in the Gulf region as a result of the hurricane. Based on our preliminary analysis of DOE documents, exchanges from the SPR, totaling 9.8 million barrels of oil, helped refineries offset this short-term physical supply disruption at the beginning of the supply chain, thereby helping to moderate the impact of the production shutdown on U.S. oil supplies. In addition to these exchanges, DOE also participated in an IEA collective action that was called in response to Hurricane Katrina by selling 11 million barrels of oil from the SPR, and IEA member countries delivered and sold much needed gasoline and other products to the United States. In total, DOE sold or exchanged 20.8 million barrels of oil from the SPR.", "Our preliminary analysis of DOE documents and reports also showed that although almost all of DOE\u2019s releases in response to domestic supply disruptions have been from the SPR, DOE also used the Northeast Home Heating Oil Reserve in response to Superstorm Sandy in 2012. According to DOE\u2019s website, the agency transferred approximately 120,000 barrels of fuel to the Department of Defense to help provide fuel for first responders."], "subsections": []}, {"section_title": "The SPR Is Limited in Its Ability to Respond to Domestic Disruptions", "paragraphs": ["Based on our past work and preliminary observations, the SPR is limited in its ability to respond to domestic petroleum supply disruptions for three main reasons. First, as we reported in September 2014, reserves are almost entirely composed of oil and not refined products, which may not be effective in responding to all disruptions that affect the refining sector. Second, as we reported in September 2014, reserves are nearly entirely located in one region, the Gulf Coast, which may limit responsiveness to disruptions in other regions. Third, during the course of our ongoing work, we reviewed DOE and energy task force reports that found that the statutory authorities governing SPR releases may inhibit their use for regional disruptions.", "Composition: As we reported in September 2014, the SPR is almost entirely composed of oil, which may not be effective in responding to all disruptions that affect the refining sector. In September 2014, we reported that many recent economic risks associated with supply disruptions have originated from the refining and distribution sectors, which provide refined products, such as gasoline, rather than from shortages of oil. Oil reserves are of limited use in such instances. We reported in May 2009 that following Hurricanes Katrina and Rita, nearly 30 percent of U.S. refining capacity was shut down for weeks, disrupting supplies of gasoline and other products. The SPR could not mitigate the effects of disrupted supplies because it holds oil. As of September 2017, over 99 percent of the SPR and its Northeast Gasoline Supply Reserve component (about 674 of 675 million barrels) is held as oil rather than as refined products, such as gasoline and diesel. Moreover, Gulf Coast hurricanes severely impacted refinery operations, such as Hurricane Katrina in 2005, Hurricane Ike and Hurricane Gustav in 2008, and Hurricane Harvey this year. According to DOE officials, oil reserves are not able to mitigate the potential effects of large-scale Gulf Coast refinery outages that may impact refined product deliveries.", "Location: As we reported in September 2014, the SPR is nearly entirely located in one region, the Gulf Coast, which may limit its ability to respond to disruptions in other regions. In the Gulf Coast, the SPR is located close to a major refining center as well as to distribution points for tankers, barges, and pipelines that can carry oil from it to refineries in other regions of the country. Most of the system of oil pipelines in the United States was constructed in the 1950s, 1960s, and 1970s to accommodate the needs of the refining sector and demand centers at the time. Given the SPR\u2019s current location in the Gulf Coast, transporting oil from the reserve may impact commercial distribution of oil. Based on our ongoing work, according to DOE\u2019s 2016 long-term strategic review of the SPR, the agency reported that the expanding North American oil production and the resulting shifts in how oil is transported around the country have reduced the SPR\u2019s ability to add incremental barrels of oil to the market under certain scenarios in the event of an oil supply crisis. This means that while the SPR remains connected to physical assets that could bring oil to the market, in many cases, forcing SPR oil into the distribution system would result in an offsetting reduction in domestic commercial oil flows. As we reported in September 2014, it may be more difficult to move oil from the SPR to refineries in certain regions of the United States. For example, since no pipelines connect the SPR to the West Coast, supplies of petroleum products and oil must be shipped by pipeline, truck, or barge from other domestic regions or by tanker from foreign countries. Such modes of transport are slower and more costly than via pipelines. For example, it can take about 2 weeks for a vessel to travel from the Gulf Coast to Los Angeles\u2014including transit time through the Panama Canal.", "Statutory release authorities: In the course of our ongoing work, we reviewed DOE and energy task force reports that found that the statutory authorities governing SPR releases may inhibit their use for regional disruptions. DOE is authorized to release petroleum distillate (fuel) from the Northeast Home Heating Oil Reserve upon a finding by the President of a severe energy supply interruption that includes a dislocation in the heating oil market or other regional supply shortage. On the other hand, because the Northeast Gasoline Supply Reserve is a part of the SPR, DOE can release gasoline from that reserve only after the President makes the statutorily required findings for release from the SPR, which do not explicitly include the existence of a regional supply shortage. According to DOE\u2019s 2016 long-term strategic review of the SPR, a regional product reserve is meant to address regional supply shortages, whereas the SPR of which the Northeast Gasoline Supply Reserve is a part of, is meant to address severe energy supply interruptions that have a national impact. As a result, according to DOE\u2019s 2016 long-term strategic review of the SPR, in practice, this means that the release of the gasoline reserve would have to have a national impact. The Quadrennial Energy Review of 2015 recommended that Congress integrate the authorities of the President to release products from the regional product reserves\u2014the Northeast Home Heating Oil Reserve and Northeast Gasoline Supply Reserve\u2014into a single, unified authority by amending the trigger for the release of fuel from the two refined product reserves so that they are aligned and properly suited to the purpose of a product reserve, as opposed to an oil reserve.", "As discussed, based on our preliminary observations, DOE has used the SPR in response to domestic supply disruptions, but the effectiveness of these releases is unclear because DOE has not formally assessed all of them. DOE has exchanged about 28 million barrels of oil in response to hurricanes, but we found only two reports assessing DOE\u2019s response to Hurricanes Gustav, Ike, Katrina, and Rita, and it is unclear whether DOE has examined other responses. According to a 2006 DOE Inspector General report, DOE used the SPR and its assets with great effectiveness to address emergency energy needs in the crises surrounding Hurricanes Katrina and Rita, but the concentration of SPR sites along the Gulf Coast meant the United States also had to rely on refined petroleum products from Europe. The report noted that despite being in the path of the hurricanes\u2019 destruction, the SPR promptly fulfilled requests for oil from refineries suffering from storm-related supply shortages. However, the damage caused by Hurricane Katrina demonstrated that the concentration of refineries on the Gulf Coast and resulting damage to pipelines left the United States to rely on imports of refined petroleum products from Europe, as part of an IEA collective response. Consequently, regions experienced a shortage of gasoline, and prices rose. DOE testified in 2009 that despite a response from the SPR and IEA, some markets south of Virginia and north of Florida could not be immediately supplied with refined products due to a lack of infrastructure to receive and distribute imports from the Atlantic coast to inland population centers. Exchanges with multiple refiners totaling 5.4 million barrels of SPR oil were authorized to Hurricanes Gustav and Ike in 2008. DOE assessed this response and submitted a report to Congress in 2009. According to DOE\u2019s 2009 report, the exchanges conducted in September and October 2008 were successful in providing emergency petroleum supplies to refiners experiencing shortages caused by Hurricanes Gustav and Ike.", "As we reported in May 2009, as originally enacted, EPCA envisioned the possibility that the SPR would include a variety of petroleum products stored at locations across the country. In a 2009 hearing, the then Deputy Assistant Secretary for Petroleum Reserves testified that DOE still considers a large SPR focused on oil storage to be the best way to protect the nation from the negative impacts of a short-term international interruption to U.S. oil imports; however, the hurricanes of 2005 and 2008 showed that the SPR may be limited in its ability to address some short- term interruptions to domestic refined products supply and distribution infrastructure."], "subsections": []}, {"section_title": "Other IEA Members Structure Their Reserves Differently, with Some Holding Industry Reserves and Refined Products, and DOE Has Taken Steps to Explore These Structures", "paragraphs": ["Based on information reviewed during the course of our ongoing work, to respond to disruptions, 27 of the 29 IEA member countries use one of five reserve structures, also known as stockholding structures, in which these countries hold public reserves, industry reserves, or a combination of these. The five structures are shown in figure 2. Also, most members hold refined petroleum products, with many members holding at least a third of their reserves in refined petroleum products. Some members hold their refined petroleum products in different regions across their country to respond to disruptions.", "Based on our preliminary analysis of information on the 29 IEA member countries, 18 place a stockholding obligation on industry either exclusively or in part to meet their total emergency reserve needs. Most of these countries distribute the stockholding obligation in proportion to companies\u2019 share of oil imports or of sales in the domestic market. However, several member countries instead impose a higher obligation on refineries because of their high amount of operating oil.", "According to a 2014 IEA report, most IEA members hold some amount of refined petroleum products, and a European Union (EU) directive generally requires EU members to ensure that at least one-third of their stockholding obligation is held in the form of refined petroleum products. For example, according to the IEA\u2019s website, Germany\u2019s stockholding agency, Erdolbevorratungsverband (EBV), holds 55 percent of its reserve in refined petroleum products such as gasoline, diesel fuel, and light heating oil. In contrast, the United States holds almost all of its reserves in oil rather than refined petroleum products.", "Some IEA member countries geographically disperse their reserves of refined petroleum products to be able to respond to domestic disruptions. For example, according to the IEA\u2019s website, to maintain a wide geographical distribution of emergency reserves, the French stockholding agency stores refined petroleum products in each of its seven geographic zones. Moreover, according to the IEA\u2019s website, France\u2019s agency stores petroleum product reserves in each zone; reserves in each zone should represent specified amounts based on consumption in order to respond to emergencies. During a labor strike in December 2013, France used its emergency reserves to supply local gas stations when delivery of fuel was impeded for a prolonged period of time, according to a French document. In another example, the IEA reported that Germany holds petroleum product reserves in several regions in the country and that the reserves are to be distributed throughout Germany, so that a minimum reserve equivalent to a 15-day supply is maintained in each of five designated supply areas. The rationale for this is to prevent logistical bottlenecks that could occur if all emergency reserves were stored centrally, according to a 2014 IEA report.", "Based on our preliminary observations, DOE has taken some steps to evaluate different structures for holding reserves. However, the agency has not formally evaluated other countries\u2019 structures in over 35 years and has not finalized its 2015 studies on regional petroleum product reserves. According to DOE officials, the agency explored the feasibility of adopting the industry structure shortly after creating the SPR and concluded that this and other structures were not feasible in the United States. In 1980, DOE studied the feasibility of adopting the agency structure, which is the most similar to the SPR since the only major difference is how the reserve is funded, according to DOE officials. According to IEA documents, in the agency structure, generally the reserve is funded by a tax or levy on products or industry, which is passed down to the consumer. In contrast, the SPR is funded through congressional appropriations. However, DOE officials we interviewed cautioned that the agency has not reassessed its findings from 35 years ago. As mentioned above, in 2016 DOE reassessed the SPR in light of the changing global oil market, but this assessment did not include a review of other IEA countries\u2019 structures.", "Our preliminary review indicates that DOE examined the feasibility of additional regional petroleum product reserves in two 2015 studies, but it did not finalize these studies or expand the SPR to include additional reserves. In September 2014, we reported that DOE officials told us they were conducting a regional fuel resiliency study that would provide insights into whether there is a need for additional regional product reserves and, if so, where these reserves should be located. The Quadrennial Energy Review of 2015 recommended that the agency analyze the need for additional or expanded regional product reserves by undertaking updated cost-benefit analyses for all of the regions of the United States that have been identified as vulnerable to fuel supply disruptions. Figure 3 illustrates vulnerabilities that DOE identified in 2014.", "In response to the 2015 recommendation, DOE contractors studied the feasibility of additional regional petroleum product reserves, as part of the SPR, in the U.S. Southeast and West Coast regions to address supply vulnerabilities from hurricanes and earthquakes, respectively. According to DOE officials, weather events in the Southeast are of higher probability but lower consequence, and events in the West Coast are of lower probability but higher consequence. DOE did not finalize its 2015 studies on regional petroleum product reserves and make them publicly available.", "According to DOE officials, because consensus could not be reached within the Administration on several issues associated with the refined product reserve studies, these studies were not included as part of DOE\u2019s 2016 long-term strategic review of the SPR. Our ongoing work indicates that DOE\u2019s 2016 long-term strategic review of the SPR did not account for the risks of domestic supply disruptions as a factor in determining the appropriate size, location, and composition of the SPR. Prior to the two 2015 studies, in 2011, DOE carried out a cost-benefit study of the establishment of a refined product reserve in the Southeast and estimated that such a reserve would reduce the average gasoline price rise by 50 percent to 70 percent in the weeks immediately after a hurricane landfall, resulting in consumer cost savings, according to the Quadrennial Energy Review of 2015.", "In closing, I note that we are continuing our ongoing work examining issues that may help inform future considerations for the SPR. Given the constrained budget environment and the evolving nature of energy markets and their vulnerabilities, it is important that DOE ensures the SPR is an efficient and effective use of federal resources. We look forward to continuing our work to determine whether additional DOE actions may be warranted to promote this objective.", "Chairman Upton, Ranking Member Rush, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Frank Rusco, Director, Natural Resources and Environment, at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this testimony include Quindi Franco, Assistant Director; Philip Farah, Ellen Fried, Nkenge Gibson, Cindy Gilbert, Gregory Marchand, Patricia Moye, Camille Pease, Oliver Richard, Danny Royer, Rachel Stoiko, Marie Suding, and Kiki Theodoropoulos.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Congress created the Strategic Petroleum Reserve more than 4 decades ago to release oil during supply disruptions and protect the U.S. economy.", "In this testimony, we noted that since then, oil has been released 11 times in response to domestic disruptions, including 6 caused by hurricanes.", "However, the reserve\u2019s ability to respond is limited. We found 3 main reasons:", "it is almost entirely made up of unrefined oil, and refineries may also be disrupted;", "almost all reserve storage sites are on the Gulf Coast, potentially complicating distribution; and,", "the law generally limits releases to times of national rather than regional disruption."]} {"id": "GAO-18-71", "url": "https://www.gao.gov/products/GAO-18-71", "title": "Internet of Things: FCC Should Track Growth to Ensure Sufficient Spectrum Remains Available", "published_date": "2017-11-16T00:00:00", "released_date": "2017-11-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["IoT generally refers to devices (or \u201cthings\u201d), such as vehicles and appliances, that use a network to communicate and share data with each other. The increasing popularity of wireless IoT devices that use spectrum has created questions about spectrum needs. GAO was asked to examine issues related to spectrum and IoT. This report discusses, among other things, (1) spectrum challenges related to IoT, (2) how the federal government plans for IoT\u2019s spectrum needs, and (3) how selected leading countries prepare for IoT\u2019s spectrum needs.", "GAO reviewed documents and interviewed officials from FCC and the National Telecommunications and Information Administration as well as 24 officials from a variety of sectors, including government, commercial, and manufacturing. Stakeholders were selected based on a literature review, among other factors. GAO interviewed government and commercial representatives from four leading countries regarding IoT planning and development and reviewed associated documents. These countries were selected based on criteria that included level of economic development among other criteria."]}, {"section_title": "What GAO Found", "paragraphs": ["The stakeholders GAO spoke with identified two primary spectrum-related challenges for the internet of things (IoT)\u2014the availability of spectrum and managing interference. Although not considered an immediate concern, Federal Communications Commission (FCC) staff and some stakeholders noted that rapid increases in IoT devices that use large amounts of spectrum\u2014called high-bandwidth devices\u2014could quickly overwhelm networks, as happened with smart phones. Stakeholders and FCC staff also indicated that managing interference is becoming more challenging as the number of IoT and other wireless devices grows, particularly in bands that do not require a spectrum license. The figure below illustrates the uses of radio frequency spectrum, including unlicensed use.", "FCC plans for IoT\u2019s spectrum needs by broadly tracking spectrum demand and making additional spectrum available as needed. Ensuring sufficient spectrum to support commercial demand is one way FCC pursues its strategic goal of promoting economic growth. FCC has made additional spectrum publicly available at least four times since 2015 by repurposing over 11 gigahertz of spectrum. However, FCC does not track the growth of IoT devices in two areas that pose the greatest risk to IoT\u2019s growth\u2014high bandwidth and unlicensed-spectrum devices. In 2014, FCC\u2019s Technical Advisory Council (TAC) recommended that FCC monitor high-bandwidth IoT devices and make sufficient unlicensed spectrum available. FCC officials said that FCC monitors spectrum use broadly and makes spectrum available as needed. However, since the process of reallocating spectrum is lengthy, FCC may not have adequate time to take actions to avoid a shortage, possibly hindering IoT\u2019s growth and associated economic growth.", "Spectrum planners in four leading countries\u2014France, Germany, the Netherlands, and South Korea\u2014have taken steps similar to those taken by the United States in preparation for IoT\u2019s expansion, including taking a technology-neutral approach that stakeholders believe encourages innovation. Unlike the United States, officials from two leading countries said they are concerned about spectrum congestion from the growth of IoT devices, but only one is actively monitoring congestion. In addition, three leading countries have developed nationwide low power wide-area networks that use unlicensed spectrum with potential benefits including low costs and low barriers to entry."]}, {"section_title": "What GAO Recommends", "paragraphs": ["FCC should track the growth in (1) high-bandwidth IoT devices and (2) IoT devices that rely on unlicensed spectrum. FCC did not believe these actions are necessary but noted that it would ask its TAC to periodically review and report on IoT\u2019s growth. GAO continues to believe the recommendations are valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The number of connected devices\u2014ranging from goods like phones and cameras to connected vehicles to automated manufacturing facilities\u2014is currently estimated in the billions and rising. The Internet of Things (IoT) generally refers to these connected devices (or \u201cthings\u201d) that use a network to communicate with one another and process data. These connected devices are integrated into the daily activities of consumers, businesses, and government. For example, wearable IoT devices enable users to track information about their health and fitness activities. In agriculture, IoT technology can analyze soil quality and harvest yield to automatically deposit seed in fertile parts of a field. Further, some cities now use connected traffic sensors to monitor traffic flow and air quality. These devices may connect to networks through a wired connection, but the trend in new technology is increasingly to connect wirelessly. Connected wireless devices use radio frequency spectrum (spectrum) to communicate. Wireless communications allow devices to remain connected while mobile but also allow connected devices in locations where a wire may not be possible. While specific estimates vary, wireless IoT devices are expected to grow exponentially and this means many more devices using spectrum. Some experts forecast 25\u201350 billion devices will be competing for spectrum by 2025. Continued growth in the number of connected devices could require more spectrum be made available or more efficient ways of using available spectrum, more spectrum sharing, or a combination of all three.", "The National Telecommunications and Information Administration (NTIA) within the Department of Commerce and the Federal Communications Commission (FCC) are responsible for managing spectrum within the United States. FCC manages spectrum used for consumer, commercial, and state and local public safety purposes, and NTIA oversees spectrum used by the federal government. Both are responsible for planning ways to meet increasing demands for spectrum created by IoT and other wireless devices. You asked us to examine the challenges facing federal spectrum managers and the steps they are taking to address those challenges. In this report we discuss: (1) the spectrum-related challenges selected stakeholders identified due to the anticipated growth of IoT, (2) steps the federal government is taking to plan for the anticipated growth in the demand for spectrum as a result of IoT, and (3) efforts that selected leading countries are undertaking to plan for IoT\u2019s spectrum needs and ways that these efforts compare with those of the United States.", "To identify the spectrum-related challenges stemming from the expected growth of IoT, we conducted interviews and reviewed relevant hearings, reports and literature. We identified relevant stakeholders (1) by reviewing comments submitted to NTIA in response to its request for comment on the government\u2019s role in planning for IoT growth, (2) by reviewing records of three congressional hearings related to IoT growth, and (3) by conducting a review of literature on topics that encompassed academic articles, government reports, and trade journals. We conducted 24 telephone, and in-person interviews with stakeholders, including industrial and commercial users of IoT, nonprofit groups, subject matter experts, manufacturers, and telecommunications companies and FCC and NTIA regarding the spectrum-related challenges presented by the anticipated growth in IoT. The views of these stakeholders are not generalizable to those of all IoT stakeholders in the United States; however, we believe that these interviews provide a balanced and informed perspective on the topics discussed. We then analyzed the results of these interviews and related documents to identify the main themes and develop summary findings. To characterize the views captured during the interviews, we defined the terminology used to quantify the views as follows: \u201cmost\u201d users represents 18 to 24 users, \u201ca majority of\u201d users represents 11 to 17 users, \u201cseveral\u201d users represents 6 to 10 users, and \u201csome\u201d users represents 3 to 5 users.\u201d", "Further, we reviewed the previously mentioned hearings, reports, and journals for additional insight on the spectrum challenges related to IoT and to understand the projected growth of IoT devices. We also reviewed literature concerning the growth of wireless devices, such as smart phones, to determine if there are any lessons learned from the demand these devices placed on spectrum that could be applied to the expected growth of IoT. To identify the steps FCC and NTIA are taking to plan for the anticipated growth in the demand for spectrum as a result of IoT, we interviewed FCC and NTIA officials and reviewed relevant agency documents including reports and plans. We compared FCC\u2019s and NTIA\u2019s efforts against their strategic goals and federal internal control standards for identifying, analyzing, and responding to risks to achieving agency objectives.", "To identify the efforts that selected leading countries are undertaking to plan for IoT\u2019s spectrum needs and ways that these efforts compare with those of the United States, we identified leading countries by reviewing trade journals, industry publications, foreign governments\u2019 websites and publications, and asking the stakeholders identified above. Through this process, we identified seven countries of potential interest, all of which have conducted spectrum planning in support of IoT: China, France, Germany, Netherlands, Japan, Singapore, and South Korea. We selected four of these countries\u2014France, Germany, the Netherlands, and South Korea\u2014as having similarities to the United States and being leaders in IoT development, based on additional criteria including the level of their economic development, the maturity of their telecommunications infrastructures, and the comparability of their governments to the United States and the accessibility of their spectrum planning information. We reviewed documents and conducted telephone and written interviews with officials from the spectrum management agencies in each of these four countries. We also conducted eight telephone and written interviews with officials from telecommunications companies in these four countries, with IoT manufacturers, and with officials from international spectrum planning groups to gather information about IoT development, challenges, and responses to these challenges in the leading countries that we contacted. While the experiences of the interviewees are not generalizable to those of all spectrum-planning officials and IoT stakeholders worldwide, we believe that the information we gathered from them provides a balanced and informed perspective on the topics discussed. See appendix I for completed scope and methodology.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Spectrum is a natural resource used to provide a variety of communication services to businesses and consumers, as well as federal, state, and local governments. Businesses and consumers use spectrum for a variety of wireless services including mobile voice and data, WiFi- and Bluetooth-enabled devices, broadcast television, radio, and satellite services. Federal, state, and local governments\u2019 uses of spectrum include national defense, law enforcement communication, air- traffic control, weather services, military radar, and first responder communications. IoT applications that rely on spectrum are highly diverse and include connected vehicles, devices in the home, and personal mobile devices. IoT devices communicate using wireless networks, including wide area networks that use cellular networks to cover large areas (e.g., cellular transmission), local area networks that cover about 100 meters (e.g., Wi-Fi within a house), and personal networks covering about 10 meters (e.g., Bluetooth inside a room) (see fig. 1).", "Each of these wireless devices, like other wireless IoT devices, communicates using spectrum, and the number of connected devices is expected to increase. In 2013, the number of devices connected to the internet globally was estimated to be over 9 billion. In 2015, the Organisation for Economic Cooperation and Development (OECD) estimated that a family of four had an average of 10 devices connected to the Internet in their household, and that this average will increase to 50 devices by 2022. As companies bring new IoT technologies and services to market and government users develop new mission needs, the demand for spectrum will increase.", "The frequencies, or frequency bands, of spectrum have different characteristics that make them more or less suitable for specific purposes, depending on the specific band (see fig. 2). These bands have different levels of ability to penetrate physical obstacles and cover distances, known as \u201cpropagation,\u201d and different limits to the amount of information that they can carry, known as data capacity, and are used for different communication purposes. Low frequency bands are characterized by strong propagation, and are used by numerous IoT devices, some of which may only transmit small amounts of information such as temperature, location, or activity status. The strong propagation of low bands means they can transmit over long distances. Mid-band frequencies have higher data capacity than low bands (because, in part, frequency allocations in higher bands are larger, allowing wider channels), as well as, stronger propagation qualities than higher bands. The bands above 30 GHz have high data capacity but relatively poor propagation, to the point that bands at the highest frequencies can be easily obstructed. This spectrum is currently used by a variety of services, including satellite, fixed microwave, and radio astronomy, and is expected to be important for the next generation wireless technology (5G).", "FCC is the federal agency responsible for allocating spectrum for various consumer and commercial purposes, assigning spectrum licenses, and making spectrum available for use by unlicensed devices. Licensing assigns frequencies of spectrum, in a specific area, to a specific entity, such as a telecommunications company that operates a network using licensed spectrum. We refer to these bands as licensed spectrum. In some frequency bands, FCC authorizes unlicensed use of spectrum bands\u2014generally referred to as unlicensed spectrum\u2014that is, users do not need to obtain a license to use spectrum. Rather, users of unlicensed devices can share frequencies on a non-interference basis, such as with home wireless networks, cordless phones, and garage door openers. In addition, FCC supports federal emergency-communications activities.", "NTIA is responsible for establishing policy on regulating federal spectrum use, assigning spectrum bands to government agencies, and maintaining spectrum use databases. Additionally, like FCC, NTIA participates in federal emergency communications activities. NTIA also determines what spectrum bands reserved for the federal government can be made available for commercial use.", "In managing spectrum, one factor that FCC and NTIA consider is the potential for interference. Harmful interference occurs when two communication signals are either at the same frequencies or close to the same frequencies in the same vicinity, a situation that may lead to degradation of a device\u2019s operation or service. Co-channel interference occurs when two communications systems operate on the same frequency assignment in the same vicinity. Adjacent band interference occurs between two communication systems operating on different, but adjacent frequencies in the same geographic area. Another source of interference can be signals on adjacent spectrum bands leaking into another band.", "FCC and NTIA work to make more efficient use of spectrum that has been assigned. One means of more efficiently using spectrum is to share it, between and among both federal users and commercial users. In 2017, FCC and NTIA continued oversight of the development of a new- spectrum sharing mechanism called the Spectrum Access System (SAS) in the 3.5 GHz band. Among other things, the SAS allows multiple users access to the same band at different times or places. Within this spectrum band the SAS establishes a three-tiered system of access priority, with federal and non-federal incumbent users having first priority, new non- federal users who have paid for licensed access as second priority, and other users as third priority. This system relies on the SAS to assign frequencies by determining if a frequency is in use by a higher priority user before assigning it to a lower priority user."], "subsections": []}, {"section_title": "Selected Stakeholders Identified Spectrum Availability and Managing Interference as Challenges Affecting IoT Devices", "paragraphs": ["Stakeholders representing IoT network providers, device manufacturers, users, and federal regulators consistently identified two spectrum-related challenges to the continued growth and development of IoT 1) ensuring the availability of sufficient spectrum and 2) managing the harmful interference from the increasing number of IoT devices."], "subsections": [{"section_title": "Spectrum Availability", "paragraphs": ["While not currently a crisis, the stakeholders we spoke to agreed that ensuring the availability of sufficient amounts and the right kinds of spectrum is a key challenge for supporting the growth of IoT. Specifically, stakeholders cited three dimensions of the spectrum availability challenge: the amount, the balance between licensed and unlicensed, and the variety of spectrum bands available. According to some reports, incorrectly anticipating industry needs in any of these areas could weaken IoT growth and development in the United States.", "Amount of spectrum: The amount of spectrum needed for IoT devices is expected to increase with their growth. According to a majority of stakeholders we interviewed, FCC will need to continue to make additional spectrum commercially available in order to meet the demand from expected rapid growth in wireless devices, including IoT devices. FCC officials told us the current amount of available spectrum will be sufficient for the growth of IoT unless devices that use a disproportionally large amount of spectrum become more prevalent. Such devices, like those that stream video, could lead to a spectrum shortage that negatively impacts IoT growth. According to several stakeholders spectrum availability will become an issue as use of these devices increases. FCC officials said that cellular providers experienced similar issues when they introduced smart phones, spurring rapid, exponential growth in consumer demand to send and receive wireless data. Despite the potential for a shortage of spectrum for IoT devices, most of the stakeholders agreed that there should not be specific spectrum set aside for IoT devices; rather, some noted spectrum policies should remain flexible, allowing licensees to determine the best use.", "Licensed and unlicensed spectrum: A majority of stakeholders said that the spectrum availability challenge includes making both licensed and unlicensed spectrum available. According to FCC staff, FCC is responsible for ensuring sufficient spectrum exists for commercial purposes and will continue to identify new spectrum that can be used for a variety of uses, including by IoT and other wireless devices. This identification of new spectrum includes making spectrum available on both a licensed and unlicensed basis to meet the needs of IoT and other wireless devices. For example, some devices may need to send a signal over a long distance and with a high quality of service to ensure a signal will go through, such as a fire alarm, something licensed spectrum can provide. However, for other devices, cost is a more important consideration. Licensed spectrum has costs that can come from purchasing the license or accessing the spectrum. For example, an official from a supply-chain automation company that develops radio- frequency identification tags told us the lack of inexpensive, low power networks that provide broad coverage is a challenge for their business. With such a network, the company\u2019s tags could send out small amounts of data at intervals to help manufacturers track their goods. However, the cost of such a service is important if these tags are to attach to all size packages because paying for GPS or a wireless connections for each would make it unfeasible. According to several stakeholders, the correct balance between licensed and unlicensed spectrum is difficult to know.", "Spectrum bands: Several stakeholders indicated that the need to make various spectrum bands available for IoT devices contributes to the spectrum management challenge. As previously described, each band of spectrum has different characteristics, such as the ability to carry data long distances and penetrate obstacles. IoT devices have diverse spectrum needs, such as needing to send a signal over a distance or send a constant stream of information. For example, in the package delivery industry there could be IoT devices, sending signals over a distance, that read the location of the vehicle and direct the driver on a different route based on traffic and deliveries. In addition, there are IoT devices that can monitor containers being delivered including their location, temperature within the container, and other characteristics. In both these examples, the devices can send signals over long distances to systems that can monitor the information."], "subsections": []}, {"section_title": "Spectrum Interference", "paragraphs": ["Some stakeholders and FCC staff also agreed that managing interference caused by the increasing number of IoT devices will challenge the continued growth of IoT. As previously stated, interference occurs when signals in the same vicinity attempt to access the same spectrum bands or bands close to each other, causing the signals to degrade. This can lead to intermittent access, poor reception, or no reception. As the number of wireless IoT devices grows, the chances of harmful interference increases. The number of IoT devices is predicted to grow so fast the instances of harmful interference could be difficult to track. Furthermore, according to one stakeholder, with devices being made by more manufacturers, not all devices are created of equal quality, potentially further increasing the chance that such devices will cause interference. A recently issued GAO report found that according to FCC staff, the expansion in wireless services and devices, not just IoT, has contributed to interference becoming more of a challenge for FCC. FCC staff agreed that managing interference is becoming more challenging as the number of wireless IoT devices grows. However, according to FCC staff, relatively few complaints pertaining to licensed services involve devices that are compliant with FCC regulations and operating properly.", "Managing interference may be particularly difficult in homes where many devices rely on unlicensed spectrum. The FCC Technical Advisory Council\u2019s (TAC) report from 2014, expressed concerns that the rapid growth of IoT could exacerbate interference issues in the home. Particularly, the growing reliance on unlicensed spectrum for many consumer IoT devices has contributed to this concern. For example, many IoT devices using unlicensed spectrum, such as digital assistants or wireless speaker systems, use Wi-Fi, Bluetooth or similar technology to transmit a short distance to a smart phone or Wi-Fi router. Not all agree however, that this use is an issue. One spectrum expert we interviewed for a recently-issued report said that interference among consumer devices is less likely to be an issue because they only transmit for short durations and over short distances. If the devices only transmit a short distance then many devices can transmit on the same spectrum. Similarly, if devices only transmit for short durations then they can take turns transmitting over the same spectrum."], "subsections": []}]}, {"section_title": "The Federal Government Has Plans to Meet Spectrum Needs but Does Not Track IoT Devices That Could Cause Congestion", "paragraphs": [], "subsections": [{"section_title": "FCC Spectrum Planning", "paragraphs": ["To plan for spectrum needs, FCC has repurposed spectrum by making additional spectrum available for commercial purposes and, according to FCC officials, the agency is continuing to look for additional opportunities to do so. For example, in 2016, FCC issued a final order that opened up high-band spectrum (above 24 GHz) for use with 5G networks and applications. This particular rulemaking from FCC opened up a total of 10.85 GHz of spectrum, 3.85 GHz for licensed mobile use and 7 GHz for unlicensed use. According to FCC, this order follows a technology neutral approach to planning by allowing spectrum users to develop technologies for the spectrum and not have FCC dictate its specific use. Advances in technology that now allow use of spectrum above 24 GHz for high-speed mobile services led the FCC to initiate the proceeding resulting in this order. Previously, this spectrum was best suited for various satellite or fixed microwave applications. As shown in table 1, in recent years FCC has freed up spectrum for licensed use, unlicensed use, and sharing between the two.", "In 2016, FCC issued a proposed rule to allow mobile uses in an additional 17.7 GHz of spectrum. In 2017, the FCC issued a Notice of Inquiry seeking input on potential opportunities for additional flexibility, particularly for wireless broadband services, in spectrum bands between 3.7 and 24 GHz. However, according to FCC staff, the process of identifying and freeing up new spectrum can take a significant amount of time as FCC must complete a rulemaking and either relocate existing users or define sharing arrangements between the existing users and new users. FCC has also proposed sharing mechanisms it hopes will allow some bands to be used by existing users as well as additional uses in the future. Other efforts to make additional spectrum commercially available have included examining the potential for sharing the 5.9 GHz band that FCC designated for transportation safety. This band was allocated over 15 years ago and designated exclusively for safety communication between vehicles and between vehicles and infrastructure. In recent years, FCC has worked with the automobile industry and Department of Transportation to assess whether all or a portion of that spectrum could be shared. FCC is also monitoring development of specifications to support 5G\u2014the next generation of wireless networks. According to FCC, the 5G technologies that providers develop are projected to bring wireless networks lower latency, better coverage, faster Internet connections, and allow for more connections than the existing cellular network, all of which may enable more IoT devices to be connected. However, 5G technology is still being developed, and while specifications are not fully defined, according to the plans from the standards-making bodies there will be particular standards designed to support IoT communications."], "subsections": []}, {"section_title": "NTIA\u2019s Data Gathering and Research", "paragraphs": ["In 2016, NTIA issued a report on the potential roles of the federal government in support of the growth of IoT. It addressed specific questions regarding the spectrum needs and potential interference related to IoT devices and reaffirmed the government\u2019s role in supporting technology growth. Furthermore, the report identified ongoing initiatives that support IoT as well as proposed future steps the Department of Commerce can take to further support IoT development. For example, NTIA\u2019s report proposed that it continue to analyze the usage and growth of IoT devices through its survey used to collect its Digital Nation data. Recent Digital Nation surveys have asked about wearable devices, use of smart televisions, and use of Internet-enabled mobile phones, all uses that include IoT applications. The most recent survey, in 2015, also asked Internet users whether they interact with household equipment or appliances via the Internet. NTIA officials recently told us that they will continue to monitor these connected items to track trends in their use but do not intend to expand the survey to include questions about additional IoT devices. Specifically, in January 2017, NTIA sought out public comment on its November 2017 Digital Nation survey including comment on a proposed questionnaire. NTIA subsequently submitted its proposed questionnaire to Office of Management and Budget for final approval.", "NTIA also has ongoing spectrum studies through its Institute for Telecommunications Sciences and the findings may apply to IoT\u2019s use of spectrum. As shown in table 2, these studies touch on a number of areas related to IoT including interference issues and spectrum use. NTIA also co-chairs the Wireless Spectrum Research and Development Interagency Working Group that coordinates spectrum-related research and development activities across the federal government, academia, and the private sector. Among other activities, this working group has developed the Wireless Spectrum Research and Development Inventory that, in its 2016 iteration, provides information on completed projects or those scheduled to be completed between January 1, 2015 and December 31, 2018."], "subsections": []}, {"section_title": "Tracking IoT\u2019s Growth", "paragraphs": ["FCC has a strategic goal of promoting economic growth, and one way FCC pursues that goal is by ensuring that there is sufficient spectrum to support commercial demand. Most stakeholders agree that the growth in mobile IoT devices will eventually require additional spectrum to operate effectively. According to some stakeholders we interviewed and reports we reviewed, rapid, unexpected growth in two areas could lead to congestion and interference that could slow the growth of IoT in the United States: (1) high-bandwidth devices and (2) devices that operate in unlicensed bands. Federal standards for internal control instruct agencies to address risks such as these by estimating the significance of the risk, analyzing the likelihood of it occurring, and assessing its nature. Such assessments can be used to determine how to respond to the potential risks that could prevent agencies from meeting their goals. Rapid growth in high-bandwidth and unlicensed spectrum devices represent risks to FCC achieving its goal of promoting economic growth by ensuring that sufficient spectrum is available.", "FCC officials said that the agency tracks industry-produced trends and projections related to spectrum demand and use but does not focus on specific devices. Rather, it relies on network providers to manage and track the spectrum related to specific device types. When more spectrum is needed, FCC officials said that FCC identifies additional spectrum and makes it available to the commercial sector. However, this reactive approach may not adequately address the risks caused by high- bandwidth and unlicensed-spectrum devices.", "High-bandwidth devices: Some stakeholders we interviewed and FCC officials said that rapid increases in high-bandwidth IoT devices could overwhelm current wireless networks. Such IoT devices could include video-streaming devices or unmanned drones, which have much higher data needs and will require a lot of bandwidth. FCC officials said that the supply of spectrum has not always kept pace with demand caused by rapid increases in high-bandwidth devices. For example, the officials said that wireless networks were overwhelmed when providers introduced smart phones. Until then, ringtones represented the bulk of demand for wireless data, but mobile Internet browsing caused the demand for wireless data to increase several fold. In 2014, the FCC TAC warned that new IoT applications could overwhelm networks the same way smartphones and other new technologies have in the past. The TAC recommended that FCC monitor IoT wireless networks with a specific focus on high-bandwidth devices.", "Unlicensed spectrum use: Some stakeholders also said that unlicensed bands are particularly vulnerable to congestion and potential interference because of expected growth in IoT devices. For example, all the commercial, industrial, and personal devices that connect using WiFi and Bluetooth networks use unlicensed spectrum. In 2014, the TAC indicated that the majority of wireless IoT devices will rely on unlicensed spectrum and recommended FCC make sufficient unlicensed spectrum available for devices operating on local and personal area networks, like WiFi and Bluetooth. However, FCC may not have enough information to determine when the amount of unlicensed spectrum is sufficient. While network providers can manage the number of devices on their own licensed networks, this approach does not work for devices that use unlicensed spectrum, and FCC does not track unlicensed spectrum utilization. It does not track use of unlicensed spectrum because congestion of unlicensed spectrum is geographically and technically challenging to track. Specifically, it is geographically challenging because network congestion and demand can vary over very short distances and technically challenging because there are so many bands of spectrum that would have to be tracked at one time and unlicensed spectrum typically propagates over relatively short distances. However, there may be ways to track unlicensed use that does not require monitoring. For example, NTIA\u2019s Digital Nation survey provides information on select IoT devices using unlicensed spectrum that could help track unlicensed spectrum use.", "While FCC makes additional spectrum available when needed, it lacks an early warning system for high-risk sectors, like high-bandwidth and unlicensed-spectrum devices. The process of identifying and reallocating spectrum is a lengthy process that can take years, including the need to identify new bands, address the needs of existing users on the bands, establish service rules, and license or assign the spectrum for commercial uses. Without tracking the high-bandwidth and unlicensed-spectrum devices, FCC is not assessing a key risk associated with its goal of promoting economic growth. Rapid, unexpected growth in these IoT sectors could lead to spectrum congestion and interference that could slow or halt the economic growth associated with IoT until FCC can make additional spectrum available."], "subsections": []}]}, {"section_title": "Selected Leading Countries Vary in Spectrum-Planning Approaches for IoT", "paragraphs": [], "subsections": [{"section_title": "Approaches to Spectrum Planning in Selected Leading Countries", "paragraphs": ["Like the United States, France, Germany, the Netherlands, and South Korea are among the world leaders in the development of IoT. We contacted public and private officials in these countries to identify their approaches to spectrum planning to address the growth of IoT. Those officials described approaches to planning for future spectrum needs that are similar to the United States in one area but different in others (see table 3). Specifically, we found that all four countries practice technology neutral spectrum planning, an approach that was broadly supported by the stakeholders we interviewed, including wireless carriers, a technology manufacturer, academics, and a nonprofit group. Some of these stakeholders indicated that this approach to spectrum planning encourages innovation as it allows developers to choose the most appropriate spectrum bands for new technology without having to take the extra step of getting regulators\u2019 permission for each new device or application.", "Two of the selected leading countries, Germany and South Korea, have developed national IoT plans focused on developing IoT for industry; however, only South Korea has a plan that specifically addresses spectrum issues. South Korea\u2019s national IoT plan seeks to increase collaboration among IoT stakeholders, promote innovation, and develop services for the global market in order to promote productivity and efficiency in Korean business. South Korea also developed a mid- to long-term spectrum plan to respond to the expected growth in demand for spectrum as IoT expands and 5G cellular networks are deployed. Released in 2016, the plan intends to makes more spectrum available to support new services such as smart homes, smart factories, smart cities, remote medical treatment, and unmanned vehicles. Specifically, the South Korean spectrum plan that includes IoT and establishes the following goals: almost doubling the amount of available spectrum available, expanding from 44 GHz of available spectrum to 84 GHz by 2026, and increasing the efficiency of spectrum use, promoting spectrum sharing, and advancing international coordination in spectrum planning.", "Officials from France and the Netherlands told us that making more unlicensed spectrum available is a high priority in their spectrum planning. These officials told us that unlicensed spectrum promotes greater innovation by lowering barriers to access, and many IoT devices are expected to be designed to operate on unlicensed bands. German and Dutch officials told us that numerous smart city IoT applications have been developed in their respective countries, most of which operate on unlicensed spectrum. For example, German and Dutch networks use unlicensed spectrum for purposes that include managing street lighting, preventing the theft of property such as bicycles, monitoring parking spaces, and managing agricultural resources.", "To provide service options for low power IoT devices, private companies in France, the Netherlands, and South Korea developed nationwide low- power wide-area networks (LPWAN) which use unlicensed spectrum to transmit data. These LPWANs use the 800 and 900 MHz bands to transmit data from wireless IoT devices such as sensors and location trackers. Signals in these bands can be transmitted over long distances and can penetrate obstacles. According to one LPWAN provider, the distance served by a LPWAN site is greater than a single cellular network site. However, according to the same LPWAN operator, the bands used for LPWAN networks have limited data capacity compared to those used by cellular networks. According to officials and telecommunications industry stakeholders in these countries, LPWANs offer several potential benefits including low barriers to entry, low costs, and broad coverage.", "According to a Dutch telecommunications industry stakeholder most devices that use LPWANs transmit only small amounts of data. A telecommunications industry stakeholder in France told us that the long range and strong propagation of these LPWANs make them useful for utility metering data and South Korean official told us that LPWANs are used to transmit location or temperature data. For example, in the Netherlands, LPWANs are used to monitor water depth and quality, manage street lighting, and to track the location of business inventory and personal property. In France, LPWANs are used for similar tracking as well as smoke detectors. Other uses for the LPWANs are currently in development. For example, a representative of a Dutch telecommunications company told us that in the Netherlands, IoT devices operating on the nationwide LPWAN are being tested at an airport for use in logistical processes such as baggage handling. Additionally, a Dutch railway station is experimenting with IoT technology that monitors rail switches using the LPWAN, and depth sounders at the port of Rotterdam have been fitted with devices to connect them to the network. South Korean officials said that the LPWAN in their country also provides specialized location-tracking services."], "subsections": []}, {"section_title": "Selected Leading Countries Face International Coordination and Potential Spectrum Congestion Challenges", "paragraphs": ["Selected leading countries take many similar approaches to each other and the United States to managing spectrum in order to address related challenges (see table 4). Like the United States, spectrum-planning officials in France, Germany, and the Netherlands told us that it was necessary to coordinate spectrum planning with other countries on their borders. Officials in each of these countries told us that European spectrum planning is complicated by the number of countries that share borders. Germany, for example, borders nine other countries. As each country is responsible for its own spectrum planning, if their plans are not closely coordinated, there is a potential for cross-border interference. This coordination is complicated by the fact that European countries have legacy spectrum allocations, and these must be accommodated in spectrum planning. The United States, by contrast, shares its border with only Mexico and Canada. According to FCC officials, both of these countries generally align their spectrum plans to those of the United States, reducing interference issues.", "In order to facilitate international coordination of spectrum planning, each of the four selected leading countries, like the United States, belongs to a regional spectrum-planning association that works to harmonize spectrum planning among member states. Officials of regional groups we spoke with told us that harmonizing can reduce interference issues across borders and facilitate interoperability of devices across different countries. Officials from the manufacturing and telecommunications industries told us that this interoperability creates a larger potential market for IoT devices, thereby improving the economies of scale for the manufacture of IoT devices and reducing production costs. Regional planning associations are also taking steps to prepare their member countries for the spectrum needs of IoT. For example, an official of one association, the Inter-American Telecommunication Commission, told us that in 2016 it held a workshop on \u201cmachine-to-machine\u201d technologies that brought together spectrum planners and stakeholders from IoT-related industries. Regional-planning associations also represent their member countries at World Radiocommunications Conferences (WRC). An official from one association told us that due to the diverse nature of IoT devices and applications it is unnecessary for IoT to be explicitly addressed as an agenda item at WRCs. However, the official further stated that the spectrum needs of specific IoT applications\u2014 including low power sensors, robotics, and connected vehicles\u2014are included on the agenda. For example, the next WRC is scheduled for 2019 and includes an agenda item addressing connected vehicles, which are closely linked to IoT.", "Spectrum-planning officials in each of the selected leading countries told us they are concerned about the potential for spectrum congestion, due to growth in the number of IoT devices. However, like FCC in the United States, these officials do not currently believe such congestion presents an immediate problem. Representatives of the four countries we spoke with told us that one way that they address the potential challenge of spectrum congestion is through the use of spectrum-sharing arrangements. Representatives from Germany specifically stressed the importance of finding additional sharing arrangements in response to the expected spectrum needs for IoT. In 2016, both France and the Netherlands initiated pilot programs for spectrum sharing in which multiple users\u2019 access the same bands while prioritizing use by the licensee. These pilot programs are similar to the dynamic-sharing model that FCC adopted in 2015, as described previously. However, whereas the model adopted by FCC has three tiers of users, the model used by France and the Netherlands has only two, and lacks the third tier of general access users.", "Unlike the United States, officials from Germany and France told us that they directly monitor spectrum congestion. For example, German officials told us that there are spectrum-monitoring services at six locations around the country, and that they perform mobile measurements of spectrum congestion. FCC officials told us that their primary means of tracking congestion is to communicate with spectrum licensees. According to officials from the Netherlands, the Dutch spectrum management agency takes a similar approach and has struck an agreement with a group of telecommunications companies to share information concerning IoT\u2019s interference and congestion issues. Officials also told us that it is easier to monitor spectrum congestion in smaller countries, as there is simply less geographical space to monitor. Nevertheless, officials in France, Germany, and the Netherlands told us that monitoring spectrum is a challenging task, as it is difficult to determine how many wireless devices are active at any given time."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["FCC has a strategic goal to promote economic growth and effective spectrum management represents a key way that FCC can support meeting that goal. To that end, FCC officials said that the agency continuously seeks to make additional spectrum available and broadly tracks spectrum demand. However, stakeholders and FCC\u2019s own technical advisors have identified rapid, unexpected growth in both high- bandwidth devices and unlicensed spectrum as risks to effective spectrum management. By overwhelming existing networks before FCC can make more spectrum available, rapid growth in spectrum demand could slow or halt IoT\u2019s potential to facilitate economic growth. Absent additional efforts to assess the risks to effective spectrum management by focusing on high-bandwidth and unlicensed-spectrum devices, spectrum congestion and interference could slow IoT growth."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following two recommendations to the Chairman of FCC.", "The Chairman of FCC should track the growth in high bandwidth IoT devices, such as video-streaming devices and optical sensors. (Recommendation 1)", "The Chairman of FCC should track the growth in IoT devices relying on unlicensed spectrum. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to FCC and the Department of Commerce for their review and comment. FCC provided comments in a letter, which is reprinted in appendix IV. FCC and the Department of Commerce provided technical comments that we incorporated as appropriate.", "In its written comments, FCC did not concur with our recommendation that it track growth in high-bandwidth devices. FCC noted that it continues to believe that the best approach to track growth of devices is by monitoring overall traffic statistics and forecasts and how these devices affect aggregate spectrum requirements for all applications and services. However, FCC noted that it would task the Technological Advisory Council (TAC) to periodically review the state of the IoT ecosystem to ensure that the planned communications infrastructure is sufficient to support the needs of the growing sector and advise on any actions the FCC should take. We continue to believe that tracking the growth of high- bandwidth devices is necessary to avoid the potential spectrum shortage and that the TAC may be able to help FCC accomplish that.", "FCC did not concur with our recommendation to track IoT devices that rely on unlicensed spectrum. FCC noted that it may not be practical to determine which devices qualify as IoT or quantify their effect on spectrum utilization. As a result, FCC said that the best way to monitor growth in unlicensed IoT devices is to continue to monitor published papers and conferences and work with industry. However, since most of the projected IoT growth is expected to occur in unlicensed bands that are not protected from interference, we continue to believe that FCC should place a greater focus on tracking IoT devices in these bands. For example, the TAC may also be well positioned to help FCC track unlicensed IoT devices.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretaries of Homeland Security and Commerce, the Chairman of FCC, and appropriate congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or members of your staff have any questions about this report, please contact me at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We were asked to examine the challenges facing federal spectrum managers and the steps they are taking to address those challenges. In this report we discuss: (1) the spectrum-related challenges stakeholders identified due to the anticipated growth of IoT, (2) steps FCC and NTIA are taking to plan for the anticipated growth in the demand for spectrum as a result of IoT, and (3) efforts that selected leading countries are undertaking to plan for IoT\u2019s spectrum needs and ways that these efforts compare with those of the United States.", "To identify the spectrum-related challenges stemming from the expected growth of IoT, we reviewed documents from the Federal Communications Commission (FCC) and the National Telecommunications and Information Administration (NTIA), the two federal agencies that have direct authority over spectrum planning. Further, in order to identify relevant literature for review, we (1) conducted a key word search of data bases; (2) searched IoT and spectrum related websites, such as those of cellular carriers, telecommunications industry groups, and nonprofit organizations; (3) reviewed prior GAO reports on IoT and spectrum issues; and (4) asked FCC and NTIA officials, researchers, and non-profit organizations to identify relevant documents. Through our literature search, we identified a number of documents, including academic reports, government reports, congressional committee hearings, and trade journals addressing the projected growth of IoT to understand the number of devices that would be relying on the spectrum in the coming years. We also reviewed literature concerning the growth of other wireless devices, such as smart phones, and the burden they place on the spectrum, to assess if there are any lessons learned from the demand these devices placed on the spectrum that could be applied to the expected growth of IoT.", "In addition, we interviewed FCC and NTIA officials, and conducted 24 telephone and in-person interviews with officials from industry associations, industrial and commercial users of IoT, nonprofit groups, subject matter experts, manufacturers, and telecommunications companies to obtain their perspectives on the challenges presented by the expected growth of IoT. The experiences of the stakeholders are not generalizable to those of all IoT stakeholders in the United States; however, we believe that the information we gathered from selected stakeholders provides a balanced and informed perspective on the topics discussed. We identified relevant stakeholders by reviewing comments submitted to NTIA in response to its request for comment on the government\u2019s role in planning for IoT growth, reviewing congressional hearings, and conducting a literature review encompassing academic articles, government reports, and trade journals. We interviewed officials from businesses that manufacture Internet-connected devices or equipment that would be considered part of IoT, including agriculture, telecommunications, and manufacturing. We spoke with these officials to gather information about the spectrum challenges they face as businesses working with and developing IoT devices. We then analyzed the results of these interviews and related documents to identify the main themes and develop summary findings. To characterize the views captured during the interviews, we defined the terms to quantify the views as follows: \u201cmost\u201d users represents 18 to 24 users, \u201ca majority of\u201d users represents 11 to 17 users, \u201cseveral\u201d users represents 6 to 10 users, and \u201csome\u201d users represents 3 to 5 users.\u201d", "To identify the steps FCC and NTIA are taking to plan for the anticipated growth in the demand for spectrum as a result of IoT, we interviewed FCC and NTIA officials and reviewed agency reports and documents. We interviewed officials to understand any agency plans to address spectrum needs for IoT devices and how these plans aligned with the spectrum planning for other wireless devices. We reviewed agency reports and documents on spectrum planning, IoT planning, and the role of the federal government in planning for IoT. Specifically, we reviewed comments submitted in response to NTIA\u2019s request for comment and the final report developed in response to the comments received on the role of the federal government. To identify other relevant reports and literature from FCC and NTIA, we asked officials at the meetings and conducted a literature search. We also compared those planning efforts against FCC\u2019s and NTIA\u2019s strategic goals and the federal internal control standards related to risk management. Specifically, we compared FCC\u2019s planning against its strategic goal to promote economic growth and national leadership in telecommunications, and NTIA\u2019s efforts against its mission to expand the use of spectrum by all users and to ensure that the Internet remains an engine for continued innovation and economic growth. We also assessed the efforts of both agencies against leading practices that we previously developed for identifying, analyzing, and responding to risks related to achieving agency objectives.", "To identify the efforts that selected foreign governments are taking to plan for the expected spectrum needs of IoT and ways their efforts compare with those of the United States, we surveyed trade journals, industry publications, and foreign governments\u2019 websites and publications. Through this survey, we identified seven countries of potential interest, all of which have conducted spectrum planning in support of IoT: China, France, Germany, Netherlands, Japan, Singapore, and South Korea. We selected four of these countries\u2014France, Germany, the Netherlands, and South Korea\u2014as being like the United States and leaders in IoT development based on additional criteria including the level of their economic development, the maturity of their telecommunications infrastructures, the comparability of their governments to the United States, and the accessibility of their spectrum-planning information. We categorized a country\u2019s economy as fully developed if the United Nations Statistics Division categorized it in 2016 as existing in a developed economic region. When determining the maturity of a country\u2019s telecommunications infrastructure, we followed the United Nation\u2019s International Telecommunication Union (ITU) in categorizing a country\u2019s telecom infrastructure as mature if it was included in the top quartile of the 175 countries ranked in ITU\u2019s 2016 Information and Communications Technology Development Index. We considered a country to have a government structure comparable to that of the United States if Freedom House\u2019s 2016 Freedom in the World report rated it as \u201cfree\u201d and the Polity Project categorized it as a \u201cdemocracy\u201d in 2015. Finally, we considered the extent to which information could be efficiently procured from each country under consideration. We reviewed documents and conducted telephone and written interviews with officials from the spectrum management agencies in each of these four countries. We also conducted eight telephone and written interviews with officials from foreign telecommunications companies, IoT manufactures, and international spectrum-planning groups to gather information about IoT development, challenges, and responses to these challenges in the leading countries that we contacted.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Agencies, Organizations, and Individuals GAO Interviewed", "paragraphs": ["Barcoding Case IH Deere & Co. O-I Consumer Technology Association CTIA National Association of Manufacturers Telecommunications Industry Association U.S. Chamber of Commerce Wi-Fi Alliance World Shipping Council New America Foundation Public Knowledge Technology and Innovation Foundation Jeffrey Reed, Ph.D. (Virginia Polytechnic Institute and State University) Douglas Sicker, Ph.D. (Carnegie Mellon University)", "AT&T Sigfox Verizon Agence Nationale des Fr\u00e9quences (France) Agentschap Telecom (Netherlands) Bundesnetzagentur (Germany) Ministry of Science, ICT, and Future Planning (South Korea)"], "subsections": []}, {"section_title": "Appendix III: Regional Spectrum- Management Associations and Their Member States", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Federal Communications Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgment", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Keith Cunningham (Assistant Director); Eric Hudson (Analyst-in-Charge); Camilo Flores; Adam Gomez; Josh Ormond; Andrew Stavisky; Hai Tran; and Michelle Weathers made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-327", "url": "https://www.gao.gov/products/GAO-18-327", "title": "Federal Research: Additional Actions Needed to Improve Licensing of Patented Laboratory Inventions", "published_date": "2018-06-19T00:00:00", "released_date": "2018-06-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The federal government spends approximately $137 billion annually on research and development\u2014mostly at DOD, DOE, NASA, and NIH\u2014to further agencies' missions, including at federal labs. Multiple laws have directed agencies and labs to encourage commercial use of their inventions, in part by licensing patents, to private sector companies and others that aim to further develop and bring the inventions to market.", "GAO was asked to review agency practices for managing inventions developed at federal labs, with a particular focus on patent licensing. This report examines (1) challenges in licensing patents and steps taken to address and report them and (2) information to guide establishing financial terms in patent licenses at DOD, DOE, NASA, and NIH. GAO reviewed relevant literature, laws, and agency documents, including patent licenses from 2014, to match the most recent NIST summary report when the licenses were requested, and GAO interviewed agency officials and knowledgeable stakeholders, including organizations that assist federal labs in licensing patents."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal agency and laboratory (lab) officials identified challenges in licensing patents across the federal government, and agencies have taken some steps to address and report them. Patent licensing is a technology transfer activity that allows, for example, federal inventions to be legally transferred to the private sector for commercial use. Specifically, officials at the Departments of Defense (DOD) and Energy (DOE), National Aeronautics and Space Administration (NASA), and National Institutes of Health (NIH), as well as external stakeholders, noted challenges in having researchers identify potentially patentable inventions. DOD, DOE, and NIH officials also cited having inadequate internal systems to keep track of inventions developed in the labs. In addition, several stakeholders stated that licensing patented inventions can be lengthy and bureaucratic, which may deter companies from licensing. The agencies reported taking steps to address these challenges, such as implementing model license agreements across labs to expedite the process.", "The Department of Commerce has delegated to its National Institute of Standards and Technology (NIST) to annually report agencies' technology transfer activities, including patent licensing. Although NIST has reported some challenges, it has not fully reported the range of challenges identified by agency and lab officials and stakeholders. NIST officials stated that they were generally aware of the challenges but had not considered including them to a greater degree in their annual reports to Congress. By fully reporting the range of challenges in federal patent licensing, NIST has the opportunity to further ensure that Congress is more aware of challenges that limit agencies' efforts and ways for potentially addressing those challenges.", "Federal agencies and labs have limited information to guide officials when establishing the financial terms of patent licenses. For example, while federal labs can use comparable licenses to help establish financial terms, their access to information on comparable licenses from other labs varies, and such information is not formally shared among the agencies. Based on its established interagency role, NIST is best positioned to assist agencies in sharing information on comparable licenses, in accordance with leading practices for interagency collaboration. By doing so, NIST would provide federal agencies and labs with useful information that can help them better establish financial terms and successfully license inventions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that Commerce instruct NIST to fully report the range of challenges in federal patent licensing in its annual reports to Congress and facilitate information sharing among agencies. Commerce, DOD, DOE, NASA, and NIH generally agreed with GAO's recommendations and are taking steps to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal government spends approximately $137 billion annually on research and development (R&D) to help further agencies\u2019 missions, including at federal laboratories (lab). The intellectual property generated by this research\u2014including inventions\u2014has application beyond federal agencies\u2019 immediate, mission-related goals if the private sector can bring the inventions to market. For example, government research has led to new products and processes for the commercial marketplace, including antibiotics, plastics, airplanes, computers, microwaves, and bioengineered drugs. However, a 2013 Office of Science and Technology Policy report raised concerns that only a small portion of the inventions arising from government research have been commercialized by the private sector, and that the United States is potentially missing critical opportunities to improve the nation\u2019s standard of living, create new jobs, maintain international competitiveness, and enhance the overall economy, among other things.", "Technology transfer is the process of transferring scientific findings from one organization to another for the purpose of further development and commercialization. A series of federal laws and executive orders spanning nearly 40 years have directed federal agencies to enhance their labs\u2019 beneficial impact on society through technology transfer. For example, the Stevenson-Wydler Technology Innovation Act of 1980 (Stevenson-Wydler Act) states that its purpose is to improve the economic, environmental, and social well-being of the United States by, among other things, stimulating improved utilization of federally funded technology developments by nonfederal entities. Accordingly, the act provides that the federal government, where appropriate, shall transfer federally owned or originated technology to state and local governments and to the private sector.", "From fiscal years 2015 to 2017, four federal agencies consistently had the highest annual federal R&D spending: the Department of Defense (DOD), the Department of Energy (DOE), the National Aeronautics and Space Administration (NASA), and the National Institutes of Health (NIH) within the Department of Health and Human Services (HHS). Together, these four agencies accounted for nearly 90 percent of total federal R&D spending on average, as shown in figure 1.", "One way federal agencies transfer technology is by licensing patents on inventions generated by R&D at federal labs. This licensing aims to put federal inventions in the hands of those equipped to further develop the inventions into marketable products accessible to the public or to find other practical applications for them. Examples of inventions developed at DOD, DOE, NASA, and NIH labs can be found in appendix I. Numerous statutory and regulatory requirements have been established to help ensure that agencies commercialize inventions arising from R&D at federal labs. The Department of Commerce (Commerce) is responsible for government-wide functions related to patenting, including granting patents through the United States Patent and Trademark Office (USPTO). Commerce is also responsible for functions related to licensing of federally owned inventions, including reporting federal agencies\u2019 technology transfer activities to Congress and issuing regulations, both of which it delegated to the National Institute of Standards and Technology (NIST).", "Over the years, we and others have reported on a range of challenges that agencies face in commercializing inventions arising from R&D at federal labs. You asked us to review agency practices for managing intellectual property developed at federal labs, with a particular focus on the licensing of patented inventions (patent licensing) to nonfederal parties that might use the patented inventions to manufacture products. This report examines, for DOD, DOE, NASA, and NIH and their labs, (1) challenges that federal labs face in patent licensing, steps taken to address those challenges, and the extent to which NIST has reported them and (2) the extent to which federal agencies and labs have information on processes, goals, and comparable licenses to guide establishing patent license financial terms.", "For both objectives, we reviewed statutes and regulations applicable to patent licensing to describe the legal framework governing federal patent licensing and license financial terms. To obtain views on patent licensing practices across the federal government, we conducted 60 semistructured interviews, including 38 with agency and lab officials. We interviewed officials from DOD, DOE, NASA, and NIH, as well as from nine federal labs across these agencies. We interviewed officials at multiple labs at each agency and selected them to obtain a variety of perspectives on patent licensing, including variation in whether they were contractor-operated (two labs) or government-operated labs (seven labs); the volume and type of licensing activity; and other agency-specific considerations, such as whether they use a service center model.", "In addition, we conducted 22 interviews with external stakeholders\u2014 including academic researchers (4), partnership intermediaries (11) (i.e., organizations that assist federal labs and businesses in licensing federal patents), industry representatives and companies (3), and professional trade organizations and universities (4)\u2014that were knowledgeable about federal patent licensing practices. Partnership intermediaries were selected based on lists of partnership intermediaries associated with the selected labs and agencies that the agencies submitted and referrals from other partnership intermediaries. To select other stakeholders, we used snowball sampling based on referrals obtained from prior engagements, our review of academic literature, and referrals from stakeholder interviews during the engagement. We also interviewed officials from NIST and USPTO. The information we obtained from these interviews is not generalizable to all agency and lab officials and external stakeholders, but we determined that our selection of interviewees was appropriate to obtain varied perspectives on the patent licensing process and related challenges and that the selection would generate valid and reliable evidence to support our work.", "To understand the level of patent licensing activity and the terms in patent licenses at federal labs, we requested data from each agency on licenses that were active as of the end of fiscal year 2014. To assess the reliability of the data on active patent license agreements, we asked agency and lab officials questions about the accuracy and completeness of the data and asked them to confirm specific information. Based on these steps, we found the data to be sufficiently reliable for understanding the overall level of licensing activity in the labs, for identifying licenses that became effective in fiscal year 2014, and as a source of information for those licenses. We also requested from each agency and reviewed the subset of licenses that became effective in fiscal year 2014.", "To address the first objective, we first conducted a literature search. We broadened our search beyond articles published in peer-reviewed journals to identify studies, such as dissertations, conference proceedings, and organizational studies issued by research institutes or studies issued by government agencies. For example, we conducted both subject and keyword searches related to patent licensing in various databases. We performed these searches and identified 23 studies from 2000 to 2016\u20142016 was the year for which the most recent information was available at the time of our review.", "We reviewed relevant agency documentation and interviewed the agency and lab officials and external stakeholders identified above to obtain their perspectives on areas of the patent licensing process identified from our review of relevant federal statutes and regulations. Using information obtained from the interviews, we conducted a content analysis of responses. Challenges in each area were identified from the content analysis based on the frequency and consistency of responses from agency and lab officials and stakeholders. We also examined other relevant agency documentation, including NIST\u2019s fiscal year summary reports to Congress from fiscal years 2013 through 2015\u2014the most recent reports available\u2014to determine the extent to which challenges in federal patent licensing had been reported.", "To address the second objective, we reviewed relevant economic literature on establishing the financial terms of patent licenses and other related licensing terms. From the literature, we identified economic principles that apply to structuring financial terms to promote the commercial use of inventions. We reviewed all relevant documentation describing licensing practices at the agency and lab levels that DOD, DOE, NASA, and NIH provided. This included documentation describing, among other things, processes and goals for establishing license terms, including financial terms. We reviewed each document to identify (1) factors considered in establishing financial terms; (2) data sources used in the process; (3) methods, such as calculations or guidelines, for setting financial terms; (4) guidance on when or how to use various types of financial terms; and (5) goals applicable to financial terms. We also reviewed narratives and written responses describing lab practices for establishing financial terms in patent licenses that the agencies and labs provided in response to our requests. To identify patents at the labs under the four agencies we reviewed and the extent to which they patent in similar technology fields, we searched the assignee field in USPTO\u2019s PatentsView database for patents issued since 2000 using search terms associated with the four agencies and their contractor labs, if applicable. The list of assignees for the patents from the initial search was reviewed to eliminate patents that may not have been assigned to the four agencies. In total, the search yielded 20,612 patents assigned to the four agencies. To examine similarities across technology areas, we used PatentsView data on technology sectors and fields classified according to the World Intellectual Property Organization (WIPO) international classification system for patents.", "We conducted this performance audit from June 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["This section outlines the legal framework under which agencies and federal labs license patents and general stages of the patent licensing process."], "subsections": [{"section_title": "Legal Framework for Patent Licensing", "paragraphs": ["Prior to 1980, federal agencies generally retained title to any inventions developed through federally funded research\u2014whether extramural, that is, conducted by universities and contractors, or intramural, conducted by federal agencies in their own facilities. By the late 1970s, there was increasing debate in Congress over ways to allow the private and public sectors better access to federally owned inventions by, among other things, creating a uniform policy for those seeking to license inventions developed in federal labs. In the 1980s, Congress began passing a series of key laws that have provided the foundation for federal technology transfer activities, including patenting and licensing inventions that are developed in federal labs and funded by federal dollars. One of the first technology transfer laws, the Stevenson-Wydler Act, established technology transfer as a federal policy and required federal labs to set up Offices of Research and Technology Applications (which, for our purposes, we refer to as technology transfer offices) and devote budget and personnel resources to promoting the transfer of federal technologies to the private sector. In 1980, another key law, the Bayh-Dole Act allowed not-for-profit corporations, including universities, and small businesses to retain title to their federally funded inventions. In 1984, through amendments made to the Bayh-Dole Act, Commerce became responsible for issuing regulations to implement the act.", "The Stevenson-Wydler Act was amended by the Federal Technology Transfer Act of 1986, which (1) established the Federal Laboratory Consortium (FLC); (2) required that technology transfer efforts be considered positively in employee performance evaluations; and (3) empowered federal agencies to permit the directors of government- owned, government-operated labs to enter into cooperative research and development agreements (CRADA) and to negotiate license agreements for inventions created in the labs. The FLC began largely as a forum for the education, training, and networking of federal technology transfer officials to promote the integration of technical knowledge that federal departments and agencies developed into the U.S. economy. Over time, the FLC\u2019s role would include serving as a clearinghouse\u2014a central point for collecting and disseminating information\u2014for federal technologies and assisting outside entities in identifying available federal technology. Within Commerce, NIST is the designated host and financial administrator of the FLC.", "Additional laws were adopted to help further the development of federally owned inventions for commercial use. Among them was the National Competitiveness Technology Transfer Act of 1989, which directed federal agencies to propose, for inclusion in contracts, provisions to establish technology transfer as a mission of government-owned, contractor- operated labs and permitted those labs, under certain circumstances, to enter into CRADAs. In addition, the Technology Transfer Commercialization Act of 2000 required Commerce to provide Congress with summary reports on agencies\u2019 patent licensing and other technology transfer activities. Since 2007, Commerce has delegated to NIST the role of providing to Congress an annual report summarizing technology transfer at federal agencies. NIST\u2019s role as the lead in an interagency collaborative effort in federal technology transfer grew further when Commerce delegated to the agency the additional responsibility of coordinating the Interagency Working Group for Technology Transfer. Commerce also has delegated to NIST its authority to promulgate implementing regulations pertaining to patenting and licensing at federal labs. In 2011, Congress passed the Leahy-Smith America Invents Act (AIA) that further affected technology transfer activities by federal labs through comprehensive changes made to the U.S. patent system."], "subsections": []}, {"section_title": "Federal Labs", "paragraphs": ["Federal labs are typically managed under either a government-operated or a contractor-operated model. Commerce regulations prescribe the terms, conditions, and procedures that government-operated labs are to use to license their inventions for commercial use or other practical applications. Government-operated labs are usually owned or leased by the federal government and are predominantly staffed by federal employees. Contractor-operated labs, on the other hand, operate facilities and equipment that are owned by the federal government, but the staff is employed by a private or nonprofit contractor that operates the lab under a contract with the federal government. Contractor-operated labs typically license their technologies under the authority of the Bayh-Dole Act, applicable regulations, and their contracts, which generally give contractor-operated labs more flexibility in licensing their technologies. Contractors that manage and operate labs include universities, private companies, nonprofit organizations, or consortia thereof. As discussed below, whether a lab is government-operated or contractor-operated will affect how that lab licenses inventions because each type operates under a different set of licensing regulations and requirements."], "subsections": []}, {"section_title": "The Federal Licensing Process", "paragraphs": ["The pathway of an invention from lab development to commercial product can end at any point, and products may not always reach, or find success in, the marketplace. Figure 2 shows the seven general areas of the patent licensing process at federal labs.", "The patent licensing process begins with researchers identifying inventions\u2014a process that primarily relies on researchers disclosing their inventions to lab officials, mostly through the lab director or directly to an agency\u2019s technology transfer office. Various laws and regulations establish a uniform policy for determining who holds the rights to government employees\u2019 inventions. Some government-operated labs allow or encourage researchers to publish their research, including research describing inventions, for public dissemination, such as in research journals. Contractor-operated labs are required to disclose inventions to the agency within 2 months after notifying contractor personnel responsible for patent licensing activities. Labs must then decide within 2 years after the disclosure whether to retain title to the invention. The contract then must file its initial patent application on the invention to which it elects to retain title within one year after election of title. If the contractor-operated lab does not disclose the invention or elect to retain title within the times specified in the law and regulations, it will convey title to the invention to the funding agency upon written request."], "subsections": [{"section_title": "Keeping Track of Inventions", "paragraphs": ["Once an invention has been identified and disclosed, federal agencies and labs keep track of the invention. How they do so varies in degree of automation and centralization. For example, systems that keep track of lab inventions can range from spreadsheets to automated software that tracks all patent licensing and other technology transfer activities. Also, such systems can be centralized, with oversight at the agency level, or decentralized, with independent oversight at the lab level\u2014which is generally the case at contractor-operated labs. Some contractor-operated labs manage their federally funded inventions through the Interagency Edison (iEdison) reporting system, which is owned and managed by NIH."], "subsections": []}, {"section_title": "Selecting Inventions to Patent", "paragraphs": ["Before applying for patent protection through USPTO, agency and lab officials review the invention\u2014often using evaluation committees and patent attorneys\u2014to consider a number of factors, including whether it is patentable, it furthers the lab\u2019s mission, and patenting the invention is likely to bring it to commercial use or practical application. The agency must file a patent application within 1 year of the first publication, public use, sale, or offer for sale of the invention or lose U.S. patent rights to that invention. Not all patents will be licensed out to companies for a variety of reasons, including national security considerations. The average time from filing to issuing a patent, or when an application is abandoned, is about 2 years, according to USPTO. Patent applications are often rejected, modified, and refiled, and various fees are associated with filing and prosecuting a patent application. However, according to USPTO, patent maintenance fees that allow federal labs to maintain their patents in force are among the most significant fees."], "subsections": []}, {"section_title": "Attracting Potential Licensees", "paragraphs": ["Agencies and labs use a variety of methods to attract potential licensees, including those from industry, universities, and nonprofits. For example, agencies may post their inventory of patented inventions online, publish them in academic journals, or highlight them at public events. Agencies and labs actively engage with the private sector by, for example, attending conferences where companies can network with federal researchers and federal technology transfer officials. In addition, technology transfer offices often work with partnership intermediaries\u2014 such as local or state entities and nonprofit organizations\u2014to support their efforts, including reaching out to potential licensees. Labs have other mechanisms to help attract potential licensees to further develop their inventions. For example, CRADAs can help facilitate licensing or the transfer of knowledge from a lab to a licensee, and new inventions that arise under a CRADA are typically made available to the partner via an option to license."], "subsections": []}, {"section_title": "Negotiating the License Agreement", "paragraphs": ["The technology transfer offices and legal counsel are generally responsible for crafting and negotiating the terms of the patent license, sometimes with input from other lab officials. Negotiations are often an iterative process in which both the lab and the licensee request adjustments to the terms of the license. Laws and regulations specify some terms that government-operated labs must include in their licenses. Among others, a typical license includes terms related to (1) financial compensation (if applicable), (2) the degree of exclusivity of the license, (3) the U.S. manufacturing requirement, (4) retained rights for the government, (5) termination of the license, and (6) enforcement of licenses.", "Financial terms may include up-front fees; minimum payments; royalties, usually based on sales; and milestone payments, among others. Federal labs typically establish financial terms on a case-by-case basis that are tailored to the specifics of the technology, licensee, and market conditions. License agreements may be nonexclusive, partially exclusive, or fully exclusive, and may be limited to some fields of the invention\u2019s use or to specific geographic areas.", "Government-operated labs must publicly announce their intent to grant an exclusive license for at least 15 days. After this period, comments and objections are considered. Negotiations then begin with the proposed licensee or, if the licensee has changed, another public announcement of the new licensee may be required. Government-operated labs are required to obtain a commercialization plan from a potential licensee regardless of the degree of exclusivity. Contractor-operated labs, which typically retain title to their inventions under the authority of the Bayh-Dole Act, are not subject to the requirement to obtain a commercialization plan from a prospective licensee before granting a license; however, they are subject to requirements specified in their contracts regarding patent licensing. In addition, they are not subject to the same notification requirements as government-operated labs.", "The law also contains some other provisions pertaining to patent licenses originating from federal labs. For example, the law generally gives preference to small businesses that are capable of bringing the invention to practical application. There is a general preference for products that incorporate federal inventions to be manufactured substantially in the United States; however, on a case-by-case basis, agencies may waive this requirement. Applicable law also reserves certain rights for the government to protect the public\u2019s interests in federally funded inventions. For example, the government retains a royalty-free license to use inventions that are contractor owned or that are licensed exclusively. In addition, the Bayh-Dole Act provides the government march-in authority when certain statutory conditions have been met. Under this authority, an agency may grant a license to an invention developed with federal funding even if the invention is exclusively licensed to another party if, for example, it determines that such action is needed to alleviate public health or safety needs which are not reasonably satisfied by the contractor, assignee, or their licensee. A federal lab can also terminate a license when the licensee is not meeting its commitment to achieve practical application of the invention. The lab can also, through the license, grant permission to a licensee to pursue patent infringement cases."], "subsections": []}, {"section_title": "Monitoring Licensee Performance", "paragraphs": ["Federal license agreements generally require licensees to report periodically on their commercialization. For instance, labs generally put specific monitoring requirements in the license agreements, including milestones and reporting requirements. Through the agreements, government-operated labs have the right to terminate or modify licenses if certain requirements are not met. Government-operated labs must submit written notices to the licensees and any sublicensees of their intentions to modify or terminate licenses, and allow 30 days for the licensees or sublicensees to remedy any breach of the licenses or show cause why the licenses should not be modified or terminated. Contractor-operated labs also monitor licensee performance in much the same way; however, they are subject to a different set of regulations."], "subsections": []}, {"section_title": "Measuring Licensing Outcomes", "paragraphs": ["Federal labs are responsible for measuring the outcomes of their activities in all areas of the patent licensing process by developing metrics and evaluation methods. Measuring licensing outcomes help labs assess the effectiveness of their patent licensing efforts. Soon after the passage of AIA, President Obama issued a memorandum in October 2011 to the heads of executive departments and agencies calling for, among other things, (1) developing strategies to increase the usefulness and accessibility of information about federal technology transfer opportunities; (2) listing all publicly available, federally owned inventions on a public government database; and (3) improving and expanding its collecting of metrics for Commerce\u2019s annual technology transfer summary report."], "subsections": []}]}, {"section_title": "Technology Transfer and Agency Mission", "paragraphs": ["Federal law states that it is Congress\u2019s policy and objective to use the patent system to promote the commercialization and public availability of inventions, and that technology transfer, including federal patent licensing, is the responsibility of each laboratory science and engineering professional. No single federal agency is responsible for managing technology transfer activities government-wide. Rather, each federal agency involved in technology transfer designs its own program to meet technology transfer objectives, consistent with its other mission responsibilities."], "subsections": []}]}, {"section_title": "Federal Labs and Stakeholders Identified Challenges in Patent Licensing, and Agencies Have Taken Some Steps to Address Them, but NIST Has Not Fully Reported Such Challenges", "paragraphs": ["Federal agency and lab officials and external stakeholders have identified challenges across the federal patent licensing process, but NIST has not fully reported such challenges. Specifically, DOD, DOE, NASA, and NIH officials at the agency and lab levels, as well as external stakeholders, cited challenges related to all seven areas of the patent licensing process. In addition, officials and stakeholders cited challenges in one area that cuts across the entire process: prioritizing patent licensing as part of agencies\u2019 missions. In its annual reports to Congress on federal labs\u2019 performance in patent licensing activities, NIST has discussed some challenges identified by agency and lab officials and external stakeholders but has not fully reported on the range of challenges they have experienced."], "subsections": [{"section_title": "Federal Labs and Stakeholders Identified Challenges across the Patent Licensing Process, and Agencies Have Taken Some Steps to Address These Challenges.", "paragraphs": ["DOD, DOE, NASA, and NIH officials at the agency and lab levels, as well as external stakeholders, identified challenges in all seven areas of the patent licensing process, including identifying inventions, keeping track of inventions, and negotiating license agreements. They also cited challenges in prioritizing patent licensing as part of agencies\u2019 missions. Based on our analysis of relevant literature and on interviews with external stakeholders, many of these challenges are occurring government-wide. DOD, DOE, NASA, and NIH have taken some steps to address the challenges in each area of the patent licensing process."], "subsections": [{"section_title": "Challenges in Implementing the Patent Licensing Process", "paragraphs": ["DOD, DOE, NASA, and NIH officials at the agency and lab levels, as well as external stakeholders, identified challenges in all seven areas of the patent licensing process, including not identifying inventions, keeping track of inventions in inadequate systems, and difficulty negotiating license agreements. For example, several DOD, DOE, NASA, and NIH officials stated that some researchers do not have adequate training in identifying potentially patentable inventions. When a federal researcher does not disclose to lab officials an invention developed in a federal lab, the opportunity to assess the invention\u2019s potential for commercial use may be lost. Federal officials cited various reasons why researchers do not disclose inventions. Navy officials, for example, stated that researchers are often intimidated by the overall invention disclosure process and tend to focus on their research rather than consider what could be patentable. Officials at one NASA lab noted that they have come across a few contractor employees who do not see the benefit of filing invention disclosures, and sometimes researchers are too busy to engage in the patenting process.", "Our analysis of relevant literature and interviews with stakeholders also showed that researchers not identifying and disclosing inventions is a government-wide challenge. For example, one stakeholder stated that researchers at federal labs generally have limited understanding of the patenting process, including an understanding of what constitutes patentable subject matter and how to conduct a prior art search on the technology to determine whether it is patentable.", "DOD, DOE, NASA, and NIH officials stated that they are taking a variety of actions to help address this challenge. For example, some agency and lab officials stated that labs conduct training to educate researchers about the patenting process, inform researchers about requirements to disclose inventions, and incentivize them by acknowledging their efforts through awards and monetary incentives\u2014such as potential royalty distributions\u2014 when their inventions reach commercial success.", "In addition, DOD, DOE, and NIH officials described their agencies\u2019 systems for keeping track of inventions developed in the labs as inadequate or in need of improvement. How agencies and labs keep track of such inventions can range from spreadsheets to sophisticated databases that manage all technology transfer activities, including keeping track of patented inventions and licenses. Currently, DOD has a decentralized approach to keeping track of inventions, which, according to DOD officials, needs improvement given how large the agency is.", "Several stakeholders we interviewed also noted that the challenge of keeping track of inventions exists government-wide. According to some stakeholders, federal labs not only have inadequate systems to keep track of their own inventions but also limited information on the kinds of inventions being developed in federal labs across the government. The result is that agencies risk being unaware of research across the labs, which can limit their ability to leverage other federal research efforts. For example, one stakeholder stated that there can be research conducted independently at three or four labs under different agencies but little interaction among those labs about the research.", "DOD, DOE, and NIH officials stated that they have made efforts to improve their current systems for keeping track of inventions. Specifically, DOE officials reported that they have developed a plan to leverage the capabilities of the iEdison reporting system to unify the agency\u2019s data management process. Air Force and NIH officials stated that they have contacted NASA, which has a centralized system for tracking inventions, about leveraging its expertise. NASA officials reported that they have been hosting regular webinars with other agencies to determine whether NASA\u2019s tracking system could help meet other agencies\u2019 needs.", "Furthermore, agency and lab officials and stakeholders noted that federal labs face challenges in negotiating license agreements because the licensing process is lengthy and uniquely regulated, which can deter companies from licensing federal inventions. Stakeholders stated that the federal licensing process can take anywhere from about 3 months to more than 2 years. Some stakeholders stated that from their point of view taking a year to negotiate a license agreement is too long. One stakeholder said that such lengthy processes are particularly difficult for start-ups, which often need to finalize license agreements in 3 months.", "DOD, DOE, NASA, and NIH officials said they are taking steps to address companies\u2019 concerns about the time it takes to negotiate a license agreement. For instance, NASA, NIH, and Navy officials told us that they have developed model license agreements to help guide companies through the process, and NASA and NIH have special license agreements for start-ups to shorten the licensing process.", "For more detail on challenges in the seven areas of the patent licensing process that agency and lab officials and external stakeholders identified, see appendix II."], "subsections": []}, {"section_title": "Challenges in Prioritizing Patent Licensing", "paragraphs": ["DOD, DOE, NASA, and NIH face challenges in prioritizing patent licensing as part of their agency missions. For example, DOD and DOE officials stated that an agency\u2019s mission affects patent licensing activities. DOD officials stated that the agency\u2019s primary mission is protecting the warfighter and that patent licensing is a secondary benefit to the agency. According to DOE officials, the nuclear security labs do not focus on patenting but instead on developing technologies associated with a weapons program.", "In addition, several stakeholders we interviewed stated that some agencies and labs do not have a culture that prioritizes patent licensing. In particular, one stakeholder stated that at some federal labs, patent licensing is not reflected in performance evaluation management plans, which can help incentivize lab personnel to engage in patent licensing activities. A few stakeholders stated that at some labs where management does not prioritize patent licensing activities, researchers\u2019 careers can be negatively affected if they engage in patent licensing activities.", "Some agency and lab officials stated that they have taken steps to overcome such challenges. For example, officials at one Navy lab stated that the lab has management support and nine patent attorneys to assist in the reviews of researchers\u2019 invention disclosures. Also, officials at one NIH lab stated that the lab has strong management support and a good royalty stream from successful inventions that pay for patenting and other reinvestments, which allows the lab to not draw from its appropriations."], "subsections": []}]}, {"section_title": "NIST Has Reported Some Challenges Faced by Federal Labs in Areas of Patent Licensing but Has Not Fully Reported on the Range of Such Challenges", "paragraphs": ["In its three most recent fiscal year summary reports to Congress, NIST identified some challenges faced by federal labs in areas of patent licensing and has assisted agencies in addressing challenges in their patent licensing activities. However, NIST does not fully report on the range of challenges that agency and lab officials and stakeholders identify.", "NIST collaborates with agencies to gather patent licensing data for its summary reports to Congress. For example, according to agency officials, NIST engages with agencies to inform them about new requirements in technology transfer and helps them identify their successes in conducting technology transfer activities. NIST also provides administrative support to the FLC, which offers training to federal technology transfer specialists through workshops; publishes a desk reference on federal patent licensing, laws, and regulations; and has commissioned studies on efforts to develop federal inventions for commercial use. Further, NIST developed a survey in 2016 on agency technology transfer processes. NIST officials stated that the survey is aimed in part at improving federal labs\u2019 decisions on whether to spend money on applying for patents, whether patents will facilitate the commercialization of technology, and what data are needed to make those determinations. NIST officials stated that the agency continues to analyze the survey data and currently plans to report its findings in fiscal year 2018.", "While NIST has identified in its annual summary reports to Congress some challenges that federal labs face in patent licensing and other technology transfer activities, it has not fully reported the range of challenges that agencies and labs face in patent licensing. For example, in its fiscal year 2015 summary report\u2014its most recent report\u2014on federal technology transfer, NIST reported that the federal intramural research budget has been relatively consistent over the years but not that DOD, DOE, NASA, and NIH face challenges in prioritizing patent licensing as an agency mission. The report also mentions that there is no uniform federal system for tracking research that employees in federal labs published but not that DOE, for example, has faced challenges in keeping track of inventions developed in its labs. In addition, we found that although the report mentions that the Department of Veterans Affairs is facing challenges with its labs disclosing inventions, it does not mention similar challenges at DOD. NIST officials stated that they were generally aware of the challenges identified by agency and lab officials and external stakeholders but had not considered including such challenges to a greater degree in the summary reports to Congress.", "We have previously reported on Congress\u2019s goal to make the federal government more results oriented through reporting of agency performance information to aid decision making by agency executives, Congress, and program partners. Specifically, we have reported how the effective implementation of good governance can help address government challenges in five key areas involving agency performance and management: (1) instituting a more coordinated and crosscutting approach to achieving meaningful results, (2) focusing on addressing weaknesses in major management functions, (3) ensuring that agency performance information is useful and used in decision making, (4) sustaining leadership commitment and accountability for achieving results, and (5) engaging Congress in identifying management and performance issues to address. By fully reporting the range of challenges in federal patent licensing\u2014such as those outlined in this report\u2014and including that information in its annual summary reports to Congress, NIST has the opportunity to further ensure that Congress is more aware of challenges that limit agencies\u2019 efforts in patent licensing and ways for potentially addressing those challenges. To identify these challenges, NIST could, for example, leverage its survey, past FLC studies, and agency reports."], "subsections": []}]}, {"section_title": "Federal Agencies and Labs Have Limited Information on Processes, Goals, and Comparable Licenses to Guide Establishing Financial Terms in Patent Licenses", "paragraphs": ["Federal agencies and labs have limited information on processes, goals, and comparable licenses to guide establishing the financial terms in patent licenses. DOD, DOE, NASA, and NIH labs generally do not document their processes for establishing the financial terms of patent licenses and instead rely on the expertise of technology transfer staff. Furthermore, existing agency and lab guidance does not consistently link the practice of establishing license financial terms to the statutory goal of promoting commercial use of inventions. In addition, although many federal labs rely on comparable licenses to aid them in setting the terms of new licenses, labs have varying levels of access to information about such licenses."], "subsections": [{"section_title": "Federal Agencies and Labs Have Limited Documentation of Their Processes for Establishing the Financial Terms of Patent Licenses", "paragraphs": ["DOD, DOE, NASA, and NIH labs have limited documentation of their processes for establishing the financial terms of patent licenses. Such documentation is limited at both the agency level and the lab level.", "At the agency level, the four agencies we reviewed had some documentation on patent licensing in general, such as policies, procedures, guides, and handbooks, but had limited information on how to establish financial terms. For example, the Air Force and the Navy had handbooks on technology transfer that include brief passages on financial terms. However, agency officials noted that these handbooks were either outdated or under revision. At DOE, labs collaborated to develop two agency-level documents on patent licensing: one for lab officials on using equity in licenses and a licensing guide for licensees. These documents describe the general structure of various types of financial terms and, in the document on using equity, factors to consider regarding its use in a license, but do not discuss methods for establishing financial terms. NASA and NIH have policies and procedures for patent licensing that mention the types of financial terms that are normally found in licenses but do not cover other aspects, such as methods for establishing financial terms. All four agencies reported that they gave their labs discretion to develop their own processes for establishing financial terms.", "At the lab level, DOD, DOE, NASA, and NIH generally had not documented their processes for establishing financial terms in patent licenses. Based on documentation provided by NASA, NIH, and DOD, few labs at these agencies had issued additional documentation on the patent licensing process. DOE labs had documented the patent licensing process in general, and 6 out of 17 DOE labs provided documentation that covered aspects of establishing financial terms. For example, one DOE lab document contained a set of licensing principles that help clarify what financial terms a license usually contains, their purpose, and how to structure the financial terms in patent licenses. In addition, agency and lab officials at NASA and DOE reported using tools, such as financial term calculators, at some of their labs, which aid technology transfer staff in valuing technologies.", "Agency and lab officials reported that they generally rely on the expertise of technology transfer staff to establish and vet appropriate financial terms. Accordingly, agencies and labs reported that they have taken some steps to develop, share, and retain expertise among staff in their technology transfer offices. The agencies we reviewed reported that some technology transfer staff participate in training opportunities provided by professional organizations like the Association of University Technology Managers (AUTM) or the Licensing Executives Society (LES), as well as the FLC and the agencies. In addition, some agencies and labs reported that internal working groups and regular meetings are opportunities to share licensing expertise. At DOD, officials stated that on a case-by-case basis, labs may use the expertise of their partnership intermediary to help establish financial terms.", "However, according to agency and lab officials and stakeholders, federal labs face challenges in acquiring, developing, and retaining expertise in patent licensing for their technology transfer offices. Specifically, some agency officials, lab officials, and stakeholders cited issues such as losing experienced technology transfer staff to retirement or to the private sector, having difficulties in hiring staff with expertise in part because of limited funding, and facing a limited pool of prospective employees to hire with the expertise to value and license inventions. A few stakeholders said that government training in the business aspects of patent licensing is inadequate and not widespread. In addition, some stakeholders had concerns about consistency in licensing practices both within the labs and across labs. For example, some of these stakeholders said that the outcome of license negotiations can depend on the specific licensing professional handling the license. Varying levels of expertise may lead to inconsistency in licensing practices, including establishing financial terms, as can undocumented processes.", "Under the federal standards for internal control, management should design control activities by, for example, clearly documenting them in management directives, administrative policies, or operating manuals, to achieve objectives and respond to risks. Furthermore, documentation can act as a means to retain organizational knowledge and provide some assurance that an approach is operational across the lab or agency.", "Agency and lab officials stated that they had not documented their processes for establishing financial terms for various reasons. For example, lab officials stated that establishing financial terms is often complex and varies based on the specific circumstances applicable to each potential license, which may limit what can be documented. Some agency and lab officials stated that labs need flexibility in negotiating terms to make adjustments based on the circumstances and therefore officials do not want to be prescriptive. A few agency and lab officials also noted that there are benefits to having streamlined processes. Furthermore, a few agency and lab officials described negotiating license terms as a craft or art that requires expertise and said that documenting this will not enhance licensing by itself.", "However, some agency and lab officials and stakeholders said that it is possible to document some aspects of the process. A few stakeholders we interviewed noted that even if each agreement is unique, it is still possible to develop guidelines or outline a methodology for establishing financial terms. A few agency and lab officials stated that they are investigating opportunities to standardize their processes or would be open to documenting them. For example, one agency official told us that the agency plans to update existing documents with specific information about royalty ranges so labs do not have to constantly \u201creinvent the wheel.\u201d Some labs also described steps that they take to establish financial terms, such as methods for valuing inventions, without being prescriptive. By documenting processes for establishing the financial terms of licenses while maintaining enough flexibility to tailor the specific terms of each license, the four agencies could have more reasonable assurance of consistency across their labs regardless of the expertise of staff."], "subsections": []}, {"section_title": "Federal Agency and Lab Documentation Does Not Consistently Link Financial Terms to the Goal of Promoting Commercial Use", "paragraphs": ["Agency and lab documentation does not consistently link establishing financial terms in patent licenses to the goal of promoting commercial use of inventions. As noted above, federal law states that it is Congress\u2019s policy and objective to use the patent system to promote the commercialization and public availability of inventions, and that technology transfer, including federal patent licensing, is the responsibility of each laboratory science and engineering professional.", "Agency-level documentation at NASA contains a provision that clearly links establishing financial terms to the goal of promoting commercial use of inventions\u2014that is, \u201cterms should be negotiated that provide the licensee incentive to commercialize the invention.\u201d NIH\u2019s documentation mentions financial terms in the context of protecting the public from nonuse, which is one aspect of promoting commercial use, and also mentions the goal of obtaining a fair financial return on investment from the licensed invention. DOD and DOE agency-level documents mention the general goal of promoting the commercial use of inventions without specifically linking it to the financial terms. At the lab level, DOD documents generally do not address the goals for financial terms. Of 17 DOE labs, 4 had a statement in their documentation to link financial terms to the goal of promoting commercial use of inventions.", "DOD, DOE, NASA, and NIH officials we interviewed stated that getting the technology into the marketplace is their primary goal in licensing but also mentioned other goals related to financial terms that support their mission. In addition, some agency and lab officials described using revenues from licenses as a means to provide a reward to inventors for their work or to obtain a fair return on investment for research conducted by federal agencies. Furthermore, lab officials we interviewed mentioned the flexibility of revenues from licenses as helpful in funding activities, such as additional research, training, and patent prosecution.", "Some agency officials and stakeholders we interviewed expressed concerns about competing goals for establishing financial terms. For example, a few stakeholders stated that licensing professionals may be motivated to negotiate for increased license revenue because it reflects positively on them professionally. Further, some stakeholders expressed concerns about labs taking a short-term view of some licensees, particularly small companies, because they have less ability to pay initially and thus may offer less certain revenues.", "Our review of relevant economic literature and interviews with stakeholders suggest that license financial terms set with goals other than promoting commercial use in mind, such as short-term revenue maximization, may undermine that longer-term goal. For example, high up-front license fees typically provide more guaranteed short-term revenue to the licensor than other forms of payment but can also reduce the capital available to develop a product successfully. Labs with other goals in mind when establishing financial terms may be at risk of establishing them in ways that run counter to the goal of promoting commercial use.", "NIST plays an important role in providing regulations and guidance to agencies regarding patent licensing. Commerce has delegated to NIST the authority to promulgate implementing regulations pertaining to patenting and licensing at federal labs\u2014that is, regulations that indicate how agencies are to implement statutory provisions, including the goal of, among other things, promoting commercial use of inventions. NIST has developed regulations, but they do not link the financial terms of federal patent licenses and the statutory goal of promoting commercial use of inventions.", "As the host of the FLC and a coordinator for the Interagency Working Group for Technology Transfer, NIST also plays a role in supporting the development of interagency guidance on patent licensing that covers, among other topics, establishing financial terms in licenses. However, existing interagency guidance provides limited information regarding the goals for financial terms. For example, the FLC desk reference contains a statement that links royalty rates to the goal of promoting commercial use but does not clarify how the goal applies to other financial terms. Furthermore, the FLC desk reference states that labs are entitled to market-based compensation for their intellectual property. However, licenses are structured differently to accomplish different goals and a primary focus on obtaining market-based compensation may undermine the goal of promoting commercial use.", "As the lead agency on the government-wide effort to find commercial uses or practical applications for federally funded inventions, NIST has been delegated the responsibility to promulgate regulations pertaining to patenting and licensing at federal labs, including implementing the statutory goal of promoting commercial use. NIST officials stated that a change to the regulations could be made as part of an upcoming rule- making process. However, in doing so, a stakeholder and agency officials noted that any changes to the regulations should avoid prescriptive language that mandates specific practices. NIST officials also stated that they could update relevant guidance on this issue through one of their current efforts. By clarifying the link between establishing federal patent license financial terms and the goal of encouraging commercial use, through the upcoming rule-making process and updating relevant guidance, NIST would have better assurance that financial terms in patent licenses are targeted to that goal."], "subsections": []}, {"section_title": "Federal Agencies and Labs Have Varying Amounts of Information on Comparable Licenses, but Such Information Is Not Shared across Agencies", "paragraphs": ["According to agency and lab officials, comparable license information can be used as a point of reference to guide establishing financial and other terms in new patent licenses. Just as real estate agents look at sales of comparable houses when setting the selling price of a house, patent licensing professionals can look at licenses for comparable inventions when determining what financial terms to include in a new license.", "However, federal labs have varying amounts of information on comparable licenses when establishing financial terms. NASA and NIH each have an agency-wide system that enables each lab to access information from other labs at the agency, including the financial terms in previous licenses. NIH agency officials reported that technology transfer offices have access to thousands of previous licenses and refer to such information frequently to help establish the financial terms of new licenses. Labs at DOE and DOD are generally responsible for tracking their own licenses and do not have access to information on comparable licenses from other labs in their agencies. According to DOE officials, under DOE contracts and relevant law, license information at the agency\u2019s contractor-operated labs is considered business sensitive and a contractor-owned record that resides at the labs, which limits DOE\u2019s ability to share it. Officials at DOE and DOD\u2019s military departments reported that they have investigated and continue to investigate systems that would provide greater access to information on financial terms but have encountered some obstacles, such as network security requirements, that they have not yet overcome.", "To bolster their access to comparable license information, some federal labs obtain private sector license information. For example, some lab officials we interviewed said that they have occasionally purchased benchmarking guides and access to other private sector license information through organizations such as AUTM and LES. According to some lab officials and stakeholders, private sector license information is useful for understanding acceptable royalty rates in industry and may cover certain technology areas or inventions that are new to the lab. However, access to private sector license information is typically ad hoc and can be limited by its cost, according to agency and lab officials. Some agency and lab officials stated that they would like increased access to private sector information on comparable licenses. For example, according to agency officials at DOE, there is an effort under way to obtain benchmark financial terms from labs and universities with comparable R&D portfolios.", "Although lab officials and stakeholders said that private licensing information can be helpful for understanding financial terms acceptable to the market, using private license information may not always be appropriate for government licenses. Private licenses are often structured to maximize revenue for the licensor\u2014not necessarily to promote commercial use or practical application, according to stakeholders. Our review of economic literature and interviews with stakeholders and agency officials suggest that licenses are structured differently to accomplish different goals. For example, a few stakeholders and agency officials noted that federal licenses would typically be less exclusive and have different financial terms than those in the private sector, where there is a greater emphasis on generating revenue from R&D investments. Some stakeholders and agency officials also stated that in general the value of a government license may be different from that of a private license for a similar technology because of the rights the government retains on its licenses. In addition, according to agency and lab officials and stakeholders, government inventions tend to be in an earlier stage of development than those in the private sector, potentially making it more difficult to find licenses for comparable inventions in the private sector.", "Some agency and lab officials and a few stakeholders stated that it would be valuable for federal labs to have greater access to information on financial terms in government licenses to help establish a benchmark for financial terms. Our analysis of approximately 21,000 patents assigned to DOD, DOE, NASA, and NIH and issued since 2000 shows that different agencies may patent inventions in similar technology fields. All four agencies we reviewed had patented inventions in 26 of 35 technology fields covered by the patents, and all had 10 or more patents in 9 of the 35 technology fields. DOD and DOE, including DOE contractor-operated labs, had more patents in a wider range of fields than the other agencies. On the other hand, HHS\u2019s patents are more focused on fields such as biotechnology and medical technology. However, even in the area of biotechnology, there were hundreds of patents issued to the other three agencies. Although other information would be needed to determine whether the agencies\u2019 inventions are truly comparable, their having patents in the same technology fields suggests that some government- wide information on financial terms could be useful to federal labs.", "Under internal control standards for the federal government, management should externally communicate the necessary quality information to achieve the entity\u2019s objectives; this includes communicating with and obtaining quality information from external parties using established reporting lines. The four agencies we reviewed communicate and share information through several collaborative efforts to improve federal patent licensing, including the FLC and the Interagency Working Group for Technology Transfer. For example, agency officials said they share experiences, ideas, and best practices related to patent licensing informally through these groups. However, there is no formal sharing of information on financial terms in patent licenses among federal labs, according to NIST officials.", "We have previously reported that federal agencies engaged in interagency collaborative efforts should identify and address needs by leveraging their resources to obtain additional benefits that would not be available if they were working separately. NIST plays a leading role in these interagency collaborative efforts on patent licensing, including gathering and sharing information among the labs. As the administrative host for the FLC, NIST has already supported an effort to share information about available technology. NIST is also responsible for gathering information from technology transfer agencies, including gross license income, and submitting summary reports to Congress annually and sharing them with the public. Furthermore, NIST has initiated a survey of practices at federal technology transfer offices and shared some preliminary information with the agencies. By facilitating the formal sharing of comparable license information, NIST could help provide agencies and labs with benchmarks for evaluating which financial terms are best suited to licensing inventions successfully.", "NIST officials stated that gathering and sharing comparable license information could be done as part of their existing efforts but that there are obstacles to doing so. Specifically, NIST officials stated that this effort would add to the reporting burdens of agencies, may require additional resources, and would need to take into account data security and proprietary information considerations. Agency officials also stressed that any effort to share license terms would have to ensure that confidential and proprietary information from licensees, including specific financial terms from a particular license, is not divulged."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Federal labs under DOD, DOE, NASA, and NIH face challenges at various stages of the patent licensing process, and agencies have taken some steps to address such challenges. For example, ensuring that researchers identify and disclose inventions is a government-wide challenge, according to interviews with external stakeholders and our analysis of relevant literature. However, such challenges in federal patent licensing are not fully reported by NIST, the lead agency delegated by Commerce to provide annual summary reports to Congress on federal technology transfer activities. By fully reporting the range of these challenges that agencies and labs face, NIST can ensure that Congress has greater awareness of these challenges. To help identify these challenges, NIST could, for example, leverage its survey of practices at federal technology transfer offices, past FLC studies, and agency reports.", "In addition, DOE, DOD, NASA, and NIH documentation does not consistently link establishing financial terms in patent licenses to the statutory goal of promoting commercial use. As the lead agency on the government-wide effort to find commercial uses or practical applications for federally funded inventions, NIST has been delegated the responsibility to promulgate regulations pertaining to patenting and licensing at federal labs, including implementing the statutory goal of promoting commercial use. By clarifying the link between establishing patent license financial terms and the goal of encouraging commercial use, through the upcoming rule-making process and updating relevant guidance, NIST would have better assurance that financial terms in patent licenses are targeted to that goal.", "Further, federal labs have varying amounts of information on comparable government licenses when establishing financial terms. However, there is no formal sharing of information on financial terms in patent licenses among federal labs, according to NIST officials. NIST plays a leading role in interagency collaborative efforts on patent licensing, including gathering and sharing information among the labs. By facilitating the formal sharing of comparable license information, NIST could help provide agencies and labs with benchmarks for evaluating which financial terms are best suited to successfully licensing inventions.", "To establish financial terms, DOD, DOE, NASA, and NIH labs rely on the expertise of their technology transfer staff and take a number of steps to build and share expertise, but had limited documentation of their processes for establishing the financial terms of patent licenses. Agency and lab officials explained that there is a need for flexibility, and thus not every aspect of their processes can be documented in detail. By documenting processes for establishing the financial terms of licenses while maintaining enough flexibility to tailor the specific terms of each license, the four agencies could have more reasonable assurance of consistency across their labs regardless of the expertise of staff."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making seven recommendations, including three to Commerce and one each to DOD, DOE, NASA, and NIH:", "The Secretary of Commerce should instruct NIST to fully report the range of challenges in federal patent licensing, such as those outlined in this report, by, for example, leveraging its survey of practices at federal technology transfer offices, past FLC studies, and agency reports and including that information in its summary reports to Congress. (Recommendation 1)", "The Secretary of Commerce should instruct NIST to clarify the link between establishing patent license financial terms and the goal of promoting commercial use, through appropriate means, such as the upcoming rule-making process and updating relevant guidance. (Recommendation 2)", "The Secretary of Commerce should instruct NIST to facilitate formal information sharing among the agencies to provide federal labs with information on financial terms in comparable patent licenses, as appropriate. (Recommendation 3)", "The Secretary of Defense should ensure that the agency or its labs document processes for establishing license financial terms, while maintaining flexibility to tailor the specific financial terms of each license. (Recommendation 4)", "The Secretary of Energy should ensure that the agency or its labs document processes for establishing license financial terms, while maintaining flexibility to tailor the specific financial terms of each license. (Recommendation 5)", "The Administrator of NASA should ensure that the agency or its labs document processes for establishing license financial terms, while maintaining flexibility to tailor the specific financial terms of each license. (Recommendation 6)", "The Director of NIH should ensure that the agency or its labs document processes for establishing license financial terms, while maintaining flexibility to tailor the specific financial terms of each license. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Commerce, DOD, DOE, NASA, and NIH for review and comment. All provided written responses, which are reproduced in appendixes IV-VIII. Commerce and NIH also provided technical comments, which we incorporated as appropriate.", "Commerce agreed with all three of our recommendations to the agency. In general, the agency stated that it will work through interagency groups, such as the Interagency Working Group for Technology Transfer and the FLC, to address our recommendations, including by creating a specific section in its annual reports to Congress with more details on challenges agencies and labs face in patent licensing and by examining and implementing solutions to facilitate the sharing of information among agencies. According to Commerce, such solutions could include identifying licensing officers who have expertise and creating a community of practice in which they can share best practices and approaches for establishing license terms.", "DOD, DOE, and HHS agreed, and NASA partially agreed, with the recommendation that they or their labs document processes for establishing financial terms in patent licenses. In its written response, DOD said it will direct the military departments and appropriate defense agencies to have their labs establish documentation of their licensing processes as appropriate. In their written comments, DOE, HHS, and NASA noted the complexity and nuances associated with negotiating license agreements, such as understanding the market for the technology and the level of risk involved. Further, DOE and NASA noted challenges that limit their ability to document processes and emphasized the importance of maintaining flexibility in establishing financial terms in patent licenses. We agree that some flexibility in establishing financial terms of patent licenses is important. DOE, HHS, and NASA all identified steps they would take to ensure that at least some processes for establishing financial terms are documented.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Commerce, Defense, and Energy; the Administrator of NASA; and the Director of NIH. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Examples of Inventions Developed in Federal Labs", "paragraphs": ["Figure 3 presents examples of inventions developed in federal laboratories under the Department of Defense, Department of Energy, National Aeronautics and Space Administration, and National Institutes of Health."], "subsections": []}, {"section_title": "Appendix II: Selected Descriptions of Challenges Federal Labs Face in Patent Licensing", "paragraphs": ["The following are additional descriptions of challenges in the seven areas of the patent licensing process as well as challenges in prioritizing patent licensing faced by federal laboratories (lab) that were identified by external stakeholders and by agency and lab officials at the Department of Defense (DOD), Department of Energy (DOE), National Aeronautics and Space Administration (NASA), and the National Institutes of Health (NIH)\u2014as well as steps agencies and labs have taken to address those challenges."], "subsections": [{"section_title": "Challenges in the Seven Areas of the Patent Licensing Process", "paragraphs": [], "subsections": [{"section_title": "Identifying Inventions", "paragraphs": ["DOD, DOE, NASA, and NIH officials reported challenges in identifying inventions that lab researchers developed. When a federal researcher does not disclose to lab officials an invention developed in a federal lab, the opportunity to assess the invention\u2019s potential for commercial use may be lost.", "Federal officials cited various reasons why researchers do not disclose inventions. For instance, several DOD, DOE, NASA, and NIH agency and lab officials stated that some researchers do not have adequate training in identifying potentially patentable inventions. Some agency and lab officials pointed to other reasons why invention disclosures may not be filed, such as researchers not having enough incentive to disclose their inventions. Navy officials stated that researchers are often intimidated by the overall invention disclosure process and tend to focus on their research rather than consider what could be patentable. Officials at one NASA lab noted that they have come across a few contractor employees who do not see the benefit of filing invention disclosures, and sometimes researchers are too busy to engage in the patenting process. According to National Institute of Standards and Technology (NIST) officials, some researchers decide not to disclose an invention because they believe filing a patent application, which includes a filing fee, could take away money from the research itself, and most federal researchers are not motivated by the potential for receiving royalty distributions.", "Our analysis of relevant literature and interviews with stakeholders also showed that researchers not identifying and disclosing inventions is a government-wide challenge. One stakeholder stated that researchers at federal labs generally have limited understanding of the patenting process, including an understanding of what constitutes patentable subject matter and how to conduct prior research on the technology to determine whether it is patentable.", "DOD, DOE, NASA, and NIH agency and lab officials stated that they are taking a variety of actions to help address these challenges. For example, some agency and lab officials stated that labs conduct training to educate researchers about the patenting process, inform researchers about statutory requirements to disclose inventions, and incentivize them by acknowledging their efforts through awards and monetary incentives when their inventions reach commercial success."], "subsections": []}, {"section_title": "Keeping Track of Inventions", "paragraphs": ["DOD, DOE, and NIH officials described their agencies\u2019 systems for keeping track of inventions developed in the labs as inadequate or in need of improvement. How agencies and labs keep track of such inventions can range from spreadsheets to sophisticated databases that manage all technology transfer activities, including keeping track of patented inventions and licenses.", "Currently, DOD has a decentralized approach to keeping track of inventions, which, according to DOD officials, needs improvement given how large the agency is. Each military department has its own systems to track and store information on inventions developed in the labs. Officials from DOD and the departments describe the systems as inadequate to keep track of the agency\u2019s inventions. For example, Navy officials described the department\u2019s in-house system to track inventions as \u201cplagued by outages\u201d and thus ineffective. According to officials, the Army funds systems that track inventions, but these systems are different from each other and not connected to headquarters and have been suspended since 2015.", "We have previously reported on federal agencies\u2019 challenges in monitoring technology transfer activities, including tracking inventions developed in the federal labs. Several stakeholders we interviewed also noted that keeping track of inventions is a government-wide challenge. According to some stakeholders, federal labs not only have inadequate systems to keep track of their own inventions but also limited information on the kinds of inventions being developed in federal labs across the government. The result is that agencies risk being unaware of research across the labs, which can limit their ability to leverage other federal research efforts. One stakeholder specifically noted that the Interagency Edison (iEdison) reporting system\u2014which allows federal grantees and contractors to report federally funded inventions to the agency that issued the funding award, including inventions developed by some contractor- operated labs\u2014is difficult to navigate and needs improvement. Another stakeholder stated that there can be independent research at three or four labs under different agencies but little interaction among those labs about the research. Information on federal lab inventions can also be accessed publically through the Federal Laboratory Consortium (FLC) website; however, NIST officials stated that the website\u2019s information on inventions relies on agencies to submit accurate information, which may be limited by the agencies\u2019 tracking systems.", "DOD, DOE, and NIH officials stated that they have made efforts to improve their current systems. For example, since our 2015 report on the agency\u2019s challenges with its data management systems that track federally funded inventions, DOE officials reported that they have developed a plan to leverage the capabilities of the iEdison reporting system to unify the agency\u2019s data management process. While DOD officials stated that the agency has been unsuccessful in purchasing software to track inventions across the agency, Air Force officials said they are developing a pilot program and seeking new software to manage the Air Force\u2019s inventions, and they expect the pilot program to increase the number of invention disclosures. Air Force and NIH officials stated that they have contacted NASA, which has a centralized system for tracking inventions, about leveraging the agency\u2019s expertise. NASA officials reported that they have been hosting regular webinars with other agencies to determine whether NASA\u2019s tracking system could help meet other agencies\u2019 needs."], "subsections": []}, {"section_title": "Selecting Inventions to Patent", "paragraphs": ["DOD, DOE, NASA, and NIH agency and lab officials cited selecting inventions to patent as a challenge because of the expense of patenting fees. According to some agency and lab officials we interviewed, fees paid to the United States Patent and Trademark Office (USPTO) affect their decision on whether to patent an invention. For example, DOE officials stated that budget constraints force them to make decisions about whether they should file a patent or engage in other agency activities. NIH officials stated that the agency maintains fewer patents because of the patent maintenance fees and the agency\u2019s tight budgets.", "NASA officials reported that one step the agency is taking to deal with the costs of maintaining its issued patents is to identify technologies with low licensing potential and allow the patents to expire if they fail to attract licensees. NASA has created a searchable database that catalogs thousands of expired NASA patents already in the public domain, making them freely available to industry for unrestricted commercial use."], "subsections": []}, {"section_title": "Attracting Potential Licensees", "paragraphs": ["Federal labs under DOD, DOE, NASA, and NIH face challenges that limit their ability to attract potential licensees, according to agency and lab officials. Even officials at NASA, described by NIST officials as one of the best agencies in promoting its inventions to industry, said the agency is not selecting among multiple licensees and would like to have more companies license its patents.", "There are various reasons why federal labs struggle to attract companies interested in licensing their inventions, according to agency and lab officials we interviewed. First, several agency and lab officials cited that the number of entities that want to license inventions is generally not large. Second, some agency and lab officials identified inadequate promotion of federal inventions and licensing opportunities to companies, including start-ups, as a factor. Third, some agency and lab officials also noted that their inventions are often in the early stages of development and thus pose more of a risk for companies to license.", "Based on our analysis of relevant literature and interviews with stakeholders, difficulty in attracting industry to license inventions developed in federal labs is a government-wide challenge. According to several stakeholders, industry perceives federal labs as not friendly to the private sector when it comes to patent licensing, especially for start-ups. For example, one stakeholder said that it is rare that federal agencies want to license to a start-up, and that more often the labs want a \u201csafer route\u201d by licensing inventions to large companies that already have a steady revenue stream. Another stakeholder said that DOE\u2019s contractor- operated labs in particular tend to not issue exclusive licenses to start-ups and prefer to license to large companies because the agency sees those companies as presenting less of a risk. In addition, stakeholders stated that federal inventions are often not yet commercially viable, which can deter companies from licensing federal inventions. One stakeholder, for example, stated that NASA officials may think that NASA technology is more developed than it is and therefore underestimate how long it will take a company to develop it for practical application, the millions of dollars needed to develop it, and whether it can be manufactured for commercial use.", "DOD, DOE, NASA, and NIH officials stated that they are taking steps to attract potential licensees by, for example, conducting local outreach to attract companies and working on improving their databases so that companies can learn about federal inventions available for licensing. For instance, NASA officials stated that the agency\u2019s comprehensive database accessible to potential licensees uses a wide variety of search criteria and attracted 6 million unique visitors in 2016."], "subsections": []}, {"section_title": "Negotiating the License Agreement", "paragraphs": ["Agency and lab officials and stakeholders noted that federal labs face challenges in negotiating the license agreement because the process is (1) lengthy and (2) uniquely regulated, which can deter companies from licensing federal inventions.", "Stakeholders stated that the federal licensing process can take anywhere from about 3 months to more than 2 years. Some stakeholders stated that from their point of view taking a year to negotiate a license agreement is too long. One stakeholder said that such lengthy processes are particularly difficult for start-ups, which often need to finalize license agreements in 3 months. Another stakeholder noted that the federal government in general does not understand how urgent it is for companies to complete the licensing process in a timely manner. Although actions on the part of both the labs and companies can cause delays, if the overall process is time-consuming, prospective licensees will tend to move onto something else instead, according to agency and lab officials and stakeholders.", "Based on our analysis of licensing information provided by the agencies, we found that the amount of time from receipt of an application for a license to signature of the license by the lab varies widely. Specifically, based on this measure of the length of the process, approximately 60 percent of 132 licenses effective in fiscal year 2014 took at most 6 months for DOD, DOE, NASA, and NIH labs to process. Officials at one Navy lab stated that issuing an invention license to a company within 6 months is \u201chighly unusual,\u201d and officials at one NASA lab stated that the fastest they have issued a license was a week because the start-up was prepared and ready to go. For more on our analysis of licensing information from DOD, DOE, NASA, and NIH, see appendix III.", "Several agency and lab officials also noted that federal regulations associated with patent licensing can deter companies from licensing federal inventions. Such regulations include requirements that are unique to federally funded and federally owned inventions, including that products arising from the invention must be substantially manufactured in the United States and that the government may retain rights to the invention and terminate the license agreement if the licensee does not take steps to commercialize the technology. In particular, NASA officials stated that venture capital firms sometimes oppose the government retaining rights for federal technology used by start-ups that they fund. According to DOD and DOE officials, federal regulations require a level of documentation or explanation that can deter some companies from licensing inventions developed in federal labs. Based on interviews with stakeholders, as well as our analysis of relevant literature, company concerns about federal regulations is a government-wide challenge that federal labs face in licensing their inventions.", "For example, according to NIST officials, the U.S. manufacturing requirement can influence whether companies consider licensing federal inventions, because manufacturing in the United States can be more expensive than manufacturing in other countries. NIST officials also stated that some prospective licensees initially become concerned when they are told about march-in authority, because it applies to federally funded inventions and contractors. However, once companies are told that it is a legal requirement and that the provision has never been exercised, they generally become more comfortable with it.", "DOD, DOE, NASA, and NIH agency officials said they are taking steps to address companies\u2019 concerns about the time it takes to negotiate a license agreement and their unfamiliarity with federal licensing requirements. For instance, NASA, NIH, and Navy officials told us they have developed model license agreements to help guide companies through the process, and NASA and NIH have special license agreements for start-ups to shorten the licensing process. Also, DOE created an agency-wide licensing guide to help prospective licensees navigate federal licensing requirements."], "subsections": []}, {"section_title": "Monitoring Licensee Performance", "paragraphs": ["DOD, DOE, NASA, and NIH agency and lab officials we interviewed identified limited resources and inadequate monitoring systems as factors that make it difficult to monitor licensee performance.", "NASA and NIH officials reported that the number of license agreements has increased in their labs and that they do not have enough resources to monitor licenses. DOD officials stated that the agency\u2019s technology transfer offices have traditionally been understaffed and that the agency\u2019s monitoring systems are inadequate for tracking the status of issued licenses. Officials at one DOE lab stated that collecting royalties from licensees can be difficult because the lab does not have enough funds to support that activity. In addition, agencies may rely on the same systems they use to keep track of inventions to monitor licensee performance, and as previously discussed, these systems are in need of improvement.", "Some stakeholders we interviewed noted that monitoring licensee performance is a government-wide challenge. They explained that sometimes licensees do not pay fees if they are not contacted, and a few stakeholders stated that federal labs have limited funding and resources to monitor contracts effectively. One stakeholder recalled one agency that did not communicate with a licensee for 2 years after the license agreement was signed. According to another stakeholder, ineffective monitoring of licensee performance may limit federal labs\u2019 ability to determine whether a company is developing federal inventions for commercial use per the terms and conditions of the license agreement.", "Some agency and lab officials stated that they have taken steps to regularly monitor licensees. In particular, at NASA and NIH\u2014where monitoring of licensee performance is centralized at the agency level\u2014 officials have programed systems to remind staff to check on licensee performance."], "subsections": []}, {"section_title": "Measuring Licensing Outcomes", "paragraphs": ["Federal labs, including those under DOD, DOE, NASA, and NIH, also face challenges in effectively measuring patent licensing outcomes, based on our interviews with stakeholders and analysis of relevant literature. According to one stakeholder, labs need metrics to assess whether a licensee has made progress on developing the invention for commercial use and whether the lab needs to get the license back and give it to another company.", "However, some stakeholders we interviewed stated that although the 2011 presidential memorandum on technology transfer called for strategies to establish metrics, federal labs are still struggling to implement metrics for measuring technology transfer outcomes, including patent licensing activities. Stakeholders we interviewed and our analysis of relevant literature have indicated that federal labs in general track the numbers of patents, licenses, and revenues instead of using metrics that identify direct economic impacts from patent licensing and other technology transfer activities. In agencies where such metrics do exist, they may be applied inconsistently across labs. For example, officials at one DOE lab stated that DOE metrics are generally not consistent across the agency\u2019s labs.", "DOD, DOE, NASA, and NIH agency officials stated that they are working to improve their metrics and incorporate metrics beyond tracking numbers of patents, licenses, and revenues. For example, in addition to measuring the numbers of patents and licenses issued, NASA and Air Force officials stated that they are also measuring factors that affect the length of time it takes for their labs to process licenses. Such information, officials said, will help them expedite the licensing process."], "subsections": []}]}, {"section_title": "Prioritizing Patent Licensing as an Agency Mission", "paragraphs": ["DOD, DOE, NASA, and NIH face challenges in prioritizing patent licensing as part of their agency missions, which can affect the entire patent licensing process.", "For example, DOD and DOE agency and lab officials stated that an agency\u2019s mission affects patent licensing activities. DOD officials stated that the agency\u2019s primary mission is protecting the warfighter and that patent licensing is a secondary benefit to the agency. According to DOE officials, the nuclear security labs do not focus on patenting but instead on developing technologies associated with a weapons program.", "In addition, several stakeholders we interviewed stated that some agencies and labs do not have a culture that prioritizes patent licensing. In particular, one stakeholder stated that at some federal labs, patent licensing is not reflected in performance evaluation management plans, which can help incentivize lab personnel to engage in patent licensing activities. A few stakeholders stated that at some labs where management does not prioritize patent licensing activities, researchers\u2019 careers can be negatively affected if they engage in patent licensing activities.", "DOD, DOE, NASA, and NIH agency and lab officials cited limited resources to conduct the range of activities related to patent licensing. For example, sometimes there is just one person at a DOD lab overseeing technology transfer activities, according to DOD agency and lab officials. Officials at one NIH lab stated that many labs across the agency do not receive enough royalties to offset their patent licensing costs. In its fiscal year 2015 report\u2014its most recent report\u2014to Congress on federal technology transfer activities, NIST reported that the federal intramural research budget, which include patent licensing activities, has generally not increased in the past 4 fiscal years. Several agency and lab officials stated that budget constraints affect the extent to which they can engage in patent licensing activities\u2014including patent enforcement, which can cost millions of dollars and presents challenges for federal labs, according to DOE officials.", "Some agency and lab officials stated they have taken steps to overcome such challenges. For example, officials at one Navy lab stated that the lab has management support and nine patent attorneys to assist in the reviews of researchers\u2019 invention disclosures. Also, officials at one NIH lab stated that the lab has strong management support and a good royalty stream from successful inventions that pay for patenting and other reinvestments, which allows the lab to not draw from its appropriations."], "subsections": []}]}, {"section_title": "Appendix III: Patent License Summary for Licenses Effective in Fiscal Year 2014", "paragraphs": ["Tables 1 through 3 and figures 4 through 6 are based on 222 patent licenses that became effective in fiscal year 2014, and associated data, provided by the Department of Defense (specifically the Army, Navy, and Air Force), Department of Energy, National Aeronautics and Space Administration, and National Institutes of Health. They include both data provided by the agencies and information compiled directly from the licenses. The tables and figures are provided for informational purposes and are not generalizable to all patent licenses."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Robert J. Marek (Assistant Director), James D. Ashley, Kevin S. Bray, Virginia A. Chanley, Ellen L. Fried, Sarah C. Gilliland, Cheryl M. Harris, Robert Letzler, Gregory A. Marchand, Christopher P. Murray, Emmy L. Rhine Paule, Dan C. Royer, Ardith A. Spence, Vasiliki Theodoropoulos, and Reed Van Beveren made key contributions to this report."], "subsections": []}]}, {"section_title": "Bibliography", "paragraphs": ["Bozeman, Barry. Technology Transfer Research and Evaluation: Implications for Federal Laboratory Practice, Final Report to VNS Group, Inc. and the U.S. National Institute of Standards, 2013. Accessed on March 14, 2018. https://www.nist.gov/tpo/return-investment-roi-initiative.", "Bozeman, Barry, Heather Rimes, and Jan Youtie. \u201cThe Evolving State-of- the-Art in Technology Transfer Research: Revisiting the Contingent Effectiveness Model.\u201d Research Policy, vol. 44, no. 1 (2014): 34-49.", "Franza, Richard M. and Kevin P. Grant. \u201cImproving Federal to Private Sector Technology Transfer: A Study Identifies Seven Critical Factors with the Greatest Impact on Whether Transfer Attempt Succeeds or Fails.\u201d Research Technology Management, vol. 49, no. 3 (2006): 36-40.", "Greiner, Michael A. and Richard M. Franza. \u201cBarriers and Bridges for Successful Environmental Technology Transfer.\u201d Journal of Technology Transfer, vol. 28, no. 2 (2003): 167-177 Howieson, Susannah V., Stephanie Shipp, Gina Walejko, Pamela Rambow, Vanessa Pe\u00f1a, Sherrica S. Holloman, and Phillip N, Miller. Exemplar Practices for Department of Defense Technology Transfer. Alexandria, Va.: Institute of Defense Analyses, January 2013.", "Hughes, Mary E., Susannah V. Howieson, Gina Walejko, Nayanee Gupta, Seth Jonas, Ashley T. Brenner, Dawn Holmes, Edward Shyu, and Stephanie Shipp. Technology Transfer and Commercialization Landscape in the Federal Laboratories. Alexandria, Va.: Institute of Defense Analyses, June 2011.", "Jin, D., X. Mo, A. M. Subramanian, K. H. Chai, and C. C. Hang. \u201cKey Management Processes to Technology Transfer Success.\u201d 2016 IEEE International Conference on Management of Innovation and Technology, (2016), 67-71.", "Linton, Jonathan D., Cesar A. Lombana, and A. D. Romig, Jr. \u201cAccelerating Technology Transfer from Federal Laboratories to the Private Sector\u2014the Business Development Wheel.\u201d Engineering Management Journal, vol. 13, no. 3 (2001): 15-20.", "Office of Science and Technology Policy and the National Institutes of Health, National Heart, Lung and Blood Institute. Lab-to-Market Inter- agency Summit: Recommendations from the National Expert Panel.", "Washington, D.C.: National Expert Panel, White House Conference Center, May 2013.", "Stepp, Matthew, Sean Pool, Nick Loris, and Jack Spencer. Turning the Page: Reimagining the National Labs in the 21st Century Innovation Economy. Washington, D.C.: Information Technology and Innovation Foundation, Center for American Progress, and Heritage Foundation, June 2013.", "Toregas, Costis, E. Colin Campbell, Sharon S. Dawes, Harold B. Finger, Michael D. Griffin, and Thomas Stackhouse. Technology Transfer: Bringing Innovation to NASA and the Nation. Washington, D.C.: National Academy of Public Administration, November 2004.", "U.S. Department of Energy, Commission to Review the Effectiveness of the National Energy Laboratories. Securing America\u2019s Future: Realizing Potential of the Department of Energy\u2019s National Laboratories, vol. 1, Executive Report. Washington, D.C.: October 2015. Accessed March 14, 2018. https://www.energy.gov/labcommission/downloads/final-report- commission-review-effectiveness-national-energy-laboratories.", "Wang, Mark, Shari Pfleeger, David M. Adamson, Gabrielle Bloom, William Butz, Donna Fossum, Mihal Gross, et al. Technology Transfer of Federally Funded R&D: Perspectives from a Forum. Conference Proceedings. Santa Monica, Calif.: RAND Corporation, 2003."], "subsections": []}], "fastfact": ["Cell-phone cameras have their roots in a federal lab\u2014thanks to laws encouraging commercial use of federal inventions.", "The federal government spends about $137 billion a year researching and developing inventions. The government can license the patents on these inventions to private companies to further develop and bring the technologies to market.", "Federal agencies and labs said that identifying patentable inventions was difficult, with some citing inadequate tracking systems. Stakeholders said that the bureaucracy and length of the patent licensing process could deter companies.", "We made 7 recommendations to address these and other challenges."]} {"id": "GAO-18-337", "url": "https://www.gao.gov/products/GAO-18-337", "title": "NASA Information Technology: Urgent Action Needed to Address Significant Management and Cybersecurity Weaknesses", "published_date": "2018-05-22T00:00:00", "released_date": "2018-05-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["NASA depends heavily upon IT to conduct its work. The agency spends at least $1.5 billion annually on IT investments that support its missions, including ground control systems for the International Space Station and space exploration programs.", "The National Aeronautics and Space Administration Transition Authorization Act of 2017 included a provision for GAO to review the effectiveness of NASA's approach to overseeing and managing IT, including its ability to ensure that resources are aligned with agency missions and are cost effective and secure. Accordingly, GAO's specific objective for this review was to determine the extent to which NASA has established and implemented leading IT management practices in strategic planning, workforce planning, governance, and cybersecurity. To address this objective, GAO compared NASA IT policies, strategic plans, workforce gap assessments, and governance board documentation to federal law and leading practices. GAO also assessed NASA IT security plans, policies, and procedures against leading cybersecurity risk management practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Aeronautics and Space Administration (NASA) has not yet effectively implemented leading practices for information technology (IT) management. Specifically, GAO identified weaknesses in NASA's IT management practices for strategic planning, workforce planning, governance, and cybersecurity.", "NASA has not documented its IT strategic planning processes in accordance with leading practices. While NASA's updated IT strategic plan represents improvement over its prior plan, the updated plan is not comprehensive because it does not fully describe strategies for achieving desired results or describe interdependencies within and across programs. Until NASA establishes a comprehensive IT strategic plan, it will lack critical information needed to align resources with business strategies and investment decisions.", "Of the eight key IT workforce planning activities, the agency partially implemented five and did not implement three. For example, NASA does not assess competency and staffing needs regularly or report progress to agency leadership. Until NASA implements the key IT workforce planning activities, it will have difficulty anticipating and responding to changing staffing needs.", "NASA's IT governance does not fully address leading practices. While the agency revised its governance boards, updated their charters, and acted to improve governance, it has not fully established the governance structure, documented improvements to its investment selection process, fully implemented investment oversight practices and ensured the Chief Information Officer's visibility into all IT investments, or fully defined policies and procedures for IT portfolio management. Until NASA addresses these weaknesses, it will face increased risk of investing in duplicative investments or may miss opportunities to ensure investments perform as intended.", "NASA has not fully established an effective approach to managing agency-wide cybersecurity risk. An effective approach includes establishing executive oversight of risk, a cybersecurity risk management strategy, an information security program plan, and related policies and procedures.", "As NASA continues to collaborate with other agencies and nations and increasingly relies on agreements with private companies to carry out its missions, the agency's cybersecurity weaknesses make its systems more vulnerable to compromise. Until NASA leadership fully addresses these leading practices, its ability to ensure effective management of IT across the agency and manage cybersecurity risks will remain limited."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 10 recommendations to NASA to address the deficiencies identified in NASA IT strategic planning, workforce planning, governance, and cybersecurity. NASA concurred with seven recommendations, partially concurred with two, and did not concur with one. GAO maintains that all of the recommendations discussed in this report remain valid."]}], "report": [{"section_title": "Letter", "paragraphs": ["The National Aeronautics and Space Administration (NASA) exercises control over aeronautical and space activities sponsored by the United States and also seeks to encourage the fullest commercial use of space. NASA\u2019s current and planned activities span a broad range of complex and technical endeavors, including developing new capabilities to send future missions to Mars, improving the air transportation experience, and developing new space transportation systems. These activities may rely on partnerships with academic, private sector, and international organizations, including foreign space agencies. In recent years, NASA also has increasingly relied on other countries and agreements with private companies to support its missions.", "NASA depends heavily upon information technology (IT) to conduct its work. Since fiscal year 2016, the agency has planned to spend about $1.5 billion annually on IT investments that support its missions, including ground control systems for the International Space Station and other space exploration programs. In addition, the agency has invested in cloud computing, data center optimization, and IT security capabilities to support its business operations.", "However, we and the NASA Office of Inspector General have reported that the agency has struggled for more than two decades to overcome its decentralized operations and culture of autonomy at its major organizational units, in an attempt to provide effective oversight and management of its IT environment. Moreover, we and others have reported on information security concerns. NASA systems are highly interconnected. The agency is also affected by geopolitics and is targeted by cybercriminals, including those that may be sponsored by foreign intelligence services. In addition, entities with whom NASA collaborates may also be targets of cybercriminals.", "The National Aeronautics and Space Administration Transition Authorization Act of 2017 included a provision for us to review the effectiveness of NASA\u2019s approach to overseeing and managing IT, including its ability to ensure that resources are aligned with agency missions and are cost effective and secure. Our objective for this review was to address the extent to which NASA has established and implemented leading IT management practices in strategic planning, workforce planning, governance, and cybersecurity.", "To address this objective, we compared NASA\u2019s IT management policies, procedures, and documentation to criteria established by federal law and leading practices.", "For our work regarding IT strategic planning, we obtained and evaluated NASA\u2019s documentation on IT strategic planning, including its related planning guidance, agency-wide strategic plan, and IT- specific strategic plans. We analyzed its strategic planning guidance and assessed the contents of the previous and current IT strategic plans by comparing them to leading practices that we and the Office of Management and Budget (OMB) have previously identified. These practices include documenting the IT strategic planning process and developing a strategic plan that defines the agency\u2019s vision and provides a road map to help align information resources with business strategies and investment decisions.", "For IT workforce planning, we reviewed documentation, including NASA\u2019s 2015 draft IT workforce plan, competencies, reported staffing data, and a workforce gap assessment. We compared this documentation to eight key IT workforce planning activities that we previously identified and that were derived from federal law and guidance, including OMB memorandums, GAO reports, and the Office of Personnel Management\u2019s (OPM) Human Capital Framework.", "Our review of IT governance involved analyzing NASA\u2019s governance board meeting minutes and briefings, charters, and policies and procedures, and comparing them to criteria as identified by GAO in the IT investment management framework. Specifically, we focused on policies and procedures related to instituting investment boards, selecting investments, overseeing investments, and developing investment portfolios.", "Regarding cybersecurity, we obtained and analyzed available NASA documentation to determine the extent to which the agency had established an effective approach for managing cybersecurity risk. This documentation included information security policies and procedures, management briefings and reports, and a draft information security program plan. We then assessed whether NASA\u2019s approach addressed foundational cybersecurity risk management components identified in the National Institute for Standards and Technology\u2019s (NIST) guidance. These components included the establishment of a risk executive function, a cybersecurity risk management strategy, an information security program plan, and current policies and procedures for relevant security controls.", "In addition to assessing IT management at NASA headquarters, we reviewed such management practices at two of the agency\u2019s centers and one mission directorate, focusing on those with the largest fiscal year 2017 IT budgets. In addition, we visited and reviewed IT management practices for the Goddard Space Flight Center because of the center\u2019s proximity to GAO. We also interviewed cognizant officials with responsibilities for IT management at NASA. The results of our work at the selected NASA centers and mission directorate are not generalizable to other NASA centers and mission directorates. Additional details on our objective, scope, and methodology can be found in appendix I.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": [{"section_title": "Background", "paragraphs": ["NASA\u2019s mission is to drive advances in science, technology, aeronautics, and space exploration to enhance knowledge, education, innovation, economic vitality, and stewardship of Earth. The NASA Administrator is responsible for leading the agency and is accountable for all aspects of its mission, including establishing and articulating its vision and strategic priorities and ensuring successful implementation of supporting policies, programs, and performance assessments.", "Within NASA headquarters, the agency has four mission directorates that define its major core mission work: (1) Aeronautics Research conducts cutting-edge research to enable revolutionary advances in future aircraft, as well as in the airspace in which they will fly; (2) Human Exploration and Operations is responsible for NASA space operations, developing new exploration and transportation systems, and performing scientific research; (3) Science carries out the scientific exploration of Earth and space to expand the frontiers of Earth science, planetary science, and astrophysics, and (4) Space Technology develops revolutionary technologies through transparent, collaborative partnerships that expand the boundaries of aerospace. The agency also has a mission support directorate to manage its business needs and administrative functions, such as human capital management.", "In addition to NASA headquarters in Washington, D.C., the agency is composed of nine field centers managed by NASA employees, and one federally funded research and development center that are responsible for executing programs and projects. NASA centers are located throughout the country and manage projects or programs for multiple mission directorates. For example, the Goddard Space Flight Center supports various IT programs within the Science mission directorate, while the Johnson Space Center supports multiple programs in the Human Exploration and Operations mission directorate.", "According to NASA documents, the agency planned to spend $1.6 billion of its fiscal year 2018 budget authority on IT. Of this total, $888 million was to be used for business IT and $672.8 million was to be used for mission IT. Business IT includes the infrastructure and systems needed to support internal agency operations, such as commodity IT (e.g., e-mail and communications systems), infrastructure, IT management, administrative services, and support systems, whereas mission IT includes the technology needed to support space programs and research for the agency\u2019s mission programs. The technology that the agency uses to support its mission programs includes highly-specialized IT, defined by NASA as any equipment, system, and/or software that is used to acquire, store, retrieve, manipulate, and/or transmit data or information when the IT is embedded in a mission platform or provides a platform required for simulating, executing, or operating a mission.", "Historically, NASA and its Inspector General have reported that funding for and oversight of highly-specialized IT has been decentralized among mission directorates and embedded within launch programs and other mission activities instead of being identified as IT to be managed as part of the agency\u2019s IT portfolio. According to the Inspector General, the agency\u2019s decentralized funding for and oversight of IT has minimized agency-wide visibility into and oversight of NASA\u2019s spending on these systems."], "subsections": [{"section_title": "NASA\u2019s IT Management and Governance Structure", "paragraphs": ["The agency\u2019s Chief Information Officer (CIO) reports directly to the NASA Administrator and serves as the principal advisor to the NASA Administrator and senior officials on all matters pertaining to IT. The CIO is to provide leadership, planning, policy direction, and oversight for the management of NASA\u2019s information and systems. Toward this end, the CIO\u2019s responsibilities include developing and implementing approaches for executing the goals and outcomes in the NASA strategic plan; ensuring that the agency\u2019s human resources possess the requisite knowledge and skills in IT and information resources management; maximizing the value of NASA IT investments through an investment management process; and leading and implementing the agency\u2019s IT security program. The CIO also is responsible for developing and implementing agency-wide IT policies and processes.", "NASA\u2019s CIO also is to direct, manage, and provide policy guidance and oversight of the agency\u2019s center CIOs. Each center has a CIO responsible for supporting center leadership and managing IT staff.", "Similarly, each mission directorate has a representative who coordinates with programs on IT-specific issues and, as needed, obtains support from the Office of the CIO. Both center CIOs and mission directorate IT representatives report to the NASA CIO and to the leadership of their respective centers and mission directorates.", "The CIO is supported by staff in the Office of the CIO. This office is organized into four divisions responsible for (1) IT security, (2) capital planning and governance, (3) technology and innovation, and (4) enterprise services and integration. Collectively, these divisions support NASA\u2019s approach to IT strategic and workforce planning, governance boards and practices, and cybersecurity.", "In March 2017, the Office of the CIO submitted plans to establish a fifth division focused on new applications, and also to rename existing divisions to better represent the services they provide. For example, the Office of the CIO proposed that the Capital Planning and Governance Division be renamed the IT Business Management Division. As of March 2018, NASA had not yet approved or implemented the planned reorganization.", "Figure 1 depicts the organization of the Office of the CIO, including relevant reporting relationships for center CIOs and mission directorate IT representatives, as of March 2018."], "subsections": []}, {"section_title": "GAO and NASA\u2019s Office of Inspector General Have Reported on Longstanding Weaknesses in IT Management", "paragraphs": ["We and NASA\u2019s Office of Inspector General have reported on longstanding IT management weaknesses within the agency. For example, in October 2009, we reported that NASA had made progress in implementing IT security controls and aspects of its information security program, but that it had not always implemented appropriate controls to sufficiently protect the confidentiality, integrity, and availability of information and systems. We also identified control vulnerabilities and program shortfalls, which, collectively, increased the risk of unauthorized access to NASA\u2019s sensitive information, as well as inadvertent or deliberate disruption of its system operations and services. We recommended that the NASA Administrator take steps to mitigate control vulnerabilities and fully implement a comprehensive information security program. The agency concurred with our eight recommendations and stated that it was taking actions to mitigate the information security weaknesses identified.", "In addition, NASA\u2019s Office of Inspector General has issued 24 reports over the last 7 years on IT governance and security weaknesses at the agency. For example, in June 2013, the office reported that the decentralized nature of NASA\u2019s operations and its longstanding culture of autonomy had hindered the agency\u2019s ability to implement effective IT governance. Specifically, the report stated that the CIO had limited visibility and control over a majority of IT investments, operated in an organizational structure that marginalized the authority of the position, and could not enforce security measures across NASA\u2019s computer networks. Moreover, the IT governance structure in place at the time was overly complex, did not function effectively, and operated under a decentralized model that relegated decision making about critical IT issues to numerous individuals across NASA, leaving such decisions outside the purview of the CIO.", "The Office of Inspector General made eight recommendations to the NASA Administrator for improving IT governance, including calling for all governance to be consolidated within the Office of the CIO to ensure adequate visibility, accountability, and integration into all mission-related IT assets and activities. The Administrator concurred with six and partially concurred with two of the recommendations and planned actions sufficient for the Office of Inspector General to close all eight recommendations as implemented. However, the Office of Inspector General later reported that the extent to which NASA had implemented the agreed-upon changes was in doubt based on subsequent audit findings that NASA was still struggling with limited agency CIO authority, decentralized IT operations, and ineffective IT governance.", "A follow-on report issued in October 2017 described a continued lack of progress in improving IT governance, determined that the CIO\u2019s visibility into investments across the agency continued to be limited, and identified flaws in the process developed to improve governance. Specifically, the Office of Inspector General noted that the Office of the CIO had made changes to its IT governance boards over the past few years, but the boards had not made strategic decisions to substantively impact how NASA IT would be managed. According to the Office of Inspector General, slow implementation of the revised governance structure had left many IT officials operating under the previous inefficient and ineffective framework.", "The report also noted that, as of August 2017, the Office of the CIO had not finalized the roles and responsibilities for IT management and lingering confusion regarding security roles, coupled with poor IT inventory practices, had negatively impacted NASA\u2019s security posture. Importantly, the report explained that the Office of the CIO continued to have limited influence over IT management within the mission directorates and at centers.", "The Office of Inspector General made five recommendations to the CIO that were intended to improve, among other things, governance and security. As of October 2017, NASA had concurred with three recommendations, partially concurred with two recommendations, and described corrective actions taken or planned. However, the Office of Inspector General found that NASA\u2019s original proposed action to address the fourth recommendation was insufficient; thus, in December 2017, the agency established additional proposed actions to address that recommendation."], "subsections": []}, {"section_title": "Key IT Management Disciplines", "paragraphs": ["We have identified a set of essential and complementary management disciplines that provide a sound foundation for IT management. These include the following:", "Strategic planning: Strategic planning defines what an organization seeks to accomplish and identifies the strategies it will use to achieve desired results. We have previously reported that a defined strategic planning process allows an agency to clearly articulate its strategic direction and establish linkages among planning practices, such as goals, objectives, and strategies and identified leading practices for agency planning.", "Workforce planning: We have previously reported that it is important for an agency to have a strong IT workforce to help ensure the timely and effective acquisition of IT. In November 2016, we identified eight key workforce planning activities derived from the Clinger-Cohen Act of 1996 and relevant guidance, including memorandums and guidance from OPM and OMB, and prior GAO reports. These laws and guidance focus on the importance of setting the strategic direction for workforce planning, analyzing the workforce to identify skill gaps, developing strategies to address skill gaps, and monitoring and reporting on progress in addressing skill gaps.", "IT governance: IT projects can significantly improve an organization\u2019s performance, but they can also become costly, risky, and unproductive. In 1996, Congress passed the Clinger-Cohen Act, which requires executive branch agencies to establish a process for selecting, managing, and evaluating investments in order to maximize the value and assess and manage the risks of IT acquisitions. Agencies can maximize the value of their investments and minimize the risks of their acquisitions by having an effective and efficient governance process, as described in GAO\u2019s guide to effective IT investment management.", "Cybersecurity: Federal systems and networks are often interconnected with other internal and external systems and networks, including the Internet. When systems are interconnected, the number of avenues of attack increases and the attack surface expands. Effective security for agency systems and data is essential to prevent data tampering, disruptions in critical operations, fraud, and inappropriate disclosure of sensitive information, including personal information entrusted to the government by members of the American public. Taking action to assure that an agency\u2019s contractors and partners are adequately protecting the agency\u2019s information and systems is one way an agency can address cybersecurity risks.", "NIST has issued a suite of information security standards and guidelines that, collectively, provide comprehensive guidance on managing cybersecurity risk to agencies and any entities performing work on the agencies\u2019 behalf. NIST\u2019s cybersecurity framework was issued in February 2014 in response to Executive Order 13636. The framework outlines a risk-based approach to managing cybersecurity risk and protecting an organization\u2019s critical information assets. Subsequent to the issuance of the cybersecurity framework, a May 2017 executive order required agencies to use the framework to manage cybersecurity risks. The order outlined actions to enhance cybersecurity across federal agencies and critical infrastructure to improve the nation\u2019s cyber posture and capabilities against cybersecurity threats to digital and physical security."], "subsections": []}]}, {"section_title": "NASA Has Not Yet Effectively Established and Implemented Leading IT Management Practices", "paragraphs": ["NASA has not yet effectively established and implemented leading IT management practices for strategic planning, workforce planning, governance, and cybersecurity. Specifically,", "The agency\u2019s IT strategic planning process is not yet fully documented and its IT strategic plan lacks key elements called for by leading practices.", "NASA has not yet established an IT workforce planning process consistent with leading practices.", "The agency has taken recent action to improve its IT governance structure; however, it has not yet fully established that structure, documented improvements to its investment selection process, fully implemented investment oversight leading practices, or fully defined its policies and procedures for IT portfolio management.", "NASA has not fully established an effective approach to managing agency-wide cybersecurity risk. While it has designated a risk executive, the agency lacks a dedicated office to provide comprehensive executive oversight of risks. In addition, the agency- wide cybersecurity risk management strategy is currently in development, and the agency\u2019s information security program plan does not address all leading practices and has not been finalized. Further, policies and procedures for protecting NASA\u2019s information systems are in place, but the agency has not ensured that they are always current or integrated."], "subsections": [{"section_title": "NASA Has Not Fully Documented Its IT Strategic Planning Process", "paragraphs": ["Leading practices of IT strategic planning established in OMB guidance call for an agency to document its IT strategic planning process, including, at a minimum, documenting the responsibilities and accountability for IT resources across the agency. It also calls for documenting the method by which the agency defines its IT needs and develops strategies, systems, and capabilities to meet those needs.", "NASA\u2019s documented IT strategic planning process describes the responsibilities and accountability for IT resources across the agency. For example, NASA has assigned specific governance bodies with responsibility for developing and overseeing the implementation of the IT strategy. Also, in its IT strategic plan, NASA described key stakeholders across the agency that are responsible for the development of the plan. These stakeholders include the Associate CIOs, representatives from mission directorates, mission support organizations, and the centers.", "On the other hand, the methods by which the agency defines its IT needs and develops strategies, systems, and capabilities to meet those needs are not documented. For example, according to the IT strategic plan, the Office of the CIO is to perform a gap analysis to inform the development of NASA\u2019s roadmap that translates its IT needs and the strategies identified for meeting those needs into tactical plans. The tactical plans are to define how the strategic plan will be incrementally executed to achieve the longer term goals.", "However, the Office of the CIO has not documented in its strategic planning policies and procedures how the CIO will perform the gap analysis or the methods for developing these tactical plans and roadmaps. This is particularly important since, according to officials in NASA\u2019s Office of the CIO, the centers vary as to whether they have developed their own IT strategic plans or tactical plans, and the office does not oversee or review any center-level plans to ensure they align with the NASA IT strategic plan.", "According to officials in the Office of the CIO, NASA used a new model in formulating its IT strategy for fiscal years 2018 to 2021, such as including a broader set of stakeholders in the strategic planning cycle before documenting the strategic planning process. The officials stated that they intend to identify lessons learned from using this new model and formally document a complete and repeatable IT strategic planning process in the future. However, the agency has not established time frames for when the Office of the CIO will fully document its strategic planning process. Without a fully documented strategic planning process, NASA risks not being able to clearly articulate what it seeks to accomplish and identify the IT resources needed to achieve desired results in a way that is consistent and complete."], "subsections": [{"section_title": "NASA Has Improved Its IT Strategic Plan, but Has Not Yet Established a Comprehensive Plan", "paragraphs": ["In addition to calling for agencies to fully document the strategic planning process, leading practices from OMB guidance and our prior research and experience at federal agencies have shown that an agency should develop a comprehensive and effective IT strategic plan that (1) is aligned with the agency\u2019s overall strategy; (2) identifies the mission of the agency, results-oriented goals, and performance measures that permit the agency to determine whether implementation of the plan is succeeding; (3) includes strategies, with resources and time frames, that the governing IT organization intends to use to achieve desired results; and (4) provides descriptions of interdependencies within and across projects so that they can be understood and managed. The resulting plan is to serve as an agency\u2019s vision, or road map, and help align information resources with business strategies and investment decisions.", "NASA has taken steps to improve its IT strategic plan, but the updated plan is not comprehensive in that it does not fully address all four elements of a comprehensive and effective plan outlined above. In this regard, the agency had a prior strategic plan covering the time frame of March 2014 to November 2017. More recently, in December 2017, the CIO and Associate Administrator approved an updated plan for implementation. The updated plan is intended for use from the date it was approved through fiscal year 2021.", "Regarding the four elements of a comprehensive IT strategic plan, NASA\u2019s prior plan addressed one element, partially addressed two elements, and did not address one element. The updated plan was slightly improved in that it addressed two elements, partially met one element, and did not meet one element of a comprehensive strategic plan. Table 1 provides a summary of the extent to which NASA\u2019s prior IT strategic plan (covering the time frame of March 2014 to November 2017) and recently updated IT strategic plan (covering the time frame of December 2017 to fiscal year 2021) addressed key elements of a comprehensive strategic plan.", "NASA\u2019s prior IT strategic plan was aligned with the agency\u2019s overall strategic plan and identified the mission of the agency and results- oriented goals. However, these goals were not linked to specific performance measures that were needed to track progress and did not always describe strategies to achieve desired results. Additionally, this plan lacked descriptions of interdependencies within and across projects.", "NASA\u2019s updated IT strategic plan is aligned with the agency\u2019s overall strategic plan and identifies the mission of the agency and results- oriented goals. For example, the plan describes the agency\u2019s IT vision, mission, principles, and objectives of five strategic goals\u2014excellence, data, cybersecurity, value, and people. To support these goals, the plan defines 14 objectives to be accomplished over 4 years. For example, the plan defines objectives for increasing the effectiveness of NASA\u2019s IT strategy execution through disciplined program and project management.", "In addition, NASA has improved upon the prior plan by identifying performance measures that allow the agency to determine whether it is succeeding in the implementation of its goals. For example, in order to increase the effectiveness of its IT strategy execution, the Office of the CIO expects 85 percent of projects to be in conformance with approved project plans by the end of fiscal year 2018. As another example, to prepare its employees to achieve NASA\u2019s IT vision, the Office of the CIO plans to, by the end of fiscal year 2020, identify skills gaps and ways to close the gaps based on the workforce strategy.", "However, similar to the prior plan, the updated plan does not fully describe strategies NASA intends to use to achieve the desired results or descriptions of interdependencies within and across projects. Specifically, the plan discusses how the agency intends to achieve its strategic goals and objectives through various activities. For example, according to the plan, to increase the effectiveness of investment analysis and prioritization, NASA intends to implement a financial management process that integrates Office of the CIO, center, and mission directorate IT spending. The plan states that this process will map IT investments to NASA\u2019s vision and strategy, as well as enable high-quality internal and external investment insight and reporting.", "However, the updated plan does not further describe the strategies NASA intends to use to accomplish these activities, including a schedule for significant actions and the resources needed to achieve this objective. For instance, the plan states that the Office of the CIO will define clear lines of authority and accountability for IT between the agency and NASA\u2019s centers, but does not describe a strategy, including time frames and resources, for accomplishing this. Additionally, the plan does not describe interdependencies between projects, which is essential to help define the relationships within and across projects and major initiatives.", "According to NASA\u2019s CIO, the updated strategic plan was kept at a higher level with the expectation that more detailed implementation plans (e.g., tactical plans and roadmaps) would define the necessary projects and interdependencies. However, NASA has not defined guidance for developing the implementation plans to ensure that any plans developed will fully describe strategies and interdependencies, or time frames for when these plans will be completed. Until NASA incorporates the key elements of a comprehensive IT strategic plan, it will lack critical information needed to align information resources with business strategies and investment decisions."], "subsections": []}]}, {"section_title": "NASA Has Gaps in Its IT Workforce Planning Efforts", "paragraphs": ["Key to an agency\u2019s success in managing its IT investments is sustaining a workforce with the necessary knowledge, skills, and abilities to execute a range of management functions that support the agency\u2019s mission and goals. Achieving such a workforce depends on having effective human capital management consistent with workforce planning activities pursuant to federal laws and guidance.", "Specifically, OMB requires agencies to develop and maintain a current workforce planning process. In addition, we reported in 2016 on the importance of setting a strategic direction for IT workforce planning, identifying skills gaps and implementing strategies to address them, and monitoring and reporting on progress in addressing the identified skills gaps. We identified eight key IT workforce planning activities that are essential to agency efforts to establish an effective IT workforce: 1. establish and maintain a workforce planning process; 2. develop competency and staffing requirements; 3. assess competency and staffing needs regularly; 4. assess gaps in competencies and staffing; 5. develop strategies and plans to address gaps in competencies and 6. implement activities that address gaps (including IT acquisition cadres, cross-functional training of acquisition and program personnel, career paths for program managers, plans to strengthen program management, and use of special hiring authorities); 7. monitor the agency\u2019s progress in addressing competency and staffing 8. report to agency leadership on progress in addressing competency and staffing gaps.", "The Office of the CIO has had IT workforce planning efforts underway since 2015 that are intended to address the workforce planning activities listed above; however, the office has not finalized or implemented any of the planned actions. The office recently began working to establish a more comprehensive workforce strategy for fiscal year 2019 to align with the agency\u2019s increased emphasis on improving the overall workforce. Specifically, in the draft NASA Strategic Plan, the agency established a workforce development goal and two strategic objectives that relate to its IT workforce and call for, among other things, workforce training and efforts to increase cybersecurity awareness to reduce cybersecurity risks.", "Nevertheless, NASA has gaps in its IT workforce planning efforts. Of the eight key IT workforce planning activities that we previously outlined, NASA partially implemented five and did not implement three. Table 2 shows the extent to which NASA has implemented each IT workforce planning activity and provides examples of workforce practices planned or implemented, as well as those not yet undertaken.", "According to NASA\u2019s CIO, the Office of the CIO put IT workforce planning activities on hold in 2015 pending the outcome of more comprehensive, agency-wide efforts. Specifically, the agency began planning and developing a new phased program\u2014the Mission Support Future Architecture Program\u2014designed to deliver workforce and other mission support services, including a talent management program. Phase 1 of the new phased Mission Support Future Architecture Program began in May 2017.", "According to the NASA CIO, the Office of the CIO is expected to be part of a future phase and to renew its IT workforce planning as part of that effort. However, the CIO did not have an estimate for when the Office of the CIO would join the program. Until NASA implements all of the key IT workforce planning activities discussed in this report, the agency will have difficulty anticipating and responding to changing staffing needs. Further, NASA will face challenges in controlling human capital risks when developing, implementing, and operating IT systems."], "subsections": []}, {"section_title": "NASA\u2019s IT Governance Approach Does Not Fully Address Leading Practices", "paragraphs": ["Leading practices for governing IT, such as those identified by GAO in its IT investment management framework, call for agencies to establish and follow a systematic and organized approach to investment management to help lay a foundation for successful, predictable, and repeatable decisions. Critical elements of such an approach include instituting an IT investment board (or boards), developing and documenting a governance process for investment selection and for investment oversight, and establishing governance policies and procedures for managing the agency\u2019s overall IT investment portfolio."], "subsections": [{"section_title": "NASA Has Not Fully Instituted an Effective Governance Structure", "paragraphs": ["Instituting an effective IT governance structure involves establishing one or more governance boards, clearly defining the boards\u2019 roles and responsibilities, and ensuring that they operate as intended. Moreover, Section 811(a) of the National Aeronautics and Space Administration Transition Authorization Act of 2017 directs the agency to ensure that the NASA CIO, mission directorates, and centers have appropriate roles in governance processes. The act also calls on the Administrator to provide, among other things, an IT program management framework to increase the efficiency and effectiveness of IT investments, including relying on metrics for identifying and reducing potential duplication, waste, and cost.", "NASA has established three boards focused specifically on IT governance\u2014an IT Council which is its executive-level IT board, a CIO Leadership Team, and an IT Program Management Board which provides oversight of programs and projects. Meeting minutes for the three IT- specific governance bodies identified above revealed that these groups are meeting as required by their charters.", "Further, two of NASA\u2019s agency-wide councils (whose governance responsibilities extend beyond IT) also play a role in IT governance. Specifically, the Mission Support Council is the governance body to which the IT Council escalates unresolved decisions, and the Agency Program Management Council is responsible for reviewing and approving highly- specialized IT. In addition, NASA centers have the option to create center-specific IT governance boards to make decisions about center- level IT investments under the authority of center CIOs.", "Table 3 describes the roles of the IT-specific governance boards, the agency-wide councils with roles in IT governance, and the center-level IT governance boards. The table also includes additional details on how frequently the councils and boards meet, the dollar thresholds NASA has established to determine which investments each council or board reviews, and which officials serve as members of the boards.", "Although it has established and assigned responsibilities for the aforementioned governance councils and boards, NASA has not yet fully instituted an effective investment board governance structure for several reasons.", "Planned improvements to the IT governance structure are not yet complete. NASA has established new governance boards in addition to the boards listed above, but has not yet approved charters to guide their operations. Specifically, the Office of the CIO has revised its governance structure to establish six new boards, one for each of its IT programs. Agency officials, including the IT governance lead, reported that the boards had been established; however, as of December 2017, NASA had not yet approved charters defining the new governance bodies\u2019 membership, functions, and interactions with other governance boards.", "Roles and responsibilities of the IT governance boards and agency-wide governance councils are not clearly defined. NASA continues to operate a federated governance model with decentralized roles and responsibilities for governance of mission and business IT investments. Business IT is selected and approved by the IT-specific governance boards, but mission IT follows a different path for investment selection in that it is not reviewed and approved by the CIO along with other IT investments proposed for selection. Instead, the Agency Program Management Council\u2019s reviews focus on the selection of overall mission programs, and not on selecting IT. As a result, mission IT has historically been reported to the Office of the CIO only if the program has been designated as a major agency IT investment to be reported to OMB.", "NASA has begun making changes to its decentralized governance approach in response to provisions in legislation commonly referred to as the Federal Information Technology Acquisition Reform Act that are intended to ensure that the CIO has visibility into both mission and business IT investments. However, the agency has not yet developed policies and procedures to clarify how these changes will affect the CIO\u2019s and governance boards\u2019 roles and responsibilities. For example, in January 2017, the IT Council approved an updated definition for highly-specialized IT and established new expectations about the extent to which highly-specialized IT investments would be reviewed by the NASA CIO.", "However, NASA has not clarified roles and responsibilities for identifying such investments and ensuring they are reported by mission directorate programs to the CIO. In addition, the agency has not yet outlined procedures for how these investments that are overseen by the agency-wide Agency Program Management Council are to be reported to the CIO or IT-specific governance boards.", "During a January 2017 IT Council meeting, the NASA CIO acknowledged that roles and responsibilities for IT governance were unclear and that it would take 1 to 2 years to clarify them. In July 2017, the Deputy CIO recognized that significant work remained for NASA to achieve a consistent agency-wide governance approach with established roles and responsibilities.", "While the IT governance boards are meeting regularly, they are not consistently operating as intended. Board charters finalized in 2016 defined the membership for the governance boards and established expectations for the expertise to be made available to support board decisions. However, the boards are not consistently operating with all designated board members in attendance. For example, the Chief Engineer was designated as a member of the IT Council, but the council\u2019s meeting minutes indicated that the Deputy Chief Engineer regularly attends the council meetings instead.", "In addition, IT Program Management Board meetings are consistently held with fewer voting members than designated by the board\u2019s charter. The board\u2019s meeting minutes indicated that fewer than six voting members regularly attend board meetings instead of the eight voting members outlined in the board charter. For example, the minutes showed that each meeting has been held with only one center and mission support directorate representative\u2014instead of the two required by the charter.", "NASA officials, including the Associate CIO for Capital Planning and Governance, stated that planned efforts to update the governance structure and develop additional guidance for IT investment management have impacted the agency\u2019s time frames for fully establishing its new boards and defining their roles and responsibilities. Specifically, these officials stated that the Office of the CIO is working to develop a comprehensive IT framework intended to update the governance structure, fully establish the new governance boards, and define governance roles and responsibilities. According to the officials, this framework is expected to be finalized in 2018, but the office did not provide a detailed schedule with milestones for completing the framework. Without a detailed schedule for updating the governance structure and establishing a comprehensive IT framework to help ensure that the revised governance boards are fully established and operating as intended, NASA may not be able to improve IT governance in accordance with the requirements in the National Aeronautics and Space Administration Transition Authorization Act of 2017."], "subsections": []}, {"section_title": "NASA Has Not Completed or Updated Governance Selection Process Policies and Procedures and Lacks Established Guidance for Reselecting Investments", "paragraphs": ["According to our IT investment management guide, defining policies and procedures for selecting investments provides investment boards and others with a structured process and a common understanding of how investments will be selected. Selection policies and procedures should, among other things, establish thresholds or criteria (e.g., investment size, technical difficulty, risk, business impact, customer needs, and cost- benefit analysis) for boards to use in identifying, analyzing, prioritizing and selecting new IT proposals.", "In addition, outlining a process for reselecting ongoing projects is intended to support board decisions about whether to continue to fund projects not meeting established goals or plans. Using the defined selection process promotes consistency and transparency in IT governance decision making. Further, after the guidance has been developed, organizations must actively maintain it, making sure that it always reflects the board\u2019s current structure and the processes that are being used to manage the selection of the organization\u2019s IT investments.", "NASA\u2019s defined selection process policies and procedures designated the CIO with responsibility to ensure that IT governance, investment management, and program/project management processes are integrated to facilitate the selection of appropriate IT investments. The agency has established multiple policies and procedures outlining certain aspects of how both mission programs and business IT investments are to be planned, such as standardized templates for requesting approval to plan investments and direction for teams to use in planning for investments. In addition, the Office of the CIO has established a Capital Planning and Investment Control Guide for business IT investments and issues annual budget guidance for requesting funding for IT investments.", "The agency\u2019s selection process also includes specific IT governance processes developed by centers for the investments they review. For example, Goddard Space Flight Center had developed additional center- specific guidance assigning lead responsibility for assessing new and ongoing projects. The center also has established predetermined criteria, such as whether projects conflict, overlap, or are redundant with other projects, and the risk if the investment was not funded.", "Nevertheless, NASA\u2019s established process does not yet define thresholds or criteria (e.g., qualitative or quantitative data) to be analyzed and compared when governance boards make decisions to select investments. Charters for NASA\u2019s governance boards outline the functions these boards are to perform and direct them to be involved in IT governance. However, the charters do not outline specific thresholds or procedures that the boards are to follow in selecting investments.", "For example, NASA\u2019s process does not fully define how investment risks are to be evaluated. NASA policy establishes dollar thresholds for IT governance board reviews, but does not define any other parameters for how risk will be evaluated. In addition, NASA has established an expectation that the new capital investment review process is to yield risk- based decisions for all investments and help mitigate IT security risks. However, guidance for capital investment reviews does not address how investment risks are to be evaluated.", "Moreover, NASA\u2019s selection process policies and procedures have not been updated to reflect efforts to improve governance. Its guidance for selecting investments (and for all aspects of its governance process) is fragmented, and the agency has not updated its policies and procedures to reflect current selection practices. In addition, this guidance does not yet reflect recent efforts to clarify and standardize the definitions of fundamental IT investment terms, such as \u201cinformation technology\u201d and \u201cmajor\u201d investments.", "Further, while NASA has begun changing its selection process to ensure that the CIO and IT governance boards will be provided data about all IT investments, including mission IT investments such as highly-specialized IT, the agency\u2019s selection policies have not been updated to reflect these changes. NASA\u2019s Capital Planning and Investment Control Guide does not require all investments to be included in the selection process (or other IT governance processes) and the NASA Space Flight Program and Project Management procedures for mission program governance do not address whether or how the investments within mission programs are to be reported to the agency\u2019s IT-specific governance boards.", "In addition, NASA has not yet defined a reselection process for IT investments. Current policies and guidance for selecting investments do not clearly define a consistent approach for how performance is to be considered in reselecting investments. Without a defined reselection process, the agency\u2019s boards lack structure and a common understanding about how to make decisions about whether to continue to fund projects not meeting established goals or plans.", "NASA officials acknowledged that the current policies and procedures do not establish sufficient content within the business cases and IT plans for proposed investments to support effective governance decision making.", "The agency has begun working to update its policy for IT program and project management but did not expect to complete the update until April 2018. Further, even when this key IT investment management policy is updated, the agency will still need to update related policies and procedures to reflect changes it has made but not yet documented in the investment selection process. NASA has not yet established plans for when all needed updates to the policies and procedures will be completed.", "Until NASA updates its IT governance policies and procedures to establish thresholds and procedures to guide its boards in decision making and outline a process for reselecting investments, the agency will be limited in its assurance that the investment selection process will provide a consistent and structured method for selecting investments. Further, until all relevant governance policies and procedures are updated to reflect current investment selection practices and proposed changes intended to provide the CIO with data about mission IT, the CIO will not be positioned to minimize investments that present undue risk to the agency and ensure accountability for both business and mission IT."], "subsections": []}, {"section_title": "NASA Lacks Criteria for Assessing Investment Performance and Ensuring Oversight of All Investments", "paragraphs": ["Organizations that provide effective IT investment oversight have documented policies and procedures that, among other things, ensure that data on actual performance (e.g., cost, schedule, benefit, and risk) are provided to the appropriate IT investment board(s). In addition, such organizations establish procedures for escalating or elevating unresolved or significant issues; ensure that appropriate actions are taken to correct or terminate underperforming IT projects based on defined criteria; and regularly track corrective actions until they are completed.", "As with investment selection, NASA has established multiple policies and procedures for the oversight of IT investments. In October 2015, the agency added to its oversight processes by establishing a capital investment review process to improve the quality of the information available for investment oversight and established a matrix defining dollar thresholds to delineate oversight among the IT governance boards. The IT Program Management Board is also assigned specific oversight responsibilities for reviewing investment cost, schedule, performance, and risk at key lifecycle decision points for investments submitted for its review. In addition, the IT Program Management Board\u2019s charter requires this board to track, among other things, board decisions about investments and action items.", "In implementing NASA\u2019s oversight practices, the IT Program Management Board consistently reviewed updates on investment performance (i.e., cost, schedule, and benefits) and progress. In addition, the IT Program Management Board\u2019s oversight decisions about IT investments are documented in meeting minutes, and the board also records any action items identified for investments in the decision memorandums it submits to the CIO.", "Nevertheless, we identified limitations in NASA\u2019s established oversight policies and procedures. For example, the agency\u2019s policies and procedures require IT investments to report data to the governance boards at key decision points but do not establish specific thresholds or other criteria for the governance boards to use in overseeing the investments\u2019 performance or escalating investments to review by other boards. The oversight guidance also does not specify the conditions under which a project would be terminated.", "In addition, weaknesses we identified in oversight of specific NASA IT investments highlighted additional limitations of the established oversight process.", "Specifically, NASA did not have a mechanism for alerting the IT Program Management Board to provide oversight if investments were underperforming or overdue for review. For example, significant schedule overruns did not trigger additional oversight for one investment. In March 2015, NASA approved the proposed design for an investment to implement a security tool in June 2015 at an expected cost of $1.3 million. Although the project fell 13 months behind schedule and encountered unforeseen challenges, the IT Program Management Board did not review the investment again until June 2017\u20142 years later.", "Not all IT investments followed the established oversight process. For example, in our review of governance board meeting minutes and documentation, we identified an investment that was close to completion before the IT Program Management Board reviewed its proposed design. Specifically, in February 2016, the board was asked\u20141 day before the investment was to become operational\u2014to (1) approve the proposed design and (2) grant authority to operate for the investment intended for use by NASA staff and external partners. Although concerns about limited oversight were noted, the investment was approved.", "Further, NASA lacks procedures to ensure that action items identified are tracked. We identified instances in which the IT Program Management Board did not consistently track action items identified for IT investments. NASA\u2019s investments typically report back to the IT Program Management Board at future decision point reviews about steps taken to address documented action items. However, the board\u2019s meeting minutes and documentation identified multiple examples of investments that were returned to the board at future decision points without reporting on whether identified action items had been addressed.", "Moreover, NASA\u2019s oversight processes do not encompass highly- specialized or other IT that supports mission programs. After reviewing NASA\u2019s fiscal year 2015 budget request, OMB directed NASA to identify unreported IT investments throughout the agency to ensure that all related spending would be documented. NASA established a team in 2016 to explore how to identify such investments so that they could be reported to the CIO. The team initiated efforts to identify such investments in mission directorates and evaluated various mechanisms that NASA could employ to detect unreported IT. However, the agency has not yet finalized decisions about how to implement the team\u2019s recommendations, including those for fully identifying investments for all mission directorates or determining which mechanisms to employ to identify unreported IT. According to NASA officials, time frames for completing these activities have not yet been established.", "In July 2017, NASA officials, including the Deputy CIO, acknowledged in governance board meeting minutes describing needed improvements, that the agency had not yet fully identified its IT footprint and needed to establish a comprehensive investment management process to address federal requirements, including those governing processes for selecting, reselecting, and overseeing IT investments. NASA officials explained that important progress had been made in improving oversight practices, but that efforts to implement more thorough capital investment reviews and identify IT investments across the agency had not yet been completed. The officials reported that they anticipated additional improvement to be made by the next annual budget cycle.", "However, expanding NASA\u2019s oversight of IT will require continued coordination with the mission directorates to work through any needed changes to the longstanding differences in NASA\u2019s management of mission and business IT. The scope and complexity of such efforts are likely to be significant and may take time to plan and implement. Clearly defining how IT across the agency is to be identified and reported to the CIO would likely involve changes to policies and processes within and across NASA\u2019s IT, engineering, and mission program areas and would involve expertise and collaboration from those same groups. Until such practices are fully established, NASA will continue to operate with limitations in its oversight process and projects that fall short of performance expectations. In addition, the agency will face increased risk that its oversight will fail to (1) prevent duplicative investments, (2) identify opportunities to improve efficiency and effectiveness, and (3) ensure that investment progress and performance meet expectations."], "subsections": []}, {"section_title": "NASA Has Not Yet Fully Defined Policies and Procedures for Managing Investments as a Portfolio", "paragraphs": ["The IT investment management framework developed by GAO notes that, as investment management processes mature, agencies move from project specific processes to managing investments as a portfolio. The shift from investment management to IT portfolio management enables agencies to evaluate potential investments by how well they support the agency\u2019s missions, strategies, and goals. According to the framework, the investment board enhances the IT investment management process by developing a complete investment portfolio. As part of the process to develop a complete portfolio, an agency is to establish and implement policies and procedures for developing the portfolio criteria, creating the portfolio, and evaluating the portfolio.", "NASA has not yet fully defined its policies and procedures for developing the portfolio criteria, creating the portfolio, and evaluating the portfolio. In its Annual Capital Investment Review Implementation Plan, dated October 2015, NASA began documenting policies for IT portfolio management and procedures for creating and evaluating the portfolio. For example, the procedures state that NASA is to update its IT portfolio annually in conjunction with the agency\u2019s planning and budgeting process. Additionally, in its IT Capital Planning and Investment Control Process guide, dated October 2006, NASA outlined procedures the agency can use to analyze the portfolio by establishing factors that should be taken into consideration, including the relative benefits, costs, and risks of the investment compared to all other proposals and the strength of the investment\u2019s linkage to NASA\u2019s strategic business plan.", "However, these documents do not constitute a comprehensive IT portfolio management process in that they do not specifically define the procedures for creating and modifying the IT portfolio selection criteria; analyzing, selecting, and maintaining the investment portfolio; or reviewing, evaluating, and improving the performance of its portfolio. Further, the policies and procedures have not been updated to reflect current NASA practices. Specifically, the current policies and procedures have not been updated to reflect changes the agency made to its capital investment review process that are relevant to portfolio management.", "According to NASA officials, the reason that the agency has not fully defined its policies and procedures is because they are intended to be part of a new IT portfolio management framework that also requires NASA to make changes to its investment management process. Specifically, the IT portfolio management plan that NASA drafted in January 2017 called for the agency to develop new IT investment criteria, discover currently unreported IT investments, develop an investment review process, and implement an IT investment dashboard and reporting tool, and a communications plan.", "Although the IT Council has not yet approved the IT portfolio management plan, NASA has begun work to address elements of the draft plan, including building the requirements for an IT dashboard and reporting tool for implementation in 2018. In addition, according to Office of the CIO officials, the capital planning team is continuing to work with stakeholders to develop a comprehensive IT framework and investment review process. However, no firm dates have been established for the approval and implementation of the final plan or the framework. Until NASA fully defines its policies and procedures for developing the portfolio criteria, creating the portfolio, and evaluating the portfolio, the agency will lack assurance it is identifying and selecting the appropriate mix of IT projects that best meet its mission needs."], "subsections": []}]}, {"section_title": "NASA Has Not Fully Established an Effective Approach for Managing Cybersecurity Risk", "paragraphs": ["We have previously reported that securing federal government computerized information systems and electronic data is vital to the nation\u2019s security, prosperity, and well-being. Yet, the security over these systems is inconsistent and agencies have faced challenges in establishing cybersecurity approaches. Accordingly, we have recommended that federal agencies address control deficiencies and fully implement organization-wide information security programs.", "NIST\u2019s cybersecurity framework is intended to support federal agencies as they develop, implement, and continuously improve their cybersecurity risk management programs. In this regard, the framework identifies cybersecurity activities for achieving specific outcomes over the lifecycle of an organization\u2019s management of cybersecurity risk. According to NIST, the first stage of the cybersecurity risk management lifecycle\u2014 which the framework refers to as \u201cidentify\u201d\u2014is focused on foundational activities for effective risk management that provide agencies with the organizational understanding to manage cybersecurity risk to systems, assets, data, and capabilities. NIST also provides specific guidance for implementing foundational activities and achieving desired outcomes that calls for, among other things, the following:", "A risk executive in the form of an individual or group that provides agency-wide oversight of risk activities and facilitates collaboration among stakeholders and consistent application of the risk management strategy.", "A cybersecurity risk management strategy that articulates how an agency intends to assess, respond to, and monitor risk associated with the operation and use of the information systems it relies on to carry out the mission.", "An information security program plan that describes the security controls that are in place or planned for addressing an agency\u2019s risks and facilitating compliance with applicable federal laws, executive orders, directives, policies, or regulations.", "Risk-based policies and procedures that act as the primary mechanisms through which current security requirements are communicated to help reduce the agency\u2019s risk of unauthorized access or disruption of services.", "However, NASA has not yet fully implemented these foundational activities of effective cybersecurity risk management."], "subsections": [{"section_title": "Efforts to Establish Executive Oversight of Cybersecurity Are Underway", "paragraphs": ["According to NIST guidance, federal agencies should establish a risk executive in the form of an individual or group that provides organization- wide oversight of risk activities and facilitates collaboration among stakeholders and consistent application of the risk management strategy. This functional role helps to ensure that risk management is institutionalized into the day-to-day operations of organizations as a priority and integral part of carrying out missions.", "NASA has developed a policy regarding the establishment of a risk executive function in accordance with NIST guidance, but it has not fully implemented the policy. Specifically, the agency\u2019s policy designates the Senior Agency Information Security Officer (SAISO) as the risk executive. According to the policy, the SAISO is charged with ensuring that cybersecurity is considered and managed consistently across the systems that support the agency and its partnerships\u2014academic, commercial, international, and others that leverage NASA resources and extend scientific results. The policy also calls for the SAISO to establish an office with the mission and resources for information security operations, security governance, and cyber-threat analysis.", "In accordance with its policy, NASA has designated an Acting SAISO. Since April 2017, the Acting SAISO has led the IT Security Division within the Office of the CIO\u2014an office that coordinates information security operations, security governance, security architecture and engineering, and cyber-threat analysis.", "However, the agency has not yet established a risk executive office with assigned leadership positions and defined roles and responsibilities. According to NASA documentation, the agency had planned for the office to become operational by mid-December 2016. Agency officials, including the Acting Deputy Associate CIO for Information Security, explained that an IT security program office was not established in 2016 because the planned time frame for doing so was not realistic and failed to take into account other risk management efforts competing for available resources. For example, the officials stated that the agency was focused on a priority goal of deploying a centralized tool across its centers that would provide monitoring of implemented security controls to ensure they are functioning adequately.", "According to the NASA CIO, the agency planned to establish a comprehensive risk executive function by employing a cybersecurity risk manager in April 2018 and forming a program office\u2014called the Enterprise Security Office\u2014by September 2018. NASA\u2019s new cybersecurity risk manager began work on April 2, 2018. The agency\u2019s plan to have the new cybersecurity risk manager establish a comprehensive risk executive function should help ensure that current risk management efforts and decisions are appropriate and consistently carried out across the agency and its external partnerships."], "subsections": []}, {"section_title": "NASA Has Not Yet Established an Agency-Wide Cybersecurity Risk Management Strategy", "paragraphs": ["NIST guidance states that federal agencies should establish and implement an organizational strategy for managing cybersecurity risk that guides and informs how the agency assesses, responds to, and monitors risk to the information systems being relied on to carry out its mission. The strategy should, among other things, make explicit an agency\u2019s risk tolerance, accepted risk assessment methodologies, a process for consistently evaluating risk across the organization, risk response strategies, approaches for monitoring risk over time, and priorities for investing in risk management.", "In 2015, NASA recognized the need to establish and implement an agency-wide strategy for managing its cybersecurity risks to address weaknesses it had identified with the decentralized approach it was using. Specifically, because the agency\u2019s centers had independently developed approaches for managing cybersecurity risk, there was little integration regarding risk management and practices across the agency. Further, NASA determined that the decentralized, center-level approach did not provide sufficient transparency regarding risks that could affect mission directorate programs.", "To overcome the limitations of its decentralized approach, NASA planned to develop and begin implementing a comprehensive cybersecurity strategy by the end of September 2016 that was expected to include the key elements identified in NIST guidance. For example, it was expected to define the agency\u2019s risk tolerance, establish a methodology for identifying and assessing risks, and provide a clear understanding of NASA\u2019s risk posture.", "However, the strategy was not completed as planned and is currently in development. According to officials in the Office of the CIO, including the Acting Deputy Associate CIO for Information Security, the strategy was not completed as planned due to the complexity and scope of the effort. For example, the officials stated that establishing an effective agency- wide strategy required insight into center-specific practices and significant input from stakeholders at all levels of NASA. In addition, these officials and the NASA CIO explained that the agency\u2019s efforts were redirected in order to respond to a new executive order from the President to develop an action plan for adopting NIST\u2019s cybersecurity framework in phases.", "According to NASA\u2019s CIO, the agency plans to move forward with drafting an agency-wide cybersecurity strategy that reflects the agency\u2019s approach to using NIST\u2019s framework; however, the agency has not yet established time frames for completing this effort. Until NASA establishes and implements a comprehensive strategy for managing its cybersecurity risks using NIST\u2019s framework, its ability to make operational decisions that adequately address security risks and prioritize IT security investments will be hindered."], "subsections": []}, {"section_title": "NASA\u2019s Information Security Program Plan Does Not Fully Address Relevant Leading Practices and Is Not Finalized", "paragraphs": ["NIST recommends that federal agencies develop and disseminate an information security program plan that describes the organization-wide security controls that are in place or planned for addressing the agency\u2019s risks and complying with applicable federal laws, executive orders, directives, policies, or regulations. Specifically, the plan should provide a description of the agency\u2019s program management controls and common controls in place or planned for meeting relevant federal, legal, or regulatory requirements; include the identification and assignment of roles, responsibilities, and coordination among organizational entities responsible for different aspects of information security; define the frequency for reviews of the security program plan; and receive approval from a senior official with responsibility and accountability for the risk being incurred.", "NASA issued a draft information security program plan in November 2017 that addresses many of the components called for in NIST guidance. For example, the plan discusses program management controls that will be established, including the development of an inventory of its information systems, measures to determine information security performance, and an information security workforce development and improvement program; common controls that are to be implemented agency-wide, including configuration management, contingency planning, and personnel security; roles and responsibilities for promoting collaboration and providing consolidated unclassified security operations, and incident response and IT security awareness and training capabilities; and responsibility for ensuring that the information security program plan is maintained, approved by the NASA CIO, and reviewed annually.", "However, the plan is currently in draft and incomplete. For example, it does not yet describe the majority of the security functions and services that are to be carried out by the agency\u2019s IT Security Division to address the relevant federal statutory and regulatory requirements. Specifically, the plan does not identify the agency-wide privacy controls derived from standards promulgated pursuant to federal law and guidance that, according to the agency, are an integral part of its security program.", "According to NASA\u2019s Acting Deputy Associate CIO for Information Security, the information security program plan has not been finalized because of an upcoming revision to NIST\u2019s guidance for implementing security controls. Specifically, a fifth revision of NIST SP 800-53 is planned for release in December 2018. NASA\u2019s Acting Deputy Associate CIO for Information Security stated that the agency intends to finalize its draft plan after incorporating the updated NIST guidance.", "In the absence of an established information security program plan, NASA\u2019s view of the security controls that protect its systems will remain decentralized, and it will lack assurance that it has established oversight over security controls for all of its systems. In addition, the agency will continue to operate its systems without defined and established information security requirements that are essential to agency-wide operations."], "subsections": []}, {"section_title": "NASA\u2019s Security Policies and Procedures Are Not Always Current or Integrated", "paragraphs": ["NIST Special Publication 800-53 recommends that agencies create policies and procedures to facilitate the appropriate application of security controls. If properly implemented, these policies and procedures may be able to effectively reduce the risk that could come from cybersecurity threats such as unauthorized access or disruption of services. Because risk-based policies and procedures are the primary mechanisms through which federal agencies communicate views and requirements for protecting their computing environments, it is important that they are established and kept current.", "NASA has taken steps to document policies and procedures that address the security controls identified in NIST guidance for protecting information systems. For example, the agency established an overarching security policy that identified roles and responsibilities related to configuration management, contingency planning, and incident response. In addition, the agency issued procedures for implementing each of the NIST controls.", "However, NASA does not have current and fully integrated policies and procedures. For example, the agency\u2019s overarching policy for implementing security controls expired in May 2017. In addition, approximately one-third of the documents that guide the implementation of these controls remained in effect past their expiration dates instead of being updated before they had expired per NASA policy requirements.", "Further, in July 2017, NASA determined that cybersecurity roles and responsibilities were not always clear and sufficiently integrated across policies. For example, responsibilities were not consistently well-defined in the policies for governance, IT security, program and project management, and systems engineering. In addition, although NASA\u2019s Policy Directive 2810.1E, NASA Information Security Policy provided the SAISO with responsibility for the agency\u2019s cybersecurity risk, the policy assigned mission directorates control over risk decisions for their missions and programs and the centers were given the authority to implement any technical changes needed to address risk.", "NASA\u2019s Procedural Requirement 2810.1A, Security of Information Technology states that the agency\u2019s SAISO is responsible for ensuring that information security policies and procedures are reviewed and appropriately updated. However, according to officials in the Office of the CIO, including the specialist for IT security, responsibilities for establishing, reviewing, and updating policies and procedures are being shared by two groups: the IT Security Division, led by the SAISO, and the Capital Planning and Governance Division. Specifically, the IT Security Division controls the content of IT-related policies and procedures but does not have control over the established NASA-wide process for reviewing the policies and procedures to determine if any changes are needed to the content. Instead, the Capital Planning and Governance Division is responsible for ensuring formal review and approval of any IT- related policies and procedures through the standard agency process and schedule.", "Officials from the Office of the CIO, including the specialist for IT security, also stated that they intend to (1) establish a policy management framework that would provide the SAISO with more control over policies and procedures and include an annual document review, and (2) clarify and update cybersecurity roles and responsibilities in NASA policies. However, the agency has not yet developed a plan and specific time frame for completing these activities.", "In addition, the Acting Deputy Associate CIO for Information Security stated that, having expired policies and procedures is not significant because they will remain in use until they are rescinded or superseded by updated versions. However, until NASA fully updates its policies and procedures to govern security over the agency\u2019s computing environments, it will have limited assurance that controls over information are appropriately applied to its systems."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["NASA continues to pursue efforts to improve IT strategic planning, workforce planning, IT governance, and cybersecurity, but consistently lacks the documented processes needed to ensure that policies and leading practices are fully addressed. Specifically, the agency has taken steps to improve the content of its strategic plan and established an agency-wide goal for improving its workforce. In addition, after analyzing its IT management and governance structure, NASA took action to streamline its governance boards and standardize and strengthen its selection and oversight of investments, including initiating a portfolio management process. NASA has also moved toward new strategies and plans to bolster cybersecurity.", "Nevertheless, while NASA has made progress, the agency has not yet fully addressed many of the leading IT management practices noted in this report or completed efforts to increase the CIO\u2019s authority over, and visibility into, agency-wide IT. Among other things, NASA has not fully documented a process for IT strategic planning or addressed all key elements of a comprehensive plan. In addition, it has not yet fully implemented a workforce planning process and has gaps in efforts to address leading practices. Regarding IT governance, its efforts to institute an effective governance structure and update policies and procedures for selecting IT investments are not yet complete. Moreover, NASA has not yet addressed weaknesses in its oversight practices or fully defined policies and procedures for developing an effective portfolio management process.", "Similarly, although NASA continues cybersecurity improvement efforts, important elements of an effective cybersecurity approach have not been completed, including establishing a risk management strategy, an information security program plan, and updated policies and procedures. Until NASA leadership fully addresses these leading practices, its ability to overcome its longstanding weaknesses and ensure effective oversight and management of IT across the agency will remain limited. Moreover, NASA may be limited in its ability to strengthen its risk posture, including ensuring effective cybersecurity across partnerships with commercial entities, federal agencies, and other countries."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making 10 recommendations to the National Aeronautics and Space Administration:", "The Administrator should direct the Chief Information Officer to develop a fully documented IT strategic planning process, including methods by which the agency defines its IT needs and develops strategies, systems, and capabilities to meet those needs. (Recommendation 1)", "The Administrator should direct the Chief Information Officer to update the IT strategic plan for 2018 to 2021 and develop associated implementation plans to ensure it fully describes strategies the agency will use to achieve the desired results and descriptions of interdependencies within and across programs. (Recommendation 2)", "The Administrator should direct the Chief Information Officer to address, in conjunction with the Chief Human Capital Officer, gaps in IT workforce planning by fully implementing the eight key IT workforce planning activities noted in this report. (Recommendation 3)", "The Administrator should direct the Chief Information Officer to institute an effective IT governance structure by completing planned improvement efforts and finalizing charters to fully establish IT governance boards, clearly defining roles and responsibilities for selecting and overseeing IT investments, and ensuring that the governance boards operate as intended. (Recommendation 4)", "The Administrator should direct the Chief Information Officer to update policies and procedures for selecting investments to provide a structured process, including thresholds and criteria needed for, among other things, evaluating investment risks as part of governance board decision making, and outline a process for reselecting investments. (Recommendation 5)", "The Administrator should direct the Chief Information Officer to address weaknesses in oversight practices and ensure routine oversight of all investments by taking action to document criteria for escalating investments among governance boards and establish procedures for tracking corrective actions for underperforming investments. (Recommendation 6)", "The Administrator should ensure that the Chief Information Officer fully defines policies and procedures for developing the portfolio criteria, creating the portfolio, and evaluating the portfolio. (Recommendation 7)", "The Administrator should direct the Chief Information Officer to establish an agency-wide approach to managing cybersecurity risk that includes a cybersecurity strategy that, among other things, makes explicit the agency\u2019s risk tolerance, accepted risk assessment methodologies, a process for consistently evaluating risk across the organization, response strategies and approaches for monitoring risk over time, and priorities for risk management investments; (Recommendation 8) an information security program plan that fully reflects the agency\u2019s IT security functions and services and agency-wide privacy controls for protecting information; (Recommendation 9) and policies and procedures with well-defined roles and responsibilities that are integrated and reflect NASA\u2019s current security practices and operating environment. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to NASA for comment. In its comments, which are reproduced in appendix II, NASA concurred with seven of the recommendations, partially concurred with two recommendations, and did not concur with one recommendation.", "NASA partially concurred with our first and second recommendations. Specifically, consistent with the first recommendation, NASA agreed to fully document its strategic planning process, including the methods by which the agency defines IT needs and develops outcomes, strategies, major actions, and performance measures to meet those needs.", "In addition, our second recommendation called for NASA to update the strategic plan and develop associated implementation plans. With regard to updating the plan, NASA stated that its strategic plan provides the context and parameters to support achievement of the agency's vision and mission through the strategic use of IT. The agency also stated that this plan describes the business outcomes, strategies, major actions, and performance measures to achieve the desired results.", "With regard to the implementation plans related to our first and second recommendation, NASA agreed to develop the associated implementation plans for accomplishing the IT strategic plan, including descriptions of the interdependencies within and across programs. Nevertheless, in commenting on both recommendations, as well as the first recommendation, NASA stated that it does not believe that implementation plans, including specific IT capability and system changes, should be part of a strategic plan. The agency also maintained that the implementation plans, including descriptions of interdependencies within and across programs, are at a lower level than the IT strategic plan, since detailed IT implementation plans are more dynamic than the four-year NASA IT Strategic Plan.", "However, our first and second recommendations do not call for NASA to incorporate implementation plans within the strategic plan. Rather, as discussed in the report, it is important that NASA document how it intends to accomplish the activities outlined in the strategic plan. Further, we continue to believe that NASA should address the weaknesses we identified in this report by updating the strategic plan to incorporate strategies on resources and time frames to achieve desired results and descriptions of interdependencies within and across projects so that they can be understood and managed. Thus, we stand by both recommendations (recommendations 1 and 2) that the agency take these actions.", "NASA did not concur with our third recommendation to implement the IT workforce planning activities noted in our report. In this regard, the agency stated that its workforce improvement efforts were already underway. Specifically, NASA stated that IT workforce planning is part of the agencywide Mission Support Future Architecture Program. It added that, among other things, this program is intended to ensure that mission support resources, including the IT workforce, are optimally structured to support NASA\u2019s mission. In addition, NASA referenced our two additional ongoing audits of the agency\u2019s IT workforce, and noted that its activities related to IT workforce planning would be centered on any recommendations resulting from those audits.", "In our view, neither of these circumstances should hinder NASA from addressing our recommendation in this report. As of March 2018, the agency\u2019s IT workforce plans were out-of-date and incomplete because activities the agency had been planning since 2015 had not been finalized in an approved plan or implemented. Further, NASA had not yet determined when the Office of the CIO would become an active part of the agencywide Mission Support Future Architecture program or developed plans for when that program\u2019s assessment of the IT workforce would be completed.", "Thus, instead of limiting NASA\u2019s ability to address our recommendation, implementing the workforce planning activities discussed in this report could complement the agency\u2019s ongoing and future efforts. Specifically, NASA could use the IT workforce leading practices described in this report to strengthen any new workforce plans and assess the implementation of any planned improvements. Until NASA documents an IT workforce planning process and implements all of the key IT workforce planning activities, the agency may not be effectively positioned to anticipate and respond to changing staffing needs. Further, the agency is likely to face challenges in controlling human capital risks when developing, implementing, and operating IT systems.", "NASA concurred with our four recommendations aimed at addressing deficiencies in its IT governance (recommendations 4 through 7). In this regard, the agency described planned actions intended to address each of these recommendations. For example, among other activities, the agency stated that it intended to publish charters for all IT governance boards; have the IT Council review governance board operations annually; document criteria for escalating investments among governance boards; and update policies and procedures for managing its investments as a portfolio.", "Similarly, NASA concurred with our three recommendations related to establishing an agency-wide approach to managing cybersecurity risk (recommendations 8, 9, and 10). The agency described actions it had taken or planned to address each of these recommendations. In particular, with regard to establishing a cybersecurity risk management strategy (recommendation 8), NASA asserted that it had already taken actions that met the requirements of our recommendation. Specifically, NASA stated that it had established an approach to developing its cybersecurity risk management strategy by approving a charter for an agency-wide team to address cybersecurity risk management needs and hiring a Chief Cybersecurity Risk Officer to oversee agency-wide risk management initiatives.", "While these actions constitute steps toward addressing the recommendation, we disagree that establishing a charter for a team and hiring a Chief Cybersecurity Risk Officer fully addresses the recommendation. As previously noted in this report, the agency does not have a cybersecurity risk management strategy that includes elements of NIST guidance. The strategy should, among other things, make explicit the agency\u2019s risk tolerance, accepted risk assessment methodologies, a process for consistently evaluating risk across the organization, risk response strategies, approaches for monitoring risk over time, and priorities for investing in risk management. Ensuring that the established agency-wide team and the Chief Cybersecurity Risk Officer develop a cybersecurity risk management strategy that aligns with the NIST guidance will be essential to fully address our recommendation.", "NASA also provided technical comments on the draft report, which we incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Administrator of the National Aeronautics and Space Administration, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "Should you or your staffs have any questions on information discussed in this report, please contact Carol Harris at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["The National Aeronautics and Space Administration Transition Authorization Act of 2017 included a provision for us to review the effectiveness of the agency\u2019s approach to overseeing and managing information technology (IT), including its ability to ensure that resources are aligned with agency missions, cost effective, and secure. Our specific objective for this review was to address the extent to which the National Aeronautics and Space Administration (NASA) has established and implemented leading IT management practices in strategic planning, workforce planning, governance, and cybersecurity.", "To address this objective, we compared NASA\u2019s IT management policies, procedures, and other documentation to criteria established by federal laws and leading practices. This documentation included the agency\u2019s strategic plans, workforce gap assessments, governance board meeting minutes and briefings, charters, policies and procedures, and other documentation of the Chief Information Officer\u2019s (CIO) authority. We also reviewed relevant reports by GAO and the NASA Office of Inspector General.", "With regard to IT strategic planning, we identified the strategic plans and related planning guidance issued by NASA and the Office of the CIO, including NASA\u2019s Governance and Strategic Management Handbook, dated November 26, 2014; NASA\u2019s Information Resources Management Strategic Plan, dated March 2014; and NASA\u2019s updated Information Technology Strategic Plan for fiscal years 2018 to 2021. We then reviewed the agency\u2019s overall strategic plan, and evaluated its previous and current IT strategic plans against key practices for IT strategic planning that we have previously identified. These practices call for documenting the agency\u2019s IT strategic planning processes and developing an IT strategic plan that aligns with the agency\u2019s overall strategy; identifies the mission of the agency, results-oriented goals, and performance measures that permit the agency to determine whether implementation of the plan is succeeding; includes strategies the governing IT organization will use to achieve desired results; and provides descriptions of interdependencies within and across projects so that they can be understood and managed.", "To determine the extent to which NASA has established and implemented leading IT workforce planning practices, we conducted a comparative analysis of NASA\u2019s IT workforce planning policies and documents. Specifically, we compared agency documents, such as NASA policy directives, the desk guide, and documentation of efforts to establish IT workforce competencies and staffing requirements and conduct gap assessments, to GAO\u2019s IT workforce framework. GAO\u2019s framework consists of four IT workforce planning steps and eight key activities. The eight key activities were identified in federal law, regulations, and guidance, including the Clinger-Cohen Act of 1996, the legislation referred to as the Federal Information Technology Acquisition Reform Act, Office of Management and Budget (OMB) guidance, the Office of Personnel Management\u2019s Human Capital Framework, and GAO reports.", "Based on our assessment of the documentation and discussions with agency officials, we assessed the extent to which the agency implemented, partially implemented, or did not implement the activities. We considered an activity to be fully implemented if NASA addressed all of the underlying practices for the activity; partially implemented if it addressed some but not all of the underlying practices for the activity; and not implemented if it did not address any of the underlying practices for the activity.", "We assessed IT governance practices by comparing NASA documentation to critical processes identified by GAO in the IT investment management framework. To align our work with the provision in Section 811(a) of the National Aeronautics and Space Administration Transition Authorization Act of 2017 calling for NASA to take actions regarding IT governance, we selected critical processes from Stage 2 of the framework: instituting the investment board; selecting and reselecting investments that meet business needs; and providing investment oversight.", "For each critical process, we compared key practices outlined in the framework to NASA documentation. The documentation we reviewed included NASA\u2019s IT governance policies and procedures, and charters and other guidance. We also reviewed governance board meeting minutes and briefings from each board\u2019s first meeting in 2016 through meetings held in August 2017.", "In addition, we selected key practices for effective governance from Stage 3 of the IT investment management framework regarding establishing and implementing policies and procedures for developing the portfolio criteria, creating the portfolio, and evaluating the portfolio. We then compared documentation, including NASA\u2019s IT Capital Planning and Investment Control Process guide dated October 2006, and Annual Capital Investment Review Implementation Plan dated October 2015, and draft IT portfolio management plans, against these practices.", "Using standards and guidance from the National Institute of Standards and Technology (NIST), which identify foundational elements of effective cybersecurity risk management, we evaluated NASA\u2019s cybersecurity risk management approach by analyzing policies and plans for establishing a comprehensive risk evaluating documents and plans for establishing a cybersecurity risk comparing a draft Information Security Program Plan to determine if it was consistent with NIST guidance; and analyzing policies and procedures to determine if they address relevant NIST security controls and are current.", "In addition to assessing NASA headquarters, we reviewed IT management practices at two of the agency\u2019s nine centers (Marshall Space Flight Center in Huntsville, Alabama; and Johnson Space Center in Houston, Texas) and at one of NASA\u2019s four mission directorates (the Human Exploration and Operations Mission Directorate). The two centers and one mission directorate were selected because they had the largest fiscal year 2017 IT budgets, respectively, as reported on the federal IT dashboard. We also visited the Goddard Space Flight Center in Greenbelt, Maryland, because of the center\u2019s proximity to GAO. The results of our work at the selected NASA centers and mission directorate are not generalizable to other NASA centers and mission directorates.", "To assess the reliability of these data, we compared them to budgetary data obtained directly from NASA\u2019s Office of the CIO. We found the data to be sufficiently reliable for the purpose of identifying the NASA centers and mission directorate with the largest IT budgets. We also interviewed cognizant officials with responsibilities for IT management at NASA headquarters and for the selected centers and mission directorate.", "We conducted this performance audit from May 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objective."], "subsections": []}, {"section_title": "Appendix II: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, the following staff also made key contributions to this report: Eric Winter (Assistant Director), Donald Baca, Rebecca Eyler, Amanda Gill (Analyst in Charge), Tom Johnson, Kate Nielsen, Teresa Smith, and Niti Tandon."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-162", "url": "https://www.gao.gov/products/GAO-18-162", "title": "Military Personnel: Actions Needed to Better Position the Navy and the Marine Corps to Support Expanding Unmanned Systems Operations", "published_date": "2018-02-06T00:00:00", "released_date": "2018-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of the Navy has committed to rapidly grow its unmanned systems portfolio. It currently has at least 24 types of systems and has budgeted nearly $10 billion for their development and procurement for fiscal years 2018-2022. Personnel who launch, navigate, and recover the systems are integral to effective operations. Senate Report 114-255 included a provision for GAO to review the Navy's and the Marine Corps' strategies for unmanned system operators. GAO examined, among other things, the extent to which the Navy and the Marine Corps have (1) evaluated workforce alternatives (such as the use of civilians and contractors) for unmanned system operators and (2) developed and updated personnel requirements and related policies and goals for selected unmanned systems. GAO compared documentation on unmanned systems with DOD policies and conducted discussion groups with unmanned system operators."]}, {"section_title": "What GAO Found", "paragraphs": ["The Navy and the Marine Corps are rapidly growing their portfolios of unmanned aerial systems (UAS) and unmanned maritime systems and have opted to use military personnel as operators without evaluating alternatives, such as federal civilian employees and private sector contractors. Service officials stated that civilians or contractors are not viable alternatives and policies are unclear about when and how to use them. However, a June 2016 Department of Defense-commissioned study found that alternative staffing strategies could meet the UAS mission more cost-effectively. Military personnel may be the most appropriate option for unmanned systems, but without clarifying policies to identify circumstances in which civilians and contractors may serve in operational roles, the services could continue to make workforce decisions that do not consider all available resources.", "The Navy and the Marine Corps have sufficient personnel requirements or efforts underway to develop personnel requirements for seven unmanned systems that GAO reviewed (see fig.), but requirements for one system (i.e., the RQ-21 Blackjack UAS) have not been updated. That system's requirements have not been updated because service entities disagree about whether they are sufficient. Since 2015, units have deployed with about two to three times the personnel that headquarters and command officials expected they would need. Marine Corps officials stated that the Blackjack's personnel requirements were based on an outdated concept of operations and are insufficient for supporting workloads. Without updating the personnel requirements for the Blackjack UAS, the services will lack current information about the number of personnel needed.", "The Department of the Navy has taken positive steps but has not fully evaluated and updated aviation policies that affect personnel requirements for certain UAS and lacks clear goals for informing future requirements for all of its UASs. GAO found that the policies do not fully account for differences between UASs of varying sizes and capabilities. These policies require, for example, that the Blackjack UAS be held to the same maintenance standards designed for larger aircraft and UAS, which in turn affects personnel requirements. Until the Department of the Navy evaluates and updates such policies and clarifies related goals, the services will be hampered in developing and updating future requirements as unmanned system inventories grow and operations expand."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making ten recommendations, including that the Navy and the Marine Corps clarify policies to identify circumstances in which civilians and contractors may serve in operational roles and apply the policies to future evaluations; update personnel requirements for one UAS; and evaluate and update policies and goals to inform future personnel requirements. DOD concurred with eight recommendations and partially concurred with two. As discussed in the report, GAO continues to believe that all ten are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Navy\u2019s top senior leaders have emphasized the growing importance of unmanned systems to future fleet operations. In 2015, for example, the Secretary of the Navy established a Deputy Assistant Secretary for Unmanned Systems and announced that the F-35 Lightning II will likely be the last manned strike fighter aircraft the Department of the Navy will buy or fly. The Chief of Naval Operations announced in 2017 that the future of the Navy includes unmanned aerial, surface, and underwater systems as an integral part of the future fleet and that these systems must be purchased in large numbers in order to expand the Navy\u2019s presence in key areas. To fulfill its commitment to rapidly grow its portfolio of unmanned systems, the Department of the Navy included nearly $10 billion in its budget for fiscal years 2018 through 2022 for unmanned aerial systems (UAS), unmanned surface vehicles (USV), and unmanned underwater vehicles (UUV). The Navy also committed to tailoring policies to support expeditious acquisition processes. The Department of the Navy has at least 24 different types of unmanned systems in various stages of development, testing, and fielding to units.", "Despite their name, \u201cunmanned\u201d systems require personnel who are integral to performing their missions. Operator personnel are needed to transit, launch, navigate, and recover unmanned systems and control and monitor their payloads (e.g., sensors for identifying terrain or targets); maintainers are needed to perform preventive and corrective maintenance tasks; and other support personnel are needed for post- mission analyses of data the systems gather. According to DOD policy, the initial steps in planning for personnel requirements include determining categories of eligible personnel (i.e., military servicemembers or the other two workforce alternatives of federal civilian employees and private sector contractors) based on whether the activities to be performed are \u201cinherently governmental\u201d or \u201ccommercial.\u201d The next step involves the identification of the appropriate and cost-effective combination of eligible personnel categories (i.e., workforce mix). Military servicemembers and federal civilians must be considered before the services may consider using private sector contractors as a workforce alternative to perform a function. Following that step are analyses of the numbers of personnel required and the staffing approaches needed to fill personnel requirements.", "Since 2001, we have identified the strategic management of human capital as a high-risk area across the government in part because of the mission-critical skills gaps within the federal workforce that pose a high risk to the nation by impeding the government from cost-effectively serving the public and achieving results. Related to the UAS workforces, we issued multiple reports from 2014 through 2017 on the Army\u2019s and the Air Force\u2019s personnel strategies for UAS operators. For example, in January 2017 we reported that neither the Air Force nor the Army had evaluated its UAS operator workforce mix to determine an effective and efficient mix of personnel for meeting mission needs. We recommended that the Air Force and the Army evaluate their workforce mix and the use of federal civilians for UAS pilot positions and conduct cost analyses consistent with Department of Defense (DOD) guidance. DOD concurred with both recommendations but has not yet implemented them. A list of related products is included at the end of this report.", "A Senate Armed Services Committee report accompanying a proposed bill for the National Defense Authorization Act for Fiscal Year 2017 includes a provision for us to review the Department of the Navy\u2019s personnel strategies for unmanned systems, including UASs, USVs, and UUVs. This report addresses the extent to which the Navy and the Marine Corps have (1) evaluated workforce alternatives for their unmanned system operators, including the use of federal civilian employees and private sector contractors; (2) developed and updated personnel requirements and related policies and goals that affect requirements for operators, maintainers, and other support personnel for selected unmanned systems; and (3) developed approaches for staffing unmanned system operators to meet personnel requirements.", "For these objectives, we used a case study approach to review the Navy\u2019s and the Marine Corps\u2019 evaluations of workforce alternatives, development and updates of personnel requirements and related policies and goals, and staffing approaches for selected unmanned systems. Of 24 Navy and the Marine Corps unmanned systems in development as programs of record in calendar year 2016, we selected: four UASs\u2014the Navy\u2019s MQ-4 Triton, MQ-8 Fire Scout, MQ-25 Stingray, and the Marine Corps\u2019 RQ-21 Blackjack; two USVs\u2014the Unmanned Influence Sweep System and the Mine Countermeasures USV\u2014associated with the Navy\u2019s littoral combat ships; and two types of Navy UUVs\u2014the MK 18 family of UUV systems and the Snakehead Large Displacement UUV\u2014 based on their size and missions. While the UUV case study findings are not generalizable, they provide illustrative examples for each objective. In appendix I, we provide additional information on each of these eight unmanned systems.", "For objective one, we compared any Navy and Marine Corps efforts to evaluate workforce alternatives\u2014specifically the use of federal civilian employees and private security contractors\u2014for operators of unmanned systems with two DOD policies: (1) DOD Directive 1100.4, Guidance for Manpower Management and (2) DOD Instruction 1100.22, Policy and Procedures for Determining Workforce Mix. DOD Directive 1100.4 directs that authorities should consider all available sources when determining workforce mix. DOD Instruction 1100.22 directs the steps that workforce planning authorities must take in planning for personnel requirements. We analyzed documentation on the services\u2019 efforts to evaluate alternative workforces for unmanned system operator positions, and interviewed knowledgeable officials about such evaluations and any reasons for not evaluating workforce alternatives. We also compared the services\u2019 respective policies on workforce planning with DOD policies and with federal internal controls standards that emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals. Finally, we reviewed DOD-commissioned workforce mix studies and interviewed officials from the Office of the Under Secretary of Defense for Personnel and Readiness (OUSD(P&R)) to identify benefits and limitations of the different personnel categories as workforce alternatives.", "For objective two, we reviewed the Navy\u2019s and the Marine Corps\u2019 efforts to develop and update personnel requirements for our selected case study systems and interviewed knowledgeable service officials about their perception of the sufficiency of those personnel requirements for supporting training and deployment requirements. We compared requirements documents with DOD Directive 1100.4, which states that personnel requirements should be driven by workload and established at the minimum levels necessary to accomplish mission and performance objectives, and with Navy Instruction 1000.16L. The Navy instruction states that personnel requirements must be validated as program changes dictate and at a minimum annually over a system\u2019s lifecycle to determine if a personnel update is required. We also compared the life cycle cost estimate for the RQ-21 Blackjack with DOD Instruction 5000.02, Operation of the Defense Acquisition System, and with Office of Management and Budget guidance. DOD Instruction 5000.02 requires that components determine a weapon system program\u2019s life cycle cost by planning for the many factors needed to support the system, including personnel. The Office of Management and Budget guidance states that to keep the cost analyses for capital assets, such as weapon systems, current, accurate, and valid, cost estimating should be continuously updated based on the latest information available as programs mature.", "We also reviewed the Navy\u2019s policies on operating and maintaining UAS and documentation from the Marine Corps about any effects of those policies on personnel workload, and interviewed service officials about any effects and efforts to review and update policies. We then compared those efforts with DOD policy and with federal internal controls standards that emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals. Finally, we compared goals established in DOD\u2019s Unmanned Systems Integrated Roadmap, FY2013- 2038 and Department of the Navy strategy documents on unmanned systems with federal internal controls standards that state than an agency\u2019s management should define goals clearly to enable the identification of risk.", "For objective three, we reviewed the Navy\u2019s and the Marine Corps\u2019 approaches for selecting, training, and tracking unmanned system operators to identify any challenges. We also reviewed Navy reports and Marine Corps data on operator inventory and retention levels relative to the services\u2019 requirements and goals. Specifically, we reviewed Navy reports on the retention of certain aviation personnel to serve as UAS operators for fiscal years 2015 through 2017 because data from earlier years were less relevant given the lower numbers of UAS inventories. We requested data from the Marine Corps on its inventories of and requirements for enlisted UAS operators for fiscal years 2007 through 2017, and on UAS officers for fiscal years 2013 (the first year of available data) through 2017. We requested retention data\u2014actual numbers of personnel who reenlisted versus annual quotas\u2014on enlisted UAS operators for fiscal years 2010 (the earliest year for which data were available) through 2017.", "We assessed the reliability of the Marine Corps\u2019 data by administering questionnaires to obtain information on the quality control measures in place to ensure that the data systems record, track, and report reliable data, and by interviewing knowledgeable officials and manually testing the data for errors and omissions. We found the data to be sufficiently reliable for our purposes of describing personnel inventory trends and the sufficiency of operator personnel to meet requirements. We found that the retention data are of undetermined reliability but are reporting them because they are the data of record used by Marine Corps planning officials.", "We also compared Navy and Marine Corps financial incentives for retaining personnel as UAS operators with DOD\u2019s 2012 Eleventh Quadrennial Review of Military Compensation, which established that organizations should assess civilian supply and demand and civilian wages to determine the most cost-effective special and incentive pay strategies. We compared any Marine Corps efforts to address workforce challenges specific to the Marine Corps\u2019 UAS operator career field with a key principle of strategic human capital planning from our prior work, which states that agencies should ensure that \u201cflexibilities\u201d are part of their overall human capital strategy. We interviewed Marine Corps UAS leaders and conducted discussion groups with UAS operators and officers from one squadron, selected because of its experience level, to learn their views about UAS personnel requirements and staffing approaches and career satisfaction. We provide further details on our scope and methodology in appendix II.", "We conducted this performance audit from September 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Unmanned Systems", "paragraphs": ["Unmanned systems provide DOD with capabilities for conducting a range of military operations, including environmental sensing and battlespace awareness; chemical, biological, radiological, and nuclear detection; counter-improvised explosive device capabilities; port security; precision targeting; and precision strike. DOD\u2019s unmanned systems operate in different warfighting \u201cdomains\u201d ranging from air, land, and maritime environments. As shown in figure 1, DOD categorizes its unmanned systems into five groups by domain (i.e., aerial and maritime, including surface and underwater) and other attributes of size and capability.", "Group 1 UASs weigh fewer than 20 pounds and operate below 1,200 feet in altitude, whereas group 5 UASs weigh more than 1,320 pounds and operate above 18,000 feet. Similarly, USVs are categorized in five groups, increasing in size and capability from very small to extra-large, and UUVs are categorized in four groups\u2014small, medium, large, and extra-large."], "subsections": []}, {"section_title": "Organizational Roles and Responsibilities for Evaluating Workforces", "paragraphs": ["Various offices within the Office of the Secretary of Defense and the Department of the Navy have roles and responsibilities for evaluating the appropriate mix of personnel for the Navy\u2019s and the Marine Corps\u2019 total workforces.", "According to Section 129a of Title 10 of the U.S. Code, which governs DOD\u2019s general policy for total force management, the Secretary of Defense is required to establish policies and procedures for determining the most appropriate and cost efficient mix of military, federal civilian, and contractor personnel to perform the missions of the department. Section 2463 of Title 10 mandates the Under Secretary of Defense for Personnel and Readiness (USD(P&R)) to devise and implement guidelines and procedures to ensure consideration is given to using DOD civilian employees to perform new functions and functions that are performed by contractors and could be performed by civilian employees.", "DOD policies also establish roles and responsibilities for the USD(P&R):", "DOD Directive 1100.4 establishes departmental policy concerning workforce management, including multiple responsibilities for the USD(P&R) (e.g., reviewing the workforce management guidelines and practices of DOD components for compliance with established policies and guidance).", "DOD Instruction 1100.22 implements policy set forth under DOD Directive 1100.4; assigns responsibilities; and prescribes procedures for determining the appropriate mix of military, federal civilian, and contractor personnel. The instruction assigns to the USD(P&R) the responsibility for overseeing the instruction\u2019s implementation and working with component heads to ensure that they establish policies and procedures consistent with this instruction.", "DOD Instruction 7041.04 states that DOD\u2019s USD(P&R), the Comptroller, and the Director of Cost Assessment and Program Evaluation are responsible for developing a DOD-wide cost model for estimating and comparing the full costs of DOD workforce and contract support.", "Section 129a of title 10 of the U.S. Code directs the Secretary of Defense to delegate responsibility for the implementation of policies and procedures established by the Secretary to the Secretaries of the military departments. In accordance with this delegation, the Secretary of the Navy has overall responsibility for requirements determination, planning, programming, and budgeting for policies and procedures for determining the appropriate and cost-effective mix of personnel.", "DOD policies establish the following roles and responsibilities for the military department Secretaries, including the Secretary of the Navy and heads of other DOD components:", "DOD Directive 1100.4 requires the component heads to designate an individual with full authority for workforce management, to include responsibility for, among other things, developing annual personnel requests to Congress considering the advantages of converting from one form of support (active or reserve military servicemembers, federal civilians, or private sector contractors) to another for the performance of a specified function, consistent with section 129a of the U.S. Code.", "DOD Instruction 1100.22 establishes that the component heads should require that their designated workforce authority issue implementing guidance requiring the use of the instruction when determining workforce mix for current, new, or expanded missions.", "Secretary of the Navy Instruction 5430.7R assigns authority for workforce management in the Department of the Navy, including workforce mix issues, to the Assistant Secretary of the Navy for Manpower and Reserve Affairs."], "subsections": []}, {"section_title": "Navy and Marine Corps Processes for Determining and Staffing Personnel Requirements", "paragraphs": ["Concurrently with a weapon system\u2019s development through DOD\u2019s acquisition process, the Navy and the Marine Corps determine the numbers and types of personnel and skills required for their unmanned systems. The personnel requirements development process generally begins with the program manager from a Navy systems command (e.g., Naval Air Systems Command for Navy and Marine Corps aircraft and Naval Sea Systems Command for ships and submarines) that is responsible for supervising the management of assigned acquisition programs. The program manager and systems command utilize Navy policies and other inputs to formulate initial requirements. In doing so, the program manager coordinates any Navy personnel requirements with the Office of the Chief of Naval Operations and other entities such as the Navy Personnel Command and commands that will operate and maintain the systems, such as the U.S. Fleet Forces Command and the Commander, Naval Air Forces. For Marine Corps aircraft systems, the program manager from the Naval Air Systems Command coordinates with Marine Corps headquarters entities, such as the Deputy Commandant for Aviation and the Deputy Commandant for Combat Development and Integration. The program manager and systems command calculate the cost of personnel as part of a system\u2019s total life cycle cost. The program manager validates personnel requirements as program changes dictate and at a minimum annually, over a system\u2019s lifecycle.", "The Navy and the Marine Corps staff the units that will operate and maintain their unmanned systems by filling the required positions to the extent possible based on the number of positions funded and the number of trained and qualified personnel available to fill them. This staffing process is managed by the Navy Personnel Command and in the Marine Corps by the Deputy Commandant for Manpower and Reserve Affairs."], "subsections": []}]}, {"section_title": "The Navy and the Marine Corps Have Not Evaluated Using Federal Civilian Employees and Private Sector Contractors as Workforce Alternatives for Unmanned System Operators", "paragraphs": ["The Navy and the Marine Corps are in the process of rapidly growing their portfolios of unmanned systems, but have not evaluated the use of alternative workforces\u2014specifically the use of federal civilian employees and private sector contractors as unmanned system operators. DOD Directive 1100.4 states that authorities should consider all available sources when determining workforce mix, including federal civilians and contractors, and personnel shall be designated as federal civilians except in enumerated circumstances. According to DOD Instruction 1100.22, the initial steps in planning for personnel requirements include determining categories of eligible personnel (e.g., military servicemembers, federal civilian employees, or private sector contractors). These determinations are based on whether activities to be performed are \u201cmilitary essential\u201d (the activity must be performed by a military servicemember), \u201cinherently governmental\u201d (the activity could be performed by a military servicemember or a federal civilian employee), or \u201ccommercial\u201d (the activity could be performed by military servicemembers, federal civilians, or private sector contractors). Military servicemembers and federal civilians must be considered before the services may consider using contractors to perform a function.", "In the absence of workforce alternative analyses, the services have decided to rely solely on military servicemembers as operator workforces for all of their unmanned systems, including the eight systems we reviewed in detail. For all eight case studies, Navy and Marine Corps officials told us that their decisions to rely on servicemembers as operators were based on the pre-existing force structure made up of personnel who were already trained in related mission areas. For seven of the eight selected systems, the officials stated that they did not evaluate the use of federal civilians or contractors in their determinations for using military personnel for their operator workforces. In the case of an eighth system, the MQ-4 Triton UAS, the Navy evaluated using contractor personnel, but did so without first considering the use of federal civilian employees as DOD policy requires. In a 2009 analysis for the Triton, the Navy concluded that comparisons between the cost-effectiveness of using military personnel and federal civilian employees were beyond the expertise of the working group that performed the analysis. Ultimately, the Navy decided to use military personnel as Triton operators.", "According to senior-level officials from OUSD(P&R), there are concerns within the department about the level of consideration the military services have applied to workforce mix alternatives for unmanned system operators. As a result, OUSD(P&R) and other entities from the Office of the Secretary of Defense commissioned the Institute for Defense Analyses to conduct a study, which was published in June 2016, on alternative staffing strategies to enable DOD to accomplish UAS-related missions more cost-effectively. The study found that staffing alternatives exist for each service and could produce cost savings. According to the Institute for Defense Analyses\u2019 report, the use of enlisted personnel for a portion of the Navy\u2019s and the Air Forces\u2019 UAS operator workforces offers the potential for savings, as could the use of limited duty officers or warrant officers. The Institute for Defense Analyses also reported that federal civilian employees of DOD could generate the most substantial savings of the options studied if they were used in combination with military servicemembers as UAS operators responsible for the launch and recovery of air vehicles. OUSD(P&R) officials stated that this latter approach would free up military servicemembers to fill key positions for supporting military readiness in other areas of operations that are military personnel essential, and better leverage the services\u2019 limited military personnel end strengths.", "In September 2016, OUSD(P&R) issued a proposal for an additional study of UAS staffing options that stated that the Department of the Navy\u2019s workforce mix determination (i.e., relying on military servicemembers as operators) is \u201cimmature and infeasible\u201d and that any recommended approaches should also be applied to unmanned maritime systems. OUSD(P&R) has also commissioned a study to clarify circumstances in which military servicemembers should be considered essential for certain positions, which is expected to be complete by the end of fiscal year 2018. OUSD(P&R) officials stated that they plan to continue their efforts to expand awareness of these studies and of the available workforce mix alternatives for UAS operators with military service officials.", "On the basis of our discussions with Navy and Marine Corps workforce planners, key reasons for not evaluating workforce alternatives for unmanned system operators were that planners did not believe it was necessary, and they did not believe that federal civilian employees or private sector contractors were viable workforce alternatives to military servicemembers for such roles and functions. For example, officials cited concerns that federal civilians cannot serve aboard Navy ships or provide rapid deployment capability. However, officials from OUSD(P&R) told us that these concerns are inaccurate, noting that federal civilian employees have deployed on Navy ships. Further, we note that DOD\u2019s Expeditionary Civilian Workforce comprises federal civilian employees across DOD components who are available to deploy within 120 days of notice to meet urgent requirements. DOD officials responsible for the Expeditionary Civilian Workforce program stated that such personnel are intended to be predictable, reliable, and effective so that the military services will source them and the combatant commands can depend upon them.", "Further, service workforce planners stated that relevant service-level guidance is unclear on when and how such personnel can and should be considered for performing in operational roles and in deployable positions. The Navy\u2019s and the Marine Corps\u2019 policies do not provide details about the types of operational roles specific to a service, including those related to unmanned system operators, that could be filled with federal civilians or private sector contractors, nor do the policies provide guidance on the limitations and benefits of using these personnel sources, such as those identified in DOD-commissioned reports and our prior work. For example, military personnel can be the most costly of the three personnel categories and shortages exist in certain functions that have been deemed military essential and are in high demand, such as fighter pilots. On the other hand, federal civilians and private sector contractors can be cost-effective and may augment military servicemembers on a short-term basis if needed (see table 1).", "Federal internal controls standards emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals. Officials from the Office of the Secretary of the Navy for Manpower and Reserve Affairs agreed that the cited service policies do not provide the sort of detail and clarity that could aid planners and decision makers with determining eligible personnel categories for their workforces and weighing the benefits and limitations thereof. Clarifying their respective workforce planning policies could help workforce planners better understand when, where, and how federal civilians or contractors may serve in operational roles (e.g., from shore or from underway naval vessels) and what the benefits and limitations are. The use of military servicemembers, and not federal civilians or private sector contractors, as unmanned system operators may indeed be the most appropriate and cost-effective workforce option for the Navy and the Marine Corps. However, the services will not have certainty about the basis for such decisions without first clarifying workforce planning policies and then applying the revised policies to evaluate the use of all personnel resources available to them for future unmanned systems."], "subsections": []}, {"section_title": "The Navy and the Marine Corps Have Not Fully Developed Personnel Requirements for One of Eight Selected Unmanned Systems or Updated Related Policies and Goals", "paragraphs": ["The Navy and the Marine Corps have efforts underway to develop requirements for operators, maintainers, and other support personnel needed for selected unmanned systems. According to Navy information, personnel requirements for three systems are sufficient and the sufficiency of requirements for four other systems is yet undetermined. However, the Navy and the Marine Corps have not updated personnel requirements and the related cost estimate for the RQ-21 Blackjack UAS based on deployment data. Furthermore, the Department of the Navy has not fully evaluated and updated policies or clarified goals that may inform future personnel requirements development and updates to requirements."], "subsections": [{"section_title": "The Navy and the Marine Corps Developed Personnel Requirements for Selected Unmanned Systems but Have Not Updated the RQ-21 Blackjack UAS Requirements and Cost Estimate", "paragraphs": ["The Navy and the Marine Corps have efforts underway to develop requirements for operators, maintainers, and other support personnel needed for selected unmanned systems, commensurate with each system\u2019s maturity in DOD\u2019s acquisition process. The USVs associated with the littoral combat ships, the Snakehead Large Displacement UUV, and the MQ-25 Stingray UAS are in earlier phases of both acquisition and personnel requirements development and, according to Navy information, the precise number of required personnel will be determined and updated as the systems progress through acquisition. On the other hand, the MK 18 UUVs, MQ-8 Fire Scout UAS, MQ-4 Triton UAS, and RQ-21 Blackjack UAS have matured the furthest through DOD\u2019s acquisition process. The Navy and the Marine Corps have identified personnel requirements, and service officials told us they have reviewed their sufficiency as units have trained and deployed with the systems. Although future modifications to personnel requirements for the MK 18 UUVs, the MQ-8 Fire Scout, and the MQ-4 Triton may be needed as their inventories and the pace of deployments increase, Navy officials told us the numbers of operators are appropriate at this time to meet mission objectives based on available deployment data and feedback from operators.", "For the RQ-21 Blackjack UAS, however, Navy and Marine Corps headquarters and command entities disagree with unit-level officials about the sufficiency of the personnel requirements. Marine Corps UAS squadrons have identified a requirements shortfall of 13 to 21 personnel per detachment to support each RQ-21 Blackjack UAS. The UAS squadrons have established that a total of 22 personnel are necessary to form a detachment sufficiently sized to support operations with the UAS. Marine Corps unit-level officials told us that this personnel requirement is based on the numbers needed to conduct training and deployments since the first Blackjack system was delivered in 2015, for which 22 to 30 personnel have been needed per detachment to meet mission requirements. In contrast, higher level command and service headquarters entities in the Navy and the Marine Corps have established a requirement of nine Marine Corps personnel per detachment, including three enlisted UAS operators and one UAS officer along with maintenance and support personnel. Squadron officials stated to the Navy and the Marine Corps in their written rebuttal of the 9-person requirement that 13 more personnel are needed to support operations for 10 to 12 hours per day, or up to 24 hours a day for 10-day surges in operations, and to comply with naval aviation maintenance procedures. Marine Corps officials also told us that the squadrons believe these additional personnel are essential for supporting the workload and levels of supervision they believe are necessary to operate and maintain an RQ- 21 Blackjack UAS and avoid mishaps and damage to the aircraft during recovery.", "DOD policy directs that personnel requirements should be driven by workload and established at the minimum levels necessary to accomplish mission and performance objectives. In addition, according to a Navy instruction, personnel requirements must be validated as program changes dictate and at a minimum annually, over a system\u2019s lifecycle to determine if a personnel update is required. The Navy instruction also identifies guidelines for average weekly working hours and personnel availability for different tasks, which are key elements in the calculation of personnel requirements. The instruction states that routinely exceeding these guidelines to meet workloads should be avoided because it can adversely affect unit morale, retention and safety.", "With respect to the RQ-21 Blackjack UAS, Marine Corps officials stated that the concept of operations has changed for the service\u2019s vision of employing the system to support Marine Expeditionary Units and that the 9-person detachment requirement was based on the outdated concept of operations. As a result, Marine Corps officials told us that the personnel requirements for the squadrons that operate them are too low to support the workloads associated with the systems and service headquarters- level decision makers have not yet updated them based on the most current and enduring concept of operations for the system. Marine Corps officials stated that efforts are underway to review the differences in personnel requirements deemed necessary by squadrons and headquarters-level entities as training and deployments continue, which is a positive step. However, according to the program office, the personnel requirements were not changing at the time of this report. Until the Navy and the Marine Corps update the personnel requirements for the RQ-21 Blackjack based on the most current and enduring concept of operations and deployment data, the services will lack current information about the number of operators needed for the squadrons that operate the RQ-21 Blackjack.", "In addition, the Navy and the Marine Corps have not updated the life cycle cost estimate for the RQ-21 Blackjack UAS to include additional personnel that Marine Corps squadrons have needed for current operations and expect to need for future operations and deployments. The program office estimated the total Marine Corps personnel cost for the RQ-21 Blackjack based on detachments of 9 personnel each at approximately $371 million over the program\u2019s expected 19-year life cycle\u2014nearly 20 percent of the Marine Corps\u2019 life cycle cost for the program. However, this estimate may be too low because Marine Corps squadrons have reported that they need up to 21 more personnel per detachment to support the workload associated with the system, as discussed previously.", "DOD guidance requires that components determine a weapon system program\u2019s life cycle cost by planning for the many factors needed to support the system, including personnel. Decision makers use this information to determine whether a new program is affordable and the program\u2019s projected funding and personnel requirements are achievable. In addition, the Office of Management and Budget\u2019s Capital Programming Guide indicates that to keep the cost analyses for capital assets, such as weapon systems, current, accurate, and valid, cost estimating should be continuously updated based on the latest information available as programs mature.", "The Navy and the Marine Corps have updated the life cycle cost estimate for the RQ-21 Blackjack to account for changing assumptions, such as the expected usage rate of spare parts for system repairs, but not for additional Marine Corps personnel that squadrons have reportedly needed for deployments. Without updating the cost estimate as appropriate after updating personnel requirements, the Navy and the Marine Corps may not have current information about the Marine Corps\u2019 RQ-21 Blackjack UAS lifecycle cost and affordability."], "subsections": []}, {"section_title": "The Department of the Navy Has Made Positive Steps but Has Not Fully Evaluated and Updated Policies or Clarified Goals for Informing Future Personnel Requirements", "paragraphs": [], "subsections": [{"section_title": "The Navy Has Modified Some UAS Policies but Has Not Fully Evaluated and Updated Policies to Inform Future Personnel Requirements", "paragraphs": ["The Department of the Navy has made some positive steps but has not fully evaluated and updated its aviation policies for operation and maintenance of certain UAS to inform the development of future personnel requirements. According to officials from the Navy Manpower Analysis Center, correctly determining personnel workload and the related numbers of personnel required for operation and maintenance is especially critical for UAS units because of the safety risks associated with operating in shared airspaces and over populated areas. These officials also stated that naval aviation policies\u2014which apply to manned aircraft and UAS\u2014affect the workload of operators and maintenance personnel and the numbers required to achieve a squadron\u2019s mission and meet the standards prescribed in the policies. For example, the Naval Air Training and Operating Procedures Standardization manual contains provisions for pilot fatigue and hours they can fly compared with the hours they must rest. Further, the Naval Aviation Maintenance Program instruction prescribes standards for performing and documenting quality assurance steps for maintenance tasks, among other things.", "Our review of these selected policies found that some naval aviation standards have been modified to account for UAS separately from manned aircraft, and to some extent between UAS of different sizes and capabilities. The Naval Air Training and Operating Procedures Standardization manual was updated in 2016 with a new chapter for UAS policies and operations. The Naval Aviation Maintenance Program instruction has been updated to specify that UAS of groups 3, 4, and 5 will always be governed by the policy similar to manned aircraft, with a few exceptions, such as compass calibration.", "Notwithstanding these updates, Marine Corps headquarters- and unit- level officials told us that the policies have not been fully reviewed and updated to account for differences in UAS of varying sizes and capabilities, especially group 3 UAS, which are those systems weighing 55 to 1,320 pounds. According to these officials, applying certain procedures and standards from these policies equally across different sizes of UAS is problematic for group 3 UAS in particular, which includes the RQ-21 Blackjack. The officials stated that the application of such standards affects workloads and personnel levels in a way that prevents squadrons from accomplishing their missions as efficiently as possible. Specifically, they stated that upholding current naval aviation standards is one key reason\u2014the other being changes to the concept of operations for the RQ-21 Blackjack\u2014for having staffed up to 21 more personnel per RQ-21 Blackjack detachment than the 9-person requirement discussed earlier in this report.", "Applying naval aviation operating and maintenance standards equally across different sizes of UAS may not align with the Marine Corps\u2019 concept of operations, which states that all UAS are intended to be recovered by landing or capture even though they may be expendable. Each RQ-21 Blackjack system includes five air vehicles, more than one of which could be unavailable for assigned missions at the same time. For example, Marine Corps officials told us that damage to RQ-21 Blackjack air vehicles can be caused by weather, a deficiency with the air vehicle itself, a crash landing, or a combination of factors, and up to three air vehicles could be unavailable at a time. These officials told us that holding the RQ-21 Blackjack to maintenance standards designed for other non-expendable aircraft may not be efficient because their application has a limited effect on mishap rates relative to the additional personnel needed to uphold the standards. Moreover, in discussion groups we held with Marine Corps UAS operator personnel, operators mentioned that mishap investigations performed to existing standards sideline operators from training pending the investigation\u2019s outcome. Such standards also apply to the Navy\u2019s larger, non-expendable UAS like the MQ-8 Fire Scout and the MQ-4 Triton.", "According to DOD Directive 1100.4, existing policies, procedures, and structures should be periodically evaluated to ensure efficient and effective use of personnel resources. Further, federal internal controls standards emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals. Such goals could include the Department of the Navy\u2019s goal to accelerate the development and fielding of unmanned systems, and the Marine Corps\u2019 emphasis on reducing operator workload and providing effective and efficient support to mission execution and decision making. For example, the Marine Corps\u2019 UAS concept of operations envisions a future in which one UAS operator will perform multiple functions as opposed to the current approach in which multiple Marines are necessary for a single mission.", "We found that the Navy has taken a preliminary step to further evaluate what policy changes may be needed to support unmanned systems by establishing an advisor position for this purpose within the Naval Innovation Advisory Council. The advisor is responsible for making recommendations to the Secretary of the Navy and other senior leaders to streamline policy and remove roadblocks that hinder innovation, among other things. In addition, the program manager for the RQ-21 Blackjack and the Marine Corps\u2019 Deputy Commandant for Combat Development and Integration are supporting a research effort through the Naval Postgraduate School to improve the efficiency and effectiveness of naval aviation maintenance procedures for group 3 UAS, according to a Marine Corps official who is leading this effort.", "While these are positive steps, the time frames for making such policy changes have not been identified. In addition, we did not find evidence that the Navy has taken or planned related steps such as determining whether future reductions to personnel requirements could be accomplished, and any associated cost savings, or benefits to UAS operations if policies were further updated to account for UAS of different sizes and capabilities. The Navy has thus far prioritized the evaluation and modification of acquisition-related policies to expedite the delivery of unmanned systems to units, consistent with a 2015 memorandum from the Secretary of the Navy. Unless the Navy and the Marine Corps prioritize updating policies for operating and maintaining UAS of different sizes and capabilities they may miss opportunities to effectively and efficiently use personnel resources as system inventories grow."], "subsections": []}, {"section_title": "The Department of the Navy Lacks Clear Overarching Goals for Informing Future Unmanned System Personnel Requirements", "paragraphs": ["The Department of the Navy also lacks clear overarching goals for informing future unmanned system personnel requirements and the level of priority that should be assigned to these systems and the units that operate them for the purpose of personnel resourcing decisions. While DOD\u2019s Unmanned Systems Integrated Roadmap, FY2013-2038 stated that the department must strive to reduce the number of personnel required to operate and maintain its unmanned systems, the Department of the Navy has not affirmed this goal or communicated any other personnel goals for its unmanned system development. Department of the Navy documents we reviewed for unmanned systems expressed goals that are less directly related to personnel requirements, to include expanding the range of operations and reducing costs and risks to personnel safety and mission success. As previously mentioned, the Navy has prioritized the evaluation and modification of acquisition-related policies to expedite the delivery of unmanned systems to units, consistent with a 2015 memorandum from the Secretary of the Navy.", "Navy and Marine Corps officials we spoke with who are responsible for the RQ-21 Blackjack and other case study systems we reviewed told us they did not believe the Department of the Navy has a clear and overarching goal for unmanned system personnel requirements either now or over the long-term. For example, officials stated that they did not know if the Department of the Navy expects that fewer personnel should be needed to operate and support unmanned systems than the numbers of personnel required for other types of systems. Without such clarity about personnel-related goals and priority levels, some officials expressed concern that using the term \u201cunmanned\u201d systems conveys expectations that technological advances can substantially reduce personnel requirements in the near term, and that funding for related personnel resources are a lower priority than those for other system types. For example, a senior Navy personnel official told us that the Navy\u2019s past goals and related efforts to reduce personnel required for its ship crews\u2014an initiative referred to as optimal manning\u2014makes them cautious about whether the same goals and efforts will be adopted for unmanned systems and could produce similar, undesirable effects on readiness.", "Navy officials at three commands also stated they are concerned that resources for unmanned system personnel over future years may not keep pace with the increasing inventories of the systems if a lower priority is assigned to them in budget decisions in the absence of goals and clarity over priorities. The Navy\u2019s Commander, Submarine Forces, identified a personnel shortfall for supporting increased UUV inventories as its second-highest personnel priority for the Navy\u2019s fiscal year 2019 budget deliberations to help underscore to headquarters entities the importance of personnel resources for such systems. According to Navy officials, the Navy has since authorized the requested addition of 66 personnel to the command to augment the sole unit that will operate the Snakehead Large Displacement UUV along with increasing inventories of other types of UUVs.", "Federal internal controls standards state that an agency\u2019s management should define goals clearly to enable the identification of risk. By applying this standard to the Department of the Navy\u2019s acquisition and operations of unmanned systems, such goals could include whether or not unmanned systems should require fewer personnel resources than manned counterparts. Until the Secretary of the Navy clarifies overarching goals for unmanned system personnel requirements and resource priority levels and communicates them to requirements planners and budget decision makers, the services will be hampered in developing future personnel requirements and identifying risks as system inventories grow and operations expand."], "subsections": []}]}]}, {"section_title": "The Navy and the Marine Corps Have Developed Staffing Approaches for Unmanned System Operators, but Face Challenges Meeting Personnel Requirements", "paragraphs": ["The Navy and the Marine Corps have developed staffing approaches to select, train, and track unmanned systems operators and to retain some UAS operators by offering special and incentive pays. However, both services face challenges in ensuring that there are sufficient UAS operators to meet personnel requirements. Yet neither service has assessed the commercial drone industry to inform its retention approach for UAS operators. Although Marine Corps UAS operators and officers report low morale and career satisfaction, the Marine Corps has not fully explored the use of human capital flexibilities to address these workforce challenges."], "subsections": [{"section_title": "The Navy and the Marine Corps Have Developed Staffing Approaches to Select, Train, Track, and Retain Unmanned System Operators", "paragraphs": ["In the Navy, unmanned system operations are secondary skills for personnel from related communities. For its UASs in groups 4 and 5, for example, the Navy utilizes personnel from manned aviation communities within the same mission areas, such as MH-60 helicopter pilots and aircrew who are selected and then trained to operate the MQ-8 Fire Scout UAS. Likewise, Navy officials stated that personnel from related communities are selected and trained to operate USVs and UUVs. The Navy is taking steps to track these trained operator personnel by using secondary skill identification codes. According to Navy officials, these identification codes will help personnel managers monitor the inventories of personnel with unmanned system operator qualifications and provide a temporary surge in capability if needed.", "In contrast to the Navy\u2019s approach, the Marine Corps has a primary career field for operating UAS, including enlisted and officer personnel. The Marine Corps replenishes its UAS operator and officer personnel inventories by selecting from eligible applicant groups. To become UAS operators, enlisted marines must achieve minimum test scores comparable to those required for other high-skill occupations, such as intelligence specialists. Eligible groups include new graduates of recruit training and experienced marines who apply for a lateral transfer from another occupational specialty. UAS officers take a separate test battery and must attain the same minimum scores as other officers who are selected for manned naval aviation training. They are selected from three sources: new graduates of officer training; pilot or flight officer trainees who do not complete their manned aircraft qualification; and experienced officers seeking a transfer from another occupational specialty, including pilots of manned aircraft. Following their selection, enlisted personnel and officers must complete 5 months of Army UAS training courses or 6 months of Air Force UAS training courses, respectively. The Marine Corps then assigns a primary occupation identification code to trained personnel, which facilitates tracking their inventory to help meet requirements.", "To help retain sufficient numbers of personnel to meet requirements, both the Navy and the Marine Corps have offered special and incentive pays to personnel who operate UASs. Navy personnel who serve as air vehicle operators for the MQ-8 Fire Scout and MQ-4 Triton or as MQ-4 Triton tactical coordinators are eligible for two types of aviation pays based on their qualification as pilots or naval flight officers rather than their UAS assignments\u2014monthly \u201cflight pay\u201d of up to $1,000 and aviation career continuation pay bonuses of $75,000 for a new 5-year contract, as of fiscal year 2017. Marine Corps UAS officers are not offered special and incentive pays, but enlisted operators have been eligible for a selective reenlistment or selective retention bonus since 1998, which ranged from $8,250 up to $19,750 in fiscal year 2017 for qualified marines who committed to an additional 4 years of service."], "subsections": []}, {"section_title": "The Navy and the Marine Corps Face Challenges Meeting UAS Operator Personnel Requirements and Have Not Assessed Commercial Competition to Inform Staffing Approaches", "paragraphs": [], "subsections": [{"section_title": "Navy Faces Challenges Meeting UAS Operator Personnel Requirements", "paragraphs": ["Based on our analysis, the Navy faces challenges with meeting personnel requirements for UAS operators although, according to Navy officials, it is too soon to know if personnel shortfalls may arise with unmanned maritime systems because many programs are in early in stages of development. Navy officials told us they have sufficient numbers of personnel to operate the current inventory of UAS, which included 49 MQ-8 Fire Scouts and 2 MQ-4 Tritons as of September 2017. As UAS inventories increase, the Navy has reported growing retention challenges among its pilots and naval flight officers over the past 3 years as the U.S. economy improves and commercial airline hiring increases. Navy aviation and workforce planning officials told us this could affect the ability to fill both its manned aviation and UAS personnel requirements.", "According to Navy proposals for the Navy\u2019s aviation retention bonus program, future retention shortfalls are expected in the helicopter, maritime patrol and reconnaissance, and E-2 Hawkeye communities, among others. The first two communities are sources of personnel for the MQ-8 Fire Scout and MQ-4 Triton and, according to Navy officials, the latter community is being considered as a personnel source for the MQ- 25 Stingray. In particular, the Navy has reported concerns about the future retention of its maritime patrol and reconnaissance pilots because their experience directly translates to a commercial 737 aircraft. Additionally, the Navy has reported shortages and significant retention issues in meeting requirements for its reserve helicopter and maritime patrol and reconnaissance pilots, communities that the Navy uses to augment its available inventories of active duty pilots who also operate UASs."], "subsections": []}, {"section_title": "The Marine Corps Has Not Met Personnel Requirements for UAS Operators", "paragraphs": ["Based on our analysis, the Marine Corps has experienced past shortfalls of UAS operators through fiscal year 2017. Since the first fiscal year of available data after the inception of the Marine Corps\u2019 career specialty for UAS officers in 2012, personnel inventories have increased but fallen short of requirements (see fig. 2).", "For fiscal years 2013 through 2017, the Marine Corps was substantially short of captains, majors, and lieutenant colonels (i.e., O3, O4, and O5 pay grades) to serve as UAS officers. Consistent with this trend, the Marine Corps has designated UAS officer inventories as unhealthy since fiscal year 2013. Marine Corps officials told us these shortfalls could be attributable to the annual growth in requirements for this new community. They also stated that they do not currently anticipate retention challenges for UAS officers. However, according to these officials, their predictions about UAS officer retention for future years are based on data from other longer established career fields as proxies until more UAS officer data are available.", "For fiscal years 2007 through 2017, inventories of enlisted UAS operators increased in all but one year, but fell short of requirements (see fig. 3) in part due to substantial yearly shortfalls of certain junior enlisted personnel. According to a Marine Corps official, the UAS operator inventory will exceed requirements in fiscal year 2018 because the requirement has decreased by about 60 percent from the previous year.", "However, the Marine Corps has leveraged lateral personnel transfers from other occupations to meet approximately 33 to 89 percent of its yearly retention quotas for first-term UAS operator reenlistments since fiscal year 2010 (see fig. 3 above). A Marine Corps personnel planning official told us that personnel transfers have been helpful and necessary for meeting retention quotas. However, other Marine Corps officials told us that heavily leveraging transfers shows that the UAS community is not retaining its own experienced operators\u2014that is, UAS operators who have attained proficiency and advanced skills and been deployed. For more senior enlisted UAS operators eligible for a second reenlistment or beyond, the Marine Corps has fallen short of its retention quotas for fiscal years 2015 through 2017."], "subsections": []}, {"section_title": "The Navy and the Marine Corps Have Not Assessed Commercial Supply, Demand, and Wages to Inform Staffing Approaches for UAS Operator Requirements", "paragraphs": ["Despite the current and future challenges previously discussed, Navy and Marine Corps officials told us that the services have not used information about the commercial drone industry to inform their use of special and incentive pays because they did not believe doing so was needed. Marine Corps officials told us that they have not observed a retention problem for UAS operators and officers and unless they miss retention goals in 3 consecutive years they will not consider changing financial incentives\u2014 i.e., increasing bonuses to enlisted UAS operators or offering special and incentive pays to UAS officers. Until such time, pilots who are selected for the UAS career field are informed by the Marine Corps that their flight pay and aviation continuation pay bonus eligibility will be terminated. Another Marine Corps official with knowledge of the UAS community told us that studying the commercial drone industry and the potential effect on retention is timely because the services must program for the necessary resources for financial incentives 2 years in advance of the budget year. They stated that after 3 years of missing retention goals the problem could persist for another 2 years before additional funds were available to increase retention bonuses given the programming and budget cycle.", "Navy workforce planning officials acknowledged that they are concerned about increasing difficulty in providing sufficient numbers of mid-career pilots to meet the Navy\u2019s aviation requirements over future years, which includes UAS operator requirements. In addition to competition from commercial airlines, Navy officials told us a growing labor market in the commercial drone industry could exacerbate pilot retention challenges for those with secondary qualifications to operate UAS. However, they added that little is known about the demand and available wages in that industry.", "Likewise, Marine Corps officials told us that past challenges in meeting requirements and retaining experienced operators could persist in future years, and hiring in the commercial drone industry could affect retention. These officials stated that the Air Force could also pose a future retention challenge for the Marine Corps\u2019 UAS operator community. The Air Force offers the potential for higher pay to its UAS operators than the Marine Corps along with larger and more capable types of UAS. The Air Force reported to Congress in July 2017 that its projections of enlisted UAS operator retention indicate that a bonus may be necessary as soon as 2022. During discussion groups we held with Marine Corps UAS operators, enlisted operators cited the potential for higher pay for their skills outside the Marine Corps as a factor that has influenced reenlistment decisions among them or their peers. Operators in one group told us that three of their five RQ-21 Blackjack instructors were former enlisted operators from their squadron who secured employment with the RQ-21 Blackjack\u2019s manufacturer as private sector contractors.", "DOD\u2019s 2012 Eleventh Quadrennial Review of Military Compensation determined that organizations should assess civilian supply and demand and civilian wages to develop the most cost effective special and incentive pay strategies. We reported in February 2017 that conducting such an assessment is a key principle of effective human capital management by which to evaluate DOD\u2019s special and incentive pay programs. Our report also found that the services do conduct such assessments for aviation, nuclear propulsion, and cybersecurity occupations. Without assessing the commercial drone industry and using such information to inform retention approaches, including the use of special and incentive pays, the Navy and the Marine Corps may not know if their approaches are effectively tailored to ensure a sufficient number of UAS operators are available to meet future requirements."], "subsections": []}]}, {"section_title": "Marine Corps UAS Operators and Officers Report Low Morale and Career Satisfaction, but the Marine Corps Has Not Fully Examined Human Capital Flexibilities to Address These Issues", "paragraphs": ["The Marine Corps has experienced workforce challenges with its career field for UAS officers and enlisted operators, including diminished morale and career satisfaction and short periods of time in which operators are trained and available to UAS squadrons before their contract or squadron assignment ends. Results of a 2015 Marine Corps survey of UAS officers showed that about 65 percent of captains and first lieutenants who responded were dissatisfied with their career and about 75 percent of that group cited low job satisfaction as influencing their decision to leave the Marine Corps.", "UAS officers and enlisted operators in all eight discussion groups we held told us about factors that enhance their morale, including the opportunities to learn and to shape their community and their positive deployment experiences, but they also discussed factors that negatively affect their job satisfaction. UAS operators in all enlisted groups cited the frequency of personnel turnover in the squadron as a source of frustration in developing and retaining expertise with the RQ-21 Blackjack. Officers told us they feel like a lower tier priority in Marine Corps aviation for reasons ranging from the lack of a uniform insignia device akin to those awarded to manned aircraft pilots (i.e., pilot \u201cwings\u201d), to confusion over the strategy and missions for Marine Corps UAS now and in future years. UAS officers also told us they desired assignments to positions outside the UAS squadrons that they believed would enhance their leadership ability, but such positions had not consistently been available to them because they were needed to fill squadron billets. For example, the Marine Corps has limited or restricted UAS officers from applying for in- residence professional military education opportunities in past years because they could not be diverted from billets requiring their qualifications due to inventory shortages.", "UAS operators and officers spend approximately 2 years or more of their 3-year squadron assignment awaiting and completing training to attain proficiency and advanced skills with the RQ-21 Blackjack UAS. After training and deployment, they may have about 4 months or fewer to impart their knowledge and deployment experience to others in the squadron before they reach the end of their squadron assignment, the end of their service obligation, or both (see fig. 4).", "According to Marine Corps officials we spoke with, the loss of experienced UAS operators who do not reenlist and are replaced by lateral transfers from other careers results in diminished UAS expertise among mid-career enlisted members in the squadrons. These officials told us that personnel who transfer to the UAS career to replace experienced operators must spend at least 2 years in training for initial qualification and then proficiency on the RQ-21 Blackjack. Moreover, Marine Corps officials told us that a portion of the UAS operators who reenlist past their first contract must fulfill 3-year special duty assignments outside the UAS community. They stated that this exacerbates the diminished squadron expertise and is the reason that some operators leave rather than reenlist in the Marine Corps.", "Although the Marine Corps has taken steps to address challenges with UAS operator inventories by using special and incentive pays for enlisted operators and limiting opportunities that would divert officers away from squadrons, as previously discussed, it has not fully explored flexibilities for managing its UAS career fields more effectively to help meet requirements. Employing flexibilities to improve job satisfaction could help improve retention of experienced personnel in an already-challenged environment. For example, the Marine Corps has not authorized available aviation special and incentives pays for UAS officers in spite of challenges meeting personnel requirements. As mentioned previously, pilots who are selected for the UAS career field are informed by the Marine Corps that their flight pay and aviation continuation pay bonus eligibility will be terminated. The Marine Corps has incentivized enlisted personnel from certain specialties, such as aircraft maintenance, to both reenlist and to remain in a specified unit as recently as fiscal year 2018, but has not offered this opportunity to UAS operators. By considering longer UAS operator contracts, the Marine Corps could increase the availability of experienced operators to squadrons, where they can pass on their knowledge and skills to junior enlisted personnel.", "Our prior work has identified that a key principle for effective strategic human capital planning is that organizations should ensure that flexibilities are part of the overall human capital strategy to ensure effective workforce planning. According to Marine Corps officials, they have not taken additional steps to address workforce challenges in part because inventories of UAS operators and officers have grown and squadrons have generally attained readiness goals and accomplished their deployment missions despite personnel shortages. Further, these officials stated that low morale and career satisfaction could be partially caused by the current transition from the RQ-7 Shadow UAS to the RQ- 21 Blackjack, and to the relative newness of the officer career field. Without exploring these or other human capital flexibilities to improve morale and career satisfaction and maximize operators\u2019 availability to squadrons, the Marine Corps may face continued challenges in meeting personnel requirements and the growing demands of expanding operations and increasing UAS inventories. Moreover, as the Marine Corps budgets for additional resources to establish its own school for UAS operator training, flexibilities that could improve retention and maximize operator availability could also help ensure the greatest return on its investment in the UAS operator workforce."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["For almost 20 years we have identified strategic management of human capital as a high-risk area across government in part because of persistent gaps in mission critical skills. With the Navy\u2019s commitment to accelerate the delivery of unmanned systems to the fleet and its budget of nearly $10 billion to develop and procure those systems in fiscal years 2018 through 2022, having sufficient personnel with the appropriate skills at the right time will be critical. To that end, without additional actions to improve their workforce planning the Navy and the Marine Corps may not be positioned to support their expanding unmanned systems operations. Specifically, lacking clear workforce planning policies, decision makers may not know when they should consider using federal civilian employees and private sector contractors as alternatives in determining the most appropriate and cost-effective workforces for their unmanned system operators.", "With respect to personnel requirements development, until the Marine Corps\u2019 requirements and related cost estimates for the RQ-21 Blackjack UAS are updated, the services will lack current information about the number of operators needed and their affordability. Further, unless the Navy and the Marine Corps prioritize policy updates for operating and maintaining UAS of different sizes and capabilities they may miss opportunities to effectively and efficiently use personnel resources as system inventories grow. Without assessing the commercial drone industry and using that information to inform retention approaches, the Navy and Marine Corps may not know whether special and incentive pays are effectively tailored to ensure a sufficient number of UAS operators are available to meet future requirements. The Marine Corps, in particular, may continue to face challenges in meeting requirements and growing operational demands until it examines additional flexibilities to improve morale and career satisfaction among its UAS operator workforce and maximize the availability of operators serving in its squadrons. Overall, unmanned systems are key to future Navy and Marine Corps operations, but for these systems to be effective the services need to ensure that they take the necessary actions to provide sufficient personnel."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following ten recommendations to DOD. The Secretary of the Navy ensures that:", "The Chief of Naval Operations should clarify workforce planning policies to identify circumstances in which federal civilian employees and private sector contractors may serve in operational roles and what the benefits and limitations are of using federal civilians and private sector contractors as alternative workforces. (Recommendation 1)", "The Chief of Naval Operations should, after clarifying workforce planning policies, apply the revised policies to evaluate the use of alternative workforces (including federal civilian employees and private sector contractors) for future unmanned system operators. (Recommendation 2)", "The Commandant of the Marine Corps should clarify workforce planning policies to identify circumstances in which federal civilian employees and private sector contractors may serve in operational roles and what the benefits and limitations are of using federal civilians and private sector contractors as alternative workforces. (Recommendation 3)", "The Commandant of the Marine Corps should, after clarifying workforce planning policies, apply the revised policies to evaluate the use of alternative workforces (including federal civilian employees and private sector contractors) for future unmanned system operators. (Recommendation 4)", "The Commander, Naval Air Systems Command, in coordination with the Deputy Commandant of the Marine Corps for Combat Development and Integration, should update the Marine Corps personnel requirements associated with the RQ-21 Blackjack UAS based on the most current and enduring concept of operations and utilize the updated requirements in planning for UAS squadron personnel requirements. (Recommendation 5)", "The Commander, Naval Air Systems Command, should update the life cycle cost estimate for the RQ-21 Blackjack UAS to make adjustments as appropriate after updating the personnel requirements for the system. (Recommendation 6)", "The Deputy Chief of Naval Operations for Warfare Systems (N9), in coordination with the Deputy Commandant for Aviation, should prioritize continued efforts to fully evaluate policies for operating and maintaining UAS of different sizes and capabilities, such as group 3 UAS\u2014to include establishing completion time frames, determining whether reductions to personnel requirements could be accomplished, and identifying any associated cost savings and the benefits to the UAS squadrons\u2019 ability to complete missions\u2014and update such policies as needed. (Recommendation 7)", "The Secretary of the Navy should clarify overarching goals for unmanned systems\u2019 personnel requirements, including related priority levels for resourcing purposes, and communicate them to requirements planners and budget decision makers. (Recommendation 8)", "The Chief of Naval Personnel and the Deputy Commandant for Manpower and Reserve Affairs should assess civilian supply, demand, and wages in the commercial drone industry and use the results to inform retention approaches, including the use of special and incentive pays for UAS operators. (Recommendation 9)", "The Deputy Commandant for Aviation and the Deputy Commandant for Manpower and Reserve Affairs should examine the use of additional human capital flexibilities that could improve the career satisfaction and retention of experienced UAS operators and maximize their availability to squadrons. Such flexibilities could include authorizing available special and incentive pays; permitting UAS operators to extend their enlistments to serve longer within squadrons; ensuring the availability of career- and promotion- enhancing opportunities for professional military education; considering the use of a potential insignia device for operators; or extending UAS operator contract lengths. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix III, DOD concurred with eight of our recommendations and partially concurred with two recommendations. DOD also provided technical comments on the draft report, which we incorporated as appropriate.", "With regard to our recommendation to assess civilian supply, demand, and wages in the commercial drone industry and use the results to inform retention approaches, DOD partially concurred. DOD stated that it will assess competitive markets, both externally and internally, and then analyze the usage of incentive pays for UAS operators when retention rates and inventory levels of personnel display decreasing trends. DOD added that such analysis would be premature if conducted before initial operational capability is attained for each UAS because retention behaviors and air crew dynamics are not yet established. As noted in our report, the Navy and the Marine Corps have each attained initial operational capability with one UAS (i.e., the MQ-8 Fire Scout B-variant and the RQ-21 Blackjack) and quantities of these and other UAS are expected to increase in future years. Additionally, the Marine Corps has designated UAS officer inventories as unhealthy since fiscal year 2013. Accordingly, we continue to believe that conducting such assessments and using the results are timely and important steps to ensure enough personnel to meet future operator requirements.", "DOD partially concurred with our recommendation to examine the use of additional human capital flexibilities that could improve the career satisfaction and retention of experienced UAS operators. DOD stated that human capital flexibilities are constantly under review. Further, DOD stated that the UAS community is still in its infancy, but as it continues to grow and become healthier, assignment opportunities and flexibilities will become more prevalent and special and incentive pays will be examined as retention rates dictate. Such efforts would meet the intent of our recommendation if the opportunities and flexibilities DOD considers include other examples cited in our recommendation. That is, we continue to believe that DOD should also consider permitting UAS operators to extend their enlistments to serve longer within squadrons; ensuring the availability of career- and promotion-enhancing opportunities for professional military education; considering the use of a potential insignia device for operators; and extending UAS operator contract lengths.", "We are providing copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of the Navy, and the Commandant of the Marine Corps. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Characteristics of Selected Navy and Marine Corps Unmanned Systems", "paragraphs": [], "subsections": [{"section_title": "Navy MQ-8 Fire Scout Unmanned Aerial System", "paragraphs": ["The Navy\u2019s MQ-8 Fire Scout unmanned aerial system (UAS) (B and C variants) is intended to provide real-time imagery and data in support of intelligence, surveillance, and reconnaissance missions for surface, anti- submarine, and mine warfare. The system is part of the surface warfare and mine countermeasures mission packages of the littoral combat ships. The MQ-8 system comprises one or more air vehicles with sensors, a control station, and ship equipment to aid in vertical launch and recovery. According to the program office, the MQ-8C has 90 percent commonality with the previously developed MQ-8B. The primary differences between the two are structural modifications to accommodate the MQ- 8C\u2019s larger airframe and fuel system."], "subsections": [{"section_title": "Delivery Status and Schedule", "paragraphs": ["The manufacturer has delivered 49 aircraft to the Navy as of September 2017 (including 30 B variants and 19 C variants), and 11 more aircraft (C variants) are scheduled to be delivered by fiscal year 2019.", "The Navy attained initial operational capability with the B variant of the Fire Scout in fiscal year 2014, and plans to attain initial operational capability with the C variant in December 2018, depending on the availability of the littoral combat ship from which it deploys."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["A composite aviation detachment embarked on a littoral combat ship consists of up to 24 personnel, including operator air crews equipped with one MH-60 helicopter and one MQ-8 Fire Scout UAS. An air crew consists of two personnel: one air vehicle operator and one mission payload operator. There is no additive personnel requirement associated with operators of the MQ-8 Fire Scout because these personnel already reside within existing expeditionary MH-60 helicopter squadron detachments. The littoral combat ships\u2019 crew berthing constraints was a key limiting factor in creating the personnel requirements for the number of air crew in a single composite aviation detachment.", "Navy officials told us that they believe, based on deployment experiences and available data, that the personnel requirements for the MQ-8 Fire Scout are correct, although they stated that the operational tempo has been very limited to date due to problems with the littoral combat ship that have reduced the number of deployments."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["MH-60 helicopter pilots and enlisted aircrewmen from expeditionary helicopter squadrons attend 8 and 6 weeks, respectively, of MQ-8 Fire Scout UAS training. During deployments, these personnel serve dual roles as air crew of both the MH-60 and the MQ-8 Fire Scout.", "MQ-8 Fire Scout air vehicle operators hold primary career designators as Navy helicopter pilots, and after their UAS training they are identified with an additional qualification designator of DY8. According to a senior Navy official, private sector contractors trained 126 air vehicle operators prior to February 2015, and since then Navy has trained another 91 air vehicle operators as of May 2017.", "MQ-8 Fire Scout mission payload operators have an enlisted rating as a helicopter aircrewman, and after their UAS training they are identified with a Navy enlisted classification code of 8367. According to a senior Navy official, private sector contractors trained 148 mission payload operators through March 2017, and the Navy has trained another 68 mission payload operators since February 2017 (as of May 2017).", "According to Navy officials, they do not expect that the approach for staffing MQ-8 Fire Scout aircrew to negatively affect accessions or retention in the helicopter community, even when operational tempo increases, but they are continuing to monitor feedback from deployments."], "subsections": []}]}, {"section_title": "Navy MQ-4 Triton UAS", "paragraphs": ["The Navy\u2019s MQ-4 Triton UAS is intended to provide persistent maritime intelligence, surveillance, and reconnaissance data collection and dissemination capability in an operating area of a 2,000 nautical miles radius. Based on the Air Force\u2019s RQ-4B Global Hawk air vehicle, the MQ- 4 Triton was formerly known as the Broad Area Maritime Surveillance UAS. Triton UAS sensors can provide detection, classification, tracking, and identification of maritime targets. Additionally, the MQ-4 Triton is designed with a communications relay capability that can link dispersed forces in the theater of operation. The system will cue other Navy assets for further situational investigation and/or attack, and will also provide a battle damage assessment of the area of interest. Tactical-level data analysis will occur in real-time at shore-based mission control systems via satellite communications.", "The MQ-4 Triton is planned to operate from five shore-based sites worldwide as part of the Navy\u2019s family of maritime patrol and reconnaissance systems. From these sites, five MQ-4 Triton air vehicles will be airborne concurrently, 24 hours a day and 7 days a week (see fig.6).", "As a precursor to the MQ-4 Triton, the Navy\u2019s RQ-4A Broad Area Maritime Surveillance System-Demonstrator has been continuously deployed to the U.S. Central Command area since January 2009. All four of those planned demonstrator systems have been delivered to the Navy."], "subsections": [{"section_title": "Planned Quantity", "paragraphs": ["The manufacturer has delivered 2 systems to the Navy as of September 2017 and the Navy expects 10 more systems to be delivered through fiscal year 2021. At the time of this report, no air vehicles had yet been delivered to the Navy\u2019s first unmanned patrol squadron; the 2 systems were being utilized for testing.", "The Navy has estimated that it will attain initial operational capability with the MQ-4 Triton UAS in 2021."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["One of the Navy\u2019s two planned unmanned patrol squadrons (referred to as VUPs) will have 30 mission crews, the other squadron will have 20 mission crews, and both squadrons will have additional launch and recovery operators. A MQ-4 Triton mission crew will consist of four personnel: one air vehicle operator, one tactical coordinator, and two mission payload operators. Future upgrades to the MQ-4 Triton will require a fifth mission crew member to fill a signals intelligence capability operator position. The number of required mission crew members was based in part upon a model that Naval Air Systems Command utilizes to project the number of air crew personnel to support a system.", "According to Navy officials, the additional personnel requirements for the Navy associated with the establishment of Triton squadrons are offset by realignments of the Maritime Patrol and Reconnaissance Force, including the retirement of the P-3 Orion aircraft and reduction of associated personnel requirements.", "Navy officials told us that they believe, based in part on experience with the Broad Area Maritime Surveillance - Demonstrator, that the personnel requirements for the MQ-4 Triton are adequate, although they stated that they will continue to review and monitor the requirements for sufficiency in future years as the Navy attains steady state operations with the system\u2019s five continuous orbits."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["The Navy\u2019s approach for staffing operator aircrew for the MQ-4 Triton is to utilize a portion of its naval aviators, naval flight officers, and enlisted aircrew whose qualification is on a maritime patrol and reconnaissance force aircraft (e.g., the P-8A Poseidon) and assign them to an unmanned patrol squadron following a sea tour with their primary aircraft. According to Navy officials, the career path for all its aviators generally includes a number of shore duty options following a first deployment. The unmanned patrol squadron assignments will be an additional option for aviators\u2019 first shore tour. The Navy will provide Triton aircrew members with approximately 3 months of training to qualify on the UAS in connection with their unmanned patrol squadron assignment. Air vehicle operators and tactical coordinators who are trained and qualified on the MQ-4 Triton will be identified with an additional qualification designator of DC5. Trained and qualified mission payload operators will be identified with a Navy enlisted classification of 7828.", "According to Navy officials, they do not expect the approach for staffing MQ-4 Triton aircrew to affect accessions or retention in the maritime patrol and reconnaissance community at this time, but it is too soon to be certain. In the meantime, the officials stated that they will continue to monitor personnel feedback and reassure personnel about the career value of experience in a MQ-4 Triton squadron. In addition, the Navy plans to leverage members of its reserve component to augment the pool of available personnel who can be assigned to its VUP squadrons."], "subsections": []}]}, {"section_title": "Navy MQ-25 Stingray UAS", "paragraphs": ["The Navy\u2019s MQ-25 Stingray UAS will be the first UAS to operate from aircraft carriers. According to Navy officials, the MQ-25 Stingray\u2019s primary mission will be to provide a robust refueling capability to extend the range and reach of the carrier air wing and reduce the need for F/A-18E/F Super Hornets to perform refueling missions, freeing them for strike missions, and preserving service life. As a secondary mission, the MQ-25 Stingray will also provide an intelligence, surveillance, and reconnaissance capability. The Navy previously referred to the MQ-25 Stingray as the Carrier Based Aerial Refueling System, a program that followed a restructuring of the former Unmanned Carrier-Launched Airborne Surveillance and Strike program."], "subsections": [{"section_title": "Planned Quantity", "paragraphs": ["The Navy\u2019s initial plan is to purchase 72 MQ-25 Stingray air vehicles."], "subsections": []}, {"section_title": "Delivery Status and Schedule", "paragraphs": ["No systems have been delivered and a delivery schedule has not been established because the system is still in an early stage of DOD\u2019s acquisition process, with a contract award for system development scheduled for the fourth quarter of fiscal year 2018.", "The Navy has estimated attaining initial operational capability with the system by the mid-2020s time frame."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": [], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["The Navy has not yet developed a staffing approach for MQ-25 Stingray operators. According to Navy officials involved in establishing plans and requirements for the system, they are considering different options for the systems\u2019 operators, including using enlsited personnel or an approach similar to that used for the MQ-8 Fire Scout operators in which a population of aviation personnel, including pilots, would be identified from a related, existing aircraft community\u2014such as the E-2 Hawkeye aircraft\u2014and provided with UAS qualification training if they were assigned to operate the MQ-25 Stingray in a composite squadron along with their other primary aircraft. According to these officials, at the direction of the Commander of Naval Air Forces, they have considered establishing a new UAS operator career field and surveyed midshipmen at the U.S. Naval Academy to gauge their interest in such a career."], "subsections": []}]}, {"section_title": "Marine Corps RQ-21 Blackjack UAS", "paragraphs": ["The Marine Corps\u2019 RQ-21 Blackjack UAS provides units with a dedicated intelligence, surveillance, and reconnaissance capability for tactical commanders in real time by providing actionable intelligence and communications relay for 12-hour continuous operations per day, with a short surge capability of 24-hours of continuous operations for a 10-day period, during any 30-day cycle.", "An RQ-21 Blackjack system consists of five air vehicles, two ground control stations, multi-mission payloads, one launcher, one recovery system, data links, and support systems. Standard payloads include electro-optical and infrared cameras, communications relay payload, and automatic identification system. Future upgraded capabilities may include command and control integration, weapons integration, heavy fuel engine, laser designator, frequency agile communications relay, digital common data link, and cyclic refresh of the electro-optical and infrared cameras.", "The RQ-21 Blackjack can be launched and recovered from land or from air-capable ships, including L-class ships (e.g., amphibious transport docks) (see fig. 7)."], "subsections": [{"section_title": "Delivery Status and Schedule", "paragraphs": ["The manufacturer has delivered 11 systems to the Marine Corps as of September 2017 and the Marine Corps expects the other 21 planned systems to be delivered through 2022.", "The Marine Corps attained initial operational capability with the RQ-21 Blackjack in 2016."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["The Marine Corps has three active duty unmanned aerial vehicle squadrons (VMU 1, 2, and 3) and one reserve VMU squadron (VMU 4) that will operate the RQ-21 Blackjack UAS. Each active duty VMU will contain nine detachments and each detachment will comprise 9 personnel\u2014including 1 UAS officer and 3 enlisted UAS operators\u2014and one RQ-21 Blackjack UAS. The Marine Corps Reserve\u2019s VMU 4 will contain three detachments.", "The Marine Corps\u2019 does not distinguish between requirements for air vehicle operators and mission payload operators for the RQ-21 Blackjack because those functions are performed by the same operator."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["The Marine Corps has a primary career field for operating UAS, including enlisted UAS operators and UAS officers. The Marine Corps replenishes its UAS operator and officer personnel inventories by selecting from eligible applicant groups. For enlisted UAS operators, eligible groups include new graduates of recruit training and experienced marines who apply for a lateral transfer from another occupational specialty. UAS officers are selected from three sources: new graduates of officer training; pilot or flight officer trainees who do not complete their manned aircraft qualification; and experienced officers seeking a transfer from another occupational specialty, including pilots of manned aircraft.", "The Marine Corps requires certain minimum test scores before marines can be selected for UAS training. Enlisted marines must achieve minimum test scores comparable to those required for other high-skill occupations, such as intelligence specialists. Officers take a separate test battery and must attain the same minimum scores as other officers who are selected for manned naval aviation training. Following their selection for UAS training, enlisted personnel must complete 5 months of Army UAS training courses to attain their military occupational specialty as a UAS operator. Officers attend 6 months of Air Force training courses to attain their occupational specialty. The Marine Corps then assigns a primary occupation identification code to trained personnel, which is 7314 for enlisted UAS operators or 7315 for UAS officers.", "The Marine Corps assigns enlisted personnel and officers to one of its UAS squadrons after they attain their occupational specialty, where they continue their UAS training to attain and maintain proficiency and advanced qualifications. As discussed earlier in this report, Marine Corps UAS squadrons believe that an RQ-21 Blackjack detachment requirement of 9 personnel is not sufficient to meet their workloads. Since 2015, squadrons have staffed their deploying detachments with up to 30 personnel each to support the workload and levels of supervision they believe are necessary to operate and maintain an RQ-21 Blackjack UAS and avoid mishaps and damage to the aircraft during recovery to meet operating and maintenance standards, among other reasons."], "subsections": []}]}, {"section_title": "Navy Mine Countermeasures Unmanned Surface Vehicle and Unmanned Influence Sweep System", "paragraphs": ["The Navy\u2019s Mine Countermeasures Unmanned Surface Vehicle (USV) and Unmanned Influence Sweep System will be part of the mine countermeasures mission package of the Navy\u2019s littoral combat ships (see fig. 8).", "The Mine Countermeasures USV will tow a sonar payload for mine hunting. The Unmanned Influence Sweep System will use the same USV platform to tow an acoustic and magnetic influence sweep payload to clear bottom and moored mines. Both systems will be launched and recovered from littoral combat ships."], "subsections": [{"section_title": "Planned Quantity", "paragraphs": ["For the Mine Countermeasures USV, the projected inventory is 2 systems per mine countermeasures mission package for a total of 48 systems, in addition to systems needed for training.", "For the Unmanned Influence Sweep System, the projected inventory is 1 per mine countermeasures mission package for a total of 24 payloads, in addition to payloads for training."], "subsections": []}, {"section_title": "Delivery Status and Schedule", "paragraphs": ["As of September 2017, two Mine Countermeasures USVs were under construction, but neither had been delivered to the Navy. The Navy plans to attain initial operational capability with the Mine Countermeasures USVs in fiscal year 2021.", "As of September 2017, one Unmanned Influence Sweep System had been constructed and the Navy expects it to be delivered for testing by fiscal year 2018. The Navy plans to attain initial operational capability with the Unmanned Influence Sweep System in fiscal year 2019."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["The Mine Countermeasures USV and Unmanned Influence Sweep System will be operated by littoral combat ship mine countermeasures mission package crews of 20 personnel each. The precise number of operators per system will be determined and updated as the systems progress through acquisition."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["According to Navy officials, USV operators associated with the littoral combat ships\u2019 mine countermeasures mission package crews will not be directly accessed and recruited to such positions. Instead, these officials stated that enlisted sailors from related primary career ratings will be assigned to the crews and trained on the USVs along with other systems as part of a longer training pipeline. Upon their completion of training, the Navy plans to identify them with a Navy enlisted classification code of 1206, Littoral Combat Ship Mine Warfare Mission Package Specialist."], "subsections": []}]}, {"section_title": "Navy MK 18 Unmanned Underwater Vehicle Family of Systems", "paragraphs": ["The Navy\u2019s MK 18 Unmanned Underwater Vehicle (UUV) family of systems consists of the MK 18 \u201cMod 1\u201d Swordfish UUV and the MK 18 \u201cMod 2\u201d Kingfish UUV. The MK 18 Mod 1 Swordfish is a man-portable system that performs autonomous, low-visibility exploration and reconnaissance missions in support of amphibious landings and mine countermeasures operations, among other things. The MK 18 Mod 2 Kingfish UUV is a larger vehicle with increased endurance and depth, and more advanced sensors to improve mine countermeasures capabilities. The Mod 1 Swordfish and the Mod 2 Kingfish operate in very shallow water and shallow water zones, and will be tactically integrated to enable detection of moored and bottom mines at increased standoff and reduced risk to operators and systems that would otherwise be operating in the minefield.", "The MK 18 systems can be launched and recovered from shore, from rigid hull inflatable boats or from ships (see fig. 9). 41 (25 Mod 1 Swordfish and 16 Mod 2 Kingfish)"], "subsections": [{"section_title": "Delivery Status and Schedule", "paragraphs": ["The manufacturer has delivered 33 systems (21 Mod 1 Swordfish and 12 Mod 2 Kingfish) to the Navy as of fiscal year 2017. The Navy attained full operational capability with the first increment of the Mod 1 Swordfish in fiscal year 2007 and expects to attain initial operational capability with the first increment of the Mod 2 Kingfish in fiscal year 2019."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["MK 18 UUVs are operated by platoons within three different Navy units: Explosive Ordinance Disposal Mobile Unit One, Mobile Diving and Salvage Unit Two, and the Naval Oceanography Mine Warfare Center. According to Navy officials, the establishment of such platoons did not generate an additive personnel requirement to those units. The minimal personnel requirement for MK 18 operations includes three UUV operators and a UUV supervisor, along with an officer-in-charge, a boat coxswain, and a boat engineer."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["According to Navy officials, the Navy does not directly access or recruit personnel to fill its requirements for operators of the MK 18 UUVs. These officials stated that, instead, enlisted sailors from related primary career ratings, including special warfare boat operator and aerographer\u2019s mate ratings, can be assigned to a unit that operates the UUVs either on their first tour or later in their career on a subsequent assignment. Navy officials also stated that Navy Expeditionary Combat Command is coordinating with the Commander, Submarine Forces, to potentially utilize the Navy enlisted classification code of 9550 for its UUV operators."], "subsections": []}]}, {"section_title": "Navy Snakehead Large Displacement UUV", "paragraphs": ["The Navy\u2019s Snakehead Large Displacement UUV will be a long- endurance, off-board system that will conduct reconnaissance and surveillance missions in denied areas and in waters too shallow or otherwise inaccessible for conventional platforms (see fig. 10).", "The Snakehead Large Displacement UUV will be launched and recovered from submarines and surface ships."], "subsections": [{"section_title": "Planned Quantity", "paragraphs": ["No systems have been delivered to the Navy. The Navy is planning for the first 2 systems to be delivered in fiscal year 2020 and for another 2 systems to be delivered in fiscal year 2023. The Navy will attain initial operational capability with the first phase systems when two of them are delivered and tested on a host platform, a life-cycle sustainment plan is in place, and personnel are trained and equipped to operate and maintain the system from a host platform."], "subsections": []}, {"section_title": "Operator Personnel Requirements", "paragraphs": ["The Navy plans to field the Snakehead Large Displacement UUVs to UUV Squadron 1. According to Navy officials, the squadron is also testing or operating more than 10 other types of UUVs and expects to receive 2 or more other new types of UUVs through approximately fiscal year 2020, along with the Snakehead. Although Navy officials told us that it is too soon to analyze and determine the numbers of personnel required for the system at the time of this report, they plan to utilize forward-deployed operators to launch and recover the vehicle, an operator to control the vehicle from an operations center on land, and a mission payload operator as needed depending on the mission. The precise number of operators per system will be determined and updated as the systems progress through acquisition."], "subsections": []}, {"section_title": "Operator Staffing Approach", "paragraphs": ["In staffing personnel to meet requirements for UUV Squadron 1, Navy officials stated that they do not directly access or recruit personnel to fill such positions. Instead, these officials told us that enlisted sailors from related career ratings within the submarine community, such as sonar technicians, are assigned to the squadron generally after they have completed at least one previous assignment and have approximately 5 years of experience in the Navy. According to the officials, once personnel are assigned to the squadron, they receive UUV training to qualify on the systems they will operate, and they will be identified with a Navy enlisted classification code of 9550 for UUV operators."], "subsections": []}]}]}, {"section_title": "Appendix II: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses the extent to which the Navy and the Marine Corps have (1) evaluated workforce alternatives for their unmanned system operators, including the use of federal civilian employees and private sector contractors; (2) developed and updated personnel requirements and related policies and goals that affect requirements for operators, maintainers, and other support personnel for selected unmanned systems; and (3) developed approaches for staffing unmanned system operators to meet personnel requirements and have met those requirements.", "To address these objectives, we included in the scope of our review the Navy\u2019s and the Marine Corps\u2019 unmanned aerial systems (UAS), unmanned surface vehicles (USV), and unmanned underwater vehicles (UUV) that were programs of record in calendar year 2016. On the basis of Department of the Navy documentation and interviews with knowledgeable officials, we identified 24 such systems. To provide illustrative examples for our first and third objectives and to address the entirety of our second objective, we further narrowed our scope to those systems that had progressed far enough through DOD\u2019s acquisition process to be part of a program of record within the purview of the services\u2019 system commands. Additionally, we narrowed our scope for UASs, in particular, to those categorized as group 3 or above. We omitted smaller group 1 UASs because service officials told us that those systems are fielded in larger numbers as additional capabilities for existing units in accomplishing their missions and entail a small workload for operating and maintaining them relative to UASs of group 3 and above. Group 2 UASs that the Navy and the Marine Corps utilize are contractor-owned and operated, which was outside the scope of our review.", "From the remaining unmanned systems in our scope, we selected eight case studies to review the services\u2019 evaluations of workforce alternatives, development and updates of personnel requirements and related policies and goals, and staffing approaches: four UASs\u2014the Navy\u2019s MQ-4 Triton, MQ-8 Fire Scout, MQ-25 Stingray, and the Marine Corps\u2019 RQ-21 Blackjack; the two USVs\u2014the Unmanned Influence Sweep System and the Mine Countermeasures USV\u2014associated with the Navy\u2019s littoral combat ships; and two types of the Navy\u2019s UUVs\u2014the MK 18 family of UUV systems and the Snakehead Large Displacement UUV\u2014based on their size and missions. Although the results of the UUV case studies cannot be generalized to all UUVs across the Navy, they illustrate different characteristics of and approaches used for workforce mix, requirements, and staffing for such systems.", "To address our first objective, we compared any Navy and Marine Corps efforts to evaluate federal civilian employees and private sector contractors as workforce alternatives for operators of all of their unmanned systems, including those from our case study sample, with criteria from (1) DOD Directive 1100.4, Guidance for Manpower Management, which directs, among other things, that authorities consider all available sources when determining workforce mix, and that workforces be designated as federal civilians except in certain circumstances, and (2) DOD Instruction 1100.22, Policy and Procedures for Determining Workforce Mix, which establishes the workforce mix decision process and directs that workforce planning authorities consider all available personnel when determining the workforce mix\u2014that is, the combination of military servicemembers, federal civilians, and private sector contractors. Specifically, we analyzed available documentation for the selected case study systems on any evaluations the services performed of alternative workforces and the related decisions made about eligible personnel categories, and interviewed knowledgeable service officials about factors that informed those evaluations and decisions and any reasons for not evaluating workforce alternatives.", "We also interviewed officials from the Navy and OUSD(P&R) who are responsible for reviewing workforce and personnel planning documents for Navy and Marine Corps programs to understand any broader DOD or service workforce planning efforts for unmanned systems, and reasons for omitting certain personnel categories from consideration for systems that are in development. We reviewed our prior reports on workforce mix and DOD-commissioned workforce mix studies and interviewed officials from OUSD(P&R) to identify limitations and benefits associated with different categories of personnel, including military servicemembers, federal civilian employees of DOD, and private sector contractors. We reviewed the Navy\u2019s and the Marine Corps\u2019 policies on workforce planning to determine whether those policies provide more detailed guidance or criteria relative to those available in DOD\u2019s policies on circumstances for which alternative personnel sources should be considered or on the limitations and benefits associated with different workforce mix options. We also compared these service-level workforce planning policies with federal internal controls standards that emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals.", "To address our second objective, we reviewed the Navy\u2019s and the Marine Corps\u2019 efforts to develop and update personnel requirements for our selected case study systems, including documentation of steps taken to analyze and determine personnel requirements levels. We interviewed service officials about their views of the sufficiency of those personnel requirements for supporting training and deployment requirements for the selected systems. For any systems that service officials were concerned about the sufficiency of related personnel requirements, we compared documentation of the requirements with DOD Directive 1100.4 and with a Navy instruction. The DOD policy states that personnel requirements should be driven by workload and established at the minimum levels necessary to accomplish mission and performance objectives. Navy Instruction 1000.16L states that personnel requirements must be validated as program changes dictate and at a minimum annually over a system\u2019s lifecycle to determine if a personnel update is required. Further, we reviewed documentation of the life cycle cost estimate for the number of Marine Corps personnel required to operate and maintain the RQ-21 Blackjack, and of UAS squadrons\u2019 position on the sufficiency of those personnel requirements, and compared those documents with DOD guidance requiring that components determine a weapon system program\u2019s life cycle costs by planning for the many factors needed to support the system, including personnel, and with Office of Management and Budget guidance that states that to keep the cost analyses for capital assets, such as weapon systems, current, accurate, and valid, cost estimating should be continuously updated based on the latest information available as programs mature.", "In addition, we reviewed Navy policies on operating and maintaining UAS and documentation from the Marine Corps about the effect of those policies on UAS squadron personnel workload, and interviewed Navy and Marine Corps headquarters- and unit-level officials about those effects and any efforts underway to review and update policies. We then compared those efforts to review and update policies with DOD Directive 1100.4 stating that existing policies, procedures, and structures should be periodically evaluated to ensure efficient and effective use of personnel resources, and with federal internal controls standards that emphasize the importance of having clear, updated policies that align with an organization\u2019s mission and goals. Finally, we compared goals established in DOD\u2019s Unmanned Systems Integrated Roadmap, FY2013- 2038 and Department of the Navy strategy documents on unmanned systems with federal internal controls standards that state than an agency\u2019s management should define objectives clearly to enable the identification of risk.", "For our third objective, we reviewed the Navy\u2019s and the Marine Corps\u2019 steps to select, train, and track unmanned system operators to identify any challenges. We reviewed for the selected systems a combination of manpower estimate reports and personnel and training plan documents to identify approaches for staffing operators. We also reviewed personnel and training manuals describing prerequisites for related military qualifications and occupations. We interviewed command- and unit-level officials from the Navy and the Marine Corps to discuss the effectiveness of current staffing approaches for meeting their training and deployment requirements.", "Focusing on challenges with providing enough personnel to serve as UAS operators in particular, we also reviewed Navy reports on the retention of certain aviation personnel to serve as UAS operators and we reviewed Marine Corps data on its UAS operator inventory and retention levels relative to its requirements and goals. Specifically, we reviewed Navy reports on retention for fiscal years 2015 through 2017 because data from earlier years were less relevant given the lower numbers of UAS inventories. We requested data from the Marine Corps on its inventories of and requirements for enlisted UAS operators for fiscal years 2007 through 2017 and on UAS officers for fiscal years 2013 (the first year of available data) through 2017. We requested retention data\u2014actual numbers of personnel who reenlisted versus annual quotas\u2014on enlisted UAS operators for fiscal years 2010 (the earliest year for which data were available) through 2017.", "We assessed the reliability of these Marine Corps data by administering questionnaires and interviewing relevant personnel responsible for maintaining and overseeing the systems that supplied the data and manually checking the data for errors or omissions. Through these methods, we obtained information on the systems\u2019 ability to record, track, and report on these data, as well as on the quality control measures in place. We found the inventory and requirements data to be sufficiently reliable for the purposes of describing personnel inventory trends and the sufficiency of operator personnel to meet requirements. We found that the retention data are of undetermined reliability but are reporting them because they are the data of record used by Marine Corps planning officials. We also reviewed Navy and Marine Corps financial incentives for retaining sufficient personnel to serve as UAS operators and compared those approaches with criteria from DOD\u2019s 2012 Eleventh Quadrennial Review of Military Compensation, which established that organizations should assess civilian supply and demand and civilian wages to determine the most cost effective special and incentive pay strategies.", "Further, we compared the Marine Corps\u2019 efforts to address workforce challenges specific to the Marine Corps\u2019 UAS operator career field with a key principle of strategic human capital planning from our prior work, which states that agencies should ensure that flexibilities are part of their overall human capital strategy. In our prior work, we found that strategic human capital planning is an important component of an agency\u2019s effort to develop long-term strategies for acquiring, developing, and retaining staff needed for an agency to achieve its goals and of an agency\u2019s effort to align human capital activities with the agency\u2019s current and emerging mission. Specifically, we have found that an agency\u2019s efforts to conduct strategic human capital planning should include, among other things, building the capability needed to address administrative, educational, and other requirements important to supporting workforce strategies by ensuring that flexibilities are part of the overall human capital strategy. We focused on workforce challenges in the Marine Corps, in particular, because it has a long-established career field for UAS operators, and the Navy does not yet have a separate career field for any of its unmanned systems operators.", "We identified workforce challenges within the Marine Corps\u2019 UAS operator career field by reviewing a 2015 Marine Corps-sponsored survey of its pilot and UAS officer workforce. The survey included questions about satisfaction with career and benefits, and intentions to stay in the Marine Corps and the underlying reasons for these. Although officers in ranks of first lieutenant through lieutenant colonel were surveyed, we were unable to include majors and lieutenant colonels in reporting results for UAS officers because the Marine Corps aggregated those officers\u2019 responses with those of majors and lieutenant colonels who operate other types of aircraft. By reviewing the survey methodology and interviewing an official involved in administering the survey and analyzing the results, we determined that the survey results were sufficiently reliable for reporting the perceptions about career satisfaction at a single point in time for UAS operators who answered those questions.", "In addition, we visited one of three active duty Marine Corps UAS squadrons, which we chose because it had the most deployment experience with the RQ-21 Blackjack UAS. We met with squadron leaders to discuss their views about UAS personnel requirements and staffing approaches. We also conducted eight small group discussions with active duty UAS operators and officers\u2014separately for enlisted personnel and officers\u2014to gain their perspectives on topics such as morale, workload, and career satisfaction. The opinions of Marine Corps UAS operators we obtained during our discussion groups are not generalizable to the population of UAS operators in the Marine Corps."], "subsections": [{"section_title": "Office of the Secretary of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Joint Staff", "paragraphs": [], "subsections": []}, {"section_title": "Marine Corps", "paragraphs": ["Office of the Deputy Commandant for Aviation", "Office of the Deputy Commandant for Combat Development and", "Office of the Deputy Commandant for Manpower and Reserve Affairs", "Marine Corps Systems Command", "Marine Unmanned Aerial Vehicle Squadron 2 We conducted this performance audit from September 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Lori Atkinson, (Assistant Director), Melissa Blanco, Tim Carr, Mae Jones, Amie Lesser, Felicia Lopez, Ben Sclafani, Mike Silver, and Paul Sturm."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Department of Defense: Actions Needed to Address Five Key Mission Challenges. GAO-17-369. Washington, D.C.: June 13, 2017.", "Navy Force Structure: Actions Needed to Ensure Proper Size and Composition of Ship Crews. GAO-17-413. Washington, D.C.: May 18, 2017.", "High Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Military Compensation: Additional Actions Are Needed to Better Manage Special and Incentive Pay Programs. GAO-17-39. Washington, D.C.: February 3, 2017.", "Unmanned Aerial Systems: Air Force and Army Should Improve Human Capital Planning for Pilot Workforces. GAO-17-53. Washington, D.C.: January 31, 2017.", "Unmanned Aerial Systems: Further Actions Needed to Fully Address Air Force and Army Pilot Workforce Challenges. GAO-16-527T. Washington, D.C.: March 16, 2016.", "Military Personnel: Army Needs a Requirement for Capturing Data and Clear Guidance on the Use of Military for Civilian or Contractor Positions. GAO-15-349. Washington, D.C.: June 15, 2015.", "Unmanned Aerial Systems: Actions Needed to Improve DOD Pilot Training. GAO-15-461. Washington, D.C.: May 14, 2015.", "Air Force: Actions Needed to Strengthen Management of Unmanned Aerial System Pilots. GAO-14-316. Washington, D.C.: April 10, 2014.", "Human Capital: Additional Steps Needed to Help Determine the Right Size and Composition of DOD\u2019s Total Workforce. GAO-13-470. Washington, D.C.: May 29, 2013.", "Unmanned Aircraft Systems: Comprehensive Planning and a Results- Oriented Training Strategy Are Needed to Support Growing Inventories. GAO-10-331. Washington, D.C.: March 26, 2010.", "Human Capital: Key Principles for Effective Strategic Workforce Planning. GAO-04-39. Washington, D.C.: December 11, 2003."], "subsections": []}], "fastfact": []} {"id": "GAO-18-546", "url": "https://www.gao.gov/products/GAO-18-546", "title": "Data Act: Reported Quality of Agencies' Spending Data Reviewed by OIGs Varied Because of Government-wide and Agency Issues", "published_date": "2018-07-23T00:00:00", "released_date": "2018-07-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The DATA Act was enacted to increase accountability and transparency and, among other things, expanded on the required federal spending information that agencies are to submit to Treasury for posting to a publicly available website. The act also includes provisions requiring a series of oversight reports by agencies' OIGs and GAO.", "The objectives of this report are to describe (1) the reported scope of work covered and type of audit standards OIGs used in their reviews of agencies' DATA Act spending data; (2) any variations in the reported implementation and use of data standards and quality of agencies' data, and any common issues and recommendations reported by the OIGs; and (3) the actions, if any, OMB and Treasury have reported taking or planning to take to use the results of OIG reviews to help monitor agencies' implementation of the act.", "To address these objectives, GAO reviewed 53 OIG reports issued on or before January 31, 2018, that assessed agencies' first submissions of spending data for the second quarter of fiscal year 2017 and surveyed the OIGs to obtain additional information."]}, {"section_title": "What GAO Found", "paragraphs": ["The Digital Accountability and Transparency Act of 2014 (DATA Act) requires agencies' Offices of Inspector General (OIG) to issue reports on their assessments of the quality of the agencies' spending data submissions and compliance with the DATA Act. The scope of all OIG reviews covered their agencies' second quarter fiscal year 2017 submissions. The files the OIGs used to select and review sample transactions varied based on data availability, and OIGs performed different types of reviews under generally accepted government auditing standards. Some OIGs reported testing a statistical sample of transactions that their agencies submitted and other OIGs reported testing the full population of submitted transactions. Because of these variations, the overall error rates reported by the OIGs are not fully comparable and a government-wide error rate cannot be projected.", "According to the OIG reports, about half of the agencies met Office of Management and Budget (OMB) and Department of the Treasury (Treasury) requirements for the implementation and use of data standards. The OIGs also reported that most agencies' first data submissions were not complete, timely, accurate, or of quality.", "OIG survey responses show that OIGs generally reported higher (projected) overall error rates for the accuracy of data than for completeness and timeliness. OIGs reported certain errors that involve inconsistencies in how the Treasury broker (system that collects and validates agency-submitted data) extracted data from certain federal award systems that resulted in government-wide issues outside the agencies' control, while other errors may have been caused by agency-specific control deficiencies. For example, OIGs reported deficiencies related to agencies' lack of effective procedures or controls and systems issues. Most OIGs made recommendations to agencies to address identified concerns.", "OMB staff and Treasury officials told GAO that they reviewed the OIG reports to better understand issues identified by the OIGs. OMB issued new guidance in June 2018 requiring agencies to develop data quality plans intended to achieve the objectives of the DATA Act. Treasury officials told GAO that they are collaborating with OMB and the Chief Financial Officers Council DATA Act Audit Collaboration working group to identify and resolve government-wide issues."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report. The Council of the Inspectors General on Integrity and Efficiency (CIGIE) noted that GAO's report provides useful information on OIG efforts to meet oversight and reporting responsibilities under the DATA Act. OMB, Treasury, and CIGIE also provided technical comments that GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Digital Accountability and Transparency Act of 2014 (DATA Act) was enacted, in part, to increase accountability and transparency of federal spending, which totaled almost $4 trillion for fiscal year 2017. Among other things, the DATA Act includes provisions requiring a series of Office of Inspector General (OIG) and GAO oversight reports evaluating the completeness, timeliness, quality, and accuracy of federal agencies\u2019 spending data and the implementation and use of data standards. The act also requires the Office of Management and Budget (OMB) and Department of the Treasury (Treasury) to establish data standards to generate uniform agency data that are consistent and comparable.", "In accordance with the DATA Act and OMB and Treasury guidance, federal agencies submitted their first round of spending data in May 2017 for the second quarter of fiscal year 2017, and the OIGs issued their first mandated data quality oversight reports beginning in October 2017. This report is part of our ongoing monitoring of DATA Act implementation in response to provisions in the DATA Act that call for us to review OIG reports and issue reports assessing and comparing the quality of agency data submitted under the act and agencies\u2019 implementation and use of data standards.", "The objectives of this report are to describe (1) the reported scope of work covered and type of audit standards OIGs used in their reviews of agencies\u2019 DATA Act spending data; (2) any variations in the reported implementation and use of data standards and quality of agencies\u2019 data, and any common issues and recommendations reported by the OIGs; and (3) the actions, if any, that OMB and Treasury have reported taking or planning to take to use the results of OIG DATA Act reviews to help monitor agencies\u2019 implementation of the act.", "To address these objectives, we obtained and reviewed 53 OIG DATA Act reports that were issued on or before January 31, 2018, from 24 Chief Financial Officers Act of 1990 (CFO Act) agency OIGs and 29 non- CFO Act agency OIGs. We identified the OIGs\u2019 reported (1) scope of work and type of audit standards OIGs used in their reviews, (2) conclusions about agencies\u2019 implementation and use of the data standards and the quality of the agencies\u2019 data, (3) government-wide and agency-specific issues identified, and (4) recommendations to address identified deficiencies. We also surveyed OIGs to obtain additional information regarding error rates, sample sizes, control deficiencies identified, and other items associated with the reviews they conducted. We received and reviewed responses from the 53 OIGs that we obtained reports from and followed up with OIGs for clarification and corroboration, as necessary. Finally, we interviewed OMB staff and Treasury officials to determine how they used or plan to use the results of the OIG reviews in monitoring agencies\u2019 implementation of the DATA Act. Appendix I provides additional details on our scope and methodology.", "We conducted this performance audit from September 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The DATA Act was enacted May 9, 2014, for purposes that include expanding on previous federal transparency legislation by requiring the disclosure of federal agency expenditures and linking agency spending information to federal program activities, so that both policymakers and the public can more effectively track federal spending. The act also calls for improving the quality of data submitted to USAspending.gov by holding federal agencies accountable for the completeness and accuracy of the data submitted. The Federal Funding Accountability and Transparency Act of 2006 (FFATA), as amended by the DATA Act, identifies OMB and Treasury as the two agencies responsible for leading government-wide implementation. For example, the DATA Act requires OMB and Treasury to establish government-wide financial data standards that shall, to the extent reasonable and practicable, provide consistent, reliable, and searchable spending data for any federal funds made available to or expended by federal agencies. These standards specify the data elements to be reported under the DATA Act and define and describe what is to be included in each data element, with the aim of ensuring that information will be consistent and comparable. The DATA Act also requires OMB and Treasury to ensure that the standards are applied to the data made available on USAspending.gov."], "subsections": [{"section_title": "Sources of Data on USAspending.gov", "paragraphs": ["USAspending.gov has many sources of data. For example, agencies submit data from their financial management systems, and other data are extracted from government-wide federal financial award reporting systems populated by federal agencies and external award recipients. A key component of the reporting framework is Treasury\u2019s DATA Act broker (broker)\u2014a system that collects and validates agency-submitted data to create linkages between the financial and award data prior to their publication on the USAspending.gov website.", "According to Treasury guidance documents, agencies are expected to submit three data files with specific details and data elements to the broker from their financial management systems.", "File A: Appropriations account. This includes summary information such as the fiscal year cumulative federal appropriations account balances and includes data elements such as the agency identifier, main account code, budget authority appropriated amount, gross outlay amount, and unobligated balance.", "File B: Object class and program activity. This includes summary data such as the names of specific activities or projects as listed in the program and financing schedules of the annual budget of the U.S. government.", "File C: Award financial. This includes award transaction data such as the obligation amounts for each federal financial award made or modified during the reporting quarter (e.g., January 1, 2017, through March 31, 2017).", "The broker also extracts spending information from government-wide award reporting systems that supply award data (e.g., federal grants, loans, and contracts) to USAspending.gov. These systems\u2014including the Federal Procurement Data System-Next Generation (FPDS-NG), System for Award Management (SAM), Financial Assistance Broker Submission (FABS), and the FFATA Subaward Reporting System (FSRS)\u2014compile information that agencies and external federal award recipients submit to report, among other things, procurement and financial assistance award information required under FFATA. The four files produced with information extracted by the broker from the four systems are as follows:", "File D1: Procurement. This includes award and awardee attribute information (extracted from FPDS-NG) on procurement (contract) awards and contains elements such as the total dollars obligated, current total value of award, potential total value of award, period of performance start date, and other information to identify the procurement award.", "File D2: Financial assistance. This includes award and awardee attribute information (extracted from FABS) on financial assistance awards and contains elements such as the federal award identification number, the total funding amount, the amount of principal to be repaid for the direct loan or loan guarantee, the funding agency name, and other information to identify the financial assistance award.", "File E: Additional awardee attributes. This includes additional information (extracted from SAM) on the award recipients and contains elements such as the awardee or recipient unique identifier; the awardee or recipient legal entity name; and information on the award recipient\u2019s five most highly compensated officers, managing partners, or other employees in management positions.", "File F: Subaward attributes. This includes information (extracted from FSRS) on awards made to subrecipients under a prime award and contains elements such as the subaward number, the subcontract award amount, total funding amount, the award description, and other information to facilitate the tracking of subawards.", "The key components of the broker and how the broker operated when the agencies submitted their data for the second quarter fiscal year 2017 are shown in figure 1.", "After agencies submit the three files to the DATA Act broker, it runs a series of validations and produces warnings and error reports for agencies to review. After passing validations for these three files, the agencies are to generate Files D1 and D2, the files containing details on procurement and assistance awards. Before the data are displayed on USAspending.gov, agency senior accountable officials are required to certify the data submissions in accordance with OMB guidance. Certification is intended to assure alignment among Files A, B, C, D1, D2, E, and F, and to provide assurance that the data are valid and reliable. According to Treasury officials, once the certification is submitted a sequence of computer program instructions or scripts are issued to transfer and map the data from broker data tables to tables set up in a database used as a source for the information on the website. Certified data are then displayed on USAspending.gov along with certain historical information from other sources, including Monthly Treasury Statements."], "subsections": []}, {"section_title": "OIG Methodology and Reporting Guidance for Assessing Agencies\u2019 DATA Act Submissions", "paragraphs": ["The DATA Act requires each OIG to issue three reports on its assessment of the quality of the agency\u2019s data submission and compliance with the DATA Act. The first report was due November 8, 2016; however, agencies were not required to submit spending data in compliance with the DATA Act until May 2017. Therefore, the Council of the Inspectors General on Integrity and Efficiency (CIGIE) developed an approach to address what it described as a reporting date anomaly; encouraged interim OIG readiness reviews and related reports on agencies\u2019 implementation efforts; and delayed issuance of the mandated reports to November 2017, with subsequent reports following a 2-year cycle and due November 2019 and 2021.", "CIGIE established the Federal Audit Executive Council (FAEC) to discuss and coordinate issues affecting the federal audit community, with special emphasis on audit policy and operations of common interest to FAEC members. FAEC formed the FAEC DATA Act Working Group to assist the OIG community in understanding and meeting its DATA Act oversight requirements by (1) serving as a working-level liaison with Treasury, (2) consulting with GAO, (3) developing a common approach and methodology for conducting the readiness reviews and mandated reviews, and (4) coordinating key communications with other stakeholders. To assist the OIG community, the FAEC DATA Act Working Group developed a common methodology and published the Inspectors General Guide to Compliance Under the DATA Act (IG Guide) for use in conducting mandated reviews.", "The IG Guide includes procedures to test data in agencies\u2019 Files A and B by reconciling these data to the information that agencies report in their quarterly SF 133, Report on Budget Execution and Budgetary Resources. The IG Guide also instructs OIGs to select a statistically valid sample of spending data from the agencies\u2019 available award-level transactions in File C, and among other procedures, to confirm whether these data are also included in the agencies\u2019 Files D1 and D2. The OIGs are also to confirm whether the transactions in the sample were linked to the award and awardee attributes in Files E and F. The data in Files E and F are reported by award recipients in two external government-wide systems, and are outside the direct control of the federal agencies, except for the General Services Administration, which manages these external systems. Based on additional guidance from the FAEC DATA Act Working Group, OIGs are not required to assess the quality of the award recipient-entered data that the broker extracted from the two external government-wide systems used to create Files E and F.", "According to the IG Guide, the sampled spending data and testing results are to be evaluated using the following definitions for the requirements being assessed:", "Completeness is measured in two ways: (1) all transactions that should have been recorded are recorded in the proper reporting period, and (2) as the percentage of transactions containing all applicable data elements required by the DATA Act.", "Timeliness is measured as the percentage of transactions reported within 30 days of the end of the quarter.", "Accuracy is measured as the percentage of transactions that are complete and agree with the systems of record or other authoritative sources.", "Quality is defined in OMB guidance as a combination of utility, objectivity, and integrity. Utility refers to the usefulness of the information to the intended users. Objectivity refers to whether the disseminated information is being presented in an accurate, clear, complete, and unbiased manner. Integrity refers to the protection of information from unauthorized access or revision.", "The IG Guide also states that OIGs should assess agencies\u2019 implementation and use of the data standards, including evaluating each agency\u2019s process for reviewing the 57 required data elements and associated definitions that OMB and Treasury established and documenting any variances."], "subsections": []}, {"section_title": "Prior GAO Reports Related to the DATA Act and Data Quality", "paragraphs": ["In November 2017, we issued our first report on data quality as required by the DATA Act, which identified issues with the completeness and accuracy of the data that agencies submitted for the second quarter of fiscal year 2017, use of data elements, and presentation of the data on Beta.USAspending.gov. Among other things, we recommended that Treasury disclose known data quality issues and limitations on the new USAspending.gov website. Treasury agreed with that recommendation and stated that it would develop a plan to better disclose known data quality issues. Since the DATA Act\u2019s enactment in 2014, we have issued a series of interim reports on our ongoing monitoring of the implementation of the DATA Act and made recommendations intended to help ensure effective government-wide implementation. However, many of those recommendations still remain open.", "These reports identified a number of challenges related to OMB\u2019s and Treasury\u2019s efforts to facilitate agency reporting of federal spending, as well as internal control weaknesses and challenges related to agency financial management systems that we and agency auditors reported that present risks to agencies\u2019 ability to submit quality data as required under the act. For example, our prior work has identified issues with agency source systems that could affect the quality of spending data made available to the public. In April 2017, we reported a number of weaknesses and issues previously identified by agencies\u2019 auditors and OIGs that affect agencies\u2019 financial reporting and may affect the quality of the information reported under the DATA Act. We also reported on findings and recommendations from prior reports with issues on the four key award systems\u2014FPDS-NG, SAM, the Award Submission Portal (ASP), and FSRS\u2014which increase the risk that the data submitted to USAspending.gov may not be complete, accurate, and timely."], "subsections": []}]}, {"section_title": "OIG Reviews of Agencies\u2019 DATA Act Submissions Varied in Scope and Type of Standards Used", "paragraphs": ["Based on our review of the 53 OIG reports, the scope of all of the OIG reviews covered their agencies\u2019 submission of spending data for the second quarter of fiscal year 2017 (i.e., January through March 2017). However, the files that the OIGs included in their scope to select and review sample transactions and the type of audit standards used\u2014such as attestation examination engagement or performance audit\u2014varied among the OIGs.", "According to the IG Guide, the OIGs were to select and review a statistically valid sample of transactions, preferably from the agencies\u2019 File C certified data submissions; if File C was unavailable or did not contain data, they were to select their sample test items from Files D1 and D2. Based on their survey responses, we found that most OIGs tested data from File C, File D1, File D2, or some combination of these agency file submissions. We also found that some OIGs tested a statistical sample of transactions in these files, while others tested all the transactions in the files because of the small population size. Further, we found that some OIGs used different files when testing for completeness, timeliness, or accuracy. For example, one OIG used File C when testing for completeness, File D1 when testing for timeliness, and File D2 when testing for accuracy. Overall, as shown in figure 2, the source files that 47 of the 53 OIGs used for testing accuracy were as follows.", "Twenty-eight OIGs selected items for testing accuracy from File C.", "Twelve OIGs selected items for testing accuracy from Files D1, D2, or both.", "Seven OIGs selected items for testing accuracy from a combination of Files C, D1, and D2.", "The IG Guide also states that OIGs should conduct either attestation examination engagements or performance audits in accordance with generally accepted government auditing standards (GAGAS). Performance audits are audits that provide findings or conclusions based on an evaluation of sufficient, appropriate evidence against criteria. Attestation examination engagements involve obtaining sufficient, appropriate evidence with which to express an opinion stating whether the subject matter is in conformity with the identified criteria. In contrast to these two types of engagements that provide conclusions or opinions, agreed-upon procedures attestation engagements do not result in opinions or conclusions, but instead involve auditors performing specific procedures on the subject matter and issuing a report of findings.", "All 53 OIGs reported that they performed their engagements in accordance with GAGAS; 47 OIGs reported that they conducted a performance audit, 5 reported that they performed an attestation examination engagement, and 1 reported that it performed an agreed- upon procedures attestation engagement. Twenty-one CFO Act agency OIGs and 26 non-CFO Act agency OIGs conducted performance audits, 3 CFO Act agency OIGs and 2 non-CFO Act agency OIGs conducted attestation examination engagements, and 1 non-CFO Act agency OIG conducted an agreed-upon procedures attestation engagement."], "subsections": []}, {"section_title": "OIG Reports Show Variations in Agencies\u2019 Use of Data Standards and Quality of Data, and Most OIGs Made Recommendations to Address Identified Deficiencies", "paragraphs": ["According to the OIG reports, about half of the agencies met the OMB and Treasury requirements for implementation and use of data standards. However, almost three-fourths of OIGs determined that their respective agencies\u2019 submissions were not complete, timely, accurate, or of quality. Based on their reports and survey responses, certain OIGs also found data errors related to problems with how Treasury\u2019s DATA Act broker extracted information from external award reporting systems. The FAEC DATA Act Working Group considered these data errors to be a government-wide issue. Other errors that the OIGs identified may have been caused by agency-specific internal control deficiencies. Most of the OIGs made recommendations to agencies to help address the concerns they identified in their reports."], "subsections": [{"section_title": "OIG Reports Show About Half of the Agencies Met Requirements for Implementation and Use of Data Standards", "paragraphs": ["Based on our review of the 53 OIG reports, we found that 27 OIGs determined that their agencies met OMB and Treasury requirements for implementation and use of the data standards, whereas 23 OIGs determined that their agencies did not meet these requirements. In addition, 3 CFO Act agency OIGs did not include an assessment of their agencies\u2019 implementation and use of the data standards in their reports.", "The OIG reports described reasons why the 23 agencies did not meet the implementation and use of data standards requirements, including data submissions that did not include required data elements or included data elements that did not conform with the established data standards. For example, one OIG reported that 74 percent of transactions it tested did not contain program activity names or codes aligned with the President\u2019s Budget, and as a result, 39 percent of total obligations and 57 percent of total expenditures from that agency\u2019s data submission could not be aligned with established programs. Another OIG reported that because of inconsistent application of data standards and definitions across award systems, the agency\u2019s spending data were not complete, timely, or accurate.", "In their survey responses, certain OIGs identified additional concerns about their agencies\u2019 implementation and use of data standards and related data elements. Specifically, six OIGs identified differences between their agencies\u2019 definitions of the data standards and OMB guidance. For example, two OIGs noted differences between definitions in OMB guidance and their agencies\u2019 definitions of \u201cprimary place of performance address.\u201d One of these OIGs noted that its agency submitted the wrong data, providing the address of the legal entity receiving the award instead of the address of the primary place where performance of the award will be accomplished or take place. In our November 2017 report, we also noted that OMB guidance for this data element was unclear and recommended that OMB clarify and align existing guidance regarding the appropriate definitions agencies should use to collect and report on primary place of performance and establish monitoring mechanisms to foster consistent application and compliance.", "In addition, based on their survey responses, 21 OIGs reported error rates over 50 percent for 25 data elements. This includes 10 data elements that were reported by multiple OIGs and 15 data elements only reported by one OIG, as shown in table 1. There were five other data elements with error rates over 50 percent that the FAEC DATA Act Working Group determined to be government-wide broker-related data reporting issues, as discussed later in this report. The OIGs\u2019 survey responses did not indicate whether the data elements with errors were the result of issues related to the agencies\u2019 implementation or use of required data standards."], "subsections": []}, {"section_title": "OIG Reports and Survey Responses Show Most Agencies Did Not Submit Complete, Timely, Accurate, or Quality Data", "paragraphs": ["Based on the OIG reports, we found that 15 of the 53 OIGs determined that their agencies\u2019 data were generally complete, timely, accurate, or of quality, comprising 6 CFO Act agency OIGs and 9 non-CFO Act agency OIGs (see fig. 3). Conversely, 38 of 53 OIGs determined that their agencies\u2019 data were not complete, timely, accurate, or of quality, comprising 18 CFO Act agency OIGs and 20 non-CFO Act agency OIGs. OIG reports did not always include separate assessments for completeness, timeliness, and accuracy, but gave an overall assessment of the quality of the data.", "As part of our OIG survey, we requested the overall error rates, agency- specific error rates, and broker error rates for each requirement\u2014 completeness, timeliness, and accuracy\u2014used to evaluate the quality of data tested to help provide more insights on the nature and extent of errors that the OIGs identified. For the purposes of our survey, based on guidance from the FAEC DATA Act Working Group and in the IG Guide, these error rates were defined as follows:", "Overall error rate is the percentage of transactions tested that were not in accordance with policy, and includes errors due to the agency, broker, and external award reporting systems.", "Agency error rate is the percentage of transactions tested that were not in accordance with policy, and includes only errors that were within the agency\u2019s control.", "Broker error rate is the percentage of transactions tested that were not in accordance with policy, and includes only errors due to the broker and external award reporting systems.", "With regard to overall error rates and the tests conducted, 40 OIGs reported that they tested a statistical sample of transactions, 9 OIGs reported that they tested all transactions in the populations of data, and 4 OIGs reported that they did not test any transactions or were unable to complete their testing. As shown in figure 4, our survey results show that the 40 OIGs that tested a statistical sample of transactions generally reported higher (projected) overall error rates for the accuracy and completeness of data than for the timeliness of data. We found similar results based on our tests to assess the completeness, timeliness, and accuracy of government-wide spending data that we tested for the same time period, as described in our November 2017 report. More than half of the 40 OIGs reported projected overall error rates of 25 percent or greater for accuracy, including 8 OIGs reporting projected accuracy error rates of over 75 percent. In contrast, more than three-fourths of the OIGs projected overall error rates of less than 25 percent for completeness and timeliness of their agencies\u2019 data.", "See appendix II for more details on the 53 OIGs\u2019 individual agency testing results, including the actual overall error rates for those OIGs that tested the full population of transactions included in their agencies\u2019 data submissions and the estimated range of projected overall error rates for OIGs that conducted a statistical sample.", "The OIG survey responses that included agency-specific error rates showed that the agency-specific error rates were similar to the overall error rates, with accuracy of data having higher error rates than those for completeness and timeliness. Fourteen OIGs provided agency-specific error rates for accuracy, 13 OIGs provided agency-specific error rates for completeness, and 12 OIGs provided agency-specific error rates for timeliness of the data sampled.", "In addition, nine OIGs reported error rates for broker-related errors that, similar to the overall and agency-specific error rates, had higher error rates for accuracy of data than for completeness and timeliness. The FAEC DATA Act Working Group determined that the broker-related errors had a government-wide impact, as discussed further below. In October 2017\u20141 month before the mandated reports were to be issued\u2014the working group provided guidance to the OIGs suggesting that they determine and report these additional broker error rates separately because they were not within the agencies\u2019 control. Some OIGs may not have reported separate agency-specific and broker error rates as their work was already substantially completed.", "Of the nine OIGs that reported they tested all transactions in the populations of their agencies\u2019 data, five OIGs reported actual overall error rates and found that overall error rates for accuracy were higher than the error rates for completeness or timeliness. Of the four OIGs that reported agency-specific error rates, only one OIG reported an error rate for accuracy, and it was greater than 75 percent. One OIG reported a broker error rate, and it was higher for accuracy than for completeness or timeliness.", "In addition to using different testing methodologies (e.g., statistical sampling or testing the full population of transactions) and source files, as previously discussed, the OIGs also used different assumptions and sampling criteria to design and select sample items for testing. As a result, the overall error rates are not comparable and a government-wide error rate cannot be projected."], "subsections": []}, {"section_title": "DATA Act Broker-Related Issues Caused Certain Government-wide Data Reporting Errors", "paragraphs": ["Based on discussions with OIGs, the FAEC DATA Act Working Group identified certain data errors caused by broker-related issues that it determined to be government-wide data reporting issues. Also, because the broker is maintained by Treasury, these issues were beyond the control of the affected agencies. According to the working group, these issues involve inconsistencies in data the broker extracted from government-wide federal financial award reporting systems, as described in table 2. To help provide consistency in reporting these issues, the working group developed standard report language used by OIGs in their reports to describe the errors caused by the broker. The standard reporting language stated that because agencies do not have responsibility for how the broker extracts data, the working group did not expect agency OIGs to evaluate the reasonableness of Treasury\u2019s planned corrective actions.", "In April 2018, a Treasury official told us that the issues causing these problems have been resolved. To address these issues, the Treasury official stated that, among other things, Treasury implemented the DATA Act Information Model Schema version 1.1, loaded previously missing historical procurement data to USAspending.gov, updated how information from FPDS-NG is mapped to File D1, and replaced ASP with FABS. However, we plan to follow up on these efforts as a part of our ongoing monitoring efforts."], "subsections": []}, {"section_title": "OIGs Identified Agency- Specific Control Deficiencies That May Have Contributed to Data Errors", "paragraphs": ["In their survey responses and OIG reports, 43 OIGs reported agency- specific control deficiencies that may have contributed to or increased the risk of data errors. Of these 43 OIGs, 37 OIGs identified deficiencies affecting accuracy, 32 OIGs identified deficiencies affecting completeness, and 14 OIGs identified deficiencies affecting timeliness. A few OIGs reported that they leveraged their financial statement audit results, which found deficiencies in certain financial reporting controls, in conducting their DATA Act reviews. We categorized the OIGs\u2019 reported control deficiencies and found that the categories with the most frequently reported deficiencies related to their agencies\u2019 lack of effective procedures or controls, such as conducting reviews and reconciliations of data submissions to source systems, and information technology system deficiencies, as shown in figure 5. In their survey responses, OIGs provided additional information about whether their agencies\u2019 controls over agency source systems and controls over the DATA Act submission processes were properly designed, implemented, and operating effectively to achieve their objectives. For both CFO Act and non-CFO Act agencies, OIGs generally reported that agencies\u2019 internal controls over source systems and the DATA Act submission process were designed effectively but were not implemented or operating effectively as designed.", "Some examples of agency-specific control deficiencies reported by the OIGs are as follows.", "Lack of effective procedures or controls. Deficiencies where agency procedures for reviewing and reconciling data and files to different sources were not performed, or were performed ineffectively, or standard operating procedures for data submissions had not been designed and implemented. For example, some of these deficiencies related to agencies\u2019 lack of review or reconciliation of data in Files A and B to data in Files D1 and D2. Further, two OIGs found that their agencies did not perform any sort of quality review of their data until after they were submitted to the broker. Another OIG found that its agency did not ensure that its components developed objectives for accomplishing its data submissions, assessed the risks to achieving those objectives, or established corresponding controls to address them. As a result, the agency\u2019s DATA Act submissions included errors.", "Information technology system deficiencies. Deficiencies related to the lack of effective automated systems controls necessary to ensure proper system user access or automated quality control procedures and the accuracy and completeness of data, as well as systems that are not compliant with federal financial management system requirements. For example, one OIG noted that its agency experienced issues related to segregation of duties and access controls that affected the agency\u2019s ability to ensure completeness and accuracy of data in its financial, procurement, and grant processing systems. Another OIG found that its agency did not complete necessary system updates to ensure that all data were certified prior to submission. Further, an OIG reported that its agency\u2019s information system was unable to combine transactions with the same unique identifiers, resulting in over 12,000 transactions being removed because of broker warnings.", "Insufficient documentation. Deficiencies related to agencies\u2019 production and retention of documentary evidence supporting their DATA Act submissions. For example, three OIGs found that their agencies were unable to provide supporting documentation for various portions of their DATA Act submissions. Another OIG reported that one of its agency\u2019s components did not take effective steps to ensure that procurement and grant personnel understood the specific documentation that should be maintained to support data entered in grant and contract files. Further, another OIG found that its agency did not document the process for compiling the agency\u2019s DATA Act submission files.", "Inappropriate application of data standards and data elements. Deficiencies related to the inappropriate use of data definition standards or the misapplication of data elements. For example, one OIG found that its agency did not identify the prior year funding activity names or codes for all transactions included in its spending data submission. Another OIG found that its agency did not consistently apply standardized object class codes in compliance with OMB guidance, as well as standardized U.S. Standard General Ledger account codes as outlined in Treasury guidance. Similarly, an OIG reported instances where agency users of certain award systems were not knowledgeable about how required DATA Act elements were reported in their procurement system.", "Data entry errors or incomplete data. Deficiencies related to controls over data entry and errors or incomplete data in agency or government- wide external systems. For example, an OIG found that its agency did not include purchase card transactions greater than $3,500, which represented about 1 percent of the agency\u2019s data submission. Another OIG reported that its agency\u2019s service provider did not enter miscellaneous obligations in the data submission file because it expected the agency to enter such transactions in the federal procurement data system.", "Timing errors. Deficiencies related to delays in reporting information to external government-wide systems that result in errors in the data submitted. For example, one OIG reported that its agency did not take effective steps to ensure that contracting officers timely report required DATA Act award attribute information in FPDS-NG. Another OIG reported that a bureau in its agency consistently submitted certain payment files 2 months late, resulting in incomplete Files C and D2 in the agency\u2019s data submission.", "Inaccurate broker uploads. Deficiencies related to agencies uploading data to the broker. For example, one OIG found a lack of effective internal controls over data reporting from its agency\u2019s source systems to the DATA Act broker for ensuring that the data reported are complete, timely, accurate, and of quality. Specifically, certain components were not able to consolidate data from multiple source systems and upload accurate data to the broker for File C. Another OIG reported that the broker could not identify and separate an individual component\u2019s award data from agency- wide award data. Specifically, the broker recognized only agency-wide award data and did not include award data from its agency\u2019s individual components. As a result, the OIG reported that the component did not comply with the DATA Act requirements because its submission did not include all of the agency\u2019s required award data.", "Reliance on manual processes. Deficiencies that cause agencies to rely on manual processes and work-arounds. For example, one OIG found that in the absence of system patches to map data elements directly from feeder award systems to financial systems, its agency developed an interim solution that relied heavily on manual processes to collect data from multiple owners and systems and increased the risk for data quality to be compromised. Another OIG reported that its agency\u2019s financial management systems are outdated and unable to meet DATA Act requirements without extensive manual efforts, resulting in inefficiencies in preparing data submissions.", "Other. Other deficiencies including, among other things, instances where an agency\u2019s senior accountable official did not submit a statement of assurance certifying the reliability and validity of the agency account-level and award-level data submitted to the DATA Act broker, an agency did not provide adequate training and cross-training of personnel on the various DATA Act roles, and certain components of one agency were not included in the agency\u2019s DATA Act executive governance structure."], "subsections": []}, {"section_title": "Most OIGs Made Recommendations to Agencies to Improve Data Quality and Controls", "paragraphs": ["To help address control deficiencies and other issues that resulted in data errors, 48 of the 53 OIGs (23 CFO Act agency OIGs and 25 non-CFO Act agency OIGs) included recommendations in their reports. As shown in figure 6, the most common recommendations OIGs made to their agencies related to the need for agencies to develop controls over their data submissions, develop procedures to address errors, and finalize or implement procedures or guidance.", "Some examples of OIG recommendations made to agencies to improve data quality and controls are as follows.", "Develop controls over submission process. Recommendations related to controls or processes to resolve issues in submitting agency financial system data to the broker. For example, one OIG recommended that its agency develop and implement a formal process to appropriately address significant items on broker warning reports, which could indicate systemic issues.", "Develop procedures to address errors. Recommendations related to procedures to address data errors in the agency\u2019s internal systems. For example, one OIG recommended that its agency correct queries to extract the correct information and ensure that all reportable procurements are included in its DATA Act submissions.", "Finalize or implement procedures or guidance. Recommendations related to establishing and documenting an agency\u2019s DATA Act-related standard operating procedures or agency guidance, including the roles and responsibilities of agency stakeholders. For example, one OIG recommended that its agency update its guidance on what address to use for primary place of performance to be consistent with OMB and Treasury guidance.", "Maintain documentation. Recommendations related to establishing or maintaining documentation of the agency\u2019s procedures, controls, and related roles and responsibilities for performing them. For example, one OIG recommended that its agency develop a central repository for grant award documentation and maintain documentation to support its DATA Act submissions.", "Provide training. Recommendations related to developing, implementing, and documenting training for an agency\u2019s DATA Act stakeholders. For example, one OIG recommended that its agency provide mandatory training to all contracting officers and grant program staff to ensure their understanding of DATA Act requirements.", "Work with Treasury, OMB, and other external stakeholders. Recommendations for the agency to work with Treasury, OMB, or other stakeholders external to the agency to resolve government-wide issues. For example, one OIG recommended that its agency work closely with its federal shared service provider to address timing and coding errors that the service provider caused for future DATA Act submissions.", "Implement systems controls or modify systems. Recommendations related to developing and implementing automated systems and controls. For example, one OIG recommended that its agency complete the implementation of system interfaces and new procedures that are designed to improve collection of certain data that were not reported timely to FPDS-NG and improve linkages of certain financial transactions and procurement awards using a unique procurement instrument identifier.", "Increase resources. Recommendations related to increasing the staff, resources, or both necessary to fully implement DATA Act requirements. For example, one OIG recommended that its agency allocate the resources to ensure that reconciliations are performed when consolidating source system data to the DATA Act submission files.", "Management for 36 agencies stated that they concurred or generally concurred with the recommendations of their OIGs (see fig. 7). Management at many of these agencies stated that they continued to improve their processes and controls for subsequent data submissions. In addition, management for seven agencies stated that they partially concurred with the recommendations that their OIGs made. Management for two agencies did not concur with their OIGs\u2019 recommendations. Management for one agency that did not concur with the recommendations stated that they should not be held responsible for data discrepancies that other agencies caused, and management for the other agency stated that they followed authoritative guidance that OMB and Treasury issued related to warnings and error messages."], "subsections": []}]}, {"section_title": "OMB Staff and Treasury Officials Said They Use OIG Reports to Identify and Resolve Issues and Determine the Need for Additional Guidance", "paragraphs": ["OMB staff told us that they reviewed the OIG reports\u2014focusing on the 24 CFO Act agencies\u2014to better understand issues that the OIGs identified and to determine whether additional guidance is needed to help agencies improve the completeness, timeliness, accuracy, and quality of their DATA Act submissions. OMB staff explained to us how they have or are planning to address OIG-identified issues. OMB staff told us that in April 2017 the CFO Council\u2019s DATA Act Audit Collaboration working group was formed, which includes officials from OMB, Treasury, and the Chief Financial Officers (CFO) Council to foster collaboration and understanding of the risks that were being identified as agencies prepared and submitted their data. The working group also consults with CIGIE, which is not a member of the working group, but its representatives attend meetings to help the group members better understand issues involving the OIG reviews and the IG guide. According to OMB staff, the working group is the focal point to identify government- wide issues and identify guidance that can be clarified. They also told us that OMB continues to meet with this working group to determine what new guidance is needed to meet the DATA Act requirement to ensure that the standards are applied to the data available on the website. In June 2018, OMB issued new guidance requiring agencies to develop data quality plans intended to achieve the objectives of the DATA Act. According to OMB staff, OMB is committed to ensuring integrity and providing technical assistance to ensure data quality.", "Treasury officials told us that they reviewed OIG reports that were publicly available on Oversight.gov and are collaborating with OMB and the CFO Council to identify and resolve government-wide issues, including issues related to the broker, so that agencies can focus on resolving their agency-specific issues. In February 2018, the working group documented certain topics identified for improving data quality and value.", "OMB staff and Treasury officials also told us that OMB and Treasury have taken steps to address issues we previously reported related to their oversight of agencies\u2019 implementation of the DATA Act. For example, we recommended in April 2017 that OMB and Treasury take appropriate actions to establish mechanisms to assess the results of independent audits and reviews of agencies\u2019 compliance with the DATA Act requirements. The DATA Act Audit Collaboration working group is one of the mechanisms OMB and Treasury use to assess and discuss the results of independent audits and to address identified issues.", "In November 2017, we also recommended, among other things, that Treasury (1) reasonably assure that ongoing monitoring controls to help ensure the completeness and accuracy of agency submissions are designed, implemented, and operating as designed, and (2) disclose known data quality issues and limitations on the new USAspending.gov. Treasury has taken some steps and is continuing to take steps to address these recommendations. For example, under the data quality section of the About page on USAspending.gov, Treasury disclosed the requirement for each agency OIG to report on its agency\u2019s compliance with the DATA Act and noted the availability of the reports at Oversight.gov."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to OMB, Treasury, and CIGIE for comment. We received written comments from CIGIE that are reproduced in appendix III and summarized below. In addition, OMB, Treasury, and CIGIE provided technical comments, which we incorporated as appropriate.", "In its written comments, CIGIE noted that the report provides useful information on OIG efforts to meet oversight and reporting responsibilities under the DATA Act. CIGIE further stated that it believes that the report will contribute to a greater understanding of the oversight work that the OIG community performs and of agency efforts to report and track government-wide spending more effectively.", "We are sending copies of this report to the Director of the Office of Management and Budget, the Secretary of the Treasury, the Chairperson and Vice Chairperson of the Council of the Inspectors General on Integrity and Efficiency, as well as interested congressional committees and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-9816 or rasconap@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Digital Accountability and Transparency Act of 2014 (DATA Act) includes provisions requiring us to review the Offices of Inspector Generals\u2019 (OIG) mandated reports and issue our own reports assessing and comparing the completeness, timeliness, accuracy, and quality of the data that federal agencies submit under the act and the federal agencies\u2019 implementation and use of data standards. We issued our first report on data quality in November 2017, as required. This report includes our review of the OIGs\u2019 mandated reports, which were also issued primarily in November 2017. Our reporting objectives were to describe 1. the reported scope of work covered and type of audit standards OIGs used in their reviews of agencies\u2019 DATA Act spending data; 2. any variations in the reported implementation and use of data standards and quality of agencies\u2019 data, and any common issues and recommendations reported by the OIGs; and 3. the actions, if any, that the Office of Management and Budget (OMB) and the Department of the Treasury (Treasury) have reported taking or planning to take to use the results of OIG reviews to help monitor agencies\u2019 implementation of the act.", "To address our first and second objectives, we obtained and reviewed 53 OIG reports that were issued on or before January 31, 2018, including reports related to 24 Chief Financial Officers Act of 1990 (CFO Act) agencies and 29 non-CFO Act agencies. Of 91 entities for which second quarter fiscal year 2017 spending data were submitted, we did not obtain and review OIG DATA Act reports for 38 entities with obligations totaling at least $1.2 billion (as displayed on USAspending.gov on May 23, 2018) because no reports for those entities were publicly available by our January 31, 2018, cutoff date.", "Table 3 lists the 53 agencies for which we obtained and reviewed the OIG reports on the quality of data that agencies submitted in accordance with DATA Act requirements.", "We also developed and conducted a survey of OIGs to provide further details on the design and results of their efforts to conduct statistical samples to select and test agencies\u2019 data submissions and reviews of internal controls. In November 2017, we sent the survey to those OIGs whose agencies originally submitted DATA Act data to Treasury\u2019s DATA Act broker. We received and reviewed responses from the 53 OIGs that we obtained reports from, with 9 OIGs including the completed surveys in their published reports and the others providing us their completed survey responses separately. We analyzed 53 OIG reports and survey responses, following up with OIGs for clarification when necessary.", "We reviewed each of the 53 OIG reports we obtained and identified the reported scope of work covered (e.g., the quarter of data reviewed) and the type of audit standards OIGs used to conduct their reviews (e.g., performance audit or attestation examination engagement). We also developed and used a data collection instrument to compile and summarize the conclusions and opinions included in the OIG reports on the completeness, timeliness, accuracy, and quality of agencies\u2019 data submissions and their implementation and use of data standards. During this process, GAO analysts worked in teams of three to reach a consensus on how these OIG conclusions and opinions were categorized. For OIG reports that did not specifically state whether the agencies met the DATA Act requirements, we considered the reported results in conjunction with the more detailed information provided in the OIG responses to our survey and made conclusions about the OIGs\u2019 assessments based on our professional judgment.", "We also reviewed the OIG reports and survey responses and used two data collection instruments to compile, analyze, and categorize common issues or agency-specific control deficiencies the OIGs identified in their reviews and recommendations they made to address them. During this process, GAO analysts worked in teams of three to obtain a consensus in how these issues and deficiencies were categorized.", "To address our third objective, we interviewed OMB staff and Treasury officials about how they used or planned to use the results of the OIG DATA Act reviews to assist them in their monitoring of agencies\u2019 implementation of the act.", "We conducted this performance audit from September 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Offices of Inspector General Digital Accountability and Transparency Act of 2014 Testing Results", "paragraphs": ["In their survey responses, Offices of Inspector General (OIG) for 45 agencies reported actual overall error rates or estimated error rates and estimated ranges of errors associated with the spending data transactions they tested for accuracy, completeness, or timeliness (see table 4). These results include OIGs that tested a statistical sample of transactions, tested the full population, and conducted an assessment of internal controls without additional substantive testing. OIGs that tested a sample responded that they used different sampling criteria, and the sources of files they used to select their statistical samples varied based on the files that were available. Regardless of whether the OIG tested a sample or the full population, some of the OIGs selected items for testing from File C, File D1, File D2, or some combination thereof. As a result, the overall error rates the OIGs reported are not from the same data submission files and are not fully comparable, but are intended to provide additional information on the individual results of the completeness, timeliness, and accuracy of the data each agency OIG tested."], "subsections": []}, {"section_title": "Appendix III: Comments from the Council of the Inspectors General on Integrity and Efficiency", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michael LaForge (Assistant Director), Diane Morris (Auditor in Charge), Umesh Basnet, Thomas Hackney, and Laura Pacheco made major contributions to this report. Other key contributors include Dave Ballard, Carl Barden, Maria Belaval, Jenny Chanley, Patrick Frey, Ricky Harrison, Jason Kelly, Jason Kirwan, Quang Nguyen, Samuel Portnow, Carl Ramirez, Anne Rhodes-Kline, and Dacia Stewart."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["DATA Act: OMB, Treasury, and Agencies Need to Improve Completeness and Accuracy of Spending Data and Disclose Limitations. GAO-18-138. Washington, D.C.: November 8, 2017.", "DATA Act: As Reporting Deadline Nears, Challenges Remain That Will Affect Data Quality. GAO-17-496. Washington, D.C.: April 28, 2017.", "DATA Act: Office of Inspector General Reports Help Identify Agencies\u2019 Implementation Challenges. GAO-17-460. Washington, D.C.: April 26, 2017.", "DATA Act: Implementation Progresses but Challenges Remain. GAO-17- 282T. Washington, D.C.: December 8, 2016.", "DATA Act: OMB and Treasury Have Issued Additional Guidance and Have Improved Pilot Design but Implementation Challenges Remain. GAO-17-156. Washington, D.C.: December 8, 2016.", "DATA Act: Initial Observations on Technical Implementation. GAO-16- 824R. Washington, D.C.: August 3, 2016.", "DATA Act: Improvements Needed in Reviewing Agency Implementation Plans and Monitoring Progress. GAO-16-698. Washington, D.C.: July 29, 2016.", "DATA Act: Progress Made but Significant Challenges Must Be Addressed to Ensure Full and Effective Implementation. GAO-16-556T. Washington, D.C.: April 19, 2016.", "DATA Act: Data Standards Established, but More Complete and Timely Guidance Is Needed to Ensure Effective Implementation. GAO-16-261. Washington, D.C.: January 29, 2016.", "DATA Act: Progress Made in Initial Implementation but Challenges Must be Addressed as Efforts Proceed. GAO-15-752T. Washington, D.C.: July 29, 2015."], "subsections": []}], "fastfact": []} {"id": "GAO-18-160", "url": "https://www.gao.gov/products/GAO-18-160", "title": "U.S. Territories: Public Debt Outlook", "published_date": "2017-10-02T00:00:00", "released_date": "2017-10-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The United States has five territories: Puerto Rico, American Samoa, CNMI, Guam, and USVI. The territories, like U.S. states in some cases, borrow through financial markets. Puerto Rico in particular has amassed large amounts of debt, and defaulted on billions of dollars of debt payments. In response to the fiscal crisis in Puerto Rico, Congress enacted and the President signed the Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) in June of 2016, which established an Oversight Board with broad powers of budgetary and financial control over Puerto Rico and requires GAO to study fiscal issues in all five U.S. territories.", "In this report, for each territory for fiscal years 2005-2015, GAO examined (1) trends in public debt and its composition, (2) trends in revenue and its composition, (3) the major reported drivers of the territory's public debt, and (4) what is known about the ability of each territory to repay public debt.", "GAO analyzed the territories' single audit reports; interviewed officials from the territories' governments, ratings agencies, and subject matter experts; and reviewed documents and prior GAO work."]}, {"section_title": "What GAO Found", "paragraphs": ["Puerto Rico: Between fiscal years 2005 and 2014, the latest figures available, Puerto Rico's total public debt outstanding (public debt) grew from $39.2 billion to $67.8 billion, reaching 66 percent of Gross Domestic Product (GDP). Despite some revenue growth, Puerto Rico's net position was negative and declining during the period, reflecting its deteriorating financial position. Experts pointed to several factors as contributing to Puerto Rico's high debt levels, and in September 2016 Puerto Rico missed up to $1.5 billion in debt payments. The outcome of the ongoing debt restructuring process will determine future debt repayment.", "American Samoa: American Samoa's public debt more than doubled in fiscal year 2015 to $69.5 million, but remained small relative to its economy, with a debt to GDP ratio of 10.9 percent. American Samoa's debt was primarily used to fund infrastructure projects. Between fiscal years 2005 and 2015, revenues grew and the government's net position was positive and generally improving. GAO previously reported that American Samoa relies heavily on the tuna processing and canning industry. Disruptions in this industry could affect its ability to repay debt.", "Commonwealth of the Northern Mariana Islands (CNMI): CNMI's public debt declined from $251.7 million to $144.7 million between fiscal years 2005 and 2015, decreasing CNMI's debt to GDP ratio to 16 percent. Most of CNMI's debt was used to refinance prior debt and fund infrastructure projects. Despite revenue growth since fiscal year 2011, CNMI's net position was negative and generally declining during the period. GAO previously reported that labor shortages may affect GDP. This could impede CNMI's ability to repay debt in the future.", "Guam: Between fiscal years 2005 and 2015, Guam's public debt more than doubled from almost $1 billion to $2.5 billion, with a debt to GDP ratio of 44 percent for fiscal year 2015. Most of Guam's debt was used to comply with federal requirements and court orders. Revenue grew during this period, and net position fluctuated significantly, with a negative balance in fiscal year 2015. Despite recent and expected economic growth, GAO found that large unfunded pension and other post-employment benefit (OPEB) liabilities may present a risk.", "U.S. Virgin Islands (USVI): Between fiscal years 2005 and 2015, USVI's public debt nearly doubled, reaching $2.6 billion and a debt to GDP ratio of 72 percent. Since 2010, most of USVI's debt was used to fund general government operations. Revenue remained stagnant and net position was negative and declining during the period, reflecting a deteriorating financial position. While USVI holds a year's worth of debt service payments in reserve, GAO found that economic uncertainty and looming government pension fund insolvency by 2023 may hamper repayment. In early 2017, USVI was unable to access capital markets to issue new debt at favorable rates. Although the government adopted a financial plan intended to reduce expenditures and increase revenue, the plan does not address USVI's significant unfunded pension and OPEB liabilities and it is unclear whether the plan will produce the intended level of savings."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The United States has five territories\u2014Puerto Rico, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, and the U.S. Virgin Islands (USVI)\u2014that are permanently inhabited and have elected governors, territorial legislatures, and non-voting members in the U.S. House of Representatives. Local officials make budgetary decisions about borrowing and therefore the level of debt held by the public in each territory. These territories, like U.S. states in some cases, borrow through financial markets for long-term investments, such as infrastructure projects, or when their budgets are in deficit. The territories, like other borrowers, pay interest on their debt. Both the amounts borrowed and the interest rates determine the amount of interest spending. If unchecked, interest spending can absorb resources that could be used instead to provide government services. In extreme situations, borrowers might be unable to borrow at favorable rates if the market loses confidence in their ability to repay the debt.", "Puerto Rico, in particular, has amassed large amounts of debt. In February 2014, Puerto Rico\u2019s general obligation bonds were downgraded to speculative\u2014noninvestment grade\u2014 by two ratings agencies, Fitch and Standard and Poor\u2019s, and to the lowest rating of investment grade by Moody\u2019s. Since August 2015, Puerto Rico has defaulted on up to $1.5 billion in debt payments. In response to the crisis in Puerto Rico, Congress passed and the President signed the Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) in June 2016. PROMESA established a Financial Management and Oversight Board (Board) with broad powers of budgetary and financial control over Puerto Rico. PROMESA also requires us to study fiscal issues in the territories and periodically report on the public debt of each U.S. territory.", "For Puerto Rico, American Samoa, CNMI, Guam, and USVI, this report describes (1) trends in public debt and its composition between fiscal years 2005 and 2015, (2) trends in revenue and its composition between fiscal years 2005 and 2015, (3) the major reported drivers of the territory\u2019s public debt, and (4) what is known about the ability of the territory to repay public debt.", "This report is organized by territory. Because of the wide variation amongst the territories, including differences in their sizes, populations, locations, and economies, it is important to consider each territory as a distinct entity.", "To describe trends in each territory\u2019s public debt, revenue, and composition, we reviewed the audited financial statements included within each territory\u2019s single audit reporting package, hereinafter referred to as the single audit reports, fiscal years 2005 through 2015 and analyzed data on public debt\u2014specifically, bonds, loans, and notes for both the primary government and component units\u2014for each of those years. In addition, we obtained and reviewed data on each of the territories\u2019 revenue from the same single audit reports for each fiscal year for both the primary governments and component units. Our analysis primarily focused on trends in general revenues because the territories\u2019 public debt is either explicitly or implicitly backed by general revenues. We also included total revenue\u2014general revenues and program revenues combined\u2014in our analysis because it includes revenue generated by the territories\u2019 component units and could be used to service debt payments.", "For each territory, we obtained and reviewed the independent auditor\u2019s report corresponding to each single audit and noted the type of opinion that was expressed on the financial statements and accompanying note disclosures. With the exception of Puerto Rico each of the territories received modified opinions by auditors on one or more of the single audit reports included in our analysis. We reviewed each of these opinions and determined that despite the modified opinions the data we obtained from each of the single audit reports was reliable for the purpose of describing trends in debt and revenue and their composition for the fiscal years included in our analysis.", "To determine the major reported drivers of public debt and what is known about the territories\u2019 ability to repay, we interviewed officials from the territories\u2019 governments, including officials from the Governors\u2019 offices, departments of finance or treasury, and the agency responsible for issuing and marketing bonded debt. In addition, we interviewed representatives of the three rating agencies\u2014 Fitch, Moody\u2019s and Standard and Poor\u2019s\u2014that provide credit ratings for the territories\u2019 securities and an investment bank involved with underwriting the territories\u2019 bonds. We also interviewed subject matter experts and officials at the Department of the Interior\u2019s Office of Insular Affairs (OIA), which provides grant aid and technical assistance and support to the territories. In addition, we obtained and reviewed relevant documentation, reports, and analyses from the territorial governments and ratings agencies. We also obtained and reviewed information on territorial bond issuances from 2005 through 2015 from the Electronic Municipal Market Access (EMMA) database of the Municipal Securities Rulemaking Board, the primary regulator of the municipal securities market.", "In addition, to determine what is known about the territories\u2019 ability to repay public debt we analyzed common factors\u2014identified through prior work, documents, and interviews with the three rating agencies\u2014that indicate territories\u2019 potential vulnerability to debt crises. These factors included 1) the extent to which territories consistently issued debt to fund general government operations, 2) the extent to which territories\u2019 economies were vulnerable to shocks due to a heavy dependence on a single or limited industry, and 3) the extent to which territories faced large fiscal risks such as pension liabilities.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Public Debt and Revenue", "paragraphs": ["Territorial governments issue debt securities and receive loans for a variety of purposes, including to finance long-term investments, such as infrastructure projects, and to fund government operating costs. For the purposes of this report, total public debt outstanding refers to the sum of bonds and other debt held by and payable to the public, as reported in the territories\u2019 single audit reports. Bonds payable are marketable bonded debt securities issued by the territories\u2019 primary governments or their component units and held by investors outside those governments. The primary government is generally comprised of governmental activities (generally financed with taxes and intergovernmental aid) and business- type activities (generally financed with charges for goods and services). Component units are legally separate entities for which a government is financially accountable. For the purposes of this report, any reference to total government activity and balances includes both the primary government and component units. Other debt payable may include shorter term marketable notes and bills issued by territorial governments and held by investors outside those governments, non-marketable intragovernmental notes, notes held by local banks, federal loans, intragovernmental loans, and loans issued by local banks. Pension liabilities and other post-employment benefits (OPEB) are not included in our definition of total public debt.", "Marketable debt securities, primarily bonds with long-term maturities, are the main vehicle by which the territories access capital markets. Municipal bonds issued by all five territories have traditionally been attractive to investors because they are triple tax exempt; interest from the bonds is generally not subject to federal, state, and local income taxes regardless of an investor\u2019s state of residence. There are several different types of marketable debt securities:", "General obligation bonds are bonds issued by territorial governments that are payable from the general funds of the issuer, although the precise source and priority of payment for general obligation bonds may vary considerably from issuer to issuer depending on applicable law. Most general obligation bonds are said to entail the full faith and credit (and in many cases the taxing power) of the issuer, depending on applicable law. In USVI, unlike in the other four territories in which general obligations bonds are backed by the full faith and credit of the government, debt issued by the primary government is either backed by 1) both a general obligation of the government and revenue from USVI\u2019s gross receipts tax, or 2) revenue from the federal excise tax on rum rebated to the territory.", "Limited obligation bonds are bonds payable from specific taxes that are limited by law in rate or amount, while revenue bonds are payable from specific sources of revenue.", "Marketable notes differ from bonds in that they are short-term obligations of an issuer to repay a specified principal amount on a certain date, together with interest at a stated rate, usually payable from a defined source of anticipated revenues. Notes usually mature in 1 year or less, although notes of longer maturities are also issued.", "Bonds and notes may be issued by both the territories\u2019 primary governments and by their component units. Examples of the territories\u2019 component units are USVI\u2019s Water and Power Authority, Guam\u2019s Airport Authority, CNMI\u2019s Ports Authority, and Puerto Rico\u2019s Electric Power Authority.", "Unlike the states, territories are prohibited from authorizing their component units to seek debt restructuring under Chapter 9 of the federal bankruptcy code, which can be used to extend the timeline for debt repayment, refinance debt, or reduce the principal or interest on existing debt.", "U.S. law restricts the territories\u2019 authority to impose certain territorial taxes. Three territories\u2014Guam, CNMI, and USVI\u2014are required by U.S. law to have a mirror tax code. In general this means that these territories must use the U.S. Internal Revenue Code (IRC) as their territorial income tax law. In contrast, American Samoa and Puerto Rico, which are not bound by a mirror tax code, have established and promulgated their own income tax regulations. Although Guam and CNMI are mirror-code jurisdictions, they are authorized under the Tax Reform Act of 1986 to delink from the IRC if certain conditions are met.", "Revenues are amounts that result from governments\u2019 exercise of their sovereign power to tax or otherwise compel payment. Revenues also include income generated by the territories\u2019 component units. While our analysis primarily focuses on trends in general revenues, we also include total revenue\u2014general revenues and program revenues combined\u2014in our analysis. In addition to general revenue levels, another measure of fiscal health is the net position for primary government activities, which represents the difference between the primary government\u2019s assets (including the deferred outflows of resources) and the primary government\u2019s liabilities (including the deferred inflows of resources). In other words, the net position for primary government activities reflects what the primary government would have left after satisfying its liabilities. A negative net position means that the primary government has more liabilities than assets. A decline in net position may indicate a deteriorating financial position. While our analysis primarily focuses on trends in the net position for the primary government, we also include certain information on trends in the total net position\u2014primary government net position and component unit net position combined\u2014 for the government.", "Fiscal risks refer to responsibilities, programs, and activities that may legally commit or create the expectation for future government spending. Fiscal risks may be explicit in that the government is legally required to fund the commitment, or implicit in that an exposure arises not from a legal commitment, but from current policy, past practices, or other factors that may create the expectation for future spending. Civilian pension benefits are typically an example of an explicit fiscal risk because the government has a legal commitment to pay pension benefits earned by current government employees who will receive benefits in the future and to pay retirees who currently receive benefits."], "subsections": []}]}, {"section_title": "Puerto Rico", "paragraphs": [], "subsections": [{"section_title": "Puerto Rico\u2019s Total Public Debt Increased by 73 Percent and It Grew from 47 to 66 Percent of GDP between Fiscal Years 2005 and 2014", "paragraphs": [], "subsections": [{"section_title": "Total Public Debt Outstanding", "paragraphs": ["Puerto Rico\u2019s total public debt outstanding increased continuously between fiscal years 2005 and 2014. (See figure 2.) Total public debt grew from $39.2 billion in fiscal year 2005 to $67.8 billion at the end of fiscal year 2014 \u2014an average rate of 6.3 percent per year. Bonded debt outstanding \u2014including mainly general obligation and revenue bonds\u2014represented the majority of total public debt outstanding for all years. Bonded debt outstanding averaged 86 percent of total public debt between fiscal years 2005 and 2014, increasing from a total of $35 billion in fiscal year 2005 to $58.5 billion in fiscal year 2014. Puerto Rico\u2019s Consolidated Audited Financial Report for fiscal year 2015 was not available as of June 2017. However, in the March 13, 2017, fiscal plan released by the Government of Puerto Rico, total public debt outstanding was listed as $74.3 billion as of February 2017.", "As of fiscal year 2014, the primary government\u2019s bonded debt outstanding was mainly comprised of revenue bonds. These accounted for $24.3 billion of the $37.9 billion in total bonded debt. In contrast, between fiscal years 2005 and 2008, general obligation bonds represented the majority of the primary government\u2019s bonded debt. In fiscal year 2009, the amount of revenue bonds outstanding tripled. The risks of general obligation bonds and revenue bonds are different. A revenue bond is secured by a specific revenue stream, identified in the bond contract, whereas a general obligation bond is secured by the full taxing power of the government, but also reliant on the full faith and credit of the issuing government. Puerto Rico also issued notes between fiscal years 2005 and 2014.", "Puerto Rico\u2019s primary government and the three largest component units\u2014the Puerto Rico Electric Power Authority (PREPA), the Puerto Rico Aqueduct and Sewage Authority (PRASA), and the Puerto Rico Highways and Transportation Authority (PRHTA)\u2014owed the majority of Puerto Rico\u2019s public debt outstanding in fiscal year 2014. (See table 1.) These component units mostly issued debt backed by their own resources, including the revenue generated from their operations. Other component units also held public debt in fiscal year 2014, including the Government Development Bank, State Insurance Fund Corporation and the Puerto Rico Trade and Export Company, among others. The primary government\u2019s share of total public debt outstanding grew relative to debt owed by all of the component units from 44 percent in fiscal year 2005 to 59 percent in fiscal year 2014.", "Puerto Rico\u2019s total public debt outstanding as a percentage of Gross Domestic Product (GDP) grew from 47 percent in fiscal year 2005 to 66 percent in fiscal year 2014, and its ratio of total public debt outstanding to Gross National Product (GNP) grew from 71 percent of GNP in fiscal year 2005 to 99 percent in fiscal year 2014. (See figure 3.) GDP measures the value of goods and services produced inside a country, or for the purpose of this report, a territory. In contrast, GNP measures the value of goods and services produced by its residents. GNP includes production from residents abroad and excludes production by foreign companies in a country. In Puerto Rico, GDP has consistently been greater than GNP, which means that production by foreign companies in Puerto Rico is larger than production by Puerto Rican residents in the territory and abroad. For this reason, according to the U.S. Department of the Treasury, GNP is generally a more representative measure of Puerto Rico\u2019s economic activity than GDP.", "A July 2014 report by the Federal Reserve Bank of New York stated that debt to GNP ratios above just 60 percent can inhibit economic growth because they generally lead to higher financing costs and limit access to other sources of financing. Puerto Rico\u2019s share of total public debt outstanding to GNP has remained above 90 percent since 2010.", "Puerto Rico\u2019s total public debt outstanding per capita has almost doubled since fiscal year 2005, rising from $10,000 per person in fiscal year 2005 to $19,000 per person in fiscal year 2014. (See figure 4.)"], "subsections": []}]}, {"section_title": "Despite Some Growth in General Revenue, Puerto Rico\u2019s Net Position Declined between Fiscal Years 2005 and 2014", "paragraphs": ["Puerto Rico\u2019s general revenue fluctuated between fiscal years 2005 and 2014, with lows around $11.6 billion between fiscal years 2008 and 2010 and again in 2013. Puerto Rico\u2019s general revenue in fiscal year 2014 was $13.8 billion, of which 75 percent or $10.3 billion was tax revenue. Most of the tax revenue for the same year was reported as income taxes (52 percent of the total or $5.4 billion) and excise taxes (33 percent of the total or $3.4 billion.) Revenue in fiscal year 2014 increased by over $2 billion from the prior year. The majority of this growth was due to increases in income and excise taxes. Puerto Rico\u2019s total revenue (i.e. general revenue and program revenue combined) also fluctuated but grew slightly by 3 percent on average, per year, from $25.5 billion in fiscal year 2005 to $32.5 billion in fiscal year 2014. (See figure 5.)", "Despite the growth in revenue in fiscal year 2014, Puerto Rico\u2019s net position for the primary government as of fiscal year end 2014 was a negative $49.7 billion, declining from a negative $46.4 billion as of fiscal year end 2013. Moreover, despite the fluctuations in revenue between fiscal years 2005 and 2014, Puerto Rico\u2019s net position for the primary government declined year over year from a negative $15.2 billion as of fiscal year end 2005 to a negative $49.7 billion as of fiscal year end 2014. Puerto Rico\u2019s declining net position for the primary government reflects its deteriorating financial position. Further, the effect of Puerto Rico implementing Governmental Accounting Standards Board (GASB)", "Statement No. 68, Accounting and Financial Reporting for Pensions \u2014An Amendment of GASB Statement No. 27, is not yet known. GASB Statement No. 68 was in effect for fiscal years beginning after June 15, 2014, and established standards for measuring and recognizing liabilities, deferred outflows of resources, and deferred inflows of resources related to pensions. For each of the other territories that implemented GASB Statement No. 68, implementing the statement resulted in the territory recognizing previously unrecognized net pension liabilities and, therefore, a decline in ending net position in the year of recognition.", "Puerto Rico\u2019s total net position for the primary government and component units combined also declined year over year between fiscal years 2005 and 2014, from a positive $2.5 billion as of fiscal year end 2005 to a negative $43.6 billion as of fiscal year end 2014."], "subsections": []}, {"section_title": "Experts Identified Several Factors That Have Contributed to Puerto Rico\u2019s High Debt Levels", "paragraphs": ["Puerto Rico officials, representatives from ratings agencies that we spoke to, and publically available reports that we reviewed cited various major factors as contributors to Puerto Rico\u2019s high debt levels. The factors cited include the following:", "Public debt financing government operations: Ratings agency officials told us that Puerto Rico has long used public debt as a means to finance general government operations and indicated that debt has been used for this purpose in Puerto Rico since at least 2000. According to these officials, the sustained use of debt to finance general government operations is unusual when compared to states and was considered a \u201cred flag\u201d in the case of Puerto Rico. As Puerto Rico\u2019s debt grew, the government found it increasingly difficult to meet other responsibilities, including paying tax returns, settling accounts payable, and fulfilling pension obligations.", "Triple tax exempt status: Debt in Puerto Rico was attractive to investors for its triple tax exempt status. Over time, Puerto Rico\u2019s primary government accumulated debt from investors without addressing its persistent deficits. According to the February 28, 2017, version of the Puerto Rico government\u2019s fiscal plan, Puerto Rico\u2019s capacity to issue debt at favorable rates postponed the implementation of fiscal reforms and controls necessary to balance Puerto Rico\u2019s budget.", "Financial data limitations: A lack of comprehensive, timely, and accurate financial data from Puerto Rico may have limited the ability of some investors to anticipate or fully understand the economic crisis in the territory. For example, according to the Government of Puerto Rico\u2019s February 28, 2017, version of the fiscal plan, audited financial statements for Puerto Rico were only issued on time three times from 2005 to 2014. Audited financial statements are still currently pending for fiscal years 2015 and 2016. In addition, forecasts routinely overestimated revenue.", "Recession and outmigration: Recession and outmigration have resulted in reduced tax revenue. A recession in Puerto Rico began in 2006 and continued through the period we reviewed. Outmigration also accelerated most years since 2005 as Puerto Ricans migrated to the U.S. mainland and elsewhere. According to U.S. Census Bureau estimates, Puerto Rico lost 14 percent of its population, more than 550,000 individuals, between July 2009 and July 2016.", "936 tax credit phase out: The phase out of the section 936 tax credit is often cited by Puerto Rico officials for its negative effect on Puerto Rico\u2019s economy. Other experts said the effect was not as significant. In addition, in 2006, we reported that the expiration of the benefit did not ultimately lead to a reduction in income and value added. A substantial share of production in Puerto Rico is carried out by U.S. multinational corporations, in part because of federal corporate income tax benefits, once available to firms located in Puerto Rico. Prior to 1994, certain U.S. corporations could claim the possessions tax credit under section 936 of the Internal Revenue Code (IRC). In general, the credit equaled the full amount of federal tax liability related to an eligible corporation\u2019s income from its operations in a possession\u2014including Puerto Rico\u2014effectively making such income tax-free. In 1993, caps were placed on the amount of possessions credits that corporations could earn. In 1996, the credit was repealed, although corporations that were existing credit claimants were eligible to claim credits through 2005."], "subsections": []}, {"section_title": "Outcomes of Restructuring Process Will Determine Outlook for Repayment of Debt", "paragraphs": ["Puerto Rico had missed up to $1.5 billion in debt service payments as of September 2016. Puerto Rico\u2019s government is working with the Financial Management and Oversight Board (Board) to implement plans for long- term financial reform and to adjust debts accrued by both the primary government and public corporations. The Board has the power to approve or certify fiscal plans, budgets, voluntary agreements with bondholders, debt restructuring plans, and critical projects within Puerto Rico. As the first step in a process to adjust debts in Puerto Rico, the Board certified the current Governor\u2019s fiscal plan in March 2017, which outlines strategies for financial reform. The fiscal plan includes estimates for how much each year can be allocated for debt payments, which average 23 percent of total debt payments due for the years 2018 through 2026. (See figure 6.)", "On May 3, 2017, the Board filed an initial petition for restructuring Puerto Rico\u2019s debt and pension liabilities. Puerto Rico\u2019s ultimate liability for its outstanding debt will be determined based on the outcome of this process in federal court."], "subsections": []}]}, {"section_title": "American Samoa", "paragraphs": [], "subsections": [{"section_title": "American Samoa\u2019s Total Public Debt More Than Doubled and It Grew from 5 to 11 Percent of GDP between Fiscal Years 2005 and 2015", "paragraphs": [], "subsections": [{"section_title": "Total Public Debt Outstanding", "paragraphs": ["American Samoa\u2019s total public debt outstanding grew from $27 million in fiscal year 2005 to $69.5 million in fiscal year 2015. Until fiscal year 2015, the portion of American Samoa\u2019s total public debt outstanding that was bonded debt outstanding was limited. (See figure 7.) In fiscal year 2007, the territory paid off a general obligation bond that was issued in fiscal year 2000 to refinance prior debt. Between fiscal years 2008 and 2014, American Samoa had no outstanding bonded public debt. In fiscal year 2015, American Samoa\u2019s primary government issued a general obligation bond for about $55 million, and in January 2016 a second bond was issued for $23 million. Most of American Samoa\u2019s bonded debt outstanding is scheduled to mature by 2035.", "Between fiscal years 2005 and 2015, American Samoa\u2019s loan balance was significantly greater than bonded debt outstanding for all years except fiscal year 2015. American Samoa\u2019s loan balance consists of both loans from the U.S. government and intragovernmental loans, or loans between the territory\u2019s primary government and component units. Between fiscal years 2005 and 2015, this included 1993 and 1994 Federal Emergency Management Agency community disaster loans totaling $10.2 million and a 1999 Department of the Interior loan in the amount of $18.6 million. In 2006 and 2007, the primary government also entered into two loan agreements with the government retirement fund, in the amounts of $10 million and $20 million, in part to finance infrastructure projects.", "American Samoa\u2019s total public debt outstanding has remained small relative to its economy between fiscal years 2005 and 2015. During this period, American Samoa\u2019s total public debt outstanding as a percentage of GDP was 5.3 percent in fiscal year 2005, reached a low of 4.4 percent in fiscal year 2014, and grew to 10.9 percent in fiscal year 2015. During this same period, bonded debt outstanding as a share of GDP was 1.3 percent in fiscal year 2005, declined to 0.44 percent in fiscal year 2007 and remained at 0 percent between fiscal years 2008 and 2014. The new bond issuance in fiscal year 2015 increased the share to 8.6 percent. (See figure 8.)", "Total public debt per capita grew from $414 per person in fiscal year 2005 to $1,212.8 in fiscal year 2015. (See figure 9.)"], "subsections": []}]}, {"section_title": "American Samoa\u2019s General Revenue Grew and Net Position Was Positive and Generally Improving between Fiscal Years 2005 and 2015", "paragraphs": ["American Samoa\u2019s general revenue fluctuated, but trended upward between fiscal years 2005 and 2015. American Samoa\u2019s general revenue of $116.5 million in fiscal year 2015 represented a 20 percent increase over its revenue of $97.4 million in fiscal year 2005. Approximately 55 percent of the general revenue earned by American Samoa during this period was comprised of tax revenue, and all of the tax revenue was from income and excise taxes. American Samoa\u2019s total revenue (i.e. general revenue and program revenue combined) also fluctuated but trended upward between fiscal years 2005 and 2015. Its total revenue of $436.4 million in fiscal year 2015 represented a 55 percent increase over its total revenue of $281.8 million in fiscal year 2005. According to territory officials, growth in revenue during this period can be attributed in part to revenue generated by stimulus funding the territory received as part of the American Recovery and Reinvestment Act of 2009. (See figure 10.)", "Along with the growth in revenue, American Samoa\u2019s net position for the primary government was consistently positive and generally improving between fiscal years 2005 and 2014. American Samoa\u2019s net position for the primary government generally improved year over year from a positive $217.7 million as of fiscal year end 2005 to a positive $291.9 as of fiscal year end 2014; it then declined to a positive $245.1 million as of fiscal year end 2015. American Samoa\u2019s net position for the primary government as of fiscal year end 2014 is shown prior to restatement. In fiscal year 2015, American Samoa implemented GASB Statement No. 68 and adjusted its beginning net position by $60.1 million, resulting in a restated net position as of fiscal year end 2014 of a positive $240.8 million. The implementation of GASB Statement No. 68 resulted in the territory recognizing previously unrecognized net pension liabilities and, therefore, a decline in ending net position in the year of recognition.", "American Samoa\u2019s total net position for the primary government and component units combined was also consistently positive and generally improving between fiscal years 2005 and 2015. It increased from $317.9 million as of fiscal year end 2005 to $450.2 million as of fiscal year end 2015.", "The territory has previously faced financial management challenges, including failures to meet revenue projections and deficiencies in forecasting expenditures. Territory officials said, however, that they are taking a number of steps to improve forecasting. In early 2015, officials convened a task force in Hawaii to develop a plan to improve the management of American Samoa\u2019s finances. As part of the effort to improve forecasting, the plan requires the treasury and budget departments to meet on a monthly basis to reconcile actual revenues and expenditures and brief the Governor. If revenues are below projections, the Governor may instruct all government departments to reduce spending by an additional 5-10 percent. In addition, officials told us that the territory is planning to procure a contractor in fiscal year 2017 to help further improve its revenue and spending forecasts."], "subsections": []}, {"section_title": "American Samoa\u2019s Bonded Debt Was Issued Primarily to Fund Infrastructure Projects", "paragraphs": ["According to territory officials, American Samoa has never issued debt to fund government operating costs and does not intend to do so. Territory officials confirmed that the fiscal year 2015 and 2016 general obligation bonds were issued primarily to fund various infrastructure projects, including relocating airport fuel tanks, constructing an inter-island ferry, and establishing a territorial charter bank."], "subsections": []}, {"section_title": "American Samoa Faces Economic Vulnerabilities That May Affect Its Ability to Repay Public Debt", "paragraphs": ["While American Samoa\u2019s level of public debt is relatively low compared to other territories, we found that it faces significant economic vulnerabilities that may hamper its ability to repay that debt. According to territory officials and our prior work, American Samoa\u2019s economy relies heavily on the tuna processing and canning industry. In December 2016, we reported that canneries employed about 14 percent of American Samoa\u2019s workforce in 2014. Moreover, we found that the canneries provided a number of indirect benefits to other industries and the economy in American Samoa. For example, other businesses exist because of the canneries, such as the company that manufactures the cans. Maintenance for the canneries and for the vessels that supply the canneries also has brought business and jobs to the island. Cannery workers spend money at local establishments, such as restaurants and retail stores. Additionally, exported cannery products and delivery of materials to the canneries reduced the shipping cost of bringing other goods to American Samoa. We also reported that the tuna canning industry faces a number of challenges; in addition territory officials expressed concerns about federal policies that may hamper American Samoa\u2019s tuna industry, such as scheduled minimum wage increases that increase labor costs for tuna canning in American Samoa relative to other locations, decreased access to fishing grounds in the Pacific due to environmental regulations, and potential erosion of the territory\u2019s preferential trade status. In October 2016, one of the two companies with canning operations in American Samoa announced that it would indefinitely suspend its operations in the territory, and the other temporarily suspended operations twice during the same year. Changes in American Samoa\u2019s tuna industry have been important determinants of changes in its GDP, and additional disruptions in the industry would reduce revenue and hamper GDP growth, which, if severe enough, could impede the repayment of existing debt.", "In part because of such challenges, Moody\u2019s Investor Services assigned a noninvestment grade rating to the territory\u2019s bonds in early 2016. According to the rating agency, this downgrade reflected concerns associated with the territory\u2019s small and volatile economy, low income levels, weak financial position, and financial management challenges. Territory officials told us that the Puerto Rico debt crisis has affected their access to favorable rates in capital markets, and said that they currently do not have plans to issue any more bonded debt."], "subsections": []}]}, {"section_title": "Commonwealth of the Northern Mariana Islands (CNMI)", "paragraphs": [], "subsections": [{"section_title": "CNMI\u2019s Total Public Debt Declined by $100 million, Decreasing to 16 Percent of GDP between Fiscal Years 2005 and 2015", "paragraphs": [], "subsections": [{"section_title": "Total Public Debt Outstanding", "paragraphs": ["CNMI\u2019s total public debt outstanding declined from $251.7 million in fiscal year 2005 to $144.7 million in fiscal year 2015. (See figure 11.) During this time, CNMI\u2019s primary government issued one general obligation bond in the amount of about $100.5 million in fiscal year 2007. This general obligation bond refinanced two prior bonds that were issued in fiscal years 2000 and 2003. Most of CNMI\u2019s bonded debt outstanding is scheduled to mature in 2030 or later.", "Between fiscal years 2005 and 2015, CNMI\u2019s total public debt outstanding as a share of GDP grew from 23 percent in fiscal year 2005 to 26 percent in fiscal year 2007, and then declined to 16 percent in fiscal year 2015. Bonded debt outstanding as a share of GDP was 14 percent in both fiscal years 2005 and 2015, but reached 19 percent in fiscal year 2011. (See figure 12.)", "CNMI\u2019s total public debt outstanding per capita declined from about $4,199 per person in fiscal year 2007 to about $2,776 per person in fiscal year 2015. (See figure 13.)"], "subsections": []}]}, {"section_title": "CNMI\u2019s General Revenue Fluctuated and Net Position Was Generally Declining between Fiscal Years 2005 and 2015", "paragraphs": ["CNMI\u2019s general revenue fluctuated between fiscal years 2005 and 2015. General revenues declined by about 39 percent between fiscal years 2005 and 2011, largely due to the decline in the territory\u2019s garment industry. (See figure 14.) General revenues have steadily increased since fiscal year 2011, primarily as a result of growth in the tourism sector. Data from the Marianas Visitor Authority show that the downward trend in Japanese visitors from 2013 to 2016 was offset by the growth in visitors from China and South Korea. The tourist industry has also been boosted by the introduction of a new casino. In August 2014, the CNMI government entered into a casino license agreement to construct a development project that will include a hotel with a minimum of 2,004 guest rooms and areas for gaming, food, retail, and entertainment, among other things. CNMI\u2019s total revenue (i.e. general revenue and program revenue combined) also fluctuated between fiscal years 2005 and 2015. Total revenue reached a high of $635.7 million in fiscal year 2014 and then declined to $573.8 million in fiscal year 2015, which represented only a one percent increase over the fiscal year 2005 revenue of $567.9 million.", "While general revenue fluctuated, dipping then rebounding between fiscal years 2005 and 2015, CNMI\u2019s net position for the primary government has been negative and generally trending downward. Specifically, CNMI\u2019s net position for the primary government declined from a negative $38.1 million as of fiscal year end 2005 to a negative $215.4 million as of fiscal year end 2015. CNMI\u2019s net position for the primary government has been negative by over $200 million for each fiscal year since 2010, but it showed a slight improvement between fiscal years 2011 and 2013 and in fiscal year 2015.", "CNMI\u2019s total net position for the primary government and component units combined fluctuated but generally remained stagnant, increasing slightly from $281.6 million as of fiscal year end 2005 to $284.8 million as of fiscal year end 2015."], "subsections": []}, {"section_title": "Between Fiscal Years 2005 and 2015, CNMI Issued Public Debt to Refinance Prior Debt and to Fund Infrastructure Projects", "paragraphs": ["CNMI\u2019s Constitution prohibits public indebtedness for operating expenses of the CNMI government or its political subdivisions. In addition, the territory\u2019s legislature must approve any bond issuances and the value of any bonds issued cannot exceed 10 percent of the assessed value of real property within CNMI. In fiscal year 2007, the primary government of CNMI issued one general obligation bond to refinance two bonds originally issued in 2000 and 2003. Both the 2000 and 2003 bonds were issued to finance various infrastructure improvement projects. The 2003 issuance was also used for a onetime payment to settle land claims for the appropriation of private lands for public use.", "Component units in CNMI also issue debt. In 2007, the Commonwealth Ports Authority, which is responsible for operating, maintaining, and improving all airports and seaports in CNMI, issued a bond for about $7.2 million. The proceeds of the bond were used in part to pay for improvements to seaport facilities at Saipan Harbor."], "subsections": []}, {"section_title": "Despite Economic Growth, CNMI Faces Labor Shortages and Fiscal Risks That May Affect Its Ability to Repay Public Debt", "paragraphs": ["While CNMI\u2019s economic outlook has improved, with GDP increasing 3 years in a row since 2013, we found that the territory faces growing labor shortages that may affect its ability to repay public debt in the future. In May 2017, we reported that CNMI\u2019s economy relies heavily on a foreign workforce and foreign workers comprised a majority of the territory\u2019s workforce in 2015. The Consolidated Natural Resources Act of 2008, among other things, established federal control of CNMI immigration beginning in 2009. The act established a transition period with special provisions for foreign visitors, investors, and workers. Specifically, it required the U.S. Department of Homeland Security (DHS) to establish a temporary work permit program for foreign workers and to reduce annually the number of permits issued, reaching zero by the end of the transition period\u2014now set to occur on December 31, 2019. We analyzed the economic effect of removing all permitted foreign workers from CNMI\u2019s economy using the most recent GDP information available from calendar year 2015. Depending on assumptions made, with no permitted workers CNMI\u2019s GDP in 2015 would have hypothetically declined by 26 to 62 percent. Planned reductions in permitted workers could worsen the effect on GDP going forward and hamper the territory\u2019s ability to repay existing debt.", "CNMI also has significant pension liabilities, but the exact amount of the net pension liability is not included in the territory\u2019s most recent single audit report because the government has not complied with accounting standards that require it to do so. In 2013, a U.S. district court approved a settlement agreement with the territory\u2019s government pension plan, which applied for bankruptcy in 2012. As part of the settlement, CNMI agreed to make minimum annual payments to the fund to allow members to receive 75 percent of their full benefits. In addition to the settlement plan, CNMI appropriated $25 million of casino license fees to fund the restoration of the 25 percent reduction of the retirees\u2019 and beneficiaries\u2019 pensions, among other purposes. CNMI made one payment of $27 million and another payment of $19.4 million to the fund in fiscal year 2015. Territory officials told us they are planning to market a $45 million general obligation bond in 2017 to provide additional financing for the pension fund. They added, however, that they currently have no plans to issue debt for other purposes, such as infrastructure projects, because of uncertainty in the labor market.", "In 2012, Moody\u2019s Investor Services confirmed CNMI\u2019s general obligation bond ratings as non-investment grade, which was downgraded in 2009. According to the rating agency, the 2012 rating was due to losses in the territory\u2019s garment industry, consistent operating deficits, and increasing unfunded pension liabilities."], "subsections": []}]}, {"section_title": "Guam", "paragraphs": [], "subsections": [{"section_title": "Guam\u2019s Total Public Debt More Than Doubled and It Grew from 24 to 44 Percent of GDP between Fiscal Years 2005 and 2015", "paragraphs": [], "subsections": [{"section_title": "Total Public Debt Outstanding", "paragraphs": ["Guam\u2019s total public debt outstanding increased from almost $1 billion in fiscal year 2005 to $2.5 billion fiscal year 2015, with the majority of the increase occurring between fiscal years 2008 and 2015 when total outstanding public debt grew 13 percent on average per year. (See figure 15.) In fiscal year 2015, 54 percent of Guam\u2019s total public debt outstanding was issued by component units. Territory officials told us component unit debt is backed solely by the revenue component units generate and cannot be used to service debt issued by the primary government.", "The majority of Guam\u2019s total public debt is in the form of bonds. Bonded debt outstanding comprised between 93 and 97 percent of total public debt outstanding from fiscal years 2005 through 2015. Most of Guam\u2019s bonded debt outstanding will mature in 2027 or afterwards. The remainder of Guam\u2019s public debt outstanding between fiscal years 2005 and 2015 was primarily comprised of notes and loans, including loans from the federal government.", "Between fiscal years 2005 and 2015, Guam\u2019s total public debt outstanding as a share of GDP increased from 24 percent to 44 percent, with bonded debt outstanding growing similarly from 22 percent of GDP to 42 percent. (See figure 16.)", "Both total public debt and bonded public debt outstanding per capita more than doubled between fiscal years 2005 and 2015. Total public debt outstanding per capita rose from about $6,270 per person to $15,323 per person, while bonded public debt outstanding increased from $5,810 per person to $14,759 per person. (See figure 17.)"], "subsections": []}]}, {"section_title": "Guam\u2019s General Revenue Grew and Net Position Fluctuated Significantly between Fiscal Years 2005 and 2015", "paragraphs": ["Guam\u2019s general revenue grew by 6 percent on average, per year, between fiscal years 2005 and 2015, from $573.2 million to $862.7 million. General revenue declined sharply in fiscal year 2006, recovered in fiscal year 2007, and then increased steadily through fiscal year 2015. According to territory officials, this increase in revenue can largely be attributed to economic development, with significant growth in tourism and new construction. A 2015 report to Guam\u2019s bondholders noted that there was an increase in visitors to the island each month between 2014 and 2015. The report attributed this increase to several factors, such as the expanded number of airline routes to Guam, the favorable exchange rate for Asian visitors, and the relative improvement of the overall global economy. Guam\u2019s total revenue, or general revenue and program revenue combined, also grew by 5 percent on average, per year, between fiscal years 2005 and 2015, from $1.4 billion to $2.2 billion. (See figure 18.)", "To project revenues, Guam officials use a model comprised of statistical weights that are calculated and assigned to each revenue source, which is derived from historical collections data from the prior fiscal years.", "While revenue generally grew, Guam\u2019s net position for the primary government fluctuated significantly between fiscal years 2005 and 2015. Since fiscal year end 2006, Guam\u2019s net position for the primary government has been negative and trending downward. Specifically, Guam\u2019s net position for the primary government declined from a positive $79.8 million as of fiscal year end 2005 to a negative $194.2 million as of fiscal year end 2012. Net position improved significantly and was positive in fiscal years 2013 and 2014, but then declined from a positive $174.4 million as of fiscal year end 2014 to a 10-year low of a negative $670.9 million as of fiscal year end 2015. Guam\u2019s net position for the primary government as of fiscal year end 2014 is shown prior to restatement. In fiscal year 2015, Guam implemented GASB Statement No. 68 and adjusted its beginning net position by $815.6 million, resulting in a restated net position as of fiscal year end 2014 of a negative $641.2 million. The implementation of GASB Statement No. 68 resulted in the territory recognizing previously unrecognized net pension liabilities and, therefore, a decline in ending net position in the year of recognition.", "Guam\u2019s total net position for the primary government and component units combined also fluctuated significantly. Specifically, Guam\u2019s total net position increased from a positive $788.8 million as of fiscal year end 2012 to a 10-year high of positive $1.2 billion as of fiscal year end 2014. It declined to a 10-year low of positive $47.3 million as of fiscal year end 2015 due to the implementation of GASB Statement No. 68."], "subsections": []}, {"section_title": "Guam Has Used Public Debt to Meet Federal Requirements and Court Orders", "paragraphs": ["According to territory officials, Guam\u2019s bonded debt outstanding has primarily been used to comply with federal requirements and court orders. Guam has issued debt in several cases when compelled to meet federal and territorial requirements. For example, since Guam adheres to the mirror tax code, the territory is required to fund the Earned Income Tax Credit (EITC) and is not reimbursed for this by the federal government. In June 2004, the territory agreed to pay $60 million over 9 years in settlement of unpaid EITC refunds from 1996, and in September 2006, the territory reached a new settlement replacing the 2004 agreement in which it agreed to pay up to $90 million.", "Moreover, in 2006, the Superior Court of Guam held that a territorial statutory provision required the retirement fund for government employees to pay past due annual lump sum Cost of Living (COLA) payments plus interest to eligible retirees and survivors. This resulted in an award of $123.5 million plus interest to those individuals. In response, Guam issued a general obligation bond in 2007 in the amount of $151.9 million to finance these past due tax refunds and outstanding COLA settlement payments, as well as to refinance prior debt and help fund infrastructure projects. In 2009, it issued another general obligation bond in the amount of $271 million for similar purposes. According to a Guam government report, the largest increase in the territory\u2019s indebtedness occurred between fiscal year 2008 and fiscal year 2009, and was due in part to issuing bonds to pay for past due tax refunds and unpaid COLA expenses. In Guam\u2019s 2017 draft debt management policy, the Governor cited the administration\u2019s commitment to ensuring that tax refunds will be paid on time and no later than 6 months after filing.", "In addition, in February 2004 the U.S. Environmental Protection Agency (EPA) and the Department of Justice filed a consent decree in the U.S. District Court of Guam. The consent decree set forth the settlement terms agreed to by the federal government and Guam settling a lawsuit alleging Guam violated the Clean Water Act. The consent decree included deadlines for opening a new landfill and adopting a dump closure plan. In response to a 2009 District Court order that Guam comply with the terms of the consent order, the territory chose to issue a $202.4 million limited obligation bond to fund closing the Ordot dump and constructing a new landfill to meet the terms of the settlement agreement.", "Guam also issued revenue bonds between fiscal years 2005 and 2015 to finance infrastructure projects. For example, in 2011 a revenue bond backed by hotel occupancy taxes was issued in the amount of $90.6 million in part to fund the construction of a museum on the island and other projects to benefit Guam\u2019s tourism industry. In addition, in 2013 Guam\u2019s Airport Authority issued $247 million in bonds that were used, in part, to fund airport enhancements.", "As established under its Organic Act, Guam has the authority to issue bonds, but Guam\u2019s public indebtedness is not authorized or allowed to exceed 10 percent of the aggregate tax valuation of property in the territory; tax valuation of property is currently set at 90 percent of appraised value of property. The limit applies to both general obligation and limited obligation debt. In fiscal year 2007, to increase borrowing capacity to address a $524 million deficit, the government changed the percentage of appraised value which constitutes the assessed value. The debt ceiling still limits the amount of public debt Guam can issue to 10 percent of the aggregate tax valuation of property. However, in September 2007, Guam amended its statutory definition of assessed value from 35 percent of appraised property values to 70 percent. In May 2009, the definition tax valuation of property was again amended to 90 percent of appraised property values. This second increase was imposed so Guam could issue bonds to comply with the requirement to close the Ordot dump and open a new landfill. In fiscal year 2012, the government increased borrowing capacity a third time by amending the definition of assessed value to 100 percent of appraised value in order to fund past due tax refunds. In fiscal year 2016, the statutory definition of assessed value was decreased back down to 90 percent of appraised value."], "subsections": []}, {"section_title": "Despite Guam\u2019s Recent and Expected Economic Growth, Growing Pension Fund Liabilities May Present a Risk", "paragraphs": ["Despite economic growth, we found that Guam faces large fiscal risks related to unfunded pension liabilities and other post-employment benefits (OPEB) that, if unaddressed, may hamper its ability to repay existing debt and increase its need to issue debt. A number of factors may contribute to continued economic growth in Guam. Specifically, according to a government report, visitor arrivals to Guam are projected to continue increasing and higher room rates and occupancy are leading to continued hotel development. Moreover, the Marine Corps has plans to consolidate bases in Okinawa, Japan, and relocate 4,100 Marines to Guam. The Department of Defense (DOD) expects this relocation to Guam to occur between fiscal years 2022 and 2026. Officials from Guam predict that the military buildup will result in significant additional investment in Guam\u2019s economy. In July 2016, DOD agreed to give Guam approximately $55.6 million in grants to fund civilian water and wastewater projects linked to the military buildup; additional investments in the power infrastructure will also be funded by DOD. A 2014 study conducted by the Department of the Navy on the effect of the military buildup on Guam\u2019s economy concluded that it would increase civilian labor force demand, increase civilian labor force income, and increase tax revenues.", "While it maintained Guam\u2019s debt as investment grade as of 2017, the rating agency Standard and Poor\u2019s expressed concern about Guam\u2019s extremely high debt burden and vulnerability to economic changes in its tourism and military industries. In addition, Guam has large pension and OPEB liabilities that may stress current debt service payment arrangements if anticipated savings from changes to the government pension system are not realized. In fiscal year 2015, pension liabilities were $1.2 billion and OPEB liabilities were $2 billion, 22 and 37 percent of GDP, respectively. Territory officials told us that they have taken a variety of steps to address their unfunded pension and OPEB liabilities. In 1995, the government closed the defined benefit plan to new members with all new employees participating in a defined contribution plan, which resulted in a decrease in accrued liabilities. To address insufficient savings by members in the defined contribution plan, the legislature created two new retirement plans in 2016. The government estimates that the new retirement plans could add an additional $173 million to the pension fund. Territory officials said the government is meeting its actuarial contributions on an annual basis and is on track to pay off the existing unfunded pension liability in approximately 15 years."], "subsections": []}]}, {"section_title": "United States Virgin Islands (USVI)", "paragraphs": [], "subsections": [{"section_title": "USVI\u2019s Total Public Debt Nearly Doubled and Grew from 32 to 72 Percent of GDP between Fiscal Years 2005 and 2015", "paragraphs": [], "subsections": [{"section_title": "Total Public Debt Outstanding", "paragraphs": ["Between fiscal years 2005 and 2015, USVI\u2019s total public debt outstanding grew by 84 percent, from $1.4 billion to $2.6 billion. (See figure 19.) The sharpest increase was between fiscal years 2008 and 2010. During this period, total public debt outstanding increased by about $800 million, and almost all of USVI\u2019s public debt was in the form of bonds. Bonds issued by USVI\u2019s primary government are either backed by 1) both a general obligation of the government and a gross receipts tax, or 2) an excise tax on rum produced in USVI. Bonds issued by component units are backed by their revenues. Approximately half of USVI\u2019s bonded debt is backed by revenues generated from the excise tax placed on rum imports to the U.S. mainland. Both the primary government and component units issued notes and took out loans during this period. Most of USVI\u2019s bonded debt outstanding is scheduled to mature in 2027 or afterward.", "USVI\u2019s total public debt outstanding as a percentage of GDP doubled between fiscal years 2005 and 2015, growing from 34 percent to 72 percent. The steepest increases were between 2008 and 2010, when total public debt outstanding as a percentage of GDP increased by 19 percent, and between 2011 and 2014, when it increased by 16 percent. Total public debt outstanding as a share of GDP reached 72 percent in fiscal year 2015. Bonded debt outstanding was 63 percent of GDP in fiscal year 2015. (See figure 20.)", "Total public debt outstanding per capita also increased during this period. It ranged from about $13,063 per person in fiscal year 2005 to about $25,739 per person in fiscal year 2015. (See figure 21.)"], "subsections": []}]}, {"section_title": "USVI\u2019s General Revenue Remained Stagnant and Net Position Was Generally Declining between Fiscal Years 2005 and 2015", "paragraphs": ["USVI\u2019s general revenue showed almost no growth in the 10-year period between fiscal years 2005 and 2015. USVI\u2019s general revenue declined from fiscal years 2008 to 2009 due to the 2008 recession and operating losses at the Hovensa oil refinery, and rebounded in fiscal year 2010 as the economy recovered. General revenue decreased again from fiscal year 2010 to 2011. Between fiscal years 2011 and 2014 revenue increased again. Despite the increase, the fiscal year 2015 general revenue of $919.4 million was only about $43 million greater than that collected 10 years prior. In contrast USVI\u2019s total revenue (i.e. general revenue and program revenue combined) grew slightly by 2 percent on average, per year, between fiscal years 2005 and 2015, from $1.6 billion to $1.9 billion. (See figure 22.)", "USVI has a statutory requirement that a team, composed of senior executives and legislative officials, meet at least twice a year to establish an official economic forecast of the territorial economy, including estimates of the following year\u2019s revenue. Territory officials acknowledged that in recent years actual revenues have been less than had been estimated, citing both adverse economic conditions and litigation that had blocked the collection of property taxes for several years. These officials said that a new estimation methodology has been devised which uses a weighted average of the prior 5 years of actual revenue.", "USVI\u2019s net position for the primary government declined year over year from a negative $215.0 million as of fiscal year end 2008 to a negative $1.5 billion as of fiscal year end 2014; continuing to decline to a negative $3.7 billion as of fiscal year end 2015. USVI\u2019s net position for the primary government as of fiscal year end 2014 is shown prior to restatement implementing GASB Statement No. 68. In fiscal year 2015, USVI implemented GASB Statement No. 68 and adjusted its beginning net position by $2.0 billion, resulting in a restated net position as of fiscal year end 2014 of a negative $3.5 billion. The implementation of GASB Statement No. 68 resulted in the territory recognizing previously unrecognized net pension liabilities and, therefore, a decline in ending net position in the year of recognition. USVI\u2019s declining net position for its primary government reflects its deteriorating financial position.", "USVI\u2019s total net position for the primary government and component units combined increased between fiscal year end 2005 and 2007; it then declined year over year from positive $490.9 million as of fiscal year end 2008 to negative $3.6 billion as of fiscal year end 2015."], "subsections": []}, {"section_title": "Since 2010, USVI\u2019s Public Debt Has Been Used Primarily for General Government Operations", "paragraphs": ["More than a third of USVI\u2019s current bonded debt outstanding as of fiscal year 2015 was issued to fund government operating costs. Before that time bonded debt outstanding issued on behalf of the primary government was used either to refinance earlier bond issues; fund infrastructure projects such as improvements to schools, public safety facilities, and transportation infrastructure; or to assist privately-owned industrial enterprises, specifically construction at the Cruzan and Diageo rum distilleries and payment of a portion of the costs of sewage and solid waste disposal at the Hovensa oil refinery.", "In the period following the recession of 2008, revenues declined and there were continuing demands for spending. In response, USVI issued debt for the purpose of financing regular government operating expenses. Between July 2010 and December 2014, USVI issued almost $850 million in bonds for this purpose with maturities ranging between 1 and 20 years.", "According to territory officials, several factors contributed to USVI\u2019s increasing reliance on debt to fund government operations, including the recession of 2008, the 2012 closure of the Hovensa oil refinery, a decline in USVI\u2019s share of worldwide rum sales, and a decline in visits from cruise ship passengers. According to a senior government official, the closure of the Hovensa refinery was particularly detrimental to the territory\u2019s economy and resulted in the loss of 2,000 jobs on St. Croix and a significant decrease in revenue. As of April 2017, USVI\u2019s unemployment rate was 10.3 percent.", "USVI officials cited several federal requirements that contributed to USVI\u2019s need to issue debt. Because USVI is part of the mirror tax code, officials noted that USVI is required to pay the EITC to its residents, but is not reimbursed for this by the federal government. In contrast, state governments do not pay EITC because it is a federal benefit administered through the federal tax code. EPA directives for improving landfills and water projects and federal banking regulations that treat branches of U.S. banks placed in USVI as non-U.S. banks\u2014thereby discouraging large banks from having branches in USVI\u2014were also cited as reasons that USVI has issued debt."], "subsections": []}, {"section_title": "Economic Uncertainty and Large Fiscal Risks May Significantly Limit USVI\u2019s Ability to Repay Public Debt", "paragraphs": ["USVI officials expressed confidence in the territory\u2019s ability to repay public debt, but we found that large fiscal risks and exclusion from capital markets may hamper its ability to do so. USVI\u2019s bonds are backed by the gross receipts tax on some individuals and entities doing business in USVI and by excise tax revenues collected by the federal government and remitted to USVI as required by statute. Officials said that revenues from the gross receipts tax and excise tax rebates\u2014from which debt service payments are made\u2014are monitored on a month-by-month basis. Also, officials cited as a protection against default the \u201clockbox\u201d provisions that USVI has had contractually for some time and that were written into its statutes in 2016. According to these provisions, gross receipts tax and excise rebate revenue go directly to an escrow account in a New York bank, and the escrow agent makes debt service payments twice a year from the account; a year\u2019s worth of payments is held in reserve at all times.", "USVI officials expressed confidence that these provisions make it difficult for USVI to default on its debt payments. However, in a recent statement, Moody\u2019s rating service said that these security provisions have not been tested in a stress scenario where the government faces a lack of funds to provide basic services. This observation was part of a statement issued by Moody\u2019s in late January 2017 in which it announced it had downgraded USVI\u2019s matching fund bonds (those backed by excise tax rebates) to noninvestment grade.", "Other rating agencies expressed similar concerns. For example, Standard & Poor\u2019s cited 1) the government\u2019s fiscal distress, as evidenced by its significant structural imbalance and continued reliance on deficit financing to fund operations; 2) revenue backed bond issues that have exhibited either declining or flat growth absent tax rate increases and are levied on a limited and concentrated base; 3) adequate, but substantially reduced, debt service coverage; and 4) a limited economy, concentrated in rum production, tourism, and government.", "In late January 2017, USVI cancelled a new bond issuance it was attempting to market to provide additional financing for general government operations. The bond issuance was authorized by the USVI legislature in 2016, but according to a senior bank official involved in underwriting USVI bonds, delays in bringing the issuance to market, and the legislature\u2019s delay in enacting so-called \u201csin taxes\u201d on items such as beer, cigarettes, and liquor, reduced the chances of successfully marketing the bond issue to investors. By the time USVI made an effort to market the bonds in late 2016 and January 2017, the Puerto Rico debt crisis had increased investors\u2019 concerns about USVI\u2019s debt as well. The rating downgrades of existing USVI debt, while not the decisive factor according to the bank official, did reinforce existing skepticism on the part of potential investors. Ultimately, the early 2017 bond issuance was not adequately subscribed and the offer failed. USVI effectively lost market access to new debt even at high interest rates.", "In September 2016, the administration released its 5-year financial plan. The two major features of this plan were a reduction in government expenditures by limiting hiring and reducing non-personnel costs, and a proposal for increasing revenue through taxes on beer, rum, wine, brandy, sugar-laden carbonated beverages, and cigarettes, among other revenue generating measures. The legislature passed the tax increase bill, with some modification of the Governor\u2019s proposal, in early March and the Governor signed it into law on March 22, 2017.", "In the 5-year financial plan, the administration said that adopting austerity and tax measures would eliminate future deficits, which otherwise would amount to more than $130 million for each fiscal year between 2017 and 2021. A senior USVI official expressed a belief that the level of consumption of cigarettes, for example, will remain at pretax levels despite the higher cost. However, due to elasticity of demand, an increase in the price of cigarettes could decrease cigarette consumption and therefore revenues. If the tax increases do not produce the anticipated level of revenue, and if USVI is not able to regain access to capital markets, it will place even more stress on the debt service arrangements currently in effect.", "Moreover, the recent measures do not address the fiscal risk presented by unfunded pension liabilities and OPEB for government employees. USVI reported an unfunded pension liability of over $3 billion, which was 83 percent of GDP in fiscal year 2015. According to an independent consulting firm\u2019s August 2016 report conducted for the USVI Government Employees Retirement System, the retirement fund will become insolvent in 2023 without adding financial resources and adjusting benefit levels.", "Territory officials cited several reasons for the large unfunded pension and OPEB benefit liabilities. These include recent legislation that resulted in more retirees eligible for pensions and a decline in the active USVI government workforce that resulted in a narrower ratio of retirees to workers, dropping from 6-to-1 in fiscal year 1982 to almost 1-to-1 in fiscal year 2015. In addition, officials told us that the most significant cause for the current condition of the retirement system is the primary government making contributions to the system below the amounts required by law.", "Some measures have been taken to address the retirement fund\u2019s impending insolvency, and other steps have been recommended. According to territory officials, USVI law changed in 2005, resulting in increased required pension contributions from all newly hired employees except for judges and legislators. In 2013, a Pension Reform Task Force (Task Force) recommended legislation that would 1) increase government and employee contributions towards pension benefits, 2) raise contribution rates for senators and judges, 3) reduce retiree current benefits by 10 percent, 4) increase the early retirement age from 50 to 55 and the regular retirement age from 60 to 65, 5) limit cost of living increases, and 6) change the formula used to calculate benefits.", "In October 2015, the Legislature enacted and the Governor signed legislation that raised retirement ages for some employees, changed the basis for determining pension levels to career earnings, and allowed the retirement system to invest funds in lower-rated securities. This did not, however, address most of the Task Force recommendations. Territory officials told us that the administration will put forward additional pension reform proposals in the near future, however it remains unclear what those reforms will entail and when they will take effect.", "Moreover, territory officials told us that since 2011 the government has paid less than half of actual post-employment benefit costs, leaving an unpaid current obligation of $357 million as of fiscal year 2015. The unfunded liability for post-employment benefits, projecting anticipated future costs, was most recently calculated in October 2013; at that time it was just over $1 billion. USVI\u2019s pension and OPEB obligations are already contributing to the territory\u2019s debt burden, and will likely continue to do so at an increasing rate. If unaddressed, they may place additional stress on the debt service arrangements currently in effect and hamper the territory\u2019s ability to repay debt."], "subsections": []}]}, {"section_title": "Agency Comments, Third Party Views, and our Evaluation", "paragraphs": ["We provided a draft of this report for review to the U.S. Departments of the Interior and Treasury. We also provided, to the governments of Puerto Rico, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, and the United States Virgin Islands (USVI), portions of the draft that were relevant to them. We received written comments from each of the five territories\u2019 governments, which are reprinted in appendixes II, III, IV, V, and VI, respectively. We also received technical comments from American Samoa, Guam, USVI, and Treasury, which we incorporated as appropriate. We did not receive any comments from the Department of the Interior. In the letter from the Governor of Guam, the territory raised some issues, which we subsequently discussed in depth with territory officials. Following these discussions, we made modifications to the draft to provide additional context by broadening our coverage of revenue for Guam and for other territories, as applicable. We provide additional information about changes that we made or did not make at the end of Appendix V.", "We will provide copies of this report to the Governor of each territory and the U.S. Secretaries of the Interior and Treasury. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have questions about this report, please contact Susan J. Irving at (202) 512-6806, or David Gootnick at (202) 512-3149. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were, for each U.S. territory\u2014Puerto Rico, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam and the U.S. Virgin Islands (USVI)\u2014 to describe: (1) trends in public debt and its composition between fiscal years 2005 and 2015, (2) trends in revenue and its composition between fiscal years 2005 and 2015, (3) the major reported drivers of the territory\u2019s public debt, and (4) what is known about the ability of the territory to repay public debt.", "For the purposes of this report, total debt held by the public (public debt) refers to the sum of bonds payable and other debt payable as described in the audited financial statements included within the territories\u2019 single audit reporting packages, hereinafter referred to as the single audit reports. Bonds payable are marketable bonded debt securities issued by territorial governments or their component units and held by investors outside those governments. Other debt payable may include marketable notes issued by territorial governments and held by investors outside those governments; non-marketable intragovernmental notes; and notes held by local banks, federal loans, intragovernmental loans, and loans issued by local banks. Pension liabilities and other post-employment benefits (OPEB) are not included in the definition of total public debt but are considered and discussed in the sections of the report that describe the territories\u2019 ability to repay their public debt.", "To describe trends in public debt and its composition for each territory, we reviewed the territories\u2019 single audit reports. These single audits are conducted each year by independent accounting firms in accordance with government accounting standards. We obtained single audits for American Samoa, CNMI, Guam, and USVI for fiscal years 2005 through 2015. We also obtained and analyzed consolidated audited financial statements for Puerto Rico from the Commonwealth of Puerto Rico\u2019s Treasury Department website for fiscal years 2005 through 2014. For each territory, we reviewed the independent auditor\u2019s report corresponding to each single audit and noted the type of opinion that was expressed on the financial statements and accompanying note disclosures. With the exception of Puerto Rico, each of the territories received modified opinions by auditors on one or more of the single audit reports included in our analysis. We reviewed each of these opinions and determined that despite the modified opinions the data we obtained from each of the single audit reports was reliable for the purpose of describing trends in debt and revenue and their composition for the fiscal years included in our analysis.", "For each territory, we extracted information on public debt\u2014specifically bonds, loans, and notes for both the primary government and component units\u2014for each fiscal year and recorded the data on spreadsheets, which were then independently verified by other analysts. For American Samoa, CNMI, Guam, and USVI, we calculated debt per capita and debt as a percentage of nominal Gross Domestic Product (GDP) using nominal GDP and population data from the U.S. Department of Commerce\u2019s Bureau of Economic Analysis. For Puerto Rico, we obtained data on Gross National Product (GNP) and nominal GDP from the Commonwealth of Puerto Rico Office of the Governor\u2019s Planning Board and data on population from the U. S. Census Bureau.", "To identify trends in revenue and its composition for each territory, we obtained and recorded information from the single audit reports on general revenues. All tax revenues, including tax revenues that are dedicated to particular purposes, are reported in general revenues. Tax revenues represent the largest component of general revenues and include both derived tax revenues (resulting from assessments imposed on exchange transactions, such as income taxes and sales taxes) and imposed nonexchange revenues (resulting from assessments imposed on non-exchange transactions, such as property taxes and fines). General revenues also include other forms of revenue, such as unrestricted aid from other governments and investment earnings. Our analysis primarily focused on trends in general revenues because the territories\u2019 public debt is either explicitly or implicitly backed by general revenues. We also included total revenue\u2014general revenues and program revenues combined\u2014in our analysis because it reflects revenue generated by the territories\u2019 component units and could be used to service debt payments.", "In addition to general revenue levels, another measure of fiscal health is the net position for primary government activities, which represents the difference between the primary government\u2019s assets (including the deferred outflows of resources) and the primary government\u2019s liabilities (including the deferred inflows of resources). In other words, the net position for primary government activities reflects what the primary government would have left after satisfying its liabilities. A negative net position means that the primary government has more liabilities than assets. A decline in net position may be indicative of a deteriorating financial position. While our analysis primarily focuses on trends in the net position for the primary government, we also include certain information on trends in the total net position for the primary government and component units combined.", "To determine the major reported drivers of public debt and what is known about the territories\u2019 ability to repay this debt, we interviewed officials from the territories\u2019 governments, including officials from the Governors\u2019 offices, departments of finance or treasury, and the agency responsible for issuing and marketing bonded debt. We also spoke to officials in territorial public audit offices. In addition, we interviewed representatives of the three rating agencies that provide credit ratings for the territories\u2019 securities: Fitch, Moody\u2019s, and Standard and Poor\u2019s.", "In addition, to determine what is known about the territories\u2019 ability to repay public debt we analyzed common factors\u2014identified through prior work, documents, and interviews with the three rating agencies\u2014that indicate territories\u2019 potential vulnerability to debt crises. These factors included 1) the extent to which territories consistently issued debt to fund general government operations, 2) the extent to which territories\u2019 economies were vulnerable to shocks due to a heavy dependence on a single or limited industry, and 3) the extent to which territories faced large fiscal risks such as pension liabilities.", "We also interviewed officials from the Department of the Interior\u2019s Office of Insular Affairs, which provides grant aid and technical assistance and support to the territories, and the Pacific and Virgin Islands Training Initiatives, which provides training and technical assistance on fiscal management to the Pacific territories and USVI, and directs the preparation of an annual report on the fiscal condition of these territories. In addition, we spoke with subject matter experts on territorial debt, officials from an investment bank involved in underwriting the territories\u2019 bonds, and officials from the three rating agencies that rate the marketability of the territories\u2019 bonds.", "We obtained and reviewed information on territorial bond issuances from fiscal years 2005 through 2015 from the Electronic Municipal Market Access (EMMA) database of the Municipal Securities Rulemaking Board, the primary regulator of the municipal securities market. We reviewed information from EMMA on bonds issued by the territories from fiscal years 2005 through 2015, including memoranda of offering for individual bond issuances.", "We conducted this performance audit from September 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained for the purpose of addressing our audit objectives provides a reasonable basis for our findings and conclusions."], "subsections": []}, {"section_title": "Appendix II: Comments from the Government of Puerto Rico", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Government of American Samoa", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Government of the Commonwealth of the Northern Mariana Islands", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Government of Guam", "paragraphs": [], "subsections": [{"section_title": "See comment 2", "paragraphs": [], "subsections": []}, {"section_title": "See comment 7", "paragraphs": [], "subsections": []}, {"section_title": "See comment 10", "paragraphs": [], "subsections": []}, {"section_title": "See comment 11", "paragraphs": ["The following are GAO\u2019s comments on Guam\u2019s letter that supplement the comments in the text. 1. Our responses to Guam\u2019s technical comments are not corrections.", "After reviewing Guam\u2019s comments, we expanded the information provided on revenue and net position for all 5 territories. For example, for Guam, we included on pages 41 and 42 of this report, additional information on revenue where we combine primary government revenue and component unit revenue. 2. Since our objective was to provide the most comprehensive metric of total public debt, it would have been incorrect for us to exclude public enterprise and revenue bond debt in our measure. 3. We do not compare the relative public debt burdens of the territories in this report. Further, pension liabilities are not included in our definition of public debt. Our definition of total public debt does include component unit debt, which Guam excludes from the calculations presented in its response. 4. On pages 41 and 42 of this report we include both a measure of primary government revenue, and a measure of primary government revenue and component unit revenue combined; an \u201capples-to- apples\u201d comparison can be made to our total public debt figure, which includes component unit debt. 5. Our calculation of total public debt outstanding for Guam is the total of bonds payable and notes payable, both the current and noncurrent portions, and other debt as defined on page 8 of this report. Guam\u2019s calculation of total public debt outstanding as shown in the table is all noncurrent liabilities except the net pension liability and results in a higher amount for fiscal year 2015 than our calculation. For bonds payable, our calculation includes both the current and noncurrent portions of bonds payable. Guam\u2019s calculation of bonds payable as shown in the table only includes the noncurrent portion and results in a lower amount for fiscal year 2015 than our calculation. As a result of these differences, our calculation of bonded debt outstanding as a percentage of total public debt outstanding for fiscal year 2015 is higher than Guam\u2019s calculation. 6. As noted on page 42 of this report, while revenue generally grew, Guam\u2019s net position for the primary government fluctuated significantly between fiscal years 2005 and 2015. Since fiscal year end 2006, Guam\u2019s net position for the primary government has been negative and trending downward. Guam\u2019s total net position for the primary government and component units also combined fluctuated significantly. On page 41 and 42 of this report, we explicitly note the increase in revenue, however in the long-term significant financial risks may outweigh any given year\u2019s revenue increase. 7. Based on our methodology, which includes component unit debt, Guam\u2019s total public debt outstanding was $2.5 billion for fiscal year 2015. 8. We used total public debt outstanding, not solely tax-supported debt to calculate the debt-to-GDP ratio for all 5 territories. As reported on page 39 of this report, Guam\u2019s debt to GDP ratio is 44 percent for total public debt and 42 percent for bonded debt for fiscal year 2015. We do not rank the U.S. territories in this report. 9. The per capita amounts presented in the report are based on debt amounts from Guam\u2019s fiscal year 2015 audit as reported in the single audit report. However, the debt amounts and population figure shown in the table differ from those used in our calculations. Total public debt and bonded public debt outstanding used in our per capita calculations are calculated as discussed in comment 5 above, which differ by about $7 million from the amounts cited in the table. In addition, the population figure used in our per capita calculations is on a fiscal year basis, which results in 161,500 for fiscal year 2015. 10. Pension liabilities are not included in our definition of public debt. The debt per capita numbers that we present in this report are based on total public debt. For Guam that figure for fiscal year 2015 was $2.5 billion. 11. We disagree with Guam\u2019s comment that the presentation in this report is negative. The final section in the discussion of Guam notes both the elements that may contribute to continued economic growth in Guam and the vulnerabilities and risks to the future: a high total debt burden and vulnerability to economic changes in its tourism and military industries. In addition, we note that Guam has large pension and other post-employment benefits liabilities that may stress current debt service payment arrangements if anticipated savings from changes to the government pension system are not realized."], "subsections": []}]}, {"section_title": "Appendix VI: Comments from the Government of the United States Virgin Islands", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Tara Carter, Assistant Director; Emil Friberg, Assistant Director; Divya Bali, Analyst-in-Charge; and Steven Berke, Karen Cassidy, and Eddie Uyekawa made significant contributions to this report. Dawn Simpson, Director; Nicole Burkart, Assistant Director; and J. Mark Yoder provided accounting expertise. Also contributing to this report were Pedro Almoguera, Jeffrey Arkin, Ann Czapiewski, John Hussey, Heather Krause, Donna Miller, Amy Radovich, Justin Snover, and A.J. Stephens."], "subsections": []}]}], "fastfact": ["U.S. territories, like states, borrow through financial markets. We reviewed the territories' fiscal year 2005-2015 public debt.", "Puerto Rico's debt grew to 66% of GDP and the territory is now in default. Its financial future is unclear until debt restructuring is complete.", "Guam's debt increased to 44% of GDP. Large unfunded pensions, if unaddressed, may hamper repayment.", "The U.S. Virgin Islands' debt grew to 72% of GDP. It's uncertain if financial reform will let the territory borrow at favorable rates again.", "At 11% and 16% of GDP, respectively, American Samoa and Northern Mariana Islands had lower debt relative to the size of their economies."]} {"id": "GAO-19-189", "url": "https://www.gao.gov/products/GAO-19-189", "title": "James Webb Space Telescope: Opportunity Nears to Provide Additional Assurance That Project Can Meet New Cost and Schedule Commitments", "published_date": "2019-03-26T00:00:00", "released_date": "2019-03-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["JWST, a large, deployable telescope, is one of NASA's most complex projects and top priorities. The project has delayed its planned launch three times since September 2017 due to problems discovered in testing. In June 2018, NASA approved new cost and schedule estimates for JWST. Since the project established its cost and schedule baselines in 2009, the project's costs have increased by 95 percent and the launch date has been moved back by 81 months.", "Conference Report No. 112-284, accompanying the Consolidated and Further Continuing Appropriations Act, 2012, included a provision for GAO to assess the project annually and report on its progress. This is the seventh report. This report assesses (1) the considerations NASA took into account when updating the project's cost and schedule commitments and (2) the extent to which NASA has taken steps to improve oversight and performance of JWST, among other issues. GAO reviewed relevant NASA policies, analyzed NASA and contractor data, and interviewed NASA and contractor officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In June 2018, the National Aeronautics and Space Administration (NASA) revised the cost and schedule commitments for the James Webb Space Telescope (JWST) to reflect known technical challenges, as well as provide additional time to address unanticipated challenges. For example, the revised launch readiness date of March 2021 included 5.5 months to address a design issue for the cover of the sunshield (see image). The purpose of the sunshield is to protect the telescope's mirrors and instruments from the sun's heat. NASA found that hardware on the cover came loose during testing in April 2018. The new cost estimate of $9.7 billion is driven by the schedule extension, which requires keeping the contractor's workforce on board longer than expected.", "Before the project enters its final phase of integration and test, it must conduct a review to determine if it can launch within its cost and schedule commitments. As part of this review, the project is not required to update its joint cost and schedule confidence level analysis\u2014an analysis that provides the probability the project can meet its cost and schedule commitments\u2014but government and industry cost and schedule experts have found it is a best practice to do so. Such analysis would provide NASA officials with better information to support decisions on allocating resources, especially in light of the project's recent cost and schedule growth.", "NASA has taken steps to improve oversight and performance of JWST, and identified the JWST project manager as responsible for monitoring the continued implementation of these changes. Examples of recent changes include increasing on-site presence at the contractor facility and conducting comprehensive audits of design processes. Sustaining focus on these changes through launch will be important if schedule pressures arise later and because of past challenges with communications. GAO will follow up on the project's monitoring of these improvements in future reviews."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends NASA update the project's joint cost and schedule confidence level analysis. NASA concurred with the recommendation made in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The James Webb Space Telescope (JWST) is one of the National Aeronautics and Space Administration\u2019s (NASA) most complex projects and top priorities. It is intended to revolutionize our understanding of star and planet formation and advance the search for the origins of our universe. The innovative technologies within the telescope, as well as the sheer size of some of its components\u2014such as the tennis-court-sized sunshield\u2014illustrate some of the immense development challenges. The project has experienced significant cost and schedule growth in recent years due to problems discovered during integration and testing. In June 2018, NASA approved new cost and schedule commitments for JWST with a cost of $9.7 billion and a launch readiness date of March 2021. This represents a total of 95 percent of cost growth and 81 months of schedule delays since the project\u2019s cost and schedule baselines were first established in 2009.", "Conference Report No. 112-284 included a provision for GAO to assess the JWST program annually and to report to the Committees on Appropriations on key issues relating to program and risk management, achievement of cost and schedule goals, program technical status, and oversight mechanisms. This report is our seventh in response to that provision. For this report, we assessed (1) the considerations that NASA took into account when updating the JWST project\u2019s cost and schedule commitments, (2) the technical and integration challenges, if any, that are affecting the execution of the JWST project, and (3) the extent to which NASA has taken steps to improve oversight and performance of the JWST project.", "To address these objectives, we examined the schedule, technical, and cost performance of the project since our last report in February 2018. To determine the considerations that NASA took into account when updating the JWST project\u2019s cost and schedule commitments, we analyzed the JWST project\u2019s proposed changes to its 2011 rebaseline. We compared the project\u2019s prior cost and schedule baseline to the project\u2019s new cost and schedule estimates to determine what changes were made, including changes to workforce projections. In addition, we compared the process the project used to update cost and schedule estimates with NASA guidance and policies on updating cost and schedule estimates and best practices identified in GAO\u2019s Cost Estimating and Assessment Guide. We discussed the project\u2019s cost and schedule estimates from the 2018 replan with NASA, Northrop Grumman Aerospace Systems (Northrop Grumman), and the James Webb Space Telescope Independent Review Board (IRB) and interviewed officials within the Office of the Chief Financial Officer on relevant NASA guidance.", "To assess the extent to which technical challenges and integration risks are affecting the execution of the JWST project, we reviewed project and contractor schedule documentation to identify the progress made and any challenges faced since our last report in February 2018. We examined monthly project status reports to management to monitor schedule reserve levels and usage, identify potential risks and technical challenges that may affect the project\u2019s schedule, and gain insights on the project\u2019s progress. We interviewed project officials at Goddard Space Flight Center and contractor officials from Northrop Grumman and the Association of Universities for Research in Astronomy\u2019s Space Telescope Science Institute concerning the challenges that have affected schedule, and the project\u2019s and contractor\u2019s plans to address these challenges. We also discussed what benefits exist, if any, of conducting cost and schedule risk analyses during integration and test with government and industry cost and schedule experts. Further, we attended two project reviews, where project and program officials briefed NASA headquarters officials on the current status of the project. We examined project risks from monthly risk registers to understand the likelihood of occurrence, the potential effect on cost and schedule, and the steps the project plans to take to mitigate the risks. We also requested updates on the status of project risks and top issues that affected technical challenges the project was working to mitigate during the course of our review. We also obtained information on the status of project software and challenges from independent NASA reviewers with NASA\u2019s Independent Verification and Validation program.", "Finally, to assess the extent to which NASA has taken steps to improve oversight and performance of the JWST project, we reviewed documentation on changes that NASA made to contractor oversight and project oversight activities between April and November 2018. We also reviewed the May 2018 IRB final report. We discussed these changes and the implementation of related IRB recommendations with Goddard Space Flight Center and NASA headquarters project officials; Northrop Grumman and Space Telescope Science Institute contractor officials; IRB members; and Defense Contract Management Agency officials who are responsible for providing oversight of software and quality assurance processes at the Northrop Grumman facility on behalf of NASA. In addition, we reviewed project and Northrop Grumman documentation that described or tracked changes to oversight and implementation of IRB recommendations. We also reviewed award fee documentation to examine NASA\u2019s determination of the percentage of the available award fee Northrop Grumman earned in two award fee periods\u2014April 1, 2017 to September 30, 2017 and October 1, 2017 to March 31, 2018. These award fee periods are inclusive of the time period in which NASA first started identifying that additional schedule slips would be likely. We compared the findings and recommendations of a 2010 independent review report to the 2018 independent review report to determine whether there were similar findings or recommendations. Further, we discussed challenges of workmanship errors and steps projects and companies can take to avoid them with an expert on quality in NASA\u2019s Office of Safety and Mission Assurance and experts at the Aerospace Corporation.", "Our work was performed primarily at NASA headquarters in Washington, D.C.; Goddard Space Flight Center in Greenbelt, Maryland; and Northrop Grumman Corporation in Redondo Beach, California. We met with officials from the Space Telescope Science Institute in Baltimore, Maryland, which will be responsible for operating the observatory on behalf of NASA, among other things. We also obtained information from officials at the Independent Verification and Validation facility in Fairmont, West Virginia. This facility is responsible for providing independent review of project safety and mission critical software.", "We conducted this performance audit from April 2018 to March 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["JWST is envisioned to be a large deployable space telescope, optimized for infrared observations, and the scientific successor to the aging Hubble Space Telescope. JWST is being designed for a 5-year mission to find the first stars, study planets in other solar systems to search for the building blocks of life elsewhere in the universe, and trace the evolution of galaxies from their beginning to their current formation. JWST is intended to operate in an orbit approximately 1.5 million kilometers\u2014or 1 million miles\u2014from the Earth. With a 6.5-meter primary mirror, JWST is expected to operate at about 100 times the sensitivity of the Hubble Space Telescope. JWST\u2019s science instruments are designed to observe very faint infrared sources and therefore are required to operate at extremely cold temperatures. To help keep these instruments cold, a multi-layered tennis court-sized sunshield is being developed to protect the mirrors and instruments from the sun\u2019s heat.", "The JWST project is divided into three major segments: the observatory segment, the ground segment, and the launch segment. When complete, the observatory segment of JWST is to include several elements (Optical Telescope Element (OTE), Integrated Science Instrument Module (ISIM), and spacecraft) and major subsystems (sunshield and cryocooler). The hardware configuration referred to as OTIS was created when the Optical Telescope Element and the Integrated Science Instrument Module were integrated. Additionally, JWST is dependent on software to deploy and control various components of the telescope, and to collect and transmit data back to Earth. The elements, major subsystems, and software are being developed through a mixture of NASA, contractor, and international partner efforts. See figure 1 for the elements and major subsystems of JWST and appendix 1 for more details, including a description of the elements, major subsystems, and JWST\u2019s instruments.", "For the majority of work remaining, the JWST project is relying on two contractors: Northrop Grumman and the Association of Universities for Research in Astronomy\u2019s Space Telescope Science Institute. Northrop Grumman plays the largest role, developing the sunshield, the Optical Telescope Element, the spacecraft, and the Mid-Infrared Instrument\u2019s cryocooler, in addition to integrating and testing the observatory. Space Telescope Science Institute\u2019s role includes soliciting and evaluating research proposals from the scientific community, and receiving and storing the scientific data collected, both of which are services that it currently provides for the Hubble Space Telescope. Additionally, the Institute is developing the ground system that manages and controls the telescope\u2019s observations and will operate the observatory on behalf of NASA. JWST will be launched on an Ariane 5 rocket, provided by the European Space Agency.", "JWST depends on 22 deployment events\u2014more than a typical science mission\u2014to prepare the observatory for normal operations on orbit. For example, the sunshield and primary mirror are designed to fold and stow for launch and deploy once in space. Due to its large size, it is nearly impossible to perform deployment tests of the fully assembled observatory, so the verification of deployment elements is accomplished by a combination of lower level component tests in flight-simulated environments; ambient deployment tests for assembly, element, and observatory levels; and detailed analysis and simulations at various levels of assembly."], "subsections": [{"section_title": "Schedule and Cost Reserves for NASA Projects", "paragraphs": ["We have previously found that complex development efforts like JWST face numerous risks and unforeseen technical challenges, which can often become apparent during integration and testing. To accommodate unanticipated challenges and manage risk, projects reserve extra time in their schedules, which is referred to as schedule reserve, and extra funds in their budgets, which is referred to as cost reserve.", "Schedule reserve is allocated to specific activities, elements, and major subsystems in the event of delays or to address unforeseen risks. Each JWST element and major subsystem has been allocated schedule reserve. When an element or major subsystem exhausts schedule reserve, it may begin to affect schedule reserve on other elements or major subsystems whose progress is dependent on prior work being finished for its activities to proceed.", "Cost reserves are additional funds within the project manager\u2019s budget that can be used to address unanticipated issues for any element or major subsystem, and are used to mitigate issues during the development of a project. For example, cost reserves can be used to buy additional materials to replace a component or, if a project needs to preserve schedule reserve, reserves can be used to accelerate work by adding shifts to expedite manufacturing. NASA\u2019s Goddard Space Flight Center\u2014 the NASA center with responsibility for managing JWST\u2014has issued procedures that establish the requirements for cost and schedule reserves. In addition to cost reserves held by the project manager, management reserves are funds held by the contractors that allow them to manage program risks and to address unanticipated cost increases throughout development. We have previously found that management reserves should contain 10 percent or more of the cost to complete a project and are generally used to address various issues tied to the contract\u2019s scope."], "subsections": []}, {"section_title": "JWST\u2019s Use of Award Fees", "paragraphs": ["NASA\u2019s cost-plus-award-fee contract with Northrop Grumman has spanned almost two decades, during which there have been significant variances in contractor performance. Cost-reimbursement contracts are suitable when uncertainties in the scope of work or cost of services prevent the use of contract types in which prices are fixed, known as fixed-price contracts. Award fee contracts provide contractors the opportunity to obtain monetary incentives for performance in designated areas identified in the award fee plan. Award fees may be used when key elements of performance cannot be defined objectively, and, as such, require the project officials\u2019 judgment to assess contractor performance. For JWST\u2019s contract with Northrop Grumman, these areas include cost, schedule, technical, and business management and are established in the contracts\u2019 performance evaluation plans.", "In December 2013, the JWST program and the contractor agreed to replace a $56 million on-orbit incentive\u2014incentives based on successful performance in space\u2014with award fees. The award fees are to incentivize cost and schedule performance during development. This shift increased the available award fee for the entire contract to almost a quarter of a billion dollars. According to officials, restructuring the incentives gave NASA more flexibility to incentivize the contractor to prioritize the cost and schedule performance over exceeding technical requirements. In December 2014, we found that NASA award fee letters of award fee periods from February 2013 to March 2014 indicated that the contractor had been responsive to interim award fee period criteria provided by NASA and that contractor officials confirmed that they pay close attention to this guidance in prioritizing their work. For example, Northrop Grumman officials reported that they had made specific changes to improve communications in direct response to this guidance, which was validated by award fee letters from NASA."], "subsections": []}, {"section_title": "History of Cost Growth and Schedule Delays", "paragraphs": ["The JWST program has a history of significant schedule delays and increases to project costs, which resulted in replans in 2011 and 2018. Before 2011, early technical and management challenges, contractor performance issues, low levels of cost reserves, and poorly phased funding caused the JWST program to delay work. As a result, the program experienced schedule overruns, including launch delays, and cost growth. The JWST program underwent a replan in September 2011, and a rebaseline in November of that same year, and Congress placed an $8 billion cap on the formulation and development costs for the project. On the basis of the replan, NASA rebaselined JWST with a life- cycle cost estimate of $8.835 billion, which included additional money for operations and a planned launch in October 2018.", "Congress also required that NASA treat any cost increase above the cap according to procedures established for projects that exceed their development cost estimates by at least 30 percent. This process is known as a rebaseline. Congress must authorize continuation of the JWST program if formulation and development costs increase over the $8 billion cost cap.", "In June 2018, after a series of launch delay announcements due to technical and workmanship issues identified during spacecraft element integration, NASA notified Congress that it had again revised the JWST program\u2019s cost and schedule estimates. NASA estimated that it now required $828 million in additional resources and 29 more months to complete beyond those estimates agreed to in the 2011 rebaseline. As of November 2018, NASA had funding to continue to execute the program and was waiting to see if Congress would authorize the program\u2019s continuation and appropriate funds for the program in fiscal year 2019. Figure 2 shows the project\u2019s history of changes to its cost or schedule and key findings from two external independent review teams and our prior work.", "As discussed above, various technical and workmanship errors drove some of the more recent delays. Examples of some of the workmanship issues we found in the past include: In October 2015, the project reported that a piece of flight hardware for the sunshield\u2019s mid-boom assembly was irreparably damaged during vacuum sealing in preparation for shipping. The damaged piece had to be remanufactured, which consumed 3 weeks of schedule reserve.", "In April 2017, a contractor technician applied too much voltage and irreparably damaged the spacecraft\u2019s pressure transducers, components of the propulsion system that help monitor spacecraft fuel levels. The transducers had to be replaced and reattached in a complicated welding process. At the same time, Northrop Grumman also addressed several challenges with integrating sunshield hardware. These issues combined took up another 1.25 months of schedule reserve.", "In May 2017, some of the valves in the spacecraft propulsion system\u2019s thruster modules were leaking beyond permissible levels. Northrop Grumman determined that the most likely cause was the use of an improper cleaning solution, and the thruster modules were returned to the vendor for investigation and refurbishment. Reattaching the refurbished modules was expected to be complete by February 2018, but was delayed by one month when a technician applied too much voltage to one of the components in a recently refurbished thruster module. NASA and Northrop Grumman reported that resolving the thruster module issue resulted in a 2-month delay to the project\u2019s overall schedule.", "In October 2017, when conducting folding and deployment exercises on the sunshield, Northrop Grumman discovered several tears in the sunshield membrane layers. According to program officials, a workmanship error contributed to the tears. The tears resulted in another 2-month delay to the project\u2019s overall schedule.", "In addition, some first-time efforts took longer than planned. For example, in fall 2017, the project determined that it would need to use up to 3 months of schedule reserve based upon lessons learned from the contractor\u2019s initial sunshield folding operation. This first deployment, or unfolding, took 30 days longer than planned. The sunshield has since undergone another deployment, and will be deployed twice more before launch.", "The IRB took into account these technical and workmanship errors, as well as other considerations, when it analyzed the project\u2019s organizational and technical issues. The board\u2019s final report, issued in May 2018, included 31 recommendations that addressed a range of factors. For example, the IRB recommended that the project:", "Conduct an audit to identify potential embedded design flaws\u2014 problems that have not been detected through analysis, inspection, or test activities and pose a significant risk to JWST schedule, cost, and mission success;", "Establish corrective actions to detect and correct human mistakes during integration and test;", "Establish a coherent, agreed-upon, and factual narrative on project status and communicate that status regularly across to all relevant stakeholders; and", "Augment integration and test staff to ensure adequate long-term staffing and improve employee morale.", "In its response to the IRB\u2019s report, NASA stated that it accepted the report\u2019s recommendations and had already begun implementing action in response to many of them. Further, project officials told us that some of the actions were underway before the IRB completed its review."], "subsections": []}]}, {"section_title": "NASA Revised Schedule and Cost Commitments to Reflect Prior and Ongoing Technical Challenges", "paragraphs": ["To develop a new schedule for JWST\u2019s 2018 replan, NASA took into account the remaining integration and test work and added time to the schedule to address threats that were not yet mitigated. This includes 5.5 months to address an anomaly that occurred on the sunshield\u2019s cover in 2018. The project also replenished its schedule reserves\u2014which we found in February 2018 had been consumed\u2014so that they now exceed the recommended levels. Both the project and IRB conducted schedule risk assessments that produced similar launch dates. The project relied on the replan schedule to determine its remaining costs because the workforce necessary to complete the observatory represents most of the remaining cost.", "Following is additional information on the schedule and cost considerations.", "Schedule: JWST\u2019s revised launch readiness date of March 2021 reflects a consideration of the hardware integration and test challenges the project has experienced, including adding time to:", "Add snag guards for the membrane tensioning system\u2014which helps deploy the sunshield and maintain its correct shape\u2014to prevent excess cable from snagging,", "Repair tears of the sunshield membrane,", "Deploy, fold, and stow the sunshield, and", "Mitigate contractor schedule threats.", "In addition, the project added extra time to the schedule to complete repairs to the membrane cover assembly, which did not perform as expected during acoustics testing in April 2018. The membrane cover assembly shown in figure 3 is used to cover the sunshield membrane when in the stowed position to provide thermal protection during launch.", "After the anomaly occurred, the project halted spacecraft element testing, investigated the anomaly, and found that the fasteners had come loose due to a design change made to prevent the fasteners from damaging the sunshield membrane. The design change caused the nuts to not lock properly. According to project officials, due to the design of the membrane cover assembly, the project was not able to conduct flight-like, stand- alone testing on the cover prior to spacecraft element testing. As a result, the project did not discover the design issue until the hardware came loose while installed on the spacecraft element. The project determined that the repairs would take approximately 5.5 months.", "The project\u2019s replan also reflected schedule reserves above the level required by Goddard Space Flight Center policy, which would have been approximately 5 months at that time. The new schedule includes a total of 293 days or 9.6 months of schedule reserves leading up to its committed launch readiness date of March 2021. NASA approved a JWST launch date of March 2021, but the project and the contractor are working toward a launch date in November 2020. Figure 4 shows the project\u2019s new schedule following the 2018 replan, including how the project distributed its schedule reserves through different integration and test activities.", "As part of its May 2018 study, the IRB reviewed the project\u2019s schedule and recommended a launch date of March 2021, which was subsequently reflected in NASA\u2019s new schedule for the program. In reviewing the project\u2019s schedule, the IRB found that the project had robust scheduling practices for ensuring that the schedule represented a complete and dynamic network of tasks that could respond automatically to changes.", "This schedule also passed a standard health check with minimal errors indicating that it was well constructed. However, the IRB noted that this schedule does not account for certain types of unknown risks to the program such as integration and test errors which can take many months to resolve, or the potential need to remove a science instrument from the observatory, which can have about a 1 year impact. As a result, the program could experience additional delays if a risk of this magnitude is realized.", "Cost: The project\u2019s new $9.7 billion life-cycle cost estimate is principally driven by the schedule extension, which requires keeping the contractor\u2019s workforce to complete integration and test longer than expected. Specifically, the project determined that almost all of the hardware had been delivered and the remaining cost was predominantly the cost for the workforce necessary to complete and test the observatory.", "For the past 3 years, we have reported that Northrop Grumman\u2019s ability to decrease its workforce was central to JWST\u2019s capacity to meet its long- term cost commitments. However, Northrop Grumman\u2019s actual workforce continued to exceed its projections. This was because it needed to maintain higher workforce levels due to technical challenges, including problems with spacecraft and sunshield integration and test. It also needed to keep specialized engineers available when needed during final assembly and test activities.", "In developing the cost estimate supporting the 2018 replan, the project used a Northrop Grumman workforce profile that is higher than previous projections because Northrop Grumman now plans to maintain personnel longer during integration and test. According to project officials, the planned reduction of Northrop Grumman\u2019s workforce is now more gradual and conservative than the prior plan. For example, the Northrop Grumman workforce will not start to significantly decline until the observatory ships to the launch site, which is expected to occur in August 2020. As shown in Figure 5, the JWST workforce assembling the observatory declines and the government and contractor workforce necessary to manage and operate the observatory remains after the internal launch readiness date of November 2020.", "As seen in the above figure, the Space Telescope Science Institute workforce, the contractor responsible for operating JWST, will remain generally flat between fiscal years 2021 to 2026 when it operates the observatory. The NASA civil service and support contractor will remain relatively flat through November 2020 launch date and then decline. In addition, the new cost estimate also took into account $61 million for implementing the IRB recommendations and mission success enhancements, funding for project cost reserves, and operations costs.", "In June 2018, the NASA associate administrator\u2014who is the project\u2019s decision authority\u2014approved the project to proceed with its replan with a March 2021 launch date and $9.7 billion in life-cycle costs based on the Agency Program Management Council review and replan documents. The associate administrator did not require the project to conduct an updated Joint Cost and Schedule Confidence Level (JCL) analysis for this replan. A JCL is an integrated analysis of a project\u2019s cost, schedule, risk, and uncertainty whose result indicates the probability of a project\u2019s success of meeting cost and schedule targets. NASA policy states that a JCL should be recalculated and approved as a part of the rebaselining approval process, but it is not required. In its replan decision memo, NASA\u2019s associate administrator explained that he did not require the project to update the JCL because project costs are almost entirely related to the workforce and most of the remaining planned activities will be performed generally in sequence. Therefore, according to NASA\u2019s associate administrator, the total cost would be driven almost entirely by the schedule because the workforce levels will remain the same through delivery of the observatory. Both the project and independent estimators used multiple schedule estimating methods to analyze the schedule for the remaining work, and NASA\u2019s associate administrator said these analyses returned consistent, high confidence launch dates."], "subsections": []}, {"section_title": "Project Has Used Some Schedule Reserve from Its 2018 Replanned Schedule with Challenging Integration and Test Work Remaining", "paragraphs": ["The project\u2019s ability to execute to its new schedule will be tested as it progresses through the remainder of challenging integration and test work. The project has yet to complete three of five integration and test phases. The remaining phases include integration and test of OTIS, the spacecraft element, and the observatory. Our prior work has shown that integration and testing is the phase in which problems are most likely to be found and schedules tend to slip. For a uniquely complex project such as JWST, this risk is magnified as events start to become more sequential in nature. As a result, it will continue to become more difficult for the project to avoid schedule delays by mitigating issues in parallel.", "As of November 2018, the project is about a week behind its replanned schedule because repairs on the membrane cover assembly took longer than planned. Completing the membrane cover assembly repairs and returning the spacecraft to vibration testing was a key event for the project to demonstrate that it could execute to its new schedule. When the project developed its 2018 replanned schedule, it had planned to complete the membrane cover assembly repairs and reinstall the assembly onto the sunshield and restart spacecraft element integration and test activities by November 6, 2018. The project allocated 4 weeks of schedule reserves specifically for these repairs. However, the membrane cover repairs proved more difficult than anticipated. For example, the program had to address unanticipated technical challenges on the membrane cover assemblies, including repairing tears and pin holes in the covers discovered after the covers were removed. The project also had to allot time to install bumpers, which are kapton tubes, to the assembly to protect the composite material on a sunshield structure during launch. The project identified the need to add the bumpers during subassembly vibration testing.", "As a result, as of November 2018, the project had used about 4.5 weeks of schedule reserves to cover delays associated with these activities. The use of reserves beyond what the project had planned for the repairs pushed the restart of spacecraft element integration and test activities out about a week to November 14, 2018. Figure 6 compares the project\u2019s initial membrane cover assembly schedule in June 2018 to the actual schedule in November 2018.", "While the project repaired the membrane cover assembly, it also used this time to conduct risk mitigation activities on OTIS. For example, the project worked to mitigate a design issue on the frill connections. The frill is composed of a single layer of blankets placed around the outside of the primary mirror used to block stray light (see figure 7).", "A combination of modeling and inspections revealed that most of the frill sections did not have as much slack as expected at the near-absolute zero cryogenic temperatures of space. This caused shrinkage that put stress on the edges of the outer ring of mirrors, which could affect the stability of the optical mirror and image quality. The project loosened these outer connections by adding a ring to the connecting points. As of November 2018, project officials said they were in the process of verifying the fix through inspections.", "Examples of technical issues and risks that the project continues to face during the remaining phases of integration and test include:", "The project is working to mitigate a design issue on the sunshield membrane tensioning system\u2014which helps deploy the sunshield and maintain its correct shape. In our February 2018 report, we found that Northrop Grumman was planning to modify the design of the membrane tensioning system after one of the sunshield\u2019s six membrane tensioning systems experienced a snag when conducting folding and deployment exercises on the sunshield in October 2017. The project and Northrop Grumman determined that a design modification was necessary to fully mitigate the issue, which includes modifying clips used to progressively release the cable tension and adding guards to control the excess cable.", "The project identified a concern that the depressurization of trapped air in the folded sunshield membrane when the fairing separates to release the JWST observatory may overly stress the membrane material. The project is working with Arianespace\u2014the company responsible for operating JWST\u2019s launch vehicle\u2014and experts at the Kennedy Space Center to resolve this concern. Officials estimated that a design solution would be in place in mid-2019. However, if the project determines that it needs to reinforce the membrane covers to survive excessive residual pressure as it works on this design solution, a multi-month schedule delay could occur.", "As of November 2018, the project has mitigated 21 of its 47 hardware and software risks to acceptable levels, and reviews these risks monthly for any changes that might affect the continued acceptability of the risk. Five of these 21 risks are related to the project\u2019s more than 300 potential single point failures\u2014several of which are related to the deployment of the sunshield. The project is actively working to mitigate the remaining 26 risks to acceptable levels or closure prior to launching.", "The project also has several first-time and challenging integration and test activities remaining. For example, the project must integrate OTIS and the completed spacecraft element and test the full observatory in the final integration phase, which includes another set of challenging environmental tests. See figure 8 for an image of OTIS and the spacecraft element prior to being integrated.", "As previously discussed, the project also has two remaining deployments of the sunshield, and prior deployments have taken longer than planned. To help mitigate the risks associated with the deployments, the project added additional time for deployments in the 2018 replanned schedule based on lessons learned from prior deployments. The two remaining deployments are to occur after spacecraft element integration and test and again after observatory integration and test.", "The JWST project office is required to evaluate whether the project can complete development within its revised cost and schedule commitments at its next major review\u2014the system integration review\u2014planned for August 2019. This review is to occur after the project has completed two major tasks\u2014OTIS and spacecraft element integration and test. The review is to evaluate whether the project (1) is ready to enter observatory integration and test, and (2) can complete remaining project development with acceptable risk and within its cost and schedule constraints. NASA guidance does not require projects to conduct a JCL at this review. However, project officials said that they plan to conduct another schedule risk analysis in the future. They do not intend to complete a new JCL for the same reasons they did not complete one for the 2018 replan\u2014 because costs are almost entirely related to the workforce and can be derived from a schedule that takes into account known risk.", "While not required, conducting a JCL prior to the system integration review would inform NASA about the probability of meeting both its cost and schedule commitments. If the project proceeds with its plan to conduct only a schedule risk analysis, NASA would be provided only with an updated probability of meeting its schedule commitments. Our cost estimating best practices recommend that cost estimates should be updated to reflect changes to a program or kept current as it moves through milestones and as new risks emerge. In addition, government and industry cost and schedule experts we spoke with noted that integration and testing is a critical time for a project when problems can develop. These experts told us that completing a JCL is a best practice for analyzing major risks at the most uncertain part of project execution. Conducting a JCL at system integration review\u2014a review that occurs during the riskiest phase of development, the integration and test phase\u2014 would allow the project to update its assumptions of risk and uncertainty based on its experiences in OTIS and spacecraft element integration and test. The project could then determine how those updated assumptions affect overall cost and schedule for the JWST project.", "As noted above, the project has many risks to mitigate, technical challenges to overcome, and challenging test events to complete, which could affect the project\u2019s schedule and risk posture. Further, the project has an established history of significant cost growth and schedule delays. In its June 2018 letter notifying an appropriate congressional committee of its updated cost and schedule commitments, NASA acknowledged that recent cost growth for the project will likely impact other science missions. Conducting a JCL at system integration review would provide NASA and Congress with critical information for making informed resource decisions on the JWST project and its affordability within NASA\u2019s portfolio of projects more broadly."], "subsections": []}, {"section_title": "NASA Is Augmenting Oversight of Contractor and Project Performance, and Identified the JWST Project Manager as Responsible for Sustaining Changes", "paragraphs": ["NASA has taken steps to augment oversight of the contractor and project following the discovery of the embedded design flaws and workmanship errors that contributed to the project\u2019s most recent schedule delays and cost increases. See table 1 for examples of changes NASA has made to contractor and project oversight\u2014some of which NASA self-identified and others that were in response to IRB recommendations. The IRB made 31 recommendations that ranged from improving employee morale to improving security during transporting JWST to its launch site.", "NASA has also used award fees to try to incentivize Northrop Grumman to improve its performance. In a July 2018 hearing on the JWST program before the House Science, Space, and Technology Committee, Administrator Bridenstine stated that NASA had reduced the available award fee through commissioning by $28 million out of a total of about $60 million. Northrop Grumman also did not earn its full award fee in the two most recent periods of performance that NASA assessed.", "For the performance period of April 1, 2017 to September 30, 2017, Northrop Grumman earned approximately 56 percent of the available award fee. Reasons that NASA cited for its evaluation of award fees in this period included workmanship errors on the propulsion system, schedule delays, as well as issues with schedule execution, management, and quality control.", "For the period of October 1, 2017 to March 31, 2018, Northrop Grumman earned none of the available award fee. Northrop Grumman\u2019s overall score was driven by an \u201cunacceptable\u201d rating in schedule and cost due to delays and in anticipation of exceeding the project\u2019s $8 billion cost cap. Northrop Grumman received an \u201cexcellent\u201d rating under the technical category, but the evaluation noted ongoing issues with quality controls, which resulted in delays. For example, the process steps for applying voltage to the spacecraft\u2019s pressure transducers were not clear enough, which resulted in technician error and irreparable damage to the hardware.", "According to Northrop Grumman officials, the contractor has started to take action to try to improve its quality assurance processes. Officials described actions that ranged from rewriting hardware integration and test procedures to starting efforts to change aspects of the company\u2019s culture that contributed to quality control issues. For example, in July 2018, Northrop Grumman initiated a JWST mission assurance culture change campaign to increase focus on product quality and process compliance. This effort includes having inspectors affirm by signature that they have personally inspected, verified, and confirmed that all aspects of an activity meet quality standards. According to the form instructions, if the inspector is uncertain on compliance or if instructions are unclear, workers are to halt work, investigate and assess the situation, and request help to resolve the situation. Project and Northrop Grumman officials provided an example of these changes working. During a manual deployment of a radiator panel, a Northrop Grumman employee discovered that a flap used as thermal protection for a radiator was installed incorrectly and reported the error. Northrop Grumman technicians found that this flap had been swapped with another flap in the process of moving them to be installed and corrected the problem before work proceeded.", "Further, NASA and Northrop Grumman are conducting audits to try to minimize the risk of failures during the remaining phases of integration and test. These audits are conducted on items that have not been fully tested, are in workmanship-sensitive areas, or have had a late design change. The first phase of the audit was completed in September 2018 and found no major design issues or hardware rework required. The project plans to audit other areas through at least spring 2019, but will add audits if needed.", "The JWST oversight structure includes a number of positions that could be responsible for ensuring that the recent augmentations to contractor and project oversight are sustained through launch (see table 2).", "In response to our review, NASA officials clarified that the project manager has sole responsibility for ensuring that these improvements are sustained through launch. Further, these officials stated that the project office is responsible for monitoring these changes at the project level and at Northrop Grumman. The project manager\u2019s continued focus on these efforts will be important because:", "The project is implementing a wide span of improvement efforts, ranging from more on-site coverage at the contractor facility to cultural improvements, which will now need to be sustained for an additional 29 months.", "The project has had recurring issues with effective internal and external communication as well as defining key management and oversight responsibilities, both of which are important to sustaining oversight. For example, the Independent Comprehensive Review Panel identified communication problems\u2014between the JWST project and Science Mission Directorate management as well as between NASA and Northrop Grumman\u2014and that the project\u2019s governance structure lacked clear lines of authority and accountability. In December 2012, we found the JWST project had taken several steps to improve communication\u2014such as instituting meetings that include various levels of NASA, contractor, and subcontractor management\u2014 but the IRB\u2019s findings in 2018 indicate that communication and governance issues have resurfaced in some areas. For example, the IRB found that communication with key stakeholders including the science community, Congress, and NASA leadership, has been variable and at times inconsistent.", "The project may encounter new schedule pressures as it proceeds through integration and test. A senior NASA official with expertise in workmanship issues told us that schedule pressure is a key reason for increased quality problems on projects. For example, this official said that companies tend to give experts leniency to operate without the burden of quality assurance paperwork when schedule pressures arise, which can lead to workmanship errors. While JWST project officials told us they do not view this as applicable to their project, the perspective regarding potential schedule pressures and workmanship is important to keep focus on given the magnitude of technical challenges and delays the project has faced.", "We will continue to monitor the project\u2019s efforts at maintaining these oversight augmentations in future reviews, given that less than a year has passed since the project began implementing many of them. Moreover, the project may find that some actions will be required of officials outside the project, particularly since the communication problems identified by the IRB may well extend to headquarters\u2019 interaction with stakeholders from the science community, industry, and the Congress."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["JWST is one of NASA\u2019s most expensive and complex science projects, and NASA has invested considerable time and resources on it. The project first established its cost and schedule baseline in 2009. Since then, the project made progress by completing two of five phases of integration and test, but has also experienced significant cost growth and schedule delays. However, the project did not complete a JCL analysis as part of its second replan. Between now and its system integration review planned for August 2019, the JWST program will have to continue to address technical challenges and mitigate risks. Conducting a JCL would better inform decision makers on the status of the project as they determine whether the project can complete remaining project development with acceptable risk and within its cost and schedule constraints. Given the project is now on its third iteration of cost and schedule commitments, conducting a JCL is a small step that NASA can take to demonstrate it is on track to meet these new commitments."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making the following recommendation to NASA: The NASA Administrator should direct the JWST project office to conduct a JCL prior to its system integration review. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to NASA for comment. In written comments, NASA agreed with our recommendation. NASA expects to complete the JCL by September 2019, prior to the system integration review. The comments are reprinted in appendix II. NASA also provided technical comments, which have been addressed in the report, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the NASA Administrator, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions on matters discussed in this report, please contact me at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Elements and Major Subsystems of the James Webb Space Telescope (JWST) Observatory", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Comments from the National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Molly Traci (Assistant Director), Karen Richey (Assistant Director), Jay Tallon (Assistant Director), Brian Bothwell, Daniel Emirkhanian, Laura Greifner, Erin Kennedy, Jose Ramos, Sylvia Schatz, Roxanna Sun, and Alyssa Weir made key contributions to this report."], "subsections": []}]}], "fastfact": ["The James Webb Space Telescope, the planned successor to the Hubble Telescope, is one of NASA's most complex projects.", "Since fall 2017, NASA has delayed the telescope's planned launch 3 times, due to factors like workmanship errors. NASA has taken some steps to ensure that the telescope can meet its new launch date of March 2021, such as increasing its oversight of contractors.", "We recommended NASA update an analysis to determine the likelihood of meeting its new launch date and cost estimate for the James Webb Space Telescope.", "NASA's acquisition management has been on our High Risk list since 1990 due to persistent cost and schedule growth."]} {"id": "GAO-18-470", "url": "https://www.gao.gov/products/GAO-18-470", "title": "Border Security and Immigration: Initial Executive Order Actions and Resource Implications", "published_date": "2018-06-12T00:00:00", "released_date": "2018-07-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In January and March 2017, the President issued a series of executive orders related to border security and immigration. The orders direct federal agencies to take a broad range of actions with potential resource implications. For example, Executive Order 13767 instructs DHS to construct a wall or other physical barriers along the U.S. southern border and to hire an additional 5,000 U.S. Border Patrol agents. Executive Order 13768 instructs federal agencies, including DHS and DOJ, to ensure that U.S immigration law is enforced against all removable individuals and directs ICE to hire an additional 10,000 immigration officers. Executive Order 13780 directs agencies to develop a uniform baseline for screening and vetting standards and procedures; and established nationality-based entry restrictions with respect to visa travelers for a 90-day period, and refugees for 120 days.", "GAO was asked to review agencies' implementation of the executive orders and related spending. This report addresses (1) actions DHS, DOJ, and State have taken, or plan to take, to implement provisions of the executive orders; and (2) resources to implement provisions of the executive orders, particularly funds DHS, DOJ, and State have obligated, expended, or shifted. GAO reviewed agency planning, tracking, and guidance documents related to the orders, as well as budget requests, appropriations acts, and internal budget information. GAO also interviewed agency officials regarding actions and budgetary costs associated with implementing the orders."]}, {"section_title": "What GAO Found", "paragraphs": ["The Departments of Homeland Security (DHS), Justice (DOJ), and State issued internal and public reports such as studies and progress updates, developed or revised policies, and took initial planning and programmatic actions to implement Executive Orders 13767, 13768, and 13780. For example:", "DHS's U.S. Customs and Border Protection (CBP) started the acquisition process for a Border Wall System Program and issued task orders to design and construct barrier prototypes. In November 2017, CBP awarded a contract worth up to $297 million to help with hiring 5,000 U.S. Border Patrol agents, 2,000 CBP officers, and 500 Air and Marine Operations agents.", "DOJ issued memoranda providing guidance for federal prosecutors on prioritizing certain immigration-related criminal offenses. Additionally, from March through October 2017, DOJ detailed approximately 40 immigration judge positions to detention centers and to the southern border to conduct removal and other related proceedings, according to DOJ officials.", "State participated in an interagency working group to develop uniform standards related to the adjudication of visa applications, interviews, and system security checks. State also implemented visa and refugee entry restrictions in accordance with the Supreme Court's June 26, 2017, ruling.", "Agency officials anticipate that implementing the executive orders will be a multi-year endeavor comprising additional reporting, planning, and other actions.", "DHS, DOJ, and State used existing fiscal year 2017 resources to support initial executive order actions that fit within their established mission areas. GAO found that it was not always possible to disaggregate which fiscal year 2017 funds were used for implementation of the orders versus other agency activities. All three agencies indicated that they used existing personnel to implement the orders and, in some cases, these efforts took substantial time. For example, according to ICE data, personnel spent about 14,000 regular hours (the equivalent of 1,750 8-hour days) and 2,400 overtime hours planning for the ICE hiring surge from January 2017 through January 2018.", "In March 2017, the President submitted a budget amendment along with a request for $3 billion in supplemental appropriations for DHS to implement the orders. In May 2017, DHS received an appropriation of just over $1.1 billion, some of which DHS used to fund actions to implement the orders. For example, CBP received $65 million for hiring and, according to CBP officials, used these funds to plan and prepare for the surge in U.S. Border Patrol agents. As of January 2018, CBP had obligated $18.8 million of the $65 million.", "Agencies plan to continue to use their base budgets and request additional funds as needed to carry out their missions and implement the orders. For example, for fiscal year 2018, CBP requested approximately $1.6 billion and received (in March 2018) approximately $1.3 billion to build new and replace existing sections of physical barriers along the southern border. For fiscal year 2019, ICE requested $571 million to hire 2,000 immigration officers and DOJ requested approximately $40 million to hire new immigration judges and supporting staff."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2017, the President issued a series of executive orders related to border security and immigration. The orders direct federal agencies to take a broad range of actions with potential resource implications. Specifically, Executive Order 13767, Border Security and Immigration Enforcement Improvements, instructs the Department of Homeland Security (DHS) to immediately plan, design, and construct a wall or other physical barriers along the U.S. southern border and to hire an additional 5,000 U.S. Border Patrol (Border Patrol) agents, among other border security initiatives. Executive Order 13768, Enhancing Public Safety in the Interior of the United States, instructs federal agencies, including DHS and the Department of Justice (DOJ), to ensure that U.S immigration law is enforced against all removable individuals; establishes the administration\u2019s enforcement priorities; and directs U.S. Immigration and Customs Enforcement (ICE) to hire an additional 10,000 immigration officers, among other things. Finally, Executive Order 13780, Protecting the Nation from Foreign Terrorist Entry into the United States, among other things, states that it is U.S. policy to improve the screening and vetting protocols and procedures associated with the visa-issuance process and U.S. Refugee Admissions Program; imposed visa entry restrictions on foreign nationals from certain listed countries for a 90-day period; and suspended all refugee admissions for 120 days.", "In light of the number of policy and programmatic requirements in the executive orders, you asked us to review federal agency actions and budgetary costs associated with implementation. This report examines (1) actions DHS, DOJ, and the Department of State (State) have taken, or plan to take, to implement provisions of the executive orders; and (2) resources to implement provisions of the executive orders, particularly funds DHS, DOJ, and State have obligated, expended, or shifted.", "For the purposes of this review, we focused our audit work on DHS, DOJ, and State because they are responsible for implementing the majority of the provisions in the three executive orders. To address the first objective, we identified actions planned, completed, or underway at DHS, DOJ, and State as of March 2018 by reviewing and cataloguing specific provisions included in the executive orders and by reviewing available agency-wide planning and tracking documents, such as a DHS inventory of tasks related to the executive orders and their implementation status. We also obtained and reviewed executive order-related memoranda issued by agency leadership to identify actions they directed within their respective departments. We conducted semi-structured interviews with officials at key components, program offices, and bureaus at the three agencies, and utilized a data collection instrument in which we asked agencies to identify actions either planned, completed, or underway to implement the executive orders. We corroborated actions identified with documentation, such as recruiting and hiring plans and statements of work. Additionally, we reviewed strategic and operational policies, guidance, and memoranda that agencies developed or revised in response to executive order provisions.", "To address the second objective, we worked to identify any funds DHS, DOJ, and State obligated, expended, or shifted within or between appropriation accounts to implement tangible, measurable, and quantifiable executive order provisions. Specifically, we reviewed the executive orders and placed each provision into one of three categories: (1) analyses and reports, (2) policies, and (3) programs. We defined the analyses and reports category as executive order provisions that direct agencies to review and analyze data, policies, processes, and operational mission areas and produce reports. We defined the policies category as executive order provisions that establish new or modify existing policies, guidance, or processes related to border security or immigration. We defined the programs category as tangible, measurable, and quantifiable executive order provisions that implement policies. We confirmed our categorization with each agency, particularly for the programs category, since the extent to which a provision is tangible, measurable, and quantifiable was not always clearly discernable. To confirm the programs category for DHS, we conducted a crosswalk between our internal categorization, actions in the DHS inventory of tasks, and provisions that the DHS Office of Budget identified as requiring resources. To confirm the programs category for DOJ and State, we corroborated our categorization by asking officials from each agency if actions taken or planned to implement the provisions required resources. In some cases, we moved policy provisions to the program category if agency efforts underway to implement the policy were programmatic in nature.", "For each agency, we collected available budgetary information\u2014 specifically, any funds requested, appropriated, obligated, and expended\u2014from January 2017 through March 2018 for the implementation of executive order provisions that we categorized as programs. We reviewed publicly available budget requests, congressional budget justifications, appropriations acts, and budgetary data from agencies\u2019 internal data systems. While we were able to identify certain funds requested, provided, or designated for executive order implementation from these documents, it was not always possible to extract funds specifically meant for implementing the executive orders from budget requests, appropriations, or expenditures for more general purposes. To specifically identify funds used for executive order implementation, we reviewed agency documentation, interviewed agency budget and program officials, and submitted written questions as necessary. In instances where there was no explicit distinction between funds for executive order implementation and funds for regular operations, we identified, and made note of, the larger account used for executive order implementation. In addition, where agencies identified that they used personnel resources to implement the executive orders, we collected related data as available. We analyzed agency documentation on the policies, procedures, and processes for maintaining internal data and interviewed agency officials about their data collection practices to assess the reliability of these data. We determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "To further address our second objective, we identified official reprogramming or transfer requests and approvals specifically for implementation of executive order provisions that we categorized as programs. We also interviewed DHS, DOJ, and State budget officials to identify any funds that were re-classified, reallocated, or otherwise shifted for different programs, activities, or purposes at lower thresholds not subject to time and condition limitations for official reprogramming or transfer requests. Additionally, we collected and reviewed documentation related to funds moved from existing programs to implement the executive orders from January 2017 through March 2018. We corroborated this information by interviewing agency budget and program officials to determine resource prioritization and what funds, if any, agencies reprogrammed or transferred\u2014or planned to reprogram or transfer\u2014from other existing programs to implement the executive orders.", "We conducted this performance audit from October 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Executive Order Summaries", "paragraphs": ["The President issued two executive orders addressing border security and immigration enforcement on January 25, 2017. These orders direct executive branch agencies to implement a series of reporting, policy, and programmatic provisions to carry out the administration\u2019s border security and immigration policies and priorities.", "Executive Order 13767 lays out key policies of the executive branch with regard to securing the southern border, preventing further unlawful entry into the United States, and repatriating removable foreign nationals. To support these purposes, the order directs DHS to, among other actions, produce a comprehensive study of the security of the southern border; issue new policy guidance regarding the appropriate and consistent use of detention of foreign nationals for violations of immigration law; plan, design, and construct a wall or other physical barriers along the southern border; and hire and on- board, as soon as practicable, 5,000 additional Border Patrol agents.", "Executive Order 13767 also directs DOJ to assign immigration judges to immigration detention facilities in order to conduct removal and other related proceedings.", "Executive Order 13768 focuses on immigration enforcement within the United States. Among other things, the order lays out the administration\u2019s immigration enforcement priorities for removable foreign nationals; directs ICE to hire 10,000 additional immigration officers; states that, as permitted by law, it is the policy of the executive branch to empower state and local law enforcement officials to perform the functions of immigration officers; calls for weekly public reports on criminal actions committed by foreign nationals and any jurisdictions that do not honor ICE detainers with respect to such individuals; and terminates the Priority Enforcement Program while reinstituting Secure Communities. The order also directs DHS and DOJ to ensure that jurisdictions that willfully prohibit or otherwise restrict communication with DHS regarding immigration status information are not eligible to receive federal grants, except as determined necessary for law enforcement purposes.", "On March 6, 2017, the President issued Executive Order 13780. This order directed agencies to take various actions to improve the screening and vetting protocols and procedures associated with the visa-issuance process and the U.S. Refugee Admissions Program. Specifically, the order directed agencies to conduct a worldwide review to identify any additional information needed from each foreign country to adjudicate visas and other immigration benefits to ensure that individuals applying for such benefits are not a security or public-safety threat. The order also instituted visa entry restrictions for nationals from certain listed countries for a 90-day period; directed agencies to develop a uniform baseline for screening and vetting standards and procedures; and suspended the U.S. Refugee Admissions Program for 120 days in order to review refugee application and adjudication procedures. The order further directed DHS to expedite the completion and implementation of a biometric entry-exit tracking system for travelers to the United States. Implementation of Executive Order 13780 entry restrictions for visa travelers and refugees commenced on June 29, 2017, subject to a June 26 ruling of the U.S. Supreme Court prohibiting enforcement of such restrictions against foreign nationals with a credible claim of a bona fide relationship to a person or entity in the United States."], "subsections": []}, {"section_title": "Federal Budget Process and Status Since Executive Order Issuance", "paragraphs": ["The federal budget process provides the means for the President and Congress to make informed decisions between competing national needs and policies, allocate resources among federal agencies, and ensure laws are executed according to established priorities. The President generally submits the budget request for the upcoming fiscal year to Congress no later than the first Monday of February (e.g. the fiscal year 2019 budget request was submitted in February 2018). To ensure there is not a lapse in appropriations for one or more federal departments or agencies, regular appropriations bills must be enacted to fund the government before the expiration of the prior appropriations, which would typically be in effect through September 30 in a regular appropriations cycle. If these regular full-year appropriations bills are not enacted by the deadline, Congress must pass a continuing appropriation (or resolution) to temporarily fund government operations into the next fiscal year. For fiscal year 2017, multiple continuing appropriations were enacted to extend funding until the Consolidated Appropriations Act, 2017, was enacted in May 2017.", "At the time the President issued the executive orders in January and March of 2017, agencies were operating under a continuing appropriation which did not incorporate any funding explicitly for the administration\u2019s immigration and border security priorities, such as hiring 5,000 additional Border Patrol agents. The administration sought additional funds to implement the executive orders through an out-of-cycle March 2017 budget amendment and supplemental appropriations request for the remainder of fiscal year 2017. In May 2017, Congress provided funding for selected priorities through the Consolidated Appropriations Act, 2017. The administration submitted additional funding requests related to the executive orders through the President\u2019s fiscal year 2018 and 2019 budget requests. A number of continuing appropriations acts were enacted from September 2017 through February 2018, providing fiscal year 2018 funding at fiscal year 2017 levels through March 23, 2018. The Consolidated Appropriations Act, 2018, was signed into law on March 23, 2018, providing funding for government operations for the remainder of fiscal year 2018. Figure 1 below provides a timeline of executive order issuance and key milestones in the budget process from December 2016 through March 2018."], "subsections": []}, {"section_title": "Agency Roles and Responsibilities", "paragraphs": ["DHS, DOJ, and State each play key roles in enforcing U.S. immigration law and securing U.S. borders. Key components and bureaus at the three agencies, and their general roles and responsibilities with regard to border security and immigration enforcement, are described in table 1."], "subsections": []}]}, {"section_title": "DHS, DOJ, and State Took Initial Planning and Programming Actions to Implement Provisions of the Executive Orders", "paragraphs": ["DHS, DOJ, and State issued reports, developed or revised policies, and took initial planning and programmatic actions in response to the executive orders. Each agency took a distinct approach to implementing the orders based on its organizational structure and the scope of its responsibilities. Each executive order established near-term reporting requirements for agencies, including updates on the status of their efforts, studies to inform planning and implementation, and reports for the public. According to officials, agencies focused part of their initial implementation efforts on meeting these reporting requirements. In addition, agencies developed and revised policies, initiated planning efforts, and made initial program changes (such as expanding or expediting programs) to reflect the administration\u2019s priorities.", "DHS: DHS established an Executive Order Task Force (EOTF), which was responsible for coordinating and tracking initial component actions to implement the executive orders. The EOTF assembled an operational planning team with representatives from key DHS components, such as U.S. Customs and Border Protection (CBP) and ICE. The EOTF and the planning team inventoried tasks in the orders, assigned component responsibilities for tasks, and monitored the status of the tasks through an online tracking mechanism and weekly coordination meetings. Additionally, the EOTF coordinated and moved reports required by the orders through DHS. For example, Section 4 of Executive Order 13767 directed DHS to produce a comprehensive study of the security of the southern border. DHS completed and submitted this report to the White House on November 22, 2017, according to EOTF officials. DHS also publicly issued three Declined Detainer Outcome Reports pursuant to Section 9 of Executive Order 13768. Additionally, EOTF officials stated that, in 2017, DHS produced and submitted to the White House 90-day and 180-day reports on the progress of implementing Executive Orders 13767 and 13768.", "The Secretary of Homeland Security issued two memoranda establishing policy and providing guidance related to Executive Orders 13767 and 13768 in February 2017. One memorandum implemented Executive Order 13767 by outlining new policies designed to stem illegal entry into the United States and to facilitate the detection, apprehension, detention, and removal of foreign nationals seeking to unlawfully enter or remain in the United States. For example, the memorandum directed U.S. Citizenship and Immigration Services (USCIS), CBP, and ICE to ensure that appropriate guidance and training is provided to agency officials to ensure proper exercise of parole in accordance with existing statue. The other memorandum implemented Executive Order 13768 and provided additional guidance with respect to the enforcement of immigration laws. For example, it terminated the Priority Enforcement Program, under which ICE prioritized the apprehension, detention, and removal of foreign nationals who posed threats to national security, public safety, or border security, including convicted felons; and restored the Secure Communities Program, pursuant to which ICE may also target for removal those charged, but not yet convicted, of criminal offenses, among others. Additionally, the memorandum reiterated DHS\u2019s general enforcement priorities. ICE, CBP, and USCIS may allocate resources to prioritize enforcement activities as they deem appropriate, such as by prioritizing enforcement against convicted felons or gang members.", "DHS components subsequently issued additional guidance further directing efforts to implement the executive orders and apply the guidance from the memoranda. For example, ICE issued guidance to its legal program to review all cases previously administratively closed based on prosecutorial discretion. ICE\u2019s new guidance requested its attorneys to determine whether the basis for closure remains appropriate under DHS\u2019s new enforcement priorities. USCIS also reviewed its guidance for credible and reasonable fear determinations\u2014the initial step for certain removable individuals to demonstrate they are eligible to be considered for particular forms of relief or protection from removal in immigration court. As a result, USCIS made select modifications pursuant to Executive Order 13767, including adding language related to evaluating an applicant\u2019s credibility based on prior statements made to other DHS officials, such as CBP and ICE officers.", "DHS also initiated a number of planning and programmatic actions to implement the executive orders. In some cases DHS components expanded or enhanced existing regular, ongoing agency activities and programs in response to the orders. For example, in response to Executive Order 13768, ICE officials reported that they expanded the use of the existing Criminal Alien Program. In other instances, DHS components altered their activities consistent with the administration\u2019s immigration priorities. For instance, in response to Executive Order 13768, the Secretary of Homeland Security directed ICE to terminate outreach or advocacy services to potentially removable foreign nationals, and reallocate all resources currently used for such purposes to a new office to assist victims of crimes allegedly perpetrated by removable foreign nationals (the Victims of Immigration Crime Engagement, or VOICE, office, established in April 2017). Additional examples of planning and programmatic actions that DHS took, or officials reported taking, in response to the executive orders are described in table 2.", "DOJ: Within DOJ, the Office of the Deputy Attorney General coordinated and oversaw DOJ\u2019s initial implementation of key provisions in the executive orders, according to DOJ officials. Specifically, DOJ officials said that the Office of the Deputy Attorney General coordinated and collected information for executive order reporting requirements and participated in an interagency working group related to Executive Order 13780, and interagency meetings related to Executive Order 13767. However, DOJ components were responsible for implementing the provisions and ensuring that they met executive order requirements. In addition, DOJ assisted in the creation and issuance of various reports. For example, officials told us that DOJ provided data to State for a report on foreign assistance to the Mexican government, as required by Section 9 of Executive Order 13767. DOJ also jointly issued three reports with DHS in response to Executive Order 13768 Section 16, which included information regarding the immigration status of foreign-born individuals incarcerated under the supervision of the Federal Bureau of Prisons and in pre-trial detention in U.S. Marshals Service (USMS) custody.", "The Attorney General issued two memoranda providing policy and guidance related to Executive Orders 13767 and 13768 in April and May of 2017. The April 2017 memorandum contains guidance for federal prosecutors on prioritizing certain immigration-related criminal offenses. For example, the memorandum requires that federal prosecutors consider prosecution of foreign nationals who illegally re-enter the United States after prior removal, and prioritize defendants with criminal histories. The May 2017 memorandum addresses Executive Order 13768\u2019s provision directing DOJ and DHS to ensure that jurisdictions willfully prohibiting immigration status-related communication with the federal government (referred to as \u201csanctuary jurisdictions\u201d) are not eligible for federal grants. It requires jurisdictions to certify their compliance with 8 U.S.C \u00a71373, under which a federal, state, or local government entity or official may not prohibit, or in any way restrict the exchange of citizenship or immigration status information with DHS.", "Additionally, DOJ took a number of initial planning and programmatic steps to implement the executive orders. DOJ officials stated that some provisions outlined in the executive orders represent regular, ongoing agency activities and did not require any major changes to be implemented. For example, DOJ detailed Assistant United States Attorneys (AUSAs) and immigration judges to southern border districts and detention centers to assist in prosecutions and to conduct removal proceedings in response to the executive orders. However, while they expanded their efforts, DOJ officials said that detailing immigration judges and AUSAs to the border districts is a regular practice, and not a new function created by the executive orders. Examples of actions that DOJ took, or officials reported taking, in response to the executive orders are described in table 3.", "State: State\u2019s Bureaus of Population, Refugees, and Migration and Consular Affairs led efforts to implement key provisions in Executive Order 13780. Several legal challenges and resulting federal court injunctions affected State\u2019s implementation of Executive Order 13780 and at times curtailed specific provisions. Initial State actions included conducting reviews and contributing to reports required by the order. For instance, while State generally suspended refugee travel for 120 days, the department, in conjunction with DHS and the Office of the Director of National Intelligence, conducted a review to determine what, if any, additional procedures should be implemented in the U.S. Refugee Admissions Program. According to State officials, the agencies provided a joint memorandum to the President in October 2017 that contained recommendations regarding resumption of the program, specific changes to refugee processing, and further reviews and steps that the interagency group should take. Additionally, State worked with DHS and the Office of the Director of National Intelligence to conduct a worldwide review. This review identified any additional information that the United States may need from each foreign country to adjudicate visas and other immigration benefit applications and ensure that individuals seeking to enter the United States do not pose a threat to public safety or national security. In July 2017, upon completion of this review, DHS, in consultation with State and other interagency partners, issued a report to the President cataloguing information needed from each country and listing countries not providing adequate information.", "State also issued a number of policies and guidance in response to the executive orders; however, guidance on how to implement certain provisions often changed due to legal challenges. For example, the Bureau of Population, Refugees, and Migration issued 23 iterations of refugee travel restrictions guidance to overseas refugee processing centers in response to federal litigation and budgetary uncertainties. Similarly, the Secretary of State issued a number of cables to visa-issuing foreign posts on implementing travel restrictions for nationals of selected countries following court orders limiting the implementation of such restrictions.", "Executive Order 13780 contained several time-sensitive provisions directed to the Secretary of State. State focused on first addressing these provisions while working towards longer-term priorities outlined in the order. For instance, Executive Order 13780 Sections 2 and 6 established visa and refugee entry restrictions, which contained near-term timelines. State implemented these provisions, consistent with judicial decisions. Examples of planning and programmatic actions that State took, or officials reported taking, to implement Executive Order 13780 are described in table 4.", "For more information on specific planning or programmatic actions DHS, DOJ, and State have taken to implement the executive orders, see appendix I.", "The examples we provided for DHS, DOJ, and State represent initial actions and do not constitute an exhaustive list of actions that agencies have taken, or may take in the future, to fully implement the executive orders. Agency officials anticipate that implementation of the executive orders will be a multi-year endeavor comprising present and future reporting, planning, and other actions. For example, DOJ officials noted that many of the actions that they took to implement the orders will be ongoing and responsive to additional DHS actions. Specifically, DOJ bases the number of immigration judges and AUSAs detailed to the southern border districts on court caseloads driven by ICE. If ICE hires additional officers and attorneys and arrests and files charges of removability against more foreign nationals, then DOJ may need to staff additional judges and AUSAs to meet caseload needs."], "subsections": []}, {"section_title": "DHS, DOJ, and State Used Existing Fiscal Year 2017 Resources to Support Initial Executive Order Actions; DHS also Received and Expended Supplemental Funds", "paragraphs": ["Existing Fiscal Year 2017 Resources: Many of the initial actions agencies and components took in response to the executive orders fit within their existing fiscal year 2017 budget framework and aligned with their established missions. At the time the executive orders were issued in January and March of 2017, federal agencies were operating under existing continuing appropriations pending enactment of fiscal year 2017 appropriations; therefore the new administration\u2019s border security and immigration priorities and policies had not yet been incorporated into the budget process. As a result, it is not always possible to disaggregate which fiscal year 2017 funds were used for implementation of the executive orders versus other agency activities. For example, while the orders call for a surge in hiring at CBP and ICE, these agencies regularly hire additional personnel to offset attrition or to meet budget hiring targets as part of their normal operations.", "We asked agencies to identify budgetary resources they used specifically to address the executive orders. In some cases agencies were able to quantify their expenditures; however in other cases they could not. For example, according to DOJ officials, the Executive Office for Immigration Review, which conducts immigration court proceedings, spent close to $2.4 million in existing funds to surge approximately 40 immigration judge positions to detention centers and the southwest border from March through October 2017 in response to Executive Order 13768. DHS\u2019s USCIS reported expending approximately $4.2 million detailing asylum officers to immigration detention facilities along the southern border from February 2017 through February 2018. Additionally, as a result of the 120-day suspension of refugee admissions, State cancelled airline tickets for previously approved refugee applicants, which resulted in a cost of nearly $2.4 million in cancellation and unused ticket fees. State officials noted that, aside from the ticket costs, other budgetary costs associated with implementing the order are difficult to disaggregate from other processing activities. For example, any budgetary costs associated with refugees who were admitted on a case-by-case basis were absorbed into overseas processing budgets. In some cases, agencies also identified cost savings or avoidances. For example, State reported a total cost avoidance of over $160 million in fiscal year 2017, partially as a result of admitting fewer refugees than originally planned under the prior administration.", "While the costs above were part of agencies\u2019 normal operations, we identified one case where Congress approved a DHS request to reprogram $20 million from existing programs to fund the planning and design of new physical barriers along the border, including prototype design and construction. Specifically, CBP reprogrammed $15 million from funds originally requested for Mobile Video Surveillance System deployments and $5 million from a border fence replacement project in Naco, Arizona. Additionally, we identified another case where DHS shifted funds and notified Congress, but determined Congressional approval for reprogramming was not required. Specifically, in response to Executive Order 13768, the Secretary of Homeland Security directed ICE to reallocate any and all resources used to advocate on behalf of potentially removable foreign nationals (except as necessary to comply with a judicial order) to the new VOICE office. As part of this effort, ICE\u2019s Office of the Principal Legal Advisor determined that the creation of the VOICE office fell within ICE\u2019s authority to carry out routine or small reallocations of personnel or functions. According to officials at DHS, DOJ, and State, there were no additional requests to reprogram or transfer funds to implement the executive orders. DHS budget officials stated that any future requests from DHS components to reprogram or transfer funds would typically be considered at the midway point in the budget cycle.", "All three agencies indicated that they used existing personnel to implement the executive orders and, in some cases, a substantial amount of time was spent preparing reports, planning to implement provisions, and responding to changes or new developments in the executive orders. For example, USCIS officials noted that the agency devoted a significant number of manpower hours to aligning USCIS priorities to the executive orders. ICE\u2019s Office of Human Capital established a dedicated executive order hiring team to plan for the hiring surge directed by Executive Order 13768. Additionally, officials at State told us that personnel were diverted from normal operations in order to implement executive order policy actions and that there were overtime costs associated with some provisions. In most cases, agencies did not specifically track or quantify the amount of time spent on these efforts; however, ICE\u2019s Office of Human Capital tracked the amount of time spent on planning for the potential surge in ICE hiring in its human resource data system. According to ICE information, ICE personnel charged approximately 14,000 regular hours (the equivalent of 1,750 8-hour days) and 2,400 overtime hours to this effort from January 2017 through January 2018.", "Fiscal Year 2017 Request for Supplemental Appropriations: In March 2017, the President submitted a budget amendment along with a request for $3 billion in supplemental appropriations for DHS to implement the executive orders and address border protection activities. In May 2017, an additional appropriation of approximately $1.1 billion was provided in response to this request, some of which DHS used to fund actions to implement the orders. For example, CBP received $65.4 million for hiring and, according to CBP officials, used these funds to plan and prepare for the surge in Border Patrol agents directed by Executive Order 13767. As of January 2018, CBP had obligated $18.8 million and expended $14.1 million of the $65.4 million it received. Additionally, ICE received $147.9 million for custody operations. At the end of fiscal year 2017, ICE had obligated and expended nearly all\u2014over 99.9 percent\u2014of the funds it received.", "Fiscal Years 2018 and 2019 Budget Requests and Fiscal Year 2018 Appropriations: Agency officials anticipate additional costs to further implement the executive orders and expect that certain provisions will require a multi-year effort. According to DHS officials, the agency expects to incorporate executive order implementation into its annual strategic and budgetary planning processes. DHS officials also noted that additional future planning and funds will be needed to fully implement actions in the orders. Agencies plan to continue to use their base budgets as well as request additional funds as needed to carry out their mission. Examples of DHS and DOJ fiscal year 2018 budget requests and appropriations to implement executive order provisions are listed below.", "CBP requested $1.6 billion and in the Consolidated Appropriations Act, 2018, received approximately $1.3 billion to build new and replace existing sections of physical barriers along the southern border. CBP also projected out-year funding for construction along certain segments of the border through 2024.", "ICE requested $185.9 million for approximately 1,000 new immigration officers and 606 support staff. ICE\u2019s fiscal year 2018 appropriation included $15.6 million to support the hiring of 65 additional investigative agents, as well as 70 attorneys and support staff.", "DOJ requested approximately $7.2 million to hire additional attorneys in support of the orders. According to DOJ officials, DOJ received sufficient funds in the fiscal year 2018 budget to meet the hiring goal for attorneys.", "DHS and DOJ also requested funds for fiscal year 2019 to implement executive order provisions, examples of which are listed below.", "ICE requested $571 million to hire 2,000 immigration officers (including 1,700 deportation officers and 300 criminal investigators) and 1,312 support staff (including attorneys).", "DOJ requested $1.1 million for 17 paralegal support positions to support the additional attorneys requested in the fiscal year 2018 request. DOJ also requested approximately $40 million to hire new immigration judges and their supporting staff, citing an over 25 percent increase in new cases brought forward by DHS over the course of fiscal year 2017.", "DHS and DOJ components that were not directly tasked with responsibilities in the executive orders have also begun to plan for potential effects as agencies implement the orders. For example, as CBP and ICE work to meet the hiring surge in the orders, USMS anticipates a likely increase in the number of individuals who are charged with criminal immigration offenses and detained pending trial, resulting in a corresponding increase in its workload. USMS developed a multi-year impact statement which projected possible effects on USMS prisoner operations, judicial security, and investigative operations. According to DOJ officials, these efforts may inform USMS\u2019s budget requests and future year planning. For example, for fiscal year 2018 USMS requested approximately $9 million to hire 40 USMS deputies to support the executive orders. For fiscal year 2019, USMS projected that the administration\u2019s policies to increase immigration enforcement and immigration-related prosecutions could result in an increase of nearly 19,000 prisoners between fiscal year 2017 and fiscal year 2019 and a corresponding budget increase of approximately $105 million for immigration expenses. In addition, officials at the Federal Law Enforcement Training Centers stated that they coordinated with Border Patrol and ICE to assess future training needs and project future resource requirements based on the hiring assumptions in the executive orders. For example, the Federal Law Enforcement Training Centers requested an increase of $29 million in fiscal year 2018 and $25.7 million in fiscal year 2019 for tuition and training requirements to implement the executive orders, among other funding requested.", "Appendix I includes additional information on funds DHS, DOJ, and State have obligated, expended, or shifted, to implement provisions of the executive orders."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DHS, DOJ, and State for review and comment. DHS provided written comments, which are reproduced in appendix III; DOJ and State did not provide written comments. In its written comments, DHS discussed resources and legislative authorities the department believes it needs to carry out executive order requirements. All three agencies provided technical comments, which we incorporated as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Homeland Security, the Attorney General, and the Secretary of State. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8777 or gamblerr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Key Actions and Budgetary Costs Related to Implementing Executive Order 13767, 13768, and 13780 Provisions", "paragraphs": [], "subsections": [{"section_title": "Purpose", "paragraphs": ["This appendix contains summaries of initial actions that the Department of Homeland Security (DHS), Department of Justice (DOJ), and Department of State (State) took to implement selected programmatic provisions of the President\u2019s executive orders on border security and immigration. These orders include Executive Order 13767, Border Security and Immigration Enforcement Improvements; Executive Order 13768, Enhancing Public Safety in the Interior of the United States; and Executive Order 13780, Protecting the Nation from Foreign Terrorist Entry into the United States. These summaries also contain overviews of budget information related to implementing the executive orders, including obligations, expenditures, and budget requests where available, among other things. Table 5 lists the summaries and the executive order provisions on which they focus."], "subsections": []}, {"section_title": "Methodology for Selecting Executive Order Provisions", "paragraphs": ["We reviewed the executive orders and placed each provision directed at DHS, DOJ, and State into one of three categories: (1) analyses and reports, (2) policies, and (3) programs. We defined the analyses and reports category as executive order provisions that direct agencies to review and analyze data, policies, processes, and operational mission areas and produce reports. We defined the policies category as executive order provisions that establish new or modify existing policies, guidance, or processes related to border security or immigration. We defined the programs category as tangible, measurable, and quantifiable executive order provisions that implement policies. We confirmed our categorization with each agency, particularly for the programs category, since it was sometimes ambiguous whether provisions would lead to actions that were tangible, measurable, and quantifiable. Specifically, we reviewed agency documentation, such as a DHS inventory of tasks related to the executive orders, and interviewed agency officials. In some cases, we moved policy provisions to the programs category if agency efforts to implement the policy were underway.", "We prepared summaries for each executive order provision(s) we categorized as a program. For each program, we identified actions planned, completed, or underway at DHS, DOJ, and State as of March 2018 through reviewing documentation, interviewing agency officials, and submitting data collection instruments. For each program we also collected available budgetary costs\u2014specifically, any funds requested, appropriated, obligated, and expended for executive order implementation from January 2017 through March 2018. We reviewed publicly available budget requests, congressional budget justifications, public laws, and budgetary data from agencies\u2019 internal data systems. While we were able to identify certain funds directly attributed to the executive order provisions from these documents, it was not always possible to extract funds specifically meant for implementing the executive order provisions from more general budget increase requests, appropriations, or expenditures. To specifically identify funds used for the executive order provisions, we reviewed agency documentation, interviewed agency budget and program officials, and submitted written questions as necessary. In instances where we were unable to differentiate executive order provision funds from regular operating funds, we identified the larger account used for executive order funds and noted this distinction. We analyzed agency documentation on the policies, procedures, and processes for maintaining budgetary data and interviewed agency officials about their data collection practices to assess the reliability of these data. We determined that the data were sufficiently reliable for our purposes."], "subsections": [{"section_title": "Executive Order: 13767", "paragraphs": [], "subsections": []}, {"section_title": "Provision Summary:", "paragraphs": [], "subsections": []}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": [], "subsections": [{"section_title": "Statutes enacted from 1996 through 2007 authorize DHS, subject to certain criteria, to take necessary actions to construct physical barriers and roads to deter illegal crossings in border areas experiencing high levels of illegal entry. As we previously reported in 2017, from fiscal years 2005 through 2015, CBP increased the total miles of primary border fencing on the southwest border from 119 miles to 654 miles.", "paragraphs": ["Action Overview CBP has taken initial steps to plan, design, and construct new and replacement physical barriers on the southern border.", "For instance, CBP began the acquisition process for a Border Wall System Program, including developing plans to construct barrier segments and awarding eight task orders with a total value of over $3 million to design and construct barrier prototypes (four made from concrete and four made from non-concrete materials).", "CBP selected San Diego, California as the first segment and plans to replace an existing 14 miles of primary and secondary barriers. DHS plans to use fiscal year 2017 funding for the replacement of the primary barrier which it plans to rebuild to existing\u2014as opposed to prototype\u2014design standards.", "In January 2018, DHS leadership also approved cost, schedule, and performance goals for a second segment in the Rio Grande Valley in Texas, which will extend an existing barrier with 60 miles of new fencing.", "The Consolidated Appropriations Act, 2018, stated that fiscal year 2018 funds for primary pedestrian fencing are only available for \u201coperationally effective designs deployed as of ,\u201d such as steel bollard fencing currently deployed in areas of the border. As of April 2018, CBP and DHS were evaluating what, if any, impact this direction will have on the department\u2019s plans, according to DHS officials.", "Additionally, DHS waived specific legal restrictions, such as environmental restrictions, in order to begin construction of barriers in the El Centro and San Diego Border Patrol sectors in California; and the Santa Teresa, New Mexico segment of the El Paso Border Patrol Sector. DHS also completed a categorical exclusion for replacement of a segment of existing barriers in El Paso, Texas.", "Budget Overview To fund the barrier prototypes, Congress approved a DHS request to reprogram $20 million in fiscal year 2017. Specifically:", "CBP reprogrammed $15 million from funds originally requested for Mobile Video Surveillance System deployments. The funds were originally part of the fiscal year 2015/2017 Border Security Fencing, Infrastructure, and Technology (BSFIT) Development and Deployment funding and were available due to a contract bid protest and delays associated with the Mobile Video Surveillance System Program.", "CBP also reprogrammed $5 million from funds originally intended for a fence replacement project in Naco, Arizona. The funds were part of fiscal year 2016 BSFIT Operations and Maintenance funding and were available as a result of unanticipated contract savings. The Naco Fence Replacement project will be completed within its original scope, according to CBP documentation.", "DHS also received an appropriation in fiscal year 2017 to replace existing fencing and to install new gates; and an appropriation in fiscal year 2018 for border barrier planning and design, and to replace existing fencing and build new barriers. As previously discussed, the Consolidated Appropriations Act, 2018, limited the use of funds provided for construction of new and replacement primary pedestrian fencing to previously deployed fencing designs. DHS has requested, but has not received, fiscal year 2019 funds for building new barriers. For more information regarding funding for future barrier construction projects along the southern border, see table 6.", "According to CBP documentation, the total cost to construct the Border Wall System Program over approximately 10 years is $18 billion. DHS headquarters conducted an independent cost estimate for the San Diego and Rio Grande Valley segments of the program, which CBP adopted as the program\u2019s life cycle cost estimate. Acquisition and operations and maintenance costs for the Rio Grande Valley segment were separately described in other DHS documents and are shown in table 7 below.", "Provision: Sections 5 and 6 Sections 5 and 6 pertain to detention facilities and detention of foreign nationals for violations of immigration law, pending the outcome of their proceedings or to facilitate removal. The order directs the Department of Homeland Security (DHS) to take immediate actions to construct, operate, or control facilities to detain foreign nationals at or near the southern border, and assign asylum officers to immigration detention facilities, among other things. Additionally, the order directs the Department of Justice (DOJ) to immediately assign immigration judges to immigration detention facilities.", "DHS: U.S. Customs and Border Protection (CBP), U.S. Immigration and Customs Enforcement (ICE), U.S. Citizenship and Immigration Services (USCIS)", "DOJ: Executive Office for Immigration Review (EOIR)", "ICE and U.S. Border Patrol officials stated they consider custody determinations on a case by case basis. Additionally, officials from CBP\u2019s Office of Field Operations stated they inspect all applicants for admission in accordance with the Immigration and Nationality Act, as prescribed by the executive order and a February 2017 memorandum the Secretary of Homeland Security issued.", "ICE, through its Enforcement and Removal Operations directorate, manages the nation\u2019s immigration detention system, which houses foreign nationals detained while their immigration cases are pending or after being ordered removed from the country. DOJ\u2019s EOIR is responsible for conducting immigration court proceedings, appellate reviews, and administrative hearings, pursuant to U.S. immigration law and regulation.", "ICE initially intended to increase bed capacity at detention facilities in order to accommodate potential surges in apprehensions that could result from implementation of the executive order. According to ICE officials, ICE identified 1,100 additional beds available at detention facilities already in use. However, officials also stated that, as of February 2018, ICE has not needed to use these additional beds due to a decrease in the number of apprehensions.", "Additionally, ICE officials indicated no acquisition actions were needed because contracts and agreements are in place at existing detention facilities and additional beds are available for excess capacity. CBP and ICE are continuously monitoring bed space requirements based on migration volume. According to ICE officials, as of February 2018, ICE had no additional actions planned to increase bed capacity.", "DHS\u2019s Office of Strategy, Policy and Plans convened a cross-component meeting to discuss detention standards, which govern the conditions of detainee confinement, according to DHS officials. ICE officials reported that ICE is currently re-writing its national detention standards (the standards applicable at most county jails housing immigration detainees). According to officials, the new standards are intended to make it easier for local jurisdictions to comply with standards without completely re-writing their existing policies to conform to ICE\u2019s requirements.", "USCIS officials told us they began working with ICE to identify where additional asylum officers were needed based on workload needs and space availability as soon as the executive order was issued in January 2017. From February 2017 through February 2018, USCIS deployed between 30 and 64 asylum officers during any given week along the southern border and continues to do so in response to caseload needs. USCIS continues to monitor and periodically adjust asylum officer staffing requirements, according to USCIS officials.", "DOJ officials stated that DOJ components coordinated with ICE to identify removal caseloads along the southern border that were large enough to warrant additional immigration judges. According to DOJ officials, from March 2017 through October 2017, EOIR detailed approximately 40 immigration judge positions, both in person and by video teleconference, to 19 DHS detention facilities, including many along the southern border, in response to the executive order. DOJ officials further explained that as caseloads fluctuated, some of the details ended, some in- person details were converted to video teleconference, and some details were converted to permanent immigration judge positions. EOIR often details immigration judges for operational reasons; however officials noted that the scale of this detail mobilization was larger because of the executive order.", "Fiscal Year 2017: Because Executive Orders 13767 and 13768 were issued during fiscal year 2017, DHS submitted a budget amendment and requested supplemental appropriations to address the needs of the department in support of executive order implementation. The request proposed funding to increase daily immigration detention capacity to 45,700 detention beds by the end of fiscal year 2017. The request stated that the detention capacity was necessary to implement the administration\u2019s immigration enforcement policies for removing foreign nationals illegally entering or residing in the United States.", "ICE: On May 5, 2017, ICE received a supplemental appropriation of $236.9 million for enforcement and removal operations, including $147.9 million for custody operations, $57.4 million for alternatives to detention, and $31.6 million for transportation and removal operations. According to ICE documentation, almost all of the funds from that additional appropriation were obligated and expended at the conclusion of fiscal year 2017, as shown in table 8.", "USCIS: USCIS documentation estimated that it expended at least $4.2 million detailing asylum officers to immigration detention facilities along the southern border from February 2017 through February 2018.", "Fiscal Year 2018: The President\u2019s budget requested an additional $1.5 billion above the 2017 annualized continuing appropriations level, for expanded detention, transportation, and removal of foreign nationals who enter, or remain in, the United States, in violation of U.S. immigration law. As part of the $1.5 billion requested, the ICE congressional budget justification requested $1.2 billion in additional funds to support an average daily population (ADP) of detainees of 51,379\u2014a 49 percent increase over fiscal year 2016 ADP (34,376). The request stated that Executive Order 13768 and subsequent department guidance were expected to drive increases in the ADP due to the increase in ICE law enforcement officers and an expected increase in the average length of stay at detention facilities. ICE also requested funds for transportation and alternatives to detention. In fiscal year 2018, ICE was appropriated $4.1 billion to support enforcement and removal operations. According to DHS officials, the Consolidated Appropriations Act, 2018, provides funds for an ADP of 40,520 total beds, 10,859 lower than requested.", "Fiscal Year 2019: The President\u2019s budget requested $2.5 billion for detention and removal capacity. As part of the $2.5 billion requested, ICE\u2019s congressional budget justification states $2.3 billion will support an ADP of 47,000. According to the ICE congressional budget justification, the number of beds will sustain the fiscal year 2017 ADP level (38,106) and provide additional detention capacity stemming from the continued implementation of Executive Order 13768. ICE also requested funds for transportation and alternatives to detention.", "Prior GAO Work: Our prior work on immigration detention examined ICE\u2019s formulation of its budget request and cost estimate for detention resources. In April 2018, we found errors and inconsistencies in ICE\u2019s calculations for its congressional budget justifications and bed rate model. Specifically, we found that ICE made errors in its budget justifications, underestimated the actual bed rate, and its methods for estimating detention costs did not meet the characteristics of a reliable cost estimate. We also found ICE did not document its methodology for its projected ADP. We recommended that ICE assess and update its adult bed rate and ADP methodology and take steps to ensure that its budget estimating process fully addresses cost estimating best practices. DHS concurred with our recommendations and plans to take actions in response to them.", "Fiscal Year 2017: DOJ documentation showed it expended approximately $2.4 million detailing immigration judge positions to immigration detention facilities from March 2017 through October 2017, either through video teleconferencing, or in-person, to adjudicate removal proceedings. EOIR officials explained the funds used were unobligated balances carried over from a prior fiscal year.", "Fiscal Year 2018: For fiscal year 2018, DOJ requested an increase of $75 million to hire 75 additional immigration judge teams to enhance public safety and law enforcement. According to DOJ officials, the agency received sufficient funds in the fiscal year 2018 budget to meet this hiring goal.", "Fiscal Year 2019: The fiscal year 2019 President\u2019s budget also requests an increase of $40 million for 75 new immigration judge teams at EOIR and nearly $40 million for 338 new prosecuting attorneys at ICE to ensure immigration cases are heard expeditiously. According to the President\u2019s budget, these investments are critical to the prompt resolution of newly-brought immigration charges and to reduce the 650,000 backlog of cases currently pending in the immigration courts. EOIR\u2019s fiscal year 2019 congressional budget justification includes a program increase totaling almost $65 million to provide funding for immigration judges and support staff, as well as information technology efforts. This increase supports initiatives that implement Presidential and Attorney General priority areas, among other things."], "subsections": []}]}, {"section_title": "Provision Summary:", "paragraphs": [], "subsections": [{"section_title": "Section 11 directs the Department of Homeland Security (DHS) to ensure that parole is exercised on a case- by-case basis in accordance with existing statutory criteria, and that asylum referrals and credible and reasonable fear determinations are conducted in a manner consistent with relevant statute and regulation.", "paragraphs": [], "subsections": []}]}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": ["USCIS has discretion to authorize parole for urgent humanitarian reasons or significant public benefit, which it uses to allow an individual, who may be inadmissible or otherwise ineligible for admission to come to the United States for a temporary period. USCIS asylum officers adjudicate asylum applications filed with USCIS, and conduct credible and reasonable fear screenings to determine if certain removable foreign nationals may be eligible to seek particular forms of relief or protection in immigration court."], "subsections": []}, {"section_title": "In fiscal year 2019, USCIS requested a total increase of $287.5 million for all programs, projects, and activities to support changes in operational requirements driven by changes to benefit request receipt volumes and complexity of work, including implementing the executive orders.", "paragraphs": ["Additional Funds Saved and Expended:", "According to USCIS officials, USCIS saved approximately $274,000 from not renewing contracts to administer the Central American Minors Parole Program.", "According to USCIS documentation, USCIS expended approximately $70,300 to deploy FDNS officers along the southern border from March 2017 to February 2018."], "subsections": []}, {"section_title": "Executive Order: 13767 and 13768", "paragraphs": [], "subsections": []}, {"section_title": "Provision Summary:", "paragraphs": [], "subsections": []}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": [], "subsections": [{"section_title": "CBP and ICE hiring demands are driven by various factors, such as national security objectives, executive-level policies, legislative mandates, and component-specific operational requirements. Border Patrol agents are to respond to, and interdict, cross-border threats and ICE officers are responsible for apprehending individuals within the United States who may be removable for various reasons, including entering the country illegally or being convicted of certain crimes.", "paragraphs": ["Action Overview DHS has taken a number of actions to implement the executive order hiring provisions. Specifically, DHS requested and the Office of Personnel Management approved a number of changes to assist DHS and its components with the executive order hiring directives. These changes include granting CBP and ICE direct hire authority and a special salary rate for polygraphers, among others. DHS\u2019s Office of the Chief Human Capital Officer and DHS components\u2019 human capital offices also began additional hiring planning, such as refining component-level hiring plans, coordinating on potential joint hiring events, and targeting specific recruitment efforts, such as military veterans. CBP and ICE have also taken the following additional actions:", "CBP: In November 2017, CBP awarded a contract not to exceed $297 million to Accenture Federal Service LLC to help with law enforcement hiring for all CBP components. The contract is structured so the contractor receives a set dollar amount for each law enforcement officer hired\u201480 percent for each final offer letter and 20 percent for each law enforcement officer who enters on duty. The contractor is to assist CBP in hiring 7,500 qualified agents and officers, including 5,000 Border Patrol agents, 2,000 CBP officers, and 500 Air and Marine Interdiction agents over 5 years. CBP expects Accenture to be fully operational and effectively provide surge hiring capacity by June 2018, according to CBP officials.", "ICE: According to ICE Office of Human Capital (OHC) officials, OHC is ensuring policies and procedures are in place so that ICE is ready to begin hiring additional immigration officers and support staff if funds are appropriated. In January 2018, ICE OHC also issued a contract solicitation for recruitment, market research, data analytics, marketing, hiring, and onboarding activities. ICE OHC sought to procure comprehensive hiring and recruitment services to assist ICE OHC in meeting the demands required to achieve the executive order\u2019s hiring goals and develop efficiencies to current OHC processes. ICE aimed to have a similar pricing structure as CBP\u2019s Accenture contract, according to the solicitation. Specifically, according to the solicitation, the yet to be selected contractor would receive a set dollar amount for each frontline officer hired\u201380 percent for each preliminary offer letter and 20 percent for each frontline officer who enters on duty. The contractor would assist ICE in hiring 10,000 law enforcement agents, including 8,500 deportation officers and 1,500 criminal investigators. It would also assist in the hiring of approximately 6,500 support personnel positions. In May 2018, the contract solicitation was cancelled; however, the government anticipates re-soliciting the requirement in fiscal year 2019. According to the contract cancellation notice and an ICE OHC official, DHS cancelled the contract due to delays associated with the fiscal year 2018 budget and hiring timelines, as well as the limited number of additional ICE positions funded in the fiscal year 2018 budget. In the interim, ICE is partnering with the Office of Personnel Management to meet the executive order\u2019s hiring goals and develop efficiencies to current OHC processes, according to ICE officials.", "Because Executive Orders 13767 and 13768 were issued during fiscal year 2017, DHS submitted a budget amendment and requested supplemental appropriations to help address the needs of the department in support of executive order implementation. The request included funding for DHS agencies to begin building the administrative capacity necessary to recruit, hire, train and equip the additional 5,000 Border Patrol agents and 10,000 ICE officers. The Federal Law Enforcement Training Centers (FLETC), which provides training to law enforcement professionals who protect the homeland, including any new ICE and CBP personnel hired as result of the executive orders, also requested funds to support these efforts.", "On May 5, 2017, CBP received an additional appropriation of $65.4 million to improve hiring processes for Border Patrol agents, CBP officers, and Air and Marine Operations personnel, and for officer relocation enhancements. Of the $65.4 million appropriated in fiscal year 2017, CBP obligated $18.8 million and expended $14.1 million as of January 2018. While ICE also received additional funding for custody operations, alternatives to detention, and transportation and removal, it did not receive supplemental funds in fiscal year 2017 specifically for hiring. DHS also requested funds for CBP, ICE, and FLETC hiring and training in fiscal year 2018 and fiscal year 2019. For additional details, see table 9.", "According to FLETC officials, the total average cost to provide basic law enforcement training varies by agencies and position, as shown in table 10. FLETC officials noted their partners also provide additional training unique to their missions, which is not included in the costs below.", "Action Overview ICE officials reported expediting review of pending 287(g) requests and approved 46 additional state and local jurisdictions for the program from February 2017 through March 2018, bringing the total to 76 law enforcement agencies in 20 states. See figure 2 for a map of additional jurisdictions approved.", "Section 10 and Section 8 of Executive Orders 13767 and 13768, respectively, direct the Department of Homeland Security (DHS) to engage with state and local entities to enter into agreements under Section 287(g) of the Immigration and Nationality Act.", "DHS: U.S. Immigration and Customs Enforcement (ICE)", "The Illegal Immigration Reform and Immigrant Responsibility Act of 1996 added Section 287(g) to the Immigration and Nationality Act, which authorizes ICE to enter into agreements with state and local law enforcement agencies, permitting designated state and local officers to perform immigration law enforcement functions.", "According to ICE officials, ICE also conducted outreach with state and local officials and identified potential law enforcement partners with whom to enter into possible future 287(g) agreements. U.S. Customs and Border Protection (CBP) officials stated that they agreed to support ICE\u2019s program expansion efforts and provided hundreds of viable state and local law enforcement referrals to ICE to assist with this effort. For example, CBP reviewed data and conducted a gap analysis, to include a survey, to identify potential law enforcement partners for future 287(g) memorandums of agreement.", "CBP officials further noted that they introduced new language into Operation Stonegarden grant guidance that allows the use of grant funding to support CBP-identified, 287(g) law enforcement operational activities. According to CBP and ICE officials, efforts to develop a 287(g) enforcement model that can be used for this purpose are pending.", "According to ICE officials, the agency is considering developing a program under which designated local law enforcement officers would be trained and authorized to serve and execute administrative warrants for individuals who are in violation of U.S. immigration laws at the time they are released from state criminal custody. ICE officials indicated that program participants would have limited authority under 287(g). For example, they would not interview individuals regarding nationality and removability, lodge detainers, or process individuals for removal. ICE has not yet finalized the program and it may evolve as ICE further develops the program, according to ICE officials.", "ICE is also leveraging an existing Basic Ordering Agreement, a procurement tool to expedite acquisition of a substantial, but presently unknown, quantity of supplies or services, according to ICE officials. A Basic Ordering Agreement is not a contract, but rather, is a written instrument of understanding, negotiated between ICE and state and local jurisdictions, to house detainees upon ICE\u2019s issuance and their acceptance of an Immigration Detainer and either a Warrant for Arrest of Alien or Warrant of Removal. For any order placed under the agreement, ICE will reimburse the provider, such as a state or local jurisdiction, for up to 48 hours of detention, under applicable regulations. The rate will be fixed at $50.00 for up to 48 hours of detention. No payment will be made for any detention beyond 48 hours.", "The Secretary of Homeland Security vested authority in CBP to accept state services to carry out certain immigration enforcement functions pursuant to Title 8, United States Code Section 1357(g). According to CBP officials, CBP also joined a 287(g) Program Advisory Board, which reviews and assesses ICE field office recommendations about pending 287(g) applications.", "Participation in the 287(g) program is expected to expand further in fiscal years 2018 and 2019, according to ICE. Additionally, ICE anticipates further increase in the number of 287(g) memorandums of agreement in fiscal years 2018 and 2019.", "In fiscal year 2018, ICE requested $24.3 million for ICE 287(g) program funding. According to the explanatory statement accompanying the Consolidated Appropriations Act, 2018, the 287(g) program was fully funded at the requested level.", "In fiscal year 2019, ICE requested $75.5 million for ICE 287(g) program funding."], "subsections": []}]}, {"section_title": "Executive Order: 13767 and 13768", "paragraphs": [], "subsections": [{"section_title": "Provision: Sections 13 and 11", "paragraphs": [], "subsections": []}]}, {"section_title": "Provision Summary:", "paragraphs": [], "subsections": [{"section_title": "Section 13 of Executive Order 13767 directs the Department of Justice (DOJ) to establish prosecution guidelines and allocate appropriate resources to ensure that federal prosecutors prioritize offenses with a nexus to the southern border.", "paragraphs": ["Section 11 of Executive Order 13768 directs DOJ and the Department of Homeland Security (DHS) to develop and implement a program to ensure that adequate resources are devoted to prosecuting criminal immigration offenses, and to develop cooperative strategies to reduce the reach of transnational criminal organizations and violent crime."], "subsections": []}]}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": ["border districts developed guidelines for prioritizing misdemeanor cases involving individuals illegally entering the United States for the first time. However, according to these officials, southern border districts developed these guidelines based on an initial high volume of apprehensions, and when apprehensions decreased the guidelines were no longer necessary and never published.", "DOJ: Executive Office for United States Attorneys (EOUSA)", "DHS: Immigration and Customs Enforcement (ICE)", "EOUSA provides executive and administrative support for United States Attorneys and Assistant United States Attorneys (AUSAs). AUSAs conduct trial work, as prosecutors, in which the United States is a party, including prosecution of criminal immigration offenses.", "Western District of Texas and Arizona, and two AUSAs each to the Southern District of California, the District of New Mexico, and the Southern District of Texas, for a total of 12 details according to DOJ officials. The first round of details lasted for 6 months, and EOUSA extended the details of one AUSA at each southern border district for an additional 6 months. DOJ officials told us that EOUSA will continue to evaluate the need for additional details along the southern border based on the needs of the districts, as determined by the number of DHS apprehensions. According to DOJ officials, implementation of these provisions is ongoing and will depend largely upon DHS executive order actions\u2014for instance, as DHS hires more enforcement personnel, criminal immigration cases may increase which could spur a need for more AUSAs.", "ICE litigates charges of removability against foreign nationals and conducts criminal investigations, including investigations of immigration fraud.", "The Secretary of Homeland Security released a memorandum with guidance on the enforcement of immigration laws in the United States on February 20, 2017. In response to this memorandum, ICE\u2019s Office of the Principal Legal Advisor sent guidance to its attorneys directing them to prioritize legal services supporting the timely removal of foreign nationals in accordance with Executive Order 13768. The guidance directed ICE to review all cases previously administratively closed based on prosecutorial discretion to determine whether the basis for closure remains appropriate under DHS\u2019s enforcement priorities. The guidance also directed ICE to coordinate with the Executive Office for Immigration Review to ensure that foreign nationals charged as removable and who meet the enforcement priorities remain on active immigration court dockets and that their cases are completed as expeditiously as possible.", "In response to the executive orders, ICE Homeland Security Investigations officials stated that the agency began to focus more of its resources on the investigation and criminal prosecution of immigration fraud. ICE Homeland Security Investigations added five new Document and Benefit Fraud Task Forces throughout the nation and directed field offices to increase staffing of task forces. Additionally, ICE is in the process of combining five Benefit Fraud Units into an immigration fraud center\u2014the National Lead Development Center\u2014 that will serve as a new centralized entity that will refer cases to the task forces for enforcement action.", "A summary of DOJ budget increase requests, appropriations, and expenditures related to prosecution priorities in the executive orders that we identified can be found in table 11.", "The fiscal year 2018 President\u2019s budget request included $19.3 million for 195 attorney positions in ICE\u2019s Office of the Principal Legal Advisor. According to ICE officials, while the Consolidated Appropriations Act, 2018, included funds for 70 positions for the Homeland Security Investigations Law Division, it did not include funds for additional attorney positions for immigration litigation within the Office of the Principal Legal Advisor.", "The fiscal year 2019 President\u2019s budget request included $39.7 million for additional attorney resources in ICE\u2019s Office of the Principal Legal Advisor.", "Provision: Sections 5 and 10 Sections 5 and 10 direct the Department of Homeland Security (DHS) to take action related to immigration enforcement. Specifically, Section 5 directs DHS to prioritize the removal of certain categories of removable foreign nationals. Section 10 directs DHS to terminate the Priority Enforcement Program (PEP) and reinstitute Secure Communities, among other things.", "DHS: U.S. Immigration and Customs Enforcement (ICE), U.S. Customs and Border Protection (CBP)", "Under PEP (from 2015 to 2017), ICE issued a request for detainer (with probable cause of removability) or information or transfer, for a priority removable individual, such as one posing a threat to national security or public safety, including a foreign national convicted of a felony, among others, under DHS\u2019s former tiered civil enforcement categories. Under Secure Communities, ICE may issue detainers for removable individuals charged, but not yet convicted, of criminal offenses, in addition to individuals subject to a final order of removal whether or not they have a criminal history.", "Pursuant to Executive Order 13768, the Secretary of Homeland Security terminated PEP and reinstituted the Secure Communities program. As such, DHS is no longer required to utilize a tiered approach to civil immigration enforcement with direction to dedicate resources to those deemed of highest priority. Instead, under Section 5 of the executive order, various categories of removable individuals are general priorities for removal, and DHS personnel may initiate enforcement actions against all removable persons they encounter. Further, the DHS memorandum implementing this executive order allows ICE, CBP, and USCIS to allocate resources to prioritize enforcement activities within these categories, such as by prioritizing enforcement against convicted felons or gang members.", "As part of this effort, ICE reported it reviewed policies, regulations, and forms relevant to enforcement priorities. ICE subsequently rescinded prior enforcement priority guidance and issued new guidance directing application of the new approach to immigration enforcement prioritization. Additionally, ICE eliminated existing forms and created a new form to place detainers on foreign nationals who have been arrested on local criminal charges and for whom ICE possesses probable cause to believe that they are removable from the United States, so that ICE can take custody of such individuals upon release.", "According to ICE officials, more than 43,300 convicted criminal aliens have been identified and removed through Secure Communities from January 25, 2017 through the end of fiscal year 2017.", "Pursuant to Executive Order 13768 and in accordance with the Secretary of Homeland Security\u2019s memorandum entitled, Enforcement of the Immigration Laws to Serve the National Interest, ICE\u2019s Enforcement and Removal Operations (ERO) expanded the use of the Criminal Alien Program (CAP) by increasing the use of Criminal Alien Program Surge Enforcement Team (CAPSET) operations, traditional CAP Surge operations, and the Institutional Hearing Program. Specifically, ICE took the following actions: ICE ERO conducted four CAPSET operations in Louisiana, Georgia, and California in fiscal year 2017, resulting in a total of 386 encounters, 275 detainers, and 261 charging documents issued, according to ICE documentation.", "ICE ERO field offices conducted CAP Surge operations, which concluded in March 2017. According to ICE documentation, the operations collectively resulted in 2,061 encounters, 668 arrests, 1,307 detainers issued, and 614 charging documents issued.", "ICE, along with the Department of Justice\u2019s Executive Office for Immigration Review and the Federal Bureau of Prisons, expanded the number of Institutional Hearing Program sites by nine, from 12 to 21. As of January 22, 2018, five of the nine Institutional Hearing Program expansion sites were operational.", "ICE officials reported that ICE also detailed over 30 percent more officers (79 officers) to support Community Shield efforts, an international law enforcement initiative to combat the growth and proliferation of transnational criminal street gangs, prison gangs, and outlaw motorcycle gangs throughout the United States.", "According to ICE officials, CAP used existing resources in fiscal year 2017 to support the efforts required by Executive Order 13768.", "ICE also requested funds in fiscal years 2018 and 2019 for CAP. Specifically, ICE stated in its fiscal year 2018 and 2019 congressional budget justifications that CAP performs its duties in accordance with immigration enforcement priorities defined by Executive Order 13768.", "In fiscal year 2018, ICE requested $412.1 million for CAP. The Consolidated Appropriations Act, 2018, funded $319.4 million for CAP, $92.6 million less than requested.", "Section 9 directs the Department of Justice (DOJ) and the Department of Homeland Security (DHS) to ensure that jurisdictions in willful noncompliance with 8 U.S.C. \u00a7 1373 (section 1373) are ineligible to receive federal grants. The section also directs DOJ to take appropriate enforcement action against any entity that violates section 1373, or which has in effect a policy, statute, or practice that prevents or hinders the enforcement of federal law."], "subsections": []}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": ["conducted a compliance review of certain jurisdictions relative to 8 U.S.C. \u00a7 1373, and issued a report in May 2016 finding that 10 jurisdictions raised compliance concerns. In response, DOJ placed a special condition on certain fiscal year 2016 grant awards, requiring recipients to submit an assessment of their compliance with section 1373. In November 2017, as part of the section 1373 compliance effort predating Executive Order 13768, DOJ sent letters to 29 jurisdictions expressing concern that they may not be in compliance with section 1373, and requesting responses regarding compliance. In January 2018, DOJ sent 23 follow-up demand letters to jurisdictions seeking further documents to determine whether they are unlawfully restricting information sharing by their law enforcement officers with federal immigration authorities, and stating that failure to respond will result in records being subpoenaed.", "The Attorney General determined that Section 9 will be applied solely to DOJ or DHS federal grants for jurisdictions willfully refusing to comply with section 1373. Under section 1373, a federal, state, or local government entity or official may not prohibit, or in any way restrict the exchange of information regarding citizenship or immigration status with DHS.", "ICE developed weekly Declined Detainer Outcome Reports detailing jurisdictions with the highest volume of declined detainers and a list of sample crimes suspected or determined to have been committed by released individuals. According to ICE officials, ICE identified data processing errors and incorrect detainer information and is working to correct these issues. ICE officials noted that they temporarily suspended the reports, and have not yet determined a specific time frame for future publications.", "DHS reviewed all DHS grant programs to determine which programs could be conditioned to require compliance with section 1373 and plans to provide this information to the Office of Management and Budget, according to DHS officials.", "DOJ has not obligated, expended, or requested any additional funds to implement Executive Order 13768, section 9(a).", "The fiscal year 2019 President\u2019s budget proposed to amend the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 to condition DHS and DOJ grants and cooperative agreements on state and local governments\u2019 cooperation with immigration enforcement.", "Section 2 directed multiple agencies, including the Department of State (State) and Department of Homeland Security (DHS), to conduct a worldwide review to identify any additional information needed from each foreign country to adjudicate immigration benefit applications and ensure that individuals applying for a visa or other immigration benefit are not a security or public safety threat. It also directed the agencies to send a report of the findings of the worldwide review to the President. This section further established visa entry restrictions applicable to foreign nationals from Iran, Libya, Somalia, Sudan, Syria, and Yemen for a 90-day period. It also stated that agencies, including State and DHS, could continue to submit additional countries for inclusion in visa entry restrictions.", "Section 5 required agencies, including State, DHS, and the Department of Justice (DOJ), to develop a uniform baseline for screening and vetting to identify individuals seeking to enter the United States on a fraudulent basis or who support terrorism or otherwise pose a danger to national security or public safety. practices based on the criteria identified above. In July 2017, State directed its posts to inform their respective host governments of the new information-sharing criteria and request that host governments provide the required information or develop a plan to do so. CA directed posts to engage more intensively with countries whose information-sharing and identity-management practices were preliminarily deemed \u201cinadequate\u201d or \u201cat risk\u201d and submit an assessment of mitigating factors or specific interests that should be considered in the deliberations regarding any travel restrictions. According to officials, State and its posts will continue to engage with foreign countries to address information-sharing and identify management deficiencies."], "subsections": []}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": ["State: Bureau of Consular Affairs (CA), DHS, and DOJ CA provides consular services in reviewing and adjudicating visa applications for those seeking to enter the United States. DHS adjudicates visa petitions, and DHS and DOJ also play roles in screening and vetting applicants. DHS and DOJ, along with State, are responsible for implementing the enhanced screening and vetting protocols established under the executive order.", "June 29, 2017 through September 24, 2017. During the implementation period, if an applicant was found ineligible for a visa on other grounds unrelated to the executive order, such as prior criminal activity or immigration violations, the applicant would be refused the visa on those grounds, according to State officials. If the applicant was found to be otherwise eligible for the visa and did not qualify for an exemption or a waiver under the executive order, he or she would be refused on the basis of the executive order. CA sent several cables to posts with guidance on implementing the 90-day travel restriction, including operational guidance and updated guidance following court decisions. CA also offered trainings to consular posts on implementation of the order.", "A series of legal challenges ultimately led to the June 26, 2017 Supreme Court decision prohibiting enforcement of entry restrictions against foreign nationals who could credibly claim a bona fide relationship with a person or entity in the United States.", "On September 24, 2017, pursuant to section 2(e) of Executive Order 13780, the President issued Presidential Proclamation 9645, which established conditional restrictions on U.S. entry for certain categories of nationals from Chad, Iran, Libya, North Korea, Syria, Venezuela, Yemen and Somalia, for an indefinite period.", "According to State officials, State, DHS, DOJ, and other agencies formed a working group and developed a uniform baseline for screening and vetting standards and procedures to ensure ineligible individuals are not permitted to enter the United States, and are implementing the new requirements. The working group conducted a review of the visa screening and vetting process and established uniform standards for (1) applications, (2) interviews, and (3) system security checks, including biographic and biometric checks. According to State officials, for applications, the group identified data elements against which applicants are to be screened and vetted. For interviews, the working group established a requirement for all applicants to undergo a baseline uniform national security and public safety interview. The working group modeled its interview baseline on elements of the refugee screening interview.", "As of June 2017, State collected most of the data elements online for immigrant and nonimmigrant visas, according to State officials.", "The President issued a memorandum on February 6, 2018, directing DHS, in coordination with State, DOJ, and the Office of the Director of National Intelligence to establish a national vetting center to coordinate agency vetting efforts to identify individuals who pose a threat to national security, border security, homeland security, and public safety. The National Vetting Center will be housed in DHS, and will leverage the capabilities of the U.S. intelligence community to identify, and prevent entry of, individuals that may pose a threat to national security. On February 14, 2018, the Secretary of Homeland Security appointed a director for the National Vetting Center. The Secretary also delegated authorities of the National Vetting Center to the Commissioner of U.S. Customs and Border Protection.", "State officials said that personnel worked overtime to implement Section 2 and the following Presidential Proclamation, but did not identify monetary costs or budget increases associated with implementation. DHS also dedicated several full-time staff positions to developing and implementing enhanced screening and vetting protocols, and DHS employees worked overtime to implement these provisions, according to officials.", "Section 6 directed the Department of State (State) to suspend travel of refugees seeking to enter the United States, and the Department of Homeland Security (DHS) to suspend adjudications on refugee applications, for 120 days. Section 6 further ordered that during the 120- day period, State, together with DHS, and the Office of the Director of National Intelligence review the refugee application and adjudication process to identify and implement additional procedures to ensure that refugees seeking entry into the United States under the United States Refugee Admissions Program (USRAP) do not pose a threat to U.S. security and welfare. This section also capped annual refugee admission at 50,000 in fiscal year 2017.", "State generally suspended travel of refugees into the United States from June 29, 2017 through October 24, 2017.", "State coordinated with DHS, the Office of the Director of National Intelligence, and other security vetting agencies on the 120-day review of the USRAP application and adjudication process to determine what additional procedures should be used to ensure that individuals seeking admission as refugees do not pose a threat to the security and welfare of the United States, according to State officials. Upon completion of the review, the agencies submitted a joint memorandum to the President.", "The United States admitted 53,716 refugees in fiscal year 2017, according to State officials. Throughout fiscal year 2017, State issued guidance that steered the refugee admissions program to different refugee arrival goals during different periods of time due to court decisions and budget considerations. Prior to the issuance of Executive Order 13769, which, after largely being blocked nationwide by a federal court injunction was revoked and replaced by Executive Order 13780, PRM operated at the rate of 110,000 refugees per year. After the issuance of Executive Orders 13769 and 13780, PRM officials noted that at times, State made no bookings for refugee arrivals, and also made bookings based on 50,000 arrivals, as well as 110,000 arrivals."], "subsections": []}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": ["A series of legal challenges and resulting court injunctions culminated in the June 26, 2017, Supreme Court order limiting State\u2019s implementation of this section to prospective refugees without bona fide ties to the United States. Together with budget uncertainties, State could not enact the refugee travel suspension or 50,000-person admissions cap based on the timeline set in the executive order. Figure 3 below shows key milestones related to this section of the order.", "The USRAP resettles refugees to the United States in accordance with a refugee admission ceiling set by the President each year. PRM is responsible for coordinating and managing the USRAP. USCIS is responsible for adjudicating refugee applications.", "According to USCIS officials, USCIS is implementing new requirements and vetting procedures for refugees. For example, these officials stated that USCIS is accessing more detailed biographical information earlier in the vetting process. Additionally, these officials noted that USCIS\u2019s Fraud Detection and National Security unit is conducting additional reviews of applicants, including social media and other information against various databases. USCIS officials further noted that USCIS\u2019s International Operations office sent guidance to the field that established the logistical requirements of the new procedures. As of April 2018, USCIS was finalizing further guidance and training officers for the enhanced review and vetting procedures, according to USCIS officials.", "State officials said that State and DHS executed four categories of exemptions during the 120-day USRAP suspension: a Congolese woman with a life-threatening illness and her family; 29 unaccompanied refugee minors; 17 Yezidis and other religious minorities in northern Iraq who had been victims of ISIS; and 53 individuals on Nauru and Manus Islands."], "subsections": []}, {"section_title": "Provision Summary:", "paragraphs": [], "subsections": [{"section_title": "Section 9 directs the Department of State (State) to suspend the Visa Interview Waiver Program, subject to certain exceptions. To support this, the provision also directs State to expand the Consular Fellows program so that visa wait times are not unduly affected. The provision also directs State to make language training available to Consular Fellows outside of their core linguistic abilities.", "paragraphs": [], "subsections": []}]}, {"section_title": "Key Agency(ies) Responsible:", "paragraphs": [], "subsections": []}, {"section_title": "Program Context:", "paragraphs": ["appointments by 12 months. In October 2017, State approved extending offers for follow-on 60-month Limited Non-Career Appointments to Consular Fellows who complete a successful initial 60-month appointment. State officials noted the first officer to accept a follow-on appointment was sworn in during April 2018. CA and State\u2019s Bureau of Human Resources updated the CA Limited Non-Career Appointments handbook to include an implementation plan for extending such appointments, and according to officials, providing language training outside of the applicant\u2019s area of core linguistic ability.", "Consular Fellows serve in U.S. embassies and consulates overseas and primarily adjudicate visa applications for foreign nationals. The Visa Interview Waiver Program formerly waived in-person interviews for certain categories of visa applicants.", "In early 2017, State streamlined the application process for Consular Fellows and realigned resources to expedite their security clearance process, according to CA officials. From February 2017 through February 2018, State hired 134 new Consular Fellows, according to CA officials. Additionally, State officials said that they expect to hire 120 more Consular Fellows for the remainder of fiscal year 2018.", "In August 2017, the Foreign Service Institute created a 12-week Spanish Language program for Consular Fellows who received certain scores on the Spanish language exam, according to CA officials. Eleven Consular Fellows completed the program in January 2018 and 20 more are expected to complete the program in July 2018, according to CA officials. As of January 2018, five Consular fellows were being trained in a language outside their core linguistic ability, according to CA officials.", "While these actions were taken to support implementation of the executive order, CA officials also told us that hiring Consular Fellows has been a State priority for some time. CA officials said that the bureau has hired an increasing number of Consular Fellows to meet worldwide visa demand since 2012, and that providing consular services is one of State\u2019s highest priorities, as well as a national security imperative.", "According to CA officials, because the Consular Fellows program is entirely funded by non-appropriated consular fees, subject to fluctuating demand for passports and visas, the expansion of the program did not have appropriations impacts. However, officials did provide per unit costs associated with aspects of expanding the Consular Fellows program. For example, Consular Fellows salaries range from approximately $48,000 to approximately $98,000 and Foreign Service Institute language courses last from 24 to 36 weeks, at a cost of $1,700 per week, per student."], "subsections": []}]}]}, {"section_title": "Appendix II: Executive Order Reports", "paragraphs": ["Executive orders 13767 (Border Security and Immigration Enforcement Improvements), 13768 (Enhancing Public Safety in the Interior of the United States), and 13780 (Protecting the Nation from Foreign Terrorist Entry into the United States) include reporting requirements for the Department of Homeland Security (DHS), the Department of State (State), and the Department of Justice (DOJ). Table 13 lists completed reports as of April 2018, according to DHS, State, and DOJ officials."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Taylor Matheson (Assistant Director), Sarah Turpin (Analyst-in-Charge), Isabel Band, and Kelsey Hawley made key contributions to this report, along with David Alexander, Eric Hauswirth, Sasan J. \u201cJon\u201d Najmi, Kevin Reeves, and Adam Vogt."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-645T", "url": "https://www.gao.gov/products/GAO-18-645T", "title": "High-Risk Series: Urgent Actions Are Needed to Address Cybersecurity Challenges Facing the Nation", "published_date": "2018-07-25T00:00:00", "released_date": "2018-07-25T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies and the nation's critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014are dependent on information technology systems to carry out operations. The security of these systems and the data they use is vital to public confidence and national security, prosperity, and well-being.", "The risks to these systems are increasing as security threats evolve and become more sophisticated. GAO first designated information security as a government-wide high-risk area in 1997. This was expanded to include protecting cyber critical infrastructure in 2003 and protecting the privacy of personally identifiable information in 2015.", "GAO was asked to update its information security high-risk area. To do so, GAO identified the actions the federal government and other entities need to take to address cybersecurity challenges. GAO primarily reviewed prior work issued since the start of fiscal year 2016 related to privacy, critical federal functions, and cybersecurity incidents, among other areas. GAO also reviewed recent cybersecurity policy and strategy documents, as well as information security industry reports of recent cyberattacks and security breaches."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO has identified four major cybersecurity challenges and 10 critical actions that the federal government and other entities need to take to address them. GAO continues to designate information security as a government-wide high-risk area due to increasing cyber-based threats and the persistent nature of security vulnerabilities.", "GAO has made over 3,000 recommendations to agencies aimed at addressing cybersecurity shortcomings in each of these action areas, including protecting cyber critical infrastructure, managing the cybersecurity workforce, and responding to cybersecurity incidents. Although many recommendations have been addressed, about 1,000 have not yet been implemented. Until these shortcomings are addressed, federal agencies' information and systems will be increasingly susceptible to the multitude of cyber-related threats that exist."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made over 3,000 recommendations to agencies since 2010 aimed at addressing cybersecurity shortcomings. As of July 2018, about 1,000 still needed to be implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["I appreciate the opportunity to be here today to participate in your hearing on cybersecurity challenges. Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014are dependent on information technology (IT) systems and electronic data to carry out operations and to process, maintain, and report essential information. The security of these systems and data is vital to public confidence and national security, prosperity, and well-being.", "Many of these systems contain vast amounts of personally identifiable information (PII), thus making it imperative to protect the confidentiality, integrity, and availability of this information and effectively respond to data breaches and security incidents, when they occur. Underscoring the importance of this issue, we continue to designate information security as a government-wide high-risk area in our most recent biennial report to Congress\u2014a designation we have made in each report since 1997.", "The risks to IT systems supporting the federal government and the nation\u2019s critical infrastructure are increasing as security threats continue to evolve and become more sophisticated. These risks include insider threats from witting or unwitting employees, escalating and emerging threats from around the globe, steady advances in the sophistication of attack technology, and the emergence of new and more destructive attacks.", "In particular, foreign nations\u2014where adversaries may possess sophisticated levels of expertise and significant resources to pursue their objectives\u2014pose increasing risks. Rapid developments in new technologies, such as artificial intelligence and the Internet of Things (IoT), makes the threat landscape even more complex and can also potentially introduce security, privacy, and safety issues that were previously unknown.", "Compounding these risks, IT systems are often riddled with security vulnerabilities\u2014both known and unknown. These vulnerabilities can facilitate security incidents and cyberattacks that disrupt critical operations; lead to inappropriate access to and disclosure, modification, or destruction of sensitive information; and threaten national security, economic well-being, and public health and safety. This is illustrated by significant security breaches reported by the Office of Personnel Management (OPM) in 2015 that resulted in the loss of PII for an estimated 22.1 million individuals and, more recently, in 2017, a security breach reported by Equifax\u2014one of the nation\u2019s largest credit bureaus\u2014 that resulted in the loss of PII for an estimated 148 million U.S. consumers.", "At your request, my testimony updates the information security high-risk area by identifying actions that the federal government and other entities need to take to address cybersecurity challenges facing the nation. This statement reflects work we conducted since the prior high-risk update was issued in February 2017, among other things. We also plan to issue an updated assessment of this high-risk area in February 2019.", "In conducting the work for this update, we first identified cybersecurity areas in which the federal government has experienced challenges. To do so, we primarily reviewed our prior work issued since the start of fiscal year 2016 related to privacy, critical federal functions, and cybersecurity incidents, among other areas (see appendix I for a list of our prior work). We also reviewed recent cybersecurity policy and strategy documents issued by the current administration, such as Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure, the National Security Strategy, and the Department of Homeland Security\u2019s (DHS) May 2018 cybersecurity strategy. We then analyzed these documents to determine the extent to which they included GAO\u2019s desirable characteristics of a national strategy. We also reviewed recent media and information security industry reports of cyberattacks and security breaches. Based on these actions, we identified four cybersecurity areas in which federal agencies had experience challenges.", "To identify the actions needed to address each challenge area, we reviewed the findings of our work specific to each challenge, the status of our prior recommendations to the Executive Office of the President and federal agencies, and any actions taken by these entities to address our recommendations. In reviewing the status of prior recommendations, we also determined which recommendations had not been implemented and what additional actions, if any, the Executive Office of the President and federal agencies needed to take in order to address them. We then summarized the actions needed and the status of our prior recommendations. We also identified our ongoing work related to each action.", "We conducted the work on which this testimony is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["IT systems supporting federal agencies and our nation\u2019s critical infrastructures are inherently at risk. These systems are highly complex and dynamic, technologically diverse, and often geographically dispersed. This complexity increases the difficulty in identifying, managing, and protecting the numerous operating systems, applications, and devices comprising the systems and networks.", "Compounding the risk, federal systems and networks are also often interconnected with other internal and external systems and networks, including the Internet. This increases the number of avenues of attack and expands their attack surface. As systems become more integrated, cyber threats will pose an increasing risk to national security, economic well-being, and public health and safety.", "Advancements in technology, such as data analytics software for searching and collecting information, have also made it easier for individuals and organizations to correlate data (including PII) and track it across large and numerous databases. For example, social media has been used as a mass communication tool where PII can be gathered in vast amounts. In addition, ubiquitous Internet and cellular connectivity makes it easier to track individuals by allowing easy access to information pinpointing their locations. These advances\u2014combined with the increasing sophistication of hackers and others with malicious intent, and the extent to which both federal agencies and private companies collect sensitive information about individuals\u2014have increased the risk of PII being exposed and compromised.", "Cybersecurity incidents continue to impact entities across various critical infrastructure sectors. For example, in its 2018 annual data breach investigations report, Verizon reported that 53,308 security incidents and 2,216 data breaches were identified across 65 countries in the 12 months since its prior report. Further, the report noted that cybercriminals can often compromise a system in just a matter of minutes\u2014or even seconds, but that it can take an organization significantly longer to discover the breach. Specifically, the report stated nearly 90 percent of the reported breaches occurred within minutes, while nearly 70 percent went undiscovered for months.", "These concerns are further highlighted by the number of information security incidents reported by federal executive branch civilian agencies to DHS\u2019s U.S. Computer Emergency Readiness Team (US-CERT). For fiscal year 2017, 35,277 such incidents were reported by the Office of Management and Budget (OMB) in its 2018 annual report to Congress, as mandated by the Federal Information Security Modernization Act (FISMA). These incidents include, for example, web-based attacks, phishing, and the loss or theft of computing equipment.", "Different types of incidents merit different response strategies. However, if an agency cannot identify the threat vector (or avenue of attack), it could be difficult for that agency to define more specific handling procedures to respond to the incident and take actions to minimize similar future attacks. In this regard, incidents with a threat vector categorized as \u201cother\u201d (which includes avenues of attacks that are unidentified) made up 31 percent of the various incidents reported to US-CERT. Figure 1 shows the percentage of the different types of incidents reported across each of the nine threat vector categories for fiscal year 2017, as reported by OMB.", "These incidents and others like them can pose a serious challenge to economic, national, and personal privacy and security. The following examples highlight the impact of such incidents: In March 2018, the Mayor of Atlanta, Georgia reported that the city was victimized by a ransomware cyberattack. As a result, city government officials stated that customers were not able to access multiple applications that are used to pay bills or access court related information. In response to the attack, the officials noted that they were working with numerous private and governmental partners, including DHS, to assess what occurred and determine how best to protect the city from future attacks.", "In March 2018, the Department of Justice reported that it had indicted nine Iranians for conducting a massive cybersecurity theft campaign on behalf of the Islamic Revolutionary Guard Corps. According to the department, the nine Iranians allegedly stole more than 31 terabytes of documents and data from more than 140 American universities, 30 U.S. companies, and five federal government agencies, among other entities.", "In March 2018, a joint alert from DHS and the Federal Bureau of Investigation (FBI) stated that, since at least March 2016, Russian government actors had targeted the systems of multiple U.S. government entities and critical infrastructure sectors. Specifically, the alert stated that Russian government actors had affected multiple organizations in the energy, nuclear, water, aviation, construction, and critical manufacturing sectors.", "In July 2017, a breach at Equifax resulted in the loss of PII for an estimated 148 million U.S. consumers. According to Equifax, the hackers accessed people\u2019s names, Social Security numbers (SSN), birth dates, addresses and, in some instances, driver\u2019s license numbers.", "In April 2017, the Commissioner of the Internal Revenue Service (IRS) testified that the IRS had disabled its data retrieval tool in early March 2017 after becoming concerned about the misuse of taxpayer data. Specifically, the agency suspected that PII obtained outside the agency\u2019s tax system was used to access the agency\u2019s online federal student aid application in an attempt to secure tax information through the data retrieval tool. In April 2017, the agency began notifying taxpayers who could have been affected by the breach.", "In June 2015, OPM reported that an intrusion into its systems had affected the personnel records of about 4.2 million current and former federal employees. Then, in July 2015, the agency reported that a separate, but related, incident had compromised its systems and the files related to background investigations for 21.5 million individuals. In total, OPM estimated 22.1 million individuals had some form of PII stolen, with 3.6 million being a victim of both breaches."], "subsections": [{"section_title": "Federal Information Security Included on GAO\u2019s High-Risk List Since 1997", "paragraphs": ["Safeguarding federal IT systems and the systems that support critical infrastructures has been a long-standing concern of GAO. Due to increasing cyber-based threats and the persistent nature of information security vulnerabilities, we have designated information security as a government-wide high-risk area since 1997. In 2003, we expanded the information security high-risk area to include the protection of critical cyber infrastructure. At that time, we highlighted the need to manage critical infrastructure protection activities that enhance the security of the cyber and physical public and private infrastructures that are essential to national security, national economic security, and/or national public health and safety.", "We further expanded the information security high-risk area in 2015 to include protecting the privacy of PII. Since then, advances in technology have enhanced the ability of government and private sector entities to collect and process extensive amounts of PII, which has posed challenges to ensuring the privacy of such information. In addition, high- profile PII breaches at commercial entities, such as Equifax, heightened concerns that personal privacy is not being adequately protected.", "Our experience has shown that the key elements needed to make progress toward being removed from the High-Risk List are top-level attention by the administration and agency leaders grounded in the five criteria for removal, as well as any needed congressional action. The five criteria for removal that we identified in November 2000 are as follows:", "Leadership Commitment. Demonstrated strong commitment and top leadership support.", "Capacity. The agency has the capacity (i.e., people and resources) to resolve the risk(s).", "Action Plan. A corrective action plan exists that defines the root cause, solutions, and provides for substantially completing corrective measures, including steps necessary to implement solutions we recommended.", "Monitoring. A program has been instituted to monitor and independently validate the effectiveness and sustainability of corrective measures.", "Demonstrated Progress. Ability to demonstrate progress in implementing corrective measures and in resolving the high-risk area.", "These five criteria form a road map for efforts to improve and ultimately address high-risk issues. Addressing some of the criteria leads to progress, while satisfying all of the criteria is central to removal from the list. Figure 2 shows the five criteria and illustrative actions taken by agencies to address the criteria. Importantly, the actions listed are not \u201cstand alone\u201d efforts taken in isolation from other actions to address high- risk issues. That is, actions taken under one criterion may be important to meeting other criteria as well. For example, top leadership can demonstrate its commitment by establishing a corrective action plan including long-term priorities and goals to address the high-risk issue and using data to gauge progress\u2014actions which are also vital to monitoring criteria.", "As we reported in the February 2017 high-risk report, the federal government\u2019s efforts to address information security deficiencies had fully met one of the five criteria for removal from the High-Risk List\u2014 leadership commitment\u2014and partially met the other four, as shown in figure 3. We plan to update our assessment of this high-risk area against the five criteria in February 2019."], "subsections": []}]}, {"section_title": "Ten Critical Actions Needed to Address Major Cybersecurity Challenges", "paragraphs": ["Based on our prior work, we have identified four major cybersecurity challenges: (1) establishing a comprehensive cybersecurity strategy and performing effective oversight, (2) securing federal systems and information, (3) protecting cyber critical infrastructure, and (4) protecting privacy and sensitive data. To address these challenges, we have identified 10 critical actions that the federal government and other entities need to take (see figure 4). The four challenges and the 10 actions needed to address them are summarized following the table."], "subsections": [{"section_title": "Establishing a Comprehensive Cybersecurity Strategy and Performing Effective Oversight", "paragraphs": ["The federal government has been challenged in establishing a comprehensive cybersecurity strategy and in performing effective oversight as called for by federal law and policy. Specifically, we have previously reported that the federal government has faced challenges in establishing a comprehensive strategy to provide a framework for how the United States will engage both domestically and internationally on cybersecurity related matters. We have also reported on challenges in performing oversight, including monitoring the global supply chain, ensuring a highly skilled cyber workforce, and addressing risks associated with emerging technologies. The federal government can take four key actions to improve the nation\u2019s strategic approach to, and oversight of, cybersecurity.", "Develop and execute a more comprehensive federal strategy for national cybersecurity and global cyberspace. In February 2013 we reported that the government had issued a variety of strategy- related documents that addressed priorities for enhancing cybersecurity within the federal government as well as for encouraging improvements in the cybersecurity of critical infrastructure within the private sector; however, no overarching cybersecurity strategy had been developed that articulated priority actions, assigned responsibilities for performing them, and set timeframes for their completion. Accordingly, we recommended that the White House Cybersecurity Coordinator in the Executive Office of the President develop an overarching federal cybersecurity strategy that included all key elements of the desirable characteristics of a national strategy including, among other things, milestones and performance measures for major activities to address stated priorities; cost and resources needed to accomplish stated priorities; and specific roles and responsibilities of federal organizations related to the strategy\u2019s stated priorities.", "In response to our recommendation, in October 2015, the Director of OMB and the Federal Chief Information Officer, issued a Cybersecurity Strategy and Implementation Plan for the Federal Civilian Government. The plan directed a series of actions to improve capabilities for identifying and detecting vulnerabilities and threats, enhance protections of government assets and information, and further develop robust response and recovery capabilities to ensure readiness and resilience when incidents inevitably occur. The plan also identified key milestones for major activities, resources needed to accomplish milestones, and specific roles and responsibilities of federal organizations related to the strategy\u2019s milestones.", "Since that time, the executive branch has made progress toward outlining a federal strategy for confronting cyber threats. Table 1 identifies these recent efforts and a description of their related contents.", "These efforts provide a good foundation toward establishing a more comprehensive strategy, but more effort is needed to address all of the desirable characteristics of a national strategy that we recommended. The recently issued executive branch strategy documents did not include key elements of desirable characteristics that can enhance the usefulness of a national strategy as guidance for decision makers in allocating resources, defining policies, and helping to ensure accountability. Specifically:", "Milestones and performance measures to gauge results were generally not included in strategy documents. For example, although the DHS Cybersecurity Strategy stated that its implementation would be assessed on an annual basis, it did not describe the milestones and performance measures for tracking the effectiveness of the activities intended to meet the stated goals (e.g., protecting critical infrastructure and responding effectively to cyber incidents). Without such performance measures, DHS will lack a means to ensure that the goals and objectives discussed in the document are accomplished and that responsible parties are held accountable.", "According to officials from DHS\u2019s Office of Cybersecurity and Communications, the department is developing a plan for implementing the DHS Cybersecurity Strategy and expects to issue the plan by mid-August 2018. The officials stated that the plan is expected to identify milestones, roles, and responsibilities across DHS to inform the prioritization of future efforts.", "The strategy documents generally did not include information regarding the resources needed to carry out the goals and objectives. For example, although the DHS Cybersecurity Strategy identified a variety of actions the agency planned to take to perform their cybersecurity mission, it did not articulate the resources needed to carry out these actions and requirements. Without information on the specific resources needed, federal agencies may not be positioned to allocate such resources and investments and, therefore, may be hindered in their ability to meet national priorities.", "Most of the strategy documents lacked clearly defined roles and responsibilities for key agencies, such as DHS, DOD, and OMB. These agencies contribute substantially to the nation\u2019s cybersecurity programs. For example, although the National Security Strategy discusses multiple priority actions needed to address the nation\u2019s cybersecurity challenges (e.g. building defensible government networks and deterring and disrupting malicious cyber actors), it does not describe the roles, responsibilities, or the expected coordination of any specific federal agencies, including DHS, DOD, or OMB, or other non- federal entities needed to carry out those actions. Without this information, the federal government may not be able to foster effective coordination, particularly where there is overlap in responsibilities, or hold agencies accountable for carrying out planned activities.", "Ultimately, a more clearly defined, coordinated, and comprehensive approach to planning and executing an overall strategy would likely lead to significant progress in furthering strategic goals and lessening persistent weaknesses.", "Mitigate global supply chain risks. The global, geographically disperse nature of the producers and suppliers of IT products is a growing concern. We have previously reported on potential issues associated with IT supply chain and risks originating from foreign- manufactured equipment. For example, in July 2017, we reported that the Department of State had relied on certain device manufacturers, software developers, and contractor support which had suppliers that were reported to be headquartered in a cyber-threat nation (e.g., China and Russia). We further pointed out that the reliance on complex, global IT supply chains introduces multiple risks to federal agencies, including insertion of counterfeits, tampering, or installation of malicious software or hardware.", "Earlier this month, we testified that if such global IT supply chain risks are realized, they could jeopardize the confidentiality, integrity, and availability of federal information systems. Thus, the potential exists for serious adverse impact on an agency\u2019s operations, assets, and employees. These factors highlight the importance and urgency of federal agencies appropriately assessing, managing, and monitoring IT supply chain risk as part of their agencywide information security programs.", "Address cybersecurity workforce management challenges. The federal government faces challenges in ensuring that the nation\u2019s cybersecurity workforce has the appropriate skills. For example, in June 2018, we reported on federal efforts to implement the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015. We determined that most of the Chief Financial Officers (CFO) Act agencies had not fully implemented all statutory requirements, such as developing procedures for assigning codes to cybersecurity positions. Further, we have previously reported that DHS and DOD had not addressed cybersecurity workforce management requirements set forth in federal laws. In addition, we have reported in the last 2 years that federal agencies (1) had not identified and closed cybersecurity skills gaps, (2) had been challenged with recruiting and retaining qualified staff, and (3) had difficulty navigating the federal hiring process.", "A recent executive branch report also discussed challenges associated with the cybersecurity workforce. Specifically, in response to Executive Order 13800, the Department of Commerce and DHS led an interagency working group exploring how to support the growth and sustainment of future cybersecurity employees in the public and private sectors. In May 2018, the departments issued a report that identified key findings, including: the U.S. cybersecurity workforce needs immediate and sustained improvements; the pool of cybersecurity candidates needs to be expanded through retraining and by increasing the participation of women, minorities, and veterans; a shortage exists of cybersecurity teachers at the primary and secondary levels, faculty in higher education, and training instructors; and comprehensive and reliable data about cybersecurity workforce position needs and education and training programs are lacking.", "The report also included recommendations and proposed actions to address the findings, including that private and public sectors should (1) align education and training with employers\u2019 cybersecurity workforce needs by applying the National Initiative for Cybersecurity Education Cybersecurity Workforce Framework; (2) develop cybersecurity career model paths; and (3) establish a clearinghouse of information on cybersecurity workforce development education, training, and workforce development programs and initiatives.", "In addition, in June 2018, the executive branch issued a government reform plan and reorganization recommendations that included, among other things, proposals for solving the federal cybersecurity workforce shortage. In particular, the plan notes that the administration intends to prioritize and accelerate ongoing efforts to reform the way that the federal government recruits, evaluates, selects, pays, and places cyber talent across the enterprise. The plan further states that, by the end of the first quarter of fiscal year 2019, all CFO Act agencies, in coordination with DHS and OMB, are to develop a critical list of vacancies across their organizations. Subsequently, OMB and DHS are to analyze these lists and work with OPM to develop a government-wide approach to identifying or recruiting new employees or reskilling existing employees. Regarding cybersecurity training, the plan notes that OMB is to consult with DHS to standardize training for cybersecurity employees, and should work to develop an enterprise-wide training process for government cybersecurity employees.", "Ensure the security of emerging technologies. As the devices used in daily life become increasingly integrated with technology, the risk to sensitive data and PII also grows. Over the last several years, we have reported on weaknesses in addressing vulnerabilities associated with emerging technologies, including: IoT devices, such as fitness trackers, cameras, and thermostats, that continuously collect and process information are potentially vulnerable to cyber-attacks; IoT devices, such as those acquired and used by DOD employees or that DOD itself acquires (e.g., smartphones), may increase the security risks to the department; vehicles that are potentially susceptible to cyber-attack through technology, such as Bluetooth; the unknown impact of artificial intelligence cybersecurity; and advances in cryptocurrencies and blockchain technologies.", "Executive branch agencies have also highlighted the challenges associated with ensuring the security of emerging technologies. Specifically, in a May 2018 report issued in response to Executive Order 13800, the Department of Commerce and DHS issued a report on the opportunities and challenges in reducing the botnet threat. The opportunities and challenges are centered on six principal themes, including the global nature of automated, distributed attacks; effective tools; and awareness and education. The report also provides recommended actions, including that federal agencies should increase their understanding of what software components have been incorporated into acquired products and establish a public campaign to support awareness of IoT security.", "In our previously discussed reports related to this cybersecurity challenge, we made a total of 50 recommendations to federal agencies to address the weaknesses identified. As of July 2018, 48 recommendations had not been implemented. These outstanding recommendations include 8 priority recommendations, meaning that we believe that they warrant priority attention from heads of key departments and agencies. These priority recommendations include addressing weaknesses associated with, among other things, agency-specific cybersecurity workforce challenges and agency responsibilities for supporting mitigation of vehicle network attacks. Until our recommendations are fully implemented, federal agencies may be limited in their ability to provide effective oversight of critical government-wide initiatives, address challenges with cybersecurity workforce management, and better ensure the security of emerging technologies.", "In addition to our prior work related to the federal government\u2019s efforts to establish key strategy documents and implement effective oversight, we also have several ongoing reviews related to this challenge. These include reviews of: the CFO Act agencies\u2019 efforts to submit complete and reliable baseline assessment reports of their cybersecurity workforces; the extent to which DOD has established training standards for cyber mission force personnel, and efforts the department has made to achieve its goal of a trained cyber mission force; selected agencies\u2019 ability to implement cloud service technologies and notable benefits this might have on agencies; and the federal approach and strategy to securing agency information systems, to include federal intrusion detection and prevention capabilities and the intrusion assessment plan."], "subsections": []}, {"section_title": "Securing Federal Systems and Information", "paragraphs": ["The federal government has been challenged in securing federal systems and information. Specifically, we have reported that federal agencies have experienced challenges in implementing government-wide cybersecurity initiatives, addressing weaknesses in their information systems and responding to cyber incidents on their systems. This is particularly concerning given that the emergence of increasingly sophisticated threats and continuous reporting of cyber incidents underscores the continuing and urgent need for effective information security. As such, it is important that federal agencies take appropriate steps to better ensure they have effectively implemented programs to protect their information and systems. We have identified three actions that the agencies can take.", "Improve implementation of government-wide cybersecurity initiatives. Specifically, in January 2016, we reported that DHS had not ensured that the National Cybersecurity Protection System (NCPS) had fully satisfied all intended system objectives related to intrusion detection and prevention, information sharing, and analytics. In addition, in February 2017, we reported that the DHS National Cybersecurity and Communications Integration Center\u2019s (NCCIC) functions were not being performed in adherence with the principles set forth in federal laws. We noted that, although NCCIC was sharing information about cyber threats in the way it should, the center did not have metrics to measure that the information was timely, relevant and actionable, as prescribed by law.", "Address weaknesses in federal information security programs. We have previously identified a number of weaknesses in agencies\u2019 protection of their information and information systems. For example, over the past 2 years, we have reported that: most of the 24 agencies covered by the CFO Act had weaknesses in each of the five major categories of information system controls (i.e., access controls, configuration management controls, segregation of duties, contingency planning, and agency-wide security management); three agencies\u2014the Securities Exchange Commission, the Federal Deposit Insurance Corporation, and the Food and Drug Administration\u2014had not effectively implemented aspects of their information security programs, which resulted in weaknesses in these agencies\u2019 security controls; information security weaknesses in selected high-impact systems at four agencies\u2014the National Aeronautics and Space Administration, the Nuclear Regulatory Commission, OPM, and the Department of Veterans Affairs\u2014were cited as a key reason that the agencies had not effectively implemented elements of their information security programs;", "DOD\u2019s process for monitoring the implementation of cybersecurity guidance had weaknesses and resulted in the closure of certain tasks (such as completing cyber risk assessments) before they were fully implemented; and agencies had not fully defined the role of their Chief Information Security Officers, as required by FISMA.", "We also recently testified that, although the government had acted to protect federal information systems, additional work was needed to improve agency security programs and cyber capabilities. In particular, we noted that further efforts were needed by agencies to implement our prior recommendations in order to strengthen their information security programs and technical controls over their computer networks and systems.", "Enhance the federal response to cyber incidents. We have reported that certain agencies have had weaknesses in responding to cyber incidents. For example, as of August 2017, OPM had not fully implemented controls to address deficiencies identified as a result of its 2015 cyber incidents;", "DOD had not identified the National Guard\u2019s cyber capabilities (e.g., computer network defense teams) or addressed challenges in its exercises. as of April 2016, DOD had not identified, clarified, or implemented all components of its support of civil authorities during cyber incidents; and as of January 2016, DHS\u2019s NCPS had limited capabilities for detecting and preventing intrusions, conducting analytics, and sharing information.", "In the public versions of the reports previously discussed for this challenge area, we made a total of 101 recommendations to federal agencies to address the weaknesses identified. As of July 2018, 61 recommendations had not been implemented. These outstanding recommendations include 14 priority recommendations to address weaknesses associated with, among other things, the information security programs at the National Aeronautics and Space Administration, OPM, and the Security Exchange Commission. Until these recommendations are implemented, these federal agencies will be limited in their ability to ensure the effectiveness of their programs for protecting information and systems.", "In addition to our prior work, we also have several ongoing reviews related to the federal government\u2019s efforts to protect its information and systems. These include reviews of:", "Federal Risk and Authorization Management Program (FedRAMP) implementation, including an assessment of the implementation of the program\u2019s authorization process for protecting federal data in cloud environments; the Equifax data breach, including an assessment of federal oversight of credit reporting agencies\u2019 collection, use, and protection of consumer PII; the Federal Communication Commission\u2019s Electronic Comment Filing System security, to include a review of the agency\u2019s detection of and response to a May 2017 incident that reportedly impacted the system;", "DOD\u2019s efforts to improve the cybersecurity of its major weapon", "DOD\u2019s whistleblower program, including an assessment of the policies, procedures, and controls related to the access and storage of sensitive and classified information needed for the program; IRS\u2019s efforts to (1) implement security controls and the agency\u2019s information security program, (2) authenticate taxpayers, and (3) secure tax information; and federal intrusion detection and prevention capabilities."], "subsections": []}, {"section_title": "Protecting Cyber Critical Infrastructure", "paragraphs": ["The federal government has been challenged in working with the private sector to protect critical infrastructure. This infrastructure includes both public and private systems vital to national security and other efforts, such as providing the essential services that underpin American society. As the cybersecurity threat to these systems continues to grow, federal agencies have millions of sensitive records that must be protected. Specifically, this critical infrastructure threat could have national security implications and more efforts should be made to ensure that it is not breached.", "To help address this issue, NIST developed the cybersecurity framework\u2014a voluntary set of cybersecurity standards and procedures for industry to adopt as a means of taking a risk-based approach to managing cybersecurity.", "However, additional action is needed to strengthen the federal role in protecting the critical infrastructure. Specifically, we have reported on other critical infrastructure protection issues that need to be addressed. For example:", "Entities within the 16 critical infrastructure sectors reported encountering four challenges to adopting the cybersecurity framework, such as being limited in their ability to commit necessary resources towards framework adoption and not having the necessary knowledge and skills to effectively implement the framework.", "Major challenges existed to securing the electricity grid against cyber threats. These challenges included monitoring implementation of cybersecurity standards, ensuring security features are built into smart grid systems, and establishing metrics for cybersecurity.", "DHS and other agencies needed to enhance cybersecurity in the maritime environment. Specifically, DHS did not include cyber risks in its risk assessments that were already in place nor did it address cyber risks in guidance for port security plans.", "Sector-specific agencies were not properly addressing progress or metrics to measure their progress in cybersecurity.", "DOD and the Federal Aviation Administration identified a variety of operations and physical security risks that could adversely affect DOD missions.", "We made a total of 19 recommendations to federal agencies to address these weaknesses and others. These recommendations include, for example, a total of 9 recommendations to 9 sector-specific agencies to develop methods to determine the level and type of cybersecurity framework adoption across their respective sectors. As of July 2018, all 19 recommendations had not been implemented. Until these recommendations are implemented, the federal government will continue to be challenged in fulfilling its role in protecting the nation\u2019s critical infrastructure.", "In addition to our prior work related to the federal government\u2019s efforts to protect critical infrastructure, we also have several ongoing reviews focusing on: the physical and cybersecurity risks to pipelines across the country responsible for transmitting oil, natural gas, and other hazardous liquids; the cybersecurity risks to the electric grid; and the privatization of utilities at DOD installations."], "subsections": []}, {"section_title": "Protecting Privacy and Sensitive Data", "paragraphs": ["The federal government has been challenged in protecting privacy and sensitive data. Advances in technology, including powerful search technology and data analytics software, have made it easy to correlate information about individuals across large and numerous databases, which have become very inexpensive to maintain. In addition, ubiquitous Internet connectivity has facilitated sophisticated tracking of individuals and their activities through mobile devices such as smartphones and fitness trackers.", "Given that access to data is so pervasive, personal privacy hinges on ensuring that databases of PII maintained by government agencies or on their behalf are protected both from inappropriate access (i.e., data breaches) as well as inappropriate use (i.e., for purposes not originally specified when the information was collected). Likewise, the trend in the private sector of collecting extensive and detailed information about individuals needs appropriate limits. The vast number of individuals potentially affected by data breaches at federal agencies and private sector entities in recent years increases concerns that PII is not being properly protected.", "Federal agencies should take two types of actions to address this challenge area. In addition, we have previously proposed two matters for congressional consideration aimed toward better protecting PII.", "Improve federal efforts to protect privacy and sensitive data. We have issued several reports noting that agencies had deficiencies in protecting privacy and sensitive data that needed to be addressed. For example:", "The Department of Health and Human Services\u2019 (HHS) Centers for Medicare and Medicaid Services (CMS) and external entities were at risk of compromising Medicare Beneficiary Data due to a lack of guidance and proper oversight.", "The Department of Education\u2019s Office of Federal Student Aid had not properly overseen its school partners\u2019 records or information security programs.", "HHS had not fully addressed key security elements in its guidance for protecting the security and privacy of electronic health information.", "CMS had not fully protected the privacy of users\u2019 data on state- based marketplaces.", "Poor planning and ineffective monitoring had resulted in the unsuccessful implementation of government initiatives aimed at eliminating the unnecessary collection, use, and display of SSNs.", "Appropriately limit the collection and use of personal information and ensure that it is obtained with appropriate knowledge or consent. We have issued a series of reports that highlight a number of the key concerns in this area. For example:", "The emergence of IoT devices can facilitate the collection of information about individuals without their knowledge or consent;", "Federal laws for smartphone tracking applications have not generally been well enforced.", "The FBI has not fully ensured privacy and accuracy related to the use of face recognition technology.", "We have previously suggested that Congress consider amending laws, such as the Privacy Act of 1974 and the E-Government Act of 2002, because they may not consistently protect PII. Specifically, we found that while these laws and guidance set minimum requirements for agencies, they may not consistently protect PII in all circumstances of its collection and use throughout the federal government and may not fully adhere to key privacy principles. However, revisions to the Privacy Act and the E-Government Act have not yet been enacted.", "Further, we also suggested that Congress consider strengthening the consumer privacy framework and review issues such as the adequacy of consumers\u2019 ability to access, correct, and control their personal information; and privacy controls related to new technologies such as web tracking and mobile devices. However, these suggested changes have not yet been enacted.", "We also made a total of 29 recommendations to federal agencies to address the weaknesses identified. As of July 2018, 28 recommendations had not been implemented. These outstanding recommendations include 6 priority recommendations to address weaknesses associated with, among other things, publishing privacy impact assessments and improving the accuracy of the FBI\u2019s face recognition services. Until these recommendations are implemented, federal agencies will be challenged in their ability to protect privacy and sensitive data and ensure that its collection and use is appropriately limited.", "In addition to our prior work, we have several ongoing reviews related to protecting privacy and sensitive data. These include reviews of: IRS\u2019s taxpayer authentication efforts, including what steps the agency is taking to monitor and improve its authentication methods; the extent to which the Department of Education\u2019s Office of Federal Student Aid\u2019s policies and procedures for overseeing non-school partners\u2019 protection of federal student aid data align with federal requirements and guidance; data security issues related to credit reporting agencies, including a review of the causes and impacts of the August 2017 Equifax data breach; the extent to which Equifax assessed, responded to, and recovered from its August 2017 data breach; federal agencies\u2019 efforts to remove PII from shared cyber threat indicators; and how the federal government has overseen Internet privacy, including the roles of the Federal Communications Commission and the Federal Trade Commission, and strengths and weaknesses of the current oversight authorities.", "In summary, since 2010, we have made over 3,000 recommendations to agencies aimed at addressing the four cybersecurity challenges. Nevertheless, many agencies continue to be challenged in safeguarding their information systems and information, in part because many of these recommendations have not been implemented. Of the roughly 3,000 recommendations made since 2010, nearly 1,000 had not been implemented as of July 2018. We have also designated 35 as priority recommendations, and as of July 2018, 31 had not been implemented.", "The federal government and the nation\u2019s critical infrastructure are dependent on IT systems and electronic data, which make them highly vulnerable to a wide and evolving array of cyber-based threats. Securing these systems and data is vital to the nation\u2019s security, prosperity, and well-being. Nevertheless, the security over these systems and data is inconsistent and urgent actions are needed to address ongoing cybersecurity and privacy challenges. Specifically, the federal government needs to implement a more comprehensive cybersecurity strategy and improve its oversight, including maintaining a qualified cybersecurity workforce; address security weaknesses in federal systems and information and enhance cyber incident response efforts; bolster the protection of cyber critical infrastructure; and prioritize efforts to protect individual\u2019s privacy and PII. Until our recommendations are addressed and actions are taken to address the four challenges we identified, the federal government, the national critical infrastructure, and the personal information of U.S. citizens will be increasingly susceptible to the multitude of cyber-related threats that exist.", "Chairmen Meadows and Hurd, Ranking Members Connolly and Kelly, and Members of the Subcommittees, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["Questions about this testimony can be directed to Nick Marinos, Director, Cybersecurity and Data Protection Issues, at (202) 512-9342 or marinosn@gao.gov; and Gregory C. Wilshusen, Director, Information Security Issues, at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Jon Ticehurst, Assistant Director; Kush K. Malhotra, Analyst-In-Charge; Chris Businsky; Alan Daigle; Rebecca Eyler; Chaz Hubbard; David Plocher; Bradley Roach; Sukhjoot Singh; Di\u2019Mond Spencer; and Umesh Thakkar."], "subsections": []}]}, {"section_title": "Related GAO Reports", "paragraphs": ["Information Security: Supply Chain Risks Affecting Federal Agencies. GAO-18-667T. Washington, D.C.: July 12, 2018.", "Information Technology: Continued Implementation of High-Risk Recommendations Is Needed to Better Manage Acquisitions, Operations, and Cybersecurity. GAO-18-566T. Washington, D.C.: May 23, 2018.", "Electronic Health Information: CMS Oversight of Medicare Beneficiary Data Security Needs Improvement. GAO-18-210. Washington, D.C.: April 5, 2018.", "Technology Assessment: Artificial Intelligence, Emerging Opportunities, Challenges, and Implications. GAO-18-142SP. Washington, D.C.: March 28, 2018.", "GAO Strategic Plan 2018-2023: Trends Affecting Government and Society. GAO-18-396SP. Washington, D.C.: February 22, 2018.", "Critical Infrastructure Protection: Additional Actions are Essential for Assessing Cybersecurity Framework Adoption. GAO-18-211. Washington, D.C.: February 15, 2018.", "Cybersecurity Workforce: Urgent Need for DHS to Take Actions to Identify Its Position and Critical Skill Requirements. GAO-18-175. Washington, D.C.: February 6, 2018.", "Homeland Defense: Urgent Need for DOD and FAA to Address Risks and Improve Planning for Technology That Tracks Military Aircraft. GAO-18-177. Washington, D.C.: January 18, 2018.", "Federal Student Aid: Better Program Management and Oversight of Postsecondary Schools Needed to Protect Student Information. GAO-18-121. Washington, D.C.: December 15, 2017.", "Defense Civil Support: DOD Needs to Address Cyber Incident Training Requirements. GAO-18-47. Washington, D.C.: November 30, 2017.", "Federal Information Security: Weaknesses Continue to Indicate Need for Effective Implementation of Policies and Practices. GAO-17-549. Washington, D.C.: September 28, 2017.", "Information Security: OPM Has Improved Controls, but Further Efforts Are Needed. GAO-17-614. Washington, D.C.: August 3, 2017.", "Defense Cybersecurity: DOD\u2019s Monitoring of Progress in Implementing Cyber Strategies Can Be Strengthened. GAO-17-512. Washington, D.C.: August 1, 2017.", "State Department Telecommunications: Information on Vendors and Cyber-Threat Nations. GAO-17-688R. Washington, D.C.: July 27, 2017.", "Internet of Things: Enhanced Assessments and Guidance Are Needed to Address Security Risks in DOD. GAO-17-668. Washington, D.C.: July 27, 2017.", "Information Security: SEC Improved Control of Financial Systems but Needs to Take Additional Actions. GAO-17-469. Washington, D.C.: July 27, 2017.", "Information Security: Control Deficiencies Continue to Limit IRS\u2019s Effectiveness in Protecting Sensitive Financial and Taxpayer Data. GAO-17-395. Washington, D.C.: July 26, 2017.", "Social Security Numbers: OMB Actions Needed to Strengthen Federal Efforts to Limit Identity Theft Risks by Reducing Collection, Use, and Display. GAO-17-553. Washington, D.C.: July 25, 2017.", "Information Security: FDIC Needs to Improve Controls over Financial Systems and Information. GAO-17-436. Washington, D.C.: May 31, 2017.", "Technology Assessment: Internet of Things: Status and Implications of an Increasingly Connected World. GAO-17-75. Washington, D.C.: May 15, 2017.", "Cybersecurity: DHS\u2019s National Integration Center Generally Performs Required Functions but Needs to Evaluate Its Activities More Completely. GAO-17-163. Washington, D.C.: February 1, 2017.", "High-Risk Series: An Update. GAO-17-317. Washington, D.C.: February 2017.", "IT Workforce: Key Practices Help Ensure Strong Integrated Program Teams; Selected Departments Need to Assess Skill Gaps. GAO-17-8. Washington, D.C.: November 30, 2016.", "Electronic Health Information: HHS Needs to Strengthen Security and Privacy Guidance and Oversight. GAO-16-771. Washington, D.C.: September 26, 2016.", "Defense Civil Support: DOD Needs to Identify National Guard\u2019s Cyber Capabilities and Address Challenges in Its Exercises. GAO-16-574. Washington, D.C.: September 6, 2016.", "Information Security: FDA Needs to Rectify Control Weaknesses That Place Industry and Public Health Data at Risk. GAO-16-513. Washington, D.C.: August 30, 2016.", "Federal Chief Information Security Officers: Opportunities Exist to Improve Roles and Address Challenges to Authority. GAO-16-686. Washington, D.C.: August 26, 2016.", "Federal Hiring: OPM Needs to Improve Management and Oversight of Hiring Authorities. GAO-16-521. Washington, D.C.: August 2, 2016.", "Information Security: Agencies Need to Improve Controls over Selected High-Impact Systems. GAO-16-501. Washington, D.C.: May 18, 2016.", "Face Recognition Technology: FBI Should Better Ensure Privacy and Accuracy. GAO-16-267. Washington, D.C.: May 16, 2016.", "Smartphone Data: Information and Issues Regarding Surreptitious Tracking Apps That Can Facilitate Stalking. GAO-16-317. Washington, D.C.: May 9, 2016.", "Vehicle Cybersecurity: DOT and Industry Have Efforts Under Way, but DOT Needs to Define Its Role in Responding to a Real-world Attack. GAO-16-350. Washington, D.C.: April 25, 2016.", "Civil Support: DOD Needs to Clarify Its Roles and Responsibilities for Defense Support of Civil Authorities during Cyber Incidents. GAO-16-332. Washington, D.C.: April 4, 2016.", "Healthcare.gov: Actions Needed to Enhance Information Security and Privacy Controls. GAO-16-265. Washington, D.C.: March 23, 2016.", "Information Security: DHS Needs to Enhance Capabilities, Improve Planning, and Support Greater Adoption of Its National Cybersecurity Protection System. GAO-16-294. Washington, D.C.: January 28, 2016.", "Critical Infrastructure Protection: Sector-Specific Agencies Need to Better Measure Cybersecurity Progress. GAO-16-79. Washington, D.C.: November 19, 2015.", "Critical Infrastructure Protection: Cybersecurity of the Nation\u2019s Electricity Grid Requires Continued Attention. GAO-16-174T. Washington, D.C.: October 21, 2015.", "Maritime Critical Infrastructure Protection: DHS Needs to Enhance Efforts to Address Port Cybersecurity. GAO-16-116T. Washington, D.C.: October 8, 2015.", "Cybersecurity: National Strategy, Roles, and Responsibilities Need to Be Better Defined and More Effectively Implemented. GAO-13-187. Washington, D.C.: February 14, 2014.", "Information Resellers: Consumer Privacy Framework Needs to Reflect Changes in Technology and the Marketplace. GAO-13-663. Washington, D.C.: September 25, 2013.", "Cyberspace: United States Faces Challenges in Addressing Global Cybersecurity and Governance. GAO-10-606. Washington, D.C.: July 2, 2010.", "Privacy: Alternatives Exist for Enhancing Protection of Personally Identifiable Information. GAO-08-536. Washington, D.C.: May 19, 2008.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-19-164", "url": "https://www.gao.gov/products/GAO-19-164", "title": "FEMA Grants Modernization: Improvements Needed to Strengthen Program Management and Cybersecurity", "published_date": "2019-04-09T00:00:00", "released_date": "2019-04-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FEMA, a component of DHS, annually awards billions of dollars in grants to help communities prepare for, mitigate the effects of, and recover from major disasters. However, FEMA's complex IT environment supporting grants management consists of many disparate systems. In 2008, the agency attempted to modernize these systems but experienced significant challenges. In 2015, FEMA initiated a new endeavor (the GMM program) aimed at streamlining and modernizing the grants management IT environment.", "GAO was asked to review the GMM program. GAO's objectives were to (1) determine the extent to which FEMA is implementing leading practices for reengineering its grants management processes and incorporating needs into IT requirements; (2) assess the reliability of the program's estimated costs and schedule; and (3) determine the extent to which FEMA is addressing key cybersecurity practices. GAO compared program documentation to leading practices for process reengineering and requirements management, cost and schedule estimation, and cybersecurity risk management, as established by the Software Engineering Institute, National Institute of Standards and Technology, and GAO."]}, {"section_title": "What GAO Found", "paragraphs": ["Of six important leading practices for effective business process reengineering and information technology (IT) requirements management, the Federal Emergency Management Agency (FEMA) fully implemented four and partially implemented two for the Grants Management Modernization (GMM) program (see table). Specifically, FEMA ensured senior leadership commitment, took steps to assess its business environment and performance goals, took recent actions to track progress in delivering IT requirements, and incorporated input from end user stakeholders. However, FEMA has not yet fully established plans for implementing new business processes or established complete traceability of IT requirements.", "Until FEMA fully implements the remaining two practices, it risks delivering an IT solution that does not fully modernize FEMA's grants management systems.", "While GMM's initial May 2017 cost estimate of about $251 million was generally consistent with leading practices for a reliable, high-quality estimate, it no longer reflects current assumptions about the program. FEMA officials stated in December 2018 that they had completed a revised cost estimate, but it was undergoing departmental approval. GMM's program schedule was inconsistent with leading practices; of particular concern was that the program's final delivery date of September 2020 was not informed by a realistic assessment of GMM development activities, and rather was determined by imposing an unsubstantiated delivery date. Developing sound cost and schedule estimates is necessary to ensure that FEMA has a clear understanding of program risks.", "Of five key cybersecurity practices, FEMA fully addressed three and partially addressed two for GMM. Specifically, it categorized GMM's system based on security risk, selected and implemented security controls, and monitored security controls on an ongoing basis. However, the program had not initially established corrective action plans for 13 medium- and low-risk vulnerabilities. This conflicts with the Department of Homeland Security's (DHS) guidance that specifies that corrective action plans must be developed for every weakness identified. Until FEMA, among other things, ensures that the program consistently follows the department's guidance on preparing corrective action plans for all security vulnerabilities, GMM's system will remain at increased risk of exploits."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations to FEMA to implement leading practices related to reengineering processes, managing requirements, scheduling, and implementing cybersecurity. DHS concurred with all recommendations and provided estimated dates for implementing each of them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Federal Emergency Management Agency (FEMA), a component of the Department of Homeland Security (DHS), leads the federal effort to mitigate, respond to, and recover from disasters. FEMA is responsible for saving lives and protecting property, public health, and safety in a natural disaster, act of terrorism, or other manmade disaster.", "FEMA accomplishes a large part of its mission through awarding grants to state, local, and tribal governments and nongovernmental entities to help communities prevent, prepare for, protect against, mitigate the effects of, respond to, and recover from disasters and terrorist attacks. According to the agency, these grants represent about 70 percent of its annual budget\u2014FEMA\u2019s annual budget averaged about $15 billion per year for the past 3 fiscal years (2016, 2017, and 2018).", "The federal government, including FEMA, obligates billions of dollars in grants each year for disaster assistance, and the increases in the number and severity of disasters has become a key source of federal fiscal exposure. We reported in September 2016 that the federal government had obligated at least $277.6 billion in disaster assistance grants during fiscal years 2005 through 2014. Of this amount, FEMA had obligated about $104.5 billion in disaster assistance grants.", "FEMA relies heavily on the use of information technology (IT) to support its grant award processes. According to its IT investment portfolio for fiscal year 2018, the agency reported spending about $405 million on these investments.", "However, the agency has long reported that its grants management IT environment is highly complex and consists of many disparate systems and labor-intensive manual processes. This has led to poor information sharing and reporting capabilities, difficulties in reconciling financial data, and an increased burden on grant recipients.", "In 2008, FEMA attempted to develop and implement a single grants processing solution, referred to as the Emergency Management Mission Integrated Environment (EMMIE), to address these IT concerns and modernize its legacy grants management systems. However, as we have previously reported, the program experienced significant implementation challenges, which resulted in a solution that was missing important capabilities. Subsequently, in 2015, FEMA initiated a new endeavor to modernize and streamline the agency\u2019s grants management IT environment. This most recent initiative is referred to as the Grants Management Modernization (GMM) program.", "Given the importance of having modernized grants management systems and FEMA\u2019s past system implementation challenges, you asked us to review the GMM program. Our specific objectives were to (1) determine the extent to which FEMA is implementing leading practices for reengineering its grants management business processes and incorporating business needs into IT requirements for GMM; (2) assess the reliability of the GMM program\u2019s estimated costs and schedule; and (3) determine the extent to which FEMA is addressing key cybersecurity practices for GMM.", "To address the first objective, we reviewed leading practices and guidance that GAO and the Software Engineering Institute have developed, and from these sources, identified six practice areas associated with business process reengineering and IT requirements management. These selected areas, in our professional judgment, represented foundational practices that were of particular importance to the successful implementation of an IT modernization effort that is using incremental software development processes.", "We then reviewed relevant GMM program documentation, such as grants management business processes, the acquisition program baseline, IT requirements documents, and a concept of operations. We assessed the program documentation against the six selected practice areas and made determinations on the extent to which the agency had fully implemented the practice area (FEMA provided complete evidence showing that it fully implemented the practice area); partially implemented the practice area (FEMA provided evidence showing that it partially implemented the practice area); or not implemented the practice area (FEMA did not provide evidence showing that it implemented any of the practice area).", "We also observed the program\u2019s incremental software development activities and a demonstration of the program\u2019s automated requirements management tool at GMM facilities in Washington, D.C. Further, we interviewed FEMA officials regarding their efforts to streamline grants management business processes, collect and incorporate stakeholder input, and manage GMM\u2019s IT requirements.", "To assess the reliability of data from the program\u2019s automated IT requirements management tool, we interviewed knowledgeable officials about the quality control procedures used by the program to ensure accuracy and completeness of the data. In addition, we assessed the data against other relevant program documentation on GMM\u2019s requirements. We determined that the data used were sufficiently reliable for the purpose of evaluating GMM\u2019s practices for managing IT requirements.", "For the second objective, we reviewed documentation supporting GMM\u2019s lifecycle cost estimate and schedule. Specifically, we evaluated documentation regarding the program\u2019s May 2017 lifecycle cost estimate against the leading practices for developing a comprehensive, accurate, well-documented, and credible cost estimate identified in GAO\u2019s Cost Estimating and Assessment Guide.", "Additionally, we evaluated documentation regarding GMM\u2019s integrated master schedule, dated May 2018, against the leading practices for developing a comprehensive, well-constructed, credible, and controlled schedule identified in GAO\u2019s Schedule Assessment Guide. We also interviewed responsible GMM program officials to understand their practices for developing and maintaining the program cost estimate and schedule. We found that the cost data were sufficiently reliable and we noted in our report the instances where the quality of the schedule data impacted the reliability of the program\u2019s schedule.", "To address the third objective, we reviewed the National Institute of Standards and Technology\u2019s (NIST) risk management framework and identified key cybersecurity practices. Next, we reviewed DHS\u2019s and FEMA\u2019s cybersecurity policies and guidance, as well as documentation on FEMA\u2019s authorization to operate for GMM\u2019s engineering and test environment. This environment went live in February 2018 and had obtained authorization to operate at the time that we began our review.", "We assessed FEMA\u2019s cybersecurity documentation against the NIST framework\u2019s five key cybersecurity practices and assessed the extent to which the agency had fully addressed the practice area (FEMA provided complete evidence which showed that it fully implemented the practice area), partially addressed the practice area (FEMA provided evidence which showed that it partially implemented the practice area), or not addressed the practice area (FEMA did not provide evidence which showed that it implemented any of the practice area).", "We also interviewed cognizant officials in the GMM program office and FEMA\u2019s Office of the Chief Information Officer (OCIO). We obtained information from these officials about their efforts to assess, document, and review cybersecurity controls for GMM.", "To assess the reliability of data from the program\u2019s automated security controls management tool, we interviewed knowledgeable officials about the quality control procedures used by the program to assure accuracy and completeness of the data. We also compared the data to other relevant program documentation on GMM security controls for the engineering and test environment. We found that some of the security controls data we examined were sufficiently reliable for the purpose of evaluating FEMA\u2019s cybersecurity practices for GMM, and we noted in our report the instances where the accuracy of the data impacted the program\u2019s ability to address key cybersecurity practices. Additional details on our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from December 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["FEMA\u2019s mission is to help people before, during, and after disasters. It provides assistance to those affected by emergencies and disasters by supplying immediate needs (e.g., ice, water, food, and temporary housing) and providing financial assistance grants for damage to personal or public property. FEMA also provides non-disaster assistance grants to improve the nation\u2019s preparedness, readiness, and resilience to all hazards.", "FEMA accomplishes a large part of its mission through awarding grants to state, local, and tribal governments and nongovernmental entities to help communities prevent, prepare for, protect against, mitigate the effects of, respond to, and recover from disasters and terrorist attacks. As previously mentioned, for fiscal years 2005 through 2014, the agency obligated about $104.5 billion in disaster relief grants. In addition, as of April 2018, the four major disasters in 2017\u2014hurricanes Harvey, Irma, and Maria; and the California wildfires\u2014had resulted in over $22 billion in FEMA grants."], "subsections": [{"section_title": "Overview of FEMA\u2019s Grants Management Programs and Administration", "paragraphs": ["The current FEMA grants management environment is highly complex with many stakeholders, IT systems, and users. Specifically, this environment is comprised of 45 active disaster and non-disaster grant programs, which are grouped into 12 distinct grant categories.", "For example, one program in the Preparedness: Fire category is the Assistance to Firefighters Grants (AFG) program, which provides grants to fire departments, nonaffiliated emergency medical service organizations, and state fire training academies to support firefighting and emergency response needs. As another example, the Housing Assistance grant program is in the Recovery Assistance for Individuals category and provides financial assistance to individuals and households in geographical areas that have been declared an emergency or major disaster by the President.", "Table 1 lists FEMA\u2019s non-disaster and disaster-based grant categories.", "According to FEMA, the processes for managing these different types of grants vary because the grant programs were developed independently by at least 18 separate authorizing laws that were enacted over a 62-year period (from 1947 through 2009). The various laws call for different administrative and reporting requirements.", "For example, the Robert T. Stafford Disaster Relief and Emergency Assistance Act, as amended, established the statutory authority for 11 of the grant programs, such as the administration of Public Assistance and Individual Assistance grant programs after a presidentially declared disaster. The act also requires the FEMA Administrator to submit an annual report to the President and Congress covering FEMA\u2019s expenditures, contributions, work, and accomplishments, pursuant to the act. As another example, the National Dam Safety Program Act established one of the grant programs aimed at providing financial assistance to improve dam safety.", "Key stakeholders in modernizing the IT grants management environment include the internal FEMA officials that review, approve, and monitor the grants awarded, such as grant specialists, program analysts, and supervisors. FEMA has estimated that it will need to support about 5,000 simultaneous internal users of its grants management systems.", "Other users include the grant recipients that apply for, receive, and submit reports on their grant awards; these are considered the external system users. These grant recipients can include individuals, states, local governments, Indian tribes, institutions of higher education, and nonprofit organizations. FEMA has estimated that there are hundreds of thousands of external users of its grants systems.", "The administration of the many different grant programs is distributed across four divisions within FEMA\u2019s organizational structure. Figure 1 provides an overview of FEMA\u2019s organizational structure and the divisions that are responsible for administering grants.", "Within three of the four divisions\u2014Resilience, United States Fire Administration, and Office of Response and Recovery\u201416 different grant program offices are collectively responsible for administering the 45 grant programs. The fourth division consists of 10 regional offices that help administer grants within their designated geographical regions. For example, the Office of Response and Recovery division oversees three different offices that administer 13 grant programs that are largely related to providing assistance in response to presidentially declared disasters.", "Figure 2 shows the number of grant programs administered by each of the four divisions\u2019 grant program and regional offices. In addition, appendix II lists the names of the 45 grant programs.", "FEMA\u2019s OCIO is responsible for developing, enhancing, and maintaining the agency\u2019s IT systems, and for increasing efficiencies and cooperation across the entire organization. However, we and the DHS Office of Inspector General (OIG) have previously reported that the grant programs and regional offices develop information systems independent of the OCIO and that this has contributed to the agency\u2019s disparate IT environment.", "We and the DHS OIG have reported that this disparate IT environment was due, in part, to FEMA\u2019s decentralized IT budget and acquisition practices. For example, from fiscal years 2010 through 2015, the OCIO\u2019s budget represented about one-third of the agency\u2019s IT budget, with the grant program offices accounting for the remaining two-thirds of that budget.", "In February 2018, the OIG found that FEMA had shown limited progress in improving its IT management and that many of the issues reported in prior audits remained unchanged. As such, the OIG initiated a more comprehensive audit of the agency\u2019s IT management that is ongoing."], "subsections": []}, {"section_title": "Overview of FEMA\u2019s Legacy Grants Management Systems", "paragraphs": ["FEMA has identified 10 primary legacy IT systems that support its grants management activities. According to the agency, most of these systems were developed to support specific grant programs or grant categories. Table 2 summarizes the 10 primary legacy systems.", "According to FEMA officials, the 10 primary grant systems are all in operation (several have been for decades) and are not interoperable. As a result, individual grant programs and regional offices have independently developed work arounds intended to address existing capability gaps with the primary systems.", "FEMA officials stated that while these work arounds have helped the agency partially address capability gaps with its primary systems, they are often nonstandardized processes, and introduce the potential for information security risks and errors. This environment has contributed to labor-intensive manual processes and an increased burden for grant recipients. The disparate systems have also led to poor information sharing and reporting capabilities, as well as difficulty reconciling financial data.", "The DHS OIG and we have previously highlighted challenges with FEMA\u2019s past attempts to modernize its grant management systems. For example, In December 2006, the DHS OIG reported that EMMIE, an effort to modernize its grants management systems and provide a single grants processing solution, was being developed without a clear understanding and definition of the future solution. The report also identified the need to ensure crosscutting participation from headquarters, regions, and states in developing and maintaining a complete, documented set of FEMA business and system requirements.", "In April 2016, we found weaknesses in FEMA\u2019s development of the EMMIE system. For example, we noted that the system was implemented without sufficient documentation of system requirements, an acquisition strategy, up-to-date cost estimate and schedule, total amount spent to develop the system, or a systems integration plan. In response to our findings and related recommendations, FEMA took action to address these issues. For example, the agency implemented a requirements management process that, among other things, provided guidance to programs on analyzing requirements to ensure that they are complete and verifiable.", "We reported in November 2017 that EMMIE lacked the ability to collect information on all pre-award activities and, as a result, agency officials said that they and applicants used ad hoc reports and personal tracking documents to manage and monitor the progress of grant applications. FEMA officials added that applicants often struggled to access the system and that the system was not user friendly. Due to EMMIE\u2019s shortfalls, the agency had to develop another system in 2017 to supplement EMMIE with additional grant tracking and case management capabilities."], "subsections": []}, {"section_title": "GMM Is to Address FEMA\u2019s Shortcomings with Grants Management", "paragraphs": ["FEMA initiated GMM in 2015, in part, due to EMMIE\u2019s failed attempt to modernize the agency\u2019s grants management environment. The program is intended to modernize and streamline the agency\u2019s grants management environment.", "To help streamline the agency\u2019s grants management processes, the program established a standard framework intended to represent a common grants management lifecycle. The framework consists of five sequential phases\u2014pre-award, award, post-award, closeout, and post- closeout\u2014along with a sixth phase dedicated to continuous grant program management activities, such as analyzing data and producing reports on grant awards and managing IT systems.", "FEMA also established 43 distinct business functions associated with these six lifecycle phases. Figure 3 provides the general activities that may occur in each of the grant lifecycle phases, but specific activities would depend on the type of grant being administered (i.e., disaster versus non-disaster).", "GMM is expected to be implemented within the complex IT environment that currently exists at FEMA. For example, the program is intended to replace the 10 legacy grants management systems, and potentially many additional subsystems, with a single IT system. Each of the 10 legacy systems was developed with its own database(s) and with no standardization of the grants management data and, according to FEMA officials, this legacy data has grown significantly over time.", "Accordingly, FEMA will need to migrate, analyze, and standardize the grants management data before transitioning it to GMM. The agency awarded a contract in June 2016 to support the data migration efforts for GMM. The agency also implemented a data staging environment in October 2017 to migrate the legacy data and identify opportunities to improve the quality of the data.", "Further, the GMM system is expected to interface with a total of 38 other systems. These include 19 systems external to DHS (e.g., those provided by commercial entities or other federal government agencies) and 19 systems internal to DHS or FEMA. Some of the internal FEMA systems are undergoing their own modernization efforts and will need to be coordinated with GMM, such as the agency\u2019s financial management systems, national flood insurance systems, and enterprise data warehouses.", "For example, FEMA\u2019s Financial Systems Modernization Program was originally expected to deliver a new financial system in time to interface with GMM. However, the financial modernization has been delayed until after GMM is to be fully implemented; thus, GMM will instead need to interface with the legacy financial system. As a result, GMM is in the process of removing one of its key performance parameters in the acquisition program baseline related to financial systems interoperability and timeliness of data exchanged.", "In May 2017, DHS approved the acquisition program baseline for GMM. The baseline estimated the total lifecycle costs to be about $251 million, initial operational capability to be achieved by September 2019, and full operational capability to be achieved by September 2020."], "subsections": []}, {"section_title": "GMM\u2019s Agile Software Development and Acquisition Approach", "paragraphs": ["FEMA intends to develop and deploy its own software applications for GMM using a combination of commercial-off-the-shelf software, open source software, and custom developed code. The agency plans to rely on an Agile software development approach. According to FEMA planning documentation, the agency plans to fully deliver GMM by September 2020 over eight Agile development increments.", "Agile development is a type of incremental development, which calls for the rapid delivery of software in small, short increments. Many organizations, especially in the federal government, are accustomed to using a waterfall software development model. This type of model typically consists of long, sequential phases, and differs significantly from the Agile development approach. We have previously reported that DHS has sought to establish Agile software development as the preferred method for acquiring and delivering IT capabilities. However, the department has not yet completed critical actions necessary to update its guidance, policies, and practices for Agile programs, in areas such as, developing lifecycle cost estimates, managing IT requirements, testing and evaluation, oversight at key decision points, and ensuring cybersecurity. (See appendix III for more details on the Agile software development approach.)", "FEMA\u2019s acquisition approach includes using contract support to assist with the development and deployment efforts. The agency selected a public cloud environment to host the computing infrastructure. In addition, from March through July 2017, the agency used a short-term contract aimed at developing prototypes of GMM functionality for grant tracking and monitoring, case management of disaster survivors, grant reporting, and grant closeout. The agency planned to award a second development contract by December 2017 to complete the GMM system (beyond the prototypes) and to begin this work in September 2018.", "However, due to delays in awarding the second contract to develop the complete GMM system, in January 2018, the program extended the scope and time frames of the initial short-term prototype contract for an additional year to develop the first increment of the GMM system\u2014 referred to as the AFG pilot.", "On August 31, 2018, FEMA awarded the second development contract, which is intended to deliver the remaining functionality beyond the AFG pilot (i.e., increments 2 through 8). FEMA officials subsequently issued a 90-day planning task order for the Agile development contractor to define the work that needs to be done to deliver GMM and the level of effort needed to accomplish that work. However, the planning task order was paused after a bid protest was filed with GAO in September 2018. According to FEMA officials, they resumed work on the planning task order after the bid protest was withdrawn by the protester on November 20, 2018, and then the work was paused again during the partial government shutdown from December 22, 2018, through January 25, 2019."], "subsections": []}, {"section_title": "Assistance to Firefighters Grants Pilot", "paragraphs": ["FEMA began working on the AFG pilot\u2014GMM\u2019s first increment\u2014in January 2018. This increment was intended to pilot GMM\u2019s use of Agile development methods to replace core functionality for the AFG system (i.e., one of the 10 legacy systems).This system supports three preparedness/fire-related grant programs\u2014Assistance to Firefighters Grants Program, Fire Prevention and Safety Grant Program, and Staffing for Adequate Fire and Emergency Response Grant Program. According to FEMA officials, the AFG system was selected as the first system to be replaced because it is costly to maintain and the DHS OIG had identified cybersecurity concerns with the system.", "Among the 43 GMM business functions discussed earlier in this report, FEMA officials specified 19 functions to be delivered in the AFG pilot. Figure 4 shows the planned time frames for delivering the AFG pilot in increment 1 (which consisted of four 3-month Agile development sub- increments), as of August 2018.", "As of August 2018, the program was working on sub-increment 1C of the pilot. In September 2018, GMM deployed its first set of functionality to a total of 19 AFG users\u2014which included seven of 169 total internal AFG users, and 12 of more than 153,000 external AFG users. The functionality supported four of the 19 business functions that are related to the closeout of grants (i.e., the process by which all applicable administrative actions and all required work to award a grant have been completed). This functionality included tasks such as evaluation of final financial reports submitted by grant recipients and final reconciliation of finances (e.g., final disbursement to recipients and return of unobligated federal funds).", "According to FEMA officials, closeout functionality was selected first for deployment because it was the most costly component of the legacy AFG system to maintain, as it is an entirely manual and labor-intensive process. The remaining AFG functionality and remaining AFG users are to be deployed by the end of the AFG pilot."], "subsections": []}, {"section_title": "GMM Oversight Structure", "paragraphs": ["The GMM program is executed by a program management office, which is overseen by a program manager and program executive. This office is responsible for directing the day-to-day operations and ensuring completion of GMM program goals and objectives. The program office resides within the Office of Response and Recovery, which is headed by an Associate Administrator who reports to the FEMA Administrator. In addition, the GMM program executive (who is also the Regional Administrator for FEMA Region IX) reports directly to the FEMA Administrator.", "GMM is designated as a level 2 major acquisition, which means that it is subject to oversight by the DHS acquisition review board. The board is chaired by the DHS Undersecretary for Management and is made up of executive-level members, such as the DHS Chief Information Officer.", "The acquisition review board serves as the departmental executive board that decides whether to approve GMM through key acquisition milestones and reviews the program\u2019s progress and its compliance with approved documentation every 6 months. The board approved the acquisition program baseline for GMM in May 2017 (i.e., estimated costs to be about $251 million and full operational capability to be achieved by September 2020).", "In addition, the program is reviewed on a monthly basis by FEMA\u2019s Grants Management Executive Steering Group. This group is chaired by the Deputy Administrator of FEMA. Further, DHS\u2019s Financial Systems Modernization Executive Steering Committee, chaired by the DHS Chief Financial Officer, meets monthly and is to provide guidance, oversight, and support to GMM."], "subsections": []}, {"section_title": "Cybersecurity Risk Management Framework", "paragraphs": ["For government organizations, including FEMA, cybersecurity is a key element in maintaining the public trust. Inadequately protected systems may be vulnerable to insider threats. Such systems are also vulnerable to the risk of intrusion by individuals or groups with malicious intent who could unlawfully access the systems to obtain sensitive information, disrupt operations, or launch attacks against other computer systems and networks. Moreover, cyber-based threats to federal information systems are evolving and growing. Accordingly, we designated cybersecurity as a government-wide high risk area 22 years ago, in 1997, and it has since remained on our high-risk list.", "Federal law and guidance specify requirements for protecting federal information and information systems. The Federal Information Security Modernization Act (FISMA) of 2014 requires executive branch agencies to develop, document, and implement an agency-wide cybersecurity program to provide security for the information and information systems that support operations and assets of the agency.", "The act also tasks NIST with developing, for systems other than those for national security, standards and guidelines to be used by all agencies to establish minimum cybersecurity requirements for information and information systems based on their level of cybersecurity risk. Accordingly, NIST developed a risk management framework of standards and guidelines for agencies to follow in developing cybersecurity programs.", "The framework addresses broad cybersecurity and risk management activities, including categorizing the system\u2019s impact level; selecting, implementing, and assessing security controls; authorizing the system to operate (based on progress in remediating control weaknesses and an assessment of residual risk); and monitoring the efficacy of controls on an ongoing basis. Figure 5 provides an overview of this framework.", "Prior DHS OIG assessments, such as the annual evaluation of DHS\u2019s cybersecurity program, have identified issues with FEMA\u2019s cybersecurity practices. For example, in 2016, the OIG reported that FEMA was operating 111 systems without an authorization to operate. In addition, the agency had not created any corrective action plans for 11 of the systems that were classified as \u201cSecret\u201d or \u201cTop Secret,\u201d thus limiting its ability to ensure that all identified cybersecurity weaknesses were mitigated in a timely manner. The OIG further reported that, for several years, FEMA was consistently below DHS\u2019s 90 percent target for remediating corrective action plans, with scores ranging from 73 to 84 percent. Further, the OIG reported that FEMA had a significant number of open corrective action plans (18,654) and that most of these plans did not contain sufficient information to address identified weaknesses.", "In 2017, the OIG reported that FEMA had made progress in addressing security weaknesses. For example, it reported that the agency had reduced the number of systems it was operating without an authorization to operate from 111 to 15 systems."], "subsections": []}]}, {"section_title": "FEMA Has Implemented Most Leading Practices for Reengineering Grants Management Business Processes and Managing IT Requirements", "paragraphs": ["According to GAO\u2019s Business Process Reengineering Assessment Guide and the Software Engineering Institute\u2019s Capability Maturity Model Integration\u00ae for Development, successful business process reengineering can enable agencies to replace their inefficient and outmoded processes with streamlined processes that can more effectively serve the needs of the public and significantly reduce costs and improve performance. Many times, new IT systems are implemented to support these improved business processes. Thus, effective management of IT requirements is critical for ensuring the successful design, development, and delivery of such new systems.", "These leading practices state that effective business process reengineering and IT requirements management involve, among other things, (1) ensuring strong executive leadership support for process reengineering; (2) assessing the current and target business environment and business performance goals; (3) establishing plans for implementing new business processes; (4) establishing clear, prioritized, and traceable IT requirements; (5) tracking progress in delivering IT requirements; and (6) incorporating input from end user stakeholders.", "Among these six selected leading practices for reengineering business processes and managing IT requirements, FEMA fully implemented four and partially implemented two of them for its GMM program. For example, the agency ensured strong senior leadership commitment to changing the way it manages its grants, took steps to assess and document its business environment and performance goals, defined initial IT requirements for GMM, took recent actions to better track progress in delivering planned IT requirements, and incorporated input from end user stakeholders.", "In addition, FEMA had begun planning for business process reengineering; however, it had not finalized plans for transitioning users to the new business processes. Further, while GMM took steps to establish clearly defined and prioritized IT requirements, key requirements were not always traceable. Table 3 summarizes the extent to which FEMA implemented the selected leading practices."], "subsections": [{"section_title": "FEMA Executive Leadership Demonstrated Strong Commitment to Reengineering Grants Management Processes", "paragraphs": ["According to GAO\u2019s Business Process Reengineering Assessment Guide, the most critical factor for engaging in a reengineering effort is having strong executive leadership support to establish credibility regarding the seriousness of the effort and to maintain the momentum as the agency faces potentially extensive changes to its organizational structure and values. Without such leadership, even the best process design may fail to be accepted and implemented. Agencies should also ensure that there is ongoing executive support (e.g., executive steering committee meetings headed by the agency leader) to oversee the reengineering effort from start to finish.", "FEMA senior leadership consistently demonstrated its commitment and support for streamlining the agency\u2019s grants management business processes and provided ongoing executive support. For example, one of the Administrator\u2019s top priorities highlighted in FEMA\u2019s 2014 through 2022 strategic plans was to strengthen grants management through innovative systems and business processes to rapidly and effectively deliver the agency\u2019s mission. In accordance with this strategic priority, FEMA initiated GMM with the intent to streamline and modernize grants management across the agency.", "In addition, FEMA established the Grants Management Executive Steering Group in September 2015. This group is responsible for transforming the agency\u2019s grants management capabilities through its evaluation, prioritization, and oversight of grants management modernization programs, such as GMM. The group\u2019s membership consists of FEMA senior leaders from across the agency\u2019s program and business support areas, such as FEMA regions, Individual Assistance, Public Assistance, Preparedness, Office of the Chief Financial Officer, Office of Chief Counsel, OCIO, and the Office of Policy and Program Analysis. In this group\u2019s ongoing commitment to reengineering grants management processes, it meets monthly to review GMM\u2019s updates, risks, and action items, as well as the program\u2019s budget, schedule, and acquisition activities. For example, the group reviewed the status of key acquisition activities and program milestones, such as the follow-on award for the pilot contractor and the program\u2019s initial operational capability date. The group also reviewed GMM\u2019s program risks, such as data migration challenges (discussed later in this report) and delays in the Agile development contract award. With this continuous executive involvement, FEMA is better positioned to maintain momentum for reengineering the new grants management business processes that the GMM system is intended to support."], "subsections": []}, {"section_title": "FEMA Documented Its Current and Target Grants Management Business Processes and Performance Improvement Goals", "paragraphs": ["GAO\u2019s Business Process Reengineering Assessment Guide states that agencies undergoing business process reengineering should develop a common understanding of the current environment by documenting existing core business processes to show how the processes work and how they are interconnected. The agencies should then develop a deeper understanding of the target environment by modeling the workflow of each target business process in enough detail to provide a common understanding of exactly what will be changed and who will be affected by a future solution. Agencies should also assess the performance of their current major business processes to identify problem areas that need to be changed or eliminated and to set realistically achievable, customer- oriented, and measurable business performance improvement goals.", "FEMA has taken steps to document the current and target grants management business processes. Specifically,", "The agency took steps to develop a common understanding of its grants management processes by documenting each of the 12 grant categories. For example, in 2016 and 2017, the agency conducted several nationwide user outreach sessions with representatives from FEMA headquarters, the 10 regional offices, and state and local grant recipients to discuss the grant categories and the current grants management business environment.", "In addition, FEMA\u2019s Office of Chief Counsel developed a Grants Management Manual in January 2018 that outlined the authorizing laws, regulations, and agency policies for all of its grant programs. According to the Grants Management Executive Steering Group, the manual is intended to promote standardized grants management procedures across the agency. Additionally, the group expects grant program and regional offices to assess the manual against their own practices, make updates as needed, and ensure that their staff are properly informed and trained.", "FEMA also documented target grants management business process workflows for 18 of the 19 business functions that were notionally planned to be developed and deployed in the AFG pilot by December 2018. However, the program experienced delays in developing the AFG pilot (discussed later in this report) and, thus, deferred defining the remaining business function until the program gets closer to developing that function, which is now planned for August 2019.", "In addition, FEMA established measurable business performance goals for GMM that are aimed at addressing problem areas and improving grants management processes. Specifically, the agency established 14 business performance goals and associated thresholds in an October 2017 acquisition program baseline addendum, as well as 126 performance metrics for all 43 of the target grants management business functions in its March 2017 test and evaluation master plan.", "According to FEMA, the 14 business performance goals are intended to represent essential outcomes that will indicate whether GMM has successfully met critical, business-focused mission needs. GMM performance goals include areas such as improvements in the satisfaction level of users with GMM compared to the legacy systems and improvements in the timeliness of grant award processing. For example, one of GMM\u2019s goals is to get at least 40 percent of users surveyed to agree or strongly agree that their grants management business processes are easier to accomplish with GMM, compared to the legacy systems.", "Program officials stated that they plan to work with the Agile development contractor to refine their performance goals and target thresholds, develop a plan for collecting the data and calculating the metrics, and establish a performance baseline with the legacy systems. Program officials also stated that they plan to complete these steps by September 2019\u2014GMM\u2019s initial operational capability date\u2014which is when they are required to begin reporting these metrics to the DHS acquisition review board."], "subsections": []}, {"section_title": "FEMA Has Begun Planning Its Grants Management Business Process Reengineering, but Has Not Finalized Plans for Transition Activities", "paragraphs": ["According to GAO\u2019s Business Process Reengineering Assessment Guide, agencies undergoing business process reengineering should (1) establish an overall plan to guide the effort (commonly referred to as an organizational change management plan) and (2) provide a common understanding for stakeholders of what to expect and how to plan for process changes. Agencies should develop the plan at the beginning of the reengineering effort and provide specific details on upcoming process changes, such as critical milestones and deliverables for an orderly transition, roles and responsibilities for change management activities, reengineering goals, skills and resource needs, key barriers to change, communication expectations, training, and any staff redeployments or reductions-in-force. The agency should develop and begin implementing its change management plan ahead of introducing new processes to ensure sufficient support among stakeholders for the reengineered processes.", "While FEMA has begun planning its business process reengineering activities, it has not finalized its plans or established time frames for their completion. Specifically, as of September 2018, program officials were in the process of drafting an organizational change management plan that is intended to establish an approach for preparing grants management stakeholders for upcoming changes. According to FEMA, this document is intended to help avoid uncertainty and confusion among stakeholders as changes are made to the agency\u2019s grant programs, and ensure successful adoption of new business processes, strategies, and technologies.", "As discussed previously in this report, the transition to GMM will involve changes to FEMA\u2019s disparate grants management processes that are managed by many different stakeholders across the agency. Program officials acknowledged that change management is the biggest challenge they face in implementing GMM and said they had begun taking several actions intended to support the agency\u2019s change management activities. For example, program officials reported in October 2018 that they had recently created an executive-level working group intended to address FEMA\u2019s policy challenges related to the standardization of grants management processes. Additionally, program officials reported that they planned to: (1) hire additional support staff focused on coordinating grants change management activities; and (2) pursue regional office outreach to encourage broad support among GMM\u2019s decentralized stakeholders, such as state, local, and tribal territories.", "However, despite these actions, the officials were unable to provide time frames for completing the organizational change management plan or the additional actions. Until the plan and actions are complete, the program lacks assurance that it will have sufficient support among stakeholders for the reengineered processes.", "In addition, GMM did not establish plans and time frames for the activities that needed to take place prior to, during, and after the transition from the legacy AFG to GMM. Instead, program officials stated that they had worked collaboratively with the legacy AFG program and planned these details informally by discussing them in various communications, such as emails and meetings. However, this informal planning approach is not a repeatable process, which is essential to this program as FEMA plans to transition many sets of functionality to many different users during the lifecycle of this program.", "Program officials acknowledged that for future transitions they will need more repeatable transition planning and stated that they intend to establish such plans, but did not provide a time frame for when such changes would be made. Until FEMA develops a repeatable process, with established time frames for communicating the transition details to its customers prior to each transition, the agency risks that the transition from the legacy systems to GMM will not occur as intended. It also increases its risk that stakeholders will not support the implementation of reengineered grants management processes."], "subsections": []}, {"section_title": "GMM Took Steps to Establish Clearly Defined and Prioritized IT Requirements, but Key Requirements Were Not Always Traceable", "paragraphs": ["Leading practices for software development efforts state that IT requirements are to be clearly defined and prioritized. This includes, among other things, maintaining bidirectional traceability as the requirements evolve, to ensure there are no inconsistencies among program plans and requirements. In addition, programs using Agile software development are to maintain a product vision, or roadmap, to guide the planning of major program milestones and provide a high-level view of planned requirements.", "Programs should also maintain a prioritized list (referred to as a backlog) of narrowly defined requirements (referred to as lower-level requirements) that are to be delivered. Programs should maintain this backlog with the product owner to ensure the program is always working on the highest priority requirements that will deliver the most value to the users.", "The GMM program established clearly defined and prioritized requirements and maintained bidirectional traceability among the various levels of requirements:", "Grant lifecycle phases: In its Concept of Operations document, the program established six grants management lifecycle phases that represent the highest level of GMM\u2019s requirements, through which it derives lower-level requirements.", "Business functions: The Concept of Operations document also identifies the next level of GMM requirements\u2014the 43 business functions that describe how FEMA officials, grant recipients, and other stakeholders are to manage grants. According to program officials, the 43 business functions are to be refined, prioritized, and delivered to GMM customers iteratively. Further, for the AFG pilot, the GMM program office prioritized 19 business functions with the product owner and planned the development of these functions in a roadmap.", "Epics: GMM\u2019s business functions are decomposed into epics, which represent smaller portions of functionality that can be developed over multiple increments. According to program officials, GMM intends to develop, refine, and prioritize the epics iteratively. As of August 2018, the program had developed 67 epics in the program backlog. An example of one of the epics for the AFG pilot is to prepare and submit grant closeout materials.", "User stories: The epics are decomposed into user stories, which convey the customers\u2019 requirements at the smallest and most discrete unit of work that must be done within a single sprint to create working software. GMM develops, refines, and prioritizes the user stories iteratively. As of August 2018, the program had developed 1,118 user stories in the backlog. An example of a user story is \u201cAs an external user, I can log in with a username and password.\u201d", "Figure 6 provides an example of how GMM\u2019s different levels of requirements are decomposed.", "Nevertheless, while we found requirements to be traceable at the sprint- level (i.e., epics and user stories), traceability of requirements at the increment-level (i.e., business functions) were inconsistent among different requirements planning documents. Specifically, the capabilities and constraints document shows that five business functions are planned to be developed within sub-increment 1A, whereas the other key planning document\u2014the roadmap for the AFG pilot\u2014showed one of those five functions as being planned for the sub-increment 1B. In addition, the capabilities and constraints document shows that nine business functions are planned to be developed within sub-increment 1B, but the roadmap showed one of those nine functions as being planned for the sub- increment 1C.", "Program officials stated that they decided to defer these functions to later sub-increments due to unexpected technical difficulties encountered when developing functionality and reprioritizing functions with the product owners. While the officials updated the roadmap to reflect the deferred functionality, they did not update the capabilities and constraints document to maintain traceability between these two important requirements planning documents.", "Program officials stated that they learned during the AFG pilot that the use of a capabilities and constraints document for increment-level scope planning was not ideal and that they intended to change the process for how they documented planned requirements for future increments. However, program officials did not provide a time frame for when this change would be made. Until the program makes this change and then ensures it maintains traceability of increment-level requirements between requirements planning documents, it will continue to risk confusion among stakeholders about what is to be delivered.", "In addition, until recently, GMM\u2019s planning documents were missing up- to-date information regarding when most of the legacy systems will be transitioned to GMM. Specifically, while the program\u2019s planning documents (including the GMM roadmap) provided key milestones for the entire lifecycle of the program and high-level capabilities to be delivered in the AFG pilot, these documents lacked up-to-date time frames for when FEMA planned to transition the nine remaining legacy systems. For example, in May 2017, GMM drafted notional time frames for transitioning the legacy systems, including plans for AFG to be the seventh system replaced by GMM. However, in December 2017, the program decided to reprioritize the legacy systems so that AFG would be replaced first\u2014yet this major change was not reflected in the program\u2019s roadmap.", "Moreover, while AFG program officials were informed of the decision to transition the AFG program first, in June 2018 officials from other grant programs told us that they had not been informed on when their systems were to be replaced. As a result, these programs were uncertain about when they should start planning for their respective transitions. In August 2018, GMM program officials acknowledged that they were delayed in deciding the sequencing order for the legacy system transitions. Program officials stated that the delay was due to their need to factor the Agile development contractor\u2019s perspective into these decisions; yet, at that time, the contract award had been delayed by approximately 8 months. Subsequently, in October 2018, program officials identified tentative time frames for transitioning the remaining legacy systems.", "Program officials stated that they determined the tentative time frames for transitioning the legacy systems based on key factors, such as mission need, cost, security vulnerabilities, and technical obsolescence, and that they had shared these new time frames with grant program officials. The officials also stated that, once the Agile contractor begins contract performance, they expect to be able to validate the contractor\u2019s capacity and finalize these time frames by obtaining approval from the Grants Management Executive Steering Group. By taking steps to update and communicate these important time frames, FEMA should be better positioned to ensure that each of the grant programs are prepared for transitioning to GMM."], "subsections": []}, {"section_title": "GMM Recently Began Tracking Progress in Delivering Planned IT Requirements", "paragraphs": ["According to leading practices, Agile programs should track their progress in delivering planned IT requirements within a sprint (i.e., short iterations that produce working software). Given that sprints are very short cycles of development (e.g., 2 weeks), the efficiency of completing planned work within a sprint relies on a disciplined approach that includes using a fixed pace, referred to as the sprint cadence, that provides a consistent and predictable development routine. A disciplined approach also includes identifying by the start of a sprint which user stories will be developed, developing those stories to completion (e.g., fully tested and demonstrated to, and accepted by, the product owner), and tracking completion progress of those stories. Progress should be communicated to relevant stakeholders and used by the development teams to better understand their capacity to develop stories, continuously improve on their processes, and forecast how long it will take to deliver all remaining capabilities.", "The GMM program did not effectively track progress in delivering IT requirements during the first nine sprints, which occurred from January to June 2018. These gaps in tracking the progress of requirements, in part, had an impact on the program\u2019s progress in delivering the 19 AFG business functions that were originally planned by December 2018 and are now deferred to August 2019. However, beginning in July 2018, in response to our ongoing review, the program took steps to improve in these areas. Specifically,", "GMM did not communicate the status of its Agile development progress to program stakeholders, such as the grant programs, the regional offices, and the development teams, during most of the first nine sprints. Program officials acknowledged that they should use metrics to track development progress and, in July 2018, they began reporting metrics to program stakeholders. For example, they began collecting and providing data on the number of stories planned and delivered, estimated capacity for development teams, and the number of days spent working on the sprint, as part of the program\u2019s weekly status reports to program stakeholders, such as product owners.", "Rather than using a fixed, predictable sprint cadence, GMM allowed a variable development cadence, meaning that sprint durations varied from 1 to 4 weeks throughout the first nine sprints. Program officials noted that they had experimented with the use of a variable cadence to allow more time to complete complex technical work. Program officials stated that they realized that varying the sprints was not effective and, in July 2018 for sprint 10, they reverted back to a fixed, 2 week cadence.", "GMM added a significant amount of scope during its first nine sprints, after the development work had already begun. For example, the program committed to 28 user stories at the beginning of sprint eight, and then nearly doubled the work by adding 25 additional stories in the middle of the sprint. Program officials cited multiple reasons for adding more stories, including that an insufficient number of stories had been defined in the backlog when the sprint began, the realization that planned stories were too large and needed to be decomposed into smaller stories, and the realization that other work would be needed in addition to what was originally planned. Program officials recognized that, by the start of a sprint, the requirements should be sufficiently defined, such that they are ready for development without requiring major changes during the sprint. The program made recent improvements in sprints 11 and 12, which had only five stories added after the start of a sprint.", "By taking these steps to establish consistency among sprints, the program has better positioned itself to more effectively monitor and manage the remaining IT development work. In addition, this improvement in consistency should help the program avoid future deferments of functionality."], "subsections": []}, {"section_title": "GMM Is Involving Stakeholders and Incorporating Input", "paragraphs": ["Leading practices state that programs should regularly collaborate with, and collect input from, relevant stakeholders; monitor the status of stakeholder involvement; incorporate stakeholder input; and measure how well stakeholders\u2019 needs are being met. For Agile programs, it is especially important to track user satisfaction to determine how well the program has met stakeholders\u2019 needs. Consistent stakeholder participation ensures that the program meets its stakeholders\u2019 needs.", "FEMA implemented its responsibilities in this area through several means, such as stakeholder outreach activities; development of a strategic communications plan; and continuous monitoring, solicitation, and recording of stakeholder involvement and feedback. For example, the agency conducted nationwide outreach sessions from January 2016 through August 2017 and began conducting additional outreach sessions in April 2018. These outreach sessions involved hundreds of representatives from FEMA headquarters, the 10 regional offices, and state and local grant recipients to collect information on the current grants management environment and opportunities for streamlining grants management processes.", "FEMA also held oversight and stakeholder outreach activities and actively solicited and recorded feedback from its stakeholders on a regular basis. For example, GMM regularly verified with users that the new functionality met their IT requirements, as part of the Agile development cycle. Additionally, we observed several GMM biweekly requirements validation sessions where the program\u2019s stakeholders were involved and provided feedback as part of the requirements development and refinement process.", "In addition, FEMA identified GMM stakeholders and tracked its engagement with these stakeholders using a stakeholder register. The agency also defined processes for how the GMM program is to collaborate with its stakeholders in a stakeholder communication plan and Agile development team agreement. Also, while several officials from the selected grant program and regional offices that we interviewed indicated that the program could improve in communicating its plans for GMM and incorporating stakeholder input, most of the representatives from these offices stated that GMM is doing well at interacting with its stakeholders.", "Finally, in October 2018, program officials reported that they had recently begun measuring user satisfaction by conducting surveys and interviews with users that have utilized the new functionality within GMM. The program\u2019s outreach activities, collection of stakeholder input, and measurement of user satisfaction demonstrate that the program is taking the appropriate steps to incorporate stakeholder input."], "subsections": []}]}, {"section_title": "FEMA Lacks a Current Cost Estimate and Reliable Schedule for GMM", "paragraphs": [], "subsections": [{"section_title": "GMM\u2019s Initial Cost Estimate Was Reliable, but Is Now Outdated", "paragraphs": ["Reliable cost estimates are critical for successfully delivering IT programs. Such estimates provide the basis for informed decision making, realistic budget formulation, meaningful progress measurement, and accountability for results. GAO\u2019s Cost Estimating and Assessment Guide defines leading practices related to the following four characteristics of a high-quality, reliable estimate.", "Comprehensive. The estimate accounts for all possible costs associated with a program, is structured in sufficient detail to ensure that costs are neither omitted nor double counted, and documents all cost-influencing assumptions.", "Well-documented. Supporting documentation explains the process, sources, and methods used to create the estimate; contains the underlying data used to develop the estimate; and is adequately reviewed and approved by management.", "Accurate. The estimate is not overly conservative or optimistic, is based on an assessment of the costs most likely to be incurred, and is regularly updated so that it always reflects the program\u2019s current status.", "Credible. Discusses any limitations of the analysis because of uncertainty or sensitivity surrounding data or assumptions, the estimate\u2019s results are cross-checked, and an independent cost estimate is conducted by a group outside the acquiring organization to determine whether other estimating methods produce similar results.", "In May 2017, DHS approved GMM\u2019s lifecycle cost estimate of about $251 million for fiscal years 2015 through 2030. We found this initial estimate to be reliable because it fully or substantially addressed all the characteristics associated with a reliable cost estimate. For example, the estimate comprehensively included government and contractor costs, all elements of the program\u2019s work breakdown structure, and all phases of the system lifecycle; and was aligned with the program\u2019s technical documentation at the time the estimate was developed. GMM also fully documented the key assumptions, data sources, estimating methodology, and calculations for the estimate. Further, the program conducted a risk assessment and sensitivity analysis, and DHS conducted an independent assessment of the cost estimate to validate the accuracy and credibility of the cost estimate.", "However, key assumptions that FEMA made about the program changed soon after DHS approved the cost estimate in May 2017. Thus, the initial cost estimate no longer reflects the current approach for the program. For example, key assumptions about the program that changed include:", "Change in the technical approach: The initial cost estimate assumed that GMM would implement a software-as-a-service model, meaning that FEMA would rely on a service provider to deliver software applications and the underlying infrastructure to run them. However, in December 2017, the program instead decided to implement an infrastructure-as-a-service model, meaning that FEMA would develop and deploy its own software application and rely on a service provider to deliver and manage the computing infrastructure (e.g., servers, software, storage, and network equipment). According to program officials, this decision was made after learning from the Agile prototypes that the infrastructure-as-a-service model would allow GMM to develop the system in a more flexible environment.", "Increase in the number of system development personnel: A key factor with Agile development is the number of development teams (each consisting of experts in software development, testing, and cybersecurity) that are operating concurrently and producing separate portions of software functionality. Program officials initially assumed that they would need three to four concurrent Agile development teams, but subsequently realized that they would instead need to expend more resources to achieve GMM\u2019s original completion date. Specifically, program officials now expect they will need to at least double, and potentially triple, the number of concurrent development teams to meet GMM\u2019s original target dates.", "Significant delays and complexities with data migration: In 2016 and 2017, GMM experienced various technical challenges in its effort to transfer legacy system data to a data staging platform. This data transfer effort needed to be done to standardize the data before eventually migrating the data to GMM. These challenges resulted in significant delays and cost increases. Program officials reported that, by February 2018\u2014at least 9 months later than planned\u2014all legacy data had been transferred to a data staging platform so that FEMA officials could begin analyzing and standardizing the data prior to migrating it into GMM.", "FEMA officials reported that they anticipated the cost estimate to increase, and for this increase to be high enough to breach the $251 million threshold set in GMM\u2019s May 2017 acquisition program baseline. Thus, consistent with DHS\u2019s acquisition guidance, the program informed the DHS acquisition review board of this anticipated breach. The board declared that the program was in a cost breach status, as of September 12, 2018.", "As of October 2018, program officials stated that they were in the process of revising the cost estimate to reflect the changes in the program and to incorporate actual costs. In addition, the officials stated that the program was applying a new cost estimating methodology tailored for Agile programs that DHS\u2019s Cost Analysis Division had been developing. In December 2018, program officials stated that they had completed the revised cost estimate but it was still undergoing departmental approval. Establishing an updated cost estimate should help FEMA better understand the expected costs to deliver GMM under the program\u2019s current approach and time frames."], "subsections": []}, {"section_title": "GMM\u2019s Schedule Is Unreliable", "paragraphs": ["The success of an IT program depends, in part, on having an integrated and reliable master schedule that defines when the program\u2019s set of work activities and milestone events are to occur, how long they will take, and how they are related to one another. Among other things, a reliable schedule provides a roadmap for systematic execution of an IT program and the means by which to gauge progress, identify and address potential problems, and promote accountability.", "GAO\u2019s Schedule Assessment Guide defines leading practices related to the following four characteristics that are vital to having a reliable integrated master schedule.", "Comprehensive. A comprehensive schedule reflects all activities for both the government and its contractors that are necessary to accomplish a program\u2019s objectives, as defined in the program\u2019s work breakdown structure. The schedule also includes the labor, materials, and overhead needed to do the work and depicts when those resources are needed and when they will be available. It realistically reflects how long each activity will take and allows for discrete progress measurement.", "Well-constructed. A schedule is well-constructed if all of its activities are logically sequenced with the most straightforward logic possible. Unusual or complicated logic techniques are used judiciously and justified in the schedule documentation. The schedule\u2019s critical path represents a true model of the activities that drive the program\u2019s earliest completion date and total float accurately depicts schedule flexibility.", "Credible. A schedule that is credible is horizontally traceable\u2014that is, it reflects the order of events necessary to achieve aggregated products or outcomes. It is also vertically traceable\u2014that is, activities in varying levels of the schedule map to one another and key dates presented to management in periodic briefings are consistent with the schedule. Data about risks are used to predict a level of confidence in meeting the program\u2019s completion date. The level of necessary schedule contingency and high-priority risks are identified by conducting a robust schedule risk analysis.", "Controlled. A schedule is controlled if it is updated regularly by trained schedulers using actual progress and logic to realistically forecast dates for program activities. It is compared to a designated baseline schedule to measure, monitor, and report the program\u2019s progress. The baseline schedule is accompanied by a baseline document that explains the overall approach to the program, defines ground rules and assumptions, and describes the unique features of the schedule. The baseline schedule and current schedule are subject to a configuration management control process.", "GMM\u2019s schedule was unreliable because it minimally addressed three characteristics\u2014comprehensive, credible, and controlled\u2014and did not address the fourth characteristic of a reliable estimate\u2014well-constructed. One of the most significant issues was that the program\u2019s fast approaching, final delivery date of September 2020 was not informed by a realistic assessment of GMM development activities, and rather was determined by imposing an unsubstantiated delivery date. Table 4 summarizes our assessment of GMM\u2019s schedule.", "In discussing the reasons for the shortfalls in these practices, program officials stated that they had been uncertain about the level of rigor that should be applied to the GMM schedule, given their use of Agile development. However, leading practices state that program schedules should meet all the scheduling practices, regardless of whether a program is using Agile development. As discussed earlier in this report, GMM has already experienced significant schedule delays. For example, the legacy data migration effort, the AFG pilot, and the Agile development contract have been delayed.", "Program officials also stated that the delay in awarding and starting the Agile contract has delayed other important activities, such as establishing time frames for transitioning legacy systems. A more robust schedule could have helped FEMA predict the impact of delays on remaining activities and identify which activities appeared most critical so that the program could ensure that any risks in delaying those activities were properly mitigated.", "In response to our review and findings, program officials recognized the need to continually enhance their schedule practices to improve the management and communication of program activities. As a result, in August 2018, the officials stated that they planned to add a master scheduler to the team to improve the program\u2019s schedule practices and ensure that all of the areas of concern we identified are adequately addressed. In October 2018, the officials reported that they had recently added two master schedulers to GMM. According to the statement of objectives, the Agile contractor is expected to develop an integrated master schedule soon after it begins performance.", "However, program officials stated that GMM is schedule-driven\u2014due to the Executive Steering Group\u2019s expectation that the solution will be delivered by September 2020. The officials added that, if GMM encounters challenges in meeting this time frame, the program plans to seek additional resources to allow it to meet the 2020 target.", "GMM\u2019s schedule-driven approach has already led to an increase in estimated costs and resources. For example, as previously mentioned, the program has determined that, to meet its original target dates, GMM needs to at least double, and possibly triple, the number of concurrent Agile development teams. In addition, we have previously reported that schedule pressure on federal IT programs can lead to omissions and skipping of key activities, especially system testing.", "In August 2018, program officials acknowledged that September 2020 may not be feasible and that the overall completion time frames established in the acquisition program baseline may eventually need to be rebaselined. Without a robust schedule to forecast whether FEMA\u2019s aggressive delivery goal for GMM is realistic to achieve, leadership will be limited in its ability to make informed decisions on what additional increases in cost or reductions in scope might be needed to fully deliver the system."], "subsections": []}]}, {"section_title": "FEMA Fully Addressed Three Key Cybersecurity Practices and Partially Addressed Two Others", "paragraphs": ["NIST\u2019s risk management framework establishes standards and guidelines for agencies to follow in developing cybersecurity programs. Agencies are expected to use this framework to achieve more secure information and information systems through the implementation of appropriate risk mitigation strategies and by performing activities that ensure that necessary security controls are integrated into agencies\u2019 processes. The framework addresses broad cybersecurity and risk management activities, which include the following:", "Categorize the system: Programs are to categorize systems by identifying the types of information used, selecting a potential impact level (e.g., low, moderate, or high), and assigning a category based on the highest level of impact to the system\u2019s confidentiality, integrity, and availability, if the system was compromised. Programs are also to document a description of the information system and its boundaries and should register the system with appropriate program management offices. System categorization is documented in a system security plan.", "Select and implement security controls: Programs are to determine protective measures, or security controls, to be implemented based on the system categorization results. These security controls are documented in a system security plan. For example, control areas include access controls, incident response, security assessment and authorization, identification and authentication, and configuration management. Once controls are identified, programs are to determine planned implementation actions for each of the designated controls. These implementation actions are also specified in the system security plan.", "Assess security controls: Programs are to develop, review, and approve a security assessment plan. The purpose of the security assessment plan approval is to establish the appropriate expectations for the security control assessment. Programs are to also perform a security control assessment by evaluating the security controls in accordance with the procedures defined in the security assessment plan, in order to determine the extent to which the controls were implemented correctly. The output of this process is intended to produce a security assessment report to document the issues, findings, and recommendations. Programs are to conduct initial remediation actions on security controls and reassess those security controls, as appropriate.", "Obtain an authorization to operate the system: Programs are to obtain security authorization approval in order to operate a system. Resolving weaknesses and vulnerabilities identified during testing is an important step leading up to achieving an authorization to operate. Programs are to establish corrective action plans to address any deficiencies in cybersecurity policies, procedures, and practices. DHS guidance also states that corrective action plans must be developed for every weakness identified during a security control assessment and within a security assessment report.", "Monitor security controls on an ongoing basis: Programs are to monitor their security controls on an ongoing basis after deployment, including determining the security impact of proposed or actual changes to the information system and assessing the security controls in accordance with a monitoring strategy that determines the frequency of monitoring the controls.", "For the GMM program\u2019s engineering and test environment, which went live in February 2018, FEMA fully addressed three of the five key cybersecurity practices in NIST\u2019s risk management framework and partially addressed two of the practices. Specifically, FEMA categorized GMM\u2019s environment based on security risk, implemented select security controls, and monitored security controls on an ongoing basis. However, the agency partially addressed the areas of assessing security controls and obtaining an authorization to operate the system. Table 5 provides a summary of the extent to which FEMA addressed NIST\u2019s key cybersecurity practices for GMM\u2019s engineering and test environment."], "subsections": [{"section_title": "GMM Categorized the System Based on Security Risk", "paragraphs": ["Consistent with NIST\u2019s framework, GMM categorized the security risk of its engineering and test environment and identified it as a moderate- impact environment. A moderate-impact environment is one where the loss of confidentiality, integrity, or availability could be expected to have a serious or adverse effect on organizational operations, organizational assets, or individuals. GMM completed the following steps leading to this categorization:", "The program documented in its System Security Plan the various types of data and information that the environment will collect, process, and store, such as conducting technology research, building or enhancing technology, and maintaining IT networks.", "The program established three information types and assigned security levels of low, moderate, or high impact in the areas of confidentiality, availability, and integrity. A low-impact security level was assigned to two information types: (1) conducting technology research and (2) building or enhancing technology; and a moderate- impact security level was assigned to the third information type: maintaining IT networks.", "The engineering and test environment was categorized as an overall moderate-impact system, based on the highest security impact level assignment.", "GMM documented a description of the environment, including a diagram depicting the system\u2019s boundaries, which illustrates, among other things, databases and firewalls.", "GMM properly registered its engineering and test environment with FEMA\u2019s Chief Information Officer, Chief Financial Officer, and acting Chief Information Security Officer.", "By conducting the security categorization process, GMM has taken steps that should ensure that the appropriate security controls are selected for the program\u2019s engineering and test environment."], "subsections": []}, {"section_title": "GMM Selected and Planned for the Implementation of Controls in Its System Security Plan", "paragraphs": ["Consistent with NIST\u2019s framework and the system categorization results, GMM appropriately determined which security controls to implement and planned actions for implementing those controls in its System Security Plan for the engineering and test environment. For example, the program utilized NIST guidance to select standard controls for a system categorized with a moderate-impact security level. These control areas include, for example, access controls, risk assessment, incident response, identification and authentication, and configuration management.", "Further, the program documented its planned actions to implement each control in its System Security Plan. For example, GMM documented that the program plans to implement its Incident Response Testing control by participating in an agency-wide exercise and unannounced vulnerability scans. As another example, GMM documented that the program plans to implement its Contingency Plan Testing control by testing the contingency plan annually, reviewing the test results, and preparing after action reports. By selecting and planning for the implementation of security controls, GMM has taken steps to mitigate its security risks and protect the confidentiality, integrity, and availability of the information system."], "subsections": []}, {"section_title": "GMM Developed a Security Assessment Plan, but It Lacked Essential Details and Approvals", "paragraphs": ["Consistent with NIST\u2019s framework, in January 2018, GMM program officials developed a security assessment plan for the engineering and test environment. According to GMM program officials, this plan was reviewed by the security assessment team.", "However, the security assessment plan lacked essential details. Specifically, while the plan included the general process for evaluating the environment\u2019s security controls, the planned assessment procedures for all 964 security controls were not sufficiently defined. Specifically, GMM program officials copied example assessment procedures from NIST guidance and inserted them into its security assessment documentation for all of its 964 controls, without making further adjustments to explain the steps that should be taken specific to GMM. Table 6 shows an example of a security assessment procedure copied from the NIST guidance that should have been further adjusted for GMM.", "In addition, the actual assessment procedures that the GMM assessors used to evaluate the security controls were not documented. Instead, the program only documented whether each control passed or failed each test.", "GMM program officials stated that the planned assessment procedures are based on an agency template that was exported from a DHS compliance tool, and that FEMA security officials have been instructed by the DHS OCIO not to tailor or make any adjustments to the template language. However, the assessment procedures outlined in NIST\u2019s guidance are to serve as a starting point for organizations preparing their program specific assessments. According to NIST, organizations are expected to select and tailor their assessment procedures for each security control from NIST\u2019s list of suggested assessment options (e.g., review, analyze, or inspect policies, procedures, and related documentation options).", "DHS OCIO officials stated that, consistent with NIST\u2019s guidance, they expect that components will ensure they are in compliance with the minimum standards and will also add details and additional rigor, as appropriate, to tailor the planned security assessment procedures to fit their unique missions or needs. In November 2018, in response to our audit, DHS OCIO officials stated that they were meeting with FEMA OCIO officials to understand why they did not document the planned and actual assessment procedures performed by the assessors for GMM. Until FEMA ensures that detailed planned evaluation methods and actual evaluation procedures specific to GMM are defined, the program risks assessing security controls incorrectly, having controls that do not work as intended, and producing undesirable outcomes with respect to meeting the security requirements.", "In addition, the security assessment plan was not approved by FEMA\u2019s OCIO before proceeding with the security assessment. Program officials stated that approval was not required for the security assessment plan prior to the development of the security assessment report. However, NIST guidance states that the purpose of the security assessment plan approval is to establish the appropriate expectations for the security control assessment. By not getting the security assessment plan approved by FEMA\u2019s OCIO before security assessment reviews were conducted, GMM risks inconsistencies with the plan and security objectives of the organization.", "Finally, consistent with NIST guidance, GMM performed a security assessment in December 2017 of the engineering and test environment\u2019s controls, which identified 36 vulnerabilities (23 critical- and high-impact vulnerabilities and 13 medium- and low-impact vulnerabilities). The program also documented these vulnerabilities and associated findings and recommendations in a security assessment report. GMM conducted initial remediation actions (i.e., remediation of vulnerabilities that should be corrected immediately) for 12 of the critical- and high-impact vulnerabilities and a reassessment of those security controls confirmed that they were resolved by January 2018. Remediation of the remaining 11 critical- and high-impact vulnerabilities and 13 medium- and low- impact vulnerabilities were to be addressed by corrective action plans as part of the authorization to operate process, which is discussed in the next section."], "subsections": []}, {"section_title": "GMM Obtained Authorization to Operate, but Had Not Addressed Known Vulnerabilities or Tested All Controls", "paragraphs": ["The authorization to operate GMM\u2019s engineering and test environment was granted on February 5, 2018. Among other things, this decision was based on the important stipulation that the remaining 11 critical- and high- impact vulnerabilities associated with multifactor authentication would be addressed within 45 days, or by March 22, 2018. However, the program did not meet this deadline and, instead, approximately 2 months after this deadline passed, obtained a waiver to remediate these vulnerabilities by May 9, 2019.", "These vulnerabilities are related to a multifactor authentication capability. Program officials stated that they worked with FEMA OCIO officials to attempt to address these vulnerabilities by the initial deadline, but they were unsuccessful in finding a viable solution. Therefore, GMM program officials developed a waiver at the recommendation of the OCIO to provide additional time to develop a viable solution. However, a multifactor authentication capability is essential to ensuring that users are who they say they are, prior to granting users access to the GMM engineering and test environment, in order to reduce the risk of harmful actors accessing the system.", "In addition, as of September 2018, the program had not established corrective action plans for the 13 medium- and low-impact vulnerabilities. Program officials stated that they do not typically address low-impact vulnerabilities; however, this is in conflict with DHS guidance that specifies that corrective action plans must be developed for every weakness identified during a security control assessment and within a security assessment report. In response to our audit, in October 2018, GMM program officials developed these remaining corrective action plans. The plans indicated that these vulnerabilities were to be fully addressed by January 2019 and April 2019.", "While the program eventually took corrective actions in response to our audit by developing the missing plans, the GMM program initially failed to follow DHS\u2019s guidance on preparing corrective actions plans for all security vulnerabilities. Until GMM consistently follows DHS\u2019s guidance, it will be difficult for FEMA to determine the extent to which GMM\u2019s security weaknesses identified during its security control assessments are remediated. Additionally, as we have reported at other agencies, vulnerabilities can be indicators of more significant underlying issues and, thus, without appropriate management attention or prompt remediation, GMM is at risk of unnecessarily exposing the program to potential exploits.", "Moreover, GMM was required to assess all untested controls by March 7, 2018, or no later than 30 days after the approval of the authorization to operate; however, it did not meet this deadline. Specifically, we found that, by October 2018, FEMA had not fully tested 190 security controls in the GMM engineering and test environment. These controls were related to areas such as security incident handling and allocation of resources required to protect an information system. In response to our findings, in October 2018, GMM program officials reported that they had since fully tested 27 controls and partially tested the remaining 163 controls.", "Program officials stated that testing of the 163 controls is a shared responsibility between GMM and other parties (e.g., the cloud service provider). They added that GMM had completed its portion of the testing but was in the process of verifying the completion of testing by other parties. Program officials stated that the untested controls were not addressed sooner, in part, because of errors resulting from configuration changes in the program\u2019s compliance tool during a system upgrade, which have now been resolved. Until GMM ensures that all security controls have been tested, it remains at an increased risk of exposing programs to potential exploits."], "subsections": []}, {"section_title": "GMM Is Using Processes for Monitoring Controls", "paragraphs": ["Consistent with the NIST framework, GMM established methods for assessing and monitoring security controls to be conducted after an authorization to operate has been approved. GMM has tailored its cybersecurity policies and practices for monitoring its controls to take into account the frequent and iterative pace with which system functionality is continuously being introduced into the GMM environment.", "Specifically, the GMM program established a process for assessing security impact changes to the system and conducting reauthorizations to operate within the rapid Agile delivery environment. As part of this process, GMM embedded cybersecurity experts on each Agile development team so that they are involved early and can impact security considerations from the beginning of requirements development through testing and deployment of system functionality.", "In addition, the process involves important steps for ensuring that the system moves from development to completion, while producing a secure and reliable system. For example, it includes procedures for creating, reviewing, and testing new system functionality. As the new system functionality is integrated with existing system functionality, it is to undergo automated testing and security scans in order to ensure that the integrity of the security of the system has not been compromised. Further, an automated process is to deploy the code if it passes all security scans, code tests, and code quality checks.", "GMM\u2019s process for conducting a reauthorization to operate within the rapid delivery Agile development environment is to follow FEMA guidance that states that all high-level changes made to a FEMA IT system must receive approval from both a change advisory board and the FEMA Chief Information Officer. The board and FEMA Chief Information Officer are to focus their review and approval on scheduled releases and epics (i.e., collections of user stories). Additionally, the Information System Security Officer is to review each planned user story and, if it is determined that the proposed changes may impact the integrity of the authorization, the Information System Security Officer is to work with the development team to begin the process of updating the system authorization.", "Finally, GMM uses automated tools to track the frequency in which security controls are assessed and to ensure that required scanning data are received by FEMA for reporting purposes. Program officials stated that, in the absence of department-level and agency-level guidance, they have coordinated with DHS and FEMA OCIO officials to ensure that these officials are in agreement with GMM\u2019s approach to continuous monitoring. By having monitoring control policies and procedures in place, FEMA management is positioned to more effectively prioritize and plan its risk response to current threats and vulnerabilities for the GMM program."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given FEMA\u2019s highly complex grants management environment, with its many stakeholders, IT systems, and internal and external users, implementing leading practices for business process reengineering and IT requirements management is critical for success. FEMA has taken many positive steps, including ensuring executive leadership support for business process reengineering, documenting the agency\u2019s grants management processes and performance improvement goals, defining initial IT requirements for the program, incorporating input from end user stakeholders into the development and implementation process, and taking recent actions to improve its delivery of planned IT requirements. Nevertheless, until the GMM program finalizes plans and time frames for implementing its organizational change management actions, plans and communicates system transition activities, and maintains clear traceability of IT requirements, FEMA will be limited in its ability to provide streamlined grants management processes and effectively deliver a modernized IT system to meet the needs of its large range of users.", "While GMM\u2019s initial cost estimate was reliable, key assumptions about the program since the initial estimate had changed and, therefore, it no longer reflected the current approach for the program. The forthcoming updated cost schedule is expected to better reflect the current approach. However, the program\u2019s unreliable schedule to fully deliver GMM by September 2020 is aggressive and unrealistic. The delays the program has experienced to date further compound GMM\u2019s schedule issues. Without a robust schedule that has been informed by a realistic assessment of GMM\u2019s development activities, leadership will be limited in its ability to make informed decisions on what additional increases in cost or reductions in scope might be needed to achieve their goals.", "Further, FEMA\u2019s implementation of cybersecurity practices for GMM in the areas of system categorization, selection and implementation, and monitoring will help the program. However, GMM lacked essential details for evaluating security controls, did not approve the security assessment plan before proceeding with the security assessment, did not follow DHS\u2019s guidance to develop corrective action plans for all security vulnerabilities, and did not fully test all security controls. As a result, the GMM engineering and test environment remains at an increased risk of exploitations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making eight recommendations to FEMA: The FEMA Administrator should ensure that the GMM program management office finalizes the organizational change management plan and time frames for implementing change management actions. (Recommendation 1)", "The FEMA Administrator should ensure that the GMM program management office plans and communicates its detailed transition activities to its affected customers before they transition to GMM and undergo significant changes to their processes. (Recommendation 2)", "The FEMA Administrator should ensure that the GMM program management office implements its planned changes to its processes for documenting requirements for future increments and ensures it maintains traceability among key IT requirements documents. (Recommendation 3)", "The FEMA Administrator should ensure that the GMM program management office updates the program schedule to address the leading practices for a reliable schedule identified in this report. (Recommendation 4)", "The FEMA Administrator should ensure that the FEMA OCIO defines sufficiently detailed planned evaluation methods and actual evaluation methods for assessing security controls. (Recommendation 5)", "The FEMA Administrator should ensure that the FEMA OCIO approves a security assessment plan before security assessment reviews are conducted. (Recommendation 6)", "The FEMA Administrator should ensure that the GMM program management office follows DHS guidance on preparing corrective action plans for all security vulnerabilities. (Recommendation 7)", "The FEMA Administrator should ensure that the GMM program management office fully tests all of its security controls for the system. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["DHS provided written comments on a draft of this report, which are reprinted in appendix IV. In its comments, the department concurred with all eight of our recommendations and provided estimated completion dates for implementing each of them.", "For example, with regard to recommendation 4, the department stated that FEMA plans to update the GMM program schedule to address the leading practices for a reliable schedule by April 30, 2019. In addition, for recommendation 7, the department stated that FEMA plans to ensure that corrective action plans are prepared by July 31, 2019, to address all identified security vulnerabilities for GMM. If implemented effectively, the actions that FEMA plans to take in response to the recommendations should address the weaknesses we identified.", "We also received technical comments from DHS and FEMA officials, which we incorporated, as appropriate.", "We are sending copies of this report to the Secretary of Homeland Security and interested congressional committees. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4456 or harriscc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) determine the extent to which the Federal Emergency Management Agency (FEMA) is implementing leading practices for reengineering its grants management business processes and incorporating business needs into Grants Management Modernization (GMM) information technology (IT) requirements; (2) assess the reliability of the program\u2019s estimated costs and schedule; and (3) determine the extent to which FEMA is addressing key cybersecurity practices for GMM.", "To address the first objective, we reviewed GAO\u2019s Business Process Reengineering Assessment Guide and Software Engineering Institute\u2019s Capability Maturity Model for Integration for Development to identify practices associated with business process reengineering and IT requirements management. We then selected six areas that, in our professional judgment, represented foundational practices that were of particular importance to the successful implementation of an IT modernization effort that is using Agile development processes. We also selected the practices that were most relevant based on where GMM was in the system development lifecycle and we discussed the practice areas with FEMA officials. The practices are:", "Ensuring executive leadership support for process reengineering", "Assessing the current and target business environment and business", "Establishing plans for implementing new business processes", "Establishing clear, prioritized, and traceable IT requirements", "Tracking progress in delivering IT requirements Incorporating input from end user stakeholders We also reviewed selected chapters of GAO\u2019s draft Agile Assessment Guide (Version 6A), which is intended to establish a consistent framework based on best practices that can be used across the federal government for developing, implementing, managing, and evaluating agencies\u2019 IT investments that rely on Agile methods. To develop this guide, GAO worked closely with Agile experts in the public and private sector; some chapters of the guide are considered more mature because they have been reviewed by the expert panel. We reviewed these chapters to ensure that our expectations for how FEMA should apply the six practices for business process reengineering and IT requirements management are appropriate for an Agile program and are consistent with the draft guidance that is under development. Additionally, since Agile development programs may use different terminology to describe their software development processes, the Agile terms used in this report (e.g., increment, sprint, epic, etc.) are specific to the GMM program.", "We obtained and analyzed FEMA grants management modernization documentation, such as current and target grants management business processes, acquisition program baseline, operational requirements document, concept of operations, requirements analyses workbooks, Grants Management Executive Steering Group artifacts, stakeholder outreach artifacts, Agile increment- and sprint-level planning and development artifacts, and the requirements backlog.", "We assessed the program documentation against the selected practices to determine the extent to which the agency had implemented them. We then assessed each practice area as: fully implemented\u2014FEMA provided complete evidence that showed it fully implemented the practice area; partially implemented\u2014FEMA provided evidence that showed it partially implemented the practice area; not implemented\u2014FEMA did not provide evidence that showed it implemented any of the practice area.", "Additionally, we observed Agile increment and sprint development activities at GMM facilities in Washington, D.C. We also observed a demonstration of how the program manages its lower level requirements (i.e., user stories and epics) and maintains traceability of the requirements using an automated tool at GMM facilities in Washington, D.C.", "We also interviewed FEMA officials, including the GMM Program Executive, GMM Program Manager, GMM Business Transformation Team Lead, and Product Owner regarding their efforts to streamline grants management business processes, collect and incorporate stakeholder input, and manage GMM\u2019s requirements. In addition, we interviewed FEMA officials from four out of 16 grant program offices and two out of 10 regional offices to obtain contextual information and illustrative examples of FEMA\u2019s efforts to reengineer grants management business processes and collect business requirements for GMM. Specifically,", "We selected the four grant program offices based on a range of grant programs managed, legacy systems used, and the amount of grant funding awarded. We also sought to select a cross section of different characteristics, such as selecting larger grant program offices, as well as smaller offices. In addition, we ensured that our selection included the Assistance to Firefighters Grants (AFG) program office because officials in this office represent the first GMM users and, therefore, are more actively involved with the program\u2019s Agile development practices. Based on these factors, we selected: Public Assistance Division, Individual Assistance Division, AFG, and National Fire Academy. Additionally, the four selected grant program offices are responsible for 16 of the total 45 grant programs and are users of five of the nine primary legacy IT systems. The four selected grant program offices also represent about 68 percent of the total grant funding awarded by FEMA from fiscal years 2005 through 2016.", "We selected two regional offices based on (1) the largest amount of total FEMA grant funding for fiscal years 2005 through 2016\u2014Region 6 located in Denton, Texas; and (2) the highest percentage of AFG funding compared to the office\u2019s total grant funding awarded from fiscal years 2005 through 2016\u2014Region 5 located in Chicago, Illinois.", "To assess the reliability of data from the program\u2019s automated IT requirements management tool, we interviewed knowledgeable officials about the quality control procedures used by the program to assure accuracy and completeness of the data. We also compared the data to other relevant program documentation on GMM requirements. We determined that the data used were sufficiently reliable for the purpose of evaluating GMM\u2019s practices for managing IT requirements.", "For our second objective, to assess the reliability of GMM\u2019s estimated costs and schedule, we reviewed documentation on GMM\u2019s May 2017 lifecycle cost estimate and on the program\u2019s schedule, dated May 2018.", "To assess the reliability of the May 2017 lifecycle cost estimate, we evaluated documentation supporting the estimate, such as the cost estimating model, the report on GMM\u2019s Cost Estimating Baseline Document and Life Cycle Cost Estimate, and briefings provided to the Department of Homeland Security (DHS) and FEMA management regarding the cost estimate. We assessed the cost estimating methodologies, assumptions, and results against leading practices for developing a comprehensive, accurate, well-documented, and credible cost estimate, identified in GAO\u2019s Cost Estimating and Assessment Guide. We also interviewed program officials responsible for developing and reviewing the cost estimate to understand their methodology, data, and approach for developing the estimate. We found that the cost data were sufficiently reliable.", "To assess the reliability of the May 2018 GMM program schedule, we evaluated documentation supporting the schedule, such as the integrated master schedule, acquisition program baseline, and Agile artifacts. We assessed the schedule documentation against leading practices for developing a comprehensive, well-constructed, credible, and controlled schedule, identified in GAO\u2019s Schedule Assessment Guide. We also interviewed GMM program officials responsible for developing and managing the program schedule to understand their practices for creating and maintaining the schedule. We noted in our report the instances where the quality of the schedule data impacted the reliability of the program\u2019s schedule.", "For both the cost estimate and program schedule, we assessed each leading practice as: fully addressed\u2014FEMA provided complete evidence that showed it implemented the entire practice area; substantially addressed\u2014FEMA provided evidence that showed it implemented more than half of the practice area; partially addressed\u2014FEMA provided evidence that showed it implemented about half of the practice area; minimally addressed\u2014FEMA provided evidence that showed it implemented less than half of the practice area; not addressed\u2014FEMA did not provide evidence that showed it implemented any of the practice area.", "Finally, we provided FEMA with draft versions of our detailed analyses of the GMM cost estimate and schedule. This was done to verify that the information on which we based our findings was complete, accurate, and up-to-date.", "Regarding our third objective, to determine the extent to which FEMA is addressing key cybersecurity practices for GMM, we reviewed documentation regarding DHS and FEMA cybersecurity policies and guidance, and FEMA\u2019s authorization to operate for the program\u2019s engineering and test environment. We evaluated the documentation against all six cybersecurity practices identified in the National Institute of Standards and Technology\u2019s (NIST) Risk Management Framework. While NIST\u2019s Risk Management Framework identifies six total practices, for reporting purposes, we combined two interrelated practices\u2014selection of security controls and implementation of security controls\u2014into a single practice. The resulting five practices were: categorizing the system based on security risk, selecting and implementing security controls, assessing security controls, obtaining an authorization to operate the system, and monitoring security controls on an ongoing basis.", "We obtained and analyzed key artifacts supporting the program\u2019s efforts to address these risk management practices, including the program\u2019s System Security Plan, the Security Assessment Plan and Report, Authorization to Operate documentation, and the program\u2019s continuous monitoring documentation. We also interviewed officials from the GMM program office and FEMA\u2019s Office of the Chief Information Officer, such as the GMM Security Engineering Lead, GMM Information System Security Officer, and FEMA\u2019s Acting Chief Information Security Officer, regarding their efforts to assess, document, and review security controls for GMM. We assessed the evidence against the five practices to determine the extent to which the agency had addressed them. We then assessed each practice area as: fully addressed\u2014FEMA provided complete evidence that showed it fully implemented the practice area; partially addressed\u2014FEMA provided evidence that showed it partially implemented the practice area; not addressed\u2014FEMA did not provide evidence that showed it implemented any of the practice area.", "To assess the reliability of data from the program\u2019s automated security controls management tool, we interviewed knowledgeable officials about the quality control procedures used by the program to assure accuracy and completeness of the data. We also compared the data to other relevant program documentation on GMM security controls for the engineering and test environment. We found that some of the security controls data we examined were sufficiently reliable for the purpose of evaluating FEMA\u2019s cybersecurity practices for GMM, and we noted in our report the instances where the accuracy of the data impacted the program\u2019s ability to address key cybersecurity practices.", "We conducted this performance audit from December 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Federal Emergency Management Agency\u2019s Grant Programs", "paragraphs": ["The Federal Emergency Management Agency (FEMA) awards many different types of grants to state, local, and tribal governments and nongovernmental entities. These grants are to help communities prevent, prepare for, protect against, mitigate the effects of, respond to, and recover from disasters and terrorist attacks."], "subsections": []}, {"section_title": "Appendix III: Overview of Agile Software Development", "paragraphs": ["Agile software development is a type of incremental development that calls for the rapid delivery of software in small, short increments. The use of an incremental approach is consistent with the Office of Management and Budget\u2019s guidance as specified in its information technology (IT) Reform Plan, as well as the legislation commonly referred to as the Federal Information Technology Acquisition Reform Act.", "Many organizations, especially in the federal government, are accustomed to using a waterfall software development model, which typically consists of long, sequential phases, and differs significantly from the Agile development approach. Agile practices integrate planning, design, development, and testing into an iterative lifecycle to deliver software early and often. Figure 7 provides a depiction of software development using the Agile approach, as compared to a waterfall approach.", "The frequent iterations of Agile development are intended to effectively measure progress, reduce technical and programmatic risk, and respond to feedback from stakeholders in changes to IT requirements more quickly than traditional methods. Despite these intended benefits, organizations adopting Agile must overcome challenges in making significant changes to how they are accustomed to developing software.", "The significant differences between Agile and waterfall development impact how IT programs are planned, implemented, and monitored in terms of cost, schedule, and scope. For example, in waterfall development, significant effort is devoted upfront to document detailed plans and all IT requirements for the entire scope of work at the beginning of the program, and cost and schedule can be varied to complete that work.", "However, for Agile programs the precise details are unknown upfront, so initial planning of cost, scope, and timing would be conducted at a high level, and then supplemented with more specific plans for each iteration. While cost and schedule are set for each iteration, requirements for each iteration (or increment) can be variable as they are learned over time and revised to reflect experiences from completed iterations and to accommodate changing priorities of the end users. The differences in these two software development approaches are shown in figure 8.", "Looking at figure 8, the benefit provided from using traditional program management practices such as establishing a cost estimate or a robust schedule, is not obvious. However, unlike a theoretical environment, many government programs may not have the autonomy to manage completely flexible scope, as they must deliver certain minimal specifications with the cost and schedule provided. In those cases, it is vital for the team to understand and differentiate the IT requirements that are \u201cmust haves\u201d from the \u201cnice to haves\u201d early in the planning effort. This would help facilitate delivery of the \u201cmust-haves\u201d requirements first, thereby providing users with the greatest benefits as soon as possible."], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": [{"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following staff made key contributions to this report: Shannin G. O\u2019Neill (Assistant Director), Jeanne Sung (Analyst in Charge), Andrew Beggs, Rebecca Eyler, Kendrick Johnson, Thomas J. Johnson, Jason Lee, Jennifer Leotta, and Melissa Melvin."], "subsections": []}]}]}], "fastfact": ["FEMA awarded more than $22 billion in grants for four major disasters in 2017 alone. It manages these and other grants in numerous, disparate information technology systems that it has been attempting to modernize.", "We reviewed FEMA's Grants Management Modernization program. Among other things, we found", "The program's cost estimate in 2017 appeared to be sound but now must be updated", "Its schedule is not realistic", "It addressed some key cybersecurity practices but needs to improve how it assesses security controls and addresses known vulnerabilities", "We made 8 recommendations, including that FEMA improve its schedule."]} {"id": "GAO-19-31", "url": "https://www.gao.gov/products/GAO-19-31", "title": "Offshore Oil Spills: Restoration and Federal Research Efforts Continue, but Opportunities to Improve Coordination Remain", "published_date": "2019-01-03T00:00:00", "released_date": "2019-02-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Exxon Valdez and Deepwater Horizon oil spills are two of the largest offshore oil spills in U.S. history, causing long-lasting damage to marine and coastal resources. OPA includes provisions to prevent and respond to such oil spills by authorizing (1) federal-state trustee councils that manage billions of dollars from legal settlements and (2) an interagency committee to coordinate oil pollution research, among other things.", "GAO was asked to review the federal government's response, restoration, and research efforts after the Exxon Valdez and Deepwater Horizon oil spills. This report examines, among other things, (1) how the trustee councils have used the restoration trust funds and the status of restoration and (2) the interagency committee's coordination of oil spill research efforts.", "GAO reviewed the councils' plans for the funds and how they were used, federal funding of oil spill research by member agencies, and key laws. Also, GAO evaluated the coordination of such efforts against a leading collaboration practice. GAO interviewed members of the trustee councils and the interagency committee."]}, {"section_title": "What GAO Found", "paragraphs": ["The trustee councils, composed of federal and state members, have used portions of the restoration trust funds from the Exxon Valdez and Deepwater Horizon oil spill settlements to restore natural resources. From October 1992 to January 2018, the Exxon Valdez Oil Spill Trustee Council used about 86 percent of the fund's roughly $1 billion, primarily on habitat protection and restoration of damaged natural resources. According to the council, all but 5 of the 32 natural resources and human services identified as damaged by the spill have recovered or are recovering. The health of Pacific herring is one example of a resource that has not yet recovered. Further, the presence of lingering oil remains a concern almost 30 years after the spill. In May 2018, GAO accompanied trustee council researchers to the spill area and observed the excavation of three pits that revealed lingering oil roughly 6 inches below the surface of the beach, as captured in the photo below. The Deepwater Horizon Natural Resource Damage Assessment Trustee Council finalized a programmatic restoration plan in 2016; four trustee implementation groups have since issued initial restoration plans for designated restoration areas, and three anticipate issuing restoration plans in 2019 or later. From April 2012 to December 2017, the council used 13 percent of the at least $8.1 billion restoration trust fund, mostly on habitat protection, enhancing recreation, and marine wildlife and fishery restoration.", "The Oil Pollution Act of 1990 (OPA), which was enacted after the Exxon Valdez spill in 1989, established the Interagency Coordinating Committee on Oil Pollution Research (interagency committee) to coordinate oil pollution research among federal agencies and with relevant external entities, among other things. However according to the trustee council members that manage the restoration trust funds, the committee does not coordinate with the trustee councils and some were not aware that the interagency committee existed. The research of the member agencies could be relevant to the trustee councils' work on restoration. By coordinating directly with the trustee councils, the interagency committee could ensure better knowledge sharing between groups and leverage its member agencies' resources to inform and support the work of the councils."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends, among other things, that the interagency committee coordinate with the trustee councils to support their work and research needs. The agency agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["In March 1989, the supertanker Exxon Valdez ran aground in Alaska\u2019s Prince William Sound, spilling an estimated 11 million gallons of oil and contaminating about 1,500 miles of Alaska\u2019s south central coastline. At the time, this was the largest offshore oil spill in U.S. history. Enacted following the Exxon Valdez oil spill, the Oil Pollution Act of 1990 (OPA) included several provisions to prevent and respond to oil spills, such as requirements to assess damages to natural resources from oil discharges, including spills, and to develop and implement plans for restoration. Approximately 20 years later, in April 2010, an explosion on the BP America Production Company\u2019s (BP) leased Deepwater Horizon oil rig spilled over 200 million gallons of oil into the Gulf of Mexico, setting a new record as the largest oil spill in U.S. waters.", "OPA established a \u201cpolluter pays\u201d system, placing the primary burden of liability and costs of oil spills on the responsible party for the vessel or facility from which oil is discharged. Under this system, the responsible party assumes, up to a specified limit, the burden of paying for spill costs, including both removal costs (for cleaning up the spill) and damage claims (for restoring the environment and paying compensation to parties economically harmed by the spill). Above specified limits, a responsible party is no longer financially liable, although there are exceptions if, for example, the oil discharge is the result of gross negligence.", "Following initial response and cleanup efforts, restoration activities related to a significant offshore oil spill, such as those from Exxon Valdez or Deepwater Horizon, can endure for decades. Under OPA, federal, state, tribal, and foreign government officials may be designated to act on behalf of the public as trustees of natural resources. In the wake of both oil spills, federal and state trustees entered into legal settlements with responsible parties to resolve certain claims. In October 1992, the federal government and the state of Alaska created the Exxon Valdez Oil Spill Trustee Council (Exxon Valdez Trustee Council) to administer the $900 million civil settlement designated for cleanup costs, damage assessment, litigation, and restoration after the Exxon Valdez oil spill. In April 2016, the federal government and affected states established a memorandum of understanding that created the Deepwater Horizon Natural Resource Damage Assessment Trustee Council (Deepwater Horizon Trustee Council) to administer the eventual $8.8 billion restoration fund to address natural resource damages resulting from the Deepwater Horizon oil spill.", "OPA also established the Interagency Coordinating Committee on Oil Pollution Research (interagency committee) to coordinate a comprehensive program of oil pollution research, technology development, and demonstration among federal agencies in cooperation and coordination with external entities, such as industry, universities, research institutions, state governments, and other nations, as appropriate. Federal agencies of the interagency committee conduct and fund research projects related to preventing, preparing for, responding to, and restoring the environment after oil spills. Later in this report, we describe in more detail the extent of research funded by the interagency committee. In accordance with OPA, the chair of the interagency committee\u2014a representative of the U.S. Coast Guard (Coast Guard)\u2014 must submit a report to Congress every 2 years on its past and planned activities for oil pollution research. Under OPA, one of the interagency committee\u2019s responsibilities is to coordinate with federal agencies and external entities on an oil pollution research and development program that includes methods to restore and rehabilitate natural resources damaged by oil spills.", "In March 2011, we reported that the interagency committee had taken limited actions to foster communication and coordination among member agencies and nonfederal stakeholders. Among other things, we recommended that the Commandant of the Coast Guard direct the chair of the interagency committee, in coordination with member agencies, to provide a status update regarding the revisions of the committee\u2019s research plan and establish a more systematic process to identify and consult with key nonfederal stakeholders. The agency agreed with the recommendations, and the interagency committee implemented them by publishing an updated Oil Pollution Research and Technology Plan (research and technology plan) that includes a retrospective analysis of completed research as well as a forecast of new research needs. In addition, the interagency committee has employed several sources of information to better understand ongoing research needs and activities within industry, academia, and the government.", "To help inform offshore oil spill response efforts and decision making, government, industry, and academic scientists conduct research on the use and effect of various response techniques in different situations and environments, such as the icy waters of the Alaskan Arctic and the deep waters of the Gulf of Mexico. One such response technique used to manage the environmental impacts after the Deepwater Horizon oil spill was the application of chemical dispersants. In May 2012, we reported on the use of dispersants and recommended that the Commandant of the Coast Guard direct the chair of the interagency committee in coordination with member agencies to, among other things, identify information on key dispersant research in its research and technology plans and periodically update and disseminate this information in its biennial reports to Congress. We also recommended that the application of dispersants in subsurface and Arctic conditions be among the areas prioritized in future research. The member agencies generally concurred with our recommendations. In its research and technology plan for fiscal years 2015 through 2021, the interagency committee identified dispersants as one of the committee\u2019s standing research areas, specifically noting the use of dispersants in cold weather conditions and deep sea environments.", "You asked us to review issues related to the federal government\u2019s response, restoration, and research efforts following the Exxon Valdez and Deepwater Horizon oil spills. This report examines (1) how the Natural Resource Damage Assessment (NRDA) trustee councils have used the restoration trust funds from the Exxon Valdez and Deepwater Horizon oil spills and the status of the restoration efforts, (2) the status of the interagency committee\u2019s oil spill research efforts and how coordination of such efforts has changed since we last reported on them in March 2011, and (3) what literature suggests about the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico.", "To examine how the NRDA trustee councils used the restoration funds from the Exxon Valdez oil spill (from October 1992 to January 2018) and Deepwater Horizon oil spill (from April 2012 to December 2017) for restoration and the status of the restoration efforts, we obtained data from each trustee council on the amount of funds (1) ordered by the settlement for each restoration type; (2) authorized by the trustees for, but not yet spent on, restoration activities (authorizations); (3) spent on restoration activities (expenditures); and (4) not yet authorized for restoration activities (remaining balance) through calendar year 2017 for Deepwater Horizon and through January 31, 2018, for Exxon Valdez. We assessed the reliability of the financial data that the NRDA trustee councils provided by, among other things, reviewing the annual reports for each trustee council and interviewing knowledgeable council staff about the steps they took to maintain these data and determined that the data were sufficiently reliable for the purposes of our report. We also examined the approved restoration plans and, when available, annual reports on restoration activities, as well as reports and scientific studies that the trustee councils funded. We met with officials from the Exxon Valdez Trustee Council to discuss the distribution of settlement money for restoration purposes after the Exxon Valdez oil spill, and with officials from the Deepwater Horizon Trustee Council, the Gulf Coast Ecosystem Restoration Council (RESTORE Council), and the National Fish and Wildlife Foundation to discuss the distribution of settlement money for restoration purposes after the Deepwater Horizon oil spill. We also traveled to Alaska and the Gulf of Mexico to better understand the status of restoration.", "To examine the status of federal oil spill research efforts by the interagency committee and how coordination of such efforts has changed since we last reported on it in March 2011, we requested funding data and project information on oil spill research from all 15 member agencies of the interagency committee. We received data from the nine member agencies that reported funding oil spill research projects from fiscal years 2011 through 2017. These agencies provided data on agency expenditures on oil spill research and the research category of any projects funded. We assessed the reliability of these data by, among other things, reviewing related documentation and interviewing knowledgeable agency officials from the nine member agencies that provided data on the steps they took to maintain this information and determined that in most cases the data were sufficiently reliable for the purposes of our report.", "We also interviewed officials at each of the 15 member agencies and compared their coordination practices to one of our federal leading practices for interagency collaboration to evaluate the interagency committee\u2019s efforts to coordinate oil spill research. We chose to focus on the collaboration practice pertaining to participants. In addition, we reviewed the 2013 interagency committee charter, the committee\u2019s most recent biennial reports to Congress covering fiscal years 2008 through 2017, and the committee\u2019s third multi-year research and technology plan for fiscal years 2015 through 2021. We also attended two committee meetings and reviewed minutes of eight past meetings. We reviewed OPA\u2019s provisions that established and govern the interagency committee\u2019s coordination efforts and membership, as well as various related executive documents.", "To examine what literature suggests about the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico, we conducted a literature search for studies that analyzed and summarized the effectiveness of various oil spill response techniques in those regions. We identified existing literature from 1989 (the year of the Exxon Valdez oil spill) to March 2018 by conducting searches of various databases, such as Scopus and ProQuest. We chose to focus on three primary response techniques\u2014mechanical recovery, in-situ burning, and the use of dispersants\u2014used to clean up offshore oil spills. Our subject matter expert helped the team narrow the list of literature results and we relied on 16 studies and articles that we determined were relevant to our research objective. These studies and articles covered both regions and the three response techniques, but each study did not cover the entire range of these topics. For example, some of the studies were focused on one response technique in a specific region or environment. We supplemented the list of studies from these databases with information from our previous reports and those of the Congressional Research Service, the National Academies Press, the Environmental Protection Agency (EPA), the National Oceanic and Atmospheric Administration (NOAA), the Coast Guard, the American Academy of Microbiology, and the Arctic Oil Spill Response Joint Industry Program. For a complete list of the literature, see the bibliography. We shared our summary of the literature search findings with agency officials representing some of the interagency committee members and included their perspectives where relevant. We did not independently evaluate the effectiveness of these response techniques.", "For more details on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from July 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["OPA amended the Clean Water Act and established provisions expanding and consolidating the federal government\u2019s authority to prevent and respond to oil spills. This includes providing the federal government with the authority to perform cleanup immediately after a spill using federal resources, monitor the response efforts of the spiller, or direct the spiller\u2019s cleanup activities. OPA also established a \u201cpolluter pays\u201d system, placing the primary burden of liability and costs of oil spills on the responsible party for the vessel or facility from which oil is discharged. Under this system, the responsible party assumes, up to a specified limit, the burden of paying for spill costs, including both removal costs (for cleaning up the spill) and damage claims (for restoring the environment and paying compensation to parties economically harmed by the spill).", "OPA authorized the use of the Oil Spill Liability Trust Fund to fund up to $1 billion per spill incident for pollution removal costs and damages resulting from oil spills and mitigation of a substantial threat of an oil spill in navigable U.S. waters when a responsible party cannot or does not pay for the cleanup. After the Deepwater Horizon oil spill, the Resources and Ecosystems Sustainability, Tourist Opportunities, and Revived Economies of the Gulf Coast States Act of 2012 (RESTORE Act) established a new trust fund for programs, projects, and activities that restore and protect the environment and economy of the Gulf Coast region as well as the RESTORE Council, which is to summarize its activities for each calendar year\u2019s activities in an annual report to Congress.", "In addition, NOAA finalized regulations in 1996 for assessing natural resource damages resulting from a discharge or substantial threat of a discharge of oil. The NRDA regulations recognize that OPA provides for designating federal, state, and tribal officials as natural resource trustees and authorizes them to make claims against the parties responsible for the injuries23, 24 Under NRDA regulations, a trustee council\u2019s work usually occurs in three steps: (1) a pre-assessment phase, (2) the restoration planning phase, and (3) the restoration implementation phase. During the pre-assessment phase the trustees are to determine whether they have jurisdiction to pursue restoration. In the restoration planning phase the trustees are to evaluate information on potential injuries and use that information to determine the need for, type of, and scale of restoration. Finally, the restoration implementation phase describes the process for implementing restoration.", "The NRDA regulations define injury as an observable or measurable adverse change in a natural resource or impairment of a natural resource service. 15 C.F.R. 990.11. federal and state trustees entered into legal settlements with responsible parties to resolve certain claims. The Exxon Valdez Trustee Council is in the restoration implementation phase, while the Deepwater Horizon Trustee Council is in both the restoration planning and implementation phases. The National Oil and Hazardous Substances Pollution Contingency Plan, commonly known as the National Contingency Plan, contains the federal government\u2019s framework and operative requirements for preparing and responding to discharges of oil and releases of hazardous substances, pollutants, and contaminants. It establishes that federal oil spill response authority is determined by the location of the spill: the Coast Guard has response authority in the U.S. coastal zone, and EPA covers the inland zone. In addition, NOAA is to provide scientific analysis and consultation during oil spill response activities in the coastal zones."], "subsections": [{"section_title": "Exxon Valdez Oil Spill", "paragraphs": ["The Exxon Valdez oil spill in Alaska\u2019s Prince William Sound in 1989 contaminated portions of national wildlife refuges, national and state parks, a national forest, and a state game sanctuary\u2014killing or injuring thousands of sea birds, marine mammals, and fish and disrupting the ecosystem in its path. In October 1991, the U.S. District Court for the District of Alaska approved a civil settlement and criminal plea agreement among Exxon, the federal government, and the state of Alaska for recovery of natural resource damages resulting from the oil spill. Exxon agreed to pay $900 million in civil claims in 11 annual payments and $125 million to resolve various criminal charges.", "In August 1991, the federal government and the state of Alaska signed a memorandum of agreement and consent decree to act as co-trustees in collecting and using natural resource damage payments from the spill. The 1991 memorandum states that all decisions related to injury assessment, restoration activities, or other use of the natural resource damage payments are to be made by unanimous agreement of the trustees. According to the memorandum, the trustees are to use the natural resource damage payments to restore, replace, rehabilitate, enhance, or acquire the equivalent of the natural resources injured as a result of the oil spill and the reduced or lost services provided by such resources. The memorandum also recognized that EPA was designated to coordinate restoration activities on behalf of the federal government. In 1992, the trustees established the Exxon Valdez Trustee Council to ensure coordination and cooperation in restoring the natural resources injured, lost, or destroyed by the spill.", "In 1994, the Exxon Valdez Trustee Council prepared a restoration plan for use of the funds, which consisted of five categories: (1) general restoration; (2) habitat protection and acquisition; (3) monitoring and research; (4) restoration reserve; and (5) public information, science management, and administration. The restoration plan noted that in addition to restoring natural resources, funds may be used to restore reduced or lost services (including human uses) from injured natural resources, which includes subsistence, commercial fishing, recreation, and tourism services. The Exxon Valdez Trustee Council is advised by members of the public and a panel of scientists, and its Executive Director manages the day-to-day administrative functions. The Exxon Valdez Trustee Council has published documents that are on the council\u2019s public website, such as the Injured Resources and Services list (current as of 2014), lingering oil updates (current as of 2016), annual reports (current as of 2018), and annual project work plans (current as of 2018)."], "subsections": []}, {"section_title": "Deepwater Horizon Oil Spill", "paragraphs": ["The Deepwater Horizon oil spill in the Gulf of Mexico in 2010 resulted in the tragic loss of 11 lives and a devastating environmental impact and affected the livelihoods of thousands of Gulf Coast citizens and businesses. In April 2016, BP, the federal government, and the five Gulf Coast states agreed to a settlement resolving multiple claims for federal civil penalties and natural resource damages related to the spill totaling up to $14.9 billion. Under the terms of the consent decree for the settlement, BP must pay up to $8.8 billion in natural resource damages under OPA, which includes $1 billion BP previously committed to pay for early restoration projects, and up to $700 million to address injuries that were unknown to the trustees as of July 2, 2015, including for any associated Natural Resource Damage assessment and planning activities, or to adapt, enhance, supplement, or replace restoration projects or approaches that the trustees initially selected. BP is to make these payments into the Deepwater Horizon Oil Spill Natural Resource Damages Fund managed by the Department of the Interior (Interior), to be used jointly by the federal and state trustees of the Deepwater Horizon Trustee Council for restoration of injured or lost natural resources.", "Two additional, separate restoration funds are to receive money from the BP civil and criminal penalties: (1) the Gulf Coast Restoration Trust Fund established under the RESTORE Act is to receive 80 percent of the $5.5 billion Clean Water Act civil penalty paid by BP to support environmental restoration and economic recovery projects in the Gulf Coast region and (2) the Gulf Environmental Benefit Fund managed by the nonprofit National Fish and Wildlife Foundation is to receive $2.394 billion in criminal penalties. For more information on the amount and distribution of the BP civil and criminal payments, see figure 1.", "Prior to reaching the settlement in 2016, BP signed an agreement in April 2011 to provide $1 billion toward early restoration projects in the Gulf of Mexico to address injuries to natural resources caused by the spill. Early restoration projects may be developed prior to the completion of the injury assessment, which can take months or years to complete. Payments by BP for early restoration projects are counted towards its liability for the $8.8 billion in natural resource damages resulting from the spill.", "The designated trustees are to administer these payments for natural resources, according to OPA. The designated trustees include federal officials from Interior, NOAA, the U.S. Department of Agriculture, and EPA, as well as state officials from the five Gulf States that were affected by the spill\u2014Alabama, Florida, Louisiana, Mississippi, and Texas. In February 2016, the Deepwater Horizon Trustee Council finalized the Programmatic Damage Assessment and Restoration Plan (programmatic restoration plan) that provided the council\u2019s injury assessment and proposed a framework for identifying and developing project-specific restoration plans. The five goals of the programmatic restoration plan are to (1) restore and conserve habitat; (2) restore water quality; (3) replenish and protect living coastal and marine resources; (4) provide and enhance recreational opportunities; and (5) provide for monitoring, adaptive management, and administrative oversight to support restoration implementation. According to the 2016 programmatic restoration plan, the Deepwater Horizon Trustee Council is to coordinate with other Deepwater Horizon restoration programs, such as those funded by the RESTORE Act, the National Fish and Wildlife Foundation, and other entities.", "The 2016 programmatic restoration plan established Trustee Implementation Groups for each of the seven designated restoration areas\u2014one for each of the five Gulf States, the Region-Wide implementation group, and the Open Ocean implementation group. Each trustee implementation group is to plan, decide on, and implement restoration activities, including monitoring and adaptive management, for the funding that the consent decree allocated to its restoration area. Federal trustees serve in all the trustee implementation groups, and state trustees serve on the Region-Wide implementation group and the trustee implementation groups for their states; decisions are to be made by consensus. The Deepwater Horizon Trustee Council is to coordinate the work of the trustee implementation groups by establishing standard procedures and practices to ensure consistency in developing and implementing restoration activities."], "subsections": []}, {"section_title": "Interagency Coordinating Committee on Oil Pollution Research", "paragraphs": ["OPA created the interagency committee to provide a comprehensive, coordinated federal oil pollution research program and promote cooperation with industry, universities, research institutions, state governments, and other nations through information sharing, coordinated planning, and joint funding of projects. It also designated member agencies and authorized the President to designate other federal agencies as members of the interagency committee. As of November 2018, the interagency committee consisted of 15 federal members representing independent agencies, departments, and department components. OPA directs that a representative from the Coast Guard serve as the chair, and the interagency committee charter designates that a representative from NOAA, EPA, or the Bureau of Safety and Environmental Enforcement (BSEE) serve as the vice-chair and that the committee\u2019s Executive Director provide staff support. The interagency committee\u2019s charter notes that it shall meet at least semi-annually or at the decision of the chair. According to OPA, the chair\u2019s duties include reporting biennially to Congress on the interagency committee\u2019s activities related to oil pollution research, development, and demonstration programs. OPA also required the interagency committee to prepare and submit a research and technology plan, which has been updated periodically.", "In September 2015, the interagency committee released the research and technology plan for fiscal years 2015 through 2021. This research and technology plan updates the interagency committee\u2019s 1992 plan, revised in 1997, and provides a new baseline of the nation\u2019s oil pollution research needs. The plan is primarily directed at federal agencies with responsibilities for conducting or funding such research, but it can also serve as a research planning guide for nonfederal stakeholders such as, industry, academia, state governments, research institutions, and other nations, according to interagency committee documents. The 2015 research and technology plan established a common language and planning framework to enable researchers and interested parties to identify and track research in four classes or categories that represent general groupings of oil spill research:", "Prevention: Research that supports developing practices and technologies designed to predict, reduce, or eliminate the likelihood of discharges or minimize the volume of oil discharges into the environment.", "Preparedness: Research that supports the activities, programs, and systems developed prior to an oil spill to improve the planning, decision-making, and management processes needed for responding to and recovering from oil spills.", "Response: Research that supports techniques and technologies that address the immediate and short-term effects of an oil spill and encompasses all activities involved in containing, cleaning up, treating, and disposing of oil to (1) maintain the safety of human life, (2) stabilize a situation to preclude further damage, and (3) minimize adverse environmental and socioeconomic effects.", "Injury assessment and restoration: Research that involves collecting and analyzing information to (1) evaluate the nature and extent of environmental, human health, and socioeconomic injuries resulting from an incident; (2) determine the actions needed to restore natural resources and their services to pre-spill conditions; and (3) make the environment and public whole after interim losses."], "subsections": []}]}, {"section_title": "Trustee Councils Use Restoration Trust Funds for Approved Activities, Which Are Largely Completed for Exxon Valdez and in the Early Stages for Deepwater Horizon", "paragraphs": ["In response to the Exxon Valdez and Deepwater Horizon oil spills and by forming trustee councils, federal and state trustees have used the restoration trust funds to authorize money for activities in accordance with approved restoration plans. The Exxon Valdez Trustee Council has largely completed restoration work and authorized approximately $985 million, roughly 86 percent of the restoration trust fund, primarily on habitat protection and general restoration, research, and monitoring activities. As a result of these restoration activities and natural recovery, the majority of the injured natural resources and human services in the spill area has recovered or is recovering, according to the council\u2019s assessment. However, the Exxon Valdez Trustee Council continues to monitor the lack of recovery of Pacific herring and the presence of lingering oil in the spill area. The Deepwater Horizon Trustee Council is completing early restoration work and initial post-settlement restoration planning. It has authorized approximately $1.1 billion for restoration activities, roughly 13 percent of the restoration trust fund, and spent $368 million, roughly 5 percent of the restoration trust fund, primarily on habitat protection and enhancing recreation, such as building boat ramps and other recreational facilities."], "subsections": [{"section_title": "The Exxon Valdez Trustee Council Has Used 86 Percent of the Restoration Trust Fund, and Most Injured Natural Resources Have Recovered", "paragraphs": ["Exxon\u2019s payments to the restoration trust fund totaled approximately $900 million, and the interest earnings, as of January 2016, totaled $247 million. From 1992 to 2018, the Exxon Valdez Trustee Council authorized the expenditure of approximately $985 million or 86 percent of the roughly $1.15 billion in principal funds plus interest from the restoration trust fund, primarily on habitat protection ($445 million) and general restoration, research, and monitoring of injured natural resources ($234 million). The remaining unspent restoration trust fund balance as of January 2018 was $210 million, split evenly between the habitat investment subaccount for future habitat protection activities and the research investment subaccount for future general restoration activities (see fig. 2).", "According to the Exxon Valdez Trustee Council, as of January 2018, it had spent approximately $445 million to protect and enhance habitat, including acquiring 628,000 acres of lands and interest in lands. As outlined in the trustee council\u2019s 1994 restoration plan, the habitat program is intended to minimize further injury to resources and services and allow recovery to continue with the least interference by authorizing funds for federal and state resource agencies to acquire title or conservation easements on ecologically valuable lands. For example, in 2017 the Exxon Valdez Trustee Council authorized about $5.5 million to acquire a conservation easement on 1,060 acres at the northeastern end of Kodiak Island in the Gulf of Alaska, known as Termination Point. The trustee council authorized funds for this acquisition to (1) protect the property from timber logging and development and (2) provide habitat and feeding areas for marine birds injured by the spill, such as marbled murrelets and pigeon guillemots. According to the Exxon Valdez Trustee Council, habitat acquisitions prevent additional injury to species during recovery, promote restoration of spill-affected resources and services, and are the primary tool for acquiring equivalent resources harmed by the spill. The habitat program also supports habitat enhancement projects, which, according to the Exxon Valdez Trustee Council, aim to repair human- caused harm to natural resources, their habitats, and the services they provide to humans. For example, the trustee council authorized $2.2 million to the Alaska Department of Natural Resources to stabilize stream bank vegetation and install elevated steel walkways to provide less- damaging access to the Kenai River, a popular fishing destination.", "The Exxon Valdez Trustee Council has spent roughly $234 million from October 1992 to January 2018 on hundreds of general restoration, monitoring, and research activities. As outlined in the 1994 restoration plan, general restoration includes activities that manipulate the environment, manage human use, and reduce marine pollution. Research and monitoring activities also provide information on the status and condition of resources and services, including (1) whether they are recovering, (2) whether restoration activities are successful, and (3) factors that may be constraining recovery, according to the 1994 plan. For example, since 2012, the trustee council has authorized money for a program called Gulf Watch Alaska that provides long-term monitoring data on the status of environmental conditions\u2014such as waters temperature and salinity\u2014and the marine and nearshore ecosystems. Gulf Watch Alaska provides data to federal, state, and tribal agencies, as well as the public, that informs resource conservation programs and aid in the management of species injured by the spill. According to the trustee council, its expenditures for research projects have resulted in hundreds of peer-reviewed scientific studies and increased knowledge about the marine environment that benefits the injured resources.", "The Exxon Valdez Trustee Council has spent roughly $89 million from October 1992 to January 2018 on administration, science management, and public information. According to the 1994 restoration plan, expenditures under this category cover the cost to (1) prepare work plans, (2) negotiate habitat purchases, (3) provide independent scientific review, (4) involve the public, and (5) operate the restoration program. Although the Exxon Valdez Trustee Council set a target of 5 percent administrative costs in the 1994 restoration plan, according to a written statement that the trustee council provided, administrative costs averaged around 6 percent from 1994 through 2001. The trustees and council staff we interviewed told us that in hindsight the 5 percent target was unrealistic as it did not reflect the actual administrative costs at that time, although such costs were included in project budgets or were absorbed by federal and state agencies. Therefore, in 2012, the Exxon Valdez Trustee Council changed the way it accounted for administrative costs and has included these costs in the administrative budget. According to the trustee council, under the new accounting policy, administrative costs were recalculated and estimated at around 19 percent for the period 2002 through 2018.", "The remaining $210 million Exxon Valdez restoration trust fund balance is held by the Alaska Department of Revenue in two interest-bearing subaccounts. As of January 2018, the research subaccount and the habitat subaccount each held approximately $105 million. In the 1994 restoration plan, the Exxon Valdez Trustee Council established the need for a restoration reserve to ensure that restoration activities could continue to be supported after the final annual payments from the Exxon Corporation were received in September 2001. According to the 1994 restoration plan, the trustee council planned to set aside $12 million per year for a period of 9 years into the restoration reserve, totaling $108 million plus interest. In 1999, the Exxon Valdez Trustee Council resolved to transfer the estimated remaining balance of $170 million to the restoration reserve and split the money into two subaccounts. Since 2002, the trustee council is to make allocations for its annual work plans and ongoing habitat acquisition using these accounts.", "In 2010, the trustee council established a 20-year strategic plan to spend the remaining trust funds using four 5-year incremental work plans. In November 2010, the trustee council issued a call for project proposals for the first 5-year work plan, for fiscal years 2012 through 2016. Although the Exxon Valdez Trustee Council solicited invitations on a 5-year cycle, it has authorized money for each project annually. In a written statement, the trustee council also stated that it continues to pursue and acquire from willing sellers remaining parcels of land that prior studies have identified as high-priority habitat. According to the Exxon Valdez Trustee Council\u2019s long-term spending scenario, both of the subaccounts are expected to be depleted by 2032 or earlier as determined by the market\u2019s performance."], "subsections": [{"section_title": "The Status of Restoration Efforts", "paragraphs": ["According to the Exxon Valdez Trustee Council\u2019s 2014 restoration plan update\u2014its most recent assessment of injured resources and services\u2014 all but 5 of the 32 natural resources and human services identified as injured by the spill have recovered, are recovering, or are very likely recovered. In the 1994 restoration plan, the trustee council established a list of resources and services that suffered injuries from the spill, and developed specific, measurable recovery objectives for each injured resource and service. The Exxon Valdez Trustee Council has periodically assessed the status of those resources, most recently in 2014. As of the 2014 assessment, the following 4 resources were listed as not recovering: (1) marbled murrelets, (2) Pacific herring, (3) pigeon guillemots, and (4) one group of killer whales. In addition, the recovery of Kittlitz\u2019s murrelets was listed as unknown. According to the Exxon Valdez Trustee Council, the status of these resources in 2018 is largely similar to their status in 2014 except that one population of pigeon guillemots has likely increased as a result of a predator-control project that the council supported. However, the overall status of this species has not been determined. In a written statement, the trustees stated that the trustee council plans to initiate its next assessment of injured resources in late 2018.", "The Exxon Valdez Trustee Council remains particularly concerned about the health of the Pacific herring population and the presence of lingering oil. According to the trustee council\u2019s 2014 restoration plan update, Pacific herring are considered an ecologically and commercially important species that in addition to being fished for human consumption is a source of food for various marine species. The assessment noted a combination of factors, including disease, predation, and poor recruitment of additional fish to the stock through growth or migration, appear to have contributed to the continued suppression of herring populations. As a result, the herring fishery has been closed for 23 of the 29 years since the oil spill and has not met the trustee council\u2019s recovery objective. To address concerns regarding the Pacific herring, the trustee council plans to authorize additional money for ongoing Pacific herring research and monitoring through the anticipated end date for the fund in fiscal year 2032, for an estimated total cost of roughly $23 million over 20 years.", "The Exxon Valdez Trustee Council also has concerns regarding the presence of lingering oil in the spill area. According to a March 2016 report for the trustee council, approximately 27,000 gallons of lightly weathered oil from the Exxon Valdez spill remains, located along almost 22 miles of shoreline at a small number of subsurface sites, where oxygen and nutrients are at levels too low to support microbial degradation. In May 2018, we accompanied researchers working with the trustee council to the spill area and observed the excavation of three pits that revealed lingering oil roughly 6 inches below the surface of the beach, as captured in figure 3. According to the researchers, oil previously recovered from this location was identified as belonging to the Exxon Valdez oil spill. Evidence of exposure to lingering oil was observed as recently as 2009 in a variety of marine species, including sea otters and harlequin ducks, according to the 2016 lingering oil report. The report also noted that the most recent studies show that the sea otter and harlequin duck populations have recovered and that lingering oil is no longer causing ecological damage. Further, studies demonstrated that minimally intrusive remediation of the oil would only be effective at a small number of sites, according to the 2016 report. Therefore, although the trustee council has decided not to pursue remediation of the oil, it stated that it has authorized money for projects to study the effects of oil and lingering oil totaling over $16 million and will continue to monitor the oil to document its physical and chemical changes over time. The Exxon Valdez Trustee Council expects that lingering oil will persist for decades; however, its representatives said that the evidence indicates that there are no current biological effects of the oil.", "The Exxon Valdez Trustee Council\u2019s priorities for future spending are outlined in the 2014 restoration plan update, and in addition to long-term herring research and lingering oil, the priorities include long-term monitoring of marine conditions and injured resources, shorter-term harbor restoration projects, and habitat protection."], "subsections": []}]}, {"section_title": "The Deepwater Horizon Trustee Council Has Used 13 Percent of the Restoration Trust Fund, and Most Restoration Activities Are in the Initial Planning Phase", "paragraphs": ["Since the federal and state governments reached a final settlement with BP in 2016 and the Deepwater Horizon Trustee Council finalized a programmatic restoration plan, four trustee implementation groups have issued initial independent restoration plans. Specifically, the Alabama, Louisiana, Mississippi, and Texas trustee implementation groups have issued initial restoration plans. According to the Deepwater Horizon Trustee Council, the trustee implementation groups covering Florida, Open Ocean, and Region-Wide restoration are in the midst of a multiyear planning effort and anticipate issuing initial restoration plans in 2019 or later. The trustee implementation groups are responsible for developing and approving restoration plans and resolutions, which, when approved, authorize money to be spent on restoration projects. This process includes soliciting project ideas, submitting proposed plans for public comment, and ensuring compliance with applicable laws and regulations, such as the National Environmental Policy Act. According to the trustee council, there is no specific timetable for approving future restoration plans, as plans are approved on an ongoing basis\u2014typically for several projects at a time. The four completed restoration plans, together with early restoration spending and other activities, including planning and administrative efforts, account for all authorizations made by the Deepwater Horizon Trustee Council as of December 31, 2017, according to NOAA\u2014the agency that manages the system the trustee councils uses for financial reporting. As shown in figure 4, these authorizations include approximately $1.1 billion, or 13 percent, of the $8.1 billion restoration trust fund on five goals.", "The Deepwater Horizon Trustee Council has authorized roughly $460 million for habitat protection\u2014about 10 percent of the almost $4.7 billion ordered for this use by the settlement. According to the 2016 programmatic restoration plan, habitat protection includes both conservation acquisition and habitat enhancement, such as creating, restoring, or enhancing coastal wetlands. For example, during the first phase of early restoration in 2012, the trustee council authorized $14.4 million to the Louisiana Coastal Protection and Restoration Authority to create 104 acres of new brackish marsh at Lake Hermitage in Barataria Bay, Louisiana. The project involved dredging sediment and planting native marsh vegetation to restore marsh habitat damaged by the spill. The project is currently in the monitoring phase. As of the end of 2017, the Deepwater Horizon Trustee Council had approved 34 habitat protection projects, many of which were still in progress as of December 2017. The initial results of these projects include the restoration of over 4,000 acres of habitat and the creation of over 40 artificial reefs, according to a written statement by the federal trustees.", "The trustee council has authorized roughly $349 million to enhance recreational use\u2014about 83 percent of the almost $420 million ordered for this use by the settlement. According to the 2016 programmatic restoration plan, enhancing recreational use includes acquiring land along the coast, building improved or new infrastructure, and improving navigation for on-water recreation. For example, during the first phase of early restoration in 2012, the Deepwater Horizon Trustee Council authorized approximately $5.3 million to the Florida Department of Environmental Protection to repair and construct boat ramps in Pensacola Bay and Perdido Bay, Florida. Construction was completed in 2016, and the project is currently in the monitoring and operations and maintenance phase. As of the end of 2017, the Deepwater Horizon Trustee Council had approved 43 projects to enhance recreational use, many of which were still in progress as of December 2017. These projects have provided new or enhanced facilities, such as pavilions, picnic areas, and boat ramps, according to a written statement by the federal trustees.", "The Deepwater Horizon Trustee Council has authorized roughly $218 million to restore coastal and marine wildlife\u2014about 12 percent of the almost $1.8 billion ordered for this use by the settlement, primarily for birds ($108 million), sea turtles ($50 million), oysters ($38 million), and fish ($20 million). According to the 2016 programmatic restoration plan, restoring coastal and marine wildlife includes activities that restore the resources, such as fish, sea turtles, and deep coral communities, which contribute to a productive, biologically diverse, and resilient ecosystem. For example, during the first phase of early restoration in 2012, the trustee council authorized $11 million to the Mississippi Department of Environmental Quality to deploy a mixture of oyster shells, limestone, and concrete on 1,430 acres in waters off Hancock and Harrison Counties in Mississippi. This material, when placed in oyster spawning areas, provides a surface for free swimming oyster larvae to attach and grow into oysters. The project is currently in the monitoring and operations and maintenance phase. As of the end of 2017, the Deepwater Horizon Trustee Council had approved 32 projects to restore coastal and marine wildlife.", "Although the trustee council authorized millions of dollars to restore coastal and marine wildlife, it authorized 1 percent or less of funds ordered by the settlement for sturgeon, marine mammals, submerged aquatic vegetation, and other seafloor species\u2014such as corals. According to the 2016 consent decree, the Open Ocean implementation group is responsible for authorizing the majority of the restoration funds for these types of wildlife, but that trustee implementation group has not yet completed its initial restoration plan. According to NOAA, the complexity of restoring several of these resources necessitated additional preplanning and restoration technique development prior to considering specific restoration projects for several of these types of wildlife. The trustee implementation group is developing two restoration plans that will include projects for birds and sturgeon, as well as for sea turtles, fish, marine mammals, and corals, according to a Deepwater Horizon Trustee Council press release. The trustee council released the first draft plan for public comment in October 2018, and plans to release the second plan in early 2019. In August 2017, the Deepwater Horizon Trustee Council announced that the Louisiana implementation group was soliciting project ideas to fund the restoration of submerged aquatic vegetation, among other types, to include in a future restoration plan but has not yet submitted such a plan for public review.", "Roughly $27 million has been authorized for administrative oversight and monitoring activities, or about 3 percent of the almost $810 million that the settlement ordered for this use. The majority of the funding ($25 million) was for administrative oversight activities, and the balance was for monitoring. According to the 2016 programmatic restoration plan, administrative oversight includes the costs for trustees to guide project selection, implementation, and adaptive management. For the state trustees, all administrative costs are covered by their respective trustee implementation groups, and for federal trustees, all administrative costs are covered by the Open Ocean implementation group. For example, during the postsettlement phase, the trustee council authorized approximately $6.6 million to Interior for (1) participation on the trustee council; (2) restoration planning, plan development, and coordination with other trustees; (3) environmental compliance reviews; (4) technical assistance; and (5) financial management, among other uses. As of the end of 2017, the Deepwater Horizon Trustee Council had approved nine administrative oversight and monitoring projects, which remained ongoing as of December 31, 2017. The results of the trustee council\u2019s activities in this area so far include the completion of a monitoring and adaptive management manual and its standard operating procedures.", "The Deepwater Horizon Trustee Council has authorized $4 million to restore water quality\u2014about 1 percent of the $410 million that the settlement ordered for this use. According to the 2016 programmatic restoration plan, restoring water quality includes both reducing nonpoint nutrient pollution to coastal watersheds and improving water quality in Florida through efforts such as stormwater control and erosion control. As of the end of 2017, the Deepwater Horizon Trustee Council approved two nonpoint nutrient reduction projects to address excessive nutrient loads in Gulf waters but no water quality projects in Florida. For example, in 2017, the Deepwater Horizon Trustee Council authorized approximately $224,000 to conduct restoration planning to develop, draft, and finalize a restoration plan addressing nonpoint nutrient reduction, among other goals. The trustee council has authorized few funds to date for this restoration goal because, in part, the Florida implementation group has not yet completed its first postsettlement restoration plan. In September 2017, the trustee council announced that the Florida implementation group was reviewing water quality project ideas for its initial restoration plan, and it released a draft of the plan for public comment in September 2018. According to the Deepwater Horizon Trustee Council, the final plan will be released in January 2019."], "subsections": []}]}, {"section_title": "Interagency Committee Members Funded Oil Spill Research Projects from Fiscal Years 2011 through 2017, but the Committee Did Not Coordinate with All Relevant Entities", "paragraphs": ["Nine of the interagency committee member agencies funded over 100 oil spill research projects per year from fiscal years 2011 through 2017, for a total cost of about $200 million; however, we found that the interagency committee did not coordinate its research with some key entities. More specifically, approximately half of the interagency committee members said internal coordination on such research improved during this time, but the committee may not have included all relevant agencies, and we found that the committee did not coordinate with relevant trustee councils."], "subsections": [{"section_title": "Nine Member Agencies Funded over 100 Oil Spill Research Projects per Year for a Cost of About $200 Million from Fiscal Years 2011 through 2017", "paragraphs": ["During fiscal years 2011 through 2017, 9 of the 15 interagency committee member agencies funded oil spill research projects, spending about $200 million on this research, based on our review of agency data from the member agencies. These nine agencies were the Bureau of Ocean Energy Management, BSEE, the Coast Guard, the Department of Energy, EPA, NASA, NOAA, the Pipeline and Hazardous Materials Safety Administration, and the U.S. Arctic Research Commission. One of these agencies\u2014BSEE\u2014spent about $84 million, or about 40 percent of the total amount spent by all nine agencies (see table 1).", "In March 2011 we reported that during fiscal years 2000 through 2010, seven interagency committee member agencies spent about $163 million on oil pollution research, according to officials from those agencies. Since we last reported on the interagency committee, three additional agencies told us that they also fund oil spill research\u2014the Department of Energy, BSEE, and the U.S. Arctic Research Commission\u2014while the U.S. Navy told us that it no longer funds oil spill research projects.", "According to agency officials, the nine interagency committee member agencies funded from 100 to 200 research projects annually from fiscal years 2011 through 2017. These nine agencies reported funding research projects in one or more of the interagency committee\u2019s four oil spill research categories: prevention, preparedness, response, and injury assessment and restoration (see table 2)."], "subsections": []}, {"section_title": "The Interagency Committee Improved Internal Research Coordination Efforts but May Not Have Included All Relevant Agencies and Did Not Include the NRDA Trustee Councils", "paragraphs": ["We reported in March 2011 that federal agencies conducted oil pollution research but that the interagency committee had taken limited actions to foster the communication and coordination of this research among member agencies and nonfederal stakeholders. More specifically, we noted that member agencies were not consistently represented on the interagency committee and interested nonfederal stakeholders reported limited contact with the interagency committee. We recommended, among other things, that the Commandant of the Coast Guard direct the chair of the interagency committee, in coordination with member agencies, establish a more systematic process to identify and consult with key nonfederal stakeholders.", "Officials from 8 of the 15 member agencies said they believe that the interagency committee\u2019s coordination efforts have improved since the Deepwater Horizon oil spill in 2010. In response to our recommendation on coordination with nonfederal stakeholders, we found that members consistently attend major oil spill conferences and workshops. In addition, we observed that the interagency committee invites outside speakers and researchers to its meetings to update the membership on ongoing research activities in academia, industry, and the government. The committee charter calls for meetings at least semiannually, but since fiscal year 2011 the interagency committee has held quarterly meetings with member agencies as well as meetings with outside groups of knowledgeable stakeholders.", "At the meetings, member agencies have the opportunity to present information on oil spill research they are conducting, share information about upcoming research conferences, and listen to presentations by outside groups. According to member agency officials, some of the benefits of the interagency committee\u2019s improved coordination efforts include a reduction in research redundancies, increased understanding of the broader oil spill research community, the facilitation of relationships, the identification of research gaps, and the ability to leverage resources.", "U.S. Navy officials said that the interagency committee facilitated communication between member agencies that use the Navy\u2019s equipment for research purposes. As a result of discussions that took place at an interagency meeting, the Navy offered the use of a hydraulic power unit to the Coast Guard for hydraulic testing in Arctic conditions in Alaska. Officials from a few of the member agencies, including the Coast Guard, BSEE, EPA, and NOAA, told us that they collaborate on oil spill- related research efforts with other member agencies of the interagency committee.", "In addition, the release of the 2015-2021 research and technology plan provides a new baseline for research, including 150 priority oil pollution research needs within 25 research areas. According to the research and technology plan, future updates will reflect advancements in oil pollution technology and changing research needs by capitalizing on the unique roles and responsibilities of each member agency. According to officials from one member agency, the revised research and technology plan has helped member agencies coordinate with other member agencies to leverage funding and expertise. Member agencies also cooperate with nonfederal research entities on research needs and activities.", "The interagency committee has demonstrated key practices that strengthen coordination, such as agreeing on common terminology and priorities for oil spill research in its revised research and technology plan. However, the committee could enhance coordination by ensuring that relevant participants have been included\u2014another key practice. Under OPA, certain federal agencies are members of the interagency committee, but member agencies may choose which office or official represents them at meetings and coordinates with other members on committee-related work. Officials from 6 of the 15 member agencies told us that their particular research efforts are not the focus of ICCOPR meetings, and therefore ICCOPR\u2019s ability to coordinate their research efforts are less valuable. For example, NASA officials said the office representing their agency at meetings is not involved in oil spill research, but other offices within their agency fund or conduct relevant research.", "In addition, 7 of the 15 officials we interviewed from member agencies suggested that other federal agencies could be relevant to the committee\u2019s research efforts. For example, officials we interviewed from several member agencies suggested including the U.S. Geological Survey (USGS) as a full member because of its relevant research and mapping expertise. According to committee documents, the interagency committee considered adding USGS in 2015 but has not made a decision on USGS\u2019s membership. The Commandant of the Coast Guard, under his or her capacity as chair of the interagency committee, has been delegated authority to appoint additional agencies to the committee as appropriate.", "A leading practice for collaboration calls for interagency groups to ensure that all relevant participants have been included in collaborative efforts. According to this leading practice, participants should have the appropriate knowledge, skills, and abilities to contribute to the outcomes of the collaborative effort.", "However, interagency committee member agency officials said the committee has not systematically reviewed its membership to determine which offices within current member agencies are the most relevant to its mission and whether adding other federal agencies as members would be beneficial. By systematically reviewing its membership to determine whether any additional agencies should be involved in coordinating oil spill research and that the most appropriate offices within member agencies are represented, the interagency committee could improve its ability to coordinate research among federal agencies.", "In addition, agency officials knowledgeable about the work of the NRDA trustee councils are not the same officials representing their agency as members on the interagency committee. The research and technology plan notes that the interagency committee\u2019s injury assessment and restoration research is intended to support the NRDA process. However, the NRDA trustees who manage the restoration funds for the Exxon Valdez and Deepwater Horizon oil spills told us that they have not coordinated or communicated on oil spill research or restoration efforts with the interagency committee; therefore, they would not have been involved with developing the research and technology plan. In addition, some trustee council members told us that they were not even aware that the interagency committee existed.", "Under OPA, one of the interagency committee\u2019s responsibilities is to coordinate with federal agencies and external entities on an oil pollution research program that includes methods to restore and rehabilitate natural resources damaged by oil spills. As previously discussed, the NRDA trustee councils are charged with assessing natural resource damages for the natural resources under their trusteeship and developing and implementing plans for restoration efforts. The research that the interagency committee members fund includes research on restoration that could be pertinent to the work of the NRDA trustee councils. For example, following the oil spill in 2010, the Deepwater Horizon Trustee Council evaluated baseline conditions for several different representative species, such as sea turtles and Gulf sturgeon, to quantify the extent of injury as part of the restoration planning process that OPA regulations required. Some interagency committee member agencies, such as NOAA and BOEM, fund research on baseline data that could inform the NRDA trustee councils\u2019 injury assessment work. In turn, the NRDA trustee councils\u2019 work could also inform the interagency committee\u2019s coordination of future oil spill research by, for example, identifying gaps in research as identified and prioritized in updates to the research and technology plan. By coordinating with the NRDA trustee councils, the interagency committee could ensure that its research informs and supports the councils\u2019 damage assessment and restoration efforts and better leverages members\u2019 resources."], "subsections": []}]}, {"section_title": "Literature Suggests the Effectiveness of Offshore Oil Spill Response Techniques Varies Based on Regional Environmental Differences and Other Factors", "paragraphs": ["According to the literature we reviewed, environmental differences between the Gulf of Mexico and Arctic regions, as well as factors such as the type of oil, influence the potential effectiveness of various oil spill response techniques. In each region, environmental conditions, such as water and air temperature, water movement, and salinity, influence how effective oil spill response techniques can be. Further, according to the literature we reviewed, these conditions determine which response techniques are appropriate.", "Environmental conditions, such as ocean water and air temperature, can influence the effectiveness of natural oil removal through evaporation or biodegradation. These processes may occur more quickly in warmer climates, such as in the Gulf of Mexico. In the event of an oil spill, communities of microbes can bloom to respond to the new supply of oil. According to a 2011 report from the American Academy of Microbiology, these microbes can biodegrade up to 90 percent of some light crude oil, but the largest and most complex molecules\u2013\u2013such as the ones that make up road asphalt\u2013\u2013are not significantly biodegradable. A 2016 study found that higher temperatures lead to increased biodegradation, and increased salinity had a small positive impact on crude oil removal. However, the American Academy of Microbiology report also states that while microbes can biodegrade oil over time, the process may not be fast enough to prevent ecological damage. Therefore, immediate containment or physical removal of the oil is an important first response.", "The effectiveness of oil removal is also influenced by conditions of the water, determined by wind, waves, and currents. According to literature we reviewed, winds and currents can make it more difficult to remove the oil, increasing the likelihood of the oil spill affecting larger areas and additional plant and animal populations. Further, high seas and rough waters can make some response techniques less effective. According to a 2017 study that estimates the effect of environmental conditions on deploying oil spill response techniques in the Arctic Ocean, most response techniques are not suitable during Arctic winters, between November and June.", "Literature we reviewed also shows that other factors influence the effectiveness of response techniques, including oil type, oil thickness, and the location and depth of oil spill events. Light crude oil typically evaporates and biodegrades more quickly than heavy crude oil, which is more viscous. However, if the oil slick is too thin, it becomes difficult to contain and limits response options. Oil spilled in a remote location, such as the place where the Exxon Valdez oil spill occurred, may complicate response efforts because equipment and personnel are far away and may not be able to respond within the window of opportunity before the oil spreads.", "According to Coast Guard officials, during an oil spill response, various response techniques are used to minimize the negative effects on the water surface, water column, and shorelines, each with different applications, advantages, disadvantages, and risks. The response techniques we reviewed are:", "Mechanical recovery in the marine environment uses a variety of containment booms, barriers, and skimmers, as well as natural and synthetic absorbent materials to capture and store the spilled oil until it can be disposed of properly.", "In-situ burning, meaning in-place burning, is the process of igniting and burning oil slicks in a controlled environment.", "Dispersants are chemicals that can mitigate the immediate damage caused by oil at the surface and help accelerate the natural removal of the spilled oil. Dispersants work similarly to dish soap, breaking up the oil into small droplets that can more easily spread through the water."], "subsections": [{"section_title": "Mechanical Recovery Safely Removes Spilled Oil but Has Limitations in Certain Conditions", "paragraphs": ["The advantage of mechanical recovery is that it physically removes the oil from the water, minimizing the negative effects of the oil. Mechanical recovery can be used to safely remove oil where other methods might cause health risks or environmental damage, according to a 2013 report published by the National Academies Press.", "However, mechanical recovery has limitations in some conditions. If the oil slick is thin, it is difficult to achieve a significant rate of recovery and requires a lot of equipment to concentrate the slick so it is thick enough to be collected. According to literature we reviewed, mechanical recovery is less effective during inclement weather or high seas because the oil spreads and can emulsify in these conditions and is difficult to contain. Low temperatures and the presence of ice also make it challenging to achieve high recovery rates, and mechanical recovery becomes increasingly ineffective as wave heights increase, according to literature we reviewed.", "Furthermore, the process of recovering the oil is labor- and cost-intensive, and recovery can be delayed if the equipment is not readily available. Mechanical recovery is especially challenging to implement quickly when spills occur in remote areas, such as with Exxon Valdez, or where the oil is traveling quickly and broadly, such as with Deepwater Horizon. For example, according to a 1999 EPA report, skimmers were not readily available during the first 24 hours following the Exxon Valdez oil spill, repairs to damaged skimmers were time-consuming, and continued inclement weather slowed down the recovery efforts. In addition, a disadvantage of mechanical recovery is that temporary storage for large amounts of oil is frequently needed and recovered oil is generally brought back to the shore for disposal, according to Interior officials. Because of the resources required to physically remove the oil, it is difficult to recover a large percentage of the spilled oil through mechanical recovery in large oil spills."], "subsections": []}, {"section_title": "In-Situ Burning Can Efficiently Eliminate Oil but Has Potential Side Effects", "paragraphs": ["According to two studies and an agency document we reviewed, in-situ burning can be a highly effective technique for eliminating spilled oil from the sea surface. In response to the Deepwater Horizon oil spill, roughly 5 to 6 percent of all of the spilled oil was burned, about double the amount of oil removed with skimmers, according to a 2013 National Academies Press report.", "The primary advantage of in-situ burning is its efficiency. In ideal conditions, this method can quickly eliminate spilled oil. According to several reports we reviewed, in optimal conditions, in-situ burning can eliminate up to 90 percent of the spilled oil contained for burning with a relatively minimal investment of equipment or manpower. Literature we reviewed suggests that it is especially suited for response in Arctic conditions, particularly in ice-covered water where logistics and environmental conditions may preclude other options and where the ice can act as a natural barrier to help keep the oil slick thick enough to burn.", "However, in-situ burning also has its disadvantages. Burning has a narrow window of opportunity, and if the approval process takes longer than it takes to prepare for the burn, the opportunity for using in-situ burning may be lost, according to a NOAA document. Similar to mechanical recovery, burning can only be used if the oil slick is a certain thickness and when waves, wind, and currents are not too strong. In-situ burning becomes increasingly difficult in strong winds or with waves over 3 feet tall. A second disadvantage is that the burn residue caused by in- situ burning may have negative effects on ocean life, though studies we reviewed differed on this matter. According to a 2014 National Academies Press report about oil spills in the U.S. Arctic environment, a series of studies in the 1990s found that burn residues have little to no impact on oceanic organisms. However, a 2015 review on burn residues from in- situ burning in Arctic waters concluded that not enough research has been done on the side effects of burn residue from in-situ burning. According to NOAA officials, another disadvantage of in-situ burning is that the soot from inefficient combustion can result in unsightly and unhealthy particulates that may affect any downwind populations before the smoke dissipates."], "subsections": []}, {"section_title": "Use of Dispersants Is Versatile but Its Effectiveness Depends on Several Factors", "paragraphs": ["According to Coast Guard officials, chemical dispersants are typically used in conjunction with mechanical means and are considered when offshore mechanical methods are recognized as inadequate because of the spill volume, the geographical extent of the slicks, or specific on- scene environmental conditions.", "According to the literature we reviewed, an advantage of dispersants is their versatility. Dispersants are not as limited by environmental conditions as other response techniques, and they can be applied on surface or underwater environments. Further, dispersants can be applied through a variety of mechanisms. For example, they can be applied on oil slicks at the water\u2019s surface by boats, planes, or helicopters. Dispersants can also be used below the surface, through subsea injection at the site of the spill, as was applied in response to the Deepwater Horizon oil spill.", "However, the literature suggests that the effectiveness of dispersants depends on many factors, such as the type of oil, type of dispersant used, and sea and weather conditions. According to Coast Guard officials, the decision to use dispersants is made after careful consideration of the location of the spill, type of oil spilled, seasonal resources at risk, and the environmental conditions at the time, as these factors influence the effectiveness and practicality of using dispersants, as well as the advisability of the tactic in the face of other options and risks. These officials also noted that dispersants are rarely used in the United States, but in certain situations, where mechanical means such as booming and skimming may not be effective, dispersants may be considered.", "In addition to the uncertainty of their effectiveness, the potential environmental risks associated with dispersants are also uncertain. One 2014 study states that while dispersants were thought to undergo rapid degradation in the water column, there was evidence that the dispersants remained on Gulf of Mexico beaches almost 4 years after the Deepwater Horizon oil spill. During the Deepwater Horizon oil spill, responders applied over 1.8 million gallons of chemical dispersants to the spilled oil\u2014 an unprecedented volume in the United States. It was the first major oil spill to use dispersants on such a large scale, and approximately 42 percent of these dispersants were applied sub-sea in the first operational sub-sea application of this technique. According to Coast Guard officials, the toxicity and long-term effects of large-scale application of dispersants on the ecology of marine life are unknown. According to literature we reviewed, there is evidence that chemically dispersed oil and some dispersant compounds may be toxic to some marine life, especially those in early life stages. Coast Guard officials also said that continued monitoring and further review of scientific research should improve the understanding of the impact of dispersants on mitigating the effects of oil spills as well as their overall environmental impact."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Following initial response and cleanup efforts, restoration activities related to a significant offshore oil spill, such as those from Exxon Valdez or Deepwater Horizon, can endure for decades. Federal agencies of the interagency committee conduct and fund research projects related to preventing, preparing for, responding to, and restoring the environment after oil spills. The interagency committee has improved the coordination of federal oil spill research efforts since the Deepwater Horizon oil spill in 2010. However, the interagency committee has not systematically reviewed its membership to determine which offices within current member agencies are the most relevant to its mission and whether adding other federal agencies as members would be beneficial. By systematically reviewing its membership to determine whether any additional agencies should be involved in coordinating oil spill research and that the most appropriate offices within member agencies are represented, the interagency committee could improve its ability to coordinate research among federal agencies.", "In addition, the interagency committee does not coordinate with the NRDA trustee councils that manage the large restoration funds and monitor the restoration of damaged resources after a specific spill, such as the Exxon Valdez and Deepwater Horizon oil spills. Coordinating with the NRDA trustee councils could help ensure that the interagency committee\u2019s oil spill research program is effectively supporting the damage assessment and restoration efforts of the councils, and better knowledge sharing between groups and leveraging its members\u2019 oil spill research resources."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Commandant of the U.S. Coast Guard at the Department of Homeland Security: The Commandant of the U.S. Coast Guard should direct the chair of the Interagency Coordinating Committee on Oil Pollution Research, in coordination with member agencies, to systematically review its membership to determine whether any additional agencies should be involved in coordinating oil spill research and that the most appropriate offices within member agencies are represented. (Recommendation 1)", "The Commandant of the U.S. Coast Guard should direct the chair of the Interagency Coordinating Committee on Oil Pollution Research, in coordination with member agencies, to coordinate with the relevant Natural Resource Damage Assessment trustee councils to help ensure that the interagency committee\u2019s research informs and supports the councils\u2019 damage assessment and restoration efforts. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided our draft report to the Department of Agriculture, Department of Commerce, Department of Defense, Department of Energy, Department of Homeland Security, Department of the Interior, Department of Transportation, Environmental Protection Agency, National Aeronautics and Space Administration, and U.S. Arctic Research Commission for review and comment. In comments reprinted in appendix II, the Department of Homeland Security concurred with our recommendations. In addition, the departments of Commerce, Homeland Security, Interior, and EPA provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of the report to the appropriate congressional committees; the Secretaries of Agriculture, Commerce, Defense, Energy, Homeland Security, the Interior, and Transportation; the Administrators of EPA and NASA; the Executive Director of the U.S. Arctic Research Commission; and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how the Natural Resource Damage Assessment (NRDA) trustee councils have used the restoration trust funds for the Exxon Valdez and Deepwater Horizon oil spills and the status of the restoration efforts; (2) the status of the Interagency Coordinating Committee on Oil Pollution Research\u2019s (interagency committee) oil spill research efforts and how coordination of such efforts has changed since we last reported on it in March 2011; and (3) what literature suggests about the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico.", "To examine how the NRDA trustee councils used the restoration funds from the Exxon Valdez oil spill (from October 1992 to January 2018) and the Deepwater Horizon oil spill (from April 2012 to December 2017) for restoration and the status of the restoration efforts, we obtained data from each trustee council on the amount of funds (1) ordered by the settlement for each restoration type; (2) authorized by the trustees for, but not yet spent on, restoration activities (authorizations); (3) spent on restoration activities (expenditures); and (4) not yet authorized for restoration activities (remaining balance) through calendar year 2017 for Deepwater Horizon and through January 31, 2018, for Exxon Valdez. To assess the reliability of the financial data, we reviewed related budget documentation; interviewed knowledgeable council staff about how fund balances are recorded and reported; reviewed the totals for obvious errors and inconsistencies; and reviewed internal control documents, such as a database manual and standard operating procedures. We determined that the data were sufficiently reliable for the purposes of our report.", "We examined the approved restoration plans (1994 restoration plan and 2014 restoration plan update for the Exxon Valdez oil spill, and the 2016 programmatic damage assessment and restoration plan for the Deepwater Horizon oil spill) and, when available, annual reports on restoration activities (1994 through 2018 annual reports for the Exxon Valdez Oil Spill Trustee Council (Exxon Valdez Trustee Council) and 2016 and 2017 annual financial reports for the Deepwater Horizon Natural Resource Damage Assessment Trustee Council (Deepwater Horizon Trustee Council)). We also reviewed project reports and scientific studies that the trustee councils funded to gain a better understanding of the status of restoration of injured natural resources, restoration priorities, activities, and progress made by the trustee councils. We reviewed laws and regulations that provide the legal authority for federal agencies to intervene and respond after an oil spill, such as the Oil Pollution Act of 1990 (OPA), the Clean Water Act, and NRDA regulations. We met with officials from the Exxon Valdez Trustee Council to discuss the distribution of settlement money for restoration purposes after the Exxon Valdez oil spill, and with officials from the Deepwater Horizon Trustee Council, Gulf Coast Ecosystem Restoration Council (RESTORE Council), and the National Fish and Wildlife Foundation to discuss the distribution of settlement money for restoration purposes after the Deepwater Horizon oil spill. Additionally, in May 2018, we traveled to multiple locations in the former spill area in Alaska to observe the extent of restoration efforts and ongoing issues. Along with researchers sent by the Exxon Valdez Trustee Council, we excavated three pits that revealed lingering oil about 6 inches below the surface of the beach on Eleanor Island in Prince William Sound. These researchers told us that oil previously uncovered at this location had been linked to the Exxon Valdez oil spill. In addition to fieldwork in Alaska, in November 2017 and February 2018, we attended public meetings in Alabama and Louisiana to learn about restoration plans for the Gulf States.", "To examine the status of the interagency committee\u2019s federal oil spill research efforts and how coordination of such efforts has changed since we last reported on it in March 2011, we requested funding data and project information on oil spill research from all 15 member agencies of the interagency committee. We received data from the 9 member agencies that reported funding oil spill research projects from fiscal years 2011 through 2017. These 9 agencies provided data on agency expenditures on oil spill research and the research category of any projects funded. We assessed the reliability of the data by reviewing related documentation, interviewing knowledgeable agency officials, and reviewing agency internal controls for each of the 9 member agencies that provided us data about the steps they take to maintain this information. We determined that in most cases the data were sufficiently reliable for the purposes of our report. However, we chose not to provide the National Oceanic and Atmospheric Administration\u2019s (NOAA) agency expenditures for oil spill research because NOAA officials were unable to provide reliable data on the actual amount the agency spent on such research during the time period we requested. In addition, some agency officials we interviewed raised the concern that their agencies do not track oil spill research funding and therefore the information they provided on expenditures for such research may not include all relevant efforts that could inform oil spill prevention, preparedness, response, and restoration.", "We also interviewed officials from the 15 member agencies to learn about each agency\u2019s oil spill research efforts and participation in and coordination through the interagency committee, and compared their coordination practices to one of our federal leading practices for collaboration for interagency groups to evaluate the interagency committee\u2019s efforts to coordinate such research. We chose to focus on the collaboration practice pertaining to participants because it appeared to be the most challenging for the interagency committee based on the findings of our previous March 2011 report, the actions taken by the interagency committee to address our recommendations from that report, and our own findings from our research for this report. In addition, we reviewed the 2013 interagency committee charter, the committee\u2019s most recent biennial reports to Congress covering fiscal years 2008 through 2017, and the committee\u2019s third multiyear research and technology plan for fiscal years 2015 through 2021; attended two committee meetings; and reviewed minutes of eight past meetings. We also reviewed OPA\u2019s provisions that established and govern the interagency committee\u2019s coordination efforts and membership, as well as various related executive documents.", "To examine what literature suggests about the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico, we conducted a literature search for studies and articles that analyzed and summarized the effectiveness of various oil spill response techniques in those regions. We identified existing literature from 1989 (the year of the Exxon Valdez oil spill) to March 2018 by searching various databases, such as Scopus and ProQuest. We chose to focus on three primary response techniques\u2014mechanical recovery, in-situ burning, and the use of dispersants\u2014used to clean up after offshore oil spills according to knowledgeable stakeholders and the literature we reviewed. The database search produced over 800 results. Our subject matter expert helped the team narrow this list to 50 results, of which we relied on 16 studies and articles that we determined were most relevant to our research objective of determining the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico. Some literature was not included if it was too specific for the scope of our review. Literature published recently, generally within the past 10 years, was considered more relevant. We supplemented the list of studies from these databases with literature from the Congressional Research Service, the National Academies Press, the Environmental Protection Agency (EPA), NOAA, the American Academy of Microbiology, the Arctic Oil Spill Response Joint Industry Programme, and our previous report on oil dispersants. In total, we relied upon 22 literature results to inform the findings of our objective. For a complete list of the literature, see the bibliography. We shared our summary of the literature search findings with agency officials representing some of the interagency committee member agencies. The following agencies responded with comments and we included their perspectives where relevant: the Department of the Interior, EPA, NOAA, and the U.S. Coast Guard. We did not independently evaluate the effectiveness of these response techniques.", "We conducted this performance audit from July 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Christine Kehr (Assistant Director), Amy Ward-Meier (Analyst-in-Charge), Colleen Candrl, Nirmal Chaudhary, Juan Garay, Cindy Gilbert, Matt Hunter, Jessica Lewis, Joe Maher, Greg Marchand, Kimberly (Kim) McGatlin, Cynthia Norris, Travis Schwartz, Sheryl Stein, Sara Sullivan, Vasiliki (Kiki) Theodoropoulos, Matthew Valenta, Sarah Veale, and Dan Will made key contributions to this report."], "subsections": []}]}, {"section_title": "Bibliography", "paragraphs": ["We reviewed literature to examine what it suggests about the effectiveness of various oil spill response techniques in the Arctic and the Gulf of Mexico. This bibliography contains citations for the studies and articles that contributed to these findings.", "American Academy of Microbiology, Microbes and Oil Spills FAQ (Washington, D.C.: 2011).", "Arctic Oil Spill Response Technology Joint Industry Programme, Synthesis Report, D. Dickens-DF Dickens Associates, LLC (May 3, 2017).", "Belore, Randy C., Ken Trudel, Joseph V. Mullin, and Alan Guarino. \u201cLarge-scale Cold Water Dispersant Effectiveness Experiments with Alaskan Crude Oils and Corexit 9500 and 9527 Dispersants.\u201d Marine Pollution Bulletin, vol. 58 (2009): 118-128.", "Boufadel, Michel C., Xiaolong Geng, and Jeff Short. \u201cBioremediation of the Exxon Valdez Oil in Prince William Sound Beaches.\u201d Marine Pollution Bulletin, vol. 113 (2016): 156-164.", "Brakstad, Odd G., Trond Nordtug, and Mimmi Throne-Holst. \u201cBiodegradation of Dispersed Macondo Oil in Seawater at Low Temperature and Different Oil Droplet Sizes.\u201d Marine Pollution Bulletin, vol. 93 (2015): 144-152.", "Committee on Responding to Oil Spills in the U.S. Arctic Marine Environment; Ocean Studies Board; Polar Research Board; Division on Earth and Life Studies; Marine Board; Transportation Research Board; National Research Council, Responding to Oil Spills in U.S. Arctic Marine Environment. National Academies Press (US) (Washington, D.C.: 2014).", "Committee on the Effects of the Deepwater Horizon Mississippi Canyon- 252 Oil Spill on Ecosystem Services in the Gulf of Mexico, Ocean Studies Board, Division on Earth and Life Studies, National Research Council, An Ecosystem Services Approach to Assessing the Impacts of the Deepwater Horizon Oil Spill in the Gulf of Mexico. National Academies Press (US) (Washington, D.C.: December 20, 2013).", "Corn, Lynne M., Claudia Copeland, The Deepwater Horizon Oil Spill: Coastal Wetland and Wildlife Impacts and Response. Congressional Research Service (July 7, 2010).", "Environmental Protection Agency, Office of Emergency and Remedial Response, Understanding Oil Spills and Oil Spill Response, EPA 540-K- 99-007 (Dec 1999).", "Fletcher, Sierra, Tim Robertson, Bretwood Higman, and Elise DeCola. Estimating Impact of Environmental Conditions on Deployment of Marine Oil Spill Response Tactics in the U.S. Arctic Ocean, proceedings of the Fortieth AMOP Technical Seminar. Ottawa: Environment and Climate Change Canada, 2017, 246-264.", "Fritt-Rasmussen, Janne, Susse Wegeberg, d Kim Gustavson, \u201cReview on Burn Residues from In Situ Burning of Oil Spills in Relation to Arctic Waters.\u201d Water Air Soil Pollution, vol. 226 (2015).", "GAO, Oil Dispersants: Additional Research Needed, Particularly on Subsurface and Arctic Applications, GAO-12-585 (Washington, D.C.: May 30, 2012).", "Naseri, M., and J. Barabady, Safety and Reliability: Methodology and Applications\u2014Performance of Skimmers in the Arctic Offshore Oil Spills. London: Taylor & Francis Group, 2015, 607-614.", "National Oceanic and Atmospheric Administration, Oil Spill - Behavior, Response and Planning: Open-water Response Strategies: In-situ Burning, (August 1997).", "Nedwed, Tim, Tom Coolbaugh, and Amy Tidwell. Subsea Dispersant Use during the Deepwater Horizon Incident, proceedings of the Thirty-Fifth AMOP Technical Seminar on Environmental Contamination and Response. Vancouver, BC; Canada, ExxonMobil Upstream Research Company, 2012, 506-518.", "Nyankson, Emmanuel, Dylan Rodene, and Ram B. Gupta. \u201cAdvancements in Crude Oil Spill Remediation Research After the Deepwater Horizon Oil Spill.\u201d Water Air Soil Pollution (2016).", "Rahsepar, Shokouh, Martijn P.J. Smit, Albertinka J. Murk, Huub H.M. Rijnaarts, and Alette A.M. Langenhoff. \u201cChemical Dispersants: Oil Biodegradation Friend or Foe?\u201d Marine Pollution Bulletin, vol. 108 (2016): 113-119.", "Ramseur, Jonathan L., Oil Spills: Background and Governance. Congressional Research Service (Sept 15, 2017).", "Sharma, Priyamvada, and Silke Schiewer. \u201cAssessment of Crude Oil Biodegradation in Arctic Seashore Sediments: Effects of Temperature, Salinity, and Crude Oil Concentration.\u201d Environmental Science and Pollution Research (2016): 14881-14888.", "Shi, X., P.W. Bellino, A. Simeoni, and A.S. Rangwala. \u201cExperimental Study of Burning Behavior of Large-scale Crude Oil Fires in Ice Cavities.\u201d Fire Safety Journal, vol. 79 (2016): 91-99.", "United States Coast Guard, On Scene Coordinator Report Deepwater Horizon Oil Spill, (September 2011).", "White, Helen K., Shelby L. Lyons, Sarah J. Harrison, David M. Findley, Yina Liu, and Elizabeth B. Kujawinski. \u201cLong-Term Persistence of Dispersants Following the Deepwater Horizon Oil Spill.\u201d Environmental Science & Technology Letters (2014): 295-299."], "subsections": []}], "fastfact": ["After a significant offshore oil spill\u2014such as the Exxon Valdez or Deepwater Horizon incidents\u2014it can take decades and billions of dollars to undo the environmental damage. A federal-state trustee council is set up after a spill to manage the money for related environmental restoration projects.", "Federal research on environmental restoration after an oil spill could be relevant to the trustee councils' work. But we found that the committee that coordinates federal oil spill research doesn't collaborate with the trustee councils. We recommended that it do so."]} {"id": "GAO-18-474", "url": "https://www.gao.gov/products/GAO-18-474", "title": "VA Health Care: Improved Oversight Needed for Reusable Medical Equipment", "published_date": "2018-08-03T00:00:00", "released_date": "2018-09-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VHA operates one of the largest health care delivery systems in the nation, serving over 9 million enrolled veterans. In providing health care services to veterans, VAMCs use RME which must be reprocessed\u2014that is, cleaned, disinfected, or sterilized\u2014between uses. Improper reprocessing of RME can negatively affect patient care. To help ensure the safety of veterans, VHA policy establishes requirements VAMCs must follow when reprocessing RME and requires a number of related oversight efforts.", "GAO was asked to review VHA's reprocessing of RME. This report examines (1) VHA's oversight of VAMCs' adherence to RME policies and (2) challenges VAMCs face in operating their Sterile Processing Services programs, and any efforts by VHA to address these challenges. GAO reviewed relevant VHA documents including RME policies and VISN inspection results for fiscal year 2017. GAO interviewed officials from VHA, all 18 VISNs, and four VAMCs, selected based on geographic variation, VAMC complexity, and data on operating room delays. GAO examined VHA's oversight in the context of federal internal control standards on communication, monitoring, and information."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) does not have reasonable assurance that VA Medical Centers (VAMC) are following policies related to reprocessing reusable medical equipment (RME). Reprocessing involves cleaning, sterilizing, and storing surgical instruments and other RME, such as endoscopes. VHA has not ensured that all VAMCs' RME inspections have been conducted because it has incomplete information from the annual inspections by Veterans Integrated Service Networks (VISN), which oversee VAMCs. For fiscal year 2017, VHA did not have 39 of the 144 VISN reports from the VISNs' inspections of their VAMCs' Sterile Processing Services departments. VISNs were able to provide GAO with evidence that they had conducted 27 of the 39 missing inspections; top areas of non-adherence in these inspections were related to quality and training, among other things. Although VHA has ultimate oversight responsibility, a VHA official told GAO that VHA had not been aware it lacked complete inspection results because it has largely relied on the VISNs to ensure complete inspection result reporting. Without analyzing and sharing complete information from inspections, VHA does not have assurance that its VAMCs are following RME policies designed to ensure that veterans receive safe care.", "GAO also found that VAMCs face challenges operating their Sterile Processing Services programs\u2014notably, addressing workforce needs. Almost all of the officials from all 18 VISNs and selected VAMCs GAO interviewed reported Sterile Processing Services workforce challenges, such as lengthy hiring timeframes and limited pay and professional growth potential. According to officials, these challenges result in programs having difficulty maintaining sufficient staffing. VHA officials told GAO that the office is considering studying Sterile Processing Services staffing at VAMCs, although VHA does not have definitive plans to do so. VHA's Sterile Processing Services workforce challenges pose a potential risk to VAMCs' ability to ensure access to sterilized medical equipment, and VHA's failure to address this risk is inconsistent with standards for internal control in the federal government. Until VHA examines these workforce needs, VHA won't know whether or to what extent the reported challenges adversely affect VAMCs' ability to effectively operate their Sterile Processing Services programs and ensure access to safe care for veterans."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to VHA, including that it ensure all RME inspections are being conducted and complete results reported, and that it examine Sterile Processing Services workforce needs and make adjustments, as appropriate. VA concurred with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs\u2019 (VA) Veterans Health Administration (VHA) operates one of the largest health care delivery systems in the nation, serving over 9 million enrolled veterans. In providing health care services to veterans, VA medical centers (VAMC) use reusable medical equipment (RME), such as endoscopes and surgical instruments, which must be reprocessed\u2014that is, cleaned, disinfected, or sterilized\u2014 between uses. As medical instruments have become more complex, reprocessing has become more complicated and time consuming. For example, reprocessing an endoscope after a colonoscopy requires eight detailed cleaning steps and, on average, over 1 hour and 15 minutes of hands-on staff time. Improper reprocessing of RME creates risks to patient safety\u2014exposing patients to infection, for example\u2014and can adversely affect timely access to care, such as when surgeries are delayed or canceled due to the lack of properly reprocessed medical equipment. The reprocessing of RME occurs at VAMCs within their Sterile Processing Services (SPS) programs. To help ensure the safety of veterans who receive care at its facilities, VHA policy establishes requirements VAMCs must follow when reprocessing RME. Further, VHA policy requires inspections to be completed each year to determine the extent to which VAMCs are following these RME requirements and that incidents involving improperly reprocessed RME are reported.", "VHA has had ongoing challenges with RME reprocessing. For example, in 2009, two VAMCs notified about 10,000 veterans of their potential exposure to hepatitis B, hepatitis C, and HIV, because they received care using improperly reprocessed endoscopes. In 2011 we found that VHA had not provided sufficient guidance to VAMC staff operating the SPS programs to ensure that staff were reprocessing RME correctly, which posed potential safety risks to veterans. In 2016, the VHA Office of the Medical Inspector reviewed and corroborated allegations that the SPS department at a VAMC failed to provide surgeons with RME free of bioburden, debris, or both. Further, in March 2018, the VA Office of Inspector General reported on problems at a VAMC that included RME- specific issues, such as delays and cancellations of procedures due to unavailable instruments because of improper reprocessing.", "You asked us to review RME reprocessing within VHA. In this report, we examine: 1. VHA\u2019s oversight of VAMCs\u2019 adherence to RME policies and 2. challenges VAMCs face in operating their SPS programs, and any efforts by VHA to address these challenges.", "To examine VHA\u2019s oversight, we assessed its efforts to oversee VHA\u2019s 18 Veterans Integrated Service Networks (VISN) and its efforts to directly ensure that VHA\u2019s 170 VAMCs are adhering to RME policies. We reviewed VHA Directive 1116(2), which describes RME policy requirements and instructions for how inspections of VAMCs\u2019 adherence to these requirements should be conducted, and VHA\u2019s guide to issue briefs, which are reports that provide information on incidents involving improperly processed RME. We reviewed summary data from VHA on inspections of VAMCs conducted by their respective VISNs in fiscal year 2017. These summary data came from inspection reports submitted to VHA by the VISNs for which VHA had records as of February 2018. We also reviewed the full inspection reports that we obtained from the VISNs for inspections VISNs had conducted in fiscal year 2017, but for which VHA did not have records, which identified information about non- adherence to RME policy requirements. Finally, we reviewed VHA\u2019s summary of issue briefs, including those related to the improper reprocessing of RME, for fiscal years 2015 through 2017.", "To assess the reliability of the inspection and issue brief data, we reviewed the data to identify missing information and discrepancies, and we interviewed VHA officials regarding the processes for collecting and verifying the data. Based on these efforts, we determined that VHA data on the number of VISN inspection reports for which they had records, VISN inspection reports, and VHA summary data from issue briefs were reliable for the purposes of our reporting objectives. In addition to our review of inspection and issue brief data, we interviewed VHA, VISN, and VAMC officials. Specifically, we interviewed VHA officials from the National Program Office for Sterile Processing, which is responsible for developing RME policies and overseeing VAMCs\u2019 adherence to these policies. We also interviewed officials from the 18 VISNs and four selected VAMCs to get their views on VHA\u2019s oversight. We assessed VHA\u2019s oversight efforts in the context of federal standards for internal control for monitoring, information, and communication.", "To examine challenges VAMCs face in operating their SPS programs, we reviewed VHA\u2019s RME policy and other documents to identify the requirements VAMCs must follow in operating their SPS programs, and we interviewed officials with direct knowledge of these efforts at all 18 VISNs and the four selected VAMCs. In addition, we asked operating room nurse managers from 20 selected VAMCs to identify in writing any RME-related challenges they faced as a result of the SPS department at their VAMC, such as delays in operating room procedures due to RME issues. We discussed the challenges identified with officials from VHA\u2019s National Program Office for Sterile Processing and the Workforce Management and Consulting Office. We assessed VHA\u2019s efforts to address RME-related challenges in the context of federal standards for internal control for risk assessment.", "Finally, to provide a contextual understanding of RME issues across both objectives, we visited a VAMC with a large SPS program and interviewed officials outside of VHA with relevant knowledge. Specifically, we conducted an in-person site visit at the Seattle VAMC and spoke to officials involved in the SPS program, such as the SPS Chief and staff, VAMC leadership, and the Chief of Surgery and operating room Nurse Manager. Further, we spoke with officials from organizations with RME industry knowledge, such as the International Association of Healthcare Central Service Materiel Management and the Association for the Advancement of Medical Instrumentation\u2014two professional associations that set RME reprocessing standards used by VHA and others, offer RME certification, and provide information and support regarding RME reprocessing to those working in the industry. We also interviewed officials from the Joint Commission and the VA Office of Inspector General who periodically review VAMCs\u2019 SPS programs and contacted three Veterans Service Organizations to obtain their views on concerns related to RME reprocessing and suggestions for addressing those concerns.", "We conducted this performance audit from April 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In providing health care services to veterans, clinicians at VAMCs use RME, such as endoscopes and surgical instruments, which must be reprocessed between uses. Reprocessing covers a wide range of instruments and has become increasingly complex. VHA has developed policies that VAMCs are required to follow to help ensure that RME is reprocessed correctly. In addition, VHA policy requires that VHA and VISNs oversee VAMCs\u2019 reprocessing of RME and that VAMCs report incidents involving improperly reprocessed RME."], "subsections": [{"section_title": "Complexity of RME Reprocessing", "paragraphs": ["According to reports from RME professional associations, the complexity of RME reprocessing has increased as the complexity of medical instruments has increased. While at one time reprocessing surgical and dental instruments such as scalpels and retractors might have been the bulk of a SPS program\u2019s tasks, now SPS programs are responsible for reprocessing complex instruments such as endoscopes. Reprocessing these instruments is a detailed and time-consuming process, and their increasing complexity requires a corresponding increase in the skills and time required to safely reprocess them. (See figure 1 for an example of steps that can be required for endoscope reprocessing.)"], "subsections": []}, {"section_title": "VHA Roles and Responsibilities for RME Reprocessing", "paragraphs": ["Within VHA, the National Program Office for Sterile Processing under the VHA Deputy Under Secretary of Health for Operations and Management is responsible for developing RME reprocessing policies. It is also responsible for ensuring that VISNs and their respective VAMCs are adhering to its policies. Each of the 18 VISNs are responsible for ensuring adherence with VHA\u2019s RME policies at the VAMCs within its region. In turn, each of the 170 VAMCs are responsible for implementing VHA\u2019s policies related to RME. Within each VAMC, the SPS department is primarily responsible for reprocessing RME, which is used by clinicians in the operating room and other clinical service lines such as the dental and gastroenterology service. (See fig. 2.) Additionally, the SPS department collaborates with other VAMC departments such as the Environmental Management and Engineering Services on variables that affect RME reprocessing, such as the climate where RME is reprocessed."], "subsections": []}, {"section_title": "VHA Policies for RME Reprocessing and Related Oversight", "paragraphs": ["In March 2016 VHA issued Directive 1116(2)\u2014a comprehensive policy outlining requirements for SPS programs and for overseeing RME reprocessing efforts.", "SPS program operation requirements. To help ensure that VAMCs are reprocessing RME correctly, VHA policy establishes various requirements for the SPS programs in VAMCs to follow, such as a requirement that SPS staff monitor sterilizers to ensure that they are functioning properly, use personal protective equipment when performing reprocessing activities, separate dirty and clean RME, and maintain environmental controls. For example, VAMCs are required to maintain certain temperature, humidity, and air flow standards in areas where RME is reprocessed and stored. Additionally, in order to ensure that RME is reprocessed in accordance with manufacturers\u2019 guidelines, VAMCs are required to assess staff on their competence in following the related reprocessing steps.", "Oversight requirements. To help ensure that VAMCs are adhering to VHA\u2019s RME policies, VHA requires inspections, reports on incidents of improperly reprocessed RME, and corrective action plans for both non- adherent inspection results and incidents of improperly reprocessed RME.", "Inspections. VISNs are required to conduct annual inspections at each VAMC within their VISN and to report their inspection results to the VHA National Program Office for Sterile Processing. The VISN inspections are a key oversight tool for regularly assessing adherence to RME policies in the SPS, gastroenterology, and dental areas within VAMCs and use a standardized inspection checklist known as the SPS Inspection Tool. According to VHA officials, VHA developed the SPS Inspection Tool and generally updates it annually. The most recent fiscal year 2017 SPS Inspection Tool contained 148 requirements. Examples of requirements include those regarding proper storage of RME and following manufacturers\u2019 instructions when reprocessing RME. Although VAMCs are also required to conduct annual self-inspections using the SPS Inspection Tool and report the results to VHA, the VISN annual inspections are a separate and important level of oversight. Finally, according to VHA officials, while not a formal policy, VHA\u2019s National Program Office for Sterile Processing also inspects each VAMC at least once every 3 years. VHA requires VISNs and VAMCs to conduct their own inspections even in years when VHA also conducts inspections.", "Incident Reports. VHA collects incident reports or \u201cissue briefs\u201d generated by VAMCs on incidents involving RME to help determine the extent to which VAMCs are adhering to RME policies, among other things. VHA requires VAMCs to report significant clinical incidents or outcomes involving RME that negatively affect groups or a cohort of veterans in an issue brief. According to a VHA official, when VAMC staff report incidents involving RME to their facility leadership, these officials should follow VHA guidance to determine which incidents, if any, should be reported in an issue brief to the VAMC\u2019s VISN. Similarly, VISN officials, in turn, are responsible for determining whether an incident should be reported in an issue brief to VHA.", "Corrective Action Plans. Corrective action plans\u2014which detail an approach for addressing any areas of policy non-adherence identified in inspections or incidents identified in issue briefs\u2014are required at both the VISN and VAMC levels. Specifically, both VISNs and VAMCs are required to develop corrective action plans for any deficiencies identified through their inspections, and VAMCs are required to develop corrective action plans for incidents identified in issue briefs. According to a VHA official, VISNs and VAMCs are not required to send corrective action plans from inspections to VHA; however, VAMCs must send their correction action plans to the VISN and also any related to issue briefs to VHA. Further, according to a VHA official, although neither the VAMC nor VISN corrective action plans from inspections are monitored by VHA, VHA does expect VISN officials to inform it of any critical issues that VISNs believe warrant VHA attention. For example, VHA officials would expect VISNs to report instances when RME issues result in the cancellation of procedures for multiple patients or when the VISN discovers a VAMC is lacking documentation of RME reprocessing competency assessments for a large number of their SPS staff."], "subsections": []}, {"section_title": "Reports on Issues Related to RME Reprocessing", "paragraphs": ["A number of recent reports have identified several RME-related issues at VAMCs, including non-adherence to RME policies. The issues have ranged from improperly reprocessed RME being used on patients to the cancellation of medical procedures due to lack of available RME. For example: In March 2018, the VA Office of Inspector General released a report describing problems identified at the Washington, D.C. VAMC, some of which were RME-related. For example, the office determined that ineffective sterile processing contributed to procedure delays due to unavailable RME. The report included specific recommendations, such as ensuring there are clearly defined and effective procedures for replacing missing or broken instruments and implementing a quality assurance program to verify the cleanliness, functionality, and completeness of instrument sets before they are used in clinical areas. The VAMC Director agreed with those recommendations.", "In fiscal year 2017, the VA Office of Inspector General reviewed 29 VAMCs and issued reports for each in response to several RME- related complaints received through its reporting hotline. The office identified issues such as staff failure to perform quality control testing on endoscopes or document their competency assessments of SPS staff in employee files. Many of the reports included specific recommendations, such as performing quality control testing on all endoscopes and ensuring SPS staff are assessed for competency at orientation and annually for the types of RME they reprocess. The VAMC Directors agreed with those recommendations.", "In 2016, the VA Office of the Medical Inspector released a report that substantiated allegations that SPS practices led to the delivery of RME with bioburden, debris, or both to the operating room. The report included specific recommendations, such as reeducating SPS staff on proper SPS standards and ensuring that all training and assessments of RME reprocessing competency of SPS staff are completed as required. The VAMC Director agreed with those recommendations.", "In 2011, we released a report on VA RME that found issues with RME reprocessing. We found, for example, that VHA did not provide specific guidance on the types of RME that require device-specific training and that the guidance VHA did provide on RME reprocessing training was conflicting. We issued several recommendations for improvement, which VA has implemented."], "subsections": []}]}, {"section_title": "VHA\u2019s Oversight Does Not Provide Reasonable Assurance that VAMCs Are Following RME Policies", "paragraphs": [], "subsections": [{"section_title": "VHA Does Not Have Complete Information on Adherence to RME Policies from Inspections of VAMCs", "paragraphs": ["VHA has not ensured that it has complete information from the annual inspections VISNs conduct\u2014a key oversight tool providing the most current VA-wide information on adherence to RME policies\u2014and therefore does not have reasonable assurance that VAMCs are following RME policies intended to ensure veterans are receiving safe care.", "For fiscal year 2017, we determined that VHA should have had records of 144 VISN SPS inspection reports to have assurance that all required VISN SPS inspections had been conducted. However, our review shows that as of February 2018, VHA had 105 VISN SPS inspection reports and was missing 39, or more than one quarter of the required inspection reports. We also determined that there were two VISNs from which VHA did not have any fiscal year 2017 reports. For the missing SPS inspection reports, VISN officials suggested several reasons why the inspections were either not conducted or conducted but the reports were not submitted to VHA. For example, officials from one of the VISNs from which VHA had no SPS inspection reports told us that VISN management staffing vacancies prevented it from conducting all of its inspections. An official from the other VISN from which VHA had no SPS inspection reports provided evidence that it had conducted all but one of the inspections, but the official told us the VISN did not submit reports because it has yet to receive information from VHA regarding VISN inspection outcomes, common findings, or best practices and therefore sees no value in submitting them.", "VISNs provided us with evidence showing that they conducted 27 of 39 inspections that were missing from VHA\u2019s data. We analyzed these 27 reports to identify the information about non-adherence to RME policy requirements that VHA does not have from these missing VISN inspections. We determined the 10 requirements for which these VAMCs had the most non-adherence were related to quality, training, and environmental issues, among other things, with the extent of non- adherence ranging from 19 to 38 percent. For example, there were 19 and 26 percent non-adherence rates to the requirements that instrument and equipment levels be sufficient to meet workloads and having a process in place to ensure staff receive make-up/repeat training, respectively. (See Appendix I.)", "We also found that variation in SPS Inspection Tools and related guidance from VHA resulted in incomplete inspection results for the gastroenterology and dental areas. VHA provided VISNs with three different SPS Inspection Tools throughout the course of fiscal year 2017. Although VHA guidance stated otherwise, only the third SPS Inspection Tool\u2014which was used during the second half of the fiscal year\u2014contained requirements specific to the gastroenterology and dental areas.", "A VHA Central Office official told us the office hadn\u2019t been aware that it did not have all of the VISN inspection reports until it took steps to respond to our data request. The official told us VHA granted VISNs a 3- month extension for fiscal year 2017\u2014meaning that VISNs had until the end of December 2017 to submit their inspection results\u2014and had granted similar extensions for at least the past 4 fiscal years as well. For all of those years, the VHA official told us that the office didn\u2019t have all VISN inspection reports, even after granting extensions. As a result, VHA did not have assurance that all of the inspections had been conducted. When asked why VHA hadn\u2019t been aware that it didn\u2019t have all VISN SPS inspection reports, a VHA official said that the office has largely relied on the VISNs to ensure complete inspection result reporting because it hasn\u2019t had the resources to dedicate to monitoring inspections. The official told us that VHA has asked for and just recently received approval to hire a data analyst who could potentially be responsible for monitoring the VISN inspection reports. VHA\u2019s lack of complete information from inspection results is inconsistent with standards for internal control in the federal government regarding monitoring and information that state management should establish and operate monitoring activities and use quality information to achieve the entity\u2019s objectives. Without such controls, VHA lacks reasonable assurance that VAMCs are following RME policies designed to ensure that veterans are receiving safe care."], "subsections": []}, {"section_title": "VHA Does Not Consistently Share Information that Could Help VAMCs Follow RME Policies", "paragraphs": ["We also found that VHA does not consistently share information, particularly inspection results, with VISNs and VAMCs, and that VISNs and VAMCs would like more of this information. Specifically, about two- thirds of VISN and VAMC officials told us that sharing information on the common issues identified in the inspections of other VAMCs as well as potential solutions developed to address these issues would allow VAMCs to be proactive in strengthening their adherence to RME policies and ensuring patient safety. For example, a VAMC official told us that there were problems with equipment designed to sterilize heat- and moisture sensitive devices, and seeing how other VAMCs addressed the problem was helpful for their VAMC. Further, officials from some VISNs said VHA cited their VAMCs for issues that had been found at other facilities and, had the VAMCs been aware of the issue beforehand, they could have corrected or improved their processes earlier.", "When asked about sharing inspection results and other information, VHA Central Office officials told us the office doesn\u2019t analyze or share information from VISN inspections because of a lack of resources. A VHA official told us that the office does create an internal report of common issues identified through the third of VAMCs it inspects each year, but the office doesn\u2019t share this report with VISNs and VAMCs because the office lacks the resources needed to prepare reports that are detailed enough to be understood correctly by recipients. According to this official, VHA has occasionally shared information it has identified on common inspection issues through newsletters, national calls, and trainings; however, VHA officials at close to half of the VISNs and VAMCs we spoke to said that they rarely or never get this information. For example, officials from one VISN told us they recall only one or two instances where VHA sent a summary of the top five RME-related issues found during inspections. Insufficient sharing of information is inconsistent with standards for internal control in the federal government regarding communication, which state that management should internally communicate the necessary quality information to achieve the entity\u2019s objectives. Until this sharing becomes a regular practice, VHA is missing an opportunity to help ensure adherence to its RME policies, which are intended to ensure that veterans receive safe care."], "subsections": []}]}, {"section_title": "VAMCs Report Facing Challenges Related to RME Policies and Workforce Needs, but VHA Has Not Sufficiently Addressed These Challenges", "paragraphs": ["According to interviews with officials from all of the VISNs and selected VAMCs, the top five challenges VAMCs face in operating their SPS programs are related to meeting certain RME policies and challenges addressing SPS workforce needs. In particular, officials told us that VAMCs have challenges (1) meeting two RME policy requirements related to climate control monitoring and a reprocessing transportation deadline, and (2) addressing SPS workforce needs related to lengthy hiring timeframes, the need for consistent overtime, and limited pay and professional growth. (See Table 1.)", "Regarding the challenges VAMCs face in meeting RME policy requirements, the majority of VISN and selected VAMC officials interviewed reported experiencing challenges adhering to two requirements from 2016 VHA issued Directive 1116(2).", "Climate control monitoring requirement. Officials reported that meeting the climate control monitoring requirement related to airflow and humidity is challenging for their VAMCs. Under the requirement VAMCs must monitor the humidity and airflow in facility areas where RME is reprocessed and stored in order to ensure that humidity levels do not exceed a certain threshold and thereby allow the growth of microorganisms. According to almost all VISN officials, meeting the requirement is a challenge for some, if not all, of their VAMCs and in particular for older VAMCs that lack proper ventilation systems. We also found some instances of non-adherence on this issue in the group of VISN inspection reports we reviewed. In a September 2017 memorandum, VHA relaxed the requirement (e.g., adjusted the thresholds). Additionally, according to a VHA official, VHA wants to renovate all outdated VAMC heating, ventilation, and air conditioning systems to help VAMCs meet the requirement. Further, according to VHA officials, VHA also allows VAMCs to apply for a waiver exempting them from having to meet this requirement if they have an action plan in place that shows they are working toward meeting the requirement.", "Reprocessing transportation deadline requirement. Officials reported that meeting the reprocessing transportation deadline was also challenging for their VAMCs. Under the requirement, used RME must be transported to the location where it will be reprocessed within 4 hours of use to prevent bioburden or debris from drying on the instrument and causing challenges with reprocessing. Officials reported this requirement as particularly challenging for VAMCs that must transport their RME to another facility for cleaning, such as community based outpatient clinics in rural areas that must transport their RME to their VAMC\u2019s SPS department. We also found some instances of non-adherence on this issue in the group of VISN inspection reports we reviewed. In June 2016, VHA issued a memorandum allowing the use of a pre-cleaning spray solution that, if used, allows offsite facilities such as community based outpatient clinics to transport that RME within 12 hours instead of the required 4 hours.", "VHA has made some adjustments to these requirements, although some officials told us the requirements remain difficult to meet. Specifically, over half of the VISN officials reported that the climate control monitoring requirement continues to be a challenge for their VAMCs. Further, some of the officials told us that meeting the 12-hour reprocessing transportation requirement using the pre-cleaning spray was still challenging, due to the distance between clinics and their VAMC\u2019s SPS department; as a result, some facilities have decided to use disposable medical equipment that does not require reprocessing to avoid this requirement completely. When we shared this information with a VHA official, the official stated that providing general information on how all facilities can meet the climate control monitoring requirement is impossible due to the uniqueness of each facility and that VHA has no further plans to adjust the reprocessing transportation deadline requirement. However, these challenges remain and some officials have expressed frustration with the limited support they\u2019ve received from VHA. In September 2017 we recommended that VHA establish a mechanism by which program offices systematically obtain feedback from VISNs and VAMCs on national policy after implementation and take the appropriate actions. Our findings provide further evidence of the need for VA to address this recommendation.", "Regarding the challenges VAMCs face in meeting SPS workforce needs, almost all of the 18 VISN officials and officials from the three selected VAMCs reported experiencing challenges related to lengthy hiring timeframes, need for consistent overtime, and limited pay and professional growth. According to officials, these challenges result in SPS programs having difficulty maintaining sufficient staffing levels.", "Lengthy hiring timeframes. Officials reported that the lengthy hiring process for SPS staff creates challenges in maintaining sufficient SPS workforce. For example, officials from one VISN estimated that on average it can take 3 to 4 months for a person to be hired. Officials from a few other VISNs noted that not only does the lengthy hiring process create challenges in recruiting qualified candidates (because they accept other positions where they can be more quickly employed), but that it also results in long periods of time when SPS programs are short-staffed.", "Need for overtime. Officials reported that needing their SPS staff to work overtime is a challenge. Specifically, 16 of the 18 VISN officials stated that there is a need for staff at their VAMCs to work overtime either \u201call, most, or some of the time.\u201d Further, officials from one VISN told us their VAMCs have used overtime to meet the increased workload required to implement VHA\u2019s RME policies; one official noted that the overtime has led to dissatisfaction and retention issues among SPS staff.", "Limited pay and professional growth. Officials identified limited pay and professional growth associated with the current pay grade as the biggest SPS workforce challenge. Almost all officials stated that the current pay grade limits the pay and potential for professional growth for the two main SPS positions\u2014medical supply technicians, who are responsible for reprocessing RME, and SPS Chiefs, who have supervisory responsibility. Specifically, the relatively low maximum allowable pay discourages staff from accepting or staying in positions and the current pay grade does not create a career path for SPS medical supply technicians to grow within the SPS department. Officials from one VISN told us that all VAMCs in their VISN have lost SPS staff due to the low pay grade for both positions. VHA officials said a proposed increase in the pay grade for SPS staff has been drafted; however, they do not know when or if it will be made effective.", "Further, according to officials with knowledge of the proposed changes, the changes could still be insufficient to recruit and retain SPS staff with the necessary skills and experience.", "Some VISN and VAMC officials told us that difficulties maintaining sufficient SPS staff levels have in some instances adversely affected patients\u2019 access to care and increased the potential for reprocessing errors that could affect patient safety. According to these officials, staffing challenges can affect access to care when facilities have to limit or delay care\u2014such as surgeries\u2014because there aren\u2019t enough staff available to process all the necessary RME. An official at one VAMC told us that their SPS staff must review available RME daily to determine whether scheduled surgeries or other procedures can proceed. Further, among the 18 operating room nurse managers who responded to our inquiries, 15 indicated they have experienced operating room delays because of RME issues. In addition, some VISN and VAMC officials told us staffing challenges can potentially have an impact on patient safety, because when SPS staffing is not sufficient, mistakes are more likely to occur. For example, officials told us that if SPS staffing levels are low, particularly if they are low for an extended period of time, there is an increased chance RME will be improperly reprocessed and, if used on a patient, put that patient\u2019s safety at risk. A 2018 VA Office of Inspector General report on the Washington D.C. VAMC found that consistent SPS understaffing was a factor in SPS staff not being available to meet providers\u2019 need for reprocessed RME; according to the report, \u201cveterans were put at risk because important supplies and instruments were not consistently available in patient care areas.\u201d", "While VHA is aware of these workforce challenges cited by VISN and VAMC officials, it has not studied SPS staffing at VAMCs. As a result, it does not know whether or to what extent the workforce challenges VISNs and VAMCs report adversely affect VAMCs\u2019 ability to effectively operate their SPS programs and ensure safe care for veterans. A National Program Office of Sterile Processing official indicated that while the office might have access to some of the necessary data from VAMC SPS departments, it does not have all the necessary data or staff needed to assess SPS staffing levels. Furthermore, the official added, conducting such a study would not be the responsibility of her office. Officials from the Workforce Management and Consulting Office said VHA is considering a study of SPS staffing, given the results of the VA Office of Inspector General 2018 review that identified high vacancy rates as a contributing factor to the challenges with the SPS program at the Washington D.C. VAMC. However, VHA does not have definitive plans to complete this type of study or a timeframe for when the decision will be made. Until the study is conducted and actions are taken based on the study, as appropriate, VHA will not have addressed a potential risk to its SPS programs. This is inconsistent with standards for internal control in the federal government for risk assessment, which state that management should identify, analyze, and respond to risks related to achieving defined objectives. Without examining SPS workforce needs, and taking action based on this assessment, as appropriate, VHA lacks reasonable assurance that its approach to SPS staffing helps ensure veterans\u2019 access to care and safety."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The proper reprocessing of surgical instruments and other RME used in medical procedures is critical for ensuring veterans\u2019 access to safe care. We have previously found that VA had not provided enough guidance to ensure SPS staff were reprocessing RME correctly; in 2016, VA issued Directive 1116(2)\u2014with requirements for the SPS program. While this is a good step, our current review shows that VHA needs to strengthen its oversight of VAMCs\u2019 adherence to these requirements. VHA has not ensured that it has complete information from inspections of VAMCs, nor does VHA consistently share inspection results and other information that could help VAMCs meet the requirements. Without analysis of complete information from inspections and consistent sharing of this information, VHA does not have reasonable assurance that VAMCs are following all RME policies, and VHA is missing an opportunity to strengthen VAMCs\u2019 adherence to RME requirements.", "Furthermore, officials from some VISNs and selected VAMCs report challenges meeting two RME policy requirements\u2014the climate control and the reprocessing transportation deadline requirements. If VHA implements a recommendation we made in 2017 for the agency to obtain feedback from VISNs and VAMCs on their efforts to implement VHA policies and take the appropriate actions, it could help with these challenges. Additionally, while nearly all of the officials from the 18 VISNs and selected VAMCs interviewed reported challenges maintaining a sufficient SPS workforce, VHA does not know whether the current SPS workforce addresses VAMCs\u2019 SPS workforce needs. VHA officials say that VHA is considering studying its SPS workforce; however, it has not done so or announced a timeframe for doing so. Until it conducts such a study, VHA will not know whether or to what extent reported SPS workforce challenges adversely affect the ability of VAMCs to effectively operate their SPS programs and ensure access to safe care for veterans."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to VHA:", "The Under Secretary of Health should ensure all RME inspections are being conducted and reported as required and that the inspection results VHA has are complete. (Recommendation 1)", "The Under Secretary of Health should consistently analyze and share top common RME inspection findings and possible solutions with VISNs and VAMCs. (Recommendation 2)", "The Under Secretary of Health should examine the SPS workforce needs and take action based on this assessment, as appropriate. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to VA for comment. In its written comments, which are provided in appendix III, VA concurred with our recommendations.", "In its comments, VA acknowledged the need for complete RME inspection information, stating that VHA will establish an oversight process for reviewing and monitoring findings from site inspections and for reporting this information to VHA leadership. Further, VA noted that VHA will analyze data from RME inspections and share findings and possible solutions with VISNs and VAMCs via a written briefing that will be published on VHA\u2019s website and discussed during educational sessions and national calls. VA also noted that VHA has an interdisciplinary work group that has identified actions it can take to address SPS workforce needs, including implementing an enhanced market-based approach for determining pay levels and developing a staffing model so VAMCs can determine what staffing levels they need to more effectively operate their SPS programs. VA expects VHA to complete all of these actions by July 2019 or earlier.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of Veterans Affairs. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Sharon M. Silas at (202) 512-7114 or silass@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs can be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Top VHA Reusable Medical Equipment Issues among Select Veterans Affairs Medical Centers, Fiscal Year 2017", "paragraphs": ["Our review of the 27 fiscal year 2017 inspections of VAMCs conducted by Veterans Integrated Service Networks (VISN) for which VHA did not have inspection reports identified a number of common reusable medical equipment (RME) issues among the select VAMCs. The top 10 are listed in table 2 below."], "subsections": []}, {"section_title": "Appendix II: Percentage of Issue Briefs Related to Reusable Medical Equipment by Category, Fiscal Years 2015-2017", "paragraphs": ["Our review of the Veterans Health Administration (VHA) summary of issue briefs for fiscal years 2015 through 2017 identified three major categories of issues related to reusable medical equipment (RME). See table 3 below for the percentage of all issue briefs that fell into each of these three categories."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karin Wallestad (Assistant Director), Teresa Tam (Analyst-in-Charge), Kenisha Cantrell, Michael Zose, and Krister Friday made major contributions to this report. Also contributing were Kaitlin Farquharson, Diona Martyn, and Muriel Brown."], "subsections": []}]}], "fastfact": ["Reusable medical equipment, such as a flexible, camera-bearing endoscope, must be reprocessed between uses. It must be cleaned, disinfected or sterilized. The Veterans Health Administration has rules for such steps and oversees the process in VA Medical Centers.", "We found VHA did not have complete reprocessing inspection results and can't ensure that its medical centers are following its rules. We also found VHA does not know whether its current workforce is adequate to operate reprocessing programs and ensure access to safe care for veterans.", "We recommended that VHA take steps to ensure inspections occur and that it examine workforce needs."]} {"id": "GAO-18-520T", "url": "https://www.gao.gov/products/GAO-18-520T", "title": "Cybersecurity: DHS Needs to Enhance Efforts to Improve and Promote the Security of Federal and Private-Sector Networks", "published_date": "2018-04-24T00:00:00", "released_date": "2018-04-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The emergence of increasingly sophisticated threats and continuous reporting of cyber incidents underscores the continuing and urgent need for effective information security. GAO first designated information security as a government-wide high- risk area in 1997. GAO expanded the high-risk area to include the protection of cyber critical infrastructure in 2003 and protecting the privacy of personally identifiable information in 2015.", "Federal law and policy provide DHS with broad authorities to improve and promote cybersecurity. DHS plays a key role in strengthening the cybersecurity posture of the federal government and promoting cybersecurity of systems supporting the nation's critical infrastructures.", "This statement highlights GAO's work related to federal programs implemented by DHS that are intended to improve federal cybersecurity and cybersecurity over systems supporting critical infrastructure. In preparing this statement, GAO relied on a body of work issued since fiscal year 2016 that highlighted, among other programs, DHS's NCPS, national integration center activities, and cybersecurity workforce assessment efforts."]}, {"section_title": "What GAO Found", "paragraphs": ["In recent years, the Department of Homeland Security (DHS) has acted to improve and promote the cybersecurity of federal and private-sector computer systems and networks, but further improvements are needed. Specifically, consistent with its statutory authorities, DHS has made important progress in implementing programs and activities that are intended to mitigate cybersecurity risks on the computer systems and networks supporting federal operations and our nation's critical infrastructure. For example, the department has:", "issued cybersecurity related binding operational directives to federal agencies;", "served as the federal-civilian interface for sharing cybersecurity related information with federal and nonfederal entities;", "Framework for Improving Critical Infrastructure Cybersecurity ; and", "Nevertheless, the department has not taken sufficient actions to ensure that it successfully mitigates cybersecurity risks on federal and private-sector computer systems and networks. For example, GAO reported in 2016 that DHS's National Cybersecurity Protection System (NCPS) had only partially met its stated system objectives of detecting and preventing intrusions, analyzing malicious content, and sharing information. GAO recommended that DHS enhance capabilities, improve planning, and support greater adoption of NCPS.", "In addition, although the department's National Cybersecurity and Communications Integration Center generally performed required functions such as collecting and sharing cybersecurity related information with federal and non-federal entities, GAO reported in 2017 that the center needed to evaluate its activities more completely. For example, the extent to which the center had performed its required functions in accordance with statutorily defined implementing principles was unclear, in part, because the center had not established metrics and methods by which to evaluate its performance against the principles. Further, in its role as the lead federal agency for collaborating with eight critical infrastructure sectors including the communications and dams sectors, DHS had not developed metrics to measure and report on the effectiveness of its cyber risk mitigation activities or on the cybersecurity posture of the eight sectors.", "GAO reported in 2018 that DHS had taken steps to assess its cybersecurity workforce; however, it had not identified all of its cybersecurity positions and critical skill requirements.", "Until DHS fully and effectively implements its cybersecurity authorities and responsibilities, the department's ability to improve and promote the cybersecurity of federal and private-sector networks will be limited."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Since fiscal year 2016, GAO has made 29 recommendations to DHS to enhance the capabilities of NCPS, establish metrics and methods for evaluating performance, and fully assess its cybersecurity workforce, among other things. As of April 2018, DHS had not demonstrated that it had fully implemented most of the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to appear at today\u2019s hearing on how federal government programs implemented by the Department of Homeland Security (DHS) are mitigating cybersecurity risk for federal and private- sector networks. As recent cyberattacks have illustrated, the need for robust and effective cybersecurity has never been greater.", "At your request, I will provide an overview of our work issued since 2016 related to federal programs implemented by DHS that are intended to improve federal cybersecurity and cybersecurity over systems supporting critical infrastructure. My statement highlights our cybersecurity audit findings and recommendations, including recommendations for improving DHS\u2019s implementation of its cybersecurity authorities and management of federal programs to mitigate cyber risks on networks.", "In developing this testimony, we relied on our previous reports, as well as information provided by DHS on its actions in response to our previous recommendations. We also considered information security related information that the Office of Management and Budget reported to Congress for fiscal year 2017. A more detailed discussion of the objectives, scope, and methodology for this work is included in each of the reports that are cited throughout this statement.", "We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform audits to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides such a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications networks, and financial services\u2014are dependent on computerized (cyber) information systems and electronic data to process, maintain, and report essential information, and to operate and control physical processes. Virtually all federal operations are supported by computer systems and electronic data, and agencies would find it difficult, if not impossible, to carry out their missions and account for their resources without these information assets. Hence, the security of these systems and data is vital to public confidence and the nation\u2019s safety, prosperity, and well-being. Ineffective security controls to protect these systems and data could have a significant impact on a broad array of government operations and assets.", "Yet, computer networks and systems used by federal agencies are often riddled with security vulnerabilities\u2014both known and unknown. These systems are often interconnected with other internal and external systems and networks, including the Internet, thereby increasing the number of avenues of attack and expanding their attack surface.", "Furthermore, safeguarding federal computer systems has been a long- standing concern. This year marks the 21st anniversary of when GAO first designated information security as a government-wide high-risk area in 1997. We expanded this high-risk area to include safeguarding the systems supporting our nation\u2019s critical infrastructure in 2003 and protecting the privacy of personally identifiable information in 2015.", "Over the last several years, we have made about 2,500 recommendations to agencies aimed at improving the security of federal systems and information. These recommendations identified actions for agencies to take to strengthen their information security programs and technical controls over their computer networks and systems. Nevertheless, many agencies continue to be challenged in safeguarding their information systems and information, in part because they have not implemented many of these recommendations. As of March 2018, about 885 of our prior information security-related recommendations had not been implemented."], "subsections": [{"section_title": "Federal Law and Policy Provide DHS with Broad Authorities to Improve and Promote Cybersecurity", "paragraphs": ["DHS has broad authorities to improve and promote cybersecurity of federal and private-sector networks. The federal laws and policies that underpin these authorities include the following:", "The Federal Information Security Modernization Act (FISMA) of 2014 clarified and expanded DHS\u2019s responsibilities for assisting with the implementation of, and overseeing, information security at federal agencies. These responsibilities include requirements to: develop, issue, and oversee agencies\u2019 implementation of binding operational directives to agencies, including directives for incident reporting, contents of annual agency reports, and other operational requirements; monitor agencies\u2019 implementation of information security policies provide operational and technical assistance to agencies, including by operating the federal information security incident center, deploying technology to continuously diagnose and mitigate threats, and conducting threat and vulnerability assessments of systems.", "Act of 2014, among other things, requires DHS to assess its cybersecurity workforce. In this regard, the Secretary of Homeland Security is to identify all positions in DHS that perform cybersecurity functions and to identify cybersecurity work categories and specialty areas of critical need.", "The National Cybersecurity Protection Act of 2014 codified the role of the National Cybersecurity and Communications Integration Center (NCCIC)\u2014a center established by DHS in 2009\u2014as the federal civilian interface for sharing information concerning cybersecurity risks, incidents, analysis, and warnings to federal and non-federal entities, including owners and operators of information systems supporting critical infrastructure.", "The Cybersecurity Act of 2015, among other things, sets forth authority for enhancing the sharing of cybersecurity-related information among federal and non-federal entities. The act gives DHS\u2019s NCCIC responsibility for implementing this information sharing authority. The act also requires DHS to: Jointly develop with other specified agencies and submit to Congress, procedures for sharing federal cybersecurity threat information and defensive measures with federal and non-federal entities.", "Deploy, operate, and maintain capabilities to prevent and detect cybersecurity risks in network traffic traveling to or from an agency\u2019s information system. DHS is to make these capabilities available for use by any agency. In addition, the act requires DHS to improve intrusion detection and prevention capabilities, as appropriate, by regularly deploying new technologies and modifying existing technologies.", "Long-standing federal policy as promulgated by a presidential policy directive, executive orders, and the National Infrastructure Protection Plan have designated DHS as a lead federal agency for coordinating, assisting, and sharing information with the private-sector to protect critical infrastructure from cyber threats."], "subsections": []}]}, {"section_title": "DHS Has Acted to Improve and Promote the Cybersecurity of Federal and Private- Sector Computer Systems, but Further Improvements Are Needed", "paragraphs": ["We have reviewed several federal programs and activities implemented by DHS that are intended to mitigate cybersecurity risk for the computer systems and networks supporting federal operations and our nation\u2019s critical infrastructure. These programs and activities include deploying the National Cybersecurity Protection System, providing continuous diagnostic and mitigation services, issuing binding operational directives, sharing information through the National Cybersecurity and Communications Integration Center, promoting adoption of a cybersecurity framework, and assisting private-sector partners with cyber risk mitigation activities. We also examined DHS\u2019s efforts to assess its cybersecurity workforce. DHS has made important progress in implementing these programs and activities. However, the department needs to take additional actions to ensure that it successfully mitigates cybersecurity risks on federal and private-sector computer systems and networks."], "subsections": [{"section_title": "DHS Needs to Enhance Capabilities, Improve Planning, and Support Greater Adoption of Its National Cybersecurity Protection System", "paragraphs": ["DHS is responsible for operating its National Cybersecurity Protection System (NCPS), operationally known as EINSTEIN. NCPS is intended to provide intrusion detection and prevention capabilities to entities across the federal government. It also is intended to provide DHS with capabilities to detect malicious traffic traversing federal agencies\u2019 computer networks, prevent intrusions, and support data analytics and information sharing.", "In January 2016, we reported that the NCPS was partially, but not fully, meeting most of its stated four system objectives: Intrusion detection: We noted that NCPS provided DHS with a limited ability to detect potentially malicious activity entering and exiting computer networks at federal agencies. Specifically, NCPS compared network traffic to known patterns of malicious data, or \u201csignatures,\u201d but did not detect deviations from predefined baselines of normal network behavior. In addition, the system did not monitor several types of network traffic and its \u201csignatures\u201d did not address threats that exploited many common security vulnerabilities and, thus was not effective in detecting certain types of malicious traffic.", "Intrusion prevention: The capability of NCPS to prevent intrusions (e.g., blocking an e-mail determined to be malicious) was limited to the types of network traffic that it monitored. For example, the intrusion prevention function monitored and blocked e-mail. However, it did not address malicious content from other types of network traffic.", "Analytics: NCPS supports a variety of data analytical tools, including a centralized platform for aggregating data and a capability for analyzing the characteristics of malicious code. In addition, DHS had further enhancements to this capability planned through 2018.", "Information sharing: DHS had not developed most of the planned functionality for NCPS\u2019s information-sharing capability, and requirements had only recently been approved. Moreover, we noted that agencies and DHS did not always agree about whether notifications of potentially malicious activity had been sent or received, and agencies had mixed views about the usefulness of these notifications. Further, DHS did not always solicit\u2014and agencies did not always provide\u2014feedback on the notifications.", "We recommended that DHS take nine actions to enhance NCPS\u2019s capabilities for meeting its objectives, better define requirements for future capabilities, and develop network routing guidance. The department agreed with our recommendations; however, as of April 2018, it had not fully implemented 8 of the 9 recommendations. As part of a review mandated by the Federal Cybersecurity Enhancement Act of 2015, we are currently examining DHS\u2019s efforts to improve its intrusion detection and prevention capabilities."], "subsections": []}, {"section_title": "DHS Needs to Continue to Advance CDM Program to Protect Federal Systems", "paragraphs": ["The Continuous Diagnostics and Mitigation (CDM) program was established to provide federal agencies with tools and services that have the intended capability to automate network monitoring, correlate and analyze security-related information, and enhance risk-based decision making at agency and government-wide levels. These tools include sensors that perform automated scans or searches for known cyber vulnerabilities, the results of which can feed into a dashboard that alerts network managers and enables the agency to allocate resources based on the risk.", "DHS, in partnership with, and through the General Services Administration, established a government-wide acquisition vehicle for acquiring CDM capabilities and tools. The CDM blanket purchase agreement is available to federal, state, local, and tribal government entities for acquiring these capabilities.", "There are three phases of CDM implementation and the dates for implementing Phase 2 and Phase 3 appear to be slipping: Phase 1: This phase involves deploying products to automate hardware and software asset management, configuration settings, and common vulnerability management capabilities. According to the Cybersecurity Strategy and Implementation Plan, DHS purchased Phase 1 tools and integration services for all participating agencies in fiscal year 2015.", "Phase 2: This phase intends to address privilege management and infrastructure integrity by allowing agencies to monitor users on their networks and to detect whether users are engaging in unauthorized activity. According to the Cybersecurity Strategy and Implementation Plan, DHS was to provide agencies with additional Phase 2 capabilities throughout fiscal year 2016, with the full suite of CDM phase 2 capabilities delivered by the end of that fiscal year. However, according to the Office of Management and Budget\u2019s (OMB) FISMA Annual Report to Congress for Fiscal Year 2017, the CDM program began deploying Phase 2 tools and sensors during fiscal year 2017.", "Phase 3: According to DHS, this phase is intended to address boundary protection and event management throughout the security life cycle. It focuses on detecting unusual activity inside agency networks and alerting security personnel. The agency had planned to provide 97 percent of federal agencies the services they need for CDM Phase 3 in fiscal year 2017. However, according to OMB\u2019s FISMA report for fiscal year 2017, the CDM program will continue to incorporate additional capabilities, including Phase 3, in fiscal year 2018.", "In May 2016, we reported that most of the 18 agencies covered by the CFO Act that had high-impact systems were in the early stages of implementing CDM. All 17 of the civilian agencies that we surveyed indicated they had developed their own strategy for information security continuous monitoring. Additionally, according to the survey responses, 14 of the 17 civilian agencies had deployed products to automate hardware and software asset configuration settings and common vulnerability management.", "Further, more than half of these agencies noted that they had leveraged products/tools provided through the General Services Administration\u2019s acquisition vehicle. However, only 2 of the 17 agencies reported that they had completed installation of agency and bureau/component-level dashboards and monitored attributes of authorized users operating in their agency\u2019s computing environment. Agencies noted that expediting the implementation of the CDM phases could be of benefit to them in further protecting their high-impact systems.", "Subsequently, in March 2017, we reported that the effective implementation of the CDM tools and capabilities can assist agencies in overcoming the challenges of securing their information systems and information. We noted that our audits often identify insecure configurations, unpatched or unsupported software, and other vulnerabilities in agency systems. Thus, the tools and capabilities available under the CDM program, when effectively used by agencies, can help them to diagnose and mitigate vulnerabilities to their systems. We reported that, by continuing to make these tools and capabilities available to federal agencies, DHS can also have additional assurance that agencies are better positioned to protect their information systems and information."], "subsections": []}, {"section_title": "Other DHS Services Are Available to Help Protect Systems but Are Not Always Used by Agencies", "paragraphs": ["Beyond the NCPS and CDM programs, DHS also provides a number of services that could help agencies protect their information systems. Such services include, but are not limited to:", "US-CERT monthly operational bulletins, which are intended to provide senior federal government information security officials and staff with actionable information to improve their organization\u2019s cybersecurity posture based on incidents observed, reported, or acted on by DHS and US-CERT.", "CyberStat reviews, which are in-depth sessions attended by National Security Staff, as well as officials from OMB, DHS, and an agency to discuss that agency\u2019s cybersecurity posture and opportunities for collaboration. According to OMB, these interviews are face-to-face, evidence-based meetings intended to ensure agencies are accountable for their cybersecurity posture. The sessions are intended to assist the agencies in developing focused strategies for improving their information security posture in areas where there are challenges.", "DHS Red and Blue Team exercises that are intended to provide services to agencies for testing their systems with regard to potential attacks. A Red Team emulates a potential adversary\u2019s attack or exploitation capabilities against an agency\u2019s cybersecurity posture. The Blue Team defends an agency\u2019s information systems when the Red Team attacks, typically as part of an operational exercise conducted according to rules established and monitored by a neutral group.", "In May 2016, we reported that, although participation in these services varied among the 18 agencies we surveyed, most of those that chose to participate reported that they generally found these services to be useful in aiding the cybersecurity protection of their high-impact systems. Specifically,", "15 of 18 agencies reported that they participated in US-CERT monthly operational bulletins, and most said they found the service very or somewhat useful.", "All 18 agencies reported that they participated in the CyberStat reviews, and most said they found the service very or somewhat useful.", "9 of 18 agencies reported that they participated in DHS\u2019 Red/Blue team exercises, and most said they found the exercises to be very or somewhat useful.", "Half of the 18 agencies in our survey reported that they wanted an expansion of federal initiatives and services to help protect their high- impact systems. For example, these agencies noted that expediting the implementation of CDM phases, sharing threat intelligence information, and sharing attack vectors, could be of benefit to them in further protecting their high-impact systems. We believe that by continuing to make these services available to agencies, DHS will be better able to assist agencies in strengthening the security of their information systems."], "subsections": []}, {"section_title": "DHS Has Issued Binding Operational Directives to Federal Agencies", "paragraphs": ["FISMA authorizes DHS to develop and issue binding operational directives to federal agencies and oversee their implementation by agencies. The directives are compulsory and require agencies to take specific actions that are intended to safeguard federal information and information systems from a known threat, vulnerability, or risk.", "In September 2017, we reported that DHS had developed and issued four binding operational directives as of July 2017, instructing agencies to: mitigate critical vulnerabilities discovered by DHS\u2019s NCCIC through its scanning of agencies\u2019 Internet-accessible systems; participate in risk and vulnerability assessments as well as DHS security architecture assessments conducted on agencies\u2019 high-value assets; address several urgent vulnerabilities in network infrastructure devices identified in a NCCIC analysis report within 45 days of the directive\u2019s issuance; and report cyber incidents and comply with annual FISMA reporting requirements.", "Since July 2017, DHS has issued two additional binding operational directives instructing agencies to: identify and remove the presence of any information security products developed by AO Kaspersky Lab on their information systems and discontinue the use of such products; and enhance e-mail by, among other things, removing certain insecure protocols, and ensure public facing web sites provide services through a secure connection.", "We plan to initiate work later this year to identify and assess DHS\u2019s process for developing and overseeing agencies\u2019 implementation of binding operational directives."], "subsections": []}, {"section_title": "DHS\u2019s National Integration Center Generally Performs Required Functions but Needs to Evaluate Its Activities More Completely", "paragraphs": ["In February 2017, we reported that NCCIC had taken steps to perform each of its 11 statutorily required cybersecurity functions, such as being a federal civilian interface for sharing cybersecurity-related information with federal and nonfederal entities. NCCIC managed several programs that provided data used in developing 43 products and services that the center made available to its customers in the private-sector; federal, state, local, tribal and territorial government entities; and other partner organizations. For example, NCCIC issued indicator bulletins, which could contain information related to cyber threat indicators, defensive measures, and cybersecurity risks and incidents, and helped to fulfill its function to coordinate the sharing of such information across the government. Respondents to a survey that we administered to NCCIC\u2019s customers varied in their reported use of NCCIC\u2019s products but had generally favorable views of the center\u2019s activities.", "The National Cybersecurity Protection Act also required NCCIC to carry out its functions in accordance with nine implementing principles, to the extent practicable. However, as we reported, the extent to which NCCIC adhered to the 9 principles when performing the functions was unclear because the center had not yet determined the applicability of the principles to all 11 functions. It also had not established metrics and methods by which to evaluate its performance against the principles.", "We also identified several impediments to NCCIC performing its cybersecurity functions more efficiently. For example, the center did not have a centralized system for tracking security incidents and, as a result, could not produce a report on the status of all incidents reported to the center. In addition, the center did not keep current and reliable customer information and was unable to demonstrate that it had contact information for all owners and operators of the most critical cyber-dependent infrastructure assets.", "We made nine recommendations to DHS for enhancing the effectiveness and efficiency of NCCIC. Among other activities, these recommendations called for the department to determine the applicability of the implementing principles and establish metrics and methods for evaluating performance; and address identified impediments. DHS agreed with the recommendations; however, as of April 2018, all nine recommendations remained unimplemented."], "subsections": []}, {"section_title": "Additional Actions by DHS Are Needed for Promoting and Assessing Private- Sector Adoption of the Cybersecurity Framework", "paragraphs": ["An executive order issued by the President in February 2013 (E.O. 13636) states that sector-specific agencies (SSA), which include DHS, are to review the National Institute of Standards and Technology Framework for Improving Critical Infrastructure Cybersecurity (cybersecurity framework) and, if necessary, develop implementation guidance or supplemental materials to address sector-specific risks and operating environments.", "In February 2014, DHS launched the Critical Infrastructure Cyber Community Voluntary Program to assist the enhancement of critical infrastructure cybersecurity and to encourage adoption of the framework across the critical infrastructure sectors. In addition, DHS, as the SSA and co-SSA for 10 critical infrastructure sectors, had developed framework implementation guidance for some of the sectors it leads.", "Nevertheless, we reported weaknesses in DHS\u2019s efforts to promote the use of the framework across the sectors and within the sectors it leads. Specifically, in December 2015, we reported that DHS did not measure the effectiveness of cyber community voluntary program to encourage use of the Cybersecurity Framework. In addition, DHS and GSA, which are the co-SSAs for the government facilities sector, had yet to determine if sector implementation guidance should be developed for the government facilities sector. Further, in February 2018, we reported that none of the SSAs, to include DHS, had measured the cybersecurity framework\u2019s implementation by entities within their respective sectors, in accordance with the nation\u2019s plan for national critical infrastructure protection efforts.", "We made two recommendations to DHS to better facilitate adoption of the Cybersecurity Framework across the critical infrastructure sectors and within the government facilities sector. We also recommended that DHS develop methods for determining the level and type of framework adoption by entities across their respective sectors. DHS concurred with the three recommendations. As of April 2018, only the recommendation related to the government facilities sector has been implemented."], "subsections": []}, {"section_title": "DHS Needs to Better Measure Effectiveness of Cyber Risk Mitigation Activities with Critical Infrastructure Sector Partners", "paragraphs": ["Presidential Policy Directive-21 issued by the President in February 2013, states that SSAs are to collaborate with critical infrastructure owners and operators to strengthen the security and resiliency of the nation\u2019s critical infrastructure.", "In November 2015, we reported that the SSAs, including DHS, generally used multiple public-private mechanisms to facilitate the sharing of cybersecurity related information. For example, DHS used coordinating councils and working groups of federal and nonfederal stakeholders to facilitate coordination with each other. In addition, the department\u2019s NCCIC received and disseminated cyber-related information for public and private-sector partners.", "Nevertheless, we identified deficiencies in critical infrastructure partners\u2019 efforts to collaborate to monitor progress towards improving cybersecurity within the sectors. Specifically, the SSAs for 12 sectors, including DHS for 8 sectors, had not developed metrics to measure and report on the effectiveness of their cyber risk mitigation activities or their sectors\u2019 cybersecurity posture. This was because, among other reasons, the SSAs rely on their private-sector partners to voluntarily share information needed to measure efforts.", "We made two recommendations to DHS\u2014one recommendation based on its role as the SSA for 8 sectors and one recommendation based on its role as the co-SSA for 1 sector\u2014to collaborate with sector partners to develop performance metrics and determine how to overcome challenges to reporting the results of their cyber risk mitigation activities. DHS concurred with the two recommendations. As of April 2018, DHS has not demonstrated that it has implemented these recommendations."], "subsections": []}, {"section_title": "DHS has taken Steps to Identify its Workforce Gaps; However, It Urgently Needs to Take Actions to Identify Its Position and Critical Skill Requirements", "paragraphs": ["In February 2018, we reported that DHS had taken actions to identify, categorize, and assign employment codes to its cybersecurity positions, as required by the Homeland Security Cybersecurity Workforce Assessment Act of 2014. However, its actions had not been timely and complete. For example, DHS had not met statutorily defined deadlines for completing actions to identify and assign codes to cybersecurity positions or ensured that its procedures to identify, categorize, and code its cybersecurity positions addressed vacant positions, as required by the act. The department also had not (1) identified the individual within each DHS component agency who was responsible for leading and overseeing the identification and coding of the component\u2019s cybersecurity positions or (2) reviewed the components\u2019 procedures for consistency with departmental guidance.", "In addition, DHS had not yet completed its efforts to identify all of the department\u2019s cybersecurity positions and accurately assign codes to all filled and vacant cybersecurity positions. In August 2017, DHS reported to the Congress that it had coded 95 percent of the department\u2019s identified cybersecurity positions. However, we determined that the department had, at that time, coded approximately 79 percent of the positions. DHS overstated the percentage of coded positions primarily because it excluded vacant positions, even though the act required the department to report such positions.", "Further, although DHS had taken steps to identify its workforce capability gaps, it had not identified or reported to the Congress on its department- wide cybersecurity critical needs that align with specialty areas. The department also had not annually reported its cybersecurity critical needs to the Office of Personnel Management (OPM), as required; and it had not developed plans with clearly defined time frames for doing so.", "We recommended that DHS take six actions, including ensuring that its cybersecurity workforce procedures identify position vacancies and responsibilities; reported workforce data are complete and accurate; and plans for reporting on critical needs are developed. DHS concurred with the six recommendations and stated that it plans to take actions to address them by June 2018.", "In conclusion, DHS is unique among federal civilian agencies in that it is responsible for improving and promoting the cybersecurity of not only its own internal computer systems and networks but also those of other federal agencies and the private-sector owners and operators of critical infrastructure. Consistent with its statutory authorities and responsibilities under federal policy, the department has acted to assist federal agencies and private-sector partners in bolstering their cybersecurity capabilities.", "However, the effectiveness of DHS\u2019s activities has been limited or not clearly understood because of shortcomings with its programs and a lack of useful performance measures. DHS needs to enhance its capabilities; expedite delivery of services; continue to provide guidance and assistance to federal agencies and private-sector partners; and establish useful performance metrics to assess the effectiveness of its cybersecurity-related activities. In addition, developing and maintaining a qualified cybersecurity workforce needs to be a priority for the department. Until it fully and effectively performs its cybersecurity authorities and responsibilities, DHS\u2019s ability to improve and promote the cybersecurity of federal and private-sector networks will be limited.", "Chairman Johnson, Ranking Member McCaskill, and Members of the Committee, this concludes my statement. I would be pleased to respond to your questions."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement.", "GAO staff who made key contributions to this testimony are Nabajyoti Barkakati, Chris Currie, Larry Crosland, Tammi Kalugdan, David Plocher, Di\u2019Mond Spencer, and Priscilla Smith."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["GAO, Critical Infrastructure Protection: Additional Actions Are Essential for Assessing Cybersecurity Framework Adoption, GAO-18-211 (Washington, D.C.: Feb. 15, 2018).", "GAO, Cybersecurity Workforce: Urgent Need for DHS to Take Actions to Identify Its Position and Critical Skill Requirements, GAO-18-175 (Washington, D.C.: Feb. 6, 2018).", "GAO, Federal Information Security: Weaknesses Continue to Indicate Need for Effective Implementation of Policies and Practices, GAO-17-549 (Washington, D.C.: Sept. 28, 2017).", "GAO, Cybersecurity: Federal Efforts Are Under Way That May Address Workforce Challenges, GAO-17-533T (Washington, D.C.: Apr. 4, 2017).", "GAO, Information Security: DHS Needs to Continue to Advance Initiatives to Protect Federal Systems, GAO-17-518T (Washington, D.C.: Mar. 28, 2017).", "GAO, High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others, GAO-17-317 (Washington, D.C.: Feb. 15, 2017).", "GAO, Cybersecurity: Actions Needed to Strengthen U.S. Capabilities, GAO-17-440T (Washington, D.C.: Feb. 14, 2017).", "GAO, Cybersecurity: DHS\u2019s National Integration Center Generally Performs Required Functions but Needs to Evaluate Its Activities More Completely, GAO-17-163 (Washington, D.C.: Feb. 1, 2017).", "GAO, Information Security: DHS Needs to Enhance Capabilities, Improve Planning, and Support Greater Adoption of Its National Cybersecurity Protection System, GAO-16-294 (Washington, D.C.: Jan. 28, 2016).", "GAO, Critical Infrastructure Protection: Measures Needed to Assess Agencies\u2019 Promotion of the Cybersecurity Framework, GAO-16-152 (Washington, D.C.: Dec. 17, 2015).", "GAO, Critical Infrastructure Protection: Sector-Specific Agencies Need to Better Measure Cybersecurity Progress, GAO-16-79 (Washington, D.C.: Nov. 19, 2015).", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-18-217", "url": "https://www.gao.gov/products/GAO-18-217", "title": "Defense Acquisition Workforce: Opportunities Exist to Improve Practices for Developing Program Managers", "published_date": "2018-02-15T00:00:00", "released_date": "2018-02-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Defense's (DOD) major acquisition programs continue to experience cost and schedule overruns. GAO previously found that selecting skilled program managers is a key factor to achieving successful program outcomes. DOD relies on military and civilian program managers to deliver its most expensive new weapon systems, meaning its approach to training, mentoring, retaining, and selecting program managers is critical.", "House Report 114-537 included a provision for GAO to review the career paths, development, and incentives for program managers. This report addresses how leading organizations train, mentor, retain, and ultimately select program managers; and the extent to which military service practices align with those leading practices. To conduct this work, GAO identified leading practices documented in prior work and by the Project Management Institute, and interviewed commercial companies identified by the Institute as leaders in this field. GAO also analyzed military service practices for developing program managers and compared those to leading practices."]}, {"section_title": "What GAO Found", "paragraphs": ["Leading organizations use 10 key practices to train, mentor, retain, and ultimately select skilled program managers. GAO found that military service practices for developing program managers align extensively with four of the leading practices, as shown in the table below.", "At least one military service's practices do not align extensively with five of the leading practices, as shown in the table below.", "For the remaining leading practice, none of the military services' practices align extensively, as shown in the table below.", "Military service officials generally agreed with the assessments. More consistent alignment with leading practices\u2014adapted for military and civilian personnel as appropriate and including greater use of existing financial rewards\u2014would enhance the services' ability to manage acquisition programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations, including that the military services improve practices that do not align extensively with leading practices and make greater use of existing financial rewards for good performance. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Our most recent assessment of the Department of Defense\u2019s (DOD) current portfolio of major defense acquisition programs found that it consists of 78 programs, including aircraft, missile interceptors, submarines, and space-based sensors. We also found that the programs are now expected to cost over $1.46 trillion to acquire, which is $484 billion more than was expected when they established their first full estimates. Further, programs are now incurring an average delay of 31 months to deliver initial operating capability to the warfighter. We previously found that key factors to achieving successful cost and schedule outcomes include sound business cases, disciplined requirements setting, long-term investment strategies, and the selection of skilled, experienced, and well-trained program managers.", "To run these 78 major defense acquisition programs, DOD relies on military and civilian program managers tasked with developing and delivering new weapon systems while balancing factors that influence cost, schedule, and performance and ensuring that systems are high quality, supportable, and effective. To fulfill these responsibilities, program managers require a certain scope of expertise to coordinate with a broad array of military service and DOD officials, outside suppliers, and internal and external oversight entities. Therefore, DOD\u2019s approach to talent management\u2014which we define as training, mentoring, retaining, and then selecting program managers\u2014is critical for developing the right people.", "The House Committee on Armed Services, in House Report 114-537, accompanying H.R. 4909 (National Defense Authorization Act for Fiscal Year 2017), included a provision for GAO to conduct a study of the career paths, development, and incentives for DOD program managers, and identify opportunities for more effective approaches. This report addresses (1) how leading organizations train, mentor, retain, and select program managers and (2) the extent to which the military services\u2019 practices for training, mentoring, retaining, and selecting program managers align with those of leading organizations.", "To identify how leading organizations train, mentor, retain, and select program managers, we first reviewed GAO\u2019s Standards for Internal Control in the Federal Government and prior GAO reports to identify criteria regarding the controls that federal agencies such as DOD should have in place to manage talent. We reviewed documentation from the Project Management Institute, a not-for-profit association that provides global standards for project and program management. We also selected and spoke with four commercial companies identified by the Project Management Institute as leading organizations for developing program managers to learn about their practices. These companies were AstraZeneca, a biopharmaceutical company; Boeing, a global aerospace company; DXC Technology, an information technology services company; and Rio Tinto, a mining company. Based on these reviews and discussions, we identified a set of leading practices for developing program managers in the areas of training, mentoring, retaining, and selecting.", "To identify the extent to which the military services\u2019 practices align with those of these leading organizations, we analyzed DOD, military service, and relevant sub-component documentation on training, mentoring, retaining, and selecting program managers for major defense acquisition programs. We also interviewed the Directors for Acquisition Career Management for the military services and officials from the Defense Acquisition University and the Office of Human Capital Initiatives, among others. See appendix I for more information about our scope and methodology.", "We conducted this performance audit from August 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["GAO\u2019s Standards for Internal Control in the Federal Government state that federal agencies\u2014such as DOD\u2014must demonstrate a commitment to training, mentoring, retaining, and selecting competent individuals, which would include program managers. These standards explain that federal agencies like DOD should provide training that enables individuals to develop competencies appropriate for key roles, reinforces standards of conduct, and can be tailored based on the needs of the role; mentor individuals by providing guidance on their performance based on standards of conduct and expectations of competence; retain individuals by providing incentives to motivate and reinforce expected levels of performance and desired conduct; and select individuals for key roles by conducting procedures to determine whether a particular candidate fits the organization\u2019s needs and has the competence for the proposed role.", "The Project Management Institute, as well as four companies that we included in this review, have also identified these activities as critical for developing program managers.", "Program managers for DOD\u2019s 78 major defense acquisition programs, along with program executive officers, their respective deputies, and program managers for certain non-major programs, occupy what DOD refers to as program management key leadership positions. There were 446 program management key leadership positions at the end of fiscal year 2016. They are in turn part of a broader program management career field, which numbers approximately 17,000 civilian and military personnel.", "The Air Force typically brings its future program managers for major defense acquisition programs into the career field early in their careers, and then provides training and experiences to prepare them for the role. In contrast, the Army and Navy typically bring their future program managers into the career field later in their careers and from other fields, such as engineering. As shown in table 1, at the end of fiscal year 2016, most program manager positions for major defense acquisition programs were held by military personnel.", "According to military service officials, when a military officer fills a program manager position, a civilian usually fills the deputy program manager position for that program and vice versa.", "Overarching guidance, training, and oversight for the defense acquisition workforce is provided centrally by DOD in the Office of the Under Secretary of Defense for Acquisition, Technology and Logistics, which includes Human Capital Initiatives and the Defense Acquisition University. Other officials and organizations that play key roles include the Defense Acquisition Functional leader for program management, who is responsible for establishing a competency model that reflects the knowledge and skills required to be successful in the career field, as well as position descriptions, requirements for key leadership positions, certification standards, and continuous learning activities; the Directors for Acquisition Career Management in each of the military services, who serve as key advisors for policy, coordination, implementation, and oversight of acquisition workforce programs within their services; and acquisition commands and program executive offices within each military service, which work together to manage acquisition programs and initiatives to improve the workforce.", "Over the last decade, Congress has passed several laws aimed at bolstering the acquisition workforce and specifically the program management career field. Provisions have included requiring DOD to develop a comprehensive strategy for enhancing the role of program managers, provide advancement opportunities for military personnel, and establish training programs for the acquisition workforce.", "Congress also established the Defense Acquisition Workforce Development Fund (DAWDF) in 2008 to provide funds for the recruitment, training, and retention of DOD acquisition personnel. Since the establishment of DAWDF, DOD has obligated more than $3.5 billion in DAWDF funds for these purposes. Of the more than $440 million in DAWDF funds obligated in fiscal year 2016, almost $12 million was obligated for the program management career field: $0.4 million was obligated for recruitment, $10.5 million was obligated for training, and $0.9 million was obligated for retention and recognition. Additional funds supported the salaries of 33 people hired into the career field during fiscal year 2016.", "To bolster the number of civilian personnel that could be selected for a program manager position, the National Defense Authorization Act for Fiscal Year 2018 requires DOD to implement a civilian program manager development program. The act states that the plan for such a program shall include consideration of qualifications, training, assignments and rotations, and retention benefits, among other things."], "subsections": []}, {"section_title": "Leading Organizations Use a Combination of Practices to Develop Program Manager Talent", "paragraphs": ["We identified 10 practices, across four distinct areas, used by leading organizations to develop program manager talent based on our extensive review of Project Management Institute documents and discussions with AstraZeneca, Boeing, DXC Technology, and Rio Tinto. These four areas correspond to the internal control standards discussed previously. Program managers at these companies share similar basic responsibilities with DOD program managers, including overseeing the development and production of goods and services in a timely and cost- effective manner. As shown in figure 1 below, leading organizations provide a mix of formal and informal training opportunities focused on sharing knowledge and providing experiences that prepare people for program management, offer mentoring opportunities to guide people along career paths use a mix of financial and nonfinancial incentives to retain high select program managers based on identification of high-potential talent and then assign program managers based on program needs.", "Boeing representatives noted that by using a combination of these practices, over the past 15 years, their program managers have primarily left positions due to promotion or retirement. Rio Tinto representatives noted that in a challenging environment for finding suitable external talent, they have been able to use these practices to successfully develop most of the talent they need internally. DXC Technology representatives noted that these practices enabled their program managers to receive better feedback and address skill gaps. An AstraZeneca representative noted that these practices have made it easier for people to get the range of experiences they need to move into leadership positions."], "subsections": [{"section_title": "Leading Organizations Focus Training on Sharing Knowledge and Gaining Experience", "paragraphs": ["The Project Management Institute identifies training as the most common component of development. Leading organizations we spoke with use venues like training classes to share knowledge and experiences. These organizations also expand people\u2019s knowledge and experience by encouraging rotation of talent across organizational boundaries. Leading organizations also provide access to on-the-job learning opportunities and repositories of best practices and lessons learned. Examples of practices used by commercial companies we spoke with are described below.", "Practice #1\u2014Training classes that allow program managers to share experiences: Boeing representatives told us that the company sends employees aspiring to be program managers to a 5-day, in-residence program manager workshop. Attendees simulate challenging program management scenarios and get exposure to senior executives who discuss best practices and share experiences. They are expected to make decisions quickly, and play different roles throughout the simulation so they can gain a better understanding of the consequences of their decisions. Similarly, DXC Technology holds multiday workshops for program managers where they participate in role-playing scenarios in which they have to react to a given situation that a program manager could face. One of the key benefits of the workshop noted by DXC Technology representatives is that they receive individual feedback on areas for improvement.", "Practice #2\u2014Rotational assignments: According to Boeing representatives, the company selects high-performing midcareer employees interested in program management for a 2-year rotation program in which they take leadership roles and solve difficult challenges facing a part of the business. These could be internal assignments within an individual\u2019s current business unit, or external assignments that cross organizational boundaries, for example, between Boeing\u2019s commercial, defense, and services businesses. Boeing representatives noted this as a valuable leadership opportunity for the people involved, which helps drive change in the organizations to which they are assigned. In order to expand people\u2019s capabilities and give them a broader perspective on the business, AstraZeneca regularly notifies its workforce\u2014via a monthly newsletter and an online portal\u2014of rotational opportunities lasting 6 months to a year. These rotations could be within an individual\u2019s business unit, or in a different location or part of the business.", "Practice #3\u2014On-the-job learning and information repositories: Rio Tinto representatives told us that the company has managers from one project participate in reviews and events for other projects in order to transfer knowledge. For example, a manager from a mining operation based in one country might visit a mining operation in another country to share ideas. Rio Tinto also retains the formal reviews that take place at the end of each project, as well as the lessons learned by the team itself, in an accessible document management system. Similarly, AstraZeneca uses online collaboration software to house project information that might help others. It has also established a community of practice and networking groups to share knowledge, and provides people moving into management positions a checklist of tasks and meetings to complete within their first 6 months. Boeing representatives told us that one way the company provides on-the-job training and support to program managers is by temporarily bringing in experts with prior experience to participate in a wide variety of activities across all types of programs. These activities include verifying designs and proactively identifying and resolving challenges such as manufacturing problems."], "subsections": []}, {"section_title": "Leading Organizations Facilitate Mentoring Relationships and Establish Program Management Career Paths", "paragraphs": ["The Project Management Institute identifies mentoring as a way of encouraging and supporting people. Leading organizations we spoke with have programs in place to facilitate mentor and mentee relationships. They expect senior people to serve as mentors. The organizations we spoke with also mentor employees by laying out the career paths they might need to follow to achieve the highest levels of program management within the organization. Examples of practices used by commercial companies we spoke with are described below.", "Practice #4\u2014Mentoring programs with senior leader involvement: According to Boeing representatives, the company offers voluntary mentoring programs\u2014both formal and informal\u2014at different points throughout an employee\u2019s career cycle, including the early stages. Depending on the career goals of an individual, Boeing offers both mentors and sponsors, who are senior leaders that nominate people\u2014 especially high performers\u2014for specific opportunities. At Boeing, there is an expectation that senior leaders will be involved in mentoring. For example, midcareer program managers can be matched with executives based on the preferences of the two parties. Relationships are reevaluated annually. Through these relationships, mentees get exposure to critical decisions, as well as other parts of the business. Rio Tinto representatives told us that the company has a formal mentoring program targeted at high-potential talent that partners people with senior leaders, including those from different departments. Senior leaders at Rio Tinto are expected to participate in long-term career development discussions for people two levels below them. The company also provides senior executives and other lower-level managers access to external coaches who focus more on leadership than technical company matters.", "Practice #5\u2014Career paths that describe skills needed to advance: According to DXC Technology representatives, the company has documented a program management career path that details the skills needed to be a program manager. The company annually identifies the developmental needs of employees, who can then take steps such as moving to another program to gain the required experience to address any gaps. This helps management make decisions that benefit both the individual and the company. Boeing representatives told us that the company has developed a general career path for many of its career fields, including program management, and encourages people to develop the skills they need by gaining experience in different career fields and business units. Boeing program managers we met with described the range of experiences they had within the company that equipped them for their roles, such as working on different kinds of aircraft and in technical and business functions."], "subsections": []}, {"section_title": "Leading Organizations Use a Mix of Financial and Nonfinancial Incentives to Retain People", "paragraphs": ["Leading practices identified by us and the Project Management Institute suggest that a combination of financial and nonfinancial incentives can be used to retain high performers. For example, leading organizations we spoke with offer student loan repayments and financing of higher education in compensation packages as financial incentives. They also provide monetary awards to recognize excellence in job performance and contributions to organizational goals. Nonfinancial incentives could include senior leadership recognizing strong performance in program management and emphasizing the idea that program management is prestigious, challenging, and key to business success. Examples of practices used by commercial companies we spoke with are described below.", "Practice #6\u2014Financial rewards for good performance: Rio Tinto representatives told us that the company offers incentives that are based on performance. The company includes pay raises linked to annual performance ratings, which are determined by the extent to which a program manager meets objectives including cost and schedule goals.", "According to Boeing representatives, the company annually assesses program managers based on technical and financial performance measures and employee feedback. These assessments help determine annual salary increases and bonuses.", "Practice #7\u2014Education subsidies: Boeing offers tuition assistance to all people after they have been at the company for at least 1 year. This can support degree programs, professional certificates, and individual courses in fields of study at over 270 colleges and universities. Boeing representatives noted that this has helped foster a high degree of loyalty from people.", "Practice #8\u2014Recognition: Boeing representatives told us that program managers for major programs hold a high level of responsibility and accountability. When program managers are successful at running effective programs, they are often moved to larger and more complex programs with much greater responsibility. AstraZeneca announces recognition for program achievements such as meeting delivery targets via e-mail and at town hall meetings, and significant achievements can also be recognized through nomination for annual company-wide awards."], "subsections": []}, {"section_title": "Leading Organizations Select Program Managers Based on Identification of High-Potential Talent and Alignment with Program Needs", "paragraphs": ["The Project Management Institute emphasizes the importance of identifying top talent and future high performers for key roles. Leading practices for selecting program managers are rooted in the identification of high-potential talent and the alignment of that talent with program needs. Leading organizations we spoke with engage senior management in identifying high performing people and monitoring their job assignments, performance, and career progression. They also select program managers with the blend of skills, experience, knowledge, and expertise required to be effective within a particular program environment. Examples of practices used by commercial companies we spoke with are described below.", "Practice #9\u2014Identification of high-potential talent by senior leaders: Rio Tinto representatives told us that senior leaders at the company annually assess the potential and performance of its people and then classify them in one of nine categories that include those who need additional experiences and developmental opportunities, those in the right role and at the right level that need to be kept engaged, and those considered high potential who need challenging opportunities. AstraZeneca identifies and keeps track of high-potential people through annual talent assessments addressing each person\u2019s strengths and gaps, as well as potential roles, development actions, and associated time frames. The assessments also include an individual\u2019s professional aspirations. According to Boeing representatives, the company uses its succession planning process to identify a pool of qualified people able to step into executive and program manager positions, including those who are ready to step into a role immediately, and those who need some additional development.", "Practice #10\u2014Assignment based on skills, experiences, and program needs: According to DXC Technology representatives, the company assigns program managers to roles based on a review of their demonstrated management and subject matter competencies. For example, an individual is evaluated on experience such as managing programs of a certain size or level of complexity, as well as the outcomes they achieved on those programs in terms of cost, schedule, and client feedback. An individual is also evaluated on whether he or she has the specific skills needed to manage a particular program, such as those related to data migration or software application design. Boeing representatives told us that the company takes into account a wide variety of factors when assigning a program manager to a program. Factors could include the size, dollar value, and complexity of a program, as well as the developmental needs of a program manager."], "subsections": []}]}, {"section_title": "Military Service Practices Show a Mixed Level of Alignment with Leading Practices", "paragraphs": ["Our analysis of the practices used by the military services to train, mentor, retain, and select program managers for major defense acquisition programs shows a mix in the level of alignment with the leading practices. We based our analysis on a review of DOD, military service, and relevant sub-component documentation on training, mentoring, retaining, and selecting program managers, including policies, guidance, strategic plans, curricula, online portals, and acquisition workforce data. Table 2 provides our assessment of the alignment of military service practices with the 10 leading practices.", "Practices used by each of the military services align extensively with 4 of the 10 leading practices. For 5 of the 10, practices used by at least one of the military services do not align extensively with leading practices, and for the remaining practice related to financial rewards for good performance, none of the services\u2019 practices align extensively. We discussed these assessments with each military service Director for Acquisition Career Management, and they generally agreed with our assessments."], "subsections": [{"section_title": "Practices for All of the Military Services Align Extensively with 4 of the 10 Leading Practices", "paragraphs": ["Military service practices align extensively with four of the leading practices, as shown in table 3 below.", "For the first practice, alignment is largely the result of steps taken by DOD to comply with the Defense Acquisition Workforce Improvement Act, enacted as part of the National Defense Authorization Act for Fiscal Year 1991. This legislation set forth education, training, and experience requirements that program managers must meet prior to being assigned to a major defense acquisition program or significant non-major defense acquisition program. All four practices that have extensive alignment reflect a combination of DOD-wide initiatives and approaches unique to the military services. The following summarizes our assessment of these practices.", "Practice #1\u2014Training classes that allow program managers to share experiences: DOD provides centralized training that brings together current and prospective program managers to strengthen their skill sets and share their experiences. The Defense Acquisition University has developed a training curriculum of courses that people must complete\u2014in conjunction with experience and education standards\u2014to be certified as ready to take on increasingly challenging assignments. The highest level courses required for program managers incorporate simulations, case studies, senior agency and industry speakers, and team projects to strengthen participants\u2019 analytical, critical thinking, and decision-making skills. According to a Defense Acquisition University official, each year approximately 350 people attend these courses. According to the military services\u2019 Directors for Acquisition Career Management, all current major defense acquisition program managers met their certification requirements.", "The military services have also developed their own training for program managers that brings peers together and addresses service-specific issues. For example, the Navy has established program management colleges at its largest systems commands. These colleges teach curricula specific to Navy processes. The Navy also provides approximately 200 program managers each year with training courses focused on understanding commercial industry and managing relationships with contractors. These classes, offered through business schools, are taught by academic faculty, senior naval officials, and private sector executives and focus on factors program managers need to be aware of to understand industry behavior and decision-making.", "According to DOD\u2019s acquisition workforce strategic plan for fiscal years 2016 through 2021, the department intends to improve the type of training it provides program managers, the timing of when courses are provided, and the delivery method. The plan also noted DOD\u2019s intent to strengthen qualification requirements for program management positions by further developing the list of proficiencies associated with certifications, including leadership skills for all levels and technical skills needed by those in the \u201cbeginner\u201d and \u201cintermediate\u201d level program management positions. In September 2016, the defense acquisition functional leader for program management finalized and issued this list.", "Practice #3\u2014On-the-job learning and information repositories: Each of the services provides its own unique on-the-job training or repositories to share lessons learned from acquisition programs. The Air Force provides people in the program management career field with detailed task lists that support on-the-job learning along their career paths. For example, people are encouraged to demonstrate competence in areas such as schedule management. The Army has developed an online portal that houses lessons learned from acquisition programs that were documented around program milestones or upon termination. Users can view and search lessons submitted by others, participate in discussion forums, and reference acquisition case histories. The portal contains over 800 lessons learned, with over 400 relating specifically to program management. The Navy has created a series of physical \u201cwar rooms\u201d that display materials on the evolution and organization of the Navy, the service\u2019s acquisition history, how to manage a major program, the unique challenges of ship building, and case studies. The Navy hosts a 5-day training program for program managers in these rooms in order to transfer lessons learned from previous acquisition programs. The Defense Acquisition University has also established an online program management community of practice that houses a range of tools and documents that communicate lessons learned.", "Practice #8\u2014Recognition: DOD leadership acknowledges the challenges and importance of program management by designating the most senior positions in the career field\u2014including program managers\u2014 as key leadership positions. These positions require a significant level of authority commensurate with the responsibility and accountability for acquisition program success. Based on our analysis of DOD acquisition workforce data, while the program management career field represents just over 10 percent of the overall acquisition workforce, it accounts for almost 40 percent of key leadership positions.", "Senior leadership in each of the services also provides their own types of recognition for good performance in program management. For example, each service has an annual award recognizing high-performing program managers. In addition, program management is an award category for the DOD-wide Defense Acquisition Workforce Individual Achievement Award, which includes recognition for winners at an awards ceremony held at the Pentagon.", "Practice #10\u2014Assignment based on skills, experiences, and program needs: All of the services evaluate the skills and experiences of candidates for program manager roles, and ensure they have the required qualifications. As part of their processes for filling these roles, the services take note of specific needs associated with a program. In the Army, civilian and military personnel apply each year and are competitively selected by a board of senior Army acquisition leaders who use instructions from the Secretary of the Army to select the best qualified individuals. Once selected by the board, the Army uses another process to match the skills and experience of the individual to those required by the program manager position based on factors such as functional, technical, and educational experience.", "In the Navy, civilian and military personnel apply and compete for specific programs. As part of the documentation of candidate selection, the Navy requires a description of how the candidate\u2019s skills align with the current status of the program. The Air Force designates whether a program will have a military or civilian program manager in advance. The senior official who approves program manager selections considers program needs along with individual qualifications and functional requirements. In addition, the military services consult with the Office of the Under Secretary of Defense for Acquisition, Technology and Logistics on the selection of program managers for those programs where that office is the decision authority."], "subsections": []}, {"section_title": "For Half the Leading Practices, There Is at Least One Military Service with Practices That Do Not Align Extensively", "paragraphs": ["For five of the leading practices, at least one of the military services\u2019 practices do not align extensively, as shown in table 4 below.", "The following summarizes our assessment of instances in which one or two military services may be using a leading practice, but not all three services. We also identify examples of military service actions that could serve as a model for meeting those leading practices.", "Practice #2\u2014Rotational assignments: Each of the services provides civilian and military program management personnel with opportunities to rotate internally among other units or functions. However, while the military services have identified external rotations with industry as a way to gain valuable experience and improve people\u2019s business acumen, practices in this area vary. For example,", "The Air Force has an external industry rotation program that is open to both civilian and military personnel. In total, about seven military and civilian program management personnel participate in this program each year, according to the Air Force Director for Acquisition Career Management.", "The Army\u2019s external industry rotation program is open only to military personnel, and approximately 11 program management personnel participate each year, according to the Army Director for Acquisition Career Management. The Director also noted that some local Army organizations send civilian personnel on industry rotations, but was not aware of participation by civilian personnel in the program management career field.", "The Navy uses the Secretary of Defense Executive Fellows program to provide experience with commercial industry. This program is open to participants from all the military services. Until 2017, participation in the program was restricted to only military personnel. Over the past 5 years, between two and five Navy military acquisition personnel per year participated in the program, according to the Navy Director for Acquisition Career Management.", "The Directors for Acquisition Career Management noted that two of the inherent difficulties with sending civilians on potentially year-long industry rotations are that their organizational unit would need to fund the participant\u2019s travel costs, and would also need to find people to perform the participant\u2019s duties in their absence. The Air Force\u2019s industry rotation program avoids the travel cost problem by finding civilians opportunities with local companies. In addition, the program is targeted at more junior personnel than the programs used by either the Army or Navy, reducing the difficulty of filling their position while they are on a rotation. As a result of the focus on military personnel participating in industry rotations, civilian personnel in the Army and Navy miss an opportunity to improve their business acumen and gain valuable experience that would better prepare them for program manager roles. They could benefit from consideration of the approaches taken by the Air Force.", "Practice #4\u2014Mentoring programs with senior leader involvement: Each of the services offers some kind of voluntary mentoring program. However, only the Air Force and Army have a documented expectation that senior civilian and military personnel serve as mentors. The Navy provides a range of mentoring resources, but only has a documented expectation that senior military personnel serve as mentors. The Navy Director for Acquisition Career Management agrees that this expectation is not documented for civilians, but believes that senior civilian leaders in program management are aware that mentoring is a responsibility. However, because it is not documented, some senior civilian leaders might not be aware of this expectation.", "Practice #5\u2014Career paths that describe skills needed to advance: Each of the services has outlined the steps people need to take to become program managers and provided opportunities for both civilians and military to advance to these and even higher level positions. However, the descriptions of the skills people should obtain to advance along the various career paths are inconsistent among the services.", "The Air Force includes the skills and competencies people need to achieve specific career goals in the competency-based task lists previously discussed as a tool to support on-the-job learning. The task lists are the same for civilian and military personnel.", "The Army describes the skills and competencies civilians need to advance via a one-page roadmap. While there is a one-page roadmap for military personnel, it does not discuss or link to skills and competencies. The online version of the civilian roadmap includes direct links to an existing DOD tool that people can use to identify and address gaps in their experience and capture demonstrated experience in a wide range of program management competencies, such as stakeholder management. People and their supervisors are encouraged to use this tool to develop individual career development plans. The tool also provides a common set of standards that organizations can use to mitigate skill gaps through hiring or using developmental opportunities.", "The Navy\u2019s systems command responsible for delivering and supporting aircraft provides a career roadmap for the program management career field, as well as detailed descriptions of the different levels of skills and competencies needed to advance.", "However, the systems command responsible for delivering and supporting ships does not have a formal career roadmap.", "Both Army and Navy Directors for Acquisition Career Management are aware of these inconsistencies, and are working to put approaches in place in fiscal year 2018 to address them and ensure that key groups in the program management career field are not missing important information about skills they should develop.", "Practice #7\u2014Education subsidies: All the services offer tuition assistance to military and civilian personnel to further their education, which has helped increase the percentage of program management personnel with a graduate degree from 46 percent in fiscal year 2008 to 57 percent in fiscal year 2016. The services also offer student loan repayments, but use them for different purposes. The Army and Navy use DAWDF-funded student loan repayments\u2014and the requirement that recipients sign an agreement to serve for 3 years\u2014as a retention tool for program management personnel.", "However, the Air Force only uses these repayments as a recruiting tool, despite the fact that they can be used for both recruitment and retention. This decision stems from the results of a 2016 study the Air Force commissioned from the RAND Corporation that found limited utility in offering retention bonuses as a tool to retain talent. The Director for Acquisition Career Management told us that the Air Force is scaling back its use of all financial retention incentives and prefers to use student loan repayments as a recruiting tool. The service agreement therefore only covers the early part of someone\u2019s career with the Air Force, instead of being a way to drive retention of more senior personnel. Prior GAO work has found that financial retention incentives are among the most effective flexibilities that agencies have for managing their workforce, and that insufficient use of existing flexibilities can significantly hinder the ability of agencies to retain and manage personnel.", "Practice #9\u2014Identification of high-potential talent by senior leaders: The Army regularly and systematically involves senior management in identifying high-potential program management talent among civilian and military personnel. It requires senior managers to annually evaluate the leadership potential of all civilian acquisition personnel at midcareer or above, and the Army\u2019s annual evaluation for all military officers assesses their potential for positions of greater responsibility. The Air Force has a similar process for military personnel, but not civilians. The onus is on civilian personnel to nominate themselves for development programs and resources, rather than being identified and guided toward those opportunities by senior leaders. The Navy only identifies high-potential military and civilian talent on an informal basis, which varies across the service. The Air Force and Navy risk overlooking high-potential talent as a result of their approaches. The Directors for Acquisition Career Management for both services acknowledge the ad hoc nature of their practices, and are looking into steps they could take in fiscal year 2018 to more systematically identify high-potential talent."], "subsections": []}, {"section_title": "None of the Military Services\u2019 Practices Align Extensively with the Practice of Providing Financial Rewards for Good Performance", "paragraphs": ["None of the military services\u2019 practices align extensively with leading practices for providing financial rewards for good performance, as shown in table 5 below.", "Commercial companies have more flexibility than DOD to financially reward good performance. They are not subject to the legal restrictions on compensation that federal agencies must consider, and can offer types of compensation, such as stock options, that federal agencies cannot. Despite this, DOD has mechanisms to financially reward high- performing people. However, these incentives are either unavailable to all program management personnel because of the various pay systems used by DOD, or are underutilized by the military services. For example, military and civilian personnel are compensated under different systems. Military pay and allowances are delineated in Title 37 of the U.S. Code, and while there are provisions for retention bonuses that would cover acquisition officers, there are none that reward high performance.", "Most DOD civilian personnel, on the other hand, are covered by the General Schedule classification, a pay system that is used in many agencies across the federal government. For the most part, people in this pay system receive set pay increases as long as their performance is at an acceptable level. The military services also have the option to convert civilian personnel to the Civilian Acquisition Workforce Personnel Demonstration Project, known as AcqDemo, where people including those in the program management career field have the opportunity to earn varying levels of pay increases or bonuses based on their performance.", "The military services\u2019 use of AcqDemo varies. According to AcqDemo data collected by DOD\u2019s Human Capital Initiatives office, as of the end of fiscal year 2016, approximately 64 percent of the Army\u2019s civilian program management workforce is covered by the system. Army officials told us that the level of coverage has increased since then, and that organizations containing the remaining eligible workforce are considering participation in fiscal year 2018. Furthermore, officials told us that all Army program managers are covered by AcqDemo. However, only 38 percent of the Navy\u2019s civilian program management workforce is covered by the system, and 29 percent of the Air Force\u2019s. According to the AcqDemo program manager and the Air Force and Navy Directors for Acquisition Career Management, organizations are hesitant to extend coverage because they are apprehensive about whether what is currently a demonstration program will become permanent, and the time it takes management to reach formal agreement with local bargaining units. The greater coverage of AcqDemo across the Army\u2019s civilian program management workforce compared to the Air Force and Navy suggests that these two services may have opportunities to learn lessons from the Army\u2019s experience.", "Congress recently took actions that could address some of the concerns about AcqDemo. The National Defense Authorization Act for Fiscal Year 2018, for example, extends the authorized timeline for AcqDemo use from December 31, 2020 to December 31, 2023, and increases the total number of people who may participate in the program at any one time from 120,000 to 130,000. As of February 2017, a total of approximately 36,000 people across DOD were participating in AcqDemo.", "The military services can also use DAWDF funding to recognize high- performing civilian personnel, but have only made limited use of this funding for program management personnel. The Directors for Acquisition Career Management reported the following awards between fiscal years 2008 and 2017:", "The Air Force awarded $5,000 to one recipient in fiscal year 2017.", "The Army awarded a total of $70,000 to 351 recipients on one team in fiscal year 2015.", "The Navy awarded a total of $10,000 to seven recipients between fiscal years 2008 and 2017.", "Requests for DAWDF funds are left to the discretion of acquisition commands. According to the military services\u2019 Directors for Acquisition Career Management, local commanders are not frequently requesting DAWDF funds for program management recognition awards. One director stated that this was because they want to avoid the perception of treating civilian personnel differently from military personnel. As a result, the military services are missing an opportunity to financially reward good performance and potentially losing talented civilians by not using all available retention tools. The Army Director stated that Army organizations have also used other financial performance incentives, such as spot awards for civilian program management personnel that are not funded by DAWDF. This director also noted that government-wide budgetary limitations for individual monetary awards have reduced the flexibility to offer rewards for performance.", "The National Defense Authorization Act for Fiscal Year 2018 requires DOD to commission a review of military and civilian program manager incentives, including a financial incentive structure to reward program managers for delivering capabilities on budget and on time. This represents an opportunity for DOD to identify and begin to address concerns about the equitable treatment of civilian and military program management personnel."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The military services recognize that they need skilled program managers to develop acquisition programs and have taken steps to develop that top-notch talent. Of note, DOD has developed a solid training regimen and established minimum training, experience, and education requirements for people to manage acquisitions of various dollar thresholds. The services have also established repositories that share lessons learned and provide on-the-job learning opportunities to supplement the formal training.", "Yet, when compared to leading practices, we found that several practices used by the military services for training, mentoring, retaining, and selecting people for program manager positions could be improved. For instance, the Air Force has practices that extensively align with all leading practices for training and mentoring, but we identified some practices for retaining and selecting program managers that do not. We assessed the Army as having practices that extensively align with all leading practices for selecting program managers, but identified some practices for training, mentoring, and retaining program managers that do not. We assessed the Navy as having practices that do not extensively align with leading practices in each of the areas of training, mentoring, retaining, and selecting program managers.", "In nearly all cases, the military services could improve their practices by learning from ideas and initiatives being used by another military service or by commercial companies and ensuring that civilian and military personnel have similar opportunities to develop. While commercial companies have more flexibility in providing financial incentives to their program managers, the military services could make greater use of financial mechanisms provided by Congress\u2014such as DAWDF and AcqDemo\u2014to reward high performing civilian personnel. DOD also has an opportunity to identify for Congress any concerns about the equitable treatment of civilian and military program management personnel when it comes to rewarding good performance. Taking these actions could encourage high-potential talent to remain in the program management career field and strengthen the next generation of program managers."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of eight recommendations, including three to the Air Force, two to the Army, and three to the Navy. Specifically: The Secretary of the Air Force should take steps to address areas of civilian and military program manager retention and selection that do not align extensively with leading practices. This could include using approaches already used by the other military services or commercial companies. (Recommendation 1)", "The Secretary of the Air Force should make greater use of existing financial mechanisms such as DAWDF to recognize high performers. (Recommendation 2)", "The Secretary of the Air Force should identify lessons learned by the Army related to the Army\u2019s experience to extend coverage of AcqDemo across the civilian program management workforce. (Recommendation 3)", "The Secretary of the Army should take steps to address areas of civilian and military program manager training, mentoring, and retention that do not align extensively with leading practices. This could include using approaches already used by the other military services or commercial companies. (Recommendation 4)", "The Secretary of the Army should make greater use of existing financial mechanisms such as DAWDF to recognize high performers. (Recommendation 5)", "The Secretary of the Navy should take steps to address areas of civilian and military program manager training, mentoring, retention, and selection that do not align extensively with leading practices. This could include using approaches already used by the other military services or commercial companies. (Recommendation 6)", "The Secretary of the Navy should make greater use of existing financial mechanisms such as DAWDF to recognize high performers. (Recommendation 7)", "The Secretary of the Navy should identify lessons learned by the Army related to the Army\u2019s experience to extend coverage of AcqDemo across the civilian program management workforce. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, reproduced in appendix II, DOD concurred with our eight recommendations and in some cases identified ongoing efforts among the military services to address the recommendations and increase alignment with leading practices. In addition, DOD noted the importance of addressing restrictions on how it can reward and retain military personnel, and requested that this issue be included in an ongoing study of DOD workforce incentives.", "DOD also stated that some of its recent accomplishments and improvements were not mentioned in the report. For example, DOD noted that representatives from the program management community meet regularly to discuss and share lessons learned and best practices. Recent accomplishments include updated competencies, career tracking and development tools, and improvements to classroom and online training. Our report recognizes the progress made by DOD in these areas and highlights some specific examples. We also agree that there is a broader range of efforts underway to enhance the development of program managers.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; and the Secretaries of the Air Force, Army, and Navy. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or sullivanm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses (1) how leading organizations train, mentor, retain, and select program managers and (2) the extent to which military service practices for training, mentoring, retaining, and selecting program managers align with those of leading organizations.", "To identify how leading organizations train, mentor, retain, and select program managers, we first reviewed GAO\u2019s Standards for Internal Control in the Federal Government to identify criteria regarding the controls that federal agencies such as the Department of Defense (DOD) should have in place to manage talent. To identify leading practices for implementing these internal control standards, we first reviewed key documentation, including relevant legislation and prior GAO reports related to program management. We also reviewed prior GAO reports on managing the federal workforce, and in particular those reports that addressed retention mechanisms. We obtained and reviewed documentation from the Project Management Institute, a not-for-profit association that provides global standards for project and program management, related to program management and managing talent. We also worked with the Project Management Institute to identify suitable companies for us to approach to learn about leading practices, based on their membership in the Project Management Institute\u2019s Global Executive Council, and insights from Project Management Institute representatives regarding these companies\u2019 practices for training, mentoring, retaining, or selecting program managers. We spoke with or visited these companies, and where possible, companies provided relevant documentation to support their examples. The selected companies were the following:", "AstraZeneca is a biopharmaceutical company that focuses on the discovery, development, and commercialization of prescription medicines. AstraZeneca reported total revenues of $23 billion in 2016.", "Boeing Company is a global aerospace company and manufacturer of commercial airplanes and defense, space, and security platforms and systems. Boeing reported total revenues of $94.6 billion in 2016.", "DXC Technology is an end-to-end information technology services company. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public sector clients across 70 countries, delivering next-generation information technology services and solutions.", "Rio Tinto is a metal and minerals mining company that finds, mines, processes, and markets mineral resources including iron ore, aluminum, copper, diamonds, and energy. Rio Tinto reported total revenues of $33.8 billion in 2016.", "Based on our review of Project Management Institute documentation and prior GAO reports, as well as our discussions with commercial companies, we identified a set of leading practices for training, mentoring, retaining, and selecting program managers. We shared this set of leading practices with Project Management Institute representatives and made adjustments based on their feedback.", "To identify the extent to which military service practices align with those of leading organizations, we analyzed DOD, military service, and relevant sub-component documentation on training, mentoring, retaining, and selecting program managers for DOD\u2019s current portfolio of 78 major defense acquisition programs as defined in our most recent assessment of the portfolio. We also interviewed the following DOD and military service organizations during our review:", "Office of the Under Secretary of Defense for Acquisition, Technology and Logistics, Office of Human Capital Initiatives.", "Office of the Under Secretary of Defense for Personnel and Readiness, Office of the Defense Civilian Personnel Advisory Service.", "Office of the Assistant Secretary of Defense for Acquisition", "Defense Acquisition University.", "Department of the Air Force Director for Acquisition Career Management.", "Department of the Army Director for Acquisition Career Management.", "Department of the Navy Director for Acquisition Career Management.", "4th Estate Director for Acquisition Career Management.", "Naval Air Systems Command.", "Naval Sea Systems Command.", "We also interviewed a former Assistant Secretary of the Army and Deputy Assistant Secretary of the Air Force with expertise in defense acquisition. We used pertinent documentation and information from interviews with officials to assess the extent to which each of the services\u2019 practices aligned with leading practices. Specifically, we assigned ratings for three levels of alignment. Extensive alignment means that the service\u2019s practice contains all of the elements of the leading practice and is not limited to a subset of the population. Partial alignment means that the service\u2019s practice contains some, but not all, elements of the leading practice, or is limited to a subset of the population, such as military or civilian personnel only, or a particular organization within the service. Little to no alignment means that the service\u2019s practice contains minimal or no elements of the leading practice. The following is a list of elements for each practice: 1. Training classes that allow program managers to share experiences: Training classes that involve current or prospective program managers and that allow for knowledge and experience sharing. 2. Rotational assignments: Internal and external\u2014that is, industry\u2014 rotational assignments available to military and civilian personnel. 3. On-the-job learning and information repositories: Resources that provide access to guidance on how to perform program management activities and learn from past program management experiences. 4. Mentoring programs with senior leader involvement: Existence of programs that facilitate mentor-mentee relationships and expectation that senior personnel serve as mentors. 5. Career paths that describe skills needed to advance: Documentation for military and civilian personnel of skills needed at different stages of career path(s) to becoming a program manager. 6. Financial rewards for good performance: Consistent use of DAWDF to fund recognition awards for 1 percent or more of civilian program management personnel and AcqDemo coverage of a majority of the civilian program management workforce. 7. Education subsidies: Tuition assistance for further education and use of DAWDF-funded student loan repayments as a retention\u2014versus recruitment\u2014tool. 8. Recognition: Senior-level recognition of prestige and challenging nature of program manager role and of good performance in the role. 9. Identification of high-potential talent by senior leaders: Processes for senior leaders to assess military and civilian program management personnel and identify those considered high potential. 10. Assignment based on skills, experiences, and program needs: Program manager selection processes that assess candidate skills and experiences and specific needs of a program.", "One analyst performed the initial assessment for each service, and the supporting evidence was then reviewed by the Assistant Director, with any disagreement discussed and resolved as a team. These discussions also informed requests for more information and documentation from each of the services. Assessments were updated based on what was provided by the services. We also reviewed the military services\u2019 practices for approaches that one or more services had adopted that aligned with leading practices, and that could potentially be adopted by the other services to improve their alignment. We shared our assessments with the military service Directors for Acquisition Career Management to give them the opportunity to note additional approaches or initiatives that might inform our assessments, and incorporated their input as appropriate.", "We reviewed data from DataMart, DOD\u2019s acquisition workforce database, on the composition of the acquisition workforce and the program management career field as of the end of fiscal year 2016, including the extent of coverage of the Civilian Acquisition Workforce Personnel Development (AcqDemo) project. To assess the reliability of DOD\u2019s DataMart data, we (1) reviewed existing information about the data and the system that produced them, (2) interviewed knowledgeable agency officials, and (3) reviewed written answers to questions about the system\u2019s data reliability, including data collection and entry, underlying data sources, and use of internal controls. We determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from August 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Michael J. Sullivan, (202) 512-4841 or sullivanm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cheryl Andrew (Assistant Director), Emily Bond, Robert Bullock, Lorraine Ettaro, Kurt Gurka, Ruben Gzirian, Ashley Rawson, Lucas Scarasso, and Robin Wilson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Cost and schedule overruns have plagued DOD\u2019s major defense acquisition programs, with current projected costs exceeding initial expectations by $484 billion and delays averaging 31 months. To keep programs on track, DOD relies on program managers who can balance factors that influence cost, schedule, and performance.", "The military services have taken steps to develop top-notch talent for this role. We compared their practices for training, mentoring, retaining, and selecting program managers to those of leading organizations and found shortfalls.", "We made recommendations for improvements, such as making more use of financial incentives."]} {"id": "GAO-17-781T", "url": "https://www.gao.gov/products/GAO-17-781T", "title": "DOD Excess Property: Enhanced Controls Needed for Access to Excess Controlled Property", "published_date": "2017-07-27T00:00:00", "released_date": "2017-07-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's July 2017 report, entitled DOD Excess Property: Enhanced Controls Needed for Access to Excess Controlled Property ( GAO-17-532 ).", "merrittz@gao.gov or Wayne A. McElrath at (202) 512-2905 or mcelrathw@gao.gov ."]}, {"section_title": "What GAO Found", "paragraphs": ["The Defense Logistics Agency (DLA) has taken some actions and is planning additional actions to address identified weaknesses in its excess controlled property program. However, internal control deficiencies exist for, among other things, ensuring that only eligible applicants are approved to participate in the Law Enforcement Support Office (LESO) program and receive transfers of excess controlled property. DLA is establishing memorandums of understanding with participating federal agencies intended to, among other things, establish general terms and conditions for participation, revise its program application to require additional prospective participant information, and plans to provide additional online training for participating agencies that is expected to begin in late 2017. However, GAO created a fictitious federal agency to conduct independent testing of the LESO program's internal controls and DLA's transfer of controlled property to law enforcement agencies.", "Through the testing, GAO gained access to the LESO program and obtained over 100 controlled items with an estimated value of $1.2 million, including night-vision goggles, simulated rifles, and simulated pipe bombs, which could be potentially lethal items if modified with commercially available items . GAO's testing identified that DLA has deficiencies in the processes for verification and approval of federal law enforcement agency applications and in the transfer of controlled property, such as DLA personnel not routinely requesting and verifying identification of individuals picking up controlled property or verifying the quantity of approved items prior to transfer. Further, GAO found that DLA has not conducted a fraud risk assessment on the LESO program, including the application process. Without strengthening DLA and LESO program internal controls over the approval and transfer of controlled property to law enforcement agencies, such as reviewing and revising policy or procedures for verifying and approving federal agency applications and enrollment, DLA lacks reasonable assurance that it has the ability to prevent, detect, and respond to potential fraud and minimize associated security risks.", "Examples of Controlled Property Items Obtained", "DLA maintains a public Internet site to address statutory requirements to provide information on all property transfers to law enforcement agencies. DLA's public Internet site shows all transferred property, and, as of April 2017, in response to GAO's findings, has included a definition of controlled property to distinguish for the general public what items are considered controlled."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to be here today with my colleague, Wayne McElrath, with whom I am jointly providing this statement. Today, we will discuss our July 2017 report on the Department of Defense (DOD) Law Enforcement Support Office (LESO) program, also known as the 1033 program in reference to the section of the law authorizing it. Under this authority, DOD can transfer excess personal property to federal, state, and local law enforcement agencies. The Defense Logistics Agency (DLA) Disposition Services administers the LESO Program for DOD.", "Since 1991, DOD has reported transferring more than $6 billion worth of its excess personal property to more than 8,600 federal, state, and local law enforcement agencies. According to DOD, about 4 to 7 percent of the total excess property transferred is controlled property, which typically involves sensitive equipment and items that cannot be released to the public. Examples of controlled items available include night-vision goggles, thermal imaging equipment, specialized printers, and explosive ordnance detonation robots, as well as certain high-visibility items, such as small arms, High Mobility Multipurpose Wheeled Vehicles (HMMWVs), Mine\u2010Resistant Ambush Protected Vehicles (MRAPs), and aircraft. LESO program data shows that during calendar years 2013 through 2015, approximately $1.1 billion of excess controlled property was transferred to federal, state, and local law enforcement agencies. Approximately two- thirds of the 388,000 DOD excess controlled property items had been transferred to state and local agencies, and one-third had been transferred to federal agencies.", "Over the past 15 years, we have examined DOD\u2019s excess property reutilization program and reported deficiencies, including unauthorized parties obtaining excess controlled property and internal control breakdowns with regard to the security of sensitive excess military equipment. We have made over 20 recommendations aimed at enhancing internal controls over DOD\u2019s disposal and accountability of its excess property and improving the overall economy and efficiency of the reutilization program. The department has implemented most of the recommendations. Likewise, the DOD Office of Inspector General has reported on internal control deficiencies, such as the distribution of excess property to law enforcement agencies without the accountability necessary to ensure that the released property had the proper authorization. The Inspector General has made recommendations, which the department has also implemented.", "Our testimony today summarizes key findings from our July 2017 report on DOD excess property. Accordingly, our testimony addresses (1) how federal, state, and local law enforcement agencies reported using and benefiting from excess controlled property transferred to them through the LESO program; and (2) the extent to which DLA has taken actions to enhance processes, including internal controls, related to its transfers of excess controlled property.", "To conduct our work, we reviewed DOD policies and procedures, interviewed and surveyed cognizant officials, and conducted independent testing of LESO\u2019s application and DLA\u2019s transfer process. Specifically, we conducted a survey of 15 participating federal law enforcement agencies as well as 53 state coordinators who had controlled property transferred to their offices through the LESO program during calendar years 2013, 2014, and 2015 to gain an understanding of their use of the LESO program. Also, we conducted non-generalizable case studies of five states: Arizona, Georgia, Maryland, Michigan, and Texas. We interviewed federal, state, and local law enforcement officials in each of the selected states to gain an understanding of how property is transferred to them, including how they screen for, obtain, and dispose of DOD excess controlled property.", "Additionally, our investigators created a fictitious federal agency to conduct independent testing of the LESO program\u2019s internal controls and DLA\u2019s transfer of controlled property to law enforcement agencies. We also compared DLA and LESO practices to those identified in GAO\u2019s A Framework for Managing Fraud Risks in Federal Programs (hereafter cited as the Fraud Risk Framework). Issued in July 2015, GAO\u2019s Fraud Risk Framework is a comprehensive set of leading practices that serves as a guide for program managers to use when developing efforts to combat fraud in a strategic, risk-based manner. Further details on our scope and methodology are included in our report. The work on which this statement is based was conducted in accordance with generally accepted government auditing standards and our investigative work was performed in accordance with the Council of Inspector General on Integrity and Efficiency standards for investigations."], "subsections": [{"section_title": "Law Enforcement Agencies Reported Various Uses and Benefits from the Transfer of the DOD Excess Controlled Property", "paragraphs": ["Federal law enforcement agencies and state coordinators in our survey\u2014 as well as officials we interviewed from federal, state, and local law enforcement agencies\u2014reported various uses of DOD excess controlled property for law enforcement activities. The reported uses included enhancing counterdrug, counterterrorism, and border-security activities. Also, law enforcement agencies reported using DOD\u2019s excess controlled property for other law enforcement activities, such as search and rescue, natural disaster response, surveillance, reaching barricaded suspects, police training, and the serving of warrants.", "Federal, state, and local agencies cited a number of ways in which they had benefited from LESO program, with several reporting that the transfers of controlled property allowed them to save money. For example, a local law enforcement official in Texas reported that 96 percent of the department budget goes to salaries and that the LESO program helped the department acquire items that it would otherwise not be able to afford, saving the department an estimated $2 million to $3 million. Additionally, agencies provided examples of how property they received through the LESO program have been used. For example, the Bureau of Indian Affairs officials reported they have used vehicles to support their Office of Justice Services\u2019 drug unit during marijuana eradication and border operations by providing transport to agents over inhospitable terrain in mountainous and desert environments. In another example, Texas law enforcement officials reported that the San Marcos and Hays County police departments used their issued Mine Resistant Ambush Protected (MRAP) vehicles to rescue more than 600 stranded people from floodwaters in October 2015. Moreover, the Los Angeles County Sheriff\u2019s Department reported that it used a robot to remove a rifle from an attempted murder suspect who had barricaded himself."], "subsections": []}, {"section_title": "DLA Has Taken Some Actions to Address Weaknesses in Its Excess Controlled Property Program, but Deficiencies Exist in Key Processes", "paragraphs": [], "subsections": [{"section_title": "DLA Actions to Address Weaknesses in LESO Program", "paragraphs": ["DLA has taken some steps to address previously identified weaknesses in its processes for transferring and monitoring its excess controlled property through revisions to its policy and procedures on the management, oversight, and accountability of the LESO program. Such revisions were made, in part, because of recommendations made by the DOD and DLA Offices of Inspector General. The DOD and DLA Offices of Inspector General conducted four audits of the LESO program between 2003 and 2013 that identified more than a dozen recommendations, such as developing and implementing written standard operating procedures for the approval and disapproval of law enforcement agency property requests and issuance, transfer, turn-in and disposal of LESO property. In our July 2017 report, we found the department had taken the following actions to enhance its transfer process through revisions to policy and procedures: transitioned full management responsibility of the LESO Program to DLA Disposition Services in 2009; developed LESO Program Standard Operating Procedures in 2012 and updated them in 2013; transitioned to a new data system in 2013 after identifying that the old system was not capable of post-issue tracking;revised the DLA instruction that provides policy, responsibility, and procedures for DLA\u2019s management responsibilities of the LESO program in 2014 and 2016; and revised LESO program processes in 2016 to incorporate recommendations made by the Federal Interagency Law Enforcement Equipment Working Group, such as defining executive order controlled property or prohibiting schools K-12 from participating in the program.", "In addition, DLA is in the process of developing additional training on LESO program policies and procedures, and is establishing memorandums of understanding with federal law enforcement agencies on the general terms and conditions of participating in the program, including the restrictions on the transfer and sale of controlled property."], "subsections": []}, {"section_title": "DLA Has Deficiencies in Its Processes for Verifying and Approving Applications and Transferring Property and Has Not Conducted a Risk Assessment", "paragraphs": ["We found weaknesses in three areas: (1) verifying and approving applications, (2) transferring property, and (3) the assessment of risk. First, our independent testing of the LESO program\u2019s internal controls identified deficiencies in the processes for verification and approval of federal law enforcement agency applications. Specifically, our investigators posing as authorized federal law enforcement officials of a fictitious agency applied and were granted access to the LESO program in early 2017. In late 2016, we emailed our completed application to the LESO program office. Our application contained fictitious information including agency name, number of employees, point of contact, and physical location. In early 2017, after revising our application at the direction of LESO officials we were notified that our fictitious law enforcement agency was approved to participate in the LESO program. LESO officials also emailed us to request confirmation of our agency\u2019s authorizing statute; in response, our investigators submitted fictitious authorizing provisions as provisions in the U.S. Code. At no point during the application process did LESO officials verbally contact officials at the agency we created\u2014either the main point of contact listed on the application or the designated point of contact at a headquarters\u2019 level\u2014to verify the legitimacy of our application or to discuss establishing a memorandum of understanding with our agency.", "DLA\u2019s internal controls for verifying and approving federal agency applications and enrollment in the LESO program were not adequate to prevent the approval of a fraudulent application to obtain excess controlled property. Specifically, LESO\u2019s reliance on electronic communications without actual verification does not allow it to properly vet for potentially fraudulent activity. For example, DLA did not require supervisory approval for all federal agency applications, or require confirmation of the application with designated points of contact at the headquarters of participating federal agencies. Additionally, at the time we submitted our application, DLA officials did not visit the location of the applying federal law enforcement agency to help verify the legitimacy of the application. After our briefing of DLA officials in March 2017 on the results of our investigative work, DLA officials stated they took immediate action, and in April 2017 visited 13 participating federal law enforcement agencies. However, at this time DLA has not reviewed and revised the policy or procedures for verifying and approving federal agency applications and enrollment in the LESO program.", "Second, our independent testing also identified deficiencies in the transfer of controlled property, such as DLA personnel not routinely requesting and verifying identification of individuals picking up controlled property or verifying the quantity of approved items prior to transfer. Our investigators, after being approved to participate in the LESO program, obtained access to the department\u2019s online systems to view and request controlled property. We subsequently submitted requests to obtain controlled property, including non-lethal items and potentially-lethal items if modified with commercially available items. In less than a week after submitting the requests, our fictitious agency was approved for the transfer of over 100 controlled property items with a total estimated value of about $1.2 million. The estimated value of each item ranged from $277 to over $600,000, including items such as night-vision goggles, reflex (also known as reflector) sights, infrared illuminators, simulated pipe bombs, and simulated rifles. Our investigator scheduled appointments and obtained the controlled property items, such as those shown in the photos below.", "Using fictitious identification and law enforcement credentials, along with the LESO-approved documentation, our investigator was able to pass security checks and enter the DLA Disposition Service warehouse sites. Personnel at two of the three sites did not request or check for valid identification of our investigator picking up the property. According to DLA guidance, direct pickup of allocated property may be made by an individual with valid identification and the appropriate DOD authorization form that is signed by the authorized individual listed in the letter.", "DLA has not taken steps to reasonably ensure that onsite officials routinely request and verify valid identification of the individual(s) authorized to pick up allocated property from the LESO program, as required by the guidance. DLA officials acknowledged they could take additional steps to ensure compliance with the requirements in the handbook. Furthermore, although we were approved to receive over 100 items and the transfer documentation reflects this amount, we were provided more items than we were approved to receive. The discrepancy involved one type of item\u2014infrared illuminators. We requested 48 infrared illuminators but onsite officials at one Disposition Services site provided us with 51 infrared illuminators in 52 pouches, of which one pouch was empty. Additionally, we found that one DLA Disposition Services site had a checklist as a part of their transfer documentation for their personnel to complete. The checklist required manual completion of several items, including quantity, date, and who fulfilled the order. The other two DLA Disposition Services sites, including the site that transferred the wrong quantity, did not include this checklist with the transfer documentation we received. DLA guidance states that accountability records be maintained in auditable condition to allow property to be traced from receipt to final disposition. We concluded that without guidance that specifically requires DLA Disposition Services\u2019 on-site officials to verify the type and quantity of approved items against the actual items being transferred prior to removal from the sites, DLA will lack reasonable assurance that the approved items transferred are appropriately reflected in their inventory records.", "Third, while DLA has taken some steps, mostly in early 2017, to address identified deficiencies in the LESO program, DLA lacks a comprehensive framework for instituting fraud prevention and mitigation measures. During the course of our review, DLA revised the LESO program applications by requiring applicants to sign an attestation that the agency that they represent is a legitimate law enforcement agency. Further, DLA officials stated they are more carefully reviewing the legitimacy of some information on the application such as email addresses and physically visiting federal agencies that enter into memorandums of understanding with the LESO program.", "However, as previously discussed, we identified internal controls weakness in the policy and procedures for verifying and approving federal agency applications and enrollment as well as weakness throughout the process from approval to the actual transfer of the items to the agencies, which indicates that DLA has not examined potential risks for all stages of the process. According to GAO\u2019s Fraud Risk Framework, effective fraud risk managers collect and analyze data on identified fraud schemes, use these lessons learned to improve fraud risk management activities, and plan and conduct fraud risk assessments that are tailored to their programs. The framework states there is no universally accepted approach for conducting fraud risk assessments since circumstances among programs vary. However, per leading practices, assessing fraud risks generally involves five actions: (1) identifying inherent fraud risks affecting the program, (2) assessing the likelihood and effect of those fraud risks, (3) determining fraud risk tolerance, (4) examining the suitability of existing fraud controls and prioritizing residual fraud risks, and (5) documenting the program\u2019s fraud risk profile.", "DLA has begun to examine some fraud risks associated with the LESO program. However, DLA officials acknowledged during our March 2017 meeting that they have not conducted a fraud risk assessment on the LESO program to include the application process, and as such, has not designed or implemented a strategy with specific control activities to mitigate risks to the program. We concluded that conducting such an assessment could have program-wide improvements, including strengthening the controls to verify the legitimacy of applicants.", "Overall, we concluded in our July 2017 report that DLA\u2019s internal controls did not provide reasonable assurance in preventing fraud. Therefore, we made four recommendations for DLA to: review and revise policy or procedures for verifying and approving federal agency applications and enrollment; ensure compliance that DLA Disposition Services on-site officials transferring controlled property verify that persons picking up items have valid identification and are authorized to pick up allocated property from the LESO program; issue guidance that requires DLA Disposition Services on-site officials to verify the type and quantity of approved items against the actual items being transferred prior to removal from the sites; and conduct a fraud risk assessment to design and implement a strategy with specific internal control activities to mitigate assessed fraud risks.", "DOD concurred with all of our recommendations and highlighted actions to address each one.", "Chairman Wilson, Ranking Member Bordallo, and Members of the Subcommittee, this concludes our prepared statement. My colleague, Mr. McElrath, and I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "Contacts and Acknowledgments", "paragraphs": ["For questions about this statement, please contact Zina D. Merritt at (202) 512-5257 or merrittz@gao.gov or Wayne A. McElrath at (202) 512-2905 or mcelrathw@gao.gov. In addition, individuals making significant contributions to this statement include: Marilyn Wasleski, Assistant Director; Laura Czohara, Martin de Alteriis, Barbara Lewis, Felicia Lopez, Maria McMullen, George Ogilvie, Richard Powelson, and Samuel Woo.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-92", "url": "https://www.gao.gov/products/GAO-18-92", "title": "Federal Housing Administration: Capital Requirements and Stress Testing Practices Need Strengthening", "published_date": "2017-11-09T00:00:00", "released_date": "2017-12-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FHA insures private lenders against losses from defaults on single-family mortgages. According to independent actuarial reviews, in fiscal years 2009\u20132014, FHA's MMI Fund (which insures $1.2 trillion in single-family traditional and reverse mortgages) did not meet its statutory 2 percent capital requirement. Also, a budgetary review determined that the fund required $1.69 billion in supplemental funds in fiscal year 2013.", "GAO was asked to examine issues concerning the MMI Fund's capital requirement and actuarial reviews. This report examines the types of information provided by assessments of the fund's financial condition, FHA's capital requirement and stress testing practices, and trade-offs associated with including reverse mortgages in the fund's capital assessment.", "GAO analyzed actuarial and budgetary assessments of the MMI Fund. GAO reviewed financial institution and regulatory capital and stress testing principles to develop an evaluative framework and applied it to FHA. GAO also interviewed federal and mortgage industry officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Housing Administration's (FHA) budgetary reviews of the Mutual Mortgage Insurance Fund (MMI Fund) assess whether it needs more budget authority to cover expected future costs, and independent actuarial reviews provide complementary information on the fund's finances. FHA uses the actuarial reviews to assess whether the MMI Fund's capital ratio (economic value divided by insurance obligations) meets the 2 percent requirement and how fund components would perform under alternative economic scenarios. While the actuarial assessment does not directly determine the need for additional budget authority, it evaluates the fund's ability to absorb unexpected losses and may prompt changes in FHA policies and insurance premiums.", "Capital requirements and stress testing practices\u2014tools for managing financial risks\u2014for the MMI Fund are not consistent with all elements of a framework GAO developed to help assess these tools in the context of FHA's single-family mortgage insurance programs. In accordance with the framework, FHA's capital assessments and stress tests are transparent and incorporate a number of relevant risk factors. However, areas of inconsistency include the following:", "Scenario-based requirement . The statutory capital requirement is intended to help ensure the fund can absorb unexpected losses but is not based on a specified risk threshold, such as an adverse economic scenario the fund would be expected to withstand without requiring supplemental funds.", "Accountability mechanisms . The capital requirement also does not include accountability mechanisms, such as a set of steps FHA would have to take if the capital ratio again fell below the 2 percent minimum.", "Fund-wide stress tests . FHA has conducted separate stress tests\u2014projections of financial condition under adverse scenarios\u2014of its forward (traditional) and reverse mortgage (loans against home equity available to seniors) portfolios, but has not performed tests on a fund-wide basis.", "Stress test objectives . FHA has not defined specific objectives for its stress tests such as determining the amount of additional capital, if any, that would be needed to withstand conditions similar to the last housing crisis.", "Strengthening FHA's capital requirement and stress testing practices could help ensure that the MMI Fund is able to withstand economic downturns and that stress test results are as relevant and useful as possible for risk management.", "Including reverse mortgages in the fund's capital assessment has advantages and disadvantages. Unlike for stress tests, FHA jointly assesses forward and reverse mortgages to calculate a combined capital ratio. Subjecting the reverse mortgage portfolio to capital assessment has made its financial condition more transparent. But, the portfolio's sensitivity to changes in economic assumptions makes the combined ratio more unpredictable. Alternative approaches also pose trade-offs. For example, a separate reverse mortgage capital requirement may help ensure the financial transparency of both portfolios, but requiring FHA to hold more capital to account for the volatility of the reverse mortgage portfolio could compel FHA to raise insurance premiums or lower borrowing limits."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider specifying the economic conditions the MMI Fund would be expected to withstand without supplemental funds, and FHA should conduct stress tests on a fund-wide basis and specify the objectives of its stress tests. GAO also continues to maintain that Congress should incorporate accountability mechanisms into FHA's capital requirement (as stated in GAO-13-722 ). FHA agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Housing and Urban Development\u2019s (HUD) Federal Housing Administration (FHA) administers single-family forward and reverse mortgage programs that insure private lenders against losses on mortgages that finance home purchases, refinance existing mortgages, and convert home equity into cash advances. These programs have helped millions of households achieve homeownership or benefit from home equity while living in their homes. FHA insures almost all of its single-family mortgages under its Mutual Mortgage Insurance Fund (MMI Fund). As of the end of fiscal year 2016, the fund\u2019s insurance-in-force (total insured mortgage balances outstanding) was about $1.2 trillion.", "The MMI Fund is statutorily required to maintain at least a 2 percent capital ratio, defined as the economic net worth (economic value) of the fund divided by the amortized insurance-in-force. The fund\u2019s economic value depends on actual and estimated cash inflows (for example insurance premiums collected from borrowers) and outflows (for example, claim payments to lenders on defaulted loans). Therefore, FHA must manage the fund such that, on average, the inflows exceed the outflows by enough to maintain the required capital reserve. However, in fiscal year 2009, in the midst of the 2007\u20132011 housing crisis, the MMI Fund\u2019s capital ratio fell below 2 percent and did not meet the statutory requirement again until fiscal year 2015, according to independent actuarial reviews. Additionally, at the end of fiscal year 2013, the MMI Fund required supplemental funds\u2014about $1.7 billion\u2014for the first time in its history to help ensure that it had sufficient resources to cover expected net future costs on outstanding insurance. These developments highlight a key challenge FHA and Congress face in balancing the fund\u2019s financial self-sufficiency with FHA\u2019s role in facilitating mortgage credit to underserved borrowers and stabilizing the housing market during economic downturns.", "In light of the MMI Fund\u2019s recent fiscal challenges, you asked us to examine issues pertaining to the MMI Fund\u2019s actuarial reviews, capital requirement, and stress tests. This report examines (1) the types of information actuarial reviews and other assessments provide about the MMI Fund\u2019s financial condition, including its ability to remain self- sufficient; (2) the extent to which the capital requirement and stress testing practices for the MMI Fund are consistent with principles and practices underlying those of other financial institutions; and (3) key advantages and disadvantages of including both forward and reverse mortgages in the MMI Fund\u2019s capital assessment.", "To examine the types of information actuarial reviews and other assessments provide about the MMI Fund\u2019s financial condition, including its ability to remain self-sufficient, we reviewed actuarial reports of the fund prepared by an FHA contractor and related FHA reports to Congress. Additionally, we reviewed FHA budget documents and audited financial statements containing assessments of the fund, as well as FHA documents and our prior reports describing the mechanisms used to provide supplemental resources to the fund, if necessary.", "To assess the extent to which capital requirements and stress testing practices for the MMI Fund are consistent with principles underlying requirements for other institutions, we developed and applied two evaluative frameworks. We developed draft frameworks by reviewing documents on the requirements and practices of financial regulators and institutions, and by identifying key common elements that could apply to the MMI Fund, assuming the fund would continue to operate under federal accounting standards and budgeting requirements. In addition to FHA, we shared the draft frameworks with the Federal Housing Finance Agency (FHFA), the National Association of Insurance Commissioners, and the American Academy of Actuaries and interviewed officials from these organizations to obtain their input on the frameworks. We chose these organizations based on their expertise in financial assessments of housing finance and mortgage insurance institutions. To provide additional perspective on stress tests of the MMI Fund, we compared the two most stressful economic scenarios from the fiscal year 2016 actuarial review of FHA\u2019s forward mortgage portfolio with the severely adverse scenario used by the Board of Governors of the Federal Reserve System (Federal Reserve) in its 2016 supervisory stress tests of large banking organizations.", "To identify key advantages and disadvantages of jointly considering forward and reverse mortgages in the MMI Fund\u2019s capital assessment, we reviewed actuarial results for both mortgage portfolios for fiscal years 2009\u20132016 and recent FHA reports to Congress discussing this issue. Using information from the actuarial reviews, we analyzed the implications of including the reverse mortgage portfolio in the joint capital assessment and of holding the reverse mortgage portfolio to a separate capital requirement. We also interviewed FHA officials and five mortgage industry associations and stakeholders (selected based on their knowledge of FHA and reverse mortgages) to obtain their views on the joint capital assessment and possible alternative approaches. Appendix I describes our objectives, scope, and methodology in greater detail.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FHA\u2019s Role and Insured Portfolio", "paragraphs": ["FHA\u2019s single-family mortgage insurance programs insure private lenders against losses from borrower defaults on mortgages that meet FHA criteria for properties with one to four housing units. FHA insures a variety of mortgage types, including loans for initial home purchases, construction and rehabilitation, and refinancing. In fiscal year 2016, FHA insured roughly 1.3 million single-family mortgages with total initial balances of approximately $260 billion. Partly because of its low 3.5 percent minimum down-payment requirement, FHA has played a particularly large role among groups with lower average levels of accumulated wealth, including minority, lower-income, and first-time home buyers. For example, in fiscal year 2016, roughly 82 percent of FHA-insured home purchase loans went to first-time home buyers and more than 33 percent went to minority home buyers.", "FHA also generally is thought to promote stability in the housing market by helping to ensure the availability of mortgage credit in areas that may be underserved by the private sector or that are experiencing economic downturns. Consistent with this view, the volume of FHA-insured forward mortgages peaked in fiscal year 2009, toward the end of the 2007\u20132009 recession and in the midst of the 2007\u20132011 housing crisis. In terms of loan originations, the share of the single-family home purchase mortgage market insured by FHA reached nearly 30 percent in fiscal year 2009, while in more recent years it has been about 20 percent."], "subsections": []}, {"section_title": "FHA\u2019s Mutual Mortgage Insurance Fund", "paragraphs": ["The MMI Fund includes almost all of FHA\u2019s single-family mortgage insurance programs, the largest of which is the 203(b) program. The Housing and Economic Recovery Act of 2008 (HERA) moved a number of other programs that were previously under the General and Special Risk Insurance Fund to the MMI Fund. These included programs for insuring mortgages on condominium units, mortgages that simultaneously finance home purchase and rehabilitation costs, and reverse mortgages.", "A reverse mortgage is a type of loan against the borrower\u2019s home equity. With a reverse mortgage, borrowers do not need to repay the loan as long as they meet certain conditions. These conditions, among others, require the borrower to live in the home, pay property taxes and homeowners\u2019 insurance, maintain the property, and retain the title in his or her name. Unlike forward mortgages, where the borrower makes monthly payments to the lender, increasing equity and decreasing the loan balance over time, reverse mortgages typically are \u201crising debt, falling equity\u201d loans. For reverse mortgages, the loan balance increases and the home equity decreases over time. As the borrower receives payments from the lender, the lender adds the principal and interest to the loan balance, reducing the homeowner\u2019s equity. FHA insures reverse mortgages under its Home Equity Conversion Mortgage (HECM) program, which serves eligible borrowers aged 62 or older. Congress established the HECM program in 1988 as a way to alleviate economic hardship caused by the increasing costs of health care, housing, and subsistence needs at a time in life when income is reduced, while protecting reverse mortgage lenders and borrowers from financial losses.", "The MMI Fund is supported by insurance premiums paid by borrowers. For forward mortgages, FHA has the authority to establish and collect a single up-front premium (in an amount not to exceed 3.0 percent of the amount of the original insured principal of the mortgage) and annual premiums of up to 1.5 percent of the remaining insured principal balance, or 1.55 percent for borrowers with down payments of less than 5.0 percent. As of September 2017, FHA charged a 1.75 percent up-front premium and either a 0.80 percent or 0.85 percent annual premium, depending on the size of the down payment. As of the same date, FHA charged HECM borrowers an initial premium of either 0.50 percent or 2.5 percent, depending on how they draw down available funds, and an annual premium equal to 1.25 percent of the outstanding HECM balance."], "subsections": []}, {"section_title": "Reviews of the MMI Fund", "paragraphs": ["Each year, the MMI Fund is subject to three different financial assessments: Independent actuarial review. The National Housing Act requires an annual independent actuarial review of the MMI Fund\u2019s financial position. FHA uses the results of the actuarial review to determine whether the MMI Fund is meeting the act\u2019s requirement that it maintain a capital ratio of at least 2 percent. Each year, an independent actuarial contractor conducts two separate actuarial reviews\u2014one for forward mortgages and one for HECMs\u2014to estimate the economic value of the two portfolios. In a separate annual report to Congress, FHA combines the findings of the forward mortgage and HECM actuarial reviews to determine the capital ratio for the MMI Fund as a whole. As previously noted, the capital ratio is the fund\u2019s economic value divided by the insurance-in-force.", "Budgetary review. FHA estimates and reestimates the net lifetime costs\u2014known as credit subsidy costs\u2014of the mortgages it insures as part of the MMI Fund\u2019s annual budgetary review. Under the Federal Credit Reform Act of 1990 (FCRA), FHA and other federal agencies must estimate the credit subsidy costs of their direct loan or loan guarantee programs in their annual budgets. Credit subsidy costs represent the present value of estimated cash flows to the government minus the present value of estimated cash flows from the government over the life of the loan, excluding administrative costs. For a mortgage insurance program, cash inflows consist primarily of insurance premiums charged to borrowers and proceeds from sales of foreclosed properties, and cash outflows consist mostly of insurance claim payments to lenders. Annually, agencies estimate credit subsidy costs for new loan cohorts\u2014the loans agencies commit to guarantee in a given fiscal year. When estimated cash inflows exceed expected cash outflows, a cohort is said to have a negative credit subsidy cost, meaning that the cohort is estimated to generate income. When the opposite is true, the cohort is said to have a positive credit subsidy cost.", "Generally, agencies also are required to produce annual updates of their subsidy estimates\u2014known as reestimates\u2014for each loan cohort on the basis of information on actual performance and estimated changes in future loan performance. Each additional year provides more historical data on loan performance that may influence estimates of the amount and timing of future claims. Additionally, economic assumptions (such as house prices and interest rates) also can change from year to year, which would affect estimates of future loan performance. In recognition of the difficulty in making credit subsidy estimates that mirror actual loan performance, FCRA provides permanent and indefinite budget authority for reestimates that reflect increased credit subsidy costs (upward reestimates). While FHA has had a number of upward reestimates, the only year in which the MMI Fund has needed to draw on permanent and indefinite budget authority was fiscal year 2013, when it received $1.69 billion. All other upward reestimates were covered by funds held in the MMI Fund\u2019s capital reserve account.", "Financial accounting review. The preparation of FHA\u2019s financial statements also provides a review of the MMI Fund. FHA is required to prepare financial statements in accordance with generally accepted accounting principles for the federal government (federal GAAP). The financial statements provide information on the overall financial position of the MMI Fund, including its assets, liabilities, and actual cash flows during the year. In addition, federal GAAP requires FHA to calculate a liability for loan guarantees, which represents the estimated net present value of expected future cash flows for outstanding insurance."], "subsections": []}, {"section_title": "Capital Requirements and Stress Testing", "paragraphs": ["In general, capital exists to absorb unexpected losses and allow a financial institution to continue operations during economic downturns. The MMI Fund plays a key role during such periods by helping to maintain the flow of mortgage credit to areas that may be underserved by the private sector. As previously noted, the MMI Fund is statutorily required to maintain at least a 2 percent capital ratio. It also is the only federal credit program with a capital requirement. Because the MMI Fund can draw on permanent and indefinite budget authority, if necessary, it has greater ability to weather adverse economic conditions than a private entity. However, the capital requirement is intended to help ensure that the fund remains self-sufficient by creating a reserve for unexpected losses. The size of the MMI Fund\u2019s capital reserve can be expected to fluctuate depending on economic conditions and other factors. For example, the reserve may tend to grow when the economy is strong (limiting borrower defaults and FHA insurance losses), and may tend to shrink when the economy is weak (increasing borrower defaults and FHA insurance losses).", "Stress tests are a risk management tool used by banks and other financial institutions. The International Actuarial Association defines stress testing as a projection of the financial condition of an institution under a specific set of adverse conditions. While there is no requirement that FHA stress test the MMI Fund, actuarial reviews of the MMI Fund have included analyses of the MMI Fund\u2019s economic value and insurance-in-force under alternative scenarios, including adverse scenarios. As discussed later in this report, the alternative scenarios include selected economic paths used in estimating the economic value of the MMI Fund\u2019s forward mortgage and HECM portfolios, as well as baseline and economic slump paths produced by Moody\u2019s Analytics. FHA considers these analyses to be a form of stress testing."], "subsections": []}]}, {"section_title": "Budgetary and Actuarial Assessments of the Fund Serve Different but Complementary Functions", "paragraphs": [], "subsections": [{"section_title": "Supplemental Funding Is Determined by Budgetary Assessments, and Actuarial Reviews Provide Complementary Information", "paragraphs": ["FHA assessments performed as part of the MMI Fund\u2019s annual budgetary review\u2014specifically, the credit subsidy estimates and reestimates discussed previously\u2014determine the fund\u2019s financing account and capital reserve account balances. The financing account is designed to hold sufficient funds to cover anticipated net future costs on outstanding insurance. The capital reserve account holds additional funds that could be used to cover unexpected losses (for example, due to higher-than- anticipated mortgage defaults). If the capital reserve account had insufficient funds to cover an upward credit subsidy reestimate (that is, an increase in expected lifetime costs), FHA would draw on permanent and indefinite budget authority. As previously noted, this has occurred one time (fiscal year 2013) since the implementation of FCRA. Drawing on permanent and indefinite budget authority means that the MMI Fund is not self-sufficient under FCRA requirements. However, it does not indicate that the fund is unable to pay insurance claims in the near-term without supplemental funding, because the fund\u2019s financing account holds balances to cover the anticipated net future costs on claims expected in the near-term and over the long-term for the existing insurance portfolio.", "In contrast, the actuarial reviews do not directly determine the need for additional budget authority; rather, they are used to assess whether the MMI Fund is in compliance with the requirement to maintain at least a 2 percent capital ratio. Additionally, the reviews are statutorily required to be conducted by an independent actuary rather than by FHA. As previously noted, the actuarial reviews estimate the economic value of the forward mortgage and HECM portfolios separately, and FHA combines these estimates to calculate the capital ratio (that is, the economic value divided by the insurance-in-force) for the MMI Fund as a whole. The economic value of each portfolio consists of existing net capital resources (assets less liabilities) plus the net present value of anticipated future cash inflows and outflows on outstanding insurance.", "To determine existing net capital resources, FHA\u2019s actuarial contractor uses information on the assets and liabilities of the financing and capital reserve accounts previously discussed. Beginning with the fiscal year 2012 actuarial review and continuing through the fiscal year 2016 review (the most recently completed one), FHA\u2019s actuarial contractor has estimated the net present value of cash flows using Monte Carlo simulation\u2014a methodology that involves running simulations of multiple economic paths. Specifically, for the forward mortgage and HECM portfolios separately, the contractor generated 100 economic paths, centered around Moody\u2019s Analytics\u2019 baseline economic scenario, and computed a net present value of future cash flows for each of these paths. The contractor added the average of these 100 numbers to the existing net capital resources to produce the economic value used to assess compliance with the MMI Fund\u2019s 2 percent capital requirement. Table 1 shows the fiscal year 2016 economic value, insurance-in-force, and capital ratio for the forward mortgage and HECM portfolios, as well as for the MMI Fund as a whole.", "Under the independent actuarial reviews, an economic value of zero\u2014 and therefore a capital ratio of zero\u2014for the MMI Fund as a whole indicates that estimated resources are enough to cover anticipated net future costs and no more. Specifically, if the capital ratio is zero, the MMI Fund\u2019s existing net capital resources (for example, cash and Treasury investments) and the net present value of future cash inflows (for example, premium revenue and proceeds from sales of foreclosed homes) are estimated to be equal to the net present value of future cash outflows (for example, insurance claim payments and costs to maintain foreclosed properties). Therefore, in concept, a positive economic value is similar to a positive balance in the capital reserve account under the budget process\u2014that is, it projects the availability of funds above what is needed to cover expected net future costs on outstanding insurance.", "However, the independent actuarial reviews have used different estimation models and economic assumptions from those used in FHA\u2019s budgetary assessment to estimate the present value of future cash flows; therefore, the actuarial and budgetary reviews have not produced identical capital estimates. (See app. II for more information on the related components of the budgetary and actuarial reviews.) A capital ratio below 2 percent, or even below zero, does not directly determine the need for permanent and indefinite budget authority. However, it indicates that according to the models and assumptions of the actuarial reviews, the MMI Fund\u2019s ability to absorb unexpected losses may be limited and that premium and policy changes designed to bolster the fund\u2019s capital position may be needed."], "subsections": []}, {"section_title": "Actuarial Reviews Also Include Stress Tests of the MMI Fund and Other Insights", "paragraphs": ["In addition to the capital assessment, the actuarial reviews also have projected the MMI Fund\u2019s performance under alternative economic scenarios, including stress scenarios. For example, the fiscal year 2016 actuarial reviews estimated the economic value and insurance-in-force of the MMI Fund under eight alternative scenarios, including both strong economic conditions and economic downturns. Specifically, the fiscal year 2016 reviews estimated the 10th best and worst, 25th best and worst, and worst economic values produced by the Monte Carlo simulation, along with the economic values resulting from Moody\u2019s Analytics\u2019 baseline and protracted slump scenarios. In addition, the fiscal year 2016 reviews included a low-interest-rate scenario, which assumes that low interest rates persist for 2 years, before resuming on the path of the Moody\u2019s Analytics\u2019 baseline scenario. The reviews also include information on the house price index values, interest rates, and unemployment rates from the economic paths that produced these alternative economic values.", "The actuarial reviews have analyzed the economic value under alternative scenarios separately for the forward mortgage and HECM portfolios. The estimated economic values for the forward mortgage and HECM portfolios can be combined to arrive at fund-wide capital ratios for the average of the 100 economic values produced by the simulation\u2014 Monte Carlo average\u2014and all of the Moody\u2019s Analytics\u2019 scenarios (see table 2). However, the 10th best and worst, 25th best and worst, and worst economic values produced by the Monte Carlo simulations cannot be combined. This limitation is due to the fact that the economic scenario that led to the 10th best forward mortgage economic value, for example, may be different from the scenario that led to the 10th best HECM economic value.", "In contrast, the budgetary reviews do not include analysis of future loan performance under alternative economic scenarios. The budgetary reviews are required to use the President\u2019s economic assumptions, which the Office of Management and Budget provides to agencies for budget formulation.", "In addition to the actuarial reviews prepared by FHA\u2019s contractor, FHA compiles statutorily required annual reports for Congress based on the results of the actuarial analysis. These reports include the calculation of the MMI Fund\u2019s overall capital ratio and some additional analyses of the MMI Fund\u2019s financial condition. Statutory requirements for the content of the reports to Congress are broad, and each year, FHA determines the types of information it believes will be most useful to Congress. FHA officials said they consider what they reported in the previous year, events from the past year, and feedback from readers to determine what would be most useful to include. For example, in its fiscal year 2015 report to Congress, FHA discussed the amount of additional capital that would have been needed for the forward mortgage portfolio to achieve a 2 percent capital ratio and withstand losses in the event of an economic downturn similar to the last economic crisis."], "subsections": []}, {"section_title": "Financial Statements and Quarterly Reports Provide Additional Perspectives on the MMI Fund\u2019s Financial Condition", "paragraphs": ["FHA\u2019s financial statements present the MMI Fund from a financial accounting perspective and are prepared according to federal GAAP. The financial statements are composed of year-end balance sheets, the related statements of net cost and changes in net position, and the combined statements of budgetary resources. As with the budgetary and actuarial reviews, FHA\u2019s annual management reports, which include the financial statements, also include information on the MMI Fund\u2019s capital resources and a net present value calculation of cash flows from outstanding insurance. Information used in preparing the financial statements\u2014specifically, the MMI Fund\u2019s assets and liabilities (excluding the liability for loan guarantees)\u2014is used in the budgetary review to inform the amount needed in the financing account and is used by the actuarial review to determine the existing capital resources component of the economic value calculation. Like the budgetary reviews, the financial statement reviews do not include analysis of future loan performance under alternative economic scenarios.", "Another source of information on the MMI Fund\u2019s financial status is quarterly reports FHA issues to Congress, as required by HERA. The quarterly reports can help provide early insight into whether there are potential deviations from the prior year\u2019s projections before the next annual budgetary and actuarial reviews are completed. Among other topics, the reports must include information on any significant changes between actual and projected claim and prepayment activity, and projected versus actual loss rates. However, while the quarterly reports update certain measures of the MMI Fund\u2019s performance and financial condition, they are not intended to provide a full actuarial or budgetary analysis."], "subsections": []}]}, {"section_title": "The MMI Fund\u2019s Capital Requirement Lacks Accountability Mechanisms, and Stress Tests Are Not Fund-Wide", "paragraphs": ["The MMI Fund\u2019s capital requirement and stress tests are consistent with some principles and practices promulgated or used by financial institutions and regulators, but are not consistent with others. To assess the MMI Fund\u2019s consistency with these principles and practices, we developed a framework of important considerations in designing capital requirements and another for designing stress tests. Our frameworks include underlying principles or key features of the requirements and practices of institutions we reviewed\u2014such as transparency and accountability\u2014that could also be applied to the MMI Fund. See appendix I for further details on our methodology."], "subsections": [{"section_title": "The Capital Requirement Is Not Based on a Specified Risk Threshold and Lacks Accountability Mechanisms", "paragraphs": ["The MMI Fund\u2019s capital requirement is consistent with our framework element on transparency and partially consistent with two other elements\u2014that the requirement include both risk-based and fixed components and that the requirement be designed to cover unexpected losses and be based on specified risk thresholds. However, the MMI Fund\u2019s capital requirement is not consistent with the element on including accountability mechanisms. We were unable to determine whether the requirement is consistent with the element on balancing financial soundness with the entity\u2019s role and mission because such an assessment would require more information about the severity of the economic conditions the capital requirement was designed to withstand without supplemental funding. Table 3 summarizes our assessments.", "The MMI Fund\u2019s capital requirement is consistent with the framework element of being transparent so that external parties can understand the financial risks facing the entity. FHA\u2019s actuarial reports and accompanying report to Congress provide specific information about the MMI Fund\u2019s capital requirement and capital assessment results. For example, the actuarial reports describe how the capital ratio is calculated, the models and data sources used to calculate the net present value of future cash flows, key economic assumptions used in calculating the MMI Fund\u2019s economic value, and estimated economic values of the forward mortgage and HECM portfolios. Additionally, FHA\u2019s reports to Congress include calculations of the Fund-wide capital ratio based on these values, as well as analyses of factors affecting the past performance of the forward mortgage and HECM portfolios and factors that could affect their future performance. The actuarial reviews and reports to Congress are publicly available on HUD\u2019s website."], "subsections": [{"section_title": "Risk-Based and Fixed Components", "paragraphs": ["The MMI Fund\u2019s capital requirement is partially consistent with the framework element of having both a risk-based and a fixed component. For capital requirements with this feature, whichever component requires the greater level of capital is the binding minimum requirement. Among other things, a risk-based component helps to ensure that the entity holds more capital as the asset quality of its portfolio (credit quality, specifically, in the case of a mortgage portfolio) decreases. A fixed component is insensitive to asset quality; it therefore is not subject to the potential for estimation errors of risk-based assessments and serves as a backstop to the risk-based component.", "While the MMI Fund\u2019s capital requirement is statutorily set at 2 percent, it is risk-based because the calculation of the capital ratio\u2019s numerator (economic value) accounts for loan and borrower quality. As loan and borrower characteristics, such as loan-to-value ratios and borrower credit scores, get riskier, the models used to estimate the MMI Fund\u2019s economic value predict higher insurance claims and higher net losses on claims (due to increased foreclosures and decreased returns on sales of foreclosed properties). This, in turn, reduces the MMI Fund\u2019s estimated economic value and makes it more difficult for the fund to meet the 2 percent capital requirement. The MMI Fund\u2019s capital requirement also has attributes similar to a fixed component in that the fund\u2019s economic value must be at least 2 percent of the insurance-in-force, regardless of the credit quality of the insurance portfolio. However, the requirement does not have a separate fixed component that backstops the risk-based component (that is, becomes binding when it is the more stringent of the two).", "Developing and implementing a separate fixed component to the MMI Fund\u2019s capital requirement would pose challenges. For example, a requirement that was insensitive to portfolio credit quality would not align with the FCRA requirements and accounting principles that FHA must follow. These requirements and principles emphasize the consideration of risk factors in estimating potential financial losses. Additionally, substantial additional analysis would be required to determine the structure of a separate fixed component, the level at which it should be set, under what conditions it might become binding, and how it might affect FHA\u2019s ability to fulfill its mission. As a result, it is unclear whether developing a separate fixed component to the MMI Fund\u2019s capital requirement would be beneficial."], "subsections": []}, {"section_title": "Unexpected Losses and Specified Risk Thresholds", "paragraphs": ["The MMI Fund\u2019s capital requirement is partially consistent with the framework element of being able to cover unexpected losses and being based on a specified risk threshold, such as an adverse economic scenario that the entity would be expected to withstand. The MMI Fund\u2019s capital requirement is designed to cover some unexpected losses. As previously noted, the MMI Fund\u2019s capital ratio is calculated by dividing the economic value of the fund by the amortized insurance-in-force. The economic value is determined by adding existing capital resources to the net present value of future cash flows on outstanding insurance. An economic value of zero (and therefore a capital ratio of zero) indicates that based on the actuarial calculations, the sum of the MMI Fund\u2019s existing capital resources and the present value of expected cash inflows (for example, premium income) is exactly the amount needed to cover the present value of expected cash outflows (for example, claim payments). Therefore, a 2 percent capital requirement serves the purpose of covering some losses above expected amounts. However, the requirement was not designed to absorb losses associated with a specified economic scenario, so the extent of loss protection it provides is unclear.", "In a February 2001 report, we concluded that neither the statute that created the 2 percent capital requirement nor FHA had established criteria to determine how severe of a stress the MMI Fund should be able to withstand. Accordingly, we recommended that Congress or FHA specify the economic conditions that the MMI Fund would be expected to withstand. In March 2002, a legislative proposal was introduced in the House of Representatives that would have required a capital ratio sufficient to withstand a broad range of adverse economic circumstances, but it was not enacted. Neither Congress nor FHA has subsequently specified the economic conditions the MMI Fund should be able to withstand or corresponding minimum capital ratios. FHA officials said they did not consider it their role to define those economic conditions and would comply with any requirement Congress established. Because the MMI Fund\u2019s capital requirement is not based on a specified risk threshold, it may not provide an adequate financial cushion under economic scenarios in which Congress may anticipate that the fund would be self- sufficient."], "subsections": []}, {"section_title": "Accountability Mechanisms", "paragraphs": ["The MMI Fund\u2019s capital requirement is not consistent with the framework element of having accountability mechanisms such as additional reporting requirements, remediation plans, and operational restrictions that are triggered if capital requirements are not met. Failure to comply with the MMI Fund\u2019s capital requirement does not trigger a defined process or set of steps to be taken by FHA. In a September 2010 report, we stated that Congress should consider establishing a minimum time frame for restoring the capital ratio to 2 percent should the ratio fall below that level. A legislative proposal was introduced in Congress in December 2011 that, among other things, would have required FHA to return the MMI Fund\u2019s capital ratio to the statutorily required level within 2 years, but it was not enacted. In addition, in a September 2013 report, we stated that Congress should consider requiring FHA to submit a capital restoration plan and regular updates on plan implementation whenever the capital ratio falls below 2 percent. Congress has not yet acted on this suggestion, but doing so could help ensure prompt action by FHA and focus Congress\u2019s monitoring efforts should this situation arise in the future."], "subsections": []}, {"section_title": "Balancing Financial Soundness and Mission", "paragraphs": ["We could not assess the consistency of the MMI Fund\u2019s capital requirement with the framework element of balancing financial soundness with the entity\u2019s role and mission. Such an assessment would require more information about the severity of the economic conditions the capital requirement was designed to withstand without supplemental funding. As previously discussed, the statute that created the requirement did not specify those conditions. As a result, it is unclear whether FHA\u2019s difficulties in maintaining the financial soundness of the MMI Fund while carrying out its public mission during and after the 2007\u20132011 housing crisis indicate that the 2 percent capital requirement is insufficient.", "Any reconsideration of the capital requirement would involve policy decisions that would need to be made through congressional deliberations. These decisions center on the relative weight FHA should place on its financial and mission goals and requirements. On the one hand, FHA has a statutory operational goal to minimize mortgage default risk to the MMI Fund and a statutory requirement to maintain a capital ratio of at least 2 percent. A minimum capital requirement that is too low may result in FHA taking on too much risk and having an insufficient capital buffer to withstand an economic downturn without requiring supplemental funding. On the other hand, FHA also has a statutory operational goal to provide mortgage insurance to traditionally underserved borrowers\u2014such as low-income, minority, and first-time home buyers\u2014and historically has played a role in stabilizing housing markets during economic downturns. Setting a minimum capital requirement that is too high may limit FHA\u2019s ability to serve the borrowers for which it was intended or play its market-stabilizing role, because it might require FHA to charge insurance premiums that many borrowers cannot afford or impose underwriting standards they cannot meet. The tension between the financial and mission aspects of FHA\u2019s goals and requirements poses trade-offs that must be weighed by policymakers in setting the MMI Fund\u2019s capital requirement."], "subsections": []}]}, {"section_title": "FHA Has Not Conducted Fund-Wide Stress Tests or Specified the Objectives of Its Tests", "paragraphs": ["Stress testing practices for the MMI Fund are consistent with two of the five elements in our stress testing framework\u2014that stress testing methods and results be transparent and stress testing scenarios capture relevant risks. The stress testing practices are inconsistent with two other elements\u2014that the scope of testing includes entity-wide assessments and that the specific objectives of the tests be defined. We were unable to determine the consistency of MMI Fund stress testing practices with the framework element that methods and scenarios be consistent with the objectives of the tests because FHA has not defined specific objectives. Table 4 summarizes our assessments.", "Stress tests of the MMI Fund are consistent with the framework element of transparency. Specifically, stress testing methods, scenarios, and results should be specific and available for review. Actuarial reports on the MMI Fund provide detailed information on the methodology and results of fund stress tests. For example, the actuarial reports describe the stress testing method of estimating economic values for the forward mortgage and HECM portfolios using hypothetical scenarios based on projected unemployment, house price appreciation, and interest rates. The reports also describe sources for these projections, including scenarios developed by Moody\u2019s Analytics and generated by the actuarial contractor through Monte Carlo simulation. In addition, for each variable, the reports present graphics showing their projected paths under each scenario over the stress period. Furthermore, for each scenario, the reports provide quantitative results and an accompanying narrative discussion highlighting key drivers of the results. The reports are publicly available on HUD\u2019s website."], "subsections": [{"section_title": "Risks Relevant to Entity", "paragraphs": ["Stress tests of the MMI Fund are consistent with the framework element of capturing risks that are relevant to the entity. The stress scenarios used in the actuarial reviews have incorporated risks the MMI Fund faces by considering changes in economic conditions that would negatively affect the fund\u2019s cash flows and, by extension, the fund\u2019s economic value. More specifically, they include declines in house prices and rises in unemployment, which can be expected to increase borrower defaults on FHA-insured mortgages and increase the number and severity of insurance claims FHA pays to lenders. In addition, the scenarios include declines in interest rates, which can be expected to increase the number of FHA-insured mortgages that are paid off before maturity\u2014for example, as borrowers refinance out of their FHA-insured mortgages into conventional mortgages (those without government insurance or guarantees)\u2014thus reducing the amount of insurance premiums FHA collects. To examine these risks, the stress scenarios in recent FHA actuarial reviews have included substantial declines in a Federal Housing Finance Agency national house price index, increases in unemployment rates, and decreases in interest rates for 30-year home mortgages.", "To provide additional perspective on the severity, duration, and timing of scenarios used to stress test the MMI Fund, appendix III compares selected MMI Fund stress scenarios to the severely adverse scenario used by the Federal Reserve in conducting annual supervisory stress tests of large banking organizations."], "subsections": []}, {"section_title": "Entity-Wide Scope", "paragraphs": ["Stress tests of the MMI Fund are not consistent with the framework element of including entity-wide assessments to provide a complete picture of risk. Since fiscal year 2009, when the HECM portfolio was first included in the MMI Fund, stress tests of the MMI Fund have analyzed the forward mortgage and HECM portfolios separately, but not on a fund- wide basis. This practice partly reflects the way in which capital assessments of the MMI Fund are performed\u2014through separate assessments of the forward mortgage and HECM portfolios. Additionally, an FHA official said the agency has been reluctant to report combined ratios for stress scenarios because the results could be misinterpreted (for example, result in too much or too little confidence in the fund\u2019s ability to withstand stress) if the scenarios are not viewed in the proper historical context. However, without the combined analysis, it is unclear what the capital position of the MMI Fund as a whole would be under stressful conditions. As a result, FHA and Congress may lack information that could be useful in assessing risks to the MMI Fund, including circumstances that could cause the fund\u2019s capital ratio to fall below the statutory minimum."], "subsections": []}, {"section_title": "Defined Objectives", "paragraphs": ["Stress testing of the MMI Fund is not consistent with the framework element of defining the specific objectives of the tests. According to guidance from federal banking regulators, large banking organizations should indicate the specific purpose and focus of stress tests within a framework that allows for consistent, repeatable exercises. Additionally, this guidance and stress testing principles and practices from two international financial organizations provide examples of stress testing objectives such as informing assessment of vulnerabilities, contingency planning, identifying and monitoring risk concentrations, and determining the level of risk the entity is willing to accept (risk appetite).", "The MMI Fund actuarial reviews have included the broad statement that the stress tests performed as part of the reviews provide insights into the sensitivity of the MMI Fund\u2019s economic value under different economic conditions. In addition, FHA has included some information from the stress tests in recent annual reports to Congress to highlight different points. However, FHA has not articulated specific objectives for the stress tests, in part because a key use of the actuarial reviews is to help determine the MMI Fund\u2019s compliance with the capital requirement under a baseline economic scenario (which, in recent actuarial reviews, has been the Monte Carlo average). Accordingly, the types of information FHA has reported to Congress have varied from year to year. For example, in recent years, FHA\u2019s reporting on stress test results has ranged from no information (fiscal year 2016), to how much additional capital the forward mortgage portfolio would need to withstand losses comparable to the last economic crisis (fiscal year 2015), to the probability that the economic value of the HECM portfolio would fall below zero under deteriorating economic conditions (fiscal year 2013). Without specific objectives for its stress testing, FHA has limited assurance that its stress tests are targeted to risk-management needs and that its reporting to Congress provides consistent information on the MMI Fund\u2019s ability to withstand adverse conditions."], "subsections": []}, {"section_title": "Methods and Scenarios Consistent with Objectives", "paragraphs": ["Because FHA has not defined specific objectives for MMI Fund stress tests, we could not assess whether existing tests were consistent with the framework element of using stress testing methods and scenarios that are consistent with stated objectives. Entities should use stress testing methods\u2014such as conventional stress testing (which looks at the effect of specified hypothetical or historical stress scenarios) or reverse stress testing (which assumes a negative outcome and identifies scenarios that would lead to that outcome)\u2014that yield information responsive to the objectives of the stress tests.", "Actuarial reviews of the MMI Fund have used conventional stress testing and a range of stress scenarios developed by Moody\u2019s Analytics and generated by Monte Carlo simulation. But, depending on how FHA defines the specific objectives of the MMI Fund\u2019s stress tests, other stress testing methods or scenarios might provide useful information for risk management. For example, if the objective of the stress testing was to identify the conditions that might cause the MMI Fund\u2019s capital ratio to fall below 2 percent or require supplemental funding, reverse stress testing would be an appropriate method. If the objective was to assess the MMI Fund\u2019s ability to withstand conditions similar to those of the Great Depression or the 2007\u20132011 housing crisis, developing historical stress scenarios would be appropriate. Additionally, if the objective was to assess the effect of changes to a particular variable or input (as opposed to a broader economic scenario), sensitivity stress tests would be appropriate."], "subsections": []}]}]}, {"section_title": "Joint Capital Assessment Has Advantages and Disadvantages", "paragraphs": [], "subsections": [{"section_title": "Advantages of Including Reverse Mortgages in the Fund\u2019s Capital Requirement Include Greater Transparency", "paragraphs": ["Beginning with the 2009 loan cohort, HERA placed new HECMs (FHA- insured reverse mortgages) in the MMI Fund, while previous HECMs remained in the General and Special Risk Insurance Fund. When the post-2008 HECM portfolio became part of the MMI Fund, it also was included in the MMI Fund\u2019s capital ratio assessment and became subject to annual actuarial review requirements. These changes have had some advantages. First, subjecting HECMs to the annual actuarial review requirements has improved the transparency of the program\u2019s financial condition. For example, the actuarial reviews have included estimates of the HECM portfolio\u2019s economic value and performance under alternative economic conditions, which were not available prior to 2009.", "Second, jointly considering the forward mortgage and HECM portfolios in the MMI Fund\u2019s capital assessment mitigates the potential difficulty of independently holding the HECM portfolio to a specified capital ratio. The economic value of the HECM portfolio is more sensitive to changes in economic conditions and inputs to the models than the forward mortgage portfolio. As a result, the capital ratio for the HECM portfolio is more volatile, and requiring HECMs to independently meet a capital ratio would be difficult. Specifically, it could be difficult to manage HECM insurance premiums, loan limits, and other program requirements to ensure that a capital requirement is consistently met. Estimates of HECM capital ratios under alternative economic scenarios from the fiscal year 2016 actuarial review illustrate the sensitivity of this portfolio\u2019s economic value\u2014and therefore its capital ratio\u2014to changes in economic conditions (see fig.1). While the capital ratio for forward mortgages ranged from negative 3.3 percent to positive 4.17 percent under all of the economic scenarios, the corresponding range for HECMs was negative 38.74 percent to positive 3.07 percent.", "Under the current approach of jointly considering the HECM and forward mortgage portfolios in the capital assessment, both portfolios in combination are subject to the capital requirement, but the volatility of the HECM portfolio\u2019s economic value is mitigated by the relative stability of the forward mortgage portfolio. More specifically, because the forward mortgage portfolio is substantially larger than the HECM portfolio (with the HECM portfolio accounting for roughly 10 percent of the MMI Fund\u2019s insurance-in-force in fiscal year 2016), the combined capital ratio more closely follows the generally less volatile capital ratio for forward mortgages (see fig. 2). As a result, the combined capital ratio is less uncertain than the HECM capital ratio, and managing the HECM portfolio within that combined framework is more feasible than managing it to a separate capital requirement.", "Finally, another possible advantage of the joint assessment is some degree of risk diversification. The cash inflows and outflows of the forward mortgage and HECM portfolios do not necessarily rise and fall in tandem in response to changes in macroeconomic conditions. For example, all other things being equal, rising mortgage interest rates tend to increase the economic value of the forward mortgage portfolio but tend to decrease the economic value of the HECM portfolio. Because the cash flows of the two portfolios are not fully correlated, the amount of capital needed for the two portfolios in combination may be less than the sum of the amount of capital needed for each portfolio separately."], "subsections": []}, {"section_title": "Disadvantages of Including HECMs in the MMI Fund Include More Uncertainty about the MMI Fund\u2019s Financial Condition", "paragraphs": ["Joint assessment of the forward mortgage and HECM portfolios in determining compliance with the capital requirement also has some disadvantages. First, including HECMs in the MMI Fund can result in more uncertainty about the Fund\u2019s expected performance. As previously discussed, the economic value of HECMs is more volatile and sensitive to economic conditions than the economic value of forward mortgages. As a result, estimates of the MMI Fund\u2019s economic value and capital ratio and its potential performance under alternative economic scenarios are less predictable and more difficult to interpret with the inclusion of HECMs.", "Although the combined capital ratio generally tracks with the forward mortgage capital ratio, the inclusion of HECMs in the assessment can affect the combined capital ratio. For example, in fiscal year 2015, a high HECM capital ratio (6.44 percent) pulled the combined capital ratio above 2 percent (2.07 percent), even though the forward mortgage capital ratio was below 2 percent (1.63 percent). In this case, the inclusion of the HECM portfolio in the capital ratio resulted in the MMI Fund meeting the 2 percent capital requirement for the first time in 6 years. In its fiscal year 2014 report to Congress, FHA concluded that the HECM portfolio was over 10 times more volatile than the forward mortgage portfolio, noting that small changes to the HECM program can affect the overall value of the MMI Fund. Further, in its fiscal year 2015 report to Congress, FHA noted that because the HECM portfolio is projected to continue growing at a faster rate than the forward portfolio, year-to-year HECM volatility is likely to contribute more uncertainty to future actuarial valuations of the MMI Fund. In recent years, HECMs have accounted for an increasing percentage of the MMI Fund\u2019s insurance-in-force, rising from 4.01 percent in fiscal year 2009 to 9.42 percent in fiscal year 2016.", "Second, relying on a combined capital ratio to assess the MMI Fund\u2019s compliance with the capital requirement could mask the financial condition of the individual portfolios. Information on the performance of each portfolio is available in separate actuarial reports, but differences between the financial health of the two portfolios may be overlooked because compliance with the 2 percent capital requirement is determined by the combined capital ratio. For example, in fiscal year 2013, the combined capital ratio was below 2 percent (negative 0.11 percent), while the HECM capital ratio was 7.50 percent. In contrast, in fiscal year 2016, the combined ratio was above 2 percent (2.32 percent), while the HECM capital ratio was below 2 percent (negative 6.90 percent). In those years, the substantial difference between the financial condition of the HECM portfolio and the overall MMI Fund would not have been evident from the combined capital ratio.", "Even in years when the capital ratios of both the forward mortgage and HECM portfolios are above or below the 2 percent level, the combined capital ratio may still hide important differences between the two. For example, in fiscal year 2014, the capital ratios for both the forward mortgage and HECM portfolios were below 2 percent. However, the forward mortgage capital ratio was positive (0.56 percent), while the HECM capital ratio was negative (-1.20 percent). This difference may be important to policymakers because a positive capital ratio indicates that the portfolio has some capital cushion to absorb unexpected losses, even if it is small. In contrast, a negative ratio suggests the portfolio may not have sufficient capital to independently cover all expected net losses on outstanding insurance, and may essentially be financially supported by the other portfolio in the MMI Fund.", "Finally, in certain circumstances, the joint capital assessment could create pressure to raise insurance premiums or tighten underwriting standards in one program to compensate for the weaker financial performance of another program. For example, if the forward mortgage capital ratio were above 2 percent, but the HECM capital ratio pulled the combined ratio below 2 percent, raising insurance premium rates for forward mortgages could be the quickest way to regain a 2 percent capital ratio. In this example, a portion of the premiums paid by the forward mortgage borrower would essentially support the HECM program. While this situation would benefit HECM borrowers (because their insurance premiums would not increase), it would potentially create a burden for forward mortgage borrowers and could reduce the number of prospective borrowers who are able to afford FHA mortgage insurance. However, as of September 2017, FHA officials said that the agency had not increased forward mortgage premiums to support the HECM program or vice versa."], "subsections": []}, {"section_title": "Alternative Approaches to Managing the HECM Program and Assessing the Capital Requirement Pose Trade-offs", "paragraphs": ["Alternatives to the MMI Fund\u2019s joint capital assessment could address some of the disadvantages of this approach but would also involve potential trade-offs between mission, financial soundness, and transparency goals. Policy decisions about these trade-offs could have significant implications for the management of FHA\u2019s programs and for potential FHA borrowers.", "If Congress wishes to place additional emphasis on the financial self- sufficiency of the HECM program, it may be appropriate to hold the HECM portfolio to a capital requirement separate from that of forward mortgages. Under this option, future HECMs could either remain in the MMI Fund or be placed under a different insurance fund. The capital requirement could be set at the same congressionally defined level as the one for forward mortgages, or it could be tailored to the risks and volatility of the HECM portfolio. A separate HECM capital requirement would help ensure that the forward mortgage portfolio is not supporting the HECM portfolio, or vice versa. Decisions about premiums and other program requirements could be based solely on each portfolio\u2019s financial condition and would not be influenced by a need to keep a combined capital ratio sufficiently high.", "In addition, a separate HECM capital requirement would help ensure that for future loan cohorts, the financial conditions of the individual portfolios are not masked by a combined capital ratio. However, if the HECM portfolio was required to independently meet a minimum capital ratio, the volatility of the portfolio\u2019s economic value could make it difficult for FHA to consistently meet the requirement without targeting a capital level substantially above the minimum requirement. Doing so may require FHA to raise insurance premiums or place greater restrictions on the amount seniors can borrow, which would limit the program\u2019s ability to serve its goal of alleviating economic hardship.", "In comparison, if Congress wishes to place greater emphasis on maximizing the benefits of the HECM program for seniors, another option may be to exempt the HECM portfolio from a capital requirement. Under this option, future HECMs would not be part of the MMI Fund and would not be subject to the MMI Fund\u2019s capital requirement. As with a separate HECM capital requirement, this option would help ensure that the financial condition of future loan cohorts in the forward mortgage portfolio is not masked by a combined capital ratio. But, the financial condition of the HECM portfolio would not be as transparent, unless FHA continued to conduct HECM actuarial assessments. In addition, FHA could set premiums and program limits without consideration for building a capital buffer, which might decrease the likelihood that the HECM program would operate on at least a break-even basis over the long run. Some industry participants we spoke with did not think that HECMs should be exempted from a capital requirement, noting that the increased transparency and accountability of HECMs were important. However, even without a capital requirement, FHA could choose to continue conducting actuarial assessments of the HECM program for continued transparency."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The programs FHA administers under its MMI Fund play an important role in the mortgage market by expanding homeownership opportunities and helping stabilize housing markets during economic downturns. However, the MMI Fund\u2019s financial challenges in the wake of the 2007\u20132011 housing crisis illustrate the fund\u2019s vulnerability to severely adverse economic conditions and underscore the importance of capital requirements and stress testing practices for this $1.2 trillion mortgage insurance portfolio. Opportunities exist to strengthen these requirements and practices by making them more consistent with those used by financial institutions and regulators, as reflected in our two evaluative frameworks.", "As we concluded in our September 2013 report, and consistent with the capital requirements framework in this report, including accountability mechanisms in FHA\u2019s capital requirement could enhance management and oversight of the MMI Fund. Therefore, as we suggested in our 2013 report, we maintain that Congress should consider requiring FHA to submit a capital restoration plan and regular updates on plan implementation whenever the fund\u2019s capital ratio falls below the required level. In our current review, we identified three additional areas where the capital requirement and stress testing practices for the MMI Fund could be strengthened in accordance with our frameworks. Specifically, the statutory 2 percent capital requirement does not specify the economic conditions the fund would be expected to withstand. As a result, it may not provide an adequate financial cushion under scenarios in which Congress may anticipate that the fund would be self-sufficient. In addition, FHA has not analyzed or reported stress test results on a fund-wide basis, making it unclear what the capital position of the fund as a whole would be under stressful conditions. Finally, FHA has not defined the specific objectives of the fund\u2019s stress tests and therefore has limited assurance that its stress testing methods and scenarios are targeted to risk-management needs."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider amending the National Housing Act to specify the economic conditions the MMI Fund would be expected to withstand without substantial risk of drawing on permanent and indefinite budget authority, and require FHA to specify and comply with a capital ratio consistent with these conditions. In specifying the economic conditions, Congress should take into account FHA\u2019s statutory operational goals and role in supporting the mortgage market during periods of economic stress. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to FHA: The Commissioner of FHA should combine stress test results for the forward mortgage and HECM portfolios, where possible, and report estimated MMI Fund-wide capital ratios for the stress scenarios examined. (Recommendation 1)", "The Commissioner of FHA should develop specific objectives for stress tests of the MMI Fund and apply stress testing methods and scenarios consistent with those objectives. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HUD, the Federal Reserve, and FHFA for their review and comment. The Federal Reserve and FHFA had no comments. In its comments, reproduced in appendix IV, HUD agreed with our recommendations. HUD said that FHA\u2019s forthcoming annual actuarial reports and report to Congress on the MMI Fund would include stress test results for forward mortgages and HECMs, but HUD did not state whether the reports would address our recommendations. By analyzing and reporting stress test results on a fund-wide basis and defining the specific objectives of its stress tests, FHA would better understand the capital position of the MMI Fund as a whole under stressful conditions and have greater assurance that its stress testing methods and scenarios are targeted to risk-management needs.", "HUD also said it was important to recognize the trade-offs between FHA\u2019s mission and insurance policy holders when considering financial soundness. HUD said it appreciated our report\u2019s statement that minimum capital requirements that are too high may limit FHA\u2019s ability to serve its mission and market role and recommended that we make this statement more prominent. While our report does contain that statement, it also states that a minimum capital requirement that is too low may result in FHA taking on too much risk and having an insufficient capital buffer to withstand an economic downturn without requiring supplemental funding. Accordingly, we added language to the introduction of the report noting the challenge FHA and Congress face in balancing the fund\u2019s financial self-sufficiency with FHA\u2019s role in facilitating mortgage credit to underserved borrowers and stabilizing the housing market during economic downturns.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of Housing and Urban Development, the Chair of the Board of Governors of the Federal Reserve System, the Director of the Federal Housing Finance Agency, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to examine (1) the types of information actuarial reviews and other assessments provide about the Mutual Mortgage Insurance Fund\u2019s (MMI Fund) financial condition, including its ability to remain self-sufficient; (2) the extent to which the capital requirement and stress testing practices for the MMI Fund are consistent with principles and practices underlying those of other financial institutions; and (3) key advantages and disadvantages of including both forward and Home Equity Conversion Mortgages (HECM) in the MMI Fund\u2019s capital assessment."], "subsections": [{"section_title": "Information Provided by Reviews of the MMI Fund", "paragraphs": ["To examine the types of information actuarial reviews and other assessments provide about the MMI Fund\u2019s financial condition, including its ability to remain self-sufficient, we reviewed actuarial reports of the fund prepared by a Federal Housing Administration (FHA) contractor and related FHA reports to Congress. We focused on reports for fiscal year 2009 (the first year HECMs were part of the MMI Fund) through fiscal year 2016 (the most recently completed report). Additionally, we reviewed FHA budget and financial documents containing assessments of the fund. Specifically, we reviewed the Department of Housing and Urban Development (HUD) appendix from the President\u2019s budgets for fiscal year 2011 through fiscal year 2018 (the most recent available) and FHA\u2019s audited financial statements for fiscal year 2011 through fiscal year 2016 (the most recent available). We also reviewed FHA documents and prior GAO reports describing the mechanisms used to provide supplemental resources to the fund, if necessary.", "We determined the extent to which the actuarial, budgetary, and financial accounting reviews contained information pertinent to assessing the MMI Fund\u2019s financial condition, such as the amount of funds needed and available to cover expected net future costs on outstanding insurance, the amount of funds available to cover unexpected losses, and the projected performance of the MMI Fund under alternative economic scenarios. We compared the types of information available in the actuarial reviews with the types of information in the budgetary and financial accounting reviews of the fund, as well as in FHA\u2019s quarterly reports to Congress, focusing on information that could help inform whether the MMI Fund is likely to remain self-sufficient. Additionally, we interviewed FHA headquarters officials about the content and interpretation of the various reviews of the fund.", "To illustrate the similarities and differences between the MMI Fund\u2019s actuarial and budgetary reviews, we summarized information about the two reviews, including their purposes and the sources of their requirements (see app. II). In addition, we reviewed recent actuarial reports and HUD budget appendixes and spoke with FHA officials to understand their similarities and differences. We developed a hypothetical illustration of how certain components of the budgetary review are used in the actuarial review."], "subsections": []}, {"section_title": "Capital Requirements and Stress Tests", "paragraphs": ["To assess the extent to which the MMI Fund\u2019s capital requirement and FHA\u2019s stress testing approach are consistent with principles underlying such requirements for other financial institutions, we developed two evaluative frameworks and assessed requirements and practices for the MMI Fund against them. For the capital requirements framework, we reviewed publicly available documents on requirements and capital assessment practices from financial regulators and institutions, including the Bank for International Settlements, Fannie Mae and Freddie Mac (specifically, their capital requirements for private mortgage insurers), the Federal Deposit Insurance Corporation, and the Federal Housing Finance Agency (FHFA). For the stress testing framework, we reviewed articles on principles and practices from financial regulators and institutions, including the Bank for International Settlements, the Board of Governors of the Federal Reserve System (Federal Reserve), and the International Monetary Fund. We included in our frameworks key common elements in designing capital requirements and stress tests that could apply to the MMI Fund, assuming the fund would continue to operate under federal accounting standards and budgeting requirements.", "In addition to FHA, we shared the draft frameworks with FHFA, the National Association of Insurance Commissioners, and the American Academy of Actuaries and interviewed officials from these organizations to obtain their input on the frameworks. We chose these organizations based on their expertise in financial assessments of housing finance and mortgage insurance institutions. We then reviewed publicly available reports and documents, including relevant statutory provisions and FHA\u2019s annual actuarial reviews and reports to Congress, to assess whether the requirements and practices of the MMI Fund were consistent with our framework elements.", "To provide additional perspective on stress tests of the MMI Fund, we compared variables in selected economic scenarios from the fiscal year 2016 actuarial review of FHA\u2019s forward mortgage portfolio with corresponding variables in one of the scenarios used by the Federal Reserve in its 2016 supervisory stress tests of large banking organizations (see app. III). Specifically, we graphed the projected paths of the house price index, 30-year fixed mortgage rate, and unemployment rate for the two most stressful MMI Fund scenarios\u2014the Monte Carlo simulation path producing the lowest economic value for forward mortgages and the Moody\u2019s Analytics\u2019 protracted slump scenario\u2014and the Federal Reserve\u2019s severely adverse scenario. We chose to highlight the worst simulation path and the Moody\u2019s Analytics protracted slump scenarios because they are generally the two most severe scenarios used in stress tests of the MMI Fund. The Federal Reserve\u2019s severely adverse scenario was the most analogous to the two MMI Fund scenarios and has been referenced in Fannie Mae\u2019s and Freddie Mac\u2019s financial requirements for private mortgage insurers. We analyzed the similarities and differences in the severity, duration, and timing of the three variables discussed above. To assess the reliability of FHA\u2019s data on its stress scenarios, we compared the data we received from the agency with published information in FHA\u2019s actuarial reviews. We determined the data were sufficiently reliable for the purposes of illustrating similarities and differences with the Federal Reserve\u2019s severely adverse scenario."], "subsections": []}, {"section_title": "Consideration of Forward Mortgages and HECMs in Capital Assessment", "paragraphs": ["To identify key advantages and disadvantages of including both forward mortgages and HECMs in the MMI Fund\u2019s capital assessment, we reviewed actuarial results for both portfolios from fiscal year 2009 through fiscal year 2016. Using information from the actuarial reviews, we calculated and compared the separate and combined capital ratios for forward mortgages and HECMs to determine the effect of including the reverse mortgage portfolio in the MMI Fund capital calculation, as well as the potential effects of holding the HECM portfolio to a separate capital requirement. We also reviewed discussions in FHA\u2019s annual reports to Congress describing the effect of including the forward mortgage and HECM portfolios in the same fund. In addition, we interviewed FHA officials and other industry participants and stakeholders, including the National Reverse Mortgage Lenders Association, Mortgage Bankers Association, U.S. Mortgage Insurers, American Bankers Association, and the American Association of Retired Persons, about the advantages and disadvantages of jointly considering both portfolios in assessing the MMI Fund\u2019s capital ratio as well as of alternative approaches.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Mutual Mortgage Insurance Fund Budgetary and Actuarial Reviews", "paragraphs": ["The budgetary and actuarial reviews of the Mutual Mortgage Insurance Fund (MMI Fund) serve different purposes, stem from different requirements, and are conducted by different entities. See table 5 for a summary of these two reviews of the fund.", "However, the two reviews share some concepts and numbers. For example, the actuarial analysis of the MMI Fund\u2019s economic value includes an existing capital resources component, which can be calculated from information on assets and liabilities presented in the budgetary review. In addition, both reviews include a calculation of the present value of future cash flows on outstanding insurance, though the two reviews use different models and economic assumptions to perform these calculations. Both reviews also provide estimates of the amount of resources the MMI Fund has, in excess of what is needed to cover estimated credit subsidy costs (that is, the net present value of expected future cash flows on outstanding insurance). Figure 3 provides a simplified, hypothetical illustration of the relationship between the MMI Fund\u2019s budgetary and actuarial reviews."], "subsections": []}, {"section_title": "Appendix III: Comparison of Economic Scenarios Used in Mutual Mortgage Insurance Fund and Federal Reserve Supervisory Stress Tests", "paragraphs": ["We compared selected economic scenarios used in stress tests of the Federal Housing Administration\u2019s (FHA) Mutual Mortgage Insurance Fund (MMI Fund) with the severely adverse scenario developed by the Board of Governors of the Federal Reserve System (Federal Reserve) for its supervisory stress tests of large banking institutions. (Under the direction of the Federal Housing Finance Agency, the housing enterprises Fannie Mae and Freddie Mac incorporated the Federal Reserve scenario into financial criteria that private mortgage insurance companies must meet to be an approved insurer of mortgages acquired by the housing enterprises.) Our analysis focused on scenarios used in the fiscal year 2016 actuarial review of the MMI Fund\u2019s forward mortgage portfolio (the most recently completed review) and the Federal Reserve\u2019s 2016 supervisory stress tests, because these scenarios all used projections of economic variables beginning in calendar year 2016. We examined similarities and differences in the severity, duration, and timing of these scenarios\u2019 projections of three variables most pertinent to the MMI Fund\u2019s economic value: single-family home prices, 30-year fixed mortgage interest rates, and unemployment rates. These comparisons should be treated as illustrative because the MMI Fund and Federal Reserve stress tests have different intended uses and time horizons. For example, the Federal Reserve stress scenarios last 3 years and one quarter, whereas the MMI Fund scenarios last nearly 12 years. In addition, because both the MMI Fund and Federal Reserve stress scenarios change from year to year, the similarities and differences we discuss are not representative of those that might be observed for other time periods.", "The following analysis compares the projected quarterly paths of the three variables under two economic scenarios used in stress tests of FHA\u2019s forward mortgage portfolio\u2014the Monte Carlo simulation path producing the lowest economic value for forward mortgages (MMI Fund worst simulation path) and the modified Moody\u2019s Analytics protracted slump scenario (MMI Fund protracted slump)\u2014with the projected paths of the variables under the Federal Reserve\u2019s severely adverse scenario. We chose to highlight these MMI Fund stress scenarios because they generally have been the two most adverse scenarios considered in the actuarial reviews and are therefore the most analogous to the Federal Reserve\u2019s severely adverse scenario. The projections for the MMI Fund scenarios and the Federal Reserve scenario start 6 months apart (third quarter and first quarter of calendar year 2016, respectively). We treated the starting quarter of each scenario as the first quarter of the comparative analysis."], "subsections": [{"section_title": "House Price Index", "paragraphs": ["As shown in figure 4, the MMI Fund and Federal Reserve scenarios differ in terms of the severity, duration, and timing of projected changes in house prices (as measured by house price indexes). All other things being equal, falling house prices negatively affect the MMI Fund because they increase the number of mortgage foreclosures and the severity of insurance losses on those foreclosures. The MMI Fund protracted slump and Federal Reserve severely adverse scenarios assume similar sharp declines in house prices during the first 2 years\u2014about negative 20 percent and negative 23 percent, respectively. However, under the MMI Fund protracted slump scenario, house prices begin to recover in the third year and rise steadily thereafter, ending 15 percent higher than they were at the start of the scenario. In contrast, under the Federal Reserve scenario, house prices decline about an additional 2 percentage points, then recover slightly before the scenario ends in the fourth year.", "The MMI Fund worst simulation path features a substantially different house price path than the other two scenarios. It shows a small initial increase in house prices over the first 2 years, before projecting an extended 6-year decline, resulting in a peak-to-trough drop of about 18 percent. Thereafter, house prices recover somewhat, but end up about 10 percent below their level at the start of the scenario."], "subsections": []}, {"section_title": "Thirty-Year Mortgage Interest Rate", "paragraphs": ["The projected path of 30-year fixed mortgage interest rates also differs among the three stress scenarios. Changes in mortgage interest rates can have varying effects on the MMI Fund. On the one hand, lower interest rates can negatively affect the fund by incentivizing borrowers to prepay their mortgages (for example, through refinancing), which reduces the fund\u2019s income from insurance premiums. On the other hand, if coupled with conditions that increase foreclosure risk (such as low house price growth), higher interest rates can negatively affect the fund by reducing prepayments, resulting in more mortgages remaining in the fund that could lead to foreclosures and insurance claims.", "As shown in figure 5, the three scenarios exhibit differences in the severity and timing of interest rate changes and the overall volatility of the interest rate path. The mortgage interest rate under the Federal Reserve\u2019s severely adverse scenario increases by about 1 percentage point over the first year, then essentially levels off through the end of the scenario in the fourth year. In contrast, the MMI Fund protracted slump scenario projects an initial 1.5 percentage point decline in the interest rate over about the first 2 years, followed by an extended increase that leaves the interest rate almost 2 percentage points higher at the end of the 12- year scenario than it was at the start. The MMI Fund worst simulation path features the most dramatic interest rate changes of the three scenarios. It begins with a sharp increase of more than 3.5 percentage points over about the first 2 years, then assumes several up and down spikes over about the next 10 years, before ending with an interest rate about 3 percentage points higher than it was at the start of the scenario."], "subsections": []}, {"section_title": "Unemployment Rate", "paragraphs": ["As shown in figure 6, all three scenarios feature a steep increase and subsequent decline in the unemployment rate, but the timing and duration of the changes differ. All other things being equal, increases in the unemployment rate adversely affect the MMI Fund because of the negative effect that job loss has on a borrower\u2019s ability to make monthly mortgage payments and avoid foreclosure. The unemployment rate under the Federal Reserve severely adverse scenario and the MMI Fund protracted slump scenario follows similar paths. Both start with nearly identical increases of about 4 percentage points within the first 2 years, followed by declines of roughly 1 percentage point over the subsequent six quarters, at which juncture the Federal Reserve scenario ends. In the longer MMI Fund protracted slump scenario, the unemployment rate continues to fall gradually through the 12th year, ending about 1 percentage point lower than it was at the beginning of the scenario. In contrast, the MMI Fund worst simulation path features a more gradual and less even increase in the unemployment rate\u2014about a 3.25 percentage point rise over about the first 5 years. The unemployment rate then slides below the starting level by year 10, before rebounding past the starting level by the end of the scenario."], "subsections": []}]}, {"section_title": "Appendix IV: Comments from the Department of Housing and Urban Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Steven Westley (Assistant Director), Winnie Tsen (Analyst in Charge), Stephen Brown, Marcia Carlsen, William Chatlos, Robert Dacey, Emei Li, John McGrail, Angela Pun, Jennifer Schwartz, Jena Sinkfield, and Frank Todisco made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-409", "url": "https://www.gao.gov/products/GAO-18-409", "title": "Gas Pipeline Safety: Stakeholders' and Officials' Views on Federal Odorizing Requirements", "published_date": "2018-04-18T00:00:00", "released_date": "2018-04-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The nation's gas pipeline network moves about 74 billion cubic feet of combustible gas to homes and businesses daily. To alert the public of a gas leak before an explosion occurs, PHMSA has different requirements for odorizing gas. All gas transported by distribution pipelines throughout communities must be odorized. Gas transported across many miles by transmission pipelines is required to be odorized only in certain populated areas. There are no requirements to odorize gas in gathering pipelines. Congress included a provision in statute for GAO to review odor requirements for all pipelines.", "This report presents the views of federal and state pipeline safety officials and industry and safety stakeholders on: (1) the advantages and disadvantages of odorizing combustible gases in pipelines; and (2) whether and how federal requirements for odorizing pipelines should be modified. GAO reviewed relevant regulations and reports; surveyed officials in 48 states and the District of Columbia; and interviewed PHMSA and NTSB officials. GAO also interviewed 34 stakeholders, including 14 experts identified by the National Academies, and 20 other industry and safety stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["Pipeline and Hazardous Materials Safety Administration (PHMSA) and National Transportation Safety Board (NTSB) officials, state officials, and stakeholders GAO contacted cited safety as the main advantage to odorizing combustible gases in pipelines, primarily for distribution pipelines in densely populated areas (see figure). Specifically, adding a chemical with a distinctive odor to gas allows the public to generally detect leaks before an explosion can occur. The most frequently cited disadvantage was that commonly used sulfur-based odorants must be removed\u2014primarily from gas in transmission pipelines\u2014before the gas can be used in certain processes, such as producing fertilizer.", "While federal odorization requirements follow a risk-based approach by focusing on pipelines in populated areas, the officials and stakeholders GAO contacted disagreed on the need to modify these requirements for some pipelines. Specifically, because distribution pipelines run through populated areas, everyone GAO contacted generally agreed that these pipelines should be odorized for safety, as currently required. For gathering pipelines, the majority of officials and stakeholders did not see a need to modify regulations because these pipelines would be technically challenging to odorize and are primarily located in rural areas. However, about two-thirds of state officials and about half of stakeholders said that additional transmission pipelines should be odorized for public safety.", "Conversely, officials from PHMSA and NTSB and about half of the stakeholders contacted noted that, because transmission pipelines operate at high pressure and generally rupture rather than leak, it is unlikely that odorant could mitigate risk. Instead, other required safety practices\u2014such as internal pipeline inspections\u2014can provide more preventative, risk-based safety management, according to PHMSA officials. In this regard, PHMSA officials said that they plan to strengthen risk-based safety requirements for transmission and gathering pipelines as part of on-going rulemakings. PHMSA anticipates issuing these rules in 2019."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2017, the nation\u2019s gas pipeline network moved about 73.6 billion cubic feet per day of dry natural gas to homes, schools, and businesses. Pipelines are relatively safe when compared with other modes of transporting hazardous goods. However, a pipeline leak could allow these colorless, odorless gases to seep undetected into areas where people live or work, with potentially devastating results. To alert the public of a dangerous buildup of gas before an explosion can occur, federal pipeline safety regulations\u2014established by the Department of Transportation\u2019s Pipeline and Hazardous Materials Safety Administration (PHMSA)\u2014 require that combustible gases transported by certain pipelines be odorized by adding a chemical with a distinctive odor that can be easily recognizable by a person with a normal sense of smell. Specifically, all gases in distribution pipelines, which run throughout cities and communities, must be odorized. Gases transported by large, high- pressure transmission pipelines, which run across the country, are required to be odorized only in certain populated areas. Gases collected by gathering pipelines from wells in gas drilling areas are not required to be odorized.", "The Protecting our Infrastructure of Pipelines and Enhancing Safety (PIPES) Act of 2016 included a provision for us to review the potential impact of requiring that combustible gases transported by all pipelines be odorized. This report presents the views of federal and state officials and industry and safety stakeholders on: 1. the advantages and disadvantages of odorizing combustible gases transported by pipeline; and 2. whether and how federal pipeline odorization requirements should be modified.", "To address both objectives, we reviewed relevant statutes, regulations, and our prior work related to federal and state gas pipeline odorization requirements. We also collected data from PHMSA on pipeline miles by pipeline type, the gases odorized, and the odorant types for fiscal year 2016 through 2018. We assessed the reliability of these data by interviewing PHMSA officials on how it was collected and verified and determined that the data were sufficiently reliable for our purposes. We interviewed PHMSA and National Transportation Safety Board (NTSB) officials on the current federal odorization requirements, as well as whether and how they should be modified.", "We also surveyed pipeline safety officials in the contiguous 48 states and the District of Columbia to collect information on both objectives. We received a 100 percent response rate. To develop the survey questions, we conducted initial interviews with state pipeline safety officials and stakeholders to identify issues regarding pipeline odorization requirements. We also reviewed key literature to ascertain the advantages and disadvantages of odorizing gas transported by pipelines. The survey was reviewed by an internal, independent survey expert and pretested with three potential respondents from state pipeline safety agencies. We did this to ensure that: 1. the questions were clear and unambiguous, 2. the terms we used were precise, 3. the survey did not place an undue burden on the agency officials 4. the survey was independent and unbiased.", "We took steps in survey design, data collection, and analysis to minimize non-sampling errors. Our results are not subject to sampling error because we administered our survey to all 48 lower contiguous state pipeline safety agencies and the District of Columbia. The survey data were collected from September through November 2017.", "In addition, we interviewed 34 stakeholders. We worked with the National Academies of Science to identify 14 experts that we interviewed to discuss their views on both objectives. These experts were selected based on their expertise in the following areas: chemistry, gas industry, odorant industry, chemical manufacturing industry, and public health and safety, with all areas of expertise balanced to obtain a wide variety of viewpoints. Finally, we interviewed 20 other industry and safety stakeholders including: representatives from chemical manufacturing associations, gas pipeline operators, odorant manufacturers, and pipeline safety groups to discuss both objectives. These interviews with experts and stakeholders are not generalizable to the entire population of possible experts and stakeholders. For reporting purposes, we developed the following series of indefinite quantifiers to describe the 34 total stakeholder responses from the 14 experts and 20 other industry and safety stakeholders we interviewed:", "6 or less of the 34 total is described as \u201ca few\u201d;", "7 to 13 is described as \u201csome\u201d;", "14 to 19 is described as \u201cabout half\u201d;", "20 to 26 is described as \u201cmany\u201d; and", "27 or more is described as \u201cmost\u201d.", "See appendix II for a list of experts and other stakeholders interviewed.", "We conducted this performance audit from June 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Roughly two-thirds of domestic energy supplies are transported through over 2.6 million miles of pipelines throughout the United States. These pipelines carry hazardous liquids and natural gas from producing wells to end users (residences and businesses). Natural gas, which is combustible, accounts for 99.8 percent of all gas distributed in the United States. Other combustible gases transported by pipeline include hydrogen, landfill gas, synthetic gas, and propane. Within this nationwide system, three main types of pipelines serve different purposes and users (see fig. 1):", "Gathering pipelines. The estimated 11,500 miles of onshore gas gathering pipelines subject to PHMSA regulation collect natural gas from wells in production areas. These pipelines then typically transport the gas to processing facilities, which in turn refine it and send the gas to transmission pipelines. Gathering pipelines range in diameter from about 2 to 12 inches and operate at pressures that range from about 5 to 1,400 pounds per square inch (psi). These pipelines tend to be located in rural areas but can also be located in urban areas. PHMSA estimates that another 230,000 miles of gas gathering pipelines are not subject to federal regulation based on their generally rural location and low operating pressures.", "Transmission pipelines. The estimated 298,000 miles of onshore transmission pipelines carry natural gas, sometimes over hundreds of miles, to communities and large-volume users (e.g., factories). Transmission pipelines tend to have the largest diameters and pressures of any type of pipeline, generally ranging from 12 inches to 42 inches in diameter and operating at higher pressures ranging from 400 to 1,440 psi.", "Distribution pipelines. The estimated 2,170,000 miles of natural gas distribution and service pipelines transport natural gas from transmission pipelines to residential, commercial, and industrial customers. These pipelines tend to be smaller, sometimes less than 1 inch in diameter, and operate at lower pressures, from 0.25 to 100 psi.", "A specific pipeline only carries one type of gas. These gases may be colorless and odorless, which is why odorizing them may be necessary to safely alert people of a leak.", "All odorants used in the United States contain sulfur. According to PHMSA officials, there are nine primary sulfur-based odorants used domestically for transporting combustible gas, all but one contain mercaptan\u2014a type of chemical with a distinctive sulfur smell\u2014which is blended with other chemicals for stability. Pipeline operators select the odorant blend that works best for their pipeline network. Distribution pipeline operators add the odorant to their gas, usually at the \u201ccity gate\u201d, or the place where transmission pipelines connect to a distribution pipeline network. The odorant is transported and stored in a concentrated liquid form that has a strong smell, is flammable, and is toxic. The odorant is injected into the gas stream at the \u201ccity gate\u201d odorization station and vaporizes into the gas. In its diluted form, the odorants are nontoxic.", "PHMSA, within the Department of Transportation (DOT), administers DOT\u2019s national regulatory program to ensure the safe transportation of natural gas by pipeline. PHMSA oversees and enforces pipeline operators\u2019 compliance with federal odorization requirements for interstate pipelines, which are primarily transmission pipelines. Most states have agreements with PHMSA to oversee and enforce pipeline operators\u2019 compliance with federal requirements\u2014including odorization requirements\u2014for intrastate pipelines, which are primarily distribution pipelines. These states may also impose safety requirements that are more stringent than federal requirements. Under the current regulatory system, most gathering pipelines are not subject to federal safety requirements, based on their location. Only gathering pipelines close to populated areas or waterways are currently subject to federal requirements.", "In March 2012, we reported that land use changes have resulted in development encroaching on existing gathering pipelines and the increased extraction of oil and natural gas from shale deposits has resulted in the development of new gathering pipelines, some of which are larger in diameter and operate at higher pressure than older pipelines. Therefore, we recommended that PHMSA collect data on gathering pipelines to help determine whether to expand regulation of these pipelines. In April, 2016, PHMSA issued the Gas Transmission and Gathering Notice of Proposed Rulemaking that would: 1) require all gas gathering pipeline operators to submit operating and accident data to PHMSA, 2) more clearly define \u201cgathering pipeline\u201d to better identify pipelines subject to PHMSA\u2019s requirements, and 3) increase the number of gathering pipeline miles under PHMSA\u2019s jurisdiction. PHMSA estimates that the new rule would increase the number of gathering pipeline miles with reporting requirements by 344,000 and the number of gathering pipeline miles subject to additional safety measures by almost 70,000.", "The overall framework for federal gas pipeline regulations\u2014including odorization requirements\u2014is designed to mitigate risk. All pipelines regulated by PHMSA are required to meet uniform, minimum safety standards. Regarding odorization, these minimum standards prescribe that a combustible gas must be odorized so that at a concentration in air of one-fifth of the lower explosive limit, the gas is readily detectable by a person with a normal sense of smell. The proximity of pipelines to populated areas, where leaks present the greatest risk, determines whether or not the gas needs to be odorized. Since 1970, PHMSA has categorized pipelines into four classes based on their proximity to populated areas to determine the odorization requirements for gas transported by distribution and transmission pipeline. Class 1 locations are in rural areas and Class 4 locations are in densely populated areas (see table 1.). All combustible gases transported by distribution pipelines are required to be odorized because these pipelines are primarily in populated areas. Some transmission pipelines in highly populated\u2014Class 3 and 4\u2014areas are also required to be odorized.", "In addition, PHMSA has a supplemental risk-based regulatory program termed \u201cintegrity management\u201d for pipelines in \u201chigh-consequence areas\u201d where an incident would have greater consequences for public safety or the environment. Integrity management has been a part of PHMSA\u2019s risk- based regulatory approach for natural gas transmission pipelines since 2004, and for natural gas distribution pipelines since 2011. The risk- based integrity management programs for natural gas transmission pipelines require operators to systematically identify and mitigate risks to pipeline segments located in high-consequence areas. For example, in these areas operators must monitor their pipelines for signs of corrosion and repair corroded lines within a specified period of time. High- consequence areas for natural gas pipelines include highly populated or frequently used areas, such as parks. These areas may overlap with Class 3 or Class 4 locations. The integrity management program for distribution pipelines applies to all distribution pipelines due to their proximity to populated areas."], "subsections": []}, {"section_title": "Officials and Stakeholders Said That Odorizing Gas in Pipelines Improves Public Safety, but Can Impede Some Industrial Processes", "paragraphs": [], "subsections": [{"section_title": "Pipeline Gas Odorization Facilitates Early Detection, Particularly in Populated Areas", "paragraphs": ["Almost all officials and stakeholders we interviewed and the state pipeline safety officials we surveyed told us that the advantage of using sulfur- based odorants to odorize combustible gas transported by pipeline is public safety. Sulfur-based odorants have a low-odor threshold, so are easily detected at low concentrations. With a smell similar to that of rotten eggs, this odor is particularly advantageous when used in distribution pipelines that are located in areas where people congregate (e.g., homes, businesses and hospitals). If individuals smell an odorant, they can call emergency services and alert those nearby of a potential gas leak, possibly helping to prevent an explosion that could result in the loss of life and property.", "According to federal regulations, all local distribution companies must conduct outreach to educate the public and others on what to do when they smell a gas leak. To this end, the 2017 American Gas Association Odorization Manual (manual) states that some local distribution companies have gone beyond placing the traditional scratch-and-sniff insert in customers\u2019 billing statements\u2014to inform them about gas leaks and odor\u2014to implementing \u201cSmell Gas Act Fast!\u201d campaigns. According to the manual, these campaigns are designed to better educate the public on the smell and nature of natural gas, along with the need to quickly take action if the odor is detected. Responding immediately to the smell of natural gas can help to prevent possible accidents. For example, when authorities were reportedly called to a Rockville, Maryland home in November 2017 to investigate an odor from a natural gas leak, authorities evacuated several nearby homes as a safety precaution in the event of an explosion, until the source of the leak could be identified and addressed.", "While nearly all stakeholders we interviewed said that public safety was the key advantage associated with odorizing combustible gases (in particular, combustible gases transported by distribution pipeline), some experts expressed differing opinions on the use of handheld electronic combustible gas detection devices as an alternative to detect gas leaks. According to one expert, these devices are better suited to detect gas at levels much lower than an individual\u2019s sense of smell would allow. This expert also noted that odor does not wake a sleeping individual so a gas leak could go undetected for hours. However, a second expert noted that during his experience with pipeline accident investigations over the past 40 years, he was aware of about 10 cases in which deceased individuals were found after a gas leak accident holding a portable combustible gas detector because (1) the device may not have indicated the presence of gas in one location while a nearby location may have been explosive due to a gas leak; or (2) the user may not have been properly trained on the instrument\u2019s limitations to identify a safe area. Accordingly, that expert stated that odorization is the most effective safety method for alerting the public of a possible gas leak. Additionally, a third expert noted that (1) electronic detectors can be difficult to place in certain areas and (2) odorants allow the public to quickly detect gas leaks without acquiring or maintaining external equipment."], "subsections": []}, {"section_title": "The Primary Disadvantages Officials and Stakeholders Cited Are Odor Removal for Some Industries and False Alarms", "paragraphs": ["The most common disadvantage of sulfur-based odorants cited by officials and stakeholders we contacted is the need to remove the odorant for some industrial processes. Officials from both federal safety regulatory agencies we interviewed (PHMSA and NTSB); approximately half of state pipeline safety officials surveyed; and about half of the stakeholders interviewed reported that sulfur-based odorants used in transmission pipelines can cause an adverse chemical reaction during processing for some industries. For example, sulfur in natural gas can be detrimental in the production of electricity, fertilizer, and glass because it interferes with the catalyst used during production. PHMSA and NTSB officials and about half of the stakeholders said that before these items are produced, operators must remove any added (or naturally occurring) sulfur from their combustible gas, adding another step to production. One expert and three stakeholders told us that removing the odorant also resulted in added cost for some operators. However, because most transmission pipelines are in less populated areas and not odorized, many manufacturers currently receive unodorized gas from transmission pipelines and do not need to remove odorant, according to the industry associations we interviewed.", "In addition, some stakeholders warned that accidental spills of concentrated odorant, using more odorant than needed, or releasing excessive amounts of odorant during operators\u2019 maintenance activities can lead to false alarm calls. One pipeline operator told us that an employee spilled odorant on a glove and the public made several false alarm calls due to the odorant\u2019s potent smell as the employee drove through town with the glove on the back of a truck. Officials from PHMSA, an official from a pipeline safety organization and representatives from two pipeline industry associations told us that the public could get accustomed to these types of odorant leaks and begin to ignore them or have a false sense of security when a real gas leak does occur. For example, the official from the pipeline safety organization told us that he has heard of at least one location where odorant leaks frequently occurred, and the public began to ignore the smell.", "Additionally, under certain conditions, sulfur-based odorants can be hazardous to human health and the environment. A few stakeholders told us that odorants released in excessive amounts may cause health concerns. For example, during a presentation before the Pipeline Safety Trust, a Los Angeles County public health official stated that it appears a sulfur-based odorant was related to public health complaints made in 2015 after a 4-month long natural gas leak from a natural gas storage facility in California\u2019s Aliso Canyon. Many of the reported symptoms matched those made after a 2008 natural gas storage tank leak in Alabama, which included respiratory problems; eye, nose, and throat irritation; headache; nausea; and dizziness. While at least one study has been conducted and another is planned on the long-term effects of sulfur- based odorants on human health, no direct cause and effect relationships have been established.", "Finally, a few stakeholders noted potential environmental hazards regarding the use of odorants. For example, one stakeholder told us that odorants can become a hazardous waste depending on the quantity used and the amount of time the chemical remains in one location prior to use; one expert and another stakeholder noted that sulfur-based odorants when spilled may contaminate waterways; and four experts and two stakeholders warned that when combusted, sulfur-based odorants can produce acid rain. Also, according to PHMSA officials, these odorants are both toxic and flammable in their concentrated state. However, none of the stakeholders provided specific examples of when an odorant caused environmental damage."], "subsections": []}]}, {"section_title": "Officials and Stakeholders Had Mixed Views on Need to Modify Odorization Requirements", "paragraphs": [], "subsections": [{"section_title": "Many Officials and Stakeholders Agreed That Federal Distribution Pipeline Odorization Regulations Do Not Need to be Modified", "paragraphs": ["General consensus exists among those we spoke with (including federal regulatory and safety officials, experts identified by the National Academies, and industry stakeholders) that federal requirements to odorize all gases in distribution pipelines are sufficient as written and do not need to be modified. PHMSA and NTSB officials we interviewed and many commenting stakeholders articulated this view. In addition, state pipeline officials we surveyed generally did not indicate a need to change federal regulations for odorizing distribution pipelines. Due to the proximity of distribution pipelines to areas where people live and work, officials, experts, and stakeholders we interviewed emphasized the importance of odorizing gas in distribution pipelines to reduce the safety risk to the public.", "As we have previously reported, the operating characteristics of distribution pipelines make odorant a key factor in reducing safety risk. In 2012 we reported that distribution pipelines operate at lower pressures, so pipeline failures are more likely to involve slow leaks rather than explosive ruptures. Leaking gas can accumulate in confined spaces, or migrate away from the pipeline until it finds an ignition source and potentially causes injury, death, and/or property damage. These slow leaks are difficult to see or hear, so odorants provide a critical warning to call emergency services and inform those nearby of a potential gas leak before it ignites."], "subsections": []}, {"section_title": "Many Officials and Stakeholders Agreed That Odorizing Gathering Pipelines Could Be Technically Challenging with Little Added Safety Benefit", "paragraphs": ["Of those we interviewed or surveyed, about half of stakeholders and a third of state pipeline safety officials did not indicate a need to modify existing regulations for odorizing gas in gathering pipelines. Further, a few commenting experts said odorizing those pipelines would be technically challenging. According to the experts, technological challenges stem from the fact that gas contains natural sulfur at many of the wells where gathering pipelines collect the raw gas. The natural sulfur in the raw gas could counteract the added chemical sulfur odorant, masking the smell of each and lowering the effectiveness of the odorant. Further, one stakeholder said that odorizing gathering pipelines would be logistically difficult and expensive given the number of wells that would each need an odorization station. For example, according to this stakeholder, there are roughly 500,000 gas wells nationwide and each odorizer would cost $2,000 as a capital investment. In addition, this stakeholder said that any safety benefit of adding odorant would be limited because most gas wellheads and gathering pipelines are located in sparsely populated rural areas.", "While the majority of stakeholders and state survey respondents did not see a need to odorize gas in gathering pipelines, a third of the state safety officials and three other stakeholders said all gathering pipelines should be odorized for additional safety regardless of any technical challenge. However, requiring all gathering pipelines to be odorized at the federal level would have to be consistent with federal pipeline safety regulations. According to the safety regulations, a risk assessment, including an assessment of the benefits and costs of proposed regulatory standards, is required to be considered in any decision on whether to impose a new safety standard. According to PHMSA officials, they do not have the data to report on any incidents on gathering pipelines where odorant may have made a difference. Moreover, PHMSA officials stated that they do not have the data to formulate an educated opinion or viewpoint as to the need to odorize gathering pipelines. To address this lack of data, the Pipeline Safety -Safety of Gas Gathering Pipelines rulemaking, if approved, will provide PHMSA with more data on gas gathering pipeline infrastructure and incident data. According to PHMSA officials, the data collected will inform PHMSA on the best path forward regarding further regulation of gas gathering pipelines, including the need for odorization. Officials anticipate publishing the final rule in summer 2019."], "subsections": []}, {"section_title": "Officials\u2019 and Stakeholders\u2019 Views Differed on Need to Odorize Transmission Pipeline Gas", "paragraphs": ["Officials, stakeholders and survey respondents generally disagreed about the need to odorize all transmission pipelines. Officials from NTSB as well as about half of the stakeholders we contacted said the current regulations for odorizing gas in certain transmission pipelines in populated areas were sufficient. Additionally, NTSB officials said they were not aware of incidents where odorants in a transmission pipeline would have alerted the public in time to prevent the incident. These officials and stakeholders generally said that odorizing gas in transmission pipelines is not an effective means of reducing the risk of an incident. For example, one stakeholder said that at the typically high pressure at which most transmission pipelines operate, even a relatively small hole in the pipeline would cause a rupture that would excavate the earth around it so people would hear and see the evidence of the leak. Some experts also said that odorizing gas in all transmission pipelines could have increased costs and other challenges for pipeline operators or gas end users. For example, one expert said that odorizing all gas transported in the transmission pipeline system would require tens of thousands of odorization facilities. This expert also said that if gas is odorized in transmission pipelines, some industries currently receiving unodorized gas will be affected negatively because they either must incur the additional processing and cost of removing the odorant or find new ways to receive gas that is not odorized.", "Further, PHMSA officials and representatives from the Interstate Natural Gas Association of America said that the integrity management program for transmission pipelines provides more preventative, risk-based safety management than odorants, which rely on reducing risk through early detection of a leak that has already occurred. The integrity management program requires operators to assess the integrity of their pipelines within high consequence areas\u2014which, by definition, encompass Class 3 and 4 locations\u2014on a regular basis using any of three approved methods: (1) running an in-line inspection tool, or \u201csmart pig\u201d, through the pipeline to detect anomalies, such as corrosion, that can cause leaks (2) conducting a direct assessment using data and direct examination of the pipeline from aboveground to identify problem areas, or (3) hydrostatically testing a portion of the pipeline by removing the gas product, replacing it with water, and increasing the pressure of the water above the maximum allowable operating pressure of the pipeline to test its integrity. These inspection methods are designed to detect issues that could cause a gas leak before the leak occurs. Following the assessments, pipeline operators are required to prioritize and repair anomalies found during assessments.", "While odorants could be added in addition to integrity management requirements, PHMSA officials said that integrity management more effectively helps assure an acceptable level of safety for transmission pipelines than an odorant could because the risk assessments focus on the potential causes of leaks and ruptures for these types of pipelines and, therefore, are more preventative than odorizing. In a September 2006 report, we found that PHMSA\u2019s gas pipeline integrity management program benefits public safety by incorporating risk-based management principles into pipeline safety oversight, and in June 2013, we reported that transmission pipeline operators were conducting periodic assessments and making repairs to pipelines in high consequence areas.", "Transmission pipeline operators are also required through the integrity management program to proactively take measures to reduce the risk or potential impact of an accident. Based on inspections of interstate transmission operators\u2019 integrity management programs, PHMSA officials noted that\u2014while transmission pipeline operators could opt to odorize gas in a transmission pipeline\u2014they are not aware of any operator to date that has concluded that odorizing transmission pipelines was necessary to reduce risk. Instead, operators use tools such as electronic leak detection and remotely-controlled valves to detect potential leaks and shut down the pipeline if needed.", "While the preventative safety practices required under the gas transmission pipeline integrity management program are designed to mitigate risk without requiring the use of odorant, officials from two states and one stakeholder questioned the sufficiency of integrity management practices. However, as part of the ongoing two rulemakings: the Pipeline Safety: Safety of Gas Transmission Pipelines, MAOP Reconfirmation, Expansion of Assessment Requirements and Other Related Amendments and the Pipeline Safety - Safety of Gas Transmission Pipelines, Repair Criteria, Integrity Management Improvements, Cathodic Protection, Management of Change, and Other Related Amendments Rulemaking, PHMSA also plans to strengthen and expand requirements for the gas integrity management program for transmission pipelines. For example, PHMSA plans to expand the requirements for periodic assessments and subsequent repairs to additional pipeline mileage beyond that located in high consequence areas. PHMSA plans to publish these rulemaking in March and June, 2019, respectively. The 2016 PIPES Act includes a mandate for GAO to review PHMSA\u2019s gas integrity management program as soon as PHMSA publishes the final rule.", "In contrast to the opinions expressed above that transmission pipeline odorization requirements are sufficient, 31 of 49 state pipeline safety officials surveyed responded that these requirements are not stringent enough for safety. Of these respondents, several said that exemptions that currently apply to some operators with transmission pipelines in Class 3 and Class 4 locations should not be allowed. There are several exemptions, determined by the overall class location of the pipeline or end use of the gas. For example, one class location exemption is that when at least 50 percent of the length of the pipeline downstream from the more populated Class 3 or Class 4 location is in a less populated Class 1 or Class 2 location, the gas does not need to be odorized (see fig. 2).", "Eliminating the current regulatory exemptions for certain transmission pipelines and requiring operators to odorize all gas transported by transmission pipeline through Class 3 or Class 4 locations may not be cost-beneficial under federal regulatory risk assessment principles, which direct the agency to assess the benefits and costs of changes in regulatory standards. For example, while four states cited increased public safety as the reason to remove the existing exemption, PHMSA and NTSB officials could not identify any incidents where odorants in a transmission pipeline would have prevented damage. In addition, as described above, some experts told us that removing the exemptions could have increased costs and other challenges for pipeline operators or gas end users. PHMSA officials also said that the definition of a high- consequence area under the gas integrity management program encompasses all Class 3 and Class 4 locations, so the risk-based preventative measures required under that program apply to the areas exempt from odorization requirements."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to DOT for review and comment. DOT provided technical comments that were incorporated, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Department of Transportation, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or FlemingS@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Advantages and Disadvantages of Non-sulfur Based Odorants", "paragraphs": ["While our report focuses on sulfur-based odorants, which are used in the United States, we also asked experts and stakeholders about the advantages and disadvantages of non-sulfur based odorants. According to a German-based manufacturer of non-sulfur odorants, these odorants are used in some European countries, including Germany and Austria. This manufacturer also told us that the German energy industry has embraced using non-sulfur based odorants, in part, to meet German emissions regulations, as these odorants do not produce sulfur dioxide and contribute to acid rain when burned.", "Most of the experts and stakeholders that we interviewed were generally unfamiliar with non-sulfur based odorants. Those with some familiarity offered the following advantages and disadvantages."], "subsections": [{"section_title": "Advantages:", "paragraphs": ["Three experts and stakeholders reported that non-sulfur based odorants: have less adverse impact on the environment; for example, no acid may cost less for some operators because less product may be needed than sulfur-based odorants; and do not adversely impact some operators\u2019 processes."], "subsections": []}, {"section_title": "Disadvantages:", "paragraphs": ["Four experts noted that non-sulfur based odorants: have a smell that the American public does not associate with a gas leak.", "Two experts commented that non-sulfur based odorants: may be chemically unstable; and can react with other compounds.", "Two experts noted that non-sulfur based odorants: may have a higher level of toxicity."], "subsections": []}]}, {"section_title": "Appendix II: Experts and Other Industry and Safety Stakeholders Interviewed by GAO", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "Contact", "paragraphs": ["Susan Fleming, (202) 512-2834 or FlemingS@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the individual named above, other key contributors to this report were Sara Vermillion, Assistant Director; Sarah Jones, Analyst in Charge; Jennifer W. Clayborne; Timothy J. Guinane; David K. Hooper; Delwen A. Jones; Josh Ormond; Rebecca R. Parkhurst; and Kelly L. Rubin."], "subsections": []}]}], "fastfact": ["A sulfur-like odor can be added to natural gas to help people detect leaks and prevent explosions. Gas is odorized in certain pipelines according to risk-based federal requirements.", "Half of stakeholders and 2/3 of state officials we spoke to said that more transmission pipelines should be odorized. These are the pipelines that run between gas processing plants and more populated areas.", "Federal officials and the remaining stakeholders noted that transmission pipelines are pressurized and usually rupture rather than leak, so other required safety practices such as inspections could better address risks."]} {"id": "GAO-19-87", "url": "https://www.gao.gov/products/GAO-19-87", "title": "Indian Programs: Interior Should Address Factors Hindering Tribal Administration of Federal Programs", "published_date": "2019-01-03T00:00:00", "released_date": "2019-01-29T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["For more than 4 decades, federal Indian policy has promoted tribal self-government\u2014the practical exercise of Indian tribes and nations' inherent sovereign authority. Under ISDEAA, federally recognized tribes may request to enter into self-determination contracts and self-governance compacts with Interior, transferring the administration of federal programs to the tribe. Under the HEARTH Act, tribes may issue certain leases on their lands without Interior approval if such leases are executed under approved tribal regulations.", "GAO was asked to evaluate issues related to tribal self-government. This report examines factors affecting tribes' use of self-determination contracts, self-governance compacts, and tribal leasing authority under the HEARTH Act. GAO reviewed key legislation and regulations, relevant literature, federal and tribal documents; analyzed agency data; and interviewed federal officials at 12 BIA regional offices, 29 tribes that used at least one of these mechanisms, and 7 tribal organizations."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO found that various factors can affect tribes' use of self-determination contracts and self-governance compacts under the Indian Self-Determination and Education Assistance Act of 1975 (ISDEAA), as amended, and tribal leasing under the Helping Expedite and Advance Responsible Tribal Home Ownership Act of 2012 (HEARTH Act). A key factor that helps tribes use these self-governance mechanisms is tribal government capacity to administer a federal program or manage these resources. Federal efforts that have helped build this capacity have included training, such as that offered by the Bureau of Indian Affairs (BIA) in 2014 and 2015 to educate tribes on the benefits of developing tribal leasing regulations under the HEARTH Act. In contrast, GAO found that other factors can hinder tribes' use of these mechanisms including:", "Inadequate Information Sharing. The Department of the Interior's (Interior) policy and guidance states that tribes should be provided necessary information to design programs they would like to self-administer, such as the amount of funding available to the tribes for the programs and the amount retained by Interior for inherently federal functions. However, according to several tribal stakeholders and some BIA regional officials GAO spoke to, some of this information is not made available to the tribes prior to self-determination contract negotiations, such as information on funding calculations and determinations of inherently federal functions. Without this information, according to a tribal stakeholder, tribes may be at a disadvantage when negotiating with BIA and designing programs for self-determination contracts.", "Delays in Disbursing Funds. According to tribal stakeholders, Interior's process does not ensure that funds associated with their self-determination contracts and self-governance compacts are disbursed in a timely manner. These funding delays can therefore be a factor that hinders their use of self-government mechanisms. Some tribal stakeholders said that disbursement delays have ranged from weeks to months. GAO was unable to determine the extent to which Interior disburses funds in accordance with ISDEAA or within agreed-upon time frames with the tribes, because Interior does not systematically track and monitor the disbursement of these funds.", "Lengthy Review of Proposed Tribal Leasing Regulations. Interior does not have a clearly documented process for reviewing proposed tribal leasing regulations submitted under the HEARTH Act with identified time frames associated with each step of the process. As a result, tribal stakeholders told GAO that they are uncertain about how long the process will take and how it aligns with the 120 day requirement in the Act. According to tribal stakeholders and GAO's analysis of proposed regulations submitted from 2012 through 2017, Interior's review process has resulted in lengthy review times\u2014in some cases, multiple years. Some tribal officials told GAO that Interior's lengthy review process had delayed the tribe's ability to make decisions about the use of their resources. By developing a clearly documented process that includes established time frames for each step in the review, Interior can help eliminate uncertainty and improve the transparency of the review process for the tribes."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that Interior develop processes to share how it makes funding and inherently federal function determinations with tribes, to track and monitor the disbursement of funds within agreed upon time frames, and for the review of proposed tribal leasing regulations including review time frames. Interior concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than 4 decades, federal Indian policy has promoted tribal self- government\u2014the practical exercise of Indian tribes and nations\u2019 inherent sovereign authority. For example, the Indian Self-Determination and Education Assistance Act of 1975 (ISDEAA), as amended, authorizes federally recognized tribes to assume the administration of a variety of federal programs\u2014or portions thereof\u2014that were previously managed by the Department of the Interior (Interior). Title I of ISDEAA allows tribes to enter into agreements with Interior, referred to as self-determination contracts, and transfers the administration of particular federal programs from Interior to the tribe. In 1988, Congress amended ISDEAA to authorize a tribal self-governance demonstration project, giving selected federally recognized tribes the option of entering into self-governance compacts. Following the demonstration project, in 1994, Congress amended ISDEAA again, establishing self-governance compacts as a permanent option for tribes. Title IV of ISDEAA, as amended, created self-governance compacts as an option for tribes to negotiate broad agreements with Interior that could cover multiple programs, allowing tribes to assume the administration of all programs, functions, services, activities, and competitive grants or portions thereof. Each federally recognized tribe voluntarily decides whether, and to what extent, to pursue the administration of federal programs. According to a recent law journal article, by 2017, nearly all tribes had used a self-determination contract or self-governance compact to take over the administration for one or more federal programs, and nearly all tribes had decided to retain the administration for one or more programs with Interior\u2019s Bureau of Indian Affairs (BIA)\u2014the agency with primary responsibility to administer federal Indian programs.", "Tribal self-government can provide numerous benefits to a tribe. For instance, a 2004 report commissioned by the Department of Health and Human Services found that the Citizen Potawatomi Nation experienced a 300 percent increase in revenues after taking over the management of tribal funds from Interior. The Citizen Potawatomi Nation achieved higher revenues by investing the funds in money market and other low-risk instruments that pay higher interest than was earned when the funds were managed by Interior.", "In addition to ISDEAA, the Helping Expedite and Advance Responsible Tribal Home Ownership Act of 2012 (HEARTH Act) enables tribal self- government by authorizing federally recognized tribes to issue leases of restricted Indian lands for residential, business, agriculture, wind, and solar use without the approval of the Secretary of the Interior if such leases are executed under tribal regulations that have been approved by the Secretary. According to BIA, as of June 2018, there were leasing regulations approved under the HEARTH Act from 42 tribes. According to BIA, the potential tribal benefits of developing tribal leasing regulations for approval under the HEARTH Act include more efficient and timely execution of leases that can encourage investment and economic development in tribal communities. At a December 2017 webinar one tribal stakeholder provided an example of such a benefit, stating that when the tribe took over the review and approval of business leases on its lands from the federal government, the tribe reduced the review time from 8 to 9 months to about 1 month, allowing it to more quickly pursue economic development opportunities.", "According to Cohen\u2019s Handbook of Federal Indian Law, the history of federal control over the administration of programs that serve tribes and its management of tribal resources has limited growth for some tribal economies. In our June 2015 report on energy development, for example, we found that BIA had mismanaged Indian energy resources and thereby limited opportunities for tribes and their members to use those resources to create economic benefits and improve the well-being of their communities. In February 2017, we added federal management of programs that serve Indian tribes and their members to our biennial update of high-risk areas, in part, because of long-standing problems with Interior\u2019s management of these programs.", "You asked us to review issues related to tribal self-determination contracts, self-governance compacts, and leasing authority under the HEARTH Act. This report examines factors that have affected tribes\u2019 use of these mechanisms to further tribal self-government.", "To identify factors that have affected tribes\u2019 use of self-determination contracts, self-governance compacts, and leasing authority under the HEARTH Act, we reviewed federal laws, regulations, and guidance; reviewed reports, congressional testimony, and other articles; reviewed federal data; and interviewed tribal leaders and officials and federal officials from Interior and the Environmental Protection Agency (EPA). Based on information found in the literature we reviewed and views provided during our interviews, we identified a number of factors that can affect tribes\u2019 use of self-determination contracts, self-governance compacts, and the HEARTH Act. The factors we included in this report are those that were most frequently mentioned in interviews with tribal and federal officials and that are specifically related to federal government policies and processes. Any factors identified by tribes we interviewed that are not related to the federal government were not included in our scope.", "We first reviewed ISDEAA, the HEARTH Act, and associated federal regulations and guidance, such as BIA\u2019s handbook for implementation of ISDEAA, to understand attributes associated with each self-governance mechanism. We reviewed federal reports, congressional testimony, and other articles that provided general background information, historical perspectives, and examples of factors that can affect tribes\u2019 decisions to use self-determination contracts, self-governance compacts, and authority under the HEARTH Act. In addition, we reviewed federal data that included, among other things, data on tribal participation and key dates associated with BIA\u2019s review of tribal leasing regulations. To assess the reliability of the federal data we obtained, we consulted with knowledgeable officials who are responsible for the programs and corroborated the data with various sources. Based on these steps, we determined that the data were sufficiently reliable for the purposes of this report.", "We also interviewed or received written responses from Interior officials representing, among others, Interior\u2019s Office of Self-Governance (OSG), BIA\u2019s Office of Trust Services, and all 12 BIA regions that provided information on federal processes and activities related to tribes\u2019 use of the mechanisms included in our review. We interviewed leaders and officials from 29 Indian tribes and nations, selected to ensure a representation of tribes with a range of experience using one or more of the three mechanisms included in our review. In addition, we interviewed representatives from 5 tribal consortia\u2014the Coalition of Large Tribes; the Great Plains Tribal Chairmen\u2019s Association; the United Indian Nations of Oklahoma, Kansas, and Texas; the United South and Eastern Tribes; and the Department of the Interior Tribal Self-Governance Advisory Committee. We also met with non-profit organizations such as the National Congress of American Indians\u2014and the Native Governance Center, a non-profit organization focused on tribal government capacity building. For the purposes of this review, we refer to tribal leaders, tribal government officials, and representatives from tribal consortia as tribal stakeholders.", "Throughout the report, we use the following categories to quantify statements made by stakeholders: \u201csome\u201d is defined as statements made by 2 to 5 entities, and \u201cseveral\u201d is defined as statements made by 6 to 10 entities. Each of the 573 federally recognized Indian tribes and nations is unique. Therefore, the information obtained in our discussions with tribal stakeholders is not generalizable but provides examples of tribes\u2019 experiences with self-determination contracts, self-governance compacts, and the HEARTH Act. In addition, given our methodology, it is possible we did not identify every factor that can affect a tribe\u2019s use of self- determination contracts, self-governance compacts, or the HEARTH Act.", "We conducted this performance audit from February 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Indian tribes and nations are recognized as \u201cdistinct, independent political communities\u201d that are part of the unique political structure of layered sovereigns and internal governments that comprise the U.S. system of government. Tribal powers of self-government are recognized by the Constitution, legislation, treaties, judicial decision, and administrative practice. Tribal governments have many of the same responsibilities as state and local governments. However, tribes are generally unable to establish a strong tax base structured around the property taxes and income taxes typically available to state and local governments, according to a 2016 joint report from the Native Nations Institute and the Harvard Project on American Indian Economic Development and a 2003 report from the U.S. Commission on Civil Rights. For example, the reports found that tribes are unable to levy property taxes on some of their lands because of the legal status of the land. In addition, most tribes have a limited land base. Tribes generally do not levy income taxes because many tribal communities have disproportionately high levels of unemployment and a lack of employment opportunities. To the degree that they are able, some tribes use sales and excise taxes, but these do not generally generate enough revenue to fully support tribal governments. Therefore, some tribes rely on a combination of federal funds and economic development initiatives as fundamental sources of financial support for the government programs and services provided to their communities.", "According to Cohen\u2019s Handbook of Federal Indian Law, \u201cfederal services to Indians were never mere gratuities. Instead, they were provided in exchange for cessions of land and rights, and to achieve distinctly federal purposes.\u201d Generally, the programs that provide basic tribal services are supported through tribal priority allocation (TPA) funds that Congress appropriates. TPA funds are used to provide a wide variety of services to tribal communities\u2014either through BIA-administered programs or self- determination contracts and self-governance compacts\u2014and all federally recognized tribes are eligible to receive those funds."], "subsections": [{"section_title": "Bureau of Indian Affairs", "paragraphs": ["BIA, through its 12 regional offices and more than 80 agency offices, administers programs that provide services and funding to tribes. For example, BIA programs include social services, natural resources management, economic development, law enforcement and detention services, tribal court administration, implementation of land and water claim settlements, repair and maintenance of roads and bridges, repair of structural deficiencies on high hazard dams, land consolidation activities, and electric utilities. In some cases, a BIA agency office may serve one tribe, and in other cases, a BIA agency office may administer programs on behalf of more than one tribe. For example, BIA\u2019s Central California Agency administers programs to 56 tribes, the largest multi-tribal field office in the contiguous 48 states.", "These programs may also be administered by tribal governments under a self-determination contract or self-governance compact. BIA is responsible for administering self-determination contracts, including negotiating and approving each contract and its associated annual funding agreement and disbursing funds to the tribes. For instance, under its procedures, BIA is to provide tribes that are interested in pursuing a self-determination contract with key information about the program and available funding. ISDEAA transfers control over programs to tribes, but as stated in Cohen\u2019s Handbook of Federal Indian Law, \u201cfinancial responsibility remains with the federal government.\u201d ISDEAA provides that tribes who decide to administer federal programs are to receive the same funds that would have been provided had the federal government operated the programs.", "BIA identifies the amount of funds available to a tribe under a self- determination contract or self-governance compact for the administration of a federal program. In general, the most basic process for calculating the program amount is as follows: The program amount equals the total amount of funds Interior used to operate a program minus residual funds.", "Residual funds are the funds necessary for the federal government to carry out residual functions. Residual functions are inherently federal functions that only federal employees\u2019 may perform if all tribes were to assume responsibilities for all programs that ISDEAA permits. Inherently federal functions are not defined in Title I or Title IV of the ISDEAA, and a 1994 Solicitor of the Interior memo reports that inherently federal functions are to be determined on a case-by-case basis when they fall outside certain defined categories. BIA officials told us the basic calculation is most likely to be used when a tribe is served by an agency office that only serves one tribe and the tribe took over administration of a program from that agency office.", "In cases where the total amount of funds BIA used to operate a program serves more than one tribe, additional data and factors may be included in the methodology to calculate the amount of funds available to administer the program. This is needed to ensure BIA can continue to provide services to the tribes that did not take over administration of the program. A BIA official told us that some regions and agency offices may divide the total amount by the number of tribes served, as shown in the following example: The program amount equals the total amount of funds Interior used to operate a program minus residual funds divided by the number of tribes served by the program.", "In other cases, regions and agency offices may include additional data to weight the calculation, such as tribal population or tribal land acres. When a tribe elects to pursue a self-determination contract, BIA is to meet with tribal officials to discuss and negotiate the terms of the contract, including what functions will be retained by BIA, the annual funding amount, and terms for the frequency of disbursing funds\u2014that is, disbursed in a single lump sum or other intervals, such as quarterly payments.", "According to Interior budget officials responsible for BIA\u2019s budget, after Interior receives its appropriations, departmental budget officials determine how to distribute any changes between the Administration\u2019s budget and the final budget among BIA offices that deliver direct services to tribes and to tribes that contract the services through self-determination contracts. According to Interior budget officials, they calculate changes in the budget amounts for each contract after consulting BIA program officials and based on statutory requirements, historical percentages, or other distribution factors. After the budget calculations are completed, Interior officials transfer funds to BIA regional offices to distribute to BIA agency offices and tribes. An awarding official in the regional or agency office then provides contracting tribes an updated annual funding agreement that identifies the amount of funds for that fiscal year."], "subsections": []}, {"section_title": "Self-Determination Contracts and Self- Governance Compacts", "paragraphs": ["ISDEAA authorizes federally-recognized tribes to assume administration of certain federal programs and functions that were previously managed by the federal government. It is Interior policy to facilitate tribal administration of programs through self-determination contracts and remove obstacles that hinder tribal autonomy and flexibility to administer such programs.", "Under Title I of ISDEAA, an interested tribe may request by tribal resolution to enter into a self-determination contract with BIA. ISDEAA requires the parties to such contracts to negotiate annual funding agreements and determine the frequency and timing of payments under the contract. Payments may occur throughout the fiscal year in accordance with terms identified in the annual funding agreements as Interior\u2019s Indian Affairs Office of Budget and Performance Management makes appropriated funds available.", "Under Title IV of ISDEAA, an interested tribe may request to enter into a self-governance compact. Under the law, to be eligible for participation in self-governance compacting, a tribe must, among other things, demonstrate financial stability and management capability, which can be evidenced by participating in a self-determination contract for at least 3 years with no material audit exceptions. Interior\u2019s Office of Self- Governance (OSG) is responsible for administering self-governance compacts and funding agreements for Interior programs. OSG assists tribes that want to enter into self-governance compacts by providing training, determining eligibility, participating in negotiations with the tribes and Interior agencies to identify the amount of funds that will be included in the self-governance compacts, and approving tribes to participate in self-governance. In addition, tribes with self-governance compacts negotiate annual funding agreements with OSG rather than BIA. OSG is also responsible for transferring funds from Interior to tribes with a self- governance compact, ensuring audit compliance, and processing waivers of BIA regulations. Further, OSG is responsible for preparing an annual report to Congress on the costs and benefits of self-governance. As of fiscal year 2016, OSG has entered into self-governance compacts that cover 47 percent of federally recognized tribes (267 tribes).", "For additional information on the differences between self-determination contracts and self-governance compacts, see table 1."], "subsections": []}]}, {"section_title": "Several Factors, Including Certain Federal Actions, Can Affect Tribes\u2019 Use of Self-Determination Contracts, Self- Governance Compacts, and the HEARTH Act", "paragraphs": ["Several factors, including federal agencies\u2019 processes and actions can affect tribes\u2019 use of mechanisms that further tribal self-government such as self-determination contracts, self-governance compacts, or leasing authority under the HEARTH Act that further tribal self-government. Some of these factors, such as federal training and resources, can help tribes develop the tribal capacity needed to take over administration of federal programs and thereby facilitate tribes\u2019 use of these mechanisms. In contrast, other factors, specifically federal processes and actions, can hinder or delay tribes\u2019 use of these mechanisms. Some of these processes include: (1) BIA\u2019s approach for sharing information with tribes, (2) Interior\u2019s process to disburse funds, and (3) Interior\u2019s process to review proposed tribal leasing regulations submitted under the HEARTH Act. In addition, the adequacy of federal resources needed to administer a program is a factor that can affect tribes\u2019 use of self-determination contracts and self-governance compacts, according to several tribal stakeholders and federal officials we spoke with, government reports, our prior reports, and other articles we reviewed."], "subsections": [{"section_title": "Tribal Capacity is a Key Factor That Can Facilitate Tribes\u2019 Use of Self- Determination Contracts, Self-Governance Compacts, and Authority under the HEARTH Act", "paragraphs": ["The capacity of a tribal government to administer a federal program or manage its resources is a key factor that can affect a tribe\u2019s decision to enter into a self-determination contract or self-governance compact, or to use the authority available under the HEARTH Act, according to some reports we reviewed. For example, the Harvard Project on American Indian Economic Development found that successful tribal assertions of sovereignty and self-government are backed by capable institutions of governance that contribute to tribal capacity.", "According to federal officials and agency training documents we reviewed, Interior has contributed to the capacity of tribal governments by increasing tribes\u2019 knowledge about self-governance compacting and the HEARTH Act. For example, Interior\u2019s OSG provides opportunities for tribes to learn about self-governance compacting and build capacity by partnering with a non-profit organization to conduct training events, including an annual week-long training program. In addition, BIA offered several training sessions in 2014 and 2015 on the HEARTH Act to educate tribes on the benefits of developing tribal leasing regulations. Furthermore, Interior\u2019s Office of Indian Energy and Economic Development administers a grant program, Tribal Energy Development Capacity, intended to help tribes build the capacity to enter into a tribal energy resource agreement (TERA) or develop leasing regulations under the HEARTH Act.", "Some tribal stakeholders identified the EPA\u2019s Indian Environmental General Assistance Program (GAP) as a model for a federal program that helped their tribes build the capacity needed to administer environmental programs from EPA. These tribal stakeholders also told us this capacity benefitted the tribes as they sought to take over similar programs from Interior. Some tribal stakeholders told us the GAP program is effective in assisting tribal governments build capacity because it is designed to provide consistent funding over multiple years. According to reports we reviewed that discuss building tribal capacity, effective capacity building efforts should both provide for sustained, consistent funding over time, since developing capacity can be an ongoing effort that may take longer than 1 year to achieve and facilitate a tribe\u2019s ability to develop a program that is responsive to each tribe\u2019s unique conditions and priorities."], "subsections": []}, {"section_title": "Factors That Can Hinder Tribes\u2019 Use of Self- Determination Contracts, Self-Governance Compacts, and Authority under the HEARTH Act", "paragraphs": ["We found that several factors can hinder tribes\u2019 ability to use self- determination contracts, self-governance compacts, or leasing authorities under the HEARTH Act, including: (1) BIA\u2019s approach for sharing key information with tribes seeking to develop a program using a self- determination contract, (2) Interior\u2019s process to disburse funds to tribes associated with self-determination contracts and self-governance compacts, (3) Interior\u2019s review of tribal leasing regulations submitted under the HEARTH Act, and (4) BIA\u2019s management and maintenance of federal programs that tribes may pursue to take over under a self- determination contract."], "subsections": [{"section_title": "BIA\u2019s Approach for Sharing Key Information with Tribes", "paragraphs": ["According to several tribal stakeholders, BIA\u2019s approach for sharing key information with tribes does not always ensure that tribes have the information they need to design programs under self-determination contracts prior to negotiations. As a result, this has been a factor that has hindered or delayed tribes\u2019 use of self-determination contracts for administering programs.", "Interior guidance and policy call for BIA to provide tribes information that includes, among other things, calculations BIA uses to identify the amount of funds available to a tribe if it takes over administration of a program. In accordance with Interior\u2019s policy, BIA should provide tribes with the information necessary to design programs those tribes would like to administer under a self-determination contract to meet the needs of their communities consistent with their diverse demographic, geographic, economic, cultural, health, social, religious, and institutional needs. Also in accordance with Interior guidance, when a tribe requests to enter into a self-determination contract with Interior, BIA should disclose information to the tribe that identifies the amount of program funding available, the methodology used to identify available amounts, the process used to arrive at available amounts, an identification of the amount of funding retained by BIA, and any other information useful to understand how contract amounts were calculated. Moreover, Interior regulations call for BIA to provide to tribes, for the negotiation of annual funding agreements for self-governance compacts, a brief justification as to why specific functions have been determined inherently federal. However, according to several tribal stakeholders, they do not receive this information, including calculations BIA uses to identify the amount of funds available to tribes, prior to negotiating their self-determination contracts.", "Some BIA regional and agency office officials we interviewed told us they do not generally provide information to tribes prior to negotiating the terms of a self-determination contract because the determinations of inherently federal functions and the amount of funding the bureau would retain to perform such functions generally occurs during meetings with BIA and the tribe. A tribal stakeholder told us that without documentation on funding calculations and methodologies, tribes are at a disadvantage and have little basis to negotiate during these meetings. A tribal stakeholder told us that, in practice, the negotiation generally consists of BIA informing the tribe of the amount of funds to request in its proposal and what federal functions BIA will retain without any documentation to support its determination of inherently federal functions or the resources to be made available to the tribe to administer a program using a self- determination contract.", "BIA\u2019s approach is not consistent with Interior\u2019s policy of sharing information so tribes can develop programs. By developing a process that results in BIA\u2019s regional and agency offices providing tribes with documentation on calculations and methodologies to identify resources available to administer a program using a self-determination contract, BIA would be adhering to Interior\u2019s policy and have greater assurance that tribes have the information they need to design the programs that they would like to pursue under a self-determination contract.", "In addition, BIA guidance states the bureau will ensure functional consistency in the determination of inherently federal functions when the Central Office and all regional offices are compiling that information for negotiating annual funding agreements with tribes. We found examples that suggest that BIA has not consistently determined whether programs and functions are inherently federal, which can affect some tribes\u2019 use of self-determination contracts. For example, a BIA official in one regional office told us that the region had previously decided all functions associated with the Land Titles and Records Offices were inherently federal and told tribes that BIA would not approve a self-determination contract for those functions. However, other BIA regional offices did not consider the functions of the Land Titles and Records Offices as inherently federal, and some tribes in those regions had taken over administration of those functions.", "BIA does not have a process that results in consistent determinations of inherently federal functions and does not provide tribes with information on its prior determinations. A BIA official told us that determinations of inherently federal functions are made on a case-by-case basis because each tribe and its circumstances are unique. However, this approach does not provide BIA leadership with reasonable assurance of functional consistency throughout the bureau in the determination of inherently federal functions\u2014consistent with bureau guidance. By developing a process that results in consistent determinations of inherently federal functions, BIA could have greater assurance that these decisions are being made appropriately across the agency. BIA could also increase transparency in the process by providing tribes with documentation on activities and functions previously determined to be inherently federal and the basis for making these determinations."], "subsections": []}, {"section_title": "Interior\u2019s Process to Disburse Funds", "paragraphs": ["According to tribal stakeholders we spoke with, Interior\u2019s process to disburse funds associated with the tribes\u2019 self-determination contracts and self-governance compacts is a factor that hinders expansion of self- determination contracts or self-governance compacts. Several tribal stakeholders and federal officials we interviewed said that the process does not ensure that tribes receive funds within the time frame specified in ISDEAA\u2019s Model Agreement for self-determination contracts or as agreed to by Interior and the tribes in their annual funding agreements. Two tribal stakeholders stated that in prior years, funds were disbursed several weeks or months after Interior received its apportionment from the Office of Management and Budget.", "We were unable to determine the extent to which Interior disburses funds for self-determination contracts within the time frame agreed to in a self- determination contract because Interior does not systematically track the disbursement of funds from the date it received its appropriations through the date that it made funds available to tribes and does not compare its actual performance to expected performance. Not tracking this information and comparing actual performance to expected performance is contrary to federal internal control standards, which state that agency management should design control activities to achieve objectives and respond to risks, such as by comparing actual performance to planned or expected results and analyzing significant differences.", "This is not a new issue for Interior. Specifically, in 2015, an Interior contractor reported on an evaluation of Interior\u2019s process for disbursing funds and identified opportunities for improvement. Consistent with our findings, the report also found that, among other things, the process used by Interior to disburse funds is a manual process that does not include a real-time tracking mechanism. Without such a mechanism, the report found that officials must spend time trying to determine the status of documents and finding misplaced or lost documents. For example, the report found that in fiscal year 2014, Interior had more than 6,000 scanned documents that required up to 6 signatures each, for a total of up to 36,000 signatures, to disburse funds including funds to tribes for self-determination contracts or self-governance compacts. To finalize these documents, the report estimates that 600 hours of staff time were spent scanning, uploading, and printing the documents. Several Interior officials told us they conduct monitoring activities within a specific BIA region or BIA agency office, such as tracking disbursement information through an Excel spreadsheet, but these activities were not part of a systematic process. An Interior official told us there are no plans to develop a real-time tracking mechanism.", "Interior officials we interviewed cited several reasons why some funds associated with self-determination contracts and self-governance compacts were not disbursed in accordance with time frames outlined in its Model Agreement or negotiated in funding agreements. The reasons include the following: Interior\u2019s financial data management system. Interior officials told us that the agency\u2019s financial data management system is used for all of Interior and is not equipped for the unique aspects of self- determination contracts and self-governance compacts\u2014making it difficult to properly track and monitor key actions.", "Prior use of an inefficient process. An Interior official told us that prior to fiscal year 2017, BIA used several spreadsheets to coordinate TPA information for distributions. The official stated that these spreadsheets were over 15 years old, and they made the process inefficient and time-consuming. To distribute funds, officials would use one spreadsheet to gather information and another to summarize the amounts by functional area and region. The official stated that BIA updated the process in fiscal year 2018 and does not expect it to delay funding in the future.", "Staff shortages in key positions. BIA officials in several regions told us they are experiencing staff shortages in key positions that are responsible for the transfer of funds from BIA to tribal governments, such as awarding officials. Interior officials said the Office of Self Governance also needs additional awarding officials with only one awarding official for self-governance compacts. Interior officials stated that the challenges from staff shortages are compounded by Congress\u2019 use of continuing resolutions that result in BIA repeating its fund distribution process multiple times in a single year.", "Delays in receiving tribal signatures. Interior officials we interviewed told us that they have experienced delays disbursing funds to a tribe because they must wait for tribal officials to sign documents before funds may be disbursed.", "When funds are not disbursed in a timely manner, a tribal stakeholder told us that tribes may have to use funds from their general revenue accounts to cover expenses for federal programs or seek other sources, such as loans, to cover program expenses. According to several tribal stakeholders, when a tribe has to use its own funds for the administration of programs\u2014even temporarily\u2014it can adversely affect the tribe in various ways, including lost opportunities to use tribal funds for improving the tribes\u2019 economic conditions, reducing other services provided to tribal communities, and furloughing tribal government employees. In addition, several tribal stakeholders told us that the timeliness of disbursements for self-determination contracts is a factor they consider when deciding whether to take over additional programs under a self-determination contract. The tribal stakeholders said that the tribe must consider if it is able to use tribal funds or willing to obtain a loan to fund a program when the federal government is late disbursing funds. Without establishing a process for tracking and monitoring the disbursement of funds associated with self-determination contracts and self-governance compacts, Interior will not have reasonable assurance it disburses funds in a systematic way or in accordance with agreed upon time frames."], "subsections": []}, {"section_title": "Interior\u2019s Process for Reviewing Proposed Tribal Leasing Regulations", "paragraphs": ["Interior has not clearly documented its process for reviewing proposed tribal leasing regulations with timeframes associated with each step of the process. The process can often be lengthy and time consuming; according to tribal stakeholders, this can be a factor that hinders the tribes\u2019 ability to make decisions about the use of tribal resources. Under the HEARTH Act, tribes are to submit proposed leasing regulations for Interior\u2019s review and approval before a tribe can approve leases for the use of tribal lands, and Interior\u2019s review is to be completed within 120 days after the dates on which the tribal regulations are submitted to the agency. Interior officials told us they interpret the statutory review time frame requirements of the HEARTH Act as applying only to the agency\u2019s review to ensure tribes incorporated all changes identified in prior reviews. Specifically, Interior officials told us the agency does not consider the statutory time frame to begin until it has received a final version of the proposed tribal leasing regulations. These officials described the final version of proposed tribal leasing regulations as regulations that have already undergone review by BIA and Interior\u2019s Solicitor\u2019s office, have been revised by the tribe, and have been resubmitted for additional review by BIA and the Solicitor\u2019s office. This process can be repeated multiple times before Interior considers the tribe\u2019s proposed leasing regulations to be final.", "In contrast, a tribal stakeholder told us that Interior\u2019s interpretation of how to measure the time frame is inconsistent with the tribe\u2019s interpretation of the statutory time frame. The tribal stakeholder told us that a tribe considers its leasing regulations initially submitted to Interior as final, although the tribe understands that BIA and the Solicitor\u2019s office may request revisions. Some tribal stakeholders told us that because Interior is not considering the 120 days as a time frame from first submission until approval, tribes do not know when to expect a final decision on draft tribal regulations.", "We found that some of this confusion could be attributed to the fact that Interior has not clearly documented its review process to include established time frames associated with each step of the process. Under federal standards for internal control, management should design control activities, such as clearly documenting internal control in management directives, administrative policies, or operating manuals. The HEARTH Act seeks to expand tribal self-government and promote economic development by shifting the authority for leasing from the Secretary to the tribes. By developing a clearly documented review process that includes established time frames for each step in the process for reviewing proposed tribal leasing regulations submitted under the HEARTH Act, Interior can better ensure that it is eliminating uncertainty and better communicating the process for approval to the tribes.", "We also found that the approval process can be lengthy in some cases. Our review of 42 tribal leasing regulations submitted to Interior for review from 2012 through 2017 for which BIA provided us with data on the date the tribe submitted the regulations to Interior and the date of Interior\u2019s approval found that 4 of the 42 leasing regulations were approved within 120 days. For the other 38 proposed regulations, the time from when the tribe submitted the regulations to Interior to when the agency approved the regulations ranged from 134 days to 980 days. Half of the 42 proposed regulations were under review by Interior for a year or longer, with 5 of the 21 under review for more than 2 years. Interior\u2019s review was generally not continuous during the entire period; instead, these time periods included review by BIA and the Solicitor\u2019s office and the time spent by the tribe revising its leasing regulations in response to Interior\u2019s review.", "Tribal stakeholders also shared with us several examples that illustrate Interior\u2019s lengthy review process for tribal governments\u2019 use of the HEARTH Act. For example, in one case, Interior received a tribe\u2019s leasing regulations for review and approval in May 2015. Interior approved the tribe\u2019s leasing regulations and published the decision in the Federal Register in April 2018\u2014more than 2 years later. Officials representing this tribe told us they considered the leasing regulations initially submitted on May 18, 2015, as final, though they understood that Interior could request revisions. These officials explained that the tribe has its own extensive process and procedures for lawmaking and developed its leasing regulations consistent with its Constitution, Legislative Procedures Act, and Administrative Rulemaking Procedure, which take into account comments from tribal members and tribal agencies and includes a judicial review, legislative analysis, fiscal impact review, and adoption by the tribe\u2019s elected business committee.", "Tribal stakeholders told us that after each communication with BIA about the leasing regulations, they believed the regulations were satisfactory for approval. For example, the tribe received preliminary approval from BIA in October 2016. Then, tribal stakeholders said in August 2017\u2014nearly 10 months later\u2014the tribe received correspondence from BIA stating that the tribe needed to add several additional provisions, including language regarding Indian irrigation projects and districts even though the tribe does not have any irrigation projects or districts within its boundaries. Additional correspondence took place between the tribe and Interior, resulting in final approval in January 2018. Tribal stakeholders told us that the lengthy review delayed the tribe\u2019s ability to implement leasing regulations and delayed the tribe\u2019s ability to make decisions about the use of tribal resources.", "In another case, Interior received tribal leasing regulations for review and approval on January 17, 2014. The tribe stated in documentation submitted to Interior that it was seeking increased decision-making authority under the HEARTH Act because it had finalized various construction agreements and needed to approve surface leases for an economic development project. During the time that the tribe\u2019s leasing regulations were under review at Interior, BIA asked the tribe to submit multiple versions of its leasing regulations.", "According to BIA documents, the bureau took approximately 2 months to transfer the tribe\u2019s regulations from BIA headquarters to a regional office for its review. Once the regional office received the tribal leasing regulations, the office conducted its review over a 3-month period and provided comments to BIA\u2019s headquarters. BIA\u2019s data show that headquarters sent the tribe\u2019s leasing regulations to the Solicitor\u2019s office nearly 5 months after it received the tribal leasing regulations. Over the next couple of years, Interior requested the tribe make changes to its leasing regulations three more times and resubmit revised versions for review.", "On March 3, 2016\u2014more than 2 years after receiving the tribe\u2019s leasing regulations\u2014Interior documented that it had \u201cone small change\u201d it would like the tribe to make to the regulations. The tribe made the requested change and resubmitted the leasing regulations to Interior via certified mail, which showed receipt at Interior on July 1, 2016. Interior approved the tribal leasing regulations on October 7, 2016\u2014more than 3 months after the tribe submitted regulations with the \u201csmall change.\u201d Interior approved the tribe\u2019s leasing regulations and published the decision in the Federal Register in October 2016\u2014more than 2 years after Interior first received the tribe\u2019s leasing regulations.", "Interior officials told us there was not a single reason for the lengthy review times. In some cases, Interior officials said the review times were long because the BIA official responsible for managing Interior\u2019s review had left the bureau. In other cases, Interior officials told us they were short-staffed in the Office of the Solicitor and the legal review took longer than anticipated. However, they acknowledged that the uncertainty associated with how long Interior\u2019s review will take can make it difficult for tribes to plan and execute economic development projects. For example, a BIA official told us that a tribe was unable to pursue an economic development opportunity because of the time it took for Interior to complete the process to review the tribe\u2019s regulations.", "In contrast, a timely review of a tribe\u2019s proposed leasing regulations can positively affect tribal control and decision making. For example, a tribal stakeholder said after several months waiting for BIA to approve a surface lease needed for a tribe to develop a wind farm, the tribe decided to pursue authority under the HEARTH Act so that it could review and approve the lease without waiting for BIA\u2019s review of the surface lease. Interior reviewed and approved the tribe\u2019s leasing regulations submitted under the HEARTH Act authority in 31 days. According to the tribal stakeholder, the timely review and approval of the tribe\u2019s leasing regulations allowed the tribe to review and approve the surface lease needed for construction of the wind farm to commence before the expiration of tax credits\u2014a key component that made the project feasible."], "subsections": []}, {"section_title": "BIA\u2019s Past Management of Federal Programs", "paragraphs": ["Past mismanagement of federal programs under the administration of BIA is a factor that can affect tribes\u2019 decisions whether to take over federal programs through self-determination contracts, according to several tribal stakeholders and BIA officials. As documented in a 2003 report by the U.S. Commission on Civil Rights, decades of general mismanagement of infrastructure and programs under BIA\u2019s administration can hinder a tribes\u2019 use of self-determination contracts. In 1999, BIA reported to Congress that funds provided under self-determination must be used not only for current operations but also \u201cto repair 150 years of general neglect\u201d of Indian programs. In these cases, taking over programs with long-standing neglect is a liability that some tribes are not willing to assume. For example, a tribal stakeholder told us that its BIA agency office neglected tribal land records for many years. As a result, the tribe is reluctant to assume the liability associated with administering a real estate program without accurate property records.", "In another example, BIA operates an irrigation project that provides electric utility service to two tribes. Both tribes have taken over certain functions associated with the utility service provided to their communities through self-determination contracts, and both tribes have expressed interest in expanding the functions they administer. However, BIA and tribal officials said that concerns over infrastructure that needs to be repaired or replaced and the liability associated with rights-of-way have deterred both tribes from taking over the remaining functions of the utility. For example, many utility poles on the project\u2019s transmission lines are more than 50 years old and are in need of replacement, and the project has over 1,500 miles of transmission lines and 2,000 miles of distribution lines. According to a BIA document, these lines might have been extended without receiving a formal right-of-way. The report states that \u201cmany of \u2019s rights-of-way are unperfected and there are no supporting documents evidencing a legal right-of-way.\u201d According to tribal stakeholders these kinds of uncertainties are significant factors they must consider in their decisions related to self- governance of BIA programs."], "subsections": []}]}]}, {"section_title": "Adequacy of Resources Affects Tribes\u2019 Use of Self- Determination Contracts and Self- Governance Compacts", "paragraphs": ["The adequacy of resources is a long-standing concern that has been a factor affecting tribal participation in self-determination contracts and self- governance compacts, according to several tribal stakeholders and federal officials we interviewed, government reports, our prior reports, and articles we reviewed. Specifically, a lack of adequate resources has been a long-standing concern that can limit the number of programs tribes take over using self-determination contracts and self-governance compacts. For example, the U.S. Commission on Civil Rights 2003 report noted that the authority tribes have to take over the administration of federal programs is useful to the extent that adequate funds are made available to the tribes to operate the program. According to Interior officials, Interior does not have an estimate on the extent to which it can provide adequate resources to tribes that want to administer federal programs. For one program, BIA estimated in a report to Congress that the dollars BIA expended in fiscal year 2013 for BIA and tribes to operate detention and corrections centers fund about forty percent of the estimated operating needs.", "Faced with funding shortfalls from the BIA budget to administer federal programs under federal self-determination contracts or self-governance compacts, many tribal stakeholders told us that they supplement federal funding. Officials from one tribe told us that the tribe has supplemented all the programs it has taken over from BIA. For example, the tribe reported that the Land Titles and Records Program has a shortfall of about $300,000 annually; the Law Enforcement program with about $564,000 annually; and the Probate Program with about $129,000 annually. Officials from the tribe told us that tribes may rely on revenues generated from economic development or tax revenue to supplement federal dollars for programs they have taken over from the federal government.", "However, tribal stakeholders we interviewed told us that not all tribes are in a position to supplement additional federal programs because of limited economic development opportunities and tax revenue; therefore, those tribes may not have the option to take over additional federal programs. According to a tribal stakeholder, dual-taxation\u2014when both a tribe and state tax the same non-tribal members and businesses on tribal land\u2014 can significantly limit a tribe\u2019s tax revenue because tribes must reduce or eliminate their taxes to stay competitive and attract business and enterprise to their lands. Furthermore, the funds tribes may use to supplement federal programs are needed to fund other governmental services and activities, which place tribal leaders in the position of deciding whether to use funds to provide governmental services not funded by the federal government or to increase self-governance by administering additional federal programs. As we have previously reported, when tribes supplement the federal program they take over, it diverts funds away from other economic development opportunities and other government functions and services they provide to their communities and citizens.", "Lastly, several tribal stakeholders told us that not receiving adequate resources from the federal government to administer federal programs makes them reluctant to administer additional federal programs because they believe BIA has a better chance than the tribe to obtain additional resources that can be used to supplement program shortfalls. This is, in part, because they believe that BIA agency offices and regional offices have access to funding sources that are not available to tribes and because BIA does not always make tribes aware of funds that are available. For example, the Department of the Interior\u2019s Self-Governance Advisory Committee reported in 2015 that the distribution of year-end funds is entirely within the discretion of the local awarding official and that not all tribes are notified that these funds are available."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Interior has taken steps to assist tribes pursuing tribal self-government by providing training opportunities focused on self-governance compacts and the use of the HEARTH Act to help increase tribal capacity. However, several factors have continued to hinder tribes\u2019 use of these mechanisms to further tribal self-government. First, BIA\u2019s approach for sharing key information with tribes when tribes seek to administer a program using a self-determination contract does not provide the tribes with the information they need to understand how the self-determination contract amounts were calculated. As a result, tribal leaders are at a disadvantage in making sound decisions regarding the feasibility of taking over the administration of federal programs.", "Second, BIA does not have a process that results in consistent determinations of inherently federal functions and does not provide tribes with information on its prior determinations. By developing a process that results in consistent determinations of inherently federal functions, BIA could have greater assurance that such determinations are being made appropriately across the agency and BIA could increase the transparency of the process by providing tribes with documentation on activities and functions previously determined to be inherently federal and the basis for the determinations.", "Third, Interior does not have an effective process for tracking and monitoring the disbursement of funds associated with tribes\u2019 self- determination contracts and self-governance compacts or as agreed to with the tribes. Without establishing an effective tracking and monitoring process, Interior does not have reasonable assurance that it is disbursing funds in accordance with ISDEAA or time frames agreed to with the tribes.", "Lastly, Interior has not documented its process to include established time frames associated with each step of the process to review proposed tribal leasing regulations submitted under the authority provided by the HEARTH Act. This has resulted in lengthy review times\u2014in some cases, multiple years. By developing a clearly documented review process that includes established time frames for each step in the process for reviewing proposed tribal leasing regulations submitted under the HEARTH Act, Interior can better ensure that it is eliminating uncertainty in the process to approve tribal leasing regulations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to Interior:", "The Assistant Secretary of Indian Affairs should develop a process so that all regional and agency offices consistently provide tribes with documentation on calculations and methodologies to identify resources available to administer a program using a self- determination contract. (Recommendation 1)", "The Assistant Secretary of Indian Affairs should develop a process that results in consistent determinations for inherently federal functions and to provide documentation to tribes on specific activities and functions determined to be inherently federal. (Recommendation 2)", "The Assistant Secretary of Indian Affairs should establish a process to track and monitor the disbursement of funds associated with self- determination contracts and self-governance compacts. (Recommendation 3)", "The Assistant Secretary of Indian Affairs should coordinate with the Office of Solicitor and BIA to develop a clearly documented process with established time frames for each step in the process for reviewing proposed tribal leasing regulations submitted under the HEARTH Act. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to Interior for comment. In its comments reproduced in appendix II, Interior generally concurred with our recommendations. Interior also provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 28 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Interior, the Assistant Secretary of Indian Affairs, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or ruscof@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["For this report, we reviewed a range of reports, articles, conference proceedings, congressional testimony, and other publications from federal and tribal governments, academics, and nonprofit organizations. These publications included general background information related to tribal self- government and tribes\u2019 use of self-determination contracts, self- governance compacts, and the HEARTH Act, as well as historical perspectives, successes and challenges, and identified some factors that can affect a tribe\u2019s decision to use one of these mechanisms. We identified these articles and publications by searching various Web-based databases, such as ProQuest, Scopus, DIALOG, Academic OneFile, JSTOR, and Lexis to identify existing studies from articles, peer-reviewed and other journals, including law review journals, and government and academic publications. We searched terms such as tribal sovereignty, self-governance, self-determination, and capacity, as well as relevant acts or program names. We also asked tribal stakeholders that we interviewed to recommend additional reports, congressional testimony, and other articles on the topic. We did not set specific time frames for the search, and identified more than 50 articles from 1982 to 2017. We examined summary-level information about the literature identified in our search and identified a few of the articles as directly related to our report. These five publications are identified throughout this report. Other articles provided beneficial context and historical information but did not contribute to us identifying factors to include in this report.", "We reviewed relevant laws and regulations including the Indian Self- Determination and Education Assistance Act of 1975 (ISDEAA), as amended and Helping Expedite and Advance Responsible Tribal Home Ownership Act of 2012 (HEARTH Act). We also reviewed Interior\u2019s policy manual, Interior\u2019s procedures handbook for contracting under Title I of ISDEAA, the Interior Solicitor\u2019s opinions on inherently federal functions, and other guidance documents. We reviewed Interior reports and audits related to self-determination contracts, self-governance compacts, and the Hearth Act, including Interior budget justification reports and evaluations of tribes\u2019 performance with trust programs administered under a self-governance compact. ISDEAA also allows tribal governments to take over administration of certain programs from the Department of Health and Human Service\u2019s Indian Health Service. For this review, we focused on tribes\u2019 use of self-determination contracts and self- governance compacts to administer Bureau of Indian Affairs (BIA) programs.", "To determine tribes\u2019 use of self-determination contracts, we obtained data from Indian Affairs\u2019 Office of Chief Financial Officer for all current contracts as of November 2017. The data provided included the contract number, the tribe or tribal organization with the contract, and the program included in the contract. To assess the reliability of the data, we consulted with knowledgeable federal officials and found examples in one of our prior reports that generally supported the data we obtained from the Office of Chief Financial Officer. To determine tribes\u2019 use of self- governance compacts, we reviewed data that Interior provides to Congress in annual reports that cover tribal use of self-governance compacts. To assess the reliability of the data, we consulted with Interior\u2019s Office of Self Governance officials and tribal stakeholders and compared information provided to us from Interior with information obtained from the Tribal Self-Governance Communication and Education Consortium. We determined that the data were sufficiently reliable for the purpose of our report.", "To obtain a better understanding of the information found in self- determination contracts, we requested BIA provide information from self- determination contract files. We requested contract files that would represent a range of BIA regions and programs. We also sought to use this information to identify examples from the contract file where BIA documented the amount of program funding available to the tribe and retained by BIA, and the methodology BIA used to identify available amounts. Through our review of several contract files, we were able to corroborate information from BIA officials and tribal stakeholders, who told us that BIA does not systematically document the amount of program funding available to the tribe and retained by BIA and the methodology BIA used to identify available amounts. The findings from the contract reviews are not generalizable to those we did not request and obtain. We also collected information from 9 BIA regions on the number of retrocessions (tribes that voluntarily turned back administration of a program to BIA), reassumptions (programs where BIA took back administration from a tribe because of noncompliance with contract requirements), and declinations (programs that tribes requested to take over administration but BIA declined) from 2012 through 2017. BIA does not have a centralized data system to collect this information and through consultations with knowledgeable federal officials, we determined that each of BIA\u2019s regions was in the best position to provide us with this information.", "To determine tribal participation with the HEARTH Act and the extent to which Interior\u2019s review is consistent with the Act, we collected data from BIA on the number of tribes that have submitted leasing regulations for BIA\u2019s review, and the number of tribal leasing regulations BIA approved under the HEARTH Act. In most cases, Interior provided an internal checklist that included, among other things, the dates tribes submitted information and dates of Interior responses. We used this information to identify the amount of time associated with BIA\u2019s review of tribal leasing regulations. In some cases, we also gathered information from tribes. We determined that the data were sufficiently reliable for the purposes of this report.", "We interviewed federal officials from Interior\u2019s Office of Solicitor, Indian Affair\u2019s Office of Self Governance, Office of the Chief Financial Officer, and Office of Budget and Performance Management. Within BIA, we met with officials from Office of Trust Services, the Office of Indian Services and interviewed or received written responses from regional officials in all 12 BIA regions. Through these interactions we asked officials to identify processes associated with tribes entering into, negotiating, and administering federal programs under a self-determination contract or self-governance compact. We also discussed processes associated with Interior\u2019s disbursement of funds agreed upon in contracts and compacts. In addition, we discussed processes for tribes to submit leasing regulations to BIA and for BIA\u2019s review of tribal leasing regulations. We compared the information collected through discussions with federal officials and federal documents with Interior guidance documents and Standards for Internal Control in the Federal Government. We also discussed the use of self-determination contracts and self-governance compacts with Interior\u2019s Bureau of Land Management and Bureau of Reclamation, and interviewed officials from the Environmental Protection Agency to discuss tribes\u2019 use of existing authorities to administer environmental programs and the agency\u2019s efforts to build tribal capacity.", "To identify factors that can affect a tribe\u2019s decision to use self- determination contracts, self-governance compacts, and the HEARTH Act\u2014as well as tribes\u2019 experience with these mechanisms\u2014we interviewed leaders and officials from 29 federally recognized Indian tribes and nations, the Department of the Interior Self-Governance Advisory Committee, and non-profits representing tribal interests, such as the National Congress of American Indians (NCAI) and the Native Governance Center. The key factors we included in this report are those that were most frequently mentioned and that are specifically related to federal government policies and processes. During the review, we identified factors that tribes may consider but that are not related to the federal government; because these factors were outside of the scope of this review, we did not include them in our report. We selected Indian tribes and nations to ensure a representation of tribes with a range of experience using self-determination contracts and self-governance compacts, tribal size, and geographic location. We also selected tribes to ensure we had representation from tribes that developed leasing regulations under the HEARTH Act and those that have elected to not yet develop or submit leasing regulations under the HEARTH Act.", "We also met with representatives from tribal consortia, such as the Coalition of Large Tribes; the Great Plains Tribal Chairman\u2019s Association; the Department of the Interior Tribal Self-Governance Advisory Committee; the United South and Eastern Tribes; and the United Indian Nations of Oklahoma, Kansas, and Texas to gather additional perspectives on factors that can affect tribal participation. To encourage increased participation and perspectives from tribal leaders and officials, we provided opportunities for tribes to contact us for individual discussions by requesting that tribal consortia, as well as NCAI, include information about our review in their newsletters or other correspondence with tribal stakeholders. As a result of these efforts, several additional tribes contacted us to share information about their experiences.", "For the purposes of this review, we refer to tribal leaders, tribal government officials, and representatives from tribal consortia as tribal stakeholders. Throughout the report, we use the following categories to quantify statements made by stakeholders: \u201csome\u201d is defined as two to five entities and \u201cseveral\u201d is defined as six to 10 entities. Because each of the federally recognized tribes and nations are unique, the information obtained in our discussions with tribal stakeholders is not generalizable, but provides examples of tribes\u2019 experiences with self-determination contracts, self-governance compacts, and the HEARTH Act. It is possible we did not identify all of the factors that can affect a tribe\u2019s decision to use self-determination contracts, self-governance compacts, or the HEARTH Act and there may be other factors we did not present.", "We conducted this performance audit from February 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Christine Kehr (Assistant Director); Jay Spaan (Analyst in Charge); John Delicath, William Gerard, Cindy Gilbert, Greg Marchand, Dan Purdy, Vasiliki Theodoropoulos, and Leigh White made key contributions to this report."], "subsections": []}]}], "fastfact": ["Indian tribes are sovereign nations with the authority to govern and protect their own citizens. However, we found several factors that prevent tribes from taking full advantage of that authority. For example:", "When a tribe pursues a contract to administer certain federal programs, tribal leaders aren't given enough information to make a decision or negotiate the contract well.", "When a tribe wants authority to approve land leasing agreements for economic development, lengthy federal reviews of tribes' leasing regulations can make them miss business opportunities.", "We recommended ways to address these and the other factors we identified."]} {"id": "GAO-18-407", "url": "https://www.gao.gov/products/GAO-18-407", "title": "Protecting Classified Information: Defense Security Service Should Address Challenges as New Approach Is Piloted", "published_date": "2018-05-14T00:00:00", "released_date": "2018-05-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Industrial security addresses the information systems, personnel, and physical security of facilities and their cleared employees who have access to or handle classified information. The National Industrial Security Program was established in 1993 to safeguard federal government classified information that may be or has been released to contractors, among others. GAO last reported on this program in 2005 and the Department of Defense has since implemented 13 of the 16 related recommendations.", "GAO was asked to examine how DSS administers the program. This report assesses to what extent DSS: 1) changed how it administers the program since GAO's last report; and 2) addressed challenges as it pilots a new approach to monitoring contractors with access to classified information.", "GAO reviewed guidance and regulations since 2005, including the program's operating manual. GAO analyzed data from DSS's electronic databases and also selected a non-generalizable sample of contractor facilities based on clearance level, geographic location, and type of agreement to address foreign influence. We also reviewed documents and interviewed relevant government and contractor officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Defense Security Service (DSS) has upgraded its capabilities but also faces challenges in administering the National Industrial Security Program, which applies to all executive branch departments and agencies, and was established to safeguard federal government classified information that current or prospective contractors may access. Since we last reported on this program in 2005, DSS has:", "streamlined facility clearance and monitoring processes, and", "strengthened the process for identifying contractors with potential foreign influence.", "However, under its current approach, DSS officials indicated that they face resource constraints, such as an inability to manage workloads and complete training necessary to stay informed on current threats and technologies. In its most recent report to Congress, DSS stated that it was unable to conduct security reviews at about 60 percent of cleared facilities in fiscal year 2016. Further, DSS recently declared that the United States is facing the most significant foreign intelligence threat it has ever encountered. As a result, in 2017, DSS announced plans to transition to a new monitoring approach to address emerging threats at facilities in the program. For a comparison of the current and new approaches, see below.", "DSS has not addressed immediate challenges that are critical to piloting this new approach. For example, GAO found it is unclear how DSS will determine what resources it needs as it has not identified roles and responsibilities. Moreover, DSS has not established how it will collaborate with stakeholders\u2014government contracting activities, the government intelligence community, other government agencies, and contractors\u2014under the new approach. Federal Internal Control Standards establish the importance of coordinating with stakeholders, including clearly defining roles and responsibilities. In addition, GAO's leading practices for interagency collaboration state that it is important for organizations to identify the resources necessary to accomplish objectives. Until DSS identifies roles and responsibilities and determines how it will collaborate with stakeholders for the piloting effort, it will be difficult to assess whether the new approach is effective in protecting classified information."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends DSS determine how it will collaborate with stakeholders, including identifying roles and responsibilities and related resources, as it pilots a new approach. DSS concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["Protecting classified information from compromise and exploitation is essential for the U.S. government to maintain its technological advantage over potential adversaries. In recent years, there have been high profile leaks of classified information by contractors, and there are heightened concerns about foreign adversaries\u2019 ability to access classified information and evade detection. Industrial security addresses the information systems, personnel, and physical security of facilities and their cleared employees who have access to or handle classified information. In 1993, the National Industrial Security Program, which applies to all executive branch departments and agencies, was established to safeguard federal government classified information that may be or has been released to current, prospective, or former contractors, among others, and is administered by the Defense Security Service (DSS) within the Department of Defense. DSS determines the eligibility of contractors to access classified information, known as the facility security clearance process, and contractors may have one or multiple facilities that participate in the program. Once a contractor is cleared and enters the program, DSS is responsible for ensuring that cleared contractors meet the requirements to safeguard classified information through periodic security reviews.", "You requested that we examine how the Department of Defense, through DSS, administers the National Industrial Security Program to protect classified information. This report assesses to what extent DSS: 1) changed how it administers the program since our last report in 2005; and 2) addressed challenges as it pilots a new approach to monitoring contractors with access to classified information.", "To determine the extent to which DSS changed how it administers the National Industrial Security Program, we reviewed relevant guidance and regulations including changes made since we last reported in 2005, such as DSS\u2019s Industrial Security Operating Manual. We also reviewed the National Industrial Security Program Operating Manual (operating manual), which describes the requirements for contractors to safeguard classified information under the program. We also viewed demonstrations of DSS\u2019s various electronic systems, including the Industrial Security Facilities Database. To learn about changes to how DSS processes facility security clearances, we selected a non- generalizable sample of 13 contractor facilities based on 3 criteria: security clearance level, geographic location, and type of mitigation agreements. Mitigation agreements that address foreign ownership, control, or influence are intended to prevent situations in which a foreign interest has the power to decide matters affecting a contractor\u2019s operations and that could result in unauthorized access to U.S. classified information or adversely affect the performance of classified contracts. For the purposes of this report, we will use \u201cforeign influence\u201d when referring to contractors with foreign ownership, control, or influence. Our sample included at least two contractor facilities from each of DSS\u2019s four regions (Capital, North, South, and West) with active secret or top secret clearances (as of June 29, 2017) that were operating with mitigation agreements to address foreign influence.", "We reviewed documents from DSS\u2019s facility clearance process, including the agency\u2019s analysis of potential foreign influence along with mitigation agreements and supplemental plans. We conducted site visits at all four regional offices and met with industrial security representatives, regional leadership staff, counterintelligence special agents, and information system security professionals who worked with these facilities. We also analyzed data from DSS\u2019s Industrial Security Facilities Database, including the number of clearances granted to facilities with contractor mitigation agreements from fiscal year 2007 through 2016. We took steps to assess the reliability of the data, including comparing selected data fields against DSS documentation and conducting interviews with DSS officials. We determined that the data were sufficiently reliable to understand how many facility clearances DSS processed for facilities with and without contractor mitigation agreements during this period.", "To assess the extent to which DSS has addressed challenges as it pilots a new approach to monitoring contractors with access to classified information, we reviewed documents, analyzed DSS data, and conducted interviews with officials involved in DSS\u2019s monitoring process. We reviewed documents related to DSS\u2019s current process, such as security reviews, and DSS\u2019s new approach (DSS in Transition), including documents distributed to cleared contractors. We also conducted interviews with officials from DSS headquarters, including those involved with DSS in Transition, DSS field offices, government contracting activities, cleared contractor facilities, and defense industrial trade associations.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The goal of federal government industrial security is to ensure that contractors\u2019 security programs detect, deter, and counter the threat posed by adversaries seeking classified information. The National Industrial Security Program was established by executive order in 1993 to replace industrial security programs operated separately by various federal agencies and ensure that contractors, among others, were adequately protecting classified information. For the purposes of this report, we will use \u201ccontractor\u201d to refer to any party that the program applies to, including contractors, grantees, licensees, certificate holders, and their respective employees."], "subsections": [{"section_title": "DSS Responsibilities", "paragraphs": ["DSS is responsible for administering the National Industrial Security Program on behalf of the Department of Defense and, by mutual agreement, 32 other federal departments and agencies. Headquartered in Quantico, Virginia, and with staff in 26 field offices across four regions, DSS provides oversight, advice, and assistance to more than 12,000 U.S. facilities that are cleared for access to classified information under the program. Facilities can range in size and be located anywhere in the United States, and include manufacturing plants, laboratories, and universities. In addition, they can also include contractor personnel who travel to U.S. government sites to access classified information but do not store any classified information at their facility. There are multiple reasons why a contractor may need access to classified government information. For example, a factory may produce parts for a major weapons system using a production process that is classified, or a contractor may have employees who deliver their technical expertise in a classified environment at a military installation."], "subsections": []}, {"section_title": "National Industrial Security Program Operating Manual", "paragraphs": ["As part of the facility clearance process, DSS is responsible for ensuring that cleared contractors safeguard classified information under the program by meeting requirements, which are outlined in the National Industrial Security Program Operating Manual. The Secretary of Defense, in consultation with all affected agencies and with the concurrence of the Secretary of Energy, the Nuclear Regulatory Commission, the Director of National Intelligence, and the Secretary of Homeland Security, issues and maintains the operating manual. The operating manual addresses the contractors\u2019 key responsibilities such as reporting incidents of suspected loss of classified information. The Information Security Oversight Office of the National Archives and Records Administration, an agency separate from the Department of Defense, monitors the National Industrial Security Program and issues implementing directives for agencies. The Information Security Oversight Office also chairs the program\u2019s policy advisory council, which is comprised of government and industry representatives who recommend changes to industrial security policy. The Department of Defense, including DSS, has periodically issued information for contractors in the program, such as industrial security letters, to clarify the operating manual.", "The operating manual states that a contractor or prospective contractor is eligible for a facility clearance if it has a need for access to classified information in connection with a legitimate U.S. government contracting requirement. A facility clearance is an administrative determination that, from a national security standpoint, a contractor or prospective contractor is eligible to access classified information at a specified level. A contractor\u2019s employees cannot begin accessing classified information until the facility clearance has been granted, even if that results in delayed performance of a contract."], "subsections": []}, {"section_title": "Facility Clearance Process", "paragraphs": ["According to the operating manual, in order for a contractor or prospective contractor to enter the program, it may be sponsored by an already cleared contractor or the government contracting activity. DSS requires information about the contract, subcontract, or solicitation that necessitates a clearance, such as level of safeguarding required and a brief description of the procurement. Within the government contracting activity, the information may be provided by the contracting office, program office, or security office. DSS begins its facility clearance process once it receives the information and assigns the case to an industrial security representative at a local DSS field office. The industrial security representative serves as the primary point of contact for the sponsored facility during the clearance process and once the contractor is eligible to access classified information. Across DSS field offices and headquarters, multiple people are involved in the facility clearance process, including those who specialize in information systems or others who have experience with analyzing contractors for indicators of foreign influence. See figure 1 for more details about how DSS processes a facility clearance.", "As shown in the figure above, DSS also reviews the contractor\u2019s ownership and business structure to assess whether foreign interests indicate a contractor is under foreign influence, which could lead to disclosure of classified information to foreign nationals. Contractors are required to answer questions about whether there is foreign involvement in their ownership, board composition, debt, source of revenues, and any other situations where foreign nationals might be in a position to influence their operations. If DSS determines that there is a risk for foreign influence, the contractor is ineligible for a facility clearance unless, and until, security measures are put in place, such as negotiating a mitigation agreement with DSS. As of June 2017, approximately 630 of the over 12,000 cleared facilities in the program have mitigation agreements in place to address foreign influence.", "As part of the facility clearance process, certain personnel, such as the facility security officer, must receive personnel clearances to the level of the facility clearance. In the personnel clearance process, specialists at DSS headquarters grant interim clearances to U.S. citizens based on national security standards and information from background investigations conducted by the Office of Personnel Management, if there is no adverse information of material significance. Before the facility clearance can be granted, a DSS industrial security representative verifies that the key management personnel have received their permanent clearance."], "subsections": []}, {"section_title": "Contractor Responsibilities for Cleared Facilities", "paragraphs": ["After DSS completes the facility clearance process and determines that a contractor is eligible to access classified information and grants the facility security clearance, the cleared contractor officially enters the National Industrial Security Program. Once in the program, contractors establish a security program at cleared facilities or implement security measures required by the Department of Defense security agreement, as well as any elements required by DSS. Depending on the facility, security measures may address a variety of industrial security issues. For example, a contractor may be required to start using visitor logs or badges to track every person with physical access to a facility or establish separate computer systems for the sole purpose of storing classified information. In addition, contractors are required to implement insider threat programs, which are meant to prevent persons with approved access to classified information, such as contractor employees, from causing harm to national security through unauthorized disclosures. The insider threat programs may include activities such as training programs about reporting requirements or monitoring classified information systems.", "DSS monitors cleared contractor facilities to determine their compliance with the program\u2019s requirements for protecting classified information by conducting periodic security reviews. DSS determines the frequency of these reviews, although they generally cannot take place more than once in a 12-month period, according to the operating manual. The duration of security reviews and the size of the team conducting them vary by facility. For example, a single industrial security representative can perform a review of a small facility with no classified information stored on site in one day. By comparison, a large facility may require a lengthier review that involves additional DSS officials, such as information system security professionals who review a facility\u2019s information systems if they are needed to store or process classified information. Moreover, counterintelligence officials may also participate and provide threat information about the facility. Security reviews are generally led by staff located in DSS\u2019s 26 field offices across the country. A contractor\u2019s facility clearance may be subject to invalidation or revocation if DSS identifies certain vulnerabilities, among other things. See figure 2 for more information about DSS\u2019s process for monitoring contractor facilities in the program.", "In addition to administering the facility clearance process and conducting security reviews at cleared facilities, DSS also collects information from cleared contractors about suspicious contacts, which may involve efforts by an individual to obtain illegal or unauthorized access to classified information, among other things. DSS aggregates this information to identify counterintelligence trends among cleared contractors and refers cases to the relevant agency for further investigation or action.", "We last issued reports about the National Industrial Security Program in 2004 and 2005. In 2004, we made eight recommendations for DSS to improve its processes for conducting security reviews, such as taking steps to quickly notify government contracting activities when classified information has been lost or compromised. The Department of Defense agreed with our recommendations. In 2005, we made eight recommendations about DSS\u2019s oversight of contractors under foreign influence. For example, we recommended that DSS collect and analyze data about foreign business transactions in order to improve its oversight of contractors under foreign influence. The Department of Defense partially agreed with our recommendations and subsequently took action to address them. As of April 2018, 13 of 16 of the recommendations have been implemented. For more detail on our prior recommendations, please see appendix II."], "subsections": []}]}, {"section_title": "DSS Upgraded Capabilities for the National Industrial Security Program but Faces Challenges Monitoring Contractors Streamlined Clearance Processes", "paragraphs": ["Since 2005, when we last reviewed how DSS administered the National Industrial Security Program, it has streamlined its facility clearance process in order to make it more efficient. DSS has also strengthened the process to analyze contractors for foreign influence and the Department of Defense issued a rule to clarify policies and procedures for mitigating foreign influence concerns. Despite upgrading its capabilities, DSS continues to face challenges in monitoring cleared contractors with access to classified information.", "In 2004 and 2005, we reported that DSS did not collect and analyze data on contractors operating in the National Industrial Security Program. For example, DSS was not able to analyze data to make informed resource decisions or track key changes that affect contractors operating under foreign influence. In our 2005 report, we recommended that DSS collect and analyze data about foreign business transactions, among other things. As a result, DSS streamlined its facility clearance process by developing two electronic systems for tracking the facility clearance requests and maintaining information on cleared facilities. 1. The Electronic Facility Clearance System is a web-based system that contractors or prospective contractors use to submit their required information, such as key management personnel and other staff who need to be cleared for access as well as business-related items like articles of incorporation, bylaws, and other supporting documentation. 2. The Industrial Security Facilities Database is another web-based system that serves as a repository for information about cleared facilities.", "DSS field office and contractor officials we spoke with noted that the web- based systems help them do their job more efficiently. For example, DSS\u2019s industrial security representatives stated that these systems make the facility clearance and monitoring process more efficient because it is easier to track the status of documentation received. Industrial security representatives also track conditions that may require changes to their monitoring process through this database, such as a change in ownership or key management personnel. Industrial security representatives noted that being able to track this information electronically is helpful because the facility clearance and monitoring processes involve numerous officials within DSS, as well as other parties, such as the government contracting activity and the contractor. For example, a government contracting activity can use the database to check whether a facility has been cleared to store classified information onsite before sending materials to them.", "In 2017, DSS started the process of modernizing these systems by developing two new systems. DSS officials stated that these two new systems will provide additional automation that can be used in the facility clearance and monitoring processes. The new systems are:", "National Industrial Security Program Contracts Classification System. This system collects detailed information about classified contract(s) a facility will support during the initial clearance process as well as throughout the duration of the facility\u2019s clearance, to include the facility\u2019s assets (e.g. technology produced or expertise provided), and enables the government contracting activity to gain visibility into the subcontractors performing work for each classified contract.", "National Industrial Security System. This system will be the official repository for data on cleared facilities. DSS officials noted that the system will help identify foreign influence concerns, such as changes in a contractor\u2019s ownership, because they will be more centrally tracked.", "Further, in 2017, DSS also issued a manual to reflect an updated process for assessing and authorizing cleared contractors\u2019 information systems that process classified information. DSS changed its process to align with the intelligence community, the Department of Defense, and other federal government agencies\u2019 standards. DSS previously reviewed systems on regular cycles and is shifting to reflect practices in the intelligence community that are based on assessed threats and target the information systems that pose the most significant risk of losing information. DSS information security system professionals told us that this new authorization process is helping them clarify and communicate the nature of security risks to the contractor. The updated process is intended to include the identification of cybersecurity concerns earlier than the prior approach and enables DSS\u2019s information system security professionals to adjust their monitoring to meet emerging cyber threats."], "subsections": [{"section_title": "Centralized Support and Strengthened Its Process to Identify Foreign Influence", "paragraphs": ["In response to recommendations we made in 2005, DSS has centralized its support related to identifying and mitigating foreign influence and strengthened its process, including issuing a rule to make the process of mitigation of foreign influence clearer to contractors. Since our last review of the program in 2005, DSS has centralized staff expertise in headquarters to improve the identification and mitigation of foreign influence concerns. Whereas DSS used to rely primarily on field staff to negotiate and oversee individual facilities in their respective regions, it now has staff in headquarters, including specialists in law and other areas, who have an agency-wide view of threats and who understand the portfolio of contractors that may be at risk of foreign influence. DSS officials said that this is important because a contractor may have multiple cleared facilities across several regions. They noted that an agency-wide view helps DSS identify trends across facilities that may be tied to a single contractor. The headquarters staff: negotiate and put in place mitigation agreements that require contractors under foreign influence to acknowledge and mitigate foreign influence risks, including the development of protective measures to reduce the risk of foreign interests gaining access to classified information; identify foreign influence within cleared contractors and provide written analysis to DSS field offices when foreign influence concerns are identified, such as when a foreign contractor acquires a majority or substantial minority position in a U.S. contractor with a cleared facility; and provide subject matter expertise in the areas of business, acquisition, intelligence, and international law to develop a comprehensive understanding of companies, their industries and technologies, as well as the regulatory environments in foreign countries.", "DSS officials acknowledged that the establishment of a headquarters division in 2008 focused on analyzing foreign influence and issuing related publications was in response to recommendations we made in 2005. DSS\u2019s field office industrial security representatives said that the written products and specialized foreign influence analysis prepared and disseminated by DSS headquarters has resulted in more timely identification and mitigation of these issues. Examples include:", "NISP in the News, an internal weekly publication that provides a summary of business transactions that may result in the need for a mitigation agreement to address foreign influence. Industrial security representatives we spoke with said this publication helps them identify and proactively address issues with their contractors. DSS officials told us the publication is helpful because it can result in more timely identification and initiate the process for negotiating a mitigation agreement, particularly in cases where a foreign company acquires a facility previously owned by a U.S. contractor. Copies of NISP in the News that we reviewed also included information that may affect contractors that are not under a mitigation agreement for foreign influence, such as changes in key management personnel. We previously reported that DSS had challenges identifying these transactions or facility security officers would neglect to report them, which led to delays in putting protective measures in place to prevent unauthorized access to classified information.", "Assessments of new contractors that have been sponsored for clearances, which are used to identify and mitigate foreign influence. DSS industrial security representatives stated that this analysis used to be performed in the field but now they can use time previously spent preparing analysis of foreign influence to work with contractors to implement security measures. Further, the assessments help them work more effectively with contractors because they draw upon expertise across different disciplines. For example, 7 of the 13 facility case files we reviewed contained a summary of analysis conducted by specialists in DSS headquarters. The summaries also noted that the specialists reviewed classified and unclassified information on the contractor, including counterintelligence information and other U.S. government information, as applicable.", "In April 2014, the Department of Defense issued a rule about policies and procedures for mitigating foreign ownership, control, or influence. This rule was issued in order to ensure maximum uniformity and effectiveness in the Department of Defense implementation of the National Industrial Security Program. The rule detailed specific mitigation approaches for addressing concerns about foreign ownership, control, or influence, which we cover in detail in appendix I. The rule clarified the role of DSS, the government contracting activity, and the contractor during the process when DSS determines that the contractor needs to mitigate potential foreign ownership, control, or influence. The rule also documented policies and procedures regarding how decisions will be made on the appropriate method to mitigate foreign ownership, control, or influence. These include the timing of agency and contractor actions involved in mitigation of foreign ownership, control, or influence and how to proceed in cases where the contractor had not worked out a mitigation agreement with DSS before changed conditions (e.g. indebtedness, ownership, or foreign intelligence threat) occurred, among other things. The rule further stated that DSS, in consultation with the government contracting activity, has discretion to modify or reject the contractor\u2019s outlined action plan to mitigate foreign ownership, control, or influence."], "subsections": []}, {"section_title": "Challenges Remain", "paragraphs": ["Despite upgrading its capabilities, DSS officials indicated that they face resource constraints, such as an inability to manage workloads and complete training necessary to stay informed on current threats and technologies. DSS\u2019s current resource challenges include:", "Managing staff workloads. DSS field officials acknowledged that they have historically faced workload challenges. DSS officials said that their limited staff carry heavy workloads and, according to DSS\u2019s most recent biennial report to Congress, were unable to conduct security reviews at about 60 percent of cleared facilities in fiscal year 2016. In addition to their official security reviews, industrial security representatives also conduct informal \u201cadvise and assist\u201d efforts when facility officials inquire about a range of security issues, from preparing employees for overseas travel to providing training on reporting suspicious contacts. In fiscal year 2016, industrial security representatives conducted about 22,000 \u201cadvise and assist\u201d efforts. DSS officials attribute the heavy workload to the current staffing levels of their field offices and frequent turnover among the industrial security representatives.", "DSS officials noted that both hiring and retention are difficult and that these challenges are exacerbated by the fact that it is a relatively small agency with field offices with limited staff. For example, an average field office oversees about 470 facilities and has about 8 industrial security representatives on staff. As a result, if a person leaves, it adds strain to the remaining staff. Most of the contractors\u2019 facility security officers we spoke with noted that DSS field officials have heavy workloads that could affect their ability to respond to threats at cleared facilities. Further, DSS indicated that it has limited resources to analyze, process, and distribute counterintelligence to the cleared facilities. For example, DSS received more than 46,000 reports from cleared contractors about suspicious contacts in fiscal year 2016, which was an almost 18 percent increase over the prior year. In comparison, during the same time period, DSS\u2019s counterintelligence directorate, which analyzes suspicious contact reports, grew by 7 percent. In addition, DSS\u2019s ability to distribute counterintelligence is limited by the geographic distribution of over 12,000 cleared facilities and each facility\u2019s capability to receive or store classified communication.", "Developing foreign influence mitigation agreements. Multiple DSS industrial security representatives and contractors\u2019 facility security officers stated that mitigation agreements to address the risk of foreign influence, including supplemental plans, have become more detailed and the process to develop and implement them has required additional time and resources. For example, DSS may require a contractor to develop an electronic communications plan, which must include details about which networks will be protected from access by a foreign parent contractor, including monitoring, maintaining, and establishing separate email servers, as appropriate. DSS reported in its 2015 biennial report to Congress that the average amount of time to approve and implement a foreign influence mitigation plan was 93 days. The length of time to approve and implement a foreign influence mitigation plan more than doubled to 204 days, according to the 2017 biennial report. DSS officials stated that this increase is due, in part, to increased complexity of the agreements and the amount of coordination required between the government contracting activity, DSS, and the contractor. A DSS official also noted that over time, the agency has incorporated more information in its analysis and sometimes needs more time to review all the information that may be relevant.", "Attending relevant trainings. DSS officials in three of four regions noted that staffing challenges affect their ability to take training, even though industrial security matters continue to become more sophisticated. Information system security professionals said they face challenges in learning technology that continues to evolve. For example, they cited the multiple software products such as operating systems and configurations of information networks that are used in a facility\u2019s daily operations. In addition, they need to understand other technologies that can pose risks to industrial security, such as devices that are capable of transmitting data, like cellular phones, and therefore might need to be prohibited from areas where classified information is discussed. As a result, the lack of expertise in multiple technologies hampers their ability to identify vulnerabilities that might leave a facility at risk for loss of classified information. We have previously reported that training staff in new skills, such as cybersecurity, remains an ongoing challenge for the federal government. For example, in 2016, we found that chief information officers throughout the government identified difficulties related to recruiting, hiring, and retaining qualified personnel, as well as ensuring they have the appropriate skills and expertise."], "subsections": []}]}, {"section_title": "DSS Has Not Determined How It Will Collaborate with Stakeholders As It Pilots a New Approach", "paragraphs": ["In 2017, DSS announced its plans to transition to a new approach to monitoring cleared facilities in order to address emerging threats to classified information. DSS faces challenges as it pilots its new approach\u2014DSS in Transition. DSS has taken steps to begin addressing challenges, including scheduling training for its staff, but has not documented how it will collaborate with its stakeholders or identified the resources needed to monitor cleared facilities."], "subsections": [{"section_title": "New Approach to Monitoring Cleared Facilities", "paragraphs": ["In 2017, DSS announced that it would begin transitioning to an asset-and- threat-based monitoring approach. DSS has reported that the United States is facing the most significant foreign intelligence threat it has ever encountered and adversaries are attacking cleared facilities at unprecedented rates. In fact, adversaries are varying their methods and adjusting their priorities based on the targeted information they need. The new approach is expected to involve DSS working collaboratively with contractors and government contracting activities to design a customized security plan for each facility based on threats specific to its assets rather than using a standardized worksheet to perform security reviews. DSS officials said that customized security plans will be developed based on assets at the specific facilities. For example, a contractor providing information technology services may need the latest software to thwart cyberattacks while a contractor that engineers weapons systems may need additional secure storage facilities and work areas to ensure an adversary cannot physically extract classified information or technology. As a result, according to agency officials, these customized security plans represent a departure from a \u201cone size fits all\u201d or schedule-driven approach to overseeing contractors\u2019 protection of classified information. According to DSS officials, this new approach, DSS in Transition will use the Department of Defense\u2019s list of critical technologies and programs, along with counterintelligence, to prioritize facilities for security reviews based on their assets and the severity of the threats to them. See table 1 for more information about the monitoring approaches.", "After announcing DSS in Transition in 2017, DSS began taking steps to develop its methodology for the new approach, including prioritization of facilities and developing procedures for executing customized security plans. In a January 2018 letter to industry, DSS stated that it plans to pilot the new approach by working with one facility in each of its four regions to develop a customized security plan and use the lessons learned to refine the process. While it is piloting the approach at four facilities, DSS notified contractors not participating in the pilot that DSS would partner with selected facilities to identify and document their critical assets. Industry, including contractors and prospective contractors that are interested in U.S. government contract awards in the future, are awaiting more details on how DSS plans to implement DSS in Transition, including who would be responsible for the costs of additional security requirements, according to a March 2018 statement from the industry spokesperson of the National Industrial Security Program Policy Advisory Committee."], "subsections": []}, {"section_title": "Collaboration Needed with Stakeholders As It Pilots the New Approach", "paragraphs": ["Although DSS began piloting DSS in Transition in January 2018, it has not determined how it will collaborate with government contracting activities, the intelligence community, other federal agencies, and contractors. In particular, DSS has not identified its stakeholders\u2019 roles and responsibilities in terms of who needs to communicate and coordinate with whom and when, which is necessary to successfully implement the new approach. For example, DSS needs to establish agreed-upon criteria for what information a government contracting activity would need to provide to DSS in order to develop a customized security plan for a facility. GAO\u2019s Federal Internal Control Standards establish the need to coordinate with stakeholders and clearly define roles and responsibilities, among other things. In addition, our leading practices for interagency collaboration state that successful collaborative working relationships require organizations to agree on roles and responsibilities and identify the resources necessary to accomplish objectives. For example, GAO found it is unclear how DSS will determine what resources it needs as it has not identified the necessary roles and responsibilities. DSS has taken steps to begin addressing these challenges by establishing an office dedicated to documenting processes and procedures for how DSS in Transition will be implemented, providing a concept of operations, and scheduling training for its staff. However, to monitor cleared facilities, DSS needs information from the various National Industrial Security Program stakeholders, including:", "Government contracting activity. DSS officials stated that, under the new approach to monitoring cleared facilities, they will need to better communicate and coordinate with the government contracting activity. For example, in some circumstances, DSS officials will have to collaborate with government contracting activities to determine when a security plan is no longer sufficient as threats and mitigation methods evolve. DSS officials stated that communication and coordination with government contracting activities has been a challenge because industrial security is often considered an added duty on top of their contract management responsibilities. Further, DSS officials indicated that staff turnover at government contracting activities and the lack of clear roles and responsibilities have led to delays in resolving a facility\u2019s vulnerabilities. According to DSS officials, it is difficult to determine whether they have the correct point of contact at the government contracting activity to discuss vulnerabilities at a facility, which, if left unaddressed, can leave classified information at risk for loss. There are no formal agreements about how a case should be elevated and resolved if DSS identifies vulnerabilities and is unable to elicit a response from the government contracting activity about further action, according to DSS officials. In addition, DSS officials stated that they will need to work with the government contracting activity to assess the risk of security vulnerabilities that involve subcontractors working on contracts containing classified information. In the past, a government contracting activity might not know the identities of subcontractors if they were sponsored by a cleared contractor. Given the adversaries\u2019 ability to vary its methods to target information it needs, the government needs to know who\u2014regardless of subcontracting tier\u2014is accessing classified information.", "Government intelligence community. We found DSS has not established how it will collaborate with the intelligence community, including formalizing roles and responsibilities for its new approach. A DSS counterintelligence official told us that DSS currently relies on a combination of its own counterintelligence staff and informal coordination with other agencies, such as the Federal Bureau of Investigation. Another DSS official stated that they have worked with the Federal Bureau of Investigation to deliver counterintelligence when a facility does not have the capacity to receive classified information electronically. According to DSS field officials, the current process is handled on a case-by-case basis, depending on the availability of resources. Although DSS\u2019s Counterintelligence Directorate recently became part of the intelligence community and will potentially have greater access to counterintelligence data, it will need to determine how to regularly communicate with the intelligence community to fully understand their products and share current threats and vulnerabilities with certain contractors under DSS in Transition.", "Other government agencies. DSS relies on collaborating with other cognizant security agencies to develop a complete picture of the threats to contractors. In addition to the Department of Defense, there are four other federal agencies that have authority to inspect and monitor facilities to ensure the protection of classified information. DSS may only conduct security reviews for facilities performing contracts awarded by these agencies if the Department of Defense is the cognizant security agency for that facility. Contracts where another agency is the cognizant security agency may involve information coveted by adversaries, but DSS industrial security representatives have acknowledged that they may not know why the information is coveted or that it exists. Given the new approach to develop a complete picture of threats to a facility, DSS will need additional information from other cognizant security agencies that it may not have sought in the past. As a result, DSS needs to establish how best to collaborate with other agencies, such as identifying appropriate points of contacts and specific time frames to conduct outreach, to effectively implement DSS\u2019s new approach to monitor contractors.", "Cleared contractors. DSS officials said that DSS in Transition will require contractors to identify assets in a greater level of detail than what was previously expected of them. In order to develop a security plan unique to the facility, the contractor\u2019s facility security officers will need to understand these assets and why adversaries would want to target them in order to develop and implement specific security measures. Since DSS officials cannot be onsite every day, they have to rely on the contractor\u2019s facility security officer or other key management personnel at cleared facilities to identify and report potential problems. However, DSS officials noted that convincing facility staff to spend more time on security-related matters may be difficult at facilities where one employee may serve as the contractor\u2019s facility security officer in addition to having other responsibilities. In addition, DSS officials stated that contractors\u2019 security costs are typically not profit-generators and realize that DSS in Transition may require the contractor to expend more time, money, and energy to address vulnerabilities or enact policies to safeguard against adversaries.", "DSS recognizes the need to keep industry informed and its implementation plans for DSS in Transition need to address what level of communication and coordination is required. For example, DSS currently uses a rating system to indicate how well a contractor is meeting the requirements of the operating manual as a metric for how it is protecting classified information. As DSS moves toward developing customized security plans that are unique to each facility\u2019s threats and assets, it needs to formalize new approaches to communicate with contractors how well they are protecting classified information.", "In addition to piloting DSS in Transition, DSS is reassuming responsibility for conducting background and security investigations for the Department of Defense, which could potentially magnify its workload challenges. DSS previously held these responsibilities but they were transitioned to the Office of Personnel Management in 2005. The National Defense Authorization Act of Fiscal Year 2018 required DSS to reassume this background and security investigations mission by implementing a phased transition by October 1, 2020. This phased transition will overlap with DSS\u2019s piloting of DSS in Transition and may create disruptions as an agency of over 700 employees assumes responsibility for a background and security investigations mission that currently has more than 7,000 employees and contractors. In January 2018, we added personnel security clearances to our high-risk list, a list of federal areas in need of either broad-based transformation or specific reforms to prevent waste, fraud, and abuse. This issue is on the list because we identified: (1) a significant backlog of background investigations; (2) a lack of long-term goals for increasing federal and contractor-provided investigator capacity to address the backlog; and (3) delays in the timely processing of security clearances among other factors. DSS officials have identified potential benefits and challenges with reassuming the background investigations mission, and, in August 2017, the Department of Defense submitted a plan for a 3-year phased transition to assume the background and security investigations mission. In March 2018, we reported that this transition could potentially affect the timely processing of personnel security clearances, the backlog, and other reform initiatives but the effect is unknown at this time."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Given the changing nature of threats to classified information, DSS needs to ensure that classified information is protected from unauthorized access. While DSS has upgraded its capabilities for identifying foreign influence, DSS officials acknowledged that adversaries continue to evolve, and classified information and technologies remain vulnerable to exploitation. In response, in 2017, DSS launched a new approach (DSS in Transition) to change how it oversees contractors with access to classified information. As DSS pilots the new approach, it will need to work with government contracting activities, the intelligence community, other agencies, and cleared contractors to determine their roles and responsibilities in protecting classified information at every facility in the program. Without the necessary information\u2014that is gained through communicating and coordinating with stakeholders\u2014to assess the threats to the nation\u2019s most critical technologies and programs, DSS will be unable to provide appropriate oversight that addresses the most significant threats to industrial security. Also, DSS has not identified the resources necessary, including the number of personnel needed to implement its new approach, which will add pressure to an agency accepting a background and security investigations mission that has significant backlog and timeliness challenges. Until DSS identifies roles and responsibilities and determines how it will collaborate with stakeholders for the pilot, it will be difficult to assess whether the new approach is effective in protecting classified information."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making one recommendation to the Director of the Defense Security Service: Determine how it will collaborate with stakeholders as it pilots a new approach to overseeing contractors with cleared facilities (DSS in Transition), including identifying roles and responsibilities and the related resources needed. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DSS.", "DSS provided written comments, which are reproduced in appendix III. In its comments, DSS concurred with the recommendation and summarized actions it is taking to pilot its new approach (DSS in Transition). DSS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, Director of DSS, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Methods for Mitigating Foreign Influence", "paragraphs": ["Since our July 2005 report, the Defense Security Service (DSS) has taken additional steps to address oversight of contractors with foreign influence. In April 2014, the Department of Defense issued a rule that clarified policies for oversight of contractors under foreign ownership, control, or influence. The rule detailed specific mitigation approaches for addressing foreign ownership, control, or influence concerns. The rule provided detail regarding the terms of each of these types of foreign ownership, control, or influence mitigation agreements and the circumstances under which each may be appropriate. The types of mitigation specified in the rule are:", "Board Resolution. The board resolution may be used when a foreign entity does not own voting interests sufficient to elect a representative to the company\u2019s governing board.", "Security Control Agreement. The security control agreement is a tailored foreign ownership, control, or influence mitigation agreement, often used when a foreign interest does not effectively own or control a company or corporate family but the foreign interest is entitled to representation on the company\u2019s board.", "Special Security Agreement. The special security agreement may be used when a company is effectively owned or controlled by a foreign interest. Access to certain proscribed classified information by a company cleared under this agreement may require that the government contracting activity complete a National Interest Determination to determine that the release of proscribed information to the company is consistent with the national security interests of the United States.", "Voting Trust Agreement and Proxy Agreement. These foreign ownership, control, or influence mitigation agreements may be used when a foreign interest effectively owns or controls a company or corporate family. Under these agreements, the foreign owner relinquishes most rights associated with ownership of the company to cleared United States citizens approved by the U.S. government.", "DSS has clarified the types of supplemental plans that companies must submit to document specific steps that it will take to mitigate foreign influence. Table 2 describes the types of plans and provides examples of how they mitigate foreign influence."], "subsections": []}, {"section_title": "Appendix II: Status of Prior GAO Recommendations Related to the National Industrial Security Program", "paragraphs": ["In 2004 and 2005, GAO issued reports about the National Industrial Security Program and made 16 recommendations. Prior to the start of our review, the Department of Defense, through the Defense Security Service (DSS), implemented two of the recommendations. Below is our assessment of whether DSS addressed the remaining 14 recommendations that had been previously recorded as \u201cclosed \u2013 not implemented\u201d.", "Table 3 provides a summary of those recommendations and the actions that DSS has taken in response to the recommendations. A number of the recommendations we made were aimed at clarifying policies related to contractors under foreign influence that were part of the National Industrial Security Program. The primary evidence to support our conclusions is cited in the last column.", "In GAO-04-332, we made eight recommendations that were recorded as closed not implemented prior to the start of this review. Based on information obtained during this review, seven of the recommendations will be closed as implemented. The recommendation that remains closed as not implemented was outside of the scope of the current review.", "In GAO-05-681, we made eight recommendations and two of the recommendations were closed as implemented prior to this review. Based on information obtained during this review, four of the remaining six recommendations will be closed as implemented. We were unable to close two of the six recommendations as implemented based on the information provided during this review."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Marie A. Mak, (202) 512-4841 or makm@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Penny Berrier (Assistant Director), Lorraine Ettaro, Gina Flacco, Stephanie Gustafson, John Rastler, Sylvia Schatz, Roxanna Sun, Alyssa Weir, and Jocelyn Yin made key contributions to this report."], "subsections": []}]}], "fastfact": ["DOD's Defense Security Service determines government contractors' eligibility to access classified information and monitors over 12,000 contractor facilities. It is facing new challenges as adversaries try to steal national security information and technology at unprecedented rates.", "DSS is piloting a new approach that requires collaboration with stakeholders such as other federal agencies and contractors. However, we found that it has not established how it will do this.", "We recommended that DSS work with stakeholders to determine roles and responsibilities as it pilots its new approach."]} {"id": "GAO-18-78", "url": "https://www.gao.gov/products/GAO-18-78", "title": "Drinking Water: DOD Has Acted on Some Emerging Contaminants but Should Improve Internal Reporting on Regulatory Compliance", "published_date": "2017-10-18T00:00:00", "released_date": "2017-10-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to DOD, about 3 million people in the United States receive drinking water from DOD public water systems, which are to comply with EPA and state health-based regulations. EPA and DOD have detected elevated levels of two unregulated, DOD-identified emerging contaminants found in firefighting foam\u2014PFOS and PFOA\u2014in drinking water at or near installations. Perchlorate, an unregulated chemical used by DOD in rocket fuel, can also be found in drinking water.", "The Senate Report accompanying a bill for national defense authorization for fiscal year 2017 included a provision for GAO to review DOD management of drinking water contaminants. This report examines the extent to which DOD has (1) internally reported data on compliance with health-based drinking water regulations at military installations and used those data to assess compliance at its two types of public water systems, and (2) taken actions to address concerns with its firefighting foam and elevated levels of PFOS, PFOA, and perchlorate in drinking water at or near military installations. GAO reviewed DOD guidance and EPA drinking water regulations, advisories, and orders; analyzed DOD and EPA drinking water data; and visited seven installations from among those addressing emerging contaminants in drinking water."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has not internally reported all data on compliance with health-based drinking water regulations or used available data to assess compliance. DOD data for fiscal years 2013-2015 indicate that DOD public water systems complied with Environmental Protection Agency (EPA) and state health-based drinking water regulations at levels comparable with other systems in the United States. However, the military departments did not report all violations to DOD, i.e., while 77 installations reported violations to DOD, GAO found that at least 16 additional installations did not. Until DOD takes steps to increase the clarity and understanding of its internal reporting requirements, it may not have the data it needs to fully oversee compliance. DOD also has not used its data to determine why its two types of systems\u2014one that provides DOD-treated water and another that provides non-DOD-treated water\u2014have different compliance rates. Specifically, DOD's data indicate that about 99 percent of the people who received non-DOD-treated drinking water were served by systems with no violations, while about 89 percent of the people who received DOD-treated drinking water were served by systems with no violations. Absent further analysis of its data, DOD may not be able to improve overall compliance.", "DOD has initiated actions to address concerns with both its firefighting foam and also with elevated levels in drinking water of perfluorooctane sulfonate (PFOS), perfluorooctanoic acid (PFOA), and perchlorate, which are DOD-identified emerging contaminants. PFOS and PFOA can be found in DOD's firefighting foam. DOD has restricted its use of this foam and is funding efforts to develop a new foam that meets DOD performance requirements. Additionally, at 11 military installations (see fig.), DOD has shut down wells, provided alternate water sources, or installed water treatment systems to respond to elevated levels of PFOS and PFOA, at times in response to EPA and state orders."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to improve DOD's reporting and use of data on compliance with health-based drinking water regulations. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Every year about 3 million people who live and work on military installations in the United States receive drinking water from a Department of Defense (DOD) public water system, according to the department. These people are served by two different types of public water systems. Specifically, about two-thirds of these people are provided DOD-treated drinking water, and about one-third are provided non-DOD- treated drinking water\u2014that is, drinking water from DOD systems that have been privatized or that obtain treated drinking water from a local utility. DOD\u2019s public water systems, like all public water systems, are required to comply with legally enforceable drinking water regulations that are issued by the Environmental Protection Agency (EPA) under the Safe Drinking Water Act, as well as with any additional regulations issued by state environmental agencies. DOD policy also requires the military departments to report annually on compliance with health-based regulations at their installations\u2019 public water systems to the Assistant Secretary of Defense for Energy, Installations, and Environment (ASD (EI&E)) within the Office of the Secretary of Defense.", "In May 2016, EPA issued a drinking water health advisory\u2014 nonenforceable technical guidance\u2014for perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA), which are part of a larger group of manufactured compounds called perfluorinated chemicals (PFCs) and can be found in firefighting foam used by DOD since the 1970s. PFCs are widely used to make everyday products more resistant to stains, grease, and water, such as by keeping food from sticking to cookware and making clothes and mattresses more waterproof. According to the Agency for Toxic Substances and Disease Registry, exposure to elevated levels of PFOS and PFOA could cause increased cancer risk and other health issues in humans. EPA and DOD have detected elevated levels of PFOS and PFOA in drinking water at or near DOD installations, and EPA has also found these chemicals in drinking water at non-DOD public water systems across the United States.", "DOD has included PFOS and PFOA on its list of emerging contaminants. DOD defines emerging contaminants as chemicals or materials that the department currently uses or plans to use that present a potentially unacceptable human health or environmental risk; have a reasonably possible pathway to enter the environment; and either do not have regulatory standards based on peer-reviewed science, or their regulatory standards are evolving due to new science, detection capabilities, or pathways. DOD has also included perchlorate, which is a chemical that DOD uses in rocket fuel, on its list of emerging contaminants. Like PFOS and PFOA, perchlorate has not been regulated by EPA under the Safe Drinking Water Act but does have an EPA-issued interim drinking water health advisory. Overall, DOD\u2019s list of emerging contaminants includes 21 contaminants that can be found in drinking water: 10 that have been regulated by EPA under the Safe Drinking Water Act and 11 that are currently unregulated but have an EPA-issued drinking water health advisory.", "Senate Report 114-255 accompanying a bill for national defense authorization for fiscal year 2017 included a provision for us to review DOD\u2019s efforts to manage contaminants in drinking water. This report examines the extent to which DOD has (1) internally reported data on compliance with health-based drinking water regulations at military installations and used those data to assess compliance at its two types of public water systems and (2) taken actions to address concerns with its firefighting foam containing PFCs and elevated levels of PFOS, PFOA, and perchlorate in drinking water at or near military installations.", "For objective one, we analyzed data reported by the military departments to ASD (EI&E) on compliance with and violations of health-based drinking water regulations at DOD public water systems for fiscal years 2013 through 2015 (the most recent data available at the time of our review). We compared data from EPA\u2019s Safe Drinking Water Information System for the same time frame to determine the extent to which violations recorded in the EPA system were also reported by the military departments to ASD (EI&E). We also analyzed the data to identify any differences in violations between DOD- and non-DOD-treated drinking water. We assessed the reliability of the DOD and EPA data on violations of health-based drinking water regulations by reviewing relevant documentation, testing the data for obvious errors, and interviewing knowledgeable officials. As we have previously found, EPA\u2019s data system may not contain all public water system violations because states have generally under-reported violations. During this review, we also found that some public water system identification numbers for DOD installations could not be matched with EPA\u2019s data system and, therefore, these identification numbers were excluded from our analysis. As a result, some DOD installation violations may be missing from the data, and we may not have comprehensive violations data for health-based drinking water regulations at DOD installations. Nonetheless, we determined that DOD and EPA data were sufficiently reliable for the purposes of identifying whether any drinking water violations were recorded in EPA\u2019s system but not internally reported within DOD, as well as to indicate possible differences in reported violations for DOD\u2019s two types of public water systems. We evaluated the military departments\u2019 reported data and DOD\u2019s use of these data to determine compliance with DOD\u2019s reporting requirements as defined by DOD\u2019s environmental compliance instruction and with Standards for Internal Control in the Federal Government. According to these standards, quality information is needed to achieve an organization\u2019s objectives, management is to monitor performance over time and promptly resolve any findings, and actions such as improved communication to and additional training for personnel are helpful for an organization to meet its objectives. We also discussed our analysis with ASD (EI&E) and military department officials.", "For objective two, we reviewed DOD policies on and requirements for firefighting foam, as well as documents related to the research and development of a PFC-free firefighting foam. We also interviewed military department and installation officials to discuss DOD actions regarding current and future use of firefighting foam. Additionally, we reviewed administrative orders issued by EPA and one state regulator (Ohio) directing DOD to address elevated levels of PFOS and PFOA, and we interviewed officials from the EPA regions (1 and 3) and the state (Ohio) that issued those orders, as well as DOD officials responsible for responding to those orders. We also reviewed drinking water guidance documents from ASD (EI&E) and the military departments on PFOS, PFOA, and perchlorate and obtained DOD data as of December 2016 (the most recent data available at the time of our review) on testing and response activities for those contaminants. We assessed the reliability of the data by examining the data for obvious errors and inconsistencies; comparing the data, where applicable, with other information collected; and interviewing knowledgeable officials. We found the data to be sufficiently reliable for our purposes of describing DOD-reported actions and costs for addressing PFOS and PFOA. To obtain additional information on DOD actions to address emerging contaminants, we visited at least two installations per military department\u2014seven installations total\u2014that we selected because DOD was investigating or responding to unregulated DOD-identified emerging contaminants in drinking water at those installations. We provide further details on our scope and methodology in appendix I.", "We conducted this performance audit from June 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD Public Water Systems", "paragraphs": ["DOD has two types of public water systems that provide drinking water to people that live and work on military installations. The first type provides drinking water that has been treated by DOD. The second type provides water treated by a private company or a local utility, which we refer to as \u201cnon-DOD-treated\u201d drinking water. Drinking water systems vary by size and other factors, but they most typically include a supply source, treatment facility, and distribution system. A water system\u2019s supply source may be a reservoir, aquifer, well, or a combination of these sources. The treatment process for surface water generally uses sedimentation, filtration, and other processes to remove impurities and harmful agents, and disinfection processes such as chlorination to eliminate biological contaminants. Distribution systems are comprised of water towers, piping grids, pumps, and other components to deliver treated water from treatment systems to consumers."], "subsections": []}, {"section_title": "Drinking Water Regulations and Administrative Orders", "paragraphs": ["EPA regulates drinking water contaminants under the Safe Drinking Water Act by issuing legally enforceable standards, known as National Primary Drinking Water Regulations, which generally limit the levels of these contaminants in public water systems. EPA has issued such regulations for approximately 90 drinking water contaminants. In accordance with the Safe Drinking Water Act, EPA may authorize a state to have primary enforcement responsibility for drinking water regulations, as long as the state has, among other things, drinking water regulations that are no less stringent than the National Primary Drinking Water Regulations.", "The Safe Drinking Water Act also authorizes EPA to take emergency actions necessary to protect public health when informed that a contaminant is present in or is likely to enter a public water system or an underground source of drinking water that may present an imminent and substantial endangerment. For example, EPA may issue administrative orders, which generally include actions to be taken, such as remediating contaminated sources of drinking water or requiring the provision of alternative water supplies. State regulators may also issue orders to public water systems to address contaminated drinking water.", "Public water systems, including the DOD public water systems that provide drinking water to about 3 million people living and working on military installations, are required to comply with EPA and state drinking water regulations. EPA divides violations of drinking water regulations into two types: (1) health-based violations and (2) other types of violations that include violations of monitoring, reporting, and public notification requirements. Under the Safe Drinking Water Act, EPA also is required to identify unregulated contaminants that present the greatest health concern, establish a program to monitor drinking water for unregulated contaminants, and decide whether or not to regulate at least five such contaminants every 5 years. EPA has not regulated any new contaminants using this process since 1996.", "DOD\u2019s environmental compliance policy states that ASD (EI&E) is responsible for providing guidance, oversight, advocacy, and representation for environmental compliance programs\u2014to include overseeing the military departments\u2019 compliance with health-based drinking water regulations at DOD public water systems. The policy directs the military departments to annually report to ASD (EI&E) the total population receiving water from both \u201cregulated\u201d and \u201cother\u201d DOD public water systems\u2014referred to in this report as DOD public water systems that provide DOD- and non-DOD-treated drinking water, respectively\u2014 that did and did not attain all Safe Drinking Water Act health-based drinking water standards. The policy also requires the military departments to report information regarding each instance health-based drinking water standards were not attained during the reporting period, to include the name and location of the military installation; the nature of the issue (e.g., the contaminant type); the DOD population affected; the duration of the issue; the corrective actions taken or planned (e.g., flushing the system, resampling the water, or implementing system upgrades); and the estimated date for achieving the standard."], "subsections": []}, {"section_title": "EPA Health Advisories", "paragraphs": ["In addition to issuing drinking water regulations, EPA may also publish drinking water health advisories. In contrast to drinking water regulations, health advisories are nonenforceable. Drinking water health advisories provide technical guidance on health effects, analytical methodologies, and treatment technologies. These advisories recommend the amount of these contaminants that can be present in drinking water\u2014\u201dhealth advisory levels\u201d\u2014at which adverse health effects are not anticipated to occur over specific exposure durations, to include 1 day, 10 days, several years, or over a lifetime. EPA issues provisional health advisories to provide information in response to an urgent or rapidly developing situation. DOD\u2019s list of emerging contaminants includes 11 contaminants, including PFOS, PFOA, and perchlorate, for which EPA has issued a drinking water health advisory. Specifically,", "PFOS. PFOS is part of a larger group of fluorinated organic chemicals that have been incorporated into an array of consumer products (i.e., to make some more resistant to stains, grease, and water) and also in firefighting foam used by DOD and civilian airports. According to EPA, the major manufacturer of PFOS in the United States voluntarily agreed to phase out production of the chemical in 2002. According to EPA\u2019s health advisory, exposure to PFOS may remain possible due to legacy uses, existing and legacy use in imported goods, and the chemical\u2019s \u201cextremely high persistence\u201d in the environment. According to the EPA, exposure to PFOS may result in adverse health effects, such as fetal developmental effects during pregnancy or to breastfed infants, cancer, liver damage, immune effects, thyroid effects, and other effects. See table 1 for details of the EPA provisional health advisory that was issued in 2009 and the lifetime health advisory that was issued in 2016, which superseded the provisional health advisory.", "PFOA. PFOA is a fluorinated organic chemical that has been used in generally the same products as PFOS, including firefighting foam used by DOD and civilian airports. According to EPA, PFOA was voluntarily phased out by eight major companies in the manufacturing of their products at the end of 2015. According to the EPA, adverse health effects from exposure to PFOA are similar to those for PFOS. See table 1 for details of the EPA provisional health advisory that was issued in 2009 and the lifetime health advisory that was issued in 2016, which superseded the provisional health advisory.", "Perchlorate. Perchlorate is commonly used in solid propellants, fireworks, matches, signal flares, and some fertilizers, and has been used by DOD for rocket fuel and ammunition. EPA published an interim health advisory for perchlorate in 2008; the interim health advisory level was set at 15 parts per billion. According to the health advisory, perchlorate can disrupt the functions of the thyroid gland."], "subsections": []}, {"section_title": "DOD-Identified Emerging Contaminants", "paragraphs": ["In 2009, DOD issued a policy on the identification, assessment, and risk management of emerging contaminants that have the potential to impact DOD. According to that policy, chemicals and materials used or planned for use by DOD that meet the definition of an emerging contaminant should be identified as early as possible. The policy further states that DOD is to assess and, when appropriate, take action to reduce risks posed by its emerging contaminants to people; the environment; and DOD missions, programs, and resources. Where necessary, DOD is to perform sampling, conduct site-specific risk assessments, and take response actions for emerging contaminants released from DOD facilities, in accordance with relevant statutes.", "According to the DOD policy on emerging contaminants, ASD (EI&E) is to develop and maintain a list of emerging contaminants with potential or probable high risk to the department\u2019s personnel and functions. As of April 2017, DOD\u2019s list of emerging contaminants comprised 49 chemicals or substances. According to our analysis of EPA documents, DOD\u2019s list includes 21 contaminants that can be found in drinking water. Of these 21 contaminants, 10 contaminants have been regulated by EPA under the Safe Drinking Water Act, and 11 contaminants are currently unregulated but have an EPA-issued drinking water health advisory. The other 28 DOD-identified emerging contaminants do not have EPA drinking water regulations or health advisories. Appendix II provides more information on the drinking water regulatory status of DOD-identified emerging contaminants."], "subsections": []}]}, {"section_title": "DOD Has Not Internally Reported All Data on Compliance with Drinking Water Regulations or Used Available Data to Evaluate Differences between Its Drinking Water Systems", "paragraphs": ["For the years we reviewed\u2014fiscal years 2013 through 2015\u2014the military departments annually reported information internally to ASD (EI&E) on compliance with EPA and state health-based drinking water regulations, which indicate that drinking water quality at DOD public water systems was similar to other systems in the United States. However, not all violations of health-based regulations were reported to ASD (EI&E) during this time frame, as is required by DOD policy. The military departments reported that a total of 77 military installations had at least one violation at some point from fiscal year 2013 through fiscal year 2015, but we found that at least 16 additional installations had violations that were reported to EPA but were not internally reported to ASD (EI&E). DOD also has not used available compliance data to identify why DOD public water systems that provide DOD-treated drinking water appear to have more violations of health-based regulations than DOD systems that provide non-DOD- treated drinking water."], "subsections": [{"section_title": "Military Departments Have Internally Reported Data on Compliance with Health-Based Drinking Water Regulations, but Have Not Reported All Violations", "paragraphs": ["For the years we reviewed\u2014fiscal years 2013 through 2015\u2014the military departments annually reported information to ASD (EI&E) on compliance with and violations of EPA and state health-based drinking water regulations at the DOD public water systems that provide drinking water to military installations. The military departments\u2019 data for fiscal years 2013 through 2015 indicate that about 92 percent of people who received drinking water from DOD public water systems were served by a system that complied with EPA and state health-based regulations. This is similar to the percentage of people in the United States\u2014also about 92 percent, according to EPA\u2014who received drinking water during that time frame from a community public water system with no health-based violations. The data for that time period also indicate that about 8 percent of people were provided drinking water from a DOD public water system that had at least one violation of a health-based regulation. Health-based violations can be for any length of time during a fiscal year\u2014for example, a violation lasting 1 day is counted the same as a violation lasting for 1 month. Across the 3 fiscal years, the military departments reported that a total of 77 military installations had at least one violation at some point during that time period: 35 in fiscal year 2013, 25 in fiscal year 2014, and 17 in fiscal year 2015. The most common types of contaminants for which the military departments reported violations were coliform and two disinfection byproducts\u2014trihalomethanes and haloacetic acids\u2014which, according to EPA, are among the most common types of contaminants for which health-based drinking water violations occur across the United States.", "However, we found that the military departments have not always reported all violations to ASD (EI&E), as required by DOD policy. Based on our review of data in EPA\u2019s Safe Drinking Water Information System for fiscal years 2013 through 2015, we found that the military departments did not report violations to ASD (EI&E) for at least 16 installations\u20149 Air Force installations, 5 Navy installations, and 2 Army installations. According to EPA\u2019s database, the total population served by DOD public water systems at these installations is approximately 180,000 people, and most of the violations that went unreported involved coliform and disinfection byproduct contaminants. However, the actual population number affected by these violations and the contaminants involved\u2014 along with other information such as the duration of the contamination and the corrective actions planned or taken\u2014were not included in the military departments\u2019 annual reports to ASD (EI&E). These violations were recorded in EPA\u2019s system, which indicates that the installations reported the violations to the appropriate state regulatory agencies, who then reported them to EPA\u2019s database. However, the violations were not reported to ASD (EI&E), as required by DOD policy.", "According to military department officials, violations of health-based drinking water regulations went unreported to ASD (EI&E) due to a lack of clarity in DOD\u2019s reporting requirements and misunderstandings of the requirements on the part of installations and the military departments. We found that violations were either not reported by the military installations where the violations occurred or that they were not reported by the installations\u2019 chains of command. Navy officials cited turnover of installation personnel as the reason some violations went unreported, as well as misinterpretations by installation personnel of DOD\u2019s reporting requirements. Air Force officials also told us that most of their unreported violations were not reported to ASD (EI&E) because the Air Force did not interpret them as health-based violations, although DOD policy requires these types of violations to be reported. Army officials told us that, based on their interpretation of DOD\u2019s policy, the policy did not require them to report violations at installations where formal, written notification was not received from the state regulatory agency. However, ASD (EI&E) officials stated that all violations of health-based regulations should be reported, whether or not the state provides formal, written notification of the violation. Navy officials also told us that they have not reported violations at some of the Navy\u2019s smaller systems that purchase drinking water from non-DOD public water systems, due in part to misinterpretation of DOD\u2019s internal reporting requirements. However, Navy officials told us that ASD (EI&E) had instructed them to begin reporting these types of violations in fiscal year 2016, and the Navy is working with ASD (EI&E) and the other military departments to determine whether these types of systems should regularly report health-based violations.", "Currently, ASD (EI&E) does not have complete data in accordance with DOD\u2019s policy, limiting its ability to conduct oversight and analyze how many people at military installations receive drinking water with health- based violations, what contaminants were involved, the duration of the contamination, or what corrective actions the military departments have planned or taken to address the violation. Standards for Internal Control in the Federal Government states that quality information is needed to achieve an organization\u2019s objectives. Those standards also indicate that actions such as improved communication to and additional training for personnel are helpful for an organization to meet its objectives. According to DOD officials, a committee comprised of ASD (EI&E) and military department officials began a review in 2016 of DOD\u2019s internal reporting requirements for drinking water compliance data. While such a committee could be in a position to make recommendations on clarifying the annual reporting requirements, no documentation on the committee\u2019s efforts was yet available at the time of our review as the committee\u2019s work was still in progress. In addition, at present, there are no firm dates for when its work will be completed or when any potential changes would be implemented. Absent actions by ASD (EI&E) to identify and implement any necessary changes to clarify annual reporting requirements in its environmental compliance policy, and absent actions by the military departments to increase understanding at their installations and commands about the requirements, adherence to DOD\u2019s environmental compliance policy will remain limited and DOD will lack complete data to conduct oversight of regulatory compliance at its public water systems."], "subsections": []}, {"section_title": "DOD Has Not Used Available Data to Assess Why DOD-Treated Water Appears to Have More Health-Based Violations Than Non-DOD-Treated Drinking Water", "paragraphs": ["DOD has not used available data to assess why DOD public water systems providing DOD-treated drinking water appear to have more violations of health-based drinking water regulations than systems providing non-DOD-treated drinking water. Although we found that not all violations were reported by the military departments to ASD (EI&E), the data that were reported during fiscal years 2013 through 2015 indicated that about 99 percent of the people who received non-DOD-treated drinking water were served by systems with no violations, while about 89 percent of the people who received DOD-treated drinking water were served by systems with no violations.", "When we asked ASD (EI&E) and military department officials why these differences may exist, they were unable to provide an explanation because they had not used the reported water quality data to identify the reasons why DOD public water systems providing DOD-treated water appear to have more violations than systems providing non-DOD-treated water. Although some officials offered ideas on the reasons for differences in compliance\u2014including the relative expertise of utilities and private companies, versus DOD, in providing drinking water\u2014DOD officials acknowledged that the agency has not evaluated the data to identify specific reasons for why the differences may exist. All public water systems, including DOD public water systems, are required to comply with applicable EPA and state drinking water regulations. According to Standards for Internal Control in the Federal Government, management should establish and operate activities to monitor the internal control system and evaluate the results. Such monitoring should assess the quality of performance over time and promptly resolve any findings. Without reviewing the data reported by the military departments to identify why there appear to be differences in violations between DOD\u2019s two types of public water systems and without identifying and implementing any actions to address any differences, ASD (EI&E) and the military departments may not be able to improve overall compliance with health-based drinking water regulations."], "subsections": []}]}, {"section_title": "DOD Has Initiated Actions to Address Concerns with Its Firefighting Foam as Well as Elevated Levels of PFOS, PFOA, and Perchlorate in Drinking Water", "paragraphs": ["DOD is taking steps to address health and environmental concerns with its use of firefighting foam that contains PFCs\u2014including PFOS and PFOA\u2014to include restricting the use of foam at its installations and funding research into the development of a PFC-free foam that can meet DOD performance requirements. DOD also has responded to EPA and state orders and initiated additional actions to address elevated levels of PFOS, PFOA, and perchlorate."], "subsections": [{"section_title": "DOD Is Taking Steps to Address Health and Environmental Concerns with Firefighting Foam That Contains PFCs", "paragraphs": ["DOD is taking steps to address PFOS- and PFOA-related health and environmental concerns with its use of firefighting foam that contains PFCs. Firefighting foam is used by DOD to put fires out quickly while also ensuring that they do not reignite. This is critical if, for example, there is a fire from a fighter jet on the deck of an aircraft carrier. DOD has outlined performance requirements in its military specification for firefighting foam, which was authored by the Navy\u2019s Naval Sea Systems Command but is approved for use in all of DOD. For example, the military specification states how long it should take for firefighting foam to extinguish a fire\u2014based on the size of the fire and the amount of foam used\u2014and how long the foam should prevent the extinguished fire from reigniting. DOD\u2019s military specification also requires that firefighting foam purchased and used by the department must contain PFCs.", "DOD\u2019s steps to address concerns with the use of firefighting foam include restricting the use of existing foams that contain PFCs; testing its current foams to identify the amount of PFCs they contain; and funding research into the future development of PFC-free foam that can meet DOD\u2019s performance and compatibility requirements (see table 2). Some of these steps, such as limiting the use of firefighting foam containing PFCs, are in place. Others, such as determining the specific amount of PFCs in existing firefighting foams or researching potential PFC-free firefighting foams, are in progress with targets, in some cases, but no firm completion dates.", "Navy officials stated that they are planning to revise the military specification after they have completed their testing\u2014to be completed in late 2017 or 2018\u2014on the amounts of PFOS, PFOA, and other PFCs found in the firefighting foam currently used by DOD. That revision, according to Navy officials, is intended to set limits for the amount of PFCs that are allowed in firefighting foam. According to DOD, at present there is no PFC-free firefighting foam that meets DOD\u2019s performance and compatibility requirements. As a result, the Navy has no plans to remove the requirement for firefighting foam to contain PFCs at this time. However, if a PFC-free foam is developed in the future that can meet DOD performance and compatibility requirements, Navy officials said that any necessary revisions to the military specification would be made at that time\u2014a process that could take months to complete."], "subsections": []}, {"section_title": "DOD Has Responded to Orders from EPA and a State Regulator and Has Initiated Additional Actions to Address Elevated Levels of PFOS and PFOA in Drinking Water at or near Military Installations", "paragraphs": ["DOD has taken steps to respond to four administrative orders directing the department to address PFOS and PFOA levels that exceeded EPA\u2019s health advisory levels for drinking water. One order was issued by the Ohio Environmental Protection Agency at Wright-Patterson Air Force Base in Ohio, and three orders were issued by the EPA directed at: the former Pease Air Force Base in New Hampshire; Horsham Air Guard Station in Pennsylvania; and the former Naval Air Warfare Center Warminster in Pennsylvania. Under Section 1431 of the Safe Drinking Water Act, EPA may issue orders necessary to protect human health where a contaminant in a public water system presents an imminent and substantial endangerment. EPA may do so if appropriate state and local authorities have not acted to protect human health. These orders may require, among other things, carrying out cleanup studies, providing alternate water supplies, notifying the public of the emergency, and halting disposal of the contaminants threatening human health. The Ohio Environmental Protection Agency has similar authority.", "According to information provided by officials from the Ohio Environmental Protection Agency, EPA, and DOD, DOD has taken steps to respond to the administrative orders. Table 3 provides further details on each order and examples of actions by DOD to address the orders.", "In addition to actions specific to these four installations, DOD has initiated other actions to test for, investigate, and mitigate elevated levels of PFOS and PFOA at or near installations across the military departments. Following the release of EPA\u2019s lifetime health advisory for PFOS and PFOA in May 2016, each of the military departments issued guidance directing installations to, among other things, test for PFOS and PFOA in their drinking water and take steps to address drinking water that contained amounts of PFOS and PFOA above the EPA\u2019s lifetime health advisory level. The military departments also directed their installations to identify locations with a known or suspected prior release of PFOS and PFOA and to address any releases that pose a risk to human health\u2014 which can include people living outside DOD installations.", "As a result of these efforts, DOD has initiated actions to address PFOS and PFOA in drinking water both on military installations and outside military installations. As of March 2017, DOD data indicated that the department was taking steps to address levels of PFOS and PFOA above the EPA\u2019s lifetime health advisory level in drinking water on 11 military installations in the United States, 2 of which we visited during the course of this review (see fig. 1).", "According to DOD data, these installations took various corrective actions to mitigate the presence of PFOS and PFOA in the drinking water, including shutting down drinking water wells, providing alternative drinking water, and installing treatment systems. For example, at Eielson Air Force Base in Alaska, the Air Force reported shutting down three of the installation\u2019s six drinking water wells and installing a treatment system to remove PFOS and PFOA from the drinking water. At Marine Corps Base Camp Pendleton in California, the Navy reported that a well contaminated with PFOS and PFOA was taken out of service and that the affected reservoir was drained and replaced with water from another source; follow-on testing showed that the presence of PFOS and PFOA were returned to below the EPA\u2019s lifetime health advisory level. At Fort Leavenworth in Kansas, the Army reported that the private company that operates the installation\u2019s drinking water system had shut down two wells contaminated with PFOS and PFOA and plans to install a treatment system before returning those wells to service.", "Additionally, according to DOD data as of December 2016 the military departments had identified 391 active and closed installations with known or suspected releases of PFOS and PFOA, and had reported spending almost $200 million on environmental investigations and mitigation actions at or near 263 (or about 67 percent) of those installations. In particular, DOD had initiated mitigation actions, which include installing treatment systems or supplying bottled water, to address PFOS and PFOA in drinking water for people living outside 19 installations\u20145 of which we visited during the course of this review (see fig. 2).", "The following cost data provided by DOD were current as of December 2016, and are supplemented by additional information we obtained during our installation visits.", "The Air Force identified 203 installations with known or suspected releases of PFOS and PFOA, spent about $120 million on environmental investigations at those installations, and spent about $33 million on mitigation actions at or near 14 of the 203 installations. For example, the Air Force reported spending over $5 million on environmental investigations and mitigation actions at Peterson Air Force Base in Colorado. During our visit to that installation, officials showed us the sites they are investigating\u2014to include the current (see fig. 3 below) and former fire training areas\u2014to determine the extent to which their prior use of firefighting foam may have contributed to the discovery of PFOS and PFOA in the drinking water of three nearby communities. Additionally, the Air Force has awarded a contract for, among other things, installing treatment systems in those communities. In another example, the Air Force reported spending about $800,000 on environmental investigations at Joint Base Langley-Eustis in Virginia, but nothing yet on mitigation actions. During our visit to this installation, officials told us that they had not taken any mitigation actions because they do not use the installation\u2019s groundwater as a drinking water source; the utility that serves the installation, as well as the nearby city of Newport News, obtains its drinking water primarily from a surface water source, which officials said was approximately 20 miles from the installation.", "The Navy identified 127 installations with known or suspected releases of PFOS and PFOA, spent about $20.5 million on environmental investigations at 47 of those installations, and spent about $24 million on mitigation actions at or near 5 of those installations. For example, the Navy reported spending about $15 million on environmental investigations and mitigation actions at the former Naval Air Station Joint Reserve Base Willow Grove in Pennsylvania. During our visit to this installation, officials told us that the Navy is investigating the extent to which PFOS and PFOA on the installation may have contaminated a nearby town\u2019s drinking water. The Navy has agreed to fund installation of treatment systems and connections of private well owners to the town\u2019s drinking water system, among other things. In another example, the Navy reported spending nearly $3 million on environmental investigations and mitigation actions at Naval Auxiliary Landing Field Fentress in Virginia. During our visit to this installation, officials told us that the Navy is providing bottled water to the approximately 20 to 30 personnel who work there and plans to install a treatment system to treat for PFOS and PFOA.", "The Army identified 61 installations with known or suspected releases of PFOS and PFOA, spent about $1.6 million on environmental investigations at 13 of those installations, and has not yet begun any mitigation actions at or near the identified installations. For example, the Army reported spending about $26,000 on environmental investigations at Fort Carson in Colorado, but nothing yet on mitigation actions. During our visit to this installation, officials told us that they had found PFOS and PFOA in groundwater near their previous fire training area but that the installation does not use that groundwater as a drinking water source, and state officials told us that it is unlikely that PFOS and PFOA from Fort Carson had affected any nearby drinking water sources.", "According to DOD, it may take several years for the department to determine how much it will cost to cleanup PFOS and PFOA contamination at or near its military installations. In January 2017, we reported that DOD had not notified Congress that the costs for environmental cleanup at closed installations will significantly increase due to the high cost of remediating emerging contaminants\u2014including PFOS and PFOA. We also reported that DOD officials had not determined the total costs for cleaning up emerging contaminants at closed installations. We recommended that DOD include in future annual reports to Congress best estimates of the environmental cleanup costs for emerging contaminants as additional information becomes available, and DOD concurred with the recommendation and stated its commitment to do so."], "subsections": []}, {"section_title": "DOD Previously Directed Installations to Test for Perchlorate in Drinking Water", "paragraphs": ["DOD previously directed installations to test for perchlorate in drinking water. Following the EPA\u2019s issuance of an interim drinking water health advisory for perchlorate in 2008, DOD issued policy in April 2009\u2014which superseded similar policy that was issued in January 2006\u2014directing DOD-owned drinking water systems that were testing for inorganic substances to also test for perchlorate. Installations that found perchlorate in their drinking water were to consult with their leadership on appropriate actions to take and to continue testing on a quarterly basis until they determined that perchlorate levels were likely to remain below EPA\u2019s health advisory level, or any applicable federal or state regulation. Citing congressional and regulatory agency concerns related to perchlorate, DOD developed a database for storing the results of perchlorate testing. According to ASD (EI&E), the database was last updated in 2009 and is no longer being used by the department.", "ASD (EI&E) officials stated that they are no longer regularly testing drinking water for perchlorate unless there is a state requirement to do so; previous testing indicated that DOD was not a primary source of perchlorate in drinking water and that known releases of perchlorate did not currently pose a threat to drinking water. According to EPA, the agency expects to issue a final drinking water regulation for perchlorate by the end of 2019. ASD (EI&E) officials told us that, once EPA has issued a final regulation, DOD is committed to complying with it."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["During the period we reviewed, DOD data indicate that DOD public water systems complied with EPA and state health-based drinking water regulations at a level comparable with other systems in the United States. However, we found that the military departments did not report all violations of these regulations to ASD (EI&E) during that period, which illustrates that DOD\u2019s internal reporting requirements for drinking water data are either not clear in DOD regulations or are not clearly understood by those implementing them. Unless ASD (EI&E) and the military departments act to make any necessary clarifications to and increase understanding of DOD\u2019s annual reporting requirements, ASD (EI&E) may not have complete data to effectively oversee the military departments\u2019 compliance with drinking water regulations. Further, the data indicated that systems providing DOD-treated drinking water had more reported health-based violations than DOD systems providing non-DOD-treated drinking water. However, DOD has not used these data to identify the reasons that these differences may exist. Without using available data to identify why differences in violations appear to exist between DOD\u2019s two types of public water systems, DOD will likely be hampered in its ability to identify what actions, if any, could be taken to address any differences and improve overall compliance with health-based drinking water regulations."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of five recommendations to DOD.", "The Assistant Secretary of Defense for Energy, Installations, and Environment, in consultation with the Secretaries of the military departments, should identify and implement any necessary changes to DOD\u2019s environmental compliance policy to clarify DOD\u2019s reporting requirements for violations of health-based drinking water regulations. (Recommendation 1)", "The Secretary of the Army should identify and implement actions to increase understanding at Army installations and commands about DOD\u2019s reporting requirements for violations of health-based drinking water regulations. These actions may include improved communication to or additional training for personnel. (Recommendation 2)", "The Secretary of the Navy should identify and implement actions to increase understanding at Navy installations and commands about DOD\u2019s reporting requirements for violations of health-based drinking water regulations. These actions may include improved communication to or additional training for personnel. (Recommendation 3)", "The Secretary of the Air Force should identify and implement actions to increase understanding at Air Force installations and commands about DOD\u2019s reporting requirements for violations of health-based drinking water regulations. These actions may include improved communication to or additional training for personnel. (Recommendation 4)", "The Assistant Secretary of Defense for Energy, Installations, and Environment, in consultation with the Secretaries of the military departments, should (a) review reported compliance data to identify the reasons for any differences in the number of violations of health-based drinking water regulations between DOD\u2019s two types of public water systems and (b) identify and implement any actions needed to address the causes of any differences in the number of violations between DOD\u2019s two types of public water systems. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD and EPA for review and comment. In its written comments, reproduced in appendix III, DOD concurred with our recommendations. DOD and EPA also provided technical comments, which we incorporated as appropriate. Based on technical comments from DOD, we revised the title of the report to more clearly specify the actions DOD should take to address the findings in our report.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Assistant Secretary of Defense for Energy, Installations, and Environment; the Secretaries of the Army, the Navy, and the Air Force; and the Administrator of EPA. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact us at J. Alfredo G\u00f3mez, (202) 512-3841 or gomezj@gao.gov, or Brian J. Lepore, (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Senate Report 114-255 accompanying a bill for the national defense authorization for fiscal year 2017 included a provision for us to review the Department of Defense\u2019s (DOD) efforts to manage contaminants in drinking water. This report examines the extent to which DOD has (1) internally reported data on compliance with health-based drinking water regulations at military installations and used those data to assess compliance at its two types of public water systems and (2) taken actions to address concerns with its firefighting foam containing perfluorinated chemicals (PFCs) and to address elevated levels of perfluorooctanesulfonic acid (PFOS), perfluorooctanoic acid (PFOA), and perchlorate in drinking water at or near military installations.", "For objective one, we reviewed DOD\u2019s policy on environmental compliance in the United States, which directs the military departments to annually report data to the Assistant Secretary of Defense for Energy, Installations, and Environment (ASD (EI&E)) on compliance with and violations of Environmental Protection Agency (EPA) and state health- based drinking water regulations at military installations. We analyzed data reported by the military departments to ASD (EI&E) on compliance with and violations of health-based drinking water regulations at DOD public water systems located at military installations in the United States for fiscal years 2013 through 2015, the most recent data available at the time of our review. We analyzed the data to identify (1) the number of people served by DOD public water systems that complied with applicable EPA and state health-based drinking water regulations during the fiscal year and (2) the number of people served by DOD public water systems that violated at least one of these regulations sometime during the fiscal year. We performed this analysis for both types of DOD public water systems\u2014those that provide DOD-treated drinking water, and those that provide non-DOD-treated drinking water. We also used the data to identify the military installations where the reported violations occurred; the nature of the violation (including the contaminant involved); and the number of people affected. Next, we collected data from EPA\u2019s Safe Drinking Water Information System for all public water systems in the United States. We used DOD-provided public water system identification numbers to identify in the EPA system any violations for health-based drinking water regulations at those DOD systems for fiscal years 2013 through 2015. We then compared the violations found in EPA\u2019s data to the data reported by the military departments to ASD (EI&E) to determine the extent to which the military departments were reporting all violations of health-based drinking water regulations to ASD (EI&E).", "We also analyzed DOD\u2019s data to identify any differences in violations between DOD- and non-DOD-treated drinking water. We evaluated the military departments\u2019 reported data and DOD\u2019s use of these data to determine compliance with DOD\u2019s reporting requirements in the department\u2019s environmental compliance instruction and Standards for Internal Control in the Federal Government. According to these standards, quality information is needed to achieve an organization\u2019s objectives, management is to monitor performance over time and promptly resolve any findings, and actions such as improved communication to and additional training for personnel are helpful for an organization to meet its objectives. We also discussed our analysis with ASD (EI&E) and military department officials, and discussed possible reasons for why any violations went unreported to ASD (EI&E) and why there may be differences in violations between DOD- and non-DOD- treated drinking water. We assessed the reliability of the DOD and EPA data on violations of health-based drinking water regulations by reviewing relevant documentation, testing the data for obvious errors, and interviewing knowledgeable officials. As we have previously found, EPA\u2019s data system may not contain all public water violations as states have under-reported the violations. During this review, we found that some public water system identification numbers for DOD installations could not be matched with EPA\u2019s system and, therefore, were excluded from our analysis. As a result, some DOD installation violations may be missing from the data, and we may not have comprehensive violations data for health-based drinking water regulations at DOD installations. Nonetheless, we determined that DOD and EPA data were sufficiently reliable for the purpose of identifying whether any drinking water violations were recorded in EPA\u2019s system but not internally reported within DOD, and to indicate possible differences in drinking water violations, as reported by the military departments, between DOD\u2019s two types of public water systems.", "For objective two, we reviewed policies issued by the military departments on the use of firefighting foam that contains PFCs. We also reviewed DOD documents related to research into PFC-free firefighting foams that can meet the department\u2019s performance and compatibility requirements, as well as DOD\u2019s military specification document that outlines those requirements. We met with officials from ASD (EI&E) and the military departments to discuss their policies on the use of firefighting foam and actions taken to address concerns with the use of firefighting foam containing PFCs, including the future use of firefighting foam. Additionally, we met with Navy officials responsible for testing existing firefighting foam products and setting the military specifications for firefighting foam use in DOD.", "Additionally, we obtained and reviewed four regulatory administrative orders\u2014three from EPA and one from the Ohio Environmental Protection Agency\u2014directing DOD to address elevated levels of PFOS and PFOA contamination in drinking water at or near four active and closed military installations, and reviewed documentation related to DOD\u2019s efforts to address these administrative orders. We also met with officials from Ohio and the EPA regions that issued the orders\u2014EPA Regions 1 and 3\u2014as well as DOD officials who responded to the orders, to discuss DOD\u2019s response to the orders. We reviewed drinking water guidance issued by ASD (EI&E) and the military departments on testing installation drinking water for PFOS and PFOA and responding to known or suspected releases of PFOS and PFOA. We analyzed DOD-provided data on the installations where DOD-conducted testing showed the presence of PFOS and PFOA in drinking water above the EPA\u2019s health advisory level for those contaminants (as of March 2017) and on the costs and actions taken to investigate and mitigate PFOS and PFOA at or near military installations (as of December 2016). We assessed the reliability of the data by examining the data for obvious errors and inconsistencies, comparing the data, where applicable, with other information collected, and by interviewing knowledgeable officials; we found the data to be sufficiently reliable for our purposes of describing what DOD has reported on its actions and costs for responding to PFOS and PFOA.", "Additionally, we reviewed DOD policy and our prior work on testing for and responding to perchlorate at military installations. We met with ASD (EI&E) and military department officials to discuss DOD actions to address PFOS, PFOA, and perchlorate. To obtain additional information on DOD actions to address emerging contaminants in drinking water, we conducted site visits to a nongeneralizable sample of seven current and former military installations\u2014at least two installations per military department\u2014that were selected because they were investigating or responding to unregulated DOD-identified emerging contaminants in drinking water; these installations are listed below. We also met with EPA and state regulatory officials to better understand how DOD was responding to administrative orders and addressing PFOS, PFOA, and perchlorate at or near DOD installations. Specifically, we met with officials from selected EPA regions and state regulatory offices that had issued an administrative order for PFOS and PFOA or whose region or state included the installations we visited; those EPA regions and states are listed below. We also compared DOD\u2019s list of emerging contaminants with EPA documentation to determine how many DOD-identified emerging contaminants (1) have been regulated by EPA under the Safe Drinking Water Act or (2) are currently unregulated but have an EPA-issued drinking water health advisory.", "We visited or contacted the following offices and locations during our review. Unless otherwise specified, these organizations are located in or near Washington, D.C.", "Office of the Secretary of Defense", "Office of the Assistant Secretary of Defense for Energy, Installations,", "Office of the Deputy Assistant Secretary of Defense for Environment, Safety, and Occupational Health", "Office of the Assistant Chief of Staff of the Army for Installation", "U.S. Army Installations Management Command, Fort Sam Houston,", "U.S. Army Environmental Command, Fort Sam Houston, Texas", "Fort Carson, Colorado", "Fort Jackson, South Carolina", "Office of the Assistant Secretary of the Navy for Energy, Installations,", "Office of the Chief of Naval Operations, Energy and Environmental", "Commander, Navy Installations Command", "Marine Corps Installations Command", "Naval Facilities Engineering Command", "Naval Sea Systems Command", "Former Naval Air Station Joint Reserve Base Willow Grove,", "Naval Auxiliary Landing Field Fentress, Virginia Department of the Air Force", "Office of the Assistant Secretary of the Air Force for Installations,", "Air Force Civil Engineer Center, Joint Base San Antonio, Texas", "Former Pease Air Force Base, New Hampshire Joint Base Langley-Eustis, Virginia", "Peterson Air Force Base, Colorado", "Wright-Patterson Air Force Base, Ohio", "Office of Research and Development", "Office of Land and Emergency Management", "Office of Enforcement and Compliance Assurance", "EPA Region 1, Boston, Massachusetts", "EPA Region 3, Philadelphia, Pennsylvania", "EPA Region 4, Atlanta, Georgia", "EPA Region 5, Chicago, Illinois", "EPA Region 8, Denver, Colorado", "EPA Region 9, San Francisco, California", "Colorado Department of Public Health and Environment", "Ohio Environmental Protection Agency", "Pennsylvania Department of Environmental Protection", "South Carolina Department of Health and Environmental Control We conducted this performance audit from June 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Drinking Water Regulatory Status for Department of Defense-Identified Emerging Contaminants", "paragraphs": ["The Department of Defense\u2019s (DOD) list of emerging contaminants includes 21 contaminants that can be found in drinking water: 10 that have been regulated by the Environmental Protection Agency (EPA) under the Safe Drinking Water Act and 11 that are currently unregulated but have an EPA-issued drinking water health advisory. Table 4 shows the regulatory status for each of the 21 contaminants."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Maria Storts (Assistant Director), Diane B. Raynes (Assistant Director), Kazue Chinen, Michele Fejfar, Jennifer Gould, Karen Howard, Richard P. Johnson, Mae Jones, Daniel Kuhn, Summer Lingard-Smith, Daniel Longo, Felicia Lopez, Geoffrey Peck, Ophelia Robinson, Jerry Sandau, and Sara Sullivan made key contributions to this report."], "subsections": []}]}], "fastfact": ["DOD and EPA have found chemicals in drinking water at or near military installations that may cause cancer and other health issues. Some of these chemicals can be found in firefighting foam and rocket propellants.", "DOD has taken steps to limit individuals' exposure to some chemicals, including providing alternative drinking water supplies and installing water treatment systems. Still, DOD's incomplete internal reporting limits its ability to monitor installation compliance with safe drinking water regulations.", "This report makes 5 recommendations to improve DOD's data, reporting, and oversight of drinking water regulations."]} {"id": "GAO-18-151SP", "url": "https://www.gao.gov/products/GAO-18-151SP", "title": " Assessment Methodology for Economic Analysis", "published_date": "2018-04-10T00:00:00", "released_date": "2018-04-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["We prepared this report to answer the question: What are key methodological elements of an economic analysis that is intended to inform decision-makers and stakeholders?"]}, {"section_title": "What GAO Found", "paragraphs": ["GAO identifies five key methodological elements to the baseline structure of an economic analysis: Objective and scope, Methodology, Analysis of effects, Transparency and Documentation. GAO's assessment methodology evaluates each key element and provides an overall assessment based on the assessment of the individual key elements."]}], "report": [{"section_title": "Letter", "paragraphs": ["In its engagements, GAO may review economic analyses that are intended to inform decision-makers and stakeholders about the economic effects of a public action. The economic analyses that GAO reviews may have been performed to meet requirements described in Executive Order or related statutes, to propose or support an action, or to examine an action that has already been taken. The purpose of this report is to inform the public about the methodology that GAO may use to assess these economic analyses.", "We prepared this report under the authority of the Comptroller General to answer the question: What are key methodological elements of an economic analysis that is intended to inform decision-makers and stakeholders? We answered this question by reviewing economic elements and concepts that serve as the basis for sound economic analysis. We considered a wide range of economics documents prepared by various government agencies and institutions on how economic analysis should be performed. These documents included, among others, Circulars released by the Office of Management and Budget (OMB) and handbooks for economic analysis from federal and international agencies, such as the U.S. Environmental Protection Agency, the U.S. Department of Defense, the U.S. Department of Transportation, the Organization for Economic Co-operation and Development (OECD), and HM Treasury Government of the United Kingdom. In addition, we consulted with experts on economic analysis of public actions. We synthesized economic concepts embodied in these documents into the present report for use by GAO in assessing economic analyses.", "GAO\u2019s commitment to informative and transparent economic analysis is in line with the Office of Management and Budget\u2019s guidelines on achieving a high degree of transparency in data and methods in scientific information. An important benefit of transparency is that the public can assess the structure of an analysis and, in particular, how much of an analytic result hinges on the specific choices made by the authors. This transparency indicates the solidity of the analytic choices. For example, it allows the implication of these choices, related risks, and uncertainties to be readily assessed. This type of sensitivity analysis is regarded as an essential feature of high-quality analysis, and it cannot be undertaken without a high degree of transparency.", "The key methodological elements we identify in this report are not intended to be exhaustive and to supplant or alter relevant federal and agency requirements for economic analysis. They simply serve to establish a sound baseline framework for the assessment of an economic analysis. GAO\u2019s assessment methodology examines the extent to which an economic analysis properly dealt with these key elements and, accordingly, informed decision-makers and stakeholders about the economic effects analyzed.", "We conducted our work from June 2017 to April 2018 in accordance with all sections of GAO\u2019s Quality Assurance Framework that are relevant to our objectives. The framework requires that we plan and perform the engagement to obtain sufficient and appropriate evidence to meet our stated objectives and to discuss any limitations in our work. We believe that the information and data obtained, and the analysis conducted, provide a reasonable basis for any findings and conclusions in this product."], "subsections": [{"section_title": "Section 1: Economic Analysis", "paragraphs": ["For the purpose of this report, an economic analysis is defined as an analysis that is intended to inform decision-makers and stakeholders about the economic effects of an action. Economic effects (hereafter also called \u201ceffects\u201d) commonly include costs, benefits, and/or economic transfers (for example, transfer payments). Action is defined to include a government law, rule, regulation, project, policy, or program. An action may be examined in the context of legislation, regulation, advocacy, agency operations, or in response to certain events (such as a natural disaster, for example). An economic analysis may be prospective, examining an action that could be taken, or retrospective, examining the outcome of an action that has already been taken. Examples of economic analyses include: 1. An economic analysis of the costs of a government program, project, 2. An economic analysis of the benefits and costs of a government rule 3. An economic analysis of the impact of a proposed or existing regulation on regulated entities and consumers. 4. An economic analysis of an action in response to an event (for example, an analysis of a federal response to a natural disaster); 5. A benefit-cost analysis or cost-effectiveness analysis."], "subsections": []}, {"section_title": "Section 2: Key Elements of an Economic Analysis", "paragraphs": ["GAO reviewed handbooks and guidance on economic analysis that have been issued by various government agencies and institutions and consulted with experts. (Appendix 1 details GAO\u2019s objective, scope, and methodology.) In this Section, GAO synthetizes economic elements and concepts embodied in this literature for use by GAO in its assessment methodology for the review of an economic analysis.", "GAO identifies five key methodological elements to the baseline structure of an economic analysis. These key elements are: 1. Objective and scope\u2014 the objective and scope of the analysis. 2. Methodology\u2014 the methodology used to examine the economic effects. 3. Analysis of effects \u2014 the analysis of economic effects. 4. Transparency\u2014 the transparency of the analysis of economic effects. 5. Documentation\u2014 the documentation included in the analysis.", "These key elements are standard to the structure of analyses, generally speaking. That is, an analysis is performed to address an objective; the analysis is scoped to address that objective; the analysis adopts a methodology, which is used to analyze the economic effects of interest; and the analysis is transparent and properly documented. The emphasis on transparency is consistent with the final implementation guidelines of the Office of Management and Budget (OMB). \u201cThe primary benefit of public transparency is not necessarily that errors in analytic results will be detected, although error correction is clearly valuable. The more important benefit of transparency is that the public will be able to assess how much of an agency\u2019s analytic result hinges on the specific analytic choices made by the agency.\u201d", "Having identified key elements to the structure of an economic analysis we synthetized for each key element, economic concepts embodied in the literature that we reviewed. For example, what might we be assessing under the key element: Objective and Scope? We considered economic concepts commonly identified across the documents we reviewed, and incorporated feedback from the experts and agencies with whom we consulted. The documents that we reviewed included, among others, Circulars A-94 and A-4 released by OMB, handbooks for economic analysis from federal and international agencies, such as the U.S. Environmental Protection Agency, the U.S. Department of Defense, the U.S. Department of Transportation, the Organization for Economic Co- operation and Development (OECD), and the United Kingdom\u2019s HM Treasury.", "These documents generally outline a methodical structure to an economic analysis. This methodical structure takes the form of a set of issues or sequence of steps to address while conducting the analysis. These issues or steps, in turn, embody economic concepts. For the purpose of developing our assessment methodology, we synthetized and categorized these economic concepts with the key elements that we identified\u2014as listed below. The concepts for each listed key element are not intended to be exhaustive and do not supplant or alter existing requirements for economic analysis. Depending on the context in which an action is examined, GAO\u2019s assessment of a key element could exclude some concepts, or extend beyond the concepts listed for that element. In such cases, GAO\u2019s written assessment of the relevant key element will specify the concepts that were actually considered in the review process.", "The five key elements and economic concepts in GAO\u2019s assessment methodology for an economic analysis are: 1. Key Element: Objective and Scope\u2014the objective and scope of the analysis.", "The economic analysis explains the action examined and includes a rationale and justification for the action. The analysis states its objective. The scope of the analysis is designed to address this objective. Unless otherwise justified, the analysis focuses on economic effects that accrue to citizens and residents of the United States, and its time horizon is long enough to encompass the important economic effects of the action. 2. Key Element: Methodology\u2014the methodology used to examine the economic effects.", "The economic analysis examines the effects of the action by comparing alternatives, using one of them as the baseline. Unless otherwise justified, it considers alternatives that represent all relevant alternatives, including that of no action. The analysis defines an appropriate baseline. The analysis justifies that the world specified under each alternative considered (including the baseline) represents the best assessment of what the world would be like under that alternative. The analysis identifies the important economic effects for each alternative considered, their timing, and whether they are direct or ancillary effects. 3. Key Element: Analysis of Effects\u2014the analysis of economic effects.", "Where feasible, the economic analysis quantifies the important economic effects and monetizes them using the concept of opportunity cost. The analysis applies the criterion of net present value, or related outcome measures, to compare these effects across alternatives. It controls for inflation and uses economically justified discount rates. Where important economic effects cannot be quantified, the analysis explains how they affect the comparison of alternatives. Where the equity and distributional impacts are important, the full range of these impacts is separately detailed and quantified, where feasible. 4. Key Element: Transparency\u2014the transparency of the analysis of economic effects.", "The economic analysis describes and justifies the analytical choices, assumptions, and data used. The analysis assesses how plausible adjustments to each important analytical choice and assumption affect the estimates of the economic effects and the results of the comparison of alternatives. The analysis explains the implications of the key limitations in the data used. Where feasible, the analysis adequately quantifies how the statistical variability of the key data elements underlying the estimates of the economic analysis impacts these estimates, and the results of the comparison of alternatives. 5. Key Element: Documentation\u2014the documentation included in the analysis.", "The economic analysis is clearly written, with a plain language summary, clearly labeled tables that describe the data used and results, and a conclusion that is consistent with these results. The analysis cites all sources used and documents that it is based on the best available economic information. The analysis documents that it complies with a robust quality assurance process and, where applicable, the Information Quality Act. The analysis discloses the use and contributions of contractors and outside consultants.", "In summary, GAO identifies five key elements, with associated economic concepts, to the structure of an economic analysis. GAO\u2019s assessment methodology then examines the extent to which an economic analysis properly dealt with these key elements."], "subsections": []}, {"section_title": "Section 3: Assessment Methodology", "paragraphs": ["GAO\u2019s assessment methodology has two steps: (1) an assessment of each individual key element and (2) an overall assessment based on the assessment of the individual key elements. Below, these two types of assessment are discussed. While GAO\u2019s assessment methodology typically considers all five key elements, there may be cases, for example depending on the scope of an engagement, where it may consider only certain key elements. In those cases, GAO may not be able to make an overall assessment."], "subsections": [{"section_title": "Step 1: Assessing Each Individual Element", "paragraphs": ["The first step in the review process is an assessment of the extent to which the economic analysis has considered and properly dealt with each key element. For each element, the outcome of the review is a written assessment and an assessment score. The written assessment details the extent to which the analysis considered and properly dealt with the element. To the extent that important limitations are identified in the review, the written assessment describes these limitations. This written assessment informs the assessment score, which is one of three mutually exclusive scores: 1. fully met\u2014that is, the economic analysis has considered and properly dealt with the element; 2. partly met\u2014that is, the economic analysis has only partly considered and properly dealt with the element; 3. not met\u2014that is, the economic analysis has not considered or not properly dealt with the element.", "If the outcome is \u201cpartly met\u201d or \u201cnot met,\u201d the written assessment should describe the limitations of the analysis.", "Assessments are made from expertise in economics and with professional judgment. The guiding principles of a review are objectivity, integrity, and compliance with generally accepted government auditing standards (GAGAS). An assessment is contextual\u2014that is, it is conditional on the evidence underlying the action examined, and the context in which it takes place. The assessment is also conditional on the reasonably obtainable information available at the time of the economic analysis that is being reviewed. A caveat may be added to the assessment if new information that would affect it, has become available and is reasonably obtainable since the analysis was made. Should the review of a key element exclude certain concepts, or extend beyond the concepts listed for that key element, GAO\u2019s written assessment of the key element will specify the concepts that were actually considered in the assessment process."], "subsections": []}, {"section_title": "Step 2: Overall Assessment", "paragraphs": ["Once each element has been individually reviewed, an overall assessment is made of the extent to which the economic analysis accordingly informs decision-makers and stakeholders about the economic effects of the action examined. Four outcomes are possible: 1. The analysis informs decision-makers and stakeholders about the economic effects of the action examined. 2. The analysis informs, with caveats, decision-makers and stakeholders about the economic effects of the action examined. (If this is the outcome, the review should describe the caveats in writing.) 3. The analysis needs additional work to inform decision-makers and stakeholders about the economic effects of the action examined. (If this is the outcome, the review should describe in writing the important limitations of the economic analysis.) 4. The analysis does not inform decision-makers and stakeholders about the economic effects of the action examined. (If this is the outcome, the review should describe in writing the deficiencies of the analysis.)", "An economic analysis that has fully met all the key elements should be identified as informing decision-makers and stakeholders about the economic effects of the action examined (this is outcome 1). This determination is neither an endorsement of the specific findings and conclusions of the analysis, nor is it a determination that these are correct. For example, a prospective analysis is predictive of a potential result, but cannot definitively determine the result. It is a determination that the analysis is adequately and properly designed, and accordingly, it can inform the public discourse about the economic effects of the action examined.", "The written statements added to outcomes 2\u20134 should refer to the review of the individual elements. The difference between outcomes 2 and 3 is a matter of degree and professional judgment. Generally speaking, the caveats under outcome 2 will be relatively minor or few, whereas the important limitations under outcome 3 are likely to be more consequential. Should the economic analysis suffer from major deficiencies in meeting the key elements, then outcome 4 may be appropriate."], "subsections": []}]}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["Our objective was to identify, for the purpose of developing GAO\u2019s assessment methodology for the review of economic analysis, key methodological elements to the structure of an economic analysis that is intended to inform decision-makers and stakeholders about the economic effects of a public action.", "To address this objective, we reviewed existing Circulars issued by the Office of Management and Budget (OMB), handbooks for economic analysis issued by federal agencies, international government agencies and institutions, and established textbooks on economic theory and benefit-cost analysis. We also solicited feedback from economics experts (in academia and public policy) and international audit agencies.", "We identified in our document review, five key elements to the structure of an economic analysis. These key elements are: (1) objective and scope; (2) methodology; (3) analysis of effects; (4) transparency; (5) documentation. These key elements are standard to the structure of analyses, generally speaking. That is, an analysis is performed to address an objective; the analysis is scoped to address that objective; the analysis adopts a methodology, which is used to analyze the economic effects of interest; and the analysis is transparent and properly documented.", "Having identified key elements to the structure of an economic analysis, we synthetized for each key element economic concepts embodied in the literature we reviewed. For example, what might we be assessing under the key element objective and scope? To do so, we looked for economic concepts commonly identified across the documents we reviewed and incorporated feedback from the experts and agencies that we consulted with. We then categorized these economic concepts across the key elements that we identified.", "Among the documents we reviewed in our process were the following:", "OMB Circular A-94, Guidelines and Discount Rates for Benefit-Cost Analysis of Federal Programs, Revised (Oct. 29, 1992). Circular A-94 provides a checklist of whether an agency has considered and properly dealt with all the elements for sound benefit-cost and cost- effectiveness analyses.", "OMB Circular A-4, Regulatory Analysis, (Sept. 17, 2003). Circular A-4, released in collaboration with the Council of Economic Advisors, identifies key elements to the structure of economic analyses in regulatory proceedings.", "Office of Management and Budget, Office of Information and Regulatory Affairs, Regulatory Impact Analysis: A Primer (Washington, D.C.: The White House). The purpose of the primer is to offer a summary of OMB Circular A-4.", "Agency-issued handbooks for economic analysis, such as, for example, those issued by the U.S. Environmental Protection Agency, the U.S. Department of Defense, the U.S. Department of Transportation, and the Organization for Economic Co-operation and Development (OECD). We also reviewed The Green Book: appraisal and evaluation in central government, issued by HM Treasury, Government of the United Kingdom, (London; July, 2011). HM Treasury describes The Green Book as a best practice guide for all central departments and executive agencies, and covers projects of all types and size. The guide applies to appraisals\u2014defined as any analysis used to support a government decision to adopt a new policy, or to initiate, renew, expand or re-orientate programs or projects that would result in measurable benefits and/or costs to the public\u2014and evaluations\u2014defined as retrospective analysis of a policy, program or project at its completion, conclusion or revision.", "The National Academies of Sciences, Engineering, and Medicine, Guidelines for the review of Reports of the National Academies of Sciences, Engineering, and Medicine. While these guidelines are specific to the review of reports issued by the National Academies and outline review criteria that apply across a broad range of disciplines, not just economics, they provide review criteria for scientific analysis.", "We conducted our work from June 2017 to April 2018 in accordance with all sections of GAO\u2019s Quality Assurance Framework that are relevant to our objectives. The framework requires that we plan and perform the engagement to obtain sufficient and appropriate evidence to meet our stated objectives and to discuss any limitations in our work. We believe that the information and data obtained, and the analysis conducted, provide a reasonable basis for any findings and conclusions in this product."], "subsections": [{"section_title": "Third-party Comments", "paragraphs": ["We provided a draft of this product for third-party outside review to experts at various U.S. and international government agencies and specialists. Reviewers provided technical comments which we incorporated as appropriate."], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Carol Bray, Timothy Carr, Tim Guinane, Kathleen Scholl, Paola Tena and Elaine Vaurio made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-447", "url": "https://www.gao.gov/products/GAO-18-447", "title": "Military Readiness: Analysis of Maintenance Delays Needed to Improve Availability of Patriot Equipment for Training", "published_date": "2018-06-20T00:00:00", "released_date": "2018-06-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Patriot is a mobile Army surface-to-air missile system deployed worldwide to defend critical assets and forces. The Army plans to extend the life of Patriot equipment until at least 2048 through maintaining and modernizing the system. To achieve this, the Army performs two maintenance processes, restoring equipment returning from combat back to pre-deployment conditions (\u201creset\u201d) and comprehensively overhauling (\"recapitalizing\") a portion of its equipment annually.", "The conference report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision that GAO assess the Army's Patriot maintenance and recapitalization plans to ensure that operational needs are met. This report (1) evaluates the extent to which the Army's reset process supports the timely delivery of Patriot equipment back to units; and (2) describes the Army's plans for supporting the long-term viability of the Patriot system through recapitalization and any challenges associated with its plans. GAO analyzed Army guidance and equipment and maintenance data; interviewed Army officials; and assessed the Army's recapitalization plans."]}, {"section_title": "What GAO Found", "paragraphs": ["The Army uses reset and recapitalization to extend the life of its Patriot surface-to-air missile system. The reset process\u2014which is intended to repair recently-deployed equipment\u2014has often returned equipment to Patriot units late, which has affected unit training. GAO found that of the seven Patriot battalions that underwent reset from fiscal years 2014 through 2017, only one received its equipment within 180 days, in accordance with Army policy (see figure). Patriot unit officials told GAO that such delays reduced the time available for unit training, creating challenges in meeting training requirements as units prepare for their next mission. The Army has identified and analyzed several factors affecting reset timeliness, ranging from supply chain issues to transportation. However, the Army has not comprehensively analyzed the relative importance of these factors. Such an analysis would better position the Army to target its efforts effectively to ensure units receive equipment back in a timely manner.", "Patriot Equipment Reset Timeliness for Units, Fiscal Years 2014-2017", "With respect to recapitalization, the Army has decided to recapitalize each battalion set of Patriot equipment once every 15 years to support the system's long-term viability through 2048, while recognizing that this approach introduces some challenges. The Army would prefer to recapitalize Patriot equipment every 10 years, but Army officials stated this is not feasible for the following reasons:", "Reducing the amount of equipment for ongoing operational commitments to increase the pace of recapitalization is not feasible given current commitments and the projected security environment.", "Buying extra equipment to provide to additional units undergoing recapitalization is not feasible because the Army has prioritized replacing the Patriot radar to improve its capability to defend against advanced threats.", "Army officials told GAO that the current pace of recapitalization is not optimal and could introduce challenges, such as the possibility of equipment failure and increased maintenance costs. However, the Army has concluded that the current pace is the best path forward."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Army conduct an analysis of the primary factors affecting the Patriot program's reset timeliness to identify their relative importance and develop and implement appropriate corrective actions. The Department of the Army concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Army\u2019s Patriot surface-to-air missile system was first fielded in the early 1980s and has been in high demand, with more than half of the Patriot force currently deployed, forward stationed, or prepared to deploy on short notice. While there have been upgrades to the system, the age of the equipment and high pace of operations create risks that the Army attempts to mitigate through maintenance. This maintenance, designed to extend the life of the system until at least 2048, includes restoring equipment returning from combat back to pre-deployment condition (\u201creset\u201d) and comprehensively overhauling (\u201crecapitalization\u201d) a portion of the equipment annually. However, the current global threat environment has the potential to further increase demands for the Patriot system and result in additional maintenance requirements. The Department of Defense\u2019s 2018 National Defense Strategy, for instance, notes the Democratic People\u2019s Republic of Korea\u2019s growing ballistic missile capability. As we have previously found, with a limited fleet of 15 battalions, the Army has struggled to keep up with demands, so increased operations could be unsustainable.", "We have also previously reported that the Army\u2019s current maintenance schedule for the Patriot system presents an elevated risk of equipment failure due to the pace of recapitalization and the Army\u2019s fielding plan for system upgrades. Congress has expressed additional concerns that potential delays in modernizing Patriot systems, components, and software will amplify these risks as units continue to train, deploy, and operate legacy Patriot equipment at a high pace over an extended period. The conference report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017 included a provision that we assess the Army\u2019s Patriot maintenance and recapitalization plans to ensure that operational needs are met. This report (1) evaluates the extent to which the Army\u2019s reset process supports the timely delivery of Patriot equipment back to units; and (2) describes the Army\u2019s plans for supporting the long-term viability of the Patriot system through recapitalization and any challenges associated with its plans.", "For our first objective, we analyzed Army reset and recapitalization processes and collected and analyzed data on the timeliness and quality of Army Patriot reset and recapitalization activities from fiscal years 2014 through 2017. We selected these years to identify any trends in the timeliness and quality of the maintenance activities and because this was the most recent data available. We assessed the reliability of these data by reviewing available documentation and interviewing officials, among other things. We found the data to be sufficiently reliable for our purposes, to include reporting on battalion-specific reset timeliness and the time spent by the depot on correcting quality defects identified during internal inspections. We compared the data on reset timeliness against Army policy. We also interviewed cognizant Army personnel involved in the planning and conduct of Patriot reset and recapitalization, as well as officials from two Patriot battalions and their higher headquarters that recently underwent reset to identify challenges, if any, with respect to reset timeliness, such as equipment transfer delays and any effects on training. We also evaluated the Army\u2019s processes to identify and correct factors causing any reset delays against Army guidance on program performance improvement.", "For our second objective, we identified and analyzed\u2014via a review of recapitalization schedules, briefings, and other documentation\u2014the Army\u2019s current processes and planning for future Patriot recapitalization activities, including Army assessments of the feasibility of adjusting the pace of recapitalization. We also interviewed, among others, cognizant officials from operational units, the Patriot program office, and Letterkenny Army Depot (Letterkenny), which conducts Patriot reset and recapitalization, to obtain their views on considerations influencing the Army\u2019s recapitalization planning and the current and optimal paces of recapitalizing Patriot equipment. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from June 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Patriot Weapon System and Equipment", "paragraphs": ["The Patriot weapon system is a mobile Army surface-to-air missile system designed to counter tactical ballistic missiles; cruise missiles; and other threats such as airplanes, helicopters, and unmanned aerial vehicles. The Patriot system was first deployed in the early 1980s; since that time, it has received a number of substantial updates to keep pace with growing threats. Patriot units are deployed worldwide\u2014in Germany and South Korea, for example\u2014in defense of the United States\u2019 and its allies\u2019 key national interests, ground forces, and critical assets.", "The Army currently has 15 Patriot battalions, all in its active component. Each battalion is organized into groups known as fire units, along with a headquarters and headquarters battery. Each battalion is controlled by its own command and control station and can manage up to six fire units, although a battalion is typically deployed with four. A fire unit is made up of four basic components: (1) a ground-based radar to detect and track targets; (2) launchers; (3) interceptor missiles; and (4) a command, control, and communication station. Overall, a fire unit\u2019s equipment includes eleven unique major end items, including the radar, the launchers, and an electric power plant, among other items. Figure 1 provides a listing of the major end items in a Patriot fire unit (top) along with the notional employment of some of these items (bottom)."], "subsections": []}, {"section_title": "Reset and Recapitalization Processes", "paragraphs": ["Two of the primary processes the Army utilizes to maintain the Patriot system are reset and recapitalization, summarized in Table 1.", "The Army\u2019s reset program seeks to bring Patriot equipment returning from the U.S. Central Command area of responsibility back to Army standards. The reset process seeks to return Patriot equipment to a pre-deployment condition in order to prevent Patriot units from having to spend home station training funds to keep their equipment functional after returning from operations in austere environments for extended periods.", "The Army also relies heavily on recapitalization to restore Patriot equipment. A longer and more intensive process than reset, recapitalization seeks to restore equipment to what the Army considers a \u201clike-new\u201d condition, and according to Army guidance is a \u201cnear zero time or zero mile\u201d maintenance process. The recapitalization process seeks to add life to the system, and it provides an opportunity for the Army to make incremental modernization upgrades, such as the insertion of new software, technology insertions, or replacing obsolete parts. For example, the Army is upgrading the Patriot system to prepare for its integration into the Integrated Air and Missile Defense Battle Command System.", "As the Army fields this modernized command and control system, the Patriot equipment undergoing recapitalization will also change, but the Army plans to continue recapitalization to support the Patriot system\u2019s mission through 2048. Specifically, the Army expects that the transition to the Integrated Air and Missile Defense Battle Command System will allow it to replace current command and control elements. However, remaining end items, such as launchers, would continue to require recapitalization through the full life of the system to 2048. If the Integrated Air and Missile Defense Battle Command System, which is currently planned for initial fielding in 2022, is delayed, program and depot officials expect that they can continue to recapitalize current Patriot equipment as long as needed to support the Army\u2019s long-term goal. However, Army officials noted that delays could require mitigation actions, such as the need to continue repairing parts that the Army would otherwise have replaced.", "Aside from the degree of work performed, the recapitalization and reset processes differ in several other key ways. For instance, the Army generally provides units undergoing recapitalization with another set of Patriot equipment in a one-for-one exchange. In contrast, units undergoing reset receive the same set of equipment back after work is completed and are not provided other equipment while the unit\u2019s equipment undergoes reset at the depot. Additionally, the target length for each process differs; the Army aims to recapitalize one battalion\u2019s worth of equipment each year, while reset work is expected to be completed in 180 days to meet the timelines of the Army\u2019s process to prepare units for potential deployment. Letterkenny Army Depot primarily conducts the maintenance work for both of these efforts under the management of Army Materiel Command and via coordination with the Patriot program office."], "subsections": []}, {"section_title": "Patriot Demands and Equipment Mission Capable Rates", "paragraphs": ["Patriot units are in high demand. As we found in October 2017, the Army believes its Patriot force is operating at capacity given a consistently high pace of operations, and Army studies have found that any additional operational demands and potential wartime demands would exceed current capacity. We also found that the Army was planning to increase the capacity of its Patriot force in two ways: first, by fielding five small detachments in fiscal year 2018 that would provide the ability to deploy a Patriot battery without a full battalion-level command and control element, and second, by increasing the size of an existing test detachment in order to relieve the Patriot battalion currently assigned to conduct testing for Patriot modernization efforts of that mission. The Army intends for the test detachment to begin supporting Patriot modernization test events starting in the second quarter of fiscal year 2019.", "From fiscal years 2014 through 2017, Patriot equipment across the force was reported to be fully mission capable at least 90 percent of the time on average, in accordance with the Army\u2019s goal, as established in Army regulation. These fully mission capable rates continue an overall trend since 2009, which a 2014 Army assessment of Patriot readiness attributed to the recapitalization program. Specifically, this assessment noted that the worldwide average for Patriot unit fully mission capable levels was above 90 percent, and that units that underwent recapitalization consistently experienced positive spikes in readiness. Further, this assessment highlighted the importance of the Army\u2019s reset program, noting that it must be sustained because deployed Patriot units are subjected to the highest pace of operations in the Patriot force."], "subsections": []}]}, {"section_title": "Reset Equipment Is Often Returned Late to Units, and the Army Has Not Analyzed the Relative Importance of Factors Contributing to the Delays", "paragraphs": ["During the period we reviewed, the Army often did not return reset equipment to units in accordance with the timelines established in Army regulation, which affected unit training. Although the Army has identified several factors that caused delays in returning equipment to units and monitors these factors, it has not assessed their relative importance."], "subsections": [{"section_title": "The Army Often Returns Reset Equipment to Patriot Units Late, Which Affects Training", "paragraphs": ["From fiscal years 2014 through 2017, the Army often did not return reset equipment to units in accordance with the timelines established in the Army\u2019s keystone regulation governing its process to build ready forces. This regulation establishes phases through which a unit passes as it prepares for a potential deployment. The first of these, the reset phase, begins when a majority of the unit\u2019s personnel have returned from deployment and must last a minimum of 180 days. At the conclusion of the 180 days, the unit enters the train/ready phase, at which point it may be deployed again, and needs to have its equipment back in order to do so. Because of this standard, the Army must return a unit\u2019s equipment from reset within 180 days from the start of the unit\u2019s reset phase. From fiscal years 2014 through 2017, the Army reset seven battalions and for six of these battalions the Army did not return all of the units\u2019 equipment within 180 days. Two of these battalions\u2014the 2-43 Air Defense Artillery and 4-3 Air Defense Artillery\u2014experienced delays that were deliberately planned. Specifically, Army officials told us that the installation of system upgrades for these battalions extended the overall reset timeline by 60 days. One official stated that this was requested and approved, and explained that if the upgrades had been installed separately after equipment had been reset, it would have taken 4 months to conduct the work. However, as shown in figure 2, of the remaining five Patriot units that completed reset during the period we reviewed, only one received all of its returned equipment within 180 days.", "Patriot battalion officials we interviewed told us that delays in the receipt of reset equipment forced them to modify their scheduling and execution of required collective training. For example, one battalion commander we spoke with said that without equipment his battalion could not effectively train for some collective tasks, such as exercises that require moving the system. Additionally, leadership from two battalions we spoke with told us that the late return of reset equipment compressed the training time available for them to conduct field exercises. This can create unnecessary challenges in meeting Army training requirements as units progress through the Army\u2019s process for building ready units. Specifically, according to the Army\u2019s force generation guidance, a unit is expected to be ready to redeploy on day 181 after returning from its last deployment to its home station. As one battalion commander described, the collective-level training that units conduct during these shortened windows is \u201csufficient, but not optimal.\u201d", "Patriot units have utilized a series of actions to mitigate the impact of delays in equipment receipt after maintenance, but such mitigation actions are sometimes not feasible or optimal. For example, Patriot unit officials told us that the Army shares equipment between battalions that are collocated on the same installation, but at different points in the readiness building timeline. Specifically, when one battalion turns in equipment for reset, certain pieces of equipment from another battalion on the same installation, if available, might be borrowed to conduct training. Battalion officials noted, however, that this measure may not always be feasible. Leadership from two Patriot battalions, for example, cited instances where their units were unable to train during their reset periods and could not borrow equipment from other battalions located on the same installation because those battalions were deployed. In addition, units use simulators to conduct individual-level training to give personnel experience with new system upgrades, though Patriot brigade officials noted this is a stopgap measure while units are without equipment and does not allow for collective training. Lastly, Patriot units can\u2014once delayed equipment arrives or via borrowing equipment\u2014conduct some collective training for extended hours (i.e. during evenings) each day while at their home station, but a battalion official noted that doing so is also not optimal for unit morale.", "Battalion commanders we spoke with told us that their units were sufficiently trained and ready to deploy, despite the delays in the return of the equipment to the units. However, a memorandum from a brigade commander noted that given the high pace of operations, it is important that units receive their equipment in a timely manner to enable them to complete training for their next deployment, as delays can create a notable impact on crew and collective training. The late return of reset equipment could therefore have a detrimental impact on units\u2019 ability to conduct training to meet assigned missions."], "subsections": []}, {"section_title": "The Army Has Identified Factors Affecting Maintenance Timeliness", "paragraphs": ["The Army has identified several factors affecting the timeliness of Patriot maintenance as shown in table 2.", "Some of the factors affecting timeliness, as identified by Army officials, are directly within the control of Letterkenny, where reset is conducted, and some are not. Specifically, Army officials stated that U.S. Transportation Command and the Defense Logistics Agency also have responsibilities related to some of the factors that can affect timeliness, such as the transport of equipment and availability of parts, respectively. These factors are discussed in more detail below.", "Preventive maintenance. According to Army officials and Army documentation, the unit leadership of some deployed Patriot battalions do not emphasize preventive maintenance. As a result, equipment may not be properly maintained to Army standards and can create additional work tasks for depot personnel when they receive it, such as conducting additional or more detailed inspections.", "Unexpected damage. Army officials cited some instances where equipment sent to the depot arrives in worse than expected condition, either due to damage incurred during transport or because unit personnel did not accurately report the condition of the equipment prior to turning it in. For example, in December 2017 Letterkenny officials documented that a battalion\u2019s missile launcher was returned to the depot with unexpected severe corrosion on power cables, and certain equipment items, such as generators, were completely inoperable. Officials cited another instance where a radar was pressure-washed prior to its return to the depot, causing extensive damage. These kinds of unexpected conditions result in greater repair work than anticipated for depot employees.", "Supply chain challenges. Officials at Letterkenny told us that their forecasts for parts orders have not been consistently met via Army and Department of Defense supply chain processes, but that the depot was taking steps to improve its own forecasting. An official also noted that problems can arise if sole-source suppliers for critical parts go out of business, or if they have to order parts that are no longer regularly produced by vendors due to obsolescence. Patriot program office officials provided an example of a radio that is part of the Patriot system and is no longer in production, and noted that the program office was working with Army headquarters officials to identify a solution.", "The Army uses a series of measures to mitigate parts availability issues, such as having the depot utilize its own equipment to fabricate some items on short notice (see fig. 3) and, according to Army officials, by taking parts from incoming equipment and using them for equipment nearing completion of maintenance. Additionally, in July 2017, the depot received permission to purchase critical \u201clong-lead\u201d parts for specific Patriot items in advance of anticipated need, although, according to officials, as a general rule and practice, the depot is not allowed to purchase items without funding in place. Letterkenny officials told us that in cases where they are unable to acquire critical parts, or lack the funds to do so, delays can occur.", "Depot quality controls. Time spent remedying maintenance errors and quality defects\u2014such as incorrect assemblies, defective parts, or improper painting during depot operations\u2014may contribute to the depot\u2019s timeliness challenges. Army officials stressed that the Patriot system is complex, and certain maintenance tasks can be challenging because it can be difficult to isolate equipment faults. For example, the Patriot radar system is composed of thousands of elements (see fig. 4), which, according to officials, requires extensive testing to ensure that each element is operational. Depot officials told us that their processes are designed to ensure that finished products meet operational standards, and that doing so sometimes takes longer than expected. Letterkenny uses a series of metrics and reporting methods, such as internal tracking of defects and surveys and reports from customers, to monitor, document, and correct quality defects during the Patriot maintenance process to ensure that any maintenance errors or defects are identified before the equipment is returned to units.", "However, quality defects that may affect timeliness can still arise. Each fiscal year Letterkenny establishes a target for hours spent at the depot correcting quality defects that arise during maintenance, which are then tracked and used as indicators of the overall quality of the maintenance process. As tracked by the depot, the monthly time spent correcting quality defects varied, when averaged across each year. Specifically, the average in fiscal year 2015 was below the depot\u2019s set target, but the averages in fiscal years 2014, 2016, and 2017 exceeded the targets. For example, the time spent correcting quality defects ranged from 846 hours a month in fiscal year 2016 to 1,242 hours a month in fiscal year 2017, above those years\u2019 monthly target of 800 hours.", "Equipment transportation. Transportation time is included in the 180- day policy for returning equipment from reset to Patriot units, and it often takes a significant amount of time before equipment is transported to the depot from theater. As such, according to Army documentation, the depot can be left with only 120 days to complete reset work before it has to return equipment back to units if it is to meet the 180-day policy. According to Army documentation, to mitigate this issue the Army airlifts a number of critical Patriot equipment items, such as radars, from theater to the depot so that reset work can begin earlier on these items. Additionally, unit officials and a program official involved in planning for the Army\u2019s reset process noted that equipment items are sent back from the depot as soon as reset work is completed; the depot does not wait until the entire unit equipment set is complete. However, as shown previously in figure 2, these kinds of mitigation actions with respect to transportation have not been sufficient in ensuring that units receive all of their equipment back within the 180 days allowed by policy."], "subsections": []}, {"section_title": "Army Monitors Factors Affecting Maintenance Timeliness, but Has Not Conducted an Analysis of Their Relative Importance", "paragraphs": ["Although the Army monitors the factors that have affected maintenance timeliness, it has not conducted an analysis to identify their relative importance. According to Army documents and officials we interviewed, the Army monitors and uses a number of processes to identify, discuss, and select mitigation actions for factors affecting maintenance timeliness, such as:", "Quarterly working group meetings of Patriot stakeholders. The Army monitors maintenance timeliness via a quarterly working group, which includes representatives from key Army Patriot stakeholder organizations such as Training and Doctrine Command, Aviation and Missile Command, Letterkenny, and Patriot unit higher command headquarters. Any timeliness issues discussed at such meetings, such as potential training impacts and transportation delays, are conveyed to units afterwards.", "Letterkenny weekly production meetings. Letterkenny command staff hold weekly production meetings to discuss various issues affecting maintenance production, identify potential factors that could delay depot work, and select mitigation measures against such factors.", "Army Materiel Command oversight of Letterkenny production. Army Materiel Command monitors and tracks Letterkenny\u2019s actual and projected maintenance performance against the scheduled completion dates for Patriot maintenance projects, and depot officials internally review the depot\u2019s performance for each Patriot equipment item each week before submitting the results to Army commands monthly.", "Although Army officials are aware of challenges in returning reset equipment to Patriot units within the 180-day policy and have taken some steps to minimize these impacts, they could not quantify how much each of the factors affecting timeliness contributes to delays in completing maintenance and returning equipment to units. Moreover, based on our discussions with different stakeholders associated with the sustainment of the Patriot system, there are different perceptions as to the degree to which the various factors contributed to delays in completing maintenance and returning reset equipment to units. For example, during our meetings, depot officials indicated that supply chain issues were the primary timeliness challenge. In contrast, a senior program office official and unit officials emphasized the importance of transportation of equipment and its effects on timeliness. In addition, Letterkenny and Army stakeholders told us that while they work to identify and correct issues as they arise through the processes described above, their efforts to remedy these issues are conducted in isolation from one another and not compiled and compared to enable the Army to identify their relative importance in terms of each factor\u2019s effect on timeliness.", "Although aware of the challenges of returning equipment to units in a timely manner, the Army has not comprehensively analyzed the relative importance of the various factors identified above that affect Patriot maintenance timeliness. Army Regulation 702-11 states that fact-based decision-making and the use of performance information to foster continuous improvement are essential activities of quality management and assurance. Specifically, activities supporting logistics missions should engage in continued review, evaluation, and improvement. This regulation further states that Army Material Command, as the manager of the Army\u2019s quality program, should conduct performance reviews and assist other applicable organizations in developing corrective action plans, such as establishing protocols to mitigate risks and prevent recurrence of issues when nonconforming performance is identified. Although not required by Army regulation, one means of doing this is through conducting comprehensive analysis, such as comparing the relative importance of factors affecting performance in order to target improvement efforts.", "A comprehensive analysis to identify the relative importance of factors could better position the Army to fully understand current and historic issues affecting its ability to complete Patriot equipment maintenance in a timely manner. Such an understanding would better inform corrective actions than isolated efforts and would position the Army to determine where best to target its efforts in order to ensure units receive equipment back in a timely manner to conduct training."], "subsections": []}]}, {"section_title": "The Army Plans to Recapitalize Patriot Equipment Every 15 Years, but This Approach Introduces Some Challenges", "paragraphs": ["The Army has decided to recapitalize each battalion set of Patriot equipment once every 15 years, while recognizing that this approach introduces some challenges to upgrading and supporting the system\u2019s readiness to meet its assigned missions through 2048. While the Army would prefer to recapitalize Patriot equipment every 10 years, the Army has reviewed two options for recapitalizing Patriot equipment more frequently and determined that these options are not feasible. According to Army documentation, the Army plans to continue sustaining and upgrading Patriot equipment to meet its long-term goal\u2014which is to keep the system viable through 2048\u2014by, for example, improving system reliability and enhancing its warfighting capabilities. The Army considers recapitalization a key program to achieve this goal. Specifically, in its 2014 readiness assessment of the Patriot force, the Army concluded that recapitalization is the single most important program with respect to keeping Patriot equipment viable and sustainable. Officials from multiple Army organizations also told us that the age of the Patriot system makes replacement of expendable and aged components and insertion of new technology during recapitalization important to Patriot sustainment, readiness, and its ability to meet emerging threats.", "While the Army has emphasized the importance of recapitalization in achieving its long-term goals for the Patriot system, the Army is not planning to adjust its recapitalization pace in the near term, as of March 2018. According to Army documentation, recapitalizing equipment every 10 years would maintain the equipment at the Army\u2019s desired condition. However, the Army\u2019s near-term schedule for recapitalization in fiscal years 2018 through 2022 and its long-term notional schedule for recapitalization of Patriot equipment through fiscal year 2031 both outline cycling one battalion per year through recapitalization. With 15 Patriot battalions, the pace of one battalion per year does not restore the equipment to its desired condition every 10 years.", "According to Army Patriot officials, there are two main options for the Army to increase the pace of recapitalization, but each of these options poses challenges. These two options are:", "Reduce the amount of equipment available for ongoing commitments and recapitalize it at the depot. Officials told us that one way the Army could increase the pace of recapitalization would be to reduce the amount of equipment available for ongoing commitments, but that this is not feasible given the current high pace of operations. Further, the Army does not anticipate that operational requirements will lessen under the projected security environment. The near-term schedule assumes that ongoing operational commitments will not change and is designed to synchronize recapitalization with currently scheduled operational deployments and training. Army officials responsible for coordinating the near-term schedule told us that the near-term schedule has little flexibility given the Army\u2019s limited force structure of 15 battalions, and program and depot officials stated that if the Army were to recapitalize more than one battalion per year, the pool of battalions available to meet these current commitments would decrease.", "Procure additional equipment to provide to units turning in equipment for recapitalization. Army officials said that the Army could buy extra equipment to provide to additional units turning in their equipment for recapitalization if the Army wanted to accelerate the recapitalization pace. At the current pace of recapitalization, the Army has sufficient quantities of major equipment items to ensure that as a Patriot battalion turns in equipment for recapitalization it receives recently recapitalized equipment back on a one-to-one basis and thus is generally not without equipment. This process prevents removing Patriot battalions from operational rotations during the recapitalization period. However, officials stated that if the Army were to adjust the pace to recapitalize more than the current one battalion per year, it would require buying more equipment to ensure that any additional units undergoing recapitalization would not be left without equipment. Army documents indicate that the Army has assessed whether to acquire additional equipment to enable an accelerated pace of recapitalization. However, an official with responsibility for the Patriot capability and senior Army headquarters officials with responsibility for Patriot resourcing and planning told us that the Army instead has prioritized developing a replacement for the Patriot radar. This replacement radar is expected to address capability needs related to radar reliability and range to better defend against advanced threats. Army documentation indicates that this replacement radar is expected to reach initial operational capability in fiscal year 2025.", "If the Army decided to reduce the amount of equipment available for ongoing commitments or buy more equipment, then the Army would also need to make additional investments in depot resources to support accelerating the pace of recapitalization. According to Army documents and officials we interviewed, these include personnel, facilities, and equipment. However, there are a number of challenges related to putting these resources in place.", "Personnel. Army documentation shows and depot officials stated that they would likely hire contractors to meet workload demands and the depot could add shifts if the Army decided to adjust the pace of recapitalization to what it considers an optimal pace. Depot officials also told us they would try to hire contractors with some Patriot experience and place them alongside more experienced personnel in order to preserve work quality, as they have done in response to previous surges in reset work. However, the Army recognizes that Letterkenny faces challenges in expanding its workforce due to a limited pool of available workers in the area around the depot.", "Developing skilled Patriot maintenance personnel is also difficult. An Army study of the organic industrial base found that 11 of the 15 most critical personnel positions at Letterkenny are directly associated with Patriot maintenance and officials noted that, due to the complexity of the system, it can take up to 5 years for Patriot maintenance personnel to become proficient.", "Facilities and equipment. Depot officials stated that if the Army decided to adjust the pace of recapitalization to what it considers optimal, they would likely need to review, among other things, the tools, equipment, and facilities needed to support such an adjustment, as well as supply availability. They also told us that Letterkenny already has proposed expanding its facilities to meet projected future work, and the depot has planned for the plant equipment it will need to continue maintaining the Patriot system as upgrades are incorporated. However, they noted that it takes a full year to recapitalize the Patriot radar, including 3 months of testing, and that Letterkenny has one of only two radar test sites. Given the time required and the single test site, if the Army wanted to recapitalize more than one battalion a year, program officials stated that current conditions probably would not support doing so.", "Continuing the current pace of recapitalization could introduce other challenges in meeting the Army\u2019s long-term goals for the Patriot system, and Army officials stated they are aware of these challenges. Specifically, Army documentation shows, and Army officials told us, that the current pace is not optimal and that it could introduce the possibility of equipment failure as specific items remain in use past the Army\u2019s desired timeframe for recapitalizing equipment every 10 years. Additionally, depot officials told us that their biggest concern with continuing recapitalization at its current pace is that there may be increased costs to conduct recapitalization due to the system\u2019s increasing age. As an example, they stated that there may be increased corrosion issues, adding that they have already seen a significant deterioration in the condition of some trailers. Also, the Army\u2019s decision to continue recapitalizing equipment every 15 years instead of every 10 years provides fewer opportunities to conduct modernization, which is often done in conjunction with recapitalization. Program officials stated that modernizing the system is important because upgrades reduce the number of items that can fail, thereby making field maintenance easier. Moreover, officials from one Patriot brigade stated that their main concern with respect to Patriot is that additional operational commitments could potentially slow modernization progress and affect the Army\u2019s capability to meet threats, particularly since the capabilities and sophistication of enemy threats continue to increase.", "The Army has reviewed its options and the associated challenges related to increasing the pace of recapitalization and has decided the best path forward based on its review is to continue recapitalizing Patriot battalion equipment sets once every 15 years. However, this pace of recapitalization includes some risk\u2014as identified by Army officials\u2014and will likely create challenges in meeting the Army\u2019s long-term goals for the system."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Maintaining good equipment condition is particularly important given the current high pace of operations for Patriot units, as well as the potential for a further increase in operational requirements. However, the Army\u2019s reset process has often delivered equipment to units late, affecting units\u2019 ability to schedule and execute training as they prepare for their next mission. The Army is aware of the challenges in completing maintenance and returning reset equipment to units, and has identified several factors that contribute to delays, but has not analyzed how much each of the factors contribute to delays. Unless the Army conducts a comprehensive analysis of the relative importance of the factors affecting Patriot reset timeliness and develops and implements appropriate corrective actions to address the results of the analysis, it will not be positioned to target its efforts most effectively to take corrective actions."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Secretary of the Army ensure that Army Materiel Command, in coordination with its subordinate and other Army organizations as appropriate, conducts a comprehensive analysis of the primary factors affecting timeliness to identify their relative importance in the Army\u2019s Patriot reset program and develops and implements appropriate corrective actions. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["In written comments on a draft of this report, the Department of the Army concurred with our recommendation. The department stated that it is taking steps to address the recommendation, noting that it will continue analysis between Army Materiel Command, Headquarters Department of the Army, and the Patriot program office to identify and address factors that may affect reset timeliness. The Department of the Army\u2019s comments are reprinted in their entirety in appendix II. The department also provided technical comments, which we incorporated into the report as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and the Secretary of the Army. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3489 or pendletonj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To evaluate the extent to which the Army\u2019s reset process supports the timely delivery of Patriot equipment back to units, we analyzed Army documents concerning recapitalization and reset activities. This included analysis of, among other things, documents describing the processes for Patriot battalion equipment transfers to and from Letterkenny Army Depot (Letterkenny), depot activities to recapitalize and reset equipment, and testing to ensure the equipment\u2019s proper operation. We also reviewed, among other documents, Army guidance on Patriot equipment status reporting, reset, materiel maintenance, and on ensuring the quality of Army programs; as well as planning schedules and documents on backorders and critical items. We evaluated the Army\u2019s processes to identify and correct factors causing any reset delays against Army guidance on program performance improvement.", "Additionally, we analyzed data provided by the Army on Patriot equipment fully mission capable rates and the timeliness of Army Patriot reset activities from fiscal years 2014 through 2017\u2014the most recent data available\u2014to identify any trends. Specifically, we analyzed Patriot unit fully mission capable data as recorded by Army Aviation and Missile Command G-3 (Readiness) based on data submitted by Patriot operational units. We analyzed it to corroborate statements regarding equipment readiness and the quality of maintenance work made by program and operational unit officials and to compare against the Army\u2019s goal for fully mission capable rates. To determine depot timeliness, we analyzed aggregate monthly data provided by the Army on Letterkenny\u2019s timeliness in completing Patriot maintenance activities against performance schedules. We also analyzed Patriot battalion-specific Army data on reset timeliness in order to determine the frequency with which Letterkenny met the reset timeliness policy. Finally, we reviewed Army data on the time spent re-working and re-inspecting equipment with quality deficiencies found during internal inspections at Letterkenny in order to inform our assessment of the potential effects of addressing quality deficiencies on depot timeliness.", "We assessed the reliability of these data by reviewing available system documentation, such as user manuals and data dictionaries for each of the automated information systems from which the respective data were drawn. We manually checked the data for obvious errors and missing or outlier values. We administered data reliability questionnaires to officials familiar with the data systems and assessed their responses and answers to follow-up questions, and we interviewed cognizant officials about their data management practices and use of the data. Based on these steps, we found these data to be sufficiently reliable for our purposes, to include providing fiscal years 2014 through 2017 Patriot equipment fully mission capable rates, battalion-specific reset timeliness, and the time spent by the depot on correcting quality defects identified during internal inspections.", "To describe the Army\u2019s plans for supporting the long-term viability of the Patriot system through recapitalization and any challenges associated with its plans, we analyzed Army regulations, guidance, and planning documents, as well as Army studies. These included, among others, the Army\u2019s recapitalization management policy; Army documents proposing and approving a recapitalization program for Patriot; Army studies of its depot workforce, worldwide Patriot equipment readiness, and Patriot operational demands in relation to available assets; and Army guidance on materiel maintenance and useful equipment life. We also analyzed, among other documents, the Army\u2019s near-term schedule synchronizing Patriot recapitalization, reset, incremental modernization, training, and deployment schedules for fiscal years 2018 through 2022 and a long-term notional schedule for the recapitalization of Patriot equipment, by battalion set, through 2031. We also reviewed depot equipment and personnel planning documents and the Patriot life-cycle management plan, among other planning documents.", "For both objectives, we interviewed cognizant Army personnel involved in the planning and conduct of Patriot recapitalization and reset. We visited Letterkenny to speak with officials and observe the facilities and the conduct of Patriot maintenance activities. In addition, we interviewed officials with responsibility for Patriot funding; for monitoring Patriot unit readiness; as well as officials from two Patriot battalions that recently underwent reset and their brigade headquarters; and one Patriot battalion that recently underwent recapitalization and its brigade headquarters to identify challenges, if any, with respect to these maintenance processes, such as any training or equipment transfer delays or maintenance deficiencies. The list of the organizations and offices we interviewed during the course of our review is below.", "Assistant Secretary of the Army for Acquisition, Logistics, and", "Acquisition Policy and Logistics Group", "Program Executive Office, Missiles and Space, Redstone Arsenal, Huntsville, Alabama", "Lower Tier Project Office, Redstone Arsenal, Huntsville,", "Headquarters, Department of the Army", "G-3, Readiness Directorate", "G-4, Logistics Maintenance Directorate: G-44 (M) Maintenance", "G-4, 3/5/7, Current Operations and Strategic Readiness Division", "G-8, Programs and Priorities, Fires Division", "Army Aviation and Missile Life Cycle Management Command, Redstone Arsenal, Huntsville, Alabama", "Army Aviation and Missile Command Logistics Center, Redstone Arsenal, Huntsville, Alabama", "Letterkenny Army Depot, Chambersburg, Pennsylvania", "32nd Army Air and Missile Defense Command, Fort Bliss, Texas", "11th Air Defense Artillery Brigade, Fort Bliss, Texas", "3-43 Air Defense Artillery Battalion, 11th Air Defense Artillery Brigade, Fort Bliss, Texas", "31st Air Defense Artillery Brigade, Fort Sill, Oklahoma", "3-2 Air Defense Artillery Battalion, 31st Air Defense Artillery Brigade, Fort Sill, Oklahoma", "4-3 Air Defense Artillery Battalion, 31st Air Defense Artillery Brigade, Fort Sill, Oklahoma", "U.S. Army Training and Doctrine Command", "Fires Center of Excellence, Fort Sill, Oklahoma", "Training and Doctrine Command Capability Manager \u2013 Army Air and Missile Defense Command, Fort Sill, Oklahoma We conducted this performance audit from June 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of the Army", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": ["Appendix III: GAO Contact and Staff Acknowledgments Error! No text of specified style in document."], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals who made key contributions to this report include Kevin O\u2019Neill, Assistant Director; Jason Blake, Vincent Buquicchio, Clarice Ransom, Michael Silver, Erik Wilkins- McKee, and Matthew Young."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-522", "url": "https://www.gao.gov/products/GAO-18-522", "title": "Securities Regulation: SEC Inspections of Financial Industry Regulatory Authority's Governance Were Consistent with Internal Guidance", "published_date": "2018-07-18T00:00:00", "released_date": "2018-07-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The securities industry is generally regulated by a combination of federal and industry oversight. FINRA, a self-regulatory organization, is responsible for regulating securities firms doing business with the public in the United States. SEC oversees FINRA's operations and programs.", "Section 964 of the Dodd-Frank Act includes a provision for GAO, following an initial report, to triennially review and report on aspects of SEC's oversight of FINRA. GAO issued its first report in May 2012 ( GAO-12-625 ) and its second report in April 2015 ( GAO-15-376 ).", "This report (1) determines if SEC's oversight of FINRA included the 10 areas specified in Section 964 of the Dodd-Frank Act and (2) evaluates the extent to which selected SEC internal guidance for examinations of FINRA follows generally accepted government auditing standards and the extent to which SEC's examinations of FINRA's governance practices followed SEC internal guidance. GAO reviewed all SEC examinations relating to a Section 964 area completed since fiscal year 2015 (including five that were governance-related), reviewed certain SEC procedures used to examine self-regulatory organizations against Government Auditing Standards , and compared completed inspections against SEC guidance. GAO also interviewed SEC and FINRA staff."]}, {"section_title": "What GAO Found", "paragraphs": ["Since fiscal year 2015, Securities and Exchange Commission (SEC) examinations of the Financial Industry Regulatory Authority, Inc. (FINRA) covered each of the 10 areas specified in Section 964 of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), such as governance, funding, and transparency. The most commonly covered area was FINRA examinations of its members.", "Selected SEC guidance used to examine FINRA, including requirements for planning, prefieldwork scoping, and communicating findings, was consistent with generally accepted government auditing standards, and SEC inspections of FINRA were consistent with SEC's guidance. The five governance-related inspections of FINRA that GAO reviewed were consistent with SEC guidance for planning examinations and communicating findings (see fig.). Not all the requirements were applicable (because in certain instances completion of one requirement eliminated the need to satisfy others)."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations. SEC agreed with GAO's findings."]}], "report": [{"section_title": "Letter", "paragraphs": ["The securities industry is generally regulated by direct Securities and Exchange Commission (SEC) regulation and industry self-regulation with SEC oversight. Self-regulatory organizations (SRO), such as national securities exchanges and associations, perform much of the day-to-day oversight of the securities markets. SROs are primarily responsible for establishing standards under which members conduct business; monitoring the conduct of business; and bringing disciplinary actions against members for violating applicable federal statutes, SEC rules, and SRO rules. SEC oversees SROs to ensure that they carry out their regulatory responsibilities.", "The Financial Industry Regulatory Authority, Inc. (FINRA) is an SRO registered with SEC as a national securities association. All securities broker-dealers doing business with the public in the United States\u2014 approximately 3,700 firms with 630,000 brokers\u2014must be registered with FINRA. Among other activities, FINRA writes rules to govern these firms and their representatives, examines for and enforces broker-dealer compliance with FINRA rules and federal securities laws, and conducts surveillance of the over-the-counter securities market. FINRA also provides regulatory services to other SROs\u2014specifically, U.S. equities and options exchanges. Through its relationships with exchanges, FINRA conducts market surveillance on more than 99 percent of U.S.-listed equities and 50 percent of U.S.-listed options. Given the scope of FINRA\u2019s regulatory responsibilities, ensuring that it carries out these responsibilities is critical to SEC\u2019s mission to protect investors; maintain fair, orderly, and efficient markets; and facilitate capital formation.", "Section 964 of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) includes a provision for GAO to evaluate SEC\u2019s oversight of national securities associations registered under Section 15A of the Securities Exchange Act of 1934 (Exchange Act), a provision that currently applies to FINRA. Specifically, Section 964 identifies 10 aspects of SEC\u2019s oversight of FINRA for our review: 1. Governance of FINRA, including the identification and management of conflicts of interest. 2. Examinations performed by FINRA, including the expertise of examiners. 3. Executive compensation practices of FINRA. 4. Arbitration services provided by FINRA. 5. Reviews performed by FINRA of advertising by its members. 6. Cooperation with and assistance to state securities regulators by FINRA. 7. Use of funding to support FINRA\u2019s mission, including the methods and sufficiency of funding, how FINRA invests funds pending use, and the impact of these aspects on FINRA\u2019s regulatory enforcement. 8. Policies on the employment of former employees of FINRA by regulated entities. 9. Effectiveness of FINRA\u2019s rules. 10. Transparency of FINRA\u2019s governance and activities.", "Section 964 also specified that GAO was to conduct an initial review no later than 2 years after the enactment of the Dodd-Frank Act and every 3 years thereafter. We issued our first report in 2012 and the second in 2015. The first report examined how SEC conducted oversight of FINRA and planned to enhance such oversight and the second report included an examination of SEC\u2019s implementation of a risk-based framework for overseeing FINRA.", "This report generally focuses on SEC oversight of FINRA\u2019s governance. Specifically, this report (1) determines if SEC oversight of FINRA operations and programs since fiscal year 2015 included the 10 areas specified in Section 964 of the Dodd-Frank Act, (2) evaluates the extent to which selected SEC internal guidance on conducting examinations of FINRA follows generally accepted government auditing standards, and (3) evaluates the extent to which SEC examinations of FINRA\u2019s governance practices followed SEC\u2019s internal guidelines.", "To assess SEC oversight of FINRA since fiscal year 2015 as it relates to Section 964 areas, we requested and reviewed materials for SEC examinations (a term we use to include program inspections, examinations, and oversight activities stemming from tips and referrals) that addressed those areas. To determine the extent to which selected SEC internal guidance for FINRA examinations followed generally accepted government auditing standards, we compared the current version of SEC\u2019s internal guidance (examination manual) to an earlier version that we previously determined had done so. Any differences or additions were then assessed for compliance with government auditing standards. To determine the extent to which SEC\u2019s program inspections of FINRA\u2019s governance (in fiscal years 2015\u20132017) followed SEC\u2019s internal guidance, we compared SEC internal guidance (examination manual) with examination documents that included scope memorandums, letters to FINRA describing any deficiencies found, and closing letters to the file explaining disposition of examinations. We only reviewed the extent to which examinations followed specified guidelines and did not evaluate the analysis, findings, or disposition of the examinations. We also interviewed SEC staff about the examination process and documentation requirements.", "We conducted this performance audit from November 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "SEC Examinations of FINRA", "paragraphs": ["The Office of Compliance Inspections and Examinations (OCIE) administers SEC\u2019s nationwide examination and inspection program for registered SROs, broker-dealers, transfer agents, clearing agencies, investment companies, and investment advisers. OCIE conducts examinations and inspections to improve compliance, prevent fraud, monitor risk, and inform policy. Individual groups in OCIE have oversight responsibility for the various registered entities. The FINRA and Securities Industry Oversight (FSIO) program within OCIE performs examinations of FINRA and the Municipal Securities Rulemaking Board, an SRO that regulates the municipal bond market.", "As part of its FINRA oversight activities, FSIO conducts four types of reviews that may involve Section 964 areas.", "Program inspections are reviews of FINRA operations and program areas (for example, FINRA\u2019s review of applications by broker-dealers seeking to become members).", "Oversight examinations are single, stand-alone examinations of specific examinations that FINRA conducts of its member firms. FSIO initiates an oversight examination when its examinations of a broker- dealer find deficiencies FSIO believes should have been identified by FINRA in its own examination of the broker-dealer.", "Thematic oversight examinations are a series of oversight examinations that evaluate FINRA\u2019s review of a particular regulatory area across a number of its member firms.", "Tips, complaints, and referrals are allegations or statements of concern about possible violations of securities laws or risky conduct received by SEC. FSIO reviews FINRA-related tips, complaints, and referrals by evaluating facts and circumstances and conducting background research. The reviews may result in FINRA-related inspections or examinations or may be used for inspection planning purposes.", "To help identify the FINRA programs and topics that it will review, FSIO uses a risk-based approach that includes an annual assessment of high- risk areas and consideration of the areas specified in Section 964. According to SEC staff, FSIO also conducts ongoing monitoring of FINRA\u2019s activities through reviews of information provided by FINRA and meetings with FINRA officials."], "subsections": []}, {"section_title": "Standards Useful for Assessing Examination Policies and Procedures", "paragraphs": ["Generally accepted government auditing standards define performance audits as those that provide findings or conclusions based on an evaluation of sufficient, appropriate evidence against criteria. Performance audit objectives can include assessments of program effectiveness, economy, and efficiency; internal control; compliance; and prospective analyses.", "SEC\u2019s examinations of SROs share many of the attributes of performance audits, including their objectives. For example, examinations (including inspections) of FINRA enable FSIO staff to evaluate compliance with applicable laws and regulations; FINRA rules, regulations, or by-laws; or both. Although SEC is not required to follow the auditing standards when examining SROs, these standards and guidance provide a framework for conducting high-quality reviews that can serve as useful criteria in evaluating a regulatory agency\u2019s examination or inspection programs.", "Areas of generally accepted government auditing standards relevant to SRO examinations include independence, competence, quality control and assurance, planning, supervision, evidence, documentation, and reporting: Independence refers to the audit organization and individual auditor\u2019s need to be independent and include documentation proving independence.", "Competence refers to the extent to which audit staff collectively should possess adequate professional competence and technical knowledge, skills, and expertise.", "Quality control and assurance refers to a system of quality control that an organization should establish that is designed to provide the organization with reasonable assurance that its personnel comply with professional standards and legal requirements.", "Planning includes creating a written audit plan for each audit.", "Supervision requirements include sufficient guidance and direction to the staff assigned to the audit to address the audit objectives and follow applicable requirements, while staying informed about significant problems encountered, reviewing the work performed, and providing effective on-the-job training.", "Evidence refers to sufficient, appropriate evidence to provide a reasonable basis for the auditor\u2019s findings and conclusions.", "Audit documentation requirements state that auditors must prepare documentation related to planning, conducting, and reporting for each audit.", "Finally, communication of the results entails auditors issuing audit reports."], "subsections": []}]}, {"section_title": "SEC\u2019s FINRA Oversight Activities Covered Key Areas Identified in the Dodd- Frank Act", "paragraphs": ["Since fiscal year 2015, SEC examinations related to FINRA included reviews of all areas identified in Section 964. We determined that FSIO completed at least one examination covering each of the Section 964 areas since fiscal year 2015 (see table 1). In total, FSIO began or completed 61 examinations (program inspections, oversight examinations, and thematic oversight examinations) related to FINRA programs and operations in that period. Some examinations evaluated other aspects of FINRA\u2019s programs and operations (those not specifically identified in Section 964), such as market surveillance and restitution for harmed investors.", "FSIO examinations either focused on a single Section 964 area or considered multiple areas.", "Some examinations focused specifically on a single Section 964 area.", "For example, in 2017 FSIO reviewed FINRA\u2019s arbitration program, which provides retail investors a venue for resolving disputes with their brokers.", "Other examinations considered one or more of the areas as part of a broader scope. For instance, a program inspection completed in 2016 touched on FINRA\u2019s arbitration services, cooperation with state securities regulators, transparency, and other topics. Another program inspection involved governance, policies on former employees, and other topics.", "FSIO examinations most frequently covered FINRA examinations (41 of 61). Nearly all of the oversight examinations reviewed at least some aspect of FINRA examinations. In two cases, the oversight examinations also covered another area\u2014review of advertising by FINRA members."], "subsections": []}, {"section_title": "Selected Guidance Used for FINRA Governance Inspections Generally Was Consistent with Relevant Auditing Standards", "paragraphs": ["We found that OCIE policies and procedures used for examining FINRA since fiscal year 2015 generally were consistent with the requirements of generally accepted government auditing standards. SEC uses an examination manual to conduct its SRO examinations. We previously found that OCIE policies and procedures (including the prior version of the manual) generally were consistent with the requirements of the auditing standards that we determined were most relevant to assessing examination policies and procedures: independence, competence, quality control and assurance, planning, supervision, evidence, documentation, and reporting.", "We compared the current and prior versions of the examination manual. More specifically, we selected requirements for planning, prefieldwork scoping, and communicating findings from the current manual and compared those with similar sections in the prior version of the manual. We found that the new version includes the same material as the prior version while also incorporating additional guidance in certain areas. The planning section of the current version includes two additional requirements on the inclusion of non-National Examination Program staff. The communicating findings section of the current version included two additional requirements related to extensions of time to respond to disposition letters. Two of the four additional requirements were generally consistent with government auditing standards, and the remaining two additional requirements were minor adjustments that did not materially change the requirements. Therefore, we deemed the selected sections of the current version of the manual to also be consistent with the auditing standards."], "subsections": []}, {"section_title": "Inspections of FINRA Governance Were Consistent with SEC Internal Guidance", "paragraphs": ["OCIE (and from 2016, FSIO) program inspections of FINRA governance in fiscal years 2015\u20132017 were consistent with internal examination guidance. OCIE identified five inspections in that period that related to FINRA governance. Each of the inspections focused on one of the following areas: (1) code of conduct, (2) executive and employee compensation practices, (3) investment portfolio, (4) compliance resource provider program, and (5) the funding mechanism for its regulatory services agreement.", "FINRA\u2019s code of conduct imposes restrictions on employees\u2019 investments and requires financial disclosures that are uniquely related to its role as a securities regulator. The code also outlines FINRA\u2019s ethical commitments and expectations and provides guidance on what employees must do to meet them.", "FINRA\u2019s executive and employee compensation practices consist of salary and incentive compensation determined by FINRA\u2019s Management Compensation Committee using operational, strategic, and financial factors, in addition to individual performance.", "FINRA\u2019s investment portfolio is governed by a policy based on the degree of risk appropriate for FINRA assets, as applied by its board to its investment objectives.", "In the compliance resource provider program, FINRA worked with organizations to offer firms compliance-related products and services at a discounted price or with additional features. According to FINRA staff, this program was discontinued in May 2017 and replaced with FINRA\u2019s Compliance Vendor Directory.", "FINRA\u2019s regulatory service agreements are designed to provide market surveillance, financial surveillance, examinations, investigations, and disciplinary services to other entities, including the New York Stock Exchange LLC and the Chicago Board Options Exchange.", "For our review, we judgmentally selected the most relevant requirements from the section of the examination manual related to planning inspections and the most relevant requirements from the section of the manual related to communicating inspection findings to determine if OCIE conducted the inspections in accordance with its guidance.", "The planning section covers planning examinations and prefieldwork scoping and requires the examination team to discuss the results of background research and determine an appropriate scope for the examination as early as possible.", "The communicating findings section requires entities to be provided with timely and concise communications on the results. It also discusses how examination staff should take further actions for those findings that could involve notifications to other regulators.", "We reviewed relevant inspection-related documentation (including scope memorandums, disposition letters, emails, and information extracted from an examination database) and compared them against the selected requirements to determine if the guidance was followed. We tallied our results with a scorecard methodology (see fig. 1).", "We found that all five inspections we reviewed met all requirements applicable to that particular inspection. For example, across all the inspections, OCIE examiners held prefieldwork meetings and documented and received approval for the scope of the examinations. Additionally, all five inspections met the required 180-day completion deadline and closed the inspection with a disposition letter. In cases in which requirements were not applicable, the reasons generally were that a triggering event had not occurred and no further action was needed. For instance, the scope was not modified in any of the inspections, so the requirement for approval of such modifications did not apply. Furthermore, none of the inspections included non-National Examination Program staff (such as personnel from SEC\u2019s Enforcement Division), and so requirements surrounding participation by those groups did not apply."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to SEC for their review and comment. In its comment letter, which is reprinted in appendix II, SEC concurred with our findings and appreciated our attention to the issues discussed in the report. SEC also provided technical comments on the draft report, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Securities and Exchange Commission, the Financial Industry Regulatory Authority, Inc., and other interested parties. In addition, this report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8678 or clementsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) determines if the Securities and Exchange Commission\u2019s (SEC) oversight of the Financial Industry Regulatory Authority, Inc.\u2019s (FINRA) operations and programs since fiscal year 2015 included the 10 areas specified in Section 964 of the Dodd\u2013Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), (2) evaluates the extent to which selected SEC internal guidance on conducting examinations of FINRA follows generally accepted government auditing standards, and (3) evaluates the extent to which examinations of FINRA\u2019s governance practices followed SEC\u2019s internal guidance.", "To assess whether oversight of FINRA by SEC\u2019s Office of Compliance Inspections and Examinations (OCIE) included the Section 964 areas, we requested and reviewed documentation for all examinations since fiscal year 2015 (from October 2014 through April 2018) that OCIE staff identified as relating to Section 964 areas. We use the term \u201cexamination\u201d to include program inspections, two types of oversight examinations, and oversight activities stemming from tips and referrals. The documentation included scope memorandums, deficiency letters, and closing letters to the file for OCIE examinations. We evaluated whether the documentation indicated that an examination\u2019s scope and findings covered one or more Section 964 areas or included other areas related to FINRA oversight that were not specified in Section 964.", "To determine the extent to which OCIE\u2019s internal guidance on conducting examinations of FINRA followed generally accepted government auditing standards, we compared SEC\u2019s examination manual against generally accepted auditing standards. We reviewed selected sections of the current version of the manual and the earlier version. We judgmentally selected the two sections that most directly related to our focus on self- regulatory organization (SRO) inspections, which focused on preparing for examinations and communicating examination findings. Other areas of the examination manual that were not relevant focused on administration and organizational issues. We relied on our work that found that the earlier version of the manual followed the auditing standards and also interviewed pertinent staff within OCIE to discuss the guidance and why it did or did not include certain elements. We analyzed any differences between the versions to determine whether changes or additions in the current version of the manual also followed auditing standards. In addition, we interviewed FINRA staff to gain a general understanding of how OCIE staff work with them to conduct examinations.", "To determine the extent to which OCIE\u2019s program inspections of FINRA\u2019s governance in fiscal years 2015\u20132017 followed OCIE\u2019s internal guidance, we used a scorecard methodology to compare inspections of FINRA\u2019s governance with the examination manual and draft updates. We only reviewed the extent to which examinations followed specified guidelines and did not evaluate the analysis, findings, or disposition of the examinations. We created a checklist of relevant elements from the examination manual by judgmentally selecting 6 requirements from the planning inspections section of the manual and 11 requirements from the communicating findings section of the manual that were most applicable to our focus on the actual SRO inspection process. Other requirements that we deemed less relevant include examinations of exempt reporting advisers and the process for approving examination documents.", "The planning section of the manual covers planning examinations and prefieldwork scoping and requires the examination team to discuss the results of background research and determine an appropriate scope for the examination as early as possible.", "The communication of examination findings section requires entities to be provided with timely and concise communications on the results. It also discusses how examination staff should take further actions for those findings that could involve notifications to other regulators.", "We then reviewed different types of inspection-related documentation to determine whether the guidance was followed. For instance, we assessed certain inspection requirements, such as compliance with changing the scope of the inspection, based on formal written documentation such as scope memorandums and disposition letters. We assessed other requirements (such as whether prefieldwork team meetings were held) based on informal documentation, such as email appointments. We also relied on other internal documentation, which included the examination tracking database, which is used to certify compliance with a requirement to complete an inspection within 180 days from the completion of audit work.", "Two analysts then independently compared the elements against documentation for the five OCIE inspections to determine the extent to which the inspections documented the requirements outlined in the examination manual. Analysts assigned a rating of \u201cyes\u201d if the element was found in the inspection materials we reviewed, \u201cno\u201d if there was no mention of the element in the inspection materials we reviewed, \u201cpartially\u201d if the element was not fully addressed in the inspection materials we reviewed, and \u201cn/a\u201d if the element was not applicable to the inspection. We also interviewed pertinent staff within OCIE to discuss the guidance and why it did or did not include certain elements.", "We conducted this performance audit from November 2017 to July 2018 in accordance with generally accepted government auditing standards. These standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Securities and Exchange Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karen Tremba (Assistant Director), Jon D. Menaster (Analyst in Charge), Kevin Averyt, Farrah Graham, Marc Molino, Akiko Ohnuma, Barbara Roesmann, and Jessica Sandler made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-290", "url": "https://www.gao.gov/products/GAO-18-290", "title": "Science, Technology, Engineering, and Mathematics Education: Actions Needed to Better Assess the Federal Investment", "published_date": "2018-03-23T00:00:00", "released_date": "2018-03-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Education programs in STEM fields are intended to enhance the nation's global competitiveness. GAO reported in 2012 that there were more than 200 federal STEM education programs in fiscal year 2010. Since then, this portfolio of programs has changed. GAO was asked to review the landscape of federal STEM education programs.", "This report examines (1) how the federal investment in STEM education programs changed from 2010 to 2016, and (2) the extent to which the STEM education portfolio has been assessed.To answer these questions, GAO administered a web-based questionnaire to all federal STEM education programs funded in fiscal year 2016 and analyzed the results. GAO also reviewed relevant federal laws and agency documents, examined the implementation of relevant assessment requirements, and interviewed officials from relevant federal agencies."]}, {"section_title": "What GAO Found", "paragraphs": ["The federal investment in science, technology, engineering, and mathematics (STEM) education programs remained relatively stable from fiscal years 2010 to 2016, although the number of programs declined from 209 to 163 (see figure). While agencies reported that many of the same STEM education programs existed during this time period, the portfolio underwent various changes, including program consolidations, creations, and terminations. Nearly all STEM education programs in fiscal year 2016 overlapped to some degree with at least one other program in that they offered similar services to similar groups in similar STEM fields to achieve similar objectives. The Committee on STEM Education, an interagency body responsible for implementing the federal STEM education strategic plan, reported it managed this overlap through coordination with agencies administering these programs.", "The Committee on STEM Education has not fully met its responsibilities to assess the federal STEM education portfolio. Specifically, the Committee has not reviewed programs' performance assessments, as required by its authorizing charter, nor has it documented those assessments in its inventory, as required by law. Such efforts could encourage the use of evidenced-based practices across the portfolio\u2014a key national goal of the STEM education strategic plan. These efforts could also enhance public awareness of the administering agencies' efforts to assess programs' performance. In addition, the Committee has not reported the participation rates of underrepresented groups in federal STEM education programs, as required by law. By reporting this information, the Committee could better assess whether programs are broadening access to groups historically underrepresented in STEM fields\u2014another key goal of the strategic plan."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including three to the Committee on STEM Education to review performance assessments of STEM education programs, document those assessments, and report programs' participation rates of underrepresented groups. The Committee on STEM Education agreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Education programs in science, technology, engineering, and mathematics (STEM) play an important role by preparing students for careers in STEM fields and are intended to enhance the nation\u2019s global competitiveness. Various levels of government foster STEM education, as do other stakeholders, including institutions of higher education, professional and scientific societies, and private industries. In 2012, we reported that more than 200 federal STEM education programs across 13 different agencies spent more than $3 billion in fiscal year 2010. We also found a high degree of overlap among those programs and made several recommendations to improve their coordination and management. You asked us to review the current landscape of federal STEM education programs. This report examines: 1) how the federal investment in STEM education programs changed from 2010 to 2016, and 2) to what extent the STEM education portfolio has been assessed.", "To gather information on how the federal investment in STEM education changed from 2010 to 2016, we administered a web-based questionnaire to STEM education programs funded in fiscal year 2016. We identified these programs based on input from the 13 agencies that administered the STEM education programs we previously reported for fiscal year 2010. Program officials provided information on all 163 programs funded in fiscal year 2016 that we determined met our definition of a STEM education program. For more information on our definition, program identification, and data collection, see appendix I. The questionnaire solicited information on the programs\u2019 objectives, groups served, services provided, and spending, among other things, and we analyzed program officials\u2019 responses. We used this information to gauge the level of overlap among programs funded in fiscal year 2016. We also compared the results to similar data previously collected for programs funded in fiscal year 2010.", "To understand the extent to which the federal programs within the STEM education portfolio had been assessed, we reviewed the requirements in the America COMPETES Reauthorization Act of 2010 (COMPETES Act) regarding federal STEM education program assessment. Subsequently, we examined the information produced to fulfill these requirements, including a strategic plan and annual progress reports. We sent our initial determination of whether these COMPETES Act requirements had been fulfilled to the entities responsible for implementing them and solicited their views. We obtained a response from the Office of Science and Technology Policy as to whether the requirements had been fulfilled and considered any additional information the agencies provided in finalizing our analysis. In addition, we reviewed the assessment responsibilities of the Committee on STEM Education as specified in its authorizing charter and examined its efforts to meet those responsibilities. Further, we conducted a limited review to test whether program assessment information was routinely contained within agency budget documents. In response to our questionnaire, program officials reported that 73 of the 163 STEM education programs had been evaluated since fiscal year 2010. From those 73, we randomly selected a nongeneralizable sample of 10 STEM education programs\u2014one from each agency that reported it had evaluated at least one of its STEM education programs recently. We then searched for supporting information within the agencies\u2019 budget documents.", "In addition, we interviewed officials responsible for coordinating federal STEM education efforts from the National Science Foundation and the Office of Science and Technology Policy. We also interviewed officials from the Office of Management and Budget and other federal agencies leading strategic interagency efforts on STEM education, including the National Aeronautics and Space Administration, the Departments of Education, Energy, Health and Human Services, and the Smithsonian Institution. Further, to inform both of our objectives, we reviewed relevant federal laws and regulations as well as reports on STEM education.", "We conducted this performance audit from October 2016 to March 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "STEM Education", "paragraphs": ["The term \u201cSTEM education\u201d includes educational activities across all grade levels\u2014from preschool to graduate school. STEM education programs have a variety of primary objectives, which include preparing students for STEM coursework, providing postsecondary students with grants or fellowships in STEM fields, and improving STEM teacher training (see appendix I for our definition of STEM education programs).", "Federal STEM education programs have been created in two ways\u2014 either by law or by federal agencies under their statutory authorities.", "We previously reported that most federal STEM education programs overlapped to some degree with at least one other program, in that they offered similar services to similar groups in similar STEM fields to achieve similar objectives (see sidebar for definition of overlap).", "Duplication occurs when two or more agencies or programs are engaged in the same activities or provide the same services to the same beneficiaries.", "Overlap occurs when multiple agencies or programs have similar goals, engage in similar activities or strategies to achieve their goals, or aim to serve similar beneficiaries. Fragmentation refers to those circumstances in which more than one federal agency (or more than one organization within an agency) is involved in the same broad area of national need and opportunities exist to improve service delivery.", "Although those programs may not be duplicative, we reported that they were similar enough that they needed to be well coordinated and guided by a robust strategic plan. And, through its strategic planning and other coordination efforts, the Office of Science and Technology Policy and the National Science and Technology Council implemented our recommendations to work with agencies to better align their activities with a government-wide strategy; develop a plan for sustained coordination; identify programs for potential consolidation or elimination; and assist agencies in determining how to better evaluate their programs."], "subsections": []}, {"section_title": "America COMPETES Reauthorization Act of 2010", "paragraphs": ["Enacted in 2007, the America COMPETES Act authorized several programs to promote STEM education. The America COMPETES Reauthorization Act of 2010 (COMPETES Act) reauthorized the America COMPETES Act and addresses coordination and oversight issues, including those associated with the coordination and potential duplication of federal STEM education efforts. The COMPETES Act required the Director of the Office of Science and Technology Policy to establish, under the National Science and Technology Council, the Committee on STEM Education to serve as the interagency coordination body for STEM education in the federal government (see fig. 1).", "In May 2013, the Committee on STEM Education issued a 5-year Strategic Plan for federal STEM education efforts, as required by the COMPETES Act. To improve collaboration across the portfolio, the Strategic Plan identified five priority investment areas and two coordination objectives, specifying national goals for each (see fig. 2).", "The COMPETES Act also requires that the Committee create, and periodically update, an inventory of federal STEM education programs that includes documentation of program assessments and the participation rates of women, underrepresented minorities, and persons in rural areas.", "In addition, the COMPETES Act requires that the Office of Science and Technology Policy publish annual reports on coordinating federal STEM education efforts. The law mandates that these reports include specific information, such as: a description of each federal agency\u2019s STEM education programs funded in the previous and current fiscal years, as well as those proposed under the President\u2019s budget request; the levels of funding for each participating federal agency\u2019s programs described above; an evaluation of the levels of duplication and fragmentation of the programs described above; and a description of the progress made implementing the Strategic Plan, including a description of the outcome of any program assessments completed in the previous year, and any changes made to the Strategic Plan since the previous annual report.", "In January 2017, the President signed into law the American Innovation and Competitiveness Act, which, among other things, amended certain provisions of the COMPETES Act. The Act added some requirements for both the Office of Science and Technology Policy and the Committee on STEM Education. For example, it created new mandates for the Committee to: review the measures federal agencies use to evaluate their STEM education programs, and make recommendations for reforming, terminating, or consolidating the federal STEM portfolio.", "Any such recommendations for an upcoming fiscal year are to be included in the Office of Science and Technology Policy\u2019s annual report."], "subsections": []}, {"section_title": "Cross-agency Priority Goal on STEM Education", "paragraphs": ["In 2014, the Office of Management and Budget, in consultation with the federal agencies that administer STEM education programs, established STEM education as a cross-agency priority goal. The Office of Science and Technology Policy and the National Science Foundation led the oversight and management of this goal, and as part of this work, goal leaders from these agencies identified milestones that aligned with the Strategic Plan\u2019s priority investment areas and coordination objectives (see fig. 2). For example, goal leaders reported progress toward meeting key milestones associated with improving STEM instruction. In 2017, to ensure alignment with the current administration\u2019s priorities, the Office of Management and Budget removed the priority status of all cross-agency priority goals, including STEM education; this ended the required public issuance of quarterly priority goal reports. The STEM Education goal\u2019s final quarterly progress report was issued at the end of fiscal year 2016."], "subsections": []}, {"section_title": "Other Data and Transparency Requirements", "paragraphs": ["Other government-wide efforts are underway to improve the transparency around federal programs in general. These efforts are not directed at the STEM education programs specifically, but may assist in managing the STEM education portfolio. The GPRA Modernization Act of 2010 requires the Office of Management and Budget to present a coherent inventory of all federal programs by making information about each federal program available on a website. However, we previously reported that, because agencies used different approaches to define their programs, comparability of programs within and across agencies on this inventory was limited. We recently identified a potential framework for the development of a useful federal program inventory. The Office of Management and Budget decided to postpone further development of the inventory in order to coordinate with the implementation of related requirements of the Digital Accountability and Transparency Act of 2014. Once fully implemented, this act is expected to expand the types and transparency of public information on federal spending to make it easier to track it to specific federal programs. The act requires government-wide reporting on a greater variety of data related to federal spending, such as budget and financial information, as well as tracking of these data at multiple points in the federal spending lifecycle."], "subsections": []}]}, {"section_title": "From 2010 to 2016, the Number of STEM Education Programs Decreased While Spending Remained Stable, and Most Programs Continued to Overlap", "paragraphs": [], "subsections": [{"section_title": "Agencies Reported Fewer STEM Education Programs and Relatively Stable Levels of Spending in Fiscal Year 2016 Compared to Fiscal Year 2010", "paragraphs": ["Program officials from the 13 federal agencies that administer STEM education programs reported a total of 163 STEM education programs in fiscal year 2016, compared to 209 programs in fiscal year 2010. Three agencies\u2014the Department of Energy, the Department of Health and Human Services, and the National Science Foundation\u2014administered more than half of all STEM education programs in fiscal years 2010 and 2016.", "Despite collectively reporting fewer STEM education programs, program officials responding to our questionnaire reported spending about the same amount in fiscal year 2016 as they did in fiscal year 2010. In fiscal year 2016, program officials reported spending about $2.9 billion on the 163 programs. Spending by individual programs ranged from about $14,000 annually to hundreds of millions of dollars. The National Science Foundation and the Department of Health and Human Services programs account for about 60 percent of this spending. Figure 3 provides an agency-level summary of the number of programs and their reported spending. Appendix II contains a complete list of the 163 STEM education programs and their reported spending for fiscal year 2016.", "While agencies reported many of the same STEM education programs in fiscal years 2010 and 2016, the federal portfolio evolved in various ways. About half of the 209 programs previously reported for fiscal year 2010 were reported again for fiscal year 2016\u2014accounting for about two-thirds (109 programs) of the fiscal year 2016 portfolio. The remaining third (54 programs) were newly reported for fiscal year 2016. (See appendix I for more information on changes to the STEM portfolio between fiscal years 2010 and 2016.)", "The portfolio underwent various changes from fiscal years 2010 to 2016, including program consolidations, creations, and terminations. According to leadership of the Committee on STEM Education, these changes were due to many factors. One key factor is the STEM Education Strategic Plan, which, among other things, calls for greater efficiency and cohesion across federal STEM education programs. Other factors include agencies\u2019 individual priorities, including their mission and budget, and congressional interest in specific programs. For example, agencies reported:", "Consolidations. Starting in 2014, for greater efficiency and cohesion, the National Science Foundation consolidated a number of related undergraduate STEM education programs, including STEM Talent Expansion Programs, Transforming Undergrad Education in STEM, and Nanotechnology Undergraduate Education in Engineering.", "Creations. Department of Health and Human Services officials reported administering 28 new STEM education programs. These programs are housed in the Department\u2019s National Institutes of Health, which generally bases its funding decisions on scientific opportunities and its own peer review process. One new program is the Building Infrastructure Leading to Diversity Initiative. This program supports undergraduate institutions in implementing and studying approaches to engaging and retaining students from diverse backgrounds in biomedical research.", "Terminations. Department of Education officials reported that four STEM education programs funded in fiscal year 2010 were terminated before fiscal year 2016. One such program was the Women\u2019s Educational Equity program. Congress last funded this program in fiscal year 2010."], "subsections": []}, {"section_title": "Significant Overlap Continued to Exist Among STEM Education Programs, Although Programs May Differ in Meaningful Ways", "paragraphs": ["Based on our analysis of questionnaire responses, nearly all STEM education programs in fiscal year 2016 overlapped with at least one other STEM education program, in that they offered at least one similar service to at least one similar group in at least one similar STEM field to achieve at least one similar objective (see text box). Similar levels of overlap occurred among programs funded in fiscal year 2010.", "Similarities Among Overlapping Federal Science, Technology, Engineering, and Mathematics (STEM) Education Programs Similar Services Many of the 163 STEM education programs provided similar services. To support students, most programs (143) provided research opportunities, internships, mentorships, or career guidance. In addition, 110 programs supported short-term experiential learning activities, and 99 programs supported long-term experiential learning activities. Short-term experiential learning activities include field trips, guest speakers, workshops, and summer camps. Long-term experiential learning activities last throughout a semester in length or longer. To support teachers, 77 programs provided curriculum development and 45 programs supported teacher in-service training, professional development, or retention activities.", "Similar Groups Intended to be Served Many programs also provided services to similar groups, such as K-12 students, postsecondary students, K-12 teachers, and college faculty. A majority of STEM programs reported primarily benefiting postsecondary students; specifically, 103 programs intended to serve 4-year undergraduate students, 76 intended to serve Master\u2019s degree students, and 83 intended to serve doctoral students. Most programs also intended to serve multiple groups; 137 of the 163 programs served two or more groups.", "Similar STEM Fields More than 75 percent of programs focused on specific STEM academic fields of study. The most common fields were biology (85 programs), technology (75 programs), engineering (72 programs), and computer science (71 programs). Of those programs that focused on specific STEM fields of study, about 55 percent (68 programs) focused on 5 or more different fields.", "Similar Objectives Many STEM education programs had similar objectives. An objective of a majority of programs (115) was to provide training opportunities for undergraduate or graduate students in STEM fields. Most programs (139) also reported having multiple primary STEM objectives.", "Despite these similarities, overlapping programs may differ in meaningful ways, such as their specific field of focus and those programs\u2019 stated goals. For example, a primary objective of the Department of Health and Human Services\u2019 Cancer Education Grants program and the National Aeronautics and Space Administration\u2019s National Space Grant College and Fellowship Project is to provide training opportunities for undergraduate or graduate students in biological sciences, among other fields. However, these programs have different program goals:", "The Cancer Education Grants program aims to develop innovative cancer education programs and cancer research dissemination projects.", "The National Space Grant College and Fellowship Project encourages interdisciplinary education, research, and public service programs related to aerospace.", "Although many STEM education programs are designed to provide similar services to similar groups, some programs serve distinct populations within those broader groups, such as minority, disadvantaged, or underrepresented groups. Within the broad group\u2014 middle and high school students, an individual program may focus on serving only minority, disadvantaged, or underrepresented students. For example, the Department of Transportation\u2019s Garrett A. Morgan Technology and Transportation Education program focuses services on students who are girls and minorities, whereas the Department of Education\u2019s Upward Bound Math-Science program aims to serve students who are economically disadvantaged.", "The Committee on STEM Education and the Office of Science and Technology Policy reported managing overlap in the portfolio by coordinating with other agencies through a:", "Cross-agency priority goal. Project management and oversight of this goal provided an additional mechanism to facilitate coordination. Goal leaders published quarterly progress reports describing their efforts to achieve each of the five priority investment areas and two coordination objectives.", "Federal coordination subcommittee. Creating a federal coordination subcommittee and various interagency working groups helped to advance goals identified in the Strategic Plan. Committee leadership structured working groups to connect agencies with similar programs (see fig. 4)."], "subsections": []}]}, {"section_title": "Efforts to Assess Programs\u2019 Performance and Participation Rates of Underrepresented Minorities Are Limited", "paragraphs": [], "subsections": [{"section_title": "Performance Assessments of STEM Education Programs Are Not Reviewed or Documented", "paragraphs": ["The Committee on STEM Education and Office of Science and Technology Policy have not fully met their responsibilities to assess the STEM education portfolio. Specifically, the Committee on STEM Education has not reviewed performance assessments of STEM education programs to ensure effectiveness\u2014a primary function of its authorizing charter. Committee leadership acknowledged that they have not conducted such reviews. Overall, the Committee made limited progress advancing its strategic goal of increasing the use of evidence- based approaches because, according to Committee leadership, they focused on achieving other strategic goals. By reviewing programs\u2019 performance assessments, the Committee could leverage existing performance information to identify and share promising practices that agencies could use in designing or revising their programs. Moreover, in doing so, the Committee could further its strategic goal of increasing the use of evidence-based approaches across the portfolio of STEM education programs. We previously have reported that managers can use performance information to identify and increase the use of program approaches that are working well. Additionally, such a review could help the Committee meet its new responsibilities under the 2017 American Innovation and Competitiveness Act, including reviewing the measures federal agencies use to evaluate their STEM education programs and making recommendations for terminating, consolidating, and reforming programs in the federal STEM education portfolio.", "Further, the Committee on STEM Education has not met the COMPETES Act requirement to document the performance assessments of STEM education programs in its federal STEM inventory (see sidebar).", "In 2011, the Committee on STEM Education reported summary information on programs\u2019 performance assessments, including the total number of programs funded in fiscal year 2010 that had been evaluated since 2005. However, the information provided was not program- specific; therefore, it is unclear which programs were assessed for effectiveness. Further, that information is outdated, as the STEM education portfolio has changed considerably since 2010, as we have discussed in this report. Committee leadership said they do not have plans to update the summary information provided in 2011, noting that agency budget justifications include program performance assessments. However, we reviewed the budget justifications for 10 STEM education programs that program officials reported had been recently evaluated and found that 8 had no information on performance assessments. By periodically documenting in its federal STEM education inventory whether programs have been assessed for effectiveness, the Committee can enhance communication of performance information among agency officials and stakeholders. This could facilitate the use of performance information by agency managers and lead to greater public awareness regarding the effectiveness of many of the nation\u2019s STEM education programs.", "The Office of Science and Technology Policy has not done everything required of it either. It has not described the outcomes of programs\u2019 performance assessments completed in the previous year in its annual reports, as required by the COMPETES Act (see sidebar).", "Office of Science and Technology Policy officials said that they have not reported on recent program assessments, and added that many STEM education programs were not mature enough to provide sufficient data for a definitive assessment. However, many of the 2016 programs that we identified were at least 7 years old and had been assessed. Specifically, 67 percent (109) of the programs reported by program officials for fiscal year 2016 had also been reported for fiscal year 2010. Of the programs in existence since 2010, 49 percent (53) have been assessed, according to program officials\u2019 questionnaire responses. By reporting information on the outcomes of performance assessments completed in the previous year, the Office of Science and Technology Policy could enhance awareness of promising practices in federal STEM education programs."], "subsections": []}, {"section_title": "Program Participation Rates of Underrepresented Groups Are Not Reported", "paragraphs": ["The Committee on STEM Education has not reported STEM education programs\u2019 participation rates of groups historically underrepresented in STEM fields, although broadening participation of those groups is one of the Committee\u2019s strategic goals. Moreover, the COMPETES Act requires that the Committee report the participation rates of women, underrepresented minorities, and persons in rural areas in its inventory of federal programs (see sidebar).", "Committee leadership acknowledged they have not reported these data, and added that such participation data are not fully available across all STEM education programs. However, we found that such participation data were generally available. an inventory of federal STEM education programs that includes documentation of participation rates of women, underrepresented minorities, and persons in rural areas.", "In response to our questionnaire, nearly three-quarters of STEM education programs (120 of 163) reported tracking participants in fiscal year 2016. Of those programs, many also tracked specific participant characteristics. For example, 61 percent (73) of programs that tracked participants also captured whether their participants were women and 54 percent (65) documented those who were African American. Programs primarily intended to serve minority, disadvantaged, or underrepresented groups tracked participant characteristics at higher rates than programs that intended to serve broader groups of beneficiaries (see fig. 5).", "In addition, 7 of the 13 administering agencies, such as the Department of Health and Human Services, reported that they tracked participation in fiscal year 2016 for at least two-thirds of their STEM education programs. Officials from the Department of Health and Human Services said that the department maintains data for many of its STEM education programs in a database that captures individual participants\u2019 demographic data, including race and gender, and aggregates such information for internal reporting. Officials also said they use this information to evaluate whether individual programs are meeting their goals of serving particular groups. Although we found that many agencies reported collecting data on participants in their STEM education programs, the Committee on STEM Education has not reported such information in its inventory, as required.", "Reporting information on the participation rates of women, underrepresented minorities, and persons in rural areas could help the Committee assess whether STEM education programs have broadened participation to groups historically underrepresented in STEM fields\u2014a key goal of the Strategic Plan. Committee leadership said they measured progress toward this goal with general performance indicators, such as the number of women who earned STEM degrees, regardless of participation in federal programs, because such data were readily available. However, those performance indicators are influenced by various factors, including some external to federal STEM education efforts. For example, the number of women earning STEM degrees could be affected by broader economic factors or college enrollment trends, rather than the activities of the agencies."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The federal government continues to invest billions of dollars annually in STEM education programs to enhance the nation\u2019s economic and educational competitiveness. Since 2010, the federal portfolio of STEM education programs has evolved considerably. The Committee on STEM Education reported that, through its leadership and strategic planning efforts, it fostered coordination among agencies administering STEM education programs, which helped them implement the STEM Education Strategic Plan. Such efforts to encourage interagency coordination can help ensure efficient use of resources, particularly given the overlap of programs in the STEM education portfolio.", "The Committee on STEM Education and the Office of Science and Technology Policy have not fulfilled their responsibilities to review, document, and report performance information on STEM education programs. Reviewing performance assessments of the many programs in the federal STEM education portfolio is a vital management responsibility that could, for example, improve the Committee\u2019s ability to disseminate information on promising practices or make recommendations that agencies can use to make well-informed decisions about designing or revising their programs. Further, documenting programs\u2019 performance assessments in the Committee\u2019s federal STEM education inventory and reporting the outcomes of recent assessments in the Office of Science and Technology Policy\u2019s annual reports could enhance the availability of performance information.", "In addition, the Committee falls short in reporting required information on programs\u2019 participation rates of women, underrepresented minorities, and persons from rural areas. Without such information, it is unclear whether the federal investment in STEM education is ultimately supporting its strategic goal of broadening participation to groups historically underrepresented in STEM fields.", "Moreover, as the Committee on STEM Education begins to implement its new responsibilities prescribed by the American Innovation and Competitiveness Act, its efforts to review programs\u2019 performance assessments could improve its capacity to make well-informed recommendations to further enhance the portfolio of STEM education programs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of four recommendations, including three to the Committee on STEM Education and one to the Office of Science and Technology Policy. Specifically: The leadership of the Committee on STEM Education should review performance assessments of federal STEM education programs and then take appropriate steps to enhance effectiveness of the portfolio, such as by sharing promising practices that agencies could use in designing or revising their programs. (Recommendation 1)", "The leadership of the Committee on STEM Education should improve public awareness of information on programs\u2019 performance assessments by documenting program-level information on performance assessments in its federal STEM education inventory. (Recommendation 2)", "The leadership of the Committee on STEM Education should report required information on the participation rates of women, underrepresented minorities, and persons from rural areas in federal STEM education programs that collect this information. (Recommendation 3)", "The Director of the Office of Science and Technology Policy should report the outcomes of programs\u2019 performance assessments completed in the previous year in its annual report. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the National Science and Technology Council\u2019s Committee on STEM Education and the Office of Science and Technology Policy for review and comment. These entities jointly provided written comments, which are reproduced in appendix IV, and technical comments, which we incorporated, as appropriate. They agreed with all four of our recommendations and noted initial strategies for how they would implement three of them. Regarding implementation of the fourth recommendation to report on participation rates of underrepresented groups in federal STEM education programs, they noted plans to examine confounding factors inhibiting the reporting of the information required under the COMPETES Act. Gaining insight on the challenges agencies face collecting this information is an important first step. However, to comply with the requirement of the COMPETES Act and help ensure programs reach populations historically underrepresented in STEM fields, we continue to believe that the Committee should report the participation rates of women, underrepresented minorities, and persons from rural areas in federal STEM education programs that collect this information. To do so, the Committee may also need to develop strategies to help agencies overcome some of these confounding factors.", "We are sending copies of this report to leadership of the Committee on STEM Education, and the Assistant Director of STEM Education at the Office of Science and Technology Policy, and the appropriate congressional committees. In addition, the report will be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff should have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: GAO\u2019s Methodology for Program Identification and Data Collection", "paragraphs": [], "subsections": [{"section_title": "How GAO Identified Federal Education Programs on Science, Technology, Engineering, and Mathematics", "paragraphs": ["To identify the programs that should receive our questionnaire, we sought input from the 13 agencies that administer federal science, technology, engineering, and mathematics (STEM) education programs. We provided each of the agencies with our definition of a STEM education program and asked agency officials to identify programs funded in fiscal year 2016 that met this definition (see text box). We also asked agency officials to provide information on the status of the 209 STEM education programs we included in our previous report on STEM education programs. Specifically, we asked whether the programs were funded in fiscal year 2016 and, if not, whether they were consolidated or terminated.", "Definition of Science, Technology, Engineering, and Mathematics (STEM) Education Program GAO defined \u201cSTEM education program\u201d as a program funded by allocation or congressional appropriation. An organized set of activities was considered a single program even when its funds were also allocated to other programs. A STEM education program that met the definition had one or more of the following as a primary objective: attract or prepare students to pursue classes or coursework in STEM areas through formal or informal education activities (informal education programs provide support for activities that offer students learning opportunities outside of formal schooling through contests, science fairs, summer programs, and other means; outreach programs aimed at the general public were not included); attract students to pursue degrees (2-year, 4-year, graduate, or doctoral degrees) in STEM fields through formal or informal education activities; provide training opportunities for undergraduate or graduate students in STEM fields (this can include grants, fellowships, internships, and traineeships that are intended for students; general research grants that involve hiring a student for lab work were not considered a STEM education program); attract graduates to pursue careers in STEM fields; improve teacher (preservice or in-service) education in STEM fields; improve or expand the capacity of K-12 schools or postsecondary institutions to promote or foster education in STEM fields; and conduct research to enhance the quality of STEM education programs provided to students.", "Programs designed to retain current employees in STEM fields were not included. Programs that fund retraining of workers to pursue a degree in a STEM field were included because these programs help increase the number of students and professionals in STEM fields by helping retrain non-STEM workers to work in STEM fields. Also included were health care programs that train students for careers that are primarily in scientific research, but not those that train students for careers that are primarily in patient care (e.g. those that trained nurses, doctors, dentists, psychologists, or veterinarians).", "Lastly, GAO considered STEM fields to include any of the following broad disciplines: agricultural sciences; astronomy; biological sciences; chemistry; computer science; earth, atmospheric, and ocean sciences; engineering; material science; mathematical sciences; physics; social sciences (e.g., psychology, sociology, anthropology, cognitive science, economics, behavioral sciences); and technology.", "GAO used this same definition of STEM education program in its 2012 report. However, in the current report, GAO explicitly specified astronomy and material science as STEM fields and also revised \u201cmathematics\u201d to be \u201cmathematical sciences\u201d based on feedback from agency officials.", "We reviewed the information agencies submitted and took steps to corroborate it, such as by reviewing program descriptions and budget documents. Based on our analysis of this information, we sent a web- based questionnaire to 198 programs (see table 1).", "To develop the questionnaire and collect the data, we used recognized survey design practices to enhance data quality. For instance, we ordered the questionnaire appropriately and ensured the questions were clearly stated and easy to understand. The questionnaire solicited information on federal STEM education programs, including programs\u2019 objectives, intended groups served, services provided, STEM fields, and obligations. We did not conduct pretests because most of the questions were included in our prior questionnaire and had already been pretested.", "On May 8, 2017, we sent an email announcing the online questionnaire to the officials responsible for programs identified as STEM education and also notifying them that the questionnaire would be activated that week. On May 10, 2017, we sent a second message to officials informing them that the questionnaire was activated and providing them with unique usernames and passwords. As necessary, we followed-up with program officials by telephone and email. We collected responses through August 31, 2017.", "Based on our analysis of the questionnaire responses and other information we received from program officials, we excluded 35 programs from our inventory. (See table 2 for a summary of those 35 programs and the reasons we excluded them.)", "Nine of the 35 excluded programs had been reported by agency officials as STEM education programs in our previous report. In most cases (8 of 9), we excluded these programs in this report because the programs did not include STEM education as a primary objective in fiscal year 2016. In the remaining case, we excluded the program because it was a component of another fiscal year 2016 STEM education program, and thus would be duplicative. We confirmed this information and the programs\u2019 exclusion with the administering agencies.", "After we completed our analysis, we identified 163 programs as STEM education for fiscal year 2016. Programs officials responsible for all 163 of these programs completed our questionnaire. We used standard descriptive statistics to analyze responses to these completed questionnaires. We also used recognized survey design practices to process and analyze data collected via the questionnaire. For instance, we performed automated checks to review the data and identify inappropriate answers. We also reviewed the data for missing or ambiguous responses and followed up with program officials when necessary to clarify their responses. We did not verify all responses since we had applied recognized survey design practices and follow-up procedures, and had determined that the data used in this report were of sufficient quality for the purposes of our reporting objectives."], "subsections": []}]}, {"section_title": "Appendix II: Federal Science, Technology, Engineering, and Mathematics (STEM) Education Programs and Reported Fiscal Year 2016 Obligations", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Current Implementation Status of Selected COMPETES Act Provisions to Coordinate Federal Science, Technology, Engineering, and Mathematics Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Office of Science and Technology Policy and the Committee on Science, Technology, Engineering, and Mathematics Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Bill J. Keller (Assistant Director), Kathryn O\u2019Dea Lamas (Analyst-in-Charge), Morgan Jones, and Karissa Robie made significant contributions. Also contributing to this report were James Bennett, Deborah Bland, Charles Culverwell, Jill Lacey, Sheila McCoy, James Rebbe, Kathleen van Gelder, and Sarah Veale."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-440", "url": "https://www.gao.gov/products/GAO-18-440", "title": "Law Enforcement: Few Individuals Denied Firearms Purchases Are Prosecuted and ATF Should Assess Use of Warning Notices in Lieu of Prosecutions", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2017, approximately 25.6 million firearm-related background checks were processed through NICS, and about 181,000 of the attempted purchases at the federal and state levels combined were denied because the individual was prohibited from possessing a firearm under federal or state law. Individuals who certify that they are not prohibited from purchasing or receiving a firearm and are subsequently determined to be prohibited could be subject to investigation, and if prosecuted, a fine, imprisonment, or both.", "GAO was asked to examine firearms denials. This report (1) describes the extent to which federal and selected state law enforcement agencies investigate and prosecute firearms denial cases; (2) examines related challenges faced by these agencies; and (3) describes the circumstances that lead to investigations and prosecutions. GAO reviewed laws and regulations; analyzed federal and state data from 2011 through 2017; and interviewed officials from ATF headquarters, 6 of 25 ATF field divisions (the 6 that investigated the most cases), and the 13 states that process all NICS checks within their state. Results from state interviews are not generalizable but provide insights on state practices."]}, {"section_title": "What GAO Found", "paragraphs": ["Investigations and prosecutions. Federal and selected state law enforcement agencies that process firearm-related background checks through the National Instant Criminal Background Check System (NICS) collectively investigate and prosecute a small percentage of individuals who falsify information on a firearms form (e.g., do not disclose a felony conviction) and are denied a purchase. Federal NICS checks resulted in about 112,000 denied transactions in fiscal year 2017, of which the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) referred about 12,700 to its field divisions for further investigation. U.S. Attorney's Offices (USAO) had prosecuted 12 of these cases as of June 2018.", "At the state level, officials from 10 of 13 selected states said they did not investigate or prosecute firearm denials, some citing competing resource demands and the lack of statutes with which states prosecute as reasons. The remaining 3 states investigated a high proportion of firearms denials. One of the 3 states reported about 1,900 referrals for prosecution in 2017 and about 470 convictions.", "Challenges. ATF and selected states reported challenges in investigating and prosecuting firearms denials. Officials from six selected ATF field divisions said that investigating the increasing number of denial cases referred to field divisions\u2014which increased from about 5,200 in fiscal year 2011 to about 12,700 in fiscal year 2017\u2014has been time intensive and required use of their limited resources. ATF policy provides that field divisions may send \u201cwarning notices\u201d to denied persons in lieu of prosecution, but ATF has not assessed field divisions' use of these notices, which could provide greater awareness of their deterrence value and inform whether any policy changes are needed. Officials from the Executive Office for United States Attorneys said that prosecuting denial cases can require significant effort and may offer little value to public safety compared to other cases involving gun violence. Selected state officials said that denial investigations can take law enforcement officials away from their core duties. State prosecutors said gathering evidence to prove individuals knew they were prohibited was a challenge.", "Types of cases. ATF field divisions investigate denial cases based on USAO criteria and generally only refer cases to USAOs for prosecution when aggravating circumstances exist, such as violent felonies or multiple serious offenses over a short period of time. Officials from two of three selected states refer all denial cases for investigation, while one state uses risk-based criteria for selecting cases that include conditions such as felony convictions and misdemeanor crimes of domestic violence. Prosecutors from these three states said they generally pursue cases that involve indications of violence, though individual prosecutors had differing priorities based on public safety concerns."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that ATF assess the extent to which ATF field divisions use warning notifications as an enforcement tool, which would inform whether changes to policy are needed. DOJ concurred with GAO's recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["In 2017, approximately 25.6 million firearm-related background checks were processed through the Federal Bureau of Investigation\u2019s (FBI) National Instant Criminal Background Check System (NICS), and about 181,000 (about 1 percent) of the attempted purchases were denied because the individual was prohibited from possessing a firearm under federal or state law. To purchase a firearm from a federal firearms licensee (FFL)\u2014or gun dealer\u2014individuals are required to complete the Alcohol, Tobacco, Firearms and Explosives (ATF) Form 4473, certifying that they are not prohibited from purchasing or receiving a firearm under federal or state law. Individuals who sign the form and are later determined through a background check to be prohibited could be subject to investigation, and if prosecuted, a fine, imprisonment, or both.", "For 29 states, the District of Columbia, and U.S. territories, the FBI\u2019s NICS Section is responsible for processing all NICS background checks and referring denied transactions to ATF. ATF is responsible for determining which denied transactions to investigate and refer to a United States Attorney\u2019s Office (USAO) for prosecution. The other 21 states use state or local criminal justice agencies to process some or all of their own NICS background checks. Thirteen of these 21 states process all of their own NICS checks, and are known as point-of-contact (POC) states. The remaining 8 states conduct NICS checks on persons who attempt to purchase a handgun, while the FBI conducts checks on long gun purchasers. These states are known as partial POC states.", "You requested that we examine the extent to which individuals who are prohibited from purchasing firearms and attempt to purchase a firearm face investigation and prosecution. This report: describes the extent to which federal and selected state law enforcement agencies investigate and prosecute firearms denial cases, examines the challenges, if any, that federal and selected state law enforcement agencies face in investigating and prosecuting firearms denial cases, and describes the circumstances that lead to the investigation and prosecution of persons denied firearms.", "To address the first objective, we analyzed federal data from the FBI\u2019s NICS system and ATF\u2019s case management systems for fiscal years 2011 through 2017 to determine the number of firearms denials by state and prohibiting category and identify trends in the number of denials the ATF\u2019s Denial Enforcement NICS Intelligence (DENI) Branch referred to ATF field divisions. For federal prosecutions, we reviewed information from ATF\u2019s case management system that identified NICS cases that were prosecuted. For state investigations and prosecutions, we selected the 13 POC states that perform their own background checks for all firearms transactions to determine their policies regarding the investigation and prosecution of persons denied firearms purchases. For the states that investigate firearms denials, we analyzed state police data on the number of denials, the prohibiting category for the denials, and the number of these denials that were referred to state or local law enforcement for investigation for fiscal years 2011 through 2017. We spoke to investigators and prosecutors in these states to discuss the investigative processes followed and the frequency of prosecution.", "To address the second objective, for federal denial investigations, we interviewed officials from the six ATF field divisions that received approximately 60 percent of the total standard denial referrals across ATF\u2019s 25 field divisions from fiscal years 2011 through 2017 about the investigative process for standard and delayed denial investigations and the challenges, if any, these investigations posed to ATF staff. We also discussed the types of cases that each of these field divisions referred to the USAO for prosecution. Further, we interviewed Executive Office for United States Attorneys (EOUSA) officials to discuss the circumstances that would lead a USAO to prosecute a firearms denial case and the challenges, if any, faced in these prosecutions. We also evaluated ATF\u2019s investigative procedures and internal controls in place against the Standards for Internal Control in the Federal Government. For state denial investigations, we interviewed state troopers and local law enforcement to learn about their investigative procedures, and any challenges investigators may face. We also spoke with multiple prosecutors from each of these states and discussed the prosecutor offices\u2019 policy for accepting these denial cases, how often these cases were prosecuted in these localities and the challenges each faced when prosecuting these cases.", "To address the third objective, for federal denials, we analyzed criteria that the 34 USAO districts within our six selected ATF field divisions have established to determine which denials ATF should send to its field offices for further investigation. We then visited ATF\u2019s DENI Branch to observe how denials are screened and discuss internal controls for ensuring that ATF referrals to its field divisions follow the criteria. We also analyzed ATF data on denials to identify the prohibited categories of the cases that were referred to ATF field divisions from 2011 through 2017, the investigations that were referred to USAOs for prosecution and those that were ultimately prosecuted by USAOs. Officials from our six selected ATF field divisions also provided examples of denial cases investigated and referred for prosecution. These case examples included the specific circumstances that convinced the field division to investigate and refer the case for prosecution. We also researched legal databases to identify the specific circumstances of the cases prosecuted, the statutes used to charge the defendants, and the outcome of the cases. Further, we interviewed EOUSA officials about how USAOs determine the circumstances that would lead a USAO to prosecute a firearms denial case. For state denial investigations, we spoke with state and local investigators from the three states that investigate and prosecute firearms denials to determine the circumstances that may lead to a prosecution. We also spoke with multiple prosecutors from the same states and asked them to describe the characteristics of cases they are more likely to prosecute, as well as those they are less likely to prosecute.", "To assess the reliability of federal and state data on investigations and prosecutions of individuals denied firearms purchases related to all three objectives, we reviewed the internal controls in place within these systems and interviewed federal and state officials about their procedures for creating these data. We determined that these data were sufficiently reliable for the purpose of our reporting objectives. Also, for all objectives, while we did not speak to a representative sample of federal and state investigators and prosecutors, our interviews provided valuable insights about how these investigations and prosecutions are conducted and prioritized. Appendix I contains a more detailed discussion of our scope and methodology.", "We conducted this performance audit from March 2017 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Roles and Responsibilities", "paragraphs": ["Under the Brady Handgun Violence Prevention Act of 1993 (referred to hereafter as the \u201cBrady Act\u201d) and implementing regulations, the FBI and designated state and local criminal justice agencies use NICS to conduct background checks on individuals seeking to purchase firearms from an FFL or obtain permits to possess, acquire, or carry firearms. The mission of the FBI\u2019s NICS Section is to enhance national security and public safety by providing the timely and accurate determination of a person\u2019s eligibility to possess firearms in accordance with federal law. Figure 1 shows the states where the FBI performs background checks for all transactions, as well as POC and partial POC states.", "ATF\u2014one of several Department of Justice law enforcement components\u2014is responsible for investigating criminals and criminal organizations that use firearms, arson, or explosives in violent criminal activity, among other things. ATF is also responsible for investigating criminal and regulatory violations of federal firearms, explosives, arson, and alcohol and tobacco-smuggling laws subject to the direction of the Attorney General, as well as any other function related to the investigation of violent crime or domestic terrorism that is delegated to ATF by the Attorney General.", "U.S. Attorneys prosecute criminal cases brought forward by the federal government, prosecute and defend civil cases in which the United States is a party, and collect debts owed to the federal government that are administratively uncollectible. U.S. Attorneys investigate and prosecute a wide range of criminal activities\u2014including, but not limited to, international and domestic terrorism, corporate fraud, public corruption, violent crime, and drug trafficking. Each U.S. Attorney exercises wide discretion in the use of his or her resources to further the priorities of the local jurisdictions and needs of their communities. The Executive Office for United States Attorneys (EOUSA) represents the 93 U.S. Attorneys that prosecute federal cases. Among other things, EOUSA provides guidance, management direction, and oversight to USAOs."], "subsections": []}, {"section_title": "Firearms Purchase Background Check Process", "paragraphs": ["During a NICS check, the FBI and POC states use descriptive data provided by an individual\u2014such as name and date of birth\u2014to search various databases containing criminal history and other relevant records. These databases include the Interstate Identification Index, the National Crime Information Center, and the NICS Indices.", "The Interstate Identification Index includes, among other things, information on persons who are indicted for, or have been convicted of, a crime punishable by imprisonment for a term exceeding 1 year or have been convicted of a misdemeanor crime of domestic violence.", "The National Crime Information Center includes criminal justice- related records pertaining to wanted persons (fugitives) and persons subject to protection orders, among other things.", "The NICS Indices were created for use in connection with NICS background checks and contain information on persons determined to be prohibited from possessing or receiving a firearm.", "NICS checks determine whether or not an individual is disqualified by federal or state law from possessing firearms. As shown in figure 2:", "Federal NICS transactions increased from about 6.5 million in fiscal year 2011 to about 8.6 million in fiscal year 2017. Federal NICS denials increased from about 77,000 in fiscal year 2011 to about 112,000 in fiscal year 2017.", "POC state transactions\u2014which include both full and partial POC states\u2014increased from about 9.3 million in fiscal year 2011 to about 17 million in fiscal year 2017. POC state denials increased from about 45,000 in fiscal year 2011 to about 69,000 in fiscal year 2017.", "If the FBI or state agency completes a background check within 3 business days and determines that a person should be denied, such denials are referred to as \u201cstandard denials\u201d and do not involve the potential transfer of a firearm. If the FBI or state agency cannot complete a background check within 3 business days, the FFL may transfer the firearm pursuant to federal law, unless state law provides otherwise. When the FBI makes a denial determination after 3 business days\u2014 called a \u201cdelayed denial\u201d\u2014the FBI determines if the FFL transferred the firearm to the individual, and if so, refers these cases to ATF for retrieval of the firearm if the individual is confirmed to be prohibited from possessing a firearm.", "States may establish requirements regarding background check processing times, including waiting periods, beyond the federal requirement. States also may include state databases in addition to NICS indices when conducting background checks. In POC states, FFLs initiate a NICS check by contacting one or more state organizations, such as a state or local law enforcement agency, to query NICS databases and related state files. If necessary, the state organization then conducts any required follow-up research.", "States may use different methods to conduct background checks. Examples of these varying methods include the following: Instant Check: Requires an FFL to transmit a buyer\u2019s application to a checking agency by telephone or computer. The agency is required to respond immediately or as soon as possible.", "Purchase Permit: Requires a buyer to obtain, after a background check, a government-issued document (such as a permit, license, or identification card) that must be presented to an FFL before the buyer can receive a firearm.", "Exempt Carry Permit: State concealed weapons permits, issued after a background check, exempt the holder from a new check at the time of purchase under an ATF ruling or state law.", "Other: Requires an FFL to transmit an application to a checking agency, which delays transfer until a waiting period expires or the agency completes a check."], "subsections": []}, {"section_title": "Federal Process After a Firearm Denial", "paragraphs": ["After a federal NICS denial, ATF can take enforcement actions through criminal investigation and referral for prosecution to a USAO, as making false written statements on the ATF Form 4473 is a crime punishable as a felony under federal law by up to 10 years in prison and up to a $250,000 fine. Any fines that result from a firearm denial are criminal fines assessed through prosecution as part of a plea agreement or sentencing. ATF does not have the statutory authority to issue fines or take any civil action against individuals whose firearm applications are denied and are suspected of providing false information during the attempted purchase."], "subsections": [{"section_title": "Investigations", "paragraphs": ["For federal denied transactions, the FBI\u2019s NICS Section sends information about each denial to ATF\u2019s DENI Branch. The DENI Branch is responsible for researching each transaction to determine whether the case should be referred to one of ATF\u2019s 25 field divisions for possible investigation. The DENI Branch is to refer all delayed denial cases\u2014 which may require recovery of a firearm\u2014and standard denial cases that meet USAO investigative referral criteria for each corresponding judicial district. An ATF NICS coordinator in each field division is to distribute the referred denial cases to the appropriate field office within each field division.", "In addition to recovery of a firearm for delayed denial cases, all firearms denial investigations may involve verifying the purchaser\u2019s prohibited status, gathering relevant supporting documentation such as mental health or court files, and communicating with prosecutors regarding the prosecutorial merit of the case, according to ATF officials. Figure 3 shows the general NICS background check process when purchasing a firearm from an FFL in either a NICS or POC state.", "Among the denials that ATF investigates (delayed and standard), each field office also determines which cases should be referred to a USAO for possible prosecution. If the ATF field office determines that the subject is a prohibited person and local prosecutorial guidelines are met, the field office may refer the case for prosecution. ATF agents may discuss potential referrals with prosecutors to try to obtain USAO acceptance before ATF formally refers a case for possible prosecution. A case that is not deemed appropriate for federal prosecution may be referred to a state prosecutor. If the U.S. Attorney decides to prosecute, an arrest is made or a warrant is issued. Figure 4 shows the general process for the investigation and prosecution of standard firearms denials."], "subsections": []}]}, {"section_title": "State Processes After a Firearm Denial", "paragraphs": ["POC states vary in their procedures and standards for investigating and prosecuting persons denied firearms transactions. For example, these states may or may not investigate and prosecute prohibited persons who violate state gun control laws. In some states, the agency conducting background checks notifies the state or local police, depending on which has jurisdiction, where the transaction occurred. The local agency is then responsible for investigating and assisting in the prosecution of the case by state or local prosecutors. Other states have units with statewide jurisdiction that screen cases before deciding whether a referral should be made to a state police trooper or local law enforcement agency for investigation. A POC state may also refer denials for further investigation to the nearest ATF field office. In POC states, a firearm retrieval associated with a delayed denial may be handled by local law enforcement, a statewide firearms unit, or ATF. State and local prosecutors, whether the district attorney, county or city prosecutor, or the state Attorney General\u2019s office, represent the state for cases arising under state law. Occasionally, federal and state law may prohibit similar types of criminal conduct, allowing both federal and state prosecutors to pursue the case."], "subsections": []}]}, {"section_title": "Federal and Selected State Law Enforcement Agencies Collectively Investigate and Prosecute a Small Percentage of Firearms Denials", "paragraphs": ["In fiscal year 2017, ATF referred about 13,000 firearms denials to its field divisions for investigation, of which USAOs had prosecuted 12 cases as of June 2018. In March 2018, the Attorney General issued a memo that directed all United States Attorneys to enhance prosecution of cases involving individuals who make false statements on the ATF Form 4473. Officials from 10 of our 13 selected POC states said that they do not investigate or prosecute NICS denials."], "subsections": [{"section_title": "ATF Referred about 13,000 Firearms Denials to Its Field Divisions for Investigation in Fiscal Year 2017, of Which USAOs Have Prosecuted 12 Cases", "paragraphs": ["At the federal level, the FBI\u2019s NICS Section referred 112,090 denied transactions to ATF\u2019s DENI Branch in fiscal year 2017, of which ATF referred 12,710 (about 11 percent) to its field divisions for further investigation. The 12,710 referred cases consisted of 3,993 delayed denials and 8,717 standard denials. According to ATF headquarters officials, the DENI Branch refers all delayed denials to ATF field divisions for additional investigation because these cases could potentially require the recovery of a firearm that was transferred to a prohibited person. The DENI Branch uses investigative guidelines established by USAOs that cover 94 judicial districts to determine if standard denials should be referred to the respective ATF field division for investigation. USAO criteria may include individuals who are violent felons, have an active protection order, or have made multiple attempts to purchase a firearm in the past after being denied, among other offenses. Based on our analysis of ATF data, the number of firearms denials the DENI Branch referred to ATF field divisions for investigation increased from 5,208 in fiscal year 2011 to 12,710 in fiscal year 2017\u2014an increase of 141 percent. We discuss the reported impact of this increase in referrals on ATF staff later in the report.", "Of the 12,710 referrals ATF sent to its field divisions in fiscal year 2017 for investigation, USAOs considered 50 cases for prosecution, and prosecuted a total of 12 cases (9 delayed denial and 3 standard denial) as of June 2018, according to ATF data (see table 1). An additional 10 cases were pending or awaiting prosecution as of June 2018. Overall, USAOs filed about 54,000 criminal cases in fiscal year 2016, of which about 9,200 involved firearm-related matters. According to Department of Justice officials, in fiscal year 2017, USAOs also filed about 54,000 criminal cases, of which about 10,400 involved firearm-related matters.", "We also asked state officials from states within our six selected ATF field divisions whether they investigated and prosecuted these denials. Officials from four of these six states said that ATF has not been referring firearms denials to them, so investigation and prosecution of firearms denials was not being done in their state. State officials from two of the six states said that they either occasionally receive referrals from ATF, which are investigated and submitted for local prosecution or they are not aware whether they receive referrals from ATF because they do have a dedicated team to investigate these cases. Officials from all 6 states said they have laws that prohibit persons from purchasing and/or possessing firearms based on prohibitions, such as a prior felony or misdemeanor convictions, but do not have laws that prohibit persons from falsifying information on ATF\u2019s form 4473 during the NICS background check. These states also cited some limitations for investigating these referrals such as lack of statutory authority within their state agency and resource constraints."], "subsections": []}, {"section_title": "Attorney General Memo to Enhance Prosecution of Persons Denied Firearms Purchases", "paragraphs": ["On March 12, 2018, the Attorney General issued a memo that directed all United States Attorneys to enhance prosecution of cases involving false statements on the ATF Form 4473, which the memo refers to as \u201clie-and- try\u201d cases. The memo specifically stated that every United States Attorney must coordinate with the ATF Special Agent-in-Charge in the local district to review and revise, as necessary, local prosecution and referral guidelines to ensure vigorous and appropriate prosecution of these cases. The memo also stated that these guidelines should place particular emphasis on cases against violent persons, including\u2014but not limited to\u2014denials involving individuals convicted of violent felonies, misdemeanor crimes of domestic violence, or subject to protective orders, and denials involving fugitives where the underlying offense is a violent felony or misdemeanor crime of domestic violence. Further, the memo stated that the review and any resulting revisions should ensure that district-specific prosecution and referral guidelines reflect the Department of Justice\u2019s renewed commitment to reducing violent crime. The memo required that all United States Attorneys certify that the review has been completed and all necessary adjustments made within 45 days.", "According to EOUSA officials, as of early May 2018, about 90 percent of USAOs had coordinated with their respective ATF field divisions to discuss revisions in USAO referral guidelines for standard denial cases. The officials added that in response to the Attorney General\u2019s memo, some USAOs narrowed criteria to focus resources on particular denials, such as those involving an attempted purchaser with a history of violent crime, or prioritized denials with recent prohibitions, such as a domestic violence conviction in the past year. In other cases, ATF officials said that USAOs broadened criteria, which may result in more potential cases from which to select for investigation and referral for prosecution. ATF officials also said that some USAOs added investigation referral criteria (for individuals prohibited from possessing firearms) to include elements outside the list of federal prohibitors, such as denied individuals with ties to gang activity or terrorism. These attributes outside of NICS prohibiting categories would require further investigation at the local level by ATF, according to officials. While ATF officials have the expectation that the revised criteria would increase the overall workload on ATF field divisions, ATF officials said that it is too early to discern how these changes will impact ATF and the number of denial cases prosecuted by USAOs. EOUSA officials suggested that firearm-related prosecutions may well increase in the future, but added that any increase that results does not necessarily mean that firearms denial prosecutions would increase."], "subsections": []}, {"section_title": "Ten of 13 POC States Do Not Investigate Firearms Denials, But the Remaining 3 Investigate a High Percentage of Denials", "paragraphs": ["Officials from 10 of our 13 selected POC states said that they do not investigate or prosecute any NICS denials, sometimes citing resource availability or the lack of state statutes as the reason. Officials from these 10 states said that while their state does not investigate or prosecute firearms denials, their state may take other actions following a denial. These possible actions may include informing local jurisdictions of the denial for possible investigation, and possible arrest if the denied individual has an active warrant. Other actions cited include revoking a state firearms owner identification card and possibly seizing any firearms; informing ATF of a delayed denial so ATF can retrieve the firearm; and providing the information on each denial to the FBI for input into FBI databases used to perform NICS checks.", "Officials and data from the remaining three POC states\u2014Oregon, Pennsylvania, and Virginia\u2014indicate that these states investigate a high proportion of firearms denials. These states have statutes that prohibit providing falsified information on a state or federal firearms form as well as statutes that penalize the attempt to purchase firearms by individuals prohibited from such purchases.", "Oregon: Prior to 2014, the state generally did not investigate firearms denials, according to state officials. In 2014, the state changed its policy based on concerns about firearm-related crimes. Specifically, beginning in late 2014, Oregon began investigating all firearms denials, which resulted in more than 2,500 firearms denial investigations in both 2016 and 2017. According to state data, there were between 2,000 and 2,400 firearms denials annually from 2011 to 2013. According to the two Oregon county prosecutors we interviewed, from late 2014 through 2017, their offices accepted about 141 of the more than 700 firearms denial investigations referred to their offices, with most prosecuted successfully.", "Pennsylvania: Prior to 2014, the state investigated a relatively small percentage of firearms denials per year using risk-based criteria, according to state police officials. In 2014, the state changed its policy to investigate all firearms denials. According to state police reports, in 2016, approximately 6,500 denial cases were referred for investigation, of which about 1,600 were referred for prosecution and 356 resulted in convictions. For 2017, the state reported that approximately 5,500 denial cases were referred for investigations, of which 1,907 investigations were referred for prosecution, resulting in 472 convictions.", "Virginia: Virginia has investigated firearms denials since 1989, according to state officials. Virginia does not refer all firearms denials for investigation, but instead uses risk-based criteria to refer a subset of prohibited categories for investigation, according to these officials. The number of referrals for investigation in Virginia has increased from about 770 in 2011 to around 1,700 in 2016 and 2017. Virginia prosecutors we interviewed in three jurisdictions from localities where a high volume of firearms denial referrals occur said they tend to work with Virginia state troopers who specialize in denial investigations and reported high prosecution rates for the cases they accept. The prosecutors noted that most convictions do not go to trial and are reduced to less severe violations and most of the penalties imposed tend to be probation, but there is the occasional jail term. For example, one Virginia prosecutor said that jail sentences are rare, but for a felon with a record of violence, sentences of 7 to more than 24 months in jail have been imposed.", "Unlike federal denial investigation referrals where about 30 percent of the total is for delayed denials, the vast majority of investigations and prosecutions within these three states are related to standard denials. Officials within these states explained that background checks that result in delayed denials are fairly uncommon. According to Pennsylvania officials, in Pennsylvania this is because of state background check policies that provide additional time, 15 days, to complete background checks if a denial is possible, but not clear initially. If the 15-day period expires without an approved transfer, the transaction is not denied, but the firearm is not transferred. According to officials in all three states, FFLs generally will not transfer a firearm until the background checks are completed."], "subsections": []}]}, {"section_title": "ATF and Selected States Cited Challenges Investigating and Prosecuting Firearms Denials; ATF Has Not Assessed Field Divisions\u2019 Use of Warning Notices", "paragraphs": ["ATF officials from our six selected field divisions said that investigating firearms denials can be challenging because of the high volume and require use of their limited resources. ATF has not assessed field divisions\u2019 use of warning notices in lieu of prosecution, which could provide greater awareness of their deterrence value. EOUSA officials said that denial cases are difficult to prosecute and offer less value for public safety than other prosecutions. State officials said that denial investigations compete with other investigations and can be difficult to successfully prosecute."], "subsections": [{"section_title": "ATF and EOUSA Officials Described Denial Investigations and Prosecutions as High Volume and Require Use of Their Limited Resources", "paragraphs": [], "subsections": [{"section_title": "Federal Denial Investigations", "paragraphs": ["ATF officials from our six selected field divisions\u2014which combined received approximately 60 percent of the total standard denials that ATF referred to field divisions from fiscal years 2011 through 2017\u2014said that investigating firearms denials can be challenging for various reasons. ATF field divisions have taken some steps to help mitigate these challenges, but ATF headquarters could benefit from enhancing its oversight of some aspects of the investigations process.", "According to officials from our six selected field divisions, one challenge to investigating and prosecuting firearms denials is the high volume of firearms denial referrals for investigation that ATF sends to field divisions. According to ATF headquarters officials, the DENI Branch has agreed to send these referrals to field divisions based on criteria each ATF field division has established with USAOs within their division. In fiscal year 2017, ATF\u2019s DENI Branch referred 1,889 delayed denial cases to our six selected field divisions\u2014which field divisions are required to investigate\u2014 and 5,435 standard denials cases, which they are to consider for further investigation. In the six field divisions, the number of standard denial referrals more than tripled from fiscal years 2011 to 2017, and in two field divisions, the number of standard referrals in 2017 was more than five times the number in 2011. For example, in one field division, the number of standard referrals was 166 in 2011 and increased to 1,064 in 2017. ATF officials did not know why the number of standard and delayed denials had increased during this period.", "Officials from all six of our selected ATF field divisions also said that investigating denial cases can be time-intensive and require use of their limited resources. The officials said that delayed denials can be particularly time-intensive because they are required to be investigated and the investigation involves a defined set of actions, including the possible retrieval of the firearm. For example, these investigations typically involve steps to verify the prohibition of the individual, including obtaining court records; contacting the individual and FFL that sold the firearm; and arranging to retrieve the firearm for those individuals found to be prohibited. A fiscal year 2016 ATF funding request through the annual congressional budget justification submission noted the drain on investigative resources because of the requirement for ATF to follow-up on delayed denials. While the investigation of standard denials also can take time, officials from our six selected field divisions said they have greater discretion over whether or not to investigate these denials. For example, each field division has discretion to screen all or some of the standard denials, which can include confirming the person was correctly denied and contacting the denied individual and the firearms dealer.", "Officials from all of the six selected field divisions said that, in light of the high volume and time-intensiveness of denial cases, they have taken various steps to prioritize the types of cases to investigate. For example, per ATF policy, field divisions prioritize delayed denials over standard denials because a prohibited person may be in possession of a firearm.", "Officials from three of the six field divisions said that after verifying that the applicant is prohibited by reviewing the criminal history attached to the case file, they generally close standard denials without further investigation. The officials added that while these cases may meet USAO criteria and be referred to a field division for investigation, they ultimately do not have prosecutive merit based on coordination with prosecutors who have experience in prosecuting these cases. Officials from one field division said that they typically do not devote resources to verifying the prohibited status, and instead triage standard denials based on certain criteria, such as a recent violent felony or domestic violence conviction. Accordingly, officials in that field division only refer to a criminal investigator for further review what they consider the greatest threats to public safety."], "subsections": []}, {"section_title": "Federal Prosecutions of Firearms Denials", "paragraphs": ["EOUSA officials said that USAOs generally do not accept and prosecute denial cases that do not involve aggravating circumstances, as these cases can require significant effort for prosecutors relative to the short length of punishment and may offer little value to public safety because the offender does not obtain the firearm, compared to other cases involving gun violence. The officials added that USAOs filed about 9,200 firearm-related cases in fiscal year 2016 and about 10,400 in fiscal year 2017, but that cases involving falsifying information when attempting to purchase a firearm generally are only a small fraction of USAO efforts. Instead, USAOs primarily focus on cases where persons obtain firearms and are prohibited persons or use the firearms in connection with a criminal offense. According to ATF DENI Branch data, the majority of the 25 cases that USAOs prosecuted in fiscal years 2016 and 2017 that involved firearms denials (standard and delayed) resulted in reaching plea agreements with the defendants.", "Federal law provides that it is unlawful \u201cfor any person in connection with the acquisition or attempted acquisition of any firearm or ammunition from a licensed importer, licensed manufacturer, licensed dealer, or licensed collector, knowingly to make any false or fictitious oral or written statement or to furnish or exhibit any false, fictitious, or misrepresented identification, intended or likely to deceive such importer, manufacturer, dealer, or collector with respect to any fact material to the lawfulness of the sale or other disposition of such firearm or ammunition \u2026.\u201d Generally, to convict someone for making a false statement on the ATF Form 4473, the prosecutor must establish beyond a reasonable doubt that the seller was a FFL; the defendant made a false statement or used a false identification while acquiring or attempting to acquire a firearm; the defendant knew the statement or identification was false; and the false statement or identification was intended to, or likely to, deceive a FFL about the lawfulness of the firearm sale. EOUSA officials said that prosecutions for falsifying information are very challenging because of the requirement to prove intent, and can become further complicated because the purchaser may not know that he or she is prohibited and was not intentionally trying to deceive an FFL. The officials added that these cases are not appealing to judges and juries from a public safety standpoint. They also said that they find juries questioning why the case is being prosecuted in instances when the individual did not get the gun, resulting in juries refusing to convict these individuals or jury nullification.", "EOUSA officials said that the number of prosecutions of firearms denials can be low, particularly in standard denial cases where the system worked and the subject did not obtain a firearm, and because of the priority often given to other cases involving gun violence. EOUSA officials said that delayed denial cases can require less effort to prosecute than standard denials, since USAOs do not need to prove an individual\u2019s intent in making a false statement in purchasing the firearm, only that the prohibited individual is intentionally in possession of a firearm. For instance, generally, to obtain a conviction for a felon in possession of a firearm, the prosecution must establish beyond a reasonable doubt that the defendant had previously been convicted of a crime punishable by imprisonment for a term of more than 1 year; the defendant knowingly possessed a firearm; and the firearm previously passed in interstate commerce. However, officials from our six selected field divisions said that as long as a firearm is recovered from the prohibited person and the person is cooperative, ATF is unlikely to refer delayed denial investigations to USAOs for prosecution."], "subsections": []}]}, {"section_title": "ATF Has Not Assessed Field Divisions\u2019 Use of Warning Notices in Lieu of Prosecution", "paragraphs": ["While officials from all six selected ATF field divisions said that investigating the increasing number of denial cases can be time-intensive and require use of their limited resources, ATF headquarters has not assessed the extent to which field divisions\u2019 use warning notices in lieu of prosecutions or whether any policy changes could enhance their use as a deterrence tool."], "subsections": [{"section_title": "Increase in Denial Investigations", "paragraphs": ["Standard denial cases ATF referred to field divisions for investigation grew by more than 200 percent ATF-wide from fiscal years 2011 through 2017, and by more than 300 percent within our six selected field divisions. Moreover, delayed denial referrals grew by about 70 percent ATF-wide and by 70 percent within our six selected field divisions during this period. Figure 5 shows the increase in standard and delayed denial cases ATF referred to its field divisions for investigation from fiscal years 2011 through 2017.", "At the same time, ATF data show that special agent staffing across our six selected field divisions collectively only increased by one special agent from fiscal years 2011 through 2017. Officials from five of our six selected field divisions said that the increasing number of NICS denial cases received from ATF headquarters for investigation has posed a burden on staff resources.", "Field divisions are required to investigate all delayed denial referrals, but have discretion as to how thoroughly they investigate standard denial referrals. Officials from all six selected field divisions said that, to date, one of the ways they have been able to adjust to the increasing volume of standard denial referrals has been by closing them with limited investigation or sending warning notices to the prohibited individuals. However, based on trends over the last 7 years, the number of standard and delayed denial referrals for investigation could continue to increase. In addition, the Attorney General\u2019s March 2018 memo to USAOs directing that the prosecution of false statements on the ATF Form 4473 be enhanced may impact how, and how many, denial investigations ATF performs."], "subsections": []}, {"section_title": "Use of Warning Notices", "paragraphs": ["For all delayed denials, ATF policy requires field divisions to contact prohibited persons within three days of being assigned the case to advise the person of their prohibition. According to ATF headquarters officials, warning notices are intended to inform the individual that he or she is prohibited from purchasing a firearm, should not attempt to purchase a firearm again, and may be subject to prosecution. For delayed denials, ATF policy also requires field divisions to send a written warning notice in all instances where the special agent is unable to make contact with the prohibited person within 3 business days, or when other circumstances exist, such as extraordinary distance or inclement weather. Officials from our six selected field divisions said that while warning notices for delayed denials are not always delivered in writing, all individuals involved in delayed denials receive a warning in some form\u2014e.g., written, oral, or via text message\u2014from the ATF special agent investigating the denial. Officials from one field division said that they send text messages to denied purchasers in lieu of warning letters because they are less intimidating to prohibited persons, the texts save time and money, and are more effective in helping retrieve firearms.", "For standard denials, warning notifications are not required. Specifically, ATF policy provides that field divisions may send warning notices to denied persons \u201cwhere appropriate and in lieu of prosecution.\u201d However, in instances where aggravating circumstances exist, such as if the prohibited person committed a violent felony or made multiple attempts to purchase firearms, ATF policy provides that consideration should be given to hand-deliver the notice to the prohibited person. The 6 selected field divisions varied in the extent to which they sent warning notices related to standard denials. Specifically, three of the six divisions had established a practice to send notices to all prohibited persons. Officials from these three divisions said that such letters are intended to (1) educate the denied person that he or she is prohibited from purchasing firearms, (2) deter the individual from attempting future purchases, and (3) serve as evidence during any subsequent investigation or prosecution that the individual knew that he or she was prohibited from purchasing a firearm. Officials from one of these field divisions also said that the practice of addressing standard denials by sending warning notices is a good use of limited resources while addressing a public safety concern.", "Of the three field divisions that routinely send warning notices for all standard denials, two send them via certified mail, while the other sends letters via standard mail due to limited resources. According to officials from these three field divisions, the costs associated with mailing warning notices also includes staff time to locate recipient information and mail the letters, in addition to supervisory review, as is done in at least one field division. A group supervisor in one of these field division\u2019s sub-offices said that while their field division primarily uses certified mail, the sub- office hand delivers these notices for all standard and delayed denials. Officials from one of these three field divisions said that they confirm the prohibited status of individuals before sending the warning notices, while officials at another field division said they do not confirm the prohibited status prior to mailing but that the notice includes information on how to appeal the denial. These three divisions received an average of about 800 standard denials in fiscal year 2017.", "Officials from the three divisions that do not routinely send warning notices for standard denials said that notices are only sent for standard denials in rare cases. Such cases can include when there are aggravating circumstances. Criminal activity or not cooperating with the ATF\u2014after the attempted purchase are examples of aggravating circumstances.", "Officials from one field division stated that warning notices were used for standard denials by individual agents in the past, but there was no field division policy to do so routinely. Officials from another field division said that due to limited resources, the decision was made to not send these notices, though they said the notices could be an effective deterrent for prohibited individuals from trying to possess a firearm or attempting to purchase from an FFL. ATF headquarters officials said that under ATF policy, the decision whether to send warning notices for all standard denials is made by individual field divisions. Therefore, they did not know the extent to which each of the 25 divisions used this practice.", "Standards for Internal Control in the Federal Government call on federal managers to design control activities to achieve an agency\u2019s objectives. These controls can include using quality information to make informed decisions, such as how best to achieve ATF\u2019s objectives given limited resources; evaluating ATF\u2019s performance in achieving key objectives; and addressing risks, including its limited resources to investigate or prosecute denial cases. While ATF policy provides that individual field divisions determine their use of warning notices, ATF headquarters is uniquely positioned to assess use of the notices across all field divisions. Assessing the extent to which ATF field divisions use warning notices for standard denials would provide ATF headquarters with greater awareness regarding agency-wide efforts to use the notices as a deterrence tool in lieu of prosecution. As assessment could also better inform ATF as to whether the application of certain practices to all field divisions could be a feasible and effective use of limited investigative resources, given the small number of standard denial cases prosecuted each year, and revise related policies if appropriate."], "subsections": []}]}, {"section_title": "Selected States Reported That Denial Investigations Compete with Other Investigations and Cases Can Be Difficult to Successfully Prosecute", "paragraphs": [], "subsections": [{"section_title": "State Denial Investigations", "paragraphs": ["State police supervisors in all three states (Oregon, Pennsylvania, and Virginia) that investigate denials said investigators are generally assigned to denial investigations as their time permits. Supervisors also said these investigations are generally considered time consuming and can sometimes impact other duties. State police supervisors said that these investigations can be disruptive to operations by taking troopers away from their core duties, such as traffic enforcement and response, except where troopers are dedicated to conducting these investigations. State troopers echoed this point, adding that denial investigations are difficult to conduct given the amount of documentation needed for prosecution when they have other duties. Local law enforcement officials in Oregon and Pennsylvania also said that denial investigations are disruptive, as they are usually forwarded to officers when they are on patrol, sometimes many weeks or months after the firearms background check was initiated.", "Investigators in all three states also said they face challenges assisting with prosecutions of denied persons, including gathering the necessary documentation to prove the individual knew they were prohibited. For example, Virginia troopers said that obtaining records on out-of-state convictions and mental health prohibitions, and locating documentation on older convictions, can be especially difficult. Troopers in Oregon and Virginia commented that in their experience, there can be some degree of inaccuracy in the criminal records in their state. For example, they said that arrests and prosecution results may not be accurately reflected in the criminal history of the denied person. When the trooper checks the actual record, it is sometimes discovered that the person is not prohibited. A Virginia trooper said this is especially common for juvenile convictions.", "Oregon and Virginia officials said they have been able to mitigate these challenges by utilizing specialized troopers to conduct denial investigations. These troopers are taken off line and generally perform denial investigations almost exclusively. In both states, these specialized troopers conduct a large portion of the denial investigations in these states or in designated locations within the state. Virginia State Police officials told us that some areas within police divisions that receive a high volume of denials for investigation use specialized troopers that spend all or most of their time investigating firearms denials. These Virginia troopers reported that they have become more efficient than troopers that do not specialize because the repetition of performing multiple investigations improves the learning curve and the quality of their investigations. Virginia State Police officials said that while any area may assign troopers to work exclusively on denial investigations, most areas either cannot afford to remove a trooper from road coverage or do not investigate enough cases involving persons denied firearms to make it an effective use of resources. According to Oregon officials, five specialized troopers in the state investigated more than 1,100 of the almost 2,600 firearms denials referred for investigation in 2016. These troopers covered the denials for several metropolitan areas in Oregon and cited efficiencies in conducting and referring investigations for prosecution."], "subsections": []}, {"section_title": "State Denial Prosecutions", "paragraphs": ["State prosecutors we interviewed in the three states that conducted denial investigations said the primary challenge in prosecuting denial cases is in gathering the evidence needed to prove that the individuals knew they were prohibited. They added that the difficulty in gathering evidence for certain prohibited categories also make those prosecutions more difficult. For example, obtaining records related to old convictions, out of state convictions, and mental health prohibitions are common challenges. There are also challenges due to record retention policies for specific prohibitions. For example, a Virginia prosecutor said that prosecuting denials for misdemeanor crimes of domestic violence convictions in Virginia that are more than 10 years old is difficult because these records may be destroyed under state law after 10 years. Oregon state investigators we interviewed said that, under state statutes, successfully prosecuting someone for falsifying information on firearms purchase forms requires proving that the person \u201cknowingly and willingly\u201d falsified information on the form, which can be difficult to prove. One Pennsylvania investigator also said that denied individuals may not understand the questions on the forms and genuinely believe they are not prohibited.", "Prosecutors we interviewed who worked with specialized investigators reported that they have worked closely with these troopers to facilitate successful prosecutions. For example, an Oregon prosecutor we spoke to utilizes a case reporting process where the trooper advises the prosecutor of the strong cases to be considered for prosecution. This allows prosecutors to focus their attention on the cases more likely to be successfully prosecuted. In one Virginia county, the prosecutor\u2019s office provides troopers a checklist of important points the trooper should address to make a strong case for prosecution. Virginia prosecutors in jurisdictions served by a specialized trooper said that they confer with the troopers regularly and are able to successfully prosecute a high percentage of the denial investigations these troopers conduct."], "subsections": []}]}]}, {"section_title": "Firearms Denial Investigations and Prosecutions Are Generally Based on Aggravating Circumstances in Addition to Criminal Records", "paragraphs": ["While individuals are denied firearms purchases because they are prohibited from possessing firearms under federal or state law, federal denial investigations and prosecutions are generally based on additional aggravating circumstances. The three states that investigate denial cases have established priorities for investigating and prosecuting such cases."], "subsections": [{"section_title": "ATF Investigations Most Frequently Involve Convicted Felons, but Aggravating Circumstances Are Generally Needed for Prosecution Referrals", "paragraphs": ["The types of standard and delayed denial cases investigated by ATF field divisions and referred to USAOs for prosecution are determined by multiple factors, including the prohibiting category (e.g., felony conviction), criminal history of the denied individual, USAO investigative referral criteria, and the nature of the ATF investigation itself.", "Of the almost 21,000 delayed denials the ATF DENI Branch referred to ATF field divisions for investigation from fiscal years 2011 through 2017, 32 percent were denied for being convicted felons, 23 percent for a qualifying misdemeanor crime of domestic violence, and 19 percent for being an unlawful user of, or addicted to, a controlled substance. As discussed earlier, all delayed denials are referred to the appropriate field division for investigation.", "Of the almost 36,000 standard denials the ATF DENI Branch referred to field divisions for investigation during this time period, 36 percent were denied for being convicted felons, 30 percent for a qualifying protective order, and 16 percent for a conviction for a qualifying misdemeanor crime of domestic violence. For standard denials, USAO investigative referral criteria, not the prohibiting category itself, determines which cases are referred for investigation.", "From fiscal years 2015 through 2017, the number of delayed denials referred to ATF field divisions for investigation increased by 46 percent (from 2,742 to 3,993). This increase was driven by cases in which the prohibiting category was drug-related, which increased by about 300 referrals (60 percent increase); involved misdemeanor crimes of domestic violence, which increased by about 250 referrals (34 percent increase); and involved felony convictions, which increased by about 280 referrals (34 percent increase). Also during this period, the number of standard denials referred to ATF field divisions for investigation increased by 30 percent (from 6,715 to 8,717). This increase was driven by misdemeanor crimes of domestic violence, which increased by about 626 referrals (62 percent increase), and felony convictions, which increased by about 659 referrals (25 percent increase). Cases in which the prohibiting category was related to mental health or protection orders also increased by 42 percent (about 200 referrals) and 21 percent (about 300 referrals), respectively. Figure 6 shows the breakdown of investigation referrals by prohibiting category from fiscal years 2011 through 2017.", "The types of denial cases that ATF\u2019s DENI Branch refers to field divisions for investigation are determined by the USAO referral criteria established in the district in which the purchase took place. Based on our analysis of the standard denial referral criteria for the 34 USAO districts that cover the six selected ATF field divisions as of February 2017, there are similarities in the criteria used across these USAO districts. For example, most of the 34 districts direct ATF to refer standard denials for investigation if the cases involved recent convictions for violent crimes or convictions for misdemeanor crimes of domestic violence. Also, about two-thirds of the 34 USAO districts direct ATF to refer cases in which prohibited persons have made two or more attempts to buy firearms while prohibited. In addition to the 10 prohibitions listed under federal law, other referral criteria used by USAO districts include prohibited individuals who are also suspected terrorists or associates of suspected terrorists; known gang members or members of criminal organizations; or suspected of gun trafficking.", "Aggravating Circumstances Resulting in a Prosecuted Firearms Denial Case An individual attempted to purchase a firearm while under indictment for first degree robbery, in which the subject used a woman to set up an exchange of sex for marijuana. During the exchange, the subject robbed and shot the victim. The subject was charged with two felonies\u2014falsifying information on the background check form and illegal possession of a firearm while under indictment. The subject pled guilty to both charges and was sentenced to 24 months in prison and 3 years supervisory release.", "The denial cases ATF field divisions refer to USAOs for prosecution generally include aggravating circumstances in addition to the factors discussed above related to an individual\u2019s criminal history. According to ATF officials in one field division, these aggravating circumstances could include violent felonies or multiple serious offenses in a short period of time, especially if these occurred in close proximity to the timing of the attempted firearms purchase. For example, a prohibited person with multiple armed robberies or actively involved in gang activity could be considered to have aggravating circumstances. The officials described a recent incident where an individual was found in possession of PCP three times in a span of a couple months, then bought a firearm and fired it at an occupied dwelling. This was considered a clear example, and the individual was prosecuted for making a false statement as well as illegal possession of a firearm stemming from the delayed denial. Additional examples provided by ATF officials from our 6 selected field divisions of recent cases ATF referred for prosecution include:", "An individual purchased a firearm from an FFL and sold that firearm to a prohibited person. The original purchaser was later denied (delayed denial) due to a prior drug conviction. The purchaser was charged with illegally possessing a firearm, making a false statement in the purchase of a firearm, and making a \u201cstraw purchase,\u201d which is when an individual illegally purchases a firearm on behalf of another person. According to ATF, this individual was sentenced to 1 year in federal custody and 3 years of supervisory release.", "An individual was charged with making false statements in the attempted purchase of a firearm. The individual did not receive the firearm as a result of a standard denial. During the investigation, the subject was not cooperative, and had an extensive criminal history in multiple states dating back 35 years, including several contacts with law enforcement on domestic violence and protective orders. The subject was charged with falsifying a background check form, to which he pled guilty and was sentenced to 12 months in prison.", "An individual under indictment for armed criminal action committed first-degree robbery in which he used a woman to set up an exchange of sex for marijuana. During the exchange, the subject robbed and shot the victim. The subject later attempted to purchase a firearm and was able to obtain the firearm as a result of a delayed denial. Later, a completed NICS check revealed that he was a prohibited person for being under indictment, and was subsequently arrested later that week. The subject was perceived as a threat to the community and charged with two felonies, falsifying the background check form, and illegal possession of a firearm while under indictment. He pled guilty to both charges and was sentenced to 24 months in prison and 3 years supervisory release.", "Of the 12 examples from our six selected field divisions provided, 9 involved delayed denials and 3 involved standard denials. Eleven of the 12 cases have been completed as of May 2018. Of the 9 cases charged in federal court, 1 case was declined by prosecutors, and the other 8 resulted in guilty pleas. These guilty pleas resulted in penalties ranging from time served to 33 months in prison, along with additional punishments such as probation, fines, and mandated treatment programs. Of the 3 cases charged in state court, 2 resulted in guilty pleas and 1 had not been resolved as of May 2018. Of the 10 cases pursued by federal and state prosecutors that resulted in guilty pleas, 7 cases involved a subject with a history of drug crimes, 6 involved violent crimes, and 4 involved domestic violence. Additional information on these case examples can be found in appendix VI.", "According to officials from our six selected ATF field divisions, standard denial referrals may meet USAOs criteria and be referred to a field division for investigation, but almost always do not have prosecutive merit based on coordination with prosecutors. The officials noted that USAOs generally do not accept standard denials that only involve a violation related to falsified information. The officials also said that minor crimes, such as burglary, from decades ago would likely not be a high enough threat for prosecution. For delayed denial cases, officials from the 6 field divisions said that if a firearm is retrieved or otherwise recovered from the prohibited person\u2014and the person is cooperative\u2014ATF is unlikely to refer these investigations to USAOs for prosecution unless there are aggravating circumstances."], "subsections": []}, {"section_title": "Oregon, Pennsylvania, and Virginia Investigate a Large Proportion of Firearms Denials and Prioritize Certain Prohibitions, but a Small Number are Prosecuted", "paragraphs": [], "subsections": [{"section_title": "State Investigations", "paragraphs": ["The types of denial cases that are referred for investigation in Oregon, Pennsylvania, and Virginia are determined in part by the priorities the states have set for such referrals. For Oregon and Pennsylvania, which investigate all firearms denials, these priorities include cases involving stolen guns, purchasers with active warrants, active protection orders, and prior felony convictions. In these states, convictions of a crime punishable by more than one year (i.e. felony convictions) are the most common reasons for denial. Virginia investigates a subset of all denials based on risk, and has a policy to prioritize denials that is similar to Oregon and Pennsylvania\u2014active warrants, active protection orders, as well as mental health issues.", "According to Virginia state police officials, denials can be referred for investigation if they involve one or more of a set of prohibiting categories. In 2017, these amounted to about 50 percent of the almost 3,600 denials recorded. Virginia state police officials said that investigations tend to be handled in the order they arrive, regardless of prohibited category. Two troopers said that Virginia residents with exclusive Virginia criminal histories jump to the top of their lists because the records for these individuals will be easiest to obtain. The investigators in these Virginia jurisdictions said they tend to refer most of their investigations for prosecution, regardless of the prohibited category, if there is evidence to support the falsified information charge. Pennsylvania investigators and supervisors generally said that no priority is given to the denial investigation referrals they receive. They said investigations tend to be handled on a first in first out basis, regardless of the prohibiting category of the denied person. One supervisory trooper said that since these investigations are usually sent to the field 2 to 3 months after the transaction has occurred, they are generally considered low priority when compared to assaults, robberies, and other crimes a trooper investigates. Oregon state police management and troopers told us they prioritize cases involving stolen guns, purchasers with active warrants, active protection orders, and prior felony convictions. Local law enforcement agencies that investigate denial cases in Oregon told us they do not prioritize any cases\u2014except for active warrants\u2014handling them in order as they are received.", "Investigators in all three states said that the criminal histories of those investigated tend to be minor. For example, outside of the prohibiting offenses that led to persons being denied, most of these individuals\u2019 criminal histories tend to consist of old prohibiting offenses like non- violent felonies, or drug possession, with few gun violations noted. Investigators in these three states said that this may be because individuals with the most severe criminal histories do not attempt to purchase firearms through FFLs. However, one investigator said that individuals who were denied based on misdemeanor crimes of domestic violence tend to have multiple charges in their background."], "subsections": []}, {"section_title": "State Prosecutions", "paragraphs": ["State investigators said prosecutors\u2019 interest or willingness to prosecute is a key determinant for whether a case is referred for prosecution. One investigator also said he may check with prosecutors early in an investigation to determine the likelihood of prosecution. According to Oregon troopers, denial investigations that are recommended for prosecution often involve convictions for felonies, misdemeanor crimes of domestic violence, and restraining orders. The troopers said that the strength of the case\u2014including the adequacy and availability of proof the individual knew he or she was prohibited and falsified information\u2014 determines which cases are referred to prosecutors.", "Prosecutors from all three states said that they generally pursue cases against individuals who have indications of violence, including protection orders, domestic violence, and felony convictions. Individual prosecutors also identified specific prohibiting categories, based on public safety concerns, as their priorities for prosecution. An Oregon prosecutor said there is a good public safety argument for prosecuting denials based on domestic violence, mental health, and felony prohibitions when there is probable cause. However, for other prohibiting categories, such as being on probation or being a drug user, the officials said that prosecuting these denial cases is not very useful based on the amount of effort required to prosecute. A Virginia prosecutor cited domestic violence and protection orders as being prosecuted most often. A Pennsylvania prosecutor said that his county prosecutes most of the referrals it receives, with denials for multiple instances of driving under the influence, mental health, and domestic violence being the most common.", "State prosecutors we interviewed also said the cases they accept for prosecution may be influenced by the fact that certain types of cases are harder to prove. For example, they said that denials involving mental health, drug users, and misdemeanor crimes of domestic violence are often harder to prove, due in part to the difficulty in obtaining related records. The officials added that cases involving out-of-state and older convictions are also not prosecuted as often as other cases due to the difficulty in obtaining records. State prosecutors also said that there are certain circumstances where prosecutors are reluctant to pursue prosecution\u2014such as cases where prohibitions occurred as a juvenile\u2014 where a firearms denial conviction would establish an adult criminal record where no criminal record had previously existed.", "According to the prosecutors we contacted, the criminal histories of denied individuals generally involved minor violations other than the prohibiting offense. Prosecutors said the criminal history of the individual can play a role in whether felony charges are filed, as opposed to misdemeanor charges, and for sentencing. For example, one Virginia prosecutor said that he will file felony charges for a denial case only for cases in which an individual was denied based on an active protection order or serious felony in his county. Another Virginia prosecutor said that there is consideration of both criminal history\u2014convictions for violent felonies or misdemeanors, especially\u2014as well as multiple arrests where no conviction resulted, when deciding whether to charge the denied person with a felony or misdemeanor. The prosecutor noted, however, that denial cases tend not to be violent felons or hardened criminals. According to a Pennsylvania prosecutor, almost all cases are ultimately charged with misdemeanors. The prosecutor noted, however, that the state recently brought multiple felony charges against a person who was denied a firearms purchase based on a murder conviction in 1973.", "These prosecutors also stated that they often try to plead denial cases whenever possible, as these cases often do not result in convictions when they go to trial. For example, a prosecutor in Pennsylvania told us about one denial case that went to trial where the jury found the denied person not guilty. The defendant was prohibited from purchasing a firearm based on convictions for repeatedly driving while under the influence, a misdemeanor with a potential prison term of 5 years in that state. The attorney said the jury believed that it was a pointless prosecution for a firearm\u2019s denial offense. In Virginia, one prosecutor also described a case where a person was denied because of a mental health prohibition, and the person was found not guilty of the charges of falsifying information when attempting to purchase the firearm. He attributed this to a sympathetic defendant and jury reluctance to impose a criminal conviction on an individual without a criminal record.", "Further, state officials said that the penalties handed down when denied individuals are convicted tended to be minor. The Oregon prosecutors said that common penalties are fines (usually in the hundreds of dollars) and probation ranging up to 1 year depending on the criminal background of the denied person. According to a Pennsylvania state police official, in some instances the charges are pled down to a lesser violation, such as disorderly conduct, which result in an approximately $300 fine. The two Pennsylvania prosecutors we interviewed said that most denial prosecutions in their jurisdictions are pled down to misdemeanors, eliminating the need for a trial. According to the prosecutors, common penalties for misdemeanor convictions include probation and the requirement to pay court costs (upwards of $1,000 in one county). The prosecutors added that there is an occasional jail sentence for denied felons with substantial criminal records that can result in about 1 to almost 2 years in jail. Prosecutors across the states said that they try to plead cases\u2014thus avoiding trial\u2014whenever possible. One Pennsylvania prosecutor said that cases without strong evidence that cannot be pled are sometimes dropped because conviction would be difficult. Another Pennsylvania prosecutor said jury apathy in one strong case led to fewer denial cases. Virginia prosecutors said that most convictions are for misdemeanor charges and result in probation, fines, and court costs. They did say, however, that jail time has resulted for denied individuals with violent felony convictions."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["At the federal level, the number of firearms denial cases ATF has referred to its field divisions for investigation has increased substantially over recent years, which has placed a burden on field division resources. At the same time, field division resources have not increased, and the number of USAO prosecutions remains low\u2014totaling 12 in fiscal year 2017. Assessing the extent to which ATF field divisions use warning notices for standard denials in lieu of prosecution would provide ATF headquarters greater awareness of agency-wide deterrence efforts, and better inform the agency as to whether any policy changes are needed."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We recommend that the Deputy Director, Head of the Bureau of Alcohol, Tobacco, Firearms and Explosives assess the extent to which ATF field divisions use warning notices for standard denials in lieu of prosecution and determine whether any policy changes are needed. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ for review and comment. DOJ concurred with our recommendation to ATF and provided technical comments, which we incorporated in this report where appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Attorney General, the Deputy Director, Head of the Bureau of Alcohol, Tobacco, Firearms and Explosives, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512- 8777 or goodwing@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions are listed in appendix VII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["Our objectives in this report were to (1) describe the extent to which federal and selected state law enforcement agencies investigate and prosecute firearms denial cases; (2) examine the challenges, if any, that federal and selected federal and selected state law enforcement agencies face in investigating and prosecuting firearms denial cases; and (3) describe the circumstances that lead to the investigation and prosecution of persons denied firearms.", "To describe the extent that federal and selected state law enforcement agencies investigate and prosecute firearms denials, we reviewed published reports regarding federal and state law enforcement efforts to investigate and prosecute firearms denials. For federal efforts, we requested data from the Federal Bureau of Investigation\u2019s (FBI) National Instant Criminal Background Check System (NICS) regarding firearms denials provided to the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) by state and prohibiting category for fiscal years 2011 through 2017. We reviewed the internal controls in place for these data and determined that the data were reliable for our purposes. We requested and received data from the ATF Automated National Instant Criminal Background Check System Referral Application and the NForce Case Management System that showed how many of these denials, both standard and delayed, were forwarded from ATF\u2019s Denial Enforcement NICS Intelligence (DENI) Branch to ATF field divisions, broken out by the prohibiting category of the denials. This provided us the total count of denials that ATF may investigate nationwide. To assess the reliability of these data we reviewed internal controls and the data quality assurance program of ATF. We determined that these data were reliable for the purpose of our reporting objectives.", "To examine federal prosecutions of denied persons, we requested information from ATF\u2019s case management system that identified the NICS cases that were prosecuted, including those instances where a conviction was recorded. For state investigations and prosecutions, we selected the 13 states that perform their own background checks for all firearms transactions and searched their state police and state agency websites to identify the state\u2019s background check units, or staff associated with this function and inquired about their policy regarding the investigation of persons denied firearms purchase. From these contacts we determined that 10 of these selected states did not perform investigations, while 3 point-of-contact (POC) states did investigate these denials.", "We analyzed data from the state police in Oregon, Pennsylvania and Virginia that identified the number of firearms denials recorded, the prohibiting category of the denials, and the number of these denials referred to state or local law enforcement for investigation. To assess the reliability of these data we interviewed knowledgeable individuals about the procedures for creating these data, and reviewed the internal controls in place within these systems. We determined that this data was reliable for the purpose of our reporting objectives. We spoke to state and local investigators and prosecutors in these states to discuss the investigative processes followed and the frequency of prosecution. Though these prosecutors tended to lack hard data on the number of these cases prosecuted and the outcome of these prosecutions, they were able to share their experiences prosecuting these cases, and to estimate the approximate quantity of these cases that have been addressed by their offices. We believe their experiences provide an understanding of the demands these prosecutions place on prosecutors\u2019 offices and the value these prosecutions have for the jurisdiction in question.", "To describe the challenges, if any, federal and selected state law enforcement agencies face in investigating and prosecuting firearms denials, for federal denial investigations, we used the denial referral data provided by ATF to identify the field divisions that received the most denial referrals for investigation. We found that 6 field divisions received about 60 percent of the total ATF standard denial referrals over the 2011 through 2017 fiscal year period. These six field divisions also received more than half of the delayed denial referrals distributed to the 25 ATF field divisions over that time period. To assess the reliability of the referral data and the case data, we discussed the internal controls in place with knowledgeable officials and received a copy of the ATF quality assurance plan for review. We determined that the data was reliable for the purposes of our reporting objectives.", "We contacted officials in these six field divisions and discussed the investigative process for standard and delayed denial investigations as well as the challenges these investigations posed to the ATF staff in these field divisions. We also evaluated ATF\u2019s investigative procedures and internal controls in place against the Standards for Internal Control in the Federal Government. We also discussed the types of cases that each field division referred to the appropriate USAO for prosecution, and were provided detailed examples from ATF headquarters of these denial cases for each of the six field divisions. We spoke to EOUSA officials to discuss the circumstances that would lead a USAO to prosecute a firearms denial and the challenges faced in these prosecutions. For state denial investigation challenges we spoke to state troopers and local law enforcement to learn about the procedures for conducting these investigations, the challenges that investigators face, and how and when these firearms denial investigations are referred to prosecutors. We also spoke with multiple prosecutors from each of these states and discussed their offices\u2019 policies for accepting these denial cases, how often these cases were prosecuted in these localities and the general outcome of the cases. Though we did not speak to a representative sample of prosecutors across our selected states, we believe their views provide insights into the types of challenges faced by prosecutors in those states.", "To identify the circumstances that lead to investigations and prosecutions of firearms denials, we reviewed federal denial investigations by visiting the ATF DENI Branch, the office that uses USAO criteria to screen federal NICS denials for referral to ATF field divisions. There, we observed how denials are screened and discussed internal controls. We also requested USAO referral criteria from the 34 USAO districts that comprise the six ATF field divisions that received the most denial referrals from 2011 to 2017. We also analyzed standard and delayed denial referral data that captured the prohibited categories of the referrals to those field divisions. Further, we analyzed standard and delayed denial case data for the investigations that were referred for prosecution for fiscal years 2015 through 2017, and those that were ultimately prosecuted. To assess the reliability of the data we discussed the internal controls in place for entering the data and the quality assurance plan in place after data was entered. We determined that the data was reliable for the purposes of our reporting objectives.", "Officials from our 6 selected ATF field divisions also provided examples of denial cases investigated and referred for prosecution. These case examples included the specific circumstances that convinced the field division to investigate and refer the case for prosecution. For these federal denial prosecutions, we identified firearms denial cases in PACER and LEXIS for the years 2015, 2016 and 2017 to identify the specific circumstances of the cases prosecuted, the statutes used to charge the defendants, and the outcome of the cases. We also spoke to EOUSA officials and discussed the reasons that certain denial cases were prosecuted while thousands of others are not. For state denial investigation circumstances, we spoke with state and local investigators from the three selected states that investigate and prosecute denials and discussed the circumstances\u2014to include state priorities, the prohibiting category and criminal history of those investigated\u2014that resulted in state firearms denial to be referred for prosecution. We also spoke with multiple prosecutors from the same states and asked them to describe the characteristics of cases they are more likely to prosecute, as well as those they are less likely to prosecute. While we did not speak to a representative sample of investigators and prosecutors from these states, we believe their experiences and viewpoints provide insights into how these investigations and prosecutions are conducted and prioritized in these states.", "We conducted this performance audit from March 2017 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Bureau of Alcohol, Tobacco, Firearms and Explosives Form 4473", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Investigation and Prosecution of Firearms Denials in Oregon", "paragraphs": ["This appendix includes information on the investigation and prosecution of individuals denied firearms purchases in the state of Oregon."], "subsections": [{"section_title": "Firearms Background Checks", "paragraphs": ["In the state of Oregon, the Oregon State Police (OSP) Firearms Unit serves as the point of contact responsible for conducting background checks for firearms transactions. OSP\u2019s Firearms Instant Check System (FICS) unit conducts criminal background checks to determine the eligibility of individuals attempting to transfer or purchase a firearm. Oregon law requires that gun dealers request that the OSP conduct a criminal history record check on the purchaser before a firearm is delivered to a purchaser. Dealers may submit these requests either by telephone or online. The FICS unit determines from criminal records and other available information whether the purchaser is disqualified under state or federal law from completing the transfer or is otherwise prohibited by state or federal law from possessing a firearm.", "Generally, for gun shows, Oregon law prohibits a transferor who is not a gun dealer from transferring a firearm unless the transferor requests a criminal background check prior to completing the transfer, receives a unique approval number from OSP indicating that the recipient is qualified to complete the transfer, and has the recipient complete the form for transfer of a firearm at a gun show, or completes the transfer through a gun dealer. Generally, for private firearms sales, Oregon law requires a transferor to complete the transfer of a firearm to a transferee through a gun dealer. Prior to the transfer of the firearm, both the transferor and the transferee must appear in person before a gun dealer, with certain exceptions, with the firearm and request that the gun dealer perform a criminal background check on the transferee.", "Process for Conducting a Background Check When a FICS background check is requested, Oregon law requires the seller to provide information about the firearm\u2014so OSP can ensure it has not been reported stolen\u2014and the purchaser in order to conduct a criminal history check. If the purchaser is qualified, a unique approval number is provided to complete the transaction. The dealer then enters this number on the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) background check form (Form 4473), and a thumbprint form, which is attached to the Form 4473 and retained for 5 years. By statute, if OSP is unable to determine if the purchaser is approved or denied within 30 minutes, OSP is required to notify the dealer and provide an estimate of when the check will be completed. These checks are placed in a pended/delayed status until sufficient record information can be obtained to complete the request.", "Federal law provides that if the FBI or state agency cannot complete a background check within 3 business days and make a final determination (i.e., proceed or denied), the Federal Firearms Licensee (FFL) may transfer the firearm pursuant to federal law, unless state law provides otherwise. Regardless of the FFL\u2019s decision to transfer or not transfer the firearm, OSP will continue to research missing information in order to complete the background check request and provide either an approval number or notice that the person is denied for the FFL\u2019s records. Typically, a case is placed in \u201cpend\u201d status because the record is missing information necessary to make a final determination. For example, domestic violence charges may not include details about the relationship needed to make a determination; state, local, or federal agencies may not have the resources to respond in a timely manner to requests for missing information; or it may be unclear whether prior charges were a felony or misdemeanor.", "When a transaction is denied, it is either labeled a Priority FICS Call, and is dispatched to the first available trooper or local law enforcement officer, or it is labeled a Cold FICS Call, and dispatched to the appropriate OSP office and next available trooper or local law enforcement officer. Priority calls are those that involve a convicted felon, a serviceable warrant, a stolen gun, or a restraining/stalking order. Oregon Executive Order 16-12 requires notification of certain officials after a transaction is denied if the prohibited person is on probation, on parole or post-prison supervision, subject to a court-issued release agreement or protective order, or subject to supervision by a Psychiatric Security Review Board. Figure 7 shows the process for purchasing a firearm from a dealer in Oregon.", "According to OSP officials, 95 to 97 percent of background checks are approved and less than 1 percent are denied within minutes of initiation, while roughly 3 to 5 percent are placed in pend/delay status. According to FICS officials, about 95 percent of pend/delay transactions are ultimately approved.", "A challenge phone line is available for individuals who have been denied or pended and wish to find out the reason, or to challenge a denial determination. The gun dealer may be asked to fax the ATF form 4473 and thumbprint form to the FICS Unit to assist in the challenge process. The purchaser is provided a reference number upon request to be used to appeal the determination through the Federal Bureau of Investigation\u2019s (FBI) National Instant Criminal Background Check System (NICS) program."], "subsections": []}, {"section_title": "Denials and Prohibited Categories", "paragraphs": ["Oregon law prohibits individuals that have been convicted of certain offenses from possessing firearms. For example, Oregon prohibits the possession of a firearm by any person found to have mental illness and subject to a court order for treatment or commitment that prohibits them from purchasing or possessing a firearm as a result of mental illness. Finally, an individual is prohibited if while a minor, was found to be within the jurisdiction of the juvenile court for having committed an act which, if committed by an adult, would constitute a felony or misdemeanor involving violence and was discharged from the jurisdiction of the juvenile court within the last 4 years. Table 2 shows Oregon firearms denials by prohibiting categories.", "From 2011 through 2017, prohibited persons convicted of a felony was the most common category among firearm denials, followed by individuals on probation, individuals convicted of a violent misdemeanor in the previous 4 years, and wanted persons. The two largest prohibiting categories, convicted felons and individuals on probation, made up 32 percent and 24 percent, respectively, of all denials in 2016. In 2017, convicted felons fell to 29 percent and individuals on probation increased to 28 percent. Wanted persons, the fourth largest group in 2016, made up 10 percent of all denials that year, but fell to less than 5 percent of all denials in 2017. Total firearms denials fluctuated during that span from more than 2,400 denials in 2012, to 1,050 in 2017. From 2015 to 2017, denials declined each year. Total firearm transactions fluctuated as well, but generally increased during that span, increasing from less than 200,000 in 2011 to over 287,000 in 2017. From 2015 to 2017, denials fell by 45 percent while total transactions increased by 9 percent."], "subsections": []}, {"section_title": "Investigations of Denials", "paragraphs": ["Oregon has had the policy of investigating all persons denied a firearms purchase since 2014. Prior to 2014, OSP only investigated a small percentage of persons denied firearms purchases, with a priority placed on denied persons with an active warrant.", "According to OSP, the FICS unit provides the initial source of information in a denial investigation packet, which generally includes but is not limited to:", "FICS Transaction Report, which includes information regarding the denied transfer, the subject firearm, the point of sale location, the denied transferee, and the specific reason for denial;", "Oregon Criminal History data; Interstate Identification Index information;", "FBI\u2019s NICS information; and", "Court records, police reports, or other records specific to the individual transferee and the denial in question.", "Before an investigation is started, OSP must determine whether the investigation should be conducted by OSP or local law enforcement. If the jurisdiction where the transaction took place has an agreement with OSP to receive training on firearms investigations, then the local law enforcement agency will conduct the investigation. Otherwise, OSP will conduct the investigation. In 2016, 26 percent of denial investigations were conducted by local law enforcement, up from 22 percent in 2015. The percentage covered by local law enforcement rose to 28 percent in 2017. In September 2017, three large local jurisdictions agreed to receive firearms denial referrals from OSP. For the last three months of 2017 the proportion of denials referred to local law enforcement was about 33 percent.", "OSP has five troopers dedicated full-time to FICS denial investigations in specific locations across the state. These troopers have essentially been pulled off of regular patrol duties and dedicated full-time to firearms denial investigations, according to OSP officials. These troopers cover the denials for most of the major metropolitan areas in Oregon. Except for the highest priority cases, the denial cases are tasked to the dedicated FICS troopers if the case falls within their geographical area of responsibility. According to Oregon officials, the five specialized troopers in the state investigated more than 1,100 of the almost 2,600 firearms denials referred for investigation in 2016.", "OSP troopers are required through OSP executive leadership directives to investigate each FICS case and submit the case, with all available facts and evidence, to the appropriate District Attorney\u2019s Office for review, regardless of findings. With this information, the prosecutor makes an independent charging decision. When there is a recommendation included with the investigator\u2019s report, it is most often to not file charges, either because the evidence indicates no crime was committed, or because there are specific mitigating circumstances involved in the case. Finally, OSP generates a report tracking denial investigations and the dispositions of any new criminal cases initiated after the investigation is completed. There is no current mechanism for reporting actions taken following an investigation and therefore OSP has no data regarding the total number of prosecutions accepted and convictions obtained."], "subsections": []}, {"section_title": "Statutes Used", "paragraphs": ["According to OSP officials, potential state level criminal conduct associated with denied firearm transfers are established in Oregon Revised Statutes Chapters 162 and 166. These crimes include but are not limited to:", "Or. Rev. Stat. \u00a7 162.075 False swearing.", "Or. Rev. Stat. \u00a7 166.250 Unlawful possession of firearms.", "Or. Rev. Stat. \u00a7 166.270 Possession of weapons by certain felons.", "Or. Rev. Stat. \u00a7 166.416 Providing false information in connection with a firearm transfer.", "Or. Rev. Stat. \u00a7 166.418 Improperly transferring a firearm.", "Or. Rev. Stat. \u00a7 166.425 Unlawfully purchasing a firearm.", "Or. Rev. Stat. \u00a7 166.435 Firearm transfers by unlicensed persons; requirements; exceptions; penalties.", "Or. Rev. Stat. \u00a7 166.470 Limitations and conditions for sales of firearms."], "subsections": []}, {"section_title": "Prosecution of Firearm Denials", "paragraphs": ["Generally, Oregon\u2019s Constitution requires the election by districts of a sufficient number of prosecuting attorneys (District Attorneys), who are the law officers of the state, and of the counties within their respective districts, and are to perform duties pertaining to the administration of law. District Attorney responsibilities may include, but are not limited to, representing the district in felony prosecutions, misdemeanor prosecutions, grand jury proceedings, mental commitment hearings, family abuse prevention hearings, and juvenile delinquency hearings.", "After a trooper completes an investigation, they submit a report to the District Attorney\u2019s office. A prosecuting attorney then reviews the case and decides whether to charge an individual or individuals with a crime. When a case is not prosecuted, a rejection memo is provided to the trooper that submitted the report. According to two Oregon county prosecutors we interviewed, from late 2014 through 2017, their offices accepted about 140 of the more than 700 firearms denial investigations referred to their offices, with most prosecuted successfully. According to OSP officials, the most common types of cases resulting in convictions are related to misdemeanor domestic violence convictions, followed closely by prior felony convictions. The officials said that a new working group was created in 2016 to review gun relinquishment protocols in domestic violence cases, review outcomes and make recommendations to improve the safety of domestic violence survivors. With regard to sentencing, these prosecutors said common penalties in firearms denial cases include fines (usually in the hundreds of dollars), and probation ranging up to 1 year, depending on the criminal background of the denied individual.", "According to OSP, data is not collected on what prosecutions and convictions result from investigations by prohibited category. However, anecdotally, investigators and prosecutors said the prohibiting category of convicted felons is the most common among persons prosecuted for FICS denials. Prosecution outcomes are not automatically reported back to OSP; each county\u2019s District Attorney must be contacted to obtain their agency\u2019s respective case outcome data. Reporting disposition of firearms denial cases back to FICS is voluntary and can be done via an online form. The participating local agencies are requested to report back to OSP on the findings of their investigations; however, this reporting is voluntary and according to FICS officials, many agencies do not consistently submit this information."], "subsections": []}]}, {"section_title": "Appendix IV: Investigation and Prosecution of Firearms Denials in Pennsylvania", "paragraphs": ["This appendix includes information on the investigation and prosecution of individuals denied firearms purchases in the state of Pennsylvania."], "subsections": [{"section_title": "State Firearms Background Checks", "paragraphs": ["Since 1998, Pennsylvania has served as a Point-of-Contact (POC) state for the National Instant Criminal Background Check System (NICS) operated by the Federal Bureau of Investigation (FBI). The Pennsylvania State Police (PSP) acts as the state point of contact for NICS for determining an individual\u2019s eligibility to acquire, possess, transfer, and carry firearms. PSP conducts instant records checks using the Pennsylvania Instant Check System (PICS). PICS uses a voice response component and a web-based application that allows users to initiate firearm and license to carry (also known as concealed carry) background check requests.", "In Pennsylvania, a licensed importer, manufacturer or dealer is required to request by means of a telephone call that the PSP conduct a criminal history, juvenile delinquency history and a mental health check prior to selling or delivering any firearm to another unlicensed person. In addition, the firearm may not be transferred until the licensed importer, manufacturer or dealer has received a unique approval number for that inquiry from the PSP and recorded the date and number on the application or record of sale form. Generally, for any person that is not a licensed importer, manufacturer or dealer who wants to sell or transfer a firearm to an unlicensed person, the person must do so at the place of business of a licensed importer, manufacturer, dealer or county sheriff\u2019s office and follow the procedures related to the transfer of a firearm for a licensed importer, manufacturer or dealer.", "Process for Conducting a Background Check At the point of purchase, once the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) Form 4473 background check form is submitted, a PICS automated firearms check is initiated. The licensed firearms dealer contacts the PICS unit to determine if the applicant is eligible to purchase a firearm. The initial PICS check, which takes about 10 to15 minutes, searches the state\u2019s repositories and NICS to identify any criminal history records or prohibitions. State databases searched as part of the check includes but are not limited to:", "Pennsylvania criminal history records; Juvenile records, contained within the criminal history record file;", "Mental Health File, containing involuntary commitment information and adjudication of incompetence;", "Pennsylvania Protection From Abuse File;", "Pennsylvania Wanted/Missing Persons File; and", "Bureau of Motor Vehicle records.", "If there is no record in the system for the applicant, the transaction can be approved automatically without any manual evaluation. The gun dealer is provided a unique approval number, which is required to authorize the transfer of the firearm.", "Any firearm purchase check that hits on a record is transferred to a PICS operator. According to PSP officials, if a PICS operator cannot immediately approve or deny a firearm purchase on the phone, the firearm purchase application is put in \u201cresearch\u201d status, and the PICS unit has 15 days to determine if the firearm purchase can proceed. During this period, the PICS staff attempts to obtain clarifying information from the state\u2019s repositories. In many of these instances, the PICS staff needs to obtain the final disposition to an arrest, according to PICS officials. If after 15 days, PICS staff cannot make a determination, the applicant\u2019s status becomes \u201cundetermined\u201d and the applicant is not allowed to purchase the firearm.", "If the automated check comes back with a red flag, the applicant is denied the purchase, and the information is sent to the PICS Challenge Unit, according to PSP officials. Generally, any person who is denied the right to receive, sell, transfer, possess or carry a firearm as a result of the procedures may challenge the accuracy of that person\u2019s criminal history, juvenile delinquency history or mental health record pursuant to a denial by the instant records check by submitting a challenge to PSP within 30 days from the date of the denial. If challenged, PSP is required to conduct a review of the accuracy of the information forming the basis for the denial and has the burden of proving the accuracy of the record. Within 20 days after receiving the challenge, PSP is required to notify the challenger of the basis for the denial and provide the challenger an opportunity to provide additional information for the purposes of the review. PSP is to communicate its final decision to the challenger within 60 days of the receipt of the challenge with the decision containing all of the information which formed a basis for the decision. If after the challenge period the denial is upheld, the PICS Section sends the denied firearm application to the local police department or state police field station to investigate for falsification of the background check form and potentially refer the case for prosecution, according to PSP officials.", "In addition to handling firearms denial appeals, the Challenge Unit prepares case files for appeals through the Office of the Attorney General, testifies at appeal hearings when required, and attends and testifies at relief hearings for restoration of firearms rights, which are conducted in the various county courts of common pleas throughout the state. Finally, the Challenge Unit handles enforcement investigations involving individuals who knowingly and intentionally provide false information in the attempt to acquire a firearm in violation of Pennsylvania law. Figure 8 shows the process for purchasing a firearm from a dealer in Pennsylvania.", "According to PSP officials, in 2017, the PICS conducted about 1.1 million background checks for licensed firearm dealers, sheriffs and law enforcement throughout the state. Of these requests, 56 percent were approved within minutes by the system, while an additional 41 percent were approved during the initial check with operator assistance. The remaining 3 percent were placed in research status to obtain additional information. The Challenge Unit reversed 32 percent of all state background check denial challenges, which include licenses to carry, in 2017.", "According to Pennsylvania officials, the state of Pennsylvania does not have delayed denials, in which a firearm is transferred to an individual before determining whether the individual is prohibited from purchasing or possessing a firearm under state or federal law, and the purchase is subsequently denied. Generally, under Pennsylvania law, a licensed importer, manufacturer or dealer may not sell or deliver any firearm to an unlicensed person until having received a unique approval number from PSP."], "subsections": []}, {"section_title": "State History of Denials and Prohibited Categories", "paragraphs": ["Pennsylvania law prohibits individuals that have been convicted of certain offenses from possessing firearms. For example, under Pennsylvania law, an individual who has been convicted of driving under the influence of alcohol or controlled substance on three or more separate occasions within a 5-year period is prohibited from possessing a firearm. One prosecutor told us that most of the denials in his county stemmed from second and third offense DUI convictions. Table 3 shows Pennsylvania firearms denials by prohibiting category.", "According to PSP officials, from 2014\u2014when Pennsylvania began investigating denials\u2014through 2017, the most common category was \u201cpersons convicted of a crime punishable by more than one year or a misdemeanor punishable by more than two years,\u201d which comprised 42 percent of all denials. The second most common prohibiting category was mental health-related denials, at 16 percent. During this span, the number of denials increased from 2014 to 2016, only to decline in 2017."], "subsections": []}, {"section_title": "State Investigation of Denials", "paragraphs": ["Since 2014, PICS policy has been to investigate all firearm denials, according to PSP officials. Prior to 2013, Pennsylvania used risk-based criteria to investigate a much smaller percentage of denials. Criteria used included violent felonies, drug trafficking, domestic violence, involuntary mental health commitment, active warrants, and straw purchases, among others. After PSP began investigating all firearms denials in 2014, according to PSP officials, the number of denials remained largely the same, but the number of investigations rose from 620 to 4,154. PSP officials told us they believe that the policy to investigate all denials acts as a deterrent, and that as prohibited individuals learn that investigations follow a denial these individuals will not attempt to purchase a firearm.", "According to PSP officials, as PICS refers all confirmed firearms denials for investigation, PICS does not use screening criteria to make determinations about whether firearms denials should be referred for investigation, or which denials are more likely to be accepted for prosecution. However, PICS does prioritize and determine which denials involve more serious criminal violations. According to PSP\u2019s Firearms Unit staff, many referrals are not pursued based on the investigator\u2019s assessment of the case or a prosecutor\u2019s declination of the case when the referral was received.", "The PSP partners with local law enforcement to investigate firearms denials. Investigations are split up between the PSP and municipal police departments based on the jurisdiction of where the applicant submitted the firearms purchase. In 2016, 68 percent of cases referred for investigation were referred to state police, while 32 percent were referred to local law enforcement. In 2017, cases referred to local law enforcement increased to 62 percent, while 38 percent were referred to state police. If the subject is federally prohibited, a case may be referred to ATF for investigation, though based on our analysis this is relatively uncommon. In 2015 and 2016, 16 and 5 cases, respectively, were referred to ATF for investigation, while in 2017 one case was referred to ATF.", "Firearms denials are automatically funneled into a state investigative database where an investigation file is created according to PSP officials. When a denial is referred to a PSP troop for investigation, it is assigned to a state investigator if the state police has jurisdiction. If local law enforcement has jurisdiction, the PSP troop or PSP investigation staff will pass the referral to local law enforcement, according to PSP officials. Though some PSP units have investigators that specialize in firearm denials cases, generally denial investigations are assigned to the next available investigator, according to PSP officials.", "After an investigation is assigned, the investigator will review all provided documentation and verify that the subject is actually prohibited, according to PSP officials. The investigator will then pull an incident number and take steps to obtain necessary documentation. The investigator will then respond to the location of the violation, review the ATF Form 4473, and attempt to interview the employee who handled the attempted transaction. Finally, the investigator will locate and interview the subject of the denial. Cases are not prioritized for investigation because all firearms denials are investigated and are immediately assigned to an investigator upon receipt from PICS, according to PSP officials. While no denial categories are designated as priority, protective orders may be investigated more vigorously when there is an indication of violence, according to PSP officials. PSP does not track the length of time or resources required for conducting investigations of firearms purchase denials, according to PSP officials.", "Some jurisdictions may send the subject a letter to notify them that they are prohibited and under investigation, according to PSP officials. Other jurisdictions may send a letter only when prosecutors decide not to press charges, explaining to the recipient why they were denied, that they are not eligible to purchase a firearm, and that they could have been prosecuted for that reason.", "If the case is considered for prosecution, the investigator may meet with the District Attorney\u2019s office and review the case for prosecutorial merit, according to PSP officials. If prosecution is sought, the investigator will type up the charges, process the subject, and arraign. If prosecution is approved, the investigator will notify the Firearms Unit and attend all court proceedings. The investigating unit is to inform PSP\u2019s Firearms Unit of the outcome of the prosecution."], "subsections": []}, {"section_title": "Statutes Used", "paragraphs": ["According to prosecutors and PSP officials, denials are primarily referred for prosecution on the basis of the violations under:", "18 Pa. Cons. Stat. \u00a7 4904 - Unsworn falsification to authorities", "18 Pa. Cons. Stat. \u00a7 6111(g)(4) - Sale or transfer of firearms.", "18 Pa. Cons. Stat. \u00a7 6105 - Persons not to possess, use, manufacture, control, sell or transfer firearms."], "subsections": []}, {"section_title": "Prosecution of Firearms Denials", "paragraphs": ["According to PSP officials, in Pennsylvania, the District Attorney is the chief law enforcement officer for each county, and in most instances, cases are accepted for prosecution based on their discretion. As such, discretionary decisions vary by county, and there are no internal criteria. District Attorneys may also refer cases for prosecution to the State Attorney General due to lack of resources or a conflict of interest. Trials for firearms denials are extremely rare in Pennsylvania, according to prosecutors that we spoke with. Only a small percentage of referred denials are ultimately prosecuted, mostly due to the difficulty proving the suspect \u201cknowingly and willingly\u201d provided false information on the background check application, according to PSP officials.", "According to PSP officials, the conviction rate for firearms denial cases is about 10 percent of all denials referred for investigation. Based on our discussions with Pennsylvania prosecutors and PSP Firearms Division staff, most cases that are prosecuted result in misdemeanor pleas, rather than felony convictions, and common penalties are probation and fines. One county prosecutor told us that most convictions reduced to a misdemeanor are for \u201cstatement under penalty,\u201d a third degree misdemeanor. Other cases might be pled down to misdemeanor disorderly conduct, which carries a $300 fine, according to PSP officials. According to county prosecutors that we spoke with, there is an occasional prison sentence for denied felons which can result in about 12 months in prison, and have resulted in sentences of almost 2 years in prison.", "One prosecutor told us the most frequent firearms prohibitor among convictions is a crime punishable by greater than 1 year in prison, such as a second or subsequent DUI conviction within 10 years, as many of those are graded as misdemeanors of the first degree, punishable by up to 5 years in prison. Typically, when asked, these individuals are unaware of the maximum penalty. Another state prosecutor we spoke with stated that the most prosecuted prohibiting categories also involved felony DUIs, as well as matters related to mental health and domestic violence. He added that, typically, more recent crimes are treated with more severity. One county prosecutor told us they prioritize prosecution of persons with a history of violent behavior.", "According to state police officials, upon conclusion of a prosecuted case, the investigator will document the disposition of the court. The entire investigative process is documented in a PSP incident report, which includes all interviews, queries made, investigative steps taken, and consultation with the District Attorney. The result of the investigation is then forwarded to the PSP investigation staff. Finally, an email summarizing the entire investigative process is sent to the Troop Crime Commander, Troop Administrative Manager, and the PSP Firearms Unit. Table 4 shows the disposition of firearms denial cases in Pennsylvania.", "While no annual statistics are recorded at the unit level, according to PSP officials, the state of Pennsylvania does track prosecutions resulting from firearms denials. In 2016, there were convictions in about half of the approximately 730 arrests made and about 6,500 denials referred for investigation. This represents a 39 percent increase in referrals over 2015, but a 67 percent decline in convictions and 68 percent decline in arrests. In 2017, the number of cases referred for investigation declined by 16 percent to about 5,500. Numbers for 2016 and 2017, including arrests, convictions, and prosecutions returned to numbers more representative of a typical year, according to PSP officials. Neither PSP nor the municipal departments track enforcement actions associated with investigations, or the specific sentencing results of investigations referred for prosecution beyond whether the investigation resulted in a conviction or declination."], "subsections": []}]}, {"section_title": "Appendix V: Investigation and Prosecution of Firearms Denials in Virginia", "paragraphs": ["This appendix includes information on the investigation and prosecution of individuals denied firearms purchases in the state of Virginia."], "subsections": [{"section_title": "State Firearms Background Checks", "paragraphs": ["The Virginia Firearms Transaction Center (FTC), established in 1989, performs background checks at the point of sale by accessing state and federal databases. The FTC is the federally designated point of contact for the National Instant Criminal Background Check System (NICS), and is responsible for any investigations of firearms denials. The Virginia State Police (VSP) is responsible for conducting background checks using VCheck, Virginia\u2019s Internet-based instant background check program, and for enforcing state and federal laws related to firearms purchases in Virginia. Under Virginia law, generally, a licensed dealer is required to obtain written consent and other identifying information\u2014 including but not limited to the name, date of birth, gender, race, citizenship, and Social Security number of a potential unlicensed purchaser\u2014and provide the Department of State Police with this information and request criminal history record information by a telephone call to or other communication authorized by the State Police prior to selling, renting, trading, or transferring any firearm from the dealer\u2019s inventory.", "The FTC provides personnel to conduct transactions onsite at anticipated high volume gun shows. Pursuant to Virginia law, the Department of State Police are to be available at every firearms show held in Virginia to make determinations, in accordance with the procedures set out for background checks required for the transfer of certain firearms, of whether a prospective purchaser or transferee is prohibited under state or federal law from possessing a firearm. One prosecutor we spoke with estimated that 25 percent of his illegal possession cases are from private sales at gun shows. At a gun show, when an individual attempts to purchase a firearm from a licensed dealer, the individual has to complete the state background check form (SP-65B) and the federal form (ATF 4473) and the FTC will conduct a full NICS check. Should the transaction be denied, the trooper may arrest the applicant depending on the reason for the denial. A Virginia prosecutor explained that in his jurisdiction when two private parties, neither of whom is a FFL, initiate a sale outside of the state transaction system, troopers may approach the purchaser and ask questions related to his or her eligibility to purchase a firearm. If the purchaser appears to be prohibited based on their testimony they may be subject to arrest as well.", "Process for Conducting a Background Check For transactions conducted through an FFL, the gun dealer submits a background check request to VSP via a toll free number or through an online application. Upon receipt of the request, VSP reviews the applicant\u2019s criminal record information to determine if the applicant is prohibited from possessing or transporting a firearm by state or federal law. This check includes a review of an applicant\u2019s entire criminal history, with no exclusion based on when the prohibiting offense occurred, according to FTC officials. For example, a recent prohibiting felony conviction is treated the same as the same conviction from decades ago.", "The applicant\u2019s information is submitted to the FTC, where it is checked against databases at the federal and state level. Information is screened through NICS, National Crime Information Center, and the Virginia Criminal Information Network. The FTC provides an instant response to approve the transaction or place it in delayed, research status. Databases maintained by VSP and accessible by the Virginia Criminal Information Network include:", "Virginia\u2019s wanted and missing persons files and protective orders;", "Virginia\u2019s criminal history record files; and", "Virginia\u2019s database of adjudications of legal incompetence and incapacity, and involuntary commitments to mental institutions.", "If the instant VCheck search indicates that the purchaser is approved, a unique computer-generated approval number that is required to transfer the firearm is provided to the dealer to complete the transaction. If a possible identification is made in the state or federal databases, the instant check produces a \u201cdelayed\u201d status and a review is conducted to determine identification and eligibility of the purchaser. If a background check enters delayed status, the dealer will be requested to provide additional information about the purchaser. The dealer is to be notified immediately upon a final determination of eligibility. Pursuant to federal law, if the dealer has not been notified of a final determination by the end of the third business day, the dealer may complete the sale and transfer of the firearm. If a firearm is transferred prior to a final determination of eligibility, the dealer is requested to notify VSP immediately. When a delayed transaction is ultimately approved or denied, the FTC updates the dealer on the status of the transaction by telephone or online depending on how it was entered. When research efforts have been exhausted, if no clear reason to deny is identified, the transaction is approved. More than 99 percent of delayed applications are resolved before 30 days, according to FTC officials.", "All transactions that are not immediately approved and enter delayed status are assigned a priority level, based on the possible prohibiting category. Virginia investigates a subset of all denials based on risk, but prioritizes denials with active warrants, active protection orders, mental health issues, and certain felony convictions. According to VSP officials, a \u201cpriority 1\u201d transaction is a possible hit for mental health reasons, a protective order, or a possible wanted subject. A \u201cpriority 2\u201d transaction is any possible hit in NICS, such as convicted felons and out-of-state mental health cases. A \u201cpriority 3\u201d transaction is any hit in the Interstate Identification Index, or Virginia\u2019s Computerized Criminal History. According to VSP officials, convicted felons are normally a priority 3 unless they appear in the NICS database. A \u201cpriority 4\u201d transaction is a hit from U.S. Immigration and Customs Enforcement, namely an alien or immigrant attempting to purchase a firearm, or a possible request for information, such as a Be On The Lookout or Alert notice, from a police agency or the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF). According to VSP officials, while a transaction may be given an initial priority level, VSP moves some priority 3 and 4 hits to the front of the list, such as those involving recent felony indictments or a misdemeanor crime of domestic violence. Denial decisions undergo supervisory review to verify that the denial is correct and accurate, including a review of the police report to document findings, and to ensure that the prohibited person\u2019s rights have not been restored, according to VSP officials.", "According to a VSP official, in practice, there are rarely any transactions in Virginia in which a firearm is transferred before the purchaser is determined to be ineligible, known as a delayed denial. According to an FTC official, there were no delayed denials in the previous 2 years. After 3 business days of conducting a background check, at which time firearms dealers may transfer a firearm, firearms dealers typically contact the FTC to notify them of the possible transfer, and ask whether to hold the gun for a few more days, according to VSP officials. If the FTC believes the purchaser will ultimately be denied, they will suggest the firearm be held, but it is up to the dealer to decide whether to do so. The FTC will also ask to speak with the purchaser to explain that if they accept the firearm and are later denied, VSP would have to send an officer to retrieve the firearm and charges may be filed against the purchaser for illegal possession of the firearm. VSP will then advise that if unsure of his or her prohibited status, the applicant should wait until the background check is complete.", "According to a VSP official, there are advantages to being a point-of- contact state, such as the ability to provide better service to citizens and to build relationships with FFLs that would not be possible as a NICS state. For example, VSP conducts training sessions and regular outreach to firearms dealers. VSP officials estimate that in 80 percent of cases involving firearms purchases on behalf of a prohibited person, sometimes referred to as \u201cstraw purchases,\u201d leads come from dealers notifying VSP of something suspicious. According to VSP officials, straw purchases are treated very seriously, and can result in prison sentences of 5 to 10 years. Figure 9 shows the process for purchasing a firearm from a dealer in Virginia.", "Individuals denied the right to purchase a firearm may exercise a right of access, review, and correction of criminal history record information or institute a civil action within 30 days of the denial. Typically, after a denial, individuals are provided a Virginia Firearms Transaction Program brochure or referred to the VSP website for appeal procedures if they believe that they are not prohibited by state or federal law from purchasing or possessing a firearm. These individuals may contact the FTC via phone or e-mail to discuss the determination and provide additional information, provide fingerprinting to facilitate future transactions, request a correction of record, or institute a civil action. Denied persons may also challenge the accuracy of the record in writing to the FBI."], "subsections": []}, {"section_title": "State History of Denials and Prohibited Categories", "paragraphs": ["Generally, individuals prohibited from either purchasing or possessing a firearm under Virginia law include, but are not limited to: any person who has been convicted of a felony, or adjudicated delinquent as a juvenile 14 years of age or older at the time of certain offenses (including murder, kidnapping, robbery by threat or presentation of firearms, or rape), or under the age of 29 who was adjudicated delinquent as a juvenile14 years of age or older at the time of the offense of a delinquent act which would be a felony if committed by an adult; any person who has been acquitted by reason of insanity and committed to the custody of the Commissioner of Behavioral Health and Developmental Services on a charge of treason, any felony or certain offenses punishable as a misdemeanor or certain ordinances of any county, city, or town similar to other outlined offenses; any person who is subject to certain protective orders; or any person who, within a 36 consecutive month period, has been convicted under Virginia law of two misdemeanor offenses for possession of controlled substance or marijuana without a valid prescription or order of a practitioner while acting in the course of his professional practice within 5 years from the date of the second conviction.", "The top prohibiting categories for individuals denied firearms purchases are felony convictions, which comprise 21 percent of all denials from 2011 through 2017, followed by drug-related prohibitions (19 percent), and mental health-related prohibitions (13 percent). One prosecutor we spoke with said that denials tend to not involve violent career criminals, and typically involve non-violent felonies, such as grand larceny, or involve drugs, and most occurred 20 years ago or more. From 2011 to 2017, the total number of denials increased from about 2,000 to about 3,600, an increase of almost 80 percent, while the total number of transactions increased from about 320,000 to about 500,000, an increase of more than 50 percent. Table 5 shows Virginia firearms denials by prohibiting category."], "subsections": []}, {"section_title": "State Investigation of Denials", "paragraphs": ["Virginia has investigated firearms denials since its instant check system was introduced in 1989. Virginia does not refer all firearms denials for investigation, instead using risk-based criteria to refer a sub-set of prohibited categories for investigation. The following conditions trigger an automatic investigation for a firearms denial: felony conviction, including juvenile felony conviction, or felony indictment; misdemeanor crime of domestic violence; involuntary mental health treatment; nonimmigrant or illegal alien; and dishonorable discharge from the military.", "All Virginia denial investigations are handled by VSP with the exception of some fugitive and warrant-related, protective order, and mental health cases, as well as purchases at gun shows, which may involve municipal or local police, according to VSP officials. When FTC\u2019s background check unit refers a case for investigation involving mental health or protective orders (both which are priority 1), the package is sent to both the VSP division and the local police department.", "According to VSP officials, to initiate a denial investigation, FTC sends requests for investigation to the VSP division headquarters, where it is referred to the appropriate section where the gun transaction took place, then to a state trooper to conduct the investigation. A file with a copy of both the federal background form, ATF Form 4473, and the state background check form, SP-65, is sent to the investigating trooper. The trooper then collects necessary information, such as information about the denial from VCheck, the criminal history of the purchaser, and court records. As necessary, the investigator verifies the information in the FTC file at the FFL, and interviews the subject. Part of the investigation involves trying to prove the purchaser \u201cwillingly and knowingly\u201d answered falsely on the state and federal forms.", "Some VSP sections, typically those in more densely populated areas, have troopers dedicated exclusively to firearms denial investigations due to the higher volume of denials in those areas.", "According to VSP officials, every area may assign troopers to work exclusively on firearms denial investigations. However, most areas either cannot afford to remove a trooper from road coverage availability, or don\u2019t investigate enough firearms denial cases to make it an effective use of resources. These sections assign denial investigations to troopers on a case by case basis.", "Prosecutors are often consulted as to whether a case will be prosecuted, where the prosecutor comments on the strength of the case based on the evidence available, according to investigators and prosecutors we spoke with. Investigators told us that prosecutors are generally more agreeable to taking on firearms denial cases involving recent felony convictions.", "They also said that if the case is accepted for prosecution, the trooper will obtain warrants to make an arrest. If the Commonwealth Attorney finds that the case does not have prosecutorial merit, the case is closed and the name of the Commonwealth Attorney consulted is put in the case management system report, according to a VSP official. Table 6 shows Virginia denial investigations from fiscal years 2011 through 2017.", "According to VSP officials, the time spent on denial investigations depends on the type of denial, location, and the information needed to bring charges or close the case. However, on average a case may involve about 4 hours of investigation. Officials in another division stated that in-state convictions can range from 4 to 6 hours of investigative work, while out-of-state convictions can take significantly more time, from 4 to 15 hours. Obtaining records from out of state can be difficult, and can take weeks or months. For example, one state requires a fee per conviction copy, which requires a check to be mailed, processed, and then for the files to be mailed back to the investigator. VSP officials told us that cases involving straw purchases can take 50 hours or more, however, these cases can result in longer prison sentences of 5 to 10 years. They added that additional time may be spent on search warrants, examining video from firearms stores, reviewing phone records, and conducting interviews. Further, denial investigations involving dishonorable discharges and mental health denials from out of state typically take the longest to investigate, in part because some states won\u2019t release these records for the purpose of prosecution. Locating old felony documentation is also a challenge for investigators, according to VSP officials."], "subsections": []}, {"section_title": "Statutes Used", "paragraphs": ["According to investigators and prosecutors, the most common state statutes used for attempted firearm purchases include:", "Va. Code Ann. \u00a7 18.2-308.2:2(K) Willfully and intentionally making a materially false statement on the consent form;", "Va. Code Ann. \u00a7 18.2-308.1:3 (Usually prosecuted as an attempt)", "Prohibition against purchase or possession of a firearm by someone involuntarily admitted or ordered to outpatient mental health treatment; and", "Va. Code Ann. \u00a7 18.2-308.1:4 (Usually prosecuted as an attempt) Prohibition against purchase or transport of a firearm by someone subject to a protective order."], "subsections": []}, {"section_title": "State Prosecution of Firearms Denials", "paragraphs": ["Virginia\u2019s chief prosecutors, the Commonwealth\u2019s Attorneys, are elected at-large for a 4-year term. They are responsible for prosecuting all felonies and some misdemeanors, in addition to handling certain civil matters. According to a prosecutor we spoke with, Commonwealth\u2019s Attorneys offices receive referrals for prosecution directly from state troopers.", "We interviewed Virginia investigators and prosecutors from four counties, including from localities where a high volume of firearms denial referrals occur. These prosecutors said they tend to work with Virginia troopers who specialize in denial investigations and report high prosecution rates for the cases they accept. One investigator with a high referral rate to prosecutors told us he benefits from operating in a high-volume, relatively compact jurisdiction, while in other parts of the state, investigators may have to cross several counties to gather the paperwork needed to establish a denial case, interview the purchaser, and make an arrest. According to a county prosecutor, a key component of successful prosecutions is a willing Commonwealth Attorney because charging decisions are at their discretion. An investigator and prosecutor that work together stated that in some jurisdictions, attorneys may not welcome firearms denial cases, while in other jurisdictions specialized investigators working with an attorney willing to prosecute these cases for public safety and deterrence value can yield a high prosecution rate.", "Two county prosecutors we spoke with said approximately 90 percent of firearms denial convictions are pled down to misdemeanors, and the penalties imposed tend to include probation or community service, but there is an occasional prison sentence. According to investigators and prosecutors we spoke with, some prosecutors prefer to avoid the use of fines while others may use them occasionally.", "Of the few cases that go to trial, according to prosecutors, most go before a judge rather than a jury, and typically involve a felon in possession of a firearm, resulting in a felony conviction and likely probation. Judges have discretion to reduce sentences, while juries are constrained to issuing more severe sentences if they find the defendant guilty, and typically hand down more prison time, according to prosecutors we spoke with.", "The severity of penalties handed down for firearms denials depends on the prohibited category, according to one county prosecutor. Another prosecutor said protective order violations tend to be easier to prosecute because the records are available and indicate a clear violation. Other cases where accurate records are difficult to obtain, such as juvenile denials, mental health denials, and out of state cases, prosecutions are difficult to prosecute, according to investigators and prosecutors.", "One prosecutor told us that a subject\u2019s criminal history also makes a big difference as to whether they might receive a harsher or more lenient sentence. Several prosecutors we spoke with said that while prison sentences are rare, for a felon with a history of violence, sentences of 7 months to more than 24 months in prison have been imposed. One prosecutor told us they typically agree to no prison time on a felony conviction unless there are indicators of violence on the record, such as destruction of property or assault and battery. If a person has no record, the prosecutor would be far more willing to forego a felony and sometimes even a misdemeanor, and propose community service instead. One prosecutor questioned whether it makes sense to make a person a felon over a firearms denial; however, if a person has a consistent misdemeanor history of getting into trouble then they would be less convinced that this particular offense is out of character and may not make any non-felony offers. Prosecutors also may reduce the charges to disorderly conduct or providing false information to police during a plea in these cases to try to get a conviction, according to one prosecutor.", "Data on prosecutions, dismissals, and convictions resulting from investigations, are not collected at the state level, and are only accessible at the VSP divisions that conduct investigations and the courts where they are prosecuted, according to Virginia officials."], "subsections": []}]}, {"section_title": "Appendix VI: Examples of Firearms Denial Cases Referred for Prosecution", "paragraphs": ["Table 7 shows examples of firearms denial cases that our six selected ATF field divisions referred to U.S. Attorney\u2019s Offices for prosecution during fiscal years 2014 through 2017, including the types of circumstances that could lead to referral for prosecution, the range of charges filed, and the severity of sentences that resulted. All the cases involved 18 U.S.C. \u00a7 922(a)(6), falsifying a background check form. While all were not ultimately charged under that statute, they were selected for investigation by ATF for that reason. Occasionally, federal and state law may prohibit similar types of criminal conduct, allowing both federal and state prosecutors to pursue the case. U.S. Attorney\u2019s Offices may also refer a case to a state prosecutor that is not deemed appropriate for federal prosecution."], "subsections": []}, {"section_title": "Appendix VII: GAO Contacts and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above Eric Erdman (Assistant Director) and Anthony DeFrank (Analyst-in-Charge) managed this assignment. Daniel Kuhn, James Lawson, Billy Commons, Susan Hsu, Michele C. Fejfar, and Eric D. Hauswirth made significant contributions to the work."], "subsections": []}]}], "fastfact": ["Individuals who submit falsified information on a form needed to purchase a firearm (e.g., do not disclose a felony conviction) may be subject to investigation and prosecution.", "In fiscal 2017, the Bureau of Alcohol, Tobacco, Firearms and Explosives referred about 12,700 denied purchases to its field divisions for investigation. As of June 2018, U.S. Attorney\u2019s Offices prosecuted 12 of these cases.", "ATF field divisions may send warning notices to denied persons in lieu of prosecution, but this practice varies across divisions.", "We recommended that ATF assess field divisions' use of warning notices and determine if policy changes are needed."]} {"id": "GAO-18-481", "url": "https://www.gao.gov/products/GAO-18-481", "title": "Federal Student Aid: Education's Postsecondary School Certification Process", "published_date": "2018-07-17T00:00:00", "released_date": "2018-07-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Education provided over $122 billion in grants, loans and work study funds to help students pay for college at about 6,000 schools in fiscal year 2017. Education is responsible for certifying that these schools are eligible for and capable of properly administering federal student aid funds. Schools are required to submit an annual compliance audit that provides information on schools' administrative capability, which Education considers in its school certification decisions. GAO was asked to review Education's process for certifying schools to receive federal student aid.", "This report examines (1) how Education certifies schools to administer federal student aid and how frequently schools are approved and denied certification; and (2) the role of compliance audits in the certification process and what, if any, steps Education has taken to address the quality of the audit information. GAO analyzed data on school certification outcomes for calendar years 2006-2017 (when GAO determined data were most reliable); reviewed data and reports summarizing Education's reviews of compliance audit quality for fiscal years 2006-2017; reviewed a non-generalizable sample of 21 school certification decisions from fiscal years 2015 and 2016, selected for a mix of decisions, school characteristics, and geographic regions; examined relevant federal laws, regulations, policy manuals and guidance; and interviewed Education officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Education (Education) is responsible for evaluating a variety of information to determine whether a postsecondary school should be certified to administer federal student aid programs, and agency data show that it approves most schools that apply. Education procedures instruct regional office staff to review school policies, financial statements, and compliance audits prepared by independent auditors, among other things. Education can certify schools to participate in federal student aid programs for up to 6 years, or it can provisionally certify them for less time if it determines that increased oversight is needed\u2014for example, when a school applies for certification for the first time or when it has met some but not all requirements to be fully certified. In calendar years 2006 through 2017, Education fully or provisionally approved most schools applying for initial or recertification to receive federal student aid (see figure).", "Note: Schools applying for certification for the first time and approved are placed in provisional certification.", "In deciding whether to certify schools, Education particularly relies on compliance audits for direct information about how well schools are administering federal student aid, and Education's offices of Federal Student Aid and Inspector General have taken steps to address audit quality. The Inspector General annually selects a sample of compliance audits for quality reviews based on risk factors, such as auditors previously cited for errors. In fiscal years 2006 through 2017, 59 percent of the 739 selected audits received failing scores. Audits that fail must be corrected; if not, the school generally must repay federal student aid covered by the audit. Because higher risk audits are selected for review, Inspector General officials said they cannot assess the overall prevalence of quality problems in compliance audits. These two Education offices have taken steps to improve audit quality. For example, the Inspector General offered additional training to auditors on its revised 2016 audit guide and provided guidance to schools on hiring an auditor, while Federal Student Aid created a working group to strengthen its procedures for addressing poor quality compliance audits. Education's efforts to address audit quality could help ensure that these audits provide reliable information for school certification decisions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["In fiscal year 2017, the federal government provided over $122 billion in grants, loans, and work study funds through federal student aid programs to help students pay tuition, fees, and other expenses at almost 6,000 postsecondary schools. The Department of Education (Education) is responsible for certifying that schools with access to this aid are eligible and capable of properly administering these funds. Schools that are certified to receive federal student aid are generally required to provide Education with an annual compliance audit conducted by an independent auditor that provides information on schools\u2019 administrative capabilities. Education\u2019s certification of schools is critical to help ensure that federal funds are used to support students in sufficiently high-quality educational programs at responsible schools. You asked us to review Education\u2019s process for certifying schools to receive federal student aid.", "This report examines (1) how Education certifies schools to administer federal student aid and how frequently schools are approved and denied certification; and (2) the role of compliance audits in the certification process and what, if any, steps Education has taken to address the quality of the audit information.", "To address these questions, we used the following approaches:", "To determine how Education certifies schools to administer federal student aid, we reviewed laws, regulations, policy manuals, and other agency documents describing Education\u2019s certification process. We also interviewed staff from Education\u2019s Office of Federal Student Aid (FSA) in headquarters and managers and analysts in four of its eight regional offices to learn more about how they implement the school certification process. We selected these regional offices based on high certification decision volume and geographic dispersion. We also reviewed case file documents for a non-generalizable sample of 21 certification decisions from fiscal years 2015 and 2016, selecting cases that included a mix of certification decisions, regional offices, and school characteristics (e.g., 2-year and 4-year, and public, nonprofit, and for-profit). To determine how often schools are approved and denied certification, we obtained and analyzed data from Education\u2019s Postsecondary Education Participants System (PEPS) on school certification outcomes for calendar years 2006 through 2017. We assessed the reliability of these data by reviewing Education\u2019s PEPS data system documentation; testing the data for outliers, obvious errors, or missing data; and interviewing Education officials, and determined that the data were sufficiently reliable for our reporting purposes.", "To determine the role of compliance audits in the certification process and the steps Education has taken to address the quality of the audit information, we reviewed laws, regulations, policy manuals, training materials, and other agency documents related to compliance audits and compliance audit quality. We also reviewed Education\u2019s Office of Inspector General (OIG) data and reports summarizing its quality reviews of selected compliance audits for fiscal years 2006 through 2017. We assessed the reliability of these data by interviewing agency officials knowledgeable about the data, and determined that the data were sufficiently reliable for our reporting purposes. Additionally, we interviewed staff from FSA and the OIG about the role of compliance audits in the certification process and actions taken to address the quality of the audit information.", "We conducted this performance audit from May 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["To participate in federal student aid programs, postsecondary schools must be 1) certified by Education as eligible to participate in federal student aid programs, 2) accredited by a recognized accrediting agency\u2014 generally nongovernmental, nonprofit entities\u2014and 3) authorized by the state in which the school is physically located. (See table 1.)", "FSA is responsible for ensuring that schools with access to federal student aid are eligible and capable of properly administering federal student aid funds, according to standards established by Education and authorized by the Higher Education Act. These standards include requirements for schools related to communication, personnel, policies, procedures and reporting, and adequate checks and balances in a system of internal controls, among others. FSA is also responsible for conducting ongoing financial oversight of schools that receive federal student aid. This includes reviewing annual financial statement audits to assess a school\u2019s financial responsibility and providing additional oversight to schools that do not meet financial responsibility standards outlined in the Higher Education Act.", "Schools that participate in federal student aid programs generally are required to submit annual compliance audits. The compliance audit provides information that FSA can use to assess the school\u2019s administration of federal student aid programs and to identify schools that require additional oversight because they do not fully comply with federal student aid administrative requirements. The OIG is required to assess the quality of school compliance audits and selects a sample to review each year. The OIG reviews the audit documentation to ensure that it supports the auditor\u2019s opinions and that the audit results are reliable. According to agency guidance, FSA staff should refer compliance audits to the OIG for a quality review if they have any concerns about the quality of the audits. Both FSA and OIG officials stated that the OIG has primary responsibility for issues related to audit quality."], "subsections": [{"section_title": "General Certification Process", "paragraphs": ["When a school first applies to be certified to administer federal student aid, FSA will either approve the school for provisional certification\u2014 generally for 1 year\u2014or deny certification (see fig. 1). Once a school is approved for initial certification and applies for recertification, FSA will provisionally or fully recertify the school, or deny certification.", "According to FSA procedures, FSA uses provisional certification for initial, or first time, applicants, as well as schools that are applying for recertification. Provisional certification is the only approval status available to new schools. In addition, FSA may decide to recertify a school provisionally if it determines that a school has not fully complied with federal student aid requirements. FSA prohibits provisionally certified schools from opening new campus locations or offering new programs without approval from FSA, and provisionally certified schools that are denied recertification have a less substantive appeals process than fully certified schools. Further, recertified schools in provisional status are subject to more FSA oversight than schools that are fully certified. FSA procedures allow for some discretion in determining for how long to certify a school. Provisional recertification generally lasts 1 to 3 years, while full recertification generally lasts 4 to 6 years."], "subsections": []}, {"section_title": "Education Evaluates a Variety of Information during the Certification Process and Approves Most Schools Education Reviews Information from Multiple Sources to Assess a School\u2019s Capability to Administer Federal Student Aid", "paragraphs": ["Education\u2019s FSA regional staff draw information from a variety of sources during the certification process to assess a school\u2019s capability to administer federal student aid. According to FSA documents, regional staff are to review information collected from schools and third parties, such as annual compliance audits conducted by independent auditors, among other information sources. FSA staff responsible for different functional areas, such as financial and compliance audits, accreditation status, and student loan default rates, compile and review information on schools, according to FSA procedures. FSA officials told us that these staff meet to discuss any potential program eligibility issues and to ensure that all information relevant to a school is considered before making a certification decision. FSA\u2019s certification procedures outline some of the key information that regional staff should assess, some of which is relevant to both initial and recertification decisions, and some of which is specific to each type of certification process (see fig. 2).", "Documents and policies provided by schools: FSA regional staff are directed to review documents submitted by schools, including school catalogs, and certain school policies\u2014such as admissions and student refund policies\u2014that are relevant to assessing administrative capability.", "Proof of accreditation: School accreditors are responsible for applying and enforcing standards to help ensure that the education offered by schools is of sufficient quality to achieve program objectives. Accreditation of schools, which generally includes a site visit, takes place on a cycle that may range from every few years to as many as 10 years.", "Proof of state authorization: States are responsible for authorizing schools to offer postsecondary education and respond to student complaints. The process for approving schools varies from state to state and may include on-site visits.", "Audited financial statements: FSA regional staff are directed to review information in audited financial statements to assess schools\u2019 financial health. Schools are required to have annual audited financial statements issued by an independent certified public accountant or a government auditor."], "subsections": [{"section_title": "Key Information Required for Initial Certification", "paragraphs": ["Self-reported school data: FSA regional staff are instructed to review data on continual student enrollment in eligible academic programs and student withdrawal rates.", "Pre-certification review and school outreach: FSA staff are responsible for contacting school personnel to verify the school\u2019s application information and discuss relevant policies, procedures, and other materials relevant to administering federal student aid.", "FSA visits to newly certified schools: After schools first apply and are provisionally certified, Education requires FSA regional staff to contact them within 3 months and schedule an on-site school visit. Schools cannot administer federal student aid until they are certified, so FSA has limited information on how newly certified schools are administering federal student aid programs. School visits provide FSA with an opportunity to collect additional information about a provisionally certified school\u2019s ability to administer federal student aid. Some FSA regional staff we interviewed told us that on-site visits to newly certified schools provide valuable first-hand information about whether these schools are administering federal student aid in accordance with program requirements. If FSA regional staff find that a school is having difficulties administering federal student aid, FSA procedures direct regional staff to assist schools by providing clarification and guidance on federal student aid policies, recommending additional training for school officials, and helping schools develop a plan to track and report on their corrective actions, among other things."], "subsections": []}, {"section_title": "Key Information Required for Recertification", "paragraphs": ["Compliance audits: FSA staff are directed to review information in compliance audits to determine if schools are complying with specific federal student aid requirements. Generally, compliance audits are required to be conducted annually by an independent auditor, and submitted with the school\u2019s audited financial statements.", "Program reviews: FSA regional staff are also responsible for conducting program reviews, usually on site, which evaluate school compliance with federal requirements and can provide more in-depth information on schools than compliance audits, according to some FSA staff we interviewed. Generally, FSA selects schools for program reviews that it considers to be at risk for noncompliance, according to Education documents. FSA conducts approximately 250 to 300 program reviews per year, according to FSA documentation. FSA staff from all four of our selected regional offices told us they consider results from any recent program review in decisions about recertification and noted that such information, when available, is valuable for assessing schools\u2019 administrative capability.", "Education data: FSA regional office staff are also directed to review data on student loan default rates."], "subsections": []}]}, {"section_title": "Most Schools Are Provisionally or Fully Certified to Receive Federal Student Aid", "paragraphs": ["From calendar years 2006 through 2017, FSA approved most schools applying for certification to receive federal student aid, according to Education data."], "subsections": [{"section_title": "Initial Certification Applications", "paragraphs": ["From 2006 through 2017, FSA approved 89 percent of schools new to administering federal student aid for provisional certification and denied 11 percent of schools overall (see fig. 3). Denial rates for initial certification were 11 percent for public and for-profit schools and 14 percent for nonprofit schools. For more information on 2006-2017 school certification outcomes by year, see appendix I.", "FSA regional staff responsible for reviewing school applications told us that schools are denied initial certification for issues such as a lack of accreditation, not offering eligible programs for federal student aid, or not meeting other statutory eligibility requirements. For example, FSA staff said that for-profit and vocational schools that apply for initial certification are required to provide an eligible program continuously for 2 years prior to their initial application. FSA staff may also advise schools that do not meet basic eligibility requirements not to apply, which could result in fewer initial certification denials overall. In addition, FSA staff said they often work with schools to address compliance problems, for example, by providing guidance on revising school policies that do not meet requirements, so that the schools are able to meet FSA\u2019s certification requirements."], "subsections": []}, {"section_title": "Recertification Applications", "paragraphs": ["From 2006 through 2017, 76 percent of schools applying for recertification were fully recertified, 21 percent were provisionally recertified, and 3 percent were denied recertification. Sixty-six percent of for-profit schools were fully recertified, 28 percent were provisionally recertified, and 6 percent were denied. In comparison, 86 percent of public schools were fully recertified, 14 percent were provisionally recertified, and fewer than 1 percent were denied. Nonprofit schools had rates similar to public schools, with 80 percent fully recertified, 18 percent provisionally recertified, and 2 percent denied (see fig 4).", "FSA staff from all four of our selected regional offices told us that they typically deny recertification when a school no longer meets eligibility requirements, such as losing accreditation, or when there is significant evidence of serious issues or massive wrongdoing, such as fraud. For example, managers in one regional office told us they denied recertification for a school because they had evidence that the school was accepting students without valid high school diplomas and referring them to diploma mills to boost enrollment.", "Staff in two FSA regional offices told us that they can also choose to fully recertify a school for shorter periods of time if they uncover issues related to administrative capability. For example, one regional staff member told us that when they found a school\u2019s default rate for one federal student loan program had been high for the prior 3 years, the regional office decided to shorten the school\u2019s full recertification period from 6 to 4 years, to allow FSA staff to review the school again sooner."], "subsections": []}, {"section_title": "Reasons for Provisional Certification", "paragraphs": ["FSA staff from all four of our selected regional offices told us that they provisionally certify schools for a variety of reasons, including when a school submits a late compliance audit or when a recent compliance audit indicates that a school could potentially have significant problems. Generally, schools in provisional certification status are subject to additional monitoring by FSA compared to schools that have been fully certified. For example, Education officials said that if they have concerns about a provisionally certified school\u2019s student withdrawal rate, they can add provisional conditions requiring the school to submit monthly enrollment rosters for review. Staff in two FSA regional offices told us that in other cases, if they have concerns about how a school is administering federal student aid or suspected fraud, they can put a school on provisional status and conduct a program review to collect more detailed information on compliance with federal requirements.", "Education data also show that most schools remain in provisional status the first time they are recertified\u201462 percent from 2006 to 2017. In contrast, FSA staff fully recertified over three-quarters of schools that applied for recertification a second time during the same time period (see table 2). For more information on first and second recertification outcomes by school sector, see appendix II."], "subsections": []}]}]}, {"section_title": "Compliance Audits Are Key to Certification Process and Education Has Taken Steps to Address Audit Quality", "paragraphs": ["We found that FSA generally relies on compliance audits as the only annual on-site review to determine how schools applying for recertification administer federal student aid. The audits provide direct information collected by independent auditors from school visits and file reviews examining how schools administer federal student aid and comply with program requirements. For example, OIG audit guidance directs auditors to check whether schools are distributing federal student aid to eligible students and accurately calculating student loan amounts. FSA officials and staff from all four of our selected regional offices said that compliance audits are a key source of information they use to assess a school\u2019s administrative capability.", "Officials from Education\u2019s OIG said that the quality of information in compliance audits varies substantially and depends on the auditor. The OIG has found quality problems in some of the compliance audits it selects\u2014based on auditor and school risk factors\u2014for its annual quality control reviews. Because the OIG selects higher risk audits to review, its reviews are more likely to detect problems, and OIG officials said they cannot make any conclusions about the overall prevalence of quality problems in compliance audits. However, our analysis of OIG quality review data found that of the 739 compliance audits reviewed by the OIG from fiscal years 2006 through 2017, the OIG passed 23 percent (173) and failed 59 percent (436). An additional 18 percent (130) passed with deficiencies. For example, across the 41 compliance audits it reviewed in fiscal year 2016, the OIG identified 264 quality deficiencies with the auditor\u2019s work, according to our analysis of quality reviews provided by the OIG. The most frequently cited issues in these 41 audits were: reporting (24 audits), such as lack of evidence that the auditor tested whether the school correctly reported student enrollment status; student eligibility (20 audits), such as lack of evidence that the auditor verified student school attendance; and administrative capability (19 audits), such as lack of evidence that the auditor determined whether the accreditor had been notified about a change in school ownership within 10 days.", "FSA officials also identified quality issues with the compliance audits of some schools. FSA headquarters officials and staff we interviewed in several regional offices said they have seen schools with significant program review findings that had not been identified in annual compliance audits. FSA staff said they have referred some compliance audits to the OIG for quality reviews when they have had questions about the thoroughness of an audit. We also found a couple of examples in our review of school certification documents in which the findings identified in a school\u2019s compliance audit were different from the findings identified by FSA in a program review of the same school covering the same time period. In one case, FSA staff said they probably would have fully recertified the school if they had relied solely on the compliance audit. Instead, they used the program review to determine that the school should be provisionally recertified. Compliance audits and program review findings are based on a sample of student records, and FSA staff said some differences in findings might be explained by differences in the records reviewed.", "FSA and OIG officials cited several issues that can affect the quality of compliance audits. FSA and OIG officials we interviewed said that some auditors conducting compliance audits have insufficient training in federal student aid, which contributes to audit quality problems. OIG staff also said that even if an auditor meets the general training hour requirements for auditors, the training content may not be relevant for federal student aid audits. In addition, FSA and OIG officials said some schools\u2014 particularly smaller schools\u2014tend to hire less experienced auditors in order to save money, often resulting in poor quality audits. FSA officials in most selected regional offices said that additional training on federal student aid for auditors who are new to or unfamiliar with federal student aid could help improve audit quality.", "FSA and the OIG recently have taken steps to address audit quality and the information available to FSA staff when making certification decisions. These efforts include:", "Training for auditors: The OIG has taken steps to enhance training offered to auditors of schools\u2019 administration of federal student aid and is exploring opportunities to provide additional training. In December 2017, the OIG and the American Institute of Certified Public Accountants cosponsored training for auditors on the OIG\u2019s 2016 revised guide for audits of for-profit schools, and other topics related to auditing federal student aid. The training included discussion of common audit quality issues and areas of highest risk. According to an OIG official, about 200 auditors attended, and after the event, the American Institute of Certified Public Accountants and the OIG posted a recording of the training to their websites to make it available to additional auditors. In addition, OIG officials said they maintain an email account\u2014listed on the OIG website\u2014through which auditors can ask questions and receive responses. In March 2018, the OIG posted frequently asked questions and answers to the website.", "Timeliness of OIG quality reviews: Both FSA and OIG officials said that the OIG has recently renewed efforts to issue compliance audit quality reviews more quickly, after several years in which staffing shortages and other issues led to some delayed quality reviews.", "Guidance to schools on selecting an auditor: OIG officials said that at the 2017 FSA training conference for school financial aid staff, they presented to more than 400 participants about factors schools should consider when hiring an auditor. For example, they suggested that schools verify the licenses of certified public accountants, ask about the types of engagements an auditing firm has conducted, request and check references, check for any actions that may have been taken against a firm, and ask whether the auditor has been subject to a previous review by the OIG or another agency. FSA officials said they expected to invite the OIG to present at future FSA conferences, and OIG officials said they were seeking additional opportunities to share information on auditor selection with schools, including a planned presentation to an association of postsecondary schools.", "FSA working group: FSA recently established a working group to update its guidance to FSA staff on how to coordinate with the OIG to address compliance audits with quality problems. Among other topics, the working group has consulted with the OIG about how schools are made aware of the OIG\u2019s findings regarding the quality of their audits. FSA officials said that OIG officials have provided input and feedback on FSA\u2019s proposed changes to the guidance.", "Audit guide revisions: In addition, OIG and FSA staff told us they expected the OIG\u2019s 2016 revisions to the for-profit school audit guide to improve the quality of compliance audits for those schools. They said that because the revised guide clarified some issues that were confusing to auditors in the previous guide issued in 2000, auditors might be better able to implement the guidance. The audit guide revisions include more testing and reporting requirements, clarified procedures, and guidance on issues such as fraud reporting and coordinating financial and compliance audits. The 2016 revisions first applied to audits for fiscal years beginning after June 30, 2016, and FSA began receiving those audits at the end of 2017. In addition, although the OIG\u2019s 2016 revisions only apply to audits of for-profit schools, FSA officials said they planned to establish a working group to consider improvements to audit guidance for public and nonprofit schools.", "FSA and OIG efforts to address audit quality could help ensure that compliance audits provide accurate and reliable information on school administrative capability for Education\u2019s recertification decisions."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for review and comment. Education\u2019s Office of Inspector General provided technical comments, which we considered and incorporated as appropriate. Education did not provide other comments on the report.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Education; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0534 or emreyarrasm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: School Certification Outcomes, Calendar Years 2006-2017", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: Distribution of First and Second Recertification Outcomes by School Sector, Calendar Years 2006-2017", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michelle St. Pierre (Assistant Director), Kristy Kennedy (Analyst-in-Charge), Edward Bodine, Marissa Jones, and Mark Ward made significant contributions. Also contributing to this report were Susan Aschoff, Deborah Bland, Nagla\u2019a El-Hodiri, Monika Gomez, Sheila R. McCoy, Jessica Orr, Mimi Nguyen, John Mingus, Rhiannon Patterson, Monica Savoy, Benjamin Sinoff, and Rosemary Torres Lerma."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-374T", "url": "https://www.gao.gov/products/GAO-18-374T", "title": "Department of Energy: Continued Actions Needed to Modernize Nuclear Infrastructure and Address Management Challenges", "published_date": "2018-02-06T00:00:00", "released_date": "2018-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOE's NNSA is responsible for managing the nuclear weapons stockpile and supporting nuclear nonproliferation efforts. DOE's Office of Environmental Management's mission includes decontaminating and decommissioning facilities that are contaminated from decades of nuclear weapons production.", "Over the last few years, GAO has reported on a wide range of challenges facing DOE and NNSA. These challenges contribute to GAO's continuing inclusion of DOE's and NNSA's management of major contracts and projects on the list of agencies and program areas that are at high risk of fraud, waste, abuse, and mismanagement, or are in need of transformation. GAO also recently added the U.S. government's environmental liabilities to this list.", "This statement is based on 25 GAO reports issued from April 2011 through January 2018 and discusses (1) challenges related to the affordability of NNSA's nuclear modernization plans; (2) challenges related to DOE's environmental liability; (3) the status of DOE's efforts to improve its management of contracts, projects, and programs; and (4) challenges facing NNSA's nonproliferation programs."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Energy's (DOE) National Nuclear Security Administration (NNSA) faces challenges related to the affordability of its nuclear modernization programs. In April 2017, GAO found a misalignment between NNSA's modernization plans and the estimated budgetary resources needed to carry out those plans. Specifically, GAO found that NNSA's estimates of funding needed for its modernization plans sometimes exceeded the budgetary projections included in the President's planned near-term and long-term modernization budgets by billions of dollars. GAO also found that the costs of some major modernization programs\u2014such as for nuclear weapon refurbishments\u2014may also increase and further strain future modernization budgets. GAO recommended in April 2017 that NNSA include an assessment of the affordability of its modernization programs in future versions of its annual plan on stockpile stewardship; NNSA neither agreed nor disagreed with that recommendation.", "DOE also faces challenges with addressing its environmental liabilities\u2014the total cost of its cleanup responsibilities. In February 2017, GAO found that DOE was responsible for over 80 percent ($372 billion) of the U.S. government's estimated $450 billion environmental liability. However, this estimate does not reflect all of DOE's cleanup responsibilities. Notably, this estimate does not reflect all of the future cleanup responsibilities that DOE may face. For example, in January 2017, GAO found that the cost estimate for DOE's proposal for separate defense and commercial nuclear waste repositories excluded the costs and time frames for site selection and site characterization, and therefore full costs are likely to be billions of dollars more than DOE's reported environmental liabilities. To effectively address cleanup, GAO has made at least 28 recommendations to DOE and other federal agencies, which could reduce long-term costs as well as environmental risks more quickly. Of these, 13 remain not implemented.", "DOE has taken several important steps that demonstrate its commitment to improving contract and project management, but challenges persist. Specifically, DOE's revised project management order, issued in May 2016, made several changes in response to recommendations GAO made in prior years, such as requiring that projects develop cost estimates and analyses of alternatives according to our best practices. However, DOE's recent efforts do not address several areas, such as acquisition planning for major contracts and aspects of program and project management, where the department continues to struggle. GAO has made several recommendations related to these areas, and DOE has generally agreed with and begun to take action on most of them.", "Finally, NNSA faces challenges in implementing its nonproliferation programs. For example, in September 2017, GAO found that selected programs in NNSA's Office of Defense Nuclear Nonproliferation (DNN) did not measure performance against schedule and cost baselines, as recommended by program management leading practices because DNN's program management policy did not require programs to measure performance in this way. GAO recommended that DNN revise its policy to require programs to measure performance against cost and schedule baselines. NNSA indicated it plans to take action to revise its policy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has previously suggested that Congress consider changes to the laws governing environmental cleanup activities. In addition to these suggestions, GAO has made numerous recommendations to DOE to address its management challenges."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our recent work on some of the pressing management challenges facing the Department of Energy\u2019s (DOE) National Nuclear Security Administration (NNSA) and Office of Environmental Management (EM). NNSA is responsible for managing the nation\u2019s three nuclear security missions: ensuring a safe, secure, and reliable nuclear deterrent; achieving designated reductions in the nuclear weapons stockpile; and supporting the nation\u2019s nuclear nonproliferation efforts. In support of these missions, NNSA\u2019s February 2016 budget justification for the Weapons Activities appropriations account included about $49.4 billion for fiscal years 2017 through 2021 to implement its weapons modernization plans. More recently, in November 2017, NNSA issued its Stockpile Stewardship and Management Plan, which included about $10.2 billion for weapons activities for fiscal year 2018.", "In support of its missions, NNSA implements a range of nonproliferation programs under its Office of Defense Nuclear Nonproliferation. These programs include efforts to secure, consolidate, and dispose of weapons- usable nuclear materials and radiological sources; reduce the risks of nuclear smuggling; enhance international export controls and International Atomic Energy Agency nuclear safeguards; and support research and development of new nonproliferation technologies.", "EM is responsible for decontaminating and decommissioning nuclear facilities and sites that are contaminated from decades of nuclear weapons production and nuclear energy research. In February 2017, we reported that, since its inception in 1989, EM has spent over $164 billion on cleanup efforts, which include retrieving, treating, and disposing of nuclear waste.", "Both NNSA and EM face critical challenges in fulfilling their missions. Since the end of the Cold War, key portions of the nuclear security enterprise\u2019s weapons production infrastructure have become outdated, prompting congressional and executive branch decision makers to call on DOE to develop plans to modernize this infrastructure. The Department of Defense\u2019s (DOD) 2010 Nuclear Posture Review identified long-term modernization goals and requirements, including sustaining a safe, secure, and effective nuclear arsenal through increasing investments to rebuild and modernize the nation\u2019s nuclear infrastructure, some of which dates back to the 1940s. In January 2017, the President directed the Secretary of Defense to initiate a new Nuclear Posture Review to ensure that the U.S. nuclear deterrent is modern, robust, flexible, resilient, ready, and appropriately tailored to deter 21st-century threats and reassure our allies. This review was released in February 2018.", "As NNSA works to modernize the nuclear security enterprise, EM must address the legacy of 70 years of nuclear weapons production and energy research by DOE and its predecessor agencies. These activities generated large amounts of radioactive waste, spent nuclear fuel, excess plutonium and uranium, and contaminated soil and groundwater. They also contaminated thousands of sites and facilities, including land, buildings, and other structures and their systems and equipment. Various federal laws, agreements with states, and court decisions require the federal government to clean up environmental hazards at federal sites and facilities, such as nuclear weapons production facilities. DOE\u2019s approach to addressing these environmental liabilities is often influenced by numerous site-specific factors, stakeholder agreements, and legal provisions. For years, we and others have reported on shortcomings in DOE\u2019s approach to addressing its environmental liabilities, including incomplete data on the extent of cleanup needed.", "DOE relies primarily on contractors to carry out its programs, and it is the largest civilian contracting agency in the federal government. In fiscal year 2017, it spent approximately 90 percent of its $32 billion in annual funding on contracts and major capital asset projects. We designated DOE\u2019s contract management\u2014which has included both contract administration and project management\u2014as a high-risk area in 1990 because DOE\u2019s record of inadequate management and oversight of contractors had left it vulnerable to fraud, waste, abuse, and mismanagement. In our 2017 high-risk update, we reported that NNSA and EM continued to demonstrate a strong commitment and top leadership support to improve contract and project management\u2014a key criterion for removing agencies and program areas from our High-Risk List. However, we also found that DOE still needs to make more progress on the other four criteria for removal: organizational capacity, corrective action planning, monitoring effectiveness, and demonstrating progress.", "Further, in our 2017 high-risk update, we added the federal government\u2019s environmental liabilities to our High-Risk List. More than 80 percent of these liabilities are DOE\u2019s responsibility. In our 2017 high-risk update, we reported that because of incomplete information and often inconsistent approaches to making cleanup decisions, DOE does not always approach environmental cleanup using a risk-informed approach to reduce health and safety risks in a cost-effective manner.", "My testimony today discusses (1) challenges related to the affordability of NNSA\u2019s nuclear weapons modernization plans; (2) challenges in addressing DOE\u2019s environmental liabilities; (3) the status of DOE\u2019s efforts to improve its management of contracts, projects, and programs; and (4) challenges facing NNSA\u2019s nonproliferation program. My statement is based primarily on our work from 25 GAO reports issued from April 2011 to January 2018\u2014including 5 reports issued since I last testified on this issue in May 2017 (see the end of this testimony for a list of related reports). Detailed information about the scope and methodology we used to conduct our prior work can be found in each of our issued reports. The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Misalignment between NNSA\u2019s Modernization Budget Estimates and Plans Raises Affordability Concerns", "paragraphs": ["In April 2017, we issued our latest report on NNSA\u2019s 25-year plans to modernize the nation\u2019s nuclear weapons stockpile and its supporting infrastructure. In that report, we identified two areas of misalignment between NNSA\u2019s modernization plans and the estimated budgetary resources needed to carry out those plans, which could result in challenges to NNSA in affording its planned portfolio of modernization programs. First, we found that NNSA\u2019s estimates of funding needed for its modernization plans sometimes exceeded the budgetary projections included in the President\u2019s planned near- and long-term modernization budgets. In the near-term (fiscal years 2018 through 2021), we found that NNSA may have to defer certain modernization work beyond that time period to execute its program within the planned budget, which could increase modernization costs and schedule risks. This is a pattern we have previously identified as a \u201cbow wave\u201d\u2014an increase in future years\u2019 estimated budget needs that occurs when agencies are undertaking more programs than their resources can support. In the long-term (fiscal years 2022 through 2026), we found that NNSA\u2019s modernization program budget estimates sometimes exceeded the projected budgetary resources planned for inclusion in the President\u2019s budget, raising additional questions about whether NNSA will be able to afford the scope of its modernization program. Second, the costs of some major modernization programs\u2014such as for nuclear weapon refurbishments\u2014 may also increase and further strain future modernization budgets. We are currently reviewing NNSA\u2019s Fiscal Year 2018 Stockpile Stewardship and Management Plan."], "subsections": [{"section_title": "Misalignment between Estimates and Plans May Result in Increased Cost and Schedule Risks and Raises Affordability Concerns", "paragraphs": ["As we reported in April 2017, NNSA estimates of funding needed for its modernization plans sometimes exceeded the budgetary projections included in the President\u2019s planned near- and long-term modernization budgets."], "subsections": [{"section_title": "Near-term Misalignment between Modernization Plans and Estimated Budgetary Resources", "paragraphs": ["We found that NNSA may have to defer certain modernization work planned for fiscal years 2018 through 2021 beyond its current 5-year planning period, called the Future-Years Nuclear Security Program (FYNSP). As we reported in April 2017, this is caused by a misalignment between NNSA\u2019s budget estimates for certain nuclear modernization programs and the President\u2019s budgets for that period. We concluded that this deferral could exacerbate a significant bow wave of modernization funding needs that NNSA projects for the out-years beyond the FYNSP and could potentially increase modernization costs and schedule risks.", "As we have previously reported, such bow waves occur when agencies defer costs of their programs to the future, beyond their programming periods, and they often occur when agencies are undertaking more programs than their resources can support. As NNSA\u2019s fiscal year 2017 budget materials show, its modernization budget estimates for fiscal years 2022 through 2026\u2014the first 5 years beyond the FYNSP\u2014may require significant funding increases. For example, in fiscal year 2022, NNSA\u2019s estimates of its modernization budget needs are projected to rise about 7 percent compared with the budget estimates for fiscal year 2021, the last year of the FYNSP, as shown in figure 1.", "The analysis in our April 2017 report showed that NNSA has shifted this modernization bow wave to the period beyond the FYNSP time frame in each of the past four versions of the annual Stockpile Stewardship and Management Plan. For example, in the Fiscal Year 2014 Stockpile Stewardship and Management Plan, NNSA\u2019s budget estimates for its modernization programs increased from a total of about $9.3 billion in fiscal year 2018, the last year of the FYNSP, to about $10.5 billion in fiscal year 2019, the first year after the FYNSP\u2014an increase of about 13 percent. Similar patterns showing a jump in funding needs immediately after the last year of the FYNSP are repeated in the funding profiles contained in the fiscal year 2015, 2016, and 2017 plans. As we have previously reported, deferring more work to future years can increase cost and schedule risks and can put programs in the position of potentially facing a backlog of deferred work that grows beyond what can be accommodated in future years."], "subsections": []}, {"section_title": "Long-term Misalignment between Modernization Plans and Estimated Budgetary Resources", "paragraphs": ["The Fiscal Year 2017 Stockpile Stewardship and Management Plan shows that NNSA\u2019s overall modernization budget estimates for fiscal years 2022 through 2026\u2014the out-years beyond the FYNSP\u2014may exceed the projected funding levels in the President\u2019s budgets for that period, raising further questions about the affordability of NNSA\u2019s nuclear modernization plans. According to NNSA\u2019s data, the agency\u2019s estimated budget needed to support modernization totals about $58.4 billion for fiscal years 2022 through 2026, and the out-year funding projections contained in the President\u2019s fiscal year 2017 budget for the same period total about $55.5 billion. The President\u2019s out-year funding projections, therefore, are approximately $2.9 billion, or about 5.2 percent, less than NNSA estimates it will need over the same period.", "Despite this potential shortfall, NNSA\u2019s Fiscal Year 2017 Stockpile Stewardship and Management Plan concludes that the modernization program is generally affordable in the years beyond the FYNSP for two reasons. First, the President\u2019s out-year funding projections are sufficient to support NNSA\u2019s low-range cost estimates for its modernization programs for fiscal years 2022 through 2026. Based on NNSA data, the low-range cost estimates for fiscal years 2022 through 2026 total approximately $54.4 billion and the President\u2019s out-year funding projections total about $55.5 billion. Figure 2 illustrates data from the 2017 plan showing NNSA\u2019s budget estimates in nominal dollars, including high- and low-range cost estimates for its modernization program, along with the out-year funding projections from the President\u2019s fiscal year 2017 budget, for fiscal years 2022 to 2026. Second, NNSA concludes that its modernization programs are generally affordable beyond the FYNSP because the agency\u2019s estimated modernization budget needs will begin to decrease in fiscal year 2027.", "In our April 2017 report, we noted that NNSA\u2019s conclusion\u2014that its modernization program is affordable because the President\u2019s out-year funding projections fall within NNSA\u2019s modernization cost ranges\u2014is overly optimistic. This is because the conclusion is predicated on optimistic assumptions regarding the cost of the modernization program beyond the FYNSP, particularly for fiscal years 2022 through 2026. For the program to be affordable, NNSA\u2019s modernization programs would need to be collectively executed at the low end of their estimated cost ranges. The plan does not discuss any options NNSA would pursue to support or modify its modernization program if costs exceeded its low- range cost estimates. In addition, the Fiscal Year 2017 Stockpile Stewardship and Management Plan states that the nominal cost of NNSA\u2019s modernization program is expected to decrease by approximately $1 billion in fiscal year 2027. In that year, according to the 2017 plan, it is anticipated that NNSA\u2019s estimated budgets for its modernization program will begin to fall in line with projections of future presidential budgets. However, as we noted in our April 2017 report, the decrease that NNSA anticipates in its modernization funding needs beginning in fiscal year 2027 may not be achievable if the projected mismatch between NNSA\u2019s estimates of its modernization budget needs and the projections of the President\u2019s modernization budget for fiscal years 2022 through 2026 is not resolved. This mismatch creates concerns that NNSA will not be able to afford planned modernization costs during fiscal years 2022 through 2026 and will be forced to defer them to fiscal year 2027 and beyond, continuing the bow wave patterns discussed above."], "subsections": []}]}, {"section_title": "Potential Rising Costs of Some Modernization Programs May Further Strain NNSA\u2019s Modernization Budgets", "paragraphs": ["Our April 2017 report identified misalignment between NNSA\u2019s estimate of its budget needs and NNSA\u2019s internal cost range estimates for several of its major modernization programs. Further, we found that the costs of some major life extension programs (LEP) may increase in the future, which may further strain NNSA\u2019s planned modernization budgets.", "With respect to the alignment of NNSA\u2019s estimate of its budget needs and NNSA\u2019s internal cost range estimates, in April 2017 we found that NNSA\u2019s budget estimates were generally consistent with NNSA\u2019s high- and low-range cost estimates. However, for some years, NNSA\u2019s low- range cost estimates exceeded the budget estimates for some of the programs, suggesting the potential for a funding shortfall for those programs in those years. Specifically, we found that the low-range cost estimates for the W88 Alteration 370 program and all LEPs discussed in our April 2017 report exceeded their budget estimates for some fiscal years within the 10-year time period from fiscal year 2017 to 2026. As we reported in 2013 and 2016, this misalignment indicates that NNSA\u2019s estimated budgets may not be sufficient to fully execute program plans and that NNSA may need to increase funding for these programs in the future.", "Additionally, in April 2017 we found that the costs of two ongoing nuclear weapon LEPs and the W88 Alteration 370 program may increase in the future, based on NNSA information that was produced after the release of the fiscal year 2017 budget materials. These potential cost increases could further challenge the extent to which NNSA\u2019s budget estimates support the scope of modernization efforts. The LEPs facing potential cost increases include:", "B61-12 LEP. An independent cost estimate for the program completed in October 2016 exceeded the program\u2019s self-conducted cost estimate from June 2016 by $2.6 billion.", "W80-4 LEP. Officials from NNSA\u2019s Office of Cost Policy and Analysis told us that this program may be underfunded by at least $1 billion to meet the program\u2019s existing schedule.", "W88 Alteration 370. According to officials from NNSA\u2019s Office of Cost Policy and Analysis, this program\u2019s expanded scope of work may result in about $1 billion in additional costs.", "To help NNSA put forth more credible modernization plans, we recommended in our April 2017 report that the NNSA Administrator include an assessment of the affordability of NNSA\u2019s portfolio of modernization programs in future versions of the Stockpile Stewardship and Management Plan, such as by presenting options (e.g., potentially deferring the start of or canceling specific modernization programs) that NNSA could consider taking to bring its estimates of modernization funding needs into alignment with potential future budgets. In commenting on our report, NNSA neither agreed nor disagreed with our recommendation."], "subsections": []}]}, {"section_title": "DOE Annually Spends Billions on Cleanup, but the Cost of Its Environmental Liabilities Continues to Increase", "paragraphs": ["DOE also faces challenges with addressing its environmental liabilities and its cleanup mission. In February 2017, we added the federal government\u2019s environmental liabilities to our High-Risk List. Specifically, we found that the federal government\u2019s environmental liability has been growing for the past 20 years\u2014and is likely to continue to increase\u2014and that DOE is responsible for over 80 percent ($372 billion) of the nearly $450 billion reported environmental liability. Notably, this estimate does not reflect all of the future cleanup responsibilities that DOE may face. In addition, DOE has not consistently taken a risk-informed approach to decision-making for environmental cleanup, and DOE may therefore be missing opportunities to reduce costs while also reducing environmental risks more quickly. Our recent work in this area has also identified opportunities where DOE may be able to save tens of billions of dollars.", "As we have previously reported, DOE\u2019s total reported environmental liability has generally increased over time. Since 1989, EM has spent over $164 billion to retrieve, treat, and dispose of nuclear and hazardous waste and, as of 2017, it had completed cleanup at 91 of 107 sites across the country (the 91 sites were generally viewed by DOE as the smallest and least contaminated sites to address). Despite billions spent on environmental cleanup, DOE\u2019s environmental liability has roughly doubled from $176 billion in fiscal year 1997 to the fiscal year 2016 estimate of $372 billion. Between 2011 and 2016, EM spent $35 billion, primarily to treat and dispose of nuclear and hazardous waste and construct capital asset projects to treat the waste (see fig. 3 for EM\u2019s annual spending and growing environmental liability). According to documents related to DOE\u2019s fiscal year 2016 financial statements, half of DOE\u2019s environmental liability resides at two cleanup sites: the Hanford Site in Washington State and the Savannah River Site in South Carolina.", "In its fiscal year 2016 financial statement, DOE attributed recent environmental liability increases to (1) inflation adjustments for the current year; (2) improved and updated estimates for the same scope of work, including changes resulting from deferral or acceleration of work; (3) revisions in technical approach or scope for cleanup activities; and (4) regulatory and legal changes. Notably, in recent annual financial reports, DOE has cited other significant causes for increases in its liability. Other causes have included the lack of a disposal path for high-level radioactive waste\u2014because of the termination of the Yucca Mountain repository program\u2014and delays and scope changes for major construction projects at the Hanford and Savannah River sites.", "We also reported in February 2017 that DOE\u2019s estimated liability does not include billions in expected costs. According to federal accounting standards, environmental liability estimates should include costs that are probable and reasonably estimable, meaning that costs that cannot yet be reasonably estimated should not be included in total environmental liability. Examples of costs that DOE cannot yet estimate include the following:", "DOE has not yet developed a cleanup plan or cost estimate for the Nevada National Security Site and, as a result, the cost of future cleanup of this site was not included in DOE\u2019s fiscal year 2015 reported environmental liability. The nearly 1,400-square-mile site has been used for hundreds of nuclear weapons tests since 1951. These activities have resulted in more than 45 million cubic feet of radioactive waste at the site. According to DOE\u2019s financial statement, since DOE is not yet required to establish a plan to clean up the site, the costs for this work are excluded from DOE\u2019s annually reported environmental liability.", "DOE\u2019s reported environmental liability includes an estimate for the cost of a permanent nuclear waste repository, but these estimates are highly uncertain and likely to increase. In March 2015, in response to the termination of the Yucca Mountain repository program, DOE proposed separate repositories for defense high-level and commercial waste. In January 2017, we reported that the cost estimate for DOE\u2019s new approach excluded the costs and time frames for site selection and site characterization. As a result, the full cost of these activities is likely billions of dollars more than what is reflected in DOE\u2019s environmental liability. In our annual report on Fragmentation, Overlap, and Duplication in the federal government that we issued in May 2017, we reported that DOE may be able to save billions of dollars by reassessing the rationale for its March 2015 proposal. In June 2017, a bill that could result in renewed efforts to open the Yucca Mountain repository was introduced in the House of Representatives.", "In addition, according to the DOE Inspector General, DOE may have insufficient controls in place to accurately account for its environmental liabilities. In November 2016, the DOE Inspector General reported a significant deficiency in internal controls related to the reconciliation of environmental liabilities.", "Moreover, DOE does not consistently take a risk-informed decision- making approach to its environmental cleanup mission to more efficiently use resources. As our reports and those by other organizations issued over the last 2 decades have found, DOE\u2019s environmental cleanup decisions have not been risk-based, and there have been inconsistencies in the regulatory approaches followed at different sites. We and others have pointed out that DOE needs to take a nation-wide, risk-based approach to cleaning up these sites, which could reduce costs while also reducing environmental risks more quickly.", "In 2006, the National Research Council reported that the nation\u2019s approach to cleaning up nuclear waste\u2014primarily carried out by DOE\u2014was complex, inconsistent, and not systematically risk- based. For example, the National Research Council noted that the current regulatory structure for low-activity waste is based primarily on the waste\u2019s origins rather than on its actual radiological risks. The National Research Council concluded that by working with regulators, public authorities, and local citizens to implement risk-informed practices, waste cleanup efforts can be done more cost-effectively. The report also suggested that statutory changes were likely needed.", "In 2015, a review organized by the Consortium for Risk Evaluation with Stakeholder Participation reported that DOE was not optimally using available resources to reduce risk. According to the report, factors such as inconsistent regulatory approaches and certain requirements in federal facility agreements caused disproportionate resources to be directed at lower-priority risks. The report called for a more systematic effort to assess and rank risks within and among sites, including through headquarters guidance to sites, and to allocate federal taxpayer monies to remedy the highest priority risks through the most efficient means.", "In May 2017, we reported on DOE\u2019s efforts to treat a significant portion of the waste in underground tanks at the Hanford Site. We found that DOE chose different approaches to treat the less radioactive portion of its tank waste\u2014which DOE refers to as \u201clow- activity waste\u201d (LAW)\u2014at the Hanford and Savannah River Sites. At the Savannah River Site, DOE has grouted about 4 million gallons of LAW since 2007. DOE plans to treat a portion of the Hanford Site\u2019s LAW with vitrification, but it has not yet treated any of Hanford\u2019s LAW and faces significant unresolved technical challenges in doing so. In addition, we found that the best available information indicates that DOE\u2019s estimated costs to grout LAW at the Savannah River Site are substantially lower than its estimated costs to vitrify LAW at Hanford, and DOE may be able to save tens of billions of dollars by reconsidering its waste treatment approach for a portion of the LAW at Hanford. Moreover, according to experts that attended a meeting we convened with the National Academies of Sciences, Engineering, and Medicine, both vitrification and grout could effectively treat Hanford\u2019s LAW. Experts at our meeting also stated that developing updated information on the effectiveness of treating a portion of Hanford\u2019s waste, called supplemental LAW, with other methods, such as grout, may enable DOE to consider waste treatment approaches that would accelerate DOE\u2019s tank waste treatment mission, thereby potentially reducing certain risks and lifecycle treatment costs. We recommended that DOE (1) develop updated information on the performance of treating supplemental LAW with alternate methods, such as grout, before it selects an approach for treating supplemental LAW; and (2) have an independent entity develop updated information on the lifecycle costs of treating Hanford\u2019s supplemental LAW with alternate methods. DOE agreed with both recommendations.", "Since 1994, we have made at least 28 recommendations related to addressing the federal government\u2019s environmental liability to DOE and others and 4 suggestions to Congress to consider changes to the laws governing cleanup activities. Of these, 13 recommendations remain unimplemented. If implemented, these steps would improve the completeness and reliability of the estimated costs of future federal cleanup responsibilities and lead to more risk-based management of the cleanup work. We believe these recommendations are as relevant, if not more so, today."], "subsections": []}, {"section_title": "DOE Has Taken Steps to Improve Management of Contracts, Projects, and Programs, but Challenges Remain", "paragraphs": ["The Secretary of Energy has taken several important steps that demonstrate DOE\u2019s commitment to improving management of contracts and projects. However, our recent work indicates that, even with these efforts, NNSA and EM continue to face long-standing challenges in several areas."], "subsections": [{"section_title": "DOE Has Made Progress in Managing Contracts and Projects", "paragraphs": ["As we noted in our 2017 high-risk report, DOE has made progress in its contract and project management. DOE continued to meet the criterion for demonstrating a strong commitment and top leadership support for improving project management. The Secretary of Energy issued two memorandums, in December 2014 and June 2015, that lay out a series of changes to policies and procedures to improve project management. These changes were included in DOE\u2019s revised project management order, DOE Order 413.3B, issued in May 2016. As noted in the memorandums, some of these changes are in response to recommendations we made in prior years, such as requiring that projects develop cost estimates and analyses of alternatives according to our best practices.", "DOE also made significant efforts to improve its performance in monitoring and independently validating the effectiveness and sustainability of corrective measures and now partially meets our monitoring criterion for removing agencies and program areas from our High-Risk List. For example, the Secretary improved the department\u2019s senior-level monitoring capability. The Secretary strengthened the Energy Systems Acquisition Advisory Board by changing it from an ad hoc body to an institutionalized board responsible for reviewing all capital asset projects with a total project cost of $100 million or more. The Secretary also created the Project Management Risk Committee, which includes senior DOE officials and is chaired by a new departmental position\u2014the Chief Risk Officer. The committee is chartered to assess the risks of projects across DOE and advise DOE senior leaders on cost, schedule, and technical issues for projects."], "subsections": []}, {"section_title": "Challenges Persist in Several Areas", "paragraphs": ["DOE\u2019s recent efforts do not address several areas where it continues to have challenges including (1) acquisition planning for its major contracts, (2) the quality of enterprise-wide cost information available to DOE managers and key stakeholders, (3) program and project management, and (4) major legacy projects."], "subsections": [{"section_title": "Acquisition Planning for Major Contracts", "paragraphs": ["As we have previously reported, during the acquisition-planning phase for contracts, DOE makes critical decisions that have significant implications for the cost and overall success of an acquisition. The size and duration of DOE\u2019s management and operating (M&O) contracts\u201422 M&O contracts with an average potential duration of 17 years, representing almost three-quarters of DOE\u2019s spending in fiscal year 2015\u2014underscore the importance of planning for every M&O acquisition. In August 2016, we examined DOE\u2019s use of M&O contracts. According to DOE officials we interviewed at that time, one of the primary reasons DOE uses M&O contracts is because they are easier to manage with fewer DOE personnel because they are less frequently competed and have broadly written scopes of work, among other attributes. We found that DOE did not consider acquisition alternatives beyond continuing its long-standing M&O contract approach for 16 of its 22 M&O contracts. We concluded that without considering broader alternatives in the acquisition planning phase, DOE cannot ensure that it is selecting the most effective scope and form of contract, raising risks for both contract cost and performance. We recommended in our August 2016 report that DOE establish a process to analyze and apply its experience with contracting alternatives. DOE generally concurred with our recommendation, and, in November 2016, issued updated guidance requiring acquisition planning documents to contain a thorough discussion of alternatives beyond simply extending or competing M&O contracts."], "subsections": []}, {"section_title": "Quality of Enterprise-Wide Cost Information", "paragraphs": ["We have previously reported that the effectiveness of DOE\u2019s monitoring of its contracts, projects, and programs depends upon the availability of reliable enterprise-wide cost information on which to base oversight activities. For example, reliable enterprise-wide cost information is needed to identify the cost of activities, ensure the validity of cost estimates, and provide information to Congress to make budgetary decisions. However, we have found that meaningful cost analyses across programs, contractors, and sites are not usually possible because NNSA\u2019s contractors use different methods of accounting for and tracking costs. NNSA developed a plan to improve and integrate its cost reporting structures; however, we found in January 2017 that this plan did not provide a useful road map for guiding NNSA\u2019s effort. For example, we found that NNSA did not define strategies and identify resources needed to achieve its goals, which is a leading practice for strategic planning. NNSA\u2019s plan contained few details on the elements it must include, such as its feasibility assessment, estimated costs, expected results, and an implementation timeline. We concluded that, until a plan is in place that incorporates leading strategic planning practices, NNSA cannot be assured that its efforts will result in a cost collection tool that produces reliable enterprise-wide cost information that satisfies the information needs of Congress and program managers. We recommended that NNSA develop a plan for producing cost information that fully incorporates leading planning practices. NNSA agreed with our recommendation.", "In addition, as we have previously noted, quality data are needed for DOE to manage its risk of fraud. The Fraud Reduction and Data Analytics Act of 2015 establishes requirements aimed at improving federal agencies\u2019 controls and procedures for assessing and mitigating fraud risks through the use of data analytics. In a March 2017 report, however, we found that because DOE does not require its contractors to maintain sufficiently detailed transaction-level cost data that are reconcilable with amounts charged to DOE, it is not well positioned to employ data analytics as a fraud detection tool. We found that the data were not suitable either because they were not for a complete universe of transactions that was reconcilable with amounts billed to DOE or because they were not sufficiently detailed to determine the nature of costs charged to DOE. We concluded that, without requiring contractors to maintain such data, DOE will not be well positioned to meet the requirements of the Fraud Reduction and Data Analytics Act of 2015 and manage its risk of fraud and other improper payments. We recommended that DOE require contractors to maintain sufficiently detailed transaction-level cost data that are reconcilable with amounts charged to the government.", "DOE did not concur with our recommendation. This is because, according to DOE, the recommendation establishes agency-specific requirements for DOE contractors that are more prescriptive than current federal requirements and that its M&O contractors, not DOE, are responsible for performing data analytics and determining what data are needed to do so. DOE\u2019s response to our recommendation is concerning because it demonstrates that DOE does not fully appreciate its responsibility for overseeing contractor costs. We believe that the use of data-analytic techniques by DOE employees could help mitigate some of the challenges that limit the effectiveness of DOE\u2019s approach for overseeing M&O contractor costs. However, effectively applying data-analytics depends on the availability of complete and sufficiently detailed contractor data. Therefore, by implementing our recommendation DOE could take the important steps necessary to require contractors maintain sufficiently detailed transaction-level cost data that are reconcilable with amounts charged to the government."], "subsections": []}, {"section_title": "Program and Project Management", "paragraphs": ["Although, as mentioned previously, DOE has taken some steps to improve program and project management, our recent work has shown that DOE continues to face several challenges in these areas. Specifically on program management: In November 2017, we found that NNSA had established program management requirements, such as developing cost and schedule estimates for its uranium, plutonium, tritium, and lithium programs and had established managers\u2019 roles and responsibilities for these programs. However, officials told us that the programs had not fully met these requirements primarily because of staff shortages. We recommended that NNSA determine the critical staff skills it will need for these programs and use that information to address staffing shortages. NNSA agreed with our recommendation.", "In a September 2017 report on the NNSA\u2019s uranium program, we found that NNSA had not developed a complete scope of work, a life- cycle cost estimate, or an integrated master schedule for the overall uranium program\u2014all of which are considered leading practices\u2014and it had no time frame for doing so. We reported that NNSA plans to do so for the specific Uranium Processing Facility project, as required by DOE\u2019s project management order. However, NNSA had not developed a complete scope of work for key program requirements, including important and potentially costly repairs and upgrades to existing buildings in which NNSA intends to house some uranium processing capabilities. We concluded that because NNSA had not developed a complete scope of work for the overall uranium program, it did not have the basis to develop a life-cycle cost estimate or an integrated master schedule for the entire uranium program, which runs counter to best practices identified in GAO\u2019s cost estimating and scheduling guides. We recommended that NNSA set a time frame for completing the scope of work, life-cycle cost estimate, and integrated master schedule for the overall uranium program. NNSA generally agreed with this recommendation and has ongoing efforts to complete these actions.", "In September 2017, we found that DOE\u2019s program to re-establish the production of a plutonium isotope used to provide electrical power for the National Aeronautics and Space Administration missions had made progress but that it faced a number of technical and organizational challenges to meeting production goals. Specifically, we found that NNSA had not developed an implementation plan that identifies milestones and interim steps that can be used to demonstrate progress in meeting production goals. Our prior work has shown that plans that include milestones and interim steps help an agency to set priorities, use resources efficiently, and monitor progress in achieving agency goals. In our September 2017 report, we made three recommendations, including that DOE develop such a plan for its plutonium isotope production approach and that DOE assess the long-term effects of known production challenges and communicate these effects to the National Aeronautics and Space Administration. DOE concurred with our recommendations.", "Our prior work also demonstrates that DOE continues to face project management challenges in terms of having reliable performance data or conducting reliable analyses of alternatives. Specifically, In a January 2018 report, we found management challenges associated with NNSA\u2019s life extension programs (LEP). For example, we found that NNSA had begun implementing requirements for using earned value management (EVM) \u2014a tool used across industry and government for conducting cost and schedule performance analysis\u2014in three LEPs, but it had not adopted a key best practice that could help the agency better manage risk for LEPs. Specifically, we found that NNSA does not require an independent team to validate the EVM systems used by NNSA\u2019s contractors for LEPs against the national EVM standard. We concluded that without requiring validation of EVM systems, NNSA may not have assurance that its LEPs are obtaining reliable EVM data for managing their programs and reporting their status. We recommended that NNSA require an independent team to validate contractor EVM systems used for LEPs. NNSA agreed with our recommendation but stated that it already relies on a DOE project management office to independently validate contractor EVM systems. However, as we reported, DOE has not independently validated contractor EVM systems at six of the seven contractor sites that are responsible for conducting LEP activities.", "In May 2015, we reported that DOE initiated a new project, the Low Activity Waste Pretreatment System project, to accelerate waste treatment at Hanford. We found that this project was selected on the basis of similar past proposals without consideration of other potentially viable alternatives, contrary to requirements in DOE\u2019s project management order. We also reported that DOE\u2019s cost and schedule estimates for completion of the project were not conducted according to best practices and were therefore not reliable. We recommended that DOE re-evaluate alternatives and that it revise the cost and schedule estimates in line with best practices. DOE generally agreed with our recommendations but not some of the conclusions. In September 2017, amid concerns about project cost growth and schedule delays, DOE directed the contractor to conduct a new analysis of alternatives to identify options that will allow the project to be completed within current cost and schedule estimates. The department has suspended work on the project pending a decision on its design.", "We will continue to monitor EM\u2019s management and oversight of its operations activities and DOE\u2019s risk-informed cleanup decisions to address environmental liabilities, as part of our ongoing work for this subcommittee."], "subsections": []}, {"section_title": "Major Legacy Projects", "paragraphs": ["As previously mentioned, in response to a 2015 memorandum on project management policies from the Secretary of Energy, DOE instituted project management reforms that\u2014if fully implemented\u2014will help ensure that future projects are not affected by the challenges that have persisted for DOE\u2019s major legacy projects. Although DOE has taken action on certain major projects, we found that it has not consistently applied these reforms, and in particular, DOE has not applied such reforms to its largest legacy cleanup project at its Hanford Site in Washington state. As we found in a May 2015 report, DOE continues to allow construction of certain Waste Treatment and Immobilization Plant (WTP) facilities at DOE\u2019s Hanford Site before designs are 90 percent complete. This contrasts with DOE\u2019s revised project management order that now requires a facility\u2019s design to be at least 90 percent complete before establishing cost and schedule baselines and cost and schedule estimates that meet industry best practices. The WTP is DOE\u2019s largest project, and it has faced numerous technical and management challenges that have added decades to its schedule and billions of dollars to its cost. We recommended in May 2015 that DOE (1) consider whether to limit construction on the WTP until risk mitigation strategies are developed to address known technical challenges, and (2) determine the extent to which the quality problems exist, in accordance with its quality assurance policy, for the facilities\u2019 systems that have not been reviewed to determine if additional vulnerabilities exist. However, as of September 2016, DOE had not yet implemented our recommendations. In December 2016, DOE announced that the cost estimate for one portion of the WTP\u2014the part needed to treat a fraction of the low-activity waste\u2014had increased to nearly $17 billion. We are currently in the process of completing a report on DOE\u2019s WTP quality assurance program."], "subsections": []}]}]}, {"section_title": "NNSA\u2019s Nonproliferation Program Faces Performance Measurement and Program Management Challenges", "paragraphs": ["Our previous work has found that NNSA also faces challenges implementing its nonproliferation programs under its Office of Defense Nuclear Nonproliferation (DNN), which implements nuclear nonproliferation programs worldwide. In recently completed reviews of DNN programs, we have identified several challenges NNSA faces in how it measures performance and conducts program management of these efforts. Specifically, In September 2017, we found that four DNN programs did not have schedule and cost estimates covering their planned life cycles and did not measure performance against schedule and cost baselines as is recommended by program management leading practices. NNSA officials explained that in general this is due in part to high levels of uncertainty in planning the selected programs\u2019 work scope or schedules, particularly in working with partner countries; however, we noted that uncertainty should not prevent these programs from establishing more complete or longer-term estimates to account for the time and resources they need to achieve their goals and track their performance. In addition, we observed that DOE\u2019s cost estimating guide, which applies to NNSA programs, describes approaches for programs to incorporate risk and uncertainty in estimates. But we found that DNN\u2019s program management policy, which was updated in February 2017, did not outline requirements for programs to establish life-cycle estimates or measure performance against schedule and cost baselines. We recommended that DNN revise its program management policy to require DNN programs to follow life-cycle program management, such as requiring life-cycle estimates and measuring against baselines. Updating the DNN policy to include requirements and guidance on cost estimating and tracking performance against schedule and cost baselines could help ensure that NNSA managers and Congress have better information on (1) how much DNN programs may cost, (2) the time they may need to achieve their goals, and (3) how effectively they are being executed compared to plans. Although NNSA neither agreed nor disagreed with the recommendation, it indicated that it plans to take action to revise its policy to address the recommendation.", "In February 2017, we found that NNSA was unable to demonstrate the full results of its research and development technology for preventing nuclear proliferation. Specifically, we reported that DNN\u2019s Research and Development program did not consistently track and document projects that result in technologies being transitioned or deployed. Furthermore, we found that DNN\u2019s Research and Development project performance was difficult to interpret because the program\u2019s performance measures did not define criteria or provide context justifying how the program determined that it met its targets. We concluded that this, in turn, could hinder users\u2019 ability to determine the program\u2019s progress. NNSA officials said that final project reports did not document their assessment of performance against baseline targets and that there was no common template for final project reports. We noted that documenting assessments that compare final project performance results against baseline targets for scope of work and completion date could enhance NNSA\u2019s ability to manage its programs in accordance with these standards. We also concluded that more consistently tracking and documenting the transitioned and deployed technologies that result from DNN\u2019s projects could also facilitate knowledge sharing within DNN. This would also provide a means by which to present valuable information to Congress and other decision makers about the programs\u2019 results and overall value. We recommended that NNSA consistently track and document results of DNN Research and Development projects and document assessments of final project results against baseline performance targets. NNSA agreed to take actions in response to both recommendations.", "In June 2016, we found that the Nuclear Smuggling Detection and Deterrence (NSDD) program had developed a program plan but that the plan did not include measurable goals and performance measures aligned to the goals. As a result, we concluded that the NSDD program may not be able to determine when it has fully accomplished its mission and risked continuing to deploy equipment past the point of diminishing returns. We recommended that NSDD develop a more detailed pr ogram plan that articulates when and how it will achieve its goals, including completing key activities, such as the deployment of radiation detection equipment to partner countries. NNSA agreed with this recommendation.", "Chairman Upton, Ranking Member Rush, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgements", "paragraphs": ["If you or your staff members have any questions about this testimony, please contact me at (202) 512-3841 or trimbled@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Nico Sloss, Assistant Director; Nathan Anderson; Allison Bawden; Natalie Block; Mark Braza; Antoinette Capaccio; Jenny Chow; Ricki Gaber; Jonathan Gill; William Hoehn; Cristian Ion; Amanda Kolling; and Diane LoFaro."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["The following is a selection of GAO\u2019s recent work assessing the Department of Energy\u2019s management efforts, including at the National Nuclear Security Administration and at the Office of Environmental Management: Nuclear Weapons: NNSA Should Adopt Additional Best Practices to Better Manage Risk for Life Extension Programs. GAO-18-129. Washington, D.C.: January 30, 2018.", "Nuclear Weapons: NNSA Needs to Determine Critical Skills and Competencies for Its Strategic Materials Programs. GAO-18-99. Washington, D.C.: November 14, 2017.", "Nuclear Nonproliferation: NNSA Needs to Improve Its Program Management Policy and Practices. GAO-17-773. Washington, D.C.: September 28, 2017.", "Modernizing the Nuclear Security Enterprise: A Complete Scope of Work Is Needed to Develop Timely Cost and Schedule Information for the Uranium Program. GAO-17-577. Washington, D.C.: September 8, 2017.", "Space Exploration: DOE Could Improve Planning and Communication Related to Plutonium-238 and Radioisotope Power Systems Production Challenges. GAO-17-673. Washington, D.C.: September 8, 2017.", "Nuclear Waste: Opportunities Exist to Reduce Risks and Costs by Evaluating Different Waste Treatment Approaches at Hanford. GAO-17-306. Washington, D.C.: May 3, 2017. 2017 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits. GAO-17-491SP. Washington, D.C.: April 26, 2017.", "National Nuclear Security Administration: Action Needed to Address Affordability of Nuclear Modernization Programs. GAO-17-341. Washington, D.C.: April 26, 2017.", "Department of Energy: Use of Leading Practices Could Help Manage the Risk of Fraud and Other Improper Payments. GAO-17-235. Washington, D.C.: March 30, 2017.", "High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others. GAO-17-317. Washington, D.C.: February 15, 2017.", "Nuclear Nonproliferation: Better Information Needed on Results of National Nuclear Security Administration\u2019s Research and Technology Development Projects. GAO-17-210. Washington, D.C.: February 3, 2017.", "Nuclear Waste: Benefits and Costs Should Be Better Understood Before DOE Commits to a Separate Repository for Defense Waste. GAO-17-174.Washington, D.C.: January 31, 2017.", "National Nuclear Security Administration: A Plan Incorporating Leading Practices Is Needed to Guide Cost Reporting Improvement Effort. GAO-17-141. Washington, D.C.: January 19, 2017.", "Program Management: DOE Needs to Develop a Comprehensive Policy and Training Program. GAO-17-51. Washington, D.C.: November 21, 2016.", "Department of Energy: Actions Needed to Strengthen Acquisition Planning for Management and Operating Contracts. GAO-16-529. Washington, D.C.: August 9, 2016.", "DOE Project Management: NNSA Needs to Clarify Requirements for Its Plutonium Analysis Project at Los Alamos. GAO-16-585. Washington, D.C.: August 9, 2016.", "Orion Multi-Purpose Crew Vehicle: Action Needed to Improve Visibility into Cost, Schedule, and Capacity to Resolve Technical Challenges. GAO-16-620. Washington, D.C.: July 27, 2016.", "Department of Energy: Whistleblower Protections Need Strengthening. GAO-16-618. Washington, D.C.: July 11, 2016.", "Combating Nuclear Smuggling: NNSA\u2019s Detection and Deterrence Program Is Addressing Challenges but Should Improve Its Program Plan. GAO-16-460. Washington, D.C.: June 17, 2016.", "Modernizing the Nuclear Security Enterprise: NNSA\u2019s Budget Estimates Increased but May Not Align with All Anticipated Costs. GAO-16-290. Washington, D.C.: March 4, 2016.", "Weapons System Acquisitions: Opportunities Exist to Improve the Department of Defense\u2019s Portfolio Management. GAO-15-466. Washington, D.C.: August 27, 2015.", "Hanford Waste Treatment: DOE Needs to Evaluate Alternatives to Recently Proposed Projects and Address Technical and Management Challenges. GAO-15-354. Washington, D.C.: May 7, 2015.", "DOE and NNSA Project Management: Analysis of Alternatives Could Be Improved by Incorporating Best Practices. GAO-15-37. Washington, D.C.: December 11, 2014.", "Modernizing the Nuclear Security Enterprise: NNSA\u2019s Budget Estimates Do Not Fully Align with Plans. GAO-14-45. Washington, D.C.: December 11, 2013.", "Commercial Nuclear Waste: Effects of a Termination of the Yucca Mountain Repository Program and Lessons Learned. GAO-11-229. Washington, D.C.: April 8, 2011.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["The Department of Energy's (DOE) National Nuclear Security Administration (NNSA) manages the U.S. nuclear weapons stockpile and supports nonproliferation efforts. DOE's Office of Environmental Management addresses contamination at nuclear weapons production sites. We testified that", "NNSA\u2019s plans to modernize its nuclear weapons do not align with its budget, raising affordability concerns", "DOE's environmental cleanup liability may cost billions more than anticipated", "DOE continues to face challenges managing its contracts, projects, and programs", "NNSA has faced management challenges implementing its nonproliferation programs"]} {"id": "GAO-18-347", "url": "https://www.gao.gov/products/GAO-18-347", "title": "Event Ticket Sales: Market Characteristics and Consumer Protection Issues", "published_date": "2018-04-12T00:00:00", "released_date": "2018-05-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Tickets for concerts, theater, and sporting events can be purchased\u2014typically online\u2014from the original seller (primary market) or a reseller (secondary market). Some state and federal officials and others have raised issues about ticketing fees, the effect of the secondary market on ticket prices, and the transparency and business practices of some industry participants. Event ticketing is not federally regulated. However, federal legislation enacted in 2016 restricts bots (ticket-buying software). Also, the Federal Trade Commission (FTC) has taken two enforcement actions related to deceptive marketing by ticket sellers under its broad FTC Act authority.", "GAO was asked to review issues around online ticket sales. This report examines (1) what is known about online ticket sales, (2) consumer protection issues related to such sales, and (3) potential advantages and disadvantages of selected approaches to address these issues.", "GAO focused on concert, theater, and major league sporting events for which there is a resale market. GAO analyzed data on fees, ticket volume, and resale prices from a variety of sources; reviewed the largest ticket sellers' websites and purchase processes; and reviewed federal and state laws and relevant academic literature. GAO also interviewed and reviewed documentation from government agencies; consumer organizations; ticket sellers; venue operators; promoters and managers; sports leagues; and academics (selected for their experience and to provide a range of perspectives)."]}, {"section_title": "What GAO Found", "paragraphs": ["Ticket pricing, resale activity, and fees for events vary. Tickets to popular events sold on the primary market sometimes are priced below the market price, partly because performers want to make tickets affordable and maintain fans' goodwill, according to industry representatives. Tickets are often resold on the secondary market at prices above face value. In a nongeneralizable sample of events GAO reviewed, primary and secondary market ticketing companies charged total fees averaging 27 percent and 31 percent, respectively, of the ticket's price.", "Consumer protection issues include difficulty buying tickets at face value and the fees and marketing practices of some market participants.", "Professional resellers, or brokers, have a competitive advantage over consumers in buying tickets as soon as they are released. Brokers can use numerous staff and software (\u201cbots\u201d) to rapidly buy many tickets. As a result, many consumers can buy tickets only on the resale market at a substantial markup.", "Some ticket websites GAO reviewed did not clearly display fees or disclosed them only after users entered payment information.", "\u201cWhite-label\u201d resale sites, which often appear as paid results of Internet searches for venues and events, often charged higher fees than other ticket websites\u2014sometimes in excess of 40 percent of the ticket price\u2014and used marketing that might mislead users to think they were buying tickets from the venue.", "Selected approaches GAO reviewed, such as ticket resale restrictions and disclosure requirements, would have varying effects on consumers and businesses.", "Nontransferable tickets. At least three states restrict nontransferable tickets\u2014that is, tickets whose terms do not allow resale. Nontransferable tickets allow more consumers to access tickets at a face-value price. However, they also limit consumers' ability to sell tickets they cannot use, can create inconvenience by requiring identification at the venue, and according to economists, prevent efficient allocation of tickets.", "Price caps. Several states cap the price at which tickets can be resold. But according to some state government studies, the caps generally are not effective because they are difficult to enforce.", "Disclosure requirements. Stakeholders and government research GAO consulted generally supported measures to ensure clearer and earlier disclosure of ticket fees, although views varied on the best approach (for example, to include fees in an \u201call-in\u201d price or disclose them separately).", "Some market-based approaches are being used or explored that seek to address concerns about secondary market activity. These approaches include technological tools and ticket-buyer verification to better combat bots. In addition, a major search engine recently required enhanced disclosures from ticket resellers using its advertising platform. The disclosures are intended to protect consumers from scams and prevent potential confusion about who is selling the tickets."]}], "report": [{"section_title": "Letter", "paragraphs": ["In recent years, consumers and others have raised issues about the online ticket marketplace for concerts, commercial theater, and sporting events. For example, some consumers have complained about difficulty obtaining face-value tickets for popular events at the primary, or initial, sale to the general public\u2014only to find the tickets immediately available at high markups on the secondary, or resale, market. In response, event organizers and legislators have targeted ticket bots\u2014automated software that ticket brokers can use to buy large volumes of tickets. The Better Online Ticket Sales Act of 2016 (BOTS Act) restricted the use of bots and gave the Federal Trade Commission (FTC) and state attorneys general the authority to pursue violators with civil actions. Other issues that have been raised include the amount of ticket fees and restrictions on transferring some tickets.", "You asked us to review the marketplace and consumer protection issues related to online ticket sales. This report examines (1) what is known about primary and secondary online ticket sales, (2) the consumer protection concerns that exist related to online ticket sales, and (3) potential advantages and disadvantages of selected approaches to address these concerns.", "To address the first objective, we obtained and analyzed data on ticket volume and resale prices obtained from ticket sellers\u2019 websites for a nonprobability sample of 22 events, which were selected to represent a variety of event types and popularity levels. We collected data from October 16 through December 20, 2017. We also reviewed trade industry data on ticket prices and sales.", "To address the second objective, we reviewed the websites of 6 primary market ticket sellers, 11 secondary ticket exchanges, and 8 ticket sellers using \u201cwhite-label\u201d websites. For a sample of 31 events, chosen to reflect a mix of event types and venue sizes (e.g., arenas, theaters), we reviewed the process of purchasing tickets online and documented when and how clearly fees and restrictions were disclosed. In addition, we assessed the accuracy of information that customer service departments of three large secondary ticket exchanges provided. We also reviewed relevant enforcement activity by federal and state agencies and obtained and analyzed summary complaint data from FTC\u2019s Consumer Sentinel Network database.", "To address the third objective, we reviewed federal and selected state laws and examined the experiences of three U.S. states (Connecticut, Georgia, and New York) with relevant event ticketing laws. We also reviewed foreign government reports to obtain information on relevant ticketing restrictions in two foreign countries (Canada and the United Kingdom) with similar consumer protection issues reviewed in this report. For all three objectives, we reviewed documentary evidence (such as academic studies, trade reports and databases, and industry literature) and interviewed staff from FTC, Department of Justice (DOJ), and three state offices of attorney general; consumer organizations; primary and secondary ticket sellers; venue operators, event promoters, and artists\u2019 managers and agents; major sports leagues; and academics who have studied the ticket marketplace\u2014all of whom were selected for their experience and to provide a range of perspectives. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from November 2016 to April 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The Ticketing Marketplace", "paragraphs": ["The marketplace for primary and secondary ticketing services consists of several types of participants, including primary market ticketing companies, professional ticket brokers, secondary market ticket exchanges, and ticket aggregators (see table 1). Other parties that play a role in event ticketing, as discussed later in this report, include artists and their managers, booking agents, sports teams, producers, promoters, and operators of event venues (such as clubs, theaters, arenas, or stadiums).", "The private research firm IBISWorld estimated that online ticketing services (including ticketing for concerts, sporting events, live theater, fairs, and festivals) represented a $9 billion market in 2017, which included both the primary and secondary markets. Another private research firm, Statista, estimated that U.S. online ticketing revenues for sports and music events totaled about $7.1 billion in 2017. Estimates of the total number of professional ticket sellers vary. IBISWorld estimated that the U.S. market for online event ticket sales included 2,571 businesses in 2017. The Census Bureau lists more than 1,500 ticket services companies as of 2015 based on the business classification code for ticket services. However, this does not provide a reliable count of companies in the event ticketing industry because it includes companies selling tickets for services such as bus, airline, and cruise ship travel, among other services.", "However, a small number of companies conducts the majority of event ticket sales. In the primary ticket market\u2014where tickets originate and are available at initial sale\u2014Ticketmaster is the largest ticketing company. DOJ estimated that Ticketmaster (whose parent company is now Live Nation Entertainment) held more than 80 percent of market share in 2008, and it was still the market leader as of 2017. Less than a dozen other companies control most of the rest of the primary market, by our estimates. In the secondary market\u2014where resale occurs\u2014more companies are active, but StubHub estimated it held roughly 50 percent of market share as of 2017. According to Moody\u2019s Investors Service, Ticketmaster, which in addition to its primary market ticketing has a U.S. resale subsidiary, held the second-largest market share as of 2016.", "The majority of ticket sales occur online, through a website or mobile application. Ticketmaster\u2019s parent company reported that 93 percent of its primary tickets were sold online in 2017. The industry research group LiveAnalytics reported that in 2014, 68 percent, 50 percent, and 49 percent of people attending concerts, sporting events, and live theater or arts events, respectively, had recently purchased a ticket online."], "subsections": []}, {"section_title": "Regulation", "paragraphs": ["The event ticketing industry is not federally regulated. However, the Federal Trade Commission Act prohibits unfair or deceptive acts or practices in or affecting commerce, and FTC can enforce the act for issues related to event ticketing and ticketing companies. One federal statute specifically addresses ticketing issues\u2014the BOTS Act, which prohibits, among other things, circumventing security measures or other systems intended to enforce ticket purchasing limits or order rules. The act also makes it illegal to sell or offer to sell any event ticket obtained through these illegal methods and granted enforcement authority to FTC and state attorneys general.", "The Department of Justice\u2019s Antitrust Division plays a role in monitoring competition in the event ticketing industry. In 2010, Live Nation and Ticketmaster\u2014respectively, the largest concert promoter and primary ticket seller in the United States\u2014merged to form Live Nation Entertainment, Inc. DOJ approved the merger after requiring Ticketmaster to license its primary ticketing software to a competitor, sell off one ticketing unit, and agree to be barred from certain forms of retaliation against venue owners who use a competing ticket service. DOJ may also inspect Live Nation\u2019s records and interview its employees to determine or secure compliance with the terms of the final judgment clearing the merger.", "State government agencies generally invoke state laws on unfair and deceptive acts and practices to address ticketing violations, according to representatives of two state attorney general offices. In addition, several states have laws that directly apply to event ticketing. For example, some states restrict the use of bots, several other states impose price caps (or upper limits) on ticket resale prices, and states including Connecticut, New York, and Virginia restrict the use of nontransferable tickets (tickets with terms that do not allow resale). Several states require brokers to be licensed and adhere to certain professional standards, such as maintaining a physical place of business and a toll-free telephone number, and offering a standard refund policy."], "subsections": []}]}, {"section_title": "Ticketing Practices, Prices, Fees, and Resale Vary by Industry and Event", "paragraphs": ["The concert, sports, and theater industries vary in how they price and distribute tickets. Many tickets are resold on the secondary market, typically at a higher price. Among a nongeneralizable sample of events we reviewed, we observed that primary and secondary market ticketing companies charged total fees averaging 27 percent and 31 percent, respectively, of the ticket\u2019s price."], "subsections": [{"section_title": "On the Primary Market, Ticketing Practices Vary by Industry and Popular Events Are Sometimes Priced below Market", "paragraphs": [], "subsections": [{"section_title": "Concerts", "paragraphs": ["Ticketing practices for major concerts include presales and pricing that varies based on factors like location and the popularity of the performer. Tickets to popular concerts are often first sold through presales, which allow certain customers to purchase tickets before the general on-sale. Common presales include those for holders of certain credit cards or members of the artist\u2019s fan club, although promoters, venues, or other groups also may offer presales. Credit card companies might provide free marketing for events or other compensation in exchange for exclusive early access to tickets for their cardholders. In addition, the artist usually has the option to sell a portion of tickets to its fan club. The venue\u2019s ticketing company might want to limit the number of tickets allocated to fan clubs because the artist and manager can sell them through a separate ticketing platform, according to three event organizers we interviewed.", "There are no comprehensive data on the proportion of tickets sold through presales because this information is usually confidential. Industry representatives told us that 10 percent to 30 percent of tickets for major concerts typically are offered through presales, although it can be as many as about 65 percent of tickets for major artists performing at large venues. In addition, fan club presales usually represent 8 percent of tickets, although it may be more if the fan club presale uses the venue\u2019s ticketing company, according to two event organizers. A large ticketing company told us that 10 percent of tickets may be available for fan club presales. A 2016 study by the New York State Office of the Attorney General found that an average of 38 percent of tickets were allotted to presales for the 74 highest-grossing concerts at selected New York State venues in 2012\u20132015.", "Additionally, venues, promoters, agents, and artists commonly hold back a small portion of tickets from public sale. \u201cHolds\u201d may be given or sold to media outlets, high-profile guests, or friends and family of the artist. They also may be used to provide flexibility when the seating configuration is not yet final. Promoters typically will release unused holds before the event, offering the tickets to the public at face value.", "As with presales, little comprehensive data exist on the proportion of tickets reserved for holds. Industry representatives told us holds typically represent a relatively small number of tickets\u2014a few hundred for major events or perhaps a thousand for a stadium concert. The New York Attorney General report\u2019s review of a sample of high-grossing New York State concerts found that approximately 16 percent of tickets, on average, were allocated for holds. Of those holds, many went to venue operators\u2014 for example, one arena with around 21,000 seats usually received more than 900 holds per concert held there.", "The average face-value ticket price in 2017 among the top 100 grossing concert tours in North America was $78.93, according to Pollstar. Concert ticket prices vary by city or day of the week, based on anticipated demand. The main parties involved in price setting are the artist and her or his management team, promoter, and booking agent. Venues sometimes provide input based on their knowledge of prevailing prices in the local market. Ticketing companies sometimes offer tools or support to help event organizers price tickets based on their analysis of sales trends.", "Concert ticket prices are generally set to maximize profits, according to event organizers. In terms of production costs, the artist\u2019s guarantee\u2014the amount the artist is paid for each performance\u2014is usually the largest expense. The most popular artists can command the highest guarantees and their concerts also tend to have the highest production costs.", "However, for some high-demand events, tickets might be \u201cunderpriced\u201d\u2014 that is, knowingly set below the market clearing price that would provide the greatest revenue. Artists may underprice their tickets for a variety of reasons, according to industry stakeholders and our literature review:", "Reputation risk. Artists may avoid very high prices because they do not want to be perceived as gouging fans. Similarly, event organizers told us some artists have a certain brand or image\u2014such as working- class appeal\u2014that could be harmed by charging very high ticket prices.", "Affordability. Some event organizers told us that artists want to price tickets below market to provide access to fans at all income levels.", "Sold-out show. Event organizers may price tickets lower to ensure a sold-out show, which can improve the artist and event organizers\u2019 reputations and might help future sales.", "Audience mix. Some artists prefer to have the most enthusiastic fans at their shows, rather than just those able to pay the most, especially in the front rows, where tickets are generally the most expensive.", "Ancillary revenue. Better attendance through lower ticket prices can increase merchandise and concession sales, which can be a substantial source of revenue.", "In addition, event organizers may unintentionally underprice concert tickets because of imperfect information about what consumers are willing to pay. Tickets are also priced based on the prices and sales of the artist\u2019s (or similar artists\u2019) past tours, but demand can be hard to predict. Three event organizers told us that they have started using data from the ticket resale market to help set prices because that is a good gauge of the true market price."], "subsections": []}, {"section_title": "Sporting Events", "paragraphs": ["For major league professional sports, most decisions about ticket pricing and ticket distribution are made by the individual teams rather than by the league. According to the three major sports leagues we interviewed, their teams generally sell most of their tickets through season packages, with the remainder sold for individual games. Teams favor packages because they guarantee a certain level of revenue for the season. Representatives of two major sports leagues told us that their teams sold an average of 85 percent and 55 percent, respectively, of their tickets through season packages. One league told us that some of its teams increasingly offer not only full-season packages, but also partial-season packages. Another league said that in some cases, its teams might need to reserve a certain number of single game-day tickets\u2014for example, as part of an agreement when public funds helped build a new stadium.", "Representatives of the three sports leagues we interviewed told us that their teams do not use presales and holds to the same extent as the concert industry. Although teams do not sell a significant number of tickets through presales, they might offer first choice of seats to season ticket holders or individuals who purchased tickets in the past. In terms of holds, one league told us it requires its teams to hold a small number of tickets for the visiting team and teams might also hold a few tickets for sponsors and performers. Another league told us it does not have league- wide requirements on holds, but its teams sometimes hold a small number of seats for media.", "Sports teams generally set their ticket prices to maximize revenue, based on supply and anticipated demand, according to the leagues we interviewed. Ticket prices typically vary year-to-year, based on factors such as the team\u2019s performance the previous season and playing in a new stadium. Teams in many leagues use \u201cdynamic pricing\u201d for individual game tickets. They adjust prices as the game approaches based on changing demand factors, such as team performance and the weather forecast. The sports leagues with whom we spoke said teams\u2019 pricing considerations are based in part on a desire to have affordable tickets for fans of different income levels. In addition, one league told us its teams rely heavily on revenues other than ticket sales, such as from television deals and sponsorships."], "subsections": []}, {"section_title": "Theater", "paragraphs": ["Tickets for Broadway and national touring shows are distributed through direct online sales as well as several additional channels, including day- of-show discount booths, group packages, and call centers. Industry representatives told us that these shows use presales and holds, but not as extensively as the concert industry. At our request, a company provided us with data for five Broadway shows from June 2016 to September 2017. Approximately 13 percent of tickets in this sample were sold through presales, almost all of which were group sales (offered to particular groups prior to the general on-sale). Less than 1 percent of tickets in this sample were sold through presales offered to specific credit cardholders. Two shows in high demand held back an average of about 6 percent of tickets, while the other three shows held back about 1 percent.", "Producers and venue operators generally set prices, which are influenced by factors like venue capacity and the length of run needed to recoup expenses, according to industry representatives. According to the Broadway League, from May 22, 2017, to February 11, 2018, the average face-value price of a Broadway show was $123\u2014an average of $127 for musicals and $81 for plays. Industry representatives told us they sell about 10 percent of tickets through day-of-show discount booths. Even the most popular shows typically offer steep discounts for a small number of tickets through lotteries or other means.", "Tickets for some of the most popular Broadway shows have sometimes been underpriced, according to Broadway theater representatives, who told us they feel obligated to maintain relatively reasonable prices and to allow consumers of varying financial resources to attend their shows. Additionally, some shows are underpriced because their popularity was not anticipated. At the same time, in recent years, producers have started charging much higher prices (sometimes exceeding $500) for premium seats or for shows in very high demand, which allows productions to capture proceeds that would otherwise be lost to the secondary market."], "subsections": []}, {"section_title": "Relationships between Event Organizers and Brokers", "paragraphs": ["Sometimes event organizers work directly with brokers to distribute tickets on the secondary market. For high-demand events, event organizers may seek to capture a share of higher secondary market prices without the reputation risk of raising an event\u2019s ticket prices directly. For lower-demand events, selling tickets directly to brokers can guarantee a certain level of revenue and increase exposure (by using multiple resale platforms rather than a single ticketing site).", "In major league sports, teams sell up to 30 percent of seats directly to brokers, according to a large primary ticket seller.", "For Broadway theater, one company told us it regularly distributes about 8 percent to 10 percent of its tickets to a few authorized secondary market brokers.", "In the concert industry, it is unclear how often artists and event organizers sell tickets directly through the secondary market. Any formal agreements would be in business-confidential contracts, according to industry representatives, and artists may be concerned about disclosing them for fear of appearing to profit from high resale prices.", "All the artists\u2019 representatives with whom we spoke denied that their clients sold tickets directly to secondary market companies. However, a Vice President of the National Consumers League has cited evidence of cases in which ticket holds reserved for an artist were listed on the secondary market. A representative of one secondary market company told us of two cases in which representatives of popular artists approached his company about selling blocks of tickets for upcoming tours."], "subsections": []}]}, {"section_title": "Tickets to Popular Events Are Often Resold on the Secondary Market at Prices above Face Value", "paragraphs": ["Ticket resale prices can be significantly higher than primary market prices and brokers account for most sales on major ticket exchanges. When tickets on the primary market are priced below market value\u2014that is, priced less than what consumers are willing to pay\u2014it creates greater opportunities for profit on the secondary market. Resale transactions typically occur on secondary ticket exchanges\u2014websites where multiple sellers can list their tickets for resale and connect with potential buyers. Primary ticketing companies have also entered the resale market. For example, Ticketmaster allows buyers to resell tickets through its TM+ program, which lists resale inventory next to primary market inventory, and it owns the secondary ticket exchange TicketsNow.com.", "Generally speaking, the secondary market serves two types of sellers: (1) those who buy or otherwise obtain tickets with the intent of reselling them at a profit (typically, professional brokers), and (2) individuals trying to recoup their money for an event they cannot attend (or sports season ticket holders who do not want to attend all games or use resale to finance part of their season package). Representatives from the four secondary ticket exchanges with whom we spoke each said that professional brokers represent either the majority or overwhelming majority of ticket sales on their sites.", "Sellers set their own prices on secondary ticket exchanges, but some exchanges offer pricing recommendations. The exchanges allow adjustment of prices over time, and sellers can lower prices if tickets are not selling, or raise prices if demand warrants. Software tools exist that assist sellers in setting prices and in automatically adjusting prices for multiple ticket listings.", "However, resale prices are not always higher than the original price, and thus brokers assume some risk. In some cases, the market price declines below the ticket\u2019s face value\u2014for example, for a poorly performing sports team. The leading ticket exchange network has publicly stated that it estimates that 50 percent of tickets resold on its site sell for less than face value. However, we were unable to obtain data that corroborated this statement.", "Relatively few studies have looked at the ticket resale market for major concert, sporting, or theatrical events. Our review of relevant economic literature identified six studies that looked at ticket resale prices, one of which also looked at the extent of resale (see table 2). In general, the studies found a wide range of resale prices, perhaps reflecting the different methodologies and samples used or the limited amount of information on ticket resale. Additionally, the data reported are several years old and will not fully reflect the current market.", "For illustrative purposes, we reviewed secondary market ticket availability and prices for a nongeneralizable sample of 22 events. Among our selected events, the proportion of seats that were listed for resale ranged from 3 percent to 38 percent. In general, among the 22 events we reviewed, listed resale prices tended to be higher than primary market prices. For example, tickets for one sold-out rock concert had been about $50 to $100 on the primary market but ranged from about $90 to $790 in secondary market listings.", "For 7 of the 22 events, we observed instances in which tickets were listed on the resale market even when tickets were still available from primary sellers at a lower face-value price. For example, one theater event had secondary market tickets listed at prices ranging from $248 to $1,080 (average of $763), while a substantial number of tickets for comparable seats were still available on the primary market at $198 to $398. We did not have data to determine whether the resale tickets actually sold at their listed price. However, as discussed later, it is possible that some consumers buy on the secondary market, at a higher price, because they are not aware that they are purchasing from a resale site rather than the primary seller."], "subsections": []}, {"section_title": "Total Ticket Fees Averaged 27 Percent on the Primary Market and 31 Percent on the Secondary Market for Events We Reviewed", "paragraphs": ["Ticket fees vary in amount and type among the primary and secondary markets, and among different ticketing companies and events."], "subsections": [{"section_title": "Primary Market Fees", "paragraphs": ["Companies that provide ticketing services on the primary market typically charge fees to the buyer that are added to the ticket\u2019s list price and can vary considerably. A single ticket can have multiple fees, commonly including a \u201cservice fee,\u201d a per-order \u201cprocessing fee,\u201d and a \u201cfacility fee\u201d charged by the venue. Most primary ticketing companies offer free delivery options, such as print-at-home or mobile tickets, but charge additional fees for delivery of physical tickets.", "Venues usually have an exclusive contract with a single ticketing company and typically negotiate fees for all events at the venue, though in some cases they do so by category of event. Ticketing companies and venues usually share fee revenue and in some cases, the venue receives the majority of the fee revenue, according to primary ticketing companies. In addition, event organizers told us that promoters occasionally negotiate with the venue to add ticket fees or receive fee revenue.", "Ticketing companies told us that they do not have a set fee schedule and amounts and types of fees vary among venues. Fees can be set as a fixed amount, a fixed amount that varies with the ticket\u2019s face value (for example, $5 for tickets below $50 and $10 for tickets above $50), a percentage of face value, or other variations.", "While ticketing fees vary considerably, the 2016 New York Attorney General report found average ticket fees of 21 percent based on its review of ticket information for more than 800 tickets at 150 New York State venues. (In other words, a ticketing company would add $21 in fees to a $100 ticket, for a total price to the buyer of $121.) The 21 percent figure encompassed all additional fees, including service fees and flat fees, like delivery or order processing fees.", "We conducted our own review of ticketing fees for a nongeneralizable sample of a total of 31 concert, theater, and sporting events across five primary ticket sellers\u2019 websites: In total, the combined fees averaged 27 percent of the ticket\u2019s face value, and we observed values ranging from 13 percent to 58 percent.", "Service fees were, on average, 22 percent of the ticket\u2019s face value, and we observed values ranging from 8 percent to 37 percent.", "Fourteen of the events we reviewed had an additional order processing fee, ranging from $1.00 to $8.20.", "Five of the events we reviewed had an additional facility fee, ranging from $2.00 to $5.10.", "Table 3 shows the ticketing fees observed for events sold through three of the largest ticket companies we reviewed.", "A sixth ticketing company that focuses on theater uses a different fee structure. It simply charges two flat service fees across all of its events ($7 for tickets below $50 and $11 for tickets above $50), plus a base per- order handling charge of $3. Additionally, we noted that the 6 sporting events we observed tended to have lower fees than the 16 concerts and 9 theater events we observed. Specifically, sporting events had total fees averaging roughly 20 percent, compared to about 30 percent for concerts and theater."], "subsections": []}, {"section_title": "Secondary Market Fees", "paragraphs": ["Fees charged by secondary ticket exchanges we reviewed were higher than those charged by primary market ticket companies. Secondary ticket exchanges often charge service and delivery fees to ticket buyers on top of the ticket\u2019s listed price. For 7 of the 11 secondary ticket exchanges we reviewed, the service fee was a set percentage of the ticket\u2019s list price. Three of the remaining exchanges charged fees that varied across events, and the fourth did not charge service fees. Among the 10 exchanges that charged fees: In total, the combined fees averaged 31 percent of the ticket\u2019s listed price, and we observed values ranging from 20 percent to 56 percent.", "Service fees, on average, were 22 percent of the ticket\u2019s listed price, and we observed values ranging from 15 percent to 29 percent.", "In addition to the service fee, 8 of the 10 exchanges charged a delivery fee for mobile or print-at-home tickets, ranging from $2.50 to $7.95.", "Eight of the exchanges also charged a fee to the seller (in addition to the buyer), which was typically 10 percent of the ticket\u2019s sale price. (For example, if a ticket sells for $100, the seller would receive $90 and the exchange $10.)", "Table 4 provides additional information about the fees charged by three of the largest ticket resale exchanges."], "subsections": []}]}]}, {"section_title": "Consumer Protection Concerns Include the Ability to Access Face-Value Tickets and the Fees and Clarity of Some Resale Websites", "paragraphs": ["The technology and other resources of professional brokers give them a competitive advantage over individual consumers in purchasing tickets at their face-value price. Views vary on the extent to which the use of holds and presales also affect consumers. Many ticketing websites we reviewed did not clearly display their fees up front, and a subset of websites\u2014 referred to as white-label\u2014used marketing practices that might confuse consumers. Other consumer protection concerns that have been raised involve the amount charged for ticketing fees, speculative and fraudulent tickets, and designated resale exchanges (resale platforms linked to the primary ticket seller)."], "subsections": [{"section_title": "For Tickets to Popular Events, Consumers Often Must Pay More Than Face Value", "paragraphs": ["Tickets to popular events often are not available to consumers at their face-value price, frequently because seats sell out in the primary market almost as soon as the venue puts them on sale."], "subsections": [{"section_title": "Brokers\u2019 Competitive Advantage", "paragraphs": ["Brokers whose business is to purchase and resell tickets have a competitive advantage over individual consumers because they have the technology and resources to purchase large numbers of tickets as soon as they go on sale. Some consumer advocates, state officials, and event organizers believe that brokers unfairly use this advantage to obtain tickets from the primary market, which restricts ordinary consumers from buying tickets at face value. As a result, consumers may pay higher prices than they would if tickets were available on the primary market. In addition, some event organizers and primary ticket sellers have expressed frustration that the profits from the higher resale price accrue to brokers who have not played a role in creating or producing the event.", "Some professional brokers use software programs known as bots to purchase large numbers of tickets very quickly. When tickets first go on sale, bots can complete multiple simultaneous searches of the primary ticket seller\u2019s website and reserve or purchase hundreds of tickets, according to the 2016 report by the New York State Office of the Attorney General. Seats reserved by a bot\u2014even if ultimately not purchased\u2014 appear online to a consumer as unavailable. This, in turn, can make inventory appear artificially low during the first minutes of the sale and lead consumers to the secondary market to seek available seats, according to event organizers we interviewed. Bots can also automate the ticket-buying process, as well as identify when additional tickets are released and available for purchase. During its investigation of the ticketing industry, the New York State Office of the Attorney General identified an instance in which a bot bought more than 1,000 tickets to a single event in 1 minute.", "In addition, bots can be used to bypass security measures that are designed to enforce ticket purchase limits. For example, bots can use advanced character recognition to \u201cread\u201d the characters in a test designed to ensure that the buyer is human. Although the BOTS Act of 2016 restricts the use of bots, as discussed later, it is not yet clear the extent to which the act has reduced their use.", "Brokers have other advantages over consumers in the ticket buying process, according to the New York State Attorney General\u2019s report and industry stakeholders we interviewed. For example, some brokers employ multiple staff, who purchase tickets as soon as an event goes on sale. In addition, brokers can bypass sellers\u2019 limits on the number of tickets allowed to be purchased by using multiple names, addresses, credit card numbers, or IP (Internet protocol) addresses. Finally, to access tickets during a presale, some brokers join artists\u2019 fan clubs or hold multiple credit cards from the company sponsoring the presale."], "subsections": []}, {"section_title": "Role of Holds and Presales", "paragraphs": ["Holds and presales may limit the number of tickets available to consumers at face value, according to some consumer groups, secondary market companies, and other parties. For example, the National Consumers League testified that events with many holds and presales sell out more quickly during the general on-sale because fewer seats are available. Consumers may not be aware that many seats are no longer available by the time of the general on-sale. In addition, the National Consumers League and New York State Office of the Attorney General said they believe the use of holds and presales raise concerns about equity and fairness. They noted that most holds go to industry insiders who have a connection to the promoter or venue, while credit card presales are available only to cardholders, who typically are higher- income. The New York State Attorney General\u2019s office and seven event organizers with whom we spoke expressed concerns that presales benefit brokers, who take special measures to access tickets during presales.", "However, other industry representatives told us that holds and presales do not adversely affect consumers. They noted that for most events, the number of tickets sold through presales is not very high and few tickets are held back. Additionally, two event organizers and representatives from a primary ticketing company noted that most presales are accessible to a broad range of consumers\u2014such as tens of millions of cardholders. As a result, the distinction between what constitutes a presale and a general on-sale can be slim. Furthermore, some fan clubs may try to limit brokers\u2019 use of presales. For example, one manager said his artist\u2019s fan club gives priority for presales to long-time fan club members.", "In addition, some industry representatives noted that holds and presales serve important functions that can benefit consumers. For example, credit card presales can reduce event prices by funding certain marketing costs, and fan club presales can offer better access to tickets to artists\u2019 most enthusiastic fans, according to event organizers with whom we spoke. And as noted earlier, holds serve various functions, such as providing flexibility for seating configuration."], "subsections": []}]}, {"section_title": "Some Ticketing Websites We Reviewed Were Not Fully Transparent about Ticket Fees and Relevant Disclosures", "paragraphs": ["Among the largest primary and several secondary market ticketing companies, we identified instances in which fee information was not fully transparent. We reviewed the ticket purchasing process for a selection of primary and secondary ticketing companies\u2019 websites, including a subset of secondary market websites known as \u201cwhite-label\u201d websites. We reviewed the extent to which the companies\u2019 websites clearly and conspicuously presented their fees and other relevant information and also recorded the point at which fees were disclosed in the purchase process. While FTC staff guidance states that there is no set formula for a clear and conspicuous disclosure, it states that among several key factors are whether the disclosure is legible, in clear wording, and proximate to the relevant information. In recent reports, the National Economic Council (which advises the President on economic policy) and FTC staff have expressed concern about businesses that use \u201cdrip pricing,\u201d the practice of advertising only part of a product\u2019s price up front and revealing additional charges later as consumers go through the buying process."], "subsections": [{"section_title": "Primary Market Ticketing Companies", "paragraphs": ["For the 23 events we reviewed, the largest ticketing company\u2014believed to have the majority of the U.S. market share\u2014frequently did not display its fees prominently or early in the purchase process.", "For 14 of 23 events we reviewed, fees could be learned only by (1) selecting a seat; (2) clicking through one or two additional screens; (3) creating a user name and password (or logging in); and (4) clicking an icon labeled \u201cOrder Details,\u201d which displayed the face-value price and the fees.", "For 5 of the 23 events, the customer did not have to log in to see the fees, but the fees were visible only by clicking the \u201cOrder Details\u201d icon.", "For 4 of the 23 events, fees were displayed before log-in and without the need to take additional steps.", "Additionally, for 21 of the 23 events, ticket fees were displayed in a significantly smaller font size than the ticket price.", "For the five other primary market ticketing companies whose ticketing process we reviewed, fees were displayed earlier in the purchase process and more conspicuously. All five companies displayed fees before asking users to log in, including one that displayed fees during the initial seat selection process. Four of the five companies displayed fees in a font size similar to that of other price information and in locations on the page that were generally proximate to relevant information. However, for all companies we reviewed, fees and total ticket prices were not displayed during the process of browsing for different events.", "We found that two primary ticket sellers that sometimes offer nontransferable tickets (that is, tickets whose terms and conditions prohibit transfer) had prominently and clearly disclosed the special terms of those tickets\u2014for example, that the buyer\u2019s credit card had to be presented at the venue and the entire party had to enter at the same time. One company\u2019s website displayed these conditions on a separate screen for 10 seconds before allowing the buyer to proceed. The other company\u2019s website similarly displayed information about the tickets\u2019 nontransferability on a separate page in clear language in a font size similar to the pricing information."], "subsections": []}, {"section_title": "Secondary Ticket Exchanges", "paragraphs": ["We also reviewed disclosure of fees and other relevant information on the websites of 11 secondary ticket exchanges and resale aggregators. Two of the 11 websites displayed their fees conspicuously and early in the purchase process, and a third site did not charge ticketing fees. However, we found that ticket resale exchanges sometimes lacked transparency about their fees:", "Fees often were revealed only near the end. Seven of the 11 websites disclosed ticket fees only near the end of the purchase process, after the consumer entered an e-mail or logged in. Three of those seven websites displayed fee information only after the credit card number or other payment information was submitted.", "Fees sometimes were not conspicuously located. On 2 of the 11 websites, some fees were not displayed alongside the ticket price, but instead were only visible by clicking a specific button.", "Font sizes were small in two cases. On 2 of the 11 websites, fees were displayed in a font size significantly smaller than other text.", "In contrast to primary market sellers, secondary market sellers\u2019 websites sometimes did not clearly disclose when a ticket was nontransferable. Disclosures on secondary market ticket exchanges varied, in part because individual sellers are permitted to enter their own descriptions about ticket characteristics. In some cases, the seller identified nontransferable tickets only by labeling them \u201cgc,\u201d indicating that a gift card would be mailed to the buyer to present for entry to the venue.", "To further review nontransferable ticket listings, we contacted the customer service representatives of three large secondary ticket exchanges to ask about a nontransferable ticket listing. We asked if we would have difficulty using the ticket because the venue\u2019s or ticket seller\u2019s website stated that only the original buyer could use the ticket, with one website noting that picture identification might be required for entry. Customer service representatives of all three exchanges told us that despite the purported restrictions, we would be able to use the ticket to gain entry to the venue. To confirm these statements, we contacted officials of these venues, who acknowledged that picture identification had not been required for entry at these events.", "Consumers may not always be aware they are purchasing tickets from a secondary market site at a marked-up price. In a 2010 enforcement action, FTC settled a complaint against Ticketmaster after alleging, among other things, that the company steered consumers to its resale site, TicketsNow, without clear disclosures that the consumer was being directed to a resale website. The settlement requires Ticketmaster, TicketsNow, and any other Ticketmaster resale websites to clearly and conspicuously disclose when a consumer is on a resale site and that prices may exceed face value, and to include \u201creseller price\u201d or \u201cresale price\u201d with ticket listings. In addition, in January 2018, the National Advertising Division, a self-regulatory organization, asked FTC to investigate the fee disclosure practices of StubHub, a large secondary ticket exchange, alleging the company did not clearly and conspicuously disclose its service fees when it provides ticket prices."], "subsections": []}, {"section_title": "White-Label Websites for Ticket Resale", "paragraphs": ["A subset of ticket resale websites, known as \u201cwhite label,\u201d used marketing practices that might confuse consumers. A company providing white-label support allows affiliates to connect its software to their own, uniquely branded website. This is sometimes also described as a \u201cprivate label\u201d service in the industry. For event ticketing, a ticket exchange offering white-label support provides the affiliate company with access to its ticket inventory and services, such as order processing and customer service. However, the affiliate uses its own URL (website address), sets the ticket prices and fees, and conducts its own marketing and advertising. Two secondary ticket exchanges operate white-label affiliate programs, under which affiliates create unique white-label websites for ticket resale.", "While we did not identify data on the number of white-label websites for event ticketing, they commonly appear in the search results for all types of venues, including smaller venues like clubs and theaters. White-label websites often market themselves through paid advertising on Internet search engines, appearing at the top of search results for venues. Thus, they are often the first search results consumers see when searching for event tickets. Figure 1 provides a hypothetical example of a white-label advertisement on a search engine, as well as the typical appearance of a white-label website.", "In 2014, FTC and the State of Connecticut announced settlements with TicketNetwork\u2014one of the exchanges operating a white-label program\u2014 and two of its affiliates after charges of deceptively marketing resale tickets. The complaint alleged that these companies\u2019 advertisements and websites misled consumers into thinking they were buying tickets from the original venue at face value when they were actually purchasing resale tickets at prices often above face value. According to the complaint, the affiliate websites frequently used URLs that included the venue\u2019s name and displayed the venue\u2019s name prominently on their websites in ways that could lead consumers to believe they were on the venue\u2019s website. The settlements prohibited the company and its affiliates from misrepresenting that they are a venue website or that they are offering face-value tickets, and from using the word \u201cofficial\u201d on the websites, advertisements, and URLs unless the word is part of the event, performer, or venue name. They also required that the websites disclose that they are resale marketplaces, that ticket prices may exceed the ticket\u2019s face value, and that the website is not owned by the venue or other event organizers.", "FTC staff with whom we spoke told us that they were aware that similar practices have continued among other white-label companies. Staff told us they have continued to monitor white-label websites and related consumer complaints. Additionally, a wide range of stakeholders with whom we spoke\u2014including government officials, event organizers, and other secondary ticket sellers\u2014expressed concerns about these websites. In particular, they were concerned that consumers confused white-label websites for the venue\u2019s website.", "We reviewed 17 websites belonging to eight companies that were affiliates of the two secondary ticket exchanges offering white-label programs. We identified the sites by conducting online searches for nine venues (including stadiums, clubs, and theaters) on two of the largest search engines. All nine of the venues had at least one white-label site appear in the paid advertising above the search results. We observed the following:", "Sites could be confused with that of the official venue. Fourteen of the 17 white-label websites we reviewed used the venue\u2019s name in the search engine\u2019s display URL, in a manner that could lead a consumer to believe it was the venue\u2019s official website. In addition, 5 of the 17 webpages used photographs of the venue and 11 provided descriptions of the venue (such as its history) that could imply an association with the venue.", "Fees were higher than on other resale sites. Total ticketing fees (such as \u201cservice charges\u201d) for the white-label sites ranged from 32 percent to 46 percent of the ticket\u2019s list price, with an average of 38 percent. These fees were generally higher than those of other ticket resellers\u2014for example, the secondary ticket exchanges that we reviewed charged average fees of 31 percent.", "Fees were revealed only near the end. All 17 of the white-label sites we reviewed disclosed their fees late in the purchase process. Ticketing fees and total prices were provided only after the consumer had entered either an e-mail address or credit card information.", "Other key disclosures were present but varied in their conspicuousness. All 17 of the white label webpages we reviewed disclosed on their landing page and check-out page that they were not associated with the venue and were resale sites whose prices may be above face value. However, this information was presented in a small font or in an inconspicuous location (not near the top of the page) for the landing page of 7 of these webpages, as well as for the check-out page of 12 of the 17 webpages.", "Ticket prices were higher than other resale sites. The ticket price charged for the events we reviewed on the white-label sites had an average markup of about 180 percent over the primary market price. By comparison, other ticket resale websites we reviewed had an average markup of 74 percent.", "In some cases, we observed white-label websites selling event tickets when comparable tickets were still available from the primary seller at a lower price. For example, two white-label sites were offering tickets to an event for $90 and $111, respectively, whereas the venue\u2019s official ticketing website was offering comparable seats for $34. (All figures include applicable fees). Given the significantly higher cost for the same product, some consumers may be purchasing tickets from a white-label site only because they mistakenly believe it to be the official venue\u2019s site. As we discuss in greater detail later in this report, in February 2018, Google implemented requirements for resellers using its AdWords service that are intended, among other things, to prevent consumer confusion related to white-label sites."], "subsections": []}]}, {"section_title": "Other Consumer Protection Issues Have Been Identified", "paragraphs": ["Ticket fees, the use of speculative tickets, ticket fraud, and designated resale exchanges have raised consumer protection concerns among government agencies, industry stakeholders, and consumer advocates."], "subsections": [{"section_title": "Amount Charged for Ticket Fees", "paragraphs": ["Consumer protection advocates, event organizers, and some government entities have expressed concerns about high ticket fees. For example, the New York State Attorney General\u2019s report expressed concern about what it deemed high ticketing fees charged for unclear purposes. The report found that among online platforms, vendors of event tickets appeared to charge fees to consumers higher than most other online vendors. Concerns about high ticket fees also were frequently cited in 2009 congressional hearings on the proposed merger of Live Nation and Ticketmaster. In addition, some managers and agents we interviewed said their clients were dissatisfied with high ticket fees. Data we received from FTC\u2019s Consumer Sentinel Network indicated 67 complaints related specifically to event ticket fees from 2014 through 2016.", "A 2010 analysis by the Department of Justice said that the dominance of one company, Ticketmaster, in the primary ticketing market allowed the company to maintain high ticket fees. The report noted high barriers to entry for competitors, among which were high startup costs, Ticketmaster\u2019s reputation for providing quality service to venues, and long-term exclusive contracts that large venues typically sign with one ticketing company. In addition, with the merger, Live Nation Entertainment owns both the largest primary ticket seller (Ticketmaster) and largest promoter (Live Nation), and owns many large venues and an artist management company. When the ticketing company is owned by a major promoter, the combined firm\u2019s ability to bundle ticketing services and access to artists would require competitors to offer similar services in order to compete effectively, according to the Department of Justice analysis. In an attempt to mitigate these potential effects, the Department of Justice final judgment on the merger prohibited certain forms of retaliation against venues that contract with other ticketing companies. In the United Kingdom, where the venue and promoter typically contract with multiple ticket sellers, ticket fees are lower than in the United States\u2014 around 10 percent to 15 percent of the ticket\u2019s face value, according to a recent study.", "Industry experts generally consider the secondary market for event ticketing to be more competitive than the primary market because of the large number of brokers participating in the industry. According to a report by the National Economic Council, fees in this market may be higher than expected because of the lack of transparency described earlier\u2014consumers may be more willing to accept high fees and less likely to comparison shop when fees are disclosed at the end of a multistep purchase process. An FTC staff report made a similar point regarding hotel resort fees, noting that fees disclosed only at the end of the shopping process could harm consumers by making it more difficult to comparison shop for hotels. In addition, consumers who are led to believe that white-label ticketing sites are the official venue site may accept high fees because they think they are buying tickets from the primary ticketing provider, according to two industry representatives with whom we spoke.", "The level of fees in the secondary market might also be affected by partnerships between the primary and secondary ticket seller. Primary ticketing companies sometimes offer resale options or use of designated resale exchanges (discussed below). The American Antitrust Institute has expressed the view that these relationships can reduce inventory for rival secondary sellers and in turn, can result in higher fees, as the primary ticket seller essentially has a monopoly over both markets."], "subsections": []}, {"section_title": "Speculative Tickets", "paragraphs": ["A speculative ticket refers to a ticket put up for sale by a broker when the broker does not yet have the ticket in hand, perhaps because the event has not yet gone on sale. Brokers may sell speculative tickets because they anticipate they will be able to secure the tickets (whether on the primary or secondary market) and sell them for a profit. The terms of use of most secondary sites we reviewed did not allow speculative ticket listings. However, while we were unable to identify comprehensive data on the extent of speculative tickets, numerous industry representatives told us that these sites commonly do not enforce this prohibition and listing of speculative tickets was widespread. One common form of speculative ticketing occurs when brokers offer tickets after a popular artist has announced a concert schedule but not yet begun ticket sales, according to industry representatives.", "Several concerns exist around the use of speculative ticketing:", "The buyer may never get the ticket. Speculative ticket listings can result in canceled orders if the broker cannot obtain the ticket, or cannot obtain it at a price that would result in a profit. For example, it was reported that many fans who thought they purchased tickets to the 2015 Super Bowl actually purchased speculative tickets that were subsequently canceled when the supply of tickets was less than expected. According to industry stakeholders, consumers can typically obtain a refund on a canceled order from the broker or secondary ticket exchange, but may still face disappointment, inconvenience, or costs associated with nonrefundable travel to the planned event.", "The seat location is not guaranteed. Brokers selling speculative tickets typically do not specify the seat number but rather promise a certain section of the venue, according to two event organizers we interviewed. However, because the broker does not have the ticket in hand, consumers can receive seats that are worse or different than advertised.", "Speculative ticketing can cause consumer confusion. One large ticket resale exchange told us it only allows trusted brokers to sell speculative tickets under certain circumstances and requires sellers to use a special label for these listings. However, we observed other exchanges that are less transparent and do not make clear to the buyer that the ticket is speculative. Consumers may not be aware that tickets have not officially gone on sale yet and eventually may be available on the primary market at a lower price.", "In its 2010 enforcement action against Ticketmaster and its resale exchange, TicketsNow.com, FTC alleged that the companies failed to tell buyers that many of the resale tickets advertised were being sold speculatively. The settlement required Ticketmaster and its affiliates to disclose if a ticket was being sold speculatively and to otherwise refrain from misrepresenting the status of tickets. FTC staff also sent warning letters to other resale companies that may have been at risk of violating the FTC Act with regard to their speculative ticketing practices. More recently, in 2015 a request by the New York State Attorney General resulted in three major ticket exchanges removing speculative ticket listings for an upcoming tour. Representatives from one of the secondary ticket exchanges told us that while it is difficult to determine if a listing is truly speculative, they have removed listings when they have information from event organizers to indicate that no one could have obtained the tickets.", "Posing as a consumer, a GAO investigator made 11 inquiries to customer service representatives of two of the largest secondary ticket exchanges about two events listing tickets that appeared to be speculative. The customer service representatives generally acknowledged that the sellers did not yet have the tickets in hand but assured the investigator that the tickets would be provided."], "subsections": []}, {"section_title": "Fraudulent Tickets", "paragraphs": ["Event tickets are sometimes fraudulent\u2014for example, a fraudster may create and sell a counterfeit ticket or multiple copies of the same print-at- home ticket, according to industry representatives. We did not identify comprehensive data on the extent of ticket fraud. Event organizers with whom we spoke said that they typically only see a handful of fraudulent tickets at popular events, and do not consider fraudulent ticketing to be a widespread problem. A limited search of FTC\u2019s Consumer Sentinel Network data identified relatively few complaints\u2014an estimated 19 related to fraudulent tickets from 2014 through 2016. Industry representatives told us fraudulent tickets are most common for the most popular events and were often purchased on the street outside the venue or through an online classified advertisement.", "According to industry representatives, fraudulent ticketing is rare on secondary market exchanges, in part because the exchanges can take action against sellers of fraudulent tickets, such as fining them or banning them from future sales. The National Association of Ticket Brokers requires its members to have a policy to reimburse consumers for fraudulent tickets. Two secondary market participants told us the most common fraudulent activity they must address is credit card fraud by buyers rather than invalid tickets posted by sellers."], "subsections": []}, {"section_title": "Designated Resale Exchanges", "paragraphs": ["Designated resale exchanges are resale platforms that are linked to the primary ticket seller. They are most commonly used in major league sports. The four major sports leagues have agreements with one of two ticketing companies that allow consumers to buy and sell tickets through an official \u201cfan-to-fan\u201d resale marketplace. In addition, some individual teams and venues have an agreement with a third company to use its resale platform, which uses paperless tickets and can facilitate ticket transfers from one consumer to another or restrict transfers altogether (such as with nontransferable tickets).", "On these exchanges, when a consumer lists a ticket for resale, the exchange electronically confirms the seller\u2019s identity, then cancels the original ticket information (such as a barcode) and reissues the ticket with the new buyer\u2019s name. According to the three sports leagues we interviewed, designated resale exchanges are generally optional\u2014for example, the sports leagues allow brokers and consumers to use other secondary market exchanges as well.", "A representative of one of the major sports leagues told us the exchanges provide added revenue to teams because the teams receive some of the fee revenues from sales on the exchanges. The exchanges provide data on event attendees, which is valuable for marketing and security purposes, according to another sports league and a primary ticket seller. In addition, the exchanges can reduce resale fraud because the primary seller verifies the legitimacy of the ticket being resold, according to representatives of the three leagues we interviewed.", "However, some academics and secondary market participants we interviewed have argued that designated resale exchanges work to the detriment of consumers. For example, one academic study stated that a primary ticket seller\u2019s dominance in the secondary market can substantially reduce inventory for rival secondary sellers, thus impeding competition in the resale market. The study stated that reduced secondary market competition, in turn, can result in higher fees.", "In 2015, a U.S. district court dismissed StubHub\u2019s antitrust complaint against the Golden State Warriors basketball team and Ticketmaster, LLC. StubHub claimed that the Warriors\u2019 and Ticketmaster\u2019s exclusive resale agreement restricted secondary market competition for professional basketball tickets in the Bay Area, but the court disagreed.", "Some designated resale exchanges use price floors, below which consumers may not sell their tickets. One sports league\u2019s exchange has a price floor of $6, while the exchanges of two other sports leagues do not have league-wide price floors, according to league representatives. In addition, we identified instances of individual teams using price floors on their designated resale exchanges. One purpose of price floors is to protect brand reputation, according to league representatives, because too low a ticket price can lessen an event\u2019s perceived value. Price floors also can prevent the secondary market from undercutting a team\u2019s own (primary market) price. However, some consumer organizations and secondary ticket sellers said price floors were unfriendly to consumers. Season ticket holders might be unable to sell tickets for low-demand games for which market prices were lower than the floors. In addition, the New York State Attorney General\u2019s office noted that consumers might not always be aware that price floors were in effect and thus pay more than they would on another exchange."], "subsections": []}]}]}, {"section_title": "Effects of Ticket Resale Restrictions and Disclosures on Consumers and Business Would Vary", "paragraphs": ["Policymakers, consumer organizations, and industry participants have proposed or implemented a number of ticket resale restrictions and disclosure requirements, each of which have or would have advantages and disadvantages for consumers or industry participants (see table 5). Event ticketing is not federally regulated and some industry participants are using or exploring technology and other market-based approaches to address concerns related to secondary market activity."], "subsections": [{"section_title": "Nontransferable Tickets Can Reduce the Price Some Consumers Pay but Also Limit Flexibility", "paragraphs": ["Some event organizers make tickets to their events nontransferable\u2014that is, the terms and conditions of the ticket prohibit its transfer from one person (in whose name the ticket is issued) to another. The prohibition can be enforced by requiring consumers to bring to the venue the credit or debit card used for purchase and matching photo identification. The consumer then receives a seat locator slip\u2014akin to a consumer swiping a credit card at the airport to retrieve a boarding pass.", "At least three states\u2014Connecticut, New York, and Virginia\u2014have laws that restrict ticket issuers\u2019 ability to sell nontransferable tickets. Similar legislation has been introduced in several other states in recent years.", "The use of nontransferable tickets, even in states where they are legal, is relatively uncommon. For example, an artist advocacy group told us that some events that use them make only the first several rows of seats nontransferable. One large primary ticketing company told us it estimated that less than 5 percent of its events used nontransferable tickets, while another told us nontransferable tickets represented less than 1 percent of its tickets in total. Almost all nontransferable tickets are for concerts; the practice is rare for sporting events and theater, according to industry stakeholders with whom we spoke."], "subsections": [{"section_title": "Advantages of Nontransferable Tickets", "paragraphs": ["Advantages to consumers of nontransferable tickets stem from the goal of preventing ticket resale\u2014allowing consumers to pay face value rather than a higher price on the secondary market. As described earlier, markups on the secondary market can be substantial. Proponents of nontransferable tickets, which include a large primary ticket seller and some event organizers and well-known artists, have argued they are an important tool that makes it harder for brokers to resell tickets for profit.", "We identified one empirical study on the effects of nontransferable tickets on resale activity. A 2013 study in the Journal of Competition Law and Economics compared two events using nontransferable tickets to comparable events using transferable tickets at the same venues. It found that nontransferable tickets significantly reduced resale and that prices were significantly higher for the relatively small portion of nontransferable tickets that were resold.", "In addition, there is anecdotal evidence that nontransferable tickets reduce the rate of resale and allow more consumers to access tickets at face-value prices. Many stakeholders told us that making tickets nontransferable reduces secondary market activity, with some stakeholders citing specific examples. For instance, the manager of a large concert venue that primarily uses nontransferable tickets told us that resale is much less common for the venue\u2019s events than for comparable events at similar venues. Similarly, the manager of a major musical artist told us that using nontransferable tickets for a subset of seats on a recent arena tour resulted in minimal listings for those seats on the secondary market. The New York State Attorney General\u2019s report stated that nontransferable paperless tickets \u201cappear to be one of the few measures to have any clear effect in reducing the excessive prices charged on the secondary markets and increasing the odds of fans buying tickets at face value.\u201d But, while we identified evidence that nontransferable tickets limit resale, they may not eliminate resale because sellers may not follow the restriction."], "subsections": []}, {"section_title": "Disadvantages of Nontransferable Tickets", "paragraphs": ["However, other parties\u2014including primary and secondary market participants, consumer advocacy groups, academics, and government agencies\u2014have noted that nontransferable tickets can have the following disadvantages to consumers and adverse effects on markets: Financial loss. With nontransferable tickets, ticket buyers who cannot attend an event can lose the ability to recoup their money through resale.", "Inconvenience. Nontransferable tickets can be inconvenient because the buyer may need to present identification, a debit or credit card, or both, to gain entry to the venue, which can create delays. Nontransferable tickets also can create challenges for consumers buying tickets for others (including as a gift) because the ticket terms may require the buyer and original purchase card be present to gain entry. However, a primary ticket seller and a promoter told us these obstacles can be overcome\u2014for example, through mechanisms allowing buyers to transfer tickets upon request, and by using processes to speed venue entry (such as automated kiosks).", "Economic inefficiency. When nontransferable tickets are priced below the prevailing market price in the primary market, this creates excess demand, and tickets are sold without regard to consumers\u2019 willingness to pay. Traditional economics maintains that an efficient market would result in tickets going to those willing to pay the highest price, which nontransferability inhibits by restricting a secondary market. In addition, some academics have noted that consumers may be less willing to buy nontransferable tickets because they do not offer the \u201cinsurance\u201d that comes with the ability to resell them.", "Potential impingement on property rights. Some consumer groups and secondary market participants have argued that nontransferable ticket policies impinge on consumers\u2019 property rights. These parties argue that once consumers buy a ticket, they should be able to do whatever they like with it.", "Effect on competition. The New York State Attorney General\u2019s office and some economics literature have cautioned that use of nontransferable tickets by primary ticketing companies can impede competition in the secondary market by making these companies\u2019 own resale exchanges the only way to transfer tickets."], "subsections": []}]}, {"section_title": "Caps on Resale Prices Can Have Advantages and Disadvantages", "paragraphs": ["Several states have caps on the price at which tickets can be resold, while others have repealed caps and some studies have questioned their enforceability. For example, Kentucky generally prohibits the resale of event tickets for more than either face value or the amount charged by the venue, and Massachusetts prohibits resale by brokers of most tickets for more than $2 above face value, with the exception of relevant service charges. New Jersey allows a maximum markup of 20 percent or $3 (whichever is greater) for nonbrokers and a maximum markup of 50 percent for registered brokers, but does not limit resale prices for nonbrokers for sales over the Internet. A number of other states\u2014 including Minnesota, Missouri, New York, and Connecticut\u2014repealed their price cap laws in the 2000s. However, the New York State Attorney General\u2019s 2016 report recommended bringing back a price cap, through a \u201creasonable limit\u201d on resale markups.", "Price caps are generally intended to protect consumers from high markups and increase the fairness of ticket distribution so that the wealthiest consumers do not have disproportionate access to tickets. In theory, price caps offer consumers the advantages of nontransferable tickets without the disadvantages: they limit high secondary-market prices but still allow consumers to transfer tickets to others or resell tickets they cannot use.", "However, three government studies we reviewed stated that price caps are difficult to enforce and are rarely complied with. A 1999 report by the New York Attorney General noted that ticket resellers \u201calmost universally disregarded\u201d a cap in place at the time. Representatives from the office told us enforcement of such a cap might be easier now because the secondary market is largely on the Internet, which offers greater price transparency. A 2016 study of the United Kingdom\u2019s ticket market noted that enforcement of a price cap was complicated by the fact that ticket resellers were not a well-defined group and sales could occur on various platforms and across jurisdictions. Similarly, the New York State Department of State noted in 2010 that enforcement of price caps can be challenging.", "In addition, critics of price caps have said that caps might force resale activity underground, which would reduce transparency and protections (such as refund guarantees) that legitimate secondary market exchanges provide. Both the largest ticket exchange and the largest primary market ticket company have opposed price caps, with the ticket exchange arguing that they would result in street-corner transactions, where the risk of counterfeit and fraud would be significant. On formal exchanges, transactions can be monitored and regulated. As with nontransferable tickets, price caps also can create economic inefficiencies because tickets are not necessarily allocated to those willing to pay the highest price.", "A 2010 study by the New York State Department of State compared publicly available secondary market listings for high-demand concerts in New York to the same artists\u2019 concerts in nearby states with price caps. It found no definitive evidence that price caps resulted in greater or lesser availability on the secondary market or in lower resale prices. The study noted that online resale prices routinely exceeded the price caps. However, the authors of the study acknowledged that their findings were limited by their inability to obtain data on ticket sales and availability from secondary sellers."], "subsections": []}, {"section_title": "Stakeholder Views Vary on Effects of Additional Disclosure Requirements", "paragraphs": ["Legislative or regulatory actions to improve disclosure and transparency of ticket fees, resale markups, and ticket availability have advantages and disadvantages."], "subsections": [{"section_title": "Up-front Fee Disclosure", "paragraphs": ["Some government stakeholders have suggested improving fee transparency through a legal requirement to disclose ticket fees earlier in the purchase process. As discussed earlier, ticketing companies in the primary and secondary markets vary on when and how they disclose their fees, and some disclose fees only upon checkout. No federal law expressly addresses fee disclosure in event ticketing. However, at least one state requires disclosure of fees at the beginning of the purchase process.", "On the primary market, up-front fee disclosure helps decision making by informing consumers of the total ticket price early in the process. It also helps consumers decide whether to buy from the ticketer\u2019s website or at the box office, where there typically are no fees. On the secondary market, up-front fee disclosure aids comparison shopping by helping consumers identify the resale exchange with the best total price. Sellers that do not provide enough or full information on prices through hidden fees could have competitive advantage because they would be perceived as offering lower prices over their competitors who do provide full information showing the price. For products and services in general, FTC staff guidance advocates that fees be disclosed up front, particularly before the point at which the consumer has decided to make a purchase.", "Figure 2 provides examples of different approaches to displaying prices and fees.", "Currently, FTC relies on the Federal Trade Commission Act\u2014which prohibits unfair or deceptive acts or practices\u2014to address problems related to fee disclosures. But FTC staff said it is challenging and resource-intensive to use the act to address inadequate fee disclosures industry-wide because it requires proving violations on a case-by-case basis. FTC staff told us that, depending on the circumstances, a legislative disclosure requirement that specified requirements for fees could facilitate enforcement activity and create a more level playing field for consumers and sellers. Eleven industry stakeholders and three consumer advocacy groups with whom we spoke similarly expressed support for a requirement that ticketing fees be disclosed up front. Many noted that fees should be fully transparent to consumers.", "However, a primary ticket seller, two venue managers, and a secondary ticket seller we interviewed questioned the need for an up-front fee disclosure requirement. For example, a primary ticket seller stated that knowing fees up front would not affect a consumer\u2019s decision of whether or not to buy a ticket. The two venue managers believed that the timing of the fee disclosure was not important, as long as fees are disclosed before consumers complete the purchase. Representatives of one secondary ticket exchange said that up-front disclosure of fees could be challenging because a ticket\u2019s fee is not stable\u2014for example, the fee can change based on price fluctuations, different delivery methods, and the use of promotion codes.", "The National Economic Council has stated that \u201call-in pricing,\u201d a form of up-front pricing, may be preferable to other methods of fee disclosure. All-in pricing incorporates the ticket\u2019s face value and all mandatory fees and taxes, as illustrated in figure 2 above. According to the National Economic Council, all-in pricing eases comparison across vendors. The FTC staff report analyzing hotel resort fees supported all-in pricing for that industry because it said that breaking out fees, instead of providing a single total price, hindered consumer decision making and often resulted in consumers underestimating the total price. Officials from two state attorney general offices told us that all-in pricing could be advantageous, noting that fee disclosures represent their most significant enforcement issue related to the ticketing industry.", "Three secondary ticket sellers told us they might support a requirement to provide all-in pricing, but only if it was required of all ticket sellers. In 2014, the largest secondary market ticketing company began using all-in pricing, with its listings displaying a single total price that incorporated fees. However, the company soon discontinued all-in pricing as the default because, it told us, it put the company at a competitive disadvantage with other secondary market providers whose fees were not included in the initial ticket price displayed to consumers. A requirement that all ticket sellers provide up-front fee disclosure would mitigate or resolve that issue.", "One argument against a requirement for all-in pricing is that such regulation would restrict ticket companies\u2019 flexibility in choosing how to disclose fees. In addition, a manager, a promoter, and two artist advocacy groups said all-in pricing could give fans the incorrect impression that the artist was charging the full ticket price and receiving its revenues, because the portion of the price going toward ticketing fees would not be transparent."], "subsections": []}, {"section_title": "Disclosing Face Value on Resale Sites", "paragraphs": ["Some federal and state policymakers have proposed requirements for resellers to disclose a ticket\u2019s face value on secondary ticket websites. Georgia and New York State have enacted similar requirements, with statutes requiring resellers to disclose both the face value of tickets and their list price.", "Requiring that ticket resellers disclose the ticket\u2019s face value can have several advantages. First, it makes the reseller\u2019s markup transparent. Second, it can help consumers assess the quality of the seat location and compare similar seats across resale listings. Third, it might reduce the possibility that consumers mistake a reseller\u2019s website for a venue website, as described earlier. This, in turn, could encourage consumers to recognize they are viewing a secondary market exchange and comparison shop for a better price elsewhere.", "However, a requirement that resellers disclose a ticket\u2019s face value can present challenges because the definition of \u201cface value\u201d may not always be clear, according to three ticket resellers and FTC Bureau of Consumer Protection staff. If the face value does not incorporate fees and taxes charged on the primary market, it would not reflect the full amount paid by the original buyer. Similarly, some tickets are sold through VIP packages that do not itemize the price of the ticket and other components, such as backstage access or parking. In addition, with dynamic pricing, a ticket\u2019s face value can change frequently. Furthermore, season tickets may display a higher face value than the season ticket holder paid because teams usually sell the packages at a discount.", "A requirement to disclose a ticket\u2019s face value also could create compliance costs for secondary ticket exchanges, and could be difficult to enforce, according to some stakeholders. Three secondary ticket exchanges told us they do not currently collect information on a ticket\u2019s face value and would have difficulty verifying the value provided by the listing broker\u2014in part because of the challenges in defining face value, as described above. The New York State Office of the Attorney General stated in its 2016 report that most resellers cannot comply with the state\u2019s disclosure requirement because most secondary ticket exchanges do not offer the option to show the ticket\u2019s face value alongside its list price, despite having the capability to add such functionality. In addition, an official from Georgia\u2019s Athletic and Entertainment Commission told us that resellers largely disregarded the state\u2019s requirement to disclose face value."], "subsections": []}, {"section_title": "Disclosing Ticket Availability", "paragraphs": ["Another proposal, advocated by secondary market stakeholders, among others, would require primary ticket sellers to disclose how many tickets are available when an event first goes on sale to the general public. For instance, a venue or ticket seller might be required to provide the venue capacity and number of tickets available for sale after accounting for presales and holds. A 2017 law in Ontario, Canada, requires primary ticket sellers to provide certain information about venue capacity and presales, according to testimony by the Ontario Attorney General.", "Such a disclosure would provide consumers a clearer picture of ticket availability and help them manage expectations and make informed decisions, according to three consumer advocacy groups and two academics with whom we spoke. In addition, the National Association of Ticket Brokers and a secondary ticket exchange stated that disclosing ticket availability would shed light on what some consider excessive holds and presales by the primary market. They said that brokers often are blamed when events quickly sell out on the primary market, whereas there may have been relatively few tickets available for sale in the first place. The New York State Office of the Attorney General stated that the lack of transparency about the manner in which tickets are distributed creates a level of mistrust among consumers.", "However, many primary market stakeholders with whom we spoke\u2014 including promoters, managers, venue operators, and primary ticket sellers\u2014said such a disclosure would have little-to-no benefit. First, some of them noted that ticket inventory can change as event production details evolve and holds are released, making it difficult to provide an accurate number of tickets available at any one time. Second, some said this disclosure would be confusing or meaningless for consumers, with one promoter noting that for high-demand events, a consumer\u2019s odds of getting a ticket are low regardless of whether he or she knows the number of available tickets. Another promoter noted that the seat maps used to select seats when purchasing tickets already provide information on ticket availability. Many stakeholders also told us such a disclosure would only help brokers by giving them information useful in buying tickets and setting resale prices. In addition, a venue manager noted that information on ticket sales is considered proprietary and artists and event organizers should not be required to disclose confidential business information."], "subsections": []}]}, {"section_title": "Event Ticketing Is Not Federally Regulated and Some Stakeholders Cite Market-Based Approaches to Address Concerns about Secondary Market Activity", "paragraphs": ["Federal agencies face constraints in addressing ticketing issues. Some industry players are implementing technological and market-based approaches that seek to address concerns about secondary market activity."], "subsections": [{"section_title": "Federal Regulatory Environment", "paragraphs": ["As noted earlier, the event ticketing industry is not federally regulated. In contrast, in the airline industry, the Department of Transportation can issue regulations regarding the disclosure of airline fees. Staff from FTC\u2019s Bureau of Consumer Protection told us that\u2014in addition to the enforcement activity noted earlier\u2014they monitor consumer complaints related to the event ticket industry. However, they said they have resource and other constraints that make it difficult to conduct industry- wide investigations related to ticketing practices.", "Issues around the level and transparency of fees are not unique to the event ticketing industry. For example, as noted earlier, FTC staff have raised concerns about mandatory \u201cresort fees\u201d charged by many hotels but not immediately disclosed (such as in online price search results). In addition, according to the National Economic Council, sellers of other goods and services\u2014such as car dealers and telecommunications companies\u2014sometimes offer low prices up front that rise substantially with the addition of mandatory fees revealed later in the purchase process. As such, options for regulating the transparency of fees can have applicability broader than that of event ticketing.", "As noted earlier, the BOTS Act, which prohibits circumventing security measures or other systems intended to enforce ticket purchasing limits or order rules, went into effect in December 2016. However, a variety of industry, consumer, academic, and government stakeholders have expressed doubt that the BOTS Act would have much of an effect on prohibited bot use. Several of these stakeholders told us that bot users can easily evade detection and that enforcement of the act would be extremely difficult, in part because a lot of bot use occurs\u2014or could shift\u2014outside the United States. As of February 2018, FTC had not taken any enforcement action related to the act, but FTC staff told us they were monitoring the situation.", "The degree to which legislation combatting bots is effective may depend in part on the extent to which state attorneys general pursue enforcement actions. As of February 2018, we identified two states that had taken enforcement actions related to bot use. In May 2017, the New York State Office of the Attorney General announced settlements totaling $4.11 million with five ticket brokers which, among other offenses, violated New York State law by using bots to purchase and resell tickets. In April 2016, the office announced settlements totaling $2.7 million with six ticket brokers for similar violations. In February 2018, the Washington State Office of the Attorney General announced settlements totaling $60,000 with two ticket companies that used bots in violation of the state\u2019s ticketing law."], "subsections": []}, {"section_title": "Market-Based Approaches", "paragraphs": ["Industry players, including ticket companies and event organizers, are using or exploring technology and market-based approaches that seek to address concerns about secondary market activity. Examples of these approaches and their potential effects include the following:", "Delivery delays. Ticket sellers sometimes use delivery delays, meaning they do not provide the ticket immediately upon purchase. Instead, buyers receive their tickets (in paper or print-at-home form) closer to the day of the event. Delivery delays can inhibit resale activity because they give brokers less time to buy and resell tickets, and allow primary ticket sellers to review whether brokers and bots made bulk purchases, according to some promoters and primary ticket sellers. However, secondary market sellers we interviewed generally argued against delivery delays, with two sellers saying it can be inconvenient and stressful for consumers to receive a ticket just a few days before an event.", "Dynamic pricing. The use of dynamic pricing\u2014which adjusts prices over time based on demand\u2014can reduce secondary market activity by pricing tickets closer to their market clearing price. Raising primary market ticket prices, such as through dynamic pricing, does not necessarily benefit consumers but can help ensure that more ticket revenue accrues to the artist or team rather than ticket resellers.", "Verified fan program. At least one major ticket company has a program to sell tickets to pre-approved \u201cverified fans,\u201d to help ensure that more consumers and fewer brokers can access tickets on the primary market.", "New technology. Two stakeholders noted the potential for distributed ledger technology in ticketing. The technology associates a unique identification code with the ticket and its owner, which can help restrict transfer of the ticket and ensure its authenticity.", "Adding concerts. Artists can seek to make their ticket prices accessible by increasing the supply of seats\u2014for example, one major artist has added concert dates with the express purpose of matching ticket supply to demand to prevent higher resale prices.", "Face-value resale exchanges. Resale exchanges used by some artists only allow resale at face value (plus a limited amount to account for primary market fees). This allows consumers to recoup their ticket costs if their plans change, while preventing resale markups.", "Market-based approaches also may augment regulatory and enforcement action with regard to problems discussed earlier around transparency. In February 2018, Google\u2019s AdWords service\u2014which offers paid advertising alongside search results\u2014implemented new certification requirements for businesses that resell event tickets. First, resellers using AdWords must clearly disclose on their website or mobile application that they are a secondary market company and not the primary provider of the tickets.", "They cannot imply they are the primary provider by using words such as \u201cofficial\u201d or by including the artist or venue name in their website\u2019s URL\u2014 practices we noted earlier that were being used by some white-label websites. Second, resellers must prominently disclose when their ticket prices are higher than face value and disclose a price breakdown, including any fees, before the customer provides payment information. Google said in a statement that these measures were intended to protect customers from scams and prevent potential confusion. However, due to the recency of this change, it is too early to determine how it will affect the marketplace.", "In addition, the advertising industry\u2019s self-regulatory organization has taken steps to address potentially misleading pricing practices in the ticket industry. The Advertising Self-Regulatory Council sets standards for truth and accuracy for national advertisers, monitors the marketplace, and holds advertisers responsible for their claims. As noted earlier, the organization recently referred a major ticket company to FTC for not following its recommendations to conspicuously disclose its fees. Although the council can play a role in monitoring deceptive advertising related to ticketing, it also faces constraints\u2014for example, it addresses practices case-by-case and its recommendations depend on voluntary compliance by the advertiser.", "No matter what efforts are made to address concerns about the ticket marketplace, some of the consumer dissatisfaction with event ticketing stems from an intractable issue: demand for tickets to highly popular events exceeds supply. As such, no activity, outside of expanding the supply, is likely to effectively address one key source of consumer dissatisfaction: that tickets are not available to popular sold-out events."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ and FTC for review and comment. We received technical comments from FTC, which we incorporated as appropriate. We also provided relevant excerpts of the draft for technical review to selected private parties cited in our report, and included their technical comments as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to DOJ, FTC, the appropriate congressional committees and members, and others. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-8678 or clementsm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to examine (1) what is known about primary and secondary online ticket sales, (2) the consumer protection concerns that exist related to online ticket sales, and (3) potential advantages and disadvantages of selected approaches to address these concerns. The scope of our work generally focused on ticketing for large concert, theater, and sporting events for which there is a resale market.", "To develop background information on the U.S. ticketing industry, we analyzed business classification codes from the North American Industry Classification System, which assigns a 6-digit code to each industry based on its primary activity that generates the most revenue. The code we selected, \u201cAll Other Travel Arrangement and Reservation Services,\u201d includes theatrical and sports ticket agencies, as well as automobile club road and travel services and ticket offices for airline, bus, and cruise ship travel. Because the Census data do not distinguish event ticketing from other services in particular, we determined the data do not provide a reliable count of companies in the event ticketing industry. In addition, we obtained publicly available data from private research firms and reviewed the largest publicly held ticketing companies\u2019 annual public filings with the Securities and Exchange Commission (Form 10-K). We also collected information from firms that collect data related to the ticketing industry, such as IBISWorld and LiveAnalytics.", "To examine what is known about primary and secondary online ticket sales, we reviewed data related to ticket prices and sales published by Pollstar, a concert industry trade publication, and the Broadway League, a trade organization representing commercial theater. In addition, we obtained and analyzed data on ticket volume and resale prices for a nongeneralizable sample of 22 events. These events were selected because they (1) occurred in relatively large venues (more than 500 seats) that typically experience ticket resale activity; (2) represented a mix of event types (13 concerts, 3 commercial theater productions, and 6 sporting events); and (3) represented a mix of popularity, including 17 events that would be expected to be in high demand. We defined high- demand events as those that were likely to sell out, which we assessed by reviewing past attendance at other events for the same artist or theatrical event. For sports, we assessed demand by reviewing team performance and rankings. We collected data from October 16 through December 20, 2017. For each event, we analyzed: resale prices and volume, through data obtained from publicly available listings on the websites of two secondary ticket exchanges; primary market prices and availability, through data obtained from the websites of primary market ticket sellers; and event capacity, through data obtained from Billboard or Pollstar (trade publications) for concerts, the Broadway League for theater, and ESPN.com (a media company) for sporting events.", "To examine consumer protection concerns, we reviewed the websites of 6 primary market ticket sellers, 11 secondary ticket exchanges, and 8 \u201cwhite-label\u201d ticket websites. We collected data from June 19, 2017, through January 16, 2018.", "For the primary market ticket seller that represents the majority of market share, we observed the online ticket purchase process for 23 events. Three events were selected using the process described below and the remaining 20 were chosen to reflect 2 events at each of 10 venues, selected because they were among the 200 top-selling arenas or 200 top-selling theaters in the United States in 2017, according to Pollstar.", "For each of the 5 other primary market ticket sellers and the 11 secondary ticket exchanges, we observed the online ticket purchase process for 1\u20135 events. For each primary ticket seller, we selected one event per category (concert, theater, and sports). For consistency and comparability across companies, we also limited events to the same state (which did not extensively limit ticket resale) and time period. We also selected 2 events in another state because they used nontransferable tickets. For the secondary ticket exchanges, we used 3\u20135 events from our review of primary ticket sellers\u2019 websites. If the event was no longer available, we selected an alternative event at the same venue.", "For each of the 8 white-label ticket sellers, we reviewed 1\u20134 events from the events described above. In some cases, the same event was not available so we selected an alternative event at the same venue.", "For these events\u201431 events in total\u2014we documented (1) the ticket fees charged, (2) at what point in the purchase process the fees were disclosed, and (3) any restrictions to the ticket. In addition, we assessed the clarity, placement, and font size of the fees, restriction information, and\u2014for white-label websites\u2014disclaimers that the website was a ticket resale website. We worked with a GAO investigator to review the websites that required users to provide an e-mail address or credit card information before viewing fees. Analysts followed a protocol to help ensure consistency of observations and completed a data collection instrument for each website. A second analyst independently reviewed each website to verify the accuracy of information collected by the first analyst. Any discrepancies between the two analysts were identified, discussed, and resolved by referring to the source websites.", "A GAO investigator acting in an undercover capacity contacted the customer service departments of three large secondary ticket exchanges to inquire about two events for which tickets were nontransferable (not allowed to be resold) and two events for which listed tickets were speculative (not yet in-hand by the seller). The nontransferable tickets were identified through press releases and articles about popular touring artists and the speculative tickets were identified by searching for events that had been announced but were not yet for sale on the primary market. The investigator contacted customer service through 16 e-mails to one company and 8 online \u201clive chats\u201d with another company. For the third company, the investigator sent 8 e-mails about nontransferable tickets and did not inquire about speculative tickets because this company labeled such tickets. We also contacted the venues hosting these events to help assess the accuracy of the information provided by the ticket companies\u2019 customer service departments.", "In addition, we reviewed enforcement activity by federal and state agencies related to ticketing and ticket companies. We also collected information on the number of consumer complaints by requesting the Federal Trade Commission (FTC) conduct a search of its Consumer Sentinel Network database, which includes complaints submitted to FTC, the Consumer Financial Protection Bureau, the Better Business Bureaus, and other sources. The search results covered calendar years 2014\u2013 2016 and used the term \u201cticket\u201d with terms related to events (e.g., \u201cconcert,\u201d \u201csport,\u201d \u201ctheater\u201d), sold-out events (e.g., \u201csold-out\u201d); fees; fraudulent tickets (e.g., \u201cfake\u201d); delayed delivery (e.g., \u201clate,\u201d); or nontransferable tickets (e.g. \u201cpaperless\u201d). We selected our initial search terms by reviewing terms used in similar complaints on the Better Business Bureau website. We made modifications to our search string based on suggestions from FTC staff who reviewed the results of a preliminary search. To help ensure that results were related to event ticket sellers, we limited the search to complaints against the 6 primary ticket sellers and 11 secondary ticket exchanges in our scope. We assessed the reliability of the complaint data by interviewing agency officials. In addition, we have assessed the reliability of Consumer Sentinel Network data as part of previous studies related to consumer protection and found the data to be reliable for the purposes of gauging the extent of consumer complaints about event ticketing. However, in general, consumer complaint data have limitations as an indicator of the extent of problems. For example, not all consumers who experience problems may file a complaint, and not all complaints are necessarily legitimate or categorized appropriately. In addition, a consumer could submit a complaint more than once, or to more than one entity, potentially resulting in duplicate complaints.", "To examine the potential advantages and disadvantages of selected approaches to address consumer protection concerns, we reviewed federal and selected state laws related to event ticket sales. At the federal level, these included the Better Online Ticket Sales Act of 2016 and relevant provisions of the Federal Trade Commission Act. To determine which states had laws related to ticket resale or disclosure, we reviewed compilations of state ticketing laws from the National Association of Ticket Brokers, a secondary ticket seller\u2019s website, and a law firm publication, and we conducted independent research and verification. We reviewed ticketing-related legislation\u2014selected for its relevance to the approaches covered in our review\u2014in Connecticut, New York, and Georgia. We reviewed state government reports and interviewed state officials to get information on the states\u2019 experiences with these laws. We also consulted foreign government reports to obtain information on relevant laws or regulations in Canada and the United Kingdom, which have reported similar consumer protection issues as we reviewed in our report.", "To address all of our objectives, we conducted searches of various databases, such as ProQuest, Academic OneFile, Nexis, Scopus, and the National Bureau of Economic Research, to identify sources such as peer- reviewed academic studies; law review articles; news and trade journal articles; government reports; and hearings and transcripts related to ticketing issues. We examined summary-level information about each piece of literature, and from this review, identified articles that were germane to our report. We generally focused on articles from 2009 and later. We identified additional articles and reports through citations in literature we reviewed and from expert recommendations.", "For the articles we used to cite empirical findings or to support arguments on advantages and disadvantages of selected resale restrictions or disclosure requirements, we conducted a methodology and soundness review. We eliminated one study on pricing and one study on price caps because we believed the methods were not sufficiently rigorous.", "In addition, we identified and reviewed relevant congressional testimony on proposed ticketing legislation. We reviewed the Department of Justice\u2019s competitive impact statement and testimonies with regard to the 2010 merger of Ticketmaster and Live Nation. We interviewed staff from the FTC\u2019s Bureau of Consumer Protection and Bureau of Economics, the Department of Justice\u2019s Antitrust Division, and the New York State Office of the Attorney General, and we conducted a group interview, coordinated by the National Association of Attorneys General, with staff from the offices of the attorney general of Pennsylvania and Texas. We also interviewed representatives of three consumer organizations: Consumer Action, the National Association of Consumer Advocates, and the National Consumers League; four trade associations: the Broadway League, Future of Music Coalition, National Association of Ticket Brokers, and the Recording Academy; as well as four primary ticket sellers, five secondary ticket exchanges and aggregators, one broker, five venue operators, three event promoters (who also operate venues), five artists\u2019 managers and booking agents, three major sports leagues, and three academics who have studied the ticket marketplace. These organizations and individuals were selected based on their experience and prominence in the marketplace and to provide a range of perspectives.", "We conducted this performance audit from November 2016 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Our investigative staff agent conducted all related investigative work in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Jason Bromberg (Assistant Director), Lisa Reynolds (Analyst in Charge), and Miranda Berry made key contributions to this report. Also contributing were Enyinnaya David Aja, Maurice Belding, JoAnna Berry, Farrah Graham, John Karikari, Barbara Roesmann, Jena Sinkfield, and Tyler Spunaugle."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-523", "url": "https://www.gao.gov/products/GAO-18-523", "title": "Aircraft Carrier Dismantlement and Disposal: Options Warrant Additional Oversight and Raise Regulatory Questions", "published_date": "2018-08-02T00:00:00", "released_date": "2018-08-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Navy is planning to dismantle and dispose of CVN 65 after 51 years of service. In 2013, the estimated cost to complete the CVN 65 work as originally planned increased to well over $1 billion, leading the Navy to consider different dismantlement and disposal options.", "The Senate Report accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to review the Navy's plans for CVN 65. This report addresses (1) dismantlement and disposal options under consideration; (2) nuclear regulatory authority considerations; and (3) funding and reporting practices.", "GAO reviewed budget, cost, and schedule documentation, as well as applicable laws, regulations, executive orders, policies, and guidance. GAO interviewed officials from the Navy and commercial companies about the dismantlement and disposal options, and NRC and state agencies about regulatory considerations."]}, {"section_title": "What GAO Found", "paragraphs": ["The Navy is assessing two options to dismantle and dispose of its first nuclear-powered aircraft carrier\u2014ex-USS Enterprise (also known as CVN 65). CVN 65 dismantlement and disposal will set precedents for processes and oversight that may inform future aircraft carrier dismantlement decisions.", "Characteristics of the Navy's Potential CVN 65 Dismantlement and Disposal Options", "Source: GAO analysis of Navy and Nuclear Regulatory Commission information. | GAO-18-523", "The Navy could rely on its extensive regulatory experience for the naval shipyard option. However, the Navy's ability to effectively evaluate the full commercial option is hampered by a disagreement with the Nuclear Regulatory Commission (NRC), which oversees the commercial nuclear industry. Naval Reactors officials assert that NRC's regulatory authority should apply to the full commercial option. NRC disagrees with this position. Coordination between the two agencies to identify the applicable regulatory authority and craft a regulatory plan would help ensure accountability, solidify cost estimates, and facilitate a CVN 65 decision.", "The budget documentation and reporting that the Navy typically uses for ship dismantlement and disposal projects will not enable adequate oversight of CVN 65\u2014a multi-year project with a cost that may exceed $1 billion. The documents that support Navy budget requests for dismantlement and disposal funding do not provide data that decision makers can readily use to track dismantlement costs against an established baseline or to evaluate funding plans for future years. Further, the Navy has no reporting requirements to support accountability for CVN 65 activities. Large defense acquisition programs generally are required to submit more detailed budget information and report on cost, schedule, and performance. These practices could be adapted for CVN 65 to provide information that will facilitate oversight commensurate with the scale of the effort."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider requiring Naval Reactors to coordinate with NRC to identify the applicable regulatory authority for a CVN 65 commercial dismantlement and disposal. GAO is also making four recommendations, including that the Navy take action to provide additional budget information and reporting to facilitate improved transparency and accountability for the CVN 65 cost, schedule, and risks. The Department of Defense agreed with all four recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["After 51 years of service, ex-USS Enterprise (also known as CVN 65)\u2014 the Navy\u2019s first nuclear-powered aircraft carrier\u2014is being prepared for dismantlement and disposal. At approximately 76,000 tons, CVN 65 will require an unprecedented level of work to dismantle and dispose of as compared to previous ships. The Navy originally intended to dismantle the entire CVN 65, both nuclear and non-nuclear components, at Puget Sound Naval Shipyard and Intermediate Maintenance Facility (hereafter referred to as Puget Sound Naval Shipyard), which is its usual facility for this type of activity. However, in 2013, the Navy\u2019s cost estimate for the shipyard to perform all CVN 65 dismantlement and disposal activities increased\u2014from a range of $500 million to $750 million\u2014to well over $1 billion. This led the Navy to consider alternatives. In 2016, the Navy issued a request for proposals to have a commercial company recycle the non-nuclear portions of the ship. The Navy also sought information from industry at that time on the potential for a commercial company to dismantle and dispose of the entire ship. In February 2017, the Navy announced it canceled its request for proposals on commercial recycling of non-nuclear portions of the ship and continued assessing its options.", "As part of this assessment, the Navy determined it will not dismantle the entire ship at Puget Sound Naval Shipyard. Instead, it is focused on two potential options. One involves Puget Sound Naval Shipyard dismantling and disposing of a section of the ship that contains the nuclear material\u2014 referred to as the propulsion space section\u2014with disposal at the Department of Energy\u2019s Hanford low-level radioactive waste disposal site in the state of Washington. The other entails the Navy awarding a contract for commercial industry to fully dismantle and dispose of the nuclear and non-nuclear materials for the entire ship. For the purposes of this report, we refer to these two options as (1) the naval shipyard option and (2) the full commercial option, respectively.", "Regardless of the approach the Navy chooses, CVN 65 will set precedents for the processes, costs, and oversight that may be used to dismantle and dispose of nuclear-powered aircraft carriers in the future, such as the Nimitz-class carriers which the Navy will begin to retire in the mid-2020s. Senate Report 115-125 accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to review the Navy\u2019s plans for CVN 65 dismantlement and disposal.", "This report (1) describes the differences between the dismantlement and disposal options under consideration, including cost and schedule as well as workload and facilities; (2) evaluates the Navy\u2019s funding and reporting practices for dismantlement and disposal activities; and (3) assesses the effect that nuclear regulatory authority considerations have on dismantlement and disposal options for CVN 65.", "To conduct our work, we reviewed documentation on prior, ongoing, and future Navy ship dismantlement and disposal plans and activities, as well as information specific to the different CVN 65 options the Navy has considered or is considering. We used this information to evaluate the Navy\u2019s history with ship dismantlement and disposal, how its plans for CVN 65 have evolved, and what is currently known about the different options the Navy is considering for the ship. We also reviewed the Navy\u2019s preliminary cost and schedule information and assessed naval shipyard workload and facility data. This included workload data for fiscal years 2006 through 2025 and facility data for fiscal years 2018 through 2035. To assess the reliability of these data, we interviewed knowledgeable officials and reviewed documentation to verify the controls and measures used to validate and maintain the data. We determined these data to be reliable for our purposes of discussing the existing and planned workload at Puget Sound Naval Shipyard. We also reviewed documentation on the Navy\u2019s funding and reporting practices, as well as regulatory authorities and processes for nuclear materials that may apply to CVN 65 dismantlement and disposal. This included a review of applicable laws, regulations, executive orders, policies, and guidance. Further, we assessed the typical budget information and reporting requirements for dismantlement and disposal in relation to federal internal control standards. Additionally, we reviewed past GAO reports that addressed operation and maintenance activities at naval shipyards, and the processes, facilities, and requirements for nuclear materials. We also reviewed federal and Department of Defense (DOD) budget, financial, and acquisition policies and guidance, as well as relevant reports from DOD and other nuclear energy-related organizations, such as the Organisation for Economic Co-operation and Development\u2019s Nuclear Energy Agency.", "In addition to reviewing documentation that addresses these areas, we interviewed officials from the Naval Sea Systems Command\u2014which includes Naval Reactors\u2014Puget Sound Naval Shipyard, and the Nuclear Regulatory Commission (NRC). We also interviewed officials from health and environmental agencies for the states of Texas and Washington. Ship dismantlement activities have occurred in these states and both have nuclear waste disposal sites. Additionally, we interviewed officials and reviewed documentation from commercial companies involved in shipbreaking or nuclear-related industries. These companies include Atkins Global; EnergySolutions; Huntington Ingalls Industries (HII \u2013 Nuclear); International Shipbreaking Limited; NorthStar Group Services; and Waste Control Specialists. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from August 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In 1961, the Navy commissioned the first and only Enterprise-class aircraft carrier, CVN 65, which was the world\u2019s first nuclear-powered aircraft carrier. CVN 65 served the Navy\u2019s needs for 51 years, deploying 25 times and sailing more than 1 million miles during that time. The carrier, which was powered by eight nuclear reactors, was the predecessor of the two-reactor Nimitz-class aircraft carriers that followed it into service. The Navy plans to begin retiring the Nimitz-class carriers in the next decade.", "Following the retirement of CVN 65 in 2012, the Navy began preparing the ship for dismantlement and disposal in a process called inactivation. These inactivation activities\u2014which Navy officials stated cost $863 million to complete\u2014included removing the nuclear fuel from the ship\u2019s reactors and taking off equipment and other materials in preparation for dismantlement of the ship. The Navy\u2019s next steps include planning efforts to meet the environmental requirements associated with dismantling and disposing of a nuclear-powered ship, such as handling of radioactive and other hazardous materials. The final step for CVN 65 will be dismantlement, including the recycling of non-nuclear portions of the ship and safe disposal of nuclear and other hazardous materials. Figure 1 provides a timeline of CVN 65 events.", "CVN 65 is the largest nuclear-powered ship that has been retired by the Navy. Figure 2 compares the size of CVN 65 to previous and future Navy vessels requiring dismantlement and disposal, as well as other relatable structures."], "subsections": [{"section_title": "Puget Sound Naval Shipyard Dismantlement and Disposal Activities", "paragraphs": ["In 1990, the Navy authorized a program to recycle decommissioned submarines at Puget Sound Naval Shipyard in Bremerton, Washington. According to Navy officials, the Department of Energy\u2019s low-level waste site in Hanford, Washington, was the only practical site at the time for disposal of the defueled submarine reactor compartments, which included low-level radioactive waste. Puget Sound Naval Shipyard is the largest shipyard on the U.S. West Coast, and while it is equipped and staffed to work on all classes of Navy vessels, it primarily conducts maintenance on nuclear-powered aircraft carriers and submarines, which the Navy considers a priority. This shipyard has the only dry dock on the West Coast capable of servicing an aircraft carrier and is the Navy\u2019s only site for dismantlement and disposal of nuclear-powered ships.", "Since 1990, the Navy has inactivated over 130 nuclear-powered vessels. Inactivation is the process used to prepare a ship for disposing of the compartments that house the reactors and recycling the hull or for safe storage pending dismantlement and disposal at a later date. Inactivation includes draining hydraulic systems and tanks, and removing hazardous and expendable materials, tools, spare parts, and furnishings from the ship. The removal of the spent fuel from a ship\u2019s nuclear reactor(s), referred to as defueling, usually happens as part of inactivation. Historically, when a ship is dismantled at Puget Sound Naval Shipyard, the reactor compartments are removed and packaged for transport to the Hanford low-level radioactive waste disposal site. Figure 3 shows the typical path followed for dismantlement and disposal at the shipyard."], "subsections": []}, {"section_title": "Dismantlement and Disposal by Commercial Industry", "paragraphs": ["The Navy often uses commercial industry to dismantle and recycle its non-nuclear ships, including aircraft carriers, such as ex-USS Constellation and ex-USS Ranger completed in 2017. Navy officials noted that the cost to the government in recycling recent ships has been minimal\u2014ranging from 1\u00a2 to $6 million\u2014because of the resale value of their scrap metal.", "Commercial companies have decommissioned 32 civilian nuclear reactor plants\u2014work that the Navy has noted is comparable to nuclear-powered ship dismantlement and disposal. Commercial industry uses a component-based process for commercial nuclear plant decommissioning. This process breaks the reactor down into smaller components for transport and disposal, and separates nuclear waste from non-nuclear waste as much as possible to reduce disposal costs."], "subsections": []}, {"section_title": "Requirements Related to Dismantlement and Disposal of Nuclear- Powered Ships", "paragraphs": ["Several laws and an executive order have established the regulatory authority and requirements underlying the dismantlement and disposal of nuclear-powered Navy vessels. The Atomic Energy Commission exercised control of nuclear technology primarily for military purposes until 1954, when the Atomic Energy Act was amended. These amendments allowed for the possibility of a privatized nuclear energy industry. Twenty years later, the Atomic Energy Commission was abolished and split into the Nuclear Regulatory Commission (NRC) and the Energy Research and Development Administration\u2014which was later absorbed into the Department of Energy.", "Under this structure, NRC is responsible for overseeing commercial nuclear reactor safety, licensing reactors, and establishing regulations and guidelines for radioactive waste disposal for the commercial nuclear industry. The National Nuclear Security Administration, a separately organized agency within the Department of Energy, is responsible for the management and security of the nation\u2019s nuclear weapons, as well as nonproliferation programs. The Naval Nuclear Propulsion Program\u2014also known as Naval Reactors\u2014is a joint program of the Department of Energy and DOD that has cradle-to-grave responsibility for all naval nuclear propulsion matters. Figure 4 provides a brief description of laws and orders related to nuclear materials.", "In addition to the nuclear-specific requirements guiding the dismantlement and disposal process, the Navy must comply with the National Environmental Policy Act. Specifically, this act requires federal agencies to evaluate the likely environmental effects of projects they are proposing, generally by preparing either an environmental assessment or a more detailed environmental impact statement. An environmental impact statement must, among other things, (1) describe the environment that will be affected, (2) identify alternatives to the proposed action and identify the agency\u2019s preferred alternative, (3) present the environmental impacts of the proposed action and alternatives, and (4) identify any adverse environmental impacts that cannot be avoided should the proposed action be implemented. The Act\u2019s requirements are invoked for major federal actions, such as the construction of buildings or highways, or the dismantlement and disposal of reactor compartments from nuclear- powered vessels.", "Since 1996, nuclear-related dismantlement and disposal activities performed by Puget Sound Naval Shipyard have been based on the same environmental impact statement\u2014which addresses the effects of disposing of submarine and cruiser reactor compartments. In 2012, the Navy produced an environmental assessment analyzing the effects of removing and preparing the reactor compartments of CVN 65 for disposal at Puget Sound Naval Shipyard and transporting the compartment packages to the Hanford site for disposal. It found that these activities would have no significant impact on the environment beyond existing activity. Naval Reactors subsequently decided, however, that a new environmental impact statement is required for CVN 65 because the alternatives identified for dismantling and disposing of the ship could potentially have significant impacts on the environment that are not captured by the existing environmental assessment. As part of the new statement for CVN 65, Navy officials said environmental factors that account for the naval shipyard and full commercial options will be reviewed, as well as indefinite waterborne storage of the ship pending dismantlement and disposal at a later date."], "subsections": []}]}, {"section_title": "Naval Shipyard Option for CVN 65 Is More Defined than Full Commercial Option but May Pose Challenges for Meeting Navy Priorities", "paragraphs": ["The Navy is weighing a number of considerations before making a decision for CVN 65 dismantlement and disposal. The naval shipyard option offers well-established processes for dismantlement and disposal of the ship\u2019s nuclear material and better understood cost and schedule estimates than the full commercial option. Our analysis of available data, however, found that the naval shipyard option would contribute to existing workload backlogs and exacerbate facility challenges at the shipyard that could affect its work maintaining the active fleet\u2014a Navy priority. While the Navy has not defined its requirements for the full commercial option, industry does not expect to face workload or facility challenges. Navy officials also believe that the full commercial option potentially could shorten the timeline for completing the work and reduce the total cost."], "subsections": [{"section_title": "Naval Shipyard Option Is Based on a Well- Established Process, While Navy Has Yet to Characterize Full Commercial Option", "paragraphs": ["Although CVN 65 is the first nuclear-powered aircraft carrier requiring dismantlement and disposal, the Navy has well-established processes for dismantling and disposing of nuclear-powered submarines and cruisers. Navy officials explained that the shipyard\u2019s extensive dismantlement and disposal experience with these vessels has resulted in a strong understanding of how to accomplish the work. Further, the Navy has been working on plans to address the ship-specific needs of CVN 65 for many years. If the Navy chooses the naval shipyard option for CVN 65, it expects to adapt and use these well-established processes to dismantle the 28,000-ton nuclear propulsion space section at Puget Sound Naval Shipyard. This section would contain the 8 defueled reactors and all other nuclear-related material that remains on the ship. To separate the propulsion space from the ship, a commercial company would perform \u201cship-shaping\u201d to create a dedicated ship section for all of the nuclear- related work. This activity would minimize the portion of the ship transported to the naval shipyard for dismantlement and disposal. The remaining ship sections would be commercially recycled. The shipyard is evaluating two designs for reactor compartment packages that could be used for transport and disposal of the ship\u2019s nuclear material. One design\u2014based on a package previously used for cruiser reactors\u2014would involve the shipyard preparing 8 single reactor packages. The other includes a new design that would enclose 2 reactors in dual reactor packages. Figure 5 shows how the Navy anticipates the ship would be divided into sections through this process.", "In contrast, the Navy formally began considering the potential for a full commercial option for CVN 65 within the past 4 years. According to Navy officials, although information received through previous requests for information and hosting discussions with commercial industry helped shape their understanding of the potential for a commercial ship dismantlement, they ultimately have had relatively limited interaction with commercial companies to determine their potential plans and processes for CVN 65 dismantlement and disposal. Naval Reactors officials stated they are waiting for the environmental impact statement process to officially begin before further engaging with prospective commercial companies and the public.", "Many of the details for a full commercial option will depend upon Navy requirements, such as standards, technology, or specific procedures required to do the work; data and analysis in the environmental impact statement; and preferred work practices and facilities of prospective companies. Officials we interviewed from companies with potential interest in the work stated that because the Navy has not communicated its CVN 65 requirements for a full commercial option, any commercial approach described for the work would be hypothetical at this point, relying on their extensive prior experience with nuclear materials handling, packaging, shipping, and disposal\u2014including nuclear ship maintenance and decommissioning of commercial reactors\u2014or ship recycling. Commercial company officials noted that despite the lack of definitive information available, they would anticipate employing typical practices used for commercial nuclear reactor decommissioning, ship dismantlement, and control of nuclear materials to complete CVN 65 work. In terms of locations for the work, Naval Reactors officials noted that many coastal sites in the United States could potentially accommodate CVN 65 dismantlement activities, and the location of the work site would affect the proposed disposal site or sites. Table 1 provides characteristics of the two options that the Navy is considering for CVN 65 dismantlement and disposal."], "subsections": []}, {"section_title": "Estimates for Both Dismantlement Options Require Further Development", "paragraphs": ["Cost and schedule estimates for both CVN 65 options have yet to be formally established by the Navy. Puget Sound Naval Shipyard has been refining CVN 65 plans and estimates over many years. However, its most recent estimates for cost and schedule still may not fully account for uncertainties in completing the work because it represents a first-of-its- kind project with an unprecedented scale. The Navy\u2019s notional estimates for the commercial option are a first step in establishing expectations and will evolve as requirements for the work are better understood. The Navy awarded a contract in July 2018 to the Center for Naval Analyses\u2014a federally funded research and development center serving the Navy and other defense agencies\u2014to complete a cost analysis for the full commercial option. This effort is expected to provide the Navy with a cost estimate for CVN 65 in October 2018, followed by a model through which the Navy can develop cost estimates for future Nimitz-class dismantlement and disposal efforts. The findings from the CVN 65 environmental impact statement may contribute to the final cost and schedule estimates for either option.", "Better Fidelity in Existing Naval Shipyard Option Estimates Puget Sound Naval Shipyard officials explained that as their planning has progressed, they have refined their cost and schedule estimates for CVN 65 dismantlement and disposal. Overall, the Navy\u2019s cost estimates have increased significantly from initial estimates but have been relatively stable since 2016. The schedule went through similar fluctuations but has steadied. Table 2 outlines changes in the shipyard\u2019s plans and how they affected cost and schedule.", "The schedule for starting the work at the naval shipyard also changed. Navy officials stated that as a result of the Navy\u2019s decision in early 2017 to reassess its options for CVN 65, it delayed the expected start date for the naval shipyard option from 2019 to 2034 based on analysis of the workload at the naval shipyard, which we discuss below.", "Although Puget Sound Naval Shipyard officials noted their cost estimate includes some margin to account for CVN 65 being the first project of its kind, it may not adequately account for the extent of unknown facts or circumstances that could affect cost. For example, unrecognized hazardous materials may exist in inaccessible areas of the CVN 65 propulsion space section that will only be discovered once the work is underway, which could affect cost and schedule. Execution of the work in support of a new dual reactor compartment package design also could lead to unanticipated challenges that cause deviations from estimates.", "No Formal Estimates for Full Commercial Option The Navy has notionally estimated cost and schedule for a full commercial option to be $750 million to $1.4 billion and about 5 years to complete. These estimates suggest that the commercial option could cost less and take less time to complete than the naval shipyard option. Navy officials stated that the notional cost estimate is derived from data reported by nuclear power plant operators, with differences in size and scope for the nuclear reactors incorporated. They also said that the notional estimate will be updated once it receives additional information from industry during the planning process.", "Navy officials told us they expect the cost per reactor for CVN 65 would be significantly less than the NRC decommissioning average for a commercial facility because CVN 65 reactor compartments are smaller, the reactors are more compact, and they have already been through the costly defueling activity. A 2016 international study on the cost of decommissioning nuclear power plants identified several high-level categories and their contribution to total costs for reactors decommissioned in the United States, such as project management, site restoration, and waste packaging, transportation, and disposal. According to this study, about 25 percent of decommissioning costs can be attributed to reactor decontamination and dismantling. Using this percentage and the average cost to decommission a commercial nuclear reactor, we estimate the cost to dismantle the eight CVN 65 defueled reactors to range from $1.2 billion to 1.3 billion, which is at the higher end of the Navy\u2019s notional estimated range for the full commercial option.", "In addition to the potential cost, the Navy initially projected about a 5-year period of performance for the full commercial option based on limited industry input. Navy officials told us the full commercial option start date, beginning no earlier than 2024, is contingent on the finalization of the environmental impact statement and a record of decision that chooses this option as the Navy\u2019s path forward. The Navy\u2019s intent would be to award a contract shortly after the environmental impact statement is completed if the Navy decides to pursue the full commercial option. Commercial officials told us they do not anticipate a need for significant lead time before starting work, though the need will be better understood once the Navy outlines requirements for the work.", "Finally, the cost for a full commercial option could be influenced by the contract type selected by the Navy. Contract type selection is a key factor in determining how cost risk is shared between the Navy and the contractor. Firm-fixed-price contracts are suitable for situations where the risk involved is minimal or can be predicted with an acceptable degree of certainty. Conversely, cost-type contracts are used when either requirements are not sufficiently defined or uncertainties with contract performance do not permit costs to be sufficiently estimated to use a fixed-price contract. Although no decision has been made, Navy officials told us they are interested in using a firm-fixed-price contract\u2014a contract type that has been used for commercial reactor decommissioning. Under a firm-fixed-price contract, the contractor agrees to perform the work for a price that is not subject to change based on the contractor\u2019s cost experience in performing the contract, placing full responsibility for all costs and resulting profit on the contractor. Navy officials stated that because CVN 65 is the first nuclear-powered aircraft carrier to be disposed of, the scope of the effort will need to be better defined before they could reliably conclude that firm-fixed-price contracting would be appropriate. Specifically, insufficiently understood risks may make potential contractors unwilling to accept the risks associated with a firm- fixed-price contract."], "subsections": []}, {"section_title": "The Navy\u2019s Priorities for Puget Sound Naval Shipyard Present Challenges Not Expected for Full Commercial Option", "paragraphs": ["The Navy has stated its priority for Puget Sound Naval Shipyard is the work associated with maintaining nuclear-powered aircraft carriers and submarines currently in the fleet. However, as we reported in 2017, Puget Sound Naval Shipyard has had significant fleet maintenance delays since fiscal year 2000. These delays resulted in 4,720 lost operational days for nuclear-powered aircraft carriers and submarines. The addition of CVN 65 would contribute to challenges in the naval shipyard\u2019s ability to meet workload demands and further constrain its available facilities. In comparison, despite the lack of detail about the Navy\u2019s requirements, commercial company officials we interviewed stated they currently do not anticipate any major workload challenges or conflicts with other ongoing or future work in completing the work on CVN 65 based on their existing workforce and potential facilities for performing the work.", "Puget Sound Naval Shipyard Workload and Facility Challenges Based on our analysis of workload and resources data from Puget Sound Naval Shipyard, we found that the shipyard consistently operates at its maximum annual workload level and this likely will continue regardless of the Navy\u2019s decision for CVN 65. A Naval Reactors analysis of the shipyard\u2019s workload data also shows the workload meeting or exceeding capacity for the foreseeable future. The shipyard\u2019s workload projections that we reviewed show it will be working at or near capacity through fiscal year 2025\u2014the last year for which data were available. Adding the work associated with dismantlement and disposal of CVN 65 would put the shipyard over current workload capacity.", "Shipyard officials explained that historically, the workload projection for a given year matures as that year approaches, and the dips that sometimes are depicted in future-year workload projections generally vanish. Workload maturity or growth can be attributed to changes in the Navy\u2019s maintenance plans, deferred maintenance, growth from the previous year, and overall shipyard productivity. The condition of a ship when it arrives for maintenance can also contribute to growth if inspections of systems or components reveal a need for unplanned repairs. To account for historical variability and improve projections of overall workload, in 2015 shipyard officials began including 10 percent in unallocated workload to projections.", "In reviewing the shipyard workload and resources data, we also found that the shipyard regularly underestimates workload for future years\u2014 especially 5 years or more out\u2014with workload growth for future years consistently exceeding 15 percent. Even without the CVN 65 work at the naval shipyard, projections show its workload with average notional growth will meet or exceed the workforce available to complete the work, as shown in figure 6.", "According to the Navy, it is typical for naval shipyards to continually shift resources across projects to align worker-specific trade skills to the type of work executed on any hull in the shipyard, at any particular time. To achieve a level and sustainable workforce across the fiscal years, the number of full-time employees required to support planned work is sized as part of the total workforce. The shipyard mitigates peaks in workload (above the available workforce) through the use of additional overtime, loans from other naval shipyards, and contracting. When that cannot occur, the shipyard will defer workload until it can be executed.", "The CVN 65 dismantlement and disposal work could affect the shipyard\u2019s ability to complete active fleet maintenance. We found that the addition of the CVN 65 dismantlement and disposal would add almost a year\u2019s worth of work across the estimated 10-year dismantlement and disposal period to an already busy shipyard that has demonstrated difficulties in accurately projecting its future work. The Navy prioritizes maintenance of the active fleet, but the scale of the CVN 65 work would reduce the shipyard\u2019s ability to delay or reprioritize dismantlement and disposal. Shipyard officials noted that the Navy often defers planned dismantlement and disposal to address higher-priority active fleet maintenance. For example, smaller submarines prepared for dismantlement can instead be stored at the shipyard until workforce and space are available to complete the work. However, an aircraft carrier\u2014even when reduced to a propulsion space section as proposed for CVN 65\u2014would not offer the same level of flexibility to defer work. CVN 65 would involve a more extensive resource commitment because of its increased size relative to past ship dismantlement projects and would occupy limited facilities at the shipyard. Specifically, current plans require 3 years pier side to prepare the propulsion space section for dismantlement and reactor compartment disposal and about 5 years in a dry dock for the actual dismantlement.", "Further, the shipyard expects a significant increase in its submarine inactivation and reactor compartment disposal and hull recycling workload due to the end of service for an additional class of submarines\u2014 specifically, the Ohio-class submarines starting in 2027. The estimated increase in inactivation and reactor recycling workload would overlap with the planned start for CVN 65 dismantlement and disposal in 2034, if the Navy elects to pursue this option. In addition, the shipyard already has a backlog of 10 submarines and the ex-USS Long Beach cruiser in storage awaiting disposal and recycling at its long-term storage facility for defueled, decommissioned, and inactivated nuclear-powered ships. Another 3 submarines are pier-side at Puget Sound Naval Shipyard. This backlog is not expected to subside as submarines continue to be retired, and each vessel represents thousands of workdays that the shipyard has to commit to its dismantlement and disposal.", "Navy and Industry Expect Full Commercial Option to Face Fewer Challenges While the Navy has not established specific requirements for the full commercial option, Navy officials maintain that it does not present the same workload and facility challenges that exist for the naval shipyard option. Commercial companies have flexibility in selecting a location for CVN 65 dismantlement activities based on facility and workforce availability considerations. Some company officials we spoke with also noted they have existing worksites\u2014which are audited and approved by Naval Reactors\u2014where they process, package, and transport low-level radioactive waste or operate low-level radioactive waste disposal sites licensed by NRC. These include facilities for radioactive waste processing and decontamination of materials for recycling. Additionally, company officials said they anticipate that a substantial amount of the work could be performed with the ship in the water\u2014similar to the traditional approach used to dismantle non-nuclear vessels for recycling\u2014and existing contractor facilities likely would not require major upgrades or improvements other than to provide for the radiological-based waste handling and packaging considerations.", "Commercial company officials told us that they would not expect significant additional hiring needs based on their limited understanding of the potential CVN 65 work and their existing workforce capacity. They added that the nuclear dismantlement and disposal industry has an available, qualified workforce that could easily be employed if additional workforce were needed. Given the early stage of the Navy\u2019s planning for CVN 65 and the Navy\u2019s lack of formal engagement with commercial companies at the time of our review, we did not assess the current or future commercial workforce capacity. Any details on potential CVN 65 facility and workforce plans from commercial companies will be hypothetical until the Navy formally begins efforts to seek input from commercial companies and communicate requirements."], "subsections": []}]}, {"section_title": "Budget Documentation and Reporting Does Not Include Sufficient Information to Facilitate Transparency and Oversight for CVN 65", "paragraphs": ["The Navy\u2019s approach typically used to budget for and report on ship dismantlement and disposal does not provide sufficient information to support decision makers\u2019 oversight of CVN 65\u2014a multi-year project that may require more than $1 billion to complete. We found the Navy is not required to provide detailed budget information or report dismantlement and disposal cost, schedule, and programmatic information to decision makers. Providing additional information through budget requests and reporting would help ensure that decision makers have sufficient information to oversee CVN 65 dismantlement and disposal activities and to support future decisions."], "subsections": [{"section_title": "Budget Exhibits for Dismantlement and Disposal Lack Ship- Specific Details", "paragraphs": ["The Navy uses budget exhibits to provide congressional decision makers information about dismantlement and disposal efforts. If no changes are made to the information provided within the Operation and Maintenance, Navy (OMN) budget exhibits, the CVN 65 dismantlement and disposal budget request will include limited details for planned work, funding needs, and total estimated costs. The bulk of the Navy\u2019s past dismantlement and disposal work is comprised of comparatively low-cost projects\u2014particularly submarines\u2014with limited resource demands compared to a nuclear-powered aircraft carrier like CVN 65, a multi-year project with a cost that will potentially exceed $1 billion. For example, nuclear-powered submarines have an average dismantlement and disposal cost of about $26 million and average about 50,000 workdays. Federal internal control standards recommend that agency management communicate with external stakeholders the necessary quality information\u2014such as complete cost and schedule information for CVN 65 dismantlement and disposal\u2014to achieve objectives. Budget exhibits are a primary source of information about all programs and other activities during budget planning and congressional appropriation decisions. Well- prepared budget exhibits help provide a rationale for the amount and timing of funding requests. Given that this multi-year, large-scale project is the first of its kind, more detailed information would facilitate greater transparency and oversight of cost, schedule, and performance.", "Limited Budget Information Provided for Dismantlement and Disposal The Navy uses the OMN appropriation account to fund dismantlement and disposal activities. The Navy\u2019s Financial Management Policy Manual provides overall summary guidance on OMN budget formulation, but it does not provide specific guidance on reporting criteria for dismantlement and disposal of Navy ships. Budget exhibits are prepared to justify appropriation requests and are key documents that can be used to support congressional oversight. DOD acquisition training materials state that well prepared budget exhibits make programs more defensible. However, in assessing the OMN budget exhibits associated with dismantlement activities for fiscal years 2007-2018, we found they provide little ship-specific detail that could be used to monitor a significant project such as the planned effort for CVN 65 dismantlement and disposal, which may begin requesting funding as soon as fiscal year 2023.", "Specifically, we reviewed the dismantlement and disposal funding requests from the past several years, which reside within the Navy\u2019s OMN budget exhibits under the Ship Activations/Inactivations sub-activity group of the Mobilization budget activity. In doing so, we found these exhibits generally contain high-level information with a summary of funding changes for the current fiscal year and the requested funding estimate for the budget year. We could not definitively identify or track dismantlement and disposal of specific ships because key work activities are not described by ship, cost and schedule for individual ships are not presented, and prior year costs and cost to complete a specific ship\u2019s dismantlement and disposal are not provided.", "In reviewing programmatic documentation other than the budget requests, such as Puget Sound Naval Shipyard dismantlement planning documents and the Navy\u2019s long-range shipbuilding plans, we found instances of submarine inactivation costs significantly exceeding estimates and notable delays to the start dates for work activities. We found that, although not required, this information was not reflected in the budget exhibit documents we reviewed. As another example we previously noted, Navy officials stated that CVN 65 inactivation\u2014already completed in December 2017\u2014cost $863 million. We could not track this cost from the budget exhibits because of their limited detail. As a consequence of the general lack of detail in the budget exhibits, decision makers cannot readily identify if cost growth occurred or if a specific ship was dismantled when planned, hindering oversight of dismantlement and disposal projects.", "The Navy\u2019s OMN annual appropriations fund work activities on a year-by- year basis, which does not necessarily allow for tracking of the full resource commitment of a project over time or enable monitoring of cost growth to determine if additional funds are needed. Navy officials stated that they fully fund dismantlement and disposal efforts that span multiple fiscal years. They added that for CVN 65, the Navy may divide the work into multiple discrete phases that are separately funded due to the lengthy projected schedule. This approach could require the Navy to seek OMN appropriations in several non-consecutive years. Such an approach could make tracking CVN 65 dismantlement and disposal funding challenging, as the total cost and any changes would be obscured among the multiple funded activities that collectively compose the total dismantlement and disposal effort. Navy officials acknowledged that they could provide further information, such as total project cost and an overall schedule for CVN 65, in the OMN budget exhibits. However, without direction from DOD leadership or Congress, Navy officials stated that they have no plans to deviate from providing the traditional OMN budget exhibit information. Providing additional information in the CVN 65 budget exhibit could enable decision makers to track total cost, any cost changes, schedule progress, and general performance for the CVN 65 dismantlement and disposal.", "Navy Could Provide More Budget Details for CVN 65 While the Navy funds ship dismantlement and disposal from the OMN account, budget exhibits for other accounts\u2014such as the Shipbuilding and Conversion, Navy (SCN) account typically used for major investment items\u2014offer examples of how to provide decision makers with more detailed information. Budget exhibits for SCN appropriations are structured to identify major elements of cost and track those costs over time, consistent with DOD Financial Management Regulations. For example, the SCN budget exhibits typically contain specific information for each ship being procured with a distinct funding line for major cost categories such as basic construction, propulsion, and electronics. Additionally, these budget exhibits describe the program with specific plans for the upcoming budget year and estimate across 5 fiscal years (known as DOD\u2019s Future Years Defense Program), including the total cost to complete the program. While some of the SCN budget exhibit elements are not applicable to dismantlement and disposal, others could be adapted and used in an OMN budget exhibit for CVN 65 to provide information that would enable better oversight, such as work activities planned and performed by fiscal year; prior years\u2019 funding data; future years\u2019 funding plans; cost to complete dismantlement; schedule of key events; and information on the contractor(s), contract type, and contract award and completion dates.", "Navy officials said they typically would not provide the level of detail found in SCN budget exhibits or the exhibits for other DOD acquisition programs because OMN exhibits are not designed to support the same level of oversight. Unlike DOD acquisition programs, DOD projects completed with operation and maintenance funds typically are not investment programs and generally do not require the same level of oversight. However, as we previously indicated, Navy officials noted that if DOD leadership or Congress provided clear direction on what additional details related to CVN 65 dismantlement and disposal should be included in OMN budget exhibits, it could provide that additional information to support oversight. Navy officials stated that given the considerable funding needs and congressional interest with CVN 65, they were assessing options for providing specific detail in the OMN budget exhibit for its dismantlement and disposal activities. They added that no specific decisions had been made on what additional information, if any, would be included for CVN 65."], "subsections": []}, {"section_title": "Lack of Reporting Requirements Limits Opportunities for Insight into CVN 65 Dismantlement and Disposal Cost, Schedule, and Performance", "paragraphs": ["Despite being a part of the final phase in the program\u2019s life cycle, we found no specific reporting requirement related to the cost, schedule, risk management, and general performance of dismantlement and disposal activities in DOD or Navy policy that would support oversight by DOD or Congress. Officials from Naval Reactors and the Naval Sea Systems Command confirmed that there is no reporting requirement for performance of dismantlement and disposal of Navy ships. Navy officials noted that dismantlement and disposal activities are included in their annual briefings to Congress that support the Navy\u2019s budget requests, but acknowledged that the typical comparatively low-cost ship dismantlement and disposal activities are generally of less interest when combined with a briefing on shipbuilding and other high-dollar acquisition investments. This approach may be appropriate for submarine dismantlement and disposal activities that have lower costs, shorter periods of performance, and a well-established history. However, the magnitude of CVN 65\u2019s anticipated cost of dismantlement and disposal is comparable to that of large DOD acquisition programs. Such programs generally are expected to provide more information to decision makers within DOD and Congress through formal reporting on plans, activities, and performance to support accountability than what has traditionally been provided with respect to Navy dismantlement and disposal activities.", "The precedent-setting nature of the CVN 65 dismantlement and disposal adds a level of risk and heightens the importance of having sufficient accountability measures to facilitate oversight. There is greater potential for unexpected challenges to arise because a nuclear-powered aircraft carrier has not been dismantled and disposed of before. Additionally, CVN 65 provides an opportunity to establish a foundation for management and oversight of future aircraft carrier dismantlement and disposal efforts, with the first of 10 Nimitz-class carriers expected to reach the end of its service life in the next decade. Standards for internal control in federal government state that in order to identify and mitigate risk, program objectives such as a baseline for cost and schedule, should be clearly defined in measurable terms so performance in attempting to achieve those objectives can be assessed. Doing so would also provide the Navy with the ability to collect important historical cost data that could be used to inform cost estimates for future aircraft carrier dismantlement and disposal efforts.", "DOD acquisition programs could serve as a model to identify appropriate cost and schedule objectives for the CVN 65 dismantlement and disposal, even though it is not an acquisition program and not subject to these requirements. DOD acquisition programs with significant resource commitments comparable to that expected of CVN 65 are generally subject to structured oversight and have reporting requirements to support performance transparency and accountability. As discussed earlier, preliminary cost estimates for CVN 65 dismantlement and disposal may exceed $1 billion, regardless of the option the Navy ultimately selects. While many requirements for DOD acquisition programs are not relevant to dismantlement and disposal, even when costs may reach similar levels, we found elements of the reporting requirements associated with larger DOD acquisition category (ACAT) programs that the Navy could leverage to facilitate oversight of CVN 65 dismantlement and disposal. For example, ACAT II programs\u2014which have estimated costs comparable to CVN 65 dismantlement and disposal cost expectations\u2014are required by DOD policy to establish a program cost and schedule baseline prior to program start and report any significant deviations from the established baseline. They also are required by statute to provide information on risk management. Table 3 highlights some DOD acquisition program reporting elements that could support oversight of CVN 65 dismantlement and disposal.", "For example, once a cost baseline is established, comparison to an independent cost estimate or assessment could provide greater assurance that the risks associated with performing CVN 65\u2019s large-scale, first-of-a-kind dismantlement activities were adequately considered and appropriately estimated. GAO\u2019s Cost Estimating and Assessment Guide states an independent review of a program\u2019s cost estimate is crucial to establishing confidence in the estimate. It provides an unbiased test of whether the program cost estimate is reasonable and can be used to identify risks related to budget shortfalls or excesses. The Naval Center for Cost Analysis is responsible for developing independent cost assessments for ACAT II Navy programs, while the Office of the Secretary of Defense\u2019s Office of Cost Assessment and Program Evaluation develops independent cost estimates for major defense programs.", "As noted earlier, the Navy continues to refine its cost estimate of the naval shipyard option and expects to receive an estimate for the full commercial option from the Center for Naval Analyses in October 2018. The Navy stated it considers the anticipated cost estimate and model from the Center for Naval Analyses to be the independent cost estimate for the full commercial option. We view this estimate as a valuable step in establishing cost expectations for the full commercial option, but believe it is inadequate because it will determine the Navy\u2019s cost expectations as opposed to validating an existing estimate\u2014the intent of having an independent assessment. For the naval shipyard option, the Navy suggested no plans for an independent cost estimate as it continues to refine the current cost estimate prior to a decision for CVN 65. Completing an independent cost estimate for both CVN 65 options prior to a Navy decision on its dismantlement and disposal approach would provide additional information to inform a decision that could have repercussions for carrier dismantlement and disposal activities for years to come. Adapting certain acquisition program requirements to the CVN 65 effort, as described above, would help the Navy establish baselines that can be tracked by decision makers to assess cost and schedule, and help identify deviations, if any. These types of reporting requirements would provide decision makers with greater information to support their oversight and hold the Navy accountable for meeting CVN 65 dismantlement and disposal expectations."], "subsections": []}]}, {"section_title": "The Navy\u2019s Evaluation of CVN 65 Dismantlement and Disposal Options Is Hampered by a Regulatory Authority Disagreement", "paragraphs": ["The regulatory authority determines the rules, procedures, and oversight that will guide the dismantlement and disposal process for CVN 65. The Navy is considering three regulatory authority scenarios related to the naval shipyard or full commercial options, as discussed in table 4."], "subsections": [{"section_title": "The Navy Has Regulatory Precedent for the Naval Shipyard Option", "paragraphs": ["If the Navy chooses the naval shipyard option, it can rely on Naval Reactors\u2019 extensive experience serving as the regulatory authority for dismantlement activities conducted at Puget Sound Naval Shipyard. Naval Reactors has overseen the dismantlement and disposal of roughly 130 reactors from submarines and cruisers by the naval shipyard. Many shipyard oversight organizations and activities, as well as on-site Naval Reactors personnel, help control environmental and human health exposures. For example, the Radiological Controls Office is responsible for monitoring radiation exposure to the workforce and ensuring radioactivity is confined to controlled work areas. The Nuclear Quality Division employs nuclear auditors who review performance, processes, and instructions for all nuclear work at the shipyard.", "Although the scale and design of CVN 65 creates some unique dismantlement and disposal considerations as compared to the submarine and cruiser activities, Navy officials stated they plan to use the same organizations located at the shipyard and practices to oversee performance if they decide to complete the CVN 65 work at the shipyard. The environmental impact statement planned for CVN 65 is expected to outline the different needs that the aircraft carrier presents for the dismantlement process and disposal path, such as changes related to the transportation of CVN 65 reactor packages required if the Navy chooses to use four larger dual reactor compartment disposal packages instead of eight single packages to dispose of the carrier\u2019s reactors. While the Navy can rely on familiar regulatory practices to support the naval shipyard option, as discussed earlier, this option includes potential workload and schedule disadvantages."], "subsections": []}, {"section_title": "Disagreement Persists about the Appropriate Regulatory Authority for the Full Commercial Option", "paragraphs": ["Agreement State Program The Atomic Energy Act gives the Nuclear Regulatory Commission (NRC) authority over domestic industrial, medical, and research uses of radioactive materials. The act also authorizes NRC to enter into agreements with states (called agreement states) so they assume, and NRC relinquishes, regulatory authority over specified radioactive materials. Specifically, NRC is authorized to enter into agreements to allow states to assume regulatory authority over source, byproduct, and special nuclear materials in quantities insufficient to form a critical mass. NRC must find a state program adequate to protect public health and safety and compatible with NRC\u2019s program for regulating such materials before entering into these agreements. The mechanism for the transfer of NRC's authority to a state is an agreement signed by the governor of the state and the chair of the Commission.", "Naval Reactors\u2019 position is that a commercial company could dismantle and dispose of CVN 65 under the regulatory authority of NRC or an agreement state. According to Naval Reactors officials, the full commercial option would represent a continuation of Naval Reactors\u2019 long history of nuclear-related activities with vendors licensed and regulated by NRC or agreement states. For example, Naval Reactors officials noted they commonly have used facilities licensed by NRC or agreement states for a range of manufacturing, processing, and disposal activities available for naval nuclear materials. Naval Reactor officials specifically assert that, as CVN 65 has already been defueled, such a facility should be able to process the byproduct material on the ship. However, NRC stated its disagreement that it or an agreement state is able to serve as the regulatory authority for CVN 65, emphasizing that regulatory responsibility for the safe processing and disposal of Navy ships falls to Naval Reactors under its Department of Energy authority. NRC officials also noted that Naval Reactors has been regulating nuclear-powered ship dismantlement and disposal activities exclusively at Puget Sound Navy Shipyard for decades.", "Coordination between Naval Reactors and NRC to identify the applicable regulatory authority and establish a regulatory plan for the CVN 65 full commercial option would help ensure accountability for safe dismantlement and disposal of CVN 65 under the full commercial option. It would also enable the Navy and commercial companies to effectively estimate costs. Without a resolution, the Navy could face challenges in estimating the cost and completing a comprehensive business case analysis of costs, benefits, and risks for the full commercial option if it is unsure of which regulatory authority will be responsible for enforcement. Furthermore, companies with potential interest in the CVN 65 work may not be able to effectively estimate the workload and associated cost without a clearly identified regulatory authority. Resolution of this disagreement also has relevance for other future ship dismantlement and disposal activities, such as with the Surface Ship Support Barge in the near term and the Nimitz-class aircraft carriers in the long term.", "Navy Surface Ship Support Barge The Surface Ship Support Barge is a dockside refueling facility constructed from a converted Navy tanker vessel used to disassemble spent nuclear fuel for shipment within a water pool. Naval Reactors noted this facility is now obsolete, with no further use planned, and the Navy is interested in dismantling and disposing of it commercially. According to Naval Reactors officials, the barge contains very low radioactivity in the water pool and fluid systems, which requires appropriate dismantlement and disposal measures. The Navy halted its pursuit of a contract award to dismantle and dispose of the barge in early 2017 based on NRC formally stating it has no regulatory authority over the dismantlement and disposal of naval vessels. A Naval Reactors official stated a request for information may be issued in 2018 to solicit input from commercial companies for dismantlement and disposal of this barge, but plans remain unsettled.", "Naval Reactors could use its own authority to regulate a full commercial dismantlement of CVN 65. Naval Reactors officials stated, however, that NRC or agreement states\u2014which regulate industrial, medical, and research uses of radioactive materials\u2014also have authority to regulate commercial dismantlement and disposal of CVN 65, and the Navy would benefit from leveraging their regulatory experience and structure. In particular, Naval Reactors officials stated that for the full commercial option, their responsibility to provide for processing and disposal of the byproduct material\u2014which Naval Reactors indicated is what remains on CVN 65\u2014can be best met by contracting with commercial companies licensed by NRC or an agreement state.", "According to Naval Reactors officials, even if NRC maintains that it cannot regulate material from CVN 65, some states may do so under their own authority. Specifically, Naval Reactors\u2019 position is that states that had agreements with the old Atomic Energy Commission prior to its abolishment and the creation of NRC in 1974 were granted\u2014and continue to maintain\u2014authority to process naval nuclear propulsion waste. Accordingly, Naval Reactors officials stated that these states could serve as the sole regulatory authority over commercially-performed CVN 65 dismantlement and disposal.", "Naval Reactors officials also asserted specific potential advantages of having NRC or an agreement state regulate commercial dismantlement and disposal of CVN 65. First, they said the regulatory structure that NRC and agreement states apply to commercial nuclear-related activities includes an enforcement process to impose fines for violations, which Naval Reactors does not have.", "Additionally, Naval Reactors officials noted the Navy\u2019s contract strategy options could be improved if NRC or an agreement state serves as the regulatory authority for CVN 65. Specifically, they stated that a reason for the Navy\u2019s interest in using NRC or agreement state authority is the possibility of emulating the firm-fixed-price contract currently being used to decommission a commercial nuclear power plant. In this example, the operating license was transferred from the utility that owns the plant and site to a dismantlement contractor to more quickly complete the decommissioning. This effectively gave a dismantlement and disposal company the power plant owner\u2019s responsibility for the safe dismantlement and disposal of the power plant, with NRC continuing to act as the regulatory authority. According to Naval Reactors, the firm- fixed-price contract used in this case was viable because the dismantlement contractor had total responsibility independent of the plant owner to perform the work in accordance with the regulations and requirements of NRC. Naval Reactors officials stated that the firm-fixed- price contract created an incentive for the company to thoroughly understand what the work entailed and perform the work efficiently to maximize its profit.", "Naval Reactors officials stated that a total separation of the owner from regulatory decisions and interpretations, like the one currently being used for the commercial nuclear power plant, is the Navy\u2019s best means to facilitate the potential use of a firm-fixed-price dismantlement contract for CVN 65. They further stated that an approach wherein Naval Reactors retained regulatory authority could undercut the prospect of a firm-fixed- price contract by eliminating the clear division between regulator and owner. In taking this position, Naval Reactors officials suggest that a conflict of interest exists in being both the owner who wants to establish a fixed price for the work as well as the regulator with the potential to affect costs. Naval Reactors officials also noted that if Naval Reactors were the regulator, with no experience in regulating this type of work, commercial companies could have difficulty pricing such regulatory risk. In contrast, they stated that in NRC-regulated commercial plant dismantlement, as well as agreement state-regulated, large-scale radioactive waste processing work, commercial companies have demonstrated that they are willing to accept this regulatory risk, agreeing to contracts on a fixed-price basis.", "Nuclear Regulatory Commission\u2019s Position In February 2017, NRC formally stated its position in a letter responding to a congressional inquiry that it has no regulatory authority for Navy ships, such as CVN 65. NRC said that under the Atomic Energy Act it is the responsibility of the Department of Energy, and accordingly Naval Reactors, to provide for processing and disposal of naval nuclear propulsion waste. NRC stated that agreement states also lack jurisdiction because their authority derives from NRC\u2019s authority. NRC officials we interviewed also disputed Naval Reactors\u2019 position that states have independent authority to process naval nuclear propulsion waste for two reasons. First, they stated that regulation of reactor dismantlement is not an activity that can be relinquished to the states. Second, they pointed out that the authorities that can be relinquished to the states under the Atomic Energy Act are licensing activities conducted under specific provisions of the act, and that the responsibility to safely process and dispose of naval nuclear propulsion waste is conducted under a different set of provisions which are not subject to licensing.", "NRC officials acknowledged that naval nuclear propulsion waste has been processed at facilities licensed by NRC or an agreement state, but distinguished such examples from CVN 65. Specifically, they noted that no additional regulatory oversight was required to process incidental amounts of such waste at facilities licensed to process commercial waste, but CVN 65 is not licensed by NRC or an agreement state and would involve only naval nuclear propulsion waste. NRC officials emphasized that the additional work that would be required to regulate the dismantlement of CVN 65\u2014an unlicensed facility\u2014puts it beyond NRC\u2019s jurisdiction. Additionally, NRC stated that while such work could be carried out by a contractor, including a contractor with an NRC or agreement state license, the work would not be covered by that license, as NRC and agreement states do not have authority to regulate such activity. Essentially, NRC\u2019s position is that while Naval Reactors can contract to have the dismantlement and disposal performed by a commercial entity, Naval Reactors would retain its own regulatory responsibility for enforcing that contract.", "NRC stated that if Naval Reactors desired technical support in regulating a commercial dismantlement, NRC or an agreement state could provide such services through a contract. This approach, according to NRC officials, would offer Naval Reactors a regulatory consultant familiar with commercial dismantlement while maintaining Naval Reactors as the regulatory enforcement authority. In such an arrangement, NRC or an agreement state could identify regulatory concerns, but Naval Reactors would be responsible for determining what corrective action is taken to address those concerns. Naval Reactors officials stated they are in ongoing discussions with NRC about this potential approach. They also asserted that this potential approach is not optimal because, as previously discussed, it could create regulatory uncertainty for commercial companies by preventing a clear separation of the regulator and owner."], "subsections": []}, {"section_title": "Naval Reactors Lacks Regulatory Experience and Structure for Commercial Dismantlement and Disposal", "paragraphs": ["Since Naval Reactors has its own authority as part of the Department of Energy, it could choose to regulate a CVN 65 commercial dismantlement. However, with Puget Sound Naval Shipyard having performed the dismantlement and disposal work for previous nuclear-powered vessels, Naval Reactors lacks experience to draw upon for a full commercial option. It also cannot rely on the organizational structure and practices in place at Puget Sound Naval Shipyard to support a commercial CVN 65 dismantlement that will be conducted at an offsite facility. If Naval Reactors serves as the regulatory authority for a full commercial dismantlement, it will have to determine what mechanisms are needed to provide sufficient monitoring of the work and how they will fulfill the roles and responsibilities typically filled by the naval shipyard\u2019s support. These mechanisms may include elements similar to those used by the naval shipyard as well as new ones unique to the dismantlement practices used by commercial companies.", "A significant consideration for Naval Reactors when working to establish an approach to monitor commercial dismantlement and disposal is the component-based dismantlement process that companies may use. This process, which is commonly used to dismantle commercial nuclear power reactors, involves segmenting reactor components (i.e., cutting to reduce in size) so the pieces can be put in standardized containers for transport and disposal. This process is a contrast to the traditional dismantlement approach that Nuclear Reactors uses at Puget Sound Naval Shipyard\u2014 an approach that would leave CVN 65\u2019s reactors largely intact by encasing them in packages for disposal. As noted by Naval Reactors officials, commercial dismantlement practices potentially could require the Navy to decide whether to adjust its standard radiological work practices to better align with different dismantlement and disposal activities or use the same practices it uses for work performed at Puget Sound Naval Shipyard. Using the same practices could affect cost expectations for the Navy and commercial companies by changing the way the work is performed. As an example, applying the Navy\u2019s standard practices for total containment of radionuclides to a dismantlement process that involves increased cutting could require additional measures to control the work environment."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Over 50 years ago, CVN 65 set a precedent as the Navy\u2019s first nuclear- powered aircraft carrier. The Navy\u2019s plans and decisions for this aircraft carrier\u2019s dismantlement and disposal represent an opportunity to create a standard that the Navy may use for decades to come as the Nimitz-class carriers enter retirement. As the Navy considers how to proceed, it will be critical to ensure that there is sufficient oversight and accountability for what likely will be an effort greater than $1 billion that lasts the better part of a decade. Since budget exhibits are a primary tool to aid Congress in making well-informed funding decisions, without additional details, transparency and the ability to assess CVN 65 progress could be limited. In particular, a more robust budget exhibit for CVN 65 that includes cost and schedule information across the Future Years Defense Program, as well as the status of activities\u2014including any contract awards and a tracking of high level changes in cost and schedule\u2014could help increase transparency for oversight.", "Reporting requirements for DOD acquisition programs, which are not required or currently planned for CVN 65 dismantlement and disposal, provide examples of the types of information that decision makers can use to ensure that resource-intensive programs are meeting expectations or make changes as necessary. Without establishing a cost and schedule baseline that has been validated by an independent cost estimate or assessment, it will be difficult for decision makers to track cost and schedule performance or have confidence in CVN 65 costs. The Navy has indicated it is receptive to providing additional information to support oversight that is commensurate with other Navy programs of a similar funding level. However, the Navy also stated that it requires clear direction from DOD leadership or Congress on what additional accountability measures are desired before it would make any changes to current budget exhibits and reporting.", "Naval Reactors is charged with cradle-to-grave responsibility for our nation\u2019s naval nuclear propulsion material. The disagreement between Naval Reactors and NRC about the regulatory authority for commercial dismantlement and disposal of Navy nuclear ships persists. Coordination between the two agencies to identify the applicable regulatory authority for a full commercial dismantlement and disposal of CVN 65 and to develop a regulatory plan would help establish which practices and standards will apply to uphold nuclear safety and security. It would also help ensure the Navy\u2019s selection of a dismantlement and disposal plan for CVN 65 is informed by well understood regulatory expectations and cost and schedule estimates that reflect those expectations."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making one matter for congressional consideration.", "Congress should consider requiring Naval Reactors to coordinate with the Nuclear Regulatory Commission for any CVN 65 dismantlement and disposal performed commercially to identify the applicable regulatory authority. In the event that an entity other than Naval Reactors will serve as the regulatory authority, Naval Reactors should submit to Congress a plan that identifies the regulatory authority for CVN 65 activities, and includes acknowledgement from that regulatory entity of its agreement with Naval Reactors and the legal basis for its authority. If the regulatory entity is an agreement state, such acknowledgment should be coordinated with the Nuclear Regulatory Commission. (Matter 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DOD.", "The Secretary of Defense should ensure that the Navy provides additional information in the annual President\u2019s budget exhibits associated with CVN 65 dismantlement and disposal to facilitate improved transparency and accountability. Additions should, at a minimum, include the CVN 65 funding estimate across the Future Years Defense Program, activities planned or performed for applicable fiscal years, tracking of total cost and high level changes in cost and schedule from the prior year with explanations for changes, and if applicable, contract type, awardee, award value, and award and completion date estimates. (Recommendation 1)", "The Secretary of Defense should require the Navy to obtain an independent cost estimate, performed by DOD\u2019s Office of Cost Analysis and Program Evaluation or the Naval Center for Cost Analysis, for both the naval shipyard and full commercial options before choosing a dismantlement and disposal approach for CVN 65. (Recommendation 2)", "The Secretary of Defense should require the Navy to complete a risk management plan prior to beginning the CVN 65 dismantlement and disposal. (Recommendation 3)", "The Secretary of Defense should require the Navy to approve a cost and schedule baseline prior to beginning the CVN 65 dismantlement and disposal. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD and NRC for comment. Both DOD and NRC agreed with the draft report and its findings, and DOD concurred with the four recommendations we directed to the department. DOD and NRC provided written comments, which have been reproduced in appendix II and appendix III, respectively. DOD and NRC also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense, the Secretary of the Navy, the Nuclear Regulatory Commission, and other interested parties. This report will also be available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you or your staff members have any questions regarding this report, please contact me at (202) 512-4841 or oakleys@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to the report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I \u2013 Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes the differences between the dismantlement and disposal options under consideration, including cost and schedule as well as workload and facilities; (2) evaluates the Navy\u2019s funding and reporting practices for dismantlement and disposal activities; and (3) assesses the effect that nuclear regulatory authority considerations have on dismantlement and disposal options for CVN 65.", "To identify the differences between the potential CVN 65 dismantlement and disposal options, we reviewed Navy documentation on prior, ongoing, and future dismantlement and disposal activities, as well as information related to the different options the Navy has considered or is considering for CVN 65. We interviewed Navy officials and reviewed documentation from the Naval Sea Systems Command, which includes Naval Reactors, and Puget Sound Naval Shipyard and Intermediate Maintenance Facility (hereafter referred to as Puget Sound Naval Shipyard). To obtain an understanding of the full commercial dismantlement and disposal approach, including work practices and potential work sites, we interviewed officials and reviewed documentation from commercial companies that the Navy identified as having involvement in shipbreaking or nuclear-related industries and potential interest in CVN 65. These companies include Atkins Global; EnergySolutions; Huntington Ingalls Industries (HII \u2013 Nuclear); International Shipbreaking Limited; NorthStar Group Services; and Waste Control Specialists.", "For CVN 65 cost and schedule estimates, the Navy considers all estimates to still be preliminary because the Navy has yet to formally begin the environmental impact statement process and remains years away from a decision on its dismantlement and disposal approach. As a result, we did not formally evaluate the reasonableness of any cost or schedule estimates. However, we did review the initial estimates to gain insight on historical and current cost expectations. To assess the Navy\u2019s preliminary cost estimates for the naval shipyard option, we reviewed Navy data on the basis for the cost estimates, particularly estimates since 2011. This included reviewing the cost factors that contributed to each estimate to understand how the shipyard\u2019s increasing knowledge of CVN 65\u2019s ship characteristics and changes to the planned dismantlement approach fed into the different estimates. For the Navy\u2019s notional cost estimate of the CVN 65 full commercial option, we reviewed the data and approach used by the Navy to develop initial cost information. This included commercial decommissioning data, which the Navy used to establish a rough order of magnitude cost estimate based on the limited information available that is comparable to CVN 65 dismantlement and disposal.", "We used the same data to generate our own notional estimated cost range based on a Nuclear Regulatory Commission (NRC) cost formula, as well as published data from the Organisation for Economic Co- operation and Development\u2019s Nuclear Energy Agency. This included analysis of costs reported by operating power reactor licensees in NRC\u2019s 2015 decommissioning funding status report to comply with decommissioning financial assurance reporting requirements. Our review of historical data from the Nuclear Energy Agency and a 2011 report on nuclear decommissioning by an independent panel established by the California Public Utilities Commission helped us identify cost drivers and categories of costs attributed to specific activities that occur when decommissioning commercial power plants.", "To assess workload and facility considerations related to CVN 65, we analyzed Puget Sound Naval Shipyard workload and resource requirements data for fiscal years 2006 through 2025, and facility data for fiscal years 2018 through 2035. To assess the reliability of these data, we interviewed knowledgeable officials and reviewed documentation to verify the controls and measures used to validate and maintain the data. We determined these data to be reliable for our purposes of discussing the existing and planned workload at Puget Sound Naval Shipyard. We compared projections to actual workload when available to identify differences and compared the average amount of annual projected workload to the average amount of annual projected workforce available. We also reviewed a 2018 report on the Navy\u2019s strategic plan for addressing the infrastructure deficiencies at the public naval shipyards as well as the Navy\u2019s long-range shipbuilding plans for fiscal years 2011, 2016, and 2019. Additionally, we reviewed past GAO reports that addressed operation and maintenance activities at naval shipyards, and the related workload demands and facilities\u2019 requirements.", "To identify the Navy\u2019s funding and reporting practices for dismantlement and disposal activities, we reviewed Navy documentation on prior, ongoing, and future ship dismantlement and disposal activities, as well as Navy procurement and operation and maintenance budget exhibits\u2014 fiscal years 2016 and 2017 for procurement exhibits and fiscal years 2007 through 2017 for operation and maintenance budget exhibits. We also reviewed Federal Acquisition Regulations, Office of Management and Budget guidance on budget information, and the Department of Defense and Navy acquisition regulations. We interviewed officials from Naval Reactors and the Program Executive Office for Aircraft Carriers. Based on these efforts, we evaluated the Navy\u2019s historical approach for funding, conducting oversight, and reporting on dismantlement and disposal activities. We assessed the Navy\u2019s approach against federal standards for internal control. Additionally, we assessed how funding and typical reporting requirements for Department of Defense acquisition programs align with the potential need to facilitate oversight for CVN 65 dismantlement and disposal.", "To determine the effect that nuclear regulatory authority considerations have on dismantlement and disposal for CVN 65, we examined applicable laws, regulations, executive orders, policies, and guidance documents related to nuclear-powered ships. We also reviewed past GAO reports related to environmental and nuclear requirements. We reviewed Navy documentation on prior, ongoing, and future ship dismantlement and disposal activities. We also interviewed officials and reviewed documentation from Naval Reactors; the Assistant Secretary of the Navy for Energy, Installations, and Environment; the Chief of Naval Operations Environmental Readiness Division; the Program Executive Office for Aircraft Carriers; Puget Sound Naval Shipyard; and the Nuclear Regulatory Commission. Additionally, we interviewed officials from the Washington State Departments of Health and Ecology, the Texas Commission on Environmental Quality, and the Texas Department of State Health Services\u2014two states in which ship dismantlement activities have recently occurred and that have nuclear waste disposal sites.", "We conducted this performance audit from August 2017 to August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II \u2013 Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III \u2013 Comments from the Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV \u2013 GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Shelby S. Oakley, (202) 512-4841 or oakleys@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, key contributors to this report were Diana Moldafsky, Assistant Director; Antoinette Capaccio; Kurt Gurka; Stephanie Gustafson; Kristine Hassinger; Jean Lee; Sean Merrill; LeAnna Parkey; Karen Richey; and Roxanna Sun."], "subsections": []}]}], "fastfact": ["Dismantling and disposing of the ex-USS Enterprise nuclear aircraft carrier may cost the Navy more than $1 billion.", "We found that typical budget and reporting on dismantlement and disposal does not give enough information to support oversight for a project of this size and cost. We recommended the Navy provide additional budget information and reporting for the project.", "We also found that using commercial industry to dismantle and dispose of the aircraft carrier may offer many benefits to the Navy. At present, a regulatory disagreement between agencies hampers this possibility. We suggested that Congress consider action to resolve this."]} {"id": "GAO-18-552", "url": "https://www.gao.gov/products/GAO-18-552", "title": "Aviation Security: Basic Training Program for Transportation Security Officers Would Benefit from Performance Goals and Measures", "published_date": "2018-07-26T00:00:00", "released_date": "2018-07-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TSA is responsible for ensuring that all airline passengers and their property are screened for items that could pose a threat to airplanes and passengers at 440 airports across the United States. Since 2016, TSO Basic Training\u2014initial training for newly hired TSOs, including both TSA-employed and private screeners\u2014has consisted of an intensive two-week course at the TSA Academy located at FLETC. TSA has obligated about $53 million for the program from its inception through March 2018. In 2015 and 2017, the Department of Homeland Security Inspector General raised questions about the effectiveness of checkpoint screening, which prompted concerns about training.", "GAO was asked to review TSA's training of new TSOs. This report (1) describes the reasons why TSA established the TSO Basic Training program; (2) discusses factors OTD considers when updating TSO Basic Training curriculum; and (3) assesses the extent to which TSA evaluates its TSO Basic Training program. GAO reviewed documents on the development and modification of TSO Basic Training curriculum; visited FLETC; interviewed TSA officials; and compared TSA's program evaluation to leading practices."]}, {"section_title": "What GAO Found", "paragraphs": ["The Transportation Security Administration (TSA) established the Transportation Security Officer (TSO) Basic Training program at the TSA Academy at the Federal Law Enforcement Training Centers (FLETC) in Glynco, Georgia to obtain benefits from centralized training. Prior to the Basic Training program, TSO training was conducted at individual airports, often by TSOs for whom instruction was a collateral duty. According to a business case developed by TSA for Congress in 2017 and TSA officials, TSA expected implementation of the TSO Basic Training program to provide efficiencies to the delivery of new-hire training for TSOs and to enhance the professionalism and morale of newly hired screeners. For example, GAO observed that TSO Basic Training facilities have airport checkpoint equipment and x-ray image simulators for students to practice skills, eliminating the challenge of finding available equipment and training times in a busy airport environment. According to program officials, centralized training also provides trainees with an increased focus on the TSA mission and instills a common culture among TSOs.", "TSA's Office of Training and Development (OTD) updates and modifies the TSO Basic Training curriculum in response to evolving security threats and evaluations of effectiveness, among other factors. For example, OTD holds regular meetings with TSA's Office of Security Operations\u2014the office responsible for managing TSO performance\u2014to discuss issues such as imminent threats. The offices also discuss analyses of TSO effectiveness identified through covert tests, in which role players attempt to pass threat objects\u2014such as knives, guns, or simulated improvised explosive devices\u2014through the screening checkpoints. The two offices identify ways to address issues identified in covert testing, which are then incorporated into TSO Basic Training. OTD also gathers input from TSO Basic Training instructors and from participants to adjust training curriculum.", "TSA has implemented a training evaluation model but has not yet established specific program goals and performance measures to assess TSO Basic Training. The Kirkpatrick model used by TSA is a commonly-accepted training evaluation model endorsed by the Office of Personnel Management and used throughout the federal government. While TSA reported expected benefits of TSO Basic Training in its business case and implemented the Kirkpatrick model to begin assessing training, it has not yet identified specific goals that the program is expected to achieve, nor has it developed applicable performance measures to evaluate progress toward goals, as called for by leading management practices for training evaluation. TSA officials told GAO that TSO Basic Training is a relatively new program and they planned to collect more data on TSO screening performance before further evaluating the potential impacts of the training program. However, TSO Basic Training serves as the foundation for TSOs to learn core skills and procedures, and it is important to establish goals and measures to better assess the effectiveness of the training they receive. This will help TSA determine the extent to which TSOs are able to fulfill their important role in ensuring passenger safety while also showing results for the funds spent on such training each year."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that TSA establish specific goals and performance measures for the TSO Basic Training program. TSA concurred with the recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The screening of airport passengers and their property is a critical component in securing our nation\u2019s commercial aviation system. Since the terrorist attacks of September 11, 2001, the Transportation Security Administration (TSA) has been tasked with screening airline passengers and their carry-on and checked baggage for prohibited and other potentially dangerous items that could pose a threat to aircraft and passengers. According to TSA, in fiscal year 2017, more than 771 million passengers were screened at 440 airports across the United States.", "Since its inception, TSA has frequently adapted its standard operating procedures (SOP) to address new and evolving threats to aviation security. For instance, after the discovery of a plot to take the ingredients for an improvised explosive device\u2014including hydrogen peroxide disguised as soda\u2014onto multiple aircraft, TSA limited the amount of liquids passengers could bring onto planes from outside the airport. Transportation Security Officers (TSOs) at airports follow SOPs that guide screening processes and utilize technology such as advanced imaging technology (AIT) scanners or walk-through metal detectors to screen passengers and their accessible property. TSOs have annual training requirements, which are developed and implemented by TSA\u2019s Office of Training and Development (OTD). TSOs also receive basic training upon being hired. Through 2015, basic training was provided at TSOs\u2019 home airports through TSA\u2019s New Hire Training Program (NHTP). As of January 2016, NHTP was replaced by TSO Basic Training, an intensive two-week training program at the TSA Academy (Academy) located at the Federal Law Enforcement Training Centers (FLETC) campus in Glynco, Georgia.", "In 2015 and 2017, the Department of Homeland Security (DHS) Inspector General identified vulnerabilities in TSA checkpoint screening, after agents carried metallic (inoperable handguns) and nonmetallic (simulated explosive) test items concealed on their body through TSA passenger security checkpoints and into the sterile areas of airports. The results of these covert tests also sparked concerns about the training of TSOs. As a result, you asked us to review TSA\u2019s training of new TSOs through the TSO Basic Training program. This report: (1) describes the reasons why TSA established TSO Basic Training; (2) discusses factors OTD considers when updating the TSO Basic Training curriculum; and (3) assesses the extent to which TSA evaluates its TSO Basic Training program.", "To describe the reasons TSA established the TSO Basic Training program at the TSA Academy, we reviewed documents related to the establishment of the program, such as agency training plans, a management directive, and the business case for TSO Basic Training submitted by TSA to Congress. We also visited the Academy to better understand the benefits of establishing TSO Basic at FLETC. In addition, we interviewed OTD officials at headquarters and at the Academy, instructors at the Academy, and union officials representing TSOs employed by TSA to better understand the benefits and challenges of training all new TSOs at the Academy and how TSO Basic Training differs from NHTP in place prior to TSO Basic Training.", "To discuss what factors OTD considers when updating the TSO Basic Training curriculum, we reviewed documentation from OTD regarding changes made to TSO Basic Training since its inception, including a list of changes to the curriculum and a contractor\u2019s report that recommended some of those changes. We also interviewed officials from the Office of Security Operations (OSO), the office that manages TSOs at the nation\u2019s airports, the Office of Inspection (OOI), which conducts covert testing to evaluate checkpoint effectiveness, and OTD to determine why modifications were made and how the offices communicate regarding updates to standard operating procedures and other processes that may impact TSO Basic Training.", "To assess the extent to which TSA evaluates TSO Basic Training, we reviewed TSA documents used for evaluating training courses, including end-of-course surveys administered to participants and surveys distributed to participants and their supervisors approximately 3 months after course completion. We also interviewed TSA headquarters officials responsible for evaluating TSO Basic Training and for developing and implementing TSO Basic Training as well as TSO Basic Training instructors. We compared the training evaluation documentation to the Kirkpatrick Model for training evaluation, which TSA uses as the model for its evaluations of TSO training, and to leading practices in evaluating training and development efforts.", "We conducted this performance audit from November 2017 through July 2018, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["After the terrorist attacks of September 11, 2001, Congress passed and the President signed the Aviation and Transportation Security Act into law on November 19, 2001, with the primary goal of strengthening the security of the nation\u2019s civil aviation system. The act established TSA as the agency with responsibility for securing all modes of transportation, including civil aviation. As part of this responsibility, TSA performs or oversees security operations at the nation\u2019s nearly 440 commercial airports, including managing passenger and checked baggage screening operations.", "TSOs inspect individuals and property to deter and prevent passengers from bringing prohibited items on board an aircraft or into the airport sterile area\u2014in general, an area of an airport to which access is controlled through the screening of persons and property. While working at an airport checkpoint as shown in figure 1, TSOs perform a variety of tasks, which include:", "Travel document verification: a TSO checks passengers\u2019 identification against the boarding pass and the individual presenting the identification.", "Divestiture: a TSO assists passengers by informing them what items need to be placed on the x-ray conveyor belt.", "X-ray interpretation: TSOs screen passengers\u2019 carry-on baggage and personal property by interpreting x-ray images to identify any prohibited items.", "Advanced imaging technology operations: Passengers are screened via advanced imaging technology (often referred to as body scanners), which identifies areas where they may be concealing prohibited items.", "Walk-through metal detector operation: a TSO operates the walk- through metal detector.", "Physical searches: Passengers can opt to be screened through a physical search, or TSOs may perform a physical search to resolve an alarm triggered by the AIT system or the walk-through metal detector, among other reasons.", "Explosive trace detection and manual searches of property: TSOs use an explosives trace detection system by swabbing carry-on baggage and testing the sample for explosive residue or vapors. This test is usually performed in conjunction with a manual search of the carry-on baggage.", "Exit lane monitoring: a TSO watches the lane through which passengers exit the sterile area to ensure that no one enters the sterile area through that passage.", "Within TSA, two offices work together to manage TSOs and ensure their training is current and relevant. OSO is responsible for allocating TSO staff to airports, scheduling TSO work hours and training availability, and developing SOPs that govern how TSOs screen passengers and baggage. OTD is responsible for developing initial and ongoing training curricula for TSOs based in part on SOPs. Within OTD, a dedicated team is located at the Academy to manage updates at TSO Basic Training.", "In accordance with the Aviation and Transportation Security Act, screeners must complete a minimum of 40 hours of classroom instruction, 60 hours of on-the-job training, and successfully complete an on-the-job training examination. Until 2016, new TSOs completed these training requirements at or near their home airports through the New Hire Training Program (NHTP). Since TSA centralized the TSO Basic Training program in January 2016, TSOs fulfill these training requirements through classroom training at the Academy as well as training at their home airports prior to the Academy and on-the-job training after completion of TSO Basic Training. During the 2 weeks spent at the Academy, TSOs receive 80 hours of training on standard operating procedures, threat detection, and the use of screening equipment. Prior to attending TSO Basic Training, new TSOs complete computer-based prerequisite training and may shadow experienced TSOs at a checkpoint. TSO Basic Training allows for participants to be trained at a dedicated facility with more hands-on training than was possible for NHTP (see Appendix I for a comparison of the two programs).", "As shown in table 1, of the $53 million obligated from January 2016 through March 2018, TSA obligated $18.2 million for procurement and development of the modular buildings on the FLETC campus used for TSA training, as well as associated hardware and set-up obligations such as audio/video equipment and fully operational simulated checkpoints. TSA obligated an additional $12 million in fiscal year 2016 and $13.7 million in fiscal year 2017 for the delivery of TSO Basic Training, including associated student travel and related equipment. TSA officials told us that due to continuing budget resolutions that funded the government between October 2017 and March 2018, TSA was not able to fully fund the interagency contract between TSA and FLETC to support the TSO Basic Training course in fiscal year 2018 at the beginning of the year. For this reason, TSA does not yet have 2018 training obligations available for reporting through its accounting system. However, based on the average cost per student in fiscal year 2017 of about $2,300 to attend TSO Basic Training, TSA estimates total training obligations of approximately $9.1 million in the first half of fiscal year 2018."], "subsections": []}, {"section_title": "TSA Established the TSO Basic Training Program at the Academy to Obtain Benefits from Centralized Training", "paragraphs": ["According to the business case for TSO Basic Training and TSA officials, implementation of the TSO Basic Training program at the Academy was anticipated to provide a number of potential benefits. The anticipated benefits identified generally align under two distinct categories: (1) efficiencies and improvements obtained through the centralized delivery of training, and (2) enhanced professionalism and \u201cesprit de corps\u201d obtained through bringing newly hired screeners together for centralized training. Collectively, these benefits were also envisioned by TSA headquarters officials to have a positive impact on screening effectiveness and public perception of the TSA workforce.", "Based on several analyses of training delivery options that TSA has conducted since 2008, TSA determined that a centralized training academy would have a number of potential benefits relative to the decentralized training previously administered at field airports through NHTP. Among the potential efficiencies and improvements cited by TSA are: Increased consistency and standardization. According to TSA documents and OTD headquarters officials, centralized training provides a standardized curriculum that serves as a foundation for the skills, knowledge, and equipment used across an array of different airport environments. The TSA business case and other supporting analyses note that such an approach offers greater consistency of training delivery and a better mechanism for developing, delivering, and evaluating course content.", "Equipment availability and expanded course content. TSO Basic Training includes a full suite of dedicated checkpoint equipment and x-ray image simulators for students to practice learned skills, eliminating the challenge of finding available equipment and training times in a busy airport environment (see figure 2). Officials told us that being more familiar with the screening equipment increases TSOs\u2019 readiness for on-the-job training when they return to their home airports. Initial test results also indicate that participants trained at the Academy receive higher pass rates on end-of course assessments of x-ray image interpretation skills than those who received their initial training at their home airports. Specifically, according to TSA data, of the 5,877 test-takers who received training at TSO Basic Training in 2016, 91.5 percent passed the Image Interpretation Test on their first attempt. In contrast, 83.2 percent of the 1,458 test-takers who received training at local airports in 2016 passed the test on their first attempt. In addition, the Academy curriculum incorporates new learning opportunities, including a live demonstration of improvised explosive devices and an active shooter drill, both of which would be difficult to reproduce within the airport environment, according to TSA officials.", "Dedicated faculty and instructor development. TSO Basic Training offers a dedicated faculty and support staff focused exclusively on training TSOs. According to TSA officials, before TSO Basic Training, training at individual airports was often conducted by TSOs for whom instruction was a collateral duty, whereas instructors at the Academy have full-time training responsibilities and enhanced opportunities to learn from each other, increase their professional training skills, and provide feedback on the delivery of course curriculum.", "Centralized facility and shared logistics. By locating the TSA Academy at FLETC, TSA is able to take advantage of the services and logistical support that FLETC provides. Specifically, FLETC services and logistics include accommodations, meals, and transportation, thereby reducing the administrative demands on TSA personnel and allowing students a focused and efficient training experience. Additional efficiencies cited by TSA officials include lower overall costs for office space, janitorial services, and other operational costs because such costs are shared by the 96 agencies that use FLETC. According to TSA officials, conducting training at FLETC can also help TSA accommodate hiring surges and better augment future training, if needed. For example, TSA officials reported that the facility has surge capacity from its current capacity of 240 students up to 300 new students if sufficient instructors are available.", "According to TSA documents and training officials, another key benefit of centralized training is the opportunity to enhance professionalism and help foster camaraderie and esprit de corps. TSA anticipates that centralized, standardized training will not only provide trainees with an increased focus on the TSA mission and operational environment, but can serve to instill a common culture and sense of belonging among the broader community of TSOs nationwide. In its business case, TSA notes that centralized training of new recruits is a common model employed by the armed forces and other federal law enforcement agencies within DHS, such as U.S. Customs and Border Protection and the U.S. Coast Guard. According to the business case, by bringing together newly hired TSOs from around the country, TSA also hopes to inspire in its trainees a singular identity and unity of purpose, which previous analyses generally found lacking as part of the decentralized training approach.", "The business case also associates such increases in professionalism and esprit de corps with greater employee satisfaction and the potential for reduced attrition. Analysis conducted by TSA in 2017 provides some initial support for positive trends in these areas. For example, results of a 2017 TSA employee engagement survey indicated that respondents who attended TSO Basic Training reported higher scores in categories including Organizational Commitment, Job Satisfaction, and Overall Morale versus respondents who did not attend. TSA also reported a 19 percent reduction in the attrition rate during the first 180 days of being hired for those attending TSO Basic Training at the Academy in 2016 versus those who received their initial training at field airports through the New Hire Training Program."], "subsections": []}, {"section_title": "Factors Considered in Updating the TSO Basic Training Curriculum Include Evolving Security Threats and Input from Course Participants", "paragraphs": [], "subsections": [{"section_title": "OTD Uses Information from OSO to Update the TSO Basic Training Curriculum to Address Evolving Security Threats", "paragraphs": ["OTD updates and modifies the TSO Basic Training curriculum based, in part, on regular communications from OSO, the office responsible for developing SOPs for screening operations and managing TSO performance. Officials from both offices told us that OSO provides information to OTD on changes to SOPs as soon as changes are made so they can update the TSO Basic Training curriculum. For instance, in 2017, when OSO began planning major changes to the SOPs, the office gave OTD information about the planned SOP revisions, as well as the airports where the new SOPs would be piloted. In response, OTD modified its curriculum and was able to provide revised training for new TSOs based at airports that were piloting the program, while providing TSOs at all other airports the prior version of training. OTD officials noted that in some cases TSA must quickly update SOPs to reflect imminent threats. According to officials, a plan is in place to make changes to TSO Basic Training curriculum in response to emerging or imminent threats, although such threats have not been experienced since the establishment of TSO Basic Training in 2016.", "In addition to changes in SOPs, OSO officials indicated they may also change the timing of when TSOs employed by TSA attend TSO Basic Training. Specifically, officials told us that OSO plans to implement a new model for TSO Basic Training in which TSOs will attend TSO Basic Training 2 to 6 months after they are hired rather than as soon as is practical. According to TSA, the agency is pursuing this change to, among other things, implement a transparent career path for TSOs employed by TSA and to encourage and reward skill development. During the 2 to 6 months prior to attending TSO Basic Training, TSOs will perform checkpoint tasks that require training that can be delivered at the airport as soon as they are hired, such as checking passengers\u2019 travel documents and helping passengers move through the checkpoint. Once TSOs are able to perform these initial tasks, they will attend TSO Basic Training at the Academy, Officials told us they are preparing for the change by modifying the TSO Basic Training curriculum to eliminate subjects that will be covered at the airports and to emphasize skills that more experienced TSOs will need, such as performing physical searches of passengers. TSA plans to implement the revised model beginning in August 2018.", "Finally, OTD receives information on TSO performance and uses that information to inform TSO Basic Training curriculum. For example, two TSA offices\u2014OSO and the Office of Inspections\u2014perform regular effectiveness testing of airport checkpoints through covert testing and share the results with OTD. After each covert testing event, each office conducts interviews with TSOs to determine the factors that contributed to their effectiveness at identifying prohibited items. Officials told us that OSO and OTD hold regular meetings to discuss the analyses of covert testing failures and ways in which training curriculum can be modified to address the reasons for the failures, which are then incorporated into the TSO Basic Training curriculum. Office of Inspections officials noted that they participated in the development of the TSO Basic Training curriculum and provide regular reports to OTD on covert testing results."], "subsections": []}, {"section_title": "When Making Updates to TSO Basic Training Curriculum, OTD Considers Feedback from Instructors, Course Participants, and Contractors", "paragraphs": ["OTD gathers input from TSO Basic Training participants, instructors, and contractors on ways to update the curriculum. For instance, TSO Basic Training instructors told us they submit \u201cwhite paper proposals\u201d to TSO Basic Training course managers detailing their suggested changes to the course. They can also provide feedback and suggestions during \u201ctrain the trainer\u201d sessions, in which all instructors participate when TSO Basic Training is updated. Instructors told us that all sessions include an opportunity for instructors to provide feedback after reviewing the new curriculum. Officials told us that they take instructors\u2019 feedback into account when implementing new curriculum. For instance, officials told us that at the suggestion of instructors, they added time for discussion at the end of each checkpoint lab to help capture and share lessons learned.", "OTD also collects feedback from TSOs who have participated in the course, both at the end of their two weeks at the Academy and several months after their completion of the course. At the end of TSO Basic Training, OTD collects feedback from participants through a survey with both multiple choice and open-ended questions. The survey includes questions on the course curriculum and instructor performance. Officials told us that they regularly review the results of the survey and consider whether it is appropriate to address the feedback by modifying TSO Basic Training. For instance, the most often provided feedback for altering the curriculum was to increase the time in hands-on training using screening equipment in the Academy\u2019s simulated checkpoints. In response, OTD officials told us they added nearly 5 hours of hands-on training to the 80- hour program in addition to the 6 hours that had previously been a part of the curriculum.", "In addition to collecting feedback from TSO Basic Training participants and instructors, TSA officials told us that TSA regularly uses a contractor to support the design and development of training courses and to assess existing courses, including TSO Basic Training. In 2016, the contractor conducted an evaluation of the instructional integrity of the TSO Basic Training curriculum. The resulting report made a number of recommendations to improve the curriculum and structure of TSO Basic Training, many of which OTD has implemented. For instance, the contractor recommended that TSO Basic Training include more opportunities for review of the material to reinforce TSOs\u2019 understanding. In response, OTD implemented a review session at the end of the first week of training so TSOs have an opportunity to clarify information presented over the first week."], "subsections": []}]}, {"section_title": "TSA Has Made Progress in Implementing a Training Evaluation Model but Has Not Established Specific Goals and Performance Measures to Assess TSO Basic Training", "paragraphs": ["TSA has implemented three of the four levels of the Kirkpatrick Model, a training evaluation model that, in part, helps TSA collect feedback from course participants and evaluate the impact on individual development. However, the agency has not developed goals for the program or related performance metrics to demonstrate progress toward goals."], "subsections": [{"section_title": "TSA Has Made Progress in Implementing the Kirkpatrick Model to Evaluate Its TSO Basic Training Program", "paragraphs": ["To evaluate the TSO Basic Training program, TSA uses the Kirkpatrick Model, which is a commonly accepted training evaluation model endorsed by the Office of Personnel Management and used throughout the federal government. The Kirkpatrick Model consists of a four-level approach for soliciting feedback from training course participants and evaluating the impact the training had on individual development, among other things. To date, TSA has implemented the first three levels of the model by administering (1) course surveys to participants at the end of the training program; (2) an end-of-course written exam and an x-ray image interpretation test to assess achievement of learning objectives; and (3) course surveys to participants and their supervisors several months after completing training to collect information regarding how the training affected behavior or performance on the job. OTD officials told us that they have not yet implemented Level 4 of the model because they do not believe they have enough data. Table 2 provides a description of what each level within the Kirkpatrick model is to accomplish and TSA\u2019s progress in implementing the levels."], "subsections": []}, {"section_title": "TSA Has Not Yet Developed Goals and Performance Measures for TSO Basic Training", "paragraphs": ["While TSA reported potential benefits of TSO Basic Training in its business case and implemented the Kirkpatrick Model to assess training, it has not yet identified specific goals that the TSO Basic Training program is expected to achieve, nor has it developed performance measures to evaluate progress toward goals. The business case and the Kirkpatrick Model are positive steps and document certain benefits of TSO Basic Training, but without a set of specific training goals and associated performance measures for the program, TSA is not able to fully evaluate the program\u2019s effectiveness and ensure accountability toward results. Such goals are important to help ensure alignment with course objectives and the end-of course examinations administered as part of Level 2 of the Kirkpatrick Model. In addition, without the development of specific goals, it is not possible to determine what types of performance measures should be used to help show progress toward such goals. For example, in its business case, TSA identified improved employee morale as one of the anticipated benefits of TSO Basic Training. However, there are no goals or metrics specifically related to this benefit. If TSA believes improved morale should be something for which TSO Basic Training aims, goals and measures could help them demonstrate the extent to which this benefit is being realized by the training program.", "Leading management practices related to training evaluation guidance identifies the importance of agencies developing and using performance measures regularly to ensure accountability and assess progress toward achieving results that are aligned with the agency\u2019s mission and goals. In addition, these practices highlight the importance of agencies having clear goals about what the training or development program is expected to achieve as a precursor to developing such measures. When designed effectively, performance measures help decision makers (1) determine the contributions that training makes to improve results, (2) identify potential gaps in performance, and (3) determine where to focus resources to improve results. In particular, incorporating valid measures of effectiveness into training programs can enable an organization to better ensure that desired changes occur in trainees\u2019 skills, knowledge, and abilities.", "According to OTD officials, the TSO Basic Training program was established on an accelerated schedule in late 2015 as one of multiple efforts to improve training delivery and help enhance screener effectiveness. Officials stated that the program is still relatively new and they plan to collect several additional years of data on system-wide screening performance before conducting efforts to further evaluate the impact of the training. They reported that the lack of performance measures is also due to the inherent difficulty of tying specific training initiatives to broader organizational results. Officials told us that once TSOs return to their home airports after TSO Basic Training, they are exposed to additional on-the-job training and differing airport cultures, which make it difficult to isolate the effects of TSO Basic Training. However, senior training officials agreed that establishing applicable goals and performance measures for the TSO Basic Training program would be helpful to support ongoing efforts and better measure program progress.", "We recognize that developing metrics to assess the performance of training programs on broad organizational results can be challenging. However, there are additional opportunities to develop program goals and performance measures as part of the training evaluation efforts at the Academy to help ensure that participants can demonstrate proficiency in performing core technical skills before returning to their home airports. We believe that developing goals for a training program does not need to wait for years of data. Goals reflect desired results, connected to an agency\u2019s mission, which a program plans to achieve. In the over 2 years of using TSO Basic Training, TSA has not stated what results the training program is to achieve.", "TSOs provide a crucial function to help ensure passenger safety, and it is important to have goals aligned with this mission, as well as associated measures of effectiveness of the training they receive at TSO Basic Training to determine the extent to which they are able to fulfill their important role. As noted by leading management practices for training evaluation, agencies need credible information to demonstrate a training program is contributing to a goal and they can develop such data through a mix of quantitative and qualitative indicators. We found that options for assessing the effectiveness of TSO Basic Training could include measuring TSO performance by leveraging data from end of course examinations, such as the x-ray image interpretation test, and introducing similar additional tests or mechanisms to further evaluate trainees\u2019 knowledge and skills in effective screening procedures. Additional options could include measuring employee morale as indicated by TSOs on their Kirkpatrick Level 1 surveys at the completion of the training program, and comparing these results against applicable program goals for employee morale that TSA could establish related to TSO Basic Training. By identifying annual goals and measures for TSO Basic Training, TSA will also be better positioned to move forward with Level 4 of the Kirkpatrick Model to evaluate the impact of training on broader organizational results. Given that over $50 million has been obligated to set up and operate the TSO Basic Training program to date, it is important that TSA incorporate annual goals and measures into the training program to be better informed when making training decisions and to help hold itself accountable for training results on a regular basis."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["TSOs perform a critical role in securing our nation\u2019s commercial aviation system and often represent the most visible face of TSA to the public. For this reason, new hire training is an integral function to ensure that TSOs are obtaining the foundational skills and knowledge to help prepare them to perform their jobs effectively. In 2016, TSA initiated a major change to its training approach for new hires to help ensure a consistent and standardized training experience and promote enhanced camaraderie and esprit de corps. Although TSA has implemented a framework to assess participant reactions to the training and their knowledge of course content, it has not yet established goals for the TSO Basic Training program or measures to gauge effectiveness of the training TSOs receive to determine the extent to which they can fulfill their crucial role in ensuring passenger safety. By taking these steps, TSA will be better positioned to determine if the program is improving trainees\u2019 skills, knowledge, and abilities and whether additional skill development, or other training modifications, may be needed."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["We are making one recommendation to the Administrator of TSA. Specifically, the Administrator of TSA should establish specific goals for the TSO Basic Training program and develop performance measures that can be used to assess if the program is achieving desired outcomes and help ensure accountability for training results on a regular basis. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS for review and comment. DHS provided written comments, which are reprinted in appendix II, and technical comments, which we incorporated as appropriate. DHS agreed with our recommendation that TSA establish specific goals for the TSO Basic Training program and develop performance measures that can be used to assess if the program is achieving desired outcomes. In addition, in its written comments DHS outlined steps to address this recommendation.", "With regard to performance goals, TSA plans to establish broad goals that include successful screening and improved morale, among others. The stated goals are an appropriate response to our recommendation that TSA develop goals specifically for TSO Basic Training. These actions, if implemented effectively, should address the intent of our recommendation.", "With regard to developing performance measures that can be used to assess program outcomes, TSA intends to leverage existing mechanisms through its Kirkpatrick Model evaluations to measure program success. As we noted in the report, implementing the first three levels of the Kirkpatrick Model are positive steps that document certain benefits of TSO Basic Training, but they do not address specific goals or performance measures. Kirkpatrick Model Level 2 evaluations include proficiency exams administered prior to TSOs\u2019 departure from the Academy. Data from these evaluations, in conjunction with specific goals, may provide quantifiable metrics that could inform further refinement of the TSO Basic Training curriculum. However, the surveys being used by TSA for Level 3 of the Kirkpatrick Model do not include metrics that would allow TSA to measure the program\u2019s effectiveness and ensure accountability toward results. Specifically, the surveys do not demonstrate whether TSO Basic Training is reaching goals related to successful screening or improved morale because survey results are influenced by factors outside of the training program. We will continue to monitor TSA\u2019s efforts in this area.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Homeland Security, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (206) 287-4804 or AndersonN@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Comparison of New Hire Training Program and Transportation Security Officer (TSO) Basic Training", "paragraphs": ["In 2016, the Transportation Security Administration (TSA) established the TSO Basic Training program at the TSA Academy, located at the Federal Law Enforcement Training Centers in Glynco, Georgia. TSO Basic Training allows new TSOs to be trained at a dedicated facility with simulated checkpoints. Previously, TSOs\u2019 initial training was delivered through the New Hire Training Program at or near their home airports, at which they were able to practice using checkpoint equipment only when the equipment was not being used, such as after hours. For further comparison of the two programs, see Table 3."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Acknowledgements", "paragraphs": ["In addition to the contact named above, Dawn Locke, Assistant Director; Miriam Hill, Analyst in Charge; and Ryan Lambert made key contributions to this report. Also contributing to the report were Elizabeth Dretsch, Eric Hauswirth, Susan Hsu, Heidi Nielson, and Adam Vogt."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-52", "url": "https://www.gao.gov/products/GAO-18-52", "title": "Federal Employees Health Benefits Program: Enrollment Remains Concentrated Despite More Plan Offerings and Effects of Adding Plan Types Are Uncertain", "published_date": "2017-10-05T00:00:00", "released_date": "2017-11-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FEHBP provides health care coverage to about 8 million federal employees, retirees, and their dependents through carriers that contract with OPM. The Federal Employees Health Benefits Act of 1959 limited the types of plans OPM could offer. OPM has reported that the program needs more competition between plans and more diverse health plan choices and has proposed that its contracting authority be expanded to allow a greater variety of types of health plans to participate in FEHBP than are currently allowed.", "GAO was asked to examine FEHBP plan participation and the potential impact of OPM adding new plan types to the program. This report describes, among other things: (1) how the number of plans and market shares of carriers participating in FEHBP changed in recent years, and (2) what is known about the potential effects of allowing OPM to contract with a greater variety of types of health plans than are currently offered. GAO requested OPM plan availability and enrollment data by county for 2000 through 2015, but county-level availability data were only available for 2007 and 2009 through 2015. Therefore, plan availability and market share analysis timeframes differ. GAO also interviewed OPM officials, 11 FEHBP stakeholders, such as carriers and federal employee and retiree organizations, and reviewed relevant documentation and research, such as cost estimates of the potential effects of expanding OPM's authority.", "GAO provided a draft of this product to OPM for comment. The agency did not provide any comments."]}, {"section_title": "What GAO Found", "paragraphs": ["Federal Employees Health Benefits Program (FEHBP) enrollees can choose from a number of health plan offerings depending on where they live. From 2007 to 2015, the median number of plan offerings available in a county increased from 19 to 24. Of the 24 plan offerings in 2015, 19 were available nationwide and 5 were health maintenance organization plans offered in specific geographic areas. Yet despite more available plan offerings in recent years, enrollment has become more concentrated within the largest health insurance carrier in a county. Specifically, the median share of enrollment held by the largest carrier in a county increased from 58 percent in 2000 to 72 percent in 2015. Further, one carrier\u2014the Blue Cross Blue Shield Association\u2014was the largest carrier in 93 percent of counties in 2000 and 98 percent of counties in 2015.", "The stakeholders GAO interviewed and the cost estimates GAO reviewed about the potential effects of expanding the Office of Personnel Management's (OPM) authority to contract with more plan types than currently offered in FEHBP did not offer clear consensus about the effects. Most stakeholders supported expanding OPM's authority; those opposed were primarily concerned about OPM adding regional preferred provider organization plans, saying this could cause program instability and higher premiums. Estimates by OPM and others differed significantly on whether the expansion would increase or decrease costs. This is because they used differing assumptions about premiums, enrollment, and other factors, and it is unclear whether the assumptions used in these estimates will be realized."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Federal Employees Health Benefits Program (FEHBP) is the largest employer-sponsored health insurance program in the country, providing coverage to about 8.2 million federal employees, retirees, and their dependents in 2016. The Office of Personnel Management (OPM) administers FEHBP in part by entering into contracts with qualified health insurance carriers, negotiating plan benefits and premiums as part of that process. The statute that established FEHBP in 1959 authorized OPM to contract with four specific plan types, each of which must meet different requirements for their service areas and benefits, among other things. Today OPM generally groups these plan types into two main categories of plans\u2014fee-for-service (FFS) plans and health maintenance organization (HMO) plans. FFS plans are offered nationwide to all participants, while HMO plans offer coverage in selected geographic areas. Despite having a number of plans to choose from, about two- thirds of FEHBP participants in 2015 were enrolled in one of the two options offered as part of the Blue Cross Blue Shield Association\u2019s (BCBSA) nationwide FFS plan.", "OPM has reported that the health insurance marketplace has changed significantly since the statute establishing FEHBP in 1959 defined the plan types with which the agency could contract. According to OPM, this constrains it from responding to this changed marketplace. Specifically, a Director at OPM has testified that the program needs more competition between plans and more diverse health plan choices. To enhance program competition and modernize FEHBP, OPM and some stakeholders have proposed that OPM\u2019s contracting authority be expanded to allow a greater variety of health plan types to participate in FEHBP than are provided for under current law. For example, OPM has indicated that it does not have authority under current law to allow carriers to offer regional preferred provider organization (PPO) plans, which would be an additional kind of FFS plan. According to OPM, unlike the existing nationwide FFS plans, regional PPO plans would cover smaller regions and would not have nationwide premiums. However, some stakeholders have raised concerns with the proposal, noting, for example, that if regional PPO plans were added to the program they might have a competitive advantage over the nationwide plans.", "With these issues in mind, you asked us to examine plan participation in FEHBP and the potential impact of OPM adding new plan types to the program. This report describes 1. how plans and market shares of carriers participating in FEHBP changed in recent years, and how FEHBP market shares compare to other selected markets; and 2. what is known about the potential effects of allowing OPM to contract with a greater variety of health plan types than are currently offered in FEHBP.", "To describe how plans and market shares of insurers participating in FEHBP have changed in recent years, and how changes to FEHBP market shares compare to trends in other selected markets, we analyzed OPM data on zip code-level plan availability for 2007 and 2009 through 2015. (We requested data for 2000 through 2015, but OPM was not able to provide zip code-level plan availability data prior to 2007, or for year 2008.) Using a publicly available zip code conversion file, we converted these data from zip codes to counties. We then cross-referenced plan codes to other data provided by OPM to classify plans and determine, for each year, the number of plan offerings available in each county. To assess the reliability of the data, we reviewed relevant documentation, interviewed OPM officials involved in compiling the data, compared the data against FEHBP enrollment records and published plan brochures, and conducted data checks for reasonableness, outliers, and completeness. Based on our review of the data and discussions with OPM, we determined that our summaries and medians accurately reflected HMO plan availability across counties over time. Therefore, we determined that these data were sufficiently reliable for our purposes.", "To determine FEHBP carrier market share, we analyzed OPM data on county-level enrollments for active employees and annuitants from 2000 to 2015. We used an OPM-provided crosswalk to identify a parent company, or carrier, for each plan, allowing us to calculate enrollment market shares for carriers at the county, state, and national levels. We calculated county-level carrier market share in three ways: (1) the market share held by the largest, three largest, and five largest carriers in each county (regardless of which carriers held that position), (2) the market share held by certain specific carriers in each county (e.g., BCBSA and Kaiser Permanente), and (3) the combined market share held by plans categorized as HMO or FFS plans in each county. We assessed the reliability of the data by interviewing OPM officials who regularly use the data, testing for missing data, and reviewing the assignment of plans to insurance carriers. We determined these data were sufficiently reliable for our purposes.", "To compare FEHBP market shares to those in other selected markets, we analyzed 2010 through 2014 data for the large group market and Medicare Advantage. We selected the years of comparison based on data available for the large group market from prior GAO reports issued in 2014 and 2016. We selected the large group market (coverage offered by large employers) as a comparison market because it includes other large public and private employers offering coverage from private carriers and plans. In prior GAO reports, we analyzed data reported annually by carriers and identified the market share held by the largest and three largest carriers in each state. We relied on reliability testing conducted for those prior reports and determined that they were sufficiently reliable for our purposes. We selected the Medicare Advantage program\u2014a private health plan alternative to the original Medicare program\u2014as a comparison market because it is another federal program with nationwide enrollees who can choose a plan from a number of options. To determine Medicare Advantage carrier market shares, we obtained enrollment data from the Centers for Medicare & Medicaid Services (CMS) for each year from 2010 through 2014 that provides enrollment by plan for each state, as of April. Using additional CMS data, we identified the parent carrier for each plan and calculated the market share held by the largest and the three largest Medicare Advantage carriers in each state for each year. We conducted reliability testing of the Medicare Advantage state level enrollment data, including tests for missing data and comparisons to previously published information related to market share, and determined that it was sufficiently reliable for our purposes. While we present data from these markets as points of comparison with FEHBP, the markets have substantive differences and do not offer perfect comparisons. For example, in the large group market data, federal agencies participating in FEHBP were considered large group employers and FEHBP\u2019s approximately 8 million enrollments were included in the data carriers reported for the large group market. In addition, employers participating in the large group market are providing coverage options for many fewer employees than FEHBP, while often offering fewer plan options. Medicare Advantage provides coverage for a larger population of enrollees (17.6 million) compared to FEHBP. Medicare Advantage enrollees are typically older and more likely to be on a fixed income than federal employees and their dependents. Additionally, the 17.6 million Medicare Advantage enrollees in 2016 represents about one-third of all Medicare enrollees; the remaining two-thirds are enrolled in traditional Medicare.", "To describe the potential effects of allowing OPM to contract with a greater variety of health plan types than are currently offered in FEHBP, we interviewed OPM officials and reviewed relevant federal laws, FEHBP policies, and other documents related to the potential effects of expanding OPM\u2019s contracting authority. We also interviewed 11 FEHBP stakeholders and experts (stakeholders)\u2014the Association of Federal Health Organizations, two federal employee and retiree organizations, six FEHBP carriers, and two FEHBP subject matter experts\u2014and reviewed supplementary documents the stakeholders provided. For additional context on the effects of adding new plans to a health care market, we interviewed members of the American Academy of Actuaries and officials from the California Public Employees\u2019 Retirement System. In addition to the information obtained from OPM and FEHBP stakeholders, we also reviewed available estimates of the financial effects of expanding OPM\u2019s contracting authority, including two studies we identified from Avalere Health and the Center for Health and Economy on the potential effects if OPM were to use such authority to add regional PPO plans to FEHBP. We also reviewed relevant research related to consumer choice and decision-making in health care.", "We conducted this performance audit from April 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["FEHBP was established primarily to help the government compete with private-sector employers in attracting and retaining talented and qualified workers. As indicated by the legislative history of the original FEHBP statute, lawmakers wanted enrollees to exercise choice among various plan types and, by using their own judgment, select health plans that best meet their specific needs. While participation in FEHBP is voluntary, in 2015, 85 percent of federal workers and 90 percent of federal retirees were enrolled in the program.", "Each FEHBP carrier offers one or more plans, and these plans can have up to three options, or levels of benefits, depending on which type of plan is being offered. Although they may differ in the specific benefits they provide, all FEHBP plans cover basic hospital, surgical, physician, emergency, and mental health care, as well as childhood immunizations and certain prescription drugs. However, FEHBP plans offer different levels of benefits, with many plans offering a choice between a more expensive plan option, which offers a higher level of coverage, and a less expensive plan option, which offers a lower level of coverage. FEHBP enrollees can purchase individual or family coverage. Beginning in 2016, enrollees could also purchase coverage for themselves and one eligible family member, referred to as \u201cself plus one\u201d coverage. FEHBP enrollees can change health care plans during an annual open enrollment period or at other times if they experience a qualifying life event, such as a change in family status. OPM data indicates that between 2005 and 2015, the annual percentage of FEHBP enrollees who changed their plan enrollment by choice\u2014rather than because of mergers or plan terminations\u2014ranged from 5 to 7 percent.", "The FEHBP statute limits the program to four specific plan types: (1) one service benefit plan\u2014a government-wide plan with two levels of benefits; (2) one government-wide indemnity benefit plan; (3) employee organization plans; and (4) and comprehensive medical plans\u2014also known as HMO plans. OPM generally refers to these plan types as either FFS plans (the service benefit plan and the employee organization plans), or HMO plans (comprehensive medical plans). Within the categories of FFS and HMO plans, there can be significant variation in the plan designs and enrollee cost sharing. Most FFS plans have PPO arrangements, which usually have lower out-of-pocket expenses (i.e., a smaller copayment and/or a reduced or waived deductible) when enrollees use providers within the plan\u2019s preferred network. Compared with HMOs, PPOs typically offer their enrollees a greater choice of providers and have less plan management of the care that enrollees receive. HMOs provide or arrange for comprehensive health care services on a prepaid basis through designated plan physicians, hospitals, and other providers in particular locations. Each HMO sets a geographic area for which health care services will be available. Some HMOs offer a point of service product that offers FEHBP enrollees the choice of using a designated network of providers or using non-network providers at an additional cost.", "Additionally, in 2003 and 2005 respectively, FEHBP also began offering consumer-driven health plan (CDHP) and high-deductible health plan (HDHP) designs that are coupled with a tax-advantaged account to help enrollees pay for qualified medical expenses. Any of the FEHBP plan types may be offered with a CDHP or HDHP design, and therefore CDHPs and HDHPs can be either FFS or HMO plans. Enrollees in typical CDHPs have responsibility for certain up-front medical costs, an employer-funded account that enrollees may use to pay these up-front costs, and catastrophic coverage with a high deductible. CDHP enrollees receive full coverage of in-network preventive care. HDHPs offer low premiums but higher deductibles and annual out-of-pockets limits combined with a tax-advantaged account. HDHPs can have first dollar coverage (no deductible) for preventive care and higher out-of-pocket copayments and coinsurance for services received from non-network providers.", "OPM is responsible for negotiating health benefits and premiums with FFS and HMO plans. Each year, OPM sends a letter to all approved and participating FFS and HMO plans\u2014its annual \u201ccall letter\u201d\u2014to solicit proposed benefit and premium changes for the next calendar year, which are due by the end of May. The descriptions of both covered and excluded benefits are incorporated into the final contracts. Each plan subsequently prints brochures describing the benefits and costs according to a standard format, as specified by OPM. The brochures are binding statements of benefits and exclusions that plans must follow as parties to FEHBP contracts. Those plans meeting the minimum requirements specified in the statute and regulations may participate in the program and their contracts may be automatically renewed each year.", "The federal government and FEHBP enrollees generally each bear a portion of the cost of FEHBP plan premiums. By statute, the government generally pays 72 percent of the weighted average premium of all health benefit plans participating in FEHBP, but no more than 75 percent of any particular plan\u2019s premium, while enrollees pay the balance. Premium prices vary across plans and within plans and depend on whether an enrollee is enrolled in self-only, family, or self plus one coverage. The premiums are intended to cover enrollees\u2019 health care costs, plans\u2019 expenses, reserves, and OPM\u2019s administrative costs.", "Although there has been some minor fluctuation in the number of FEHBP enrollees over time, total program enrollment has remained around 8 million enrollees since 2000. As the Congressional Research Service has reported previously, FEHBP enrollment is concentrated among a small number of carriers and BCBSA has the largest share of total program enrollment by far. See figure 1 for the total FEHBP enrollment and enrollment market share of the top five carriers in the program from 2000 through 2015."], "subsections": []}, {"section_title": "The Number of Available FEHBP Plan Offerings Increased Since 2007 and Enrollment Was Increasingly Concentrated Available FEHBP Plan Offerings Generally Increased in Recent Years, although Variation Existed among Counties", "paragraphs": ["The number of plan offerings available to FEHBP enrollees generally increased from 2007 through 2015. In 99 percent of counties nationwide, enrollees had more plan offerings in 2015 than they had in 2007. The median number of plan offerings available in a county increased from 19 in 2007 to 24 in 2015. Most of these offerings were the nationwide FFS plans that are available in all counties. There were 17 such plan offerings in 2007 and 19 in 2015. The remaining plan offerings were HMOs that were available in more limited areas. While the total number of HMO plans that participated in FEHBP decreased from 2007 through 2015, the median number of HMO plan offerings in a county increased. This suggests that those HMO plans in FEHBP in 2015 generally participated in more counties than was the case in 2007. (See table 1 for a comparison of plan offerings in 2007 and 2015.)", "Despite increases in the availability of the median number of HMO plan offerings in a county, there was wide variation in the number of HMO offerings available to enrollees in a given county. For example, while FFS plan offerings were available nationwide, in some counties enrollees had no HMO plan offerings. Since 2007, however, the number of counties without any HMO plan offerings available declined from 18 percent to less than 2 percent in 2015. Most counties had a couple of HMO plan offerings, and some counties had at least 10 HMO offerings. For example, in 2015, enrollees in one county in New York had 15 HMO plan offerings, giving enrollees a total of 34 offerings from which to select coverage. (See fig. 2 for the range of available HMO plan offerings among counties across all years.)", "Regarding reasons for the variation in available FFS and HMO plan offerings, OPM officials told us that plans participating in FEHBP enter and withdraw based on internal business decisions and often in response to changing economic conditions. For example, according to OPM officials, some plans may enter the program with the expectation of gaining a target market share. OPM officials also noted that decreases in plan participation in the past may have been a response to premium increases that impacted plans\u2019 ability to effectively compete. In addition, a 2012 OPM report noted that many prominent HMO plan carriers have reduced the number of states in which they participated since 1985."], "subsections": [{"section_title": "Market Share Held by the Largest FEHBP Carrier in Each County, Generally BCBSA, Increased from 2000 through 2015", "paragraphs": ["FEHBP enrollment within counties generally became more concentrated from 2000 through 2015, although most of that growth occurred prior to 2007. The share of the market held by the largest carrier increased from a county median of 58 percent in 2000 to 70 percent in 2007, to 72 percent in 2015. Similarly, the combined median county market share of the three largest carriers increased from 86 to 90 percent over the same time period. However, we observed that the median market share held by the second and third largest carrier generally decreased over time. This suggests that the increases in combined market share held by the three largest carriers were generally due to increases observed in the single largest carrier. Although there was little change in the median county market share of the top five carriers, these carriers accounted for nearly all enrollments in a county in each of the years we examined. (See fig. 3 for a comparison of the market share held by the three largest carriers over time.)", "We found that these increases in concentration were widespread. Overall, from 2000 through 2015, almost 90 percent of counties experienced an increase in the market share held by the largest carrier. Over this period, the percentage of counties in which the largest carrier held at least half of the market also increased\u2014from 70 percent in 2000 to 93 percent in 2015. Additionally, the proportion of counties where at least 80 percent of the market share was held by the top three carriers increased from about 76 percent of counties in 2000 to 94 percent of counties in 2015. (See fig. 4 for maps showing the market share of the largest carrier in each county in 2000 and 2015.)", "Similar to the combined median county market share of the top five carriers, nationwide FFS plans\u2019 combined median county market share accounted for almost all FEHBP enrollment and showed a slight increase from 97 percent in 2000 to 99 percent in 2015, although variation existed in some counties. Comparatively, the combined median county market share held by HMO plans decreased from 6 percent to 2 percent. In addition, in each year since 2000, 16 to 30 percent of counties had all of their FEHBP enrollment in FFS plans, and, in years for which we had HMO plan availability data, almost all of these counties offered at least one HMO plan offering. At the same time, we observed a small number of counties each year where HMO plans\u2019 combined market share was at least 50 percent.", "BCBSA was the largest carrier in almost all counties nationwide and the share of these markets held by its two nationwide FFS plan options increased from 2000 through 2015. While BCBSA was already the largest carrier in 93 percent of counties in 2000, by 2015 it was the largest in 98 percent of counties. Over this same time period, the median county market share held by BCBSA also increased\u2014from 58 percent in 2000 to 72 percent in 2015. Most of BCBSA\u2019s 14 percent market share increase occurred between 2000 and 2008.", "Other carriers had significantly smaller median county market shares, but they had the highest share in a certain limited number of counties.", "The Government Employees Health Association, Inc. (GEHA), another carrier offering nationwide FFS plans, had the second highest program-wide market share in 2015, and an 8 percent median county market share. GEHA held the second or third largest market share in 77 percent of counties in 2015, reaching as high as 65 percent of the county market share, for example, in a county in Texas, but was the largest carrier in less than 1 percent of counties.", "Kaiser Permanente\u2014which offers HMO plans\u2014was the third largest carrier program-wide in 2015 and held the largest market share among HMOs (6 percent), though its market share decreased slightly over time. In counties where a Kaiser Permanente plan was available in 2015 (fewer than 200 out of more than 3,000 counties nationwide), those plans had a median county market share of 8 percent; however, in some counties Kaiser Permanente plans held a larger market share, for example, reaching as high as 64 percent in one county in California. In counties where Kaiser Permanente plans were available in 2015, it was the largest carrier 8 percent of the time and the second or third largest carrier in a majority of cases. (See table 2 for a description of market share and position for the three carriers with the largest program-wide market share within FEHBP.)", "BCBSA\u2019s increased FEHBP market share may be due to a number of factors. For example, officials from several FEHBP carriers told us that BCBSA\u2019s market share performance was tied to several factors, including brand recognition, comparably favorable plan premiums, and enrollee population characteristics. According to an OPM report, another factor contributing to BCBSA\u2019s increased market share was the introduction of the Basic option to the Service Benefit Plan in 2002. Compared to its Standard option, this nationwide FFS plan option restricts enrollees to a more narrowly defined provider network (with some limited exceptions) and offers lower premiums, thereby broadening BCBSA\u2019s ability to compete with other lower cost plans. As shown in table 3, while program-wide enrollments in BCBSA\u2019s nationwide FFS plan options have increased by 32 percent following the introduction of the Basic option, enrollments in the Standard option decreased, suggesting that enrollees are shifting to the Basic option or plans offered by other carriers.", "In addition, a study published in 2012 noted that BCBSA market concentration was the possible outcome of the carrier\u2019s established provider network and lower relative administrative costs. For examples of BCBSA\u2019s and other carriers\u2019 premiums, plan offerings, and market shares in 2015, in select counties, see appendix I."], "subsections": []}, {"section_title": "FEHBP Market Share Concentration among the Largest Carriers Was Generally Similar to the Large Group Market and More Concentrated than Medicare Advantage", "paragraphs": ["The combined market share for the three largest FEHBP carriers in a state was generally similar to the large group market and higher than Medicare Advantage. As shown in figure 5, in 2014, the median state market share for FEHBP was 89 percent compared to 90 percent in the large group market and 74 percent for Medicare Advantage. And, the range of state market shares held by the three largest carriers in Medicare Advantage and the large group market (69 and 62 percentage points, respectively) was wider than in FEHBP (23 percentage points). However, programmatic differences between the three selected markets, such as varying enrollee demographics, market sizes, and program designs, make it difficult to draw conclusions about these contrasting market trends.", "For each market and each year, the 50 states and the District of Columbia were ranked from highest to lowest market share for the combined three largest carriers in each state and then divided into four groups based on those rankings.", "FEHBP enrollment data could not be separated from the overall large group market data used to calculate state-level market share in prior GAO reports. In 2014, we estimated that FEHBP plans accounted for about 20 percent of the 44 million total enrollments in the large group market nationally.", "Compared to Medicare Advantage and the large group market, the state market shares held by the largest carrier in FEHBP generally held a larger share of the market. For example, in 2014, the median market share held by the largest carrier in a state was higher in FEHBP (75 percent) than both Medicare Advantage (35 percent) and the large group market (59 percent)."], "subsections": []}]}, {"section_title": "Stakeholder Opinions and Cost Estimates Do Not Offer Clear Consensus about the Potential Effects of Expanding OPM\u2019s Contracting Authority", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Generally Supported Expanding OPM\u2019s Authority, but Said Using That Authority to Add Regional PPO Plans Could Have Negative Effects", "paragraphs": ["Seven of the 10 stakeholders we interviewed, and who commented on OPM\u2019s contracting authority, generally supported expanding OPM\u2019s contracting authority to allow it to contract with a greater variety of health plan types than are currently offered in FEHBP. Stakeholders we interviewed that offer HMO plans generally supported this expansion. However, the 2 stakeholders that offer nationwide FFS plans and 1 stakeholder that represents federal employees opposed it. Most of the concerns expressed by these 3 stakeholders were related specifically to the potential effects of OPM adding regional PPO plans to FEHBP.", "Five of the seven stakeholders we interviewed who supported expanding OPM\u2019s contracting authority said that adding additional plan types could result in both positive and negative effects. In terms of positive effects, one stakeholder said the authority could potentially allow OPM to offer different types of plans\u2014such as value-based plan designs and accountable care organizations\u2014that could lead to improved benefit options and health outcomes for enrollees. One stakeholder also told us that OPM\u2019s expanded authority would enable the agency to improve transparency by allowing plans to contract with OPM as the type of plan they actually are, rather than fitting into outdated statutorily established categories, which the stakeholder characterized as an \u201cantiquated labeling system.\u201d Another stakeholder said that participation by new plans in FEHBP would foster competition and help keep health plan costs down. One stakeholder also noted that if plan expansion would only be undertaken when it is in the best interests of FEHBP and its enrollees\u2014 as OPM has indicated would be the case\u2014there was little or no downside to such expanded authority. Additionally, in April 2013, three FEHBP carriers that offer HMO plans sent a letter to Congress in favor of expanding OPM\u2019s authority, citing that it would \u201censure OPM has the tools it needs to lower costs and provide federal workers access to innovation, choice, and value\u201d and would allow more competition in the program.", "Some stakeholders we interviewed, however, suggested that any positive effects of expanding OPM\u2019s authority and adding new plan types could be limited due to other aspects of FEHBP that affect competition and discourage participation by carriers. In particular, these stakeholders cited concerns related to costs associated with FEHBP enrollees who are Medicare-eligible but who do not enroll in Medicare, and the formula that determines the government\u2019s contributions to enrollee premiums. According to these stakeholders, this creates unfair competitive advantages for the nationwide plans and BCBSA in particular. They also cited FEHBP\u2019s system for assessing the performance of participating carriers, which they said discourages competition and participation by carriers in FEHBP, particularly for certain HMO plans. OPM reported that it was open to considering some program changes related to these concerns; however, some proposed changes could require changes to the FEHBP statute. For more information about stakeholder comments regarding these other aspects of FEHBP, see appendix II.", "Some of the 10 stakeholders we interviewed and who commented on OPM\u2019s contracting authority also identified other potential negative effects that could occur with expanding OPM\u2019s contracting authority. For example, 1 stakeholder said that an increase in plan types offered could lead to a subsequent increase in OPM\u2019s administrative costs. In addition, several of these stakeholders said that adding more plans to FEHBP would exacerbate an existing problem of choice overload for enrollees. One of the stakeholders said that FEHBP enrollees are already confused by the number of available plan offerings, and that the current information provided to enrollees does not allow for easy comparison of their choices. They noted that additional expansion of offerings will only complicate enrollees\u2019 plan analysis.", "Consistent with these concerns, studies that we reviewed related to consumer choice and decision-making processes in health insurance markets suggest that adding additional plans may not always yield positive effects or improve competition. For example, a 2016 report by the RAND Corporation found that health insurance consumers are unlikely to change plans, even as better choices become available. Additionally, a 2009 study examining the Swiss health insurance market similarly found that as the number of choices offered to individuals grows their willingness to switch plans declines. The study found persistently low rates of plan switching despite high variation in premiums between plans, and found that more choice inhibited plan switching. It concluded that having a large number of plans to choose from likely reduces the effectiveness of consumer decision making, and that simplifying health plan decision making by reducing the number of choices might result in more price competition among insurers, and benefit consumers.", "Additionally, 6 of the 10 stakeholders we interviewed and who commented on OPM\u2019s contracting authority said that there would potentially be negative effects if OPM were to use the expanded authority to add regional PPO plans to FEHBP. For example, 5 of these 6 stakeholders said there could be instability and higher premiums in FEHBP if new regional PPO plans were able to \u201ccherry pick\u201d low cost areas in which to participate. This was of particular concern to 1 of the 2 stakeholders we spoke to who offer nationwide plans. Because they offer the same premiums nationally, they said the lower-cost areas of the country help subsidize the premiums of the higher-cost areas. If these nationwide plans lost customers in lower-cost areas to regional PPO plans, then their premiums would likely rise. These 2 stakeholders and a third said, therefore, that adding regional PPO plans could result in nationwide carriers discontinuing their coverage due to their inability to compete with regional plans. According to 1 stakeholder that offers a nationwide FFS plan, if the nationwide carriers dropped out of the program, plan offerings would be significantly reduced in certain areas of the country and some areas could potentially be left with no offerings at all. Additionally, in 2014 and 2015, six nationwide FEHBP carriers, including the two we interviewed, sent letters to Congress expressing their opposition to legislation that would add new plan types in FEHBP. In the letters, they cited negative effects such as program destabilization, increased premiums, and fewer consumer choices\u2014all of which were specifically tied to the proposal to add regional PPO plans to FEHBP.", "Two of the 10 stakeholders we interviewed and who commented on OPM\u2019s contracting authority, however, said that adding regional PPO plans to FEHBP would have positive effects. For example, 1 of these stakeholders that offers HMO plans and referred to FEHBP\u2019s plan type labels as antiquated noted that this would enable them to promote their existing FEHBP products\u2014currently categorized as HMO plans\u2014more appropriately as regional PPO plans. This stakeholder said the current categorization causes enrollees to erroneously believe their plans are more restrictive than the plans listed as nationwide FFS plans.", "When we shared these stakeholder concerns about expanding OPM\u2019s contracting authority with OPM officials, they told us that the agency has existing strategies and is working towards implementing additional ones, which officials said should allow it to address many of these concerns. For example, OPM officials said in January 2017 that the agency was in the process of building models that would allow it to simulate the impact that adding new plan types would have on FEHBP, but that the agency is still years away from being able to make such assessments. The officials said that the agency would only seek to introduce new plan types that it determines to be in the best interests of FEHBP enrollees and the federal government. With regards to enrollee confusion over the number of plan choices, the OPM officials said that the agency is improving the tools enrollees can use to learn about the available plans. For open season in 2016, the agency released what it considers to be a new and improved Plan Comparison Tool on its website that enables enrollees to gain more knowledge about their health plan options before making a selection. According to the officials, some of the improved functions of the tool include more details about the plan benefits and services, clearer definitions of the health insurance terms, and easier ability to compare the plans. Officials also told us that they expect to make more improvements to the tool in future years based on feedback from the FEHBP enrollees who use it. OPM officials said the agency would continue existing plan negotiation strategies that, among other things, would prevent plans from \u201ccherry picking\u201d\u2014that is, offering products in only the most profitable service areas\u2014by ensuring that new carriers provide services in contiguous regions that include both low- and high-cost areas. Additionally, related to the concern that nationwide plans might withdraw from the program if regional PPO plans were introduced, OPM officials noted that if, for example, BCBSA were to cancel its nationwide plan options, another carrier might step up to gain the service benefit plan designation and provide nationwide service."], "subsections": []}, {"section_title": "Estimates of the Financial Effects of Expanding OPM\u2019s Contracting Authority Differed on Whether Costs Will Increase or Decrease", "paragraphs": ["We identified three significantly differing estimates of the financial effects on the federal budget that expanding OPM\u2019s FEHBP contracting authority would have. However, these estimates are based on different assumptions about a variety of factors such as premium changes, administrative costs, and enrollment, and only limited information was available about the methodologies used for each set of estimates. It is also important to note that the assumptions used in developing these estimates are subject to professional judgment and have inherent uncertainty regarding whether the assumed scenarios will be realized. The three estimates include:", "The President\u2019s Budget for fiscal year 2017 estimated that expanding FEHBP to a greater variety of plan types would save $88 million from 2017 through 2026. According to information provided by OPM, the estimate considered the effect of a broad expansion of OPM\u2019s authority to add new plan types, and OPM did not indicate whether the agency specifically considered the effect of adding regional PPOs to FEHBP when developing this estimate. OPM officials told us that these savings were based on a number of assumptions, including an estimate of the number of enrollees that will migrate to new plan types based on previous FEHBP experience and projecting a medical loss ratio of 90 percent for the new plan types added to FEHBP. However, in follow-up with the agency, OPM officials were not able to provide us with more detailed information about how these savings were calculated. The Congressional Budget Office, in its analysis of the budget proposal, estimated a range from $50 million in savings to $50 million in costs over the 10-year period.", "A 2014 study from the Center for Health and Economy that examined the effects of introducing regional PPOs to FEHBP across three scenarios estimated cost savings ranging from $1.2 to $2.1 billion over 7 years (2015 to 2021). The study provided limited information about the data, assumptions, and methodology the center used to develop its estimates. The study did explain that the center modeled the projected impact on enrollment, average premiums, and the federal budget of adding regional PPOs to FEHBP using three different sets of assumptions about how expensive the newly introduced regional PPO plans would be. Under each scenario, the center estimated shifts over time in enrollment from existing FEHBP plan designs (FFS, HMO, CDHP, and HDHP) to the new PPO plans\u2014 and assumed that these new plans would achieve 10 percent of the market share throughout the analysis period. The study also projected decreases in average FEHBP premiums and a corresponding reduction in total government contributions in each scenario.", "A December 2013 study conducted by Avalere Health at BCBSA\u2019s request specifically examined the effect of adding regional PPOs into FEHBP and estimated an increase in spending of $7.8 billion over 10 years (2014 to 2023). In developing its estimates, the study noted that it assumed that the BCBSA national plans dissolve and would break into regional plans in response to new regional plan competition. The study stated that the $7.8 billion in increased costs was based on an assumption that both regional PPOs and BCBSA regional plans would have higher administrative costs as compared to BCBSA\u2019s national plans. The study estimated that these costs would be offset slightly by an initial anticipated decrease in premiums resulting from new plans introducing competition into these regions."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to OPM for comment. The agency did not provide any comments.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to OPM and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions about this report, please contact me at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Federal Employees Health Benefits Program (FEHBP) Plan Attributes for Selected Counties in 2015", "paragraphs": ["In table 4, we present information about a selection of counties that reflect a range of FEHBP attributes, but which are not intended to be a representative sample of all counties. We chose counties with a range of total enrollments, market shares held by different plan offerings (with different enrollee premiums), and number of health maintenance organization (HMO) plan offerings."], "subsections": []}, {"section_title": "Appendix II: Stakeholder Opinions about Other Federal Employees Health Benefits Program Aspects That Affect Competition", "paragraphs": ["Some of the stakeholders we interviewed suggested that any positive effects of expanding the Office of Personnel Management\u2019s (OPM) contracting authority and adding additional plan types to the Federal Employees Health Benefits Program (FEHBP) could be limited because of other aspects of the program that affect competition and discourage carrier participation. In particular, stakeholders cited concerns related to: Medicare-eligible enrollees, the government contribution formula for FEHBP premiums, and FEHBP\u2019s plan performance assessment system.", "Medicare-eligible enrollees. Six of the 11 stakeholders we interviewed suggested that problems associated with Medicare-eligible enrollees negatively affect FEHBP premiums, and 5 of the 6 noted these problems create an unfair competitive advantage for the nationwide FEHBP plans. These stakeholders suggested that because certain older, Medicare- eligible FEHBP enrollees tend to incur higher health care costs, they drive up premiums. Some stakeholders noted that plans\u2014in particular, health maintenance organizations (HMOs) that offer service in areas with higher concentrations of older enrollees\u2014experience challenges keeping premium rates competitive with the nationwide plans like those offered by the Blue Cross Blue Shield Association (BCBSA). Additionally, 3 stakeholders we interviewed that offer HMO plans pointed specifically to costly retirees who opt not to enroll in in Medicare coverage of outpatient services, known as Part B, making it difficult for them to compete. FEHBP retirees eligible to enroll in Medicare are not required to do so, and some maintain only their FEHBP coverage instead. While there is no penalty for choosing not to enroll in Medicare, retirees who later decide to enroll in Part B must pay a penalty. For retirees in FEHBP who choose not to enroll in Medicare, their FEHBP plan remains the primary payer and they continue to receive the same level of coverage through that plan as they did prior to becoming eligible for Medicare. Two stakeholders said that charging the same rates to the retiree population without Part B and the active employee population\u2014a scenario that occurs in FEHBP\u2014is not typical of the private, commercial insurance market.", "In a recent publication, one of the stakeholders we interviewed reported that these types of issues have been a problem for FEHBP since its inception, and that it is therefore in the interest of every enrollee to join plans with the lowest proportion of high-cost retirees. The stakeholder noted that this distorts plan selection and alters results, noting that while the Kaiser plans on the West Coast do an outstanding job of keeping costs low for enrollees, they have a disproportionate number of retirees who correctly understand that they do not need to enroll in Medicare. According to the stakeholder, this puts Kaiser at a disadvantage since it has to cover the age-related costs of these enrollees.", "Stakeholders we interviewed offered a number of potential solutions for OPM to address these challenges. For example, two stakeholders suggested that OPM could introduce some form of risk adjustment into FEHBP to assist plans that have a disproportionate number of Medicare- eligible enrollees. Risk adjustment provides a way to correct for imbalances that occur when some carriers attract a larger share of enrollees at low risk for expensive claims and other carriers attract a larger share of enrollees at high risk for expensive claims. One of the two stakeholders suggested that FEHBP could introduce a budget-neutral risk adjustment program that adjusts the amount of a plan\u2019s premium that is paid by the government based on a plan\u2019s ratio of age-65 retirees with Medicare (Parts A, B, or both) to those without. The stakeholder said that this would greatly improve plan competition over time.", "OPM officials agreed with stakeholders that providing nationwide service is an advantage for carriers like BCBSA in high cost areas, but noted that it is a disadvantage in low cost areas, and said that, similarly, a lack of risk adjustment in the program works both in favor of and against BCBSA and HMOs. OPM officials said, for example, that the BCBSA Standard option would likely benefit from risk adjustment, while the BCBSA Basic option would likely be negatively impacted. OPM officials also said that risk adjustment could be a way for the agency to compensate plans that have enrollees with higher than average risk and to improve competition by discouraging plans from avoiding those higher risk enrollees. However, officials noted that risk adjustment would require the agency to have reliable claims-level data from each of the plans, which the agency does not have. In January 2017, OPM officials said that the agency is in the process of collecting claims data from FEHBP carriers and expects to have a sufficiently reliable data set by July 2018. OPM officials also noted that before implementing any form of risk adjustment in FEHBP they would have to use that data to determine the effects on the program, and they would also need to determine whether doing so would require any legislative changes.", "Some stakeholders we interviewed also suggested retirees could be incentivized to enroll in Medicare Part B (for example, by waiving the Medicare Part B late enrollment fee for FEHBP retirees, or by having FEHBP plans subsidize Part B premiums), and two stakeholders went as far as suggesting that Medicare enrollment should be required for those eligible. OPM officials said that they already encourage enrollment in Medicare Part B; in particular, they noted that in their annual call letters they have encouraged carriers to offer benefits in their plans that incentivize Medicare enrollment for eligible FEHBP enrollees. However, OPM officials said that they are open to pursuing additional approaches that would encourage FEHBP retirees to fully participate in Medicare coverage.", "The government contribution formula for FEHBP premiums. Five of the 11 stakeholders we interviewed suggested that the government contribution formula for FEHBP premiums negatively impacts program competition. The FEHBP statute establishes the amount the government contributes towards the costs of FEHBP plan premiums. By statute, the government pays an amount equal to 72 percent of the weighted average premium across all FEHBP plans, but no more than 75 percent of any particular plan\u2019s premium. Enrollees generally pay the remaining premium. As such, enrollee contributions will generally be 25 percent for lower-premium plans and can be higher than 28 percent if their plan\u2019s premiums are significantly higher than the weighted average FEHBP plan.", "Some stakeholders we interviewed noted that BCBSA has an advantage under the contribution formula, and that the existing formula does not incentivize enrollees to choose low cost plans. Two stakeholders noted that BCBSA\u2019s large program market share\u201466 percent of total program enrollment in 2015\u2014allows it significant influence over the government contribution amount. Therefore, several stakeholders suggested that BCBSA\u2019s enrollees end up paying closer to the minimum of 25 to 28 percent of their premium\u2019s costs. Conversely, other plans\u2014particularly HMOs operating in high cost areas\u2014may have premiums that are higher than BCBSA\u2019s and the weighted program average, resulting in their enrollees having to pay considerably more than 28 percent of their total premium\u2019s costs. Two stakeholders said that, as a result, carriers may exit the program once their premiums exceed the weighted program average. Additionally, two stakeholders we interviewed suggested that the formula does not incentivize enrollees to choose lower cost plans because the maximum government contribution amount is 75 percent\u2014 regardless of whether the plan\u2019s premiums are less than the weighted FEHBP average. See table 5 for examples of how the government contribution formula affects the share of premiums that enrollees pay.", "Some stakeholders we interviewed proposed solutions to the concerns they identified with the government contribution formula. For example, two stakeholders suggested that the formula be changed so that plans that cost less than 72 percent of the weighted average would be covered either in full or to a greater extent by the government. They noted that this would incentivize enrollees to choose lower cost plan options and would strengthen the competitiveness of lower-cost plans\u2014particularly as compared to the BCBSA options. One stakeholder also suggested that the government contribution formula could be varied by metropolitan regions (i.e., vary government and enrollee premium contributions based on regional health care costs), which they suggested would lead to more carriers introducing more plan offerings overall. While the government contribution formula is set in statute, OPM officials said that they are open to pursuing changes that would encourage FEHBP enrollees to select the health plans that meet their current and expected health care needs at affordable costs.", "FEHBP plan performance assessment system. Five of the 11 stakeholders we interviewed cited concerns with OPM\u2019s system for assessing FEHBP plan performance, with 2 noting that it discourages competition and participation in FEHBP. OPM announced a new methodology for assessing plan performance in a letter to carriers in 2015, noting that the agency would use a discrete set of quantifiable measures to examine aspects of contract performance and link this performance assessment to the profit plans receive. OPM reported in the letter that it implemented performance assessment to move away from paying for procedures or services and towards paying for value and prevention of disease. It also noted that the system was intended to create a more objective performance standard and provide more transparency for enrollees. Stakeholders we interviewed, however, were particularly critical of the way in which community-rated plans are assessed in this new system, noting that plans are penalized rather than rewarded. Regulations specify a process by which OPM may withhold a portion of payments to a community-rated carrier based on plan performance thereby reducing the carrier\u2019s profits. Two of these stakeholders said that the only way for a plan to not receive a financial penalty is to get a perfect score on the assessment and said that it is impossible to receive such a score. Therefore, one stakeholder noted that the system is extremely discouraging to carriers, particularly to new carriers considering joining FEHBP. Additionally, two stakeholders said that the measures used in the assessment\u2014Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) measures\u2014favor certain types of HMOs. For example, one stakeholder noted that some carriers can have problems meeting the HEDIS measure for breast cancer screening rates, because they have to get patients to go to a separate mammography center while carriers that are part of more integrated health systems can offer mammograms in-house.", "With regard to how the plan performance assessment system could be improved, stakeholders we interviewed suggested that OPM should switch to a reward or incentive-based system for community-rated carriers. Several stakeholders suggested that OPM could implement a system similar to the Medicare Advantage star ratings system. In December 2016, OPM officials told us that they were listening to community-rated plans\u2019 concerns regarding the performance assessment penalty and would consider adjustments to address these concerns. Then in March 2017, in response to some of these concerns, OPM issued a letter to FEHBP carriers proposing an update to the assessment of community-rated plans that would allow carriers with high-performing plans to avoid any financial penalties. Regarding the concern about the use of HEDIS and CAHPS measures, OPM officials said that these measures are well-established and commonly required by other commercial and government payers, such as Medicare Advantage. Nonetheless, OPM officials said that the plan performance system will continuously be improved through the introduction of new measures and the retirement of measures on which all FEHBP plans have achieved satisfactory performance."], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, William Hadley (Assistant Director), Kristi Peterson (Assistant Director), Christina Ritchie (Analyst in Charge), Leonard Brown, William Garrard, Daniel Ries, and Said Sariolghalam made key contributions to this report. Also contributing were Sandra George, Emei Li, Yesook Merrill, Laurie Pachter, Vikki Porter, Jennifer Rudisill, Frank Todisco, and Merrile Sing."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Private Health Insurance: In Most States and New Exchanges, Enrollees Continued to be Concentrated among Few Insurers in 2014. GAO-16-724. Washington, D.C.: September 6, 2016.", "Private Health Insurance: The Range of Premiums and Plan Availability for Individuals in 2014 and 2015. GAO-15-687. Washington, D.C.: August 10, 2015.", "Private Health Insurance: Concentration of Enrollees among Individual, Small Group, and Large Group Insurers from 2010 through 2013. GAO-15-101R. Washington, D.C.: December 1, 2014.", "Federal Employees Health Benefits Program: Oversight of Carriers\u2019 Fraud and Abuse Programs. GAO-14-39. Washington, D.C.: November 14, 2013.", "U.S. Postal Service: Proposed Health Plan Could Improve Financial Condition, but Impact on Medicare and Other Issues Should Be Weighed before Approval. GAO-13-658. Washington, D.C.: July 18, 2013.", "Federal Employees Health Benefits Program: Premium Growth Has Recently Slowed, and Varies among Participating Plans. GAO-07-141. Washington, D.C.: December 22, 2006.", "Federal Employees Health Benefits Program: First-Year Experience with High-Deductible Health Plans and Health Savings Accounts. GAO-06-271. Washington, D.C.: January 31, 2006.", "Federal Employees Health Benefits Program: Early Experience with a Consumer-Directed Health Plan. GAO-06-143. Washington, D.C.: November 21, 2005.", "Federal Employees Health Benefits Program: Competition and Other Factors Linked to Wide Variation in Health Care Prices. GAO-05-856. Washington, D.C.: August 15, 2005.", "Federal Employees\u2019 Health Plans: Premium Growth and OPM\u2019s Role in Negotiating Benefits. GAO-03-236. Washington, D.C.: December 31, 2002.", "Federal Employees\u2019 Health Program: Reasons Why HMOs Withdrew in 1999 and 2000. GAO/GGD-00-100. Washington, D.C.: May 2, 2000."], "subsections": []}], "fastfact": ["The Federal Employees Health Benefits Program (FEHBP) provides healthcare coverage to 8 million federal employees, retirees, and their dependents through health insurers that contract with the Office of Personnel Management.", "OPM has reported that more health plan choice would benefit FEHBP. We found that, although more plan offerings have been available in recent years, enrollment has become increasingly concentrated. The median share of enrollment held by the largest FEHBP insurer in a county increased from 58% in 2000 to 72% in 2015. Blue Cross Blue Shield was the largest FEHBP insurer in 93% of counties in 2000 and 98% of counties in 2015."]} {"id": "GAO-18-353", "url": "https://www.gao.gov/products/GAO-18-353", "title": "KC-46 Tanker Modernization: Program Cost Is Stable, but Schedule May Be Further Delayed", "published_date": "2018-04-18T00:00:00", "released_date": "2018-04-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The KC-46 tanker modernization program, valued at about $44 billion, is among the Air Force's highest acquisition priorities. Aerial refueling\u2014the transfer of fuel from airborne tankers to combat and airlift forces\u2014is critical to the U.S. military's ability to effectively operate globally. The Air Force initiated the KC-46 program to replace about a third of its aging KC-135 aerial refueling fleet. Boeing was awarded a fixed-price-incentive contract to develop the aircraft. Among other things, Boeing was contractually required to deliver 18 fully capable aircraft (KC-46 aircraft with 9 sets of wing aerial refueling pods that allow for simultaneous refueling of 2 aircraft) by August 2017. The program plans to eventually field 179 aircraft in total.", "GAO was asked to monitor the KC-46 program because of problems Boeing is experiencing developing the aircraft. This is GAO's 7th report on the KC-46 program. This report assesses program progress and challenges toward achieving its cost goals and delivery schedule.", "GAO analyzed cost, schedule, development, and test information contained in program documents; and discussed results with officials from the KC-46 program office, other defense offices, the Federal Aviation Administration (responsible for certifying the design of the KC-46), and Boeing."]}, {"section_title": "What GAO Found", "paragraphs": ["The total acquisition cost estimate for the KC-46 refueling tanker aircraft remained stable over the last year at $44.4 billion. As shown in the table below, the estimate has decreased about $7.3 billion, or 14 percent, since the initial estimate. This decrease is due in part to stable requirements.", "The program updated its delivery schedule in 2017 to allow Boeing to delay delivery of the first 18 fully capable aircraft from August 2017 to October 2018\u2014 14 months. A schedule risk assessment, as well as GAO's analysis, however projects that deliveries could slip to May 2019, 21 months from the original schedule, if risks are not mitigated. See figure.", "Boeing faces the following risks and challenges and is trying to address them:", "updating test aircraft to the correct configuration to complete remaining tests;", "completing flight tests at a pace that is almost double its monthly average;", "updating test plans to reflect a more realistic schedule for certifying aircraft, such as F-16 fighters and C-17 cargo planes, to be refueled by a KC-46;", "retrofitting production aircraft to their final configuration for delivery; and", "fixing a critical deficiency to keep the boom from contacting receiver aircraft outside the refueling receptacle.", "Because of the terms of the contract, Boeing, not the government, is responsible for nearly $1 billion in additional development costs already incurred. Boeing is also providing additional training for KC-46 pilots, among other things, to compensate the Air Force for delivery delays. Meanwhile, the Air Force is continuing to use KC-135 and KC-10 tankers for refueling missions."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO believes the Department of Defense should implement a prior recommendation to document lessons learned given the program's challenges."]}], "report": [{"section_title": "Letter", "paragraphs": ["The KC-46 aerial refueling tanker modernization program, valued at about $44 billion, is one of the Air Force\u2019s highest acquisition priorities and will provide aerial refueling to Air Force, Navy, Marine Corps, and allied aircraft. The program recently completed its seventh year of a 9-year development program to convert an aircraft designed for commercial use into an aerial refueling tanker. Aerial refueling\u2014the transfer of fuel from airborne tankers to combat and airlift forces\u2014is critical to the U.S. military\u2019s ability to effectively operate globally. The Air Force contracted with Boeing to develop, test, and provide initial delivery of 18 KC-46 tankers by August 2017. The program plans to eventually field 179 KC-46 aircraft in total. These aircraft are intended to replace roughly one-third of the Air Force\u2019s aging aerial refueling tanker fleet, comprised mostly of KC- 135 Stratotankers.", "You requested that we continue monitoring the KC-46 program because of problems Boeing is experiencing developing the aircraft. In this report, we evaluate program progress and challenges toward (1) achieving cost and performance goals and (2) meeting the delivery schedule. This is GAO\u2019s 7th report on the KC-46 program. See the Related GAO Products page for a list of our previous KC-46 reports.", "To assess progress toward achieving cost and performance goals, we compared cost estimates established at the start of development to current estimates. This data was contained in program documents such as a defense acquisition executive summary report and acquisition program baseline document. We also compared the latest estimates of technical performance capabilities contained in program briefings to the original goals. To assess progress toward meeting the delivery schedule, we reviewed monthly schedule updates and compared them to the original and current delivery schedule plans. We also tracked Boeing\u2019s planned and actual flight test activities and examined the risks to test completion. We reviewed the 2017 Annual Report of the Director of Operational Test and Evaluation. As part of our overall review, we examined Defense Contract Management Agency quarterly assessments of the KC-46 program and attended monthly meetings between the program office and Boeing to obtain additional insight on program progress. We visited two Boeing production facilities in Everett, Washington. Finally, we interviewed officials from the Air Force\u2019s KC-46 program office, other defense offices, the 412th test wing, the Federal Aviation Administration (which is responsible for certifying the design of the KC-46), and Boeing on progress made in 2017. We assessed the reliability of cost, schedule, and test data by interviewing agency officials knowledgeable about the data, and determined that the data were sufficiently reliable for the purposes of this report.", "We conducted this performance audit from August 2017 to April 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In February 2011, Boeing won the competition to develop the Air Force\u2019s next generation aerial refueling tanker aircraft, the KC-46. The KC-46 will allow for two types of refueling to be employed in the same mission\u2014a refueling boom that is integrated with a computer assisted control system and a permanent hose and drogue refueling system. The boom is a rigid, telescoping tube that an operator on the tanker aircraft extends and inserts into a receptacle on the aircraft being refueled. See figure 1 for an example of boom refueling.", "The hose and drogue system is comprised of a long, flexible refueling hose and a parachute-like metal basket that provides stability. Drogue refueling is available via the centerline drogue system in the middle of the aircraft, or via wing aerial refueling pods located on each wing. The pods are used for simultaneous refueling of two aircraft.", "To develop a KC-46 tanker, Boeing modified a commercial 767 aircraft in two phases. In the first phase, Boeing modified the design of the 767 with a cargo door and an advanced flight deck display borrowed from its 787 aircraft and is calling this modified version the 767-2C. The 767-2C is built on Boeing\u2019s existing production line. In the second phase, the 767-2C was militarized and brought to a KC-46 configuration in a separate Boeing facility. See figure 2 for a depiction of the conversion of the 767 aircraft into the KC-46 tanker with the boom deployed and the flight certifications needed at each stage.", "The Federal Aviation Administration has previously certified the airworthiness of Boeing\u2019s 767 commercial passenger airplane (referred to as a type certificate) and in December 2017, awarded the amended type certificate for the 767-2C aircraft to Boeing. It is also responsible for certifying the design of the KC-46 with a supplemental type certificate. The Air Force is then responsible for certifying the airworthiness of the KC-46 with a military certification, as well as certifying the KC-46 and various receiver aircraft, such as F-16 fighters and C-17 cargo planes, for refueling operations. Boeing must complete developmental testing to support these certifications as well as to demonstrate that contract specifications have been met. After the first 4 KC-46 aircraft are delivered, the Air Force will complete operational testing to determine the KC-46\u2019s operational effectiveness and operational suitability for combat.", "Boeing was awarded a fixed-price-incentive (firm target) contract for KC- 46 development, which includes the design, manufacture, and delivery of four test aircraft. Barring any changes, the contract specifies a ceiling price of $4.9 billion for Boeing to develop the first 4 aircraft, at which point Boeing must assume responsibility for all additional costs. The contract includes options to manufacture the remaining 175 aircraft with firm-fixed- price contract options for the first 2 production lots, and options with not- to-exceed fixed prices for production lots 3 through 13. For purposes of this report, a production lot refers to a set number of aircraft that must be built and delivered in a given time frame and procured with a specific year of funding. For example, the first production lot includes 7 aircraft procured with fiscal year 2015 funding that are to be built and then delivered to the Air Force starting in 2018. The original contract also required Boeing to deliver 18 fully capable aircraft by August 2017.", "The Under Secretary for Acquisition, Technology and Logistics approved the KC-46 program to enter low-rate initial production in August 2016. Since then, the Air Force has exercised options for the first 3 production lots for 34 aircraft totaling about $4.9 billion. Previously we reported that in January 2017, Boeing and the program office updated the schedule to reflect a 14-month delivery delay due to problems Boeing experienced wiring the aircraft, design issues discovered with fuel system components, a fuel contamination event, and test delays (see figure 3).", "As we reported, instead of meeting the original August 2017 date, the updated schedule shows Boeing would deliver the first 18 aircraft with booms and centerline drogue systems between September 2017 and February 2018. Then, the 9 wing aerial refueling pod sets would be delivered separately by October 2018, at which point Boeing will have delivered 18 fully capable aircraft."], "subsections": []}, {"section_title": "Cost Estimates and Performance Capability Goals Remain Favorable, but a Critical Deficiency Has Not Yet Been Resolved", "paragraphs": ["The KC-46 program\u2019s total acquisition cost estimate remained stable over the past year at $44.4 billion, which is about $7.3 billion less than the original estimate. In addition, the aircraft is projected to meet all performance capabilities. However, Boeing is currently trying to resolve a critical deficiency it discovered in testing, which could affect performance."], "subsections": [{"section_title": "Cost Estimates Remain Stable", "paragraphs": ["Similar to last year, the Air Force estimates that the total program acquisition cost for the KC-46, which includes development, procurement, and military construction costs will be $44.4 billion. This is about $7.3 billion, or about 14 percent, less than the original estimate of $51.7 billion. Average program acquisition unit costs have decreased by the same percent because quantities have remained the same. Table 1 provides a comparison of the initial and current quantity and cost estimates.", "The Air Force decreased its cost estimate primarily because it has not added or changed requirements and therefore there were fewer engineering changes than expected. Program officials said the initial cost estimate included a large amount of funding for possible requirements changes, based on the Air Force\u2019s experience with prior major acquisition programs. Military construction cost estimates also decreased as the Air Force has decided, for example, to reuse existing facilities at its operating bases rather than build new ones."], "subsections": []}, {"section_title": "Boeing Has Achieved Some Performance Goals and Others Are Projected to Be Met, though Additional Testing Is Needed", "paragraphs": ["The program expects to meet all of its 21 performance goals. For example, the aircraft is expected to be ready for operational use when required at least 89 percent of the time and, once it is deployed for an aerial refueling mission, be able to complete that mission 92 percent of the time. In addition, the aircraft is now using less than 1,557 gallons of fuel per flight hour, its fuel usage rate target. The program also closely tracks the actual weight of the aircraft because weight has a direct effect on the amount of fuel that can be carried. As of January 2018, program officials told us that there are approximately 176 pounds of margin to the operational empty weight target of 204,000 pounds. When we met with them in December 2017, Boeing officials told us they do not expect the aircraft to exceed the target weight. Appendix I provides a description of each of the performance capabilities.", "In some cases, the program will be tracking progress towards achieving performance capabilities while the aircraft is in operation. For example, the program set a reliability growth goal of 2.83 flight hours between unscheduled maintenance events due to equipment failure by the time the aircraft reaches 50,000 flight hours. As of November 2017, the program had completed about 2,159 flight hours, achieving 1.8 hours at that time. Program officials believe that the reliability will improve as additional flight hours are completed and as unreliable parts are identified and replaced.", "The 2017 Annual Report by the Office of the Director of Operational Test and Evaluation included a recommendation that the Air Force re-test the KC-46 in an operationally representative condition to demonstrate that aerial refueling systems could perform their required missions following an electromagnetic pulse event. This type of testing is related to the aircraft\u2019s survivability performance goal, meaning the aircraft should be capable of operating in a hostile environment, including after a nuclear incident that delivers an electromagnetic pulse. The report stated that the program powered down or removed critical mission systems during this testing and that therefore, the KC-46\u2019s capability to deliver fuel during or immediately following an electromagnetic pulse was not fully tested. Program officials stated that this testing was adequate to meet the initial contract specifications. They also stated that the program is assessing whether additional tests are needed to meet the new, more stringent standards that were issued by the Department of Defense after the fixed- price contract was signed."], "subsections": []}, {"section_title": "A Critical Deficiency Has Not Been Resolved", "paragraphs": ["Boeing is currently working to resolve a high-priority deficiency related to the performance of the aerial refueling boom that it discovered during testing. According to the 2017 Annual Report by the Director of Operational Test and Evaluation, analysis of boom aerial refueling testing to date showed a significant number of instances where the boom nozzle contacted the receiver aircraft outside the refueling receptacle. In many of those instances, the aerial refueling operators were unaware that those contacts had occurred. Boom nozzle contact outside the receptacle can damage antennae or other nearby structures. It is especially problematic for low-observable receiver aircraft, such as the F-22 fighter, because it can damage radar-absorbing coatings. Program officials said that Boeing is currently developing a software fix for the remote vision system that would provide aerial refueling operators better visibility for refueling operations to help avoid unintended boom contacts with receiver aircraft. The officials also said that Boeing is responsible for the costs to develop and retrofit the fix onto existing aircraft."], "subsections": []}]}, {"section_title": "Boeing Is Likely to Experience Additional Delays in Delivering the First 18 Aircraft", "paragraphs": ["Although Boeing schedule documents indicate that the company remains committed to delivering 18 fully capable aircraft by October 2018, a program office risk assessment, as well as our own analysis, project that Boeing will not deliver the aircraft until around May 2019, if risks are not mitigated. The company is taking steps to address several risks associated with developmental testing, but challenges remain. Boeing, not the government, is responsible for the cost of development delays based on the terms of the fixed-price contract."], "subsections": [{"section_title": "Schedule Risk Assessment Projects Additional Delays", "paragraphs": ["A program office schedule risk assessment from June 2017 projects that Boeing will not deliver the first 18 fully capable aircraft until May 2019, 7 months after the updated schedule and about 21 months later than the original plan, if Boeing does not mitigate existing program risks. Boeing has already missed delivery milestones in the updated schedule shown earlier in figure 3, because it had not yet completed developmental testing. Boeing still plans to deliver 18 fully capable aircraft by October 2018, but in a compressed time period. A comparison of the original, updated, and schedule risk assessment delivery schedules are shown in figure 4."], "subsections": []}, {"section_title": "Boeing Is Taking Steps to Mitigate Schedule Risks", "paragraphs": ["Boeing has efforts underway to mitigate several risks that threaten its ability to deliver the first 18 fully capable aircraft by October 2018. These key risks and efforts to address them are discussed below.", "Test aircraft configuration: Boeing needs to update test aircraft to the correct configuration before it can complete different types of testing that remain. For example, according to program officials, Boeing needs to ensure that test aircraft have up-to-date and approved wiring, software versions, and aircraft parts prior to Federal Aviation Administration testing for the supplemental type certificate and Air Force testing for the required military certificate. At a more basic level, Boeing also needs to finalize the design of the wing aerial refueling pods to start developmental testing on that subsystem. According to Boeing officials, the company and its wing aerial refueling pod supplier had underestimated the level of design drawing details the Federal Aviation Administration needed to review to certify that the parts conformed to the approved design. Over the past 4 years, this supplier has been negotiating with several key sub-tier suppliers for the necessary documentation and has obtained most of it. Boeing has co-located some of its employees with the supplier to provide technical support to complete the remaining documentation for certification. Boeing and the program office disagree on how long it will take to reach that certification milestone. Boeing projects it will have conformed wing aerial refueling pods to test in March 2018 and program officials said there is risk to that time frame.", "Flight test pace: Boeing plans to complete about 6,550 remaining developmental flight test points by the end of June 2018 at a pace that is nearly double its current average. For example, some test points involve a KC-46 and receiver aircraft maintaining a specific airspeed and altitude during refueling. On average, from February 2016 through January 2018, Boeing has completed about 689 test points per month. It would need to almost double this pace to about 1,310 test points and sustain that pace for a 5-month period to complete testing by June. Based on the average number of tests points that Boeing has completed per month, as shown in figure 5, we project Boeing would finish the remaining test points about 5 months later than expected in early November 2018. We also project that delivery of 18 fully capable aircraft would occur around May 2019, assuming the same 5.5 month delivery time frame included in the updated schedule.", "Boeing recognizes that achieving its planned flight test pace is one of the most significant program risks and has taken several actions to address this risk. For example, last year, Boeing moved from a \u201ctest once\u201d approach\u2014where testing would begin once a series of tests was approved by the Federal Aviation Administration and Department of Defense\u2014towards a more incremental testing approach where a smaller set of tests could be conducted as soon as they are approved by a single entity. Program officials pointed out that, where possible, Boeing is still using a single test point to satisfy more than one requirement from both regulators. As of January 2018, Boeing also identified about 440 test points that could be eliminated because, according to program officials, data collected in other tests may provide sufficient knowledge to cover the eliminated test points. Boeing has also consolidated a large percentage of qualification testing resources at a single location to improve efficiency.", "Test planning: According to program officials, Boeing\u2019s test plans do not fully account for the time needed to complete receiver aircraft certification testing. Program officials, government test officials, and Boeing officials said that tests for certifying F-16 fighters, C-17 cargo planes, and other aircraft to receive fuel from a KC-46 will take between 3 and 5 weeks to complete for each aircraft. This is longer than the 1 week for each aircraft that is currently included in Boeing\u2019s test plan, according to company officials. Boeing officials said the company intends to update the test schedule in Spring 2018 to reflect more time to complete receiver aircraft certifications. Boeing has not yet quantified how much time will be added to the test schedule for these certifications or determined whether it will affect the overall delivery schedule. According to program officials, Boeing is required to have 8 receiver aircraft certified by the first KC-46 delivery. These officials stated that to avoid the risk of further delivery delays, the Air Force is discussing the possibility of reducing the number of receiver aircraft certifications needed if some, but not all, receiver aircraft are certified prior to first KC-46 delivery. This would allow the warfighter to start using KC-46 aircraft sooner rather than wait for all 8 receiver aircraft to be certified. Air Force officials still maintain, however, that 8 receiver certifications are required prior to operational testing, which is slated to begin in October 2018 and last for about 7 months.", "Retrofitting already produced aircraft: Based on the updated schedule, Boeing will be producing 49 aircraft, or about 27 percent of the total aircraft the Air Force plans to buy, before developmental testing is complete. Originally, the Air Force planned to buy 19 aircraft or about 11 percent of the total number concurrent with developmental testing. In general, DOD tries to limit the amount of concurrency because testing can reveal design or performance problems that need to be fixed, which could lead to costly retrofits or schedule delays. For example, Boeing already needs to retrofit 18 aircraft it has produced with an updated wiring design and 6 aircraft with new flooring and tires. The Under Secretary for Acquisition, Technology and Logistics allowed 27 percent concurrency on this program to avoid a break in production. Cost risk to the government is low because the KC-46 development contract specifies that Boeing must correct any deficiencies and bring development and production aircraft to the final configuration at no additional cost to the government. However, there could be schedule delays if continued testing reveals problems that need to be corrected on aircraft already built. As of January 2018, Boeing estimates KC-46 development will cost about $5.9 billion or about $1 billion over the contract ceiling price."], "subsections": []}, {"section_title": "KC-46 Development Problems Have Resulted in Less Refueling Capacity Than Currently Anticipated", "paragraphs": ["KC-46 development problems have resulted in delivery delays and kept the Air Force from achieving a higher level of refueling capacity it expected to achieve by this time. These problems have not resulted in additional costs to the government. However, if delivery delays continue past October 2018, the Air Force will need to maintain legacy aircraft such as the KC-135 longer than planned.", "The Air Force expected to have 470 tankers in January 2018\u2014a combination of KC-46, KC-135, and KC-10 aircraft\u2014for refueling missions, but only had 455 of these aircraft at that time. Since no KC-46 aircraft have been delivered, the Air Force has had to use KC-135 and KC-10 aircraft at a higher rate than expected. Air Force officials negotiated non-monetary considerations from Boeing to offset the lost military tanker capacity associated with the delay, such as obtaining additional training at no cost to the government for KC-46 pilots and maintenance personnel and support for the aircrew training system. According to program officials, Boeing has already provided almost all of these considerations even though the contract modification that includes them has not yet been signed by Boeing.", "According to Air Mobility Command officials, if there are delivery delays past October 2018, the Air Force would need to keep some KC-135 aircraft operational longer than planned. The cost of maintaining those KC-135 aircraft is estimated to be about $10.3 million per year per aircraft. Additionally, about $12 million per aircraft may also be needed, according to Command officials, for depot maintenance activities that are scheduled every 5 years. Command officials stated that the number of depot events that are needed will depend on how quickly Boeing can deliver expected KC-46 aircraft.", "We are not making any recommendations in this report, but believe the Under Secretary of Defense for Acquisition, Technology and Logistics should implement a prior recommendation to closely monitor the cost, schedule, and performance outcomes of the KC-46 program to identify positive or negative lessons learned. As one of only a few major acquisition programs to award a fixed-price incentive (firm target) development contract in recent years, evaluating performance and identifying lessons learned will be illustrative, important for informing decision makers, and help guide and improve future defense acquisition programs."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD did not provide any written comments, but the KC-46 program office provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; and the Secretary of the Air Force. The report is also available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841 or sullivanm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: KC-46 Performance Capabilities", "paragraphs": ["The program office has 21 performance goals that are critical to the KC- 46 aircraft\u2019s military capability and track progress in meeting contract specifications. These performance goals include nine key performance parameters, five key system attributes, and seven technical performance measures. Table 2 provides a description of each key performance parameter and key system attribute and table 3 provides a description and status of each technical performance measure."], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cheryl Andrew, Assistant Director; Matt Crosby; Kurt Gurka; Stephanie Gustafson; Katheryn Hubbell; Zachary Sivo; Nate Vaught; and Robin Wilson made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["KC-46 Tanker Modernization: Delivery of First Fully Capable Aircraft Has Been Delayed Over One Year and Additional Delays are Possible. GAO-17-370. Washington, D.C.: March 24, 2017.", "KC-46 Tanker Aircraft: Challenging Testing and Delivery Schedules Lie Ahead. GAO-16-346. Washington, D.C.: April 8, 2016.", "KC-46 Tanker Aircraft: Key Aerial Refueling Capabilities Should Be Demonstrated Prior to the Production Decision. GAO-15-308. Washington, D.C.: April 9, 2015.", "KC-46 Tanker Aircraft: Program Generally on Track, but Upcoming Schedule Remains Challenging. GAO-14-190. Washington, D.C.: April 10, 2014.", "KC-46 Tanker Aircraft: Program Generally Stable but Improvements in Managing Schedule Are Needed. GAO-13-258. Washington, D.C.: February 27, 2013.", "KC-46 Tanker Aircraft: Acquisition Plans Have Good Features but Contain Schedule Risk. GAO-12-366. Washington, D.C.: March 26, 2012."], "subsections": []}], "fastfact": ["Under the Air Force's KC-46 modernization program, commercial aircraft are being converted by Boeing into aerial refueling tankers. The program is one of the Air Force's highest acquisition priorities, and will replace a third of the aging fleet.", "We found that the program, now in its seventh year, is meeting its estimated acquisition cost. However, the program office projects that Boeing will not deliver the first 18 fully capable aircraft until May 2019\u201421 months later than initially planned."]} {"id": "GAO-18-445", "url": "https://www.gao.gov/products/GAO-18-445", "title": "National Institute of Standards and Technology: Additional Review and Coordination Could Help Meet Measurement Service Needs and Strengthen Standards Activities", "published_date": "2018-07-26T00:00:00", "released_date": "2018-07-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. Department of Commerce's NIST provides measurement services and supports standards that promote U.S. competitiveness. For example, NIST provides calibrations for manufacturing equipment and reference materials used in testing. NIST also supports private sector organizations in developing standards to help ensure product performance, among other things, such as Wi-Fi. In recent years, NIST has sought to improve the delivery of its services and documentary standards activities.", "GAO was asked to review NIST measurement services and standards-support activities. This report examines (1) the challenges NIST faces in providing measurement services and supporting documentary standards development, and (2) the extent to which NIST has taken steps to address these challenges and how those steps align with federal guidance and policy. GAO analyzed testimony, reports, laws, and policies; conducted focus groups with academics and industry representatives; and interviewed various stakeholders."]}, {"section_title": "What GAO Found", "paragraphs": ["The National Institute of Standards and Technology (NIST) faces challenges in providing measurement services and supporting private sector development of specifications for products' designs or performance\u2014referred to as \u201cdocumentary standards.\u201d Based on reviews of relevant testimony, reports, and other documents; interviews with stakeholders; and focus groups with academics and industry representatives, GAO identified challenges including:", "Identifying and prioritizing what measurement services, such as calibrating large force-measurement tools used by aerospace manufacturers, or what documentary standards activities, such as serving as a technical advisor on fire safety standards, are most needed by U.S. industry, and", "Coordinating with other federal agencies on standards development issues.", "NIST has taken steps to address these challenges, including industry outreach and reviews of measurement services and standards activities. However, some efforts do not fully align with federal guidance or NIST policy. For example, NIST's measurement-services and standards-activity reviews have not included a comprehensive examination of how these services and standards activities align with stakeholder needs. Federal internal control standards call for managers to use quality information to determine if the agency is meeting its objectives. Comprehensively reviewing NIST's measurement services and documentary-standards activities would provide NIST with greater confidence that its services and activities align with stakeholders' needs.", "GAO also found that NIST coordinates with other agencies on standards development and related activities, but that some efforts do not fully align with specific leading practices GAO has previously identified for enhancing and sustaining interagency collaboration. For example, NIST and other agencies coordinate on standards activities through a NIST-chaired interagency committee. However, GAO found that the committee has not updated its charter since 2000\u2014contrary to leading practices to update and monitor collaborative agreements. GAO also found that NIST has not worked with other committee members to fully clarify agencies' roles and responsibilities. Without ensuring that member agencies' roles and responsibilities are current and fully clarified, NIST and other agencies may miss opportunities to strengthen coordination."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that NIST comprehensively review measurement services and documentary-standards activities, and work with other agencies to take steps to strengthen interagency coordination. The Department of Commerce agreed with six recommendations and disagreed with one, citing risks to the private-sector-led U.S. standards system. GAO clarified its recommendation and continues to believe this action is needed, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Commercial transactions rely on a buyer and seller having a shared understanding about certain aspects of the goods being exchanged, such as their size or other technical specifications. For example, motorists expect that the volume of fuel dispensed from a gasoline pump accurately matches the volume for which they are charged. Standards help define the technical aspects or capabilities of materials, devices, machines, and other products to ensure their performance and interoperability. Standards include units of measurement, such as the gallon, and standards that can describe the performance or design of a product, process, or test\u2014referred to as \u201cdocumentary standards.\u201d Wi-Fi, for example, is a set of documentary standards that define a particular type of wireless communication network. Devices that follow the same Wi-Fi standard will be compatible regardless of manufacturer, thus providing consumers with more choices among similar products.", "The National Institute of Standards and Technology (NIST) is an agency within the Department of Commerce (Commerce) that, since 1901, has provided measurement services and tools and has helped develop and maintain key measurement and documentary standards to help U.S. industry compete. Specifically, NIST\u2019s mission is to promote U.S. innovation and industrial competitiveness by advancing measurement science, standards, and technology in ways that enhance economic security and improve quality of life. NIST\u2019s measurement services include, among other things, calibrating equipment, such as industrial thermometers, to ensure their accuracy and precision. NIST also sells standard reference materials that researchers and manufacturers can use to test the purity, strength, or other attributes of their products. NIST\u2019s measurement services help businesses ensure that their products meet relevant standards and give consumers confidence in the products they purchase. Similarly, NIST supports the development of measurement and documentary standards in many ways. NIST plays a leading role in developing some standards, such as standards that support many basic units of measurement and certain documentary standards on the operation of federal information technology systems. However, the United States has a voluntary, consensus-based standards system, whereby most documentary standards are developed collaboratively by producers and users through private-sector standards development organizations (SDO). Consequently, NIST staff may participate in SDO-led standards development activities by, for example, serving as technical advisors.", "Because advances in science and technology continue to drive growth in many commercial sectors, NIST\u2019s measurement services and support for developing documentary standards can directly affect innovation and the nation\u2019s economy. To fulfill its mission, NIST relies on the expertise and research of its staff across a number of laboratories. NIST reorganized its laboratory structure in 2010, in part, to improve the delivery of the agency\u2019s services. Under the previous laboratory structure, mission- based activities were often spread across numerous laboratories. In testimony before the House Committee on Science and Technology\u2019s Subcommittee on Technology and Innovation in March 2010, the Director of NIST stated that restructuring the agency\u2019s laboratories would make NIST more effective in delivering its services to customers. Since that time, NIST has taken additional steps designed to improve its measurement services and documentary standards activities.", "You asked us to examine NIST\u2019s measurement services and standards development activities. This report examines (1) the challenges NIST faces in providing measurement services and supporting documentary- standards development; and (2) the extent to which NIST has taken steps to address any challenges and how those steps align with relevant federal guidance and policy.", "To identify any challenges NIST may face in providing measurement services and supporting documentary-standards development, we began by performing a literature review, including reports on NIST from the National Academies of Sciences, Engineering, and Medicine (National Academies); NIST\u2019s Visiting Committee on Advanced Technology (VCAT); and other sources. We supplemented our review of the challenges identified in these sources by analyzing the responses of participants in focus groups we organized of NIST stakeholders comprised of: (1) researchers and (2) representatives working with industry, including commercial entities and state metrology laboratories.", "We selected researchers to participate in our focus groups from university scientists in engineering and the physical and biological sciences. We selected industry participants for the focus groups to reflect a range of industrial sectors, including (1) sectors that contribute the most to U.S. gross domestic product, and (2) sectors that Commerce has identified as representing U.S. export opportunities. We also included representatives from the National Conference on Weights and Measures, a nonprofit association of state and local weights and measures officials, federal agencies, manufacturers, retailers, and consumers that addresses consumer measurement needs. We conducted 3 focus groups for representatives from industry and 2 focus groups for researchers. Each focus group included from 5 to 8 individuals. In total, our focus groups included 31 stakeholders.", "We also collected information on the challenges that NIST faces during 36 interviews, including 17 interviews with current and former NIST officials, 10 interviews with officials from other federal agencies, and 9 interviews with representatives from SDOs and other stakeholders. The 10 interviews we conducted with other federal agency officials included 8 agency standards executives\u2014senior level officials with knowledge of, and experience in, standards-related issues at their agencies and who are responsible for coordinating their agency\u2019s participation in SDOs, among other responsibilities.", "To evaluate the steps NIST has taken to address challenges in providing measurement services and in supporting documentary-standards development, we drew upon our focus groups, interviews with NIST staff, and reviews of NIST documentation that described the agency\u2019s measurement services and standards development activities, such as agency policies, orders, and publications. We also conducted a review of existing literature as well as relevant laws, NIST policies, and other agency guidance documents. We compared the steps NIST has taken to address the challenges it faces in providing measurement services and supporting standards development to these policies and guidance. We also assessed how well NIST\u2019s efforts align with Standards for Internal Control in the Federal Government and selected leading practices for sustaining and enhancing interagency collaboration that we identified in previous work.", "We conducted this performance audit from July 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NIST carries out its measurement services and documentary-standards development activities across several agency laboratories. NIST\u2019s standards activities include participation in private-sector standards development organizations that conduct most standards development in the United States, and federal law and guidance provide direction to agencies when they participate in this process."], "subsections": [{"section_title": "NIST\u2019s Management of Measurement Services and Documentary Standards Activities", "paragraphs": ["NIST\u2019s work underlies much of our nation\u2019s business and public infrastructure, from helping to ensure the quality of air and water to helping to ensure the security of online financial transactions. This work includes providing measurement services, such as calibrations of equipment and reference materials used to ensure the accuracy and reliability of a wide range of scientific and industrial devices, and support for the development of documentary standards by the private sector. As of July 2017, NIST employed approximately 3,500 federal personnel and hosted 4,000 associates, who include guest researchers and collaborators, student interns, facility users, and contractors at its locations in Gaithersburg, MD and Boulder, CO.", "Under its Associate Director for Laboratory Programs, NIST\u2019s activities span seven laboratory programs that cover a wide range of subject matter, such as bioscience and health, energy, manufacturing, and public safety and security (see figure 1). The seven laboratories are divided into divisions and groups of scientists and engineers who perform research in a certain field or discipline, and may also provide measurement services or participate in standards activities. In addition, NIST has three offices that primarily deal with measurement services: (1) the Office of Reference Materials within the Material Measurement Laboratory; (2) Calibrations Services within the Physical Measurement Laboratory; and (3) the Office of Weights and Measures also within the Physical Measurement Laboratory. Further, the Standards Coordination Office, which is also under the Associate Director for Laboratory Programs, conducts standards-related activities and provides guidance to NIST staff on participation in documentary standards activities.", "In 2010, NIST reorganized its laboratory structure, in part to improve the agency\u2019s provision of measurement services. Under the new structure, the Physical Measurement Laboratory includes staff that handles most of the agency\u2019s measurement standards and calibrations. The Material Measurement Laboratory includes staff supporting materials science and produces most of the agency\u2019s standard reference materials. According to the NIST Director at the time of the reorganization, managing related research and measurement services together would allow the agency to improve its services.", "NIST\u2019s measurement services encompass calibrations, standard reference materials, and standard reference data, among others. NIST provides calibration services for about 700 different types of devices and has over 1,200 different types of reference materials available (see figure 2). For example, NIST performs calibrations on many different types of thermometers for both scientific and industrial uses. For customers that have unique calibration needs, NIST can perform special tests tailored to their specific circumstances. NIST also performs detailed analysis of certain materials to precisely characterize their properties and makeup and provides these reference materials for use by others. For example, NIST produces a number of food-related reference materials that allow companies to accurately determine the nutritional content of their products.", "NIST has established a formal quality-control system covering the calibrations, special tests, and standard reference materials provided by the agency. The NIST quality system is intended to provide customers with confidence in the quality of NIST\u2019s measurement services and create an environment of continual improvement for NIST management and staff. The quality system is described in policies and procedures governing the agency\u2019s measurement services. Specifically, the NIST Quality Manual for Measurement Services, NIST-QM-I, contains NIST- wide policies and procedures and additional sub-level quality documentation contains policies and procedures established and maintained by each Division or Office to meet its technical needs. The system is overseen by the NIST Quality Manager, a position within the Standards Coordination Office, and the NIST Measurement Services Council, comprised of the Quality Manager and other agency officials, who report to the Associate Director for Laboratory Programs.", "Private sector calibration and testing companies may use NIST\u2019s measurement services to provide NIST-traceable services, meaning that the accuracy and precision of the private company\u2019s service has been documented and compared to NIST\u2019s capabilities. This process allows these companies to provide services to consumers who do not need the high level of certainty provided by NIST while still providing assurance that their measurements are sufficient for their needs. As shown in figure 3, NIST performed calibrations on about 13,000 individual devices per year and provided about 30,000 reference materials per year or more from fiscal year 2006 to fiscal year 2016. NIST also provides standard reference data\u2014such as detailed technical data on various elements, materials, and chemicals\u2014and keeps time with its atomic clock in Boulder, CO, and broadcasts it. NIST also accredits public and private- sector laboratories to perform calibrations and other tests through the National Voluntary Laboratory Accreditation Program. Such accreditation shows, among other things, that the measurement services provided by these labs comports with certain federal and international requirements for calibration and testing.", "NIST\u2019s standards activities support the development and use of standards to enhance the economic and technological competitiveness of the United States. There are various types of standards including measurement standards that define specific units, such as the kilogram, and documentary standards that describe the performance or design of a particular product, process, or test. NIST develops and refines numerous measurement standards and collaborates with other national metrology institutes across the world through the General Conference on Weights and Measures, the Bureau International des Poids et Mesures, and other organizations. This work includes supporting the International System of Units, which includes the kilogram, meter, second, and other units of measurement that form the basis for NIST\u2019s calibration services. Measurement standards ensure that these units are consistently used and applied around the world. Documentary standards, in comparison, can specify how a product is designed or made, or they may establish performance standards that define the product by function rather than material. For example, documentary standards define Wi-Fi radios, certain aspects of building codes, and safe design for children\u2019s toys, among other things. Both of these standards help define the properties and functions of today\u2019s products and provide businesses and consumers with confidence that products will work as expected before purchase."], "subsections": []}, {"section_title": "The U.S. Documentary Standards-Setting Process and NIST Participation", "paragraphs": ["In the United States, documentary standards are generally developed by the private sector through an open, consensus-based process overseen by various SDOs. Private sector companies in the United States choose when it is in their interest to participate in standards development. Many SDOs follow similar processes in the development of standards, and generally adhere to certain principles, including openness, balance of interests, and consensus. Specifically, once an SDO agrees to develop a new or revised standard, a committee is formed of representatives with subject-matter expertise from companies, nonprofit organizations, and government agencies. The representatives serve on a voluntary basis, and the committee drafts the standard. SDOs may have certain requirements for participants, such as payment of membership dues, to fully participate. In the process of creating or revising documentary standards, certain committee members will take on leadership roles, such as chairing committee meetings or leading writing of draft standards or other documents. Generally, a committee will use a consensus-based process to vote on whether to approve the draft standard. For example, to approve a draft standard, some SDOs require a supermajority, at least two-thirds, of the members who cast ballots as well as resolution of any negative comments.", "Documentary standards define the technical aspects or capabilities of materials, devices, machines, and other products to ensure their performance and interoperability. For example, in 1990, the IEEE Standards Association began work to develop a documentary standard for allowing devices to connect wirelessly to the internet. The IEEE wireless networking working group, designated as 802.11, approved its first standard in 1997 and has since approved a series of amendments and improvements to the standard. In 1999, a group of companies formed the Wi-Fi Alliance to help drive usage of the 802.11 standard and provide consumers with information on products that implement the standard. The Wi-Fi Alliance coined the brand Wi-Fi and developed certification procedures to show that devices using the 802.11 standard from different vendors are interoperable and provide a consistent user experience. Devices that comply with the standard are able to wirelessly transfer data within a local area. Within 2 years of the standard\u2019s initial approval, the first devices using the standard were available to consumers and 21 years later wireless networks have become commonplace in libraries, coffee shops, and homes around the world. Originally intended for linking home or office computers, the standard has been implemented in a growing array of devices including lightbulbs and other household items. Hundreds of companies now incorporate Wi-Fi into their products, leveraging the ubiquity of the standard to improve the value of their products and give consumers options for meeting their networking needs.", "Several, large private sector organizations help create documentary standards in the United States. The American National Standards Institute (ANSI) is a membership organization that accredits numerous U.S. SDOs that oversee the creation, promulgation, and use of over 10,000 American National Standards. Other U.S.-based organizations that develop standards for domestic and international use include ASTM International, IEEE, and the National Fire Protection Association. ANSI also serves as the U.S. representative to two Geneva-based international organizations that support the creation of global standards, the International Organization for Standardization (ISO) and the International Electrotechnical Commission (IEC). When followed, international standards may reduce technical barriers to trade by reducing conflict among domestic standards in various nations and allowing companies to produce a single product for multiple markets. For example, ISO encompasses 163 national standards organizations and is a major source of international standards. In 2000, NIST and ANSI signed a memorandum of understanding to, among other things, improve communication and coordination among the private and public sector on voluntary standards issues.", "Staff across many of NIST\u2019s laboratories participate in documentary- standards development activities. NIST policy encourages staff participation in domestic- and international-standards activities whenever such participation is in the public interest and is compatible with NIST\u2019s mission, policies, positions, priorities, and available resources. In 2016, NIST reported that staff participated in 114 SDOs. In limited policy areas, where a national priority has been identified in statute, regulation, or administration policy, active engagement or a convening role by the federal government may be needed to accelerate standards development and implementation."], "subsections": []}, {"section_title": "Federal Agencies\u2019 Documentary Standards Activities and Relevant Law and Guidance", "paragraphs": ["Federal agencies may use or help develop documentary standards for several reasons, including (1) to procure goods or services, (2) to incorporate standards into agency regulations, or (3) to improve agency operations or further agency policy goals. For example, the General Services Administration uses standards to specify packaging, marking, and labeling of products purchased for government use and for descriptions of the products themselves; the Consumer Product Safety Commission has incorporated various consensus standards into its regulations of consumer products; and the Department of Energy uses a number of consensus standards to help operate its contractor-run laboratories, among other uses. As a result, a number of federal agencies participate in a range of standards development activities that span many different areas of national need.", "Federal law and guidance provide that where possible, agencies are to use voluntary, private sector standards instead of creating their own unique standards and are to establish certain responsibilities in overseeing and coordinating these efforts. The National Technology Transfer and Advancement Act of 1995 (NTTAA) states that federal agencies are generally to use technical standards developed or adopted by voluntary-consensus standards bodies, and in doing so are to consult with voluntary, private-sector consensus standards bodies and participate with such bodies in the development of technical standards when such participation meets certain conditions. NTTAA, as amended, also provides that it is a function of NIST to coordinate the use of private sector standards by federal agencies emphasizing where possible the use of standards developed by private-sector, consensus organizations.", "Furthermore, the Trade Agreements Act of 1979 (1979 act) directs the Secretary of Commerce to keep adequately informed regarding international standards-related activities and identify those that may substantially affect the commerce of the United States. The Secretary is also to monitor the adequacy of U.S. representation in private international standards activities. The 1979 act says that the representation of U.S. interests before any private international standards organizations is to be carried out by a private person recognized as an organization member. Further, the 1979 act establishes a process for the Secretary to follow if the Secretary has reason to believe that such participation will not result in the adequate representation of U.S. interests or if there is no current organization member. These tasks have been delegated to NIST. NIST\u2019s memorandum of understanding with ANSI also describes NIST\u2019s role under the NTTAA, OMB Circular A-119, and the 1979 act to, among other things, ensure adequate representation of U.S. interests in all relevant international standards organizations and to coordinate federal activities in voluntary standards.", "In addition, Office of Management and Budget (OMB) Circular A-119, as revised in 2016, sets forth the policy for federal participation in the development and use of voluntary consensus standards. Federal representatives are encouraged to participate actively in standards development activities and to be fully involved in discussions and technical debates, register opinions, and serve in leadership positions if selected, among other things. A-119 directs the Secretary of Commerce, who has delegated this responsibility to NIST, to foster implementation of the Circular. Further, A-119 provides for a NIST-chaired interagency group called the Interagency Committee on Standards Policy (ICSP). The ICSP is composed of agency standards executives\u2014senior-level officials who are broadly engaged in the agencies\u2019 standards activities. A-119 directs standards executives to coordinate their agencies\u2019 views when they participate in the same standards activities so as to present, whenever feasible, a unified position and, when not feasible, mutual recognition of differences. A-119 directs the ICSP to coordinate with certain entities with a view to encouraging more strategic and coordinated federal participation in the development and use of standards in regard to regulatory policy. According to the ICSP charter, the ICSP has the objective to promote effective and consistent standards policies in furtherance of U.S. domestic and foreign goals and, to this end, to foster cooperative participation by the federal government and U.S. industry and other private organizations in standards activities, and its purpose is to ensure effective federal participation in domestic- and international- standards activities.", "Further, in 2012 the Executive Office of the President (EOP) issued a memo for federal agencies to clarify principles guiding federal government engagement in standards activities that can help address national priorities. According to the memo and A-119, federal engagement in standards activities should be guided by the following strategic objectives:", "Produce timely, effective standards and efficient conformity assessment schemes that are essential to addressing an identified need.", "Achieve cost-efficient, timely, and effective solutions to legitimate regulatory, procurement, and policy objectives.", "Promote standards and standardization systems that promote and sustain innovation and foster competition.", "Enhance U.S. growth and competitiveness and ensure non- discrimination, consistent with international obligations.", "Facilitate international trade and avoid the creation of unnecessary obstacles to trade.", "To address these strategic objectives, the memo notes that the federal government works with the private sector to address common standards- related needs, while taking on a more active role where necessary to ensure a rapid, coherent response to national challenges. The memo also identifies responsibilities for agencies, such as periodically reviewing their standards activities to identify gaps in representation for mission-critical areas as part of their long-range planning and ensuring effective intra- and inter-agency coordination of engagement in standards development activities."], "subsections": []}]}, {"section_title": "NIST Faces Several Challenges in Providing Measurement Services and Supporting Documentary- Standards Development", "paragraphs": ["We identified three areas where NIST faces challenges in providing measurement services and supporting documentary-standards development, based on our literature review, NIST stakeholder focus groups, and interviews with stakeholders and agency officials. First, the breadth of U.S. industry and the number of SDOs, among other factors, make identifying and prioritizing measurement service and standards needs and communicating with stakeholders about NIST\u2019s services challenging. Second, ensuring adequate U.S. representation in international standards activities can be challenging due to the number of activities and other factors. Third, the involvement of multiple agencies and interdisciplinary issues makes coordinating among federal agencies on documentary standards challenging."], "subsections": [{"section_title": "NIST Faces Challenges Identifying and Prioritizing Measurement Services and Documentary- Standards Activities, and Communicating with Stakeholders Can Be Challenging", "paragraphs": ["The breadth of U.S. industries and commercial sectors with measurement-service and documentary-standards needs, and other factors, make it challenging to identify and prioritize among these needs, and make it challenging for NIST to ensure stakeholders are aware of the agency\u2019s services.", "Identifying measurement-service and documentary-standards needs: Identifying measurement-service and documentary-standards support needs can be challenging, according to participants in all five of our focus groups and other NIST stakeholders we interviewed. Participants and stakeholders identified several factors that contribute to these challenges, including difficulty identifying needs across the breadth of U.S. industries and standards development activities, and difficulties presented by emerging, crosscutting, or interdisciplinary technology areas.", "The breadth of U.S. industries and standards development activities can make it difficult to identify their measurement service needs. NIST\u2019s potential customer base covers the entirety of the U.S. manufacturing sector and many service sectors, including small- and medium-sized enterprises, as well as federal agencies and state and local governments. Identifying needs across the full range of this customer base can be a challenge, according to participants in all five of our focus groups and other stakeholders. Further, NIST officials noted that even within an industry sector, stakeholders may have differing views on the industry\u2019s measurement service needs, which can make it harder to determine whether or how NIST should take action to meet those needs.", "Similarly, the diversity of documentary standards activities across many SDOs may make it difficult to identify when industry needs NIST staff participation in documentary standards efforts. There are no restrictions on which organizations may develop standards, and therefore, the total number of SDOs is not precisely known. However, ANSI estimates that there are hundreds of such bodies in the United States, and NIST has reported participating in 114 separate SDOs. Participants in four of our focus groups and two agency standards executives said that it can be difficult to keep track of SDOs or standards development activities, and NIST standards officials noted that the breadth of active SDOs and volume of their activities was an ongoing challenge. Similarly, three agency standards executives we interviewed said that identifying standards activities of interest to their agencies is challenging due to the large number of activities.", "Furthermore, emerging, crosscutting, or interdisciplinary technology areas can be a challenge, according to participants in all five of our focus groups. For example, participants in three focus groups discussed the difficulties faced by organizations that work in areas that combine multiple areas of technical expertise. A participant in one focus group cited electronic health records as an example of an interdisciplinary technology, as it includes biomedical research, public health research, and information technology. Another participant cited increasingly high- tech development in biological devices that involve physics, engineering, and mathematics. Participants said that organizations need to coordinate across disciplines and break down communication barriers to address these challenges. Additionally, representatives from one SDO we interviewed as well as an agency standards executive we spoke with highlighted the difficulty associated with predicting the trajectory of future change in emerging technologies. NIST officials noted that taking action to support the measurement service and standards needs of emerging technologies may be more challenging where there is a lack of industry consensus on how a technology will develop.", "Prioritizing among needs: Prioritizing among different measurement services can also be challenging. Participants in all of our five focus groups said that NIST must prioritize among measurement service needs because it does not have the resources to provide services for all industry needs. Participants in three of our five focus groups described challenges balancing between continuing older measurement services that serve current needs and creating new services. Further, a 2017 review of the activities of NIST\u2019s Material Measurement Laboratory by the National Academies found that stakeholders have high demands for the laboratory and that it faces challenges balancing between maintaining ongoing efforts and initiating new efforts. A participant in one focus group also said that it can be difficult to prioritize between services that have broad use and those that are vital to narrower customer bases. For example, NIST performs calibrations for thermometers across a wide range of temperatures for use in many different sectors. On the other hand, NIST\u2019s million-pound deadweight machine provides calibrations for very large force gauges used by aerospace manufacturers and the U.S. military. Focus group participants and NIST officials said that the volume of services provided may not reflect the value of the service to the industry, because a single calibration can support many millions of dollars of economic activity.", "When prioritizing staff participation in documentary standards activities, NIST faces a similar challenge. Specifically, the abundance of ongoing standards development activities means NIST staff may have to choose among several standards development activities in their areas of expertise. While some staff may have expertise that is closely linked to a small number of SDOs and activities, others may have expertise in foundational technologies that have relevance to numerous activities. Further, a participant in one focus group and two agency standards executives we interviewed stated that standards need to be revised from time to time, for example, to incorporate new technologies, and these revisions may compete for time and attention against new standards efforts in related areas. While individual SDOs can plan for and prioritize among their new standards efforts and revisions, NIST staff who participate in standards development efforts across a number of SDOs may still have to choose among contemporaneous efforts.", "Communicating with stakeholders: Communicating with stakeholders about NIST\u2019s measurement services can be challenging, according to participants in all five of our focus groups and other stakeholders. Specifically, the breadth of potential users of NIST\u2019s measurement services makes it more difficult for NIST to communicate with industry about its needs and NIST\u2019s services.", "Participants in four of the five focus groups said that it can be difficult for potential users to be aware of and understand the services NIST provides relevant to their needs. For example, participants in one focus group described concerns regarding how well they, and industry stakeholders generally, understand the extent of NIST\u2019s capabilities within their areas of expertise. Participants in this focus group cited benefits of having NIST and industry staff perform site visits to elucidate each other\u2019s needs and capabilities. One NIST calibrations official we interviewed said that some commercial sectors, such as the automotive industry, may be underserved by NIST\u2019s services due to a limited understanding of how NIST could help companies remain innovative and competitive. However, participants in one focus group said that NIST\u2019s engagement with the industrial community is generally quite strong.", "Other stakeholders suggested that NIST faces an increasingly difficult task educating potential customers about its services because those customers may have less technical expertise today than they did in the past. Participants in one focus group, officials from the Department of Energy, and a NIST reference material official said that the portion of the nation\u2019s workforce trained in measurement and standards issues is shrinking and that industry representatives now have less experience in these matters than they used to. Accordingly, NIST now communicates with stakeholders who have less expertise about its measurement services."], "subsections": []}, {"section_title": "Ensuring Adequate U.S. Representation in International Documentary-Standards Activities Can Be Challenging", "paragraphs": ["According to NIST standards officials, focus group participants, other stakeholders, and a NIST report on U.S. representation in international documentary-standards activities, ensuring adequate U.S. representation in these activities can be challenging. Several factors, such as the large number of international standards activities occurring across numerous industry sectors, underlie this challenge and make it difficult for NIST to ensure adequate U.S. representation.", "First, the breadth of the global economy and the volume of international documentary-standards development activities make ensuring adequate U.S. representation challenging, according to NIST standards officials, stakeholders, participants in two focus groups, and literature we reviewed. For example, NIST standards officials, two agency standards executives, participants in one focus group, and literature we reviewed said that the large number of SDOs and volume of international standards activities presents a challenge to NIST. A participant in a different focus group also said that in some cases, industry is reliant on NIST to provide them with information on international standards activities relevant to them. As the number of activities increase, it can be difficult to maintain a comprehensive understanding of what is happening in various industry sectors and standards areas. Further adding to this challenge, several sources of information we collected identified a significant increase in the number of international standards activities or the relative participation of other countries in these activities, for example:", "NIST officials and participants in one focus group said that international SDOs, such as the ISO, are expanding their efforts to create global standards. Participants said that ISO\u2019s efforts could conflict with existing standards that U.S. industry uses.", "Two stakeholders we interviewed said that U.S. industry also faces increasing competition from other countries, such as China, which, in some cases, is overwhelming the ability of U.S. industry to participate. Further, according to a 2012 testimony to Congress by the director of NIST\u2019s Standards Coordination Office, other countries have made significant investments in their standards efforts and have attempted to increase their participation in international standards activities. According to the testimony, other countries increasingly view standards as a tool to increase their international competitiveness and are developing strategies and tactics to play a greater role in standardization, such as increasing their participation and leadership in international standards bodies.", "A 2014 NIST report on U.S. representation in international SDOs showed that the United States fell from first in 2005 to second in 2012 in the number of experts participating in one international SDO, the IEC, which produces standards for electric and electronic products, systems, and services. Specifically, the number of technical experts from the top ten countries that participate in the IEC was 5,528 in 2005 and 9,199 in 2012\u2014an increase of 66 percent. However, participants from outside the United States were responsible for 85 percent of the increase. Additionally, the report showed that the United States fell from third in 1999 to fourth in 2012 in the number of IEC standards proposals submitted. The report showed that the number of new IEC standards proposed by all countries was 70 proposals in 1999 and 124 proposals in 2012\u2014an increase of 77 percent. However, the percentage of U.S. country proposals out of all country proposals fell from 19 percent in 1999 to 14 percent in 2012.", "NIST standards officials said that there could be additional factors driving changes in U.S. stakeholder participation in international SDO activities. For example, NIST officials said that while U.S. stakeholder participation in ISO and IEC may have declined in some cases, some U.S. stakeholders have increased participation in other international SDOs whose standards are better suited for their industry.", "Second, what constitutes adequate representation is currently unclear, according to NIST\u2019s 2014 report on U.S. representation in ISO and IEC activities and NIST standards officials we interviewed. According to NIST\u2019s 2014 report, there are no guidelines or definitions given for what is deemed to be adequate representation of U.S. interests in international standards activities. Further, NIST standards officials said that it was not clear what circumstances would lead NIST to use the process established under the 1979 act if U.S. representation in an international SDO may be potentially inadequate. NIST officials also said that defining what would constitute adequate U.S. representation at international SDOs and collecting the information to help assess the adequacy of U.S. representation would be difficult and the definition and metrics could vary by industrial sector.", "Third, according to participants in two focus groups, the large number of companies and other stakeholders that could be involved in or have an interest in various international SDO activities under the U.S. system of private-sector-led standards development can make ensuring adequate U.S. representation a challenge. For example, participants in two focus groups said that NIST would need to consult with numerous industry stakeholders or SDOs to facilitate representation in situations where U.S. representation was inadequate. Further, as we mentioned above, documentary standards needs in emerging, crosscutting, or interdisciplinary technology areas can be a challenge. Literature we reviewed highlighted the need for NIST or other agencies to help bring together industries or other stakeholders that may not have a history of collaborating to resolve standards issues."], "subsections": []}, {"section_title": "Coordinating Federal Agencies\u2019 Participation in Developing Documentary Standards Can Be Challenging", "paragraphs": ["Fulfilling NIST\u2019s role to work with other agencies to coordinate use of and participation in standards activities under the NTTAA, as chair of the ICSP, and in implementing OMB Circular A-119 is challenging due to (1) the involvement of multiple federal agencies in documentary standards activities, and (2) increasingly interdisciplinary technology areas.", "Multiple agency involvement: Multiple federal agencies are involved in documentary standards activities, a situation that can make coordinating agencies\u2019 activities challenging, according to participants in all five of our focus groups, and some stakeholders and agency standards executives we interviewed. Because multiple agencies are involved in documentary standards, agency efforts can be fragmented. Fragmentation refers to those circumstances in which more than one federal agency (or more than one organization within an agency) is involved in the same broad area of national need and opportunities exist to improve service delivery. We have previously reported that fragmentation of federal efforts occurs in a number of areas and can lead to challenges to effective coordination. As we mentioned earlier, federal agencies may use or help develop documentary standards for several reasons, including (1) to procure goods or services, (2) to incorporate standards into agency regulations, or (3) to improve agency operations or further agency policy goals. As a result, a number of federal agencies participate in a range of standards development activities that span many different areas of national need. Further, while some documentary standards issues may only affect the mission or activities of a limited number of agencies, other issues may affect many agencies.", "Participation by multiple federal agencies in documentary standards activities can be beneficial, according to some focus group participants, stakeholders, and agency standards executives. Some focus group participants, stakeholders, and agency standards executives identified examples of federal participation in which agencies could leverage their different strengths and expertise. For example, participants in four focus groups and some stakeholders we interviewed noted NIST\u2019s unique role as a non-regulatory and neutral agency in facilitating the development of standards. These participants and stakeholders said that, in combination with NIST\u2019s technical capability, this role allowed NIST to gain trust and cooperation from industry in advancing standards development, whereas industry may view regulatory agencies as less neutral. Participants in one focus group said that this role was also helpful to regulatory agencies because these agencies, such as the Food and Drug Administration, would not be able to work as closely with industry in regard to solving technical standards problems or assisting industry because of their regulatory role. Further, two agency standards executives said that some standards activities benefit from the expertise of multiple agencies. For example, one agency standards executive said that evaluating whether standards or product specifications in other countries constituted a barrier to trade required the expertise and participation of different agencies. Two stakeholders we spoke to also said that participation by all relevant federal agencies in standards activities is beneficial because the agencies can provide technical expertise and are important stakeholders for standards efforts because agencies regulate industry, develop policy, and procure goods from the private sector.", "At the same time, participants in all five of our focus groups, some stakeholders, agency standards executives, and NIST officials we interviewed cited challenges in coordinating documentary standards among multiple federal agencies, for example:", "Some stakeholders, agency standards executives, and another federal standards official we interviewed said that communication between federal agencies on their standards activities can be a challenge. For instance, three agency standards executives and one stakeholder said that it can be difficult to identify when other agencies are working on the same standards areas, and two of the standards executives said it can be difficult to know who to contact in other agencies to coordinate efforts.", "Three agency standards executives said that it can be difficult for standards executives to be fully aware of all standards activities in their department or agency. One standards executive also said that some standards executives have split responsibilities and are not full time, a situation that may make it difficult for these executives to devote sufficient time to understanding their agencies\u2019 standards activities, particularly in large agencies. Further, NIST officials said that there is an uneven level of interest and focus on standards as a policy issue among federal agencies, generally.", "Participants in three focus groups cited differing priorities and interests among federal agencies as a challenge to coordinating on standards activities. For example, participants in one focus group said that different interests and priorities among financial regulatory agencies posed a challenge to coordination on cybersecurity standards. As we reported in December 2015, NIST undertook a collaborative process that involved federal agencies as well as nonfederal stakeholders in developing a cybersecurity framework in response to executive order and legislative requirements. Participants in one focus group noted NIST\u2019s efforts to work with a variety of public and private-sector stakeholders but also said that financial regulatory agencies have their own cybersecurity regulations that may not align with NIST\u2019s framework. In a February 2018 report on implementation of the cybersecurity framework, we noted the complex regulatory and cybersecurity environment of the financial sector and noted that sector representatives said that agencies\u2019 differing cybersecurity requirements led to competition among various cybersecurity frameworks.", "NIST officials also said that it can be challenging for federal agencies to harmonize their views on standards because they each have individual missions and priorities that may lead to varying views. Similarly, a 2011 National Science and Technology Council report cited a lack of coordination among agencies with interests in standards activities as having a negative impact on government effectiveness. The report noted that agency objectives may not always be aligned and that they may be providing redundant support or competing with one another.", "An additional complexity to coordination of federal agencies\u2019 documentary standards activities is that some standards issues may have multiple venues for interagency coordination. NIST officials said that agencies participated in the U.S. private-sector-led standards system and that there were a number of different organizations and groups through which federal agencies shared information, depending on the standards activity. There are at least four groups including the ICSP that provide interagency coordination on standards issues generally. According to NIST officials, interagency coordination also occurs through the National Science and Technology Council\u2019s committees and subcommittees. Further, individual documentary standards areas may have additional interagency coordination venues. For instance, interagency coordination on cybersecurity standards also occurs through the Interagency International Cybersecurity Standardization Working Group, according to a NIST 2018 draft report. This group was established by the National Security Council\u2019s Cyber Interagency Policy Committee to coordinate on major issues in international cybersecurity standardization and enhance U.S. federal agencies\u2019 participation in these efforts. Furthermore, agencies may coordinate amongst themselves informally on specific standards interests, according to two standards executives.", "Interdisciplinary technology areas: Documentary standards development issues have become increasingly interdisciplinary\u2014 potentially creating challenges to coordinating agencies\u2019 standards activities, according to our prior work, literature we reviewed, focus groups we conducted, and stakeholders we interviewed. As described above, technology areas, including emerging areas of technology such as electronic health records, can cut across disciplines. According to literature we reviewed, our prior work, and stakeholders we interviewed, interdisciplinary standards can be more difficult to develop or implement because they can be complex and involve a broader range of industry and government stakeholders with potentially different interests and needs. Standards areas are also becoming increasingly interdisciplinary, according to literature we reviewed, one stakeholder, and participants in one focus group. In addition, participants in all five focus groups and some stakeholders we interviewed said that it can be challenging to facilitate interagency coordination on interdisciplinary standards areas. For example, some participants and some stakeholders said that these standards areas can involve the need for collaboration among multiple agencies that can have different roles and responsibilities, priorities, or levels of expertise. Further, two stakeholders said that it could be a challenge for federal agencies to identify these areas.", "Our prior work, participants in two of our focus groups, and an agency standards executive identified several examples of interdisciplinary standards areas that present challenges to interagency coordination: In February 2018, we reported that protecting the nation against complex and growing cybersecurity threats required coordination between 10 different agencies, 9 of which had responsibility for coordinating implementation of NIST\u2019s cybersecurity framework across 16 different critical infrastructure sectors.", "In November 2016, we reported that improved interagency coordination could help to address challenges SDOs face in using forward-looking climate information\u2014an interdisciplinary standards area that requires expertise from multiple agencies\u2014and we made a related recommendation.", "One focus group participant identified open source software and a participant in a different focus group identified machine learning and artificial intelligence as interdisciplinary standards areas needing increased coordination among federal agencies.", "One agency standards executive also said that federal coordination could be beneficial for developing standards for \u201cBig Data\u201d because multiple federal agencies have expertise in Big Data that is not being leveraged to create standards that could facilitate appropriate use of Big Data-related technology and techniques.", "Establishing a private-public partnership to coordinate standards development with different stakeholders. Implementing a testing framework.", "According to NIST officials, developing documentary standards for interdisciplinary technologies can be more resource intensive because of the need to pull together expertise from different disciplines and potential competition among SDOs in developing a standard. However, NIST officials also noted that standards development for interdisciplinary technologies may not always be more challenging than other types of standards development efforts, when an SDO has willing participants with the necessary expertise. For example, according to a 2010 VCAT report, NIST established a public-private Smart Grid Interoperability Panel to identify, prioritize, and address new and emerging requirements for this interdisciplinary standards area involving many stakeholders and agencies. According to VCAT, the panel allowed for a wide range of participating stakeholders and served as an effective way to determine and incorporate the different needs and interests of participants in a framework that enabled further development of smart grid standards."], "subsections": []}]}, {"section_title": "NIST Has Taken Steps to Address Challenges in Providing Measurement Services and Supporting Documentary Standards, but Some Efforts Could Be Improved NIST\u2019s Efforts Help Address Challenges to Identifying and Prioritizing Needs but Could More Fully Align with Federal Guidance and NIST Policy", "paragraphs": ["NIST works to address the challenges it faces in providing measurement services and supporting documentary-standards development in a variety of ways, but opportunities exist to improve some efforts. First, NIST\u2019s efforts help address challenges to identifying and prioritizing measurement-service and documentary-standards needs, but some efforts do not fully align with federal guidance or NIST policy. Second, NIST\u2019s efforts help support U.S. representation in international standards organizations but may not fully implement its role and address the challenge it faces. Third, NIST\u2019s efforts support federal agency coordination on standards issues but do not fully align with selected leading collaboration practices.", "NIST takes a variety of steps to identify agency stakeholders\u2019 measurement-service and documentary-standards needs, has procedures to support the prioritization of measurement services and standards activities in the agency, and has developed mechanisms for communicating with stakeholders. While these steps help NIST address challenges to identifying and prioritizing needs and communicating with stakeholders, some aspects of these efforts do not fully align with federal guidance or NIST policy.", "Identifying measurement-service and documentary-standards needs: NIST identifies stakeholders\u2019 measurement-service or documentary-standards needs in various ways, including discussions with industry by NIST technical staff, attendance at trade shows and scientific professional society meetings, workshops hosted by NIST on technology areas of interest, and participation in planning activities of SDOs, among other ways. However, NIST does not regularly perform a comprehensive assessment of its measurement services and standards activities to identify and address any gaps between the agency\u2019s efforts and industry needs.", "Genome in a Bottle The Genome in a Bottle consortium is one of several ongoing collaborations among the National Institute of Standards and Technology (NIST), Stanford University, and various industry and government partners that focus on measurements and standards supporting the newest developments in biology. Genome sequencing involves determining the chemical building blocks of deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) and can give insights into the genes carried by an individual and how and when they are activated. Since the completion of the Human Genome Project in 2003 which first sequenced the whole genome of a human, scientists have worked to make whole human genome sequencing faster and less expensive. Genome in a Bottle aims to develop the tools needed to allow clinical use of whole human genome sequencing. These tools include reference materials that allow laboratories to ensure the reliability and accuracy of their sequencing equipment, increasing laboratories\u2019 capability to perform genetic testing, medical diagnoses, and customize drug therapies.", "NIST\u2019s primary method for assessing stakeholders\u2019 needs is through outreach by individual technical staff and their expertise in relevant disciplines and related industries. Measurement services officials said that NIST\u2019s staff work closely with their respective industry stakeholders and others to understand their measurement service needs. They stated that NIST staff engage with industry through direct contact at conferences and trade shows, company and NIST laboratory visits, training, NIST-led workshops, through their ongoing research activities, and other activities. NIST also collaborates with other metrology organizations to identify measurement service needs and advance measurement science. For example, measurement services officials described NIST\u2019s participation in international organizations that develop strategic plans for calibrations and measurement standards, such as the Bureau International des Poids et Mesures and Inter-American Metrology System. These organizations allow national metrology institutes, like NIST, to collaborate with their peers and other stakeholders to improve the world\u2019s measurement standards and services.", "NIST also collaborates with government, industry, and research institutions on emerging issues through various collaboration mechanisms. For example, NIST formed the Genome in a Bottle Consortium in 2011. It provides an open forum for discussion and planning for reference materials and other measurement infrastructure needed to use human genomic sequencing in clinical settings. Similarly, NIST\u2019s Advanced Materials Center of Excellence allows the agency to work with universities, a government lab, and others to address research and development needs related to designing novel materials for manufacturing. Furthermore, since 1905 NIST has participated in activities of the National Conference on Weights and Measures. Recent activities of this group include developing measurement practices and measurement standards to ensure that ride-sharing companies accurately measure time and distance charges.", "The National Institute of Standards and Technology (NIST) began an active mercury reduction campaign in 2007 and stopped calibrating mercury thermometers entirely on March 1, 2011. NIST's Temperature and Humidity Group is actively participating in several U.S. and international phasing out efforts to identify alternative thermometers for a broad range of measurement applications, and to coordinate efforts to replace mercury- based instruments. For example, the Minamata Convention on Mercury is a global treaty to protect human health and the environment from the adverse effects of mercury and includes a phase out of the use of mercury in products and processes. According to NIST officials, NIST worked closely with one standards development organization, ASTM International, to develop a new standard for the manufacture and selection of digital thermometers. This standard describes three different types of digital-thermometer sensors and defines different classes of devices based on accuracy and, according to NIST, allowed ASTM to revise over 750 additional standards to replace required mercury thermometers with digital thermometers. NIST provides calibrations for all three types of sensors to the worldwide measurement standard, the International Temperature Scale.", "Furthermore, NIST examines trends in the measurement services it provides to better understand industry needs. In particular, NIST conducts individualized testing for companies known as special tests that can give the agency insight into industry\u2019s needs. Special tests comprise calibrations and related measurements that are unique to the customer and are not part of NIST\u2019s regular catalogue. A company may request a special test, for example, to evaluate a prototype product or measurement technology. According to NIST officials, NIST uses special tests as a way to meet industry needs and also understand what kinds of measurement services industry may need more of in the future.", "Similarly, NIST standards officials also described staff expertise as important for identifying stakeholders\u2019 needs for support in the development of documentary standards. In particular, standards officials described staff participation in roadmapping activities\u2014used to identify and plan for future standards activities in certain fields\u2014sponsored by NIST or SDOs as important opportunities for staff to assess the standards landscape and identify needs. For example, NIST officials noted the importance of NIST participation in ANSI\u2019s standards panels and collaboratives, some of which are co-led by NIST staff, for identifying standards needs. NIST also participates in SDO administrative groups, such as the ANSI Government Members Forum, that can alert NIST to important international and domestic standards activities. Through participation in SDOs, NIST standards officials said that NIST may obtain information on international standards activities in which U.S. industry representation is needed. NIST officials said that developing new documentary standards can take from a year and a half up to a decade to complete, and accordingly, NIST considers what the standards industry is likely to need in the next 1 to 5 years.", "Various thermometers at NIST\u2019s temperature calibration lab.", "In addition, NIST gathers information on how its efforts align with stakeholders\u2019 needs through feedback from industry customers and external reviews by the National Academies, VCAT, and others. For example, NIST asks the users of its calibration services and standard reference materials to respond to customer satisfaction surveys. NIST measurement services officials said that while a small percentage of customers respond to the surveys, the information gathered provides useful input on what new services customers need. By 2018, NIST implemented new information systems to track its measurement services\u2019 sales and customers, and is evaluating if the agency\u2019s outreach to these customers can be improved using the new systems. According to NIST officials, NIST also receives feedback when stakeholders contact the agency through phone, email, or the NIST website. Further, the National Academies evaluated NIST\u2019s Material Measurement Laboratory in 2017 and has reviewed every NIST laboratory since the 2010 reorganization. In a 2017 report, the National Academies recommended that NIST\u2019s Material Measurement Laboratory develop a strategy to balance between existing product support and the research, production, and certification of new standard reference materials. Recent VCAT reports have also considered how well NIST identifies measurement-service and documentary-standards needs of its customers and assessed the agency\u2019s services: In a 2009 report, VCAT examined NIST\u2019s participation in standards development in three specific areas and found that NIST\u2019s technical expertise, its reputation as an unbiased and neutral party, and its extensive participation in standards activities strongly position NIST to address the standards-related challenges of the 21st century.", "In a 2010 report, the VCAT found that NIST\u2019s analysis and planning practices for its measurement services tended to be driven by bottom- up initiatives more than high level strategy and in 2010 and 2011 reports the VCAT recommended, among other things, that NIST perform additional assessments of its measurement services.", "In 2012 and 2013 reports, the VCAT found that NIST\u2019s participation in standards activities has helped the agency identify industry needs related to advanced manufacturing.", "Additionally, in 2015, NIST received a peer review of its measurement services by experts from other national metrology institutes. According to the peer review summary, most of the eight individuals from other national metrology institutes who reviewed NIST\u2019s measurement services found that the agency covered major needs, and the reviewers gave NIST additional feedback on areas for expansion the agency should consider.", "Participants in three of our five focus groups said that when NIST focuses on a specific area, its efforts to understand industry needs can be very effective. For example, participants in one group said that NIST creates an open environment for discussions with industry and companies feel comfortable approaching the agency with their needs. Participants in another group said NIST\u2019s regular contact with and surveys of state metrology labs help the agency understand their needs. However, participants in all five of the focus groups said that NIST\u2019s capacity for outreach is limited. For example, participants in one focus group said that NIST\u2019s outreach efforts can be driven by the personal relationships NIST staff develop with stakeholders and therefore do not scale to the large size of U.S. industry. NIST officials said that its measurement services and documentary-standards support activities serve different populations of stakeholders and that identifying the needs of NIST\u2019s measurement services\u2019 stakeholders is more manageable than with documentary standards. Specifically, by working with measurement equipment manufacturers, NIST officials said that understanding the needs of its measurement services\u2019 stakeholders was manageable. However, NIST officials said it is more difficult to know the measurement-service needs of industry stakeholders that work with equipment manufacturers rather than with NIST directly.", "NIST\u2019s efforts to identify industry needs are supported by agency policy, and NIST has controls in place to evaluate the efficacy of the measurement services it provides. NIST policy directs staff to consider stakeholders\u2019 measurement service needs and assign responsibility for assessing measurement services to agency management. Specifically, the NIST Quality Manual, which contains the agency\u2019s policies and procedures governing its measurement services, describes meeting and anticipating the needs of measurement services\u2019 users as a goal for the agency. The manual encourages staff to identify improvements to measurement services and assigns ultimate responsibility for providing services that meet industry, academia, and other government agency needs to the Associate Director for Laboratory Programs. Further, the Quality Manual requires multiple levels of review of the agency\u2019s measurement services, including internal audits at the division level, quarterly management review by measurement services officials, and peer-review by a team of experts from other NIST divisions. The assessments are to provide NIST with assurance that its measurement services, and especially the calibration and measurement capabilities, continue to be in compliance with its quality management system. Further, NIST officials told us that the agency was considering measurement services as part of its strategic-planning efforts, but those efforts were preliminary at the time of our review.", "For documentary standards, NIST\u2019s policies for staff participation in standards development encourages staff participation in domestic- and international-standards development activities whenever such participation is in the public interest and is compatible with NIST\u2019s mission, policies, positions, priorities, and available resources. NIST\u2019s standards participation policy also provides that the Associate Director for Laboratory Programs conduct periodic reviews of the effectiveness of NIST\u2019s participation in documentary standards activities, with support from the Standards Coordination Office. Additionally, the policy directs NIST managers to annually review records of SDO participation by staff in their divisions and calls for laboratory and division managers to periodically review activities to identify gaps in representation for mission- critical areas. Further, NIST officials said that across both measurement services and documentary-standards support activities, the efforts of its staff to meet stakeholders\u2019 needs are assessed via employee performance reviews, among other means.", "NIST\u2019s multi-level assessments of its measurement services and documentary standard development activities help ensure their quality and help to identify stakeholders\u2019 needs; however, these assessments do not comprehensively identify and assess gaps in NIST\u2019s services or how well they align with stakeholder needs. For example, NIST\u2019s efforts to identify measurement service needs for individual technology areas or industries, or to evaluate the services provided by its labs\u2014both areas of strength for NIST\u2014may not identify gaps in service needs for technology areas not evaluated or that cut across NIST\u2019s labs. Officials working on calibration services and reference materials told us that NIST has not performed a comprehensive assessment of how well its services address industry needs since a 2006 assessment of the U.S. measurement system. NIST measurement services officials raised concerns about the value of this type of review, describing the agency\u2019s 2006 assessment as time consuming and ultimately of limited use in identifying unmet measurement needs. However, members of the 2015 peer review of measurement services said that NIST would benefit from strategic assessments to identify and assess gaps in programs and a calibration official told us that it is difficult for NIST to recognize if it is not effectively reaching stakeholders. Similarly, NIST officials told us that the Associate Director for Laboratory Programs does not perform a periodic review of the effectiveness of NIST\u2019s standards participation, despite the agency\u2019s standards participation policy calling for such a review. One standards official said NIST generally does not comprehensively assess standards needs because of the number and diverse nature of standards activities.", "Federal standards for internal control direct management to use quality information to determine if the agency is meeting its objectives and to identify, analyze, and respond to significant changes that could present risks to achieving its objectives. In addition, the 2012 EOP memo on standards activities in areas of national priority states that agencies should periodically review their standards activities to identify gaps in representation for mission-critical areas as part of their long-range planning. Revising NIST\u2019s policies to provide for periodic comprehensive management reviews of NIST\u2019s measurement services would augment NIST\u2019s ongoing efforts to assess how well its services align with stakeholder needs and identify any gaps. Conducting comprehensive reviews of NIST\u2019s measurement services and documentary standards activities would provide NIST with greater confidence that its activities align with stakeholders\u2019 needs, consistent with internal control standards. Conducting such reviews would also help NIST address the recommendations made by its recent external reviews and could be used to support NIST\u2019s efforts to develop the strategic plan called for by the American Innovation and Competitiveness Act.", "Prioritizing among needs: NIST has a process for deciding when new measurement services are warranted; however, decision-making about documentary-standards development activities is decentralized, and NIST management and staff may not have clear guidelines or sufficient information to support decision-making about new standards activities.", "NIST has processes to guide decision-making about measurement services; this guidance helps address the challenges focus group participants identified given that NIST cannot address all needs. Before choosing to develop a new measurement service, such as a new standard reference material or calibration service, NIST\u2019s Office of Reference Materials and Calibration Services office, respectively, consider the need for and priority of the service. One NIST official said that because NIST cannot cover all measurement services that may be needed by the private sector, the measurement services program focuses on the areas where NIST may have the most impact. NIST has procedures in place to evaluate proposals for new services. For example, before NIST develops a new reference material, Office of Reference Materials and relevant laboratory staff annually review proposals for new materials by evaluating factors such as the potential user base for the material, related legislative or regulatory requirements, and whether the material could be produced by other organizations, such as private companies. The Office of Reference Materials also considers these factors when considering extending reference materials it already provides. Further, because developing a new reference material can be time consuming, NIST is currently evaluating the creation of a suite of reference materials called \u201cresearch-grade materials\u201d that could address high priority areas with a lower level of precision than NIST\u2019s standard reference materials. According to NIST officials, research-grade materials are one way of providing this type of measurement service faster to meet the needs of U.S. industry.", "Similarly, new calibration proposals are reviewed by Calibration Services management on a quarterly basis and are evaluated on factors such as stakeholder need and potential impact. In addition, NIST extends its reach through its work with private sector test and calibration companies that also serve the needs of U.S. industry. For example, the National Voluntary Laboratory Accreditation Program allows NIST staff to directly interact with test and calibration laboratories and provides opportunities to share NIST\u2019s expertise and improve services offered by these laboratories. Further, a focus group participant and government laboratory officials described industry association meetings as important opportunities to find out about cutting-edge capabilities and potential future measurement capabilities offered by NIST and others.", "NIST does not have a similar formalized process to support consistent decision-making across NIST laboratories and divisions about participation in new documentary standards activities. As described previously, NIST\u2019s policy for staff participation in standards development encourages staff participation in domestic- and international-standards development activities. Additionally, NIST guidance directs staff to participate in SDO activities based on their unit\u2019s mission and goals, and the technical competence required, among other factors, and advises that staff may choose to accept leadership positions in these activities, such as the secretary or chair of a standards committee. OMB Circular A-119 and the 2012 EOP memo on standards also encourage agencies to play a variety of roles in the standards process, such as serving as chairpersons or other official capacities. Focus group participants had mixed opinions on when NIST staff should take on leadership roles. Participants in four of our focus groups said that NIST staff are particularly suited to leadership roles, and some attributed this conclusion to the technical expertise of NIST staff or their ability to act neutrally among competing companies. However, participants in two focus groups said that NIST is better suited to a technical advisor role.", "However, NIST policy and guidance do not describe when it is appropriate for staff to take leadership roles in standards development activities. Individual staff in consultation with their supervisors determine what standards activities, if any, they should participate in and their appropriate role in the standards development activity. According to NIST officials, other levels of management may be involved in the decision- making process to varying degrees depending upon whether participation in an SDO activity aligns with a NIST priority or where involvement entails international travel, among other factors. A guidance document for staff encourages them to attend additional training provided by the Standards Coordination Office, and standards officials we interviewed told us that the training and informal guidance provided by the office could help staff in leadership positions; however, such roles may entail additional time commitments. Although some stakeholders have expressed interest in increasing NIST\u2019s participation and leadership in standards activities, doing so could entail tradeoffs between these activities and other NIST priorities. Without clear agency guidance on staff participation in standards development activities, such as the factors staff could consider when deciding to take on leadership or other more active roles, NIST cannot be assured that decisions on the time staff commit to standards activities are being made consistently across the agency and in accordance with agency priorities.", "Further, NIST\u2019s ability to ensure participation is appropriately prioritized across the many documentary-standards development activities in which its staff could be involved is limited by incomplete information. Staff are directed in NIST policy to record their participation in standards activities in a centralized database, including a description of the SDO, specific activity, and role of the NIST participant. According to a NIST standards official, the database may be used by laboratory managers to assess the standards activities of their staff. However, NIST\u2019s database does not contain information regarding NIST staffs\u2019 time commitment, information that could be used by management to assess the resources required for participation in these activities. NIST guidelines also direct staff to document their goals and time commitments for standards activities in their individual performance plans, but the data are not included in the standards participation database.", "According to NIST officials, determining the time spent on documentary standards can be difficult. Specifically, staff participate in standards development within their areas of expertise and often this work is closely related to their research activities at NIST. Because of this confluence, the amount of time staff spend on a particular standards activity may be unclear. The time spent at meetings or directly drafting or responding to standards documents will also depend on the amount of consensus on the standards committee, consensus that may not be known ahead of time. NIST standards officials told us that the self-reported data currently in the database are sufficient for laboratory management to identify what activities staff are participating in, and that management can then ask individual staff for additional information. However, NIST does not have data at an aggregate level on the time staff commit to or expect to commit to these activities. Standards for internal control require agencies to use quality information to achieve the entity\u2019s objectives, such as by using relevant data from reliable internal and external sources in a timely manner based on the identified information requirements. While staff document their roles in documentary standards activities, without information on the estimated amount of time staff commit to these activities, NIST management may not have the information needed to comprehensively assess how staff distribute their limited time and attention. Although it may not be feasible to determine the exact amount of time spent on documentary standards activities, information on estimated amount of time could help inform staff decision-making on when to accept leadership roles in standards development activities and could inform management on trends in time commitments to these activities across the agency\u2019s laboratories and divisions.", "Communicating with stakeholders: NIST takes a number of steps to address the challenges it faces communicating with its diverse stakeholders about its measurement services and documentary standards activities. NIST measurement services officials described the primary goal of their stakeholder outreach efforts as informing potential customers of the services NIST provides. The officials described multiple avenues for reaching potential customers of NIST\u2019s measurement services, including: attendance at workshops, trade shows, and professional societies;", "NIST\u2019s measurement services websites; email and newsletter correspondence with current customers; direct contacts between individual staff and stakeholders; and research papers and other scholarly activities.", "For example, NIST distributes a newsletter to customers that includes information on upcoming changes to the agency\u2019s standard reference materials.", "NIST has also taken steps to better target its stakeholder communication. For example, NIST measurement services officials described an effort to evaluate customer interest in NIST\u2019s standard reference materials, as expressed through contact with NIST staff at trade shows. As a result of this analysis, NIST reduced the number of trade shows at which it advertised these materials\u2014focusing on those trade shows that were identified as having the greatest number of interested attendees. More broadly, by 2018 NIST implemented new information systems supporting its measurement services sales, inventory, and customer relationship management. Measurement services officials described efforts currently underway to take advantage of these systems to better target customers by, for example, providing email notifications to customers of new materials or improved measurements of current materials."], "subsections": [{"section_title": "NIST\u2019s Efforts Help Support U.S. Representation in International Documentary Standards Activities but May Not Fully Address the Challenge", "paragraphs": ["NIST\u2019s efforts help support U.S. representation in international standards organizations but may not fully implement its role and address the challenges it faces.", "NIST works to support U.S. industry\u2019s efforts to ensure that its interests are adequately represented in international standards activities. For example, NIST officials said that NIST staff participate broadly in international standards activities that are aligned with NIST\u2019s priorities and share their technical expertise in various committees. Through its participation in SDOs, NIST may obtain information on international standards activities in which U.S. industry representation is needed. NIST also shares information on international standards activities with U.S. industry. NIST hosts the World Trade Organization Inquiry Point, a U.S. government website that serves as a communications hub for information on international standards and related issues. Through the website, U.S. industry and other stakeholders receive notifications of standards-related regulations and procedures, as well as the basis and objective for proposed measures, among other information provided. The website also provides a mechanism to circulate comments on proposed measures. Further, we noted above that NIST participates in ANSI standards panels and collaboratives and the ANSI Government Members Forum. NIST\u2019s participation in these bodies can alert NIST to important international standards activities.", "NIST officials said that when NIST has become aware of concerns about U.S. representation at an international standards activity within a federal government area of responsibility, it has led efforts to ensure adequate representation in those activities. For example, according to NIST officials, NIST:", "Worked with the U.S. Patent and Trademark Office to help identify another organization to represent U.S. interests in a standards activity that affected U.S. intellectual property after the original organization decided not to continue participating.", "Established and administered the U.S. technical advisory group for a new ISO technical committee on biotechnology after industry and many federal agencies chose not to participate.", "Took on a leadership role to represent U.S. interests in a standards activity at the International Telecommunication Union when no U.S. telecommunications companies took on responsibility for representing U.S. industry in the activity.", "NIST has also issued three reports on U.S. representation in international SDOs. In June 2014 NIST issued its most recent report on U.S. representation in two international SDOs, the ISO and IEC\u2014its two prior reports were published in 2000 and 1988. The 2014 report describes U.S. representation in ISO and IEC activities from 1966 through 2012. As noted previously, the report also describes U.S. memberships and roles in ISO and IEC standards development committees, and includes data comparing U.S. representation on these committees with representation from other countries.", "While NIST has helped support U.S. representation in international documentary standards activities, NIST has not developed a mechanism to implement the role delegated to it under the 1979 act to address circumstances when U.S. representation at international standards organizations may be inadequate. As noted previously, the 1979 act directs the Secretary of Commerce to coordinate with the U.S. Trade Representative (USTR) and keep adequately informed regarding international standards-related activities and identify those that may substantially affect the commerce of the United States. The Secretary is also to monitor the adequacy of U.S. representation in private international standards activities. Further, the 1979 act establishes a process for the Secretary to follow to address circumstances in which U.S. representation may be inadequate, specifically: If the Secretary, after an inquiry, has reason to believe that the participation by an organization member in the proceedings of a private international standards organization will not result in the adequate representation of United States interests that are, or may be, affected by the activities of such organization (particularly with regard to the potential impact of such activity on the international trade of the United States) the Secretary shall immediately notify the organization member concerned.", "The organization member has a 90-day period following the Secretary\u2019s notification to demonstrate its willingness and ability to represent adequately U.S. interests. If the organization member demonstrates willingness and ability, the Secretary should take no further action.", "If the organization member either does not respond or does not demonstrate the requisite willingness or ability to represent U.S. interests or there is no organization member of the private international standards organization\u2014the Secretary is to make arrangements to provide for the adequate representation of U.S. interests.", "Although NIST has reported on the extent to which the U.S. participates in some Geneva-based international standards development activities, these reports do not assess the adequacy of this participation. NIST officials we interviewed said that the agency does not assess whether U.S. interests are adequately represented and does not have definitions of or guidelines for what constitutes adequate representation. NIST officials also told us that the agency has not evaluated the circumstances under which it would follow the procedures under the act for addressing inadequate representation. Federal standards for internal control indicate that management should identify, analyze, and respond to risks related to achieving an agency\u2019s objectives. As noted previously, the large number of international standards activities occurring across numerous industry sectors, among other factors, present challenges to ensuring adequate U.S. representation in international standards activities.", "In commenting on a draft of this report, Commerce stated that a determination to follow the statutory process in the 1979 act would carry significant risk of being perceived by the national and international standards community as a U.S. government change of policy relating to the nation\u2019s private-sector-led standards system. However, the memorandum of understanding between NIST and ANSI states that NIST\u2019s role, under the NTTAA, OMB A-119, and the 1979 act is \u201cto ensure adequate representation of U.S. interests in all relevant international standards organizations.\u201d Further, NIST has previously taken action in some cases in international standards activities within a federal government area of responsibility, as described above. Additionally, the ongoing contacts between NIST and SDOs and staff participation in standards activities can help NIST keep adequately informed on international-standards-related activities.", "Without a mechanism to identify and respond to circumstances when U.S. representation at international SDOs may be inadequate, such as guidelines for what constitutes adequate representation and when and how to follow the process under the 1979 act, NIST may miss opportunities to take action in furtherance of its mission to support U.S. competitiveness by helping to ensure adequate U.S. representation in international standards activities. Alternatively, given Commerce\u2019s concerns about the statutory process in the 1979 act, NIST could develop a legislative proposal that allows NIST to ensure adequate U.S. participation in international standards activities while addressing those concerns."], "subsections": []}, {"section_title": "NIST\u2019s Efforts Help Support Interagency Coordination, but Opportunities Exist to Better Follow Leading Practices for Enhancing Collaboration", "paragraphs": ["NIST supports coordination among federal agencies on documentary standards issues as chair of the ICSP, as well as additional coordination efforts outside of the ICSP. However, aspects of the ICSP\u2019s efforts do not fully align with selected leading practices for enhancing and sustaining interagency collaboration. These practices can help agencies manage fragmentation and other coordination challenges.", "NIST has taken several steps to address the challenge of interagency coordination on documentary standards issues through its efforts as chair of the ICSP:", "NIST and member agencies have a charter that outlines the purpose, functions, and membership of the ICSP, among other information. According to the charter, the ICSP was established to advise the Secretary of Commerce and the heads of other federal agencies in matters relating to standards policy. The ICSP\u2019s purpose under the charter is to ensure effective participation by the federal government in domestic- and international-standards activities, among other things. NIST officials we interviewed said that the ICSP meets three to four times per year and that the purpose of the ICSP is to promote effective participation by federal agencies in the standards process\u2014 when it is within an agency\u2019s mission and in the public interest\u2014but not to force their participation. According to NIST officials, NIST tries to demonstrate the benefits of participation and encourages other agencies to participate actively in relevant standards activities.", "NIST chairs and supports ICSP activities, including providing administrative services, organizing meetings, and developing agendas and reports. We previously reported in 2012 that designating a lead agency can assist in driving accountability and providing for continuity of leadership for a collaborative effort. According to NIST officials we interviewed, ICSP meetings are open to agencies outside of the member agencies. Further, NIST officials said they routinely invite staff from non-member agencies when the committee plans to discuss items of particular interest to them. NIST officials said that the ICSP network allows NIST to provide a knowledge base for other federal agencies, and to help federal staff understand standards policy and participation in SDOs, among other things.", "According to ICSP members and NIST officials, NIST facilitates the sharing of best practices on broad standards topics affecting multiple agencies through the ICSP. As of June 2018, 30 federal agencies have identified participants to the ICSP, while 5 agencies have vacant positions on the committee. NIST officials provided several examples of its information-sharing activities:", "NIST led ICSP efforts to facilitate discussion on, and manage revisions to, key guidance regarding federal agencies\u2019 standards efforts in OMB Circular A-119.", "NIST led ICSP efforts to promote awareness on and share information related to the development of corporate social responsibility standards in ISO.", "NIST created an ICSP working group on conformity assessment to help address issues that were frequently being raised during ICSP meetings.", "NIST invites speakers to share information with ICSP members on various standards-related issues. For example, NIST invited officials from ANSI to present information on standards areas of agency interest and also invited the members of the SDO leading efforts on smart grid standards to brief agencies on the SDO\u2019s efforts.", "According to six agency standards executives we interviewed, the ICSP helps members to share information, including best practices and to have a general awareness of pertinent documentary standards topics. Three agency standards executives said that the ICSP helps standards executives to know each other on a personal basis so that they know whom to contact to coordinate on standards activities. Bringing agency standards executives together through the ICSP can also spur coordination among agencies if a topic of mutual interest is identified. For example, two agency standards executives said that questions and suggestions raised by agencies at the ICSP led to coordination with other agencies on a standards area of mutual interest.", "NIST also coordinates with individual agencies on documentary standards activities outside of the ICSP. For example, according to participants in four focus groups, relevant NIST and VCAT reports, and congressional testimonies we reviewed, NIST is particularly strong in bringing relevant federal agencies and other stakeholders together to develop standards and frameworks for individual interdisciplinary technology areas. Such coordination can occur through a variety of methods or groups, such as workshops, that address standards-related issues. Additionally, four agencies\u2019 standards executives said that they coordinated extensively with NIST on specific standards activities. Two of the agency standards executives described how collaboration with NIST on research helped inform their agencies\u2019 standards activities. NIST also offers training, such as NIST\u2019s standards boot camp, according to federal standards executives. Five agency standards executives said staff from their agencies attended the training and four standards executives said the training had improved their staff\u2019s competence in standards.", "While coordination between NIST and other federal agencies on documentary standards issues occurs in a variety of ways, the ICSP is the primary body established to facilitate interagency coordination on standards policy, according to NIST standards officials. However, some of the ICSP\u2019s efforts to support coordination among federal agencies on standards issues do not fully align with selected leading practices for interagency collaboration we identified in our previous work. Specifically, the ICSP charter has not been updated; ICSP member agencies\u2019 roles and responsibilities have not been fully clarified; and the ICSP may not include relevant members to carry out its functions. Additionally, we reported in 2015 that while collaborative mechanisms differ in complexity and scope, following leading practices can help manage fragmentation and other coordination challenges.", "ICSP charter: The ICSP charter has not been updated since it was signed in October 2000. According to the charter, the need for and mission of the ICSP was to be reexamined 3 years after the charter was created. However, NIST officials said that the ICSP charter has not been reexamined. We reported in 2012 that agencies that articulate their agreements in formal documents can strengthen their commitment to working collaboratively. We also reported that written agreements are most effective when they are regularly updated and monitored. Further, updating written agreements, such as the ICSP charter, can be an opportunity for members to define common goals and purpose. In addition, focus group participants, stakeholders we interviewed, and literature we reviewed described broad changes in documentary standards that have led to new challenges. For example, we previously noted the challenges related to emerging interdisciplinary standards issues and the increase in the number of international standards activities, and both of these areas can benefit from federal coordination.", "Further, the ICSP charter has not been updated to reflect the 2016 revisions to OMB Circular A-119 or the guidelines provided to agencies in the 2012 EOP memo on engagement in standards activities to address national priorities. For example, the revised A-119 notes several executive orders relating to review and coordination that were not in existence at the time of the charter\u2019s creation. Additionally, the EOP memo that outlines agency responsibilities for standards areas of national priority was also not in existence at the time of the ICSP charter\u2019s creation. The EOP memo calls on agencies to ensure effective intra and interagency coordination of engagement in standards development activities. Without reexamining and updating the ICSP charter, as necessary, NIST and other ICSP member agencies cannot be assured that their collaborative efforts are best structured to address current standards challenges.", "ICSP member roles and responsibilities: ICSP member agencies\u2019 roles and responsibilities have not been fully clarified to an extent that would help the ICSP fulfil its purpose, objectives, and functions to gather information and make recommendations to the Secretary of Commerce to strengthen standards policy and coordination. The ICSP charter outlines two basic functions for the committee: (1) gathering, analyzing, and maintaining current information about standards and other specified related information and (2) on the basis of such information, and when appropriate, making recommendations to the Secretary of Commerce to achieve various standards-related objectives, such as strengthening coordination of standards-related policies and activities among federal agencies. The charter also specifies that the ICSP may create task groups as appropriate. However, we found several areas in which the ICSP charter could more fully clarify member agencies\u2019 roles and responsibilities in regard to implementing its functions, purpose, and objectives, for example:", "The ICSP charter does not fully clarify the ICSP role and member agencies\u2019 responsibilities for identifying and coordinating on interdisciplinary standards issues that cross agency boundaries. Five agency standards executives we interviewed as well as NIST standards officials described the ICSP as primarily an information- sharing or networking body, with little role in establishing federal positions on standards activities or policy, or making joint policy decisions with respect to specific standards issues. While information sharing is an important component of interagency coordination, OMB Circular A-119 gives agency standards executives responsibility for consulting with other relevant agencies on standards issues to avoid, to the extent practicable, expressing inconsistent views on standards issues. Furthermore, the 2012 EOP memo specifies that agencies should periodically review their standards activities to identify gaps in representation for mission-critical areas and should ensure effective coordination of engagement in standards development activities. NIST officials and one standards executive said that the ICSP could identify emerging or interdisciplinary standards issues that may require more active federal roles and coordination; however, the charter does not specify the ICSP\u2019s role and member responsibilities regarding interdisciplinary standards areas that may cut across agencies.", "The ICSP charter does not fully identify member agencies\u2019 responsibilities for coordinating on international standards issues. OMB Circular A-119 and the ICSP charter specify that the ICSP has a role in coordinating federal agencies\u2019 international standards activities. However, the ICSP charter does not fully identify member agencies\u2019 responsibilities toward fulfilling this role. NIST standards officials and one agency standards executive said that the ICSP does not typically address international standards issues, or policy, or coordinate federal positions on international standards. While NIST officials said other USTR-led efforts could help coordinate agencies\u2019 international standards activities, a USTR official told us that USTR does not have the technical expertise needed to effectively coordinate multiple agencies\u2019 views on standards. Further, the USTR official, one NIST standards official, and representatives from ANSI said that different agencies\u2019 positions are taken into account as part of the standards development process at SDOs that have an open process, such as ANSI. However, as mentioned previously, A-119 specifies that the ICSP is to coordinate with other interagency entities with a view to encouraging more strategic and coordinated federal participation in the development and use of standards. Further, the ICSP charter also specifies that the ICSP is to ensure effective federal participation in international standards activities.", "The ICSP charter does not fully identify member agencies\u2019 responsibilities for developing joint recommendations to the Secretary of Commerce. The charter describes eight areas in which the ICSP shall make recommendations when appropriate, including to strengthen agency coordination and to improve the efficiency of standardization efforts within the federal government. Further, the charter specifies an administrative process for voting on ICSP recommendations. However, according to NIST officials, the ICSP has never made a recommendation to the Secretary of Commerce to address a standards-related issue. Further, NIST officials said that the ICSP agencies have not shown interest in acting jointly. NIST officials said that there may be circumstances in which making such a recommendation would be appropriate, for example, to strengthen interagency coordination on interdisciplinary standards issues, although the officials said that the ICSP would try to address issues at a lower level before elevating them to the Secretary of Commerce. Further clarifying agencies\u2019 responsibilities may help ensure that the ICSP is able to meet this function of its charter.", "The ICSP charter does not fully identify member agencies\u2019 roles and responsibilities for creating and participating in ICSP\u2019s task groups. We have previously reported that task groups can be an effective mechanism for agencies to collaborate on joint challenges. NIST standards officials said that one task group has been created and that task groups may be appropriate either (1) when a standards issue may require more focused and sustained monitoring to understand possible effects on U.S. government activities and missions or (2) when an ICSP member suggests the need for a task group and there is a consensus among membership. However, these reasons are not specified in the charter or other documents available on the ICSP website. Further, while NIST officials said that no member has requested the creation of a task group, two standards executives identified standards coordination issues that they thought may benefit from the creation of an ICSP task group. The charter specifies an administrative process for voting to create an ICSP task group but does not specify what the role of task groups are, why they would be created, or ICSP member agencies\u2019 responsibilities in determining the need for and participating in task groups.", "We have previously reported that to achieve a common outcome, participating agencies should consider clarifying roles and responsibilities. By agreeing on and clearly defining the roles and responsibilities of the members as well as documenting those decisions, collaborating agencies can clarify which agency will do what, organize their joint and individual efforts, and facilitate decision-making. Without ensuring that member agencies\u2019 roles and responsibilities have been fully clarified, NIST and the ICSP may miss opportunities to strengthen agencies\u2019 coordination on standards issues, and better ensure effective coordination related to standards activities. Further, without fully clarifying federal agencies\u2019 roles and responsibilities, the ICSP may also miss opportunities to address standards challenges noted above, which limit its ability to support U.S. competitiveness.", "ICSP membership: The ICSP may not include all relevant agencies as members or invited observers. The ICSP is comprised of certain specified agencies that are represented by their standards executives as described in OMB Circular A-119. A-119 provides that federal standards executives should be broadly engaged in the agency\u2019s standards-related activities so as to ensure intra-agency coordination and have sufficient authority to ensure compliance with Circular A-119. In addition, the ICSP charter allows the Secretary of Commerce to invite additional members\u2014 a role which has been delegated to NIST as chair of the ICSP. Consistent with leading collaboration practices, it is important to ensure that all relevant agencies are included in a collaborative effort. In addition, participants should also have full knowledge of relevant resources in their agency, and the skills and abilities to commit relevant resources and contribute to the outcomes of the collaborative effort, among other attributes.", "While the chair of the ICSP said that agency standards executives are engaged in understanding their standards activities and that participation in the ICSP is strong, as we noted above, it can be difficult for standards executives to be fully aware of all standards activities in their department or agency, particularly in large agencies. In addition, an agency standards executive, a NIST stakeholder, and NIST standards officials raised concerns about whether standards executives have sufficient time to understand all their agencies\u2019 activities and needs, given their other duties, or whether standards executives have the authority to fully coordinate on standards activities. In some cases, agency officials other than the standards executive may have greater knowledge and expertise about specific standards issues. For example, sub-component offices and agencies may have numerous standards-related activities, such as the Food and Drug Administration within Health and Human Services. According to interviews with two agency standards executives, some sub- component agencies may also have more knowledge and expertise in significant standards areas, and some of these areas can affect multiple agencies. According to one NIST standards official, NIST invites additional agencies when it learns that an agency could potentially add value but has not conducted a comprehensive assessment of ICSP membership within the last 5 years. By assessing whether relevant agencies and offices have been invited to participate as members or observers, the ICSP would have greater assurance of its ability to ensure effective participation by the federal government in domestic- and international-standards activities. Further, having relevant parties involved at the ICSP could enhance the ICSP\u2019s efforts by ensuring the viewpoints of all relevant agencies are considered."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In NIST\u2019s role as the nation\u2019s measurement science laboratory, NIST works to improve how we design, build, and test the technologies around us. Further, NIST\u2019s measurement services and support of documentary standards development can directly affect innovation and the nation\u2019s economy by helping companies produce better products and compete in the global economy. However, factors such as the breadth of industry needs, number of domestic- and international-standards development activities, and the fragmented nature of federal agencies\u2019 involvement in documentary standards development create challenges to NIST\u2019s ability to fulfill its mission of promoting U.S. innovation and industrial competitiveness.", "NIST has taken steps to address these challenges. For example, NIST\u2019s expert scientists and engineers maintain close contact with industry through a variety of mechanisms, and use their expertise to help identify industry needs and to communicate about NIST\u2019s services. NIST has also established procedures to help the agency prioritize and evaluate the effectiveness of its measurement services and ensure that supervisors and laboratory management oversee agency staff participation in documentary standards activities. However, NIST has not comprehensively evaluated the extent to which its efforts align with stakeholder needs. Conducting comprehensive reviews of its activities would provide NIST with greater confidence that its activities align with stakeholder needs and may help identify areas not currently served by NIST.", "Similarly, NIST could gain confidence in the effectiveness of its participation in documentary-standards development activities: by completing the comprehensive review called for in NIST policy, by improving its guidance to staff, and by taking steps to enhance agency management\u2019s understanding of the time devoted to NIST\u2019s current efforts.", "NIST staff\u2019s expertise and lack of bias make them valuable contributors in documentary-standards development activities, but these individuals have limited time for such activities. Without additional guidance regarding the factors staff could consider when deciding to take more active roles in standards development activities, NIST cannot be assured that decisions on when to participate in such activities are made consistently. Further, while determining the exact amount of time spent on any one standards activity may not be possible due to overlap with other employee duties, examining to the extent possible the aggregate amount of time NIST staff expect to commit to standards development activities could help NIST management assess the agency\u2019s participation in these activities.", "Further, NIST has a role, delegated by the Secretary of Commerce, to ensure U.S. interests are adequately represented at private international standards organizations but does not currently have a mechanism to use the process under the Trade Agreements Act of 1979 to identify or respond to circumstances when U.S. representation in international standards activities may be inadequate. Developing a mechanism could help ensure that NIST does not miss opportunities to ensure that the United States is adequately represented in international standards activities. Alternatively, NIST could develop a legislative proposal that allows NIST to ensure adequate U.S. participation in international standards activities while addressing any concerns.", "Finally, as chair of the ICSP, NIST provides leadership to enhance interagency coordination on documentary standards issues. However, some of the ICSP\u2019s efforts do not fully align with selected leading practices for enhancing and sustaining interagency collaboration, as identified in our previous work. Specifically, the ICSP charter has not been updated since 2000 and certain roles and responsibilities for the ICSP and its members are unclear. Further, the ICSP membership may not include relevant members or observers to ensure effective participation by the federal government in domestic- and international- standards activities. Updating the ICSP charter to affirm its mission and to delineate appropriate roles and responsibilities of participating agencies could strengthen interagency coordination through the ICSP on standards development issues and help the ICSP fulfill its role as envisioned under OMB guidance. Moreover, assessing whether relevant agencies or sub- component offices are invited to participate in the ICSP could provide the ICSP with better assurance of its ability to effectively coordinate agencies\u2019 standards activities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of seven recommendations to NIST, specifically: The NIST Associate Director for Laboratory Programs should: update NIST policy to include periodic comprehensive management review of the agency\u2019s measurement services to assess gaps and ensure alignment with stakeholders\u2019 needs, and take steps to ensure that the Associate Director completes the review of NIST\u2019s standards development activities (Recommendation 1).", "The NIST Standards Coordination Office Director should: update NIST policy for staff participation in standards development activities to provide additional guidance, such as the factors staff could consider when deciding to take more active roles, including leading efforts to develop standards (Recommendation 2); and assess the feasibility of collecting aggregate data on the estimated amount of time staff spend on documentary standards activities (Recommendation 3).", "The Director of NIST should establish a mechanism\u2014such as guidelines for what constitutes adequate U.S. representation\u2014to assess whether U.S. representation in international SDOs is adequate, and when to follow the statutory process for addressing inadequate U.S. representation. If NIST determines that it is unable to implement the process described in the 1979 act without conflicting with current standards policy, the Director of NIST should develop a legislative proposal to address those concerns (Recommendation 4).", "The NIST Standards Coordination Office Director, working with other ICSP member agencies, should: review and, as necessary, update the ICSP charter (Recommendation 5); clearly define ICSP roles and member agencies\u2019 responsibilities, such as for identifying and coordinating on interdisciplinary documentary- standards issues and for making recommendations, as appropriate, to the Secretary of Commerce (Recommendation 6); and, assess whether additional agencies or sub-component offices should be invited to participate as ICSP members or observers (Recommendation 7)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Departments of Commerce, Defense, Energy, and Homeland Security, and Health and Human Services, as well as the Consumer Product Safety Commission, Environmental Protection Agency, General Services Administration, and USTR for their reviews and comments. Commerce provided written comments, which are reproduced in appendix III, in which it generally concurred with six recommendations and disagreed with one. USTR provided technical comments, which we incorporated as appropriate. The remaining seven agencies informed us that they had no comments.", "Commerce agreed with our recommendation regarding comprehensive reviews of the agency\u2019s measurement services and standards participation, and stated that it will include requiring management review of its measurement services in a future agency order and will have the Standards Coordination Office support the Associate Director\u2019s review of staff participation in standards activities. Commerce also agreed with our recommendations regarding guidance on staff participation in standards activities and assessing the feasibility of collecting data on the time spent on documentary standards activities. Specifically, Commerce said that it will consider updates to guidance to staff and will report on the feasibility of collecting data on the time spent on standards activities.", "Commerce also agreed with recommendations on improving interagency coordination in the ICSP. It stated that the chair of the ICSP will review the charter and recommend any updates to the committee and will work with existing ICSP members, alternates, and observers to identify other agencies or sub-component offices that may be invited to participate. While Commerce agreed with our recommendation on roles and responsibilities of the ICSP and its members, it stated that the roles and responsibilities of standards executives are effectively stated in OMB A- 119. A-119 describes the roles and responsibilities of standards executives in general, such as their responsibilities to promote effective use of agency resources and participation in standards bodies. However, A-119 does not address specific roles and responsibilities with respect to the activities of the ICSP, such as defining the role of the ICSP in establishing federal positions on standards issues. In our 2012 report on interagency collaborative mechanisms, we state that agencies working together to define and agree on their respective roles and responsibilities can help clarify who will do what and identify how to organize individual and joint efforts. We believe that additional efforts by ICSP members to clarify their roles and responsibilities within the framework of the ICSP will improve the effectiveness of the ICSP as a coordinating body.", "Commerce disagreed with the recommendation on ensuring adequate U.S. representation in international SDOs, stating that any determination to follow statutory process would itself carry significant risk of being perceived by the national and international standards community as a U.S. government change of policy relating to our private-sector-led standards system. However, we do not perceive a conflict between the private sector leading U.S. standards development, and NIST developing a mechanism to respond to any instances where U.S. representation in international standards efforts are inadequate. NIST has already taken steps, in some cases, to identify or encourage private sector participation in international standards efforts that lacked U.S. participation. Further, the 1979 act does not define what constitutes adequate representation; NIST can develop criteria to allow the agency to take action when appropriate.", "In carrying out the 1979 act, the agency could continue to encourage private-sector stakeholders to address any areas determined to be inadequate, allowing NIST to step in only as necessary when the relevant private-sector entities are not adequately representing, and are not willing and able to adequately represent, U.S. interests. We continue to believe that a mechanism to identify and respond to circumstances when U.S. representation at international SDOs may be inadequate would allow NIST to consistently take action in furtherance of its mission to support U.S. competitiveness. However, in consideration of the concerns raised by Commerce, we have clarified our recommendation that NIST either develop a mechanism to carry out the process described by the 1979 act, or develop a legislative proposal to address any concerns arising from the implementation of the act.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Commerce, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or neumannj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the challenges the National Institute of Standards and Technology (NIST) faces in providing measurement services and supporting documentary-standards development and (2) the extent to which NIST has taken steps to address any challenges and how those steps align with relevant federal guidance and policy.", "To identify any challenges NIST may face in providing measurement services and supporting documentary-standards development, we began by performing a literature review, including reports on NIST from the National Academies of Sciences, Engineering, and Medicine, NIST\u2019s Visiting Committee on Advanced Technology (VCAT), congressional committee hearings on NIST\u2019s measurement services, and other sources. We reviewed these sources to identify statements regarding any challenges to NIST\u2019s current measurement services and documentary standards activities or statements recommending improvements to these services or activities. For purposes of our analysis, we included NIST\u2019s efforts to support measurement standards as a component of NIST\u2019s measurement services.", "We supplemented our literature review by holding focus groups with NIST stakeholders including: (1) researchers and (2) representatives working with industry, including commercial entities and states\u2019 metrology laboratories. To ensure our focus groups contained a diverse group of stakeholders and viewpoints on NIST\u2019s measurement services and documentary standards activities, we included participants from a variety of backgrounds. We selected researchers to participate in our focus groups from university scientists in engineering and the physical and biological sciences. We selected industry participants for the focus groups to reflect a range of industrial sectors, including (1) sectors that comprise greater than 1 percent of U.S. gross domestic product, according to Bureau of Economic Analysis data and (2) sectors that the Department of Commerce\u2019s International Trade Agency has identified as U.S. export opportunities. Across these sectors we selected industry participants from the following categories: broadcasting and telecommunications; chemical products and pharmaceuticals; computer and electronic products and related services; building products and construction; finance and insurance; food and beverage and tobacco products; health care and social assistance; transportation; utilities and energy; defense products; and other manufacturing. We also included representatives from the National Conference on Weights and Measures, an organization of commercial entities and state metrology laboratories, among others, that addresses measurement of commercial products.", "After developing our focus group structure and determining our participant categories, we obtained feedback on our approach during discussions with NIST officials and with representatives from standards development organizations (SDO) selected from those that NIST most often collaborates with\u2014the American National Standards Institute, ASTM International, and IEEE. We then used a snowball approach to identify and invite individuals from across our participant categories. Starting with individuals from several SDOs and the VCAT, we asked for suggestions of individuals knowledgeable in measurement services and standards needs of our participant categories. As we received responses and contacted those individuals, we asked them to recommend additional participants. Through this process, we identified and invited nearly 100 individuals to participate in our focus groups, and 58 individuals agreed to participate. To organize our focus groups we asked the individuals who agreed to participate to describe their expertise regarding measurement services and standards development and familiarity with the industrial sectors we identified. We then selected individuals for each focus group based on availability and to include a mix of expertise. We conducted 3 focus groups for representatives from industry and 2 focus groups for researchers. Each focus group included from 5 to 8 individuals. In total, our focus groups included 31 stakeholders. We reviewed transcripts of the focus groups to identify the challenges NIST faces in providing measurement services and supporting documentary-standards development.", "We also collected information on the challenges that NIST faces during 36 interviews, including 17 interviews with current and former NIST officials, 10 interviews with officials from other federal agencies, and 9 interviews with representatives from SDOs and other stakeholders. The 10 interviews we conducted with other federal agency officials included 8 agency standards executives\u2014senior level officials with knowledge of, and experience in, standards-related issues at their agencies and who are responsible for coordinating their agency\u2019s participation in SDOs, among other responsibilities\u2014or their alternates on the ICSP. The agencies whose standards executives or other officials we interviewed included the Departments of Defense, Energy, and Homeland Security, and Health and Human Services, as well as the Consumer Product Safety Commission, Environmental Protection Agency, General Services Administration, and Office of the U.S. Trade Representative. GAO reviewed our interview notes to identify challenges and NIST\u2019s efforts to address these challenges.", "To evaluate the steps NIST has taken to address challenges in providing measurement services and supporting documentary-standards development, we drew upon our focus groups, interviews with NIST staff, and reviews of NIST documentation that described the agency\u2019s measurement services and standards activities, such as agency policies, orders, and publications. We also conducted a review of existing literature, relevant laws, NIST policy, and other guidance documents to identify federal requirements and guidance. For example, we reviewed the National Technology Transfer and Advancement Act of 1995, Office of Management and Budget\u2019s Circular A-119, and Executive Office of the President\u2019s Memo on Principles for Federal Engagement in Standards Activities to Address National Priorities, among other sources. We compared the steps NIST has taken to address the challenges it faces in providing measurement services and supporting standards development to these policies and guidance.", "To evaluate NIST\u2019s current steps, we also considered our prior work on federal standards for internal control and on interagency collaboration. Internal control is a process created by an agency\u2019s management and other personnel that provides reasonable assurance that the objectives of the agency will be achieved and comprises the plans, methods, policies, and procedures used to fulfill the mission and objectives of the agency. Standards for Internal Control in the Federal Government (known as the Green Book), provide the overall framework for establishing and maintaining an effective internal control system and require that agencies perform and document certain actions to establish an effective internal control system. These requirements include: that management should identify, analyze, and respond to risks related to achieving the defined objectives; that management should use quality information to achieve the entity\u2019s objectives; and that management documents the results of evaluations to identify internal control issues.", "Our work on interagency collaboration describes leading practices agencies can engage in to enhance and sustain collaborative efforts and describes seven key features to consider to implement these practices. We selected the following five features relevant to NIST\u2019s leadership of the Interagency Committee on Standards Policy (ICSP) for review:", "Outcomes and Accountability: Have short-term and long-term outcomes been clearly defined? Is there a way to track and monitor their progress?", "Leadership: How will leadership be sustained over the long-term? If leadership is shared, have roles and responsibilities been clearly identified and agreed upon?", "Clarity of Roles and Responsibilities: Have participating agencies clarified roles and responsibilities?", "Participants: Have all relevant participants been included? Do they have the ability to commit resources for their agency?", "Written Guidance and Agreements: If appropriate, have participating agencies documented their agreement regarding how they will be collaborating? Have they developed ways to continually update and monitor these agreements?", "We did not review ICSP collaboration with respect to key features regarding resources or bridging organizational culture because we did not fully examine the activities of all agencies participating in the ICSP.", "We conducted this performance audit from July 2016 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Focus Group Participants", "paragraphs": ["The following individuals participated in GAO\u2019s five focus groups: Allen Adler, Former Vice President of Enterprise Technology Strategy, Boeing Kathleen Almand, Vice President for Research, Data, and Analytics, National Fire Protection Association Karin Athanas, Government and Regulatory Affairs Manager, American Association for Laboratory Accreditation (A2LA)", "Robert Austin, Professor of Physics, Princeton University Karl Bly, Quality Assurance Director, Vermont Thread Gage Jerry Buendel, Weights and Measures Program Manager, Washington State Department of Agriculture Rita Colwell, Professor, University of Maryland, and Johns Hopkins University School of Public Health Ross Corotis, Professor of Engineering, University of Colorado Boulder Denyette DePierro, Vice President and Senior Counsel, Center for Payments and Cybersecurity, American Bankers Association Don Detmer, Professor of Public Health Sciences, University of Virginia Gail Folena-Wasserman, Senior Vice President, Biopharmaceutical Development, MedImmune Ruben G. Carbonell, Professor of Chemical Engineering, North Carolina State University and Chief Technology Officer, National Institute for Innovation in Manufacturing Biopharmaceuticals (NIIMBL)", "Christopher Guay, Regulatory Fellow, Procter and Gamble Kelvin H. Lee, Professor of Chemical and Biomolecular Engineering, University of Delaware and Director, National Institute for Innovation in Manufacturing Biopharmaceuticals (NIIMBL)", "Hani Haider, Director of Orthopaedics Biomechanics & Advanced Surgical Technologies Laboratory, University of Nebraska Jennie Hwang, CEO and Principal, H-Technologies Group Walter Jager, Principal, Environmentally Conscious Design (ECD) Compliance Karen Kafadar, Professor and Chair of Department of Statistics, University of Virginia Dave Kreitlow, Operations Manager, MTS Systems Corporation Zhiyong Ma, Vice President and Director of Technology and Manufacturing Labs, Intel Kristin Macey, Director of Division of Measurement Standards, California Department of Food and Agriculture Josh Magri, Vice President and Counsel for Regulation and Developing Technologies, Financial Services Roundtable Dave Maisch, Director of Engineering and Industrial Affairs, PMC Lone Star Tod Sizer, Vice President of Mobile Radio Research Laboratory, Nokia Bell Labs Clifford Spiegelman, Distinguished Professor of Statistics, Texas A&M University Lonnie Spires, President and CEO, American Association for Laboratory Accreditation (A2LA)"], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Chris Murray (Assistant Director), Tind Shepper Ryen (Analyst-in-Charge), John Delicath, Justin Fisher, Eli Harpst, Tricia Moye, Danny Royer, Andrew Stavisky, and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": ["The National Institute of Standards and Technology helps promote U.S. innovation and industrial competitiveness by providing measurement services and supporting the development of standards in collaboration with the private sector. For example, it provides calibrations for equipment used in high-precision manufacturing and it helps industry develop standards for fire safety, among other things.", "We found NIST has taken steps to address challenges it faces in prioritizing and coordinating its work, but that it could better align its work with its policies and best practices. We made several recommendations on how to address these challenges."]} {"id": "GAO-18-430T", "url": "https://www.gao.gov/products/GAO-18-430T", "title": "Cybersecurity Workforce: DHS Needs to Take Urgent Action to Identify Its Position and Critical Skill Requirements", "published_date": "2018-03-07T00:00:00", "released_date": "2018-03-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DHS is the lead agency tasked with protecting the nation's critical infrastructure from cyber threats. The Homeland Security Cybersecurity Workforce Assessment Act of 2014 required DHS to identify, categorize, and assign employment codes to all of the department's cybersecurity workforce positions. These codes define work roles and tasks for cybersecurity specialty areas such as program management and system administration. Further, the act required DHS to identify and report its cybersecurity workforce critical needs.", "GAO was asked to testify on the extent to which DHS has (1) identified, categorized, and assigned employment codes to its cybersecurity positions and (2) identified its cybersecurity workforce areas of critical need. To do so, GAO summarized the findings discussed in its February 2018 report on DHS's cybersecurity workforce ( GAO-18-175 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Homeland Security (DHS) has taken actions to identify, categorize, and assign employment codes to its cybersecurity positions, as required by the Homeland Security Cybersecurity Workforce Assessment Act of 2014 ; however, its actions have not been timely and complete. For example, DHS did not establish timely and complete procedures to identify, categorize, and code its cybersecurity position vacancies and responsibilities. Further, DHS did not complete efforts to identify all of the department's cybersecurity positions and accurately assign codes to all filled and vacant cybersecurity positions. In August 2017, DHS reported to Congress that it had coded 95 percent of the department's identified cybersecurity positions. However, the department had, at that time, coded approximately 79 percent of the positions. DHS's 95 percent estimate was overstated primarily because it excluded vacant positions, even though the act required DHS to report these positions.", "In addition, although DHS has taken steps to identify its workforce capability gaps, it has not identified or reported to Congress on its departmentwide cybersecurity critical needs that align with specialty areas. The department also has not reported annually its cybersecurity critical needs to the Office of Personnel Management (OPM), as required, and has not developed plans with clearly defined time frames for doing so. (See table).", "Without ensuring that its procedures are complete and that its progress in identifying and assigning codes to its cybersecurity positions is accurately reported, DHS will not be positioned to effectively examine its cybersecurity workforce, identify critical skill gaps, or improve its workforce planning. Further, until DHS establishes plans and time frames for reporting on its critical needs, the department may not be able to ensure that it has the necessary cybersecurity personnel to help protect the department's and the nation's federal networks and critical infrastructure from cyber threats. The commitment of DHS's leadership to addressing these matters is essential to helping the department fulfill the act's requirements."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its February 2018 report, GAO recommended that DHS take six actions, including ensuring that its cybersecurity workforce procedures identify position vacancies and responsibilities; reported workforce data are complete and accurate; and plans for reporting on critical needs are developed. DHS concurred with the six recommendations and described actions the department plans to take to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to appear at today\u2019s hearing to discuss the Department of Homeland Security\u2019s (DHS) efforts to strengthen its cybersecurity workforce. In its important role of securing the nation\u2019s cyberspace, DHS is responsible for protecting the confidentiality, integrity, and availability of its own computer systems and information, and for leading the coordination with partners in the public and private sectors to protect the computer networks of federal civilian agencies and the nation\u2019s critical infrastructure from threats. As such, having an effective cybersecurity workforce is essential to accomplishing the department\u2019s mission.", "Toward ensuring that it has an effective workforce, the Homeland Security Cybersecurity Workforce Assessment Act of 2014 (hereafter referred to as \u201cthe act\u201d) required DHS to identify all cybersecurity workforce positions within the department, determine the cybersecurity work category and specialty area of such positions, and assign the corresponding employment code to each cybersecurity position. The act also required DHS to identify and report on its cybersecurity workforce areas of critical need.", "In addition to the aforementioned requirements for DHS, the act included a provision for GAO to analyze and monitor the department\u2019s efforts to address its requirements. My testimony today provides an overview of our recently issued (February 2018) report, Cybersecurity Workforce: Urgent Need for DHS to Take Actions to Identify Its Position and Critical Skill Requirements, based on our review of the its efforts.", "In preparing this statement, we relied on our work supporting the February report. This work included comparing the department\u2019s actions to identify, categorize, and assign employment codes to its cybersecurity positions and to identify its cybersecurity workforce areas of critical need with the required activities specified in the act. We analyzed that information, including data on the coding of cybersecurity workforce positions, and also administered a data collection instrument to six components of DHS. Further, we interviewed relevant officials from the DHS Office of Chief Human Capital Officer (OCHCO) and from the selected DHS components. We also interviewed relevant officials at the Office of Personnel Management (OPM).", "The work on which this statement is based was conducted in accordance with generally accepted government auditing standards, which require audits to be planned and performed to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides such a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["DHS leads the federal government\u2019s efforts to secure our nation\u2019s public and private critical infrastructure information systems against cyber threats. As part of these efforts, cybersecurity professionals can help to prevent or mitigate the vulnerabilities that could allow malicious individuals and groups access to federal information technology (IT) systems. The ability to secure federal systems depends on the knowledge, skills, and abilities of the federal and contractor workforce that designs, develops, implements, secures, maintains, and uses these systems.", "The Office of Management and Budget has noted that the federal government and private industry face a persistent shortage of cybersecurity and IT talent to implement and oversee information security protections. This shortage may leave federal IT systems vulnerable to malicious attacks. Experienced and qualified cybersecurity professionals are essential in performing DHS\u2019s work to mitigate vulnerabilities in its own and other agencies\u2019 computer systems and to defend against cyber threats.", "Since 1997, we have identified the protection of federal information systems as a governmentwide high-risk area. In addition, in 2001, we introduced strategic governmentwide human capital management as another area of high risk. We have also identified a number of challenges federal agencies are facing to ensure that they have a sufficient cybersecurity workforce with the skills necessary to protect their information and networks from cyber threats. These challenges pertain to identifying and closing skill gaps as part of a comprehensive workforce planning process, recruiting and retaining qualified staff, and navigating the federal hiring process."], "subsections": [{"section_title": "Federal Initiative and Guidance Are Intended to Improve Cybersecurity Workforces", "paragraphs": ["In recent years, the federal government has taken various steps aimed at improving the cybersecurity workforce. These include establishing a national initiative to promote cybersecurity training and skills and developing guidance to address cybersecurity workforce challenges.", "Founded in 2010, the National Initiative for Cybersecurity Education (NICE) is a partnership among government, academia, and the private sector, and is coordinated by the National Institute of Standards and Technology (NIST). The NICE mission promotes cybersecurity education, training, and workforce development in coordination with its partners. The initiative\u2019s goal is to increase the number of skilled cybersecurity professionals in order to boost national IT security.", "In 2013, NICE published the National Cybersecurity Workforce Framework to provide a consistent way to define and describe cybersecurity work at any public or private organization, including federal agencies. In 2014, OPM developed guidance for assigning 2-digit employment codes for each cybersecurity work category and specialty area identified in the 2013 NICE framework. Federal agencies can use the codes to identify cybersecurity positions in personnel and payroll systems, such the system of the National Finance Center.", "To further enhance efforts to strengthen the cybersecurity workforce, NICE subsequently revised the framework in 2017 to include 33 cybersecurity-related specialty areas organized into 7 categories\u2014 securely provision, operate and maintain, protect and defend, investigate, collect and operate, analyze, and oversee and govern. The revision defined work roles in specialty areas and cybersecurity tasks for each work role, as well as the knowledge, skills, and abilities that a person should have in order to perform each work role. Also, in 2017, OPM issued guidance creating a unique 3-digit employment code for each cybersecurity work role. In October 2017, NIST issued guidance that reflected the finalized 2017 NICE framework and included a crosswalk of OPM\u2019s 2-digit employment codes to the 3-digit codes."], "subsections": []}, {"section_title": "DHS\u2019s Cybersecurity Workforce Performs a Wide Range of Critical Missions", "paragraphs": ["DHS is the third largest department in the federal government, employing approximately 240,000 people, and operating with an annual budget of about $60 billion, of which about $6.4 billion was reportedly spent on IT in fiscal year 2017. In leading the federal government\u2019s efforts to secure our nation\u2019s public and private critical infrastructure information systems, the department, among other things, collects and shares information related to cyber threats and cybersecurity risks and incidents with other federal partners to enable real-time actions to address these risks and incidents.", "The department is made up of 15 operational and support components that perform its critical mission functions. Table 1 describes the 6 components that we included in our review."], "subsections": []}, {"section_title": "DHS Is Required to Assess Its Cybersecurity Workforce", "paragraphs": ["The Homeland Security Cybersecurity Workforce Assessment Act of 2014 required DHS to perform workforce assessment-related activities to identify and assign employment codes to its cybersecurity positions. Specifically, the act called for DHS to: 1. Establish procedures for identifying and categorizing cybersecurity positions and assigning codes to positions (within 90 days of law\u2019s enactment). 2. Identify all filled and vacant positions with cybersecurity functions and determine the work category and specialty area of each. 3. Assign OPM 2-digit employment codes to all filled and vacant cybersecurity positions based on the position\u2019s primary cybersecurity work category and specialty areas, as set forth in OPM\u2019s Guide to Data Standards.", "In addition, after completing the aforementioned activities, the act called for the department to take steps to identify and report its cybersecurity workforce areas of critical need. Specifically, DHS was to: 4. Identify the cybersecurity work categories and specialty areas of critical need in the department\u2019s cybersecurity workforce and report to Congress. 5. Submit to OPM an annual report through 2021 that describes work categories and specialty areas of critical need and substantiates the critical need designations.", "The act required DHS to complete the majority of these activities by specific due dates between March 2015 and September 2016.", "Within DHS, OCHCO is responsible for carrying out these provisions, including the coordination of the department\u2019s overall efforts to identify, categorize, code, and report its cybersecurity workforce assessment progress to OPM and Congress."], "subsections": []}]}, {"section_title": "DHS Has Not Fully Identified Cybersecurity Positions or Assigned Employment Codes in a Complete and Reliable Manner", "paragraphs": ["The act required DHS to establish procedures to identify and assign the appropriate employment code, in accordance with OPM\u2019s Guide to Data Standards, to all filled and vacant positions with cybersecurity functions by March 2015. In addition, DHS\u2019s April 2016 Cybersecurity Workforce Coding guidance states that components should ensure procedures are in place to monitor and to update the employment codes as positions change over time.", "Further, the Standards for Internal Control in the Federal Government recommends that management assign responsibility and delegate authority to key roles and that each component develop individual procedures to implement objectives. The standards also recommend that management periodically review such procedures to see that they are developed, relevant, and effective.", "DHS OCHCO developed departmental procedures in May 2014 and recommended implementation steps for coding positions with cybersecurity functions for the department\u2019s components. However, OCHCO did not update its procedures to include information on identifying positions and assigning codes until April 2016\u201413 months after the due date specified by the act.", "In addition, the procedures were not complete because they did not include information related to identifying and coding vacant positions, as the act required. Moreover, the departmental procedures did not identify the individual within each DHS component who was responsible for leading and overseeing the identification and coding of the component\u2019s cybersecurity positions.", "Further, although components were able to supplement the departmental procedures by developing their own component-specific procedures for identifying and coding their cybersecurity positions, OCHCO did not review those procedures for consistency with departmental guidance. The department could not provide documentation that OCHCO had verified or reviewed component-developed procedures. In addition, OCHCO officials acknowledged that they had not reviewed the components\u2019 procedures and had not developed a process for conducting such reviews.", "OCHCO officials stated that several factors had limited their ability to develop the procedures and to review component-developed procedures in a timely and complete manner. These factors were (1) a delayed departmental decision until April 2016 as to whether certain positions should be considered cybersecurity positions; (2) a belief that each component had the best understanding of their human capital systems, so procedure development was best left up to each component; (3) a condition where each of the six selected DHS components recorded and tracked vacant positions differently; and (4) cybersecurity specialty areas for vacant positions were not known until a position description was developed or verified and a hiring action was imminent. Without assurance that procedures are timely, complete, and reviewed, DHS cannot be certain that its components have the procedures to identify and code all positions with cybersecurity functions, as required by the act.", "Accordingly, our February 2018 report included recommendations that DHS 1) develop procedures on how to identify and code vacant cybersecurity positions, 2) identify the individual in each component who is responsible for leading that component\u2019s efforts in identifying and coding cybersecurity positions, and 3) establish and implement a process to periodically review each component\u2019s procedures for identifying component cybersecurity positions and maintaining accurate coding. DHS concurred with the recommendations and stated that it would implement them by April 30, 2018."], "subsections": [{"section_title": "DHS Has Not Yet Completed Required Identification Activities", "paragraphs": ["The act required DHS to identify all of its cybersecurity positions, including vacant positions, by September 2015. Further, the act called for the department to use OPM\u2019s Guide to Data Standards to categorize the identified positions and determine the work category or specialty area of each position.", "As of December 2016, the department reported that it had identified 10,725 cybersecurity positions, including 6,734 federal civilian positions, 584 military positions, and 3,407 contractor positions. Nevertheless, as of November 2017, the department had not completed identifying all of its cybersecurity positions and it had not determined the work categories or specialty areas of the positions. In explaining why the department had not identified all its positions, OCHCO officials stated that components varied in reporting their identified vacant positions because the department did not have a system to track vacancies.", "Of the 7 work categories and 33 specialty areas in the NICE framework, DHS reported that its 3 most common work categories were \u201cprotect and defend\u201d, \u201csecurely provision,\u201d and \u201coversight and development;\u201d and its 2 most common specialty areas were \u201csecurity program management\u201d and \u201cvulnerability assessment and management.\u201d However, DHS could not provide data to show the actual numbers of positions in each of these categories and specialty areas.", "According to OCHCO officials, the department was still in the process of identifying positions for the 2-digit codes and would continue this effort until the 3-digit codes were available in the National Finance Center personnel and payroll system in December 2017. At that time, OCHCO officials stated that the department intends to start developing procedures for identifying and coding positions using the 3-digit codes."], "subsections": []}, {"section_title": "DHS Has Not Completely and Accurately Assigned Employment Codes", "paragraphs": ["The act also required DHS to assign 2-digit employment codes to all of its identified cybersecurity positions. This action was to be completed by September 2015.", "However, as of August 2017\u201423 months after the due date\u2014the department had not completed the coding assignment process. Although, in August 2017, OPM provided a progress report to Congress containing DHS data which stated that 95 percent of DHS-identified cybersecurity positions had been coded, our analysis determined that the department had assigned cybersecurity position codes to approximately 79 percent of its identified federal civilian cybersecurity positions. The primary reason for this discrepancy was that DHS did not include the coding of vacant positions, as required by the act. Further, OCHCO officials stated they did not verify the accuracy of the components\u2019 cybersecurity workforce data. Without coding cybersecurity positions in a complete and accurate manner, DHS will not be able to effectively examine its cybersecurity workforce; identify skill gaps; and improve workforce planning.", "Thus, in our recently issued report, we recommended that OCHCO collect complete and accurate data on all filled and vacant cybersecurity positions when it conducts its cybersecurity identification and coding efforts. DHS concurred with the recommendation and stated that, by June 29, 2018, it intends to issue memorandums to its components that provide instructions for the components to periodically review compliance and cybersecurity workforce data concerns to ensure data accuracy."], "subsections": []}]}, {"section_title": "DHS Has Not Identified or Reported Its Cybersecurity Workforce Areas of Critical Need", "paragraphs": ["According to the act, DHS was to identify its cybersecurity work categories and specialty areas of critical need in alignment with the NICE framework and to report this information to the appropriate congressional committees by June 2016. In addition, a DHS directive required the DHS Chief Human Capital Officer to provide guidance to the department\u2019s components on human resources procedures, including identifying workforce needs.", "As of February 2018, the department had not fulfilled its requirements to identify and report its critical needs. Although DHS identified workforce skills gaps in a report that it submitted to congressional committees in March 2017, the department did not align the skills gaps to the NICE framework\u2019s defined work categories and specialty areas of critical need.", "In September 2017, OCHCO developed a draft document that attempted to crosswalk identified department-wide cybersecurity skills gaps to one or more specialty areas in the NICE framework. However, the document did not adequately help components identify their critical needs by aligning their gaps with the NICE framework because it did not provide clear guidance to help components determine a critical need in cases in which a skills gap is mapped to multiple work categories.", "According to OCHCO officials, DHS had not identified department-wide cybersecurity critical needs that aligned with the framework partly because OPM did not provide DHS with guidance for identifying cybersecurity critical needs. In addition, OCHCO officials stated that the components did not generally view critical skills gaps in terms of the categories or specialty areas as defined in the NICE framework, but instead, described their skills gaps using position titles that are familiar to them. In the absence of relevant guidance to help components identify their critical needs, DHS and the components are hindered from effectively identifying and prioritizing workforce efforts to recruit, hire, train, develop, and retain cybersecurity personnel.", "DHS also did not report cybersecurity critical needs to OPM in September 2016 or September 2017, as required. Instead, the department first reported its cybersecurity coding progress and skills gaps in a March 2017 report that it sent to OPM and Congress to address several of the act\u2019s requirements. However, the report did not describe or substantiate critical need designations because DHS has not yet identified them.", "Additionally, DHS had not developed plans or time frames to complete priority actions\u2014developing a DHS cybersecurity workforce strategy and completing its initial cybersecurity workforce research\u2014 that OCHCO officials said must be completed before it can report its cybersecurity critical needs to OPM. According to OCHCO officials, the report that the department submitted to Congress in March 2017 had contained plans and schedules. However, we found that the March 2017 report did not capture and sequence all of the activities that DHS officials said must be completed in order to report critical needs. Until DHS develops plans and schedules with time frames for reporting its cybersecurity critical needs, DHS may not have insight into its needs for ensuring that it has the workforce necessary to carry out its critical role of helping to secure the nation\u2019s cyberspace.", "In our report, we recommended that DHS 1) develop guidance to assist DHS components in identifying their cybersecurity work categories and specialty areas of critical need that align to the NICE framework and 2) develop plans with time frames to identify priority actions to report on specialty areas of critical need. DHS concurred with the recommendations and stated that it plans to implement them by June 2018.", "In summary, DHS needs to act now to completely and accurately identify, categorize, and assign codes to all of its cybersecurity positions, and to identify and report on its cybersecurity workforce areas of critical need. Implementing the six recommendations we made in our February 2018 report should better position the department to meet the requirements of the 2014 act. Further, doing so will help DHS understand its needs for recruiting, hiring, developing, and retaining a cybersecurity workforce with the skills necessary to accomplish the department\u2019s varied and essential cybersecurity mission. Until DHS implements our recommendations, it will not be able to ensure that it has the necessary cybersecurity personnel to help protect the department\u2019s and federal networks and the nation\u2019s critical infrastructure from cyber threats.", "Chairmen Ratcliffe and Perry, Ranking Members Richmond and Correa, and Members of the Subcommittees, this concludes my statement. I would be pleased to respond to your questions."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staffs have any questions about this testimony, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov, or Chris P. Currie at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement.", "GAO staff who made key contributions to this testimony are Alexander Anderegg, Ben Atwater, David Blanding, Jr., Chris Businsky, Wayne Emilien, Jr., Nancy Glover, David Hong, Tammi Kalugdan, David Plocher, Luis E. Rodriguez, and Priscilla Smith."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["GAO, Cybersecurity: Federal Efforts Are Under Way That May Address Workforce Challenges, GAO-17-533T (Washington, D.C.: Apr. 4, 2017).", "GAO, Information Security: DHS Needs to Continue to Advance Initiatives to Protect Federal Systems, GAO-17-518T (Washington, D.C.: Mar. 28, 2017).", "GAO, High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others, GAO-17-317 (Washington, D.C.: Feb. 15, 2017).", "GAO, Cybersecurity: Actions Needed to Strengthen U.S. Capabilities, GAO-17-440T (Washington, D.C.: Feb. 14, 2017).", "GAO IT Workforce: Key Practices Help Ensure Strong Integrated Program Teams; Selected Departments Need to Assess Skill Gaps, GAO-17-8 (Washington, D.C.: Nov. 30, 2016).", "GAO, Federal Chief Information Security Officers: Opportunities Exist to Improve Roles and Address Challenges to Authority, GAO-16-686 (Washington, D.C.: Aug. 26, 2016).", "GAO, Federal Hiring: OPM Needs to Improve Management and Oversight of Hiring Authorities, GAO-16-521 (Washington, D.C.: Aug. 2, 2016).", "GAO, Information Security: DHS Needs to Enhance Capabilities, Improve Planning, and Support Greater Adoption of Its National Cybersecurity Protection System, GAO-16-294 (Washington, D.C.: Jan. 28, 2016).", "GAO, Federal Workforce: OPM and Agencies Need to Strengthen Efforts to Identify and Close Mission-Critical Skills Gaps, GAO-15-223 (Washington, D.C.: Jan. 30, 2015).", "GAO, Cybersecurity Human Capital: Initiatives Need Better Planning and Coordination, GAO-12-8 (Washington, D.C.: Nov. 29, 2011).", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-18-188", "url": "https://www.gao.gov/products/GAO-18-188", "title": "Climate-Related Risks: SEC Has Taken Steps to Clarify Disclosure Requirements", "published_date": "2018-02-20T00:00:00", "released_date": "2018-03-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Impacts from a changing climate can pose serious risks to the global economy and affect many economic sectors, according to reports. Public companies are generally required to disclose certain risks in their SEC filings. In 2010, SEC issued guidance to clarify how existing disclosure requirements apply for climate-related matters.", "GAO was asked to review (1) steps SEC has taken to clarify to companies their disclosure requirements for climate-related risks, (2) steps SEC has taken to examine changes companies may have made to their climate-related disclosures since the release of its 2010 Guidance, and (3) constraints SEC faces when reviewing climate-related disclosures and stakeholders' views of those disclosures.", "GAO reviewed SEC's disclosure requirements, guidance, and reports on changes in climate-related disclosures; queried SEC's filings system to identify comment letters with issues on climate-related disclosures; identified examples of climate-related disclosures in companies' filings; and interviewed SEC staff and representatives of stakeholder groups, such as industry associations from five industry groups, and nonprofit organizations that work with investors. We selected these stakeholders because they either were from industries likely to be affected by climate change-related matters due to the nature of their operations, or have a key interest in climate-related issues.", "Senior staff from SEC's Division of Corporation Finance generally agreed with GAO's findings."]}, {"section_title": "What GAO Found", "paragraphs": ["To help clarify to companies their disclosure requirements for climate-related matters, the Securities and Exchange Commission (SEC) issued the Commission Guidance Regarding Disclosure Related to Climate Change in 2010 (2010 Guidance). The 2010 Guidance was SEC's primary form of communication to clarify companies' climate-related disclosure requirements. In addition, SEC issued individual comment letters to specific companies on their climate-related disclosures. These letters are publicly available and companies can view these letters to understand SEC's assessment of a particular company's disclosures. Representatives from industry associations with whom GAO spoke stated that they consider the disclosure requirements for climate-related risks to be clear and have no need for additional guidance.", "SEC issued two reports to Congress in 2012 and 2014 that examined changes in climate-related disclosures in select industries. SEC found that most of these filings included some level of climate-related disclosures and reported that there were no notable year-to-year changes. SEC staff also continue to periodically assess climate-related disclosures in addition to its regular disclosure review process. Additionally, in April 2016, SEC requested public input on modernizing certain business and financial disclosure requirements, including potential changes on reporting climate-related risks in SEC's filings. As of December 2017, SEC staff said they are considering recommendations for the Commission's consideration based on comments received.", "SEC faces constraints in reviewing climate-related and other disclosures because it primarily relies on information that companies provide. SEC senior staff explained that SEC's Division of Corporation Finance staff assess companies' filings for compliance with federal securities laws\u2014which require companies to disclose material risks\u2014but do not have the authority to subpoena additional information from companies. Additionally, companies may report similar climate-related disclosures in different sections of the filings, and climate-related disclosures in some filings contain disclosures using generic language, not tailored to the company, and do not include quantitative metrics. When companies report climate-related disclosures in varying formats and specificity, SEC reviewers and investors may find it difficult to compare and analyze related disclosures across companies' filings. SEC has tools, mechanisms, and resources\u2014including internal supervisory controls, regulations and guidance, a two-level filing review process, internal and external data, and staff training and experience\u2014that help SEC staff consistently review filing disclosures, according to SEC documents and staff. Representatives of industry associations told GAO that they consider the current climate-related disclosure requirements adequate and no additional climate-related disclosures are needed. However, some investor groups and asset management firms have highlighted the need for companies to disclose more climate-related information. But, members of SEC's Investor Advisory Committee told GAO that investors have not agreed on the priority of climate-related disclosures. Also, additional disclosure requirements or increased scrutiny of companies' climate-related information\u2014which, if necessary, SEC and Congress can consider\u2014could have mission and resource implications for SEC's Division of Corporation Finance."]}], "report": [{"section_title": "Letter", "paragraphs": ["Impacts from a changing climate can pose serious risks to the global economy and affect many economic sectors, according to reports. For example, as observed by the United States Global Change Research Program, U.S. energy facilities and systems, especially those located in coastal areas, are vulnerable to extreme weather events. Wind and storm surge damage by hurricanes already causes significant infrastructure losses on the Gulf Coast. The impacts and costs of floods, droughts, and other weather events will increase in significance as what are considered \u201crare\u201d events become more common and intense. Superstorm Sandy in 2012, for example, cost the United States an estimated $70 billion in direct damages and lost economic output. In the first 6 months of 2017, the United States had 10 weather and climate disasters with losses reaching or exceeding $1 billion each. More recently, in August and September 2017, Hurricanes Harvey, Irma, and Maria caused significant damage to parts of the United States, and, as of October 3, 2017, the Federal Emergency Management Agency has approved over $1 billion in assistance funds in response to these three hurricanes.", "In February 2013, we recognized that climate change presents a significant financial risk to the federal government and added the area of limiting the federal government\u2019s fiscal exposure by better managing climate change risks as a high-risk area. In the February 2015 and 2017 updates to our high risk list, we recognized that climate change also poses risks to private-sector decision makers such as public companies, and these decision makers can also drive federal climate-related fiscal exposures because they are responsible for planning, constructing, and maintaining certain types of vulnerable infrastructure paid for with federal funds, insured by federal programs, or eligible for federal disaster assistance.", "Public companies are generally required to disclose, among other things, known trends, events, and uncertainties that are reasonably likely to have a material effect on the company\u2019s financial condition or operating performance through annual and other periodic filings with the Securities and Exchange Commission (SEC). These disclosures may include information on climate-related risks. In February 2010, SEC issued Commission Guidance Regarding Disclosure Related to Climate Change (hereafter referred to as the 2010 Guidance) to provide guidance to companies on how existing disclosure requirements apply for climate- related matters. We reported in 2016 that SEC considers climate-related information as part of its routine filing review process. Furthermore, SEC\u2019s Office of Inspector General (OIG) examined SEC\u2019s process for comment letters issued to individual companies on issues identified through the filing review and reported in September 2017 that SEC\u2019s Division of Corporation Finance\u2019s (Corporation Finance) controls over its comment letter process are generally effective.", "You asked us to review SEC\u2019s efforts to implement its 2010 Guidance. This report examines: (1) steps SEC has taken to help companies understand disclosure requirements for climate-related risks, (2) steps SEC has taken to examine changes companies may have made to their climate-related disclosures since the release of its 2010 Guidance, and (3) constraints SEC faces when reviewing climate-related disclosures and stakeholders\u2019 views of those disclosures.", "To address all three objectives, we reviewed SEC documents, including the 2010 Guidance and internal filing review guidance, related to companies\u2019 annual filings. We also reviewed SEC\u2019s 2012 and 2014 congressional reports and additional information on SEC staff\u2019s ongoing reviews of climate-related disclosures. In addition, we reviewed prior GAO and SEC OIG reports related to the 2010 Guidance and SEC\u2019s filing review process, and reports from stakeholders, including the report on recommendations from the Financial Stability Board Task Force on Climate-related Financial Disclosures (FSB Task Force). We selected five industries to focus on for this report: oil and gas, mining, insurance, electric and gas utilities, and food and beverage. We selected these industries because they were generally identified by SEC staff as more likely than other industries to be affected by climate change-related matters due to the nature of their operations or because we identified companies in the industry that have submitted climate-related disclosures and can provide perspectives on these disclosures. Views from the selected industries are not generalizable to other industries we did not include in our review.", "To address the first objective, we determined the number of comment letters SEC issued to companies on climate-related disclosures from February 2, 2010, through August 11, 2017. We reviewed all these comment letters to understand the climate-related disclosure issues SEC staff has identified. We also interviewed SEC senior staff from the Division of Corporation Finance and representatives from a nongeneralizable sample of industry groups representing companies in the five industries we selected. Views from these industry representatives cannot be generalized to those we did not include in our review.", "To address the second objective, we reviewed SEC\u2019s April 2016 Concept Release related to business and financial disclosures in Regulation S-K. Further, we interviewed SEC senior staff to understand steps SEC has taken to examine changes in climate-related disclosures since the 2010 Guidance and planned actions related to the April 2016 Concept Release.", "To address the third objective, we reviewed information on the New York State Attorney General\u2019s investigation of and agreement with Peabody Energy on the company\u2019s SEC climate-related disclosures. To identify illustrative examples of climate-related disclosures, we used Ceres\u2019 SEC Sustainability Disclosure Search Tool to search annual filings of S&P 500 Index companies, filed in 2016, in the five industries we selected. Additionally, we reviewed comments on SEC\u2019s Concept Release submitted by organizations that represent investors, companies in the five industries we selected, or organizations that have a key interest in climate-related issues. We interviewed SEC senior staff to obtain information on SEC\u2019s filing reviews and enforcement authority. We also interviewed representatives from the organizations representing investors or focusing on climate-related issues. Views from the representatives of these investor groups cannot be generalized to those we did not include in our review.", "Throughout this report, we use certain qualifiers when describing results from interview participants, such as \u201cfew,\u201d \u201csome,\u201d and \u201cmost.\u201d We define few as two or three; some as four or more but less than most; and most as more than half or nearly all relative to the total number possible. The views of interviewees we selected cannot be generalized to all SEC staff or stakeholders on issues related to climate-related disclosures. See appendix I for more information on our scope and methodology.", "We conducted this performance audit from November 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of SEC", "paragraphs": ["SEC\u2019s mission is to protect investors; maintain fair, orderly, and efficient markets; and facilitate capital formation. As part of SEC\u2019s strategic plan, SEC strives to promote a securities market that is worthy of the public\u2019s trust and is characterized by, among other things, transparent disclosure to investors of the risks of particular investments.", "SEC is headed by a five-member Commission composed of the Chair and four Commissioners. SEC\u2019s responsibilities are divided among five divisions and 24 offices, including the following offices that are responsible for filing review or investor outreach:", "Corporation Finance is responsible for reviewing documents that publicly-held companies are required to file with SEC, which may include climate-related disclosures. Corporation Finance reviews disclosure documents that companies are required to file, including annual reports. Corporation Finance performs its filing review responsibilities through accounting and legal staff in 11 offices, organized by industry. The division\u2019s staff also provides companies with assistance interpreting the Commission\u2019s rules and assists the Commission with rule making.", "The Investor Advisory Committee was established under the 2010 Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd- Frank Act) to advise the Commission on regulatory priorities, the effectiveness of disclosure, and initiatives to protect investor interests and to promote investor confidence, among other things. The committee has the authority to submit findings and recommendations for review and consideration by the Commission.", "The Office of the Investor Advocate was established in 2014 pursuant to the Dodd-Frank Act to provide a voice for investors, assist retail investors, study investor behavior, and support the Investor Advisory Committee. The Investor Advocate is required to submit reports directly to Congress, without any prior review or comment from the Commissioners or SEC staff."], "subsections": []}, {"section_title": "SEC Disclosure Requirements, Rule Making, and Guidance", "paragraphs": ["SEC rules generally require public companies to disclose, among other things, known trends, events, and uncertainties that are reasonably likely to have a material effect on the company\u2019s financial condition or operating performance through annual and other periodic filings. Information is material if there is a substantial likelihood that a reasonable investor would consider it important in making an investment decision. Regulation S-K, promulgated by SEC, contains disclosure requirements that are applicable to the nonfinancial statement portion of annual filings and other periodic reports filed with SEC.", "The Commission occasionally provides guidance on topics of general interest to the business and investment communities by issuing interpretive releases, which publish the Commission\u2019s views and interpret federal securities laws and SEC regulations. The 2010 Guidance was published by the Commission to provide guidance to companies on how existing disclosure requirements apply for climate-related matters.", "The 2010 Guidance identifies four items in Regulation S-K that may be most likely to require climate-related disclosure in companies\u2019 annual filings. The four items are as follows:", "Description of business. This section of a company\u2019s annual filing requires a description of the company\u2019s business, including its main products and services, and what markets it operates in. This item expressly requires disclosure of certain material effects of complying with environmental laws.", "Legal proceedings. This section requires a company to include information about certain material pending legal proceedings, including, in certain circumstances, those arising under any federal, state, or local provisions that have been enacted or adopted regulating the discharge of materials into the environment or primarily for the purpose of protecting the environment.", "Risk factors. This section discusses the most significant factors that make investment in the company speculative or risky. Disclosure under this section should clearly state risks and specify how each risk affects the particular company and should not present risks that could apply to any company.", "Management\u2019s discussion and analysis. This section presents management\u2019s perspective on material past and anticipated future business results. The information provided in this section is intended to give the investor an opportunity to look at the company through the eyes of management by providing both a short- and long-term analysis of the company\u2019s financial condition. Additionally, in this section companies must identify and disclose known trends, events, demands, commitments, and uncertainties that are reasonably likely to have a material effect on their financial condition or operating performance.", "The 2010 Guidance also identifies four different topics under which climate-related risks can be categorized (see table 1). Regardless of whether a company\u2019s identified risk falls under one of these categories, companies need to disclose the information required by the federal securities laws and regulations, and any additional material information necessary to make the required statements, in light of the circumstances under which they are made, not misleading.", "Additionally, SEC staff may issue guidance that includes a summary or explanation of rules adopted or amended by the Commission. For example, SEC staff issued a Staff Accounting Bulletin on materiality that provides guidance in applying quantitative materiality thresholds to the preparation of financial statements filed with SEC. According to SEC, staff guidance is not a substitute for any rule, and only the rule itself can provide complete and definitive information on its requirements.", "The Commission can adopt new rules through the rule-making process. According to SEC, rule making can involve several steps: concept release, rule proposal, and rule adoption.", "Concept release. The Commission at times issues a concept release to seek public input to help identify the appropriate regulatory approach, if any, prior to issuing a rule proposal. In a concept release, SEC describes the area of interest and the Commission\u2019s concerns; identifies different approaches to address the problem; and includes a series of questions that seek the views of the public on the issue.", "Rule proposal. The Commission publishes a detailed formal rule proposal for public comment. A rule proposal advances specific objectives and methods for achieving them. The Commission typically provides between 30 and 90 days for public review and comment. Public comment is considered vital to the formulation of a final rule.", "Rule adoption. The Commissioners consider what they have learned from public input on the rule proposal and seek to agree on the specifics of a final rule. If a final rule is adopted by the Commission, it becomes part of the official rules that govern the securities industry."], "subsections": []}, {"section_title": "SEC\u2019s Annual Filing and Disclosure Review Process", "paragraphs": ["According to SEC senior staff, SEC reviewers examine climate-related disclosures as part of their review of all disclosures included in the companies\u2019 annual filings. Corporation Finance selects annual filings for review and determines the extent to which annual filings are reviewed based on the requirements of the Sarbanes-Oxley Act of 2002 and review goals established by senior leadership (see fig. 1). The Sarbanes-Oxley Act requires SEC to review the financial statements of each reporting company at least once every 3 years. According to SEC senior staff, SEC staff review the financial statements of a significant number of companies more frequently. SEC staff may also review companies\u2019 nonfinancial disclosures, which may be reviewed as (a) a part of a full cover-to-cover review or (b) a targeted issue review. SEC reviewed the disclosures of approximately 4,400 companies each in fiscal years 2015 and 2016 and approximately 4,200 companies in fiscal year 2017. Of the reviews in fiscal years 2016 and 2017, over 1,400 and 1,250 resulted in comment letters, respectively.", "Corporation Finance generally conducts two levels of review at key steps in the filing review process. Once selected for review, a filing enters the review cycle, which generally includes evaluating the disclosure for material compliance with securities laws, preparation and review of comments, review of company responses to comments, and public posting of filing review correspondence on the SEC website. For most filings, a second-level review is required during each of these phases.", "According to some SEC staff, as part of SEC\u2019s filing reviews, SEC staff focus on the company\u2019s filing for the current year and can supplement the review with information from the company\u2019s prior years\u2019 filings, filings of other companies in the same industry, SEC\u2019s prior filing review reports, and other external data outside of the filings, including companies\u2019 sustainability and earning reports and financial analyst reports. Companies may voluntarily disclose climate-related risks through channels outside of SEC filings, including nongovernmental organizations, company websites, and in response to reporting requirements in foreign countries.", "As part of the review process, SEC staff may issue \u201ccomment letters\u201d to companies to obtain additional information, clarification on the companies\u2019 disclosures, or elicit better compliance with applicable requirements. In a review of Corporation Finance\u2019s comment letter process, SEC\u2019s OIG reported in September 2017 that Corporation Finance has established policies, procedures, and internal controls that provide overall guidance for how staff should conduct disclosure reviews and for how information, including comments, should be documented, tracked, and disseminated to companies and the public. However, the report also found, among other things, that SEC reviewers (1) did not always properly document comments before issuing comment letters to companies and (2) inconsistently documented oral comments to companies. The report recommended that Corporation Finance establish mechanisms or controls and provide detailed guidance to staff to improve documentation in the comment letter process. SEC management agreed with these recommendations.", "Furthermore, if SEC reviewers find a material inadequacy in a company\u2019s disclosures, the reviewers may refer the potential violations to the Division of Enforcement for investigation. If the Division of Enforcement finds sufficient evidence of a potential violation, SEC may file an action in federal district court or institute an administrative proceeding.", "Corporation Finance maintains four distinct electronic databases to track, document, and report on different aspects of its filing review program. One of these is Electronic Data Gathering, Analysis, and Retrieval (EDGAR), which is Corporation Finance\u2019s primary record-keeping system of documents related to filing reviews, including companies\u2019 filings, SEC\u2019s comment letters to companies and their responses to the letters, and SEC staff\u2019s filing review reports."], "subsections": []}, {"section_title": "Developments Associated with Climate-Related Disclosures since the 2010 Guidance", "paragraphs": ["In April 2016, SEC published a Concept Release to seek public comment on modernizing certain business and financial disclosure requirements in Regulation S-K. The 2016 Concept Release specifically requested comments about \u201cDisclosure of Information Relating to Public Policy and Sustainability Matters.\u201d Sustainability disclosures\u2014including topics on climate change, resource scarcity, corporate social responsibility, and good corporate citizenship\u2014are often characterized broadly as environmental, social, or governance concerns. The public comment period for the Concept Release ended on July 21, 2016. According to SEC staff, the agency received approximately 370 unique comment letters on the Concept Release.", "Since 2010, several voluntary reporting frameworks are available for companies to use to report climate-related information, including the following: In June 2017, the FSB Task Force issued final recommendations for four areas of voluntary climate-related disclosures that companies can choose to adopt, which are applicable to organizations across sectors and jurisdictions.", "In October 2016, the Sustainability Accounting Standards Board (SASB) developed a Climate Risk Framework that enables, among other things, the identification of climate-related risks and the development of metrics that help companies disclose material sustainability information to investors.", "In May 2013, the Global Reporting Initiative and CDP (formerly known as the Carbon Disclosure Project) signed a Memorandum of Understanding for the two organizations to work together to align areas of their reporting frameworks. This will provide more consistency in companies\u2019 voluntary climate-related disclosures and improve comparability of data for investors."], "subsections": []}]}, {"section_title": "SEC Issued the 2010 Guidance and Comment Letters to Specific Companies to Clarify Climate- Related Disclosure Requirements", "paragraphs": ["SEC issued the 2010 Guidance, and comment letters to specific companies, to clarify their existing disclosure requirements as they apply to climate-related matters. SEC staff said the issuance of the 2010 Guidance was the primary form of communication it used to clarify to companies their climate-related disclosure requirements. However, SEC staff also noted that companies should consider the 2010 Guidance along with all other guidance and securities laws and regulations applicable to their filings. In addition to publishing the 2010 Guidance, SEC staff discussed it immediately following its release in webinars and other public events. For example, an SEC staff member presented information on the 2010 Guidance at a panel discussion for an October 2010 webinar hosted by the National Asian Pacific American Bar Association. Representatives from the industry associations with whom we spoke, which represent the five industries we selected, all agreed that the 2010 Guidance helped clarify climate-related disclosure requirements and stated that they consider the disclosure requirements for climate-related risks to be clear and have no need for additional guidance.", "In addition, since the release of the 2010 Guidance, SEC staff has issued individual comment letters to specific companies on their climate-related disclosures. For example, on September 26, 2016, SEC staff issued a comment letter to an oil company requesting that the company expand on its disclosures in the risk factor section of the filing to provide a more in- depth description of its climate-related compliance obligations. SEC publishes comment letters in EDGAR, and other interested companies can view these letters to understand SEC\u2019s assessment of a particular company\u2019s disclosures. Ceres, a nonprofit organization that advocates for climate-related disclosure, analyzed SEC\u2019s comment letters from February 2, 2010\u2014the release date of the 2010 Guidance\u2014to December 31, 2013, to determine how many were related to climate-related disclosures. Ceres reported that SEC staff sent 25 letters relating to climate-related disclosures to 23 companies (2 companies received two letters as a result of back-and-forth correspondence) out of the more than 45,000 comment letters sent during this period. Using the same specific keyword search terms\u2014such as \u201cclimate change\u201d and \u201cclimate mitigation\u201d\u2014that were identified in the Ceres report, we found 14 comment letters to 14 companies that SEC staff issued relating to climate-related disclosures out of the over 41,000 comment letters issued from January 1, 2014, through August 11, 2017. These comment letters were found during our search but may not represent all climate-related comment letters SEC staff has issued during that time frame."], "subsections": []}, {"section_title": "SEC Examined Climate-Related Disclosures for Reports to Congress and Issued a Concept Release Seeking Public Input on Disclosure Requirements", "paragraphs": ["After the issuance of the 2010 Guidance, the Senate Committee on Appropriations directed SEC to conduct two reviews of climate-related disclosures in 2012 and 2014. In response, SEC staff examined climate- related disclosures of a total of 60 companies in six industries each year in 2012 and 2014. In both reports, SEC staff focused on the business description, risk factors, and management\u2019s discussion and analysis sections of companies\u2019 filings and found that most of the filings included some level of climate-related disclosure in one or more of these areas. SEC staff also found that the disclosures they reviewed varied in the level of details provided. Additionally, in the 2012 report, SEC staff reported that they did not find any notable year-to-year changes in the disclosures reviewed from the year before the 2010 Guidance to the year after. According to SEC senior staff, in addition to its regular evaluation of climate-related disclosures in individual filing reviews, SEC staff continues to periodically assess climate-related disclosures within these industries.", "SEC senior staff said they did not expect changes in companies\u2019 climate- related disclosures as a result of the 2010 Guidance since SEC did not adopt any new disclosure requirements. As previously mentioned, SEC published the 2010 Guidance to provide guidance to companies on how existing disclosure requirements apply for climate-related matters. At the time the 2010 Guidance was issued, \u201ccap and trade\u201d legislation was pending in Congress; the Environmental Protection Agency was taking steps to regulate greenhouse gas emissions; and there were efforts to launch an international \u201ccap and trade\u201d system. The 2010 Guidance in part provided clarification on how such changes\u2014if they took place\u2014 could be incorporated into companies\u2019 filings. However, some of these changes did not occur.", "Through the April 2016 Concept Release related to business and financial disclosures in Regulation S-K, SEC sought input from investors, companies, and other interested parties on the effectiveness of its disclosure requirements, including a request for comment on climate- related disclosures in SEC\u2019s filings. In the April 2016 Concept Release, SEC discussed comments previously received that both noted a growing interest in environmental, social, or governance disclosure among investors and recommended increased sustainability disclosure requirements. According to SEC staff, some comments criticized the primarily voluntary nature of current corporate sustainability reporting outside of companies\u2019 SEC filings. As of December 2017, SEC senior staff said they are considering recommendations for the Commission\u2019s consideration based on comments received on the Concept Release."], "subsections": []}, {"section_title": "SEC Faces Constraints in Reviewing Climate- Related Disclosures as It Primarily Relies on Information That Companies Determine Is Material", "paragraphs": ["As SEC reviews climate-related and other disclosures in companies\u2019 filings, SEC relies primarily on information that companies determine is material. SEC may not have details of the information companies used to support their determination of material climate-related risks. Also, this climate-related information varies in format and specificity among companies. SEC has tools, mechanisms, and resources to help ensure that its staff conducts reviews consistently across filings. Stakeholders, including investor and industry groups, have mixed views on the need for more climate-related disclosures with additional specificity and a consistent format for these disclosures to allow for comparison across filings. Additional disclosure requirements or increased scrutiny of companies\u2019 climate-related information\u2014which, if necessary, SEC and Congress can consider\u2014could have mission and resource implications for SEC\u2019s Division of Corporation Finance."], "subsections": [{"section_title": "SEC May Not Have the Details of the Information Companies Rely on in Determining Materiality", "paragraphs": ["SEC reviewers may not have access to the detailed information that companies use to arrive at their determination of whether risks, including climate-related risks, must be disclosed in their SEC filings. SEC\u2019s scope of review of companies\u2019 disclosures under federal securities laws differs from the scope of review that may be possible through the investigative authority of the state attorneys general under state laws. SEC senior staff further noted that Corporation Finance staff assess companies\u2019 filings for compliance with the disclosure requirements under federal securities laws but do not have the authority to subpoena companies\u2019 information. As previously noted, if SEC reviewers find a material inadequacy in a company\u2019s disclosures, the reviewers can refer potential violations to the Division of Enforcement for investigation. SEC senior staff stated that the Division of Enforcement can subpoena company information only after obtaining a formal order of investigation.", "In an investigation of Peabody Energy under a New York State law, the Attorney General of New York State subpoenaed the company\u2019s internal documents and found that although the company\u2019s disclosures denied it had the ability to reasonably predict the impact of future climate change laws and regulations on its business, Peabody had made internal market projections showing severe negative impacts from certain potential laws and regulations and failed to disclose those projections to the public. As a result of this investigation, Peabody agreed to disclose, among other things, concerns that the environmental impacts of coal combustion are resulting in increased regulation, which could affect demand for Peabody\u2019s products or services. SEC staff explained that when they become aware of an investigation of a company, they look for and assess disclosures related to any pending legal proceedings and the potential impacts. SEC senior staff told us SEC staff reviewed Peabody Energy\u2019s filings and other publicly available information, including its climate- related disclosures, and did not issue climate-related comments in its review of Peabody Energy\u2019s filings; SEC has not taken any public actions against Peabody Energy following the New York Attorney General\u2019s investigation. Also, SEC staff noted that the additional disclosures Peabody Energy is asked to provide by the New York Attorney General may not be applicable for other companies, but these disclosures may be required if the information is material and necessary to make the disclosures not misleading under the current federal disclosure rules.", "If SEC reviewers are aware of publicly-available information outside of the filings that is contradictory to companies\u2019 disclosures, they can request additional information or clarification from companies on their climate- related and other disclosures through comment letters. However, a company possesses information necessary to determine whether environmental regulations will have a material effect on the company\u2019s financial condition or results of operations and may claim that the effect of environmental regulations raised by SEC is not material and hence does not need further disclosure. For example, in a 2016 comment letter, SEC staff requested that an oil company expand and clarify its discussion of climate-related compliance with a California environmental law. The company responded that the current costs and impact of compliance with the state law have not been material to the company and it would seek to more clearly disclose such information in its annual filing for the coming year. SEC staff did not issue any further comment on this issue. SEC senior staff told us that they determine whether further comments are needed based on whether the company\u2019s response is consistent with other information the companies reported in other publicly available documents, such as financial analyst reports or the company\u2019s sustainability report."], "subsections": []}, {"section_title": "Climate-Related Disclosures Vary in Format and Specificity", "paragraphs": ["Climate-related disclosures vary in format because companies may report similar climate-related disclosures in different sections of the annual filings. We reviewed and identified illustrative examples of climate-related disclosures in the annual filings of 116 S&P 500 Index companies, filed with SEC in 2016, in the five industries in our review (see app. II for additional information). We found, for example, one beverage company reported its goal to reduce greenhouse gas emissions in the business description section of its filing while another beverage company reported a similar goal on carbon footprint reduction in the risk factors section of its filing. As previously noted, SEC reviewers may compare a company\u2019s disclosures to other companies\u2019 disclosures in the same industry to identify potential missing disclosures if other companies in the same industry have made similar disclosures. When companies report climate- related disclosures in varying format, SEC reviewers and investors may find it difficult to navigate through the filings to identify, compare, and analyze the climate-related disclosures across filings, especially given the size of each individual filing. In addition, companies\u2019 filings may include only a few mentions of climate-related disclosures. For instance, the annual filings we reviewed for an insurance company, an oil company, and a food company, respectively, were 389 pages, 117 pages, and 136 pages long. Within these filings, the corresponding number of mentions of climate-related disclosures was 9, 13, and 6, respectively, based on our analysis using Ceres\u2019 SEC Sustainability Disclosure Search Tool. Given that SEC reviewers primarily rely on information companies disclose in filings, it may be difficult to determine whether a low level of disclosure indicates that the company does not face any climate-related risks or does not consider the risks to be material.", "Also, climate-related disclosures in some companies\u2019 filings use boilerplate language, which is not specific to the company, and the information is unquantified. Our review of the annual filings of 116 S&P 500 Index companies found that some companies\u2019 climate-related disclosures provided some quantitative information, while some other companies\u2019 disclosures listed existing environmental regulations without specifying the associated impacts on the companies. For example, one oil and gas company stated in its annual filing that the imposition and enforcement of stringent greenhouse gas emissions reduction targets could severely and adversely impact the oil and gas industry and significantly reduce the value of the company\u2019s business. However, the company did not provide any quantitative information on such impacts on its business. Additionally, SASB reported in October 2016 that its analysis of almost 1,500 disclosures in annual filings of 637 companies in 72 industries found that almost 30 percent of the disclosures SASB reviewed did not include any climate-related information, some contained boilerplate language or company-tailored narratives, and less than 20 percent of these disclosures included quantitative metrics."], "subsections": []}, {"section_title": "SEC Has Mechanisms, Tools, and Resources to Help Its Staff Consistently Review Filing Disclosures", "paragraphs": ["Although SEC relies primarily on information companies provide in their filings when reviewing climate-related and other disclosures, it has mechanisms, tools, and resources to help its staff consistently review filing disclosures, according to SEC documents and SEC staff we interviewed.", "Internal supervisory control testing. As we reported in 2016, Corporation Finance\u2019s Disclosure Standards Office (DSO) helps improve consistency in oversight of filing reviews by conducting testing of internal supervisory controls throughout the year. DSO is responsible for managing Corporation Finance\u2019s internal supervisory control and contributes to Corporation Finance\u2019s quality and process improvement efforts. DSO senior staff told us that the office examined filing reviews conducted by SEC staff on a random sample of filings in each year from 2014 through 2016. In DSO\u2019s reviews, DSO examined the documents that are part of the filing reviews conducted by SEC staff, including the underlying filings, filing review reports prepared by SEC staff, comment letters issued, and the associated responses, among other things. Also, DSO staff assessed whether SEC staff had followed the relevant Corporation Finance policies and procedures. For example, DSO checked whether staff followed procedures for second-level reviews and issuing comment letters. However, DSO senior staff said they have not conducted any review specific to climate-related disclosures. Corporation Finance senior staff said DSO submits the results of its testing to its managing executive for use in the division\u2019s management assurance statements. We also reported in 2016 that DSO helped strengthen components of Corporation Finance\u2019s internal control.", "Two-level review process. As discussed earlier, SEC generally conducts two levels of review at key steps in the filing review process. The two-level review process helps ensure that staff consistently review disclosures across filings, according to SEC staff we interviewed. For example, the second-level reviewers review the comment letters prepared by the first-level reviewers before sending the letters to companies, according to SEC\u2019s internal policies and procedures. Also, assistant directors and senior assistant chief accountants of the 11 Corporation Finance offices generally meet monthly to discuss recent trends and issues identified in filing reviews in general, which helps ensure that staff assess materiality consistently across industries, according to some SEC staff.", "Regulations and guidance. SEC staff can consult regulations and formal and informal SEC guidance for their filing reviews (see table 2 for examples), according to SEC documents and staff we interviewed. SEC posts relevant guidance and other information on its intranet site. Nearly all SEC staff we interviewed said current guidance was sufficient to guide their filing reviews, including the reviews of climate-related disclosures.", "Internal and external data. According to SEC\u2019s internal review guidance, SEC staff are expected to consider internal and external data as part of the filing review. As previously noted, some SEC staff told us they consider information from prior filings, internal filing review reports, other filings of companies in the same industry, and external data outside of the filings to supplement their filing reviews. For example, SEC staff can generally use internal and external databases to search prior years\u2019 filings and filing-review-related comments and correspondence with companies. Some SEC reviewers told us that they also compare disclosures with external information, such as companies\u2019 voluntary sustainability reports and financial analyst reports on companies\u2019 earnings and operations, to look for inconsistencies in the companies\u2019 reporting. Although SEC Corporation Finance staff can review external information such as the company\u2019s sustainability report, they do not have the underlying information the company used to determine whether a potential disclosure was material or prepare the sustainability report and cannot perform an independent assessment of the disclosure based on the materiality of the underlying information. For example, SEC staff noted in a 2016 comment letter to an oil company that SEC has compared and identified potential inconsistency between the company\u2019s disclosures on uncertainty about a new climate-related regulation and physical risks and information in the company\u2019s sustainability report. The company stated the climate-related regulatory risks were not material and climate-related risks in their filing were consistent with information in its sustainability report. SEC did not issue any further comments.", "Staff training. SEC staff have had some training on assessing materiality and industry-specific issues but fewer training that discussed climate- related disclosures, according to SEC staff.", "Training on materiality. Most SEC staff we interviewed said training on materiality assessment was part of staff training or their ongoing on-the-job learning in their day-to-day work. Our review of some SEC training materials showed that training discussions covered federal securities laws and disclosure requirements, disclosure review, and materiality but did not focus specifically on climate-related issues. Also, some SEC staff said they consider materiality based on a given company\u2019s specific facts and circumstances as they review filings in their day-to-day work. For example, two SEC staff we interviewed explained that second-level reviewers help first-level reviewers understand how to apply specific facts and circumstances as they consider materiality when they review filings.", "Training on industry-specific issues. All SEC staff we interviewed noted that industry-specific training is provided by individual assistant director offices. For example, some staff mentioned training on disclosures for the oil and gas industry. Other staff noted that they also share information on industry-specific issues as part of their communication or meetings with supervisory staff. However, SEC staff we interviewed did not recall any industry-specific training on climate-related disclosures offered by individual assistant director offices.", "Training on climate-related disclosures. Some SEC staff we interviewed identified training on the 2010 Guidance when the guidance was issued or a brownbag discussion on climate-related disclosure issues including the Peabody Energy investigation in 2016. According to SEC senior staff, the 2016 brownbag included a discussion of the 2010 Guidance and was offered to all Corporation Finance staff. In addition, our review of some meeting agendas showed that these meetings sometimes included discussion items on issues related to climate-related disclosures, such as the Peabody Energy investigation and a proposed environmental regulation. Furthermore, new SEC staff receive training on how to conduct filing reviews in general but not specifically on climate-related disclosures, according to some SEC staff.", "Most of the SEC staff we interviewed told us they consider the training they have received to be sufficient for conducting filing reviews. Additionally, an SEC OIG survey of SEC staff published in September 2017 asked both first- and second-level reviewers if they felt they had received adequate training and guidance from SEC on how to conduct a disclosure review. Of the 159 who answered as first-level reviewers, 82 percent said that they felt they received adequate training and guidance to conduct disclosure reviews; and of the 130 who answered as second- level reviewers, 83 percent said that they felt they received adequate training and guidance to conduct disclosure reviews. Other staff we interviewed also noted that they receive training through their day-to-day work on an ongoing basis or when new regulations are issued or the need arises.", "Staff experience. All eight supervisory staff we interviewed indicated that, as of August 2017, they had at least 10 years of experience at SEC as filing reviewers, while the 12 nonsupervisory staff we interviewed noted that they had from 2 to 18 years of such experience. Also, most of the SEC staff we interviewed indicated that they had some prior accounting or legal experience related to annual filing preparation or review, but they did not have any direct prior experience on climate- related disclosures. However, most SEC staff we interviewed said they generally do not need technical expertise to understand climate-related disclosures. Some staff said they can consult mining or petroleum engineers within Corporation Finance if the disclosures relate to other subjects, such as oil and gas reserves."], "subsections": []}, {"section_title": "Stakeholders Have Mixed Views on the Amount and Specificity of the Current Climate-Related Disclosures", "paragraphs": ["Stakeholders, including investor and industry groups, have different views on whether additional climate-related disclosures, including the amount and specificity, are needed. Some asset management firms and investor groups have highlighted the need for companies to disclose more climate- related information to help investors make more informed investment decisions. Three large asset management firms stated that they are committed to engaging with and encouraging companies to provide additional climate-related disclosures. For example, in 2017, one firm supported shareholder proposals for two companies to report the impacts of climate change on their operations. The proposals passed with majority shareholder support. The Council of Institutional Investors and Ceres stated in their letters commenting on SEC\u2019s April 2016 Concept Release and also told us that the information on environmental risks, including climate risks, has become more significant for investors and companies. The two investor associations also noted that companies\u2019 climate-related disclosures in the risk factors and management\u2019s discussion and analysis sections of the filings generally do not provide investors with sufficient details. They further stated in their letters commenting on SEC\u2019s April 2016 Concept Release that current climate- related disclosures are generally not comparable across companies\u2019 filings. Additionally, SASB reported that climate-related disclosures using quantitative metrics may not be comparable because they lack standardization.", "In contrast, representatives from the five industry associations with whom we spoke all noted that they consider the current requirements for climate-related disclosures adequate. They also do not believe additional climate-related disclosures are needed in SEC filings as the filings should include only climate-related information if it is material. Additionally, some companies are providing climate-related information through channels outside of SEC filings. Three of these industry associations also stated in their letters commenting on SEC\u2019s April 2016 Concept Release that they would like to keep the existing requirements for climate-related disclosures.", "While some investor organizations we spoke with generally believe more climate-related disclosures are needed, investors have not reached agreement on the priority of advocating for climate-related disclosures or the framework for companies to use to report these disclosures. For example, some members of a subcommittee of SEC\u2019s Investor Advisory Committee have identified climate-related disclosures as a priority issue, but the subcommittee as a whole did not reach agreement that climate- related disclosures should be among its highest priorities. In addition, as previously described, existing reporting frameworks include those developed by CDP, Global Reporting Initiative, SASB, and the June 2017 FSB Task Force final recommendations. Given that these are voluntary frameworks, companies can report climate-related information using any of the frameworks or not use a framework at all. Further, stakeholders advocating for climate-related disclosures have not agreed on whether to adopt one of the existing reporting frameworks or develop a new framework for companies to use in reporting climate-related disclosures. For example, companies have not determined which of the existing reporting frameworks to use or are uncertain on which framework is preferred by investors for reporting climate-related disclosures, according to one investor association, representatives of SEC\u2019s Investor Advisory Committee, and an SEC senior staff of the Office of Investor Advocate.", "The SEC senior staff further stated that SEC may be hesitant to recommend a particular framework for companies to use given the uncertainties. Another organization focusing on climate-related disclosures in its letter commenting on SEC\u2019s April 2016 Concept Release suggested that SEC review and consider elements of existing reporting frameworks. Furthermore, SEC\u2019s Investor Advisory Committee, in its letter commenting on the Concept Release, recommended SEC develop an analytical framework on climate-related disclosures, among other things. Most recently in June 2017, the FSB Task Force reported that its recommendations aim to provide a framework to help companies more consistently disclose climate-related information and align their reporting frameworks over time. In particular, the Task Force recommends that companies include material climate-related disclosures in their public filings and encourages standard-setting bodies to support adoption of the recommendations. According to SEC senior staff, while the Task Force recommendations may be helpful if the Commission were to consider new rules on climate-related disclosures in the future, SEC staff is not aware of any specific SEC actions or plans based on the recommendations. Also, additional disclosure requirements or increased scrutiny of companies\u2019 climate-related information\u2014which, if necessary, SEC and Congress can consider\u2014could have mission and resource implications for SEC\u2019s Division of Corporation Finance."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to SEC for review and comment. In oral comments provided on January 10, 2018, senior staff in SEC\u2019s Division of Corporation Finance generally agreed with our findings and provided technical comments, which we incorporated into the report, as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to interested congressional committees, the Chair of SEC, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Michael Clements at (202) 512-8678 or clementsm@gao.gov, or J. Alfredo G\u00f3mez at (202) 512-3841 or gomezj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines: (1) steps the Securities and Exchange Commission (SEC) has taken to help companies understand disclosure requirements for climate-related risks, (2) steps SEC has taken to examine changes in climate-related disclosures since the release of its 2010 Commission Guidance Regarding Disclosure Related to Climate Change (hereafter referred to as the 2010 Guidance), and (3) constraints SEC faces when reviewing climate-related disclosures and stakeholders\u2019 views of those disclosures.", "To address all objectives, we reviewed SEC documents, including the 2010 Guidance and internal filing review guidance, related to SEC\u2019s review of climate-related and other disclosures in companies\u2019 annual filings. We also reviewed SEC\u2019s 2012 and 2014 congressional reports, titled Staff Report to the Senate Committee on Appropriations Regarding Climate Change Disclosure, and additional information on SEC staff\u2019s ongoing reviews of climate-related disclosures. In addition, we reviewed prior GAO and SEC Office of Inspector General reports related to the 2010 Guidance, climate-related risks, and SEC\u2019s filing review process and reports from stakeholders, including the report on recommendations from the Financial Stability Board Task Force on Climate-related Financial Disclosures (FSB Task Force).", "We selected five industries to focus on for this report: oil and gas, mining, insurance, electric and gas utilities, and food and beverage. We selected the first four industries because they were identified by SEC staff, in its 2012 and 2014 congressional reports, as more likely than other industries to be affected by climate change-related matters due to the nature of their operations. We also selected the food and beverage industry because we identified companies in this industry that have submitted climate-related disclosures and can provide perspectives on these disclosures, and SEC had not selected companies in this industry for review in its 2012 and 2014 congressional reports or ongoing periodic reviews of climate-related disclosures. For all five industries, we searched companies\u2019 annual filings to determine whether the industries include companies that have submitted climate-related disclosures in SEC filings or are represented by associations that have submitted comments on SEC\u2019s April 2016 Concept Release related to business and financial disclosures in Regulation S-K. Because we did not search companies\u2019 filings of all industries, industries we focused on in this report may not be a comprehensive list of industries that are affected by climate-related risks and views on the selected industries are not generalizable to other industries we did not include in our review.", "To address the first objective, we reviewed SEC\u2019s 2010 Guidance and Division of Corporation Finance (Corporation Finance) policies and procedures on review of disclosures. We determined the number of comment letters SEC issued to individual companies on climate-related disclosures from February 2010 to August 2017. Specifically, we reviewed a 2014 report by Ceres, a nonprofit organization that works with investors, companies, and public interest groups on sustainable business practices, that analyzed and determined the number of SEC comment letters to companies from February 2, 2010 (the date the 2010 Guidance was released) to December 31, 2013. Additionally, using the same keyword search terms\u2014such as \u201cclimate change\u201d and \u201cclimate mitigation\u201d\u2014that were used in the Ceres report, we determined the number of SEC comment letters issued to individual companies on issues related to climate-related disclosures from January 1, 2014, through August 11, 2017. Specifically, we searched for SEC\u2019s comment letters in its EDGAR (Electronic Data Gathering, Analysis, and Retrieval) system\u2014 which is SEC\u2019s record-keeping system for comment letters to companies, among other things\u2014using the keyword search functionality. The search terms we used were not intended to represent a comprehensive list of keywords that may relate to climate-related issues. Therefore, the nongeneralizable sample of comment letters we identified is not intended to be a comprehensive list or representative sample of comment letters on climate-related information in SEC filings. We reviewed the comment letters identified through our search to understand the climate-related disclosure issues SEC staff has identified.", "To understand SEC\u2019s efforts to clarify climate-related disclosure requirements for companies and industry groups\u2019 views on SEC\u2019s efforts, we interviewed SEC staff from Corporation Finance and representatives from a nongeneralizable sample of industry groups representing companies in the five industries we selected. Specifically, we interviewed representatives from the following industry groups: American Insurance Association, American Petroleum Institute, Edison Electric Institute, Grocery Manufacturers Association, and National Mining Association. We selected these groups because they represent companies in the five industries in our review and they or their members submitted letters commenting on SEC\u2019s April 2016 Concept Release or their members submitted climate-related disclosures to SEC in 2016. Additionally, we reviewed the letters these groups submitted commenting on the Concept Release to understand their views on climate-related disclosures. Views from the industry representatives with whom we spoke cannot be generalized to those we did not include in our review.", "To address the second objective, we reviewed SEC\u2019s 2012 and 2014 congressional reports and additional information on ongoing periodic reviews of climate-related disclosures. We also reviewed SEC\u2019s April 2016 Concept Release, particularly the section that focuses on climate- related disclosures in SEC\u2019s filings. Further, we interviewed Corporation Finance staff to understand steps SEC has taken to assess the effect of the 2010 Guidance and planned actions related to comments on climate- related disclosures for the Concept Release.", "To address the third objective, we reviewed SEC documents on the review of climate-related and other disclosures in companies\u2019 filings, including the 2010 Guidance, filing review guidance, and examples of staff training materials. We also reviewed information related to the New York State Attorney General\u2019s investigation of and agreement with Peabody Energy on the company\u2019s climate-related disclosures in SEC filings. To understand the specificity of companies\u2019 climate-related disclosures in annual filings, we reviewed the Sustainability Accounting Standards Board\u2019s (SASB) October 2016 report that analyzed and categorized selected companies\u2019 climate-related disclosures according to their level of specificity. To identify illustrative examples of climate- related disclosures, we used Ceres\u2019 SEC Sustainability Disclosure Search Tool to search annual filings of S&P 500 Index companies, filed with SEC in 2016, in the five industries we selected. We used Ceres\u2019 SEC Sustainability Disclosure Search Tool because it searches companies\u2019 SEC annual filings by industry, identifies relevant climate-related disclosures and their locations within the filings, and reproduces the excerpts of these disclosures in a single report. In a search of Ceres\u2019 database on September 20, 2017, we identified 116 S&P 500 Index companies that included climate-related disclosures in their annual filings filed in 2016. See appendix II for examples of disclosures with varying levels of specificity.", "To obtain information on SEC staff\u2019s review of climate-related disclosures\u2014including information on the review process, tools and guidance used in the review, and staff training and experience\u2014we interviewed 20 Corporation Finance staff. Specifically, we interviewed 8 senior supervisory staff from the four Corporation Finance offices that cover reviews of filings of companies in the five industries we selected. We also randomly selected 12 nonsupervisory staff from these same four offices, with a mix of accountants and attorneys and years of experience at SEC. In addition, we interviewed senior staff from Corporation Finance\u2019s Disclosure Standards Office to obtain information on the office\u2019s examinations of the filing review process conducted in 2014 through 2016. Furthermore, we interviewed Corporation Finance senior staff to obtain an understanding of SEC\u2019s enforcement authority in its filing review program and how that differs from the investigation power of state attorney generals.", "To understand stakeholders\u2019 views on climate-related disclosures, we reviewed SEC\u2019s April 2016 Concept Release and individual letters commenting on the Concept Release from organizations that represent investors, companies in the five industries we selected, or organizations that focus on climate-related issues. We also reviewed the websites and documents of three investment management firms\u2014BlackRock Advisors LLC, State Street Global Advisors Limited, and Vanguard Group, Inc.\u2014on their efforts to seek additional climate-related disclosures from companies. We reviewed reports by stakeholders, including SASB and the FSB Task Force, to provide perspectives on investors\u2019 views on the current state of climate-related disclosures. We identified these stakeholders because they represent major investor interests or have submitted letters commenting on SEC\u2019s April 2016 Concept Release.", "Furthermore, we interviewed representatives from the five industry groups we selected and other nonprofit organizations representing investors or focusing on climate-related issues. Specifically, we interviewed representatives from the following organizations representing investors or focusing on climate-related issues: Center for Climate and Energy Solutions (C2ES)\u2014an independent, nonpartisan, nonprofit organization that works to address climate and energy challenges; Ceres; and the Council of Institutional Investors\u2014a nonprofit, nonpartisan association that represents corporate, public, and union employee benefit funds and endowments. We selected these organizations because they represent investors or focus on climate-related issues and have submitted letters commenting on SEC\u2019s April 2016 Concept Release. Views from the representatives of investor groups with whom we spoke cannot be generalized to those we did not include in our review. Additionally, we interviewed SEC senior staff from the Investor Advisory Committee and the Office of Investor Advocate and an industry representative who is a member of the Investor Advisory Committee to obtain information on investors\u2019 views on climate-related disclosures. We also interviewed Corporation Finance senior staff to understand SEC\u2019s planned efforts, if any, on climate-related disclosures.", "Throughout this report, we use certain qualifiers when describing results from interview participants, such as \u201cfew,\u201d \u201csome,\u201d and \u201cmost.\u201d We define few as two or three; some as four or more but less than most; and most as more than half or nearly all relative to the total number possible. The views of interviewees we selected cannot be generalized to all SEC staff or stakeholders on issues related to climate-related disclosures.", "We conducted this performance audit from November 2016 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Examples of Climate-Related Disclosures in Securities and Exchange Commission (SEC) Form 10-K Filings", "paragraphs": ["This appendix provides illustrative examples of climate-related disclosures by two companies in the oil and gas industry. The first example contains boilerplate and unquantified information. The second example contains some quantitative information and metrics. Filings we identified are not intended to be a comprehensive list or representative sample of companies that disclose climate-related information in SEC filings. See appendix I for additional information on the analysis.", "Other Items The amount of insurance covering physical damage to our property and liability related to negative environmental effects resulting from a sudden and accidental pollution event, excluding Atlantic Named Windstorm coverage for which we are self insured, varies by asset, based on the asset\u2019s estimated replacement value or the estimated maximum loss.", "Risk Factors Climate change initiatives may result in significant operational changes and expenditures, reduced demand for our products and adversely affect our business. We recognize that climate change is a global environmental concern. Continuing political and social attention to the issue of climate change has resulted in both existing and pending international agreements and national, regional or local legislation and regulatory measures to limit greenhouse gas emissions. These agreements and measures may require significant equipment modifications, operational changes, taxes, or purchase of emission credits to reduce emission of greenhouse gases from our operations, which may result in substantial capital expenditures and compliance, operating, maintenance and remediation costs. In addition, our production is used to produce petroleum fuels, which through normal customer use may result in the emission of greenhouse gases. Regulatory initiatives to reduce the use of these fuels may reduce demand for crude oil and other hydrocarbons and have an adverse effect on our sales volumes, revenues and margins. The imposition and enforcement of stringent greenhouse gas emissions reduction targets could severely and adversely impact the oil and gas industry and significantly reduce the value of our business.", "Management\u2019s Discussion and Analysis of Financial Condition and Results of Operations We recognize that climate change is a global environmental concern. We assess, monitor and take measures to reduce our carbon footprint at existing and planned operations. We are committed to complying with all Greenhouse Gas (GHG) emissions mandates and the responsible management of GHG emissions at our facilities.", "Risk Factors We expect to continue to incur substantial capital expenditures and operating costs as a result of our compliance with existing and future environmental laws and regulations. Likewise, future environmental laws and regulations, such as limitations on greenhouse gas emissions, may impact or limit our current business plans and reduce demand for our products. Our businesses are subject to numerous laws and regulations relating to the protection of the environment. These laws and regulations continue to increase in both number and complexity and affect our operations with respect to, among other things: The discharge of pollutants into the environment. Emissions into the atmosphere, such as nitrogen oxides, sulfur dioxide, mercury and greenhouse gas emissions.", "Carbon taxes.", "The handling, use, storage, transportation, disposal and cleanup of hazardous materials and hazardous and nonhazardous wastes. The dismantlement, abandonment and restoration of our properties and facilities at the end of their useful lives. Exploration and production activities in certain areas, such as offshore environments, arctic fields, oil sands reservoirs and tight oil plays.", "We have incurred and will continue to incur substantial capital, operating and maintenance, and remediation expenditures as a result of these laws and regulations. To the extent these expenditures, as with all costs, are not ultimately reflected in the prices of our products and services, our business, financial condition, results of operations and cash flows in future periods could be materially adversely affected. Although our business operations are designed and operated to accommodate expected climatic conditions, to the extent there are significant changes in the Earth\u2019s climate, such as more severe or frequent weather conditions in the markets we serve or the areas where our assets reside, we could incur increased expenses, our operations could be materially impacted, and demand for our products could fall. Demand for our products may also be adversely affected by conservation plans and efforts undertaken in response to global climate change, including plans developed in connection with the recent Paris climate conference in December 2015. Many governments also provide, or may in the future provide, tax advantages and other subsidies to support the use and development of alternative energy technologies.", "Management\u2019s Discussion and Analysis of Financial Condition and Results of Operations Climate Change There has been a broad range of proposed or promulgated state, national and international laws focusing on greenhouse gas (GHG) reduction. These proposed or promulgated laws apply or could apply in countries where we have interests or may have interests in the future. Laws in this field continue to evolve, and while it is not possible to accurately estimate either a timetable for implementation or our future compliance costs relating to implementation, such laws, if enacted, could have a material impact on our results of operations and financial condition. Examples of legislation or precursors for possible regulation that do or could affect our operations include: European Emissions Trading Scheme (ETS), the program through which many of the European Union (EU) member states are implementing the Kyoto Protocol. Our cost of compliance with the EU ETS in 2015 was approximately $0.4 million (net share pre-tax). In Canada during 2015, the Alberta government amended the regulations of the Climate Change and Emissions Act. The regulations now require any existing facility with emissions equal to or greater than 100,000 metric tonnes of carbon dioxide or equivalent per year to reduce its net emissions intensity from its baseline. The reduction is increasing from the current 12 percent in 2015, to 15 percent in 2016 and to 20 percent in 2017. We also incur a carbon tax for emissions from fossil fuel combustion in our British Columbia operations. The total cost of compliance with these regulations in 2015 was approximately $4.7 million. The U.S. Supreme Court decision in Massachusetts v. EPA, 549 U.S. 497, 127 S.Ct. 1438 (2007), confirming that the EPA has the authority to regulate carbon dioxide as an \u201cair pollutant\u201d under the Federal Clean Air Act. The U.S. EPA\u2019s announcement on March 29, 2010 (published as \u201cInterpretation of Regulations that Determine Pollutants Covered by Clean Air Act Permitting Programs,\u201d 75 Fed. Reg. 17004 (April 2, 2010)), and the EPA\u2019s and U.S. Department of Transportation\u2019s joint promulgation of a Final Rule on April 1, 2010, that triggers regulation of GHGs under the Clean Air Act, may trigger more climate based claims for damages, and may result in longer agency review time for development projects. The U.S. EPA\u2019s announcement on January 14, 2015, outlining a series of steps it plans to take to address methane and smog-forming volatile organic compound emissions from the oil and gas industry. The current U.S. administration has established a goal of reducing the 2012 levels in methane emissions from the oil and gas industry by 40 to 45 percent by 2025.", "Carbon taxes in certain jurisdictions. Our cost of compliance with Norwegian carbon tax legislation in 2015 was approximately $31 million (net share pre-tax). The agreement reached in Paris in December 2015 at the 21st Conference of the Parties to the United Nations Framework on Climate Change, setting out a new process for achieving global emission reductions.", "In the United States, some additional form of regulation may be forthcoming in the future at the federal and state levels with respect to GHG emissions. Such regulation could take any of several forms that may result in the creation of additional costs in the form of taxes, the restriction of output, investments of capital to maintain compliance with laws and regulations, or required acquisition or trading of emission allowances. We are working to continuously improve operational and energy efficiency through resource and energy conservation throughout our operations. Compliance with changes in laws and regulations that create a GHG emission trading scheme or GHG reduction policies could significantly increase our costs, reduce demand for fossil energy derived products, impact the cost and availability of capital and increase our exposure to litigation. Such laws and regulations could also increase demand for less carbon intensive energy sources, including natural gas. The ultimate impact on our financial performance, either positive or negative, will depend on a number of factors, including but not limited to:", "Whether and to what extent legislation or regulation is enacted.", "The timing of the introduction of such legislation or regulation.", "The nature of the legislation (such as a cap and trade system or a tax on emissions) or regulation. The price placed on GHG emissions (either by the market or through a tax). The GHG reductions required. The price and availability of offsets. The amount and allocation of allowances. Technological and scientific developments leading to new products or services. Any potential significant physical effects of climate change (such as increased severe weather events, changes in sea levels and changes in temperature).", "Whether, and the extent to which, increased compliance costs are ultimately reflected in the prices of our products and services.", "The company has responded by putting in place a corporate Climate Change Action Plan, together with individual business unit climate change management plans in order to undertake actions in four major areas: Equipping the company for a low emission world, for example by integrating GHG forecasting and reporting into company procedures; utilizing GHG pricing in planning economics; developing systems to handle GHG market transactions.", "Reducing GHG emissions\u2014In 2014, the company reduced or avoided GHG emissions by approximately 900,000 metric tonnes by carrying out a range of programs across a number of business units. Evaluating business opportunities such as the creation of offsets and allowances; carbon capture and storage; the use of low carbon energy and the development of low carbon technologies. Engaging externally\u2014The company is a sponsor of MIT\u2019s Joint Program on the Science and Policy of Global Change; constructively engages in the development of climate change legislation and regulation; and discloses our progress and performance through the Carbon Disclosure Project and the Dow Jones Sustainability Index.", "The company uses an estimated market cost of GHG emissions in the range of $8 to $35 per tonne depending on the timing and country or region to evaluate future opportunities."], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Barbara L. Patterson (Assistant Director), Giselle Cubillos-Moraga (Analyst in Charge), Anna Chung, Cindy Gilbert, Jesse Lamarre-Vincent, Marc Molino, Tovah Rom, Grant Simmons, and Tyler Spunaugle made key contributions to this report."], "subsections": []}]}], "fastfact": ["Public companies are required to disclose material risks that could affect their finances or operations in their Securities and Exchange Commission filings. These may include climate-related risks\u2014for example, a need to improve facilities to meet emission requirements.", "We reviewed steps SEC has taken to clarify companies' climate-related disclosure requirements. Industry representatives told us that they consider the requirements to be clear and adequate. At the same time, some investor groups expressed a need for more information. SEC has no current plans to modify its climate-related disclosure requirements."]} {"id": "GAO-18-196", "url": "https://www.gao.gov/products/GAO-18-196", "title": "Substance-Affected Infants: Additional Guidance Would Help States Better Implement Protections for Children", "published_date": "2018-01-19T00:00:00", "released_date": "2018-02-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Under CAPTA, states perform a range of prevention activities, including addressing the needs of infants born with prenatal drug exposure. The number of children under the age of 1 entering foster care increased by about 15 percent from fiscal years 2012 through 2015. Child welfare professionals attribute the increase to the opioid epidemic. GAO was asked to examine the steps states are taking to implement CAPTA requirements on substance-affected infants and related amendments enacted in 2016.", "This report examines (1) the extent to which states have adopted policies and procedures to notify CPS of substance-affected infants; (2) state efforts to develop plans of safe care, and associated challenges; and (3) steps HHS has taken to help states implement the provisions.", "To obtain this information, GAO surveyed state CPS directors in all 50 states and the District of Columbia and reached a 100 percent response rate. GAO also visited 3 states (Kentucky, Massachusetts, and Pennsylvania); reviewed relevant documents such as federal laws and regulations, and HHS guidance; and interviewed HHS officials. GAO did not assess states' compliance with CAPTA requirements."]}, {"section_title": "What GAO Found", "paragraphs": ["All states reported adopting, to varying degrees, policies and procedures regarding health care providers notifying child protective services (CPS) about infants affected by opioids or other substances. Under the Child Abuse Prevention and Treatment Act (CAPTA), as amended, governors are required to provide assurances that the states have laws or programs that include policies and procedures to address the needs of infants affected by prenatal substance use. This is to include health care providers notifying CPS of substance-affected infants. In response to GAO's survey, 42 states reported having policies and procedures that require health care providers to notify CPS about substance-affected infants and 8 states reported having policies that encourage notification. The remaining 1 state has a policy requiring health care providers to assess the needs of mothers and infants and if they conclude that infants are at risk for abuse or neglect, CPS is notified.", "In response to GAO's survey, 49 states reported that their CPS agency has policies to develop a plan of safe care; 2 reported not having such a requirement. Under CAPTA, states are required to develop a plan of safe care for substance-affected infants. Although not defined in law, a plan of safe care generally entails an assessment of the family's situation and a plan for connecting families to appropriate services to stabilize the family and ensure the child's safety and well-being. States reported that plans typically address the infant's safety needs, immediate medical needs, and the caregiver's substance use treatment needs. However, officials in the 3 states GAO visited noted challenges, including uncertainty about what to include in plans and the level of intervention needed for infants at low risk of abuse or neglect.", "The Department of Health and Human Services (HHS) has provided technical assistance and guidance to states to implement these CAPTA requirements. Most states reported in GAO's survey that additional guidance and assistance would be very or extremely helpful for addressing their challenges. Nevertheless, HHS officials told GAO that the agency does not anticipate issuing additional written guidance, but that states can access technical assistance through their regional offices and the National Center on Substance Abuse and Child Welfare\u2014a resource center funded by HHS. However, of the 37 states that reported on the helpfulness of the assistance they have received, 19 said it was only moderately helpful to not helpful. States offered suggestions for improving the assistance, such as developing substance abuse training materials for staff and holding video conferences with other states to share information. In October 2017, HHS officials explained that some states have submitted plans that include details on how they are addressing the CAPTA requirements. HHS officials reported that some of the plans submitted to date indicated that states are not meeting the requirements and those states have been asked to develop program improvement plans. Without more specific guidance and assistance to enhance states' understanding of CAPTA requirements and better address known challenges such as the ones described in this report, states may miss an opportunity to provide more effective protections and services for the children and families most in need."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that HHS provide additional guidance and technical assistance to states to address known challenges and enhance their understanding of requirements. HHS did not concur with the recommendation. As discussed in the report, GAO continues to believe that added guidance would benefit states."]}], "report": [{"section_title": "Letter", "paragraphs": ["States reported that parental drug abuse was a factor associated with the removal of 32 percent of the children entering foster care in fiscal year 2015. In addition, the number of children under the age of 1 entering foster care increased by about 15 percent (from 41,235 to 47,219) from fiscal year 2012 through fiscal year 2015\u2014an increase that many researchers and child welfare professionals attribute to the opioid epidemic. Infants born to women who misuse drugs or alcohol during their pregnancy are particularly vulnerable. Many infants are born affected by substance exposure and experience withdrawal symptoms, referred to as substance-affected infants. A subset of these infants who were exposed to opioids in utero may be diagnosed with neonatal abstinence syndrome (NAS), a condition characterized by a range of symptoms, including excessive crying, irritability, and difficulties with breathing and feeding. The health, well-being, and safety of these infants may be jeopardized if they are sent home with parents with substance use disorders who do not have a system of support and are not in treatment or recovery.", "The Child Abuse Prevention and Treatment Act (CAPTA) is one of the key pieces of federal legislation that guides child protection and includes provisions related to substance-affected infants. Under CAPTA, state governors are required to provide an assurance to the Secretary of the Department of Health and Human Services (HHS) that their states have in effect and are enforcing a law or statewide program that requires (1) health care providers to notify child protective services (CPS) of all infants affected by substance use or withdrawal symptoms resulting from prenatal drug exposure, and (2) a plan of safe care be developed for all such infants, including the affected caregiver.", "You asked us to examine how states are implementing these CAPTA requirements. In this review, we examine (1) the extent to which states have adopted policies and procedures to notify CPS of substance- affected infants, and to guide how CPS officials respond once they receive a notification; (2) the extent to which states have adopted policies and procedures to develop plans of safe care for substance-affected infants, and any challenges associated with implementing such policies and procedures; and (3) steps HHS has taken to assist and monitor states\u2019 efforts in implementing CAPTA provisions related to substance- affected infants.", "To address these questions, we collected and analyzed information using several methods. To obtain information on all three research questions, we designed and administered a web-based survey of states directed toward CPS directors in all 50 states and the District of Columbia. The survey was conducted between March and May 2017, with 100 percent of states responding to the survey. The survey included open-ended and closed-ended questions about state laws, policies, and procedures regarding substance-affected infants; specific requirements or processes relating to infants affected by opioids; plans for ensuring the safety and well-being of substance-affected infants; data collection efforts; challenges to implementing CAPTA requirements; and assistance and guidance provided by HHS.", "To minimize nonsampling errors, we pretested the questionnaire with four states via telephone. We chose the pretest sites to include states with moderate to high rates of drug mortalities, moderate to high NAS rates, variation in state CPS administrative frameworks (two state-administered, one county-administered, and one hybrid partially administered by the state and partially administered by counties), and geographic variation (states from the mid-Atlantic, north, south, and west). In the pretests and expert reviews, we were generally interested in the clarity of the questions and the flow and layout of the survey. For example, we wanted to ensure that terms used in the survey were clear and known to the respondents, categories provided in closed-ended questions were complete and exclusive, and the ordering of survey sections and the questions within each section were appropriate. The web instrument was revised based on the pretests and expert reviews. We reviewed state officials\u2019 responses and conducted follow-up, as necessary, to determine that their responses were complete, reasonable, and sufficiently reliable for the purposes of this report. Specifically, we followed up with nine states via email and, in August 2017, conducted a semi-structured phone interview with one state.", "To obtain more in-depth information on all three research questions about state laws, policies or procedures, as well as challenges to implementing the CAPTA provisions, we conducted site visits to three states (Kentucky, Massachusetts, and Pennsylvania). These states were selected based on their high rates of drug mortalities in 2014 and NAS in 2012, the most recent and comprehensive publicly available data at the time of our analysis; recommendations from subject matter experts; and for variation in state CPS administrative frameworks (two state-administered or one county-administered). We also visited two localities in each state, selected based on their high rates of drug mortalities and counties with a high incidence of neonatal abstinence syndrome (NAS) or infants born drug exposed. During the site visits we interviewed state CPS directors, alcohol and drug abuse directors, and maternal and child health directors; local CPS staff; and hospital staff, including hospital social workers. The information gathered from interviews with officials from selected states and localities is not generalizable to all states and localities and is meant to provide illustrative examples.", "To learn about the steps HHS has taken to assist and monitor states\u2019 efforts in implementing CAPTA provisions related to substance-affected infants, we reviewed relevant documents, federal laws and regulations, guidance, and other information. In addition, we interviewed officials from the Department of Health and Human Services\u2019 (HHS) Administration for Children and Families (ACF) and the Substance Abuse and Mental Health Services Administration (SAMHSA) about oversight, technical assistance, and guidance regarding CAPTA provisions related to substance-affected infants. We also interviewed officials from the National Center on Substance Abuse and Child Welfare\u2014the technical assistance provider under contract with HHS.", "We conducted this performance audit from June 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Child Abuse Prevention and Treatment Act", "paragraphs": ["CAPTA, originally enacted in 1974, provides formula grants to states to improve child protective service systems. ACF administers the CAPTA state grant program and provides guidance and oversight to states. In fiscal year 2017, Congress provided about $25 million for the program.", "As part of the CAPTA state grant program, states are required to submit to the Secretary of HHS plans outlining how they intend to use CAPTA funds to improve their child protective service systems, among other things. State plans remain in effect for the duration of states\u2019 participation in the grant program; if modifications are needed, these must be submitted. In addition to state plans, states are required to submit to HHS an annual data report providing information on agency decisions made in response to referrals of child abuse and neglect, as well as preventive services provided to families, among other things.", "CAPTA requires state governors to provide a series of assurances in their state plans. Since 2003, governors have had to provide an assurance that states have in effect and are enforcing a state law or program that includes policies and procedures to address the needs of infants affected by prenatal substance abuse or displaying withdrawal symptoms at birth. Under states\u2019 policies and procedures, health care providers are required to notify CPS of such infants. Governors must also assure that a plan of safe care is developed for these infants. Although CAPTA does not define \u201cplans of safe care,\u201d for the purposes of this report we define them as plans to ensure the safety and well-being of infants who are born substance-affected.", "The Comprehensive Addiction and Recovery Act of 2016 (CARA) amended certain provisions of CAPTA that relate to substance-affected infants (see table 1).", "In addition to provisions related to substance-affected infants, CAPTA also requires governors to provide an assurance to the Secretary of HHS that they have provisions or procedures for certain individuals to report known and suspected instances of child abuse and neglect, which are generally referred to as mandated reporter laws. All states have statutes identifying persons who are required to report suspected child maltreatment to an appropriate agency, such as child protective services, a law enforcement agency, or a state\u2019s toll-free child abuse reporting hotline, according to a 2016 HHS report. Mandatory reporters often include social workers; teachers, principals, and other school personnel; physicians, nurses, and other health care workers; and counselors, therapists, and other mental health professionals. The circumstances under which a mandatory reporter must make a report vary from state to state, according to HHS. Typically, a report must be made when the reporter, in his or her official capacity, suspects or has reason to believe that a child has been abused or neglected. State laws require mandatory reporters to report the facts and circumstances that led them to suspect that a child has been abused or neglected; they do not have the burden of providing proof that abuse or neglect has occurred."], "subsections": []}, {"section_title": "CPS Notification and Screening Process", "paragraphs": ["CPS, a division within state and local social services, is generally the agency that conducts an initial assessment or investigation of reports of child abuse and neglect. It also offers services to families and children where maltreatment has occurred or is likely to occur. Typically, when CPS agencies receive a notification about suspected child abuse, including a substance-affected infant, social workers review the referral to determine if it should be accepted for investigation. During an investigation, social workers determine, among other things, the nature, extent, and cause of abuse or neglect, and identify the person responsible for the maltreatment. An investigation may include the following: a visit to the hospital and/or infant\u2019s home; observation of the infant; risk and safety assessments; evaluation of the home environment; background checks, including criminal record checks of adults that reside with the family; as well as mental health evaluations.", "If social workers determine that there is enough evidence to suggest that an infant is at risk for harm or neglect, or that abuse or neglect occurred, the case is substantiated. Once a case is substantiated, CPS develops a case plan with the family outlining objectives and tasks for the family. Among other things, CPS may refer the family to services in the community, such as early intervention services, parenting classes, and substance abuse treatment. Generally, CPS attempts to strengthen the family and alleviate the problems which led to maltreatment. If the case is not substantiated, but there is genuine concern about the child\u2019s situation and the family may benefit from services in the community, the case may be closed and/or the family may be referred for voluntary services (see figure 1)."], "subsections": []}, {"section_title": "Neonatal Abstinence Syndrome and Prenatal Drug Use", "paragraphs": ["Prenatal maternal opioid use has increased considerably in recent years. This increase has contributed to a significant rise in the rate of NAS. According to a recent study, the rate of NAS has increased from 1.2 per 1,000 hospital births in 2000 to 5.8 per 1,000 hospital births in 2012, reaching a total of 21,732 infants diagnosed with NAS.", "NAS occurs with considerable variability. According to a recent HHS report, various studies indicate that anywhere from 55 to 94 percent of infants exposed to opioids in-utero exhibit some degree of symptoms. Typically, infants with NAS develop symptoms within 72 hours of birth, but may develop symptoms within the first 2 weeks of life, including after hospital discharge. For the purpose of this report, infants exposed to opioids ingested by mothers in utero are considered substance-exposed, and those born negatively affected by exposure or experiencing withdrawal symptoms are considered substance-affected. According to experts, NAS is considered an expected and treatable result of women\u2019s prenatal opioid use.", "Opioid exposure during pregnancy may occur for the following reasons:", "Women receiving pain medication with a prescription under the care of a physician. Medications can include fentanyl and oxycodone.", "Women under the care of a physician and undergoing treatment for an opioid use disorder with medications, such as methadone or buprenorphine. This type of treatment is generally referred to as medication-assisted treatment (MAT).", "Women misusing opioid pain medications with or without a prescription (such as using without a prescription, using a different dosage than prescribed, or continuing to use a drug when no longer needed for pain).", "Women using or abusing illicit opioid, such as heroin."], "subsections": []}]}, {"section_title": "Most States Reported Having Policies About Notification and Investigation of Substance-Affected Infants", "paragraphs": [], "subsections": [{"section_title": "State Policies Generally Require or Encourage Health Care Providers to Notify Child Protective Services of Substance- Affected Infants", "paragraphs": ["In response to our survey, 42 states reported that state policies and procedures require health care providers to notify CPS about substance- affected infants. Some states reported that they explicitly require health care providers to notify CPS of substance-affected infants. For example, Wisconsin reported that under its state law if tests indicate that infants have controlled substances or controlled substance analogs in their bodily fluids, the health care provider shall report the occurrence of that condition to CPS. Others reported that the requirement is met by their states\u2019 mandated reporter law\u2014whereby people in certain positions, including health care providers, are required to notify CPS about substance-affected infants, similar to the manner in which other mandatory reporters, like school teachers, day care personnel, and social workers are required to report other instances of child abuse and neglect. For example, Kentucky statute requires that \u201cany person who knows or has reasonable cause to believe that a child is dependent, neglected, or abused shall immediately\u201d make a report to the police or CPS. The statutory definition for an abused or neglected child in Kentucky includes situations where a child\u2019s health or welfare is harmed or threatened with harm because of parental incapacity due to alcohol and other drug abuse.", "Of the 42 states that require health care providers to notify CPS of substance-affected infants, 21 reported that notification is required for infants affected by both illegal and legal use of opioids. For example, in Massachusetts health care providers are required to notify CPS orally and, in writing within 48 hours, about substance-affected infants physically dependent on drugs, even if the drugs were legally obtained and the mother is under the care of a prescribing medical professional. Sixteen of the 42 states reported that health care providers are required to notify CPS of infants affected only by the illegal use of opioids, and five of the 42 states reported that they did not know if health care providers were required to notify CPS of infants affected by the illegal and legal use of opioids.", "The other eight states reported that although they did not have policies and procedures that require health care providers to notify CPS about substance-affected infants, they have laws or policies that encourage notification. Specifically, in written responses to our survey:", "Two states reported that under their state mandated reporter laws health care providers are encouraged, but not required, to notify CPS about substance-affected infants.", "Four states reported that they are working to amend their states\u2019 policies and procedures to require that health care providers refer substance-affected infants to CPS.", "Another state reported that it encourages the notification from health care providers, but has not sought legislation to require health care providers to report substance-affected infants to CPS because of concerns that any laws that criminalize prenatal substance use would further deter substance-using pregnant women from seeking prenatal care. The state\u2019s law requires all hospital personnel who suspect abuse and neglect or observe conditions that are likely to result in abuse or neglect to notify CPS.", "One state reported that all persons, including health care providers, are required to report child abuse and neglect, but reporting depends on whether a hospital\u2019s policy indicates substance abuse is child abuse or neglect. Further, the state CPS director reported collaboration with the health care community on reporting substance exposed infants to its child abuse hotline.", "Although one state reported in our survey that it does not require or encourage health care providers to notify CPS about substance-affected infants, in an interview, state officials explained that its policy requires that health care providers notify CPS if, through an assessment, they conclude that infants are at risk for abuse and neglect. Under the state\u2019s law, health care providers in each county are required to assess the needs of mothers and substance-affected infants using a protocol established by county health departments, CPS agencies, and hospitals. State officials told us that under the state\u2019s law, the birth of a substance- affected infant is not in and of itself a sufficient basis for reporting child abuse or neglect.", "In addition to having policies and procedures regarding the reporting of substance-affected infants, in written responses to our survey some states reported providing training and guidance to support the efforts of health care providers to notify CPS about these infants. Three states reported that they offer mandatory reporter training to inform health care providers that they are obligated to notify CPS about substance-affected infants. Another state reported that its Department of Human Services developed a guide for mandated reporters that discusses what needs to be reported and where to make reports. Also, one state reported that it sent a formal letter to its state hospital association about how to report substance-affected infants to CPS. This state also sent a memo to its CPS county directors instructing them to contact their local health care providers on the importance of reporting substance-affected infants to CPS and the process for doing so. In addition, during our Massachusetts site visit, officials shared with us a memo that was sent to mandated reporters, community partners, and other stakeholders that offered guidance on when to file a report about substance-exposed infants. Further, local CPS staff at one Massachusetts field office told us that upon request they provide mandated reporter training to health care providers.", "Despite these policies, procedures, and guidance, in written responses to our survey, a few states reported concerns about requiring health care providers to notify CPS about substance-affected infants and the definition of substance-affected. All of the hospitals that we visited have policies consistent with their state\u2019s law that require that health care providers, primarily hospital social workers, to notify CPS about substance-affected infants. However, one state reported that some medical personnel have been reluctant to report some infants that are positive for illegal and legal substances due to fears of mothers being arrested. Another state reported that stakeholders are concerned that having to notify CPS about substance-affected infants will have a chilling effect on the willingness of pregnant women who use substances to be honest with providers and seek the help and support they need and deserve. According to one state, there is often an inherent resistance to contacting CPS in these cases as health care providers tend to view child welfare involvement as punitive rather than a potential resource for the family.", "In addition, three states reported in written responses to our survey challenges understanding how to define terms, such as substance- affected, under CAPTA. For example, the Pennsylvania CPS director expressed concerns during our site visit, suggesting that CAPTA raises many unanswered questions, such as (1) if \u201caffected by substances\u201d means at-risk of being or physically affected by substances, (2) what policies relating to substance-affected infants should look like and include, and (3) whether \u201caffected by substances\u201d should include women who are under the care of health care or treatment providers and taking their medications as prescribed. A Kentucky public health official told us that a drug test, or whether the infant is affected by legal or illegal substances, should not be the sole factor in determining CPS\u2019 involvement with a family. Rather, a holistic view of the family, whether the substance prohibits the mother\u2019s ability to care for her child, and any risk factors present that places the infant at risk should also be considered. According to officials, an infant that is exposed to substances, but has not been affected by the substance, can still be at risk for child abuse and neglect."], "subsections": []}, {"section_title": "States Reported Having Policies That Guide Decisions About Investigating Substance- Affected Infants and Their Families", "paragraphs": ["In response to our survey, 46 states reported that they have policies and procedures for deciding which notifications about substance-affected infants are accepted for investigation. Seventeen of those states reported that all notifications of substance-affected infants are accepted for investigation, regardless of the circumstances. The remaining 29 states reported that they apply specific criteria to determine if children who present as substance-affected are accepted for investigation by CPS.", "Several states reported in written responses to our survey that they base their criteria for accepting notifications on the infant\u2019s safety. For these states, drug exposure does not by itself indicate that an infant\u2019s safety is at risk. For example, one state explained that in determining a child\u2019s safety risk, staff evaluate a number of factors including the history of the family; the family\u2019s presentation at the birthing hospital (appearance of chaotic behavior, suspected intoxication of adults, lack of appropriate concern or bonding with the infant); the presentation of the infant\u2019s physical condition; the results of any testing of parent or child (blood, urine, etc.); discrepancies identified in the parent\u2019s representation of their substance use or substance use treatment; and any other concerns noted by the reporting source.", "Other states reported that their criteria for accepting notifications for investigation are based on the degree or type of drug exposure in question. For example, one state reported that its policy directs CPS agencies to accept notifications for investigation when a parent has used illegal substances or non-medical use of prescribed medication during the last trimester of pregnancy. Another state reported that it will accept notifications for investigation if the infant is born with a positive toxicology or is experiencing drug withdrawal, or if the mother tests positive for substances.", "A few states reported using both risk to the safety of infants as well as degree or type of drug as their criteria for accepting notifications. For example, one state reported that it considers factors, such as the type of drug, the parent\u2019s ability to care for the child, addiction history, and the parent\u2019s readiness and preparation to care for the infant.", "In follow-up correspondences with states that reported that they do not have policies and procedures to decide whether to accept for investigation notices about substance-affected infants, one state reported that decisions are made on a case-by-case basis.", "A few states reported that after receiving notifications about substance- affected infants, CPS agencies may decide to opt out of investigating some families, referred to as \u201cscreening out\u201d families. For example, in Massachusetts, CPS can \u201cscreen out\u201d referrals of mothers if the only substance affecting the infants was used by the mothers as prescribed by their physician. In these instances, when CPS in Massachusetts is notified by the hospital about an infant, the screener gathers information from the caller and consults with a supervisor to determine whether the referral should be accepted for investigation or screened out. If the mother is on methadone, for example, but is involved with services and is in a treatment plan, CPS verifies with medical or other qualified providers that the mother used the drug as part of substance abuse or medical treatment as authorized. Additionally, CPS confirms that there are no other concerns of child abuse and/or neglect. If CPS officials in Massachusetts are unable to collect all the information that they need to screen out families, for example when a mother does not sign a release allowing CPS officials to speak with her health care providers, notifications about substance-affected infants are accepted for investigation."], "subsections": []}]}, {"section_title": "Most States Reported Having Requirements to Develop Plans of Safe Care, but Officials We Interviewed Reported Challenges Meeting the Needs of All Families States Reported That CPS Agencies Develop Plans to Primarily Address Infants\u2019 Immediate Safety and Medical Needs and Caregivers\u2019 Substance Use", "paragraphs": ["In response to our survey, 49 states reported that their CPS agency has policies to develop a plan to ensure the safety and well-being of substance-affected infants who meet the state\u2019s criteria for investigation. Two states reported that CPS staff are not required to develop such a plan, even if a notification is accepted for an investigation or an assessment. For purposes of this report, we are defining a plan of safe care as a plan to ensure the safety and well-being of the infant. States\u2019 approaches to identifying children and families who will receive a plan of safe care generally fall into two categories:", "38 states reported that CPS is required to develop a plan of safe care for all notifications of substance-affected infants that are accepted for investigation, including those that are not substantiated.", "11 states reported that CPS staff are required to develop a plan of safe care only in those instances where an investigation substantiates the notification or uncovers an unmet need or present or emerging danger. For example, local Pennsylvania CPS officials told us that they only develop plans when there is a safety threat or other concern about the infant.", "Most states reported that after a notification of a substance-affected infant is accepted for investigation, CPS always conducts a needs assessment for the infant and caregivers. For example, one local CPS office that we visited told us that social workers assess risk to and safety of infants, their function (development, age appropriate behavior, etc.), and environment. In addition, workers assess the caregiver\u2019s ability to parent and employment status, as well as housing. The assessments conducted as part of the investigation inform the development of plans of safe care, as well as decisions about the removal of infants from the home.", "Among the 49 states that reported that plans of safe care are developed for all or some substance-affected infants, 47 reported that these plans either always or sometimes address infants\u2019 safety needs. Plans also address other needs, such as infants\u2019 immediate medical and longer-term developmental needs, as well as caregiver\u2019s substance use treatment needs. See figure 2 for the number of states whose plans of safe care address various issues facing the infant and parent.", "In written responses to our survey and during our site visits, officials reported that plans of safe care and referrals for services included in the plans are individualized based on the infant and family\u2019s needs. For example, Massachusetts state CPS officials told us that plans of safe care are developed for each family based on the information that staff collect from the safety, risk, and family assessments, as well as information collected from individuals who may have knowledge that would inform the family assessments, such as medical and treatment providers, and family members. Kentucky state CPS officials told us that the local organizations and service providers that they collaborate with to develop the plan of safe care also vary based on the family\u2019s needs. For example, Kentucky will only collaborate with substance use treatment providers to develop the plan of safe care when families have substance use disorders.", "Similarly, during our site visits, officials from two states told us that the decision to place an infant in foster care is based on the individualized needs of the infant and caregiver. For example, Massachusetts state officials told us that their decision to remove a baby from the home depends on a myriad of factors and is determined on a case-by-case basis. Officials explained that if a mother is discharged from the hospital and begins using drugs again and does not have adequate supports in place to care for her baby, CPS may decide to place the infant in foster care. However, if a mother has existing support systems in place to mitigate safety risks, CPS may decide to keep the baby in the home.", "In our survey, all 51 states reported that their agencies either always or sometimes refer parents or caregivers to substance use treatment programs, and most states reported that they always or sometimes refer parents or caregivers to parenting classes or programs (49), and other supportive services (49). CPS officials in each of the three states that we visited told us that their plans of safe care include referrals to address not only the immediate needs of the infants, but also the needs of the parent or caregiver. For example, officials from a local Kentucky CPS agency told us that staff refer mothers of substance-exposed infants to a program called Sobriety Treatment and Recovery Team (START). START is comprised of a social worker and a peer support mentor who has at least 3 years of sobriety, previous involvement with CPS, and was successfully able to regain or keep custody of her own children. According to officials, the START program has been able to provide participants with quick access to substance use disorder treatment.", "Officials from a Massachusetts local CPS agency told us that one of the services that they provide to parents of substance-affected infants is a parent aide who can help monitor how the parent is caring for the infant, such as administering the infant\u2019s medications appropriately and ensuring the parent is not abusing the infant\u2019s drugs. In addition, a parent aide can provide emotional support and help parents adjust after the infant is discharged from the hospital. Kentucky officials noted the effect that a healthy caregiver has on the outcome of the infant and emphasized that a baby cannot be healthy if the mother is not. Kentucky CPS officials said that they have found that the earlier caregivers enter treatment, the better the outcomes are for mothers and babies. According to Kentucky officials, parents who participate in the START program are less likely to have their child placed in foster care."], "subsections": [{"section_title": "CPS Officials Reported Challenges Involving Caseloads, Developing Plans, and Confidentiality Restrictions", "paragraphs": ["Officials from the states that we visited told us that developing and monitoring plans of safe care under CAPTA\u2019s new requirements for infants affected by their mother\u2019s legal use of prescribed medications, as well as plans for these infants\u2019 caregivers, present challenges. Specifically, officials reported concerns about increased caseloads, particularly if they are required to provide plans and services for infants at low risk of abuse or neglect, the content of plans, and confidentiality restrictions."], "subsections": [{"section_title": "Increased Caseloads", "paragraphs": ["Thirty-one of 50 states reported on our survey that staffing or resource limitations was very or extremely challenging, and CPS officials across the 3 states we visited said that the opioid epidemic has directly contributed to increased caseloads. According to a local Kentucky CPS office, the number of babies that met criteria for being accepted for investigation has increased about 55 percent from 2011 to 2016, while the number of staff has remained the same. Similarly, hospitals reported being impacted by this challenge. For example, staff at four hospitals we visited told us that they have delayed discharging infants from the hospital because CPS social workers did not identify caregivers to whom infants may be released or make plans for infants in a timely manner. In addition, staff from three hospitals told us that some CPS workers are difficult to contact and not especially responsive to their questions. One hospital social worker told us that she is concerned that the changes to CAPTA that require notifying CPS of all substance-affected newborns will inundate the agencies with cases.", "Officials from two of the three states we visited anticipated that providing services to infants affected by the legal use of prescribed medications, but not likely to be at risk for child abuse and neglect, will result in an increase in the number of families referred to CPS. This, in turn, will require a plan of safe care and further strain limited resources. Twenty- five states reported in our survey that the plan they develop for substance-affected infants is the same as for other children in CPS care, suggesting that states devote the same level of resources to these infants as other cases.", "The states we visited interpret CAPTA to require that plans of safe care be developed for all substance-affected infants who are referred to CPS, including those who may not meet usual criteria to be accepted for an investigation. Some state officials we interviewed questioned whether the new CAPTA requirements would allow for the best use of limited resources. For example, one senior state CPS official questioned whether it would be a good use of resources to develop plans of safe care for mothers in substance use disorder treatment or mothers using opioid medications due to chronic pain. A local CPS official we interviewed stated that drug exposure, in and of itself, is not necessarily a safety risk, and CPS should not intervene with families who are not at risk for child abuse or neglect. Instead, hospitals or treatment providers should intervene and refer families who do not meet criteria for CPS involvement, but could benefit from additional supports, to voluntary services. Kentucky public health officials told us that the period after a woman gives birth is a critical time for families as mothers may be stressed, sleep-deprived, exhausted, and may have other children in the home. This period may be especially challenging for mothers with substance use disorders, if adequate supports are not in place. According to officials women are typically covered for substance use treatment during pregnancy; however, this coverage ends roughly 60 days after the baby is born.", "In written responses to our survey, some states reported that they would rely on other agencies to develop plans of safe care. Similarly, in order to manage limited CPS resources, officials from two of the three states that we visited said they are considering having hospitals or other agencies assume responsibility for developing plans of safe care when there is no evidence of abuse or neglect and there appears to be minimal risk to the safety and well-being of the infant. Kentucky officials told us that they envision that CPS will be responsible for developing a plan of safe care for notifications that are accepted for investigation, while hospitals, or another agency, will be responsible for developing plans of safe care for referrals that are screened out by CPS. According to CPS state officials, the plan of safe care for the infant and the family can be part of the discharge plan prior to the family leaving the hospital. However, officials reported that obtaining cooperation from other agencies may be difficult. Some state officials reported being concerned that other agencies may not feel obligated to develop these plans, in part, because CAPTA provides funding to child welfare, and other agencies may therefore believe that child welfare should be responsible for developing the plan of safe care."], "subsections": []}, {"section_title": "Determining What to Include in the Plan of Safe Care", "paragraphs": ["CPS officials we interviewed in two of our site visit states, as well as one state we followed up with, told us that they were unsure of whether their current plans will meet new CAPTA requirements because CAPTA does not define a plan of safe care. For example, Massachusetts officials said that their plans include everything that a family might need to ensure the safety of the child, including resources to ensure stabilization and reunification of a family, but they are not sure whether the plans meet new CAPTA requirements, in part because they are not familiar with the term \u201cplan of safe care.\u201d An official in another state was also unsure about whether his state\u2019s \u201csafety plans\u201d would meet CAPTA requirements. According to the official, safety plans may include a treatment plan for mothers, and referral services, such as early intervention for the child. In practice, plans of safe care generally address gaps that place an infant at risk for harm or neglect. However, state officials we interviewed reported being unsure about what a plan of safe care should look like for families where these gaps do not exist. Also, in a written response to our survey, one state expressed uncertainty about CPS\u2019 role if required to work with infants who do not typically receive CPS services. For example, a Pennsylvania official said that it is unclear what types of interventions child welfare should conduct with families of infants exposed to legal substances, such as medications prescribed by doctors, when the caregivers are taking their medications correctly.", "Similarly, officials also questioned whether a plan would be necessary, and what the plan would entail, for caregivers who are already addressing their substance use disorder and taking steps to ensure their infant\u2019s safety. Officials from a local Kentucky CPS office described a case in which a mother was participating in medication-assisted treatment, had attended counseling three times per week throughout her pregnancy, and was continuing treatment in the postpartum period. Through CPS\u2019 investigation, the agency found that the case was not substantiated, in part, because there were no additional services that CPS could connect her with that she was not already receiving."], "subsections": []}, {"section_title": "Confidentiality Restrictions", "paragraphs": ["Officials across the three states we visited also said that state and federal drug and alcohol confidentiality restrictions may challenge their ability to monitor plans of safe care. To monitor plans of safe care, CPS staff may need access to confidential information in order to know how caregivers are progressing in treatment, particularly now that these plans must address the substance use disorder needs of the caregiver. However, federal law restricts the disclosure and use of alcohol and drug patient records maintained in connection with the performance of any federal- assisted alcohol and drug abuse program. Generally, confidential information may be disclosed in accordance with the prior written consent of the patient. State and local CPS staff we interviewed said that strict confidentiality requirements make it challenging for drug and alcohol treatment providers to share information about mothers and infants. A CPS state director from Pennsylvania said that treatment providers are often reluctant to provide CPS case workers with information or updates on a mother\u2019s treatment, which prevents child welfare workers from fully understanding how mothers are progressing with their treatment and the extent to which those in treatment are adhering to prescribed directions as outlined by treatment providers.", "In addition, one official from a state we visited said state statutes regarding sharing of drug and alcohol treatment information may be more restrictive than the federal statute. Some states have developed ways to obtain confidential information about mothers in substance use disorder treatment. For example, officials from one local CPS office told us that in instances when they have to develop a long-term plan of safe care for families, they have mothers sign a release of information form in order to obtain updates about her treatment adherence from the medication- assisted treatment provider. Similarly, a local Massachusetts CPS office told us that typically staff obtain releases from mothers so that they can verify whether mothers are actively participating in their treatment and that there are no records of relapse."], "subsections": []}]}]}, {"section_title": "Although HHS Has Provided Technical Assistance and Guidance to Assist States\u2019 Efforts to Implement CAPTA, States Want More Help", "paragraphs": [], "subsections": [{"section_title": "HHS Provided Technical Assistance Through a Resource Center and ACF Issued Formal Guidance and Began Its Oversight Efforts", "paragraphs": ["In HHS\u2019 role to assist states in the delivery of child welfare services, two agencies\u2014ACF and the Substance Abuse and Mental Health Services Administration (SAMHSA)\u2014provided technical assistance to states through the National Center on Substance Abuse and Child Welfare (NCSACW). In addition, in ACF\u2019s role to administer and monitor states\u2019 implementation of CAPTA, the agency has provided some guidance to states on the provisions pertaining to substance-affected infants and has begun its monitoring responsibilities."], "subsections": [{"section_title": "Technical Assistance", "paragraphs": ["ACF and SAMHSA, which leads public health efforts to reduce the impact of substance abuse and mental illness, established the NCSACW in 2002. The NCSACW provides technical assistance to states, and has issued publications and hosted forums to help states develop policies and procedures around issues affecting substance-affected infants. The technical assistance has focused on a broad range of issues, including collaboration among service providers, and plans of safe care. With respect to collaboration, NCSACW has issued several studies that identify opportunities for strengthening interagency efforts to prevent, intervene, identify, and treat prenatal substance exposure. The NCSACW collaboration guides encourage states to involve CPS agencies with medical providers in an interagency collaborative setting, thereby facilitating the process for CPS agencies to be notified of substance- affected infants. Regarding plans of safe care, NCSACW has provided technical assistance and best practices to states around development of these plans. For example, in one state it has facilitated discussion groups to help the state develop a model plan.", "From calendar year 2011 to 2016, NCSACW processed approximately 600 requests from state CPS agencies for short-term technical assistance related to improving care for substance-affected infants and their families. This short-term technical assistance included activities such as responding to telephone inquiries, mailing information, identifying needed resources, and making referrals. The NCSACW has also provided in- depth assistance to 16 states to strengthen collaboration and linkages across child welfare, addiction treatment, medical communities, early care and education systems, and family courts to improve outcomes for substance-affected infants and their families. Through this in-depth assistance, NCSACW identified areas for improvement in states, including a lack of clarity regarding compliance with CAPTA requirements (such as identification, notification, and developing plans of safe care) and the need for state models to comply with CAPTA requirements to develop plans of safe care. In one state, the project overview report indicated that a next step for the in-depth technical assistance is to continue development of the plan of safe care model and ensure practices and protocols are in place across systems to meet CAPTA requirements. The report indicated that this will include ongoing work with hospitals to ensure consistent identification of infants with prenatal exposure and notifications to CPS.", "Although18 states reported in our survey that technical assistance from the NCSACW was very or extremely helpful, 11 reported that it was moderately helpful, 7 reported that it was slightly helpful, and 1 reported that it was not at all helpful. Eleven states reported that they were not familiar with this assistance."], "subsections": []}, {"section_title": "Guidance", "paragraphs": ["Since July 2016, when the most recent amendments to CAPTA were enacted, ACF has issued one information memorandum and two program instructions to states about provisions relating to substance-affected infants. According to an ACF official, information memoranda share information with states, while program instructions provide interpretations of the law and inform states of actions they must take. ACF issued an August 2016 information memorandum informing states of the 2016 amendments to CAPTA. The August 2016 information memorandum also provided states with best practices, drawing on an NCSACW guide on collaboration for developing multi-systemic approaches to assist child welfare, medical, substance use disorder treatment, and other systems to support families affected by opioid use disorders.", "In January 2017, ACF issued a program instruction which provided guidance to states on implementing the 2016 amendments to CAPTA made by CARA and informed states of the flexibilities that they have under the law. Particularly, the guidance noted that: \u201cCAPTA does not define \u2018substance abuse\u2019 or \u2018withdrawal symptoms resulting from prenatal drug exposure.\u2019 We recognize that by deleting the term \u2018illegal\u2019 as applied to substance abuse affecting infants, the amendment potentially expands the population of infants and families subject to the provision [that states have policies and procedures in place to address their needs]. States have flexibility to define the phrase, \u2018infants born and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure,\u2019 so long as the state\u2019s policies and procedures address the needs of infants born affected by both legal (e.g., prescribed drugs) and illegal substance abuse.\u201d \u201cWhile CAPTA does not specifically define a \u2018plan of safe care,\u2019 CARA amended the CAPTA state plan requirement . . . to require that a plan of safe care address the health and substance use disorder treatment needs of the infant and affected family or caregiver.\u201d \u201cCAPTA does not specify which agency or entity must develop the plan of safe care; therefore the state may determine which agency will develop the plans. We understand that in most instances the state already has identified the responsible agency in its procedures. When the state reviews and modifies its policies and procedures to incorporate the new safe care plan requirements in CARA, the state may wish to revisit its procedures regarding which agency develops the plan of safe care, including any role for agencies collaborating with CPS in caring for the infant and family.\u201d", "In addition, in April 2017, ACF issued a program instruction on reporting requirements, including changes in those requirements brought about by the 2016 amendments to CAPTA."], "subsections": []}, {"section_title": "Monitoring", "paragraphs": ["ACF conducted limited monitoring of states prior to the amendments passed in 2016. According to ACF officials, if presented with evidence of potential deficiencies, the agency would attempt to learn more about the state\u2019s activities. In one instance, ACF reviewed South Carolina\u2019s policies and found them to not be in compliance with the notification and safe care plan requirements of CAPTA. It directed the state to develop a program improvement plan to bring it into full compliance, which South Carolina submitted in April 2016. In a recent progress report (February\u2013April 2017), South Carolina reported that it was focused on updating statutes, developing policies and procedures, training child protective service workers, and building relations with health care providers.", "In response to the 2016 amendments to CAPTA that added the requirement for HHS to monitor state policies and procedures to address the needs of substance-affected infants, ACF officials told us that staff in regional offices will review states\u2019 annual reports, submitted in June 2017. In its program instruction describing the reporting requirements, ACF asked each state to submit a new Governor\u2019s Assurance, as well as a narrative explaining what they have done in response to the amendments. Specifically, ACF asked states to provide information on any changes that were made in state laws, policies, or procedures related to identifying and referring infants affected by substance abuse to CPS as a result of prenatal drug exposure. It also requested updates on states\u2019 policies and procedures regarding the development of plans of safe care; a description of how states have developed systems to monitor plans of safe care; and a description of any outreach or coordination efforts the states have taken to implement the amendments, among other things. According to ACF officials, as of October 1, 2017, some states have provided information and a Governor\u2019s Assurance demonstrating compliance with the amended provisions and some states have been placed on Program Improvement Plans, but the agency does not yet have information on the status of all states. An ACF official explained that, in their annual reports, some states either acknowledged that they are trying to get legislation enacted to bring them into compliance with the law and it has failed, or that they are not in compliance, for example, because they were limiting their policies to those infants affected only by illegal substances.", "In addition, in May 2017, ACF issued a technical bulletin informing states of the new data collection requirements that resulted from the 2016 amendments to CAPTA. ACF stated that it intends to collect data required by the amendments to CAPTA through the National Child Abuse and Neglect Data System, beginning with states\u2019 submission of fiscal year 2018 data. This system is maintained by ACF and contains data from states about children who have been abused or neglected. ACF issued a Federal Register notice about the proposed data elements and requested comments on the accuracy and quality of the proposed data collection, among other things; the comment period closed in July 2017. In the Federal Register notice, ACF notes that the 2016 amendments to CAPTA require it to collect information from state CPS agencies on the number of notifications from health care providers that are accepted for investigation or screened out. Further, of those infants screened in, ACF is required to collect data on the number of safe care plans developed for substance- affected infants as well as the number of infants for whom a referral was made for appropriate services, including services for the affected family or caregiver. In the Federal Register notice, ACF proposed to collect this information using a combination of existing and new data from states.", "Thirty-two states reported in our survey that they already collect data on the incidence of substance-affected and/or substance-exposed infants; 15 of those 32 states also collect data on the incidence of NAS. Further, 18 states reported that they collect data on the number of notifications health care providers make to CPS. Of those states, 8 reported that they collect specific data on notifications related to infants diagnosed with NAS."], "subsections": []}]}, {"section_title": "States Reported the Need for Additional Guidance and Assistance from HHS to Address Implementation Challenges", "paragraphs": ["Most states reported in our survey that additional guidance and assistance would be extremely or very helpful (see figure 3). For example, 38 states reported that additional guidance on requirements for health care providers to notify CPS of substance-affected infants would be extremely or very helpful. Similarly, 37 states reported that additional guidance on developing, implementing, and monitoring plans to ensure the safety and well-being of substance-affected infants would be extremely or very helpful.", "In written responses to our survey, states suggested ideas for additional guidance, training, and technical assistance to help them address the needs of substance-affected infants. States\u2019 suggestions ranged from assisting in the development of substance abuse training curriculum for staff to video conferences with other states to share information about implementing CAPTA. A few states suggested that the guidance ACF has provided to date is not clear and reported grappling with the meaning of terms such as \u201caffected\u201d and \u201clegal vs. illegal\u201d substances, and two states requested \u201cconcrete guidance\u201d and \u201cspecificity.\u201d A few other states suggested that it would be helpful to obtain additional information about meeting the requirements of plans of safe care within the constraints of state and federal confidentiality laws, technical assistance on what plans of safe care look like, and a format for a plan of safe care.", "ACF officials told us that states have flexibility with implementing the law and the agency does not anticipate issuing additional written guidance on the amendments to CAPTA made by CARA. ACF officials explained, in October 2017, that they were finalizing their review of the plans that states were required to submit. These plans are expected to include details on how the states are addressing the CAPTA requirements. While ACF could not provide the number, officials reported that some of the state plans submitted to date did not meet the requirements and those states have been asked to develop program improvement plans. They expect states to work with the ACF regional offices, which will provide or facilitate technical assistance to states on their implementation of the provisions, as needed. In addition to the review of state plans, ACF officials explained that regional officials may learn about states\u2019 needs for technical assistance through meetings or informational exchanges.", "Finally, the NCSACW is expected to review and prepare a summary of CAPTA state plans, current state statutes and policies and procedures relating to amended CAPTA requirements. In addition, according to ACF, NCSACW will continue to offer technical assistance on the development and implementation of plans of safe care to states. Technical assistance may include responding to requests for information, disseminating written materials and resources, and conducting webinars/conference calls. Further, ACF reported that some states will receive more in-depth technical assistance, albeit in some instances on a time-limited basis. Undertaking these actions can enhance states\u2019 understanding of CAPTA requirements and better address known challenges such as the ones described in this report. However, more specific guidance from HHS on the issues which states have expressed confusion can assist them in better understanding CAPTA requirements and providing more effective protections and services for the children and families most in need."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The opioid epidemic has generated a significant increase in the number of substance-affected infants born and diagnosed with NAS. These vulnerable infants may be at risk for child abuse and neglect if adequate supports and services are not available to ensure their safety. CAPTA requires states to have policies and procedures to address the needs of these infants and their families, including mothers with a substance use disorder. However, states have experienced challenges implementing new CAPTA requirements. Many states reported in our survey that they are not completely adhering to the law. This is reflected in ACF\u2019s review of state plans, some of which are resulting in program improvement plans. States cite challenges that stem, in part, from ACF\u2019s lack of specificity in providing guidance on implementing CAPTA requirements. Specifically, states report that ACF has not provided clear guidance about which substance-affected infants health care providers are required to notify CPS about, as well what a plan of safe care is and for whom it should be developed. Given the challenges that states reported facing in implementing the provisions, a majority reported wanting more help from ACF, such as trainings and teleconferences with other states, to help overcome their challenges. Additional guidance and assistance from HHS would help states better understand what they need to do to develop policies and procedures that meet the needs of children and families affected by substance use."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Secretary of HHS should direct ACF to provide additional guidance and technical assistance to states to address known challenges and enhance their understanding of CAPTA requirements, including the requirements for health care providers to notify CPS of substance- affected infants and the development of a plan of safe care for these infants."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS\u2019s comments are reproduced in appendix I. HHS also provided technical comments, which we incorporated into our report where appropriate.", "HHS did not concur with our recommendation. HHS stated that: in January 2017, ACF clarified in guidance several of the issues raised in the report, including the population of infants and families covered by the provision and the state flexibility inherent in determining which infants are \u201caffected by\u201d substance abuse, and the terminology used in the federal law of what a \u201cplan of safe care\u201d is;", "ACF believes it is necessary to allow states the flexibility to meet the requirements in the context of their state CPS program; several of the challenges that the GAO notes are not specific to CAPTA compliance with the safe care plan and notification requirements; and it does see the value in continuing to provide technical assistance to states to address known challenges and to enhance their understanding of CAPTA requirements.", "With respect to HHS\u2019 January 2017 guidance, state officials reported in our survey and during site visits that they found some terms unclear and were uncertain about what is required of them. In written responses to our survey, states reported challenges understanding how to define substance-affected under CAPTA. In addition, as we note in our report, the guidance about plans of safe care described the following: \u201cWhile CAPTA does not specifically define a \u2018plan of safe care,\u2019 CARA amended the CAPTA state plan requirement . . . to require that a plan of safe care address the health and substance use disorder treatment needs of the infant and affected family or caregiver.\u201d States reported in our survey and in follow-up discussions that this lack of specificity remained an ongoing challenge for them. For example, as we discuss in our report, one state that we followed up with in August 2017 was still unsure about whether its safety plans would meet CAPTA requirements for plans of safe care. In addition, as of October 2017, HHS confirmed that some state plans did not meet CAPTA requirements and that the states were asked to develop program improvement plans. Accordingly, a key ongoing challenge was not addressed by the January guidance.", "Regarding allowing states flexibility to meet CAPTA requirements, we acknowledge in our report that HHS said that states have flexibility. However, in our survey and site visits, states indicated that they would find it helpful for HHS to provide them with greater specificity around terms, including the degree of flexibility they are allowed. States added that this would include parameters within which they can develop policies and procedures that meet CAPTA requirements. We continue to believe that additional guidance addressing these concerns would benefit states and could be provided without imposing additional mandates.", "Concerning HHS\u2019 third point that some of the issues raised in the report are not specific to CAPTA, the states we visited interpret CAPTA to require that plans of safe care be developed for all substance-affected infants who are referred to CPS. During our discussions with states and in responses to our survey, state officials did not delineate which federal requirement impacted their approach to serving children and families. As stated in our conclusion, vulnerable infants may be at risk for child abuse and neglect if adequate supports and services are not available to ensure their safety.", "Lastly, HHS indicated that it will continue to provide technical assistance to states and fund demonstration sites to establish or enhance collaboration across community agencies and courts. Although continuing to provide technical assistance to states should be beneficial, our findings demonstrate that additional guidance is also needed. For example, 38 states reported that additional guidance on requirements for health care providers to notify CPS of substance-affected infants would be extremely or very helpful. Similarly, 37 states reported that additional guidance on developing, implementing, and monitoring plans to ensure the safety and well-being of substance-affected infants would be extremely or very helpful.", "Overall, given the results of our review, we continue to believe our recommendation is warranted. Effective implementation of our recommendation should help states better implement protections for children.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees and the Secretary of Health and Human Services. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Kathryn A. Larin, (202) 512-7215 or larink@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Sara Schibanoff Kelly (Assistant Director), Ramona L. Burton (Analyst-in-Charge), Kay E. Brown, Hannah Dodd, Ada Nwadugbo, and Srinidhi Vijaykumar made key contributions to this report. Also contributing to this report were Sandra L. Baxter, James Bennett, Gina Hoover, Jessica Orr, Rhiannon Patterson, Jean McSween, and James Rebbe."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-616T", "url": "https://www.gao.gov/products/GAO-18-616T", "title": "High Risk: Agencies Need to Continue Efforts to Address Management Weaknesses of Federal Programs Serving Indian Tribes", "published_date": "2018-06-13T00:00:00", "released_date": "2018-06-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["GAO's High Risk List identifies federal program areas that are high risk due to their vulnerability to mismanagement, among other things. GAO added the federal management of programs that serve Indian tribes and their members to its February 2017 biennial update of high-risk areas in response to management weaknesses at Interior and HHS.", "This testimony provides examples of actions taken and progress made by these agencies to address the five criteria GAO uses for determining whether to remove a high-risk designation (leadership commitment, capacity, action plan, monitoring, and demonstrated progress).", "To conduct this work, GAO drew on findings from GAO reports issued from September 2011 through September 2017 and updated that work by reviewing agency documentation and interviewing agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO designated the federal management of programs that serve tribes and their members as high risk, and officials from the Department of the Interior's Office of the Assistant Secretary-Indian Affairs (Indian Affairs), the Bureau of Indian Education (BIE), the Bureau of Indian Affairs (BIA), and the Department of Health and Human Services' (HHS) Indian Health Service (IHS) expressed their commitment to addressing the issues that led to the designation. Since GAO last testified before this committee on September 13, 2017, Indian Affairs, BIE, BIA, and IHS have demonstrated varying levels of progress to partially meet most or all of the criteria for removing a high-risk designation. However, additional progress is needed to fully address management weaknesses, particularly in the areas of leadership commitment and capacity.", "Leadership commitment . To meet the leadership commitment criterion for removal of a high-risk designation, the agency needs to have demonstrated strong commitment and top leadership support to address management weaknesses. Indian Affairs, BIE, BIA, and IHS each took some actions to partially meet the leadership criterion. For example, the BIE Director formed an internal working group, convened meetings with other senior leaders within Indian Affairs, and publicly stated that his agency is committed to ensuring the implementation of prior GAO recommendations on Indian education. In addition, BIA officials demonstrated leadership commitment by, for example, issuing a memorandum requiring the use of a centralized data management system to track requests for land ownership records. To fully meet the leadership commitment criterion, all the agencies need, among other things, stable, permanent leadership that has assigned the tasks needed to address weaknesses and that holds those assigned accountable for progress.", "Capacity . To meet the capacity criterion, an agency needs to demonstrate that it has the capacity (i.e., people and other resources) to resolve its management weaknesses. Indian Affairs, BIE, BIA, and IHS each made progress identifying capacity and resources to partially meet the capacity criterion. For example, BIE hired school safety officers and personnel in offices supporting the oversight of school spending. BIA conducted a survey to identify workforce needs related to energy development to support staffing decisions for the recently created Indian Energy Service Center. IHS officials told us that the agency is expanding the role of internal audit staff within its enterprise risk management program to augment internal audits and complement audits by the HHS Inspector General and GAO. However, all the agencies have vacancies in key offices. For example, BIA officials said the agency does not have the staff or resources to implement a comprehensive workforce planning system to ensure it has staff in place at its agency offices to meet its organizational needs concerning numerous activities, including energy resources. To fully meet the capacity criterion, all the agencies need to assess tradeoffs between these and other administration priorities in terms of people and resources, and should provide key information to decision makers on resources needed to address the criteria and related management weaknesses."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made 52 recommendations to improve management weaknesses at some Interior and HHS agencies, of which 34 are still open. Some of these weaknesses led to the agencies' placement on the High Risk List. GAO sees varying levels of progress at the agencies in understanding what they need to do to be removed from the list and will continue to closely monitor their progress."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the status of actions by the Departments of the Interior (Interior) and Health and Human Services (HHS) to address issues that led to the high-risk designation we made related to the federal management of programs that serve tribes and their members. We added this area to our High Risk List in February 2017 because of our concern about the ability of agencies within these departments to manage (1) education and health care programs that serve tribes and their members and (2) Indian energy resources. In particular, we found numerous weaknesses in how Interior\u2019s Bureau of Indian Education (BIE) and Bureau of Indian Affairs (BIA)\u2014under the office of the Assistant Secretary-Indian Affairs (Indian Affairs)\u2014managed education programs and energy resources and how HHS\u2019s Indian Health Service (IHS) managed health care services. We reported that these management weaknesses jeopardized the health and safety of American Indians served by these programs and limited opportunities for tribes and their members to use energy resources to create economic benefits and improve the well-being of their communities. This testimony provides examples of actions taken and progress made by these agencies to address the five criteria we use for determining whether to remove a high- risk designation (leadership commitment, capacity, action plan, monitoring, and demonstrated progress).", "In 2016, Congress found in the Indian Trust Asset Reform Act that \u201cthrough treaties, statutes, and historical relations with Indian tribes, the United States has undertaken a unique trust responsibility to protect and support Indian tribes and Indians.\u201d As further stated in that act, the fiduciary responsibilities of the United States to Indians arise in part from commitments made in treaties and agreements, in exchange for which Indians surrendered claims to vast tracts of land. The act notes that this history of federal-tribal relations and understandings has benefitted the people of the United States and established \u201cenduring and enforceable ederal obligations to which the national honor has been committed.\u201d Through improvements to federal management of programs that serve tribes and their members, agencies can improve the efficiency of federal programs under which services are provided to tribes and their members.", "Such improvements would be consistent with the expressed view of Congress as to the federal government\u2019s trust responsibilities and would strengthen confidence in the performance and accountability of the federal government. In light of this unique trust responsibility and concerns about the federal government\u2019s management of Indian education and health care programs and Indian energy resources, and because these issues uniquely affect tribal nations and their members, we added the federal management of programs serving tribes and their members as a high-risk area in February 2017.", "The focus of this high-risk area is on management weaknesses within federal agencies that administer programs that serve tribes and their members. However, not all federal programs are administered by federal agencies. In accordance with federal Indian policy that recognizes the right of Indian tribes to self-government and that supports tribal self- determination, a number of tribes have elected to take over the administration of certain federal programs and services from BIA, BIE, and IHS. Our recommendations identified in the high-risk area are neither reflective of the performance of programs administered by tribes nor directed at any tribally operated programs and activities.", "We have ongoing work reviewing tribes\u2019 use of selected legal mechanisms to take over the administration of federal programs from BIA and assume control and decision-making authority over surface leasing of their lands. In addition, we have ongoing work related to health care programs that serve tribes and their members. Specifically, we are reviewing: (1) provider vacancies in IHS; (2) the use of advance appropriation authority for federal health programs and any applications to IHS; (3) how IHS compares with the Veterans Health Administration, Medicare, and Medicaid in terms of overall structure, user characteristics and service utilization, and funding levels; and (4) access to care for American Indian veterans. The results of these reviews will help inform future updates to the High Risk List.", "For this statement, we drew on findings from our reports issued from September 2011 through September 2017 and updated that work by reviewing agency documentation and interviewing agency officials. To conduct our previously issued work, on which this testimony draws, we reviewed relevant federal laws, regulations, and policies; reviewed agency documentation; and interviewed tribal, federal, and industry officials, among others. More detailed information on the scope and methodology of our work can be found in each of the reports cited in our High-Risk Series report. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Since 1990, generally every 2 years at the start of a new Congress, we call attention to agencies and program areas that are high risk due to their vulnerability to mismanagement or that are most in need of transformation. Our high-risk program is intended to help inform the congressional oversight agenda and to improve government performance. Since 1990, a total of 61 different areas have appeared on the High-Risk List. Of these, 24 areas have been removed, and 2 areas have been consolidated. On average, the high-risk areas that were removed from the list had been on it for 9 years.", "Our experience with the High-Risk List over the past 25 years has shown that the key elements needed to make progress in high-risk areas are top-level attention by the administration and agency leaders grounded in the five criteria for removing high-risk designations, which we reported on in November 2000. When legislative and agency actions, including those in response to our recommendations, result in significant progress toward resolving a high-risk problem, we will remove the high-risk designation. However, implementing our recommendations alone will not result in the removal of the designation, because the condition that led to the recommendations is symptomatic of systemic management weaknesses. In cases in which we remove the high-risk designation, we continue to closely monitor the areas. If significant problems again arise, we will consider reapplying the high-risk designation. The five criteria for removing high-risk designations are:", "Leadership commitment. Demonstrated strong commitment and top leadership support to address the risks.", "Capacity. Agency has the capacity (i.e., people and other resources) to resolve the risk(s).", "Action plan. A corrective action plan that defines the root causes, identifies effective solutions, and provides for substantially completing corrective measures in the near term, including steps necessary to implement solutions we recommended.", "Monitoring. A program has been instituted to monitor and independently validate the effectiveness and sustainability of corrective measures.", "Demonstrated progress. Ability to demonstrate progress in implementing corrective measures and in resolving the high-risk area.", "These five criteria form a road map for efforts to improve and ultimately address high-risk issues. Addressing some of the criteria leads to progress, and satisfying all of the criteria is central to removal from the list. Figure 1 shows the five criteria for removal for a designated high-risk area and examples of agency actions leading to progress toward removal.", "Importantly, the actions listed are not \u201cstand alone\u201d efforts taken in isolation of other actions to address high-risk issues. That is, actions taken under one criterion may be important to meeting other criteria as well. For example, top leadership can demonstrate its commitment by establishing a corrective action plan, including long-term priorities and goals to address the high-risk issue and by using data to gauge progress\u2014actions that are also vital to addressing the action plan and monitoring criteria. When an agency meets all five of these criteria, we can remove the agency from the High Risk List. We rate agency progress on the criteria using the following definitions:", "Met. Actions have been taken that meet the criterion. There are no significant actions that need to be taken to further address this criterion.", "Partially Met. Some, but not all, actions necessary to meet the criterion have been taken.", "Not Met. Few, if any, actions toward meeting the criterion have been taken."], "subsections": []}, {"section_title": "Agencies Made Some Progress Addressing the Management Weaknesses That Led to the 2017 High Risk Designation", "paragraphs": ["Officials from Indian Affairs, BIE, BIA, and IHS expressed their commitment to addressing the issues that led to the high-risk designation for federal management of programs that serve tribes and their members. Since we last testified before this committee on September 13, 2017, we met with agency leaders and worked with each agency to identify actions the agencies took or plan to take to address the concerns that contributed to the designation. We determined that Indian Affairs, BIE, BIA, and IHS demonstrated varying levels of progress to partially meet most or all of the criteria for removing a high-risk designation. However, additional progress is needed for the agencies to fully address the criteria and related management weaknesses, particularly in the areas of leadership commitment and capacity."], "subsections": [{"section_title": "Leadership Commitment", "paragraphs": ["To meet the leadership commitment criterion for removal of a high-risk designation, an agency needs to have demonstrated strong commitment and top leadership support to address management weaknesses. The following examples show actions Indian Affairs, BIE, BIA, and IHS took to partially meet the leadership commitment criterion.", "Education. Indian Affairs\u2019 leaders have demonstrated commitment to addressing key weaknesses in the management of BIE schools in several ways. For example, the BIE Director formed an internal working group, convened meetings with other senior leaders within Indian Affairs, and publicly stated that his agency is committed to ensuring implementation of our recommendations on Indian education. In addition, the BIE Director and other Indian Affairs leaders and senior managers have met with us frequently to discuss outstanding recommendations, actions they have taken to address these recommendations, and additional actions they could take. In particular, the BIE Director met with us on nine occasions over the past year to discuss our recommendations and instructed his staff to provide us draft policies and procedures related to our recommendations. However, it is important that Indian Affairs leaders be able to sustain this level of commitment to solving problems in Indian education. Since 2012, there have been six Assistant- Secretaries of Indian Affairs and five BIE Directors. There has also been leadership turnover in other key offices responsible for implementing our recommendations on Indian education. We have previously reported that leadership turnover hampered Indian Affairs\u2019 efforts to make improvements to Indian education. We believe that ensuring stable leadership and a sustained focus on needed changes is vital to the successful management of BIE schools.", "Energy. BIA officials demonstrated leadership commitment by, for example, issuing a memorandum requiring all regions and their agency offices to use a centralized data management system to track requests for land title status reports. Using this type of centralized approach for tracking such requests may improve BIA\u2019s ability to provide needed oversight of federal actions associated with energy development and ensure documents needed for the development of energy resources are provided in a timely manner. In addition, BIA officials frequently met with us over the last 9 months to discuss the bureau\u2019s progress in addressing recommendations related to Indian energy. However, Indian Affairs does not have a permanent Assistant Secretary. BIA does not have a permanent Director, and BIA\u2019s Office of Trust Services\u2014which has significant responsibility over Indian energy activities\u2014does not have a permanent Director or Deputy Director. We have seen turnover in these leadership positions as officials have been brought in to temporarily fill these roles. As officials are brought in temporarily, previously identified plans and time frames for completing some activities have changed, and BIA has found itself starting over to identify or implement corrective actions.", "Health Care. IHS officials demonstrated leadership commitment by regularly meeting with us to discuss the agency\u2019s progress in addressing our recommendations. IHS has continued to implement its Quality Framework by acquiring a software system to centralize the credentialing of clinical providers, developing a patient experience of care survey, and developing standards for limiting patient wait time. However, IHS still does not have permanent leadership\u2014including a Director of IHS\u2014which is necessary for the agency to demonstrate its commitment to improvement. Since 2012, there have been five IHS Acting Directors, and there has been leadership turnover in other key positions, such as area directors. For example, in January 2017 we reported that officials from four of the nine area offices in our review reported that they had at least three area directors over the prior 5 years. We also reported that inconsistent area office and health care facility leadership is detrimental to the oversight of facility operations and the supervision of personnel.", "To fully meet the leadership commitment criterion, all agencies will need, among other things, stable, permanent leadership that has assigned the tasks needed to address weaknesses and that holds those assigned accountable for progress. For a timeline of senior leadership turnover in Indian Affairs, BIE, BIA, and IHS from 2012 through 2018, see Figure 2."], "subsections": []}, {"section_title": "Capacity", "paragraphs": ["To meet the capacity criterion, an agency needs to demonstrate that it has the capacity (i.e., people and other resources) to resolve its management weaknesses. Indian Affairs, BIE, BIA, and IHS each made some progress in identifying capacity and resources to implement some of our recommendations, but BIA officials reported to us that the agency does not have the people and resources needed to fully implement other recommendations. The following examples show actions Indian Affairs, BIE, BIA, and IHS took to partially meet the capacity criterion.", "Education. BIE and other Indian Affairs offices that support BIE schools have made some progress in demonstrating capacity to address risks to Indian education. For example, BIE hired a full-time program analyst to coordinate its working group and help oversee the implementation of our recommendations on Indian education. This official has played a key role in coordinating the agency\u2019s implementation efforts and has provided us with regular updates on the status of these efforts. BIE has also conducted hiring in various offices in recent years as part of a 2014 Secretarial Order to reorganize the bureau. For example, it has hired school safety officers and personnel in offices supporting the oversight of school spending. However, about 50 percent of all BIE positions have not been filled, including new positions that have been added as a result of the agency\u2019s restructuring, according to a BIE official. Moreover, agency officials told us that vacancies remain in several key positions, including the Chief Academic Officer and the Associate Deputy Director for Bureau Operated Schools. Furthermore, BIE and other Indian Affairs offices that support BIE schools have not developed a workforce plan to address staffing and training gaps with key staff, which we previously recommended. Such a plan is important to allow BIE and other Indian Affairs offices to better understand workforce needs and leverage resources to meet them. BIE officials told us they have held workforce planning sessions and anticipate completing work on our recommendation to develop a workforce plan at the end of 2018.", "Energy. In November 2016, we recommended that BIA establish a documented process for assessing the workforce at its agency offices. BIA has taken a number of actions, such as conducting an internal survey to identify general workforce needs related to oil and gas development. This survey information supported staffing decisions for the recently created Indian Energy Service Center. However, BIA officials told us the bureau does not have the staff or resources to implement a comprehensive workforce planning system that would be needed to ensure it has staff in place to meet its organizational needs.", "Health Care. IHS has made some progress in demonstrating it has the capacity and resources necessary to address the program risks we identified in our reports. For example, IHS officials stated that the agency is expanding the role of internal audit staff within its enterprise risk management program to augment internal audits and complement audits by the HHS Inspector General and GAO. However, according to IHS, there are still vacancies in several key positions, including the Director of the Office of Resource Access and Partnerships, and the Office of Finance and Accounting.", "To fully meet the capacity criterion, all of the agencies need to assess tradeoffs between these and other administration priorities in terms of people and resources, and the agencies should provide to decision makers with key information on resources needed to address management weaknesses."], "subsections": []}, {"section_title": "Action Plan", "paragraphs": ["To meet the action plan criterion, an agency needs to have a corrective action plan that defines the root causes, identifies effective solutions, and provides for substantially completing corrective measures in the near term, including steps necessary to implement the solutions we recommended. Indian Affairs, BIE, BIA, and IHS have shown progress in identifying actions to address many of our recommendations\u2014leading us to believe they can partially meet the action plan criterion before our next update of the High Risk List. For example:", "Education. BIE has taken several steps to develop action plans to address management weaknesses. For example, BIE implemented a new policy for overseeing BIE school spending, including developing written procedures and risk criteria for monitoring school expenditures. BIE also developed a strategic plan, which we recommended in September 2013. The plan provides the agency with goals and strategies for improving its management and oversight of Indian education, and establishes detailed actions and milestones for the implementation. BIE notified us that it has completed the plan and expects to publish it on June 11, 2018, and will begin implementation starting in July 2018. We will review the strategic plan once it has been published. In addition, Indian Affairs\u2019 Office of Facilities, Property & Safety Management has developed and implemented revised comprehensive guidelines that addressed several of our findings on weaknesses with BIE school safety identified in our March 2016 report. However, Indian Affairs has not provided us with evidence that it has developed and put in place action plans on other important issues, such as a comprehensive, long-term capital asset plan to inform its allocation of school construction funds, which we recommended in May 2017.", "Energy. BIA officials met with us several times over the past few months to discuss planned actions for addressing management weaknesses related to Indian energy resources, and they identified actions they have taken to help implement some of our recommendations. For instance, BIA officials told us they have proposed several modifications to the bureau\u2019s land records data management system that will enable increased tracking and monitoring of key documents that BIA must review prior to the development of Indian energy resources. BIA officials we met with have demonstrated an understanding that addressing long-standing management weaknesses is not accomplished through a single action but through comprehensive planning and continued movement toward a goal. However, the agency does not have a comprehensive plan to address the root causes of all identified management shortcomings.", "Health Care. Senior leaders in IHS have prioritized addressing our recommendations by implementing four recommendations we highlighted in our February 2017 update to the High Risk List. IHS incorporated our recommendations into its risk management work plan starting in 2017, and according to IHS officials, they will annually review the effectiveness of the agency\u2019s internal controls, and where controls are deemed insufficient, take actions to strengthen them. IHS officials we met with have demonstrated an understanding that addressing long-standing management weaknesses requires that they develop a corrective action plan that defines root causes, identifies solutions, and provides for substantially completing corrective measures. However, agency officials have not yet developed a corrective action plan.", "To fully meet the action plan criterion, a comprehensive plan that identifies actions to address the root causes of its management shortcomings would have to come from top leadership with a commitment to provide sufficient capacity and resources to take the necessary actions to address management shortcomings and risks."], "subsections": []}, {"section_title": "Monitoring", "paragraphs": ["To meet the monitoring criterion, an agency needs to demonstrate that a program has been instituted to monitor and independently validate the effectiveness and sustainability of corrective measures. For example, agencies can demonstrate that they have a systematic way to track performance measures and progress against goals identified in their action plans. We have been working with the agencies to help clarify the need to establish a framework for monitoring progress that includes goals and performance measures to track their efforts and ultimately verify the effectiveness of their efforts. BIA and IHS made progress in holding frequent review meetings to assess the status of implementing our recommendations but have not yet taken needed steps to monitor their progress in addressing the root causes of their management weaknesses. In addition, Indian Affairs has made some progress in meeting the monitoring criterion on Indian education. For example, the agency has implemented a plan to monitor the effectiveness of corrective measures to address school safety program weaknesses. However, the agency has not yet demonstrated that it is monitoring other areas, such as showing that it is using safety program outcomes to evaluate and manage the performance of regional safety inspectors. To fully meet the monitoring criterion, the agencies need to set up goals and performance measures as they develop action plans and take further actions to monitor the effectiveness of actions to address root causes of identified management shortcomings."], "subsections": []}, {"section_title": "Demonstrated Progress", "paragraphs": ["To meet the demonstrated progress criterion, an agency needs to demonstrate progress in implementing corrective measures and in resolving the high-risk area. We made 52 recommendations to improve management weaknesses at Indian Affairs, BIE, BIA, and IHS, of which 34 are still open. Since our testimony in September 2017, we found that Indian Affairs has made significant progress in implementing corrective actions in education as demonstrated by our closure of nearly a third of our recommendations directed to Indian Affairs related to education programs. We found that BIA and IHS also made some progress in implementing corrective actions related to the management of energy resources and healthcare programs. Specifically, since our testimony in September 2017, BIA took actions resulting in the implementation of 2 of 14 recommendations, and IHS took actions that resulted in the implementation of four recommendations. The following examples show actions Indian Affairs, BIA, and IHS took to partially meet the demonstrated progress criterion.", "Education. As of early June 2018, Indian Affairs had fully addressed 8 of the 23 outstanding education recommendations we identified in our September 2017 testimony, and we have closed them. BIE implemented half of the closed recommendations, including 2 on oversight of BIE school spending identified as high priority in a March 2018 letter from the Comptroller General to the Secretary of the Interior. The rest of the recommendations we closed were implemented by personnel in Indian Affairs\u2019 Office of Facilities, Property & Safety Management and related to oversight of school safety and construction. Overall, Indian Affairs\u2019 efforts since we issued our High Risk List update in February 2017 represent a significant increase in activity implementing our recommendations. Substantial work, however, remains to address our outstanding recommendations in several key areas, such as in accountability for BIE school safety and school construction projects. For example, BIA has reported taking some actions to address recommendations in our May 2017 report on improving accountability of its safety employees who inspect BIE schools. However, it has not provided us with documentation of these actions.", "Energy. In June 2015, we recommended that BIA take steps to improve its geographic information system (GIS) capabilities to ensure it can verify ownership in a timely manner. Since our last update in September 2017, BIA has made significant progress in enhancing its GIS capabilities by integrating map-viewing technology and capabilities into its land management data system. In addition, we recommended that BIA take steps to identify cadastral survey needs. BIA\u2019s enhanced map-viewing technology also allows the bureau to identify land boundary discrepancies, which can then be researched and corrected. Further, BIA identified unmet survey needs that were contained within the defunct cadastral request system and developed a new mechanism for its regions and agency offices to make survey requests. We believe these actions show significant progress in addressing management weaknesses associated with data limitations and outdated technology.", "Health Care. In April 2013, we recommended that IHS monitor patient access to physician and other nonhospital care to assess how capped payment rates may benefit or impede the availability of care. In response to our recommendation, IHS developed an online tracking tool that enables the agency to document providers that refuse to contract for lower rates. In October 2017, IHS officials met in person with us and provided a demonstration of the tracking tool.", "To fully meet the demonstrating progress criterion, agencies need to continue taking actions to ensure sustained progress and show that management shortcomings are being effectively managed and root causes are being addressed.", "In conclusion, we see some progress in all of the criteria, including leadership commitment, at all agencies, especially related to education programs. However, permanent leadership that provides continuing oversight and accountability is needed. We also see varying levels of progress at all of the agencies in understanding what they need to do to be removed from the High Risk List by identifying steps that can be incorporated into corrective action plans to address most recommendations. We look forward to working with the agencies to track their progress in implementing a framework for monitoring and validating the effectiveness of planned corrective actions. In addition, all the agencies have made progress in implementing some key recommendations. Perhaps the biggest challenge for the agencies will be achieving the capacity and identifying the resources required to address the deficiencies in their programs and activities. This challenge cannot be overcome by the agencies without a commitment from the administration to prioritize fixing management weaknesses in programs and activities that serve tribes and their members.", "Chairman Hoeven, Vice Chairman Udall, and Members of the Committee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about education issues in this testimony or the related reports, please contact Melissa Emrey-Arras at (617) 788-0534 or emreyarrasm@gao.gov. For questions about energy resource development, please contact Frank Rusco at (202) 512-3841 or ruscof@gao.gov. For questions about health care, please contact Jessica Farb at (202) 512-7114 or farbj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Key contributors to this statement include Christine Kehr (Assistant Director), Jay Spaan (Analyst-in-Charge), Edward Bodine, Kelly DeMots, William Gerard, Greg Marchand, Elizabeth Sirois, and Kiki Theodoropoulos.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["We added the federal management of programs that serve Indian tribes and their members to our High Risk List in February 2017. We found numerous weaknesses in how the Interior Department's Bureaus of Indian Education and Indian Affairs managed education, how the Bureau of Indian Affairs managed energy resources, and how the Department of Health and Human Services' Indian Health Services managed health care.", "We testified that, since being added to the High Risk List, Interior and HHS have partially met most or all criteria for coming off our List. However, more progress is needed for the agencies to fully address their management weaknesses."]} {"id": "GAO-17-795T", "url": "https://www.gao.gov/products/GAO-17-795T", "title": "SSA's Compassionate Allowance Initiative: Actions Needed to Improve the Accuracy and Consistency of Expedited Processing of Disability Claims", "published_date": "2017-09-06T00:00:00", "released_date": "2017-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["SSA in October 2008 implemented CAL to fast track individuals with certain conditions through the disability determination process by prioritizing their disability benefit claims. Since then, SSA has expanded its list of CAL conditions from 50 to 225.", "This testimony summarizes the information contained in GAO's August 2017 report entitled SSA's Compassionate Allowance Initiative: Improvements Needed to Make Expedited Processing of Disability Claims More Consistent and Accurate , GAO-17-625 . It examines the extent to which SSA has procedures for (1) identifying conditions for the CAL list; (2) identifying claims for CAL processing; and (3) ensuring the accuracy and consistency of CAL decisions.", "For its August 2017 report, GAO reviewed relevant federal laws, regulations, and guidance; analyzed SSA data on disability decisions for CAL claims from fiscal years 2009 through 2016 and on CAL claims with manual actions in fiscal year 2016; reviewed a nongeneralizable sample of 74 claim files with fiscal year 2016 initial determinations; and interviewed medical experts, representatives from patient advocacy groups, and SSA officials in headquarters and six DDS offices selected for geographic dispersion and varied CAL caseloads."]}, {"section_title": "What GAO Found", "paragraphs": ["The Social Security Administration (SSA) does not have a formal or systematic approach for designating certain medical conditions for the Compassionate Allowance initiative (CAL). CAL was established in 2008 to fast-track through the disability determination process claimants who are likely to be approved because they have certain eligible medical conditions. SSA has in recent years relied on advocates for individuals with certain diseases and disorders to bring conditions to its attention for potential inclusion in CAL. However, by relying on advocates, SSA may overlook disabling conditions that have no advocates, potentially resulting in individuals with these conditions not receiving expedited processing. Further, SSA does not have clear, consistent criteria for designating conditions for potential CAL inclusion, which is inconsistent with federal internal control standards. As a result, external stakeholders lack key information about how to recommend conditions for inclusion on the CAL list.", "To identify disability claims for expedited CAL processing, SSA primarily relies on software that searches for key words in claims. However, if claimants include incorrect or misspelled information in their claims the software is hindered in its ability to flag all claimants with CAL conditions or may flag claimants for CAL processing that should not be flagged. SSA has guidance for disability determination services (DDS) staff on how to manually correct errors made by the software, but the guidance does not address when such corrections should occur. Without clear guidance on when to make manual changes, DDS examiners may not take timely actions and may hinder expedited processing for appropriate claims.", "SSA has taken some steps to ensure the accuracy and consistency of decisions on CAL claims, including developing detailed descriptions of CAL conditions, known as impairment summaries. These summaries help examiners make decisions about whether to allow or deny a claim. However, nearly one-third of the summaries are 5 or more years old. Experts and advocates that GAO spoke to suggested that summaries should be updated every 1 to 3 years to reduce the risk of SSA making disability determinations using medically outdated information. In addition, GAO found that SSA does not leverage data it collects to identify potential challenges to accurate and consistent decision-making on CAL claims. Without regular analyses of available data, SSA is missing an opportunity to ensure the accuracy and consistency of CAL decision-making."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its August 2017 report, GAO made eight recommendations, including that SSA develop a process to systematically gather information on potential CAL conditions, communicate criteria for designating CAL conditions, clarify guidance for manual corrections on CAL claims, update CAL impairment summaries, and use available data to ensure accurate, consistent decision-making. SSA agreed with all of GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Social Security Administration\u2019s (SSA) Compassionate Allowance initiative (CAL). SSA oversees two key federal programs for individuals with disabilities\u2014 Disability Insurance (DI) and Supplemental Security Income (SSI). In December 2016, these programs provided about $15.7 billion in disability benefits to nearly 17.4 million individuals. In order to be eligible for these programs on the basis of a disability, applicants must be determined to have a qualifying disability through a complex, multi-step process. As we have noted in our prior work, SSA has historically faced challenges with processing applications for benefits in a timely manner, resulting in significant backlogs and long waits for applicants to learn whether they qualify to obtain disability benefits.", "In light of these challenges, SSA in October 2008 implemented CAL, which fast-tracks through the disability determination process those applicants who are likely to be approved because they have certain medical conditions, such as specific cancers, Amyotrophic Lateral Sclerosis (ALS), or early-onset Alzheimer\u2019s disease. Since 2008, SSA has expanded its list of CAL conditions from 50 to 225, resulting in increasing numbers of individuals qualifying for disability benefits through CAL. From the initiative\u2019s inception through the end of fiscal year 2016, SSA had approved more than 500,000 applications, or claims, for disability benefits through CAL. However, a few years after CAL began, concerns were raised that SSA had not identified all cases that qualified for CAL processing and processed some cases through CAL that did not qualify. More recently, concerns have been raised that SSA does not have a transparent process for identifying conditions for inclusion on the CAL list and its descriptions of certain CAL conditions may be medically out of date.", "To apply for disability benefits through either of SSA\u2019s disability programs, individuals submit a claim, which includes the claimant\u2019s description of his or her impairment (or impairments), among other relevant information. SSA assesses the claimant\u2019s non-medical eligibility for benefits and sends the claim to a state disability determination services (DDS) office for a review of the claimant\u2019s medical eligibility and initial determination of disability. Although SSA is responsible for the programs, the law generally calls for initial determinations of disability to be made by state agencies. DDS examiners assess the applicant\u2019s medical condition against SSA\u2019s Listings of Impairments (medical listings), which contain medical conditions that have been determined by the agency to be severe enough to qualify an applicant for disability benefits. Based on this assessment, a DDS examiner decides whether to medically allow or deny a claim for DI or SSI benefits.", "CAL claims may be processed more quickly than other claims, in part because they are given priority status. When a claimant submits a claim for disability benefits, it is flagged as CAL if the claimant\u2019s description of his or her impairment includes certain key words or phrases indicating the claimant has a CAL condition. These claims are given priority in disability examiners\u2019 and medical consultants\u2019 queues of incoming claims, and SSA guidance directs DDS offices to initiate development of CAL claims within one work day of receipt. Examiners may only require a minimal amount of medical evidence, for example, a biopsy report, to confirm the claimant\u2019s diagnosis of a CAL condition.", "My testimony today summarizes findings from our August 2017 report on CAL that is being released today. This statement addresses the extent to which SSA has procedures for (1) identifying conditions for the CAL list; (2) identifying claims for CAL processing; and (3) ensuring the accuracy and consistency of CAL decisions. To address these objectives, we reviewed relevant federal laws, regulations, and guidance; analyzed SSA data on disability decisions for CAL claims from fiscal years 2009 through 2016 and on CAL claims flagged by staff for manual addition or removal of the CAL designation in fiscal year 2016; reviewed a nongeneralizable sample of 74 claim files with fiscal year 2016 initial determinations; and interviewed medical experts, representatives from patient advocacy groups, and SSA officials in headquarters and six DDS offices selected for geographic dispersion and varied CAL caseloads. Our work was performed in accordance with generally accepted government auditing standards. More details on our scope and methodology can be found in the issued report.", "In brief, although CAL appears to be effectively expediting benefit processing for disability claims receiving this designation, we found several weaknesses in SSA\u2019s procedures for identifying conditions for the CAL list and claims for CAL processing. We also found weakness in the agency\u2019s procedures for ensuring the accuracy and consistency of CAL decisions. My statement will highlight eight recommendations that SSA can implement to make the expedited processing of disability claims through CAL more consistent and accurate."], "subsections": [{"section_title": "SSA Lacks a Formal and Systematic Approach for Identifying CAL Conditions", "paragraphs": ["SSA has in recent years relied on advocates for individuals with certain diseases and disorders to bring potential CAL conditions to its attention. However, SSA has not clearly communicated this or provided guidance on how to make suggestions through its CAL webpage, which communicates information to the public. Without more explicit instructions, we noted that advocates may not present information that is relevant for SSA\u2019s decision-making or that most strongly makes the case for these conditions to be included on the CAL list. One representative from an advocacy organization, for example, described meeting with agency officials and being surprised by SSA\u2019s focus on cancer grades\u2014 an indicator of how quickly cancer is likely to grow and spread\u2014as she was not accustomed to discussing the condition she represents in these terms. Federal internal control standards state that agencies should use quality information to achieve their objectives. We concluded that absent clear guidance to advocates on how to make suggestions through its CAL webpage, SSA is missing an opportunity to gather quality information to inform its selection of CAL conditions.", "In addition, we found that relying on advocates to bring conditions to SSA\u2019s attention also introduces potential bias toward certain conditions and the possibility of missing others. Some conditions that are potentially deserving of CAL consideration may not have advocacy organizations affiliated with them, and some advocates may be unaware of CAL. As a result, some conditions may have a better chance of being considered than other, equally deserving ones that are not proposed, and individuals with those conditions may have to wait longer to receive approval for disability benefits. Federal internal control standards state that agencies should collect complete and unbiased information and consider the reliability of their information sources. According to some external researchers who work with SSA, an approach leveraging SSA\u2019s administrative data may help address the bias that is introduced by only using advocates. SSA has contracted with the National Institutes of Health and the National Academies of Sciences, Engineering, and Medicine for research using SSA administrative data, which has led to the identification of potential CAL conditions. However, we noted that to date, the research SSA has contracted has not been sufficiently targeted to generate more than a small number of additions to the CAL list. In our August 2017 report, we recommended that SSA develop a formal and systematic approach to gathering information to identify potential conditions for the CAL list, including sharing information through SSA\u2019s website on how to propose conditions for the list and using research that is directly applicable to identifying CAL conditions. SSA agreed with this recommendation and has begun to make revisions to its website.", "We also found that SSA has also not consistently communicated with advocates who have suggested conditions to add to the CAL list about the status of their recommendations, leading to uncertainty for some. SSA officials told us that they provide a written or oral response to advocacy organizations that have suggested a condition for inclusion on the CAL list to inform them whether the condition is approved. However, some of the advocates we spoke to had not received such a response from SSA and found it challenging to connect with SSA officials to obtain information about the status of their suggestions. For example, one representative from an advocacy organization told us that she was unable to reach SSA officials to obtain any information on the status of her suggestion despite repeated attempts. In the absence of a response from SSA, she had resubmitted her condition and supporting documents to SSA every six months for three years since her initial submission in 2014. Federal internal control standards state that agencies should communicate quality information externally so that external parties can help the agency achieve its objectives. We concluded that without two- way communication between SSA and advocates, advocates are unclear on the status of their proposed CAL conditions and SSA may be missing an opportunity to improve the quality of the information it obtains from advocates. In our August 2017 report, we recommended that SSA develop formal procedures for consistently notifying those who propose conditions for the CAL list of the status of their proposals. SSA agreed with this recommendation.", "Our review also found that SSA has not developed or communicated clear, consistent criteria for deciding which potential conditions will be included on the CAL list. Officials told us that they have informally considered criteria such as allowance rates\u2014the percentage of claimants asserting a certain condition who are approved for benefits\u2014when identifying potential CAL conditions. However, we reviewed 31 assessments of potential CAL conditions prepared by SSA medical consultants and found that they did not cite consistent criteria. There was no standard format used for these reports, and SSA does not have a template, checklist, or guidance\u2014other than the medical listings\u2014that its staff consult when preparing them. Further, SSA officials have cited different reasons for not designating conditions as CAL in communications with those who proposed conditions, which led to confusion regarding CAL condition criteria for staff from some advocacy organizations we interviewed. Federal internal control standards state that agencies should define objectives in specific and measurable terms so that they are understood at all levels of the agency and performance toward achieving these objectives can be assessed. To help achieve these objectives, the standards state that agencies should also communicate key information to their internal and external stakeholders. We concluded that absent clear criteria for designating CAL conditions, advocates and other stakeholders may be confused as to why some conditions are not included on the CAL list and SSA may miss conditions that could qualify for CAL. In our August 2017 report, we recommended that SSA develop and communicate internally and externally criteria for selecting conditions for the CAL list. SSA agreed with this recommendation."], "subsections": []}, {"section_title": "SSA\u2019s Procedures Do Not Ensure All Claims are Accurately Identified for Expedited CAL Processing", "paragraphs": ["To identify disability claims for expedited CAL processing, SSA primarily relies on software that searches for key words in claims. However, because text provided by claimants may be ambiguous, incomplete, inaccurate, or misspelled, the software is hindered in its ability to flag all claimants with CAL conditions and may also flag claimants for CAL processing that should not be flagged. For example, officials we interviewed at 5 of the 6 selected DDS offices said that they have seen claims inaccurately flagged for CAL when the claim text included words like \u201cfamily history of \u201d though the CAL condition was not asserted by the claimant. In addition, in our claim file review, we found a claimant asserting a leiomyosarcoma, a soft tissue cancerous tumor that may be found in organs including the liver, lungs, and uterus, who misspelled the term as \u201cleiomysarcoma\u201d on the disability claim, which resulted in the software not flagging the claim as CAL, although liver and lung cancers are CAL conditions.", "SSA officials told us that they have not established a feedback loop to capture observations from DDS officials on weaknesses in the software. However, DDS officials we spoke with have observed weaknesses in the software that, if shared, could assist SSA in improving its accuracy in identifying CAL claims. For example, an official at one DDS office noted that the software appears to identify CAL conditions using words from the claim text out of order or without regard to specific phrases. Specifically, the official stated that some claims with \u201cpancreatitis\u201d or \u201cpancreatic pain\u201d have been incorrectly flagged for the CAL condition \u201cpancreatic cancer.\u201d According to federal internal control standards, quality information about the agency\u2019s operational processes should flow up the reporting lines from personnel to management to help management achieve the agency\u2019s objectives. We concluded that absent a mechanism to gather feedback from DDS offices nationwide, the agency may be missing an opportunity to obtain important information that could help improve the software. In our August 2017 report, we recommended that SSA take steps to obtain information that can help refine the selection software for CAL claims, for example by using management data, research, or DDS office feedback. SSA agreed with this recommendation.", "We also found that DDS offices play an important role in helping to ensure that claims are accurately flagged for CAL by manually correcting flagging errors made by the software, but SSA\u2019s guidance on how to make such corrections does not address when they should occur. For example, instructions on the mechanical process for removing the flag based on the DDS examiner\u2019s review of the medical evidence in the claimant\u2019s file does not indicate how quickly this should be done after CAL status is clarified. Based on our discussions with officials in the 6 selected DDS offices, we found that some examiners did not understand the importance of making timely changes to a CAL flag designation to ensure faster claim processing and accurate tracking of CAL claims. For example, examiners at one DDS office said that they do not always add or remove a CAL flag when they determine a claim is erroneously designated because it adds another step to claim processing and the step seems unnecessary. Ensuring claims are correctly flagged for or not flagged for CAL is important because the CAL flag reduces DDS processing time by about 10 weeks on average compared to the processing time for all claims, according to SSA data. According to federal internal control standards, agencies should record transactions in an accurate and timely fashion, and communicate quality information throughout the agency. We concluded that without clear guidance on when to make manual changes, DDS examiners may continue to take actions that are not timely and may hinder expedited processing and accurate tracking of CAL claims. In our August 2017 report, we recommended that SSA clarify written policies and procedures regarding when manual addition and removal of CAL flags should occur on individual claims. SSA agreed with this recommendation.", "In addition, our analysis of SSA\u2019s data shows that DDS offices varied in their use of manual actions to add the CAL flag to claims that were not initially flagged for CAL by the software. Specifically, we found that over half of DDS offices nationwide that processed disability claims in fiscal year 2016 had one or zero claims with a manually added CAL designation in that year. In comparison, 5 DDS offices together accounted for over 50 percent of all claims with a manual addition. Such variance could result in some claimants who assert a CAL condition not receiving expedited processing because their claims were not flagged for CAL by the selection software or DDS examiners. We found that because SSA had not undertaken a study of its manual action procedures on such claims, it was unclear why this variance existed among DDS offices. Federal internal control standards state that agencies should establish and operate monitoring activities to monitor operations and evaluate results. In our August 2017 report, we recommended that SSA assess the reasons why the uses of manual actions vary across DDS offices. SSA agreed with this recommendation."], "subsections": []}, {"section_title": "SSA Takes Some Steps to Ensure Accurate and Consistent CAL Decisions But Does Not Regularly Update Condition Descriptions or Leverage Data", "paragraphs": ["In our August 2017 report, we found that SSA has taken some steps to ensure the accuracy and consistency of decisions on CAL claims, including developing detailed descriptions of CAL conditions, known as impairment summaries, but has not regularly updated the summaries. These summaries suggest specific medical evidence for the DDS examiner to obtain to verify the claimant\u2019s asserted CAL condition and help examiners make decisions about whether to allow or deny a claim. However, we found that because SSA has not regularly updated the impairment summaries, nearly one-third are 5 or more years old. Several advocates (4 of 6) and medical experts (2 of 3) we interviewed suggested that the impairment summaries should be updated every 1 to 3 years because medical research and advancements may have implications for disability determinations. In addition, federal internal control standards state that as changes in the agency\u2019s environment occur, management should make necessary changes to the information requirements to address the modified risks. We concluded that given the pace of medical research for certain CAL conditions, in the absence of a systematic and regular mechanism to update CAL impairment summaries, SSA potentially faces the risk of making inaccurate and inconsistent disability determinations based on outdated information. In our August 2017 report, we recommended that SSA develop a schedule and a plan for updates to the CAL impairment summaries to ensure that information is medically up to date. SSA agreed with this recommendation.", "We also found that SSA does not leverage data it collects to identify potential challenges to accurate and consistent decision-making on CAL claims. SSA and DDS officials review some data to monitor CAL claims processing, such as the total number of CAL claims and claims flagged for CAL by the selection software, but these efforts do not address the accuracy and consistency of decisions on CAL claims. In contrast, our analysis of SSA\u2019s data on outcomes for claims with asserted CAL conditions suggested that a review of data on allowance and denial rates for these claims may help identify conditions that are challenging to accurately and consistently adjudicate. For example, while the vast majority of claims asserting CAL conditions are allowed\u2014about 92 percent were approved in fiscal year 2016\u2014data we reviewed showed that there was a lower percentage of claims allowed for certain asserted CAL conditions. Specifically, SSA denied more than 30 percent of claims asserting 37 CAL conditions, and 17 of these conditions had denial rates that were greater than 50 percent. Advocates we spoke to who represent some of these conditions explained why challenges adjudicating these claims may exist. For example, officials from one of these advocacy groups told us that the CAL condition they represent is frequently confused with a much more common and non-life threatening condition that is less likely to be allowed. According to federal internal control standards, management should obtain relevant data based on identified information requirements, process these data into quality information that can be used to make informed decisions, and evaluate the agency\u2019s performance in achieving key objectives and addressing risks. We concluded that without regular analyses of available data, SSA is missing an opportunity to ensure the accuracy and consistency of CAL decision-making. In our August 2017 report, we recommended that SSA develop a plan to regularly review and use available data to assess the accuracy and consistency of CAL decision-making. SSA agreed with this recommendation.", "Chairman Johnson, Ranking Member Larson, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact Kathryn A. Larin at (202) 512-7215 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this testimony include Rachel Frisk, Assistant Director; Kristen Jones, Analyst-in- Charge; and Michelle Loutoo Wilson.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-137", "url": "https://www.gao.gov/products/GAO-18-137", "title": "Department of Veterans Affairs: Actions Needed to Address Employee Misconduct Process and Ensure Accountability", "published_date": "2018-07-19T00:00:00", "released_date": "2018-07-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA provides services and benefits to veterans through hospitals and other facilities nationwide. Misconduct by VA employees can have serious consequences for some veterans, including poor quality of care. GAO was asked to review employee misconduct across VA. This report reviews the extent to which VA (1) collects reliable information associated with employee misconduct and disciplinary actions, (2) adheres to documentation-retention procedures when adjudicating cases of employee misconduct, (3) ensures allegations of misconduct involving senior officials are reviewed according to VA investigative standards and these officials are held accountable, and (4) has procedures to investigate whistle-blower allegations of misconduct; and the extent to which (5) data and whistle-blower testimony indicate whether retaliation for disclosing misconduct occurs at VA.", "GAO analyzed 12 information systems across VA to assess the reliability of misconduct data, examined a stratified random sample of 544 misconduct cases from 2009 through 2015, analyzed data and reviewed cases pertaining to senior officials involved in misconduct, reviewed procedures pertaining to whistle-blower investigations, and examined a nongeneralizable sample of whistle-blower disclosures from 2010 to 2014."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Veterans Affairs (VA) collects data related to employee misconduct and disciplinary actions, but fragmentation and data-reliability issues impede department-wide analysis of those data. VA maintains six information systems that include partial data related to employee misconduct. For example, VA's Personnel and Accounting Integrated Data system collects information on disciplinary actions that affect employee leave and pay, but the system does not collect information on other types of disciplinary actions. The system also does not collect information such as the offense or date of occurrence. GAO also identified six other information systems that various VA administrations and program offices use to collect specific information regarding their respective employees' misconduct and disciplinary actions. GAO's analysis of all 12 information systems found data-reliability issues\u2014such as missing data, lack of identifiers, and lack of standardization among fields. Without collecting reliable misconduct and disciplinary action data on all cases department-wide, VA's reporting and decision making on misconduct are impaired.", "VA inconsistently adhered to its guidance for documentation retention when adjudicating misconduct allegations, based on GAO's review of a generalizable sample of 544 out of 23,622 misconduct case files associated with employee disciplinary actions affecting employee pay. GAO estimates that VA would not be able to account for approximately 1,800 case files. Further, GAO estimates that approximately 3,600 of the files did not contain required documentation that employees were adequately informed of their rights during adjudication procedures\u2014such as their entitlement to be represented by an attorney. The absence of files and associated documentation suggests that individuals may not have always received fair and reasonable due process as allegations of misconduct were adjudicated. Nevertheless, VA's Office of Human Resource Management does not regularly assess the extent to which files and documentation are retained consistently with applicable requirements.", "VA did not consistently ensure that allegations of misconduct involving senior officials were reviewed according to investigative standards and these officials were held accountable. For example, based on a review of 23 cases of alleged misconduct by senior officials that the VA Office of Inspector General (OIG) referred to VA facility and program offices for additional investigation, GAO found VA frequently did not include sufficient documentation for its findings, or provide a timely response to the OIG. In addition, VA was unable to produce any documentation used to close 2 cases. Further, OIG policy does not require the OIG to verify the completeness of investigations, which would help ensure that facility and program offices had met the requirements for investigating allegations of misconduct. Regarding senior officials, VA did not always take necessary measures to ensure they were held accountable for substantiated misconduct. As the figure below shows, GAO found that the disciplinary action proposed was not taken for 5 of 17 senior officials with substantiated misconduct.", "As a result of June 2017 legislation, a new office within VA\u2014the Office of Accountability and Whistleblower Protection\u2014will be responsible for receiving and investigating allegations of misconduct involving senior officials.", "VA has procedures for investigating whistle-blower complaints, but the procedures allow the program office or facility where a whistle-blower has reported misconduct to conduct the investigation. According to the OIG, it has the option of investigating allegations of misconduct, or exercising a \u201cright of first refusal\u201d whereby it refers allegations of misconduct to the VA facility or program office where the allegation originated. VA does not have oversight measures to ensure that all referred allegations of misconduct are investigated by an entity outside the control of the facility or program office involved in the misconduct, to ensure independence. As a result, GAO found instances where managers investigated themselves for misconduct, presenting a conflict of interest.", "Data and whistle-blower testimony indicate that retaliation may have occurred at VA. As the table below shows, individuals who filed a disclosure of misconduct with the Office of Special Counsel (OSC) received disciplinary action at a much higher rate than the peer average for the rest of VA in fiscal years 2010\u20132014.", "Additionally, GAO's interviews with six VA whistle-blowers who claim to have been retaliated against provided anecdotal evidence that retaliation may be occurring. These whistle-blowers alleged that managers in their chain of command took several untraceable actions to retaliate against the whistle-blowers, such as being denied access to computer equipment necessary to complete assignments."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes numerous recommendations to VA to help enhance its ability to address misconduct issues (several of the recommendations are detailed on the following page).", "GAO recommends, among other things, that the Secretary of Veterans Affairs", "develop and implement guidance to collect complete and reliable misconduct and disciplinary-action data department-wide; such guidance should include direction and procedures on addressing blank fields, lack of personnel identifiers, and standardization among fields;", "direct applicable facility and program offices to adhere to VA's policies regarding misconduct adjudication documentation;", "direct the Office of Human Resource Management to routinely assess the extent to which misconduct-related files and documents are retained consistently with applicable requirements;", "direct the Office of Accountability and Whistleblower Protection (OAWP) to review responses submitted by facility or program offices to ensure evidence produced in senior-official case referrals demonstrates that the required elements have been addressed;", "direct OAWP to issue written guidance on how OAWP will verify whether appropriate disciplinary action has been implemented; and", "develop procedures to ensure (1) whistle-blower investigations are reviewed by an official independent of and at least one level above the individual involved in the allegation, and (2) VA employees who report wrongdoing are treated fairly and protected against retaliation.", "GAO also recommends, among other things, that the VA OIG", "revise its policy and require verification of evidence produced in senior-official case referrals.", "VA concurred with nine recommendations and partially concurred with five. In response, GAO modified three of the recommendations. The VA OIG concurred with one recommendation and partially concurred with the other. GAO continues to believe that both are warranted."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs (VA) provides a wide range of health services and benefits to 9 million veterans through a nationwide network of hospitals, outpatient clinics, and other facilities. In 2016, VA accounted for 18 percent of the executive-branch employee workforce, employing 350,000 federal workers, including approximately 30,000 senior officials. In that same year, VA employees accounted for about 31 percent of cases submitted from across the federal government to the Office of Special Counsel (OSC)\u2014an independent agency where federal employees can report evidence of waste, fraud, abuse, and retaliation. These cases pertained to various types of misconduct including gross mismanagement, waste, fraud, abuse, illegality, and prohibited personnel practices such as whistle-blower retaliation.", "GAO\u2019s prior related work at VA focused on the use of administrative investigation boards (AIB) to conduct investigations of alleged employee misconduct. An AIB may be convened by the heads of VA administrations and staff offices, chief executives of VA facilities, and all authorities senior to any of these officials. The purpose of an AIB is to conduct a fact-finding investigation under the standard procedures laid out in VA Directive 0700, Administrative Investigations, and VA Handbook 0700, Administrative Investigations. We recommended in 2012 that VA establish a process to collect and analyze aggregate data from these investigations, and to share data that informed changes to policies and procedures implemented in response to these investigations. VA concurred with our recommendations and identified several activities that the Veterans Health Administration (VHA) uses to share information about systemic issues in facilities and VHA program offices.", "You asked us to review the issue of allegations of VA employee misconduct. This report reviews the extent to which VA (1) collects reliable information associated with employee misconduct and disciplinary actions that are accessible and could be used to analyze misconduct department-wide; (2) retains documentation that demonstrates VA adheres to its policies when adjudicating cases of employee misconduct; (3) ensures allegations of misconduct involving senior officials are reviewed in accordance with VA investigative standards, and these officials are held accountable; (4) has procedures to investigate whistle- blower allegations of misconduct; and the extent to which (5) data and whistle-blower testimony indicate whether retaliation for disclosing misconduct occurs at VA.", "To determine the extent to which VA collects reliable information associated with employee misconduct and disciplinary actions that are accessible and could be used to analyze misconduct department-wide, we analyzed the contents of 12 information systems operated by various VA components during portions of the period covering October 2009 through July 2017. We obtained data in these 12 information systems from VA officials who oversee data related to misconduct or disciplinary actions. We assessed the data and the reliability of each system through electronic data testing, interviews with knowledgeable agency officials, and comparison to source documentation for the purposes of identifying and tracking misconduct cases. As discussed further in this report, the data were generally not reliable for a department-wide assessment of all misconduct and disciplinary actions due to the lack of completeness and compatibility of the data across all information systems. However, we found the data sufficiently reliable for conducting analysis where fields were populated and field definition concurrence was obtained by the program offices.", "To determine the extent to which VA retains documentation that demonstrates VA adheres to its policies when adjudicating cases of employee misconduct, we selected a generalizable stratified random sample of 544 misconduct cases from the Office of Human Resource Management\u2019s (OHRM) Personnel and Accounting Integrated Data (PAID) information system covering October 2009 through May 2015 from 23,622 misconduct cases. We determined the data to be sufficiently reliable for analysis of disciplinary actions affecting leave or salary. We examined evidentiary files associated with these disciplinary actions for the 489 of 544 cases for which VA was able to locate documentation (90 percent of sampled cases) to determine the extent to which VA\u2019s actions were consistent with policies contained in VA Directive 5021, Employee/Management Relations.", "To determine the extent to which VA ensures allegations of misconduct involving senior officials are reviewed in accordance with VA investigative standards and these officials are held accountable, we obtained data from the Office of Accountability Review (OAR) Legacy Referral Tracking List for the period of January 2011 through May 2015. We analyzed the OAR Legacy Referral Tracking List and reviewed cases involving senior officials that were referred to program offices for further investigation by VA\u2019s Office of Inspector General (OIG). As further discussed in the report, we assessed the data and identified data-quality issues, which included blank fields within OAR\u2019s information system. However, we found the data to be sufficiently reliable, for fields that were satisfactorily populated, for conducting analysis of the investigative process for referring and reviewing cases of misconduct.", "To determine the extent to which VA follows procedures to investigate whistle-blower allegations of misconduct, we interviewed senior officials from VA and the OSC responsible for investigating whistle-blower complaints. We also reviewed the OSC\u2019s procedures for referring disclosures and VA\u2019s policy for investigating these disclosures once received at the agency. In addition, we obtained whistle-blower disclosure data from the OSC covering calendar years 2010 through 2014, where available. To determine the reliability of the data, we conducted electronic testing and traced data elements to source documentation. We determined the data to be sufficiently reliable for determining the universe of disclosure cases involving VA. We selected the 135 whistle-blower disclosure cases that were reported to the OSC and indicated an investigation was completed by VA. These cases represent the universe of VA disclosures and are nongeneralizable to the entire population of disclosures received by the OSC. We reviewed the results of OSC\u2019s assessment of investigative documentation developed by VA for a sample of these whistle-blower disclosure cases. We also attended a course to assess VA\u2019s training provided to VA employees conducting investigations.", "To determine the extent to which VA data and whistle-blower testimony indicate whether retaliation for disclosing misconduct occurs at VA, we selected the same 135 whistle-blower disclosure cases that were reported to the OSC as indicated above. To estimate the difference in rates of misconduct and attrition between whistle-blowers and the entire population, we matched the employees associated with these cases to employee rosters and adverse disciplinary actions from the PAID system for the period of fiscal years 2010 through 2014. We also interviewed representatives from different whistle-blower advocacy groups, and individuals who disclosed wrongdoing or retaliation at VA who were referred to us by one advocacy group.", "To address all objectives, we interviewed senior officials from VA\u2019s major components responsible for investigating and adjudicating cases of employee misconduct. We also reviewed standard operating procedures, policy statements, and guidance for staff charged with investigating and adjudicating allegations of employee misconduct. Further details about our scope and methodology can be found in appendix I.", "We conducted this performance audit from January 2015 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["VA comprises a Veterans Affairs Central Office (VACO) and over 1,000 facilities and offices throughout the nation, as well as the U.S. territories and the Philippines. As shown in figure 1, VA\u2019s three major administrations are the Veterans Health Administration (VHA), Veterans Benefits Administration (VBA), and National Cemetery Administration (NCA). The largest of the administrations, in terms of workforce, is VHA and its associated Veterans Integrated Service Networks (VISN). VHA is estimated to employ about 316,800 employees in 2017, followed by the VBA and NCA with about 22,700 and 1,850 employees, respectively. The remaining 15,000 employees are in various staff offices. VA\u2019s budget request for fiscal year 2018 of $186.4 billion includes $82.1 billion in discretionary resources and $104.3 billion in mandatory funding.", "The following offices are involved in addressing misconduct at VA.", "Office of Human Resource Management (OHRM): OHRM develops policies with regard to performance management and assesses the effectiveness of department-wide human-resource programs and policies.", "Office of Accountability Review (OAR): OAR was established in 2014 within VA\u2019s Office of General Counsel and was intended to ensure leadership accountability for improprieties related to patient scheduling and access to care, whistle-blower retaliation, and related disciplinary matters that affect public trust in VA.", "Office of Inspector General (OIG): The VA OIG provides oversight through independent audits, inspections, and investigations to prevent and detect criminal activity, waste, abuse, and mismanagement in VA programs and operations.", "Office of Accountability and Whistleblower Protection (OAWP): As required by the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017, OAWP will take on the responsibility of, among other things, receiving whistle-blower complaints.", "Corporate Senior Executive Management Office (CSEMO): CSEMO supports the entire life-cycle management of VA\u2019s senior executives by developing policy and providing corporate-level personnel services, such as training and coaching to VA\u2019s senior executive workforce.", "Client Services Response Team (CSRT): CSRT serves to centralize and streamline internal processes to improve VHA\u2019s overall responsiveness to concerns of veterans, employees, and other internal and external stakeholders. This office works closely with VA and VHA program offices and facilities to review, research, and respond to inquiries sent to the Office of the Under Secretary for Health, Office of the Secretary, and other concerns received via program offices within VACO, which lack a formalized response process.", "National Cemetery Administration (NCA): NCA honors veterans and their families with final resting places in national shrines that commemorate their service. NCA\u2019s Office of Management oversees and administers all human-resource management, including activities associated with labor and employee relations.", "Office of the Medical Inspector (OMI): OMI is responsible for assessing the quality of VA health care through investigations of VA facilities nationwide, which include employee whistle-blower allegations referred to VA by the OSC; veteran complaints referred by the OIG, Congress, or other stakeholders; and site-specific internal reviews directed by the Office of the Under Secretary for Health.", "Office of Research Oversight (ORO): ORO promotes the responsible conduct of research, serves as the primary VHA office in advising the Office of the Under Secretary for Health on matters of research compliance, and is to provide oversight of compliance with VA and other federal requirements related to research misconduct.", "Office of Resolution Management (ORM): ORM provides Equal Employment Opportunity (EEO) discrimination complaint processing services to VA employees, applicants for employment, and former employees, which include counseling, investigation, and final agency procedural decisions.", "Office of Security and Law Enforcement (OS&LE): OS&LE develops policies, procedures, and standards that govern VA\u2019s infrastructure law- enforcement program. The Law Enforcement Oversight and Criminal Investigations Division is responsible for conducting investigations of serious incidents of misconduct.", "Veterans Benefits Administration (VBA): VBA provides benefits and services to veterans, their families and survivors. VBA\u2019s Office of Management directs and oversees nationwide human-resources activities and supports ORM in processing EEO complaints filed by employees and applicants who allege employment discrimination.", "The process for addressing employee misconduct involves various components within VA that are responsible for investigating and adjudicating allegations, as shown in figure 2.", "Receipt of Allegation: The OIG receives allegations of criminal activity and employee misconduct from VA employees, the OSC, members of Congress, the public, or other stakeholders. The allegations received by the OIG are initially routed to the OIG Hotline Division. The OIG also receives other types of allegations outside the scope of this review, such as issues pertaining to VA employee benefits and contracts. In addition to reporting allegations of employee misconduct to the OIG, VA employees may also report allegations of misconduct directly to their supervisors.", "Review and Referral of Allegation: Due to the substantial number of allegations received through the OIG Hotline Division, the OIG exercises a \u201cright of first refusal\u201d on misconduct cases, which allows it to take no further action, refer the case to program offices within VA for review and response, or open an investigation. For example, the OIG can either decide to (1) take no further action on matters not within the OIG\u2019s jurisdiction or too vague to warrant further review; (2) refer allegations that warrant some action to the OMI, OAR, or VA facilities or program offices within each administration to conduct an independent review of the allegations; or (3) open cases for further review for serious allegations of criminal activity, fraud, waste, abuse, and mismanagement. Cases opened by the OIG typically involve misconduct by senior officials, or matters relating to the quality of care provided by licensed professionals. In contrast, the OIG typically refers allegations to VA facility or program offices for matters where the OIG does not have sufficient resources to open an internal case. The OIG generally does not review matters that are addressed in other legal or administrative forums, such as allegations of discrimination or whistle-blower retaliation.", "Notice to Employee Once Allegations Are Substantiated: The type of appointment an employee holds determines whether an employee is to be provided advance notice of planned disciplinary action once misconduct is substantiated at the conclusion of an investigation. Employees holding a permanent appointment are entitled to receive a notice of proposed action that states the specific charges for which the proposed disciplinary action is based and informs the employee of his or her right to review the material that is relied upon to support the reasons for the action. Employees in the competitive service serving in a permanent appointment (who have completed their probationary period) are treated differently than those who are still in their probationary period or serving under temporary appointments. An employee serving a probationary period or under a temporary appointment does not receive a notice of proposed action and may be immediately terminated because his or her work performance or conduct fails to demonstrate fitness or qualifications for continued employment. Temporary employees are terminated by notifying employees in writing as to why they are being separated and the effective date of the action.", "Disciplinary Action: VA Handbook 5021, Employee/Management Relations, governs policy for disciplinary and grievance procedures for all employees. Supervisory staff or appropriate higher-level officials use the results from investigations to help determine whether any disciplinary actions are warranted and, if so, the type and severity of each action. Other VA staff, such as human-resources and general-counsel staff may also provide guidance to management in determining appropriate disciplinary actions. After determining the facts in a case, VA may employ either disciplinary or adverse action. Adverse action involves a more- severe type of discipline (e.g., removal, suspension more than 14 days, or reduction in grade) as described in table 1."], "subsections": []}, {"section_title": "Employee Misconduct and Disciplinary- Action Data Are Hampered by Completeness and Data-Reliability Issues VA Collects Misconduct and Disciplinary-Action Data Using Fragmented Systems", "paragraphs": ["As a federal agency, VA is required to report department-wide information on certain disciplinary personnel actions to the Office of Personnel Management (OPM). OPM\u2019s Enterprise Human Resources Integration (EHRI) system currently collects, integrates, and publishes data for executive-branch employees on a biweekly basis. This system provides federal workforce data to other government systems and the public. To adhere to this reporting requirement, VA provides information on certain disciplinary actions such as terminations and removals to OPM. The Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 also requires the Secretary to provide a report on the disciplinary procedures and actions of the department to Congress.", "To understand the depth and breadth of misconduct and related issues in a large entity, such as VA, comprehensive and reliable information is needed. Standards for Internal Control in the Federal Government states that an information system represents the life cycle of information used for the entity\u2019s operational processes that enables the entity to obtain, store, and process quality information. Therefore, management should design the entity\u2019s information system to obtain and process information to meet each operational process\u2019s information requirements and to respond to the entity\u2019s objectives and risks, such as the ability to systematically analyze misconduct department-wide to identify trends and make management decisions regarding misconduct. A deficiency exists when (1) a control necessary to meet an objective is missing or (2) an existing control is not properly designed, so that even if the control operates as designed, the objective would not be met.", "We identified 12 fragmented information systems that VA has used, or continues to use, to collect employee misconduct and disciplinary actions. Although VA has made efforts to develop repositories to collect information pertaining to misconduct and disciplinary action, none of the 12 information systems contain complete information. Six of these systems collect partial misconduct and disciplinary action information and contain fields that could potentially be shared with other systems to obtain additional information, while the other six systems are intended for internal office use only, each containing their own unique fields and values tailored to the needs of that particular office, which are not shared. Therefore, the number of eligible fields for each information system was also limited to those not specifically designated for internal use. On the basis of our review, the 12 information systems are not currently able to communicate, or interoperate, with one another to provide a complete picture of misconduct and disciplinary actions across VA.", "Table 2 provides an overview of VA\u2019s six information systems and associated data files that collect partial misconduct and disciplinary-action data that could potentially be shared with other systems.", "According to OHRM officials, VA\u2019s information system for recording adverse disciplinary actions\u2014the Personnel and Accounting Integrated Data (PAID) system\u2014was not designed to track all misconduct cases. In addition, OHRM stated that the 53-year-old PAID system was developed primarily to track payroll actions for all employees and is the system of record that holds department-wide personnel information that is reported to OPM\u2019s EHRI system. It contains information about adverse disciplinary actions that affect employee leave or salary, or result in a Notification of Personnel Action Form (Standard Form 50). However, PAID does not track comprehensive information on instances of misconduct such as the offense, or the date of occurrence, and it does not include instances of other types of disciplinary actions, such as admonishments or reprimands that would not affect leave or salary, or result in a Standard Form 50.", "OHRM officials stated VA implemented a system called HR Smart in June 2016 that is intended to replace PAID, but the agency does not plan to upgrade the functionality of the new system to enable reliable collection of misconduct information. According to OHRM, HR Smart includes the same personnel-processing functions as PAID but will allow for tracking data changes and transaction history over time. However, as with the PAID system, adverse disciplinary actions involving leave and salary will be tracked, but other actions, such as reprimands and admonishments, will not. It also will not track information related to the offense that prompted the disciplinary action.", "While the HR Smart system has the capability to include modules to enhance performance features, such as the ability to track misconduct, according to OHRM officials VA does not currently have plans to implement these modules. As a result, the HR Smart system will not have the capability to track all employee misconduct department-wide and will not improve VA management\u2019s visibility over the depth and breadth of misconduct so that it can systematically understand misconduct department-wide.", "VA has five additional information systems for tracking complaints or allegations of misconduct and disciplinary actions, but, similar to the agency\u2019s PAID information system, each of these information systems contains a subset of the information that would be needed to understand all misconduct department-wide."], "subsections": [{"section_title": "Data-Reliability Issues Impair VA\u2019s Ability to Systematically Analyze Data to Evaluate Department-Wide Employee Misconduct", "paragraphs": ["According to Standards for Internal Control in the Federal Government, systems should include relevant data from reliable internal sources that are reasonably free from error and faithfully represent what they purport to represent. Additionally, management is advised to process data into quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis. Management should also evaluate processed information, make revisions when necessary so that the information is quality information, and use the information to make informed decisions.", "Additionally, according to Standards for Internal Control in the Federal Government, management should design the entity\u2019s information system and related control activities to achieve objectives and respond to risks. The standards add that the information system design should consider defined information requirements for each of the entity\u2019s operational processes. Defined information requirements allow management to obtain relevant data from reliable internal and external sources. In order to achieve complete and accurate data, internal controls are needed, among other things, to ensure that fields are not left blank, data elements are clearly defined and standardized, and common data elements are included across data systems to allow for interoperability and aggregation.", "Our analysis of VA\u2019s 14 data files identified the following three categories that reduced the reliability of the data: lack of data standardization, and lack of identifiers."], "subsections": [{"section_title": "Missing Data", "paragraphs": ["We found that 7 data files we reviewed contained a majority of data within fields, but 5 data files were missing a significant amount of data within certain fields. We were unable to analyze the remaining two files due to a number of data-quality issues. Among the fields that were missing data were several that would be useful for analyzing misconduct, including complainant name, proposed action, and person of interest, as shown in table 4. For example, we found that in the OAR Legacy Referral Tracking List, 97 percent of the entries for the Proposed Action field (1,210 of 1,245) and 96 percent for the Disciplinary Action field (1,190 of 1,245) were blank. If available, comparison of the proposed and disciplinary action-taken fields would allow VA to assess whether actions are consistently implemented department-wide. However, the high percentages of blank values in multiple fields impair VA\u2019s ability to conduct a comprehensive analysis of misconduct to identify and address trends.", "See appendix II for a further listing of the five data files and the corresponding fields that were missing data.", "In addition, we found that several data files had options such as \u201cnot applicable\u201d or \u201cno\u201d for certain fields so that the field would not be left blank, but these options were not consistently used. For example, the Complainant Name field within the Legacy Referral Tracking List was blank for some entries and not applicable (N/A) for others. Accordingly, we did not know whether data were intentionally omitted or not entered by mistake. In addition, the Offense Sustained field found within the VA-Wide Adverse Employment Action and Performance Improvement Plan Database was blank for some entries and either a yes or no for others."], "subsections": []}, {"section_title": "Lack of Data Definition Standardization", "paragraphs": ["Eight of the 14 data files we reviewed did not have key data elements that were defined within and across information systems. In other words, the data files contained entries that described similar information in different ways. For example:", "The Complaints Automated Tracking System (CATS) Employment data were not mutually exclusive, or independent of one another. For example, this field includes two distinct categories of information: employment status, such as full time or part time; or hiring authority, such as Title 5 or Title 38. This method of storing information resulted in undercounting each of the separate values due to the system\u2019s inability to account for expected overlap. For instance, an employee could be both a full-time and Title 5 employee and the field only tracks one or the other. ORM officials stated that this field has since been modified to capture more options to account for the overlap.", "The NCA data file\u2019s Action Proposed/Decided/Taken data were tracked in a single field and updated with the most-recent action, rather than capturing proposed actions, decided actions, and actions taken in separate fields.", "We also identified standardization issues with the newly updated VA- Wide Adverse Employment Action and Performance Improvement Plan Database. For example, we found 15 different variations of Registered Nurse, such as \u201cRegistered Nurse,\u201d \u201cStaff RN,\u201d and \u201cRN\u201d position names. In addition, we found 28 alternate values that identified Diagnostic Radiologic Technologists (e.g., Diagnostic Radiologic Technologist, Diagnostic Radiological Technologist, and Radiologic Technologist).", "See appendix III for a description of the fields that did not have standardization within the eight data files."], "subsections": []}, {"section_title": "Lack of Identifiers", "paragraphs": ["We determined that 5 out of the 14 data files did not have identifiers that would allow comparisons of information across systems. Identifiers are important because they reference one unique individual or case, which makes it possible to analyze historical data pertaining to all records with the same identifier and analyze trends in employee misconduct over time. For example:", "The OAR VA-Wide Adverse Employment Action Database and the VBA data files had a combined total of 4,487 closed cases of misconduct that received adverse corrective action during the combined period of November 2013 through December 2016. We found that these two data files did not contain unique identifiers for complainants or accused individuals for a given case. OAR officials stated that this system does not contain Personal Identifying Information since its purpose is to track proposed and taken adverse actions. If more-specific information is needed, OAR staff coordinate with the human-resource point of contact. Although OAR may obtain additional information, this information is not entered into the OAR VA-Wide Adverse Employment Action Database, which would assist with conducting analysis.", "VAPS tracks misconduct in two separate subsystems, one of which tracks traffic violations and other administrative offenses, and one of which also tracks more-egregious offenses such as criminal violations. These subsystems also do not have unique identifiers that would allow data matching between the two subsystems, which could impede the analysis of this information. Even with both files, there is no ready way to capture the complete number of individuals with misconduct in both files due to the lack of a shared identifier.", "The newly updated VA-Wide Adverse Employment Action and Performance Improvement Plan Database does not contain unique identifiers, such as employee identification number, name of the complainant or accused, or other linking variables, to allow for the analysis of historical trends or comparison of information among other information systems.", "The data-quality issues described above are due in part to most of VA information systems not having data dictionaries, field definitions, or other documented guidance and procedures on data entry and automated edit checks to control for erroneous entries and blank fields. Absent guidance and procedures, VA lacks assurance that employees will enter complete and accurate information in the various data systems. Further, the lack of unique identifiers such as employee identification number, case number, or other linking variables for each of the records does not allow for analysis of historical trends or comparison of information among different information systems. Consequently, this precludes VA from determining the frequency and nature of allegations by specified category, or identifying trends, thus impeding senior officials\u2019 ability to analyze misconduct department-wide and develop corrective actions."], "subsections": []}]}]}, {"section_title": "VA Does Not Consistently Adhere to Policies for File Retention and Adjudication Documentation Pertaining to Employee Misconduct Allegations", "paragraphs": ["VA Directive 5021, Employee/Management Relations, governs policy for disciplinary procedures for all employees and outlines the provisions for the adjudication of each disciplinary action and associated file documentation requirements. Specifically, files must be established before a notice of proposed adverse action is issued to the employee to document that the adjudication procedures were followed. The file must contain all available evidence upon which the notice of proposed action is based and that supports the reasons in that notice. In addition, each file should contain specific documentation related to the adjudication of employee misconduct.", "VA Handbook 5021 states that disciplinary actions and associated adjudication procedures for all VA employees appointed under Title 5 are governed by three basic principles: (1) an employee shall be informed in writing honestly and specifically why the action is being brought against him or her; (2) an employee shall be given a reasonable opportunity to present his or her side of the case; and (3) the employee and representative shall have assurance of freedom from restraint, interference, coercion, discrimination, or reprisal in discussing, preparing, and presenting a defense.", "Our review of a generalizable sample of 544 misconduct case files (from a universe of 23,622 files) associated with disciplinary actions that affect pay from October 2009 through May 2015 revealed that VA officials did not consistently adhere to VA\u2019s policy for retaining files containing evidence of misconduct. Specifically, VA was unable to provide the files for 10 percent (55 of 544) of the files we requested. We determined that administrations and program offices within VA have various record- retention schedules. Offices that have not established a record-retention schedule refer to the general records schedule developed by the National Archives and Records Administration (NARA). However, we found that some offices are misinterpreting OPM and NARA guidance and specify the record retention period for adverse action files as a range between 4 to 7 years rather than selecting a specific number of years in their record- retention schedules. All of the files were within VA\u2019s record-retention range specified during the time of our review. The files that were unaccounted for were dispersed throughout most of the VISNs, but one VISN was not able to account for 19 of the missing files in our sample.", "On the basis of our weighted analysis of the generalizable sample, we estimate that VA would not be able to account for approximately 1,800 files in the full population that were within the record-retention period specified.", "In addition, VA officials did not consistently adhere to VA\u2019s policy for documenting that procedures were followed in the adjudication of misconduct cases. We identified 22 out of 36 file requirements where VA was not able to consistently demonstrate compliance with VA policy due to the lack of documentation contained in files, based on our generalizable sample. Specific to both Title 5 and Title 38 permanent- employee misconduct case files, table 5 shows the estimated number and percentage that deviated from file documentation requirements. A list of the 22 identified requirements and the percentage of files not in compliance can be found in appendix IV.", "As table 5 indicates, Title 5 and Title 38 permanent employee files did not always contain documentation that employees were informed of the reason the action was brought against them. For example, on the basis of our generalizable sample, we estimate that the advance notice of proposed action, which includes a statement of the specific alleged misconduct upon which the proposed action is based, was not included in 16 percent of the files department-wide. A final decision letter, which contains a statement of the decision official\u2019s determination regarding which charges, if any, in the advance notice were sustained, was not included for an estimated 15 percent of all files. Further, an estimated 35 percent of all files did not include a written acknowledgement from the employees that they received the final decision letter in person, and an estimated 23 percent of all files did not include the required return receipt for certified mail indicating that the decision letter was mailed to the employee.", "In addition, Title 5 and Title 38 permanent employee files did not always contain documentation that employees were provided a reasonable opportunity to present their side of the case. Our review found that permanent-employee disciplinary files did not adhere to basic principles outlined in VA Handbook 5021 and lacked evidence to demonstrate that employees were adequately informed regarding their rights during the adjudication procedure. Specifically, our generalizable sample found that an estimated 21 percent of all files did not include statements regarding the employee\u2019s rights to due process, such as his or her entitlement to be represented by an attorney or other representative. In addition, an estimated 8 percent of all files did not mention that more information regarding appeal rights could be obtained by consulting Human Resources Management offices. For files where the employee provided an oral reply in response to proposed disciplinary action, an estimated 29 percent of files did not include the required written summary, which is to be signed by the official hearing the oral reply. Where a written reply was submitted, an estimated 11 percent of files did not include a copy of the employee\u2019s written reply.", "Further, VA officials did not consistently adhere to VA\u2019s best practices specific to Title 5 permanent employees only. We found that in a majority of these files (an estimated 72 percent) the proposal letters did not include a statement that assured the employee he or she had freedom from restraint, discrimination, or reprisal in discussing, preparing, and presenting a defense. VA Handbook 5021, Employee/Management Relations, also states that Title 5 employees should provide their written responses through supervisory channels to the decision official. We estimate that a total of 6,819 files (47 percent) of Title 5 permanent employee files did not provide their written reply through supervisory channels to the decision official.", "Although OHRM is responsible for assessing the effectiveness of department-wide human resource programs and policies of VA Handbook 5021, according to OHRM officials, each facility is responsible for oversight of implementing policies and guidelines pertaining to how disciplinary actions are processed. We found no evidence that OHRM has assessed whether documentation exists that demonstrates adherence to policy governing cases involving disciplinary actions or provided oversight of VA\u2019s implementation of record-retention requirements, or that human- resource personnel adhere to basic principles outlined in policy to ensure employees are informed of their rights during the adjudication process.", "The resulting lack of oversight to HR policies increases the risk that employees will not be adequately informed of their rights during the adjudication process. Accordingly, employees may not (1) be provided with information on why an action is being brought against them, (2) be provided with a reasonable opportunity to present their case, and (3) be adequately protected from potential reprisal in preparing their defense.", "Regarding retention of records, according to NARA, disciplinary and adverse action case files should be destroyed no sooner than 4 years but no later than 7 years after the case is closed. According to OPM, to implement this authority, each agency must select one fixed retention period between 4 and 7 years and publish the retention in the agency\u2019s records disposition manual.", "We determined that some offices are misinterpreting OPM and NARA guidance by not selecting a specific number of years in their record- retention schedules. For example, three of the six policy record-retention schedules we reviewed did not establish a specific number of years for record retention. Specifically, record-retention policies for the Office of Information and Technology, VACO staff offices, and VBA specified the record-retention period for adverse action files as a range between 4 to 7 years rather than selecting a fixed retention period. For example, we found that the Records Control Schedule pertinent to VACO was dated June 30, 1967, without references to new or revised items since 1969.", "Our results are consistent with an October 2016 inspection conducted by NARA. The inspection report contained 16 findings and 19 recommendations for improvement of the records-management program at VA. Among the findings and recommendations were the following.", "Finding: The VA records management program has not ensured that the VACO maintains a current Records Management Handbook and a current Records Control Schedule, which together establish program objectives, responsibilities, and authorities for the creation, maintenance, and disposition of agency records.", "Recommendation: The Department Records Office must update and maintain the VACO handbook and the Records Control Schedule for Central Office Staff Offices and the Offices of the Assistant Secretaries to include specific Records Management roles and responsibilities for all VACO staff and to include mandates for implementation of records management policies and procedures in accordance with Federal statutes and regulations.", "Finding: The VA Departmental Records Management program does not conduct regular records management evaluations within VACO and the Offices of the Secretary and Assistant Secretaries or monitor the oversight activities of the Administrations.", "Recommendation: The VA Departmental Records Management program, working with the Administrations, VACO, and Enterprise Risk Management, must establish effective Records Management evaluation programs to monitor VA compliance with Federal regulations.", "Recommendation: The VA Departmental Records Management program, working with the Senior Agency Official for Records Management, must establish effective Records Management evaluation programs to monitor the records management practices within the Office of the Secretary and Assistant Secretaries to ensure compliance with Federal regulations.", "Finding: VACO Staff Offices and the Offices of the Assistant Secretaries are not routinely conducting records inventories.", "Recommendation: VACO Staff Offices and the Offices of the Assistant Secretaries, with support from the Department Records Management program, must conduct inventories of existing electronic and non-electronic records to identify scheduled, unscheduled, and vital records.", "In response to NARA findings, VA is to submit a plan of corrective action that specifies how the agency will address each inspection report recommendation, including a timeline for completion and proposed progress reporting dates.", "VA does not have a method in place to evaluate the implementation of records-management practices outside of those being conducted by VHA and VBA. Accordingly, VA has not been conducting records-management oversight with any uniformity department-wide. Further, VA\u2019s use of multiple retention periods for adverse action files, and in some cases the lack of adherence to OPM and NARA guidance in defining a specific retention period for these files, results in inconsistent retention of these files across VA."], "subsections": []}, {"section_title": "Investigative Standards Were Not Consistently Followed to Ensure That Senior Officials Were Held Accountable VA Facility and Program- Office Responses to Allegations of Misconduct Did Not Consistently Follow OIG Policy", "paragraphs": ["The OIG receives allegations of employee misconduct from VA employees, the OSC, members of Congress, the public, and other stakeholders. When the OIG receives allegations it can either take no further action, open an investigation, or refer the case to facility or program offices within VA for review and response. For cases referred to facility or program offices, the OIG has developed a policy for VA facilities and program offices to use when investigating allegations of misconduct. This policy includes six elements that VA facility and program officials are to incorporate in their investigations, as shown in table 6. According to OIG officials, if the reviewing employees have concerns about the adequacy of the response provided, the OIG can either ask for additional information to supplement the response or open an internal case. Departmental heads (Under Secretaries for Health, Benefits, and Memorial Affairs, Assistant Secretaries, and other key officials) are responsible for ensuring that referrals are properly reviewed, documented, and answered within specified time frames.", "Our review of the 23 OIG cases of alleged misconduct between calendar years 2011 and 2014 involving senior officials found that VA facility and program offices did not consistently follow policies and procedures established by the OIG for investigating such allegations. In several instances, VA facility and program offices did not include one or more of the six elements required in their investigative response to allegations of misconduct. In addition, our review of the 23 cases found instances in which VA facility and program offices did not include sufficient documentation for their findings, or provide a timely response to the OIG. The OIG was not able to produce the documentation provided by the facility or program office that was used to close 2 of the 23 cases in our review. All of the requested files were within the OIG\u2019s 7-year record- retention period during the time of our review.", "As shown in table 7, we identified four cases that did not contain evidence of an independent review by an official separate from and at a higher pay grade than the accused.", "In three of the four cases that were not reviewed by an independent official at a higher grade, the review was performed by the medical center director, who was one of the accused named in the allegation. For example, in one case involving alleged time-and-attendance abuse by a physician, the medical center director, who was also named in the allegation as having received a similar complaint against the physician 2 years earlier, reviewed the allegations made against the physician and himself. The documentation provided showed that the medical center director conducted the investigation of allegations and found the allegations were not substantiated and no corrective actions were implemented. In all four cases, both the independence and higher-grade criteria were not followed when the accused senior officials investigated allegations against themselves.", "As shown in table 8, we generally found that VA facility and program offices reviewed each allegation contained in the original referrals, although in one case the reviewer did not respond directly to all allegations.", "As shown in table 9, VA facility and program offices clearly indicated their findings for each allegation in 14 of the 21 cases of misconduct involving senior officials for which files could be located, as well as their assessment of whether the allegations were substantiated or unsubstantiated. However, we identified seven cases in which VA discussed its findings but did not provide a clear indication of whether all allegations were substantiated or unsubstantiated.", "Responses lacking a clear statement of substantiation may be more difficult for subsequent reviewers, including OIG and OAR investigators, to track and perform follow-up where necessary. For example, in one case involving 11 allegations, no statement of substantiation was provided, but VA\u2019s response included seven recommendations, three of which involved disciplinary action. We did not find evidence in the case file that follow-up was performed by the OIG personnel to clarify this discrepancy, and the case was closed.", "As shown in table 10, most allegations involving senior officials (16 of 21 cases for which files could be found) were not formally substantiated and did not require a recommendation for corrective action based on OIG case-referral criteria. Specifically, the criteria require a description of corrective actions taken or proposed as a result of substantiated allegations, but make no mention of allegations that were not substantiated as part of VA\u2019s response. For one substantiated allegation, however, we found no evidence of a recommendation for corrective action.", "Table 11 shows that 17 cases from VA facility and program offices did not provide the supporting documentation they used to reach their conclusions about the OIG case referrals.", "In 17 cases, including one case reviewed by an AIB panel, VA referenced documents reviewed but did not attach any of the supporting evidence. OIG case-referral criteria state that VA facility or program offices must provide supporting documentation used in their review, such as copies of pertinent documents. However, the criteria do not specify whether copies of all documentation reviewed must be included in the file. Supporting documentation, which must be provided according to OIG policy, will vary depending on the circumstances of the case, but those used to support the findings and recommendations should be included.", "For example, we reviewed one case where pertinent documents were referenced to support the allegation, but documents supporting the findings and recommendation were not included. The case contained allegations involving false patient wait-time documentation and abuse of authority. Specifically, a medical center director instructed staff to review patient wait times between follow-up appointments in order to meet VA\u2019s 14-day timeliness metric. The investigation revealed that VA staff had changed several hundred veteran appointment wait times. The investigation concluded that the false documentation allegation was substantiated, but attributed the cause to the staff not understanding how to enter a follow-up appointment date into the system. However, there was no documentation in the files to support (1) that the medical center director had not abused his authority by instructing staff to review wait times greater than 14 days to determine how they could be reduced, and (2) findings for the conclusion that the original wait times were entered in error.", "Absent supporting documentation, it is difficult for the OIG to determine whether enough evidence was gathered before closing alleged cases of misconduct that were found to be unsubstantiated or closing substantiated cases of misconduct that required further action. VA Directive 0701 states that copies of voluminous transcripts of interviews, the entire claims folder, and medical charts are not necessary. However, VA Directive 0701 further states that such materials should be available if the OIG subsequently requests them within the record-retention period. Case examples of allegations reviewed, and subsequently closed, by the VA OIG based on its evaluation of evidence provided by facility and program offices in response to allegations of misconduct can be found in appendix V.", "As shown in table 12, VA facilities\u2019 or program offices\u2019 response letters, which were sent to the OIG, included a point of contact for further questions in 15 of the 21 OIG case referrals involving senior officials, including the individual\u2019s name and a means of contact (phone or e-mail).", "In 2 of the 15 cases where a point of contact was provided, the contact was also one of the accused in the allegation. Although that is not technically a violation of OIG criteria, it likely presents a conflict of interest in regard to independent reviewers obtaining objective case information. In six other cases, no contact was listed, although the letter was signed by the reviewer. If a specific point of contact is not identified, including position title, it may be assumed erroneously by employees involved in the case, or following up on the case, that the default contact is the reviewer, who may not be the appropriate point of contact, and may or may not be able to provide objective case information.", "OIG guidelines state that VA facilities and program offices assigned Hotline case referrals are responsible for reporting written findings to the Hotline Division within 60 days, unless an extension is requested. Our review of the 21 cases found instances in which VA facility or program offices did not always provide a timely response to the OIG. Table 13 shows five instances in which VA facility or program offices submitted a response after the deadline requested by the OIG. One response was not reported timely after an extension was provided by the OIG.", "In one of the five cases involving allegations of abuse of authority by a VA medical center director, the reviewer requested an extension, which is permitted by OIG policy, but still missed the revised deadline. The five case files did not contain any information regarding any follow-up actions taken in response to delays.", "According to OIG officials, when a case has been referred to a program office for investigation, the OIG reviews the program office\u2019s response for completeness and sufficiency before closing the case. However, there is no requirement for the OIG to ensure that the responses contain the six elements listed in VA Directive 0701 and confirm that case referral allegations have been addressed. Consequently, the lack of verification could have contributed to insufficient evidence that does not meet the requirements outlined by the OIG.", "Additionally, VA facility and program offices have not consistently adhered to VA Directive 0701 policy and do not always provide supporting documentation for their findings and recommendations, or always provide a timely response when reporting findings to the OIG\u2019s Hotline division. Inconsistent adherence to the reporting standards provided by the OIG to VA facilities and program offices for investigating and resolving misconduct case referrals from the OIG Hotline impedes VA\u2019s ability to ensure that misconduct cases are being handled appropriately.", "According to OIG officials, the OIG has taken steps to enhance the review of case responses. Specifically, OIG officials stated that in April 2018 the OIG implemented a new Enterprise Management System to reduce reliance on certain manual processes. According to OIG officials, Hotline analysts will now have more time to review their work and perform other quality-assurance activities. In implementing this new system, it will be important for the OIG to consider how the system can assist in ensuring requirements are met and responses are received timely."], "subsections": [{"section_title": "OAR Data Indicate That Senior Officials Involved in Substantiated Cases of Misconduct May Not Always Be Held Accountable", "paragraphs": ["Our review of VA\u2019s information systems that track misconduct involving senior officials department-wide indicates that they may not always be held accountable for misconduct. Specifically, (1) misconduct was sometimes substantiated, but the proposed disciplinary action was not taken; (2) misconduct was sometimes substantiated, but no disciplinary action was recommended; (3) previous penalties did not have the corrective effect for officials found to have engaged in repeated acts of misconduct and who have remained in VA management positions; and (4) senior officials violated separation-of-duty policy when taking disciplinary action.", "VA Handbook 5021 allows the deciding official to determine the appropriate disciplinary action if one or more allegations are substantiated. However, the disciplinary action may not be more severe than what had been proposed."], "subsections": [{"section_title": "Misconduct Substantiated, but Proposed Action Not Always Taken", "paragraphs": ["In several cases, misconduct was substantiated, but the proposed action was not always taken. Our review of the OAR Legacy Referral Tracking List identified 17 officials between calendar year 2011 through May 2015 with substantiated misconduct where action was proposed. However, in some of these cases, the officials were given a lesser penalty than the one proposed, while in other cases there is no evidence that action was taken. As shown in figure 3, we found that for 12 of the 17 officials with substantiated misconduct, an adverse disciplinary action (removal) was proposed. Of those 12 officials, 3 were removed, 2 received a suspension, 4 received a reprimand or admonishment, 2 were allowed to resign or retire before receiving disciplinary action, and we found no evidence of disciplinary action for the remaining individual. For the other 5 officials, actions such as counseling, admonishment, suspension, or reprimand were proposed. Of the 5 officials, 2 received the actions that were proposed, 1 received a lesser penalty than what had been proposed, 1 was allowed to retire before receiving action, and we found no evidence of the proposed action for the remaining individual.", "For the two officials for whom there was no evidence that disciplinary action was taken, we found no evidence within the PAID information system or personnel files that these officials received the action proposed in the OAR Legacy Referral Tracking List. Counseling was proposed for one official, and removal from the position for the other official. OAR did not provide us with evidence that the officials had received the action proposed.", "We also reviewed an additional 15 cases that involved a fact-finding or an AIB. Our review of these cases found that 11 out of 23 officials were associated with instances of substantiated misconduct and proposed action was recommended. For 4 of the 23 officials where the proposed action field was populated, the information within the OAR Legacy Referral Tracking List reflected the action recommended. The applicable data fields for the remaining 19 officials within the OAR Legacy Referral Tracking List were not in agreement with the action recommended, or blank. This review also identified two officials with substantiated misconduct where OAR did not provide evidence that the disciplinary action proposed was taken:", "Two officials were involved in a case concerning alleged whistle- blower retaliation at the Phoenix VA Health Care System. The investigative report documented that allegations were sustained. The retaliation included allegations of involuntary reassigning the whistle- blower to another position, placement of the whistle-blower on administrative leave, and lowered performance pay ratings following disclosures regarding poor patient care and nursing triage errors. Appropriate administrative action for persons identified as having engaged in retaliation was recommended. We did not find any evidence in the PAID system that these two officials involved in retaliation received disciplinary action. OAR provided documentation to show that no action was taken against one official, and was unable to provide documentation to show that the disciplinary action had been taken for the other. The official who received no action received approximately $11,500 in performance pay during a 2-year period following the allegations."], "subsections": []}, {"section_title": "Misconduct Substantiated, but No Action Recommended", "paragraphs": ["OAR\u2019s quality-review process for investigative reports does not ensure that reports with findings of substantiated misconduct include recommendations for action. Our review of OAR\u2019s Legacy Referral Tracking List identified 70 out of 1,245 closed cases involving officials where misconduct was either substantiated, or partially substantiated, but no disciplinary action was recommended. One case involved three allegations of poor dental care provided to patients by three different senior officials. One physician cut underneath a patient\u2019s tongue with the bur of a hand-piece drill (substantiated), another administered medication the patient was allergic to (partially substantiated), and the final senior official extracted the wrong tooth (substantiated). We did not find any evidence in the PAID system that these senior officials received disciplinary action. Further, OAR did not provide documentation to show that any disciplinary action had been proposed or taken. The physician that cut underneath a patient\u2019s tongue received performance pay totaling $15,000 approximately 6 days after the investigation had concluded that misconduct was substantiated. As of March 2018, two of these senior officials received performance pay, and appear to still be employed at VA.", "While an investigation was conducted that substantiated (or partially substantiated) the allegations, there is an increased risk that some substantiated misconduct will go unaddressed if there is no recommendation for corrective action."], "subsections": []}, {"section_title": "Senior Officials with Misconduct Remain in Management Positions", "paragraphs": ["Our review of OAR\u2019s Legacy Referral Tracking List indicated that some officials who had been disciplined for misconduct remained in positions where they were responsible for proposing or deciding disciplinary action for other employees. We identified 15 officials in the OAR VA-Wide Adverse Employment Action Database who received disciplinary action between 14 days to 1 year prior to proposing disciplinary action for another employee. Most of the 15 officials (12 officials) had received a suspension.", "We also found that five officials in the OAR Legacy Referral Tracking List had received prior disciplinary actions for offenses unrelated to the new OAR allegations. A prior history of disciplinary actions indicates that some officials may be repeat offenders for whom the previous penalties did not have the desired corrective effect. For example, 4 out of 5 officials were suspended for a different offense prior to being the subject of a new allegation. One of the four officials was suspended less than 2 months prior to being the subject of a new allegation, while another received a suspension before, and again approximately 7 months following, the OAR allegation. According to VA Handbook 5021, the deciding official must use the \u201cDouglas\u201d factors, which include the employee\u2019s past disciplinary record, to determine a reasonable penalty. One of the five VA officials was eventually removed approximately 6 months after the new OAR allegation.", "In analyzing cases involving senior management, we noted that the OAR Legacy Referral Tracking List often did not accurately reflect the disciplinary action that was decided based on the results of the investigation. In numerous instances for the OAR Legacy Referral Tracking List, the applicable data fields indicating the proposed and final disciplinary action were blank. In these cases where the disciplinary fields were populated, the data usually did not agree. Specifically, for 32 out of the 40 records we reviewed where misconduct was substantiated, the final disciplinary action taken did not reflect the information within the OAR Legacy Referral Tracking List. When disciplinary actions are taken in response to findings of misconduct but are not entered within an appropriate information system, or are inaccurately recorded, it is more difficult to (1) monitor whether disciplinary actions have been implemented, and (2) ensure information relevant to management for making decisions is available. Further, without a prior record of misconduct or disciplinary action, senior officials who are repeat offenders may not receive the appropriate penalty required.", "Pursuant to the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017, OAWP will now be responsible for receiving, reviewing, and investigating allegations of misconduct, retaliation, or poor performance involving senior officials. According to OAWP officials, their office investigates allegations of misconduct at the senior level only. OAWP officials also stated that misconduct issues that occur below the senior level will be referred to each of the three major VA administrations for investigation and resolution. In addition to the VA- Wide Adverse Employment Action and Performance Improvement Plan Database, OAWP officials stated that it has implemented two additional information systems that are used concurrently to capture case information. OAWP officials stated that they are currently working with VA Information Technology to assess options for other case-management systems that could consolidate these three information systems into one comprehensive system."], "subsections": []}, {"section_title": "VA Officials Violated Separation-of-Duty Policy When Taking Disciplinary Action against VA Employees", "paragraphs": ["VA Handbook 5021, Employee/Management Relations, states that the decision on a proposed major adverse action will be made by an official who is in a higher position than the official who proposed the action, unless the action is proposed by the Secretary. Standards for Internal Control in the Federal Government states that management should divide or segregate duties among different people.", "Our review of the OAR VA-Wide Adverse Employment Action Database, OAWP VA-Wide Adverse Employment Action and Performance Improvement Plan Database, and VBA data file identified examples where VA officials did not follow separation-of-duty requirements. As shown in table 14, 73 (out of an estimated 7,886) VA officials acted as both the proposing and deciding official in cases involving removals for employees found to have engaged in misconduct.", "Fourteen VA officials acted as both the proposing and deciding official in two or more cases. One of these 14 officials acted as both the proposing and deciding official for seven different removal cases. Further, our review of 29 VA officials found that none received disciplinary action for violating separation-of-duty policy.", "The systemic lack of adherence to VA\u2019s separation-of-duty policy is reflective of a lack of controls that would allow such activity to occur. Focusing on ensuring such controls are implemented would help ensure that VA decreases the risk of abuse when officials act as both proposing and deciding officials."], "subsections": []}]}]}, {"section_title": "VA Has Procedures for Investigating Whistle-Blower Allegations of Misconduct, but Investigations Can Lead to Potential Conflicts of Interest", "paragraphs": ["VA has procedures in place to ensure that allegations of misconduct are investigated, but these procedures allow VA program offices or facilities where a whistle-blower has reported misconduct to conduct the investigation. According to VA officials, investigations that are deemed necessary are occasionally ordered directly from the head of the facility or VA leadership, which takes the lead on an investigation into the allegation. Alternatively, an OIG official stated if allegations of misconduct are received by the OIG, the OIG has the option of investigating the allegation or exercising a \u201cright of first refusal\u201d whereby it refers allegations of misconduct to VA facilities or program offices where the allegation originated to complete an independent review and provide a response to the OIG.", "As shown in figure 4, the majority of contacts the OIG received (127,265 out of 133,435) from calendar years 2010 through 2014 were not investigated due to several reasons, such as insufficient evidence or lack of jurisdiction. Of those contacts that were investigated, the majority (4,208 of 6,170 investigated contacts) were not investigated by the OIG but rather were referred to facility or program offices for investigation.", "Whistle-blowers also have the option of reporting alleged misconduct outside VA by filing a disclosure with the OSC, and may do so if they believe there has not been a resolution to their complaint internally. If the OSC determines that there is substantial likelihood of wrongdoing, it may refer the disclosure back to the Secretary of Veterans Affairs for further investigation. According to OSC officials, as a general policy, the OSC will not refer a disclosure to the Secretary if the OIG is already conducting an investigation of that particular complaint and defers to the OIG to finalize the investigation. According to OIG officials, the OIG may, in turn, exercise its \u201cright of first refusal\u201d when cases are referred from the OSC. Consequently, this process can result in a disclosure that was originally made to the OSC being referred back to the facility or program office where the allegation originated.", "As shown in figure 4, the OSC referred 172 of 942 disclosures (18 percent) filed by VA employees back to the Secretary of Veterans Affairs for further investigation from calendar years 2010 through 2014. Of the 172 disclosures referred, VA referred 53 back to the facility or program offices where the complaint originated and 119 to the OIG.", "The independence of officials conducting or reviewing the results is paramount to the integrity of the process both in deed and appearance. According to VA Directive 0700, the decision whether to conduct an investigation should not be made by an official who may be a subject of the investigation, or who appears to have a personal stake or bias in the matter to be investigated. Moreover, according to OIG policy, investigations referred to VA offices must be reviewed by an official independent of and at least one level above the individual involved in the allegation.", "VA does not have oversight measures to ensure that all referred allegations of misconduct are investigated by an entity outside the control of the facility or program office involved in the misconduct, to ensure independence. VA OIG officials acknowledged that there have been concerns about referring cases back to the chain of command because the OIG is unsure where cases go once they are referred. The investigation of allegations of misconduct by the program office or facility where the complaint originated may present the appearance of a conflict of interest in which managers and staff at facilities may investigate themselves or other allegations where they may have a personal stake or bias in the matter to be investigated. Consequently, there may be an increased risk that the results of the investigation are minimized, not handled adequately, or questioned by the OSC or the individual who made the original allegation."], "subsections": [{"section_title": "Disclosures Investigated by VA Facility and Program Offices", "paragraphs": ["According to VA Directive 0700, significant incidents occurring, and issues arising, within VA facilities or offices shall be reported and investigated as necessary to meet the informational and decision-making needs of VA. Primary responsibility in this regard rests with the chief executives of the facility or staff office involved, and with their supervisors in VA and its administrations. According to an OIG official, VA (the Secretary or a delegate) sends disclosures received from the OSC to the OIG, which may then refer to VA facility or program offices for further review and investigation. According to OSC officials, for cases that are referred to a program office, the OSC requires that the Secretary or delegate provide a report that outlines its conclusions and findings. This reporting is not required for disclosures where an ongoing OIG investigation is already under way.", "According to OSC officials, for each disclosure, the OSC is to review the report for statutory sufficiency and determine whether the findings of the agency head appear reasonable. The OSC is to send its final determination, report, and any comments made by the whistle-blower to the President and responsible congressional oversight committees.", "The OSC has raised concerns in its reports to the President about investigations conducted by VA program offices and facilities. Of the 172 whistle-blower disclosures referred by the OSC between calendar years 2010 through 2014, the Secretary of Veterans Affairs referred 53 to facility and program offices. Our review of these 53 OSC reports found that the OSC had concerns about the conclusions VA reached in 21 (40 percent) of the 53 disclosure cases. For example, the OSC found that the conclusions in some VA reports were unreasonable because VA reached its conclusion without interviewing the witness, provided shifting explanations that strained credibility and did not provide evidence of an unbiased investigation, ignored whistle-blower concerns by refusing to investigate allegations, and refused to acknowledge the impact on the health and safety of veterans seeking care after confirming problems in these areas.", "For disclosure cases that were referred from the OIG to facility and program offices during the 2010\u20132014 time frame of our review, the OIG acknowledged that these concerns arose because of a lack of communication between the department and the OIG regarding the scope of the review. At the time of our review, VA did not have a procedure in place to ensure the conclusions reached for investigations involving OSC disclosure cases are reasonable and meet the informational and decision- making needs of VA whereby all allegations are addressed. More recently, the OIG has started to communicate the scope of its reviews that involve matters referred by the OSC to the Office of the Secretary. In implementing this new process, it will be important for the Office of the Secretary to ensure that any allegations outside the purview of the OIG\u2019s investigation are fully addressed by a departmental entity in accordance with OSC requirements."], "subsections": []}, {"section_title": "Disclosures Investigated by the VA OIG", "paragraphs": ["As shown in figure 4, of the 172 disclosure cases referred to VA by the OSC, a total of 119 cases were referred to the OIG. The OIG had conducted, or was already conducting, an investigation of the particular allegations for all 119 disclosures. Since these 119 disclosure cases were already under investigation by the OIG, the OSC deferred to the OIG\u2019s investigation for these cases. A total of 37 of these 119 disclosure cases that were referred to the VA OIG were submitted to the OSC anonymously. Therefore, we were unable to conduct a review of these investigations because there was no information available to identify the individuals involved.", "According to Standards for Internal Control in the Federal Government, management\u2019s ability to make informed decisions is affected by the quality of information. Accordingly, the information should be appropriate, timely, current, accurate, and accessible. The oversight body oversees management\u2019s design, implementation, and operation of the entity\u2019s organizational structure so that the processes necessary to enable the oversight body to fulfill its responsibilities exist and are operating effectively.", "Our review of the remaining 82 disclosure cases determined that the OIG does not have procedures in place to track cases that were referred from the OSC for further investigation. According to OIG officials, the OIG\u2019s information system did not have a method in place to ensure that OSC case numbers are linked to the OIG investigative case number and final report. Consequently, the OIG was unable to produce the investigative documentation for these 82 disclosures. According to OIG officials, OSC case numbers and associated Hotline numbers are currently tracked in a spreadsheet until the implementation of a new system.", "The inability to locate investigative documentation prevents a third party from verifying whether the OIG examined the disclosures, whether any recommendations were addressed, or whether appropriate disciplinary action was taken for these cases. In addition, because the OSC defers to the OIG\u2019s investigation for allegations that were already conducted, or being conducted, the OSC and individuals that made the allegations do not have documentation to demonstrate that the allegations were addressed. This information, or lack of it, has direct influence on management\u2019s ability to make sound decisions relating to investigative matters.", "Pursuant to the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017, OAWP will be responsible for recording, tracking, reviewing, and confirming implementation of recommendations from audits and investigations involving whistle-blower disclosures, including the imposition of disciplinary actions and other corrective actions contained in such recommendations. According to OAWP officials, the whistle-blower disclosure process will be similar to the current process when cases are referred to facility and program offices for investigation. OAWP will follow up on any open points with the level of leadership that is most appropriate in each case, such as the medical center or VISN director. Case details will be tracked through the three active databases that are being used concurrently.", "OAWP is currently working to develop an internal process that will bring the investigative communities together. For instance, OAWP would like to monitor cases that are referred to VA facility and program offices, but it does not currently have documented criteria to guide the process. According to OAWP officials, OAWP is finalizing new policies in the form of a policy manual and handbook. However, these officials were unable to provide a time frame for completion of the published guidance."], "subsections": []}]}, {"section_title": "VA Data and Whistle- Blower Testimony Indicate That Retaliation May Be Occurring", "paragraphs": [], "subsections": [{"section_title": "Individuals Who Reported Wrongdoing Are More Likely to Receive Disciplinary Action and Leave the Agency Than Their Peers", "paragraphs": ["Our analysis of VA data shows that individuals who filed a disclosure of misconduct with the OSC received disciplinary action, and left the agency, at a higher rate than the peer average for the rest of VA. We identified 135 disclosure cases that were received by the OSC between calendar years 2010 and 2014 and were alleging misconduct. Of the 135 disclosures, a total of 129 employees made a total of 130 disclosures nonanonymously. We compared the 129 employees who made nonanonymous disclosures to the PAID information system using the complainants\u2019 information.", "As shown in table 15, on average approximately 1 percent of all employees in the VA roster received an adverse action in any given fiscal year. For the 129 nonanonymous whistle-blowers, we found that approximately 2 percent received an adverse action in the fiscal year prior to their disclosure, while 10 percent had received an adverse action in the fiscal year of their disclosure, and 8 percent received an adverse action in the year subsequent to this disclosure. While the fact that nonanonymous whistle-blowers faced higher rates of adverse action subsequent to their disclosure than the VA population as a whole is consistent with a pattern of retaliation for nonanonymous whistle-blowers, it is only an indication that retaliation could be occurring.", "Our analysis also showed that among employees who could be matched to the PAID end-of-year roster, attrition rates were higher for those individuals who filed a nonanonymous disclosure with the OSC. On average, approximately 9 percent of all VA employees on the end-of-year roster in one fiscal year were not on the subsequent year\u2019s roster. In contrast, 66 percent of the 129 nonanonymous whistle-blowers did not appear in the subsequent year\u2019s roster. Attrition rates were higher among employees who had filed a disclosure than among their peers who had not filed disclosures, for all fiscal years in our review (see table 16).", "Our analysis did not confirm the reasons for disciplinary action or attrition involving any of the 129 employees who made nonanonymous disclosures to the OSC. According to VA officials, employees who have a history of poor performance or conduct may be more likely to file a disclosure with the OSC or allege misconduct, which could explain some of the disparities between whistle-blowers and other employees. However, we also could not rule out instances where retaliation by senior officials may have occurred after misconduct was disclosed."], "subsections": []}, {"section_title": "Testimony of Whistle- Blowers Describes Retaliation and Lack of Understanding of the Disclosure Process", "paragraphs": ["The Civil Service Reform Act of 1978, as amended, states, among other things, that federal personnel management should be free from prohibited personnel practices (PPP). The law also authorizes the OSC to investigate allegations involving PPP that include reprisals against employees for the lawful disclosure of certain information pertaining to individuals who engage in such conduct or other wrongdoing. According to Standards for Internal Control in the Federal Government, laws and regulations may require entities to establish separate lines of communication, such as whistle-blower and ethics hotlines, for communicating confidential information. Management informs employees of these separate reporting lines, how they operate, and how they are used, and how the information will remain confidential. Reporting lines are defined at all levels of the organization and provide methods of communication that can flow down, across, up, and around the structure.", "Our interviews with six VA whistle-blowers who claim to have been retaliated against provided anecdotal evidence that retaliation may be occurring. Whistle-blowers we spoke to alleged that managers in their chain of command took a number of actions that were not traceable to retaliate against the whistle-blowers after they reported misconduct. These alleged actions included being reassigned to other duty locations or denied access to computer equipment necessary to complete assignments, and socially isolating these individuals from their peers, among other things.", "Whistle-blowers we spoke to also expressed concerns regarding the lack of guidance available to employees about how to file a disclosure through VA and the OSC. Whistle-blowers stated that employees are not provided adequate information on how to document or file a claim of misconduct or retaliation. Employees can file disclosures regarding misconduct and complaints of retaliation through multiple reporting lines. As mentioned previously, however, the OSC will generally not refer to the Secretary under its statutory process a disclosure if the OIG has conducted or is already conducting an investigation of that particular complaint. Thus, whistle-blowers may limit their chance of having an independent, non-VA entity oversee their complaint if they file a complaint with the OIG first.", "The Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 requires the Secretary, in coordination with the Whistleblower Protection Ombudsman, to provide training regarding whistle-blower disclosures to each employee of VA. This information shall include, among other items, an explanation of each method established by law in which an employee may file a whistle-blower disclosure, an explanation that the employee may not be prosecuted or reprisal taken against him or her for disclosing information, and language that is required to be included in all nondisclosure policies, forms, and agreements. The Secretary shall also publish a website and display the rights of an employee making a whistle-blower disclosure.", "In August 2017, VA began providing additional information on its website for potential whistle-blowers who wish to report criminal or other activity to the OIG. The information provided focuses on reporting misconduct to the OIG and provides other lines of reporting established by law in which an employee may file a whistle-blower disclosure, such as directly to an immediate supervisor or the OSC. In addition, the information provided explains the process after misconduct is reported through the OIG Hotline, but does not clarify the process for referred disclosure cases received from the OSC. As mentioned previously, OIG officials stated that a disclosure made to the OSC or the OIG can be referred back to the facility or program office where the allegation originated, which may compromise confidentiality.", "Consequently, employees may not be aware that their information may be shared among the OSC, the OIG, OAWP, or VA facility and program offices when a disclosure is made to the OSC. Adequately communicating the investigative process to employees may alter their decision to report wrongdoing. Without a clear understanding of the lines for reporting misconduct and how they operate, whistle-blowers may be uncertain as to their options for reporting misconduct, which increases the risk that they may not report workplace misconduct.", "According to OSC, it has learned through its cases that OAWP has a practice of allowing VA employees, who are the subject of the allegations brought forward by whistle-blowers to review or participate in investigations, or both, which could make the whistle-blower feel uncomfortable or intimidated. This practice has led to confusion regarding the role and responsibilities of OAWP personnel. OAWP\u2019s use of VA employees that are employed at the facility under investigation in the review of allegations creates the possibility of a conflict of interest or an appearance of a conflict of interest. For example, in a case OSC described in its comments on a draft of our report, an OAWP representative who was also associated with the human-resource office at the VISN that oversees the whistle-blower\u2019s facility, placed the whistle- blower under oath and questioned her about issues unrelated to the referred allegations. OSC has since sought clarification of OAWP\u2019s role and the OAWP employee\u2019s possible connection to the VISN."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While VA collects data on some types of disciplinary actions, it is limited in its ability to use those data because it does not collect all misconduct and associated disciplinary-action data through a single information system, or multiple interoperable systems. Absent a process to collect such data department-wide, VA does not have the ability to analyze and report data systematically. In addition, the data currently collected are not always reliable or useful. The inclusion of appropriate documented guidance and standardized field definitions would help to ensure VA collects reliable misconduct and associated disciplinary-action data. With high-quality information that is accurate and comprehensive, VA management would be better positioned to make knowledgeable decisions regarding the extent of misconduct occurring and how it was addressed, department-wide.", "VA has not ensured that program and facility human-resources personnel adhere to policy governing documentation contained within evidence files to support conclusions reached. In addition, VA often had no record of the evidence involved with the adjudication of these actions and could not verify whether these individuals received reasonable and fair due process. The absence of documentation in some files also raises the possibility that VA may not always be in compliance with its procedures for governing the adjudication of alleged employee misconduct. Additionally, ensuring that human-resources personnel adequately inform employees of their rights during the adjudication process would provide them with a reasonable opportunity to present their case when preparing their defense. VA also does not consistently adhere to OPM and NARA guidance in defining a specific retention period for adverse action files. This results in an inconsistent retention of these files across VA which complicates department-wide analysis.", "VA\u2019s inconsistent adherence to the standards provided by the OIG to facilities and program offices for investigating and resolving misconduct cases increases the risk that misconduct case are not being handled appropriately. Additionally, the lack of verification of responses received to ensure documentation supports findings and recommendations has contributed to evidence that does not always meet the requirements outlined by the OIG. Finally, timely responses are not consistently provided when facility and program offices report findings to the OIG\u2019s Hotline Division.", "OAR did not monitor whether substantiated instances of misconduct involving senior officials received disciplinary action. OAR\u2019s Legacy Referral Tracking List also did not accurately reflect the disciplinary action that was decided based on the results of the investigation. When disciplinary actions are taken, in response to findings of misconduct, but are not entered within an appropriate information system, or are inaccurately recorded, it is more difficult to monitor whether disciplinary actions have been implemented in substantiated instances of misconduct involving senior officials. As demonstrated, this may result in no action being taken for substantiated misconduct or the previous penalties not having the corrective effect for repeat offenders. There is also an increased risk that substantiated misconduct will go unaddressed if there is no recommendation for corrective action. Further, VA also does not have internal controls to ensure adherence to proper separation-of-duty standards involving the removal of an employee. Such controls would minimize the risk of abuse when officials act as both proposing and deciding officials.", "In addition, VA does not have oversight measures to ensure that all allegations of misconduct referred by the OIG to facility and program offices are investigated by an entity outside the control of the facility or program office involved in the misconduct. The investigation of allegations of misconduct by the program office or facility where the complaint originated may present the appearance of a conflict of interest in which managers and staff at facilities may investigate themselves or other allegations where they may have a personal stake or bias in the matter to be investigated. Therefore, the risk that the results of the investigation are minimized, or not handled adequately, is increased. VA\u2019s newly developed process to communicate the scope of its reviews that involve matters referred by the OSC to the Office of the Secretary will be important to ensure any allegations outside the purview of the OIG\u2019s investigation are fully addressed by a departmental entity in accordance with OSC requirements.", "Further, the OIG\u2019s inability to locate investigative documentation prevents a third party from verifying whether the OIG examined the disclosures, whether any recommendations were addressed, or whether appropriate disciplinary action was taken for these cases. This lack of information has direct influence on management\u2019s ability to make sound decisions relating to investigative matters. According to OIG officials, a spreadsheet is being used for tracking case numbers associated with disclosures, but plans to implement a process within the new system.", "Nonanonymous whistle-blowers faced higher rates of adverse action subsequent to their disclosure than the VA population as a whole. In addition, these individuals also had attrition rates higher than their peers who had not filed a disclosure. The disparities between whistle-blowers and other employees may be an indication that retaliation by senior officials may have occurred after misconduct was disclosed. Although VA has started to provide additional information for potential whistle-blowers who wish to report criminal or other activity to the OIG, VA does not have a process to inform employees of how their information may be shared between organizations when misconduct is reported. Without a clear understanding of how the lines for reporting misconduct operate, whistle- blowers may be uncertain as to their options for reporting misconduct, increasing the risk that they may not report workplace misconduct."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following 16 recommendations to VA.", "The Secretary of Veterans Affairs should develop and implement guidance to collect complete and reliable misconduct and associated disciplinary-action data department-wide, whether through a single information system, or multiple interoperable systems. Such guidance should include direction and procedures on addressing blank data fields, lack of personnel identifiers, and standardization among fields, and on accessibility. (Recommendation 1)", "The Secretary of Veterans Affairs should direct applicable facility and program offices to adhere to VA\u2019s policies regarding employee misconduct adjudication documentation. (Recommendation 2)", "The Secretary of Veterans Affairs should direct the Office of Human Resource Management (OHRM) to routinely assess the extent to which misconduct-related files and documents are retained consistently with VA\u2019s applicable documentation requirements. (Recommendation 3)", "The Secretary of Veterans Affairs should direct OHRM to assess whether human-resources personnel adhere to basic principles outlined in VA Handbook 5021 when informing employees of their rights during the adjudication process for alleged misconduct. (Recommendation 4)", "The Secretary of Veterans Affairs should adhere to OPM and NARA guidance and establish a specific record-retention period for adverse action files. In doing so, the Secretary should direct applicable administration, facility, and program offices that have developed their own record-retention schedules to then adhere to the newly established record-retention period. (Recommendation 5)", "The Department of Veterans Affairs (VA) Inspector General should revise its policy to include a requirement to verify whether evidence produced in senior-official case referrals demonstrates that the six elements required in VA Directive 0701 have been addressed. (Recommendation 6)", "The Secretary of Veterans Affairs should direct the Office of Accountability and Whistleblower Protection (OAWP) to review responses submitted by facility or program offices to ensure evidence produced in senior-official case referrals demonstrates that the six elements required in VA Directive 0701 have been addressed. (Recommendation 7)", "The Secretary of Veterans Affairs should direct OAWP to issue written guidance on how OAWP will verify whether appropriate disciplinary action has been implemented for all substantiated misconduct by senior officials. (Recommendation 8)", "The Secretary of Veterans Affairs should direct OAWP to develop a process to ensure disciplinary actions proposed in response to findings of misconduct are recorded within appropriate information systems to maintain their relevance and value to management for making decisions and take steps to monitor whether the disciplinary actions are implemented. (Recommendation 9)", "The Secretary of Veterans Affairs should direct OAWP to issue written guidance on how OAWP will review the disposition of accountability actions for all substantiated misconduct cases involving senior officials resulting from investigations. (Recommendation 10)", "The Secretary of Veterans Affairs should implement internal controls to ensure that proper adherence to separation-of-duty standards involving the removal of an employee are consistent with policy. (Recommendation 11)", "The Secretary of Veterans Affairs should develop oversight measures to ensure all investigations referred to facility and program offices are consistent with policy and reviewed by an official independent of and at least one level above the individual involved in the allegation. To ensure independence, referred allegations of misconduct should be investigated by an entity outside the control of the facility or program office involved in the misconduct. (Recommendation 12)", "The VA Inspector General, in consultation with the Assistant Secretary of OAWP, should develop a process to ensure that OSC case numbers are linked to the investigative case number and final report. (Recommendation 13)", "The Secretary of Veterans Affairs should direct OAWP to develop a time frame for the completion of published guidance that would develop an internal process to monitor cases referred to facility and program offices. (Recommendation 14)", "The Secretary of Veterans Affairs should ensure that employees who report wrongdoing are treated fairly and protected against retaliation. (Recommendation 15)", "The Secretary of Veterans Affairs should direct OAWP to develop a process to inform employees of how reporting lines operate, how they are used, and how the information may be shared between the OSC, the OIG, OAWP, or VA facility and program offices when misconduct is reported. (Recommendation 16)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs (VA), VA Office of Inspector General (OIG), and the Office of Special Counsel (OSC) for review and comment. In its comments, VA concurred with nine of our recommendations and partially concurred with five (see app. VI for a copy of VA\u2019s letter). Regarding our recommendations to the Inspector General, the OIG concurred with one recommendation and partially concurred with the other. The OIG also provided comments on our findings (see app. VII for a copy of the OIG\u2019s letter). We received technical comments by e-mail from OSC\u2019s Principal Deputy Special Counsel, which we incorporated in the report as appropriate.", "Regarding VA\u2019s comments, in its response to our first recommendation that the Secretary develop and implement guidance to collect complete and reliable misconduct and associated disciplinary-action data department-wide, VA concurred and outlined steps it plans to take to address our recommendations. These steps include the creation of new policies to address blank data fields, lack of personnel identifiers, lack of standardization among fields, and accessibility issues related to misconduct and associated disciplinary-action data department-wide. The target date for system implementation, dependent on approved funding and acquisition-related requirements, is January 1, 2020.", "On our second recommendation, that the Secretary direct applicable facility and program offices to adhere to VA\u2019s policies regarding employee-misconduct adjudication documentation, VA concurred. It stated that a memorandum will be distributed to reiterate facility and program-office requirements to adhere to VA Handbook 5021, Employee/Management Relations, no later than October 1, 2018.", "VA also concurred with our third recommendation, that the Secretary direct the Office of Human Resource Management (OHRM) to routinely assess the extent to which misconduct-related files and documents are retained. According to VA, OHRM will assess, during periodic Oversight and Effectiveness Service reviews, the extent to which misconduct- related files and documents are retained. The first assessment is to be incorporated into the fiscal year 2019 Oversight and Effectiveness Service schedule no later than November 1, 2018.", "VA concurred with our fourth recommendation, that the Secretary direct OHRM to assess whether human-resources personnel adhere to basic principles outlined in VA Handbook 5021. VA stated that OHRM will assess, during periodic Oversight and Effectiveness Service reviews, whether human-resources and administration personnel adhere to basic principles outlined in VA Handbook 5021. The first assessment is to be incorporated into the fiscal year 2019 Oversight and Effectiveness schedule no later than November 1, 2018.", "In its response to our fifth recommendation, that the Secretary adhere to Office of Personnel Management (OPM) and National Archives and Records Administration (NARA) guidance and establish a specific record- retention period for adverse-action files, VA concurred and indicated that the Human Resources and Administration Assistant Secretary will establish VA guidance regarding the retention period for adverse-action files. In addition, the Human Resources and Administration Assistant Secretary is to advise applicable administration, facility, and program offices that have developed their own record-retention schedules to adhere to the newly established directive. According to VA, the directive will be established no later than November 1, 2018.", "VA partially concurred with our seventh recommendation, that the Secretary direct departmental heads to review responses submitted by facility or program offices to ensure evidence produced in senior-official case referrals demonstrates that the six elements required in VA Directive 0701 have been addressed. VA stated that the process described in our report pertaining to OIG findings or results will be changed to require all such reports to be submitted to OAWP. VA also indicated that it expects to publish new guidance by October 1, 2018, that will require the Office of Accountability and Whistleblower Protection (OAWP) to review responses and recommendations from facilities or program offices. Given VA\u2019s comments, we have revised our draft recommendation to have the Secretary direct OAWP, not the department heads, to ensure evidence demonstrates that the six elements have been addressed.", "VA also partially concurred with our eighth recommendation, that the Assistant Secretary of OAWP review all substantiated misconduct by senior officials to verify whether disciplinary action has been implemented. VA stated that all substantiated misconduct by senior leaders in VA is handled by OAWP from intake, through investigation, working with the proposing and deciding officials. VA also stated that it expects to publish written guidance by October 1, 2018, that will clarify how OAWP will work with the appropriate servicing personnel office to ensure that the recommended disciplinary actions decided are implemented for substantiated misconduct involving senior officials. Given VA\u2019s comments, we have revised our draft recommendation to have the Secretary of Veterans Affairs direct OAWP to issue written guidance on how OAWP will verify that appropriate disciplinary action has been implemented for all substantiated misconduct by senior officials.", "VA partially concurred with our ninth recommendation, that the Assistant Secretary of OAWP develop a process to ensure disciplinary actions proposed are recorded within appropriate information systems. VA stated that the VA-wide discipline tracking system currently used by OAWP will eventually be phased out. It added that once the Human Resources Information System (HRSmart) is capable of capturing and recording similar data, it will be used for this purpose. Accordingly, we have not revised our draft recommendation.", "VA partially concurred with our 10th recommendation, that the Assistant Secretary of OAWP assess all misconduct cases involving senior officials to ensure investigative reports with findings of substantiated misconduct include recommendations for action. According to VA, OAWP has instituted several processes since our review. VA plans to issue written guidance that outlines the process for the review and disposition of appropriate accountability actions for allegations of misconduct by senior officials by October 1, 2018. Given VA\u2019s comments, we have revised our draft recommendation to have the Secretary of Veterans Affairs direct OAWP to issue written guidance on how OAWP will review the disposition of accountability actions for all substantiated misconduct cases involving senior officials resulting from investigations.", "In its response to our 11th recommendation, that the Secretary implement internal controls to ensure that separation-of-duty standards involving the removal of an employee are consistent with policy, VA concurred. It stated that it will also establish and distribute internal controls to ensure that separation-of-duty standards involving the removal of an employee are consistent with policy no later than November 1, 2018.", "VA partially concurred with our 12th recommendation, that the Secretary take steps to ensure independence of referred allegations of misconduct by requiring that investigations be conducted outside the control of the facility or program office involved in the misconduct. VA stated that OAWP is responsible for recording, tracking, reviewing, and confirming the implementation of recommendations from audits and investigations. However, VA did not address how it will ensure the independence of the entity responsible for conducting an investigation. As we discuss in our report, during the review OAWP officials stated that the process of referring cases of misconduct back to facilities and program offices where the misconduct occurred will continue. Accordingly, we have not revised our draft recommendation and believe implementation of it will help ensure independence.", "VA concurred with our 14th recommendation, that the Assistant Secretary of OAWP develop a time frame for the completion of published guidance for the development of an internal process to monitor cases referred to facility and program offices. VA provided an expected date of October 1, 2018, for publishing the internal VA guidance, with the subsequent Directive and Handbook to be published as rapidly as staff coordination permits.", "In its response to our 15th recommendation, that the Secretary ensure that employees who report wrongdoing are treated fairly and protected against retaliation, VA concurred. It stated that OAWP and OSC have developed a functional process to ensure whistle-blower protections are implemented, but did not indicate what the process entails. The VA Secretary has also delegated authority to the Executive Director, OAWP, to put individual personnel actions on hold if the actions appear motivated by whistle-blower retaliation. VA added that OAWP has also hired two whistle-blower program specialists specifically to increase awareness of whistle-blower protections and work with individuals that disclose employee wrongdoing to ensure individuals are treated fairly and protected from retaliation for their disclosures.", "VA concurred with our 16th recommendation, that the Assistant Secretary of OAWP develop a process to inform employees of how reporting lines operate. VA stated that it will provide whistle-blower training to all employees on a biennial basis, which will include the reporting lines for disclosures of wrongdoing, the manner in which disclosures flow once they are made, how information is shared among the whistle-blower entities, and what protections exists for those who disclose wrongdoing.", "Regarding our recommendations to the Inspector General, the OIG partially concurred with our sixth recommendation, to revise its policy to include a requirement to verify whether evidence produced in senior- official case referrals demonstrates that the six elements required in VA Directive 0701 have been addressed. The OIG indicated that VA Directive 0701 is currently being updated to require a written or electronic signature from the person preparing the responses as an attestation that the specific requirements of the directive were met. The OIG also indicated in its letter that the OIG\u2019s Hotline staff carefully review the case response but Hotline staff are not required to request an updated response from VA to address matters not necessary to the resolution to the referral. The OIG asserted that requesting an update would detract from the resources for other important VA activities. On page 4 of the OIG\u2019s letter, the OIG states that Hotline analysts are allowed to exercise some discretion in accepting responses that may include minor departures from the six elements.", "We continue to believe that, in order to have a complete response to a referral, all six elements required by the directive should be addressed. In addition, Directive 0701 does not allow for the use of professional judgement to decide which elements to include or not to include in a response. While we agree that requiring a written or electronic signature from the person preparing the responses as an attestation will help ensure that the specific requirements of the directive were met, we maintain that not requiring Hotline analysts to review responses to ensure that all elements of the directive are addressed is inconsistent with the intent of the directive.", "In its response to our 13th recommendation, that the OIG develop a process to ensure that an OSC case number is linked to the investigative case number and the final report, the OIG concurred. It stated that it will engage with the Executive Director of OAWP to develop a process to ensure that OSC case numbers are linked to OIG and OAWP investigative case numbers, as appropriate, and linked to any final report of investigation.", "In addition to its response to recommendations, the VA OIG also raised a number of concerns with our findings. Page 1 of its letter summarizes some of these concerns and then provides more detail on each concern raised, starting on page 2. Our responses to each of these detailed concerns are provided below.", "The OIG stated that our report does not focus on the most important cases, but focuses primarily on case referrals regarding senior officials that were not handled by the OIG because the allegations were lower risk or because of resource constraints. In addition, the OIG stated that GAO risks presenting a skewed picture of the OIG\u2019s oversight work. We disagree with this characterization of our findings. We requested that the OIG provide us with data from the OIG\u2019s Master Case Index (MCI) information system that would allow us to select a sample of cases, in accordance with the scope of our review. The OIG was unable to provide the requested information due to several reasons. Instead, the OIG provided data from the OIG Hotline and Office of Investigations case- management systems (subsystems within MCI) that contained a limited number of fields for analysis and 23 cases pertaining to SES misconduct that were referred to VA for investigation during GAO\u2019s period of review. Therefore, as we discuss in the report, we were only able to review the 23 senior-official misconduct cases included in our report because the OIG was only able to provide related documentation for these cases. The OIG stated that we only reviewed a sample of just 23 case referrals from fiscal years 2011 through 2014. As described, we reviewed all 23 senior-official misconduct cases that were referred to VA for investigation that the OIG was able to provide us, not a sample.", "The OIG stated that our report inaccurately states that the extracts received from the MCI information system contained missing information. We disagree with this characterization of our findings. Our review included a comprehensive assessment of the reliability of the OIG\u2019s data. To conduct this assessment, we requested an explanation of each data field to clarify when fields are normally populated and how they are used. Our findings are consistent with the information provided in response to this request. For example, the OIG\u2019s response to our data-reliability assessment stated that the data field used to identify the type of allegations being investigated should never be blank. However, we found that field to be blank in some cases in the data that were provided to us, though the OIG asserted that the MCI information system is a relational database where each case may be associated with multiple allegations and codes. In response to the OIG\u2019s comments on our report, we requested supporting documentation to demonstrate that the fields analyzed during our period of review did not contain missing data. The OIG provided the MCI information system user\u2019s manual that contains detailed procedures for accessing and entering data into the MCI information system, and a compilation of various internal documents. However, the documentation did not provide evidence of the completeness of data entered into the MCI information system as part of quality-assurance reviews performed by the OIG or other designated entity. Absent evidence of data-quality reviews aimed at assessing the accuracy and completeness of data contained in the MCI information system, we did not change the conclusions based on our previous analysis.", "The OIG stated that our report provides incomplete information regarding sampled cases and mischaracterized one of the OIG\u2019s case referrals in the body of the report. We disagree with this characterization of our findings. Specifically, the OIG said that we inaccurately stated that a medical center director conducted the investigation into his own alleged misconduct and found no allegations were substantiated. The synopsis included in our report clearly articulates that the medical center director was named in the allegation for having received a similar complaint involving time and attendance abuse by a physician. The medical center director, who provided the response to the OIG, was implicated in the allegation as having not addressed a similar time and attendance complaint regarding the same physician 2 years earlier. The OIG did not provide any supporting documentation to demonstrate that the alleged time and attendance abuse allegations against the physician were not substantiated.", "The OIG stated that our report inaccurately stated that the medical center director conducted his own investigation of himself and found no allegations were substantiated. We disagree. In response to the OIG\u2019s comments on our report, we requested that the OIG provide additional support used to determine that the medical center director did not investigate the allegation in which he was named. The additional case documentation provided by the OIG further reaffirmed our assessment that the medical center director performed his own investigation and found no allegations were substantiated. Additional documentation provided by the OIG indicated that the OIG referred the case to the Veterans Integrated Service Network (VISN) for a response. However, documentation we examined during the course of our audit, and the documentation provided in response to our draft report, indicates that the medical center director performed the investigation of the allegations and then the results were routed through the VISN back to the OIG. The OIG stated that routing the response through the VISN should address our concerns of independence. This process does not address our concerns regarding independence because VA Directive 0701 states that all responses to Hotline case referrals must contain evidence of an independent review by an official separate from and at a higher grade than the subject / alleged wrongdoer. In this case, the name of the medical center director who signed the facility response provided to the OIG was the same individual named in the allegations.", "The OIG stated that the report does not provide a balanced presentation of the rigor with which the OIG reviews all incoming Hotline contacts and case responses. We disagree with this characterization of our findings. As described above, the OIG was unable to provide comprehensive data to select a sample of OIG audits, evaluations, and inspections for review due to the limitations cited. We focused on misconduct involving senior officials consistently with the scope of our review and thoroughly reviewed all 23 senior-official misconduct cases that were referred to VA for investigation, which were the only cases that the OIG was able to provide.", "The OIG stated that the description for one of the cases included in appendix V of the draft report was incomplete because we misunderstood the OIG\u2019s process. We disagree with this characterization. In response to the OIG\u2019s comments on our report, we requested additional supporting documentation. The documentation provided reaffirmed our assessment that another medical center director performed his own investigation and found no allegations were substantiated. Similar to the case described above, the medical center director completed his own investigation and then routed the response through the VISN back to the OIG. In contrast to the previous case, however, the Hotline Workgroup reviewed the response to the OIG and found it to be insufficient. Specifically, the OIG noted that the medical center director who provided the response was the subject of the complaint, despite the response being directed to the VISN, and requested clarification. The VISN informed the OIG that it is not its policy for the complainant to have any involvement in the review and data submission on a case in which the complainant is involved. The VISN stated that while this did obviously occur in this instance, it has taken steps to ensure it does not occur in the future. The supporting evidence provided for the case included in appendix V also contradicts the OIG\u2019s previous assertion that the routing of a response through the entity with oversight (VISN) over the medical center director should have addressed GAO\u2019s concerns of independence.", "The OIG stated our report provides a misrepresentation of the OIG\u2019s failure to follow internal policies for department responses. We disagree. According to OIG statements on page 4 of the OIG\u2019s letter, Hotline analysts are allowed to exercise some discretion in accepting responses that may include minor departures from the six elements required in VA Directive 0701. We continue to believe that in order to have a complete response to a referral, all six elements required by the directive should be addressed. On the basis of our review, the OIG does not have an effective method to ensure that cases referred to VA are reviewed in accordance with VA Directive 0701. Out of the 23 cases we reviewed, only 4 included sufficient documentation needed to support VA\u2019s findings, and we could not identify a case that contained all six elements required in VA Directive 0701. This suggests that the current OIG review process is not adequately resolving case referrals, as asserted by the OIG\u2019s response. In addition, VA Directive 0701 does not currently include a provision that would allow Hotline analysts to deviate from the six required elements. As stated in our report, the OSC also raised concerns regarding 40 percent of disclosure cases that were referred to VA facility and program offices.", "The OIG stated that much of the information in the draft report is dated and ignores system updates, specifically several key Hotline-related process improvements since 2014. Although our review began in 2015, we disagree with this characterization of our findings. In our report, we included relevant improvements to demonstrate where the OIG was able to provide support for those improvements. For example, our report discusses: (1) a new process for communicating the scope of reviews that involve matters referred by the OSC to the Office of the Secretary, (2) a description on the VA website of the process for employees who wish to report criminal or other activity to the OIG, (3) a new Enterprise Management System, and (4) a new process for receiving whistle-blower disclosures by the Secretary. In response to the OIG\u2019s comments on our report, we requested additional documentation for any systems, practices, or personnel changes that have been implemented since 2011, including improvements to Hotline-related processes since 2014 that were not included in our report. In response, the OIG provided a copy of the OIG\u2019s organizational chart (current as of Apr. 23, 2018), described the oversight responsibilities of each OIG component, and summarized the pertinent staff positions within each component. On the basis of this documentation, we identified a new office (the Office of Special Reviews), a promotion, staff reassignments, and numerous vacancies during our review period. However, the OIG did not provide evidence of any measures to improve the MCI information system, case-referral processes, or relevant staff roles that were not already included in our report.", "As described above, the OIG was unable to provide comprehensive data to select a sample of OIG audits, evaluations, and inspections for our initial review due to the limitations cited. In response to the OIG\u2019s comments on our report, we requested documentation related to any significant changes that have been made to the MCI information system that allows the OIG to identify all allegations of misconduct for export and analysis. The OIG provided additional information regarding overall departmental achievements that are highlighted in the OIG\u2019s Semiannual Report to Congress, and other products from its website published between fiscal years 2011 through 2018. We recognize the OIG\u2019s broader administrative and oversight work described in the published reports. However, this information does not address changes specifically made to the MCI information system that would enable the OIG to analyze cases pertaining to alleged misconduct by senior officials that we requested.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-5045 or larink@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine the extent to which the Department of Veterans Affairs (VA) (1) collects reliable information associated with employee misconduct and disciplinary actions that is accessible and could be used to analyze misconduct department-wide; (2) retains documentation that demonstrates VA adheres to its policies when adjudicating cases of employee misconduct; (3) ensures allegations of misconduct involving senior officials are reviewed in accordance with VA investigative standards, and these officials are held accountable; (4) has procedures to investigate whistle-blower allegations of misconduct; and the extent to which (5) data and whistle-blower testimony indicate whether retaliation for disclosing misconduct occurs at VA.", "For the first objective, we obtained VA employee misconduct data from 12 information systems operated by various VA components covering October 2009 through July 2017, where available. To determine the reliability of VA\u2019s misconduct data, we analyzed the contents of the 12 information systems operated by various offices across VA. These data encompass each of the three major administrations that constitute VA\u2014 the National Cemetery Administration (NCA), Veterans Benefits Administration (VBA), and Veterans Health Administration (VHA). We selected the information systems based on our discussions with VA officials and staff that oversee the data and, hence, identified databases capable of collecting information pertaining to either employee misconduct or disciplinary actions. Data fields were selected based on whether they would provide beneficial information to better understand the disciplinary process.", "VA\u2019s Personnel and Accounting Integrated Data (PAID) system, which was developed to track payroll actions, contains information about adverse disciplinary actions that affect employee salary department-wide. We obtained an extract of all adverse disciplinary actions from the PAID system.", "We assessed the reliability of each system for the purposes of identifying and tracking misconduct cases. To do this, we performed electronic tests on 12 information systems to determine the completeness and accuracy of the fields contained in the data files. We also submitted to the overseeing offices for all 12 information systems general data-quality questions regarding the purpose of the data, their structure, definitions and values for certain fields, automated and manual data-quality checks to ensure the accuracy of the data, and limitations. As discussed further, the data were generally not reliable for a department-wide assessment of all misconduct and disciplinary actions due to the lack of completeness and compatibility of the data across all information systems. VA staff could not confirm whether some of the missing data we identified were artifacts of the database extraction process VA used to assemble the data files we used in our review. Despite challenges with aspects of the data, we found the data sufficiently reliable for conducting analysis where fields were populated and field definition concurrence was obtained by program offices.", "For the second objective, we selected a generalizable stratified random sample of 544 misconduct cases from October 2009 through May 2015. Where available, we reviewed the employees\u2019 disciplinary-action files and Electronic Official Personnel Folders to determine the extent to which VA\u2019s actions were consistent with disciplinary policy outlined in VA Handbook 5021, Employee/Management Relations. These data encompass each of the three major administrations that constitute VA\u2014 NCA, VBA, and VHA. We determined the data to be sufficiently reliable for analysis of disciplinary actions affecting salary that resulted from misconduct that was not reported to supervisors directly from employees. Accordingly, our sample only includes misconduct cases that resulted in a change in salary or were reported to departmental organizations within the 12 information systems selected.", "We developed a data-collection instrument to document the results of our case reviews. We revised our data-collection instrument to address issues found during the course of our analysis, and developed a companion document that outlined the decision rules for reviewing cases.", "We also designated two primary reviewers to ensure the decision rules were consistently applied across all cases.", "Our review of laws and regulations revealed that disciplinary rules sometimes vary depending on whether employees fall under Title 5, Title 38, or hybrid Title 5 and Title 38 hiring authority. To minimize confusion associated with these differences, we incorporated criteria into our data- collection instrument. In addition, we were unable to obtain complete case information for 25 percent of the cases. For these cases, we obtained direct access to the Office of Personnel Management\u2019s (OPM) Electronic Official Personnel Folders system to attempt to recover some of the missing information. Ultimately, we were unable to complete our review for 10 percent of cases in our sample because of missing files.", "In addition to reporting missing case information, we used our generalizable analysis results to project VA-wide figures for several data elements that were not in compliance with VA policy. Unless otherwise noted, estimates in this report have a margin of error of +/-7.4 percentage points or less for a 95 percent confidence interval.", "For the third objective, we analyzed data from the Office of Accountability Review (OAR) Legacy Referral Tracking List and VA Office of Inspector General (OIG) case-referral and investigative case-management systems, and we selected cases for in-depth review. We selected these two systems based on discussions with VA officials who were knowledgeable with databases that have the capacity to track misconduct information pertaining to senior officials. The OAR Legacy Referral Tracking List comprises referrals from January 2011 through May 2015. The OIG provided 23 case-referral files involving senior officials from calendar years 2011 through 2014. As part of our review of the OIG case files, we evaluated specific data elements contained in VA\u2019s response documents using VA policy for referring and reviewing misconduct cases.", "We assessed the reliability of the OAR Legacy Referral Tracking List and OIG case-management systems for the purposes of identifying and tracking misconduct cases. To do this, we performed electronic tests on each database to determine the completeness and accuracy of the fields contained in the data files, including senior-official indicators. Where feasible, we opted to match individual datasets to PAID to determine whether disciplinary actions were administered as prescribed. We also submitted to OAR and the OIG general data-quality questions regarding the purpose of the data, their structure, definitions and values for certain fields, automated and manual data-quality checks to ensure the accuracy of the data, and limitations. On the basis of this information, we found the OAR data to be sufficiently reliable for conducting analysis where fields were sufficiently populated.", "For the OAR data, we matched the persons of interest to adverse-action files from PAID to determine whether adverse disciplinary actions were administered as prescribed during the available time frame (January 2011 through May 2015). We also obtained VA\u2019s response documents for the 23 case-referral files provided by the OIG to evaluate whether VA was adhering to its own policy for referring and reviewing misconduct cases.", "Through our OAR Legacy Referral Tracking List analysis, we identified illustrative case examples of misconduct involving senior officials. Further, based on our evaluation of the 23 OIG case referrals using VA\u2019s referral policy, we developed several illustrative case examples.", "For the fourth objective, we interviewed senior officials from VA and the OSC responsible for investigating whistle-blower complaints. We obtained the OSC\u2019s procedures for referring disclosure complaints and VA\u2019s policy for investigating these complaints once received at the agency. In addition, we obtained whistle-blower disclosure data from the Office of Special Counsel (OSC) covering calendar years 2010 through 2014. To determine the reliability of the data, we conducted electronic testing and traced data elements to source documentation. We determined the data to be sufficiently reliable to identify the total number of cases that were investigated by the OIG, or referred to facility and program offices. We also observed a course to assess VA\u2019s training provided to VA employees conducting investigations.", "We identified 135 OSC disclosure cases for analysis based on two criteria: (1) they contained at least partial complainant information (i.e., the allegations were not anonymously reported or could be identified with supplemental information) and (2) they contained an indicator that the case had been closed by the OSC pending an ongoing investigation by VA or the OIG. These cases represent the universe of VA disclosures accepted by the OSC. Of the 135 disclosure cases referred to VA, 53 cases were referred to VA facility and program offices for further investigation. The remaining 82 disclosure cases indicated that they were investigated by the OIG. We reviewed the results of OSC\u2019s assessment of investigative documentation developed by VA for these whistle-blower disclosure cases.", "For the fifth objective, we analyzed the 135 whistle-blower disclosure cases obtained from the OSC. These cases represent the universe of VA disclosures accepted by the OSC from calendar years 2010 through 2014, which were investigated by VA. We obtained an extract of year-end rosters from the PAID system as of September for fiscal years 2010 through 2014, with a final extract through May 30, 2015. Finally, we interviewed representatives from whistle-blower advocacy groups, as well as established whistle-blowers who disclosed wrongdoing or retaliation at VA and who were referred to us by one advocacy group.", "Of the 135 disclosures received by the OSC, a total of 129 employees made a total of 130 disclosures nonanonymously. For these 130 disclosure cases, we reviewed OSC and OIG investigative reports, as well as PAID roster files, to gather additional information to perform analysis of potential retaliation. We also interviewed six individual whistle- blowers with formal disclosure cases accepted by the OSC, indicating that the OSC had previously reviewed the case and determined that it contained sufficient evidence and merit to warrant further investigation.", "Our analysis of potential retaliation comprised two parts. First, we compared the 129 employees associated with the selected OSC cases to the PAID rosters using the complainants\u2019 information to determine whether employees associated with the selected OSC cases were more likely to leave the agency. We identified the overall count and proportion (across years) of roster-matched employees who made a disclosure between fiscal years 2010 through 2014 but were not employed at VA the following fiscal year. Second, to determine whether employees associated with the selected OSC cases were more likely to receive disciplinary action, we also calculated the yearly totals and proportion of roster-matched employees identified above for whom a record existed in the PAID disciplinary action information system. We did this by comparing the proportion of employees who received one or more disciplinary actions in the year prior to the appearance in the roster, in the same fiscal year as the roster, and in the subsequent fiscal year. We also completed this analysis utilizing the PAID roster file to determine the yearly proportion of all VA employees who left the agency. On the basis of the results of our analysis, we reported by fiscal year the percentage of whistle-blowers that received disciplinary action or left VA at a higher rate than the overall VA population following a disclosure.", "To address all objectives, we interviewed senior officials from VA\u2019s major components responsible for investigating and adjudicating cases of employee misconduct. We also reviewed standard operating procedures, policy statements, and guidance for staff charged with investigating and adjudicating allegations of employee misconduct.", "We conducted this performance audit from January 2015 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Department of Veterans Affairs (VA) Data Files and Corresponding Data Fields That Are Missing Information", "paragraphs": [], "subsections": [{"section_title": "Office of Accountability Review (OAR)\u2014Legacy Referral Tracking List", "paragraphs": ["This data file is designed to track referrals made to OAR, including allegations of misconduct related to senior officials. Through our analysis of this spreadsheet, we identified 11 fields out of 92 that were missing information that could be used to analyze misconduct.", "Complainant #1 (First Name) (20 percent of 1,245 blank)\u2014 According to OAR, this field is populated when there is a known complainant for a matter. Some matters referred to OAR may be anonymously disclosed and not contain complainant information. This file also contains a case-origin field that specifies whether a case was anonymous. Our review of both the complainant and case-origin field indicated that only 11 percent of the complaints were generated from an anonymous source, and the remaining records should have included a complainant name.", "Disciplinary Action (96 percent of 1,245 blank)\u2014This field should be populated to indicate whether a disciplinary action was taken after the completion of an investigation.", "Grade (97 percent of 1,245 blank)\u2014According to OAR, this field should be populated with the grade of the Person of Interest (POI), if known. Our review of this field indicated that 97 percent were blank, therefore we were unable to analyze the variation in grade level for officials who were the subject of complaints.", "OAR Action (77 percent of 1,245 blank)\u2014According to OAR, this field should be populated as an internal reference to describe what stage in the administrative process the matter was in when received. The lack of information did not allow for analysis of the types of actions taken for each case.", "Person of Interest (POI) (47 percent of 1,245 blank)\u2014This field specifies the first and last name of the Department of Veterans Affairs (VA) employee who is the subject of an allegation.", "POI (Person of Interest) Last Name 1\u20135 (51 to 99 percent of 1,245 blank)\u2014This field specifies the last name of VA employee who is the subject of an allegation. There are a total of five person-of-interest (POI) fields for each matter. According to OAR, blank POI fields occur when the case has fewer than five POIs or the POI was not specified in the matter referred. Our review of the five POI fields indicated that more than half of the records did not contain at least one POI because no individual was specified. The lack of information did not allow for further investigation of senior-level officials involved in misconduct.", "Proposed Action (97 percent of 1,245 blank)\u2014According to OAR, this field should be populated to notify OAR staff if any disciplinary action was proposed. Our review of this field indicated that 97 percent were blank, suggesting that very few high-level officials received corrective action, or the field was not consistently completed for each record. Due to the large share of blank values, the data posed limitations when analyzing how many senior officials received corrective action as a result of a complaint."], "subsections": []}, {"section_title": "Office of Accountability Review (OAR)\u2014VA-Wide Adverse Employment Action Database", "paragraphs": ["This data file is designed to track misconduct and disciplinary actions taken against VA employees. Through our analysis of this spreadsheet, we identified 9 fields out of 21 that were missing information that could be used to analyze misconduct.", "Action Taken (3 percent of 9,851 blank)\u2014According to OAR, this field should be populated with the action that the deciding official takes, with the exception of pending actions. If there is a pending action, this field will remain blank. Our review of the action-taken field found three records that were annotated as a \u201cpending decision\u201d within this field, which indicates that there is an option for entering information into this field when there is an action pending and the field should never be blank.", "Admin Leave (30 percent of 9,851 blank)\u2014According to OAR, this field should be populated if an employee is placed on administrative leave while an adverse action is pending. If an employee is not placed on administrative leave, the field may be left blank. Our review of the admin-leave field found that about 66 percent of the records were annotated as \u201cno\u201d within this field, which indicates that there is an option for entering information into this field when an employee was not placed on administrative leave.", "Date Proposed (11 percent of 9,851 blank)\u2014According to OAR, this field is used when an adverse action is proposed for an employee. There are some actions that are not proposed, such as probationary terminations or admonishments that may be taken without being proposed, and therefore result in this field being blank. Our analysis found that about 95 percent of these records containing blank proposed date fields also had an entry in the proposed adverse-action field, which contained such entries as removals, suspensions, and demotions that require a proposed date.", "Deciding Official (14 percent of 9,851 blank)\u2014According to OAR, this field should be populated with the name of the official who issued the action taken.", "Effective Date (5 percent of 9,851 blank)\u2014According to OAR, this field should be populated with the date of the action taken. Some entries will not have an effective date if an entry is pending decision. Also, if no action is taken, the decision was counseling, or the proposed action was rescinded, this field may not have an effective date. Our review found that about 14 percent of the cases that included adverse actions, such as a suspension, removal, reassignment, or demotion, and that should have included a date of action, were blank.", "Offense 2 and 3 (79 and 95 percent of 9,851 blank)\u2014According to OAR, this field tracks the second- and third-most-significant charge against the employee when applicable.", "Proposing Official (16 percent of 9,851 blank)\u2014According to OAR, this field should be populated with the name of the official who makes the proposed adverse action. Instances where a proposing official has left the agency at the time of entry and could not be found in the lookup feature that relies on the e-mail global address list may produce blank fields. Also, disciplinary actions that were taken without proposal would not have a proposing official. In these instances, the human-resources specialists who enter the actions are instructed to include the name in the other-comments box. Our review of these records indicated that a majority of records lacking an entry in the proposing official field also lacked an annotation in the other- comments field to accurately identify the proposing official.", "Settlement (14 percent of 9,851 blank)\u2014According to OAR, this field tracks whether a settlement agreement occurred."], "subsections": []}, {"section_title": "Office of Inspector General (OIG)\u2014 Master Case Index", "paragraphs": ["This data file is designed to collect allegations of criminal activity, waste, abuse, and mismanagement received by the OIG Hotline Division. Through our analysis of this information system, we identified one field out of seven that was missing information that could be used to analyze misconduct.", "Nature of Complaint (54 percent of 896 blank)\u2014According to the OIG, this field should contain a brief description of the issue that most closely matches the allegation. Each case can have more than one nature of complaint and corresponding administrative action, if any. OIG officials stated that this field identifies the type of allegations being investigated and should never be blank. Our review of these cases found that over half of the cases involving the OIG contained entries for administrative action taken, but the nature-of-complaint fields corresponding to these actions were blank."], "subsections": []}, {"section_title": "Veterans Benefit Administration (VBA)\u2014Misconduct and Disciplinary Action Report", "paragraphs": ["This data file is designed to track misconduct and disciplinary action taken against VBA employees. Through our analysis of this spreadsheet, we identified 3 fields out of 20 that were missing information that could be used to analyze misconduct.", "Alleged Offense 2 and 3 (92 and 99 percent of 1,375 blank)\u2014 According to VBA officials, this field should be populated if an individual is charged with multiple offenses, or has additional offenses in the same reporting period. In most instances, there is typically only one offense at the time of reporting.", "Sustained (52 percent of 1,375 blank)\u2014According to VBA, this field should be populated if an offense is sustained at the time of reporting."], "subsections": []}, {"section_title": "Office of Accountability and Whistleblower Protection (OAWP)\u2014 VA-Wide Adverse Employment Action and Performance Improvement Plan Database", "paragraphs": ["This data file is designed to track all allegations of misconduct and associated disciplinary actions taken against VA employees. Through our analysis of this spreadsheet, we identified 8 fields out of 34 that were missing information that could be used to analyze misconduct.", "Deciding Official (3 percent of 5,571 blank)\u2014According to OAWP, this field should be populated with the name of the official who makes the decision for adverse action.", "Detail Position (89 percent of 5,571 blank)\u2014According to OAWP, this field should be populated with the position an employee was detailed to if removed from official position.", "Offense 2 and 3 (69 and 91 percent of 5,571 blank)\u2014According to OAWP, this field tracks the most-significant charges against the employee. If there are fewer than three charges, these fields are left blank.", "Offense 1 Sustained (14 percent of 5,571 blank)\u2014According to OAWP, this field should be populated if an individual\u2019s first offense has been sustained.", "Offense 2 and 3 Sustained (73 and 91 percent of 5,571 blank)\u2014 According to OAWP, these fields should be populated if an individual\u2019s second and third offenses have been sustained. The majority of cases only involve one offense.", "Proposing Official (9 percent of 5,571 blank)\u2014According to OAWP, this field should be populated with the name of the official who makes the proposed adverse action."], "subsections": []}]}, {"section_title": "Appendix III: Department of Veterans Affairs (VA) Data Files and Corresponding Data Fields That Lack Standardization", "paragraphs": [], "subsections": [{"section_title": "Office of Resolution Management (ORM)\u2014Complaints Automated Tracking System", "paragraphs": ["This data file tracks Equal Employment Opportunity (EEO) discrimination complaints. Through our analysis of this information system, we identified 1 field out of 66 that did not have standardization that could be useful to analyze misconduct.", "Employment\u2014We found that the values for this field were not mutually exclusive, or independent of one another. For example, this field includes two distinct categories of information: employment status, such as full time or part time; and hiring authority, such as Title 5 or Title 38. This method of storing information resulted in undercounting each of the separate values due to the system\u2019s failure to account for expected overlap. For instance, an employee could be both a full-time and Title 5 employee and the field only tracks one or the other. ORM officials stated that this field has since been modified to capture more options to account for the overlap."], "subsections": []}, {"section_title": "Office of Accountability Review (OAR)\u2014VA-Wide Adverse Employment Action Database", "paragraphs": ["This data file is designed to track misconduct and disciplinary actions taken against Department of Veterans Affairs (VA) employees. Through our analysis of this spreadsheet, we identified 1 field out of 21 that did not have standardization that could be useful to analyze misconduct.", "Position\u2014We found the VA-Wide Adverse Employment Action Database contained variations within this field, such as multiple values for the \u201cCemetery Caretaker\u201d position name. According to OAR, this field is a free-text field, and the office conducts manual searches to review and analyze position titles when needed. Our review found that the different variations in position titles made it difficult to successfully determine the frequency and nature of allegations by position."], "subsections": []}, {"section_title": "Office of Inspector General (OIG)\u2014 Master Case Index", "paragraphs": ["This is an information system designed to collect allegations of criminal activity, waste, abuse, and mismanagement received by the OIG Hotline Division. Through our analysis of this data file, we identified 1 field out of 7 that did not have standardization that could be useful to analyze misconduct.", "Nature of Complaint\u2014Our review of the Master Case Index file found variations of similar values in this field. For example, this field contained 21 different claim types pertaining to similar types of fraud, which made it difficult to assess the frequency and nature of claims entered into the system. OIG officials stated that they do not attempt to account for these variations or assess the frequency of use because they are assigned based on a \u201cbest match\u201d to the allegations of the case."], "subsections": []}, {"section_title": "Veterans Benefit Administration (VBA)", "paragraphs": ["This data file is designed to track misconduct and disciplinary action taken against VBA employees. Through our analysis of this spreadsheet, we identified 1 field out of 20 that did not have standardization that could be useful to analyze misconduct.", "Position\u2014Our review found some duplication and overlapping values among this field. For example, the position title for \u201cservice representative\u201d contained 21 similar categories with numerous variations in spelling (i.e., Veteran Service Representative vs. Veterans Service Representative, and Rating Veteran Service Representative vs. Rating Veterans Service Representative). We were unable to verify the number of distinct positions due to the lack of standardization within this field."], "subsections": []}, {"section_title": "National Cemetery Administration (NCA)", "paragraphs": ["This data file is a tracking spreadsheet for monitoring misconduct and disciplinary action workload. Through our analysis of this spreadsheet, we identified 5 fields out of 12 that did not have standardization that could be useful to analyze misconduct.", "Action Proposed/Decided/Taken\u2014We were unable to analyze this data field because the action taken was tracked in one single field and updated with the most-recent action, rather than each distinct action being entered in a separate field. Consequently, we were not able to distinguish those cases where corrective action may have been taken, to verify whether the corrective action had been implemented.", "Current Status\u2014We were unable to analyze this data field because it was not a standardized field. For example, we were unable to determine the total number of cases that were closed, open, or pending due to the variations in the data field (e.g., Open, open, open \u2013 pending, open-pending).", "Full Name of Employee, Grievant, Appellant, Complainant, Non- Employee\u2014We were unable to distinguish whether the individual filing a complaint was an employee, grievant, appellant, complainant, or nonemployee because the information entered into this single field only provided the employee\u2019s full name and did not provide a distinction as to which category the record was assigned, as indicated by the field name.", "NCA Facility\u2014We were unable to analyze this data field because it was not a standardized field. For example, we were unable to run demographic information on the different facilities involved because this field contained erroneous information. Examples of erroneous information included the name of the Memorial Service Network in one case, and the region, rather than the facility name, in another.", "Supervisor Name\u2014We were unable to analyze this data field because it was not a standardized field. For example, we were unable to determine the total number of supervisors that were associated with each case due to the variations in the names entered within this field, which included misspelled first or last names, addition/omission of middle initials, or no first name."], "subsections": []}, {"section_title": "Client Service Response Team (CSRT)\u2014ExecVA", "paragraphs": ["This data file is a tracking spreadsheet for all allegations received by the VA Secretary regarding misconduct, patient care, or other wrongdoing. Through our analysis of this spreadsheet, we identified 1 field out of 9 that did not have standardization that could be useful to analyze misconduct.", "Subject\u2014Our review of this tracking spreadsheet found over 380 different possible categories that could be assigned to one record. These categories contained a significant number of variations. For example, we found 38 different categories that contained possible EEO-related issues such as \u201cEEO/Whistleblower,\u201d \u201cPotential EEO,\u201d and \u201cEEO Violations.\u201d We were unable to distinguish the different subject categories for this field due to the lack of standardization. CSRT officials stated that ExecVA reports contain only data corresponding to specific search criteria."], "subsections": []}, {"section_title": "Office of Security and Law Enforcement (OS&LE)\u2014Veterans Affairs Police System (VAPS)", "paragraphs": ["This is an information system for tracking allegations of misconduct at all VA facilities that include violation of law and misdemeanors. Through our analysis of this data file, we identified 3 fields out of 29 that did not have standardization that could be useful to analyze misconduct.", "Classification\u2014We found that this field contained at least three different variations of assault categories (i.e., assault, assault-other, and assault-aggravated). VAPS officials stated that this field is determined and entered by the user.", "Crime Type\u2014We found this field contained at least five different variations of alcohol-consumption categories, such as \u201centering premises under the influence\u201d and \u201calcohol \u2013 under the influence.\u201d VAPS officials stated that this field is determined and entered by the user.", "Final Disposition\u2014We found this field contained at least two different variations of charge type (i.e., charged, charged \u2013 Issued Ticket), six different variations of open type (for example, open/referred to Court, open/cvb), and two different variations of closed type (i.e., closed, case closed). VAPS officials stated that this field is determined and entered by the user."], "subsections": []}, {"section_title": "Office of Accountability and Whistleblower Protection (OAWP)\u2014 VA-Wide Adverse Employment Action and Performance Improvement Plan Database", "paragraphs": ["This data file is designed to track all allegations of misconduct and associated disciplinary actions taken against VA employees. Through our analysis of this spreadsheet, we identified 1 field out of 34 that did not have standardization that could be useful to analyze misconduct.", "Position Title\u2014We found this field contained at least 15 different variations of Registered Nurse, such as \u201cRegistered Nurse,\u201d \u201cStaff RN,\u201d and \u201cRN.\u201d"], "subsections": []}]}, {"section_title": "Appendix IV: Misconduct File Review", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Illustrative Case Examples of Senior-Official Misconduct during Calendar Years 2011 through 2014", "paragraphs": [], "subsections": [{"section_title": "Case 1", "paragraphs": ["Allegations surrounding inadequate staffing, patient care, and safety at a Department of Veterans Affairs (VA) emergency room were investigated by the medical center director of the facility. The medical center director found that the inadequate patient care and safety issue was unsubstantiated based on a review of patient safety incidents for the last 6 months. The medical center director did not provide a copy of her report review to support this conclusion. She also indicated that an external consultant was hired to assess staffing issues, and found generally that improvements could be made for staffing to address surge capacity. The director stated the medical center was in the process of implementing the recommendations made by the consultant, but her response did not discuss the specific improvements planned or include the external consultant\u2019s report."], "subsections": []}, {"section_title": "Case 2", "paragraphs": ["A fact-finding was performed by a panel comprised of VA Connecticut Healthcare System officials in response to alleged violations of law, gross mismanagement, and waste of funds that included the improper billing of services for a Las Vegas conference and paying contracts through a VA nonprofit corporation to handle such expenditures. The allegations specifically requested a cost-benefit analysis for the conference location. The response received from the program office stated that an outside accounting firm performs an annual financial audit of the VA nonprofit corporation and found no material issues. Neither a copy of the annual financial audit nor a cost-benefit analysis was provided in the response as support. Additionally, the response did not address allegations regarding the status of several essential positions vacated over the prior 3 years."], "subsections": []}, {"section_title": "Case 3", "paragraphs": ["Allegations involved time-and-attendance abuse by a physician who was accused of not responding to calls from peers or coming into the clinic, in favor of his private practice. According to the complainant, physician assistants (PA) examine the physician\u2019s patients at the clinic for him. The medical center director, who was also named in the allegation as having received a similar complaint against the physician 2 years earlier, reviewed the case against the physician and himself. The medical center director\u2019s response claimed that the location indicated in the allegation was not a private practice, but rather a location where the physician reviews medical records and sometimes serves as an expert witness. He did not provide evidence to support his claim. The medical center director also stated that he had not received any reports against the physician for missed calls or clinics and that PAs are expected to participate in these activities. However, he did not provide the physician\u2019s work log, or the PA position descriptions showing that they are allowed to perform these functions autonomously. Finally, the medical center director claimed he did not recall the allegation made against the physician 2 years prior and neither formally substantiated nor disproved the current allegations against the physician. No recommendations were made."], "subsections": []}, {"section_title": "Case 4", "paragraphs": ["The medical center director was accused of hiring an unqualified individual to a Quality Manager position due to their romantic relationship. The response received from the human-resources consultant noted that it was unusual to find a Nurse II manager with only an associate\u2019s degree, but was not illegal, and the employee was qualified based on prior experience. Concerns were also raised concerning the medical center director\u2019s use of over $400 in government funds to \u201csoundproof\u201d the Quality Manager\u2019s office, including having panels attached to one wall and the hollow office door replaced with a solid door. The Chief of Engineering Services was interviewed regarding the request and stated it was an odd request, and the first time he was asked to soundproof an administrative employee\u2019s office. The response provided by the program office did not address why the director used government funds to soundproof the Quality Manager\u2019s office. The response provided also did not address whether recommendations that the Quality Manager\u2019s retention allowance be reviewed for compliance and that she be counseled for appropriate office dress code were implemented."], "subsections": []}, {"section_title": "Case 5", "paragraphs": ["The medical center director was alleged to have misrepresented a plan to track and provide mental-health services to veterans in non-VA hospitals and created a hostile work environment against African-American veterans and employees. The medical center director investigated the allegations against himself and provided a response that was eventually submitted late to the OIG. His response indicated that a review was completed and all allegations were unsubstantiated. Several documents provided with his response showed that only 12 contacts were made to veterans with mental-health care needs during the requested 24-month period, the percentage of patients experiencing wait times greater than 14 days before receiving mental-health services averaged 18 percent, and two veteran suicides occurred. The medical center director did not address allegations of creating a hostile work environment for African American veterans and employees."], "subsections": []}, {"section_title": "Case 6", "paragraphs": ["The medical center director improperly reannounced a vacancy in order to hire an individual with whom he allegedly had a close personal relationship to an Assistant Director position. He also requested the master key to the facility be issued to her against regulations. The allegation involving the master key was substantiated, but the Deputy Under Secretary who conducted the investigation stated that while there was no record of the key being returned, the key was returned and the general engineer brought the facility into compliance with VA regulations. Nonetheless, the Deputy Under Secretary found that a master key was issued in violation of policy, but no recommendations were made to the medical center director for corrective action."], "subsections": []}, {"section_title": "Case 7", "paragraphs": ["Allegations involved false patient wait-time documentation and abuse of authority. Specifically, a medical center director instructed staff to falsify patient wait times between follow-up appointments in order to meet VA\u2019s 14-day timeliness metric. The investigation concluded that the false documentation allegation was substantiated, but attributed the cause to staff not understanding how to enter a follow-up appointment date into the system. It was also concluded that the correction of several hundred dates in the system improved the performance of the department for the national wait-time metric. However, no documentation was provided to (1) prove the medical center director had not abused his authority by instructing staff to review wait times greater than 14 days to determine how they could be reduced, and (2) support the conclusion that the original wait times were entered in error."], "subsections": []}]}, {"section_title": "Appendix VI: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of Veterans Affairs Office of Inspector General", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Dave Bruno (Assistant Director), Erica Varner (Analyst in Charge), Hiwotte Amare, Chris Cronin, Carrie Davidson, Ranya Elias, Colin Fallon, Mitch Karpman, Grant Mallie, Anna Maria Ortiz, Sabrina Streagle, Reed Van Beveren, and April Van Cleef made key contributions to this report."], "subsections": []}]}], "fastfact": ["Employee misconduct at VA's medical facilities can have serious consequences for veterans. We looked at how VA deals with employee misconduct and found several opportunities for improvement. For example:", "VA doesn't always maintain required files and documents for adjudication, suggesting that employees may not have received due process.", "VA officials found guilty of misconduct sometimes received a lesser punishment than recommended or no punishment.", "Whistleblowers were 10 times more likely than their peers to receive disciplinary action within a year of reporting misconduct.", "We made recommendations to address these and other issues we found."]} {"id": "GAO-18-628", "url": "https://www.gao.gov/products/GAO-18-628", "title": "Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services", "published_date": "2018-08-30T00:00:00", "released_date": "2018-10-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The need for LTSS to assist individuals with limited abilities for self-care is expected to increase, in part due to the aging of the population. Medicaid is the nation's primary payer of LTSS, with spending estimated at $167 billion in 2016. State Medicaid programs are generally required to cover LTSS provided in institutions, such as nursing homes, but coverage of the same services outside of institutions\u2014that is, HCBS\u2014is generally optional. In recent years there have been efforts to shift the balance of LTSS away from institutions through the expanded use of HCBS. National spending for HCBS has increased and now exceeds that for services in an institution. However, the extent to which Medicaid programs cover HCBS varies by state, as does the structure of states' HCBS programs.", "GAO was asked to review the approaches states use to provide coverage for HCBS in the Medicaid program. For selected states, this report describes (1) decisions that influenced the structure of Medicaid HCBS programs, and (2) challenges providing HCBS to Medicaid beneficiaries and efforts to respond to these challenges. GAO reviewed information and conducted interviews with officials from a nongeneralizable sample of five states, which GAO selected to obtain variation in the percentage of total Medicaid LTSS expenditures used for HCBS, geography, and other factors. GAO also reviewed information and interviewed officials from four MCOs\u2014two in each of the two selected states that used managed care to provide HCBS. The MCOs varied in enrollment size and population served."]}, {"section_title": "What GAO Found", "paragraphs": ["All state Medicaid programs finance coverage of long-term services and supports (LTSS), which help beneficiaries with physical, cognitive, or other limitations perform routine daily activities, such as eating, dressing, and making meals. When these services are provided in beneficiaries' homes or other community settings instead of nursing homes, the services are known as home- and community-based services (HCBS). The structure of the 26 HCBS programs we reviewed in five states\u2014Arizona, Florida, Mississippi, Montana, and Oregon\u2014reflected decisions about which populations to cover, whether to limit eligibility or enrollment, and whether to use managed care.", "Populations: Four of the five states had multiple HCBS programs that targeted specific populations. For example, Mississippi had separate HCBS programs for aged or physically disabled individuals and individuals with intellectual or developmental disabilities. The fifth state, Arizona, had one program that targeted two specific populations.", "Eligibility: All five states had at least one HCBS program that limited eligibility to beneficiaries whose needs would otherwise require care in a nursing home or other institutional setting.", "Enrollment: Four of the five states limited enrollment in one or more of their HCBS programs; 19 of the 26 programs had enrollment caps, and 12 of these programs maintained a waiting list.", "Managed care: Two of the five states used managed care to provide HCBS, paying managed care organizations (MCO) a fixed fee for each beneficiary rather than paying providers for each service delivered.", "State and MCO officials identified several challenges providing HCBS and described their efforts to respond to them:", "HCBS workforce: Officials cited challenges recruiting and retaining HCBS providers, particularly given the low wages these providers typically receive. To respond to this, officials from Mississippi, Montana, and two of the MCOs reported offering providers higher payment rates.", "Complex needs: Officials described challenges serving beneficiaries with complex medical and behavioral health needs, including individuals who display aggressive or other challenging behaviors. Officials from Montana and one MCO reported responding to this challenge by providing behavioral health training for providers.", "HCBS funding: State officials reported that limitations on overall HCBS funding levels posed a challenge, which they responded to by providing their state legislatures with information on the projected need for HCBS to inform future funding decisions, and leveraging other available resources, such as federal grants.", "The Department of Health and Human Services provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the coming decades, the need for long-term services and supports (LTSS) to assist individuals with limited abilities for self-care is expected to increase, in part due to the aging of the population. Medicaid, a federal- state health financing program for low-income and medically needy individuals, is the nation\u2019s primary payer of LTSS. LTSS comprise a broad range of health care, personal care, and supportive services to help individuals with physical, developmental, or cognitive disabilities maintain their quality of life. For example, LTSS can help individuals perform routine daily activities, such as eating, dressing, bathing, and making meals. Many individuals prefer to receive LTSS in home- and community- based settings, rather than receiving care in a nursing home or other institutional setting, because it can help them maintain their independence and participate in community life to the fullest extent possible. LTSS delivered outside of institutional settings are known as home- and community-based services (HCBS), and include adult day care, personal care services, and services provided in assisted living.", "While state Medicaid programs are required to finance coverage for beneficiary care in nursing homes, coverage for most HCBS is optional, which creates incentives for Medicaid to deliver LTSS in institutional settings. In recent years the Congress, the Centers for Medicare & Medicaid Services (CMS)\u2014the federal agency within the Department of Health and Human Services (HHS) responsible for overseeing states\u2019 Medicaid programs\u2014and states have taken steps to expand the use of HCBS and shift the provision of LTSS away from institutional settings. For example, the Patient Protection and Affordable Care Act, enacted in 2010, created new options and provided additional funding for states to make HCBS available to eligible Medicaid beneficiaries. In concert with these efforts, the proportion of LTSS spending for HCBS has increased nationwide. In fiscal year 2016, the most recent year of data available, Medicaid spent an estimated $167 billion on LTSS. Of that amount, 57 percent\u2014or $94 billion\u2014was spent on HCBS. However, the extent to which states cover HCBS in their Medicaid programs varies, as does the proportion of LTSS spending used for HCBS; the proportion of Medicaid LTSS spending on HCBS ranged from 27 percent to 81 percent among states in 2016, a three-fold difference.", "States have a number of different options to provide Medicaid coverage of HCBS. As a result, states vary in the structure of their HCBS programs. States can provide certain types of HCBS under their state Medicaid plans. In addition, states may seek permission from CMS to provide HCBS under waivers of traditional Medicaid requirements; for example, in order to provide services to a specific population, such as individuals with intellectual or developmental disabilities, or to limit the number of beneficiaries who can receive HCBS.", "Given the variety of options available for providing HCBS and the wide variation in HCBS spending among states, questions arise about how states are structuring their HCBS programs, as well as challenges they may face in providing access to these services. You asked us to review the approaches states use to provide coverage for HCBS in the Medicaid program. This report describes 1. decisions that influenced the structure of selected states\u2019 Medicaid 2. selected states\u2019 challenges providing HCBS to Medicaid beneficiaries and efforts to respond to these challenges.", "To address these objectives, we selected a nongeneralizeable sample of five states: Arizona, Florida, Mississippi, Montana, and Oregon. We selected these states to obtain variation in several factors, including geographic location, the percentage of the state\u2019s population that resides in a rural area, the proportion of the state\u2019s LTSS spending for HCBS, and the state\u2019s use of various HCBS authorities and managed care. We focused our work on the optional authorities the selected states used to provide HCBS within Medicaid, including waivers and state plan options. For the selected states, we reviewed documentation for the 26 HCBS programs operated under these authorities at the time of our review, including waiver applications, state plan amendments, and information about program enrollment and waiting lists. We also conducted interviews with state Medicaid officials in the five selected states and, as applicable, officials from other state agencies, such as state aging or behavioral health agencies that operate Medicaid HCBS programs, to understand how states structured and delivered their HCBS benefits and any challenges faced in providing HCBS. Additionally, we interviewed officials from two managed care organizations (MCO) in each of the two states (Arizona and Florida) that used a managed care delivery system to provide LTSS, also referred to as managed long-term services and supports (MLTSS). We selected the MCOs to include an MCO that serves a large proportion of LTSS Medicaid beneficiaries in the state and to achieve diversity in population served. To gather additional information on factors and challenges that affect Medicaid HCBS programs, we also interviewed CMS officials, the CMS contractor who produces an annual report on LTSS expenditures in Medicaid, and representatives from two aging and developmental disability professional groups.", "We conducted our performance audit from July 2017 through August 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Individuals who have a limited ability to care for themselves due to physical, cognitive, or mental disabilities or conditions may require a range of LTSS that include hands-on assistance with, or supervision of, daily tasks. Individuals with LTSS needs range from young children to older adults, and they have varying degrees of difficulty performing without assistance (1) activities of daily living (ADL), such as bathing, dressing, toileting, and eating, or (2) instrumental activities of daily living (IADL), such as preparing meals, housekeeping, using the telephone, and managing money; they may require full or partial assistance to complete some\u2014or all\u2014of the ADLs and IADLs.", "LTSS are generally provided in two settings: (1) institutional settings, such as nursing facilities and intermediate care facilities for individuals with intellectual disabilities; and (2) home and community settings, such as homes or assisted living facilities. LTSS provided in home- and community-based settings comprise a wide range of services and supports to help individuals remain in or return to their homes or communities. HCBS include personal care services to provide assistance with ADLs or IADLs, adult day care services, certain home modifications that allow beneficiaries to remain in their home, non-medical transportation, respite care for caregivers, and case management services to coordinate services and supports. Direct care workers\u2014 personal care aides, homemakers, companions, and others\u2014provide the majority of the paid care for individuals with LTSS needs."], "subsections": [{"section_title": "Medicaid Coverage of HCBS", "paragraphs": ["Medicaid provides states with a number of options for providing HCBS, including through state plan benefits and through waivers and demonstrations. Since 1975, states have had the option to offer personal care services under their state Medicaid plan, which covers assistance with ADLs and IADLs, either at home or in another location. States also have the option to cover HCBS for Medicaid beneficiaries through waivers and demonstrations, under which states may, for example, provide services not otherwise covered by Medicaid to designated populations who may or may not otherwise be eligible for Medicaid services. States have the option to seek approval for waivers and demonstrations that allow them to target HCBS to specific populations or conditions, limit the availability of those services geographically, and limit the number of individuals served through the use of enrollment caps\u2014actions that are generally not otherwise allowed under Medicaid, but may enable states to control costs. Table 1 below summarizes key characteristics of selected state plan and waiver authorities that states can use to provide HCBS.", "The 1915(c) waiver, named for the statutory provision authorizing it in the Social Security Act, is the primary means through which states provide HCBS coverage for Medicaid beneficiaries. Added as an option in 1981, these waivers account for the majority of Medicaid HCBS expenditures.", "Under 1915(c) waivers, states may cover a broad range of services for participants, as long as these services are required to prevent institutionalization. Therefore, to be eligible, individuals must demonstrate the need for an institutional level of care by meeting state eligibility requirements for services in an institutional setting, such as a nursing facility. Prior to 2014, states were required to have multiple 1915(c) waivers if they chose to target different populations\u2014using, for example, one waiver for individuals with developmental disabilities and another for individuals with physical disabilities. However, beginning in March 2014, CMS permitted states to combine target groups within a single 1915(c) waiver as long as the services offered were the same for all groups.", "States\u2019 1915(c) waivers are required by federal law to be cost neutral; that is, states must show that the average Medicaid expenditures for the services provided under the waiver are equal to or less than what average expenditures would be if that same population were to be served in an institutional setting. States may apply cost neutrality in the aggregate across all waiver participants\u2014meaning that some individuals can be more costly to serve in home- and community-based settings than in an institution\u2014or individually, meaning that spending for each waiver participant can be no more than what it would cost to serve the individual in an institution. States also have the option to limit the number of beneficiaries served under a 1915(c) waiver by establishing a predefined enrollment cap. States with enrollment caps may establish a waiting list, and a nationwide survey of state Medicaid officials estimated that there were over 600,000 individuals on waiting lists for 1915(c) waiver services in 2015.", "The newest Medicaid option for covering HCBS\u2014the Community First Choice state plan option under section 1915(k) of the Social Security Act\u2014was established by the Patient Protection and Affordable Care Act in 2010. Under this option, states must provide personal care services to assist beneficiaries with ADLs and IADLs and services to support the acquisition of skills necessary for beneficiaries to accomplish these daily activities, among other things. The Community First Choice option also allows for the coverage of other services, such as the costs associated with moving a beneficiary from an institution to a home- or community- based setting. Like the 1915(c) waiver, this option is limited to individuals who meet the state\u2019s institutional level-of-care criteria, but unlike the 1915(c) waiver, enrollment in a 1915(k) Community First Choice program cannot be capped. States that offer this benefit receive a 6 percentage point increase in their federal medical assistance percentage for services provided under this option."], "subsections": []}, {"section_title": "Medicaid Spending on LTSS", "paragraphs": ["Medicaid spending on LTSS is significant, representing about 30 percent of total Medicaid program spending in fiscal year 2016, and the percentage of LTSS spending used for HCBS has grown over time. CMS\u2019s annual reports on LTSS expenditures have shown that national spending for HCBS as a percentage of LTSS spending surpassed the percentage spent on institutional care in fiscal year 2013 and has continued to grow, climbing to 53 percent in fiscal year 2014, 54 percent in 2015, and 57 percent in 2016. At the state level, 29 states spent more on HCBS than institutional care in fiscal year 2016, but the percentage of HCBS spending varied widely across states. (See fig. 1.)", "As states\u2019 options for providing HCBS within Medicaid and spending on HCBS have grown, Congress has also authorized temporary programs aimed at increasing the provision of HCBS.", "Money Follows the Person was established by the Deficit Reduction Act of 2005 as a demonstration grant program to support states\u2019 transition of eligible individuals who want to move from institutional settings back to the community. As of September 2016, CMS had awarded a total of about $3.7 billion in grant funding to 44 states. According to CMS, as of December 2016, funding from the program had been used to support the transition of more than 75,000 individuals back into the community. Authorization for the Money Follows the Person program expired at the end of fiscal year 2016, but states have through fiscal year 2018 to transition new beneficiaries and through fiscal year 2020 to spend any remaining grant funds.", "The Balancing Incentive Program was created by the Patient Protection and Affordable Care Act to help states rebalance their provision of LTSS toward greater use of HCBS. Under the program, states that spent under 25 percent of their LTSS expenditures on HCBS in fiscal year 2009 qualified for a 5 percentage point increase in their federal medical assistance percentage for state HCBS expenditures. States that spent between 25 and 50 percent were eligible for a 2 percentage point increase. In return, states agreed to increase the percentage of LTSS spending for HCBS to achieve a specific benchmark. Under the program, CMS provided $2.4 billion in enhanced federal matching payments over 4 years (October 2011 \u2013 September 2015) to 21 states. According to CMS, 15 of the 21 states met their balancing benchmark by September 2015, when the program ended."], "subsections": []}, {"section_title": "HCBS Delivery Systems", "paragraphs": ["States can choose among delivery systems, such as fee-for-service and MLTSS (i.e., managed care), to provide HCBS. Under fee-for-service, states pay providers directly and on a retrospective basis for each covered service they deliver. In contrast, in MLTSS, states contract with MCOs to provide a specific set of covered services to beneficiaries in return for one fixed periodic payment per beneficiary, typically per member per month. These payments are referred to as capitation payments. The use of MLTSS has increased over time; MLTSS spending rose from $10 billion in fiscal year 2012 to about $39 billion in 2016. According to a 2018 CMS report, 24 states had implemented 41 MLTSS programs as of August 2017, and there were about 1.8 million Medicaid beneficiaries enrolled in MLTSS programs."], "subsections": []}]}, {"section_title": "Selected States\u2019 HCBS Program Structures Reflect Decisions about Populations to Cover, Whether to Limit Eligibility or Enrollment, and Managed Care Preferences", "paragraphs": ["The structure of the 26 HCBS programs we reviewed in selected states reflected decisions about which populations states wanted to cover, whether to limit eligibility for or enrollment in HCBS programs, and whether the state wanted to provide HCBS through managed care (i.e., MLTSS). In two states, settlements resulting from litigation also affected the structure of HCBS programs."], "subsections": [{"section_title": "Decisions about Which Populations to Cover", "paragraphs": ["Four of our five selected states\u2014Florida, Mississippi, Montana, and Oregon\u2014had multiple HCBS programs (21 in total) that targeted specific populations. The fifth state, Arizona, used one program to provide HCBS to individuals who are aged or disabled and those with intellectual or developmental disabilities. The remaining four programs were not targeted to specific populations. (See appendix I for a list of the HCBS programs and populations served in each of the selected states.)", "All four of Florida\u2019s HCBS waiver programs targeted specific populations, such as individuals with intellectual or developmental disabilities and individuals with familial dysautonomia. Florida\u2019s HCBS program for intellectually and developmentally disabled individuals included an individual budgeting model through which the beneficiaries and their guardians could choose which services they received and which providers would deliver the services. Such individual budgeting also allowed beneficiaries the flexibility to make adjustments in services and providers as their needs changed.", "All of Mississippi\u2019s six HCBS programs provided services to targeted populations, including the aged or disabled and individuals with severe orthopedic and neurological impairment. Two of the programs were targeted to individuals with intellectual or developmental disabilities, including a state plan benefit that provided services that help beneficiaries develop daily living and social skills, as well as opportunities to participate in community activities, and promote an individual\u2019s ability to obtain and maintain employment.", "Four of Montana\u2019s six HCBS programs targeted specific populations, including those with severe disabling mental illness and children with autism. Officials from Montana told us that one of the reasons for implementing the program for children with autism was to provide early intensive treatment to lessen the degree of services needed later in life. In addition to its programs for specific populations, Montana also operated two programs that provided personal care services to a broader Medicaid population requiring assistance with ADLs and IADLs\u2014the personal care state plan benefit and the Community First Choice program. Montana officials told us that one of the factors the state considered when implementing the Community First Choice program was the 6 percent enhanced federal match for this program; before implementing the program, Montana projected that the increase in federal funds would allow the state to serve an additional 150 beneficiaries per year.", "Oregon had nine different HCBS programs, seven of which targeted specific populations, including children with LTSS needs and different populations of individuals with intellectual or developmental disabilities. Like Montana, Oregon also had two personal care services programs that served all eligible Medicaid beneficiaries\u2014a state plan benefit and a Community First Choice program. Oregon officials explained that they were also attracted to the Community First Choice option due to the enhanced federal match, as well as the opportunity to expand the array of services available. For example, in addition to providing personal care services, Oregon\u2019s Community First Choice program also covers costs associated with transitioning beneficiaries from institutions to home- or community-based settings, such as the first month\u2019s rent, utility deposits, bedding, and basic kitchen supplies."], "subsections": []}, {"section_title": "Decisions about Whether to Limit Eligibility or Enrollment", "paragraphs": ["All five of the selected states had at least 1 HCBS program that limited eligibility to individuals who require an institutional level of care. Specifically, 22 of the 26 HCBS programs we reviewed limited eligibility to this population. The remaining 4 programs\u2014in Mississippi, Montana, and Oregon\u2014were state plan HCBS or personal care services programs, which were operated under authorities that do not permit limiting enrollment to individuals with an institutional level-of-care need.", "Four of the selected states\u2014Florida, Mississippi, Montana, and Oregon\u2014 had enrollment caps for 1 or more of their HCBS programs, namely all of the 19 HCBS programs operated under 1915(c) waivers. Some of the state officials we spoke with told us that they used historical data on utilization, cost-of-care per person, and the annual number of requests for enrollment, as well as information on available funding, when determining their enrollment caps. However, states can also obtain CMS approval to change their enrollment caps over time to respond to increased demand or to include additional populations. Oregon officials told us that the state has generally been able to increase the enrollment cap for the aged or disabled program as needed in order to meet demand. Montana officials told us that the enrollment cap for their HCBS program for individuals with intellectual or developmental disabilities\u2014originally limited to children\u2014 was increased when the state decided to expand the program to serve adults.", "The four selected states maintained waiting lists for 12 of the 19 HCBS programs that limited enrollment through enrollment caps. However, because states differed on whether they determined eligibility before adding individuals to the waiting list, information on the number of individuals on these waiting lists is not comparable across states. For example, Florida did not screen for eligibility prior to placing individuals on the waiting list of its aged or disabled waiver, which totaled over 48,000 individuals as of December 2017. By contrast, individuals on Montana\u2019s much smaller aged or disabled waiting list were pre-screened for eligibility. In addition, states varied on whether and how they set priorities for enrollment in the waiver for individuals on the waiting list. For example, the Montana aged or disabled waiver set priorities for an individual\u2019s enrollment according to various state criteria, including risk of institutionalization, and an assessment of informal supports. By contrast, in Mississippi, individuals on the intellectual or developmental disabilities waiting list generally gained enrollment into the waiver in order of their date of eligibility."], "subsections": []}, {"section_title": "Decisions about Whether to Use MLTSS", "paragraphs": ["Two of the selected states we reviewed\u2014Arizona and Florida\u2014used MLTSS for one HCBS program. Officials from these states told us the ability to use managed care contracts to (1) set incentives aimed at transitioning individuals from institutions to home- and community-based settings and (2) increase oversight of providers were important factors in choosing MLTSS to provide HCBS.", "Setting incentives for transitions. State officials told us that they used contract incentives to shift services from nursing facilities to community-based care in their MLTSS programs. Specifically, Arizona and Florida used blended capitation rates, meaning that the rate or amount the states pay MCOs to cover expected costs for each LTSS beneficiary is the same for all beneficiaries regardless of whether they are in a nursing home or in a home- and community- based setting. Because HCBS is generally less expensive than LTSS delivered in institutional settings, blended rates can create a financial advantage for the MCO to serve as many beneficiaries as possible in home- and community-based settings. Three of the MCOs we spoke with provided examples of how they have responded to these incentives to provide HCBS. For example, an official from one MCO told us that the MCO had created new positions for \u201ctransition clinicians,\u201d registered nurses who use their medical knowledge to systematically evaluate beneficiaries in an institution to determine if they may be a candidate for transition to a community-based setting. The official explained that after the transition clinician identifies a potential candidate, the clinician will evaluate other factors, including the candidate\u2019s current housing options and level of familial support, in order to ensure that necessary resources are in place when the beneficiary leaves the institution. In addition, the official said they facilitated transitions by providing beneficiaries leaving nursing facilities with a one-time $2,500 transition allowance that can be used for expenses such as security or utility deposits, furniture, or new resident fees at an assisted living facility.", "Oversight of MCOs. According to officials from Arizona and Florida, the states chose to use MLTSS because it afforded better oversight of providers and had the potential to improve patient outcomes. Specifically, officials said that managing a limited number of MCOs, who in turn have contracts with HCBS providers, allows for better oversight and outcomes, and has led to service delivery improvements, compared to paying providers on a fee-for-service basis. For example, Florida officials explained that they recently consolidated three smaller fee-for-service programs into their MLTSS program. Prior to that consolidation, the three fee-for-service programs provided HCBS to approximately 7,500 individuals with AIDS, traumatic brain injury/spinal cord injury, and individuals with cystic fibrosis. Officials said that they did not believe providers in these smaller fee-for-service programs were providing good care, based on service utilization analyses that showed some beneficiaries were not accessing any services beyond one case management service per month. Furthermore, the officials also told us that it was harder to assess quality of care in the fee-for-service programs compared to MLTSS. Officials said that now that these beneficiaries receive care under the MLTSS waiver, there is more accountability and improved quality of care.", "Representatives from aging and developmental disability professional groups we interviewed said that states may also choose to implement MLTSS programs to achieve greater budget predictability and control costs. CMS\u2019s recent report on the growth of MLTSS also notes states\u2019 desire for improvements in quality of care and outcomes; increased access to HCBS providers; and better care coordination, among other factors. We have previously reported that although MLTSS can provide states with the opportunity to enhance and encourage the provision of HCBS, oversight at the state and federal levels is critical to ensure that individuals with LTSS needs are able to obtain needed care in a timely fashion. In addition, our prior work on MLTSS payment rates found that five states\u2014including Arizona and Florida\u2014set clear financial incentives in their MCO payment rates for greater use of community-based care, while one state\u2019s rate structure included higher payments for beneficiaries receiving institutional care. This state\u2019s rate structure could have created an incentive for MCOs to move higher-cost beneficiaries from the community to an institution. Additionally, we found that most of the states reviewed for that prior work were not specifically linking payments with MLTSS program goals such as beneficiary outcomes and that federal oversight of states\u2019 MLTSS payment structures was limited. We made several recommendations to improve CMS\u2019s oversight of states\u2019 payment structures for MLTSS. CMS agreed with our recommendations and reported actions it planned to take to address them.", "Officials from the three selected states that do not use MLTSS cited various reasons for this, such as stakeholder opposition and state law restrictions on enrolling individuals receiving LTSS in managed care. For example, officials in Oregon explained that stakeholders objected to the profit motive they assumed an MCO would have, which the stakeholders believed would compromise quality of care and reduce beneficiaries\u2019 choice of providers. Officials in Montana said that because the state was rural and had relatively few Medicaid beneficiaries, MLTSS would not be cost effective."], "subsections": []}, {"section_title": "The Effects of Litigation on the Structure of HCBS Programs", "paragraphs": ["Officials from two of the selected states\u2014Oregon and Mississippi\u2014told us that settlements resulting from litigation have shaped the structure of their HCBS programs for certain populations. Oregon officials explained that a legal settlement in 2001 resulted in the creation of an additional HCBS program for individuals with intellectual or developmental disabilities and the elimination of an HCBS waiting list for this population. In Mississippi, officials explained that as a result of a legal settlement in 2005, the state increased enrollment in certain HCBS programs. As a result of the settlement, officials said that state case managers contacted all 1,900 individuals who resided in institutions at the time to determine their interest in living in a home- and community-based setting. Those who expressed interest were evaluated to determine if they could live outside an institution and whether adequate familial or other support was available. Based on this information, and as a result of additional funding from the state legislature as a result of the lawsuit, the state was able to add new beneficiaries to several of its HCBS programs."], "subsections": []}]}, {"section_title": "Selected States Described Challenges Providing HCBS, Such As Workforce Issues, and Steps Taken to Respond to These Challenges", "paragraphs": ["Officials from the five selected states and MCOs we interviewed described challenges with providing HCBS, including workforce issues, such as recruiting and retaining direct care workers; serving beneficiaries with complex medical and behavioral health needs; and other challenges. The officials also reported taking steps to respond to these challenges."], "subsections": [{"section_title": "HCBS Workforce Challenges", "paragraphs": ["Officials from all five selected states and three of the four MCOs we interviewed described workforce challenges, such as recruiting and retaining direct care workers and ensuring the availability of HCBS providers in rural and remote areas. For example, officials from Montana and Oregon noted that the low wages paid to direct care workers, who provide hands-on care and assistance with ADLs and IADLs, contribute to workforce shortages. According to the officials, direct care workers can typically earn more by working at a fast food restaurant. Officials from Montana and Mississippi and officials from three of the MCOs said the workforce shortages are often worse in rural or remote areas, where travel across long distances is common. For example, the state officials said that it can be hard to find a provider willing to drive a long distance each way to work for only a few hours.", "To respond to these workforce issues, officials from Montana and Mississippi and two MCOs reported offering higher payment rates to providers. In 2017, the Montana legislature approved special funding to raise the hourly wage for direct care workers providing care in certain Medicaid HCBS programs in state fiscal year 2019. Officials from Mississippi said that based on a study of provider reimbursement rates in one of their HCBS waiver programs, the state raised payment rates for agencies that employ direct care workers and other providers in 2017. Officials said they hoped the increase would create an incentive to recruit and develop providers in more rural areas. Officials from Arizona and Montana and one MCO also mentioned that Medicaid\u2019s participant- directed options\u2014which allow beneficiaries to draw paid caregivers from among their family members, friends, and neighbors\u2014had helped to address HCBS workforce shortages. Arizona officials said that roughly half of beneficiaries in its HCBS program who were receiving personal care services got their care from family members, including spouses and parents of adult children living in the home."], "subsections": []}, {"section_title": "Serving HCBS Beneficiaries with Complex Needs", "paragraphs": ["Officials from four of the five selected states and all four MCOs we spoke with said they faced challenges providing HCBS for beneficiaries with complex medical or behavioral health needs. Officials we interviewed said that complex medical conditions can be hard to accommodate in home- and community-based settings. For example, officials from Mississippi and one MCO mentioned difficulties finding appropriate placements for individuals requiring ventilator services. State and MCO officials also reported that complex conditions that affect beneficiaries\u2019 behavior, such as co-occurring developmental disabilities and behavioral health conditions, dementia, and traumatic brain injury can also create challenges for providing HCBS, particularly when beneficiaries display aggressive or other challenging behaviors. Officials from one MCO explained that these beneficiaries\u2019 challenging behaviors can cause friction between beneficiaries and their providers and make it harder for beneficiaries to sustain good relationships with providers.", "Officials from the selected states and MCOs we interviewed said that they have responded to the challenge of serving HCBS beneficiaries with complex medical or behavioral health needs by (1) supporting the development of locations in the community to serve individuals with specific complex needs, (2) training providers, and (3) increasing care coordination.", "Officials from one MCO said that they worked with nurses in the community to support the development of adult foster homes as an alternative to institutional care for beneficiaries who require ventilator services. Similarly, Montana officials said they had reached out to community partners, such as assisted living facility owners, to educate them on what Medicaid can and cannot pay for in order to aid them in developing multiple funding streams for specialized programs for individuals with traumatic brain injury.", "Montana officials and officials from an MCO said they had offered behavioral health training for providers; Montana offered a mental health first aid class for providers, and MCO officials reported sending behavioral health specialists into assisted living facilities to help train staff on handling challenging behaviors in an effort to avoid beneficiaries being moved out of the assisted living facility and into an institutional setting.", "Regarding care coordination, Arizona officials reported that the state is planning to offer beneficiaries with intellectual or developmental disabilities the choice of a model of care that integrates medical care, behavioral health care, and certain LTSS, under a single, comprehensive managed care contract beginning in October 2019. Officials from one MCO said this model of care will help better identify needs and coordinate care, for example, for children with autism and a co-occurring behavioral health condition."], "subsections": []}, {"section_title": "Limited Funding for HCBS Programs", "paragraphs": ["Officials from four selected states and officials from one of the MCOs in the fifth state told us that limits on funding for HCBS programs were a challenge, particularly in the context of the growing number of individuals with LTSS needs.", "Officials from Mississippi said that lack of funding from the state legislature had affected the enrollment of beneficiaries in certain HCBS waivers. Specifically, officials said that the state was unable to enroll as many beneficiaries in certain waivers as were approved by CMS, and that only a limited number of beneficiaries had been added to these programs for the past 2 or 3 years.", "Officials from one MCO in Arizona said that state budget constraints had led to past reductions in the amount of certain HCBS, such as respite care.", "Oregon officials said that the state experienced budgetary pressures as a result of implementing its 1915(k) Community First Choice state plan program, namely, that the increase in federal funding the state received did not fully cover the increased cost of serving all eligible beneficiaries as required under this option.", "Florida officials said that the state has experienced rapid growth in the population with LTSS needs and that this growth, combined with medical advances that prolong life and reduce attrition from waiver programs, had contributed to a growing waiting list for HCBS.", "Officials who cited HCBS funding as a challenge said that they responded to these challenges by, among other things, providing information to their legislatures on the projected need for HCBS to inform future funding decisions. For example, Florida officials said that they educate the legislature about funding needs by conducting estimating conferences that produce information that is provided to the Governor and both legislative houses to use when deciding funding amounts. The information provided includes the growth in the population of frail elders, the projected demand for Medicaid, the cost of providing HCBS, and the cost avoidance achieved by keeping people out of nursing homes.", "State officials have also leveraged alternative funding sources\u2014including federal grants\u2014to help respond to funding limits for HCBS. Officials from Montana and Mississippi said that CMS\u2019s Money Follows the Person grant program\u2014which provided state Medicaid programs with funding for beneficiaries to transition out of institutions\u2014had helped them to serve more individuals in home- and community-based settings. Montana officials noted that Money Follows the Person provided the state with extra help to transition beneficiaries who were the most difficult to serve and often had multiple co-occurring conditions from institutions to community-based settings. Mississippi\u2019s Money Follows the Person program\u2014Bridge to Independence\u2014resulted in a total of 540 beneficiaries moving from institutions to home- and community-based settings, according to state officials. Mississippi officials also noted that they maximize HCBS waiver funding by leveraging other potential funding sources, such as charitable organizations, that could pay for items such as a wheelchair ramp for a beneficiary before waiver funds were expended."], "subsections": []}, {"section_title": "Other Challenges", "paragraphs": ["State and MCO officials also mentioned other challenges providing HCBS:", "Affordable housing. Officials from Mississippi and Montana and one MCO cited the lack of affordable housing as a barrier for beneficiaries wishing to transition out of an institution. The MCO officials we spoke with said their transitions team, which assists beneficiaries who are moving out of an institution into the community, includes a housing coordinator whose job it is to track available housing and help beneficiaries find housing they can afford.", "Limits on HCBS spending per beneficiary. Officials from one MCO said that the state\u2019s limit on HCBS waiver spending per beneficiary\u2014 requiring that spending for HCBS does not exceed the cost of institutional care\u2014was a challenge, particularly for beneficiaries with high needs. The officials indicated that the MCO tracks HCBS spending for each beneficiary and reviews plans of care when a beneficiary reached 80 percent and 95 percent of the spending limit. Beneficiaries whose spending exceeds 100 percent for more than a 6- month period can choose to move to an institutional setting, or to continue to receive more limited HCBS that do not exceed the cost of care in an institution. In cases where the MCO believed the beneficiary could not be safely served in the community at that level of spending, officials said that beneficiaries and their families were required to sign a form acknowledging the safety risks."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["HHS provided technical comments on a draft of this report, which we incorporated as appropriate.", "As discussed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days after its issuance date. At that time, we will send copies of this report to the Secretary of Health and Human Services and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Major contributors to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Home- and Community-Based Services Programs in Selected States", "paragraphs": ["Developmental Disabilities Individual Budgeting Waiver 1915(c) 1915(c) and 1915(j)", "Familial Dysautonomia Waiver 1915(c)", "Individuals diagnosed with familial dysautonomia 1915(c)", "Children under 21 years of age with degenerative spinocerebellar disease 1915(c) 1915(c) 1915(c)", "Intellectual Disabilities/ Developmental Disabilities Waiver 1915(c)", "Traumatic Brain Injury/Spinal Cord Injury Waiver 1915(c)", "Individuals with traumatic brain injury or spinal cord injury 1915(i)", "Individuals with intellectual or developmental disabilities 1915(c)", "Home and Community-Based Waiver for Individuals with Developmental Disabilities 1915(c)", "Children\u2019s Autism Waiver 1915(c)", "Behavioral Health Severe and Disabling Mental Illness HCBS Waiver 1915(c)", "State Plan Personal Care Services 1905(a)(24) N/A 1915(k) 1915(c)"], "subsections": [{"section_title": "State", "paragraphs": ["Authorizing statute 1915(c)", "Medically Involved Children\u2019s Waiver 1915(c)", "Behavioral Intermediate Care Facility for Individuals with Intellectual Disabilities Model Waiver 1915(c)", "Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Comprehensive Waiver 1915(c)", "Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Support Services Waiver 1915(c)", "Individuals 18 years of age or older with intellectual or developmental disabilities 1915(i)", "State Plan Personal Care Services 1905(a)(24) N/A 1915(k)"], "subsections": []}]}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Michelle Rosenberg, Assistant Director; Hannah Locke, Analyst-in-Charge; Romonda McKinney Bumpus; Krister Friday; Vikki Porter; and Jennifer Whitworth made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare Is Needed. GAO-18-179. Washington, D.C.: January 5, 2018.", "Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals\u2019 Needs for Home- and Community-Based Services. GAO-18-103. Washington, D.C.: December 14, 2017.", "Medicaid Managed Care: CMS Should Improve Oversight of Access and Quality in States\u2019 Long-Term Services and Supports Programs. GAO-17-632. Washington, D.C.: August 14, 2017.", "Medicaid: CMS Needs Better Data to Monitor the Provision of and Spending on Personal Care Services. GAO-17-169. Washington, D.C.: January 12, 2017.", "Medicaid Managed Care: Improved Oversight Needed of Payment Rates for Long-Term Services and Supports. GAO-17-145. Washington, D.C.: January 9, 2017.", "Medicaid Personal Care Services: CMS Could Do More to Harmonize Requirements across Programs. GAO-17-28. Washington, D.C.: November 23, 2016.", "Long-Term Care Workforce: Better Information Needed on Nursing Assistants, Home Health Aides, and Other Direct Care Workers. GAO-16-718. Washington, D.C.: August 16, 2016.", "Older Adults: Federal Strategy Needed to Help Ensure Efficient and Effective Delivery of Home- and Community-Based Services and Supports. GAO-15-190. Washington, D.C.: May 20, 2015.", "Medicaid: States\u2019 Plans to Pursue New and Revised Options for Home- and Community-Based Services. GAO-12-649. Washington, D.C.: June 13, 2012."], "subsections": []}], "fastfact": ["People who need long-term services to help with routine daily activities, such as bathing and eating, often prefer to remain in their homes and communities rather than receive care in nursing homes or other institutions. State Medicaid programs must cover nursing home care, but can choose to cover most home- and community-based care\u2014and they\u2019re increasingly opting to do so.", "States have faced challenges in providing these services, however, including finding and keeping home care workers, due to the low wages for these services. We found that states have made efforts to respond to these challenges."]} {"id": "GAO-18-694T", "url": "https://www.gao.gov/products/GAO-18-694T", "title": "Nursing Home Quality: Continued Improvements Needed in CMS's Data and Oversight", "published_date": "2018-09-06T00:00:00", "released_date": "2018-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Approximately 15,600 nursing homes participating in the Medicare and Medicaid programs provide care to 1.4 million residents\u2014a population of elderly and disabled individuals. To help ensure nursing home residents receive quality care, CMS defines quality standards that homes must meet to participate in the Medicare and Medicaid programs. To monitor compliance with these standards, CMS enters into agreements with state survey agencies to conduct on-site surveys of the state's homes and also collects other data on nursing home quality.", "Although CMS and others have reported some potential improvements in nursing home quality, questions have been raised about nursing home quality and weaknesses in CMS oversight.", "This statement summarizes GAO's October 2015 report, GAO-16-33 . Specifically, it describes (1) trends in nursing home quality through 2014, and (2) changes CMS had made to its oversight activities as of October 2015. It also includes the status of GAO's recommendations associated with these findings. GAO recently obtained information from CMS officials about steps they have taken to implement the 2015 GAO recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's October 2015 report found mixed results in nursing home quality based on its analysis of trends reflected in key sources of quality data that the Centers for Medicare & Medicaid Services (CMS) collects.", "An increase in reported consumer complaints suggested that consumers' concerns about nursing home quality increased.", "In contrast, trends in care deficiencies, nurse staffing levels, and clinical quality measures indicated potential improvement in nursing home quality.", "GAO also found that data issues complicated CMS's ability to assess nursing home quality trends. For example:", "CMS allowed states to use different survey methodologies to measure deficiencies in nursing home care, which complicates the ability to make comparisons nationwide. GAO recommended that CMS implement a standardized survey methodology across states, and in November 2017 CMS completed national implementation.", "CMS did not regularly audit selected quality data including nurse staffing and clinical data (for example, on residents with pressure ulcers) to ensure their accuracy. GAO recommended CMS implement a plan for ongoing auditing of quality data. The agency concurred with this recommendation and has been conducting regular audits of nurse staffing data but does not have a plan to audit other quality data on a continuing basis. GAO continues to believe that regular audits are needed to ensure the accuracy and comparability of nursing home quality data.", "GAO's October 2015 report found that CMS had made numerous modifications to its nursing home oversight activities. However, CMS had not monitored how the modifications might affect its ability to assess nursing home quality. GAO found that some modifications expanded or added new activities\u2014such as creating new training for state surveyors on unnecessary medication usage\u2014while others reduced existing activities. For example, CMS reduced the number of nursing homes participating in the Special Focus Facility program\u2014which provides additional oversight of certain homes with a history of poor performance\u2014by over half from 2013 to 2014. CMS officials told GAO that some of the reductions to oversight activities were in response to an increase in oversight responsibilities and a limited number of staff and financial resources. To help ensure modifications do not adversely affect CMS's ability to assess nursing home quality, GAO recommended that CMS monitor modifications of essential oversight activities to better understand the effects on nursing home quality oversight. CMS concurred with this recommendation and told us it has begun to take steps to address it. Such monitoring is important for CMS to better understand how its oversight modifications affect nursing home quality and to improve its oversight given limited resources."]}], "report": [{"section_title": "Letter", "paragraphs": ["I\u2019m pleased to be here today to discuss our work on nursing home quality and the Centers for Medicare & Medicaid Services\u2019 (CMS) oversight of nursing homes. Nationwide, approximately 15,600 nursing homes provide care to about 1.4 million nursing home residents\u2014a population of elderly and disabled individuals. To help ensure this population receives quality care, CMS defines the quality standards nursing homes must meet in order to participate in the Medicare and Medicaid programs. To monitor compliance with these standards, CMS enters into agreements with state survey agencies to conduct required surveys, or evaluations, of the state\u2019s nursing homes.", "For many years, we and the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) have reported on problems in nursing home quality and on weaknesses in CMS\u2019s oversight. As early as 1998, GAO reported on residents in California nursing homes who received unacceptable care that sometimes endangered their health and safety. In the intervening two decades, across more than 20 reports, GAO has repeatedly reported on shortcomings both in the care some nursing home residents received and in the federal and state oversight of nursing home care. For example, a 1999 report found that complaint investigation processes were often inadequate to protect residents, and a 2008 report found federal oversight continued to demonstrate that state inspections understated serious care problems. In response to identified weaknesses, CMS and state survey agencies have made some changes in how they conduct oversight of nursing home quality, and some potential improvements in nursing home quality have been reported in recent years. For example, CMS has reported a decrease in the percentage of homes that were cited for serious health deficiencies from 2006 to 2014. In addition, CMS and others have reported on improvements in specific nursing home clinical measures, such as reductions in the use of physical restraints, which can be a sign of improved quality of care.", "However, as you know, news stories and reports continue to identify potential problems in nursing homes. For example, a July 2018 article from Kaiser Health News highlighted that new data collected by CMS to evaluate nurse staffing showed most nursing homes had fewer nurses and caretaking staff than they had previously reported to CMS, with frequent and significant fluctuations in day-to-day staffing. As part of its ongoing work, the OIG determined CMS does not have adequate procedures in place to ensure incidents of potential abuse or neglect of Medicare beneficiaries in nursing homes are identified and reported. In light of these concerns and a delay in enforcement of 2016 long-term care regulatory reforms, as well as a reduction in civil money penalties for non- compliance with federal health and safety requirements, 17 state attorneys general sent a letter urging CMS to implement the strengthened regulations and maintain penalties for non-compliance in May 2018.", "To help inform today\u2019s discussion, my testimony will focus on the findings from our October 2015 report examining CMS\u2019s oversight of nursing home quality. In particular, this statement will address: 1. trends in nursing home quality through 2014, and 2. changes CMS had made to its oversight activities as of October 2015.", "In addition, I will highlight key actions that we recommended HHS take, including HHS\u2019s response and the current status of those recommendations.", "While my comments today focus on the findings of our October 2015 report, they are also informed by our large body of work examining nursing home quality. (See Appendix I for a list of related GAO reports.)", "In our October 2015 report, we analyzed four key sets of quality data from CMS using the most recent data available at that time. We also reviewed relevant oversight and data documents and interviewed officials from CMS central office, CMS regional offices, and state survey agencies for a selected group of states. The 2015 report includes a full description of our scope and methodology. We also obtained information from CMS on the status of our 2015 recommendations, as of 2018. We conducted the work on which this statement is based in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Oversight of nursing homes is a shared federal-state responsibility, with CMS central and regional offices overseeing activities completed by state survey agencies. Specifically, CMS central office (1) oversees the federal quality standards nursing homes must meet to participate in the Medicare and Medicaid programs and (2) establishes the responsibilities of CMS\u2019s regional offices and state survey agencies to ensure federal quality standards for nursing homes are met. CMS regional offices oversee state activities and report results back to CMS central office. Specifically, regional offices are required to conduct annual federal monitoring surveys to assess the adequacy of surveys conducted by state survey agencies. CMS regional offices also evaluate state surveyors\u2019 performance on factors such as the frequency and quality of state surveys. Finally, in each state, under agreement with CMS, a state survey agency assesses whether nursing homes meet CMS\u2019s standards by conducting regular surveys and investigations of complaints regarding resident care or safety, as needed.", "CMS collects data on nursing home quality through annual standard surveys and complaint investigations, as well as other sources, such as staffing data and clinical quality measures.", "Standard surveys. By law, every nursing home receiving Medicare or Medicaid payment must undergo a standard survey during which teams of state surveyors conduct a comprehensive on-site evaluation of compliance with federal quality standards. Nursing homes with consistently poor performance can be selected for the Special Focus Facility (SFF) program, which requires more intensive oversight, including more frequent surveys.", "Complaint investigations. Nursing homes also are surveyed on an as-needed basis with investigations of consumer complaints. These complaints can be filed with state survey agencies by residents, families, ombudsmen, or others acting on a resident\u2019s behalf. During an investigation, state surveyors evaluate the nursing home\u2019s compliance with a specific federal quality standard.", "Staffing data. Nurse staffing levels are considered a key component of nursing home quality and are often measured in total nurse hours per resident day. Higher nurse staffing levels are typically linked with higher quality nursing home care.", "Clinical quality measures. Nursing homes are required to provide data on certain clinical quality measures\u2014such as the incidence of pressure ulcers\u2014for all residents to CMS. CMS currently tracks data for 18 clinical quality measures.", "CMS publicly reports a summary of each nursing home\u2019s quality data on its Nursing Home Compare website using a five-star quality rating. The Five-Star Quality Rating System assigns each nursing home an overall rating and three component ratings\u2014surveys (standard and complaint), staffing, and quality measures\u2014based on the extent to which the nursing home meets CMS\u2019s quality standards and other measures. In a 2016 report, we found that CMS did not have a systematic process for prioritizing recommended changes to improve its Nursing Home Compare website and that several factors limited the ability of CMS\u2019s Five-Star Quality Rating System to help consumers understand nursing home quality and choose a home. We recommended that CMS establish a process to evaluate and prioritize website improvements and add explanatory information about the Five-Star System to Nursing Home Compare. HHS agreed and in 2018 completed actions on these recommendations, but has not yet acted on the other recommendations, including providing national comparison information that we maintain are important to help enable consumers to understand nursing home quality and make distinctions between nursing homes."], "subsections": []}, {"section_title": "Nursing Home Quality Data Show Mixed Results, Although Data Issues Complicate Ability to Assess Quality Trends Data on Nursing Home Quality Showed Mixed Results", "paragraphs": ["In our October 2015 report examining trend data that give insight into nursing home quality, we found that four key data sets showed mixed results, and data issues complicated the ability to assess quality trends.", "Nationally, one of the four data sets\u2014consumer complaints\u2014suggested consumers\u2019 concerns over nursing home quality increased from 2005 to 2014. However, the other three data sets\u2014deficiencies, staffing levels, and clinical quality measures\u2014indicated potential improvement in nursing home quality (see Table 1). Specifically, we found consumer complaints\u2014which can originate from residents, families, ombudsmen, or others acting on a resident\u2019s behalf\u2014had a 21 percent increase from 2005 to 2014. In contrast, nurse staffing levels increased 9 percent from 2009 to 2014 and selected quality measure scores showed decreases in the number of reported quality problems, such as falls resulting in major injury from 2011 to 2014.", "In addition, we identified 416 homes in 36 states that had consistently poor performance across the four data sets we examined. Of the 416 homes, 71 (17 percent) were included in the Special Focus Facility (SFF) program at some point between 2005 and 2014."], "subsections": [{"section_title": "Data Issues Complicated CMS\u2019s Ability to Assess Quality Trends", "paragraphs": ["In our October 2015 report, we found CMS\u2019s ability to use available data to assess nursing home quality trends was complicated by various issues with these data, which made it difficult to determine whether observed trends reflect actual changes in quality, data issues, or both. CMS has taken some actions to address these data complications, however, more work is needed.", "Consumer complaints: The average number of consumer complaints reported per nursing home increased in the 10 years of data we examined, although it is unclear to what extent this can be attributed to a change in quality or to state variation in the recording of complaints. Some state survey agency officials explained that changes in how they recorded complaints into CMS\u2019s complaint tracking system could in part account for the jump in reported complaints. In addition, officials at one state survey agency explained the increase in complaints could also reflect state-level efforts to provide consumers with more user-friendly options for filing complaints. Similarly, in April 2011, we found differences in how states record and track complaints.", "Deficiencies cited on standard surveys: The decline in the number of serious deficiencies\u2014deficiencies that at a minimum caused a harm to the resident\u2014in the data we examined may have indicated an improvement in quality, although it may also be attributed to inconsistencies in measurement. For example, the use of multiple survey types, such as both traditional paper-based surveys and electronic surveys, to conduct the standard survey that every nursing home receiving Medicare or Medicaid payment must undergo complicates the ability to compare the results of these surveys nationally. In our October 2015 report, we recommended CMS implement the same survey methodology across all states; HHS agreed with this recommendation and in November 2017 completed its national implementation of this electronic survey methodology.", "Nurse staffing: CMS data showed the average total nurse hours per resident day increased from 2009 through 2014, although CMS did not have assurance these data were accurate. Many of the regional office and state survey agency officials we spoke with expressed concern over the self-reported nature of these data, noting that it may be easy to misrepresent nurse staff hours. At the time of our 2015 report, CMS was in the process of implementing a system to collect staffing information based on payroll and other verifiable data and has now completed that implementation, as required by law. We recommended in 2015 that CMS establish and implement a clear plan for ongoing auditing of its staffing data and other quality data. HHS agreed with this recommendation and in July 2018 CMS provided us with documentation that it was conducting regular audits of this new nurse staffing data. According to CMS, facilities experienced challenges submitting complete and accurate data in the early stages, however, as of April 2018 the agency has begun relying on the payroll data to calculate the staffing measures that it posts in Nursing Home Compare and uses in the Five-Star Quality Rating System.", "Selected quality measures: Nursing homes generally improved their performance on the eight selected quality measures we reviewed, although it is unclear to what extent this can be attributed to a change in quality or possible inaccuracies in self-reported data. Like the nurse staffing data used by CMS, data on nursing homes\u2019 performance on these measures were self-reported, and until 2014 CMS conducted little to no auditing of these data to ensure their accuracy. In our 2015 report, we found CMS had begun taking steps to help mitigate the problem with self- reported data by starting to audit the data in 2015; however, the agency did not have clear plans to continue the audits beyond 2016. As such, in our recommendation we indicated the need for ongoing auditing of data used to calculate clinical quality measures. As of August 2018, CMS has not provided us a plan for ongoing auditing of its clinical quality measures and we continue to believe that CMS should establish and carry out such a plan.", "Collectively, these data issues have broader implications related to nursing home quality trends, including potential effects on the quality benchmarks CMS sets and consumers\u2019 decisions about which nursing home to select. Furthermore, data used by CMS to assess quality measures are also used when determining Medicare payments to nursing homes, so data issues\u2014and CMS\u2019s internal controls related to the data\u2014 could affect the accuracy of payments. Moreover, the use of quality data for payment purposes will expand in fiscal year 2019 when a nursing home value-based purchasing program will be implemented, which will increase or reduce Medicare payments to nursing homes based on certain quality measures."], "subsections": []}]}, {"section_title": "CMS Had Modified Oversight Activities by 2015, But Had Not Monitored Potential Effect on Nursing Home Quality Oversight", "paragraphs": ["Our 2015 report found that CMS had made numerous modifications to its nursing home oversight activities in recent years, but had not monitored the potential effect of these modifications on nursing home quality oversight. Some of these modifications expanded or added new oversight activities\u2014for example, CMS expanded the number of tools available to state surveyors when investigating medication-related adverse events, increased the amount of nursing home quality data available to the public, and created new trainings for surveyors on unnecessary medication usage. However, other modifications reduced existing oversight activities.", "In 2015, we highlighted modifications that reduced two existing oversight activities\u2014the federal monitoring survey program and the SFF program.", "Federal monitoring surveys: CMS reduced the scope of the federal monitoring surveys regional offices use to evaluate state surveyors\u2019 skills in assessing nursing home quality. CMS requires regional offices to complete federal monitoring surveys in at least 5 percent of nursing homes surveyed by the state each year. Starting in 2013, CMS required fewer federal monitoring surveys to be standard surveys and allowed more monitoring surveys to be the narrower scoped and less-resource intensive revisits and complaint investigations.", "Special Focus Facilities: CMS reduced the number of nursing homes participating in the SFF program. In 2013, CMS began to reduce the number of homes in the program by instructing states to terminate homes that had been in the program for 18 months without improvement from participating in Medicare and Medicaid. As we have previously reported, between 2013 and 2014, the number of nursing homes in the SFF program dropped by more than half\u2014from 152 to 62. In 2014, CMS began the process of re-building the number of facilities in the SFF program; however, according to CMS officials, the process would be slow, and as of August 2018 there were 85 SFFs.", "In 2015, CMS said some of the reductions to oversight activities were in response to an increase in oversight responsibilities and limited number of staff and financial resources. Specifically, CMS officials said increasing oversight responsibilities and a limited number of staff and financial resources at the central, regional, and state levels required the agency to evaluate its activities and reduce the scope of some activities. In the October 2015 report, we recommended CMS monitor oversight modifications to better assess their effects; HHS agreed with the recommendation and told us they are beginning to take steps to address this issue. We maintain the importance of monitoring to help CMS better understand how its oversight modifications affect nursing home quality and to improve its oversight given limited resources.", "Chairman Harper, Ranking Member DeGette, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information about this statement, please contact John E. Dicken at (202) 512-7114 or dickenj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. In addition to the contact named above, key contributors to this statement were Karin Wallestad (Assistant Director), Sam Amrhein, Summar Corley, Pam Dooley, Will Simerl, and Jennifer Whitworth."], "subsections": []}]}, {"section_title": "Appendix I: Related GAO Reports", "paragraphs": ["Nursing Homes: Consumers Could Benefit from Improvements to the Nursing Home Compare Website and Five-Star Quality Rating System. GAO-17-61. Washington, D.C.: November 18, 2016.", "Skilled Nursing Facilities: CMS Should Improve Accessibility and Reliability of Expenditure Data. GAO-16-700. Washington, D.C.: September 7, 2016.", "Nursing Home Quality: CMS Should Continue to Improve Data and Oversight. GAO-16-33. Washington, D.C.: October 30, 2015.", "Health Care Transparency: Actions Needed to Improve Cost and Quality Information for Consumers. GAO-15-11. Washington, D.C.: October 20, 2014.", "Nursing Homes: More Reliable Data and Consistent Guidance Would Improve CMS Oversight of State Complaint Investigations. GAO-11-280. Washington, D.C.: April 7, 2011.", "Nursing Homes: Complexity of Private Investment Purchases Demonstrates Need for CMS to Improve the Usability and Completeness of Ownership Data. GAO-10-710. Washington, D.C.: September 30, 2010.", "Poorly Performing Nursing Homes: Special Focus Facilities Are Often Improving, but CMS\u2019s Program Could Be Strengthened. GAO-10-197. Washington, D.C.: March 19, 2010.", "Nursing Homes: Addressing the Factors Underlying Understatement of Serious Care Problems Requires Sustained CMS and State Commitment. GAO-10-70. Washington, D.C.: November 24, 2009.", "Nursing Homes: Opportunities Exist to Facilitate the Use of the Temporary Management Sanction. GAO-10-37R. Washington, D.C.: November 20, 2009.", "Nursing Homes: CMS\u2019s Special Focus Facility Methodology Should Better Target the Most Poorly Performing Homes, Which Tended to Be Chain Affiliated and For-Profit. GAO-09-689. Washington, D.C.: August 28, 2009.", "Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities. GAO-09-64. Washington, D.C.: February 13, 2009.", "Nursing Homes: Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses. GAO-08-517. Washington, D.C.: May 9, 2008.", "Nursing Homes: Efforts to Strengthen Federal Enforcement Have Not Deterred Some Homes from Repeatedly Harming Residents. GAO-07-241. Washington, D.C.: March 26, 2007.", "Nursing Homes: Complaint Investigation Processes Often Inadequate to Protect Residents. GAO/HEHS-99-80. Washington, D.C.: March 22, 1999.", "California Nursing Homes: Care Problems Persist Despite Federal and State Oversight. GAO/HEHS-98-202. Washington, D.C.: July 27, 1998.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": ["About 15,600 nursing homes participate in Medicare and Medicaid. To help ensure that residents receive quality care, the Centers for Medicare & Medicaid Services (CMS) collect data (such as nurse staffing levels) on these nursing homes.", "We testified that CMS's data showed mixed results\u2014they showed an increase in consumer complaints along with improvements in the quality of care. We found that data issues (e.g., different states using different data collection methods) complicated CMS\u2019s ability to assess whether the results reflected actual changes. We made recommendations to address these issues in the report on which this testimony is based."]} {"id": "GAO-18-303", "url": "https://www.gao.gov/products/GAO-18-303", "title": "Wildlife and Sport Fish Restoration: Competitive Grant Programs Managed Consistently with Relevant Regulations, but Monitoring Could Be Improved", "published_date": "2018-02-22T00:00:00", "released_date": "2018-02-22T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FWS awarded $1.5 billion in grants in fiscal year 2016, which represented about half of the agency's budget. In general, FWS awards two types of grants: (1) formula grants, which are distributed to recipients based on a required formula, and (2) competitive grants, where potential recipients submit an application for funding that is reviewed and scored against criteria. Within FWS, WSFR manages several grant programs.", "GAO was asked to review WSFR's management of its competitive grant programs. This report (1) identifies and describes competitive grant programs that WSFR awards and monitors; (2) examines how WSFR awards grants under these programs and the extent to which this is consistent with relevant regulations; and (3) examines how WSFR monitors grants under these programs and the extent to which this is consistent with relevant regulations. GAO reviewed relevant federal laws, regulations, and FWS guidance; analyzed agency data for fiscal years 2012-2016; reviewed award documents for fiscal year 2016 and a sample of monitoring documents for grants awarded in fiscal year 2015 (selected to ensure sufficient time for required reports to be submitted) and compared these with requirements from relevant regulations; interviewed WSFR headquarters and regional officials and grant recipients."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Fish and Wildlife Service's (FWS) Wildlife and Sport Fish Restoration (WSFR) program, within the Department of the Interior, awards and monitors five competitive grant programs. These grant programs fund different types of projects ranging from building docks to acquiring wetlands. GAO found that the number of grants and funding awarded varied by grant program from fiscal years 2012 through 2016.", "Dollars in thousands", "The award process WSFR uses for the five competitive grant programs generally involves publicly announcing the grant opportunity through a Notice of Funding Opportunity, which contains information applicants need to consider when applying, such as available funding and criteria that will be used to score applications. A panel comprised of WSFR staff, and in some cases other FWS staff or a third party organization, reviews and scores the applications based on the criteria in the Notice of Funding Opportunity and develops a list of recommended projects and funding amounts. The list is forwarded to the Director of FWS for review and approval. GAO found that WSFR's grant award process is consistent with federal regulations for awarding federal grants.", "WSFR monitors its competitive grants by reviewing financial and performance reports submitted by grant recipients. In general, this process is consistent with relevant regulations, but some of the performance reports were missing required information. Specifically, for fiscal year 2015 grants GAO reviewed, financial and performance reports were generally submitted on time by grant recipients, but several performance reports (9 of 51) did not include a comparison of actual accomplishments to the goals of the grant, as required by regulations. WSFR does not have a template for grant recipients to follow in preparing these reports for most of the grant programs, and the template used by one region does not clearly ask for all required information. WSFR officials have said the agency plans to develop a more standardized reporting process but no timeline has been established. According to Standards for Internal Control in the Federal Government , management should design control activities to achieve objectives and respond to risks, including designing mechanisms to help monitor performance. Without a template or standardized method that facilitates the collection of performance information, WSFR grant recipients may continue to submit performance reports that are missing information needed by FWS to monitor its competitive grant programs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that FWS develop a template or other standardized method to facilitate collection of all required information for grant performance reports. The Department of the Interior concurred with this recommendation."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Fish and Wildlife Service (FWS), within the Department of the Interior (Interior), awarded $1.5 billion in grants in fiscal year 2016, which represented about 50 percent of the FWS budget. In general, FWS awards two types of grants: (1) formula grants, which are distributed to recipients based on a required formula, and (2) competitive grants, where potential recipients submit an application for funding that is reviewed and scored against criteria. Within FWS, the Wildlife and Sport Fish Restoration (WSFR) Program is responsible for managing several of the agency\u2019s grant programs, including two formula grant programs\u2014the Wildlife Restoration Program and the Sport Fish Restoration Program. In addition, WSFR awards and monitors several competitive grants to recipients, which include state agencies and nongovernmental organizations. In fiscal year 2016, WSFR awarded about $54 million in these competitive grants. Competitive grant programs provide support for various activities, such as helping to construct boat docks or acquiring wetlands, and these grants are awarded annually.", "Our prior work has highlighted the importance of both awarding competitive grants in a fair and transparent way and monitoring federal grants. In recent years, the Office of Management and Budget (OMB) has taken actions to help improve the effectiveness and efficiency of grant-making across the federal government. Specifically, in 2011, OMB created the Council on Financial Assistance Reform, an interagency council charged with providing policy-level leadership for the grants community and supporting reforms to improve the effectiveness and efficiency of federal grants. Further, in December 2014, OMB\u2019s Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) became effective for new grant awards after being adopted by federal grant-making agencies, including Interior. The Uniform Guidance requires, among other things, that federal agencies design and execute a merit review process for competitive grant applications. A merit review process is characterized by the establishment of criteria applied by the agency to evaluate the merit of competitive grant applications and seeks to ensure that grant applications are reviewed in a fair, competitive, and transparent manner. The Uniform Guidance also requires certain monitoring activities for federal grants, such as requiring grant recipients to submit financial and performance reports.", "You asked us to review WSFR\u2019s management of its competitive grant programs. This report (1) identifies and describes the competitive grant programs that WSFR awards and monitors; (2) examines how WSFR awards grants under these programs and the extent to which this is consistent with relevant regulations; and (3) examines how WSFR monitors grants under these programs and the extent to which this is consistent with relevant regulations.", "To identify the competitive grant programs that WSFR both awards and monitors, we reviewed federal laws, regulations, agency guidance, budget documents, and grant program descriptions in the Catalog of Federal Domestic Assistance, which is a compilation of federal assistance programs including grants. We developed a list of competitive grant programs that WSFR awards and monitors and corroborated the list with WSFR officials. We also analyzed data on these grant programs from Interior\u2019s Financial and Business Management System for fiscal years 2012 through 2016, the most recent five-year period for when the award process had been completed. To determine the reliability of these data, we interviewed agency officials and conducted electronic testing of the data, and we determined the data were sufficiently reliable for our purposes.", "To examine how WSFR awards competitive grants and how this compares with relevant regulations, we reviewed agency regulations and guidance along with the Uniform Guidance. We also reviewed award documents for the fiscal year 2016 grant cycle for the competitive grant programs we identified. These documents included the Notice of Funding Opportunity (NOFO), which describes the funding opportunity to applicants; documentation of the scoring of applications; and memos that documented the results of the scoring process. We also reviewed eight complete grant files for grants awarded in 2016. In addition to looking at these fiscal year 2016 documents, we also examined memos that documented the results of the award process for the grants awarded in fiscal years 2012 through 2015. To assess the extent to which the award process is consistent with relevant regulations, we compared the process WSFR uses to award grants with OMB\u2019s Uniform Guidance.", "To examine how WSFR monitors competitive grants and how this compares with relevant regulations, we reviewed agency regulations and guidance along with the Uniform Guidance. We also examined financial and performance reports for 32 selected grants awarded in fiscal year 2015. We selected fiscal year 2015 to ensure that enough time had elapsed under these grants for financial and performance reports to have been required and submitted. In selecting this non-probability sample of files, we ensured that we had at least one file for each of the grant programs in our review and at least one file from each of the eight FWS regional offices. The results from our analysis of these documents are not generalizable to all monitoring documents for grants awarded in fiscal year 2015, but allowed us to examine how WSFR monitored selected grants. To assess the extent to which the monitoring process is consistent with relevant regulations, we compared the process WSFR uses to monitor grants with OMB\u2019s Uniform Guidance.", "For all three objectives, we interviewed WSFR staff responsible for overseeing WSFR grant programs, including program leaders for the competitive grant programs at headquarters and WSFR staff in each of the eight FWS regional offices. We asked these officials about the role they played in awarding and monitoring competitive grants. In addition, we interviewed other officials at FWS and nongovernmental organizations involved in awarding or monitoring competitive grants. We also interviewed grant applicants, including state fish and wildlife agency officials and nongovernmental organizations, to learn about their experiences during the award and monitoring process for WSFR grants. We selected applicants that had various experiences with the grant programs in fiscal year 2016, including those that applied and did not receive funding and those that applied and received funding. The results of these interviews with grant applicants cannot be generalized to other applicants. Appendix I contains a more detailed description of our scope and methodology.", "We conducted this performance audit from March 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["FWS provides grants to a variety of recipients, including state agencies, tribal governments, and nongovernmental organizations. In fiscal year 2016, FWS awarded $1.5 billion in grants, which was about 50 percent of the agency\u2019s total $2.9 billion budget authority. Within FWS, WSFR is responsible for awarding most of the grant funding available from FWS, and in fiscal year 2016, WSFR awarded $1.2 billion in grants.", "As we have previously reported, most federal grant-making agencies generally follow a grants management process that includes awarding grant funds and monitoring grant projects. The award process generally involves announcing the grant opportunities, reviewing applications, and making award decisions. During the monitoring process, the agency oversees the implementation of the grant project and periodically reviews financial and performance reports from grant recipients. In our past reports, we have found that it is important for federal agencies to employ a fair and transparent process to make award selections for competitive grant programs and to monitor federal grant funds to ensure that they are used properly and effectively to achieve program goals.", "In general, WSFR awards two types of grants: formula and competitive grants.", "Formula grants: WSFR awards these grants to recipients in amounts based on required formulas. The two largest formula grant programs WSFR manages are the Wildlife Restoration Program and Sport Fish Restoration Program, which provided $699 million and $356 million, respectively, in grants to states in fiscal year 2016. According to WSFR documents and officials, these grants are often used by states to help their fish and wildlife agencies restore, enhance, and manage wildlife and sport fish resources and provide public access to those resources. Each state\u2019s use of certain funds and each state\u2019s wildlife and sport fish activities are to be audited every 5 years, and these audits have generally been conducted by Interior\u2019s Office of Inspector General (OIG). According to Interior OIG officials, these audits have been conducted since 2002, and each state has been audited three times over the past 15 years.", "Competitive grants: WSFR awards these grants to eligible applicants for specific projects based on a competitive process in which grant applications are scored against certain criteria. Competitive grants comprise a much smaller portion of the grant funding that WSFR awards; in fiscal year 2016, WSFR awarded about $54 million in competitive grants. Competitive grants, unlike the formula grants, are not required under their program-specific statutes to be regularly audited. According to the Interior OIG and WSFR officials, the OIG has conducted few audits of these programs.", "Funding for most of WSFR\u2019s grant programs comes from two sources: the Wildlife Restoration Account and the Sport Fish Restoration and Boating Trust Fund. These accounts are generally funded by industries paying excise taxes and import duties on certain equipment and gear manufactured for purchase by hunters, anglers, boaters, archers, and recreational shooters, including pistols, bows and arrows, and fishing rods and reels, among other items. Federal taxes on fuel for motorboats and small engines are also a source of funding.", "In administering grant programs, WSFR adheres to federal laws and regulations, as well as agency policies and guidance.", "Federal laws: The 1937 Pittman-Robertson Wildlife Restoration Act and the 1950 Dingell-Johnson Sport Fish Restoration Act established the Wildlife Restoration Program and the Sport Fish Restoration Program, respectively. The Pittman-Robertson and Dingell-Johnson Acts have been amended to, among other things, establish additional grant programs, many of which are competitive programs. For example, the Clean Vessel Act of 1992 amended the Dingell-Johnson Act and created the Clean Vessel Act Grant Program. In addition, in 1998, the Sportfishing and Boating Safety Act amended the Dingell- Johnson Act and established the Boating Infrastructure Grant Program.", "Federal government-wide grant regulations: The Uniform Guidance, issued by OMB and adopted by federal grant-making agencies, includes requirements for several aspects of the federal grants management process, including the award and monitoring processes. For example, sections 327 and 328 lay out general requirements for financial and performance reporting by grant recipients.", "Agency regulations: Some of the WSFR grant programs have specific regulations that, among other things, define eligible activities, application procedures, and the conditions for using grant funding. For example, the Boating Infrastructure Grant Program, the Clean Vessel Act Grant Program, and the National Coastal Wetlands Conservation Grant Program have program-specific regulations that govern aspects of the grant process, such as the eligible uses of grant funding.", "Agency policies and guidance: WSFR also has agency guidance found in the FWS Service Manual, along with other guidance on grants. The manual describes the structure and functions of FWS\u2019s organization and contains policies and procedures that govern administrative activities and program operations. For example, the FWS Service Manual contains a chapter focused on the Multistate Conservation Grant Program that reiterates or clarifies requirements, including program-specific statutory requirements as well as those found in the Uniform Guidance. In addition to the FWS Service Manual, the FWS, and WSFR within it, is subject to grant management guidance issued by the Department of the Interior. For example, in December 2014, Interior\u2019s Office of Acquisition and Property Management issued a memorandum that required (1) maximum competition in grant awards through a fair and impartial competitive process, and (2) a comprehensive, impartial, and objective grant application review process based on criteria contained in the grant award announcement."], "subsections": []}, {"section_title": "WSFR Program Awards and Monitors Five Competitive Grant Programs", "paragraphs": ["WSFR awards and monitors five competitive grant programs, according to agency documents and officials we interviewed. These five grant programs are (1) the Boating Infrastructure Tier 2 Grant Program, (2) the Clean Vessel Act Grant Program, (3) the Competitive State Wildlife Grant Program, (4) the Multistate Conservation Grant Program, and (5) the National Coastal Wetlands Conservation Grant Program. While these grant programs support different types of projects, they generally are funded from the Sport Fish Restoration and Boating Trust Fund, and most require non-federal matching funds from the grant recipient based on statute. The exceptions to this are the Multistate Conservation Grant Program, which also receives funds from the Wildlife Restoration Account and does not require matching funds, and the Competitive State Wildlife Grant Program, which receives funding from annual appropriations. Table 1 provides summary information on these five competitive grant programs.", "Across the five competitive grant programs, the number of grants and the funding awarded varied by program. In fiscal years 2012 through 2016, the largest amount of federal grant funding was awarded through the National Coastal Wetlands Conservation Grant Program\u2014about $94 million total\u2014while the least amount of grant funding was awarded through the Competitive State Wildlife Grant Program\u2014about $24 million total, as shown in table 2.", "Based on our review of competitive grant award documentation for fiscal years 2012 through 2016, the percentage of projects selected from the applications received ranged from 63 percent for the Competitive State Wildlife Grant Program to 100 percent for the Clean Vessel Act Grant Program. While all Clean Vessel Act grant applicants received funding, they did not all receive the total amount of funding requested; rather, the amount of funding was based on the total amount of funding available and the score the application received. The same applies for other grant programs, as the agency sometimes provides less funding to a recipient than was requested depending on various factors, such as the total amount of funding available. For more information on the number of applications received and awards for each grant program, see appendixes II through VI.", "In fiscal year 2016, the five WSFR competitive grant programs funded a variety of projects according to our review of the list of awarded projects.", "Boating Infrastructure Tier 2 Grant Program. Grants were awarded to states for projects focused on improving facilities for recreational boaters. These projects included installing docks, installing boat slips, and constructing restroom and shower facilities for boaters. For more information on this grant program, see appendix II.", "Clean Vessel Act Grant Program. Grants were awarded to states for projects focused on constructing and maintaining facilities to accept sewage from recreational boats, including sewage pumpout stations and floating restrooms. In addition, some of the grants were to be used for public education materials on the importance of properly disposing sewage from boats. For more information on this grant program, see appendix III.", "Competitive State Wildlife Grant Program. Grants were awarded to states and a nongovernmental organization for projects focused on state-identified species of greatest conservation need, which may include endangered or threatened species. These projects included conducting research on these species along with creating and enhancing habitat for these species. For more information on this grant program, see appendix IV.", "Multistate Conservation Grant Program. Grants were awarded to nongovernmental organizations and federal agencies for a variety of projects that were national or regional in scope, such as providing training to state fish and wildlife officials. Over half of the grants awarded (11 of 18) were awarded to the Association of Fish and Wildlife Agencies (AFWA), but most of the funding went towards the administration of the National Survey of Fishing, Hunting and Wildlife- Associated Recreation ($6.4 million of the $7.7 million). According to AFWA and WSFR officials, the reason many grants are awarded to AFWA is because this organization is in a unique position to carry out projects that benefit multiple states as required by law. For more information on this grant program, see appendix V.", "National Coastal Wetlands Conservation Grant Program. Grants were awarded to states for projects focused on acquiring and restoring wetlands. Many of these projects focused on acquiring wetlands that benefit wildlife. For more information on this grant program, see appendix VI.", "Under these five grant programs, state agencies often partner with subgrantees to carry out grant projects. According to WSFR officials, subgrants are common in the Boating Infrastructure Tier 2, Clean Vessel Act, and Competitive State Wildlife grant programs. For example, states are the recipients of Boating Infrastructure Tier 2 grants, but they can subgrant the money to marina operators to oversee the construction of dock facilities."], "subsections": []}, {"section_title": "Grant Award Process Involves Announcing Grant Opportunity, Reviewing Applications, and Making Award Decisions and Is Generally Consistent with Regulations", "paragraphs": ["The award process WSFR uses for the five competitive grant programs generally involves announcing the grant opportunity and reviewing applications to make award decisions, and in some cases federal agencies or third parties are involved in these activities. The award process used for the five competitive WSFR grant programs is generally consistent with federal grant regulations in the Uniform Guidance."], "subsections": [{"section_title": "Award Process Involves Announcing Opportunities, Reviewing Applications, and Making Award Decisions, and Third Parties Play a Role in this Process for Some Grant Programs", "paragraphs": ["The award process WSFR uses for the five competitive grant programs we reviewed involves announcing the grant opportunity and reviewing applications to make award decisions, and third parties are involved in these activities for some grant programs. Based on our review of agency guidance and interviews with WSFR officials, announcing a grant opportunity begins with developing a Notice of Funding Opportunity (NOFO). The NOFO contains information for applicants to consider when deciding whether to apply, including the amount of funding available, the types of applicants that are eligible, the process to apply, and the criteria that will be used to score applications. NOFOs are available publicly at www.grants.gov. Interested parties then submit grant applications, which WSFR reviews for eligibility by examining the project\u2019s goals, budget, and environmental impact, among other things. A review panel comprised of WSFR staff, and in some cases other FWS staff or a third party organization, reviews and scores the applications based on criteria in the NOFO and develops a list of recommended projects and funding amounts for these projects. This list is forwarded to the Director of FWS for review and approval and if approved, FWS then awards the grant.", "For all of the grant programs except for the Competitive State Wildlife Grant Program, other federal agencies or third party organizations are involved in some aspects of the award process (as shown in table 3). In general, these entities are more involved in reviewing grant applications than in developing the NOFOs for the grant programs.", "AFWA, a third party, has the largest involvement in the award process for the Multistate Conservation Grant Program, and implements most aspects of the award process. Specifically, the Wildlife and Sport Fish Restoration Programs Improvement Act of 2000, which established this grant program, requires that FWS only fund grant projects that are on a priority list established by AFWA. To develop this list, AFWA has developed a process to review and score applications, and the highest-scoring applications are put on a priority list. This list is presented to all AFWA members at their annual meeting and if approved by the membership, AFWA forwards the priority project list to the Director of the U.S. Fish and Wildlife Service for review and approval. The Multistate Conservation program leader at WSFR said he also reviews grant applications to determine whether the project\u2019s budget is reasonable and whether the project is eligible for funding.", "Other federal agencies and third party organizations are also involved in the award process for other WSFR competitive grants programs as follows:", "Boating Infrastructure Tier 2 Grant Program: The Sport Fishing and Boating Partnership Council reviews and scores each grant application and provides these scores to WSFR. The scores from the Council are averaged with WSFR\u2019s scores to develop a final ranked list of grant projects. Officials from the Council said that they provide expertise to the review process since Council members are often engineers or members of boating organizations.", "Clean Vessel Act Grant Program: Program regulations state that WSFR will convene a review panel to include representatives from WSFR, the U.S. Environmental Protection Agency (EPA), the U.S. Coast Guard, and the National Oceanic and Atmospheric Administration (NOAA). WSFR provides the grant applications and WSFR\u2019s proposed list of recommended projects to these agencies for review. According to WSFR officials, they have received limited input from these agencies, due in part to staff turnover at these agencies in recent years. For example, in fiscal year 2016, EPA indicated in an email to WSFR that it agreed with the proposed funding decisions for the program, and NOAA sent a letter to WSFR indicating that it had not reviewed all of the applications but it supported the program and did not object to the agency\u2019s scoring of the applications.", "National Coastal Wetlands Conservation Grant Program: Staff from FWS\u2019 Coastal Program partner with WSFR in developing the NOFO, reviewing applications, and scoring applications. For example, the review panel for fiscal year 2016 included seven staff from the Coastal Program and four staff from WSFR."], "subsections": []}, {"section_title": "Award Process Is Generally Consistent with Federal Grant Regulations", "paragraphs": ["The five competitive WSFR grant programs we reviewed follow an award process that is generally consistent with federal grant regulations found in the Uniform Guidance. Specifically, the Uniform Guidance requires that grant funding opportunities be publicly announced and that the NOFO contains certain information, including the criteria and process used to evaluate applications. In reviewing the five NOFOs used for the fiscal year 2016 grant cycle for the five competitive grant programs, we found that all five NOFOs were made publicly available on the website www.grants.gov, and the NOFOs contained the information required by the Uniform Guidance. These NOFOs contained criteria for scoring applications that matched the criteria in program-specific regulations for the grant programs that have them. For example, the regulations for the National Coastal Wetlands Conservation Grant Program contain 13 different scoring criteria, which were listed in the NOFO for that program.", "The Uniform Guidance also contains provisions regarding a review process for grant applications. Specifically, the Uniform Guidance requires that, unless prohibited by federal statute, the agencies must design and execute a merit review process for competitive grant applications, and that this process must be described in the NOFO. In accordance with the Uniform Guidance, Interior issued guidance on implementing a merit review process in December 2014. This guidance requires that the \u201ccompetitive process be fair and impartial\u201d and that all applicants be evaluated based on the criteria in the funding announcement. In reviewing the five competitive grant programs, we found that there was a merit review process and that this process was described in the five NOFOs for fiscal year 2016 that we reviewed. As part of the merit review process, four of the competitive grant programs convened review panels attended by those that scored applications for the fiscal year 2016 grant cycle, and these panels developed a recommended list of projects, according to our review of award documents. The exception was the Clean Vessel Act Grant Program, where an in-person review panel meeting was not held but rather projects were scored separately within each region, and regional officials submitted their scores to WSFR headquarters. These two sets of scores were combined and the WSFR program leader developed a recommended list of projects, according to WSFR officials.", "The Uniform Guidance also requires that federal agencies must establish conflict of interest policies for federal awards. As a result, in December 2014, Interior established a policy requiring agency officials who evaluate grant applications as part of a review panel to sign a conflict of interest certificate. In our review of the award documents for the fiscal year 2016 grant cycle, we generally found signed copies of these certificates for members of the review panels, except for the Multistate Conservation Grant Program. This program did not have certificates for the fiscal year 2016 grant cycle because AFWA, which oversees the scoring of applications, did not require these forms until the fiscal year 2017 grant cycle. We reviewed these forms for the fiscal year 2017 grant cycle and found that each member of the AFWA review panel had submitted a form. AFWA officials said that the organization had previously required a general conflict of interest form to be signed by its members, and they started requiring a specific form for review panel members in fiscal year 2017 to align with Interior\u2019s policy."], "subsections": []}]}, {"section_title": "WSFR Monitors Grants in a Manner Consistent with Federal Grant Regulations, but Performance Reports Were Sometimes Missing Required Information WSFR Monitors Grants through Review of Financial and Performance Reports", "paragraphs": ["WSFR monitors its competitive grants primarily by reviewing annual financial and performance reports submitted by grant recipients, which is consistent with federal regulations. We found in our review of these reports for a sample of grant projects awarded funds in fiscal year 2015 that grant recipients generally submitted them on time, but that some performance reports were missing required information.", "According to WSFR officials, their primary method for monitoring projects funded by competitive grants is to review financial and performance reports submitted by grant recipients. Grant recipients submit these reports to WSFR staff in FWS regional offices. According to regional WSFR officials, regional staff who specialize in financial matters review the financial reports to ensure they are filled out correctly. Staff do this by comparing financial information on the amount of federal funding reported by recipients with amounts found in Interior\u2019s Financial and Business Management System, which is used to track grants. In addition, WSFR grant specialists review the performance reports to ensure they contain required information, such as an update on the progress of meeting the specified goals of a grant project. If WSFR staff identify discrepancies in the financial reports or deficiencies in the performance reports, WSFR regional staff work with the grant recipients to resolve them. WSFR regional staff occasionally perform site visits to grant projects to verify grant activities described in the performance reports. WSFR regional staff said they perform site visits as funding and time allow and that recently they have had to limit site visits due to budget and staffing constraints."], "subsections": [{"section_title": "Actions to Monitor Grants Are Consistent with Federal Grant Regulations, but Some Performance Reports Were Missing Required Information", "paragraphs": ["The Uniform Guidance contains requirements for financial and performance reports for monitoring federal grants. Specifically, the Uniform Guidance requires federal agencies to collect financial information from grant recipients at least annually. The Uniform Guidance also requires grant recipients to submit performance reports at least annually, and these reports are to include certain information, such as a comparison of the actual accomplishments of a grant with its goals and the reasons why goals were not met, if appropriate. To further guide FWS staff in implementing these requirements, the FWS Service Manual provides additional information on the agency\u2019s expectations for these reports, including the required content. For example, the Service Manual states that recipients should submit financial information, including the amount of federal and matching funds spent and remaining on a grant. The Service Manual also identifies the standard federal form that should be used for this report. For performance reports, the FWS Service Manual states that FWS must require certain information from grant recipients, including a comparison of actual accomplishments to the goals of the grant projects, and if the goals were not met, the reasons why.", "In our review of the agency\u2019s monitoring process for selected grants awarded in fiscal year 2015, we found that WSFR required both financial and performance reports at least annually, as required by the Uniform Guidance. In addition, the number and due dates of these reports were specified in the letters provided to grant recipients when they were awarded the grant. These award letters also specified the amount of federal funding for the grant along with any required non-federal matching funds. We reviewed 53 financial reports and 51 performance reports for a sample of 32 grants awarded in fiscal year 2015 and found that most reports were submitted by their due date or within 2 weeks of this date, as table 4 shows.", "In addition, the majority of the reports we reviewed met the content requirements found in the Uniform Guidance and the FWS Service Manual. Specifically, all 53 financial reports were submitted on the standard form prescribed by the Service Manual. In addition, the financial information on the amount of the grant and non-federal matching funds aligned with the amounts specified in the award letter for nearly all the financial reports we reviewed. In our review of performance reports, we found that most contained information required by the Uniform Guidance on the grant project\u2019s goals, progress toward those goals, and an explanation for why the goals had not been met, if applicable. However, in our sample, nine performance reports submitted for six awarded grants were missing some of this information. For example, one performance report stated that \u201cno activities had occurred\u201d under the grant, but it did not specify what the goals of the grant were or why no progress had been made, as required by the Uniform Guidance. Additionally, two annual performance reports for another grant described the goals of the grant and said they had not been met, but did not provide information as to why. Officials from one state fish and wildlife agency said that there was not a template to follow when preparing performance reports. Officials from another state agency said that while the requirements for performance reporting were laid out clearly in most NOFOs, they could be interpreted differently by different state officials, and these officials needed to ask for clarification from WSFR officials.", "The format and content of the performance reports is generally left for grant recipients to choose, according to WSFR officials, because neither the Uniform Guidance nor internal FWS guidance recommends a specific template for the performance reports. However, the program leader for the Multistate Conservation Grant Program provides grant recipients with a suggested template to follow when preparing performance reports. The template contains areas in which to describe the goals and objectives of the grant along with progress made towards these. The seven performance reports we reviewed for the Multistate Conservation Grant Program followed this template and, as a result, all contained the information required by the Uniform Guidance. We also found that Region 8 developed a suggested template for performance reports, but the template did not explicitly ask for grant recipients to explain why the goals of a grant had not been met. The lack of a clear performance report template may have contributed to 2 of the 10 performance reports from region 8 we reviewed not including clear explanations of why the goals of the grant had not been met, as required by the Uniform Guidance. According to WSFR officials, the agency is planning to develop a more standardized reporting process for performance reports but the timeline for completion of this has not been formally established and remains uncertain.", "According to Standards for Internal Control in the Federal Government, management should design control activities to achieve objectives and respond to risks. This includes designing mechanisms to help monitor performance to ensure the objectives of the program are being achieved. As noted previously, the Uniform Guidance specifies that grant performance reports contain a comparison of actual accomplishments to the goals of the project, and the reasons why the goals were not met, as appropriate. The absence of a clear format for these reports may have contributed to some reports not containing all the information needed to comply with federal grant requirements. Without a template or some other standardized method for performance reporting across competitive grant programs, WSFR grant recipients may continue to submit performance reports to WSFR that do not meet all of the content requirements of the Uniform Guidance and do not convey all the information needed for FWS to oversee its competitive grant programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["WSFR awards and monitors five competitive grant programs and, in general, WSFR\u2019s process for awarding and monitoring these grants is consistent with regulations for federal grants established in OMB\u2019s Uniform Guidance. However, there were instances in which the performance reports submitted by grant recipients did not include a comparison of actual accomplishments to the goals of the project, as required by the Uniform Guidance. WSFR does not have a template for performance reporting for four of the five competitive grant programs we reviewed, and the template used by one region does not clearly ask for all required information. Without a template or standardized method that facilitates the collection of performance information, WSFR grant recipients may continue to submit performance reports to WSFR that do not contain the information required by the Uniform Guidance and do not convey all the needed information for FWS to oversee its competitive grant programs."], "subsections": []}, {"section_title": "Recommendation for Executive Action", "paragraphs": ["The Director of the U.S. Fish and Wildlife Service should direct WSFR to develop a template or other standardized method to facilitate collection of all required information for grant performance reports. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of the Interior for review and comment. In its written comments, reproduced in appendix VII, the Department of the Interior agreed with our recommendation and described actions it plans to take.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of the Interior, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-3841 or fennella@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to (1) identify and describe the competitive grant programs that the Wildlife and Sport Fish Restoration (WSFR) program awards and monitors; (2) examine how WSFR awards grants under these programs and the extent to which this is consistent with relevant federal regulations; and (3) examine how WSFR monitors grants under these programs and the extent to which this is consistent with relevant federal regulations.", "To identify the competitive grant programs that WSFR both awards and monitors, we reviewed federal laws and regulations related to WSFR grant programs. In particular, we reviewed the 1937 Pittman-Robertson Wildlife Restoration Act and the 1950 Dingell-Johnson Sportfish Restoration Act and amendments to these laws, along with associated regulations for these laws. We also reviewed OMB\u2019s Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) for federal grant awards. In addition, we reviewed agency guidance and information on grant programs; agency budget documents; and grant program descriptions in the Catalog of Federal Domestic Assistance, a compilation of federal assistance programs that includes grants. Based on our review of these materials, we developed an initial list of grant programs that WSFR had a role in managing, and we spoke with WSFR officials to gather information on which competitive grant programs met the criteria of WSFR being responsible for both awarding and monitoring grants. We corroborated this list of grant programs with WSFR officials. We analyzed data on the competitive grant programs we identified from Interior\u2019s Financial and Business Management System for fiscal years 2012 through 2016, the most recent five-year period for when the award process had been completed. To determine the reliability of these data, we interviewed agency officials and conducted electronic testing of the data, and we determined the data were sufficiently reliable for our purposes.", "To examine the process WSFR uses to award competitive grants and the extent to which this is consistent with relevant federal regulations, we reviewed relevant agency regulations and guidance along with relevant sections of the Uniform Guidance. To assess the extent to which the award process is consistent with relevant regulations, we compared the process WSFR uses to award grants with OMB\u2019s Uniform Guidance. In addition, we reviewed award documents for grants awarded in fiscal year 2016 for the competitive grant programs we identified. We selected fiscal year 2016 because it was the most recently completed award cycle. These documents included the Notice of Funding Opportunity, which described the funding opportunity to applicants; documentation of the scoring of applications; and memos that documented the results of the scoring process. We also reviewed the entire grant files for eight grants awarded in fiscal year 2016 to determine what documents were contained in these files. In selecting this non-probability sample of files, we selected at least one file for each of the grant programs we examined and at least one file from each of the FWS regional offices that had a grant awarded in fiscal year 2016. However, one of these files was misclassified under an incorrect grant program, so we excluded it from our review. As a result, we did not examine an entire file from the FWS Region 8 office. We reviewed the award documents and files using a standard document review tool to examine specific parts of these documents, such as the descriptions of the process used to review and score applications. To ensure that this review tool was filled out correctly, two GAO staff members reviewed the documents: one filled out the data collection instrument and the other verified this work. In addition to looking at award documents for fiscal year 2016, we also examined memos that documented the results of the grant scoring process for fiscal years 2012 through 2015 for the grant programs we identified. We reviewed the grant scoring memos from fiscal years 2012 through 2016 grants cycles because they comprise the most recent five-year period for when the award process had been completed.", "To examine the process WSFR uses to monitor competitive grants and the extent to which those processes are consistent with relevant federal regulations, we reviewed relevant agency regulations and guidance along with relevant sections of the Uniform Guidance. To assess the extent to which the monitoring process is consistent with relevant regulations, we compared the process WSFR uses to monitor grants with OMB\u2019s Uniform Guidance. We used a standard document review tool to review financial and performance reports for 32 of 129 grants that were awarded in fiscal year 2015 to determine the extent to which these reports contained information required by the Uniform Guidance. We selected fiscal year 2015 to ensure that enough time had elapsed under these grants for financial and performance reports to have been required and submitted. In selecting this non-probability sample of files, we ensured that we had at least one file for each of the grant programs and at least one file from each of the eight FWS regional offices. For financial reports, we determined whether reported financial information on the grant award and matching funds aligned with the dollar amounts in their award letters, whether the reports were submitted by their due dates, and whether they were submitted on the correct form. For performance reports, we determined whether they were submitted by their due dates and whether they contained information on the grant project\u2019s goals, progress toward those goals, and an explanation why the goals had not been met, if applicable. The Uniform Guidance requires this information to be in performance reports. The results from our analysis of these documents are not generalizable to all monitoring documents for grants awarded in fiscal year 2015, but allowed us to examine how WSFR monitored selected grants.", "For all three objectives, we interviewed WSFR staff responsible for managing WSFR grant programs. These included WSFR program leaders at headquarters and WSFR staff in each of the eight FWS regional offices that are responsible for the five competitive grant programs we reviewed. We asked these officials about the role they played in awarding and monitoring competitive grants. In addition, we interviewed other FWS officials that were involved with managing grants and officials from select third party organizations that played a role in awarding grants, including the Association of Fish and Wildlife Agencies and the Sport Fishing and Boating Partnership Council. We also interviewed grant applicants, including state fish and wildlife agency officials and nongovernmental organizations to learn about their experiences during the award and monitoring process for WSFR grants. We selected applicants that had various experiences with the grant programs in fiscal year 2016, including those that applied and did not receive funding and those that applied and received funding. The results of the interviews with grant applicants cannot be generalized to other applicants, but were used to obtain perspectives on the grant award and monitoring processes.", "We conducted this performance audit from March 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Information on the Boating Infrastructure Tier 2 Grant Program", "paragraphs": ["Below is summary information on the Boating Infrastructure Tier 2 Grant Program that we compiled from reviewing relevant laws and regulations, reviewing agency documents, and interviewing agency officials.", "Establishment and goals of the program:", "The program was established by the Sportfishing and Boating Safety Act of 1998, which amended the Dingell-Johnson Sport Fish Restoration Act.", "The program provides grants to be used for constructing, renovating, or maintaining docking or mooring facilities for transient, nontrailerable recreational vessels that are 26 feet or greater in length. These facilities generally must allow public access, and examples of facilities that can be built with these funds include boat slips, piers, buoys, fuel stations, restrooms, bulkheads, dredging, or laundry facilities. Grants can also be awarded to produce information and education materials specific to the program or projects funded by the program.", "Governor-designated agencies in a state of the United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, or the U.S. Virgin Islands are eligible for this grant program. The designated agency is often a state natural resource or fish and wildlife agency.", "Subgrants to other entities are allowed. According to Wildlife and Sport Fish Restoration (WSFR) officials, subgrants under this program are common.", "About 2 percent of the Sport Fish Restoration and Boating Trust Fund is devoted to the grant program. In fiscal year 2016, there was $8.6 million in federal funds available for the Tier 2 program.", "The maximum grant award is $1.5 million per project, and recipients generally must provide matching funds worth at least 25 percent of the total cost of projects.", "Funds not obligated within three fiscal years shall be transferred to the Coast Guard and expended for state recreational boating safety programs.", "Highlights from the award process used in fiscal year 2016:", "The Notice of Funding Opportunity for fiscal year 2016 was posted on www.grants.gov on June 22, 2015, and applications were due by September 18, 2015.", "Thirteen states submitted a total of 22 applications for projects.", "Regional staff for the Wildlife and Sport Fish Restoration Program and members from the Sport Fishing and Boating Partnership Council scored the applications and recommended that 10 projects be fully funded and one be partially funded. The Deputy Director of the U.S. Fish and Wildlife Service approved the list of recommended projects on March 11, 2016.", "The U.S. Fish and Wildlife Service announced the selected projects on March 17, 2016.", "Information on past applications and selected projects: Table 5 shows the number of applications received and selected projects under the Boating Infrastructure Tier 2 Grant Program in fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Appendix III: Information on the Clean Vessel Act Grant Program", "paragraphs": ["Below is summary information on the Clean Vessel Act Grant Program that we compiled from reviewing relevant laws and regulations, reviewing agency documents, and interviewing agency officials.", "Establishment and goals of the program:", "The program was established by the Clean Vessel Act of 1992, which amended the Dingell-Johnson Sport Fish Restoration Act.", "This program funds grants to coastal states for certain activities, such as constructing and renovating pumpout stations and waste reception facilities and conducting a program to educate recreational boaters about the problem of human body waste discharges from vessels and inform them of the locations of pumpout stations and waste reception facilities. The program also funds grants to inland states meeting certain criteria. Under program regulations, facilities need to be open to the public in order to be eligible for a grant.", "Since the program was established, over 6,000 dump or pumpout facilities have been built and over 3,700 of these facilities have been operated or maintained using grant funds.", "Governor-designated agencies in a state of the United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, or the U.S. Virgin Islands are eligible for this grant program. The designated agency is often a state natural resource or fish and wildlife agency.", "Subgrants to other entities are allowed. According to Wildlife and Sport Fish Restoration (WSFR) officials, subgrants under this program are common.", "About 2 percent of the Sport Fish Restoration and Boating Trust Fund is devoted to the grant program. In fiscal year 2016, there was $13.7 million in federal funds available for the program.", "The maximum award amount is generally $1.5 million, and recipients generally must provide matching funds worth at least 25 percent of the total cost of projects.", "Funds not obligated within three fiscal years shall be transferred to the U.S. Coast Guard and expended for state recreational boating safety programs.", "Highlights from the award process used in fiscal year 2016:", "The Notice of Funding Opportunity (NOFO) for fiscal year 2016 was posted on www.grants.gov on August 12, 2015, and applications were due by December 2, 2015.", "A total of 21 states and the District of Columbia submitted 33 applications. WSFR staff from the U.S. Fish and Wildlife Service regions scored applications in their regions; then, these scores were averaged with scores from the WSFR program leader for the Clean Vessel Act grant program, who scored all of the applications. WSFR provided copies of grant applications to the U.S. Environmental Protection Agency (EPA), U.S. Coast Guard, and National Oceanic and Atmospheric Administration (NOAA) for them to review and score the applications. WSFR also provided its scores on the applications to these agencies. EPA informed WSFR in an email that it agreed with the proposed funding decisions for the program. According to WSFR, the Coast Guard did not provide comments on the proposed scores. NOAA sent a letter to WSFR indicating that it had not reviewed all of the applications but it supported the program and did not object to the agency\u2019s scoring of the applications. The Deputy Director of the U.S.", "Fish and Wildlife Service approved the list of recommended projects on April 28, 2016.", "The U.S. Fish and Wildlife Service announced the winning grant awards on May 11, 2016.", "According to the fiscal year 2016 NOFO, this program attempts to provide support to as many eligible projects as possible. In practice, all eligible applications have been awarded funds from fiscal year 2012 through fiscal year 2016. If funding requests exceed available funds, WSFR applies a formula to allocate funding based on the score the application receives.", "Information on past applications and selected projects: Table 6 shows the number of applications received and selected projects under the Clean Vessel Act Grant Program in fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Appendix IV: Information on the Competitive State Wildlife Grant Program", "paragraphs": ["Below is summary information on the Competitive State Wildlife Grant Program that we compiled from reviewing relevant laws and regulations, reviewing agency documents, and interviewing agency officials.", "Establishment and goals of the program:", "The State Wildlife Grant Program provides grants for the development and implementation of programs for the benefit of wildlife and their habitats, including species that are not hunted or fished. Eligible activities include planning and conservation implementation.", "The competitive portion of the State Wildlife Grant Program was established by the Consolidated Appropriations Act, 2008.", "Fish and wildlife agencies in a state of the United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, or the U.S. Virgin Islands and at the discretion of affected states, the regional Association of Fish and Wildlife Agencies are eligible for this grant program. According to the Notice of Funding Opportunity (NOFO) for this program, for each of the 48 contiguous United States and the District of Columbia, at least two states must be active participants in proposed conservation actions.", "Applicants are also encouraged to engage with other partners on projects. Potential partners include tribes, federal agencies, other state agencies, local governments, nongovernmental organizations, academic institutions, private landowners, industry groups, and international partners.", "The program is governed and funded through annual appropriations acts. In fiscal year 2016, there was about $5.6 million available for the program.", "For most applicants proposing a multi-state project, the maximum award is $500,000 and the minimum award is $50,000. Applicants must provide matching funds worth at least 25 percent of the total cost of projects.", "Past appropriations for these grants have been appropriated to remain available until expended. The appropriations acts governing the program have generally provided that any amount apportioned in one fiscal year that remains unobligated by the end of the next fiscal year are to be reapportioned in the following fiscal year.", "Highlights from the award process used in fiscal year 2016:", "The NOFO for fiscal year 2016 was posted on www.grants.gov on November 20, 2015, and applications were due by February 19, 2016.", "The Wildlife and Sport Fish Restoration Program (WSFR) received 21 eligible applications. Applications were reviewed by a panel consisting of WSFR staff from each region of the U.S. Fish and Wildlife Service (FWS). The panel recommended fully funding 14 projects and partially funding 1 project, for a total of $5.6 million, with $2.9 million in non- federal matching funds. The Deputy Director of the U.S. Fish and Wildlife Service approved the list of recommended projects on May 19, 2016.", "FWS announced the selected projects on May 20, 2016.", "Information on past applications and selected projects: Table 7 shows the number of applications received and selected projects under the Competitive State Wildlife Grant Program in fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Appendix V: Information on the Multistate Conservation Grant Program", "paragraphs": ["Below is summary information on the Multistate Conservation Grant Program that we compiled from reviewing relevant laws and regulations, reviewing agency documents, and interviewing agency officials.", "Establishment and goals of the program:", "The program was established by the Wildlife and Sport Fish Restoration Programs Improvement Act of 2000, which amended the Pittman-Roberts Wildlife Restoration Act and the Dingell-Johnson Sport Fish Restoration Act.", "The program focuses on funding multistate conservation projects that benefit a certain number of states or a regional association of state fish and game departments.", "Fish and wildlife agencies in a state of the United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, or the U.S. Virgin Islands are eligible for this grant program. The U.S. Fish and Wildlife Service (FWS) is also an eligible applicant for the purpose of carrying out the National Survey of Fishing, Hunting, and Wildlife-Associated Recreation, which is conducted every five years. Nongovernmental organizations are also eligible, provided that they submit a certification that they will not use the grant funds to fund, in whole or in part, any activity of the organization that promotes or encourages opposition to the regulated hunting or trapping of wildlife or the regulated taking of fish.", "Grant projects shall not be eligible unless they will benefit at least 26 states, a majority of states in a FWS region, or a regional association of state fish and wildlife agencies.", "By statute, FWS may only make grants for projects identified on a priority list prepared by the Association of Fish and Wildlife Agencies (AFWA), a nongovernmental organization that represents state fish and wildlife agencies on conservation and land management issues, after following certain procedures.", "Up to $6 million annually is authorized to fund grants, with no more than $3 million from the Wildlife Restoration Account and $3 million from the Sport Fish Restoration Trust Fund. In practice, some of the grant funds are carried over to future years to fund certain multi-year projects, such as the National Survey of Fishing, Hunting, and Wildlife-Associated Recreation.", "This program does not have a matching funds requirement.", "Funds not obligated within two fiscal years revert back to the Wildlife Restoration and Sport Fish Restoration programs for apportionment to the states.", "Highlights from the award process used in fiscal year 2016:", "The Notice of Funding Opportunity for fiscal year 2016 was posted on www.grants.gov on April 13, 2015, and the deadline for submitting letters of intent to AFWA was May 11, 2015. These letters of intent provide a summary of the grant project, and they were scored by AFWA\u2019s national grants committee. The highest-scoring applicants were invited to submit a full grant application to AFWA by August 14, 2015. The national grants committee scored these applications and presented these scores to AFWA members at its annual meeting in September 2015. Members voted to approve the priority list at this meeting.", "AFWA provided the priority list containing 18 projects to FWS. The Deputy Director of Program Management and Policy of the U.S. Fish and Wildlife Service approved the list of recommended projects on December 7, 2015.", "During the award process, Wildlife and Sport Fish Restoration staff also reviewed the grant applications.", "FWS announced the selected projects on February 11, 2016.", "Information on past applications and selected projects: Table 8 shows the number of applications received and selected projects under the Multistate Conservation Grant Program in fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Appendix VI: Information on the National Coastal Wetlands Conservation Grant Program", "paragraphs": ["Below is summary information on the National Coastal Wetlands Conservation Grant Program that we compiled from reviewing relevant laws and regulations, reviewing agency documents, and interviewing agency officials.", "Establishment and goals of the program:", "The program was established by the Coastal Wetlands Planning, Protection and Restoration Act.", "This program\u2019s primary goal is the long-term conservation of coastal wetlands\u2019 ecosystems. It accomplishes this by helping states protect, restore, and enhance their coastal habitats through a competitive grants program.", "Since 1992, the U.S. Fish and Wildlife Service (FWS) has awarded over $377 million through these grants.", "Governor-designated agencies of an eligible coastal state are eligible for this grant program. The designated agency is often a state natural resource or fish and wildlife agency.", "Subgrants are allowed, are relatively common, and can be awarded to local governments and nonprofit organizations.", "About 3 percent of the Sport Fish Restoration and Boating Trust Fund is devoted to the grant program. In fiscal year 2016, there was about $20.3 million in federal funds available for the program.", "The maximum award amount is $1 million, and states generally must provide 50 percent of the total cost of the project. However, states that have established and are using a state fund for the purpose of acquiring coastal wetlands must provide a minimum of 25 percent of the total cost of projects.", "Projects are generally funded through annual proposals. Funds must be obligated by December 31st of the year after funds were allocated, meaning that, for example, fiscal year 2015 funds must be obligated by December 31, 2016. Funds not obligated during the specified time frame return to the FWS program account.", "Highlights from the award process used in fiscal year 2016:", "The Notice of Funding Opportunity for fiscal year 2016 was posted on www.grants.gov on February 5, 2015, and applications were due by June 24, 2015.", "The FWS Wildlife Sport Fish Restoration Program (WSFR) received 32 applications. A panel of WSFR and FWS Coastal Program regional officials scored and ranked the applications, and recommended 28 projects for funding. The Deputy Director of the U.S. Fish and Wildlife Service approved the list of recommended projects on January 13, 2016.", "WSFR awarded $20 million in grant funding, which was supplemented by $20.5 million in non-federal matching funds.", "FWS announced the selected projects on February 2, 2016.", "Information on past applications and selected projects: Table 9 shows the number of applications received and selected projects under the National Coastal Wetlands Conservation Grant Program in fiscal years 2012 through 2016."], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above Elizabeth Erdmann (Assistant Director), Steven Bagley, and Scott Heacock made key contributions to this report. Additional contributions were made by Thomas M. James, Ying Long, Kim McGatlin, Patricia Moye, Anne Rhodes-Kline, and Sheryl Stein."], "subsections": []}]}], "fastfact": ["The Wildlife and Sport Fish Restoration (WSFR) Program, part of the Fish and Wildlife Service, awarded $54 million in FY 2016 in competitive grants for projects ranging from building boat docks to acquiring wetlands.", "We looked at WSFR\u2019s process for awarding and monitoring grants through five competitive grant programs it manages. Our review found that, although WSFR's process was consistent with federal regulations, some performance reports WSFR uses to monitor grants were missing required information. We recommended that WSFR develop a standardized way to collect required information to ensure effective oversight.", "(This photo was updated to show an example of a dock that was eligible for one of the grant programs.)"]} {"id": "GAO-18-589", "url": "https://www.gao.gov/products/GAO-18-589", "title": "2020 Census: Bureau Has Made Progress with Its Scheduling, but Further Improvement Will Help Inform Management Decisions", "published_date": "2018-07-26T00:00:00", "released_date": "2018-07-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Bureau is required by law to count the population as of April 1, 2020; deliver state apportionment counts to the President by December 31, 2020; and provide redistricting data to the states within 1 year of Census Day, April 1, 2021. To meet these statutory deadlines, the Bureau carries out hundreds of projects, which it manages with an integrated master schedule. Because census operations need to proceed in concert with one another, significant delays could propagate to other activities resulting in increased costs, reduced operational quality, or changes to the design of the census in order to compensate for lost time.", "This report determines the extent to which the Bureau is using leading practices for scheduling key projects.", "GAO selected three projects for review based on their cost and in-progress status. GAO analyzed schedules and their supporting documents against GAO's Schedule Assessment Guide. GAO also spoke with relevant Bureau officials regarding the three selected projects.", "GAO provided a draft of this report to the Department of Commerce, which agreed with the findings."]}, {"section_title": "What GAO Found", "paragraphs": ["The three census project schedules GAO reviewed better reflect characteristics of a reliable schedule compared to a GAO schedule assessment performed in 2013, but weaknesses remain. GAO reviewed three projects that contribute to two of the Census Bureau's (Bureau) largest field operations\u2014address canvassing and nonresponse follow-up. The schedules for all three projects are better constructed and more credible than previously reviewed project schedules. For example, the Bureau has improved the logic of the relationship between activities, and better ensured that all schedules are linked together in a master schedule so that their interactions can be better managed.", "However, the three selected schedules have some of the same weaknesses GAO identified in other Bureau schedules in 2009 and 2013. For example, none of the selected schedules contain information on resource needs and availability. GAO has reported that such information assists program offices in forecasting the likelihood that activities will be completed as scheduled. It can also help management compute total labor and equipment hours, calculate total project and per-period cost, resolve resource conflicts, and establish the reasonableness of the plan. If the schedule does not allow insight into current or projected allocation of resources, then the likelihood is significantly increased that the program may slip or need additional resources to complete on time.", "In GAO's 2009 review of the Bureau's schedule, GAO recommended that the Bureau include in the 2020 master schedule estimates of the resources, such as labor, materials, and overhead costs for each activity as the 2020 schedule was built. The Department of Commerce did not respond to the recommendation at that time. Then, regarding GAO's 2013 assessment of the Bureau's schedule, Bureau officials stated that they hoped to begin identifying the resources needed for each activity in their schedules by early 2014. However, as of May 2018, the Bureau had not taken these steps. Senior Bureau officials have now stated that it would require additional staffing in order to plan for and implement this recommendation.", "Additionally, the Bureau has not conducted risk assessments for the project schedules GAO assessed. Schedule risk analysis\u2014the systematic analysis of \u201cwhat if\u201d scenarios\u2014is an established leading practice. Risk assessments are needed to determine the likelihood of the project's completion date; how much schedule risk contingency is needed to provide an acceptable level of certainty for completion by a specific date; risks most likely to delay the project; how much contingency reserve each risk requires; and the paths or activities that are most likely to delay the project.", "In 2013, GAO recommended the Bureau conduct risk assessments for its schedules. The Bureau said it had no disagreement with this recommendation. However, while Senior Bureau officials stated that a schedule risk assessment plan and process were approved by Bureau management in late May 2018, it has not yet implemented this recommendation.", "GAO believes that these prior recommendations still apply and can help the Bureau improve the reliability of its 2020 schedule."]}], "report": [{"section_title": "Letter", "paragraphs": ["The decennial census is a crucial, constitutionally mandated activity with immutable deadlines. The U.S. Census Bureau (Bureau) is required by law to count the population as of April 1, 2020; deliver state apportionment counts to the President by December 31, 2020; and provide redistricting data to the states within 1 year of Census Day, April 1, 2021. To meet these statutory deadlines, the Bureau carries out thousands of interrelated activities, which it manages with an integrated master schedule. The Bureau\u2019s schedule is essential to help manage the risks to preparing and implementing a successful decennial census. Because census operations need to proceed in concert with one another, significant delays could propagate to other activities and increase costs, reduce operational quality, or force the Bureau to change the design of the census in order to compensate for lost time.", "Over the years, we have reported on significant weaknesses in the Bureau\u2019s scheduling practices, leading to recommendations for the Bureau to improve the comprehensiveness, construction, and credibility of its schedule, and ensure that it includes estimates of the resources and a qualitative risk assessment. The Bureau said that it had no disagreement with these recommendations, yet these recommendations have not been implemented. With less than 2 years until Census Day, there is little time remaining for the Bureau to deal with any unexpected problems that may arise. Accordingly, early recognition of potential delays is essential, and remaining activities need to begin and end on schedule and in the proper operational sequence.", "In response to your request, our objective was to determine the extent to which the Bureau is using leading practices for scheduling key projects. In order to meet this objective, we selected the following three projects for review: 2018 End-to-End Census Test Address Canvassing, 2018 End-to- End Census Test Nonresponse Follow-up, and 2020 Census Geographic Programs. These projects are critical to the Bureau\u2019s ability to build and maintain an accurate address list, and help ensure that households respond to the census. We selected these projects based on their high cost, their significance to the 2020 Census, and that they were still in progress.", "We compared the schedules for each of these projects to the leading practices in our Schedule Assessment Guide. We spoke with relevant Bureau officials regarding these project schedules. We scored each scheduling leading practice on a five-point scale ranging from \u201cnot met\u201d to \u201cmet.\u201d Finally, we compared these results with our prior assessments of the Bureau\u2019s schedule, particularly those where we made recommendations, and we updated the status of those recommendations.", "Assessing only three key projects limits possible statements about the Bureau\u2019s entire schedule. For example, if the Bureau is not following best practices in creating and maintaining these three project schedules, we can conclude that the larger integrated schedule is unreliable. This is because an integrated master schedule consolidates lower-level project schedules. Thus, errors and reliability issues in lower levels will be transferred to higher-level schedules. However, if the selected lower-level projects are deemed reliable, we cannot definitively determine the reliability of the integrated master schedule because the other projects that were not assessed may be unreliable. For more details on our scope and methodology, see appendix I.", "We conducted our performance audit from July 2017 to July 2018 in accordance with generally accepted government auditing standards.", "Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["A reliable schedule is critically important for a successful 2020 Census. In February 2017, we added the 2020 Census to our High-Risk List because operational and other issues including scheduling are threatening the Bureau\u2019s ability to deliver a cost-effective enumeration. We reported on concerns about the quality of the Bureau\u2019s schedule and cost assessment, the Bureau\u2019s capacity to implement innovative census-taking methods, and uncertainties surrounding critical information technology systems. Underlying these issues are challenges in such essential management functions as the Bureau\u2019s ability to collect and use real-time indicators of schedule, cost, and performance; follow leading practices for scheduling, cost estimation, risk management, and IT acquisition, development, testing, and security; and cost effectively deal with contingencies including, for example, fiscal constraints, potential changes in design, and natural disasters that could affect the enumeration.", "Reliable scheduling practices are essential for managing tradeoffs between cost, schedule, and scope. Among other things, scheduling allows program managers to decide between possible sequences of activities, determine the flexibility of the schedule according to available resources, predict the consequences of managerial action or inaction in events, and allocate contingency plans to mitigate risk. Following changes in a program, the schedule is used to forecast the effects of delayed, deleted, and added effort, as well as possible avenues for time and cost recovery.", "Scheduling is important because the cost of counting the nation\u2019s population has been escalating with each decade. The 2010 Census was the most expensive in U.S. history at about $12.3 billion, and was about 31 percent more costly than the $9.4 billion 2000 Census (in 2020 constant dollars). According to the Bureau, the total cost of the 2020 Census is now estimated to be approximately $15.6 billion dollars, more than $3 billion higher than previously estimated by the Bureau.", "Moreover, as shown in figure 1, the average cost for counting a housing unit increased from about $16 in 1970 to around $92 in 2010 (in 2020 constant dollars). At the same time, the return of census questionnaires by mail (the primary mode of data collection) declined over this period from 78 percent in 1970 to 63 percent in 2010. Declining mail response rates have led to higher costs because the Bureau needs to send temporary workers to each nonresponding household to obtain census data.", "The schedules we reviewed for this report\u20142020 Census Geographic Programs, 2018 End-to-End Test Address Canvassing, and 2018 End-to- End Census Test Nonresponse Follow-up\u2014relate to the key activities of developing an accurate address list and following up with households that did not mail back their census forms. The Bureau relies on a complete and accurate address list to maximize the more cost-efficient self- response rate.", "The three projects we selected contribute to two of the Census Bureau\u2019s largest field operations. The Bureau\u2019s Geographic Programs Operation maintains the Bureau\u2019s master address file and mapping data used to conduct the 2020 Census. The Bureau\u2019s Geographic Programs Operation provides the most current address list to the Bureau\u2019s Address Canvassing Operation, where Bureau staff make updates to the address list via in-office and in-field procedures. These updates are processed on an ongoing basis throughout the decade. The Bureau conducts its Nonresponse Follow-up Operation after Census Day by having enumerators go door-to-door to determine the housing unit status for addresses that do not self-respond to the 2020 Census, and enumerate households that are determined to be occupied."], "subsections": []}, {"section_title": "Selected Census Schedules Better Reflect Characteristics of a Reliable Schedule Compared to Prior Assessment, though Weaknesses Remain", "paragraphs": ["We have previously reported in our Schedule Assessment Guide that a reliable schedule can provide a road map for systematic execution of a program, and the means by which to gauge progress, identify and address potential problems, and promote accountability. The guide identifies four characteristics of a reliable schedule:", "Comprehensive: The schedule should identify all activities and resources necessary to accomplish the project. The schedule should cover the scope of work to be performed so that the full picture is available to managers.", "Well-constructed: Activities should be logically sequenced and critical activities that would affect the timelines of the schedule should be identified.", "Credible: All schedules should be linked to a complete master schedule for managers to reference and analyzed for how risk impacts the outcome of the schedule.", "Controlled: There should be a documented process for changes to the schedule so that the integrity of the schedule is assured.", "For a schedule to be reliable, it must substantially or fully meet all criteria for these four characteristics. These characteristics, their related leading practices, and their criteria are described in more detail in appendix II.", "In 2013, we assessed the Bureau\u2019s 2020 Research and Testing and Geographic Support System Initiative schedules using these criteria. While the results exhibited some of the characteristics of a reliable schedule, important weaknesses remained. Both schedules substantially met one of the four characteristics (controlled) and minimally or partially met the other three characteristics (comprehensive, well-constructed, and credible).", "For this review, we assessed the 2018 End-to-End Census Test Address Canvassing, 2018 End-to-End Census Test Nonresponse Follow-up, and 2020 Census Geographic Programs projects\u2019 schedules. We found that overall the selected schedules better reflected two of the four characteristics of a reliable schedule compared to our 2013 assessment (see figure 2).", "Examples of the extent to which these characteristics were met are provided below. For a more detailed explanation of our assessment results, see appendix III."], "subsections": [{"section_title": "Comprehensive\u2013Selected Schedules Partially Meet Characteristic but Do Not Identify Needed Resources", "paragraphs": ["As with our 2013 schedule assessment, our 2018 analysis found that the Bureau is partially meeting the characteristics of a comprehensive schedule. For example, the projects we assessed reflect the work to be accomplished for the project schedules, and each project schedule includes estimates of the duration of each activity. Additionally, the 2018 End-to-End Census Test Address Canvassing and the 2018 End-to-End Census Test Nonresponse Follow-up project schedules contain clear start and finish milestones, and map to the census program work breakdown structure\u2014a detailed definition of the work necessary to accomplish a program\u2019s objectives.", "This leading practice of capturing all activities was substantially met, not fully met (see appendix III for a more detailed explanation), because while for each project all activities and milestones are mapped to their work breakdown structures by codes, there are no corresponding dictionaries to define the work. The absence of such a dictionary could potentially lead to confusion among staff in different census offices about the scope of the work they are responsible for performing.", "Our schedule guide states that a work breakdown structure dictionary is a valuable communication tool between systems engineers, program management, and other stakeholders because it provides a clear picture of what efforts have to be accomplished. Bureau officials stated that although their 2020 Schedule Management Plan requires each project to have a schedule work breakdown structure dictionary, as project schedules are updated, they have not created these required dictionaries. As an alternative, they noted that the 2020 Census Operational Plan includes details and definitions of the projects.", "Additionally, none of the three schedules we assessed include information about what levels of resources, such as labor and equipment, are required to complete the planned work\u2014including this information is called resource loading. The Bureau\u2019s 2020 Schedule Management Plan states that it is the responsibility of a representative from a project team and the schedule staff to assign resources to an individual project schedule, and that defining and assigning resources should be done following the testing phase of the 2020 Census Lifecycle.", "The Bureau is now in its implementation phase (see figure 3 below), so according to its management plan, resource loading should have begun. But it has not. For example, the 2018 End-to-End Census Test Address Canvassing project schedule did not include any resource information on the recruiting and hiring goals for the address canvassing field work.", "Instead, Bureau officials stated that they are estimating the cost of activities using a software tool separate from the current schedule management tool. They further stated that this Bureau-wide solution includes all 2020 Decennial Census staff as Decennial funded resources. However, the information in this separate tool has no effect on the durations or forecasted start and finish dates of detailed activities within individual projects. Furthermore, the separate tool does not always track all activities at the lowest level in the schedule, so that Bureau managers do not have reliable visibility with it on the efforts of the lowest level of detailed activities.", "Resource loading is important for any agency, but is particularly important for the Census Bureau, given its statutorily mandated deadlines. Missed deadlines or schedule slippage can easily jeopardize the quality of the 2020 Census, and there is little room for error given that census data are used to apportion the seats of the House of Representatives, redraw congressional districts, and allocate billions of dollars each year in federal financial assistance. In our schedule guide, we reported that including resources such as labor, materials, and overhead costs can make a schedule a more useful management tool.", "A resource-loaded schedule can help management with things such as computing labor and equipment hours, calculating total project and per- period cost, resolving resource allocation conflicts, determining whether all required resources will be available when they are needed, and establishing the reasonableness of the plan. For example, information on the resource needs of field operations in the 2018 End-to-End Census Test would assist management in determining if the appropriate resource allocations have been made for any given test activity. It would also aide in forecasting the likelihood that those resources will be available to complete the 2018 End-to-End Census Test Address Canvassing and Nonresponse Follow-up activities as scheduled. If the schedule does not allow insight into the current or projected allocation of resources for these test activities, the Bureau\u2019s risk of key end-to-end test milestones slipping increases significantly.", "In 2009, we reviewed the Bureau\u2019s schedule and recommended that the Bureau include estimates of the resources in the 2020 integrated schedule for each activity as the schedule was built. The Department of Commerce did not respond to the recommendation at that time. In our 2013 assessment of the Bureau\u2019s schedule, Bureau officials stated that they hoped to begin identifying the resources needed for each activity in their schedules by early 2014. However, as of May 2018, the Bureau has not yet implemented this recommendation. Senior Bureau officials have now stated that the Bureau would require additional staffing in the Schedule Management Branch in the Decennial Census Management Division in order to plan for and implement resource loading. When the Bureau has resource loaded its schedule, it will be able to use the schedule more effectively as a management tool."], "subsections": []}, {"section_title": "Well-Constructed\u2013The Bureau Demonstrated Improvement in Selected Schedules Compared to Prior Assessment", "paragraphs": ["Our 2013 assessment of the Bureau\u2019s schedule reported that the Bureau only minimally met the characteristics of a well-constructed schedule. Our 2018 assessment found that two of the selected project schedules now substantially met this characteristic and one partially met it. In this assessment, Bureau officials linked many of the activities clearly and in a straightforward sequence in the schedule, which was not always the case in prior assessments.", "This improvement is important because it helps staff identify next steps as they progress through such things as acquiring and mobilizing the staff needed to conduct the address canvassing and nonresponse follow-up test field work, and helps managers identify the impact of changes in one activity on subsequent activities. For example, the schedule lays out the sequence of activities needed, such as developing training materials, recruiting field staff, training staff and equipping them with the tools needed to complete the test. Our assessment also concluded that two of the three project schedules we assessed have valid critical paths, which is the sequence of activities in the schedule that, according to their current status, lead to the program\u2019s earliest completion date. A valid critical path allows management to focus on activities that will lead to the project\u2019s success.", "The 2020 Census Geographic Programs project schedule partially met the well-constructed characteristic due to problems existing within the schedule\u2019s sequencing logic. In particular, we found a large number of unjustified date constraints and lags. In part because of these sequencing issues, total float calculations\u2014that is, the amount of time a predecessor activity can slip before its delay affects the program\u2019s estimated finish date\u2014appear unreasonably high. Additionally, this project schedule has activities on the critical path with long durations. For example, the project schedule for Geographic Programs included several long-duration activities on its critical path that relate to the Bureau\u2019s collection of community boundary data\u2014information essential to delineating geographic boundaries used in the tabulation of census data. These critical long-duration activities make it difficult to measure time- critical progress on such activities in the near term.", "These issues with how the schedule is constructed can also cause schedule users to lack confidence in the forecasted dates. Bureau officials acknowledged that the 2020 Census Geographic Programs project schedule had logic issues at the time because it was in the middle of a revision. Bureau officials stated that the standard process is to update the project schedule in an offline version and then assess the quality and impacts of changes before acceptance. According to Bureau officials, the Geographic Programs project schedule did not follow this process and was instead updated in the live version of the schedule because of time constraints."], "subsections": []}, {"section_title": "Credible\u2013Selected Schedules Partially Meet Characteristic, but the Bureau Has Not Carried Out a Schedule Risk Analysis", "paragraphs": ["Our 2013 assessment of the Bureau\u2019s schedule found that the Bureau minimally met the characteristics of a credible schedule. Our 2018 assessment of the Bureau\u2019s schedule found that the Bureau\u2019s scheduling practices for a credible schedule have improved. We found that there is now a clear relationship between lower-level activities and higher-level activities and milestones, and there is generally better consistency of dates between the project schedule and higher-level management documents.", "However, the Bureau has not carried out a systematic quantitative risk analysis on its schedule. A schedule risk analysis is a statistical simulation of the possible effects of threats, opportunities, and general uncertainty to a program\u2019s schedule that results in a quantifiable level of confidence in meeting the program\u2019s key milestone dates. While the Bureau has identified and continues to track risks to its 2018 End-to-End Test address canvasing and nonresponse follow-up efforts in risk registers, a quantitative risk analysis would illustrate the impact of risks on the project schedule, and how those risks would affect the Bureau\u2019s ability to meet milestones on time. Such an analysis would also provide a measure of how much time contingency should be built in the schedule to help manage prioritized risks, and, implicitly, provide indications of where additional resources might be needed to stay on schedule.", "In response to our 2013 schedule assessment, Bureau officials said they were waiting for decisions about scheduling software before making decisions about a schedule risk analysis. As of May 2018, the Bureau has conducted three risk analyses to prove the software\u2019s capability. However, the Bureau still had not conducted a schedule risk assessment on the current integrated master schedule used to manage the 2020 Census program.", "Without a schedule risk analysis, the Bureau cannot determine the likelihood of each project\u2019s completion date; how much schedule risk contingency is needed to provide an acceptable level of certainty for completion by a specific date; which risks are most likely to affect the schedule; how much contingency time each risk requires; and the sequence of activities that are most likely to delay the project. Senior Bureau officials stated that a schedule risk assessment plan and process was approved by Bureau management in late May 2018 and that they hope to implement this plan in summer 2018. They intend to conduct an internal review over the next couple months to determine how to best use the information this risk assessment would yield. Follow through on their plans is critical to ensuring our recommendation is implemented."], "subsections": []}, {"section_title": "Controlled\u2013Selected Schedules Substantially Meet the Characteristic", "paragraphs": ["As with our 2013 schedule assessment, our 2018 analysis reported that the Bureau\u2019s scheduling practices are substantially meeting the characteristics of a controlled schedule. Our analysis determined that there are no date anomalies in the project schedules, such as planned dates in the past or actual dates in the future. We found the schedule was current as of the date delivered to us, and according to Bureau documents, the schedule is updated weekly following an established schedule process.", "Additionally, the Bureau reported that it has a schedule management process in place and a method for logging changes to the schedule in accordance with leading practices. Bureau officials reported that they monitor schedule trends, including bi-weekly schedule reliability checks using the Defense Contract Management Agency 14-Point assessment, a commonly used set of schedule integrity and reliability measures. Bureau officials also provided the May 2014 Program Change Management Process Strategy which defines the process for initiating changes to the integrated performance measurement baseline configuration; analyzing the impact of changes to project cost, schedule and scope; approving or disapproving changes; and updating project or product specifications and baselines.", "However, our assessment found that the Bureau did not fully meet this characteristic for a controlled schedule. The Bureau lacked sound documentation of the schedule in the form of a schedule basis document, and changes to the current schedules in the form of a schedule narrative. The current schedule should be documented in a schedule narrative with each update, including changes made to the schedule during status updates and changes that are justified along with their likely effect on future activities. The Bureau had not prepared such narratives. Additionally, none of the three schedules were supported by a schedule baseline document\u2014a single document that defines the organization of a schedule, describes the logic of the network, describes the basic approach to managing resources, and provides a basis for all parameters used to calculate dates. Sound documentation helps with analyzing changes in the program schedule and identifying the reasons why actual schedule results vary from their estimates, thereby contributing to the collection of data that can be useful to evaluations of schedule efforts, and that can be used to support future estimates.", "While the Bureau has made improvements to implement the recommendations regarding the comprehensiveness and construction characteristics of the Bureau\u2019s scheduling practices, the Bureau\u2019s lack of resource loading and a risk assessment of the schedule continue to affect the reliability of the Bureau\u2019s schedule. The schedule would be a more useful management tool if the Bureau increased the schedule\u2019s reliability by addressing these weaknesses. To address these remaining weaknesses, we continue to believe that these recommendations are valid in order to ensure the 2020 schedule can support key management decisions."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Commerce. In its written comments, reproduced in appendix IV the Department of Commerce agreed with our findings.", "We are sending copies of this report to the Secretary of Commerce, the Under Secretary of Economic Affairs, the Acting Director of the U.S. Census Bureau, and interested congressional committees. The report also is available at no charge on GAO\u2019s website at http://www.gao.gov.", "If you have any questions about this report, please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objective, Scope, and Methodology", "paragraphs": ["This report assesses the extent to which the Bureau is using leading practices for scheduling key projects. We did this by focusing on three 2020 projects. We selected the three projects from the December 17, 2017, version of the 2020 Census integrated master schedule. That schedule consists of 255 total projects, of which 134 were remaining to be completed. We made our selections based on the cost of the projects, their significance to the 2020 Census, and the fact that they were in progress. The 3 projects selected for review are 2018 End-to-End Census Test Address Canvassing, 2018 End-to-End Census Test Nonresponse Follow-up, and 2020 Census Geographic Programs.", "We reviewed the project schedules and underlying sub-schedules to assess them against the 10 scheduling leading practices by:", "Checking for specific problems that could hinder the schedule\u2019s ability to respond to changes. For example, we:", "Examined if there are any open-ended activities (i.e., activities with no predecessor and/or successors),", "Searched for activities with poor logic:", "For example, Start to Start successor only or Finish to Finish predecessor only which represent dangling logic, or", "Logic on summary tasks rather than attached to detailed tasks (summary tasks are for organizing the schedule and should not drive the logic).", "Looked for activities with constraints which keep the schedule rigid (e.g., start no earlier than, finish no later than, etc.), Identified any lags or leads which should only be used to show how two tasks interact and not to represent work,", "Determined if activities were resource loaded\u2014which helps to cost out the schedule\u2014and examine whether resources are over allocated or not available when needed,", "Examined the length of activity durations and compared them to the program management review cycle,", "Checked for horizontal and vertical integration within the schedule,", "Examined the schedule critical path to determine whether or not it was reliable and logical,", "Examined schedule float and determine if it was reasonable, and", "Examined whether the schedule was baselined, its status cycle, and what deviations there were from the original plan. We also determined if there were any actual start or finish dates recorded in the future and whether there was any broken logic between planned tasks.", "We also interviewed Bureau officials responsible for the 2020 schedule. We scored each scheduling leading practice on a five-point scale ranging from \u201cnot met\u201d to \u201cmet.\u201d We determined the characteristic assessment rating by assigning each best practice rating a number and taking the average. The numerical ratings and ranges of the resulting averages are as follows.", "We then compared these results with our prior assessments of the Bureau\u2019s schedule, particularly those where recommendations were made, and we updated the status of those recommendations.", "Assessing only three key projects limits possible statements about the Bureau\u2019s entire schedule. For example, if the Bureau is not following best practices in creating and maintaining the three project schedules, we can conclude that the larger integrated schedule is unreliable. This is because an integrated master schedule consolidates lower-level project schedules; errors and reliability issues in lower levels will be transferred to higher- level schedules. However, if the selected lower-level projects are deemed reliable, we cannot definitively determine the reliability of the integrated master schedule because the other projects that were not assessed may be unreliable."], "subsections": []}, {"section_title": "Appendix II: Description of Scheduling Leading Practices", "paragraphs": [], "subsections": [{"section_title": "Characteristic Comprehensive Capturing all activities", "paragraphs": ["Description A schedule should reflect all activities defined in the project\u2019s work breakdown structure and include all activities to be performed by the government and contractor.", "The schedule should realistically reflect the resources (i.e., labor, material, and overhead) needed to do the work, whether all required resources will be available when needed, and whether any funding or time constraints exist.", "The schedule should reflect how long each activity will take to execute.", "The schedule should be planned so that all activities are logically sequenced in the order they are to be carried out.", "The schedule should identify the critical path, or those activities that, if delayed, will negatively impact the overall project completion date. The critical path enables analysis of the effect delays may have on the overall schedule.", "The schedule should identify float\u2014the amount of time an activity can slip in the schedule before it affects other activities\u2014so that flexibility in the schedule can be determined. As a general rule, activities along the critical path have the least amount of float."], "subsections": []}, {"section_title": "Credible", "paragraphs": ["The detailed schedule should be horizontally traceable, meaning that it should link products and outcomes associated with other sequenced activities. The integrated master schedule should also be vertically traceable\u2014that is, varying levels of activities and supporting subactivities can be traced. Such mapping or alignment of levels enables different groups to work to the same master schedule.", "The schedule should include a schedule risk analysis that uses statistical techniques to predict the probability of meeting a completion date. A schedule risk analysis can help management identify high priority risks and opportunities."], "subsections": []}, {"section_title": "Controlled", "paragraphs": ["Progress updates and logic provide a realistic forecast of start and completion dates for program activities. Maintaining the integrity of the schedule logic at regular intervals is necessary to reflect the true status of the program. To ensure that the schedule is properly updated, people responsible for updating should be trained in critical path method scheduling.", "A baseline schedule represents the original configuration of the program plan and is the basis for managing the project scope, the time period for accomplishing it, and the required resources. Comparing the current status of the schedule to the baseline can help managers target areas for mitigation."], "subsections": []}]}, {"section_title": "Appendix III: Assessment of the Extent to Which the Bureau Followed Scheduling Leading Practices", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["Other key contributors to this report include Ty Mitchell, Assistant Director; Juan\u00e1 Collymore; Rob Gebhart; Yvette Gutierrez; Jason Lee; Kayla Robinson; Cynthia Saunders; and Timothy Wexler."], "subsections": []}]}], "fastfact": ["The Census Bureau is required to count the population as of April 1, 2020; deliver state counts to the President by December 31, 2020; and provide redistricting data to the states by April 1, 2021. To meet these deadlines, the Bureau manages an integrated master schedule with hundreds of projects that must proceed in concert with each other.", "We looked at the reliability of the Bureau's project schedules and found ongoing issues. For example, none of the schedules we reviewed contained information on resource needs and availability. We've previously recommended that the Bureau include resource estimates in the 2020 master schedule."]} {"id": "GAO-18-679", "url": "https://www.gao.gov/products/GAO-18-679", "title": "Private School Choice: Requirements for Students and Donors Participating in State Tax Credit Scholarship Programs", "published_date": "2018-09-18T00:00:00", "released_date": "2018-09-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["TCS programs offer state tax credits to individuals or businesses that donate to scholarship funds for students to attend private elementary and secondary schools. Through these credits, donors may reduce the amount they owe in state taxes by the full or a partial amount of their donation, depending on each program's rules. Designing a TCS program requires that many decisions be made, such as which students will be eligible to receive scholarships and the effect donations will have on donors' state taxes. GAO was asked to review key characteristics of TCS programs.", "This report examines (1) state TCS programs' policies regarding student eligibility and scholarship awards, and (2) how donating to a TCS program could affect the amount of state and federal taxes owed by donors.", "For both objectives, GAO reviewed publicly-available documents about student eligibility and tax provisions for all 22 programs authorized as of January 2018 and verified the accuracy of the information with state program officials. GAO did not conduct an independent legal review of state laws and regulations. GAO also interviewed federal officials and reviewed relevant federal guidance and policy documents."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2018, there were 22 tax credit scholarship (TCS) programs authorized across 18 states, which provide state tax credits for individual and business donations that fund scholarships for students to attend elementary and secondary private schools (see figure).", "To determine the eligibility of students for these scholarships, most TCS programs use household income and have various approaches to determine scholarship award amounts. Income limits vary widely among programs, ranging from approximately $32,000 to $136,500 per year for students from a four-person household in school year 2017-2018. Programs have different requirements for how students can use their scholarships and different methods for calculating scholarship amounts. More than half of the programs (13 of 22) allow students to use their scholarship money for costs like transportation and books in addition to tuition, whereas the remaining programs (9 of 22) require scholarships funds to be used for tuition only. Average scholarship awards in school year 2016-2017 ranged from $500 to $5,468 per student among the 16 programs that published or provided GAO with such information.", "The effect of TCS donations on donors' tax liability depends on program characteristics and donors' financial circumstances. Specifically, half of the 22 programs allow eligible donors to claim 100 percent of their donations as state tax credits, meaning that for each dollar donated, state taxes owed are reduced by a dollar, up to any maximum set by the state. The remaining 11 programs allow donors to claim from 50 to 85 percent of their donations as state tax credits. Programs often specify a maximum tax credit that may be claimed each year by a donor, by all donors combined, or both. Individual donors may also reduce their federal tax liabilities through the federal deduction for charitable contributions, depending on their financial circumstances and applicable tax provisions."]}], "report": [{"section_title": "Letter", "paragraphs": ["State tax credit scholarship (TCS) programs offer tax credits to individuals or businesses that donate to scholarship funds for students to attend private elementary and secondary schools. Through these credits, donors may reduce the amount they owe in state taxes by the full or a partial amount of their donation, depending on each program\u2019s rules. In some cases, TCS program donations may also affect the amount of federal taxes donors owe, through the federal deduction for charitable contributions. TCS programs are one type of private school choice program that states have established to help fund students\u2019 attendance at private schools. Other types of private school choice programs include school voucher and education savings account programs. As of January 2018, there were 22 TCS programs authorized across 18 states, with an additional program enacted later in the year. In school year (SY) 2016- 2017 (the most recent year for which information was available), TCS programs collectively awarded scholarships totaling more than $856 million, according to state-reported data.", "Designing a TCS program requires that many decisions be made, such as who will be eligible to receive scholarships and the effect donations will have on the amount donors owe in state taxes. You asked us to review key characteristics of state-administered TCS programs.", "This report examines (1) state TCS programs\u2019 policies regarding student eligibility and scholarship awards, and (2) how donating to a TCS program could affect the amount of state and federal taxes owed by donors.", "To complete our work for both objectives, we reviewed publicly-available information about student eligibility, scholarship awards, and tax provisions for the 22 TCS programs that were authorized by the beginning of 2018. We verified the accuracy of this information with state officials from each program. We did not conduct an independent review of state laws and regulations. Throughout the report, we provide the most recent and complete information available for the various types of information. Specifically, unless otherwise noted, student eligibility requirements are as of SY 2017-2018 and tax provisions are as of calendar year (CY) 2018. Scholarship amount information is from SY 2016-2017 and program donations made by taxpayers are from CY 2016.", "We also used economic data from the 2012-2016 American Community Survey (ACS) 5-year estimates administered by the U.S. Census Bureau. ACS is a national survey that collects information about social, economic, demographic, and housing characteristics from a sample of households. For this report, we used ACS estimates of the state level median income for a four-person household to provide context for TCS program income eligibility requirements in relation to state income distributions. For the TCS programs with income eligibility requirements, we calculated program income limits for a four-person household based on each TCS program\u2019s income eligibility requirements for SY 2016-2017 and 2017-2018. We then compared these limits to 2012-2016 5-year ACS estimates of state median household income for four-person households. In addition to verifying the program data we collected with state officials, we reviewed ACS documentation on survey design and methodology used to produce the estimates of state median household income. We concluded that the data presented in this report were sufficiently reliable for the purposes of our reporting objectives.", "In addition, we spoke with officials at the U.S. Department of Education to obtain their observations about the state programs, and identify whether the department had conducted research related to TCS programs. We also spoke with other stakeholders such as TCS program researchers to understand current research and emerging issues regarding these programs.", "For the second objective, in addition to reviewing program documents and verifying the information with state officials, we developed illustrative examples of how TCS donations may affect state and federal tax liabilities for donors with varying tax circumstances\u2014including examples that assume different percentages of a donation that donors are allowed to claim as a state tax credit (referred to in this report as tax credit percentages). Specifically we developed examples that assume a 50 percent TCS program tax credit and examples that assume a 100 percent TCS program tax credit, which represent the smallest and largest tax credit percentages offered by existing TCS programs. In August 2018, the Internal Revenue Service (IRS) and Treasury published proposed regulations that, if finalized without modification, would change the extent to which individuals who make TCS program donations can reduce their federal tax liability. We did not address the proposed regulations in our analysis because they were not final at the time this report was published and are therefore subject to change. We also reviewed relevant federal laws, regulations, and other documents related to federal tax policy and spoke with the IRS regarding federal deductions for charitable contributions and state and local taxes.", "We conducted this performance audit from January 2018 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["As of January 2018, there were 22 TCS programs authorized across 18 states (see fig. 1). All TCS programs are state programs; there are no federal TCS programs. Decisions about whether to develop and operate a TCS program (and how to structure the program) are completely at the discretion of each state; there is no federal role in establishing these programs. Most TCS programs began within the last 10 years; the first TCS program awarded scholarships in Arizona in 1998 and Florida created the newest program in 2018, according to state program documents and officials.", "Scholarships are funded through donations from private individuals and businesses, and the financial impact to states from TCS programs primarily occurs through forgone revenue resulting from the associated tax credits. In all 22 programs, state agencies and nonprofit organizations both play a role in administering the programs, with the specific responsibilities varying by program:", "State departments or agencies responsible for tax administration, education, or both, generally administer these programs. For example, they may approve schools or nonprofit scholarship granting organizations or disseminate program information or guidance to potential donors, scholarship students, or the public.", "Nonprofit scholarship granting organizations (SGO) are generally responsible for managing some aspects of the donation process\u2014 such as collecting donations\u2014as well as awarding scholarships to students."], "subsections": []}, {"section_title": "Most Programs Use Income to Determine Student Eligibility and Consider Various Factors When Setting Scholarship Award Amounts", "paragraphs": ["States\u2019 TCS programs often determine student eligibility for scholarships based on household income and use a range of factors to determine scholarship award amounts."], "subsections": [{"section_title": "Eligibility Requirements", "paragraphs": ["Income requirements: Seventeen of the 22 TCS programs have income limits (i.e., the maximum amount of household income a student can have and still be eligible for a scholarship). As shown in figure 2, income limits varied widely among programs, ranging from just under $32,000 to about $136,500 per year for students from a four-person household in SY 2017-2018. For context, we compared these income limits to the 2012- 2016 5-year ACS estimates of state median household income for four- person households. Six of the 17 programs had household income limits in SY 2017-2018 above their state\u2019s median income. This included two programs each in Arizona and Pennsylvania which collectively accounted for about one-third of all TCS scholarships awarded to students in SY 2016-2017, according to state-reported data. Of the 17 programs that have household income limits, 6 also require SGOs to further consider income when selecting scholarship recipients among eligible students.", "Such requirements include giving preference to scholarship applicants from lower-income households or ensuring that a certain percentage of scholarship recipients come from lower-income households.", "Of the remaining five TCS programs that do not use income to determine eligibility, three use one or more other types of eligibility criteria, such as whether the student has a disability, and two\u2014Montana\u2019s TCS program and Arizona\u2019s Original Individual Income Tax Credit program\u2014are open to all school-aged residents.", "TCS programs collected limited information on the household incomes of scholarship recipients. The 11 programs that had income information on recipient families collected and reported it in different ways. For example, the Alabama program requires SGOs to report the total number and amount of scholarships awarded to students qualifying for the federal free and reduced-price lunch program and makes the information publicly available. Arizona makes an annual report publicly available on the state\u2019s four TCS programs, including breakdowns of the number of students receiving scholarships from various income levels.", "Other eligibility requirements: Some TCS programs\u2019 eligibility criteria for student scholarship recipients include other factors, such as students\u2019 disability status or previous schooling. Specifically, 7 of 22 programs are limited to students with disabilities or allow students with disabilities to qualify for a scholarship even if they do not meet some requirements for students without disabilities. For example, to be eligible for Virginia\u2019s program, all students must have a household income below a certain amount, but that amount is higher for students with disabilities. South Carolina\u2019s program is limited to students with disabilities. In addition, some programs may require students to have previously attended a public school (9 of 22) or live in the attendance area of a public school with performance challenges (5 of 22). See appendix II for more information on the eligibility criteria of TCS programs."], "subsections": []}, {"section_title": "Scholarship Uses and Amounts", "paragraphs": ["TCS programs have different requirements for how students can use their scholarships and different methods for calculating scholarship amounts. More than half of the programs (13 of 22) allow students to use their scholarship money for costs like transportation and books in addition to tuition, whereas the remaining programs (9 of 22) require scholarships funds to be used for tuition only. Four programs allow donors to recommend that their donations fund scholarships for specific students. Average scholarship awards in SY 2016-2017 ranged from $500 to $5,468 per student among the 16 programs that published such information or provided it to us. (See appendix II for more information).", "Most programs require SGOs to consider one or more factors related to student or school characteristics when determining scholarship award amounts. As shown in table 1, these factors may include the cost of private school tuition or the state funding amounts for public school students, among other factors.", "See appendix II for more information on program requirements related to scholarship amounts."], "subsections": []}]}, {"section_title": "Effect of TCS Donations on Taxes Owed Depends on Factors Such as Tax Credit Percentages and Individual Circumstances", "paragraphs": ["The extent to which TCS program donations affect the amount that donors owe in state and federal taxes depends on program characteristics\u2014such as the percentage of the donation that the rules of the program allow donors to claim as a state tax credit (referred to in this report as \u201ctax credit percentages\u201d) and limits on donation amounts\u2014along with donors\u2019 financial circumstances. Almost all of the TCS programs (20 of 22) offer tax credits to businesses for income or other types of taxes, while more than half offer tax credits to individuals for their income taxes (13 of 22). More than half of programs (13 of 22) offer tax credits for cash donations only, while the remaining 9 programs also allow for at least one type of \u201cin kind\u201d donation, such as a property donation."], "subsections": [{"section_title": "Tax Credit Percentages", "paragraphs": ["Eleven of the 22 programs allow eligible donors (either individuals, businesses, or both) to claim 100 percent of their donations as state tax credits, meaning that, for each dollar donated, the amount of state taxes owed (i.e., the donor\u2019s tax liability) is reduced by a dollar, up to any maximum donation limits set by the program. The other 11 programs offer tax credits of 50 percent to 85 percent of donations (see table 2). For example, Indiana and Oklahoma offer tax credits of 50 percent of the donation value, meaning that donors can reduce their state tax liability by 50 cents for every dollar donated. All but one of the programs prohibit donors from receiving a tax credit greater than their tax liability in a given year, although two thirds of the programs allow donors to carry forward portions of the credits to use in future years."], "subsections": []}, {"section_title": "Limits on Tax Credit Amounts", "paragraphs": ["Sixteen of the 22 programs limit the amount of tax credits each donor may claim per year and programs vary in how they structure these limits. The programs that set annual limits for donors generally do so in one or both of the following ways:", "Dollar amount limits: Thirteen programs limit the dollar amount of TCS program tax credits that donors can claim in a given year. These limits ranged from a maximum tax credit of $150 for either individuals or businesses in Montana\u2019s program, to a maximum tax credit of $1 million for either individuals or businesses in Illinois\u2019 program in CY 2018.", "Limits based on percentage of tax liability: Four programs limit the amount of the TCS program tax credits a donor can claim to a percentage of the donor\u2019s total income tax liability. These limits ranged from 50 to 90 percent of a donor\u2019s income tax liability in CY 2018. For example, in South Carolina donors could receive a tax credit up to 60 percent of their total income tax liability for the year of the donation.", "All but three programs specify a maximum total amount, or cap, of TCS program tax credits that may be claimed each year for the program as a whole (see table 3). Programs\u2019 procedures vary if the cap is reached in a given year. For example, in Rhode Island, potential donors may apply for credits on a \u201cfirst come, first served\u201d basis once the application period starts until all credits are taken. In 2018, all of the credits were claimed on the first day of the application period and a drawing was held to determine who would receive credits among those who applied on that first day.", "Georgia\u2019s TCS program offers a maximum tax credit percentage of 100 percent when total donations do not exceed the donation cap. However, if total donations exceed the program cap, the allowable tax credit percentage is prorated among donors who apply on the day the program- wide cap on tax credits is reached.", "Twenty programs published or provided us with information on donation amounts, such as total donations and average donations. Among these programs, total program-wide donation amounts in CY 2016 ranged from $43,865 to $553 million. (See appendix III for more information about donation amounts.)"], "subsections": []}, {"section_title": "TCS Donations and Federal Taxes for Individual Donors", "paragraphs": ["In addition to reducing their state tax liabilities, some individuals who make TCS program donations may also be able to reduce their federal income tax liabilities through the federal tax deduction for charitable contributions. In August 2018, IRS and Treasury published proposed regulations that, if finalized without modification, would change the extent to which individuals who make TCS program donations can reduce their federal tax liability. However, the proposed regulations were not final at the time this report was published and are therefore subject to change. As a result, the information we present below does not address the proposed regulations.", "Currently, the extent to which individuals may reduce their federal income tax liabilities as a result of their TCS donation depends on their specific circumstances, such as whether they itemize their deductions (versus taking the standard deduction), the federal rates at which their income is taxed, and the amount of federal deductions they take for state and local taxes. More specifically, the effect of a TCS donation on an individual donor\u2019s federal tax liability depends on the following: Itemizing federal deductions and taking the deduction for charitable contributions: Taxpayers benefit from itemizing deductions\u2014such as those for state and local taxes, mortgage interest, and charitable contributions\u2014if they exceed the standard deduction. Taxpayers, including TCS donors, may only claim a federal deduction for charitable contributions if they itemize.", "Federal tax rate: The reduction in federal taxes owed as a result of the federal deduction for charitable contributions depends on the donor\u2019s applicable federal tax rate. Given the same deduction amount, taxpayers subject to higher tax rates will generally reduce their tax liabilities by larger amounts than taxpayers subject to lower tax rates.", "Deduction for state and local taxes: When filing federal taxes, taxpayers who itemize may take a deduction for state and local taxes they have paid during the tax year. Beginning in tax year 2018, individual taxpayers may deduct no more than $10,000 in state and local taxes on their federal tax returns. Taxpayers who claim state tax credits for TCS program donations reduce their state tax liability, which may in turn reduce the amount they may deduct on their federal tax return for state and local taxes paid.", "Interaction between the federal deduction for charitable contributions and the federal deduction for state and local taxes: Generally, if a donor pays $10,000 or less in state and local taxes, the amount of the deduction for charitable contributions may be fully or partially offset (i.e., canceled out) by a decrease in the deduction for state and local taxes paid as a result of the TCS program tax credit. Conversely, taxpayers who pay more than $10,000 in state and local taxes cannot deduct the full amount of state and local taxes they paid. Therefore, the reduced state and local taxes paid as a result of the tax credit generally may not offset the amount of the deduction for charitable contributions for these taxpayers.", "See figure 3 for a description of how individuals\u2019 TCS program donations could affect their federal tax liabilities."], "subsections": []}, {"section_title": "Combined Reduction in State and Federal Tax Liability", "paragraphs": ["TCS program donations can lead to a range of possible changes to an individual\u2019s state and federal income tax liabilities, including some scenarios where donors could reduce their combined state and federal tax liability by an amount that is greater than the amount of their donation (see for example, Donor A in figure 4). Figure 4 shows four examples of how state and federal income taxes may be reduced for hypothetical individual donors in states with 100 percent and 50 percent tax credit scholarship programs."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education and IRS for review and comment. While the draft was under review at these agencies, IRS and Treasury issued proposed regulations related to state tax credits and the federal deduction for charitable contributions. We updated the report to include information about these proposed regulations but did not alter our analysis to reflect the proposed regulations because they were not final at the time this report was published and are therefore subject to change. We provided a revised draft to IRS as the revisions directly relate to IRS\u2019s areas of responsibility, and informed Education about our approach to addressing the proposed regulations.", "IRS did not provide formal comments on the draft report.", "Education\u2019s comments are reproduced in appendix I. Education also provided technical comments, which we incorporated as appropriate. In its comments, Education noted that it has no role in developing, operating, or overseeing TCS programs, and provided a variety of comments and observations on the draft report. For example, Education suggested that we add additional details about certain TCS program requirements, such as more information about state tax rules and permissible uses of scholarship funds. We incorporated these comments as appropriate.", "Education also suggested that we delay publication of this report until the IRS regulations are finalized, as Education thought that the report could be more helpful at that time. GAO policy is to communicate audit and evaluation results in a timely manner to decision makers and others who either requested the work or may need the information to bring about needed changes. Therefore, we are issuing the report as planned.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Education, and the Commissioner of Internal Revenue. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (617) 788-0580 or nowickij@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: State Tax Credit Scholarship Program Eligibility and Scholarship Award Characteristics", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Information About Tax Credit Scholarship Program Tax Provisions", "paragraphs": ["Program name Programs available for both individual and business donors Alabama Educational Scholarship Program $50,000 or 50% of tax liability, whichever is lower (individual) 50% of business tax liability $1,000 (individual) 75% of business tax liability $1 million (individual and business) $350,000 (Individual and business) $150 (Individual and business) $1,000 (individual) $100,000 (business) 60% of tax liability (Individual and business)", "Virginia Education Improvement Scholarships Tax Credits Program Programs available for individual donors only Arizona Original Individual Income Tax Credit Program $81,250 (individual) No limit for business donors $555 (individual) $552 (individual)"], "subsections": [{"section_title": "Percent of donation that may be claimed as a credit", "paragraphs": ["Maximum donation amounts vary from 50% to 100% of tax liability $510,000 or no more than 10% of program credits 2 percent of wages paid no In Oklahoma, Pennsylvania, and Rhode Island, the percentage of donations that can be claimed as a tax credit increases if donors commit to donating for 2 years. In Oklahoma, that percentage increases from 50 percent to 75 percent. In the two Pennsylvania programs and the Rhode Island program, the percentage increases from 75 percent to 90 percent."], "subsections": []}, {"section_title": "Program name Programs available for both individual and business donors Alabama Educational Scholarship Program", "paragraphs": ["Total donations in CY 2016 (rounded)"], "subsections": []}]}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the individual named above, Nagla\u2019a El-Hodiri (Assistant Director), Barbara Steel-Lowney (Analyst-in-Charge), Jeff Arkin, and Jessica L. Yutzy made key contributions to this report. Also contributing to this report were Deborah Bland, Lilia Chaidez, Sarah Cornetto, Caitlin Cusati, Paulissa Earl, Alison Grantham, Kirsten Lauber, Sheila R. McCoy, Mimi Nguyen, Jessica Orr, Michelle Philpott, Paul Schearf, and Andrew J. Stephens."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-386", "url": "https://www.gao.gov/products/GAO-18-386", "title": "Medical Records: Fees and Challenges Associated with Patients' Access", "published_date": "2018-05-14T00:00:00", "released_date": "2018-05-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["HIPAA and its implementing regulations, as amended by the Health Information Technology for Economic and Clinical Health Act, require health care providers to give patients, upon request, access to their medical records, which contain protected health information (i.e., diagnoses, billing information, medications, and test results). This right of access allows patients to obtain their records or have them forwarded to a person or entity of their choice\u2014such as another provider\u2014in a timely manner while being charged a reasonable, cost-based fee. Third parties, such as a lawyer or someone processing disability claims, may also request copies of a patient's medical records with permission from the patient.", "The 21st Century Cures Act included a provision for GAO to study patient access to medical records. Among other things, this report describes (1) what is known about the fees for accessing patients' medical records and (2) challenges identified by patients and providers when patients request access to their medical records. GAO reviewed selected HIPAA requirements and implementing regulations and guidance, and relevant laws in four states selected in part because they established a range of fees associated with obtaining copies of medical records. GAO also interviewed four provider associations, seven vendors that work for providers, six patient advocates, state officials, and Department of Health and Human Services' (HHS) officials. The information GAO obtained and its analysis of laws in the selected states are not generalizable. HHS provided technical comments on this report."]}, {"section_title": "What GAO Found", "paragraphs": ["Available information suggests that the fees charged for accessing medical records can vary depending on the type of request and the state in which the request is made. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations, providers are authorized to charge a reasonable, cost-based fee when patients request copies of their medical records or request that their records be forwarded to another provider or entity. In the case of third-party requests, when a patient gives permission for another entity\u2014for example, an attorney\u2014to request copies of the patient's medical records, the fees are not subject to the reasonable cost-based standard and are generally governed by state law. According to stakeholders GAO interviewed, the fees for third-party requests are generally higher than the fees charged to patients and can vary significantly across states.", "The four states GAO reviewed have state laws that vary in terms of the fees allowed for patient and third-party requests for medical records. For example, three of the states have per-page fee amounts for patient and third-party records requests. The amounts charged are based on the number of pages requested and vary across the three states.", "One of the three states has established a different per-page fee amount for third-party requests. The other two do not authorize a different fee for patient and third-party requests.", "One of the three states also specifies a maximum allowable fee if the provider uses an electronic health records system. The other two do not differentiate costs for electronic or paper records.", "In the fourth state, state law entitles individuals to one free copy of their medical record. The statute allows a charge of up to $1 per page for additional copies.", "Patient advocates, provider associations, and other stakeholders GAO interviewed identified challenges that patients and providers face when patients request access to their medical records.", "Patients' challenges include incurring what they believe to be high fees when requesting medical records\u2014for example, when facing severe medical issues that have generated a high number of medical records. Additionally, not all patients are aware that they have a right to challenge providers who deny them access to their medical records.", "Providers' challenges include the costs of responding to patient requests for records due to the allocation of staff time and other resources. In addition, according to provider associations and others GAO interviewed, fulfilling requests for medical records has become more complex and challenging for providers, in part because providers may store this information in multiple electronic record systems or in a mix of paper and electronic records."]}], "report": [{"section_title": "Letter", "paragraphs": ["In the course of seeking or obtaining health care, patients may request and obtain their medical records. They may, for example, want to take their medical records to another health care provider, or use the records to apply for disability coverage or resolve a dispute over insurance coverage. Patients may obtain their records directly in an electronic or paper form or direct one provider to send these records to another provider or entity, such as an insurer or lawyer. In other cases, a third party, such as a lawyer or someone processing disability claims, may directly contact a provider to request access to a patient\u2019s medical records with permission from the patient.", "The Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended, and its implementing regulations, require HIPAA-covered entities (e.g., providers and insurers) to provide individuals, upon request, with access to their medical records, which contain protected health information (e.g., information on diagnoses, billing, medications, and test results). This right of access allows patients to obtain their medical records in a timely manner while being charged a reasonable, cost-based fee. Federal law also states that an individual can direct a provider to send the records to a person of the individual\u2019s choice. In 2016, the Department of Health and Human Services\u2019 (HHS) Office for Civil Rights (OCR), which is responsible for enforcing the rights established under HIPAA, issued guidance about the right of access. Among other things, the guidance states that when a patient requests that his or her medical records be forwarded to a person or entity, a reasonable, cost-based fee can be charged.", "The 21st Century Cures Act included a provision for us to study patient access to medical records and issue a report by June 13, 2018. In this report we describe 1. what is known about the fees charged for accessing patients\u2019 medical 2. challenges identified by patients and providers when patients request access to their medical records, and 3. efforts by OCR to ensure patients\u2019 access to their medical records.", "To describe what is known about the fees charged for accessing patients\u2019 medical records, we reviewed selected HIPAA requirements and implementing regulations and guidance. We conducted interviews with relevant stakeholders, including representatives from seven release-of- information (ROI) vendors and nine individuals or entities with expertise in HIPAA, including HIPAA lawyers in both private practice and who work in health policy. We selected these stakeholders based on our initial background research, prior work, and input from other stakeholders. During our interviews, we asked about examples of state laws that govern the fees for obtaining copies of medical records. Using this information, we judgmentally selected four states for closer review\u2014Kentucky, Ohio, Rhode Island, and Wisconsin. We selected these states based on input from stakeholders, a review of state laws, and because these states have a range of different types of fees. In Ohio, Rhode Island, and Wisconsin, we interviewed officials in the state agencies responsible for oversight of patients\u2019 access to medical records. Officials from Kentucky declined an interview but provided written responses to our questions. The information we obtained from stakeholders and our analysis of laws in the selected states are not generalizable.", "To describe challenges identified by patients and providers when patients request access to their medical records, we interviewed relevant stakeholders. Specifically, we interviewed individuals or entities with expertise in the topic of patients\u2019 access to health information (referred to hereafter as experts), six patient advocates, representatives from four organizations that represent providers (provider representatives), and representatives from seven ROI vendor companies. We judgmentally selected these stakeholders based on our previous studies, presentations at conferences, relevant testimony at Congressional hearings, and recommendations by other interviewees. We also interviewed officials from HHS\u2019s OCR, Office of the National Coordinator for Health Information Technology (ONC), and Office of Inspector General (OIG). We obtained specific examples of situations when patients have faced challenges accessing their medical records; these examples were provided to us by OCR and an organization that collects anecdotes from patients about their experiences. The information we obtained from stakeholders is not generalizable.", "To describe efforts by OCR to ensure patients\u2019 access to their medical records, we reviewed data from OCR on all patient access complaints received between February 2016 and June 2017. We assessed the reliability of these data by (1) performing electronic testing of required data elements, (2) reviewing existing information about the data and the system that produced them, and (3) consulting agency officials who are knowledgeable about the data. We determined that these data were sufficiently reliable for the purposes of our reporting objectives. We also reviewed relevant OCR documentation, including policies and procedures, audit guidelines, and reports on HIPAA violations, as well as 10 examples of patient access complaints provided to us by OCR. Finally, we interviewed officials from OCR and ONC.", "We conducted this performance audit from March 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Medical Record Requests", "paragraphs": ["Patients may request copies of their medical records, or request that copies of their records be sent to a designated person or entity of their choice.", "In a patient request, a patient or former patient requests access to or copies of some or all of her medical records, in either paper or electronic format. For example, a patient might want to keep copies for her own personal use or to bring with her when moving or changing providers.", "In a patient-directed request, a patient or former patient requests that a provider or other covered entity send a copy of the patient\u2019s medical records directly to another person or entity, such as another provider. For example, a patient might request that her medical records be forwarded to another provider because the patient is moving or wants to seek a second opinion.", "In a third-party request, a third party, such as an attorney, obtains permission from a patient (via a HIPAA authorization form that is signed by the patient) to access the patient\u2019s medical records. For example, with permission from the patient, a lawyer might request copies of a patient\u2019s medical records to pursue a malpractice case.", "HIPAA\u2019s Privacy Rule\u2014the regulations that implement HIPAA\u2019s privacy protections\u2014requires that upon request, HIPAA-covered entities, such as health care providers and health plans, provide individuals with access to their medical records. Under HIPAA\u2019s implementing regulations, providers and other covered entities must respond to a patient or patient- directed request for medical records within 30 days. The Privacy Rule also establishes an individual\u2019s right to inspect or obtain a copy of his or her medical records which, as amended in 2013, includes the right to direct a covered entity to transmit a copy of the medical records to a designated person or entity of the individual\u2019s choice. Individuals have the right to access their medical records for as long as the information is maintained by a covered entity or by a business associate on behalf of a covered entity, regardless of when the information was created; whether the information is maintained in paper or electronic systems onsite, remotely, or is archived; or where the information originated. Finally, the HIPAA Privacy Rule also describes the circumstances under which protected health information in medical records may be released to patients and third parties.", "In February 2016, OCR issued guidance to explain its 2013 regulations. Among other things, this guidance states that as part of a patient\u2019s right of access, patients have the right to obtain copies of their medical records and the right to have their records forwarded to a person or entity of their choice; in these circumstances, patients are only to be charged a \u201creasonable, cost-based fee.\u201d The guidance further notes that state laws that provide individuals with greater rights of access to their medical records are not preempted by HIPAA and still apply. With respect to fees, patients may not be charged more than allowed under the Privacy Rule, even if state law provides for higher or different fees."], "subsections": []}, {"section_title": "Fulfilling Medical Record Requests", "paragraphs": ["To respond to medical record requests, providers either use staff within their organization or may contract with ROI vendors to conduct this work. In general, both providers\u2019 staff and ROI vendors follow the same process when fulfilling requests for medical records for both individual patients and third parties. (See fig. 1.)"], "subsections": []}]}, {"section_title": "Available Information Suggests That Fees for Accessing Patient Medical Records Vary by Type of Request and State", "paragraphs": ["Available information suggests that the allowable fees for accessing medical records vary by type of request\u2014that is, whether a patient or third party is making the request\u2014and by state. Federal laws establish limits on the fees that may be charged for two of the three types of requests for medical records: (1) patient requests, when patients request access to their medical records, and (2) patient-directed requests, when patients request that their records be sent to another person or entity, such as another provider. HIPAA does not establish limits on fees for third-party requests.", "For patient and patient-directed requests, providers may charge a \u201creasonable, cost-based fee\u201d under HIPAA\u2019s implementing regulations. OCR\u2019s 2016 guidance gives examples of options providers (or a ROI vendor responding to requests for medical records on behalf of a provider) may use in determining a \u201creasonable cost-based fee.\u201d (See table 1.)", "In addition to the HIPAA requirements, some states have established their own fee schedules, formulas, or limits on the allowable fees for patient and patient-directed requests. State laws that allow for higher fees than permitted under HIPAA are preempted by the federal law, but those providing for lower fees are not preempted. Representatives from ROI vendors, provider representatives, and other stakeholders we interviewed told us that not all states have established their own requirements governing the fees for medical record requests and, among the states that have, the laws can vary. For example, states can vary as to whether they set a maximum fee that may be charged or whether they establish a fee schedule that is applicable to paper records, electronic records, or both. While states may establish per-page amounts that can be charged for a copy of a patient\u2019s medical records, these per-page amounts can vary.", "In contrast with patient and patient-directed requests, the fees for third- party requests are not limited by HIPAA\u2019s reasonable, cost-based standard for access requests and are instead governed by state laws, regulations, or other requirements. For third-party requests, providers and vendors working on their behalf may charge whatever is allowed under these state requirements. According to ROI vendors and other stakeholders we interviewed, such fees are typically higher than the reasonable, cost-based fees permitted under HIPAA for patient and patient-directed requests and may be established by formulas that vary by state. For example, states can vary as to whether they establish per- page copy fees, allow providers to charge a flat fee, or charge different fees based on the type of media requested (e.g., electronic copies, X- rays, microfilm, paper, etc.). Additionally, state laws of general applicability (for example, the commercial code) may govern the permissible fees applicable to ROI release of records. Representatives of ROI vendors we interviewed stated that there is significant variation in the state laws that govern the fees for third-party requests, and companies employ staff to track the different frameworks.", "Across the four selected states, we found examples of the kinds of variation stakeholders have described in the allowable fees for patient and third-party requests for medical records. (See table 2.)", "Three of the states\u2014 Ohio, Rhode Island, and Wisconsin\u2014have established per-page fee amounts. The amounts charged are based on the number of pages requested and vary across the three states. These three states have also established specific fee rates for requesting media such as X-ray or magnetic resonance imaging scan images.", "One state\u2014Ohio\u2014has established a different per-page fee amount for third-party requests. The other three states have not established different fees for different types of requests (i.e., between patient and third-party requests).", "One state\u2014Rhode Island\u2014specifies a maximum allowable fee if the provider uses an electronic health records (EHR) system for patient and patient-directed requests.", "One state\u2014Kentucky\u2014entitles individuals to one free copy of their medical record under state law. The statute allows a charge of up to $1 per page for additional copies of a patient\u2019s medical records.", "In some cases, questions have been raised about the fee structure that should be applied to certain types of requests. Representatives from ROI vendors we interviewed told us that they have seen an increase in third parties (primarily law firms) submitting requests for medical records and indicating that the requests are patient-directed and therefore subject to HIPAA\u2019s reasonable, cost-based fee standard. According to these representatives, it is sometimes difficult for them to determine whether it is an attorney making a third-party request or an attorney submitting a patient-directed request because, for example, patient-directed requests are submitted by a patient\u2019s attorney and appear similar to traditional third-party requests (e.g., they appear on legal letterhead). As a result, the representatives said that they are often unsure about which fee structure to apply to the request: a reasonable, cost-based fee or a fee for a third-party request, which ROI vendors told us is typically higher.", "When asked about the reported distinction between fees for patient- directed and third-party requests, OCR officials told us that they are in the process of considering whether any clarification is needed to their 2016 guidance. This guidance describes the requirements of HIPAA and the Health Information Technology for Economic and Clinical Health (HITECH) Act, as well as their implementing regulations. HIPAA provides patients with a legally enforceable right of access to their medical records. OCR officials explained that the HITECH Act amended HIPAA and specifies that a patient\u2019s right of access includes the right to direct a provider to transmit the records directly to an entity or individual designated by the individual. According to OCR officials, the same requirements for providing a medical record to an individual, such as the limits on allowable fees and the format and timeliness requirements, apply to patient-directed requests. OCR officials told us that they are considering whether\u2014and if so, how\u2014they could clarify the 2016 guidance within the constraints of HIPAA and the HITECH Act."], "subsections": []}, {"section_title": "Stakeholders Identified Fees and Other Challenges for Patients Accessing Medical Records and Challenges for Providers in Allocating Resources to Respond to Requests", "paragraphs": ["Patient advocates and others we interviewed described challenges patients face accessing medical records, such as high fees. Provider representatives described challenges providers face, including allocating staff time and other resources to respond to requests for medical records."], "subsections": [{"section_title": "Patient Advocates and Other Stakeholders Described High Fees for Obtaining Medical Records, While Providers and Patients May Be Unaware of Patients\u2019 Access Rights", "paragraphs": ["Multiple stakeholders we interviewed\u2014patient advocates, a provider representative, experts, and a representative from an ROI vendor\u2014told us that some patients have incurred high fees when requesting access to their medical records. Stakeholders noted that in some cases the fees reported by patients appear to exceed the reasonable, cost-based standard established under HIPAA. One patient advocacy organization, which collects information on patients\u2019 access to their medical records, described the following examples reported to them by patients:", "Two patients described being charged fees exceeding $500 for a single medical record request.", "One patient was charged $148 for a PDF version of her medical record.", "Two patients were directed to pay an annual subscription fee in order to access their medical records.", "One patient was charged a retrieval fee by a hospital\u2019s ROI vendor for a copy of her medical records. Retrieval fees are prohibited under HIPAA.", "In addition, according to patient advocates we interviewed, high fees can adversely affect patients\u2019 access to their medical records. For example, one patient advocate told us that some patients simply cancel their requests after learning about the potential costs associated with their request. Another patient advocate told us that patients are often unable to afford the fees charged for accessing their medical records, even in cases when the fees are allowed under HIPAA or applicable state law. This advocate explained that per-page fees, even if legally authorized, can pose challenges for patients; in particular, patients who have been seriously ill can accumulate medical records that number in the thousands of pages and can, as a result, face fees in excess of $1,000 for a single copy of their records.", "Stakeholders we interviewed told us that in many cases, providers may also be unaware of patients\u2019 right to access their medical records and the laws governing the fees for doing so.", "Two patient advocates and an expert said that patients are sometimes denied access to their medical records.", "Patient advocates and experts told us that some providers are not aware of the 2016 OCR guidance, which describes patients\u2019 rights to access their medical records, as well as the permitted fees for such access.", "One patient advocate and a provider representative also noted that providers may be confused about caregivers\u2019 and family members\u2019 access to medical records. For example, providers sometimes incorrectly deny family members\u2019 access to a patient\u2019s health information, which HIPAA allows under certain circumstances.", "Provider representatives, patient advocates, and an expert agreed that providers could benefit from more training on medical record access issues, including training on the options patients have for accessing their medical records.", "Stakeholders we interviewed also noted that patients themselves are not always aware of their right to access their medical records, do not always know that they can submit a formal complaint to HHS\u2019s OCR when denied access, and could benefit from specific educational efforts that raise awareness of these issues. For example, patient advocates said that the \u201cnotice of privacy practices\u201d form that patients receive and are asked to sign when they first seek care from a provider could be improved to raise awareness of the rights associated with accessing medical records. This form is used to explain a provider\u2019s privacy policies and obligations, and what patients have to do to obtain access to their medical records. However, a provider association and an expert told us that these forms are not always easy for patients to understand, and patients might not always read them. OCR has developed a standard privacy notice that providers may adopt if they choose. However, a patient advocate told us that most providers are still using their own versions of the notice."], "subsections": []}, {"section_title": "Provider Representatives and Other Stakeholders Described Challenges of Allocating Staff Time and Other Resources, While Technology Has Improved Patients\u2019 Ability to Access Records", "paragraphs": ["Multiple stakeholders we interviewed told us that responding to patient requests for medical records can be challenging because it requires the allocation of staff and other resources and as a result, responding to such requests can be costly. Furthermore, a provider representative, three representatives from ROI vendors, and a patient advocate confirmed that providers and their staff may lack the expertise needed for responding to requests for medical records in a manner that complies with HIPAA and applicable state laws. Providers can receive training on HIPAA related issues; however, a patient advocate told us that this training, which may be provided by private companies, often focuses on security issues (i.e., maintaining secure medical record systems) and not on the rights of patients.", "In addition, stakeholders we interviewed commonly stated that the increased use of electronically stored health information in EHRs has resulted in a more complex and challenging environment when responding to requests for patients\u2019 medical records. For example, these stakeholders noted the following:", "Extracting medical records from EHRs is not a simple \u201cpush of a button\u201d and often requires providers or their ROI vendors to go through multiple systems to compile the requested information. Stakeholders noted that printing a complete record from an EHR system can result in a document that is hundreds of pages long due to the amount of data stored in EHR systems.", "Representatives from three ROI vendors told us that as providers have transitioned from using paper records to using EHR systems, information has been scanned into electronic medical records. This has, in some cases, resulted in records being incorrectly merged (e.g., the records of two patients merged into a single record). As a result, when responding to a medical record request, providers or their vendors must carefully go through each page of the record to ensure only the correct patient\u2019s medical records are being released.", "A provider representative, representatives from four ROI vendors, and two experts noted that providers often have multiple active EHR systems, or have legacy EHR systems in which some medical records are stored. This requires providers and their vendors to go through multiple EHR systems to extract information in response to a medical record request.", "Some providers still have a mix of paper and electronic records, which ROI vendors and provider representatives told us makes responding to medical record requests more difficult and time consuming.", "A provider representative and other stakeholders said that while patients can request copies of their records in an electronic format, providers may have security concerns about sending information via unsecured email or providing electronic information via a patient\u2019s USB stick, which increases the risk of a provider\u2019s system becoming infected with malware.", "While health information technology has created some challenges for providers, numerous stakeholders we interviewed told us that the technologies have made accessing medical records and other information easier and less costly for patients. For example, multiple stakeholders we interviewed told us that an increase in the use of patient portals has reduced the number of patient requests for access to their medical records because patients are able to directly access some health information through the portals. As we have previously reported, patient portals have facilitated patient access to medical records and patients have noted the benefits from having such electronic access, even though portals do not always contain all the information patients need. The use of patient portals has not eliminated patient requests for access to their medical records; a provider representative we interviewed said that many patients still prefer to obtain paper copies of their records."], "subsections": []}]}, {"section_title": "OCR Investigates Complaints, Audits Providers, and Educates Patients and Providers about Patient Access", "paragraphs": ["To enforce patients\u2019 right of access under HIPAA\u2019s Privacy Rule, the HHS OCR undertakes four types of efforts. OCR (1) investigates complaints it receives from patients and others regarding access to patient medical records, (2) audits a sample of providers to determine the extent to which their policies and procedures are compliant with HIPAA, (3) reports to Congress on compliance with HIPAA, and (4) educates patients and providers about patients\u2019 rights to access their medical records."], "subsections": [{"section_title": "Investigation of Patient Complaints", "paragraphs": ["OCR has established a process for investigating patients\u2019 complaints over access to their medical records. Via an online portal on its website, OCR receives complaints submitted by patients. Staff in OCR\u2019s headquarters office conduct an initial review of the information provided by the complainant. According to OCR officials, complaints that cannot be immediately resolved are generally assigned to a regional office investigator, who is responsible for reviewing the complaint and obtaining additional information from the complainant and provider, if needed. After the investigator completes the investigation, OCR issues a letter to both the provider and patient explaining what OCR has found. Depending on the nature of the findings, OCR may, for example, issue technical assistance to the provider; close the complaint without identifying a violation; require the provider to implement a corrective action plan; conduct a more detailed investigation; and, if warranted, levy a civil monetary penalty. According to OCR officials, the use of civil monetary penalties is rare and reserved for situations where providers\u2019 behavior is particularly egregious.", "Examples of patient access complaints provided to us by OCR included complaints about the following: providers not responding even after the patient made multiple requests, or providers taking longer than 30 days to respond to a request for medical records or other information ; providers charging excessive fees for copies of patients\u2019 medical providers not responding to requests from personal representatives or providers denying medical records requests from a parent or parents of children.", "Our analysis of OCR data also shows that the amount of time OCR takes to investigate and close a patient access complaint varies. OCR received a total of 583 patient access complaints between February 2016 and June 2017, closing 437 of these complaints during that same time period. These 437 complaints took anywhere from 11 to 497 days to close. (See fig. 2.) The majority of these 437 complaints (63 percent) were closed in 200 or fewer days. OCR officials stated that while there is no required time frame for closing a complaint involving patients\u2019 access to their medical records, they aim to close cases in fewer than 365 days.", "According to OCR officials, while there is no required time frame for closing a patient access case, investigators aim to get patients access to their medical records as soon as possible, which typically occurs before the case is formally closed (i.e., a formal letter is issued to provider and patient). OCR officials noted a number of reasons why complaints can take a significant amount of time to close. In some cases, the patient receives her records early in the investigation, but the complaint is kept open by OCR to ensure that agreed-upon or recommended corrective actions are taken by the provider\u2014for example, training staff on patient access rights or demonstrating that the provider\u2019s policies pertaining to patient access have been changed. In other complaints, time is needed for OCR to obtain consent from the patient who filed the complaint. OCR officials noted that in some instances, patients ultimately decide they do not want to give OCR consent to investigate their complaint, due to concerns that the provider will learn their identity. OCR officials also noted that complaints that are moving towards more serious enforcement actions, such as civil monetary penalties, may also take a long time to close. Finally, OCR officials noted that their own staffing limitations in regional offices can sometimes result in complaints taking additional time to close."], "subsections": []}, {"section_title": "OCR Audits", "paragraphs": ["The HITECH Act requires OCR to conduct periodic audits of selected covered entities in order to review the policies and procedures the covered entities have established to meet HIPAA requirements and standards. The right of patients to access their medical records is included in these requirements. As part of its most recent audit, OCR officials stated that they reviewed 103 covered entities regarding their policies related to patient access to health information, including the entities\u2019 notice of privacy practices. In addition, OCR reviewed any access requests the covered entities received from patients, including both requests that were granted and requests that were denied. OCR examined these access requests to determine whether access was provided in a manner that was consistent with the covered entities\u2019 policies and procedures and whether the entities fulfilled the requests they received within the 30-day time frame established under the Privacy Rule. OCR also examined any fees that were charged for access and whether those fees met HIPAA\u2019s reasonable, cost-based standard. OCR officials said that after completing each audit, OCR submitted a draft report for the audited entity for review. The entity had 10 days to review and submit any feedback to OCR, which OCR reviewed and incorporated into the entity\u2019s final audit report. According to OCR officials, OCR has completed this phase of the audit program and will release a final report in 2018."], "subsections": []}, {"section_title": "Annual Report to Congress", "paragraphs": ["The HITECH Act directs HHS to submit an annual report to Congress on compliance with HIPAA that includes details about complaints of alleged violations of the Privacy Rule and the resolution of these complaints. The patient right of access is part of the HIPAA and Privacy Rule requirements. The report, which is issued by OCR, includes information on the patient access complaints OCR has received, the number of investigations it has conducted, and the fines OCR has levied. OCR issued its most recent report in 2016. The report summarized complaints and enforcement actions for the 2013 through 2014 calendar years. OCR officials stated that they are in the process of reviewing a draft report that will be released in mid-2018 and contain information and data from calendar years 2015 and 2016."], "subsections": []}, {"section_title": "Provider and Patient Education Efforts", "paragraphs": ["As part of its responsibilities to enforce HIPAA\u2019s Privacy Rule, OCR also provides a variety of educational materials that aim to educate both patients and providers about patients\u2019 right to access their medical records. These materials include the following: In September 2017, OCR published a pamphlet that aims to educate consumers, particularly caregivers, about patients\u2019 rights to access their medical records, including how to file a complaint if denied access.", "OCR has worked with ONC to produce three videos (\u201cYour Health Information, Your Rights!\u201d) and an infographic aimed at educating patients and others about patients\u2019 rights to access their medical records.", "OCR has developed provider education videos that aim to educate providers on the rights of patients to access their medical records and how such access can enable patients to be more involved in their own care. Providers can receive continuing education credits for watching these videos.", "To assist providers, OCR has worked with ONC to develop a model notice of privacy practices to help providers adequately communicate access rights to patients in a standardized, easy-to-understand way."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review. HHS provided us with technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-7114 or at yocomc@gao.gov. Contact points for our Office of Congressional Relations and Office of Public Affairs can be found on the last page of this report. Other major contributors to this report are listed in appendix I."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tom Conahan, Assistant Director; Andrea E. Richardson, Analyst-in-Charge; Krister Friday; and Monica Perez-Nelson made key contributions to this report."], "subsections": []}]}], "fastfact": ["Federal law requires health care providers to give patients access to their medical records.", "We found that some patients incurred fees they believed to be excessive to access their records; for example, patients with chronic conditions can have lengthy records, and copying costs can be significant. Also, some patients are unaware that they can challenge providers who deny them access.", "We also found that providers may bear costs for responding to record requests, including staff time. Fulfilling requests can be complex, as information may be stored in multiple electronic records or in a mix of paper and electronic records."]} {"id": "GAO-18-610", "url": "https://www.gao.gov/products/GAO-18-610", "title": "Great Lakes-St. Lawrence Seaway: Assessing Risks and Measuring Performance Could Improve Maritime Transportation", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Great Lakes-Seaway system extends 2,300 miles and serves more than 100 ports in the United States and Canada. Four of the 17 locks that enable navigation are managed by the Army Corps (within the Department of Defense) and U.S. Seaway Corporation (within the Department of Transportation). The rest are managed by Canada. A 2007 U.S.-Canada study noted the system could absorb additional traffic and led to U.S. asset renewal plans to improve lock infrastructure condition.", "GAO was asked to review efforts to modernize the Great Lakes-Seaway. This report examines (1) shipping trends since 1980 and factors affecting recent trends, (2) stakeholder views on challenges to use, and (3) the extent to which the Army Corps and the U.S. Seaway Corporation have made progress on and measure performance of lock renewal efforts. GAO analyzed Seaway and Army Corps shipping data from 1980 through 2016, the agencies' asset renewal plans, and interviewed 24 stakeholders, including port and shipper representatives, selected to represent a range of perspectives."]}, {"section_title": "What GAO Found", "paragraphs": ["The tons of cargo moved by domestic Great Lakes and St. Lawrence Seaway traffic have declined since 1980\u2014by 32 and 48 percent, respectively, according to U.S. Army Corps of Engineers (Army Corps) and Saint Lawrence Seaway Development Corporation (U.S. Seaway Corporation) data. Stakeholders identified various factors for this decrease such as the U.S. economy's shift away from manufacturing. Traffic on the Great Lakes-St. Lawrence Seaway (Great Lakes-Seaway) is traditionally dominated by bulk commodities like iron ore, although stakeholders noted emerging uses like containerized cargo and cruises.", "Stakeholders identified a range of challenges to using the Great Lakes- Seaway\u2014such as inadequate portside infrastructure for intermodal transfers of shipping containers\u2014that together pose risks for both traditional bulk cargos and emerging uses. Although the U.S. Seaway Corporation's mission is to improve the system's utilization and reliability, the Corporation has not fully assessed the risks that challenges pose to the system's users. Establishing a process to assess and monitor risks, in accordance with federal internal control standards, would help inform future actions to address identified and emerging challenges.", "The U.S. Seaway Corporation and the Army Corps have made progress on lock asset renewal efforts, but the Army Corps lacks goals and measures to assess performance and outcomes of these efforts. According to estimates provided by the Army Corps, it has completed 18 projects totaling about $53 million to date, and has about $257 million in remaining and ongoing work through 2035. Meanwhile, the U.S. Seaway Corporation has completed 16 projects totaling $45 million and has almost $144 million in remaining and ongoing work through 2023. The Army Corps has not developed goals and measures to assess its asset renewal results, as the U.S. Seaway Corporation has done. As a result, the Army Corps lacks tools to assess the outcomes of these efforts and demonstrate the extent to which its asset renewal efforts have improved operational performance of the Soo Locks."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that (1) the U.S. Seaway Corporation establish a process to identify, analyze, and monitor risks to the system's use to inform future actions, and (2) the Army Corps develop and adopt goals and measures to assess the performance of the Soo Locks and assess of asset renewal outcomes. The Departments of Transportation and Defense concurred with our recommendations and provided technical comments which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since 1959, the Great Lakes-St. Lawrence Seaway (Great Lakes- Seaway) navigation system has provided an important transportation route to the manufacturing and agricultural heartland of North America. The Great Lakes-Seaway extends 2,300 miles from Duluth, Minnesota to the Atlantic Ocean and serves more than 100 ports in eight U.S. states and two Canadian provinces (see fig. 1). In 2007, a joint U.S.-Canadian study found that the Great Lakes-Seaway was operating at about half of its potential capacity and could absorb additional traffic. Further, in 2016 the Congressional Research Service reported that U.S. domestic cargo volume within the Great Lakes was about half that of the 1950s and 1960s. The 2007 study also led to U.S. asset renewal plans to improve the system\u2019s lock infrastructure condition\u2014at the time, the first coordinated effort to assess and improve the system\u2019s infrastructure in its 50 year existence. Now over a decade after the 2007 report and almost 60 years since the opening of the system, the Great Lakes-Seaway\u2019s potential as America\u2019s \u201cfourth coast\u201d remains, as it provides direct access to a region that is home to 107 million people, including major cities such as Chicago, Detroit, Cleveland, and Toronto.", "The Great Lakes-Seaway has been managed jointly between the U.S. and Canada throughout its history. A series of 17 locks enables commercial vessels to navigate a change in elevation of over 600 feet between the Atlantic Ocean and Lake Superior. The primary purpose of a lock is to raise and lower vessels to bypass river rapids or overcome changes in water levels (see fig. 2 for how a lock operates). The 17 locks are divided between U.S. and Canadian management, with 4 locks managed by two U.S. federal agencies. Specifically, the Saint Lawrence Seaway Development Corporation (U.S. Seaway Corporation) manages 2 locks in Massena, New York, that are located among the 13 locks that are managed by Canada\u2019s St. Lawrence Seaway Management Corporation (Canadian Seaway Corporation). Meanwhile the U.S. Army Corps of Engineers (Army Corps) manages the Soo locks\u2014two parallel locks in Sault Ste. Marie, Michigan, that connect Lake Superior with the rest of the Great Lakes. In addition to its binational management, another critical feature of the Great Lakes-Seaway is that the system is closed to navigation for 2 to 3 months in the winter due to weather conditions and in order to complete maintenance on the locks.", "You asked us to review efforts to modernize the Great-Lakes Seaway. This report examines (1) how Great Lakes-Seaway shipping trends have changed since 1980 and what factors have shaped recent trends, (2) selected stakeholders\u2019 perspectives on challenges to using the Great Lakes-Seaway, and (3) to what extent Army Corps and the U.S. Seaway Corporation have made progress on lock infrastructure renewal efforts and how the agencies measure performance of these efforts.", "To understand shipping trends, we analyzed cargo traffic by tonnage from 1980 to 2016 for the St. Lawrence Seaway (published by the Canadian and U.S. Seaway Corporations) and for domestic cargo traffic on the Great Lakes (from the Army Corps\u2019 Waterborne Commerce Statistics Center). Although the Seaway data represent all cargo traffic that travels on the St. Lawrence Seaway, the Army Corps data we analyzed exclusively represent traffic between U.S. ports on the Great Lakes system. As a result, some cargos that travel on the Great Lakes\u2014such as between Canadian ports or U.S. and Canadian ports\u2014are not included in this report. We selected the 1980 to 2016 timeframe to describe long-term trends using data that both sources collected consistently, and since 2016 was the most recent year available from both data sources. We also analyzed recent cargo traffic trends for the top five commodities that comprised domestic Great Lakes and St. Lawrence Seaway cargo traffic by tonnage from 2001 to 2016. These years were selected to represent the past approximately 15 years of traffic. We assessed the data\u2019s reliability by reviewing documentation and interviewing Army Corps and U.S. and Canadian Seaway Corporation officials and determined the data were sufficiently reliable for our purpose of describing trends.", "To obtain selected stakeholders\u2019 perspectives on factors shaping recent trends and challenges, we interviewed 24 stakeholders, including industry associations, carriers (companies that transport goods), shippers (companies that own the transported goods), ports, maritime transportation experts, and regional and maritime stakeholder groups. Stakeholders were selected to represent a range of types of traffic (such as U.S. vessels travelling within the Great Lakes and foreign ocean-going vessels) and a range in use of the system (shipping of traditional bulk goods as well as emerging uses such as containers and cruises). We grouped the challenges identified by stakeholders based on whether they affect traditional use of the system or emerging use of the system. Although the results are non-generalizable, stakeholders were selected to represent a range of known perspectives.", "To understand the U.S. Seaway Corporation\u2019s and Army Corps\u2019 progress on asset renewal efforts and how they measure performance of these efforts, we analyzed available information on asset renewal projects, their status, and estimated cost from both agencies. We also reviewed U.S. Seaway Corporation\u2019s and Army Corps\u2019 relevant reports, asset renewal plans, and documentation related to program goals and performance measures, such as annual financial and performance reports, from 2007 through 2018 and interviewed officials from both agencies. We compared agencies\u2019 efforts to GAO\u2019s Standards for Internal Control in the Federal Government and Leading Practices in Capital Decision-Making. We did not evaluate the Canadian agencies responsible for overseeing Canadian-managed Seaway locks. For more information on our scope and methodology, see appendix I.", "We conducted this performance audit from June 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Great Lakes-Seaway system\u2019s commercial shipping has traditionally been dominated by vessels carrying bulk commodities such as grain, coal, and iron ore, although there are differences between the shipping on the Great Lakes versus the St. Lawrence Seaway portions of the system. On the Great Lakes side, U.S.-flag (meaning registered in the United States) vessels are primarily \u201clakers\u201d\u2014meaning they stay on the Great Lakes and generally do not enter the St. Lawrence Seaway. This domestic Great Lakes traffic primarily consists of iron ore, limestone, and coal that are transported to serve the U.S. steelmaking industry. For example, U.S. lakers transport iron ore, mined in northern Minnesota, from Duluth to steel manufacturers at ports such as Burns Harbor, Indiana, and Toledo, Ohio, in the lower Great Lakes. U.S. law requires that maritime transport of cargo between U.S. ports be carried by U.S.- flag vessels.", "In contrast to the Great Lakes, the St. Lawrence Seaway is used primarily by Canadian- or foreign-flag vessels that carry cargo between and among U.S., Canadian, and overseas ports. For example, in 2015, 40 percent of St. Lawrence Seaway traffic, as measured by tonnage moved, consisted of cargos shipped between Canadian ports. Another 34 percent of 2015 Seaway traffic consisted of cross-border trade between U.S. and Canadian ports. Only 10 percent of Seaway traffic in 2015 was between overseas and U.S. ports. This trade is generally characterized as \u201csteel in/ grain out\u201d\u2014with imported iron and steel products entering the system destined for U.S. ports and U.S. grain leaving the system destined for overseas ports. For example, foreign vessels transport fabricated steel through the Seaway to manufacturing facilities in the Great Lakes region and then carry grain from the region back through the Seaway to overseas destinations such as Europe.", "The Great Lakes and St. Lawrence Seaway portions of the system also differ in how they are managed. On the St. Lawrence Seaway, which opened in 1959, the U.S. Seaway Corporation manages the Snell and Eisenhower locks, which are located in Massena, New York. Like all locks on the St. Lawrence Seaway, the Snell and Eisenhower are single locks without parallel locks for redundancy and are the same dimensions\u2014 about 766 feet long and 80 feet wide. On the Great Lakes, the Army Corps manages the Soo locks, which consist of two parallel locks: the larger Poe lock, completed in 1968 (1,200 feet long and 110 feet wide) and the smaller MacArthur lock, completed in 1943 (800 feet long and 80 feet wide). Many U.S.-flag laker vessels are restricted to using the Poe lock, as they are too large to fit in the MacArthur lock.", "The construction of a second Poe-sized lock at the Soo locks is currently under consideration. In 1986, Congress authorized the construction of a second Poe-sized lock, but funds sufficient to begin construction were never appropriated. In 2005, the Army Corps calculated a benefit-cost ratio of 0.73 associated with the construction of a second Poe-sized lock, which was not high enough to request funding. In January 2016, the Army Corps initiated an economic reevaluation of the project\u2019s benefit- cost ratio to update assumptions of the 2005 study. In July 2018, the Army Corps released its reevaluation study, which estimated the cost of constructing a new Poe-sized lock to be approximately $922 million with an updated benefit-cost ratio of 2.42. According to the Army Corps, the project will compete with other construction projects throughout the country through the agency\u2019s budgeting process. The decision to fund the new lock also involves review by the Office of Management and Budget for inclusion in the President\u2019s budget, and Congress will need to appropriate funds.", "The U.S. Seaway Corporation and Army Corps also differ in their size and role, for example:", "The U.S. Seaway Corporation. In addition to managing the two U.S.- operated locks on the St. Lawrence Seaway, the U.S. Seaway Corporation has a role in enhancing utilization of the entire Great Lakes- Seaway system. Its stated mission is to improve the operation and maintenance of a safe, reliable, and efficient waterway and to perform economic and trade development activities with the aim of enhancing utilization. In doing so, the Corporation works closely with its Canadian counterpart (the Canadian Seaway Corporation) to manage the binational St. Lawrence Seaway and provide information on the system to potential users. The U.S. Seaway Corporation is located within the U.S. Department of Transportation and has approximately 140 employees.", "The Army Corps. The Army Corps, located within the Department of Defense, maintains a wide range of water resources projects across the country\u2014including the Soo locks\u2014under its Civil Works Program. These projects include over 200 inland waterway locks, such as those along the Mississippi river and its tributaries. The Army Corps\u2019 Civil Works Program is supported by approximately 22,000 civilian employees and is organized into three tiers: a national headquarters in Washington, D.C., eight regional divisions, and 38 local district offices. The Detroit District, which is responsible for the day-to-day maintenance and operation of the Soo locks, falls under the Great Lakes and Ohio River Division.", "Following the 2007 joint U.S.-Canadian study, the Army Corps and the U.S. Seaway Corporation developed asset renewal plans, which were originally intended to cover approximately 10 years and which focused on replacing or rehabilitating existing lock components to avoid unexpected lock closures. Both agencies complete routine maintenance and capital improvements on the locks during the 2\u20133 winter months the locks are closed to navigation every year due to weather conditions.", "Congress appropriates funding for both Army Corps\u2019 and U.S. Seaway Corporation\u2019s lock operations and maintenance from the Harbor Maintenance Trust Fund (trust fund). The trust fund is supported through collections of the Harbor Maintenance Tax (also sometimes called a fee), which is charged to vessels carrying U.S. domestic or imported cargo or passengers, primarily at coastal and Great Lakes ports. Congress also appropriates funds from the trust fund for other Great Lakes-Seaway purposes, including dredging (underwater debris removal) to maintain the depth of ports and channels for navigation. In the U.S. portions of the Great Lakes-Seaway, including ports and channels, dredging is primarily conducted by the Army Corps and to a lesser extent the U.S. Seaway Corporation. As of July 2013, the trust fund built up a balance of $8.5 billion. In 2014, Congress authorized targets to annually increase appropriations from the fund to reduce the balance, and required the Army Corps to allocate annually a minimum amount of funds for the Great Lakes-Seaway system.", "Two federal agencies within the Department of Homeland Security also have roles in the Great Lakes-Seaway. The U.S. Coast Guard ensures safety in various ways, including by ensuring a sufficient supply of certified U.S. pilots who board foreign vessels to ensure safe navigation. Specifically, the Coast Guard is responsible for annually setting the rates U.S. pilots on the Great Lakes-Seaway charge carriers (referred to as pilotage rates for the remainder of this report). In addition, the Coast Guard is also required by law to maintain heavy icebreaking capability on the Great Lakes to assist in keeping channels and ports open to navigation. Meanwhile U.S. Customs and Border Protection is responsible for screening cargo and passengers entering the United States at ports of entry, including Great Lakes ports."], "subsections": []}, {"section_title": "Great Lakes-Seaway Cargo Levels Have Decreased since 1980 due to Various Economic Factors but Selected Stakeholders Report Recent Increased Diversity of Uses", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Identified a Variety of Economic Factors Associated with Decreased Cargo Levels on the Great Lakes- Seaway since 1980", "paragraphs": ["The amount of cargo transported annually on the Great Lakes-Seaway\u2014 specifically for U.S. Great Lakes domestic and Seaway cargo\u2014has generally declined since 1980 (see fig. 3). The Great Lakes U.S. domestic \u201claker\u201d cargo traffic declined from about 115 million tons in 1980 to about 78 million tons in 2016\u2014a decline of 32 percent\u2014according to data from the Army Corps\u2019 Waterborne Commerce Statistics Center. As noted in figure 3, the trend includes many noticeable year-to-year changes over this time period, which may be in response to broader economic factors, as discussed below. Meanwhile, cargo traffic on the St. Lawrence Seaway, which as described earlier is primarily transported by Canadian and foreign vessels, declined by 48 percent over the same time period, from about 74 million tons in 1980 to about 39 million tons in 2016, according to Seaway Traffic Data.", "Between 2001 and 2016, domestic Great Lakes cargo traffic levels were driven primarily by iron ore, limestone, and coal\u2014three commodities that are closely tied to the steel industry (see fig. 4). Specifically, these three commodities accounted for 90 percent of the total of about 78 million tons in domestic Great Lakes traffic in 2016\u2014iron ore alone comprised 50 percent. Great Lakes domestic tonnage declined by about 22 million tons overall from 2001 to 2016, with declines in iron ore, limestone, and coal totaling about 21 million tons. Army Corps officials noted that other commodities such as wheat also have a presence on the Great Lakes, with over 5 million tons of wheat traveling on the Great Lakes in 2017 according to these officials.", "In contrast to the domestic Great Lakes cargo traffic, the top five commodities on the St. Lawrence Seaway, which comprised 70 percent of total cargo traffic in 2016, show a more varied picture of the types of commodities and trends from 2001 to 2016 (see fig. 5). Grain, the top commodity transported on the St. Lawrence Seaway, comprised nearly a third of total Seaway traffic in 2016. Like the domestic Great Lakes traffic, iron ore and coal have a significant presence on the St. Lawrence Seaway, together comprising 24 percent of cargo traffic in 2016. In contrast to domestic Great Lakes traffic, iron and steel constitute key commodities on the St. Lawrence Seaway, declining from about 3.2 million tons in 2001 to about 2.4 million tons in 2016. Nearly all such iron and steel transports are imports destined for U.S. or Canadian ports. For example, some specialty steel used to package food in cans is manufactured in Europe and imported for use in the United States. Several stakeholders we interviewed told us that a balance between inbound iron and steel shipments and outbound grain exports are important in providing shipping capacity in both directions.", "Stakeholders identified various economic factors that have affected Great Lakes-Seaway cargo traffic levels since the 1980s:", "Global economic factors. Many stakeholders noted that year-to-year trends in global prices for commodities such as grain, iron ore, and steel affect Great Lakes-Seaway cargo traffic levels. For example, two stakeholders told us that U.S. iron ore is exported through the St. Lawrence Seaway when global iron ore prices are high, allowing producers to cover the costs of shipping while also being price competitive internationally. Further, some stakeholders reported that the increase in globalization since 1980 has resulted in greater foreign competition to U.S. and Canadian commodities exported via the Great Lakes-Seaway. For example, one stakeholder noted that countries that were grain importers in the 1980s, such as Russia, have since become grain exporters, competing with U.S. and Canadian grain internationally. Grain traffic on the St. Lawrence Seaway fell by over 60 percent from about 32 million tons in 1980 to about 12 million tons in 2016, with nearly the entire decline occurring prior to 2001.", "Domestic economic factors. Several stakeholders told us that Great Lakes-Seaway cargo traffic rises and falls in conjunction with general economic conditions and trends, such as a sharp decline during the recession in 2009 (see fig. 3 above). For example, one stakeholder reported that a trend in the U.S. economy toward a more service- based rather than manufacturing-based economy has affected Great Lakes-Seaway traffic, reducing demand for manufacturing inputs such as iron ore. As we reported in 2013, manufacturing has accounted for a decreasing share of U.S. employment and economic output over the last several decades.", "Industry-specific changes. Changes in industries that have relied on the Great Lakes-Seaway for the transportation of input materials have affected cargo trends, according to several stakeholders. For example, demand for iron ore has been affected by the U.S. steel industry\u2019s move towards smaller manufacturing plants, which are located away from the Great Lakes and which use recycled metal and do not require iron ore. Between 2001 and 2016, domestic Great Lakes tonnage of iron ore declined by 14 percent, from about 45 million to about 39 million tons (see fig. 4 above). Several stakeholders also told us that changes in the power generation industry have reduced shipments of coal. For example, environmental concerns and competitive natural gas prices have led some utilities in Canada and the United States to close coal-fired facilities. St. Lawrence Seaway coal tonnage from 2001 to 2016 declined by 53 percent, from about 5.3 million to about 2.5 million tons (see fig. 5 above).", "Greater competition among modes. Several stakeholders said that certain other transportation modes have become more competitive with the Great Lakes-Seaway. For example, several told us that the use of shipping containers\u2014which enable easy intermodal transfer between waterways, highway, and rail\u2014has grown dramatically worldwide in the past several decades with implications for modal competition and the Great Lakes-Seaway. As we previously reported, the largest container vessels in 2016 could carry nearly 18,000 standard 20-foot shipping containers, roughly twice as many as in 2005. However, most modern containerships are too large to use the Great Lakes-Seaway locks and container service on the system is limited. Three stakeholders that sometimes use the Great Lakes- Seaway to import cargo reported that they can also import cargo to the Midwest via coastal ports, where containers can be transferred from container ship to truck or rail for inland delivery. While traffic on the Great Lakes-Seaway has generally declined since 1980, according to data published by the U.S. Bureau of Transportation Statistics, U.S. railroad freight nearly doubled from 1980 to 2015, from 932,000 to 1.7 million ton-miles."], "subsections": []}, {"section_title": "Stakeholders Report Recent Increased Diversity in Uses of the Great Lakes-Seaway", "paragraphs": ["Stakeholders reported a recent increase in the diversity in the use of the Great Lakes-Seaway, although bulk commodities continue to constitute the majority of the 78 million and 39 million tons of domestic Great Lakes and St. Lawrence Seaway cargo traffic in 2016, respectively. The reported increase in the diversity of uses includes:", "Project cargo. Some stakeholders told us shipments of project cargo\u2014specialty items that may be difficult to move by rail or truck due to width or weight limits, such as windmill blades, beer fermentation tanks, and mining equipment\u2014have increased in recent years. The tonnage of St. Lawrence Seaway traffic comprised of machinery and other manufactured products, which encompass project cargo, grew from about 657,000 tons in 2001 to about 1.1 million tons in 2016. Project cargos are typically chartered on an as- needed basis. One stakeholder said that carriers would need to offer more ships capable of carrying project cargo as a prerequisite for any large future increases in project cargo.", "Containers. Although containers continue to represent a small fraction of total cargos on the St. Lawrence Seaway, container traffic on the Seaway more than tripled from 18,156 tons in 2001 to 64,984 tons in 2016. The only regular container service on the system began in 2014 and operates between ports in Cleveland and Antwerp, Belgium. The service is offered through a partnership between the Port of Cleveland, where officials told us they view the service as a way to attract traffic, and a Dutch carrier, whose representatives view it as a way to educate U.S. manufacturers on the advantages of maritime transportation. Representatives from the carrier said that the service offers 44 sailings annually.", "Cruises. Several stakeholders said that there is recent growth of small passenger cruises on the Great Lakes-Seaway with the potential for further growth. Some of those stakeholders said that the region affords advantages including a variety of scenic destinations. A typical cruise may begin and end in Chicago and Toronto, both of which have air connections for arriving and departing passengers. An official from the U.S. Seaway Corporation said that the number of cruise ships operating on the system grew from 5 to 8 and the number of voyages offered grew from 54 to 92 between 2014 and 2018. The official said that additional ships and voyages are expected in the future."], "subsections": []}]}, {"section_title": "Selected Stakeholders Identified Various Challenges to Using the Great Lakes- Seaway, but the U.S. Seaway Corporation Has Not Fully Assessed Risks", "paragraphs": [], "subsections": [{"section_title": "Traditional and Emerging Great-Lakes Seaway Uses Face a Range of Challenges, according to Stakeholders", "paragraphs": ["Stakeholders we met with identified a range of challenges to using the Great Lakes-Seaway and noted that these challenges pose risks to the future use of the system. Although many of the challenges that stakeholders identified\u2014such as the annual winter closure\u2014affect all users of the system, some challenges may impact the system\u2019s various users differently. Specifically, some challenges directly affect the \u201ctraditional use\u201d of the system\u2014including the transport of bulk cargos such as iron ore, grain, and steel\u2014while other challenges primarily affect \u201cemerging use\u201d of the system, such as the cruise industry and container market, as discussed below. The cumulative effect of all the challenges represents costs and system reliability risks to shippers that can erode the advantages that the system has traditionally offered over other transportation modes. For example, a representative from one shipping company told us the company frequently compares the cost of using the Great Lakes-Seaway to other modes and noted that the margin favoring the Great Lakes-Seaway is becoming narrower due to the system\u2019s various challenges."], "subsections": [{"section_title": "Challenges to Traditional System Use", "paragraphs": ["Stakeholders identified several challenges that affect traditional uses of the Great Lakes-Seaway, including transport of dry bulk commodities and imported steel.", "Recent Increase of Pilotage Rates: The majority of stakeholders we interviewed reported that recent rate increases in the costs of securing pilots, who are intended to ensure safe navigation, have significantly increased costs for foreign ocean going vessels operating in the Great Lakes-Seaway. Federal law requires that certified pilots board foreign vessels while in the Great Lakes-Seaway. A pilot may be on board for multiple days on a single voyage, given the size of the system. As part of its responsibility to set rates that pilots charge carriers for the Great Lakes-Seaway, the U.S. Coast Guard revised the methodology used to calculate the rates in 2016. Coast Guard officials told us the methodology had not changed since the mid- 1990s and changes were needed to bring rates up to a sufficient level to attract and retain pilots. Specifically, according to the Coast Guard the number of pilots in the region decreased from 44 in 2007 to 36 in 2014, resulting in pilot shortages and traffic delays. In response, the Coast Guard raised rates. For example, in the St. Lawrence River portion of the system, pilotage rates increased 23 percent between 2014 and 2016. According to one carrier association we interviewed, pilotage is one of the single largest cost items for foreign vessels entering the system. Similarly, representatives from a carrier association told us pilotage rates are a primary challenge affecting the cost competitiveness of the system compared to truck and rail. The methodology used to calculate rates was revised further in 2017 and 2018 and Coast Guard officials report that the recent updates have accounted for factors, such as eliminating a weighting factor based on the size of the vessel. According to Coast Guard officials, these changes corrected factors that were not properly accounted for in previous years and effectively lowered rates compared with 2016. The Coast Guard also authorized an increase in the number of registered pilots, from 36 in 2014 to 45 in 2017.", "Condition of the Poe-lock Infrastructure: Several stakeholders that operate on the Great Lakes told us that they are concerned about the condition of the Poe lock (see fig. 6). One Great Lakes shipper representative told us that they believe the Poe lock is at critical risk of lock failure that could result in an unplanned outage and disrupt the U.S. steel industry, which has limited alternatives (rail or truck) to move large amounts of iron ore from Minnesota and Michigan\u2019s Upper Peninsula to steel manufacturing plants in the lower Great Lakes. As mentioned previously, many U.S. laker vessels can only fit in the larger Poe lock at the Soo locks due to vessel size. For example, the Army Corps estimated that 85 percent of the tons of cargo travelling through the Soo locks in 2017 were restricted to using the Poe lock. A representative from a Great Lakes carrier told us that a closure of the Poe lock for repairs during the shipping season could pose further challenges to using the system, since there is currently no redundant Poe-sized lock to which traffic could be diverted. As discussed below, Army Corps officials note they currently lack the means to replace the Poe lock\u2019s upper miter gate\u2014which was identified as critical in 2007\u2014without disrupting navigation. The Army Corps\u2019 asset renewal efforts to improve lock condition, including the Poe lock, are discussed in greater detail below.", "Regulatory Complexity Related to Ballast Water: Several agencies are involved in regulating ballast water in the Great Lakes-Seaway, and several stakeholders reported that the complexity of the regulatory environment poses a challenge to using the system. Ballast water is taken up or discharged in a vessel\u2019s tanks to improve stability during voyages and when cargo is loaded or unloaded. Ballast water regulations are aimed at preventing the introduction of invasive species collected in foreign waters from transoceanic vessels and discharging them into the Great Lakes. These regulations involve joint U.S.-Canadian Seaway regulations as well as requirements from the U.S. Coast Guard, U.S. Environmental Protection Agency (EPA), and some states. Specifically, under the current framework, all oceanic vessels bound for the Great Lakes-Seaway are tested to meet the ballast water discharge standards established by the U.S. Coast Guard and the EPA. Most lakers, which are confined to the Great Lakes and unlikely to introduce new aquatic invasive species from outside the Lakes, are not subject to the Coast Guard and EPA requirements. In addition, states are authorized to establish their own vessel discharge control measures, and according to an industry association, several Great Lakes states have their own ballast water requirements. One carrier association representative told us that the various ballast water regulations can cause confusion over how the regulations apply across the system.", "U.S. Seaway Corporation officials said they are aware of these issues and since 2007, the U.S. and Canadian Seaway Corporations have been operating under harmonized, joint ballast water regulations intended to eliminate confusion among users of the system. In addition, both Corporations participate in the Great Lakes Seaway Ballast Water Working Group, which is comprised of representatives from the U.S. Coast Guard and others. The group\u2019s mission is to coordinate regulatory, compliance, and research efforts to reduce the introduction of aquatic invasive species via ballast water. The working group reported in 2018 that such coordination will help minimize the creation of a patchwork of inconsistent regulations.", "Effect of insufficient dredging: Several stakeholders we met with said that insufficient dredging\u2014removal of sediment and debris from the bottom of ports to maintain water levels for maximum vessel load\u2014 can pose a challenge to using the Great Lakes-Seaway. In particular, a stakeholder noted the Army Corps, which is responsible for dredging the major U.S. ports on the Great Lakes, has limited capacity to keep up with all ports\u2019 dredging needs, and that this situation can lead to vessels having to engage in \u201clight loading\u201d\u2014 filling to a lower capacity to reduce vessel weight\u2014to access affected ports. The Army Corps reported in 2018 that its dredging backlog has decreased to 13.5 million cubic yards from a high of 18 million in 2013. One stakeholder that uses the Great-Lakes Seaway to ship iron ore told us that light loading causes steel mills to operate at lower capacity when they do not receive the required amount of iron ore. Army Corps officials told us that high water levels in recent years have allowed vessels to carry more tons of cargo. However, because water levels fluctuate over time, those conditions could change and affect load efficiency."], "subsections": []}, {"section_title": "Challenges to Emerging System Use", "paragraphs": ["Stakeholders also identified challenges that particularly affect emerging uses of the Great Lakes-Seaway, such as the cruise industry and container market.", "Winter closure: The majority of stakeholders we interviewed told us the annual winter closure hurts the system\u2019s competitiveness because shippers must either stockpile their cargo or find alternative modes of transport during the winter months. While winter closure has been a long-standing feature of the system, it poses a particular challenge for the emerging container market since, as a stakeholder from a carrier association noted, containerized cargo is often time-sensitive and cannot be stockpiled. Securing an alternative transportation mode during the winter closure may be challenging because railroads, for example, prefer to sign year-round contracts for shipping rather than shorter-term winter arrangements. Additionally, some stakeholders told us lack of icebreaking during the start and end of the season, particularly during severe winters, has caused vessel delays. The U.S. Coast Guard\u2019s icebreaking fleet consists of nine vessels on the Great Lakes. In 2016, a U.S. Coast Guard report identified some ice breaking issues that led to 3- and 6-week delays in 2010. The report detailed actions the U.S. Coast Guard took to mitigate future delays, including moving an icebreaking vessel\u2019s home port to a Great Lakes port, but also noted that procuring an additional heavy icebreaker is not cost-effective. An example of potential delays caused by ice was demonstrated in January 2018 when a vessel became frozen in the U.S. Seaway Corporation\u2019s Snell lock during extreme weather conditions, delaying five vessels and necessitating the system\u2019s closure for 11 days. Efforts to free the vessel included ice melting equipment and tug boats.", "Limited U.S. Customs and Border Protection resources for clearing passengers and container cargo: Several stakeholders we interviewed told us that the limited capacity of U.S. Customs and Border Protection\u2019s processing of container cargo and passengers poses a challenge for emerging system uses. U.S. Customs and Border Protection is responsible for inspecting travelers and imported cargo that enters the U.S., including at the ports of entry in the Great Lakes regions. U.S. Customs and Border Protection officials told us that their procedures for processing containers and passengers are more involved than traditional bulk cargos and that processes differ by port. For example at the Port of Detroit, cruise passengers are transported by bus to facilities a few miles away for processing. According to a representative from a cruise industry association, this processing creates delays and poses a challenge to the developing cruise industry. Officials from U.S. Customs Border and Protection offices in the Great Lakes region told us that their resources for processing passengers and cargos are located at main ports of entry (such as airports) and that at the Great Lakes ports are lacking appropriate facilities, tools, technology, equipment, and personnel. These same officials said that if the Great Lakes ports were to handle increasing numbers of passengers and containers, U.S. Customs and Border Protection would need sufficient time and budget to add inspection equipment, but that port operators would need to bear the costs of upgrading their facilities.", "Inadequate portside infrastructure: Some stakeholders told us that many of the ports along the Great Lakes-Seaway were developed to support bulk commodities\u2014such as iron ore, coal, and grain\u2014and are not equipped to easily handle containers. Bulk commodities do not require portside equipment at destination ports since they are transported by self-unloading vessels and are often delivered straight to private docks, such as iron ore delivered to a steel manufacturing facility. As such, Great Lakes ports generally lack multimodal connections that enable transfer of containers from vessel to truck and rail routes. A representative from a company that ships containers on the Great Lakes-Seaway told us that the port nearest its location does not have cranes to handle containers. Instead, the company uses a different port that is further away because it has the infrastructure necessary to ship containers. Port representatives told us that financing options exist to make upgrades to port infrastructure but consistent and sustainable traffic levels are needed in order to justify investments. For example, an official from the Port of Cleveland told us they have access to their own financing and have added infrastructure to create their container business, including cranes, storage warehouses, and right-of-way for rail connections using revenue bonds issued by the board that oversees the port. An official from the Port of Indiana told us that the port lacks infrastructure to handle containers, but it would find the financing to make investments in container equipment if there were a consistent stream of business."], "subsections": []}]}, {"section_title": "The U.S. Seaway Corporation Has Not Fully Assessed the Risks That Challenges Pose to System Utilization", "paragraphs": ["Although U.S Seaway Corporation officials told us they are aware of system challenges cited by stakeholders, the Corporation has not fully assessed the extent to which the challenges pose risks to the use of the Great Lakes-Seaway. As previously noted, the U.S. Seaway Corporation\u2019s stated mission is to improve the operation and maintenance of a safe, reliable, and efficient waterway and to improve regional economic and trade development by enhancing utilization of the entire Great Lakes Seaway system. To achieve this mission, the U.S. Seaway Corporation\u2019s strategic plan includes several goals, such as increasing the volume and value of commercial trade through the Great Lakes Seaway System, while promoting cost-effective competition for all users. To achieve these goals, the plan lists several actions, including developing initiatives to improve capacity of the system, and working with carriers, ports, pilots, and other stakeholders to contain costs and foster increased trade in the region. For example, the U.S. Seaway Corporation has taken steps to improve the condition of lock infrastructure\u2014as discussed in greater detail below\u2014and in 2015, hired a full-time employee, stationed in Cleveland, Ohio, who is responsible for advancing the Corporation\u2019s trade and economic development activities in the Great Lakes region. However, the Corporation has not taken steps to identify, analyze and monitor challenges that affect use of the system, such as those identified by the stakeholders we interviewed.", "The Standards for Internal Control in the Federal Government states that assessing risks and monitoring changes are key to achieving objectives. Specifically, management should analyze identified risks to estimate their significance, which provides a basis for responding to the risks, and design responses to the analyzed risks so that risks are within the defined risk tolerance for the defined objective. The standards also note that monitoring is key to ensuring that the process used by management to help achieve its objectives remains aligned with changing environments, laws, and resources. The importance of understanding risks to system use in the Great Lakes Seaway was also emphasized by the Conference of Great Lakes and St. Lawrence Governors and Premiers. This conference, made up of Governors and Premiers of the eight states and two Canadian provinces along the Great Lakes-Seaway, developed a 2016 strategy that delineated system challenges and called for an analysis of the total costs of moving cargo through the system and how this compares to other modes. U.S. Seaway Corporation officials told us they are supportive of the Conference\u2019s strategy but are not working to implement this analysis or other elements of the strategy.", "Although some actions have been taken to address challenges, officials from the U.S. Seaway Corporation told us that the Corporation has not fully assessed risks to Great Lakes-Seaway use, in part because the Corporation does not have a formal or standing process to monitor risks over time. The U.S. Seaway Corporation has worked closely with other federal agencies over the years, including the Army Corps and Coast Guard, to address challenges. For example, in 2007, it played a role in the joint U.S.-Canadian study that focused attention on the system\u2019s infrastructure, and the Corporation has worked with the Coast Guard and others in the Great Lakes Seaway Ballast Water Working Group. In addition, although U.S. Seaway Corporation officials told us that they have a limited role in addressing challenges involving other agencies, the U.S. Seaway Corporation has some experience assessing system risks that could be useful in better understanding and addressing challenges facing system users. For example, in 2012, the U.S. Seaway Corporation was involved in a study led by the Canadian Seaway Corporation that examined the cost-competitiveness of the Great Lakes-Seaway and included a discussion of risks. These efforts could be useful in developing a process to track risks and monitor how they evolve over time and in relation to current shipping trends so that further actions could be taken to address challenges faced by traditional and emerging users of the system.", "Establishing a process to assess and monitor system risks would provide the U.S. Seaway Corporation with greater assurance that the actions taken by the Corporation, including those listed in its strategic plan, and by other stakeholders are working to improve future utilization and ensure efficient use of the system. Without a formal assessment of risks, the U.S. Seaway Corporation lacks information on the cumulative effect of the challenges faced by users of the system, limiting its ability to inform its future actions to help address those challenges."], "subsections": []}]}, {"section_title": "The U.S. Seaway Corporation and the Army Corps Have Made Progress on Lock Asset Renewal Efforts, but the Army Corps Lacks Associated Goals and Measures", "paragraphs": [], "subsections": [{"section_title": "Both Agencies Have Made Progress on Lock Asset Renewal Efforts, but the Army Corps Has Yet to Start Work on a Project Identified as Critical in 2007", "paragraphs": ["The Army Corps and the U.S. Seaway Corporation developed asset renewal plans, in fiscal year 2007 and 2009 respectively, which were originally intended to cover approximately 10 years and focused on modernizing, rehabilitating, or replacing existing lock components to avoid unexpected lock closures. Within a lock there are a number of structural, mechanical, and electrical components that must work together (see fig. 7). Key lock components included in the agencies\u2019 asset renewal plans include:", "Approach walls\u2014Help guide the vessel as it approaches the lock chamber and provides a place for the vessel to tie up to wait to enter the lock chamber.", "Lock chamber\u2014Concrete structure with rock or concrete floors that contain the vessel while water flows to empty or fill the chamber. The lock structure houses the culvert valves, which fill and empty the lock.", "Miter gates\u2014Steel structures that first function as a dam to prevent free flow of water through a lock, then open and close to allow vessels to transit through the lock. The end of the gates are mitered (angled) and use the difference in water levels to provide the force necessary to achieve a nearly water-tight seal.", "Embedded anchorages\u2014The connection point between the miter gates and lock walls, which transfers the load from the gate to the lock wall during the opening and closing of the gates.", "Over the past decade since beginning these efforts, the Army Corps and U.S. Seaway Corporation have made progress on asset renewal efforts. The Army Corps\u2019 asset renewal efforts have a total estimated cost of about $310 million for work through 2035. Meanwhile the U.S. Seaway Corporation\u2019s asset renewal efforts have a total estimated cost of $189 million for work through 2023 (see fig. 8). (See appendix II for a complete list of both agencies\u2019 asset renewal projects.) According to the Army Corps\u2019 most recent asset renewal plan from 2016 and updates provided by Army Corps officials in May 2018, to date, the Army Corps has spent about $53 million on 18 completed projects out of the about $86 million it has received since 2008 (see below for more information on funding received per year for both agencies). The U.S. Seaway Corporation estimates it has spent $45 million on 16 completed projects of the about $137 million it has received since 2009. According to the Army Corps\u2019 estimates, it has about $257 million in remaining and ongoing work through 2035. Meanwhile, the U.S. Seaway Corporation estimates it has almost $144 million in remaining and ongoing work through 2023. Officials from both agencies stated that asset renewal plans will transition to ongoing capital investment programs that will continue into the foreseeable future. Army Corps Detroit District Officials also emphasized that the list of asset renewal projects frequently changes to account for new information such as results of facility inspections. These officials also noted that a project\u2019s inclusion in the asset renewal plan does not obligate future funds on behalf of the Army Corps, since all projects must compete for funding as part of the annual budget process. Furthermore, these Army Corps officials noted that the total cost estimate could decrease if a second Poe-sized lock is constructed, since traffic could be diverted to the new lock, allowing the current lock to be taken out of service for repairs.", "Both agencies have also made progress addressing critical projects identified in the 2007 study, but the Army Corps faces obstacles in finishing key projects without disrupting traffic through the Poe Lock. In the 2007 study, the U.S. Seaway Corporation and the Army Corps identified several critical projects to improve the condition of their respective locks (see table 1). The U.S. Seaway Corporation has completed its rehabilitation of the downstream miter gates on both locks and started work on a long-term project to rehabilitate concrete on the Eisenhower lock. Of the three key Army Corps projects identified in the 2007 study, one is complete, one is ongoing, and the other is remaining. Specifically, the Army Corps has not started work to replace the Poe lock\u2019s upper miter gate because Army Corps officials say they lack the means to replace the gate without disrupting navigation. In the short term, Army Corps officials say they now plan to repair the gate and have requested $2 million in appropriated funds in fiscal year 2019 for the first phase of this work. Army Corps officials also noted they have ongoing work to reinforce the West Center Pier, which has eroded over time and which forms the approach channel for both the Poe and MacArthur locks. However, these officials reported that the cost to complete the work differs greatly ($82.6 million versus $7.5 million) depending on whether a second Poe-sized lock is constructed, since more expensive construction methods are currently needed to avoid disrupting traffic.", "In addition to addressing key projects from the 2007 report, over the past decade the Army Corps and U.S. Seaway Corporation have undertaken projects to address emergent issues and make operational improvements to lock infrastructure. For example, in late July 2015, the Army Corps identified the MacArthur lock\u2019s embedded gate anchorages as a critical issue requiring immediate attention. It closed the MacArthur lock for 19 days during the navigation season in August 2015 in order to address the issue at a project cost of $5.8 million. Meanwhile, the U.S. Seaway Corporation is working to install \u201chands-free mooring\u201d at both of its locks, which is intended to improve the efficiency of lock operations. Hands-free mooring was developed by the Canadian Seaway Corporation, is being deployed on all Seaway locks, and eliminates the need for conventional lines to secure a vessel during the lockage process\u2014instead, arms along the side of the locks extend and secure the vessel using vacuum pads. Once fully implemented, the system is expected to produce benefits such as improved workplace safety and reducing the time to transit a Seaway lock by approximately 7\u201310 minutes each direction. The U.S. Seaway Corporation expects to have the system completed by the end of the 2019 shipping season, at a total cost of about $18 million, about $7 million of which had been spent through 2016.", "The Army Corps and the U.S. Seaway Corporation differ in the level of funding they have received for asset renewal efforts in the past decade, which may have influenced the agencies\u2019 pace of asset renewal efforts. Through fiscal year 2017, the Army Corps received about $86 million (starting in fiscal year 2008) and the U.S. Seaway Corporation received about $137 million (starting in fiscal year 2009) (see fig. 9). Army Corps officials noted they received an increase in funds in 2009 due to the American Recovery and Reinvestment Act of 2009 as well as more stable recent funding due to the Water Resources and Development Act of 2014 which, as mentioned earlier, required the Army Corps to allocate annually a minimum amount of funds for the Great Lakes- Seaway. However, individual Soo Lock asset renewal projects must compete for funding with other Army Corps projects across the country at the district, division, and headquarters level, based in part on a project\u2019s risk rating. In contrast, the U.S. Seaway Corporation is a much smaller organization and directly allocates its funding to projects based on its own condition assessments."], "subsections": []}, {"section_title": "The U.S. Seaway Corporation Has Established Goals and Measures for Asset Renewal Efforts but the Army Corps Lacks Goals and Measures for the Soo Locks", "paragraphs": ["The U.S. Seaway Corporation has a lock performance goal and measure that officials use to monitor its asset renewal efforts, in accordance with government internal control standards, but the Army Corps does not have such a goal specific to the Soo locks. Standards for Internal Control in the Federal Government states that agencies should define objectives clearly and in measurable terms so that performance toward achieving those objectives can be assessed. Similarly, Leading Practices in Capital Decision-Making states that organizational goals should be integrated into the capital decision-making process and that agencies should use performance measures to evaluate results of capital projects to determine if goals have been met. As part of the Department of Transportation\u2019s annual performance reports, the U.S. Seaway Corporation reports its annual progress toward its goal of maintaining 99 percent system availability of the U.S. portion of the Seaway during the navigation season. This measure includes times the system is unavailable for three key reasons: vessel incidents, weather, and lock outages. Of these reasons, the U.S. Seaway Corporation has the most direct control over lock outages. U.S. Seaway Corporation officials told us they use this information, particularly on lock outages, to assess the effect of its asset renewal efforts on lock performance, as part of its agency goal to reduce the risk of delays due to lock equipment failure.", "The Army Corps has not established specific operational goals or metrics for the Soo locks that can be used to evaluate the outcomes of its asset renewal efforts. In its annual financial report, the Army Corps Civil Works program has a nationwide strategic goal to facilitate the transportation of commerce goods on the nation\u2019s coastal channels and inland waterways and a corresponding goal and measure for the number of instances where mechanically-driven failure at locks resulted in delays of more than a day or week. This national measure aggregates Army Corps locks across the country, including over 200 in the inland waterways such as the Mississippi River. However, this national goal and measure does not provide information on the operational performance of individual locks, including the Soo locks.", "Detroit District Army Corps officials told us that they have not established operational goals or measures specific to the Soo Locks because the Army Corps\u2019 project approval process involves prioritization based on risk rather than operational performance. Specifically, these officials noted that asset renewal efforts are measured by improved risk scores, which indicate higher reliability and less likelihood of unscheduled outages. While this process allows the Army Corps to prioritize individual investment decisions according to risk, it does not define a specific measurable goal for the operational performance of the Soo Locks. As a result, the Army Corps lacks a key tool to assess whether the investments made in the locks have resulted in improved lock performance, such as reductions in outages and delays to its users. Furthermore, the Detroit District has access to information that could be used to develop measure performances for the Soo Locks\u2014specifically the Lock Performance Monitoring System, which contains lock operations data such as scheduled and unscheduled outages. According to Detroit District officials, these data are used for the Army Corps\u2019 nationwide lock performance measure.", "The Army Corps has previously noted the need for local lock performance goals and measures to improve asset management. In December 2006, the Great Lakes and Ohio River Division, which has the Soo locks in its jurisdiction, recommended in a 5-year plan the development of specific goals for the Great Lakes navigation system for use in prioritizing investments, but the plan has not been updated since then. Furthermore, a 2013 Army Corps commissioned report on best practices in asset management recommended the development of key performance indicator target values to monitor the effectiveness of asset management. Likewise a senior official in the Army Corps\u2019 Asset Management Program Office\u2014which shares leading asset management practices across the Corps\u2014 stated that local and regional offices have the ability to develop local lock performance goals and measures to assess the local results. This official also noted the goals and measures to evaluate the progress of asset renewal efforts and lock performance would allow for greater transparency to stakeholders. Without goals and associated measures for the Soo locks, the Army Corps cannot link its asset renewal efforts to improved lock performance and cannot demonstrate the effect of these efforts to stakeholders."], "subsections": []}]}, {"section_title": "Conclusion", "paragraphs": ["The Great Lakes-Seaway serves as an essential transportation route linking U.S. manufacturing, agricultural, and other industries in the nation\u2019s interior to the global economy. Yet, this system faces various challenges that, according to stakeholders, pose risks to traditional and emerging uses that could limit the system\u2019s ability to enhance the region\u2019s economy. The U.S. Seaway Corporation\u2019s mission to improve the system\u2019s utilization and reliability provides it with a unique vantage point for assessing the cumulative risks that these challenges pose on the system\u2019s current and future utilization. Establishing a process for identifying, analyzing, and monitoring the system\u2019s risks would better enable the U.S. Seaway Corporation to design future actions that it, and other stakeholders, could take to address those risks. Similarly, the Army Corps\u2019 efforts to rehabilitate the Soo locks are critical to U.S. manufacturing and trade in the Great Lakes region. Regardless of the outcome of the decision on whether to build another Soo lock, the importance of the Poe lock remains, as indicated by the concerns raised by stakeholders regarding its condition. Given the criticality of the Poe lock and the more stable funding for asset renewal since 2014, it is important that the Army Corps assess these funds\u2019 potential effect on the Soo locks\u2019 performance. Without establishing goals and measures for the Soo locks, the Army Corps is not able to demonstrate whether the substantial investments made so far and planned in the future will improve the Soo locks\u2019 performance and by extension, the reliability of the Great Lakes navigation infrastructure."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations: The Administrator of the U.S. Seaway Corporation should establish a process to identify, analyze, and monitor risks to the system\u2019s use to inform future actions to address those risks. (Recommendation 1)", "The Army Corps Director of Civil Works should, in coordination with the Commanders of the Great Lakes and Ohio River Division and the Detroit District, develop and adopt goals and measures to assess the performance of the Soo Locks and assess outcomes of asset renewal efforts. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this product to the Departments of Defense, Transportation, and Homeland Security for comment. In comments, reproduced in appendixes III and IV, the Departments of Transportation and Defense concurred with our recommendations. All three departments also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Transportation, the Secretary of Defense, the Secretary of Homeland Security, and other interested parties. In addition, this report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or flemings@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how Great Lakes-St. Lawrence Seaway (Great Lakes-Seaway) shipping trends have changed since 1980 and what factors have shaped recent trends, (2) selected stakeholders\u2019 perspectives on challenges to using the Great Lakes-Seaway, and (3) to what extent the U.S. Army Corps of Engineers (Army Corps) and the Saint Lawrence Seaway Development Corporation (U.S. Seaway Corporation) have made progress on lock infrastructure renewal efforts and how the agencies measure performance of these efforts.", "To understand shipping trends, we analyzed cargo traffic by tonnage for both the St. Lawrence Seaway (published jointly by Canada\u2019s St. Lawrence Seaway Management Corporation and the U.S. Seaway Corporation) and for domestic Great Lakes cargo traffic (from the Army Corps\u2019 Waterborne Commerce Statistics Center) from 1980 to 2016. Although the Seaway data represents all cargo traffic that travels on the St. Lawrence Seaway, we analyzed the Army Corps\u2019 domestic data, which accounts exclusively for traffic between U.S. ports on the Great Lakes system. As a result, some cargos that travel on the Great Lakes\u2014 such as between U.S. and Canadian ports or between Canadian ports\u2014 are not included, although such movements would be captured in the Seaway data to the extent they enter the Seaway. Although the Army Corps\u2019 data include information on Canadian and foreign cargo, we did not analyze or report this information because (1) of the limitation, which we confirmed with Army Corps officials, that the data exclude Great Lakes cargo movements between Canadian ports and (2) including this information would potentially double-count trips that also entered the St. Lawrence Seaway. We selected the 1980 to 2016 timeframe because it provides a sufficient timeframe to describe long-term trends using consistently collected data from both sources and 2016 is the most recent year for which both sources have published data. We also analyzed cargo trends for the top five commodities by tonnage from 2001 to 2016 for domestic Great Lakes and St. Lawrence Seaway traffic. We selected the years 2001 to 2016 to capture trends over the past approximately 15 years. The selected commodities represent the majority of cargo traffic for both sources. Specifically, the top five domestic Great Lakes commodities made up 96 percent of total cargo tonnage from 2001 to 2016, while the five commodities for the St. Lawrence Seaway represented 71 percent of total St. Lawrence Seaway cargo tonnage for the same time period. We assessed the reliability of the data by reviewing documentation and interviewing Army Corps and U.S. and Canadian Seaway Corporation officials and determined these data were sufficiently reliable for our purpose of describing trends. To describe factors that have shaped recent trends, we reviewed available government and industry reports, such as the 2007 Great Lakes-Seaway study, the 2013 U.S. Department of Transportation Maritime Administration\u2019s Status of the U.S.-Flag Great Lakes Water Transportation Industry, and the 2016 Conference of Great Lakes and St. Lawrence Governors and Premiers\u2019 Strategy for the Great Lakes-St. Lawrence River Maritime Transportation System.", "To understand factors affecting recent trends and challenges to using the system, we interviewed 24 stakeholders representing a range of traditional and emerging system users and experts. We interviewed representatives from three carriers that transport goods on the system and three associations that represent current U.S., Canadian, and foreign vessel traffic: Interlake Steamship Company, FedNav, Spliethoff, Lake Carriers Association, Chamber of Marine Commerce, and the Shipping Federation of Canada. We interviewed four Great Lake ports stakeholders, including three ports that represent a range of cargo levels and mix of cargos\u2014Port of Duluth, Port of Cleveland, and Port of Indiana, Burns Harbor\u2014and their association, the American Great Lake Ports Association. We interviewed six stakeholders that represent traditional or emerging shipping uses (e.g., cruises and containers) on the system: Cleveland-Cliffs Inc.; Tata Steel; CHS Inc.; General Motors; American Iron and Steel Institute; and the Great Lakes Cruising Coalition. We interviewed two maritime experts and a freight forwarder which helps arrange shipping logistics: Dr. Walter Kemmsies, Martin Associates, and Midwest Transatlantic Lines. Lastly, we interviewed representatives from five Great-Lakes Seaway region and maritime stakeholder groups: Conference of Great Lakes and St. Lawrence Governors and Premiers, Great Lakes Commission, Council of the Great Lakes Region, Committee on the Marine Transportation System, and the American Pilots\u2019 Association. We grouped the challenges identified by stakeholders based on whether challenges affect traditional use of the system or emerging use of the system. Although the results are non-generalizable, stakeholders were selected to represent a range of known perspectives. To better understand the context of these challenges, we interviewed officials from the Army Corps, U.S. Seaway Corporation, U.S. Coast Guard, and Customs and Border Protection.", "To understand the agencies\u2019 progress on asset renewal efforts and how they measure performance of these efforts, we analyzed available information on projects, status, and estimated cost from both agencies. To assess the agencies\u2019 asset renewal progress we reviewed the Army Corps\u2019 most recent asset renewal plan from 2016 with updates provided by the Army Corps in May 2018. Likewise, we analyzed information provided by U.S. Seaway Corporation officials in March 2018 on project- by-project expenditures from 2009 to 2016 and cost estimates from 2017 to 2023. Although we describe the agencies\u2019 cost estimates for their asset renewal efforts, it was beyond the scope of this engagement to check these cost estimates for accuracy and completeness. Likewise, although we describe the agencies\u2019 processes for selecting projects for funding, we did not verify these processes by, for example, selecting projects and ensuring the selection met the agencies\u2019 established procedures for selection. We reviewed U.S. Seaway Corporation and Army Corps relevant reports, available asset renewal plans, and documentation related to program goals and performance measures, such as annual financial and performance reports, from 2007 through 2018. We also visited the Soo locks at Sault Ste. Marie, Michigan, and the Seaway locks at Massena, New York, in summer 2017 and interviewed officials from both agencies. For example, within the Army Corps we interviewed officials from the Detroit District, headquarters\u2019 navigation and Asset Management Program offices, the Inland Navigation Design Center, and the Institute for Water Resources. We compared agencies\u2019 efforts to GAO\u2019s Standards for Internal Control in the Federal Government and to Leading Practices in Capital Decision-Making. Although the Great Lakes- Seaway system is binational, we are not evaluating the Canadian agencies, although we did interview officials from the Canadian St. Lawrence Seaway Management Corporation to understand their process for asset renewal."], "subsections": []}, {"section_title": "Appendix II: List of Asset Renewal Projects", "paragraphs": ["The Army Corps information below is based on the most recent asset renewal plan report from 2016 for the Soo locks, with updates provided by the Army Corps in May 2018. The U.S. Seaway Corporation information includes project-by-project expenditures for fiscal years 2009 through 2016 and cost estimates for work from fiscal years 2017 through 2023 provided by U.S. Seaway Corporation officials in March 2018. To align projects between the two agencies, we removed from the U.S. Seaway Corporation list: a dredging project (since the Army Corps information does not include dredging), one Seaway International Bridge project that lacked an associated cost estimate, and discontinued projects. It was beyond the scope of this review to check these cost estimates for accuracy and completeness.", "Replace lock utility lines and steam system, used for de-icing Fabrication of second set of stoplogs to allow for full dewatering of the lock Poe Replacement of quoin and miter blocks that help transfer load from the gate to the lock wall Replace gate latches to protect the miter gates Replace bevel gears that help move the miter gates Replace protective relays for power plant Replace switchgear assembly B, to assist with de-watering Replace sluice gate valves for Poe and Davis pump well which are used to dewater the locks Repair west center pier, which forms the north wall of the approach channel (outer portion of the wall)", "Modernize steamplant, which supports de-icing Repair west center pier, which forms the north wall of the approach channel (inner portion of wall closest to lock chamber)", "Rehabilitation of Davis pump well which is used to dewater locks for winter maintenance Rehabilitate ship arrestor booms that are designed to protect miter gates from vessel impact Gate 1 coating/ weld repairs (upstream end of lock)", "New miter gate replacement (spare) for upstream end Rehabilitation of Poe pump well used to dewater Poe lock for winter maintenance Fabrication of replacement stoplogs (replacement for originals from initial Poe Lock construction)", "Rehabilitate ship arrestor booms that are designed to protect miter gates Rehabilitate lock fill/ empty valve machinery Rehabilitate gate skin plate and replace gate coating Repair southwest pier, which serves as south upstream approach wall Reinforce piers mooring bollards along approach wall (Southwest Pier)"], "subsections": [{"section_title": "Project", "paragraphs": [], "subsections": []}, {"section_title": "Project", "paragraphs": [], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Transportation", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Matt Barranca (Assistant Director), Emily Larson (Analyst in Charge), Amy Abramowitz, Melissa Bodeau, Michelle Everett, Aaron Gluck, David Hooper, Alyssa Hundrup, SaraAnn Moessbauer, Joshua Ormond, and Shane Spencer made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Great Lakes-St. Lawrence Seaway has connected U.S. and Canadian ports to the world since 1959\u2014but traffic has declined since 1980.", "Stakeholders identified many challenges to using the seaway. For example, the cost of hiring pilots to navigate the system increased in 2016; older lock infrastructure is at risk of failure; and ports aren't set up to clear passengers and container cargo for travel.", "We reviewed modernization efforts and found that U.S. agencies have completed almost $100 million in projects to improve locks over the past decade. We recommended better monitoring of the challenges and assessment of improvement efforts."]} {"id": "GAO-19-231", "url": "https://www.gao.gov/products/GAO-19-231", "title": "Advance Care Planning: Selected States' Efforts to Educate and Address Access Challenges", "published_date": "2019-02-21T00:00:00", "released_date": "2019-02-21T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Many individuals receive medical care for a serious or life-limiting condition during the last months of life, which may involve making difficult decisions about life-sustaining treatment. Advance care planning helps ensure that physicians, families, and friends have documentation outlining individuals' wishes under these circumstances.", "GAO was asked to identify issues related to completing and accessing advance care planning documents. This report describes, among other things, (1) the challenges individuals and providers face completing and accessing the documents, and (2) selected states' strategies for improving individuals' and providers' understanding of and access to advance care planning documents.", "GAO reviewed documents and interviewed officials from national stakeholder organizations involved in advance care planning or aging issues, and conducted a literature review of relevant articles published from January 2012 to April 2018 in peer-reviewed and other publications. In addition, GAO interviewed officials from state agencies and stakeholder organizations in California, Idaho, Oregon, and West Virginia. GAO selected those four states because they were active in encouraging advance care planning and had registries for completed documents that were in different stages of development.", "The Department of Health and Human Services, states, and stakeholders provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Advance care planning documents\u2014including advance directives and physician orders for life sustaining treatment (POLST)\u2014allow individuals to express their wishes for end-of-life care. Advance directives, which include living wills and health care power of attorney, provide direction regarding care when an individual becomes incapacitated. POLST documents are appropriate for seriously ill individuals whose health status indicates the need for medical orders to be documented in their medical records.", "Stakeholders from national organizations and officials in the four states GAO selected to review cited several challenges\u2014affecting both individuals and health care providers\u2014related to the use of advance care planning documents. In particular, they noted a lack of understanding about how to complete the documents and how to initiate conversations about advance care planning. They also cited challenges related to the difficulty of ensuring access to completed documents when needed, such as in an emergency situation.", "Officials from state agencies and stakeholder organizations in the four selected states reported pursuing various strategies to improve understanding of advance care planning documents by conducting education efforts for individuals and providers. In addition, the states utilized strategies to improve access to completed documents, such as improving the electronic exchange of information between health records and a state registry, which is a central repository intended to improve access to the documents. Further, stakeholder officials reported strategies related to the acceptance of out-of-state advance care planning documents; all four selected states had statutory provisions that address the validity of documents executed in another state."]}], "report": [{"section_title": "Letter", "paragraphs": ["Many individuals receive medical care for a serious or life-limiting condition during the last 6 months of life that may involve making difficult decisions about life-sustaining treatment. Advance care planning helps ensure that physicians, families, and friends have documentation outlining individuals\u2019 wishes under these circumstances. Advance care planning documents include advance directives and physician orders for life- sustaining treatment (POLST) forms. Advance directives, such as living wills or health care power of attorney, specify\u2014consistent with applicable state law\u2014how individuals want medical decisions to be made for them should they become unable to communicate their wishes. POLST forms\u2014typically used for seriously ill or frail individuals\u2014instruct health care providers which specific medical actions, such as cardiopulmonary resuscitation (CPR), to take or not to take in the event of a medical emergency.", "Some blank advance care planning documents can be downloaded from state government or other websites to be voluntarily completed by individuals or by health care providers after consultation with the individual or their representative. Completed documents may be added to an individual\u2019s medical records or, depending on the state, stored in a state registry, which is a central repository of advance care planning documents intended to facilitate individuals\u2019 and providers\u2019 access to these documents when needed. Depending on the state, and how and where advance care planning documents are stored, providers and others may not be aware that the documents exist or have access to them when needed; as a result, providers may not follow individuals\u2019 documented wishes for end-of-life care. Also, state laws vary in what is considered a valid advance directive and POLST form, and whether these documents can be used in a state other than the state in which the document was executed. Although advance directives and POLST forms have been available for at least 20 years and 15 years, respectively, there is still interest in the strategies used at the state-level to help promote the voluntary completion of these documents, and strategies to provide access through medical records or a state registry to help ensure the documents are readily available to individuals and providers. At the federal level, several agencies within the Department of Health and Human Services (HHS) play a role in providing or collecting information on advance care planning, including the Centers for Medicare & Medicaid Services (CMS), which provides incentives to encourage use of electronic health records.", "You asked us to identify issues and states\u2019 strategies related to completing and accessing advance care planning documents. In this report, we describe 1. state-level advance care planning information available online, and which states have registries for completed documents; 2. challenges individuals and providers face in completing and accessing advance care planning documents; and 3. selected states\u2019 strategies for improving individuals\u2019 and providers\u2019 understanding of and access to completed advance care planning documents.", "To describe the state-level advance care planning information available online, and which states have registries of completed documents, we reviewed reports and studies by national organizations, including the American Bar Association Commission on Law and Aging, and the National POLST Paradigm. We also conducted searches of informational websites provided by state governments and non-government organizations operating within each state for available advance care planning information, including documents.", "To describe the challenges individuals and providers face in completing and accessing advance care planning documents, we reviewed documents and interviewed officials from six national stakeholder organizations involved with advance care planning or aging issues: Aging with Dignity; the American Bar Association Commission on Law and Aging; the Coalition to Transform Advanced Care; the National Hospice and Palliative Care Organization; the National POLST Paradigm; and the Pew Charitable Trusts, which administered a project on improving end-of- life care. We also conducted a literature review of relevant articles published in peer-reviewed and other publications from January 2012 to April 2018. We identified publications through a search of bibliographic databases, including AgeLine, MEDLINE, and Scopus, using terms such as \u201cadvance directive,\u201d \u201cPOLST,\u201d and \u201cdocumentation.\u201d Of the 253 citations we reviewed, we determined there were 92 relevant articles. We reviewed the 92 articles for information related to advance care planning, including prevalence of advance care planning documents, as well as challenges to access and voluntary and informed completion of documents. We also reviewed relevant GAO and other reports. In addition, we reviewed documents and interviewed officials from federal agencies that play a role in providing or collecting information on advance care planning, including CMS, the Office of the National Coordinator for Health Information Technology, and the National Institutes of Health\u2019s National Institute on Aging. Finally, we reviewed documents and interviewed officials in four states\u2014California, Idaho, Oregon, and West Virginia. We selected the four states because they were active in encouraging the use of advance care planning and had registries for completed advance care planning documents that varied in type or stage of development, based on our literature review and interviews with national stakeholder organizations. The officials we interviewed or obtained information from included those from state agencies, such as the state agency responsible for emergency medical services (EMS), and other non-governmental stakeholder organizations that were involved in advance care planning activities (state stakeholder organizations). The perspectives of the officials from the national stakeholder organizations and those interviewed in the selected states are not generalizable, but provided us with valuable insight on the challenges individuals and providers face in completing and accessing advance care planning documents.", "To describe selected states\u2019 strategies for improving the understanding of advance care planning documents and information, and access to completed documents, we reviewed documents and interviewed officials from state agencies and state stakeholder organizations in our four selected states. Specifically, for each state, we interviewed officials representing EMS providers and the state registry (registries for advance directives, POLST forms, or both). We also reviewed selected states\u2019 statutes related to advance care planning documents, reviewed articles from our literature review, and reviewed documents and interviewed officials from national stakeholder organizations, CMS, and the Office of the National Coordinator for Health Information Technology.", "We conducted this performance audit from October 2017 to February 2019, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Advance Directives and POLST Forms", "paragraphs": ["Decisions about end-of-life care are based on an individual\u2019s personal beliefs and values. Advance care planning documents, including advance directives and POLST forms, allow individuals to express their wishes for end-of-life care. These documents serve different purposes depending on an individual\u2019s stage of life or health condition. (See fig. 1.)", "According to a report by the Institutes of Medicine, advance care planning documents are most effective when used as part of broader advance care planning efforts, which may involve multiple, in-depth discussions with family members and health care providers. The report also stated that multiple discussions at various stages of life are needed, with greater specificity as an individual\u2019s health deteriorates, because an individual\u2019s medical conditions and treatment preferences may change over time. Therefore, a comprehensive approach to end-of-life care, rather than any one document, helps to ensure that medical treatment given at the end of life is consistent with an individual\u2019s preferences."], "subsections": [{"section_title": "Advance Directive", "paragraphs": ["An advance directive is a written instruction recognized under state law and relating to the provision of health care when an individual is incapacitated. For example, an advance directive may be used to record an individual\u2019s wish to receive all available medical treatment, to withdraw or withhold certain life-sustaining treatments, or to identify an agent to make medical decisions on the individual\u2019s behalf if necessary. The most common advance directive documents are living wills and health care power of attorney.", "Life-Sustaining Treatment Life-sustaining treatment means the use of available medical machinery and techniques, such as heart-lung machines, ventilators, and other medical equipment and techniques, that may sustain and possibly extend life, but which may not by themselves cure the condition.", "Living will. A living will is a written expression of how an individual wants to be treated in certain medical circumstances. Depending on state law, a living will may permit an individual to express whether they wish to be given life-sustaining treatment in the event they are terminally ill or injured, to decide in advance whether they wish to be provided food and water via intravenous devices (known as tube feeding), and to give other medical directions that affect their health care, including at the end of life. A living will applies to situations in which the decision to use life-sustaining treatments may prolong an individual\u2019s life for a limited period of time and not obtaining such treatment would result in death. Having a living will does not mean that medical providers would deny medications and other treatments that would relieve pain or otherwise help an individual be more comfortable.", "Health care power of attorney. A health care power of attorney is a document that identifies a health care agent\u2014also called a health care proxy\u2014as the decision maker for the patient. Under state law, the health care power of attorney typically becomes operative when an individual is medically determined as unable to make decisions. Most commonly, this situation occurs either because the individual is unconscious or because the individual\u2019s mental state is such that they do not have the legal capacity to make decisions. As with living wills, the process for validly executing a health care power of attorney depends on the state of residence. The health care power of attorney may be designated by using a model form in state statute or it may be drafted specifically for an individual by a lawyer. Similar to the living will, medical providers will make the initial determination as to whether an individual has the capacity to make their own medical treatment decisions.", "Most adults in the United States do not have an advance directive. According to a 2017 study, about 37 percent of adults had an advance directive. However, the proportion of individuals with an advance directive can vary by demographic group. See appendix I for more information related to the prevalence of advance directives."], "subsections": []}, {"section_title": "POLST Form", "paragraphs": ["POLST forms differ from advance directives in that they are medical orders used to communicate an individual\u2019s treatment wishes, and are appropriate for individuals with a serious illness or advanced frailty near the end-of-life. For these individuals, their current health status indicates the need for medical orders. In the event of a medical emergency, the POLST form serves as an immediately available and recognizable medical order in a standardized format to aid emergency personnel. Following the POLST form orders, emergency personnel can honor the individual\u2019s treatment wishes as communicated to and documented by the individual\u2019s health care provider. See appendix II for information on the types of information included on a POLST form."], "subsections": []}]}, {"section_title": "Information on Completing and Storing Advance Care Planning Documents", "paragraphs": ["Both government and non-government organizations, such as state agencies or the National POLST Paradigm, provide individuals and providers information on how to access or download blank advance care planning documents through their websites and education campaigns. For Medicare and Medicaid providers, the Patient Self Determination Act requires certain providers participating in these programs\u2014such as hospitals and nursing homes\u2014to maintain written policies and procedures to inform individuals about advance directives, and document information about individuals\u2019 advance directives in their medical records. Once the advance care planning documents are completed, individuals and providers can access them through various systems. For example, an individual may have their advance directive or POLST form in their electronic health record (EHR), which can be accessed by their provider or other medical personnel in the event that the individual has a medical emergency. In addition, advance directives can be stored in a lawyer\u2019s office or in an individual\u2019s home; these documents would have to be found and transported to the medical setting if needed. Some states have registries (either electronic or paper-based) for advance directives or POLST forms, whereby individuals and providers can access the registry and obtain the necessary documents."], "subsections": []}]}, {"section_title": "Websites Related to Advance Care Planning Were Available for All States; About One Quarter of States Had Registries for Completed Documents For All States, Advance Care Planning Information, Such as Blank Documents, Was Available Online", "paragraphs": ["We found websites related to advance care planning for every state; however, the amount of information on these websites varied. In addition, about a quarter of states had registries to provide access to completed advance directives, POLST forms, or both.", "For all states, either government or non-government websites provided information, which could include blank documents, on advance care planning for individuals and providers within the state. However, the amount of available information about advance care planning varied by state. The information available online varied from having an advance care planning document available to download, to extensive information on advance care planning. For example, in Mississippi, the State Board of Medical Licensure provided a POLST document that could be downloaded from its webpage with no additional information. In contrast, California\u2014through its state attorney general\u2019s website\u2014offered a blank advance directive document that could be downloaded, as well as additional information on advance directives, including who should fill out particular types of advance care planning documents, and the importance of filling out these documents; and other resources, including brochures or information packets detailing advance care planning and other relevant documents."], "subsections": [{"section_title": "About One-Quarter of States Had Registries for Completed Advance Directives, POLST Forms, or Both", "paragraphs": ["To give providers, individuals, or both access to completed advance care planning documents, about one-quarter of states (14) had active registries (either electronic or paper-based) of completed advance directives, POLST forms, or both, as of November 2018. (See fig. 2.) Specifically,", "3 states had active registries for both completed advance directives", "8 states had active registries solely for completed advance directives;", "2 states had active registries solely for completed POLST forms,", "1 state had an active registry for completed advance directives and was piloting registries for completed POLST forms, and", "37 states did not have active registries for either advance directives or POLST forms.", "The 14 states with active registries varied in how they administered them. Some states\u2019 registries were administered through state agencies or by contracting with an outside organization. For example, in Oregon, the state contracted with a large health system in the state to operate the technical aspects of the state\u2019s POLST registry, while in Vermont, the Department of Health administered the state\u2019s registry with technical support from a private national document registry company. For other states\u2014such as New York, Virginia, and West Virginia\u2014the state registries were administered through non-government organizations in collaboration with state agencies."], "subsections": []}]}, {"section_title": "Challenges to Advance Care Planning Include Understanding the Types of Documents and Ensuring Access to Completed Documents", "paragraphs": ["Based on our interviews with officials from national stakeholder organizations, state agencies and stakeholder organizations in selected states, and articles we reviewed, we identified two broad challenges to advance care planning: (1) a lack of understanding about advance care planning, including how to initiate conversations about advance care planning and how to complete and follow advance care planning documents; and (2) ensuring access to completed documents. In addition to these two broad challenges, the officials we interviewed identified challenges related to resources and the portability of advance care planning documents.", "Individuals and providers may struggle with how and when to initiate advance care planning conversations. We previously reported that providers identified informing individuals about advance care planning as a challenge due to reluctance to talk about end-of-life issues. In addition, officials from both national and state stakeholder organizations identified challenges to providers properly counseling their patients about advance care planning, either to avoid discussing death and dying with their patients, or because of their own uncertainties regarding the timing of when to hold such discussions. In addition to challenges related to having advance care planning conversations, individuals and providers may not understand that filling out the document is voluntary or how to complete and follow the advance care planning document, according to officials from national stakeholder organizations and officials in the four selected states. Officials from national stakeholder organizations and articles we reviewed noted that challenges with voluntarily completing advance care planning documents can arise when there are language or cultural barriers to understanding these documents. When individuals or providers do not understand the information being requested in advance care planning documents, it can affect whether an individual\u2019s wishes for care are accurately represented. A state agency official in one state identified challenges in ensuring EMS providers understand the appropriate actions to take when they encounter a document that is different from a traditional POLST form. For example, the state official noted that EMS providers might assume that individuals who have a wallet card on their person do not want CPR when the card actually indicates that the individual has completed an advance directive or POLST form to express their care wishes. This could result in treatment that does not match the individual\u2019s expressed wishes.", "Once advance care planning documents are completed, additional challenges exist to ensuring that providers have access to these documents when needed, such as in an emergency situation. Officials from the national stakeholder organizations, state agencies, and state stakeholder organizations we interviewed identified challenges related to accessing advance directives and POLST forms stored in EHRs. Specifically, stakeholders identified challenges related to EHR interoperability, such as where a provider in one health system cannot access advance care planning documents recorded in an EHR at a different health care system. While interoperability is not limited to advance care planning documents, the challenges associated with accessing advance care planning documents in EHRs can affect providers\u2019 abilities to honor an individual\u2019s wishes in an emergency if they do not have ready access to the documents. For example, when emergency providers cannot readily access advance care planning documents in another health system\u2019s EHR, the providers might not be aware of and provide treatment inconsistent with the wishes of someone they are treating in the emergency room. National stakeholder officials also noted challenges due to a lack of standardization in EHR systems. For example, one national stakeholder official noted that EHR systems in health care facilities do not always have standardized processes for storing advance care planning documents\u2014that is, one health care facility might enter advance directive information into a physician\u2019s notes section of the EHR, while another might have a specific tab in the EHR for advance directives. Due to the lack of standardization, providers might not be able to find an individual\u2019s advance care planning document, and consequently provide treatment inconsistent with the individual\u2019s expressed wishes.", "In addition to challenges related to understanding and accessing advance care planning documents, officials from the national stakeholder organizations, state agencies, and state stakeholder organizations we interviewed identified other challenges related to resources and portability of advance care planning documents.", "State agency officials told us that the lack of dedicated resources for advance care planning efforts, such as maintaining a registry, can be challenging. For example, an Idaho official stated that, due to resource constraints within the Secretary of State\u2019s Office\u2014which administers its Health Care Directive registry\u2014the office does not have the personnel to maintain the registry at current document submission rates.", "National stakeholder officials discussed challenges with states\u2019 legal structures for accepting advance care planning documents\u2014that is, the portability of documents across state lines. For example, an individual might fill out an advance directive or POLST form in one state, but become ill in another state where these documents may not be valid."], "subsections": []}, {"section_title": "Various Strategies Used in Selected States to Improve Individuals\u2019 and Providers\u2019 Understanding of and Access to Advance Care Planning Documents", "paragraphs": ["In our four selected states\u2014California, Idaho, Oregon, and West Virginia\u2014state agencies and state stakeholder organizations pursued various strategies to improve individuals\u2019 and providers\u2019 understanding of advance care planning documents, as well as to improve their access to completed advance care planning documents."], "subsections": [{"section_title": "Selected States Used Education and Training to Increase Understanding of the Need for and Use of Advance Care Planning Documents", "paragraphs": ["Officials from state agencies and stakeholder organizations in our selected states described efforts to educate individuals about the importance of advance care planning and train providers on the use of advance care planning documents."], "subsections": [{"section_title": "Educating Individuals", "paragraphs": ["To address individuals\u2019 lack of understanding of advance care planning, state agency officials and stakeholders in our selected states used strategies to inform them about the purpose of the documents and how to fill them out. The following are some examples of these efforts.", "Oregon. The Oregon POLST Coalition used its relationship with stakeholder groups in the state\u2014a large health system, and the state health authority\u2014to educate individuals about POLST forms. These efforts included online videos and brochures intended to improve individuals\u2019 voluntary and informed completion of the documents.", "West Virginia. The West Virginia Center for End-of-Life Care\u2014which administers the state\u2019s advance care planning registry\u2014collaborated with the West Virginia Network of Ethics Committees and a national organization to conduct public education presentations and webinars.", "For three of our selected states, educational efforts also included making information about advance care planning available in other languages. For example, in California, Idaho, and Oregon, POLST forms and other information on advance care planning are available in Spanish. Articles we reviewed stated that providing culturally sensitive documents that communicate how to fill out the documents could help improve voluntary and informed completion of advance care planning documents."], "subsections": []}, {"section_title": "Training Providers", "paragraphs": ["Officials from state agencies and state stakeholder organizations in all four selected states reported conducting provider training, which included working with EMS and hospital providers to train them on advance care planning documents, such as how to use advance directives and POLST forms and when to conduct end-of-life care conversations. The following are examples of these efforts.", "California. A state stakeholder organization in California conducted train-the-trainer sessions to educate providers about POLST forms, so the providers could subsequently conduct community training events. The organization also published decision aids for providers and individuals to help facilitate advance care planning conversations. The organization, which focused on POLST education and training, noted that it holds periodic conference calls with previous session participants to provide ongoing support and continue discussions about advance care planning.", "Idaho. The state\u2014through collaborations with stakeholder organizations in Idaho\u2014focused on improving advance care planning through education efforts. Specifically, the state collaborated with stakeholder organizations to conduct trainings on locating and understanding advance care planning documents. In addition, the organizations created EMS protocols related to accessing individuals\u2019 wishes during emergencies. An Idaho official noted that successful advance care planning education and outreach within the state has led to a large increase in the number of advance care planning documents submitted to the state\u2019s registry.", "Oregon. State stakeholder organizations conducted provider training on advance directives and POLST forms. For example, an organization that focused on improving advance care planning education in the state developed an initiative, which included educational materials and training programs, to improve patient understanding of filling out and updating advance directives through health care organizations and provider training. Further, according to an official from the state health authority, POLST information is included in the curriculum for all medical education in the state ranging from emergency medical technicians to physicians.", "West Virginia. The West Virginia Center for End-of-Life Care created training manuals, led EMS training webinars, and provided other online education materials to improve provider education about using POLST forms and related protocols in the field.", "National stakeholder organizations we interviewed and articles we reviewed also noted that increasing the quality of the advance care planning conversations between providers and their patients is an important aspect of successful advance care planning efforts. One strategy to improve the advance care planning conversations is to conduct the conversations over multiple visits, according to national stakeholders and articles."], "subsections": []}]}, {"section_title": "Selected States\u2019 Strategies to Improve Access to Completed Documents Included Interoperability between Electronic Health Records and Registries", "paragraphs": ["Officials from state agencies and stakeholder organizations in our selected states utilized strategies to improve access to current advance care planning documents, including better interoperability between EHRs and a state registry, and access to completed documents stored in registries."], "subsections": [{"section_title": "Access in Electronic Health Records", "paragraphs": ["Officials from state agencies and stakeholder organizations identified strategies to improve providers\u2019 access to advance care planning documents stored in an EHR and to ensure the EHR has the most current copy of the document. One strategy used in Oregon enabled information sharing between EHR systems and the state\u2019s electronic registry of completed POLST forms, allowing providers access to the most current POLST forms, according to state officials. Certain EHR systems\u2014 including those in three large health systems in the state\u2014are interoperable with the state\u2019s electronic POLST registry using bidirectional technology, meaning that the systems are coded in a way that they can seamlessly exchange information with each other. This allows providers to receive updated POLST forms from the registry upon the individual\u2019s admission to the hospital. It also updates the POLST forms in the registry when changes are made in the EHR by the provider in the hospital. The Oregon officials described another strategy taken within a large health system in the state, which allows providers to quickly know whether a patient has an advance directive in an EHR by using a tab in the medical record indicating that the documents are in the EHR. Stakeholder organizations identified other strategies for increasing access to completed advance care planning documents, such as standardizing information. For example, one national stakeholder organization noted that advance care planning documents could be in a standardized location within an EHR to help providers find these documents more easily.", "Another strategy used in our selected states is the use of a health information exchange to facilitate access to advance care planning documents. According to a West Virginia stakeholder organization, using the state\u2019s health information exchange allowed West Virginia to easily provide authorized individuals with direct access to completed advance care planning documents\u2014both advance directives and POLST forms\u2014in its registry."], "subsections": []}, {"section_title": "Access to Registry Information", "paragraphs": ["Officials from state agencies and stakeholder organizations also developed strategies to improve access to completed advance care planning documents in their state registries. All four selected states used registries to facilitate access to completed advance care planning documents: two states (Idaho and West Virginia) had registries for both advance directives and POLST forms, one state (California) had an advance directive registry and was piloting an electronic POLST registry in two communities, and the remaining state (Oregon) had a POLST registry. Officials in these states reported strategies to facilitate access through their registries. Below are examples of these strategies.", "California. To test whether partnering with a health information exchange organization would provide benefits to the state\u2019s POLST eRegistry uptake and expansion, one of the two California communities chosen to pilot the POLST eRegistry was led by a health information exchange. The other community selected for the pilot was led by a for-profit commercial service. According to a California EMS official, using the health information exchange allowed advance care planning documents to be exchanged quickly between ambulances and hospitals.", "West Virginia. West Virginia\u2019s registry used the state-wide EMS structure, enabling EMS providers to access the information in an individual\u2019s POLST form while en route to an emergency call. The medical director at the EMS state office noted that EMS providers could call one of its five medical command centers, which could access the registry online to \u201cpre-screen\u201d individuals, to determine if there was a valid advance care planning document on file. EMS providers then received the individual\u2019s information from the medical command center. According to an official involved with the state registry, authorized individuals\u2014i.e., individuals with a registry-issued username and password\u2014could also directly view registry documents.", "Oregon. State officials reported using an opt-out strategy for the submission of POLST forms to the state\u2019s registry to help ensure that the information in the registry was current. That is, the state has a legislative mandate for providers to submit all POLST forms to the state\u2019s POLST registry unless the patient elected to opt out of the submission. According to Oregon stakeholders, Oregon attributes the widespread use and adoption of the registry to this strategy. One article noted that, in Oregon, successful access to POLST forms through the registry by EMS providers influenced the treatment of individuals. Oregon officials and stakeholders told us that they have not experienced many challenges related to administering its POLST registry and providing access to completed POLST forms, because they leveraged their existing centralized EMS system and created a state administered registry that is interoperable and available to all health systems within the state. Oregon officials stated that the state\u2019s registry success is largely attributable to the fact that it was designed to meet the access and workflow needs of both EMS providers in the field and acute care providers.", "At the federal level, to support state registry efforts, in February 2016, CMS published a State Medicaid Director letter alerting states to the availability of federal Medicaid funding for the development of and connection to public health systems, such as registries. A July 2018 report by the Office of the National Coordinator for Health Information Technology noted that end-of-life care advocacy groups should consider working with State Medicaid Directors to apply for CMS funding to pilot POLST registries. According to CMS, as of October 2018, one state, Louisiana, received approval to fund an electronic registry for advance directives."], "subsections": []}]}, {"section_title": "Additional Strategies Used in Selected States Address Resource Needs for Advance Care Planning Registries and the Portability of Documents.", "paragraphs": ["Officials from state agencies and stakeholder organizations in our selected states discussed the importance of having adequate funding and staff resources to administer their registries. For example, according to an Oregon stakeholder organization, dedicated state funding for the state\u2019s registry allows multiple benefits, such as continuous availability of the registry for individuals and providers. Oregon POLST officials stated that in order to ensure access to individuals\u2019 POLST forms between health systems within a state, they believe POLST registries should be state funded and administered. According to the Office of the National Coordinator for Health Information Technology report and a West Virginia registry official, the state\u2019s registry, which received state-funding from 2009 until 2017, functioned as a central source of information on individuals\u2019 wishes, which were recorded in documents such as advance directives and POLST forms and alleviated multiple access issues. However, officials involved in receiving and providing registry services reported challenges when the registry did not receive state funding in 2018. As a result, online access to advance directives and POLST forms through the registry was discontinued. In California, officials involved with the POLST eRegistry pilot stated that one goal of the pilot project was to identify potential plans for sustainable funding of a registry.", "Regarding acceptance of out-of-state advance care planning documents\u2014that is, the portability of documents across state lines\u2014we found that all four selected states have statutes that address the validity of advance care planning documents executed in another state. To ensure individuals\u2019 wishes are honored, according to an American Bar Association official, states need to engage in efforts to develop processes and protocols that will allow advance care planning documents to be accepted between states. While the states\u2019 language varies, all selected states allow use of out-of-state documents. Under Idaho\u2019s statute, out-of- state documents that substantially comply with Idaho\u2019s requirements are deemed to be compliant with Idaho\u2019s statute. California\u2019s, Oregon\u2019s, and West Virginia\u2019s statutes note that out-of-state documents executed in compliance with that state\u2019s laws are valid within their states. For more information on the states\u2019 statues related to advance care planning, see appendix IV."], "subsections": []}]}, {"section_title": "Agency and Third Party Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services. HHS provided technical comments, which we incorporated as appropriate. We also provided relevant information from the draft report to state officials and stakeholders in each of the four selected states in our review (California, Idaho, Oregon, and West Virginia), and to one national stakeholder organization (the National POLST Paradigm), and incorporated their technical comments, as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, the Administrator of the Centers for Medicare & Medicaid Services, the National Coordinator for Health Information Technology, the National Institute on Aging, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Information on the Extent to Which Individuals Have Advance Directives", "paragraphs": ["Officials from the National Institutes of Health\u2019s National Institute on Aging, the Centers for Disease Control and Prevention\u2019s National Center for Health Statistics, and representatives of national stakeholder organizations identified specific surveys and a comprehensive national study of the prevalence of individuals who have completed advance directives. Table 1 provides information from selected research on the prevalence of advance directives. Table 2, below, shows the percentage of individuals age 65 and older responding to the Health and Retirement Survey who reported having a living will or power of attorney in 2012, 2014, and 2016."], "subsections": []}, {"section_title": "Appendix II: Types of Information Found on a POLST Form", "paragraphs": ["Physician orders for life-sustaining treatment (POLST) forms are different in each state, and the order of the sections or the options within a section may differ. However, according to the National POLST Paradigm, POLST forms cover the same information. Information about the forms, including sections on cardiopulmonary resuscitation (CPR), medical interventions, artificially administered nutrition, and signatures, is provided below."], "subsections": [{"section_title": "Section A: Cardiopulmonary Resuscitation", "paragraphs": ["This section only applies when the individual is unresponsive, has no pulse, and is not breathing. This is similar to a do-not-resuscitate order, but the individual only has a do-not-resuscitate order when they do not want CPR. The POLST form allows individuals to clearly show they do want CPR. If this is left blank, the standard protocol is for emergency personnel to provide CPR if medically indicated. (See fig. 3.)"], "subsections": []}, {"section_title": "Section B: Medical Interventions", "paragraphs": ["This section gives medical orders when CPR is not required, but the individual still has a medical emergency and cannot communicate. There are three options and a space for a health care professional to write in orders specific for the individual. Care is always provided to individuals. This section is for letting emergency personnel know what treatments the individual wants to have. (See fig. 4.) 1. Full treatment. The goal of this option is to provide all treatments necessary (and medically appropriate) to keep the individual alive. In a medical emergency, individuals want to go to the hospital and, if necessary, be put in the intensive care unit and on a breathing machine. 2. Limited treatment / select treatment. The goal of this option is to provide basic medical treatments. These individuals want to go to the hospital, but do not want to be put in the intensive care unit or on a breathing machine. They are okay with antibiotics and intravenous fluids. 3. Comfort measures only. The goal of this option is to focus on making the individual as comfortable as possible where they are. These individuals do not want to go to the hospital. If the individual\u2019s comfort cannot be taken care of where they are, transfer to the hospital may be necessary.", "According to the National POLST Paradigm, in many states, if an individual chooses CPR\u2014or leaves Section A blank\u2014the individual is required to choose \u201cFull Treatment\u201d in Section B. This is because CPR usually requires intubation and a breathing machine, which are only options under \u201cFull Treatment.\u201d If an individual has a medical emergency, but does not want CPR, this is the section emergency personnel will look at to see whether the individual wants to go to the hospital or not (for Full Treatment and Limited Interventions: yes; for Comfort Measures Only: no). If the individual only has a do-not-resuscitate order, emergency personnel would take them to the hospital."], "subsections": []}, {"section_title": "Section C: Artificially Administered Nutrition", "paragraphs": ["This section is where orders are given about artificially administered nutrition (and in some states artificially administered hydration) for when the individual cannot eat. All POLST forms note that individuals should always be offered food by mouth, if possible. (See fig. 5.)"], "subsections": []}, {"section_title": "Other Section: Signatures", "paragraphs": ["Health care professional. Since this document is a medical order, a health care professional is required to sign it in order for it to be valid. Which health care professionals can sign (e.g., physician, nurse practitioner) varies by state. The document has a statement saying that, by signing the form, the health care professional agrees that the orders on the document match what treatments the individual said they wanted during a medical emergency based on their current medical condition.", "Patient or surrogate. According to the National POLST Paradigm, most states require the patient or the surrogate to sign this form. This helps to show the patient or surrogate was part of the conversation and agrees with the orders listed on the form."], "subsections": []}, {"section_title": "Backside of a POLST Form", "paragraphs": ["The backside of the POLST form has directions and information, usually for health care professionals. Other information it may have includes information on how to void a POLST form; contact information for surrogates; and information on who completed the POLST form."], "subsections": []}]}, {"section_title": "Appendix III: Information on CMS\u2019s Promoting Interoperability Programs Related to Advance Care Planning Documents", "paragraphs": ["This appendix provides information about incentive programs provided by the Centers for Medicare & Medicaid Services (CMS) to encourage providers to use electronic health records related to advance care planning documents. CMS provided incentive payments to eligible providers who reported certain measures through its Medicare electronic health records (EHR) Incentive Program (meaningful use program), which started in 2011. At certain points in the program, measures related to advance care planning were optional measures. In 2017, eligible professionals (physicians) began reporting \u201cpromoting interoperability\u201d measures through the Merit-based Incentive Payment System (MIPS).", "The American Recovery and Reinvestment Act of 2009 established the Medicare and Medicaid EHR Incentive Program. This program provided incentive payments for certain eligible providers\u2014certain hospitals and physicians\u2014that successfully demonstrated meaningful use of certified EHR technology and met other program requirements established by CMS. The program was implemented in three stages\u2014measures were established at each stage to promote the use of EHRs in the delivery of health care and to ensure that providers capture information in their EHRs consistently. For example, one measure assessed whether providers have the technical capability in their EHRs to notify the provider of potential interactions among the patients\u2019 medications and with patients\u2019 allergies. In all three stages of meaningful use, providers had to report certain mandatory or core measures, as well as on a set of optional or menu measures.", "The recording of advance directives was not included as a mandatory measure for eligible providers during any stage of meaningful use. For stages 1 and 2 of meaningful use (2011 through 2015) the recording of advance directives was an optional measure, meaning hospitals could choose to report it or could choose to report a different measure. This optional measure for eligible hospitals was a yes/no measure of whether users could record whether a patient has an advance directive. In October 2015, CMS released the stage 3 final rule that also modified elements of stage 2 reporting; this modification eased reporting requirements and aligned them with other quality reporting programs, according to agency officials. For both modified stage 2 and stage 3 (2015 through 2017), the original advance directive measures were no longer included. CMS noted that a goal for stage 3 measures was to include more advanced EHR functions, and one stage 3 measure addressed capturing and incorporating a broad range of data into the EHR, including advance directives.", "One national stakeholder organization recommended a measure to ensure that if there are any advance care planning documents in the medical record, that the documents be accessible to all health care providers. CMS noted that advance care planning directives can be included in the notes and is addressed by certification requirements applicable to EHRs. Participants in these CMS programs must use certified EHR technology, which is technology that has been determined to conform to certification criteria developed by the Department of Health and Human Services\u2019 Office of the National Coordinator for Health Information Technology. The 2015 certified EHR technology criteria\u2014the most recent edition\u2014includes a criterion that relates to advance care planning documents.", "The Medicare Access and CHIP Reauthorization Act of 2015 established the Quality Payment Program, which consolidated components of three previously used payment incentive programs, including the Medicare EHR Incentive Program, into MIPS. Under the MIPS program, which affects clinician payments beginning in 2019, participating clinicians will generally be assessed in four areas, one of which is the \u201cpromoting interoperability\u201d performance category that aims to achieve the same objectives as the original meaningful use program. MIPS-eligible clinicians report measures and activities to earn a score in the performance categories. Under the \u201cimprovement activities\u201d performance category, one optional activity\u2014advance care planning\u2014covers items such as implementation of practices or processes to develop advance care planning that includes documenting the advance care plan or living will, and educating clinicians about advance care planning. Clinicians who meet the criteria for this activity can report this advance care planning activity to earn credit for the \u201cimprovement activities\u201d performance category. Further, the advance care planning activity could earn bonus points in the \u201cpromoting interoperability\u201d category, if the activity was conducted using certified EHR technology in 2017 and 2018."], "subsections": []}, {"section_title": "Appendix IV: Selected State Statutes Related to Advance Care Planning Documents", "paragraphs": ["Our four selected states\u2014California, Idaho, Oregon, and West Virginia\u2014 had statutes with similar provisions that affected access to advance care planning documents; however, the statutes differed in the specificity of these provisions. This appendix provides information on provisions related to (1) document execution requirements, such as signature and witness requirements; (2) the validity of other advance care planning documents; (3) provider objections to advance care planning directions; and (4) provider liability protections."], "subsections": [{"section_title": "Document Execution Requirements", "paragraphs": ["Statutes in the four selected states required advance care planning documents to contain specific elements for the documents to be valid. The document requirements included the following:", "Signature requirements. All four selected states required individuals or designated representatives to sign the advance care planning document for the document to be legally valid. In addition, California allows individuals to sign the documents with a digital signature.", "Witness requirements. Three of the states (California, Oregon, and West Virginia) have statutes that require at least one witness to be present during the completion of advance care planning documents for that document to be legally valid. These states varied regarding the relationship the witness could have with the individual and number of required witnesses. For example, for advance care planning documents that were signed by witnesses, California required that at least one of the witnesses not be related to the individual by blood, marriage, or adoption, nor be entitled to any portion of the individual\u2019s estate upon the individual\u2019s death under an existing will. In contrast, according to state officials in Idaho, the state removed witness requirements from its advance care planning documents in 2012 to make the documents easier to complete."], "subsections": []}, {"section_title": "Format of Advance Care Planning Documents", "paragraphs": ["All four selected states\u2019 statutes contained model forms that could be used as a valid advance care planning document. All of the states contained provisions regarding the acceptance of documents other than the forms set out in statute. A document other than the model form is valid if it includes required statutory elements (e.g., signature requirements). For example, in Idaho, the document must be substantially like the model form or contain the elements laid out in the statute. In Oregon, the advance directive statute states that, except as otherwise provided, Oregon residents\u2019 advance directives must be the same as the statutory model form to be valid."], "subsections": []}, {"section_title": "Provider Objections to Advance Care Planning Directions", "paragraphs": ["All four selected states\u2019 advance care planning statutes had provisions related to provider objections\u2014the statutes address situations in which the provider is unable or unwilling to comply with advance care planning directions. However, the statutes varied on the grounds for provider objection, the required steps to be taken, and the extent to which providers were responsible for taking those steps. For example, California\u2019s and Idaho\u2019s statutes allow providers to object on ethical and professional grounds; and California\u2019s, Idaho\u2019s, and West Virginia\u2019s statutes allow providers to object on reasons of conscience. In addition, the four states\u2019 statutes specified the steps that providers or health systems must take after an objection is made. For example, all four selected states require that specified steps be taken with regard to transferring the individual to a provider that will honor their wishes. Further, California and Oregon explicitly require patient or health care representative notification as soon as provider objections are made."], "subsections": []}, {"section_title": "Provider Liability Protections", "paragraphs": ["All four states also had statutes that addressed the circumstances under which providers would not be subject to civil or criminal liability, or professional disciplinary action with regard to administering advance care planning documents and directions. The states\u2019 statutes varied with regard to the actions that were covered under these liability provisions. For example, California\u2019s statute addresses situations in which a provider or institution either complied with or objected to the directions provided in advance care planning documents, while Idaho\u2019s, Oregon\u2019s, and West Virginia\u2019s statutes only addressed situations in which providers and other parties complied in good faith with the directions."], "subsections": []}]}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Kim Yamane (Assistant Director), Shirin Hormozi (Analyst-in-Charge), Leia Dickerson, Drew Long, Ian P. Moloney, Monica Perez-Nelson, and Vikki Porter made key contributions to this report."], "subsections": []}]}], "fastfact": ["In a medical emergency, do you want CPR, a feeding tube, or other life-sustaining treatment?", "You can plan for what you want (or don't want) using documents such as:", "Advance directives\u2014living wills and health care power of attorney\u2014to document your health care wishes", "Physician orders for life-sustaining treatment to document end-of-life treatment orders if you're seriously ill", "If you have these documents, doctors and emergency techs may not know they exist or be able to find them. And many people don't have them.", "Some states are educating health care providers and patients and maintaining document registries to address these issues."]} {"id": "GAO-19-105", "url": "https://www.gao.gov/products/GAO-19-105", "title": "Information Security: Agencies Need to Improve Implementation of Federal Approach to Securing Systems and Protecting against Intrusions", "published_date": "2018-12-18T00:00:00", "released_date": "2018-12-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Federal agencies are dependent on information systems to carry out operations. The risks to these systems are increasing as security threats evolve and become more sophisticated. To reduce the risk of a successful cyberattack, agencies can deploy intrusion detection and prevention capabilities on their networks and systems.", "GAO first designated federal information security as a government-wide high-risk area in 1997. In 2015, GAO expanded this area to include protecting the privacy of personally identifiable information. Most recently, in September 2018, GAO updated the area to identify 10 critical actions that the federal government and other entities need to take to address major cybersecurity challenges.", "The federal approach and strategy for securing information systems is grounded in the provisions of the Federal Information Security Modernization Act of 2014 and Executive Order 13800. The act requires agencies to develop, document, and implement an agency-wide program to secure their information systems. The Executive Order, issued in May 2017, directs agencies to use the National Institute of Standards and Technology's cybersecurity framework to manage cybersecurity risks.", "The Federal Cybersecurity Enhancement Act of 2015 contained a provision for GAO to report on the effectiveness of the government's approach and strategy for securing its systems. GAO determined (1) the reported effectiveness of agencies' implementation of the government's approach and strategy; (2) the extent to which DHS and OMB have taken steps to facilitate the use of intrusion detection and prevention capabilities to secure federal systems; and (3) the extent to which agencies reported implementing capabilities to detect and prevent intrusions.", "To address these objectives, GAO analyzed OMB reports related to agencies' information security practices including OMB's annual report to Congress for fiscal year 2017. GAO also analyzed and summarized agency-reported security performance metrics and IG-reported information for the 23 civilian CFO Act agencies. In addition, GAO evaluated plans, reports, and other documents related to DHS intrusion detection and prevention programs, and interviewed OMB, DHS, and agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The 23 civilian agencies covered by the Chief Financial Officers Act of 1990 (CFO Act) have often not effectively implemented the federal government's approach and strategy for securing information systems (see figure below). Until agencies more effectively implement the government's approach and strategy, federal systems will remain at risk. To illustrate:", "As required by Office of Management and Budget (OMB), inspectors general (IGs) evaluated the maturity of their agencies' information security programs using performance measures associated with the five core security functions\u2014identify, protect, detect, respond, and recover. The IGs at 17 of the 23 agencies reported that their agencies' programs were not effectively implemented.", "IGs also evaluated information security controls as part of the annual audit of their agencies' financial statements, identifying material weaknesses or significant deficiencies in internal controls for financial reporting at 17 of the 23 civilian CFO Act agencies.", "Chief information officers (CIOs) for 17 of the 23 agencies reported not meeting all elements of the government's cybersecurity cross-agency priority goal. The goal was intended to improve cybersecurity performance through, among other things, maintaining ongoing awareness of information security, vulnerabilities, and threats; and implementing technologies and processes that reduce malware risk.", "Executive Order 13800 directed OMB, in coordination with the Department of Homeland Security (DHS), to assess and report on the sufficiency and appropriateness of federal agencies' processes for managing cybersecurity risks. Using performance measures for each of the five core security functions, OMB determined that 13 of the 23 agencies were managing overall enterprise risks, while the other 10 agencies were at risk. In assessing agency risk by core security function, OMB identified a few agencies to be at high risk (see figure at the top of next page).", "DHS and OMB facilitated the use of intrusion detection and prevention capabilities to secure federal agency systems, but further efforts remain. For example, in response to prior GAO recommendations, DHS had improved the capabilities of the National Cybersecurity Protection System (NCPS), which is intended to detect and prevent malicious traffic from entering agencies' computer networks. However, the system still had limitations, such as not having the capability to scan encrypted traffic. The department was also in the process of enhancing the capabilities of federal agencies to automate network monitoring for malicious activity through its Continuous Diagnostics and Mitigation (CDM) program. However, the program was running behind schedule and officials at most agencies indicated the need for additional training and guidance. Further, the Federal CIO issued a mandated report assessing agencies' intrusion detection and prevention capabilities, but the report did not address required information, such as the capability of NCPS to detect advanced persistent threats, and a cost/benefit comparison of capabilities to commercial technologies and tools.", "Selected agencies had not consistently implemented capabilities to detect and prevent intrusions into their computer networks. Specifically, the agencies told GAO that they had not fully implemented required actions for protecting email, cloud services, host-based systems, and network traffic from malicious activity. For example, 21 of 23 agencies had not, as of September 2018, sufficiently enhanced email protection through implementation of DHS' directive on enhanced email security. In addition, less than half of the agencies that use cloud services reported monitoring these services. Further, most of the selected 23 agencies had not fully implemented the tools and services available through the first two phases of DHS's CDM program. Until agencies more thoroughly implement capabilities to detect and prevent intrusions, federal systems and the information they process will be vulnerable to malicious threats."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations to DHS, to among other things, coordinate with agencies to identify additional needs for training and guidance. GAO is also making seven recommendations to OMB to, among other things, direct the Federal CIO to update the mandated report with required information, such as detecting advanced persistent threats. DHS concurred with GAO's recommendations. OMB did not indicate whether it concurred with the recommendations or not."]}], "report": [{"section_title": "Letter", "paragraphs": ["Federal agencies are dependent on computerized (cyber) information systems and electronic data to carry out operations and to process, maintain, and report essential information. Virtually all federal operations are supported by computer systems and electronic data, and agencies would find it difficult, if not impossible, to carry out their missions and account for their resources without these information assets. Hence, the security of these systems and data is vital to public confidence and the nation\u2019s safety, prosperity, and well-being. Further, many of these systems contain vast amounts of personally identifiable information, thus, making it imperative to protect the confidentiality, integrity, and availability of this information and effectively respond to data breaches and security incidents when they occur.", "The risks to information systems supporting the federal government are increasing as security threats continue to evolve and become more sophisticated. These risks include escalating and emerging threats from around the globe, steady advances in the sophistication of attack technology, and the emergence of new and more destructive attacks.", "Compounding these risks, computer networks and systems used by federal agencies are often riddled with security vulnerabilities\u2014both known and unknown. These systems are often interconnected with other internal and external systems and networks, including the Internet, thereby increasing the number of avenues of attack and expanding their attack surface.", "Our previous reports, and those by federal inspectors general, describe persistent information security weaknesses that place federal agencies at risk of disruption or inappropriate disclosure of sensitive information. Accordingly, GAO made more than 3,000 recommendations to agencies since 2010 aimed at addressing cybersecurity shortcomings. Although many of these recommendations have been addressed, approximately 700 had not been implemented as of November 2018.", "The federal approach and strategy for securing information systems is grounded in the provisions of the Federal Information Security Modernization Act of 2014 (FISMA) and Executive Order 13800. FISMA requires agencies to develop, document, and implement an agency-wide information security program to secure federal information systems, and assigns oversight responsibilities to the Department of Homeland Security (DHS) and the Office of Management and Budget (OMB). The executive order establishes a policy for managing cybersecurity risk and directs agencies to use the National Institute of Standards and Technology (NIST) cybersecurity framework to manage these risks.", "GAO first designated federal information security as a government-wide high-risk area almost 22 years ago in 1997. In 2003, we expanded this area to include computerized systems supporting the nation\u2019s critical infrastructure and, in 2015, we further expanded this area to include protecting the privacy of personally identifiable information. We continued to identify federal information security as a government-wide high-risk area in our February 2017 high-risk update report.", "Most recently, in September 2018, we provided an update to the information security high-risk area by identifying four major cybersecurity challenges facing the nation and 10 critical actions that the federal government and other entities needed to take to address them. These actions included developing and executing a more comprehensive federal strategy for national cybersecurity and global cyberspace. In this update, we noted that establishing a comprehensive cybersecurity strategy and performing effective oversight were a major challenge.", "The Federal Cybersecurity Enhancement Act of 2015, which was enacted December 18, 2015, included a provision for GAO to report on the effectiveness of the federal government\u2019s approach and strategy for securing agency information systems, including intrusion detection and prevention capabilities. Our specific objectives were to assess: (1) the reported effectiveness of selected agencies\u2019 implementation of the federal government\u2019s approach and strategy to securing agency information systems; (2) the extent to which OMB and DHS have facilitated the use of intrusion detection and prevention capabilities to secure federal agency information systems; and (3) the extent to which selected agencies reported implementing capabilities to detect and prevent intrusions.", "To address the first objective, we reviewed annual reports from OMB and the 23 civilian agencies covered by the Chief Financial Officers Act of 1990 (CFO Act). These reports were related to the implementation of FISMA for fiscal year 2017, which was the most recent fiscal year for which the reports were available. In addition, we examined performance metrics related to the cybersecurity cross-agency priority (CAP) goal for fiscal years 2016 and 2017 for the 23 agencies. We also reviewed the financial statement audit reports for the 23 civilian agencies for fiscal years 2016 and 2017. Because we focused our work on the 23 civilian agencies, results from these reviews are not generalizable to the entire federal government.", "For the second objective, we collected and reviewed information security- related documents from OMB and DHS and compared them to requirements of the Federal Cybersecurity Enhancement Act of 2015. We also interviewed knowledgeable officials from OMB and DHS regarding their agencies\u2019 efforts to fulfill requirements of the act.", "In addition, we assessed the extent to which DHS had improved the capabilities of the National Cybersecurity Protection System (NCPS). To do this, we assessed the department\u2019s actions to implement nine recommendations GAO previously made to, among other things, enhance the system and better define requirements for future capabilities. We also reviewed documents and interviewed DHS officials to determine other actions, beyond those related to our recommendations, that the department had taken to improve the system. Further, we held semi- structured interviews with knowledgeable officials from the 23 civilian CFO Act agencies to obtain their views on the intrusion detection and prevention capabilities made available by DHS. The results of these interviews are not generalizable to all federal agencies.", "To address the third objective, we summarized information from our semi- structured interviews about reported capabilities implemented at the 23 civilian CFO Act agencies to detect and prevent intrusions. We also analyzed security status reports from DHS. See appendix I for additional details on our objectives, scope, and methodology.", "We conducted this performance audit from December 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Cybersecurity incidents continue to impact federal entities and the information they maintain. According to OMB\u2019s 2018 annual FISMA report to Congress, agencies reported 35,277 information security incidents to DHS\u2019s U.S. Computer Emergency Readiness Team (US-CERT) in fiscal year 2017. As shown in figure 1, these incidents involved threat vectors, such as web-based attacks, phishing attacks, and the loss or theft of computer equipment, among others.", "These incidents and others like them can pose a serious challenge to economic, national, and personal privacy and security. The following examples highlight the impact of such incidents: In March 2018, the Department of Justice reported that it had indicted nine Iranians for conducting a massive cybersecurity theft campaign on behalf of the Islamic Revolutionary Guard Corps. According to the department, the Iranians allegedly stole more than 31 terabytes of documents and data from more than 140 American universities, 30 U.S. companies, and 5 federal government agencies, among other entities.", "In March 2018, a joint alert from DHS and the Federal Bureau of Investigation stated that, since at least March 2016, Russian government actors had targeted U.S. government entities and critical infrastructure sectors, including the energy, nuclear, water, aviation, and critical manufacturing sectors.", "In June 2015, the Office of Personnel Management reported that an intrusion into its systems had affected the personnel records of about 4.2 million current and former federal employees. Then, in July 2015, the agency reported that a separate but related incident had compromised its systems and the files related to background investigations for at least 21.5 million individuals."], "subsections": [{"section_title": "Federal Law and Policy Prescribe the Federal Approach and Strategy for Securing Information Systems", "paragraphs": ["The federal approach and strategy for securing information systems is prescribed by federal law and policy. FISMA sets requirements for effectively securing federal systems and information. In addition, the Federal Cybersecurity Enhancement Act of 2015 requires protecting federal networks through the use of federal intrusion prevention and detection capabilities. Further, Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure, directs agencies to manage cybersecurity risks to the federal enterprise by, among other things, using the NIST Framework for Improving Critical Infrastructure Cybersecurity (cybersecurity framework)."], "subsections": [{"section_title": "The Federal Information Security Modernization Act of 2014 Sets Requirements for Securing Federal Systems and Information", "paragraphs": ["FISMA was enacted to improve federal cybersecurity and clarify government-wide responsibilities. The law is intended to provide for improved oversight of federal agencies\u2019 information security programs. Specifically, the law provides a comprehensive framework for ensuring the effectiveness of information security controls over information resources that support federal operations and assets. The law is also intended to ensure the effective oversight of information security risks, including those throughout civilian, national security, and law enforcement agencies.", "FISMA assigns OMB and DHS oversight roles in ensuring federal agencies\u2019 compliance with the law. Among other things, FISMA requires OMB to develop and oversee the implementation of policies, principles, standards, and guidelines on information security in federal agencies, except with regard to national security systems. The law also assigns OMB the responsibility of requiring agencies to identify and provide information security protections commensurate with assessments of risk to their information and information systems. The law further requires DHS to administer the implementation of agency information security policies and practices for non-national security information systems, in consultation with OMB, by developing, issuing, and overseeing implementation of binding operational directives; monitoring agency implementation of information security policies and practices; and convening meetings with senior agency officials to help ensure their effective implementation of information security policies and practices, among other things.", "FISMA assigned to NIST the responsibility for developing standards and guidelines that include minimum information security requirements. To this end, NIST has issued several publications to provide guidance for agencies in implementing an information security program. For example, NIST Special Publication (SP) 800-53 provides guidance to agencies on the selection and implementation of information security and privacy controls for systems.", "FISMA also assigns to the head of each executive branch agency, responsibility for providing information security protections commensurate with the risk and magnitude of harm resulting from unauthorized access, use, disclosure, disruption, modification, or destruction of information systems used or operated by an agency or by a contractor of an agency or other organization on behalf of an agency. The law also delegates to the agency chief information officer (CIO), or comparable official, the authority to ensure compliance with FISMA requirements. The CIO is responsible for designating a senior agency information security officer whose primary duty is information security.", "In addition, the law requires agencies to develop, document, and implement an agency-wide information security program to secure federal information systems. Specifically, these information security programs are to provide risk-based protections for the information and information systems that support the operations and assets of the agency. Further, FISMA requires agencies to comply with DHS binding operational directives, OMB policies and procedures, and NIST federal information processing standards.", "FISMA also has reporting requirements for OMB and federal agencies. Specifically, OMB is to report annually, in consultation with DHS, on the effectiveness of agency information security policies and practices, including a summary of major agency information security incidents and an assessment of agency compliance with NIST standards. Further, the law requires agencies to report annually to OMB, DHS, certain congressional committees, and the Comptroller General of the United States on the adequacy and effectiveness of their information security policies, procedures, and practices, as well as their compliance with FISMA."], "subsections": []}, {"section_title": "The Federal Cybersecurity Enhancement Act of 2015 Articulates Requirements for Protecting Federal Networks through the Use of Federal Intrusion Prevention and Detection Capabilities", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015, among other things, sets forth authority for enhancing federal intrusion prevention and detection capabilities among federal entities. The act contains several provisions for DHS and OMB. Specifically, the act requires that DHS deploy, operate, and maintain capabilities to prevent and detect cybersecurity risks in network traffic traveling to or from an agency\u2019s information system. DHS is to make these capabilities available for use by any agency.", "In addition, the act requires DHS to improve intrusion detection and prevention capabilities, as appropriate, by regularly deploying new technologies and modifying existing technologies. The act also requires OMB and DHS, in consultation with appropriate agencies, to review and update government-wide policies and programs to ensure appropriate prioritization and use of network security monitoring tools within agency networks, and to brief appropriate congressional committees."], "subsections": []}, {"section_title": "The Executive Order on Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure Directs Agencies to Use the Cybersecurity Framework for Managing Risks", "paragraphs": ["In May 2017, the President signed Executive Order 13800, which sets policy for managing cybersecurity risk as an executive branch enterprise. Specifically, it outlines actions to enhance cybersecurity across federal agencies and critical infrastructure to improve the nation\u2019s cyber posture and capabilities against cybersecurity threats. To this end, the order states that the President will hold executive agency heads accountable for managing agency-wide cybersecurity risk and directs each executive agency to use the NIST cybersecurity framework to manage those risks.", "The cybersecurity framework, which provides guidance for cybersecurity activities, is based on five core security functions: Identify: Develop an organizational understanding to manage cybersecurity risk to systems, people, assets, data, and capabilities.", "Protect: Develop and implement appropriate safeguards to ensure delivery of critical services.", "Detect: Develop and implement appropriate activities to identify the occurrence of a cybersecurity event.", "Respond: Develop and implement appropriate activities to take action regarding a detected cybersecurity incident.", "Recover: Develop and implement appropriate activities to maintain plans for resilience and to restore capabilities or services that were impaired due to a cybersecurity incident.", "According to NIST, these five functions should be performed concurrently and continuously to address cybersecurity risk. In addition, when considered together, they provide a high-level, strategic view of the life cycle of an organization\u2019s management of cybersecurity risk. Within the five functions are 23 categories and 108 subcategories that include controls for achieving the intent of each function. Appendix II provides a description of the cybersecurity framework categories and subcategories of controls."], "subsections": []}]}, {"section_title": "GAO Has Reported on Challenges Related to Establishing a Comprehensive Cybersecurity Strategy", "paragraphs": ["In February 2013, we reported that the government had issued a variety of strategy-related documents that addressed priorities for enhancing cybersecurity within the federal government, as well as for encouraging improvements in the cybersecurity of critical infrastructure within the private sector. However, we noted that no overarching cybersecurity strategy had been developed that articulated priority actions, assigned responsibilities for performing them, and set time frames for their completion. Accordingly, we recommended that the White House Cybersecurity Coordinator in the Executive Office of the President develop an overarching federal cybersecurity strategy that included all key elements of the desirable characteristics of a national strategy. These characteristics would include, among other things, milestones and performance measures for major activities to address stated priorities; cost and resources needed to accomplish stated priorities; and specific roles and responsibilities of federal organizations related to the strategy\u2019s stated priorities.", "Since that time, the executive branch has made progress toward outlining a federal strategy for confronting cyber threats. For example, in September 2018, we reported that recent executive branch initiatives that identify cybersecurity priorities for the federal government provide a good foundation toward establishing a more comprehensive strategy. Nevertheless, we pointed out that additional efforts were needed to address all of the desirable characteristics of a national strategy that we recommended.", "Specifically, recently issued executive branch strategy documents did not include key elements of desirable characteristics that can enhance the usefulness of a national strategy as guidance for decision makers in allocating resources, defining policies, and helping to ensure accountability. For example, these strategy documents did not generally include: milestones and performance measures to gauge results; resources needed to carry out the goals and objectives; and clearly defined roles and responsibilities for key agencies, such as DHS, the Department of Defense, and OMB.", "Ultimately, we determined that a more clearly defined, coordinated, and comprehensive approach to planning and executing an overall strategy would likely lead to significant progress in furthering strategic goals and lessening persistent weaknesses.", "Subsequent to our September 2018 report, the President issued the National Cyber Strategy on September 20, 2018. The strategy builds upon Executive Order 13800 and describes actions that federal agencies and the administration are to take to, among other things, secure federal information systems. For example, the strategy states that the administration is expected to further enable DHS to secure federal department and agency networks, to include ensuring that DHS has appropriate access to agency information systems for cybersecurity purposes and can take and direct action to safeguard systems. In addition, the strategy states that the administration plans to continue with its existing efforts underway to transition agencies to shared services and infrastructure and that DHS is to have appropriate visibility into those services and infrastructure to improve cybersecurity posture."], "subsections": []}, {"section_title": "DHS Offers Federal Agencies Capabilities Intended to Detect and Prevent Intrusions to Federal Information Systems", "paragraphs": ["DHS\u2019s Network Security Deployment (NSD) division manages cybersecurity programs that are intended to improve the cybersecurity posture of the federal government. Among these programs, NCPS provides a capability to detect and prevent potentially malicious network traffic from entering agencies\u2019 networks. In addition, the Continuous Diagnostics and Mitigation (CDM) program provides tools to agencies intended to identify and resolve cyber vulnerabilities on an ongoing basis."], "subsections": [{"section_title": "DHS\u2019s National Cybersecurity Protection System Is Intended to Detect and Prevent Cyber Intrusions", "paragraphs": ["Operated by DHS\u2019s US-CERT, NCPS is intended to detect and prevent cyber intrusions into agency networks, analyze network data for trends and anomalous data, and share information with agencies on cyber threats and incidents. Deployed in stages, this system, operationally known as EINSTEIN, has provided increasing capabilities to detect and prevent potential cyberattacks involving the network traffic entering or exiting the networks of participating federal agencies. Table 1 provides an overview of the EINSTEIN deployment stages to date.", "In January 2016, we reported the projected total life-cycle cost of the program was approximately $5.7 billion through fiscal year 2018. In addition, according to the Federal CIO, Congress appropriated $468 million in fiscal year 2017 and $402 million in fiscal year 2018 for NCPS.", "In that report, we also noted that NCPS was partially, but not fully, meeting most of its stated system objectives. Although the system\u2019s intrusion detection capabilities provided the ability to detect known patterns of malicious activity on agency networks, it was limited in its capabilities to identify potential threats using anomaly-based detection. We also reported that although DHS had developed metrics for measuring the performance of NCPS, the metrics did not gauge the quality, accuracy, or effectiveness of the system\u2019s intrusion detection and prevention capabilities.", "The department had also identified needs for future capabilities, but had not defined requirements for the capability to detect threats entering and exiting cloud service providers. Further, DHS had not considered specific vulnerability information for agency information systems in making risk- based decisions about future intrusion prevention capabilities.", "Accordingly, we made nine recommendations to DHS to, among other things, enhance the NCPS capabilities for meeting its objectives and better define requirements for future capabilities. DHS agreed with each of our nine recommendations and indicated that it would take steps to address them."], "subsections": []}, {"section_title": "DHS\u2019s Continuous Diagnostics and Mitigation Program Provides Agencies with Tools and Services Intended to Secure Agency Systems", "paragraphs": ["DHS\u2019s CDM program provides federal agencies with tools and services that have the intended capability to automate network monitoring, correlate and analyze security-related information, and enhance risk- based decision making at agency and government-wide levels. These tools include sensors that perform automated scans or searches for known cyber vulnerabilities, the results of which can feed into a dashboard that, at an agency level, is intended to alert network managers and enable the agency to allocate resources based on the risk. Summary data from each participating agency\u2019s dashboard is expected to be transmitted to the Federal Dashboard where the data can be used to inform decisions about cybersecurity risks across the federal government.", "There are four phases of CDM implementation:", "Phase 1\u2014involves deploying products to automate hardware and software asset management, configuration settings, and common vulnerability management capabilities. According to the Cybersecurity Strategy and Implementation Plan, DHS purchased phase 1 tools and integration services for all participating agencies in fiscal year 2015. DHS plans to have all phase 1 tools deployed at participating agencies by the end of the second quarter of fiscal year 2019.", "Phase 2\u2014intends to address privilege management and infrastructure integrity by allowing agencies to monitor users on their networks and to detect whether users are engaging in unauthorized activity. According to the Cybersecurity Strategy and Implementation Plan, DHS was to provide agencies with additional phase 2 capabilities throughout fiscal year 2016, with the full suite of CDM phase 2 capabilities delivered by the end of that fiscal year. However, according to the OMB FISMA Annual Report to Congress for Fiscal Year 2017, the CDM program began deploying Phase 2 tools and sensors during fiscal year 2017. DHS plans to have all phase 2 tools deployed at participating agencies by the end of fiscal year 2019.", "Phase 3\u2014includes detection capabilities that are intended to assess agency network activity and identify any anomalies that may indicate a cybersecurity compromise. Full operating capability for phases 1, 2, and 3 is planned to be achieved by the end of fiscal year 2022.", "Phase 4\u2014intends to provide tools to (1) protect data at rest, in transit, and in use; (2) prevent loss of data; and (3) manage and mitigate data breaches. According to CDM program officials, phase 4 has not been approved and no tools have been selected."], "subsections": []}]}, {"section_title": "NIST Recommends That Federal Agencies Deploy Intrusion Detection and Prevention Capabilities", "paragraphs": ["An approach for protecting systems against cybersecurity compromise is for federal agencies to build successive layers of defense mechanisms at strategic points in their information technology infrastructures. This approach, commonly referred to as defense in depth, entails implementing a series of protective mechanisms so that if one mechanism fails to detect and prevent an attack, another will provide a backup defense. By utilizing defense in depth, federal agencies can reduce the risk of a successful cyberattack by implementing intrusion detection and prevention capabilities.", "NIST has developed guidelines for protecting agency information systems using intrusion detection and prevention capabilities. For example, NIST SP 800-53 recommends that agencies strategically deploy capabilities and perform monitoring of their systems to include observation of events occurring on their network and at the external boundary of their network. In addition, NIST SP 800-94 provides agencies with guidance in designing, implementing, configuring, securing, monitoring, and maintaining such capabilities.", "As part of their defense-in-depth approach and, as recommended by the NIST guidelines, agencies can deploy the following list of capabilities, among others, on their networks to detect and prevent an attack:", "Protecting email from intrusions: According to OMB, email, by way of phishing attacks, remains one of the most common threat vectors across the government. Methods for protecting email include encryption, false email alerts, and anti-spear-phishing training.", "Monitoring cloud services: Cloud vendors provide services to agencies, including Software as a Service, Platform as a Service, and Infrastructure as a Service. As agencies increasingly rely on cloud services, monitoring traffic to and from their cloud service providers helps to ensure that agencies detect malicious traffic.", "Using host-based intrusion prevention: Host-based intrusion prevention systems provide defense at an individual system or device level by protecting against malicious activities. Host-based capabilities include memory-based protection and application whitelisting.", "Monitoring external and internal traffic: Agencies can monitor external and internal traffic, including: encrypted traffic, traffic between workstations and servers on the network, and direct connections to outside entities such as universities. Monitoring traffic helps to ensure that agencies detect malicious activity.", "Using security information and event management: A security information and event management capability produces real-time alerts and notifications of significant security events. Security alerts and notifications can provide the agency with better situational awareness regarding possible intrusion activity."], "subsections": []}]}, {"section_title": "Selected Agencies Were Not Effectively Implementing the Federal Government\u2019s Approach and Strategy to Securing Information Systems", "paragraphs": ["According to inspectors general, agency CIOs, and OMB reports on federal information security practices, many agencies were not effectively implementing the federal government\u2019s approach and strategy to securing information systems as of fiscal year 2017. Agencies\u2019 inspectors general determined that most of the 23 civilian CFO Act agencies did not have effective agency-wide information security programs. They also reported that agencies did not have effective information security controls in place, leading to deficiencies in internal control over financial reporting. In addition, the CIOs demonstrated that, during fiscal years 2016 and 2017, most agencies had not met all targets for the cybersecurity CAP goal for improving cybersecurity performance. Further, based on FISMA metrics reported for fiscal year 2017, OMB determined that 13 of the 23 agencies were managing risks to their enterprise, while the other 10 agencies were at risk of ineffectively identifying, protecting, detecting, responding to, and if necessary, recovering from cyber intrusions. Figure 2 summarizes agencies\u2019 efforts to implement the government\u2019s approach and strategy for securing information systems as of fiscal year 2017.", "Appendix III includes a table that provides an additional overview of the effectiveness of each agency\u2019s implementation of the government\u2019s approach and strategy to securing information systems."], "subsections": [{"section_title": "Inspectors General Determined That Most Selected Agencies Did Not Have Effective Information Security Programs or Controls in Place as of Fiscal Year 2017", "paragraphs": ["Inspectors general determined that more than half of the 23 civilian CFO Act agencies did not have effective agency-wide information security programs as of fiscal year 2017. Further, in agency financial statement audit reports for fiscal year 2017, inspectors general reported that, despite improvements being made in information security practices, most of the civilian CFO Act agencies continued to exhibit deficiencies in information security controls. As a result of these deficiencies, inspectors general reported material weaknesses or significant deficiencies in internal control over financial reporting."], "subsections": [{"section_title": "Inspectors General Indicate That Few Agencies Had Effective Information Security Programs", "paragraphs": ["FISMA requires inspectors general to determine the effectiveness of their respective agencies\u2019 information security programs. To do so, FISMA reporting instructions direct inspectors general to provide a maturity rating for agency information security policies, procedures, and practices related to the five core security functions established in the NIST cybersecurity framework, as well as for the agency-wide information security program.", "The ratings used to evaluate the effectiveness of agencies\u2019 information security programs are based on a five-level maturity model, as described in table 2.", "According to this maturity model, Level 4 (managed and measurable) represents an effective level of security. Therefore, if an inspector general rates the agency\u2019s information security program at Level 4 or Level 5, then that agency is considered to have an effective information security program.", "For fiscal year 2017, the inspectors general for 6 of the 23 civilian CFO Act agencies reported that their agencies had an effective agency-wide information security program. More specifically, for the 5 core security functions, most inspectors general reported that their agency was at Level 3 (consistently implemented) for the identify, protect, and recover functions, and at Level 2 (defined) for the detect and respond functions, as shown in figure 3.", "Inspectors general report on the effectiveness of agencies\u2019 information security controls as part of the annual audits of the agencies\u2019 financial statements. The reports resulting from these audits include a description of information security control deficiencies related to the five major control categories defined by the Federal Information System Controls Audit Manual (FISCAM)\u2014access controls, configuration management, segregation of duties, contingency planning, and security management. The reports also identify the inspectors general\u2019s designation of information security as a significant deficiency or material weakness in internal control over financial reporting systems.", "For fiscal year 2017, inspectors general continued to identify information security control deficiencies in each of the five major control categories across the 23 civilian CFO Act agencies. The number of agencies with deficiencies in the access control and contingency planning information security control categories decreased between fiscal years 2016 and 2017, according to the inspectors general.", "Nevertheless, the inspectors general reported that agencies continued to exhibit deficiencies in these two control categories. In addition, the number of agencies with deficiencies in the security management and segregation of duties control categories increased from the prior year. The number of agencies reported as having deficiencies in the configuration management control category remained the same. Figure 4 shows the number of agencies that reported deficiencies in each of the information security control categories for fiscal years 2016 and 2017.", "Overall, inspectors general for the 23 civilian CFO Act agencies reported progress in agencies\u2019 information security practices for fiscal year 2017. Specifically, during that time, 17 inspectors general designated information security as either a significant deficiency (11) or material weakness (6) in internal control over financial reporting systems for their agencies. This is a decrease from the previous fiscal year when 19 inspectors general designated information security as a significant deficiency (12) or material weakness (7)."], "subsections": []}]}, {"section_title": "Most Agencies Reported Not Meeting All Targets for the Cybersecurity Cross- Agency Priority Goal in Fiscal Years 2016 and 2017", "paragraphs": ["Reporting instructions contained in the fiscal year 2017 FISMA metrics directed CIOs to assess their agencies\u2019 progress toward achieving outcomes that strengthen federal cybersecurity. To do this, CIOs evaluated their agencies\u2019 performance in reaching targets for specific FISMA reporting metrics. According to the reporting instructions, certain metrics were selected to represent the administration\u2019s cybersecurity CAP goal. These selected metrics allowed CIOs to evaluate their agencies progress in meeting targets for that goal.", "The cybersecurity CAP goal for fiscal years 2015 through 2017 was to improve cybersecurity performance by having an ongoing awareness of information security, vulnerabilities, and threats impacting the operating information environment; ensuring that only authorized users have access to resources and information; and implementing technologies and processes that reduce the risk of malware. The cybersecurity CAP goal consisted of three priority areas with a total of nine performance indicators. Each of the nine performance indicators had an expected level of performance, or target, for implementation. Table 3 shows the three priority areas and related performance indicators and targets of the cybersecurity CAP goal for fiscal years 2015 through 2017.", "According to agency CIO assessments for fiscal year 2017, 6 of the 23 agencies met all 9 targets for the cybersecurity CAP goal. More specifically,", "8 agencies met all four targets for the information security continuous", "16 agencies met the two targets for the identity, credential, and access management priority area; and", "17 agencies met all three targets for the anti-phishing and malware defense priority area.", "In addition, CIOs reported that agencies were making progress in meeting the targets for the nine performance indicators for fiscal years 2016 and 2017, with increases in the number of agencies meeting the targets within each of the three priority areas.", "However, although the number of agencies that met the targets in individual priority areas showed a net increase, not all agencies maintained their status. For example, the CIO for one agency reported meeting all three targets for the anti-phishing and malware defense priority area in fiscal year 2016, but reported that the agency only met two of the three targets in fiscal year 2017. Figure 5 shows the number of agencies that reported meeting each of the targets within the individual cybersecurity CAP goal priority areas for fiscal years 2016 and 2017.", "Although the CIOs for only six agencies reported meeting each of the targets associated with all nine performance indicators for the three cybersecurity CAP goal priority areas, the CIOs at an additional eight agencies reported meeting each target for two of the three priority areas. Specifically, one CIO reported that its agency met each of the targets for the (1) information security continuous monitoring and (2) identity, credential, and access management priority areas; another CIO reported that its agency met each of the targets for the (1) information security continuous monitoring and (2) anti-phishing and malware defense priority areas; and the CIOs at six other agencies met each of the targets for the (1) identity, credential, and access management and (2) anti-phishing and malware defense priority areas.", "In fiscal year 2018, the President\u2019s Management Agenda replaced the three cybersecurity-focused CAP goal priority areas with updated performance indicators, most of which are to be met by 2020: 1. the manage asset security priority area is similar to the information security continuous monitoring priority area from the previous CAP goal and has a focus on understanding the assets and users on agency networks. In addition to hardware asset and software asset management, this priority area includes performance indicators for authorization and mobile device management. 2. the limit personnel access priority area focuses on issues of access management. This area includes performance indicators for using automated access management and managing access for privileged network and high-impact system users. The privileged network access management performance indicator is a continuation of the identity, credential, and access management priority area of the previous cybersecurity CAP goal. Therefore, agencies are expected to complete this metric by the end of the fiscal year 2018 FISMA reporting year. 3. the protect networks and data priority area, which is similar to the anti-phishing and malware defense priority area from the previous cybersecurity CAP goal, has three new performance indicators: intrusion detection and prevention, exfiltration and enhanced defenses, and data protection.", "Appendix IV describes the updated cybersecurity-focused CAP priority areas and performance indicators in more detail."], "subsections": []}, {"section_title": "OMB Determined That 13 of the 23 Civilian CFO Act Agencies Were Managing Cybersecurity Risk", "paragraphs": ["In Executive Order 13800, the President directed OMB, in coordination with DHS, to assess and report to the executive branch on the sufficiency and appropriateness of federal agencies\u2019 processes for managing cybersecurity risks. For these risk management assessments, OMB leveraged the FISMA metrics reported by agency CIOs and inspectors general for fiscal year 2017. The metrics addressed domains that correspond with the five core security functions identified in the cybersecurity framework. Table 4 lists these domains and their relationship to the core functions.", "Based on OMB\u2019s evaluation of these domains, agency risk management processes related to the five core security functions and overall agency enterprise fell into one of the following three rating categories: managing risk: required cybersecurity policies, procedures, and tools are in use and the agency actively manages cybersecurity risks; at risk: some essential policies, processes, and tools are in place to mitigate overall cybersecurity risk, but significant gaps remain; and high risk: key fundamental cybersecurity policies, processes, and tools are either not in place or not deployed sufficiently.", "For fiscal year 2017, OMB reported that not all agencies were managing risk. When considering each of the five core security functions, OMB reported that most of the 23 agencies were at risk or at high risk with regard to the identify and protect core security functions. Less than half of the 23 agencies were at risk with regard to the detect, respond, and recover core security functions. Overall, OMB determined that 13 agencies were managing risk and that the remaining 10 agencies were at risk of not effectively identifying, protecting, detecting, responding to, and if necessary, recovering from cyber intrusions. Figure 6 shows OMB\u2019s risk management assessment ratings by core security function across the 23 agencies for fiscal year 2017."], "subsections": []}]}, {"section_title": "DHS and OMB Facilitated the Use of Intrusion Detection and Prevention Capabilities to Secure Federal Agency Systems, but Further Efforts Remain", "paragraphs": ["DHS and OMB, as required by law and policy, have taken various actions to facilitate the agencies\u2019 use of intrusion detection and prevention capabilities to secure federal systems. For example, DHS has developed an intrusion assessment plan, deployed NCPS to offer intrusion detection and prevention capabilities to agencies, and is providing tools and services to agencies to monitor their networks through its CDM program. However, NCPS still had limitations in detecting certain types of traffic and agencies were not sending all appropriate traffic through the system. Further, CDM was behind at meeting planned implementation dates, and agencies have requested additional training and guidance for these services. OMB has taken steps to improve upon agencies\u2019 capabilities, but has not completed a policy and strategy to do so, or fully reported on its assessment of agencies\u2019 capabilities."], "subsections": [{"section_title": "DHS Has Taken Actions to Facilitate the Use of Intrusion Detection and Prevention Capabilities and to Make Improvements to Those Capabilities", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015 requires DHS, in coordination with OMB, to develop and implement an intrusion assessment plan to proactively detect, identify, and remove intruders in agency information systems on a routine basis. The act also requires that the plan be updated, as necessary.", "In December 2016, DHS documented its Intrusion Assessment Plan. In the plan, DHS outlined tools, platforms, resources, and ongoing work that the department provides, and that are intended to help agencies detect, identify, and remove intruders on their networks and systems. The intrusion assessment plan also outlines a defense-in-depth strategy, which utilizes multiple layers of cybersecurity and deploys multiple capabilities in combination, to secure agencies\u2019 networks and information systems. For example, the plan calls for DHS to implement NCPS to provide a perimeter defense for the networks of federal civilian executive branch agencies, while the agencies are to deploy their own intrusion detection and prevention capabilities inside their networks. DHS submitted its intrusion assessment plan to OMB in January 2017."], "subsections": []}, {"section_title": "DHS Has Worked to Improve NCPS, but Agencies Did Not Route All Traffic through Intrusion Detection and Prevention Capabilities Offered by this System", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015 also requires DHS to deploy, operate, and maintain a capability to detect cybersecurity risks and prevent network traffic associated with such risks from transiting to or from an agency information system. In addition, the act requires that DHS make regular improvements to intrusion detection and prevention capabilities by deploying new technologies and modifying existing technologies. Further, the act requires agencies to use this capability on all information traveling between their information systems and any information system other than an agency information system.", "DHS developed NCPS, operationally known as EINSTEIN, to provide the capabilities to detect and prevent potentially malicious network traffic from entering agency networks. Consistent with recommendations we made to DHS in January 2016, DHS has taken actions to improve these capabilities and has other actions underway. For example, the department determined that enhancing NCPS\u2019s current intrusion detection approach to include functionality that would detect deviations from normal network behavior baselines would be feasible. In addition, according to DHS officials, the department was operationalizing functionality intended to identify malicious activity in network traffic otherwise missed by signature-based methods. determined that developing enhancements to current intrusion detection capabilities to facilitate the scanning of Internet Protocol Version 6 (IPv6) traffic would be feasible. According to DHS officials, the department has developed plans to fully support IPv6 for several of its NCPS intrusion detection capabilities. Further, the department has developed implementation schedules and begun roll-out of the enhancements. updated the tool it uses to manage and deploy intrusion detection signatures to include a mechanism to clearly link signatures to publicly available, open-source information. developed clearly defined requirements for detecting threats on agency internal networks and at cloud service providers to help better ensure effective support of information security activities. According to DHS officials, the department was also continuing pilot activities with cloud service providers to enhance protections of agency assets. developed processes and procedures for using vulnerability information, such as data from the CDM program as it becomes available, to help ensure the department is using a risk-based approach for the selection/development of future NCPS intrusion prevention capabilities.", "Nevertheless, NCPS continues to have known limitations in its ability to identify potential threats. For example:", "NCPS does not have the ability to effectively detect intrusions across multiple types of traffic. Specifically, DHS determined that developing enhancements to current intrusion detection capabilities to facilitate the scanning of traffic related to supervisory control and data acquisition (SCADA) control systems would not be feasible. However, according to DHS officials, the department is exploring capabilities that are intended to provide critical, cross-sector, real-time visibility into critical infrastructure companies that utilize SCADA systems. In addition, DHS determined that the scanning of encrypted traffic would not be feasible. Nevertheless, according to its officials, the department performed research on potential architectural, technical, and policy mitigation strategies that could provide both the protection and situational awareness for encrypted traffic. The department has actions under way to continue its research in this area.", "DHS does not always explicitly ask agencies for feedback or confirmation of receipt of NCPS-related notification. While the department had drafted a standard operating procedure related to its incident notification process, the policy did not instruct DHS analysts specifically to include a solicitation of feedback from agencies within the notification. Further, US-CERT could not provide any information regarding the timetable for when these procedures would take effect.", "Metrics for NCPS, as provided by DHS, do not provide information about how well the system is enhancing government information security or the quality, efficiency and accuracy of supporting actions. Without the deployment of comprehensive measures, DHS cannot appropriately articulate the value provided by NCPS. While the department had taken actions to develop new measures, these measures did not provide a qualitative or quantitative assessment of the system\u2019s ability to fulfill the system\u2019s objectives.", "NSD did not provide guidance to agencies on how to securely route their information to their Internet service providers. Without providing network routing guidance, NSD has no assurance that the traffic it sees constitutes all or only a subset of the traffic the customer agencies intend to send.", "As shown in table 5, as of October 2018, the department had implemented five of the nine recommendations and was in the process of implementing the remainder. However, until DHS completes implementation of the remaining recommendations, the effectiveness of NCPS\u2019s intrusion detection and prevention capabilities may be hindered.", "In addition, the 23 civilian CFO Act agencies had implemented NCPS capabilities to varying degrees. In a March 2018 report, OMB reported that 21 (about 91 percent) of the 23 agencies had implemented the first two iterations of the NCPS capabilities. In addition, 15 (about 65 percent) of the 23 agencies had implemented all three NCPS capabilities, as shown in table 6 below.", "However, agencies did not route all network traffic for all information traveling between their information systems and any information system other than an agency information system through NCPS sensors. For example, officials at 13 of 23 agencies stated that not all of their agency external network traffic flowed through NCPS. To illustrate, officials at one agency estimated that 20 percent of their external network traffic did not flow through the system. In addition, 4 of the agencies in our review previously cited several challenges in routing all of their traffic through NCPS intrusion detection sensors, including capacity limitations of the sensors, agreements with external business partners that use direct network connections, interagency network connections that do not route through Internet gateways, use of encrypted communications mechanisms, and backup network circuits that are not used regularly. NSD officials stated that agencies are responsible for routing their traffic to the intrusion detection sensors, and DHS does not have a role in that aspect of NCPS implementation. As a result, potential cyberattacks may not be detected or prevented for a portion of the external traffic at federal agencies. As noted above, we previously recommended that DHS work with agencies to better ensure the complete routing of information to NCPS sensors."], "subsections": [{"section_title": "DHS Has Taken Steps to Provide Advanced Network Security Tools, but Has Not Met Planned Implementation Dates", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015 requires DHS to include, in the efforts of the department to continuously diagnose and mitigate cybersecurity risks, advanced network security tools to improve the visibility of network activity and to detect and mitigate intrusions and anomalous activity.", "According to DHS officials, the department is addressing the requirement to improve the visibility of network activity by including advanced network security tools as a part of CDM phase 3. In April 2018, we testified that DHS had previously planned to provide 97 percent of federal agencies with the services they needed for CDM phase 3 in fiscal year 2017. In addition, according to OMB\u2019s annual FISMA report for fiscal year 2017, the CDM program was to continue to incorporate additional capabilities, including phase 3, in fiscal year 2018.", "However, DHS now expects initial operational capabilities to be in place for phase 3 in fiscal year 2019. The department has awarded contracts of approximately $3.26 billion to support its Dynamic and Evolving Federal Enterprise Network Defense (also known as DEFEND) aspect of the CDM program, which is to include phase 3. DEFEND also is to provide coverage for existing agency deployments. According to DHS documentation, the task orders associated with DEFEND are to be issued between the second quarter of fiscal year 2018 and the second quarter of fiscal year 2024."], "subsections": []}, {"section_title": "Agencies Indicated the Need for Additional Training and Guidance Related to NCPS and CDM", "paragraphs": ["FISMA requires that DHS provide operational and technical assistance to agencies in implementing policies, principles, standards, and guidelines on information security. Toward this end, DHS has available training and guidance related to the implementation of the capabilities of NCPS (i.e., EINSTEIN) and CDM. Specifically:", "According the DHS officials, the department offers training and guidance to agencies on EINSTEIN 1 implementation. For example, DHS established a program in which the Software Engineering Institute will provide training and mentoring to agencies looking to enhance their understanding of, and proficiency with, the EINSTEIN 1 capability (e.g., network traffic information). NCPS program officials stated that agencies can use this service, which is available at no charge to them, on an unlimited basis as long as the requests relate to EINSTEIN 1. According to the officials, training and guidance related to EINSTEIN 2 and EINSTEIN 3 Accelerated is limited because DHS intentionally restricts the amount of data provided to agencies.", "According to DHS officials, the department also offers training and guidance to assist agencies with the implementation and use of resources associated with the CDM program, including webinars, guides, and computer-based training. The DEFEND contracts that the department awarded also include a mechanism for agencies to procure specialized tailored training, such as on the use of CDM tools. The department also offers customer advisory forums every other month that agencies are invited to attend. According to CDM program officials, the program\u2019s governance, among other topics, is commonly discussed during these forums. Further, the department provides agencies with guidance, such as various governance documents, best practices, and frequently asked questions, through a web portal that is made available by OMB. In addition, US-CERT offers the CDM training program, which is to provide CDM implementation resources.", "Nevertheless, most agencies told us that they wanted DHS to provide more training and guidance as it relates to their implementation of the capabilities made available by NCPS and CDM. Specifically,", "Officials from 16 of 23 agencies reported that they wanted to receive additional training on NCPS capabilities. For example, officials at 5 agencies stated that they would like to receive training related to using network traffic information, understanding alerts, or implementing capabilities for cloud services. The officials also stated that they wanted training specific to agency security personnel.", "Officials from 19 of 23 agencies stated that they wanted to receive additional guidance related to NCPS\u2019s capabilities, but not all of the 19 provided specific details. For example, officials from at least 3 agencies stated that they wanted additional guidance such as, \u201chow to\u201d documents, descriptions of architecture details, or guidance documents that explain NCPS\u2019s capabilities so that agencies can gauge the gap between the security that the system provides and the security being provided by their own agency\u2019s capabilities.", "Officials from 21 of 23 agencies reported that they wanted to receive additional training on implementing CDM at their agencies. For example, officials from 7 agencies suggested that additional training on the use of the tools would be beneficial.", "Officials from 22 of 23 agencies stated that they wanted additional guidance as it relates to CDM implementation. For example, officials from one agency stated that they would like examples of best practices and successful deployments.", "These requests for additional training and guidance demonstrate that agencies are either unaware of the available training and guidance, or that the training may not meet their needs. Until DHS coordinates with agencies to determine if additional training and guidance are needed, agencies may not be able to fully realize the benefits of the capabilities provided by the NCPS and CDM programs."], "subsections": []}]}, {"section_title": "OMB Took Actions to Oversee Agency Implementation of Intrusion Detection and Prevention Capabilities and Report to Congress, but Did Not Fully Complete Required Actions OMB Did Not Submit the Intrusion Assessment Plan to Congress or Fully Describe the Plan\u2019s Implementation in Other Reports", "paragraphs": ["Although OMB took steps to report on agencies\u2019 implementation of intrusion detection and prevention capabilities, it did not report on all required actions. For example, the office did not submit DHS\u2019s intrusion plan to Congress as required by the Federal Cybersecurity Enhancement Act of 2015. In addition, OMB provided various reports to Congress that described agencies\u2019 intrusion detection and prevention capabilities, but the reports did not always include all information required by the act. Further, OMB developed a draft policy and strategy that were intended to improve agency capabilities, but it had not finalized these documents.", "The Federal Cybersecurity Enhancement Act of 2015 requires OMB to submit the intrusion assessment plan developed by DHS to the appropriate congressional committees no later than 6 months after the date of enactment of the act. The act also required OMB to submit to Congress a description of the implementation of the intrusion assessment plan and the findings of the intrusion assessments conducted pursuant to the intrusion assessment plan no later than 1 year after the date of enactment of the act, and annually thereafter.", "Although DHS developed and documented an intrusion assessment plan, which described a defense-in-depth approach to security, OMB did not submit the plan to Congress, as called for in the act. Even though DHS submitted the plan to OMB in January 2017, OMB had not submitted it to Congress as of October 2018 (21 months after DHS submitted the plan and 28 months past the due date).", "On the other hand, OMB did submit its own reports to Congress which generally described elements of the implementation of DHS\u2019s intrusion assessment plan and intrusion assessment findings. In September 2017, OMB issued its analysis of agencies\u2019 implementation of intrusion detection and prevention capabilities, or more specifically, agencies\u2019 implementation of the various versions of NCPS. In addition, the office\u2019s annual FISMA report, issued most recently in March 2018, generally covered elements of the intrusion assessment plan. OMB personnel within the Office of the Federal CIO believed that these two reports, along with a process the office had initiated to validate incidents across the government, addressed the requirement for OMB to submit to Congress a description of the implementation of the intrusion assessment plan and the findings of the intrusion assessments conducted pursuant to the plan.", "However, the September 2017 and March 2018 reports did not address other elements described in DHS\u2019s intrusion assessment plan. For example, OMB did not describe agency roles associated with segmenting their networks, identifying key servers based on threat and impact, ensuring all applications are appropriately tracked and configured, and categorizing and tagging data based on threat and impact. While OMB has provided important information to congressional stakeholders through its own reports, until it submits the plan and addresses all elements described in DHS\u2019s intrusion assessment plan, it will continue to be remiss in providing timely and sufficiently detailed information regarding the intrusion assessment plan to congressional stakeholders to support their oversight responsibilities."], "subsections": [{"section_title": "OMB Submitted Its Analysis of Agencies\u2019 Application of Intrusion Detection and Prevention Capabilities, but Did Not Include the Degree to Which the Capabilities Had Been Applied", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015 also required that OMB submit an analysis of agencies\u2019 application of the intrusion detection and prevention capabilities to Congress no later than 18 months after the date of enactment of the act, and annually thereafter. OMB was to include a list of federal agencies and the degree to which each agency had applied the intrusion detection and prevention capabilities in this analysis.", "As discussed previously in this report, OMB issued its analysis of agencies\u2019 implementation of intrusion detection and prevention capabilities in September 2017. However, the analysis did not include the degree to which agencies had applied the intrusion detection and prevention capabilities. For example, the analysis did not reflect that not all agencies were using this capability on all information traveling between their systems and any system other than an agency system, as required by the act. Until OMB includes the degree to which agencies have applied intrusion detection and prevention capabilities in its analysis, it cannot provide congressional stakeholders with an accurate portrayal of the extent to which the capabilities are detecting and preventing potential intrusions."], "subsections": []}, {"section_title": "The Federal Chief Information Officer Reported on Intrusion Detection and Prevention Capabilities, but Did Not Address All Elements Required by the Federal Cybersecurity Enhancement Act of 2015", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015 further required that the Federal Chief Information Officer, within OMB, submit a report to Congress no earlier than 18 months after the date of enactment, but no later than 2 years after that date, assessing the intrusion detection and intrusion prevention capabilities that DHS made available to agencies. The act required that the report address (1) the effectiveness of DHS\u2019s system used for detecting, disrupting, and preventing cyber-threat actors, including advanced persistent threats, from accessing agency information and agency information systems; (2) whether the intrusion detection and prevention capabilities, continuous diagnostics and mitigation, and other systems deployed are effective in securing federal information systems; (3) the costs and benefits of the intrusion detection and prevention capabilities, including as compared to commercial technologies and tools, and including the value of classified cyber threat indicators; and (4) the capability of agencies to protect sensitive cyber threat indicators and defensive measures if they were shared through unclassified mechanisms for use in commercial technologies and tools.", "In a report issued in September 2018 (about 8 months past the required due date), the Federal Chief Information Officer provided Congress an assessment of intrusion detection and intrusion prevention capabilities across the federal enterprise. The report pointed out, among other things, that agencies did not possess or properly deploy capabilities to detect or prevent intrusions or minimize the impact of intrusions when they occur. In addition, the report acknowledged the need to improve the effectiveness of intrusion detection and intrusion prevention capabilities and stated that OMB would track performance through the CAP goal and annual FISMA reports.", "However, the report did not address all of the requirements specified in the act. For example, the report did not address whether DHS\u2019s system (i.e., NCPS) was effective in detecting advanced persistent threats. In addition, the report did not include a comparison of the costs and benefits of the intrusion detection and prevention capabilities versus commercial technologies and tools, or the value of classified cyber threat indicators. Further, the report did not address the capability of agencies to protect sensitive cyber threat indicators and defensive measures. Until OMB updates the Federal CIO report to address all of the requirements specified in the act, it will continue to be remiss in providing timely and sufficiently detailed information, such as that related to costs and benefits, among other elements in the act, to congressional stakeholders to support their oversight responsibilities."], "subsections": []}, {"section_title": "OMB Initiated Plans for Improving Agencies\u2019 Implementation of Intrusion Detection and Prevention Capabilities, but Has Not Completed a Policy and Strategy", "paragraphs": ["In addition to OMB\u2019s responsibilities in the Federal Cybersecurity Enhancement Act of 2015, OMB has initiated plans for further improving agencies\u2019 intrusion detection and prevention capabilities. In response to a tasking in Executive Order 13800, the Director of the American Technology Council coordinated the development of a report to the President from the Secretary of DHS, the Director of OMB, and the Administrator of the General Services Administration, regarding the modernization of federal information technology (IT).", "The report, Report to the President on Federal IT Modernization, identified actions that OMB should take for (1) prioritizing the modernization of high-risk, high-value assets and (2) modernizing the Trusted Internet Connection (TIC) program and NCPS to improve protections, remove barriers, and enable commercial cloud migration. For example, OMB was to take the following actions subsequent to the December 13, 2017 report issuance date:", "Within 60 days: Update a TIC policy to address challenges with agencies\u2019 perimeter-based architectures, such as the modernization of NCPS. In addition, introduce a \u201c90 day sprint\u201d during which approved projects would pilot proposed changes in TIC requirements.", "Within 90 days: Update the annual FISMA and CAP goal metrics to focus on those critical capabilities that were most commonly lacking among agencies and focus oversight assessments on high-value assets.", "Within 120 days: In conjunction with DHS, develop a strategy for optimally realigning resources across agencies to reduce the risk to high-value assets and respond to cybersecurity incidents for those assets.", "OMB has taken steps toward implementing several, but not all, of these actions. For example, it introduced a \u201c90 day sprint\u201d and, according to knowledgeable OMB staff, the outcomes of this action are directly informing changes in TIC requirements. In addition, OMB updated the annual FISMA and CAP goal metrics by including several metrics that focus on high-value assets. The updated FISMA and CAP goal metrics went into effect in April 2018.", "However, while OMB had taken steps toward updating the TIC policy and developing a strategy for optimally realigning resources, the policy and strategy were in draft and had not yet been finalized as of October 2018. The agency did not specify a time frame for finalizing the policy and strategy. Until OMB finalizes the TIC policy and the strategy for optimally realigning resources, the enhancements offered through the policy and strategy are unlikely to be realized."], "subsections": []}]}]}, {"section_title": "Selected Agencies Had Not Consistently Implemented Capabilities to Detect and Prevent Intrusions", "paragraphs": ["FISMA requires agencies to provide information security protections to prevent unauthorized access to their systems and information. Officials from the 23 selected agencies reported to us that they generally took steps to meet this requirement by augmenting the tools and services provided by DHS with their own intrusion detection and prevention capabilities. However, agencies did not consistently implement five key capabilities specified by DHS and NIST guidance. In addition, most of the agencies did not fully implement any of the phases of DHS\u2019s CDM program that is intended to improve their capabilities to detect and prevent intrusions."], "subsections": [{"section_title": "Few Agencies Had Fully Implemented Required Email Protections", "paragraphs": ["Binding Operational Directive (BOD) 18-01 instructs agencies to enhance email security. These enhancements include enabling encrypted email transmission, ensuring that receiving mail servers know what actions the agency would like taken when an email falsely claims to have originated from the agency, and removing certain insecure protocols, among others. The final deadline for implementing all BOD 18-01 requirements was October 16, 2018. Additionally, NIST SP 800-53 Revision 4 recommends that security awareness training include training on how to recognize and prevent spear-phishing attempts.", "As of September 2018, only 2 of the 23 agencies reported implementing all of the email requirements. For the remaining 21 agencies:", "9 agencies stated that their agency had plans to implement all enhancements by the October 2018 deadline,", "1 agency was uncertain whether it would meet the deadline, and", "11 stated they would not be able to meet the deadline.", "By contrast, the majority of agencies (22 of 23) reported that they had trained staff on spear-phishing exercises, as recommended by NIST SP 800-53 Revision 4. Officials at the remaining agency told us that the agency planned to have spear-phishing exercises in fiscal year 2019. Such training should help ensure that phishing will be a less effective attack vector against the majority of agencies. While agencies benefit from secure protocols and spear-phishing training, implementing the remaining BOD 18-01 email requirements would provide additional protection to agency information systems."], "subsections": []}, {"section_title": "Agencies Informed GAO That They Often Had Not Implemented Four Key Capabilities", "paragraphs": ["NIST recommends that federal agencies deploy intrusion detection and prevention capabilities. These capabilities include monitoring cloud services, using host-based intrusion prevention systems, monitoring external and internal network traffic, and using a security information and event management (SIEM) system. However, in our semi-structured interviews of the 23 agencies, officials told us that they often had not implemented many of these capabilities. Such inconsistent implementation exposes federal systems and the information they contain to additional risk. As part of their continuing oversight efforts, OMB and DHS can use the information below to work with agencies to identify obstacles and impediments affecting the agencies\u2019 abilities to implement these capabilities."], "subsections": [{"section_title": "Less Than Half of the Selected Agencies That Used Cloud Services Monitored Their Cloud-Related Traffic", "paragraphs": ["NIST SP 800-53 Revision 4 states that agencies should monitor and control communications at the external boundary of the network. However, as of June 2018, fewer than half of the agencies that used cloud computing services were monitoring cloud traffic. Specifically:", "10 of 22 agencies that used Infrastructure as a Service were monitoring inbound and outbound Infrastructure as a Service traffic,", "7 of 21 agencies that used Platform as a Service were monitoring inbound and outbound Platform as a Service traffic, and", "10 of 23 agencies that used Software as a Service were monitoring inbound and outbound Software as a Service traffic.", "Without monitoring traffic to and from cloud service providers, agencies risk a greater chance of malicious cloud activity detrimentally affecting agency information security."], "subsections": []}, {"section_title": "Several Selected Agencies Had Not Fully Deployed Host- Based Capabilities", "paragraphs": ["NIST SP 800-53 Revision 4 states that agency internal monitoring may be achieved by utilizing intrusion prevention capabilities. These capabilities include using host-based intrusion prevention systems to provide defense at an individual system or device level by protecting against malicious activities. Host-based capabilities include memory-based protection and application whitelisting.", "As of June 2018, officials at the 23 agencies reported the following to us:", "16 agencies used host-based intrusion prevention capabilities,", "15 agencies used memory-based protection, and", "8 agencies used host-based application whitelisting.", "Until host-based intrusion protections are fully deployed, agencies will be at greater risk of malicious activity adversely affecting agency operations."], "subsections": []}, {"section_title": "Not All Selected Agencies Monitored External and Internal Traffic", "paragraphs": ["NIST SP 800-53 Revision 4 also states that agencies should monitor and control communications at the external boundary of the network and at key internal boundaries (e.g., network traffic). NIST guidance also stated that an agency should deploy monitoring devices strategically within the network to detect essential information.", "However, the agencies in our review did not always monitor external and internal traffic. For example, of the 23 agencies:", "5 reported that they were not monitoring inbound or outbound direct connections to outside entities.", "11 reported that they were not persistently monitoring inbound encrypted traffic.", "8 reported that they were not persistently monitoring outbound encrypted traffic.", "In addition, 13 agencies reported they were not using a network-based session capture solution. Of the 10 agencies that reported using this solution, officials from 2 agencies stated that they were not capturing workstation-to-workstation connections. Without thorough monitoring of external and internal traffic, agencies will have less assurance that they are aware of compromised or potentially compromised traffic within their network."], "subsections": []}, {"section_title": "Most Agencies Reported Using a Security Information and Event Management Capability, but Did Not Always Use this Capability to Analyze Potential Threats", "paragraphs": ["NIST SP 800-53 Revision 4 states that agencies should establish enhanced monitoring capabilities. Such capabilities should include automated mechanisms that collect and analyze incident data for increased threat and situational awareness. According to NIST, a security information and event management (SIEM) system analyzes data from different sources and identifies and prioritizes significant events. Sources of data used by SIEM systems include logs from database systems, network devices, security systems, web applications, and workstation operating systems.", "Of the 23 agencies that we reviewed, 21 reported using a SIEM capability. Over half of the agencies employing a SIEM used one or more of their logs to match against known vulnerabilities and advanced persistent threats, as well as to create real-time alerts. For example, of the 21 agencies:", "14 agencies reported collecting database logs, but only 7 agencies reported using the logs to match against known vulnerabilities and persistent threats and to create real-time alerts;", "20 agencies reported collecting network logs, but only 13 agencies reported using them to match against known vulnerabilities and persistent threats and to create real-time alerts;", "21 agencies reported collecting security logs, but only 13 reported using them to match against known vulnerabilities and persistent threats and to create real-time alerts;", "15 agencies reported collecting web application logs, but only 9 agencies reported using them to match against known vulnerabilities and persistent threats and to create real-time alerts; and", "13 agencies reported collecting workstation logs, but only 8 agencies reported using them to match against known vulnerabilities and persistent threats and to create real-time alerts.", "Only 5 agencies collected all 5 types of logs and used them to match against known vulnerabilities and persistent threats and to create real- time alerts.", "By not fully using SIEM capabilities, agencies will have less assurance that relevant personnel will be aware of possible weaknesses or intrusions."], "subsections": []}]}, {"section_title": "Agencies Are in the Process of Implementing DHS\u2019 CDM Program, but Most Agencies Have Not Fully Implemented Any of the Program Phases", "paragraphs": ["To further enhance their intrusion detection and prevention capabilities, the 23 civilian CFO Act agencies were in the process of implementing DHS\u2019s CDM program. As previously discussed, Phase 1 of the program involves deploying products to automate hardware and software asset management, configuration settings, and common vulnerability management capabilities. Phase 2 intends to address privilege management and infrastructure integrity by allowing agencies to monitor users on their networks and to detect whether users are engaging in unauthorized activity. Phase 3 is intended to assess agency network activity and identify any anomalies that may indicate a cybersecurity compromise.", "As of June 2018, most agencies had not fully implemented any of the three phases. As shown in Figure 7, 15 agencies had partially implemented phase 1, 21 had partially or not yet begun to implement phase 2, and none of the agencies had fully implemented phase 3.", "Agencies\u2019 implementation status has been affected, at least in part, due to delays in DHS\u2019s deployment of the program phases. As a result, federal systems will remain at risk until the program is fully deployed."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Many agencies have not effectively implemented the federal approach and strategy for securing information systems. For example, the inspectors general for 17 of the 23 selected agencies reported that their agencies had not effectively implemented their information security programs and had significant information security deficiencies associated with internal control over financial reporting. In addition, CIOs for 17 agencies reported not meeting all nine targets for the cybersecurity cross- agency priority goal. Further, OMB determined that that only 13 of the 23 agencies were managing risks to their overall enterprise, while the other 10 agencies were at risk. Until agencies more effectively implement the government\u2019s approach and strategy, federal systems will remain at risk.", "DHS and OMB have initiatives underway that are intended to further improve agencies\u2019 security posture. However, although DHS had provided training and guidance for NCPS and CDM, agencies expressed the need for more. In addition, OMB had also not finalized its policy and strategy aimed at addressing challenges with perimeter security and protecting high value assets, respectively. OMB had also not provided useful information to Congress, such as a description of agencies\u2019 implementation of DHS\u2019s intrusion assessment plan, the degree to which agencies are using NCPS, a complete analysis of agencies\u2019 implementation of DHS\u2019s intrusion assessment plan, or the costs and benefits of using commercial tools.", "Although agencies\u2019 officials reported various efforts underway to enhance their agency\u2019s intrusion detection and prevention capabilities, implementation efforts across the federal government were not consistent. OMB and DHS can use the information provided in this report to work with agencies to identify obstacles and impediments affecting the agencies\u2019 abilities to implement these capabilities."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of nine recommendations, including two to DHS and seven to OMB. Specifically:", "The Secretary of DHS should direct the Network Security Deployment division to coordinate further with federal agencies to identify training and guidance needs for implementing NCPS and CDM. (Recommendation 1)", "The Secretary of DHS should direct the appropriate staff to work with OMB to follow up with agencies to identify obstacles and impediments affecting their abilities to implement intrusion detection and prevention capabilities. (Recommendation 2)", "The Director of OMB should submit the intrusion assessment plan to the appropriate congressional committees. (Recommendation 3)", "The Director of OMB should report on implementation of the defense- in-depth strategy described in the intrusion assessment plan, including all elements described in the plan. (Recommendation 4)", "The Director of OMB should update the analysis of agencies\u2019 intrusion detection and prevention capabilities to include the degree to which agencies are using NCPS. (Recommendation 5)", "The Director of OMB should direct the Federal CIO to update her report to Congress to include required information, such as detecting advanced persistent threats, a comparison of the costs and benefits of the capabilities versus commercial technologies and tools, and the capability of agencies to protect sensitive cyber threat indicators and defense measures. (Recommendation 6)", "The Director of OMB should establish a time frame for finalizing the Trusted Internet Connections policy intended to address challenges with agencies\u2019 perimeter-based architectures and issue it when finalized. (Recommendation 7)", "The Director of OMB should establish a time frame for finalizing the strategy for realigning resources across agencies to protect high- value assets and issue it when finalized. (Recommendation 8)", "The Director of OMB should direct the Federal CIO to work with DHS to follow-up with agencies to identify obstacles and impediments affecting their abilities to implement intrusion detection and prevention capabilities. (Recommendation 9)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to OMB and the 23 civilian CFO Act agencies, including DHS, covered by our review. In response, OMB provided comments via email, and DHS and three other agencies (the Department of Commerce, Social Security Administration, and U.S. Agency for International Development) provided written comments, which are reprinted in appendices V through VIII, respectively. The 19 remaining agencies (the Departments of Agriculture, Education, Energy, Health and Human Services, Housing and Urban Development, the Interior, Justice, Labor, State, Transportation, the Treasury, and Veterans Affairs; as well as the Environmental Protection Agency, General Services Administration, National Aeronautics and Space Administration, National Science Foundation, Nuclear Regulatory Commission, Office of Personnel Management, and Small Business Administration) stated via email that they had no comments.", "In its comments, which the OMB liaison provided to GAO via email on December 7, 2018, OMB did not state whether it agreed or disagreed with the seven recommendations that we made to it. Rather, according to the liaison, OMB agreed with the facts in our draft report, but found that the report did not reflect the agency\u2019s rationale for not submitting the DHS intrusion assessment plan to Congress and a report on the implementation of the plan, as required by the Federal Cybersecurity Enhancement Act of 2015. The liaison stated that OMB is working closely with DHS to provide strategic direction in assessing gaps in, and modernizing, the manner in which intrusion detection and prevention capabilities are delivered to the federal government. Further, in a subsequent email on December 10, 2018, OMB said it believes the Federal CIO\u2019s September 2018 report to Congress, along with data provided in OMB\u2019s fiscal year 2017 FISMA report to Congress, achieves the outcomes sought by the Federal Cybersecurity Enhancement Act of 2015 and demonstrates OMB's continuous engagement with DHS across the evolution of the intrusion detection and prevention program.", "As stated in our report, we acknowledge that OMB has provided important information to congressional stakeholders through its reports. However, OMB\u2019s reports did not cover all outcomes described in the act. For example, as we pointed out, these reports did not fully address implementation of the defense-in-depth strategy described in DHS\u2019s intrusion assessment plan. In addition, although OMB reported on several elements required by the Federal Cybersecurity Enhancement Act of 2015, it did not report on all of the required elements. For example, the reports did not address whether DHS\u2019s NCPS was effective in detecting advanced persistent threats. The reports also did not include a comparison of the costs and benefits of the intrusion detection and prevention capabilities versus commercial technologies and tools, or the value of classified cyber threat indicators. Further, the reports did not address the capability of agencies to protect sensitive cyber threat indicators and defensive measures. Accordingly, we maintain that our recommendations for OMB to report on required elements in the Federal Cybersecurity Enhancement Act of 2015 are warranted.", "In addition, OMB suggested that we revise our recommendations to the agency to include a shared responsibility with DHS to help drive desired outcomes. However, six of the seven recommendations we are making to OMB are related to specific OMB responsibilities cited in either the Federal Cybersecurity Enhancement Act of 2015 or the Report to the President on Federal IT Modernization. As such, we believe the recommendations are appropriately addressed to OMB. Furthermore, our recommendations do not prevent OMB from working with DHS to implement them. Our seventh recommendation to OMB\u2014to work with DHS to follow up with agencies to identify obstacles and impediments affecting their abilities to implement intrusion detection and prevention capabilities\u2014includes a shared responsibility with DHS. OMB also provided technical comments, which we incorporated into the report, as appropriate.", "Subsequent to providing initial comments on our draft report, OMB issued a memorandum intended to provide a strategy for realigning resources across agencies to protect high-value assets. This action addresses our recommendation 8, which called for the Director of OMB to establish a time frame for finalizing the strategy for realigning resources across agencies to protect high-value assets, and to issue the strategy when finalized.", "In its comments, DHS stated that it concurred with the two recommendations we made to the department. DHS stated that it expects to implement the recommendations in 2019.", "The Department of Commerce commented that the report was reasonable and that the department agreed with the findings and recommendations.", "In its comments, the Social Security Administration stated that protecting its networks and information is a critical priority. According to the agency, it continued to make improvements in fiscal year 2018, such as improvements and progress in securing applications, leveraging the cloud, managing its assets and vulnerabilities, strengthening its network and incident response capabilities, improving its security training, and enhancing the overall effectiveness of its cybersecurity program.", "Finally, the U.S. Agency for International Development commented that its inspector general had improved the agency\u2019s capability maturity ratings for core security functions in fiscal year 2018. The agency also pointed out that it was the only selected agency in which fiscal year 2017 indicators of effectiveness in implementing the federal approach and strategy for securing information systems were all positive (as noted in Appendix III).", "We are sending copies of this report to appropriate congressional committees, the Director of OMB, the heads of the 23 civilian CFO Act agencies and their inspectors general, and other interested congressional parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IX."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Federal Cybersecurity Enhancement Act of 2015, which was enacted December 18, 2015, included a provision for GAO to report on the effectiveness of the federal government\u2019s approach and strategy for securing agency information systems, including intrusion detection and prevention capabilities. The objectives of our review were to assess: (1) the reported effectiveness of selected agencies\u2019 implementation of the federal government\u2019s approach and strategy to securing agency information systems; (2) the extent to which the Office of Management and Budget (OMB) and the Department of Homeland Security (DHS) have facilitated the use of intrusion detection and prevention capabilities to secure federal agency information systems; and (3) the extent to which selected agencies reported implementing intrusion detection and prevention capabilities.", "Selected agencies for our review were the 23 civilian agencies covered by the Chief Financial Officers Act of 1990 (CFO Act). We did not include the Department of Defense because the Federal Cybersecurity Enhancement Act of 2015 only pertains to civilian agencies. Because we focused our work on the 23 civilian agencies, results from these reviews are not generalizable to the entire federal government.", "To assess the reported effectiveness of agencies\u2019 implementation of the federal government\u2019s approach and strategy to securing agency information systems, we described the federal government\u2019s approach and strategy by summarizing the Federal Information Security Modernization Act of 2014 (FISMA), Executive Order 13800, Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure, and the National Institute of Standards and Technology\u2019s (NIST) Framework for Improving Critical Infrastructure Cybersecurity (cybersecurity framework). assessed the reported effectiveness of agencies\u2019 implementation of the approach and strategy by reviewing annual reports from OMB and the inspectors general (IG) of the 23 civilian CFO Act agencies regarding the reported implementation of FISMA for fiscal year 2017. We described the IG reported maturity levels, including the Office of Inspectors General FISMA Reporting Metrics definition of \u201ceffectiveness.\u201d These maturity levels are based on security domains aligned with the five core functions in NIST\u2019s cybersecurity framework. We also summarized IG reported conclusions on the effectiveness of agencies\u2019 information security programs for fiscal year 2017. reviewed the fiscal year 2016 and 2017 financial statement audit reports for each of the 23 civilian CFO Act agencies to identify the extent to which any significant deficiencies or material weaknesses related to information security over financial systems had been reported and to identify information security control weaknesses reported by the IGs. identified whether agencies had met the targets for the cybersecurity- focused cross-agency priority goal for fiscal years 2016 and 2017 by examining agency-reported performance metrics for fiscal years 2016 and 2017. evaluated OMB\u2019s agency risk management assessment ratings to make a determination on how agencies were managing risk to their enterprise. These conclusions were based on FISMA metrics, and are aligned with the five core security functions defined in the cybersecurity framework. interviewed knowledgeable OMB officials and staff to obtain their views on the reported effectiveness of the federal government\u2019s approach and strategy to securing agency information systems.", "To assess the extent to which OMB and DHS have facilitated the use of intrusion detection and prevention capabilities to secure federal agency information systems, we determined the extent OMB and DHS fulfilled their requirements described in the Federal Cybersecurity Enhancement Act of 2015 by collecting and reviewing artifacts from OMB and DHS and comparing them to the provisions outlined in the act. We also interviewed knowledgeable officials from OMB and DHS regarding their efforts to fulfill their requirements described in the act. determined the effectiveness of corrective actions taken by DHS to address nine previously reported recommendations we made in our report related to NCPS. Specifically, we collected appropriate artifacts and assessed the artifacts against the criteria used in that report, and determined the extent to which the actions taken by DHS met the intent of the recommendations, and we met with DHS staff responsible for the remediation activities and obtained their views of the status of actions taken to address the recommendations. held semi-structured interviews with knowledgeable officials from the 23 civilian CFO Act agencies. During these interviews, we obtained the agency\u2019s views on whether they need more training and guidance from DHS for NCPS and CDM. We also interviewed knowledgeable officials and staff at DHS to obtain their views on how DHS had improved the intrusion detection and prevention capabilities it provides to federal agencies. We also interviewed DHS officials to obtain their views on the training and guidance that the department makes available to agencies.", "To assess the extent to which selected agencies reported implementing intrusion detection and prevention capabilities, we described the reported intrusion detection and prevention capabilities implemented by the 23 civilian CFO Act civilian agencies by summarizing implemented intrusion detection and prevention capability information obtained from the semi-structured interviews at the 23 civilian CFO Act agencies described above; identifying the extent to which the 23 civilian CFO Act agencies were in compliance with DHS\u2019s binding operating directive (BOD) pertaining to enhanced email and web security (BOD 18-01) by collecting and summarizing Cyber Hygiene Trustworthy Email reports from the 23 agencies and determining the extent to which the agencies had taken required actions to implement the BOD.", "During the semi-structured interviews, we also obtained the agency\u2019s views and experiences with other programs and services provided by DHS, including the extent to which agencies had implemented the tools offered by the department\u2019s Continuous Diagnostics and Mitigation (CDM) program.", "To determine the reliability of submitted data and obtain clarification about agencies\u2019 processes to ensure the accuracy and completeness of data used in their respective FISMA reports, we analyzed documents and conducted interviews with officials from 6 of the 23 civilian CFO Act agencies. To select these six agencies, we sorted agency fiscal year 2017 information technology budget data from highest to lowest amount and then divided the data into three tiers: high spending, medium spending, and low spending. We then randomly selected two agencies from each of the three tiers. The selected agencies were the Departments of Agriculture, Commerce, Housing and Urban Development, Transportation, and Veterans Affairs, and the U.S. Agency for International Development. While not generalizable to all agencies, the information we collected and analyzed about the six selected agencies provided insights into various processes in place to produce FISMA reports. Based on this assessment, we determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "We conducted this performance audit from December 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Cybersecurity Framework", "paragraphs": ["The National Institute of Standards and Technology established the cybersecurity framework to provide guidance for cybersecurity activities within the private sector and government agencies at all levels. The cybersecurity framework consists of five core functions: identify, protect, detect, respond, and recover. Within the five functions are 23 categories and 108 subcategories that define discrete outcomes for each function, as described in table 7."], "subsections": []}, {"section_title": "Appendix III: Reported Effectiveness of Agencies\u2019 Implementation of the Federal Approach for Securing Information Systems", "paragraphs": ["The federal approach and strategy for securing information systems is prescribed by federal law and policy, including the Federal Information Security Modernization Act of 2014 and the presidential executive order on Strengthening the Cybersecurity of Federal Networks and Critical Infrastructure. Accordingly, federal reports describing agency implementation of this law and policy, and reports of related agency information security activities, indicated the effectiveness of agencies\u2019 efforts to implement the federal approach and strategy. Table 8 summarizes the reported effectiveness of the 23 civilian Chief Financial Officers Act of 1990 agencies to implement the government\u2019s approach and strategy to securing information systems."], "subsections": []}, {"section_title": "Appendix IV: Updated Cybersecurity- Focused Cross-Agency Priority Goal", "paragraphs": ["The President\u2019s Management Agenda identifies cross-agency priority (CAP) goals to target areas where multiple agencies must collaborate to effect change. The agenda issued in fiscal year 2018 established an information technology modernization goal that includes a cybersecurity objective with specific priority areas and performance indicators. This cybersecurity-focused goal is intended to drive progress in the government\u2019s efforts to modernize information technology to increase productivity and security. Figure 8 describes the 3 updated cybersecurity- focused cross-agency priority areas and 10 performance indicators. Each federal agency is expected to meet one of the 10 new performance indicators by the end of fiscal year 2018 and the remainder by 2020."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Jeffrey Knott (assistant director), Daniel Swartz (analyst-in-charge), David Blanding, Chris Businsky, Kristi Dorsey, Di\u2019Mond Spencer, Priscilla Smith, and Edward Varty made key contributions to this report. West Coile, Franklin Jackson, and Chris Warweg also provided assistance."], "subsections": []}]}], "fastfact": ["Federal agencies reported 35,277 cybersecurity incidents for their IT systems in FY 2017.", "While agencies have gotten better at preventing and detecting intrusions into their systems, they are still vulnerable to attacks such as \"phishing\"\u2014emails designed to trick staff into clicking malicious links. Moreover, many agencies have not yet fully implemented effective security programs or practices, leaving them vulnerable to future attacks.", "We recommended that the Department of Homeland Security and the Office of Management and Budget help agencies improve their intrusion detection and prevention capabilities."]} {"id": "GAO-19-15", "url": "https://www.gao.gov/products/GAO-19-15", "title": "Veterans' Disability Benefits: Better Measures Needed to Assess Regional Office Performance in Processing Claims", "published_date": "2018-10-03T00:00:00", "released_date": "2018-10-03T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Each year, VBA processes more than 1 million disability compensation claims and provides about $65 billion in benefits to veterans. The Jeff Miller and Richard Blumenthal Veterans Health Care and Benefits Improvement Act of 2016 includes a provision for GAO to review VBA's regional offices to help VBA achieve more consistent performance in processing disability compensation claims.", "This report examines (1) how VBA manages workload and performance for the disability compensation claims process, (2) how well VBA's timeliness and accuracy measures capture its regional offices' performance in processing these claims, and (3) how well selected regional offices communicate with VSOs and congressional caseworkers about these claims. GAO reviewed VBA policies and procedures; visited four regional offices selected to represent a range of performance scores and claims processing volume in fiscal year 2017; and interviewed VBA headquarters officials and management and staff from the selected regional offices. GAO also interviewed VSOs and congressional caseworkers\u2014selected for House, Senate, and bipartisan representation\u2014to learn more about their communication with VBA."]}, {"section_title": "What GAO Found", "paragraphs": ["In 2016, the Veterans Benefits Administration (VBA) centralized distribution of the disability compensation claims workload through the National Work Queue, which prioritizes and distributes claims to regional offices based on their capacity; however, there are gaps in VBA's guidance for processing claims with errors. Under the National Work Queue, multiple regional offices can work on a single claim instead of the claim remaining at one office for the duration of processing (see figure). GAO found gaps in guidance about whether a claims processor should fix an error made by another regional office, or return the claim to that office to be corrected. The former could result in missed opportunities to train staff who made the error, while the latter could result in processing delays.", "VBA primarily uses timeliness and accuracy measures to assess its regional offices' performance in processing disability compensation claims, but these measures do not adequately capture performance. The timeliness measure can be skewed because it is a snapshot of how long claims have been pending at an office on the last day of the month, and does not capture performance over a period of time. The accuracy measure is attributed to the office that finishes the claim, even though 88 percent of claims completed in fiscal year 2017 were processed at more than one office. VBA officials acknowledged that these measures are limited and said the agency is exploring alternatives, but VBA has no specific plan or time frame for determining and implementing new measures. Without measures to more accurately assess regional office performance, VBA may be limited in its ability to make efficient and effective decisions.", "Veterans service organizations (VSO) and staff working for Members of Congress (congressional caseworkers) interviewed by GAO were generally satisfied with regional office communication regarding disability compensation claims. However, VBA's policy on whom VSOs should contact during different points in the process did not always align with what occurs at the offices we visited or with VSO needs. This could result in VSOs not receiving consistent and timely responses from VBA. Evaluating this policy could help VBA assist VSOs in better serving veterans. In addition, congressional caseworkers GAO interviewed identified ways that communication could be improved or that additional support could be provided, such as a list of contacts at all regional offices for claim inquiries. VBA officials GAO interviewed described an open-door policy through which they may receive feedback from caseworkers, but the agency does not formally solicit periodic feedback from them. Without such feedback, the agency may miss opportunities to identify and address caseworker communication needs that could help them better serve veterans."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making five recommendations to VBA to clarify guidance for correcting errors, develop and implement measures to better assess timeliness and accuracy at regional offices, and evaluate communication with VSOs and caseworkers. The Department of Veterans Affairs concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Veterans Affairs\u2019 (VA) Veterans Benefits Administration (VBA) provides roughly $65 billion in disability compensation benefits to more than 4 million veterans each year. VBA primarily relies on its 57 regional offices to determine veterans\u2019 eligibility for disability compensation and, since 2010, these offices have processed an average of more than 1 million claims each year. Prior to 2016, a veteran\u2019s claim was generally processed by the veteran\u2019s local regional office. However, in 2016, VBA implemented the National Work Queue to centralize the distribution of claims to regional offices. Now, a claim can be processed by multiple regional offices, and claims are distributed based on regional office capacity. In order to monitor and improve its claims processing performance, VBA sets goals for both processing time and accuracy in disability determinations, and tracks this performance across regional offices.", "VBA\u2019s disability compensation claims process can be challenging for veterans. Therefore, independent veterans service organizations (VSO) and staff working for Members of Congress (congressional caseworkers) support veterans in navigating the claims process. VBA requires regional offices to communicate with these VSOs and congressional caseworkers as they work on behalf of veterans.", "The Jeff Miller and Richard Blumenthal Veterans Health Care and Benefits Improvement Act of 2016 includes a provision for GAO to review VBA\u2019s regional offices to help VBA achieve more consistent performance in processing disability compensation claims. This report addresses (1) how VBA manages workload and performance for the disability compensation claims process, (2) how well VBA\u2019s timeliness and accuracy measures capture its regional offices\u2019 performance in processing these claims, and (3) how well selected VBA regional offices communicate with VSOs and congressional caseworkers about these claims.", "To address these objectives, we reviewed VBA headquarters policies and procedures related to management practices, performance, and communication. We also visited four regional offices\u2014Columbia, SC; Montgomery, AL; St. Paul, MN; and Wichita, KS\u2014selected to represent a range of VBA-reported performance measure scores and claims processing volume in fiscal year 2017. We assessed the reliability of data on performance scores and claims volume by reviewing relevant documentation, interviewing VBA staff, and performing electronic testing for obvious errors in accuracy and completeness, and concluded that these data were sufficiently reliable for the purposes of selecting regional offices to visit. We interviewed VBA headquarters and district office officials, and various groups of management and staff from the selected regional offices regarding VBA and regional office management, regional office performance measurement, and regional office communication with VSOs and congressional caseworkers.", "Specifically, to address the first objective, we reviewed VBA headquarters documentation related to management practices for disability compensation claims. We also reviewed VBA headquarters and district office reports on site visits to regional offices. In addition, we reviewed regional office-level policy and procedure documents related to managing workload and performance from the four selected regional offices. We discussed with VBA officials the National Work Queue and how it affects VBA\u2019s management of workload and performance. We did not assess the extent to which the use of the National Work Queue affected performance outcomes, in part, because performance changes may be attributed to several factors, such as VBA\u2019s move from a paper- to electronic-based claims process, mandatory and voluntary overtime for claims processors, and an agency-wide focus on reducing the claims backlog. In addition, we compared management practices for identifying and correcting claims processing errors to federal internal control standards related to the design of control activities.", "To address the second objective, we reviewed VBA\u2019s policy and documentation on performance measurement, such as the Director\u2019s Performance Plans for fiscal years 2017 and 2018, agency budget and performance reports, and VBA-reported regional office performance data related to timeliness and accuracy of disability compensation claims for fiscal year 2017. We discuss the reliability of the timeliness data and the regional office-level accuracy scores later in this report. We assessed the reliability of the accuracy data related to the frequency of specific errors nationwide by interviewing VBA staff, performing electronic testing for obvious errors in accuracy and completeness, and reviewing our prior analyses of these data. We concluded that these data on errors were sufficiently reliable for the purposes of our report. We compared VBA\u2019s regional office performance measures to federal internal control standards on using quality information to achieve agency objectives.", "To address the third objective, we reviewed VBA policies on communication with VSOs and congressional caseworkers. We also reviewed VA Office of Inspector General reports on regional offices, and VBA headquarters reports on site visits to regional offices. In addition, we reviewed congressional testimony from national VSOs related to communication with regional offices. We interviewed officials from VA\u2019s Office of Inspector General and Office of Congressional and Legislative Affairs. We also interviewed national officials from three congressionally chartered VSOs, that are also recognized by VA\u2014The American Legion, Disabled American Veterans, and Veterans of Foreign Wars\u2014and were selected because of their size and the scope of veterans\u2019 issues they represent. During our visits to the four selected regional offices, we interviewed 23 local VSO staff, selected for local VSOs\u2019 availability to meet with us during our visits. During our visits, we also interviewed 22 congressional caseworkers working for 16 Members of Congress. The caseworkers were selected to include House, Senate, and bipartisan representation, and for the volume of cases the caseworkers were involved in at the regional offices we visited. We compared the regional offices\u2019 communication with VSOs and congressional caseworkers to VA\u2019s policies and federal internal control standards on communication.", "We conducted this performance audit from July 2017 through October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Disability Compensation Claims Process", "paragraphs": ["VA pays monthly disability compensation to veterans with service- connected disabilities (i.e., injuries or diseases incurred or aggravated while on active military duty) according to the severity of the disability. VBA\u2019s Compensation Service sets policy and oversees the delivery of disability compensation. VBA\u2019s Office of Performance Analysis and Integrity analyzes performance information related to claims. VBA\u2019s Office of Field Operations provides operational oversight to district and regional offices. The 57 regional offices are grouped into five district offices, which manage the regional offices in their areas. VBA staff in the Veterans Service Centers of the regional offices process disability compensation claims. These claims processors include Veterans Service Representatives who gather evidence needed to determine entitlement and review the amount of the award and authorize payment, if any, and Rating Veterans Service Representatives who decide entitlement and the rating percentage. Veterans may claim more than one medical condition, and VBA assigns a rating percentage for each claimed medical condition, as well as for the claim overall.", "As shown in figure 1, after a veteran submits a claim to VBA, a Veterans Service Representative reviews the claim and helps the veteran gather the relevant evidence needed to evaluate the claim. Such evidence includes the veteran\u2019s military service records, medical examinations, and treatment records from Veterans Health Administration medical facilities and private medical service providers. Also, if necessary to provide support to substantiate the claim, VA will provide a medical examination for the veteran. Once VBA has gathered the supporting evidence, a Rating Veterans Service Representative\u2014who typically has more experience at VBA than a Veterans Service Representative\u2014evaluates the claim and determines whether the veteran is eligible for benefits and, if so, assigns a percentage rating. A Veterans Service Representative then determines the amount of the award, if any, and drafts a decision notice. A senior Veterans Service Representative then authorizes the award and releases the decision notice to the veteran following a review of both for accuracy."], "subsections": []}, {"section_title": "National Work Queue", "paragraphs": ["In May 2016, VBA completed implementation of the National Work Queue\u2014an electronic workload management initiative that prioritizes and distributes claims across regional offices. Previously, a veteran\u2019s claim was generally processed from start to finish (i.e., awarding of benefits or notification of denial) by the veteran\u2019s local regional office of jurisdiction, and the regional office\u2019s workload generally depended on how many claims were filed by veterans within its area of jurisdiction. Now, a claim can be processed by multiple regional offices, and claims are distributed based on regional office capacity (see fig. 2)."], "subsections": []}, {"section_title": "National Trends in Disability Compensation Claims Processing", "paragraphs": ["VBA establishes national targets and tracks performance for disability compensation claims processing. Since fiscal year 2014, national claims processing timeliness has improved substantially, and accuracy scores have decreased slightly, as shown in table 1. VBA\u2019s 12-month issue- based accuracy target for fiscal year 2017 was 96 percent and its target for fiscal year 2018 was the same. From fiscal year 2014 to 2017, VBA\u2019s national accuracy estimate decreased from about 96 percent to about 94 percent. In addition, VBA\u2019s target for backlog claims\u2014defined by VBA as those pending for more than 125 days\u2014for fiscal year 2017 was no more than 15 percent of claims inventory and its target for fiscal year 2018 was no more than 21 percent of claims. In fiscal year 2017, VBA\u2019s reported percentage of backlog claims was 23 percent, with a reduction from 240,443 to 70,965 total reported backlog claims from fiscal years 2014 to 2017."], "subsections": []}, {"section_title": "Regional Office Performance Measures for Disability Compensation Claims Processing", "paragraphs": ["VBA\u2019s Office of Performance Analysis and Integrity collects a variety of data on timeliness and accuracy, including on VBA\u2019s claims backlog, so that VBA can monitor regional office performance. To improve timeliness and accuracy, and reduce the claims backlog, VBA sets performance standards for the directors of regional offices. In fiscal year 2018, regional office performance was assessed using two primary metrics\u2014timeliness (Time-in-Queue) and accuracy (12-month issue-based accuracy). Since 1999, VBA has assessed the accuracy of disability compensation claims decisions at the national and regional office level using its Systematic Technical Accuracy Review (STAR). With this tool, VBA reviews a stratified random sample of completed claims, and certified reviewers use a checklist to assess specific aspects of each claim."], "subsections": []}, {"section_title": "Veterans Service Organizations and Congressional Caseworkers", "paragraphs": ["According to VA, as of October 2017, 31 congressionally chartered VSOs were recognized by VA under federal statute to help veterans navigate the claims process. VSOs commonly are private nonprofit groups that advocate without fees on behalf of veterans. VSOs employ individuals, called veterans service officers, whose offices often are located at a VBA regional office. Through a power of attorney, VSOs can represent veterans before VA, and assist them and their families with disability compensation claims, among other things. VSO staff are trained to help veterans understand and apply for any VA benefits to which they may be entitled, including disability compensation. In addition to helping veterans submit claims to VBA, VSOs are allowed to communicate with VBA on behalf of the veteran throughout the life of the claim, and are given up to 48 hours to review the claim decision before it is finalized (after the Rating phase in figure 1 above). VSOs can have access to VBA\u2019s electronic claims management system to view claims status and submit claims documents.", "According to a Congressional Research Service report, as of March 2016, 919 congressional caseworkers were working for constituents on a variety of issue areas, including veterans\u2019 disability compensation claims. Also according to the report, congressional caseworkers cannot legally represent veterans, but with a privacy release form from the veteran, VBA may respond to a congressional inquiry. According to VA officials, congressional caseworkers can then obtain certain claim-related information from VA, such as the status of the veteran\u2019s claim. VA\u2019s guidance on \u201cspecial controlled correspondence\u201d governs VBA\u2019s communication with congressional caseworkers, including required time frames for responding to congressional inquiries. Congressional caseworkers generally work out of Congressional Members\u2019 state and district offices."], "subsections": []}]}, {"section_title": "VBA Manages Workload and Performance through Established Processes, but Guidance for Claims with Errors Has Gaps", "paragraphs": [], "subsections": [{"section_title": "VBA Allocates Claims Workload across Offices Based on Their Capacity, but Guidance for Processing Claims with Errors Has Gaps", "paragraphs": ["The National Work Queue, which VBA uses to distribute disability compensation claims, was designed to even out the differences in claims workload across regional offices by having multiple offices complete parts of a claim and allocating claims based on each office\u2019s capacity. For example, as shown in figure 3, in fiscal year 2017, about 88 percent of all disability compensation claims were processed by more than one office, and over 75 percent were processed by three or more offices. This distribution method is intended to keep all offices working at their capacity, regardless of the volume of claims filed by veterans in each region. While VBA officials stated that they had initially planned to continue to have a majority of claims processed at veterans\u2019 local regional offices, after implementation of the National Work Queue they determined that the system operates more effectively if veteran location is a lower priority factor for claims distribution. Thus, very few claims are processed entirely at a veteran\u2019s local regional office, unless the veteran has a documented hardship that may necessitate expediting the claim or face- to-face interaction.", "VBA officials added that the National Work Queue formula distributes claims based on VBA priorities. For example, VBA prioritizes claims for veterans with documented hardships (e.g., terminal illness, financial hardship). In addition, the National Work Queue formula takes into account the length of time since the claim was received and prioritizes backlog claims\u2014defined by VBA as claims that have been open for more than 125 days.", "Once the National Work Queue allocates claims to a regional office, the office has some discretion in managing the distribution of claims to its staff and managing the claims review process. For example, while VBA determines how the claims workload is allocated across offices, regional office managers decide which claims within the office\u2019s queue to work first, how to program the office\u2019s queue for distributing claims to individual claims processors\u2019 electronic work queues, and whether any changes to this distribution are needed throughout the day. Regional office managers at each of the four offices we visited reported using VBA\u2019s timeliness goals and daily data on claims processing timeliness to prioritize claims. Managers at the offices we visited also described additional strategies to manage their work queue, including:", "At two of the four offices we visited, managers said that they provide a list of claims to claims processors to prioritize, such as those that are older or have been in the office\u2019s work queue for multiple days.", "Managers at one office said that they manually alter individual claims processors\u2019 electronic work queues so that older claims are processed first.", "Managers at one office stated that because they instruct claims processors to focus on meeting timeliness targets for the office, all claims are worked within a few days; thus, they encourage their staff to focus on meeting the office timeliness goals rather than requiring them to work the claims in their queue in a specified order.", "VBA officials acknowledged that regional office managers may have different strategies for managing workload, but noted that all offices are expected to respond to VA national priorities\u2014such as decreasing the claims backlog\u2014while also meeting their individual office performance goals.", "While VBA officials noted that having discretion in workload management can be beneficial, such discretion can also lead to inconsistent handling of the claims workload. In particular, we found gaps in guidance for managing deferrals\u2014actions taken by claims processors in VBA\u2019s electronic claims management system when they identify claims errors that occurred earlier in the claims process. The deferral process began with the National Work Queue since claims were, for the first time, routinely being processed by multiple regional offices. Through deferrals, when claims processors identify errors in a claim, they can use the National Work Queue to return the claim for correction to the office that made the error. According to VBA data, in fiscal year 2017, VBA claims processors deferred claims in 450,305 instances, which represented almost 4 percent of the total disability claims processing work completed.", "While VBA officials said that claims processors who find errors are generally expected to defer a claim, managers and claims processors at the regional offices we visited had different perspectives regarding when Veterans Service Representatives should do this. At all four of the regional offices we visited, managers and claims processors said that they generally would not defer a claim if the error could be corrected and the claim moved forward. At one regional office, managers and claims processors said that they would log a deferral in the electronic claims management system, so the error would be tracked and the previous claims processor could be notified and trained, but that they would also correct the error themselves to move the claim forward.", "VBA provides some guidance to Rating Veterans Service Representatives regarding the circumstances in which they should defer claims, but does not have corresponding guidance for Veterans Service Representatives. However, according to our analysis of VBA data from fiscal year 2017, more than 75 percent of deferrals are logged during the Initial Development, Supplemental Development, Award, or Authorization phases\u2014when Veterans Service Representatives are typically processing claims. Existing guidance for Veterans Service Representatives on deferrals in the National Work Queue Playbook and other documents focuses on the process for deferring a claim in the electronic claims management system, rather than on situations that merit a deferral. Specifically, VBA does not provide guidance on when Veterans Service Representatives should defer a claim or consider other options, such as correcting the error and moving the claim forward, with or without a deferral. VBA officials stated that the policy regarding when to defer claims is not prescriptive\u2014and they do not plan to provide additional guidance\u2014because they want to allow regional offices the discretion to decide what action is best for the veteran. However, federal internal control standards state that agencies should design control activities to achieve objectives and respond to risks. For example, a control activity that is performed routinely and consistently generally is more precise than one performed sporadically. As such, deferrals may not serve as an effective control without being used consistently across VBA\u2019s regional offices.", "VBA\u2019s lack of guidance on when to defer claims may lead to delays for veterans and missed opportunities to train individuals who make errors. In some cases, differences in regional office practices for when to defer claims may lead to situations in which claims that could move forward are instead sent back to the previous office, causing unnecessary delays for veterans. In addition, we heard from managers or claims processors at three offices we visited that claims may not always be deferred for legitimate reasons and that the ability to defer claims may create incentives for employees to defer a claim based on an insignificant error if they want to avoid working on a complex claim. In other cases, more significant errors may end up being fixed at a regional office without providing feedback to the office that made the mistake. While the practice of fixing the error rather than deferring the claim may keep the claim moving for the veteran, it also means that claims processors who make errors may repeat the same mistakes in the future."], "subsections": []}, {"section_title": "VBA Sets Regional Office Performance Goals and Individual Expectations and Has Developed Processes for Managing Performance", "paragraphs": ["VBA sets regional office goals and individual claims processor expectations that align with national efforts to increase timeliness and accuracy of claims decisions. VBA holds regional offices accountable for meeting performance goals through the Director\u2019s Performance Plan. For disability compensation claims in fiscal year 2018, VBA assessed regional office performance using the Time-in-Queue and 12-month issue-based accuracy measures. VBA has developed processes and tools for communicating performance information to regional offices and for identifying common errors. For example, VBA sets timeliness goals for regional offices and generates daily claims processing timeliness data for each office. At the regional offices we visited, we observed that VBA displays these data on monitors so that managers and employees can see how their office is performing on a daily basis. In addition, VBA has created performance reporting tools that allow regional office managers, claims processors, and various VBA workgroups to download regional office performance information and analyze office performance issues at their discretion.", "At the regional offices we visited, quality review teams analyze claims processing errors made by their employees, such as those identified in STAR reviews and through the deferral process. Based on common mistakes they identify, quality review staff at all four offices we visited said that they incorporate topics related to the errors into training sessions, or provide direct coaching to individual employees. VBA also conducted an In-Process Review pilot from November 2017 through May 2018 at selected regional offices. The pilot involved a quality review for two phases of the claims process. The purpose of the pilot was for employees to learn from and correct mistakes in a non-punitive setting while the claim was being processed. VBA officials reported that VBA discontinued the pilot in May 2018\u2014prior to its scheduled completion date\u2014because the pilot was not demonstrating the anticipated benefit of reducing the number of errors at pilot offices that resulted in deferrals.", "VBA also develops practices at the national level for managing individual employee performance and, in some cases, provides regional office managers with discretion for implementing those practices. In support of the regional office performance standards, VBA sets individual employee performance standards in the following five areas: (1) quality of work; (2) timeliness of corrective actions and responsiveness to workload assignments; (3) production (i.e., the number of transactions, or tasks, completed within the assessment period); (4) completion of training; and (5) organizational support. The production standards include a goal for the number of credits, or points, that employees are expected to earn during each pay period for their work activities. According to VBA officials, regional office managers are held accountable for providing feedback to employees on a regular basis and addressing performance deficiencies appropriately and in a timely manner. In addition, according to VBA officials, VA\u2019s policy allows regional office managers \u201cbroad discretion\u201d in determining when a performance deficiency exists.", "Employee performance incentive programs, which provide monetary awards to top performers in each regional office, are also managed at the national level. However, within regional offices, some managers told us that they also occasionally provide small incentives or celebrations to show appreciation for staffs\u2019 contributions."], "subsections": []}]}, {"section_title": "VBA\u2019s Timeliness and Accuracy Measures Do Not Adequately Reflect Regional Office Performance for Disability Compensation Claims Processing", "paragraphs": [], "subsections": [{"section_title": "Regional Office Timeliness Measure Does Not Capture Performance over a Period of Time", "paragraphs": ["VBA uses Time-in-Queue\u2014the average number of business days that claims have been pending at a regional office\u2014to measure overall regional office timeliness for processing disability compensation claims. Time-in-Queue is measured separately for each phase of the claims process\u2014Initial Development, Supplemental Development, Rating, Award, and Authorization\u2014and VBA has established timeliness goals for each of these phases. VBA holds regional offices accountable for meeting timeliness goals through the Director\u2019s Performance Plan, which rates offices as successful if they meet Time-in-Queue standards for each phase of the claims process in 10 out of 12 months. For this purpose, the measure is a snapshot on the last day of each month that shows how long, on average, claims have been pending at each office; however, it does not capture regional office performance over a period of time. Consequently, Time-in-Queue can provide a skewed picture for a period of time, depending on the work that is assigned to the office toward the end of the month and the speed with which claims are processed during that limited time period.", "Moreover, according to VBA officials, the agency used Time-in-Queue scores and additional factors\u2014such as space considerations and training capacity\u2014to determine the amount of new resources to allocate to its regional offices in May 2017, and the agency will continue to consider such performance information when allocating resources in the future.", "However, federal internal control standards state that agencies should use quality information to achieve objectives. For example, an agency should obtain data from reliable sources in a timely manner and based on identified requirements, and reliable sources are those that provide data that are reasonably free from error and bias and faithfully represent what they purport to represent. In addition, our prior work has shown that practices for improving the usefulness of performance data include using new methods of measurement to address data limitations, such as Time- in-Queue only capturing performance as a snapshot on 1 day.", "VBA officials acknowledged that the Time-in-Queue performance measure does not reflect the complete timeliness of a regional office. These officials said that the agency is exploring adding a Time-to-Exit- Queue measure that could capture regional office timeliness over a period of time. For example, Time-to-Exit-Queue could measure the timeliness of all claims processing work completed throughout the month instead of work pending on the last day of the month. However, VBA has not yet completed the development of the Time-to-Exit-Queue performance measure. VBA has also not determined whether or when it will replace or supplement Time-in-Queue with a new primary metric\u2014 Time-to-Exit-Queue or something else\u2014to measure regional office timeliness. Until VBA implements a new measure to more fully assess regional offices\u2019 timeliness, the agency will not have a complete picture of regional office performance over time, which could impair decision- making related to regional office performance, such as decisions about targeting resources to high- or low-performing offices."], "subsections": []}, {"section_title": "A Regional Office\u2019s Accuracy Score Does Not Always Reflect the Work Completed in That Office", "paragraphs": ["VBA uses the STAR 12-month issue-based accuracy score to measure regional office accuracy in processing disability compensation claims, but this score could provide a misleading picture of an office\u2019s performance. VBA\u2019s accuracy measure attributes the accuracy of sampled claims to the regional office that finishes the claim even though, under the National Work Queue, that office may not have done all of the work on the claim. In fiscal year 2017, about 88 percent of all disability compensation claims were processed by more than one office, and about 43 percent were processed by five or more offices, as shown earlier in figure 3. As a result, the scores attributed to each office may not reflect the true accuracy of the office\u2019s work. In addition, any errors made by other offices earlier in the claims process would not be reflected in those offices\u2019 accuracy scores. Therefore, the current regional office accuracy measure does not reflect the accuracy of each office\u2019s work and may skew the score negatively or positively. According to VBA officials, the agency uses issue-based accuracy scores, among other things, to determine how to allocate resources to regional offices. However, federal internal control standards state that agencies should use quality information to achieve objectives. For example, an agency obtains data from reliable sources in a timely manner based on identified requirements, and reliable sources provide data that are reasonably free from error and bias and faithfully represent what they purport to represent. In addition, our prior work has shown that practices for improving the usefulness of performance data include using new methods of measurement to address data limitations.", "VBA officials said that they recognize the limitations of the agency\u2019s regional office accuracy measure, but VBA officials also said it is reasonable to hold the office that completes the claim accountable because Veterans Service Representatives are responsible for checking for errors in the claims process before completing the claim during the Authorization phase. However, according to VBA officials, some areas on VBA\u2019s accuracy checklist\u2014such as whether the claimed conditions were correctly granted or denied, and whether the correct percentage evaluation was assigned\u2014are beyond the scope of the Veterans Service Representatives\u2019 review or qualifications. These tasks are completed by Rating Veterans Service Representatives. In fiscal year 2017, these two areas\u2014whether the claimed conditions were correctly granted or denied, and whether the correct percentage was assigned\u2014accounted for an estimated 28 percent of all errors nationwide. In addition, these two areas ranged from an estimated low of about 13 percent (5 of 40) of all errors attributed to one regional office to an estimated high of about 55 percent (16 of 29) of all errors attributed to another regional office. In addition, while VBA officials said that it is reasonable to hold the office that completes the claim accountable for errors, officials also said that when STAR errors are identified, only the regional offices that actually made the errors are told about them in order to improve staff performance. This suggests that VBA does not view the Veterans Service Representative who completes the claim as fully responsible for all errors in the claims process.", "According to VBA officials, the agency has been exploring the development of a new accuracy measure that would enable it to assign error scores to the offices that actually made the errors. For example, VBA is considering using the STAR reviews to produce a claims phase- based score that would attribute the accuracy of individual phases of the claims process to the offices completing those phases. However, according to VBA officials, sampling by each phase of the claims process would be more complicated than the current system of sampling by regional office and would require additional staff. In addition, the agency is also exploring leveraging its existing Individual Quality Reviews\u2014 currently used to assess the accuracy of individual staff\u2019s work\u2014to create individual regional office accuracy scores. VBA officials added, however, that there are challenges with converting these individual accuracy scores to office scores, such as calculating scores by claims phase instead of by employee position since an employee may conduct work in various phases. VBA has not determined which alternate measure, if any, to use, and does not have a timeline for addressing the challenges it has identified with the alternate measures being considered, or for implementing a new accuracy measure. Until VBA implements a new measure to assess regional offices\u2019 accuracy, it will not have an accurate picture of individual regional offices\u2019 performance, which could impair decision-making, such as targeting resources to high- or low-performing offices."], "subsections": []}]}, {"section_title": "Stakeholders Were Generally Satisfied with Communication at Selected Regional Offices, but VBA\u2019s Communication Policies Are Applied Inconsistently", "paragraphs": [], "subsections": [{"section_title": "Selected Veterans Service Organizations Were Generally Satisfied with Access to Regional Office Staff, but VBA\u2019s Communication Policy and Practice Are Not Aligned", "paragraphs": ["Despite being generally satisfied with regional office communication, VSOs we spoke with also expressed some frustrations. VSOs we spoke with at all four offices reported generally being able to contact someone to answer their questions. Moreover, VBA staff we spoke with reported being flexible in communicating with VSOs in the manner in which they preferred. In addition, Compensation Service and Benefits Assistance Service site visit reports found that VSOs are generally satisfied with regional office communication. However, VSOs at all four offices we visited expressed some frustrations with communication, but they varied some by offices. Examples of communication issues included:", "Diminished contact. VSOs noted that the National Work Queue reduced personal relationships and collaboration between VSOs and regional office staff since claims are no longer fully processed at the local regional office, and therefore VSOs can no longer simply walk across the office to discuss a claim.", "Delayed responses. VSOs said there sometimes are delays in receiving responses from regional offices, with staff taking different lengths of time to respond to an inquiry, or not responding at all. Sometimes, once VSOs receive a response, the claim is no longer being processed at the regional office they contacted, so the response is no longer useful.", "Decreased notice of activity. VSOs said that with the advent of electronic claims processing, they no longer receive paper copies of disability ratings and other documents that VBA sends to the veteran. VSOs have access to such information in VBA\u2019s electronic claims management system, but the system does not notify them when VBA has sent documents to the veteran, such as requests for information and evidence. VSOs said it is time-consuming for them to proactively monitor a large number of veterans\u2019 electronic claims files for new documents.", "VSOs may communicate with a regional office throughout the life of a claim for various purposes and, according to VBA officials, regional offices generally have discretion in establishing local policies for handling VSO questions or inquiries. One exception to this local discretion is during the 48-hour review period when VSOs can review a completed disability rating before it is finalized. A November 2016 VBA policy states that during the 48-hour review period, VSOs may contact a regional office\u2019s Change Management Agent. The policy also states that VSOs should not contact the Change Management Agent for claim status updates, evidence submission, or any other type of inquiry unrelated to a rating decision discrepancy. According to VBA officials, the policy to contact the Change Management Agent during the 48-hour review period was intended to streamline the inquiry process for VSOs, provide consistent responses to them, and minimize disruptions for claims processors. The previous policy required VSOs to first contact the Rating Veterans Service Representative before the Change Management Agent during the 48-hour review period.", "VSOs at three offices we visited reported contacting the Change Management Agent for inquiries during the 48-hour review period, but also reported contacting the Change Management Agent at other points during the claims process. VSOs at all four offices we visited also reported contacting other staff, such as claims processors or their supervisors at their local regional offices, during the 48-hour review period, unrelated to the Change Management Agent\u2019s availability or a particular type of claim, which VBA officials stated were reasons for which VSOs might contact an alternate VBA official. Federal standards for internal control state that an agency should externally communicate the necessary quality information to achieve an entity\u2019s objectives, for example, communicating with external parties using established reporting lines, and periodically evaluating its communication methods.", "VBA officials told us that the November 2016 policy was intended to address communication during the 48-hour review period, and that regional office discretion for communication with VSOs outside of this period was still in place, including contacting Change Management Agents if regional offices determined this was best. However, regional offices and VSOs do not consistently implement this policy. Moreover, the policy states that VSOs are not to contact Change Management Agents for claim status updates, evidence submission, or any other question unrelated to a rating decision discrepancy. These types of inquiries generally occur outside of the 48-hour review period, so this portion of the policy conflicts with VBA officials\u2019 description of regional office discretion for communication with VSOs throughout the life of a claim.", "Although VSO communication with Change Management Agents did not always appear to match VBA\u2019s policy for communication during or outside of the 48-hour review period, VSOs we spoke with seemed to value regional offices\u2019 flexibility in communicating with them. However, it is possible that the policy\u2019s lack of clarity or inconsistent application could contribute to communication frustrations for VSOs, and that changes to either the policy or its enforcement could better serve VSOs and regional office staff. Evaluating its regional office communication policy with VSOs and ensuring that the policy is clear, that it aligns with regional offices\u2019 practices, and that it effectively meets VSOs\u2019 communication needs, could help VBA ensure that it is providing timely and consistent responses to VSOs on behalf of the veterans they represent, while minimizing disruptions to regional office staff. Such alignment could be achieved either by adjusting the communication policy or better enforcing the existing policy."], "subsections": []}, {"section_title": "Selected Congressional Caseworkers Were Satisfied with Communication with Regional Offices, but VBA\u2019s Communication Was Not Always Timely or Accurate", "paragraphs": ["Congressional caseworkers we spoke with at all four offices we visited were satisfied with regional office communication regarding disability compensation claims, though some regional office responses were not timely or accurate, according to VA Inspector General reports. VBA has congressional liaisons at each of its regional offices to answer inquiries from congressional caseworkers. Caseworkers generally contact the VBA liaison at their local regional office when they inquire about claims\u2014 whether the claims are being processed at the local regional office or another regional office. Caseworkers may also contact the VBA liaison at the office where the claim is being processed once they find out from VBA where that is. According to regional office officials at the four offices we visited, most congressional inquiries received at the regional offices are by email or phone, although some are by regular mail; the congressional inquiries are most often regarding the status of a veteran\u2019s claim.", "While caseworkers we spoke with were satisfied with their communication with regional offices, VA\u2019s Office of Inspector General found that in some instances, VBA regional offices had not provided timely or accurate responses to special controlled correspondence, which includes congressional inquiries. According to VBA guidance on special controlled correspondence in fiscal year 2017, VBA liaisons are to respond to caseworkers\u2019 inquiries within 5 business days with a full or interim response, for example. During its inspections of regional offices during fiscal year 2017, the Office of Inspector General found that some offices had not provided interim responses within 5 business days and, in a few cases, had provided inaccurate responses. At some offices, the Office of Inspector General made recommendations for improving regional offices\u2019 responses to inquiries and, according to its reports, regional offices planned and implemented changes, such as providing additional training to staff and improving oversight of correspondence.", "Caseworkers we spoke with at three offices we visited identified ways that regional offices could improve communication with them or ways that VBA could provide them with additional information or support. For example, while caseworkers generally contact their local regional office with inquiries, caseworkers at two offices said that a regularly updated contact list of VBA liaisons at all VBA regional offices could be helpful so that they can immediately contact another regional office if they learn that a claim is being processed there, or if their local VBA liaison is unable to provide sufficient specifics on a claim. Some of these caseworkers suggested that the list could either be posted to a non-public website or sent to VBA regional offices to distribute to local caseworkers. According to VBA officials, the agency does maintain a list of regional office VBA liaisons, and updates it quarterly. The list is provided upon request, both electronically and in hard copy, and caseworkers frequently request the list, according to VBA officials. However, the caseworkers we spoke with at all four offices we visited were not aware of this list.", "In September 2017, VBA developed an online toolkit for congressional caseworkers to better assist them in serving their veteran constituencies. The toolkit webpage provides a central location for caseworkers to quickly locate information regarding available VA benefits and services. For example, the toolkit provides a link to a description of the disability compensation program and how to apply for benefits. VBA officials reported that in September 2017, they provided information on the toolkit to VA\u2019s Office of Congressional and Legislative Affairs for distribution to congressional staff. However, caseworkers and VBA liaisons at all four offices we visited were not aware of this online toolkit, and caseworkers we spoke with at two offices we visited said that it could have been useful to them if they had been aware of it or if it had additional elements, such as regional office expectations for caseworker inquiries.", "According to VBA officials, they have not received any feedback on the toolkit beyond that initially provided by another VA office. This could be, in part, because VBA does not have an outreach mechanism to actively obtain perspectives from congressional caseworkers on their communication with regional offices or their information or support needs, or to determine whether the findings from the Office of Inspector General are typical across regional offices. The Office of Inspector General stopped performing its reviews of regional offices\u2014including evaluations of communication with congressional caseworkers\u2014in fiscal year 2017 to focus its efforts on VBA-wide audits, so this information is no longer available to VBA. Federal standards for internal control state that an agency should externally communicate the necessary quality information to achieve an entity\u2019s objectives, for example, selecting the appropriate methods to communicate externally, and periodically evaluating its methods of communication so that the agency has the appropriate tools to communicate quality information outside the agency.", "VBA officials reported an open-door policy in which caseworkers can share concerns and requests as needed, and said that a formal outreach mechanism is not necessary. Although caseworkers can approach regional office staff with ideas for improvement, this informal mechanism is not a consistent process and does not facilitate candid feedback, nor does it include documentation of potential improvements and actions taken. By creating an outreach mechanism to solicit periodic feedback from congressional caseworkers, VBA could streamline the inquiry process and enable them to provide more accurate and timely information to veterans."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["VBA\u2019s National Work Queue has been in place for more than 2 years and provides opportunities for a higher level of service to veterans. However, with claims moving among regional offices, the individual performance of regional offices remains critical to VBA\u2019s success. For example, regional offices\u2019 inconsistent use of deferrals when claims processors identify errors could unnecessarily delay the decision on a veteran\u2019s claim or prevent staff from receiving needed training. In addition, VBA has developed several practices to assess performance at regional offices, but some of this information could be of limited use if the agency continues using its existing measures. Specifically, VBA\u2019s two primary performance measures for regional offices do not allow the agency to adequately measure claims timeliness and accuracy. Finally, communication with VSOs and congressional caseworkers could be improved by clarifying the VSO communication policy and aligning it with practice and VSO needs, and conducting caseworker outreach in order to provide more consistent and timely information to VSOs and caseworkers. Without these improvements, VSOs and caseworkers may not be able to serve veterans in as timely a manner as possible."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following five recommendations to VBA:", "The Under Secretary for Benefits should clarify how Veterans Service Representatives should handle claims when they identify an error, including when to defer a claim and when to correct the error on their own. (Recommendation 1)", "The Under Secretary for Benefits should develop and implement a new regional office performance measure that allows it to better assess each regional office\u2019s timeliness over a period of time. (Recommendation 2)", "The Under Secretary for Benefits should develop and implement a new regional office performance measure that allows it to better measure the accuracy of each regional office\u2019s work. (Recommendation 3)", "The Under Secretary for Benefits should evaluate its policy for regional office communication with VSOs to ensure that it is clear, that it aligns with practice, and that it meets the communication needs of VSOs. (Recommendation 4)", "The Under Secretary for Benefits should develop and implement a mechanism to obtain periodic feedback from congressional caseworkers on their communication with regional offices regarding claims and needed information or support. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Veterans Affairs for review and comment. VA provided written comments, which are reproduced in appendix I. VA concurred with all of our recommendations and described VBA\u2019s plans for taking action to address them. Regarding Recommendation 1, VA stated that VBA is working to clarify guidance to regional offices for handling claims when errors are identified. Regarding Recommendations 2 and 3, VA stated that VBA is working to develop and implement new performance measures for regional office timeliness and accuracy. Regarding Recommendation 4, VA stated that VBA will review and enhance its policy for communication with VSOs. Regarding Recommendation 5, VA stated that VBA will review existing practices on support for congressional caseworkers, and develop and implement mechanisms to strengthen this support. VA also reported that regional office managers have been directed to meet at least quarterly with congressional caseworkers to gather feedback and resolve issues. If VBA can demonstrate that it is consistently using such feedback mechanisms across regional offices to identify and address caseworker concerns, this will meet the intent of our recommendation.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Veterans Affairs, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Department of Veterans Affairs", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Nyree Ryder Tee (Assistant Director), Rebecca Kuhlmann Taylor (Analyst-in-Charge), Justin Gordinas, and Martin E. Scire made significant contributions to the report. Also contributing to the report were James E. Bennett, Alex Galuten, Benjamin T. Licht, Liam O\u2019Laughlin, David Perkins, Almeta Spencer, Walter K. Vance, and Kathleen van Gelder."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-12", "url": "https://www.gao.gov/products/GAO-18-12", "title": "Workplace Safety and Health: Better Outreach, Collaboration, and Information Needed to Help Protect Workers at Meat and Poultry Plants", "published_date": "2017-11-09T00:00:00", "released_date": "2017-12-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Meat and poultry slaughter and processing is one of the most hazardous industries in the United States. GAO was asked to review federal efforts to help ensure meat and poultry worker safety and health.", "This report (1) describes the efforts OSHA has made to help ensure worker safety and assesses any challenges to these efforts, (2) examines how OSHA and FSIS have collaborated to ensure worker safety, and (3) assesses factors that may affect OSHA and FSIS efforts to protect workers from chemical hazards. GAO analyzed OSHA inspection data from 2005\u2014when GAO last reported on this issue\u2014through 2016. GAO also interviewed OSHA staff in headquarters and six field offices; officials at four other federal agencies; worker advocates; and industry representatives. GAO visited four plants and interviewed workers at six sites in five states selected based on factors such as meat or poultry production."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Labor's Occupational Safety and Health Administration (OSHA) increased its annual inspections of the meat and poultry industry from 177 in 2005 to 244 in 2016. OSHA officials told GAO that this increase was related to several new enforcement programs focusing on the poultry industry, as well as new reporting requirements that prompt additional inspections. However, OSHA faces challenges identifying and addressing worker safety concerns because workers may be reluctant to contact OSHA for fear of employer retaliation, although employers are prohibited from doing so by federal law. If workers are afraid to share concerns, OSHA may not be able to identify or address conditions that endanger them. In particular, OSHA may not be aware of the scope of problems workers could face gaining timely access to bathrooms. When asked by GAO, workers in five selected states cited bathroom access as a concern and said they fear speaking up at work, where OSHA inspectors typically interview them. Taking additional steps to encourage workers to disclose sensitive concerns and gathering additional information to determine the scope of bathroom access issues could enable OSHA to better identify worker safety and health concerns.", "OSHA's and the Department of Agriculture's Food Safety and Inspection Service's (FSIS) main vehicle for collaboration on worker safety is their 1994 memorandum of understanding (MOU), but efforts to implement and evaluate the MOU have been limited. The MOU outlines plans for collaboration, such as referrals of plant hazards to OSHA by FSIS inspectors, training of FSIS staff, and information sharing. OSHA and FSIS have taken some steps to implement the policies and procedures outlined in the MOU. However, GAO found issues with the MOU's implementation in these three areas, hampering achievement of the MOU's goals. For example, according to FSIS officials, FSIS inspectors may be reluctant to make referrals to OSHA about hazards in plants because they fear it could trigger an OSHA inspection of FSIS. Further, the agencies have not evaluated the implementation of the MOU. Evaluating the implementation of the MOU and making any needed changes would help ensure the goals of the MOU are met and further protect the safety and health of both plant workers and FSIS inspectors.", "Gaps in federal efforts create challenges to protecting workers from certain chemical hazards. For example, depending on a chemical's intended use, it may not undergo a federal review of the risks it poses to worker safety and health before it is used in a plant. FSIS collects information on how to protect its inspectors from new chemicals, but it does not have a process to share this information with OSHA or plants, among others, so that plant workers can be similarly protected. By FSIS establishing a process to regularly share the worker safety information it collects, the federal government will be better positioned to use existing resources to support the safety and health of plant workers and FSIS inspectors."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making seven recommendations, including that OSHA encourage workers to disclose sensitive concerns and gather bathroom access information; OSHA and FSIS strengthen their MOU; and FSIS share worker safety information. OSHA had concerns about two of these recommendations and did not address one. FSIS expressed concerns but described planned actions to address the recommendations. GAO believes the recommendations should be fully implemented."]}], "report": [{"section_title": "Letter", "paragraphs": ["Although injury and illness rates among workers at meat and poultry slaughter and processing plants declined from 2004 through 2015, according to U.S. Department of Labor (DOL) data, in 2015 the meat and poultry industry had the 8th-highest number of severe injury reports of all industries. In 2016, we reported that workers in meat and poultry slaughter and processing plants continue to face hazardous conditions, including sharp knives used in close quarters, slippery floors, and chemical exposures. In the 2016 report, we found that additional data are needed to address these hazardous conditions and recommended that DOL improve its data on musculoskeletal disorders and sanitation workers in the meat and poultry industry.", "DOL\u2019s Occupational Safety and Health Administration (OSHA) is the federal agency charged with assuring safe and healthful working conditions for the nation\u2019s workers. Some worker advocacy groups have expressed concern that OSHA has not effectively addressed hazards in the meat and poultry industry. Meat and poultry industry representatives have noted that OSHA could do more to support the industry\u2019s worker safety efforts. Food safety inspection personnel from the U.S. Department of Agriculture\u2019s (USDA) Food Safety and Inspection Service (FSIS), which is responsible for ensuring the food safety of meat and poultry products, are present in most plants and are also potentially vulnerable to workplace hazards. Some FSIS officials and worker safety advocates have expressed concern about the increasing use of antimicrobials such as peracetic acid, which are used to kill microorganisms or stop their growth.", "You asked us to review issues related to worker safety in meat and poultry slaughter and processing plants. This report (1) describes the efforts OSHA has made to help ensure meat and poultry workers\u2019 safety and health, and assesses what, if any, challenges OSHA faces in carrying out these efforts; (2) examines how OSHA and FSIS have collaborated to help ensure meat and poultry worker safety and health; and (3) assesses any factors that may affect OSHA and FSIS efforts to protect meat and poultry workers from chemical hazards.", "To address all three objectives, we reviewed relevant federal laws, regulations, and documentation, and we interviewed officials from OSHA and FSIS. We also interviewed and reviewed information from additional stakeholders, including experts in issues related to worker safety, as well as representatives of worker advocacy groups. We visited four states\u2014 Arkansas, Georgia, Minnesota, and Texas\u2014selected based on factors such as high production of meat or poultry and presence of an OSHA regional or area office. As appropriate for each state visit, we met with either local OSHA or state occupational safety and health (OSH) agency officials, as well as FSIS officials (including inspectors), industry representatives, experts in issues related to worker safety, and representatives of worker advocacy groups. We also visited four meat and poultry plants. We also conducted group and individual interviews with meat and poultry workers in six locations in five states: Arkansas, Delaware, Nebraska, North Carolina, and Virginia. We selected sites based on a variety of factors, such as states with a relatively high level of meat or poultry slaughter, and type of plant (meat or poultry). The information gathered from these interviews is not generalizable to all plants or all meat or poultry workers.", "To examine the efforts OSHA has made to help ensure meat and poultry workers\u2019 safety and health, we also analyzed enforcement data from two OSHA databases: the OSHA Information System and OSHA Legacy Data. To assess the reliability of the data, we reviewed relevant agency documentation, conducted electronic data testing, and interviewed agency officials knowledgeable about these data. Based on these reviews, we determined that the data were sufficiently reliable for our purposes. We also interviewed representatives of the meat and poultry industry.", "To examine how OSHA and FSIS have collaborated to help ensure meat and poultry worker safety and health, we also analyzed information on OSHA inspections of FSIS in meat and poultry plants, using the OSHA Information System and OSHA Legacy Data. In assessing agency efforts, we reviewed the 1994 memorandum of understanding (MOU) agreed to by OSHA and FSIS, and prior GAO reports that highlight interagency collaboration.", "To assess any factors that may affect OSHA and FSIS efforts to protect meat and poultry workers from chemical hazards, we reviewed Environmental Protection Agency (EPA), Food and Drug Administration (FDA), and FSIS processes for reviewing new chemicals, including any efforts to coordinate or share information; and reports dealing with chemical hazards. We also reviewed documentation and interviewed officials from OSHA\u2019s Salt Lake Technical Center regarding validated sampling and analytical methods for measuring chemicals used in plants. Further, we reviewed the Centers for Disease Control and Prevention\u2019s National Institute for Occupational Safety and Health\u2019s (NIOSH) health hazard evaluations to understand the extent of concerns related to chemicals and we reviewed NIOSH\u2019s research agenda and goals for studying chemicals and their potential impact on the safety and health of workers. We also interviewed representatives of the meat and poultry industry. See appendix I for more information on our objectives, scope, and methodology.", "We conducted this performance audit from May 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["An estimated 481,000 workers were employed in the animal slaughtering and processing industry in 2016, according to the Current Population Survey, which is jointly sponsored by DOL\u2019s Bureau of Labor Statistics and the U.S. Census Bureau. There were 5,282 meat and poultry plants in the United States, of which 4,133 conducted processing only, 14 conducted slaughter only, and 1,135 conducted both slaughter and processing, as of February 2017, according to FSIS (see fig. 1). More than 30 million beef cattle, 117 million hogs, 243 million turkeys, and 8 billion chickens were slaughtered in the United States in 2016, according to USDA\u2019s National Agricultural Statistics Service data. As of June 2017, almost 7,500 FSIS inspectors worked in meat and poultry plants, according to FSIS. These inspectors are generally exposed to the same types of hazards as plant employees.", "Meat and poultry plants are generally designed for an orderly flow from point of entry of the living animal to the finished food product (see fig. 2). Typically, the animal is brought to the meat or poultry plant and taken to the kill floor area, where the animal is rendered unconscious and slaughter occurs. Workers and machines behead and eviscerate the animal, among other things, after which it is chilled for several hours. FSIS inspectors ensure that the carcass meets federal food safety standards. Workers and machines then process the carcass and may break it into small portions that can be transported directly to supermarkets. Slaughter and processing of meat and poultry require workers to perform a high number of repetitive motions. Although plants have increased automation, much of the work is still done by hand using saws, knives, and other tools."], "subsections": [{"section_title": "Federal Roles Related to Meat and Poultry Worker Safety and Health", "paragraphs": ["OSHA helps ensure safe and healthful working conditions for workers in the meat and poultry industry and other industries, in part by setting and enforcing workplace safety and health standards. To carry out its responsibilities under the Occupational Safety and Health Act of 1970, as amended (OSH Act), OSHA establishes workplace safety and health standards; conducts inspections; investigates complaints from workers and reports of fatalities and severe injuries at worksites; and offers cooperative programs, training, and outreach, among other efforts. OSHA is responsible for enforcing private sector employers\u2019 compliance with these standards in about half the states, while the remaining states have assumed that responsibility under a state plan approved by OSHA. These \u201cstate-plan states\u201d adopt and enforce their own standards (which must be \u201cat least as effective\u201d in providing safe and healthful employment conditions as the federal standards). With respect to federal employers, federal agencies are generally required to establish and maintain a comprehensive and effective occupational safety and health program that is consistent with OSHA\u2019s standards. OSHA is generally responsible for inspecting federal employers in all states, including state-plan states.", "As part of its enforcement, OSHA conducts on-site inspections of federal and non-federal employers, collecting evidence through methods such as observation, document review, and interviews. Steps in an inspection may include an opening conference, a walkaround by inspectors, worker interviews, and a closing conference. Based on evidence developed during the inspection, OSHA evaluates whether the employer has violated any safety or health standards. The inspection may result in issuance of a citation if appropriate, and possible appeals by the employer (see fig. 3).", "Although OSHA does not fine federal agencies, it does monitor these agencies and conducts federal workplace inspections in response to workers\u2019 reports of hazards. Since workers at meat and poultry plants include both plant employees and FSIS employees, OSHA officials may inspect FSIS, the plant employer, or both when it receives a complaint or referral about hazards at the plant.", "OSHA conducts both programmed and unprogrammed inspections. Programmed inspections are planned based on injury incidence rates, previous citation history, or random selection. For example, OSHA\u2019s emphasis programs focus inspections on a particular safety or health hazard or a specific industry. Unprogrammed inspections are conducted in response to imminent danger, fatalities, worker complaints, referrals, and catastrophic events (such as hospitalizations).", "FSIS inspects each meat and poultry carcass at the majority of meat and poultry plants throughout the United States. The Federal Meat Inspection Act and the Poultry Products Inspection Act give FSIS responsibility for ensuring the safety and wholesomeness of meat and poultry that enter interstate commerce. As a federal employer, FSIS is also required to establish and maintain a comprehensive and effective occupational safety and health program for its employees that is consistent with OSHA\u2019s standards. However, OSHA (or a state agency in a state-plan state) is responsible for overseeing the safety and health of non-federal plant workers. FSIS\u2019s Environmental, Safety, and Health Group administers FSIS\u2019s occupational safety and health program and investigates safety concerns of FSIS inspectors.", "Within the Department of Health and Human Services, NIOSH conducts occupational safety and health research and workplace evaluations, and makes recommendations to prevent worker injuries and illnesses. In 2016, we reviewed NIOSH evaluations on hazards in the meat and poultry industry such as those associated with musculoskeletal disorders (MSD), chemical exposure, and pathogens and animals, and recommended in our report that NIOSH conduct a study of the injuries and illnesses experienced by meat and poultry sanitation workers.", "In 1994, after a workplace fire in 1991 that killed 25 poultry workers in North Carolina, OSHA and FSIS signed an MOU on how the two agencies could work together on worker safety and health at meat and poultry plants. The MOU outlines the policies and procedures the agencies agreed to use, including a process for FSIS to refer serious hazards to OSHA, plans for OSHA and FSIS to develop and implement training on hazard recognition for FSIS staff, an agreement to coordinate on the development of standards and share information on common concerns, and plans for evaluating implementation of the MOU."], "subsections": []}, {"section_title": "Federal Role in Chemical Safety at Meat and Poultry Plants", "paragraphs": ["Meat and poultry plants use chemicals such as antimicrobials to reduce potential contamination on food and machinery during processing. Antimicrobials may be sprayed directly on meat or poultry, or may be used to clean machinery. FSIS officials and worker advocates have raised worker safety concerns about peracetic acid, an antimicrobial chemical that is being used by the meat and poultry industry for both of these purposes. Peracetic acid has recently become the antimicrobial of choice, according to an FSIS official and a representative from an advocacy group. An FSIS official told us that this was because it is cheap and effective at reducing potential contamination on food. In addition, it is safe to use on food because it generally degrades before consumption, according to FDA officials.", "FDA, FSIS, EPA, and OSHA all play a role in regulating the use of chemicals at meat and poultry plants. Under the Federal Food, Drug, and Cosmetic Act (FFDCA), as amended, FDA approves food additives, which include antimicrobial food additives, to ensure the food to which they are applied is safe for human consumption. Antimicrobial food additives such as peracetic acid are applied to meat or poultry to reduce the incidence of human illness from food-borne pathogens, such as Salmonella and Campylobacter.", "FSIS reviews new ingredients and new technology, including new substances or new applications of substances, to determine whether they are safe and suitable for use in meat and poultry products. FSIS\u2019s review includes an assessment of whether the substance could affect food safety, FSIS regulations, inspection procedures, or the safety or health of FSIS inspection personnel. FSIS coordinates its reviews of new ingredients with FDA\u2019s reviews, in accordance with an MOU between FSIS and FDA, most recently amended in January 2000.", "EPA is responsible for regulating chemicals that meet the definition of a pesticide under the FFDCA and the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA), as amended. Peracetic acid meets the definition of an \u201cantimicrobial pesticide\u201d regulated by EPA when it is used to disinfect, sanitize, or inhibit the growth of microorganisms on surfaces and machinery used in meat and poultry plants.", "OSHA may regulate the use of chemicals as part of its responsibility for overseeing workplace safety and health. For example, the hazard communication standard requires chemical manufacturers and importers to develop Safety Data Sheets that describe the chemicals\u2019 hazards and include information on safe handling, among other things. The standard also requires employers to ensure their employees have access to these sheets and to provide training on handling these chemicals appropriately.", "Each agency has a different review or oversight responsibility. The same chemical may undergo different types of review, depending on its intended use in meat or poultry plants. For example, as part of EPA\u2019s pesticide registration process, EPA conducts risk assessments to estimate the nature and probability of harmful effects on the environment and human health, which may include people who may be exposed to the pesticides through their work. FDA\u2019s review of antimicrobial food additives, as mentioned above, focuses on safety to consumers, and does not include a worker safety component."], "subsections": []}]}, {"section_title": "OSHA Increased Meat and Poultry Industry Inspections Since 2005, but Faces Challenges Identifying Worker Concerns", "paragraphs": [], "subsections": [{"section_title": "OSHA Increased Its Annual Inspections Since 2005 and Provided Compliance Assistance", "paragraphs": [], "subsections": [{"section_title": "Inspections", "paragraphs": ["OSHA\u2019s inspections of the meat and poultry slaughter and processing industry increased from 177 in 2005 to 244 in 2016, due primarily to an increase in poultry inspections (see fig. 4). Officials explained that the increase in meat inspections from 2009 to 2010 and poultry inspections from 2008 to 2012 were associated with increases in complaints during those time periods. OSHA officials said that all inspections decreased in 2013 partly due to the federal government shutdown that year. They added that poultry inspections increased from 2013 to 2016, which officials attributed to the introduction of new severe injury reporting requirements, as well as several emphasis programs focusing inspections on the poultry industry. OSHA consistently conducted more meat than poultry inspections, due to the greater number of meat plants than poultry, according to OSHA officials.", "In states with state OSH plans, inspection numbers increased from 183 inspections in 2005 to 212 in 2016, due primarily to an increase in meat inspections (see fig. 5). State-plan states conducted almost three times as many total meat inspections as poultry from 2005 through 2016. The number of state poultry inspections has remained steady over the time period, in contrast with the increase seen in federal OSHA poultry inspections. OSHA officials said they did not believe there is an overarching explanation for the trend in state-plan state inspections, because each state plan is independently run, and added that publicly available data show the increase in meat inspections from 2008 to 2010 could have been driven by a large increase in programmed inspections conducted by state-plan states during that time, along with increases in several types of unprogrammed inspections in 2010. in the meat and poultry industry. These programs instruct inspectors to investigate potential hazards such as chemical exposure, noise, and ergonomic hazards. Two of the four programs also focus on issues such as bathroom access, temperature of the plant, and employer recording of injuries and illnesses, to check for recordkeeping violations. OSHA inspections incorporated three of these emphasis programs in 2016; the remaining program did not have inspections that year. OSHA\u2019s most frequently used national and regional emphasis programs in meat and poultry plants in 2016 are shown below (see fig. 6). failing to inspect and test equipment failing to investigate an ammonia leak, and to investigate ammonia vapor releases from pipes and valves within 48 hours without input from at least one employee having experience and knowledge specific to the process being evaluated, and failing to ensure the findings of the process hazard analysis were resolved in a timely manner and actions documented failing to provide workers with an appropriate respirator for chlorine and sodium hydroxide releases failing to provide workers adequate training and information regarding the hazards of ammonia lack of control procedures to protect workers from electrical hazards and being struck or caught by machine parts exposing employees to trip hazards and potential electrical hazards by obstructing passageways failing to conduct fire, chemical release, and extreme weather evacuation drills.", "OSHA initiates unprogrammed inspections in response to required employer reporting of fatalities or severe injuries and complaints or referrals from sources such as employees, union representatives, media reports, or others. Unprogrammed inspections may include issues covered by a relevant emphasis program as well. OSHA\u2019s unprogrammed inspections of the meat and poultry industry recently increased sharply\u2014 from 95 in 2014 to 210 in 2015\u2014mainly due to the new severe injury reporting requirements (see fig. 7). According to agency officials, OSHA decreased the number of planned programmed inspections in order to reallocate resources as the number of unprogrammed inspections increased.", "If OSHA determines that a meat or poultry plant has violated a workplace safety or health standard, it may cite the plant, specifying which standard or standards were violated (see fig. 8). The most frequently cited standard for employers in the meat and poultry industry, the control of hazardous energy (lockout/tagout), relates to safely shutting down a machine, and ensuring it remains shut off, while the machine is being serviced. OSHA inspects safety controls related to this standard as part of its emphasis program for amputations.", "In cases where an applicable standard does not exist, OSHA may use the general duty clause of the OSH Act to cite a plant for exposing its employees to a hazard. For example, OSHA does not have a specific standard related to ergonomic hazards, which may cause MSDs. Workers we interviewed in all five states said they frequently experience pain related to postures or movements, and medical experts we interviewed said that meat and poultry workers experience high rates of MSDs. Citing the general duty clause can be challenging and resource intensive due to the high burden of proof necessary to establish each element of the violation, such as the difficulty in showing that work hazards caused an injury, according to OSHA officials.", "In 2016, OSHA proposed initial meat and poultry plant penalties with a median of $7,000 and assessed final penalties with a median of $4,900 for inspections where violations were found (see fig. 9). Proposed penalties may be reduced after employers contest them before an administrative law judge, or as a result of negotiating penalty amounts with OSHA through an informal settlement process. A representative of one worker advocacy group we interviewed said lowering penalties weakens OSHA\u2019s deterrence capabilities. OSHA officials and one worker advocate said that allowing companies to negotiate lower penalties can benefit workers because it may result in companies agreeing to create safety programs or finding other solutions that improve worker safety. One OSHA official said that citations may affect a company\u2019s workers\u2019 compensation insurance rate, magnifying the financial impact of the violation. According to OSHA officials, initial and final penalties increased in 2010 due to administrative adjustments that had the effect of raising penalties on average. We previously reported that, according to an OSHA official, OSHA increased penalties in 2010 after it determined that penalties were too low to deter employer violations. In addition, officials said that a few large penalties raised average penalties in 2010-2013.", "OSHA compliance assistance efforts during the years 2005-2016 included worker outreach through local foreign consulates, support for training meat and poultry workers, administering employer recognition programs, and supporting state consultation programs that provide technical assistance to small and medium-sized businesses. OSHA has not comprehensively tracked its compliance assistance activities in the past, but officials told us the agency launched a database module that started tracking these activities in fiscal year 2017. Recent examples of OSHA\u2019s compliance assistance efforts related to meat and poultry plants include the following:", "OSHA officials stated that in fiscal years 2011-2015, states provided 558 on-site consultation visits, largely funded by OSHA, to small and medium-sized meat and poultry plants. The visits provide confidential safety and occupational health advice to small and medium-sized businesses in all states across the country, according to OSHA, with priority given to high-hazard worksites. These on-site consultation programs, at no cost to employers, work with employers to develop or maintain injury and illness prevention programs, which included assisting employers on identifying potential hazards to prevent injuries, according to OSHA officials.", "OSHA officials stated that, as of July 2016, six meat and poultry plants were participating in the Safety and Health Achievement Recognition Program, which recognizes small and medium-sized businesses that have used OSHA's on-site consultation program services and operate an exemplary injury and illness prevention program, according to OSHA officials.", "OSHA officials stated that, as of July 2016, eleven meat and poultry plants participated in OSHA\u2019s Voluntary Protection Programs (VPP), which aim to recognize employers that implement effective safety and health management systems and maintain worker injury and illness rates below average for their industry.", "OSHA has published guidance and other resources related to safety and health in the meat and poultry industry, such as a 2013 publication on preventing musculoskeletal injuries in poultry processing, and a poultry processing safety and health topics web page.", "OSHA provided grants for worker safety and health education to nonprofit organizations through the Susan Harwood Training Grant Program. These grants target underserved or low-literacy workers and workers in high-hazard industries. For example, in fiscal year 2016, OSHA awarded a grant to the Western North Carolina Workers Center to train poultry workers on topics including personal protective equipment, hazard mapping, ergonomics, and sanitation worker safety.", "OSHA officials stated that the agency conducted outreach with poultry industry representatives to discuss common hazards, such as MSDs and infectious pathogens, among others. For example, according to OSHA officials, in support of a Regional Emphasis Program on poultry processing, OSHA\u2019s Dallas Regional Office conducted workshops in the southwestern United States in December 2015 to share safety and health information with employers in the poultry processing industry.", "OSHA worked with groups such as unions, trade or professional organizations, and educational institutions through its Alliance program to develop compliance assistance tools and share information with employers and workers to help prevent injuries, illnesses, and fatalities in the workplace. For example, OSHA officials said that the agency has formed alliances with foreign consulates to reach workers with limited English proficiency. Also, OSHA\u2019s Omaha Area Office has an alliance with local organizations to help protect workers in the meat packing industry."], "subsections": []}]}, {"section_title": "OSHA Faces Challenges Identifying Worker Concerns, Responding to Medical Mismanagement, and Gaining Entry to Some Plants", "paragraphs": [], "subsections": [{"section_title": "Identifying Worker Concerns", "paragraphs": ["OSHA faces challenges identifying and addressing meat and poultry worker safety and health concerns because workers may be reluctant to speak with inspectors, according to workers we interviewed in four states, as well as worker advocates. Workers we interviewed in four states said they fear dismissal or other punishment if they complain to OSHA or their state OSH agency about their workplace concerns, such as sustaining injuries or being discouraged from using the bathroom. We reported in 2016 that meat and poultry worker vulnerability may hinder reporting of work-related illnesses and injuries, according to federal officials and worker advocacy groups. In particular, these officials and advocates said that some meat and poultry workers may be less likely to report or seek treatment for injuries and illnesses because of their vulnerable status as undocumented or foreign-born workers and because of their economic vulnerability.", "Meat and poultry workers may also be reluctant to share information with OSHA at their workplace, as on-site interviews often do not allow workers to remain anonymous, even when conducted in private, according to workers in one state, as well as worker advocates we interviewed. According to OSHA officials, OSHA generally conducts worker interviews on-site during inspections. Officials added that, when OSHA conducts on- site interviews, inspectors tell plant supervisors which workers they wish to speak with, so the supervisors can find replacements for these workers on the production line. Therefore, the supervisor knows the identities of interviewed workers, even if the interview itself is private. Officials added that if workers cannot be pulled from the line, they are sometimes interviewed in front of other workers as they continue working. The OSH Act prohibits employers from retaliating against employees for filing complaints with OSHA. However, OSHA officials, workers from two states, and worker advocates we spoke with noted that workers may feel more comfortable sharing concerns about hazards if they are interviewed off-site.", "The OSHA Field Operations Manual, which sets forth OSHA\u2019s enforcement policies and procedures, allows inspectors to interview workers in locations other than the workplace, and states that, \u201ca free and open exchange of information between OSHA inspectors and employees is essential to effective inspections.\u201d OSHA\u2019s performance goals in DOL\u2019s Strategic Plan include preventing discrimination against workers who report hazards. According to OSHA officials, they will try to schedule an interview off-site if an employee expresses discomfort or if a union arranges it. Officials stated that they do not automatically offer off- site interviews to each employee; rather, inspectors should consult with their Area Directors before offering to conduct an interview off-site. However, OSHA officials told us that inspectors interview meat and poultry workers off-site infrequently, since off-site interviews can be challenging and take additional time, as workers may be difficult to contact or may have ceased working with the company. OSHA also may be challenged to find an acceptable venue when the employee is available. They added that conducting interviews off-site is more feasible in cases when unions or worker advocacy groups have facilitated these meetings, and that interviewing workers on the production line may be advantageous in some cases, as it allows workers to clarify some uncertainties by showing the inspector how their work is done. According to federal internal control standards, agencies should use quality information to achieve their objectives. Although OSHA officials stated that OSHA has taken steps to enable the collection of quality information from workers, such as conducting a representative number of interviews and refraining from reporting information from specific interviews to employers, officials acknowledged that some workers may feel more comfortable sharing concerns about hazards if they are interviewed off- site. Taking additional steps to encourage workers to disclose sensitive concerns, such as by considering off-site interviews or exploring other options to obtain the information anonymously, would help OSHA learn details about hazards, injuries, and illnesses during an inspection and provide additional information to help improve the agency\u2019s efforts to identify or address conditions that endanger worker safety and health.", "In particular, OSHA may not be aware of the scope of bathroom access issues, which meat and poultry workers we interviewed in all five states said was a concern, because the agency\u2019s reliance on interviewing workers on-site may cause it to miss concerns of workers who are afraid to speak up. In addition, OSHA inspectors do not always ask specifically about bathroom access, and workers who experience bathroom access problems may not volunteer this information. OSHA\u2019s sanitation standard provides that \u201ctoilet facilities, in toilet rooms separate for each sex, shall be provided in all places of employment,\u201d based on the number of employees of each sex. According to OSHA guidance, this standard requires employers to make toilet facilities available so that employees can use them when they need to, and may not impose unreasonable restrictions on employee use of the facilities. OSHA guidance also states that denial or delay of bathroom access can result in various serious health effects, such as urinary tract infections, constipation, abdominal pain, and hemorrhoids.", "Meat and poultry workers may be denied timely bathroom breaks because they work in an assembly line environment, which generally requires workers to be replaced if they leave their station. Workers we interviewed in all five states said their requests to use the bathroom are often delayed or denied, and workers in two states said they fear punishment if they ask to use the bathroom too frequently or complain about lack of bathroom access to their supervisors or to OSHA. Worker advocates we spoke with reported hearing similar concerns on a frequent basis and four worker advocacy groups in different regions of the country reported concerns related to the timeliness of workers\u2019 access to bathrooms based on non-generalizable interviews of poultry workers. For example, workers we interviewed in three states said they had suffered negative health effects, such as kidney problems, from delayed or denied bathroom breaks. One worker said she refrained from eating or drinking until she had completed her shift, to avoid needing a bathroom break. Also, workers we interviewed in all five states said that long lines at the bathroom further limited bathroom access.", "Meat and poultry industry representatives we interviewed said that bathroom access is not a problem because companies provide bathroom access when needed. They said companies take different approaches to ensuring bathroom access, such as having a supervisor fill in for a worker who leaves the line, establishing scheduled breaks, or allowing workers to leave the line as needed, even without a replacement. However, according to worker advocates, supervisors may vary in implementing plant policy and may feel pressure to fulfill production quotas. One industry representative told us they believe some supervisors in meat and poultry plants deny bathroom access in order to maximize production output.", "OSHA officials said they did not believe lack of bathroom access was a widespread problem in the meat and poultry industry. However, OSHA officials said they have not compared bathroom access practices in the meat and poultry industry with other industries involving moving production lines because they vary by establishment even within a single industry. OSHA issued a citation in March 2016 to a meat plant related to bathroom access, although that citation is currently being contested by the employer, and is pending as of September 15, 2017, according to officials. From 2005 through 2016, OSHA issued three additional citations to meat and poultry plants related to bathroom access; however, these citations were withdrawn after the employers reached formal or informal settlements with OSHA. OSHA guidance for inspecting poultry plants allows inspectors to ask specifically about bathroom access when there are complaints about it or prior problems, or in the context of specific regional emphasis programs, such as the poultry emphasis program in the southeast United States. In addition, OSHA\u2019s poultry processing regional emphasis programs in regions IV and VI require the inspector to assess the adequacy of toilet and sanitary facilities, and of worker access to them. If there are no prior complaints or relevant emphasis programs, OSHA officials said inspectors ask workers about any other concerns, but do not always specifically ask about bathroom access. Officials said that requiring inspectors to investigate bathroom access would divert inspectors\u2019 limited resources from higher-priority hazards and could result in companies\u2019 claiming that the line of questioning is unsubstantiated. OSHA requires inspectors at poultry plants to consistently investigate other specific hazards, such as ergonomics hazards. According to OSHA officials, the agency selected these hazards based on prior inspection and illness and injury data showing the hazards to be widespread in the industry. Officials contrasted these with the small number of citations issued related to bathroom access.", "However, given that workers whom we asked about bathroom access during off-site interviews in all five states said that bathroom access is a problem, and worker advocates we interviewed stated it was as well, it is possible that OSHA is missing instances of this hazard, resulting in incomplete data to guide its inspections. According to federal internal control standards, managers should use quality information to achieve the agency\u2019s objectives. While officials stated they believe that inspectors\u2019 open-ended questions will prompt workers to share any concerns they have with bathroom access, workers may not volunteer this information unless specifically asked. For example, workers may not be aware that they have the right to access bathrooms and so may not realize that such information would be of interest to OSHA, according to one worker advocate we interviewed. Gathering additional information about whether meat and poultry workers experience delayed or denied access to bathrooms could help OSHA determine the extent of the problem and be better positioned to protect worker safety and health."], "subsections": []}, {"section_title": "Addressing Medical Mismanagement at Plant Health Units", "paragraphs": ["OSHA officials told us that addressing medical mismanagement at meat and poultry plants is challenging because of the complex issues involved and OSHA\u2019s limited oversight of plants\u2019 health unit staff. Specifically, they said that ensuring proper certification for medical providers is the responsibility of state authorities. In hazard alert letters to four meat and poultry plants, OSHA noted its concern that plant health unit staff were or may have been inappropriately supervised and working beyond the scope of their medical license. Officials said OSHA contacted state authorities who oversee health unit staff in one state about licensing concerns, and they planned to contact additional states.", "OSHA officials we interviewed expressed concern about meat and poultry workers\u2019 access to plant first aid stations or health units and the quality of medical treatment workers receive. OSHA issued one general duty clause citation and four hazard alert letters to five meat and poultry plants in 2015-2016 related to medical mismanagement issues, which describe OSHA\u2019s findings or concerns about inappropriate medical treatment, lack of worker access to health care, underqualified practitioners, and challenges to reporting (see sidebar).", "In the citation, OSHA found that the plant delayed care for injured workers, stating these actions could result in risk of further injury or exacerbated pain, among other conditions.", "In a 2015 hazard alert letter to a poultry plant, OSHA noted that it appeared the plant used its first aid station to prevent injuries from appearing on the plant\u2019s OSHA log, such as by failing to refer workers to a physician for evaluation or treatment when appropriate. In addition, OSHA noted that a number of workers were fired after suffering MSDs, sometimes on the same day of the MSD occurrence, and further noted workers\u2019 fears of being fired for visiting the first aid station. OSHA recommended voluntary improvements to the plant\u2019s medical management practices.", "In a 2014 hazard alert letter to another poultry plant, OSHA identified practices that it determined were contrary to good medical practice for managing work-related MSDs, including prolonged treatment by nursing station staff without referral to a physician. The letter included one example in which a worker made over 90 visits to the nursing station before referral to a physician.", "Meat and poultry workers we interviewed in all five states reported problems with on-site medical care; for example, workers said their supervisor or plant nurse may not take appropriate steps when a worker is injured or ill, such as not referring the worker to a doctor or failing to move the worker to a different work station on the line. Worker advocates we spoke with reported hearing similar concerns. One worker we interviewed said that she experienced severe pain in her wrist and visited the on-site medical unit over the course of 3 months before they referred her to a doctor affiliated with the plant, during which time she continued to work. When the doctor did not find any problems on her X-ray, she went to a doctor unaffiliated with the plant, who found a bone fracture. Meat and poultry workers in three states also said that fear of being reprimanded or losing their jobs sometimes compels them to refrain from accessing care at a plant health unit, or from complaining about inadequate medical care. Workers in one state said they are penalized every time they visit their plant health unit.", "Amputation Leads to OSHA Detection of Medical Mismanagement and Other Hazards Following the amputation of a worker\u2019s finger at a poultry plant in 2016, the Occupational Safety and Health Administration (OSHA) conducted inspections and cited the plant for violations related to: deficiencies with the procedures meant to stressors as they performed tasks requiring repetitive, forceful motion for extended periods of time, often in awkward positions failure to comply with generally accepted good engineering practices with respect to exhaust systems, ammonia sensors, and alarms, exposing workers to the hazards posed by a potential ammonia release failure to provide free personal protective equipment to workers failure to repair or replace damaged electrical equipment, exposing workers to the risk of electrical shock.", "According to one industry representative, plants do not have enough guidance on how to ensure their health units are properly staffed and operated. OSHA issued guidance in 1999 about occupational health professionals\u2019 qualifications and scope of practice, as well as a 2006 best practices guide on the fundamentals of a workplace first aid program. However, OSHA officials told us these guidance documents do not address many of the medical management issues they are currently observing in plant health units, which include lack of supervision of medical personnel, personnel working outside their scope of practice, out- of-date health unit protocols, inappropriate response to injuries and illness, lack of quality assurance, poor worker access to health units, and inadequate recordkeeping. OSHA officials told us that the agency has recently begun updating its guidance related to health units to help clarify employers\u2019 responsibilities with regard to the personnel in these units and the services they provide. However, these updates have not been completed, according to officials. Federal internal control standards call for agencies to externally communicate the information needed to achieve their objectives. By updating and issuing its guidance, OSHA could help plant health units be better positioned to provide appropriate care to injured and ill workers.", "OSHA also issued hazard alert letters recommending the plant take steps to address the following hazards: medical management practices that prevent appropriate standards of care, increase the likelihood of workers developing serious musculoskeletal disorders, restrict referrals to physicians, and discourage employees from reporting symptoms and injuries.", "In some cases, plant management may deny entry to OSHA inspectors attempting to conduct an inspection, and resolving these issues can create delays. Although the OSH Act authorizes OSHA inspectors to enter plants \u201cwithout delay\u201d at reasonable times to conduct inspections, employers have the right to refuse entry, in which case OSHA may seek an inspection warrant. If the employer denies entry after OSHA obtains a warrant, OSHA determines its response on a case-by-case basis. Denials of OSHA inspector entry to meat and poultry plants increased in 2016. All 15 denials in that year occurred in region IV, which includes the Southeast United States. In contrast, from 2005-2015, there were 16 denials of entry in the meat and poultry industry. The denials in 2016 took place in Georgia (6), Alabama (5), Florida (2) and Mississippi (2). According to OSHA officials, the agency experienced denials in all 15 cases when it inspected a plant in response to a complaint or referral and moved to expand the inspection to incorporate its regional emphasis program for the poultry industry. OSHA has not been able to expand its inspections in any of these cases, according to OSHA officials. These denials of entry have the potential to limit OSHA\u2019s understanding of worker safety and health in plants during the days or months prior to gaining entry, and addressing denials is resource-intensive, according to OSHA officials. There is currently ongoing litigation in a case in which OSHA was inspecting a plant after an employee was burned by an electrical fire. OSHA attempted to expand the inspection under a relevant emphasis program, and the plant contested the expansion in court. OSHA officials said that the case is pending as of September 15, 2017, and they will consider the outcome of the case when determining their response to any similar denials of entry in the future."], "subsections": []}]}]}, {"section_title": "OSHA and FSIS Have Not Fully Implemented MOU That Outlines Collaboration on Worker Safety and Health", "paragraphs": ["OSHA and FSIS\u2019s main vehicle for collaboration on worker safety and health is their 1994 MOU, but efforts to implement and evaluate this agreement have been limited. The MOU outlines the policies and procedures the agencies agreed to use, including (1) a process for FSIS to refer serious hazards facing plant workers or FSIS inspectors to OSHA, (2) plans for OSHA and FSIS to develop and implement training for FSIS staff in hazard recognition, and (3) an agreement to coordinate standards development and exchange information on matters of common concern. In 2005, we found that agency efforts to implement this MOU had lapsed, and we recommended that OSHA and FSIS revisit and update certain aspects of their MOU, as discussed below. OSHA and FSIS have taken some steps to implement the policies and procedures outlined in the MOU. However, we found issues with the MOU\u2019s implementation in these three areas, hampering achievement of the MOU\u2019s goals. Further, OSHA and FSIS have not evaluated the implementation of the MOU."], "subsections": [{"section_title": "Making Referrals to OSHA", "paragraphs": ["The 1994 MOU calls for FSIS inspectors\u2014who may observe hazards to both plant workers and inspectors\u2014to refer serious workplace hazards to OSHA, via FSIS headquarters. Serious hazards are defined in the MOU as those for which there is a substantial probability that death or serious physical harm could result. The two agencies have established a process for these referrals, but according to FSIS officials its inspectors are reluctant to make them, as discussed below. Until 2014, FSIS inspectors were to refer these hazards to OSHA by sending a referral to OSHA via FSIS headquarters, but, according to FSIS officials, inspectors rarely made referrals under the former system. In 2014, FSIS established a procedure for its inspectors to notify OSHA directly of serious workplace hazards that may affect both FSIS inspectors and plant workers and issued a notice that provides instructions for inspectors to use OSHA\u2019s nationwide public toll-free number to report such hazards. Because the agencies are not able to track all of these referrals, as callers can remain anonymous, it is not possible to assess the extent to which FSIS inspectors are making them, according to OSHA officials. OSHA data show that since 2012, OSHA had received 14 complaints and 2 referrals about FSIS, of which 5 phone calls were from FSIS current or former employees, but these data are likely incomplete.", "According to FSIS officials, its inspectors may be reluctant to make these referrals because they fear it could trigger an OSHA inspection of FSIS. As a federal employer, FSIS is responsible for ensuring its own employees are protected from plant hazards, and is subject to OSHA inspection and notification of safety and health hazards faced by its employees. OSHA data show that from 2005 to 2016, OSHA inspected FSIS in meat and poultry plants 105 times, of which 14 were in response to complaints and referrals. FSIS occupational safety and health specialists said these inspections can be a drain on their resources because they are time-consuming and there are very few FSIS safety and health specialists to respond to them. FSIS employs three occupational safety and health specialists, along with one team lead, resulting in a ratio of one specialist for every 3,100 employees, according to FSIS officials. FSIS inspectors we contacted did not report communicating with OSHA, and stated that they share any worker safety concerns they might have with their management or with plant contacts. FSIS occupational safety and health specialists told us that FSIS requests technical assistance from OSHA to address hazards that may affect both plant workers and FSIS inspectors. However, they said that OSHA may inspect FSIS instead of providing assistance, even though OSHA has other ways of offering technical assistance to federal agencies. For example, FSIS occupational safety and health specialists told us that when they reached out to OSHA for assistance with hazards posed by peracetic acid, OSHA instead inspected FSIS for what FSIS considered to be unrelated hazards.", "According to OSHA officials, their enforcement team is obligated to respond to complaints and referrals, including calls to their toll-free number, and may inspect FSIS if there is a report of a hazard at a meat or poultry plant to which FSIS employees are exposed. OSHA officials noted that FSIS employees should not be reluctant to report hazards because OSHA inspections can protect FSIS workers. OSHA officials told us that they are able to provide assistance with hazards if FSIS contacts OSHA\u2019s area offices, but if in the process, OSHA learns about a potential hazard that is FSIS\u2019s responsibility, then OSHA may investigate the agency. FSIS officials told us they did not believe this process would ensure a quick enough response by OSHA to provide FSIS assistance with urgent hazards that could be harming FSIS inspectors and plant workers."], "subsections": []}, {"section_title": "Training FSIS Staff", "paragraphs": ["OSHA and FSIS agreed under the 1994 MOU to provide training to FSIS inspectors so that they could recognize serious workplace hazards faced by plant workers and FSIS inspectors. OSHA officials told us they developed such training for FSIS in the mid to late 1990s, but according to FSIS officials the course was too excessive and burdensome for FSIS inspectors, whose main responsibility is food safety. In 2005, we recommended that OSHA and FSIS revisit and update their MOU to ensure that FSIS inspectors receive training in recognizing and referring workplace hazards to OSHA. The two agencies did not update their MOU, but FSIS officials told us the agency strengthened its training of FSIS inspectors and OSHA officials told us that the agency planned to cooperate with FSIS to encourage revitalization of FSIS\u2019s inspector training. According to FSIS officials, in 2013, FSIS began requiring its inspectors whose duties were not limited to being on the line to take AgLearn 8500, an FSIS course on identifying and reporting hazards that was reviewed by OSHA. This course\u2014which is now available only on CD\u2014is required for inspectors who do not work on the line and is optional for those who do. In 2014, OSHA provided three training sessions on identifying workplace hazards to FSIS managers, according to OSHA officials. However, FSIS was not able to provide information on whether or how the managers who received the training had shared what they learned with FSIS inspectors because it did not track this information."], "subsections": []}, {"section_title": "Coordinating Standards Development", "paragraphs": ["Line Speed Meat and poultry slaughter and processing generally occurs along a \u201cdisassembly line,\u201d on which workers and machines produce various cuts of meat. These lines can include live hang in poultry plants, evisceration lines, and \u201ccone\u201d lines where deboning occurs. The Food Safety and Inspection Service (FSIS) sets maximum evisceration line speed in order to ensure its inspectors can effectively perform their inspection procedures. According to FSIS officials, FSIS does not regulate the speed of other lines, which may run slower than evisceration lines due to complex worker tasks. The Occupational Safety and Health Administration (OSHA)\u2014 which is responsible for overseeing worker safety and health\u2014does not play a role in regulating line speed, according to FSIS and OSHA officials. GAO reported in 2016 on concerns that high line speeds may exacerbate existing hazards that can cause musculoskeletal disorders (MSD). OSHA and National Institute for Occupational Safety and Health (NIOSH) officials told us that line speed\u2014in conjunction with forceful exertions, awkward postures, and other factors\u2014affects the risk of MSDs. When plants increase line speed, they may address worker safety by increasing staffing or creating new lines. speed may affect worker safety (see sidebar). FSIS officials told us that OSHA provided comments after the proposed poultry modernization rule was published in the Federal Register. According to the fall 2016 unified regulatory agenda, FSIS is working on a proposed rule to amend the federal meat inspection regulations to establish a new inspection system for hog slaughter establishments. FSIS officials told us they consulted with OSHA officials about the possible worker safety implications of the proposed rule on hog slaughter prior to the rule being sent to OMB. However, they also stated that\u2014contrary to the OSHA officials cited above\u2014they believed the OMB review process was sufficient for addressing any worker safety implications in rules proposed by FSIS."], "subsections": []}, {"section_title": "Evaluating the Implementation of the MOU", "paragraphs": ["FSIS and OSHA agreed to jointly evaluate the effectiveness and impact of the actions taken under the MOU\u2014in part by tracking the number of FSIS referrals to OSHA, inspections made in response to these referrals, and the number and types of hazards cited in these inspections\u2014and to make adjustments to the MOU as appropriate. According to FSIS and OSHA officials we spoke with, this has not been done. Neither OSHA nor FSIS was able to tell us why these evaluations did not take place. For example, the MOU states that when training has been completed, OSHA and FSIS will analyze field-level evaluations to assess whether the training has raised FSIS inspectors\u2019 awareness and reporting of serious workplace hazards. OSHA officials said they do not know if FSIS used the training materials they provided to FSIS to train FSIS field inspectors. FSIS officials said the training OSHA provided was too time-consuming, so they did not use it. Further, FSIS officials told us the agency does not formally survey staff who complete AgLearn 8500 because it is available only on CD. Our prior work has noted that developing mechanisms to monitor, evaluate, and report results can help enhance and sustain collaboration. Evaluating the implementation of the MOU and making any needed changes, including setting specific timeframes for periodic evaluations of actions taken under the MOU, would help ensure the goals of collaboration are fully met."], "subsections": []}]}, {"section_title": "Gaps in Federal Review, Safety Information, Measurement, and Research May Put Meat and Poultry Workers at Risk of Harm from Certain Chemicals", "paragraphs": [], "subsections": [{"section_title": "Federal Reviews of Certain Chemicals Leave Gaps Related to Plant Worker Safety", "paragraphs": ["Federal reviews of certain antimicrobial chemicals before they are used in meat and poultry plants leave gaps with respect to worker safety and health. FSIS inspectors and workers in meat and poultry plants are exposed to antimicrobial chemicals every day, as they are commonly used during all work shifts, both on animal and bird carcasses and on work surfaces and machinery. In general, the potential for chemical exposure is greater for plant workers than for FSIS inspectors. According to officials we spoke with at various plants, plant workers handle these chemicals by receiving shipments, opening containers, and filling machines with the chemical, among other ways, while FSIS inspectors are generally not present at various times that workers are using the chemical, most notably, when the plant is being cleaned between shifts.", "Depending on a chemical\u2019s intended use, it may or may not undergo a federal review of the risks it poses to worker safety and health before it is used in the plant. The regulation of chemicals used in meat and poultry plants is complex, as several federal agencies have their own specific areas of jurisdiction with regard to their oversight. OSHA does not conduct reviews of chemicals before they are used in the workplace, according to OSHA officials. OSHA officials stated that the agency is limited from taking such an approach, because doing so would overwhelm the agency\u2019s resources. In addition, OSHA is charged with oversight of workers in multiple industries\u2014not just the meat and poultry industry\u2014which would make it difficult for them to utilize a review process that examines all chemicals before they are used in the workplace.", "Antimicrobial chemicals intended for use as sanitizers in plants to clean machines and surfaces are generally subject to EPA\u2019s pesticide registration process, which considers user or worker safety (see fig. 10). This review does not generally include antimicrobial chemicals applied directly to meat and poultry in plants.", "When antimicrobials are proposed for use directly on meat or poultry to combat foodborne pathogens, FDA and FSIS both conduct reviews before they are used in the plant, but neither review specifically focuses on plant worker safety or health. FDA\u2019s review of antimicrobial food additives is focused on ensuring they are safe for consumers to eat. FSIS\u2019s review is focused on ensuring that the antimicrobials do not affect the safety of meat and poultry products or interfere with inspections and that they comply with other FSIS regulations; it also includes an assessment of any adverse effects on FSIS inspector safety and health as they perform their duties. Since these federal reviews do not generally take into consideration the occupational risk of chemicals to plant workers, who make up the majority of personnel in a plant, these chemicals could be used in plants directly on meat or poultry to combat foodborne pathogens without a federal assessment of their potential effects on plant worker safety and health or how these effects may be prevented or addressed. As a result, plant workers may be put at risk of chemical hazards.", "During its review of antimicrobial chemicals proposed for use directly on meat or poultry, FSIS receives information from chemical manufacturers that could be relevant to chemical safety for both FSIS plant-level officials and meat and poultry workers. FSIS occupational safety and health officials told us that the information they request goes beyond what is included in the chemicals\u2019 Safety Data Sheets, and may include directions for use or safety information that is specific for dilution levels and conditions of use at plants. However, this information is not shared with OSHA, NIOSH, at the local level with FSIS in-plant inspectors, or with plant management because FSIS does not have a process for doing so. OSHA and FSIS occupational safety and health officials and an industry representative we interviewed told us that this information would be useful to them when it is available. OSHA officials told us that information on chemical hazards, employee exposure, and safety controls and practices would enable it to strengthen its response to protecting all workers from these chemical hazards and develop outreach and technical assistance for the meat and poultry industry.", "An FSIS safety and health official told us that this information would have been useful at one plant, because neither plant management nor FSIS inspectors at the plant had received information to adequately protect FSIS employees from the effects of peracetic acid, and there had been complaints from inspectors about the chemical. In addition, NIOSH conducts occupational safety and health research, among other things, and could benefit from such information. Federal internal control standards call for agencies to internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives. By FSIS establishing a process to regularly share the worker safety information it collects during reviews of new chemicals\u2014internally with FSIS inspectors and externally with plant management, OSHA, and NIOSH\u2014the federal government will be better positioned to use existing resources to support the safety and health of plant workers and FSIS inspectors."], "subsections": []}, {"section_title": "Gaps in Inspector Safety Information", "paragraphs": ["As discussed above, FSIS conducts reviews of new ingredients and technologies, including antimicrobial chemicals, proposed for use on meat and poultry products8. However, there may be information gaps in FSIS\u2019s examination of the potential risks these new chemicals may pose to inspector safety and health. As part of this review, FSIS requests information from chemical manufacturers or plants describing how the new chemicals will not adversely affect the safety and health of FSIS inspectors. As FSIS\u2019s Environmental, Safety, and Health Group reviews this information, other program areas within FSIS also review the submission to determine whether the chemical is otherwise safe and suitable under the conditions of its intended use\u2014i.e., that it will not adversely affect product safety, violate FSIS regulations, or interfere with inspection procedures. If FSIS determines that the chemical will not have these effects, the agency will issue a letter of \u201cno objection\u201d for the use of the new chemical.", "It is unclear whether FSIS consistently reviews these chemicals to ensure they will not adversely affect inspector safety and health because the agency does not have a robust process for tracking and sharing information needed to make this determination among the various program areas within the agency participating in the review. Officials in FSIS\u2019s Environmental, Safety, and Health Group told us that they often initially receive inadequate information to make this determination, despite new guidance developed in 2015 on the type of information that chemical manufacturers and plants may submit to enable FSIS to evaluate potential adverse effects to inspector safety. In cases where they do not receive sufficient information, the Environmental, Safety, and Health Group will ask the FSIS program area that is leading the review to request additional information from the manufacturer or plant. However, FSIS does not have a process that seamlessly tracks the worker safety information it receives as part of its review process, and FSIS occupational safety and health officials told us it is not clear whether submissions contain complete inspector safety information before a \u201cno objection\u201d letter is issued. In response, other FSIS officials told us that they would not approve a new chemical until they have adequate information that shows it will not adversely affect the safety and health of FSIS inspectors, among other things.", "Improving communication within FSIS about this review process is one goal of FSIS\u2019s 2017 Annual Plan. To help implement this goal, FSIS formed a working group in April 2017 that is developing a draft directive to facilitate improved coordination among the program areas involved in the review process, including the Environmental, Safety, and Health Group. More specifically, the draft directive provides procedures and protocols and describes an electronic system for tracking information submitted. According to FSIS officials coordinating reviews, the electronic system will replace the current manual system and will be accessible to all program areas involved in the review process. Further, the draft of a \u201cno objection\u201d letter will be distributed to the program areas involved in the review to ensure that all remaining outstanding questions or issues related to the notification have been addressed prior to issuing the letter to the submitter. According to an FSIS official, the agency plans to finalize and issue the draft directive by the end of calendar year 2017 and anticipates converting to the electronic tracking system in fiscal year 2018."], "subsections": []}, {"section_title": "Gaps in Measurement", "paragraphs": ["OSHA and FSIS officials told us that they have faced challenges responding to complaints about air quality in meat and poultry plants, because it is hard to measure airborne peracetic acid. According to OSHA, FSIS, and NIOSH officials, there is no sufficiently reliable method to measure peracetic acid in plants, in part because peracetic acid is not stable and breaks down quickly. As a result, it is harder to assess the extent of worker exposure to this chemical and plan for an appropriate response. Some plants currently use monitors to sample for the components of commercial peracetic acid (acetic acid and hydrogen peroxide); however, the effects of peracetic acid exposure on workers can be different than those caused by either of these individual chemicals or by mixtures of peracetic acid with other chemicals.", "In 2013, OSHA\u2019s Salt Lake Technical Center began working to develop a validated sampling and analytical method that would permit measurement of airborne peracetic acid with a high degree of confidence. Work on the method continues, according to OSHA officials. NIOSH has begun evaluating a range of commercially available peracetic acid monitors and is planning to evaluate an air sampling method for peracetic acid. The lack of a reliable way to measure peracetic acid could also affect any efforts by OSHA to develop a permissible exposure limit (PEL), a type of workplace safety and health standard that officials said would enable the agency to more easily cite employers for exposing their workers to peracetic acid hazards, compared to using the general duty clause. According to OSHA officials, the process for developing PELs is arduous, and peracetic acid is one of many chemicals without such a limit or with one that is outdated. In response to our 2012 report, which found OSHA\u2019s standard-setting process to be challenging and lengthy, OSHA and NIOSH developed an MOU to support their research on developing potential standards."], "subsections": []}, {"section_title": "Gaps in Peracetic Acid Research", "paragraphs": ["In March 2017, NIOSH announced its intent to initiate a study of workplace uses of and occupational exposure to peracetic acid, but this study will not examine the safety and health hazards this chemical may pose if it is combined with other chemicals, as can happen in slaughter plants. The NIOSH study aims to develop an immediately dangerous to life or health (IDLH) value and an effective workplace measurement method, among other things. While the focus of this research is the characterization of workplace exposure to peracetic acid, the study is not intended to address the extent and consequences of mixing peracetic acid with other substances, which can occur in several ways in meat and poultry plants. As carcasses move from one stage of processing to another, peracetic acid can come into contact with other substances, such as when there are spills or in drainage systems. FSIS officials, a worker advocate, and plant workers we interviewed expressed concern that the mixing of chemicals can create new safety and health risks for workers. For example, an FSIS official said that an inspector at a poultry plant complained about effects from airborne chemicals that appeared to be related to the location of her work station, directly over a drain in which multiple substances were pooling. In 2011, 152 workers at an Arkansas poultry plant reported being hospitalized from effects of chlorine gas created after a supervisor added sodium hypochlorite (bleach) into a container holding a residual acidic antimicrobial solution, creating a chemical reaction.", "NIOSH officials told us they are aware that chemicals can be used in plants alongside peracetic acid and result in a mixed exposure, and that this may be a serious problem. Although the focus of the current peracetic acid study is primarily on the health effects of and exposures to peracetic acid alone, NIOSH officials said that NIOSH has the capability to assist in characterizing worker exposures of concern, and could consider such research in a follow-on study, depending on available resources. In addition, NIOSH officials told us that the agency will consider whether potential health hazards exist from other chemicals in the environment, particularly if they interfere with measuring peracetic acid exposures and assessing health effects in workers. Moreover, officials told us that their current study could provide the basis of follow-on research into other workplace chemical hazards, including mixtures.", "In 2004, NIOSH recognized mixed exposures as a priority area for the occupational safety and health research community and identified significant gaps and research needs. According to the report, workers from agriculture, construction, mining, and other industries are commonly exposed to combinations of chemical substances, biological or physical agents, and other stressors, and knowledge is limited regarding the potential health effects of mixed exposures. Identifying these effects can help characterize worker exposure and develop hazard controls that take into account the components of the mixtures. According to NIOSH officials, mixed exposures continue to be important to study because they may represent a health hazard to workers, and employers should prevent or control workplace exposures to such mixtures. By considering the addition to the agency\u2019s research agenda of a proposal to examine peracetic acid\u2019s use in combination with other chemicals, NIOSH will be better able to characterize worker exposure to such scenarios and develop controls to reduce this hazard for workers."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["While OSHA\u2019s enforcement efforts in the meat and poultry industry have increased since we reported in 2005, worker safety and health problems persist and improvements are needed in identifying worker concerns, strengthening federal collaboration, and protecting workers from certain chemicals. Workers we spoke with reported they are reluctant to report injuries, illnesses, and hazards because they fear losing their jobs. There is a mismatch between concerns we heard from workers and the problems reported by OSHA, particularly in the area of bathroom access. Taking additional steps to encourage workers to disclose sensitive concerns and gathering additional information to determine the scope of bathroom access issues could enable OSHA to better identify worker safety and health concerns. OSHA\u2019s efforts to address medical mismanagement at plants\u2014which has resulted in poor medical care for workers\u2014could be improved by issuing updated guidance for employers on how to manage their health units. Collaboration between OSHA and FSIS is limited and has improved little since we recommended in 2005 that the two agencies strengthen their 1994 MOU on worker safety. Since FSIS is already present in many plants, the federal government is missing out on a cost-effective opportunity to further protect the safety and health of both plant workers and FSIS inspectors by leveraging resources in this fiscally constrained environment. Evaluating the implementation of the MOU and making any needed changes would help ensure the agencies improve their collaboration. With regard to chemicals, there are gaps in information sharing and research that have heightened the risk of chemical hazards for plant workers and FSIS inspectors. In particular, FSIS collects information on how to protect its inspectors from new chemicals, but it does not have a process to share this information with its own inspectors, plant management, OSHA, or NIOSH. By FSIS establishing a process to regularly share the worker safety information it collects during reviews of new chemicals, the federal government will be better positioned to use existing resources to support the safety and health of plant workers and FSIS inspectors. Finally, NIOSH\u2019s plan to conduct a study on peracetic acid will likely yield useful information for meat and poultry worker safety, but it is not intended to address the potential consequences of mixing peracetic acid with other substances, which can occur in several ways in meat and poultry plants. By considering the addition to the agency\u2019s research agenda of a proposal to examine peracetic acid\u2019s use in combination with other chemicals in meat and poultry plants, NIOSH will be better able to characterize worker exposure to such scenarios and develop controls to reduce this hazard for workers."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making seven recommendations, including four to OSHA, two to FSIS, and one to NIOSH. Specifically: The Assistant Secretary of Labor for Occupational Safety and Health should take additional steps to encourage workers to disclose sensitive concerns during OSHA inspections of meat and poultry plants; for example, by considering additional off-site interviews or exploring other options to obtain information anonymously. (Recommendation 1)", "The Assistant Secretary of Labor for Occupational Safety and Health should gather more information, such as by asking workers during meat and poultry plant inspections, to determine the extent to which bathroom access is a problem and how to address any identified issues. (Recommendation 2)", "The Assistant Secretary of Labor for Occupational Safety and Health should update its guidance for employers on how to manage their health units to address the challenges of managing these units. (Recommendation 3)", "The Assistant Secretary of Labor for Occupational Safety and Health should work with FSIS to assess the implementation of the MOU and make any needed changes to ensure improved collaboration; and set specific timeframes for periodic evaluations of the MOU. (Recommendation 4)", "The FSIS Administrator should work with OSHA to assess the implementation of the MOU and make any needed changes to ensure improved collaboration; and set specific timeframes for periodic evaluations of the MOU. (Recommendation 5)", "The FSIS Administrator should develop a process to regularly share the worker safety information it collects during its review of new chemicals with FSIS inspectors, plant management, OSHA, and NIOSH. (Recommendation 6)", "The Director of NIOSH should consider including in the agency\u2019s research agenda a proposal for examining the extent of peracetic acid\u2019s use in combination with other chemicals in meat and poultry plants, and any safety and health hazards these combinations may pose to workers. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the U.S. Department of Labor (DOL), the U.S. Department of Agriculture (USDA), the U.S. Department of Health and Human Services (HHS), and the Environmental Protection Agency (EPA) for their review. DOL\u2019s Occupational Safety and Health Administration (OSHA), USDA\u2019s Food Safety and Inspection Service (FSIS), and HHS provided written comments that are reprinted in appendixes II, III, and IV, respectively. In an e-mail dated October 5, 2017, an EPA audit liaison indicated that EPA had no comments. OSHA did not state whether it concurred or not with the four recommendations made to it. USDA expressed concern with the draft report\u2019s characterization of FSIS\u2019s collaborative efforts and also described planned actions to address the two recommendations we made to it. HHS agreed with the one recommendation we made to it. DOL and HHS provided technical comments, which we incorporated as appropriate.", "With respect to our first recommendation that OSHA take additional steps to encourage workers to share information during meat and poultry inspections, OSHA stated that it fully supports the idea of continuous improvement of its processes that would expand its ability to identify and address hazards before an injury, illness, or fatality occurs. However, OSHA noted that it would be challenging to conduct offsite interviews in terms of witness cooperation, resources, and inspector safety. We continue to believe that OSHA should take steps to enhance reporting by meat and poultry workers. Our report describes meat and poultry workers\u2019 reluctance to report injuries, illnesses, and hazards to OSHA because of their fear of employer retaliation. OSHA\u2019s Field Operations Manual highlights the importance of a free and open exchange of information between OSHA inspectors and employees for conducting effective inspections. Conducting additional offsite interviews is one way to encourage employee reporting. However, there may be alternative additional steps OSHA could take to better position it to encourage workers to disclose sensitive concerns, consistent with our recommendation.", "With respect to our second recommendation that OSHA gather additional information to determine the extent to which bathroom access is a problem in meat and poultry plants, OSHA stated it could not commit to routinely asking about bathroom access at each meat and poultry inspection. OSHA stated that each inspection requires a flexible approach to address unique worksite hazards. It further stated that OSHA does not routinely ask questions about any potential hazards that go beyond the scope of a complaint inspection, unless those hazards are in plain sight. However, as noted in the report, OSHA does require inspectors at poultry plants to consistently investigate other specific hazards, such as ergonomics hazards. Our report highlights the challenges meat and poultry workers may face gaining timely access to bathrooms. However, workers might not volunteer access information to OSHA. Our work identified a mismatch between the concerns we heard from workers and the problems reported by OSHA. Better understanding the scope of bathroom access problems would better position OSHA to respond appropriately. Further, OSHA may choose to address this issue without routinely asking workers about bathroom access, such as by selectively querying workers based on criteria determined by the agency.", "With respect to our third recommendation to update its guidance for employers on management of plant health units, OSHA stated that it intends to revisit its guidance.", "With respect to our fourth and fifth recommendations for OSHA and FSIS to work together to assess the MOU\u2019s implementation, make changes to improve collaboration, and set timeframes for periodic evaluations of the MOU, neither agency stated whether it agreed or not. OSHA stated that meat and poultry plants provide an opportunity for the two agencies to work collaboratively to identify employee hazards and promote safety and health, but OSHA did not comment specifically on the recommendation. FSIS stated that it already has directives in place to recognize and report hazards affecting FSIS employees, and acknowledged that the MOU was designed to additionally have FSIS employees report hazards affecting plant employees due to the regular presence of its inspectors in plants. FSIS noted that in collaborating with OSHA, FSIS will need to ensure its primary mission is not compromised by undertaking activities that take time and resources away from its food safety inspection responsibilities. We continue to believe that strengthening the MOU and developing a mechanism to regularly evaluate it would help ensure that the goals of the MOU are met, and that leveraging FSIS\u2019s presence in plants provides the federal government with a cost-effective opportunity to protect worker safety and health.", "With respect to our sixth recommendation that FSIS regularly share the worker safety information it collects during its review of new chemicals with FSIS inspectors, plant managers, OSHA, and National Institute for Occupational Safety and Health (NIOSH), FSIS stated that the agency already has a process for sharing chemical safety information with its inspectors. However, FSIS has not provided us with evidence that it has shared the worker safety information it collects related to new chemicals, such as safety information that is specific for dilution levels and conditions of use at plants, as noted in the report. FSIS also stated that it would take certain steps to share information about approval of chemicals with other agencies such as OSHA and NIOSH, but the steps identified did not include sharing worker safety information. Incorporating worker safety information would further help enhance this information sharing. FSIS further stated that some of the information collected during its review of new chemicals may be proprietary.", "In addition, FSIS also expressed concern with how we characterized its collaboration with OSHA and NIOSH on worker safety. Specifically, in reference to the report\u2019s discussion of the development of the poultry inspection modernization rule, FSIS stated that it consulted with and included OSHA and NIOSH during the appropriate step of the rulemaking process, and that the agency followed the Administrative Procedure Act in proposing the rule. We do not intend to suggest any deficiencies with FSIS\u2019s rulemaking procedures. Rather, our report points out possible opportunities for earlier and enhanced collaboration with OSHA on standards development. FSIS also requested that GAO include information in the report about the directive FSIS issued to implement the annual attestation on work-related conditions required by the poultry modernization final rule, and that the agency is sharing the information it receives as part of this process with OSHA. We have incorporated this information into the report.", "In its written comments, HHS agreed with our seventh recommendation that it consider including in NIOSH\u2019s research agenda a proposal for examining the extent of peracetic acid\u2019s use in combination with other chemicals in meat and poultry plants, and any safety and health hazards these combinations may pose to workers.", "As agreed with your office, unless you publicly announce the comments of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees; the secretaries of Labor, Agriculture, and Health and Human Services; and the Administrator of EPA. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report (1) describes the efforts the Occupational Safety and Health Administration (OSHA) in the U.S. Department of Labor (DOL) has made to help ensure meat and poultry workers\u2019 safety and health, and assesses what, if any, challenges OSHA faces in carrying out these efforts; (2) examines how OSHA and the U.S. Department of Agriculture\u2019s (USDA) Food Safety and Inspection Service (FSIS) have collaborated to help ensure meat and poultry worker safety and health; and (3) assesses any factors that may affect OSHA and FSIS efforts to protect meat and poultry workers from chemical hazards.", "The estimated total employment for the animal slaughtering and processing industry in this report is an annual average calculated from household data collected by the Current Population Survey (CPS) in 2016. The CPS is a probability sample and estimates derived from its data have sampling errors associated with them. We followed the DOL Bureau of Labor Statistics (BLS) technical guidance for estimating the standard error of annual average totals from CPS data. We express our confidence in the precision of our estimate as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the CPS samples that the U.S. Census Bureau could have drawn.", "To describe injury and illness rates in the meat and poultry industry, we analyzed and reported survey data from the BLS Survey of Occupational Injuries and Illnesses (SOII) for calendar years 2004 through 2015 (the most recent year for which data were available). The SOII provides estimates of the number and frequency (incidence rates) of workplace injuries and illnesses by industry and also by detailed case circumstances, such as injury type and event, and worker characteristics for cases that result in days away from work, based on data from logs kept by employers (survey respondents)\u2014private industry and state and local governments. Survey respondents provide counts for all recordable injuries and illnesses under OSHA recordkeeping regulations.", "To report SOII data from the meat and poultry industry (using North American Industry Classification System (NAICS) code 31161 for the animal slaughtering and processing industry), BLS provided estimates of each industry\u2019s injury and illness incidence rates and their associated relative standard errors. All estimates produced from the analysis of the SOII data are subject to sampling errors. We express our confidence in the precision of the results as a 95 percent confidence interval. This is the interval that would contain the actual population value for 95 percent of the samples the respective agency could have drawn. For estimates derived from BLS\u2019s SOII data, we used the agency-provided relative standard errors to estimate the associated confidence intervals. All estimates we report have the associated 95 percent confidence interval provided.", "To assess the reliability of BLS SOII data, we reviewed documents related to the data sources, such as BLS\u2019s Handbook of Methods, and we interviewed agency officials knowledgeable about these data. We found that SOII data were sufficiently reliable for our purposes in generally reporting estimated incidence rates of injuries and illnesses in the meat and poultry industry.", "To address all three objectives, we reviewed relevant federal laws and regulations and interviewed officials from OSHA and FSIS. We also visited four states\u2014Arkansas, Georgia, Minnesota, and Texas\u2014selected based on factors such as high production of meat or poultry; regional emphasis programs focusing on meat or poultry; presence of an OSHA regional or area office; presence of industry and worker advocate contacts; and access to meat or poultry plants participating in the Voluntary Protection Program or the Safety and Health Achievement Recognition Program. We used USDA statistics on the numbers of cattle, hogs, chicken, and turkeys slaughtered annually in the United States as a proxy for meat and poultry production for each state. As appropriate for each site visit, we met with either local OSHA or state Occupational Safety and Health (OSH) agency officials, as well as FSIS officials (including inspectors, supervisors, and an occupational safety and health official), industry representatives, experts in issues related to worker safety, and representatives of worker advocacy groups; and we visited four meat and poultry plants. At each plant, we met with plant management, FSIS management and inspectors, and plant safety and health staff, as available. The information gathered from these interviews is not generalizable to all plants or meat or poultry workers.", "We also interviewed and reviewed information from additional stakeholders, including experts in issues related to worker safety, as well as representatives of worker advocacy groups. We identified and interviewed these stakeholders based on previous work and on referrals from other stakeholders. We also attended worker safety conferences hosted by the meat industry, the poultry industry, and worker advocates.", "We also conducted group and individual interviews with meat and poultry workers in six locations in five states: Arkansas, Delaware, Nebraska, North Carolina, and Virginia. We interviewed between six and approximately 30 workers per state, totaling approximately 72 workers across all 5 interviews. We selected sites based on a variety of factors, such as states with a relatively high level of meat or poultry slaughter, according to USDA data; type of plant (meat or poultry); and geographic diversity. We also considered resource availability and the ability of supporting organizations to coordinate worker interviews. We coordinated with worker advocacy groups or worker centers to identify meat and poultry workers who were available and willing to meet with us. Interviews were conducted in English or Spanish. The information gathered from these interviews is not generalizable to all meat or poultry workers.", "To describe the efforts OSHA has made to help ensure meat and poultry workers\u2019 safety and health and assess any challenges, we reviewed relevant documentation, such as agency guidance and information about enforcement and compliance assistance activities. We interviewed officials from OSHA and FSIS, as well as representatives of the meat and poultry industry. We also analyzed enforcement data from calendar years 2005-2016 from two OSHA databases: the OSHA Information System and OSHA Legacy Data. We examined data starting in 2005 because our previous report on OSHA inspections in the meat and poultry industry examined inspections data through 2004. We analyzed enforcement data on federal and state inspections of meat and poultry plants, including data on the type of inspection, violations found, standards cited, penalties assessed, and whether inspectors were denied entry into the plant. To analyze the number of inspections and the results of OSHA inspections of meat and poultry plants, we analyzed inspections of plants with NAICS codes 311611, 311612, and 311613 for meat plants, and NAICS code 311615 for poultry plants. To assess the reliability of the data, we reviewed relevant agency documentation, conducted electronic data testing, and interviewed agency officials knowledgeable about these data. Based on these reviews, we determined that the data were sufficiently reliable for our purposes. To assess OSHA\u2019s efforts, we compared information we learned to internal controls from Standards for Internal Control in the Federal Government that call for agencies to use quality information and to internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives.", "To examine how OSHA and FSIS have collaborated to help ensure meat and poultry worker safety and health, we reviewed relevant documentation, such as information about OSHA\u2019s and FSIS\u2019s collaborative activities, and we interviewed officials from OSHA and FSIS. To analyze information on OSHA inspections of FSIS in meat and poultry plants, we used the most recent data available for calendar years 2005- 2016 from the OSHA Information System and OSHA Legacy Data. We also requested FSIS confirm which establishments pertained to the meat and poultry industry. In assessing agency efforts, we reviewed the 1994 memorandum of understanding (MOU) agreed to by OSHA and FSIS, and prior GAO reports that highlight interagency collaboration. We also compared information we learned from officials to internal controls from Standards for Internal Control in the Federal Government that call for agencies to internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives.", "To assess any factors that may affect OSHA and FSIS efforts to protect meat and poultry workers from chemical hazards, we reviewed relevant documentation, such as Environmental Protection Agency (EPA), Food and Drug Administration (FDA), and FSIS processes for reviewing new workplace chemicals, including FSIS\u2019s Compliance Guideline Procedures for New Technology Notifications and Protocols. We interviewed officials from OSHA, EPA, FDA, and FSIS to understand how these reviews are carried out and the extent to which agencies coordinate and share information. We also interviewed representatives of the meat and poultry industry. We compared information we learned from our review of documents and interviews with officials to internal controls from Standards for Internal Control in the Federal Government that call for agencies to internally and externally communicate the necessary quality information to achieve the entity\u2019s objectives. To understand efforts underway to develop tools to measure the presence of chemicals used in plants, we reviewed scientific information on chemicals, such as peracetic acid, and interviewed officials from OSHA\u2019s Salt Lake Technical Center regarding validated sampling and analytical methods.", "Focus shifted to peracetic acid during the course of our review because it was identified by FSIS officials and worker advocates as a chemical commonly used in plants for which OSHA had no permissible exposure limit, and FSIS officials told us there were complaints the new chemical was causing illnesses. We reviewed National Institute for Occupational Safety and Health (NIOSH) health hazard evaluations to understand the extent of concerns related to chemicals, including peracetic acid. To identify any gaps in peracetic acid research, we reviewed documents, including NIOSH\u2019s 2017 Request for Information on peracetic acid, as well as NIOSH\u2019s research agenda and goals for studying the mixture of chemicals, including its 2004 Mixed Exposures Research Agenda. We also interviewed officials from NIOSH\u2019s Education and Information Division.", "We conducted this performance audit from May 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Blake Ainsworth, (Assistant Director), Mary Denigan-Macauley, Eve Weisberg (Analyst-in-Charge), Rosemary Torres Lerma, Monika Gomez, Linda Collins, Erik Kjeldgaard, Cathy Roark, Susan Aschoff, James Bennett, Almeta Spencer, Sarah Cornetto, Monica Savoy, and Hiwotte Amare made significant contributions to this report.", "Also contributing to this report were Ivelisse Aviles, Carl Barden, Tim Bober, Kevin Bray, Marcia Crosse, John Mingus, Steve Morris, Ardith Spence, and Mark Ward."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Workplace Safety and Health: Additional Data Needed to Address Continued Hazards in the Meat and Poultry Industry. GAO-16-337. Washington, D.C.: April 25, 2016.", "Regulatory Guidance Processes: Selected Departments Could Strengthen Internal Control and Dissemination Practices. GAO-15-368. Washington, D.C.: April 16, 2015.", "Chemical Assessments: Agencies Coordinate Activities, But Additional Action Could Enhance Efforts. GAO-14-763. Washington, D.C.: September 29, 2014.", "Food Safety: USDA Needs to Strengthen Its Approach to Protecting Human Health from Pathogens in Poultry Products. GAO-14-744. Washington, D.C.: September 30, 2014.", "Food Safety: More Disclosure and Data Needed to Clarify Impact of Changes to Poultry and Hog Inspections. GAO-13-775. Washington, D.C.: August 22, 2013.", "Workplace Safety and Health: OSHA Can Better Respond to State-Run Programs Facing Challenges. GAO-13-320. Washington, D.C.: April 16, 2013.", "Workplace Safety and Health: Further Steps by OSHA Would Enhance Monitoring of Enforcement and Effectiveness. GAO-13-61. Washington, D.C.: January 24, 2013.", "Managing for Results: Key Considerations for Implementing Interagency Collaborative Mechanisms. GAO-12-1022. Washington, D.C.: September 27, 2012.", "Workplace Safety and Health: Multiple Challenges Lengthen OSHA\u2019s Standard Setting. GAO-12-330. Washington, D.C.: April 2, 2012.", "Workplace Safety and Health: Better OSHA Guidance Needed on Safety Incentive Programs. GAO-12-329. Washington, D.C.: April 9, 2012.", "Workplace Safety and Health: Enhancing OSHA\u2019s Records Audit Process Could Improve the Accuracy of Worker Injury and Illness Data. GAO-10-10. Washington, D.C.: October 15, 2009.", "OSHA\u2019s Voluntary Protection Programs: Improved Oversight and Controls Would Better Ensure Program Quality. GAO-09-395. Washington, D.C.: May 20, 2009.", "Whistleblower Protection Program: Better Data and Improved Oversight Would Help Ensure Program Quality and Consistency. GAO-09-106. Washington, D.C.: January 27, 2009.", "Workplace Safety and Health: OSHA Could Improve Federal Agencies\u2019 Safety Programs with a More Strategic Approach to Its Oversight. GAO-06-379. Washington, D.C.: April 21, 2006.", "Results-Oriented Government: Practices That Can Help Enhance and Sustain Collaboration among Federal Agencies. GAO-06-15. Washington, D.C.: October 21, 2005.", "Workplace Safety and Health: Safety in the Meat and Poultry Industry, While Improving, Could Be Further Strengthened. GAO-05-96. Washington, D.C.: January 12, 2005.", "Workplace Safety and Health: OSHA\u2019s Voluntary Compliance Strategies Show Promising Results, But Should Be Fully Evaluated before They Are Expanded, GAO-04-378. Washington, D.C.: March 19, 2004.", "Workplace Safety and Health: OSHA Can Strengthen Enforcement through Improved Program Management. GAO-03-45. Washington, D.C.: November 22, 2002.", "Workplace Safety and Health: OSHA Should Strengthen the Management of Its Consultation Program. GAO-02-60. Washington, D.C.: October 12, 2001.", "Food Safety: Weaknesses in Meat and Poultry Inspection Pilot Should Be Addressed Before Implementation. GAO-02-59. Washington, D.C.: December 17, 2001.", "Worker Protection: Better Coordination Can Improve Safety at Hazardous Material Facilities. GAO-01-62. Washington, D.C.: October 26, 2000.", "Community Development: Changes in Nebraska\u2019s and Iowa\u2019s Counties with Large Meatpacking Plant Workforces. GAO/RCED-98-62. Washington, D.C.: February 27, 1998."], "subsections": []}], "fastfact": []} {"id": "GAO-18-575", "url": "https://www.gao.gov/products/GAO-18-575", "title": "North American Energy Integration: Information about Cooperation with Canada and Mexico and among U.S. Agencies", "published_date": "2018-08-02T00:00:00", "released_date": "2018-08-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to a U.S. government study, increased U.S. energy trade with Canada and Mexico\u2014two of the United States' top energy trade partners\u2014is viewed as a major contributor to U.S. economic prosperity and energy security. In recent years, North American energy production has experienced changes. For example, the United States has become the world's top oil producer, Canada has substantially increased its oil outputs, and Mexico has implemented energy reforms. To address energy production and trade issues, the public sector and private sector stakeholders have advocated for further integration of the three North American countries' energy sectors.", "GAO was asked to review the role of U.S. agencies in supporting energy integration in North America. This report examines (1) ways in which the U.S., Canadian, and Mexican governments cooperate on North American energy integration; (2) U.S. agencies' activities to facilitate North American energy integration; (3) U.S. agencies' efforts to coordinate among themselves on North American energy integration; (4) ways in which U.S. agencies receive feedback from U.S. industry and civil society regarding North American energy integration; and (5) steps that U.S., Canadian, and Mexican officials suggested to further facilitate North American energy integration. GAO reviewed bilateral and trilateral cooperation activities and mechanisms; surveyed U.S. agencies involved in energy integration; and interviewed U.S., Canadian, and Mexican energy officials.", "GAO is not making any recommendations in this report."]}, {"section_title": "What GAO Found", "paragraphs": ["Cooperation. The United States cooperates with Canada and Mexico on integrating North American energy markets and infrastructure (energy integration). Cooperation occurs at the presidential and ministerial levels (e.g., the countries' secretaries or ministers of energy) for strategic issues and at the agency level for technical issues. However, progress on some strategic issues has been limited. For example, development of a North American energy strategy, which the U.S. Department of Energy (DOE) proposed in March 2017, was suspended later that year because of disagreement about its scope. Discussions of the strategy resumed in 2018, according to DOE officials.", "Agency activities. Eight U.S. agencies have engaged in multiple efforts to facilitate North American energy integration. DOE generally serves as the lead agency on energy integration issues, while the Department of State\u2014the lead agency on foreign policy\u2014also leads some bilateral and trilateral efforts. Other agencies play roles in areas such as regulatory compliance or efforts to open energy markets. Agency officials GAO surveyed and interviewed identified 81 energy integration\u2013related activities conducted in 2014 through 2017, including international agreements and other instruments, research and development, technical forums and assistance, regulatory cooperation, and trade promotion.", "Interagency coordination. U.S. agency officials reported coordinating on energy integration through high-level U.S. interagency meetings, summits, and other means. For example, agencies participating in a National Security Council\u2013led working group share information, provide advice, and coordinate on activities. Agency officials also reported using mechanisms such as stakeholder forums and staff discussions to coordinate on energy integration issues.", "Stakeholder feedback. U.S. agencies receive feedback on energy integration issues from the private sector and civil society through formal mechanisms such as comments in the Federal Register and public\u2013private advisory entities. For example, the U.S.\u2013Mexico Energy Business Council is designed to capture private sector feedback. Informal feedback comes through activities such as emails, phone calls, and letters.", "Steps suggested by U.S., Canadian, and Mexican officials . Officials in the three countries expressed general satisfaction with intergovernmental cooperation on energy integration and said cooperative activities had helped foster integration. They also suggested further work in areas such as aligning energy regulations.", "Source: GAO analysis of information provided by U.S, Canadian, and Mexican officials. | GAO-18-575"]}], "report": [{"section_title": "Letter", "paragraphs": ["Increased energy trade with Canada and Mexico\u2014both of which have open, stable, diversified, and market-driven economies\u2014is viewed as a major contributor to U.S. economic prosperity and energy security, according to a U.S. government study. The energy sector across North America is extensively integrated, with billions of dollars traded in oil, natural gas and petroleum products each year that are transported through various modes of infrastructure. Moreover, the United States\u2019 energy trade relationships with Canada and Mexico have undergone important changes. For example, in recent years, the United States has become the world\u2019s top oil producer, Canada has increased its oil output substantially, and Mexico has implemented energy reforms. While the United States\u2019 energy trade with Canada and Mexico has helped to promote general economic growth in all three countries, it has also prompted debate on topics such as the environmental impacts of energy resource development and the expansion of energy infrastructure. To address issues related to regional energy production and trade and support regional prosperity and energy security, stakeholders from the public and private sectors in all three North American countries have expressed support for further integration of the countries\u2019 energy sectors.", "We were asked to review the role of U.S. agencies in supporting the integration of North American energy markets and infrastructure (North American energy integration). This report examines (1) ways in which the U.S., Canadian, and Mexican governments cooperate on North American energy integration; (2) U.S. agencies\u2019 activities to facilitate North American energy integration; (3) U.S. agencies\u2019 efforts to coordinate among themselves on North American energy integration; (4) ways in which U.S. agencies obtain feedback and input from U.S. industry and civil society regarding North American energy integration; and (5) steps that U.S., Canadian, and Mexican officials suggested to further facilitate North American energy integration.", "To examine the ways in which the U.S., Canadian, and Mexican governments cooperate on North American energy integration, we interviewed U.S., Canadian, and Mexican officials about the processes used to cooperate on energy integration at the strategic and technical levels. We also reviewed documents and information on cooperation mechanisms provided by these officials. To examine agencies\u2019 activities to facilitate North American energy integration, we reviewed U.S. agency documents and interviewed officials regarding agencies\u2019 roles and responsibilities related to energy integration. We also developed an inventory of U.S. agencies\u2019 activities related to energy integration, based on information that agencies provided in response to a survey in which we asked about their activities during 2014 through 2017.To examine U.S. federal agencies\u2019 efforts to coordinate among themselves and obtain feedback and input from industry and civil society regarding North American energy integration, we interviewed cognizant U.S. government officials and a nongeneralizable sample of private sector and civil society representatives. We used information obtained through these discussions to describe the various mechanisms and processes that U.S. agencies use to coordinate among themselves and to communicate with industry and civil society. In addition, we interviewed participants of an ongoing interagency working group to obtain their perspectives related to key considerations in implementing interagency collaboration. To examine steps suggested by U.S., Canadian, and Mexican officials to further facilitate North American energy integration, we asked officials in each country to suggest steps to further facilitate integration; we report suggestions discussed by at least one official in all three countries. See appendix I for a more detailed description of our scope and methodology.", "We conducted this performance audit from April 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "North American Energy Trade", "paragraphs": ["Energy markets across the United States, Canada, and Mexico are extensively integrated. For example, Canada and Mexico\u2014respectively, the largest and fourth largest foreign suppliers of crude oil to the United States\u2014together supply almost half of total U.S. petroleum imports, according to DOE data. The United States is by far Canada\u2019s most significant crude-oil customer. In addition, Canada and Mexico are major buyers of petroleum products refined in the United States. A growing trade in natural gas produced in the United States is also increasingly important to the energy relationship among the three countries, according to a government report. Moreover, trade in the other energy commodities, such as electricity, natural gas liquids, and coal, is comparatively small yet important to some U.S. regions. In 2017, the value of the energy trade between the United States and its North American neighbors exceeded $125 billion, with almost $83 billion in U.S. energy imports and almost $43 billion in exports, according to U.S. Census data (see fig. 1)."], "subsections": []}, {"section_title": "Cross-Border Energy Infrastructure", "paragraphs": ["Extensive cross-border infrastructure is used to transport oil, refined petroleum products, and natural gas between the United States and both Canada and Mexico. Pipelines are the primary means of transporting crude oil from Canada to the United States; at present, six pipeline systems link the petroleum-producing regions in western Canada to U.S. markets. Marine vessels are the primary means used to convey Mexican crude oil imported by the United States. Marine vessels are also used to transport more than 75 percent of refined petroleum products exported by the United States to Canada and Mexico, and pipelines, rail, or trucks are used to transport the remainder. Pipelines are also used to transport all U.S. exports of natural gas to Canada and Mexico as well as Canadian gas exports to the United States, with 24 pipelines crossing the U.S.\u2013 Canadian border and 16 pipelines crossing the U.S.\u2013Mexican border.", "Cross-border electrical infrastructure is significant between the United States and Canada but is limited between the United States and Mexico. There are 30 major U.S.\u2013Canadian transmission connections, while synchronized U.S.\u2013Mexican connections exist only at the border between Mexico and the state of California."], "subsections": []}, {"section_title": "North American Energy Integration and Security", "paragraphs": ["According to the U.S. Department of Energy (DOE), energy integration is in the interest of all North American countries because it expands the size of energy markets, creates economies of scale to attract private investment, lowers capital costs, and can reduce energy costs for consumers. Expanding energy systems may also allow for the development of a more diverse mix of energy resources, processing facilities, and end uses, all of which increase energy security.", "The International Energy Agency defines energy security as the uninterrupted availability of energy sources at an affordable price. According to agency documents, long-term energy security primarily involves timely investments to supply energy to meet economic development and environmental needs. Short-term energy security focuses on the ability of the energy system to react promptly to sudden changes in the supply-demand balance."], "subsections": []}, {"section_title": "Mexico\u2019s Energy Reform", "paragraphs": ["Energy reforms in Mexico\u2019s oil and gas sector, which received limited capital investment for decades, could contribute to North American energy and security as well as cross-border energy trade, according to government reports. Until 2013, Mexico\u2019s constitution prohibited foreign involvement in most activities in the oil and power sectors, according to a think-tank report. According to the report, the Mexican congress enacted a sweeping energy reform in 2013 that ended the state-owned oil company PEMEX\u2019s monopoly over oil exploration and production and the state-owned electric company Federal Electricity Commission\u2019s control over electricity generation. As a result, Mexico\u2019s energy sector opened to foreign investment in ways not possible since the sector was nationalized in 1938, providing new opportunities for U.S. investors, according to the think-tank report and the Congressional Research Service. According to Mexican government officials, since that time Mexico has established or revamped a number of agencies to govern and operate its energy sector and has awarded leases and contracts to expand exploration, production, and distribution of energy supplies. Since Mexico\u2019s reform was enacted, U.S. companies have participated in winning bids for each of Mexico\u2019s oil and gas tenders, with $6.5 billion pledged in upstream investment, according to the think-tank report."], "subsections": []}, {"section_title": "North American Free Trade Agreement Renegotiation", "paragraphs": ["The current administration has made the renegotiation of the North American Free Trade Agreement (NAFTA) a priority; as of April 2018, negotiations to renew NAFTA had been ongoing since August 2017. According to a January 2017 Congressional Research Service report, since NAFTA entered into force on January 1, 1994, its market-opening provisions have gradually eliminated nearly all tariff and most nontariff barriers on goods produced and traded within North America, including energy commodities. In addition, according to energy industry representatives, despite previous limited investment opportunities in Mexico, NAFTA has enhanced North American energy integration, facilitating a greater flow of oil, natural gas, and petroleum-derived products among all three North American countries."], "subsections": []}, {"section_title": "U.S. Agencies\u2019 Roles and Responsibilities Related to North American Energy Integration", "paragraphs": ["A number of U.S. agencies oversee activities related to energy collaboration efforts with Mexico and Canada. We identified the following eight agencies as having a role in energy cooperation efforts that may support North American energy integration.", "Department of Energy (DOE). DOE is responsible for advancing the energy, environmental, and nuclear security of the United States. DOE also plays a lead role in North American energy integration activities. DOE has established partnerships with its primary government partners in Canada and Mexico\u2014the Department of Natural Resources of Canada (Natural Resources Canada) and Mexico\u2019s Secretariat of Energy\u2014through various memorandums of understanding (MOU). While multiple DOE offices engage in energy integration activities, the Office of International Affairs has primary responsibility for international energy cooperation and leads key cooperation initiatives. The Office of International Affairs is responsible for coordinating the framework for bilateral collaboration between DOE and Natural Resources Canada. According to DOE, areas of U.S.\u2013Canadian cooperation include responsible development of unconventional oil and gas, safe and modern infrastructure, responsible use of energy and energy efficiency, and carbon capture and storage. DOE issues presidential permits for cross-border electric transmission lines and associated facilities, authorizes electricity export and is responsible for authorizing natural gas exports from the United States. Authorization for natural gas exports is granted without modification or delay for U.S. partner countries in free trade agreements that provide for national treatment for trade in natural gas, which, according to Congressional Research Service, presently includes Canada and Mexico.", "Department of the Interior (Interior). Interior plays an important role in domestic energy production, managing energy produced on America\u2019s federally managed lands and the U.S. outer continental shelf, including oil, gas, coal, wind, solar, and hydropower. Interior also has important cooperative relationships with counterpart agencies in Canada and Mexico, according to Interior officials. As subject matter experts, various Interior offices, such as the Bureau of Ocean Energy Management, and the Bureau of Safety and Environmental Enforcement collaborate with their counterparts in Canada and Mexico to share information, experience, and best practices and provide advice and technical assistance. Interior\u2019s Office of International Affairs is responsible for providing coordination and support as needed on cross-cutting international issues that relate to more than one bureau, including energy cooperation.", "Department of Commerce (Commerce). Commerce\u2019s International Trade Administration works to remove barriers to U.S. energy development and trade, notably U.S. exports of energy resources and products to Mexico and Canada. The International Trade Administration also works to open markets for energy products in Mexico and Canada, and organizes trade missions.", "Department of State (State). As the lead agency for foreign policy related to energy, State may play a part in most bilateral and trilateral efforts. State\u2019s role related to North American energy integration includes that of a convening or facilitating authority. State\u2019s Bureau of Energy Resources typically leads these activities but also works closely with State\u2019s Bureau of Western Hemisphere Affairs. In addition, as subject matter experts, State energy and economic officers at embassies in Canada and Mexico report on energy policy and market developments and play a role in communicating, and helping to facilitate interactions, with other U.S. federal agencies and their foreign counterparts. Further, the Secretary of State plays a key role in energy infrastructure because of his or her responsibility in issuing or denying presidential permits for liquid petroleum pipelines that cross U.S. international borders.", "Department of Transportation (DOT). DOT plays a role in regulating and enforcing safety standards for the transportation of energy products, including crude oil and gas, ethanol, and natural gas. According to DOT, its Pipeline and Hazardous Materials Safety Administration is responsible for regulating and ensuring the safe and secure movement of energy and other hazardous materials to industry and consumers by all modes of transportation, including pipelines. DOT officials work closely with their counterparts in Canada and Mexico when developing draft regulations related to various energy transportation issues, notably those that could affect cross-border trade and safety.", "Federal Energy Regulatory Commission (FERC). As an independent regulatory agency, FERC has authority to regulate the transmission of electricity, natural gas, and oil between U.S. states and plays a role in facilitating cross-border natural gas pipelines. FERC has responsibility for issuing or denying presidential permit applications for natural gas pipelines that cross the U.S. border with Mexico or Canada.", "United States Agency for International Development (USAID). As part of its mission and in support of U.S. foreign policy, USAID leads the U.S. government's international development through partnerships and investments. According to USAID officials, USAID has played a role in integrating the electricity markets of the United States and Mexico by supporting the synchronization of regulations, enhancing investment opportunities, and creating easier transmission interconnections between the two countries. As part of those efforts, USAID facilitated technical exchanges between Mexican officials and U.S. grid operators, universities, and other stakeholders.", "Department of the Treasury (Treasury). The role of Treasury\u2019s newly reorganized Office of Investment, Energy, and Infrastructure includes developing a multipart approach that seeks to promote U.S. exports of energy and energy infrastructure; attract investments in the areas of energy and infrastructure; and catalyze private capital for the financing of exports and investment projects. As part of that approach, the office is in the process of formulating and negotiating energy frameworks with foreign partners, including Mexico, according to officials."], "subsections": []}]}, {"section_title": "U.S., Canadian, and Mexican Governments Cooperate on Energy Integration, although Some Strategic Efforts Have Made Limited Progress", "paragraphs": ["Generally speaking, the United States cooperates on energy integration with Canada and Mexico strategically at the presidential and ministry levels and technically at the agency level, although progress on some strategic efforts has been limited. At the presidential level, trilateral cooperation has occurred mainly through the North American Leaders\u2019 Summit, where the leaders of the three countries discuss economic issues, including energy, according to U.S. government officials. The last summit was in 2016, and as of April 2018 a future summit had not been scheduled. At the ministry level, DOE and State have recently conducted meetings with their Canadian and Mexican counterparts. However, efforts to develop a North American Energy Strategy were placed on hold in late 2017 because of disagreement about its scope, although discussions resumed in 2018, according DOE officials. At the agency level, U.S. officials and their counterparts in Mexico and Canada cooperate technically to address specific issues related to North American energy integration. Figure 2 illustrates the three levels of cooperation on energy integration between the U.S., Canadian, and Mexican governments."], "subsections": [{"section_title": "Presidential-Level Cooperation", "paragraphs": ["U.S. cooperation with Canada and Mexico at the presidential level has occurred primarily through the North American Leaders\u2019 Summit, according to U.S. government officials. During the summits, the leaders of the three countries meet to discuss economic, social, and political issues\u2014including energy\u2014on which the three countries can cooperate. The summits have taken place every 1 or 2 years since 2005; the last summit was held in June 2016, in Ottawa. State officials said that if past patterns were followed, the next summit would be scheduled in 2018 and hosted by the United States. However, a future summit had not been scheduled as of April 2018. State officials told us that it is the responsibility of the White House to decide whether a North American Leaders\u2019 Summit will take place and that they therefore would not comment on whether a summit will be scheduled in 2018.", "The 2016 summit, which focused on energy, formalized the North American Climate, Clean Energy, and Environment Partnership Action Plan (Action Plan), which included pledges to cut greenhouse gas emissions from the oil and gas sectors, boost the development of clean power, and support the development of cross-border transmission lines. However, according to State officials, implementation by each country is voluntary, because the commitments in the Action Plan are not binding. According to State officials, the National Security Council (NSC)\u2014the agency responsible for implementing the Action Plan\u2014has indicated that specific aspects of the plan are being reviewed to ensure alignment with the current administration\u2019s policy priorities. Officials from State, Interior, and Energy\u2014which are among the agencies responsible for developing or implementing certain Action Plan commitments\u2014said that, although they have continued to work with Mexico and Canada on energy-related issues, efforts to implement the plan had not been conducted since January 2017.", "The United States has also engaged at the presidential level bilaterally with Mexico and Canada to address issues that include energy integration. In a February 2017 meeting\u2014their first during the current administration\u2014the U.S. President and the Canadian Prime Minister identified a number of areas in which the two countries agreed to cooperate, including improving energy security. As of April 2018, the current administration had not held a presidential meeting with Mexico. The previous administration held bilateral presidential meetings with both Mexico and Canada that resulted in the initiation of efforts to improve energy integration. For example, meetings in 2010 and 2011 led to the establishment of, respectively, the U.S.\u2013Mexico High-Level Regulatory Cooperation Council and the U.S.\u2013Canada Regulatory Cooperation Council to help align the countries\u2019 regulatory principles."], "subsections": []}, {"section_title": "Ministry-Level Cooperation", "paragraphs": ["The U.S. Secretaries of Energy and State cooperate with their Canadian and Mexican counterparts (i.e., ministers) through meetings focused to varying extents on energy, according to DOE and State officials. DOE cooperates with Natural Resources Canada and Mexico\u2019s Secretariat of Energy through various bilateral and trilateral meetings that focus on energy collaboration and integration. State holds bilateral and trilateral ministry-level meetings with its Canadian and Mexican counterparts, where discussions may include energy cooperation. For example, in February 2018, State attended the North American Foreign Ministers\u2019 Meeting in Mexico, where energy and the renegotiation of NAFTA were topics of discussion. State also co-chairs, with Commerce and the United States Trade Representative, the High Level Economic Dialogue with Mexico. However, according to Commerce officials, High Level Economic Dialogue meetings have not been held since 2016.", "According to DOE officials, ministry-level meetings result in important exchanges of information and collaborative efforts. DOE officials indicated that ministry-level cooperation on energy integration with Mexico and Canada has been consistent. For example, soon after his confirmation in March 2017, the U.S. Secretary of Energy visited Mexico to initiate talks on cooperation, where he made statements recognizing Mexico\u2019s importance both as an economic partner and, along with Canada, in promoting regional energy security. During this visit, the Secretary announced a proposal to pursue a North American energy strategy that would promote comprehensive energy and economic security for the three countries. Characterizing its development as a top priority, the Secretary stated that the North American energy strategy was meant to establish a robust trilateral work plan to guide trilateral cooperation on shared energy interests, such as developing North America\u2019s untapped energy resources, diversifying energy supplies, and supporting the growth of each country\u2019s energy industries. Canadian and Mexican energy officials whom we interviewed expressed agreement with the proposal to develop a North American energy strategy and indicated that a regional energy strategy would further facilitate energy integration efforts.", "DOE officials stated that DOE, Natural Resources Canada, and Mexico\u2019s Secretariat of Energy held a ministry-level meeting in November 2017\u2014 the North American Energy Ministerial\u2014in part to discuss the proposed trilateral energy strategy. However, efforts to formalize the strategy were subsequently suspended because of a lack of agreement on its scope, according to U.S., Canadian, and Mexican officials. Instead, the three ministries released a joint summary outlining their discussions on efforts to address regional energy security. According to DOE officials, the ministries resumed discussions of the strategy in 2018 and are continuing to work on developing either a joint energy strategy or a separate document that would accomplish the objective of such a strategy. However, Canadian officials told us that any expected document on cooperation may not be comprehensive enough to be labeled a strategy. Officials of DOE, Natural Resources Canada, and Mexican Secretariat of Energy said that, despite not having a formal North American energy strategy, the three countries maintain a cooperative ministry-level relationship."], "subsections": []}, {"section_title": "Agency-Level Cooperation", "paragraphs": ["U.S. agency staff and their counterparts in Mexico and Canada cooperate to address specific, technical issues related to North American energy integration, according to U.S., Canadian, and Mexican officials. According to DOE officials, cooperation may be trilateral or bilateral and may be led by various U.S. agencies with the required technical expertise. For example, according to DOE staff, they are working on a technical project with Canada and Mexico to improve energy import and export data that all three countries can use. According to DOE officials, involvement in agency-level technical cooperation can occur apart from higher-level strategic or political cooperation and often addresses ongoing issues essential to the industry\u2019s functioning, such as transborder industry inspections and information sharing. According to Interior officials, involvement in agency-level technical cooperation almost always occurs apart from higher-level strategic or political cooperation.", "Some U.S. agencies\u2019 technical cooperation with their Mexican counterparts is more recent than their cooperation with their Canadian counterparts, according to U.S. agency officials. Officials from Interior, one of the agencies involved in providing technical assistance to Mexico, explained that since 2013, when Mexico\u2019s energy reform began allowing private investment in its oil, gas, and electricity sectors, Mexico has sought to establish regulatory frameworks and oversight mechanisms comparable to those in the United States and Canada. For example, according to Mexican officials, Interior assisted Mexico\u2019s regulatory agencies in developing oversight regulations for their oil and gas sectors, while USAID helped Mexico\u2019s Secretariat of Energy to plan future electricity infrastructure development and meet its clean energy goals. In contrast, U.S. agencies\u2019 technical cooperation with Canadian agencies was already well established, according to some U.S. agency officials."], "subsections": []}]}, {"section_title": "U.S. Agencies Reported Numerous Activities Related to North American Energy Integration", "paragraphs": ["The eight federal agencies that we identified as having a role in North American energy integration\u2014DOE, Interior, Commerce, State, DOT, FERC, USAID, and Treasury\u2014reported involvement in 81 activities related to facilitating energy integration from 2014 through 2017. While some of these activities had multiple purposes or goals, the activities generally comprised five types: technical discussions and assistance, regulatory cooperation, international agreements and other instruments, trade promotion, and research and development. In addition, agencies reported having undertaken other activities, such as internal policy reviews. Table 1 shows the types and numbers of activities that each agency reported. (See app. III for a full listing of these agencies and descriptions of their activities)."], "subsections": [{"section_title": "Technical Discussions and Assistance", "paragraphs": ["Several of the U.S. agencies we surveyed reported having participated in technical discussions that provided a forum for exchanging information and best practices with their Canadian and Mexican counterparts. Four agencies\u2014DOE, Interior, State, and USAID\u2014identified a total of 33 technical forums and assistance activities, such as consultative mechanisms, technical committees, and assistance programs. For example:", "DOE. Since 2015, DOE has participated with Natural Resources Canada and Mexico\u2019s Secretariat of Energy in a trilateral working group focused on carbon capture, utilization, and storage (CCUS) initiatives. According to DOE officials, the group meets twice per year to exchange information about each country\u2019s CCUS programs. DOE officials reported that the group\u2019s primary focus has included carbon- capture technologies, with an emphasis on industrial CCUS, CCUS on power systems and carbon dioxide utilization in enhanced oil recovery, and consistent and harmonized messaging regarding CCUS. DOE also engages in bilateral nuclear security cooperation with Mexico, supporting two to three workshops with Mexico annually on topics such as nuclear security culture and cybersecurity for nuclear facilities.", "Interior. Since Mexico\u2019s energy reforms, Interior has held discussions with Mexican agencies about environmental and other matters related to offshore oil and gas extraction. Interior also participates in a number of international multilateral forums, including the International Regulators Forum, the International Offshore Petroleum Environmental Regulators and the International Upstream Forum, which bring together government regulators from multiple countries, including Mexico and Canada.", "State. State has provided technical assistance to Mexico through the Power Sector Program, which supplies guidance and training on a number of regulatory frameworks, market processes, and software tools to support Mexico\u2019s transition to a competitive power market. For example, the program has supported the development of a competitive wholesale power market through technical support to Mexico\u2019s Energy Regulatory Commission, the National Center for Energy Control, and Mexico\u2019s Secretariat of Energy.", "USAID. According to USAID officials, the agency\u2019s Mexico mission energy program has provided technical assistance to Mexico's Secretariat of Energy, its National Energy Control Center, its Energy Regulatory Commission, and the Federal Electricity Commission. USAID officials reported that this assistance focused on a wide range of energy-integration activities, including the design and implementation of four energy auctions, as well as the development of a public\u2013private contract mechanism to tap private sector resources for energy-transmission construction. As part of this program, USAID also designed, and is currently managing, an activity to reduce social impacts associated with energy-infrastructure projects. USAID also provided technical assistance on grid integration and the planning and development of infrastructure, according to officials."], "subsections": []}, {"section_title": "Regulatory Cooperation", "paragraphs": ["U.S. agencies engage in regulatory cooperation to support coordination in the various energy sectors and to try to identify gaps, best practices, and inconsistencies among U.S., Canadian, and Mexican regulations. Four of the agencies we surveyed\u2014DOE, DOT, FERC, and USAID\u2014reported 13 regulatory cooperation efforts, including discussions between regulators and trilateral and bilateral working groups focused on the various energy sectors and the development of reliability standards. For example:", "DOE. In 2011, the U.S. President and Canadian Prime Minister created the Canada\u2013United States Regulatory Cooperation Council to facilitate closer cooperation between the countries to develop more effective approaches to regulation. As part of that effort, DOE and Natural Resources Canada have cooperated on two joint energy initiatives, according to DOE officials. First, DOE and Natural Resources Canada have cooperated on energy efficiency standards, with the goal of aligning new and updated standards and test methods for energy-using equipment through enhanced information sharing. Second, DOE and Natural Resources Canada have cooperated on developing natural gas\u2013transportation standards. According to DOE officials, DOE and Natural Resources Canada will continue to build on previous work, facilitate the development of common codes and standards by industry organizations, and explore opportunities for alignment among stakeholders.", "DOT. DOT officials reported having worked with Canadian and Mexican agencies to collaborate on regulations and standards related to various modes of transportation. For example, DOT has engaged in the North American Pipeline Safety Regulator Initiative. According to DOT\u2019s survey response, the goal of this initiative is to share perspectives, experience, and information on regulatory activities as well as effective strategies for improving pipeline safety for each participating agency and for cross-border energy pipelines. According to officials, DOT also collaborates with Transport Canada on certain facility investigations.", "FERC. FERC officials reported that FERC has represented the U.S. government at meetings of the Trilateral Electric Reliability Working Group, where U.S., Canadian, and Mexican regulators coordinate on electric grid reliability issues.", "USAID. According to USAID officials, under a mechanism financed and managed by USAID, the National Association of Regulatory Utility Commissioners provided technical assistance to the Mexican Energy Regulatory Commission on energy-integration topics, such as auctions, reducing barriers to investment and competitive market restructuring."], "subsections": []}, {"section_title": "International Agreements and Other Instruments", "paragraphs": ["According to agency officials the U.S. government and individual U.S. agencies have entered into various formal agreements to engage Canada and Mexico on energy integration. Three of the agencies we surveyed\u2014 DOE, Interior, and State\u2014identified 11 international agreements and other instruments related to North American energy integration, including several MOUs with Canadian and Mexican counterpart agencies.", "According to officials, such agreements often include a framework under which bilateral and trilateral cooperation can proceed and can serve to highlight areas of priority or focus for the countries. According to one official, the MOUs are based on need and create a mechanism for technical experts to collaborate on specific topics or action items. Other officials noted that periodic renewals of MOUs can provide opportunities to decide whether agreed-on activities have been completed, are obsolete and should be discontinued, or should be continued. The following are examples of the agencies\u2019 reported activities:", "DOE. In 2014, DOE, Natural Resources Canada, and the Mexican Secretariat of Energy signed an MOU to further collaboration on data and information sharing and to create a trilateral framework for sharing publicly available information. The MOU outlined several areas of cooperation, including systematic comparison of energy export and import flow data; sharing of publicly available geospatial information related to utility infrastructure; exchange of views and projections of cross-border flows of natural gas, electricity, crude oil, and refined products; and development of a cross-reference for the three countries\u2019 energy sector terminology. According to DOE officials, as a result of this MOU, an integrated trilateral energy information website was launched in November 2017. The website consolidates energy-related data, integrated maps, analyses, and references from the three countries in English, French, and Spanish.", "Interior. Interior officials reported that since 2014, Interior has signed several binding and nonbinding instruments, including two MOUs, to facilitate cooperation with Mexico on energy and environmental matters. In 2016, Interior signed two MOUs with its counterparts in Mexico to facilitate bilateral cooperation on energy and environmental cooperation. Moreover, Interior helped to negotiate the Agreement between the United States and Mexico Concerning Transboundary Hydrocarbon Reservoirs in the Gulf of Mexico, which entered into force in 2014. According to Interior officials, the department, in coordination with State, implements the agreement, which addresses the development of oil and gas reservoirs that span the international maritime boundary between the two countries in the Gulf of Mexico.", "State. State has played a role in finalizing a United States\u2013Mexico agreement on peaceful nuclear cooperation, according to State officials. The officials said that the U.S. and Mexican governments have agreed on the final text of the agreement, which is awaiting approval by the countries\u2019 legislatures."], "subsections": []}, {"section_title": "Trade Promotion", "paragraphs": ["Commerce leads U.S. trade promotion efforts related to energy integration. In response to our survey, Commerce officials reported having engaged in at least 10 trade promotion activities and Treasury officials reported one additional effort.", "Commerce. Commerce activities include trade missions to Canada and Mexico, seminar and event presentations, and buyers\u2019 programs. For example, Commerce officials have organized export promotion activities targeting the Canadian and Mexican markets and led delegations of Canadian and Mexican executives to attend major U.S. trade shows in the energy sector to facilitate business partnerships with U.S. firms through its International Buyers Program. According to Commerce officials, Canadian delegations typically consist of 15 to 20 executives and Mexican delegations typically consist of 25 to 100 executives. In addition, Commerce officials reported that the department\u2019s Foreign Commercial Service in Canada has organized and staged annual country briefings and interactions with trade associations from multiple countries at two lead events\u2014the Global Petroleum Show and the Atlantic Petroleum Show. Further, according to Commerce officials, the International Trade Administration conducted two energy-related trade missions to Mexico in 2017\u2014a civil nuclear trade mission and a renewable energy trade mission.", "Treasury. Treasury\u2019s Office of Investment, Infrastructure, and Energy has formulated and negotiated a framework for energy activities with Mexico\u2019s Secretariat of Energy and the National Center for Energy Control. This energy framework is designed to achieve a high degree of energy integration, growth, and security through initiatives in the energy and infrastructure areas, to be jointly pursued by the United States and the host country partner, according to a Treasury official. The effort will involve Treasury\u2019s Office of Technical Assistance and is envisioned to include activities such as assisting the Mexican government to realize more value and impact with various procurement projects related to the energy value chains."], "subsections": []}, {"section_title": "Research and Development", "paragraphs": ["U.S. agency officials and their foreign counterparts cited research and development activities as an important aspect of cooperation to facilitate North American energy integration. Three of the agencies we surveyed\u2014 DOE, Interior, and DOT\u2014reported having engaged in seven scientific research and development activities. Examples include the following:", "DOE. DOE officials reported that the department plans to explore areas of mutual interest for trilateral cooperation in the area of civil nuclear research and development with Natural Resources Canada and Mexico\u2019s Secretariat of Energy. In addition, DOE is engaged bilaterally with Canada in research and development on topics such as nuclear reactor technologies, including small modular reactors.", "Interior. In 2014, Interior\u2019s U.S. Geological Survey issued a report on the assessment of unconventional oil and gas resources in northeast Mexico. In addition, Interior officials reported that the U.S. Geological Survey has collaborated with Canada on scientific research to better understand the geological framework from eastern Arctic Alaska to the Canadian Arctic Islands.", "DOT. DOT has engaged with its Canadian counterpart in research and development activities focused on alternative fuels. For example, DOT officials reported that its Federal Aviation Administration Center of Excellence for Alternative Jet Fuels and Environment and Canada\u2019s Transport Canada are undertaking cooperative research and development that primarily focuses on the development of sustainable alternative jet fuels and technical research on aviation noise and emissions mitigation."], "subsections": []}, {"section_title": "Other Efforts", "paragraphs": ["Three agencies\u2014DOE, Commerce, and State\u2014reported engaging in a total of six other efforts related to North American energy integration. For example:", "DOE. A Joint U.S.\u2013Canada Electric Grid Security and Resilience Strategy was released in December 2016. DOE and Natural Resources Canada developed this strategy and its accompanying plans to improve the grid security of the countries\u2019 shared electric system. The three goals of the strategy are to protect today\u2019s electric grid and enhance preparedness, to manage contingencies and enhance response and recovery efforts, and to build a more secure and resilient future electric grid. According to DOE officials, DOE is working to implement numerous items from an accompanying action plan over multiple years.", "Commerce and DOE. Commerce and DOE lead the United States\u2013 Mexico Energy Business Council with their Mexican counterparts. According to Commerce officials, the council is a unique effort to gather consensus recommendations from the council\u2019s private sector representatives on ways to strengthen the economic and commercial ties between energy industries in the two countries. The council has met twice a year since its creation in 2016 and has developed a set of recommendations for consideration by U.S. and Mexican government officials. According to DOE officials, these recommendations were discussed at the Council meeting on June 15, 2018.", "State. State officials reported that the department is engaged in an ongoing effort to streamline its review process for presidential permit applications for cross-border energy infrastructure."], "subsections": []}]}, {"section_title": "U.S. Agencies Reported Coordinating through High-Level Interagency Meetings and Working-Level Efforts", "paragraphs": ["Agency officials reported coordinating their energy integration\u2013related activities through a number of coordination efforts and mechanisms. First, an interagency working group at NSC represents a high-level interagency coordination effort. In addition, staff preparations for high-profile bilateral and trilateral summits present further opportunities for high-level interagency coordination. Moreover, agency staff engage in working-level efforts such as serving on formal coordinating bodies that bring together stakeholders in the energy sector; soliciting input from, or providing input to, other agencies; and participating in direct coordination activities at the program level."], "subsections": [{"section_title": "Coordination at National Security Council Interagency Meetings", "paragraphs": ["According to participating agency officials, NSC created a working group in May 2017 to facilitate formal interagency coordination on North American energy integration. Officials reported that the working group comprises representatives of NSC, DOE, Interior, Commerce, and State and has met five times since it was formed, most recently in November 2017. According to officials from participating agencies, the group\u2019s primary purpose is to bring together the key agencies that have a stake in North American energy integration and to receive guidance and input from NSC and other agencies on related activities. Consequently, the group also serves advisory, information-sharing, and coordination purposes.", "We spoke with agency officials who participate in the working group, asking in particular about their experiences in several aspects that we have previously identified as key to interagency collaboration\u2014identifying outcomes, establishing leadership, involving relevant participants and clarifying their roles and responsibilities, and obtaining necessary resources. Some officials noted the value of the group\u2019s meetings. The following summarizes the officials\u2019 comments.", "Outcomes. Officials of agencies participating in the NSC-led working group reported that it served primarily as a mechanism to promote coordination and to bring awareness of agencies\u2019 bilateral and trilateral engagement with Canada and Mexico to the NSC and to the other agencies participating in the group. Agency officials identified this high-level, in-person coordination as valuable and as one of the group\u2019s primary outcomes. For example, according to the officials, agencies contributed to, and developed, a matrix of cross-border energy activities with Mexico and Canada, which helps to make the administration and other agencies aware of each other\u2019s efforts and to see the bigger picture of those efforts. Agencies also developed a coordinated set of talking points on energy integration. One official noted that, because staff from the various participating agencies often work with the same Canadian and Mexican counterparts, coordinating the talking points is useful for ensuring that messages are presented in a consistent and substantive way.", "Leadership. Participating agency officials indicated that NSC has a clear leadership role in the interagency group and is responsible for calling the meetings, setting the agenda, and assigning tasks to participants. Officials noted that NSC appropriately assigned tasks based on agencies\u2019 particular expertise and capabilities. Officials also reported being generally satisfied with NSC\u2019s leadership and noted that this group has created a needed space for high-level interagency coordination.", "Roles and responsibilities. Agency officials did not report any confusion about their roles and responsibilities in the NSC-led working group. According to agency officials, the agencies generally served in a primarily informational and advisory role, sharing information with each other about their respective agencies and providing input both during and outside the group\u2019s meetings. Participating agency officials are responsible for providing updates on relevant energy-related activities at each meeting. Other assigned tasks include drafting and clearing coordination documents, talking points, and policy papers.", "Participants. According to participating agency officials, the agencies invited to participate in the NSC-led working group\u2014DOE, Interior, Commerce, and State\u2014were those with the most relevant roles related to North American energy integration. Officials noted that they communicated with each other regularly to follow up on issues raised at a meeting or as a part of normal agency coordination.", "Resources. Participating agency officials generally reported that, because the NSC working group\u2019s meetings aligned with their regular and ongoing responsibilities, additional resources were not required."], "subsections": []}, {"section_title": "Coordination in Connection with Bilateral and Trilateral Summits", "paragraphs": ["Bilateral and trilateral summits can be important methods of collaboration with Mexico and Canada and also serve as episodic or event-related mechanisms for U.S. interagency coordination on energy integration\u2013 related activities. According to U.S. agency officials we interviewed, multiple agencies have provided input and advice in preparation for summits and meetings such as the North American Leaders\u2019 Summit, the North American Energy Ministerial, the North American Foreign Ministers\u2019 Meeting, and the U.S.\u2013Mexico High Level Economic Dialogue. According to officials, broadly focused ministerial meetings such as these have included participation from multiple agencies. For example, the U.S.\u2013 Mexico High Level Economic Dialogue\u2014a whole-of-government effort that included energy as one its priorities\u2014led to the development of the U.S.\u2013Mexico Energy Business Council, which is cochaired by DOE, Commerce, Mexico\u2019s Secretariat of Energy, and Mexico\u2019s Secretariat of Economy. Agency officials we interviewed stated that they also coordinate on follow-up efforts after these meetings. For example, DOE and Commerce officials said that they conduct ongoing coordination on council business, holding weekly calls with each other and their Mexican counterparts to coordinate the council\u2019s implementation. In addition, Commerce officials told us that they report on the council\u2019s progress to other agencies at the NSC working group."], "subsections": []}, {"section_title": "Other Interagency Coordination Efforts", "paragraphs": ["Officials of multiple agencies we surveyed reported other interagency coordination efforts related to North American energy integration. These efforts included participating in formal coordinating bodies, soliciting and providing input, collaborating directly with other agencies\u2019 staff, and collaborating at U.S. embassies.", "Participating in formal coordinating bodies. Multiple U.S. agencies (e.g., DOT, FERC, and the Department of Homeland Security) participate in the Electricity Sub-Sector Coordinating Council, the Energy Sector Government Coordinating Council, and the Oil and Natural Gas Sector Coordinating Council, according to DOE officials. The Electricity Sub-Sector Coordinating Council\u2019s charter states that the council\u2019s purpose includes coordinating activities and initiatives designed to improve the reliability and resilience of the electricity subsector and serving as the principal liaison between the council\u2019s membership and the Energy Sector Government Coordinating Council. The Energy Sector Government Coordinating Council\u2014the government counterpart of the Electricity Sub-Sector Coordinating Council and the Oil and Natural Gas Sector Coordinating Council \u2014 enables interagency and cross-jurisdictional coordination on planning, implementing, and executing resilience programs for the nation\u2019s critical energy infrastructure. Agency officials reported that the Oil and Natural Gas Sector Coordinating Council serves as the principal liaison between the U.S government and representatives for oil and natural gas companies and major trade associations on matters related to oil and natural gas physical and cyber security.", "Soliciting and providing input. Multiple agencies reported soliciting or providing input regarding certain energy integration efforts. For example, multiple agencies contributed to the development of the U.S. Quadrennial Energy Review, which explicitly discusses North American energy integration and how to better assess and promote opportunities for better coordination between U.S., Canadian, and Mexican energy systems. In addition, DOE, State, and FERC officials reported coordinating with each other and with the Department of Defense to obtain required concurrence on presidential permit applications. For example, when State was reviewing the presidential permit for the Keystone XL pipeline, State asked seven other agencies to provide their insights and opinions, according to State officials.", "Collaborating directly with other agencies\u2019 staff. Multiple agency officials reported working with other agencies as needed. For example, Treasury officials reported working with staff from State, Interior, and DOE to formulate and negotiate a framework of energy- and infrastructure-related initiatives with Mexico. Agency officials also reported that agency staff responsible for various energy integration activities have engaged in a number of informal activities\u2014including periodic meetings, telephone calls, and e-mails\u2014to directly coordinate these efforts with related federal and industry efforts.", "Collaboration at U.S. embassies. Agency officials we interviewed at the U.S. embassies in Canada and Mexico stated that they have routinely collaborated and coordinated on energy integration\u2013related activities with staff of other relevant U.S. agencies who were also stationed at the embassies or who visited the embassies from the United States."], "subsections": []}]}, {"section_title": "U.S. Agencies Obtain Feedback and Input from Private Sector and Civil Society Stakeholders through Both Formal and Informal Mechanisms", "paragraphs": ["U.S. agencies reportedly obtain feedback and input from private sector and civil society stakeholders through a variety of formal and informal mechanisms. To gather this input, agencies use formalized mechanisms such as requests for public comment through the Federal Register, public hearings, public-private bodies, and joint stakeholder events. Civil society and private industries also employ informal methods to communicate their positions to agencies and individual agency staff."], "subsections": [{"section_title": "Formal Mechanisms", "paragraphs": ["U.S. agencies solicit and consider private sector and civil society input related to North American energy integration through formal mechanisms that include provisions for public comments in response to Federal Register notices; open hearings, where public comment is allowed; and public\u2013private input entities. The Administrative Procedure Act of 1946 generally requires agencies to publish a notice of proposed rulemaking and to provide an opportunity for public comment through the Federal Register. The private sector and civil society use this process to formally issue public statements on various topics related to energy integration. For example, with regard to the renegotiation of NAFTA, private sector entities and environmental groups have sent letters to the U.S. Trade Representative expressing their respective concerns about negotiations related to the energy sector. Agencies can also hold public hearings where stakeholders can make statements and submit data. According to the Office of the Federal Register, some agencies operate under laws that require rulemaking hearings, while others may hold public meetings to obtain public input or to help affected groups better understand the proposed rule. Moreover, Office of the Federal Register documents state that many agencies are beginning to use webcasts and interactive Internet sessions to broaden the audience attending public meetings. Further, under the National Environmental Policy Act, a process exists through which stakeholders can provide input during the consideration of environmental effects of proposed projects for which the agency has prepared an environmental impact statement.", "Additionally, agencies may use formal public\u2013private bodies and collaborations that gather private sector and civil society input on energy integration issues. For example, the private sector members of the U.S.\u2013 Mexico Energy Business Council are able to provide recommendations to U.S. and Mexican agencies. The council\u2019s stated objectives are to (1) bring together representatives of the respective energy industries of the United States and Mexico to discuss issues of mutual interest, particularly ways to strengthen the economic and commercial ties between energy industries in the two countries, and (2) communicate actionable, nonbinding recommendations to the U.S. and Mexican governments. According to officials, the council comprises 20 private sector representatives\u201410 from the United States and 10 from Mexico\u2014and is co-chaired by DOE, Commerce, and the Mexican ministries of economy and energy. Officials reported that the council is to meet twice each year to provide consensus recommendations to both governments on ways to improve the safety and efficiency of energy-related activities, improve the commercial environment and investment climate, and enhance collective energy security.", "Civil society representatives also participate in some formal advisory and information-gathering collaborations. For example, in 2015, the United States and Mexico held an energy education roundtable that brought together key stakeholders to explore possible areas for cooperation, including sharing best practices in energy education, developing vocational and polytechnic-level energy skills training programs, examining joint industry certifications, and promoting greater communication among key players in both countries. In another example, the 2016 North American Leaders\u2019 Summit announced the first annual Stakeholder Dialogue on North American Competitiveness, with a goal of providing private sector, local government, labor, and civil society representatives an opportunity to contribute ideas on increasing North American competitiveness. In response, the Wilson Center, a think tank, in coordination with the three North American governments, assembled a group of more than 40 representatives of entities engaged in North American issues. The results of this dialogue included recommendations on energy integration\u2013related issues, such as energy infrastructure and the U.S. presidential permitting process. Civil society stakeholders also provide expertise by participating in activities such as the U.S.\u2013Canada Northern Oil and Gas Research Forum. According to agency officials, this forum has typically been held every 2 years at locations in the United States and Canada since its founding in 2008 by Interior\u2019s Bureau of Ocean Energy Management and Canada\u2019s Indigenous and Northern Affairs Canada. The forum provides an opportunity for decision-makers, regulators, industry members, nongovernmental organizations, and scientists to discuss current scientific research and future directions for northern oil and gas activities, according to Interior officials."], "subsections": []}, {"section_title": "Informal Mechanisms", "paragraphs": ["Agencies receive input on North American energy integration from the private sector and civil society through informal mechanisms such as letters, emails, phone calls, interactions at various related events, personal connections, and reports. According to private sector and civil society representatives we interviewed, open letters (e.g., letters to the editor) and letters sent to agencies allow such groups to describe their perspectives on policy choices and advocate for preferred solutions. One civil society stakeholder noted that think tanks and trade association reports and forums also play an important role in allowing civil society and industry to communicate their perspectives and positions to Congress and federal agencies. Another civil society stakeholder reported having directly contacted State officials responsible for issuing presidential permits for the Keystone XL pipeline. Industry association representatives noted that they also have opportunities for informal meetings with agency officials at various events or through phone calls. During our discussions with civil society and private sector organizations, we heard that informal feedback or input mechanisms between stakeholders and agencies were available and functional."], "subsections": []}]}, {"section_title": "U.S., Canadian, and Mexican Officials Suggested Steps to Further Energy Integration but Expressed General Satisfaction with Intergovernmental Cooperation", "paragraphs": ["Some of the officials we interviewed from all three countries suggested several new or additional steps that the U.S. government could take, in cooperation with Canada and Mexico, to address factors that might impede energy integration and to facilitate a more integrated and secure energy market in North America. Suggestions mentioned by officials in all three countries included aligning energy-related regulations, streamlining the U.S. presidential permitting process, facilitating cross-border transportation of equipment and workers, and involving states and provinces in energy integration efforts. However, U.S., Canadian, and Mexican officials we interviewed expressed general satisfaction with bilateral and trilateral strategic and technical cooperation regarding efforts to facilitate North American energy integration."], "subsections": [{"section_title": "U.S., Canadian, and Mexican Officials Suggested Steps to Enhance North American Energy Integration", "paragraphs": ["Some U.S., Canadian, and Mexican officials we interviewed suggested several new or additional steps that the U.S. government, in cooperation with Canada and Mexico, could take to address several factors that may impede energy integration and to facilitate a more integrated and secure energy market in North America. According to some officials, factors that may impede energy integration include duplicative or inconsistent energy regulations, inconsistent cross-border permitting processes, difficulties in cross-border movement of equipment and workers, and the need to involve states and provinces in transborder issues. The text box shows steps suggested by at least one official in all three countries to address these factors.", "Steps Suggested by U.S., Canadian, and Mexican Officials to Further North American Energy Integration", "Align energy-related regulations. To reduce the burden on energy companies conducting transborder activities, align regulations, codes, and standards in appropriate sectors in all three countries, to the extent possible.", "Streamline the U.S. presidential permitting process. To assure that requirements are consistently implemented, by having a set process for obtaining presidential permits for transborder energy infrastructure projects.", "Facilitate cross-border movement of equipment and workers. To avoid delays in business and trade transactions, implement processes to facilitate movement of energy company personnel and equipment across borders.", "Involve states and provinces in energy integration efforts. Given states\u2019 and provinces\u2019 control over local regulations, resources, and markets, increase their involvement in efforts to advance North American energy integration.", "U.S., Canadian, and Mexican officials suggested that the three countries should continue working together to eliminate unnecessary differences in energy sector regulations. Some officials indicated that harmonizing, when appropriate, or establishing comparable regulations, codes, and standards in all three countries could reduce the burden on energy companies conducting transborder activities and enhance regulatory cooperation. According to some government officials and private sector representatives we interviewed, the need to align U.S., Canadian, and Mexican energy-related regulations is generally recognized by industry stakeholders as a factor that could be addressed to further facilitate regional energy integration.", "Several government initiatives have been undertaken to increase alignment or reduce differences among the countries\u2019 regulatory frameworks, such as the creation of the U.S.\u2013Canada Regulatory Cooperation Council and the U.S.\u2013Mexico High-Level Regulatory Cooperation Council. Nevertheless, officials in the three countries identified a need to expand efforts in certain areas. For example, according to one Canadian official, because of the large number of energy regulations, much remains to be done to align them. According to an industry association representative in Mexico, eliminating duplicative regulations is very challenging and efforts to align them have sometimes not been sufficient. For example, he explained that one company\u2014a member of his association\u2014embarking on a transborder project reported having to conduct extensive work to meet Mexican regulations, despite an earlier effort by Mexico\u2019s Agency for Safety, Energy, and Environment and Interior\u2019s Bureau of Safety and Environmental Enforcement to develop similar regulations for safety and environmental management systems."], "subsections": [{"section_title": "Streamline the U.S. Presidential Permitting Process", "paragraphs": ["Some U.S., Canadian, and Mexican government officials suggested that the U.S. government should streamline its presidential permitting process to ensure that requirements for obtaining permits for transborder energy infrastructure projects are consistently implemented. U.S. presidential permits are required for the construction, connection, operation, and maintenance of certain facilities that cross the United States\u2019 borders with Canada and Mexico. Issuance or denial of permits is delegated to the U.S. Secretary of State for pipelines that transport liquids such as petroleum and petroleum products, to FERC for natural gas pipelines, and to DOE for electricity transmission lines.", "Some officials in Canada and Mexico explained that industry sector representatives have expressed concerns about the process for obtaining the permits. Members of a Canadian energy association expressed concern that requirements for the presidential permits have not been implemented consistently or in a timely manner. According to a representative from the association, in some cases presidential permits have been granted in a relatively short period of time, while in other cases the process has taken over 2 years. For example, members of the Canadian energy association said that the company developing the Keystone XL pipeline spent a significant amount of money and time trying to navigate the permit process before receiving permits in March 2017. A representative from a Mexican energy association told us that, whereas Mexico\u2019s energy reforms were aimed at increasing efficiency to attract investment, the processing time for U.S. presidential permits\u2014up to 2 years, according to the representative\u2014can both interfere with the Mexican government\u2019s efforts and hinder more integration between the two countries.", "Some U.S. government officials acknowledged a need for streamlining the presidential permitting process. State and DOE officials informed us that they had initiated internal reviews to streamline the process but that as of April 2018, these reviews were ongoing and a completion date had not been set."], "subsections": []}, {"section_title": "Facilitate Cross-Border Movement of Equipment and Workers", "paragraphs": ["U.S., Canadian, and Mexican government officials suggested implementing processes to facilitate the movement of energy company personnel and equipment across borders to reduce delays in business and trade transactions. In a discussion among stakeholders after the 2016 North American Leaders\u2019 Summit, participants agreed that there is a significant need to increase the efficiency with which cargo and individuals cross North America\u2019s land borders and that border efficiency and the competitiveness of North America as a region are strongly linked. In addition, a U.S. official working with small and midsize U.S. energy companies with operations in the United States and Canada told us that moving equipment and personnel across the border can be challenging. The official explained that equipment has sometimes crossed the border with minimal delays but at other times has been detained for hours or days.", "Energy associations from the United States, Canada, and Mexico have advocated jointly for NAFTA negotiations to include provisions that would facilitate the movement of equipment, such as drilling rigs and vessels, and personnel\u2014including for emergency response\u2014across the U.S.\u2013 Canadian and U.S.\u2013Mexican borders. These associations have also advocated for a NAFTA visa program to provide access for skilled energy professionals."], "subsections": []}, {"section_title": "Involve States and Provinces in Energy Integration Efforts", "paragraphs": ["U.S., Canadian, and Mexican government officials suggested increasing the involvement of states and provinces in energy integration efforts, given their control over local regulations, resources, and markets. The roles played by states and provinces in the countries\u2019 energy sectors vary by country. Canada\u2019s system, where provinces have control over natural resources and specific related procedures such as approval process for local permits, is less centralized than the United States\u2019 system, according to a Canadian government official. In contrast, Mexico\u2019s system is more centralized than the United States\u2019, with Mexican states\u2019 having less control over natural resources, according to a Mexican government official. In addition, the official stated that, while discussion of North American energy integration often focuses on the role of national governments, the inclusion of U.S. and Mexican states and Canadian provinces\u2014especially those on the border\u2014in discussions of regional energy integration is essential.", "Moreover, the electricity sector is particularly influenced by the participation of states and provinces because of the sector\u2019s dependence on regional markets and interconnected infrastructure, according to an electricity sector representative. For example, the representative stated that the design of Canada\u2019s electrical transmission system sometimes facilitates the transport of electricity more easily from north to south, to the United States, than from east to west, across Canadian provinces. As a result, U.S. markets are an important outlet for Canadian generators in eastern Canada and the Pacific Northwest.", "Currently, little cross-border electricity trade takes place between the United States and Mexico, other than the importation of electricity from a few power plants in Baja California, Mexico, to supply demand in the San Diego area. A Mexican government official stated that the limited level of electricity integration between the United States and Mexico is due in part to the role of the U.S. states in regulating the electricity industry, since their regulations and plans for working with Mexico may differ. According to the official, it is therefore essential to include the states in any discussions about promoting integration of the U.S. and Mexican electricity sectors. According to USAID officials, a public\u2013private contractual mechanism developed by USAID to tap private sector resources for constructing electricity transmission will be used for the first time to build a project to connect the Mexican state of Baja California with the rest of the Mexican grid, which had previously been isolated from Baja California and the market in the U.S. state of California. According to these officials, the transmission line could also connect the Mexican state of Sonora with the U.S. state of Arizona."], "subsections": []}]}, {"section_title": "U.S., Canadian, and Mexican Officials\u2019 Views on Bilateral and Trilateral Cooperation", "paragraphs": ["U.S., Canadian, and Mexican energy officials we interviewed indicated that they were generally satisfied with bilateral and trilateral strategic and technical cooperation to facilitate North American energy integration. According to U.S. officials, energy is an area in which the interests of the United States, Canada, and Mexico align and cooperation has been well established. U.S. officials also stated that trilateral cooperation works well at both the strategic and technical levels and that regional cooperation enhances energy security for all three countries. Canadian officials stated that cooperation with the United States at the strategic level has often served as a springboard for purposeful action to address shared priorities. Mexican officials stated that there has been extensive communication with the United States on energy issues, in particular at the ministerial and agency levels, which has led to activities to improve integration.", "Some officials also identified changes in the overall foreign policy context that could affect cooperation in the future.", "Some Canadian and Mexican government officials we interviewed expressed concern that the renegotiation of NAFTA and the administration\u2019s decision to withdraw from the Paris Agreement could create uncertainty among investors in the energy sector. U.S., Canadian, and Mexican officials , as well as private sector representatives we interviewed, stated that they viewed NAFTA renegotiation as an opportunity to improve the agreement and that any changes to NAFTA should \u201cdo no harm\u201d to free-trade arrangements in energy commodities. However, a Canadian official told us industry representatives had expressed concern that the issue of energy could be used as a pawn in NAFTA renegotiations, resulting in harm to the sector. Furthermore, some Mexican officials stated that they were particularly concerned that any change in Mexico\u2019s status as a U.S. free-trade partner could complicate flows of natural gas from the United States, which has assumed a more important role as an energy source for Mexico.", "Some Canadian and Mexican officials we interviewed expressed concern that the June 2017 announcement of the United States\u2019 intention to withdrawal from the Paris Agreement could create a perception of an uneven playing field and uncertainty among energy sector investors, given Canada\u2019s and Mexico\u2019s continued participation in the accord. However, the officials noted that the commitment of some U.S. states, cities, and private sector companies to adhere to the accord\u2019s tenets may minimize any negative impacts of the U.S. government\u2019s withdrawal on their countries\u2019 energy sectors. State and DOE officials we interviewed said they did not expect the U.S. renegotiation of NAFTA and withdrawal from the Paris Agreement to have a significant impact and stated that the energy sector in North America is already well integrated and well positioned to address these changes.", "U.S. government officials we interviewed noted that the United States\u2019 energy sector is already extensively integrated with both Canada\u2019s and Mexico\u2019s. The officials stated that most easily accomplished actions to promote integration have already been taken and that they are primarily looking for ways to enhance a system that is working well. They also stated that it is important not to disrupt the advances that have already been made. Further, they stated that, to enhance integration, it is necessary to focus on practical steps that result in concrete changes to further facilitate cross-border production and trade."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOE, Interior, Commerce, State, DOT, FERC, USAID, Treasury, the Environmental Protection Agency, and the Department of Homeland Security for review and comment. We received comments from USAID, which are reproduced in appendix IV. In its comments, USAID provided additional information about the agency\u2019s contributions to North American energy integration, which we incorporated in the report as appropriate. DOE, Interior, Commerce, DOT, FERC and Treasury provided technical comments, which we also incorporated as appropriate. State, the Environmental Protection Agency, and the Department of Homeland Security informed us that they had no comments.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Energy, the Interior, Commerce, State, Transportation, the Treasury, and Homeland Security; the Executive Director of FERC; the Administrators of USAID and the Environmental Protection Agency; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["This report examines (1) ways in which the U.S., Canadian, and Mexican governments cooperate on North American energy integration; (2) U.S. agencies\u2019 activities to facilitate North American energy integration; (3) U.S. agencies\u2019 efforts to coordinate among themselves on North American energy integration; (4) ways in which U.S. agencies obtain feedback and input from U.S. industry and civil society regarding North American energy integration; and (5) steps that U.S., Canadian, and Mexican officials suggested to further facilitate North American energy integration.", "To address these objectives, we reviewed documents and information provided by cognizant U.S., Canadian, and Mexican government officials; U.S., Canadian, and Mexican energy sector associations; and U.S. civil society groups such as think tanks and environmental nongovernmental organizations. We conducted field work in Mexico City, Mexico, and in Ottawa, Canada, where we met with government and energy sector association representatives. We also collected information on activities related to North American energy integration from U.S. agencies implementing such activities. In addition, we obtained and analyzed data from the U.S. Census Bureau regarding the extent of the United States\u2019 energy trade with Canada and Mexico.", "To examine the ways in which the U.S., Canadian, and Mexican governments cooperate on North American energy integration, we interviewed officials in each country who were responsible for energy- related cooperation, asking about the processes they follow to cooperate on energy integration at the strategic and technical levels. In the United States, we spoke with officials from the Departments of Energy (DOE), State (State), Interior (Interior), Commerce (Commerce), the Treasury (Treasury), Transportation (DOT), and Homeland Security (DHS); the U.S. Agency for International Development (USAID); and the Federal Energy Regulatory Commission (FERC). We also corresponded with officials from the Environmental Protection Agency. In addition, we spoke with officials of the North American Electric Reliability Corporation. Further, we met with Canadian and Mexican embassy officials in Washington, D.C. In Canada, we met with officials from Natural Resources Canada and Global Affairs Canada and spoke with officials from the Alberta provincial government. In Mexico, we met with officials from Mexico\u2019s Secretariat of Energy; National Hydrocarbons Commission; Energy Regulatory Commission; National Gas Control Center; National Center for Energy Control; and Agency for Safety, Energy and Environment. We also reviewed documents developed to formalize bilateral and trilateral cooperation, such as the 2016 North American Climate, Clean Energy, and Environment Partnership Action Plan; documents related to the U.S.\u2013Mexico High Level Economic Dialogue; and the \u201c2017 North American Energy Ministerial Joint Summary.\u201d", "To examine U.S. agencies\u2019 energy integration activities implemented since 2014, we reviewed agency documents; interviewed DOE, Interior, Commerce, State, DOT, FERC, USAID, and DHS officials; and corresponded with officials from the Environmental Protection Agency. Also, in May 2018, we contacted Treasury officials after learning about recent Treasury activities related to North American energy integration. In addition, we sent a survey to DOE, Interior, Commerce, State, DOT, FERC, USAID, and DHS, asking them to, among other things, identify their energy integration activities implemented from 2014 through 2017; describe each activity, including its purpose; identify the type of activity (e.g., joint research and development, trade mission, forum for technical discussion, regulatory cooperation, technical assistance, other); and identify other agencies participating in the activity. The survey also asked whether the identified activities were bilateral with Canada or Mexico, trilateral, multilateral, or unilateral. We followed up with the agencies to ask for clarifications. We did not independently determine whether the agencies had identified all relevant activities.", "In addition, we reviewed agencies\u2019 responses to identify any overlap and duplication among federal energy integration efforts. We focused on the goals and outcomes of energy integration activities as described in the agency-provided descriptions and in background material, as needed. We also focused on the activities\u2019 target populations, or intended beneficiaries, since a bilateral U.S.\u2013Canadian activity would have a different target population than a bilateral U.S.\u2013Mexican activity. We compared activities within categories to look for evidence of duplication or overlap based on the description provided by the agency or other background material (i.e., agency website and documents). We determined, in accordance with GAO\u2019s definitions of duplication and overlap, that no two of the agency activities were duplicative or overlapping because the activities did not have the same or similar goals or the same or similar beneficiaries.", "To examine U.S. agencies\u2019 efforts to coordinate with each other on North American energy integration, we conducted interviews with DOE, Interior, Commerce, and State officials, asking them to identify and discuss any mechanisms, such as interagency groups, offices, activities, or initiatives, used for collaboration for the purposes of energy integration. To conduct a more detailed analysis of interagency coordination on North American integration, we interviewed participants in a National Security Council (NSC)\u2013led interagency working group using a standard set of questions about interagency coordination and collaboration. We selected the NSC working group because it provides an example of very high-level interagency collaboration, could address multiple aspects of energy integration, and had a specific focus and effect on energy-integration efforts. Although we had intended to interview NSC officials, as of April 2018, NSC had not responded to our requests for documents and an interview. As a result, we were unable to include NSC views about the interagency collaboration considerations discussed. However, we were able to mitigate this limitation by interviewing and comparing the testimonial evidence of officials from the four participating agencies. We provided agency officials a structured set of questions about interagency coordination and collaboration that were based on key considerations for implementing interagency collaboration identified in a prior GAO report.", "To examine the ways in which U.S. agencies obtain feedback and input from U.S. industry and civil society, we conducted several informational interviews with industry associations and civil society organizations, such as think tanks and other environmental groups. To identify these organizations, we reviewed witness lists at relevant congressional and agency hearings, panel lists at energy-related conferences, and recommendations from agency officials. In addition, as we interviewed representatives of these organizations, we asked them to identify other groups that might provide further information. Using this approach, we interviewed representatives from seven civil society groups and 10 industry associations, including organizations based in Mexico and Canada. However, our sample was judgmentally selected and their opinions are not generalizable to all private industry and civil society stakeholders.", "To report on steps suggested by U.S., Canadian, and Mexican officials to further facilitate North American energy integration, we interviewed officials in each country who were responsible for energy-related cooperation and asked them to suggest additional steps or options that the United States, in collaboration with Canada and Mexico, could take to facilitate building a more integrated and secure energy market in North America. In the United States, we spoke with officials from DOE, Interior, Commerce, State, DOT, FERC, USAID, Treasury, and DHS. We also spoke with Canadian and Mexican embassy officials in Washington, D.C. Additionally, in Canada, we spoke with officials from Natural Resources Canada, Global Affairs Canada, and the Alberta provincial government. In Mexico, we spoke with officials from Mexico\u2019s Secretariat of Energy, National Hydrocarbons Commission, Energy Regulatory Commission, National Gas Control Center, National Center for Energy Control, and Agency Energy and Environment Safety. We analyzed responses provided by officials in the three countries and identified four steps suggested by one or more officials in each of the countries: (1) aligning energy regulatory cooperation, (2) streamlining the presidential permitting process, (3) facilitating cross-border movement of equipment and workers, and (4) involving states and provinces in energy integration efforts. After identifying these four steps, we elaborated on each one by reviewing related documents and reports and discussing them with private sector representatives and researchers in nongovernmental organizations. We did not elaborate on steps suggested by U.S., Canadian, or Mexican officials that were not suggested by at least one official in all three countries.", "We conducted this performance audit from April 2017 to July 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: North American Electric Reliability Corporation", "paragraphs": ["The North American Electric Reliability Corporation (NERC) is a not-for- profit international corporation that plays a role in regulating and establishing reliability standards for cross-border North American electricity markets. NERC\u2019s mission is to assure the effective and efficient reduction of risks to the reliability and security of the bulk power system in the United States, Canada, and part of Mexico. While not a federal agency, in July 2006, NERC was certified by the Federal Energy Regulatory Commission (FERC) as the electric reliability organization for the United States. Subsequently, compliance with NERC reliability standards became a legal requirement for certain bulk power system owners, operators, and users. NERC is subject to oversight by FERC and governmental authorities in Canada. NERC has a trilateral focus, which enables it to more easily forge partnerships in Canada and Mexico, according to NERC officials. The officials stated that NERC\u2019s work has primarily focused on electrical grid reliability in Canada and the United States, as Mexico\u2019s electricity market was restricted until its recent reforms.", "NERC identified several activities related to North American energy integration. For example:", "NERC leads GridEX, a biennial electrical grid security exercise involving industry and government from the United States, Canada, and Mexico. The exercise attempts to execute the electricity sector\u2019s emergency response to simulated cyber and physical security threats and incidents, strengthen utilities\u2019 crisis response functions, and provide input for lessons learned.", "NERC engages in regulatory cooperation with government entities in Canada and Mexico to improve the reliability of the electric grid. As the electric reliability organization certified by FERC, NERC convenes stakeholders from across the interconnected North American bulk power system to develop continent-wide reliability standards.", "NERC has entered into a number of memorandums of understanding (MOU) with Canada and Mexico. In September 2006, NERC signed an MOU with Canada\u2019s National Energy Board that committed the parties to work together to promote a reliable bulk electric system in North America through a cooperative relationship. Moreover, NERC officials stated that because electricity is the domain of Canadian provinces, NERC signed an MOU with the responsible organization in a number of provinces. Further, the Mexican government recently began to engage with NERC to bring certain areas into compliance with NERC standards, and officials reported that in March 2017, NERC and Mexico\u2019s Energy Regulatory Commission and National Center for Energy Control signed an MOU as a framework for, and to facilitate, cooperation. According to NERC officials, the MOU with these Mexico energy agencies defines roles and responsibilities, states Mexico\u2019s general commitment for Mexico to use NERC standards as a basis for Mexico\u2019s electric reliability system, and identifies some technical areas in which NERC will provide capacity-building assistance."], "subsections": []}, {"section_title": "Appendix III: U.S. Agencies\u2019 North American Energy Integration Activities, 2014-1017", "paragraphs": ["Table 2 describes activities related to North American energy integration in 2014 through 2017 reported by eight U.S. agencies\u2014the Departments of Energy, Interior, Commerce, State, Transportation, and the Treasury; the U.S. Agency for International Development; and the Federal Energy Regulatory Commission."], "subsections": []}, {"section_title": "Appendix IV: Comments from U.S. Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Kimberly Gianopoulos, (202) 512-8612 or gianopoulosk@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kim Frankena (Assistant Director), Francisco M. Enriquez (Analyst-in-Charge), Brian Tremblay, Martin De Alteriis, Philip Farah, Christopher Keblitis, Reid Lowe, Grace Lui, Franklin Rusco, and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": ["Canada and Mexico are two of the U.S.'s top energy trading partners. We looked at how federal agencies are supporting efforts to further integrate the energy sectors of these 3 countries.", "We found that federal agencies (such as the Department of Energy) have engaged in multiple efforts since 2014 to facilitate energy integration, such as international agreements, technical assistance, and regulatory cooperation. Officials from the 3 countries suggested further steps, such as facilitating the cross-border movement of equipment and workers, to promote integration efforts.", "(The original photo was replaced to provide additional information.)"]} {"id": "GAO-19-20", "url": "https://www.gao.gov/products/GAO-19-20", "title": "Inland Waterways: Actions Needed to Increase Budget Transparency and Contracting Efficiency", "published_date": "2018-11-07T00:00:00", "released_date": "2018-11-07T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Corps is primarily responsible for operating and maintaining the nation's inland waterways, including maintaining locks and dams as well as rehabilitating, modernizing, or constructing new infrastructure as needed. Persistent schedule delays and cost overruns for inland-waterways construction projects have prompted some in Congress to explore funding and management alternatives.", "GAO was asked to review options to change the management of inland waterways. Among other things, this report assesses how the Corps allocates funds for operations and maintenance for the inland waterways, describes how the Corps funds construction projects, and assesses the effect of the current funding approach on projects' costs and schedules. GAO reviewed Corps documents and data; interviewed officials from Corps headquarters, six districts, and representatives of regional and national stakeholder groups\u2014including commercial and recreational interests as well as contributors to relevant literature\u2014selected to achieve a variety of viewpoints; and developed a simulation of the effect of various funding approaches on the total funding requirements and timelines for a set of hypothetical construction projects."]}, {"section_title": "What GAO Found", "paragraphs": ["The U.S. Army Corps of Engineers (Corps) allocates its appropriated funding for operations and maintenance projects for the inland waterways based on risk and economic benefits. However, the Corps does not know how much deferred maintenance exists for inland waterways because there is no agreed upon definition for deferred maintenance. Corps and ASA-CW officials identified several challenges related to developing a useful definition with which to measure deferred maintenance. For example, a single measure may not be useful to gauge the condition of the waterways because the effect of deferred maintenance projects on the reliability of the waterways will vary. However, without a measure or measures of deferred maintenance for inland waterways that (1) the Corps finds useful, (2) reflects its priorities, and (3) accurately conveys a consistent and well-defined measure of deferred maintenance, the Corps is limited in its ability to manage its maintenance efforts and accurately communicate its estimated maintenance costs to OMB and the Congress.", "With regard to inland-waterways construction projects, the Corps prioritizes them based on expected costs and benefits. The Corps assesses the net economic benefits of inland-waterways construction projects' alternatives by comparing estimated direct costs (e.g., construction costs to build a new lock chamber) to estimated reductions in the waterway transportation costs (e.g., reduced travel costs related to a reduction in the time it might take for a barge to pass through a larger lock chamber). According to Corps officials and stakeholders, the current incremental-funding approach for prioritized projects, among other things, has resulted in schedule delays (as shown below) and cost increases. Although full upfront funding for capital projects is an important tool for effective management, inland-waterways construction projects have been funded incrementally, meaning the Corps requests\u2014and Congress appropriates\u2014annual funding that covers a portion of a project's estimated costs. Corps reports and academic studies have found that this approach results in increased project costs because the Corps must contract for construction in separable pieces. This approach is less efficient than contracting for the entire project at once. For example, Corps officials currently expect that the Kentucky Lock Addition project will cost at least $229 million more than the originally estimated cost as a direct result of this contracting approach. Without some change in the way inland-waterways construction projects are funded to either provide full funding or reduce the effects of incremental funding by concentrating funding on fewer projects at one time, current cost increases and schedule delays resulting from inefficient contracting are likely to continue."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations: that the Corps define and measure deferred maintenance for inland waterways and that it pursue changes to increase its ability to more efficiently use available funding for construction. The Department of Defense concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["U.S. inland waterways are a critical component of the nation\u2019s freight transportation system, providing benefits related to the U.S. economy as well as national defense. According to the U.S. Army Corps of Engineers (the Corps), commercial operators transported approximately $194 billion worth of cargo throughout the inland waterways system in 2016. Additionally, the National Grain and Feed Association estimates that nearly 60 percent of U.S. grain and soybean exports are transported via waterways to ports in the Gulf of Mexico, with another 27 percent transported via waterways to ports in the Pacific Northwest. Inland waterways are especially important in transporting heavy, bulk commodities including coal, petroleum, chemicals, and grain, as the waterways provide cost-effective transportation while limiting the congestion and safety risks posed by transporting these goods via rail and truck. Navigation on the inland waterways for waterborne vessels, such as towboats and barges, is made possible by locks and dams: dams create pools for navigation and locks allow vessels to move from one river or pool to another. In addition to commercial transportation, other beneficiaries of the inland waterways system include recreational boaters, companies that provide hydroelectric power generated by dams, and municipal water supply and treatment facilities, among others. The Corps is primarily responsible for managing the nation\u2019s inland waterways, including operating and maintaining the system of locks and dams as well as constructing new infrastructure or rehabilitating existing infrastructure when needed. Commercial vessel operators that travel on portions of the inland waterways help pay the costs of constructing and rehabilitating inland waterways infrastructure by paying a tax on diesel fuel, and this revenue is deposited into the Inland Waterways Trust Fund (Trust Fund).", "Persistent schedule delays and cost overruns for inland-waterways construction projects have prompted some in Congress to explore alternative approaches for managing and funding the Trust Fund. Among other things, you asked us to review options to change the management of inland waterways. In this report, we: 1. assess how the Corps allocates funds for operations and maintenance projects for the inland waterways system; 2. describe how the Corps prioritizes and funds construction projects, and assess the effect of the current funding approach on projects\u2019 costs and schedules; and 3. present stakeholders\u2019 opinions on proposed options for increasing available funding for inland-waterways construction projects and any associated limitations or tradeoffs.", "The scope of our review focuses on Corps activities related to commercial navigation\u2014including operations, maintenance, and construction\u2014on the 27 inland waterways subject to the diesel fuel tax. These waterways include the navigable waterways of the Mississippi River and its tributaries, the Ohio River basin, the Gulf and Atlantic Intracoastal Waterways, and the Columbia-Snake Rivers (see app. I for a complete list of fuel-taxed inland waterways).", "For all objectives, we interviewed a range of Corps officials at the headquarters, division, and district levels, as well as national and regional stakeholders. We interviewed district officials from a non-generalizable sample of 6 of the 24 Corps districts that manage fuel-taxed waterways within their district boundaries, which we selected to include a variety of geographic regions, waterway characteristics, primary commodities shipped, and history of construction projects funded through the Trust Fund. Based on these criteria, we selected the Corps districts in Little Rock, Arkansas; Mobile, Alabama; New Orleans, Louisiana; Pittsburgh, Pennsylvania; Rock Island, Illinois; and Walla Walla, Washington. In addition, we interviewed officials from the Corps\u2019 Northwestern Division office, which oversees the Walla Walla District, to understand the division- level role in coordinating districts\u2019 inland-waterways infrastructure projects. We also conducted semi-structured interviews with waterways stakeholders representing 43 national and regional entities and 12 researchers (academics, economists, and engineers). National stakeholders were identified by reviewing related literature and our prior reports and recommendations from the Transportation Research Board and the Waterways Council, Inc. Regional stakeholders in the six selected districts were identified through recommendations from the Corps and national waterways-stakeholder organizations to represent a mix of commercial (such as barge companies and shippers with commercial interests in the U.S. inland waterways system); recreational; and industrial water users (such as municipal water authorities and hydropower entities). From those stakeholders, we selected entities to interview to achieve diversity of waterway user perspectives, and conducted interviews with both individual entities as well as associations representing a variety of users and companies. In addition to waterways users, we interviewed stakeholders who have conducted research regarding the management and funding of fuel-taxed waterways. See appendix II for a list of entities represented among the stakeholders we interviewed. We analyzed interviewee responses to identify common themes and the range of opinions that arose. Because we selected a non- generalizable sample of stakeholders, their responses should not be used to make inferences about a population. To characterize stakeholders\u2019 views throughout this report, we defined modifiers (e.g., \u201csome\u201d) to quantify stakeholders as follows: \u201csome\u201d stakeholders represents stakeholders in 3 to 14 of the 42 interviews \u201cmany\u201d stakeholders represents stakeholders in 15 or more of the 42 interviews.", "To examine how the Corps allocates funds for operations and maintenance projects for the inland-waterways navigation system, we examined amounts requested for civil works in the President\u2019s budget requests and appropriations for civil works for fiscal years 1997 through 2018 as well as the Corps\u2019 budget-request development guidance to understand how the Corps develops its budget request and prioritizes operations and maintenance projects. We also interviewed officials from the Office of the Assistant Secretary of the Army for Civil Works (ASA- CW); the Office of Management and Budget (OMB); the Department of Transportation\u2019s Maritime Administration; and the Department of Homeland Security\u2019s U.S. Coast Guard to understand how the Corps coordinates with other agencies to fulfill its inland-waterways navigation mission. To assess the Corps\u2019 efforts related to deferred maintenance, we interviewed Corps officials about how deferred maintenance is measured and defined and compared these practices with pertinent federal internal- control standards.", "To describe how the Corps prioritizes and funds inland-waterways construction projects, we reviewed relevant statutes and agency policies and guidance related to planning and budgeting for inland-waterways construction projects. We compared the established method of funding inland-waterways construction projects with federal internal-control standards, OMB guidance, and prior GAO work related to funding capital projects. To examine the effect of the current funding approach on projects\u2019 costs and schedules, we reviewed relevant Corps documents, such as reports on ongoing construction projects and studies on construction cost increases, prior GAO reports, OMB guidance, and other academic studies. As part of our examination of the effect of the current funding approach on costs and schedules for inland-waterways construction projects, we developed a simulation of the effect of various funding approaches on the total funding requirements for a set of hypothetical construction projects. The simulation incorporates assumptions regarding the amount of total funding a project would require (including any cost overruns) due to the pattern and timing of funding made available. Additional information on our simulation methodology and the full results are included in appendix III.", "Finally, to identify proposed options to alter inland waterways funding and management, we conducted a literature search to identify relevant studies and proposals. We reviewed relevant literature to identify the options most commonly proposed, reviewed proposals by recent administrations, and interviewed Corps officials and seven other entities including the Transportation Research Board and district and agency stakeholders to verify that we identified commonly proposed options. We interviewed the 55 stakeholders noted above about their general views on the potential benefits, limitations, and trade-offs of those options. We also reviewed available literature\u2014including our prior reports\u2014to identify potential benefits, limitations, and trade-offs of these options. Appendix IV provides additional information about our objectives, scope, and methodology.", "We conducted this performance audit from June 2017 through November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Although less visible than other transportation modes and not as vast as they are, inland waterways allow shippers to transport goods, particularly bulk commodities, in a relatively cost-effective and environmentally friendly method between ports all along the waterways, and to coastal ports for transportation to international markets. For example, in a report prepared for the National Waterways Foundation, the Texas A&M Transportation Institute found that, for every gallon of fuel burned, 647 tons of cargo can be carried 1 mile by barge, but only 477 tons by train or 145 tons by truck. Additionally, if cargo transported on inland waterways each year were to be moved by truck, it would take an additional tens of millions of truck trips to carry that cargo\u2014more than doubling the number of trucks per day, per lane on a typical rural interstate. Most of the goods moved on the inland and intracoastal waterways are bulk commodities, including coal; petroleum products; chemicals; aggregate construction materials such as sand, gravel and stone; as well as grain, soybeans, and other agricultural products.", "Approximately 12,000 miles of inland and intracoastal waterways and channels in the United States are commercially navigable and approximately 11,000 miles make up the fuel-taxed portion of the system, shown in figure 1. The remaining approximately 1,000 miles of inland and intracoastal waterways and channels are not part of the taxable waterways and contain very few significant lock and dam structures. Some commercial waterways users, especially those on the Upper Mississippi and Ohio Rivers, may never leave the taxable portion of the system, but other vessel operators may navigate through taxable and non-taxable waterways, including connecting deep draft waterways.", "Navigation on inland waterways is made possible by locks and dams, navigation structures and aids (such as buoys), as well as channel maintenance and dredging where necessary to maintain a minimum channel depth of 9 feet to support commercial barge traffic. Dams form the foundation of the inland waterways system and create \u201cpools\u201d for navigation during periods of low and medium river flow. Locks at dam sites allow river traffic to move up or down from one pool to another much like a stairway of water. See figure 2 below.", "As part of its Civil Works Program, the Corps operates and maintains the fuel-taxed inland waterways for the purpose of facilitating navigation. The Corps is responsible for balancing its navigation mission with other civil works missions, including hydropower generation, flood risk management, emergency response, environmental stewardship, and recreation (see fig. 3). For example, the Corps may consider the migration of fish when designing locks and dams that facilitate navigation.", "Congress appropriates funding for the Corps\u2019 Civil Works Program. For inland waterways, the Corps uses funding for two main purposes: (1) inland waterways operations and maintenance and (2) inland waterways construction. From fiscal years 2006\u20132017 (the years for which data were available), the Corps obligated an average of $690 million annually for operations and maintenance of the fuel-taxed inland waterways. Funding for operations and maintenance is appropriated entirely from general revenues. Figure 4 shows annual obligations for inland waterways operations and maintenance for fiscal years 2006 through 2017.", "For construction projects, Congress appropriates funding from the Inland Waterways Trust Fund (Trust Fund) in addition to funds from general revenues. Since the Inland Waterways Revenue Act of 1978 (1978 Act), commercial waterway users have paid taxes on fuel used by commercial towboats and other vessels that typically move barges, revenues from which are deposited in the Trust Fund. The Water Resources Development Act of 1986 (1986 Act) increased the initial fuel-tax rate per gallon and established a cost-sharing process for inland waterways expenditures. Together, the 1978 Act and the 1986 Act established a means for the inland waterways industry to provide economic support for infrastructure development. These users currently pay a $0.29 per gallon tax on diesel fuel used on the fuel-taxed portion of the inland waterways, revenue from which is then deposited into the Trust Fund. Traditionally, 50 percent of a project\u2019s funding is appropriated from general revenues and 50 percent is appropriated from the Trust Fund, though Congress reduced the Trust Fund\u2019s cost share for the ongoing new construction of the Olmsted Locks and Dam project to 25 percent for fiscal year 2014 and to 15 percent for subsequent fiscal years. In fiscal year 2018, commercial waterway users contributed about 35 percent of the $399 million allocated to various construction projects (see fig. 5). On average, from fiscal years 1997 through 2018, the Corps has allocated about $240 million annually for construction to repair or improve existing inland- waterways navigation infrastructure.", "In its 2017 annual financial report, the Corps notes that the number of instances of lock closures on inland waterways (including the fuel taxed inland waterways) due to preventable mechanical breakdowns and failures lasting longer than one day and lasting longer than one week have decreased since fiscal year 2010, but that the lock closures that do occur can result in substantial delays to shippers, carriers, and users, and are a factor in the cost of shipping commodities on waterways. According to the Inland Waterways Users Board (Board)\u2014an advisory committee made up of industry stakeholders\u2014U.S. inland waterways infrastructure is in need of modernization. The Corps currently manages construction projects aimed at replacing, expanding, and modernizing existing locks and dams. For fiscal year 2018, the Corps has allocated about $399 million from money Congress appropriated for civil works construction for a total of five inland waterways construction projects: four ongoing projects and one new project (see fig. 6). According to the Board, as of December 2017, 14 new lock and dam construction projects have been authorized by Congress but have not yet received construction funding.", "In addition to the Corps and the Board, several entities have roles related to the inland waterways:", "The Assistant Secretary of the Army for Civil Works (ASA-CW): the ASA-CW establishes policy direction and provides supervision of the Department of the Army functions relating to all aspects of the Corps\u2019 Civil Works program.", "Maritime Administration: within the Department of Transportation, the Maritime Administration promotes the use of waterborne transportation and its integration with other segments of the transportation system. It is also charged with maintaining the health of the merchant marine, since commercial mariners, vessels, and intermodal facilities are vital for supporting national security.", "The U.S. Coast Guard (Coast Guard): within the Department of Homeland Security, the Coast Guard is responsible for, among other things, facilitating the safe and efficient flow of commerce on the navigable waterways of the United States. For example, the Coast Guard regulates and enforces safety standards for inland waterways vessels and operator licensing, conducts icebreaking to facilitate the flow of commerce and relieve flooding from ice dams, and installs and monitors aids to navigation that mark the navigable channel (such as buoys, beacons, and lights) to facilitate the safe movement of vessels. The Coast Guard coordinates with the Corps to ensure aids-to- navigation are properly installed and makes adjustments as channel conditions may dictate.", "Office of Management and Budget (OMB): Within the Executive Office of the President, OMB oversees the implementation of the President\u2019s policy, budget, management, and regulatory objectives. Related to inland waterways, OMB works with the Corps and the ASA-CW to formulate the annual President\u2019s budget request and issues policies related to the budget\u2019s implementation, project study, and prioritization."], "subsections": []}, {"section_title": "The Corps Allocates Funds for Operations and Maintenance Based on Economic Benefits and Risk but Lacks a Method of Tracking Deferred Maintenance for Inland Waterways", "paragraphs": [], "subsections": [{"section_title": "The Corps Allocates Funds for Operations and Maintenance Projects Based on Economic Benefit and Risk", "paragraphs": ["As part of its management of the inland waterways, the Corps budgets for the costs of operations and maintenance (which are funded from one appropriation account) and construction (funded from a separate appropriation account) and develops an annual budget request to submit to OMB. The Corps develops this budget request for all its civil works activities, including locks and dams on the fuel-taxed inland waterways system; this request is reviewed and finalized by the ASA-CW and OMB before being submitted to Congress as part of the annual President\u2019s budget request.", "To prepare its annual budget request, the Corps identifies potential operations activities and maintenance projects and submits estimates of the costs to complete those activities, but not all identified maintenance projects are included in the budget request. According to Corps officials, as part of the budget request development process, the Corps provides OMB and the ASA-CW with a variety of funding proposals that would enable different levels of service for all of its civil works assets, including inland waterways. However, according to Corps officials, the President\u2019s budget request for civil works\u2014including funding for inland-waterways maintenance projects\u2014is based on broader administration priorities and does not request funding to complete all identified maintenance projects. The Corps then receives annual appropriations for its Civil Works Program, from which it allocates funding to each of its missions, including inland waterways navigation. Figure 7 illustrates the Corps\u2019 budget formulation and execution process.", "In 2008, the Corps began implementing an asset management process to guide its management of the Civil Works Program, including inland waterways. Under this process, the Corps determines the hours of operation for each lock, which maintenance activities to perform, and which construction projects to prioritize based on the economic value these activities will provide. The Corps ranks maintenance projects identified during the budget formulation process based on the value or level of service the project is expected to provide as well as how critical they are and funds as many of the priority projects as possible given available funding and the rest are deferred. The Corps assesses the value of inland waterways assets (such as waterways, locks, and dams) based primarily on the economic benefits derived from improved commercial navigation\u2014that is, the benefits achieved by allowing shippers to transport commodities to both domestic and foreign markets more cost effectively than they would using other modes of transportation (such as truck and rail). Economic benefits are generally determined using measures of commercial use, and assets are categorized as high, moderate, and low commercial use. The Corps\u2019 approach to operations and maintenance is as follows:", "Operations: The Corps allocates funding for operations based on service priorities. The Corps operates locks at varying levels of service (i.e., hours of operation) based primarily on past commercial traffic volume, but also considering the volume of recreational traffic and available resources. The Corps operates high-use locks continuously (24/7), while operating those with less commercial traffic and fewer economic benefits less frequently, sometimes by appointment only.", "Maintenance: The Corps allocates funding for maintenance projects based on the risk of not performing maintenance; this risk is determined by considering both the condition of an asset as well as the economic impact of a reduction in service should the asset fail (that is, the traffic that would be affected if a lock or dam were to become unusable)."], "subsections": []}, {"section_title": "Lack of a Deferred Maintenance Measure for Inland Waterways Limits the Corps\u2019 Ability to Identify and Communicate Estimated Maintenance Costs", "paragraphs": ["According to Corps and ASA-CW officials, the Corps does not know how much deferred maintenance exists for inland waterways, because there is no agreed upon definition for deferred maintenance. Corps and ASA- CW officials identified several challenges related to developing a useful definition with which to measure deferred maintenance:", "Using the total cost to conduct all maintenance identified during the budget formulation process may not be useful as a budget tool because the Corps would not have the capacity to conduct all identified maintenance in one fiscal year.", "A single measure may not be useful to gauge the condition of the system, because not all deferred maintenance projects have the same effect on system reliability, for example:", "Some identified maintenance, such as preventive maintenance conducted less frequently than preferred (like painting lock components to prevent future corrosion), may not affect reliability or function in the short term.", "Deferring the replacement or rehabilitation of broken or malfunctioning components\u2014such as a lock gate arm\u2014on low use waterways may result in closures on those waterways or delays related to the condition of the lock, but would affect a relatively small amount of cargo and vessels and have a smaller economic impact than closures on high-use waterways.", "Deferring the replacement or rehabilitation of broken or malfunctioning components on high-use waterways may result in closures that prevent traffic to large sections of the inland waterways system and affect a large portion of cargo transported via waterways.", "Some deferred maintenance projects may never be undertaken, while others are planned for the near future. Corps officials told us that, depending on the risk associated with not completing a particular maintenance project, the Corps may choose to never complete the project, such as mowing the grass at a low-use lock and dam facility. Conversely, some incomplete projects represent later phases of projects that are already under way and are planned for completion in the near term.", "The lack of a definition and measure of deferred maintenance for inland waterways projects is inconsistent with federal internal-control standards, which call for agencies to identify information requirements needed to achieve objectives and address identified risks (such as reliability of the waterways) and to process relevant data to develop that information. Further, internal control standards call for agencies to communicate information externally\u2014such as to Congress and OMB\u2014to achieve agencies\u2019 objectives. Corps and ASA-CW officials acknowledged that there is a lack of information on deferred maintenance provided to Congress. One Corps official suggested that the Corps may need more than one measure of deferred maintenance to capture differences in the type and consequences of various projects. Additionally, ASA-CW officials noted that once a meaningful definition or metric for deferred maintenance is identified, the Corps lacks a way to track this information. Without a measure\u2014or measures\u2014of deferred maintenance for inland waterways (1) that the Corps can use to budget for and manage the inland waterways, (2) that reflects its priorities, and (3) that accurately conveys a consistent and well-defined measure of deferred maintenance that can be communicated to outside stakeholders, the Corps is limited in its ability to identify preventive maintenance that could forestall more costly maintenance or rehabilitation in the future and communicate its estimated maintenance costs to OMB and the Congress. In turn, the lack of a measure could limit the ability of Congress to make informed funding decisions pertaining to the Corps.", "Both the stakeholders we interviewed and the Corps have identified effects on the reliability of the inland waterways related to current funding levels for operations and maintenance. For instance, many stakeholders we spoke to said the funding the Corps receives for operations and maintenance on inland waterways has not been sufficient to maintain the stakeholders\u2019 desired level of reliability. Some stated that the Corps is currently operating using a \u201cfix as fails\u201d approach: that is, requesting enough funding to be able to respond to crises but not to conduct preventive maintenance. Further, many stakeholders said there is potential for some waterway users to switch to other modes of transportation based on unreliability. For instance, two stakeholders stated that businesses may be \u201cchased away\u201d because the inland waterways system continues to be unreliable due to unscheduled closures for maintenance. For example, during the course of our review, one lock on the Ohio River experienced repeated unscheduled closures. One such closure lasted from September 6, 2017, through September 14, 2017, during which time no vessels were able to travel through the lock. According to a June 2017 Corps report on the causes of mechanical breakdowns leading to unscheduled lock closures, routine maintenance occurs less frequently than in the past due to a lack of funding, and that delayed maintenance increases the risk of operational or catastrophic failure that results in lock closures. Figure 8 illustrates the condition of both deteriorating and recently rehabilitated inland waterways\u2019 navigation facilities. Identifying and communicating about deferred maintenance could help Congress and OMB understand the extent of any problems with reliability that could affect the inland waterways system."], "subsections": []}]}, {"section_title": "Incremental-Funding Approach for Inland- Waterway Construction Projects Contributes to Cost Overruns and Schedule Delays", "paragraphs": [], "subsections": [{"section_title": "Inland-Waterways Construction Projects Are Individually Funded according to Various Priorities", "paragraphs": ["The Corps manages inland-waterways construction projects\u2014the modernization and rehabilitation of existing locks and dams (called major rehabilitation), or the construction of new structures\u2014to ensure the facilities continue to function and meet future requirements, and prioritizes these projects based on expected costs and benefits. As shown in figure 9, construction projects are developed in response to an identified problem. Congress then authorizes inland-waterways construction projects for study and construction and provides funding through the annual appropriations process, although some authorized projects may not receive funding. Since 1996, Congress has appropriated construction funding that the Corps has allocated toward 20 projects, of which 15 have been completed.", "The Corps assesses the net economic benefits of inland-waterways construction-project alternatives by comparing estimated direct costs (e.g., construction costs to build a new lock chamber) to estimated reductions in the waterway transportation costs (e.g., reduced travel costs related to a reduction in the time it might take for a barge to pass through a larger lock chamber). For the Corps to recommend construction, the project must have a benefit-cost ratio\u2014that is, the ratio of estimated benefits to estimated costs\u2014greater than 1 to 1 using a statutorily defined discount rate that varies from year to year. The project must then be authorized for construction by Congress through legislation to be eligible for funding, which typically occurs in a Water Resources Development Act.", "The Corps\u2014with advice from the Inland Waterways Users Board (Board)\u2014prioritizes authorized inland-waterways construction projects according to estimated net economic benefits and an assessment of the economic and safety consequences of not doing the project. In collaboration with Corps headquarters, division, and district offices, the ASA-CW determines which civil works construction projects will be prioritized to include in the budget request to OMB. OMB considers the recommendations of the ASA-CW and the Corps in deciding which projects to include in the President\u2019s budget request. While Corps projects with a benefit-cost ratio of at least 1 to 1 at the statutorily defined discount rate are eligible to seek funding, OMB assesses projects against a different threshold in determining which projects are included in the President\u2019s budget request. In line with OMB practice since the mid- 2000s (and, according to OMB officials, consistent with their evaluation of most federal programs per their guidance set in 1992), generally only inland-waterways construction projects with a benefit-cost ratio of at least 2.5 to 1 using a 7 percent discount rate are included in the annual President\u2019s budget request. In recent years, only one of the Corps\u2019 ongoing construction projects\u2014the Olmsted Locks and Dam project\u2014has met this threshold.", "Congress appropriates funds to the Corps\u2019 Civil Works construction account, and the Corps allocates some of that funding to inland- waterways construction projects. In recent years, Congress has appropriated funds for projects included in the President\u2019s budget request and has directed the Corps to allocate appropriated amounts that exceed the amount requested in the President\u2019s budget request to other projects as depicted in step 8 in figure 9. For example, in fiscal year 2018, the Administration requested $175 million for the Olmsted Locks and Dam project, but five projects were funded that year. In the Joint Explanatory Statement accompanying the appropriations, Congress directed the Corps to allocate funds to inland-waterways construction projects prioritized by economic effect in such a way that the Corps uses all estimated Trust Fund revenues. In accordance with this direction, the Corps allocated $399 million to inland-waterways construction projects, with more than half\u2014$224 million\u2014 going toward the other three ongoing inland-waterways projects and a new major rehabilitation project (see fig. 10).", "Stakeholders we spoke to stated that the process for determining which construction projects receive funding can be challenging. Some stated that the use of different discount rates and benefit-cost ratio thresholds for authorization and budgeting purposes can create confusion as to whether projects will be funded. Also, some stakeholders stated that because the 7 percent discount rate used by OMB to calculate the benefit-cost ratio is higher than the statutory rate used in recent years, use of the OMB discount rate can result in projects being excluded from the President\u2019s budget request, an exclusion that can reduce the likelihood of the project receiving funding. According to the Board, as of December 2017, 14 construction projects have been authorized for construction but have not been allocated construction funding, and an additional 7 major rehabilitation projects are also candidates for construction over the next 20 years. However, Corps officials stated that, once the Olmsted Locks and Dam project is completed, none of the currently authorized projects will meet OMB\u2019s threshold for inclusion in the President\u2019s budget request. Further, some stakeholders told us that the Corps\u2019 policy\u2014developed to provide additional information to OMB during budget development\u2014to recalculate a project\u2019s benefit-cost ratio every few years, including while the project is under construction, can create challenges. For one, ongoing projects included in the President\u2019s budget request have subsequently been excluded in later years due to a lower updated benefit-cost ratio, which might reduce the likelihood of the project\u2019s being allocated funding. For example, the Lower Monongahela Locks and Dams project had a benefit-cost ratio of 6.7 to 1 at a 7.75 percent discount rate when construction funds were first expended in fiscal year 1995 (based on benefits and costs as estimated when the project was authorized in fiscal year 1992) and has been allocated funding every year since. However, this project was not included in either the fiscal year 2017 or 2018 President\u2019s budget requests due in part to its updated benefit-cost ratio having fallen below the 2.5 to 1 threshold because of increased costs and changes to the expected benefits. Although it was not included in the President\u2019s budget request, the Corps ultimately allocated funding for the project in fiscal years 2017 and 2018 based on congressional direction."], "subsections": []}, {"section_title": "Incremental Funding of Inland-Waterways Construction Projects Contributes to Cost Overruns and Schedule Delays", "paragraphs": ["Since at least 1995, all inland-waterways construction projects have been funded incrementally, meaning that annual appropriations have covered a portion of the project\u2019s estimated costs. There are several reasons that the Administration may request and Congress may appropriate funding for inland-waterways construction projects incrementally\u2014as they both have done in recent years\u2014in lieu of full upfront funding.", "Available annual funding is generally less than the amount required to cover the full cost of one new construction project. In addition, the Corps (like other federal agencies) cannot enter a contract that exceeds available funding unless authorized by law. For example, based on average annual Trust Fund revenues since 2015 of about $107 million, a 50-50 cost share would provide about $214 million in construction funding annually, whereas the four ongoing construction projects were each originally estimated to cost more than that amount. Further, of the 10 new construction projects prioritized to be completed next in the Corps\u2019 capital investment strategy, as of 2016, 7 of them are estimated to cost at least $350 million.", "Additionally, these projects\u2014even once begun\u2014must compete annually with other funding priorities across the federal government. We have previously reported that full upfront funding of capital assets can be challenging to obtain in an era of resource constraints; incremental funding can make it easier for agencies to meet mission capital demands within the constraints of their appropriation.", "Further, while the Corps could carry over appropriations until they accrue sufficient funds to fully fund a project upfront (because their construction appropriations historically have not expired), Corps officials we spoke to had concerns about this practice. They stated that carryover funds may be seen as available and reprogrammed to other civil works efforts (such as rebuilding infrastructure in the wake of a natural disaster) and that Congress and the Board both expect the Corps to obligate appropriated funds. In addition, some stakeholders had concerns that delaying the start of construction until full upfront funding was appropriated could result in further deterioration or increased maintenance costs for those facilities.", "Finally, according to some stakeholders we spoke to, the current incremental funding approach has allowed construction projects on multiple waterways to occur at once\u2014a way of spreading benefits across the system and providing some indication to local users and beneficiaries that their local facility will be repaired or replaced.", "Nonetheless, incremental funding for inland waterways projects\u2014among other factors such as engineering design changes\u2014has contributed to increased costs and schedule delays because it results in inefficient contracting practices. Corps reports and academic studies have found that incremental funding has resulted in inefficient contracting for construction projects, in part because funding is not guaranteed beyond the current year and contractors must stop working once funds are exhausted. Because the Corps receives annual appropriations for a portion of the total estimated cost of a project, the Corps awards contracts for separable elements that can be constructed and left for a period of time with minimal damage and safety risks if further funding is unavailable (such as a contract to build part of a lock wall). According to Corps district officials, this practice has resulted in the Corps entering into many more contracts for each project than they would if they had full upfront funding. For example, Corps officials told us that due to incremental funding, the Lower Monongahela Locks and Dams project is currently on its 14th construction contract even though it was originally planned to be completed using only two contracts. Corps officials told us that this contracting practice is inefficient and can lead to cost overruns due to, for example: contractor mobilization and demobilization, such as moving heavy equipment on and off the construction site, at the beginning and end of each contract; prolonged construction due to multiple contractors unable to work at the same worksite during the same time; extra administrative expenses associated with letting multiple increased cost of fuel and construction materials (e.g., steel and cement) from year to year; higher costs of buying construction materials in smaller quantities; inflation due to prolonged construction.", "Further, according to Corps officials and stakeholders, additional challenges related to the timing and amount of funding allocated in a given fiscal year can exacerbate inefficiency related to incremental funding. For example, while under a continuing resolution, the Corps does not allocate funding to projects that were not included in the President\u2019s budget, per OMB policy, which can delay funding for projects until Congress provides appropriations for the remainder of the fiscal year. Thus, in fiscal year 2018, funding was delayed for the three ongoing projects that were not included in the President\u2019s budget request. Although project work can continue if the Corps has some carryover funds, Corps officials told us that, if they exhaust their funds, a continuing resolution could mean they won\u2019t be able to exercise the next option on a construction contract. As a result, the contractor would have to stop work and shut down the construction site, and the Corps would need to close the existing contract, repackage the remaining work, and re- advertise the contract\u2014all tasks that can increase the full cost of a project. Additionally, according to Corps officials, when projects receive smaller portions of funding than estimated for the upcoming fiscal year, the amount may not be enough to allow a contractor to continue on the most efficient construction schedule for that contract or contract option which can have the effect of increasing costs. Moreover, according to Corps district officials, the benefit-cost ratios for some ongoing projects have decreased in recent years in part because the projects have experienced increased costs (relative to expected benefits) due to a number of factors, including inefficient contracting stemming from incremental funding, which may affect the project\u2019s priority status and inclusion in the President\u2019s budget request.", "All four of the Corps\u2019 ongoing construction projects have experienced cost overruns and, as shown in figure 11, schedule delays. According to Corps officials, some of these cost increases and delays were due to inefficient contracting stemming from incremental funding. For example, Corps officials currently expect that the Kentucky Lock Addition project will require at least $229 million more (about 19 percent above the original estimated cost) as a direct result of inefficient contracting and be completed 17 years later than planned. Similarly, the Corps estimates that the Chickamauga Lock project will need at least $170 million more (about 24 percent above the original estimated cost) due to inefficient contracting and be completed at least 13 years later than planned. The amount of estimated cost overruns for just these two projects could potentially fund an entire additional project."], "subsections": []}, {"section_title": "Timing and Distribution of Funding Could Reduce Cost Increases and Schedule Delays for Inland-Waterways Construction Projects", "paragraphs": ["In the absence of full funding, our funding simulation demonstrates that contracting efficiency for inland-waterways construction projects could be increased by funding fewer projects at a time. We developed a simulation for a set of four hypothetical new construction projects under different funding approaches to explore the effects of different funding patterns and timing on total project costs and timeframes. We assumed that all four hypothetical projects could be completed for $2 billion ($500 million each, with expected funding of $100 million per year) within 5 years of construction. For our simulation, we assumed that $200 million would be available to allocate each year across the four projects\u2014an amount roughly similar to recent funding levels for actual inland waterways projects. We developed five funding approaches that varied in the pattern and timing of funding allocated toward each project. Given these patterns of funding, we also incorporated cost effects that we hypothesized would occur. For example, for each year that a project did not receive full funding\u2014that is, the entire remaining costs of the project were not provided\u2014we assumed the remaining funding required to complete the project would increase to account for contracting inefficiencies that were likely to occur due to incremental funding, such as increased contractor mobilization and demobilization. Also, for any year that a project received funding in smaller amounts than expected, we assumed that funding required to complete the project would rise due to exacerbated contract inefficiencies due to such factors as having to buy materials in smaller quantities or break work into smaller separable elements. In addition, we incorporated inflation into projects\u2019 remaining costs when funding for those projects was delayed. See appendix III for more detailed information regarding our methodology for this simulation.", "While fully funding projects up front would help to avoid cost increases or delays due to inefficient contracting, we found that, even with incremental funding, varying the timing and amount of funding can reduce inefficiency (see fig. 12). For example, we found that compared to other approaches, an incremental funding approach that concentrates all available funding to one of the four projects at a time\u2014as in Approach A, shown in figure 12\u2014 results in lower cost overruns and faster construction than an approach that funds more projects simultaneously with smaller amounts of funding, as in Approach B (see app. III for results for all five approaches). In addition, concentrating funding toward one project could lead to greater years of benefits\u2014as measured by the Corps as the number of years a facility has been constructed and available for use by vessels. However, according to Corps officials and stakeholders we spoke to, there may be risks associated with concentrating funding on one project at a time due to concerns with delaying the start of other high priority projects. For example, during the time in which a project is waiting for funding, the infrastructure may experience further deterioration, and vessels using the facility may experience increased delays. Corps officials we spoke to about this simulation generally agreed that the Corps\u2019 current funding approach most closely resembles Approach B, with most funding going to the Olmsted Locks and Dam project while the remaining three ongoing projects receive smaller amounts (see also fig. 6).", "OMB and GAO have advocated for full upfront funding of capital projects as a way to recognize full budgetary commitments, but, as discussed, fiscal pressures on both the Corps and Congress may make it difficult to request and appropriate full funding. OMB\u2019s Capital Programming Guide states that full funding can help ensure that all costs and benefits are taken into account at the time decisions are made to provide resources, increase the opportunity to use more competitive contracts, and allow for more efficient work planning.", "Further, we have previously reported that full funding is an important tool for maintaining government-wide fiscal control, because failure to recognize the full costs of proposed commitments during budget decisions could lead to distortions in the allocation of resources. We have also reported that incremental funding of capital projects can reduce available funding for future projects and erodes future program flexibility because funding is dedicated to projects begun in previous years. Though providing full upfront funding would likely reduce the overall costs of inland waterways construction over the long term, it may require a significant increase in annual appropriations in the short term, which Corps officials consider to be highly unlikely.", "Both OMB and GAO have acknowledged the challenges associated with \u201cspikes\u201d in appropriations that would be required for full funding and have suggested that innovative funding mechanisms could be used to mitigate this challenge. In 2010, we recommended that the Corps work with Congress to develop a more stable project-funding approach for Civil Works projects that provides more efficient use of funds, but the Department of Defense only partially concurred with the recommendation, stating that it will support budget decisions made by the administration. However, without some change in the way inland-waterways construction projects are funded to either provide full funding or reduce the effects of incremental funding by concentrating on fewer projects at one time, current cost increases and schedule delays resulting from inefficient contracting are likely to continue. For example, according to the Corps\u2019 2016 capital investment strategy, under a scenario in which construction funding is limited only by available Trust Fund revenues, in the next 20 years the Corps could complete 16 of the 22 major rehabilitation and new construction projects identified as priority projects for approximately $7 billion; however, because these estimates do not account for cost overruns due to the current incremental funding approach, the Corps is unlikely to meet this goal."], "subsections": []}]}, {"section_title": "Stakeholders Identified Limitations and Trade-offs Associated with Proposed Options for Increasing Available Funding for Inland- Waterways Construction", "paragraphs": ["In addition to adjusting the timing and distribution of funding, according to some of the stakeholders we interviewed, increasing available funding for construction would provide more upfront funding to enable more efficient contracting. Stakeholders said that with additional funding, the Corps may be able to complete ongoing inland waterways projects more quickly and begin other construction projects. We asked stakeholders representing 55 national and regional entities and researchers about options to increase available funding for inland waterways construction that have been proposed by policymakers and in relevant literature including: altering the cost share between the Trust Fund and federal requiring other users and beneficiaries of the waterways to contribute to the Trust Fund, increasing or adding fees for commercial users, expanding opportunities for local sponsors to contribute to funding pursuing alternative financing arrangements.", "While each option has potential benefits, stakeholders we interviewed identified limitations or trade-offs that could affect the feasibility of each option.", "Altering the Trust Fund cost share. Altering the percentage of the Trust Fund cost share for construction projects could increase available funding to complete construction projects. For example, in 2014 the Trust Fund\u2019s cost share for the Olmsted Locks and Dam project was reduced by statute from 50 to 25 percent for fiscal year 2014, and to 15 percent for subsequent fiscal years\u2014thereby increasing the federal share to 85 percent\u2014to speed the pace of other inland-waterways construction projects (by increasing the overall funding available for those projects) and to reduce the costs to commercial users. The Inland Waterways Users Board (Board), in its April 2018 annual letter to Congress, proposed making such a change for all future projects. Specifically, the Board proposed increasing the federal government\u2019s share of construction costs from 50 percent to 75 percent. According to the Board and some stakeholders, this could increase the available funding for Corps construction projects on the inland waterways system. Because each Trust Fund dollar would be matched by three dollars from general revenues as opposed to one dollar under a 50/50 split, overall funding may be increased. The Board stated that this approach may also enable the Corps to start and complete projects more quickly. For example, as shown in figure 12, with more upfront funding available for each project, the Corps may be able to contract for projects more efficiently than if it received smaller amounts of funding each year. However, some stakeholders said additional appropriations for inland waterways construction from general revenues would be required to achieve the benefits of this option, an approach that could, in turn, reduce funding available for other congressional priorities or increase the federal deficit. Absent additional appropriations, however, the amount of funding for construction could be reduced. For example, if appropriations from general revenues were $100 million per year under both scenarios, total funding for inland waterways under a 75/25 split would be only about $133 million, instead of $200 million under the traditional 50/50 split. To provide the same $200 million for construction, but reduce the costs to commercial users under a 75/25 split, appropriations from general revenues would need to increase to $150 million.", "Require other users and beneficiaries of the waterways to contribute to the Trust Fund. Some stakeholders we spoke to proposed requiring that other users of the waterways contribute to the Trust Fund. Recreational boaters, municipal water utilities, and hydropower utilities already pay fees associated with their use of inland waterways, but this revenue is not directed toward the Trust Fund, for example: recreational users, such as recreational boaters and fishermen, on all waterways pay fees of about $628 million annually on fishing equipment and taxes on fuel used in motorboats that are currently deposited into the U.S. Fish and Wildlife Sport Fish Restoration and Boating Trust Fund, which is used to sustain sport-fishing populations; municipal water utilities that have Corps\u2019 water storage contracts on the inland waterways pay fees that are currently deposited into the general fund of the Treasury; and power generated by federally owned hydroelectric dams (including those owned by the Corps on the inland waterways) is sold at rates intended to cover the government\u2019s costs of operating and maintaining the dams, among other things.", "Other infrastructure trust funds are supported in part through user fees paid by both commercial and non-commercial users. For example, excise taxes, primarily on motor fuels and commercial trucks and tires, are deposited into the Highway Trust Fund, which is used to provide grants to state highway or transportation agencies. Some stakeholders said that all users who benefit from the pools created by navigation dams should bear some portion of the costs of the infrastructure, and revenue collected from these users could potentially be redirected to the Trust Fund. However, some other stakeholders said that these users as well as U.S. taxpayers that do not use the waterways already contribute to inland waterways construction, operations, and maintenance costs through their federal tax contributions to general revenues. We have previously found that in theory, the extent to which a program is funded by user fees should generally be guided by who primarily benefits from the program; however, the extent to which a program benefits users or the general public is not usually clear cut. In addition, redirecting revenue from fees currently paid by other users of the waterways to inland waterways would reduce funding available for other congressional priorities, as these funds are currently being directed towards other uses.", "Increasing or adding fees for commercial users. Past administrations as well as entities such as the Congressional Budget Office have proposed increasing revenue for inland waterways construction by increasing existing fees or imposing additional fees, such as lockage fees, for commercial users of the inland waterways\u2014the only group that is currently paying the fuel tax\u2014as they are the primary beneficiaries. For instance, in a legislative proposal accompanying the fiscal year 2019 President\u2019s budget request, the current administration proposed increasing the number of waterways subject to the fuel tax, which could have the effect of increasing the amount some users pay or increasing the number of commercial users subject to the tax. However, some stakeholders pointed out that increasing or adding fees for these users would raise the costs of transportation on the waterways, which could lead shippers to switch to other modes of transportation (such as trucks and rail, which are less efficient) and ultimately reduce both waterways traffic and Trust Fund revenue. Specific proposals for increasing or adding to existing fees are described in more detail below.", "Index fuel tax to inflation: Two stakeholders said that indexing the fuel tax to inflation could help the Trust Fund retain its purchasing capability over time. In fiscal year 1994, the fuel tax was set at $0.20 per gallon, and it was not raised again until 2015, when Congress increased the tax to $0.29 per gallon with the support of commercial users\u2013close to the inflation adjusted-level of the 1994 rate. However, the rate was not set to automatically rise with future inflation, which reduces the purchasing power of the fuel tax over time. For example, according to our analysis of fuel tax revenue for 1994\u20132014, if the fuel tax had been indexed to inflation as of 1994, about $400 million in additional revenues would have been raised over the 20-year period between 1994 and 2014. If the additional $400 million were matched by general revenues dollar for dollar, a total of $800 million more would have been available to the Corps for construction projects.", "Annual vessel fee: Citing the insufficiency of existing revenue to pay the users\u2019 share of capital investment costs, the current administration has proposed a new annual per vessel fee for commercial users to help finance future construction projects and cover a portion of the cost of operating and maintaining them (operations and maintenance has historically been a federal responsibility). The current administration expects this fee would raise approximately $1.78 billion in new revenue from fiscal years 2019\u20132028 ($178 million annually) to supplement revenue from the existing fuel tax. In its annual letter to Congress, the Board said this proposal is similar to what the prior administration proposed and that Congress has repeatedly rejected because it would more than double the amount collected from commercial users of the inland waterways system each year, with associated consequences for shipping costs and traffic diverted to other modes.", "Lockage fees: Various groups have proposed collecting lockage fees from commercial users to tie fees more closely to use of the infrastructure and increase available funding. For example, prior administrations\u2019 budget proposals have recommended replacing or supplementing the fuel tax with lockage fees. According to the Transportation Research Board, lockage fees could increase available funding for construction, are moderately easy to administer, and could be implemented on a system-wide basis, with lock operators keeping track of lock use. However, some stakeholders stated that the relative unknowns of how a lockage fee would be implemented make it less appealing than the current, familiar fuel tax, which they are able to incorporate into their operating budgets. Additionally, some stakeholders told us adding lockage fees\u2014just like increasing the fuel tax or adding other fees\u2014would increase shipping costs, and could reduce traffic on the inland waterways. Further, some stakeholders raised concerns about the equity of lockage fees, as all users benefit from the system as a whole, but not all users frequently pass through locks. For example, as one stakeholder pointed out: the Mississippi River has zero locks and dams from St. Louis to New Orleans, so users that operate chiefly on that part of the system may not need to pay lockage fees. As such, lockage fees would affect some commercial users more than others: if the fuel tax were replaced with lockage fees, some users (those that do not routinely pass through locks, but benefit from the pools created) may ultimately pay much less than they currently do, while others (those operating on areas of the system with a high number of locks) would pay much more.", "Expanding the use of contributed funds. Expanding the Corps\u2019 authority to allow local sponsors\u2014generally state and local governments or interstate agencies\u2014to contribute to the costs of project construction, as is the case for other types of water resource projects, could increase available funding. The Water Resources Reform and Development Act of 2014 established a pilot project that enabled the Corps to accept contributed funds from nonfederal interests to pay for the costs of operating inland waterways facilities but does not allow such contributions for maintenance or construction.", "Some stakeholders said expanding the current use of contributed funds for operations expenses by enabling local sponsors to contribute funds for construction could potentially benefit some communities and increase available funding. However, the costs for construction and maintenance of facilities on high-use waterways would likely be too high for local sponsors to offset. Moreover, we have reported that state and local governments face long-term fiscal pressures, which may limit their ability to contribute to costs for navigation locks in their jurisdictions.", "Pursuing alternative-financing arrangements. The current administration and others have proposed alternative-financing options that could enable the Corps to leverage either private capital or other available funds in order to provide full upfront funding for inland waterways construction projects. Numerous proposals call for the Corps to leverage private capital, such as public-private partnerships or debt financing, to access full funding at the beginning of inland-waterways construction projects. The Water Resources Redevelopment Act of 2014 authorized the Corps to implement pilot programs to explore the use of debt financing, such as low interest loans provided under the Water Infrastructure Finance and Innovation Act of 2014, and public-private partnerships for civil works water resources projects. Similarly, the current administration\u2019s 2018 Legislative Outline for Rebuilding Infrastructure in America proposes authorizing the Secretary of the Army to execute agreements with non-federal public or private entities for civil works water resources construction projects.", "While some stakeholders stated that alternative-financing arrangements could increase available funding for inland-waterways construction projects, they were unsure of whether these agreements would work in practice. According to some stakeholders, public-private partnerships and debt-financing would provide upfront funding with an expectation of either a profitable return to a private equity partner or repayment of debt; however, according to some stakeholders, there is limited interest in entering into these financing arrangements among private sector investors because there is no clear and viable revenue stream to provide such returns. For instance, some stakeholders told us that increasing fees for commercial users to provide a revenue stream could have the effect of reducing traffic on waterways, which would reduce the revenue potential of fees.", "Alternative-financing arrangements would also require congressional action to implement. Specifically, depending on the structure of these financing agreements, alternative financing would require legislative changes, which could include granting the Corps authority to: (1) enter into public-private partnerships, (2) use debt financing, (3) use contract authority to obligate funding beyond what is appropriated in a given year, or (4) collect and retain revenue such as lockage fees. While the Water Resources Reform and Development Act of 2014 authorized the pilot programs to explore the use of public private partnerships and debt financing, Corps officials told us that they cannot enter into agreements of this type without specific appropriations, which they have not yet received. Corps officials stated that they are currently developing a high level policy to provide general direction about the use of alternative financing but according to them, the lack of a clear revenue source may make it more difficult to execute alternative-financing strategies that include private partners for inland waterways infrastructure.", "In contrast, the President recently proposed establishment of a Federal Capital Revolving Fund, which could enable federal agencies to access full upfront funding for certain construction projects without leveraging private capital. According to the proposal, the revolving fund would transfer funding to agencies to finance large-dollar real-property capital projects designated in appropriations acts if the project receives an appropriation for the first of a maximum of 15 required annual repayments. If those conditions are met, the revolving fund would transfer funds to agencies to cover the full cost to acquire the capital asset\u2014in the case of inland waterways, the full cost to construct the project. Purchasing agencies would repay the fund using annual appropriations\u2014 for inland waterways, this approach likely would mean that repayments could be made using appropriations from either the Trust Fund or general revenues. While Corps inland-waterways construction projects would not be eligible for funding under this proposal, this type of approach to alternative financing could potentially be used to enable the Corps to contract for inland waterways construction more efficiently. However, only projects included in the President\u2019s budget request would be eligible to receive this funding. At present, only one inland waterway project\u2014 Olmsted Locks and Dam\u2014meets that requirement, and the Corps does not anticipate other authorized projects meeting the current benefit-cost ratio threshold for inclusion. Congressional action would be required to implement the proposed Federal Capital Revolving Fund, as well as authorize eligibility of inland-waterways construction projects, or a separate fund that would include Corps infrastructure projects."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The inland waterways are a critical component of the nation\u2019s freight transportation system, and the Corps must manage the system within the context of competing priorities and limited resources. To effectively manage those resources, the Corps must accurately identify, assess, and communicate its priorities for operations, maintenance, and construction funding. The Corps cannot quantify deferred maintenance for inland waterways because it lacks a definition and measure (or measures) of deferred maintenance that reflects priorities and how deferral will affect system reliability. As such, the Corps is unable to clearly communicate its funding needs related to operating and maintaining the inland waterways.", "As with many federal programs, the Corps manages inland-waterways- construction and major-rehabilitation projects within some fundamental constraints, including available Trust Fund revenue, which is less than the amount that would be needed to fully fund the estimated costs of any of the four ongoing new construction projects. Accordingly, Congress and the President have instead incrementally funded multiple construction projects at a time. However, this incremental-funding approach can lead to construction delays and increasing costs. As a result, other priority projects cannot be started, construction backlogs grow, and delays and closures continue to affect vessels at locks and dams that continue to deteriorate while waiting for replacement or rehabilitation. The Corps\u2019 capital investment strategy identifies an approach to funding priority projects given estimated Trust Fund revenue, but given the constrained fiscal environment and the unpredictable nature of the annual appropriations process, cost increases and schedule delays are likely to continue. Should Congress decide that additional funding is warranted to reduce this inefficiency, our report includes several options stakeholders have identified for doing so, such as increasing the federal share of construction costs for these projects. In the absence of increased funding, however, stakeholders we spoke to identified actions the Corps could take in coordination with Congress to increase the efficiency of contracting for inland waterways projects. The Corps could explore changes\u2014such as sequencing project construction or legislative changes to enable more upfront funding prior to starting construction, among other options discussed in this report\u2014that would enable the Corps to contract for inland waterways construction in a more efficient way. However, all of the options we discuss have important policy trade-offs and other challenges that the Corps and Congress would need to carefully consider."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to the Corps: The Chief of Engineers and Commanding General of the U.S. Army Corps of Engineers should define and measure deferred maintenance for inland waterways in a way that enables the Corps to clearly communicate estimated costs for maintenance needs. (Recommendation 1)", "The Chief of Engineers and Commanding General of the U.S. Army Corps of Engineers should pursue ways to increase the Corps\u2019 ability to use available funding for inland waterways construction more efficiently and, should changes to the Corps\u2019 authority be necessary, develop a legislative proposal to request such authority. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Secretaries of Defense, Transportation, and Homeland Security and the Director of the Office of Management and Budget for review and comment. The Department of Defense provided written comments that are reprinted in appendix V; the department concurred with our recommendations. The Department of Homeland Security and Office of Management and Budget provided technical comments, which we incorporated as appropriate. The Department of Transportation had no comments on the draft report.", "We are sending copies of this report to appropriate congressional committees; the Secretaries of Defense, Transportation, and Homeland Security; and the Director of the Office of Management and Budget. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or VonAhA@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Inland and Intracoastal Fuel- Taxed Waterways of the United States", "paragraphs": ["1. Alabama-Coosa Rivers: From junction with the Tombigbee River at river mile (hereinafter referred to as RM) 0 to junction with Coosa River at RM 314. 2. Allegheny River: From confluence with the Monongahela River to form the Ohio River at RM 0 to the head of the existing project at East Brady, Pennsylvania, RM 72. 3. Apalachicola-Chattahoochee and Flint Rivers (ACF): Apalachicola River from mouth at Apalachicola Bay (intersection with the Gulf Intracoastal Waterway) RM 0 to junction with Chattahoochee and Flint Rivers at RM 107.8. Chattahoochee River from junction with Apalachicola and Flint Rivers at RM 0 to Columbus, Georgia at RM155 and Flint River, from junction with Apalachicola and Chattahoochee Rivers at RM 0 to Bainbridge, Georgia, at RM 28. 4. Arkansas River (McClellan-Kerr Arkansas River Navigation System): From junction with Mississippi River at RM 0 to Port of Catoosa, Oklahoma, at RM 448.2. 5. Atchafalaya River: From RM 0 at its intersection with the Gulf Intracoastal Waterway at Morgan City, Louisiana, upstream to junction with Red River at RM 116.8. 6. Atlantic Intracoastal Waterway: Two inland waterway routes approximately paralleling the Atlantic coast between Norfolk, Virginia, and Miami, Florida, for 1,192 miles via both the Albermarle and Chesapeake Canal and Great Dismal Swamp Canal routes. 7. Black Warrior-Tombigbee-Mobile Rivers: Black Warrior River System from RM 2.9, Mobile River (at Chickasaw Creek) to confluence with Tombigbee River at RM 45. Tombigbee River (to Demopolis at RM 215.4) to port of Birmingham, RM\u2019s 374-411 and upstream to head of navigation on Mulberry Fork (RM 429.6), Locust Fork (RM 407.8), and Sipsey Fork (RM 430.4). 8. Columbia River (Columbia-Snake Rivers Inland Waterways): From the Dalles at RM 191.5 to Pasco, Washington (McNary Pool), at RM 330, Snake River from RM 0 at the mouth to RM 231.5 at Johnson Bar Landing, Idaho. 9. Cumberland River: Junction with Ohio River at RM 0 to head of navigation, upstream to Carthage, Tennessee, at RM 313.5. 10. Green and Barren Rivers: Green River from junction with the Ohio River at RM 0 to head of navigation at RM 149.1. 11. Gulf Intracoastal Waterway: From St. Mark\u2019s River, Florida, to Brownsville, Texas, 1,134.5 miles. 12. Illinois Waterway (Calumet-Sag Channel): From the junction of the Illinois River with the Mississippi River RM 0 to Chicago Harbor at Lake Michigan, approximately RM 350. 13. Kanawha River: From junction with Ohio River at RM 0 to RM 90.6 at Deepwater, West Virginia. 14. Kaskaskia River: From junction with Mississippi River at RM 0 to RM 36.2 at Fayetteville, Illinois. 15. Kentucky River: From junction with Ohio River at RM 0 to confluence of Middle and North Forks at RM 258.6. 16. Lower Mississippi River: From Baton Rouge, Louisiana, RM 233.9 to Cairo, Illinois, RM 953.8. 17. Upper Mississippi River: From Cairo, Illinois, RM 953.8 to Minneapolis, Minnesota, RM 1,811.4 18. Missouri River: From junction with Mississippi River at RM 0 to Sioux City, Iowa, at RM 734.8. 19. Monongahela River: From junction with Allegheny River to form the Ohio River at RM 0 to junction of the Tygart and West Fork Rivers, Fairmont, West Virginia, at RM 128.7. 20. Ohio River: From junction with the Mississippi River at RM 0 to junction of the Allegheny and Monongahela Rivers at Pittsburgh, Pennsylvania, at RM 981. 21. Ouachita-Black Rivers: From the mouth of the Black River at its junction with the Red River at RM 0 to RM 351 at Camden, Arkansas. 22. Pearl River: From junction of West Pearl River with the Rigolets at RM 0 to Bogalusa, Louisiana, RM 58. 23. Red River: From RM 0 to the mouth of Cypress Bayou at RM 236. 24. Tennessee River: From junction with Ohio River at RM 0 to confluence with Holstein and French Rivers at RM 652. 25. White River: From RM 9.8 to RM 255 at Newport, Arkansas. 26. Willamette River: From RM 21 upstream of Portland, Oregon, to Harrisburg, Oregon, at RM 194. 27. Tennessee-Tombigbee Waterway: From its confluence with the Tennessee River to the Warrior River at Demopolis, Alabama."], "subsections": []}, {"section_title": "Appendix II: Inland Waterways Stakeholders GAO Interviewed", "paragraphs": ["Appendix II: Inland Waterways Stakeholders GAO Interviewed Entity American Association of State Highway and Transportation Officials American Society of Civil Engineers Big River Coalition (New Orleans)", "Gulf Intracoastal Canal Association (New Orleans)", "Illinois Corn Growers Association (Rock Island)", "National Grain and Feed Association Pacific Northwest Waterways Association (Walla Walla)", "River Industry Action Committee (Rock Island)", "Warrior-Tombigbee Waterway Association (Mobile)", "Waterways Association of Pittsburgh (Pittsburgh)", "Waterways Council, Inc.", "Archer Daniels Midland Company (Rock Island)", "Campbell Transportation Company, Inc. (Pittsburgh)", "Canal Barge Company, Inc. (New Orleans)", "Channel Shipyard Companies (New Orleans)", "Cooper Marine & Timberlands Corp (Mobile)", "J. Craig Stepan, formerly of U.S. Steel (Mobile)", "Parker Towing Company (Mobile)", "Shaver Transportation (Walla Walla)", "Tidewater Barge Lines (Walla Walla)", "Turn Services (New Orleans)", "Arkansas Waterways Commission (Little Rock)", "Little Rock Port Authority (Little Rock)", "The Port of New Orleans (New Orleans)", "The Port of Pittsburgh Commission (Pittsburgh)", "Washington Grain Commission (Walla Walla)", "Alabama Scenic River Trail (Mobile)", "Allegheny River Development Corporation (Pittsburgh)"], "subsections": [{"section_title": "Stakeholder Type", "paragraphs": ["Entity Boat Owners Association of the United States (BoatUS)", "Little Rock Yacht Club (Little Rock)", "Upper Monongahela River Association (Pittsburgh)", "Allegheny County Sanitary Authority (Pittsburgh)", "Clarksville Light & Water Company (Little Rock)", "Southwestern Power Resources Association (Little Rock)", "C. James Kruse, Texas A&M University Chris Hendrickson, Ph.D., Carnegie Mellon University Craig Philip, Ph.D., Vanderbilt University Dennis Lambert, COWI Marine North America Edward Dickey, Ph.D., Dawson & Associates Gary Loew, Dawson & Associates Jill Jamieson, Jones Lang LaSalle Leonard Shabman, Ph.D., Resources for the Future Paul Bingham, Economic Development Research Group, Inc.", "B. Starr McMullen, Ph.D., Oregon State University Stephen Fitzroy, Ph.D., Economic Development Research Group, Inc."], "subsections": []}]}, {"section_title": "Appendix III: Technical Appendix for GAO\u2019s Funding Simulation for Inland-Waterways Construction Projects", "paragraphs": ["To illustrate the effects associated with the current-funding approach, which was consistently discussed as a challenge in interviews with agency officials and stakeholders, we developed a funding simulation for hypothetical projects using assumptions that were anchored in findings from a 2008 Corps study on factors contributing to cost increases for inland-waterways construction projects. This funding simulation was intended to demonstrate the effects of the pattern and timing of funding on total project costs and construction schedules. To inform our assumptions, we analyzed the results of the Corps study, which examined three inland-waterways construction projects and identified the many factors that contributed to cost increases and schedule delays for each project. One of the factors the report identified that led to higher funding requirements (that is, cost overruns) was inefficient contracting driven by the amount and timing of funding provided to each project.", "We developed five hypothetical scenarios that represent different funding approaches of a set of four identical construction projects (including a control scenario in which full upfront funding for all projects is available) based on the following information: each project requires $500 million in funding; each project takes 5 years to construct if it is fully funded with $500 absent full upfront funding, projects were structured to expect funding of $100 million per year for the project; once started, funding is not interrupted over the period of our total amount of available funding to fund these projects is $200 million per year; and; the number of years the projects provide benefits\u2014that is, the number of years a facility has been constructed and is available for use by vessels\u2014varies within the period of time selected for the simulation (2020 through 2034).", "To illustrate the effects of the different funding approaches on total project costs and time frames, we made assumptions about the effect of various funding structures on total funding requirements. These assumptions were informed by our review of the findings of the Corps\u2019 study related to the effects of incremental funding and discussions of these issues with Corps officials. These assumptions include:", "Remaining required project funding was assumed to increase by 2 percent each year due to inefficient contracting that results from less than full upfront funding\u2014that is, if the full $500 million of estimated project funding is not provided in year 1.", "Remaining required project funding was also assumed to increase by 0.5 percent each year if projects received less funding than is expected in a given year (less than $100 million) due to exacerbated project-contracting inefficiencies.", "An increase of 2 percent per year of remaining required project funding was applied if the project\u2019s start was delayed beyond its intended starting year due to inflation.", "We applied increases to funding requirements where appropriate under the five different funding approaches:", "Approach A: Fund One Project at a Time\u2014Funding only one project at a time with all available funding ($200 million). Once the first project has been fully funded, all available funding is provided to the second project, and so on.", "Approach B: Fund Multiple Projects at Different Amounts\u2014Funding one project at a time at the expected level\u2014that is, at $100 million each year until it is finished\u2014then dividing remaining available funding equally to the remaining three projects. After the first project is complete, the second project receives $100 million each year until completion and the remaining funding is divided evenly, and so on.", "Approach C: Fund Two Projects at a Time\u2014Available funding is divided among two projects; two projects receive funding at the expected level ($100 million) and the start of funding for the remaining projects is delayed until the first 2 are completed.", "Approach D: Delay Construction to Fully Fund One Project at a Time\u2014Full upfront funding for one project at a time: allocation of funds is delayed until the entire remaining funding required ($500 million plus increases due to inflation) is available.", "Approach E: Fund Multiple Projects Equally\u2014Equally funding all four projects at once: since the overall budget is $200 million, each project is funded at $50 million per year.", "We found that the timing and amount of incremental funding resulted in varying degrees of cost overruns (see fig. 13). In addition, the different funding approaches led to varying years of benefits\u2014as measured by the Corps as the number of years a facility has been constructed and available for use by vessels\u2014counted over a 15-year span of our simulation. This variation is shown in figure 13, but these projects would provide many years of benefits beyond this timeframe. For example, we found that\u2014compared to other approaches\u2014an incremental funding approach that concentrates all available funding to one of the four projects at a time, as in Approach A, below, can reduce inefficiency.", "To validate our findings, we solicited feedback from Corps officials from the Pittsburgh District, Pennsylvania and Rock Island District, Illinois\u2014 based on their past and current experience with inland-waterways construction projects\u2014from the Corps\u2019 Cost Estimating Center of Expertise in Walla Walla, Washington; and representatives from the Waterways Council, Inc. to understand the perspectives of industry stakeholders. They all generally agreed that our assumptions, approaches, and results were reasonable."], "subsections": []}, {"section_title": "Appendix IV: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we (1) assess how the Corps allocates funds for operations and maintenance projects for the inland waterways system; (2) describe how the Corps prioritizes and funds construction projects, and assess the effect of the current-funding approach on projects\u2019 costs and schedules; and (3) present stakeholder opinions on proposed options to alter the funding and management of inland waterways and any associated limitations or trade-offs. The scope of our review includes Corps activities related to managing commercial navigation\u2014including operations, maintenance, and construction\u2014on the 27 inland waterways subject to the inland waterways diesel fuel tax. The fuel-taxed inland waterways system is made up of the navigable waterways of the Mississippi River and its tributaries, the Ohio River basin, the Gulf and Atlantic Intracoastal Waterways, and the Columbia-Snake Rivers, among others (see app. I for a list of fuel-taxed inland waterways). Commercial navigation activities are those that facilitate the movement of traffic along the waterways for commercial purposes, such as the transportation of goods for sale. For contextual information on operations, maintenance, and construction spending, we analyzed Corps financial data on obligations for operations and maintenance for inland-waterways navigation projects for fiscal years 2006 through 2017 (the only years for which data were available) and allocations for construction and major rehabilitation of locks and dams for fiscal years 1997 through 2018 from the Corps of Engineers Financial Management System. To determine the reliability of this data for the purposes of this report, we reviewed the data to identify obvious errors and missing data and interviewed appropriate Corps officials about related internal controls and procedures and the limitations of the data. We found these data to be sufficiently reliable for the purpose of providing contextual information about funding for inland waterways operations and maintenance and construction over time.", "With regard to all of our reporting objectives, we interviewed a range of Corps officials at the headquarters, division, and district levels, as well as national and regional stakeholders. We interviewed district officials from a non-generalizable sample of 6 of the 24 Corps districts that manage fuel-taxed waterways within their district boundaries; we selected the districts to include a variety of geographic regions, waterway characteristics, primary commodities shipped, and history of construction projects funded through the Trust Fund. Based on these criteria, we selected the Corps districts in Little Rock, Arkansas; Mobile, Alabama; New Orleans, Louisiana; Pittsburgh, Pennsylvania; Rock Island, Illinois; and Walla Walla, Washington. In addition, we interviewed officials from the Corps\u2019 Northwestern Division office, which oversees the Walla Walla District, to understand the division-level role in coordinating districts\u2019 inland-waterways infrastructure projects. We also conducted a total of 42 semi-structured interviews with waterways stakeholders representing 43 different regional and national entities including commercial, recreational, and other waterway users and 12 researchers (academics, economists, and engineers) for a total of 55 stakeholders. National stakeholders were identified by reviewing related literature and our prior reports and recommendations from the Transportation Research Board and the Waterways Council, Inc. (an industry organization representing a range of waterway users including shippers, ports, energy providers, waterways operators, and other advocacy groups). Regional stakeholders in the six selected districts were identified through recommendations from agencies and national waterways stakeholder organizations to represent a mix of commercial users (such as barge companies and shippers with commercial interests in the U.S. inland waterways system); recreational users; and industrial water users (such as municipal water authorities and hydropower entities). From those stakeholders identified, we selected entities to interview to achieve diversity of waterway users\u2019 perspectives and conducted interviews with both individual entities as well as associations representing a variety of users and companies. In addition to waterways\u2019 users, we also interviewed stakeholders who have conducted research regarding the management of and allocation of funding for fuel-taxed waterways, selected based on their contributions to the relevant literature on options for funding and managing inland waterways, including academics, economists, and engineers who were knowledgeable about a range of topics including commodities transportation (agricultural, energy products, and other materials), engineering, and water resources. See appendix II for a list of entities represented among the stakeholders we interviewed.", "We asked agency officials and stakeholders open-ended questions and did not conduct a survey in which a response was provided irrespective of whether a certain issue was relevant to the interviewee, so not every topic was brought up or discussed by every interviewee. We analyzed the responses to identify common themes and the range of opinions that arose in interviews, which we have reported on. To identify these themes and summarize the opinions of agency officials and stakeholders, potential themes were identified via review of a sample of interviews. Two analysts then conducted a content analysis to identify the themes discussed in each interview and categorize the opinions of the interviewees. For each interview, one analyst independently reviewed the record of interview, and the other analyst later verified that coding. If there was disagreement, the analysis discussed their assessment and came to a final determination on the categorization. Because we selected a non- generalizable sample of stakeholders, their responses should not be used to make inferences about a population. To characterize stakeholders\u2019 views throughout this report, we defined modifiers (e.g., \u201csome\u201d) to quantify stakeholders as follows: \u201csome\u201d stakeholders represents stakeholders in 3 to 14 of the 42 interviews \u201cmany\u201d stakeholders represents stakeholders in 15 or more of the 42 interviews.", "To examine how the Corps allocates funds for operations and maintenance projects for the inland waterways system, we examined the President\u2019s budget request for civil works and appropriations for fiscal years 1997 through 2018 as well as the Corps\u2019 budget request development guidance to understand how the Corps develops its budget request and prioritizes operations and maintenance projects. We conducted site visits to Mobile, Alabama; New Orleans, Louisiana; and Pittsburgh, Pennsylvania, to interview Corps officials and various regional stakeholder groups in person, and to observe the condition of waterway infrastructure. We also interviewed officials from the Office of the Assistant Secretary of the Army for Civil Works (ASA-CW), the Office of Management and Budget (OMB), the Department of Transportation\u2019s Maritime Administration, and the Department of Homeland Security\u2019s U.S. Coast Guard to understand how the Corps coordinates with other agencies to fulfill its inland-waterways navigation mission. To assess the Corps\u2019 efforts related to deferred maintenance we interviewed Corps officials about how the Corps measures and defines deferred maintenance and compared these practices with federal internal-control standards related to control activities and quality information.", "To describe how the Corps prioritizes and funds inland-waterways construction projects and to examine the effect of the current funding approach on projects\u2019 costs and schedules, we reviewed relevant statutes, agency policies and guidance, the Corps\u2019 capital-investment strategy documents prepared in conjunction with the Inland Waterways Users Board, as well as the Corps\u2019 Civil Works budget justification documents in support of President\u2019s budget requests, congressional appropriations, and accompanying conference reports. We also reviewed relevant Corps documents, such as reports on ongoing construction projects and studies on construction cost increases; prior GAO reports; OMB capital funding guidance; and other academic studies to gather information on capital project funding approaches, including for inland waterways projects. We analyzed data from the Corps of Engineers Financial Management System to identify sources of funding for inland- waterways construction projects from fiscal years 1996 through 2018. As discussed above, we found these data sufficiently reliable for the purposes of providing contextual information about the Corps\u2019 funding sources. In addition to interviewing Corps officials and stakeholders, as described above, we also interviewed officials from the office of the ASA- CW and OMB for their views regarding the prioritization and funding processes for inland waterways-infrastructure projects, and the roles their organizations play in those processes. We compared the established method of funding inland-waterways construction projects with federal internal-control standards, OMB guidance, and prior GAO work related to funding capital projects.", "To illustrate the effects of the current funding approach on costs and schedules for inland-waterways construction projects, we developed a simulation of the effects of various funding approaches on the total funding requirements for a set of hypothetical construction projects. The simulation incorporates assumptions regarding the amount of total funding a project would require (including any cost overruns) due to the pattern and timing of funding made available. Our assumptions were anchored in findings from a 2008 Corps study on factors contributing to cost increases for three inland-waterways construction projects, and Corps officials and other industry stakeholders generally agreed that our assumptions and results were reasonable. Additional information on our methodology for developing this simulation and the full results are included in appendix III.", "Finally, to identify proposed options to alter the funding and management of inland waterways, we conducted a literature search\u2014including scholarly/peer-reviewed journals, government reports, congressional hearings\u2019 transcripts, and associations\u2019 and think tanks\u2019 publications\u2014to identify relevant studies and proposals about inland waterways\u2019 financing in the United States, published between 2007 and 2017. Through our literature search, we reviewed the abstracts for 103 potentially relevant studies and identified 24 for further review. For each of these 24 studies, we reviewed the entire study and determined 13 studies were relevant. We then reviewed these 13 studies to identify the options most commonly discussed or proposed. For the purposes of this report, we have divided those options into broad categories: altering the cost sharing between the Trust Fund and federal requiring other users and beneficiaries of the waterways to contribute to the Trust Fund, increasing or adding fees for commercial users, expanding opportunities for local sponsors to contribute to funding pursuing alternative-financing arrangements.", "In addition, we reviewed proposals by recent administrations, including the fiscal year 2018 President\u2019s budget request, and interviewed Corps officials and other entities including the Transportation Research Board and district and agency stakeholders selected as described above to ensure we had identified the most relevant options. During interviews with stakeholders (as discussed above) we asked about their general views on the potential benefits limitations, and trade-offs of those options. See appendix II for a list of the stakeholders we interviewed.", "We conducted this performance audit from June 2017 through November 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Andrew Von Ah, (202) 512-2834 or Vonaha@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, the following individuals made important contributions to this report: Susan Zimmerman, Assistant Director; Katie Hamer, Analyst-In-Charge; Amy Abramowitz; Faisal Amin; Krister Friday; Carol Henn; Hannah Laufe; Sara Ann Moessbauer; Josh Ormond; Cheryl Peterson; Amy Rosewarne; Alexandra Rouse; Lisa Shibata; and Pamela Snedden."], "subsections": []}]}], "fastfact": ["The U.S. Army Corps of Engineers maintains the nation's inland waterways, including locks and dams. Its inland waterways construction projects have often seen delays and cost overruns.", "Corps reports and academic studies say the Corps faces higher costs and delays because it receives funding for only a part of a project each year, so it must contract for projects in pieces. Corps officials estimate that this inefficient approach will add $229 million to the cost of one project alone.", "We recommended the Corps seek ways to use construction funds more efficiently."]} {"id": "GAO-18-512T", "url": "https://www.gao.gov/products/GAO-18-512T", "title": "National Preparedness: FEMA Has Taken Steps to Strengthen Grant Management, But Challenges Remain in Assessing Capabilities", "published_date": "2018-04-23T00:00:00", "released_date": "2018-04-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Homeland Security (DHS), through FEMA, provides preparedness grants to state, local, tribal, and territorial governments to improve the nation's readiness in preventing, protecting against, responding to, recovering from and mitigating terrorist attacks, major disasters and other emergencies.", "According to DHS, the department has awarded over $49 billion to a variety of DHS preparedness grant programs from fiscal years 2002 through 2017, to enhance the capabilities of grant recipients. For example, the State Homeland Security Program which awards grants to the nation's 56 states and territories, and the Urban Areas Security Initiative which awards grants to urban areas based on DHS's risk methodology, are the largest of the preparedness grant programs (see figure).", "This statement addresses progress and challenges in FEMA's efforts to manage preparedness grants and GAO's prior recommendations to strengthen these programs. This statement is based on prior GAO reports issued from March 2011 through February 2016 and selected updates conducted in December 2017 through April 2018. To conduct the prior work and updates, GAO analyzed relevant FEMA data and documentation and interviewed relevant officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In February 2012, GAO identified coordination challenges among Federal Emergency Management Agency (FEMA) grant programs that share similar goals and fund similar projects, which contribute to the risk of duplication among the programs. GAO recommended that FEMA take steps, as it develops its new grant management system, to collect project information with sufficient detail to identify potential duplication among the grant programs. FEMA has since addressed these recommendations. Specifically, in 2014, FEMA modified a legacy grants data system to capture more robust grant project-level data, and in fiscal year 2017, procured a software tool and developed a set of standard operating procedures to assist its staff in identifying potentially duplicative projects. These actions should help FEMA strengthen the administration and oversight of its grant programs. Furthermore, FEMA is also developing a new grants management modernization system to consolidate and better manage its grants. GAO is currently reviewing the system for this Committee and will report out next year.", "GAO reported in March 2011 on the need for FEMA to improve its oversight of preparedness grants by establishing a framework with measurable performance objectives for assessing urban area, state, territory, and tribal capabilities to identify gaps and prioritize investments. Specifically, GAO recommended that FEMA complete a national preparedness assessment of capability gaps at each level based on tiered, capability-specific performance objectives to enable prioritization of grant funding. FEMA has taken some steps to address GAO's prior recommendation. Specifically, in February 2018, FEMA reported developing capability-specific performance objectives that will enable a national preparedness assessment of capability gaps. However, FEMA plans to finalize these efforts in 2020 and it is too early to tell how this will impact grant allocations. Until these efforts are completed, GAO will not be able to determine the extent that they address past challenges and recommendations."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO has made prior recommendations designed to address the challenges discussed in this statement. FEMA has taken actions to address some but not all of these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I appreciate the opportunity to participate in today\u2019s hearing to provide an update on the efforts of the Federal Emergency Management Agency (FEMA)\u2014a component of the Department of Homeland Security (DHS)\u2014 to manage preparedness grants and measure and assess national preparedness capabilities. Our work over the last seven years has focused on FEMA\u2019s efforts to coordinate federal interagency preparedness and manage and assess the impact of FEMA\u2019s preparedness grants on state and local preparedness. As described in more detail below, our recommendations have identified additional steps FEMA can take to improve the efficiency and effectiveness of these efforts, including enhancing coordination and providing guidance on preparedness. FEMA has taken actions to address some of these recommendations, but more fully addressing all of them could lead to additional savings, better services to the public, improved program performance and accountability, and, ultimately, a better prepared nation.", "Following the federal response to Hurricane Katrina in 2005, Congress enacted the Post-Katrina Emergency Management Reform Act of 2006 (Post-Katrina Act). In response to the act, among other things, DHS centralized its preparedness grants under FEMA\u2019s Grant Programs Directorate (GPD) to better integrate and coordinate grant management. The act also requires that FEMA develop a national preparedness system and assess preparedness capabilities to determine the nation\u2019s preparedness. GPD provides preparedness grants to state, local, tribal, and territorial governments, as well as transportation authorities, nonprofit organizations, and the private sector, to improve the nation\u2019s readiness in preventing, protecting against, responding to, recovering from and mitigating terrorist attacks, major disasters and other emergencies. In fiscal year 2017, DHS announced the availability of 10 preparedness grant programs totaling more than $1.6 billion for fiscal year 2017. According to DHS, from fiscal years 2002 through 2017 the department has awarded over $49 billion to a variety of DHS preparedness grant programs to enhance the capabilities of state, local, tribal, and territorial grant recipients to carry out the above activities related to terrorist attacks and other disasters.", "My testimony today covers our prior work on FEMA preparedness efforts from March 2011 through February 2016 and selected updates conducted in December 2017 and February 2018. This statement specifically addresses FEMA\u2019s efforts to manage preparedness grants and our prior recommendations.", "To conduct our prior work, we reviewed relevant presidential directives, laws, regulations, policies, strategic plans, and key program documents; and interviewed federal, state, and local officials, among others. More detailed information on our scope and methodology can be found in each of the reports cited throughout this statement. To update our work, we interviewed relevant FEMA officials to obtain updates on efforts to improve coordination among preparedness grant programs. The work upon which this testimony is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Over the past decade, the federal government has expanded financial assistance to public and private stakeholders for preparedness activities through various grant programs administered by DHS through its component agency, FEMA. Through these grant programs, DHS has sought to enhance the capacity of states, localities, and other entities, such as ports or transit agencies, to prevent, respond to, and recover from a natural or manmade disaster, including terrorist incidents. Two of the largest preparedness grant programs are the State Homeland Security Program and the Urban Areas Security Initiative.", "The State Homeland Security Program provides funding to support states\u2019 implementation of homeland security strategies to address the identified planning, organization, equipment, training, and exercise needs at the state and local levels to prevent, protect against, respond to, and recover from acts of terrorism and other catastrophic events. FEMA allocated $402 million for the program in fiscal year 2017.", "The Urban Areas Security Initiative provides federal assistance to address the unique needs of high-threat, high-density urban areas, and assists the areas in building an enhanced and sustainable capacity to prevent, protect, respond to, and recover from acts of terrorism. FEMA allocated $580 million for the program in fiscal year 2017.", "The State Homeland Security Program (SHSP), awarded to the nation\u2019s 56 states and territories, and the Urban Areas Security Initiative (UASI), awarded to urban areas based on DHS\u2019s risk assessment methodology, are the largest of the preparedness grant programs, accounting for about 60 percent of Fiscal Year 2017 grant funding. See figure 1 for a history of funding levels for these programs. Eligible candidates for the FY 2017 UASI program are determined through an assessment of relative risk of terrorism faced by the 100 most populous metropolitan statistical areas in the United States, in accordance with the Homeland Security Act of 2002, as amended."], "subsections": []}, {"section_title": "FEMA Has Strengthened Its Coordination, Oversight, and Assessments of Grants But Challenges Remain in the Effectiveness of FEMA\u2019s Grant Management", "paragraphs": [], "subsections": [{"section_title": "FEMA Has Taken Some Steps to Address Coordination Challenges Between Headquarters and Regional Offices, But Some Challenges Still Remain", "paragraphs": ["In February 2016, we reported that FEMA has taken some steps, but has not fully addressed longstanding preparedness grant management coordination challenges between its headquarters and regional offices. We found that for several preparedness grant programs, FEMA headquarters staff in GPD and regional staff share management and monitoring responsibilities. For example, we found that assessments by GPD and others since 2009 had recommended that regional offices, rather than headquarters offices, be responsible for managing and monitoring preparedness grants to avoid confusion and duplication, and to strengthen coordination with state and local grantees. Further, in July 2011, we found that GPD had efforts underway to regionalize grant management responsibilities and improve coordination of preparedness grants, and that these efforts were consistent with internal control standards. However, GPD officials reported that in 2012 it changed course and decided to continue sharing grant management roles between headquarters and regions, referred to as a hybrid grant management structure. GPD officials told us that they changed course because, among other things, estimates that the costs of regionalization would be greater than the annual savings FEMA identified in an earlier study and concerns that inconsistent program implementation would occur across the regions, and outweighed the potential benefits. GPD officials at that time said they had taken steps to address coordination challenges associated with this hybrid grant management structure.", "However, we found in February 2016 that these challenges continue. For example, states and FEMA regional officials told us that GPD staffs in headquarters and regions did not always coordinate their monitoring visits, which can be disruptive to the state emergency management agency\u2019s day-to-day operations. FEMA regional officials also reported that GPD staffs in headquarters and regions sometimes provided inconsistent guidance to grantees. Further, while GPD officials identified some steps they plan to take to address the challenges, we found that GPD lacked a plan with time frames and goals for addressing them. We recommended that FEMA develop a plan with time frames, goals, metrics, and milestones detailing how GPD intends to resolve longstanding challenges associated with its existing hybrid grants management model, which divides responsibilities between regional and headquarters staff. FEMA, however, did not concur with our recommendation, stating that it disagreed with our characterization of longstanding challenges in managing preparedness grants. As we stated in the report, multiple assessments dating back to 2009 have reported challenges with the hybrid model. As also noted in our report, officials from four FEMA regional offices and officials from three states within those regions provided various examples of a lack of coordination between headquarters and regional staff in managing preparedness grants, including instances that took place in 2014 and as recently as September 2015.", "In October 2017, FEMA developed a plan\u2014the Milestone Action Plan\u2014to track efforts aimed at improving coordination issues associated with its hybrid grants management model, as we recommended in February 2016. The plan divides responsibilities for the management of preparedness grants between regional and headquarters staff and describes completed, ongoing, and planned efforts taken by FEMA to improve grants management coordination along with steps taken, goals, and time frames, among other things. For example, the plan shows that FEMA developed and finalized the Monitoring Actions Tracker in August 2016, a tool shared by GPD in FEMA headquarters and staff in regional offices. Through the tracker, GPD headquarters and regional staffs are able to view planned and completed monitoring activities related to grants management, as well as the status of any open corrective actions. In addition to developing the Milestone Action Plan, FEMA officials described other efforts taken to improve coordination issues. For example, FEMA officials told us they increased the use of an online collaboration tool, which allows for instant information sharing between GPD and the regions. By taking these steps, FEMA should be better positioned to track and evaluate efforts to improve regional coordination, as we recommended in 2016."], "subsections": []}, {"section_title": "FEMA Has Taken Steps to Increase Oversight Across Preparedness Grant Programs", "paragraphs": ["FEMA has been delayed in addressing the need for improved coordination among grant programs identified in our prior work. Specifically, we found in February 2012 that multiple factors contribute to the risk of duplication among four FEMA preparedness grant programs\u2014 the State Homeland Security Program, Urban Areas Security Initiative, Port Security Grant Program, and Transit Security Grant Program\u2014as these programs share similar goals, fund similar projects, and provide funds in the same geographic regions. Further, we found that DHS\u2019s ability to track grant funding, specific funding recipients, and funding purposes varies among the programs, giving FEMA less visibility over some grant programs. Also, DHS\u2019s award process for some programs based allocation decisions on high-level, rather than specific, project information, which could further contribute to the risk of duplication. Although our February 2012 analysis identified no cases of duplication among a sample of grant projects, the above factors collectively put FEMA at risk of funding duplicative projects. As a result, in 2012, we included these challenges in our annual report on duplication, overlap, and fragmentation in federal programs, agencies, offices, and initiatives. FEMA has not yet taken action to fully address our concerns.", "We recommended in February 2012 that as FEMA developed its new grants management information system (the Non-Disaster Grants Management System, or ND Grants at that time), that the agency collect project information with the level of detail needed to better position the agency to identify any potential unnecessary duplication within and across the four grant programs. In December 2012, FEMA officials reported that the agency intended to start collecting and analyzing project-level data from grantees in fiscal year 2014. Further, in December 2017, FEMA took actions to identify potential unnecessary duplication across four preparedness grant programs, as we recommended in February 2012. Although the development of FEMA\u2019s grants management information system is ongoing, FEMA issued guidance and adopted interim processes to help identify potential duplication across these preparedness grant programs until the system\u2019s capabilities are upgraded over the next several years. For example, in fiscal year 2014, FEMA modified a legacy grants data system to capture more robust project-level data\u2014such as project budget data\u2014for the Homeland Security Grant Program, which includes the State Homeland Security Grant Program and the Urban Areas Security Initiative.", "In addition, in fiscal year 2017, FEMA procured a software visualization tool and developed a set of standard operating procedures to assist staff in identifying potentially duplicative projects. Specifically, the visualization tool will use grants award data from the Port Security Grant Program, the Transit Security Grant Program, and compare the grant programs named above to highlight ZIP codes that contain multiple projects. These projects will then be analyzed by FEMA officials. According to the standard operating procedure, if duplication is suspected within a particular geographic area, further collaborative reviews should be conducted in coordination with the Office of Chief Counsel to determine appropriate remedies. Using an interim approach to collect more specific project-level data during the grant application process and utilizing the new software visualization tool should help FEMA strengthen the administration and oversight of its grant programs until FEMA implements its long-term solution for the agency\u2019s grants management information system."], "subsections": []}, {"section_title": "FEMA Is Validating Grant Performance Data,", "paragraphs": ["In the area of performance assessment, we reported in June 2013 on limitations in FEMA\u2019s ability to validate the performance data it collects. Specifically, we found that two of FEMA\u2019s preparedness grant programs\u2014Emergency Management Performance Grants (EMPG) and Assistance to Firefighters Grants (AFG) programs\u2014collect performance information through a variety of reporting mechanisms but face challenges in identifying verifiable program outcomes. These reporting mechanisms collect performance data used by FEMA regional offices and headquarters for different purposes. For example, headquarters focuses on the development of future program priorities and on reporting progress toward the National Preparedness Goal, while regions use program information to monitor primary grant recipients for compliance. DHS developed agency priority goals that reflect agency-wide, near-term priorities. According to FEMA officials, the EMPG and AFG programs have an indirect link to a DHS agency priority goal, as well as the National Preparedness Goal, because they support states\u2019 level of preparedness for disasters. According to FEMA officials, neither program has a standardized tool with which to validate the performance data that are self-reported by recipients; additionally, the regions are inconsistent in their approaches to verifying program performance data. We concluded that the absence of a formal established validation and verification procedure, as directed by the Office of Management and Budget\u2019s Circular No. A-11, could lead to the collection of erroneous performance data.", "In our June 2013 report, we recommended that FEMA ensure that there are consistent procedures in place at the headquarters\u2019 office and regional level to ensure verification and validation of grant performance data that allow the agency to attest to the reliability of EMPG and AFG grant data used for reporting progress toward goals. DHS concurred with our recommendation and stated that FEMA would explore effective and affordable ways to verify and validate EMPG and AFG grant performance data. In April 2015, FEMA officials reported that FEMA was in the process of developing the data verification and validation checks of EMPG grantee performance reporting. For example, according to FEMA officials, they have revised reporting templates and uniform table definitions to make it easier for grantees to submit accurate, complete, and consistent information on programmatic activities such as the completion of training and exercise requirements. However, these processes have not yet been fully implemented, and FEMA officials have not yet provided similar tools and checklists for the AFG program. In March 2017, FEMA grants management staff provided us with documentation on the process FEMA uses to verify and validate grantee data from the EMPG and AFG grant programs, as we recommended. As a result of having a consistent approach to verifying data, FEMA\u2019s efforts should reduce the collection of erroneous performance data.", "In addition, as part of our September 2016 review of FEMA Fire Assistance Grant program, we reported that FEMA officials said they planned to develop and implement a consolidated grant management system to integrate data used to manage fire grant programs with the data gathered for FEMA\u2019s other preparedness grants, and ultimately better measure the impact of fire grants on national preparedness efforts. Specifically, as we reported in May 2016, FEMA plans to develop and implement a new Grants Management Modernization system to provide agency-wide management for all of FEMA\u2019s disaster and preparedness grants. Further, we are currently performing an on-going review of FEMA\u2019s consolidated grant management system and plan to report on this effort later this year."], "subsections": []}, {"section_title": "FEMA Has Made Progress Assessing Its Grant Preparedness Capabilities, but Continues to Face Challenges Developing a National Preparedness System", "paragraphs": ["We also reported in March 2011 that FEMA needed to improve its oversight of preparedness grants by establishing a framework with measurable performance objectives for assessing urban area, state, territory, and tribal capabilities to identify gaps and prioritize investments. Specifically, we recommended that FEMA complete a national preparedness assessment of capability gaps at each level based on tiered, capability-specific performance objectives to enable prioritization of grant funding. With such an assessment, FEMA could identify the potential costs for establishing and maintaining capabilities at each level and determine what capabilities federal agencies should provide. We reported in March 2013 that FEMA has made some progress in assessing its preparedness capabilities, but continued to face challenges developing a national preparedness system that could assist FEMA in prioritizing preparedness grant funding. For example, in March 2012, FEMA issued the first National Preparedness Report, which describes progress made to build, sustain, and deliver capabilities. In April 2012, FEMA issued guidance on developing Threat and Hazard Identification and Risk Assessments (THIRA) to facilitate the self-assessments of regional, state, and local capabilities. FEMA requires state, territory, tribal, and urban area governments receiving homeland security funding to annually complete THIRAs and use the results to determine the resources required to achieve the capability targets they set for their jurisdiction. However, we found in March 2013 that FEMA faced challenges that may reduce the usefulness of these efforts. For example, the National Preparedness Report noted that while many programs exist to build and sustain preparedness capabilities, challenges remain in measuring their progress over time. According to the report, in many cases, measures do not yet exist to gauge the performance of these programs, either quantitatively or qualitatively.", "FEMA has taken some steps to address our recommendation. Specifically, FEMA reported in February 2018 that the agency has developed capability-specific performance objectives that will enable a national preparedness assessment of capability gaps, but no such report has been issued at this time. FEMA reported that it plans on implementing new methodology for some core capabilities in December 2018 and for all core capabilities by December 2019, and will be able to provide complete results in 2020. In addition, FEMA reported that they are developing a new Threat and Hazard Identification and Risk Assessment (THIRA) methodology that will assist in measuring the effectiveness of state and urban areas\u2019 grant projects in reducing risk. According to FEMA, the new methodology will measure changes in state and urban area preparedness through the use of standardized capability targets and key indicators that will show how FEMA preparedness grants are being used to address gaps in capability targets. This should also lead to a better understanding of the Nation\u2019s overall preparedness. Regardless, as of February 2018, FEMA had taken steps to assess preparedness capabilities, but had not yet completed a national preparedness assessment with clear, objective, and quantifiable capability requirements against which to assess preparedness, as we recommended. Developing such an assessment would help FEMA to identify what capability gaps exist at the federal level and what level of resources are needed to close such gaps.", "Chairman Donovan, Ranking Member Payne, and Members of the Subcommittee, this concludes my prepared statement. I would be happy to respond to any questions you may have."], "subsections": []}]}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For questions about this statement, please contact Chris Currie at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals making key contributions to this statement include Aditi Archer (Assistant Director), John Vocino (Analyst-In- Charge), Dorian Dunbar, Alexandra Gebhard, Eric Hauswirth, Chuck Bausell, Heidi Nielson, and Adam Vogt."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Federal Emergency Management Agency: Progress and Continuing Challenges in National Preparedness Efforts GAO-16-560T: Washington, D.C.: Apr 12, 2016.", "Fire Grants: FEMA Could Enhance Program Administration and Performance Assessment GAO-16-744: Washington, D.C.: Sep 15, 2016.", "Federal Emergency Management Agency: Strengthening Regional Coordination Could Enhance Preparedness Efforts. GAO-16-38, .Washington, D.C.: February 4, 2016.", "Emergency Management: FEMA Has Made Progress since Hurricanes Katrina and Sandy, but Challenges Remain. GAO-16-90T. Washington, D.C.: October 22, 2015.", "Emergency Management: FEMA Collaborates Effectively with Logistics Partners but Could Strengthen Implementation of Its Capabilities Assessment Tool. GAO-15-781. Washington, D.C.: September 10, 2015.", "Emergency Preparedness: Opportunities Exist to Strengthen Interagency Assessments and Accountability for Closing Capability Gaps. GAO-15-20. . Washington, D.C.: December 4, 2014.", "Federal Emergency Management Agency: Opportunities to Achieve Efficiencies and Strengthen Operations. GAO-14-687T. Washington, D.C.: July 24, 2014.", "National Preparedness: Actions Taken by FEMA to Implement Select Provisions of the Post-Katrina Emergency Management Reform Act of 2006. GAO-14-99R. Washington, D.C.: November 26, 2013.", "National Preparedness: FEMA Has Made Progress, but Additional Steps Are Needed to Improve Grant Management and Assess Capabilities. GAO-13-637T. Washington, D.C.: June 25, 2013.", "Grants Performance: Justice and FEMA Collect Performance Data for Selected Grants, but Action Needed to Validate FEMA Performance Data. GAO-13-552. Washington, D.C.: June 24, 2013.", "Managing Preparedness Grants and Assessing National Capabilities: Continuing Challenges Impede FEMA\u2019s Progress. GAO-12-526T. Washington, D.C.: March 20, 2012.", "Homeland Security: DHS Needs Better Project Information and Coordination among Four Overlapping Grant Programs. GAO-12-303. Washington, D.C.: February 28, 2012. 2012 Annual Report: Opportunities to Reduce Duplication, Overlap and Fragmentation, Achieve Savings, and Enhance Revenue. GAO-12- 342SP. Washington, D.C.: February 28, 2012.", "Port Security Grant Program: Risk Model, Grant Management, and Effectiveness Measures Could Be Strengthened. GAO-12-47.", "Washington, D.C.: November 17, 2011. FEMA Has Made Progress in Managing Regionalization of Preparedness Grants. GAO-11-732R. Washington, D.C.: July 29, 2011.", "Measuring Disaster Preparedness: FEMA Has Made Limited Progress in Assessing National Capabilities. GAO-11-260T. Washington, D.C.: March 17, 2011.", "Opportunities to Reduce Potential Duplication in Government Programs, Save Tax Dollars, and Enhance Revenue. GAO-11-318SP. Washington, D.C.: March 1, 2011.", "FEMA Has Made Limited Progress in Efforts to Develop and Implement a System to Assess National Preparedness Capabilities. GAO-11-51R. Washington, D.C.: October 29, 2010.", "Urban Area Security Initiative: FEMA Lacks Measures to Assess How Regional Collaboration Efforts Build Preparedness Capabilities. GAO-09-651. Washington, D.C.: July 2, 2009.", "Transit Security Grant Program: DHS Allocates Grants Based on Risk, but Its Risk Methodology, Management Controls, and Grant Oversight Can Be Strengthened. GAO-09-491. Washington, D.C.: June 8, 2009.", "National Preparedness: FEMA Has Made Progress, but Needs to Complete and Integrate Planning, Exercise, and Assessment Efforts. GAO-09-369. Washington, D.C.: April 30, 2009.", "Homeland Security: DHS Improved its Risk-Based Grant Programs\u2019 Allocation and Management Methods, But Measuring Programs\u2019 Impact on National Capabilities Remains a Challenge. GAO-08-488T. Washington, D.C.: March 11, 2008.", "Homeland Security: DHS\u2019 Efforts to Enhance First Responders\u2019 All- Hazards Capabilities Continue to Evolve. GAO-05-652. Washington, D.C.: July 11, 2005.", "Homeland Security: Management of First Responder Grant Programs Has Improved, but Challenges Remain. GAO-05-121. Washington, D.C.: February 2, 2005.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}], "fastfact": []} {"id": "GAO-18-197T", "url": "https://www.gao.gov/products/GAO-18-197T", "title": "High-Containment Laboratories: Coordinated Efforts Needed to Further Strengthen Oversight of Select Agents", "published_date": "2017-11-02T00:00:00", "released_date": "2017-11-02T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Safety lapses have occurred at laboratories in the United States that conduct research on select agents\u2014such as Ebola virus or anthrax bacteria\u2014that may cause serious or lethal infection in humans, animals, or plants, raising concerns about whether oversight is effective. This statement summarizes information contained in GAO's October 2017 report, titled High-Containment Laboratories: Coordinated Actions Needed to Enhance the Select Agent Program's Oversight of Hazardous Pathogens ( GAO-18-145 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The Federal Select Agent Program\u2014jointly managed by the Departments of Health and Human Services (HHS) and Agriculture (USDA)\u2014oversees laboratories' handling of certain hazardous pathogens known as select agents. However, the program does not fully meet all key elements of effective oversight. For example, the program is not structurally independent from all laboratories it oversees and has not assessed risks posed by its current structure or the effectiveness of mechanisms it has to reduce organizational conflicts of interest. Without conducting such assessments and taking actions as needed to address risks, the program may not effectively mitigate impairments to its independence.", "In addition, some experts and laboratory representatives GAO interviewed raised concerns that the program's reviews may not target the highest-risk activities, in part because it has not formally assessed which activities pose the highest risk. Without assessing the risk of activities it oversees and targeting its resources appropriately, the program cannot ensure it is balancing its resources against their impact.", "Moreover, the program does not have strategic planning documents, such as a joint strategic plan and workforce plan, to guide its oversight. Although it began taking steps to develop a joint strategic plan, the program is not developing workforce plans as part of this effort. Developing a joint workforce plan that assesses workforce and training needs for the program as a whole would help the program leverage resources to ensure all workforce and training needs are met.", "Selected countries and regulatory sectors GAO reviewed employ other approaches to promote effective oversight. For example, in Great Britain, an independent government agency focused on health and safety oversees laboratories that work with pathogens. In addition, in both Great Britain and Canada, regulators (1) focus their oversight on biological safety, because safety incidents provided the impetus for laboratory oversight in these countries and (2) regulate all potentially hazardous pathogens and activities in laboratories."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO's recommendations in GAO-18-145 included that the Federal Select Agent Program (1) assess risks posed by its current structure and address risks as needed; (2) assess the risk of activities it oversees and target reviews to the highest-risk activities; and (3) develop a joint workforce plan. HHS and USDA agreed with GAO's recommendations and outlined actions they are taking, or plan to take, to address them, which GAO will continue to monitor."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our recent work on the oversight of select agents in high-containment laboratories in the United States. Safety lapses have occurred at laboratories in the United States that conduct research on hazardous pathogens and toxins (known as select agents) that may pose a serious threat to humans, animals, or plants. These lapses raise concerns about whether federal oversight of these laboratories is effective. For example, in November 2016, the Department of Homeland Security discovered that a private laboratory had inadvertently sent a toxic form of ricin (a potentially lethal poison) to one of its training centers multiple times since 2011, potentially putting training participants at risk. In May 2015, the Department of Defense (DOD) discovered that a DOD laboratory had inadvertently shipped live anthrax bacteria to nearly 200 other laboratories worldwide over the course of 12 years. And in July 2014, the National Institutes of Health discovered decades-old vials of smallpox in a storage room of a Food and Drug Administration laboratory on its campus.", "We have, for many years, identified challenges and areas for improvement related to the safety, security, and oversight of high- containment laboratories. In 2009, for example, we found a proliferation of high-containment laboratories across the United States, with the number of such laboratories in the government, academic, and private sectors increasing since 2001. In addition, we found that there was no single entity overseeing this proliferation, and that no federal agency knew how many such laboratories existed in the United States or the aggregate risks associated with the proliferation. We also found in 2009 and 2014 that, for the subset of these laboratories subject to federal oversight, the oversight was duplicative, fragmented, and dependent on self-policing. More recently, we found in 2016 that stronger oversight mechanisms for federal high-containment laboratories were needed at the individual federal department and component agency levels. We have made numerous recommendations over the years, including that a single entity be identified to determine the number of high-containment laboratories needed to meet national goals, the aggregate risks associated with the proliferation of laboratories, and the type of oversight needed. Federal departments have made some progress in implementing recommendations from our past reports, including addressing issues we identified regarding duplicative oversight. However, the United States still has not identified a single entity to perform the functions we recommended.", "All high-containment laboratories in the United States that register to work with select agents are regulated by the Federal Select Agent Program (which this statement subsequently refers to as the Select Agent Program), through which two agencies share oversight responsibility.", "Specifically, oversight is shared by the Division of Select Agents and Toxins within the Department of Health and Human Services\u2019 (HHS) Centers for Disease Control and Prevention (CDC) and the Agriculture Select Agent Services within the U.S. Department of Agriculture\u2019s (USDA) Animal and Plant Health Inspection Service (APHIS). The program was established to regulate the possession, use, and transfer of select agents in response to security concerns following bioterrorism attacks in the 1990s and early 2000s.", "Other countries also regulate and oversee hazardous pathogens handled in high-containment laboratories, and they sometimes take approaches that differ from that of the United States. Moreover, other high-risk sectors in the United States, such as the nuclear industry, sometimes take different approaches to oversight. Notwithstanding such differences, our past work reviewing some of these sectors has identified five key elements of effective oversight in areas where low-probability adverse events can have significant and far-reaching effects. These elements are as follows: Independence: The organization conducting oversight should be structurally distinct and separate from the entities it oversees.", "Ability to perform reviews: The organization should have the access and working knowledge necessary to review compliance with requirements.", "Technical expertise: The organization should have sufficient staff with the expertise to perform sound safety and security assessments.", "Transparency: The organization should provide access to key information, as applicable, to those most affected by operations.", "Enforcement authority: The organization should have clear and sufficient authority to require that entities achieve compliance with requirements.", "My remarks today are based on our October 2017 report on the oversight of select agents in high-containment laboratories. Our report (1) examined the extent to which the Select Agent Program has the elements of effective oversight and has strategic planning documents to guide its oversight efforts, and (2) described approaches that selected countries and regulatory sectors have used to promote effective oversight. Today, I will discuss key findings and recommendations from that report.", "For our report, we discussed the five key elements of effective oversight above with agency officials, experts, and representatives from nongovernmental organizations to ensure their applicability to the oversight of select agents. We reviewed laws, regulations, and documents related to the Select Agent Program to determine the extent to which the program met the key elements. We also interviewed officials from CDC and APHIS and registered laboratories to discuss the program\u2019s inspections and other oversight responsibilities and other issues related to the five key elements. To obtain expert views on the effectiveness of the approaches the Select Agent Program and other selected countries and regulatory sectors have used to promote effective oversight, we worked with the National Academy of Sciences to convene a 2-day meeting with 18 experts. We also reviewed relevant documentation and interviewed regulatory officials from selected countries\u2014including the United Kingdom and Canada\u2014and other sectors such as nuclear energy. More detailed information on the scope and methodology of our work can be found in the October report. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards.", "In summary, we found that the Select Agent Program does not fully meet all key elements of effective oversight. For example, the program is not structurally distinct and separate from all laboratories it oversees and, therefore, does not meet the key element of independence. Regarding another key element\u2014the ability to perform reviews\u2014some experts and laboratory representatives raised concerns that the program\u2019s reviews may not target the highest-risk activities, in part because it has not formally assessed which activities pose the highest risk. Moreover, the program does not have joint strategic planning documents, including a joint workforce plan, to guide its shared oversight efforts. We made 11 recommendations to address these issues. HHS and USDA agreed with our recommendations and outlined actions they are taking, or plan to take, to address them."], "subsections": [{"section_title": "Select Agent Program Does Not Fully Meet Key Elements of Effective Oversight or Have Joint Strategic Planning Documents to Guide Its Efforts", "paragraphs": ["The Select Agent Program does not fully meet key elements of effective oversight. In particular, the program has oversight shortcomings related to each of our five key elements: independence, performing reviews, technical expertise, transparency, and enforcement. In addition, the program does not have joint strategic planning documents to guide its oversight efforts, such as a joint strategic plan and workforce plan. It did, however, begin taking steps to develop a joint strategic plan during the summer of 2017.", "First, regarding independence, the Select Agent Program is not structurally distinct and separate from all of the laboratories it oversees because the two components of the Select Agent Program are located in CDC and APHIS, both of which also have high-containment laboratories registered with the program. Many experts at our meeting raised concerns that the Select Agent Program cannot be entirely independent in its oversight of CDC and APHIS laboratories because the Select Agent Program is composed of divisions of those agencies. To help reduce conflicts of interest, the program has taken steps such as having APHIS lead inspections of CDC laboratories. However, it has generally done so in response to concerns raised by others. The program itself has not formally assessed all potential risks posed by its current structure and the effectiveness of its mechanisms to address those risks. The Office of Management and Budget\u2019s Circular A-123 requires federal agencies to integrate risk management activities into their program management to help ensure they are effectively managing risks that could affect the achievement of agency objectives. In addition, federal internal control standards state that management should identify, analyze, and respond to risks related to achieving defined objectives. Without (1) regularly assessing the potential risks posed by the program\u2019s current structure and the effectiveness of its mechanisms to address them and (2) taking actions as necessary to ensure any identified risks are addressed, the program may not be aware of or effectively mitigate impairments to its independence that could affect its ability to achieve its objectives.", "Second, regarding the ability to perform reviews, we found that the Select Agent Program performs several types of reviews to ensure compliance with regulatory and program requirements. However, the program may not target the highest-risk activities in its inspections, in part because it has not formally assessed which activities pose the highest risk to biological safety and security. For example, many experts at our meeting and laboratory representatives we interviewed raised concerns about the amount of time inspectors spend assessing compliance with inventory controls (e.g., by counting and examining vials containing select agents) and reviewing inventory records during the inspection process, which takes time away from inspecting other aspects of biological safety and security. Experts at our meeting said that these activities do little to reduce the risk of theft of select agents (a security concern) because samples could be clandestinely removed from vials and replicated without being detected by the inventory controls currently in place. Further, other laboratory representatives told us that activities to assess compliance with certain program requirements, such as time-consuming reviews of records, did little to reduce risk and were unnecessarily burdensome to both researchers and inspectors. These inspection activities are generally intended to address biological security concerns; however, recent high- profile incidents at registered laboratories have concerned biological safety rather than security.", "To improve the inspection process and identify trends and associations between inspection findings and risk, a 2015 internal review of the CDC component of the Select Agent Program recommended that the CDC and APHIS components of the program work together to analyze inspection and investigation data. According to program officials, they have not yet addressed the recommendation because they do not currently have adequate tools to do so, but the program is transitioning to a new database that will enhance their ability to identify trends and associations and thereby guide improvements to the inspection process. However, the program did not provide a plan for when or how the program will carry out these analyses to improve the inspection process. Federal internal control standards state that management should identify, analyze, and respond to risks related to achieving defined objectives. Without developing and implementing a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities, the Select Agent Program will not have assurance that it is effectively balancing the potential safety and security gains from its oversight efforts against the use of program resources and the effect on laboratories\u2019 research.", "We also found that the Select Agent Program did not fully meet the other three key elements of effective oversight: technical expertise, transparency, and enforcement. For example, although the program has taken steps to hire additional staff and enhance the technical expertise of its staff, workforce and training gaps remain. In addition, although the program has increased transparency about registered laboratories and violations of the select agent regulations to the public and registered laboratories since 2016, the information it shares is limited and there is no consensus about what additional information could be shared, given security concerns. Lastly, although the program has authority to enforce compliance with program requirements, it is still working to address past concerns about the need for greater consistency and clarity in actions it takes in exercising this authority.", "In addition to not fully meeting the five key elements of effective oversight, we found that the Select Agent Program does not have joint strategic planning documents to guide its shared oversight efforts across CDC and APHIS. For example, the program does not have a joint mission statement to collectively define what the program seeks to accomplish through its oversight. It also does not yet have a strategic plan. Agencies can use strategic plans to set goals and identify performance measures for gauging progress towards those goals. Strategic plans can also outline how agencies plan to collaborate with each other to help achieve goals and objectives. The program began taking steps to develop a joint strategic plan during the course of our review and, in August 2017, began soliciting bids from contractors for the plan\u2019s development. The statement of work for the contract stipulates that the contractor shall develop guiding principles for the Select Agent Program along with a mission statement and strategic goals and objectives, among other requirements. However, it does not have any requirements related to development of a joint workforce plan. We have found in the past that agencies\u2019 strategic workforce planning should be clearly linked to the agency\u2019s mission and long-term goals developed during the strategic planning process. Developing a joint workforce plan that assesses workforce and training needs for the program as a whole would help the program to better manage fragmentation by improving how it leverages resources to ensure all workforce and training needs are met. Leveraging resources is especially important given fiscal constraints.", "In our report, we recommended that CDC and APHIS take several steps to address these findings. First, we made five recommendations to improve independence, including that CDC and APHIS regularly assess the potential risks posed by the program\u2019s structure and the effectiveness of its mechanisms to address those risks, and take actions as necessary to ensure any identified risks are addressed so that impairments to independence do not affect its ability to achieve its objectives. Second, to improve the ability to perform reviews, we recommended that the directors of the Select Agent Program work together to develop and implement a plan to identify which laboratory activities carry the highest biological safety and security risks and to respond to those risks by aligning inspections and other oversight efforts to target those activities. We also made several other recommendations, including recommending that the directors of the Select Agent Program develop a joint workforce plan that assesses workforce and training needs for the program as a whole."], "subsections": []}, {"section_title": "Selected Countries and Regulatory Sectors Employ Other Approaches to Promote Effective Oversight", "paragraphs": ["Selected countries and regulatory sectors employ approaches to promote effective oversight that sometimes differ from those of the Select Agent Program by, for example, having regulatory bodies that are structurally independent from the entities they oversee or taking a risk-based approach to performing reviews. To illustrate, with regard to independence, Great Britain\u2019s Health and Safety Executive, whose mission is to protect worker and public health and safety and which oversees laboratories that work with pathogens, is an independent government agency. According to officials from the Health and Safety Executive and laboratory representatives, one strength of this approach is that it avoids potential organizational conflicts of interest because none of the laboratories it oversees are part of the same agency. Some other regulatory sectors in the United States, including the Nuclear Regulatory Commission (NRC), are also structurally independent from regulated facilities as a mechanism to ensure independence. Prior to the creation of NRC in 1974, the U.S. Atomic Energy Commission was responsible for both promotion and oversight of the nuclear industry. The Energy Reorganization Act of 1974 established NRC as a separate, independent entity. According to a Senate committee report, this was a response to growing criticism that there was a basic conflict between the U.S. Atomic Energy Commission\u2019s regulation of the nuclear power industry and its development and promotion of new technology for the industry.", "Related to the ability to perform reviews, regulators in Great Britain and Canada apply a risk-based approach by targeting laboratories with a documented history of performance issues or those conducting higher- risk activities. In both Great Britain and Canada, the organizations that oversee laboratories generally focus their oversight on (1) biological safety, and (2) regulation of all potentially hazardous pathogens in laboratories. In contrast, the Select Agent Program originated from security-related concerns and regulates only those pathogens identified on the U.S. select agent list and no other pathogens that may be handled in high-containment but are not select agents, such as West Nile virus.", "Other differences we found in approaches include relying on scientists and other laboratory personnel to have requisite technical expertise on the pathogens and activities in their laboratories, sharing incident information on their public websites, and having prosecutorial authority when incidents occur.", "In conclusion, CDC and APHIS share a critical role in ensuring that important research on select agents can be conducted in high- containment laboratories in a safe and secure manner. The Select Agent Program has made a number of improvements over the past few years, such as hiring additional staff and improving training to enhance expertise. Nevertheless, the program does not fully meet all key elements of effective oversight and more is needed to develop joint strategic plans to collectively guide its shared oversight efforts. In our prior work, we have found that existing federal oversight of high-containment laboratories is fragmented and largely self-policing, among other things. Our October 2017 report, in combination with these past findings, continues to raise questions about whether the current government framework and oversight are adequate.", "Vice Chairman Griffith, Ranking Member DeGette, and Members of the Subcommittee, this concludes our prepared statement. We would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this statement, please contact Mary Denigan-Macauley, Ph.D., Acting Director, Health Care, at (202) 512-7114 or deniganmacauleym@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this statement include Sushil Sharma, Ph.D., Dr.PH (Assistant Director); Amy Bowser; Caitlin Dardenne, Ph.D.; John Neumann; Cynthia Norris; Timothy M. Persons, Ph.D.; and Lesley Rinner. Staff who made key contributions to the report(s) cited in the statement are identified in the source products.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Laboratories conduct research on hazardous pathogens\u2014such as Ebola virus or anthrax bacteria\u2014in more than 200 labs in the United States. Safety lapses have occurred at some of these labs, raising concerns about whether oversight is effective.", "For this testimony, we looked at the Federal Select Agent Program, which is responsible for overseeing these labs, and found room for improvement. For example, the program allows some agencies to oversee their own labs, which could potentially lead to conflicts of interest. In the report on which this testimony is based, we recommended 11 actions to improve oversight."]} {"id": "GAO-17-802T", "url": "https://www.gao.gov/products/GAO-17-802T", "title": "Telecommunications: Additional Action Needed to Address Significant Risks in FCC's Lifeline Program", "published_date": "2017-09-06T00:00:00", "released_date": "2017-09-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Created in the mid-1980s, FCC's Lifeline program provides discounts to eligible low-income households for home or wireless telephone and, as of December 2016, broadband service. Lifeline reimburses telephone companies that offer discounts through the USF, which in turn is generally supported by consumers by means of a fee charged on their telephone bills.", "This testimony is based on GAO's May 2017 report and discusses steps FCC has taken to measure Lifeline's performance in meeting goals; steps FCC and USAC have taken to enhance controls over finances, subscribers, and providers; and any weaknesses that might remain.", "For the May 2017 report, GAO analyzed documents and interviewed officials from FCC and USAC. GAO also analyzed subscriber data from 2014 and performed undercover tests to identify potential improper payment vulnerabilities. The results of this analysis and testing are illustrative, not generalizable."]}, {"section_title": "What GAO Found", "paragraphs": ["In its May 2017 report, GAO found the Federal Communications Commission (FCC) has not evaluated the Lifeline program's (Lifeline) performance in meeting its goals of increasing telephone and broadband subscribership among low-income households by providing financial support, but it has recently taken steps to begin to do so. FCC does not know how many of the 12.3 million households receiving Lifeline as of December 2016 also have non-Lifeline phone service, or whether participants are using Lifeline as a secondary phone service. FCC revamped Lifeline in March 2016 to focus on broadband adoption; however, broadband adoption rates have steadily increased for the low-income population absent a Lifeline subsidy for broadband. Without an evaluation, which GAO recommended in March 2015, FCC is limited in its ability to demonstrate whether Lifeline is efficiently and effectively meeting its program goals. In a March 2016 Order, FCC announced plans for an independent third party to evaluate Lifeline design, function, and administration by December 2020.", "FCC and the Universal Service Administrative Company (USAC)\u2014the not-for-profit organization that administers the Lifeline program\u2014have taken some steps to enhance controls over finances and subscriber enrollment. For example, FCC and USAC established some financial and management controls regarding billing, collection, and disbursement of funds for Lifeline. To enhance the program's ability to detect and prevent ineligible subscribers from enrolling, FCC oversaw completion in 2014 of an enrollment database and, in June 2015, FCC adopted a rule requiring Lifeline providers to retain eligibility documentation used to qualify consumers for Lifeline support to improve the auditability and enforcement of FCC rules.", "Nevertheless, in its May 2017 report, GAO found weaknesses in several areas. For example, Lifeline's structure relies on over 2,000 Eligible Telecommunication Carriers that are Lifeline providers to implement key program functions, such as verifying subscriber eligibility. This complex internal control environment is susceptible to risk of fraud, waste, and abuse as companies may have financial incentives to enroll as many customers as possible. On the basis of its matching of subscriber to benefit data, GAO was unable to confirm whether about 1.2 million individuals of the 3.5 million it reviewed, or 36 percent, participated in a qualifying benefit program, such as Medicaid, as stated on their Lifeline enrollment application. FCC's 2016 Order calls for the creation of a third-party national eligibility verifier by the end of 2019 to determine subscriber eligibility. Further, FCC maintains the Universal Service Fund (USF)\u2014with net assets of $9 billion, as of September 2016\u2014outside the Department of the Treasury in a private bank account. In 2005, GAO recommended that FCC reconsider this arrangement given that the USF consists of federal funds. In addition to addressing any risks associated with having the funds outside the Treasury, FCC identified potential benefits of moving the funds. For example, by having the funds in the Treasury, USAC would have better tools for fiscal management of the funds. In March 2017, FCC developed a preliminary plan to move the USF to the Treasury. Until FCC finalizes and implements its plan and actually moves the USF funds, the risks that FCC identified will persist and the benefits of having the funds in the Treasury will not be realized."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In its May 2017 report, GAO made seven recommendations, including that FCC ensure plans to transfer the USF from the private bank to the Treasury are finalized and implemented expeditiously. FCC generally agreed with all the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the Federal Communications Commission\u2019s (FCC) oversight of the Lifeline program (Lifeline). Over the past two decades, telecommunications carriers and their customers have paid over $100 billion to support the federal policy of \u201cuniversal service.\u201d Universal service is the principle that all Americans should have access to communications services. FCC carries out this policy through four programs, including Lifeline. Lifeline was created in the mid-1980s to promote telephone subscribership among low-income households. In the mid-2000s, such service came to include wireless communications, and, in December 2016, FCC also began including broadband service. Average Lifeline enrollment as of the fourth quarter of calendar year 2016 was approximately 12.3 million subscribers.", "To participate in Lifeline, households must either have an income that is at or below 135 percent of the Federal Poverty Guidelines or participate in one of several qualifying assistance programs, such as Medicaid or the Supplemental Nutrition Assistance Program (SNAP). After subscribers are enrolled in Lifeline, they receive a monthly benefit on home or wireless phone and broadband service. The Lifeline benefit can lower or eliminate the cost of a subscriber\u2019s monthly phone or Internet bill.", "By statute, every telecommunications carrier providing interstate telecommunications services\u2014including Lifeline providers\u2014must contribute to federal universal service unless exempted by FCC. Contributions are deposited into the Universal Service Fund (USF). Although not required to do so, carriers typically pass on the cost of USF fees as a separate line item to their customers\u2019 phone bills. A not-for- profit, private corporation designated by FCC as the administrator of universal service programs, the Universal Service Administrative Company (USAC) pays Lifeline providers a subsidy from the USF for each subscriber to offset forgone revenues. From calendar year 1998 through 2016, USAC had disbursed approximately $20.2 billion to Lifeline providers.", "In May 2017, we published a report on FCC\u2019s oversight of Lifeline that identified steps FCC has taken in the last few years to enhance the integrity of the program and stated the weaknesses that remained. We also made seven recommendations to improve FCC\u2019s oversight of the program, which the agency agreed to implement.", "My statement today discusses key findings from our May 2017 report, as well as steps FCC has taken and the related recommendations we made. Specifically, this testimony discusses (1) the extent to which Lifeline demonstrates effective performance towards program goals; (2) steps FCC and USAC have taken to improve financial controls in place for Lifeline and the USF, and any remaining weaknesses that might exist; (3) steps FCC and USAC have taken to improve subscriber eligibility verification, and any remaining weaknesses that might exist; and (4) steps FCC and USAC have taken to improve oversight of Lifeline providers, and any remaining weaknesses that might exist.", "For our May 2017 report, we reviewed documents and interviewed multiple stakeholders associated with Lifeline, including FCC, FCC\u2019s Office of Inspector General (OIG), and USAC, among others. We also examined USAC financial data, including USF bank account statements and payment data, and interviewed USF account managers at the bank that holds USF funding. Further, we reviewed internal financial controls established by FCC and USAC and performed data matching and analysis to identify potential improper payments using Lifeline\u2019s enrollment data from the National Lifeline Accountability Database (NLAD) and relevant beneficiary databases. The results of the data analysis are illustrative rather than generalizable. We also performed undercover work to test the vulnerability for improper payments of funds disbursed to both subscribers and Lifeline providers. For example, we submitted 21 Lifeline applications using false information and fabricated supporting documents to determine whether we could obtain Lifeline benefits. These undercover tests were for illustrative purposes to highlight any potential internal control vulnerabilities and are not generalizable to the broader universe of subscribers and providers. Additional information on our scope and methodology is available in our May 2017 report. Our audit work was performed in accordance with generally accepted government auditing standards, and our related investigative work was done in accordance with investigative standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "FCC Has Not Evaluated Lifeline\u2019s Performance in Meeting Program Goals but Has Taken Recent Steps toward Evaluation", "paragraphs": ["FCC has not evaluated Lifeline\u2019s performance in meeting program goals but, as we found in May 2017, has taken recent steps toward evaluation. According to GAO\u2019s Cost Estimating and Assessment Guide, to use public funds effectively the government must meet the demands of today\u2019s changing world by employing effective management practices and processes, including the measurement of government program performance. In the past, FCC has called for program evaluations to review the administration of universal service generally, including Lifeline, but has not completed such evaluations. For example, FCC specified that it would review USAC 1 year after USAC was appointed as the permanent administrator to determine whether the universal service programs were being administered effectively. This review, which was planned to have been completed by 1999, was never done. In 2005, FCC awarded a contract to the National Academy of Public Administration to study the administration of the USF programs generally, examine the tradeoffs of continuing with the current structure, and identify ways to improve the oversight and operation of universal service programs. However, we reported in May 2017 that FCC officials stated FCC subsequently terminated the contract and the study was not conducted.", "In March 2015, we found that FCC had not evaluated Lifeline\u2019s effectiveness in achieving its performance goals of ensuring the availability of voice service for low-income Americans, while minimizing the burden on those who contribute to the USF. We recommended, and FCC agreed, to conduct a program evaluation to determine the extent to which Lifeline is efficiently and effectively reaching its performance goals.", "Our May 2017 report raised additional questions about Lifeline\u2019s effectiveness in meeting its program goals. For example, we reported that:", "FCC did not know how many of the 12.3 million households receiving Lifeline as of December 2016 also have non-Lifeline phone service (for which they pay out of pocket) along with their Lifeline benefit. Without knowing whether participants are using Lifeline as a primary or secondary phone service, we concluded that it is difficult for FCC to determine whether it is achieving the program\u2019s goal of increasing telephone subscribership among low-income consumers while minimizing the USF contribution burden.", "FCC revamped Lifeline in March 2016 to focus on broadband adoption and generally phase out phone service, in part because FCC recognized that most eligible consumers have phones without Lifeline and to also close the \u201cdigital divide\u201d of broadband adoption between low-income households and the rest of the country. However, broadband adoption rates have steadily increased for the low-income population absent a Lifeline subsidy for broadband. We found that at least two companies operating in a total of at least 21 states had begun offering in-home non-Lifeline broadband wireline support for less than $10 per month to individuals that participate in public- assistance programs, such as SNAP or public housing. The offered rate of these providers\u2019 own low-income broadband service of $10 per month was less expensive than FCC\u2019s broadband reasonable- comparability cost benchmark of approximately $55 per month, which Lifeline subscribers would be paying for a similar level of service.", "Our May 2017 report also found that FCC has recently taken some steps toward evaluating Lifeline\u2019s performance in meeting program goals. Specifically, in the 2016 Lifeline Modernization Order, FCC instructed USAC to hire an outside, independent, third-party evaluator to complete a program evaluation of Lifeline\u2019s design, function, and administration. The order stipulated the outside evaluator must complete the evaluation and USAC must submit the findings to FCC by December 2020. As FCC expects Lifeline enrollment to increase as the program is expanded to include broadband service, this expansion could carry with it increased risks for fraud, waste, and abuse, as was the case with past expansions of the program. Completing the program evaluation as planned, and as we recommended in 2015, would help FCC determine whether Lifeline is meeting its stated goals of increasing telephone and broadband subscribership among low-income consumers, while minimizing the burden on those who contribute to the USF."], "subsections": []}, {"section_title": "Financial Controls Exist, with Others Planned, for the Lifeline Program, but Weaknesses Remain", "paragraphs": ["In our May 2017 report we found that FCC and USAC have established financial controls for Lifeline, including obtaining and reviewing information about billing, collecting, and disbursing funds. They have also developed plans to establish other controls, such as establishing a national eligibility verifier (National Verifier) for Lifeline providers to determine the eligibility of applicants seeking Lifeline service. However, as discussed in our May 2017 report, we found that weaknesses remain, including the lack of requirements to effectively control program expenditures above approved levels, concerns about the transparency of fees on customers\u2019 telephone bills, and a lack of FCC guidance that could result in Lifeline and other providers paying inconsistent USF contributions. To address these concerns, we recommended the Chairman of FCC (1) require Commissioners to review and approve, as appropriate, spending above the budget in a timely manner; (2) require a review of customer bills as part of the contribution audit to include an assessment of whether the charges, including USF fees, meet FCC Truth-in-billing rules with regard to labeling, so customer bills are transparent, and appropriately labeled and described, to help consumers detect and prevent unauthorized changes; and (3) respond to USAC requests for guidance and address pending requests concerning USF contribution requirements to ensure the contribution factor is based on complete information and that USF pass-through charges are equitable. FCC generally agreed with those recommendations.", "In addition, we found that USAC\u2019s banking practices for the USF result in oversight and accountability risks that FCC has plans to mitigate. Specifically, FCC maintains USF funds\u2014whose net assets as of September 2016 exceeded $9 billion\u2014outside of the U.S. Treasury pursuant to Office of Management and Budget (OMB) advice provided in April 2000. OMB had concluded that the USF does not constitute public money subject to the Miscellaneous Receipts Statute, 31 U.S.C. \u00a7 3302, a statute that requires that money received for the use of the United States be deposited in the Treasury unless otherwise authorized by law. As such, USF balances are held in a private bank account. However, subsequent to this OMB advice, in February 2005 we reported that FCC should reconsider this determination in light of the status of universal service monies as federal funds.", "As discussed in our May report, according to correspondence we received from the FCC Chairman\u2019s Senior Legal Counsel, as of March 2017, FCC had decided to move the funds to the Treasury. FCC identified potential benefits of moving the funds to the Treasury. For example, FCC explained that having the funds in the Treasury would provide USAC with better tools for fiscal management of the funds, including access to real- time data and more accurate and transparent data. According to FCC, until the USF is moved into the Treasury, there are also some oversight risks associated with holding the fund in a private account. For example, the contract governing the account does not provide FCC with authority to direct bank activities with respect to the funds in the event USAC ceases to be the administrator of the USF. After we raised this matter with FCC officials during the course of our review, beginning in November 2016, FCC sought to amend the contract between USAC and the bank to enable the bank to act on FCC instructions independently of USAC in the event USAC ceases to be the administrator. However, as of May 2017, the amended contract had not yet been signed.", "While FCC has put in place a preliminary plan to move the USF funds to the Treasury, as well as plans to amend the existing contract with the bank as an interim measure, several years have passed since this issue was brought to FCC\u2019s attention without corrective actions being implemented. Further, under FCC\u2019s preliminary plan, it would not be until next year, at the earliest, that the funds would be moved to the Treasury. In May 2017, while reviewing a draft of this report, a senior FCC official informed us that FCC experienced some challenges associated with moving the funds to the Treasury, such as coordinating across the various entities involved, which raised some questions as to when and perhaps whether the funds would be moved. Until FCC finalizes and implements its plan and moves the USF funds, the risks that FCC identified will persist and the benefits of having the funds in the Treasury will not be realized. As a result, in our May 2017 report, we recommended that the Chairman of FCC take action to ensure that the preliminary plans to transfer the USF funds from the private bank to the Treasury are finalized and implemented as expeditiously as possible. FCC agreed with this recommendation."], "subsections": []}, {"section_title": "FCC and USAC Have Implemented Some Controls to Improve Subscriber Eligibility Verification, but Weaknesses Remain", "paragraphs": ["FCC and USAC have implemented controls to improve subscriber eligibility verification, such as implementing the NLAD database in 2014, which helps carriers identify and resolve duplicate claims for Lifeline- supported services. However, as discussed in our May 2017 report, our analysis of data from 2014, as well as our undercover attempts to obtain Lifeline service, revealed significant weaknesses in subscriber eligibility verification. Lifeline providers are generally responsible for verifying the eligibility of potential subscribers, but we found that their ability to do so is hindered by a lack of access to, or awareness of, state eligibility databases that can be used to confirm eligibility prior to enrollment. For example, not all states have databases that Lifeline providers can use to confirm eligibility and some providers with whom we spoke were unaware of databases that were potentially available to them. These challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers. Additionally, since USAC was not maintaining and providing information to providers about these databases, we recommended they maintain and disseminate an updated list of state eligibility databases available to Lifeline providers that includes the qualifying programs those databases access to confirm eligibility, to help ensure Lifeline providers are aware of state eligibility databases and USAC audits of Lifeline providers can verify that available state databases are being utilized to verify subscriber eligibility. FCC agreed with the recommendation.", "For our May 2017 report, to identify Lifeline subscribers who were potentially ineligible to participate in the program, we tested the eligibility of subscribers who claimed participation in Medicaid, SNAP, and Supplemental Security Income (SSI) using NLAD data as of November 2014. We focused our analysis on these three programs because FCC reported in 2012 that these were the three qualifying programs through which most subscribers qualify for Lifeline. We compared approximately 3.4 million subscribers who, according to information entered in NLAD, were eligible for Lifeline due to enrollment in one of these three programs to eligibility data for these programs.", "On the basis of our analysis of NLAD and public-assistance data, we could not confirm that a substantial portion of selected Lifeline beneficiaries were enrolled in the Medicaid, SNAP, and SSI programs, even though, according to the data, they qualified for Lifeline by stating on their applications that they participated in one of these programs. In total, we were unable to confirm whether 1,234,929 subscribers out of the 3,474,672 who we reviewed, or about 36 percent, participated in the qualifying benefit programs they stated on their Lifeline enrollment applications or were recorded as such by Lifeline providers.", "If providers claimed and received reimbursement for each of the 1.2 million subscribers, then the subsidy amount associated with these individuals equals $11.4 million per month, or $137 million annually, at the current subsidy rate of $9.25 per subscriber. Because Lifeline disbursements are based on providers\u2019 reimbursement claims, not the number of subscribers a provider has in NLAD, our analysis of NLAD data could not confirm actual disbursements associated with these individuals. Given that our review was limited to those enrolled in SNAP or Medicaid in selected case-study states, and SSI in states that participated in NLAD at the time of our analysis, our data results are likely understated compared to the entire population of Lifeline subscribers. These results indicate that potential improper payments have occurred and have gone undetected. We plan to refer potentially ineligible subscribers identified through our analysis for appropriate action as warranted.", "Our undercover testing, as discussed in our May 2017 report, also found that Lifeline may be vulnerable to ineligible subscribers obtaining service and the testing found examples of Lifeline providers being nonresponsive, or providing inaccurate information. To conduct our 21 tests, we contacted 19 separate providers to apply for Lifeline service. We applied using documentation fictitiously stating that we were enrolled in an eligible public-assistance program or met the Lifeline income requirements. We were approved to receive Lifeline services by 12 of the 19 Lifeline providers using fictitious eligibility documentation. We also experienced instances during our undercover tests where our calls to providers were disconnected, and where Lifeline provider representatives transmitted erroneous information, or were unable to provide assistance on questions about the status of our application. For example, one Lifeline provider told us that our application was not accepted by the company because our signature had eraser marks; however our application had been submitted via an electronic form on the provider\u2019s website and was not physically signed. While our tests are illustrative and not representative of all Lifeline providers or applications submitted, these results suggest that Lifeline providers do not always properly verify eligibility and that applicants may potentially encounter similar difficulties when applying for Lifeline benefits. As described above, these challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers."], "subsections": []}, {"section_title": "FCC and USAC Have Taken Some Steps to Improve Oversight of Lifeline Providers, but Remaining Gaps Could Allow Noncompliance with Program Rules", "paragraphs": ["FCC and USAC have implemented some mechanisms to enhance oversight of Lifeline providers, as discussed in our May 2017 report, but we found that remaining gaps could allow noncompliance with program rules. For example, in July 2014, FCC took additional measures to combat fraud, waste, and abuse by creating a strike force to investigate violations of USF program rules and laws. According to FCC, the creation of the strike force is part of the agency\u2019s commitment to stopping fraud, waste, and abuse and policing the integrity of USF programs and funds. Similarly, in June 2015, FCC adopted a rule requiring Lifeline providers to retain eligibility documentation used to qualify consumers for Lifeline support to improve the auditability and enforcement of FCC rules.", "However, we found FCC and USAC have limited oversight of Lifeline provider operations and the internal controls used to manage those operations. The current structure of the program relied throughout 2015 and 2016 on over 2,000 Eligible Telecommunication Carriers (ETC) to provide Lifeline service to eligible beneficiaries. These companies are relied on to not only provide telephone service, but also to create Lifeline applications, train employees and subcontractors, and make eligibility determinations for millions of applicants. USAC\u2019s reliance on Lifeline providers to determine eligibility and subsequently submit accurate and factual invoices is a significant risk for allowing potentially improper payments to occur, and under current reporting guidelines these occurrences would likely go undetected and unreported. Federal internal control standards state that management retains responsibility for the performance and processes assigned to service organizations performing operational functions. Consistent with internal control standards, FCC and USAC would need to understand the extent to which a sample of these internal controls are designed and implemented effectively to ensure these controls are sufficient to address program risks and achieve the program\u2019s objectives.", "We identified key Lifeline functions for which FCC and USAC had limited visibility. For example, we found instances of Lifeline providers utilizing domestic or foreign-operated call centers for Lifeline enrollment. When we asked FCC officials about Lifeline providers that outsource program functions to call centers, including those overseas, they told us that such information is not tracked by FCC or USAC. With no visibility over these call centers, FCC and USAC do not have a way to verify whether such call centers comply with Lifeline rules. FCC and USAC have limited knowledge about potentially adverse incentives that providers might offer employees to enroll subscribers. For example, some Lifeline providers pay commissions to third-party agents to enroll subscribers, creating a financial incentive to enroll as many subscribers as possible. Companies responsible for distributing Lifeline phones and service that use incentives for employees to enroll subscribers for monetary benefit increase the possibility of fictitious or ineligible individuals being enrolled into Lifeline. Highlighting the extent of the potential risk for companies, in April 2016 FCC announced approximately $51 million in proposed fines against one Lifeline provider, due to, among other things, its sales agents purposely enrolling tens of thousands of ineligible and duplicate subscribers in Lifeline using shared or improper eligibility documentation.", "To test internal controls over employees associated with Lifeline for our May 2017 report, we sought employment with a company that enrolls individuals to Lifeline. We were hired by a company and were allowed to enroll individuals in Lifeline without ever meeting any company representatives, conducting an employment interview, or completing a background check. After we were hired, we completed two fictitious Lifeline applications as an employee of the company, successfully enrolled both of these fictitious subscribers into Lifeline using fabricated eligibility documentation, and received compensation for these enrollments. The results of these tests are illustrative and cannot be generalized to any other Lifeline provider. We plan to refer this company for appropriate action as warranted. As stated above, these challenges might be overcome if FCC establishes a National Verifier, as it plans to do nationwide by the end of 2019, to remove responsibility for verifying eligibility from the providers. In addition, in May 2017, we made two recommendations to help address control weaknesses and related program-integrity risks. Specifically, we recommended that FCC establish time frames to evaluate compliance plans and develop instructions with criteria for FCC reviewers how to evaluate these plans to meet Lifeline\u2019s program goals. We also recommended that FCC develop an enforcement strategy that details what violations lead to penalties and apply this as consistently as possible to all Lifeline providers to ensure consistent enforcement of program violations. FCC generally agreed with these recommendations.", "In conclusion, Lifeline\u2019s large and diffuse administrative structure creates a complex internal control environment susceptible to significant risk of fraud, waste, and abuse. FCC\u2019s and USAC\u2019s limited oversight of important aspects of program operations further complicates the control environment\u2014heightening program risk. We are encouraged by FCC\u2019s recent steps to address weaknesses we identified, such as the 2016 order establishing a National Verifier, which, if implemented as planned, could further help to address weaknesses in the eligibility-determination process. We also plan to monitor the implementation status of the recommendations we made in May 2017.", "Chairman Thune, Ranking Member Nelson, and members of the Committee, this concludes my prepared remarks. I would be happy to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information regarding this testimony, please contact Seto J. Bagdoyan at (202) 512-6722 or bagdoyans@gao.gov. In addition, contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. Individuals who made key contributions to this testimony are Dave Bruno (Assistant Director), Scott Clayton (Analyst-in-Charge), and Daniel Silva.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-281", "url": "https://www.gao.gov/products/GAO-18-281", "title": "Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of its Community Care Programs", "published_date": "2018-06-04T00:00:00", "released_date": "2018-06-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress created the Choice Program in 2014 to address longstanding challenges with veterans' access to care at VHA medical facilities. The Joint Explanatory Statement for the Consolidated Appropriations Act, 2016 included provisions for GAO to review veterans' access to care through the Choice Program.", "This report examines for Choice Program care (1) VA's appointment scheduling process, (2) the timeliness of appointments and the information VHA uses to monitor veterans' access; and (3) the factors that have adversely affected veterans' access and the steps VA and VHA have taken to address them for VA's future community care program.", "GAO reviewed applicable laws and regulations, VA's TPA contracts, and relevant VHA policies and guidance. Absent reliable national data, GAO also selected 6 of 170 VAMCs (selected for variation in geographic location and the TPAs that served them) and manually reviewed a random, non-generalizable sample of 196 Choice Program authorizations. The authorizations were created for veterans who were referred to the program between January and April of 2016, the most recent period for which data were available when GAO began its review. The sample of authorizations included 55 for routine care, 53 for urgent care, and 88 that the TPAs returned without scheduling appointments. GAO also obtained the results of VHA's non-generalizable analysis of wait times for a nationwide sample of about 5,000 Choice Program authorizations that were created for selected services between July and September of 2016."]}, {"section_title": "What GAO Found", "paragraphs": ["Through the Veterans Choice Program (Choice Program), eligible veterans may receive care from community providers when it is not readily accessible at Veterans' Health Administration (VHA) medical facilities. The Department of Veterans Affairs (VA) uses two contractors\u2014or third party administrators (TPA)\u2014to schedule most veterans' Choice Program appointments after receiving referrals from VA medical centers (VAMC). GAO found that veterans who are referred to the Choice Program for routine care because services are not available at VA in a timely manner could potentially wait up to 70 calendar days for care if VAMCs and the TPAs take the maximum amount of time VA allows to complete its appointment scheduling process. This is not consistent with the statutory requirement that veterans receive Choice Program care within 30 days of their clinically indicated date (when available), which is the soonest date that it would be appropriate for the veteran to receive care, according to a VHA clinician. Without designing appointment scheduling processes that are consistent with this requirement, VA lacks assurance that veterans will receive Choice Program care in a timely manner.", "GAO and VHA found that selected veterans experienced lengthy actual wait times for appointments in 2016, after manually reviewing separate samples of Choice Program authorizations. For example, when GAO analyzed 55 routine care authorizations that were created between January and April of 2016, it found that the process took at least 64 calendar days, on average. When VHA analyzed about 5,000 authorizations created between July and September of 2016, it took an average of 51 calendar days for veterans to receive care.", "a GAO excluded from its analysis the amount of time the TPA took to schedule the appointment and the overall wait time because its sample selection methodology differed from VHA's in a way that would have skewed these two averages but not the averages for the other segments of the process.", "GAO also found that VHA cannot systematically monitor the timeliness of veterans\u2019 access to Choice Program care because it lacks complete, reliable data to do so. The data limitations GAO identified include:", "A lack of data on the timeliness of referring and opting veterans in to the program. GAO found that the data VHA uses to monitor the timeliness of Choice Program appointments do not capture the time it takes VAMCs to prepare veterans\u2019 referrals and send them to the TPAs, nor do they capture the time spent by the TPAs in accepting VAMCs\u2019 referrals and opting veterans in to the Choice Program. VHA has implemented an interim solution to monitor overall wait times that relies on VAMC staff consistently and accurately entering unique identification numbers on VHA clinicians\u2019 requests for care and on Choice Program referrals, a process that is prone to error.", "Inaccuracy of clinically indicated dates. GAO found that clinically indicated dates (which are used to measure the timeliness of care) are sometimes changed by VAMC staff before they send Choice Program referrals to the TPAs, which could mask veterans\u2019 true wait times. GAO found that VAMC staff entered later clinically indicated dates on referrals for about 23 percent of the 196 authorizations it reviewed. It is unclear if VAMC staff mistakenly entered incorrect dates manually, or if they inappropriately entered later dates when the VAMC was delayed in contacting the veteran, compiling relevant clinical information, and sending the referral to the TPA.", "Unreliable data on the timeliness of urgent care. GAO found that VAMCs and TPAs do not always categorize Choice Program referrals and authorizations in accordance with the contractual definition for urgent care. According to the contracts, a referral is to be marked as \u201curgent,\u201d and an appointment is to take place within 2 days of the TPA accepting it, when a VHA clinician has determined that the needed care is (1) essential to evaluate and stabilize the veteran\u2019s condition, and (2) if delayed would likely result in unacceptable morbidity or pain. GAO reviewed a sample of 53 urgent care authorizations and determined that about 28 percent of the authorizations were originally marked as routine care authorizations but were changed to urgent by VAMC or TPA staff, in an effort to administratively expedite appointment scheduling.", "Without complete, reliable data, VHA cannot determine whether the Choice Program has helped to achieve the goal of alleviating veterans\u2019 wait times for care.", "GAO found that numerous factors adversely affected veterans\u2019 access to care through the Choice Program. These factors include: (1) administrative burden caused by complexities of referral and appointment scheduling processes, (2) poor communication between VHA and its VAMCs, and (3) inadequacies in the networks of community providers established by the TPAs, including an insufficient number, mix, or geographic distribution of community providers. VA and VHA have taken numerous actions throughout the Choice Program\u2019s operation that were intended to help address these factors, though not all access factors have been fully resolved. For example, to help address administrative burden and improve the process of coordinating veterans\u2019 Choice Program care, VA established a secure e-mail system and a mechanism for TPAs and community providers to remotely access veterans\u2019 VA electronic health records. However, these mechanisms only facilitate a one-way transfer of necessary information. They do not provide a means by which VAMCs or veterans can view the TPAs\u2019 step-by-step progress in scheduling appointments or electronically receive medical documentation associated with Choice Program appointments.", "While the Choice Program will soon end, VA anticipates that veterans will continue to receive community care under a similar program that VA plans to implement, which will consolidate the Choice Program and other VA community care programs. Incorporating lessons learned from the Choice Program into the implementation and administration of the new program could help VHA avoid similar challenges."]}, {"section_title": "What GAO Recommends", "paragraphs": ["For VA's future consolidated community care program, GAO is making 10 recommendations, which include:", "establishing an achieveable wait-time goal for the community care program that will permit VHA to monitor whether veterans are receiving care within time frames that are comparable to the amout of time they would otherwise wait for care at VHA medical facilities;", "designing an appointment scheduling process that (1) is consistent with the wait-time goal and (2) sets forth time frames within which veterans' referrals must be processed, appointments must be scheduled, and appointments must occur;", "allow VHA to systematically monitor the amount of time taken to prepare referrals, schedule appointments, and complete appointments;", "prevent veterans' clinically indicated dates from being modified by individuals other than VHA clinicians; and", "separate clinically urgent referrals and authorizations from those for which the VAMC or the TPA has decided to expedite appointment scheduling for administrative reasons; and", "establishing a system that will help facilitate seamless, efficient care coordination and exchanges of information among VAMCs, VHA clinicians, TPAs, community providers, and veterans.", "VA generally agreed with all but one of GAO's recommendations, which was to separate clinically urgent referrals from those that are administratively expedited. GAO maintains that implementing this recommendation will help improve future monitoring of urgent care timeliness for reasons explained in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The majority of veterans utilizing health care services delivered by the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) receive care in VHA-operated medical facilities, including 170 VA medical centers (VAMC) and more than 1,000 outpatient facilities. In recent years, we and others have expressed concerns about the ability of VHA\u2019s medical facilities to provide health care services in a timely manner. Serious and long-standing problems with veterans\u2019 access to care were also highlighted in a series of congressional hearings in the spring and summer of 2014, after several well-publicized events raised additional concerns about wait times for appointments at VHA medical facilities. In some cases, delays in care or VHA\u2019s failure to provide care reportedly have resulted in harm to veterans. Due to these and other concerns, we concluded that VA health care is a high-risk area and added it to our High Risk List in 2015.", "In response to the problems with veterans\u2019 access to care at VHA medical facilities that were highlighted during the 2014 congressional hearings, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 (Choice Act) on August 7, 2014. Among other things, the law established a temporary program\u2014called the Veterans Choice Program (Choice Program)\u2014and provided up to $10 billion in funding for veterans to obtain health care services from non-VA community providers when they faced long wait times, lengthy travel distances, or other challenges accessing care at VHA medical facilities. The temporary authority and funding for the Choice Program was separate from that of other previously existing programs through which VA has the option to purchase care from community providers. Legislation enacted in August and December of 2017 provided an additional $4.2 billion for the Veterans Choice Fund. VA may continue to authorize Choice Program care until all amounts in the Choice Fund are exhausted. Currently, VA is in the process of planning its future community care program, which (as described in an October 2015 plan VA submitted to Congress) will consolidate the Choice Program and six other VA community care programs into one program.", "In accordance with the Choice Act, VA and VHA had up to 90 days to prepare for Choice Program implementation from the time the Choice Act was enacted. To cope with the compressed implementation time frame, VA modified contracts it had previously established with Health Net Federal Services (Health Net) and TriWest Healthcare Alliance (TriWest) to administer a different VA community care program and gave them certain responsibilities related to Choice Program administration, including the scheduling of routine and urgent care appointments for veterans needing care in the community. VA and VHA refer to Health Net and TriWest as third-party administrators (TPA). The Choice Program implementation tasks included designing a framework to administer the program (which involved dividing responsibilities between VAMCs and TPAs), negotiating contract modifications to add Choice Program administration responsibilities to the TPAs\u2019 existing contracts with VA, designing referral and appointment scheduling processes for VAMCs and the TPAs, strengthening the community provider networks the TPAs had established under their existing VA contracts, creating TPA call centers, training VAMC and TPA staff, producing and distributing Veterans Choice Cards to veterans, and educating veterans and community providers about the new program.", "External reviews, media reports, and congressional hearings held over the course of the Choice Program\u2019s implementation and operation have highlighted programmatic weaknesses, such as insufficient provider networks, significant delays in scheduling appointments, and a lack of timely payments to network providers. The Joint Explanatory Statement for the Consolidated Appropriations Act, 2016 included two provisions for us to review veterans\u2019 access to care and the delivery of health care services through the Choice Program, with a focus on rural areas. In addition, you asked us to conduct a comprehensive review of the Choice Program, focusing on (among other things) the effect the Choice Program has had on reducing veterans\u2019 wait times for care. In March 2017, we presented preliminary observations from this work at a hearing of the House Committee on Veterans\u2019 Affairs. This report updates our preliminary findings and examines: 1. the potential wait times for veterans to receive routine care through the Choice Program, according to VA\u2019s appointment scheduling process; 2. selected veterans\u2019 actual wait times to receive routine care and urgent care through the Choice Program and the information VHA uses to monitor access to care under the program; and 3. the factors, if any, that have adversely affected veterans\u2019 access to care under the Choice Program and the actions, if any, that VA and VHA have taken to address them for VA\u2019s future community care program.", "To examine the potential wait times for veterans to receive routine care through the Choice Program according to VA\u2019s appointment scheduling process, we reviewed applicable laws and regulations; VA\u2019s contracts with the TPAs; and relevant VA and VHA policy directives, guidance, and training materials for VAMCs. In addition, we exchanged written correspondence with VA\u2019s Office of General Counsel about the application of VHA\u2019s wait time goals to the Choice Program. We also interviewed a VA contracting official and officials from VHA\u2019s Office of Community Care (the office responsible for implementing and overseeing the Choice Program), as well as officials from the two Choice Program TPAs, Health Net and TriWest. We analyzed this evidence in the context of the federal internal control standard for control activities, which includes the design of policies and procedures that will help an entity achieve its objectives and respond to risks.", "To examine selected veterans\u2019 actual wait times to receive routine care and urgent care through the Choice Program and the information VHA uses to monitor access to care under the program, we took five key steps. We (1) analyzed Choice Program appointment wait times for selected veterans using a sample of 196 Choice Program authorizations for routine and urgent care; (2) reviewed VHA\u2019s analysis of appointment wait times for a sample of about 5,000 Choice Program authorizations; (3) reviewed data VHA uses to monitor the timeliness of Choice Program care and reasons that the TPAs have returned Choice Program referrals without making appointments; (4) interviewed VA, VHA, and TPA officials; and (5) reviewed federal internal control standards. See Appendix I for more information on these methodological steps.", "To examine the factors, if any, that have adversely affected veterans\u2019 access to care under the Choice Program and the actions, if any, that VA and VHA have taken to address them for VA\u2019s future community care program, we reviewed documentation and interviewed officials from VA, VHA, and the TPAs; as well as leadership officials and community care managers and staff from six selected VAMCs. (See Appendix I for information about how we selected the six VAMCs.) In cases where we identified actions VA and VHA had taken to address factors that adversely affected veterans\u2019 access, we interviewed VA and VHA officials and reviewed documentation they provided to gain a better understanding of their rationale for taking those actions and the extent to which they had evaluated the outcomes or effectiveness of selected actions. Between May and September of 2016, we interviewed community care managers and staff at the six selected VAMCs, and we followed up with the managers in June and July of 2017. During these interviews, we discussed certain actions VA and VHA had taken and obtained their perspectives on implementation of the actions and the extent to which these actions improved veterans\u2019 access to Choice Program care. We examined the actions VA and VHA took in the context of federal standards for internal control.", "We conducted this performance audit from April 2016 through May 2018 in accordance with generally accepted government accounting standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Responsibilities of the Choice Program TPAs", "paragraphs": ["In October 2014, VA modified its existing contracts with two TPAs that were administering another VA community care program to add certain administrative responsibilities associated with the Choice Program. For the Choice Program, each of the two TPAs\u2014Health Net and TriWest\u2014is responsible for delivering care in a specific multi-state region (See figure 1.). Specifically, the TPAs are responsible for establishing networks of community providers, scheduling appointments with community providers for eligible veterans, and paying community providers for their services."], "subsections": []}, {"section_title": "Choice Program Eligibility Criteria", "paragraphs": ["As stated in VA\u2019s December 2015 guidance, the Choice Program allows eligible veterans to opt to obtain health care services from the TPAs\u2019 network providers rather than from VHA medical facilities when the veterans are enrolled in the VA health care system and meet any of the following criteria: the next available medical appointment with a VHA clinician is more than 30 days from the veteran\u2019s preferred date or the date the veteran\u2019s physician determines he or she should be seen; the veteran lives more than 40 miles driving distance from the nearest VHA facility with a full-time primary care physician; the veteran needs to travel by air, boat, or ferry to the VHA facility that is closest to his or her home; the veteran faces an unusual or excessive burden in traveling to a VHA facility based on geographic challenges, environmental factors, or a medical condition; the veteran\u2019s specific health care needs, including the nature and frequency of care needed, warrants participation in the program; or the veteran lives in a state or territory without a full-service VHA medical facility.", "Over the life of the Choice Program, VA has taken various approaches to care for veterans for whom services are not available at a particular VHA medical facility. In May and October of 2015, VHA issued policy memoranda to its VAMCs that required them to offer veterans referrals to the Choice Program before they authorized care through one of VA\u2019s other community care programs, which existed prior to the creation of the Choice Program. Before May 2015, VA provided VAMCs the flexibility to decide on a case-by-case basis whether to refer veterans to the Choice Program or one of VA\u2019s other community care programs when services were not available. In June 2017, VHA issued another policy memorandum that rescinded the referral hierarchy that required VAMCs to refer to the Choice Program first. It directed VAMCs to refer veterans to the Choice Program only if they met the Choice Act\u2019s wait-time, distance, and geographic eligibility criteria, and to instead use other VHA medical facilities, facilities with which VA has sharing agreements, and other VA community care programs to deliver care to veterans when services were not available at a VHA medical facility and veterans did not qualify under the Choice Act\u2019s eligibility criteria. In August 2017, after Congress provided an additional $2.1 billion for the Choice Program, VHA again changed its guidance on referral patterns for the Choice Program and VA\u2019s other community care programs. Specifically, VA issued a fact sheet saying that the new funding will allow VAMCs to refer veterans to the Choice Program to the maximum extent possible. This allowed VAMCs to again offer veterans Choice Program referrals when services are unavailable at VHA medical facilities (until available funds have been exhausted), and also permitted VAMCs to refer veterans to other VA community care programs when services are unavailable."], "subsections": []}, {"section_title": "Process for Choice Program Appointment Scheduling", "paragraphs": ["Through policies and standard operating procedures for VAMCs and contracts with the TPAs, VA and VHA have established two separate processes for Choice Program routine and urgent appointment scheduling: one process for time-eligible veterans and another for distance-eligible veterans.", "Table 1 provides an overview of the appointment scheduling process that applies when a veteran is referred to the Choice Program because the veteran is time-eligible. (Appendix II contains additional detail about the Choice Program appointment scheduling process for time-eligible veterans\u2014including differences between the routine and urgent care appointment scheduling process.)", "When veterans reside more than 40 miles from a VHA medical facility or meet other travel-related criteria, VHA uses the appointment scheduling process it developed for distance-eligible veterans. The process for distance-eligible veterans differs from that for time-eligible veterans in that VAMCs do not prepare a referral and send it to the TPA. Instead, distance-eligible veterans contact the TPA directly to request Choice Program care. See table 2 for an overview of the Choice Program appointment scheduling process that applies for distance-eligible veterans. (See appendix III for additional detail about the Choice Program appointment scheduling process for distance-eligible veterans\u2014including differences between the routine and urgent care appointment scheduling process.)"], "subsections": []}, {"section_title": "Choice Program Utilization from Fiscal Year 2015 through Fiscal Year 2016", "paragraphs": ["Data we obtained from the TPAs indicate that VHA and the TPAs used the time-eligible appointment scheduling process about 90 percent of the time from fiscal year 2015 through fiscal year 2016 (the first 2 years of the Choice Program\u2019s implementation). More than half of the veterans who were referred to the Choice Program and for whom the TPAs scheduled appointments were referred because the services they needed were not available at a VHA medical facility. The second-most-common reason for referral was that the wait time for an appointment at a VHA medical facility exceeded 30 days. (See figure 2.) The distance-eligible appointment scheduling process was used for about 10 percent of the veterans who used the Choice Program between fiscal year 2015 through fiscal year 2016."], "subsections": []}, {"section_title": "Choice Act Wait-Time Requirements for Care Furnished Under the Program", "paragraphs": ["In coordinating the furnishing of care to eligible veterans under the Choice Program, VA is required to ensure that veterans receive appointments for Choice Program care within the wait-time goals of VHA for the furnishing of hospital care and medical services. Although the Choice Act defined VHA\u2019s wait-time goals as not more than 30 days from the date a veteran requests an appointment from the Department, the Choice Act gave VA the authority to change this definition if it did not reflect VHA\u2019s actual wait- time goals. If VA wanted to exercise this authority, it was required to notify Congress of VHA\u2019s actual wait-time goals within 60 days of the law\u2019s enactment (i.e., by October 6, 2014). VA did so in an October 3, 2014, report to Congress. To \u201censure that care provided through the Veterans Choice Program is delivered within clinically appropriate timeframes,\u201d VA notified Congress that VHA\u2019s wait-time goals were \u201cnot more than 30 days from either the date that an appointment is deemed clinically appropriate by a VA health care provider, or if no such clinical determination has been made, the date a Veteran prefers to be seen for hospital care or medical services.\u201d By incorporating VHA\u2019s reported wait- time goal, the Choice Act required VA to ensure the furnishing of care to eligible veterans within 30 days of the clinically indicated date or, if none existed, within 30 days of the veteran\u2019s preferred date."], "subsections": []}, {"section_title": "VA\u2019s Other Community Care Programs and Planned Consolidation", "paragraphs": ["VA has purchased health care services from community providers through various programs since as early as 1945. Currently, there are six community care programs other than the Choice Program through which VA purchases hospital care and medical services for veterans. These six community care programs offer different types of services and have varying eligibility criteria for veterans and community providers. VA\u2019s six non-Choice community care programs include: Individually authorized VA community care. The primary means by which VHA has traditionally purchased community care is through individual authorizations, where local VAMC staff determine veteran eligibility, create authorizations, and assist veterans in arranging care with community providers that are willing to accept VA payment. Traditionally, VAMCs have approved the use of individually authorized community care when a veteran cannot access a particular specialty care service from a VHA medical facility because the service is not offered or the veteran would have to travel a long distance to obtain it from a VHA medical facility. (See appendix IV for an illustration of how appointment scheduling and care coordination processes for the Choice Program compare to those for individually authorized VA community care.)", "Two emergency care programs. When VA community care is not preauthorized, VA may reimburse community providers for emergency care under two different community care programs: 1) emergency care for a condition related to a veteran\u2019s service-connected disability and 2) emergency care for a condition not related to a veteran\u2019s service-connected disability, commonly referred to as Millennium Act emergency care. For emergency care to be covered through these two programs, a number of criteria must be met, including (1) community providers must file claims in a timely manner (within 2 years of the date services were rendered for service-connected emergency care and within 90 days for Millennium Act emergency care); (2) the veteran\u2019s condition must meet the prudent layperson standard of an emergency; and (3) a VA or other federal medical facility must not have been feasibly available to provide the needed care, and an attempt to use either would not have been considered reasonable by a prudent layperson.", "Patient-Centered Community Care (PC3). In September 2013, VA awarded contracts to Health Net and TriWest to develop regional networks of community providers to deliver specialty care, mental health care, limited emergency care, and maternity and limited newborn care when such care is not feasibly available from a VHA medical facility. VA and the TPAs began implementing the PC3 program in October 2013, and it was fully implemented nationwide as of April 2014\u2014prior to the creation of the Choice Program. In August 2014, VA expanded the PC3 program to allow community providers of primary care to join the PC3 networks. PC3 is a program VA created under existing statutory authorities, not a program specifically designed by law. To be eligible to obtain care from PC3 providers, veterans must meet the same criteria that are required for individually authorized VA care in the community services.", "Agreements with federal partners and academic affiliates. When services are not available at VHA medical facilities, VA may also obtain specialty, inpatient, and outpatient health care services for veterans through two types of sharing agreements\u2014those with other federal facilities (such as those operated by the Department of Defense and the Indian Health Service), and those with university- affiliated hospitals, medical schools, and practice groups (known as academic affiliates).", "Dialysis contracts. In June 2013, VA awarded contracts to numerous community providers nationwide to deliver dialysis\u2014a life-saving medical procedure for patients with end-stage renal disease (permanent kidney failure). When dialysis services are not feasibly available at VHA medical facilities, veterans may be referred to one of VA\u2019s contracted dialysis providers, and veterans may receive dialysis at local clinics on an outpatient basis, or at home (if the contractors offer home-based dialysis services).", "The VA Budget and Choice Improvement Act, which was enacted on July 31, 2015, required VA to develop a plan for consolidating all of its community care programs into a new, single program to be known as the \u201cVeterans Choice Program.\u201d VHA submitted this plan, including proposed legislative changes, to Congress on October 30, 2015. VA has moved forward with some aspects of the planned community care program consolidation that it believes can be accomplished without statutory changes. In December 2016, VA issued a request for proposals (RFP) for contractors to help administer the consolidated community care program, through \u201ccommunity care network\u201d contracts. The consolidated community care program VA described in the October 2015 plan it submitted to Congress and the December 2016 RFP, as amended, would be similar to the current Choice Program in certain respects. For example, VA is planning to award community care network contracts to TPAs, which would establish regional networks of community providers and process payments to those providers. In contrast, other aspects of the consolidated community care program VA has planned may differ from the existing Choice Program. For example, VA\u2019s RFP for the community care network contracts, as amended, requires VAMCs\u2014rather than TPAs\u2014to carry out appointment scheduling, unless they exercise a contract option for the TPAs to provide such services."], "subsections": []}, {"section_title": "Annual Obligations for the Choice Program and Other VA Community Care Programs", "paragraphs": ["In fiscal year 2015, the first year of the Choice Program\u2019s implementation, total obligations for Choice Program health care services accounted for about 4.7 percent of the $8.7 billion VA obligated for all community care services that year. However, as more care was provided through the Choice Program in fiscal years 2016 and 2017, obligations for Choice Program care grew steadily, while obligations for care delivered through other VA community care programs decreased. In fiscal year 2017, total obligations for Choice Program health care services accounted for about 39 percent of the $11.16 billion VA obligated for all community care services that year. See table 3.", "As shown in Table 4, below, of the $10.37 billion in Choice Program funds that were obligated between fiscal year 2015 and fiscal year 2017, $6.28 billion (or about 61 percent) of the funds were obligated for Choice Program health care services. About $1.76 billion (or 17 percent) of total Choice Program funds obligated between fiscal year 2015 and fiscal year 2017 were obligated for administrative costs. The remaining $2.33 billion (about 22 percent) were obligated for medical services other than those authorized under the Choice Program. As we previously reported, VHA experienced a projected funding gap in its medical services appropriation account in fiscal year 2015, largely due to lower-than-expected obligations for the Choice Program, higher-than-expected obligations for other VA community care programs, and unanticipated obligations for hepatitis C drugs. To address the projected funding gap, on July 31, 2015, VA obtained temporary authority to use Choice Program funds between July 31, 2015 and September 30, 2015 for amounts obligated on or after May 1, 2015 to furnish medical services other than those that it authorized under the Choice Program. Later, in fiscal year 2016 and fiscal year 2017, VA de-obligated about $420 million of the Choice Program funds it had obligated for other VA community care programs and hepatitis C drugs in fiscal year 2015 because they were never expended."], "subsections": []}]}, {"section_title": "Time Allowed to Complete VA\u2019s Choice Program Appointment Scheduling Process Significantly Exceeds the Choice Act\u2019s Required 30-Day Time Frame for Routine Care", "paragraphs": ["Our analysis of VA\u2019s scheduling process indicates that veterans who are referred to the Choice Program for routine care because they are time- eligible could potentially wait up to 70 calendar days to obtain care, if VAMCs and TPAs take the maximum amount of time allowed by VA\u2019s process. About 90 percent of Choice Program referrals in fiscal years 2015 and 2016 were scheduled under the time-eligibility process, which means that the majority of veterans referred to the program would have been subject to this potential wait time for an appointment for routine care. This 70-day potential wait time is in contrast to the Choice Act\u2019s required time frame, which is that eligible veterans receive Choice Program care no more than 30 days from the date an appointment is deemed clinically appropriate by a VHA clinician (referred to as the clinically indicated date), or if no such determination has been made, 30 days from the date the veteran prefers to receive care. According to VHA policy, a VHA clinician\u2019s clinically indicated date determination must be based upon the needs of the patient, and it should be the earliest date that it would be clinically appropriate for the veteran to receive care. Therefore, if there is no clinical reason that care should be delayed, a veteran\u2019s clinically indicated date could be the same date that the VHA clinician determined the veteran needed care.", "The potential wait time of about 70 calendar days for time-eligible veterans to receive routine care through the Choice Program encompasses 18 or more calendar days for VAMCs to prepare veterans\u2019 Choice Program referrals and potentially another 52 calendar days for appointments to occur through the TPAs\u2019 scheduling process, as follows:", "VAMCs\u2019 process for preparing routine Choice Program referrals. According to VHA policies and guidance, VAMC staff have at least 18 calendar days to confirm that veterans want to be referred to the Choice Program and to send veterans\u2019 referrals to the TPAs:", "They have 2 business days (or up to 4 calendar days) after a VHA clinician has determined the veteran needs care to begin contacting an eligible veteran by telephone to offer them a referral to the Choice Program.", "They have up to 14 calendar days after initiating contact to reach the veteran by telephone or letter and confirm that the veteran wants to be referred to the Choice Program.", "After confirming that a veteran wants to be referred to the Choice Program, however, VA has not set a limit on the number of days VAMCs should take to compile relevant clinical information and send referrals to the TPAs.", "TPAs\u2019 process for scheduling routine Choice Program appointments. Through its contracts with the TPAs, VA has established a process under which a veteran could potentially wait another 52 calendar days from the date the TPA receives the VAMC\u2019s Choice Program referral for a routine care appointment to take place. This includes up to 16 business days (or 22 calendar days) after receiving a referral to confirm the veteran\u2019s decision to opt in to the Choice Program and create an authorization. The contracts further state that, for time-eligible veterans, an appointment shall take place within 30 calendar days of the clinically indicated date, the authorization creation date, or the veteran\u2019s preferred date, whichever occurs later:", "The TPA has 2 business days to review the VAMC\u2019s referral and accept it if it contains sufficient information to proceed with appointment scheduling.", "The TPA has 4 business days to contact the veteran by telephone and confirm they want to opt in to the Choice Program (which means that the veteran wants to receive care through the Choice Program and have the TPA proceed with appointment scheduling).", "If the veteran is not reached by telephone, the TPA has 10 business days for the veteran to respond to a letter confirming that they want to opt in, at which point the TPA creates the Choice Program authorization.", "If the authorization is created after the veteran\u2019s preferred date or after the clinically indicated date on the VAMC\u2019s referral has already passed, the TPA has 30 calendar days from the authorization creation date for an appointment for routine care to take place. The TPA can use up to 15 business days of this 30- calendar-day time frame to contact providers and successfully schedule the veteran\u2019s Choice Program appointment.", "See figure 3 for an illustration of the potential wait time of approximately 70 calendar days for time-eligible veterans to receive routine care through the Choice Program.", "The process VA established for time-eligible veterans to receive routine care through the Choice Program\u2014which could potentially take 70 days to complete\u2014is not consistent with the requirement that veterans receive care within 30 days of their clinically indicated dates (where available) as applicable under the Choice Act. Furthermore, according to the federal internal control standard for control activities, agencies should design control activities\u2014such as through policies and procedures\u2014that will help ensure federal programs meet their objectives and respond to any risks to meeting those objectives.", "A key reason that veterans\u2019 overall wait times for Choice Program care could potentially exceed the Choice Act\u2019s 30-day wait-time requirement is that the process VA and VHA designed did not include a limit on the number of days VAMCs have to complete a key step of the process\u2014 compiling relevant clinical information and sending referrals to the TPAs after veterans have agreed to be referred to the Choice Program. While the process sets forth time frames for the other steps VAMCs and TPAs must complete to process referrals and schedule appointments, VA and VHA have not specified how many days VAMCs have to send veterans\u2019 Choice Program referrals to the TPAs. VHA has no comprehensive policy directive for the Choice Program, and neither its consult management directive nor its outpatient appointment scheduling directive specifies an amount of time within which VAMCs should prepare Choice Program referrals.", "Another reason that veterans\u2019 overall wait times for Choice Program care could potentially exceed the Choice Act\u2019s 30-day wait-time requirement is that after VA and VHA implemented their policies, they did not review and address risks that were identified through their actual experience in operating the program. In response to a letter we sent in March 2017, VA\u2019s Deputy General Counsel for Legal Policy said that, based on VA\u2019s and VHA\u2019s experiences with actual operation of the Choice Program since November 2014, \u201cthe practical reality\u201d has been that the 30-day wait-time goal VA established just prior to the program\u2019s implementation cannot always be met.", "VA has not disclosed what timeliness goals it would apply under a future consolidated community care program. We note, however, that VA currently has no timeliness goals for its existing individually authorized community care program and cannot determine the amount of time veterans wait, on average, to receive care through that program, which has accounted for a significant portion of veterans\u2019 community care utilization. We recommended in May 2013 that VA analyze the amount of time veterans wait to see providers in its individually authorized community care program and apply the same wait-time goals to that care that it uses to monitor wait times at VHA medical facilities. VA concurred with the recommendation to conduct an analysis and reported that it was in the process of building wait-time indicators to measure wait-time performance for individually authorized VA community care. VHA has since updated its wait-time goal for care delivered within VHA medical facilities\u2014which is that care must be delivered within 30 days of veterans\u2019 clinically indicated dates (where available). However, VA has not applied that same goal to its individually authorized VA community care program nor begun measuring wait-time performance for that program.", "Timeliness of appointments is an essential component of quality health care; delays in care have been shown to negatively affect patients\u2019 morbidity, mortality, and quality of life. Without specifying wait-time goals that are achievable, and without designing appointment scheduling processes that are consistent with those goals, VA lacks assurance that veterans are receiving care from community providers in a timely manner. It also lacks a means for comparing the timeliness of veterans\u2019 community care with that of care delivered within VHA medical facilities."], "subsections": []}, {"section_title": "Actual Wait Times for Choice Program Care Have Been Lengthy for Selected Veterans, and VHA\u2019s Monitoring of Veterans\u2019 Access Is Limited by Incomplete and Unreliable Data", "paragraphs": [], "subsections": [{"section_title": "In 2016, Selected Veterans Experienced Lengthy Overall Wait Times to Receive Routine Care and Urgent Care through the Choice Program", "paragraphs": ["To examine selected veterans\u2019 actual wait times to receive routine care and urgent care through the Choice Program, we conducted a manual review of a random, non-generalizable sample of 196 Choice Program authorizations. The TPAs created these authorizations between January 2016 and April 2016 in response to referrals sent by six selected VAMCs. Our manual review of veterans\u2019 VA electronic health records and the TPAs\u2019 records for our non-generalizable sample of 55 routine care authorizations and 53 urgent care authorizations for which the TPAs succeeded in scheduling appointments identified the following review times:", "For the 55 routine care authorizations in our sample, it took VAMC staff an average of 24 calendar days after the veterans\u2019 need for routine care was identified to contact the veterans and confirm that they wanted to be referred to the Choice Program, compile relevant clinical information, and send veterans\u2019 referrals to the TPAs. It took an average of 27 calendar days for the VAMCs to complete these actions for the 53 urgent care authorizations in our sample.", "For these routine care authorizations, it took the TPAs an average of 14 calendar days to accept referrals and reach veterans by telephone or letter for the veterans to opt in to the Choice Program. It took the TPAs an average of 18 calendar days to complete these actions for the urgent care authorizations in our sample.", "After the TPAs succeeded in scheduling veterans\u2019 appointments for routine care, an average of 26 calendar days elapsed before veterans in our sample completed their initial appointments with Choice Program providers. For urgent care authorizations in our sample, it took an average of 18 days for the veterans to complete their initial appointments after the TPAs scheduled them.", "See the following text box for specific examples of the overall wait times experienced by some veterans in the samples of routine and urgent Choice Program authorizations we reviewed.", "Examples of Delays Experienced by Veterans for Whom the Choice Program Third Party Administrators (TPA) Scheduled Appointments", "One veteran was referred to the Choice Program for magnetic resonance imaging (MRI) of the neck and lower back because these services were unavailable at a Veterans Health Administration (VHA) medical facility. It took almost 3 weeks for Department of Veterans Affairs (VA) medical center (VAMC) staff to prepare his Choice Program referral for routine care and send it to the TPA, and then it took an additional 2 months after the VAMC sent the referral for the veteran to receive care. Notes in the veteran\u2019s VA electronic health record indicated that his follow- up appointment with a VHA neurosurgeon was at risk of being rescheduled because the VAMC had not received the results of the MRI after the appointment with the Choice Program provider occurred. Ultimately, the veteran\u2019s appointment with the VHA neurosurgeon\u2014where the imaging results and treatment options were discussed\u2014did not occur until almost 6 months after the VHA clinician originally identified the need for the MRI.", "One veteran was referred to the Choice Program because she needed maternity care, which is generally not available at VHA medical facilities. Almost a month and a half elapsed from the time VAMC staff confirmed her pregnancy (when she was 6 weeks pregnant) to when the VAMC sent the Choice Program referral for urgent care to the TPA. It then took 2 additional weeks for the TPA to make an unsuccessful attempt to contact the veteran to schedule a prenatal appointment; by that point, she was almost 15 weeks pregnant. The veteran called the TPA back, but when the TPA had yet to schedule an appointment by the time she was 18 weeks pregnant, the veteran finally scheduled her initial prenatal appointment herself, almost 3 months after her pregnancy was confirmed by VAMC staff.", "One veteran was referred to the Choice Program for thoracic surgery to address a growth on his lung because there was a wait for care at a VHA medical facility. TPA documentation we reviewed indicated that VAMC staff contacted the TPA four times to inquire about the status of the veteran\u2019s appointment, and the TPA contacted five Choice Program providers in its unsuccessful attempts to schedule the urgent appointment for the veteran. Ultimately, the veteran scheduled his own initial appointment with a thoracic surgeon in the community and informed the TPA that he had done so. The veteran\u2019s initial appointment occurred 3 weeks after the VAMC sent his referral to the TPA.", "We also found that veterans in our sample experienced lengthy overall wait times to receive care when the TPAs returned their authorizations to the VAMC without scheduling appointments. When veterans\u2019 Choice Program authorizations are returned, VAMCs must attempt to arrange care through other means\u2014such as through another VA community care program, a new Choice Program referral, or at another VHA medical facility. Among the 88 returned authorizations in our sample, we determined that 53 veterans eventually received care through other means after their authorizations were returned. These 53 veterans ended up waiting an average of 111 days after the VHA clinician originally determined they needed care until their first appointment with a VHA clinician or with a community provider occurred. See the text box below for some examples of delays experienced by veterans in the sample of 88 returned Choice Program authorizations we reviewed.", "Examples of Delays Experienced by Veterans Whose Authorizations Were Returned to Department of Veterans Affairs Medical Centers (VAMC) by the Choice Program Third Party Administrators (TPA)", "The VAMC took almost 3 \u00bd months to refer one veteran to a physical therapist to address her pelvic floor prolapse. When the preferred provider listed in the VAMC\u2019s referral was outside the TPA\u2019s network, the TPA sent a message to the VAMC via its web-based portal to ask if it should try scheduling the appointment with a different provider. By the time VAMC staff responded to the message in the TPA\u2019s portal, the TPA had already returned the authorization\u2014almost 2 weeks after accepting it. Two months later, the VAMC realized that the veteran still needed this care and sent a new Choice Program referral to the TPA. It then took the veteran another 2 \u00bd months to attend her first appointment. Overall, this veteran waited more than 8 months to receive physical therapy.", "One veteran who was eligible for the Choice Program because he resided more than 40 miles from a VHA medical facility contacted the TPA to request an appointment with a urologist. More than a month later, the TPA contacted the VAMC via its web-based portal to request a referral for the veteran. VAMC staff responded to the TPA two days later and stated (correctly) that because the veteran was distance-eligible, no referral was required. Four days after receiving the VAMC\u2019s response, the TPA succeeded in scheduling an appointment. However, the veteran declined it because the TPA had scheduled the appointment with a neurologist (a specialist who treats conditions affecting the brain, spinal cord, and nerves) rather than a urologist (a specialist who treats conditions affecting the urinary tract and male reproductive organs). Ultimately, the veteran ended up seeing a urologist at a VAMC nearly 5 months after he originally contacted the TPA to request care.", "It took about 2 \u00bd weeks for the VAMC to send one veteran\u2019s referral for pain management to the TPA after a VHA clinician originally determined he needed these services. However, information the TPA needed for scheduling the Choice Program appointment was missing from the VAMC\u2019s referral. The TPA requested the information from the VAMC twice using its web-based portal, but VAMC staff did not reply, and the TPA returned the authorization 2 weeks after receiving it. It then took another month before the veteran ended up receiving pain management services at a VAMC. Overall, this veteran waited almost 2 \u00bd months for pain management services.", "After we shared the results of our preliminary analysis with VHA officials in December 2016, VHA required its medical facilities to manually review a sample of about 5,000 Choice Program authorizations that were created in July, August, and September of 2016 for four types of Choice Program care\u2014mammography, gastroenterology, cardiology, and neurology. The purpose of this review was to analyze (1) the timeliness with which VAMCs sent referrals to the TPAs, and (2) veterans\u2019 overall wait times for Choice Program care. VHA calculated the average wait times across these four types of care for each of its 18 Veterans Integrated Service Networks (VISN).", "VHA\u2019s analysis of data collected by VAMCs identified the following average review times when veterans were referred to the Choice Program because there was a greater-than-30-day wait time for an appointment at a VHA medical facility.", "Referral wait times. VISN-level averages ranged from 6 to 53 days for VAMC staff to contact veterans and confirm that they wanted to be referred to the Choice Program, compile relevant clinical information, and send veterans\u2019 referrals to the TPAs. The national average was 19 days.", "Overall wait times. From the time veterans\u2019 need for care was identified until they attended initial Choice Program appointments, average overall wait times ranged from 34 to 91 days across VHA\u2019s 18 VISNs. The national average was 51 days.", "When veterans were referred to the Choice Program because services were unavailable at a VHA medical facility, VHA\u2019s analysis of VAMCs\u2019 self-reported data identified the following average review times:", "Referral wait times. VISN-level averages ranged from 6 to 21 days for VAMC staff to contact veterans and confirm that they wanted to be referred to the Choice Program, compile relevant clinical information, and send veterans\u2019 referrals to the TPAs. The national average was 15 days.", "Overall wait times. From the time veterans\u2019 need for care was identified until they attended initial Choice Program appointments, average overall wait times ranged from 39 to 56 days across VHA\u2019s 18 VISNs. The national average was 47 days."], "subsections": []}, {"section_title": "VHA\u2019s Monitoring of Veterans\u2019 Access to Choice Program Care Is Limited by a Lack of Complete, Reliable Data", "paragraphs": ["Our analysis indicates that VHA\u2019s ability to monitor Choice Program access is limited because the data VHA uses are not always accurate and reliable, and VHA lacks certain data that are needed to effectively monitor the program. As discussed below, multiple factors contribute to these data limitations. According to federal internal control standards for information and communication and for monitoring, agencies should use quality information to achieve the entity\u2019s objectives, internally and externally communicate quality information, and establish activities to monitor the quality of performance over time and evaluate the results. Without complete, reliable Choice Program data, VHA cannot determine whether the Choice Program has achieved the goals of (1) alleviating the wait times veterans have experienced when seeking care at VHA medical facilities, and (2) easing geographic burdens veterans may face to access care at VHA medical facilities."], "subsections": [{"section_title": "VHA Cannot Systematically Calculate the Average Number of Days VAMCs Take to Prepare Choice Program Referrals", "paragraphs": ["The data VHA currently uses to monitor the timeliness of Choice Program appointment scheduling and completion do not capture the days it takes for VAMCs to prepare veterans\u2019 referrals and send them to the TPAs. This is because VHA has not standardized the manner in which VHA clinicians and VAMC staff categorize consults that lead to Choice Program referrals.", "We observed inconsistency in the titles of consults that were associated with the non-generalizable sample of Choice Program authorizations we reviewed. For example, consult titles sometimes included the word \u201cChoice,\u201d but in other cases they included the words \u201cnon-VA care.\u201d", "Some of the consult titles indicated the criterion under which the veteran was eligible for the Choice Program and the type of care the veteran needed (for example, \u201cChoice-First Physical Therapy\u201d), while other consult titles only indicated the type of care the veteran needed (for example, \u201cpain management\u201d).", "We observed this variability among consult titles both within single VAMCs and across all six of the VAMCs we selected for review.", "According to documentation VHA officials provided to us in December 2016, they planned on implementing a process for standardizing the consult titles associated with Choice Program referrals over the course of calendar year 2017. Originally, they planned on piloting the process at four VAMCs beginning in February 2017 and expected to gradually roll out standardized consult titles across all other VAMCs over the remainder of calendar year 2017. However, in late June and early July 2017, we followed up with the six VAMCs in our sample, and at that time, managers from only one of the VAMCs said that they had implemented the new process for standardizing consult titles associated with Choice Program referrals. When we interviewed VHA officials again in September 2017, they acknowledged that they had been delayed in implementing standardized consult titles, and they provided documentation indicating that they were just beginning to roll out the new process nationwide.", "In the absence of standardized consult titles for the Choice Program, VHA has no automated way to electronically extract data from VA\u2019s electronic health record and calculate the average number of days it takes for VAMC staff to prepare veterans\u2019 Choice Program referrals after veterans have agreed to be referred to the program. Further, without standardized consult titles, VHA cannot monitor veterans\u2019 overall wait times\u2014from the time VHA clinicians determine veterans need care until the veterans attend their first appointments with Choice Program providers. The lack of standardized consult titles also prevents VHA from tracking average overall wait times and monitoring the timeliness of care for veterans whose Choice Program authorizations are returned by the TPAs without scheduled appointments."], "subsections": []}, {"section_title": "Available VHA Data Do Not Capture the Time Spent By TPAs in Accepting VAMCs\u2019 Referrals and Opting Veterans in to the Choice Program", "paragraphs": ["The data VHA currently uses to monitor the timeliness of Choice Program appointments capture only a portion of the process that the TPAs carry out to schedule veterans\u2019 appointments after they receive referrals from VAMCs. Specifically, VHA\u2019s data reflect the timeliness of appointment scheduling and completion after the TPAs create authorizations in their appointment scheduling systems, which (according to VA\u2019s contracts, as of June 1, 2016) the TPAs must do only after they have received all necessary information from VA and the veteran has opted in to the Choice Program. Therefore, VHA\u2019s timeliness data do not capture the time TPAs spend (1) reviewing and accepting VAMCs\u2019 referrals, and (2) contacting veterans to confirm that they want to opt in to the Choice Program.", "Data related to the timeliness of Choice Program appointment scheduling. When we asked how they monitor the timeliness of Choice Program appointment scheduling, VHA officials provided us the following types of data, all of which reflect the time that elapses only after veterans have opted in to the Choice Program and the TPAs have created authorizations: the average number of business days the TPAs take after creating authorizations to schedule appointments for routine and urgent care, the percentage of appointments for routine care that the TPAs schedule within 5 business days after they create authorizations, and the percentage of appointments for urgent care that the TPAs schedule within 2 business days after they create authorizations.", "Data related to the timeliness with which initial Choice Program appointments occur. VHA officials provided us data on the timeliness with which initial Choice Program appointments have occurred; however, as shown below, almost all of these data reflect the timeliness with which appointments occur only after veterans have opted in to the Choice Program and the TPAs have either created authorizations or successfully scheduled veterans\u2019 appointments: the average number of business days after the TPAs create authorizations in which appointments for routine and urgent care occur; the percentage of appointments for routine care that are completed within 30, 60, 90, and 120 business days or more after the TPAs create an authorization; the percentage of appointments for routine care that are completed within 30 calendar days of either (1) the TPA\u2019s scheduling of the appointment, (2) the clinically indicated date on the VAMC\u2019s referral, or (3) the veteran\u2019s preferred date; and the percentage of appointments for urgent care that are completed within 2 calendar days of the TPAs creating the authorizations.", "See figure 4 for an illustration of how VHA\u2019s data capture only a portion of the Choice Program process to obtain care.", "In September 2017, VHA officials told us that they recently began implementing an interim solution that would allow them to track veterans\u2019 overall wait times for Choice Program and other VA community care\u2014 from the time VHA clinicians determine veterans need the care until the veterans attend their first appointments with community providers. Specifically, this interim solution requires VAMC staff to enter unique identification numbers on VHA clinicians\u2019 requests for care and on the Choice Program referrals they send to the TPAs. This unique identification number is then carried over to the Choice Program authorizations that are created in the TPAs\u2019 systems. According to VHA officials, the unique identification number creates a link between VHA\u2019s data and the TPAs\u2019 data, so that VHA can monitor the timeliness of each step of the Choice Program referral and appointment scheduling process. However, the success of VHA\u2019s interim solution relies on VAMC staff consistently and accurately entering the unique identification numbers on both the VHA clinicians\u2019 requests for care and on Choice Program referrals, a process that is prone to error. VHA officials said it is their long- term goal to automate the process by which VHA\u2019s data are linked with TPAs\u2019 data in the consolidated community care program they are planning to implement.", "Because, as previously explained, VHA lacks data on the average timeliness with which VAMCs prepare Choice Program referrals, and VHA also lacks data on the average amount of time that elapses between when the TPAs receive VAMCs\u2019 referrals and when veterans opt in with the TPAs, VHA cannot track veterans\u2019 overall wait times for Choice Program care\u2014from the time VHA clinicians determine that veterans need care until the veterans attend their first appointments with Choice Program providers. In addition, the lack of data on the timeliness with which the TPAs have (1) accepted VAMCs\u2019 referrals and (2) determined that veterans wish to opt in to the program also prevents VHA from assessing whether the TPAs\u2019 average timeliness in completing these actions has improved over time."], "subsections": []}, {"section_title": "Clinically Indicated Dates Are Sometimes Changed by VAMC Staff Before They Send Choice Program Referrals to the TPAs", "paragraphs": ["Our analysis of a sample of 196 Choice Program authorizations shows that another way in which VHA\u2019s monitoring of veterans\u2019 access to care is limited by available data is that the clinically indicated dates included on referrals that VAMCs send to the TPAs may not be accurate. We found that the clinically indicated dates on VAMCs\u2019 referrals were not always identical to the clinically indicated dates that were originally entered into VA\u2019s electronic health record by the VHA clinicians who treated the veterans.", "VHA\u2019s policy directive on consult management and its Choice Program standard operating procedure for VAMCs state that the clinically indicated date is to be determined by the VHA clinician who is treating the veteran. However, in reviewing VA\u2019s electronic health records for our sample of 196 Choice Program authorizations, we identified 60 cases where the clinically indicated dates VAMC staff entered on Choice Program referrals they sent to the TPAs differed from the clinically indicated dates that were originally entered by VHA clinicians. In 46 of these 60 cases, VAMC staff entered clinically indicated dates on the Choice Program referrals that were later than the dates originally determined by the VHA clinicians, which would make the veterans\u2019 wait times appear to be shorter than they actually were.", "VHA could not explain why the dates differed. Clinically indicated dates are manually entered on VAMCs\u2019 electronic referrals to the TPAs, a practice that is subject to error or manipulation. It is unclear if VAMC staff mistakenly entered incorrect dates, or if they inappropriately entered later dates when the VAMC was delayed in contacting the veteran, compiling relevant clinical information, and sending the referral to the TPA. If VAMCs\u2019 Choice Program referrals have clinically indicated dates that are different from the ones VHA clinicians originally entered without additional supporting documentation, there is a risk that VHA\u2019s data will not accurately reflect veterans\u2019 actual wait times. Specifically, VHA will not be able to determine how often veterans receive Choice Program care within the Choice Act\u2019s required 30-day time frame."], "subsections": []}, {"section_title": "VAMCs and TPAs Frequently Re-Categorize Routine Choice Program Referrals as Urgent Referrals, Sometimes Inappropriately", "paragraphs": ["Another limitation of VHA\u2019s monitoring of veterans\u2019 access to Choice Program care is that VAMCs and TPAs do not always categorize referrals in accordance with the contractual definition for urgent care when they are processing referrals and scheduling appointments for veterans. According to VA\u2019s contracts with the TPAs, Choice Program referrals are to be marked as \u201curgent\u201d when a VHA clinician has determined that the veteran needs care that (1) is considered essential to evaluate and stabilize conditions and (2) if not provided would likely result in unacceptable morbidity or pain when there is a significant delay in evaluation or treatment. It is VA\u2019s goal that the TPAs schedule appointments for urgent care and ensure that they take place within 2 business days of accepting the referrals from VA.", "Among the sample of 53 Choice Program authorizations for urgent care we reviewed, VHA and TPA documentation showed that in 35 cases (about 66 percent), VHA clinicians originally determined that veterans needed routine care, but VAMC or TPA staff later re-categorized the referrals or authorizations as urgent. In 4 of these 35 cases, we found documentation showing that VHA clinicians had reviewed the pending referrals and determined that the veterans\u2019 clinical conditions or diagnoses warranted re-categorizing the veterans\u2019 routine care referrals or authorizations as urgent. In 31 other cases we reviewed, however, we found no documentation indicating that a VHA clinician had identified a clinical reason for the veteran to receive care faster. In at least 15 of these 31 cases, it appeared that the VAMC or TPA staff changed the status of the referral or authorization in an effort to administratively expedite appointment scheduling when they were delayed in sending referrals and scheduling veterans\u2019 Choice Program appointments.", "According to the VA contracting officer who is responsible for the Choice Program contracts, VA\u2019s contracts with the TPAs do not include provisions for separating clinically urgent Choice Program referrals and authorizations from those that the VAMC or the TPA has decided to expedite for administrative reasons (such as when the veteran or VAMC staff has expressed frustration with a delay in the referral or appointment scheduling process). If Choice Program referrals for routine care are inappropriately categorized as urgent care referrals under the Choice Program, VHA\u2019s data on the timeliness of urgent appointment scheduling and completion will not accurately reflect the extent to which veterans who have a clinical need for urgent care are receiving it within the time frames required by the TPAs\u2019 contracts."], "subsections": []}, {"section_title": "The TPAs\u2019 Choice Program Performance Data Did Not Become Comparable until 18 Months After the Program Began, Which Limits VA\u2019s Ability to Monitor Whether Access Has Improved", "paragraphs": ["The authorization creation date is the primary starting point from which VHA monitors the TPAs\u2019 timeliness in appointment scheduling and the extent to which veterans\u2019 initial Choice Program appointments occur in a timely manner. However, when initially implementing the Choice Program\u2014beginning in November 2014\u2014the two TPAs had differing interpretations of contractual requirements relating to when they should create authorizations in their appointment scheduling systems. According to VA contracting officials and VHA community care officials we interviewed, at the start of the program, one of the TPAs was creating authorizations as soon as it accepted referrals from VAMCs, but the other was waiting until after veterans opted in to the Choice Program to create authorizations. It was not until May 2016 (about 18 months into the Choice Program\u2019s implementation) that VA modified its contracts to clarify that the TPAs are to create Choice Program authorizations only after they have contacted the veterans and confirmed that they want to opt in to the program.", "Due to these differing interpretations, VA lacked comparable performance data for the two TPAs for the first 18 months of the Choice Program\u2019s expected three-year implementation. Therefore, it could not compare the timeliness of access nationwide. In addition, since VA modified the TPAs\u2019 contracts midway through the Choice Program\u2019s implementation, officials can only comparatively examine whether the timeliness of both TPAs\u2019 appointment scheduling and completion has improved since June 2016, which is when the relevant contract modification took effect."], "subsections": []}, {"section_title": "TPAs Sometimes Select Incorrect Return Reasons or Inappropriately Return Choice Program Authorizations without Making Appointments", "paragraphs": ["VHA collects data and monitors various reasons the TPAs return Choice Program authorizations to VAMCs without making appointments. Each month, VA monitors how each TPA performs on Choice Program performance measures related to the timeliness of appointment scheduling. Authorizations that are returned for reasons that are attributable to the TPA\u2014such as a lack of network providers in close proximity to the veteran\u2019s residence\u2014negatively impact the TPAs\u2019 monthly performance measures.", "In our sample, we found that VHA\u2019s data on the TPAs\u2019 reasons for returning Choice Program authorizations are not reliable. Specifically, we questioned the validity of the TPAs\u2019 return of 20 out of the 88 authorizations in our sample, for the following reasons: In 11 of the 20 cases, we found VHA or TPA documentation that substantiated the return, but the TPAs selected the incorrect return reasons when they sent the authorizations back to VA. For example, in one case, the TPA was unable to schedule an appointment with a primary care provider\u2014even after contacting 11 different network providers\u2014but the TPA staff returned the authorization to the VAMC indicating that the veteran had declined care. TPA officials who reviewed this authorization with us agreed that it was inappropriate to mark this authorization as having been returned because the veteran declined care and that their staff instead should have indicated that they had been unable to schedule an appointment with a network provider.", "In the remaining 9 of the 20 cases, we could find no VHA or TPA documentation to substantiate the reasons the TPAs selected when they returned the authorizations to VA, nor any other reasons for return. For example, the TPAs incorrectly selected \u201cmissing VA data\u201d as the reason they returned 5 of these 9 authorizations. Based on VHA and TPA documentation we reviewed, the VAMCs\u2019 referrals were complete and not missing any of the information the TPAs needed to proceed with appointment scheduling.", "TPA officials could not explain why their staff selected incorrect return reasons or inappropriately returned authorizations for which they should have kept attempting to schedule appointments. However, TPA staff must manually select return reasons when they send authorizations back to VAMCs, a process that is subject to error or manipulation. There is a process by which VA\u2019s contracting officer\u2019s representatives validate the monthly data submitted by the TPAs, but it cannot identify the data reliability issues we found when manually reviewing VHA and TPA documentation associated with a sample of returned Choice Program authorizations. VHA officials told us that VA\u2019s contracting officer\u2019s representatives do not have access to veterans\u2019 electronic health records, which means that they cannot check whether VHA documentation substantiates the return reasons selected by the TPAs.", "Without reliable data on reasons that veterans have been unable to obtain appointments through the Choice Program, VHA cannot properly target its efforts to address challenges\u2014such as network inadequacy\u2014 that may be causing the TPAs to return authorizations without making appointments. In addition, the lack of reliable data makes it difficult for VA to monitor whether the TPAs are meeting their contractual obligations, such as establishing adequate networks of community providers."], "subsections": []}, {"section_title": "VHA Does Not Have Performance Measures for Monitoring Average Driving Times between Veterans\u2019 Homes and the TPAs\u2019 Choice Program Network Providers", "paragraphs": ["Another way in which VHA\u2019s monitoring of veterans\u2019 access is limited is that VA lacks contract performance measures that would provide VA and VHA with data related to veterans\u2019 driving times to access care from the TPAs\u2019 Choice Program network providers. Such performance measures would help VA monitor the TPAs\u2019 network adequacy. In contrast, for PC3, VA does collect data from the TPAs to monitor urban, rural, and highly rural veterans\u2019 maximum commute times to specialty care providers, providers of higher level care, primary care providers, and mammography and maternity care providers.", "When we asked why VA had not established driving time performance measures for the Choice Program, a VHA official responsible for monitoring the Choice Program contracts told us he thought that these performance measures had simply been overlooked in the haste to implement the Choice Program. VA concurred with a recommendation we made in our December 2016 report about VA health care for women veterans, in which (among other things) we stated that the department should monitor women veterans\u2019 driving times to access sex-specific care through the Choice Program and VA\u2019s future community care contracts. However, VA stated in its June and October 2017 written updates on actions it has taken to address this recommendation that it does not intend to modify the current Choice Program contracts to address our recommendation because the contracts will be ending soon and it would be too costly to do so. Without driving time performance measures for the Choice Program, VHA lacks assurance that the TPAs\u2019 networks include a sufficient number of community providers in close proximity to where veterans live, and it cannot monitor the extent to which veterans\u2019 geographic access to care has improved or diminished."], "subsections": []}]}]}, {"section_title": "Multiple Factors Have Adversely Affected Veterans\u2019 Access to Care under the Choice Program, Providing Potential Lessons Learned for VA\u2019s Future Community Care Program", "paragraphs": ["Officials we interviewed from VA\u2019s contracting office, VHA\u2019s Office of Community Care, and both of the TPAs, along with leadership officials, managers, and staff from the six selected VAMCs told us about various factors that have directly or indirectly affected veterans\u2019 access to care throughout the Choice Program\u2019s implementation. Chief among these are (1) administrative burden associated with the Choice Program\u2019s complex referral and appointment scheduling processes; (2) inadequate VAMC staffing and poor communication between VHA and the VAMCs; and (3) the TPAs\u2019 slow development of a robust provider network. We also identified actions VA and VHA have taken to address these factors. (See appendix VI for additional information about actions that VA and VHA took to address these three access-related issues for the Choice Program.) To the extent that these factors persist under the consolidated community care program that VA plans to establish, they will continue to adversely affect veterans\u2019 access to care."], "subsections": [{"section_title": "VA and VHA Took Several Actions to Address Administrative Burden Caused by Complex Choice Program Processes, but Opportunities Still Exist to Improve Care Coordination", "paragraphs": ["VHA and TPA officials, as well as managers and staff from the six selected VAMCs, told us they encountered administrative burden associated with the complexities of the Choice Program\u2019s referral and appointment scheduling processes. Further, they lacked care coordination tools throughout the time they were operating the Choice Program, which affected their ability to provide timely care to veterans. Among the main issues cited were the following:", "Manual referral processes and lack of TPA access to veterans\u2019 records. To prepare veterans\u2019 Choice Program referrals, VAMC staff had to follow a manual, time-consuming process to retrieve and collate key contact and clinical information from veterans\u2019 VA electronic health records. This was because\u2014throughout most of the Choice Program\u2019s implementation\u2014VA had no system for automatically generating referral packages that contained all of this information; nor did TPA staff have access to veterans\u2019 VA electronic health records. If VAMC staff made mistakes (such as mistyping or inadvertently omitting veterans\u2019 telephone numbers or addresses) or if the referrals were missing clinical information that the TPAs needed for appointment scheduling purposes, the TPAs had to either contact the VAMC to correct or obtain the missing information or return the referrals to VA without attempting to schedule appointments. These manual processes impeded the VAMCs\u2019 progress in preparing referrals and the TPAs\u2019 progress in scheduling veterans\u2019 Choice Program appointments.", "Limited availability of care coordination tools and dependence on telephone-based customer service for appointment scheduling. A lack of care coordination tools and near-constant telephone calls also delayed VAMC and TPA staff from efficiently processing veterans\u2019 referrals for appointments. For example, the Choice Program had no web-based portal through which VAMC staff and veterans could view the TPAs\u2019 step-by-step progress in scheduling appointments. While both of the TPAs had portals that allowed VAMC staff (but not veterans) to obtain certain information\u2014 such as whether the TPA had already scheduled an appointment\u2014the portals did not show if, or when, veterans\u2019 referrals had been accepted, the dates and times of the TPAs\u2019 attempts to contact veterans, or the number of community providers the TPA had contacted in its attempts to schedule an appointment. VAMC staff we interviewed said that while they could submit written messages to the TPAs through the portals, TPA staff did not always answer these messages in a timely manner. This, in turn, made telephone calls between veterans, the VAMCs, and the TPAs the most effective form of follow-up regarding veterans\u2019 Choice Program referrals, according to VAMC managers and staff. Officials from one selected VAMC estimated that their community care staff (which included about 30 employees) was answering approximately 10,000 calls per month, and another VAMC had hired a full-time staff person just to answer telephone calls.", "Workload associated with re-authorizing veterans\u2019 care. VAMC and TPA staff also told us they faced a lengthy administrative process to re-authorize care if veterans\u2019 Choice Program authorizations expired before veterans received care or if veterans needed services that were outside the scope of their original authorizations. The TPAs referred to these as \u201csecondary authorization requests\u201d or \u201crequests for additional services.\u201d Without these re-authorizations, veterans\u2019 care from community providers could be delayed or interrupted. VAMC and TPA staff had to process a high volume of these requests for two main reasons. First, the Choice Program originally had a 60- day limit on episodes of care, which meant that all appointments within the episode of care had to be completed within 60 days of the initial date of service. Even if the veteran needed care that could routinely be expected to outlast this 60-day time frame (such as maternity care or cancer treatment), community providers and the TPAs would still have to request additional referrals from the VAMCs to authorize the remaining care. Second, TPAs would have to request additional referrals if an episode of Choice Program care was already in progress and the veteran needed services that were not specifically authorized in the VAMC\u2019s original referral. According to some VAMC managers and staff, this generated significant workload for the VAMCs. Officials from one of the selected VAMCs said it had to hire a full-time nurse just to process secondary authorization requests.", "Manual post-appointment follow-up processes. According to VAMC managers and staff we interviewed, the manual processes used for post-appointment follow-up also added to delays for veterans seeking care through the Choice Program. After an episode of care is complete\u2014whether services are delivered at a VHA medical facility or in the community\u2014VHA\u2019s policy requires VAMC staff to document that care was provided and make the results of encounters available to VHA clinicians by entering medical records or other clinical information into the veteran\u2019s VA electronic health record. When medical records from the community provider became available, VAMC staff had to retrieve copies from the TPAs\u2019 portals and scan them into veterans\u2019 VA electronic health records. (See appendix V for an illustration of this process.) VAMC staff described this as a very time-consuming process because it could take months for claims or medical records from Choice Program appointments to appear in the TPAs\u2019 portals. At the time of our interviews in the summer of 2016, managers from two of the VAMCs in our sample said they each had backlogs of more than 6,000 Choice Program and other community care consults to complete. These backlogs adversely affected veterans\u2019 access to Choice Program care because the time VAMC staff spent attempting to complete some veterans\u2019 consults could not be spent on preparing other veterans\u2019 Choice Program referrals.", "Over the course of the Choice Program\u2019s implementation, VA and VHA took multiple actions to address administrative burden, including the following. Opportunities exist to improve or build on these actions as VA moves forward with the consolidated community care program it plans to implement.", "Implementation of a web-based tool to automate Choice Program referral preparation. In early 2016, to improve the process of gathering information from veterans\u2019 VA electronic health records to prepare Choice Program referrals, staff from two VAMCs developed a web-based tool\u2014called the \u201creferral documentation\u201d (REFDOC) tool. According to VHA documentation, the REFDOC tool automates the process of gathering necessary information and assembling it in a standardized format for veterans\u2019 Choice Program referrals. VHA\u2019s initial analyses of the REFDOC tool\u2019s effectiveness found that it sped up the process of preparing Choice Program referrals by about 20 minutes per referral, which helped reduce the administrative burden associated with preparing referrals. However, VHA\u2019s nationwide dissemination of the tool to all of the VAMCs was slowed by limitations of VA\u2019s information technology systems. As of November 2016 (about 9 months after the tool was created), it had only been implemented at 18 of VHA\u2019s 170 VAMCs. VHA gradually made the tool available at the remaining VAMCs between November 2016 and May 2017.", "Standardized episodes of care. In April 2017, VHA approved standardized episodes of care\u2014or \u201cbundles\u201d of clinically necessary medical services and procedures\u2014that are to be authorized whenever veterans are referred to community providers for specified types of care. This was intended to help address administrative burden associated with clinical review processes and improve veterans\u2019 access to care. To start, VHA approved standardized episodes of care for 15 different types of care, including physical therapy, maternity care, and optometry. VA and VHA documentation indicate that they intend to roll out additional standardized episodes of care over time and continue using them once VA transitions to the consolidated community care program it is planning to implement.", "Acquisition of a secure e-mail system and a mechanism for TPAs and community providers to remotely access veterans\u2019 VA electronic health records. VA recently established two different care coordination tools that were intended to make the process of providing veterans\u2019 medical records to Choice Program and other VA community care providers more efficient.", "Secure e-mail system. In the spring of 2017, VA acquired software that allows VAMC managers and staff to e-mail encrypted files containing veterans\u2019 medical records to the TPAs and community providers. Only the intended recipient can decrypt and respond to messages containing the files. According to VHA documentation, this secure e-mail system was intended to improve the efficiency of coordinating veterans\u2019 Choice Program care and address potential security risks associated with printing paper copies of veterans\u2019 medical records and sending them to the TPAs or community providers via fax or U.S. mail.", "Remote access to veterans\u2019 VA electronic health records. In May 2017, VHA began offering a secure, web-based application called the Community Viewer as a tool for community providers nationwide to have access to assigned veterans\u2019 VA electronic health records. Like the secure e-mail system, this tool is intended to improve the efficiency of coordinating veterans\u2019 Choice Program care.", "However, VHA\u2019s ability to seamlessly coordinate care with community providers remains limited\u2014even with the secure e-mail system and the Community Viewer\u2014because these tools only facilitate a one-way transfer of the information needed to coordinate the care veterans receive at VHA medical facilities and in the community. For the purposes of care coordination, it is important that information sharing among all participants concerned with a veteran\u2019s Choice Program or other VA community care\u2014including VHA clinicians, the TPAs, community providers, and the veteran\u2014is as seamless as possible. According to the federal internal control standard for information and communication, agencies should internally and externally communicate the necessary information to achieve their objectives. While the secure e-mail system and Community Viewer tool provide an interim solution for VAMCs to transfer information from veterans\u2019 VA electronic health records to the TPAs and community providers, they do not provide a means by which VAMCs or veterans can (1) view step-by-step progress in scheduling appointments, or (2) electronically receive the clinical results of Choice Program or other VA community care encounters. Building such a capability into the future consolidated community care program that VA plans to implement would allow VHA to improve the care coordination processes that exist in the Choice Program.", "Pilot programs for VAMC staff to schedule Choice Program appointments. In July 2016 and October 2016, VHA began implementing pilot projects, whereby staff at two VAMCs took over from the TPAs the responsibility of scheduling veterans\u2019 Choice Program appointments. Specifically, VA modified its contracts with TriWest and Health Net to implement the two VAMC scheduling pilots at the Alaska VA Health Care System and the Fargo VA Health Care System, respectively. In these two locations, VAMC staff schedule veterans\u2019 appointments and send relevant clinical documentation to the Choice Program providers. According to VHA officials, this had the potential to improve veterans\u2019 access to care by improving the efficiency of the Choice Program appointment scheduling process.", "The results of these two VAMC scheduling pilots are particularly relevant, given that VA\u2019s RFP, as amended, for its planned consolidated community care program indicates that VAMCs\u2014rather than TPAs\u2014will carry out community care appointment scheduling, unless VA exercises a contract option for the TPAs to provide such services for VAMCs that request them. However, while VHA officials told us that while they have taken some steps to begin evaluating the effectiveness of the pilots in improving appointment scheduling, these efforts have not been completed. The lack of an evaluation of the two VAMC scheduling pilots is inconsistent with the federal internal control standard for risk assessment, which stipulates that an agency should identify, analyze, and respond to risks related to achieving defined objectives. In addition, the federal internal control standard for monitoring calls for ongoing monitoring to assess the effectiveness of management strategies, make needed corrections if shortcomings are identified, and determine if corrective actions are achieving desired outcomes. Without evaluating the results of the scheduling pilots at the Alaska and Fargo VA Health Care Systems, VA lacks assurance that VAMC staff have the potential to schedule veterans\u2019 community care appointments in a more timely manner than TPA staff otherwise would schedule them. Furthermore, VA is missing an opportunity to inform its planning and decisions for scheduling under its planned consolidated community care program."], "subsections": []}, {"section_title": "Inadequate Staffing and Ad Hoc Communication Contributed to Choice Program Access Delays, and Actions Taken Have Been Focused on the Staffing Concerns", "paragraphs": ["TPA officials and managers and staff from the six selected VAMCs frequently discussed staffing- and communication-related factors that adversely affected the timeliness of veterans\u2019 Choice Program care. During the course of our review, they cited the following factors that delayed VAMCs\u2019 processing of veterans\u2019 referrals and TPAs\u2019 scheduling of appointments:", "Staff vacancies and turnover. TPA officials and managers and staff at selected VAMCs said that VAMCs and TPAs were initially understaffed as Choice Program implementation began.", "VAMCs. Managers at the six selected VAMCs told us that after implementing the Choice Program, they hired additional community care staff, with one of them increasing its community care staffing level almost five-fold by July 2016. Some VAMC managers told us in 2016 and again in 2017 that they still struggled with staff retention and vacancies\u2014among both managers and staff. Five of the VAMCs said they relied on overtime for their existing staff to keep up with the Choice Program workload. According to community care managers from four of the selected VAMCs, it takes about 6 months to recruit, hire, and train new community care staff, and this process could take more time if the VAMC\u2019s human resources office is also understaffed, which was the case for at least one of the six VAMCs. That VAMC had not had a permanent community care manager for more than 2 years as of July 2017\u2014which covered the majority of the Choice Program\u2019s original 3-year implementation.", "TPAs. Officials from both TPAs also told us that they initially underestimated the workload associated with scheduling Choice Program appointments, and they brought on additional staff, including sub-contractors, to better manage their workloads as utilization of the program increased. One TPA opened eight operations centers in addition to the two it already had when the Choice Program was initially implemented.", "Ineffective mechanisms for VAMCs to resolve problems. VAMC managers and staff we interviewed also said they lacked useful mechanisms and points-of-contact when they needed to resolve issues and problems they were having with referral and appointment scheduling processes. VHA established a web-based Choice Program \u201cissue tracker\u201d system for VAMCs to report problems to VHA\u2019s Office of Community Care. However, staff at four of the selected VAMCs told us they rarely used the tracker and some had stopped using the tracker altogether because it took too long for VHA\u2019s Office of Community Care or the TPAs to respond and resolve the issues (if they responded at all), and they did not see the value in taking the time to report them via this mechanism. Managers at one of the VAMCs also told us about a phone line that their TPA had established to escalate and resolve urgent issues, but the TPA told the VAMC only to use it for emergencies.", "VHA\u2019s untimely communication of Choice Program policy and process changes. According to managers and staff at the six selected VAMCs, VA and VHA have issued numerous contract modifications and policy changes with little advanced notice throughout the Choice Program\u2019s implementation. According to these VAMC managers and staff, the untimely communication of changes created confusion at the VAMC level that affected veterans\u2019 access to Choice Program care. We reviewed documentation showing that from October 2014 (when it modified the TPAs\u2019 contracts to add responsibilities related to Choice Program administration) until July 2017, VA modified each TPA\u2019s contract about 40 times. Many of these contract modifications\u2014along with other legislative and regulatory changes that VA implemented during this period\u2014changed VAMC or TPA processes related to Choice Program referrals and appointment scheduling. Many of the VAMC managers and staff we interviewed said they struggled to keep up with the contract modifications and policy changes, that VHA\u2019s Office of Community Care did not always leave adequate time to prepare for them, and they felt they were never really able to become proficient at new processes before additional changes occurred. This meant that training sometimes happened after the contract modifications or VHA policy changes had already gone into effect. For example, managers and staff at three of the selected VAMCs told us that they were not informed in advance about a June 2016 contract modification that required the TPAs to return Choice Program authorizations to VAMCs if they failed to schedule appointments within required time frames. This contract modification had the potential to significantly increase VAMCs\u2019 workloads, because they would have to arrange veterans\u2019 care through other means once the authorizations were returned. According to individuals at two of these three VAMCs, they first heard about this change from TPA staff, rather than from VHA.", "VHA took the following two actions intended to help address staffing- related factors that adversely affected the timeliness of veterans\u2019 Choice Program care.", "Staffing tool for VAMCs to estimate needs. In the spring of 2017, VHA developed a tool that is intended to help VAMCs project their staffing needs for the consolidated community care program VA plans to implement. VHA used workload data and site visit observations to develop the tool. Among the six selected VAMC managers we interviewed, impressions about the reasonableness of the staffing estimates generated by the community care staffing tool were mixed. For example, managers at two of the VAMCs said that the tool likely underestimated the number of staff they would need to handle referrals and appointment scheduling once VA transitions to the consolidated community care program. In contrast, managers from two other VAMCs thought that the tool\u2019s staffing estimates seemed about right.", "Co-locating TPA staff at selected VAMCs to assist with resolution of problems. To help facilitate problem resolution between VAMCs and the TPAs as they work to schedule veterans\u2019 Choice Program appointments, VA modified the TPAs\u2019 contracts in November 2015 to allow for TPA staff to be co-located at selected VAMCs. VHA officials expected that one potential benefit of co- locating TPA staff would be that fewer veterans\u2019 Choice Program referrals would be returned to VAMCs because of missing clinical information because TPA staff could help resolve such problems locally before the TPA returned referrals. As of May 2017, TPA staff were working at 70 of VHA\u2019s 170 VAMCs\u2014or about 40 percent of all VAMCs. Similar care coordination arrangements may exist under the consolidated community care program VA is planning to implement, if VA exercises a contract option for the TPAs to provide such services at VAMCs that request them.", "However, the communication-related factors that VHA and TPA officials identified as affecting the timeliness of veterans\u2019 Choice Program care remain. VHA relied on ad hoc communications such as memoranda, fact sheets, e-mails, national conference calls, and occasional web-based trainings to communicate policy and process changes to VAMCs throughout the Choice Program\u2019s implementation. Our interviews with VAMC managers and staff suggest that these were not the most effective methods of communication because messages about key changes sometimes lacked sufficient detail or failed to reach the VAMC staff responsible for implementing them in a timely manner. According to the federal internal control standard for control activities, agencies should implement control activities through their policies and procedures, which document the responsibilities of managers and staff who are responsible for implementing a program. Among other things, this may include management reviewing and updating policies and day-to-day procedures in a timely manner after a significant change in the program has occurred. VHA has no comprehensive policy directive or operations manual for the Choice Program, and its broader policy directive for VA community care programs has not been updated since January 2013. As a result, VAMC staff have operated in an environment that is frequently changing with no definitive reference source or sources of up-to-date policy and processes to consult, such as a comprehensive policy directive or operations manual. Instead, VAMC staff have had to keep track of the Choice Program\u2019s policy and process changes through VHA\u2019s various ad hoc communications. This poses a risk to VHA, as it increases the likelihood that VAMCs will implement new policies and processes inconsistently. In addition, there is risk that VAMC managers and staff will not always be aware of the most current policies and processes. Unless a comprehensive policy directive or operations manual is created, those risks could remain for the consolidated community care program VA is planning to establish."], "subsections": []}, {"section_title": "Inadequate Provider Networks Affected Timely Access, but VHA Plans to Improve Available Information Related to Provider Capacity and Veteran Demand for Future TPAs", "paragraphs": ["According to VAMC managers and TPA officials we interviewed, the TPAs\u2019 inadequate networks of community providers affected both the timeliness with which veterans received Choice Program care and the extent to which veterans were able to access community providers located close to their homes. In September 2015, about 11 months after the Choice Program was implemented, VA contracting officials sent corrective action letters to both TPAs, citing network adequacy (i.e., the number, mix and geographic distribution of network providers) as a concern. TPA officials we interviewed acknowledged that their networks initially were not adequate to meet demand for Choice Program care. From the TPAs\u2019 perspective, the brief transition period before the Choice Program began operations in November 2014 was not enough time to strengthen the community provider networks they had previously established under PC3, another VHA community care program. Furthermore, the TPAs told us that VA had not provided them with sufficient data on the expected demand for Choice Program care\u2014by clinical specialty and zip code\u2014prior to or after the Choice Program\u2019s implementation.", "The overall number of community providers participating in the TPAs\u2019 Choice Program networks nationwide grew dramatically over the following year\u2014from almost 39,000 providers in September 2015 to more than 161,000 providers as of September 2016. However, at the time of our review, managers at five of the six selected VAMCs told us that they still observed TPA network inadequacies that impeded veterans\u2019 access to Choice Program care. Similarly, managers at three VAMCs in our sample said that key community providers\u2014including large academic medical centers\u2014have refused to join the TPAs\u2019 networks or dropped out of the networks after joining them, often because the TPAs had not paid them in a timely manner for the services they provided.", "Establishing adequate networks of Choice Program providers in rural areas has been particularly difficult. Officials at two of the three of the rural VAMCs in our sample pointed to general health care workforce shortages in rural areas as one cause for the TPAs\u2019 network inadequacy\u2014a challenge that is not limited to the Choice Program or VA\u2019s health care system. According to a December 2015 analysis by VHA researchers, the majority of network providers in two of the three VISNs examined were located within 40 miles of VAMCs, leaving large geographic areas of these VISNs (particularly rural areas) outside the 40- mile radius with few network providers. For example, only 3.8 percent of primary care providers and 3.2 percent of behavioral health providers in VISN 20 (which covers Alaska, Idaho, Oregon, and Washington) were located more than 40 miles from VAMCs within that VISN. While the areas lacking network providers generally have fewer veterans relative to other areas within these VISNs, the analysis by VHA researchers suggests that veterans living in these areas are likely to have difficulty accessing Choice Program network providers that are located closer to their homes than the nearest VAMC, which is over 40 miles away.", "VA and VHA have tried to address network inadequacy that existed under the Choice Program and either have taken or plan to take additional actions to address this issue for the community care program VA plans to implement, including the following.", "Establishment of Choice Program provider agreement process.", "To help address inadequacies in the TPAs\u2019 provider networks and improve veterans\u2019 access to care under the Choice Program, VHA established the Choice Program provider agreement process in February 2016. This process allowed VAMCs to establish agreements with community providers, schedule veterans\u2019 appointments, and reimburse the providers directly (using Choice Program funds) when the TPAs failed to schedule veterans\u2019 appointments for reasons relating to network inadequacy, among others. Originally, the VAMCs were required to send veterans\u2019 referrals to the TPAs and wait for them to be returned before they could proceed with arranging care through a Choice Program provider agreement. While this process had the potential to increase the availability of providers for the Choice Program, it did not immediately improve the timeliness of veterans\u2019 Choice Program care because veterans still had to wait for as long as it took the VAMCs to send their referrals to the TPAs and for TPAs to return them before the VAMCs could proceed with arranging care through Choice Program provider agreements. According to the policies and contractual requirements that were in effect at the time, it could have taken up to 40 calendar days after a VHA clinician first identified the veteran\u2019s need for care until the TPA returned the referral and the VAMC could proceed with arranging care through a Choice Program provider agreement. However, in March 2017, VHA updated the Choice Program provider agreement process so that\u2014if the TPAs were returning a high volume of a VAMC\u2019s referrals for one or more types of care\u2014the VAMC could seek approval from its VISN and VHA\u2019s Office of Community Care to bypass the TPA and proceed directly to arranging that type of care through Choice Program provider agreements. This had the potential to improve the timeliness of veterans\u2019 access to Choice Program care because it eliminated the steps of sending referrals to the TPAs and waiting for them to be returned.", "Improving quality of information given to future TPAs. To help inform the recruitment of network providers for the consolidated community care program VA plans to establish, VA plans to provide future TPAs more robust data than they provided the current TPAs at the start of the Choice Program. In particular, VA\u2019s RFP for the consolidated community care program, as amended, indicates that VA will provide (1) zip-code-level data on the number of authorizations that were issued in fiscal year 2015 for specific types of care (e.g., chemotherapy and obstetrics) and (2) VAMC-level data on the clinical specialties with the greatest wait times for appointments at VAMCs. These local-level data could help TPAs estimate the number of network providers of various specialties they will need to recruit in specific localities if awarded a contract for the consolidated community care program that VA is planning to implement.", "Performing market assessments. In preparation for the consolidated community care program VA plans to establish, VA and VHA officials are planning to conduct market assessments in 96 markets nationwide. Through these market assessments, officials told us, VA will (1) examine the clinical capacity that currently exists within VHA medical facilities and among community providers, (2) assess veterans\u2019 current and future demand for health care services, and (3) develop long-term plans for ensuring that veterans will have access to high-quality health care services\u2014whether they receive care from VHA clinicians or from community providers. According to VHA officials, the market assessments will help inform network provider recruitment efforts for the consolidated community care program VA is planning to implement. In addition, VHA officials told us that the market assessments will help VISN- and VAMC-level leaders make more informed, strategic decisions about whether it is more efficient to maintain or build capacity for delivering particular types of care within VHA medical facilities, or if they should routinely purchase certain types of care in the community. In November 2017, VHA officials told us that they expect to begin conducting the market assessments early in calendar year 2018, and the officials estimate that it will take about 18 months to complete assessments for all 96 markets."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Choice Program is approaching the end of its life, and with plans to consolidate it with VA\u2019s other community care programs, opportunities to improve the program are diminishing. Congress created the Choice Program in 2014 in response to longstanding challenges in veterans\u2019 access to care delivered within VHA medical facilities. However, we found numerous operational and oversight weaknesses with VHA\u2019s management of scheduling veterans\u2019 medical appointments through the Choice Program. While it may not be feasible for VA and VHA to implement corrective actions to address all of our findings before the Choice Program ends, it is imperative that VA incorporate lessons learned from the Choice Program when it implements the consolidated community care program it has planned.", "First, we found VHA\u2019s process for scheduling appointments for veterans through the Choice Program was not consistent with statutory requirements. The Choice Act requires veterans to receive care no more than 30 days from the date an appointment is deemed clinically appropriate or from the date the veteran prefers to receive care; however, we found that veterans could potentially wait up to 70 calendar days to receive routine care through the Choice Program. In effect, we found that in 2016, some veterans\u2019 actual wait times far exceeded 30 days. Although VA has made some relevant contract modifications and issued guidance to address Choice Program wait times, VHA has not adjusted the Choice Program\u2019s appointment scheduling process or established timeliness standards for all steps of the process. In addition, VHA\u2019s monitoring of access to Choice Program care has been limited by incomplete and unreliable data. In particular, the data VHA uses preclude it from accurately identifying the number of days that occur within each phase of the process, from initial referral to the actual appointment. Furthermore, a lack of controls has allowed for inappropriate changes to be made in veterans\u2019 clinically indicated dates and routine versus urgent care categorizations, affecting VA\u2019s ability to monitor whether veterans are receiving Choice Program care in a timely manner. The lack of reliable data and performance measures also hinders VHA\u2019s ability to oversee the program and identify problems and corrective actions. Further, we found that VHA is missing out on opportunities to enhance its design of the planned consolidated community care program. For example, VHA has not fully evaluated its pilot programs for scheduling appointments nor developed tools such as a mechanism that would allow the seamless sharing of information between VHA and the TPAs. Lastly, we found that VHA often relied on inefficient, ad hoc methods of sharing information (such as memoranda, fact sheets and emails), which often failed to reach the VAMC managers and staff responsible for implementing the program.", "After the Choice Program ends, VA anticipates that veterans will continue to receive care from non-VHA providers under the consolidated community care program that it is planning to implement. VA\u2019s and VHA\u2019s design of the future program can benefit from the lessons learned under the Choice Program. Ignoring these lessons learned and the challenges that have arisen under the Choice Program as VA and VHA design the future consolidated program would only increase VA\u2019s risk for not being able to ensure that all veterans will receive timely access to care in the community."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["To ensure that VA and VHA incorporate lessons learned from the Choice Program as they develop and implement a consolidated VA community care program, we are making the following 10 recommendations:", "The Under Secretary for Health should establish an achievable wait- time goal for the consolidated community care program that VA plans to implement that will permit VHA to monitor whether veterans are receiving VA community care within time frames that are comparable to the amount of time they would otherwise wait to receive care at VHA medical facilities. (Recommendation 1)", "The Under Secretary for Health should design an appointment scheduling process for the consolidated community care program that VA plans to implement that sets forth time frames within which (1) veterans\u2019 referrals must be processed, (2) veterans\u2019 appointments must be scheduled, and (3) veterans\u2019 appointments must occur, which are consistent with the wait-time goal VHA has established for the program. (Recommendation 2)", "The Under Secretary for Health should establish a mechanism that will allow VHA to systematically monitor the average number of days it takes for VAMCs to prepare referrals, for VAMCs or TPAs to schedule veterans\u2019 appointments, and for veterans\u2019 appointments to occur, under the consolidated community care program that VA plans to implement. (Recommendation 3)", "The Under Secretary for Health should implement a mechanism to prevent veterans\u2019 clinically indicated dates from being modified by individuals other than VHA clinicians when veterans are referred to the consolidated community care program that VA plans to implement. (Recommendation 4)", "The Under Secretary for Health should implement a mechanism to separate clinically urgent referrals and authorizations from those for which the VAMC or the TPA has decided to expedite appointment scheduling for administrative reasons. (Recommendation 5)", "The Under Secretary for Health should (1) establish oversight mechanisms to ensure that VHA is collecting reliable data on the reasons that VAMC or TPA staff are unsuccessful in scheduling veterans\u2019 appointments through the consolidated community care program VA plans to implement, and (2) demonstrate that it has corrected any identified deficiencies. (Recommendation 6)", "The Secretary of Veterans Affairs should ensure that the contracts for the consolidated community care program VA plans to implement include performance metrics that will allow VHA to monitor average driving times between veterans\u2019 homes and the practice locations of community providers that participate in the TPAs\u2019 networks. (Recommendation 7)", "The Secretary of Veterans Affairs should establish a system for the consolidated community care program VA plans to implement to help facilitate seamless, efficient information sharing among VAMCs, VHA clinicians, TPAs, community providers, and veterans. Specifically, this system should allow all of these entities to electronically exchange information for the purposes of care coordination. (Recommendation 8)", "The Under Secretary for Health should conduct a comprehensive evaluation of the outcomes of the two appointment scheduling pilots it established at the Alaska and Fargo VA Health Care Systems (where VAMC staff, rather than TPA staff, are responsible for scheduling veterans\u2019 Choice Program appointments), which should include a comparison of the timeliness with which VAMC staff and TPA staff completed each step of the Choice Program appointment scheduling process, as well as the overall timeliness with which veterans received appointments. (Recommendation 9)", "The Under Secretary for Health should issue a comprehensive policy directive and operations manual for the consolidated community care program VA plans to implement and ensure that these documents are reviewed and updated in a timely manner after any significant changes to the program occur. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["VA provided written comments on a draft of this report, which are reprinted in Appendix VII. In its comments, VA concurred with 8 of our 10 recommendations and described its plans for implementing them. VA stated that VHA\u2019s Office of Community Care will work collaboratively with other VA and VHA offices to evaluate modifications to the current wait- time goals and measurement processes so that wait times for VA community care can be compared to wait times for care delivered at VHA medical facilities.", "VA did not concur with our recommendation to implement a mechanism to separate clinically urgent referrals and authorizations from those that are designated as urgent for administrative reasons. VA stated that because VAMC staff (rather than TPA staff) will be responsible for scheduling veterans\u2019 appointments under the consolidated community care program it plans to implement, there would no longer be a need to separate clinically urgent referrals from those that need to be administratively expedited. However, we maintain that our recommendation is warranted. In particular, we found that VA\u2019s data did not always accurately reflect the timeliness of urgent care because both VAMC and TPA staff inappropriately re-categorized some routine care referrals and authorizations as urgent ones for reasons unrelated to the veterans\u2019 health conditions. Regardless of whether VAMC staff or TPA staff are responsible for appointment scheduling, VA will need to ensure that it uses reliable data to monitor the extent to which veterans receive urgent care within required time frames. Without a means of separating clinically urgent referrals and authorizations from ones for which the scheduling process must be administratively expedited, VA\u2019s data on the timeliness of urgent care will continue to be unreliable.", "VA agreed in principle with our recommendation to issue a comprehensive policy directive and operations manual, but stated in its comments that it would wait to determine whether a comprehensive policy directive is needed until after the consolidated community care program has been fully implemented and any interim implementation challenges have been resolved. However, when implementing a new program, it is important that agencies establish the program\u2019s structure, responsibilities, and authorities at the beginning to help ensure that the new program\u2019s objectives are met. Relying on outdated policies and unreliable communication methods increases VA\u2019s risk of encountering foreseeable challenges. Without issuing a comprehensive policy directive and operations manual before the start of the new program, VA risks experiencing untimely communication issues similar to those that affected veterans\u2019 access to care throughout the Choice Program\u2019s implementation. A comprehensive policy directive and operations manual that could be updated as changes occur would give VAMCs a definitive source of real-time, up-to-date information and reduce the likelihood that VAMCs will implement new policies and processes inconsistently under the future program.", "We are sending copies of this report to the Secretary of Veterans Affairs, the Under Secretary for Health, appropriate congressional committees, and other interested parties. This report is also available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact Sharon M. Silas at (202) 512-7114 or silass@gao.gov or A. Nicole Clowers at (202) 512-7114 or clowersa@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who made major contributions to this report are listed in appendix VIII."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology for Examining Choice Program Wait Times and the Data VHA Uses to Monitor Access", "paragraphs": ["To examine selected veterans\u2019 actual wait times to receive routine care and urgent care through the Choice Program and the information VHA uses to monitor access to care under the program, we took five key steps. We (1) analyzed Choice Program appointment wait times for selected veterans using a sample of 196 Choice Program authorizations for routine and urgent care; (2) reviewed VHA\u2019s analysis of Choice Program appointment wait times for a sample of about 5,000 Choice Program authorizations; (3) reviewed data VHA uses to monitor the timeliness of Choice Program care and reasons that the TPAs have returned Choice Program referrals without making appointments; (4) interviewed VA, VHA, and TPA officials; and (5) reviewed federal internal control standards, as follows. 1. Our analysis of Choice Program wait times for a sample of 196 authorizations. To analyze the timeliness of Choice Program appointment scheduling and completion for a sample of veterans, we selected six VAMCs and a random, non-generalizable sample of 196 authorizations for veterans who were referred to the Choice Program by those six VAMCs between January 2016 and April 2016. We judgmentally selected the six VAMCs to include variation in geographic location, with three VAMCs that serve rural veteran populations and three VAMCs that serve urban veteran populations. In addition, three of the VAMCs were served by Health Net, and three were served by TriWest. (See table 5.)", "To select our random, non-generalizable sample of 196 Choice Program authorizations, we obtained VA data on all authorizations created by the TPAs between January and April 2016 for veterans who were referred to the program by the six VAMCs we selected\u2014a universe of about 55,000 authorizations. From these 55,000 authorizations, we randomly selected:", "55 routine care authorizations (about 10 authorizations per VAMC) for which the TPAs scheduled appointments for veterans,", "53 urgent care authorizations (about 10 authorizations per VAMC) for which the TPAs scheduled appointments for veterans, and", "88 routine and urgent care authorizations (about 15 authorizations per VAMC) that the TPAs returned to VA without scheduling appointments for any one of the following three reasons\u2014(1) VA requested the authorization be returned, (2) VA data were missing from the referral, and (3) the veteran declined or did not want Choice Program care.", "For all 196 Choice Program authorizations in our sample, we manually reviewed VHA documentation (specifically, the veterans\u2019 VA electronic health records) and TPA documentation to track the number of calendar days that elapsed at each step of the Choice Program appointment scheduling process. For the authorizations that the TPAs returned to the VAMCs without making appointments, we examined VHA and TPA documentation to determine whether the veterans eventually obtained care through other means\u2014such as through another VA community care program, a different Choice Program referral, or at a VHA medical facility\u2014and how long it took to receive that care. Determining whether veterans in our sample experienced clinical harm or adverse clinical outcomes because of delays in the VAMCs\u2019 or TPAs\u2019 processing of their referrals and authorizations was outside the scope of our review.", "We selected our sample of 55 routine care and 53 urgent care authorizations for which the TPAs succeeded in scheduling appointments to include only authorizations for which the TPAs did not meet VA\u2019s appointment scheduling goals at one phase of the appointment scheduling process: when the TPAs attempt to schedule appointments after the veterans have opted in to the program. This was to ensure that our sample included only authorizations for which scheduling was delayed, so that we could examine the potential causes of appointment scheduling delays and whether delays also occurred at other phases of the process (such as when VAMCs were preparing the veterans\u2019 referrals or when the TPAs were attempting to reach the veterans for them to opt in to the program). We omitted this phase of the appointment scheduling process when calculating the timeliness of appointment completion for the 55 routine care authorizations and 53 urgent care authorizations in our sample. Rather than reporting veterans\u2019 overall wait times for these authorizations, we report the average number of calendar days that elapsed (1) while VAMCs were preparing veterans\u2019 Choice Program referrals, (2) while the TPAs were attempting to reach veterans for them to opt in to the program, and (3) while veterans waited to attend their appointments after the TPAs succeeded in scheduling them. To assess the reliability of the authorization data we used, we interviewed knowledgeable agency officials, manually reviewed the content of the data, and electronically tested it for missing values. We concluded that these data were sufficiently reliable for the purposes of our reporting objectives. The findings from our review of Choice Program authorizations cannot be generalized beyond the VAMCs and the veterans\u2019 Choice Program authorizations we reviewed. 2. VHA\u2019s analysis of Choice Program wait times for a sample of about 5,000 authorizations. We obtained from VHA\u2019s Office of Community Care the results of a nationwide analysis of Choice Program appointment timeliness it conducted in February 2017. Specifically, VHA directed its VAMCs to manually review veterans\u2019 health records and TPA documentation and report observations for a non-generalizable sample of about 5,000 randomly selected Choice Program authorizations that were created between July and September of 2016. The sample was limited to authorizations for Choice Program appointments that had been scheduled for time- eligible veterans who needed four types of specialty care\u2014 mammography, gastroenterology, cardiology, and neurology. According to VHA officials, they limited their analysis to these four types of care because delayed treatment for any of these specialties could cause adverse health outcomes for patients. To assess the reliability of VHA\u2019s data, we manually reviewed the results of its analysis and interviewed knowledgeable agency officials about potential outliers. We concluded that VHA\u2019s data were sufficiently reliable for the purposes of our reporting objective. The results of VHA\u2019s analysis cannot be generalized beyond the sample of Choice Program authorizations that it reviewed. 3. VHA data on timeliness of Choice Program appointments and the reasons TPAs return referrals without making appointments. To evaluate the information VHA uses to monitor access to care under the Choice Program, we reviewed data that VHA collects to monitor the timeliness with which the TPAs schedule appointments and the timeliness with which appointments occur after the TPAs have scheduled them. We also reviewed and tested the reliability of VHA data on the reasons the TPAs have returned Choice Program referrals to VAMCs without scheduling appointments, which may offer insights about access to care (e.g., the percentage of referrals that are returned due to a lack of providers in the TPAs\u2019 networks). 4. Interviews with officials. We interviewed VA, VHA, and TPA officials responsible for administering the Choice Program contracts and overseeing implementation of the program. We interviewed these officials to gain an understanding of the processes they followed and the information they used to monitor veterans\u2019 access to Choice Program care. 5. Federal internal control standards. We examined the results of our and VHA\u2019s analyses and the information VHA uses to monitor veterans\u2019 access to care under the program in the context of federal standards for internal control for (1) information and communication and (2) monitoring. The internal control standard for information and communication relates to management\u2019s ability to use quality information to achieve the entity\u2019s objectives. The internal control standard for monitoring relates to establishing activities to monitor the quality of performance over time and evaluating the results."], "subsections": []}, {"section_title": "Appendix II: Process for Veterans to Obtain Department of Veterans Affairs (VA) Choice Program Care if They Are Time-Eligiblea", "paragraphs": ["Appendix II: Process for Veterans to Obtain Department of Veterans Affairs (VA) Choice Program Care if They Are Time-Eligiblea If the veteran does not respond to the letter within 14 calendar days, a notification is sent to the veteran\u2019s VA clinician so that they can determine if additional action should be taken."], "subsections": []}, {"section_title": "Appendix III: Process for Veterans to Obtain Department of Veterans Affairs (VA) Choice Program Care if They Are Distance-Eligiblea", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comparison of Processes for Arranging Choice Program and Individually Authorized Community Care", "paragraphs": ["Appendix IV: Comparison of Processes for Arranging Choice Program and Individually Authorized Community Care The Veterans Health Administration (VHA) uses the time-eligible appointment scheduling process when the services needed are not available at a VHA medical facility or are not available within allowable wait times."], "subsections": []}, {"section_title": "Appendix V: Process for Obtaining the Clinical Results of Choice Program Appointments", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Selected Actions Taken by VA and VHA to Address Choice Program Access Issues", "paragraphs": ["We found 21 actions that the Department of Veterans Affairs (VA) and the Veterans Health Administration (VHA) took after the Choice Program\u2019s November 2014 implementation that were intended to help address issues related to veterans\u2019 access to care. Table 6, below, provides a chronological summary of the actions VA and VHA had taken as of August 2017 and the issues they were intended to address."], "subsections": []}, {"section_title": "Appendix VIII: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Marcia A. Mann (Assistant Director), Alexis C. MacDonald (Analyst-in-Charge), Daniel Powers, and Michael Zose made major contributions to this report. Also contributing were Muriel Brown, Christine Davis, Helen Desaulniers, Krister Friday, Sandra George, Jacquelyn Hamilton, and Vikki Porter."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Veterans\u2019 Health Care: Preliminary Observations on Veterans\u2019 Access to Choice Program Care, GAO-17-397T (Washington, D.C.: March 7, 2017).", "VA Health Care: Improved Monitoring Needed for Effective Oversight of Care for Women Veterans, GAO-17-52 (Washington, D.C.: December 2, 2016).", "VA\u2019S Health Care Budget: In Response to a Projected Funding Gap in Fiscal Year 2015, VA Has Made Efforts to Better Manage Future Budgets, GAO-16-584 (Washington, D.C.: June 3, 2016).", "Veterans\u2019 Health Care: Proper Plan Needed to Modernize System for Paying Community Providers, GAO-16-353 (Washington, D.C.: May 11, 2016).", "VA Health Care: Actions Needed to Improve Monitoring and Oversight of Non-VA and Contract Care. GAO-15-654T (Washington, D.C.: June 1, 2015).", "VA Health Care: Further Action Needed to Address Weaknesses in Management and Oversight of Non-VA Medical Care, GAO-14-696T (Washington, D.C.: June 18, 2014).", "VA Health Care: Actions Needed to Improve Administration and Oversight of VA\u2019s Millennium Act Emergency Care Benefit, GAO-14-175 (Washington, D.C.: March 6, 2014).", "VA Health Care: Management and Oversight of Fee Basis Care Need Improvement, GAO-13-441 (Washington, D.C.: May 31, 2013)."], "subsections": []}], "fastfact": ["If services are not readily accessible at VA medical facilities, the Veterans Choice Program allows eligible veterans to receive care from non-VA providers. Congress created the temporary program in 2014, aiming to alleviate the excessive wait times some veterans faced at VA.", "However, we found that it\u2019s unclear if the Choice Program improved the timeliness of veterans\u2019 care because VA\u2019s data are incomplete and unreliable.", "When the Choice Program ends, veterans will still receive care from non-VA providers through a new program. We made recommendations related to improving VA\u2019s ability to monitor veterans\u2019 access to care through the new program."]} {"id": "GAO-19-64", "url": "https://www.gao.gov/products/GAO-19-64", "title": "Defense Science and Technology: Actions Needed to Enhance Use of Laboratory Initiated Research Authority", "published_date": "2018-12-20T00:00:00", "released_date": "2018-12-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Congress created several authorities that provide DOD research labs with ways to increase efficiency and foster innovation.", "Senate report 114-255 contained a provision for GAO to study governance models used by federal labs. This report evaluates DOD labs' use of authorities to foster innovation and efficiency.", "GAO selected four authorities that recent work on best practices for science and technology management and expedited defense lab hiring have shown to be the most crucial for supporting innovation; administered a survey to 44 lab directors to gain insight into their use of the authorities; interviewed key lab officials and contractors; and reviewed relevant policies and guidance."]}, {"section_title": "What GAO Found", "paragraphs": ["Congress has provided the Department of Defense's (DOD) research labs with several authorities to enhance management and operations. Four authorities that GAO examined provide lab directors with greater ability to make their own decisions regarding the funding of projects, hiring, lab management, and purchasing of equipment or services.", "1. Laboratory initiated research authority. This authority, as implemented, provides labs with a means to fund new science and technology projects that they consider a priority. Labs may use a percentage of all funds available to the lab and are permitted to charge customers of the lab a percentage fee of the costs for activities performed by the lab for the customer.", "2. Direct hire authority. This authority enables labs to compete with private industry for high-quality talent. For example, it provides for streamlined hiring of applicants with relevant advanced degrees, or students enrolled in science, technology, engineering, and mathematics programs.", "3. Laboratory enhancement pilot program authority. This authority generally allows lab directors to propose alternative methods that might lead to more effective lab management, and waive certain policies or procedures that might affect implementation of these methods.", "4. Micro-purchase authority. This authority raises the threshold for small purchases for DOD research lab activities from $3,500 to $10,000 to facilitate acquisitions.", "While labs have used these authorities, their use has sometimes been limited, particularly with the laboratory initiated research authority. DOD lab directors at Air Force, Navy, and Army cited several obstacles that impede wider use of that authority, specifically:", "Air Force: Financial management officials at the Air Force stated that the service's accounting system does not currently have an automated capability to transfer the allowable percentage fee of costs to a central account at the Air Force Research Laboratory. This lack of capability, officials noted, creates a significant administrative burden related to charging these fees.", "Navy: In fiscal year 2017, Navy labs invested $7.3 million in lab infrastructure projects, compared to $32.9 million and $53.7 million at the Air Force and Army, respectively. Navy lab officials told us that they were restricted in their use of infrastructure funds available under the laboratory initiated research authority due to a lack of clear guidance as to whether and how to use this authority within the Capital Investment Program of the Navy Working Capital Fund.", "Army: The Army requires its labs to use a similar percentage of funds from two sources: (1) what it refers to as directly appropriated funds and (2) funds labs charge for customer activities. Some Army lab directors reported assessing a lower rate on customer funds than allowed so as not to drive customers away. The labs then generally charge a lower than desired rate on their directly appropriated funds, which further constrains the total funding available to them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations to enhance DOD's use of laboratory initiated research authority, including that the Air Force assess potential accounting system improvements, the Navy clarify how labs can use the authority for infrastructure improvements, and the Army assess its policy to determine whether changes are needed to remove disincentives for labs to use the authority. DOD concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["For more than 90 years, the Department of Defense (DOD) has relied on its science and technology reinvention laboratories (lab) to develop technologies intended to maintain U.S. superiority on the battlefield. The defense lab enterprise\u2014consisting of 63 military service labs, warfare centers, and engineering centers\u2014is critical to strengthening the military services\u2019 competitive edge and offsetting technological advances of potential adversaries. These labs develop innovations to counter existing and emerging threats, and accelerate the delivery of technical capabilities to the warfighter. Beyond its labs, DOD sponsors federally funded research and development centers (FFRDC) and university affiliated research centers (UARC) that provide additional technology development activities integral to the department\u2019s needs.", "We have previously reported that defense labs have struggled to consistently identify, develop, and deliver innovative technologies quickly. Moreover, these defense labs have encountered problems with recruiting and retaining a high-quality workforce and maintaining their facilities, according to the Defense Science Board. Congress has provided DOD with several tools and mechanisms, which we refer to in this report as authorities. The various authorities have provided laboratory directors with greater ability to make their own decisions regarding laboratory administration and management, funding allocations and personnel. One of these authorities also provides for labs to seek waivers to existing DOD policies that are believed to stifle innovation and flexibility. Senate report 114-255 accompanying the National Defense Authorization Act for Fiscal Year 2017 noted the importance of these authorities as a step toward accelerated innovation and flexibility. It included a provision for us to study the lab governance used by DOD and other agencies. In this report, we (1) evaluate how defense labs have used selected legislative authorities to foster innovation and efficiency and identify what barriers, if any, impede their use; (2) identify and describe governance models used by selected DOD-sponsored FFRDCs and UARCs; and (3) identify and describe governance models used by selected non-defense labs, specifically at the Department of Energy (Energy) and National Aeronautics and Space Administration (NASA).", "For each of our three objectives, we interviewed key agency and lab officials as well as contractor representatives. To evaluate how defense labs have used selected legislative authorities and identify any barriers that have impeded their use, we took inventory of the over 20 lab-related authorities that have been enacted since 1994. From that list, we selected for review four specific authorities that our recent work on best practices for science and technology management and expedited defense lab hiring have shown are, or have the potential to be, the most crucial for supporting DOD labs\u2019 innovation missions. We then reviewed DOD-wide and military service-specific policies as well as documents and reports that detailed implementation of the selected authorities. We also administered a survey to 44 lab directors (or their equivalents) to collect information on their use of the four authorities, their perceptions about each authority\u2019s effectiveness, and any perceived barriers to each authority\u2019s use. A total of 31 lab directors completed and returned surveys to us, which constituted a response rate of 71 percent. For the two authorities in our review that have been in place the longest, we analyzed relevant DOD data on lab personnel hiring and infrastructure investments. Based on our reviews of supplementary documentation and interviews with agency officials, we determined that these survey data were sufficiently reliable for the purposes of our analysis.", "To identify and describe governance models used by DOD-sponsored research centers, we focused our review on the three FFRDCs designated as research and development labs as well as all 13 UARCS sponsored by DOD entities. We reviewed relevant sections of the Federal Acquisition Regulation (FAR) that cover FFRDCs as well as DOD policies and guidance for working with FFRDCs and UARCs. Further, we reviewed selected FFRDC and UARC contracts and performance assessments to gain additional visibility on how these entities operate.", "To identify and describe governance models by selected research entities at Energy and NASA, we identified 17 Energy labs and 4 NASA research centers conducting basic and applied research similar to defense labs. We chose to focus on Energy and NASA because in our August 2016 GAO Technology Readiness Assessment Guide, we drew heavily from DOD, Energy, and NASA for best practices, terminology, and examples. Further, DOD, Energy, and NASA represented three of the top four agencies with the highest federal research and development spending on average from fiscal years 2015 to 2017. We did not include the fourth agency\u2014the National Institutes of Health\u2014in our review because it is not as similar to DOD. We reviewed relevant sections of the FAR that cover these research entities, along with key agency policies and guidance on how these entities operate. More information about our objectives, scope, and methodology can be found in appendix I.", "We conducted this performance audit from July 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The defense lab enterprise consists of 63 labs, warfare centers, and engineering centers across the Departments of the Army, Navy, and Air Force, as shown in Figure 1 below. About 50,000 federally employed scientists and engineers work at these defense labs to support warfighter needs and develop transformative capabilities. Defense labs are managed and operated within the military service chain of command."], "subsections": [{"section_title": "Defense Lab Funding Models", "paragraphs": ["DOD budgets for technology and product development activities under its research, development, test, and evaluation budget, which DOD groups into seven budget activity categories for its annual budget estimates. Air Force and Army labs rely on appropriated funding provided from the service\u2014often referred to as mission funding\u2014or from customers (or some combination thereof). Customers, such as program offices, provide funding to defense labs for technology development activities and related research. The Air Force and Army funding structure is in contrast to Navy research and development activities, which operate under the Navy Working Capital Fund\u2014a revolving fund that finances Department of the Navy activities on a reimbursable basis. Under this funding model, the Navy employs a Capital Investment Program to obtain capital assets, including minor military construction projects for labs. The program provides the framework for planning, coordinating, and controlling Navy working capital funds and expenditures to obtain capital assets. Figure 2 illustrates the varying funding models used by the military service labs."], "subsections": []}, {"section_title": "Other DOD-Sponsored Science and Technology Entities", "paragraphs": ["In addition to its labs, DOD sponsors other entities to provide for its technology development needs. Specifically, these include:", "FFRDCs are operated by universities, other not-for-profit or nonprofit organizations, or private firms under long-term contracts and provide special research and development services that generally cannot be readily satisfied by government personnel or private contractors. For example, the Massachusetts Institute of Technology Lincoln Laboratory develops key radar and electronic warfare technologies for integrated air and missile defense systems. In addition, the Software Engineering Institute operated by Carnegie Mellon University provides cybersecurity solutions for defense entities. While DOD sponsors 10 FFRDCs in total, it designates 3 FFRDCs as research and development labs, which maintain long-term competencies in key technology areas. In addition to these, DOD sponsors 2 systems engineering and integration FFRDCs and 5 studies and analysis FFRDCs.", "UARCs provide specialized research and development services similar to FFRDCs and also operate under long-term contracts.", "However, unlike FFRDCs, DOD requires that UARCs be affiliated with a university. Generally, UARCs may not compete against industry in response to a competitive Request for Proposals for development or production that involves engineering expertise. DOD currently sponsors 13 UARCs."], "subsections": []}, {"section_title": "Key Offices Responsible for Oversight of Defense Labs", "paragraphs": ["Key DOD offices provide oversight to the defense labs:", "The Under Secretary of Defense for Research and Engineering (USD(R&E))\u2014the principal advisor to the Secretary of Defense for research, engineering, and technology development activities and programs\u2014serves as DOD\u2019s chief technology officer. The powers and duties of this office include establishing policies and providing oversight for DOD\u2019s research, engineering, and technology development activities.", "The Defense Laboratories Office\u2014within the Office of the USD(R&E)\u2014supports DOD\u2019s research and engineering mission by helping to ensure comprehensive department-level insight into the activities and capabilities of the defense labs. This office carries out a range of core functions related to the defense labs, including analysis of capabilities, alignment of activities, and advocacy."], "subsections": []}, {"section_title": "Defense Lab Authorities", "paragraphs": ["Congress has granted authorities that address hiring, infrastructure, and technology transition challenges to defense labs since 1995. These authorities provide defense lab directors with certain flexibilities within the established legal framework to manage their operations. While Congress has provided a number of authorities, in this report we focus on four authorities that our prior work on best practices in science and technology management and expedited lab hiring has shown are, or have the potential to be, the most crucial for supporting innovation within DOD labs.", "Laboratory Initiated Research Authority. This authority provides lab directors with the means to fund some of the research projects that the lab will pursue. The authority provided in Section 219 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009, as implemented, provides lab directors with a means to fund projects they consider to be a priority in four allowable categories: (1) basic and applied research, (2) technology transition, (3) workforce development, and (4) revitalization, recapitalization, or repair or minor construction of lab infrastructure. These projects include those not specifically tied to defined requirements, outside of the normal 2-year budget planning process. The authority directs the Secretary of Defense to establish mechanisms under which lab directors may use an amount of funds equal to not less than 2 percent and not more than 4 percent of all funds available to the defense lab for projects under the four allowable categories. Further, lab directors are permitted to obtain additional funding by charging customers a fixed percentage fee that may not exceed 4 percent of costs.", "Direct Hire Authorities. These authorities provide lab directors with a streamlined and accelerated hiring process. Congress has enacted four types of direct hire authorities since 2008, which help labs compete with private industry and academia for high-quality scientific, engineering, and technical talent. Specific types of direct hire authorities include hiring: (1) candidates with advanced degrees; (2) candidates with bachelor\u2019s degrees; (3) veterans; and (4) students currently enrolled in graduate or undergraduate science, technology, engineering, and mathematics (STEM) programs.,", "Laboratory Enhancement Pilot Program. This authority provides methods for effective lab management operations. Section 233 of the National Defense Authorization Act for Fiscal Year 2017 established a pilot program for lab directors to propose alternative and innovative methods that might lead to more effectively managing labs, and authorized lab directors to waive any regulation, restriction, requirement, guidance, policy, procedure, or departmental instruction that would affect implementation of these methods, unless such implementation would be prohibited by a provision of an existing statute or common law.", "Micro-purchase Authority. This authority facilitates the purchasing process for labs. The FAR states a preference for government agencies to purchase and pay for micro-purchases of supplies or services using the government-wide commercial purchase card up to and at the micro-purchase threshold, but micro-purchases may be conducted using any of the simplified acquisition methods. This facilitates the ability of lab officials to quickly and easily acquire needed items for their activities and reduce the administrative costs associated with such small purchases. While the FAR micro-purchase was generally $3,500 during our review, Congress increased it to $10,000 for activities of the science and technology reinvention labs in Section 217 of the National Defense Authorization Act for Fiscal Year 2017."], "subsections": []}, {"section_title": "Major Federal Research Agency Investments", "paragraphs": ["As we found in June 2018, the federal government spends approximately $137 billion annually government-wide on research and development (R&D) to help further agencies\u2019 missions, including at federal labs. From fiscal years 2015 to 2017, DOD, Energy, and NASA represented three of the top four federal agencies with the highest annual federal R&D spending, accounting for about 66 percent of total federal R&D spending on average, as shown in Figure 3.", "While the labs primarily support the agencies that directly fund them, DOD, Energy, and NASA research entities also collaborate extensively to support activities of shared interest. For example, DOD and NASA research centers have collaborated to develop hypersonic vehicle capabilities. Further, Energy\u2019s national labs help provide critical national security capabilities for DOD and support NASA\u2019s deep space mission radioisotope requirements. In 2017, Energy reported performing about $2.6 billion of work per year from fiscal years 2011 through 2015 for other federal agencies and other customers, including DOD."], "subsections": []}]}, {"section_title": "Defense Labs Have Used Selected Authorities, but Their Use Has Been Offset by Other Military Service Policies and Interests", "paragraphs": ["Most defense labs have used the selected authorities since 2008, but their use has sometimes been limited for a variety of reasons. According to lab directors, this is because of DOD legal and policy restrictions and stakeholder concerns. For example:", "Use of the laboratory initiated research authority was limited by DOD\u2019s military construction funding and financial management policies.", "Use of the direct hire authority was limited, in part, by personnel- related delays, security clearance challenges, and military hiring restrictions.", "Use of the laboratory enhancement pilot program was limited by stakeholder uncertainty about how to use this authority effectively.", "Use of the increased micro-purchase authority was limited by stakeholder concerns about the authority\u2019s potential effect on small businesses."], "subsections": [{"section_title": "Most Defense Labs Have Used the Laboratory Initiated Research Authority, but Less than the Maximum Allowed", "paragraphs": ["We found that most defense labs have used the laboratory initiated research authority. Twenty-three of 31 of respondents to our survey\u2014 about 74 percent\u2014reported obligating funds under this authority. However, we found that most labs are not using the full 4 percent of all funds available to each lab, or charging customers the full fixed percentage fee of 4 percent of costs, as allowed by law. Specifically, we found that, as of September 2018:", "Navy labs reported charging customers a percentage fee of about 2 percent of costs as of fiscal year 2018. Prior to this, Navy labs only charged a 1 percent fixed fee on these costs. Because Navy labs are working capital funded organizations, they can use payments from customers for goods delivered or services performed.", "Army labs reported using between 2 and 3 percent of all funds available to the lab for projects under the four allowable categories and charging customers a fixed fee of between zero and 3 percent of costs to fund such activities.", "Only the Air Force Research Laboratory reported using the full 4 percent of all funds available to the lab. According to agency officials, the lab is using 3 percent of all funds available to the lab and is allowing individual technology directorates the option to use the additional 1 percent of funds available. In fiscal year 2018, three of the lab\u2019s nine technology directorates chose to use this additional 1 percent. However, the lab has not charged customers a fixed percentage fee on their costs at all.", "As figure 4 shows, in fiscal year 2017, the aggregate fixed percentage fee charged by labs in each of the military departments totaled under the full 4 percent allowed by law for each funding source. Decisions to charge lower percentages are decisions to forego additional potential funding, although agencies have various reasons why this can happen, as we will discuss later.", "In total, DOD reported that this authority provided almost $300 million to labs in fiscal year 2017 and funded more than 1,750 projects across the four allowable categories, as Figure 5 illustrates.", "We previously found, in June 2017, that the laboratory initiated research authority provides defense lab directors with limited flexibility to initiate science and technology projects. These projects include those that are not road mapped or tied to defined requirements outside of the normal 2- year budget planning process, and are focused on both near- and long- term needs.", "For this review, defense lab officials we interviewed stated that the laboratory initiated research authority enables their scientists and researchers to pursue projects not necessarily tied to requirements and provides necessary funds for workforce development and lab infrastructure projects. Further, as shown in Figure 6, lab directors we surveyed generally view the authority as both fostering innovation and increasing efficiency across the four allowable categories on which funds can be used.", "In accordance with the one of the statutory purposes for the use of the funds, lab directors have developed new, innovative technologies using this authority. For example, DOD reported that: In fiscal year 2017, the Naval Surface Warfare Center, Crane Division, developed and fielded a solution to an urgent requirement for defeating small unmanned aerial vehicles that attack Navy assets or surveil naval activities. The center delivered this technology to the warfighter in May 2017 just 7 weeks after the Navy submitted the requirement.", "The Army Research Laboratory used the authority to fund a project that eventually developed a material that could increase the speed and lower the power needs of future generations of computer chips, thereby supporting Army networks.", "The Navy invested more than $700 thousand in laboratory initiated research authority funds to commission a Ballast Water Research Lab at Naval Surface Warfare Center, Carderock Division. Through the use of this new facility, engineers will be able to study ways to treat ballast water to prevent introduction of non- native aquatic species into a new environment that can be disastrous for the marine life that already inhabit that environment, and ensure that the Navy is able to meet various port regulations around the world for its ships.", "The Air Force Research Laboratory invested funds in fiscal year 2017 to renovate an existing facility to provide high performance computing capability to aid the rapid development of \u201cgame-changing\u201d technologies and weapon systems.", "Officials at the Army\u2019s Space and Missile Defense Command Technical Center noted they used the laboratory initiated research authority for the first time in fiscal year 2018 because the current executive director, who assumed the position in 2017, prioritized implementing this authority. Most of the Center\u2019s planned investments are focused on workforce development and laboratory infrastructure projects; officials cited a high energy laser technology lab as one of the projects being supported by the revitalization, recapitalization, or minor military construction portion of this authority.", "Although the majority of defense labs reported using the laboratory initiated research authority, interviews we conducted throughout our review, along with other DOD reports, identified certain obstacles that have, at times, impeded wider usage.", "DOD-wide military construction funding restrictions. DOD restrictions limit the amount of laboratory initiated research authority funds that labs can spend on lab infrastructure. DOD\u2019s limit is $6 million for the revitalization and recapitalization projects that can be funded under the laboratory initiated research authority. Lab officials stated that this amount is often insufficient to construct advanced lab facilities. Air Force Research Laboratory officials indicated that it is nearly impossible to construct lab facilities for less than $6 million. Officials at the Army\u2019s Aviation and Missile Research, Development and Engineering Center echoed this sentiment and noted that they have primarily used funds to renovate existing buildings rather than fund new lab facility construction. In January 2017, the Defense Science Board identified lab infrastructure challenges, including that the average age of research and development facilities was nearly 50 years. Further, the Board reported that the labs are usually not successful in competing against broader service needs for military construction funds.", "Air Force does not charge customers a fixed percentage fee of costs. The Air Force Research Laboratory reported that it is not charging customers the allowable fixed percentage fee of costs to fund science and technology activities because it does not have a mechanism in place to do so. Air Force Research Laboratory officials estimated the lab would collect approximately $3 million a year if the lab charged customer activities the maximum allowable fee (4 percent). Air Force financial management officials stated that the service\u2019s accounting system does not currently have an automated capability to transfer the allowable percentage fee of costs to a central account at the Air Force Research Laboratory. This lack of capability, officials noted, creates a significant administrative burden for charging these fees. The officials stated that they have not yet estimated the cost to add an automated capability.", "Although it is possible for the Air Force Research Laboratory to charge customer work orders manually\u2014outside of the Air Force\u2019s accounting system\u2014officials with the Office of the Assistant Secretary of the Air Force for Financial Management and Comptroller perceive that the resources (time and people) required to manage such a process would be cost prohibitive. However, according to these officials, the Air Force has not assessed the costs required to improve the accounting system to do so, nor has it identified the potential benefits any improvements would provide. Federal internal control standards state that changes in condition affecting an entity and its environment often require changes to the entity\u2019s internal control system, as existing controls may not be effective for meeting objectives (or addressing risks) under changed conditions. Further, these standards state that any internal control deficiencies require further evaluation and remediation by management. By not assessing the potential costs and benefits related to the options for collecting these allowable fees, the Air Force could be missing out on a potential source of funding to support its needs.", "DOD lacks clear guidance on how the Navy should use the initiated research authority for some infrastructure investments within the Capital Investment Program. In our review of DOD documentation, we found that, among the military departments, Navy labs funded recapitalization and revitalization projects using the laboratory initiated research authority the least. As recently as early 2017, a DOD-commissioned study found that defense labs face substantial infrastructure deficiencies that it has not yet identified funding to address. In fiscal year 2017, Navy labs invested $7.3 million in lab recapitalization projects, compared to $32.9 million and $53.7 million at the Air Force and Army, respectively. Navy lab officials told us that their ability to fund lab recapitalization and revitalization projects using funds available under the laboratory initiated research authority is limited because they have not been provided with clear guidance as to whether and how to use the laboratory initiated research authority within the Capital Investment Program of the Navy Working Capital Fund.", "Some Navy lab officials stated that they have found ways to use the initiated research authority for certain infrastructure investments. These officials stated that they used authority outside of the Capital Investment Program of the Navy Working Capital Fund, for instance, for projects below applicable thresholds because using the authority within the Program creates a bureaucratic and financial burden for them. For example, officials at two separate warfare centers\u2014Naval Surface Warfare Center, Crane Division, and the Naval Air Warfare Center, Aircraft Division, noted that they did not expend funds in either fiscal year 2016 or fiscal year 2017 for recapitalization and revitalization projects. Both cited the Capital Investment Program as a significant barrier to their desired use of the laboratory initiated research authority.", "Officials from the Office of Budget, within the Office of the Assistant Secretary of the Navy for Financial Management and Comptroller agreed that, to date, clarifying guidance on the use of the laboratory initiated research authority within the Capital Investment Program has not been issued, effectively limiting the extent to which the labs can use it for infrastructure needs. According to these officials, the Office of the Secretary of Defense (OSD) Comptroller\u2014in coordination with the Office of Financial Policy and Systems within the Office of the Assistant Secretary of the Navy for Financial Management and Comptroller\u2014is responsible for developing the clarifying guidance their office has sought. This persistent lack of guidance on whether or how Navy labs should use the laboratory initiated research authority within the context of the Capital Investment Program presents an opportunity cost. Namely, the Navy\u2019s labs have missed out on, and continue to miss, opportunities to invest in needed improvements to its aging lab infrastructure.", "The Army requires its laboratories to apply similar percentages to what is refers to as \u201cArmy direct appropriations\u201d and \u201ccustomer funds.\u201d The Army requires that the percentage fee applied to direct appropriations not vary from the percentage fee applied to customer funds by more than 1 percent. The Army implemented this policy to maximize the laboratory initiated research authority\u2019s effect on its 17 laboratories. However, the Office of the USD(R&E) reported in March 2018 that the policy was having a significant limiting effect on the breadth and scope of activities executed under this authority. Similarly, we found that the policy may, in practice, create a disincentive for Army lab directors to use the authority. In their responses to our survey, Army lab directors, representing key capability areas, acknowledged their concern about the percentage fee they assessed on customer funds affecting their ability to increase or maintain their customer bases. Further, some Army lab directors reported assessing a lower percentage fee on customer funds than allowed, which could help retain customers that might otherwise be driven away with higher assessed fees to carry out activities. As a result, these labs generally are setting a lower percentage fee on their directly appropriated funds, thereby lowering the overall laboratory initiated research funding available to them. Nonetheless, the Army has not assessed its policy to determine whether changes are needed to eliminate these disincentives. Continuing to operate without such an assessment could result in Army labs using the laboratory initiated research authority to fund fewer self-initiated projects\u2014with the downstream effect that fewer new technologies for warfighters are available.", "The Navy applies a consistent fixed percentage fee of costs across its labs. Within the Navy, senior leadership has set the fixed percentage fee of costs the labs charge on customer funds at 2 percent. A senior Navy science and technology official stated that Navy leadership set a uniform fixed percentage fee to charge to customer activities across the Navy lab enterprise, in part, to ensure the labs were not inadvertently competing against one another for customer funds. For example, without a uniform rate, a Navy warfare center could offer a lower fee to entice a customer to use it rather than another center. The use of a fixed percentage fee facilitates program offices selecting warfare centers on the basis of best available match in capabilities. On the other hand, the Navy\u2019s fixed 2 percentage fee of costs does limit\u2014by half, as compared to the maximum 4 percent allowable\u2014the amount of fees that Navy labs can collect. Consequently, several Navy lab directors told us that they would like to have the ability to increase the fixed percentage fee of costs above the Navy\u2019s 2 percent to provide their labs with additional resources they said they need for innovation-related investments."], "subsections": []}, {"section_title": "DOD Labs Have Used Direct Hire Authorities to Hire Qualified Candidates for Key Scientific Positions but Experienced Delays", "paragraphs": ["Among the lab directors that responded to our survey, 30 of 31 replied that their lab had used at least one of the four types of direct hire authorities previously discussed since fiscal year 2014. Officials view direct hire authority as allowing the labs to compete with private industry for qualified applicants. Lab directors reported they generally believe that each type of direct hire is extremely or very useful for fostering innovation and increasing efficiency, as shown in Figure 7.", "Selected Officials\u2019 Testimony on the Value of Direct Hire Authority: The U.S. Army Engineer Research and Development Center \u201cwas able to meet this important goal [of annually hiring more than 160 new researchers] in large part because of its direct hiring authorities, which save time, effort, and costs, and allow the organization to more effectively hire the best and brightest minds available.\u201d \u2013 Dr. Jeffrey P. Holland, Past Director, U.S. Army Engineer Research and Development Center, in testimony before the Senate Committee on Armed Services (Emerging Threats and Capabilities Subcommittee), May 3, 2017. \u201cThe Air Force\u2019s ability to recruit, retain, and develop the STEM workforce is vital toward building the future Air Force; Congress has been greatly supportive of these efforts\u2026the addition of direct hire for candidates has been extremely useful in hiring qualified scientists and engineers in less than half the time of traditional hiring methods.\u201d \u2013 Jeffrey Stanley, Air Force Deputy Assistant Secretary\u2014 Science, Technology and Engineering in testimony before the House Committee on Armed Services (Emerging Threats and Capabilities Subcommittee), March 14, 2018.", "Although participation in the laboratory enhancement pilot program is open to the DOD labs\u2014and 19 of the 31 lab directors, or 61 percent, that responded to our survey reported they were participating\u2014to date, only the Navy has formally established a pilot program for its labs. The Army and Air Force have not yet used this relatively new authority. A senior Navy science and technology official told us the Navy took important steps to facilitate the implementation of that service\u2019s pilot program. According to the Navy official:", "The Office of the Deputy Assistant Secretary of the Navy for Research, Development, Test and Evaluation led the effort across the Navy labs, compiling\u2014from each lab\u2019s submission\u2014a single list of proposals to forward to Navy leadership that would apply to all participating Navy labs.", "The Navy pursued a three-phased approach with its pilot program, with Phase 1 primarily focused on contracting and acquisition policy- related matters. Senior Navy research and development officials perceived these matters as being the easiest from which to obtain buy-in from Navy policy officials and attorneys, as well as Navy leadership. Phase 2 will include proposals related to Information Technology systems for research and development networks, while Phase 3 will most likely address personnel issues.", "Navy research and development officials deferred proposals\u2014 including information technology network enhancements\u2014that might require extensive discussions with policy officials and attorneys stakeholders across the Navy. These proposals were pushed back to allow time for those stakeholders to see how the pilot program was being implemented and executed by the labs.", "None of the Army and Air Force labs has yet established a laboratory enhancement pilot program. Consistent with Army policy, the Medical Research and Materiel Command and the Space and Missile Defense Command Technical Center submitted proposals; however, they have yet to establish a pilot program. The Army\u2019s Research, Development and Engineering Command, with input from its subordinate labs and engineering centers, developed a list of lab enhancement proposals but, as of September 2018, had yet to formally submit these final proposals to Army leadership for approval. These include initiatives in business operations, contracting, finance, information technology, and personnel management. A senior Army science and technology acknowledged that organizations across the military department have concerns about providing the labs with too much autonomy to use this new authority.", "Air Force Research Laboratory officials said they previously submitted a list of approximately 30 proposals to the Defense Laboratories Office in September 2017, but ultimately pulled back those requests because of stakeholder concerns within the Air Force. Specifically, officials with the Office of the Deputy Assistant Secretary of the Air Force for Science, Technology, and Engineering stated that the Air Force Materiel Command, to which the lab is a subordinate organization, had not seen the proposals before they were submitted. In addition, these officials identified concerns about how various stakeholders throughout the Air Force\u2014such as those from financial management and personnel\u2014would react to these proposals. These proposals could potentially sidestep the stakeholders\u2019 oversight function of related lab activities. A senior Air Force Research Laboratory official stated that the lab re-submitted its proposals to the Air Force Materiel Command and that Air Force leadership was still reviewing them at the time of this report."], "subsections": []}, {"section_title": "Defense Labs Have Widely Implemented Micro-Purchase Authority", "paragraphs": ["Twenty-six of 31 labs directors\u201484 percent\u2014reported having used the $10,000 micro-purchase threshold authority granted by Congress in 2016. However, we found that contracting and small business management officials\u2019 concerns with this authority have created implementation challenges at some defense labs. For instance, a senior Navy official indicated that multiple stakeholders from across the Navy\u2014including its Office of Small Business Programs\u2014raised concerns about the authority\u2019s potential impact on small businesses as micro-purchasing allows defense labs to bypass small business set asides. Several labs reported similar stakeholder concerns that prevented implementation of the micro-purchase threshold increase.", "At the same time, however, lab officials we interviewed expressed the view that the increased threshold will be beneficial, consistent with their opinions about the laboratory enhancement pilot program. For example, officials at the Naval Research Laboratory stated that increasing the threshold to $10,000 allows their scientists and engineers to directly purchase necessary equipment and materials through simplified procedures. They identified examples of projects that had been delayed by as much as several months because scientists and engineers used other than simplified acquisition procedures to purchase a relatively inexpensive piece of equipment, such as a specialized microscope, because the cost was above the previous threshold of $3,500.", "Similarly, the Army\u2019s Armament Research, Development and Engineering Center reported that the micro-purchase threshold increase enables the lab to use simplified acquisition procedures for more items. As a result, they noted that the new authority increases efficiency by reducing contracting time and cost for those additional items. The Navy\u2019s Space and Naval Warfare Systems Center Atlantic similarly reported that requirements, which were previously procured using other than simplified acquisition procedures, took up to 60 to 90 days to procure, while it took as little as 3 to 4 days under this new authority, which enabled its scientists and engineers to purchase materials needed for critical, time sensitive projects. However, lab officials acknowledged that the $10,000 micro-purchase threshold authority\u2014like the laboratory enhancement pilot program\u2014is too new to fully understand how it will increase efficiency and foster innovation over the long term."], "subsections": []}]}, {"section_title": "DOD Gains Scientific Expertise from Research Centers Governed through Noncompetitive Contracts", "paragraphs": ["DOD sponsors several research centers, which are governed through noncompetitive agreements, including contracts. These centers provide the department with access to scientific experts employed by universities and other non-profit organizations. Scientists employed by these external to DOD research centers\u2014specifically, three lab FFRDCs and 13 UARCs\u2014execute DOD-funded science and technology development projects in emerging technical areas. DOD staff oversee these centers using routine oversight of funded research tasks and comprehensive reviews, which help DOD determine whether the centers\u2019 funding should continue. DOD and research center officials told us that their ability to authorize work at the FFRDCs that DOD sponsors is limited by legislative restrictions on the staffing levels at these centers, as well as by infrastructure modernization challenges they face."], "subsections": [{"section_title": "External DOD Research Centers Are Funded by the Government Established under Noncompetitive Procedures", "paragraphs": ["DOD sponsors three research and development FFRDC labs that were established under noncompetitive procedures. Two of the three lab FFRDCs are operated by universities and one is operated by a nonprofit company. DOD also has contracts with 13 UARCs that fulfill a similar scientific role as the lab FFRDCs, while also differing from them in other respects. These differences are described in more detail in table 1.", "DOD\u2019s contractor-operated research centers received about $1.3 billion annually in DOD funding in fiscal year 2016 and fiscal year 2017, according to DOD data. The two largest research and development FFRDCs, the Lincoln Laboratory and the Software Engineering Institute, received about 67 percent of total research center funding from DOD in 2017. UARCs received an average of $27 million in DOD funding, which was a 15 percent decrease from 2016. Research centers may also receive work and funding from other federal departments and private companies after obtaining DOD sponsor approval. Appendix II provides an overview of DOD FFRDC and UARC funding in fiscal years 2016 and 2017.", "DOD Sponsorship and Contract Awards: We reported in 2014 that FFRDCs in the federal government are defined through the sponsoring agreement between the agency and the contractor retained to operate the FFRDC. A written agreement of sponsorship between the government and the FFRDC must be prepared when the FFRDC is established, which may be included in a contract between the government and the FFRDC, or in another legal instrument under which an FFRDC accomplishes effort, or it may be in a separate written agreement. Historically, DOD sponsors retain contractors for many years or decades as FFRDC operators. We found that research centers undertake DOD-sponsored projects and, in some limited instances, scientific projects initiated by centers that are overseen by DOD staff. Individual sponsors enter into noncompetitive contracts with FFRDCs and UARCs. DOD uses noncompetitive contracts to establish or maintain an essential engineering, research, or development capability to be provided by an educational or other nonprofit institution or a federally funded research and development center.", "Scientific Project Funding: We found that project sponsors provide funding to existing contracts. For example, the government issues orders for requirements under Lincoln Laboratory\u2019s indefinite delivery indefinite quantity base contract as funding sponsors approve new projects. Individual project sponsors, along with the primary sponsor, oversee how project funds are spent by the centers. Project sponsors decide whether they will continue to work with these entities based on perceived performance success. This effectively provides an incentive for FFRDCs and UARCS to perform successfully. This work and review cycle is described in Figure 9 below.", "FFRDCs and UARCs also partner with DOD government-operated labs to plan and execute technology development projects. For example, according to Navy officials, Naval Surface Warfare Center, Carderock Division collaborated with Navy-sponsored UARCs, such as Penn State\u2019s Applied Research Laboratory, to help develop Navy submarine propeller and propulsion designs.", "Self-initiated Projects: Research center officials said that DOD provides some research centers with limited funds to self-initiate innovative projects. This funding helps the centers ensure that development projects are not limited to just satisfying near-term DOD requirements. Instead, future generations of DOD technologies can be funded. For example, officials at Johns Hopkins University Applied Physics Laboratory proactively conducted work on advanced naval defense technologies in response to similar technology development in adversary countries. Although Navy sponsors did not fund this initial work, they subsequently provided funding in this area after Hopkins\u2019 research identified a risk reduction strategy for the Navy, according to the Johns Hopkins officials. This allowed the UARC to move relatively quickly on a new science and technology project idea."], "subsections": []}, {"section_title": "Research Centers Provide DOD with Access to Scientific Expertise", "paragraphs": ["DOD uses 13 UARCs and three lab FFRDCs to obtain direct access to scientific expertise in emerging technical areas, supplementing research conducted at DOD\u2019s government-owned and operated labs. These research centers provide DOD with additional scientific capabilities and the ability to expand quickly into new technical fields.", "Hiring Scientific Personnel: Although FFRDCs are largely federally funded, they are generally operated, managed, and administered by either a university or consortium of universities, other not-for-profit or nonprofit organization, or an industrial firm, as an autonomous organization or as an identifiable separate operating unit of a parent organization. The contractor operating the FFRDC exercises primary control over its FFRDC\u2019s business concerns, such as personnel policies and compensation. DOD-funded research centers have flexibility in hiring scientists that leverage a parent institution\u2019s expertise in emerging scientific fields. For example, leadership officials at the Army Institute for Soldier Nanotechnologies UARC at MIT and the Software Engineering Institute FFRDC at Carnegie-Melon University noted that projects they have conducted for DOD have benefitted from university experts in fields such as dark matter physics and artificial intelligence.", "Personnel Compensation: Research center officials we spoke with noted that their workforce policies permit them to flexibly hire, fire, and compensate staff as needed. Although employee salaries are established separately from the government schedule, they are approved by the government. Further, officials noted that university centers typically offer salaries in line with the labor market, but do not attempt to compete on a salary basis with relatively high, unaffordable private sector company salaries. Instead, they compete on the basis of other factors, such as offering scientists the opportunity to work for a prestigious university conducting science and technology research.", "Research Center Infrastructure: As with personnel matters, research centers have discretion to manage infrastructure in accordance with the policies and procedures of their parent institutions. While one center, Lincoln Laboratory, is located on government property, others primarily reside on property owned or leased by their parent institutions. According to agency officials, DOD contributes funding for the use and repair of these facilities through their contracts with research centers. Officials noted that Lincoln Laboratory uses military construction funding to pay for new buildings as it is located on government property.", "Trusted Advisor Role: FFRDCs and UARCs function as trusted advisors for the government and operate in the public interest with objectivity and independence. FFRDCs are independent, private-sector, non-profit organization units required to be free from personal or organizational conflicts of interest, as the FFRDCs answer to the government customer. As a result, DOD\u2019s lab FFRDCs perform tasks that are closely associated with the performance of inherently governmental functions and have access to sensitive and proprietary data."], "subsections": []}, {"section_title": "DOD-Sponsored Research Centers Are Limited in the Amount of Work They Can Perform for DOD, According to Research Center Officials", "paragraphs": ["Research center officials noted challenges limiting their work providing scientific expertise to DOD. FFRDCs are also limited in executing infrastructure investments.", "Limitation on Available Work Hours: DOD FFRDCs are limited by an annual ceiling set by Congress on the amount of staff years of technical effort (STE) that may be funded for defense FFRDCs. We previously found in October 2008 these limits were imposed in response to concerns that DOD was inefficiently using its FFRDCs. We found that the STE workload limitation aimed to ensure that FFRDC work was appropriate and limited resources were being used for DOD\u2019s highest priorities. As a result, Software Engineering Institute officials said they decline many DOD programs\u2019 requests for assistance due to the annual work hour limitation. Further, officials at the Office of the Secretary of Defense\u2019s Studies and FFRDC Management Office reported that this limit significantly constrains the use of DOD\u2019s FFRDCs and that DOD customer demand for their services is significantly greater than the annual STE limit. OSD officials indicated that FFRDC related work must be deferred to later years when these limits are reached, since there are no other legally compliant alternatives capable of fulfilling these requirements.", "Infrastructure: FFRDC officials we interviewed identified infrastructure challenges\u2014including aging facilities and equipment\u2014as hindering their research and development efforts. For example, many buildings at the Massachusetts Institute of Technology (MIT) Lincoln Laboratory are over 60 years old; MIT considers over half of them to be in substandard condition. According to an MIT official, these facilities, located on government property, were not structurally designed for modern research and have relatively poor vibration isolation, resulting in inefficient workarounds or work that could not be performed. Officials from the Defense Laboratories Office noted that the MIT Lincoln Laboratory is unique among DOD\u2019s FFRDCs in that it is operated on government- owned property.", "A 2013 study, conducted on behalf of the White House Office of Science and Technology Policy, found that lab infrastructure project funding proposals must compete with hospitals, barracks, runways, and roads and, therefore, tend to be lower on the priority list for military construction funding. A 2017 Defense Science Board report and DOD officials we spoke with indicated this continues to be true. While contract research centers have significant flexibility to execute infrastructure work, they are still affected by limited availability of military construction funding. Officials at another center noted that in some instances, DOD sponsors have been unable or slow to provide required secure facilities and equipment within needed time frames. Delays of this nature can affect the research centers\u2019 ability to deliver the technologies or related services needed by DOD."], "subsections": []}]}, {"section_title": "Energy and Space Research Centers Follow Different Governance Approaches, but Exhibit Similar Benefits and Challenges", "paragraphs": ["The Department of Energy (Energy) primarily relies on contractor- operated FFRDCs to operate its labs, while the majority of NASA labs and centers are government-operated. Energy\u2019s national labs form the core of the agency\u2019s scientific work and mission. This is in contrast to DOD-funded labs, which constitute a relatively small aspect of DOD\u2019s overall mission. We have previously found that Energy\u2019s labs can use funding for minor infrastructure improvements. NASA centers can also approve and fund certain facility projects, in accordance with NASA policies, and they have encountered significant challenges with aging infrastructure. Also, in some cases, energy and space research centers have significant challenges with hiring replacement staff and competing with private sector employers for staff. Energy\u2019s labs can hire scientific personnel with the flexibility of private companies, while NASA centers were previously provided hiring flexibilities by Congress in 2004 to facilitate staff hiring.", "While Energy and NASA\u2019s research entities follow their specific governance models, there are broad characteristics common across these agencies as well as DOD. Table 2 illustrates that while research centers are largely government-owned, the government is not always the operator."], "subsections": [{"section_title": "Department of Energy Primarily Uses Contractors to Operate National Labs and Manage Scientific Expertise", "paragraphs": ["As we have reported, Department of Energy national labs are primarily operated by for-profit, non-profit and university FFRDC contractors using management and operating contracts, which are competed on a limited basis. Energy\u2019s funding sponsors and headquarters officials are required to reevaluate FFRDC performance in increments not to exceed 5 years by federal acquisition regulations, which inform future decisions to renew the agreement. In 1990, we designated Energy\u2019s contract management\u2014including both contract administration and project management\u2014a high-risk area because of Energy\u2019s inadequate management and oversight of contractors, leaving the department vulnerable to fraud, waste, abuse, and mismanagement. In 2009, we subsequently narrowed the focus of Energy\u2019s high-risk designation to the National Nuclear Security Administration and Office of Environmental Management, which together oversee four national labs. Further, in our 2017 High Risk report, we found that these two agencies had made progress in addressing our contract management concerns, but we identified continued problems with the agencies having sufficient capacity to mitigate contract and project management risks. Also, we found that they had demonstrated little progress in addressing contract management challenges, particularly in the area of financial management."], "subsections": [{"section_title": "Energy\u2019s Lab Contractors Manage Nearly All the Agency\u2019s Scientific Expertise", "paragraphs": ["The Department of Energy uses performance-based management and operating contracts, which have been subject to limited competition, with universities, non-profit companies and for-profit companies to operate the national labs on government-owned property. These contractor-operated FFRDCs provide the vast majority of Energy\u2019s science and technology capacity, rather than supplementing the work of government-operated labs like DOD\u2019s FFRDCs. Energy has depended on the expertise of private organizations to execute its science and technology work since the Manhattan Project produced the first atomic bomb during World War II.", "The Spallation Neutron Source is an experimental research facility at Oak Ridge National Laboratory\u2014a government-owned contractor-operated laboratory. The Spallation Neutron Source includes the world\u2019s most powerful pulsed-neutron sources and provides information about the structure and properties of materials that cannot be obtained by other means. The Spallation Neutron Source is a user facility whereby researchers from universities, national laboratories, and industry submit proposals, which are peer- reviewed and must compete for time at the user facility.", "The primary focus of each lab varies based on its expertise and facilities. Energy largely oversees its lab contractors through its headquarters program offices, which include the National Nuclear Security Administration, Office of Science, the Office of Fossil Energy, as well as co-located government field offices. Office of Science-sponsored labs primarily support scientific research for energy and physical sciences, while the National Nuclear Security Administration-sponsored (NNSA) labs primarily focus on nuclear weapons and related science and technologies. Energy also oversees its lab contractors\u2019 activities through on-site Energy oversight offices that work alongside lab management at each FFRDC. Some labs specialize in earlier-phase science, while other labs work on later-phase nuclear weapons technologies in addition to earlier-phase science. As Figure 10 shows, these labs are spread across the United States.", "Energy has only one government-operated and government-owned lab, the National Energy Technology Laboratory. Key differences between Energy\u2019s contractor-operated and government-operated governance models are described in table 3.", "Energy\u2019s FFRDCs use their own personnel systems, which Energy officials stated provide more flexibility for hiring and retaining qualified staff. Management within these FFRDCs can move staff in or out of scientific areas more quickly than government labs can, thereby providing greater agility to meet Energy\u2019s needs in emerging science areas. For example, Energy\u2019s lab oversight staff at Oak Ridge National Laboratory told us that use of lab contractors\u2019 human resources management systems allows for workforce flexibilities to meet Energy\u2019s needs. While these contractors have leeway in managing their human resources systems, Energy\u2019s headquarters maintains oversight\u2014through its contracting officers\u2014over employee compensation."], "subsections": []}, {"section_title": "FFRDC Contractors Manage Most Energy Labs\u2019 Infrastructure", "paragraphs": ["Energy\u2019s FFRDC contractors manage and operate nearly all of the department\u2019s government-owned national lab facilities\u2014including day-to- day management of government-controlled facilities and real property. Lab operators used funding to complete minor construction projects, which cost $10 million or less. This funding comes from a percentage of science and technology projects\u2019 funding, requires local Energy oversight office approval, and has streamlined project management requirements. In contrast, major infrastructure upgrades are funded through relatively long and complex line-item funding processes, and projects over $50 million are subject to more rigorous project management requirements."], "subsections": []}, {"section_title": "Energy\u2019s Lab Contractors Have Limited Discretion to Initiate Scientific Projects", "paragraphs": ["Energy\u2019s labs use a small portion of their funding to initiate discretionary projects for science and technologies that will benefit sponsors in the long-term by maintaining the scientific and technical vitality of the laboratories. To maintain and enhance lab expertise, the National Defense Authorization Act for Fiscal Year 1991 authorized Energy\u2019s contractor-operated labs receiving funding for national security programs to use a percentage of lab funds to perform lab-directed R&D of a creative and innovative nature. The actual percentages allowed to be used for lab-directed R&D are subject to Energy\u2019s approval.", "Energy\u2019s entities sponsor most national lab projects based on their needs and lab expertise. Typically, earlier foundational science projects are funded through a process whereby funding sponsors issue calls for proposals to Energy\u2019s national labs. Interested scientific teams at labs provide proposals to conduct these projects for sponsor consideration. Sponsors then assess proposals for scientific merit and decide which teams receive funding to execute their projects. NNSA provides funding for later-phase nuclear technology development projects to its labs after agreement is made regarding objectives and deliverables for specific projects, according to Lawrence Livermore National Laboratory officials."], "subsections": []}, {"section_title": "Energy\u2019s Lab Officials Identified Challenges Despite Management Flexibilities", "paragraphs": ["Despite their flexibilities with regard to hiring and infrastructure decisions compared to government operated labs, Energy\u2019s lab leadership and government oversight officials noted human resource and facilities related challenges, such as:", "Sufficiently compensating staff located in high-cost of living areas. For example, the labor market of the San Francisco area, where several Department of Energy national labs are located, is highly competitive for employers. Commercial firms offer salaries and compensation that typically exceed those of government-funded, contractor-operated labs, although Energy\u2019s contractors have more pay flexibility than is allowed for Energy\u2019s government employees.", "Obtaining government clearances in a timely manner. Energy\u2019s NNSA oversight officials and lab management staff, in particular, cited this challenge, which they stated has led to a backlog of people needing clearances.", "Government hiring freeze constraining overall hiring. Officials at Energy\u2019s government-operated National Energy Technology Laboratory reported that as a result of a government hiring freeze, the lab has increasingly hired private contractor staff to the point that more than half of the total lab staff is now comprised of contractor employees.", "Major infrastructure challenges at Energy labs. Energy reported in July 2018 that over half of all national lab buildings are in either substandard or inadequate condition. The Energy Inspector General also identified infrastructure modernization as one of Energy\u2019s top management challenges. This finding followed a mandated commission\u2019s report in 2015 that facilities and infrastructure across Energy\u2019s national lab network were hampered by high levels of deferred maintenance and excess facilities."], "subsections": []}]}, {"section_title": "NASA Research Centers Are Primarily Governed as Government-Operated Entities", "paragraphs": ["The majority of NASA\u2019s science and technology facilities are operated within the governance framework of government-operated research centers, similarly to most DOD labs. While government-operated, they have been granted additional legislative flexibilities for hiring employees beyond those normally available to government entities.", "NASA locates its science and technology staff at four government- operated research centers, one contractor-operated FFRDC, and at five NASA centers assisting space and space flight development. These centers and the Jet Propulsion Laboratory\u2014NASA\u2019s sole sponsored FFRDC\u2014execute NASA\u2019s research missions including technology development in exploration and aeronautics. The differences between these two governance approaches are described in Table 4. NASA also works with Johns Hopkins University Applied Physics Lab, a UARC, to develop major space flight missions.", "The NASA Glenn Research Center\u2014a government- operated laboratory\u2014is currently developing solar electric propulsion technologies intended to allow manned and unmanned spacecraft to be propelled far beyond earth orbit using solar power. This project is developing large, flexible, radiation-resistant solar arrays that can be unfurled to capture solar energy powering fuel-efficient electrostatic thrusters. Scientists expect a system-level flight test within the next decade to demonstrate key technologies supporting NASA\u2019s Lunar Orbital Platform-Gateway project, a platform to mature necessary short- and long-duration deep space exploration capabilities.", "Headquarters, including funding sponsors providing oversight for their individual projects.", "Title 51, Chapters 201 and 203 of U.S. Code and technology efforts with DOD and other organizations, including use of NASA lab and test facilities.", "Operated by university contractor having sole source contract.", "Not permitted to compete against industry, except for operation of an FFRDC. property (originally part of DOD). 5-year contract renewable to 10 years total.", "Headquarters, including funding sponsors providing oversight for their individual projects.", "Title 51, Chapters 201 and 203 of U.S. Code; 10 U.S.C. \u00a7 2304 (c) (3)(B) ; Federal Acquisition Regulation \u00a7 35.017 based NASA oversight staff. sponsors seeking FFRDC assistance with NASA approval. \u201cLab\u201d as used in this context refers to science and technology organizations equivalent to NASA Research Centers, DOD UARCs and FFRDCs.", "Mission leadership officials at NASA Headquarters\u2014including the Associate Administrators for Aeronautics Research, Human Exploration, Science and Space Technology\u2014oversee NASA\u2019s research centers as well as the Jet Propulsion Laboratory. These officials are responsible for technology programs providing funds to research centers and the Jet Propulsion Laboratory to support their specific mission areas. NASA\u2019s science and technology project portfolios are based on the requirements and priorities established by NASA\u2019s leaders in collaboration with key stakeholders in academia and industry among others. In planning their science and technology work, NASA\u2019s Glenn Research Center officials noted that NASA research center directors consider the capabilities and resources\u2014including staff and facilities\u2014of other research centers to minimize redundant work."], "subsections": [{"section_title": "NASA Has Flexibilities for Managing Its Scientist Workforce", "paragraphs": ["NASA depends on a highly skilled civil servant and contractor workforce to plan and execute its missions. Congress provided NASA with additional human resource authorities beyond those otherwise allowed for federal government personnel through the NASA Flexibility Act of 2004. We found in September 2008 that NASA sought this flexibility to ensure that it could hire and retain the workforce it desired. This law consisted of multiple provisions to address a range of human capital challenges and to strengthen all levels of the workforce. The provisions included incentives\u2014including compensation\u2014to allow NASA to compete successfully in the labor market with the private sector and reshape its workforce more effectively to support the Agency\u2019s mission. NASA also employs a significant contractor workforce across its different centers."], "subsections": []}, {"section_title": "NASA Scientific Projects Are Mostly Funded According to NASA\u2019s Priorities", "paragraphs": ["Glenn Research Center officials we interviewed stated their portfolio of science and technology projects\u2014and funding\u2014mostly aligns with NASA\u2019s top requirements and priorities. They, along with NASA sponsors, create technology roadmaps and investment plans to determine their future projects. NASA policy requires that NASA\u2019s scientific teams offer proposals for potential research and science and technology projects. This is similar in some ways to how many DOD and Energy centers must find sponsors willing to fund specific technology development projects, rather than receiving technology development funding for a given year. These proposals are reviewed by peer review teams, who identify for selecting officials those proposals they believe have the most scientific merit. Ames Research Center officials said they believe this process can foster innovation, encourage employees to keep skills honed, and mitigate complacency.", "Glenn Research Center officials said that while most of the work they conduct is for sponsored applied research or advanced technology development, about 2 percent of their science and technology budget is spent on early-stage scientific innovation. Recommended projects of this nature proposed by the research center are typically approved by headquarters officials, according to these Glenn officials. NASA provides technical grants for basic research and applied science to university scientists nationwide on a competitive basis, and also funds similar research done internally at research centers."], "subsections": []}, {"section_title": "NASA Officials Identified Workforce and Infrastructure Challenges", "paragraphs": ["As with DOD and Energy\u2019s research centers, NASA officials have identified some key operating challenges, including:", "Aging infrastructure and facilities. The NASA Inspector General listed infrastructure area as one of the top five management and performance challenges facing NASA. Further, the Inspector General identified deficiencies with facilities planning and reported that about 80 percent of facilities at three of four NASA research centers are over 50 years old, while about half of the facilities at the Jet Propulsion Laboratory and the fourth research center are that old. Infrastructure projects and upgrades of $1 million or less are undertaken by research center management instead of at the NASA headquarters level. Construction above this threshold has significantly more requirements and is approved by NASA headquarters. Glenn Research Center officials indicated it is difficult to obtain funding for projects that exceed the minor infrastructure threshold, in part, due competition with major construction of facilities proposals from across the agency for limited funds. As a result, they put most of their efforts into sustaining existing infrastructure.", "Workforce shortages in key technical areas. As we found in May 2018, NASA has experienced workforce challenges on several major projects such as the Mars 2020 and Europa Clipper projects. Also, over 40 percent of NASA\u2019s workforce is either eligible to retire now or will be eligible in the next 5 years. NASA headquarters officials noted that NASA\u2019s workforce is aging because NASA has a low attrition rate\u2014about 4 percent annually\u2014and high numbers of staff stay several years beyond retirement. Further, in 2017, the NASA Inspector General found gaps in NASA\u2019s workforce planning for specific capability areas and how workforce plans would meet future needs, and recommended that NASA establish standardized guidance defining the data and analyses for these planning efforts. NASA concurred with and identified its plan to implement this recommendation. However, NASA has not implemented this recommendation, according to the NASA Inspector General\u2019s latest semiannual report to Congress."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Congress provided DOD lab directors with key authorities to foster targeted, timely investments in the most pressing technology areas. Lab directors have used these authorities\u2014such as laboratory initiated research and direct hire authorities\u2014to varying degrees, but more needs to be done to facilitate innovation and efficiency. Specifically, service specific obstacles in the Air Force, Navy, and Army impede lab directors from capitalizing on laboratory initiated research authority to a greater extent. Service leadership can take actions to better understand and potentially remove barriers to more fully use laboratory initiated research tools."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOD: The Secretary of the Air Force should assess the potential costs and benefits of implementing accounting system improvements that would allow the Air Force Research Laboratory to charge customers a fixed percentage fee on provided science and technology activities to the extent allowed under the laboratory initiated research authority. (Recommendation 1)", "The Secretary of the Navy should clarify whether and how to use the laboratory initiated research authority within the Capital Investment Program. (Recommendation 2)", "The Secretary of the Army should assess existing Army policy for laboratory initiated research authority and determine whether to implement changes to eliminate disincentives for lab usage of the authority. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOD, Energy, and NASA for review and comment. Energy and NASA did not provide any comments on the draft report. In DOD\u2019s written comments, reproduced in appendix III, DOD concurred with our three recommendations. Further, in its response to our third recommendation, DOD stated that the Army plans to initiate a study by January 2, 2019, regarding its use of the laboratory initiated research authority. According to DOD, the Army\u2019s study will identify potential opportunities for policy improvements.", "We are sending copies of this report to the appropriate congressional committees and offices; the Secretary of Defense; the Secretaries of the Army, Navy, and Air Force; the Secretary of Energy; and the NASA Administrator. In addition, the report will be made available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions concerning this report, please contact me at (202) 512-4841. Contact points for our offices of Congressional Relations and Public Affairs may be found on the last page of this report. Staff members making key contributions to the report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) how the Department of Defense (DOD) labs have used selected legislative authorities to foster innovation and efficiency and identify what barriers impede their use; (2) identifies and describes governance models used by selected DOD-sponsored federally funded research centers and university affiliated research centers; and (3) identifies and describes governance models used non-defense labs, specifically at the Department of Energy (Energy) and National Aeronautics and Space Administration (NASA).", "To address the first objective, we selected four specific authorities for our review based on previous work identifying science and technology best practices and expedited lab hiring:", "Laboratory Initiated Research Authority. The authority provided in Section 219 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009, as implemented, provides lab directors with flexibility to fund projects in four allowable categories: basic and applied research; technology transition; workforce development; and revitalization, recapitalization, or repair or minor military construction of lab infrastructure.", "Laboratory Enhancement Pilot Program. Section 233 of the National Defense Authorization Act for Fiscal Year 2017 established a pilot program for lab directors to propose alternative and innovative methods that might lead to more effectively managing and operating labs and authorized lab directors to waive any regulation, restriction, requirement, guidance, policy, procedure, or departmental instruction that would affect implementation of these methods unless such implementation would be prohibited by a provision of an existing statute or common law.", "Direct Hire Authority. Four types of direct hire authorities authorized by Congress since 2008 are intended to provide a streamlined and accelerated hiring process to allow the labs to successfully compete with private industry and academia for high-quality scientific, engineering, and technician talent.", "Micro-purchase Authority. The Federal Acquisition Regulation states a preference for government agencies, to purchase and pay for micro-purchases of supplies or services using the government-wide commercial purchase card up to and at the micro-purchase threshold, but micro-purchases may be conducted using any of the simplified acquisition methods. While the FAR micro-purchase threshold was generally $3,500 at the time of our review, Congress increased this threshold to $10,000 for activities of DOD science and technology reinvention laboratories in Section 217 the National Defense Authorization Act for Fiscal Year 2017.", "Although Congress has provided additional legislative authorities to defense lab directors to address hiring, infrastructure, and technology transition challenges, the authorities that we covered in our review are the ones that our prior and current work have shown are currently, or have the potential to be, the most critical for supporting science and technology reinvention laboratories\u2019 innovation mission within DOD labs. DOD lab leaders use these authorities to flexibly fund projects intended to facilitate research and development; propose alternative and innovative methods that might lead to more effective lab management; directly hire personnel at DOD labs including students currently enrolled in science, technology, engineering, and mathematics (STEM) programs; and expand critical science and technology purchases using simplified acquisition methods.", "To identify the extent to which DOD laboratories have used these authorities as well as to identify what potential barriers existed to using these authorities, we administered a survey to 44 STRL directors (or their equivalent) to collect information on the use of these specific authorities, their perceptions about the effectiveness of those authorities, and their perceptions about any barriers to using these authorities. The members of the population surveyed were the 44 defense laboratories defined as science and technology reinvention laboratories. For the purposes of our review, we defined laboratories as inclusive of Air Force technical directorates (10), Army warfare centers (17), and Navy warfare centers (17). We emailed questionnaires to the laboratories beginning in late March 2018, and survey data collection ended in early May 2018, with 31 labs returning completed questionnaires, for an overall response rate of 71 percent at the laboratory level.", "We took steps to minimize the potential errors that the practical difficulties of conducting any survey may introduce. Nonresponse error can result when a survey fails to capture information from all population members selected into a survey sample. Of the 13 questionnaires not returned, 4 were Army warfare centers, and 9 were Air Force research directorates. Throughout the data collection period, we made multiple follow-up attempts by email and phone to those labs not yet responding. The Air Force Research Laboratory (AFRL) provided a single survey response for the entire laboratory enterprise. Not all returned questionnaires may have answers to every question applicable to a respondent. However, this question-level nonresponse did not exceed one for any of the questions applicable to all 31 labs. Because we selected the entire population of laboratories for our survey, our estimates are not subject to sampling error. We developed our list of the 44 labs in our population in consultation with DOD, and are confident that none were left out, so our or survey has no known sources of coverage error. We conducted pretests of the draft questionnaire with 3 laboratories in the population and made revisions to reduce the possibility of measurement error from differences in how questions were interpreted and the sources of information available to respondents. After reviewing the answers received, we also followed up as necessary with respondents to clarify apparent inconsistencies or other possible misreports, and made changes to responses where corrections were needed. A second, independent analyst checked the accuracy of all computer analyses to minimize the likelihood of errors in data processing.", "To obtain additional information on this objective, we reviewed relevant legislation which established or amended these authorities and reviewed applicable DOD and service policy documentation. Further, we collected military service related information on the usage of two authorities, such as:", "Spending data on the use of the laboratory initiated research authority. We gathered this information from DOD-mandated reports to Congress on the use of this authority and military service officials. We determined these data to be reliable based on reviews of agency documentation collected and interviews with agency officials.", "Data on the usage of direct hire authorities by the service laboratories.", "We collected direct hire data from each of the military services including the number of direct hire authority candidates hired as well as the number of direct hire positions the laboratories were authorized to hire. We determined these data to be reliable based on reviews of agency documentation collected and interviews with agency officials. We also used select findings from our May 2018 report where we evaluated DOD\u2019s use of hiring authorities, including direct hire authority. More information about the scope and methodology of our prior work can be found in that report.", "In addition, we also collected information on military service proposals to utilize the laboratory enhancement pilot program authority.", "To obtain further information on department- and service-level involvement in and perspectives of defense laboratory authorities and challenges, we interviewed officials responsible for the management, execution, and oversight of DOD\u2019s science and technology enterprise, including military service labs. At the Office of the Secretary of Defense and military department headquarters level, those responsible for the management and oversight of science and technology activities, we met with officials from the:", "Office of the Assistant Secretary of Defense for Research and", "DOD Defense Laboratories Office;", "Office of the Deputy Assistant Secretary of the Army for Research and", "Office of the Deputy Assistant Secretary of the Air Force for Science, Technology, and Engineering;", "Office of the Assistant Secretary of the Air Force for Financial", "Office of the Deputy Assistant Secretary of the Navy for Research, Development, Test, and Evaluation; and", "Office of the Budget, within the Office of the Assistant Secretary of the Navy for Financial Management and Comptroller We also met with military department lab officials responsible for the management and execution of science and technology activities from the:", "Army Research, Development and Engineering Command;", "Army Research Laboratory;", "Army Aviation and Missile Research, Development, and Engineering", "Air Force Research Laboratory;", "Naval Research Laboratory;", "Naval Surface Warfare Center, Headquarters; and", "Naval Surface Warfare Center, Carderock Division To identify and describe governance models used by selected DOD- sponsored federally funded research centers (FFRDCs) and university affiliated research centers (UARCs), we focused our review on the 3 FFRDCs designated as research and development labs as well as all 13 UARCS sponsored by DOD entities. We reviewed appropriate sections of the FAR language related to FFRDCs and UARCs, DOD guidance for working with FFRDCs and UARCs, relevant contracts, and performance assessments. Further, we met with officials from the office of the Deputy Director, OSD Studies and Federally Funded Research & Development Centers Management and Office to discuss overall FFRDC and UARC management, policies, and challenges facing FFRDCs and UARCs. We interviewed officials at selected research and development FFRDCs and UARCS to discuss their experience conducting DOD research and interactions with their customers, such as defense program executive offices. We met with officials at the two major research and development lab FFRDCs\u2014The Lincoln Laboratory at the Massachusetts Institute of Technology (MIT) and the Software Engineering Institute at Carnegie Mellon University. We also selected a university affiliated research center sponsored by the Army and Navy: The Applied Physics Laboratory at Johns Hopkins University and the Institute for Soldier Nanotechnologies also at the MIT.", "To identify and describe governance models by non-defense labs, we selected Energy and NASA to focus our efforts. We identified 17 Energy national labs and 4 NASA research centers conducting basic and applied research similar to DOD labs. These agencies, along with DOD, represent 3 of the top 4 agencies in terms of average federal research and development spending from fiscal years 2015 to 2017. In our August 2016 GAO Technology Readiness Assessment Guide, we drew heavily from DOD, NASA, and Energy for best practices, terminology, and examples. This contributed to our decision to focus on Energy and NASA\u2019s research entities in this laboratory governance review. We did not include the fourth agency\u2014the National Institutes of Health\u2014in our review because it is not as similar to DOD. We also reviewed relevant Energy and NASA guidance as well as relevant FAR sections.", "At Energy, we met with officials from the National Nuclear Security Administration which is semi-autonomous entity within Energy responsible for managing the nation\u2019s nuclear weapons and nuclear security. We also met with Officials from the Office of Science, a program office responsible for supporting energy related fundamental science and research. To gain further insights on operating structures, funding arrangements, and their overall experience we met with lab leadership at selected Energy labs which were chosen based on initial discussions with agency officials and our review of past GAO work:", "Oak Ridge National Laboratory,", "Lawrence Berkeley National Laboratory,", "Lawrence Livermore National Laboratory, and", "National Energy Technology Laboratory (the sole Energy government owned and operated laboratory)", "We also met with leadership from Battelle Memorial Institute, which is the sole or joint contract manager for five Energy national labs including Oak Ridge National Laboratory. In addition, Battelle is an integrated subcontractor at Lawrence Livermore National Laboratory.", "At NASA, we met with officials with NASA\u2019s Science Mission Directorate and Mission Support Directorate to discuss overall research center management and operations. We also leveraged ongoing and recently completed work at GAO to gain additional insight on NASA\u2019s operations such as human capital management. Almost all of NASA\u2019s research, space, and space flight centers conduct research and development activities. However, we focused our review on four research centers where NASA primarily conducts its aeronautics research, which has substantial overlap with DOD activities. To gain additional insight into the experience of lab leaders at NASA research centers, we met with officials at NASA\u2019s Glenn Research Center and Ames Research Center. In addition, we also met with officials at the NASA Jet Propulsion Center, which is the only NASA-sponsored FFRDC.", "We conducted this performance audit from July 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Funding for Selected External DOD Sponsored Research Centers", "paragraphs": ["Office of the Secretary of Defense (OSD)"], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Christopher R. Durbin (Assistant Director); Charlie Shivers, III (Analyst-in-Charge); Emily Bond; Lorraine Ettaro; Carl Ramirez; Sylvia Schatz; Sean Seales; Brian Smith; and Robin Wilson made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Defense relies on its laboratories to help keep the military on the cutting edge of technology. Congress has given DOD's labs special \"authorities\"\u2014flexibilities that lab directors can use to foster innovation and improve efficiency.", "We looked at how DOD labs use authorities to:", "fund high priority research projects", "speed up lab hiring processes", "manage labs with greater efficiency and less red tape", "make small purchases to support lab activities more quickly", "While labs have taken advantage of most of these authorities, we recommended that they find ways to maximize their use."]} {"id": "GAO-18-661T", "url": "https://www.gao.gov/products/GAO-18-661T", "title": "VA Disability Benefits: Some Progress, but Further Steps Needed to Improve Appeals Reform Planning", "published_date": "2018-07-24T00:00:00", "released_date": "2018-07-24T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["VA's disability compensation program pays cash benefits to veterans with disabilities connected to their military service. In recent years, the time needed to complete appeals of VA's decisions on claims has increased. For appeals resolved in fiscal year 2017, veterans waited an average of 3 years. The subset of appeals resolved by the Board of Veterans Appeals\u2014a separate VA agency that provides a higher level of appeals review\u2014took on average 7 years to resolve.", "The Veterans Appeals Improvement and Modernization Act of 2017 makes changes to VA's current (legacy) process, giving veterans options to have their claims further reviewed by VA or appeal directly to the Board. The Act requires VA to submit a plan to Congress and GAO for implementing a new appeals process (which VA submitted in November 2017) and periodic updates (which VA submitted in February and May 2018). The Act also includes a provision for GAO to assess VA's original plan.", "In March 2018, GAO found that VA could help ensure successful implementation of appeals reform by addressing gaps in planning and made four recommendations, with which VA agreed. This testimony focuses on the steps VA has taken to address GAO's recommendations and what aspects remain unaddressed.", "For this statement, GAO reviewed VA's May 2018 updated plan, and interviewed VA officials and reviewed information they provided about steps taken to implement GAO's recommendations."]}, {"section_title": "What GAO Found", "paragraphs": ["In a March 2018 report, GAO assessed the Department of Veterans Affairs' (VA) November 2017 plan for changing how veterans appeal disability claim decisions and found that VA could do more to successfully implement these reforms. The March 2018 report made four recommendations to address planning gaps. Since then, VA has updated its plan and taken some steps to address aspects of these recommendations, but further steps are needed:", "Address all legally required elements . GAO reported that VA's plan did not address one and partially addressed four of 22 elements required by the Veterans Appeals Improvement and Modernization Act of 2017 (Act), and recommended VA fully address them all. In a May 2018 update to its plan, VA took steps to address the five elements, such as developing productivity projections and a model to forecast resource needs for processing appeals. These steps address one element related to projecting productivity, and partially address the four remaining elements.", "Articulate performance measurement . GAO also recommended VA clearly articulate how it will monitor and assess the new appeals process relative to the legacy process. This recommendation includes specifying timeliness goals for five new appeals options to be made available to veterans, and additional goals or measures of performance, such as accuracy in processing appeals. VA's updated plan states that the agency will develop goals and measures for all appeals options after fully implementing appeals reform. Contrary to sound planning practices, it does not articulate these performance goals and measures now, which would provide a vision for what successful implementation would look like. Lacking this vision, VA does not have an \u201cend state\u201d to guide its implementation and help establish accountability.", "Augment project plan . GAO recommended VA augment its master schedule for implementing appeals reform to include all key activities and reflect other sound practices for guiding implementation and establishing accountability. Although VA's May 2018 updated master schedule added activities, it omitted a pilot test of the new Board of Veterans' Appeals (Board) options. More generally, the plan does not reflect interdependencies among activities. Until all key activities are accounted for and the master schedule reflects sound practices, VA cannot provide reasonable assurance that it has the essential information needed to manage its appeals reform implementation.", "Address risk fully . GAO recommended that VA's appeals plan more fully address risks in implementing a new process by, for example, testing all appeals options prior to full implementation. In its updated plan, VA stated it will pilot all five new appeals options. By taking these steps, VA should be better positioned to assess implementation risks. However, the updated plan does not have well-defined, measurable criteria for assessing lessons learned from these pilots and does not articulate how well these lessons translate to a broader context. Taking these steps would improve VA's ability to assess and mitigate risks as it implements its reforms."]}], "report": [{"section_title": "Letter", "paragraphs": ["I appreciate the opportunity today to provide an update on the Department of Veterans Affairs\u2019 (VA) plans for implementing a new disability appeals process while still attending to appeals under the current, or legacy, process.", "VA provides cash benefits to veterans for disabling conditions incurred in or aggravated by military service, paying about $72 billion to about 4.5 million veterans in fiscal year 2017. If veterans are dissatisfied with VA\u2019s initial decision they can appeal\u2014first to the Veterans Benefits Administration (VBA) and then, if not satisfied there, to the Board of Veterans\u2019 Appeals (Board), a separate agency within VA. For appeals resolved in fiscal year 2017, veterans waited an average of approximately 3 years from the date they initiated their appeal to resolution by either VBA or the Board\u2014and an average of 7 years for appeals resolved by the Board. Due in part to the challenges VA faces managing large workloads and deciding disability claims and appeals in a timely manner, GAO in 2003 designated VA disability compensation, along with other federal disability programs, as one of the government\u2019s highest risk areas.", "The Veterans Appeals Improvement and Modernization Act of 2017 (Act) makes changes to VA\u2019s disability appeals process by replacing the current appeals process with one that gives veterans various options for further review by VBA or to bypass VBA and appeal directly to the Board. The Act further requires VA to submit a comprehensive plan for implementing the new appeals process to the appropriate committees of Congress and GAO. (VA submitted its plan to GAO on November 22, 2017.) The Act delineates 22 legally required elements of this plan. In addition, the Act requires VA to provide progress reports to the appropriate committees of Congress and GAO at least every 90 days, until the Act\u2019s changes to the appeals process generally go into effect and then at least every 180 days after this date for 7 years. VA submitted progress reports in February and May 2018, and its next progress report is due in August 2018.", "The Act also includes a provision for GAO to assess whether VA\u2019s appeals plan comports with sound planning practices and identify any gaps in the plan. In our March 2018 report assessing VA\u2019s plan, we concluded that while VA\u2019s November 2017 plan reflected aspects of sound planning, improvements in planning are still needed to ensure successful appeals reform. We recommended VA\u2019s plan (1) address all legally required elements in the Act; (2) articulate how it will monitor and assess the performance of appeals processes; (3) augment its project plan for implementation; and (4) address risk more fully. VA agreed with our recommendations. Subsequently, in April 2018 we designated two of our four recommendations\u2014monitoring and assessing performance as well as addressing risks\u2014as \u201cpriority recommendations\u201d for VA to implement.", "My statement today addresses VA\u2019s progress in implementing the four recommendations. Specifically, it summarizes steps VA has taken to address GAO\u2019s recommendations identified in our March 2018 report, and what aspects of our recommendations that VA has yet to address.", "For this statement, we reviewed VA\u2019s May 2018 updated appeals reform plan and information we received from VA officials about any significant steps taken to implement our March 2018 recommendations. We also interviewed relevant VA officials and reviewed information related to VA\u2019s progress in addressing four related recommendations from work that we conducted prior to enactment of the Act. The work upon which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "VA\u2019s Current Disability Compensation Appeals Process", "paragraphs": ["VA\u2019s process for deciding veterans\u2019 eligibility for disability compensation begins when a veteran submits a claim to VA. Staff in one of VBA\u2019s 56 regional offices assist the veteran by gathering additional evidence, such as military and medical records, that is needed to evaluate the claim. Based on this evidence, VBA decides whether the veteran is entitled to compensation and, if so, how much. A veteran dissatisfied with the initial claim decision can generally appeal within 1 year from the date of the notification letter sent by VBA.", "Under the current appeals process (now referred to by VA as the legacy process), an appeal begins with the veteran filing a Notice of Disagreement. VBA then re-examines the case and generally issues a Statement of the Case that represents its decision. A veteran dissatisfied with VBA\u2019s decision can file an appeal with the Board. In filing that appeal, the veteran can indicate whether a Board hearing is desired.", "Before the Board reviews the appeal, VBA prepares the file and certifies it as ready for Board review. If the veteran requests a hearing to present new evidence or arguments, the Board will hold a hearing by videoconference or at a local VBA regional office. The Board reviews the evidence and either issues a decision to grant or deny the veteran\u2019s appeal or refers (or remands) the appeal back to VBA for further work."], "subsections": []}, {"section_title": "VA\u2019s New Appeals Process", "paragraphs": ["The Act made changes to VA\u2019s appeals process that will generally take effect no earlier than February 2019, which is approximately 18 months after enactment. According to its appeals plan, VA intends to implement the Act by February 2019, by replacing the current appeals process with a process offering veterans who are dissatisfied with VBA\u2019s decision on their claim five options: two of those options afford the veteran an opportunity for an additional review of VBA\u2019s decision within VBA, and the other three options afford them the opportunity to bypass additional VBA review and appeal directly to the Board.", "Under the new appeals process, the two VBA options will be: 1. Request higher-level review: The veteran asks VBA to review its initial decision based on the same evidence but with a higher-level official reviewing and issuing a new decision. 2. File supplemental claim: The veteran provides additional evidence and files a supplemental claim with VBA for a new decision on the claim. The veteran could also request a VBA hearing.", "The three Board options will be: 3. Request Board review of existing record: The veteran appeals to the Board and asks it to review only the existing record without a hearing. 4. Request Board review of additional evidence, without a hearing. 5. Request Board review of additional evidence, with a hearing.", "In November 2017, VA initiated a pilot test of the new VBA higher-level review and supplemental claim options. According to VA\u2019s appeals plan, a purpose of this pilot\u2014the Rapid Appeals Modernization Program (RAMP)\u2014is to reduce legacy appeals by providing veterans with a chance for early resolution of their claims within VBA\u2019s new process.", "Participation in RAMP is voluntary, but veterans must withdraw their pending legacy appeal to participate, according to VA\u2019s appeals plan."], "subsections": []}]}, {"section_title": "VA Has Addressed Some Aspects of GAO\u2019s Recommendations on Appeals Reform Planning", "paragraphs": ["In our March 2018 report, we found that VA could help ensure successful implementation of appeals reform by addressing gaps in its planning. We recommended four actions that VA should take: (1) address all legally required elements required by the Act; (2) articulate how it will monitor and assess the performance of the new appeals process compared to the legacy process, (3) augment its master schedule to manage the project, and (4) address risk more fully. VA has taken steps in response to all four, but has not fully addressed our recommendations."], "subsections": [{"section_title": "VA Has Yet to Provide Complete Information on GAO\u2019s Recommendation to Address the Act\u2019s Required Elements", "paragraphs": ["In our March 2018 report, we found that VA\u2019s November 2017 plan for implementing a new disability appeals process while attending to appeals under way in the current (legacy) process, addressed most, but not all, elements required by the Veterans Appeals Improvement and Modernization Act of 2017. Specifically, we found that VA\u2019s appeals plan addressed 17 of 22 elements required by the Act. For the five remaining elements, it partially addressed 4 elements related to monitoring implementation, projecting productivity, and workforce planning, and did not address 1 element related to identifying total resources. This element called for delineating the resources needed by VBA and the Board to implement the new appeals process and address legacy appeals.", "We recommended in March 2018 that the Secretary of Veterans Affairs address all 22 required elements in the Act in VA\u2019s appeals plan to Congress. This included delineating resources required for all VBA and Board appeals options using sensitivity analyses and results from the RAMP test where appropriate and needed.", "Since our 2018 report, VA has taken some action on the five elements that were not fully addressed. For example, VA\u2019s updated plan added details related to projecting staff productivity, identifying total resources, as well as about personnel requirements and projections for processing legacy appeals. For identifying total resources, VA added FTE information for other offices that help implement the appeals process and prepared a model to project resource needs.", "VA\u2019s updated plan, however, continues to only partially address 3 elements related to monitoring implementation and workforce planning, and now addresses the 1 element related to projecting productivity and partially addresses the 1 element related to delineating the total resources. For total resources, VA\u2019s updated plan does not delineate the total resources required by VBA and the Board. Until VA\u2019s appeals plan provides complete information on all required elements, Congress may not have the information needed to conduct oversight of the agency\u2019s efforts to implement and administer the new process while addressing legacy appeals."], "subsections": []}, {"section_title": "VA Has Partially Addressed GAO\u2019s Recommendation to Measure, Monitor, and Assess Performance", "paragraphs": ["In our 2018 report, we found that VA could improve its planning practices related to monitoring and assessing performance on a range of key dimensions of success. Specifically, the plan had not (1) established timeliness goals for two of the three Board options (i.e., Board review of additional evidence without a hearing and Board review of additional evidence with a hearing); (2) articulated additional aspects of performance important for managing appeals, such as accuracy of decisions, veteran satisfaction with the process, or cost; (3) provided important details about what aspects of the new appeals\u2019 performance would be compared to what aspects of the legacy process\u2019 performance; or (4) explained how the agency would monitor whether resources are being appropriately devoted to both the new and legacy appeals processes and how it will track both sets of workloads.", "To address these gaps, we recommended that the Secretary of Veterans Affairs clearly articulate in VA\u2019s appeals plan how VA will monitor and assess the new appeals process compared to the legacy process. These include specifying a balanced set of goals and measures with related baseline data, such as timeliness goals for all VBA appeals options and Board dockets, and measures of accuracy, veteran satisfaction, and cost.", "In its May 2018 updated plan, VA addressed some but not all aspects of this recommendation. Specifically: Timeliness goals and balanced measures. VA\u2019s updated plan states that the agency is collecting data to inform its development of a complete and balanced set of measures for all new appeals options (e.g., timely and accurate processing of appeals while ensuring veteran satisfaction). VA\u2019s original plan had outlined timeliness goals for the two VBA options and for the Board option that does not include new evidence or a hearing. However, VA does not intend to establish timeliness goals or balanced measures for all options until after fully implementing the new appeals process. Further, VA officials told us they are working to produce metrics required under the Act, but have yet to fully articulate a plan for monitoring. For example, there is not a specific plan to monitor the accuracy of decisions under or veteran satisfaction with the new process. Until VA identifies a complete set of timeliness goals and balanced measures, the agency will not have a way to determine how well the new process is performing.", "Comparison of new and legacy processes. VA\u2019s updated plan states that VA is working toward capturing the metrics listed in section 5 of the Act, which could help VA measure relative performance of the new and legacy processes. However, VA\u2019s updated plan does not state how VA will assess whether the new process addresses problems in the legacy process. For example, according to VA\u2019s updated plan and agency officials we interviewed, VA believes it cannot measure the timeliness of legacy appeals processing from when an appeal is filed to its resolution. According to VA, developing this measure is not feasible because the legacy process has no defined endpoint. Submission of additional evidence by veterans can, at any point, cause additional cycles of re- adjudication. However, VA has not articulated other options for comparing the timeliness of the new and legacy processes in its May 2018 update to its plan. Without this assessment, VA cannot determine the extent to which the new process, which also allows for multiple appeal opportunities, will achieve final resolution of veterans\u2019 appeals sooner, on average, than the legacy process. Moreover, VA\u2019s updated plan does not fully explain how the agency will use the Act\u2019s metrics to assess relative performance of the new and legacy appeals processes on issues like accuracy, veteran satisfaction, or cost.", "Monitoring processing of legacy versus new appeals. VA\u2019s updated plan articulates VA\u2019s intention to use sensitivity and other analyses to monitor and address workload changes in its legacy and new appeals processes. These analyses could better position VA to manage the two parallel processes.", "Nevertheless, VA has not established complete and balanced goals and measures or developed a plan for comparing the new and legacy processes. In recent communications on the status of implementing our recommendations, VA officials indicated they plan to address some of these monitoring and performance issues in the next update. Until VA does so, the agency risks not fully understanding whether the new process is an improvement, or whether veterans with appeals in the legacy process are experiencing poor results."], "subsections": []}, {"section_title": "VA Has Made Little Progress in Addressing GAO\u2019s Recommendation to Augment Its Master Schedule for Implementation", "paragraphs": ["Our March 2018 report also identified elements of a high-quality and reliable implementation schedule that were missing from VA\u2019s master schedule for appeals reform. Specifically, we reported that VA\u2019s master schedule\u2014which the agency included with its November 2017 plan\u2014did not (1) include all key activities; (2) show which activities must finish prior to the start of other activities, or the amount of time an activity could be delayed before the delay affects VA\u2019s estimated implementation date; (3) reflect interim goals and milestones for monitoring implementation; or (4) assign resources for activities.", "We recommended that the Secretary of Veterans Affairs augment the master schedule for VA\u2019s appeals plan to reflect all activities\u2014such as modifications to IT systems\u2014as well as assigned responsibilities, interdependencies, start and end dates for key activities for each workgroup, and resources. These steps establish accountability and reduce overall risk of implementation failures.", "In its updated plans, VA took steps to develop interim goals and milestones for monitoring implementation, among other positive actions, but the master schedule still included gaps in sound practices for project management. Specifically: Key activities and their duration. The updated master schedule VA provided in its May 2018 plan added activities, but VA continues to exclude some major activities\u2014including those beyond the planned February 2019 implementation date\u2014and their duration. For example: The updated master schedule does not include a small-scale pilot of the new Board options, even though this pilot is occurring at the same time VA is preparing for full implementation. In response to our questions about this issue, as of July 2018, VA officials said they are adding related pilot test activities to the master schedule.", "Many activities in the master schedule have the same label or description, such as \u201ccommunications,\u201d \u201cchange management,\u201d \u201cimplementation,\u201d \u201ctraining,\u201d and \u201chosting,\u201d that do not clearly identify their associated end product without the need to review high-level summary or predecessor activity names.", "The updated master schedule lacks details and transparency regarding Caseflow, the new information technology system for VA\u2019s appeals process. While VA identified the overall functionality and general timing needed for Caseflow, the steps to accomplish them lack specificity. Further, VA\u2019s updated plan indicates Caseflow will be \u201cminimally ready\u201d by the end of calendar year 2018. At a June 2018 meeting with VA, we asked officials to define the term \u201cminimally ready\u201d and what additional activities or functionality, if any, they planned after reaching this milestone. In response, VA officials pointed us to another source that they said outlined the remaining functionality to complete Caseflow. However, when we consulted this source, we could not determine what functionality listed was to be implemented before or after October 2018.", "The updated master schedule also lacks start and finish dates as well as status information (e.g., not started, in planning, in progress, complete, etc.) for many of the activities.", "Sequencing and linkages among activities. VA\u2019s updated plan provided new details about some sub-activities related to processing legacy appeals, monitoring implementation, drafting Board policies, and training. Moreover, the May 2018 updated master schedule was reorganized to improve its flow and alignment, according to VA officials. However, the overall updated master schedule generally does not indicate logical relationships regarding the sequence in which activities should occur, and whether any delays in one activity will dynamically affect other activities linked to it. This type of logic is necessary to define both when an activity may start and finish and when an activity must start and finish for meeting a specified program completion date. These are known as early and late dates, respectively. For example, the plan does not indicate the latest date regulations can fall behind schedule before the planned February 2019 implementation date is impacted, or related activities such as training. This sound planning practice is especially important because VA officials said the agency is concurrently executing many of the activities. Without logical relationships, the master schedule is less effective for modeling the impact of delayed or accelerated activities on related activities, and ultimately for estimating the final implementation date.", "Interim goals and milestones for monitoring implementation. VA has taken steps to address this aspect of the recommendation. In addition to reiterating the use of an agency-wide governance structure to coordinate implementation of its new appeals process, VA in its updated May 2018 plan added indicators to monitor and assess its readiness for full implementation. Indicators include monitoring the status of implementing regulations and information technology as well as considering any lessons learned through its piloting of the new process. These \u201creadiness indicators\u201d could help VA better identify potential issues related to implementation of the new appeals process. However, the master schedule does not show sequencing and linkages for these indicators.", "Establishing resources. VA\u2019s updated plan states the agency will use existing resources to implement the new appeals process. Moreover, the master schedule identifies the \u201cowners\u201d or parts of the organization that are playing a role in appeals reform, such as the Veterans Health Administration (VHA). However, other than identifying the \u201cowners\u201d for the activities, resources needed are not identified for the groups of related activities identified in the master schedule or for processing legacy and new appeals processes once implemented in February 2019. By not estimating these resources, VA\u2019s plan does not illuminate resource constraints and indicate whether other parts of the organization or workgroups are dedicated full-time to the tasks or activities for which they are responsible, or whether other constraints exist on funding or time. In general, neither the plan nor the master schedule refers to underlying budget or cost documents or information.", "In recent discussions on the status of implementing our recommendations, VA officials indicated they plan to address some of these issues in the August 2018 update. Until all necessary activities are accounted for, VA cannot be certain whether key activities are scheduled in the correct order, resources are properly allocated, and key risks have been identified, among other sound practices for guiding implementation and accountability. Furthermore, to the extent that the master schedule is used for internal coordination, the absence of necessary elements could hinder coordination, increasing the likelihood of disruption or delay."], "subsections": []}, {"section_title": "VA Has Addressed Many, but Not All Aspects of GAO\u2019s Recommendation to More Fully Assess Risk", "paragraphs": ["In our 2018 report, we found that VA\u2019s November 2017 appeals plan could more fully assess key risks related to implementing the new appeals process. In particular, we found that VA\u2019s plan did not include testing of new Board options or clearly define how it would assess the RAMP pilot test of the VBA-only options before implementing the process more broadly. Further, we reported that VA\u2019s plan had not comprehensively reflected key risks because the agency had not established a complete and balanced set of goals and measures, which are a necessary pre-condition to effectively assessing risk.", "We recommended the Secretary of Veterans Affairs ensure that the appeals plan more fully addresses risk associated with appeals reform by, for example, assessing risks against a balanced set of goals and measures, articulating an assessment plan for RAMP, and testing or conducting sensitivity analyses of all appeals options\u2014prior to fully implementing the new appeals process.", "In its updated May 2018 plan, VA took many steps to address our recommendation, although opportunities exist to better assess risks associated with implementing appeals reform and managing appeals workloads in the legacy process. Specifically: Testing all aspects of the new appeals process. Since our March 2018 report, VA has taken steps to pilot test the three new Board appeals options. In its May 2018 updated plan, VA describes a small-scale test program\u2014the Board\u2019s Early Applicability of Appeals Modernization (BEAAM)\u2014to collect information about what options veterans choose and their experiences using the new appeals options. For BEAAM, the Board is partnering with veterans service organizations to identify 50 veterans who are dissatisfied with a recent claim decision, and allowing these veterans to appeal directly to the Board. Participating veterans have begun opting in, and VA plans to collect information on adjudication of these appeals. In addition, for veterans dissatisfied with their RAMP decisions, as of October 2018 the Board will begin adjudicating their appeals to further test new Board processes and technology.", "VA officials also reported progress with developing new sensitivity analyses that will allow the agency to change assumptions related to key variables\u2014both individually and in conjunction with one another. VA anticipates these analyses will allow the agency to project potential budget needs and staffing requirements and more accurately predict resolution of legacy appeals given certain assumptions. Further, VA anticipates using the analyses to determine distribution of resources, and quickly react to changes in its pending legacy and new appeals processes, and other trends. By taking these steps, VA may be better positioned to estimate future disability appeals inventories, timeliness, and resource needs as well as assess risks associated with implementing a new appeals process.", "Defining success criteria and articulating how to assess RAMP and BEAAM. In its updated plan, VA broadly defines what it hopes to achieve with the RAMP and BEAAM pilots, such as providing information on veterans\u2019 choices in the new process, testing new technology and procedures, and estimating workloads. It also states that VA will use the results to inform the assumptions in its sensitivity analyses. In addition, the updated plan states that VBA is refining the methods to evaluate RAMP.", "The applicability of BEAAM results to a fully implemented appeals process may be limited. For example, the BEAAM pilot and the Board\u2019s implementation of RAMP provide limited time in which to conduct and assess the results. Moreover, because VA\u2019s test is very small in scale (up to 50 veterans), it will be important for VA to consider, for example, whether these appeals reflect the complexity of cases and the range of circumstances expected in a fully implemented new appeals process. In a mid-May 2018 meeting with VA officials, we raised these and similar concerns. VA officials said they would consider these concerns.", "Finally, although VA\u2019s updated plan includes a timeline for testing and assessing the new processes, VA\u2019s updated schedule indicates that VA is planning to assess RAMP results between February 15, 2019 and May 10, 2019. These dates occur after VA intends to fully implement its new process. Our recommendation specifies that testing and assessment of pilot results should occur prior to full implementation.", "Comprehensively assess risks. Within VA\u2019s updated plan, VA has added to its \u201crisk register,\u201d which describes risks associated with many elements of its plan and related mitigation strategies. However, VA\u2019s updated plan has not established a complete and balanced set of goals and measures as discussed above, which are a necessary pre-condition to effectively assessing risk. Having a complete set of goals and measures would allow VA to better identify and target risks associated with reaching these goals while concurrently managing two processes. Thus, VA may not have comprehensively reflected key risks in its updated plan.", "In conclusion, although VA intends to fully implement the new disability appeals process in about 6 months (February 2019), VA still has an opportunity to create a stronger foundation of sound planning practices. To its credit, VA has taken a number of positive steps toward implementing our prior recommendations to improve its planning for disability appeals reform while it attends to legacy appeals. Efforts such as testing Board appeals options and resuming sensitivity analysis will provide useful information to guide VA through the uncertainty often associated with process change. However, VA needs to fully address our four recommendations to reasonably assure smooth implementation of appeals reform. As we noted in our prior work, VA is undertaking a complex endeavor that involves updating and creating new processes while on-boarding hundreds of new staff and implementing new technology\u2014an endeavor that will affect the lives of hundreds of thousands of veterans with disabilities. Such an undertaking requires an appropriate level of planning to improve VA\u2019s chance of success. VA\u2019s continued efforts to address our recommendations will better position the agency in its implementation of new appeals processes.", "Chairman Roe, Ranking Member Walz, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["For further information about this testimony, please contact Elizabeth H. Curda at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony. Other key contributors to this testimony include James Whitcomb (Assistant Director), Daniel Concepcion (Analyst in Charge), and Michele Grgich. In addition, key support was provided by Susan Aschoff, Mark Bird, Grace Cho, Alex Galuten, Joel Green, Sheila R. McCoy, Karen Richey, Almeta Spencer, and Walter Vance.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-291", "url": "https://www.gao.gov/products/GAO-18-291", "title": "Medicaid: CMS Should Take Steps to Mitigate Program Risks in Managed Care", "published_date": "2018-05-07T00:00:00", "released_date": "2018-06-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The improper payment rate is a sentinel measure of program integrity risks for the Medicaid program. CMS and the states oversee Medicaid, whose size, structure, and diversity make it vulnerable to improper payments. CMS estimates the Medicaid improper payment rate annually through its PERM, which includes an estimate for Medicaid managed care, in which states contract with MCOs to provide services to Medicaid enrollees.", "GAO was asked to study the PERM methodology for managed care. In this report, GAO examined the extent to which the PERM accounts for program integrity risks in Medicaid managed care, including CMS's and states' oversight. GAO identified program integrity risks reported in 27 federal and state audits and investigations issued between January 2012 and September 2017; reviewed federal regulations and guidance on the PERM and CMS's Focused Program Integrity Reviews; and contacted program integrity officials in the 16 states with a majority of 2016 Medicaid spending for managed care, as well as CMS officials and program integrity experts."]}, {"section_title": "What GAO Found", "paragraphs": ["The Centers for Medicare & Medicaid Services' (CMS) estimate of improper payments for Medicaid managed care has limitations that are not mitigated by the agency's and states' current oversight efforts. One component of the Payment Error Rate Measurement (PERM) measures the accuracy of capitated payments, which are periodic payments that state Medicaid agencies make to managed care organizations (MCO) to provide services to enrollees and to cover other allowable costs, such as administrative expenses. However, the managed care component of the PERM neither includes a medical review of services delivered to enrollees, nor reviews of MCO records or data. Further, GAO's review of the 27 federal and state audits and investigations identified key program risks.", "Ten of the 27 federal and state audits and investigations identified about $68 million in overpayments and unallowable MCO costs that were not accounted for by PERM estimates; another of these investigations resulted in a $137.5 million settlement.", "These audits and investigations were conducted over more than 5 years and involved a small fraction of the more than 270 MCOs operating nationwide as of September 2017.", "To the extent that overpayments and unallowable costs are unidentified and not removed from the cost data used to set capitation rates, they may allow inflated MCO payments and minimize the appearance of program risks in Medicaid managed care.", "CMS and states have taken steps to improve oversight of Medicaid managed care through updated regulations, focused reviews of states' managed care programs, and federal program integrity contractors' audits of managed care services.", "However, some of these efforts went into effect only recently, and others are unlikely to address the risks in managed care across all states.", "Furthermore, these efforts do not ensure the identification and reporting of overpayments to providers and unallowable costs by MCOs.", "Federal internal control standards call for agency management to identify and respond to risks. Without addressing key risks, such as the extent of overpayments and unallowable costs, CMS cannot be certain that its estimated improper payment rate for managed care (0.3 percent compared with 12.9 percent in Medicaid fee-for-service) accurately reflects program risks."]}, {"section_title": "What GAO Recommends", "paragraphs": ["The Administrator of CMS should consider and take steps to mitigate the program risks that are not measured in the PERM, such as overpayments and unallowable costs; such an effort could include actions such as revising the PERM methodology or focusing additional audit resources on managed care. HHS concurred with this recommendation. HHS also provided technical comments, which were incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The improper payment rate is a sentinel measure of program integrity risks for Medicaid\u2014a federal-state health financing program for low income and medically needy individuals. The federal government and states play key roles in oversight of the Medicaid program\u2014with the Centers for Medicare & Medicaid Services (CMS) providing broad federal oversight, and states administering day-to-day operations, including ensuring the integrity of the program by preventing, identifying, and recouping improper payments. The size, structure, and diversity of Medicaid make it particularly vulnerable to improper payments, and our work has identified Medicaid as a high-risk program since 2003 due to concerns about the adequacy of fiscal oversight.", "To develop the Medicaid improper payment rate, CMS uses the Payment Error Rate Measurement (PERM)\u2014a methodology that is reviewed and approved by the Office of Management and Budget (OMB). The PERM computes the rate as the weighted average of states\u2019 improper payment rate estimates for three key components of the Medicaid program\u2014fee- for-service (FFS), managed care, and eligibility determinations.", "Medicaid managed care expenditures have grown significantly; in fiscal year 2017, they were $171 billion, almost 50 percent of total federal Medicaid expenditures. This growth makes ensuring the accuracy of managed care improper payment estimates increasingly important. In fiscal year 2017, using the PERM, CMS estimated the Medicaid managed care improper payment rate at 0.3 percent, or about $500 million of federal expenditures. This is a small portion of overall estimated Medicaid improper payments, which CMS estimated at about $37 billion, or 10.1 percent of $364 billion in federal spending on Medicaid in fiscal year 2017. At the same time, however, the FFS estimated improper payment rate was 12.9 percent or about $25 billion in federal expenditures. Due, in part, to this disparity in the estimated improper payment rates, we have questioned whether the managed care estimate fully reflects the program integrity risks that exist in Medicaid managed care.", "You asked us to provide information on CMS\u2019s PERM methodology for Medicaid managed care. In this report, we examine the extent to which the PERM accounts for program integrity risks in Medicaid managed care, including CMS\u2019s and states\u2019 oversight.", "To examine the extent to which the PERM accounts for program integrity risks in Medicaid managed care, we reviewed publications from the Department of Health and Human Services\u2019 Office of Inspector General (HHS-OIG) and our prior work; conducted literature searches and key word searches of online databases; and obtained input from the National State Auditor\u2019s Association and the National Association of State Auditors, Comptrollers, and Treasurers. Through these reviews, we found 27 audits and investigations that identified program integrity risks related to Medicaid managed care\u201416 federal and state audits, and 11 notices of investigations issued between January 2012 and September 2017. These audits and investigations were conducted by (1) HHS-OIG, (2) a CMS federal contractor that performs claims reviews in Medicaid to identify overpayments, (3) the Department of Justice, (4) state auditors, (5) state Offices of Attorney General, (6) other state agencies, and (7) GAO. (See app. I for a complete list of the audits and investigations we identified.) Of the 27 audits and investigations, 24 found program integrity risks in a single state or with a single provider, covering a total of 10 states, and 3 found program integrity risks across multiple states. We also reviewed CMS regulations on the PERM, the most recent PERM Manual, Medicaid managed care regulations, applicable improper payment laws, 2016 and 2017 PERM estimates of improper payments, and other related OMB and CMS guidance. We then compared the program integrity risks reported in the 27 audits and investigations with the steps taken to estimate improper payments for the PERM\u2019s managed care component. In addition, we reviewed all the published reports of CMS\u2019s Focused Program Integrity Reviews on managed care in 27 states, other CMS documents related to oversight of states\u2019 Medicaid managed care programs, and federal internal control standards\u2014 specifically those related to identifying, analyzing, and responding to risks. Also, we contacted program integrity officials in the16 states for which more than half of their 2016 Medicaid expenditures were for services delivered under managed care, and analyzed responses from the 13 states that replied; the information from these states is not generalizable. Lastly, we interviewed CMS officials and experts on program integrity in Medicaid managed care, including one state auditor.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["In accordance with the Improper Payments Information Act of 2002 (IPIA), as amended, and OMB guidance, CMS developed the PERM to estimate the national Medicaid improper payment rate. CMS has other mechanisms to review and assess program integrity risks in state Medicaid managed care programs, and it uses information from the PERM to target its program integrity activities and oversight of states\u2019 Medicaid programs."], "subsections": [{"section_title": "IPIA and OMB Guidance for Estimating Improper Payments", "paragraphs": ["IPIA requires federal executive branch agencies to, among other things, (1) identify programs and activities that may be susceptible to significant improper payments; and (2), on an annual basis, estimate the amount of improper payments for susceptible programs and activities. Agency heads must produce a statistically valid estimate or an estimate that is otherwise appropriate, using an OMB-approved alternate methodology. Those agencies with programs identified by OMB as being high priority for additional oversight and review are required to submit annual reports to their Inspectors General detailing the actions the agency plans to take to recover improper payments and prevent future improper payments. The Inspector General of each agency submitting such a report is required to review the quality of the improper payment estimates and methodology, among other things. OMB designated Medicaid as a high priority program. In addition, the Improper Payments Elimination and Recovery Act of 2010 requires the Inspector General of each agency to conduct a compliance review to report on the agency\u2019s compliance with several criteria, one of which is that an agency has reported an improper payment rate of less than 10 percent for each program and activity. IPIA also directed OMB to issue guidance for agencies in implementing the IPIA improper payments requirements. Among other things, the OMB guidance requires that agencies review payments made at the point that federal funds are transferred to nonfederal entities and report on the root causes of identified improper payments."], "subsections": []}, {"section_title": "Payment Error Rate Measurement", "paragraphs": ["To calculate the Medicaid improper payment rate through the PERM, CMS computes an annual rolling average of improper payment rates across all states based on a 17-state, 3-year rotation cycle. In accordance with IPIA, as amended, OMB approved CMS\u2019s PERM methodology, and the HHS-OIG conducts annual compliance reviews. Beginning with its annual improper payment compliance review for fiscal year 2014, the HHS-OIG established a rotating approach to reviewing the estimation methodology for high-priority programs, including Medicaid, that OMB deemed susceptible to improper payments. Due to the number and complexity of the programs, the HHS-OIG methodology reviews are scheduled to be performed over a 4-year period; the PERM estimation methodology will be reviewed as a part of its fiscal year 2017 compliance review.", "Each of the three components of the Medicaid PERM\u2014FFS, managed care, and eligibility\u2014is estimated differently:", "The FFS component of the PERM measures errors in a sample of FFS claims, which are records of services provided and the amount the Medicaid program paid for these services. For the majority of sampled FFS claims, the PERM review contractor performs a medical review, which includes a review of the medical documentation to determine errors that do not meet federal and state policies, such as medically unnecessary services, diagnosis coding errors, and policy violations. Any FFS claims that were paid for services that should have been covered under a managed care plan\u2019s capitated payment are also considered errors.", "The managed care component of the PERM measures errors that occur in the capitated payments that state Medicaid agencies make to managed care organizations (MCO) on behalf of enrollees. Capitated payments are periodic payments approved by CMS that state Medicaid agencies make to contracted MCOs to cover the provision of medical services to enrollees, as well as the MCOs\u2019 administrative expenses and their profits or earnings. The PERM assesses whether any payments made to the MCOs were in amounts different than those the state agency is contractually required to pay, which are approved by CMS. In contrast to the FFS component, the managed care component of the PERM neither includes a medical review of services delivered to enrollees, nor reviews of MCO records or data.", "The eligibility component of the PERM measures errors in state determinations of whether enrollees meet categorical and financial criteria for receipt of benefits under the Medicaid program. The eligibility component assesses determinations for both FFS and managed care enrollees. This component has not been calculated since 2014; instead, CMS piloted different approaches to update the methodologies used to assess enrollee eligibility, as the Patient Protection and Affordable Care Act changed income eligibility requirements for nonelderly, nonpregnant individuals who qualify for Medicaid. Beginning in the 2019 reporting year, eligibility reviews under the PERM will resume and will be conducted by a federal contractor."], "subsections": []}, {"section_title": "Medicaid Program Integrity and Oversight in Managed Care", "paragraphs": ["Medicaid program integrity consists of efforts to ensure that federal and state expenditures are used to deliver quality, necessary care to eligible enrollees, and efforts to prevent fraud, waste, and abuse. We have found in prior work that CMS\u2019s and states\u2019 program integrity efforts focused primarily on payments and services delivered under FFS and did not closely examine program integrity in Medicaid managed care. For Medicaid managed care, CMS has largely delegated program integrity oversight of MCOs to the states. States, in turn, generally oversee MCOs and the providers under contract to MCOs through their contracts with the MCOs and reporting requirements.", "Some program integrity risks for managed care are similar to those in FFS, including payments made for nonenrolled, ineligible, or deceased individuals; payments to ineligible, excluded, or deceased providers; and payments to providers for improper or false claims, such as payments for services that are not medically necessary. Other program integrity risks are more unique to managed care. For example, capitated payments generally reflect the average cost to provide covered services to enrollees, rather than a specific service. Federal law requires capitation rates to be actuarially sound, meaning that, among other things, they must be reasonably calculated for the populations expected to be covered and for the services expected to be furnished under contract. In order to receive federal funds for its managed care program, a state is required to submit the rates it pays MCOs and the methodology it uses to set those rates to CMS for review and approval. Additionally, federal and state oversight of Medicaid managed care can include ensuring that MCOs fulfill contractual provisions within their managed care contracts. In some cases, these provisions relate directly to program integrity activities, including plans and procedures for identifying, recovering, and reporting on overpayments made to providers."], "subsections": []}]}, {"section_title": "Payment Error Rate Measurement for Managed Care Has Limitations, Which Are Not Mitigated by Current CMS and State Oversight", "paragraphs": ["The managed care component of the PERM measures the accuracy of the capitated payments state Medicaid agencies make to MCOs. Specifically, a CMS contractor examines whether the state agency made capitated payments only for eligible enrollees, made capitated payments for the correct amount based on the contract and coverage requirements (time period and geographic location), made capitated payments based on the correct rate for enrollees, and did not make any duplicate payments for enrollees."], "subsections": [{"section_title": "CMS\u2019s Payment Error Rate Measurement Measures the Accuracy of Medicaid Managed Care Payments, but Does Not Account for Overpayments and Unallowable Costs", "paragraphs": ["CMS officials noted that the agency established capitated payments as the level of review, because the capitation rate is the transaction used to determine the federal match in managed care. In general, the federal government matches most state expenditures for Medicaid services on the basis of a statutory formula. In FFS, the federal match is provided for the amount the state pays a health care provider for delivering services to enrollees. With managed care, the federal match is provided for the amount of the capitation rate the state pays the MCO. Capitated payments do not directly relate to the provision of a specific service, but reflect the average cost to provide covered services to enrollees. As a result, CMS officials maintain that the capitated payment is the lowest transaction level at which the agency can clearly identify federal funds without making significant assumptions.", "Because the managed care component of the PERM review is limited to measuring capitated payments, it does not account for other program integrity risks\u2014such as overpayments to providers and unallowable MCO costs.", "In addition to errors in capitated payments included in PERM reviews, CMS regulations state that overpayments in managed care include any payment made to an MCO or provider under contract to an MCO to which the MCO or provider is not entitled under Medicaid. Such overpayments included payments for services that were not provided or medically necessary; or to ineligible, excluded, or deceased providers, which are not measured by the PERM.", "Unallowable MCO costs refers to operating costs that MCOs cannot claim under their managed care contracts, such as certain marketing costs, or that the MCO reported incorrectly.", "Among the 27 audits and investigations of Medicaid managed care programs we reviewed, 10 identified about $68 million in MCO overpayments to providers and unallowable MCO costs that were not accounted for in PERM estimates. In addition, one investigation of an MCO operating in nine states resulted in a $137.5 million settlement to resolve allegations of false claims. (See app. I for a complete list of the audits and investigations we identified.) However, the full extent of these overpayments and unallowable costs is unknown, because these audits and investigations were conducted over more than 5 years and involved a small fraction of the more than 270 MCOs operating nationwide as of September 2017. Specifically, 24 of the audits and investigations represented reviews in 10 states and, in many cases, focused on individual providers or MCOs; there were about 90 MCOs operating in the 10 states as of September 2017, according to the Kaiser Family Foundation. Some examples of the audits and investigations that identified overpayments and unallowable costs include the following:", "The Washington State Auditor\u2019s Office found that two MCOs made $17.5 million in overpayments to providers in 2010, which may have increased the state\u2019s 2013 capitation rates.", "The New York State Comptroller found that two MCOs paid over $6.6 million to excluded and deceased providers from 2011 through 2014.", "The Massachusetts State Auditor found that one MCO paid $420,000 for health care services and unauthorized prescriptions from excluded providers in 2013 and 2014.", "The Department of Justice alleged that an MCO operating in several states submitted inflated expenditure information to the state Medicaid agencies, falsified encounter data, and manipulated claims costs and service provision costs in nine states. The MCO agreed to pay over $137.5 million to resolve these claims.", "The Texas State Auditor\u2019s Office found that an MCO reported $3.8 million in unallowable costs for advertising, company events, gifts, and stock options, along with $34 million in other questionable costs in 2015.", "The New York State Comptroller also found that an MCO claimed over $260,000 in unallowable administrative expenses, which contributed to an increase in capitation rates across the state.", "To the extent that the state does not identify or know of MCO overpayments to providers or unallowable MCO costs, the overpayments and unallowable costs could inflate future capitation rates, as the Washington State Auditor and New York State Comptroller noted in their findings. The PERM assesses the accuracy of capitated payments that states make to MCOs. States set capitation rates based on cost data\u2014 historical utilization and spending\u2014that MCOs submit to the state Medicaid agencies, but the PERM does not consider these data. Unless removed from these cost data, unidentified overpayments and unallowable costs would likely inflate the MCO cost data that states use to set capitation rates. (See fig. 1.) As a result, future capitation rates would also be inflated, resulting in higher state and federal spending.", "In fiscal year 2017, the Medicaid managed care improper payment rate was 0.3 percent, while the FFS improper payment rate was 12.9 percent, leading to an assumption that the estimated risks in managed care are less significant than those estimated in FFS. However, the managed care component of the PERM does not determine whether MCO payments to providers were for services that were medically necessary, actually provided, accurately billed and delivered by eligible providers, or whether the MCO costs were allowable and appropriate. As a result, the PERM improper payment estimate potentially understates the extent of program integrity risks in Medicaid managed care.", "Moreover, this potential understatement in the PERM\u2019s improper payment rate estimate may curtail investigations into the appropriateness of MCO spending. We previously reported that CMS and state program integrity efforts did not closely examine program integrity in Medicaid managed care, focusing primarily on payments and services delivered under FFS.", "Our current review of the 27 audits we identified encompassed a 5-year period, suggesting that reviews of managed care continue to be limited. An official from a state auditor\u2019s office we spoke with suggested that some states may not audit services delivered under managed care, because of a low improper payment rate. In addition, he noted that his state Medicaid agency used the relatively low payment error rate in managed care as an indicator of few program integrity problems."], "subsections": []}, {"section_title": "CMS and State Oversight of Managed Care Do Not Ensure the Identification and Reporting of Overpayments and Unallowable Costs", "paragraphs": ["As noted, CMS has increased its focus on and worked with states to improve oversight of Medicaid managed care; however, these efforts and the oversight efforts of states do not ensure the identification and reporting of overpayments and unallowable costs. In recent years, the agency has sought to strengthen oversight of managed care programs through updated regulations; reviews of states\u2019 managed care programs (Focused Program Integrity Reviews) and collaborative audits, which are conducted jointly by federal program integrity contractors and states; and state monitoring of overpayments.", "Regulations. In May 2016, CMS updated its regulations for managed care programs in order to strengthen oversight. The updated regulations require a number of additional program integrity activities, such as those listed below. If fully implemented, these updated regulations may help with the identification and removal of overpayments and unallowable costs from data used to set future capitation rates. Under these regulations", "States must arrange for an independent audit of the accuracy, truthfulness, and completeness of the encounter and financial data submitted by MCOs, at least once every 3 years.", "Through contracts with MCOs, states must require MCOs to have a mechanism through which providers report and return overpayments to the MCOs. States must also require MCOs to promptly report any identified or recovered overpayments\u2014specifying those that are potentially fraudulent\u2014and submit an annual report on recovered overpayments to their state. States must use this information when setting actuarially sound capitation rates.", "Through contracts with MCOs, states must also require MCOs to report specific data, information, and documentation. In addition, the MCO\u2019s chief executive officer or authorized representative must certify the accuracy and completeness of the reported data, information, and documentation.", "States must enroll MCO providers that are not otherwise enrolled with the state to provide services to enrollees in Medicaid FFS, and revalidate the enrollment at least once every 5 years. Initially this requirement was to start for MCO contracts beginning on July 1, 2018. Subsequently enacted legislation codified this requirement in statute and moved the implementation to January 1, 2018.", "It is too early to know if these regulations will assure better oversight of MCO payments to providers and the data used to set future capitation rates. The above program integrity requirements only went into effect recently\u2014for contracts starting on or after July 1, 2017, and January 1, 2018. In addition, CMS issued a notice in June 2017 stating that the agency will use its enforcement discretion to assist states that are unable to implement new requirements by the required compliance date. Also, CMS has delayed issuance of implementing guidance for certain provisions until the agency completes its review, a step that may further delay states\u2019 implementation. The agency has designated Medicaid managed care for \u201cderegulatory action\u201d and plans to propose a new rule, but has not indicated which of these provisions, if any, would be revised.", "Focused Program Integrity Reviews. In fiscal year 2014, CMS implemented its Focused Program Integrity Reviews in order to target high-risk program integrity areas in each state, including managed care. As we previously reported, these focused reviews are narrower in scope than the prior reviews conducted by CMS, but they still involve on-site visits to states.", "In its focused reviews of managed care, CMS found that several states had incomplete oversight of MCO payments to providers, even though the agency relies on states to verify reported MCO overpayments and to ensure the overpayments are excluded from the data used to set capitation rates. In the 27 focused reviews of managed care from 2014 to 2017, CMS found that MCOs in 17 states reported fewer overpayments to their state Medicaid agencies than CMS would expect. For example, MCOs in at least 5 states reported that overpayments were less than 0.1 percent of their total managed care expenditures; while CMS noted in 1 focused review that overpayments typically equal 1 to 10 percent of total expenditures in managed care. CMS also found that 5 of the 27 states did not verify that MCOs excluded overpayments from these data, and 1 state did not exclude overpayments from the capitation rate setting. This is consistent with our March 2017 report in which we noted that CMS commonly found that MCOs reported low amounts of recovered overpayments and conducted few reviews to identify overpayments. Also, officials from three of the five states we interviewed for that report said the focused reviews gave them leverage in dealing with MCOs or led MCOs to focus more on program integrity. We also reported that CMS officials recommended states take steps to improve their oversight of MCOs, based on the focused review findings.", "The findings from CMS\u2019s focused reviews of managed care also highlight the need for greater federal oversight of states. Without these reviews, it is unclear if states would independently identify MCOs\u2019 reporting of overpayments or work to strengthen MCO reporting. Yet, CMS has not yet published the focused reviews of managed care in 13 states, and it may only conduct a focused review in a state once every three or more years. Given CMS\u2019s timeline for the focused reviews, it may take years to determine if corrective actions result in improved program integrity in services delivered through managed care.", "Collaborative audits. CMS has expanded the federal-state collaborative audits beyond FFS, and has begun to engage states to participate in collaborative audits of MCOs and providers under contract to MCOs. As a part of the collaborative audit process, the state volunteers to jointly develop the audit processes the federal contractors follow. CMS officials told us that federal contractors have completed 14 collaborative audits of providers under contract to MCOs in three states\u2014Arizona, the District of Columbia, and Tennessee. Only the audit of Trusted Healthcare, an MCO in the District of Columbia, has been published. That audit identified $129,000 in overpayments in a sample of MCO payments to providers, which, if generalized to all of the MCO\u2019s payments over 6 months, would equate to over $4 million in overpayments. According to CMS, three additional states\u2014Louisiana, Nebraska, and New Hampshire\u2014have shown interest in collaborative audits of their MCOs, although such audits require states to prepare data files for the federal contractor and commit staff time. In our March 2017 report, we found that states\u2019 participation in FFS collaborative audits varied and some states reported barriers to their participation. Expanding collaborative audits in managed care will require commitment from and coordination with states.", "State monitoring of overpayments in managed care. States are required to report overpayments they have identified and recouped along with state expenditures on a quarterly basis. However, based on the responses of the program integrity officials in 13 of the 16 states we contacted, most officials were unable to define the magnitude of overpayments in their managed care programs, which may signify a need for greater federal oversight or coordination. Specifically, officials in 7 of the 13 states could not or did not identify the share of total reported Medicaid overpayments that occurred in managed care. In 11 of the 13 states, officials responded that they did not directly monitor MCO payments to providers. Of those 11 states, officials in 4 said they depend on MCOs to report overpayments and exclude the overpayments from the data used to set capitation rates. As long as states are not taking action to identify overpayments in managed care, they cannot be assured that they are accurately paying MCOs for medically necessary services provided to enrollees.", "Federal internal control standards call for agency management to identify, analyze, and respond to risks. CMS has taken some steps to identify, analyze, and respond to risks through its regulations, Focused Program Integrity Reviews, and collaborative audits. However, key CMS and state oversight efforts fall short of mitigating the limitations of the PERM estimates of improper payments for managed care, because they do not ensure the identification and reporting of overpayments to providers and unallowable MCO costs. Without addressing these key risks, CMS and states cannot ensure the integrity of Medicaid managed care programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The 0.3 percent improper payment rate for Medicaid managed care, as measured by the PERM, is significantly lower than the improper payment rate of 12.9 percent for Medicaid FFS. However, this difference does not signal better oversight; rather, it represents differences in the review criteria between FFS and managed care, which result in a less complete accounting for the program integrity risks in managed care. The PERM does not account for key program integrity risks in Medicaid managed care: specifically, unidentified overpayments and unallowable costs. One federal investigation of an MCO operating in nine states resulted in a settlement of $137.5 million to resolve allegations of false claims that were not captured in the national Medicaid improper payment rate estimate. Further, CMS found that MCOs and states do not provide sufficient oversight in Medicaid managed care to address the risks that are not accounted for in the PERM, findings that are reinforced by our reports on Medicaid managed care program integrity. CMS has taken steps to improve its oversight of Medicaid managed care, yet these efforts fall short of ensuring that the agency and states will be able to identify and address overpayments to providers and unallowable MCO costs. Without better measurement of program risks\u2014particularly as expenditures for Medicaid managed care continue to grow\u2014CMS cannot be certain that the low improper payment rate for managed care, as measured by the PERM, accurately reflects lower risks in managed care."], "subsections": []}, {"section_title": "Recommendation", "paragraphs": ["The Administrator of CMS should consider and take steps to mitigate the program risks that are not measured in the PERM, such as overpayments and unallowable costs; such an effort could include actions such as revising the PERM methodology or focusing additional audit resources on managed care. (Recommendation 1)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Health and Human Services (HHS) for comment. In its written comments, HHS concurred with our recommendation, and indicated that it will review regulatory authority and audit resources to determine the best way to account for Medicaid program risks that are not accounted for in the PERM. However, HHS stated that the PERM is not intended to measure all Medicaid program integrity risks, and utilizing the PERM measurement in that way would be a misunderstanding and misuse of the reported rate. HHS also commented that a review of payments from MCOs to providers is outside the scope of IPIA. In addition, HHS asserted that including such a review would diminish the value of PERM reporting\u2014because it would require significant assumptions about the amount of federal share in MCO payments to providers. Further, HHS maintained that such a review also would result in a measurement that was not comparable to other programs or agencies, which would diminish the value of government- wide improper payment rate reporting. We acknowledge that the current PERM methodology has been approved by OMB. However, we maintain that the PERM likely underestimates program integrity risks in Medicaid managed care. To ensure the appropriate targeting of program integrity activities, CMS needs better information about these risks. Given the size of the Medicaid program, its vulnerability to improper payments, and the growth in managed care, it is critical to have a full accounting of program integrity risks in managed care in order to best ensure the integrity of the whole Medicaid program.", "In its written comments, HHS also summarized several activities it uses to oversee and support states\u2019 Medicaid program integrity efforts, including state program integrity reviews; collaborative audits conducted by federal contractors; Medicaid Integrity Institute training for state employees; and the Medicaid Provider Enrollment Compendium. HHS also provided technical comments, which we incorporated as appropriate. HHS\u2019s comments are reprinted in appendix II.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Secretary of Health and Human Services, the Administrator of CMS, appropriate congressional committees, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or at yocomc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Federal and State Audits and Investigations of Medicaid Managed Care", "paragraphs": ["We reviewed 16 federal and state audits and 11 notices of investigations of Medicaid managed care organizations (MCO) and providers issued from January 2012 to September 2017. As the findings below show, the audits and investigations represent a limited number of reviews that, in many cases, focused on individual states and individual providers or MCOs within that state. Given the limited scope and number of states reviewed, the amount of the overpayments and unallowable costs occurring nationwide is unknown.", "These audits and investigations show cases of MCO overpayments to providers or unallowable costs, which are not accounted for by the Centers for Medicare & Medicaid Services\u2019 Payment Error Rate Measurement (PERM) ; errors in capitated payments (e.g., capitated payments made for deceased individuals), which are accounted for in the PERM; and gaps in managed care oversight.", "When reporting overpayments and unallowable costs identified in the audits and investigations, we only include amounts specifically attributed to MCOs in our total. This total does not include the following: overpayments and unallowable costs identified in those audits and investigations that did not distinguish between the amounts attributable to MCOs, Medicaid fee-for-service, or Medicare; overpayments and unallowable costs identified in criminal proceedings that are not yet resolved; and errors in capitated payments, as those payments would be reviewed by the PERM.", "As a result, the total amount of overpayments and unallowable costs and capitated payment errors in this appendix exceed what we report."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Leslie V. Gordon (Assistant Director), Pauline Adams (Analyst-in-Charge), Erika Huber, and Drew Long made key contributions to this report. Also contributing were Muriel Brown and Jennifer Whitworth."], "subsections": []}]}], "fastfact": ["Medicaid paid $171 billion\u2014about half its total 2017 federal expenditures\u2014to managed care organizations. The Centers for Medicare & Medicaid Services estimated that about 0.3% of that amount were improper payments.", "For the entire Medicaid program, CMS estimated about 10% of payments were improper, which led us to question the managed care rate.", "We examined state and federal reviews of managed care and the estimating method. We found that the estimation does not fully account for key risks such as overpayments and unallowable costs.", "We recommended that CMS take steps to mitigate such risks."]} {"id": "GAO-19-197", "url": "https://www.gao.gov/products/GAO-19-197", "title": "Health Information Technology: Approaches and Challenges to Electronically Matching Patients' Records across Providers", "published_date": "2019-01-15T00:00:00", "released_date": "2019-01-15T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Health care providers are increasingly sharing patients' health records electronically. When a patient's records are shared with another provider, it is important to accurately match them to the correct patient. GAO and others have reported that accurately matching patient health records is a barrier to health information exchange and that inaccurately matched records can adversely affect patient safety or privacy. At the federal level, ONC is charged with coordinating nationwide efforts to implement and use health IT.", "The 21st Century Cures Act included a provision for GAO to study patient record matching. In this report, GAO describes (1) stakeholders' patient record matching approaches and related challenges; and (2) efforts to improve patient record matching identified by stakeholders.", "To do its work, GAO reviewed reports by ONC and others about patient record matching. GAO also interviewed various stakeholders that play a role in exchanging health records, including representatives from physician practices, hospitals, health systems, health information exchange organizations, and health IT vendors. GAO also interviewed other stakeholders, such as ONC officials, provider and industry associations, and researchers. GAO selected stakeholders based on background research and input from other stakeholders, and interviewed 37 stakeholders in total. The information from stakeholders is not generalizable. HHS provided technical comments on a draft of this report, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Stakeholders GAO interviewed, including representatives from physician practices and hospitals, described their approaches for matching patients' records\u2014that is, comparing patient information in different health records to determine if the records refer to the same patient. Stakeholders explained that when exchanging health information with other providers, they match patients' medical records using demographic information, such as the patient's name, date of birth, or sex. This record matching can be done manually or automatically. For example, several provider representatives said that they rely on software that automatically matches records based on the records' demographic information when receiving medical records electronically. Stakeholders said that software can also identify potential matches, which staff then manually review to determine whether the records correspond to the same patient. Stakeholders also said that inaccurate, incomplete, or inconsistently formatted demographic information in patients' records can pose challenges to accurate matching. They noted, for example, that records don't always contain correct information (e.g., a patient may provide a nickname rather than a legal name) and that health information technology (IT) systems and providers use different formats for key information such as names that contain hyphens.", "Stakeholders GAO interviewed identified recent or ongoing efforts to improve the data and methods used in patient record matching, such as the following:", "Several stakeholders told GAO they worked to improve the consistency with which they format demographic data in their electronic health records (EHR). In 2017, 23 providers in Texas implemented standards for how staff record patients' names, addresses, and other data. Representatives from three hospitals said this increased their ability to match patients' medical records automatically. For example, one hospital's representatives said they had seen a significant decrease in the need to manually review records that do not match automatically.", "Stakeholders also described efforts to assess and improve the effectiveness of methods used to match patient records. For example, in 2017 the Office of the National Coordinator for Health Information Technology (ONC) hosted a competition for participants to create an algorithm that most accurately matched patient records. ONC selected six winning submissions and plans to report on their analysis of the competition's data.", "Stakeholders said more could be done to improve patient record matching, and identified several efforts that could improve matching. For example, some said that implementing common standards for recording demographic data; sharing best practices and other resources; and developing a public-private collaboration effort could each improve matching. Stakeholders' views varied on the roles ONC and others should play in these efforts and the extent to which the efforts would improve matching. For example, some said that ONC could require demographic data standards as part of its responsibility for certifying EHR systems, while other stakeholders said that ONC could facilitate the voluntary adoption of such standards. Multiple stakeholders emphasized that no single effort would solve the challenge of patient record matching."]}], "report": [{"section_title": "Letter", "paragraphs": ["As health care providers increasingly use electronic health records (EHR), a greater share of patients\u2019 medical records are stored and exchanged electronically. This exchange can occur among various types of providers\u2014including hospitals, primary care physicians, specialty physicians, pharmacies, and laboratories\u2014and has increased in recent years. An American Hospital Association (AHA) survey found that in 2017, 74 percent of hospitals reported sharing clinical or summary of care records electronically with other hospitals, whereas in 2012 only 30 percent of hospitals reported doing so. The 2017 survey also found that 58 percent of hospitals indicated physicians at their facilities \u201calways or sometimes\u201d used patient health information received electronically from outside sources while treating a patient.", "When a patient\u2019s medical records from one health care provider are shared with another provider, it is important that those records belonging to the same individual are accurately matched. Patient record matching is the process of comparing patient information in different health records to determine if the records refer to the same patient. Inaccurate patient record matching can adversely affect the care patients receive as well as their privacy. For example, inaccurately matched records can adversely affect patients\u2019 safety if incorrect patient data are used to make medical decisions; the ECRI Institute reported the case of a patient in cardiac arrest who was mistakenly not resuscitated because the care team adhered to the wrong patient\u2019s do-not-resuscitate order. We and others have reported that patient record matching has caused difficulties for providers. A 2014 study found that as few as 50 percent of records are accurately matched when organizations exchange information. In AHA\u2019s 2017 survey, 45 percent of large hospitals reported that difficulties in accurately identifying patients across health information technology (IT) systems limited health information exchange.", "1. the patient record matching approaches used by selected stakeholders and related challenges they identified, and 2. efforts to improve patient record matching identified by ONC and selected stakeholders.", "To describe the patient record matching approaches used by selected stakeholders and related challenges they identified, we reviewed published reports (including our own past reports) and other documentation about patient record matching, such as ONC\u2019s 2014 Patient Identification and Matching Final Report. We conducted interviews with relevant stakeholders that we identified through this background research and from input from other stakeholders. Specifically, we interviewed representatives from organizations involved in exchanging health information, including providers such as physician practices and hospitals; health information exchange (HIE) organizations, which facilitate the exchange of health information among providers and other types of organizations, often at a regional level; and health IT vendors. We also interviewed representatives from organizations that represent providers (AHA, the American Medical Association, and the Medical Group Management Association); health information management professionals (the American Health Information Management Association and the College of Health Information Management Executives (CHIME) ); HIE organizations (the Strategic Health Information Exchange Collaboration); and health IT vendors (the Electronic Health Records Association), as well as individuals or entities with expertise or experience with patient record matching issues. In addition, we interviewed officials from ONC and HHS\u2019s Agency for Healthcare Research and Quality. In total, we conducted 35 interviews with stakeholders. The information we obtained from these stakeholders is not generalizable to the experiences of other health providers, organizations, vendors, and other stakeholders regarding patient matching approaches.", "To describe efforts to improve patient record matching identified by ONC and selected stakeholders, we reviewed ONC documents and reports that describe the agency\u2019s efforts related to patient record matching. For example, we reviewed ONC\u2019s 2014 Patient Identification and Matching Final Report, ONC\u2019s Interoperability Roadmap, as well as documentation of recent ONC studies related to patient record matching. In addition, we discussed patient record matching efforts with the stakeholders mentioned previously. We supplemented those discussions by conducting two additional interviews with stakeholders about their efforts to improve patient record matching; we identified these stakeholders through background research and input from other stakeholders. In addition, we reviewed documentation related to those stakeholders\u2019 efforts. The information we obtained from stakeholders is not generalizable to the experiences or views of other stakeholders regarding efforts to improve patient record matching.", "We conducted this performance audit from November 2017 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Patient Record Matching", "paragraphs": ["Patient record matching is the process of comparing patient information in different health records to determine if the records refer to the same patient. This matching generally relies on the use of demographic information such as a patient\u2019s name, date of birth (DOB), sex, Social Security number (SSN), or address, among other information.", "Many types of stakeholders can be involved in patient record matching. Examples of stakeholders include the following:", "Health care providers, such as physicians, hospitals, and their staffs may receive records from another provider that need to be matched to existing patient records. When treating a new patient, for example, a provider might obtain records from other providers that previously cared for the patient. Similarly, a provider caring for a patient with multiple chronic conditions (e.g., heart disease, diabetes) might obtain information from other providers that are also caring for the patient. The providers must ensure that the records they obtain from other providers are matched to the correct patient and therefore properly linked with the patient\u2019s existing records.", "HIE organizations match patient records as part of their role in facilitating the electronic exchange of health information among hospitals, physicians, and other organizations. They can offer a range of services, such as allowing providers to access the medical records for a patient who has received care from other providers in the HIE organization\u2019s network. They may also obtain information from hospitals when a patient is admitted or discharged, and they then notify the patient\u2019s other providers when those events occur. In these cases, HIE organizations must accurately match records from multiple organizations to the correct patient. HIE organizations generally serve a specific state or region and match records among a network of local or state-wide providers and other entities; some, however, operate nationally.", "Health IT vendors also play a role in matching patient records. Some IT vendors, for example, provide record matching tools as part of their EHR systems; these tools allow providers to electronically search for patient records that are available from other providers that use the same IT vendor. Other IT vendors offer tools that allow providers or HIE organizations to leverage third-party data, such as credit-bureau data, when matching patients\u2019 medical records."], "subsections": []}, {"section_title": "Importance of Accurate Patient Record Matching", "paragraphs": ["ONC and others have reported that the ability to accurately match patient medical records across different providers is a critical part of effective health information exchange, which can benefit patient care. For example, accurate record matching can help ensure that providers have current information about patients\u2019 laboratory or other diagnostic test results; their medications; their diagnosed medical conditions, such as allergies; and their family medical histories.", "In contrast, when a patient\u2019s records are not accurately matched, it can adversely affect the patient\u2019s care. There are two ways in which records can fail to be accurately matched.", "Records for different patients are mistakenly matched. When medical records for different patients are mistakenly matched (known as a \u201cfalse positive\u201d), it can present safety and privacy concerns for patients. For example, a provider may inadvertently use information about the wrong patient, such as diagnoses or medication lists, to make clinical decisions. In addition, if the wrong patient\u2019s medical information is added to a patient\u2019s record, it could result in disclosure of that information to a provider or patient who is not authorized to view it.", "Records for the same patient are not matched. When medical records for the same patient are not matched (known as a \u201cfalse negative\u201d), it can affect patient care. For example, providers may not have access to a relevant part of the patient\u2019s medical history\u2014such as current allergies or prior diagnostic test results\u2014which could help them avoid adverse events and also provide more efficient care, such as by not repeating laboratory tests already conducted."], "subsections": []}, {"section_title": "ONC Responsibilities and Patient Record Matching", "paragraphs": ["ONC leads federal efforts to promote interoperability, including setting requirements for the information that EHRs and other health IT systems should collect. ONC developed certification criteria for EHRs and other health IT systems that include the ability for health IT systems to capture and exchange various types of information, including clinical data such as information on patients\u2019 allergies, as well as the patient\u2019s name, sex, and date of birth. ONC also compiles an Interoperability Standards Advisory, which suggests certain standards that developers should incorporate into their products."], "subsections": []}]}, {"section_title": "Stakeholders Described Patient Record Matching Approaches and Associated Challenges", "paragraphs": [], "subsections": [{"section_title": "Providers and HIE Organizations Described Using Both Manual and Automated Approaches to Patient Record Matching", "paragraphs": ["All seven provider representatives we interviewed described manual matching as one of the ways that they match patient records when exchanging health information with other providers. With manual matching, an individual reviews a medical record in order to match it to the correct patient. For example, an outpatient practice representative said that to match records that the practice receives by fax, a staff member must manually review information such as name and DOB to identify the correct patient and add the new information to the correct patient\u2019s electronic record. All of the provider representatives we interviewed told us that they receive health records from other providers by fax.", "Six provider representatives told us they also use health IT tools to help automatically identify and match patients\u2019 records stored in other data systems. These tools generally use algorithms that compare demographic data in a patient\u2019s separate electronic records. For example, representatives from four of the six providers told us they used a module offered by their EHR system vendor to match records and exchange information with other providers that use the same vendor\u2019s EHR systems. The module includes an algorithm that compares patients\u2019 demographic information and, if the information in two or more records is identical or very similar, can automatically link the records. Automated matching can also involve some degree of manual review, as algorithms can identify potential matches by providing information about the likelihood that two records with similar information refer to the same individual. Afterwards, provider staff manually review the demographic information in the records and assess whether these potentially matching records should be linked as belonging to the same patient.", "Representatives from the five HIE organizations we spoke with said they use a range of automated and manual approaches to match patients\u2019 records when exchanging information. Representatives from all five of the HIE organizations said that they use software with algorithms to locate and match records using demographic information provided by the providers in their networks. Though these HIE organizations\u2019 algorithms vary, they all use name, sex, DOB, and address to match patients\u2019 records. Representatives said that when the patients\u2019 records contain similar but not identical demographic information, the HIE organizations rely on staff or additional software to review potential matches and determine whether the records belong to the same patient. For example, one HIE organization representative said that his organization leverages third-party data, such as credit databases that store past names or addresses, to update demographic information for records that cannot be matched automatically.", "When describing their approaches to patient record matching when exchanging information, six of the seven provider representatives said that they sometimes used HIE organizations to exchange and match records. However, none of them relied on HIE organizations as their primary way to match records and exchange health information. Five of the provider representatives we spoke with, including one provider that does not participate in an HIE organization, noted that they only exchange health information with a few providers. They explained that they were able to connect to these providers in ways other than through an HIE organization.", "According to stakeholders we interviewed, it is difficult to determine the accuracy of the health IT tools used to match patients\u2019 medical records automatically. While the algorithms typically match records belonging to a patient and identify potential matches that need to be manually reviewed, users of these algorithms do not know how many matches the algorithm may have failed to make. These stakeholders expressed concern that it is not possible to assess the accuracy of algorithms without independent testing to identify matches that the algorithm may have missed. HHS stated that the proprietary nature of many patient matching algorithms makes it difficult to assess their effectiveness."], "subsections": []}, {"section_title": "Stakeholders Said That Inaccurate, Incomplete, and Inconsistently Formatted Data Can Pose Challenges for Patient Record Matching", "paragraphs": ["Representatives from providers, HIE organizations, and the other stakeholders we interviewed emphasized the importance of using quality patient demographic data when matching patients\u2019 medical records. These stakeholders noted that inaccurate, incomplete, or inconsistently formatted demographic information in patients\u2019 medical records can make it challenging to identify and match all the records belonging to a single patient. Figure 1 illustrates how the demographic information for a hypothetical patient can be recorded inaccurately, incompletely, and inconsistently across the patient\u2019s providers.", "Stakeholders described the ways in which providers or their staff can collect inaccurate demographic information from patients. According to stakeholders, provider staff sometimes make transcription errors when entering information into electronic records, patients do not always provide correct information (e.g., they register with a nickname rather than a legal name), and patient demographic information can change, such as when a patient moves to a new address or changes her last name, but this information is not consistently updated in all of the patient\u2019s medical records.", "Provider representatives identified several reasons that patients\u2019 demographic information can be incomplete or contain different data elements across the medical records maintained by multiple providers. In particular, provider representatives explained that providers collect different information from their patients, and health IT systems can collect demographic data differently. Examples include the following:", "Two provider representatives said that their organizations do not collect patients\u2019 SSN because many patients choose not to provide that information or the information is not available. However, other provider representatives said they do collect SSNs. A health IT vendor said that the algorithms in its software do not rely on SSN as a key factor for matching records because SSN is not consistently available.", "One provider representative explained that the IT system used by the provider\u2019s laboratory does not contain fields for the same demographic information that the provider\u2019s EHR system contains. As a result, laboratory results often contain too little information to reliably match records, even if the tests were ordered using complete information.", "One provider representative explained that they do not collect patients\u2019 mothers\u2019 maiden names, though other organizations collect and use this information for patient matching.", "According to stakeholders, the inconsistencies in formatting across medical records can reflect differences in health IT systems or the policies of the health care organization creating the records:", "A 2014 ONC report noted that one health IT system may list addresses in a single field, while another may separate street names from the city and state.", "A 2018 report noted that providers use different standards for recording names with spaces, hyphens, or apostrophes, and that some health IT systems include special characters in phone numbers (i.e., (123) 456-7890), whereas others only allow for numbers (i.e., 1234567890).", "Representatives from one HIE organization explained that providers handle missing data for fields differently; for example, one provider may enter all 9s into an SSN field when it is not available for a patient and another will enter all 0s.", "Provider representatives and other stakeholders identified some patient populations for which matching is particularly challenging, due in part to data issues. Three provider representatives said that medical records for newborns often contain temporary names that are not updated with the child\u2019s legal name after it is determined, which makes it difficult to locate these records. Further, provider representatives and other stakeholders said that multiple births (e.g., twins) result in record matching challenges, as these children can have the same DOB and address, and may be named similarly. A few provider representatives said that records can be inaccurate across providers for patients from certain nationalities. For example, according to stakeholders, some east-Asian cultures use the \u201cfamily name\u201d as the first name, and some Hispanic cultures use multiple last names. Another provider representative said that a few times a month, a transgender patient\u2019s photo ID lists the wrong gender, yet the organizational policy is to record the gender exactly as it appears on a state-issued photo ID."], "subsections": []}]}, {"section_title": "Stakeholders Identified Efforts Underway to Improve Patient Record Matching as Well as Additional Efforts ONC and Others Could Undertake", "paragraphs": [], "subsections": [{"section_title": "Stakeholders Have Undertaken Efforts to Improve the Demographic Data and Methods Used to Match Records", "paragraphs": ["Officials from ONC, selected provider representatives, and other stakeholders we interviewed described a variety of efforts they have undertaken or are currently undertaking to improve the ability to match patients\u2019 medical records accurately. In general, these efforts focus on improving demographic data and improving the methods used for matching. These efforts are discussed in more detail below."], "subsections": [{"section_title": "Efforts to Improve Demographic Data Used for Matching", "paragraphs": ["ONC has reported that quality demographic data is important for effectively matching patients\u2019 medical records, and in 2017 the agency published the Patient Demographic Data Quality Framework. The Framework is a tool to help providers and other organizations assess their processes for managing data quality and improve the quality of the demographic data they use in matching. It includes, for example, questions that providers can use to identify any gaps in how they manage their demographic data. In 2016, before ONC published the Framework, the agency began a pilot study to assess how the Framework could work in a clinical setting. As part of this pilot study, ONC provided training on demographic data quality to staff from two community health centers, during which it shared best practices for collecting these data. After the training, researchers who collaborated on the pilot with ONC found that there were improvements at the community health centers in indicators of how they managed data quality. According to ONC officials, this pilot highlighted the effect that data quality and training have on effective patient record matching. In addition, officials said it underscored difficulties in implementing data quality improvement efforts when health care organizations have limited resources and high staff turnover. ONC officials plan to issue a final report on the pilot study; however, they said ONC is not currently planning to assess the impact of the Framework or to conduct future studies on how it works in clinical settings.", "Several stakeholders told us they have worked to improve the consistency with which they record and format demographic data in their EHRs. According to ONC officials and hospital representatives, as well as other stakeholders with whom we spoke, implementing common standards for how certain demographic data should be formatted\u2014such as names and addresses\u2014could improve the consistency of data across providers and thus make it easier to match records. Representatives from four hospitals told us that they collaborated with other providers in their regions to implement common standards for recording patients\u2019 demographic data. They told us the following: In 2017, 23 providers in Texas reached agreement on, and then implemented, standards for how staff should record patients\u2019 names, addresses, and other data in order to improve record matching and facilitate health information exchange. We spoke with representatives from three hospitals that were part of this effort, who all told us that the effort resulted in an increased ability to accurately match patients\u2019 medical records automatically without the need to manually review the records. (See text box.) For example, representatives from one hospital said that when patient records are not matched automatically or when there are questions about the accuracy of record matching, staff must then conduct a manual review to resolve the issue. They said that they have seen a significant decrease in the need for those manual reviews since implementing the data standards. Representatives from all three hospitals estimated that the amount of manual review to resolve matching issues and match incoming records to the right patient had decreased by about 90 percent. Representatives from one hospital added that they are now better able to prevent records from being matched to the wrong patient.", "One children\u2019s hospital in California worked with other local hospitals in recent years to implement a standard for how staff should record a temporary name for newborns who do not have their own name at birth. According to representatives from this hospital, after implementing this standard, clinical staff are able to more easily match patients\u2019 records and therefore have access to real-time information on the care newborns received in other hospitals.", "Lessons Learned from One Regional Effort to Standardize Patient Demographic Data across Multiple Providers In 2017, 23 providers in Texas implemented agreed-upon standards for capturing patient name, address, and other data. Representatives from three participating hospitals shared with us lessons for others interested in standardizing data, such as:", "Allow sufficient time to get buy-in from staff and test for any downstream effects on", "Communicate the benefits of standardizing data to clinical and administrative staff; and", "Train staff on how to enter data, and then assess compliance to identify any opportunities for improvement.", "In a related 2017 effort, Pew Charitable Trusts sponsored a study to measure how standardizing specific types of patient demographic data could improve patient record matching. As part of this study, researchers used four data sets to test the effect that standardizing patient names, addresses, DOBs, telephone numbers, and SSNs had on record matching accuracy. As of September 2018, the full findings from this study had not been published; however, according to Pew, the findings indicated that standardizing some demographic data, such as address, shows promise for increasing the likelihood that patients\u2019 records will be matched.", "Two stakeholders we spoke with have examined ways to boost patients\u2019 ability to electronically share data with their providers using smartphone applications or other tools. According to these stakeholders, these types of tools could improve the accuracy of the demographic data providers receive from patients, reduce manual data entry errors by providers\u2019 staff, and allow patients to update their information as changes occur, such as if they move.", "In 2015, the Workgroup for Electronic Data Interchange (WEDI) initiated a \u201cVirtual Clipboard\u201d project to explore the development of a mobile tool to automate the transmission of demographic, insurance, and clinical information to providers. WEDI representatives told us that they had engaged with stakeholders such as providers, vendors, patient advocates, and health plans about the potential benefits of such a tool, but had not yet identified organizations prepared to move forward with developing specific applications.", "In 2017, Pew Charitable Trusts funded a RAND study on \u201cpatient- empowered\u201d patient record matching approaches\u2014specifically, to identify ways that patients could play an additional role in patient record matching and to select a promising solution for further development. In its August 2018 report, RAND proposed a solution in which patients could verify their mobile phone number and other identifying information with providers and then use a smartphone application to share this information with providers.", "Representatives from both WEDI and Pew told us that, when developing these types of tools, it is important to consider the practical implications for the providers that would need to be able to accept data in this way. For example, Pew representatives said that it would be important to understand whether these tools present any workflow challenges in provider settings, such as with any IT tools that providers would need to access the data stored via smartphone applications, or with the steps needed to incorporate that data into their EHR systems. Representatives from both organizations also noted that not all patients would be willing or able to use these types of tools to share data with providers. In addition, RAND reported on a range of security considerations for these types of tools. For example, RAND noted that a smartphone app that gathers health data\u2014like its proposed patient matching solution\u2014would introduce risk because it would contain private demographic and health information and would therefore be a target for individuals looking to steal data."], "subsections": []}, {"section_title": "Assessing and Improving Matching Methods", "paragraphs": ["Officials from ONC and other stakeholders described various efforts to assess and improve the effectiveness of the methods used in matching patients\u2019 medical records. These efforts include hosting competitions, conducting studies, and issuing guidance. For example, ONC officials described the following two efforts to improve patient record matching methods: In 2017, ONC held a Patient Matching Algorithm Challenge in which participants competed to develop an algorithm that most accurately matched patient records in a test data set. According to ONC officials, the goals of the exercise were to bring about greater transparency on the performance of existing patient record matching algorithms, spur the adoption of performance metrics for algorithm developers, and improve other aspects of patient record matching, such as resolving duplicate patient records. Over 140 teams used varying methods to match patient records using an ONC-provided test data set, and ONC selected six winning submissions based on various measures of matching accuracy. As of July 2018, ONC was analyzing data from the challenge to learn more about algorithm performance. Officials told us that the challenge highlighted limitations of commonly used matching algorithms and demonstrated that extensive manual review is often needed to accurately match patients\u2019 medical records. ONC officials told also us they plan to publish a report on their analysis of the challenge data.", "In 2017, ONC also conducted a patient record matching Gold Standard and Algorithm Testing pilot study. According to ONC officials, there is no widely used standard for assessing the accuracy of patient record matching algorithms, so the pilot was intended to create a data set with known duplicate records (that is, multiple records for the same individual) and then use it to evaluate how well a commonly-used algorithm matched those records. ONC officials told us that the pilot demonstrated how much effort is needed to evaluate the matching algorithms providers and others use, as well as the importance of using standard metrics to assess matching accuracy. ONC expects to issue a final report on the results of the study.", "Among the examples other stakeholders described were the following efforts to improve patient record matching methods: In 2018, the Sequoia Project published A Framework for Cross- Organizational Patient Identity Management to provide guidance to help providers and other types of health care entities improve patient record matching across organizations. The report, for example, suggests ways organizations can improve their matching algorithms, and it identifies practices that organizations can use to improve how they use patient demographic data and other information when matching records. Representatives from the Sequoia Project told us they plan to speak with organizations that have voluntarily adopted this guidance to learn how doing so affects record matching. These representatives also said they are looking into how ONC\u2019s Patient Demographic Data Quality Framework relates to their own framework, as it may be beneficial if there were a way to link these two efforts.", "HHS\u2019s Agency for Healthcare Research and Quality funded a study that began in 2017 to evaluate patient record matching approaches, with the goal of identifying different approaches to improving the accuracy of patient record matching algorithms. As part of this ongoing study, researchers are measuring how different changes to matching methods\u2014including changes that have and have not been recommended or evaluated previously\u2014improve matching accuracy. The study is expected to run through 2022. According to researchers, their initial work tested the use of different combinations of demographic data elements, among other things. They identified a modest improvement in the accuracy of matching algorithms, and determined that further research was needed.", "In 2016, CHIME sponsored a National Patient ID Challenge that offered a monetary award for the development of a tool that matched patients\u2019 medical records with 100 percent accuracy. Although the challenge was not specific to matching patient records across providers, several CHIME members who were involved with the challenge told us that they hoped to identify a patient record matching approach that could be widely adopted and easily integrated into existing EHR and HIE platforms without significant cost. They noted the challenge also was an opportunity to encourage organizations to develop effective matching methods, and to identify a matching method that did not rely solely on demographic patient information. CHIME assessed submissions from a range of organizations, but suspended the challenge in November 2017, reporting that the effort did not achieve the results it had sought. CHIME members said that the challenge nonetheless helped draw attention to patient record matching issues.", "In addition, several stakeholders have worked to improve the matching of medical records specifically for newborns and multiple-birth siblings such as twins, for whom matching can be particularly challenging:", "Representatives we spoke with from one children\u2019s hospital told us they have implemented indicators in their EHR to highlight when a child has a twin or other multiple-birth sibling, so that staff know that another child has similar demographic information. Representatives said that this helps prevent medical records from one child being incorrectly matched with the medical records of a sibling. In 2017, this hospital began working with its health IT vendor to explore the broader use of a multiple birth indicator to improve the probability of accurate matching for the multiple birth population between different vendors\u2019 EHRs. The representatives said that while there is a standard indicator that can be used for multiple births, many organizations are not aware of it.", "In addition, one researcher we spoke with is studying how using information such as physicians\u2019 names and parents\u2019 demographic data could help address record matching challenges for newborns. As noted earlier, one children\u2019s hospital worked with other local hospitals to implement a standard for how staff record a temporary name for newborns."], "subsections": []}]}, {"section_title": "Stakeholders Identified Additional Efforts That ONC or Others Could Undertake to Improve Patient Record Matching", "paragraphs": ["Stakeholders we spoke with said more could be done to improve the ability to accurately match patients\u2019 medical records. The stakeholders identified several efforts that could improve matching, and had varying views on the roles ONC and others should play in these efforts. Among the examples of efforts stakeholders identified that could improve matching were implementing common standards for demographic data; developing a data set to test the accuracy of matching methods; sharing best practices and other resources; implementing a national unique patient identifier; and developing a public-private collaboration effort to improve patient record matching. Multiple stakeholders noted that no single effort would be sufficient to improve matching, given the factors that contribute to matching challenges. These potential additional efforts are described below."], "subsections": [{"section_title": "Implementing Common Standards for Recording Patients\u2019 Demographic Data in Health IT Systems", "paragraphs": ["Several stakeholders told us that implementing common standards for recording patients\u2019 demographic data in health IT systems could improve the ability of providers to match patients\u2019 medical records. Stakeholders said that if providers implemented such standards, it could increase the extent to which they collect the same types of demographic data or use the same format for names and addresses as other providers, for example. However, stakeholders had differing views on how to reach agreement on and implement common standards among providers, as well as how feasible it would be to do so. Some said it would be helpful if ONC established requirements regarding demographic data\u2014such as the types of data collected, and how it is formatted\u2014potentially through the EHR certification process. In contrast, other stakeholders saw an opportunity for industry organizations to voluntarily agree to implement standards for demographic data. Some stakeholders advocated for EHR vendors to take steps to standardize the data their products allow providers to collect. A representative with one hospital said that having demographic data standards built into EHRs could minimize the amount of time needed to train staff on how to format the data they collect\u2014and then to monitor whether they format the data correctly. A number of stakeholders said that ONC could play a role in getting industry groups to agree on and implement common data standards. ONC officials noted that as part of their role in coordinating health IT efforts, they have worked with industry groups in a number of ways and expect to continue their coordination efforts.", "Some stakeholders we spoke with told us that efforts to implement common demographic standards could face challenges, such as the following:", "Several said it could be difficult to reach consensus across various industry organizations on what standards to adopt and implement.", "Multiple stakeholders noted that patient preferences could affect the effectiveness of efforts to standardize data. Patients might not always be willing to provide some types of data even if providers wanted to collect it. For example, one provider noted that patients may want to use their middle name instead of their legal name.", "Some stakeholders said it could be time-intensive for providers to train their staff on how to collect data in accordance with standards, or that staff might not always follow the standards. For example, a representative from one hospital that implemented demographic standards told us that they continuously train staff and perform audits to ensure that staff follow those standards.", "Some said that EHR systems differ in how they allow staff to record demographic data, which can affect providers\u2019 ability to implement standards. Some stakeholders said it can be costly for providers to update or upgrade their EHRs.", "Stakeholders cited other potential limitations of data standardization efforts. Several, for example, said that standardizing data would not prevent inaccurate or outdated data. In addition, some stakeholders did not think that data standardization would yield significant improvements."], "subsections": []}, {"section_title": "Developing a Data Set to Test the Accuracy of Methods Used to Match Patients\u2019 Medical Records", "paragraphs": ["Several stakeholders told us that developing a standard data set that organizations could use to evaluate matching methods would be helpful. Stakeholders noted that such a data set would allow health IT vendors, providers, or others to assess matching methods independently (instead of relying on vendors\u2019 reported accuracy rates, for example) and in a standardized way (by using the same data source). While stakeholders did not always specify who should develop such a data set, an official from one stakeholder involved with patient record matching and data sharing efforts said that the most useful thing ONC could do to address patient record matching would be to develop a master data set to allow testing in a uniform way. This official added that without a way to accurately and uniformly test patient record matching methods, efforts to improve patient record matching are hindered. A number of stakeholders did not specifically mention the utility of a data set, but nonetheless highlighted the importance of testing how well matching methods work.", "For its part, ONC officials said that the lack of a data set for evaluating matching methods is a challenge to efforts to improve matching, and that developing such a data set would be difficult. They noted that the agency\u2019s 2017 Patient Matching Algorithm Challenge had highlighted the difficulties of creating a test data set that closely mimics real world patient data and that could be used to assess the accuracy of matching algorithms. ONC officials cited a number of challenges to developing one test data set for assessing a range of patient matching algorithms. For example, they said the data set would need to be very large; would require an extensive and expensive effort to develop; could be difficult to implement from a practical perspective; and that, because data varies widely across patient populations and organizations, might have limited application for assessing algorithms that are designed to match specific data sets. HHS also stated that the development of a data set would need to include a \u201ckey\u201d of known duplicate patient records\u2014that is, an indicator of which records in the data set should be matched to the same individual."], "subsections": []}, {"section_title": "Sharing Best Practices and Other Resources Used in Matching Patients\u2019 Medical Records", "paragraphs": ["According to a number of stakeholders we spoke with, more could be done to encourage the sharing of best practices and other patient record matching resources. For example, representatives from some HIEs said it would be beneficial to bring organizations together to share lessons learned and collaborate on best practices for using patient data to match records. Representatives from one industry association noted that disseminating information on patient matching errors could help organizations better understand the extent of matching errors and what causes them; for example, if information were shared about whether certain data elements are more likely to cause matching errors or problems, then organizations could work to prevent the errors or problems related to those data elements. A few stakeholders said that efforts to identify and share effective matching algorithms could expand resources to a broader range of providers. While stakeholders did not always specify who they thought should identify and share matching resources, several stakeholders saw the potential for ONC to play a role in these types of efforts. For example, representatives from one industry association said that ONC could provide information about the types of identifiers that could be used to facilitate matching, such as cell phone numbers or driver\u2019s license numbers. These representatives also said that ONC could provide information on how to address matching patient records for children and other individuals who might not have those types of identifiers. ONC officials noted that they have shared information and resources about patient matching in a number of ways, such as through the agency\u2019s Patient Demographic Data Quality Framework. They added that other organizations, such as the Sequoia Project and Pew Charitable Trusts, have worked to communicate best practices in this area."], "subsections": []}, {"section_title": "Implementing a National Unique Patient Identifier", "paragraphs": ["A number of stakeholders noted that implementing a new national, unique patient identifier specifically for use in health care settings could improve the ability to match patients\u2019 medical records. For example, having a new unique number assigned to an individual would reduce the reliance on demographic data for record matching, according to several stakeholders.", "However, stakeholders had differing views on the potential benefits and feasibility of implementing a new unique patient identifier for health care:", "Some stakeholders said that it is unlikely that any new identifier could be implemented nationwide; they cited reasons such as the prohibition on federal funds being used to develop a national unique health care identifier, as well as potential privacy concerns.", "Multiple stakeholders cited potential limitations to using a national patient identifier, noting for example that\u2014as with SSNs\u2014patients may not be willing to share their identifier, and identifiers could still be subject to manual data entry errors, data breaches, or fraud.", "Some stakeholders said that a unique identifier would be the most effective way to improve matching. However, others said they did not believe a new identifier was needed, or did not think a new identifier would significantly improve matching, given the potential limitations.", "HHS stated that health care systems currently rely on a number of identifiers to match patient records and that a new government- generated identifier would improve matching only if other technical and non-technical challenges were solved before it was implemented. The creation, transmission, and capture of a single national patient identifier across many systems could take decades and would encounter implementation difficulties, according to HHS.", "In addition, a few stakeholders said that patients might be willing to voluntarily obtain a unique identifier to use across health care settings if one were available. A representative from one provider association, for example, said that people with chronic conditions who obtain care from multiple providers might opt to obtain a unique identifier, if available, to help match their records. In its 2018 report on patient-empowered approaches to matching, RAND described various considerations for implementing a voluntary unique identifier issued by a non-federal entity. The report cited, for example, one organization\u2019s work to develop a tool to allow health care providers to offer patients a unique identifier. RAND stated that although this solution would greatly improve matching if adopted, there is uncertainty that providers or patients would adopt it. Representatives from the organization that developed this tool told us that they had tested it in one location, but that it had not yet been adopted by providers."], "subsections": []}, {"section_title": "Developing a Public-Private Collaboration Effort to Improve Patient Record Matching", "paragraphs": ["Multiple stakeholders we spoke with saw a need for a collaborative public-private effort to help identify and implement efforts to improve patient record matching. For example, several stakeholders saw a specific need for a national strategy or approach for addressing patient record matching issues. Representatives from the Pew Charitable Trusts, for example, stated that a national strategy\u2014led by the private sector, with the federal government providing support\u2014could help reach consensus on ways to improve matching. In addition, one researcher said that ONC should help facilitate a strategy for addressing patient record matching at the provider, vendor, and national levels\u2014and that it would be beneficial for ONC to foster collaboration among private sector organizations to address matching issues. More generally, representatives from several provider associations stated that ONC could play an important role by convening stakeholders to identify ways to improve patient record matching. As noted earlier, some stakeholders said that ONC could help industry groups agree on common data standards for EHRs. While some stakeholders we spoke with said that ONC should collaborate by supporting private-sector efforts to improve matching instead of directing those efforts, others said that ONC could potentially play more of a leadership role. Representatives from one HIE, for example, said that ONC could lead an overall effort to improve patient record matching and that private-sector organizations could lead specific actions within that larger effort.", "For their part, ONC officials said that public and private stakeholders should play a role in efforts to improve patient record matching. According to ONC officials, while the agency does not have sufficient resources to support broad implementation of efforts to improve patient record matching, ONC has collaborated with other stakeholders on various patient record matching issues.", "ONC\u2019s August 2018 Interoperability Forum included a \u201cpatient matching track\u201d where industry stakeholders, such as providers, health IT vendors, and researchers, discussed matching challenges and potential solutions. According to ONC officials, this track covered topics such as patient-empowered solutions to matching, including smartphone applications; issues when matching patient medical records across organizations; the development of consensus on patient matching definitions and metrics; and issues when matching records for pediatric patients. The outcomes of this track, according to ONC officials, were increased awareness of a range of patient matching issues; information sharing among speakers and participants; and an opportunity to network and potentially collaborate with individuals on patient matching issues. ONC officials told us that a takeaway for them was that while various approaches to patient matching\u2014including technical approaches such as biometrics and referential matching; efforts regarding unique identifiers; and non- technical approaches such as data quality improvement efforts\u2014may enhance the capacity for matching, additional research is needed.", "ONC participated in the Sequoia Project\u2019s development of that organization\u2019s Framework for Cross-Organizational Patient Identity Management. During the 2018 Interoperability Forum, ONC officials and Sequoia Project representatives presented together about developing consensus on patient record matching definitions and metrics. They discussed definitions outlined in the Framework and encouraged participants to work toward consensus and transparency when measuring and reporting matching metrics, such as by forming local and national workgroups, ONC officials said.", "Looking forward, ONC and some stakeholders said that the agency\u2019s current effort to establish a national framework for exchanging health information electronically is an opportunity for the agency to address patient record matching challenges. As required by the 21st Century Cures Act, ONC is taking steps to develop or support a framework for ensuring the full exchange of health information among health information networks. ONC has referred to this effort as establishing a \u201cnetwork of networks,\u201d and it includes the development of a common agreement among health information networks nationally, which providers and others can use to facilitate the exchange of electronic health information, including patients\u2019 health records. As part of this effort, in January 2018, ONC issued a draft Trusted Exchange Framework that included principles for the trusted exchange of information, as well as minimum required terms and conditions for the Common Agreement. ONC plans to provide funding for an industry entity to incorporate these terms and conditions into a single Common Agreement that participating Qualified Health Information Networks (QHIN) and their participants voluntarily agree to adopt.", "While it is too soon to tell how this ONC effort will be implemented, several stakeholders said that it could potentially improve patient record matching if, for example, it results in new guidance or standards about demographic data elements. One HIE organization, for example, said that it would be beneficial if this effort leverages non-governmental work on matching and synthesizes this work into guidance for the industry. According to ONC officials, the framework is expected to affect patient record matching by requiring participating QHINs to use ONC\u2019s Patient Demographic Data Quality Framework to evaluate their data practices. The agency plans to release a second draft Trusted Exchange Framework and then release a draft Common Agreement and an updated Trusted Exchange Framework for public comment."], "subsections": []}]}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff members have any questions about this report, please contact me at (202) 512-7114 or farbj@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report."], "subsections": []}]}, {"section_title": "Appendix I: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Jessica Farb, (202) 512-7114 or farbj@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals making key contributions to this report include Thomas Conahan (Assistant Director), Robin Burke (Analyst-in-Charge), A. Elizabeth Dobrenz, Krister Friday, Monica Perez-Nelson, Vikki Porter, and Andrea Richardson."], "subsections": []}]}], "fastfact": ["Health care providers increasingly share records electronically. It can be hard to match records to the right patient, and mistakes can have consequences. For example, a doctor might use information from the wrong record when treating a patient.", "Inaccurate, incomplete, or inconsistently formatted data can make record-matching difficult. These data problems can happen for many reasons, e.g., a patient can go by a full name in one record and a nickname in another.", "We explored possible solutions, such as requiring a specific format for recording a patient\u2019s name and address, and sharing best practices for record-matching."]} {"id": "GAO-19-48", "url": "https://www.gao.gov/products/GAO-19-48", "title": "Critical Infrastructure Protection: Actions Needed to Address Significant Weaknesses in TSA's Pipeline Security Program Management", "published_date": "2018-12-18T00:00:00", "released_date": "2018-12-19T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["More than 2.7 million miles of pipeline transport and distribute oil, natural gas, and other hazardous products throughout the United States. Interstate pipelines run through remote areas and highly populated urban areas, and are vulnerable to accidents, operating errors, and malicious physical and cyber-based attack or intrusion. The energy sector accounted for 35 percent of the 796 critical infrastructure cyber incidents reported to DHS from 2013 to 2015. Several federal and private entities have roles in pipeline security. TSA is primarily responsible for the oversight of pipeline physical security and cybersecurity.", "GAO was asked to review TSA's efforts to assess and enhance pipeline security and cybersecurity. This report examines, among other objectives: (1) the guidance pipeline operators reported using to address security risks and the extent that TSA ensures its guidelines reflect the current threat environment; (2) the extent that TSA has assessed pipeline systems' security risks; and (3) the extent TSA has assessed its effectiveness in reducing pipeline security risks.", "GAO analyzed TSA documents, such as its Pipeline Security Guidelines ; evaluated TSA pipeline risk assessment efforts; and interviewed TSA officials, 10 U.S. pipeline operators\u2014selected based on volume, geography, and material transported\u2014and representatives from five industry associations."]}, {"section_title": "What GAO Found", "paragraphs": ["Pipeline operators reported using a range of guidelines and standards to address physical and cybersecurity risks, including the Department of Homeland Security's (DHS) Transportation Security Administration's (TSA) Pipeline Security Guidelines , initially issued in 2011. TSA issued revised guidelines in March 2018 to reflect changes in the threat environment and incorporate most of the principles and practices from the National Institute of Standards and Technology's Framework for Improving Critical Infrastructure Cybersecurity . However, TSA's revisions do not include all elements of the current framework and TSA does not have a documented process for reviewing and revising its guidelines on a regular basis. Without such a documented process, TSA cannot ensure that its guidelines reflect the latest known standards and best practices for physical security and cybersecurity, or address the dynamic security threat environment that pipelines face. Further, GAO found that the guidelines lack clear definitions to ensure that pipeline operators identify their critical facilities. GAO's analysis showed that operators of at least 34 of the nation's top 100 critical pipeline systems (determined by volume of product transported) deemed highest risk had identified no critical facilities. This may be due, in part, to the guidelines not clearly defining the criteria to determine facilities' criticality.", "To assess pipeline security risks, TSA conducts pipeline security reviews\u2014Corporate Security Reviews and Critical Facility Security Reviews\u2014to assess pipeline systems' vulnerabilities. However, GAO found that the number of TSA security reviews has varied considerably over the last several years, as shown in the table on the following page.", "TSA officials stated that staffing limitations have prevented TSA from conducting more reviews. Staffing levels for TSA's Pipeline Security Branch have varied significantly since fiscal year 2010 with the number of staff ranging from 14 full-time equivalents in fiscal years 2012 and 2013 to 1 in 2014. Further, TSA does not have a strategic workforce plan to help ensure it identifies the skills and competencies\u2014such as the required level of cybersecurity expertise\u2014necessary to carry out its pipeline security responsibilities. By establishing a strategic workforce plan, TSA can help ensure that it has identified the necessary skills, competencies, and staffing.", "GAO also identified factors that likely limit the usefulness of TSA's risk assessment methodology for prioritizing pipeline system reviews. Specifically, TSA has not updated its risk assessment methodology since 2014 to reflect current threats to the pipeline industry. Further, its sources of data and underlying assumptions and judgments regarding certain threat and vulnerability inputs are not fully documented. In addition, the risk assessment has not been peer reviewed since its inception in 2007. Taking steps to strengthen its risk assessment, and initiating an independent, external peer review would provide greater assurance that TSA ranks relative risk among pipeline systems using comprehensive and accurate data and methods.", "TSA has established performance measures to monitor pipeline security review recommendations, analyze their results, and assess effectiveness in reducing risks. However, these measures do not possess key attributes\u2014such as clarity, and having measurable targets\u2014that GAO has found are key to successful performance measures. By taking steps to ensure that its pipeline security program performance measures exhibit these key attributes, TSA could better assess its effectiveness at reducing pipeline systems' security risks. Pipeline Security Branch officials also reported conducting security reviews as the primary means for assessing the effectiveness of TSA's efforts to reduce pipeline security risks. However, TSA has not tracked the status of Corporate Security Review recommendations for the past 5 years. Until TSA monitors and records the status of these reviews' recommendations, it will be hindered in its efforts to determine whether its recommendations are leading to significant reduction in risk."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO makes 10 recommendations to TSA to improve its pipeline security program management (many are listed on the next page), and DHS concurred.", "GAO recommends, among other things, that the TSA Administrator take the following actions:", "implement a documented process for reviewing, and if deemed necessary, for revising TSA's Pipeline Security Guidelines at defined intervals;", "clarify TSA's Pipeline Security Guidelines by defining key terms within its criteria for determining critical facilities;", "develop a strategic workforce plan for TSA's Security Policy and Industry Engagement\u2018s Surface Division;", "update TSA's pipeline risk assessment methodology to include current data to ensure it reflects industry conditions and threats;", "fully document the data sources, underlying assumptions and judgments that form the basis of TSA's pipeline risk assessment methodology;", "take steps to coordinate an independent, external peer review of TSA's pipeline risk assessment methodology;", "ensure the Security Policy and Industry Engagement\u2018s Surface Division has a suite of performance measures which exhibit key attributes of successful performance measures; and", "enter information on Corporate Security Review recommendations and monitor and record their status."]}], "report": [{"section_title": "Letter", "paragraphs": ["The security of the nation\u2019s pipeline systems is vital to public confidence and the nation\u2019s safety, prosperity, and well-being. More than 2.7 million miles of pipeline transport and distribute the oil, natural gas, and other hazardous liquids that U.S. citizens and businesses depend on to operate vehicles and machinery, heat homes, generate electricity, and manufacture products. The interstate pipeline system runs through remote, as well as highly populated urban areas, and is vulnerable to accidents, operating errors, and malicious attacks. In addition, pipelines increasingly rely on sophisticated networked computerized systems and electronic data, which are vulnerable to cyber attack or intrusion.", "Given that many pipelines transport volatile, flammable, or toxic oil and liquids, and given the potential consequences of a successful physical or cyber attack on life, property, the economy, and the environment, pipeline systems are attractive targets for terrorists, hackers, foreign nations, criminal groups, and others with malicious intent. For example, according to the Transportation Security Administration (TSA)\u2014the federal agency with responsibility for security in all modes of transportation, which includes the oversight of pipeline physical security and cybersecurity\u2014a minor pipeline system disruption could result in commodity price increases while prolonged pipeline disruptions could lead to widespread energy shortages. Further, disruption of any magnitude may affect other domestic critical infrastructure and industries that are dependent on pipeline system commodities.", "Since the September 11, 2001, terrorist attacks, new threats to the nation\u2019s pipeline systems have evolved to include sabotage by environmental activists and cyber attack or intrusion by nations. In October 2016, environmental activists forced the shutdown of five crude oil pipelines in four states. In addition, the U.S. energy sector has experienced cyber intrusions by nation-state actors into their networks. For example, in March 2018, the Federal Bureau of Investigation and the National Cybersecurity and Communications Integration Center (NCCIC) reported that a nation-state had targeted organizations within multiple U.S. critical infrastructure sectors, including the energy sector, and collected information pertaining to Industrial Control Systems (ICS). Also, in April 2012, the Industrial Control Systems Cyber Emergency Response Team reported that an unidentified cyber attacker had conducted a series of cyber intrusions into U.S. natural gas pipeline systems beginning in December 2011.", "The security of federal cyber assets has been on our High Risk list since 1997 and was expanded to include the protection of critical cyber infrastructure in 2003. In September 2018, we issued an update to the information security high-risk area that identified actions needed to address cybersecurity challenges facing the nation. We last reported on pipeline security in 2010 and made eight recommendations to TSA to develop outcome-based performance measures for assessing TSA\u2019s pipeline security efforts, and to track its corporate security reviews and critical facility inspections\u2019 recommendations, among others. We discuss some of these recommendations in more detail later in this report. In 2012, we reviewed information provided by TSA and closed the recommendations as implemented.", "You requested that we review TSA\u2019s efforts to enhance pipeline physical security and cybersecurity. This report examines the following objectives: 1. how do pipeline sector stakeholders share security-related 2. what guidance do pipeline operators report using to address security risks and to what extent does TSA ensure its guidelines reflect the current threat environment; 3. to what extent has TSA assessed security risks to pipeline systems; 4. to what extent has TSA assessed its effectiveness in reducing pipeline security risks.", "For each objective, we interviewed representatives of the five major associations with ties to the pipeline industry: the American Petroleum Institute (API), the Association of Oil Pipe Lines, the American Gas Association (AGA), the Interstate Natural Gas Association of America (INGAA), and the American Public Gas Association. We also interviewed a nonprobability sample of security personnel from 10 pipeline operators. We selected the 10 pipeline operators from TSA\u2019s list of the top 100 critical pipeline systems. We chose operators to ensure a mixture of the following characteristics: (a) type of pipeline commodity transported (i.e., natural gas or hazardous oil and liquids); (b) volume of product transported; and (c) whether or not the pipeline operators\u2019 critical facilities had been the subject of a TSA security review. We also considered the location of selected operators\u2019 pipeline systems to ensure that a single state or region was not overrepresented in our sample. We then conducted semistructured interviews to obtain operators\u2019 perspectives on pipeline security and the role of federal agencies in assisting operators with security activities. While the information gathered during operator interviews cannot be generalized to all pipeline operators, it provides a range of perspectives on a variety of topics relevant to pipeline security.", "To identify how pipeline sector stakeholders share security-related information, we reviewed documents describing federal agencies\u2019 processes for sharing security-related information with federal partners and private industry. In addition, we reviewed relevant documents from TSA and other federal entities, including the Department of Transportation (DOT), DOT\u2019s Pipeline and Hazardous Materials Safety Administration (PHMSA), the Department of Energy (DOE), and the Federal Energy Regulatory Commission (FERC). We also interviewed agency and industry officials to gather their perspectives on how security information is shared among pipeline sector stakeholders.", "To identify the guidance pipeline operators report using to address security risks and the extent to which TSA ensures its guidelines reflect the current threat environment, we reviewed TSA\u2019s 2018 Pipeline Security Guidelines and compared the cybersecurity-related sections to applicable standards of the National Institute of Standards and Technology\u2019s (NIST) Framework for Improving Critical Infrastructure Cybersecurity. We also interviewed federal officials to identify security- related standards and guidance issued. In addition, we obtained from industry officials the security-related standards and guidance they use and asked them about any challenges they experienced in implementing TSA\u2019s Pipeline Security Guidelines. Based on the results of our operator interviews, we analyzed TSA data on critical facility identification. Further, to assess TSA\u2019s process for updating the guidelines, we compared the process with TSA\u2019s Pipeline Security Smart Practice Observations for pipeline operators and our Standards for Internal Control in the Federal Government.", "To determine the extent TSA has assessed security risks to pipelines, we reviewed key threat assessments from TSA, such as its Pipeline Modal and Cyber Modal Threat Assessments and Transportation Sector Security Risk Assessments that it issued during calendar years 2011 through 2017. We also evaluated TSA\u2019s identification of the 100 most critical pipeline systems, its methods for assessing relative risk among those systems, and its prioritization of its pipeline reviews. As part of that evaluation, we assessed the reliability of the data within TSA\u2019s pipeline relative risk ranking tool by performing electronic and manual checks for such things as logic errors and missing data. Additionally, we interviewed TSA officials about how the risk tool is updated and maintained to ensure data reliability. We determined the data were sufficiently reliable for the purpose of our review. We also interviewed TSA officials about the methods they used to rank relative risk among pipeline systems and the extent to which those methods aligned with the National Infrastructure Protection Plan 2013: Partnering for Critical Infrastructure Security and Resilience (NIPP), other Department of Homeland Security (DHS) priorities, and previously identified best practices for program management and risk assessment. We also analyzed information on the number of pipeline security reviews\u2014 Corporate Security Reviews (CSR) and Critical Facility Security Reviews (CFSR)\u2014that TSA conducted by fiscal year, as well as TSA staffing levels and contractor support. Further, we interviewed TSA officials about their staffing allocation and workforce planning process and compared TSA\u2019s process to our previous work which identified principles that a strategic workforce planning process should follow.", "To further our understanding of TSA\u2019s pipeline security review processes, we observed TSA officials and contractors conduct one CSR of one pipeline system, and three CFSRs at three critical facilities in the Houston and Beaumont, Texas, areas. While the results of our observations cannot be generalized to all CSRs and CFSRs or all pipeline systems and critical facilities, they provided us with an understanding of how TSA conducts these reviews and inspections. We also interviewed representatives of Secure Solutions International\u2014a security and risk management consulting firm that assists TSA in conducting CSRs and CFSRs\u2014about critical facilities and the inspection process.", "To determine the extent TSA has assessed its effectiveness in reducing pipeline security risks, we assessed key strategic documents, such as TSA\u2019s performance report, against our key characteristics of effective performance measures. We also reviewed TSA guidance, such as the standard operating procedures outlining how TSA staff are to conduct pipeline security reviews and monitor operators\u2019 implementation of their recommendations. We then compared TSA\u2019s assessment efforts to our Standards for Internal Control in the Federal Government. In addition, we evaluated the databases TSA officials reported using to analyze and record the results and recommendations of pipeline security reviews. We reviewed each database to determine what information was stored in them, such as the number of observations, what fields were present, and typical entries within each field. We then reviewed and conducted electronic testing on the universe of fields and observations. Although we identified limitations, which we discuss later in the report, we found that the data was sufficiently reliable to provide general information such as summary figures describing pipeline security reviews completed. We also interviewed TSA officials to understand TSA\u2019s efforts to assess its overall effectiveness in reducing pipeline security risks and related data collection efforts.", "We conducted this performance audit from June 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Overview of the U.S. Pipeline System", "paragraphs": ["The national pipeline system consists of more than 2.7 million miles of networked pipelines transporting oil, natural gas, and other hazardous liquids. Hazardous liquid and natural gas pipelines\u2014primarily buried underground in the continental United States\u2014run under remote and open terrain, as well as densely populated areas. These pipelines are of three main types:", "Hazardous liquid: About 216,000 miles of hazardous liquid pipeline transport crude oil, diesel fuel, gasoline, jet fuel, anhydrous ammonia, and carbon dioxide.", "Natural gas transmission and storage: About 319,000 miles of pipeline\u2014mostly interstate\u2014transport natural gas from sources to communities.", "Natural gas distribution: About 2.2 million miles of pipeline\u2014mostly intrastate\u2014transport natural gas from transmission sites to consumers.", "Figure 1 depicts the network of hazardous liquid and natural gas transmission pipelines in the United States.", "More than 3,000 pipeline companies operate the nation\u2019s pipeline systems, which can traverse multiple states and the U.S. borders with Canada and Mexico. Many pipeline systems are comprised of the pipelines themselves, as well as a variety of facilities, such as storage tanks, compressor stations, and control centers. Most pipeline systems are monitored and moderated through automated ICS or Supervisory Control and Data Acquisition (SCADA) systems using remote sensors, signals, and preprogramed parameters to activate and deactivate valves and pumps to maintain flows within tolerances.", "Federal agencies and pipeline operators determine the criticality of pipeline systems and their facilities based on their importance to the nation\u2019s energy infrastructure; service to installations critical to national defense; or, if attacked, have the potential to cause mass casualties and significant impact on public drinking water affecting major population centers. Accordingly, those determined to be critical merit increased attention to security. However, as we previously reported, the inherent design and operation of U.S. pipeline systems may reduce some potential impacts of lost service. The pipeline sector is generally considered to be resilient and versatile. Historically, pipeline operators have been able to quickly respond to the adverse consequences of an incident\u2014whether it is damage from a major hurricane or a backhoe\u2014and quickly restore pipeline service. Pipeline infrastructure also includes redundancies such as parallel pipelines or interconnections that enable operators to reroute material through the network. Figure 2 depicts the U.S. pipeline system, its basic components, examples of vulnerabilities, and the entities to which it supplies energy and raw materials. These entities include utility companies, airports, military sites, and industrial and manufacturing facilities."], "subsections": []}, {"section_title": "Physical and Cyber Threats to Pipeline Systems", "paragraphs": ["According to TSA, pipelines are vulnerable to physical attacks\u2014including the use of firearms or explosives\u2014largely due to their stationary nature, the volatility of transported products, and the dispersed nature of pipeline networks spanning urban and outlying areas. The nature of the transported commodity and the potential effect of an attack on national security, commerce, and public health make some pipelines and their assets more attractive targets for attack. Oil and gas pipelines have been and continue to be targeted by terrorists and other malicious groups globally. Terrorists have also targeted U.S. pipelines, but have not succeeded in attacking them. Further, environmental activists and lone actors seeking to halt the construction of new pipelines through sabotage have recently emerged as a new threat to pipelines. For example, in March 2017, activists used blowtorches to cut holes in empty portions of the Dakota Access Pipeline in two states. In February 2017, local law enforcement officers fatally shot a man who used an assault rifle to damage the Sabal Trail Pipeline, a natural gas pipeline under construction in Florida.", "The sophisticated computer systems that pipeline operations rely on are also vulnerable to various cyber threats. According to DOE, the frequency, scale, and sophistication of cyber threats have increased, and attacks have become easier to launch. NCCIC reported that the energy sector, which includes pipelines, experienced more cyber incidents than any sector from 2013 to 2015, accounting for 35 percent of the 796 incidents reported by all critical infrastructure sectors. In 2016, NCCIC reported that the energy sector was the third most frequently attacked sector. Further, according to DOE, the cost of preventing and responding to cyber incidents in the energy sector is straining the ability of companies to adequately protect their critical cyber systems. For example, a 2015 study by the Ponemon Institute estimated the annualized cost of cyber crime for an average energy company to be about $28 million.", "Ineffective protection of cyber assets from these threats can increase the likelihood of security incidents and cyber attacks that disrupt critical operations; lead to inappropriate access to and disclosure, modification, or destruction of sensitive information; and threaten national security, economic well-being, and public health and safety. Unintentional or nonadversarial threat sources may include failures in equipment or software due to aging, resource depletion, and errors made by end users. They also include natural disasters and failures of critical infrastructure on which the organization depends, but that are outside of the control of the organization.", "Intentional or adversarial threats may include corrupt employees, criminal groups, terrorists, and nations that seek to leverage the organization\u2019s dependence on cyber resources (i.e., information in electronic form, information and communications technologies, and the communications and information-handling capabilities provided by those technologies). These threat adversaries vary in terms of their capabilities, their willingness to act, and their motives, which can include seeking monetary gain or seeking an economic, political, or military advantage.", "Cyber threat adversaries make use of various techniques, tactics, practices, and exploits to adversely affect an organization\u2019s computers, software, or networks, or to intercept or steal valuable or sensitive information. For example, an attacker could infiltrate a pipeline\u2019s operational systems via the internet or other communication pathways to potentially disrupt its service and cause spills, releases, explosions, or fires. Moreover, ICS, which were once largely isolated from the Internet and the company\u2019s information technology systems, are increasingly connected in modern energy systems, allowing cyber attacks to originate in business systems and migrate to operational systems. For example, malicious nation-state actors used spear-phishing and other similar approaches in 2018 against energy sector organizations to gain access to their business systems, conduct reconnaissance, and collect information about their ICS. Similarly, in April 2012, the Industrial Control Systems Cyber Emergency Response Team reported that an unidentified cyber attacker had conducted a series of cyber intrusions into U.S. natural gas pipeline systems beginning in December 2011."], "subsections": []}, {"section_title": "Key Critical Infrastructure Protection Guidance and Presidential Directives", "paragraphs": ["Federal policy and public-private plans establish roles and responsibilities for the protection of critical infrastructure, including pipelines. These include Presidential Policy Directive 21 (PPD-21), the NIPP, and Executive Order 13636. PPD-21, issued in February 2013, reflects an all- hazards approach to protecting critical infrastructure, including natural disasters, terrorism, and cyber incidents. The directive also identifies the 16 critical infrastructure sectors and assigns roles and responsibilities for each critical infrastructure sector among nine designated federal sector-specific agencies.", "While PPD-21 identified the critical infrastructure sectors and assigned responsibility for each sector\u2019s sector-specific agency, the NIPP outlines critical infrastructure stakeholder roles and responsibilities regarding critical security and resilience. It describes a voluntary partnership model as the primary means of coordinating government and private sector efforts to protect critical infrastructure. As part of the partnership structure, the designated sector-specific agencies serve as the lead coordinators for security programs of their respective sector. As sector-specific agencies, federal departments or agencies lead, facilitate, or support the security and resilience programs and associated activities of their designated critical infrastructure sector. For example, DHS and DOT are both designated as sector-specific agencies for the transportation systems sector, which includes pipelines. Each sector also has a government coordinating council, consisting of representatives from various levels of government, and many have a sector coordinating council (SCC) consisting of owner-operators of these critical assets or members of their respective trade associations. For example, the Transportation Government Coordinating Council has been established, and the Pipeline Modal SCC has been established to represent pipeline operators.", "The NIPP also outlines a risk management framework for critical infrastructure protection. As shown in Figure 3, the NIPP uses a risk management framework as a planning methodology intended to inform how decision makers take actions to manage risk. The risk management framework calls for public and private critical infrastructure partners to conduct risk assessments to understand the most likely and severe incidents that could affect their operations and communities, and use this information to support planning and resource allocation.", "According to DHS, the risk management framework is influenced by the nature and magnitude of a threat, the vulnerabilities to that threat, and the consequences that could result, as shown in Figure 4.", "Federal policy has encouraged voluntary information-sharing mechanisms between the federal government and critical infrastructure owners and operators. For example, Information Sharing and Analysis Centers (ISAC) are formed by critical infrastructure owners and operators to gather, analyze, appropriately sanitize, and disseminate intelligence and information related to critical infrastructure. They typically collect, analyze and disseminate actionable threat information to their members and provide members with tools to mitigate risks and enhance resiliency. ISACs in which pipeline operators may participate have been formed including the Oil and Natural Gas ISAC, Downstream Natural Gas ISAC, and Electricity ISAC.", "Finally, in February 2013, the president issued Executive Order 13636, Improving Critical Infrastructure Cybersecurity, which cited repeated cyber intrusions into critical infrastructure as demonstrating the need for improved cybersecurity. Executive Order 13636 outlined actions for improving critical infrastructure cybersecurity, including direction for the National Institute of Standards and Technology (NIST) to lead the development of a voluntary risk-based cybersecurity framework that would comprise a set of industry standards and best practices to help organizations manage cybersecurity risks. NIST issued the framework in 2014 and updated it in April 2018. The order also addressed the need to improve cybersecurity information sharing and collaboratively develop risk-based standards and stated that U.S. policy was to increase the volume, timeliness, and quality of cyber threat information shared with private sector entities so that these entities may better protect and defend themselves against cyber threats."], "subsections": []}, {"section_title": "Pipeline Stakeholders\u2019 Security Roles and Responsibilities", "paragraphs": ["Protecting the nation\u2019s pipeline systems is a responsibility shared by both the federal government and private industry. As a result, several federal departments, agencies, and the private sector have significant roles in pipeline physical and cyber-related security. These entities include the following: Transportation Security Administration (TSA). TSA, within DHS, has primary oversight responsibility for the physical security and cybersecurity of transmission and distribution pipeline systems. Within TSA, the Security Policy and Industry Engagement\u2019s Pipeline Security Branch is charged with overseeing its pipeline security program. Pursuant to its authority, TSA\u2019s Pipeline Security Branch first issued its voluntary Pipeline Security Guidelines in 2011, and released revised guidelines in March 2018. In accordance with the 9/11 Commission Act, TSA\u2019s Pipeline Security Branch identifies the top 100 critical pipeline systems in the nation. To do so, it uses system annual throughput, which is based on the amount of hazardous liquid or natural gas product transported through a pipeline in 1 year (i.e., annual throughput). TSA also ranks the relative risk among the top 100 critical pipeline systems, discussed later in the report. Additionally, TSA\u2019s Pipeline Security Branch is responsible for conducting voluntary Corporate Security Reviews (CSR) and Critical Facility Security Reviews (CFSR), which assess the extent to which the 100 most critical pipeline systems are following the intent of TSA\u2019s Pipeline Security Guidelines. See figure 5 below for an overview of the CSR and CFSR processes.", "In addition, TSA Intelligence and Analysis is responsible for collecting and analyzing threat information related to the transportation network, and sharing relevant threat information to pipeline stakeholders.", "National Cybersecurity and Communications Integration Center (NCCIC). Within DHS, NCCIC assists critical infrastructure owners in addressing cyber incidents and attacks, including those targeting industrial control systems. The NCCIC\u2019s mission is to reduce the likelihood and severity of incidents that may significantly compromise the security and resilience of the nation\u2019s critical information technology and communications networks. NCCIC\u2019s role is to serve as the federal civilian interface for sharing information related to cybersecurity risks, incidents, analysis, and warnings with federal and nonfederal entities, and to provide shared situational awareness to enable real-time actions to address cybersecurity risks and incidents to federal and nonfederal entities.", "Pipeline and Hazardous Materials Safety Administration (PHMSA). PHMSA, within DOT, is responsible for regulating the safety of hazardous materials transportation and the safety of pipeline systems, some aspects of which can be related to pipeline security. In 2004, PHMSA and TSA entered into a memorandum of understanding regarding their respective roles in all modes of transportation. In 2006, they signed an annex to the memorandum of understanding that further delineates lines of authority and responsibility between TSA and PHMSA on pipeline and hazardous materials transportation security. The annex identifies TSA as the lead federal entity for transportation security, including hazardous materials and pipeline security, and PHMSA as responsible for administering a national program of safety in natural gas and hazardous liquid pipeline transportation, including identifying pipeline safety concerns and developing uniform safety standards.", "Department of Energy (DOE). DOE is responsible for protecting electric power, oil, and natural gas delivery infrastructure and, in December 2015, was identified in statute as the sector-specific agency for cybersecurity for the energy sector. The Office of Cybersecurity, Energy Security, and Emergency Response is the lead for DOE\u2019s cybersecurity efforts. In addition, DOE operates the National SCADA Test Bed Program, a partnership with Idaho National Laboratory, Sandia National Laboratories, and other national laboratories which addresses control system security challenges in the energy sector. Among its key functions, the program performs control systems testing, research, and development; control systems requirements development; and industry outreach.", "Federal Energy Regulatory Commission (FERC). FERC regulates the U.S. bulk electric power system, which is increasingly powered by natural gas pipeline systems. FERC has regulatory authority over interstate natural gas pipelines under the Natural Gas Act. However, its role is limited to natural gas pipeline siting and rate regulation. The North American Electric Reliability Corporation is the federally designated U.S. Electric Reliability Organization, and is overseen by FERC. The North American Electric Reliability Corporation, with approval from FERC, has developed mandatory critical infrastructure protection standards for protecting electric utility\u2013critical and cyber-critical assets.", "Private sector. Although TSA has primary federal responsibility for overseeing interstate pipeline security, private sector pipeline operators are responsible for implementing asset-specific protective security measures. As we previously reported, operators have increased their attention on security by incorporating security practices and programs into their overall business operations. Pipeline operators\u2019 interests and concerns are primarily represented by five major trade associations with ties to the pipeline industry\u2014the Interstate Natural Gas Association of America (INGAA), American Gas Association (AGA), American Public Gas Association, American Petroleum Institute (API), and Association of Oil Pipe Lines. According to TSA officials, pipeline operators, and association representatives, these associations have worked closely with the federal government on a variety of pipeline security-related issues, including collaborating on TSA\u2019s voluntary standards and information sharing."], "subsections": []}]}, {"section_title": "Federal and Nonfederal Pipeline Stakeholders Exchange Risk- Related Security Information", "paragraphs": ["All of the pipeline operators and pipeline association representatives we interviewed reported receiving security information from federal and nonfederal entities. Pipeline operators also reported providing security- related information to federal agencies, including TSA, as incidents occur. Multiple federal entities exchange alerts of physical and cybersecurity incidents and other risk-related information with critical infrastructure partners, including pipeline operators. For example, DHS components including TSA\u2019s Intelligence and Analysis and NCCIC share security- related information on physical and cyber threats and incidents with sector stakeholders. Specifically, Intelligence and Analysis provides quarterly intelligence briefings to pipeline operators. NCCIC also issues indicator bulletins, which can contain information related to cyber threat indicators, defensive measures, and cybersecurity risks and incidents.", "In addition, TSA and other federal entities have coordinated to address specific pipeline-related security incidents. For example, TSA officials coordinated with DOT, DOE, the Department of Justice, and FERC through the Oil and Natural Gas subsector SCC to address ongoing incidents of vandalism and sabotage of critical pipeline assets by environmental activists in 2016. In July 2017, according to DOT officials, PHMSA and TSA collaborated on a web-based portal to facilitate sharing sensitive but unclassified incident information among federal agencies with pipeline-related responsibilities. See table 1 for the key federal information sharing entities and programs that exchange security-related or incident information with critical infrastructure stakeholders, including the pipeline sector.", "Pipeline operators also share security-related information with TSA and the NCCIC. In its Pipeline Security Guidelines, TSA requests that pipeline operators report by telephone or email to its Transportation Security Operations Center (TSOC) any physical security incidents that are indicative of a deliberate attempt to disrupt pipeline operations or activities that could be considered precursors to such an attempt. TSA\u2019s Pipeline Security Guidelines also request that operators report any actual or suspected cyber attacks that could impact pipeline industrial control systems or other information technology-based systems to the NCCIC. According to the TSOC\u2019s operating procedures, if a reported incident meets certain criteria, such as the incident was intended to or resulted in damage or requires a general evacuation of a facility, the TSOC watch officer is then to contact Office of Security and Industry Engagement officials. According to TSA officials, the TSOC does not conduct investigations of the specific security incidents that pipeline operators report. However, TSOC staff do analyze the incident information they receive for national trends and common threats. TSA officials stated that they share their observations with pipeline operators and other critical infrastructure asset owners during monthly and quarterly conference calls that TSA holds with pipeline operators.", "All the pipeline operators and association representatives we interviewed identified other nonfederal information sharing entities, including ISACs, fusion centers, industry associations, and SCCs, which provide forums for exchanging information about physical and cyber incidents throughout the pipeline sector. See table 2 for nonfederal information sharing entities identified as available to pipeline operators.", "Operators and TSA officials reported that the current backlog in granting security clearances for some key pipeline operator employees was a significant factor affecting information sharing between TSA and pipeline operators. TSA officials acknowledged that some pipeline operators have had difficulty obtaining security clearances for key employees due to ongoing backlogs in processing requests by the Office of Personnel Management National Background Investigation Bureau, and that TSA\u2019s ability to share timely information with operators whose staff do not have a clearance may be hindered. Three of the 10 pipeline operators we interviewed identified receiving timely classified security information as a specific challenge due, in part, to difficulties staff have had obtaining security clearances. Further, 7 of the 10 pipeline operators that we interviewed reported experiencing delays in obtaining a security clearance or were aware of others who had experienced this issue. However, according to three operators we interviewed, TSA was helpful in facilitating approval of security clearances for the operators\u2019 personnel to access classified information when necessary.", "This security clearance challenge is not faced by pipeline operators alone. In January 2018, we designated the backlog of investigations for the clearance process and the government-wide personnel security clearance process as a high-risk area. We will continue to monitor agencies\u2019 progress in reducing the backlog and improving the security clearance process."], "subsections": []}, {"section_title": "Pipeline Operators Use a Range of Guidelines and Standards to Address Risks, but TSA\u2019s Guidelines Lack Clear Definitions and a Process for Updating Them", "paragraphs": ["Pipeline operators that we interviewed reported using a range of guidelines and standards to address their physical and cybersecurity risks, and all of them reported implementing TSA\u2019s voluntary Pipeline Security Guidelines that were applicable to their operations. TSA revised and issued its Pipeline Security Guidelines in March 2018, but the revised guidelines lack a defined process to consider updates to supporting guidance such as to the NIST Framework for Improving Critical Infrastructure Cybersecurity (Cybersecurity Framework). Furthermore, TSA has not clearly defined the terms within the criteria that pipeline operators are to use to determine the criticality of their facilities."], "subsections": [{"section_title": "Pipeline Operators Use a Range of Guidelines and Standards to Address Security", "paragraphs": ["Pipeline operators that we interviewed reported using a range of guidelines and standards to address their physical and cybersecurity risks. For example, all 10 of the pipeline operators we interviewed stated they had implemented the voluntary 2011 TSA Pipeline Security Guidelines the operators determined to be applicable to their operations. The guidelines provide TSA\u2019s recommendations for pipeline industry security practices such as establishing a corporate security program and identifying critical facilities among others (see sidebar). Five of the 10 pipeline operators we interviewed characterized the guidelines as generally or somewhat effective in helping to secure their operations, 1 was neutral on their effectiveness, and 4 did not provide an assessment of the guidelines\u2019 effectiveness. However, one operator pointed out that they had not adopted the guidelines\u2019 recommended interval of 36 months or less for conducting security vulnerability assessments due to staffing limitations. Also, another pipeline operator noted that they were working to implement the guidelines in the operations of a newly acquired asset that they determined was not using the guidelines in the same manner as their company.", "All of the pipeline operators we interviewed reported using other guidelines or standards to address pipeline systems\u2019 security risks. For example, pipeline operators reported using and industry association representatives reported that their members use INGAA\u2019s Control Systems Cyber Security Guidelines for the Natural Gas Pipeline Industry, API\u2019s Pipeline SCADA Security standard, and the NIST Cybersecurity Framework as sources of cybersecurity standards, guidelines, and practices that may be scaled and applied to address a pipeline operator\u2019s cybersecurity risks.", "Further, pipeline operators are required to adhere to regulations related to pipeline safety and, depending upon their assets, operations, and location, may be required to adhere to regulations for electrical utilities, chemical storage facilities, and locations near waterways. For example, all pipeline operators must adhere to DOT\u2019s PHMSA safety regulations. In addition, pipeline operators whose systems include chemical facilities may be required to comply with DHS\u2019s Chemical Facility Anti-Terrorism Standards (CFATS). Pipeline operators whose systems include a terminal located on a U.S. port may be required to comply with Maritime Transportation Security Act regulations. For a listing of federal and industry guidelines identified as applicable to security by the pipeline operators, see appendix I."], "subsections": []}, {"section_title": "TSA Does Not Have a Documented Process for Updating Its Pipeline Security Guidelines to Reflect Revisions to Supporting Standards", "paragraphs": ["TSA\u2019s Pipeline Security Branch issued its revised Pipeline Security Guidelines in March 2018, but TSA has not established a documented process to ensure that revisions occur and fully capture updates to supporting standards and guidance. The guidelines were revised to, among other things, reflect the dynamic threat environment and to incorporate cybersecurity principles and practices from the NIST Cybersecurity Framework, which were initially issued in February 2014. To revise the guidelines and incorporate feedback, according to Pipeline Security Branch officials, they incorporated outcomes from pipeline modal threat assessments and best practices from security reviews, and collaborated with pipeline sector stakeholders\u2014including industry associations and other federal agencies with a role in pipeline security. Officials from the industry associations we interviewed confirmed that they provided input to the revised pipeline guidelines, including meeting with and consolidating comments from member pipeline operators. See figure 6 for a timeline of events pertinent to federal pipeline security guidelines.", "TSA\u2019s Pipeline Security Smart Practice Observations for pipeline operators states that security plans should have a documented process to include security plan reviews and updates on a periodic and an as- needed basis. Standards for Internal Control in the Federal Government states that periodic review of policies, procedures, and related control activities should occur to determine their continued relevance and effectiveness in achieving identified objectives or addressing related risks. The NIPP and NIST also emphasize the need to provide updates on incident response guidance and security procedures, respectively. Moreover, other pipeline industry guidance cited by TSA\u2019s guidelines also has a prescribed interval for review and revision. For example, API reviews its standards at least every 5 years.", "However, TSA has not instituted a documented process to consider the need to update the Pipeline Security Guidelines on a regular basis. Pipeline Security Branch officials acknowledged the value of having a defined process for reviewing and, if necessary, revising TSA\u2019s Pipeline Security Guidelines at regular defined intervals to ensure it includes, among other things, newly identified best practices and updated industry guidance that are relevant to pipeline operators, such as the elements of the latest version of NIST\u2019s Cybersecurity Framework. For example, TSA\u2019s revisions to its guidelines incorporated some, but not all of the elements of the NIST Cybersecurity Framework version 1. Specifically, to improve incident response, the NIST framework recommends implementing an incident response analysis and feedback function to a security program. However, TSA\u2019s Pipeline Security Guidelines do not include similar steps for pipelines operators to include in their pipeline security programs. Further, because NIST released version 1.1 of the Cybersecurity Framework in April 2018, the guidelines that TSA released in March 2018 do not incorporate cybersecurity elements that NIST added to the latest Cybersecurity Framework such as the Supply Chain Risk Management category.", "Pipeline Security Branch officials said that they have not instituted a review process on a regular basis because they intended to review and revise TSA\u2019s guidelines on an as-needed basis in response to updated supporting guidance, but could provide no timeline for doing so. Without a documented process defining how frequently Pipeline Security Branch staff are to review and revise its guidelines, TSA cannot ensure that its guidelines reflect the latest known standards and best practices for physical and cybersecurity, or address the persistent and dynamic security threat environment currently facing the nation\u2019s pipeline system."], "subsections": []}, {"section_title": "Pipeline Security Guidelines Lack Clear Definitions to Ensure Pipeline Operators Consistently Apply TSA\u2019s Criteria for Identifying Critical Facilities", "paragraphs": ["Under TSA\u2019s Pipeline Security Guidelines, pipeline operators are to self- identify the critical facilities within their system and report their critical facilities to TSA. TSA\u2019s Pipeline Security Branch conducts CFSRs at the critical facilities that pipeline operators have identified.", "However, our analysis of TSA\u2019s data found that at least 34 of the top 100 critical pipeline systems deemed highest risk indicated that they had no critical facilities. Accordingly, TSA would not conduct a CFSR at any of these systems\u2019 facilities because their operators identified none of them as critical.", "The fact that pipeline operators of about one third of the highest risk systems identified no critical facilities may be due, in part, to the Pipeline Security Branch not clearly defining the criteria outlined in the Pipeline Security Guidelines that pipeline operators are to use to determine the criticality of their facilities. Three of the 10 operators we interviewed stated that some companies reported to TSA that they had no critical facilities, and may possibly be taking advantage of the guidelines\u2019 lack of clarity. Accordingly, operators that report no critical facilities would avoid TSA\u2019s reviews of their facilities. service or deliverability resulting in a state or local government's inability to provide essential public services and emergency response for an extended period of time;", "Significantly damage or destroy national intended use of major rivers, lakes, or waterways (e.g., public drinking water for large populations or disruption of major commerce or public transportation routes); service or deliverability to a significant number of customers or individuals for an extended period of time; operations for an extended period of time (i.e., business critical facilities).", "Our review of the eight criteria included in TSA\u2019s Pipeline Security Guidelines (see sidebar) found that no additional examples or clarification are provided to help operators determine criticality. Although we previously noted that 5 of the 10 operators we interviewed generally found TSA\u2019s Guidelines as a whole helpful in addressing pipeline security, more than half of the operators we interviewed identified TSA\u2019s criticality criteria as a specific area for improvement. Specifically, 3 of the 10 pipeline operators that we interviewed stated that TSA had not clearly defined certain terms within the criteria, and 3 additional operators of the 10 reported that additional consultation with TSA was necessary to appropriately apply the criteria and determine their facilities\u2019 criticality. For example, 2 operators told us that individual operators may interpret TSA\u2019s criterion, \u201ccause mass casualties or significant health effect,\u201d differently. One of these operators that we interviewed stated that this criterion could be interpreted either as a specific number of people affected or a sufficient volume to overwhelm a local health department, which could vary depending on the locality. Another operator reported that because TSA\u2019s criteria were not clear, they created their own criteria which helped the operator identify two additional critical facilities.", "Pipeline Security Branch officials acknowledged there are companies that report having no critical facilities in their pipeline systems. According to Pipeline Security Branch officials, pipeline operators are in the best position to determine which of their facilities are critical, and the companies that have determined that their pipeline systems have no critical facilities also have reported sufficient redundancies to make none of their facilities critical to the continuity of their operations. According to these officials, they have had extensive discussions with pipeline company officials to assess the validity of their criticality determinations, and have closely questioned companies to ensure they have properly applied TSA\u2019s criteria.", "However, according to TSA\u2019s Pipeline Security Guidelines, operators should use a consistent set of criteria for determining the criticality of their facilities. In addition, Standards for Internal Control in the Federal Government states that management should define objectives clearly to enable the identification of risks. To achieve this, management generally defines objectives in specific and measurable terms and ensures the terms are fully and clearly set forth so they can be easily understood.", "Pipeline Security Branch officials acknowledged that the criticality definitions in the Pipeline Security Guidelines could be clarified to be more specific. Additionally, an industry association representative reported that the association, in consultation with TSA, has been developing supplementary guidance for its members to clarify certain terms in TSA\u2019s critical facility criteria. As of October 2018 this guidance is still under review at the association and has not been made available to the association\u2019s members. Pipeline Security Branch officials confirmed they worked with the industry association on its supplementary guidance, but also acknowledged that the supplementary guidance may only be distributed to the association\u2019s membership.", "Without clearly defined criteria for determining pipeline facilities\u2019 criticality, TSA cannot ensure that pipeline operators are applying its guidance uniformly. Further, because TSA selects the pipeline facilities on which to conduct CFSRs based on operators\u2019 determinations, TSA cannot fully ensure that all of the critical facilities across the pipeline sector have been identified using the same criteria, or that their vulnerabilities have been identified and addressed."], "subsections": []}]}, {"section_title": "TSA Assesses Pipeline Risk and Conducts Security Reviews, but Limited Workforce Planning and Shortfalls in Assessing Risk Present Challenges", "paragraphs": ["TSA\u2019s Intelligence and Analysis identifies security risks to pipeline systems through various assessments. Additionally, TSA\u2019s Pipeline Security Branch conducts security reviews to assess pipeline operators\u2019 implementation of TSA\u2019s Pipeline Security Guidelines, but gaps in staffing and lack of a workforce plan may affect its ability to carry out effective reviews. The Pipeline Security Branch also developed a pipeline risk assessment to rank relative risk of the top 100 critical pipeline systems and to prioritize its security reviews of pipeline companies, but shortfalls in its calculations of threat, vulnerability, and consequence may limit its ability to accurately identify pipeline systems with the highest risk. Finally, the pipeline risk assessment has not been peer reviewed to validate the assessment\u2019s data and methodology, which we previously reported as a best practice in risk management."], "subsections": [{"section_title": "TSA Conducts Assessments of Pipeline Security Risks", "paragraphs": ["TSA\u2019s Intelligence and Analysis produces assessments related to pipeline security risks, including Pipeline Modal and Cyber Modal Threat Assessments and the Transportation Sector Security Risk Assessment. The Pipeline and Cyber Modal Threat Assessments are issued on a semiannual basis; TSA Intelligence and Analysis may also issue additional situation-based products on emerging threats. The Pipeline Modal and Cyber Modal Threat Assessments evaluate, respectively, physical and cyber threats to pipelines. The pipeline modal threat assessment evaluates terrorist threats to hazardous liquid and natural gas pipelines, and the cyber modal threat assessment evaluates cyber threats to transportation, including pipelines. Both assessments specifically analyze the primary threat actors, their capabilities, and activities\u2014including attacks occurring internationally\u2014as well as other characteristics of threat.", "The Transportation Sector Security Risk Assessment assesses threat, vulnerability, and consequence for various attack scenarios across the five transportation modes for which TSA is responsible. The scenarios define a type of threat actor\u2014including homegrown violent extremists and transnational extremists, such as al Qaeda and its affiliates\u2014a target, and an attack mode. For example, a scenario might assess the risk of attacks using varying sizes of improvised explosive devices on pipeline system assets. As part of the assessment process, TSA engages with subject matter experts from TSA and industry stakeholder representatives to compile vulnerabilities for each mode, and TSA analyzes both direct and indirect consequences of the various attack scenarios. According to Pipeline Security Branch officials, the assessments produced by TSA\u2019s Intelligence and Analysis provide key information to inform the pipeline security program\u2019s efforts."], "subsections": []}, {"section_title": "TSA Conducts Pipeline Security Reviews to Assess Implementation of Pipeline Guidelines, but Does Not Have a Strategic Workforce Plan to Address Staffing Challenges", "paragraphs": ["According to TSA officials, TSA conducts pipeline security reviews\u2014 Corporate Security Reviews (CSRs) and Critical Facility Security Reviews (CFSRs)\u2014to assess pipeline vulnerabilities and industry implementation of TSA\u2019s Pipeline Security Guidelines. However, as shown by Figure 7 below, the number of CSRs and CFSRs completed by TSA has varied during the last five fiscal years, ranging from zero CSRs conducted in fiscal year 2014 to 23 CSRs conducted in fiscal year 2018, as of July 31, 2018.", "TSA officials reported that staffing limitations have prevented TSA from conducting more reviews. As shown in table 3, TSA Pipeline Security Branch staffing levels (excluding contractor support) have varied significantly over the past 9 years ranging from 14 full-time equivalents (FTEs) in fiscal years 2012 and 2013 to one FTE in fiscal year 2014. They stated that, while contractor support has assisted with conducting CFSRs, there were no contractor personnel providing CSR support from fiscal years 2010 through 2017, but that has now increased to two personnel in fiscal year 2018.", "TSA prioritizes reviewing and collecting information on the nation\u2019s top 100 critical pipeline systems. According to TSA officials, they would need to conduct 46 CSRs in order to review the top 100 critical pipeline systems. In July 2018, TSA officials stated that TSA\u2019s current target was to assess each pipeline company every 2 to 3 years; this would equate to about 15 to 23 CSRs per year. TSA officials stated that they expect to complete 20 CSRs and 60 CFSRs per fiscal year with Pipeline Security Branch employees and contract support, and have completed 23 CSRs through July 2018 for fiscal year 2018.", "Given the ever-increasing cybersecurity risks to pipeline systems, ensuring that the Pipeline Security Branch has the required cybersecurity skills to effectively evaluate pipeline systems\u2019 cybersecurity is essential. Pipeline operators we interviewed emphasized the importance of cybersecurity skills among TSA staff. Specifically, 6 of the 10 pipeline operators and 3 of the 5 industry representatives we interviewed reported that the level of cybersecurity expertise among TSA staff and contractors may challenge the Pipeline Security Branch\u2019s ability to fully assess the cybersecurity portions of its security reviews. TSA officials stated that Security Policy and Industry Engagement staff are working with DHS\u2019s National Protection and Programs Directorate to help address cyber- related needs, including identifying specific cybersecurity skills and competencies required for the pipeline security program. The officials were uncertain, however, whether TSA would use contractor support or support from the National Protection and Programs Directorate to provide identified skills and competencies. TSA officials also stated that Security Policy and Industry Engagement staff work with TSA\u2019s human resource professionals to identify critical skills and competencies needed for Pipeline Security Branch personnel, and helps its workforce maintain professional expertise by providing training and education for any identified skill or competency gaps.", "Our previous work has identified principles that a strategic workforce planning process should follow including developing strategies tailored to address gaps in number, deployment, and alignment of human capital approaches for enabling and sustaining the contributions of all critical skills and competencies. Workforce planning efforts, linked to an agency\u2019s strategic goals and objectives, can enable it to remain aware of and be prepared for its needs, including the size of its workforce, its deployment across the organization, and the knowledge, skills, and abilities needed for it to pursue its mission. Agencies should consider how hiring, training, staff development, performance management, and other human capital strategies can be aligned to eliminate gaps and improve the long-term contribution of skills and competencies identified as important for mission success.", "TSA has not established a workforce plan for its Security Policy and Industry Engagement or its Pipeline Security Branch that identifies staffing needs and skill sets such as the required level of cybersecurity expertise among TSA staff and contractors. When asked for TSA strategic workforce planning documents used to inform staffing allocations related to the pipeline security program, TSA officials acknowledged they do not have a strategic workforce plan. Rather, according to these officials, TSA determines agency-level staffing allocations through the Planning, Programming, Budgeting and Execution process, which is used to decide policy, strategy, and the development of personnel and capabilities to accomplish anticipated missions. According to TSA officials, when they use this process they look at existing resources and then set priorities based on the TSA Administrator\u2019s needs. However, a strategic workforce plan allows an agency to identify and prepare for its needs, such as the size of its workforce, its deployment across the organization, and the knowledge, skills, and abilities needed to pursue its mission. TSA officials stated that the agency has a detailed allocation plan for strategically aligning resources to screen passengers at TSA-regulated airports, but not for the entire agency.", "By establishing a strategic workforce plan, TSA can help ensure it has identified the knowledge, skills, and abilities that the future workforce of TSA\u2019s Pipeline Security Branch may need in order to meet its mission of reducing pipeline systems\u2019 vulnerabilities to physical and cybersecurity risks, especially in a dynamic and evolving threat environment. Further, as greater emphasis is placed on cybersecurity, determining the long- term staffing needs of the Pipeline Security Branch will be essential. Furthermore, a workforce plan could enable TSA to determine the number of personnel it needs to meet its stated goals for conducting CSRs and CFSRs."], "subsections": []}, {"section_title": "TSA Calculates Relative Risk of Pipeline Systems, but Its Ranking Tool Does Not Include Current Data or Align with DHS Priorities to Help Prioritize Security Reviews", "paragraphs": ["After TSA identifies the top 100 critical pipeline systems based on throughput, the Pipeline Security Branch uses the Pipeline Relative Risk Ranking Tool (risk assessment), which it developed in 2007, to assess various security risks of those systems. We previously reported, in 2010, that the Pipeline Security Branch was the first of TSA\u2019s surface transportation modes to develop a risk assessment model that combined all three components of risk\u2014threat, vulnerability, and consequence\u2014to generate a risk score. The risk assessment generates a risk score for each of the 100 most critical pipeline systems and ranks them according to risk. The risk assessment calculates threat, vulnerability, and consequence for each pipeline system on variables such as the amount of throughput in the pipeline system and the number critical facilities. The risk assessment combines data collected from pipeline operators, as well as other federal agencies, such as the Departments of Transportation and Defense, to generate the risk score.", "However, the last time the Pipeline Security Branch calculated relative risk among the top 100 critical pipeline systems using the risk assessment was in 2014. Pipeline Security Branch officials told us that they use the pipeline risk assessment to rank relative risk of the top 100 critical pipeline systems, and the standard operating procedures for conducting CSRs state the results of the risk ranking are the primary factor considered when prioritizing corporate security reviews of pipeline companies. According to Pipeline Security Branch officials, the risk assessment has not changed since 2014 because the Pipeline Security Branch is still conducting CSRs based on the 2014 ranking of pipeline systems.", "As outlined in table 4 below, we identified several factors that likely limit the usefulness of the current risk assessment in calculating threat, vulnerability, and consequence to allow the Pipeline Security Branch to effectively prioritize reviews of pipeline systems. For example, because the risk assessment has not changed since 2014, information on threat may be outdated. Additionally, sources of data and underlying assumption and judgments regarding certain threat and vulnerability inputs to the assessment are not fully documented. For example, threats to cybersecurity are not specifically accounted for in the description of the risk assessment methodology, making it unclear if cybersecurity is part of the assessment\u2019s threat factor. Further, the risk assessment does not include information that is consistent with the NIPP and other DHS priorities for critical infrastructure risk mitigation, such as information on natural hazards and the ability to measure risk reduction (feedback data).", "According to Pipeline Security Branch officials, the risk ranking assessment is not intended to be a fully developed risk model detailing all pipeline factors influencing risk. Rather, officials said they are primarily interested in assessing risk data that impacts security. However, because TSA\u2019s Pipeline Security Program is designed to enhance the security preparedness of the pipeline systems, incorporating additional factors that enhance security into their risk calculation would better align their efforts with PPD-21. For example, PPD-21 calls for agencies to integrate and analyze information to prioritize assets and manage risks to critical infrastructure, as well as anticipate interdependencies and cascading impacts. For a more detailed discussion of the shortfalls we identified, refer to appendix II."], "subsections": []}, {"section_title": "TSA\u2019s Pipeline Risk Assessment Has Not Been Peer Reviewed to Help Validate the Data and Methodology", "paragraphs": ["In addition to the shortfalls identified above, the risk assessment has not been peer reviewed since its conception in 2007. In our past work, we reported that independent, external peer reviews are a best practice in risk management and that independent expert review panels can provide objective reviews of complex issues. According to the National Research Council of the National Academies, external peer reviews should, among other things, address the structure of the assessment, the types and certainty of the data, and how the assessment is intended to be used. The National Research Council has also recommended that DHS improve its risk analyses for infrastructure protection by validating the assessments and submitting them to independent, external peer review.", "Other DHS components have implemented our prior recommendations to conduct peer reviews of their risk assessments. For example, in April 2013, we reported on DHS\u2019s management of its Chemical Facility Anti- Terrorism Standards (CFATS) program and found that the approach used to assess risk did not consider all of the elements of consequence, threat, and vulnerability associated with a terrorist attack involving certain chemicals. The Infrastructure Security Compliance Division, which manages the CFATS program conducted a multiyear effort to improve their risk assessment methodology and included commissioning a peer review by the Homeland Security Studies and Analysis Institute, which resulted in multiple recommendations. As part of the implementation of some of the peer review\u2019s recommendations, DHS conducted peer reviews and technical reviews with government organizations and facility owners and operators, and worked with Sandia National Laboratories to verify and validate the CFATS program\u2019s revised risk assessment methodology, which was completed in January 2017.", "According to Pipeline Security Branch officials, they are considering updates to the risk assessment methodology including changes to the vulnerability and consequence factors. These officials said the risk assessment was previously reviewed within the past 18 months by industry experts and they consider input from several federal partners including DHS, DOT, and the Department of Defense. Officials also said they will consider input from industry experts and federal partners while working on updating the risk assessment. However, most of the proposed changes to the risk assessment methodology officials described are ones that have been deliberated since our last review in 2010. Therefore, an independent, external peer review would provide the opportunity for integration and analysis of additional outside expertise across the critical infrastructure community.", "While independent, external peer reviews cannot ensure the success of a risk assessment approach, they can increase the probability of success by improving the technical quality of projects and the credibility of the decision-making process. According to the National Research Council of the National Academies, independent, external peer reviews should include validation and verification to ensure that the structure of the risk assessment is both accurate and reliable. Thus, an independent, external peer review would provide better assurance that the Pipeline Security Branch can rank relative risk among pipeline systems using the most comprehensive and accurate threat, vulnerability, and consequence information."], "subsections": []}]}, {"section_title": "TSA Has Established Performance Measures, but Limitations Hinder TSA\u2019s Ability to Determine Pipeline Security Program Effectiveness", "paragraphs": ["TSA has established performance measures, as well as databases to monitor pipeline security reviews and analyze their results. However, weaknesses in its performance measures and its efforts to record pipeline security review recommendations limit its ability to determine the extent that its pipeline security program has reduced pipeline sector risks. Furthermore, we identified data reliability issues in the information that TSA collects to track the status of pipeline security review recommendations, such as missing data, inconsistent data entry formats, and data entry errors."], "subsections": [{"section_title": "TSA Has Established Performance Measures but Faces Challenges in Assessing the Effectiveness of Its Efforts to Reduce Pipeline Security Risks", "paragraphs": ["TSA has three sets of performance measures for its pipeline efforts: the Pipeline Security Plan in the 2018 Biennial National Strategy for Transportation Security (NSTS), a management measure in the DHS fiscal year 2019 congressional budget justification, and summary figures in their CSR and CFSR databases. As a result of our 2010 work, TSA established performance measures and linked them to Pipeline Security Plan goals within the Surface Security Plan of the 2018 NSTS. See table 5 below for the 2018 NSTS Pipeline Security Plan performance measures.", "As shown in table 6 below, DHS also included a management measure in its fiscal year 2019 congressional budget justification to track the annual number of completed pipeline security reviews.", "Finally, TSA Pipeline Security Branch officials said they use summary figures in the CFSR status database and the CSR goals and priorities database as performance measures. For example, these include the percentage of CFSR recommendations implemented and the average percentage compliance with the guidelines by fiscal year.", "We previously found that results-oriented organizations set performance goals to clearly define desired program outcomes and develop performance measures that are clearly linked to the performance goals. Performance measures should focus on whether a program has achieved measurable standards toward achieving program goals, and allow agencies to monitor and report program accomplishments on an ongoing basis. Our previous work on performance metrics identified 10 attributes of effective performance. Table 7 identifies each key attribute of effective performance measures along with its definition.", "We evaluated the current performance measures included in the 2018 NSTS, the DHS fiscal year 2019 congressional budget justification, the CSR goals and priorities database, and the CFSR status database related to TSA\u2019s Pipeline Security Branch.", "We primarily focused on key attributes which could be applied to individual measures. These include clarity, linkage, measurable targets, objectivity, reliability, and baseline and trend data. Our prior work on performance measurement found that all performance measure attributes are not equal and failure to have a particular attribute does not necessarily indicate that there is a weakness in that area or that the measure is not useful; rather, it may indicate an opportunity for further refinement.", "Based on our evaluation, the TSA-identified measures do not possess attributes that we have identified as being key to successful performance measures. As a result, TSA cannot fully determine the extent to which the Pipeline Security Branch has achieved desired outcomes, including the effectiveness of its efforts to reduce risks to pipelines. Specifically, many of TSA\u2019s measures cover agency goals and mission, but they generally lack clarity and measurable targets, provide significantly overlapping information, and do not include baseline and trend data.", "Clarity. The pipeline-related measures in the 2018 NSTS are not clear because they do not describe the methodology used to calculate them, and the names and definitions are not clearly described. For example, NSTS goal 1 includes an objective to conduct training of employees responding to terrorist attacks. The desired outcome is to improve the capability of industry employees to respond and recover from terrorist attacks. However, the performance measure is the percentage of critical pipeline systems implementing the TSA Pipeline Security Guidelines. It is not clear if this measure is specific to the sections of the guidelines related to employee training or overall implementation of the guidelines. The CFSR status database measures include the percentage of recommendations implemented by topic, such as \u201cSite Specific Security Measures,\u201d \u201cSignage,\u201d or \u201cMiscellaneous.\u201d However, the database does not specifically define these topics or explain the methodology for calculating the measures. Unclear measures could be confusing and misleading to users.", "Core program activities. The pipeline-related measures in the 2018 NSTS cover some of the agency\u2019s core program activities, such as conducting security exercises with the pipeline industry and providing intelligence and information products to the industry. However, the NSTS Pipeline Security Plan measures do not specifically include some core program activities, such as updating the TSA Pipeline Security Guidelines or the results of conducting CSRs and CFSRs in order to collect the information necessary for the existing performance measures. The CSR goals and priorities database and the CFSR status database include measures intended to track some of the results of pipeline security reviews, such as the average percentage compliance with the guidelines by fiscal year and the percentage of CFSR recommendations implemented. If core program activities are not covered, there may not be enough information available in those areas to managers and stakeholders.", "Limited overlap. The pipeline-related measures in the 2018 NSTS do not have limited overlap. As discussed previously, four of the five NSTS measures are based on the percentage of critical pipeline systems implementing TSA\u2019s Pipeline Security Guidelines. The management measure is based on the number of complete pipeline security reviews. The CFSR status database measures are based on the percentage of recommendations implemented overall and by groups. Finally, the CSR goals and priorities database measures are based on the average compliance percentage of companies that had CSRs conducted in fiscal years 2016 and 2017. This is similar to four of the five NSTS measures. Significantly overlapping measures may lead to redundant, costly information that does not add value for TSA management.", "Linkage. The pipeline-related measures in the 2018 NSTS generally exhibited this key attribute. For example, all of the NSTS measures were arranged by agency strategic goals and risk-based priorities. However, the management measure in DHS\u2019s fiscal year 2019 congressional budget justification and the CFSR status database measures did not specify the TSA goals and priorities to which they were aligned. If measures are not aligned with division and agency- wide goals and mission, the behaviors and incentives created by these measures do not support achieving those goals or mission.", "Measurable target. TSA\u2019s measures generally did not include measurable targets in the form of a numerical goal and none of the NSTS measures had measurable targets. For example, the NSTS measure under the Security Planning priority, which tracks the percentage of critical pipeline systems implementing TSA\u2019s Pipeline Security Guidelines, does not state what specific percentages would be considered an improvement in industry security plans. However, the management measure did include target numbers of pipeline security reviews by fiscal year. Both the CFSR status database measures and CSR goals and priorities database measures did not include measurable targets. Without measurable targets, TSA cannot tell if performance is meeting expectations.", "Objectivity. Because the pipeline-related measures in the 2018 NSTS, the CFSR status database, and the CSR goals and priorities database generally lack clarity and measurable targets, TSA cannot ensure its measures are free from bias or manipulation, and therefore, are not objective. If measures are not objective, the results of performance assessments may be systematically overstated or understated.", "Reliability. Because the pipeline-related measures in the 2018 NSTS, the CFSR status database, and the CSR goals and priorities database generally lack clarity, measurable targets, and baseline and trend data, it is not clear if TSA\u2019s measures produce the same result under similar conditions; therefore, the pipeline-related measures are unreliable. If measures are not reliable, reported performance data may be inconsistent and add uncertainty.", "Baseline and trend data. TSA\u2019s measures generally did not include baseline and trend data. For example, none of the NSTS measures included past results and compared them to measurable targets. TSA officials were unable to identify measures or goals to assess the extent to which pipeline operators have fully implemented the guidelines or increased pipeline security, but did say developing a feedback mechanism to measure progress in closing vulnerability gaps was important. However, the management measure did include the number of completed pipeline security reviews for each fiscal year from 2014 through 2017, as well as numerical goals. The CFSR status database includes information on CFSRs conducted from May 22, 2012, through June 29, 2017, but the measures are calculated for the entire time period rather than year-by-year. The CSR goals and priorities database measures include percentage compliance with the guidelines for CSRs conducted in fiscal years 2016 and 2017, as well as a combined measure. However, baseline and trend data are not tracked or reported in either database. Collecting, tracking, developing, and reporting baseline and trend data allows agencies to better evaluate progress being made and whether or not goals are being achieved.", "Pipeline Security Branch officials explained that in addition to the measures reported in the 2018 NSTS Pipeline Security Plan, they primarily rely on measures assessing CSR and CFSR implementation for assessing the value of its pipeline security program. TSA officials reported that they collect and analyze data and information collected from CSRs and CFSRs to, among other things, determine strengths and weaknesses at critical pipeline facilities, areas to target for risk reduction strategies, and pipeline industry implementation of the voluntary Pipeline Security Guidelines. For example, TSA officials reported that they analyzed information from approximately 734 CFSR recommendations that were made during fiscal years 2012 through 2016. They found that pipeline operators had made the strongest improvements in security training, public awareness outreach and law enforcement coordination, and site specific security measures. The most common areas in need of improvement were 24x7 monitoring, frequency of security vulnerability assessments, and proper signage.", "However, as described above, we found those measures also did not comport with key attributes for successful measures and we report below on reliability concerns for underlying data supporting those measures. In addition, while the Pipeline Security Branch may not rely on the measures included in the 2018 NSTS Pipeline Security Plan and the fiscal year 2019 congressional budget justification, they are important for reporting the status of pipeline security efforts to TSA as a whole and to external stakeholders such as Congress.", "Taking steps to ensure that the pipeline security program performance measures exhibit key attributes of successful performance measures could allow TSA to better assess the program\u2019s effectiveness at reducing pipeline physical and cybersecurity risks. This could include steps such as modifying its suite of measures so they are clear, have measurable targets, and add baseline and trend data. Further examples include the following:", "Adding measurable targets consisting of numerical goals could allow TSA to better determine if the pipeline security program is meeting expectations. For example, measurable targets could be added to TSA\u2019s existing measures by developing annual goals for the percentage of recommendations implemented to the CFSR status database and then reporting annual results.", "To make measures clearer, TSA could verify that each measure has a clearly stated name, definition, and methodology for how the measure is calculated. For example, the NSTS objective for security training mentioned above could have more specific language explaining how the measure is calculated and whether it applies to pipeline operators\u2019 implementation of the training-related portions of the TSA Pipeline Security Guidelines or overall implementation.", "Finally, adding baseline and trend data could allow TSA to identify, monitor, and report changes in performance and help ensure that performance is viewed in context. For example, the NSTS measures, CFSR status database measures, and CSR goals and priorities database measures could have annual results from prior years. This could help TSA and external stakeholders evaluate the effectiveness of the pipeline security program and whether it is making progress toward its goals."], "subsections": []}, {"section_title": "TSA Does Not Track the Implementation Status of Past CSR Recommendations, and Supporting Data Are Not Sufficiently Reliable", "paragraphs": ["According to TSA officials, the primary means for assessing the effectiveness of the agency\u2019s efforts to reduce pipeline security risks is through conducting pipeline security reviews\u2014 Corporate Security Reviews (CSRs) and Critical Facility Security Reviews (CFSRs). However, TSA has not tracked the status of CSR recommendations for over 5 years and related security review data are not sufficiently reliable.", "When conducting CSRs and CFSRs, TSA staff makes recommendations to operators, if appropriate. For example, a CSR recommendation might include a suggestion to conduct annual security-related drills and exercises, and a CFSR recommendation might include a suggestion to install barbed wire on the main gate of a pipeline facility. In response to recommendations that we made in our 2010 report, TSA developed three databases to track CSR and CFSR recommendations and their implementation status by pipeline facility, system, operator, and product type. In addition, the agency recently developed a fourth database to collect and analyze information gathered from pipeline operators\u2019 responses to CSR questions. TSA officials reported that they use this database to assess the extent that TSA\u2019s pipeline security program has met NSTS goals and Pipeline Security Branch priorities. TSA officials stated that they use the CSR goals and priorities database for follow-up on recommendations, indications of improvement in pipeline security, and as an input into TSA performance goals and measures, including the performance measures for the 2018 NSTS Pipeline Security Plan.", "We found several problems with the databases that indicate that the pipeline security program data are not sufficiently reliable and do not provide quality information that is current, complete, and accurate. First, the CSR recommendations database only included information for reviews conducted from November 2010 through February 2013. TSA officials stated that the agency stopped capturing CSR recommendations and status information in 2014. A TSA official stated that one factor was that the pipeline staffing level was one FTE in fiscal year 2014. However, the Pipeline Security Branch did not resume entering CSR recommendation-related information when staffing levels rose to 6 FTEs in the following year and beyond. As a result, TSA is missing over 5 years of data for the recommendations it made to pipeline operators when conducting CSRs.", "The agency collected some information from CSRs conducted in fiscal years 2016 and 2017 in the separate CSR goals and priorities database. However, this database does not include all of the information that TSA collects when conducting CSRs. Specifically, the CSR goals and priorities database does not state which companies were reviewed, what specific recommendations were made, or the current status of those recommendations, and only records operators\u2019 responses to 79 of the 222 CSR questions.", "Second, our review identified instances of missing data, inconsistent data entry formats, and data entry errors in the four databases. For example:", "The CSR recommendations database had missing data in all 13 of the included fields and a data entry error shifted 50 observations into the wrong fields, impacting both the Status Date and Completion Code fields.", "The CSR goals and priorities database had seven entries with inconsistent data formatting and five of those entries were not taken into account when calculating summary figures.", "The CFSR recommendations database had missing data in 3 of 9 fields. There was also inconsistent data entry formats in 3 fields.", "The CFSR status database had missing data in 7 of 29 fields and inconsistent data entry formats in 4 fields.", "Finally, TSA has not documented its data entry and verification procedures, such as in a data dictionary or user manual, and does not have electronic safeguards for out-of-range or inconsistent entries for any of the databases it uses to track the status of CSR or CFSR recommendations and analyze operator responses to the CSR. TSA Pipeline Security Branch officials told us that they had not documented data entry and verification procedures and did not have electronic safeguards. This was for two reasons. First, the officials stated that the databases are small and maintained in a commercial spreadsheet program that does not allow for electronic safeguards. However, based on our review of the databases, the spreadsheet program does allow for a variety of electronic safeguards. For example, entries can be restricted to only allow selections from a drop-down list or only allow dates to be entered. Second, only a small number of TSA employees enter information into these databases. TSA officials explained that typically one TSA employee is responsible for entering information from pipeline security reviews, and another individual, usually whoever conducted the review, is tasked to verify the accuracy of the data entered. As a result, according to the officials, any errors would be self-evident and caught during these TSA employees\u2019 reviews.", "Our work has emphasized the importance of quality information for management to make informed decisions and evaluate agencies\u2019 performance in achieving key objectives and addressing risks. The Standards for Internal Control in the Federal Government states that management should use quality information to achieve agency objectives, where \u201cquality\u201d means, among other characteristics, current, complete, and accurate. In addition, DHS\u2019s Information Quality Guidelines state that all DHS component agencies should treat information quality as integral to every step of the development of information, including creation, collection, maintenance, and dissemination. The guidelines also state that agencies should substantiate the quality of the information disseminated through documentation or other appropriate means.", "Without current, complete, and accurate information, it is difficult for TSA to evaluate the performance of the pipeline security program. Until TSA monitors and records the status of these reviews\u2019 recommendations, it will be hindered in its efforts to determine whether its recommendations are leading to significant reduction in risk. By entering information on CSR recommendations and monitoring and recording their status, developing written documentation of its data entry and verification procedures and electronic safeguards, and improving the quality of its pipeline security program data, TSA could better ensure it has the information necessary to effectively monitor pipeline operators\u2019 progress in improving their security posture, and evaluate its pipeline security program\u2019s effectiveness in reducing security risks to pipelines."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["A successful pipeline attack could have dire consequences on public health and safety, as well as the U.S. economy. Recent coordinated campaigns by environmental activists to disrupt pipeline operations, and the successful attempts by nation-state actors to infiltrate and obtain sensitive information from pipeline operators\u2019 business and operating systems, demonstrate the dynamic and continuous threat to the security of our nation\u2019s pipeline network.", "To help ensure the safety of our pipelines throughout the nation, it is important for TSA to address weaknesses in the management of its pipeline security program. TSA\u2019s Pipeline Security Branch revised its security guidelines in March 2018 to, among other things, reflect the dynamic threat environment and incorporate NIST\u2019s Cybersecurity Framework cybersecurity principles and practices. However, without a documented process defining how frequently TSA is to review and, if deemed necessary, revise its guidelines, TSA cannot ensure that its guidelines reflect the latest known standards and best practices for physical and cybersecurity, or address the persistent and dynamic security threat environment currently facing the nation\u2019s pipeline system. Further, without clearly defined criteria for determining pipeline facilities\u2019 criticality, TSA cannot ensure that pipeline operators are applying guidance uniformly and that all of the critical facilities across the pipeline sector have been identified; or that their vulnerabilities have been identified and addressed.", "TSA could improve its ability to conduct pipeline security reviews and the means that it uses to prioritize which pipeline systems to review based on their relative risk ranking. Establishing a strategic workforce plan could help TSA ensure that it has identified the necessary skills, competencies, and staffing allocations that the Pipeline Security Branch needs to carry out its responsibilities, including conducting security reviews of critical pipeline companies and facilities, as well as their cybersecurity posture. Better considering threat, vulnerability, and consequence elements in its risk assessment and incorporating an independent, external peer review in its process would provide more assurance that the Pipeline Security Branch ranks relative risk among pipeline systems using comprehensive and accurate data and methods."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making 10 recommendations to TSA:", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to implement a documented process for reviewing, and if deemed necessary, for revising TSA\u2019s Pipeline Security Guidelines at regular defined intervals. (Recommendation 1)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to clarify TSA\u2019s Pipeline Security Guidelines by defining key terms within its criteria for determining critical facilities. (Recommendation 2)", "The TSA Administrator should develop a strategic workforce plan for its Security Policy and Industry Engagement\u2019s Surface Division, which could include determining the number of personnel necessary to meet the goals set for its Pipeline Security Branch, as well as the knowledge, skills, and abilities, including cybersecurity, that are needed to effectively conduct CSRs and CFSRs. (Recommendation 3)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to update the Pipeline Relative Risk Ranking Tool to include up-to-date data to ensure it reflects industry conditions, including throughput and threat data. (Recommendation 4)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to fully document the data sources, underlying assumptions and judgments that form the basis of the Pipeline Relative Risk Ranking Tool, including sources of uncertainty and any implications for interpreting the results from the assessment. (Recommendation 5)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to identify or develop other data sources relevant to threat, vulnerability, and consequence consistent with the NIPP and DHS critical infrastructure risk mitigation priorities and incorporate that data into the Pipeline Relative Risk Ranking Tool to assess relative risk of critical pipeline systems, which could include data on prior attacks, natural hazards, feedback data on pipeline system performance, physical pipeline condition, and cross-sector interdependencies. (Recommendation 6)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to take steps to coordinate an independent, external peer review of its Pipeline Relative Risk Ranking Tool, after the Pipeline Security Branch completes enhancements to its risk assessment approach. (Recommendation 7)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to ensure that it has a suite of performance measures which exhibit key attributes of successful performance measures, including measurable targets, clarity, and baseline and trend data. (Recommendation 8)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to take steps to enter information on CSR recommendations and monitor and record their status. (Recommendation 9)", "The TSA Administrator should direct the Security Policy and Industry Engagement\u2019s Surface Division to improve the quality of its pipeline security program data by developing written documentation of its data entry and verification procedures, implementing standardized data entry formats, and correcting existing data entry errors. (Recommendation 10)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DHS, DOE, DOT, and FERC. DHS provided written comments which are reproduced in appendix III. In its comments, DHS concurred with our recommendations and described actions planned to address them. DHS, DOE, DOT, FERC, also provided technical comments, which we incorporated as appropriate. We also provided draft excerpts of this product to the American Petroleum Institute (API), the Association of Oil Pipe Lines, the American Gas Association (AGA), the Interstate Natural Gas Association of America (INGAA), the American Public Gas Association, and the selected pipeline operators that we interviewed. For those who provided technical comments, we incorporated them as appropriate.", "With regard to our first recommendation, that TSA implement a documented process for reviewing, and if deemed necessary, for revising its Pipeline Security Guidelines at regular defined intervals, DHS stated that TSA will implement a documented process for reviewing and revising its Pipeline Security Guidelines at regular defined intervals, as appropriate. DHS estimated that this effort would be completed by March 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our second recommendation, that TSA clarify its Pipeline Security Guidelines by defining key terms within its criteria for determining critical facilities, DHS stated that TSA will clarify its Pipeline Security Guidelines by defining key terms within its criteria for determining critical facilities. DHS estimated that this effort would be completed by May 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our third recommendation, that TSA develop a strategic workforce plan for its Security Policy and Industry Engagement's Surface Division, DHS stated that TSA will develop a strategic workforce plan for the division, which includes determining the number of personnel necessary to meet the goals set for the Pipeline Security Branch, as well as the knowledge, skills, and abilities, including cybersecurity, that are needed to effectively conduct CSRs and CFSRs. DHS estimated that this effort would be completed by June 30, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our fourth recommendation, that TSA update the Pipeline Relative Risk Ranking Tool to include up-to-date data in order to ensure it reflects industry conditions, including throughput and threat data, DHS stated that TSA will update the Pipeline Relative Risk Ranking Tool to include up-to-date data in order to ensure it reflects industry conditions, including throughput and threat data. DHS estimated that this effort would be completed by February 28, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our fifth recommendation, that TSA fully document the data sources, underlying assumptions, and judgements that form the basis of the Pipeline Relative Risk Ranking Tool, including sources of uncertainty and any implications for interpreting the results from the assessment, DHS stated that TSA will fully document the data sources, underlying assumptions, and judgements that form the basis of the Pipeline Relative Risk Ranking Tool. According to DHS, this will include sources of uncertainty and any implications for interpreting the results from the assessment. DHS estimated that this effort would be completed by February 28, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our sixth recommendation, that TSA identify or develop other data sources relevant to threat, vulnerability, and consequence consistent with the NIPP and DHS critical infrastructure risk mitigation priorities and incorporate that data into the Pipeline Relative Risk Ranking Tool to assess relative risk of critical pipeline systems, DHS stated that TSA will identify and/or develop other sources relevant to threat, vulnerability, and consequence consistent with the NIPP and DHS critical infrastructure risk mitigation priorities. DHS also stated that TSA will incorporate that data into the Pipeline Risk Ranking Tool to assess relative risk of critical pipeline systems, which could include data on prior attacks, natural hazards, feedback data on pipeline system performance, physical pipeline condition, and cross-sector interdependencies. DHS estimated that this effort would be completed by June 30, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our seventh recommendation, that TSA take steps to coordinate an independent, external peer review of its Pipeline Relative Risk Ranking Tool, after the Pipeline Security Branch completes enhancements to its risk assessment approach, DHS stated that, after completing enhancements to its risk assessment approach, TSA will take steps to coordinate an independent, external peer review of its Pipeline Relative Risk Ranking Tool. DHS estimated that this effort would be completed by November 30, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our eighth recommendation, that TSA ensure that the Security Policy and Industry Engagement's Surface Division has a suite of performance measures which exhibit key attributes of successful performance measures, including measurable targets, clarity, baseline, and trend data, DHS stated that TSA\u2019s Surface Division\u2019s Pipeline Section will develop both physical and cyber security performance measures, in consultation with pipeline stakeholders, to ensure that it has a suite of performance measures which exhibit key attributes of successful performance measures, including measurable targets, clarity, baseline, and trend data. DHS estimated that this effort would be completed by November 30, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our ninth recommendation, that TSA take steps to enter information on CSR recommendations and monitor and record their status, DHS stated that TSA will enter information on CSR recommendations and monitor and record their status. DHS estimated that this effort would be completed by October 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "With regard to our tenth recommendation, that TSA take steps to improve the quality of its pipeline security program data by developing written documentation of its data entry and verification procedures, implementing standardized data entry formats, and correcting existing data entry errors, DHS stated that TSA will develop written documentation of its data entry and verification procedures, implementing standardized data entry formats, and correcting existing data entry errors. DHS estimated that this effort would be completed by July 31, 2019. This action, if fully implemented, should address the intent of the recommendation.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until one day from the report date. At that time, we will send copies to the appropriate congressional committees; the Secretaries of Energy, Homeland Security, and Transportation; the Executive Director of the Federal Energy Regulatory Committee; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Chris Currie at (404) 679-1875 or curriec@gao.gov, and Nick Marinos at (202) 512-9342 or marinosn@gao.gov. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Federal and Industry Security Guidelines and Standards for the Pipeline Sector", "paragraphs": ["This appendix lists security guidance and guidance-related tools that the pipeline operators and industry association officials we interviewed identified as adopted or available in order to secure their physical and cyber operations. This list should not be considered to include all physical and cybersecurity guidance that may be available or used by all pipeline operators nor do all operators use all guidance listed."], "subsections": []}, {"section_title": "Appendix II: Description of Areas for Improvement in the Pipeline Security Branch\u2019s Pipeline Relative Risk Ranking Tool", "paragraphs": ["The Transportation Security Administration\u2019s (TSA) Pipeline Security Branch developed the Pipeline Relative Risk Ranking Tool (risk assessment) in 2007. The risk assessment calculates threat, vulnerability, and consequence on variables such as the amount of throughput in the pipeline system (consequence input). Pipeline Security Branch officials told us that they use the pipeline risk assessment to rank relative risk of the top 100 critical pipeline systems, and the standard operating procedures for conducting Corporate Security Reviews (CSR) state the results of the risk ranking are the primary factor considered when prioritizing CSRs of pipeline companies.", "However, we identified several factors that likely limit the usefulness of the current assessment in calculating threat, vulnerability, and consequence to allow the Pipeline Security Branch to effectively prioritize reviews of pipeline systems. For example, because the risk assessment has not changed since 2014, information on threat may be outdated. Additionally, sources of data and underlying assumption and judgments regarding certain threat and vulnerability inputs to the assessment are not fully documented. For example, threats to cybersecurity are not specifically accounted for in the description of the risk assessment methodology, making it unclear if cybersecurity is part of the assessment\u2019s threat factor. Further, the risk assessment does not include information that is consistent with the National Infrastructure Protection Plan (NIPP) and other Department of Homeland Security (DHS) priorities for critical infrastructure risk mitigation, such as information on natural hazards and the ability to measure risk reduction (feedback data).", "According to Pipeline Security Branch officials, the risk ranking assessment is not intended to be a fully developed risk model detailing all pipeline factors influencing risk. Rather, officials said they are primarily interested in assessing risk data that impacts security. However, because TSA\u2019s Pipeline Security Program is designed to enhance the security preparedness of the pipeline systems, incorporating additional factors that enhance security into their risk calculation of the most critical pipeline systems would better align their efforts with Presidential Policy Directive 21 (PPD-21). For example, PPD-21 calls for agencies to integrate and analyze information to prioritize assets and manage risks to critical infrastructure, as well as anticipate interdependencies and cascading impacts.", "Below we present the various shortfalls in the risk assessment\u2014outdated data, limited description of sources and methodology, and opportunities to better align with the NIPP and other DHS priorities for critical infrastructure risk mitigation\u2014in the context of the components that comprise a risk assessment: threat, vulnerability, and consequence. Whereas in 2010 we made recommendations to improve the consequence component in the pipeline relative risk ranking tool, we have currently identified shortfalls that cut across all risk components: threat, vulnerability, and consequence."], "subsections": [{"section_title": "Threat", "paragraphs": ["We identified several shortfalls in the pipeline risk assessment\u2019s calculation of threat. First, while the risk assessment assesses consequence and vulnerability by pipeline system through use of multiple variables, it currently ranks threat for pipeline systems equally. Second, the evolving nature of threats to pipelines may not be reflected, since the risk assessment was last updated in 2014. Third, the threat calculation does not take into account natural hazards.", "Pipeline Security Branch officials said they currently rank threat equally across pipeline systems because they do not have granular enough threat information to distinguish threat by pipeline. However, ranking threat equally effectively has no effect on the risk calculation for pipeline systems. Further, this judgment is not documented in the risk assessment\u2019s methodology. According to the NIPP, a risk assessment\u2019s methodology must clearly document what information is used and how it is synthesized to generate a risk estimate, including any assumptions and judgments. Additionally, our analysis of the pipeline risk assessment found that it includes at least one field that TSA could use to differentiate threat by pipeline. Specifically, the risk assessment includes a field that accounts for whether a pipeline experienced a previous security threat (including failed attacks), and information provided by Pipeline Security Branch suggests some pipeline systems have experienced such threats.", "However, the Pipeline Security Branch did not capture these events in the risk assessment\u2019s calculation, which Pipeline Security Branch officials said should be part of the threat calculation, but could not account for why they were not calculated for the systems in the risk assessment. These officials also clarified that incidents such as suspicious photography or vandalism do not constitute an attack to be accounted for in the threat calculation. Documenting such assumptions, judgments, or decisions to exclude information could provide increased transparency to those expected to interpret or use the results.", "Pipeline Security Branch officials also said that they ranked threat equally because TSA Intelligence and Analysis data show that threats to the oil and natural gas sector have been historically low, and Intelligence and Analysis does not conduct specific threat analysis against individual pipeline systems. However, the Pipeline Security Branch has not updated the risk assessment since June 2014; therefore, the threat information it used to determine threat calculations\u2014and decide to rank threat equally\u2014may be outdated and not reflect the threats to the industry that have emerged in recent years. In fact, pipeline operators we interviewed indicated that the types of threats that concern pipeline operators have evolved. For example, 5 of the 10 operators we interviewed indicated that environmental activists were an increased threat to the pipeline industry because they use sabotage techniques, such as valve turning and cutting in service pipelines with blow torches, against pipelines. Additionally, 6 of 10 pipeline operators we interviewed said cyber attacks from nation-state actors were a primary threat to their industry. Further, when TSA issued its revised Pipeline Security Guidelines in March 2018, it stated that its revisions to the guidelines were made to reflect the ever-changing threat environment in both the physical and cybersecurity realms. However, threats to cybersecurity are not specifically accounted for in the description of the risk assessment methodology. Recent Pipeline Modal and Cyber Modal Threat Assessments include cyber threats to the pipeline industry, but the description of the pipeline risk assessment\u2019s methodology does not specify what types of threat assessments (sources) are used to calculate its threat score. To better align with the guidance in the NIPP for documenting sources of information when conducting risk assessments, the Pipeline Security Branch should document the information used. Keeping the risk assessment updated with current information, as well as documenting those data sources, could help the Pipeline Security Branch ensure it is using its limited resources to review the pipeline systems with greater risk.", "Natural Hazard Threats to Pipelines The Transportation Systems Sector, of which pipelines are a part, is critical to the Pacific Northwest, but also at risk from natural hazards, like earthquakes. For example, according to the Department of Homeland Security, an earthquake in the Puget Sound region\u2014which relies on the transportation of crude oil from Alaska\u2014could cripple the ports of Seattle and Tacoma, as well as the Olympic and Williams Pipelines greatly impacting the Pacific Northwest Economic Region. Hurricanes are the most frequent disruptive natural hazard for the oil and natural gas subsector and can cause the shutdown of facilities in an area, even when the facilities themselves are not directly affected by the storms. For example, according to the U.S. Energy Information Administration, the flow of petroleum into the New York area via pipeline from the Gulf Coast relies on the ability to move it through major terminals. In August 2017, Hurricane Harvey caused major disruptions to crude oil and petroleum product supply chains, including those to New York Harbor from Houston, Texas via the Colonial Pipeline. Due to the hurricane, decreased supplies of petroleum products available for the pipeline in Houston forced Colonial Pipeline to limit operations temporarily.", "Finally, another shortfall in the current pipeline risk assessment methodology is that it does not account for natural hazards in its threat calculation, even though DHS\u2019s definition of threat includes natural hazards, and security and resilience of critical infrastructure are often presented in the context of natural hazards. According to the NIPP, threat is a natural or manmade occurrence, individual, entity, or action that has or indicates the potential to harm life, information, operations, the environment, and/or property. As such, along with terrorism, criminal activity and cybersecurity, natural disasters are a key element of DHS\u2019s critical infrastructure security and resilience mission.", "According to Pipeline Security Branch officials, there is not sufficient historical data available that would indicate a significant impact from natural disasters on specific pipeline systems. However, we identified possible sources of data for the Pipeline Security Branch to consider. For example, a 2016 RAND Corporation study examined national infrastructure systems\u2019 exposure to natural hazards, including pipelines. Additionally, the Federal Emergency Management Agency (FEMA) has collaborated with stakeholders to develop the National Risk Index to, among other things, establish a baseline of natural hazards risk for the United States While there may not be historical data of natural hazard impact for every pipeline system, consulting other sources or experts could provide regional data or analysis to build a more comprehensive threat picture to help distinguish threats by pipeline system. According to the NIPP, hazard assessments should rely not only on historical information, but also future predictions about natural hazards to assess the likelihood or frequency of various hazards."], "subsections": []}, {"section_title": "Vulnerability", "paragraphs": ["We also identified multiple shortfalls in the vulnerability factors used in the risk assessment methodology, such as the potential uncertainty of the number of critical facilities and incorporating a feedback mechanism to calculate overall risk reduction. Other considerations for vulnerability calculations include physical condition of the pipeline system, cybersecurity activities, and interdependencies among sectors.", "The number of critical facilities a pipeline system has identified is used as an input for its vulnerability calculation in the Pipeline Security Branch\u2019s risk assessment methodology. As discussed earlier, we identified deficiencies in TSA\u2019s criteria for identifying critical facilities, and found that well-defined criteria and consistent application of the criteria for identifying critical facilities could improve the results of the Pipeline Security Branch\u2019s risk assessment. Nevertheless, communicating in the risk assessment the uncertainty that may be inherent in this self-reported information would better align the risk assessment with the NIPP.", "Measuring Effectiveness in a Voluntary Environment According to the National Infrastructure Protection Plan, the use of performance metrics is an important step in the critical infrastructure risk management process to enable assessment of improvements in critical infrastructure security and resilience. The metrics provide a basis for the critical infrastructure community to establish accountability, document actual performance, promote effective management, and provide a feedback mechanism to inform decision making. By using metrics to evaluate the effectiveness of voluntary partnership efforts to achieve national and sector priorities, critical infrastructure partners can adjust and adapt their security and resilience approaches to account for progress achieved, as well as changes in the threat and other relevant environments. Metrics are used to focus attention on areas of security and resilience that warrant additional resources or other changes through an analysis of challenges and priorities at the national, sector, and owner/operator levels. Metrics also serve as a feedback mechanism for other aspects of the critical infrastructure risk management approach.", "Another shortfall in the risk assessment is its inability to reliably measure the progress a pipeline system made in addressing vulnerability gaps between security reviews. The current risk assessment includes a CSR score as part of its vulnerability calculation, which was developed in part in response to our 2010 recommendation to use more reliable data to measure a pipeline system\u2019s vulnerability gap. However, during our review, Pipeline Security Branch officials said they plan to remove pipeline companies\u2019 CSR scores from the risk assessment calculations, because they and industry partners do not have confidence that the score appropriately measures a pipeline system\u2019s vulnerability. For example, Pipeline Security Branch officials explained that pipeline companies consider security factors differently, which can lead to variation in implementing risk reduction activities and by extension lead to different CSR scores. However, removing the CSR score eliminates the only feedback mechanism in the risk assessment from a pipeline company\u2019s actual security review conducted by the Pipeline Security Branch. The NIPP and DHS\u2019s Risk Management fundamentals emphasize the important role that such feedback mechanisms play in risk management. Officials from the Pipeline Security Branch agree on the importance of a feedback mechanism tying results of reviews to a revised vulnerability metric, but said they need a better measure than the current CSR score which is unreliable for comparative and analytic purposes. Developing a feedback mechanism based on implementation of TSA\u2019s Pipeline Security Guidelines could be an important input to the risk assessment\u2019s vulnerability calculation. This information would also inform the amount of risk pipeline companies are reducing by implementing the guidelines and could be used to inform overall risk reduction.", "The physical and cyber environments in which the pipeline sector operates also present vulnerabilities not accounted for in the pipeline risk assessment. In recent years, DHS has listed the potential for catastrophic losses to dramatically increase the overall risk associated with failing infrastructure and highlighted risks due to climate change and natural hazards to pipelines. For example, DHS reported extreme temperatures\u2014such as higher and lower temperatures over prolonged periods of time\u2014increase vulnerability to the critical infrastructure by causing elements to break and cease to function. Pipelines that freeze and then rupture can affect the energy and transportation systems sectors. As noted above, according to the NIPP, a natural or man-made occurrence or action with the potential to harm life is considered a threat, whereas vulnerability is defined as a physical feature or operational attribute that renders an entity open to exploitation or susceptible to a given threat or hazard. While pipeline physical condition is typically thought of in context of safety, pipeline condition or location (such as above or below ground) could touch upon pipeline security as it relates to system vulnerability. For example, a pipeline system or segment of a system with a compromised physical condition due to corrosion or age could affect the system\u2019s vulnerability to threats and affect its ability to recover from such threats by potentially increasing the time a system is offline.", "According to the Transportation Systems Sector-Specific Plan, vulnerabilities to damage in aging transportation infrastructure\u2014of which pipelines are a part\u2014are projected to increase with the continued effects of climate change. Further, according to TSA\u2019s Pipeline Security and Incident Recovery Protocol Plan, pipeline integrity efforts\u2014including the design, construction, operation, and maintenance of pipelines\u2014are important to pipeline security because well-maintained, safe pipelines are more likely to tolerate a physical attack. The Pipeline Security Branch already collects information from the Pipeline and Hazardous Materials Safety Administration (PHMSA) for its risk assessment, specifically information on High Consequence Area and High Threat Urban Area mileage. By considering additional information PHMSA collects on pipeline integrity, the Pipeline Security Branch could also use the information to help pipeline operators identify security measures to help reduce the consequences related to the comparatively higher vulnerability of an aging or compromised system. This would align with the Pipeline Security Branch\u2019s efforts to improve security preparedness of pipeline systems and could better inform its vulnerability calculations for relative risk ranking of pipeline systems.", "Capturing cybersecurity in the risk assessment is also an area for improvement. Pipeline Security Branch officials told us they consulted with the National Cybersecurity and Communications Integration Center to revise TSA\u2019s Pipeline Security Guidelines to align with the National Institute of Standards and Technology (NIST) Cybersecurity Framework and that absent data specific to pipelines on their cybersecurity vulnerabilities, they are unable to include a pipelines\u2019 vulnerability to cyber attack in the risk assessment. However, the Pipeline Security Branch recently updated the security review questions asked of pipeline operators during corporate and critical facility reviews based on the recently updated Pipeline Security Guidelines. Using these updated questions related to companies\u2019 cybersecurity posture, the Pipeline Security Branch could collect additional information on cybersecurity vulnerabilities which could inform the risk assessment. This could be an element of the feedback mechanism described above and emphasized in the NIPP. Additionally, NIST identified several supply chain vulnerabilities associated with cybersecurity, which are not currently accounted for in TSA\u2019s Pipeline Security Guidelines. As pipeline operators implement increasing levels of network technologies to control their systems, the Pipeline Security Branch may not be fully accounting for pipeline systems\u2019 cybersecurity posture by not including the cybersecurity-related vulnerabilities in its risk assessment inputs.", "Finally, we identified shortfalls in cross-sector interdependencies, which could affect vulnerability calculations. According to the NIPP, understanding and addressing risks from cross-sector dependencies and interdependencies is essential to enhancing critical infrastructure security and resilience. The Pipeline Security Branch\u2019s pipeline risk assessment currently considers the effects of a pipeline system\u2019s ability to service assets such as major airports, the electric grid, and military bases. However, consequence is calculated on the loss or disruption of the pipeline system to these other assets and does not capture the dependency of the pipeline system on other energy sources, such as electricity. Weather events such as Gulf of Mexico hurricanes and Superstorm Sandy highlighted the interdependencies between the pipeline and electrical sectors. Specifically, according to a 2015 DHS annual report on critical infrastructure, power failures during Superstorm Sandy in 2012 closed major pipelines for 4 days, reducing regional oil supplies by 35 to 40 percent. The report goes on to say that the interconnected nature of infrastructure systems can lead to cascading impacts and are increasing in frequency. Pipeline Security Branch officials are considering cross-sector interdependencies and said they discuss these factors with operators as they relate to system resiliency. Considering interdependencies of sectors in both directions\u2014such as calculating the likelihood that an input like electricity could fail and cause disruptions to critical pipelines\u2014could improve the calculations in the pipeline risk assessment."], "subsections": []}, {"section_title": "Consequence", "paragraphs": ["As previously discussed, the Pipeline Security Branch last calculated relative risk among the top 100 pipeline systems in 2014. When doing so, it used pipeline systems\u2019 throughput data from 2010 to assess relative risk. According to Pipeline Security Branch officials, the amount of throughput in pipeline systems does not change substantially year to year. However, Standards for Internal Control in the Federal Government calls for management to use quality information to achieve the entity\u2019s objectives, including using relevant data from reliable sources obtained in a timely manner. The Pipeline Security Branch uses throughput data as a consequence factor in the risk assessment to determine a pipeline system\u2019s relative risk score. Throughput changes could affect relative risk ranking and the Pipeline Security Branch\u2019s ability to accurately prioritize reviews based on relative risk."], "subsections": []}]}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Chris P. Currie at (404) 679-1875 or curriec@gao.gov Nick Marinos at (202) 512-9342 or marinosn@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contacts named above, Ben Atwater, Assistant Director; Michael W. Gilmore, Assistant Director; and Michael C. Lenington, Analyst-in-Charge, managed this assignment. Chuck Bausell, David Blanding, Dominick Dale, Eric Hauswirth, Kenneth A. Johnson, Steve Komadina, Susanna Kuebler, Thomas Lombardi, David Plocher, and Janay Sam made significant contributions to this report."], "subsections": []}]}], "fastfact": ["The nation depends on the interstate pipeline system to deliver oil, natural gas, and more. This increasingly computerized system is an attractive target for hackers and terrorists. (Protection of cyber critical infrastructure is on our High Risk List.)", "We found weaknesses in how TSA manages its pipeline security efforts. For example, it has no process for determining when to update its guidelines for pipeline operators. Also, its method for assessing risks needs updating.", "We made 10 recommendations, including establishing better processes for updating guidelines and assessing risks."]} {"id": "GAO-19-132", "url": "https://www.gao.gov/products/GAO-19-132", "title": "Army Modernization: Steps Needed to Ensure Army Futures Command Fully Applies Leading Practices", "published_date": "2019-01-23T00:00:00", "released_date": "2019-01-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In order for the Army to maintain its technological edge over potential adversaries, it plans to invest in near- and long-term modernization efforts. However, the Army has struggled with modernization initiatives in the past. For example, the Future Combat System was canceled after a cost of $21 billion and delivery of few new capabilities.", "The National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to report on the Army's modernization strategy. This report assesses (1) the status of the Army's near- and long-term modernization efforts; and (2) the extent to which the Army has applied leading practices to these efforts. GAO reviewed Army directives, procedures, and policies; and compared the Army's efforts with leading practices for requirements and technology development, effective cross-functional teams, and mergers and organizational transformations."]}, {"section_title": "What GAO Found", "paragraphs": ["Since 2017, when the Army announced its initiative to update its forces and equipment with improved capabilities\u2014known as modernization\u2014it has", "established and assigned eight cross-functional teams to pilot how to address these needs;", "established the Army Futures Command as the focal point for modernization efforts, with a four-star general to oversee it; and", "realigned over $1 billion in science and technology funding to support modernization efforts within the $7.5 billion expected to be spent over the next 5 years.", "To date, the Army has generally applied leading practices identified by GAO to its modernization efforts. For example, the cross-functional team pilots generally applied leading practices for determining requirements and technology development and for establishing effective teams. Similarly, as the Army began the process of establishing the Army Futures Command, it has started to apply the leading practices for mergers and organizational transformations by establishing a clearly defined mission and providing a clear consistent rationale for the command. However, GAO identified other areas where the Army has not fully applied leading practices to its modernization efforts including the following:", "Under the modernization effort, the Army plans to begin weapon systems development at a lower level of maturity than what is recommended by leading practices. GAO has raised concerns about this type of practice for almost two decades for other Army acquisitions, because proceeding into weapon systems development at earlier stages of technology maturity raises the risk that the resulting systems could experience cost increases, delivery delays, or failure to deliver desired capabilities. Taking this approach for acquisitions under the modernization effort raises similar concerns for the Army's six prioritized capability needs.", "The Army has not developed a plan for capturing the lessons learned from the cross-functional team pilots, and therefore may miss an opportunity to leverage the experience of these teams in applying leading practices."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations, including that the Army follow leading practices for maturing technologies to a higher level than currently planned and develop a plan to capture lessons learned from the cross-functional teams. DOD concurred with all the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Army has determined that in order for it to maintain its technological edge over potential adversaries, it must update or upgrade multiple weapon systems\u2014a broad-based effort it refers to as modernization. This modernization effort hinges upon the development of new capabilities through the Department of Defense (DOD) acquisition process. GAO has found that this acquisition process includes developing a clear description of the specific capabilities and characteristics of the system\u2014referred to as requirements. Another key component of the acquisition process is the identification of technologies capable of meeting those requirements and developing them to a level of maturity sufficient for integration into a system in a cost-effective and timely way. Our past work has found that a formal weapons system acquisition program\u2014with dedicated funding and specific timelines for completing system development\u2014should be initiated only after requirements are well-defined and technologies are demonstrated as sufficiently mature.", "The Army\u2019s past efforts at modernization have included several weapon system acquisition programs that were ultimately cancelled\u2014after years of development and billions of dollars spent. The cancellation of these programs was due to, among other things, problems with the development of requirements for these systems and the integration of new technologies into acquisition programs before they reached a sufficiently high-level of maturity. The failure to deliver these new weapon systems resulted in a continued reliance on the aging systems that had been targeted for replacement. Army officials have acknowledged that improvements to the processes used to develop requirements and mature technologies are critical if the Army is to achieve the goals it has set for its new modernization efforts.", "Section 1061 of the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to report on the Army\u2019s modernization strategy. This report is the second that we have issued in response to this mandate and assesses (1) the status of the Army\u2019s efforts to establish new acquisition organizations while balancing near- and long- term modernization; and (2) the extent to which the Army has applied leading practices to do so.", "To assess the Army\u2019s efforts to establish new acquisition organizations and to balance near- and long-term modernization, we reviewed orders and directives the Army used to establish new acquisition organizations\u2014 such as the Army Futures Command\u2014geared toward modernization efforts. We also reviewed Army directives, procedures, and policies to understand changes in Army acquisition practices since 2016. We reviewed the Army\u2019s 2018 Modernization Strategy report and other documents, such as strategic portfolio reviews and budgets, to identify the steps the Army is taking to balance its modernization efforts in the near- and long-term. We also discussed these topics with relevant Army officials to get their perspectives on Army modernization efforts.", "To assess the extent to which Army has applied leading practices, we reviewed our prior work on requirements and technology development, effective cross-functional teams, and mergers and organizational transformations that have identified relevant leading practices that might apply to the Army\u2019s modernization efforts. To assess the extent to which the Army has applied these practices as part of its modernization efforts, we analyzed Army documentation and spoke with cognizant Army officials. See appendix I for more information on our objectives, scope and methodology.", "We conducted this performance audit from January 2018 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Senior Army leadership has acknowledged that the service must change how it develops requirements and acquires weapon systems in order to be successful in future wars. However, the Army\u2019s history of failed, costly weapon system procurements to replace aging weaponry is due, in part, to requirements that could not be met and the immaturity of key technologies. Many of these programs failed to provide any capability to the warfighter despite the time and funding expended. Some examples of these cancelled programs are listed in table 1 below."], "subsections": [{"section_title": "Army Modernization Efforts Since 2017", "paragraphs": ["In the fall of 2017, the Army began a new modernization effort to rapidly develop and field new capabilities. As a part of this effort, the Army\u2019s then-Acting Secretary and the Chief of Staff in an October 3, 2017 memorandum identified six priorities to guide Army modernization: next generation combat vehicle, air and missile defense, and soldier lethality.", "Given that modernization is an ongoing process, and with Army expectations that some capabilities will be delivered sooner than others, we have divided Army modernization into two timeframes for the purposes of this report:", "Near-term modernization: from fiscal years 2019 to 2023, including buying existing systems and technologies to fill the Army\u2019s urgent needs.", "Long-term modernization: fiscal year 2024 and beyond, including the development of new systems and technologies to meet anticipated needs and maintain superiority over major adversaries.", "In September 2018, we addressed the Army\u2019s efforts for near-term modernization. We found that the Army had set decisively defeating near-peer adversaries as an overarching objective, but had not established processes for evaluating its modernization efforts against this objective. We also found that the Army had not yet completed a cost analysis of its near-term modernization efforts. To address these issues, we recommended that the Army develop a plan to finalize processes for evaluating the contributions of its near-term investments to the ability to decisively defeat a near-peer adversary; and finalize and report to Congress its cost analysis of near-term investments. DOD concurred with both of these recommendations.", "As we have previously reported, the Army\u2019s long-term modernization efforts as well as those of the other DOD military services will depend upon adequate and effective investments in science and technology. These are investments that focus on increasing fundamental knowledge of new capabilities, applying that knowledge, and demonstrating the technological feasibility of capabilities."], "subsections": []}, {"section_title": "Army Acquisition Process", "paragraphs": ["As with all the military services in DOD, the Army\u2019s acquisition process generally includes a number of phases including: (1) the materiel solution analysis phase, (2) the technology maturation and risk reduction phase, (3) the engineering and manufacturing development phase, and (4) the production and deployment phase. In this report we refer to these phases more simply as materiel solution analysis, technology development, system development, and production.", "Before these phases begin, the Army must establish requirements to guide the acquisition process. Requirements describe the capability desired to be achieved through the use of operational performance attributes\u2014the testable and measurable characteristics\u2014necessary to the design of a proposed system and for establishing a program\u2019s cost, schedule, and performance baselines. These requirements include the key performance parameters and system attributes that guide a program\u2019s development, demonstration, and testing. The Army approval authority for all Army warfighting capability requirements is the Army Chief of Staff.", "At the end of the initial three phases, the Army holds a milestone review, as shown in figure 1 below, to assess an acquisition program\u2019s readiness to proceed to the next phase, consistent with relevant DOD policies and federal statutes.", "The Assistant Secretary of the Army for Acquisition, Logistics, and Technology is generally the Army\u2019s milestone decision authority. The process is also subject to intermediate reviews by senior Army staff."], "subsections": []}, {"section_title": "Prior GAO Work", "paragraphs": ["We have issued several reports related to the Army\u2019s modernization efforts that assess areas regarding requirements and technology development, effective cross-functional teams, and mergers and organizational transformations:", "Requirements and Technology Development. In our extensive work issued over two decades on requirements and technology development, we have emphasized the importance of promoting leading practices such as communication between end-users and requirements developers; prototyping capabilities as part of technology and product development; and maturing technology to a certain threshold before approving product development.", "Cross-Functional Teams. In February 2018, we identified eight leading practices that effective cross-functional teams should have: effective communication mechanisms; well-defined goals common to the team, team leader, and an inclusive team environment where all team members have collective responsibility and individual accountability for the team\u2019s work; a well-defined team structure with project-specific rules and autonomy to make decisions rapidly; senior managers who view their teams as a priority; commitment to the team\u2019s goals; and leaders empowered to make decisions and provide feedback and developmental opportunities.", "Mergers and Organizational Transformations. In July 2003, we found that the key to successful mergers and organizational transformations is to recognize the \u201cpeople\u201d element and implement strategies to help individuals maximize their full potential while simultaneously managing the risk of reduced productivity and effectiveness that often occurs as a result of changes. We identified nine leading practices new organizations should follow including ensuring top leadership drives the transformation and establishing a communication strategy, among others."], "subsections": []}]}, {"section_title": "Army Is Establishing New Organizations to Lead Modernization Efforts and Prioritizing Solutions to Address Near-term Capability Gaps while Identifying Long-term Needs", "paragraphs": ["The Army\u2019s cross-functional team pilots and early efforts by the Army Futures Command have prioritized closing near-term capability gaps, and have begun planning the transition to long-term capabilities. The cross- functional teams were pilot programs to improve the quality and timeliness of requirements and technology development. These cross- functional teams are transitioning from independent organizations to organizations within the Army Futures Command, which will also subsume other existing Army organizations tasked with modernization. Army Futures Command is in the process of establishing its policies, processes, and functions as well as its relationships with other Army organizations. It plans to reach full capability by July 2019. The Army has already identified near-term priorities and realigned over $1 billion in science and technology funding for long-term modernization. Army Futures Command will be responsible for continuing this prioritization."], "subsections": [{"section_title": "Army Established Cross- Functional Teams to Pilot Its Modernization Efforts", "paragraphs": ["In an attempt to increase the efficiency of its requirements and technology development efforts, the Army established cross-functional team pilots for modernization. A directive from the then-acting Secretary of the Army on October 6, 2017, established eight multi-disciplinary cross-functional teams on a pilot basis. The eight cross-functional team pilots were assigned to address the six priority areas, as outlined in table 2.", "These cross-functional team pilots were intended to: take steps toward achieving the six modernization priorities; leverage expertise from industry and academia; identify ways to use experimentation, prototyping, and demonstrations; and identify opportunities to improve the efficiency of requirements development and the overall defense systems acquisition process.", "Cross-functional team pilots were structured to help achieve these goals. Each cross-functional team pilot consisted of core staff and subject matter experts from across the Army. To facilitate the rapid approval of requirements, each cross-functional team pilot was led by a general officer or a senior civilian official who could communicate directly with the highest levels of the Army. The goal of staffing these teams was to ensure that each team had individuals who specialized in acquisition, requirements, science and technology, test and evaluation, resourcing, contracting, cost analysis, sustainment, and military operations. The goal of bringing different experts together was to facilitate collaboration and immediate opportunities for stakeholders to provide input as opposed to the more traditional requirements development process, in which input has typically been provided separately. Officials told us that, while all of these subject matter experts may have provided input on the requirements development process in the past, placing them on a single team offered the promise of streamlining those efforts and could eliminate the need for multiple reviews. Figure 2 below compares the requirements development process under cross-functional teams to how the Army has traditionally developed requirements.", "The cross-functional team locations chosen by senior Army leadership coincide with the locations of related Army organizations or industry hubs, which could help to facilitate this exchange of ideas among technical experts, and inform prototyping and experimentation. For example, the cross-functional team pilot for the Future Vertical Lift was stationed at Redstone Arsenal where the Army\u2019s existing research, development, and engineering center for aviation is located.", "In congressional testimony, the Commander of Army Futures Command stated that in order to achieve their near- and long-term modernization objectives, they will have to reduce their requirements development timelines from 3 to 5 years to less than 1 year. According to cross- functional team members we spoke with, the cross-functional team pilots were able to demonstrate progress toward achieving the goals set out for them. Specifically, cross-functional team pilots completed requirements documentation for one of the Mounted Assured Positioning, Navigation and Timing System\u2019s capabilities in less than a year; replaced small airborne radio with completion of directed requirement for the Integrated Tactical Network in less than 60 days; and completed requirements documentation for a soldier lethality capability in 15 days as opposed to the expected 4 months."], "subsections": []}, {"section_title": "Army Futures Command Scheduled to Become Fully Operational by July 2019", "paragraphs": ["The Army has taken initial steps to consolidate all its modernization efforts under one authority, in addition to its initiation of the cross- functional team pilots. In particular, the Secretary of the Army established the Army Futures Command through the issuance of a general order on June 4, 2018. According to Army documentation, the intent of the new command is to provide unity of command, accountability, and modernization at the speed and scale required to prevail in future conflicts. This organization is led by a four-star general like its organizational peers: Army Materiel Command, Training and Doctrine Command, and Forces Command. Establishing Army Futures Command is the most significant institutional change to the Army since it reorganized in 1973 in the wake of the Vietnam War.", "The Army is in the process of establishing the new command, but has just begun to define its organizational structures. According to the 2018 Army general order, Army Futures Command reached initial operating capability in July 2018. According to Army Futures Command officials and documentation, the new organization is charged with integrating several existing requirements and technology development organizations\u2014such as Army Capabilities Integration Center in Fort Eustis, Virginia and Research, Development, and Engineering Command headquartered in Aberdeen, Maryland\u2014as well as the cross-functional team pilots. The cross-functional team pilots are in the process of being integrated into the new command and, according to Army officials, will continue to be responsible for managing the Army\u2019s six modernization priorities. In addition, Army Futures Command will be supported by a number of operational and administrative offices to assist the components with executing their missions. According to Army officials and documentation, the new command will be organized around three major components:", "Futures and Concepts: responsible for identifying and prioritizing capability and development needs and opportunities. This organization subsumed the Army Capabilities Integration Center on December 7, 2018\u2014formerly part of Army Training and Doctrine Command, which focuses primarily on the education and training of soldiers.", "Combat Development: responsible for conceptualizing and developing solutions for identified needs and opportunities. This organization will subsume Research, Development and Engineering Command\u2014currently a part of Army Materiel Command, which focuses primarily on sustainment.", "Combat Systems: responsible for refining, engineering, and producing new capabilities. The acquisition program offices will communicate with the new command through this organization to ensure integration of acquisition functions. However, the program offices will continue to report to the Assistant Secretary of the Army for Acquisition, Logistics and Technology.", "Army Futures Command will be headquartered in Austin, Texas, and existing organizations are not expected to change their locations. According to Army officials and documentation, the Army chose Austin because of its proximity to science, technology, engineering, and mathematics talent, as well as private sector innovators that officials believe will assist the command in achieving its modernization goals. According to senior Army leadership we spoke with, the new command headquarters will have around 300 staff in place by July 2019, a workforce that may grow to 500 employees\u2014100 military and 400 civilians. Our analysis of Army\u2019s plans for initial staffing at the Army Futures Command headquarters, based on data from July 1, 2018, found that about one-third of headquarters staff would be involved directly in modernization efforts, such as engineers and operations specialists, and the remainder would consist of support staff, including legal counsel and contracting professionals. Figure 3 shows the locations of the known major Army Futures Command components, the 8 cross-functional teams being integrated under Army Futures Command, and its new headquarters.", "Although initial steps have been taken to establish the new command, key steps have not yet been completed. The Army stated in the executive order establishing the command that it will consider Army Futures Command fully operational once it is sufficiently staffed with operational facilities, secure funding, and the ability to execute its assigned mission, roles, and responsibilities. At full operating capability, officials told us Army Futures Command will also have finalized the organizational structure and the reporting responsibilities of its various components. However, Army Futures Command has not yet established policies and procedures detailing how it will execute its assigned mission, roles, and responsibilities. For example, we found that it is not yet clear how Army Futures Command will coordinate its responsibilities with existing acquisition organizations within the Army that do not directly report to it. One such organization is the Office of the Assistant Secretary of the Army for Acquisition, Logistics and Technology\u2014the civilian authority responsible for the overall supervision of acquisition matters for the Army\u2014and the acquisition offices it oversees. To mitigate concerns about coordination, in August 2018, the Army issued a directive signed by the Secretary of the Army designating the military deputy of this office as an advisor to Army Futures Command, a designation aimed at establishing a means of coordination. Army Futures Command officials have also stated that the Assistant Secretary of the Army for Acquisition, Logistics and Technology will retain full acquisition authorities as required by law. Army documentation shows that further policies and procedures are expected to be issued in 2019."], "subsections": []}, {"section_title": "The Army\u2019s Efforts Have Balanced Modernization by Prioritizing Mitigation of Near-term Capability Gaps while Identifying Long- term Needs", "paragraphs": ["The Army recognizes the need to balance near-term and long-term modernization over time. To do so, the Army has balanced its modernization efforts by funding the closure of near-term capability gaps, and identifying long-term needs to be funded. Since announcing the modernization efforts in 2017, the Army has directed more funding toward closing near-term capability gaps. For example, as part of the planning for the fiscal year 2019 budget process, the Army identified 67 high-priority programs, such as the M-1 Abrams tank and the AH-64 Apache helicopter, with capability gaps in need of further investment. To support these priorities, the Army identified a need for $16 billion in increased funding in fiscal years 2019 through 2023. The 2018 Army Modernization Strategy report identified the need for additional resources for near-term efforts, including plans to spend billions of dollars for acquisition of maneuverable short range air defense capabilities in fiscal years 2020 through 2024. The same report described plans to spend hundreds of millions of dollars over the same period for prototyping technologies for the Next-Generation Combat Vehicle, a longer-term capability.", "The Army has also begun to plan research and development efforts for its long-term modernization needs. The Army identified long-term capabilities for all of the modernization priorities, as well as dates that science and technology efforts should transition to programs of record. Army officials stated that, ultimately, multiple programs of record may be considered for each capability area. For example, the Army identified science and technology efforts to develop an advanced powertrain for the Next Generation Combat Vehicle and identified planned transition dates to the program in fiscal years 2020 and 2023. The 2018 Army Modernization Strategy report provides additional details on long-term modernization efforts for three of its six priorities: Future Vertical Lift, Soldier Lethality, and Next-Generation Combat Vehicle. Figure 4 below presents a timeline for some of the proposed capabilities within each of the six priorities.", "The Army has realigned some resources to support its long-term modernization priorities. In identifying long-term capabilities, we found that the Army has evaluated its science and technology portfolio to determine alignment with the six modernization priorities. For example, as part of an October 2017 review for the office of the Deputy Under Secretary of the Army, the eight cross-functional team pilots examined science and technology investments to identify which efforts contributed to the priorities and which efforts did not contribute to them. According to this review and Army officials, the Army realigned over $1 billion in funding toward the priorities for fiscal years 2019 through 2023, for a total of $7.5 billion directed at these priorities. The review preserved $2.3 billion in funding for basic research for the same time period. According to Army officials, similar science and technology reviews will be conducted annually to help cross-functional teams manage their respective programs\u2019 progress and identify further opportunities for investment.", "To fund future modernization efforts, both the science and technology review and the review for the fiscal year 2020 budget process also identified opportunities to reduce funding for, or eliminate, some existing programs. For example, plans for the air and missile defense portfolio include an option to divest from legacy short range air defense programs in fiscal year 2029 if its Indirect Fires Protection Capability program becomes fully operational. This aligns with statements from Army officials that program decisions will be driven not by specific schedules but by the maturity of replacement capabilities."], "subsections": []}]}, {"section_title": "New Organizations Have Generally Applied Leading Practices but the Army Futures Command Has Taken Limited Steps to Fully Apply These Practices", "paragraphs": ["The Army has generally applied leading practices for technology development and establishing effective cross-functional teams, and has begun to apply leading practices for mergers and organizational transformations for the Army Futures Command. During the Army\u2019s pilot phase for its eight cross-functional teams, the teams took actions consistent with leading practices for technology development, such as bringing together requirements developers and warfighters, planning prototype demonstrations, and maturing technology prior to beginning an acquisition program. The Army\u2019s pilot teams also applied eight leading practices we have identified for establishing effective cross-functional teams to varying degrees. In addition, senior Army leadership has been clear in its support for the new command and has clearly outlined a timeframe for its establishment, actions that are in line with the leading practices for mergers and organizational transformations we have identified in prior work. Whether further application of these leading practices will continue under the new command is unclear as the role of the cross-functional teams has not yet been formalized and Army Futures Command has not yet taken all the steps needed to reach full operational capability."], "subsections": [{"section_title": "Cross-Functional Team Pilots Generally Applied Leading Practices for Technology Development, but Plan to Move into System Development Early", "paragraphs": ["We found that the Army\u2019s eight cross-functional team pilots generally applied leading practices identified in our prior work when it came to their requirements and technology development efforts. As we found in April 2018, positive outcomes result from taking a knowledge-based approach to product development that demonstrates high levels of knowledge before making significant resource commitments. Our review of the Army\u2019s cross-functional team pilots found that they have generally applied leading practices to the following two areas:", "Promoted communication between end-users and requirements developers. The Army directive that established the cross-functional team pilots as well as these teams\u2019 charters state that teams will follow a methodology of collaboration between warfighters and developers to prepare capability documents. An official from the Synthetic Training Environment cross-functional team told us that involving industry representatives and warfighters helps the cross- functional team get \u201ccloser to what \u2018right\u2019 looks like\u201d early in the requirements development process. By promoting communication between industry representatives and warfighters, the cross-functional teams helped ensure that developer resources better matched end- user needs.", "Planned to prototype capabilities as part of technology and product development. The Army directive establishing the cross- functional team pilots states that cross-functional teams should incorporate iterative experimentation and technical demonstrations to inform capability requirements. As an illustration of this practice, officials from the Future Vertical Lift cross-functional team told us that they will hold a \u201cfly off\u201d between two competitive prototypes of the Future Attack Reconnaissance Aircraft in fiscal year 2023 before choosing a design for follow-on testing and integration in fiscal year 2024.", "However, we are concerned that the Army has plans to mature technology to a level lower than the threshold recommended by leading practices before beginning system development. Specifically, we found that the Army\u2019s October 2017 science and technology review identified a goal of demonstrating new technologies in a relevant environment, such as a highly realistic laboratory setting, before transitioning them to specific platforms or programs. As an example, the Soldier Lethality cross- functional team began maturing technology for the next generation squad automatic rifle to this level of maturity to prepare it for the transition to product development, scheduled for the end of fiscal year 2019. Under leading practices that we identified, prototypes should be demonstrated in an operational or realistic environment\u2014not simply in a relevant environment\u2014prior to starting system development to ensure that they work as intended for the end-user.", "The Army\u2019s choice to start a formal acquisition program at lower levels of technology maturity raises concerns that are consistent with those we have raised in the past. Our past work indicates that by demonstrating technologies only in a relevant rather than an operational environment, the Army increases the risk that new capabilities will not perform as intended and require further technological maturation while in system development. This could raise costs and extend timelines for delivery of equipment to the warfighter. For example, almost two decades ago in a 1999 report, we recommended demonstrating technologies in an operational environment prior to system development and DOD concurred with that recommendation. We have also reported the importance of achieving this level of maturity on an annual basis since 2003, most recently in 2018, in our assessment of DOD\u2019s major weapon system acquisition programs. In addition, we again reiterated this leading practice in 2016 in our technology readiness assessment guide.", "While DOD has a policy, based in statute, that generally requires major defense acquisition programs to, at a minimum, demonstrate technologies in a relevant environment before system development, that policy does not preclude the cross-functional teams from pursuing a higher level of maturity. Such an approach would be consistent with leading practices that recommend maturing technologies to a higher level. By applying these leading practices, the cross-functional teams could better ensure that prototypes are demonstrated in an operational or realistic environment prior to starting system development to ensure that they work as intended for the end-user."], "subsections": []}, {"section_title": "Cross-Functional Team Pilots Demonstrated Some Leading Practices for Effective Teams, but Few Steps Taken to Incorporate these Practices in New Command", "paragraphs": ["Our prior work has identified eight leading practices that organizations should use for establishing effective cross-functional teams. In reviewing the Army\u2019s eight cross-functional team pilots, we found that they have applied these practices to varying degrees. Table 3 describes these leading practices.", "All eight Army cross-functional team pilots fully applied four of these leading practices.", "Well-defined team goals. We found that each cross-functional team pilot charter clearly defined its team\u2019s goals. For example, the Long- Range Precision Fires cross-functional team charter states that it will rapidly integrate and synchronize the requirements development process to deliver cutting edge capabilities to the operating force as the best possible return on investment for warfighters. In addition, senior Army leadership approved the charters containing each team\u2019s goals, ensuring that the goals defined for the teams were linked to the Army\u2019s larger goal of modernization.", "Open and regular communication. Members of all eight cross- functional team pilots shared information with each other, sought feedback, and communicated with team leaders and senior Army leadership. For example, officials from the Next Generation Combat Vehicle cross-functional team told us that ongoing dialogue with senior Army leadership resulted in numerous rounds of refined guidance. The cross-functional team took that guidance, reconvened, assessed options, and then presented another round of updates to Army senior leadership. Moreover, the directive establishing the cross-functional team pilots requires that they develop capability documents, informed by experimentation and technical demonstrations, to ensure that planned capabilities are technologically feasible, affordable, and therefore can eventually be provided to soldiers. According to Army officials, developing such documents requires open and regular communication between team members who have expertise in diverse fields such as contracting, cost analysis, and testing.", "Autonomy. The eight cross-functional team pilots\u2019 charters show, and interviews with members confirm, that teams are granted substantial autonomy by senior Army leadership. The cross-functional team charters give teams the authority to solve internal problems through market research, prototyping, technical demonstrations, and user assessments. For example, the Synthetic Training Environment cross- functional team and senior Army leadership stressed to us the importance of experimentation as an opportunity to \u201cfail early and fail cheap.\u201d According to cross-functional team members, this allows cross-functional teams to move on and avoid expensive and time- consuming failures later in the acquisition process, as has happened with Army in the past. Furthermore, cross-functional teams can reach out to subject matter experts needed to develop requirements without having to obtain permission from senior Army leadership.", "Committed team members. All eight cross-functional team pilots include members with expertise in diverse fields who are committed to achieving team goals. For example, the Network cross-functional team charter states that the team should consist of experienced and committed subject matter experts executing disciplined initiatives and willing to take prudent risks. In addition, the directive establishing the cross-functional teams states that they should leverage industry and academia where appropriate to increase knowledge and expertise. Staffing information provided by multiple cross-functional teams demonstrates the diversity of expertise the Army has applied to these efforts. Cross-functional team members also provided us with multiple examples of how their teams have leveraged outreach with industry and academia to improve their understanding of requirements and technology.", "Additionally, we found that the eight cross-functional team pilots have at least partially applied the following four leading practices.", "Senior management support. Senior Army leaders, including the Secretary and the Chief of Staff, have championed the cross- functional team pilots in public statements. Although an Army official told us that he was aware of a member of a cross-functional team (who left the team) receiving a civilian achievement award, we did not find any documentary evidence of senior Army leaders providing incentives or recognition to members of the eight cross-functional team pilots. Because many members of cross-functional teams, including some leaders of these teams, work in a number of different roles, they do not have a consistent chain of command that can provide incentives or recognition across all of their activities. The \u201cdual-hatted\u201d nature of team members\u2014in which they work for their parent organization as well as the cross-functional team pilot\u2014may further complicate full application of this leading practice.", "Empowered team leaders. The team leaders of all eight cross- functional team pilots are empowered to make decisions and regularly interact with senior Army leaders. While an Army official stated that team leaders and Army leadership provide guidance to cross- functional team members, we did not find any documentary evidence of these leaders providing feedback to members of those teams. However, many members of the cross-functional teams, including directors, are only temporarily assigned to cross-functional team pilots because they work in other functions simultaneously.", "Well-defined team structure. While most cross-functional team pilots have established operating procedures and organizational structures, we found that some have not provided training to their members on the operations of cross-functional teams and how they relate to other organizations. Our previous work identified appropriate training as a key characteristic of a well-defined team structure. Most cross- functional team charters do not address the issue of training. Through our discussions with the cross-functional teams, we found the following with respect to training:", "An official from the Soldier Lethality cross-functional team told us that team members received training and planned to attend further training to enhance creative and \u201coutside-the-box\u201d thinking.", "The director of the Network cross-functional team told us that, even though he did not receive training, he was able to leverage his previous experience leading matrixed organizations.", "The Long-Range Precision Fires cross-functional team told us that members started their work without any training and this posed a challenge as they were unfamiliar with each other\u2019s roles and work.", "Inclusive team environment. The founding documents for the cross- functional team pilots themselves generally did not address attributes of this leading practice, such as having team members that support and trust one another. However, discussions with team members indicate some teams have invested in creating such an environment. The Soldier Lethality cross-functional team members stated that working in a cross-functional team as opposed to working as separate individuals in disparate offices, allowed them write requirements faster. It also created an atmosphere in which members got to know each other\u2019s experiences and trust each other\u2019s views. Officials from the Synthetic Training Environment cross-functional team told us they spent their first week gaining an understanding of each team member\u2019s role on the team to foster such inclusivity.", "As previously described, the cross-functional team pilots were an effort to achieve several goals including to identify ways the Army could increase efficiency in requirements and technology development. According to Army officials, the teams have shown initial progress in doing so, delivering requirements\u2014and in some cases developing capabilities for delivery in the next two years\u2014to the warfighter in shorter than anticipated timeframes. However, the Army has not yet definitively established the cross-functional teams\u2019 roles, responsibilities, and how they will operate within Army Futures Command. As a result, it is unclear if the Army will benefit from the experience and expertise of these teams applying leading practices as they transition into Army Futures Command.", "Until the Army takes formal steps to institutionalize the beneficial practices used by the cross-functional teams during the pilot phase such as autonomy, proactive decision making, and access to senior leadership it will be missing a valuable opportunity to integrate these practices into the new command."], "subsections": []}, {"section_title": "Army Futures Command Does Not Have a Formal Plan to Identify and Share Lessons Learned from Cross-Functional Team Pilots", "paragraphs": ["The Army directive that established the cross-functional teams directed each team pilot to capture best practices and lessons learned and report them to the Army office that oversaw their efforts. Officials from the cross-functional teams described to us lessons they learned and planned to pass on to their oversight office for the benefit of Army Futures Command. For example, officials from the Air and Missile Defense cross- functional team stated that having direct access to the Under Secretary and the Vice Chief of Staff of the Army is important for obtaining quick decisions, which save time and money in getting capabilities to the warfighter.", "While officials from Army Futures Command told us that they intend to collect lessons learned from the cross-functional team pilots, they do not yet have a formal plan to identify and incorporate lessons learned. Since the cross-functional team pilots were established to experiment with new approaches, it is important that they take steps to capture the lessons they have learned\u2014positive and negative\u2014so they can be shared as these teams are integrated into Army Futures Command. If the Army fails to institutionalize these lessons learned in the new command, it risks losing the benefits from the experiences of these pilots thereby either repeating past mistakes or failing to benefit from past practices that worked well. If it can capture the lessons learned, it has an opportunity to accelerate the progress these teams made during their pilot phase and spread the benefits across all the cross-functional teams and across a wider range of specific military capabilities they are pursuing. In our discussions with Army Futures Command officials they agreed that formalizing and implementing a plan to collect and incorporate lessons learned would be beneficial."], "subsections": []}, {"section_title": "Incorporating Leading Practices for Organizational Transformations Could Benefit Army Futures Command", "paragraphs": ["Army officials told us that the establishment of Army Futures Command represents a dramatic organizational transformation in how the Army will develop weapon systems and platforms. In our previous work on mergers and organizational transformations in federal agencies, we have identified several leading practices, as shown in table 4 below, that can help agencies undertaking such transformational efforts.", "As the Army is standing up Army Futures Command, it has begun to apply some of the leading practices for mergers and organizational transformations. For example, senior Army officials have provided a clear and consistent rationale for establishing the new command in official directives and in public appearances. They have also clearly described the mission of the Army Futures Command and established a timeline for its implementation. However, the command has not yet formalized and institutionalized its authorities, responsibilities, policies and procedures nor taken steps to apply these or other leading practices.", "While we observed a strong organizational unity of purpose and collaboration from the current senior leadership in the Army for the Army Futures Command, this could change as the Army\u2019s leadership changes. For example, according to law, the tenure of the Chief of Staff of the Army is generally limited to 4 years and the current Chief of Staff has already served 3 years. Furthermore, the Secretary of the Army is appointed by the President, subject to the advice and consent of the Senate, and therefore may change with new presidential administrations and during administrations. For example, the past 6 people, prior to the current secretary, confirmed as the Secretary of the Army served an average of 959 days\u2014about 2 and one-half years. The current secretary has already served about 1 year. Further, senior Army officials told us that they expect changes at both top and mid-tier leadership within the new command will periodically occur as a result of the Army\u2019s normal system of rotations for officers. For example, a senior military official in Army Futures Command told us that they expect commanders of components will rotate every 4 years. Therefore, because this modernization effort is expected to span a decade or longer, continued support from current and future senior Army officials, such as the Chief of Staff and the Secretary of the Army, will be essential to ensure the success of the new command into the future.", "We have previously reported in our work on internal controls that it is important to establish the organizational structure necessary to enable an entity to plan, execute, control, and assess the organization in achieving its objectives as well as respond to potential changes in, among other things, personnel. By fully applying key principles of major mergers and organizational transformations as the Army completes the process of establishing the Army Futures Command, the Army can better ensure the new command realizes its goals for modernization through development of well-defined requirements, incorporation of mature technologies, and development of systems that provide the warfighter with the capabilities needed for future conflicts."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The Army has made substantial changes to how it intends to coordinate and oversee modernization efforts, due at least in part to the lost years and billions of dollars from past efforts to modernize. The Army has taken positive steps to improve its current modernization efforts and has already seen some initial successes. The creation of the new command, the integration of the cross-functional teams to better refine requirements and cultivate technologies, the realignment of several existing organizations, and the shifting of personnel gives the Army a unique opportunity to take advantage of leading practices and its own lessons learned.", "The Army, however, faces some key challenges. In particular, the Army\u2019s intent to transition technologies to weapon systems before technologies are matured is inconsistent with leading practices, risks delays in equipping the warfighter, and can potentially lead to cost overruns. In addition, the cross-functional team pilots have demonstrated some initial successes in shortening the requirements development process\u2014and, more generally, in collaborating across the Army\u2014but it is not clear what steps the Army Futures Command plans to take to incorporate the experience and expertise of these teams in applying leading practices and thereby sustain these benefits. Further, the Army lacks a formal plan to identify and incorporate lessons learned from the cross-functional teams as Army Futures Command becomes fully operational and could thereby miss an opportunity to leverage the experience of these teams on past practices that worked well and those that did not. Finally, as the Army finalizes the roles, authorities, and responsibilities for the Army Futures Command it can benefit from applying leading practices related to mergers and organizational transformations. This can help ensure that Army Futures Command realizes its goals for modernization including unity of command, accountability, and modernization at the speed and scale required to prevail in future conflicts."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to the Secretary of the Army:", "The Secretary of the Army should ensure that the Commanding General of Army Futures Command applies leading practices as they relate to technology development, particularly that of demonstrating technology in an operational environment prior to starting system development. (Recommendation 1)", "The Secretary of the Army should ensure that the Commanding General of Army Futures Command takes steps to incorporate the experiences of the cross-functional teams in applying leading practices for effective cross-functional teams. (Recommendation 2)", "The Secretary of the Army should ensure that the Commanding General of Army Futures Command executes a process for identifying and incorporating lessons learned from cross-functional team pilots into the new command. (Recommendation 3)", "The Secretary of the Army should ensure that the Commanding General of Army Futures Command fully applies leading practices for mergers and organizational transformations as roles, responsibilities, policies and procedures are finalized for the new command. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Defense for review and comment. In its written comments, reproduced in appendix II, the Department concurred with all four of our recommendations and made certain technical comments which we incorporated as appropriate.", "In concurring with our recommendation on demonstrating technology in an operational environment, the Department of Defense requested that we reword the recommendation to reflect that technology maturity be considered with other factors, such as risk assessment and troop availability. We understand the Department\u2019s desire for flexibility, but continue to believe that reaching higher levels of technological maturity, through demonstrating technologies in an operational environment prior to beginning system development adds significant value by reducing risk; something that could help the Army deliver capabilities it believes are urgently needed. As such, we made no change to the recommendation.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Secretary of the Army, the Commander of Army Futures Command, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or ludwigsonj@gao.gov. Contact points for our Office of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made significant contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope and Methodology", "paragraphs": ["Section 1061 of the National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to report on the Army\u2019s modernization strategy. This report assesses (1) the status of the Army\u2019s efforts to establish new acquisition organizations while balancing near- and long- term modernization; and (2) the extent to which the Army has applied leading practices to do so.", "To assess the status of the Army\u2019s efforts to establish new acquisition organizations we reviewed the Army general orders and directives that established these organizations. This review included documentation such as:", "Army General Order 2018-10 that established the Army Futures Command, as well as reassigned existing organizations, such as the Army Capabilities Integration Center from the Training and Doctrine Command and the eight cross-functional team pilots to the new command.", "Army Directive 2017-24 that established the cross-functional team pilots and provided guidance on how they should operate to improve the quality and speed of materiel development activities.", "Army Directive 2017-22 that provided guidance for implementation of acquisition reform policy/initiatives to reflect modernization such as directive 2017-29 to improve the integration of science and technology into concept, capability, and materiel development.", "Army Regulation 73-1 (Test and Evaluation Policy)", "Army Regulation 70-1 (Army Acquisition Policy)", "Army Regulation 71-9 (Warfighting Capabilities Determination)", "Training and Doctrine Command Regulation 71-20 (Concept Development, Capabilities Determination, and Capabilities Integration)", "Headquarters, Department of the Army Executive Order 176-18 (Establishment of Army Futures Command)", "We also interviewed the Under Secretary of the Army, officials from Army Futures Command and related organizations like the Office of Process Innovation and Integration, members of the eight cross-functional teams, the Army Capabilities Integration Center, and the Army Research, Development, and Engineering Command.", "To assess the balance of modernization priorities between near-term and long-term, we reviewed documentation related to those lines of effort including: the 2018 Army Modernization Strategy report\u2014which describes the rationale behind modernization and the efforts for each priority, the Strategic Portfolio Analysis Review for Fiscal Year 2020\u2014which is a part of the budget process to determine priorities, align science and technology efforts to capabilities, and plan milestones, the Deputy Under Secretary of the Army and Research and Development Command Science and Technology Review of October 2017\u2014which describes the science and technology priorities for each cross-functional team and realigns funding through identifying opportunities to divest, and", "Strategic Capability Roadmaps\u2014which provide a timeline for the development and fielding of the capabilities being developed by some of the cross-functional teams.", "To review these documents, we created a data collection instrument to capture the efforts as they related to each of the eight cross-functional teams and consolidate the different sources of information. We first collected information about the capabilities in which cross-functional team officials indicated their involvement. For these capabilities, we recorded planned milestones and the date that the capability would first be operational. We also recorded whether or not the capability was new or an incremental upgrade, the science and technology efforts to develop that capability, and whether or not those efforts contributed to other capabilities. We then collected data related to the general efforts of the cross-functional teams. These efforts included divestment opportunities, and the amounts of funding aligned to the associated modernization priority. We also interviewed officials from the cross-functional teams, the office of Army G-8, and other Army offices.", "To address the extent to which the Army\u2019s cross-functional team pilots applied leading practices for technology development, we", "Reviewed cross-functional team charters, the 2018 Army Modernization Strategy report, Fiscal Years 2019 and 2020 Strategic Portfolio Analysis, the Army\u2019s Fiscal Year 2019 President\u2019s Budget, and the Army\u2019s October 2017 Science and Technology Review to identify actions related to the development of near- and long-term capabilities for the Army\u2019s six modernization priorities that align with the eight cross-functional teams.", "Interviewed cross-functional team officials to learn about technology development activities they conducted or planned to conduct regarding these priorities.", "Selected leading practices from our body of work on weapons systems acquisitions based on which ones are most relevant to where the cross-functional teams\u2019 activities fit within the broader weapons systems acquisition process.", "Consolidated relevant data from Army documentation and statements from Army officials regarding their technology development efforts in a record of analysis containing a description of leading practices for technology development identified in our prior work.", "Compared Army documentation and cross-functional team officials\u2019 statements against leading practices for technology development identified in our prior work, specifically promoting communication between requirement developers\u2019 and end-users, prototyping technologies, and maturing technology to a specific threshold.", "To address the extent to which cross-functional team pilots applied leading practices for establishing effective cross-functional teams, we", "Reviewed Army Directive 2017-24, which established the cross- functional teams, as well as each team\u2019s charter.", "Interviewed officials from each cross-functional team and other Army offices regarding the collaborative, communicative, and technology development efforts of these teams.", "Consolidated and analyzed data from Army documentation and statements from Army officials related to leading practices for establishing effective cross-functional teams, identified in our prior work.", "Compared the content of the Army documents and statements from cross-functional team officials against leading practices identified in our prior work to determine whether cross-functional teams had demonstrated actions consistent with these practices. We then had a second analyst check the same documents and statements to verify our initial result.", "To address the extent to which Army Futures Command applied leading practices for mergers and organizational transformations and incorporated lessons learned from the cross-functional team pilots, we", "Reviewed Headquarters Department of the Army Executive Order 176-18, which established the Army Futures Command, and Army Directive 2017-33, which established the Modernization Task Force.", "Interviewed senior Army officials involved in the establishment of the new command and cross-functional team officials.", "We selected leading practices identified by GAO for mergers and organizational transformations in our prior work because the establishment of Army Futures Command represents the largest organizational transformation the Army has undertaken since 1973 and includes merging existing Army organizations into a new command.", "Although Army Futures Command is not yet fully operational, we analyzed Army documentation and officials\u2019 statements regarding the new command against leading practices identified in our prior work and the lessons learned from the cross-functional teams to assess whether it had applied these leading practices."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, J. Kristopher Keener (Assistant Director), Joe E. Hunter (Analyst-in-Charge), Jenna Blair, Emily Bond, Matthew T. Crosby, Cale Jones, Kevin O\u2019Neill, John Pendleton, John Rastler, A. Maurice Robinson, and Roxanna Sun made significant contributions to this review."], "subsections": []}]}], "fastfact": ["To keep its technological edge, the Army has started to modernize its equipment, such as long-range precision weapons and next-generation combat vehicles. It created the Army Futures Command to improve the process.", "Historically, the Army has struggled to get new equipment on time and on budget. While the Army is following many of our leading practices, one exception is that it intends to move new technologies into weapons systems before testing in a realistic environment. Moving forward without this testing can delay delivery and increase costs as development continues.", "We made recommendations to help the Army realize its modernization goals."]} {"id": "GAO-18-114", "url": "https://www.gao.gov/products/GAO-18-114", "title": "Sales Taxes: States Could Gain Revenue from Expanded Authority, but Businesses Are Likely to Experience Compliance Costs", "published_date": "2017-11-16T00:00:00", "released_date": "2017-12-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Over the past two decades, e-commerce sales have grown rapidly, greatly expanding a category of sales known as remote sales. Under current law, states cannot require all businesses to collect taxes on remote sales. Congress has been considering proposals to change this. Little current, nationwide information exists to inform the debate.", "In this report, GAO (1) estimated revenue states and localities could gain by being able to require businesses to collect taxes on all remote sales, and (2) described what is known about the related compliance costs and challenges to businesses, and administrative costs and challenges to states.", "GAO estimated 2017 revenue gains to state and local governments based on actual and estimated sales data for remote sellers, excluding certain sales that were exempt from taxation or already collected by remote sellers with a substantial presence in a state. Ranges for GAO's estimates were based on a number of key assumptions that were varied based on available data. To describe related costs and challenges to businesses and states, GAO interviewed officials from state revenue agencies, subject matter specialists, and a wide variety of retailers with remote sales and the organizations that represent them.", "GAO provided a draft of this report to subject matter specialists who agreed with the general approach that GAO followed in making its estimates."]}, {"section_title": "What GAO Found", "paragraphs": ["Forty-five states and the District of Columbia levy taxes on the sale of goods and certain services, including those sold remotely, such as over the Internet. In 1992, the Supreme Court ruled in Quill v. North Dakota that a state can only require a business to collect and remit sales tax if the business has substantial presence, referred to as nexus, in that state. However, the decision stated that Congress could pass legislation to overrule this limitation. In general, under present law, if a seller does not have nexus in a state, and therefore does not collect tax, then a purchaser is required to pay a use tax in the same amount to his or her state government.", "GAO estimated that state and local governments can, under current law, require remote sellers to collect about 75 to 80 percent of the taxes that would be owed if all sellers were required to collect tax on all remote sales at current rates. GAO found that the extent to which state and local governments can require businesses to collect taxes varies with the type of remote seller and by state.", "GAO estimated that state and local governments could gain from about $8 billion to about $13 billion in 2017 if states were given authority to require sales tax collection from all remote sellers. This is about 2 to 4 percent of total 2016 state and local government general sales and gross receipts tax revenues.", "Some businesses would likely see increases in several types of costs if required to collect taxes on all remote sales. These costs would be higher for businesses not currently experienced in multistate tax collection. Officials from state revenue departments told us that they generally do not anticipate major administrative costs or challenges if given the authority to require businesses to collect tax on all remote sales."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Over the past two decades, electronic commerce (e-commerce) sales have grown rapidly, but, under current law, states cannot require all e-commerce businesses to collect taxes on sales to residents of their states. Congress has been considering proposals that would allow this. In 2000, when we last looked at remote sales, we found that the data available at the time were not well suited to track rapidly evolving Internet activity.", "Today, even with better information on the potential revenue losses, debate still exists over both estimates of lost revenue to states and on the ability of all businesses\u2014particularly small businesses and businesses in states that do not have sales taxes\u2014to collect and remit taxes to jurisdictions across the country in a cost-effective way. There is also uncertainty about the costs and other challenges of expanded collection that could be incurred by state revenue agencies.", "You asked us to review the effects on businesses and state revenue agencies of legislation that would grant states the authority to require businesses to collect and remit taxes on all remote sales. This report (1) estimates how much revenue state and local governments could gain by being able to collect taxes on sales made by all remote sellers, (2) describes what is known about the costs and challenges remote sellers experience in trying to comply with current state tax laws, and how those costs and challenges might change if states were given the authority to require businesses to collect on all remote sales, and (3) describes what is known about costs and challenges states face in requiring remote sellers to collect taxes.", "To estimate the revenue that state and local governments could gain by being able to collect taxes on all remote sales, we updated a model we originally developed in 2000 to perform similar analyses. We used data\u2014 that we determined to be reliable\u2014on the volume and composition of Internet and other remote sales, the taxability of remote sales, and the extent to which sellers already collect and purchasers already pay tax on remote sales. Detailed information about our methodology, including the data sources we used, is provided in appendix I.", "To identify the types of costs and challenges that businesses will likely face if required to collect and remit taxes on all remote sales, we reviewed literature, conducted market research on software used by businesses to facilitate tax collection, and identified knowledgeable parties from whom we could solicit information. We interviewed representatives from 12 legal, advocacy, or accounting groups and we solicited them for contacts in the remote sellers\u2019 business community whom we could interview. We reviewed witness testimony before congressional committees on the subject of remote sales to understand the costs associated with sales and use tax collection as well as to identify groups and individuals to interview. We interviewed a non- generalizable sample of more than 20 businesses or their representatives. This includes businesses of different sizes, from different industries, and included businesses with and without sales tax obligations. We also attended conferences of the American Bar Association and the American Catalog Mailers Association where the topic of remote sales tax collection was discussed.", "To describe what is known about costs and challenges that state revenue agencies might face in requiring all remote sellers to collect taxes, we interviewed representatives from the National Conference of State Legislatures, the Federation of Tax Administrators, the Multistate Tax Commission, and the Streamlined Sales Tax Governing Board. Between February and October 2017, we monitored tax industry publications to identify state actions to increase tax collections on remote sales, like bills debated in state legislatures or administrative rules promulgated by state revenue agencies. As state legislatures debated, and in some cases, enacted these proposals, we reviewed revenue and cost estimates developed by legislative budget offices or state revenue agencies to help us identify the types of potential costs and challenges associated with these new actions. For additional data and insights, we interviewed officials from five state revenue agencies including three states that had recent experience with changing their laws or regulations related to remote sales tax collection.", "We subjected our work to third-party review by noted specialists in the field of tax policy. These experts agreed with the general approach that we followed in making our estimates. The experts confirmed that uncertainty surrounds many of these factors incorporated into the model.", "We conducted this performance audit from September 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Forty-five states and the District of Columbia levy sales taxes on the sale of goods and services. Of these, thirty-seven states also have local sales taxes at the county or municipal level. Five states do not have statewide sales taxes: Alaska, Delaware, Montana, New Hampshire, and Oregon. Tax policy specialists have cited figures as high as 12,000 and as low as 10,000 for the number of tax jurisdictions in the United States\u2014each with potentially different tax rates, different rules governing tax-exempt goods and services, different product category definitions, and different standards for determining whether an out-of-state seller has a substantial presence (referred to as nexus) in a state.", "On average, states receive about one-third of their total tax collections from general sales taxes. However, reliance on sales taxes varies considerably across states. Five states that do not have a broad-based individual income tax\u2014Florida, Nevada, South Dakota, Tennessee, and Texas\u2014collect more than half their tax revenue from general sales taxes. As of January 1, 2017, most state sales tax rates were about 6 percent, although analysis prepared by the Tax Foundation shows that five states\u2014Alabama, Arkansas, Louisiana, Tennessee, and Washington\u2014had average combined state and local tax rates close to or above 9 percent.", "Generally, businesses are required to collect sales taxes on goods and services sold to in-state consumers at the time of the purchase, and remit those taxes to the state, and sometimes local government, revenue office. The growth of e-commerce has greatly increased the likelihood of businesses selling to out-of-state customers. In 1992, the U.S. Supreme Court ruled in Quill v. North Dakota that a state can only require a business to collect and remit sales tax if the business has substantial presence, referred to as nexus, in that state. However, the decision stated that Congress could pass legislation to overrule the Quill decision. Legislation has been proposed to expand states\u2019 tax collection authority to all remote sales, but no bill has received enough support to pass both the Senate and the House of Representatives. Some of the legislation has included provisions for small seller exemptions, free software, liability protection, and transition periods.", "In general, under present law in states with sales taxes, if the seller does not have nexus in a state, and is therefore not required to collect tax, then the consumer is required to pay a use tax in the same amount. Although functionally similar to a sales tax, the use tax is a tax levied on the consumer for the privilege of use, ownership, or possession of taxable goods and services. However, consumer compliance rates for use tax remittance are estimated to be very low."], "subsections": [{"section_title": "State Activity", "paragraphs": ["With the growth in e-commerce, states have increased their enforcement activities to collect sales tax from residents who make purchases from out-of-state businesses. A few states have passed laws or changed regulations that directly challenge or test the limits of the 1992 Quill v. North Dakota decision\u2014most notably, Alabama, Colorado, and South Dakota\u2014to increase tax collections on remote sales. In reviewing testimony and tax industry publications, we found that states have also sought additional revenue through more indirect approaches, such as asserting jurisdiction on the basis of nexus to include \u201caffiliate nexus\u201d and \u201cclick-through nexus.\u201d", "Colorado for instance enacted a law requiring retailers who do not collect taxes on sales to Colorado customers to notify those customers of their use tax obligations and send an annual report on customers\u2019 purchases to the state revenue agency. The revenue agency could then use this information to identify which purchasers have a use tax obligation.", "South Dakota took a different approach aimed at overturning the Quill decision. In 2016, the legislature passed a law requiring out-of-state businesses meeting certain criteria to collect and remit sales tax on purchases made by South Dakota residents. The state supreme court ruled on September 13, 2017, that the law violated Quill. On October 2, 2017, South Dakota filed a petition for a writ of certiorari with the U.S. Supreme Court.", "Alabama promulgated a regulation in September 2015 requiring out-of- state retailers who made $250,000 or more in sales to Alabama residents annually, or who conducted one or more statutorily defined activities, to collect and remit sales tax. A suit was filed with the Alabama Tax Tribunal, but no decision has been made.", "New York took a different route passing a \u201cclick-through\u201d nexus law in 2008. Some out-of-state retailers enter into agreements with local online retailers to advertise the local retailer\u2019s merchandise on the out-of-state retailer\u2019s website. Because the agreement was with an in-state vendor, the law defined that to be a sufficient nexus to impose sales tax on the out-of-state-vendor. Several companies unsuccessfully challenged the statute.", "A few state governments have taken action to increase tax collection from e-marketplace sellers. As of October 2017, two states (Minnesota and Washington) had passed laws imposing new requirements on e-marketplace companies to collect sales taxes on behalf of the sellers using their e-marketplace platforms. Some states have asserted that the warehousing of goods and fulfillment of orders from within a state is enough to create nexus, and therefore a requirement to collect taxes on sales to customers in that state. To enforce compliance, we found that at least three state revenue agencies have been seeking sales, shipping or location data about goods sold through e-marketplaces."], "subsections": []}]}, {"section_title": "Taxes are Collected on Most Remote Sales, but States Could Gain Additional Revenue with the Authority to Require All Businesses to Collect Taxes", "paragraphs": [], "subsections": [{"section_title": "State and Local Governments Are Able to Collect Taxes on More Than Half of Sales", "paragraphs": ["We estimate that state and local governments can, under current law, require remote sellers to collect about 75 to 80 percent of the taxes that would be owed if all remote sellers were required to collect tax on all remote sales at current rates. We found that the extent to which state and local governments can, under current law, require businesses to collect taxes on remote sales varies with the type of remote seller (as shown in table 1). For business-to-consumer (B2C) remote sales, we found that the percentage of taxes already being collected by sellers (which we call the \u201cseller collection rate\u201d) was generally higher for Internet retailers than for other types of remote sellers like catalog retailers or e-marketplaces.", "Based on our analysis of nearly 1,000 Internet retail companies, we estimate that about 80 percent of the potential revenue from requiring all Internet retailers to collect is already collectible. Many of the largest Internet sellers are established retail chains or consumer brands with a physical presence, such as retail stores, in all, or nearly all, of the 45 states (plus the District of Columbia) that have a statewide sales tax. As noted earlier, under current law, if a remote seller has a substantial presence (referred to as nexus) in a state, the seller is required to collect taxes on remote sales into that state. In addition, even without being required to, some large Internet retailers have entered into agreements with states to collect applicable taxes on all their Internet sales, regardless of physical presence.", "The rise of e-marketplaces, such as eBay, Etsy, and Amazon Marketplace, has complicated nexus determinations. At these marketplaces, sellers can access large customer bases and utilize the marketing and distribution services of the marketplace platform, often for a fee. Certain states can rely on inventory stored within their borders as sufficient nexus to impose taxes. This has included sellers using a large marketplace\u2019s fulfillment services. As a result, to properly collect and remit taxes, sellers using marketplace fulfillment services need information on where their inventory is stored.", "While we estimated the seller collection rate to be relatively high for the category of Internet retailers (about 80 percent), we found it to be lower for other types of B2C remote sellers. For example, we estimate that e-marketplace sellers are currently collecting 14 percent of the taxes on their sales, in our highest potential revenue gain estimate, to up to 33 percent, in our lowest potential revenue gain estimate. For other types of remote retailers, such as mail-order companies, we estimate that they are currently collecting tax on 58 percent of their sales in our highest potential revenue gain estimate and up to 64 percent of their sales in our lowest potential revenue gain estimate (as shown in table 1).", "Although business-to-business (B2B) sales account for a larger share of total e-commerce than B2C sales, potential state and local government revenue gains from taxing all of these sales is less because fewer B2B sales are taxable, and seller collection rates are higher (as shown in table 1). We estimate that about half of all wholesale e-commerce purchases involve businesses purchasing raw materials or other intermediate goods that are then manufactured or incorporated into a final product. These purchases of intermediate goods are generally exempt from state and local government taxes because only the final sale to the end consumer would be taxable. For the remaining taxable B2B purchases, we estimate that the seller collection rates are between 85 percent for those sales in our highest potential revenue gain estimate and 94 percent in our lowest potential revenue gain estimate."], "subsections": []}, {"section_title": "Potential Revenue Gain across All States for 2017 is about $8 billion to $13 billion Based on our Low and High Scenario Estimates", "paragraphs": ["Based on the seller collection rates we estimated using high and low scenarios to illustrate the effect of underlying uncertainties, we determined that state and local governments could potentially gain about $8 billion based on our low scenario to about $13 billion, based on our high scenario, in 2017 if they were given expanded authority to require sales tax collection from all remote sellers. Table 2 presents our range of estimates. Appendix II presents our range of estimates for each of the 45 states plus the District of Columbia that have a statewide sales tax. Our estimates range from more than $1 billion for more populated states like California and Texas to about $20 million for less populated states like Vermont and Wyoming. The average gain is about $200 million.", "In aggregate, our national estimate of about $8 billion (low scenario) to about $13 billion (high scenario) represents about 2 to 4 percent of total state and local government general sales tax revenues. According to data from the U.S. Census Bureau, state and local governments in 2016 collected about $377 billion in general sales and gross receipts taxes."], "subsections": [{"section_title": "Larger States Collect Taxes on a Greater Share of Remote Sales than Smaller States", "paragraphs": ["We found that the extent to which state and local governments can require remote sellers to collect taxes varies by state. Based on analyses of remote sellers\u2019 nexus locations, we estimate that some of the largest states (in terms of population) can currently require sellers to collect about 80 to 90 percent of the taxes these states could collect with expanded authority on all remote sales. In contrast, we estimate that some smaller states can only require sellers to collect and remit about 60 to 70 percent of the taxes they could collect on all remote sales. The difference is based on the greater likelihood of Internet retailers having a physical presence in larger states.", "We researched store locations and sales tax policies for the largest 100 Internet retailers identified by researchers at Internet Retailer. We found that about 85 percent of these Internet retailers had store locations in, or stated on their websites that they were collecting sales taxes for, California and New York. By contrast, about 55 percent of these large Internet retailers had stores or were collecting in less populated states like North Dakota and Wyoming.", "For smaller Internet retailers with only one location, we also found that a disproportionate share of them were located in larger states. Based on our analysis of more than 400 Internet retailers with only one location, we found that 19 percent were located in California and 12 percent in New York. With Internet retailers and other remote sellers less likely to have a physical presence in less populated states, smaller states are at a disadvantage compared to larger states in their ability to require remote sellers to collect taxes on all sales into their states."], "subsections": []}, {"section_title": "About Half of Potential Revenue Gains Could Come from Tax Collections on E-Marketplace Sales", "paragraphs": ["We estimate that nearly half of potential revenue gains to state and local governments would result from collecting sales taxes on all e-marketplace sales. To date, e-marketplaces have not been obligated to collect state sales taxes on behalf of sellers. Instead, like with all remote sellers, individual sellers who have title to the goods being sold through an e-marketplace are required to collect tax on sales to states in which they have nexus. However, we identified two states that have recently taken action to attribute a collection obligation to the e-marketplace.", "Through our review of tax industry publications and interviews with tax practitioners, we learned that some individual sellers have difficulty obtaining information from the e-marketplace companies on where their goods might be stored. While the three large e-marketplaces that we interviewed offer their sellers additional services that help sellers calculate and collect sales taxes, not all sellers take advantage of this service. None of the e-marketplaces that we interviewed could provide us data on the extent to which their sellers currently collect sales tax. Given the lack of available data, we made a conservative estimate of potential revenue gains to states if given the authority to require all e-marketplace sellers to taxes on all their sales. If e-marketplace sellers are currently collecting less tax than we assume in our model, the actual potential revenue gain to states would be higher than the estimate we provide in this report."], "subsections": []}, {"section_title": "Compliance with Use Tax on Most Remote Purchases is Low for Individual Taxpayers, but High for Businesses", "paragraphs": ["Because state and local governments currently do not have the authority to require businesses to collect tax on all remote sales, states generally require taxpayers who were not charged a tax on their purchases from out-of-state vendors to pay a use tax on those purchases. However, with the exception of purchases that are required to be registered with the state, such as vehicles, voluntary compliance is generally thought to be extremely low. For those states that permit taxpayers to report use taxes on their income tax returns, it is estimated that only about 1 to 2 percent of returns include use tax payments. Unlike estimates for individual compliance with use tax, estimates for business compliance are high, ranging from 70 to 90 percent. Some tax practitioners we interviewed told us that businesses routinely retain records of their taxable and tax- exempt purchases, including remote purchases, and are more likely to be compliant with any use taxes.", "We identified at least four states that have begun implementing new laws intended to increase consumer use tax compliance. Under these \u201cnotice and reporting\u201d laws, remote sellers not collecting taxes on out-of-state sales are required to notify customers that they may be liable for use taxes to their home state. The states are also requiring remote sellers to send their out-of-state customers an annual summary of all purchases for which sales tax was not collected. Data from these annual summaries are shared with state revenue agencies that can use this information for enforcement purposes. Data were not yet available to estimate the revenue effects of these new programs. As we have previously reported, tax compliance is generally much higher when there is third-party reporting of information to the revenue agency. We expect that state collection of third-party information will achieve similar results."], "subsections": []}]}]}, {"section_title": "Some Businesses Would Likely Incur Several Types of Costs If Required to Collect Taxes on All Remote Sales", "paragraphs": ["We identified various costs associated with typical steps involved in multistate sales tax collection. We group these costs into three broad categories: software related costs, audit and assessment compliance costs, and costs associated with research and liability. We found that businesses with limited experience in multistate tax collection and those that lack software systems designed to facilitate multistate tax collection would incur the highest costs under such a scenario.", "Representatives from a large national chain and a trade group representing retailers told us that, generally speaking, larger retailers and those that primarily engage in brick-and-mortar retailing believe that expanded state authority would end the unfair advantage that remote retailers gain by not collecting sales tax on their out-of-state sales. Those familiar with multistate collection explained that because the software used for multistate collection is easily scaled up, retailers already using such systems, would incur few challenges to adapt to this expanded authority. Further, larger retailers that already collect in many states would already have the systems in place for collection under expanded authority. We also identified state and national efforts for simplifying tax collection for businesses. These efforts show potential for mitigating the expected costs, but much depends on the specifics of any legal changes.", "Our research found that a number of commercial software offerings are available to assist businesses with collecting sales taxes in multiple states. Two people familiar with the use of tax software told us that although many standard business software products generally include some sales tax functionality, these systems do not always fully support businesses selling in multiple tax jurisdictions. As a result, sellers with more widespread collection obligations typically use specialized multistate sales tax software. A representative from a Certified Public Accounting (CPA) firm explained that costs are incurred both when businesses collect sales tax from customers, and when they remit the tax to the appropriate state revenue department. In some instances, there are also start-up costs that businesses incur prior to tax collection, as well as audit or assessment costs that occur after tax collection. Figure 1 summarizes these steps and can help inform the discussion of the specific costs."], "subsections": [{"section_title": "Businesses Selling Remotely May Incur High Upfront Costs to Establish Software for Multistate Tax Collection", "paragraphs": ["The cost of both collecting and remitting sales tax rises with increased exposure to tax jurisdictions. As the number of jurisdictions for which a business collects taxes increases, the amount of administrative work also increases. Businesses will have to prepare and file a greater number of returns, license more functionality from the collection software they use, and collect tax on a greater number of sales. All of these actions add additional costs to a business\u2019s operations.", "While all sellers would incur these additional costs, costs will be highest for those that do not already use software for multistate tax collection. This is especially true for those selling goods treated differently by different states and those that do not use easily-integrated software. Costs for collection software include, start-up costs, licensing fees, administrative costs, and options for premium services, such as preparing or automatically filing sales tax returns. Start-up costs are the costs associated with setting up the software for first use.", "Tax practitioners told us that software is necessary for multistate collection because of the complexity created by unstandardized requirements across jurisdictions. As we note above, tax policy specialists have cited figures as high as 12,000 and as low as 10,000 for the number of tax jurisdictions in the United States. In addition to differences that exist among the tax codes of the 45 states and the District of Columbia with statewide sales taxes, many local bodies have the power to impose additional sales taxes on purchases within their jurisdictions.", "Some tax practitioners that we interviewed said that mapping and system integration related to the necessary software for multistate collection are the most costly of the start-up activities. Mapping requires coding all of a business\u2019s product offerings to the taxation categories used by the software. One software provider told us that generally, these software products do not require businesses to research the legal categorization in each state\u2019s laws; however, it does require businesses to categorize products with sufficient precision for the software to assign its tax status based on state laws. For example, apparel is treated differently across states. Pennsylvania exempts clothing, except for formal apparel; items made of real, imitation, or synthetic fur; and athletic apparel. Across the border, New York State exempts clothing sold for less than $110; however, some jurisdictions do not apply these exemptions and charge a local sales tax on these items.", "The initial product mapping required before using multistate tax software can be labor intensive. As such, we expect that businesses setting up software for the first time, and selling goods which states treat differently will have more labor-intensive product-mapping work. Some software providers offer consulting services to assist businesses with mapping their offerings. Software providers, however, treat these services as a premium option so businesses will generally incur extra costs for using these services.", "Several people familiar with the use of sales tax software said that errors in mapping products can expose businesses to liability in the form of uncollected taxes. Recognizing the wide variations in sales tax laws, a group of states launched the Streamlined Sales Tax Initiative in 1999. The initiative was designed to standardize these variations and provide software assistance to make it easier for businesses to comply with state and local sales and use tax laws. This initiative sought to shield businesses from liability by directing software providers participating in the effort to complete mapping for businesses and assume liability for errors. However, more recent changes allow software providers to negotiate these issues directly with their business clients. According to a representative of the Streamlined Sales Tax Governing Board, 24 states have passed legislation to conform to the Streamlined Sales and Use Tax Agreement. These states account for a third of the United States population, but many of the largest states (in terms of population) are not fully participating.", "Software integration, or establishing a connection between existing business software and the new multistate tax software, will be required for businesses that begin to use multistate tax software. Two software providers we spoke with said that they have already created integration modules for the most common business software packages in use today. One explained that integration with these common business systems is generally the least expensive and may come at no cost to the business. However, businesses using customized software or software that is not in common use may see higher costs to integrate these systems. Some businesses may need to integrate several systems with the collection software. This integration may be required for transactions such as processing sales through different retail channels or ensuring that merchandise returns are removed from existing collections.", "Businesses will also face additional costs to license the necessary software functionality from the provider. A public accounting firm told us that these on-going licensing fees are generally lower in the first year, than the one-time costs associated with mapping and integration. Licensing costs generally are a function of the volume of information requests sent to the tax database maintained by the software provider.", "In estimating costs to license multistate collection software, online businesses must consider both the number of completed transactions they anticipate as well as the browsing behavior of those using their websites. A CPA firm we interviewed explained how these software packages work. Whenever a business website calculates a sales tax amount, it does so by sending an information request to a rate and address database maintained by the software provider. Importantly, this process is often an automated function of the \u201cshopping cart\u201d system, which may calculate a sales tax amount whenever a customer changes the goods in the shopping cart, even in the absence of a completed sale. As such, businesses must account for both completed transactions as well as how often customers change the bundle of goods in the online shopping cart. For example, customers may use shopping carts while comparison shopping on different websites. Our market research found licensing costs as low as $12 per month for up to 30 information requests each month, and as high as $200,000 per year for unlimited information requests.", "Businesses and others familiar with sales tax software told us that licensing fees are only one of multiple costs required to collect sales taxes in multiple states. As such, simplification proposals that include provisions for states to pay these licensing fees may not mitigate significant costs to businesses transitioning to software assisted multistate collection. Businesses will still incur start-up costs and additional administrative costs, even when states pay the licensing fees on the use of the software. Even under such proposals when software comes with no licensing fees, mapping can be labor intensive for businesses selling products that state tax laws treat differently, and integration can create costs for businesses using custom software or software that is not widely used. Further, for software to reduce administrative costs, it must be integrated with more than just a business\u2019s shopping cart system. However, simplification proposals that only cover software licensing costs and integration with the shopping cart system may leave businesses with the costs of a more extensive integration. Businesses would either have to incur additional costs to better integrate sales tax software with existing business information systems (such as a general ledger accounting system), or regularly reconcile receipts and records manually to prepare sales tax returns for all states where it makes sales.", "Additional costs for software include administrative costs associated with use of the software. These costs are incurred because even automated software requires some administrative work by staff. The use of optional premium services offered by software providers may further reduce these administrative costs, but increase software costs in the process. Administrative costs tend to be highest, as a proportion of taxes collected, for the smallest sellers. Some businesses told us that collecting sales tax in all jurisdictions where they have customers would increase staffing costs, even when collection is facilitated by software. Premium services commonly offered by software providers assist businesses with preparing and filing tax returns. While electing to use these services may save businesses labor costs, they incur additional fees to use these premium services.", "We interviewed several businesses based in states that do not collect a sales tax. They told us that they are already researching software options should the need to collect sales tax on all remote sales arise. These businesses told us that they have little experience with collecting sales tax. As reported above, in the first year, start-up costs for the software are much higher than the on-going licensing fees. Businesses that do not need to collect sales tax in their own state may be less likely to already have multistate tax collection software or in-house expertise."], "subsections": []}, {"section_title": "Businesses May Incur Increased Audit and Assessment Costs as Exposure to Collecting Jurisdictions Grows", "paragraphs": ["If states are allowed to require businesses to collect tax on all remote sales, businesses we spoke with expect audit and assessment related costs to rise because of increased exposure to more tax jurisdictions. Attorneys told us that state revenue departments also employ other low- cost enforcement tools that create compliance costs. Officials from three state revenue departments that we spoke with said that they primarily focus their audits on large businesses because audits are resource intensive. Officials from one agency acknowledged that other enforcement tools, such as a letter audit, require fewer resources to use.", "Some businesses told us that they already expend significant resources responding to audits on sales tax collection and remittance. These costs include making staff available, developing justification for tax claims, and complying with document or information requests. A representative from the tax department of one company with nexus in most states said that auditors return every few years to audit the company and that they are currently contending with 8 to 10 audits from different tax authorities. They expect audit related costs to grow with exposure to more jurisdictions and that will require hiring additional staff. Another business we spoke with said they had just dealt with an expensive audit that lasted 3 years. They reported that they do not have the resources to comply with similar audits from other jurisdictions.", "We interviewed 11 businesses, attorneys, or representatives from the business community who said that fear of increased audits, should states gain expanded authority to tax remote sales, is a legitimate concern for businesses. Attorneys we spoke with offered several reasons that small- and medium-sized businesses will be audited should states gain the authority to tax remote sales. One explained that sales tax audits of small businesses often identify non-compliance and produce revenue. Another said that assessments prepared by revenue offices generally carry a presumption of accuracy. In practice, this places the burden of proof on the retailer to rebut claims made by revenue offices. However, some state revenue departments we spoke with said that they do not expect their audit resources to increase and therefore would be spread more thinly if states are allowed to require businesses to collect tax on remote sales. Two state revenue offices explained that this change would mean they have a much larger universe of businesses from which to select. As such, it is unknown how frequently businesses might have to contend with concurrent audits in different states.", "Travel to, and securing counsel in, remote jurisdictions would create additional costs for audited businesses that would not occur in the current environment. A business representative explained that the CPAs and attorneys they employ, or have on retainer, may not be able to represent the business in an out-of-state venue. As such, businesses would need to retain counsel qualified to practice in the assessing jurisdiction.", "Two business representatives also told us that businesses may be less successful at challenging tax assessments in out-of-state courts. This may prompt them to settle claims in an out-of-state court that they might litigate in their home state. Further, the federal Tax Injunction Act restricts businesses\u2019 ability to seek relief in federal court for matters related to state taxes.", "In addition to audits, state revenue departments have many low-cost enforcement tools at their disposal. One example is the letter audit. An attorney we spoke with explained that in this process, a revenue office sends a letter to a business stating that the office suspects they owe sales taxes. The business incurs costs to prove the state wrong to avoid the assessment. In some cases, states bypass the assessment process and sue the business\u2014arguing that the business has nexus in the state and owes tax. In conducting interviews, we found that states also send information requests and questionnaires to businesses designed to uncover whether they have nexus obligations. One representative from a trade group we spoke with said that a business will normally be responsive in order to remain in compliance with the law, despite potential uncertainty about the state\u2019s authority to collect.", "Businesses we spoke with in states that do not collect a sales tax generally were not collecting sales taxes for other states, so they had little experience with a sales tax audit. Further, some businesses in these states were not tracking the legal requirements on businesses imposed by out-of-state jurisdictions. Businesses located in states without a sales tax also may incur costs to alter business practices after initial exposure to sales tax audits. This might happen because the procedures they currently use may not withstand the taxing states\u2019 scrutiny."], "subsections": []}, {"section_title": "Businesses Incur Costs to Stay Current with Legal Requirements in Multiple Jurisdictions, but are Still Exposed to Risk", "paragraphs": ["If states gain the authority to require businesses to collect tax on remote sales, businesses will have to incur costs to understand their new compliance obligations, which can differ by state or tax jurisdiction. The related liability cost increases along with an increase in exposure to more tax jurisdictions. These costs will likely increase the most for businesses that do not have established legal teams, software systems, or outside counsel to assist with compliance related questions. We identified three areas, based on interviews with businesses, where these costs are most likely to occur. First, businesses expressed concern that changes in legal precedent could expose businesses to liability for past sales. Second, some businesses reported paying assessments based on contestable laws. Third, some businesses reported instances where businesses\u2019 actions created nexus that led to an unforeseen liability."], "subsections": [{"section_title": "Retroactive Enforcement", "paragraphs": ["The U.S. Supreme Court\u2019s 1992 decision in Quill Corp. v. North Dakota constrained states\u2019 ability to tax sales originating from outside the state. We identified four states that recently changed their laws in an attempt to re-litigate this decision. A representative from the business community told us that the effect of the U.S. Supreme Court potentially overturning the Quill decision may allow laws that are on the books in many states to be enforced. For example, Alabama\u2019s Department of Revenue told us that they have asserted jurisdiction over remote sellers under a previously unenforced law to further litigation challenging the Quill decision. They acknowledged that this action has the potential to allow retroactive enforcement, should the challenge succeed. However, they said the state was most interested in prospective compliance. Some businesses worry that, if legal arguments like these prevail, states will not confine themselves to prospective enforcement efforts. They fear that states could decide that businesses owe taxes from years when enforcement of the law did not impose collection obligations on out-of-state businesses."], "subsections": []}, {"section_title": "Risk of Overpayment Due to Compliance Culture", "paragraphs": ["State revenue departments mail assessments, questionnaires, and other correspondence to out-of-state businesses. These may direct businesses to provide information, pay taxes, or register to collect sales taxes. In some cases, the Quill decision protects businesses from obligations to comply with these directives. Nevertheless, some businesses have complied. One representative from a trade organization representing remote businesses said that the natural tendency for a business is toward compliance. This may lead them to pay or comply without thoroughly examining the strength of their legal position. He cited a state that mailed around two hundred demand notices to out-of-state businesses for unremitted sales tax. Even though he said that these businesses did not have nexus in the state, more than half of businesses remitted payment. Another business told us that they registered to collect in a state that was attempting to challenge the Quill decision because they judged that the cost of challenging the state\u2019s new law was likely to exceed any increased compliance costs. This business said that collecting the tax, but waiting to remit it pending the results of a legal challenge, would expose the business to penalties and interest."], "subsections": []}, {"section_title": "Risk of Unknown Nexus Obligations", "paragraphs": ["Because state tax laws are complex and subject to change, businesses may not always be aware of their obligations under state law. Our research revealed cases where businesses incurred collection obligations unknowingly. One lawyer, whose practice represents several businesses in sales tax related issues, described a business that was contacted by a nearby state\u2019s revenue office and asked to provide information on its use of fulfillment services from a popular marketplace provider. The business downloaded a report from the marketplace provider and sent it to the revenue office. The business said that the marketplace provider had formatted the information in a way that made it uninterpretable without knowledge of the location codes it contained. The state revenue office was able to use the report to show that the marketplace\u2019s fulfillment services stored the business\u2019s property in the state. Stored property suffices to create a nexus obligation and the business received an assessment for back taxes, interest, and penalties dating back to when the property was first stored in the state. The lawyer we spoke with has seen six similar cases since that one and said that the addition of interest and penalties often doubles the amount of taxes owed.", "Active monitoring of sales tax laws across the country can help businesses ensure they are compliant with all of their legal obligations. Businesses we spoke with differed in the way they conducted this research. Some undertook the research in-house. Others used software that provides updates when laws change. Some said that they require outside legal counsel to resolve difficult questions. In all cases, this research imposed additional costs on businesses.", "Four businesses in states without sales taxes told us that they have incomplete research or a lack of familiarity with recent changes to state laws that impose obligations on out-of-state businesses. Businesses like these may encounter additional costs in the form of unforeseen liabilities or costs to conduct research."], "subsections": []}, {"section_title": "Strategies Show Some Potential for Containing Risks", "paragraphs": ["In the course of our research, we identified strategies with the potential to mitigate the concerns laid out above. However, much would depend on the specifics of any legal changes. These strategies include: simplification rules for collection and remittance in multiple states, small business exemptions for businesses under a certain size, transition periods for businesses to come into compliance, and limitations on lookback periods.", "Simplification Rules May Help Businesses Understand Collection Obligations Simplification rules for remote sellers could provide businesses with a single compliance requirement instead of varied requirements from the jurisdictions with the authority to assess sales tax. These rules could lower research and compliance costs, and leave businesses less exposed to hidden liabilities. One multistate effort has created a set of simplified rules for collection and remittance. However, one attorney we spoke with said that the rationale for including and excluding certain items in the classification is unclear, and this leaves room for states to interpret the taxability in different ways. Further, some of the simplifications proposals we analyzed do not apply to state definitions of nexus. As such, it is possible that businesses might be aware of and compliant with the simplification rules, but unclear on how to structure their operations to avoid the less simple rules that come from acquiring nexus. These cases might require additional research costs and legal services to resolve and may expose a business to unforeseen liability.", "Small Business Exemptions May Help Small Businesses Avoid Additional Costs Small business exemptions would ensure that businesses with sales below a specified threshold would not be liable for taxes to remote jurisdictions. This could reduce research and liability costs for small businesses because these businesses would only have to verify that their sales were below the threshold that requires collection. However, some business representatives we spoke with said that the thresholds contained in many proposals were too low.", "The Small Business Administration defines a small business as one with $32.5 million in annual sales for electronic shopping retailers, and $38.5 million for mail-order houses. Federal legislation allowing states to tax remote sales have included a variety of small business exemptions. For example, one proposal would initially exempt small business with annual sales below $10 million, but that exemption would decline and eventually expire after 3 years. Another proposal would set a permanent exemption of $1 million in annual sales. New state laws and administrative regulations require out-of-state sellers to collect taxes. We identified small seller exemptions in some of these laws and regulations as low as $10,000 and as high as $500,000 in annual sales into the state. However, one business owner said that $25 million in annual sales is still a small business. The owner explained that such businesses can quickly go bankrupt and have little capital to survive downturns in the business cycle. Business representatives said that business models which emphasize low margins and high sales volume are common in remote sales. These businesses may have limited resources for additional compliance obligations.", "Transition Periods Can Help Businesses Prepare for Collection Obligations Transition periods may give businesses time to examine their legal obligations and secure tools, such as software or legal counsel, to facilitate compliance but can prompt increased demand for assistance and services. Our work has shown that sometimes tax system transition deadlines are likely to prompt a large volume of requests from taxpayers for compliance assistance from taxing authorities. Because businesses reported that additional software or legal services would be required to transition to new collection obligations, we expect demand for such services to increase before transition deadlines.", "Limits to Lookback Periods May Protect Newly Registered Businesses Limited lookback periods restrict how far back a state revenue agency can examine a business\u2019s records after that business registers to collect taxes. Attorneys that we interviewed said that registering to collect with a state can trigger an examination of that business\u2019s records with an eye to discovering if the business owes taxes for sales prior to the registration. They explained that if businesses are not protected by limitations to lookback periods upon registration, this may inhibit registering to collect in new states. One business owner told us that the risks of additional scrutiny and unforeseen liability have prevented him from registering to collect in a nearby state where he would like to do more business. Limitations to lookback periods would give businesses more confidence in registering to collect because they would be less likely to incur additional scrutiny or an unforeseen liability as a result of the registration."], "subsections": []}]}]}, {"section_title": "States Generally Do Not Anticipate Major Administrative Costs or Challenges If Given the Authority to Require Businesses to Collect Tax on All Remote Sales", "paragraphs": ["Actions by state and local governments to increase tax collections on remote sales could require additional government resources to administer sales taxes. State revenue agency officials, as well as representatives from the Federation of Tax Administrators and other state government organizations we interviewed, did not identify any major increases in administrative costs or significant administrative challenges if states were given the authority to require businesses to collect taxes on all remote sales.", "In the absence of congressional action to grant states expanded tax collection authority on all remote sales, state legislatures have recently considered, and in some cases enacted, new laws designed to increase tax collections on remote sales. As these proposals were being considered, we identified five revenue agencies or legislative budget offices that had estimated the costs to implement and administer these new programs. For example, one state\u2019s analysis concluded that current state revenue agency resources were sufficient to implement and administer the new program, and another state\u2019s analysis determined that the program would have only a moderate effect on the state revenue agency.", "Other state analyses that estimated additional annual costs varied widely, from a few hundred dollars to up to $4 million. While these estimates varied widely, we found that this information helped to illustrate potential challenges and costs state and local governments could face in trying to collect taxes from all remote sellers. Interviews with three state revenue agency officials who had already implemented, or were beginning to implement, new programs also provided us further information on potential administrative costs and challenges.", "Sales Tax Administration Activities Registration of vendors. States need to process registration forms from new vendors, including out-of-state vendors. States also need information to help identify unregistered vendors. Returns processing. States require resources to process sales tax returns, including returns from out-of-state vendors. States typically capture data in information systems, and identify and process over- or underpayments. Enforcement efforts. Audit resources are needed to verify vendors\u2019 total taxable sales. When auditing out-of-state vendors, state revenue departments may face higher travel costs. Collections. States send delinquency notices to vendors for late, miscalculated, or underpaid collections. Taxpayer services. States provide education efforts and taxpayer assistance to improve voluntary compliance.", "We previously reported that the following state functions are typically associated with administering sales taxes: identifying and registering vendors; returns processing; enforcement; collections; and taxpayer services (see sidebar titled \u201cSales Tax Administration Activities\u201d).", "If remote sellers were required to collect state taxes regardless of nexus, states may need to process an influx of new registration forms from out- of-state vendors. State revenue agency officials as well as representatives from the Federation of Tax Administrators told us, however, that they did not anticipate that registering new out-of-state vendors and processing additional returns would pose major challenges to state agencies. They explained that state revenue agencies already process a large volume of registration changes annually as new businesses are created or existing businesses fail. As a result, they expected that new registrations from out-of-state sellers would not represent a significant strain on current resources.", "Potential increases in new out-of-state vendor registrations could be lessened by states\u2019 small seller exemptions. Some state proposals for increasing tax collections on remote sales have exempted smaller out-of- state sellers with annual sales less than a certain dollar amount, or annual transactions less than a certain number, into a state. Recent small seller exemptions have set annual sales exemption thresholds ranging from $10,000 in Washington State to $500,000 in Massachusetts. One revenue agency official from Alabama, which began enforcing a new remote-seller regulation in 2016 that has a $250,000 small seller exemption, told us that the approximately 100 newly registered out-of- state sellers is an extremely small share of the state\u2019s total 40,000 registered sellers.", "States may need additional resources to process new tax returns from out-of-state vendors and to verify out-of-state vendors\u2019 total taxable remote sales into a state. However, as tax administrators noted above with regard to new vendor registrations, any increase in out-of-state returns processing may be minimal when compared to the volume of routine in-state returns. When processing new out-of-state returns, states may need to decide whether to capture the same amount of data from out-of-state filers as they currently do for in-state filers in order to limit errors and required resources for follow-up.", "Depending on whether and how some states choose to centralize registration and reporting for out-of-state vendors, some administrative costs and burdens associated with these functions might be reduced or mitigated. For example, a revenue agency official from Alabama told us that implementation of its new administrative rule (requiring out-of-state vendors to collect taxes on sales to Alabama customers) has been facilitated by having its state revenue department serve as a centralized collection point on behalf of local tax authorities.", "Thirty-seven states, like Alabama, have local sales taxes in addition to statewide sales taxes. Some of these local taxes are already centrally collected by a state revenue agency, but in some states, local authorities collect them. States that are members of the Streamlined Sales and Use Tax Agreement have agreed to allow centralized state registration and reporting for out-of-state vendors. Louisiana, another state with many local sales tax jurisdictions, recently enacted a new law creating a sales tax board for promoting \u201cuniformity and efficiency\u201d of local sales and use tax administration. The law also created an independent agency within the state\u2019s Department of Revenue for administering and collecting state and local taxes related to remote sales.", "When allocating enforcement and collections resources, state administrators may need to weigh trade-offs between pursuing incidences of noncompliance (typically higher among small filers) against potential revenue effects (greatest among large filers). Representatives from the Federation of Tax Administrators did not anticipate significant increases in enforcement costs because they said most sales tax noncompliance is detected not through intensive audits but through less costly automated matching of electronic data such as credit card sales receipts with business-reported sales. They also said that most noncompliance issues are resolved via automatically-generated correspondence with taxpayers. That is, most taxpayers resolve additional amounts owed or other noncompliance matters after receiving notification letters from state revenue agencies.", "One state revenue agency official told us that his agency may experience higher travel costs associated with audits of out-of-state vendors. The same official believed, however, that this might merely require re- allocating current travel expenses from in-state audits to out-of-state audits rather than requiring an increase in travel budgets. The Oklahoma legislature recently authorized the state revenue agency to create an out- of-state sales tax enforcement division. While the final bill provided the state agency with flexibility to staff this division using existing resources, the original proposal would have mandated opening a new office outside the state and staffing it with a minimum of five employees at an estimated annual cost of $450,000.", "Finally, state revenue agency officials and representatives from the Federation of Tax Administrators told us that they anticipated some additional resources may be needed for taxpayer assistance such as providing increased telephone assistance or publishing guidance for new out-of-state vendors. Demand for taxpayer assistance is likely to be higher from smaller out-of-state vendors with less experience in collecting and remitting taxes to other states. The complexity of a state\u2019s sales tax laws, such as rules for when to exempt a certain type of product based on how it is used, are also likely to affect levels of taxpayer service requested by new out-of-state vendors."], "subsections": [{"section_title": "States Implementing Notice and Reporting Requirements May Experience Difficulties Matching Sales Data to Taxpayer Information", "paragraphs": ["We identified at least four states that have enacted new \u201cnotice and reporting\u201d laws in attempts to increase tax collections from remote sales. Under these laws, if an out-of-state seller chooses not to collect taxes on sales into a state, then the seller is required to notify its customers of state use tax obligations, send customers annual summaries of their purchases, and share that information with state revenue agencies. One state\u2019s fiscal analysis of its new notice and reporting law estimated that out-of-state retailers will decide to collect the tax rather than comply with notice and reporting requirements. The handful of new notice and reporting laws that we identified have only recently become effective, so it is unclear to what extent this has or will occur.", "We found two recent estimates of costs to implement and administer these new notice and reporting laws. The Louisiana Legislative Fiscal Office estimated that the state revenue agency would incur costs of $90,000 annually to administer a new notice and reporting law. By contrast, the Washington Department of Revenue estimated that it would cost about $4 million annually to administer the state\u2019s new notice and reporting law. Washington revenue officials told us that most of these costs come from hiring new staff. They explained that increased costs are common when they must enforce new provisions of the tax code because it is not easy to reassign tax staff.", "State revenue agencies implementing new notice and reporting laws may experience difficulty matching sales information from out-of-state retailers with taxpayer data. Revenue officials from Colorado told us that the annual sales reports remote sellers are required to send to their customers and share with state revenue agencies, will not contain unique taxpayer identification data like Social Security numbers. Without these data, these officials explained that revenue agencies will need to use customers\u2019 names and addresses to match with taxpayer returns. If buyers with similar names make use of the same delivery address, this may complicate efforts to identify a taxpayer\u2019s use tax obligation.", "Colorado and Washington officials also told us that once their revenue agencies begin sending letters to taxpayers with estimated use tax obligations, they anticipate significant increases in phone calls and other requests for taxpayer assistance. In order to manage expected increases in call volumes and control costs, Colorado officials said they plan to be selective about sending notices in the first years.", "Officials from Washington\u2019s Department of Revenue told us that one part of their new notice and reporting law applied to e-marketplaces rather than sellers. Officials told us that it is easier for states to enforce compliance against one large entity (the e-marketplace company) instead of the thousands of smaller sellers that sell through the e-marketplace\u2019s platform. Washington\u2019s notice and reporting law requires e-marketplace companies to comply with the notice and reporting requirements if the e-marketplaces choose not to collect and remit taxes on behalf of their individual sellers.", "In August 2017, the Multistate Tax Commission began offering a general sales tax amnesty program for e-marketplace sellers. During the amnesty period, the commission would accept applications from qualifying remote sellers. The sellers would affirm in their applications that their only connection with the participating state or states is through inventory housed in an e-marketplace\u2019s warehouse or fulfillment center. In exchange, one group of participating states would agree to waive back tax liabilities for sales and use taxes, as well as for income and franchise taxes, including penalties and interest, without regard to any lookback period. At the time of our report, 24 states and the District of Columbia were participating. The program was set to end in November 2017.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate Senate and House committees. We will also send copies of the report to the Secretary of the Treasury and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or mctiguej@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made contributions to this report are listed in appendix III."], "subsections": []}]}]}, {"section_title": "Appendix I: Methodology for Revenue Gain Estimates", "paragraphs": ["To address our objective on estimating how much revenue state and local governments could gain by being able to collect taxes on sales made by all remote sellers, we updated a model we used to prepare similar estimates in 2000. The sidebar titled \u201cSteps Involved in Estimating Potential Revenue Gains\u201d summarizes the steps in our methodology.", "Compared to when we did similar analysis in 2000, there are some areas where we have better data, but a single point estimate is still not possible because of uncertainty surrounding estimates of several key inputs to our model. In our 2000 report, there were few reliable data sources on which to base our calculations and adjustments. We noted then that projections of sales were particularly difficult to make given the rapidly changing e-commerce environment. Today, there are more data sources available on current and future e-commerce sales.", "In addition to the past uncertainty regarding the magnitude of remote sales, we reported in 2000 that there was considerable uncertainty about the amount of tax that state and local governments were already collecting from these remote sales. Today, data are more easily available on where e-commerce companies have a substantial presence (referred to as nexus) in states. Some research companies track this information, and more companies are explicitly stating on their websites in which states they collect sales tax. Still, we had to make several broad assumptions about the volume of e-marketplace sales, including the extent to which e-marketplace sellers were already collecting sales taxes.", "As states continue to research tax losses associated with e-marketplace sales and pursue increased enforcement actions, we believe that more data could help improve the accuracy of our estimates. Additional data from e-marketplace companies about the extent to which their sellers are collecting sales taxes through the e-marketplace optional tax services would also help improve further analysis in this area."], "subsections": [{"section_title": "The Volume and Composition of Internet and Other Remote Sales", "paragraphs": ["To obtain sales estimates, we reviewed academic, government, and private-sector studies. We also contacted these authors and other specialists in this field to identify other potential sources of sales estimates. Some state revenue agencies and other researchers who have estimated tax revenue losses from remote sales have used data from the U.S. Census Bureau to derive their base estimates of total Internet and other remote sales. While we did use some Census data in our analyses, we primarily relied upon data from Forrester Research (a research company whose data we had used in our 2000 report) to arrive at low and high scenario estimates for total sales volumes for different types of remote sales as shown in table 3. We chose not to provide a single point estimate, because the low and high scenarios illustrate how the numbers can vary\u2014sometimes non-trivially\u2014depending on reasonable assumptions about the underlying uncertainties.", "Forrester Research\u2019s estimates of business-to-consumer (B2C) e-commerce sales for the years 2016 to 2021 presented data on 31 different product categories to which we could then apply specific state sales tax rates and exemptions. By contrast, similar Census data were more limited in that: the data contained fewer categories (13 merchandise lines plus non-merchandise receipts); the most recent data were for the year 2015; and the data did not include e-marketplace sales. Forrester Research\u2019s total online retail forecast for 2016 was about $400 billion and nearly $450 billion for 2017. We reduced this total by about $20 billion by removing sales for two product categories (movie tickets and event tickets) that were more akin to services industry (rather than retail) activities."], "subsections": [{"section_title": "Business-to-Consumer E-Marketplace Sales", "paragraphs": ["Unlike Census data, Forrester Research included sales from e-marketplaces in its e-commerce forecasts. Sales tax losses associated with e-marketplace sales have become an increasing area of focus for state revenue agencies, and so it was important to include in our analysis. To separate e-marketplace sales from the sales of other Internet retailers, we analyzed data from the annual reports of three leading e-marketplace companies and data we obtained from Internet Retailer. We estimated the value of merchandise being sold on these three leading e-marketplaces to be about $110 billion in 2016. However, some of these are sales by other Internet retailers using the e-marketplaces to sell their goods. That is, some retailers operate stores and their own websites but also sell their goods through \u201cstorefronts\u201d on the e-marketplaces. We adjusted our total e-marketplace sales estimate to avoid double-counting retailers\u2019 Internet sales in our analysis. In the end, we estimated that e-marketplace sales (excluding the sales of Internet retailers using e-marketplaces) accounted for 20-25 percent of total 2017 online retail sales ($85 billion to $106 billion)."], "subsections": []}, {"section_title": "Business-to-Consumer Other Remote Sales", "paragraphs": ["Data sources on other remote sales like mail-order catalogs or television shopping channels are more limited, compared to available data on e-commerce sales. A representative of catalog companies we interviewed told us that it is becoming increasingly difficult to attribute retail sales to particular sales channels. For example, many catalog retailers also have websites or sell their goods in retail stores or via e-marketplaces. We decided the best available estimates could be derived by separating out aggregate Census data on Electronic Shopping and Mail-Order Houses into separate e-commerce and mail-order components. We first estimated that the mail-order portion of the top-line Census category to be about $150 billion in 2016, but then removed about $95 billion in estimated mail-order prescription drug sales because nearly all states exempt prescription drugs from sales taxes. Using data on historical growth rates for the mail-order catalog industry, we then estimated the range of other remote sales for 2017 to be from $58 billion to $61 billion."], "subsections": []}, {"section_title": "Business-to-Business Internet Sales", "paragraphs": ["Forrester Research\u2019s estimates of business-to-business (B2B) e-commerce wholesale trade for the years 2016 to 2021 presented data on 11 different product categories to which we could then apply specific state sales tax rates and exemptions. While similar Census data included 19 different product categories, the most recent Census data was only for year 2015. Forrester\u2019s estimates exclude sales via electronic data interchange networks which accounts for some of the difference with Census\u2019 larger e-commerce estimate. Forrester Research\u2019s total B2B forecast was about $825 billion for 2016 and about $885 billion for 2017. We removed about $125 billion in petroleum and petroleum products sales because these sales would generally be subject to excise (not sales) taxes and, furthermore, these sales would be taxed on volume (not dollar value) and we lacked volume data, such as gallons sold. We also lowered the value of the motor vehicles and parts category by 40 to 60 percent under the assumption that most vehicles are taxed when registered with state motor vehicle agencies and sales and use tax compliance is considered generally high."], "subsections": []}]}, {"section_title": "The Taxability of Remote Sales", "paragraphs": ["To estimate the amount of tax due on remote sales, we apportioned a share of total e-commerce and other remote sales to each state (and the District of Columbia) and then applied each state\u2019s tax exemptions and rates to those sales. We allocated sales across states by assuming that each state\u2019s share of sales to individual consumers is proportionate to the state\u2019s share of U.S. disposable personal income, and that each state\u2019s share of sales to businesses is proportionate to the state\u2019s share of U.S. gross domestic product. We made this allocation for each of the B2C and B2B product categories. We then determined which categories of products and services are taxed by state and local governments and at what rates.", "Our main sources for state and local rates and exemptions were CCH\u2019s State Tax Guides and Multistate Quick Answer Charts, Federation of Tax Administrators\u2019 summary tables, and the Tax Foundation\u2019s 2017 State Business Tax Climate Index. Eight states plus the District of Columbia do not have additional local sales tax rates levied by cities, counties, or other special taxing districts. For the other 37 states with both statewide and local tax rates, we used weighted average local rates as estimated by the Tax Foundation after first comparing and testing these rates with similar data published by the Washington State Department of Revenue.", "For B2B e-commerce wholesales, we made additional adjustments to reflect the fact that many B2B sales are exempt from tax based on the type of purchaser or the type of use. These purchaser and use exemptions are important for estimating the proportion of B2B sales that are exempted as raw materials or as inputs incorporated into a final product. Our sources of sales estimates did not disaggregate them by type of purchaser or types of use. In order to estimate the percentage of business-to-business sales that would be exempt, we used input-output account tables prepared by the Department of Commerce\u2019s Bureau of Economic Affairs. These tables show the inter-industry transactions of the U.S. economy for 2015 and provide detailed information on the composition of inputs and the distribution of outputs of all major U.S. industries. On the basis of our analysis of the input-output data, we excluded a range from 50 to 60 percent of all B2B e-commerce wholesales from our model (see row titled \u201cless exempt intermediate goods\u201d in table 3)."], "subsections": []}, {"section_title": "The Extent to Which Remote Sellers Already Collect Taxes", "paragraphs": ["Seller collection rates represent the share of taxes on remote sales that state and local governments can currently require remote sellers to collect due to remote sellers\u2019 substantial presence (referred to as nexus) in a state. To estimate seller collection rates for selected categories of e- commerce and other remote sales, we followed an approach similar to that in our 2000 study. We made separate estimates for Internet retailers, e-marketplaces, other remote retailers, and merchant wholesale e- commerce sales because a different population of firms dominates in each group. Again, we chose not to use a single point estimate, because the low and high alternatives illustrate how assumptions made about collection rates can vary our model output\u2014sometimes non-trivially. The ranges of our estimates are shown in table 4.", "To make our estimate for Internet retailers, we analyzed data from Internet Retailer\u2019s 2017 list of the leading 1,000 U.S. companies to determine the states in which they collect sales taxes. We first used data from company financial reports to adjust Internet Retailer\u2019s 2016 global sales figures for the top 100 companies to reflect only U.S. Internet sales. We also used company annual reports and a smaller list of leading Internet retailers from eMarketer to test the accuracy and reliability of Internet Retailer\u2019s data, which we found to be sufficiently reliable for our purposes.", "We then verified Internet Retailer\u2019s data on the states where each of the top 100 companies were collecting sales taxes by comparing it to sales tax collection policies published on companies\u2019 websites or lists of companies\u2019 physical locations (such as retail stores, warehouses, or company headquarters). We performed our research on companies\u2019 collection policies and nexus from May to June 2017. During this period some companies\u2019 collection policies or nexus changed from the date when Internet Retailer published its Top 1000 list in April. For example, the largest Internet retailer completed agreements with the remaining few states where it was not previously collecting sales tax. As of September 2017, the company stated on its website that it collects taxes on sales of all its products sold to customers in the 45 states (plus the District of Columbia) with statewide sales taxes.", "For 27 of the top 100 companies, Internet Retailer did not report any data on states where the companies were collecting sales taxes, so we used the results of our own nexus research. For the remaining states where we could do comparisons, we found Internet Retailer\u2019s data on companies\u2019 nexus to be sufficiently reliable for our purposes. On the basis of our nexus research, we found that about 40 percent of the top 100 companies were collecting in all 45 states (plus the District of Columbia) with statewide sales taxes, and three-quarters were collecting in at least half the states. Only 2 of the top 100 companies were only collecting in, or only had nexus, in one state.", "To estimate the percent of sales on which Internet retailers were currently collecting taxes, we first allocated each company\u2019s total sales to states based on each state\u2019s share of national disposable personal income. We then multiplied each state\u2019s share of sales by the combined state and local government weighted average tax rate to estimate the total tax dollars that could be collected on all sales regardless of nexus. We then used our nexus data for each company to estimate the tax dollars companies were already collecting. The ratio of these two estimates (total taxes collectible under current law, divided by total taxes that could be collected if states had expanded authority) is our estimated \u201cseller collection rate.\u201d For the top 100 companies on Internet Retailer\u2019s list, we estimated this seller collection rate to be from 87 to 96 percent.", "We then extended our research of companies\u2019 nexus to the remaining 900 companies on Internet Retailer\u2019s top 1000 list. These remaining 900 companies accounted for about 20 percent of the total dollar sales volume for all 1,000 companies on Internet Retailer\u2019s list (after we had adjusted global sales to U.S.-only sales for the top 100). For about one- third of these 900 companies, Internet Retailer did not report any nexus data so we did our own research. For the other two-thirds, we relied on Internet Retailer\u2019s nexus data because we found it sufficiently reliable based on our analysis of first 100 companies listed. Compared to the top 100 companies, these remaining 900 companies were far less likely to have nexus (or said they were collecting) in all or most states. About half the remaining 900 companies only had nexus (or said they were collecting) in one state. In terms of tax dollars, we estimated that these 900 Internet retailers were already collecting from 44 to 49 percent of the potential taxes that states and local governments could require to be collected if given expanded authority on all remote sales. For all 1000 Internet retailers, we adjusted our estimates of dollars currently being collected by plus (+) and minus (-) 5 percent, which gave us a range of overall estimated collection rates from 78 to 86 percent for the category."], "subsections": [{"section_title": "E-Marketplace Sellers Collection Rates", "paragraphs": ["The wider range of our estimates on seller collection rates for e-marketplace sales is because less data were available on the extent to which these types of sellers already collect sales taxes. We could not find sufficiently reliable data on the physical locations of sellers who use e-marketplaces. The three major e-marketplaces (that we analyzed to estimate total e-marketplace sales) offer their sellers additional services that help sellers calculate and collect sales taxes, but not all sellers take advantage of this service. None of the e-marketplaces that we interviewed were able to provide us data on the extent to which their sellers currently collect sales tax. We found limited data on the extent to which e-marketplace sales include sales taxes. Two studies estimated that sales taxes were more likely to be collected by larger sellers like other retailers using e-marketplaces to sell some of their products. As we noted above when describing our methods for estimating total e- marketplace sales, we estimated that about 40 percent of Internet retailers sell their products not only via their own stores and websites, but also offer their products for sale on e-marketplace sites.", "In our calculations, we assumed that from 10 to 30 percent of e-marketplace sales were made by large sellers that collected taxes in most states (either due to nexus or collection agreements with states). After allocating those sales to states based on share of disposable personal income, we assumed that these large sellers collected taxes at the same rates we had estimated for the top 100 Internet retail companies. We assumed that the remaining e-marketplace sales (from 70 to 90 percent) were made by smaller sellers with only one nexus, and that these small sellers were geographically located similar to other Internet retailers with only one nexus. After allocating those sales to states, we assumed that these small sellers collected taxes only in their home state. Our resulting seller collection rates for all e-marketplace sellers ranged from 14 to 33 percent.", "Due to a lack of sufficiently reliable data, we did not consider what percentage of e-marketplace sales are used items. According to one e-marketplace company, about 20 percent of items listed on their site are used. According to information from one tax software company, the taxability of used items for sale varies by state."], "subsections": []}, {"section_title": "Other Remote Retailers Collection Rates", "paragraphs": ["We could not find data that listed the leading mail-order catalog companies, and in which states they have nexus and are collecting taxes. However, 116 of the companies in Internet Retailer\u2019s 2017 Top 1000 list were classified by Internet Retailer as \u201cCatalog/Call Center\u201d companies. These companies had from $5 million to $5 billion in 2016 Internet sales to U.S. customers and were distributed similarly to the full population of all 1000 companies. Since we had already estimated their collection rates as part of our analysis on Internet retailers, we re-calculated an aggregate collection rate for these 116 companies. We adjusted our estimates of dollars currently being collected by plus (+) and minus (-) 5 percent, which gave us a range of overall estimated collection rates from 58 to 64 percent."], "subsections": []}, {"section_title": "B2B E-Commerce Wholesalers Collection Rates", "paragraphs": ["We followed a similar approach for estimating seller collection rates for business-to-business e-commerce wholesalers. We identified 106 companies on the Internet Retailer\u2019s 2017 Top 1000 list with significant B2B sales. Some of the companies appeared to sell exclusively to businesses whereas others had both significant consumer and business sales. These companies had 2016 Internet sales to U.S. customers ranging from $5 million to $10 billion, and the subpopulation was distributed similar to the overall Top 1000 population. The 106 companies were more likely to come from Internet Retailer\u2019s categories of: automobile parts, computers/electronics, hardware/home improvement, and office supplies. Comparatively fewer were in Internet Retailer\u2019s categories of apparel/accessories, food/drug, health/beauty, or housewares/home furnishings. Because we had already estimated their collection rates as part of our analysis on Internet retailers, we re-calculated an aggregate collection rate for these 106 companies. We adjusted our estimates of dollars currently being collected by plus (+) and minus (-) 5 percent, which gave us a range of overall estimated collection rates from 85 to 94 percent."], "subsections": []}]}, {"section_title": "The Extent to Which Purchasers Already Pay Tax", "paragraphs": ["According to data we found, consumer and business use tax compliance rates have not changed significantly since we did similar analyses in 2000. As we reported then, consumer use tax rates are estimated to be very low whereas business use tax compliance rates are estimated to be very high. The most widely-cited study we found on consumer use tax compliance was prepared by the Minnesota legislature in 2015. The study reported that for those states that allowed taxpayers to report use taxes on their state income tax returns, the percentage of returns including use taxes ranged from a low of 0.2 percent in Rhode Island to a high of 10.2 percent in Maine. We used the various rates from the study in our calculations. For those states not listed in the Minnesota legislature study, we used a default median rate of 1.2 percent. We had more to up- to-date data for California, Mississippi, and Vermont, which we used in our calculations. We then adjusted the total dollar amount of use taxes paid by consumers from 0 to 10 percent to provide us a range of inputs for our model. Making these adjustments had little to no effect on the final results. For business use tax compliance rates, we found data from five states that estimated business use tax compliance to be from 70 percent to 90 percent. In our model, we applied both these figures to give us a range of estimated use tax dollars paid by businesses."], "subsections": []}, {"section_title": "Ranges of Potential Revenue Gains", "paragraphs": ["Table 5 shows the potential revenue gains for 2017 that we calculated using various combinations of low and high estimates for sales and sellers collections rates described above. Here too, we chose to not provide a single point estimate because the low and high scenarios for potential revenue gains illustrate how the many underlying uncertainties affect potential revenue gains.", "By adjusting various model inputs we produced some lower estimates resulting from the following assumptions and adjustments: (1) decreasing our estimated e-marketplace and other remote retailer sales; (2) increasing our estimated seller collection rate for all types of remote sellers; (3) increasing our estimated consumer and business use tax compliance; and (4) increasing our estimates of tax-exempt business inputs (intermediate goods). The higher estimate results from: (1) increasing our estimated e-marketplace and other remote retailer sales; (2) decreasing our estimated seller collection rates for all types of remote sellers; (3) decreasing our estimated consumer and business use tax compliance rates; and (4) decreasing our estimates of tax-exempt business purchases (intermediate goods)."], "subsections": [{"section_title": "Including Additional Factors in Our Model Would Likely Lower Our Overall Estimates of Potential Revenue Gains", "paragraphs": ["We lacked sufficient data on four additional factors that, if we had included in our model, would likely reduce our estimates of state and local government revenue gains.", "We lacked sufficient data on the extent to which requiring all remote sellers to collect sales taxes on all sales (regardless of a sellers\u2019 nexus) would raise final prices to consumers and thus lower demand for goods sold remotely. Facing higher final prices, some online or other remote shoppers might shop instead at traditional brick and mortar retailers, or place orders with non-U.S. remote sellers. A representative from one major Internet retailer we interviewed believed that its customers placed higher value on the convenience of shopping online and were less likely to change their shopping behavior if previously untaxed sales now included sales taxes. Some economists have concluded that consumers alter buying decisions when remote retailers begin to collect sales taxes. However, one of the tax policy specialists who reviewed our report noted a lack of consensus on this topic.", "We lacked sufficient data on what portion of e-commerce sales included in our model might be tax exempt digital downloads of software, music, books, and games. Some states consider digital downloads to be a service (not a physical good) and therefore exempt from sales taxes. The variations in state laws governing the taxability of digital downloads were too numerous for us to reliably include in our model. Assuming that states do not change their laws to make these purchases taxable, it is likely that our estimates of potential revenue gains would be lower.", "We were unable to factor in the extent to which some small remote sellers might be exempt from sales tax collection requirements even if states had expanded authority over all remote sales. Recent state laws and regulations regarding taxes on remote sales have included small seller provisions that exempt sellers who make less than a specified dollar amount of sales or a number of transactions annually into a state. Proposed federal legislation granting states expanded taxing authority on all remote sales also includes different nationwide dollar amount exemptions for small sellers. We could not find sufficiently reliable data to estimate how many businesses or what dollar volume of sales might be exempt either at the state or federal level. As a result, our final estimates most likely overstate the total potential revenue gains for some, or all, states depending on what types of small seller exemptions might be enacted at either the state or federal level, or both.", "Sales to Tax Exempt Entities We lacked sufficient data on what share of remote sales are made to tax exempt entities. In our 2000 report, we were also unable to identify any estimates of sales by taxable versus tax-exempt purchaser. Officials from one state revenue agency we interviewed estimated that the percent of purchases made by tax-exempt entities or persons to be extremely low. Our final estimates of potential tax gains would be lower for states if we had included an estimate in our model."], "subsections": []}]}]}, {"section_title": "Appendix II: State and Local Government Potential Revenue Gains", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["James R. McTigue, Jr. (202) 512-9110 or mctiguej@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tara Carter (Assistant Director), Mark Kehoe (Analyst in Charge), Brett Caloia, and Christine N. Dickason made key contributions to this report. Anne Stevens, A.J. Stephens, Cynthia Saunders, JoAnna Berry, Stewart W. Small, Donna Miller, Andrew Emmons and Andrew Howard also provided key assistance."], "subsections": []}]}], "fastfact": ["When consumers order goods remotely, such as from a website or mail-order catalog, states have limited ability to collect taxes on the sale. Under current law, a state cannot require a remote seller to charge sales taxes unless the seller has a substantial presence, such as a store or warehouse, in the state.", "Congress has been considering legislation to expand states' authority to collect taxes from remote sellers. We found that state and local governments could gain billions of dollars in additional revenue if given this authority, but some businesses would likely see increased costs to comply with the tax laws of multiple states."]} {"id": "GAO-19-217", "url": "https://www.gao.gov/products/GAO-19-217", "title": "Federal Retirement: OPM Actions Needed to Improve Application Processing Times", "published_date": "2019-05-15T00:00:00", "released_date": "2019-06-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to OPM, it receives more than 100,000 retirement applications each fiscal year. Between 2014 to 2017, OPM did not meet its goal of processing most retirement applications within 60 days. GAO was asked to review potential improvements in federal retirement processing at OPM. This report (1) describes the root causes of retirement application processing delays, as determined by OPM; and (2) examines what strategies, if any, OPM has taken to address those root causes, and how OPM has evaluated the effectiveness of the strategies.", "GAO reviewed OPM data and documents, and interviewed OPM officials. GAO also interviewed officials from DOD, HHS, NASA, and USPS about their experiences with processing retirement applications. GAO selected these agencies because they represent a variety of application error rates and relatively high application volume."]}, {"section_title": "What GAO Found", "paragraphs": ["The Office of Personnel Management (OPM), which administers the federal retirement program, identified three root causes for retirement processing delays:", "1. the continuing reliance on paper-based applications and manual processing;", "2. insufficient staffing capacity, particularly during peak workload season; and", "3. incomplete applications.", "OPM has taken various actions to address these root causes and thereby reduce delays.", "Vision for modernizing retirement processing. OPM's strategic vision consists of five key initiatives for modernizing the application process, including developing an electronic application form and an electronic system to store retirement information. However, OPM was unable to provide estimated time frames or costs for the initiatives. OPM officials said that additional information technology (IT) modernization work is dependent on sufficient funding, among other factors. These factors are important but do not preclude OPM from establishing estimated cost ranges and time frames\u2014practices consistent with industry best practices and IT project management principles.", "Actions to increase staffing capacity. OPM's actions have included using overtime pay and hiring additional staff. However, OPM generally does not assess the effectiveness of these actions or whether they reduce delays. For example, OPM does not measure overtime productivity or correlate overtime data with application processing data. Federal internal control standards state that management should review its performance compared to its goals. OPM officials stated that they have limited resources for assessments. However, without assessments, OPM is less able to make informed decisions on how to best use staffing practices to improve processing times.", "Actions to reduce missing information in applications. OPM provides assistance to agencies through guidance, training, communication through liaisons and email, and error reports. OPM's monthly error reports to agencies include information on the type of error found and the volume of applications with the same error, according to OPM. The four agencies GAO interviewed\u2014Department of Defense (DOD), Department of Health and Human Services (HHS), National Aeronautics and Space Administration (NASA), and U.S. Postal Service (USPS)\u2014reported that aspects of the error reports were not user-friendly. OPM stated that its assistance is intended to help agencies submit complete and accurate retirement packages for quicker processing. Federal internal control standards state that management should communicate quality information externally and periodically reevaluate its communication methods. OPM officials stated that the error report is intended to capture the overarching errors many agencies face and that revising the error report would not be cost-effective. However, the current format of the error report may limit its usefulness to agencies in improving their retirement applications."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 6 recommendations. These recommendations include that OPM should develop a retirement services IT modernization plan for initial project phases; develop and implement policies for assessing staffing strategies intended to improve processing times; and determine if there are cost-effective ways to make the retirement application error report more user-friendly. OPM concurred with 1 recommendation and partially concurred with 5 recommendations. GAO continues to believe all aspects of the recommendations are valid, as discussed in the report. GAO also incorporated technical comments."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Office of Personnel Management (OPM) manages and administers the federal retirement program, which includes processing the retirement applications that federal employees must submit through their agencies as paper applications. The federal retirement program covers more than 2.4 million active employees and OPM receives more than 100,000 retirement applications each fiscal year, according to OPM. Between 2014 and 2017, OPM reported that it did not meet its goal of processing 90 percent of retirement applications within 60 days. During this time period, OPM processed from 57 to 79 percent of retirement claims within 60 days each fiscal year. OPM\u2019s new goal as of April 2018 is to process all applications within an average of 60 days, which OPM reported that it achieved for 5 of the 9 months from April to December 2018.", "You asked us to review potential improvements in federal retirement processing at OPM. For this report, we (1) describe the root causes of retirement application processing delays, as determined by OPM; (2) examine what strategies, if any, OPM has developed and implemented to address those root causes, and how OPM has evaluated the effectiveness of the strategies; and (3) identify strategies selected agencies use to help them compile accurate retirement applications.", "To address our first and second objectives, we reviewed OPM documents and interviewed OPM officials in both the headquarters and in the Retirement Operations Center in Boyers, Pennsylvania. We toured the Boyers facility and interviewed staff on the retirement application process. For our second objective, we also assessed OPM\u2019s strategies against criteria that included federal standards for internal control and using data to manage performance. In addition, to provide background and context about OPM\u2019s actions to identify root causes, we analyzed OPM data on processing volume for retirement applications. To determine the reliability of the data, we reviewed relevant OPM documents and consulted OPM officials about data collection methods. We found the data to be reliable for our purposes of reporting on processing volume for fiscal years 2016 through 2018.", "To address our third objective, we selected four agencies as case illustrations\u2014the Department of Defense (DOD), the Department of Health and Human Services (HHS), the National Aeronautics and Space Administration (NASA), and the U.S. Postal Service (USPS). Our selection of agencies was based on analysis of several characteristics of OPM\u2019s data on agency errors for fiscal years 2014 to 2016 across 97 agencies. We narrowed our scope to 17 agencies that we categorized as having a relatively high number of applications\u2014more than 1,000 for fiscal years 2014 through 2016 combined. Within that scope, we selected four agencies that represented a variety of error rates and levels of application volume to provide a range of agency experiences.", "The four agencies represent 56 percent of all applications audited by OPM for agency errors in fiscal years 2014 to 2016. These agencies also represent 46 percent of all audited applications that OPM identified as having errors in fiscal years 2014 to 2016. Although these agencies do not represent the experiences of all agencies government-wide, they provide illustrative examples of experiences that agencies have with retirement applications. To determine the reliability of the agency error data, we reviewed relevant OPM documents and consulted OPM officials about OPM\u2019s data collection methods. We found the data to be reliable for our purpose of selecting agencies. We also reviewed agency documentation related to the selected agencies\u2019 retirement application operations and conducted semi-structured interviews with agency staff.", "We conducted this performance audit from October 2017 to May 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["OPM administers two defined-benefit retirement plans that provide retirement, disability, and survivor benefits to federal employees. The Civil Service Retirement System (CSRS) provides retirement benefits for most federal employees hired before 1984. The Federal Employees Retirement System (FERS) covers most employees hired in or after 1984, and provides benefits that include Social Security and a defined contribution system. If a federal employee becomes disabled while employed in a position subject to the retirement system, and the employee meets the disability eligibility requirements, the employee may apply for a disability retirement.", "Agencies\u2019 human resources offices, payroll offices, and OPM are responsible for compiling and processing federal employees\u2019 retirement applications. The process begins when an employee submits a paper retirement application to his or her agency\u2019s human resources office. OPM\u2019s guidance states that both agencies and payroll offices must certify that specific portions of the application are accurate.", "OPM employees then ensure that the package includes all the necessary information. An OPM adjudicator processes the retirement package, which contains the application documents from human resources and payroll. For example, the package includes the separation form, which finalizes the date that the employee will retire. The adjudicator determines if the eligibility requirements are met for an annuity as well as health and life insurance into retirement, and calculates the annuity. The process is completed when the individual begins receiving regular monthly benefit payments, as illustrated in figure 1. According to OPM officials, OPM then stores the paper retirement file until (1) all benefits have been applied for and paid to all eligible heirs, and (2) a specified amount of time has passed.", "Over several decades, OPM has attempted to modernize the retirement application process by automating paper-based functions and replacing antiquated information systems. However, as we have highlighted in our past work, the agency has experienced numerous challenges and has a history of undertaking modernization projects that did not yield the intended outcomes. Specifically, we found that OPM\u2019s efforts over 2 decades to modernize its processing of federal employee retirement applications were fraught with (information technology) IT management weaknesses. In 2005, we made recommendations to address weaknesses in project, risk, and organizational change management. In 2008, as OPM was on the verge of deploying an automated retirement processing system, we reported deficiencies in, and made recommendations to address, additional weaknesses in system testing, cost estimating, and progress reporting. In 2009, we reported that OPM continued to have deficiencies and made recommendations to address these and other weaknesses in the planning and oversight of the agency\u2019s modernization effort. OPM began to address these recommendations; however, in February 2011, it terminated the modernization effort.", "As figure 2 shows, 31.6 percent of federal employees who were on board as of September 30, 2017, will be eligible to retire in the next 5 years. Some agencies have particularly high levels of employees eligible to retire in the next 5 years.", "OPM\u2019s reporting on its application processing timeliness also shows longer processing times or occasional improved processing times that were not sustained from fiscal year 2006 to 2017. We found it difficult to compare OPM\u2019s performance across years because the performance measures have changed over time. For example, in 2009 through 2011, OPM\u2019s performance measure was the average number of days to process applications. During this time period, OPM met its target except for 1 year when OPM reported 108 days and the target was 45 days. In contrast, in 2014 through 2017, OPM\u2019s performance measure was the percentage of applications processed in 60 days. During this time period, OPM did not meets its target of processing 90 percent of applications in 60 days as the percentage ranged from 57 to 79 percent each fiscal year."], "subsections": []}, {"section_title": "OPM Attributes Processing Delays to Paper-Based Applications, Staffing, and Missing Information in Applications", "paragraphs": ["Paper-based applications. Despite past attempts to modernize its retirement applications processing operation, OPM currently requires federal employees to submit their retirement application on paper. According to OPM officials, OPM has automated some front-end processing steps, despite various challenges, such as OPM\u2019s and agencies\u2019 legacy systems lacking functionality or integration, inaccurate data due to manual data-entry errors, and lack of real-time data because data are stored in inconsistent formats at multiple locations. OPM officials reported that payroll providers can electronically send OPM 59 data elements, which allows OPM to authorize interim annuity payments to 50 percent of new applicants, as well as initiates other processing functions. However, as shown in figure 3, subsequent processing steps still require manual intervention, including assembling paper documents into folders, ensuring documents are in proper order, and addressing missing or incomplete information.", "Staffing capacity. OPM attributed delays to not having enough staff to address its peak workload season, called the surge period. According to OPM, it hired additional staff in 2017 and 2018 to process applications throughout the year, but overtime pay was needed to increase staffing capacity during surge periods. Also, officials reported that hiring freezes, continuing resolutions, and other budget constraints affected hiring numbers and created hiring delays over the past 5 fiscal years.", "During the surge, OPM officials said they receive the bulk of applications starting in mid-January continuing through February (6 weeks). However, the effect of the surge workload lasts until mid-April because OPM takes about 60 days on average to process an application. Figure 4 illustrates the flow of applications OPM received and processed in fiscal years 2016 to 2018. During the months of January and February in this time period, OPM received an average of about 13,200 applications per month, a considerable increase over its average of about 7,200 per month at other times of the year. Despite the increase in applications, OPM\u2019s application processing numbers remained essentially the same in January and February (8,200 per month) compared to other months of the year (8,100 per month), thus increasing OPM\u2019s inventory of unprocessed applications, which ranged from approximately 11,400 to 24,200 for the time period shown.", "The increase in inventory was partly mitigated in March of each year, when OPM processed an average of about 11,000 applications. OPM officials reported that they processed more applications in March because they used overtime pay and flexible staffing across work units, such as temporarily shifting staff to a different unit to expedite workflow; screened for complete applications; and received fewer applications as surge periods ended. We discuss these and other actions OPM has taken to increase staffing capacity during surge periods later in the report.", "Incomplete applications. According to OPM officials, in up to 40 percent of applications, OPM is missing information needed to finalize processing, which increases processing time. Incomplete applications generally fall into two categories:", "Missing information. OPM estimates about 10 percent of applications are missing information, such as a form or signature. For example, OPM officials said that documentation for the applicant\u2019s preceding 5 years of health insurance coverage, which is necessary to continue health insurance into retirement, was often missing.", "Waiting for applicant decisions. OPM estimates about 30 percent of applications are delayed while waiting for applicant decisions. For example, OPM stated that it must wait 30 days for the applicant to select an annuity option if deposits or redeposits are made.", "In addition to these three root causes, OPM officials reported that other factors, such as legislative changes, can also cause processing delays. For example, changes in the law may require OPM to revise its processes and train its staff, taking away time from core processing activities."], "subsections": []}, {"section_title": "OPM Conducts Limited Assessments of Its Processing Operation and Assistance to Agencies", "paragraphs": [], "subsections": [{"section_title": "IT Modernization Plan Remains Unclear", "paragraphs": ["Subsequent to terminating its retirement modernization effort in February 2011, OPM refocused its retirement modernization efforts and in 2013 developed a new strategic vision for modernizing retirement applications processing. OPM\u2019s 2013 strategic vision for modernizing retirement applications processing envisioned a paperless system that would timely authorize accurate retirement benefit payments, answer customers\u2019 questions, and promote self-service account maintenance. According to OPM officials, the strategic vision consists of five key initiatives which are in varying stages of development and implementation, as shown in table 1.", "Partly in response to cancelling its third attempt to automate the processing of federal retirement applications in February 2011, OPM is now taking an incremental approach towards modernizing its retirement IT systems. According to OPM officials, they also recognize the need to improve OPM\u2019s enterprise architecture before implementing significant modernization efforts. As we have previously reported, these steps can help agencies successfully modernize and maintain IT environments.", "OPM\u2019s current approach provides a framework to help the agency achieve its overall IT modernization strategic vision. However, OPM officials provided no further explanation about how retirement IT modernization activities would proceed, such as describing proposed time frames and estimated cost ranges, even for initial project phases. Likewise, OPM\u2019s Inspector General recently reported that the agency\u2019s fiscal year 2018 IT modernization expenditure plan did not account for total costs nor identify the full scope of OPM\u2019s modernization effort for the agency.", "Industry best practices and IT project management principles stress the importance of sound planning for system modernization projects. These plans should identify key aspects of a project, such as scope, responsible organizations, costs, schedules, and risks. Additionally, planning should begin early in the project\u2019s life cycle and be updated as the project progresses. Further, according to federal internal control standards, management should define objectives in specific and measurable terms, such as defining what is to be achieved, who is to achieve it, how it will be achieved, and time frames for achievement.", "OPM officials said that additional IT modernization work is dependent on sufficient funding, support from the Office of the Chief Information Officer, and development of a technical enterprise architecture roadmap. These components are important. However, they do not preclude OPM from establishing a basic project management plan that includes objectives, estimated cost ranges, and proposed time frames for its initial project phases. Without a plan that is consistent with IT project management principles, OPM is less able to articulate a path forward in measurable terms and assess performance towards achieving its objectives. Similarly, without an electronic application system, OPM is less able to automatically verify information upfront when the application is submitted and notify applicants of any discrepancies prior to accepting the application.", "The administration\u2019s proposal to move the retirement application processing operation to the General Services Administration (to be renamed as the Government Services Agency) has created additional uncertainty for OPM. Potential changes in organizational affiliation, policy, budget, and staff may make it difficult for OPM to plan for large- scale changes in its operations. Nevertheless, continuing to develop plans to modernize retirement IT systems seems prudent, given that the details of the reorganization are still unknown and that the move to the General Services Administration may not occur in the near term, or at all. Further, IT modernization is a key theme in the March 2018 President\u2019s Management Agenda and will likely be a key driver in changing agency operations for years to come."], "subsections": []}, {"section_title": "OPM Lacks Performance Information That Could Improve Processing Timeliness and Staffing Capacity", "paragraphs": ["We have previously reported that to successfully implement reforms and improve their operations and results, agencies need to robustly manage their performance. This involves not only measuring progress toward goals, but also using performance information (i.e., data collected to measure progress towards agency goals) to identify and correct problems, improve program implementation, and make other important management and resource allocation decisions. However, we found that OPM does not use performance information on processing timeliness to manage for results. In addition, we found that OPM conducted limited assessments of its processing data and did not assess the effectiveness of its staffing actions."], "subsections": [{"section_title": "Performance Goals and Measures", "paragraphs": ["OPM\u2019s fiscal year 2019 processing timeliness goal is to process all retirement applications in an average of 60 days or less. The related performance measure is the average number of days to process retirement applications. However, we found that OPM did not use its timeliness performance measure to manage for results or provide external stakeholders and applicants a clearer picture of processing time.", "Performance measures not used to manage. Based on our 2017 survey of federal managers, we found that OPM managers agency-wide reported a statistically significant decrease in using performance information to develop program strategy, allocate resources, and take corrective actions since 2013. Similarly, for this review, we found that OPM could enhance its use of performance information to manage for results in retirement applications processing. OPM has not established additional performance measures for the various parts of the application review and processing operation that would contribute towards achieving its overall processing timeliness goal. For example, OPM does not measure timeliness or have related performance goals for its various work units that process applications.", "OPM officials do not use such performance goals and measures to manage for results in part because they do not perceive the information to be relevant to reducing processing delays. For example, OPM officials said that the new timeliness performance goal facilitates planning but does not improve processing time or otherwise provide better service to retirees. According to these officials, OPM does not have a requirement for completing its various processing steps within a certain amount of time because each application is different, and they do not want staff to rush and potentially make mistakes, thereby causing rework. In comparison, agencies and payroll centers that submit these applications to OPM are required to do so within a certain time frame.", "Similarly, OPM has not established a timeliness performance goal or measure for completing its review of applicants\u2019 eligibility for disability retirement. OPM officials said that OPM does not have a performance goal or measure for the review for disability retirement eligibility because it has not reached a steady processing level for these applications. However, OPM did not provide a time frame for when it expects to reach a steady processing level, nor did officials explain why OPM has not established performance goals and measures based on past performance or other benchmarks. In comparison, the Social Security Administration, through partnerships with state agencies, also reviews applications for disability benefits eligibility and has established performance goals for both the accuracy and processing time for this review process. As of November 2018, OPM officials reported that they are collecting data to develop a separate performance goal for measuring the timeliness of reviewing disability retirement eligibility and expect to establish a performance baseline within the next 3 to 6 months.", "The lack of management practices to encourage and enhance the use of performance measures at the operational level can make it challenging for OPM to use performance information to manage operations, such as identifying problem areas that cause delays and implementing corrective actions, and to make decisions, such as better targeting limited resources based on risk or other priorities.", "Unclear performance measures. OPM officials reported that the new processing timeliness goal also provides agencies and applicants a clearer, more realistic expectation of processing time. However, none of the four agencies we interviewed considered the new goal to be clearer or more helpful than past goals. The Departments of Defense and Health and Human Services, and the U.S. Postal Service were unaware that any such goal was ever established, prior to our discussions.", "We found that this performance goal was unclear because it lacked explanatory information that would make it more meaningful for applicants and external stakeholders, such as agency benefit officers and congressional oversight committees. Specifically, the new performance goal and related measure are expressed as an average, which allows for potentially wide variation in processing times while still meeting OPM\u2019s goal. In past work, we have reported that including explanatory information on goals and measures helps improve the usefulness of performance information. Without explanatory information, reporting an average can obscure aspects of OPM\u2019s processing timeliness, such as the number and types of applications OPM processes faster or slower than 60 days and the range of processing times.", "Also, OPM\u2019s processing timeliness goal and measure do not include all phases of the application review process, specifically the time OPM takes to determine eligibility for disability retirements, which can be lengthy. We have previously reported that performance information could be more useful if it identified significant data limitations and their implications for assessing performance. OPM officials reported that the processing timeliness goal and measure exclude data on disability retirement applications pending approval because OPM does not consider reviewing disability retirement eligibility as part of processing. OPM includes disability applications in its processing timeliness goal after these applications have been approved. Not providing explanatory information about what the processing goal includes or excludes can lead to agencies\u2019 and applicants\u2019 false expectations and confusion about the amount of time OPM is taking to review applications."], "subsections": []}, {"section_title": "Limited Assessments of Processing and Staffing Strategies", "paragraphs": ["OPM has implemented various strategies for improving processing timeliness, as discussed below. However, we found multiple examples where OPM did not assess whether the strategies were effective.", "Assessment of processing applications. According to OPM officials, senior and frontline managers review processing data, such as age of pending applications, weekly to identify potential concerns, and adjust staffing and workload if necessary. However, we found that OPM\u2019s performance information may be of limited use for assessing processing delays because the data lacked elements that would provide a more complete measure of performance.", "For example, we found that OPM did not review about half of applications government-wide for errors in fiscal years 2014 to 2016 combined, including all disability retirement applications. Likewise, OPM officials said that the number of unprocessed applications in inventory does not include disability retirement applications still pending approval. As a result, OPM\u2019s performance information for both application errors and inventory does not reflect the full extent of processing delays because various applications have been excluded. OPM officials were unable to explain to us why or how they decided to exclude certain applications.", "Also, OPM generally does not assess the accuracy of the data it collects on application errors. OPM most recently reviewed the accuracy of the error data in 2014, despite additional feedback from agencies that some errors charged to them were incorrect. We also found outliers in the data that OPM officials were unable to explain.", "Assessment of staffing actions. OPM has taken actions to increase staffing capacity in retirement operations throughout the year, as well as during surge periods, as shown in table 2.", "However, we also found that OPM does not assess the effectiveness of its staffing actions, even though OPM officials reported that they are consistently looking for opportunities to improve OPM\u2019s current processes. For example, OPM officials said that staffing actions improved efficiency but were unable to provide supporting data or documentation of their assessments, such as how often cross-functionally trained staff worked in other units and resulting improvements in output or quality.", "Likewise, OPM has not assessed the results of using overtime pay. As shown in table 3, any increased use of overtime pay during fiscal years 2013 to 2017 did not increase the number of applications processed.", "OPM officials said that overtime pay does not necessarily translate into increased output because some actions performed during overtime, such as quality review, do not contribute towards finalizing additional applications. They added that other factors can decrease production, such as reduced staff. Reduced staffing from fiscal years 2013 and 2016 may have contributed to decreased output, even with the use of overtime. However, OPM officials were unable to provide the number or types of positions that were reduced. Likewise, OPM does not measure how and to what extent the various factors affect output.", "OPM officials also said that they use overtime pay during surge periods to move applications through processing during its busiest time of the year, thereby decreasing an otherwise longer waiting time for applicants. However, OPM does not measure overtime productivity, or productivity in general, nor are they able to correlate overtime data with applications processing data or outcomes. OPM officials explained that they expect staff to be equally productive during overtime as they are during regular work time. Although OPM officials may set these productivity expectations, they do not collect productivity data to measure whether and to what extent staff meet these expectations.", "Further, OPM officials could not provide basic staffing data, such as the number of staff who have processed retirement applications for the past 5 years or number of processing staff paid overtime. Such information is valuable because it provides the basis for assessing whether OPM\u2019s staffing actions are improving performance and meeting their intended purpose.", "We have previously reported that to be useful, performance information must meet users\u2019 needs for completeness, accuracy, consistency, timeliness, validity, and ease of use. Other attributes that affect the usefulness of information include, but are not limited to, relevance, credibility, and accessibility. Further, federal internal control standards state that management should use quality information and design control activities to achieve the agency\u2019s objectives. Examples of control activities include top-level reviews of performance compared to plans, goals, and objectives; management reviews at the functional or activity level; comparing and assessing related data sets so that relationships can be analyzed and appropriate actions taken; and clearly documenting control activities, transactions, and other significant events so that the documentation is readily available for examination. Federal internal control standards also state that management should implement control activities through policies.", "OPM officials reported that OPM\u2019s systems were not robust enough to produce better performance information beyond basic processing data. OPM officials added that they have limited resources to assess data on strategies intended to improve processing timeliness. As such, OPM could consider a risk-based approach to collecting data and conducting assessments. For example, OPM could prioritize assessments of more resource-intensive activities over less resource-intensive activities. OPM could also focus its assessments on situations that could potentially introduce processing errors or data inconsistencies, such as when regulatory or process changes are implemented, or when staff are newly employed or are taking on new responsibilities. OPM officials also said that processing time is one of multiple factors they use to determine the effectiveness of staffing actions. However, as noted earlier, processing times have not consistently improved, further underscoring the need for better data and assessments of strategies intended to improve processing timeliness. Lack of useful performance information and policies and procedures to conduct assessments can hinder managers from identifying causes and corrective actions to problems in existing programs, as well as developing and prioritizing strategies and related resources for future programs."], "subsections": []}]}, {"section_title": "OPM Provides Assistance to Agencies, but Lacks a Robust Process for Assessing That Assistance", "paragraphs": ["To obtain agencies\u2019 perspectives on the retirement application process and better understand their coordination and collaboration with OPM, we interviewed four selected agencies using a standardized set of questions in a semi-structured interview format. After we met with the agencies, we discussed the agencies\u2019 perspectives on OPM\u2019s assistance with OPM officials and incorporated their comments, as appropriate."], "subsections": [{"section_title": "Selected Agencies Have Mixed Perspectives on OPM Assistance", "paragraphs": ["OPM provides four main types of assistance to agencies: written guidance, training, communication through assigned liaisons and email, and monthly error reports.", "Guidance. OPM provides written guidance to agencies on submitting retirement applications through the Civil Service Retirement System and Federal Employees Retirement System Handbook for Personnel and Payroll Offices and Benefit Administration Letters. The letters provide guidance to agencies on various topics, such as on retirement policy and process issues. The most recent version of the handbook posted on OPM\u2019s website is from 1998. OPM officials reported that the handbook is updated on an ongoing basis and as resources permit. Of the 47 chapters on OPM\u2019s website, five had been updated between 2013 and 2017. NASA reported that OPM\u2019s handbook is out of date and found it unreliable because some of the information is no longer accurate. All of the four selected agencies reported that the Benefit Administration Letters were very important. The Department of Defense (DOD), the Department of Health and Human Services (HHS), and the U.S. Postal Service (USPS) reported that the Benefit Administration Letters were issued at about the right frequency. In addition, DOD, the National Aeronautics and Space Administration (NASA), and USPS also stated that the Benefit Administration Letters were helpful or very helpful.", "Training. OPM officials reported that OPM provides training opportunities to agencies which include semi-annual multi agency conferences, training for benefit officers, webcasts, self-paced online training, and onsite training if requested. DOD and HHS reported that they were satisfied with the training, and NASA and USPS reported that they were dissatisfied. For example, NASA reported that OPM\u2019s training would be improved with more virtual trainings that are shorter. NASA also reported that cost constraints prohibited sending all retirement staff to in-person training while virtual training is accessible to more staff.", "Liaisons and emails. OPM officials stated that it communicates with agencies by assigning all agencies a liaison to contact for technical assistance and communicating directly via email. For example, HHS reported that its previous liaison had helped locate missing records, such as a federal employee\u2019s federal service history. All of the four selected agencies reported that the interaction with the liaisons was very important, and DOD, NASA, and USPS reported that the interactions were very helpful and about the right frequency. OPM also stated that it communicates with benefit officers and other interested parties through emails. USPS reported that the emails from OPM included Benefit Administration Letters and announcements about meetings and upcoming trainings. DOD, NASA, and USPS reported that emails were the most helpful form of communication with OPM.", "Error reports. OPM provides agencies with a monthly error report after it analyzes each agency\u2019s batch of applications. This report includes information on the type of error found and the volume of applications with the same error, according to OPM. The error report includes retirement applications for those who retired while working for the federal government, which, for example, does not include disability retirement applications, according to OPM officials. OPM officials reported that the intent of the error reports is to educate the agencies. DOD and USPS reported that the error reports were helpful for identifying application errors. However, all four selected agencies reported that aspects of the error reports were not user-friendly. For example, the error reports are in a format that cannot be manipulated, thereby requiring agencies to manually enter data to track the type of errors found, and analyze the data and share the information internally. Such manual entry increases the risk of data entry errors that could compromise the accuracy of the original data. The four selected agencies also reported that the error reports lack some types of information, such as clear descriptions of errors, data on trends, and information on disability retirement applications."], "subsections": []}, {"section_title": "OPM Conducts Limited Reviews of Its Assistance to Agencies", "paragraphs": ["OPM officials reported they review two of the four types of assistance (guidance and training) and also conducted a review of error reports in 2014. They also stated that they had taken some actions in response to agency feedback. However, OPM did not provide documentation of their assessments of guidance or training.", "Guidance. OPM officials reported that they continue to evaluate their guidance and had taken some actions in response to agency feedback. For example, in response to agencies\u2019 feedback that they experienced difficulty obtaining paper documentation of 5 years of health insurance, OPM officials reported that they developed a new form that agencies could use to certify that employees had the required coverage, which has resulted in decreased errors. However, OPM could not provide us with documentation of its reviews of its guidance. In addition, OPM had no schedule for updating guidance to agencies, according to OPM officials.", "Training. OPM officials reported that they receive agency feedback on training in multiple ways and had taken some actions in response. For example, OPM officials said that agencies provide feedback on trainings informally during conversations with liaisons and at in-person trainings. OPM officials also said they read training evaluation forms, which include multiple choice questions on the value of the different aspects of the training and an area to write any comments or suggestions. In addition, OPM periodically surveys benefit officers on their training, including open-ended questions about how and on what topics the respondent would prefer to receive training. However, the benefit officer survey does not include broader questions about how the training or other types of assistance could better meet the needs of agencies.", "In addition, OPM officials reported that in response to agency feedback, they made improvements to the class offerings, such as enhancing training on military discharges. OPM officials also reported that one of the actions they take in response to the most common errors that agencies make in retirement applications is to provide training on these topics. For example, OPM officials reported that they identified common errors on federal health benefits and military service documentation and subsequently provided training on both topics. OPM officials did not provide us with documentation of their reviews of agency feedback on training.", "Error reports. In 2014, OPM conducted a review of the errors that 12 agencies disputed in the agencies\u2019 error reports. OPM officials reported that the review concluded that less than 1 percent of OPM\u2019s incorrectly identified errors would have affected the annuitant. According to OPM officials, the cost of reviewing and adjusting the error rate for accuracy outweighs the benefits. In addition, the four selected agencies reported that they had shared information with OPM on errors that the agencies thought were erroneously identified as errors. The four selected agencies reported that OPM had not changed the error rates in response. In addition, HHS and USPS reported that OPM did not share the information on disputed errors with its staff who audit the applications for errors. USPS officials also stated that OPM had not used this information to train its staff.", "OPM\u2019s fiscal year 2018 budget justification cited partnering with agencies to help them submit complete and accurate retirement packages for quicker processing. While OPM officials reported that they have reviewed certain types of assistance, they have limited or no documentation on the analysis or the results of these reviews. Federal internal control standards state that management should compare actual performance to expected results and evaluate and document monitoring results. The standards also state that management should complete and document corrective actions to remediate control deficiencies in a timely manner. In relation to training, which is one of the types of assistance OPM provides to agencies, we have also reported that a leading training investment practice is to evaluate the benefits achieved through training, such as having a formal process for evaluating improvement in performance and tracking the impact of training on the agency\u2019s performance goals. Another leading practice is to compare the merits of different delivery mechanisms (such as classroom or computer-based training) and determine what mix of mechanisms to use to ensure efficient and cost-effective delivery.", "OPM officials reported that effectiveness of their assistance to agencies is a contributing factor to decreased errors in retirement applications. For example, according to OPM, the percentage of complete applications submitted government-wide improved from 77 percent in fiscal year 2010 to about 92 percent in fiscal year 2017. OPM officials also noted that they assessed the effectiveness of their guidance and trainings and any modifications by observing if particular types of errors decrease overall.", "OPM officials provided us a list of the most common errors for fiscal year 2017, such as a missing marriage certificate.", "Although OPM officials have stated that they review two of the four types of assistance (guidance and training), OPM lacks a robust process for assessing and documenting its analysis and findings regarding all forms of the assistance it provides to agencies. This makes it more difficult for OPM to clearly demonstrate the effectiveness of its assistance. Thus, for example, there is limited understanding as to whether OPM\u2019s training is being delivered through the most efficient and cost-effective mix of mechanisms. OPM may be missing opportunities to better partner with agencies by tailoring its assistance to help agencies improve their own processes and training. Assessments that result in enhancing OPM\u2019s assistance to agencies could improve the completeness of applications submitted, which could in turn improve OPM\u2019s application processing time.", "With respect to the agency error report, federal internal control standards state that management should communicate quality information externally so that external parties can help the entity achieve its objectives, and periodically evaluate its methods of communication so that it communicates quality information. OPM officials reported that the current structure of the agency error reports was designed to capture the large overarching error-based issues many agencies face, such as applicants electing more life insurance coverage than permitted. OPM officials reported that they have not solicited input from agencies about the usefulness of the monthly error reports, but agencies regularly provide feedback to their OPM liaisons. OPM officials reported that they are evaluating the trends in the feedback. However, revising the structure of the current error reports would not be cost-effective, according to OPM officials. They also reported that they are considering including disability applications in future error reports.", "The current format of the agency error report may limit its usefulness to agencies in improving their retirement applications and educating staff on how to address or minimize errors. Without user-friendly error reports, such as one that could be manipulated in Excel, agencies could find it more challenging to efficiently share the data among agency divisions and for the divisions to further sort the data. This challenge may be particularly burdensome at agencies comprised of numerous sub- agencies that share responsibility for preparing higher volumes of retirement applications."], "subsections": []}]}]}, {"section_title": "Selected Agencies Have Developed Strategies for Compiling Accurate Applications", "paragraphs": ["We found that the four selected agencies we interviewed used three strategies to compile accurate retirement applications, as shown in figure 5 below. Some agencies also had additional strategies, such as tracking identified issues in applicant\u2019s retirement applications.", "Preparing employees for retirement. The four selected agencies provide retirement counseling and had an agenda or a checklist to guide the discussion. Some of the topics included designating beneficiaries and eligibility to continue health insurance into retirement. DOD, HHS, USPS, and NASA also reported providing additional assistance to prepare employees for retirement. DOD\u2019s website had calculators that could be used for estimating a Thrift Savings Plan annuity and survivor benefits. HHS stated that its employees have access to online pre-retirement seminars and financial planning resources. In addition, USPS has an employee retirement kit for that includes health insurance information, general retirement information, and retirement forms, such as for documenting life insurance and retirement effective date.", "NASA also prepares employees for retirement in two additional ways. First, NASA reviews new employees\u2019 electronic Official Personnel Folders, which contain their federal employment history, and makes corrections as needed. NASA officials stated it tries to resolve any issues in an employee\u2019s electronic Official Personnel Folder rather than waiting until an employee retires. Samples of these files are then audited. Second, NASA stated that it encourages employees to ask for an annuity estimate every year for the 7 years prior to planned retirement. NASA reported that each annuity estimate generated includes a review of an employee\u2019s files, and enables the agency to identify and address any errors.", "Educating and training staff that compile retirement applications. The four selected agencies hold periodic staff meetings that include discussions of retirement applications. For example, NASA\u2019s meeting includes a discussion of common errors to avoid, unique or complex retirement cases, process improvements, and lessons learned. The four selected agencies also conduct retirement application training. For example, DOD provided a multiday training that included topics such as creditable service, annuity computation, and retirement eligibility. HHS also stated that it partnered with its payroll provider to present the payroll side of retirement processing, including retirement application processing and disability retirement processing. DOD, HHS, NASA, and USPS also reported that new staff is mentored by experienced staff.", "Procedures for compiling applications. The four selected agencies have procedures for compiling applications. For example, the four selected agencies have checklists to help staff compile the required documents. DOD\u2019s checklist includes a list of more than 30 documents in sequential order with instructions on which documents to include for each of the two retirement plans. In addition, the four selected agencies reported having a system to track the process of compiling applications. DOD\u2019s, NASA\u2019s, and USPS\u2019 respective systems also include tracking identified issues. For example, USPS\u2019 system monitors the overall progress of each application, as well as tracks the status of each identified issue, such as missing documents, and whether the issue had been resolved.", "The four selected agencies also conduct audits on some or all of the applications before submitting applications to OPM. The agencies reported that the audits are used to increase accuracy of submitted applications and provide feedback to staff on any identified errors. For example, DOD has an audit checklist with more than 30 items to review, such as whether a marriage certificate is included if applicable and if the application is signed."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["Delays in processing retirement applications for federal employees have been a longstanding problem. According to OPM, it has identified root causes for the delays and has developed and implemented strategies to improve its processing operation. For example, the agency has developed a strategic vision for modernizing the current paper-based application, and employed strategies to address staffing capacity and minimize the number of incomplete applications. However, without improving its data collection and assessments of its strategies, OPM cannot know whether its strategies are effective at reducing the delays, or could be modified to yield better results. Furthermore, OPM\u2019s plan for modernizing its information technology (IT) retirement processing lacks cost estimates and timelines, which means there are no measurable results with which to evaluate resource needs or interim progress.", "In addition, although OPM has established a performance goal on processing timeliness, its related performance measure does not include explanatory information that could make it more meaningful. OPM also has not set performance measures for various parts of the application review and processing operation that could provide clearer insights into where improvements may be needed. Lack of quality performance information hinders applicants and external stakeholders from understanding OPM\u2019s timeliness in processing applications, and limits OPM from better managing and monitoring program performance. Furthermore, OPM lacks a robust process for assessing its assistance to agencies, which makes it difficult for OPM to demonstrate the effectiveness of its assistance.", "Potential organizational changes and other external factors have created additional uncertainty for OPM. These challenges notwithstanding, approximately 100,000 federal employees depend on OPM each year to process retirement benefits, such as life and health insurance, in a timely manner. As such, OPM should endeavor to reduce processing delays, monitor and report on its progress through better performance information, and effectively partner across the federal government to improve processing timeliness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following six recommendations to OPM: The Associate Director of OPM\u2019s Retirement Services, working in coordination with the Chief Information Officer, should develop, document, and implement a Retirement Services IT modernization plan for initial project phases that is consistent with key aspects of IT project management, such as determining objectives, costs, and time frames for each initial phase. (Recommendation 1)", "The Associate Director of OPM\u2019s Retirement Services should adopt management practices to enhance the use of performance information on processing timeliness to inform how OPM manages operations, identifies problem areas, and allocates resources. For example, OPM could enhance use of performance measures at the operational level or establish a timeliness performance goal for reviewing disability retirement eligibility. (Recommendation 2)", "The Associate Director of OPM\u2019s Retirement Services should provide explanatory information, such as the range of processing times and the exclusion of disability retirement eligibility determinations, as part of the performance measure on processing timeliness. (Recommendation 3)", "The Associate Director of OPM\u2019s Retirement Services should develop and implement policies and procedures for assessing strategies intended to improve processing times, including collecting and improving data needed to support those strategies, such as collecting better productivity data or staffing data and linking them to processing outcomes. (Recommendation 4)", "The Associate Director of OPM\u2019s Retirement Services should examine its process for assessing its assistance to agencies on retirement applications. For example, OPM could incorporate into its assessment process more agency feedback or documentation of assessment results, which could improve its partnership with agencies to strengthen the assistance provided. (Recommendation 5)", "The Associate Director of OPM\u2019s Retirement Services should work with agencies to determine if there are cost-effective ways to make the retirement application error report that it sends to agencies more user- friendly. For example, explore whether there are cost-effective ways to provide the error report in a format that could be manipulated (e.g., Excel spreadsheet), or to include additional information, such as incorporating disability retirement applications or providing clearer descriptions of errors or trend data, some of which OPM already collects. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of the report to OPM, DOD, HHS, NASA, and USPS for review and comment. In its comments, reproduced in appendix I, OPM concurred with 1 recommendation and partially concurred with the remaining 5 recommendations. HHS and NASA provided technical comments, which we incorporated as appropriate. DOD and USPS had no comments on the draft.", "OPM partially concurred with our first recommendation to develop, document, and implement a Retirement Services IT modernization plan that includes costs and time frames for initial project phases. OPM stated that it has established initial high-level funding estimates for each of its five key IT initiatives, but OPM did not provide any documentation or further details. OPM cited that its ability to implement the modernization plan depends on the availability of funding and coordination with the agency\u2019s top leadership. We agree these are important elements, which further underscore our recommendation. An IT modernization plan with objectives, cost estimates, and time frames could help support funding requests, as well as measure progress in implementing the initiatives.", "OPM partially concurred with our second recommendation to enhance the use of performance information on processing timeliness to make more informed management decisions. OPM responded that it measures overtime spending, reviews daily work level in each work unit, and assesses employee productivity in these units. Collecting and reviewing such operational-level data contributes to monitoring efforts; however our recommendation emphasizes the importance of using performance information to better manage operations to align with organizational goals.", "OPM partially concurred with our third recommendation to provide explanatory information as part of its reporting of processing timeliness. OPM agreed to add an explanation about disability retirement eligibility determinations to its public reports. OPM disagreed that reporting data on the range of processing times would be beneficial because, according to OPM, it provides processing information through other means, such as through applicants\u2019 online accounts and agency benefit officers. While providing this information is beneficial, publically reporting data on the range of processing times helps improve the usefulness of performance information for applicants and external stakeholders, such as congressional oversight committees. Further, OPM acknowledged that it already collects and shares such data, which confirms it has the information and ability to implement this recommendation by adding appropriate summary notes to its public reporting. This action coupled with adding an explanation about disability retirement eligibility determinations should address the recommendation.", "OPM partially concurred with our fourth recommendation to develop and implement policies and procedures for assessing strategies intended to improve processing times, including collecting data needed to support those strategies. OPM stated that a new case management system could provide better productivity and staffing data with which to assess effectiveness, but is dependent on funding and IT support. However, developing policies and procedures to manage and monitor its assessment process\u2014such as determining when, how, and how often to conduct assessments and what data to collect\u2014is not dependent on having a new case management system. In fact, establishing such policies and procedures could help inform system requirements in terms of data and reporting needs.", "OPM concurred with our fifth recommendation to examine its process for assessing its assistance to agencies on retirement applications, and stated that it will incorporate more agency feedback into its assessment results on non-disability immediate retirement applications.", "OPM partially concurred with our sixth recommendation to work with agencies to determine if there are cost-effective ways to make the error report more user-friendly. OPM stated that it will explore using MS Excel spreadsheets and incorporating clearer descriptions of errors and data trends. OPM asserted that our report incorrectly states that the data sent to agencies cannot be manipulated as agencies receive the data in MSWord documents from which they can create MS Excel spreadsheets. However, as OPM acknowledges, agencies have to create their own spreadsheets. Doing so requires agencies to manually enter the data to track and analyze errors, which increases the risk of data entry mistakes that could compromise the accuracy of original data, as we reported. OPM also stated that collecting disability application error information is not an inexpensive or simple process change. While we recognize OPM\u2019s audit efforts may need to be modified to capture this type of error information, it would provide agencies with more comprehensive error data that could be used to improve the agencies\u2019 application processes.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Acting Director of OPM, the Secretary of DOD, the Secretary of HHS, the Administrator of NASA, and the Postmaster General and Chief Executive Officer of USPS. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-6806 or Jonesy@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix II."], "subsections": []}]}, {"section_title": "Appendix I: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix II: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Leah Querimit Nash (Assistant Director), Maya Chakko (Analyst in Charge), Mark Bird, Jackie Chapin, Jeff DeMarco, Elizabeth Fan, Gina Hoover, Ted Hu, Ben Licht, Meredith Moles, Robert Robinson, and Kayla Robinson made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Office of Personnel Management receives over 100,000 federal retirement applications each year. Between 2014 and 2017, OPM did not meet its goal of processing most applications within 60 days.", "OPM identified 3 main reasons for delays:", "Continued reliance on paper applications and manual processing", "Insufficient staffing, particularly during peak season", "Incomplete applications", "OPM has taken steps toward modernizing the process, such as planning for an electronic application, but it lacks a timetable and cost estimates for IT modernization.", "We made 6 recommendations, including that OPM develop an IT modernization plan."]} {"id": "GAO-18-317T", "url": "https://www.gao.gov/products/GAO-18-317T", "title": "NASA Commercial Crew Program: Continued Delays Pose Risks for Uninterrupted Access to the International Space Station", "published_date": "2018-01-17T00:00:00", "released_date": "2018-01-17T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the Space Shuttle was retired in 2011, the United States has been relying on Russia to carry astronauts to and from the space station. NASA's Commercial Crew Program is facilitating private development of a domestic system to meet that need safely, reliably, and cost-effectively before the seats it has contracted for on a Russian spacecraft run out in 2019.", "In 2014, NASA awarded two firm-fixed-price contracts to Boeing and SpaceX worth a combined total of up to $6.8 billion to develop crew transportation systems and conduct initial missions to the space station. In February 2017, GAO found that both contractors had made progress, but their schedules were under mounting pressure.", "This statement provides preliminary observations on the extent to which the contractors and the program are making progress toward meeting NASA's standards for human spaceflight, a process called certification.", "This statement is based on ongoing work and information contained in GAO's February 2017 report on this program ( GAO-17-137 ). To do this work, GAO analyzed contracts, schedules, and other documentation."]}, {"section_title": "What GAO Found", "paragraphs": ["Both Boeing and Space Exploration Technologies (SpaceX) are making progress toward their goal of being able to transport American astronauts to and from the International Space Station (ISS). However, both continue to experience schedule delays. Such delays could jeopardize the ability of the National Aeronautics and Space Administration's (NASA) Commercial Crew Program to certify either company's option\u2014that is, to ensure that either option meets NASA standards for human spaceflight\u2014before the seats the agency has contracted for on Russia's Soyuz spacecraft run out in 2019. (See figure.)", "GAO's ongoing work has identified three key risks, which are consistent with challenges reported in February 2017 that could further delay certification of each contractor's crew transportation system:", "Aggressive schedules \u2014NASA, Boeing, SpaceX, and independent review bodies have all noted that the contractors' schedule plans are aggressive. The anticipated schedule risks have since materialized.", "Programmatic and safety risks \u2014SpaceX and Boeing are addressing technical risks, which is not uncommon for NASA projects as they often push the state of the art in space technology. In addition, the contractors' systems must meet a standard for crew safety. Additional work remains to determine whether the contractors will meet this requirement.", "Program office workload \u2014Program officials told GAO that one of their greatest upcoming challenges will be to complete two oversight activities\u2014conducting phased safety reviews and verifying that contractors meet requirements\u2014concurrently. The program's ability to smooth its workload is limited, as the contractors generally control their development schedules. In February 2017, GAO found that proposed schedule changes could alleviate some overlap.", "Delays and uncertain final certification dates raise questions about whether the United States will have uninterrupted access to the ISS after 2019, and may lessen NASA's return on investment with the contractors. GAO will continue to assess the contractors' and program's progress."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any new recommendations. In February 2017, GAO recommended that NASA develop a contingency plan to maintain access to the ISS beyond 2018, when its contract with Russia for seats on the Soyuz was scheduled to end. NASA agreed with this recommendation and purchased Soyuz seats through 2019."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss the status of the National Aeronautics and Space Administration\u2019s (NASA) Commercial Crew Program. As you know, following the retirement of the Space Shuttle in 2011, the United States was left with no domestic ability to provide crew access to the International Space Station (ISS). Since then, NASA has relied on purchasing seats from Russia on its Soyuz spacecraft to maintain a U.S. presence on the station. NASA\u2019s Commercial Crew Program is intended to end this dependency by facilitating the commercial development of a crew transportation system that can provide safe, reliable, and cost-effective transportation to and from low earth orbit, including the ISS. NASA\u2019s goal is to have one or more contractors that can provide crew transportation services to the ISS, which NASA expects will be operational until at least 2024.", "NASA\u2019s acquisition strategy on the Commercial Crew Program is similar to the one it used on the Commercial Cargo program, but different than every other spacecraft it has built for humans, from Mercury to Gemini and Apollo to the Space Shuttle. For the Commercial Crew Program, each contractor designs, develops, builds, owns, and operates its spaceflight system and infrastructure. The contractors have access to NASA\u2019s expertise and resources throughout the development process, but NASA engineers are not making design decisions, and NASA personnel are less involved in processing, testing, launching, and operating the crew transportation system. In the end, NASA will buy a crew transportation service\u2014a ride for its astronauts to and from the ISS\u2014much like it does for ISS cargo.", "In the most recent phase of the Commercial Crew Program, NASA awarded firm-fixed-price contracts in 2014 to Boeing and Space Exploration Technologies Corporation (SpaceX), valued at up to $4.2 billion and $2.6 billion, respectively, for the development of crew transportation systems that meet NASA requirements and for flying initial missions to the ISS. According to the contracts, the companies were supposed to provide NASA all the evidence the agency needed to certify that their systems met its performance and safety requirements by 2017.", "We have reviewed the Commercial Crew Program for the last two years as part of our annual assessment of all NASA\u2019s major projects. We also issued a report on the program in February 2017 in response to a provision in the House Committee on Appropriations report accompanying H.R. 2578. Prior to this, we issued a report in December 2011 that assessed NASA\u2019s acquisition approach for acquiring commercial crew transportation. Over this time, we have reported that the program made progress as both contractors make progress finalizing their designs and building hardware, but we also found that schedule pressure has increased as contractors delay key events.", "My statement today provides our preliminary observations on the extent to which the contractors and the Commercial Crew Program are making progress in developing crew transportation systems that meet NASA\u2019s standards for human spaceflight, a process called certification. This statement today is based upon our most recent report issued in February 2017 and some updated information since that report was published, which is based on ongoing work. Our ongoing work is in response to a provision included in the house report accompanying H.R. 5393 for GAO to review the progress of NASA\u2019s human exploration programs.", "For our ongoing work, to assess the extent to which the contractors are making progress toward certification, we obtained and reviewed program and contractor documents, including quarterly updates as well as monthly schedule summaries, from April 2017 through November 2017. We interviewed contractor officials to discuss the contractors\u2019 recent progress as well as their upcoming events and any expected delays. To identify total delays to date, we compared original contract schedules to Boeing\u2019s October 2017 working schedule and SpaceX\u2019s November 2017 working schedule, which identify their most recent proposed delays to some milestones. We also identified key risks facing the contractors and program by obtaining and reviewing monthly and quarterly reports, as well as the risks tracked in the program\u2019s risk management system, from April 2017 through November 2017. We interviewed program and contractor officials with knowledge of the technical risks to understand the risks and potential impacts and how they are planning to mitigate those risks.", "The work upon which this statement is based is being conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. More information about the scope and methodology for our February 2017 report can be found in that report.", "We plan to issue a final report on the Commercial Crew Program in spring 2018. NASA provided us technical comments on information that is included in this statement, which we incorporated as appropriate."], "subsections": [{"section_title": "Background", "paragraphs": ["NASA\u2019s Commercial Crew Program is a multi-phased effort that began in 2010. Across the five phases, NASA has engaged several companies using both agreements and contract vehicles to develop and demonstrate crew transportation capabilities. As the program has passed through these phases, NASA has generally narrowed down the number of participants. The early phases of the program were under Space Act agreements, which is NASA\u2019s other transaction authority. These types of agreements are generally not subject to the Federal Acquisition Regulation (FAR) and allow the government and its contractors greater flexibility in many areas. Under these Space Act agreements, NASA relied on the commercial companies to propose specifics related to their crew transportation systems, including their design, the capabilities they would provide, and the level of private investment. In these phases, NASA provided technical support and determined if the contractors met certain technical milestones. In most cases, NASA also provided funding.", "For the final two phases of the program, NASA awarded FAR-based contracts. By using FAR-based contracts, NASA gained the ability to levy specific requirements on the contractors and procure missions to the ISS, while continuing to provide technical expertise and funding to the contractors. Under these contracts, NASA will also evaluate whether contractors have met its requirements and certify their final systems for use.", "In September 2014, NASA awarded firm-fixed-price contracts to Boeing and SpaceX, valued at up to $4.2 billion and $2.6 billion, respectively, for the Commercial Crew Transportation Capability phase. Under a firm- fixed-price contract, the contractor must perform a specified amount of work for the price negotiated by the contractor and government. This is in contrast to a cost-reimbursement contract, in which the government agrees to pay the contractor\u2019s reasonable costs regardless of whether work is completed. Thus, under the fixed-price contracts, the contractors must generally bear the risk of cost overruns or schedule delays.", "During this phase, the contractors will complete development of crew transportation systems that meet NASA requirements, provide NASA with the evidence it needs to certify that those systems meet its requirements, and fly initial crewed missions to the ISS. Under the contracts, NASA and the companies originally planned to complete the certification review for each system by 2017. Figure 1 shows the spacecraft and launch vehicles for Boeing and SpaceX\u2019s crew transportation systems.", "The Commercial Crew Transportation Capability phase contracts include three types of services:", "Contract Line Item 001 encompasses the firm-fixed-price design, development, test, and evaluation work needed to support NASA\u2019s final certification of the contractor\u2019s spacecraft, launch vehicle, and ground support systems.", "Contract Line Item 002 covers any service missions that NASA orders to transport astronauts to and from the ISS. Under this indefinite-delivery, indefinite-quantity line item, NASA has ordered six missions from each contractor. Each service mission is its own firm- fixed-price task order. NASA must certify the contractors\u2019 systems before they can fly these missions.", "Contract Line Item 003 is an indefinite-delivery, indefinite-quantity line item for any special studies, tests, and analyses that NASA may request. These tasks do not include any work necessary to accomplish the requirements under contract line item 001 and 002. As of July 2017, NASA had issued four orders under this contract line item to Boeing, worth approximately $1.8 million, including an approximately $180,000 study of the spacecraft\u2019s seat incline. NASA has issued one order under this contract line item to SpaceX, which did not affect the value of this line item. The maximum value of this contract line item is $150 million.", "NASA divided the certification work under contract line item 001 into two acceptance events: the design certification review and the certification review. An acceptance event occurs when NASA approves a contractor\u2019s designs and acknowledges that the contractor\u2019s work is complete and meets the requirements of the contract. The design certification review verifies the contractor\u2019s crew transportation system\u2019s capability to safely approach, dock, mate, and depart from the ISS, among other requirements. After the contractor has successfully completed all of its flight tests, as well as various other activities, the certification review determines whether the crew transportation system meets the Commercial Crew Program\u2019s requirements. The contractors must complete both acceptance events to receive NASA certification.", "NASA and the contractors also identified discrete performance-based events, called interim milestones, which occur as the contractors progress toward the two acceptance events. Each interim milestone has pre- determined entrance and exit criteria that establish the work that must be completed in order for the contractor to receive payment. The interim milestones serve several functions, allowing the government to finance work from development to completion, review the contractors\u2019 progress, and provide approval to proceed with key demonstrations and tests. The program also uses these milestones to inform its annual budget request. Since the contracts were awarded, the Commercial Crew Program and the contractors have agreed to split several of the interim milestones. The contractors have also added new milestones, in part to capture changes in their development plans.", "NASA has also made changes to the contracts that have increased their value. While the contracts are fixed-price, their values can increase if NASA adds to the scope of the work or otherwise changes requirements. As of July 2017, NASA had increased the value of contract line item 001 for Boeing by approximately $48 million for hardware and software requirement changes, and contract line item 001 for SpaceX by approximately $91 million for a hardware requirement change and the addition of cargo during an ISS test flight.", "In our February 2017 report, we found the following:", "Both of the Commercial Crew Program\u2019s contractors have made progress developing their crew transportation systems, but both also have aggressive development schedules that are increasingly under pressure. Both Boeing and SpaceX had determined that they would not be able to meet their original 2017 certification dates, and both expected certification to be delayed until 2018. We found that the schedule pressures were amplified by NASA\u2019s need to provide a viable crew transportation option to the ISS before its current contract with Russia\u2019s space agency runs out in 2019. If NASA needs to purchase additional seats from Russia, the contracting process typically takes 3 years. Without a viable contingency option for ensuring uninterrupted access to the ISS in the event of further Commercial Crew delays, we found that NASA was at risk of not being able to maximize the return on its multibillion dollar investment in the space station.", "The Commercial Crew Program was using mechanisms laid out in its contracts to gain a high level of visibility into the contractors\u2019 crew transportation systems, but maintaining the current level of visibility through certification could add schedule pressures. For example, due to NASA\u2019s acquisition strategy for this program, its personnel are less involved in the testing, launching, and operation of the crew transportation system. And while the program has developed productive working relationships with both contractors, the level of visibility that the program had required thus far had also taken more time than the program or contractors anticipated. Ultimately, the program has the responsibility for ensuring the safety of U.S. astronauts, and its contracts give it deference to determine the level of visibility required to do so. Moving forward though, we found that the program office could face difficult choices about how to maintain the level of visibility it feels it needs without adding to the program\u2019s schedule pressures.", "In order to ensure that the United States had continued access to the ISS if the Commercial Crew Program\u2019s contractors experienced additional schedule delays, we recommended that the NASA Administrator develop a contingency plan for maintaining a presence on the ISS beyond 2018, including options to purchase additional Russian Soyuz seats, and report to Congress on the results. NASA concurred with this recommendation, and in February 2017, NASA executed a contract modification to procure an option for three crewmember seats from Boeing on the Russian Soyuz vehicle. Our analysis found that these seats represented a contingency plan for U.S. access to the ISS through 2019. In April 2017, NASA informed the Congress of this action."], "subsections": []}, {"section_title": "Both Contractors Have Made Progress but Continue to Experience Schedule Delays", "paragraphs": [], "subsections": [{"section_title": "Contractors Continue to Advance Development of Their Crew Transportation Systems", "paragraphs": ["Both Boeing and SpaceX have continued to make progress finalizing their designs and building hardware as they work toward final certification of their crew transportation systems, since we last reported in February 2017. Each contractor\u2019s system includes a spacecraft and a launch vehicle with supporting ground systems. The contractors are also manufacturing test articles and flight spacecraft to support the uncrewed and crewed flight tests. The contractors plan to use the test articles to demonstrate system performance and the flight spacecraft to demonstrate their ability to meet contract requirements.", "As table 1 shows, these test articles and flight spacecraft are currently in varying stages of completion\u2014some are completed and in testing while others are still early in the manufacturing phase. Should any issues arise during integration and test or the flight tests planned for 2018, the contractors may have to complete rework on the spacecraft already under construction."], "subsections": []}, {"section_title": "Schedule Delays Continue, and Risks Remain to Final Certification Dates", "paragraphs": ["The contractors have notified NASA that final certification dates have slipped to the first quarter of calendar year 2019 and, through our ongoing work, we have identified three key risk areas that could further delay certification of each contractor\u2019s crew transportation system. These areas are (1) the contractors\u2019 aggressive schedules, (2) programmatic and safety risks, and (3) Commercial Crew Program\u2019s workload. These are consistent with the challenges we found facing the contractors and program in our February 2017 report.", "Aggressive schedules. Since the award of the current Commercial Crew contracts in September 2014, the program, Boeing, and SpaceX have all identified the contractors\u2019 delivery schedules as aggressive. Program officials told us that, from the outset, they knew delays were likely due to the developmental nature of the program. Multiple independent review bodies\u2014including the program\u2019s standing review board, the Aerospace Safety Advisory Panel, and the NASA Advisory Council-Human Exploration and Operations committee\u2014also noted the aggressiveness of the contractors\u2019 schedules as they move toward certification.", "In February 2017, we found that both contractors had notified NASA that they would not be able to meet the 2017 final certification dates originally established in their contracts and expected final certification to be delayed until 2018. Based on our ongoing work, we found that the contractors have notified NASA that these dates have slipped further to the first quarter of calendar year 2019. Figure 2 shows the original Boeing and SpaceX contract schedule and the current proposed schedule for each contractor.", "However, the extent to which these schedules represent an accurate estimate of each contractor\u2019s final certification date is unclear for the following two reasons: 1. Each contractor provides schedule updates to the Commercial Crew Program at quarterly status reviews, and the dates frequently change. The program has held 12 quarterly reviews since each contract was awarded. Boeing has reported a delay six times and SpaceX has reported a delay nine times that included at least one key event identified in the timeline above at these quarterly reviews. 2. The Commercial Crew Program is tracking risks that both contractors could experience additional schedule delays and, based on our ongoing work, we found that the program\u2019s own analysis indicates that certification is likely to slip into December 2019 for SpaceX and February 2020 for Boeing. Each month, the program updates its schedule risk analysis, based on the contractors\u2019 internal schedules as well as the program\u2019s perspectives and insight into specific technical risks. The Commercial Crew Program manager stated that differences between the contractors\u2019 proposed schedules and the program\u2019s schedule risk analysis include the following:", "The contractors are aggressive and use their schedule dates to motivate their teams, while NASA adds additional schedule margin for testing.", "Both contractors assume an efficiency factor in getting to the crewed flight test that NASA does not factor into its analysis.", "The program manager explained further that the program meets with each contractor monthly to discuss schedules and everyone agrees to the relationships between events in the schedule even if they disagree on the length of time required to complete events. The program manager added, however, that she relies on her prior experience for a better sense of schedule timeframes as opposed to relying on the contractors\u2019 schedules.", "While NASA has a fixed-price contract with both SpaceX and Boeing, there are consequences to the delays to date and the lack of certainty surrounding the final certification date. The United States has spent tens of billions of dollars to develop, assemble, and operate the ISS over the past two decades, and NASA relies on uninterrupted crew access to help maintain and operate the station itself and conduct the research required to enable human exploration in deep space and eventually Mars, among other science and research goals. To ensure uninterrupted access to the ISS through 2019, which includes launch and return of the astronauts, NASA purchased five seats on the Soyuz spacecraft through Boeing for an undisclosed value. Boeing obtained these seats though a legal settlement with the Russian firm, RSC Energia, which manufactures the Soyuz. The NASA Office of Inspector General found in its annual report on NASA\u2019s top management and performance challenges that if the Commercial Crew Program experiences additional delays, NASA may need to buy additional seats from Russia to ensure a continued U.S. presence on the ISS. Further, the ISS is planned to be operational through 2024. Unless there is a decision to extend the ISS\u2019s operational life, additional delays by Boeing and SpaceX may lessen NASA\u2019s return on investment with the contractors. We will continue to monitor this as part of our ongoing work.", "Programmatic and safety risks. In addition to challenges facing Boeing and SpaceX\u2019s aggressive schedules, both contractors face other risks that will need to be addressed to support their certification. This includes the contractors\u2019 ability to meet the agency\u2019s requirements related to the safety of their systems. These risks are not unusual; there are inherent technical, design, and integration risks in all NASA\u2019s major acquisitions, as these projects are highly complex and specialized and often push the state of the art in space technology. The Commercial Crew Program monitors risks through two lenses\u2014programmatic risks potentially affect the program\u2019s cost and schedule or the performance of the crew transportation system, and safety risks could elevate the potential for the loss of crew."], "subsections": [{"section_title": "SpaceX Risks", "paragraphs": ["Similar to our findings in February 2017, our ongoing work indicates that the Commercial Crew Program\u2019s top programmatic and safety risks for SpaceX, are in part, related to ongoing launch vehicle design and development efforts.", "SpaceX must close several of the program\u2019s top risks related to its upgraded launch vehicle design, the Falcon 9 Block 5, before it can be certified for human spaceflight. Included in this Block 5 design is SpaceX\u2019s redesign of the composite overwrap pressure vessel. SpaceX officials stated the new design aims to eliminate risks identified in the older design, which was involved in an anomaly that caused a mishap in September 2016. Separately, SpaceX officials told us that the Block 5 design also includes design changes to address cracks in the turbine of its engine identified during development testing.", "NASA program officials told us that they had informed SpaceX that the cracks were an unacceptable risk for human spaceflight. SpaceX officials told us that they have made design changes, captured in this Block 5 upgrade, that did not result in any cracking during initial life testing. However, this risk will not be closed until SpaceX successfully completes qualification testing in accordance with NASA\u2019s standards without any cracks. SpaceX officials stated they expect this testing to be completed in first quarter calendar year 2018.", "Finally, both the program and a NASA advisory group consider SpaceX\u2019s plan to fuel the launch vehicle after the astronauts are on board the spacecraft to be a potential safety risk. SpaceX\u2019s perspective is that this operation may be a lower risk to the crew. To better understand the propellant loading procedures, the program and SpaceX agreed to demonstrate the loading process five times from the launch site in the final crew configuration prior to the crewed flight test."], "subsections": []}, {"section_title": "Boeing Risks", "paragraphs": ["Our ongoing work indicates that Boeing is mitigating several risks in order to certify its crew transportation system, including challenges related to its abort system performance, parachutes, and its launch vehicle.", "Boeing is addressing a risk that its abort system, which it needs for human spaceflight certification, may not meet the program\u2019s requirement to have sufficient control of the vehicle through an abort. In some abort scenarios, Boeing has found that the spacecraft may tumble and that could pose a threat to the crew\u2019s safety. To validate the effectiveness of its abort system, Boeing has conducted extensive wind tunnel testing and plans to complete a pad abort test in April 2018.", "Boeing is also addressing a risk that during re-entry to the Earth\u2019s atmosphere, a portion of the spacecraft\u2019s forward heat shield may reconnect and damage the parachute system. NASA\u2019s independent analysis indicates that this may occur if both parachutes that pull the forward heat shield away from the spacecraft deploy as expected. Boeing\u2019s analysis indicates the risk exists only if one of two parachutes does not deploy as expected. If the program determines this risk is unacceptable, Boeing would need to redesign the parachute system, which the program estimates could result in at least a 6-month delay. Finally, one of the program\u2019s top programmatic and safety concerns is that it may not have enough information from Boeing\u2019s launch vehicle provider, United Launch Alliance, to assess if the launch vehicle prevents or controls cracking that could lead to catastrophic failures. The program and Boeing are in the process of negotiating next steps."], "subsections": []}, {"section_title": "Program Safety Risk", "paragraphs": ["The Commercial Crew Program has identified the ability of it and its contractors to meet a crew safety requirement as one of its top risks. NASA established the \u201closs of crew\u201d metric as a way to measure the safety of a crew transportation system. The metric captures the probability of death or permanent disability to one or more crew members. Under each contract, the current loss of crew requirement is 1 in 270, meaning that the contractors\u2019 systems must carry no more than a 1 in 270 probability of incurring loss of crew. Near the end of the Space Shuttle program, the probability of loss of crew was approximately 1 in 90. As part of our ongoing work, we continue to work with NASA to understand how the loss of crew requirement was established for the Commercial Crew Program.", "Program officials told us that Commercial Crew is the first NASA program that the agency will evaluate against a probabilistic loss of crew requirement. They said that if the contractors cannot meet the loss of crew requirement at 1 in 270, NASA could still certify their systems by employing operational mitigations. They said this would entail a potentially increased level of risk or uncertainty related to the level of risk for the crew.", "Program officials told us their main focus is to work with the contractors to ensure that the spacecraft designs are robust from a safety perspective. The loss of crew metric and the associated models used to measure it are tools that help achieve that goal. For example, Boeing told us that in early 2016, it needed to identify ways to reduce the mass of its spacecraft. As Boeing found opportunities to reduce the spacecraft mass, the program stated that it had to consider how implementing those design changes would affect its loss of crew analysis in addition to compliance with other performance and safety requirements. According to the program, it is working with both contractors to address the factors that drive loss of crew risk through design changes or additional testing to gain more information on the performance and reliability of systems. As part of our ongoing work, we will continue to assess the extent to which the contractors are meeting this requirement and what tools the program and NASA will use to determine if the contractors meet the requirement.", "Program office workload. In February 2017, we found that the Commercial Crew Program was using contractually defined mechanisms to gain a high level of visibility into the contractors\u2019 crew transportation systems, but also found that the Commercial Crew Program\u2019s workload was an emerging schedule risk. At that time, program officials told us that one of their greatest upcoming challenges will be to keep pace with the contractors\u2019 schedules so that the program does not delay certification. Specifically, they told us they are concerned about an upcoming \u201cbow wave\u201d of work because the program must complete two oversight activities\u2014phased safety reviews and verification closure notices\u2014concurrently in order to support the contractors\u2019 design certification reviews, uncrewed and crewed flight test missions, and final certification.", "The Commercial Crew Program is working to complete its three-phased safety review, which will ensure that the contractors have identified all safety-critical hazards and implemented associated controls, but it is behind schedule. Both the contractors and the program have contributed to these delays.", "In phase one, Boeing and SpaceX identified risks in their designs and developed reports on potential hazards, the controls they put in place to mitigate them, and explanations for how the controls will mitigate the hazards.", "In phase two, which is ongoing, the program reviews and approves the contractors\u2019 hazard reports, and develops strategies to verify and validate that the controls are effective.", "In phase three, the contractors plan to conduct the verification activities and incrementally close the reports.", "The Commercial Crew Program\u2019s review and approval of the contractors\u2019 hazard reports have taken longer than planned. The program originally planned to complete phase two in early 2016, but through our ongoing work, we have found that as of October 2017, neither contractor had completed this phase. At that time, Boeing had completed 90 percent and SpaceX had completed 70 percent of the Phase 2 reports.", "The Commercial Crew Program\u2019s verification closure notice process, which is used to verify that the contractors have met all requirements, is one of the other key oversight activities and potential workload challenges for the program. The program is completing that process concurrently with the phased safety reviews. The verification closure process is initiated by the contractor when it provides the program with data and evidence to substantiate that it has met each requirement, and is completed when the program has reviewed and approved the contractor\u2019s evidence to verify that each requirement has been met. The Commercial Crew Program must also approve a subset of verification closure notices before key tests or milestones can occur. For example, the ISS requirements and a portion of the Commercial Crew Program requirements must be met before Boeing and SpaceX\u2019s uncrewed flights to the ISS, which are currently planned for the third quarter of 2018. The program\u2019s ability to smooth its workload is limited because the contractors generally control their development schedules. In February 2017, we found, however, that proposed changes to the Boeing and SpaceX schedules could help alleviate some of the concurrency between the program\u2019s phased safety reviews and verification closure process. We will continue to monitor the efforts as part of our ongoing work.", "In conclusion, Boeing and SpaceX continue to make progress developing crew transportation systems to help the United States re-establish its domestic ability to provide crew access to the ISS. But, when the current phase of the Commercial Crew Program began, there was widespread acknowledgment that the contractors\u2019 development and certification schedules were aggressive and the anticipated schedule risks have now materialized. Further, programmatic and safety risks remain with schedules that frequently change making a final certification date uncertain. Delays and uncertain final certification dates raise questions about whether the United States will have uninterrupted access to the International Space Station beyond 2019, and may lessen NASA\u2019s return on investment with the contractors. We look forward to continuing to work with NASA and this subcommittee as we assess the contractors\u2019 and program\u2019s progress to final certification.", "Chairman Babin, Ranking Member Bera, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Cristina T. Chaplain, Director, Acquisition and Sourcing Management at (202) 512-4841 or chaplainc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this statement include Molly Traci, Assistant Director; Susan Ditto; Lisa Fisher; Laura Greifner; Juli Steinhouse; Roxanna Sun; and Kristin Van Wychen.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Boeing and SpaceX, the companies NASA contracted with to develop and produce vehicles to transport astronauts to the International Space Station, have set aggressive schedules and experienced continually shifting dates.", "In this testimony, we noted that while both contractors have made progress developing their vehicles, both have also experienced delays. With safety and programmatic risks to address, further delays are likely. This could ultimately jeopardize the U.S.'s uninterrupted access to the space station and may lessen NASA\u2019s return on investment with the contractors."]} {"id": "GAO-18-64", "url": "https://www.gao.gov/products/GAO-18-64", "title": "Financial Services Industry: Trends in Management Representation of Minorities and Women and Diversity Practices, 2007-2015", "published_date": "2017-11-08T00:00:00", "released_date": "2017-12-08T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. workforce force has become increasingly diverse and is projected to become even more diverse in the coming decades. As a result, many private sector organizations have recognized the importance of recruiting and retaining minorities and women for key positions to improve their business or organizational performance and help them better meet the needs of a diverse customer base. The financial services industry is a major source of employment in the United States and affects the economic well-being of its customers. However, questions remain about diversity in the financial services industry, which provides services that help families build wealth and are essential to economic growth.", "GAO was asked to analyze diversity trends in the financial services industry, particularly in management positions. This report examines (1) trends in management-level diversity in the financial services industry from 2007 through 2015, (2) trends in diversity among potential talent pools, and (3) challenges financial services firms identified in trying to increase workforce diversity and practices firms used to address them.", "GAO analyzed data from the Equal Employment Opportunity Commission (EEOC) and the Department of Education. The most recent available data were from 2015. GAO also reviewed studies on workforce diversity and interviewed representatives from financial services firms and organizations that advocate for the financial services industry, women, or minorities. EEOC provided technical comments on a draft of this report that GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["Overall representation of minorities in first-, mid-, and senior-level management positions in the financial services industry increased from about 17 percent to 21 percent from 2007 through 2015. However, as shown in the figure below representation varied by race/ethnicity group and management level. Specifically, representation of African-Americans at various management levels decreased while representation of other minorities increased during this period. Overall representation of women was generally unchanged during this period. Representation of women among first- and mid-level managers remained around 48 percent and senior-level managers remained about 29 percent from 2007 through 2015.", "Potential employees for the financial services industry, including those that could become managers, come from external and internal pools. For example, the external pool includes those with undergraduate or graduate degrees, such as a Master of Business Administration. In 2015, about 33 percent of the external pool included minorities and around 60 percent were women. The internal talent pool for potential managers in financial services includes those already in professional positions. In 2015, nearly 28 percent of professional positions in financial services were held by minorities and just over 51 percent were held by women.", "Research, financial services firm representatives, and financial industry stakeholders described challenges to recruiting and retaining members of racial/ethnic minority groups and women and practices that could help address these challenges, including recruiting from a wider variety of schools. Firm representatives said that it is important for firms to assess firm-level data on diversity and inclusiveness. However, firm representatives and other stakeholders differed in their views on whether firm-level diversity data should be made public. For example, one stakeholder stated that sharing diversity data publicly would create incentives for improvement. However, a firm representative said that for firms that are not diverse, making employee diversity data public could make improvement of workforce diversity more difficult for them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Total U.S. employment is projected to reach 160.3 million in 2024 and from 2014 through 2024\u2014an increase of almost 9.8 million jobs is expected. The population of people working or looking for work has become increasingly diverse, and is projected to be even more diverse in the coming decades. Also, racial/ethnic minority groups are projected to have different workforce growth rates due to their divergent rates of population growth. Hispanics and Asians, for example, are projected to make up a rapidly growing proportion of the population that is working or looking for work. As the makeup of the U.S. workforce continues to change, many private sector organizations have recognized the importance of recruiting and retaining minorities and women for key positions to improve their business or organizational performance and help them better meet the needs of a diverse customer base. Questions remain about diversity in the financial services industry workforce, which provides services that help families build wealth and is essential to the continued economic growth of the country.", "In light of the role financial services firms have in serving consumers and growing the economy, you asked us to update our previous work on changes in management-level diversity and diversity practices used in the industry. This report also updates previous work on diversity in the potential external pools of candidates for financial services firms and the potential internal pools of candidates for management positions in financial services firms. Specifically, this report examines (1) trends in management-level diversity in the financial services industry, (2) trends in diversity among potential talent pools, and (3) challenges financial services firms identified in trying to increase workforce diversity and practices they have used to increase workforce diversity.", "To describe trends in management-level diversity in the financial services industry, we analyzed 2007\u20132015 workforce data from the Equal Employment Opportunity Commission\u2019s (EEOC) Employer Information Report (EEO-1). Data for 2015 were the most current data available at the time of our review. EEO-1 data were obtained for each job category in the finance and insurance industry by gender, race/ethnicity, firm size, and industry sectors. Management job categories include two groupings, (1) senior-level managers and (2) first- and mid-level managers. We use the term \u201coverall management\u201d to refer to both first- and mid-level managers and senior-level managers. We compared diversity trends in the financial services industry to diversity trends in the overall private sector (excluding financial services). We also compared the trends identified in our analysis to 1993\u20132006 workforce diversity trends described in prior GAO reports. Through electronic testing, a review of documentation, and interviews with knowledgeable officials, we found EEO-1 data sufficiently reliable for our description of trends in workforce diversity.", "To describe recent trends in diversity among potential external pools of workforce candidates for the financial services industry, we interviewed representatives from three financial services firms about the preferred educational requirements needed to enter the field. We then analyzed the race/ethnicity and gender characteristics of individuals receiving bachelor\u2019s degrees, masters degrees (all subjects), and Master of Business Administration (MBA) degrees for the school years ending 2011 through 2015. Data for 2015 were the most current data available at the time of our review. We analyzed educational attainment data available from the Department of Education\u2019s Integrated Postsecondary Education Data System (IPEDS). Through a review of documentation and electronic testing, we found the IPEDS data to be sufficiently reliable for our use in describing trends in educational attainment. To describe recent trends in diversity among potential internal talent pools for management positions, we first identified the nonmanagement positions that were most likely to feed into management by reviewing an EEOC report on diversity in financial services. We then analyzed EEO-1 data for NAICS code 52 to identify trends in the representation of women and racial/ethnic minorities in relevant nonmanagement positions from 2007 through 2015.", "To identify challenges financial services firms face in trying to increase workforce diversity as well as practices firms use to improve workforce diversity, we conducted a literature search; interviewed representatives from 13 financial services firms that were actively involved in workforce diversity; interviewed representatives of organizations that advocate for the financial services industry, women or racial/ethnic minorities, or both; and attended a conference on diversity in the financial services sector. We identified the firms based on their participation at a conference on improving diversity in the financial services industry, their participation in our previous work, and suggestions from organizations that represent the financial services industry. We summarized challenges they identified and compared them to challenges identified in prior GAO work. To determine how firms assess their diversity policies and practices, we interviewed representatives of financial services firms as well as financial industry trade groups.", "We conducted this performance audit from August 2016 to November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "EEOC Data", "paragraphs": ["EEOC data we obtained and analyzed showed that financial services firms employed more than 3.2 million people in 2015. EEOC requires employers to use the North American Industry Classification System (NAICS) to classify their industry. Under this system, the financial services industry includes the following five sectors: credit intermediation and related activities (banks and other credit institutions), which include depository credit institutions\u2014 commercial banks, thrifts (savings and loan associations and savings banks), and credit unions; and nondepository credit institutions, which extend credit in the form of loans and include federally sponsored credit agencies, personal credit institutions, and mortgage bankers and brokers; funds, trusts, and other financial vehicles (funds and trusts), which include investment trusts, investment companies, and holding companies; securities, commodity contracts, and other financial investments and related activities (securities and other activities), which is composed of a variety of firms and organizations that bring together buyers and sellers of securities and commodities, manage investments, and offer financial advice; insurance carriers and related activities (insurance), which include carriers and insurance agents that provide protection against financial risks to policyholders in exchange for the payment of premiums; and monetary authorities, which include central banks.", "EEOC requires private employers subject to Title VII of the Civil Rights Act of 1964 with 100 or more employees and all federal contractors who have 50 or more employees and meet certain other requirements to annually submit data on the racial/ethnic and gender characteristics of employees by various occupations for a broad range of industries, including financial services. Employers are required to submit these data to EEOC by submitting an EEO-1 report. In addition to providing EEOC with data on the demographic characteristics of employees as of a specific point in time, employers must also report the number of employees working at headquarters and any additional offices, the primary industry type of the organization, and the numbers of employees in two different categories of management positions.", "Beginning in 2007, EEOC changed its requirements on the reporting of data on managers. More specifically, employers were required to report data for senior-level management positions rather than combining data on senior-level managers with data for first- and mid-level management positions as had been the practice prior to 2007. Since 2007, employers are to review EEOC guidance describing the two management positions and determine how their firm\u2019s job positions fit into these classifications. Senior-level managers include, for example, chief executive officers, chief financial officers, and managing partners. The first- and mid-level management category includes (1) middle managers that report to senior managers and typically lead major business units and (2) managers who report to middle managers and oversee day-to-day operations, such as team or branch managers.", "Additionally, EEOC changed its practices for collecting certain racial/ethnicity information. The EEO-1 form was changed in 2007 to divide \u201cAsian or Pacific Islander\u201d into two separate categories, \u201cAsian\u201d and \u201cNative Hawaiian or other Pacific Islander.\u201d Also, EEOC adopted a two-question format for collecting ethnicity data. Under this format, employers should first ask employees their Hispanic or Latino status, and then ask those employees who do not identify as Hispanic or Latino for their race.", "EEOC proposed revisions to the EEO-1 form in 2016, which would have required employers with 100 or more employees to report summary pay data in their EEO-1 report. The Office of Management and Budget (OMB) approved the revision in September 2016. In August 2017, OMB issued a memorandum suspending the pay-related data collection aspects of the EEO-1 form. According to the memorandum, since approving the revised EEO-1 form, the relevant circumstances related to the data collection had changed and the burden estimates provided by EEOC in the original filing were materially in error. As a result, the previously approved EEO-1 form without the pay-related data requirements will remain in effect."], "subsections": []}, {"section_title": "Financial Services Industry and Diversity Practices", "paragraphs": ["We previously reported on the challenges faced by the financial services industry in promoting and retaining a diverse workforce. In 2010, we reported that diversity in management in the financial services industry did not change substantially from 1993 through 2008 and that diversity in senior positions was limited. We also found that without a sustained commitment among financial services firms to overcoming challenges to recruiting and retaining minority candidates, limited progress would be possible in fostering a more diverse workplace. Subsequently, in 2013, we found that following the 2007\u20132009 financial crisis, diversity in management in the financial services industry did not change substantially from 2007 through 2011 and that diversity in senior positions remained limited. We also found that women generally represented 45 percent of management-level positions each year, from 2007 through 2011. Additionally, our 2013 report noted that practices that can support diversity include sponsorships (where an executive acts as a guide to help an employee navigate the organization) and efforts to address unconscious bias in promotions.", "In a January 2005 report, we defined diversity management as a process intended to create and maintain a positive work environment that values individuals\u2019 similarities and differences, so that all can reach their potential and maximize their contributions to an organization\u2019s strategic goals and objectives. We also identified a set of nine leading diversity management practices that should be considered when an organization is developing and implementing diversity management. They are (1) commitment to diversity as demonstrated and communicated by an organization\u2019s top leadership; (2) the inclusion of diversity management in an organization\u2019s strategic plan; (3) diversity linked to performance, making the case that a more diverse and inclusive work environment could help improve productivity and individual and organizational performance; (4) measurement of the impact of various aspects of a diversity program; (5) management accountability for the progress of diversity initiatives; (6) succession planning; (7) recruitment; (8) employee involvement in an organization\u2019s diversity management; and (9) training for management and staff about diversity management. In 2013, we reported that industry representatives confirmed that these nine practices are still relevant.", "Since our 2005 report, researchers and the federal government have recognized that a focus on inclusion in the workplace is an important component of creating and sustaining a diverse workforce. For example, the Office of Personnel Management notes that optimal performance is based on both diversity and inclusion, which it defines as a set of behaviors (culture) that encourages employees to feel valued for their unique qualities and experience a sense of belonging."], "subsections": []}, {"section_title": "Research on Potential Benefits of Workforce Diversity", "paragraphs": ["Research discusses a number of reasons why workforce diversity may be beneficial to businesses. For example, two studies summarized other research that found that diversity can bring new voices and perspectives into conversations about business strategies, such as developing opportunities in unserved markets. Also, a diverse workforce can help managers understand and address the needs of a demographically diverse customer base. That is, employees who are demographically similar to customers are likely to have an easier time understanding customer preferences and how they change over time. Additionally, a diverse workforce can stimulate a wider range of creative decisions. Researchers have noted that minority opinions stimulate creativity and divergent thought, and that creativity and innovation are enhanced when a diverse workforce is employed.", "Research on the effects of workforce diversity on financial performance has been mixed. For example, a 2003 report summarized the results and conclusions reached in four separate studies of the relationships between race and gender diversity and financial performance. The report concluded that race and gender diversity had no direct positive or negative influence on financial performance. A 2011 report that summarized this and other research found that researchers continue to put forth conflicting results regarding the business benefits of workforce diversity. In the authors\u2019 opinion, the goals of workforce diversity programs should be broad, and not just focused on the organization\u2019s financial performance."], "subsections": []}]}, {"section_title": "Management-Level Diversity Trends Showed Marginal or No Increase from 2007 through 2015", "paragraphs": ["Representation of minorities at the overall management level increased by 3.7 percentage points from 2007 through 2015 and their representation among senior-level managers increased by 1.7 percentage points during this time. Women\u2019s representation at the overall management level has remained at about 45 percent from 2007 through 2015. Among the various sectors of the financial services industry, the insurance sector has consistently had the highest proportion of women in management positions while the banks and other credit institutions sector has consistently had the highest proportion of racial/ethnic minorities in management. As the size of financial services firms increase (by number of employees), the representation of minorities in overall management increased and the representation of women in overall management was generally the same. Additionally, management-level diversity in the financial services sector has similarities and differences compared to other sectors."], "subsections": [{"section_title": "Management-Level Representation of Minorities Increased Marginally since 2007, but Representation Varied by Minority Group", "paragraphs": [], "subsections": [{"section_title": "Trends in Overall Management", "paragraphs": ["At the overall management level, minority representation increased in the financial services sector, though representation varied by individual minority groups. More specifically, the representation of minorities in management increased by 3.7 percentage points from 2007 through 2015 according to EEOC data, (see fig. 1). This increase shows a continued upward trend from our 2006 report\u2014the first of a series of reports we have issued on trends in the financial services industry\u2014in which data showed that management-level representation by minorities increased from 11.1 percent to 15.5 percent from 1993 through 2004. Since 2007, Asians had the largest gains, increasing their representation among managers from 5.4 percent to 7.7 percent. Hispanics made smaller gains. In contrast, the proportion of African-Americans in management positions decreased from 6.5 percent to 6.3 percent.", "From 2007 through 2015, minorities\u2019 representation among first- and mid- level managers increased by 3.7 percentage points (see fig. 2). Minorities\u2019 representation among senior-level managers increased by 1.7 percentage points during this time. As previously noted, EEOC splits management into two categories: (1) first- and mid-level officials and managers and (2) executive and senior-level officials and managers. First- and mid-level management positions may serve as an internal pipeline in an organization through which minority candidates could move into senior-level management positions. In 2015, representation of minorities in first- and mid-level management positions was 22.4 percent compared to 12.3 percent of minorities in senior-level management positions.", "Among first- and mid-level managers, the representation of Asians increased by 2.6 percentage points from 2007 through 2015, while representation changed by less than 1 percentage point each for Hispanics and African-Americans (see fig. 3). Among senior-level managers, the representation of each racial/ethnic group changed by less than 1 percentage point during this time. As previously mentioned, racial and ethnic groups\u2019 workforce participation is projected to grow at varying rates. For example, from 2014 through 2024 labor force participation is expected to increase by 10.1 percent for African-Americans, 23.2 percent for Asians and 28 percent for Hispanics, according to the Bureau of Labor Statistics. In contrast, labor force participation among white persons is expected to increase by 2 percent."], "subsections": []}]}, {"section_title": "Management-Level Representation of Women and Men Has Been Unchanged since 2007, with Representation of Minority Women and Men Increasing Marginally", "paragraphs": [], "subsections": [{"section_title": "Trends in Overall Management", "paragraphs": ["Representation of women and men at the overall management level in the financial services industry has remained unchanged from 2007 through 2015, with women representing about 45 percent of managers and men representing about 55 percent over time. In 2006, we similarly reported that from 1993 through 2004, women represented from about 43 percent to 46 percent of managers. The proportion of minority women in overall management increased by 1.5 percentage points from 2007 through 2015 while decreasing by 1.5 percentage points among white women (see fig. 4). During the same time period, representation of minority men in overall management increased by 2.2 percentage points while decreasing by 2.3 percentage points for white men. However, representation of white men remained significantly higher at 44.5 percent in 2015 compared to white women at 34.4 percent, minority women at 10.7 percent, and minority men at 10.3 percent.", "Representation of specific racial/ethnic groups in the financial services sector from 2007 through 2015 varied by gender (see fig. 5). For example, among minority women, African-American women consistently had the highest representation in management, representing from 4.1 percent to 4.0 percent of managers. Hispanic and Asian women had similar representation in management positions over time. More specifically, Hispanic women represented from 2.5 percent to 2.9 percent of managers and Asian women represented from 2.3 percent to 3.1 percent of managers. In contrast, among minority men, Asian men consistently had the highest representation in management, representing from 3.1 percent to 4.6 percent of all managers from 2007 through 2015. African-American and Hispanic men had similar representation in management positions during this time period. More specifically, African- American men represented from 2.3 percent to 2.4 percent of managers and Hispanic men represented from 2.3 percent to 2.6 percent of managers.", "Representation of women among first- and mid-level managers and senior-level managers was around 48 percent and about 29 percent, respectively, from 2007 through 2015. Among first- and mid-level management positions, the representation of white women decreased by 2 percentage points from 2007 through 2015 (see fig. 6). Also during this time, the representation of white women in senior-level management positions decreased by 0.9 percentage points. For minority women, representation in first- and mid-level management positions increased by 1.6 percentage points and representation in senior-level management positions increased by 0.3 percentage points from 2007 through 2015.", "For men, the largest changes over time were in the first- and mid-level management positions. More specifically, from 2007 through 2015, representation of white men in first- and mid-level management decreased by 1.8 percentage points and representation of minority men in first- and mid-level management increased by 2.2 percentage points. Among senior-level managers, representation of white men decreased by 0.9 percentage points and increased by 1.5 percentage points among minority men from 2007 through 2015. For additional information on the representation of minority women and men in each management position by race/ethnicity, see appendix II."], "subsections": []}]}, {"section_title": "Certain Financial Sectors Are More Diverse Than Others and Representation of Minorities Increased with Firm Size", "paragraphs": [], "subsections": [{"section_title": "Trends by Financial Sectors", "paragraphs": ["The representation of minorities in overall management positions varied by sector (see fig. 7). EEO-1 data for the financial services industry include the following four sectors: banks and other credit institutions, funds and trusts, securities and other activities, and insurance. For example, the representation of minorities in overall management positions was consistently the greatest in the banks and other credit institutions sector and lowest in the insurance sector. Minorities\u2019 representation in overall management increased in four sectors of the financial services industry from 2007 through 2015. For example, the representation of minorities in the banks and other credit institutions sector increased by 3.1 percentage points and the representation of minorities in the insurance sector increased by 4.2 percentage points.", "The representation of women in overall management also varied by sector. As shown in figure 8, the insurance sector consistently had the highest proportion of women in management positions, followed by banks and other credit institutions, funds and trusts, and securities and other activities. From 2007 through 2015, the proportion of women in management positions decreased in each sector except for the insurance sector where it increased by 1.9 percentage points.", "The proportions of Hispanics, Asians, and Other in overall management increased from 2007 through 2015 in each of the four financial sectors we reviewed, and decreased for African-Americans in all but the insurance sector (see fig. 9). Among racial/ethnic groups, Asians generally experienced the greatest increases in management-level representation. For example, from 2007 through 2015, management-level representation of Asians in the securities and other activities sector increased by 3.5 percentage points while it increased by 0.8 percentage points for Hispanics, increased by 0.6 percentage points for Other, and decreased by 0.8 percentage points for African-Americans. However, in the insurance sector, African-Americans had the highest percentage representation compared to other minority groups and increased from 6.7 percent in 2007 to 7.2 percent in 2015.", "The representation of minorities in overall management increased as firm size (by number of employees) increased (see fig. 10). In 2007, the representation of minorities in management was nearly 5 percentage points greater in firms with 5,000 or more employees compared to firms with 100\u2013249 employees. In 2015, by comparison, the representation of minorities in overall management was about 6 percentage points greater in the largest category of firms (5,000 or more employees) compared to the smallest (100\u2013249 employees). Research suggests that larger organizations may have greater capacity to address workforce diversity. Researchers also note that large organizations tend to make greater efforts to prevent workplace discrimination against women and racial/ethnic minorities because they have direct legal obligations. Additional information on representation of specific racial/ethnic groups in management positions across firm size can be found in appendix II.", "As shown in figure 11, the representation of women in management positions was generally the same across firm size in 2007 and 2015. For example, in 2007 women represented from nearly 45 percent to nearly 46 percent of the managers in financial services firms of varying sizes. Similarly, in 2015 women represented from nearly 44 percent to almost 47 percent of the managers in financial services firms of varying sizes."], "subsections": []}]}, {"section_title": "Financial Services Sector Trends Have Similarities and Differences Compared to Other Sectors", "paragraphs": ["Representation of minorities increased from 2007 through 2015 in the financial services sector, the professional services sector, and the overall private sector at both the senior-level and the first- and mid-level of management, as shown in figure 12. The professional services sector includes jobs in legal services, accounting, consulting, and advertising, among other services. Among first- and mid-level managers, however, the representation of minorities increased at a higher rate for the professional services sector. More specifically, from 2007 through 2015, minorities\u2019 representation among first- and mid-level managers increased by 7.5 percentage points in the professional services sector. In comparison, minorities\u2019 representation among first- and mid-level managers in the financial services sector and the overall private sector increased by 3.7 and 3.8 percentage points, respectively, during this time. Among senior-level managers, representation of minorities fluctuated from 2007 through 2015 in all three sectors. However, minorities\u2019 representation increased the most\u2014by 2.5 percentage points\u2014in the professional services sector, compared to the financial services and overall private sector, which increased by 1.7 and 1.4 percentage points, respectively.", "The financial services sector has generally had a greater proportion of women in various management positions compared to the overall private sector (excluding the financial services sector) and the professional services sector. As shown in figure 13, from 2007 through 2015 women represented about 48 percent of the first- and mid-level management positions in the financial services sector. In comparison, women\u2019s representation among first- and mid-level managers in other sectors was smaller. For example, women represented 36.7 percent of the first- and mid-level managers in the professional services sector in 2015. Among senior-level managers, the representation of women in financial services was slightly higher than their representation in the overall private sector from 2007\u20132010, after which time their representation in each sector was generally within 1 percentage point. From 2007 through 2015, women\u2019s representation among senior-level managers in financial services was generally greater than their representation among senior-level managers in the professional services sector."], "subsections": []}]}, {"section_title": "Potential Talent Pools for Financial Services Positions, Including Management, Are Diverse", "paragraphs": ["Potential employees for the financial services industry who could be an external pool for becoming managers can come from a wide range of academic and professional backgrounds. Undergraduate or graduate degrees are an important consideration for employment according to staff we spoke with at financial services firms. Representatives from three financial services firms told us that while graduates with Master of Business Administration (MBA) degrees are still an important external talent pool, firms have broadened their recruitment efforts and seek students with a variety of degrees.", "About one-third of the external pool of potential talent for financial services, that is, those obtaining undergraduate or graduate degrees, were racial/ethnic minorities from 2011 through 2015 (see fig.14). Rates of bachelor\u2019s degree attainment by racial/ethnic minorities increased from 29.4 percent in 2011 to 33.9 percent in 2015. During the same time period, rates of master\u2019s degree attainment increased by similar amounts, from 28.8 percent to 33 percent, and MBA attainment increased from 35.6 percent to 39.2 percent. As previously noted, the proportion of managers in the financial services industry who were racial or ethnic minorities increased from 17.3 percent in 2007 to 21 percent in 2015, which is lower than the rates of bachelor\u2019s, master\u2019s, and MBA degree attainment for these groups across all years.", "Among the potential external talent pool of minority women and minority men, educational attainment has consistently increased over time, and women have generally obtained a higher percentage of undergraduate or graduate degrees compared to men. For example, from 2011 through 2015, rates of bachelor\u2019s degree attainment increased by at least 2 percentage points each for minority women and minority men, and minority women consistently earned a greater proportion of bachelors\u2019 degrees (see fig. 15). Similarly, the proportions of masters and MBA degrees earned from 2011 through 2015 increased for minority women and minority men. During this time frame, minority women consistently earned a greater proportion of master\u2019s and MBA degrees compared to minority men. Additional information about educational attainment among the potential external talent pool of women and men can be found in appendix IV.", "A majority of the external pool of potential talent for the financial services industry, that is, those obtaining undergraduate or graduate degrees, have been women in recent years (see fig. 16). From 2011 through 2015, women consistently earned about 58 percent of bachelors\u2019 degrees, just over 60 percent of masters\u2019 degrees, and about 45 percent of the MBA degrees. As we previously discussed, women have generally represented about 45 percent of overall management in the financial services industry.", "Two of the nonmanagement job categories in the financial services sector\u2014professional and sales positions\u2014are considered to be the industry\u2019s potential \u201cinternal pipeline,\u201d which comprise staff that could potentially move into management positions. Professional positions can include credit and financial analysts, personal financial advisors, financial examiners, and loan officers; sales positions can include those in securities, commodities, financial services, and insurance sales agents. EEOC data are derived from annual reports that show firms\u2019 workforce composition in a single point of time and therefore do not allow for analysis of the extent to which firms promote staff internally. However, the data do provide some insights into the potential internal pipeline.", "Representation of racial/ethnic minorities in professional and sales positions has changed over time, but has generally been greater than their representation in overall management positions (see fig. 17). More specifically, EEOC data show that racial/ethnic minorities generally comprised about 25 percent of the professional positions from 2007 through 2011, and then increased to nearly 28 percent in 2015. In contrast, the representation of racial/ethnic minorities in sales positions decreased during the 2007\u20132009 financial crisis, and then increased from nearly 23 percent in 2011 to nearly 26 percent in 2015. As previously noted, minorities have represented from 17 percent to 21 percent of overall management in the financial services industry from 2007 through 2015. See appendix IV for additional information on the potential internal pool for management positions in the financial services industry.", "Representation of women in professional positions in the financial services industry has generally been greater than women\u2019s representation in overall management (see fig. 18). For example, from 2007 through 2015, the proportion of women in professional positions has generally been just over 50 percent. As previously noted, during this time frame women consistently represented about 45 percent of overall management. The percentage of women in sales positions within the financial services industry has generally been lower, at about 40 percent."], "subsections": []}, {"section_title": "Industry and Other Sources Describe Ongoing Workforce Diversity Challenges and Practices to Address Them", "paragraphs": ["Representatives from financial services firms and other stakeholders described many of the same challenges in recruiting and retaining women and racial/ethnic minorities as we have previously reported, including negative perceptions of the financial services industry that might discourage potential candidates. Practices that financial services firms use to address these challenges include broadening recruitment efforts, establishing relationships with student groups and professional organizations, and providing training on unconscious bias. Representatives from all of the financial services firms we met with agreed on the importance of analyzing data on the demographic characteristics of their employees. Some firm representatives noted that by assessing employee data they can identify trends that may need to be addressed. However, representatives and other stakeholders differed on the benefits of making firm-level information on employee diversity publicly available."], "subsections": [{"section_title": "Firms and Other Sources Cite a Variety of Recruiting Challenges and Practices That May Help Address Them", "paragraphs": ["Representatives from financial services firms and organizations that advocate for women or racial/ethnic minorities described a variety of challenges to recruiting a diverse workforce for the financial services sector, many of which we have described in previous reports on the topic. For example, representatives from several financial services firms stated that negative perceptions of the industry could limit potential candidates\u2019 interest in the field. Additionally, representatives of an organization that advocates for workforce diversity stated that women and minorities may not seek employment in the financial sector due to concerns about the industry\u2019s reputation or a lack of awareness of career paths in the industry.", "Representatives from some financial services firms told us that it is challenging to get firm leadership on board with recruiting at a broad group of schools, rather than a small number of elite universities. Representatives from three organizations that advocate for women or minorities similarly observed that some financial services firms focus on elite universities. Also, some financial services firm representatives told us that there is a great deal of competition for diverse talent and that financial services firms are increasingly competing with technology firms for talent. Representatives from two firms also stated that it is challenging to recruit diverse staff to work in some geographic locations.", "Reports on workforce diversity echo some of the recruiting challenges that we heard from financial firm representatives. For example, a 2012 consulting firm report on women in senior management notes that at the entry-level businesses viewed as male-dominated tend to attract fewer women. This report also states that sometimes companies have a view that positions requiring long hours will not suit women. A 2012 study on women\u2019s job choices found that in financial services, women are significantly less likely than men to apply for financial advisory and trading jobs and more likely to apply for jobs in general management\u2014most notably internal finance and marketing. A 2014 consulting firm report on diversity in the leadership of companies in the United Kingdom, Canada, Latin America, and the United States found a number of barriers to the recruitment of all diversity groups (including women as well as racial/ethnic groups). These barriers include the lack of visible support from leadership and inadequate collection and use of data on the advantages of more diverse organizations. Additionally, a 2016 consulting firm report on women in financial services in 32 countries noted that a majority of asset managers who were interviewed held the view that certain jobs in financial services, such as asset management, may deter qualified women from applying, as may a lack of knowledge about the industry among graduate students.", "Financial firm representatives and other stakeholders we spoke with, and research we reviewed described a variety of practices that they believe or have found to be effective for recruiting women and racial/ethnic minorities. These practices include the following.", "Engaging in broad-based recruiting. Representatives from three firms stated that they are increasingly hiring and interested in recruiting students from a variety of academic disciplines, such as liberal arts or science and technology. For example, representatives from one firm explained that they are interested in candidates with critical thinking skills, and that technical skills can be taught to new employees. Additionally, representatives from several firms noted the importance of recruiting at a broad group of schools, not just a small number of elite universities.", "Establishing relationships with student and professional organizations. Most financial firm representatives told us that an effective strategy for recruiting diverse students is to establish relationships with student organizations representing diverse groups. Representatives from one firm explained that working with student groups helps expose diverse students to careers in financial services. Additionally, to help recruit women and minorities who may already have graduated from college or graduate school, representatives of most financial firms and two trade groups described establishing relationships with professional organizations that represent women and minorities.", "Intentionally recruiting diverse candidates. Representatives from two financial services firms and two organizations that advocate for the financial services industry noted that firms should intentionally seek out diverse candidates. For example, representatives from one firm discussed the importance of including diversity in a firm\u2019s recruiting strategy and establishing relationships with schools and organizations that can increase women\u2019s and minorities\u2019 exposure to financial services.", "Offering programs to increase awareness of financial services.", "Several financial firm representatives told us that they establish relationships with high school students to expose diverse students to the financial services field. For example, representatives from one firm described a program that pairs high school students with a mentor from the firm. Two organizations that advocate for the financial services industry also noted that it is helpful for financial services firms to establish relationships with high schools to educate young students about the field. A 2016 consulting firm report on women in financial services organizations in 32 countries found that a majority of asset managers who were interviewed thought it was important for financial services firms to educate students about careers available in financial services. The report noted that more on-campus education and public relations work could help attract women to the field."], "subsections": []}, {"section_title": "Firms and Other Sources Note Retention Challenges and Practices That May Help Retain and Promote Diverse Employees", "paragraphs": ["Reports on workforce diversity, representatives from financial services firms, and other stakeholders discussed several challenges to retaining women and racial/ethnic minorities, several of which we have previously reported. Representatives of three financial services firms and two organizations that advocate for the financial services industry told us that it is challenging to retain women and minorities at organizations that lack women and minorities in management positions. Additionally, two former employees of large financial services firms, both racial/ethnic minorities, told us that there are fewer mentors or role models for women and racial/ethnic minorities in firms that have fewer women and minorities in leadership positions. A 2012 consulting firm report on women in senior management reported that women can lack a network or sponsor to help them advance. Some financial firm representatives noted that employee resistance, particularly from middle-managers, poses a challenge to diversity and inclusion efforts.", "Additionally, some organizations that advocate for women and minorities noted that unconscious bias is an issue that can negatively affect women and minorities. As an example, managers may give hiring or promotion preferences to persons who have hobbies or educational backgrounds similar to theirs. Also, the authors of a 2014 report on women in senior management at financial and nonfinancial organizations across 40 countries suggested that unconscious bias against women can result in a reluctance to promote women in the expectation that they will eventually put family first. The report stated that this bias can trigger a self-fulfilling prophecy, as lack of promotion is one of the top reasons cited by women for leaving their jobs.", "Reports on diversity, representatives from financial services firms, and other stakeholders described a variety of practices that may be helpful in retaining women and racial/ethnic minorities. These practices include the following.", "Establishing affinity groups. Representatives from four financial services firms stated that having affinity groups helps promote both diversity and inclusion. Affinity groups\u2014sometimes referred to as employee resource groups or networking programs\u2014provide forums for employees to gather socially and share ideas outside of their particular work unit. Representatives from two firms emphasized that it is important for affinity groups to have meetings with firm leadership. A 2007 study reported that networking programs have stronger effects on some demographic groups than others.", "Training managers and employees on inclusion and unconscious bias. Several financial firm representatives emphasized the importance of offering training to foster an inclusive work environment. As previously noted, an inclusive work environment is one that encourages employees to feel valued for their unique qualities and experience a sense of belonging. Training on inclusiveness, emotional intelligence, and unconscious bias were specifically noted by two financial firm representatives as being helpful for both managers and staff.", "Establishing management-level accountability. Representatives from three financial firms told us that firm management should be held accountable for the firm\u2019s workforce diversity goals. Managers\u2019 performance in maintaining a diverse workforce can be evaluated a variety of ways. For example, two firm representatives discussed the use of \u201cdiversity scorecards.\u201d A diversity scorecard is a set of objectives and measures derived from an organization\u2019s overall business strategy and linked to its diversity strategy. Additionally, one firm representative noted that tying senior managers\u2019 compensation to diversity goals has been an effective practice for retaining women and minorities. Researchers have noted that efforts to establish organizational responsibility for diversity lead to the broadest increases in managerial diversity.", "Offering staff mentors and sponsors. Representatives from three financial firms and two organizations that advocate for the financial services industry told us that providing staff with mentors or sponsors helps retain and promote women and racial/ethnic minorities. In general, a mentor provides advice and guidance to more junior staff (prot\u00e9g\u00e9s) and a sponsor nominates or supports a prot\u00e9g\u00e9\u2019s promotion. Research and reports discuss the benefits of mentors and sponsors.", "Implementing family-friendly policies. Some of the financial services firm representatives and three of the four individuals with whom we met (members of racial minority groups who had worked in large financial services firms) noted the importance of work-life balance to help retain women. A 2011 paper on the Canadian financial sector described selected banks\u2019 family-friendly policies, such as flexible work schedules, that facilitate work-life balance.", "As previously noted, in 2005 we identified a set of nine leading diversity management practices that should be considered when an organization is developing and implementing diversity management. These practices include measuring the impact of diversity programs and providing training for management and staff on diversity. Financial firm representatives and other stakeholders with whom we met agreed that these practices are still relevant.", "However, researchers have found that practices related to diversity may not benefit all genders and racial/ethnic groups evenly. For example, a 2015 consulting firm report found that the approach of many companies to cover all groups (racial/ethnic, gender, and sexual orientation) using a single diversity program is insufficient. The report found that diversity- related practices should be tailored to specific groups. Earlier empirical research similarly found that the effects of various diversity-related initiatives varied across gender and race/ethnicity groups."], "subsections": []}, {"section_title": "Firms and Stakeholders Generally Agree on the Value of Assessing Workforce Diversity and Inclusion, but Differ on Benefits of Making Data Public", "paragraphs": ["Representatives of financial services firms told us that it is useful for financial services firms to analyze demographic data to assess diversity of their workforce and identify trends that may need to be addressed. All of the financial services firms with whom we met agreed on the importance of analyzing employee data. Some firm representatives noted that by assessing employee data they can analyze the gender and racial/ethnic diversity of new hires, employees leaving the organization, and newly promoted staff and managers. Representatives from several firms stated that it is important for organizations to be self-aware of how they are doing with workforce diversity. Also, representatives from an investment bank told us that they analyze employee data over time to determine whether certain demographic groups tend to leave the firm after a certain number of years. With this information, the representatives told us, the organization can proactively take steps to help retain these staff, such as providing staff with mentors. Additionally, representatives from a large bank explained that by analyzing demographic data of employees, the organization can identify \u201cleaks\u201d in their internal pipeline. That is, they can determine when and potentially why women and racial/ethnic minorities leave before progressing into management positions. Several financial firm representatives told us that when they identify data trends that indicate problems, such as retention issues, they then take steps to address them.", "Several financial firm representatives stated it is important to know the demographic make-up of employees, because firms should look like their customers. As an example, a representative of an investment banking institution told us that over half of the firm\u2019s customers were women; therefore it was a priority for the organization to know how to serve them as well as other diverse groups. Also, a firm representative told us that some potential clients call inquiring about racial and gender diversity before doing business. The representative added that clients are interested in receiving advice and information from advisors to whom they can relate. Additionally, representatives from a large financial services firm stated workforce diversity helps the firm better understand its diverse customers.", "Representatives of three financial services firms with whom we met also described the importance of obtaining employees\u2019 views about the organization, including employees\u2019 feelings about diversity and inclusion. For example, a financial services firm representative told us that in order to be successful at fostering workforce diversity firms must obtain employees\u2019 views on work/life balance, opportunities for advancement, and inclusiveness. He noted that while quantitative data on employees\u2019 demographic characteristics may indicate that the workforce has become more diverse, employees may not feel like the workplace has become more diverse. Three of the organizations with whom we met (two that advocate for the financial services industry and one that advocates for diversity) agreed on the importance of surveying employees about diversity and inclusion. For example, representatives from a financial services industry trade group told us that employee surveys can be used to detect issues that minority employees face. Research points out that having diversity management practices alone is insufficient for improving workplace performance. This research finds that productive workplaces exist when inclusion is promoted and employees are encouraged to express their opinions and their input is sought before making important organizational decisions.", "Representatives of financial services firms and organizations that advocate for diversity varied in their views on whether data on the demographic characteristics of employees at specific financial services firms should be shared publicly, for example through diversity indexes or on the company\u2019s website. Representatives from two financial firms told us that publicly disclosing firm-level employee characteristics would not benefit the company. More specifically, representatives from two financial services firms indicated that diversity indexes are of limited value because they do not indicate whether a firm has made progress on diversity. One representative noted the reputation of firms that are not diverse could be damaged, which could make improvement of workforce diversity more difficult. As discussed earlier, potential candidates\u2019 negative perceptions of the financial services industry\u2019s reputation can make it difficult for firms to recruit diverse employees.", "In contrast, representatives from one of the financial services firms and two organizations that advocate for diversity told us that making data on the diversity of firms\u2019 workforce publicly available was beneficial because it highlighted firms\u2019 diversity efforts. As an example, representatives from a large financial services firm told us that the firm regularly participates in a number of surveys on diversity, which third-parties use to create various diversity indexes. The indexes highlight this firm\u2019s progress on employee diversity. Additionally, several of the firms with whom we met post data on their websites indicating demographic information about their employees, such as the proportion of women in management and employees\u2019 country of origin.", "Representatives of organizations that advocate for diversity in the workplace cited the benefits of diversity indexes and the publication of workforce diversity information on specific financial services companies.", "For example, one representative stated that requiring businesses to be transparent about their workforce diversity data creates incentives to improve the diversity of their workforce. A representative from an organization that advocates for women noted that diversity indexes or other public information can be helpful for investors, who want to know about the workforce composition of the businesses that they may invest in. This representative stated that institutional investors have been leading the charge for more transparency and diversity among companies. We have previously reported on large investors\u2019 interest in having more public disclosure about the diversity of corporate board directors."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to EEOC. We received technical comments, which we addressed as appropriate.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution of this report until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees and the Acting Chair of the Equal Employment Opportunity Commission. We will make copies available to others upon request. The report will also be available at no charge on our website at http://www.gao.gov.", "If you or your staffs have any questions about this report, please contact me at (202) 512-8678 or garciadiazd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs are listed on the last page of this report. GAO staff who made major contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report were to examine (1) trends in management- level diversity in the financial services industry, (2) trends in diversity among potential talent pools, and (3) challenges financial services firms identified in trying to increase workforce diversity and practices firms used to increase workforce diversity."], "subsections": [{"section_title": "Trends in Management- Level Diversity", "paragraphs": ["To describe management-level diversity in the financial services industry, we obtained 2007\u20132015 workforce data from the Equal Employment Opportunity Commission\u2019s (EEOC) Employer Information Report (EEO- 1). EEO-1 data are annually submitted to EEOC by most private-sector firms with more than 100 employees. Most federal contractors with 50 or more employees are also required to submit to EEOC annual reports showing the composition of their workforce; however, consistent with our 2006 and 2013 reports, we did not include these contractors in our analysis. Accordingly, the EEO-1 data presented in this report do not exactly match the EEO-1 data on EEOC\u2019s website. We found that these differences were small and did not materially change the trends in the representation of various demographic groups.", "We obtained EEO-1 data in February 2017 for the finance and insurance industry categorized under the North American Industry Classification System (NAICS) code 52 from 2007 through 2015, the most recent year of data available. EEO-1 data were specifically obtained for each job category by gender, race/ethnicity, firm size, and industry sectors. We used the race/ethnicity categories used by EEOC: African-American, Asian, Hispanic, and Other. The \u201cOther\u201d category, which represents less than 3 percent of the financial services workforce, includes Native Hawaiian or Pacific Islander, Native American or Alaska Native, and \u201ctwo or more races.\u201d Job categories include: senior-level managers, first- and mid-level managers, professionals, technicians, sales workers, administrative support workers, craft workers, operatives, laborers and helpers, and service workers. We defined \u201coverall management\u201d as senior-level managers and first- and mid-level managers. We compared 2007 through 2015 EEO-1 data on the financial services industry to comparable information we previously published using EEO-1 data on diversity trends in the financial services industry from 1993\u20132006. Because the EEOC data do not come from a sample, but are collected from all businesses, we did not calculate standard errors or confidence intervals on our estimates.", "To compare diversity trends in the financial services industry with the overall private sector and the \u201cprofessional and technical services sector,\u201d we downloaded 2007 through 2015 EEO-1 data on the overall private sector and the professional and technical services sector from the EEOC website. We excluded data for the financial services industry from the data representing the \u201coverall private sector.\u201d The professional and technical services sector is categorized under the NAICS code 54, and includes establishments that specialize in performing professional, scientific, and technical activities for others, such as accounting, bookkeeping, payroll services, and consulting services. For the financial services industry, we used the data provided to us by EEOC, which, as discussed earlier, does not include federal contractors with fewer than 100 employees and therefore does not precisely match data on EEOC\u2019s website. We chose not to rely on data from the EEOC website for this comparison so that data on the financial services sector would be from a consistent source throughout the report. We compared the representation of racial/ethnic minorities and women in management positions across all three sectors from 2007 through 2015.", "To determine the reliability of the EEO-1 data from EEOC that we used throughout this report, we interviewed knowledgeable EEOC officials and reviewed relevant documents provided by agency officials and obtained on its website. We also conducted electronic testing of the data. We determined that the EEO-1 data were sufficiently reliable for describing workforce diversity trends."], "subsections": []}, {"section_title": "Trends in Potential Talent Pools", "paragraphs": ["To describe recent trends in diversity among potential external talent pools (potential source of future managers outside the firms) for positions in the financial services sector, we interviewed representatives from three financial services firms about the preferred educational requirements needed to enter the field. We then used educational attainment data available from the Department of Education\u2019s Integrated Postsecondary Education Data System (IPEDS) to analyze the race/ethnicity and gender characteristics of individuals receiving undergraduate degrees, master\u2019s degrees (of all subjects), and Master of Business Administration (MBA) degrees for the school years ending 2011 through 2015. At the time of our review, data for the school year ending in 2015 were the most recent data available. Through a review of documentation and electronic testing, we found the IPEDS data to be sufficiently reliable for describing trends in educational attainment.", "To describe recent trends in diversity among potential internal talent pools for management positions, we first identified the nonmanagement positions that were most likely to feed into management by reviewing an EEOC report on diversity in financial services and analyzing job descriptions and education requirements for nonmanagement positions in the financial services sector. Based on this information, we determined that the professional and sales job categories best represent the primary internal talent pool for management positions in the financial services industry. We then analyzed EEO-1 data for NAICS code 52 to identify trends in the representation of women and racial/ethnic minorities in professional and sales positions from 2007 through 2015. We compared these trends to trends in the representation of women and racial/ethnic minorities in overall management positions in the financial services industry."], "subsections": []}, {"section_title": "Challenges and Practices Related to Increasing Workforce Diversity", "paragraphs": ["To identify challenges financial services firms face in trying to increase workforce diversity as well as practices financial services firms use to improve workforce diversity, we conducted a literature review. We used research databases such as ProQuest and SCOPUS to search for scholarly or peer-reviewed material, government reports, conference papers, trade and industry articles, and association or nonprofit publications published from 2006 through 2016. Also, we used Internet search techniques and keyword search terms to identify publicly available information about workforce diversity in the financial services sector as of August 2017. In cases where the studies or articles referenced older materials that focused on workforce diversity practices, we reviewed those as well.", "In addition, we interviewed: representatives from 13 financial services firms that were actively involved in workforce diversity efforts, representatives of 11 organizations that advocate for the financial services industry, women or racial/ethnic minorities, or both. We also interviewed a selection of two male and two female members of racial minorities who formerly worked for large financial services firms. We interviewed representatives from 9 of the 13 financial services firms in a group setting. Based on the group-discussion format, we did not collect precise counts of the participants who agreed or disagreed with specific practices or challenges. Financial services firms were selected based on their participation at a conference on improving diversity in the financial services industry, their participation in our previous work, and suggestions from organizations that represent the financial services industry. Former employees were selected based on their participation in a conference on diversity in financial services or their experience in the financial services industry. We also attended a conference on diversity in the financial services sector. To determine how financial services firms assess their diversity policies and practices, we interviewed representatives of financial services firms as well financial services industry trade groups. The views expressed by firms, trade organizations, and former employees may not be representative of all entities involved in workforce diversity efforts. We used certain qualifiers when collectively describing responses from financial services firms and trade groups, such as \u201csome,\u201d \u201cseveral,\u201d and \u201cmost.\u201d We define some as four, several as at least five but less than most, and most as more than half relative to the total number possible. We also reviewed academic and other research studies on the effect of specific workforce diversity policies.", "We conducted this performance audit from August 2016 through November 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: Additional Analysis of Diversity Trends in the Financial Services Industry", "paragraphs": ["This appendix provides additional detailed analysis of EEOC data on the financial services industry from 2007 through 2015."], "subsections": [{"section_title": "Analysis by Gender, Race/Ethnicity, and Management Level", "paragraphs": ["The representation of minority women in first- and mid-level management increased by 1.6 percentage points from 2007 through 2015 while their representation in senior-level management increased by 0.3 percentage points during this time (see fig. 19). Women\u2019s representation among specific racial/ethnic groups did not change by more than 1 percentage point for any specific group at either management level from 2007 through 2015.", "The representation of minority men in first- and mid-level management increased by 2.2 percentage points from 2007 through 2015 and their representation in senior-level management increased by 1.5 percentage points (see fig. 20). Men\u2019s representation among specific racial/ethnic groups did not change by more than 1 percentage point at the senior management level. In contrast, at the first- and mid-level management position, Asian men experienced an increase in their management representation of 1.7 percentage points. Men of other races/ethnicities did not experience changes in their representation at the first- and mid-level management position of more than 1 percentage point."], "subsections": []}, {"section_title": "Analysis by Firm Size", "paragraphs": ["Representation of minorities in overall management increased from 2007 through 2015 in firms of all sizes, with the greatest increases occurring in firms with over 1,000 employees (see fig. 21). Representation of Asians, Hispanics, and Other in management positions increased over time in firms of all sizes while representation of African-Americans in management decreased by less than 1 percentage point or stayed the same from 2007 through 2015 in firms of all sizes. In 2015, Asians and African-Americans had the largest percentage of minority representation, 8.7 percent and 7.1 percent respectively, in firms with over 5,000 employees."], "subsections": []}]}, {"section_title": "Appendix III: Diversity in the Financial Services Industry by State, 2015", "paragraphs": ["This appendix provides information on management representation in the financial services industry by state in 2015."], "subsections": []}, {"section_title": "Appendix IV: Diversity Trends in Degrees Earned and Nonmanagement Job Categories", "paragraphs": ["This appendix provides additional information about the potential external and internal talent pools for the financial services sector. Table 2 includes information on the demographic characteristics of persons obtaining undergraduate-level and graduate-level degrees for the school years ending from 2011 through 2015. Tables 3 through 7 show the representation of various demographic groups working in the Professional and Sales job categories of the financial services sector from 2007 through 2015."], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Kay Kuhlman, Assistant Director; Lisa Moore, Analyst in Charge; Rachel Batkins; Ben Bolitzer; Mitch Karpman; Jill Lacey; May Lee; John Mingus; Tovah Rom; Kelsey Sagawa; Jena Sinkfield; and Tyler Spunaugle made major contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-427", "url": "https://www.gao.gov/products/GAO-18-427", "title": "Government Reorganization: Key Questions to Assess Agency Reform Efforts", "published_date": "2018-06-13T00:00:00", "released_date": "2018-07-13T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["On March 13, 2017, the President issued an executive order requiring a comprehensive reorganization of executive branch agencies. In April 2017, the Office of Management and Budget (OMB) provided guidance to federal agencies for developing their reform and workforce reduction proposals. Past proposals to reform and reorganize government have not always come to fruition and can take years to implement fully. GAO's prior work has shown that successful reforms or transformations depend upon following change management practices, such as agreement on reform goals, and the involvement of the Congress, federal employees, and other key stakeholders.", "This report identifies the key questions that Congress, OMB, and agencies can use to assess the development and implementation of agency reforms. To meet this objective, GAO reviewed its prior work and leading practices on organizational transformations; collaboration; government streamlining and efficiency; fragmentation, overlap, and duplication; high-risk; and on other agency longstanding management challenges. GAO also identified subject matter specialists knowledgeable about issues related to government reform and strategic human capital management who reviewed and commented on GAO's draft questions.", "GAO is not making recommendations to OMB in this report. OMB staff provided technical comments, which we incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The nation is on a long-term, unsustainable fiscal path because it is spending far more money than it is collecting and projected to do so going forward. While addressing this issue will require changes to both federal spending and revenue policies, Congress and federal agencies can act now to strengthen the efficiency and effectiveness of federal agencies and programs, as well as address federal activities that are high-risk or fragmented, overlapping, or duplicative\u2014and save billions of dollars in the process. For more than a decade, we have highlighted the need to re- evaluate and reprioritize what the federal government does, how it does business, and as appropriate, who conducts its business. Although these actions alone cannot put the U.S. government on a sustainable fiscal path, they would improve the fiscal situation and help ensure agencies have the capacity to address ongoing and newly emerging challenges within available resources.", "The organizational transformation needed to improve the performance of federal agencies is no easy task, however, and can take years to fully implement. Reforming and reorganizing the federal government is a major endeavor that can include refocusing, realigning, or enhancing agency missions, as well as taking steps to improve services by identifying and eliminating inefficiencies. Equally important is maintaining or improving effectiveness and examining the impact of such proposed changes on employees, stakeholders, and program customers. Our earlier work has shown that effective government transformation initiatives: (1) require a combination of people, processes, technologies, and other critical success factors to achieve results; and (2) are dependent upon following essential change management practices, such as the involvement of the Congress, federal employees, and other key stakeholders.", "In March 2017, the President issued an executive order requiring a comprehensive reorganization of executive branch agencies. In April 2017, the Office of Management and Budget (OMB) provided guidance to federal agencies for developing their reform and workforce reduction plans, as required by the President\u2019s executive order.", "In this report, we identify key questions that Congress, OMB, and agencies should consider for the development and implementation of agency reforms, based on our prior work. In this report, we use the term \u201creforms\u201d to broadly include any organizational changes\u2014such as major transformations, mergers, consolidations, and other reorganizations\u2014and efforts to streamline and improve the efficiency and effectiveness of government operations.", "To identify the key questions, we reviewed our prior work, including leading practices on organizational mergers and transformations, collaboration, government streamlining and efficiency. We also reviewed our prior work on fragmentation, overlap, and duplication; high-risk; and other agency longstanding management challenges. We selected those questions that were most relevant to the agency reform efforts outlined in OMB\u2019s guidance. A list of these related products are in appendix I. Additionally, we met with OMB staff to discuss their role in working with agencies on reform efforts.", "Because we drew the material in this report from prior work, we contacted a selection of nine subject matter specialists to review the major categories that were covered by our questions to assess that there were no major gaps in our categories or questions and that they were presented in the appropriate context. To identify these specialists, we considered individuals who had previously assisted us in developing key leading practices in our work that we used to draw our questions, as well as those that are knowledgeable in government reform, management, and strategic human capital management issues. We shared our draft questions with these specialists for their technical comments and views, and incorporated their comments as appropriate. A list of these specialists is found in appendix II.", "We conducted this performance audit from August 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Prior to the President\u2019s March 2017 executive order for comprehensive government reorganization, in January 2017, the President ordered a federal hiring freeze\u2014providing exemptions for federal employees with national security or public safety responsibilities. The January 2017 presidential memo also directed OMB, in consultation with the Office of Personnel Management (OPM), to recommend a long-term plan to reduce the size of the federal workforce through attrition. OMB\u2019s April 2017 guidance to agencies on their reform plans lifted the federal hiring freeze. Below is a timeline for proposed reform development and implementation as shown in figure 1.", "According to OMB\u2019s April 2017 guidance, the agency reform plans were intended to accomplish several objectives, including creating a lean, accountable, more efficient government, focusing on efficiency and effectiveness and delivering programs of highest needs to citizens, and aligning the federal workforce to meet the needs of today and the future, among other things.", "Each agency\u2019s proposed reform plan was to include proposals to improve efficiency, effectiveness, and accountability in four categories: (1) eliminate activities; (2) restructure and merge activities; (3) improve organizational efficiency and effectiveness; and (4) workforce management. To support these proposed reforms, OMB asked agencies to conduct an analysis, among other things, to consider if there was a unique federal role or whether some or all services, activities, or functions could be better performed by another entity, such as a state, local or tribal government or the private sector. Additionally, according to OMB\u2019s April 2017 guidance, the draft agency proposed reform plan should be aligned with the agency strategic plan. Agency strategic plans were to be released with the President\u2019s fiscal year 2019 budget.", "The final reforms included in the fiscal year 2019 budget also were to be reflected in the agencies\u2019 human capital operating plans and information technology strategic plans, based on OMB guidance we reviewed. In March 2018, OMB released the President\u2019s Management Agenda (PMA), which provided updated information on the status of government reorganization efforts and is connected with these reform efforts. The PMA also identified a set of cross-agency priority (CAP) goals, required under the GPRA Modernization Act of 2010 (GPRAMA), to target those areas where multiple agencies must collaborate to effect change and report progress in a manner the public can easily track.", "In addition to the agency reform proposals, OMB was also required by the March 2017 executive order to develop a comprehensive government- wide reform plan, including both legislative proposals and administrative actions based on agency reform plans, OMB-coordinated crosscutting proposals, and public input. According to a document provided by OMB staff, OMB solicited public comments beginning in April 2017 through June 2017 to inform the development of the government-wide reform plan. OMB staff told us they provided these comments to the appropriate agencies.", "The March 2018 PMA stated that, in the months ahead, the administration plans to share additional reorganization proposals designed to refocus programs around current and future needs. According to OMB guidance, once the government-wide reform proposals are finalized, it will, in coordination with the President\u2019s Management Council, establish a way to track the progress of the reforms. To track progress of the reforms, OMB\u2019s guidance stated that it will leverage the federal performance planning and reporting framework originally put into place by the Government Performance Results Act of 1993 (GPRA) and significantly enhanced by GPRAMA, through the use of CAP goals, agency priority goals, and Performance.gov."], "subsections": []}, {"section_title": "Key Questions to Assess Agency Reforms", "paragraphs": ["Given the potential benefits and challenges developing and implementing agency reform efforts, Congress and the executive branch need the tools and information to help evaluate agencies\u2019 reform proposals and ensure they are effectively implemented. Congress\u2019s role in reviewing agency proposed reforms will be critical to the success of making significant changes in how the government operates.", "To assist Congress in its oversight role, we organized our prior work and leading practices into the following four broad categories that can help the Congress assess proposed reforms. Figure 2 describes the four broad categories, relevant sub-categories of questions, and selected key questions in more detail below."], "subsections": [{"section_title": "Goals and Outcomes of Reforms", "paragraphs": ["Lessons learned from prior federal reform and reorganization efforts suggest that reforming government is an immensely complex activity that requires agreement on both the goals to be achieved and the means for achieving them. Because many current federal programs and policies were designed decades ago to respond to trends and challenges that existed at the time of their creation, it makes sense to periodically conduct fundamental reviews of major programs and policy areas to ensure they continue to meet current goals and emerging trends. It is also important to determine the appropriate level of government, or the roles of the non- profit or private sectors, in achieving these goals. Our prior work shows that establishing a mission-driven strategy and identifying specific desired outcomes to guide that strategy are critical to achieving intended results. In other words, what is the agency trying to achieve with its reforms?"], "subsections": [{"section_title": "Determining the Appropriate Role of the Federal Government", "paragraphs": ["It is important for agencies to reexamine the role of the federal government in carrying out specific missions and programs, policies, and activities by reviewing their continued relevance and determining whether the federal government is best suited to provide that service or if it can be provided by some other level of government or sector more efficiently or effectively. Another key aspect of shifting federal activities to other levels of government is how well the federal government fully considered the potential effects reforms might have on state and local governments, especially from a budgetary and fiscal standpoint. For example, how should the federal government act directly, or in partnership with another level of government or a non-profit organization, to achieve the identified outcomes? Defining the appropriate federal role also involves examining the federal government\u2019s relationships with key state, local, non-profit, and private sector partners. For example, agencies should assess whether there are alternatives for managing their programs effectively across intergovernmental and organizational boundaries, as well as which level of government has the capacity to deliver on the nation\u2019s needs and priorities today and in the future.", "How well have the proposed reforms indicated the likely result of the elimination, merging, or restructuring of activities with other levels of government or sectors?", "To what extent have the proposed reforms included consideration for other levels\u2019 of government or sectors\u2019 ability or likelihood to invest their own resources to address the underlying challenges?", "To what extent have the proposed reforms included goals to transfer a particular responsibility to another level of government\u2014such as state or local government\u2014or sector, and has the agency made the case that such a transfer could improve the overall accomplishment of public purpose?", "To what extent have the proposed reforms considered if a new mechanism is needed to integrate and coordinate programs between levels of government? If so, what statutory or regulatory changes would be needed to support such a transfer in responsibilities and to address concerns such as cost-sharing or funding?", "To what extent has the agency identified any risks of using contractors to perform agency activities, and if so, has it developed appropriate risk mitigating strategies?"], "subsections": []}, {"section_title": "Establishing Goals and Outcomes", "paragraphs": ["When considering government reforms, our prior work has identified useful principles, such as designing proposed reforms to achieve specific, identifiable goals that encourage decision makers to reach a shared understanding of the purpose of the reforms. Agreement on specific goals can help decision makers determine what problems genuinely need to be fixed, how to balance differing objectives, and what steps need to be taken to create, not just short-term advantages but long-term gains. Part of determining if agencies have successfully identified the goals of their proposed reforms is to determine whether the agency has built a business case analysis that presents facts and supporting details among competing alternatives.", "To what extent has the agency established clear outcome-oriented goals and performance measures for the proposed reforms?", "To what extent has the agency shown that the proposed reforms align with the agency\u2019s mission and strategic plan?", "To what extent has the agency considered and resolved any agency crosscutting or government-wide issues in developing their proposed reforms? For example, what are the implications of proposed reforms on other agencies?", "To what extent has the agency considered the likely costs and benefits of the proposed reforms? If so, what are they?", "To what extent has the agency considered how the upfront costs of the proposed reforms would be funded?", "To what extent has the agency included both short-term and long- term efficiency initiatives in the proposed reforms?"], "subsections": []}]}, {"section_title": "Process for Developing Reforms", "paragraphs": ["Successful reforms require an integrated approach that involves employees and key stakeholders and is built on the use of data and evidence. Reforms should also address agency management challenges, such as those we have identified as fragmented, duplicative, or overlapping, or in our high-risk program, or by agency Inspectors General."], "subsections": [{"section_title": "Involving Employees and Key Stakeholders", "paragraphs": ["Our prior work has shown that it is important for agencies to directly and continuously involve their employees, the Congress, other key stakeholders\u2014such as other federal partners, state and local governments, and members of the public\u2014in the development of any major reforms. Involving employees, customers, and other stakeholders helps facilitate the development of reform goals and objectives, as well as incorporating insights from a frontline perspective and increases customer acceptance of any changes. We have also identified leading practices for open innovation strategies, defined as the use of activities and technologies to harness ideas, expertise, and resources of those outside an organization to address an issue or achieve specific goals.", "How and to what extent has the agency consulted with the Congress, and other key stakeholders, to develop its proposed reforms?", "How and to what extent has the agency engaged employees and employee unions in developing the reforms (e.g., through surveys, focus groups) to gain their ownership for the proposed changes?", "How and to what extent has the agency involved other stakeholders, as well as its customers and other agencies serving similar customers or supporting similar goals, in the development of the proposed reforms to ensure the reflection of their views?", "How and to what extent has the agency considered the views of state and local governments that would be affected by the proposed reforms?", "How and to what extent have agencies gathered the views of the public and incorporate these views in the proposed reforms?", "Is there a two-way continuing communications strategy that listens and responds to concerns of employees regarding the effects of potential reforms?", "How will the agency publicize its reform goals and timeline, and report on its related progress?"], "subsections": []}, {"section_title": "Using Data and Evidence", "paragraphs": ["We have reported that agencies are better equipped to address management and performance challenges when managers effectively use data and evidence, such as from program evaluations and performance data that provide information on how well a program or agency is achieving its goals. When reforming a given program, the use of data and evidence is critical from setting program priorities and allocating resources to taking corrective action to solve performance problems and ultimately improve results. We have also stated that full and effective implementation of GPRAMA could facilitate efforts to reform the federal government and make it more efficient, effective, and accountable. GPRAMA also provides important tools that can help decision makers address challenges facing the federal government.", "What data and evidence has the agency used to develop and justify its proposed reforms?", "How has the agency determined that the evidence contained sufficiently reliable data to support a business case or cost-benefit analysis of the reforms?", "How, if at all, were the results of the agency\u2019s strategic review process used to help guide the proposed reforms?", "How, if at all, were the results of the agency\u2019s enterprise risk management process used to help guide the proposed reforms?"], "subsections": []}, {"section_title": "Addressing Fragmentation, Overlap, and Duplication", "paragraphs": ["In our prior work, we have identified areas where agencies may be able to achieve greater efficiency or effectiveness by reducing or better managing programmatic fragmentation, overlap, and duplication. For additional details on assessing areas of fragmentation, overlap, and duplication, see our evaluation and management guide.", "To what extent has the agency addressed areas of fragmentation, overlap, and duplication\u2014including the ones we identified\u2014in developing its reform proposals?", "To what extent have the agency reform proposals helped to reduce or better manage the identified areas of fragmentation, overlap, or duplication?", "To what extent has the agency identified cost savings or efficiencies that could result from reducing or better managing areas of fragmentation, overlap, and duplication?"], "subsections": []}, {"section_title": "Addressing High Risk Areas and Longstanding Management Challenges", "paragraphs": ["Reforms improving the effectiveness and responsiveness of the federal government often require addressing longstanding weaknesses in how some federal programs and agencies operate. For example, agency reforms provide an opportunity to address the high-risk areas and government-wide challenges we have called attention to that are vulnerable to fraud, waste, abuse, and mismanagement, or are in need of transformation.", "What management challenges and weaknesses are the reform efforts designed to address?", "How specifically has the agency considered high-risk issues, agency Inspector General\u2019s major management challenges, and other external and internal reviews in developing its reform efforts?", "Have the agency\u2019s efforts to address those challenges been consistent with the proven approach GAO has found to resolve high risk issues? Agencies can show progress by addressing GAO\u2019s five criteria for removal from the High-Risk List: leadership commitment, capacity, action plan, monitoring, and demonstrated progress. The five criteria form a road map for efforts to improve and ultimately address high-risk issues.", "How has the agency identified and addressed critical management challenges in areas such as information technology, cybersecurity, acquisition management, and financial management that can assist in the reform process?", "How does the agency plan to monitor the effects proposed reforms will have on high risk areas?", "Has the agency addressed ways to decrease the risk of fraud, waste, and abuse of programs as part of its proposed reforms?", "In addition, agencies should also draw upon our past recommendations, including GAO priority open recommendations and those from their own Inspectors General, to address management challenges.", "How have findings and open recommendations from GAO and the agency Inspectors General been addressed in the proposed reforms?", "How has the agency addressed GAO\u2019s priority open recommendations, which are those that warrant priority attention from heads of key departments and agencies?"], "subsections": []}]}, {"section_title": "Implementing the Reforms", "paragraphs": ["Our prior work on organizational transformations show that incorporating change management practices improves the likelihood of successful reforms. Moreover, it is also important to recognize agency cultural factors that can either help or inhibit reform efforts and how change management strategies may address these potential issues. We have also reported that organizational transformations, such as reforms, should be led by a dedicated team of high-performing leaders within the agency. Finally, our prior work also shows that fully implementing major transformations can span several years and must be carefully and closely managed."], "subsections": [{"section_title": "Leadership Focus and Attention", "paragraphs": ["Has the agency designated a leader or leaders to be responsible for the implementation of the proposed reforms?", "Has agency leadership defined and articulated a succinct and compelling reason for the reforms (i.e., a case for change)?", "How will the agency hold the leader or leaders accountable for successful implementation of the reforms?", "Has the agency established a dedicated implementation team that has the capacity, including staffing, resources, and change management, to manage the reform process?"], "subsections": []}, {"section_title": "Managing and Monitoring", "paragraphs": ["How has the agency ensured their continued delivery of services during reform implementation?", "What implementation goals and a timeline have been set to build momentum and show progress for the reforms? In other words, has the agency developed an implementation plan with key milestones and deliverables to track implementation progress?", "Has the agency ensured transparency over the progress of its reform efforts through web-based reporting on key milestones?", "Has the agency put processes in place to collect the needed data and evidence that will effectively measure the reforms\u2019 outcome-oriented goals?", "How is the agency planning to measure customer satisfaction with the changes resulting from its reforms?"], "subsections": []}]}, {"section_title": "Strategically Managing the Federal Workforce", "paragraphs": ["As part of its reform effort, OMB also required agencies to develop a long- term workforce reduction plan and a plan to maximize employee performance as part of the April 2017 reform guidance. Specifically, OMB required agencies to develop proposals intended to improve performance, increase accountability, and reduce the size and costs of the federal workforce. Our prior work has found that at the heart of any serious change management initiative are the people\u2014because people define the organization\u2019s culture, drive its performance, and embody its knowledge base. Experience shows that failure to adequately address\u2014or often even consider\u2014a wide variety of people and cultural issues can lead to unsuccessful change."], "subsections": [{"section_title": "Employee Engagement", "paragraphs": ["Research on both private- and public-sector organizations has found that increased levels of engagement\u2014generally defined as the sense of purpose and commitment employees feel toward their employer and its mission\u2014can lead to better organizational performance. Additionally, we found that agencies can sustain or increase their levels of employee engagement and morale, even as employees weather difficult external circumstances. In a previous review of trends in federal employee engagement, as seen in figure 2 below, we identified six key drivers of engagement based on our analysis of selected questions in the Federal Employee Viewpoint Survey (FEVS).", "What do FEVS results show for the agency\u2019s current employee engagement status both overall and disaggregated to lower organizational levels?", "How does the agency plan to sustain and strengthen employee engagement during and after the reforms?", "How specifically is the agency planning to manage diversity and ensure an inclusive work environment in its reforms, or as it considers workforce reductions?"], "subsections": []}, {"section_title": "Strategic Workforce Planning", "paragraphs": ["Strategic workforce planning should precede any staff realignments or downsizing, so that changed staff levels do not inadvertently produce skills gaps or other adverse effects that could result in increased use of overtime and contracting.", "To what extent has the agency conducted strategic workforce planning to determine whether it will have the needed resources and capacity, including the skills and competencies, in place for the proposed reforms or reorganization?", "How has the agency assessed the effects of the proposed agency reforms on the current and future workforce and what does that assessment show?", "To what extent does the agency track the number and cost of contractors supporting its agency mission and the functions those contractors are performing?", "How has the agency ensured that actions planned to maintain productivity and service levels do not cost more than the savings generated by reducing the workforce?", "What succession planning has the agency developed and implemented for leadership and other key positions in areas critical to reforms and mission accomplishment?", "To what extent have the reforms included important practices for effective recruitment and hiring such as customized strategies to recruit highly specialized and hard-to-fill positions?", "What employment- and mission-related data has the agency identified to monitor progress of reform efforts and to ensure no adverse impact on agency mission, and how is it using that data?"], "subsections": []}, {"section_title": "Workforce Reduction Strategies", "paragraphs": ["Before implementing workforce reduction strategies, it is critical that agencies carefully consider how to strategically downsize the workforce and maintain the staff resources to carry out its mission. Agencies should consider long-term staffing plans and associated personnel costs, organizational design and position structures and the appropriateness of backfilling positions as they become vacant.", "To what extent has the agency considered skills gaps, mission shortfalls, increased contracting and spending, and challenges in aligning workforce with agency needs prior to implementing workforce reduction strategies?", "In situations when \u201cearly outs\u201d and \u201cbuyouts\u201d are proposed, to what extent has the agency linked proposed early outs and buyouts to specific organizational objectives, including the agency\u2019s future operational, restructuring, downsizing, or other reform goals?"], "subsections": []}, {"section_title": "Employee Performance Management", "paragraphs": ["Performance management systems are used to plan work and set individual employee performance expectations, monitor performance, develop capacities to perform, and rate and incentivize individual performance. In addition, performance management systems can help the organization manage employees on a daily basis and help to ensure that individual employees understand the \u201cline of sight\u201d between their performance and organizational results. Effective performance management systems provide supervisors and employees with the tools they need to improve performance.", "To what extent has the agency aligned its employee performance management system with its planned reform goals?", "How has the agency included accountability for proposed change implementation in the performance expectations and assessments of leadership and staff at all levels?", "As part of the proposed reform development process, to what extent has the agency assessed its performance management to ensure it creates incentives for and rewards top performers, while ensuring it deals with poor performers?", "To what extent has the agency taken action to address employees with unacceptable performance and increase the use of alternative dispute resolution to address workplace disputes that involve disciplinary or adverse actions?"], "subsections": []}]}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Director of the Office of Management and Budget for review and comment. OMB staff provided technical comments, which we incorporated as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Director of the Office of Management and Budget, and other interested parties. This report will also be available at no charge on the GAO website at http://www.gao.gov. If you or your staff have any questions about this report, please contact J. Christopher Mihm at (202) 512-6806 or mihmj@gao.gov or Robert Goldenkoff at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of our report. Key contributors to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix 1: Related GAO Products", "paragraphs": ["Organizational Transformation and Streamlining Government GAO, Managing for Results: Key Considerations for Implementing Interagency Collaborative Mechanisms, GAO-12-1022 (Washington, D.C.: Sep. 27, 2012).", "GAO, Streamlining Government: Questions to Consider When Evaluating Proposals to Consolidate Physical Infrastructure and Management Functions, GAO-12-542 (Washington, D.C.: May 23, 2012).", "GAO, Government Efficiency and Effectiveness: Opportunities for Improvement and Considerations for Restructuring, GAO-12-454T (Washington, D.C.: Mar. 21, 2012).", "GAO, Streamlining Government: Key Practices from Select Efficiency Initiatives Should Be Shared Governmentwide, GAO-11-908 (Washington, D.C.: Sep 30, 2011).", "GAO, Results-Oriented Cultures: Implementation Steps to Assist Mergers and Organizational Transformations, GAO-03-669 (Washington, D.C.: Jul. 2, 2003).", "GAO, A Call For Stewardship: Enhancing the Federal Government's Ability to Address Key Fiscal and Other 21st Century Challenges, GAO-08-93SP (Washington, D.C.: Dec. 17, 2007).", "GAO, 21st Century Challenges: Reexamining the Base of the Federal Government, GAO-05-325SP (Washington, D.C.: Feb. 1, 2005).", "GAO, Regulatory Programs: Balancing Federal and State Responsibilities for Standard Setting and Implementation, GAO-02-495 (Washington, D.C.: Mar. 20, 2002).", "Fragmentation, Duplication, and Overlap GAO, 2018 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits, GAO-18-371SP (Washington, D.C.: Apr. 26, 2018).", "GAO, Fragmentation, Overlap, and Duplication: An Evaluation and Management Guide, GAO-15-49SP (Washington, D.C.: Apr. 14, 2015).", "High-Risk and Major Management Challenges GAO, High-Risk Series: Progress on Many High-Risk Areas, While Substantial Efforts Needed on Others, GAO-17-317 (Washington, D.C.: Feb. 15, 2017).", "GAO, Managing for Results: Selected Agencies\u2019 Experiences in Implementing Strategic Reviews, GAO-17-740R (Washington, D.C.: Sep. 7, 2017).", "GAO, Enterprise Risk Management: Selected Agencies' Experiences Illustrate Good Practices in Managing Risk, GAO-17-63 (Washington, D.C.: Dec. 1, 2016).", "GAO, Managing for Results: Practices for Effective Agency Strategic Reviews, GAO-15-602 (Washington, D.C.: Jul. 29, 2015).", "Contracting and National Security Acquisitions GAO, Federal Procurement: Smarter Buying Initiatives Can Achieve Additional Savings, but Improved Oversight and Accountability Needed, GAO-17-164 (Washington, D.C.: Oct. 26, 2016).", "GAO, Framework for Assessing the Acquisition Function At Federal Agencies, GAO-05-218 (Washington, D.C.: Sep. 1, 2005).", "GAO, Improper Payments: Strategy and Additional Actions Needed to Help Ensure Agencies Use the Do Not Pay Working System as Intended, GAO-17-15 (Washington, D.C.: Oct. 14, 2016).", "GAO, Financial Management Systems: Experience with Prior Migration and Modernization Efforts Provides Lessons Learned for New Approach, GAO-10-808 (Washington, D.C.: Sep. 8, 2010)", "GAO, Financial Management Systems: Additional Efforts Needed to Address Key Causes of Modernization Failures, GAO-06-184 (Washington, D.C.: Mar.15, 2006).", "GAO, Executive Guide: Creating Value Through World-class Financial Management (Supersedes AIMD-99-45), AIMD-00-134 (Washington, D.C.: Apr.1, 2000).", "GAO, Information Technology: Further Implementation of FITARA Related Recommendations Is Needed to Better Manage Acquisitions and Operations, GAO-18-234T (Washington, D.C.: Nov. 15, 2017).", "GAO, Information Technology: Opportunities for Improving Acquisitions and Operations, Highlights of a Forum Convened by the Comptroller General of the United States, GAO-17-251SP (Washington, D.C.: Apr. 11, 2017).", "GAO, Cybersecurity: Federal Efforts Are Under Way That May Address Workforce Challenges, GAO-17-533T (Washington, D.C.: Apr. 4, 2017).", "GAO, IT Workforce: Key Practices Help Ensure Strong Integrated Program Teams; Selected Departments Need to Assess Skill Gaps, GAO-17-8 (Washington, D.C.: Nov. 30, 2016).", "GAO, Federal Chief Information Security Officers: Opportunities Exist to Improve Roles and Address Challenges to Authority, GAO-16-686 (Washington, D.C.: Aug. 26, 2016).", "GAO, Digital Service Programs: Assessing Results and Coordinating with Chief Information Officers Can Improve Delivery of Federal Projects, GAO-16-602 (Washington, D.C.: Aug. 15, 2016).", "GAO, Information Technology Reform: Billions of Dollars in Savings Have Been Realized, but Agencies Need to Complete Reinvestment Plans, GAO-15-617 (Washington, D.C.: Sept. 15, 2015).", "Strategically Managing the Federal Workforce GAO, Federal Workforce: Additional Analysis and Sharing of Promising Practices Could Improve Employee Engagement and Performance, GAO-15-585 (Washington, D.C.: Jul. 14, 2015).", "GAO, Federal Workforce: OPM and Agencies Need to Strengthen Efforts to Identify and Close Mission-Critical Skills Gaps, GAO-15-223 (Washington, D.C.: Jan. 30, 2015).", "GAO, Federal Workforce: Improved Supervision and Better Use of Probationary Periods Are Needed to Address Substandard Employee Performance, GAO-15-191 (Washington, D.C.: Feb. 6, 2015).", "GAO, Results-Oriented Management: OPM Needs to Do More to Ensure Meaningful Distinctions Are Made in SES Ratings and Performance Awards, GAO-15-189 (Washington, D.C.: Jan. 22, 2015)", "GAO, Human Capital: Strategies to Help Agencies Meet Their Missions in an Era of Highly Constrained Resources, GAO-14-168 (Washington, D.C.: May 7, 2014).", "GAO, Human Capital: Agencies Are Using Buyouts and Early Outs with Increasing Frequency to Help Reshape Their Workforces, GAO-06-324 (Washington, D.C.: Mar. 31, 2006).", "GAO, Issues Related to Poor Performers in the Federal Workplace, GAO-05-812R (Washington, D.C.: June 29, 2005).", "GAO, Human Capital: A Guide for Assessing Strategic Training and Development Efforts in the Federal Government (Supersedes GAO-03-893G), GAO-04-546G (Washington, D.C.: Mar. 1, 2004).", "GAO, Human Capital: Key Principles for Effective Strategic Workforce Planning, GAO-04-39 (Washington, D.C.: Dec. 11, 2003).", "GAO, Results-Oriented Culture: Creating a Clear Linkage between Individual Performance and Organizational Success, GAO-03-488 (Washington, D.C.: Mar. 14, 2003).", "GAO, Federal Downsizing: Effective Buyout Practices and Their Use in FY 1997, GGD-97-124 (Washington, D.C.: Jun. 30, 1997).", "GAO, Performance Management: How Well Is the Government Dealing With Poor Performers?, GGD-91-7(Washington, D.C.: Oct. 2, 1990).", "GAO, Recent Government-Wide Hiring Freezes Prove Ineffective in Managing Federal Employment, FPCD-82-21 (Washington, D.C: Mar. 10, 1982).", "GAO, Key Issues: Ensuring the Security of Federal Information Systems and Cyber Critical Infrastructure and Protecting the Privacy of Personally Identifiable Information - High Risk Issue, accessed April 24, 2018, https://www.gao.gov/key_issues/ensuring_security_federal_information_s ystems/issue_summay GAO, Key Issues, Duplication and Cost Savings, Action Tracker, https://www.gao.gov/duplication/overview#t=1, accessed April 24, 2018,an online tool for monitoring the progress federal agencies and Congress have made in addressing the actions identified in GAO's annual Duplication and Cost Savings reports."], "subsections": []}, {"section_title": "Appendix II: Subject Matter Specialists", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the above contact, Sarah E. Veale, Assistant Director, Thomas Gilbert, Assistant Director, and Carole J. Cimitile, Analyst-in- Charge, supervised the development of this report. Layla Y. Moughari, Steven Putansu, and Robert Robinson made significant contributions to this report. Kayla Robinson provided legal counsel."], "subsections": []}]}], "fastfact": ["A March 2017 executive order requiring executive branch agency reorganization is intended to improve efficiency and effectiveness. If it works, it could save billions of dollars\u2014but similar reform efforts in the past have not always come to fruition.", "Our prior work on government reform indicates that agencies can change if they", "follow an effective process", "allocate sufficient implementation resources", "consider workforce needs during and after the reform", "In this report, we provide questions that Congress can ask in its critical oversight role to determine whether agencies are on track for effective change."]} {"id": "GAO-19-211", "url": "https://www.gao.gov/products/GAO-19-211", "title": "Overseas Contingency Operations: Alternatives Identified to the Approach to Fund War- Related Activities", "published_date": "2019-01-28T00:00:00", "released_date": "2019-01-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since 2001, DOD has received more than $1.8 trillion in OCO funds. DOD defines \u201ccontingency operations\u201d as small, medium, or large-scale military operations, while \u201cbase\u201d activities include operating support for installations, civilian pay, and other costs that would be incurred, regardless of contingency operations. Congress separately appropriates amounts for base and OCO activities into the same appropriation accounts and directs how funds are to be spent by designating amounts in conference reports or explanatory statements accompanying the annual appropriations acts.", "The National Defense Authorization Act for Fiscal Year 2018 included a provision for GAO to report on the feasibility of separating OCO expenditures from other DOD expenditures. This report (1) describes internal controls that selected DOD components use to separately account for OCO and base amounts during budget execution and (2) identifies and examines alternatives that Congress or DOD could use to separate funding for OCO and base activities.", "GAO reviewed documentation of DOD internal controls for separating OCO and base amounts in the O&M account, interviewed financial management officials, and, among other things, conducted a literature review to identify alternatives that Congress or DOD could use to separate funding for OCO and base activities. Also, GAO administered a questionnaire to DOD and non-DOD officials to identify positive and negative aspects of these alternatives."]}, {"section_title": "What GAO Found", "paragraphs": ["Selected Department of Defense (DOD) components use coding and other internal control activities to separately account for overseas contingency operations (OCO) and base amounts in their operation and maintenance (O&M) accounts during budget execution. To record and track OCO and base amounts separately, the military services, U.S. Special Operations Command, and the Defense Security Cooperation Agency use coding in their financial systems. These DOD components also have instituted some internal control activities to help ensure separation of OCO amounts. For example, Army and Defense Security Cooperation Agency officials stated that the financial systems they use incorporate system controls that automatically maintain the categories of funding, such as OCO, designated during allotment through subsequent actions to ensure the OCO coding remains throughout budget execution.", "GAO identified at least four alternatives to the processes used to separate funding for DOD's OCO and base activities:", "Move enduring costs to the base budget . DOD could request funding for enduring costs\u2014costs that would continue in the absence of contingency operations\u2014through its base budget rather than its OCO budget.", "Use specific purpose language . Congress could use legally binding language in the annual DOD appropriations acts to specify the purposes\u2014programs, projects and activities\u2014for which OCO amounts may be obligated.", "Create separate appropriation accounts . Congress could create separate appropriation accounts for OCO and base funding.", "Use a transfer account . Congress could appropriate funds for OCO into a non-expiring transfer account. DOD would fund OCO with its base budget and later reimburse its base accounts using funds from a transfer account.", "Implementing these alternatives would require Congress and DOD to take action in different phases of the budget process (see figure).", "Each alternative includes tradeoffs that Congress and DOD would have to consider to strike the desired balance between agency flexibility and congressional control. The alternatives, and GAO's summary of their positive and negative aspects identified by questionnaire respondents, could be a reference for Congress and DOD as they consider potential changes to processes for separating the funding of amounts for OCO and base activities."]}], "report": [{"section_title": "Letter", "paragraphs": ["Since September 2001, the Department of Defense (DOD) has received more than $1.8 trillion in funds designated for Overseas Contingency Operations (OCO), primarily in Iraq and Afghanistan. DOD defines \u201ccontingency operations\u201d as small, medium, or large-scale campaign-level military operations, including but not limited to support for peacekeeping operations, foreign disaster relief efforts, and noncombatant evacuation operations, and international disaster relief efforts. In contrast, regular or \u201cbase\u201d activities include, for example, operating support for installations, training and education, and civilian personnel pay, which are costs that would be incurred, regardless of contingency operations. Since fiscal year 2010, DOD has submitted separate requests for both base and OCO funding as part of its annual budget request to Congress. Congress separately appropriates amounts for base and OCO activities into the same appropriation accounts and directs how funds are to be spent by designating specific amounts at the activity level in conference reports or explanatory statements accompanying annual appropriations acts. However, congressionally designated amounts are not binding unless they are also incorporated by reference into an appropriations act or other statute. In addition, DOD\u2019s OCO budget request now includes some funding for enduring activities\u2014activities that would continue in the absence of contingency operations that could be transitioned to DOD\u2019s base budget. According to the Congressional Budget Office, for each year since 2006, about $53 billion of the total funding designated for OCO has been used to pay for enduring costs. It further estimates that about 70 percent of all OCO funding in DOD\u2019s Fiscal Year 2019 OCO budget is expected to be used for enduring costs.", "We have reported on multiple issues associated with OCO funds since 2007, including efforts to transition enduring costs to DOD\u2019s base budget. In June 2014, we reported that DOD recognized that the U.S. Central Command and its service components have enduring headquarters costs, but the majority of the costs to operate and support U.S. Central Command, two of its service component commands, and its theater special operations command headquarters were funded with OCO appropriations. We recommended that DOD develop guidance to transition enduring costs funded with OCO appropriations to DOD\u2019s base budget. DOD partially concurred with this recommendation, stating that the transition\u2019s time frame depends on the evolution of threats in U.S. Central Command\u2019s area of responsibility and the impact of the caps enacted in the Budget Control Act of 2011, as amended, on the department\u2019s ability to migrate additional requirements to the base budget. In January 2017, we reported that DOD had developed an initial estimate of costs being funded with OCO appropriations that are likely to endure beyond current operations, but had not finalized or reported its estimate outside of the department. We recommended that DOD develop a complete and reliable estimate of enduring costs to report in future budget requests. DOD also partially concurred with this recommendation, stating that until there is relief from the budgetary caps established by the Budget Control Act of 2011, as amended, DOD would need OCO to finance counterterrorism operations.", "In May 2018, DOD officials indicated that the department was taking steps to implement our January 2017 recommendation. According to these officials, they received direction from the Office of Management and Budget (OMB) to develop a plan for the fiscal year 2020 President\u2019s Budget to shift the enduring costs in the OCO budget to the base budget, reducing the size of the OCO budget. According to DOD, the department\u2019s guidance for the fiscal year 2020 budget directs the movement of enduring costs to the base budget, and the remaining OCO budget funds only those costs directly associated with combat operations. DOD officials told us that this plan is still under consideration. The step DOD has taken also addresses our 2014 recommendation for DOD to develop guidance to transition enduring costs funded with OCO appropriations to DOD\u2019s base budget. Further, based in part on our work, Congress, in the John S. McCain National Defense Authorization Act for Fiscal Year 2019, required the Under Secretary of Defense (Comptroller) to submit an annual report for fiscal years 2020 through 2024 that includes, among other elements, an estimate of the costs of operations that are likely to continue beyond such operations and that are currently supported in part or in whole by requested funding for OCO.", "Another issue we have previously highlighted relates to criteria for determining which activities belong in DOD\u2019s annual base and OCO funding requests to Congress. We reported in January 2017 that OMB collaborated with DOD in 2010 to issue these criteria. However, we found that the criteria were outdated and did not address the full scope of activities included in DOD\u2019s fiscal year 2017 OCO budget request. We recommended that DOD collaborate with OMB to revise the criteria, and DOD concurred. In October 2017, a DOD official stated that the department had discussed modifications to the criteria with the military departments and combatant commands, but that it had not made recommendations to OMB to revise the criteria. The National Defense Authorization Act for Fiscal Year 2018 included a provision requiring DOD and OMB to update their OCO criteria by September 2018. However, in January 2019, a DOD official confirmed that neither OMB nor DOD had released updated criteria.", "Section 1523 of the National Defense Authorization Act for Fiscal Year 2018 included a provision for us to report on the feasibility of separating DOD\u2019s OCO expenditures from its other expenditures. In this report we (1) describe internal controls that selected DOD components use to separately account for OCO and base amounts during budget execution, and (2) identify and examine alternatives that Congress or DOD could use to separate funding for DOD\u2019s OCO and base activities.", "For our first objective, we reviewed documentation of the internal control activities that DOD organizations in our review have designed to account for OCO amounts separately from base amounts in their operation and maintenance (O&M) appropriation accounts during budget execution. We focused our review on O&M accounts because Congress appropriates the majority of OCO amounts to DOD\u2019s multiple O&M accounts. In addition, we focused our review on the military services and two non- service DOD components (U.S. Special Operations Command and the Defense Security Cooperation Agency) that are allotted the most OCO funding to the O&M Defense-wide account. We collected information for this objective through interviews and written requests for information from financial management officials in the Office of the Secretary of Defense (Comptroller), the offices of the military services, U. S. Special Operations Command, the Defense Security Cooperation Agency, and the Defense Finance and Accounting Service. Our review focused on the design of the internal control systems and did not assess the effectiveness of these internal controls.", "For our second objective, we searched for relevant literature from 2001 through July 2018. Specifically, we searched for alternative processes that (1) DOD could use to separately account for OCO funding or (2) Congress could use to provide separate OCO funding to DOD because both DOD and Congress could be involved in implementing alternatives to separate funding for OCO and base activities. We did not identify any alternatives for DOD to separately account for OCO funding; therefore we do not address this in our report. We did identify alternatives related to how Congress provides OCO funding to DOD and how DOD requests OCO funding from Congress. We identified and summarized four alternatives related to this in our report based on the literature search and review by our internal subject matter experts.", "We developed and administered a questionnaire to solicit opinions from knowledgeable individuals (\u201crespondents\u201d) regarding Congress\u2019 and DOD\u2019s current processes and the four alternatives. We included the summaries of all processes in the questionnaire. We asked respondents to identify positive and negative aspects of Congress\u2019 and DOD\u2019s current processes and of the alternatives, as well as the costs and requirements associated with each. We also asked respondents to describe any additional alternatives. We identified questionnaire respondents within and outside DOD, and we included questions in our questionnaire to help us determine whether the respondents were sufficiently knowledgeable about Congress\u2019 and DOD\u2019s current processes. The respondents were predominantly current officials in DOD financial management offices, former DOD officials, and defense budget analysts from think tanks. We received 17 usable questionnaires, which is a response rate of 81 percent. Fifteen of the 17 respondents to our questionnaire were current or former DOD officials. Results of this questionnaire are not generalizable beyond our respondents. We conducted a content analysis of the responses received to identify similarities, defined for our purposes as when two or more respondents gave the same or very similar answers to a particular question. More detailed information on our scope and methodology can be found in appendix I of this report.", "We conducted this performance audit from March 2018 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The appropriation and execution of DOD\u2019s base and OCO amounts is part of the broader federal budget process. In this process, Congress, the President, and federal agencies take a number of steps to formulate a budget, enact appropriation acts, and execute the federal budget for each fiscal year. A summary of the budget process is depicted in figure 1 below.", "In DOD\u2019s budget process, the military services and defense agencies submit a budget request\u2014known as the Budget Estimate Submission\u2014 that addresses their estimated annual funding requirements for both base and OCO activities. In building their OCO budget requests, the military services and defense agencies use criteria that OMB developed in collaboration with DOD, for deciding whether items belong in the base budget or in OCO funding requests. The services also use guidance issued within their own organizations, as well as utilize OCO-specific budget guidance included in DOD\u2019s Financial Management Regulation.", "Congress then takes action on the budget request and appropriates funding for both base and OCO activities into the same appropriation accounts, such as service-specific O&M accounts. Explanatory statements or conference committee reports accompanying annual appropriations acts provide congressional direction on how OCO and base funding amounts should be obligated. However, the congressional direction for funding is generally not legally binding. Congress also has the discretion to make available amounts for base activities or enduring costs through OCO appropriations, even if DOD considers such costs to be part of the base budget. The Budget Control Act of 2011, amending the Balanced Budget and Emergency Deficit Control Act of 1985, imposes government-wide discretionary spending limits for fiscal years 2012 through 2021 to reduce projected spending by about $1 trillion. All amounts appropriated to DOD are subject to limitations on discretionary spending. Appropriated amounts designated by Congress for OCO that would otherwise exceed the annual limits established for discretionary spending will instead result in an adjustment to the overall spending limit established for a particular fiscal year, and will not trigger a sequestration, which is an automatic cancellation of budgetary resources provided by discretionary appropriations or direct spending laws.", "Upon enactment of an appropriation, the Secretary of the Treasury issues a warrant to federal agencies, which is an official document that establishes the amount of moneys authorized to be withdrawn from the central accounts that the Department of Treasury maintains. The Treasury does not employ a process to separate OCO funding from base funding in its role in warranting funds to federal agencies, including DOD. After receiving budget authority, agencies make allotments, delegating budget authority to various agency officials allowing them to incur obligations. Agencies then disburse amounts by cash or cash equivalents to liquidate obligations."], "subsections": []}, {"section_title": "DOD Components We Reviewed Use Coding and Other Control Activities to Separately Account for OCO and Base Amounts during Budget Execution", "paragraphs": ["The DOD components in our review use coding and other internal control activities to separately account for OCO and base amounts in their O&M accounts during budget execution. To record and track OCO and base amounts separately, the DOD components use coding in their financial systems during the allotment, obligation, and disbursement of funds. For example, during the allotment phase, the Army and the Defense Security Cooperation Agency use codes in their financial systems to divide, distribute, and track their appropriated funds into separate categories\u2014 including one for OCO and one for base. Army and Defense Security Cooperation Agency officials stated that the separate categories are maintained through the obligation phase. The Air Force, the Marine Corps, and the Navy use specific codes to track OCO transactions within multiple systems they use to allot and obligate OCO and base amounts. For example, the Air Force uses an Emergency and Special Program code to track and record allotments and obligations of OCO amounts within its budgeting and accounting systems. The Marine Corps uses three-digit, alphanumeric codes called Special Interest Codes to track and record costs associated with high-interest activities, such as OCO, during obligation. Figure 2 describes the steps that DOD takes to separate OCO and base amounts.", "We identified some internal control activities that the DOD components in our review have put into place to ensure separate accounting of OCO and base amounts, such as controls over information processing. A variety of control activities can be used in information processing, including controls incorporated directly into computer applications to ensure accuracy, as well as policies and procedures that apply to information systems. For example, Army and Defense Security Cooperation Agency officials stated that the financial systems they use incorporate system controls that automatically maintain the categories of funding designated during allotment through subsequent actions, including obligation, which ensures an amount in the OCO category maintains its OCO-specific coding throughout the budget execution process. Also, the Army restricts the number of personnel who are able to reassign the coding of funding from one category to another. Navy officials explained that two of three financial accounting systems used by the Navy receive OCO allotments automatically from the Navy\u2019s budgeting information system, which eliminates the need for manual entry of allotment amounts. Also, Marine Corps guidance requires entry of an identifying OCO code in the Marine Corps\u2019 financial system when recording an OCO-related transaction, which can prevent data reporting errors.", "In addition to controls over information processing, each DOD component in our review incorporates reviews of their OCO execution as one of their internal control activities. Internal control activities also include reviews, such as reviews of data or expected results, by management throughout an organization. The financial management offices of these components periodically review the OCO-related allotments they make within their components to confirm the amounts are properly recorded. For example, the Air Force, the Army, the Marine Corps, the Navy, the Defense Security Cooperation Agency, and U.S. Special Operations Command review OCO-related execution amounts at least monthly to determine if amounts are within their established spending plans and that OCO coding is recorded correctly, among other things. In addition, officials from each service and the Defense Security Cooperation Agency stated that officials review OCO-related obligations and verify they are legitimate OCO expenses.", "The DOD Inspector General and the services\u2019 audit agencies have found weaknesses in the services\u2019 processes of accounting for OCO costs or in other related internal control activities. For example, in March 2018, the US Army Audit Agency found that while the Army had a strategy and processes to capture and report its financial data for Operation Inherent Resolve for fiscal year 2016, processes to account for some obligation data needed improvement. Moreover, an official from the Office of the Secretary of Defense (Comptroller) stated that, while the DOD components included in our review have processes to separate OCO and base amounts, other DOD components may not have similar processes, and not all components have auditable financial systems."], "subsections": []}, {"section_title": "Four Alternatives to the Current Processes That Congress and DOD Use to Separate Funding for OCO and Base Activities Would Entail Tradeoffs", "paragraphs": ["We identified at least four alternatives to the processes Congress and DOD use to separate funding for DOD\u2019s OCO and base activities. Each alternative would require action at different phases of DOD\u2019s budget process and entail tradeoffs. Appendix II provides additional information on requirements and costs to implement the alternatives reported by respondents that we summarize, as well as other alternatives to provide funding to DOD that respondents independently identified. In addition, appendix II provides summary information on the positive and negative aspects of Congress\u2019 current process for providing funding for OCO and base activities, as described by respondents."], "subsections": [{"section_title": "Alternative #1: DOD Could Request Funding for Enduring Costs through Its Base Budget Rather Than Its OCO Budget", "paragraphs": ["The first alternative to the current process would be for DOD to request all funding for enduring costs through its base budget rather than its OCO budget. DOD is considering a plan to move enduring costs associated with OCO activities from its OCO budget request into its base budget request for fiscal year 2020. In its budget justification materials for fiscal year 2019, DOD estimated that it would shift between $45.8 billion and $53.0 billion from its OCO request to its base budget request from fiscal years 2020 through 2023. However, moving DOD\u2019s enduring costs to its base budget request may require increased base O&M appropriations provided in annual DOD appropriations acts. Appropriations that are not designated as OCO, such as base O&M amounts, and that exceed annual discretionary spending limits established by the Budget Control Act of 2011, as amended, would trigger a sequestration. Respondents to our questionnaire identified several positive and negative aspects of this alternative, which we summarize in table 1."], "subsections": []}, {"section_title": "Alternative #2: Congress Could Add Specific Purpose Language to Annual DOD Appropriations Acts Concerning OCO Amounts", "paragraphs": ["The second alternative would be for Congress to specify in annual DOD appropriations acts the purposes\u2014programs, projects and activities\u2014for which OCO amounts may be obligated. As we noted above, DOD currently determines what constitutes OCO activities based on criteria developed in 2010 in coordination with OMB and DOD 7000.14-R, Financial Management Regulation. Explanatory statements and conference committee reports accompanying annual appropriations acts include direction on how OCO amounts should be allocated for specific activities; however, explanatory statements and committee reports are not legally binding unless incorporated by reference into the appropriations act. Either specific purpose language or language incorporating explanatory statement or committee report language could be included in DOD\u2019s annual appropriations. Respondents to our questionnaire identified several positive and negative aspects of this alternative, which we summarize in table 2."], "subsections": []}, {"section_title": "Alternative #3: Congress Could Create Separate Appropriation Accounts for OCO and Base Funding", "paragraphs": ["The third alternative entails Congress creating separate appropriation accounts for OCO and base funding. Under the current approach, both OCO and base amounts are appropriated into and executed out of the same appropriation accounts. By contrast, under this alternative, Congress would create separate Treasury-level appropriation accounts for funding for OCO and base activities. For example, there could be an O&M appropriation account for the Army\u2019s base activities and an O&M appropriation account for the Army\u2019s OCO activities. Funding for OCO and base activities would no longer be comingled, but could be transferred between accounts with statutory authority. Respondents to our questionnaire identified several positive and negative aspects of this alternative, which we summarize in table 3."], "subsections": []}, {"section_title": "Alternative #4: Congress and DOD Could Use a Transfer Account to Fund Contingency Operations", "paragraphs": ["Under the fourth alternative, Congress would appropriate funds into a non-expiring transfer account for contingency operations. These funds would be available for DOD\u2019s use during multiple fiscal years. DOD would use its base appropriations to initially fund OCO activities and later use funds from the transfer account, as needed, to reimburse its base appropriation accounts. One example is the Overseas Contingency Operations Transfer Fund, which was originally established by Congress in fiscal year 1997 to meet small-scale, recurring operational demands of the department by transferring amounts to the military services and agencies based on execution needs as the year progresses. Respondents to our questionnaire identified several positive and negative aspects of this alternative, which we summarize in table 4."], "subsections": []}, {"section_title": "Each Alternative Would Require Action at Different Phases in the Budget Process and Entail Tradeoffs", "paragraphs": ["The four alternatives we identified would require Congress and DOD to take action at different phases within DOD\u2019s budget process. In the first alternative, DOD would move enduring costs to the base budget request during the budget formulation phase. In the second alternative, Congress would specify the activities to be funded by OCO amounts in the annual appropriations acts during the congressional appropriation phase. Similarly, in the third alternative, Congress would create separate appropriation accounts for OCO and base activities during the congressional appropriation phase. In the fourth alternative, using transfer accounts would require actions during two phases\u2014the congressional appropriations phase and the budget execution phase. Congress would appropriate funds into a transfer account during the congressional appropriation phase, and DOD would later use funds from the transfer account, as needed, to reimburse its base appropriation accounts during budget execution. In figure 3, we depict the phase of the budget process in which these alternatives would take place.", "Each alternative includes tradeoffs that Congress and DOD would have to consider to strike the desired balance between agency flexibility and congressional control. For example, adding specific purpose language would better align obligation of OCO amounts with congressional intent; however, doing so could also reduce DOD\u2019s financial flexibility and responsiveness to changes in operations. Understanding the implications of each alternative is important to avoid unintended consequences. Our summary of the positive and negative aspects of the alternatives reported by respondents could be a reference for Congress and DOD as they consider potential changes to processes for separating the funding of amounts for OCO and base activities."], "subsections": []}]}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We requested comments from DOD, the Department of the Treasury, and provided an informational copy of the draft report to OMB. DOD provided technical comments on the draft report, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretary of the Treasury, the Director of OMB; the Under Secretary of Defense for the Comptroller; the Secretaries of the Air Force, the Army, and the Navy; the Commandant of the Marine Corps; the Commanding General of U.S. Special Operations Command, and the Director of the Defense Security Cooperation Agency. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or fielde1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff members who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To describe selected Department of Defense (DOD) components\u2019 use of internal controls to separately account for overseas contingency operations (OCO) and base amounts, we reviewed documentation of the internal controls that DOD organizations in our review have designed to separate these amounts in their operation and maintenance (O&M) account. We focused on the O&M account because Congress provides most of the OCO amounts for DOD in O&M. In addition, we focused on the military services that receive service-specific OCO appropriations, and the two non-service DOD components (U.S. Special Operations Command and the Defense Security Cooperation Agency) that are allotted the most OCO funding appropriated to the O&M Defense-wide account. We collected information for this objective through interviews and written requests for information from financial management officials in the Office of the Secretary of Defense (Comptroller), the offices of the military services, U.S. Special Operations Command, the Defense Security Cooperation Agency, and the Defense Finance and Accounting Service. Our review focused on the design of the internal control systems and did not assess the effectiveness of these internal controls.", "To identify alternatives to separate funding for DOD\u2019s OCO and base activities, we searched for relevant literature from 2001 through July 2018. Specifically, we searched for alternative processes that (1) DOD could use to separately account for OCO funding or (2) Congress could use to provide separate OCO funding to DOD because both DOD and Congress could be involved in implementing alternatives to separate funding for OCO and base activities. We started with 2001, because this was the first year that funds were appropriated for the Global War on Terror (GWOT), now known as OCO. We conducted searches of various databases and websites, such as ProQuest and the National Academy of Sciences website. Our literature search identified 235 sources, which primarily consisted of journal articles, reports, and news articles. Two analysts independently reviewed the full text of the literature sources to determine which were relevant. When they disagreed, a third analyst independently reviewed the full text of a source to make the final determination. We determined that 22 sources were relevant. We did not identify any sources that described alternative processes for DOD to separately account for OCO funding; therefore, we do not address this in our report. We did identify three alternatives related to how Congress provides OCO funding to DOD and how DOD requests OCO funding from Congress. We summarized these alternatives and obtained feedback from our internal subject matter experts familiar with Congress\u2019 process for providing funding for OCO and DOD\u2019s process for separating OCO and base funds. We revised the wording of the alternatives based on their feedback to ensure that we described them accurately. Our internal subject matter experts suggested a fourth congressional alternative. We summarized all four alternatives in our report.", "In collaboration with a survey specialist, we developed a questionnaire to solicit opinions from knowledgeable individuals (\u201crespondents\u201d) regarding Congress\u2019 and DOD\u2019s current processes and the four alternatives. Our internal subject matter experts also provided feedback on the draft questionnaire. We included the summaries of all processes and asked respondents to identify the positive and negative aspects, as well as the costs and requirements, associated with each. We also asked respondents to describe any additional alternatives apart from the four we described in the questionnaire.", "We identified questionnaire respondents within and outside DOD who were sufficiently knowledgeable about Congress\u2019 and DOD\u2019s current processes in several ways. We identified respondents within DOD by emailing the engagement points of contact, who were budget and financial management officials in the headquarters for the military services and other DOD components included in our review. To identify respondents outside of DOD, we contacted individuals identified by an internal subject matter expert and contacted additional individuals identified in our literature review. We provided respondents with a brief summary of the questionnaire and asked them if they would be able and willing to respond to questions on these topics. We also asked respondents to recommend additional knowledgeable individuals at the end of the questionnaire. Respondents identified were current officials in DOD financial management offices, former DOD officials, and defense budget analysts from think tanks. In addition, we contacted officials from the Congressional Research Service and the Congressional Budget Office, whom we identified as assigned to analyze defense budget issues related to OCO. We included questions at the start of the questionnaire to determine if respondents were sufficiently knowledgeable about either the current congressional process, the current DOD process\u2014or both\u2014to offer perspectives on the alternatives presented.", "We sent the questionnaire as a Microsoft Word form via email to 23 respondents, including 10 within DOD and 13 outside DOD. We began sending the questionnaires on August 1, 2018, and continued as we identified more respondents. We sent up to two reminder emails with a copy of the questionnaire to anyone who had not yet responded. We received the last questionnaire on September 10, 2018. We received a total of 19 questionnaires back from respondents. We excluded two completed questionnaires from our analysis based on our screening criteria for determining if respondents were sufficiently knowledgeable about Congress\u2019 and DOD\u2019s current processes. Therefore, we included 17 questionnaires in our analysis\u201410 from DOD officials and 7 from respondents outside DOD\u2014for a response rate of 81 percent. We calculated the response rate using a total possible number of 21 questionnaires instead of 23 to account for the two questionnaires we excluded from the analysis. Fifteen of the 17 respondents to our questionnaire were current or former DOD officials. Results of this questionnaire are not generalizable beyond our respondents.", "To enable us to provide the information to Congress within the time frames required by the mandate, we did not pretest the questionnaire. However, we believe that the questionnaire was a sufficiently valid data collection tool for reporting positive and negative aspects identified by respondents. We developed the questionnaire with assistance from a survey specialist, and we revised the questionnaire content based on feedback from our internal subject matter experts. Most respondents provided answers that indicated they correctly interpreted the questions as stated in the questionnaire. In addition, we took steps to provide clarification to the few respondents who misunderstood questions and excluded responses we could not reasonably assure were understood. Four of the 23 original recipients of the questionnaire requested clarification or misunderstood two questions in our questionnaire. We provided clarification to those respondents via email and requested that they update their questionnaire responses based on this new information. Two did so. The other two respondents did not reply to our clarification email, and we excluded their responses to the misunderstood questions. Not all respondents provided answers to all questions in our questionnaire. We extracted the data from the Word questionnaires and imported them into Excel for qualitative analyses. We inspected the Excel files to ensure that data were not missing or were not imported incorrectly and made iterative corrections to the process to ensure accurate data were analyzed. Because we did not pretest the questionnaire, we do not report the number of respondents who provided any answers but rather we present qualitative positive and negative aspects based on the responses.", "We conducted a content analysis in which two analysts independently categorized each response from each questionnaire to identify similarities. For our purposes, similarities existed when two or more respondents gave the same or very similar answers to a particular question. The summaries of the responses we developed were based on comments from two to nine respondents. The analysts discussed any discrepancies in their categorizations until they reached agreement. Subsequently, an internal subject matter expert provided feedback on the summary. Using that feedback, the analysts consolidated summaries that were related and clarified the wording of all the summarized responses. We identified positive and negative aspects for questions regarding the current processes and the four alternatives presented in the questionnaire. We did not summarize positive and negative aspects for questions regarding the additional alternatives described by respondents. We did not include this information because although two respondents described similar alternatives, they did not identify similar positive and negative aspects about this alternative. In addition, none of the remaining questionnaires included similar responses. We list any additional alternatives identified by respondents in appendix II. The verbatim wording from key sections of the questionnaire we administered is presented in appendix III.", "In addition, section 1523 of the National Defense Authorization Act for Fiscal Year 2018 contained additional provisions for us to review other processes related to the execution of OCO funds. In particular, section 1523 contained a provision for us to review the processes the Department of the Treasury employs to separate expenditures of amounts appropriated for OCO from expenditures of all other amounts appropriated for DOD. We assessed the steps that the Department of the Treasury takes in the execution of the federal budget after funds have been appropriated and determined that the Department of the Treasury does not employ a process to separate OCO funding from base funding in its role in making appropriations available to DOD. In addition, section 1523 of the act included another provision for us to compare the processes DOD and the Department of Treasury use to separate expenditures of OCO amounts to the generally accepted accounting principles. The Federal Accounting Standards Advisory Board issues federal financial accounting standards and provides guidance on federal generally accepted accounting principles. The Federal Accounting Standards Advisory Board\u2019s Handbook of Federal Accounting Standards and Other Pronouncements, as Amended (Current Handbook) is the most up-to-date, authoritative source of generally accepted accounting principles developed for federal entities. However, the Current Handbook does not address the separation of OCO from non-OCO appropriations, obligations, and disbursements. Therefore, it is not possible to compare the processes DOD and the Department of the Treasury use to the generally accepted accounting principles based on existing standards and guidance.", "We conducted this performance audit from March 2018 to January 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Additional Information on the Current Process and Alternatives to Provide OCO Funding", "paragraphs": ["Additional information from our questionnaire is provided below, including information about (1) the positive and negative aspects of Congress\u2019 current process for providing funding for the Department of Defense\u2019s (DOD) overseas contingency operation (OCO) and base activities, (2) the requirements and costs to implement the four alternatives we discussed earlier, and (3) other alternatives for providing funding to DOD."], "subsections": [{"section_title": "Positive and Negative Aspects of Congress\u2019 Current Process to Provide Funding for OCO and Base Activities", "paragraphs": ["We asked respondents to report on the positive and negative aspects of Congress\u2019 current process for providing funding for DOD\u2019s OCO and base activities. We summarize those aspects in table 5."], "subsections": []}, {"section_title": "Requirements and Costs to Implement the Four Alternatives", "paragraphs": ["Respondents reported on the requirements and costs to implement the four alternatives in our questionnaire. The requirements respondents identified to implement the four alternatives are summarized in table 6.", "Regarding the costs, respondents reported that two alternatives would require minimal or no additional costs, while the other two alternatives would involve higher costs to DOD. The costs respondents identified to implement the four alternatives are summarized in table 7."], "subsections": []}, {"section_title": "Alternatives for Providing Funding to DOD that Respondents Independently Identified", "paragraphs": ["We also asked respondents to describe any other alternatives for separating funding for DOD\u2019s OCO and base activities, apart from the four alternatives described above. Respondents identified several alternatives for providing funding to DOD, including alternatives that would not provide separation of OCO and base funding. The other alternatives that respondents described are shown in table 8."], "subsections": []}]}, {"section_title": "Appendix III: Key Questions from GAO\u2019s Questionnaire on Separation of OCO and Base Amounts", "paragraphs": ["Below we show the verbatim wording of the descriptions of the alternatives to separate amounts for DOD\u2019s OCO and base activities as summarized in the questionnaire. Each description was presented separately in the questionnaire followed by a standard set of questions that are all presented below these descriptions. We also show the verbatim wording of any clarification text sent via email to respondents who misunderstood the description of the alternative.", "DOD could move requests for funding of enduring activities from its OCO budget to its base budget request. Enduring activities are those that began in response to contingency operations but have continued after these operations ended. An example of an enduring cost would be maintaining residual headquarters staff at U.S. Central Command in Qatar to train, advise, and assist as missions have evolved from contingency to ongoing activities. We understand that in the in FY 2020, the Department plans to move funding for enduring activities from its OCO budget to its base budget request. DOD\u2019s OCO funding request would then reflect only the incremental costs of existing contingency operations.", "The Congress could specify activities for which DOD should use OCO amounts within the annual appropriations acts. Currently, DOD determines what activities constitute OCO activities based on criteria developed in 2010 in coordination with OMB. Under this alternative, explicit purpose language designating specific funds for specific activities would be added directly into the appropriations acts or the explanatory statement, then incorporated into the appropriations act by reference. \u201cUnder the current approach, funds are designated for specific sub-activities in the explanatory statement. However, these designations are generally not legally binding unless incorporated by reference into the appropriations act itself. Under this alternative approach , specific purpose language or language of incorporation would be included in the appropriations act. The distinction between the current approach and the alternative presented here is that legally binding language concerning specific amounts for specific OCO activities would appear in the appropriation act.\u201d", "The Congress could create separate appropriation accounts for amounts designated for OCO and amounts designated for base activities. \u201cIn the current approach, amounts are designated for OCO and base activities within a single appropriation account. In the alternative proposed in Question 5, the Congress would create two separate appropriation accounts for OCO and base activities amounts. For example, there would be one appropriation account for OCO amounts for O&M, and another appropriation account for base activity amounts for O&M.\u201d", "DOD could use a transfer account (such as the Overseas Contingency Operations Transfer Fund, or OCOTF) through which the Department could meet operational demands by transferring funds to the military services and agencies based on execution needs as the year progresses. The Congress would appropriate funds into a transfer account. These funds would not expire and be available for DOD\u2019s use during multiple fiscal years. DOD would use its base activities appropriations to fund OCO activities and later draw from the transfer account as needed to reimburse its base appropriation accounts.", "Below we show the verbatim wording from key sections of the questionnaire we administered. We used Questions 2 and 3 as screening questions to help determine if respondents were sufficiently knowledgeable about the current congressional or DOD processes. Question 4 and its sub-questions below were repeated for each alternative presented above (i.e., as Questions 4 through 7 in the questionnaire). We also asked sub-questions \u201cb\u201d through \u201ce\u201d in Question 4 for the current approaches Congress and DOD use (presented in Questions 2 and 3). Finally, we asked respondents to identify up to five additional alternatives in Questions 8 through 12. 2. Are you familiar with any of the current approaches that the military services or DOD organizations use to separate operation and maintenance (O&M) amounts designated for Overseas Contingency Operations (OCO) from amounts designated for base activities during the allotment, obligation, and/or disbursement phases? Please check one box. \uf0e8 Please continue to \u201ca\u201d through \u201ce\u201d \uf0e8 Please skip to Question 3 \uf0e8 Please skip to Question 3 3. Are you familiar with the current approach that Congress uses to designate amounts for OCO in the appropriations process for DOD? Please check one box. \uf0e8 Please continue to \u201ca\u201d through \u201ce\u201d \uf0e8 Please skip to Question 4 \uf0e8 Please skip to Question 4 4. GAO has identified the following as a possible alternative to the current approach for separating amounts designated for OCO from amounts designated for base activities in the appropriations process: a. Were you aware of this alternative before completing this questionnaire? Please check one box.", "Please continue to \u201cb\u201d through \u201ce\u201d b. What are the positive aspects associated with this alternative, if any? Please consider factors impacting both taxpayers and the DOD. The box will expand as you type. c. What are the negative aspects associated with this alternative, if any? Please consider factors impacting both taxpayers and the DOD. The box will expand as you type. d. What are the costs associated with this alternative, if any? Please consider costs impacting both taxpayers and the DOD. The box will expand as you type. e. What are the requirements associated with implementing this alternative? Consider factors such as: changes to existing systems, policies, or processes; new systems, policies, or processes; new budget estimations; required training; etc. These could be requirements for DOD or the Congress. The box will expand as you type. 8. Are you aware of any alternative approaches for separating amounts designated for OCO from amounts designated for base activities other than the ones listed above? Please consider both approaches DOD could implement on its own (such as approaches to separating OCO from base in the O&M account or changes that make that unnecessary) and legislative approaches the Congress could take. We are aware of the Enterprise Resource Planning (ERP) systems listed above. For this question, we are interested in the implementation of new potential alternatives other than the ERP system. Please check one box. \uf0e8 Please continue to \u201ca\u201d through \u201ce\u201d to tell us about one alternative. If you are aware of more than one, you will be able to tell us about others in Questions 9-12. \uf0e8 Please skip to Question 13 Please skip to Question 13 a. If yes, please briefly describe the first alternative approach.", "The box will expand as you type."], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth Field, (202) 512-2775 or fielde1@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Richard K. Geiger, Assistant Director; Arkelga Braxton, Assistant Director; Rebekah Boone; Amie Lesser; Felicia Lopez; James P. Klein (Analyst-in-Charge); Shylene Mata; Sheila Miller; Richard Powelson; and Michael Silver made key contributions to this report."], "subsections": []}]}], "fastfact": ["The Department of Defense has received more than $1.8 trillion for war-related activities since 2001. Currently, Congress provides funds for both war-related activities and regular activities. DOD tracks the funds separately by using codes in its financial system.", "We identified more ways to separate these funds:", "Move costs that will endure beyond current war operations to the regular budget", "Use language in the appropriations acts to specify the purpose of funds for war-related activities", "Create separate appropriations accounts", "Fund everything from the regular budget and reimburse for war-related activities from a transfer account"]} {"id": "GAO-18-377", "url": "https://www.gao.gov/products/GAO-18-377", "title": "Improper Payments: Actions and Guidance Could Help Address Issues and Inconsistencies in Estimation Processes", "published_date": "2018-05-31T00:00:00", "released_date": "2018-05-31T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Improper payments\u2014which include payments that should not have been made or were made in an incorrect amount\u2014are a long-standing, significant problem in the federal government, estimated at almost $141 billion for fiscal year 2017. Executive branch agencies are required to annually estimate improper payments for certain programs. Estimation of improper payments is key to understanding the extent of the problem and to developing effective corrective actions. Relevant laws and guidance provide agencies flexibility in developing estimates.", "This report describes agencies' processes to estimate improper payments in selected programs for fiscal year 2017 and the extent to which certain differences in these processes can affect the usefulness of the resulting estimates. GAO selected 10 programs across six agencies with the largest reported program outlays in fiscal years 2015 and 2016. For these programs, GAO reviewed relevant laws and guidance, analyzed agencies' policies and procedures, and interviewed officials at relevant agencies and OMB staff."]}, {"section_title": "What GAO Found", "paragraphs": ["The six agencies GAO reviewed reported taking various approaches related to key components of estimating improper payments\u2014shown in the figure below\u2014for 10 selected programs, which collectively reported outlays of over $2.5 trillion for fiscal year 2017.", "Sample selection. Eight of the 10 programs GAO reviewed reported using statistically valid approaches, and the remaining 2 reported using alternative methodologies approved by the Office of Management and Budget (OMB). The sampled data elements varied, including payments, medical claims, and tax returns. The age of the data used to develop fiscal year 2017 improper payment estimates also varied, ranging from calendar year 2013 to fiscal year 2017.", "Identification of improper payments. Some of the six agencies reported using processes designed specifically to estimate improper payments, whereas others reported leveraging existing reviews. These agencies' policies and procedures include a review of aspects of eligibility, except for those related to the Department of Defense's (DOD) Military Pay and the Office of Personnel Management's (OPM) Retirement overpayments. DOD and OPM have not fully assessed whether their estimation processes effectively consider key program risks. OMB guidance does not specifically address how agencies are to test to identify improper payments, such as using a risk-based approach to help ensure that key risks of improper payments are addressed.", "The six agencies also varied in the treatment of insufficient documentation, both in identifying and in reporting the root causes of improper payments. For the agencies that contact entities outside the agency to estimate improper payments, the treatment of nonresponse differed, with one agency including nonresponses as improper payments and another generally excluding the nonresponse cases from review. Although OMB guidance states that agencies should treat cases of insufficient documentation as improper payments, it does not specifically address the treatment of nonresponse cases.", "Calculation of the improper payment estimate. The six agencies generally reported using law and OMB guidance to calculate improper payment estimates for the selected programs, except for the Earned Income Tax Credit (EITC). The Internal Revenue Service (IRS) removed overpayments that were recovered when developing its estimate. OMB guidance requires agencies to include recovered amounts in their estimates. Removing these overpayments understates the EITC improper payment estimate and may limit IRS's ability to develop corrective actions to prevent improper payments."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that OMB develop guidance on treatment of nonresponse cases and testing to identify improper payments, that DOD and OPM assess their estimation processes, and that IRS revise its methodology to not exclude recovered payments from its estimate. All of the agencies either agreed or partially agreed with the specific recommendations to them. GAO believes that the actions are warranted, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["Improper payments are a long-standing, significant problem in the federal government. In fiscal year 2017 alone, estimates of improper payments totaled almost $141 billion government-wide. The Improper Payments Information Act of 2002 (IPIA), as amended by the Improper Payments Elimination and Recovery Act of 2010 (IPERA) and the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA), requires executive branch agencies to annually estimate improper payments for programs they determine to be susceptible to significant improper payments, among other things.", "Although agencies report improper payment estimates annually, in our report on the Fiscal Year 2017 Financial Report of the U.S. Government we continued to report a material weakness in internal control related to improper payments because the federal government is unable to determine the full extent to which improper payments occur and reasonably assure that appropriate actions are taken to reduce them. In addition, some inspectors general have reported issues related to agencies\u2019 improper payment estimates, including methodologies that may not produce reliable estimates.", "Estimation of improper payments is key to understanding the extent of the problem and to developing effective corrective actions to address it. Relevant laws and guidance provide agencies flexibility in developing improper payment estimates, and agencies use a variety of processes to develop their improper payment estimates.", "We prepared this report under the authority of the Comptroller General to conduct evaluations on his own initiative and support congressional oversight of issues of national importance. This report describes agencies\u2019 processes to estimate improper payments in selected programs for fiscal year 2017 and the extent to which certain differences in these processes can affect the usefulness of the resulting estimates.", "To select programs for review, we first identified those programs that reported improper payment estimates and had the largest program outlays for either fiscal year 2015 or 2016. This yielded a nongeneralizable sample of 11 programs at seven agencies. For these programs, we reviewed the processes to estimate improper payments for fiscal year 2017 (i.e., the improper payment estimates reported in agencies\u2019 fiscal year 2017 agency financial reports). Although the Department of Agriculture\u2019s (USDA) Supplemental Nutrition Assistance Program (SNAP) met the criteria to be included in our review (based on program outlays in fiscal year 2015 and reporting an improper payment estimate in fiscal year 2015), the agency ultimately did not report an improper payment estimate for the program in its fiscal year 2017 agency financial report (AFR). According to its fiscal year 2017 AFR, the state- reported data for SNAP did not allow for a determination of state error rates, which have been used in prior years to calculate a national SNAP improper payment estimate. Therefore, we did not include SNAP in our review of improper payment estimation methodologies. Consequently, we reviewed the 10 programs at six agencies listed in table 1. Collectively, reported program outlays for these programs totaled over $2.5 trillion for fiscal year 2017.", "To address our objective, we reviewed agencies\u2019 policies and procedures for estimating improper payments for these 10 programs, as well as the information reported in agencies\u2019 fiscal years 2016 and 2017 AFRs regarding improper payments and their reported root causes. Further, we interviewed relevant agency officials to obtain additional information about the processes agencies use to estimate improper payments, as well as Office of Management and Budget (OMB) staff to understand OMB\u2019s role in providing guidance and oversight to the agencies. We analyzed similarities and differences between agencies\u2019 processes and also reviewed relevant laws, guidance, and internal control standards. We focused our review on gaining an understanding of the processes agencies use to estimate improper payments, and not on evaluating whether these processes were properly designed or the extent to which they were properly implemented.", "We conducted this performance audit from November 2016 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Estimation of Improper Payments", "paragraphs": ["Executive branch agencies are required to take various steps regarding improper payments under IPIA, as amended by IPERA and IPERIA, and related OMB guidance. The steps include the following: 1. reviewing all programs and activities and identifying those that may be susceptible to significant improper payments (commonly referred to as a risk assessment), 2. developing improper payment estimates for those programs and activities that the agency identified as being susceptible to significant improper payments, 3. analyzing the root causes of improper payments and developing corrective actions to reduce them for those programs and activities that the agency identified as being susceptible to significant improper payments, and 4. reporting on the results of addressing the foregoing requirements.", "Figure 1 lays out these steps, as well as the major components of developing an improper payment estimate. IPERA also directs executive branch agencies\u2019 inspectors general to annually determine and report on whether their respective agencies complied with six criteria listed in the law.", "On an annual basis, agencies are required to develop improper payment estimates for programs that they consider susceptible to significant improper payments. This generally involves selecting a sample of program payments (or other items, such as invoices) and reviewing them in order to determine whether the relevant payments were proper. OMB guidance for developing improper payment estimates focuses on the statistical nature of the estimates and provides agencies with flexibility in developing their estimates. IPIA, as amended, provides the definition of \u201cimproper payment\u201d with IPERIA further instructing OMB to issue guidance requiring agencies to include in the estimate all improper payments, regardless of whether those payments have been or are being recovered. OMB incorporated this requirement into Appendix C to Circular No. A-123, Requirements for Effective Estimation and Remediation of Improper Payments. In accordance with these relevant laws and OMB guidance, agencies must apply \u201cimproper payment\u201d in the context of their programs when developing improper payment estimates."], "subsections": []}, {"section_title": "Characteristics of Programs Reviewed", "paragraphs": ["The 10 programs we reviewed serve a variety of purposes and are administered by various agencies across the federal government. Table 2 summarizes each of these programs."], "subsections": []}]}, {"section_title": "Agency Processes to Estimate Improper Payments Varied, and Some Differences May Hinder the Usefulness of the Resulting Estimates", "paragraphs": [], "subsections": [{"section_title": "Aspects of Sample Selection, Including Sampling Approach and Age of Data, Varied", "paragraphs": [], "subsections": [{"section_title": "Sampling Approach", "paragraphs": ["IPIA, as amended, requires agencies to develop statistically valid improper payment estimates or estimates that are otherwise appropriate using a methodology approved by the Director of OMB. The six agencies we reviewed reported using either statistically valid or alternative sampling approaches for the 10 selected programs, and some agencies reported additionally incorporating actual improper payment amounts into their estimates, as shown in table 3.", "If an agency is unable to produce a statistically valid improper payment estimate, it can use an alternative approach if approved by OMB. For example, the Department of Education (Education) reported using an alternative methodology for the Direct Loan program after conducting a cost-benefit analysis comparing use of a statistical and an alternative methodology. Similarly, the Department of Health and Human Services (HHS) reported using an alternative methodology for Medicaid to better manage resources needed to conduct the required reviews.", "In addition to their statistical approaches, two agencies reported incorporating actual improper payment amounts into the estimates for 2 of the programs we reviewed. Officials at the Department of Defense (DOD) stated that the agency calculates its Military Pay improper payment estimate by adding the amount of debts due to DOD entered into its financial system based on overpayments (i.e., debts due to DOD by a recipient of an overpayment) identified during the fiscal year to a projected estimate of improper payments. Officials at the Office of Personnel Management (OPM) stated that the agency calculates its Retirement program improper payment estimate by adding the amount of debts due to OPM entered into its financial system based on overpayments (i.e., debts due to OPM by a recipient of an overpayment) identified during the fiscal year to a projected estimate of underpayments."], "subsections": []}, {"section_title": "Data Subject to Sampling", "paragraphs": ["To implement their sampling approaches, agencies select a sample of data to test from a larger, specified population of data. For the six agencies we reviewed, data sampled varied by program and include payments, claims, tax returns, and pay accounts. For example, according to their policies and procedures", "DOD samples invoices related to payments made from 12 financial systems for Defense Finance and Accounting Service Commercial Pay,", "HHS samples medical claims for Medicare Fee-for-Service, and", "DOD samples pay accounts for Military Pay.", "Agencies subject specific data populations to sampling, which may not include all payments made for a program. Reasons for sampling exclusions varied across programs, as shown by the examples in table 4.", "Some of the selected agencies reported sampling multiple sets of data. For example, for its Direct Loan improper payment estimate, Education officials stated that the agency reviews Program Review Reports to identify improper payments in originations and also samples loan consolidation and refund payments. According to agency officials, Direct Loan origination, consolidation, and refund transactions carry different risks of improper payment."], "subsections": []}, {"section_title": "Age of Data", "paragraphs": ["To estimate improper payments for fiscal year 2017, the six agencies we reviewed reported sampling and testing data that varied in age from calendar year 2013 to fiscal year 2017. Figure 2 shows the range of data used.", "OMB guidance states that to the extent possible, data used for estimating improper payments should coincide with the fiscal year being reported, but agencies may use a different 12-month reporting period with approval from OMB. OMB staff acknowledged there are costs and benefits to sampling newer or older data. OMB staff stated that although they review agencies\u2019 sampling and estimation plans, they defer to the agencies regarding the appropriateness of the age of data used to estimate improper payments. OMB staff stated that they approve the timeframe of the data used in alternative methodologies as part of the approval of the methodology overall, whereas OMB silence provides tacit approval (i.e., no communication to the agency) for statistically valid methodologies."], "subsections": []}]}, {"section_title": "Processes for Identifying Improper Payments Varied by Program, Including Consideration of Eligibility and Treatment of Nonresponses", "paragraphs": [], "subsections": [{"section_title": "Testing Processes", "paragraphs": ["After agencies determine what subsets of data and types of transactions to review, they generally test the data and calculate their improper payment estimates. Testing processes varied among the 10 programs, with some of the six agencies using processes designed specifically to estimate improper payments and others leveraging existing processes designed for other purposes.", "Some of the selected agencies reported using multiple testing processes and combining the results to develop a program\u2019s improper payment estimate. For example, according to their policies and procedures the Direct Loan estimate comprises three component estimates for loan originations, consolidations, and refunds and the Medicaid estimate includes fee-for-service, managed care, and eligibility components.", "Table 5 summarizes the processes used by the six agencies we reviewed.", "Although agencies\u2019 testing processes varied, most included steps to address aspects of eligibility of beneficiaries, goods, or services\u2014a key component of determining the appropriateness of a payment\u2014in their programs. For example, according to their policies and procedures for Medicare Fee-for-Service, reviewers examine the medical necessity, compliance with documentation requirements, and coding of services provided, among other things; for the Earned Income Tax Credit (EITC), auditors examine whether the taxpayer properly reported income and whether the taxpayer meets eligibility criteria, including income and qualifying child requirements, and auditors examine, among other things, whether the taxpayer is subject to a disallowance period on receiving EITC; for Medicaid, reviewers examine fee-for-service claims and managed care payments to determine the eligibility status of the beneficiary and the provider, as well as support for the medical necessity of fee-for- service claims, among other things; for Old-Age, Survivors, and Disability Insurance (OASDI), reviewers examine factors to support the beneficiary\u2019s eligibility, including, among other things, citizenship, relationship (in the case of survivor benefits), and receipt of other government benefits; and although Education\u2019s Direct Loan program reviews can vary in scope, they may include, among other things, steps to verify educational institution eligibility (such as licensing and accreditation) and student eligibility (such as enrollment status and satisfactory academic progress).", "In contrast, per their policies and procedures, eligibility is not tested for DOD\u2019s Military Pay or the overpayment component of OPM\u2019s Retirement estimate.", "DOD Military Pay. DOD reported using the results of monthly payment reviews to calculate a projected improper payment amount for Military Pay. However, DOD\u2019s policies and procedures do not require a review of servicemember eligibility for special pay or allowances as part of these monthly reviews. DOD\u2019s Standard Operating Procedures (SOP) direct reviewers to recalculate payments to servicemembers solely based on the pay account data included in DOD systems (i.e., to verify that components of servicemember pay were calculated appropriately).", "DOD\u2019s SOP does not direct reviewers to verify that servicemembers were eligible for special pay or allowances by verifying the information included in the pay account (such as pay grade) with supporting documentation. According to DOD officials, reviewers may investigate potential inconsistencies in pay account data identified during their reviews\u2014which may include eligibility issues\u2014but this process is not consistently performed or documented. According to DOD officials, an example of a potential inconsistency is when a servicemember receives jump pay (a hazard pay for parachute jumps) but is located at a site where no jump activity occurred.", "According to DOD officials, to help compensate for the limitations of its monthly reviews, DOD calculates the final reported Military Pay improper payment estimate by adding actual debts due to DOD (related to overpayments) identified during the year to the projected estimate of the monthly reviews. DOD identifies the actual overpayments through various methods, including other postpayment reviews and servicemember self- reporting.", "Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to risks related to achieving the defined objectives. DOD has acknowledged internal control deficiencies related to the Military Pay program, which\u2014if addressed in improper payment testing\u2014could have an impact on the program\u2019s improper payment rate. However, these deficiencies were identified through other internal control reviews not related to estimating improper payments. For the purposes of estimating improper payments, DOD has not fully assessed the risks in its Military Pay program and evaluated whether its approach for estimating improper payments effectively addresses these risks. As a result, DOD\u2019s process for estimating Military Pay improper payments may not reflect significant risks of improper payment in the program, specifically whether servicemembers are eligible for the special pay or allowances they receive, calling into question the improper payment estimate and its usefulness for developing effective corrective actions.", "OPM Retirement. OPM relies on its existing Quality Assurance (QA) process to estimate Retirement underpayments. The QA process is designed to determine whether new Retirement claims (i.e., claims paid for the first time) have been adjudicated correctly. Therefore, only new Retirement claims are sampled and tested for accuracy. OPM applies historical results of QA testing to older claims; however, these historical results do not reflect any different risks of underpayment that the older claims may face.", "Although OPM\u2019s QA process also produces an estimate of overpayments, the agency\u2019s policies and procedures instead use actual debts due to OPM (related to overpayments) that were identified during the fiscal year as its overpayment amount (i.e., the overpayment amount does not reflect any testing of Retirement payments to verify eligibility or accuracy). These actual overpayments represent amounts that have been identified through various means, such as inspector general fraud referrals. OPM officials stated that the agency uses actual amounts because the QA estimate may overstate overpayments. However, the fiscal year 2016 QA overpayment estimate was lower than the actual amount of debts identified as due to OPM.", "Standards for Internal Control in the Federal Government states that management should identify, analyze, and respond to risks related to achieving the defined objectives. OPM has not fully assessed the risks of improper payments in its Retirement program\u2014particularly related to the risk of underpayments in older claims and the risk of overpayments\u2014 and evaluated whether its approach for estimating improper payments effectively addresses these risks. As a result, OPM\u2019s processes for estimating Retirement improper payments may not reflect significant risks of improper payment in the program, calling into question the improper payment estimate and its usefulness for developing effective corrective actions.", "OMB guidance. OMB issues guidance for agencies to implement various requirements of the improper payment laws. Specifically, OMB is required by IPERIA to issue guidance to set standards for agencies to follow in determining the underlying validity of sampled payments to ensure that amounts being billed, paid, or obligated for payment are proper. Although existing OMB guidance addresses requirements for sampling, it does not address how agencies test to identify improper payments, such as using a risk-based approach to help ensure that key risks of improper payments, like eligibility, are addressed through testing processes. Without such guidance, there is increased risk that agencies\u2019 processes may not address key risks of improper payments in their programs\u2014for example, the cases of DOD Military Pay and OPM Retirement described above\u2014calling into question the improper payment estimates for such programs and their usefulness for developing effective corrective actions."], "subsections": []}, {"section_title": "Treatment of Insufficient Documentation", "paragraphs": ["According to OMB guidance, when an agency\u2019s review is unable to determine whether a payment was proper because of insufficient or lack of documentation, the payment must be considered an improper payment. Among the six agencies and 10 programs we reviewed, treatment of insufficient documentation varied by program, as did the classification of these issues for root cause reporting in the AFRs.", "HHS\u2019s programs were the only ones we reviewed that reported improper payments in the insufficient documentation root cause category for fiscal years 2016 or 2017, as shown in table 6.", "Some agencies stated that they report insufficient documentation in other root cause categories that they consider more appropriate. For example, Education officials stated that for the Direct Loan program, payments that lack sufficient supporting documentation may be placed in the \u201cAdministrative or Process Error Made by Other Party\u201d root cause category. In these cases, a third party\u2014such as a loan servicer\u2014is unable to provide sufficient documentation supporting that the sampled payment was proper. OMB guidance states that in cases where the agency believes that more than one root cause category might be suitable, the agency should determine which category it believes to be the most appropriate.", "Additionally, some agencies stated that the \u201cinsufficient documentation\u201d category was not always relevant when they recreated sampled cases to estimate a program\u2019s improper payments. For example, according to officials, to complete an OASDI stewardship review of a sampled case, a Social Security Administration (SSA) quality reviewer reviews the documentation related to the original determination and then independently re-develops all factors of the payment and interviews the associated beneficiary. According to agency officials, insufficient documentation would not apply as all improper payments identified in the stewardship sample are supported by documentation and payment has been verified in all reviewed cases.", "As noted previously, the processes for estimating DOD Military Pay and OPM Retirement improper payments were limited, and these limitations may have an impact on the agencies\u2019 ability to identify improper payments related to insufficient documentation.", "Treatment of cases of nonresponse. Some agencies contact outside entities\u2014such as payees or beneficiaries\u2014as part of their improper payment testing processes. Among the six agencies we reviewed, treatment of cases of nonresponse differed. For example:", "SSA officials stated that in cases where quality reviewers do not receive responses from OASDI beneficiaries they contact, they exclude the cases from review (unless the reviewer identifies an improper payment in the initial review that is completed prior to reaching out to the beneficiary).", "For EITC improper payment estimation purposes, the Internal Revenue Service (IRS) stated that the agency does not consider the sampled payment associated with a nonresponse case to be proper or improper. It sets the sampling weight of nonresponse cases to zero and adjusts the sampling weights of respondents upward to account for the nonresponse cases. IRS\u2019s methodology assumes nonresponse and response cases have an equal likelihood of improper payment.", "For Medicare Fee-for-Service and Medicaid, HHS\u2019s policies and procedures consider payments associated with nonresponse cases to be improper.", "OMB guidance states that when an agency\u2019s review is unable to discern whether a payment was proper as a result of insufficient or lack of documentation, this payment must be considered an improper payment. However, it does not specifically address the appropriate treatment of nonresponse cases for improper payment estimation purposes. As a result, without clearer guidance there is increased risk that agencies\u2019 improper payment estimates may be understated and that estimates for similar programs may not be comparable."], "subsections": []}]}, {"section_title": "Except for IRS, Selected Agencies Generally Reported Using Law and OMB Guidance to Calculate Improper Payment Estimates", "paragraphs": [], "subsections": [{"section_title": "Calculation of Improper Payment Estimates", "paragraphs": ["When agencies identify improper payments, they must determine the amount of the payment that was improperly made. The six agencies we reviewed generally reported using the definition of improper payment in relevant laws and OMB guidance to determine the amount of improper payments identified. OMB guidance provides agencies with instructions on how to calculate the amount of improper payments.", "However, when developing its improper payment estimate for EITC, IRS subtracted overpayments that were paid out and later recovered. By subtracting recovered overpayments, IRS excluded them from the EITC improper payment estimate. For 2013\u2014the tax year used to produce the fiscal year 2017 improper payment estimate\u2014IRS estimated that $1.2 billion in EITC overpayments would be recovered.", "IPERIA directed OMB to provide guidance that requires agencies to include all improper payments in their improper payment estimates, regardless of whether they have been or are being recovered. Although the OMB guidance was revised in October 2014 to implement this requirement, IRS has not updated its estimation methodology for EITC. By not updating its guidance and continuing to remove EITC overpayments that may be subsequently recovered, IRS is understating its improper payment estimate and potentially limits its ability to address these types of improper payments before they occur."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Improper payments are a long-standing, significant problem in the federal government. Estimation of improper payments is key to understanding the extent of the problem and to developing effective corrective actions to address it. Among the six agencies we reviewed, processes to estimate improper payments in their programs varied, and certain differences in these processes may affect the quality of the resulting estimates and consequently these agencies\u2019 efforts to reduce improper payments. Specifically, policies and procedures for DOD\u2019s Military Pay and OPM\u2019s Retirement programs\u2019 improper payment estimation methodologies do not address certain key risks, like eligibility, in part because these agencies have not fully assessed their processes. Further, although OMB guidance addresses requirements for sampling, it does not address how agencies test to identify improper payments. Without such assessments and guidance, there is increased risk that agencies\u2019 processes may not address key risks of improper payments in their programs, calling into question the improper payment estimates for such programs and their usefulness for developing effective corrective actions.", "Additionally, for agencies we reviewed that contact outside entities as part of their improper payment estimation processes, the treatment of cases of nonresponse varied. OMB guidance does not specifically address the appropriate treatment of nonresponse cases for improper payment estimation purposes. Without clearer guidance there is increased risk that agencies\u2019 improper payment estimates may be understated and that estimates for similar programs may not be comparable.", "Finally, although IPERIA directed OMB to provide guidance that requires agencies to include all improper payments in their improper payment estimates, regardless of whether they have been or are being recovered, IRS has not updated its processes to reflect the change. By not updating its guidance and continuing to remove EITC overpayments that may be subsequently recovered, IRS is understating its improper payment estimate and potentially limits its ability to address these types of improper payments before they occur."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making two recommendations to the Director of OMB that have government-wide implications and specific recommendations to DOD, OPM, and IRS regarding their programs included in this review.", "The Director of OMB should develop guidance on how agencies test to identify improper payments, such as using a risk-based approach to help ensure that key risks of improper payments, such as eligibility, are addressed through testing processes. (Recommendation 1)", "The Director of OMB should develop guidance clarifying the appropriate treatment of nonresponse cases during improper payment testing. (Recommendation 2)", "The Under Secretary of Defense (Comptroller) should assess the processes for estimating Military Pay improper payments to determine whether they effectively address key risks of improper payments\u2014 including eligibility for different types of pay and allowances\u2014and take steps to update the processes to incorporate key risks that are not currently addressed. (Recommendation 3)", "The Director of OPM should assess the processes to estimate Retirement improper payments to determine whether they effectively address key risks of improper payments\u2014including eligibility and whether older claims face different risks of improper payments than new claims\u2014and take steps to update the processes to incorporate key risks that are not currently addressed. (Recommendation 4)", "The Commissioner of IRS should update IRS\u2019s improper payment estimation methodology to not exclude recovered overpayments from its EITC improper payment estimate. (Recommendation 5)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for comment to OMB, DOD, Education, HHS, Treasury, OPM, SSA, and USDA. OMB provided oral comments, which are summarized below. OPM, DOD, and IRS provided written comments, which are reproduced in appendixes II through IV, respectively. Education, HHS, SSA, and USDA did not provide written comments on the draft report. In addition, HHS, IRS, OMB, OPM, and SSA provided technical comments, which we have incorporated, as appropriate.", "In oral comments provided on April 30, 2018, a Senior Policy Advisor in OMB\u2019s Office of Federal Financial Management stated that OMB partially agreed with our first recommendation and agreed with our second recommendation.", "Regarding the first recommendation, the Senior Policy Advisor stated that OMB should not have to develop more specific guidance as each program and activity has its own risks. Instead, inspectors general are better equipped and positioned to review the sampling and estimation plans as part of their annual IPERA compliance audits and that agencies, their statisticians, and inspectors general should work out the best testing procedures for their agencies. OMB could provide suggestions during OMB\u2019s annual town hall meeting related to improper payments for areas that inspectors general may consider. Although we agree that programs and activities may face different risks of improper payment, we continue to believe that guidance from OMB on how agencies test to identify improper payments\u2014such as directing agencies to take a risk-based approach in developing their testing procedures\u2014could help ensure that agencies address the specific risks they identify when developing improper payment estimates. Further, such guidance could also help ensure that testing processes are designed to address an agency\u2019s identified risks before the estimate is developed, whereas an inspector general\u2019s review\u2014as well as related recommendations for improvement\u2014would generally occur after the agency\u2019s improper payment estimate had been developed and reported.", "Regarding the second recommendation, the Senior Policy Advisor noted that OMB plans to update its guidance to direct agencies to treat nonresponse cases as improper payments and to include a new category for tracking such cases.", "In its written comments, OPM partially concurred with our recommendation to assess the processes to estimate Retirement improper payments to determine whether they effectively address the key risks of improper payments. OPM agreed to conduct an audit of older claims to determine if they face different risks than new claims. However, OPM did not agree with the part of the recommendation to assess the risk of improper payments related to eligibility in the estimation process. OPM stated that eligibility is determined before annuity or survivor benefits are fully adjudicated. However, the objective of an improper payment estimate is to determine whether payments were made properly. To do so, an agency should determine whether the payee was eligible for the payment that was made, among other things. As such, we continue to believe that the recommendation\u2014including the assessment of the risk of improper payments related to eligibility\u2014is warranted.", "In their written comments, DOD and IRS both agreed with our recommendations directed to them and described the steps they plan to take to implement them.", "We are sending copies of this report to the appropriate congressional committees; the Secretaries of Agriculture, Defense, Education, Health and Human Services, and the Treasury; the Director of the Office of Personnel Management; the Administrator of the Social Security Administration; the Director of the Office of Management and Budget; and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2623 or davisbh@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Reported Improper Payment Estimates by Agency and Program for Fiscal Year 2017", "paragraphs": ["Table 7 lists the fiscal year 2017 improper payment estimates by agency and program, as reported by agencies in their fiscal year 2017 agency financial reports and compiled on the Office of Management and Budget\u2019s payment integrity website, paymentaccuracy.gov."], "subsections": []}, {"section_title": "Appendix II: Comments from the Office of Personnel Management", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Phillip McIntyre (Assistant Director), James M. Healy (Auditor in Charge), Daniel Flavin, and Fabiola Torres made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-401", "url": "https://www.gao.gov/products/GAO-18-401", "title": "Foreign Military Sales: Controls Should Be Strengthened to Address Substantial Growth in Overhead Account Balances", "published_date": "2018-05-10T00:00:00", "released_date": "2018-05-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The FMS program is one of the primary ways the U.S. government supports its foreign partners, by providing them with defense equipment and services. The program charges FMS customers overhead fees to cover the U.S. government's operating costs. They include the administrative fee for costs such as civilian employee salaries and facilities, and the CAS fee for the cost of contract quality assurance, management, and audits. In 1989, Congress excluded from administrative expenses certain costs associated with military personnel who work on the FMS program as well as unfunded civilian retirement and other benefits. As of May 2018, the administrative fee rate is 3.5 percent, and the CAS fee rate is 1.2 percent.", "House Report 114-537 and Senate Report 114-255 included provisions that GAO review DSCA's collection and management of these fees. This report examines, for fiscal years 2007 to 2017, the balance of and controls over (1) the administrative account and (2) the CAS account. GAO analyzed Department of Defense (DOD) data and documents, modeled projections for the administrative account, and interviewed DOD officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Foreign Military Sales (FMS) administrative account balance grew by over 950 percent from fiscal years 2007 to 2017\u2014from $391 million to $4.1 billion\u2014due in part to insufficient management controls, including the lack of timely rate reviews. The Defense Security Cooperation Agency (DSCA) has some controls to manage the account balance. For example, DSCA has established a method for calculating a minimum desired balance to ensure it has sufficient funds to complete FMS cases despite uncertain future sales. At the end of fiscal year 2017, the account balance was $2.7 billion above this minimum. DSCA, however, has completed rate reviews less frequently than directed by its policy. Moreover, DSCA has not adopted the best practice of setting an upper bound for the account that would, along with the minimum level, provide a target range for the account balance. By not performing timely rate reviews or setting an upper bound, DSCA has limited its ability to prevent excessive balance growth. GAO modeling indicates that, even with a planned fee rate reduction to 3.2 percent, the account balance would likely remain above its minimum level through fiscal year 2024, including if annual expenditures increased by 15 percent more than expected. As such, the account has the potential to pay for additional expenses. These could include expenses first excluded by statute in 1989 at a time when the account balance was negative and which have since been paid from other appropriated funds. DOD told GAO it is willing to revisit these exclusions.", "The FMS contract administration services (CAS) account grew from fiscal years 2007 to 2015 from $69 million to $981 million, due in part to insufficient management controls, including not setting an upper bound. The balances for fiscal years 2016 and 2017 overstated the amount of funds available due to a systems issue and limited related oversight. Since 2014, DSCA has implemented some controls for the CAS account, such as regular reviews of the account balance, but weaknesses remain. In particular, DSCA does not plan to follow its internal guidance to conduct the next CAS fee rate review within 5 years. DSCA also has inconsistently calculated the desired minimum level for the account. Finally, DSCA has not set an upper bound for the account to help officials follow internal guidance that directs them to determine when the balance is excessive and a fee rate reduction should be considered. As a result, DSCA is limited in its ability to make timely, appropriate decisions on the fee rate."]}, {"section_title": "What GAO Recommends", "paragraphs": ["Congress should consider redefining what it considers an allowable expense to be charged from the administrative account. GAO is making six recommendations to help DSCA improve its controls over both accounts, including completing more timely reviews and establishing a desired range for balance levels. DOD generally concurred."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. government provides tens of billions of dollars a year of defense equipment and services to support our foreign partners through the Foreign Military Sales (FMS) program. The Department of State (State) and several components of the Department of Defense (DOD) share responsibility for the program, including the Defense Security Cooperation Agency (DSCA) that administers the program. DSCA charges purchasers certain overhead fees to cover the U.S. government\u2019s costs for operating the FMS program. These fees include the administrative fee, which covers costs such as civilian employee salaries, facilities, and information systems, and the contract administration services (CAS) fee, which covers the costs of quality assurance and inspection, contract management, and contract audits. These fees are collected in separate accounts in the FMS trust fund, which is used for payments received from purchasers and disbursements made to implement FMS.", "In discussing charges for administrative services, the International Security Assistance and Arms Export Control Act of 1976 (the act) states, in part, that the charge should be calculated on an average percentage basis to recover the full estimated costs of the administration of sales, as specified in the act. DSCA refers to this provision as the \u201cno loss\u201d principle. In fiscal year 2013, DSCA reduced the administrative fee rate from 3.8 percent to 3.5 percent of the FMS agreement value, or case value, in an attempt to reduce growth in the administrative account balance, which DSCA considered high after it exceeded $2 billion. Similarly, in fiscal year 2015, DSCA reduced the CAS fee rate from 1.5 percent to 1.2 percent of the value of certain items sold, in an attempt to lower the CAS account balance as it approached $1 billion.", "House Report number 114-537 and Senate Report 114-255 include provisions for GAO to, among other things, review DSCA\u2019s management and use of these fees and to determine whether the fees are generating excess funds. This report examines (1) the balance maintained in the administrative account in fiscal years 2007 to 2017, the controls used to manage this balance, and the extent to which DOD has the ability to pay for FMS administrative expenses under different scenarios; and (2) the balance maintained in the CAS account in fiscal years 2007 to 2017 and the controls used to manage this balance.", "To assess the balances of the administrative and CAS accounts, we analyzed FMS trust fund overhead account collections, expenditures, and balance data for fiscal years 2007 to 2017 maintained by the Defense Finance and Accounting Service (DFAS) that show the amounts paid into and out of the account during that time period. We did not conduct any independent testing of these data to determine whether these amounts were based on correct payments having been made based on accurate billings. We reviewed the data and related documentation and interviewed DFAS and DSCA officials and determined the administrative account data to be reliable for assessing the balances and related trends in each year, and for projecting future trends in the account balances, under a variety of assumptions, using statistical modeling. We determined the CAS account data to be reliable for assessing the balances and related trends for fiscal years 2007 to 2015, but not for fiscal years 2016 and 2017 due to significant billing errors in fiscal years 2016 through 2017. Thus, we did not assess the CAS account balance for fiscal years 2016 and 2017.", "To assess DSCA controls to manage the administrative and CAS account balances, we reviewed relevant statutes and DOD financial management regulations, DOD guidance, and DOD documentation of such controls, and interviewed DSCA officials regarding their implementation of these processes.", "To assess the extent to which DOD has the ability to pay for FMS administrative expenses from the administrative account under different conditions, we modeled eight scenarios to determine the projected account balance while varying the administrative fee rate and annual expenditures from the account between fiscal years 2018 and 2024. We were unable to perform similar modeling for the CAS account due to weaknesses in the CAS account balance data. Appendix I contains additional details about our overall scope and methodology; appendix II contains additional technical details regarding the modeling we performed and its results.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "FMS Program Size and Benefits", "paragraphs": ["The FMS program provides support to over 150 foreign partners, with sales totaling $416 billion between fiscal years 2007 and 2017. Annual sales were over $30 billion in each of these years except two, and grew 80 percent over the period to $42 billion in fiscal year 2017 (see fig. 1). The types of equipment and services sold to foreign partners ranged from fighter jets and integrated air and missile defense systems to combat helmets and training on the use of equipment. According to DSCA officials, fluctuations in annual sales are driven by changes in individual foreign partners\u2019 needs for equipment and other goods and services from year to year. For example, the fiscal year 2012 annual sales of $69 billion were substantially driven by one sale to Saudi Arabia that was valued at $29 billion.", "According to DOD and State officials, FMS provides multiple benefits to foreign governments and the U.S. government. Foreign governments that choose to use FMS rather than direct commercial sales receive greater assurances of a reliable product, benefit from DOD\u2019s economies of scale, improve interoperability with the U.S. military, and build a stronger relationship with the U.S. government. DSCA anticipates strong annual sales to continue, although using FMS is generally not the quickest or least expensive option for foreign governments. From the U.S. perspective, FMS expands the market for U.S. businesses and contributes to foreign policy and national security objectives."], "subsections": []}, {"section_title": "Process of Administrative and CAS Fee Collections and Expenditures", "paragraphs": ["The administrative and CAS fee rates have varied over time, as seen in figure 2. The administrative fee was first implemented in 1970 and was originally set at 2 percent. Since 1970, the administrative fee rate has been changed four times, staying within the range of 2.0 to 3.8 percent. Since November 2012, the rate has been set at 3.5 percent. The CAS fee was first implemented in 1981 and was originally set at 1.5 percent. In 2002, a supplementary CAS fee was created for cases managed outside the United States (and set at an additional 0.2 percent), and in 2014 the base CAS fee rate for all cases was decreased to 1.2 percent.", "Administrative and CAS fee collections are held in the FMS trust fund, which is comprised of separate accounts for each country and several distinct accounts for fees. Each country\u2019s individual account, referred to as a country account, holds funds that country has paid for FMS purchases of equipment and services until the funds are expended. The fee accounts, including the administrative and the CAS accounts, do not separate funds by country and instead comingle funds paid for fees by all purchasers. These accounts hold their deposits without accruing interest. According to DOD officials, once fees are deposited into one of the fee accounts, they are considered U.S. government funds and do not expire. Expenses related to administrative and CAS services are paid respectively from the related fee account.", "The timing and calculation of collections differs between the administrative and CAS fees, as shown in the example case of a $10 million equipment sale in figure 3. In particular, for the administrative fee, half of the amount owed is collected with the first payment made on most cases. The remaining administrative fees owed are timed with deliveries on the case. For the CAS fee, nothing is collected upfront. Instead, whenever the contractor providing goods or services on the case bills for work on the contract, a corresponding payment of the CAS fee is moved from the country account to the CAS account.", "According to DSCA data, the average length of a standard FMS case closed in fiscal year 2017 was 9 years. The administrative and CAS accounts need to maintain sufficient balances to pay for related operational expenses over that time period. DOD does not track administrative or CAS costs by case. Instead, collected funds are comingled and expenditures from the administrative and CAS accounts are made to DOD implementing agencies to pay for their overall FMS work. We have previously found that DOD does not have sufficient information on program costs to determine the amount needed to support the FMS program."], "subsections": []}, {"section_title": "Related Roles and Responsibilities", "paragraphs": ["While State reviews and approves FMS purchases, DSCA is responsible for administering the FMS program for DOD, including managing the administrative and CAS accounts and coordinating with other DOD components. In this role, DSCA sets policies for the FMS process, including for how implementing agencies can use administrative and CAS account funds; monitors the administrative and CAS account balances; and sets the administrative and CAS fee rates. DFAS provides DSCA\u2019s accounting services for FMS and in this role is responsible for accounting, billing, disbursing, and collecting funds for the FMS program. DFAS\u2019 accounting duties also include reconciliation and correction of errors related to collection of fees from foreign customers and disbursement of funds out of the administrative and CAS accounts, as governed by an agreement with DSCA.", "Congress and DSCA both have roles in defining what expenses are covered by the administrative fee. Congress defines in the act what administrative expenses DSCA can charge to FMS purchasers. Congress amended the act in 1989 to exclude salaries of the Armed Forces of the United States and estimated costs of unfunded civilian retirement and other benefits from the expenses that shall be recovered by the administrative fee. Since that change, the Armed Forces salaries and the estimated costs of unfunded civilian retirement and other benefits are paid instead from other appropriated funds.", "Within the parameters specified in the act, DSCA is responsible for defining whether administrative expenses should be paid from funds charged to the foreign partner, either from funds collected into the administrative account or from case-specific funds held in the related country account, or from other DOD annual appropriations. DSCA does this by outlining the expected funding source for specific types of administrative tasks carried out for FMS cases. For example, DSCA has determined that functions that are a normal part of all FMS cases\u2014such as identifying defense requirements to help write an offer letter\u2014should be paid from the administrative account. Conversely, functions that are requested to provide supplementary support on a case\u2014such as conducting a site survey\u2014should be paid with case fees from the partner\u2019s country account."], "subsections": []}]}, {"section_title": "The FMS Administrative Account Balance Has Grown Steadily Due in Part to Insufficient Management Controls and Should Be Adequate to Pay for Additional Expenditures through 2024", "paragraphs": ["The administrative account balance grew steadily over the last decade due in part to the insufficient controls DSCA has in place to manage the account balance. Although DSCA has set a minimum desired level for the account and a process for regular monitoring, it has not completed timely comprehensive reviews of the administrative fee rate. In addition, DSCA has not adopted the best practice of establishing a method to calculate an upper bound of a target range for the account balance. As a result, DSCA\u2019s monitoring and rate review practices are limited in their ability to prevent excessive growth in the account balance. Our analysis indicates that even if the administrative fee rate were reduced to as low as 2.9 percent and administrative expenditures were to increase 15 percent above expected growth, the administrative account balance would likely remain sufficient to pay for projected expenditures while maintaining a reserve balance through at least fiscal year 2024."], "subsections": [{"section_title": "The Administrative Account Grew about 950 Percent between Fiscal Years 2007 and 2017", "paragraphs": ["The administrative account balance grew each year from the beginning of fiscal year 2007 through the end of fiscal year 2017\u2014from $391 million to $4.1 billion, or 953 percent (see fig. 4). According to DSCA officials, the account balance has grown in part due to the fact that 50 percent of the administrative fee is usually paid when the first payment is made on a case while funds need to be available to pay for administrative work on the case as long as it remains open. Thus, as sales have grown on average over recent years, the amount of these upfront collections made on cases and the amount of expenditures that would be needed to work on these cases have also grown. However, administrative account collections and expenditures grew at slower rates than the overall account balance growth. Specifically, administrative account collections and expenditures grew 86 percent and 149 percent, respectively.", "Administrative account collections exceeded expenditures in each fiscal year between 2007 and 2017, contributing to the growing account balance. As shown in figure 5, collections were at least 1.5 times expenditures in 6 of these years, and the difference between collections and expenditures was $324 million in fiscal year 2017. At the end of each fiscal year, the value of collections that exceeds expenditures remains in the administrative account and is carried over to the next fiscal year\u2019s beginning balance, which compounds the growth from year to year. Administrative fees are transferred from the foreign partner\u2019s country account to the administrative account when agreements for new sales are signed and when deliveries are made on cases. Fluctuations in collections from year to year are due to the variations in the timing of these events and the value of the related cases. Despite these year-to- year fluctuations, expenditures from the administrative account to pay implementing agencies to work on FMS cases have generally increased more steadily over time.", "Annual growth in the administrative account balance has slowed in recent years; however, the overall balance has continued to grow. DSCA reduced the administrative fee rate in November 2012 from 3.8 to 3.5 percent following a review prompted by concerns that the balance appeared excessive as it neared $2 billion. Growth in the account balance from fiscal years 2007 to 2012 averaged $412 million a year compared with $273 million a year in fiscal years 2013 to 2017. Therefore, the rate reduction may have helped to decrease the annual growth in the account balance, yet the account balance itself has continued to grow."], "subsections": []}, {"section_title": "DSCA\u2019s Management Controls for the Administrative Account Provide Some Assurance of Maintaining Sufficient Funds but Do Not Guard Against an Excessive Balance", "paragraphs": ["DSCA has established a minimum desired level for the administrative account and has processes for regularly monitoring the account\u2019s balance. DSCA also has a process for reviewing the fee rate, called a comprehensive review, although it has not completed its most recent comprehensive reviews as frequently as required by DSCA policy. In addition, DSCA has not set an upper bound of a target range for the account balance. As a result, DSCA cannot provide adequate assurance that the account maintains an appropriate balance that is both sufficient but not excessive."], "subsections": [{"section_title": "DSCA Has Established a Desired Minimum Level for the Administrative Account", "paragraphs": ["Best practices in managing federal user fees suggest that federal agencies use a risk-based strategy to establish a target range for fee account balances so that there are reserves sufficient to cover varying or unpredictable revenues or expenses. This risk-based strategy should match the level of risk identified for the program, based on past experience and realistic risks.", "DSCA has set a minimum desired level for the administrative account, which it calls the safety level. It considers the safety level the minimum balance required to allow sufficient time to respond to volatility in the FMS business environment and to complete ongoing FMS cases. Prior to fiscal year 2013, the safety level was determined based on the assumption that FMS business might cease and 2 years of administrative expenses would be needed to wind down operations. An estimate of such shut-down expenses was difficult to calculate, according to DSCA officials. DSCA and the DOD Comptroller determined that the initial assumption for calculating the safety level was not valid because FMS would not likely cease operations given its integral role in U.S. government and DOD strategies. They therefore decided to change the calculation, and in so doing to increase the safety level to further mitigate risk and provide more flexibility. Specifically, starting in fiscal year 2013, the safety level has instead been defined as 18 months of funding, a period of time considered sufficient to respond to volatility in the FMS business environment and to complete ongoing FMS cases. According to DSCA officials, maintaining the safety level helps to ensure that there are sufficient funds in the account to pay for expenses throughout the life- cycle of individual cases.", "Since fiscal year 2007, the administrative account balance has been above this safety level every year, with the balance $2.7 billion above the safety level (of $1.4 billion) at the close of fiscal year 2017. Since the safety level calculation was modified for fiscal year 2013, the account balance has been between 2.4 and 3.2 times the safety level, and was 3 times the safety level at the close of fiscal year 2017 (see fig. 6).", "DSCA policy describes certain processes for account monitoring to occur on a monthly, quarterly, and annual basis:", "Monthly reviews: On a monthly basis, DSCA officials are to review a report from DFAS on the status of the administrative account. These reviews focus on whether: an expected amount of expenditures were made from the account, collections into the account are commensurate with past and current sales, the account balance is trending up or down, and the balance is near the safety level. According to DSCA officials, the results of these reviews are provided to DSCA leadership through monthly oral briefings from October through August, and the same information is reviewed and briefed weekly during September as the end of the fiscal year approaches.", "Quarterly reviews: On a quarterly basis, DSCA officials supplement their monthly briefings to DSCA leadership with other information on the FMS business environment, according to DSCA officials. Such information could, for example, focus on changes in bilateral relationships with key FMS customers, regional conflicts, changes in the global economy, or the status of annual sales.", "Annual assessments: DSCA has completed annual assessments of the administrative account since 2006, according to DSCA officials. These assessments involve a review of the previous year\u2019s sales, administrative fee collections, expenditures from the administrative account, and the administrative account balance. The health of the account is determined by comparing the current and projected account balances with the account\u2019s safety level, which is also recalculated for the new fiscal year as part of the annual assessment process. To assess the health of the account over the next year, DSCA officials use DSCA\u2019s sales forecast and budgeted expenditures. These assessments are based on the current fee rate and do not include testing of any alternative fee rates. These assessments result in a report that is shared with DSCA leadership and the implementing agencies to keep them informed of the account\u2019s health at a more detailed level."], "subsections": []}, {"section_title": "DSCA Has Not Completed Timely Comprehensive Reviews of the Administrative Fee Rate", "paragraphs": ["DSCA policy requires that a comprehensive review of the administrative fee rate be completed at least every 5 years. In addition, DSCA policy encourages more frequent comprehensive reviews in the case of certain events, such as a period of sales consistently below the forecasted level, which may put the account balance at risk of dropping below the safety level. However, DSCA has completed its three most recent comprehensive reviews of the administrative fee rate more than 6 years apart, which is less frequently than required by DSCA policy. Specifically:", "Fiscal year 2005: DSCA decided to conduct a comprehensive review of the administrative fee rate because the account balance ($260 million) was approaching the account\u2019s safety level ($250 million). For this review, DSCA conducted an internal study that concluded that, with no changes to the fee rate, the administrative account would have a negative balance in fiscal year 2009. To perform this study, DSCA officials projected what would happen to the administrative account balance given different administrative fee rates, while estimating annual sales between $12.5 billion and $14.5 billion for future years. As a result of this study, DSCA decided to increase the fee rate from 2.5 to 3.8 percent. According to independent analysis undertaken by the Naval Postgraduate School (NPS) in 2011 for the next rate review, this decision addressed short-term concerns about a possible negative account balance but did not account for the projected long-term growth of the balance at the new fee rate.", "Fiscal years 2011 to 2012: DSCA enlisted NPS to perform a comprehensive review of the administrative fee rate in fiscal year 2011. NPS built a model to assess how various administrative fee rates would affect the administrative account balance through fiscal year 2015, using multiple methodologies to project future annual sales based on historical sales data. The model was also used to estimate what the administrative account balance would have been if various fee rates had been in effect since fiscal year 1999. Based on this analysis, NPS recommended that the fee rate be lowered to within the range of 3.0 to 3.4 percent, stating that 3.0 percent would be ideal for minimizing large variations in the account balance from year to year while mitigating the risk of falling below the safety level or accruing an excessive balance. However, following a 2012 internal DSCA review of this report, DSCA leadership decided to decrease the fee rate from 3.8 percent to 3.5 percent. According to DSCA officials, this decision was made due to uncertainty regarding future annual sales and because DSCA officials had learned to avoid making significant rate changes that can make foreign partners\u2019 budgeting more difficult.", "Fiscal year 2018: According to DSCA officials, after performing some preparatory work during the prior fiscal year, DSCA began another comprehensive review of the administrative fee rate in fiscal year 2018. According to DSCA officials, this review was to be conducted internally and involve modeling various scenarios for the administrative account, making projections based on DSCA\u2019s fiscal year 2018 sales forecast, recent sales data, expenditure trends, and historical collection rates on ongoing cases. In addition to using historical sales data to project future sales, DSCA planned to model alternate scenarios to account for the possibility of certain high or low sales years. In April 2018, DSCA announced that, as a result of this review, the administrative fee will be reduced to 3.2 percent as of June 1, 2018.", "DSCA established the policy of a 5-year period between comprehensive rate reviews because, according to DSCA officials, foreign partners prefer stability in the administrative fee rate to facilitate their budgeting. In addition, 5 years between rate reviews would allow DSCA to identify sales and expenditure patterns that could determine whether a rate change would be needed. According to DSCA officials, the most recent rate review was originally scheduled to be completed on time but was delayed due to competing priorities and limited resources. However, without timely comprehensive reviews, there is greater likelihood that large changes would be needed in the administrative fee rate to correct for large variations in the administrative account balance, thus hindering DSCA\u2019s ability to provide stability in the administrative fee rate."], "subsections": []}, {"section_title": "DSCA Has Not Set an Upper Bound of a Target Range for the Administrative Account", "paragraphs": ["DSCA has not established a method to calculate an upper bound of a target range for the administrative account balance as suggested by best practices. Setting an upper bound could help DSCA determine when the balance is excessive and an out-of-cycle comprehensive review of the fee rate might be warranted. An upper bound could be based on a certain number of months or years in expenditures and would thereby change over time to reflect the size and needs of the FMS program. DSCA could thus use the upper bound of a target range as another management tool to help more closely monitor the account during its periodic reviews. Given the lack of data on actual FMS costs per case and uncertainty about future annual sales, such a management tool could usefully inform future DSCA decisions based on its comprehensive rate reviews."], "subsections": []}]}, {"section_title": "GAO Analysis Indicates the Administrative Account Is Likely to Have Sufficient Funds for at Least 7 Years and Could Pay for Additional Expenditures", "paragraphs": ["We developed a model to understand potential changes in the administrative account balance for fiscal years 2018 through 2024 given a range of annual sales, administrative fee rates, and annual administrative expenditures. We found that, if no changes were made to the fee rate or expected expenditure levels, the administrative account balance would likely be above the projected safety level by at least $1.6 billion in fiscal year 2024. If DSCA were to reduce the administrative fee rate as low as 2.9 percent and annual expenditures were to increase as much as 15 percent, the administrative account balance would also likely be above the projected safety level in fiscal year 2024 by at least $25 million."], "subsections": [{"section_title": "The Projection Model", "paragraphs": ["We used cautious assumptions to model eight scenarios to assess the likelihood of the administrative account balance remaining above a projected safety level in fiscal years 2018 through 2024. The projected safety level reflects DSCA\u2019s definition of the minimum balance required for the administrative account to allow sufficient time to respond to volatility in the FMS business environment and to complete ongoing FMS cases. We consider our assumptions cautious because they are more likely to lead us to underestimate the administrative account balance and to inflate the risk of it dropping below the projected safety level (see text box).", "Cautious Assumptions Used in GAO Modeling of the Administrative Account Balance in Future Years Sales: We assumed a minimum of $15 billion and a maximum of $47 billion in sales each year, using a uniform distribution that assumes an equal likelihood of any sales value within that range each year. In reality, annual sales have increased overall since fiscal year 2000 and have remained above $20 billion since fiscal year 2006 and above $33 billion since fiscal year 2014. Higher annual sales lead to larger administrative fee collections. This sales range likely leads to underestimating collections in some years. Expenditures: We assume expenditure levels that reflect both fluctuations in sales and overall steady annual growth in expenditures even when our annual sales values do not increase on average. Therefore, we likely overestimate expenditures in some years. Safety level: We assume steady annual growth in the safety level, even though we would expect the safety level to be lower when collections and expenditures are lower. Since our safety level projections do not take this into account, we likely overestimate the safety level, and therefore inflate the risk of dropping below it.", "We developed our baseline scenario, in which we maintain the current 3.5 percent administrative fee rate and typical growth based on current trends in expenditures. In additional scenarios, we adjusted the baseline projections with two key levers affecting the administrative account balance: (1) the fee rate and (2) the amount of expenditures out of the account. Given that the administrative account balance was $2.7 billion above the safety level as of the end of fiscal year 2017, we made adjustments to these levers in ways that could lead to a decline in the account balance by decreasing the fee rate, increasing expenditures, or through a combination of the two. Below, we describe the results of the baseline scenario and where we adjust either or both levers to the maximum extent we considered. See appendix II for a full description of our modeling methodology and results from four additional scenarios.", "For each scenario, we estimated the expected range of the administrative account balance and then assessed the likelihood of the account balance remaining above the projected safety level. We consider 10 percent as an acceptable risk threshold and therefore consider any outcome as favorable if it involves a 90 percent or greater likelihood of the balance remaining above the projected safety level."], "subsections": []}, {"section_title": "Model Outcomes", "paragraphs": ["As shown in figure 7, our projections indicate that the administrative account balance will remain sufficient to maintain operations through fiscal year 2024 in all scenarios. Specifically: In the baseline scenario, if no changes were made to the fee rate or to annual expenditures, the estimated administrative account balance would be between $2.5 billion and $5.7 billion in fiscal year 2024, with a 90 percent likelihood that the balance would be above the projected safety level by at least $1.6 billion.", "If DSCA were to reduce the fee rate to 2.9 percent, we estimate the administrative account balance would be between $2.1 billion and $4.7 billion, with a 90 percent likelihood that the balance would be above the projected safety level in fiscal year 2024 by at least $1.0 billion.", "If annual expenditures from the administrative account were to increase 15 percent above expected levels, we estimate the administrative account balance would be between $1.5 billion and $4.6 billion, with a 90 percent likelihood the balance would be above the projected safety level in fiscal year 2024 by at least $622 million.", "If this increase in annual expenditures were coupled with a reduction in the administrative fee rate to 2.9 percent, we estimate the account balance would be between $1.1 billion and $3.6 billion in fiscal year 2024, with a 90 percent likelihood the balance would be above the projected safety level in fiscal year 2024 by at least $25 million.", "The range of the estimated balance in each scenario gets larger from year to year due to increasing uncertainty for longer-term projections.", "Our modeling shows that, even with a substantially reduced administrative fee rate, the estimated administrative account balance would likely well exceed the account\u2019s projected safety level through at least fiscal year 2024. Even if DSCA reduced the fee rate an additional 0.3 percent lower than it plans to as of June 2018, we project the estimated balance of the administrative account would be over $1 billion above the account\u2019s safety level in fiscal year 2024."], "subsections": []}, {"section_title": "GAO Modeling Indicates the Administrative Account Balance Could Likely Be Used to Pay for Additional Expenses, Such As Those Excluded by Statute", "paragraphs": ["In addition, our modeling demonstrates that administrative funds are sufficient to cover a higher amount of expenditures for the work the U.S. government performs for the benefit of its foreign partners, and could be used in place of the other appropriated funds used to support some of the associated expenses today. As enacted in 1976, the provision of the act that authorized the collection of administrative fees required that sales contracts include appropriate fees for administrative services to recover the full estimated costs of the administration of sales made under the act. Subsequently, Congress amended the act to exclude some expenses from the administrative fee. In particular, according to a House report and DOD testimony, to avoid raising the administrative fee at a time when annual sales were low and the account was insolvent, Congress, at DOD\u2019s request, amended the act in 1989 to exclude from the administrative fee certain expenses associated with military personnel who work on the FMS program as well as the estimated costs of unfunded civilian retirement and other benefits.", "Since then, these expenses\u2014with one exception for fiscal year 2000\u2014 have been funded with other appropriated funds rather than with foreign partners\u2019 administrative fees. For fiscal year 2000, Congress required DOD to recover expenses attributable to salaries of members of the Armed Forces and the unfunded estimated costs of civilian retirement and other benefits by including them in the administrative fee, resulting in $52 million in additional FMS administrative expenses, or 13.5 percent of total FMS administrative expenses, for that year. Applying the same percentage, these costs would approximate $119 million in fiscal year 2017; however, DOD does not track the costs of military pay or unfunded civilian retirement and other benefits for FMS, so the current value of these costs is unknown. Our modeling shows that, even if DSCA were to decrease the administrative fee rate an additional 0.3 percent lower than it plans to effective June 2018 and annual expenditures increased as high as 15 percent above expected levels, the account balance would likely remain sufficient through at least fiscal year 2024. By then, DSCA would have had an opportunity to reassess the fee rate through another comprehensive rate review. The circumstances of the administrative account balance have changed substantially since the 1980s. Revisiting the provisions in the act authorizing and defining the collection of administrative expenses could allow other appropriated funds currently used to pay for some of these expenses to be used for other authorized purposes. Officials within DSCA and DOD\u2019s Comptroller Office have stated they are receptive to revisiting these provisions."], "subsections": []}]}]}, {"section_title": "The FMS CAS Account Balance Has Grown Substantially; Management Controls over the Balance Remain Insufficient", "paragraphs": ["The CAS account balance grew substantially between fiscal years 2007 and 2015 because CAS collections exceeded expenditures in each year and insufficient controls were in place to manage the balance. The account balances for fiscal years 2016 and 2017 overstate available CAS funds due to a systems issue and limited related oversight. Since fiscal year 2014, DSCA has created some controls to help better manage this account; however, DSCA does not plan to conduct timely comprehensive reviews of the CAS fee rate, has inconsistently implemented internal guidance related to calculating the minimum desired level for the account, and has not established a method to calculate an upper bound of a target range for the account, thus allowing the account to continue to grow."], "subsections": [{"section_title": "The CAS Account Balance Grew Substantially between Fiscal Years 2007 and 2015; the Fiscal Years 2016 and 2017 Account Balances Overstate Available Funds", "paragraphs": ["The CAS account balance grew every fiscal year, from $69 million at the beginning of 2007 to $981 million at the end of 2015, or 1,329 percent over the period (see fig. 8). As annual sales grew during this period, CAS collections and expenditures also grew, but at slower rates than the account balance growth\u2014at 133 percent and 187 percent, respectively.", "CAS account collections exceeded expenditures each fiscal year from 2007 through 2015, contributing to the growing account balance. As shown in figure 9, collections were at least double expenditures in five of these years, with a $49 million difference between collections and expenditures in fiscal year 2015. DSCA reduced the CAS fee rate from 1.5 to 1.2 percent in 2014 due to concerns over growth in the CAS account balance, according to DSCA officials. After the rate reduction, the account balance continued to grow but at a slower rate. The account balance increased 5 percent during fiscal year 2015 compared with an average of 38 percent from fiscal years 2006 through 2014. The balance would continue to grow if this trend continues.", "The CAS account balance data that DFAS provided to DSCA overstated the amount of CAS funds available by about $187 million for fiscal year 2016 and continued to be overstated for fiscal year 2017 due to a systems issue and limited related oversight. According to Defense Contract Management Agency (DCMA) officials, in October 2015, DCMA, the largest recipient of CAS funds, began using a new accounting system called the Defense Agencies Initiative. According to DCMA officials and internal data, DCMA submitted bills for about $187 million of CAS work for fiscal year 2016. To process its requests for this CAS funding in its new system, DCMA used an incorrect accounting code, according to DFAS officials. As a result, DCMA was paid for some of its fiscal year 2016 CAS bills, totaling about $89 million, from a different account, according to DFAS officials. Consequently, this amount paid to DCMA was not reflected in the CAS account expenditures or balance for fiscal year 2016. Further, DCMA and DFAS data differ regarding what additional amounts have been reimbursed to DCMA for its remaining fiscal year 2016 and its fiscal year 2017 CAS funding and suggest that DFAS underreported CAS expenditures to DSCA for both years.", "Although DSCA has financial management responsibility for the FMS trust fund, DSCA has played a minimal role in correcting DCMA\u2019s incorrect billings or low reimbursement levels. After DSCA officials noticed low fiscal year 2016 CAS disbursements in December 2016, DSCA officials asked DFAS and DCMA officials to look into the cause and to resolve the issue. However, as of January 2018, DSCA had not provided any specific directions to DFAS or DCMA on a process or timeline for fixing it. DCMA began to submit vouchers totaling approximately $89 million in November 2017 for DFAS to process to be correctly paid out of the CAS account. According to DFAS officials, DFAS processed corrections related to these vouchers by January 2018 so that the approximately $89 million would be taken from the CAS account and returned to the other account. DFAS officials believe that these transactions resolved DCMA\u2019s billing issues since they have not received any additional vouchers from DCMA or direction from DSCA. However, according to DCMA officials, they continue to have difficulty getting reimbursed for CAS work dating back to FY2016 and discrepancies remain between related DCMA and DFAS data.", "Federal standards for internal control state that management should use quality information that is current, complete, accurate, and provided on a timely basis to achieve the agency\u2019s objectives and make informed decisions. However, as a result of DCMA\u2019s difficulties in getting reimbursed from the CAS account, the CAS account balance remains overstated as of January 2018, hampering DSCA\u2019s ability to perform oversight of the account."], "subsections": []}, {"section_title": "DSCA\u2019s Management Controls over the CAS Account Balance Have Been Strengthened in Recent Years but Remain Insufficient", "paragraphs": ["Since 2014, DSCA has put in place various management controls for the CAS account. Nevertheless, these remain insufficient due to inconsistent implementation of internal guidance and lack of a key control."], "subsections": [{"section_title": "DSCA Established Some Controls for Managing the CAS Account Balance", "paragraphs": ["From June to August 2013, DSCA conducted its first comprehensive review of the CAS fee rate since the early 2000s, according to DSCA officials. This comprehensive fee rate review was called for in DSCA\u2019s strategic plan and was also prompted by substantial growth of the CAS account, according to DSCA officials. To conduct this review, DSCA officials worked with an internal support contractor to develop a model to project future CAS account balances based on historical data on CAS expenditures and collections, historical data and future projections for annual sales, and future budget estimates made by CAS implementing agencies. In this model, DSCA varied future annual sales projections and the CAS fee rate within the range of 1.0 to 1.5 percent to determine if the CAS account could maintain a healthy balance over the next 10 years under different conditions. As a result, in November 2014, DSCA issued a policy memo that specified a reduction in the CAS fee base rate from 1.5 to 1.2 percent for all cases starting after December 1, 2014. The decision to reduce the rate to 1.2 percent was supported by their modeling outcomes that showed that the CAS account balance would be above a safety level set for the account even if annual sales were as low as $12 billion in each of the following 10 years.", "The November 2014 policy memo that resulted from the 2013 comprehensive fee rate review specified three new controls for managing the CAS account:", "Periodic comprehensive fee rate reviews: DSCA determined that it would conduct comprehensive rate reviews of the CAS account every 5 years.", "A safety level for the CAS account: DSCA established a safety level, or minimum desired balance, for the CAS account at 3 years of average annual expenses. According to DSCA officials, the basis for the calculation of the safety level was rooted in a Federal Acquisition Regulation requirement to complete contract closeout within 3 years of final delivery for some types of contracts. As a result, even if no new sales were made, the CAS account would have sufficient funds to pay for contract management on existing cases. The CAS account balance was 1.7 times or $371 million above the safety level in fiscal year 2014 and 1.8 times or $420 million above the safety level in fiscal year 2015.", "Annual reviews of the health of the CAS account: For each year since fiscal year 2014, DSCA has conducted an annual assessment of the health of the CAS account. To perform this assessment, a DSCA official reviews information such as the CAS account balance from the end of the prior fiscal year against the account\u2019s safety level, prior year account expenditures and collections, and information that may be relevant to the account moving forward, such as budget requests submitted by implementing agencies. This annual assessment culminates in a report that is provided to and signed off by DSCA\u2019s Director of Business Operations.", "These practices were formalized by incorporating them into DSCA\u2019s Manager\u2019s Internal Control Program (MICP). In addition to these practices, MICP documentation for the CAS account also lays out a fourth management control: monthly reviews, which are meant to ensure that the account stays above its safety level throughout the year and that any large variances in expected expenditures or collections are reported to DFAS so that errors can be identified and corrected as needed. According to DSCA\u2019s MICP Handbook, all MICP documentation should be reviewed at least annually to ensure it is kept up to date."], "subsections": []}, {"section_title": "DSCA Does Not Plan to Conduct a Timely Comprehensive Review of the CAS Account Fee Rate", "paragraphs": ["As mentioned above, DSCA\u2019s internal guidance indicates DSCA should conduct comprehensive reviews of the CAS fee rate every 5 years, which would make the next review in the summer of 2018. However, DSCA officials do not expect to begin their next comprehensive rate review until fiscal year 2019. DSCA officials stated that they intend to complete the review sometime by the beginning of fiscal year 2020, to complete it within 5 years of when the last CAS rate reduction took effect. However, this plan extends the time between reviews by a year and a half due to the amount of time it took for DSCA to decide on and implement the rate reduction after the last review. More frequent comprehensive reviews would provide timely in-depth information to decision makers to ensure that the CAS fee rate is set appropriately. In addition, more frequent fee rate changes would allow for smaller corrections when needed, limiting the impact that large fee rate changes would have on customers\u2019 ability to budget."], "subsections": []}, {"section_title": "DSCA Inconsistently Implemented Guidance Concerning Safety Level Calculations", "paragraphs": ["The guidance in the MICP procedures specifying how to calculate the safety level has not been consistently implemented and has not been updated to align with current practices. Federal internal control standards indicate that management should document the organization\u2019s internal control responsibilities in its policies at the appropriate level of detail to allow management to monitor the control activity effectively. These standards also state that if there is a significant change in an entity\u2019s process, management should review this process in a timely manner after the change to determine that the control activities are designed and implemented appropriately.", "Figure 10 outlines the guidance in the MICP procedures with regard to the safety level and how this guidance was implemented from fiscal years 2014 through 2017. In particular, the MICP procedures indicate that the safety level should be calculated based on a 3-year average of disbursements. The procedures also allow DSCA officials to determine whether to update the safety level in each year without providing specific criteria for making this determination. As a result, no change to the safety level was made in fiscal year 2015 or 2016 despite increases in CAS expenditures. However, for the years when the safety level was calculated, the calculation was performed differently than what is prescribed in the MICP guidance. For example, for fiscal year 2017, the DSCA official in charge of managing the CAS account stated the method was modified to be based on the amount of obligation authority (or total CAS budget) instead of the amount of disbursements. This approach was taken because of the incomplete fiscal year 2016 disbursement data. However, the method used was not consistent with the guidance. Accordingly, for future years it is not clear how the safety level should be calculated.", "As previously stated, best practices in managing federal user fees indicate that it is advisable for federal agencies to use a risk-based strategy to establish a target range for fee accounts. Although DSCA has followed this best practice and set a safety level, or minimum desired balance for the CAS account, DSCA has not established a method to calculate an upper bound of a target range for the CAS account balance, which would help officials identify when the account balance becomes excessive. DSCA\u2019s MICP procedures indicate that, as part of the annual assessment process, DSCA officials should review account activity to determine if an out-of-cycle comprehensive review of the CAS fee rate is needed, specifying that this should be done either because the CAS account balance should be higher to cover expenses or lower because too many fees are being collected. However, in the absence of an upper bound for the account, it is up to the judgment of DSCA officials to determine when the account is excessive. DSCA officials told us that they were reluctant to set an upper bound for the account due to uncertainty regarding future sales and future CAS expenditures. Nevertheless, as with the safety level, an upper bound could be based on a certain number of months or years in expenditures and could be flexible and adjusted over time. Without establishing a target range for the account balance, DSCA officials lack a key tool to help determine the appropriate CAS fee rate."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["From fiscal years 2007 to 2017, the balance of the Foreign Military Sales administrative account grew dramatically to $4.1 billion. DSCA has set a minimum desired level for the account balance and designed various account monitoring practices to ensure the minimum level is not reached. However, DSCA has not performed comprehensive reviews of the administrative fee rate at least every five years, consistent with DSCA policy, and has not set an upper bound that would provide a target range for the account. These conditions limit DSCA\u2019s ability to appropriately target the fee rate and to protect against excessive growth in the account balance. Our analysis demonstrates that the administrative account is likely to stay above its safety level even if the rate were reduced to as low as 2.9 percent and expenditures from the account were raised by 15 percent, signifying there should be even more room for the account to absorb increased expenditures now that DSCA has announced that the rate will be reduced to 3.2 percent as of June 1, 2018. Thus, this account should now have sufficient funds to pay for additional expenses that are currently paid from appropriated funds, such as those excluded by statute. Thereby, more of the costs for the work performed for the benefit of our foreign partners could be paid through the administrative fee, rather than having those some of those expenses paid through other appropriated funds.", "The CAS account has also experienced significant growth since fiscal year 2007, although the current account balance is unknown because of an accounting error and difficulty using a new accounting system. Specifically, in fiscal year 2016, a different account was charged about $89 million in DCMA\u2019s CAS billings and DCMA has had continuing difficulty getting reimbursed for its CAS bills for fiscal years 2016 and 2017. DSCA did not become aware of this issue for over a year after it began, and DSCA has played a minimal role in coordinating DCMA and DFAS to fix it. Since 2014, DSCA has strengthened some management controls over the CAS account, but they could be further enhanced if DSCA conducted more timely comprehensive reviews, provided more clarity on the expected calculation of the account\u2019s minimum level, and set an upper bound of a target range for the account. In particular, such an upper bound could allow DSCA officials to identify when the CAS balance is excessive, as directed by DSCA\u2019s internal guidance. Adopting such controls would enhance DSCA leadership\u2019s ability to monitor the account\u2019s balance and make timely decisions to ensure the rate is set to cover DOD costs but not overcharge foreign partners."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["Congress should consider redefining what can be considered an allowable expense to be charged from the administrative account. (Matter for Consideration 1)"], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We propose making the following six recommendations to DSCA: The Director of DSCA should take steps to ensure that comprehensive reviews of the administrative fee rate are completed at least every 5 years. (Recommendation 1)", "The Director of DSCA should define a method for calculating an upper bound of a target range for the administrative account that could be used to guide the agency\u2019s reviews of administrative account balances and decision making in setting the fee rate. (Recommendation 2)", "The Director of DSCA should direct DCMA and DFAS to work together to ensure timely correction of the fiscal years 2016 and 2017 DCMA CAS reimbursement issues. (Recommendation 3)", "The Director of DSCA should take steps to ensure that comprehensive reviews of the CAS fee rate are completed at least every 5 years. (Recommendation 4)", "The Director of DSCA should clarify internal guidance to ensure consistency in the calculation of the CAS account\u2019s minimum (safety) level. (Recommendation 5)", "The Director of DSCA should define a method for calculating an upper bound of a target range for the CAS account that could be used to guide the agency\u2019s reviews of CAS account balances and decision making in setting the fee rate. (Recommendation 6)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report for review and comment to DOD and State. DSCA provided written comments on behalf of DOD, which we reproduce in appendix III. In its comments, DSCA concurred with five of our recommendations and partially concurred with one.", "In commenting on our first recommendation for DSCA to take steps to ensure that it completes timely comprehensive reviews of the administrative fee rate, DSCA asserted that its last two reviews were conducted in time to meet its 5-year requirement. However, as we outline in this report, these reviews were conducted about 6 to 7 years apart. These included a fiscal year 2005 review that led to an August 2006 rate change, a review that began in fiscal year 2011 that led to a November 2012 rate change, and a fiscal year 2018 review that led to a June 2018 rate change. By following its own policy to complete the reviews every 5 years instead, DSCA would better be able to keep the administrative fee rate up-to-date with program changes.", "In partially concurring with our fourth recommendation for DSCA to take steps to ensure that it completes timely comprehensive reviews of the CAS fee rate, DSCA asserts that it plans to begin its next review later than 5 years after the last one to provide more time for DCMA\u2019s billing issues to be resolved and to inform the review with 5 years of data since the December 2014 rate reduction. Implementing this recommendation, including for its next review, would allow DSCA to meet its own guidance. In addition, the process of performing a comprehensive review of the fee rate could further provide impetus for addressing DCMA\u2019s billing issues that have led to inaccuracies in the account balance and expenditure information since fiscal year 2016. Finally, if DSCA were to delay data collection until more than 5 years after the last rate reduction, that would cause the reviews to start more than 6-1/2 years apart. Given how long the review process has taken in the past, an earlier start will help ensure completion within 5 years.", "In commenting on our fifth recommendation, DSCA noted that it updated its internal guidance for calculating the CAS safety level in March 2018. We plan to verify full implementation of this recommendation as part of our routine follow up process.", "DOD also provided technical comments, which we incorporated as appropriate.", "State did not provide any written or technical comments.", "We are sending copies of this report to the appropriate congressional committees, and the Secretaries of Defense and State. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Thomas Melito at (202) 512-9601 or MelitoT@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The Defense Security Cooperation Agency (DSCA) manages fees collected on transfers of defense articles and services to foreign countries that occur through the Foreign Military Sales (FMS) program. These fees are collected into separate accounts in the FMS trust fund. This report examines (1) the balance maintained in the administrative account in fiscal years 2007 to 2017, the controls used to manage it, and the extent to which the Department of Defense (DOD) has the ability to pay for FMS administrative expenses under different scenarios; and (2) the balance maintained in the contract administration services (CAS) account in fiscal years 2007 to 2017 and the controls used to manage it.", "To determine which fees to include in our review, we reviewed the International Security Assistance and Arms Export Control Act of 1976 (the act), which is the authorizing legislation for FMS, and DOD documents and data. We also interviewed DOD officials. We determined that there are three primary fees charged on FMS cases: (1) the administrative fee, (2) the CAS fee, and (3) the transportation fee. These three fees represented 99 percent of the amount of funding held in FMS trust fund overhead accounts as of the beginning of fiscal year 2016. We will review the transportation account in a separate report because of the different ways in which the collections and expenditures from the account operate.", "To assess the balance of the administrative account, we analyzed administrative account collections, expenditures, and balance data for fiscal years 2007 to 2017 maintained in the Defense Integrated Financial System by the Defense Finance and Accounting Service (DFAS), the DOD component that acts as the accounting service for the FMS program. According to DFAS, the Defense Integrated Financial System was implemented in 1980, and is used for FMS case management, financial reporting, and customer billing. We chose to review this number of fiscal years of data based on data availability. To understand the structure and functioning of the administrative account and to determine the reliability of these data, we reviewed relevant DOD documents, including explanations of changes to the administrative fee rate over time, and we interviewed DFAS and DSCA officials in various policy, financial, or technical roles. We asked knowledgeable agency officials a set of standard questions on this system, data entry procedures and checks, and other relevant aspects of data reliability. We reviewed their responses, examined the data ourselves, and conducted basic logic checks. Where questions arose, we followed up with agency officials for explanation and clarification. We did not conduct any independent testing of these data to determine whether these were the amounts that should have been paid into and out of the account during that period, such as through correct payments having been made based on accurate billings. We determined the administrative account data to be sufficiently reliable for assessing the account balance and related trends over the period, and for projecting future trends in the account balances, under a variety of assumptions, using statistical modeling.", "To assess the controls DSCA uses to manage the administrative account balance, we reviewed relevant documents and interviewed DOD officials. To determine what controls DSCA should be using to manage the account, we reviewed DOD\u2019s Financial Management Regulations, DSCA\u2019s Security Assistance Management Manual, DSCA\u2019s Managers\u2019 Internal Control Program procedures, and other internal DSCA guidance. We also reviewed reports resulting from DSCA\u2019s implementation of its account monitoring and comprehensive rate review processes, including annual administrative account assessments from fiscal years 2012 to 2016, quarterly administrative account assessments from fiscal years 2015 and 2016, and reports resulting from the 2005 and 2011-2012 comprehensive fee rate reviews. We chose to review the annual and quarterly assessments for different periods of time to review manageable numbers of the most recent assessments conducted. We also interviewed DSCA policy officials regarding their implementation of these processes.", "To assess the extent to which DOD has the ability to pay for FMS administrative expenses from the administrative account under different conditions, we modeled eight scenarios to determine the projected account balance in fiscal years 2018 to 2024 across a range of potential annual sales values in each year while varying the administrative fee rate and expenditures from the account. Appendix II provides a complete description of our modeling methodology and the results of our analysis.", "In addition to the modeling, we also performed legal research to determine the extent to which Congress and DOD have a role in defining what can be paid from the administrative account. In particular, we reviewed sections 2761 and 2792 of the act regarding DOD\u2019s authority to charge fees. We also reviewed DOD documentation and legislative history to determine the conditions that led to the 1989 amendments to the act that excluded certain costs associated with military personnel who work on the FMS program as well as unfunded civilian retirement and other benefits from administrative expenses. Additionally, we reviewed DSCA\u2019s definitions of which FMS administrative services should be paid from different funding sources, as specified in DSCA\u2019s Security Assistance Management Manual. We also interviewed DOD officials about the agency\u2019s role in defining administrative expenses.", "Similar to the administrative account, to assess the balance of the CAS account, we initially attempted to analyze CAS account collections, expenditures, and balance data for fiscal years 2007 to 2017 maintained by DFAS in the Defense Integrated Financial System. We chose to review this number of fiscal years of data based on data availability. To understand the structure and functioning of the CAS account and to determine the reliability of these data, we reviewed relevant documents from DOD, including those explaining changes to the CAS account fee rate over time, and interviewed DFAS and DSCA officials in various policy, financial, or technical roles. We asked knowledgeable agency officials a set of standard questions on this system, data entry procedures and checks, and other relevant aspects of data reliability. We reviewed their responses, examined the data, and conducted logic checks. Where questions arose, we asked agency officials to explain and clarify. We performed additional cross-checks that compared CAS expenditures data provided by DFAS with disbursement data from the implementing agencies that used the CAS funds in fiscal years 2012 to 2017. We found some discrepancies in these data that we were subsequently able to reconcile with agency officials for fiscal years 2007 through 2015 for the purposes of reporting overall annual expenditures from the account. We did not conduct any independent testing of these data to determine whether these were the amounts that should have been paid into and out of the account during that period, such as through correct payments having been made based on accurate billings. We determined the CAS account data for fiscal years 2007 to 2015 to be sufficiently reliable for assessing the account balance and related trends over the period. We did not determine the CAS account data to be sufficiently reliable for these purposes for fiscal years 2016 and 2017 due to a large share of CAS billings for those fiscal years that either had been disbursed from the incorrect account or were delayed, and were therefore not reflected in the CAS expenditures and balance data. Accordingly, the CAS data for fiscal years 2016 and 2017 were excluded from our analysis.", "To assess the controls DSCA uses to manage the CAS account balance, we reviewed relevant statutes, DOD financial management regulations, DOD guidance, and DOD documentation of such controls, and interviewed DSCA officials. To determine what controls DSCA should be following to manage the account, we reviewed DSCA\u2019s Managers\u2019 Internal Control Program procedures and a related DSCA policy memo, and interviewed DSCA policy officials. We also reviewed reports resulting from DSCA\u2019s implementation of its account monitoring and comprehensive rate review processes, including all of DSCA\u2019s annual CAS account assessments completed to date (covering fiscal years 2014 to 2016) and reports showing the process used and results of the fiscal year 2013 comprehensive review of the CAS fee rate. We also interviewed DSCA officials regarding their implementation of these processes.", "We were unable to perform modeling to assess the extent to which DOD has the ability to pay for CAS expenses from the CAS account under different conditions due to the limited data available at the time of our review and data reliability concerns for fiscal years 2016 and 2017.", "We conducted this performance audit from February 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Methodology Used to Model Possible Changes to the Administrative Account Balance and Model Results", "paragraphs": [], "subsections": [{"section_title": "Methodology", "paragraphs": ["To determine whether the administrative account balance would be sufficient to maintain Foreign Military Sales (FMS) operations if there were a reduction in the administrative fee rate or an increase in annual expenditures, we used a Monte Carlo simulation methodology to project the account balance across a range of annual sales values for fiscal years 2018 through 2024. This technique approximates the likelihood of certain outcomes by performing multiple trial runs, called simulations, using random variables within a specified range. The simulations capture the volatility of sales in the projection of the future balance of the administrative account. We determined to report projections through fiscal year 2024 for two main reasons. First, there is increasing uncertainty for longer-term projections. Second, by then, DSCA should have had an opportunity to reassess the fee rate through another comprehensive rate review, given that the current review is to be completed in fiscal year 2018 and DSCA policy requires such reviews every 5 years.", "To construct our baseline model, we used the 3.5 percent administrative fee rate, which was current during the period of our review. We also used historical annual sales and appropriations data provided by the Defense Security Cooperation Agency (DSCA) and annual administrative account collections, expenditures, and balance data provided by the Defense Finance and Accounting Service (DFAS). To assess the reliability of the data provided by both DSCA and DFAS, we interviewed officials from both agencies, performed manual error checks on the data, and reviewed relevant documents from DOD and other sources, including DSCA\u2019s annual assessments of the administrative account and congressional appropriations laws dating back to fiscal year 2000. In addition, for collections data, we cross-checked the data provided by DFAS with reports the agency provided to DSCA on administrative fees owed on cases implemented since fiscal year 2000 as well as checked for any anomalies in the data. Through this process, we found errors in the way a key variable in these reports was pulled for data on cases prior to March 2013. We did not find such errors in the data for fiscal years 2014 to 2017, which led us to only using data on the status of cases in fiscal years 2014 to 2017 in our modeling. We did not conduct independent testing or an audit of DSCA or DFAS data. We found these specific data to be sufficiently reliable for use in our modeling.", "We conducted 10,000 simulations for each year using the following parameters:", "Sales: We used annual sales data from fiscal years 2000 to 2017 and the Monte Carlo methodology to build an annual sales distribution for fiscal years 2018 to 2024. We chose to review this number of fiscal years of data based on availability of reliable data. For that distribution, we assumed a uniform distribution with a minimum possible sales value of $15 billion and a maximum of $47 billion, which has an equal probability of annual sales values falling anywhere within that range. A uniform distribution was selected because, as compared to other potential distributions (e.g., normal, triangular), it more accurately reflected the current reality of annual sales, including the increasing trend seen since fiscal year 2000 and the jump in sales seen in fiscal year 2006. Although annual sales have grown steadily over time with values of at least $27.8 billion since fiscal year 2008, DSCA officials explained that the FMS market could shrink at any time based on global geopolitical and economic factors. As a result, we took a cautious approach to determining the minimum level of our sales projections by allowing for the possibility of annual sales dropping to $15 billion in each year. We set our maximum possible sales value at $47 billion to reflect the second highest sales value between fiscal years 2000 and 2017. Sales in fiscal year 2012 were $69 billion due in large part to one large purchase made by Saudi Arabia. We excluded this as a possible maximum value in future years due to DSCA officials\u2019 explanation that this high value of sales was considered an exception. We also do not take into account any time trend effects such as inflation, technological advances, or new product development that could increase the value of future annual sales. The uniform distribution used in the model produces average sales of $30.8 billion, with a standard deviation of $9.2 billion, while the average sales from fiscal years 2006 through 2017 were $36.4 billion, with a standard deviation of $12.1 billion.", "Collections: First, to calculate collections on ongoing cases for fiscal years 2018 to 2024, we used administrative account collections data from fiscal years 2010 to 2017, a schedule of the average percentage of administrative fee collections for each year in the life of an FMS case, and administrative fee rates from fiscal years 2010 to 2017. To develop an average collection schedule for cases, we used a DFAS report that shows the percentage of the administrative fee that should have been collected in each year on each case implemented in fiscal years 2008 to 2017. To address the inaccuracies in the data in this report prior to March 2013, we developed a schedule of the average rate of collections in each of the first 9 years of case implementation by summing the pertinent amounts of the administrative fee that should have been paid on cases divided by the total amounts of the administrative fee owed on cases implemented in fiscal years 2008 to 2017 as of fiscal years 2014 to 2017. We excluded from the collections schedule the large sale made to Saudi Arabia in fiscal year 2012 because that case had a reduced first-year collection rate that skewed the first-year average. This 9-year collection schedule accounts for about 91 percent of total expected collections on cases.", "We then calculated expected collections for new cases in a given year by multiplying the dollar value of sales in that year by the average collection rate for the first year of a case and the applicable fee rate. Finally, we added new and ongoing collections to arrive at total collections projected for each year.", "Expenditures: We used administrative account expenditure and collection data from fiscal years 2006 to 2017 to develop a regression model to project administrative account collections in fiscal years 2018 to 2024. We used available data from fiscal years 2006 to 2017 to produce an estimate of the relationship between collections and expenditures, employing a simple linear regression model where the dependent variable was expenditures against collections, a linear time trend, and a constant. We chose to review this number of fiscal years of data based on availability of reliable data. We then used the coefficients from the regression model to estimate future expenditures against simulated collections and a time trend. As designed, to provide a cautious estimate of future expenditures, this model reflected an overall increasing trend in expenditures even when annual sales simulated in future years did not increase on average.", "Safety level: The administrative account safety level is established each year by DSCA as the minimum balance required to continue operations and respond to potential volatility in the FMS market. DSCA calculates the account\u2019s annual safety level as 18 months of operational funding, as determined by the congressional obligation limit, which has been annually set in the foreign operations appropriation since 1992. To project the administrative account safety level for fiscal years 2018 to 2024, we used the congressional obligation limit for the administrative account from fiscal years 2000 to 2017, as reported by DSCA, to develop a simple regression model where the dependent variable was the obligation limit against a linear time trend and a constant. We chose to review this number of fiscal years of data based on availability of reliable data. Then, based on DOD guidance, we divided the projected obligation limit by 12 and multiplied it by 18 to calculate the projected safety level. This regression model projects steady growth in the obligation limit and therefore steady growth in the safety level every year. The same projected safety level applies to all simulations for each year so that we can apply a consistent threshold against which to compare the account balance, although some simulations involved lower future sales, which could lead to lower future expenditures and hence lower safety levels.", "Finally, using these parameters, we calculated the administrative account balance for each year by adding the net income projected for that year (that year\u2019s projected collections minus that year\u2019s projected expenditures) to the previous year\u2019s account balance. All of our estimated projections are in nominal dollars.", "Building upon the baseline projection, we conducted 10,000 simulations for each year for seven additional scenarios: three in which the administrative fee rate is reduced from the current 3.5 percent to as low as 2.9 percent, three in which annual expenditures are increased as high as 15 percent above expected levels, and one in which both changes occur (see table 1). We modeled decreases of the fee rate to as low as 2.9 percent to look at the effect of a wide range of possibilities lower than the current rate. We modeled increases in annual expenditures of up to 15 percent above typical growth because this amount is a little higher than 1.5 times the average annual growth in expenditures between fiscal years 2007 and 2017 (9.3 percent). As such, our model accounted for the potential of large sustained expenditure growth. Finally, we modeled the effects of adjusting both levers to the maximum extent through a scenario with a 2.9 percent fee rate and a 15 percent increase above expected annual expenditures. Using the account balance and safety level projections for each scenario, we assessed the likelihood of the balance dropping below the safety level in each year through fiscal year 2024."], "subsections": []}, {"section_title": "Summary of Results", "paragraphs": [], "subsections": [{"section_title": "Baseline Scenario", "paragraphs": ["In the baseline scenario, we projected what would happen to the administrative account balance if the fee rate were to remain 3.5 percent and expenditures were to remain stable based on historical data. There is a 100 percent likelihood of the account balance remaining above the safety level in each year in this scenario. There is a 90 percent likelihood that the account balance would remain above the projected safety level in fiscal year 2024 by at least $1.6 billion (see fig. 11).", "We used the model to determine what would happen to the account balance if the administrative fee rate were decreased to 3.3, 3.1, and 2.9 percent. We projected a 100 percent likelihood that the account balance would remain above the projected safety level in fiscal year 2024 in each of these scenarios. There is a 90 percent likelihood that the account balance would remain above the projected safety level in fiscal year 2024 by at least $1.4 billion if the fee rate is decreased to 3.3 percent, by at least $1.2 billion if decreased to 3.1 percent, and by at least $1.0 billion if decreased to 2.9 percent (see fig. 12).", "We used the model to determine what would happen to the account balance if annual expenditures were to increase 5, 10, and 15 percent above levels expected in the baseline scenario. There is more than a 99 percent likelihood that the account balance would remain above the projected safety level in fiscal year 2024 in each of these scenarios. There is a 90 percent likelihood that the account balance would remain above the projected safety level by at least $1.3 billion if annual expenditures increased 5 percent, by at least $974 million if annual expenditures increased 10 percent, and by at least $622 million if annual expenditures increased 15 percent (see fig. 13).", "We used the model to determine what would happen to the account balance if both the fee rate were decreased to 2.9 percent and annual expenditures were to increase 15 percent above expected levels. There is at least a 91 percent likelihood that the account balance would remain above the projected safety level in fiscal year 2024 in this scenario. There is a 90 percent likelihood the account balance would remain above the projected safety level in fiscal year 2024 by at least $25 million (see fig. 14)."], "subsections": []}]}]}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Hynek Kalkus (Assistant Director), Heather Latta (Analyst-in-charge), Lynn Cothern, Elisabeth Helmer, Jessica Mausner, and Moon Parks made key contributions to this report. Martin De Alteriis, Jeff Isaacs, Christopher Keblitis, Grace Lui, Susan Murphy, Laurel Plume, Heather Rasmussen, Chanetta Reed, and Aldo Salerno provided technical assistance."], "subsections": []}]}], "fastfact": ["U.S. foreign partners buy billions of dollars of defense equipment and services each year through the U.S. Foreign Military Sales program. The program charges fees to purchasers to cover the U.S. government's cost of operating the program.", "As the value of these sales has increased, the balances in the 2 main fee accounts have grown in excess of 950% and now top $5 billion. We found that the substantial growth in these accounts was due to insufficient management controls.", "We made 6 recommendations to DOD to help improve controls, and suggest that Congress consider allowing the FMS program to use these funds to pay for more program expenses."]} {"id": "GAO-18-443", "url": "https://www.gao.gov/products/GAO-18-443", "title": "Emergency Management: Implementation of the Major Disaster Declaration Process for Federally Recognized Tribes", "published_date": "2018-05-23T00:00:00", "released_date": "2018-05-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Since the Sandy Recovery Improvement Act (SRIA) of 2013, federally recognized Indian tribes affected by major disasters have had the option to make disaster declaration requests directly to the President of the United States or join a state's request for federal disaster assistance. Prior to this, tribes had to receive assistance through a state.", "GAO was asked to assess the implementation of this new authority. This report addresses (1) the factors that influenced selected tribes' decisions about how to seek federal disaster assistance, and (2) the actions FEMA has taken to help tribes exercise the new authority.", "GAO analyzed FEMA's pilot guidance for tribal declarations and interviewed FEMA and tribal emergency management experts. GAO also surveyed the 36 tribes who made requests for disaster assistance in fiscal years 2013-2016 about the factors that influenced their decision making. Twenty three tribes responded. GAO visited seven tribes selected from among the survey respondents to represent different FEMA regions and disaster types. The site visits cannot be generalized but provided valuable insights into the opportunities and challenges of exercising this new authority."]}, {"section_title": "What GAO Found", "paragraphs": ["According to tribal officials GAO surveyed and interviewed, there are several factors they considered when deciding whether to make a direct request or to join a state's request for a major disaster declaration. Key factors that tribes reported considering were the (1) importance of tribal sovereignty, (2) financial matters such as the timeliness with which they receive funds, (3) the level of support they anticipated receiving from the Federal Emergency Management Agency (FEMA), and (4) their own emergency management capacity. For example, survey results showed that tribal officials' confidence in their capacity to manage the declaration was a key factor in determining whether to make a request directly. Specifically, various elements of emergency management capacity, as illustrated below, could affect tribes' ability to manage a declaration.", "FEMA has developed pilot guidance for tribal declarations and solicited comments from tribes, as part of its effort to consider the needs of tribes and develop regulations. According to FEMA officials, they are currently assessing the effectiveness of policies and procedures based on data collected from tribal declarations since the passage of SRIA. These officials said they intend to begin the rulemaking process as soon as 2 years into the pilot, but may delay if they cannot collect enough data about different disaster situations during that time to conduct a complete analysis. Until the regulations are final, officials say they will exercise flexibility whenever possible. In addition, the agency offers training on the tribal declaration process and has dedicated staff who act as primary points of contact for tribal governments that require technical assistance."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is not making any recommendations in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Sandy Recovery Improvement Act (SRIA) of 2013, which amended the Stafford Act, gave federally recognized tribes the authority to make direct requests for major disaster declarations. Prior to 2013, to receive disaster assistance, tribes had to join a major disaster request made by the governor of the state in which the tribe is geographically located. The 2013 amendments to the Stafford Act allow the chief executive of an affected tribal government to make a direct request for a major disaster declaration or join a state\u2019s request for a major disaster declaration. When making this decision, tribal officials have to consider whether they have the ability to meet the federal requirements for managing the disaster assistance independent of the state, if approved. The 2013 amendments also direct the Federal Emergency Management Agency (FEMA) to issue regulations to carry out these changes and, as part of this process, to consider the unique conditions that affect the general welfare of tribal governments.", "A major disaster declaration activates numerous assistance programs from FEMA to assist a state or tribal government in its response and recovery efforts. FEMA is responsible for processing the requests for emergency and major disaster declarations and making recommendations to the President whether to declare a disaster. FEMA is also the primary federal agency responsible for administering assistance to aid recovery efforts after a disaster has been declared.", "This report examines (1) the factors that influence selected tribes\u2019 decisions about how to seek federal assistance through a major disaster declaration, and (2) the actions FEMA has taken to help tribes exercise the new authority.", "To address the first objective, we reviewed FEMA\u2019s pilot guidance for tribal disaster declarations that was published in January 2017, as well as federal regulations and statutes governing the major disaster declaration process. We also reviewed emergency management-related documents provided by tribal governments. We interviewed experts from tribal emergency management organizations and officials from FEMA to compile a list of factors that may have influenced a tribe\u2019s decision to make a direct request or join a state\u2019s request as a sub-recipient. We used that list to form the basis of a survey designed to collect information about the factors that influenced whether a tribe used the new authority or pursued disaster assistance under a state declaration. The survey questions asked tribal officials to identify whether a particular factor was a major factor, a minor factor, or not a factor at all in their decisions to make a direct request or to join a state\u2019s request. We sent our survey to all 36 tribal governments that either (1) received disaster relief funds through a direct request, (2) received disaster relief funds as a sub-recipient of a state\u2019s request, or (3) made a direct request that was denied from January 2013 through December 2016. This time period coincides with the first year after SRIA was enacted to the most recently completed calendar year in which full data on declarations were available at the time we were planning our survey and site visit administration. Officials from 23 of the 36 tribes responded to our survey.", "To report on FEMA pre-disaster grant funds select tribes received during this period, we collected grant data from FEMA Grants Program Division. To assess the reliability of these data, we performed electronic data testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about the collection and processing of these data. We determined these data to be sufficiently reliable for the purpose of reporting the grant funds obligated from 2013 through 2016.", "In addition, we conducted site visits to 7 tribes selected from the 23 tribes that responded to our survey in order to obtain tribal officials\u2019 views on factors influencing their disaster declaration decisions during this period and to observe recent disaster damages, ongoing recovery projects, and aspects of each tribe\u2019s emergency management capability. We selected these sites so that as a set they included tribes that made a direct request whether granted or denied, joined a state declaration, and were located in a variety of FEMA regions. Although the information gathered from our survey and site visits cannot be generalized across all tribes, it added context to the survey responses, underscored the uniqueness of each tribe, and offered important details regarding the opportunities and challenges for tribes under this new authority.", "To address the second objective, we reviewed relevant documentation, such as the Tribal Declarations Pilot Guidance, and federal regulations and statutes governing the major disaster declaration process. We interviewed representatives from two national tribal organizations to discuss any successes and issues with the new authority that had been reported by their constituents. In addition, during our seven site visits, we gathered testimonial evidence of successes and challenges each tribe faced in implementing the new authority and carrying out the various requirements associated with requesting and managing a major disaster declaration directly or as a sub-recipient to a state declaration. We also interviewed FEMA officials about the actions they had taken to help position tribes to determine whether to exercise the new authority and how to do so, if desired. Further details on our objectives, scope, and methodology are contained in appendix I.", "In addition, appendix II contains information on major disaster declarations and pre-disaster grant funds allocated to the 36 tribes described above as our target population. We analyzed data from FEMA\u2019s National Emergency Management Information System to determine what tribes received major disaster declarations from 2013 through 2016 and the specific amount of pre-disaster grant funds they received. We discussed, with FEMA personnel who have knowledge of the data collection and maintenance, the controls used to help ensure the accuracy and reliability of these data. We determined the data to be sufficiently reliable for identifying which tribes received what types and amounts of post-disaster assistance and for reporting the pre-disaster grants that tribes received.", "We conducted this performance audit from October 2016 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Federally Recognized Indian Tribes", "paragraphs": ["The federal government has consistently recognized Indian tribes as distinct, independent political communities with inherent powers of limited sovereignty. The 2013 amendments in SRIA allow tribes to decide how to request federal disaster assistance, thereby allowing tribes to exercise their sovereignty.", "As of April 2018, there were 573 federally recognized Indian tribes, residing on more than 56 million acres. Thirty-six states have at least parts of a tribe within their borders, with fewer tribes located on the East Coast of the United States and over 300 tribes are located in Alaska and California. These tribes are each sovereign governments and vary in size, demographics, and location. For instance, Navajo Nation has the largest reservation covering over 17.5 million acres, stretching across New Mexico, Arizona and Utah, and is home to approximately 174,000 residents, while the Mashantucket Pequot Reservation in Connecticut covers over 2,000 acres and is home to about 350 residents.", "Only tribes that are federally recognized can make disaster declaration requests. The 10 FEMA Regions and the location of each regional office, along with the number of federally recognized tribes in each region, are illustrated in figure 1."], "subsections": []}, {"section_title": "Pre-Disaster Emergency Management Grants for Tribes", "paragraphs": ["Before a disaster occurs, tribes may need certain resources to assist in the development of their local emergency management capacity. In addition to offering technical assistance for certain administrative requirements, such as developing a hazard mitigation plan, FEMA administers four pre-disaster grant programs that tribes may access.", "These grant programs could provide tribes, either directly or as a sub- grantee through a state, with funds that would help support aspects of their emergency management capability. They are: Emergency Management Performance Grant (EMPG). The purpose of EMPG is to help build and sustain core emergency management capabilities. EMPG is particularly important for building the capacity to declare and manage a disaster, because it is the primary federal program for which salaries and training for emergency management personnel is an allowable expense. Only states and U.S. territories are eligible to receive EMPG funds directly. According to FEMA officials, after states receive EMPG funds, they make determinations about whether and under what conditions to provide the funds to tribes and local governments within their geographical boundaries. However, according to officials, not all states will distribute EMPG funds to tribes.", "State Homeland Security Program (SHSP). The purpose of SHSP is to help states and U.S. territories prevent, prepare for, protect against, and respond to acts of terrorism and otherwise reduce overall risk. Allowable expenses include, but are not limited to, equipment, training, and exercises. As with EMPG, states and territories receive SHSP funds and subsequently decide how to distribute them.", "Tribal Homeland Security Grant Program (THSGP). THSGP is a tribal- specific grant program intended to serve the same general purpose as SHSP. THSGP is available to tribes that meet one or more specific criteria, including comprising at least 1,000 square miles of Indian country or being near an international border, near prioritized critical infrastructure, or within or adjacent to one of the 50 most populous regions in the United States.", "Pre-Disaster Mitigation (PDM). A PDM grant primarily funds development and upkeep of hazard mitigation plans, but can be used for hazard mitigation projects as well. All nonfederal governments\u2014including tribal governments\u2014must have an up-to-date, FEMA-approved hazard mitigation plan in place before receiving disaster assistance following a major disaster declaration."], "subsections": []}, {"section_title": "Declaration Process for Major Disaster Declarations", "paragraphs": ["After a disaster, tribal chief executives may request federal assistance, if the disaster is of such severity and magnitude that effective response is beyond the capabilities of the affected tribal government and federal assistance is necessary. Tribes may make a request for assistance as a direct recipient, or they may join a state\u2019s request as a sub-recipient.", "Similar to the state request process, FEMA Regional Administrators evaluate the tribe\u2019s request and make a recommendation to FEMA headquarters. The FEMA Administrator then sends the recommendation to the President for a final decision as to whether the tribe\u2019s, or a state\u2019s, request for a major disaster declaration should be approved or denied. Figure 2 illustrates the process tribes follow to make a direct request or join a state\u2019s request."], "subsections": []}, {"section_title": "Federal Disaster Assistance Available to Tribes Following a Major Disaster Declaration", "paragraphs": ["When a major disaster is declared, FEMA provides disaster assistance for eligible disaster recovery projects through the Disaster Relief Fund (DRF). The three types of post-disaster grants, through the DRF, that state governors or tribal chief executives may request are: (1) Public Assistance (PA), which provides grants for eligible emergency work and repairs or restoration to infrastructure. (2) Individual Assistance (IA), which provides assistance to individuals and households to meet their sustenance, shelter, and medical needs. (3) Hazard Mitigation Grant Program (HMGP), which provides grants for eligible projects to reduce the potential for future damage."], "subsections": []}, {"section_title": "Tribal Requests for Major Disaster Declarations from 2013 through 2016", "paragraphs": ["According to FEMA data, between 2013 and 2016, 36 tribes made requests for disaster assistance as a direct recipient or by joining a state\u2019s request. Of those 36 tribes:", "Fifteen tribes made a total of 17 direct requests to the U.S. President through FEMA for major disaster declarations.", "Eight of these requests were approved across 7 tribes. From 2013 through 2016, the Pueblo of Santa Clara, New Mexico was the only tribe approved for two major disaster declarations for severe storms and flooding in 2013.", "The remaining 9 direct requests were denied across 9 tribes.", "Twenty-nine tribes were sub-recipients under 36 state major disaster declaration requests.", "Eight tribes made a direct request and also joined at least one state request for a major disaster declaration.", "Figure 3 below shows the types of state requests tribes joined as well as the direct tribal requests that were approved and denied between 2013 and 2016. See appendix II for background information on the 36 tribes that made requests for disaster assistance and those that received pre- disaster grants during the study period."], "subsections": []}]}, {"section_title": "Tribes Considered Sovereignty, Finances, FEMA Support, and Emergency Management Capacity When Deciding How to Request a Disaster Declaration", "paragraphs": ["Officials from the tribes that responded to our survey and those we interviewed reported that there are several factors they took into consideration when deciding whether to make a direct request or to join a state\u2019s request for a disaster declaration, during the 2013 to 2016 period. On the basis of the cumulative responses from these officials, we found that tribal sovereignty, financial matters, FEMA support, and the tribe\u2019s emergency management capacity were key factors in their decision- making process. As shown in figure 4, the 23 survey respondents fall into three subsets, which totals 29 direct and state requests made by the survey respondents."], "subsections": [{"section_title": "Tribal Sovereignty and Government-to- Government Relationship", "paragraphs": ["Nine of 10 survey respondents that made at least one direct request during the 2013 to 2016 period reported that tribal sovereignty was a major factor they considered when making a direct request. Two survey respondents reported that the new authority is of strategic importance for tribal sovereignty because they are no longer required to join a state\u2019s request when seeking a major disaster declaration. For example, in instances where the state\u2019s request for a major disaster declaration has been denied, tribes now have the option to request disaster assistance directly as a result of this new authority.", "This factor was also of practical importance for tribes with reservations located in more than one state or county. During our site visit interviews, officials from one tribe said it was a challenge to manage multiple state bureaucracies when the reservation spans multiple states. In some cases, portions of a reservation may not receive disaster assistance if one state\u2014or county\u2014did not request or receive a major disaster declaration. Officials from 5 tribes we visited said they prefer making direct requests because of the government-to-government relationship with the United States, and because working through the state as an intermediary impinged on their sovereignty. An official from one small rural tribe said that the tribe currently does not have the capacity to make a direct request but is taking the steps to do so in the future because it is important to their tribal sovereignty."], "subsections": []}, {"section_title": "Financial Considerations", "paragraphs": ["Tribal officials responding to our survey and interview questions reported that the potential to receive additional assistance from states to pay the non-federal cost share might influence them to join a state\u2019s request. Conversely, the timeliness of reimbursement and the potential to receive administrative costs and HMGP grants might be factors in deciding to make a direct request.", "Eight out of 13 respondents that received disaster assistance only as a sub-recipient of a state reported that they had concerns about paying the required nonfederal cost-share. When managing disaster assistance grants as a direct recipient, a tribal government is solely responsible for the entire nonfederal cost share. On the other hand, if the tribe is a sub- recipient to a state request, the tribe may have a lighter financial burden since several states offer partial or full nonfederal cost share assistance to their local and tribal sub-recipients. For example, officials from one tribe said that there is a strong financial incentive to join a state\u2019s request because the state reimburses the tribal government\u2019s half of the cost share.", "In addition, some tribes may face financial hardship with the startup cost for recovery projects because PA and HMGP are reimbursement programs. For example, one tribal official said that it is especially difficult for small, rural, non-gaming tribes to find the financial capital to initiate recovery and hazard mitigation projects. While some tribes may have the money set aside for this purpose or may be able to secure loans to begin projects like the one illustrated in figure 5, other tribes are unable to start certain internal processes until the FEMA funds have been obligated. At a minimum, recipients have to present a scope of work before they can receive funds, the preparation of which usually requires the services of engineers or other technical experts. Therefore, the timeliness of the reimbursements, especially when the tribe is a sub- recipient under a state request, can result in financial challenges. For example, one tribal official we interviewed said that it takes much longer, on average, to request and receive reimbursement for recovery projects when the tribe has to submit the request through the state. Conversely, the official noted that reimbursement processes are typically much quicker when working directly with FEMA.", "During our site visit interviews, officials from one tribe told us that they prefer to make direct requests so they could receive HMGP funds to make decisions about the hazard mitigation projects on their reservation. Generally, as a direct recipient, a state or tribe will receive HMGP funding based on a percentage, usually 15 percent, of the total amount of PA and IA funds received for the disaster recovery. HMGP funds can be used for eligible hazard mitigation projects or to create or renew hazard mitigation plans. Under a state declaration, the state receives these funds and can, at its discretion, use them anywhere within its boundaries for eligible projects. According to officials from one tribe, they can ensure they receive the total amount of HMGP funds to use on hazard mitigation projects within their own jurisdiction when they are a direct recipient."], "subsections": []}, {"section_title": "FEMA\u2019s Policies, Guidance, and Technical Assistance", "paragraphs": ["Tribal officials\u2019 confidence in the level of support they expected to receive from FEMA influenced their decision whether to make a direct request or to join a state. Specifically, in response to our survey, tribes that made direct requests largely reported that they believed FEMA\u2019s policies and requirements would be clear enough for them to effectively navigate the processes and that timely and accurate information would be available. In contrast, multiple tribes that decided to join a state\u2019s request reported that their concerns in those areas influenced their decisions to join a state\u2019s request."], "subsections": [{"section_title": "FEMA Policies and Guidance", "paragraphs": ["Eight of the 10 tribes responding to our survey that requested a direct disaster declaration during the 2013 to 2016 period stated that the clarity of policy and guidance was a factor (five called it a major factor and three deemed it minor) in their decision making. Conversely, eight of the 13 tribes that only joined a state request reported that concern about FEMA\u2019s policies and requirements being clear enough to seek a direct request was a factor in their decision to join a state request.", "During our site visit interviews, officials from 2 tribes discussed challenges they have experienced with FEMA\u2019s policies and requirements for estimating IA-related damages. Applicants for IA, including owners and renters, must be able to prove they occupied the damaged dwelling, pre-disaster, as their primary residence before receiving assistance. However, according to tribal officials, many homeowners on reservations do not possess formal deeds to their home or do not carry insurance, making it difficult for FEMA to ensure that potential recipients of the IA funds meet the requirements of the program. According to FEMA officials, the agency has attempted to be flexible during the pilot phase of the tribal declarations program. For example, FEMA officials in one region told us that they would accept a tribal government\u2019s declaration of home ownership in lieu of a formal deed. FEMA officials told us they will continue to evaluate how issues of homeownership will be adjudicated.", "In addition, during our site visit interviews, officials from 3 tribes discussed various types of difficulty with completing and maintaining the paperwork associated with recovery projects. For example, officials from a tribe stated that they are not equipped to manage and comply with processes such as permit requirements or federal procurement procedures and as a result are currently seeking to hire a full time emergency manager. Throughout the life of a major disaster declaration, tribal officials are required to maintain paperwork to document the recovery projects, which can require both physical and electronic recordkeeping systems, space, time, and expertise. For example, figure 6 below shows an example of the volume of paperwork needed to support and close out the recovery projects associated with a landslide in Washington State, according to the tribal and state officials involved.", "Nine of 10 tribes responding to our survey that were awarded a direct disaster declaration reported that a factor (six major and three minor) in their decision making was their determination that the availability of timely and accurate assistance from FEMA would help them successfully manage the request process. For tribes that only joined state requests, fewer tribes reported that concerns about receiving timely and accurate technical assistance affected their decisions than those that had concerns about the clarity of FEMA\u2019s policy and guidance. Four of the 13 total tribes that only joined a state declaration cited concerns about having access to technical assistance as a factor (one called it a major and three deemed it minor).", "Damage Assessments After a disaster occurs, the first step in the declaration process is for the tribe to conduct an assessment of the impacts of the disaster to determine if there are needs that cannot be addressed with tribal resources or through insurance. Using this assessment\u2014known as an initial damage assessment\u2013-a tribal government can determine what, if any, needs or damages are eligible for FEMA disaster assistance. If a tribe determines that such needs or damages are beyond its capabilities to address with its own resources or insurance, the next step is to request a Joint Preliminary Damage Assessment (Joint PDA) from their FEMA Regional Administrator so that FEMA and the tribe can go through a process of reaching agreement about what damages and needs are eligible.", "According to FEMA officials, the agency has assigned staff as dedicated Regional Tribal Liaisons (RTL) in all FEMA regional offices. RTLs help tribes maintain awareness of various program requirements, including those for conducting damage assessments and submitting requests for major disaster declarations. RTLs accomplish this role by connecting tribes with FEMA subject matter experts, who help tribes navigate the major disaster declaration processes and programs. During our site visit interviews, officials from 5 tribes we interviewed discussed the importance of having a good working relationship with FEMA regional officials. Some of the steps FEMA has taken to provide technical assistance to tribes are discussed further below."], "subsections": []}]}, {"section_title": "Tribes\u2019 Emergency Management Capacity", "paragraphs": ["Tribal officials\u2019 confidence in the tribe\u2019s capacity to manage the major disaster declaration process and subsequently administer the recovery without assistance from a state was a key factor in determining whether or not to seek a request directly or join a state request.", "Tribes, like states, have to carry out specific tasks and meet eligibility requirements to be able to make a direct request and manage the recovery processes for a major disaster declaration, as shown in figure 7. While states have had decades to develop the emergency management capacity needed to request and administer federal disaster assistance, tribes have had the opportunity to apply directly for federal disaster assistance since the passage of SRIA in 2013. Developing and maintaining such a capacity requires, among other things, having in- house knowledge or the ability to contract for (or otherwise access) specialized expertise to navigate through complex planning and processes.", "Multiple officials from tribes we interviewed and surveyed reported challenges building and maintaining emergency management capacity that affected their ability to make direct requests for, and manage the recovery effort associated with, a major disaster declaration.", "Specifically, 9 of 10 tribes responding to our survey that made a direct request said determining that their tribes had the emergency management capacity to successfully manage the major disaster declaration request process was a factor (6 identified it as minor, 3 as major). Conversely, 7 of the 13 tribes responding to our survey that only joined a state request said determining that they did not have the emergency management capacity to successfully manage the major disaster declaration request process was a factor in their decisions (4 identified as major, 3 as minor). As with the capacity to handle the declaration process, determining whether the tribe had the capacity to manage the recovery process, as illustrated in figure 7, also affected decision making. Officials from one tribe we interviewed who had not made direct requests told us that unless they have the emergency management capacity to manage both the request and the recovery process, they plan to continue joining states\u2019 requests whenever possible.", "Tribal Hazard Mitigation Plan A Tribal Hazard Mitigation Plan describes sustained actions that may be taken by the tribal government to reduce or eliminate the long-term risk of future damage to human life and property from hazards. When making a direct request for a major disaster declaration, a tribal government must have a Federal Emergency Management Agency (FEMA)- approved Tribal Mitigation Plan that meets the requirements in 44 C.F.R. \u00a7 201.7 before receiving FEMA disaster assistance funds under certain programs. If electing to be a sub-recipient under a state\u2019s major disaster declaration request, the tribal government may be eligible to receive disaster assistance funds through the state without having a Tribal Mitigation Plan.", "A tribal emergency management consultant who works with several tribes in one of the areas where we conducted site visits told us that the lack of a FEMA-approved tribal hazard mitigation plan limits the ability of many of these tribes to receive disaster funding. A hazard mitigation plan is required prior to a recipient being able to receive PA permanent work or HMGP. As of December 2017, 143 out of 567 tribes had a FEMA- approved Tribal Mitigation Plan, according to FEMA. In addition, the consultant reported that some tribes also lacked a designated emergency manager and hiring one may be unaffordable or in some cases, the applicants lack qualifications. For another tribe, the designated emergency manager had several job titles, including the tribe\u2019s first responder and fire chief, which the official said makes it difficult to dedicate the time required to hone the skills necessary to manage the FEMA declaration processes. The official recounted an attempt to develop a hazard mitigation plan that at the time of our interview was still incomplete due, in part, to the complexity of the FEMA guidelines. In such cases, tribes may need to hire a specialist to assist with this administrative requirement, but may not have the budget to do so.", "Another challenge tribal officials identified is that tribes face barriers to accessing federal pre-disaster funding that could help them build capacity to manage post-disaster grants following a successful declaration request. During our site visit interviews, officials from two tribes told us they have considered seeking federal grant opportunities to help enhance emergency management capacity, but the eligibility requirements, such as the requirement to be near designated critical infrastructure or within 100 miles of the border, for the tribal homeland security grants program precluded them from applying. They also said that they have received few, if any, state homeland security grant funds from states.", "EMPG pays for salaries and is the primary source of support for developing and maintaining the requisite emergency management expertise. According to the FEMA and tribal officials we spoke with, as well as grant data provided by FEMA, tribes receive relatively low amounts of EMPG funding (see table 1 below) through the states. Tribes are not eligible to apply directly to FEMA for EMPG funds. In addition, according to tribal officials, when tribes apply to states for EMPG funds, the states can impose conditions that impinge on tribal sovereignty. For example, one state requires tribes to waive their legal immunity and agree to follow state laws, which some tribal officials viewed as contradictory to their sovereignty. As a result, these officials said they choose not to apply for these grants through the states and have never received EMPG funds.", "FEMA officials acknowledged that tribes face challenges getting federal grant funds to help them enhance their emergency management capacity. According to the officials there are statutory, policy, and budget considerations that limit their ability to make significant changes in the way such grant funds are distributed. However, they told us that they continue to work under their current authorities to assist tribes that seek to develop and maintain their emergency management capacity, primarily through training and technical assistance, as described later in this report."], "subsections": []}]}, {"section_title": "FEMA Has Created Pilot Guidance for Tribes and Offers Training and Technical Assistance on Directly Requesting Disaster Declarations", "paragraphs": ["Since the passage of SRIA in 2013, FEMA has implemented various policies tailored to tribes that wish to make a direct request to the President, through FEMA, for federal disaster assistance. In December 2013, FEMA issued a policy regarding coordination with tribal governments. As part of this policy, FEMA committed to consulting tribal governments before taking proposed actions that would have a substantial direct effect on tribes. In addition, the policy recognized the tribes\u2019 rights to self-governance and tribal sovereignty.", "Since 2013, according to FEMA officials, the agency has provided multiple opportunities through Federal Register notices and ongoing consultations for input into the development of the guidance that currently governs the tribal request process for major disaster declarations. Specifically, FEMA reported that it is implementing this authority in three phases: (1) use of existing regulations, (2) pilot period, and (3) rulemaking. During phase 1, from 2013-2016, FEMA processed tribal declaration requests using existing state declaration regulations in order to allow tribal governments the choice to use the new authority immediately and to provide time for consultation on drafts of the Tribal Declarations Pilot Guidance.", "In January 2016, FEMA published a draft of the Tribal Declarations Pilot Guidance and requested comments on the draft guidance through April 2016. Based on feedback received, FEMA issued a final version of the guidance, with which it will manage tribal declaration requests during the pilot phase, in January 2017. The publication of this guidance in January 2017 officially started phase 2, the pilot phase, of the tribal declarations implementation.", "FEMA officials told us that, before beginning the development of regulations on tribal disaster declarations, they intend to operate under the pilot guidance for at least 2 years. They noted that they cannot specify an exact date on which they expect to finalize the guidance because there is uncertainty about what kind of disasters will strike and where.", "According to officials, they have identified data they would like to collect to assess the guidance before finalizing it. Among other things, they said they plan to do economic analyses using quantitative data such as the types of disaster assistance requests from tribes (PA, IA, and HMGP) and the amount of funding allocated to tribes. In addition, these officials said they plan to conduct focus groups with tribal officials to learn more about how the disaster declaration policies and guidance have worked for tribal governments that used them. In the meantime, according to these officials, their aim is to be as flexible as possible while maintaining consistency with other relevant disaster regulations, so that they can respond to any unique challenges that arise in implementing this new authority.", "In addition to assessing how the pilot is working for tribes, FEMA has developed and implemented training to help tribes understand the disaster declaration process and provided technical assistance to tribes as needed, prior to, during, and after disasters. FEMA has offered training opportunities at the Emergency Management Institute in Emmitsburg, Maryland, and has hosted regional training workshops and consultations throughout the country. According to tribal officials, these training courses have helped increase tribes\u2019 emergency management expertise. One of the offerings, Tribal Declarations Pilot Guidance, was a 1-hour briefing offered in multiple locations and provided to dozens of tribes and other government agencies. In addition, FEMA has RTLs in each regional office that are a primary point of contact for tribal governments that have questions or require technical assistance on FEMA programs. Officials from one tribe we visited told us they believe the technical assistance they received from a FEMA RTL was timely and thorough. These officials said the tribe contacted FEMA for assistance following the Tribal Council\u2019s decision to declare a state of emergency on the reservation. According to the tribal officials, a fire had started on a Sunday and the FEMA team was on-site at the reservation by Wednesday to conduct a joint preliminary damage assessment with tribal officials. The officials also said they were impressed with FEMA\u2019s quick response on the damage assessment results, which they received within a week. The tribe did not ultimately request a major disaster declaration because the damage assessment fell short of the minimum damage amount at that time. However, officials from the tribe said the experience they gained was helpful for the tribe\u2019s emergency management staff and that they are now confident they will be able to conduct an initial damage assessment should a future disaster occur."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Department of Homeland Security and FEMA for review and comment. They provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (404) 679-1875 or curriec@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this study were to examine (1) the factors that influence selected tribes\u2019 decisions about how to seek federal assistance through a major disaster declaration and (2) the actions the Federal Emergency Management Agency (FEMA) is taking to assist tribal efforts to request and manage disaster declarations.", "To report on the factors that tribes consider when seeking federal disaster assistance, we reviewed FEMA\u2019s pilot guidance for tribal disaster declarations that was published in January 2017 and discussed the program\u2019s pilot plans with key agency officials. We also interviewed officials from two national tribal organizations (the National Congress of American Indians and the National Tribal Emergency Management Council) and FEMA to develop a preliminary list of potential factors that may influence a tribe\u2019s decision to make a direct request or to join a state\u2019s request as a sub-recipient. Using these factors, we developed a survey with both closed and open-ended questions. To minimize non- response error, we pre-tested the survey instrument with officials from two tribes in FEMA Regions VI and X (see figure 1) to ensure the questions were clear and unbiased and that the survey questions were culturally appropriate. We also consulted tribal officials during a FEMA training course and held additional interviews with officials from tribal organizations to ensure that the questions were clear, understandable, and appropriate. An independent reviewer within our agency also reviewed a draft of the survey prior to the pre-tests. We made appropriate revisions to the content and format of the questionnaire based on the pretests and independent review.", "We sent our survey to the 36 tribal governments that either (1) received declaration funds through a direct request, (2) received declaration funds as a sub-recipient of a state\u2019s request, or (3) made a direct request that was denied between January 2013 and December 2016.The time period we chose coincides with the year SRIA was enacted to the most recent calendar year in which a full year of data on major disaster declarations was available when we began this work. Using e-mail addresses provided by FEMA Regional offices, we emailed the survey in an attached document that respondents could complete electronically or by hand and return via email or mail. We sent an invitation letter to the tribes on July 12, 2017, informing them of the purpose of the survey and the date it would be sent. We then sent the survey on July 18, 2017 and began soliciting survey responses from August 7, 2017 until January 12, 2018, by phone and email. We received completed surveys from 23 of the 36 tribes in the target population. We compared selected characteristics of the tribes responding to the survey with the same characteristics of the 36 tribes in the target population, as well as the completion of individual questions, and did not find a nonresponse bias. The final survey questionnaire is in appendix III.", "To complement the survey responses, we conducted site visits to 7 tribes selected from among the 23 tribes that responded to our survey. The objectives of these site visits were to obtain added information from the tribal officials regarding the factors influencing their disaster declaration decisions during this period. We also observed recent disaster damage; ongoing recovery projects; and aspects of each tribe\u2019s emergency management capability. We selected these various sites so that, as a set, they included a mixture of tribes that had participated in direct declarations; in state declarations as a sub-recipient; participated in declarations that were granted and denied; and were located in different FEMA regions. The selected tribes are located in Arizona, New Mexico, Washington, and Idaho, representing FEMA Regions VI, VIII, IX, and X. During our site visits, we interviewed tribal executives and emergency management officials and toured completed projects. Although the information gathered from our survey and site visits cannot be generalized across the tribes, our observations and the tribal officials\u2019 responses underscored the uniqueness of each tribe and each disaster, as well as offering important details regarding the opportunities and challenges for tribes under this new authority.", "To report on related FEMA grant funds obligated from 2013 through 2016, we collected data regarding the Homeland Security Grant Program, Tribal Homeland Security Grant Program, Emergency Management Performance Grant, and the Pre Disaster Mitigation grant data from FEMA Grants Program Division officials. We selected these programs because they provide pre-disaster grant funds to states and tribes that are, in part, intended to enhance grantees emergency management capacity. To assess the reliability of these data, we performed electronic data testing for obvious errors in accuracy and completeness, and interviewed agency officials knowledgeable about the collection and processing of these data. We determined these data to be sufficiently reliable for the purposes of reporting FEMA\u2019s awards of these grant funds.", "To address the second objective, we reviewed federal documentation\u2014 such as FEMA\u2019s Tribal Declarations Pilot Guidance, federal regulations and statutes governing the major disaster declaration process to see what actions FEMA has taken specifically related to tribe\u2019s requesting and managing major disaster declarations. We also reviewed disaster-related documentation provided by tribal governments and available on-line, including correspondence between tribes and FEMA, testimony statements, and additional documents that provided details of tribes\u2019 experiences requesting and managing major disaster declarations. In addition, we interviewed officials from the two aforementioned national tribal organizations to discuss any successes or challenges they were familiar with related to the new authority that allows tribes to request a major disaster declaration directly from the President of the United States. During our interviews with tribal organizations and tribal officials, we examined challenges related to implementing the new authority and carrying out the various requirements associated with requesting and managing a major disaster declaration.", "We also interviewed FEMA officials about the actions they had taken to help tribes make informed decisions about whether they would prefer to exercise the new authority. In addition, we interviewed FEMA officials about how they assisted tribes that were considering whether to exercise the new authority and how to do so, if desired, as well as what, if any, steps they had taken to address the challenges identified by tribes. For example, we discussed what actions FEMA has taken to assess the pilot program, offer training opportunities, and provide technical assistance to tribes that seek to enhance their emergency management capacity. We also attended a tribal emergency management conference in June 2017, attended a FEMA tribal emergency management training session in person in March 2017, and attended two FEMA-sponsored webinars designed specifically for tribal participants.", "We conducted this performance audit from October 2016 through May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Grant Funds Received by Tribes that Requested or Joined a State\u2019s Major Disaster Declaration, 2013-2016", "paragraphs": [], "subsections": [{"section_title": "Pre-Disaster Grant Programs", "paragraphs": ["State Homeland Security Program (SHSP) provides funding to support states\u2019 implementation of homeland security strategies to address the identified planning, organization, equipment, training, and exercise needs at the state and local levels to prevent, protect against, respond to, and recover from acts of terrorism and other catastrophic events.", "Tribal Homeland Security Grant Program (THSGP) provides funding to eligible tribes to strengthen their capacity to prevent, protect against, mitigate, respond to, and recover from potential terrorist attacks and other hazards.", "Emergency Management Performance Grant (EMPG) program provides funding to assist local, tribal, territorial, and state governments in enhancing and sustaining all-hazards emergency management capabilities.", "Pre-Disaster Mitigation (PDM) grant program provides funds to communities for hazard mitigation planning and the implementation of mitigation projects prior to a disaster event. Funding these plans and projects reduces overall risks to life and property and the future cost of recovering from a disaster event. The goal of the program is to reduce overall risk to the population and structures, while at the same time also reducing reliance on Federal funding from actual disaster declarations."], "subsections": []}, {"section_title": "Post-Disaster Grant Programs through a Major Disaster Declaration", "paragraphs": ["Individual Assistance (IA) provides financial assistance to individuals.", "Public Assistance (PA) provides financial assistance to jurisdictions for debris removal, emergency protective measures, and the restoration of disaster-damaged, publicly-owned facilities and the facilities of certain private nonprofit organizations, such as utilities.", "Hazard Mitigation Grant Program (HMGP) provides additional funds to assist communities in implementing long-term measures to help reduce the potential risk of future damages to facilities."], "subsections": []}]}, {"section_title": "Appendix III: GAO Survey to Tribes that Requested or Joined a State\u2019s Major Disaster Declaration, 2013-2016", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Kathryn Godfrey (Assistant Director), R. Denton Herring (Analyst-In-Charge), Pat Donahue, Dainia Lawes, and Claudia Rodriguez made key contributions to this report. In addition, Eric Hauswirth, Susan Hsu, Tracey King, Gary Malavenda, Jeff Malcolm, and Heidi Nielson also provided assistance."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-591", "url": "https://www.gao.gov/products/GAO-18-591", "title": "Native American Youth: Involvement in Justice Systems and Information on Grants to Help Address Juvenile Delinquency", "published_date": "2018-09-05T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Native American youth face unique challenges when it comes to their contact with justice systems. Research shows that risk factors such as high rates of poverty and substance abuse make them susceptible to being involved with justice systems at the federal, state and local, and tribal levels. GAO was asked to examine the extent of Native American youth involvement in justice systems, and federal grant programs that may help address Native American youth delinquency.", "This report examines (1) what available data show about the number and characteristics of Native American youth in federal, state and local, and tribal justice systems; and (2) federal discretionary grant programs that could help prevent or address delinquency among Native American youth, and tribal government and Native American organizations' access to those grants. GAO analyzed federal, state and local, and tribal arrest, adjudication, and confinement data from 2010 through 2016 (the most recent available) from DOJ and the Department of the Interior. GAO also analyzed DOJ and HHS grant program award documentation from fiscal years 2015 through 2017, and application information for a sample of the grant programs chosen based on the amount of funding awarded and other factors. GAO also interviewed officials from DOJ, HHS, and 10 tribal governments or Native American organizations chosen to include successful and unsuccessful applicants to the grant programs, among other things."]}, {"section_title": "What GAO Found", "paragraphs": ["GAO's analysis of available data found that the number of American Indian and Alaska Native (Native American) youth in federal and state and local justice systems declined across all phases of the justice process\u2014arrest, adjudication, and confinement\u2014from 2010 through 2016. During this period, state and local arrests of Native American youth declined by almost 40 percent from 18,295 in 2010 to 11,002 in 2016. The vast majority of Native American youth came into contact with state and local justice systems rather than the federal system.", "However, more Native American youth were involved in the federal system than their percentage in the nationwide population (1.6 percent). For example, of all youth arrested by federal entities during the period, 18 percent were Native American. According to Department of Justice (DOJ) officials, this is due to federal jurisdiction over certain crimes involving Native Americans. Comprehensive data on Native American youth involvement in tribal justice systems were not available for analysis. GAO's analysis showed several differences between Native American and non-Native American youth in the federal justice system. For example, the majority of Native American youths' involvement was for offenses against a person, such as assault and sex offenses. In contrast, the majority of non-Native American youths' involvement was for public order offenses (e.g., immigration violations) or drug or alcohol offenses. On the other hand, in state and local justice systems, the involvement of Native American and non-Native American youth showed many similarities, such as similar offenses for each group.", "DOJ and the Department of Health and Human Services (HHS) offered at least 122 discretionary grants and cooperative agreements (grant programs) from fiscal years 2015 through 2017 that could be used to address juvenile delinquency among Native American youth. DOJ and HHS made approximately $1.2 billion in first-year awards to grantees during the period, of which the agencies awarded approximately $207.7 million to tribal governments or Native American organizations. Officials from the agencies, tribal governments, and Native American organizations identified factors they believe affect success in applying for grant programs. For example, some tribal governments and Native American organizations found being able to call or meet with federal officials during the application process helpful but found that short application deadlines are a challenge."]}], "report": [{"section_title": "Letter", "paragraphs": ["American Indian and Alaska Native (Native American) youth face unique challenges when it comes to their contact with justice systems. According to recent reports and agency research, several risk factors make Native American youth susceptible to becoming involved with justice systems at the federal, state and local, and tribal levels. These risk factors include exposure to violence; substance abuse; poverty; limited job market skills; and tribal communities\u2019 limited funding for mental health, education, housing, and other services. Further, these reports and research note that tribal justice systems often lack resources and programming compared with federal and state and local justice systems, which may not have culturally appropriate programming to meet the needs of Native American youth.", "When a Native American youth enters the federal criminal justice system, the Department of Justice (DOJ) and Department of the Interior (DOI), among others, have responsibility for investigating and prosecuting his or her act of delinquency or crime. Additionally, federal agencies including DOJ and the Department of Health and Human Services (HHS) provide funding through grant programs that could be used to help prevent or address juvenile delinquency.", "Given the severity of the issues Native American youth face, there are questions about the percent of these youth in the justice systems, particularly at the federal level, and about the sufficiency of resources to address the risk factors that contribute to them becoming involved in the justice systems.", "You asked us to review information about Native American youth in the justice systems, including demographic information about these youth; federal grant programs that address Native American juvenile delinquency; and tribal access to these grant programs. This report addresses the following questions: 1. What do available data show about the number and characteristics of Native American youth in the federal, state and local, and tribal justice systems? 2. What discretionary grant programs do federal agencies fund that could help prevent or address delinquency among Native American youth, and to what extent do tribal governments and Native American organizations have access to them?", "For the purposes of this review, our discussion of Native American youth in federal, state and local, and tribal justice systems generally includes persons who (a) were under 18 years of age at the time of arrest, adjudication, or confinement; and (b) who were identified as Native American based on descriptions and definitions of the agency data sets we reviewed. As described in the report, each agency data set we reviewed used a different definition of Native American and agencies used different methods to identify youth as Native American for those data sets. Throughout the report, we use the term \u201cjuvenile\u201d when referencing justice systems and \u201cyouth\u201d in referring more generally to individuals under the age of 18 at the time of arrest or confinement. In addition, we use the term \u201cNative American\u201d to indicate both Alaska Native and American Indian individuals, including the youth in the data we reviewed. However, we use the term \u201cIndian\u201d in reference to definitions established by statute or law.", "To address the first objective, we obtained and analyzed record-level and summary data from federal agencies about federal, state and local, and tribal justice systems. Specifically, we obtained and analyzed data from five DOJ agencies and DOI\u2019s Bureau of Indian Affairs (BIA) for youth arrested, adjudicated, or admitted to a facility (confined) during calendar and fiscal years 2010 through 2016. The data described characteristics such as race, age, gender, type of offense, and the year the youth came into contact with the justice system. For purposes of our analysis, we included Native American youth as defined by each data source and identified by the agencies providing the data we reviewed. These data included some youth who may have been prosecuted as adults. In regard to type of offense, unless otherwise noted, we obtained and analyzed information about the lead or most serious offense associated with the youth who came into contact with the justice system, which was generally identified in the data we obtained. We then grouped the offenses into five broad categories\u2014drug and alcohol, person, property, public order, and other. We assessed the reliability of the record-level and summary data by electronically testing the data and interviewing knowledgeable DOJ officials and determined that the data included in this report were sufficiently reliable for the purposes of our reporting objectives. We determined that some data related to arrests and sentencing either were not reliable for our purposes, contained information already provided by other data sources, or contained too few Native American youth observations to provide reliable, reportable information. These data are not included in our report.", "Additionally, we reviewed summary data in DOJ\u2019s Bureau of Justice Statistics (BJS) reports, such as the Jails in Indian Country report from 2016, to describe the number of Native American youth confined in tribal facilities. We assessed the reliability of the data we used from these reports by reviewing related documentation and interviewing knowledgeable BJS officials and determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "We also analyzed the representation of Native American youth involved with the federal justice system by comparing federal arrest, adjudication, and confinement data to information provided in response to the 2010 Decennial U.S. Census, and in U.S. Census estimates from 2011 through 2016. Similarly, we analyzed the representation of Native American youth involved with state and local justice systems by comparing state and local arrest and confinement data to U.S. Census information.", "Because there is no single, centralized data source that contains data for youth involved in all justice systems (federal, state and local, and tribal) and across all phases of the justice process (arrest, adjudication, and confinement), it is not possible to track individuals through all phases of the justice process or identify the number of unique youth who have come into contact with the justice system. In addition, record-level data were not available for all phases of the justice process and for all justice systems. Further, data are not comparable across databases because databases vary in how they define Native American and how they determine whether youth are Native American.", "In addition, we collected perspectives from agency officials and officials from five selected Native American organizations regarding factors that might contribute to the data characteristics we observed. We selected these Native American organizations to include organizations whose mission and scope of work focus on Native American juvenile justice issues and that have a national or geographically-specific perspective. The views of these Native American organizations are not generalizable to all Native American organizations, but provide valuable insights.", "To address our second objective on federal discretionary grant programs that could help prevent and address delinquency among Native American youth, and tribal governments and Native American organizations\u2019 access to those programs, we analyzed relevant programs available for funding from fiscal years 2015 through 2017. For the purposes of the review, we define \u201ctribal governments\u201d as the governing bodies of federally recognized tribes. We define \u201cNative American organizations\u201d as organizations affiliated with federally recognized tribes, such as tribal colleges and universities, as well as non-tribal organizations that focus on serving American Indian and Alaska Native populations, such as urban Indian organizations. To identify these grant programs, we conducted a keyword search of \u201cyouth or juvenile\u201d in Grants.gov\u2014an online repository that houses information on over 1,000 different grant programs across federal grant-making agencies. We focused on discretionary grants and cooperative agreements (collectively referred to as grant programs throughout our report) in this review because federal agencies generally award discretionary grants and cooperative agreements based on a competitive review process, whereas agencies are generally required by statute to award other types of grants to specific entities, typically U.S. state, local, and territorial governments. We did not include other programs or sources of funding that could help prevent and address delinquency among Native American youth in our review.", "We reviewed the search results of the three agencies with the highest number of grant program matches\u2014DOI, DOJ, and HHS. We selected programs whose activities related to the risk or protective factors discussed in the Office of Juvenile Justice and Delinquency Prevention\u2019s (OJJDP) Tribal Youth in the Juvenile Justice System literature review. We also worked with DOI, DOJ, and HHS officials to identify any additional relevant grant programs and confirmed our final list of grant programs with agency officials. Despite these steps, it is possible that our analysis did not identify all relevant grant programs.", "We next reviewed the funding opportunity announcements of our selected grant programs to determine which ones specified tribes or Native Americans as a primary beneficiary and which did not. We also categorized each program into one or more issue areas (e.g., violence or trauma, substance abuse, mentoring) using the risk and protective factors discussed in the OJJDP Tribal Youth in the Juvenile Justice System literature review as the basis for our issue area determinations.", "To determine the extent to which tribal governments and Native American organizations had access to the grant programs we identified, we reviewed the eligibility factors and award data. Specifically, we reviewed the grant program funding opportunity announcements to determine whether tribal governments or Native American organizations were eligible to apply. We also analyzed fiscal year 2015 through 2017 award data for every grant program we identified to determine the extent to which tribal governments and Native American organizations received funding. We also reviewed a non-generalizable sample of applications selected to include applications to grant programs that funded a relatively high estimated amount of awards or that specified tribes or Native Americans as a primary beneficiary to determine the extent to which tribal governments or Native American organizations applied for grant programs we identified. We assessed the reliability of the data we used by questioning knowledgeable officials and determined that the data were sufficiently reliable for the purposes of our reporting.", "To understand factors that affect the ability of tribal governments and Native American organizations to apply successfully for the grant programs we identified, we interviewed DOJ and HHS officials, as well as officials from a nongeneralizable sample of 10 tribal governments and Native American organizations that applied for or received funding from these grant programs and analyzed their responses to identify common themes. We selected our sample to include tribal governments and Native American organizations that received multiple awards for grant programs we identified, and that applied unsuccessfully multiple times to grant programs we reviewed, among other characteristics. We also analyzed a nongeneralizable sample of peer review statements from unsuccessful applications to understand why tribal governments and Native American organizations were unsuccessful in applying for some of the grant programs we identified. The information we obtained from the officials and peer review statements cannot be generalized more broadly to tribal governments and Native American organizations or the applications they submit unsuccessfully for federal funding. However, the information provides insights into the challenges these entities face in applying for federal funding that could help prevent or address delinquency among Native American youth, as well as some of the common weaknesses identified in unsuccessful applications from these entities. For further information on our scope and methodology, see appendix I.", "We conducted this performance audit from November 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Native American Population and Indian Country", "paragraphs": ["Over 4 million people in the United States identified as Native American based on 2016 United States Census estimates, of which 29 percent were youth. As of June 2018, there were 573 federally recognized Indian tribes. According to BIA, as of June 2018, there were approximately 497 Indian land areas in the United States administered as federal Indian reservations or other tribal lands (e.g., pueblos, villages, and communities). These land areas, which span more than 56 million acres and 37 states, and vary in size, can generally be referred to as Indian country. Indian country is in remote, rural locations, and also near urban areas. Native Americans live both inside and outside of these land areas, and Indian country may have a mixture of Native American and non- Native American residents. Jurisdiction over crime in Indian country differs according to several factors and affects how Native American youth become involved with justice systems, as discussed further below."], "subsections": []}, {"section_title": "Youth in State and Local, Federal, and Tribal Justice Systems", "paragraphs": ["Youth who commit offenses can enter one or more justice systems at the state and local, federal, and tribal levels. Although state and local, federal, and tribal justice systems have unique characteristics, they all generally proceed through certain phases, including arrest, prosecution and adjudication, and in some instances, placement and confinement in a detention facility.", "State and local. State and local justice systems have specific courts\u2013 often at the county or city level\u2013with jurisdiction over youth alleged to have committed an act of juvenile delinquency or a crime. This jurisdiction can be conferred by the state\u2019s laws and exercised by courts at the city, county, or municipal levels, and each state and local entity\u2019s processing of youth is unique. There are more than 2,400 courts across the country with juvenile jurisdiction, and a majority of these are at the city, county, or municipal, i.e., local, level. Generally, a youth is either referred to juvenile court or released. Juvenile courts handle two types of petitions: delinquency or waiver. A delinquency petition is the official charging document filed in juvenile court by the state. A juvenile\u2019s case may be dismissed, handled informally (without filing a petition for adjudication), or handled through adjudication by the court. In some more serious situations, the case can be handled by a criminal court. Juvenile cases that are handled informally or through adjudication can result in various outcomes, including probation, commitment to an institution or other residential facility, another sanction (e.g., community service), or dismissal.", "Federal. Unlike state systems, the federal justice system does not have a separate court with jurisdiction over juvenile cases. Youth that are proceeded against in federal court are generally adjudicated in a closed hearing before a U.S. district or magistrate judge and their cases are either declined or they can be adjudicated delinquent. Delinquent adjudications can result in outcomes such as probation, commitment to a correctional facility, or the requirement to pay restitution. Youth under the age of 18 who are confined in federal facilities, including Native American youth, are housed in juvenile facilities overseen by the Federal Bureau of Prisons (BOP), which contracts with other entities to manage those facilities.", "Tribal. Tribal justice systems vary. A number of tribes have tribal judicial systems, some with separate juvenile courts, and others rely on state courts or the federal system. As of April 2018, there were approximately 89 adult and juvenile jail facilities and detention centers in Indian country, according to BIA officials. In addition, DOI\u2019s BIA directly manages some facilities, called juvenile detention centers, on tribal lands."], "subsections": []}, {"section_title": "Jurisdiction of Federal, State, and Tribal Justice Entities Outside and Inside Indian Country", "paragraphs": ["Outside Indian country. A state generally has jurisdiction to proceed against a youth who has committed a crime or act of juvenile delinquency outside of Indian country. This jurisdiction is generally exercised in each state by local courts (e.g., at the county and city levels). Federal law limits federal jurisdiction over youth if a state has jurisdiction over the youth and has a system of programs and services adequate for their needs. Since the passage of the Juvenile Justice and Delinquency Prevention Act in 1974, federal law has reflected an intent to support state and local community-level programs for the prevention and treatment of juvenile delinquency, and to avoid referral of juvenile cases out of the state and local systems while balancing against the need to protect the public from violent offenders. Consistent with this, the Federal Juvenile Delinquency Code provides that a youth alleged to have committed an act of juvenile delinquency, with certain exceptions, will not fall under federal jurisdiction unless (1) the juvenile court or other appropriate court of a state does not have jurisdiction over the youth, (2) the state does not have available programs and services adequate for the needs of the youth, or (3) the offense charged is a violent felony or an enumerated offense involving controlled substances and there is a substantial federal interest in the case or the offense to warrant the exercise of federal jurisdiction.", "Inside Indian country. For both youth and adults, the exercise of criminal jurisdiction in Indian country depends on several factors. These factors include the nature of the crime, the status of the alleged offender and victim\u2014that is, whether they are Indian or not\u2014and whether jurisdiction has been conferred on a particular entity by statute. Additionally, the Federal Juvenile Delinquency Code generally applies to all juveniles alleged to have committed an act of juvenile delinquency, whether inside or outside Indian country. As a general principle, the federal government recognizes Indian tribes as \u201cdistinct, independent political communities\u201d that possess powers of self-government to regulate their \u201cinternal and social relations,\u201d which includes enacting substantive law over internal matters and enforcing that law in their own forums. The federal government, however, has authority to regulate or modify the powers of self-government that tribes otherwise possess, and has exercised this authority to establish jurisdiction over certain crimes in Indian country. For example, the Major Crimes Act, as amended, provides the federal government with criminal jurisdiction over Indians in Indian Country charged with serious, felony-level offenses enumerated in the statute, such as murder, manslaughter, kidnapping, burglary, and robbery. The General Crimes Act, the Major Crimes Act, and Public Law 280, which are broadly summarized in table 1, are the three federal laws central to the exercise of criminal jurisdiction in Indian country.", "The exercise of criminal jurisdiction by state governments in Indian country is generally limited to two instances: when both the alleged offender and victim are non-Indian, or when a federal statute confers, or authorizes, a state to assume criminal jurisdiction over Indians in Indian country. Otherwise, only the federal and tribal governments have jurisdiction in Indian country. Table 2 summarizes aspects of federal, state, and tribal jurisdiction over crimes committed in Indian country."], "subsections": []}, {"section_title": "Federal Agencies Responsible for Investigation, Prosecution, and Confinement of Youth within the Federal Justice System", "paragraphs": ["Federal agencies that come into contact with youth alleged to have committed an act of juvenile delinquency are to do so in accordance with the Federal Juvenile Delinquency Code. When a youth enters the federal justice system, several components within DOJ and DOI, among others, have responsibility for investigating and prosecuting his or her crimes. DOJ\u2019s Federal Bureau of Investigation (FBI) has investigative responsibilities, including in Indian country, where it works with tribes to investigate crime. The FBI refers criminal investigations to a United States Attorney\u2019s Office for prosecution. In the course of the federal criminal justice process, a U.S. attorney is involved in the process of investigating, charging, and prosecuting an offender, among other responsibilities. Under the direction of the Attorney General, the United States Attorney\u2019s Office may prosecute crimes committed in Indian country where federal jurisdiction exists, as discussed above.", "DOJ\u2019s U.S. Marshals Service (USMS) also has a role in the federal criminal justice process. Its mission areas include fugitive apprehension and federal prisoner security and transportation, among other responsibilities. USMS has arrest jurisdiction for enforcing the federal process anywhere in the United States, including Indian country.", "DOJ\u2019s BOP is responsible for the custody and care of federal inmates and offenders, including youth. BOP works in coordination with the federal courts to assist in locating a detention facility within the youth\u2019s jurisdiction, where possible. Figure 1 describes the key DOJ entities and their respective responsibilities related to the federal criminal justice process.", "Within DOI, BIA is statutorily responsible for enforcing not only federal law in Indian country but also tribal law, with the consent of the tribe. However, in certain situations, a tribe may assume this function from DOI pursuant to a self-determination contract or self-governance compact. BIA supports tribes in their efforts to ensure public safety and administer justice within Indian country through, for example, providing uniformed police and criminal investigative services for a number of tribes.", "Other agencies and departments with roles in the federal criminal justice process for youth include federal courts, the Administrative Office of the U.S. Courts, and the U.S. Sentencing Commission. Federal courts have the authority to decide cases and sentence offenders, among other things. The Administrative Office of the U.S. Courts provides a broad range of support services to the federal courts, which are responsible for adjudicating the cases of youth in the federal justice system. The U.S. Sentencing Commission is an independent judicial branch agency responsible for, among other things, collection, preparation, and dissemination of information on sentences imposed across federal courts."], "subsections": []}, {"section_title": "Data on Youth Involvement in Justice Systems", "paragraphs": ["There is no single, centralized data source that contains data for youth involved in all justice systems and across all phases of the justice process. Rather, there are several disparate data sources at each level (federal, state and local, or tribal) and phase (arrest, prosecution, and confinement). Further, while some agencies, such as USMS and BOP, share a unique identifier for an individual within the federal data sources, there is no unique identifier across all federal and state and local data sources. For purposes of this review, and given privacy concerns related to juvenile data, we were unable to track individuals across all phases of the federal justice system or identify the number of unique youth who came into contact with federal, state and local, or tribal justice systems.", "In addition to there being no single database that houses all relevant data on youth in the tribal, state and local, and federal justice systems, each database also varies in how it defines Native American, as well as how it determines whether youth are Native American for purposes of the data source. For example, some agencies define Native American broadly, as an individual having origins in any of the indigenous peoples of North America, including Alaska Natives. In contrast, DOJ\u2019s Executive Office for United States Attorneys (EOUSA), in its prosecution data, defines the term Indian based on statute and case law, which generally considers an Indian to have both a significant degree of Indian blood and a connection to a federally recognized tribe. In addition, BOP determines that a youth is Native American for purposes of its data by reviewing documentation including charging documents, while USMS relies on individuals self- reporting their race upon being taken into custody. See appendix II for additional information and descriptions of these differences."], "subsections": []}, {"section_title": "Federal Grant Programs That May Address Juvenile Delinquency", "paragraphs": ["Federal departments and agencies, including DOJ and HHS, provide funding through several types of mechanisms for Native American populations and tribal lands, including mandatory grant programs, compacts and contracts, discretionary grants, and cooperative agreements. As discussed above, our analysis focused on discretionary grants and cooperative agreements.", "Discretionary grants are competitive in nature, whereby the granting agency has discretion to choose one applicant over another. DOJ\u2019s Office of Justice Programs (OJP) awards discretionary grants to states, tribal organizations, territories, localities, and organizations to address a variety of issues, including to help prevent and reduce juvenile delinquency and victimization and improve their youth justice systems. DOJ also provides grant funding for training and technical assistance to enhance and support tribal governments\u2019 efforts to reduce crime and improve the function of criminal justice in Indian country. Cooperative agreements are similar to discretionary grants in that federal agencies generally award them to grantees based on merit and eligibility. However, in contrast to a discretionary grant, federal agencies generally use cooperative agreements when they anticipate that there will be substantial federal, programmatic involvement with the recipient during the performance of the financially-assisted activities, such as agency collaboration or participation in program activities."], "subsections": []}, {"section_title": "Task Force and Commission Reports Related to Native American Youth and Juvenile Justice", "paragraphs": ["Two reports focused on Native American youth exposure to violence and ways to address and mitigate the negative impact of this exposure when it occurs, as well as ways to develop knowledge and spread awareness about children\u2019s exposure to violence. In addition, both reports discussed factors that indicate Native American youth are uniquely positioned in regards to their contact with the justice systems, and included recommendations specific to Native American youth interaction with justice systems at the federal, state, and tribal levels. Appendix III describes actions agencies reported taking related to selected recommendations from these reports."], "subsections": []}]}, {"section_title": "Available Data Indicate Native American Youth Involvement in Justice Systems Declined from 2010 through 2016 and Differed in Some Ways from That of Non-Native American Youth", "paragraphs": ["From 2010 through 2016, the number of Native American youth involved with state and local and federal justice systems declined, according to our analysis of available data. This decline occurred across all phases of the justice process: arrest, adjudication, and confinement in facilities. The involvement of these Native American youth in the state and local and federal justice systems was also concentrated in certain geographic areas. Further, the vast majority of these Native American youth came into contact with state and local justice systems, not the federal system. Analysis of available data also indicates that the percent of Native American youth involved in the federal justice system during the period reviewed was greater than their representation in the nationwide youth population. In contrast, the percent of Native American youth involved in most state and local justice systems was similar to their representation in youth populations in those states. Moreover, the involvement of Native American and non-Native American youth in the federal justice system showed several differences (in types of offenses, for example), while their involvement in state and local justice systems showed several similarities.", "DOJ officials and representatives of Native American organizations we interviewed attributed the greater percent of Native American youth involved in the federal justice system and the differences shown by our analysis to federal government jurisdiction over crimes in Indian country, as well as the absence of general federal government jurisdiction over non-Native American youth."], "subsections": [{"section_title": "Involvement of Native American Youth in the Justice Systems Declined from 2010 through 2016", "paragraphs": ["The number of Native American youth involved with state and local and federal justice systems declined from 2010 through 2016 across all phases of the justice process\u2014arrest, adjudication, and confinement in facilities, according to our analysis of available data. The majority of Native American youth involved with state and local justice systems were located in 11 of the 50 states, and all Native American youth involved with the federal justice system were located in 5 of the 12 federal circuits. Further, most Native American youth were involved in state and local justice systems rather than in the federal system. Comprehensive data from tribal justice systems on the involvement of Native American youth were not available. However, we identified and reviewed a few data sources that provided certain insights about the arrest, adjudication, and confinement of Native American youth by tribal justice systems. See appendix IV for a summary of our analysis of data from these sources."], "subsections": [{"section_title": "Arrests", "paragraphs": ["State and local and federal. Analysis of available data indicates that from calendar years 2010 through 2016, there were 105,487 arrests of Native American youth by state and local law enforcement agencies (LEAs), and over this period, arrests generally declined by 40 percent. As shown in table 3, arrests declined from 18,295 in 2010 to 11,002 in 2016. During the same period, there were 246 federal custodies of Native American youth due to arrest by federal LEAs; the number of federal custodies also generally declined during the period\u2014from 60 in 2010 to 20 in 2016.", "According to available data, the majority (about 75 percent) of Native American youth arrested by state and local LEAs from calendar years 2010 through 2016 were located in 10 states: Alaska, Arizona, Minnesota, Montana, New Mexico, North Dakota, Oklahoma, South Dakota, Washington, and Wisconsin. All of these ten states had a higher than average percentage of Native Americans among the states\u2019 overall youth populations, according to 2016 U.S. Census estimates we reviewed. For example, of all the states Alaska had the largest percentage of Native Americans among its youth population, at 19 percent in 2016. In contrast, the percent of Native American youth in the youth population in many (26) states was less than 1 percent. In 2016, the largest number of arrests by state and local LEAs occurred in Arizona and South Dakota, as shown in figure 2.", "All Native American youth in federal custody with USMS due to a federal LEA arrest from fiscal years 2010 through 2016 were located in 4 of the 12 federal circuits\u2014the 2nd, 8th, 9th, and 10th circuits (see figure 3), according to our analysis of available data. These four circuits include 25 states.", "State and local. Available data show that from calendar year 2010 through calendar year 2014, state and local courts processed fewer cases involving Native American youth. For example, during the period, state and local courts received about 86,400 delinquency cases involving Native American youth, and the number of cases declined by about 19 percent from 19,200 in 2010 to 15,600 in 2014, as shown in table 4. The number of cases petitioned, or requested that a court adjudicate, and the number of cases adjudicated delinquent also declined, by about 20 percent and 26 percent, respectively. Among delinquency cases received during the period, state and local courts petitioned about half (49,000 cases, or 57 percent). Among all petitioned cases, about two-thirds (32,900 cases, or 67 percent) were adjudicated delinquent. Among youth found delinquent during the period, more than half\u201465 percent (21,300)\u2014received probation, 24 percent (7,800) were placed in an institution or other residential facility, and 12 percent (3,800) received some other sanction, such as community service.", "Federal. Available data show that federal courts received 349 Native American youth suspects from fiscal years 2010 through 2014 (see table 4, above), and the annual number fluctuated over the period but declined slightly overall (59 in 2010 compared to 57 in 2014). Of the suspects received, federal courts declined to adjudicate 138 and adjudicated 167 youth as delinquent or guilty. The number of delinquent or guilty outcomes declined overall from 37 in 2010 to 20 in 2014.", "According to analysis of available data, all Native American youth referred to a United States Attorney from fiscal years 2010 through 2014 were located in 4 of the 12 federal circuits\u2014the 6th, 8th, 9th, and 10th circuits, as shown in figure 4. These four circuits include 26 states. Annually, the number of referrals to each circuit was similar throughout the period.", "State and local. The number of Native American youth confined in state and local residential facilities declined by about 37 percent between 2011 and 2015, from at least 861 in 2011 to at least 544 in 2015, according to our analysis of data from the biennial Census of Juveniles in Residential Placement survey.", "The majority of Native American youth (approximately 65 percent) were confined in 9 states when the biennial survey was taken in 2011, 2013, and 2015. Generally, these states included Alaska, Arizona, Minnesota, Montana, North Dakota, Oklahoma, Oregon, South Dakota, and Washington (see figure 5 for 2015 census results). All of these states had a higher than average percentage of Native Americans among the states\u2019 overall youth population in 2015.", "Federal. From fiscal years 2010 through 2016, a total of 138 Native American youth who had been sentenced were admitted to juvenile facilities overseen by BOP; this number declined over the period from 37 in 2010 to 6 in 2016, according to our analysis of available data. Court proceedings for these individuals had been finalized and the individuals were sentenced to a juvenile facility overseen by BOP."], "subsections": []}, {"section_title": "Agency and Organization Perspectives", "paragraphs": ["DOJ officials and representatives from five Native American organizations we interviewed provided various perspectives on the decline and geographic distribution of Native American youth in justice systems that our analysis showed. Specifically, DOJ officials noted that the number of youth involved in state and local, federal, and tribal systems has been declining for several years across all races, not just Native American youth.", "However, when asked about this decline, representatives from three of the five Native American organizations we interviewed stated that data on the number of Native American youth in justice systems, especially at the state level, is underreported and often inconsistent. Representatives from two of those organizations noted that when a youth comes into contact with state juvenile justice systems, states are not required to ask about Native American status, which results in inconsistent tracking and underreporting of Native American youth involved with state systems. Representatives from one of these organizations, which provides assistance in national policy areas, noted that states are not required to contact a youth\u2019s identified tribe to confirm the youth\u2019s tribal affiliation. These representatives also noted that some states may inquire about tribal affiliation when youth come into contact with the state\u2019s justice system, but the states do not have a reliable process to identify Native American youth. In addition, these same representatives noted that Native American youth are often unlikely to share their ethnicity with state officials, or anyone outside of their community. Representatives from another organization noted that state court judges are not required to ask about Native American status, which could also potentially result in undercounting of Native American youth in state systems. Representatives from another organization which commented on the decline stated that because state and federal data only capture more serious offenses, lesser crimes handled at the tribal level often go unreported.", "Representatives from two of the organizations we interviewed did not question the decline in the number of Native American youth involved in federal and state and local systems, but noted that there has been a movement away from criminalizing youth in general. Rather, these representatives explained that there is more of a focus on restorative justice, diversion, and alternatives to incarceration, as well as a movement toward more trauma-informed care. Representatives from one of these two organizations noted that a number of states have worked out civil diversion agreements with local tribes, which provide opportunities for the tribe to practice restorative justice with delinquent youth instead of confining them.", "Regarding the distribution of Native American youth by state, representatives from four of the five organizations we interviewed noted that the number of youth involved with state justice systems is higher in those states with a larger Native American population, and thus were not surprised by the states our analysis showed to have the highest numbers of Native American youth involved in their state and local justice systems. These representatives also provided additional perspectives on why some states might have higher numbers of youth involved with their justice systems. For example, representatives from one organization noted that in certain states, not all tribes have tribal law enforcement, which could potentially lead to higher state involvement in Native American juvenile cases that might otherwise be handled by tribes. Representatives from another organization noted that some states have a reputation for more aggressively adjudicating delinquent Native American youth."], "subsections": []}]}, {"section_title": "Data Show that Representation of Native American Youth in the Federal Justice System Was Greater Than Their Representation in the Youth Population, but Their Representation in Most State and Local Justice Systems Was Comparable", "paragraphs": ["The percentage of youth who were Native American among those involved with the federal justice system from 2010 through 2016 was greater than the percent of Native American youth in the nationwide youth population, according to analysis of available data. In contrast, state-by- state analysis showed that the percent of youth who were Native American among those involved with state and local justice systems during the period was similar to many states\u2019 Native American youth population.", "Federal justice system. The percent of youth arrested, referred for adjudication, and confined at the federal level from 2010 through 2016 who were Native American (13 to 19 percent) was greater than the percent of Native Americans in the nationwide youth population during the same period (1.6 percent). For example, the percent of youth in USMS custody and arrested by federal LEAs during the period who were Native American was 18 percent (246 Native American youth out of 1,358 total youth arrested from fiscal years 2010 through 2016), as shown in table 5.", "According to DOJ officials, the federal juvenile population of Native Americans has historically been higher than their representation in the nationwide population due to federal government jurisdiction over certain crimes in Indian country, which requires the federal government to prosecute offenses that would commonly be prosecuted by states if committed outside of Indian country. According to DOJ officials, a small handful of federal criminal statutes apply to all juveniles, such as immigration and drug statutes, but the federal government has been granted greater jurisdiction over Native American youth than non-Native American youth by federal laws that apply to crimes committed in Indian Country, such as the Major Crimes Act. For example, one DOJ official noted that the Major Crimes Act gives the federal government exclusive jurisdiction over crimes such as burglary and sex offenses committed in Indian country. This differs from the treatment of non-Native American youth, who are not prosecuted in the federal system for the same types of offenses, because the federal government does not have jurisdiction over those youth for such offenses. Non-Native American youth are instead subject to the general juvenile delinquency jurisdiction of state and local courts. Further, DOJ officials stated that a significant portion of Indian country is in states where Public Law 280 does not apply, and thus the federal government generally has criminal jurisdiction for major crimes in Indian Country. Additionally, DOJ officials stated that tribal justice systems are often underfunded and do not have the capacity to handle Native American youths\u2019 cases. Therefore, when both federal and tribal justice systems have jurisdiction, they said that the federal system may be the only system in which the youth\u2019s case may be adjudicated. For these reasons, the number of Native American youth offenders in the federal justice system is disproportionate to non-Native American juveniles in accordance with population size, according to DOJ officials.", "State and local justice systems. State-by-state analysis of arrest data showed some variation in the percentage of Native Americans among youth arrested by state and local LEAs from calendar years 2010 through 2016. For example, as figure 6 illustrates, in most states, the percentage of youth arrested by state and local LEAs in 2016 who were Native American was similar to the percent of Native American youth in the states\u2019 population. However, in four states\u2014Alaska, Montana, North Dakota, and South Dakota\u2014the percentage of Native Americans among the youth arrested by state and local LEAs was at least 5 percentage points higher. In two states\u2014New Mexico and Oklahoma\u2014it was at least 4 percentage points lower.", "State-by-state analysis of state and local confinement data for 2015 showed a similar pattern. As figure 7 illustrates, in most states, the percent of youth confined at state and local facilities in 2015 who were Native American was similar to the percent of Native American youth in the states\u2019 population. However, six states\u2014Alaska, Minnesota, Montana, North Dakota, South Dakota, and Wyoming\u2014the percentage of Native Americans among the youth confined in state and local facilities was at least 5 percentage points higher. In one state\u2014New Mexico\u2014it was 11 percentage points lower.", "Agency and organization perspectives. According to DOJ officials, as noted above, federal jurisdiction over crimes in Indian country results in a higher percentage of Native American youth (compared to non-Native American youth) involved with the federal justice system. In addition, a DOJ official noted that that certain states may have a higher percentage of Native Americans among youth confined in that state\u2019s facilities if those Native American youth reside more in urban or other areas that are not Indian country, and are thus more likely subject to state and local jurisdiction. Conversely, the official said that for those states with lower Native American youth confined in state facilities compared to the Native American youth population in the state overall, the youth may reside more in Indian country, resulting in their contact with the federal judicial system more than the state or local justice systems.", "Representatives from four of the five Native American organizations we interviewed noted that federal jurisdiction is a key contributor to the higher percentage of Native American youth involved at the federal justice level."], "subsections": []}, {"section_title": "While Involvement Declined, Available Data Indicate Several Differences between Native American and Non- Native American Youth in the Federal Justice System", "paragraphs": ["Although the involvement of youth in the federal justice systems declined for both Native Americans and non-Native Americans from 2010 through 2016, analysis of available data indicates that there were several differences between the two groups in characteristics such as types of offenses charged. According to DOJ officials, some of these differences were due to federal jurisdiction over Indians for major crimes (such as person offenses) in Indian country as well as the absence of general federal government jurisdiction over non-Native American youth."], "subsections": [{"section_title": "Involvement in the Federal Justice System Declined for Both Groups", "paragraphs": ["Available data indicate that the involvement of youth in the different stages of the federal justice system declined for both Native Americans and non-Native Americans from fiscal years 2010 through 2016. For example, federal custodies due to arrests by federal LEAs declined for both groups, as shown in table 6; the number of suspects referred to federal courts declined for both groups (table 7); and BOP confinements declined for both groups (table 8).", "Native American and non-Native American youth were involved with the federal justice system for different offenses from fiscal years 2010 through 2016. We analyzed the types of offenses for all youth and grouped them into five broad categories\u2014drug and alcohol, person, property, public order, and other. Analysis of available data indicates that the majority of Native American youth were involved with the federal justice system for offenses against a person. In contrast, the majority of involvement of non-Native American youth was due to public order or drug and alcohol offenses.", "Arrests. As figure 8 illustrates, out of the broad offense categories, 49 percent of Native American youth were arrested by a federal LEA and in USMS custody due to an offense against a person. In contrast, 5 percent of non-Native American youth were arrested by a federal LEA for person offenses during the period. Instead, most non-Native American youth were arrested by a federal LEA for public order or drug and alcohol offenses (70 percent total for both). The top two specific offenses among Native American youth were assault and sex offenses; the top two specific offenses among non-Native Americans were drug-related and immigration violations, according to analysis of available data.", "Federal data include youth in USMS custody after a federal arrest but may not capture all arrests by federal law enforcement agencies. USMS uses the race category \u201cAmerican Indian or Alaskan Native\u201d and includes persons having origins in any of the indigenous peoples of North America, including Alaskan Natives. According to USMS officials, race is self- reported by the individual at the time of the custody intake. Non-Native American categories in USMS data are Asian, Black, and White.", "Referrals for adjudication. As figure 9 illustrates, most Native American youth referred to federal courts were referred for the broad category of offenses against a person (67 percent). However, most non-Native American youth were referred to federal courts for the broad categories of public order offenses or drug and alcohol offenses (44 and 31 percent, respectively). Among Native American youth, the top two specific offenses were sex offenses and assault. Among non-Native Americans, the top two specific offenses were drug-related and immigration violations.", "EOUSA defines the term Indian based on statute and case law, which generally considers an Indian to have both a significant degree of Indian blood and a connection to a federally recognized tribe. According to EOUSA officials, race is identified by the U.S. Attorney when reviewing documentation associated with the individual, such as tribal enrollment certifications.", "Confinement. As figure 10 illustrates, out of the five broad offense categories, 67 percent of Native American youth were sentenced and confined by the federal justice system from fiscal years 2010 through 2016 for an offense against a person; most non-Native American youth were confined by the federal justice system for drug and alcohol offenses (about 39 percent) or public order offenses (also 30 percent). The top two specific offenses among Native American youth were sex offenses and assault. The top two specific offenses among non-Native American youth were for drug-related and immigration violations.", "Agency and organization perspectives on variations in offenses. According to DOJ officials, the reason most Native American youth were arrested, adjudicated, and confined for person offenses was due to federal jurisdiction over Indians for major crimes (such as person offenses like burglary and sex offenses) in Indian country. Specifically, officials noted that Native American youth are arrested and confined in the federal system for more serious offenses because the Major Crimes Act confers jurisdiction on the federal government for person offenses. In contrast, agency officials also noted that the federal government does not have jurisdiction over the same types of offenses committed by non-Indian youth and therefore those youth cannot be arrested by federal agencies for person offenses. Rather, according to one DOJ official, the federal government only has general jurisdiction applying to both Native American and non-Native American youth in limited instances, such as for certain immigration and drug offenses. The jurisdictional structure present in Indian country requires the federal government to prosecute offenses that would otherwise be handled in state court outside of Indian country, according to DOJ officials.", "Representatives from all of the five Native American organizations we interviewed noted, similarly to DOJ officials, that federal jurisdiction over crimes in Indian country is typically for more serious offenses (specifically under the Major Crimes Act), such as person offenses. In contrast, as noted by one organization, youth engaged in property and substance abuse offenses are more typically brought into state custody. Two of the organizations\u2019 representatives we met with noted in addition that alcohol abuse plays a role in person offenses, often co-occurring with these offenses."], "subsections": []}, {"section_title": "Outcomes Varied among Youth Referred for Federal Adjudication", "paragraphs": ["The distribution of outcomes among youth who were referred to federal prosecutors for adjudication in federal courts between fiscal years 2010 and 2016 was different for Native American and non-Native American youth. For example, as figure 11 shows, a larger percentage of referrals for adjudication involving Native American youth were declined by federal prosecutors compared to non-Native American cases\u201436 percent among Native American youth compared to 12 percent among non-Native American. Further, a smaller percentage of Native American than non- Native American referrals resulted in delinquent or guilty outcomes\u201442 percent among Native American youth compared to 63 percent among non-Native American.", "Length of sentence. Native American youth who were sentenced and confined by the federal justice system\u2014in BOP\u2019s custody\u2014had longer sentences compared to non-Native American youth from fiscal years 2010 through 2016, according to analysis of available data. About half (52 percent) of the Native American youth confined during the period were sentenced for 13 to 36 months. Most non-Native American youth (62 percent) had shorter sentences of up to 12 months. According to DOJ officials, Native American youth had longer sentences due to federal government jurisdiction over major crimes in Indian country. As a result of its jurisdiction, officials said that the federal government arrests and incarcerates Native American youth for more serious crimes, such as sex offenses, which carry longer sentences. In contrast, non-Native American youth served sentences for crimes which carried shorter sentences, such as immigration and drug offenses, as noted above. The difference in sentence length may also be attributed to a number of additional variables that can affect the length of sentence, such as prior delinquent or criminal history and the nature and circumstances of the offense.", "Distance from residence. Among youth admitted and confined in the federal justice system from fiscal years 2010 through 2016, data show that Native American youth were in facilities closer to their residences or homes compared to non-Native American youth (see table 9). For example, on average, Native American youth who were under the supervision of the United States Probation Office were 296 miles closer to their residence or home compared to non-Native Americans. In addition, on average, Native American youth who were in BOP\u2019s custody were 175 miles closer to their residence compared to non-Native Americans. Further, among both groups and on average, youth under the supervision of the United States Probation Office were closer to their residence or home compared to youth who were in BOP\u2019s custody.", "Age category and gender of youth involved in the federal justice system from fiscal years 2010 through 2016 were similar among Native American and non-Native American youth. Specifically:", "Most youth arrested by federal LEAs and in USMS custody were male (89 and 91 percent, respectively) and 15 to 17 years old (86 and 92 percent, respectively).", "Most youth who came into contact with federal courts were 15 to 17 years old (80 and 88 percent, respectively).", "Most youth confined at federal facilities were male (89 and 96 percent, respectively) and 15 to 17 years old (93 and 99 percent, respectively)."], "subsections": []}]}, {"section_title": "Available Data Indicate That There Were Several Similarities between Native American and Non- Native American Youth in State and Local Justice Systems", "paragraphs": ["Analysis of available data indicates that there were several similarities between Native American and non-Native American youth involvement with state and local justice systems over the period analyzed."], "subsections": [{"section_title": "Involvement in State and Local Justice Systems Declined for Both Groups, but Extent of Decline Varied", "paragraphs": ["The involvement of both Native American and non-Native American youth in state and local justice systems declined for arrests, referrals for adjudication, and confinements in recent years (see tables 10 through 12). However, the extent of the decline varied between the two groups. For example, as the tables show, the declines in arrests and referrals for adjudication were greater for Native American youth, while the decline in confinements was greater for non-Native American youth.", "The distribution of offenses for youth involved in state and local justice systems in recent years was similar among Native American and non- Native American youth. As noted above, we analyzed the types of offenses for all youth and grouped them into five broad categories\u2014drug and alcohol, person, property, public order, and other.", "Arrests. Available data show that among youth arrested by state and local LEAs between calendar years 2010 through 2016, a similar percentage of Native American and non-Native American youth were arrested for the five broad offense category types. For example, as figure 12 illustrates, the largest percent of offenses among both groups during the period were in the broad category of offenses against property\u2014with 25 percent among Native American youth and 28 percent among non- Native American youth. The next most common broad category of offense for Native Americans arrested by state and local LEAs was drug and alcohol offenses (23 percent); a smaller percent of non-Native Americans were arrested for drug and alcohol offenses (16 percent). The top four specific offenses among Native American youth arrested by state and local LEAs during the period were larceny/theft, alcohol, assault, and status offenses. Similarly, the top four specific offenses among non- Native American youth during the period were larceny/theft, assault, status offenses, and drugs.", "Adjudication. Generally, the offenses associated with delinquency cases received by state and local courts between calendar years 2010 and 2014 were similar for both Native American and non-Native American youth, according to analysis of available data. The largest percentage of offenses among delinquency cases for both groups was for the broad offense category of property offenses (38 and 36 percent).", "Confinement. Generally, Native American and non-Native American youth adjudicated and confined at state and local facilities were admitted for similar offenses, according to our analysis of DOJ biennial census data from 2011, 2013, and 2015. As figure 13 illustrates, in 2015, a similar percentage of youth, for both groups, were confined due to three broad categories of offenses\u2014public order, person, and property. At least 29 percent and at most 32 percent of youth were confined for each category of offense. A much smaller percentage of youth, for both groups, were confined for the broad category of drug and alcohol offenses. Some of the most common specific offenses among both Native American and non-Native American youth in 2015 were assault, probation or parole violation, sex offenses, and burglary.", "The majority of Native American and non-Native American youth referred to state and local courts and confined at state and local facilities were male and 15 to 17 years old during the periods for which we obtained data. For example, table 13 illustrates the demographics of youth adjudicated and confined in state and local facilities.", "Outcomes of delinquency cases in state and local courts were generally similar for Native American youth and non-Native American youth between 2010 and 2014, according to analysis of available data. For example, more than half of all cases received by the courts for both groups were petitioned\u2014formally processed\u2014as table 14 illustrates.", "Facility types. Native American and non-Native American youth confined at state and local facilities were placed in similar types of facilities. As table 15 illustrates, the majority of youth for both groups were in private facilities at the time of DOJ\u2019s 2015 biennial census.", "Time of confinement. Native American and non-Native American youth at state and local facilities had similar characteristics for the length of time they had been confined at the time of the 2015 biennial census. As table 16 illustrates, the majority of youth, for both groups, had been confined for more than 120 days."], "subsections": []}]}]}, {"section_title": "DOJ and HHS Offered at Least 122 Grant Programs; Tribal Governments or Native American Organizations Were Eligible for Almost All but in a Sample of Applications We Reviewed, Applied Primarily for Programs Specifying Native Americans", "paragraphs": ["We identified 122 discretionary grant programs across several issue areas such as violence or trauma, justice system reform, and alcohol and substance abuse that DOJ and HHS offered from fiscal years 2015 through 2017 that grantees could use to help prevent or address delinquency among Native American youth. DOJ and HHS awarded approximately $1.2 billion in first year awards during this period, about $207.7 million of which they collectively awarded to tribal governments and Native American organizations. Tribal governments and Native American organizations were eligible for almost all of these grant programs, but we found in a sample we reviewed that they primarily applied for those that specified tribes or Native Americans as a primary beneficiary. Additionally, officials from selected tribal governments, Native American organizations, DOJ, and HHS stated that certain factors affect tribal governments and Native American organizations\u2019 ability to apply successfully for grant programs that awardees could use to help prevent or address delinquency among Native American youth."], "subsections": [{"section_title": "DOJ and HHS Offered at Least 122 Grant Programs That Could Be Used to Help Prevent or Address Delinquency among Native American Youth", "paragraphs": ["We identified 122 discretionary grants and cooperative agreements (grant programs) for which DOJ and HHS offered funding from fiscal years 2015 through 2017 that grantees could use to help prevent or address delinquency among Native American youth. See appendix V for a list of these programs. DOJ and HHS awarded approximately $1.2 billion in first-year awards to grantees through the 122 programs over the period, as shown in figure 14.", "Of the $1.2 billion, HHS and DOJ collectively awarded $207.7 million to tribal governments and Native American organizations. HHS awarded $106.5 million and DOJ awarded $101.2 million. As previously discussed, tribal governments and Native American organizations also received other federal funding that could help prevent or address delinquency among Native American youth.", "The DOJ and HHS grant programs we identified included 27 programs that specified tribes or Native Americans as a primary beneficiary and 95 programs that did not specify this but that could include tribes or Native Americans as beneficiaries. For example, the Cooperative Agreements for Tribal Behavioral Health, which HHS\u2019s Substance Abuse and Mental Health Services Administration (SAMHSA) offered in fiscal years 2016 and 2017, is a grant program that specified tribes or Native Americans as a primary beneficiary. Its purpose is to prevent and reduce suicidal behavior and substance use, reduce the impact of trauma, and promote mental health among Native American youth. On the other hand, the Sober Truth on Preventing Underage Drinking Act grant program, which SAMHSA offered in fiscal year 2016 to prevent and reduce alcohol use among youth and young adults, is an example of a program that did not specify tribes or Native Americans as a primary beneficiary but could nonetheless benefit them. As previously discussed, available data indicate that alcohol offenses constitute the second-highest specific offense for which Native American youth were arrested by state and local LEAs from calendar years 2010 through 2016.", "Within DOJ\u2019s OJP, an example of a grant program that specified tribes or Native Americans as a primary beneficiary is the Defending Childhood American Indian/Alaska Native Policy Initiative: Supporting Trauma- Informed Juvenile Justice Systems for Tribes program. This grant program was offered by OJP\u2019s Office of Juvenile Justice and Delinquency Prevention (OJJDP) for funding in fiscal year 2016. The goal of the grant program is to increase the capacity of federally recognized tribes\u2019 juvenile justice and related systems to improve the life outcomes of youth who are at risk or who are involved in the justice system and to reduce youth exposure to violence. Another grant program, the Youth with Sexual Behavior Problems Program, which OJJDP offered from fiscal years 2015 through 2017, is an example of a grant program that did not specify tribes or Native Americans as a primary beneficiary but that could nonetheless benefit them. As previously discussed, available data indicate that the second-highest specific offense for which Native American youth were arrested by federal LEAs from 2010 through 2016 was sex offenses. This grant program provided services for youth sexual offenders, their victims, and the parents and caregivers of the offending youth and victims.", "The 27 grant programs that specified tribes or Native Americans as a primary beneficiary awarded a total of $250.2 million over the fiscal year 2015 through 2017 period, while the 95 programs that did not were awarded $944.4 million (see fig.15).", "Of the 122 grant programs we identified, tribal governments and Native American organizations received funding primarily from the 27 grant programs that specified tribes or Native Americans as a primary beneficiary. Of the $250.2 million in awards from these 27 grant programs, tribal governments and Native American organizations received $193.2 million, or about 77 percent of the total. Alternatively, of the $944.4 million in awards from the 95 grant programs that did not specify tribes or Native Americans as a primary beneficiary, tribal governments and Native American organizations received $14.5 million, or 1.5 percent of the total.", "The 122 grant programs focused on one or more issue areas in their funding opportunity announcements relevant to helping prevent or address delinquency among Native American youth. The most common issue areas were violence or trauma (34 programs), justice system reform (25 programs), and alcohol and substance abuse (22 programs). Table 17 lists the issue areas and the number of DOJ and HHS grant programs that focus on each issue area.", "Violence or trauma. Thirty-four of the 122 grant programs supported activities such as researching, preventing, addressing, or providing services related to youth violence or trauma. For example, the purpose of the Communities Addressing Childhood Trauma grant program, administered by HHS\u2019s Office of Minority Health, is to test the effectiveness of activities that seek to promote healthy behaviors among minority or disadvantaged youth who have experienced childhood trauma and are thus at risk for poor health and life outcomes. Another example is DOJ\u2019s Coordinated Tribal Assistance Solicitation\u2019s (CTAS) Tribal Youth Program. One of the priority areas of this grant program is preventing, intervening, and treating children exposed to violence through the development and implementation of trauma-informed practices in pertinent programs and services. DOJ\u2019s Comprehensive Anti-gang Strategies and Programs grant supports evidence-based strategies in communities trying to reduce and control gang-related crime and violence through coordinating prevention, intervention, enforcement, and reentry programs. As mentioned earlier in the report, available data indicate the top specific offense for which Native American youth were arrested by federal LEAs from 2010 through 2016 was assault.", "Justice system reform. Twenty-five of the 122 grant programs supported activities such as researching and analyzing the effectiveness of efforts to reform the youth justice system and enhancing the capacity of justice system institutions with which youth could come into contact. For example, one goal of the Tribal Civil and Criminal Legal Assistance Grants, Training, and Technical Assistance grant program, administered by DOJ\u2019s Bureau of Justice Assistance, is to enhance tribal court systems and improve access to them, as well as to provide training and technical assistance related to tribal justice systems. Another example is DOJ\u2019s National Girls Initiative grant program. The goal of this program is to support the engagement of stakeholders such as youth justice specialists, law enforcement officers, advocates, and youth defenders to improve the justice system and its responses to girls and young women.", "Alcohol and substance abuse. Twenty-two of the 122 grant programs supported activities such as preventing or reducing youth consumption of alcohol and drugs. For example, the stated purpose of DOJ\u2019s CTAS Juvenile Healing to Wellness Courts grant program is to support tribes seeking to establish new courts within their existing judicial institutions to respond to alcohol and substance use issues among youth and young adults. (See text box below for an example of the activities a grantee planned to implement with this grant program.) As previously discussed, one of the top offenses we observed of Native American youth arrested by state and local LEAs is drug and alcohol offenses.", "Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS) Juvenile Healing to Wellness Court Grantee: Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians In fiscal year 2015, the Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians, a federally recognized tribe located within the state of Oregon, received funding from the DOJ CTAS Juvenile Healing to Wellness Court grant program. Tribal officials told GAO that they are in the process of growing their healing to wellness court and aim to use this grant program to reduce the criminal penalties for substance abuse in their community. Moreover, they said that the \u201cpeace-giving court\u201d would look at solutions such as treatment and restorative justice rather than focus on criminal fines and incarceration. As of October 2017, tribal officials said they had three court employees and were planning to use some of the program funding to hire a liaison between other court systems to refer tribal members to their tribal court.", "Mental and emotional health. Sixteen of the 122 grant programs supported activities such as improving the mental health and wellness of youth. For example, HHS\u2019s Planning and Developing Infrastructure to Improve the Mental Health and Wellness of Children, Youth and Families in American Indian/Alaska Natives Communities grant program focuses on increasing the capacity and effectiveness of mental health systems serving tribal and urban Indian communities by designing a coordinated network of community-based services and supports that address the needs of Native American youth and their families. (See text box below for an example of the activities a grantee planned to implement with this grant program.)", "Department of Health and Human Services (HHS) Planning and Developing Infrastructure to Improve the Mental Health and Wellness of Children, Youth and Families in American Indian/Alaska Natives Communities Grantee: Native Health of Phoenix In fiscal year 2017, Native Health of Phoenix\u2014an urban Indian community health center with a mission to increase the health and well-being of Native American and other residents in the Phoenix, Arizona metropolitan area\u2014received funding from the HHS Planning and Developing Infrastructure to Improve the Mental Health and Wellness of Children, Youth and Families in American Indian/Alaska Natives Communities grant program. Native Health of Phoenix explained that the grant program would allow the organization to work on trauma-informed care, provide counseling services through role models (with a particular interest in using Native American veterans as mentors), and possibly expand the age group served by an existing program, Wellness Warriors, which currently focuses on promoting healthy living for 7- to 12-year-old youth and their families.", "Reentry and recidivism. Twelve of the 122 grant programs supported activities such as facilitating youths\u2019 successful reintegration into their communities and reducing the likelihood of subsequent contact with the criminal justice system. For example, the objective of the Second Chance Act Technology-Based Career Training Program for Incarcerated Adults and Juveniles, administered by DOJ\u2019s Bureau of Justice Assistance, is to provide career training programs for incarcerated adults and youth in the 6 to 36 months before their release and to connect them with follow-up services after their release. Another example is DOJ\u2019s Second Chance Act Strengthening Relationships Between Young Fathers, Young Mothers, and Their Children grant program offered funding in fiscal year 2016. The goal of this grant program is to reduce recidivism and support responsible parenting practices of young fathers and mothers who were transitioning from detention, out-of-home placement, or incarceration back to their families and communities.", "Mentoring. Eleven of the 122 grant programs supported activities such as providing mentoring services to at-risk or high-risk youth and researching or evaluating the impact of various mentoring programs and practices on youth outcomes. For example, DOJ\u2019s Mentoring for Youth: Underserved Populations grant program supports the implementation and delivery of various mentoring services for youth with disabilities, youth in foster care, and lesbian, gay, bisexual, transgender, and questioning youth. Another example is HHS\u2019s Native Youth Initiative for Leadership, Empowerment, and Development grant program. One area of interest in the program includes peer role model development where young Native American adults (18 to 24 years old) serve as role models for mid- adolescents (15 to 17 years old), who in turn serve as role models for even younger members (younger than 15 years old) in their communities.", "Suicide prevention. Seven of the 122 grant programs supported activities such as preventing or reducing the risk of suicidal thoughts or behavior and self-harm among youth. For example, one purpose of the Substance Abuse and Suicide Prevention Program, formerly known as the Methamphetamine and Suicide Prevention Initiative grant program, administered by HHS\u2019s Indian Health Service, is to support early intervention strategies and positive youth development to reduce the risk for suicidal behavior and substance abuse among Native American youth. (See text box below for an example of the activities a grantee planned to implement with this grant program.)", "Department of Health and Human Services (HHS) Substance Abuse and Suicide Prevention Program Grantee: Fairbanks Native Association In fiscal year 2016, the Fairbanks Native Association, whose officials describe it as a Native American non-profit organization that provides social services, education, and behavioral health services to residents of the Fairbanks and North Pole communities as well as other residents of Alaska, received funding from HHS\u2019s Indian Health Service\u2019s Substance Abuse and Suicide Prevention Program (formerly known as the Methamphetamine and Suicide Prevention Initiative grant program). According to Fairbanks Native Association officials, one of the evidence-based practices they implemented for the Substance Abuse and Suicide Prevention Program was Coping and Support Training (CAST). CAST is a 12-lesson skills training program used by schools, community centers, and other organizations for middle and high school-aged youth whose program features include building self-esteem and creating a crisis response plan for responding to a range of suicide-risk behavior, among other activities.", "Justice system data and analysis. Seven of the 122 grant programs supported activities such as collecting, improving the collection of, or analyzing data related to the youth or tribal justice systems. For example, DOJ\u2019s Annual Survey of Jails in Indian country, 2016-2019 grant program funded the collection of information from all known correctional facilities operated by tribal governments or the Bureau of Indian Affairs. Some of the information the program sought to collect included the number of adults and youth held, the gender of the inmates, and average daily population, among other data.", "Runaway and homeless youth. Six of the 122 grant programs supported activities such as providing services to youth who have run away from home or who are experiencing homelessness. For example, the primary goal of HHS\u2019s Transitional Living Program and Maternity Group Homes grant program is to help runaway and homeless youth establish sustainable living and well-being for them and, if applicable, their dependent children through the provision of shelter and other services.", "Cultural identity. Four of the 122 grant programs supported activities such as promoting and preserving Native American cultural traditions to and for tribal youth. For example, the purpose of HHS\u2019s Native American Language Preservation and Maintenance grant program is to ensure the survival and vitality of Native American languages.", "Other. Six of the 122 grant programs supported activities in other issue areas above such as school safety, tribal justice infrastructure, and social and economic development."], "subsections": []}, {"section_title": "Tribal Governments and Native American Organizations Were Eligible for Almost All Grant Programs We Identified, But in a Sample We Reviewed, Applied Primarily for Those Specifying Native Americans", "paragraphs": [], "subsections": [{"section_title": "Tribal Governments or Native American Organizations Were Eligible for Almost All Grant Programs We Identified", "paragraphs": ["Tribal governments or Native American organizations were eligible for almost all of the 122 DOJ and HHS grant programs we identified from fiscal years 2015 through 2017 that grantees could use to prevent or address delinquency among Native American youth: they were eligible for 70 of 73 DOJ programs and 48 of 49 HHS programs.", "For the 3 DOJ grant programs for which these entities were not eligible to apply, DOJ officials explained that tribal governments or Native American organizations were not eligible for the Smart on Juvenile Justice: Reducing Out-of-Home Placement grant program because the funding stream that supports the program\u2014unallocated funds from Title II of the Juvenile Justice and Delinquency Prevention Act\u2014can only be awarded to states that are in compliance with the four core requirements of the act. For the other 2 grant programs, DOJ OJP officials explained that because the focus of these programs is statewide or countywide, eligibility under this program was limited to states and local units of government that have developed a statewide or countywide plan to reduce recidivism and improve outcomes for youth in contact with the juvenile justice system. These officials added that tribal governments would not have the capacity to respond to the requirements of these programs as designed since tribal juvenile justice systems operate differently than states and counties.", "The one HHS program that neither tribal governments nor Native American organizations were eligible to apply for was the Preventing Teen Dating and Youth Violence by Addressing Shared Risk and Protective Factors program, administered by the Centers for Disease Control and Prevention (CDC). CDC officials explained that this grant program was limited to funding to local, city, and county public health departments with a demonstrated high burden of violence and the highest capacity to prevent teen dating violence and youth violence based on research findings on teen dating violence and youth violence prevention, as well as lessons learned from their previous investments in these areas. These officials also said that CDC encourages local, city, and county public health departments to work with tribal populations in the area."], "subsections": []}, {"section_title": "Tribal Governments and Native American Organizations Generally Applied for Grant Programs that Specified Tribes or Native Americans as a Primary Beneficiary in Sample We Reviewed", "paragraphs": ["Although tribal governments and Native American organizations were eligible for almost all of the DOJ and HHS grant programs we identified, we found in a non-generalizable sample of applications we reviewed that these organizations applied primarily for grant programs that specified tribes or Native Americans as a primary beneficiary. Specifically, for the applications we reviewed for 18 DOJ grant programs, tribal governments and Native American organizations accounted for over 99 percent of the applications for the 5 grant programs within the sample that specified tribes or Native Americans as a primary beneficiary and approximately 1 percent of the applications in the 13 DOJ grant programs that did not specify them as a primary beneficiary. See figure 16.", "In our review of applications for 19 HHS grant programs, tribal governments and Native American organizations accounted for 90 percent of the applications for the 6 grant programs in the sample that specified tribes or Native Americans as a primary beneficiary. However, they accounted for only 2 percent of the applications for the 13 HHS grant programs in our sample that did not specify tribes or Native Americans as a primary beneficiary. See figure 17.", "DOJ and HHS officials identified various reasons why tribal governments and Native American organizations might not apply for grant programs that do not specify tribes or Native Americans as a primary beneficiary:", "Tribal governments and Native American organizations might not be aware that they are eligible to apply for certain grant programs.", "Tribal governments and Native American organizations might believe that that their applications to a grant program that do not specify tribes or Native Americans as a primary beneficiary will not be competitive with other applications. For example, DOJ OJP officials told us that tribes may have concerns about devoting resources to preparing applications for such grant programs because they may not end up being successful.", "Tribal governments and Native American organizations might prefer to apply for those grant programs that specify tribes or Native Americans as a primary beneficiary. For example, DOJ OJP officials stated that tribes might be familiar and comfortable with applying for the CTAS, a single application for the majority of DOJ\u2019s tribal grant programs. In addition, HHS CDC officials stated that more tribes apply and successfully compete for grant programs that specify tribes or Native Americans as a primary beneficiary because they are designed specifically for tribal populations, thus allowing for \u201cculturally- appropriate activities,\u201d which may include healing and religious practices that promote wellness, language integration that promote cultural sustainability and identity, and traditional storytelling that promotes life lessons and teachings.", "Officials from 10 tribal governments and Native American organizations also provided perspectives on whether or not a grant program\u2019s focus on tribes or Native Americans as a primary beneficiary affected their decision to apply for the program. Officials from 6 of 10 of the tribal governments and Native American organizations indicated that they would consider any grant program that met the needs of their communities, although officials from 3 of these 6 indicated a preference in some instances for grant programs that focused on tribes or Native Americans. Officials from the remaining 4 of 10 tribal governments and Native American organizations indicated that a grant program\u2019s focus or lack thereof on tribes or Native Americans could affect their ability to apply for it.", "For example, officials from one federally recognized Oregon tribe explained that their tribe does not apply for grant programs that do not specify tribes or Native Americans as a primary beneficiary because their applications are not typically competitive in a state or nationwide applicant pool. Instead, they said that their tribe applies for funding specific to their community because they are more likely to succeed with those applications. These officials also said that a benefit of applying for grant programs that specify tribes or Native Americans as a primary beneficiary is that technical assistance provided to grant recipients is tailored to tribes. Officials from another federally recognized tribe in Oklahoma noted that their tribe prefers to apply for grant programs that specify tribes or Native Americans as primary beneficiaries due to the limited resources they have available to prepare grant applications, as well as the high level of competition for nationwide federal grant programs. Finally, officials from a tribal nonprofit corporation in Alaska that represents several federally recognized tribes explained that although their decision to apply for any federal grant program depends on the needs of their community, grant programs that specify tribes or Native Americans as a primary beneficiary understand the challenges of tribal communities, particularly living in rural environments and having to travel vast distances to implement grant program funding."], "subsections": []}]}, {"section_title": "Officials from Tribal Governments, Native American Organizations, and Agencies Noted Factors that Affect Successful Application for Grant Programs", "paragraphs": ["Officials from tribal governments and Native American organizations that applied for federal grant programs that could help prevent or address delinquency among Native American youth, as well as DOJ and HHS officials, identified various factors they believe affect the ability of tribal governments and Native American organizations to successfully apply for federal grant programs. For example, some tribal governments and Native American organizations found being able to call or meet with federal officials during the application process to be helpful but that short application deadlines are a challenge. Additionally, a non-generalizable sample of DOJ and HHS summary statements that provide peer review comments for unsuccessful applications that tribal governments and Native American organizations submitted for these grant programs noted various weaknesses within these unsuccessful applications.", "Perspectives from tribal governments and Native American organizations. We collected perspectives from a non-generalizable sample of 10 tribal governments and Native American organizations on what federal practices they find helpful or challenging when applying for grant programs related to preventing or addressing delinquency among Native American youth. Regarding helpful federal practices during the application process, the tribal governments and Native American organizations most frequently responded that they found being able to call or meet with federal officials if they had questions about or need help on their application particularly helpful. For example, representatives from one federally recognized tribe in Nevada explained some agencies have help desks that provide a systematic walkthrough of technical issues applicants might encounter when applying for grant programs. In addition, officials from a tribal nonprofit corporation in Alaska that represents several federally recognized tribes stated attending grantee meetings and having face-to-face contact with agency officials to ask questions was very useful when applying for a particular HHS award.", "Officials from 9 of the 10 tribal governments and Native American organizations provided the following perspectives on the biggest challenges they have faced when applying to receive federal grant program funding.", "The window available for applying for federal grant programs is too short. Six of 9 tribal governments and Native American organizations noted this as a challenge. For example, officials from a federally recognized tribe based in the Southwest said that the tribe\u2019s biggest challenge is a short turnaround, usually 4 to 8 weeks, from a grant program\u2019s funding opportunity announcement to its deadline. Similarly, officials from a federally recognized tribe in Oklahoma suggested that federal agencies provide longer application periods for grant programs. These officials added that more time would allow the tribes to coordinate amongst themselves better, prepare stronger applications, and obtain the necessary tribal approvals for a grant program.", "Collecting data for grant program applications is difficult. Four of 9 tribal governments and Native American organizations we spoke with noted this as a challenge. For example, a representative from a federally recognized tribe in Nevada stated that the tribe needs accurate data for its grant applications to describe the tribe and its needs, yet the tribe does not currently have quality data on issues such as substance abuse or youth employment. In addition, officials from a tribal nonprofit corporation in Alaska that represents several federally recognized tribal governments told us that the biggest challenge in preparing a CTAS application is collecting data specific to their tribes\u2019 region. These officials explained that for reports on juvenile justice, their tribes\u2019 region is sometimes grouped with another area, which makes it difficult to extrapolate data specific to their tribes. According to these officials, due to the challenges in obtaining these data, preparing grant applications to address gaps and for services needed is difficult.", "Scarcity of grant writers and other personnel makes it difficult to complete a quality application. Four of 9 tribal governments and Native American organizations noted this as a challenge. For example, officials from a federally recognized tribe in Oklahoma said that not having a grant writer is a significant challenge for the tribe when applying for federal grant programs. These officials mentioned that additional training sessions on grant writing and feedback from grant reviewers would help the tribe prepare stronger applications. In addition, representatives from a federally recognized tribe in Oregon stated that they encounter challenges with the research and evaluation requirements of some grant programs because hiring someone to fulfill this role can take 2 to 3 months and the number of qualified individuals in their service area is limited.", "Perspectives from DOJ and HHS officials. We also obtained perspectives from officials from DOJ OJP and seven HHS operating divisions on reasons why some tribal governments and Native American organizations might be more successful than others in applying for federal funding, as well as the challenges these entities face when applying for federal funding. According to DOJ and HHS officials, some of the reasons why some tribal governments and Native American organizations might be more successful than others are in applying for federal funding include the following:", "Larger and better-resourced tribal governments and Native American organizations are more successful at applying for federal funding. For example, DOJ OJP officials explained that larger tribes with more resources are more successful at applying successfully for grant programs because they are able to hire grant writers to assist with applications. In addition, officials from HHS\u2019s SAMHSA noted that successful applicants are usually larger tribes that have ample resources and experienced staff to write proposals for federal funding. HHS Centers for Disease Control officials stated that larger and better-resourced tribes with sufficient public health infrastructure and capacity tend to apply more and to be more competitive when they do.", "Tribal governments and Native American organizations that have received federal funding before are more likely to be successful again. Specifically regarding the CTAS program, DOJ OJP officials explained that once tribes are successful at one CTAS application, they are typically successful on subsequent CTAS submissions because they use the successful application as a template. In addition, officials from the HHS\u2019s Indian Health Service explained that tribes that are repeat grantees might be more likely to submit applications to even more grants because they are well-versed in the process. Moreover, officials from SAMHSA explained that tribes that have previously received federal funding might be better equipped to document their experience in a specific area in subsequent grant applications.", "According to agency officials, one of the biggest organizational challenges that tribal governments and Native American organizations encounter when applying to receive federal grant program funding is obtaining and retaining staff. For example, officials from HHS\u2019s National Institutes of Health stated that the limited scientific and grant writing staff, as well as high staff turnover within tribes pose the biggest challenges they face when applying for federal funding. Officials from HHS\u2019s CDC and Administration for Children and Families operating divisions also identified limited grant writing staff as one of the biggest challenges that tribal governments and Native American organizations face when applying to receive federal funding from grant programs. Moreover, officials from HHS\u2019s SAMHSA explained that tribes have difficulty finding qualified staff to live and work in the remote areas where many tribes are located. Finally, DOJ OJP officials explained that some tribes might not have sufficient resources more generally to put together a competitive application due to specific tribal government structures and justice systems being relatively new compared to state and local governments.", "Review of summary statements on unsuccessful applications. We reviewed a sample of 29 DOJ summary statements from fiscal years 2015 through 2017 that provided peer review comments for unsuccessful applications that tribal governments and Native American organizations submitted for the grant programs we identified. These summary statements most frequently cited the following overall weaknesses within the unsuccessful applications from tribal governments and Native American organizations:", "Application contained unclear or insufficient details on how the applicant would implement or achieve outcomes of the proposed program (19 of 29 peer review summary statements);", "Application contained unclear or insufficient details on how the applicant would measure the success or ensure the sustainability of the proposed program (15 of 29 peer review summary statements);", "Application contained unclear or insufficient details on the budget of the proposed program (14 of 29 peer review summary statements);", "Applicant submitted a poorly written or organized application (12 of 29 peer review summary statements);", "Application contained unclear or insufficient data/statistical information to support the proposed program (12 of 29 peer review summary statements); and", "Application contained unclear or insufficient details on the goals and objectives of the proposed program (11 of 29 peer review summary statements).", "We also reviewed a sample of 30 HHS peer review summary statements from fiscal years 2015 through 2017 provided to tribal governments and Native American organizations that unsuccessfully submitted applications for the grant programs we identified. Specifically, all of these statements contained a section that evaluated the strengths and weaknesses of the applicant\u2019s proposed approach or plan for implementing the grant program funding. These 30 statements most frequently cited the following weaknesses in that section: Insufficient details regarding activities or strategies of proposed approach or plan (24 of 30 peer review summary statements); Insufficient details on the goals or objectives of the proposed approach or plan (12 of 30 peer review summary statements); Insufficient details on the potential partners or stakeholders involved in the proposed approach or plan (12 of 30 peer review summary statements); Insufficient linkages between various elements in proposal or plan (11 of 30 peer review summary statements); Insufficient details on the project timeline presented within the proposed approach or plan (9 of 30 peer review summary statements); and Insufficient details on how the applicant organization would staff the proposed approach or plan (8 of 30 peer review summary statements).", "We asked officials from the tribal governments and Native American organizations from which we collected perspectives how useful they found the feedback federal agencies provided through peer review comments or other means on unsuccessful grant program applications since fiscal year 2015. Some tribal governments and Native American organizations found the feedback useful while others noted that feedback was sometimes not particularly helpful. For example, officials from a tribal university affiliated with a federally recognized tribe based in the Southwest noted that they have received helpful feedback on unsuccessful applications through e-mail correspondence. However, officials from a tribal nonprofit corporation in Alaska that represents several federally recognized tribes noted that the peer review feedback they received was inconsistent year to year. Meanwhile, officials from a federally recognized tribe in Oklahoma noted that they have found the peer review feedback to be helpful overall and that they use the feedback to improve their weaknesses and reinforce their strengths when submitting future applications."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to DOJ, HHS, DOI, the Administrative Office of the United States Courts, the U.S. Sentencing Commission, and the Department of Education for review and comment. DOJ, DOI, and the Administrative Office of the United States Courts provided technical comments that we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Attorney General, Secretary of Health and Human Services, Secretary of the Interior, and other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Gretta L. Goodwin at (202) 512-8777 or GoodwinG@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made significant contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report addresses (1) what available data show about the number and characteristics of Native American youth in the federal, state and local, and tribal justice systems; and (2) what discretionary grant programs federal agencies fund that could help prevent or address delinquency among Native American youth, and the extent to which tribal governments and Native American organizations have access to them.", "To address the first objective, we obtained and analyzed record-level and summary data from federal, state and local, and tribal justice systems from 2010 through 2016. Figure 18 illustrates the data sources we included in our report for each phase of the justice process (arrest, adjudication, and confinement) in each justice system (federal, state and local, and tribal). Generally, state and local entities include those managed by states, counties, or municipalities.", "As figure 18 illustrates, we utilized a number of data sources. When analyzing the data, certain characteristics and a number of methodological decisions were applicable to multiple data sources:", "Generally, state and local data we obtained were maintained by calendar year. In contrast, federal data were maintained by fiscal year. For purposes of this report, we refer where appropriate to calendar years or fiscal years in presenting the results of our analysis.", "Generally, the record-level and summary data we analyzed included information about youth who had come into contact with the justice systems, such as their age, race, gender, type of offense, and the year they came into contact with the justice system.", "For purposes of our analysis, we defined youth to include persons who were under 18 years of age at the time of arrest, adjudication, or confinement, unless otherwise noted. In many instances, the agencies calculated the youth\u2019s age for us and placed the record in one of the following age categories: under 13, 13-14, and 15-17.", "For purposes of our analysis, we identified Native American youth as defined by each data source and identified by the agencies providing the data. For example, the Department of Justice (DOJ) Federal Bureau of Investigation\u2019s (FBI) Uniform Crime Reporting (UCR) Summary Reporting System (SRS) data uses the race category \u201cAmerican Indian or Alaska Native\u201d and includes persons having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment. In comparison, the Executive Office for United States Attorneys (EOUSA), in its prosecution data, defines the term Indian based on statute and case law, which generally considers an Indian to have both a significant degree of Indian blood and a connection to a federally recognized tribe. If a record did not contain race information we did not include the record in any our analysis.", "In regard to type of offense, unless otherwise noted, we obtained and analyzed information about the lead or most serious offense associated with the youth who came into contact with the federal or state and local justice systems. The data sources contained hundreds of specific offenses, such as simple assault, illegal entry, and rape. To assist our analysis of the data, we took the following steps: 1. We categorized specific offenses for all data sources into 1 of 22 offense categories, such as assault, immigration, and sex offense. To determine the 22 categories we considered categories used in our prior work and consulted FBI\u2019s UCR offense codes. The placement of specific offenses into offense categories was carried out by an analyst, reviewed by additional analysts, and confirmed by an attorney. 2. We grouped the offense categories into five broad categories\u2014 drug and alcohol, person, property, public order, and other. To determine the five broad categories we considered categories presented in National Center for Juvenile Justice\u2019s (NCJJ) annual Juvenile Court Statistics reports. The placement of offense categories into a broad category was carried out by an analyst and confirmed by an attorney.", "Table 18 describes the five broad categories and 22 offense categories.", "Some data sources contained additional information about youth, such as the youths\u2019 geographic location (i.e., state or U.S. Circuit), outcome of the youths\u2019 involvement with the justice system (e.g., adjudicated delinquent; placed in a facility or on probation), type of facility where the youth was placed (e.g., private, state, tribal), length of sentence, distance between youth\u2019s residence and facility, and time in confinement.", "Generally, record-level information contained in these data systems are collected when the youth comes into contact with the justice system. In some instances, youth provide certain information (e.g., gender and race) to justice system officials. In other cases, justice officials obtain information from documentation associated with the youth, such as identification documents (e.g., tribal enrollment certifications) or pre- sentence investigation reports. Several of the record-level data sets we obtained were administrative data maintained by agencies. These data generally included information generated as cases are handled and are used to help the agency manage its operations.", "In particular, we obtained and analyzed record-level and summary data from the following federal, state and local, and tribal data sources:", "Record-level data from four DOJ agencies: 1. The United States Marshals Service\u2019s (USMS) Justice Detainee Information System. This data system is USMS\u2019s case management system for prisoners in custody, among other things. USMS provided us a data set with 1,589 records for youth admitted into USMS custody after being arrested by a law enforcement agency (LEA). Our analysis focused on the following key variables: fiscal year of custody start date, race, gender, age category, original offense description, arresting agency, and circuit. USMS collects information about individuals admitted into custody. USMS receives youth from various LEAs and collects information on the LEA that arrests the individual. We limited our analysis to youth arrested by federal agencies (e.g. FBI) and did not include youth who had been arrested by non-federal LEAs (e.g., municipalities). USMS custody data may not represent all individuals arrested by federal agencies, but identifies a minimum number of arrests for a given period. We used USMS custody data because we did not identify a data source for all federal arrests. The data USMS provided us was limited to individuals who were under 18 when they were admitted to USMS custody and USMS determined the age category for each record. 2. EOUSA\u2019s Legal Information Office Network System. This data system was the EOUSA\u2019s case management system for tracking declinations and litigation in criminal matters and cases, among other things. EOUSA provided us a data set with 2,361 records for suspects received. Our analysis of EOUSA data focused on the following key variables: fiscal year suspect was received, Native American status, age category, lead charge, circuit, and disposition.", "EOUSA used multiple variables from its Legal Information Office Network System to confirm that the individual was under 18. However, for 25 percent of the records (583 of 2,361), EOUSA could not provide an age category for the juvenile because the age was either unknown or EOUSA officials questioned the age information. When we analyzed the data by age categories, we excluded records with unknown or unreliable age categories. However, we included all EOUSA records when we analyzed other variables contained in the EOUSA data (e.g., offense).", "To analyze the offense associated with the individual, we used EOUSA\u2019s \u201clead charge\u201d variable which consists of statutory citations. To identify the offense, we researched each statutory citation. 3. The Office of Justice Programs\u2019 (OJP) Census of Juveniles in Residential Placement (CJRP). This data source contains data collected through a biennial census of state and local (not federal) residential facilities housing youth in 2011, 2013 and 2015 that was administered by the United States Census Bureau on behalf of OJP. OJP provided us a data set with 165,141 records. Our analysis of CJRP data focused on the following key variables: calendar year, age group, race, facility state, gender, most serious offense, agency type (who placed the individual), facility type, and time in placement.", "State and local facilities include those managed by states, counties, municipalities, and tribal governments as well as private facilities, among others. CJRP has historically achieved response rates near or above 90 percent. However, participation in the CJRP is voluntary and response rates from tribal facilities have been lower. The source for the information collected by the census, such as age, were administrative records maintained by individual residential facilities. These data include youth who were in custody on the day of the census.", "We limited our analysis of the CJRP data to (1) individuals who were under the age of 18 on the date of the census and (2) youth who had been adjudicated\u2014we did not include youth who were awaiting a trial or whose adjudication was pending. Finally, we excluded youth who were located in the Virgin Islands and Puerto Rico because no other data set appeared to include data for these geographic areas. The data set we analyzed contained 98,830 records. 4. Federal Bureau of Prisons\u2019 (BOP) SENTRY data system. This system is BOP\u2019s case management system for tracking information (e.g., admission type and sentencing) about prisoners in BOP\u2019s custody. For this review, BOP provided two data sets.", "One data set was limited to youth who were adjudicated and sentenced to a facility overseen by BOP and contained 1,324 records. Our analysis of these BOP data was focused on the following key variables: fiscal year sentenced, age category, race, offense, and sentence length. BOP determined the age category for each record and the data were limited to individuals who were under 18.", "The second data set included youth who were admitted into a facility overseen by BOP but were not necessarily adjudicated and contained 925 records. Our analysis of these BOP data was focused on the following key variables: fiscal year admitted, race, distance, and admission assignment. BOP ensured the data were limited to individuals who were under 18. BOP provided the distance information by calculating the distance between a juvenile\u2019s residence and the facility where a juvenile was placed. To analyze the distance information we created two categories of admission types: juveniles under the supervision of the United States Probation Office and juveniles in custody of BOP.", "Our analysis of these four DOJ data sources was limited through 2016 because when we initiated our analysis in April 2017 it was the most current data available.", "Record-level data from the Department of the Interior\u2019s (DOI) Bureau of Indian Affairs (BIA) for youth arrested and admitted to three BIA- operated juvenile detention centers. We reviewed juvenile detention documents maintained by the three centers: Northern Cheyenne, Standing Rock, and Ute Mountain Ute. The types of documents included admission sheets and arrestee custody receipts, among others. We created a data set of admissions to the three centers using information contained in the documents provided. Our data set contained 956 records and included the following variables: unique ID, admission date, and charges (offense). Documents contained information about multiple offenses for individual admissions and did not identify the most serious or lead offense. As such, we included all offenses in our analysis of the centers\u2019 information. Our analysis of this information was limited to 2012 through 2016 because records prior to 2012 were not available for any center when we initiated our analysis in April 2017. However, our data set does not contain records for 2012 for the Ute Mountain Ute center because that center did not have any of the source documents before 2013. Also, our data set did not contain records for 2012 through 2015 for the Standing Rock Youth Services Center because that center opened in May 2016.", "Summary data from DOJ\u2019s FBI UCR SRS. The FBI\u2019s primary objective is to generate a reliable set of crime statistics for use in law enforcement administration, operation, and management. FBI provided us with 7 years of data in separate annual files, which initially contained 1,529,736 gender-specific records. To analyze race, we summarized the data across gender. In addition, the records included summary records for drug and gambling offenses as well as records for specific drug offenses (e.g., sale, possession) and gambling offenses (e.g., bookmaking, lottery). To prevent over-counting, we excluded records with specific information from our analysis. These steps reduced our data set to 582,089 records with which we performed our analysis of UCR SRS data, which focused on the following key variables: calendar year, race, state, and offense.", "The majority of law enforcement agencies submit arrest data to the FBI through the UCR program. In 2016, about 90 percent of city, county, university and college, state, tribal, and federal agencies eligible to participate in the UCR Program submitted data (16,782 of 18,481). Although UCR SRS predominantly contains data from state and local LEAs, some federal and tribal LEAs report data into SRS. Agencies submit data monthly that must meet UCR\u2019s data quality guidelines, such as using uniform definitions. There is no available data for the state of Florida because, according to DOJ officials, Florida does not follow UCR guidelines and reports only arrest totals which cannot be housed in the UCR SRS database. Further, a few states reported limited arrest data during the scope of our review (e.g., Illinois). Our analysis of these data was limited through 2016 because when we initiated our analysis in April 2017 it was the most current data available.", "Summary data from the NCJJ Easy Access to Juvenile Court Statistics (NCJJ\u2019s juvenile court data) which is supported through funding from DOJ\u2019s OJP. NCJJ obtains case-level and court-level data from state and local juvenile courts. This online juvenile court data is an interactive web-based application that allows users to analyze the actual databases that NCJJ uses to produce its annual Juvenile Court Statistics reports. The summary data available represents national estimates of delinquency cases handled by U.S. courts with juvenile jurisdiction. Our analysis of these data was limited to 2010 through 2014 because this was the most current data available when we conducted our analysis. The summary data we downloaded contained 86,400 cases spanning calendar years 2010 through 2014. Our analysis of NCJJ\u2019s juvenile court data online focused on the following key variables: calendar year, race, offense, gender, and age.", "Summary data included in DOJ\u2019s Bureau of Justice Statistics reports, such as the Jails in Indian Country report from 2016. This report provides information gathered from Bureau of Justice Statistics\u2019 annual survey of Indian country jails, and includes all Indian country correctional facilities operated by tribal authorities or BIA. Our analysis of these data was limited to the survey reports covering years 2014, 2015, and 2016, and contained the number of Native American youth confined in tribal operated jails in Indian country as of June each year.", "We assessed the reliability of the record-level and some of the summary data by conducting electronic testing of the data and interviewing knowledgeable agency officials about the data systems. We assessed the reliability of the remaining summary data by interviewing knowledgeable agency officials about the summary data. We determined that the record-level and summary data sources included in this report were sufficiently reliable for the purposes of our reporting objectives. We determined that some record-level and summary data sources, such as certain data related to arrests and sentencing information, contained information already provided by other data sources or contained too few Native American youth observations to provide reliable, reportable information. We did not include these data sources in our report. We also determined that some data variables in certain data sources were not reliable for our purposes. For example, two data sources did not contain reliable information for the race of individuals. We did not include these data sources in our report.", "For each data source, we calculated the number and percent of Native American and non-Native American youth involved at each phase of the justice process (arrest, referral for adjudication, and confinement) for all three justice systems (federal, state and local, and tribal), where data were available. Generally, non-Native American records included Asian, Black, and White. Some data sources included other race categories\u2014 such as Pacific Islander and Hispanic. We then analyzed the characteristics of youth involvement with the justice system, such as the youths\u2019 race, age category, gender, type of offense, geographic location, outcome of the youths\u2019 involvement with the justice system, type of facility where the youth was placed (e.g., private, state, tribal), length of sentence, distance between youth\u2019s residence and facility, and time in confinement, where data were available. If a record was missing a value for the characteristic we were analyzing (e.g., race, offense, gender, or age)\u2014for example, the value was either blank or was \u201cunknown\u201d\u2014we did not include the record in the analysis of that characteristic.", "We also analyzed the representation of Native American youth involved with the federal and state and local justice systems by comparing justice system data to 2010 U.S. Decennial Census information and U.S. Census estimates from 2011 to 2016. Specifically, for the federal system, we identified the representation of Native American youth in USMS\u2019s custody data, EOUSA\u2019s adjudication data, and BOP\u2019s confinement data for fiscal years 2010 through 2016. We then identified the representation of Native American youth among the total youth population for the United States from the 2010 U.S. Decennial Census (as of April 1, 2010) and its updated estimates from 2011 through 2016 (as of July 1 for each year). Using these data, we compared the representation of Native American youth among each component of the federal justice system (i.e., USMS custody, EOUSA adjudication, and BOP confinement) to the total youth population for the United States.", "Similarly, we also compared the representation of Native American youth by individual states. To do this, we identified the representation of Native American youth in FBI\u2019s UCR SRS arrest data as well as CJRP\u2019s confinement data for individual states. We then identified the representation of Native American youth among the youth population for individual states from the U.S. Census\u2019s 2010 decennial data and its updated estimates from 2011 through 2016. Using these data, we compared the representation of Native American youth among state and local justice systems (i.e., FBI\u2019s UCR SRS arrest and CJRP\u2019s confinement data) to the representation of Native Americans among the youth population for individual states.", "Because there is no single, centralized data source that contains data for youth involved in all justice systems (federal, state and local, tribal) and across all phases of the justice process (arrest, adjudication, confinement), it is not possible to track individuals through all phases of the justice system or identify the number of unique youth who have come into contact with the justice systems. Further, data are not comparable across data sources because data sources vary in how they define Native American and how they determine whether youth are Native American. Some federal agencies, such as USMS and BOP, share a unique identifier for an individual within the federal data sources. However, for purposes of this review and given privacy concerns related to juvenile data, we were unable to track individuals across phases of the federal justice system.", "We also collected perspectives from agency officials and five Native American organizations regarding factors that might contribute to the data characteristics we observed. We selected the five Native American organizations to include organizations whose mission and scope focuses in whole or in part on Native American juvenile justice issues and that have a national or geographically-specific perspective. The views of these organizations are not generalizable to all Native American organizations but provide valuable insights.", "To address our second objective on discretionary grant programs that federal agencies fund that could help prevent or address delinquency among Native American youth, we analyzed discretionary grants and cooperative agreements available for funding from fiscal years 2015 through 2017. To identify the discretionary grants and cooperative agreements, we conducted a keyword search of \u201cyouth or juvenile\u201d in Grants.gov\u2014an online repository that houses information on over 1,000 different grants across federal grant-making agencies. For the purposes of this review, we define \u201cdiscretionary grant programs\u201d to include both discretionary grants and cooperative agreements. We focused on discretionary grants and cooperative agreements because federal agencies generally award them to an array of entities based on a competitive review process, whereas federal agencies are generally required by statute to limit awards from the other types of grants to specific entities, typically U.S. state, local, and territorial governments. We then reviewed the search results of the three agencies with the highest number of grant program matches\u2014DOI, DOJ, and the Department of Health and Human Services (HHS). Two analysts independently read the Grants.gov summary descriptions of the programs included in these search results and selected programs for which the description related to risk or protective factors discussed in the DOJ Office of Juvenile Justice and Delinquency Prevention (OJJDP) Tribal Youth in the Juvenile Justice System literature review; risk or protective factors identified in the July 2015 Technical Assistance Network for Children\u2019s Behavioral Health brief on American Indian and Alaska Native Youth in the Juvenile Justice System; juvenile justice system reform principles, findings, or recommendations identified in Chapter 4 of the November 2014 Attorney General\u2019s Advisory Committee on American Indian/Alaska Native Children Exposed to Violence report, Ending Violence so Children Can Thrive;or proposals to reform the juvenile justice system identified in Chapter 6 of the November 2013 Indian Law and Order Commission Report to the President and Congress of the United States, A Roadmap for Making Native America Safer.", "We also used the following principles to identify and select relevant grant programs:", "We excluded grant programs that focused specifically on victims as opposed to at risk youth or offenders.", "We included grant programs that specify tribes or Native Americans if the program\u2019s funding opportunity announcement mentioned youth explicitly.", "We included grant programs that do not specify tribes or Native Americans as a primary beneficiary if the program\u2019s funding opportunity announcement mentioned youth explicitly and if the program focused primarily on serving youth populations.", "After two analysts independently completed their initial determinations of which grant programs they considered relevant, they either confirmed their agreement or discussed any differences of opinion until they reached a consensus. If they could not reach agreement on whether a given program was relevant, a third, supervisory analyst made the final determination.", "We also reviewed the grant program funding opportunity announcements on HHS and DOJ\u2019s websites and worked with officials from these agencies to identify any additional grant programs that could be relevant for the purposes for our review. We provided a list of the grant programs that we identified to DOJ and HHS for confirmation both during and after fiscal year 2017. Our final list of grant programs includes 122 programs. Despite these steps, it is possible that our analysis did not identify all relevant grant programs.", "We next determined which of 122 grant programs we identified specified tribes or Native Americans as a primary beneficiary and which did not by reviewing funding opportunity announcements for the programs to determine if the funding opportunity announcement\u2019s title, executive summary, overview, or purpose specifically referenced tribes or Native Americans as the main or one of few beneficiaries of the proposed grant program funding. After a first analyst completed initial determinations of which of the grant programs specified tribes or Native Americans as a primary beneficiary, a second analyst reviewed those determinations and either confirmed agreement or discussed any differences of opinion until both analysts reached a consensus. We categorized each program into one or more issue areas (e.g., violence or trauma, substance abuse, mentoring, etc.). We used the risk and protective factors discussed in the OJJDP Tribal Youth in the Juvenile Justice System literature review as initial issue areas and added additional areas, as needed, for programs that did not fit within the initial areas.", "To determine the extent to which tribal governments or Native American organizations had access to the 122 grant programs, we reviewed both the eligibility of those organizations to apply for the grant programs and their level of success in applying for the grant programs. We defined \u201ctribal governments\u201d as the governing bodies of federally recognized tribes. We defined \u201cNative American organizations\u201d as organizations affiliated with federally recognized tribes, such as tribal colleges and universities, as well as non-tribal organizations that focus on serving Native American populations, such as urban Indian organizations.", "To determine whether tribal governments or Native American organizations were eligible to apply for the grant programs we identified, an analyst first reviewed the eligibility information within each of the grant program\u2019s funding opportunity announcements. In instances where the analyst could not definitively determine whether tribal government or Native American organizations were eligible to apply for a given grant program, the analyst reviewed the program\u2019s Grants.gov synopsis or followed up with agency officials. After the analyst made an initial determination of eligibility, a second analyst reviewed those determinations and either confirmed agreement or discussed any differences of opinion until both analysts reached a consensus. We also consulted with DOJ and HHS officials regarding those grant programs for which tribal governments or Native American organizations were ineligible to apply to determine the reasons why.", "To determine tribal governments and Native American organizations\u2019 level of success in applying for the grant programs, we analyzed fiscal year 2015 through 2017 award data for the programs to determine the extent to which tribal governments and Native American organizations received funding from them. We also reviewed a non-generalizable sample of applications from 37 grant programs to determine the extent to which tribal governments and Native American organizations applied for these grant programs. Specifically, we requested the sample of applications from each of the five DOJ OJP offices and bureaus and seven HHS operating divisions from which we identified the 122 grant programs that either had a relatively larger estimated total program funding amount on Grants.gov for fiscal years 2015, 2016, or 2017 than other grant programs within the same OJP offices or HHS operating divisions or had specified tribes or Native Americans as a primary beneficiary. We assessed the reliability of the data we used by questioning knowledgeable officials. We determined that the data were sufficiently reliable for the purposes of this report.", "To determine some of the factors that affected the ability of tribal governments and Native American organizations to apply successfully for grant programs that could help prevent or address delinquency among Native American youth, we: interviewed or received written responses from DOJ and HHS officials to obtain their perspectives, interviewed or received written responses from representatives from a non-generalizable sample of 10 tribal governments and Native American organizations that applied for or received funding from one or more of the 122 grant programs, and reviewed a non-generalizable sample of 29 DOJ and 30 HHS peer review summary statements from unsuccessful applications that tribal governments and Native American organizations submitted for selected grant programs that we identified as relevant for the purposes of this review.", "We selected our non-generalizable sample of tribal governments and Native American organizations to include those that received multiple awards from relevant grant programs; tribal governments and Native American organizations that applied unsuccessfully for more than one relevant grant program; tribal governments with juvenile detention centers with the highest average daily populations in 2016; and tribal governments located in the states with the largest number of juvenile offenders in residential placement per 100,000 juveniles for American Indians according to the 2015 Easy Access to the Census of Juvenile Residential Placement. We analyzed the results of our interviews with representatives of the tribal governments and Native American organizations as well as with agency officials to discern possible themes regarding factors that affect tribal governments and Native American organizations\u2019 ability to apply successfully for the relevant grant programs we identified.", "We selected the non-generalizable sample of peer review summary statements from grant programs that had a larger estimated total program funding amount on Grants.gov for fiscal years 2015, 2016, or 2017 than other grant programs within the same OJP offices or HHS operating divisions or had specified tribes or Native Americans as a primary beneficiary. However, if we could not identify an application from a tribal government or Native American organization from a given grant program from which we requested applications, we did not request peer review summary statements from that program. We then conducted a content analysis of the weaknesses noted in the statements submitted by tribal governments or Native American organizations in order to discern common themes.", "The information we obtained from the agency officials as well as representatives of the tribal governments and Native American organizations cannot be generalized more broadly to all tribal governments and Native American organizations or the applications they submitted for federal funding from fiscal year 2015 through 2017. However, the information provides important context and insights into the challenges tribal governments and Native American organizations face in applying for federal funding that could help prevent or address delinquency among Native American youth, as well as some of the common weaknesses that DOJ and HHS peer reviewers identified in unsuccessful applications from tribal governments and Native American organizations.", "We conducted this performance audit from November 2016 through September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Definitions and Agency Determinations of Native American Status in Data Sources", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Actions Agencies Reported Taking Related to Selected Task Force and Commission Recommendations", "paragraphs": ["The 2014 Attorney General Task Force report, Ending Violence so Children Can Thrive and the 2013 Indian Law and Order Commission report, A Roadmap for Making Native America Safer, both recommended actions related to Native American youth and youth justice issues. These recommendations included actions federal agencies could take to address some of the challenges noted in the reports, such as exposure to violence, abuse and neglect, and poverty. Table 20 provides examples of actions relevant federal agencies reported taking related to these recommendations."], "subsections": []}, {"section_title": "Appendix IV: Native American Youth Involvement with Tribal Justice Systems", "paragraphs": ["Comprehensive data from tribal justice systems on the involvement of Native American youth were not available. However, we identified and reviewed a few data sources that provided certain insights about the arrest, adjudication, and confinement of Native American youth by tribal justice systems. Following is a summary of our analysis of data from these sources.", "Arrests. Although comprehensive data on the number of tribal law enforcement agency (LEA) arrests were not available, we obtained and reviewed admission records from three juvenile detention centers in Indian country managed by the Department of the Interior\u2019s Bureau of Indian Affairs (BIA). Based on those records, at least 388 Native American tribal youth were admitted to these three facilities in 2016, as shown in table 21. In the Northern Cheyenne facility for which we obtained records for 5 years, the number of youth admitted increased yearly between 2012 and 2016, from 14 to 204.", "According to BIA officials, this growth in the number of youth admitted to the Northern Cheyenne facility likely reflects an increase in admissions of Native American youth from surrounding tribes. Specifically, because the Northern Cheyenne facility is centrally located, they said it admits youth from other tribes which have grown accustomed to sending their youth to the facility. BIA officials also noted that the Northern Cheyenne facility services an area where there is a high rate of delinquency among youth, and because the facility works well with Native American youth struggling with delinquency issues, many tribes elect to send their delinquent youth to the facility. Further, since 2012, the Northern Cheyenne facility increased its bed space and staff, thus increasing its capacity to admit more youth, according to BIA officials.", "Even though comprehensive tribal arrest data are not available, DOJ\u2019s Bureau of Justice Statistics (BJS) is currently undertaking an effort to increase collection of arrest data from tribal LEAs. Specifically, this data collection activity is the Census of Tribal Law Enforcement Agencies. This collection activity, which BJS plans to conduct in 2019, is to capture information including tribal LEA workloads and arrests, tribal LEA access to and participation in regional and national justice database systems, and tribal LEA reporting of crime data into FBI databases.", "Adjudication. Comprehensive data were not available to describe the extent to which tribal courts processed Native American youth, or adjudicated them delinquent or found them guilty. However, BJS concluded a tribal court data collection effort\u2014the National Survey of Tribal Court Systems\u2014in 2015. Through this survey, BJS gathered information from more than 300 tribal courts and other tribal judicial entities on their criminal, civil, domestic violence and juvenile caseloads, and pretrial and probation programs, among other things. DOJ officials told us that BJS has analyzed the data, and plans to release results in the future.", "Confinement. According to data published by DOJ\u2019s Bureau of Justice Statistics, the number of youth in Indian country jails declined from 190 in 2014 to 170 in 2016 (about an 11 percent decrease)."], "subsections": []}, {"section_title": "Appendix V: Selected Grant Programs That Could Help Prevent or Address Delinquency among Native American Youth", "paragraphs": ["Appendix V: Selected Grant Programs That Could Help Prevent or Address Delinquency among Native American Youth Department of Justice (73 grant programs)", "Office of Juvenile Justice and Delinquency Prevention (OJJDP)"], "subsections": [{"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "Tribal government or Native American organizations eligible to apply (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "Tribal government or Native American organizations eligible to apply (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Tribal government or Native American organizations eligible to apply (Yes/No)?", "Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "Bureau of Justice Statistics (BJS)", "Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering, and Tracking Department of Health and Human Services (49 grant programs)", "Substance Abuse and Mental Health Services Administration (SAMHSA)"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "Tribal government or Native American organizations eligible to apply (Yes/No)?"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "Administration for Children and Families Administration for Children and Families Office of Minority Health Yes Office of Minority Health Yes Office of Minority Health Yes Office of Minority Health Yes Centers for Disease Control and Prevention (CDC)"], "subsections": []}, {"section_title": "Grant program", "paragraphs": ["Tribal government or Native American organizations eligible to apply (Yes/No)?", "Grant program specified tribes or Native Americans as a primary beneficiary (Yes/No)?", "For the purposes of the review, we define \u201ctribal governments\u201d as the governing bodies of federally recognized tribes and \u201cNative American organizations\u201d as organizations affiliated with federally recognized tribes, such as tribal colleges and universities, as well as non-tribal organizations that focus on serving Native American populations, such as urban Indian organizations. According to DOJ officials, the National Intertribal Youth Leadership Development Initiative grant program had no successful applicants in fiscal year 2017. grantees. Tribal governments and Native American organizations are eligible to apply for the Drug- Free Communities Support Program, thus making them potentially eligible for the Sober Truth on Preventing Underage Drinking Act Grants program. Health Resources Services Administration issued a fiscal year 2017 Behavioral Health Workforce Education and Training for Paraprofessionals and Professionals funding opportunity announcement, but according an agency official the fiscal year 2017 funding opportunity announcement does not focus on professionals who provide services to youth, whereas the fiscal year 2016 funding opportunity does."], "subsections": []}]}, {"section_title": "Appendix VI: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact name above, Taylor Matheson, Assistant Director; Tonnye\u2019 Conner-White, Analyst-in-Charge; Anne Akin; Steven Rocker; and Emily Flores made key contributions to this report. Also contributing were Jessica Ard; Melinda Cordero; Elizabeth Dretsch; Eric Hauswirth; Kristy Love; Grant Mallie; Amanda Miller; Heidi Nielson; and Claire Peachey."], "subsections": []}]}], "fastfact": ["Federal reports on Native American youth found challenges\u2014such as poverty and exposure to violence\u2014that can make them susceptible to being arrested, charged, or sentenced in the justice system.", "Among other things, we found:", "Overall rates of Native American juvenile delinquency declined 2010-2016.", "While most of the Native American youth in the system were at the state or local level, they were overrepresented in the federal system\u2014likely due to federal jurisdiction on tribal lands.", "We also found 122 federal grant programs to help address underlying challenges. Many factors affect grant application success, such as short deadlines."]} {"id": "GAO-18-156T", "url": "https://www.gao.gov/products/GAO-18-156T", "title": "Refugees: Federal Agencies and Their Partners Have Implemented Certain Measures, but Need to Further Strengthen Applicant Screening and Assess Fraud Risks", "published_date": "2017-10-26T00:00:00", "released_date": "2017-10-26T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["According to UNHCR, as of June 2017, more than 21 million people were refugees worldwide. State manages the U.S. Refugee Admissions Program (USRAP) and coordinates with UNHCR, which refers the most applicants to USRAP, and USCIS, which adjudicates refugee applications. Deterring and detecting fraud is essential to ensuring the integrity of USRAP and an increase in the number of applicants approved for resettlement in the United States from countries where terrorists operate has raised questions about the adequacy of applicant screening.", "This statement addresses (1) how State works with UNHCR to ensure program integrity in the UNHCR resettlement referral process; (2) the extent to which State and RSCs have policies and procedures on refugee case processing and State has overseen RSC activities; (3) the extent to which USCIS has policies and procedures for adjudicating refugee applications; and (4) the extent to which State, USCIS, and their partners follow leading practices to reduce the risk of staff and applicant fraud in USRAP. This statement is based on GAO's July 2017 reports regarding USRAP. To conduct that work, GAO analyzed State, USCIS, and UNHCR policies; interviewed relevant officials; conducted fieldwork in 2016 at selected UNHCR offices, as well as at RSCs in Austria, Jordan, Kenya, and El Salvador, where GAO observed a nongeneralizable sample of refugee screening interviews (selected based on application data and other factors)."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of State (State) and the United Nations High Commissioner for Refugees (UNHCR) have worked together on measures designed to ensure integrity in the refugee resettlement referral process and have established a framework to guide their partnership. Working with State, UNHCR has implemented standard operating procedures and other guidance that, according to UNHCR officials, provides baseline requirements throughout the referral process. UNHCR also uses databases to help verify the identities of, and manage information about, refugees.", "State and the nine worldwide Resettlement Support Centers (RSC) have policies and procedures for processing refugee applications. Overseen by State, the organizations that operate RSCs hire staff to process and prescreen applicants who have been referred for resettlement consideration. GAO observed 27 prescreening interviews conducted by RSC caseworkers in four countries and found that, for example, RSCs generally recorded key information and submitted any required security checks. However, State has not established outcome-based performance indicators to evaluate whether RSCs were consistently and effectively prescreening applicants and preparing case files\u2014key RSC activities that have important implications for timely and effective adjudication and security checks. Developing outcome-based performance indicators would better position State to determine whether RSCs are meeting their responsibilities.", "The Department of Homeland Security's U.S. Citizenship and Immigration Services (USCIS) has policies and procedures for adjudicating refugee applications for resettlement in the United States, including how officers are to conduct interviews and adjudicate applications. GAO observed 29 USCIS interviews and found that officers completed all parts of the required assessment. USCIS also provides guidance to help officers identify national security concerns in applications, which can be challenging to identify as country conditions evolve. In 2016, USCIS determined that its pilot to send officers with national security expertise overseas to support interviewing officers was successful. USCIS has taken steps to fill these positions, but it has not yet developed a plan for deploying these additional officers, whose expertise could help improve the effectiveness of the adjudication process.", "State, USCIS, and their partners have implemented antifraud measures to reduce the risk of staff and applicant fraud\u2014both of which have occurred\u2014but could further assess fraud risks. Officials from all nine RSCs stated that they assign staff fraud risk management responsibilities to designated individuals. However, not all RSCs reported complying with all required program integrity measures\u2014reported compliance at individual RSCs ranged from 86 to 100 percent. State has also not required RSCs to conduct regular staff fraud risk assessments tailored to each RSC or examined the suitability of related controls. Without taking additional steps to address these issues, State and RSCs may face challenges in identifying new staff fraud risks or gaps in the program's internal control system and implementing new control activities to mitigate them. Further, State and USCIS have not jointly assessed applicant fraud risk program-wide. Doing so could help them ensure that fraud detection and prevention efforts across USRAP are targeted to those areas that are of highest risk."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO made recommendations to State and USCIS to strengthen the implementation of USRAP. State and USCIS agreed with GAO's recommendations and have begun taking actions to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our July 2017 reports on the U.S. Refugee Admissions Program (USRAP)\u2014the process by which refugees seek to be resettled in the United States. Millions of people worldwide have fled their home countries to seek asylum because of persecution. In general, individuals determined to have a well-founded fear of persecution on account of their race, religion, nationality, political opinion, or their membership in a particular social group can be registered as refugees with the governments of the countries to which they have fled or with the United Nations High Commissioner for Refugees (UNHCR). As of June 2017, UNHCR reported there were approximately 22.5 million refugees worldwide.", "In fiscal year 2016, the United States admitted nearly 85,000 refugees for resettlement, the largest yearly number in more than 15 years, and admitted about 52,000 refugees in fiscal year 2017. Increases in the number of USRAP applicants approved for resettlement in the United States\u2014particularly from countries in the Middle East where terrorist groups such as the Islamic State in Iraq and Syria (ISIS) operate\u2014have raised questions about the adequacy of screening for refugee applicants to prevent access by persons who may be threats to national security.", "There are also questions as to whether USRAP is vulnerable to fraud because there have been past cases of fraud committed by both staff involved in the processing of refugee applications (referred to hereafter as staff fraud) and by refugee applicants. Given the potential consequences that the outcomes of decisions on refugee applications can have on the safety and security of both vulnerable refugee populations and the United States, it is important that there is integrity in the resettlement process and that the U.S. government has an effective refugee screening process to allow for resettlement of qualified applicants while preventing persons with malicious intent from using USRAP to gain entry into the country.", "The Department of State\u2019s (State) Bureau of Population, Refugees, and Migration (PRM) manages USRAP. State works with the Department of Homeland Security\u2019s (DHS) U.S. Citizenship and Immigration Services (USCIS), which has responsibility for adjudicating applications for resettlement in the United States as refugees. USCIS officers, in adjudicating applications for resettlement, are to conduct individual, in- person interviews with applicants overseas and use the results of these interviews in coordination with other relevant information, such as the results of applicants\u2019 security checks, to determine whether USCIS will approve the applicants for resettlement in the United States as refugees. State receives applications and referrals for refugee resettlement from a variety of sources, with most coming from UNHCR. UNHCR is mandated to work with governments to provide \u201cdurable solutions\u201d to refugees so that they may transition out of refugee status and rebuild their lives. This may include their consideration to submit a refugee\u2019s case to the United States or other country for resettlement. Both State and USCIS coordinate with nine Resettlement Support Centers (RSC) worldwide to manage applications and referrals to USRAP, interview applicants to collect their information (referred to as prescreening), and prepare approved refugee applicants for resettlement to the United States. State oversees these RSCs, four of which are operated by the International Organization for Migration (IOM), and four of which are operated by nongovernmental organizations (NGO). The ninth RSC, in Havana, Cuba, is operated directly by State.", "This statement summarizes our July 2017 reports. Specifically, this statement addresses (1) how State works with UNHCR to ensure program integrity in the UNHCR resettlement referral process; (2) the extent to which State and RSCs have policies and procedures on refugee case processing and State has overseen RSC activities; (3) the extent to which USCIS has policies and procedures for adjudicating refugee applications; and (4) the extent to which State, USCIS, and their partners follow leading practices to reduce the risk of staff and applicant fraud in USRAP. For those reports, we reviewed State, DHS, RSC, and UNHCR policies and documents and interviewed relevant officials\u2014including officials at all 9 RSCs. In addition, we conducted fieldwork at selected UNHCR offices, as well as at RSCs in Austria, Jordan, Kenya, and El Salvador. At the RSCs, we observed two nongeneralizable samples of refugee screening interviews in 2016 (selected based on application data and other factors). More detailed information on our objectives, scope, and methodology for that work can be found in the issued reports. We conducted the work upon which this statement is based in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "State Has Worked with UNHCR on Various Measures Designed to Ensure the Integrity of the Resettlement Referral Process", "paragraphs": ["In July 2017, we found that State and UNHCR have worked together on several measures designed to ensure integrity in the process through which UNHCR refers refugees to USRAP for potential resettlement in the United States (or, the resettlement referral process). Since 2000, State and UNHCR have outlined their formal partnership using a Framework for Cooperation. State and UNHCR signed the most recent framework document in 2016, covering the period of March 14, 2016 to December 31, 2017. The organizations developed the framework to guide their partnership, emphasizing measures such as oversight activities and risk management. Among other things, the framework emphasizes improved accountability at UNHCR through effective oversight measures, close cooperation with State, and organization-wide risk management. In addition, the framework notes that State will work to ensure that UNHCR allocates sufficient resources to fully implement measures to provide oversight and accountability. For instance, UNHCR has several offices that are responsible for overseeing antifraud activities, in addition to providing audit services, investigating instances of fraud, and conducting broad reviews of country-level operations such as the United Nations Office of Internal Oversight Services and the Board of Auditors. The framework also describes regular coordination and communication between State and UNHCR as an important principle in the relationship between the two organizations. Specifically, at the headquarters level, the U.S. Mission in Geneva, Switzerland, has a humanitarian affairs office that, according to State officials, coordinates with UNHCR on a regular basis.", "Additionally, UNHCR has developed standard operating procedures (SOPs) and identity management systems to combat the risk of fraud and worked with State to implement these activities in the resettlement process. Despite the complexity and regional variations in its refugee registration, refugee status determination, and resettlement referral processes, UNHCR officials said that standardizing procedures ensures that the organization has established basic antifraud practices worldwide. These officials added that they believe that the SOPs are among the most important tools with which they ensure the integrity of the resettlement referral process. UNHCR officials also collect biometric information on refugees, such as iris scans and fingerprints. State and UNHCR developed a Memorandum of Understanding (MOU) regarding the sharing of some biometric information. According to a Letter of Understanding that accompanies the MOU, it provides a framework whereby data from UNHCR is shared with State, which allows for increased efficiency and accuracy in processing resettlement referrals to the United States. See figure 2 for photographs of technology that UNHCR uses to register and verify refugee identities."], "subsections": []}, {"section_title": "State and RSCs Have Policies and Procedures for Processing Refugees, but State Could Improve Efforts to Monitor RSC Performance", "paragraphs": ["State and RSCs have policies and procedures for processing refugee applications, but, as we found in July 2017, State has not established outcome-based performance measures to assess whether RSCs are meeting their objectives under USRAP. State\u2019s USRAP Overseas Processing Manual includes requirements for information RSCs should collect when prescreening applicants and initiating national security checks, among other things. RSCs communicate directly with USRAP applicants and prepare their case files. For example, RSCs are to conduct prescreening interviews to record key information, such as applicants\u2019 persecution stories and information about their extended family, and submit certain security checks based on the information collected during the interview to U.S. agencies. In addition, State developed SOPs for processing and prescreening refugee applications at RSCs, which State officials indicated provide baseline standards for RSC operations. Further, all four of the RSCs we visited provided us with their own local SOPs that incorporated the topics covered in State\u2019s SOPs. Directors at the remaining five RSCs also told us that they had developed local SOPs that covered the overarching USRAP requirements. We observed how RSC staff implemented State\u2019s case processing and prescreening policies and procedures during our site visits to four RSCs from June 2016 to September 2016. Specifically, we observed 27 prescreening interviews conducted by RSC caseworkers at the four RSCs we visited and found that these caseworkers generally adhered to State requirements during these interviews. In addition, we observed how RSC staff in all four locations implemented additional required procedures during our site visits, such as initiating required security checks and compiling case file information for USCIS interviewing officers, and found that these RSC staff were generally complying with SOPs.", "State has control activities in place to monitor how RSCs implement policies and procedures for USRAP, but it does not have outcome-based performance indicators to assess whether RSCs are meeting their objectives under USRAP. Consistent with State\u2019s January 2016 Federal Assistance Policy Directive, and according to State officials, State is required to monitor the RSCs it funds, whether through cooperative agreements or voluntary contributions. On the basis of our interviews with State officials and as reflected in documentation from all nine RSCs, including quarterly reports to State, all RSCs have generally undergone the same monitoring regime regardless of funding mechanism. Further, according to State officials, the department has dedicated Program Officers located in Washington, D.C., and Refugee Coordinators based in U.S. embassies worldwide, who are responsible for providing support to RSCs and monitoring their activities\u2014including conducting annual monitoring visits. Further, State has established objectives for RSCs, which include interviewing applicants to obtain relevant information for the adjudication and ensuring the accuracy of information in State\u2019s database and the case files. State also establishes annual targets for the number of refugees who depart for the United States from each RSC.", "Although State has established objectives and monitors several quantitative goals for RSCs, it has not established outcome-based performance indicators for key RSC activities such as prescreening applicants or accurate case file preparation, or monitored RSC performance consistently across such indicators. Specifically, neither the quarterly reports nor other monitoring reports we examined have or use consistent outcome-based performance indicators from which State could evaluate whether RSCs were consistently and effectively prescreening applicants and preparing case files\u2014key RSC activities that have important implications for timely and effective USCIS interviews and security checks. Developing outcome-based performance indicators, as required by State policy and performance management guidance, and monitoring RSC performance against such indicators on a regular basis, would better position State to determine whether all RSCs are processing refugee applications in accordance with their responsibilities under USRAP."], "subsections": []}, {"section_title": "USCIS Has Policies and Procedures for Adjudicating Refugee Applications, but Could Improve Training and Quality Assurance", "paragraphs": [], "subsections": [{"section_title": "USCIS Has Policies and Procedures to Adjudicate Refugee Applications, but Could Improve Training for Temporary Officers", "paragraphs": ["USCIS has developed policies and procedures for adjudicating refugee applications. In July 2017, we found that these policies and procedures apply to all USCIS officers who adjudicate refugee applications\u2014those from USCIS\u2019s Refugee Affairs Division (RAD), International Operations Division (IO), and temporary officers from offices throughout USCIS\u2014and include those for how officers are to review the case file before the interview and conduct the interview, as well as how supervisors are to review applications to ensure they are legally sufficient. We observed 29 USCIS refugee interviews at the four RSCs that we visited from June 2016 to September 2016 and found that the interviewing officers completed all parts of the assessment tool and followed other required policies. We also observed that the USCIS officers documented the questions they asked and the answers the applicants provided. We also observed USCIS supervisors while they reviewed officers\u2019 initial decisions, interview transcripts, and case file documentation, consistent with USCIS policy, at two of the sites we visited. Further, all six of the officers that we met with stated that supervisors conducted the required supervisory case file review during their circuit rides and the four supervisory officers we met with were aware of the requirements and stated that they conducted the supervisory reviews.", "USCIS also provides specialized training to all officers who adjudicate applications abroad, but we found that USCIS could provide additional training for officers who work on a temporary basis. According to USCIS policy, all USCIS officers who adjudicate refugee applications must complete specialized training, and the training varies based on the USCIS division of the officer. However, temporary officers receive a condensed (or shortened) version of the trainings received by full time refugee officers and do not receive infield training. Although temporary officers receive training prior to conducting in-person interviews with refugee applicants, we found that they sometimes face challenges adjudicating refugee applications. Specifically, we reviewed 44 summary trip reports USCIS supervisors completed following officers\u2019 trips overseas to interview USRAP applicants from the fourth quarter of 2014 through the third quarter of 2016 that included adjudications by temporary officers.", "In 15 of the 44 reports, the supervisors noted that temporary officers faced challenges adjudicating refugee applications. Standards for Internal Control in the Federal Government state that management should demonstrate a commitment to recruit, develop, and retain competent individuals. The standards also note that competence is the qualification to carry out assigned responsibilities, and requires relevant knowledge, skills, and abilities, which are gained largely from professional experience, training, and certifications. To the extent that USCIS uses temporary officers on future circuit rides, providing them with additional training, such as in-field training, would help better prepare them to interview refugees and adjudicate their applications, increase the quality and efficiency of their work, and potentially reduce the supervisory burden on those who oversee temporary officers."], "subsections": []}, {"section_title": "USCIS Has Resources to Help Officers Identify Applicants with National Security Concerns, but Has Not Documented Plans for Deploying Officers with National Security Expertise Overseas", "paragraphs": ["In addition to training, USCIS has developed guidance documents and tools to help officers identify USRAP applicants with potential national security concerns. However, we found that USCIS could strengthen its efforts by developing and implementing a plan for deploying officers with national security expertise on selected circuit rides. USCIS provides a number of resources to officers to help them identify and address potential national security-related concerns in USRAP applications. In addition, USCIS\u2019s national security policies and operating procedures require that cases with national security concerns be placed on hold by interviewing officers. These cases are then reviewed by USCIS headquarters staff who have additional specialized training and expertise in vetting national security issues. While USCIS has training and guidance to adjudicate cases with national security-related concerns, USCIS trip reports we analyzed and officers we interviewed indicated that it can be challenging to adjudicate such applications. USCIS officials identified several reasons why it is challenging to provide training and guidance on how to adjudicate cases with potential national security concerns. For example, according to RAD and IO headquarters officials, indicators of national security concerns and the country conditions that give rise to them evolve and change; as a result, USCIS guidance on how to address those concerns also changes over time.", "To further help interviewing officers adjudicate cases with national security concerns, in 2016, USCIS completed a pilot program that included sending officers with national security expertise overseas to support interviewing officers in some locations. USCIS determined the pilot was successful and has taken steps to formalize it; however, USCIS has not developed and implemented a plan for deploying these additional officers, whose expertise could help improve the efficiency and effectiveness of the adjudication process. In light of the evolving and significant nature of national security concerns, developing and implementing a plan to deploy additional USCIS officers with national security expertise on circuit rides\u2014including timeframes for deployment and how USCIS will select circuit rides for deployment\u2014would better ensure that USCIS provides interviewing officers with the resources needed to efficiently and effectively adjudicate cases with national security concerns."], "subsections": []}, {"section_title": "USCIS Does Not Conduct Regular Quality Assurance Assessments of Refugee Adjudications", "paragraphs": ["We also found that USCIS has not regularly assessed the quality of refugee adjudications, which help ensure that case files are completed accurately and that decisions by USCIS officers are well-documented and legally sufficient. USCIS conducted a quality assurance review of refugee adjudications in fiscal year 2015, which included a sample of applications adjudicated by RAD and IO during one quarter of the fiscal year. The 2015 quality assurance review found that most cases in the sample were legally sufficient. However, the review indicated that there were differences between RAD and IO adjudications. Specifically, the review rated 69 of 80 RAD case files (86 percent) as good or excellent, and rated 36 of 73 IO case files (49 percent) as good or excellent. Two of 80 RAD case files (less than 3 percent) in the review and 17 of 73 IO case files (23 percent) were rated as not legally sufficient. USCIS developed action items to address identified deficiencies and has taken steps to implement them. Among cases rated not legally sufficient, the most common deficiency identified was that interviewing officers did not fully develop the interview record with respect to possible inadmissibilities. Other deficiencies reported included interview records not being fully developed with respect to well-founded fear of persecution, improper documentation and analysis of terrorism-related inadmissibility concerns, incorrect hold determination, and required sections of the assessment leading to the adjudication decision that were incomplete.", "Although there have been major changes in the refugee caseload in the past 2 years (such as an increase in Syrian refugees), an increased use of temporary staff to conduct refugee adjudications in fiscal year 2016, and the difference in quality between RAD and IO adjudications noted in the 2015 quality assurance review, USCIS did not conduct quality reviews in 2016 and had no plans to conduct them in 2017. Standards for Internal Control in the Federal Government states that management should establish and operate monitoring activities to monitor the internal control system and evaluate the results. In addition, standard practices for program management state that program quality should be monitored on a regular basis to provide confidence that the program will comply with the relevant quality policies and standards. USCIS officials stated that supervisors continue to review each refugee case file for legal sufficiency and completeness at the time of the interview. While supervisory review is an important quality control step, it does not position USCIS to identify systematic quality concerns, such as those identified in the fiscal year 2015 quality assessment results. Conducting such reviews would help ensure that case files are completed accurately and that decisions by USCIS officers are well-documented and legally sufficient."], "subsections": []}]}, {"section_title": "State, USCIS, and Their Partners Have Implemented Antifraud Measures but Could Further Assess Staff and Applicant Fraud Risks", "paragraphs": [], "subsections": [{"section_title": "To Address Fraud Risks, State and RSCs Have Taken Steps to Follow Many Leading Antifraud Practices but Could Improve Implementation of Controls and Assessment of Risk", "paragraphs": ["According to State officials we interviewed for our July 2017 report, staff fraud at RSCs occurs infrequently, but instances of staff fraud have taken place in recent years, such as RSC staff soliciting bribes from applicants in exchange for promises of expediting applicants through RSC processing. State and RSCs reported instituting a number of activities to combat the risk of fraud committed by RSC staff. Many of these activities correspond with leading practices identified in GAO\u2019s Fraud Risk Framework which identifies leading antifraud practices to aid program managers in managing fraud risks that affect their program. For instance, State and RSCs reported that they have taken steps to commit to an organizational culture and structure to help manage staff fraud risks and established collaborative relationships with both internal and external partners to share information. Officials from all nine RSCs stated that they assign staff fraud risk management responsibilities to designated individuals. In addition, State and RSCs reported that RSCs have designed control activities to address staff fraud risk. State officials identified two key guidance documents containing control activities: RSC SOPs and the Program Integrity Guidelines. The Program Integrity Guidelines are a list of 87 measures designed to prevent and mitigate staff fraud at RSCs. The measures were developed by State and provided to RSCs in response to a staff fraud incident in 2013 that resulted in the termination of two RSC staff. These measures include control activities addressing issues such as background checks, interpreter assignment, antifraud training, office layout, case file reviews, electronic data management, and reporting and responding to instances of suspected fraud.", "State required RSCs to comply with the original Program Integrity Guidelines by October 2014; however, our review of RSC documents found that RSCs reported complying with most, but not all, of the required measures applicable to their operations. Reported compliance with required, applicable measures at individual RSCs ranged from 86 percent to 100 percent. For 53 of the 72 measures, compliance was reported by all RSCs for which the measure was applicable. Some RSCs have reported that they face challenges in fully implementing certain controls. State officials told us that they work to ensure that each RSC complies with all required controls in the Program Integrity Guidelines. If an RSC reports that it does not yet fully comply with a measure listed in the Program Integrity Guidelines, State expects the RSC to report its progress toward compliance to State. While this reporting assists State in its implementation efforts, we found that gaps remain. Full compliance with these measures could help RSCs ensure the integrity of their operations and guard against staff fraud.", "In addition, State has taken some steps to assess the risks posed by staff fraud to RSC operations; however, we found that not all RSCs have conducted staff fraud risk assessments that follow leading practices identified in the Fraud Risk Framework, including (1) conducting assessments at regular intervals or when the program experiences changes, (2) tailoring assessments to the program and its operations, and (3) examining the suitability of existing fraud controls. State officials told us that not all RSCs had conducted staff fraud risk assessments because State\u2019s Program Integrity Guidelines recommend but do not require these assessments. Without State requiring RSCs to conduct regular staff fraud risk assessments tailored to their specific operations, staff fraud risk assessments conducted by individual RSCs have varied. Further, we found that State and most RSCs have not examined the suitability of existing fraud controls. For example, while one RSC has regularly assessed the suitability of its existing staff fraud controls by conducting regular staff fraud risk assessments that examine the likelihood and impact of potential fraudulent activity and related fraud controls, the remaining eight RSCs have not done so. State officials told us that because State does not require RSCs to conduct risk assessments, information needed to assess the suitability of existing controls is not available from all RSCs. As the number of refugees accepted varies each year by RSC, internal control systems may need to be changed to respond to the potential increased fraud risk. Without requiring RSCs to conduct regular staff fraud risk assessments that are tailored to their specific operating environments and reviewing these assessments to examine the suitability of existing fraud controls, State may lack necessary information about staff fraud risks and therefore not have reasonable assurance that existing controls effectively reduce these risks. Information from such risk assessments could help State and RSCs revise existing controls or develop new controls to mitigate the staff fraud risks faced by the program, if necessary."], "subsections": []}, {"section_title": "State and USCIS Have Mechanisms to Help Detect and Prevent Applicant Fraud, but Could Jointly Assess Applicant Fraud Risks", "paragraphs": ["Fraud can occur in the refugee process in a number of ways, and State, RSCs, and USCIS have implemented certain mechanisms to help detect and prevent fraud by USRAP applicants. USCIS officers can encounter indicators of fraud while adjudicating refugee applications, and State has suspended USRAP programs in the past because of fraud. To detect and prevent applicant fraud in USRAP, State, RSCs, and USCIS have put mechanisms in place such as DNA testing for certain applicants; training on applicant fraud trends for USCIS officers; and procedures at RSCs to require, where possible, that different interpreters be involved in different stages of the USRAP application process to decrease the likelihood that applicants collude with interpreters. However, State and USCIS have not jointly assessed applicant fraud risks program-wide. The Fraud Risk Framework calls for program managers to plan and conduct regular fraud risk assessments. In addition, Standards for Internal Control in the Federal Government states that management should consider the potential for fraud when identifying, analyzing, and responding to risks, and analyze and respond to identified fraud risks, through a risk analysis process, so that they are effectively mitigated.", "Although State and USCIS perform a number of fraud risk management activities and have responded to individual instances of applicant fraud, we found that these efforts do not position the agencies to assess fraud risks program-wide for USRAP or know if their controls are appropriately targeted to the areas of highest risk in the program. State and USCIS officials told us that each agency has discrete areas of responsibility in the refugee admissions process, and each agency\u2019s antifraud activities are largely directed at their portions of the process. Because the management of USRAP involves several agencies, without jointly and regularly assessing applicant fraud risks and determining the fraud risk tolerance of the entirety of USRAP, in accordance with leading practices, State and USCIS do not have comprehensive information on the inherent fraud risks that may affect the integrity of the refugee application process and therefore do not have reasonable assurance that State, USCIS, and other program partners have implemented controls to mitigate those risks. Moreover, regularly assessing applicant fraud risks program-wide could help State and USCIS ensure that fraud prevention and detection efforts across USRAP are targeted to those areas that are of highest risk, in accordance with the program\u2019s fraud risk tolerance."], "subsections": []}]}, {"section_title": "Our Recommendations and Agencies\u2019 Responses", "paragraphs": ["In our July reports, we made several recommendations to State and DHS. Specifically, we recommended that State take the following actions in GAO-17-706: develop outcome-based indicators for RSC, as required by State monitor RSC performance against such indicators on a regular basis; And we recommended that State take the following actions in GAO-17-737: actively pursue efforts to ensure that RSCs comply with required, applicable measures in the Program Integrity Guidelines; update guidance, such as the Program Integrity Guidelines, to require each RSC to conduct regular staff fraud risk assessments that are tailored to each RSC\u2019s specific operations; and regularly review RSC staff fraud risk assessments and use them to examine the suitability of existing staff fraud controls and revise controls as appropriate.", "We recommended that USCIS take the following actions in GAO-17-706: provide additional training for any temporary officers who adjudicate develop and implement a plan to deploy officers with national security conduct regular quality assurance assessments of refugee application adjudications across RAD and IO.", "We also recommended that State and USCIS conduct regular joint risk assessments of applicant fraud risk across USRAP.", "State and USCIS concurred with all of our recommendations and have actions underway to address them. For example, State noted that it has developed new guidance to enhance the monitoring of RSCs, which outlines roles, responsibilities, and tools for program officers and refugee coordinators. In addition, USCIS provided documentation that USCIS officials conducted a quality assurance assessment of refugee adjudications in July 2017. Moreover, in July 2017, USCIS provided documentation indicating that it instituted additional headquarters and overseas training for temporary officers consistent with our recommendation. Therefore, we closed this recommendation as implemented.", "Chairman Labrador, Ranking Member Lofgren, and Members of the Subcommittee, this completes my prepared statement. I would be pleased to respond to any questions that you may have."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["For further information regarding this testimony, please contact Rebecca Gambler, Director, Homeland Security and Justice at (202) 512-8777 or gamblerr@gao.gov, or Thomas Melito, Director, International Affairs and Trade at (202) 512-9601 or melitot@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are David Alexander, Ashley Alley, Kathryn Bernet, Anthony Costulas, Martin De Alteriis, Brian Hackney, Paul Hobart, Thomas Lombardi, and Elizabeth Repko.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-39", "url": "https://www.gao.gov/products/GAO-18-39", "title": "Tax Gap: IRS Needs Specific Goals and Strategies for Improving Compliance", "published_date": "2017-10-31T00:00:00", "released_date": "2017-11-30T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The tax gap\u2014the difference between tax amounts that taxpayers should have paid and what they actually paid\u2014has been a persistent problem for decades. The tax gap estimate is an aggregate estimate of the five types of taxes that IRS administers\u2014individual income, corporation income, employment, estate, and excise taxes. For each tax type, IRS attempts to estimate the tax gap based on three types of noncompliance: (1) underreporting of tax liabilities on timely filed tax returns; (2) underpayment of taxes due from timely filed returns; and (3) nonfiling, when a taxpayer fails to file a required tax return altogether or on time.", "GAO was asked to review IRS's tax gap estimate for tax years 2008 to 2010. This report provides information on (1) the main drivers of the tax gap; (2) IRS's confidence in the tax gap estimates; (3) IRS's goals, if any, for reducing the tax gap; and (4) the extent to which IRS uses tax gap estimates and underlying data to develop strategies to reduce the tax gap. GAO reviewed IRS tax gap data and reports and interviewed IRS officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Internal Revenue Service's (IRS) latest tax gap estimate found that taxpayers voluntarily and timely paid about 81.7 percent of the taxes they should have paid for tax years 2008-2010.", "As with past estimates, underreporting of individual income taxes accounted for the largest portion of the 2008-2010 tax gap. IRS believes the tax gap estimates are sufficiently reliable to provide a snapshot of tax compliance as a whole because much of the estimates are based on the most current data available, such as from IRS's National Research Program (NRP).", "IRS previously set or acknowledged goals to improve voluntary compliance. However, IRS has since moved away from that approach. IRS officials now believe there are limited benefits to establishing goals because IRS cannot control all aspects of compliance and updated methodologies may cause fluctuations in the estimates. IRS does, however, have an impact on taxpayers' compliance through its service and enforcement programs. Without long-term, quantitative goals for improving voluntary compliance, it will be difficult for IRS to determine the success of its compliance efforts and adjust its approaches.", "The Internal Revenue Manual states IRS needs to measure taxpayer compliance and other factors so compliance information and tools can be improved. IRS uses tax gap data to study compliance behaviors and update computer formulas designed to identify tax returns with a high likelihood of noncompliance. Yet IRS has not documented a comprehensive strategy that shows how it intends to use NRP data to update compliance strategies. Officials said the uses of NRP are widely known from general documentation about NRP. Without developing and documenting a strategy for using the NRP data to update compliance strategies, IRS may not fully leverage the compliance data or allocate enforcement resources in the most cost-effective manner, and it may be difficult for Congress and others to understand the merits of what they are being asked to fund."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that IRS re-establish goals for improving voluntary compliance and develop and document a strategy that outlines how it will use its data to update compliance strategies to address the tax gap. IRS disagreed with GAO's recommendation on establishing goals and agreed with the recommendation on compliance strategies. GAO continues to believe that goals are essential for results-oriented management."]}], "report": [{"section_title": "Letter", "paragraphs": ["Every year, taxpayers fail to pay hundreds of billions of dollars in taxes. This tax gap\u2014the difference between tax amounts that taxpayers should pay and what they actually pay voluntarily and on time\u2014has been a persistent problem for decades. In 2016, the Internal Revenue Service (IRS) estimated that taxpayers voluntarily and timely paid about 81.7 percent of the taxes they should have for tax years 2008 to 2010. The average annual gross tax gap was $458 billion for those years. IRS estimated that through late payments and enforcement actions it will collect an additional $52 billion annually for tax years 2008 to 2010. The average net tax gap of $406 billion for those years results in 83.7 percent of taxes that should have been paid ultimately being paid.", "You asked us to review IRS\u2019s latest tax gap estimate for tax years 2008 to 2010. This report provides information on (1) the main drivers of the tax gap; (2) IRS\u2019s confidence in the tax gap estimates; (3) IRS\u2019s goals for reducing the tax gap; and (4) the extent to which IRS uses tax gap estimates and underlying data to develop strategies and actions to reduce the tax gap.", "To address these objectives, we reviewed IRS\u2019s tax gap estimates; IRS documents on estimating compliance, estimating the tax gap, and ensuring taxpayer compliance; and past GAO and Treasury Inspector General for Tax Administration reports on the 2001 and 2006 tax gap estimates. We also interviewed IRS officials responsible for estimating the tax gap and those responsible for establishing goals and developing strategies for improving voluntary compliance. We also examined data from IRS\u2019s National Research Program (NRP) study of individual tax returns from 2008 to 2010, which IRS based part of its individual underreporting tax gap estimates, to show additional detail on aspects of compliance.", "We determined that IRS\u2019s tax gap and associated compliance rate estimates were sufficiently reliable for the purposes of our reporting objectives based on reliability tests we conducted. See appendix I for more information on scope and methodology.", "We conducted this performance audit from July 2016 through October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["We have consistently stressed the importance of IRS conducting tax compliance research. Likewise, analyzing compliance data can help IRS identify ways to enhance taxpayer compliance. Without such data, it is more difficult for IRS to decide whether its efforts to address specific areas of noncompliance should focus on non-enforcement activities, such as improved forms or publications, or enforcement activities. Analyzing the data can also help identify changes that could be made to tax laws and regulations that may improve compliance.", "In April 2016, IRS released its most recent tax gap estimate. IRS estimated that taxpayers should have paid an average of about $2.5 trillion dollars per year in federal taxes for tax years 2008 to 2010. IRS also estimated that taxpayers paid approximately $2.04 trillion voluntarily and on time for those years, on average, leaving $458 billion in unpaid taxes per year. However, IRS estimates that through late payments and enforcement actions it eventually will collect an additional $52 billion on average for those years, leaving the average net tax gap at $406 billion for 2008 to 2010, as shown in figure 1.", "The tax gap estimate is an aggregate estimate of the five types of taxes that IRS administers\u2014individual income, corporation income, employment, estate, and excise taxes. For each tax type, IRS attempts to estimate the tax gap based on three types of noncompliance: (1) underreporting of tax liabilities on timely filed tax returns; (2) underpayment of taxes due from timely filed returns; and (3) nonfiling, when a taxpayer fails to file a required tax return altogether or on time.", "IRS has not developed specific estimates for the tax gap related to income earned from illegal activities (e.g., prostitution) or certain forms of fraud. However, if IRS discovers these types of income over the course of an audit, it could be included in the tax gap estimates. In general, refund fraud related to identity theft would not be included in the tax gap estimate because it does not involve evading a tax liability. The tax gap includes unintentional errors as well as intentional evasion, such as intentionally underreporting income, intentionally overreporting expenses, and engaging in abusive tax shelters or frivolous tax schemes.", "There is no single approach to estimating all of the components of the tax gap. IRS uses NRP examinations of a stratified, random sample of tax returns along with statistical modeling to produce estimates of noncompliance for the population of individual income tax return filers. Other areas of the tax gap are estimated using payment data or other statistical models. Each approach IRS uses is subject to non-sampling error and the areas of the estimate that are samples are subject to additional sampling errors. The uncertainty of the estimates is not readily captured by standard errors that typically accompany estimates based on sample data. For that reason, IRS does not report standard errors, confidence intervals, and statistical comparisons across years.", "Prior to the 2008\u20132010 estimate, IRS had released two other tax gap estimates that used data from NRP examinations: (1) a tax year 2001 tax gap estimate that was released in February 2007 and (2) a tax year 2006 tax gap estimate that was released in December 2011. As shown in figure 2, the gross tax gap estimate has increased, in nominal terms, from $345 billion for 2001 to $458 billion, on average, for 2008\u20132010, an increase of $113 billion or about 33 percent. However, when we adjusted for inflation (using fiscal year 2016 dollars), the gross tax gap estimates amount to $460 billion in 2001, $530 billion in 2006, and $509 billion in 2008\u20132010. The inflation-adjusted gross tax gap increased by about 11 percent from 2001 to 2008\u20132010; however, the 2008\u20132010 estimate is slightly lower, by about 4 percent, than the 2006 estimate.", "Over the three estimates, the voluntary compliance rate (VCR)\u2014the percentage of owed tax for a given year that is paid voluntarily and timely\u2014has decreased slightly from 83.1 percent for 2006 to 81.7, on average, for 2008\u20132010. IRS also estimated the VCR and distribution of tax liability for each component of the tax gap. Generally, employment taxes have the highest estimated compliance rates while individual income and estate taxes have the lowest estimated compliance rates. There was a decrease in the VCR for individual income tax from 79 percent for tax year 2001 to 74 percent in the recent 2008\u20132010 estimate. According to IRS, this decline, along with the individual income tax\u2019s increase in the share of liability, contributes to the slight decline in the overall VCR.", "The amount of the tax gap that IRS estimated it would collect through enforcement efforts and late payments varied across the three estimates. In 2001, IRS estimated it would collect $55 billion and that figure would increase by $10 billion, to $65 billion in 2006. However, for the 2008\u2013 2010 tax gap estimate, the enforced collections or late payments decreased by $13 billion per year, on average, from the 2006 estimate, to $52 billion. According to IRS, the methodology used to calculate prior estimates may have been too optimistic, resulting in an overstatement of as much as 25 percent. Additionally, IRS stated that the economic downturn in 2008 reduced the total tax liability from which IRS could collect revenue over this period.", "However, differences in the tax gap estimates across years may not all be attributed to changes in taxpayer behavior (voluntary compliance) or IRS enforcement activities. According to IRS, the tax gap estimates have increased in part because IRS included some new tax gap components and updated some methods, which it believes increased the comprehensiveness and accuracy of the estimates. IRS reported that changes in economic activity and changes in tax law and administration also contribute to differences in tax gap estimates over time."], "subsections": [{"section_title": "Enforcement of Tax Laws and GAO\u2019s High-Risk List", "paragraphs": ["In our 2017 High-Risk Report we continued to include Enforcement of Tax Laws as a high-risk area. Key components of this high-risk area include both addressing the tax gap and improving tax compliance. IRS enforcement of the tax laws helps fund the U.S. government by collecting revenue from noncompliant taxpayers and, perhaps more importantly, promoting voluntary compliance by giving taxpayers confidence that others are paying their fair share. However, IRS still faces challenges to its capacity for implementing new initiatives and carrying out ongoing enforcement and taxpayer service programs under an uncertain budgetary environment.", "Given the estimated size of the tax gap, even modest reductions would yield significant financial benefits for the country. We have made numerous recommendations over time to help IRS, the Department of the Treasury (Treasury), and Congress address tax noncompliance. Nonetheless, as we have reported in the past, closing the entire gap is not feasible since it could entail more burdensome record keeping or reporting than the public is willing to accept or more resources than IRS is able to commit. For example, third-party information reporting has shown to improve accuracy of income reporting by individual taxpayers; however, it requires increased record keeping and reporting by the third party and requires IRS resources to properly match the third-party information to individual tax returns."], "subsections": []}]}, {"section_title": "Underreporting by Individual Taxpayers Accounts for the Largest Portion of the Tax Gap", "paragraphs": ["Underreporting of tax liabilities accounted for most of the tax gap estimate for tax years 2008\u20132010, making up 84 percent of the entire estimated gross tax gap, as shown in figure 3. Individual income taxes made up the largest portion of underreporting, followed by employment taxes and corporation income taxes."], "subsections": [{"section_title": "Individual Income Tax Underreporting", "paragraphs": ["Underreporting of business income accounted for nearly half of the individual income tax underreporting gap. This includes income from sole proprietors, which accounted for the largest share of individual income tax underreporting, as shown in table 1. Most business related income tax return items also had high net misreporting percentages, which is the sum of the net misreported amount divided by the sum of the absolute values of the amounts that should have been reported, as a percentage. To show additional detail on aspects of the tax gap, we conducted some additional analysis on selected line items of the individual NRP data, which is presented in appendix II.", "As we have previously reported, the extent to which individual income tax taxpayers accurately report their income is closely aligned to the amount of income that is reported to them and to IRS by third parties. For example, according to 2008\u20132010 IRS data, taxpayers misreported over half of the types of income for which there is little or no third-party information reporting, such as business income. In contrast, when employers withhold taxes and report the wages and salaries to employees and IRS through Form W-2, Wage and Tax Statement (W-2), there is better compliance. As shown in figure 4, 1 percent of these types of income were misreported while nearly 99 percent were accurately reported on individual income tax returns. Similarly, taxpayers misreported less than 10 percent of income for which banks and other financial institutions provided information returns (Forms 1099) to account holders and IRS that show taxpayers\u2019 annual income from some types of investments.", "Generally, new requirements on third parties to submit information returns would require statutory changes. We have previously identified additional information reporting opportunities as well as improvements that IRS could make on its own to existing forms and how it uses them. For example, we suggested in August 2008 that Congress may wish to make all taxpayers with rental real estate activity subject to the same information reporting requirements as other taxpayers operating a trade or business; however, no legislative action has been taken on this suggestion. We recommended in August 2010 that IRS require mortgage-secured property addresses to be reported on other forms (Forms 982 and 1099-C) to help IRS detect taxpayers who fail to pay taxes on certain forgiven mortgage debts. Legislative and executive actions have been taken consistent with our recommendation. However, IRS has not revised two forms to collect specific information from taxpayers and lenders concerning the amount of forgiven debt attributable to a principle residence and the locations of a taxpayer\u2019s principle residence.", "For items subject to substantial third-party information reporting, IRS is able to use automated processes to address noncompliance. The automated underreporter program, through which IRS matches amounts reported on returns with amounts reported on information returns submitted by third parties, is one such process. This computer matching program allows IRS to identify discrepancies between tax returns and information returns and propose automatic changes to taxpayers.", "For items with little to no third-party information reporting, IRS has to rely on more resource-intensive methods, such as correspondence or face-to- face examinations, to address noncompliance. While these examinations may be started by reviewing specific line items, they may also be expanded to cover other areas of the tax returns if there are indications of misreporting in areas of the return not previously identified. However, it is harder for IRS to detect noncompliance in areas with little third-party information reporting."], "subsections": []}, {"section_title": "Employment Tax Underreporting", "paragraphs": ["The second largest part of the underreporting tax gap is made up of employment taxes, which are comprised of three main components: self- employment tax, Federal Insurance Contribution Act (FICA) Social Security and Medicare withholding, and Federal Unemployment Tax Act (FUTA) taxes, as shown in table 2. The self-employment component is estimated from IRS\u2019s NRP individual income tax data. However, IRS lacks NRP data for other components of employment tax. Therefore, it estimates both FICA and FUTA by applying the estimated compliance rates from a 1993 employment tax gap report, which used tax year 1984 employment tax return data, to the current reported taxes.", "IRS recently completed an NRP study of employment tax returns that reviewed federal income tax withholding and FICA, the first such study IRS had conducted in over 30 years. We reported that although the examinations for the study were completed, IRS had not developed formal plans to analyze the results to (1) identify areas of noncompliance, (2) address such noncompliance, or (3) update its employment tax gap estimate. According to IRS officials, they had not developed formal plans due to competing research priorities and limited resources and because the NRP results had not yet been finalized. We recommended that IRS develop plans to analyze the NRP results in 2017 to address areas of noncompliance identified and update its employment tax gap estimates. IRS agreed with our recommendations and stated that it will be determining how to use the data from this new study to update the employment tax gap estimate."], "subsections": []}, {"section_title": "Corporation Income Tax Underreporting", "paragraphs": ["As shown in table 3, IRS developed corporation income tax underreporting estimates for two types of corporations: small corporations (those without a balance sheet or with assets less than $10 million) and large corporations (those with assets of $10 million or more). IRS estimated the voluntary compliance rate for all corporations to be 83 percent for tax years 2008\u20132010. The estimates are based on adjusted data from operational examinations, which focus on the tax returns most likely to have substantive noncompliance rather than examinations of a statistically representative sample of corporation tax returns. IRS does not have a program comparable to NRP for corporation income tax because of the difficulty of constructing a representative sample for a small group of highly diverse large corporations, among other reasons.", "The limited scope and selection criteria for non-NRP examinations introduce statistical bias, meaning that the examination issues and results from examinations of corporation tax returns are not necessarily representative of the overall corporation population. However, IRS has developed some methods to project the results of the examinations to the larger population of corporations, and, despite these limitations, IRS considers the corporation estimates to provide a rough gauge of corporation income tax noncompliance.", "IRS\u2019s divisions responsible for large and small corporation examinations each have management systems in place to track issues identified from corporation examinations. While this information is not derived from the tax gap estimates, IRS has identified several common examination issues for both large and small corporations, as shown in table 4."], "subsections": []}, {"section_title": "Net Tax Gap", "paragraphs": ["For the 2008\u20132010 tax gap estimate, IRS for the first time estimated the net tax gap by each type of tax, as shown in table 5. Unlike most of the tax gap, IRS can tabulate late payments. Since enforcement and other late payments often happen many years after a given tax year has ended, IRS must project into the future to estimate how much tax it will eventually collect for that tax year. IRS expects to recoup the smallest percentage of taxes from the gross individual income tax estimate."], "subsections": []}]}, {"section_title": "IRS Has Confidence in Most Aspects of the Tax Gap Estimate and Is Taking Steps to Improve It", "paragraphs": ["IRS officials stated IRS believes the tax gap estimates are sufficiently reliable for the intended purpose of providing a snapshot of tax compliance as a whole. The tax gap estimate is actually many estimates used together to develop one overall picture of tax compliance. IRS has more certainty in some areas of the estimate than others. Generally, IRS officials consider those components of the tax gap estimate that are based on the most current data (2008\u20132010 data) to be more robust. However, as shown in table 6, IRS recognizes that some component estimates of the tax gap estimate are more uncertain than others, in part because some component estimates rely on older data and it is inherently difficult to estimate some types of noncompliance. IRS has no estimates for some areas of the tax gap.", "According to IRS officials, IRS has higher amounts of confidence in all of the underpayment components, because they are based on data from systems that can distinguish enforcement and late payments from other payments (IRS has the most confidence in these components); the individual income nonfiling component, because it is based on a new methodology combining two methods that incorporate improvements to the methods used in prior estimates; the individual income underreporting component, because it is primarily based on adjusted NPR examination data, which is a statistically representative sample of individual tax returns; and the corporation underreporting component, because it is based on operational examination data, adjusted for selection bias.", "IRS has a lesser amount of confidence in the estate nonfiling and underreporting data, because they are forecasts updating estimates based on assumptions made in studies completed in 2000; and the withholding taxes (FICA and FUCA) part of the employment underreporting data, because the data are partially a forecast based on data from an older compliance study.", "The methodologies used to develop the component estimates differ by component, resulting in a mix of statistical sample and operational-based data being used, as well as forecasts from earlier estimates. IRS is therefore unable to calculate confidence intervals for any of the tax gap estimates. IRS officials stated that that they continue to try to identify a value for those components without estimates, such as corporation income, excise tax nonfiling, and excise tax underreporting, but have not yet found a sufficiently reliable data source nor method upon which to base estimates.", "To increase its confidence in the estimates of underreported individual income, IRS uses an econometric technique called detection controlled estimation (DCE). This regression-based model controls for variables that could affect the amount of underreporting IRS examiners detected. IRS uses this adjustment because it knows its examiners do not detect all underreported income during examinations, and therefore it adjusts the NRP data to account for such undetected income when estimating the tax gap. The statistical technique estimates the noncompliance detected by a hypothetical \u201cbest practices\u201d examiner\u2014an ideal that is unattainable\u2014and then statistically estimates the noncompliance detected by the hypothetical examiner to adjust upward the findings from research examinations conducted by actual examiners.", "The DCE adjustment accounts for more than half (about $150 billion) of the total individual income tax underreporting estimate. IRS also used the DCE adjustment for the self-employment tax estimates used in the employment tax underreporting estimate. Appendix III provides more information on the extent to which DCE adjustments contributed to the 2008\u20132010 tax gap estimate.", "IRS has taken steps to improve the tax gap estimate. For example, IRS used an updated methodology to calculate the estimated nonfiling amount for the 2008\u20132010 estimate that combined two prior methodologies. Specifically, IRS expanded how it matches information between the U.S. Census Bureau\u2019s annual Current Population Survey and IRS data to estimate the amount of taxes that were not filed. IRS believes this updated methodology allows it to create a better matched dataset and identify nonfilers more accurately. See appendix IV for details on changes to IRS\u2019s tax gap methodology.", "IRS plans to release its next tax gap estimate in 2019 to cover tax years 2011 to 2013. IRS is also undertaking several additional studies that may offer data IRS can use to improve the tax gap estimate, including these examples:", "Taxpayers\u2019 tipping behavior: IRS is surveying taxpayers to help estimate total tip income and tipping rates by industry/occupation and by major method of payment (e.g., credit card, debit card, and cash).", "Limited studies on C corporations and other midsize corporations: IRS studied compliance of C corporations with assets less than $250,000 and with a balance sheet, and corporations with assets of $10 to $50 million for tax year 2010. These studies plan to identify potential areas of noncompliance.", "Partnership misreporting pilot: In 2016, IRS initiated this study to measure reporting compliance for certain partnerships, as well as to estimate tax misreported at the taxable partner level as a result of partnership misreporting. This study was initiated in response to a recommendation from a prior report.", "NRP employment tax estimates: As previously mentioned, IRS is determining how it will use the NRP employment tax study it concluded in 2017 to improve the tax gap estimates."], "subsections": []}, {"section_title": "IRS Has Broad Compliance Goals but Lacks Specific Quantitative Goals for Increasing Voluntary Compliance", "paragraphs": ["IRS\u2019s current strategic plan (2014\u20132017) discusses general approaches to make voluntary compliance easier for taxpayers and to ensure taxes owed are paid. However, in some areas, the plan does not include specific tactics for improving compliance strategies. Rather, it addresses the elements of voluntary compliance and enforcement actions through two of its goals:", "Delivering high-quality and timely service to reduce taxpayer burden and encourage voluntary compliance.", "Effectively enforcing the law to ensure compliance with tax responsibilities and combat fraud.", "IRS officials stated the strategic plan goals are a component of IRS\u2019s Future State\u2014which is a vision for agency-wide operations that aims to improve services across different taxpayer interactions such as individual account assistance, exams, and collections\u2014and are directly reflected in three of its six themes: facilitate voluntary compliance by empowering taxpayers with secure innovative services, tools, and support; understand noncompliant taxpayer behavior, and develop approaches to deter and change it; and select highest value work using data analytics and a robust feedback loop.", "According to IRS officials, the remaining themes support these goals indirectly by seeking to improve IRS\u2019s effectiveness. IRS officials noted the IRS Future State vision has outlined two measures that will support the overall goal of increased compliance. The first will be the percentage of compliance issues resolved within 1 year of filing. The second is the percentage of taxpayers with recurring compliance issues. However, IRS has not yet determined the target levels for these goals. According to officials, the levels for these goals will be published with the next IRS strategic plan (2018\u20132022), which IRS is scheduled to release in mid- 2018."], "subsections": [{"section_title": "IRS Lacks Specific Quantitative Goals to Improve Voluntary Compliance", "paragraphs": ["IRS previously set or acknowledged quantitative goals to improve voluntary compliance. However, IRS has since moved away from that approach. In 2005, we recommended that IRS establish a long-term quantitative voluntary compliance goal for individual income tax underreporting and for tax underpayment, as well as for other areas of noncompliance. IRS agreed with the concept of our recommendation and, in response, established a voluntary compliance rate goal of 85 percent by 2009, which was published in IRS\u2019s fiscal year 2007 budget request.", "In 2006, Treasury issued its Comprehensive Strategy for Reducing the Tax Gap, with a seven-component strategy for reducing the tax gap: (1) reduce opportunities for evasion, (2) make a multiyear commitment to research, (3) continue improvements in information technology, (4) improve compliance activities, (5) enhance taxpayer service, (6) reform and simplify the tax law, and (7) coordinate with partners and stakeholders. In 2007, IRS developed a more detailed report that emphasized the same seven components outlined in the Treasury report and also outlined projects, initiatives, legislative proposals, and other actions designed to combat the sources of noncompliance.", "In the 2007 report, IRS acknowledged the goal set by the then Chairman of the Senate Finance Committee for IRS to meet a 90 percent voluntary compliance rate by tax year 2017 and the goal set by the IRS Oversight Board of 86 percent by tax year 2009. In 2009, IRS published another report that followed up on the efforts discussed in the 2006 and 2007 Treasury and IRS reports. However, IRS has not published any reports since that time that focus on goals for reducing the tax gap.", "In 2012, Treasury, along with IRS, set an agency priority goal to increase voluntary tax compliance from 83.1 to 86 percent by September 30, 2013. However, Treasury and IRS decided not to renew the agency priority goal because they said the measure did not satisfy the criteria of having indicators and quarterly milestones against which to track process or being able to determine whether the goal has been achieved by the end of a 2-year period, as established by the Office of Management and Budget. Since the tax gap estimates are only updated every few years, Treasury and IRS officials said there was no way for Treasury or IRS to show improvements or declines in meeting the goal on a quarterly basis or over the 2-year goal term. More recently, IRS officials told us that while they want to achieve a high level of voluntary compliance, neither IRS nor Treasury has set a recent high level department- or agency-wide quantitative goal aimed at reducing the tax gap or increasing voluntary compliance.", "Establishing clear compliance goals and measuring progress toward them benefit both IRS and external stakeholders and are consistent with the results-oriented performance management principles set forth in the Government Performance and Results Act of 1993 and the GPRA Modernization Act of 2010. As we have previously reported, setting long-term strategic goals is essential for results-oriented management, because such goals explain in greater specificity the results an agency is intending to achieve. The goals form a basis for an organization to identify potential strategies for fulfilling its mission and for improving its operations to support achievement of that mission. Directly aligning strategic goals and strategies for achieving those goals is important for assessing an agency\u2019s ability to achieve those goals. Further, when program results could be influenced by external factors, agencies can use intermediate goals and measure to identify the program\u2019s discrete contribution to a specific result.", "IRS has moved away from specific numeric goals to improve compliance because it now believes there are limited benefits to them. According to IRS officials, IRS actions alone do not determine the level of taxpayer compliance and there are also several challenges associated with establishing meaningful and useful compliance goals. IRS officials reported that many of these challenges are due to the tax gap only being estimated every few years. As a result, fluctuations in the estimate over time may not be generally attributed to changes in compliance behavior but the fluctuations might instead result from the imprecision of the estimates or updated methodologies.", "According to IRS, changes in the economy may also have an effect on tax compliance rates. For example, a downturn in the economy would likely result in less tax needing to be paid, but it might also cause some taxpayers to comply less than they otherwise would. Further, separating those two effects would be difficult, particularly given the unobserved nature of most noncompliance. Finally, IRS officials stated other factors, such as IRS services, enforcement efforts, evolving social norms, or changes in legislation, may affect the overall compliance rate.", "Although IRS may not have full control over all of the factors that affect voluntary compliance, it does have an impact on taxpayer\u2019s compliance through its service and enforcement programs. Furthermore, IRS is not alone in not having full control over the results it seeks to achieve. A number of methods can be used to map or model the causal relationships among the inputs, processes, and outputs produced by various strategies and the forces that influence achievement of outcomes, such as results mapping and logic modeling. Recognizing that outside influences may present risks or challenges to achieving outcomes, OMB Circular Number A-11 states that while agencies cannot mitigate all risks related to achieving strategic objectives and performance goals, they should identify, measure, and assess challenges related to mission delivery, to the extent possible.", "We have previously reported that setting long-term quantitative goals for IRS offers several benefits. First, compliance goals coupled with periodic measurements of compliance levels would provide IRS with a better basis for determining to what extent its various service and enforcement efforts contribute to compliance. Second, long-term, quantitative goals would help IRS consider new strategies to improve compliance, especially since these strategies could take several years to implement. Third, focusing on intended results can promote strategic and disciplined management decisions that are more likely to be effective because managers who use fact-based performance analysis are better able to target areas most in need of improvement and to select appropriate interventions. Fourth, agency accountability can be enhanced when both agency management and external stakeholders\u2014such as Congress\u2014can assess an agency\u2019s progress toward meeting its goals.", "Likewise, a survey of the Organization for Economic Cooperation and Development countries and other advanced economies found that some governments are paying increased attention to estimating tax gaps for their major types of taxes. Several countries shared their quantitative goals for reducing the tax gap or increasing their tax revenue with the survey. For example, Denmark set a target to ensure that the tax gap does not exceed 2 percent of estimated total tax liability.", "Without long-term, quantitative voluntary compliance goals and related performance measures, it will be more difficult for IRS to determine the success of its strategies, adjust its approach when necessary, and remain focused on results, especially since factors that affect compliance change over time. Having compliance goals as IRS has had in the past, coupled with data, would provide a solid base upon which IRS could develop a more strategic, results-oriented approach to improving compliance."], "subsections": []}]}, {"section_title": "IRS Uses National Research Program Data to Guide Compliance Efforts but Has Not Documented a Long- Term Strategy", "paragraphs": ["IRS officials told us tax gap data are used as a high-level overview of tax compliance. IRS officials also stated they use the underlying tax gap data (i.e., NRP data and other data) in several ways to update compliance efforts. However, IRS has not documented a comprehensive strategy that shows, for example, how it intends to analyze and use the tax gap data, particularly from the NRP, to develop or improve compliance programs.", "IRS officials told us they use the NRP data to study specific compliance behaviors. For example, IRS has studied taxpayer behavior in claiming the Earned Income Tax Credit (EITC), the child tax credit, and the additional child tax credit. Sometimes these studies are used to develop legislative proposals that are included as part of the annual budget process and outlined in Treasury\u2019s annual revenue proposals. Officials stated the legislative proposals are based on the knowledge of compliance derived from analysis of NRP data and they are organized into themes, such as reducing the tax gap, improving voluntary compliance, or improving tax administration. However, these revenue proposals are requests for changes to the tax laws and, ultimately, it is at Congress\u2019s discretion whether to enact them. IRS officials reported that other times NRP data are used to compute the annual improper payment rate for the EITC. According to officials, IRS also uses these data to annually categorize the root causes of EITC noncompliance.", "IRS uses the NRP data to update compliance plans by updating the Discriminate Function (DIF) formulas. DIF formulas are designed to score returns for the likelihood that the tax reported on the return is significantly underreported. DIF scores help IRS ensure that noncompliant taxpayers are more likely to be selected for examination and compliant taxpayers are less likely to be unnecessarily examined. IRS determines DIF scores for individual income, small corporation income, partnership, and S corporation returns.", "IRS officials described high-level concepts of how the various NRP and other studies contribute to compliance and enforcement strategies.", "Officials from IRS\u2019s Office of Research, Applied Analytics, and Statistics (RAAS) said they think the various uses of the NRP are widely known from general documentation about the NRP and its study design. RAAS officials also noted the fiscal year 2009 budget justification that led to special funding for the NRP still reflects IRS\u2019s current strategy for undertaking various NRP studies. Further, IRS officials pointed us to documentation from the 2000s that discussed a need for a multiyear research commitment and IRS\u2019s goal to move NRP studies beyond the individual income tax to include other taxes. We previously recognized IRS\u2019s commitment to multiyear research and have noted the gains it has made in regularly estimating compliance. Our analysis of the decade-old documents found evidence of a commitment to research that generally seemed sufficient for that period.", "However, IRS officials did not provide us more recent documents that describe its current efforts to study compliance or show how it plans to use NRP data to update compliance strategies. IRS officials also provided us with business plans for some of their other business units and divisions. The plans we reviewed noted, at a high level, that data and analysis will be used to improve workload selection but did not discuss how specific research efforts or the results of those efforts would be integrated into the missions.", "The Internal Revenue Manual section on the NRP states that IRS needs to measure taxpayer compliance with federal income tax laws along with contributing factors so that customer-focused programs and services can be enhanced or developed and so that compliance information and tools can be improved. A 2001 NRP prospectus states the NRP will help to increase public confidence in the fairness of our tax system by helping IRS identify where compliance problems occur and focus its resources accordingly. Further, it states that for strategic planning and budget purposes, IRS requires regular estimates of compliance. The NRP research efforts support this critical need. According to IRS, the NRP will also improve IRS\u2019s ability to detect noncompliance; reduce the burden of unnecessary IRS contacts on compliant taxpayers; and support the strategic goals, program development, and resource allocation of IRS operating divisions.", "Using quality information, such as NRP data, to achieve the agency\u2019s objectives is one of the 17 principles for internal controls. Further, the standards for internal controls also recognize documentation is a necessary part of an effective system, but the level and nature of documentation vary based on the size of an entity and the complexity of the operational process. Documentation is required to demonstrate the design, implementation, and operating effectiveness of a system. Considering the size and relative importance of the tax gap, documenting a strategy for how IRS plans to use NRP data to reduce the tax gap would be consistent with internal controls. However, without a strategy that provides an overall picture of how NRP data are used, it may be difficult for Congress and other decision makers to understand the merits of what they are being asked to fund. Further, without developing and documenting a strategy for incorporating the results of NRP data, IRS risks not fully leveraging the compliance data it collects or not allocating enforcement resources in the most cost-effective manner.", "We have a long-standing history of reporting on the need for IRS to develop a comprehensive compliance strategy: In 1994, we concluded that until IRS produces a comprehensive compliance strategy, existing data could be used as part of an interim compliance strategy that directs resources at the most noncompliant taxpayers. We found that using such a starting point, IRS could focus more of its efforts on highly noncompliant areas, such as small corporation income and sole proprietorship income that made up almost a third of the tax gap.", "In 2005, we concluded that reducing the tax gap will be a challenging task given persistent levels of noncompliance and will not likely be achieved through a single solution. Rather, the tax gap must be attacked on multiple fronts and with multiple strategies over a sustained period, thus building a foundation to help taxpayers voluntarily comply.", "Between 2005 and 2007, we testified six times on the need for IRS to develop a strategy to attack the tax gap on multiple fronts with multiple approaches.", "In 2007, we reported on the need for IRS to develop a strategy to address noncompliant sole proprietor income, which accounts for a significant share of the tax gap.", "Further, documenting a strategy for using NRP data to guide compliance efforts would be consistent with two key criteria for removal from the High-Risk List:", "Action plan: A corrective action plan exists that defines the root cause and solutions and that provides for substantially completing corrective measures, including steps necessary to implement solutions we recommended.", "Demonstrated progress: Ability to demonstrate progress in implementing corrective measures and resolving the high-risk area."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["The nation\u2019s long-term fiscal projections show that the federal government is on an unsustainable fiscal path. One way to help improve the nation\u2019s fiscal position would be to reduce the tax gap. Reducing the tax gap will be a challenging task given persistent levels of taxpayer noncompliance. However, even modest reductions would yield significant financial benefits and help improve the government\u2019s fiscal position.", "IRS has shown a continued commitment to study sources of noncompliance and has made strides in improving NRP and other tax gap data. However, additional efforts could further assist IRS in addressing the tax gap. A long-term, quantitative goal for improving voluntary compliance may provide IRS with a concrete target the agency can use in fulfilling its mission. Without a quantitative goal, it will be more difficult for IRS to determine the success of its strategies, adjust its approach when necessary, and remain focused on results, especially since factors that affect compliance change over time. Likewise, a strategy that outlines how IRS plans to use NRP data to update compliance strategies would help IRS determine resource tradeoffs and more fully leverage the investment it makes in compliance research, while providing Congress with a better understanding of the merits of the research it is being asked to fund."], "subsections": []}, {"section_title": "Recommendations", "paragraphs": ["We are making the following two recommendations to IRS: The Commissioner of Internal Revenue should re-establish long-term, quantitative goals for improving voluntary compliance. (Recommendation 1)", "The Commissioner of Internal Revenue should instruct the appropriate officials to develop and document a strategy that outlines how IRS will use National Research Program data to update compliance strategies that could help address the tax gap. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Commissioner of Internal Revenue. IRS provided written comments, which are summarized below and reprinted in appendix V. IRS also provided technical comments, which we incorporated where appropriate.", "IRS disagreed with our recommendation that it re-establish long-term, quantitative goals for improving voluntary compliance. In its letter, IRS stated that the voluntary compliance rate is ill-suited as a strategic or performance metric for IRS for various reasons. For example, IRS stated that improving voluntary compliance, determining the success of its strategies, and adjusting its approach could be accomplished in the absence of a quantitative goal. However, as we note in the report, setting long-term strategic goals is essential for results-oriented management, because such goals explain in greater specificity the results an agency is intending to achieve. Further, focusing on intended results can promote strategic and disciplined management decisions that are more likely to be effective because managers who use fact-based performance analysis are better able to target areas most in need of improvement and to select appropriate interventions.", "IRS also stated that its actions alone do not determine the level of voluntary compliance, which is determined by the interaction of many factors, such as taxpayer behavior, tax law complexity, and IRS resources. We agree that IRS may not control all factors that affect voluntary compliance. However, IRS does influence taxpayer compliance through its service and enforcement programs. Furthermore, as we point out in the report, while agencies cannot mitigate all outside influences that may present risks or challenges to achieving outcomes, they should identify, measure, and assess such challenges to the extent possible. Given the benefits of setting long-term quantitative goals\u2014as discussed in this report\u2014we continue to believe it is prudent for IRS to establish such goals.", "IRS agreed with our recommendation that it develop and document a strategy that outlines how IRS will use National Research Program data to update compliance strategies that could help address the tax gap.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the Chairmen and Ranking Members of other Senate and House committees and subcommittees that have appropriation, authorization, and oversight responsibilities for IRS. We will also send copies of the report to the Commissioner of Internal Revenue and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff has any questions about this report, please contact me at (202) 512-9110 or mctiguej@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff members who made major contributions to this report are listed in appendix VI."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine (1) the main drivers of the tax gap; (2) the Internal Revenue Service\u2019s (IRS) confidence in the tax gap estimates; (3) IRS goals, if any, for reducing the tax gap; and (4) the extent to which IRS uses tax gap estimates and underlying data to develop strategies and actions to reduce the tax gap.", "To determine the main drivers of the tax gap and IRS\u2019s confidence in the estimates, we reviewed IRS\u2019s tax gap estimates and underlying data; IRS technical papers and reports; third-party reviews of the data; and past GAO and Treasury Inspector General for Tax Administration reports on the 2001, 2006, and 2008\u20132010 tax gap estimates. We also interviewed officials from IRS\u2019s Office of Research, Applied Analytics, and Statistics (RAAS) who are responsible for estimating the tax gap. We determined that IRS\u2019s tax gap and compliance estimates were sufficiently reliable for the purposes of this report, particularly since IRS already has publicly released its tax gap estimates and disclosed their limitations. These purposes include discussing the major tax gap components, the orders of magnitude for various components, and IRS\u2019s opinions about the certainty of its estimates.", "To determine IRS\u2019s goals for increasing voluntary compliance, we reviewed IRS\u2019s and the Department of the Treasury\u2019s (Treasury) strategic plans and Treasury\u2019s General Explanations of the Administrations Fiscal Year Revenue Proposals (commonly referred to as the Green Book) from 2011 to 2017. We also reviewed other IRS and Treasury documentation, such as the strategies for improving voluntary compliance that were developed in the mid-2000s. Additionally, we reviewed Treasury\u2019s agency priority goals, including the goal it set in 2012 to increase voluntary compliance. We also reviewed the statutory requirements for agency performance goals under GPRAMA. We interviewed Treasury officials in the Office of Tax Analysis and the Office of Strategic Planning and Performance Improvement about prior goals that were set and the goal- setting process. We interviewed IRS officials responsible for developing strategies and establishing goals to reduce the tax gap, specifically officials in the Deputy Commissioner\u2019s Office for Service and Enforcement and the Small Business/Self-Employed, Large Business and International, and Wage and Investment divisions.", "To determine the extent to which IRS uses the tax gap and other underlying data to update compliance efforts, we requested documentation on any plans or strategies that show how the various tax gap and other compliance studies work together toward a larger compliance strategy. We found that the agency had not developed these documents. We interviewed staff from the Deputy Commissioner\u2019s Office for Service and Enforcement and RAAS about the agency\u2019s plans to use tax gap data and other compliance studies when developing compliance strategies.", "To show additional detail on aspects of compliance using the same data upon which the individual income tax underreporting tax gap estimates are based, we examined IRS\u2019s tax gap estimates for tax years 2008\u2013 2010 and the underlying data from its National Research Program (NRP) study of individual income tax returns. This information is presented in appendix II. Unlike other IRS examinations, NRP examinations can be used to estimate taxpayer reporting compliance because they are drawn from a stratified, statistically representative sample of the population of individual income tax returns. We interviewed IRS officials from RAAS about their research and analysis of the NRP data, and we gathered related documentation where available. IRS officials described the quality review and data reliability processes they used to collect data from the NRP examinations.", "Because the NRP sample was based on random selections, the sample was only one of a large number of samples that IRS could have drawn. Since each sample could have provided different estimates, we express our confidence in the precision of our estimates based on the sample as a 95 percent confidence interval plus or minus a margin of error. This is the interval that would contain the actual population value for 95 percent of the samples that could have been drawn. The estimates presented in appendix II have margins of error of less than 10 percent or 10 percentage points. In analyzing the NRP data, we conducted several reliability tests to ensure the data we used were sufficiently complete. For example, we electronically tested the data for obvious errors. We concluded that the data were sufficiently reliable for the purposes of this report based on these steps and on our previous reviews of tax gap estimates and NRP data.", "We conducted this performance audit from July 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Additional Analyses of National Research Program Individual Data", "paragraphs": ["We analyzed the raw National Research Program (NRP) data for individual income tax returns, including itemized deductions, for tax years 2008\u20132010. These data do not account for the undetected income that the Internal Revenue Service (IRS) adjusts for when developing tax gap estimates. Therefore these data are not comparable to the tax gap data presented elsewhere in this report, but they allow additional analysis of areas of misreporting.", "Table 7 provides greater details on certain line items from the individual income tax return that align with various third-party information reporting levels determined by IRS. Line items with substantial or some information reporting tended to have lower overall misreporting percentages. Line items that had the largest percentage of taxpayers with misreported income were those for sole proprietor and farming income, both of which are subject to little to no information reporting.", "Based on the analysis of these data, we also estimate that line items with the largest mean amounts of underreporting are business sale and supplemental income or loss; the business sale line item also has the largest mean amount of overreporting, averaging $21,000 per return; and sole proprietor income and farm income have very similar misreporting data; over 75 percent of the income is misreported and, of that, over 80 percent is under reported while under 20 percent is overreported.", "We also analyzed selected credits and deductions to determine the average noncompliance rates of these line items, as shown in table 8. Because credits and deductions offset taxpayers\u2019 income or tax owed, taxpayers who underreported a credit or deduction overreport their tax liability or tax owed; taxpayers who overreport a credit or deduction underreport their tax liability or tax owed. However, we did not determine the extent to which misreporting was because of issues specific to how taxpayers claimed the credits and deductions or because taxpayers misreported their income, which could affect eligibility for certain credits and deductions. For example, the 2016 income limit to claim the Earned Income Tax Credit (EITC) is $39,296 for single, surviving spouse, or head of household taxpayers with one qualifying child. If IRS determined that such taxpayers who claimed the EITC and reported less than $39,296 in income on their tax returns had underreported their income in order to stay under the threshold, those taxpayers would no longer be eligible for the credit and would have overreported the credit.", "Based on the analysis of these data, we estimate that of the selected credits, EITC is the most claimed credit and about half of the time it is misreported; thirty-five percent of the time the child tax credit was misreported with about two- thirds of that being underreported, which is inconsistent with filing patterns for most of the other credits and deductions; of the selected deductions, the deduction for real estate taxes is most often claimed and about a quarter of the time it is misreported; the medical expenses line item has the highest percentage of misreporting; 80 percent of the time the deduction is overreported; and the mortgage interest deduction has the highest average overreported amount, over $4,000 per return."], "subsections": []}, {"section_title": "Appendix III: Detection Correction Factor\u2019s Effect on Tax Gap Estimation", "paragraphs": ["In estimating the individual income tax gap, the Internal Revenue Service (IRS) applies an econometric technique called detection controlled estimation (DCE), which is a regression-based model that controls for variables that could affect the amount of underreporting detected. The statistical technique first produces a hypothetical \u2018\u2018best practices\u2019\u2019 examiner\u2014an ideal which is unattainable\u2014based on who conducted the examinations and the observed examination results. It then statistically estimates the noncompliance detected by the hypothetical examiner to adjust upward the findings from research examinations conducted by actual examiners. The technique estimates total undetected underreporting by imputing the average underreporting undetected by IRS\u2019s National Research Program (NRP) examination to the detected underreporting, controlling for certain return line item characteristics. According to IRS officials, this approach is reasonable and the best currently available to attempt to estimate the full amount of underreported individual income. As shown in table 9, more than half of the underreporting component of the tax gap consists of income that IRS did not detect during examinations. DCE is not applicable to the underpayment and nonfiling components of the tax gap."], "subsections": []}, {"section_title": "Appendix IV: Additional Information on IRS\u2019s Tax Gap Methodology Changes", "paragraphs": ["In efforts to improve the tax gap estimates, the Internal Revenue Service (IRS) updated two areas of the 2008\u20132010 tax gap estimate by developing updated methodologies.", "Nonfiling individual income tax: IRS summed together the total of taxpayers who do not file tax returns and those who filed late. The 2008\u20132010 estimate of taxpayers not filing a return was made by combining the two methods used to estimate the 2006 and 2001 tax gap estimates. In 2006, IRS used a sample of individuals not appearing on filed tax returns. In 2001, IRS conducted an \u201cexact match\u201d between the Census Bureau\u2019s annual Current Population Survey and IRS data. The 2008\u20132010 estimate of late filers was based on the total balance due from late filed tax returns, adjusted for income reported to IRS on information returns. IRS believes its current methodology is an improvement over the 2006 estimate as it uses the population data rather than a sample, avoiding disadvantages resulting from sampling. IRS reported improvements in the Census and IRS information associated with nonfilers allowed them to create a better matched dataset and identify nonfilers more accurately.", "Nonfiling self-employment data: The methodology IRS used to calculate self-employment tax nonfiling is the same that it used for individual income tax. However, for the 2008\u20132010 estimate, IRS changed where it reports self-employment tax nonfiling within the tax gap estimate. For the 2008\u20132010 estimate, this tax is now reported in the employment tax category, whereas for the 2001 and 2006 estimates it was reported in the individual income tax category. IRS officials stated that for the 2006-2010 estimate IRS decided to break self-employment out separately and report it with the employment tax because they believe it allows a more comprehensive view of employment taxes.", "IRS also updated how the underlying data supporting the tax gap are organized in two ways:", "Changes in net tax gap estimates: As previously mentioned, IRS published net tax gap estimates by each tax type (individual income, corporation income, employment, and estate tax) for the first time in the 2008\u20132010 estimate. IRS officials stated that they made progress by providing this data. However, IRS is unable to break out the net tax gap further by tax component because during examinations, adjustments are not categorized by component (i.e., underreporting, underpayment, and nonfiling).", "Changes in individual income underreporting: Starting in 2008\u2013 2010, IRS modified the categories it uses to break down the individual income underreporting component. These changes affect how IRS calculates the net misreporting percentage (NMP) for individual income tax, but not how it calculates the tax gap. IRS uses the NMP to show the relationship between third-party information reporting and individual income tax reporting compliance. IRS reported the changes reflect an improvement in methodology. IRS cautions that any comparison of the 2008\u20132010 NMP to the 2006 NMP estimates should consider those improvements. The prior calculation method involved adding offsets to income, such as deductions, exemptions, and adjustments, which distorted the comparison across categories. IRS determined a better approach was to combine income items into categories and to report offsets to income as a separate category. (See figure 5.)"], "subsections": []}, {"section_title": "Appendix VI: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact:", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments:", "paragraphs": ["In addition to the contact named above, Jeff Arkin (Assistant Director), James Ashley, Jehan Chase, Charles Fox, John Hussey, Donna Miller, John Mingus, Edward Nannenhorn, Cynthia Saunders, Robyn Trotter, and Elwood White made significant contributions to this report."], "subsections": []}]}], "fastfact": ["According to IRS estimates, taxpayers collectively pay a bit more than 80% of the taxes they owe. This difference between the taxes people and businesses owe and what they pay on time is known as the tax gap, which IRS estimated to be $458 billion, on average, for 2008-2010.", "IRS used to set specific, numeric goals for improving taxpayer compliance, but has moved away from that approach. Officials told us that there are too many factors outside of IRS's control for such goals to be useful.", "We recommended that the IRS re-establish quantitative goals for improving voluntary compliance and develop a strategy for using data to close the tax gap."]} {"id": "GAO-19-135T", "url": "https://www.gao.gov/products/GAO-19-135T", "title": "Positive Train Control: Most Passenger Railroads Expect to Request an Extension and Substantial Work Remains Beyond 2018", "published_date": "2018-10-03T00:00:00", "released_date": "2018-10-03T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Forty railroads are currently required by statute to implement PTC, a communications-based system designed to slow or stop a train that is not being operated safely. Of these, 29 passenger railroads collectively provide over 500 million passenger trips annually. Although the deadline for PTC implementation is December 31, 2018, railroads may receive a maximum 2-year extension to December 31, 2020, if they meet certain statutory criteria.", "GAO was asked to review passenger railroads' progress toward PTC implementation. This statement discusses (1) passenger railroads' PTC progress and FRA's steps to assist them, and (2) how passenger railroads and FRA plan to approach the 2018 and 2020 deadlines. GAO analyzed railroads' most recent quarterly reports covering activities through June 30, 2018; sent a brief questionnaire to all 40 railroads; and interviewed officials from FRA and 16 railroads, selected in part based on those identified as at-risk by FRA."]}, {"section_title": "What GAO Found", "paragraphs": ["As of June 30, 2018, passenger railroads (28 commuter railroads and Amtrak) generally remained in the early stages of positive train control (PTC) implementation\u2014including equipment installation and early field testing. However, many passenger railroads are nearing completion of the equipment installation stage. For example, two-thirds of passenger railroads reported being more than 90 percent complete with equipment installation. With regard to testing, Amtrak has reported that it has initiated both field testing and revenue service demonstration (RSD), an advanced form of field testing that is required to fully implement PTC. However, most commuter railroads reported slower progress with testing. Of the 28 commuter railroads required to implement PTC, 19 reported initiating field testing, but only eight reported initiating RSD. The Federal Railroad Administration (FRA) recently clarified the criteria railroads must meet to qualify for a 2-year extension past the December 31, 2018, PTC implementation deadline. To receive an extension, railroads must meet six statutory criteria. For the sixth criterion, commuter railroads are authorized to either initiate RSD on at least one track segment or use FRA-approved substitute criteria. FRA clarified these and other requirements at three PTC symposiums hosted for railroads in summer 2018. For example, FRA officials said that initiating field testing instead of RSD was one approach that commuter railroads could potentially take to receive FRA's approval of substitute criteria. FRA's actions are consistent with GAO's March 2018 recommendation that the agency communicate to railroads the requirements and process for an extension.", "Challenges related to PTC implementation and FRA's resources raise questions as to the extent FRA and the passenger railroad industry are poised for full PTC implementation by December 31, 2020. Most passenger railroads anticipate needing an extension, leaving substantial work for both railroads and FRA to complete before the end of 2020. Almost three-quarters of passenger railroads (21 of 29) reported that they, or the railroad which owns the track on which they operate, will apply for an extension. More than half of these railroads reported planning to apply for an extension using substitute criteria, and of these, eight intend to apply for substitute criteria based on field testing. Though use of substitute criteria is authorized in law, this approach defers time-intensive RSD testing into 2019 and beyond. In addition, passenger railroads reported that they continue to face many of the same challenges GAO previously identified, such as software defects and limited industry-wide availability of vendors. Further, passenger railroads expressed concern that FRA's workload will markedly increase as railroads submit requests for extension approvals. FRA has acknowledged concerns about the pending surge of submissions and agency officials said they have taken recent steps to help manage the forthcoming influx of documentation, such as reallocating resources. However, as of September 21, 2018, only one passenger railroad had applied for an extension. It remains unclear how many extension requests FRA will receive or what FRA's enforcement strategy will be for noncompliance with the statute, such as for railroads that fail to apply for an extension by the deadline."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In March 2018, GAO recommended FRA take steps to systematically communicate extension information to railroads and to use a risk-based approach to prioritize agency resources and workload. FRA has taken some steps to address these recommendations, such as recently communicating and clarifying extension requirements to all railroads during three symposiums. GAO will continue to monitor FRA's progress."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our work in reviewing efforts by passenger railroads and the Federal Railroad Administration (FRA) to implement positive train control (PTC). In September 2008\u201410 years ago last month\u2014a commuter train and freight train collided in the Chatsworth neighborhood of Los Angeles, California, resulting in 25 deaths and over 100 injuries. In the wake of this accident, legislation was enacted requiring certain railroads to implement PTC\u2014a communications-based system designed to slow or stop a train that is not being operated safely. Forty railroads are required to implement PTC. These railroads include 28 commuter railroads and Amtrak, which collectively provide over 500- million passenger trips annually. Railroads that play a key role in our nation\u2019s freight network must also implement PTC, including the seven largest Class I and four Class II and III freight railroads.", "As we have previously reported, PTC implementation is a complex and lengthy process, which touches almost every part of major rail lines and almost every aspect of railroads\u2019 train operations. Each implementing railroad must install more than 20 major components that will ultimately communicate trains\u2019 locations, movements, and speed, and then slow or stop a train that is not being operated safely. Full implementation of PTC involves a number of steps, including but not limited to: planning and system development, equipment installation, testing, system certification, and achieving interoperability. Since U.S. railroads often operate some or all of their trains as \u201ctenants\u201d on the track of another railroad, known as the \u201chost,\u201d interoperability is intended to enable trains that operate on the same track to be governed by the PTC system and to move seamlessly across track owned by different railroads.", "When PTC implementation was mandated in 2008, the statutory deadline for railroads\u2019 implementation was December 31, 2015. We reported in September 2015 that nearly all railroads did not expect to meet this deadline. In October 2015, Congress extended the deadline to December 31, 2018, and established criteria that would enable FRA, the agency responsible for overseeing PTC implementation, to grant railroads meeting certain requirements an alternative schedule up to year-end 2020. Throughout this statement we refer to the alternative schedule as the \u201cextension.\u201d My testimony today discusses the efforts of FRA and passenger railroads\u2014which include commuter railroads and Amtrak, an intercity passenger railroad\u2014to implement PTC as the December 31, 2018, deadline approaches and since we testified on PTC in March 2018. My statement today will address (1) passenger railroads\u2019 implementation progress and the steps that FRA has taken to assist these railroads and (2) how passenger railroads and FRA plan to approach PTC implementation to meet the December 2018 and December 2020 deadlines.", "To describe passenger railroads\u2019 progress, we analyzed the most recent available quarterly PTC implementation reports that railroads submitted to FRA, reports that reflected the progress as of June 30, 2018. We analyzed the reports to determine the extent that each railroad has installed PTC hardware and initiated testing. Based on our review of these data for anomalies, outliers, or missing information and our previous assessment of such quarterly reports for our March 2018 testimony, we determined that these data were sufficiently reliable for our purposes of describing railroads\u2019 progress in PTC implementation. To describe passenger railroads\u2019 and FRA\u2019s progress and approaches, we interviewed representatives from 16 railroads, including the 12 railroads (11 commuter railroads and one Class III freight railroad) that FRA identified in June 2018 as at risk of not having implemented PTC or qualifying for an extension by December 31, 2018. The remaining four railroads we interviewed were: Amtrak, which provides intercity passenger rail service; two Class I freight railroads, which were selected based on their relationships with tenant railroads and substantial progress toward PTC implementation; and a commuter railroad that received approval from FRA in March 2018 for an exception from PTC system implementation. To describe how railroads and FRA plan to approach PTC implementation for the December 2018 and 2020 deadlines, we sent 41 railroads a semi-structured questionnaire. The questions we asked were based on the data collection efforts from our March 2018 testimony. We analyzed railroads\u2019 responses and summarized their plans and challenges into common categories. To determine the stage of PTC implementation railroads expected to reach by December 31, 2018, we considered railroads\u2019 responses to our questionnaire, information provided in interviews, and documents submitted to FRA regarding railroads\u2019 planned implementation approaches, among other information. To describe railroads\u2019 progress and FRA\u2019s actions to assist railroads, we interviewed the industry associations for commuter (American Public Transportation Association) and freight (Association of American Railroads) railroads, and two PTC vendors. We also reviewed applicable laws and FRA regulations, presentations, reports, and guidance and interviewed FRA officials. While our audit work included Class I, II, and III freight railroads, commuter railroads, and intercity passenger rail, this statement is focused on passenger railroads\u2019\u2014commuter and intercity\u2014 progress and approaches to meet the December 2018 and December 2020 deadlines.", "We conducted this performance audit from June 2018 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["PTC systems are required by law to prevent certain types of accidents or incidents. In particular, a PTC system must be designed to prevent train- to-train collisions, derailments due to excessive speed, incursions into work zone limits, and the movement of a train through a switch left in the wrong position. While railroads may implement any PTC system that meets these requirements, the majority of passenger railroads are implementing one of four types of systems. PTC\u2019s intended safety benefits can be fully achieved nationwide when all required railroads have successfully installed PTC components, tested that these components work together and the systems function as designed, and are interoperable with other host and tenant railroads\u2019 PTC systems that share track. Interoperability means the locomotives of any host railroad and tenant railroad operating over the same track segment will communicate with and respond to the PTC system, allowing uninterrupted movements over property boundaries. Interoperability is critical to PTC functioning properly given the complexity of the rail network in the United States. In much of the country, Class I freight railroads function as hosts for Amtrak and commuter railroads. For example, one of the seven major Class I freight railroads reports that 24 tenant railroads operate over its PTC-equipped tracks, including freight, Amtrak, and commuter railroads. A notable exception to this is the Northeast Corridor, which runs from Washington, D.C., to Boston, Massachusetts, which Amtrak predominantly owns and over which six freight and seven commuter railroads operate as tenants.", "PTC implementation involves multiple stages to achieve full implementation, including planning and system development, equipment installation and testing, system certification, and full deployment, including interoperability. Each railroad must develop an FRA-approved PTC implementation plan that includes project schedules and milestones for certain activities, such as equipment installation. The equipment installation stage involves many components, including communication systems; hardware on locomotives and along the side of the track (called \u201cwayside equipment\u201d); and software in centralized office locations as well as onboard the train and along the track. Each railroad is required to report quarterly and annually to FRA on its PTC implementation status relative to its implementation plan. A railroad can also revise its implementation plan to reflect changes to the project, which then must be reviewed and approved by FRA.", "In addition, railroads must demonstrate that the PTC systems are deployed safely and meet functional requirements through multiple stages of testing. Before initiating testing on the general rail system, railroads must submit a formal test request for FRA approval that includes, among other things, the specific test procedures, dates and locations for testing, and the effect the tests will have on current operations. The multiple stages of PTC testing include:", "Laboratory testing: locomotive and wayside equipment testing in a lab environment to verify that individual components function as designed.", "Field testing: includes several different tests of individual components and the overall system, such as testing of each locomotive type to verify that it meets functional requirements and field integration testing\u2014a key implementation milestone to verify that each PTC component is integrated and functioning safely as designed.", "Revenue service demonstration (RSD): an advanced form of field testing in which the railroad operates PTC-equipped trains in regular service under specific conditions. RSD is intended to validate the performance of the PTC system as a whole and to test the system under normal, real-world operations.", "Interoperability testing: host and tenant railroads that operate on the same track must work together to test interoperability to ensure each railroad can operate seamlessly across property boundaries. Almost all of the 40 railroads currently required to implement PTC must demonstrate interoperability with at least one other railroad\u2019s PTC system.", "Using results from field and RSD testing, combined with other information, host railroads must then submit a safety plan to FRA for approval. We have previously reported that these safety plans are about 5,000 pages in length. Once FRA approves a safety plan, the railroad receives PTC system certification, which is required for full implementation, and is authorized to operate the PTC system in revenue service. According to FRA officials, the FRA may impose conditions to the PTC safety plan approval as necessary to ensure safety, resulting in a conditional certification.", "Railroads may receive a maximum 2-year extension from FRA past the December 31, 2018, deadline if they meet six criteria set forth in statute. Specifically, railroads must demonstrate, to the satisfaction of FRA, that they have: (1) installed all PTC system hardware consistent with the total amounts identified in the railroad\u2019s implementation plan; (2) acquired all necessary spectrum consistent with the implementation plan; (3) completed required employee training; (4) included in a revised implementation plan an alternative schedule and sequence for implementing the PTC system as soon as practicable but no later than December 31, 2020; (5) certified to FRA that they will be in full compliance with PTC statutory requirements by the date provided in the alternative schedule and sequence; and (6) for Class I railroads and Amtrak, initiated RSD or implemented a PTC system on more than 50 percent of the track they own or control that is required to have PTC. For commuter and Class II and III railroads, the sixth statutory criterion is to have either initiated RSD on at least one territory required to have operations governed by a PTC system or \u201cmet any other criteria established by the Secretary,\u201d which FRA refers to as \u201csubstitute\u201d criteria.", "FRA is responsible for overseeing railroads\u2019 implementation of PTC, and the agency monitors progress and provides direct assistance to railroads implementing PTC. For example, FRA officials provide technical assistance to railroads, address questions, and review railroad-submitted documentation. FRA has a PTC Staff Director, designated PTC specialists in the eight FRA regions, and additional engineers and test monitors responsible for overseeing technical and engineering aspects of implementation and reviewing railroads\u2019 submissions and requests, as well as programmatic support staff. In anticipation of the upcoming implementation deadline, in May 2017, FRA began to send notification letters to railroads it determined were at risk of both not meeting the December 31, 2018, implementation deadline and not completing the requirements necessary to qualify for an extension. FRA identified \u201cat- risk\u201d railroads by comparing a railroad\u2019s hardware installation status to the total hardware required for PTC implementation, according to the railroad\u2019s implementation plan. FRA has increased the \u201cat-risk\u201d threshold percentage over time as the deadline approaches. (See Table 1).", "FRA has additional oversight tools, which include use of its general civil penalty enforcement authority for failure to meet certain statutory PTC requirements. FRA has used this authority in 2017 and 2018 to assess civil penalties, primarily against passenger railroads that failed to comply with the equipment installation milestones, the spectrum acquisition milestones, or both, that the railroads had established in their implementation plans for the end of 2016 and 2017.", "As part of our body of work on PTC, we found that railroads face numerous PTC implementation challenges and made recommendations to FRA to improve its oversight of implementation. Specifically, in 2013 and 2015 we found that many railroads were struggling to make progress due to a number of complex and interrelated challenges, such as developing system components and identifying and correcting issues discovered during testing. For example, we found in March 2018 that FRA had not systematically communicated information or used a risk-based approach to help commuter railroads prepare for the 2018 deadline or to qualify for an extension. We also found that many railroads were concerned about FRA\u2019s ability to review submitted documentation in a timely manner, particularly given the length of some required documentation such as safety plans and FRA\u2019s limited resources for document review. In March 2018, we recommended FRA identify and adopt a method for systematically communicating information to railroads and use a risk-based approach to prioritize its resources and workload.", "FRA agreed with our recommendations. Most recently, in September 2018, we testified on the status of railroads\u2019 implementation of PTC."], "subsections": [{"section_title": "Many Passenger Railroads Remain in Early Stages of PTC Implementation and FRA Has Clarified Extension Requirements Passenger Railroads Continue to Install and to Test PTC Systems, and Report Previously Identified Implementation Challenges", "paragraphs": ["As of June 30, 2018, many passenger railroads reported that they remain in the equipment installation and field-testing stages, which are early stages of PTC implementation. However, since we testified in March 2018, railroads have made progress on equipment installation. Based on our analysis of the 40 railroads\u2019 reported status as of June 30, 2018, about half of the railroads have completed equipment installation, and many others are nearing completion of this stage. Specifically, 20 of the 29 passenger railroads reported being more than 90 percent complete with locomotive equipment installation. Nearly two-thirds of passenger railroads that must install wayside equipment reported being more than 90 percent complete. One-third of passenger railroads are among those designated by FRA as at-risk of both not meeting the end of 2018 implementation deadline and not completing the requirements necessary to qualify for an extension. Specifically, in August 2018, FRA identified nine railroads\u2014all commuter railroads\u2014as at-risk, fewer than the 12 railroads FRA had previously designated as at-risk in its June 2018 letters to railroads.", "Since we reported in March 2018, Amtrak reported that it has initiated both field testing and RSD, but most commuter railroads reported slower progress with testing, especially with RSD. For example:", "Laboratory and initial field testing: 19 of 28 commuter railroads reported having initiated this testing as of June 30, 2018; this number represents six more commuter railroads than the 13 we previously reported as having initiated field testing as of September 30, 2017.", "RSD testing: Eight of 28 commuter railroads reported initiating RSD testing as of June 30, 2018; this number represents two more commuter railroads than the six we previously reported as having entered RSD testing as of September 30, 2017. As noted earlier, unless a commuter railroad receives approval for using substitute criteria, the railroad must initiate RSD, a final stage of PTC testing, on at least one territory by December 31, 2018, to qualify for an extension.", "Passenger railroad representatives reported that they continued to face many of the same challenges we have previously identified, including limited industry-wide availability of vendors and expertise and software defects. For example, in response to our questionnaire, 12 of 29 passenger railroads reported challenges with PTC vendors and contractors. One passenger railroad noted that because its contractor manages PTC projects across the country with the same deadline and requirements, it can be difficult for all railroads to get the resources they need from their contractor. We previously reported that there are a limited number of vendors available to design PTC systems, provide software and hardware, and conduct testing. For example, we reported in 2015 that, according to railroad industry representatives, there were two vendors for the onboard train management computer and three vendors for the wayside equipment. One small passenger railroad recently testified that, because a single manufacturer was providing PTC equipment and software to many railroads across the country, it had to wait over a year for PTC equipment to be delivered and installed. We also previously reported that railroads face software challenges, and noted that railroads had concerns with the number of defects identified during software testing, since these take time to address. In response to our questionnaire, nine passenger railroads reported encountering challenges related to maturity of the PTC software systems, such as working through software bugs or defects during testing.", "As passenger railroads work to complete PTC implementation activities, some have made service or schedule adjustments to accommodate the need to install equipment or perform testing. Moreover, several passenger railroads told us that as PTC implementation schedules become more compressed, avoiding effects on passengers becomes more difficult. We identified 10 passenger railroads that have made changes to their operations due, in part, to PTC implementation, including the six largest commuter railroads in the country, which collectively reported over 400 million passenger trips in 2017. These changes had effects such as reduced service or longer travel times. For example, one of the largest passenger railroads in the country reduced service on certain routes and eliminated some express trains to accommodate schedules enabling them to complete PTC equipment installation prior to the December 2018 deadline. Another large passenger railroad has shutdown weekend service\u2014providing bus service to transport passengers between stations\u2014for PTC testing. Several passenger railroads had to reduce service for equipment or track installation or testing, resulting in fewer locomotives or less track available for service."], "subsections": []}, {"section_title": "FRA Has Recently Clarified Extension Requirements", "paragraphs": ["In June, July, and August 2018, FRA held three PTC symposiums that were attended by representatives from all 40 railroads and that focused on the extension process and substitute criteria, PTC testing, and safety plans, respectively. FRA\u2019s June 2018 symposium covered information consistent with our March 2018 recommendation that the agency adopt a method for systematically communicating information related to the requirements and process for an extension to railroads. Specifically, FRA presented information on the procedures for requesting and obtaining FRA\u2019s approval for an extension to implement PTC beyond the December 2018 deadline including FRA\u2019s review process. FRA also clarified that for commuter railroads, initiating field testing was one approach that could potentially qualify as substitute criteria, rather than initiating RSD.", "Representatives we interviewed from the passenger railroads that participated in the symposiums found them to be helpful, and some passenger railroads reported that the information presented led them to adjust their approach to meeting the December 2018 deadline. For example, one passenger railroad representative we spoke to said that until the symposium, he was unaware that using field testing as substitute criteria was a potential option. Some passenger railroads we met with also told us they are re-evaluating what activities and documentation need to be revised and submitted to FRA before the December 2018 deadline based on the information presented at the symposiums. For example, representatives from one passenger railroad we met with said that FRA officials encouraged them to update their PTC implementation plan right away with current equipment installation totals, to ensure consistency across all required documentation by the end of 2018. A couple of passenger railroads noted that the information presented at the symposiums clarified many questions and would have been beneficial to know a year or two earlier in the implementation process.", "In addition, in recent months FRA has continued to provide assistance to railroads and has taken a series of steps to better prepare railroads for the 2018 deadline. These steps include meeting regularly with individual railroads and developing approaches intended to help many railroads meet the requirements necessary for a deadline extension. For example, representatives from one commuter railroad said agency officials have been willing to share lessons learned, clarify requirements, and review draft documentation to provide informal feedback."], "subsections": []}]}, {"section_title": "Passenger Railroads and FRA Are Working toward Extensions, Leaving Substantial Work to Be Completed Beyond 2018 Most Passenger Railroads Anticipate Needing an Extension, and Many Plan to Start RSD Testing Beyond 2018", "paragraphs": ["Almost three-quarters of passenger railroads (21 of 29) reported to us that they plan to apply for an extension. Five passenger railroads reported to us that they planned to submit their extension request by the end of September 2018, but as of September 21, 2018, only one had submitted the request and required documentation. However, FRA officials noted that with the exception of possibly one or two railroads, they anticipate that all passenger and freight railroads will likely need an extension, and that railroads must submit their requests by the end of the year to be considered in compliance with PTC requirements. A railroad must demonstrate that it has met all of the statutory criteria necessary to qualify before, or when, it formally requests an extension. And as previously discussed, many railroads remain in the early stages of PTC implementation. Of the eight passenger railroads that anticipate reaching full implementation by December 31, 2018, six are already operating under conditionally certified safety plans; one has submitted its safety plan for review; one plans to submit its safety plan to FRA in fall 2018 for certification. FRA officials stated that it is unclear whether the passenger railroads that have obtained conditional PTC System Certification will have achieved full implementation on all route miles by December 31, 2018.", "Of the 21 passenger railroads that intend to apply for an extension, more than half\u2014all commuters\u2014reported that they plan to use substitute criteria to qualify. Moreover, two-thirds of the commuter railroads (8 of 12) that plan to use substitute criteria intend to apply to use their initiation of field integration or functional testing as substitute criteria, and many of these will apply to begin field testing on only a portion of their track.", "Figure 1 depicts the stage of PTC implementation that passenger railroads at least expect to reach by December 31, 2018, in order to be in compliance with the deadline, based on railroads\u2019 responses to our July- August 2018 questionnaire.", "Although FRA has recently made clear that it is authorized to grant extensions based on initiating field testing or other FRA-approved substitute criteria, this approach defers time-intensive RSD testing into 2019 and beyond. For example, one commuter railroad we met with has applied for, and was granted approval by FRA to use, the initiation of field testing on a 16.5-mile segment of track as substitute criteria to qualify for an extension. That railroad must ultimately implement PTC over 321 miles of track that it owns and operates over, meaning that it will need to complete field testing, RSD, and interoperability testing on the remaining 95 percent of its track and achieve system certification prior to the 2020 deadline. In March 2018, we testified that FRA officials told us that moving from the start of field testing to the start of RSD can take between 1 and 3 years, and has averaged about 2 years for those railroads that have completed that stage. We also reported that FRA officials believe that most railroads underestimate the amount of time needed for testing. FRA officials told us that they do not consider railroads that are approved for an extension under substitute criteria to be necessarily at a higher risk of not completing PTC implementation by 2020. However, in light of these time estimates and the unknown challenges that railroads may face during testing, railroads that are in the early field-testing stage moving into 2019 could face challenges completing PTC implementation by the extended December 2020 deadline.", "Railroads further behind in PTC implementation may need to apply for an extension due to factors such as compressed implementation schedules, as well as the time needed for FRA approvals. For example, representatives from one commuter railroad said that they hope to reach RSD before the December 31, 2018, deadline, but that it would be difficult to meet the extension requirements, apply for, and receive an extension given the volume of paperwork FRA will be receiving at the end of the year. Instead, the railroad plans to submit an extension request using substitute criteria consisting of field testing in order to be in compliance at the end of the year. Such an approach involves first applying for and receiving approval for substitute criteria and then formally requesting an extension and submitting supporting documentation to FRA before the end of the year. Entering RSD prior to the deadline could be difficult given that FRA officials told us they have advised railroads to allow at least a month for FRA\u2019s review of test requests, which must be approved prior to initiating field testing and RSD.", "Some passenger railroads also reported challenges regarding host and tenant responsibilities, including coordination and interoperability\u2014which are likely to continue beyond 2018. Some passenger railroads told us that coordinating with host or tenant railroads that are in different implementation stages as the 2018 deadline approaches poses several challenges. For example, a few passenger railroads told us that they are unable to conduct interoperability testing because their host or tenant railroad has not yet reached that stage of implementation. Additionally, officials from Amtrak\u2014which interoperates with 21 other railroads\u2014noted that the host-tenant relationship can be complicated and requires a high level of coordination to resolve issues between railroads. Amtrak officials also told us they were conducting risk assessments to determine whether and how to continue service in situations where their host or tenant railroad has not completed PTC implementation or met the requirements necessary for an extension. While few passenger railroads have reached the interoperability stage, one railroad association stated that interoperability is, and will continue to be, a substantial challenge for metropolitan areas with dense and complex rail networks with several host-tenant relationships. For example, according to one passenger railroad, 14 different freight and passenger railroads will need to interoperate in the Chicago area."], "subsections": [{"section_title": "FRA\u2019s Substantial Workload Remains a Concern", "paragraphs": ["FRA\u2019s already substantial workload is expected to increase as railroads continue to submit documentation necessary for extensions and continue PTC implementation activities. FRA is focused on ensuring railroads are in compliance by the December 2018 deadline\u2014whether via an extension or by completing implementation. While FRA officials report that they anticipate almost all railroads will likely request an extension, only one passenger railroad had submitted an application for an extension as of September 21, 2018. FRA will need to review and approve all related documentation associated with each extension request and make a determination within 90 days, meaning if a railroad were to submit its extension request on December 31, 2018, FRA would have until the end of March 2019 to approve or deny the railroad\u2019s extension request. In addition to extension requests and supporting documentation, many passenger railroads will also be submitting to FRA: requests for substitute criteria, test requests to initiate field testing or RSD, revisions to PTC implementation plans, and PTC safety plans. Some of these documents can be lengthy and require back and forth between FRA and railroads before approval. For example, we previously reported that PTC safety plans are about 5,000 pages in length and take between 6 and 12 months for FRA to review.", "To help manage the forthcoming influx of documentation, FRA officials have offered to review draft documentation, such as substitute criteria requests and test requests, and have advised railroads to take FRA\u2019s review times into account prior to submitting required documentation. FRA officials told us that in trying to manage their workload, they initially told railroads they did not have time to review draft submittals. However, they found that taking the time to conduct draft reviews ultimately led to higher quality formal submittals and accelerated the overall review process. In addition, FRA officials said that their goal is to not delay any railroad that is ready to move into testing, and that they advised railroads to build 30 to 45 days for test request reviews into their project schedules.", "Despite these efforts, some passenger railroads remain concerned about the agency\u2019s ability to manage the PTC workload in the coming months and beyond 2018. For example, seven of 29 passenger railroads identified FRA\u2019s resources and review times as a challenge leading up to the December 2018 deadline. In addition, three passenger railroads reported that they would complete all the requirements for full PTC implementation by the December 31, 2018, deadline, but planned to apply for an extension due to concerns that FRA would not be able to review and certify their safety plans to enable them to reach full implementation prior to the deadline. Based on similar concerns, in March 2018, we recommended FRA develop an approach to prioritize the allocation of resources to address areas of greatest risk as railroads work to complete PTC implementation. FRA has acknowledged the railroads\u2019 concern given the surge of submissions requiring FRA approval in 2018 and has reported the agency is reallocating existing expertise and expanding the PTC workforce through training, expanding contracts with existing support contractors, and initiating one additional contract to provide technical support. For example, FRA officials told us that they reallocated resources to shift PTC specialists\u2019 responsibilities to focus exclusively on testing-related activities because their involvement is critical for the testing stage. Taking steps to prioritize limited resources will only increase in importance as the amount of documentation needing FRA review continues to grow in 2019 and 2020, as railroads move through testing and submit complex and lengthy safety plans.", "Although FRA has taken steps to provide key extension information to railroads and to help ensure railroads\u2019 compliance with PTC deadlines, uncertainty remains, particularly in regard to FRA\u2019s enforcement strategy if railroads are noncompliant with the PTC implementation requirements, such as if railroads were to fail to apply for an extension by the deadline. Representatives from all railroads implementing PTC with whom we met told us that FRA\u2019s planned enforcement approach for any railroad that fails to meet the requirements for an extension beyond 2018 is unclear. FRA officials told us they have shared the range of applicable civil penalties with railroads for years, but that any policy decision about how potential fines will be levied for non-compliant railroads has not yet been made. In addition, it is also unclear how the agency would approach enforcement for railroads that have a host or tenant operating on their tracks that has not completed implementation or met the requirements necessary for an extension. Ten of the 13 passenger railroads we met with told us they do not currently have or see a need to develop contingency plans. For example, representatives from one passenger railroad said they did not have a contingency plan because FRA has made clear they are committed to helping railroads comply with the 2018 deadline. FRA officials said that the goal of enforcement is to help bring all railroads into compliance and that they would look at the specific circumstances for any host-tenant issues before assessing a fine.", "In conclusion, almost all passenger railroads will likely request an extension beyond 2018, which will require FRA approval. Many commuter railroads plan to request substitute criteria which may result in those railroads remaining in the early stages of PTC implementation at the start of 2019. However, given that only one passenger railroad has submitted an extension request, it is unlikely we will know how many railroads will be granted an extension by the December 31, 2018 deadline. While few passenger railroads had developed contingency plans when we met with them, as December nears and schedules become further compressed, additional railroads may have to make service or schedule adjustments to help them reach compliance with the deadline. Although FRA has reported taking some actions in response to our March 2018 recommendation that they better prioritize resources, FRA resources and review times remain a significant concern\u2014both for near-term efforts such as extension requests and for the safety plans that need to be reviewed and certified prior to the end of 2020. These issues\u2014combined with the ongoing implementation, testing, and interoperability challenges that a number of railroads reported to us\u2014raise questions as to the extent FRA and the nation's passenger railroads are poised for full PTC implementation by December 31, 2020.", "Chairman Thune, Ranking Member Nelson, and Members of the Committee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}]}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Susan Fleming, Director, Physical Infrastructure at (202) 512- 2834 or FlemingS@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Susan Zimmerman (Assistant Director); Katherine Blair; Greg Hanna; Delwen Jones; Emily Larson; Joanie Lofgren; SaraAnn Moessbauer; Maria Wallace; and Crystal Wesco.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["Forty railroads, including Amtrak, commuter, and freight railroads, are required to implement positive train control (PTC)\u2014a communications-based system designed to slow or stop a train that is not being operated safely. Although the deadline for PTC implementation is December 31, 2018, railroads that meet certain criteria may receive a maximum 2-year extension.", "We testified that, as of June 30, 2018, many passenger railroads remain in the early stages of PTC implementation, such as equipment installation and early testing. Most passenger railroads anticipate needing an extension."]} {"id": "GAO-18-515", "url": "https://www.gao.gov/products/GAO-18-515", "title": "U.S. Postal Service: Projected Capital Spending and Processes for Addressing Uncertainties and Risks", "published_date": "2018-06-28T00:00:00", "released_date": "2018-06-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["USPS faces significant financial challenges as it continues to experience declining mail volumes and revenues. Capital spending is needed to support USPS's operations, but can be affected by various uncertainties and risks, such as those related to future business activities and revenues. In the past, USPS has reduced its capital spending in response to declining revenues.", "GAO was asked to review USPS's capital-spending plans and examine how its capital-spending processes address uncertainties and risks. This report: (1) describes USPS's projected capital spending over the next 10 years and (2) assesses whether USPS's processes support its ability to address uncertainties and risks that affect its capital spending.", "GAO reviewed USPS data and information on actual capital spending from fiscal years 2007 to 2017 and projected capital spending for fiscal years 2018 through 2028. GAO also reviewed USPS reports on 14 approved capital projects in fiscal years 2017 and 2018, selected to provide a mix of project type and value; examined documentation related to USPS's processes that affect capital spending and compared USPS's processes to internal control standards adopted by USPS; and interviewed USPS officials.", "On a draft of this report, USPS provided technical comments, which GAO incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["The United States Postal Service (USPS) projects increased capital spending over the next 10 years. According to USPS, this spending will support its mission and improve its financial position. USPS projects average annual capital cash outlays of $2.4 billion from fiscal years 2018\u20132028\u2014about 70 percent more than the $1.4 billion average from fiscal years 2007\u20132017 (see figure). For example, USPS plans to acquire a new fleet of delivery vehicles starting in 2019 to replace its aging existing fleet and plans to purchase new mail-processing equipment to increase efficiency. However, USPS faces a serious financial situation with insufficient revenues to cover expenses. This uncertainty may result in USPS's making capital-spending prioritization decisions that can lead to tradeoffs across planned capital projects and potentially between capital spending and other organizational needs such as operational expenses. Such prioritization could lead to USPS's undertaking less capital spending than currently projected in the absence of increased revenues or decreased expenses.", "USPS has processes that help it identify the uncertainties and risks that may affect its capital spending and adjusts its capital spending accordingly, in line with internal control standards adopted by USPS. For example, USPS identifies organizational uncertainties, such as mail volumes and revenues, as part of its strategic planning process and considers them when creating its capital spending budget. It also identifies individual project risks through a project review process, and considers tradeoffs inherent in different project scenarios. USPS's processes also allow it to respond to these uncertainties and risks. Specifically, USPS sets a capital-spending budget in its overall financial plan, to help ensure that spending is in line with expected resources. USPS's process also allows it to shift funds if needed, such as to repair a facility damaged during a natural disaster. USPS also reviews individual capital projects during implementation and can change specifications or time frames based on changing circumstances."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. Postal Service (USPS) provides crucial support for the nation\u2019s communications and commerce. According to USPS, in fiscal year 2017, USPS delivered 149-billion pieces of mail, generating about $70 billion in revenues. However, USPS\u2014which is structured to be financially self- supporting\u2014is facing unsustainable financial challenges as First-Class Mail volume continues to decline. Although USPS has restructured its services and network in various ways to try to improve its financial position, total mail volume fell 3.1 percent in fiscal year 2017, resulting in an operating loss of $2.6 billion. Fiscal year 2017 marked USPS\u2019s 11th straight year of operating at a loss.", "Capital spending supports USPS\u2019s ability to meet its organizational objectives. For USPS, capital spending includes spending on delivery vehicles, mail-processing equipment, post offices and other buildings, and other items USPS uses to support operations and meet its universal service obligation. However, given its challenging financial situation, starting in fiscal year 2009, USPS dramatically reduced its capital spending and for a number of years, according to USPS, restricted its spending to projects it deemed necessary to ensure the health and safety of employees and customers or to those projects that could produce a large and rapid return on investment. More recently, USPS began increasing its capital spending, but its challenging financial situation and future uncertainties remain. In addition, individual capital projects can face their own project-specific risks. USPS\u2019s continuing financial losses and business uncertainties create challenges in its ability to undertake the capital-spending needs it has identified.", "You asked us to review USPS\u2019s capital spending plans and how its capital-spending processes address uncertainties and risks. This report: (1) describes USPS\u2019s projected capital spending over the next 10 years and (2) assesses whether USPS\u2019s processes support its ability to address uncertainties and risks that affect its capital spending.", "To describe USPS\u2019s projected capital spending over the next 10 years, we reviewed USPS data on actual capital spending from fiscal years 2007 through 2017 and USPS documentation on projected capital spending from fiscal years 2018 through 2028. In both cases, we focused on fiscal year actual or projected capital-spending cash outlays\u2014or the amount of cash spent on capital projects\u2014as opposed to capital-spending commitments made in that specific fiscal year. For historical data, we used data from USPS\u2019s annual budgets for fiscal years 2008 through 2018, which contain data from prior fiscal years. For information on USPS\u2019s projected capital spending for fiscal years 2018 through 2028, we reviewed USPS\u2019s 10-year capital-spending projection for those years, which USPS created in 2017. To determine the reliability of these data, we interviewed USPS officials, reviewed data for any obvious errors, and reviewed relevant documentation. We determined that these data were sufficiently reliable for the purposes of reporting on USPS\u2019s past and projected capital spending. We also selected and reviewed a non- generalizable sample of 14 of USPS\u2019s 66 approved fiscal year 2017 and 2018 Decision Analysis Reports (DAR)\u2014internal USPS documents used to justify and obtain approval for some proposed capital spending projects. We selected DARs to provide a mix of types of capital spending projects and total project value. We reviewed the DARs to obtain descriptive information about the projects. While information presented from our reviews of the DARs cannot be generalized to all DARs, the information provides insights into USPS\u2019s reasons for undertaking capital spending projects. In addition, we interviewed USPS officials about the organization\u2019s historic and projected capital spending.", "To assess whether USPS\u2019s processes support its ability to address uncertainties and risks that affect its capital spending, we reviewed documentation from USPS, including USPS\u2019s policies and procedures for capital spending and internal guidance documents, and interviewed USPS officials. We then compared that information against criteria for addressing uncertainties and risks. Specifically, we identified criteria from the Office of Management and Budget\u2019s (OMB) Capital Programming Guide and the Committee of Sponsoring Organizations of the Treadway Commission\u2019s (COSO) Internal Control-Integrated Framework\u2014internal control standards adopted by USPS. We evaluated how USPS\u2019s processes that affect capital spending are designed to address uncertainties and risks. For more details regarding our scope and methodology, see appendix I.", "We conducted this performance audit from September 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["USPS undertakes capital-spending projects for a number of reasons and more than one reason may apply to a single project. According to USPS documentation on its capital spending processes, these reasons include: to support USPS\u2019s organizational objectives and strategic plan, to help sustain existing operations and meet USPS\u2019s universal service obligation, to protect the health and safety of employees and customers or meet legal requirements, or to generate a positive return-on-investment\u2014such as by increasing revenues or decreasing costs\u2014thus improving USPS\u2019s finances.", "USPS generally categorizes its capital spending in four broad categories: vehicles, facilities, information technology and other, and mail processing equipment, as shown in figure 1.", "USPS has processes for setting an annual capital-spending budget and approving specific capital projects. USPS prepares an annual capital- spending budget as part of its annual organization-wide budget. According to USPS documentation on its capital spending process, and USPS officials the process includes the following steps: In advance of each fiscal year, USPS\u2019s Finance and Planning Department reviews estimated revenues and expenses to determine an appropriate total capital-spending budget.", "Next, USPS\u2019s Executive Leadership Team and the leadership of relevant departments develop requests for each department\u2019s estimated capital-spending needs for the upcoming year, including a ranking of desired projects. These lists provide information on projects\u2019 purposes, estimated capital and operating expenses, potential return-on-investment, and relationship to USPS\u2019s strategic initiatives.", "The Finance and Planning Department then reviews these lists in light of the previously determined total capital-spending budget and sets a capital spending budget for each of the broad categories of capital spending.", "The Executive Leadership Team votes on this preliminary capital spending budget, which, if approved, is included in the organization- wide budget that is subject to approval by USPS\u2019s Board of Governors. The budget approved by the Board of Governors includes the total and categorical capital-spending budget, but does not include approvals for specific projects.", "According to USPS officials, USPS also uses these capital-spending requests, along with other information, such as historical capital-spending data and information on already identified specific future capital-spending projects, to annually update a 10-year projection of capital spending. USPS uses this 10-year projection to estimate USPS\u2019s potential future capital spending and requirements for capital project cash outlays.", "USPS also has processes for approving specific capital projects. Project sponsors\u2014those departments that wish to undertake a capital-spending project\u2014must obtain approval from different groups within USPS to initiate capital projects. According to USPS documentation, the level of approval required depends on the estimated total cost of the project:", "Total costs over $5 million: The project sponsor must submit a DAR to USPS\u2019s Investment Review Committee for review. DARs contain estimated project cost, return-on-investment, and other information used to justify the project. If the committee approves, it makes a recommendation to the Postmaster General for final approval. USPS\u2019s Office of Inspector General also reviews and assesses the adequacy and the depth of the information in the DAR, assesses whether the project is in USPS\u2019s best business interest, and may provide input to the Investment Review Committee, which may take that information into consideration when reviewing projects.", "Total costs from $1 million to $5 million: The project sponsor must submit a DAR to USPS\u2019s Technical Review Committee for review and approval.", "Total costs under $1 million: The project is reviewed by USPS\u2019s Finance and Planning department, and approval is subject to the level of budgetary resources available. USPS does not require a DAR for these projects, although the process involves other documents, such as a one-page \u201cJustification of Expense\u201d that is required for many of the projects.", "USPS faces organization-wide uncertainty that may affect its capital spending. We define \u201corganizational uncertainty\u201d as those uncertainties\u2014 such as business, budgetary, legislative or regulatory, or other conditions\u2014that may affect USPS\u2019s ability to remain competitive and achieve its mission. For example, in the absence of adequate revenues that would cover all of USPS\u2019 expenses, these uncertainties may affect the extent to which USPS can undertake its identified capital-spending plans. According to USPS, organizational uncertainties include the following:", "Business uncertainty includes potential changes to USPS\u2019s business and the market for its products and services. Such uncertainty may be affected by changing customer preferences\u2014such as continuing diversion of First Class Mail to electronic alternatives (e.g., e-mail or online banking)\u2014and increased competition for package shipments.", "Budgetary uncertainty includes potential uncertainty and changes to revenues and expenses that affect USPS\u2019s finances.", "Legislative or regulatory uncertainty includes potential actions intended to address some of USPS\u2019s financial challenges. For example, postal reform legislation has been introduced that, if enacted, could improve USPS\u2019s financial position. Both H.R. 756 and S. 2629 propose to relieve USPS of some of its retiree health and pension obligations and provide a reinstatement of a partial rate surcharge. Similarly, the Postal Regulatory Commission\u2014an independent establishment of the executive branch that regulates USPS\u2014 is considering providing USPS with additional flexibility on pricing, which could also improve USPS\u2019s finances.", "According to USPS documentation on capital-spending processes as well as DARs for individual capital-spending projects, capital-spending projects also can face project-specific risks, such as the following:", "Technological risks, which include complexity, quality, and security concerns: For example, capital projects deploying new technology intended to increase operational efficiency may face the risk that the new technology could become obsolete given future technological advances.", "Operational risks, which include maintenance and performance of projects: For example, equipment purchased as part of a capital project could involve the risk that it may not perform as expected.", "Integration risks, which include network and system integration and user acceptance of projects: For example, a project involving new retail technology may face the risk that USPS\u2019s customers will not accept the new technology, and, as a result, the project does not meet its target for customer use."], "subsections": []}, {"section_title": "USPS Plans to Increase Capital Spending, but Business Uncertainties Will Likely Involve Prioritization against Other Business Needs and among Capital Projects", "paragraphs": ["According to USPS, the organization has critical capital-spending needs after years of reduced capital spending. Starting in fiscal year 2009, USPS sharply decreased its capital spending for several years, in response to decreased volume and revenues; however, USPS now plans to increase its spending. Specifically, USPS projects average annual capital-spending cash outlays of $2.4 billion from fiscal years 2018 through 2028\u2014about 70 percent more than the average of $1.4 billion from fiscal years 2007 through 2017. (See fig. 2.) While this projected spending is largely driven by plans to acquire a new fleet of delivery vehicles, USPS also projects increased spending in the other categories of facilities, information technology, and mail-processing equipment. In addition, while some of USPS\u2019s planned capital spending is intended specifically to generate a return-on-investment\u2014such as by increasing revenues or decreasing costs\u2014much of USPS\u2019s planned capital spending is to help sustain operations. Specifically, according to our analysis of USPS data, roughly 80 percent of USPS\u2019s projected capital spending for fiscal year 2018 is for projects intended to help sustain operations."], "subsections": [{"section_title": "Vehicles: Spending Planned to Replace Aging Fleet", "paragraphs": ["In its latest projection of capital spending, covering fiscal years 2018 through 2028, USPS projects an annual average of roughly $821 million on capital spending for vehicles, primarily driven by a multi-year acquisition of new delivery vehicles starting in fiscal year 2019. According to USPS officials, USPS decided a number of years ago to defer purchasing new delivery vehicles and instead continued using and maintaining its existing fleet. Because USPS started acquiring most of its existing delivery fleet in 1987, the majority of its delivery vehicles are several decades old. USPS officials said these vehicles incur high maintenance costs, averaging about $4,500 per vehicle annually.", "In acquiring new vehicles, USPS plans to take a number of steps to ensure that the vehicles best meet the organization\u2019s needs. According to USPS officials, it will spread the acquisition over multiple years to avoid a large cash outlay in any given year and to enable USPS to modify the vehicle purchases over time to take advantage of any technological changes, such as advances in alternative fuel technologies. Officials added that USPS is considering vehicles that will encourage operational efficiencies. For example, USPS is considering taller vehicles that will better allow carriers to handle trays of mail and packages. The officials also noted that USPS may consider different vehicle designs for different market needs. The officials said that USPS is currently testing various vehicle prototypes and has not decided on any one vehicle design at this time. In total, USPS projects that its acquisition of new delivery vehicles will require about $5.7 billion in capital-spending cash outlays distributed over a number of years.", "In addition to its planned future acquisition of delivery vehicles, USPS has also conducted smaller acquisitions of vehicles in recent years. According to USPS officials, in the past few years USPS has been replacing most of its non-delivery vehicles and will have done so by 2019, while also purchasing a small number of delivery vehicles to replace ones that have exceeded their useful life or will serve route growth. For example, in April 2017 USPS approved a capital spending project to purchase more than 2,000 cargo vans used to transport large volumes of mail from postal plants to post offices and other facilities, and about 375 spotter vehicles used to move trailers among docks at processing facilities. In May 2017 USPS approved a capital spending project to purchase approximately 8,000 off-the-shelf delivery vehicles needed to serve route growth and replace existing high-maintenance-cost vehicles. (See fig. 3.)"], "subsections": []}, {"section_title": "Facilities: Spending Primarily Intended for Repairs of Existing Facilities", "paragraphs": ["USPS projects an annual average of about $607 million in capital spending for facilities from fiscal years 2018 through 2028. According to USPS officials, USPS faces little need for capital spending on new facility construction given changes to USPS\u2019s business such as decreasing mail volumes. As a result, most of USPS\u2019s projected capital spending is for rehabilitation and repair of existing facilities, such as the replacement of roofs or heating, ventilation, and air-conditioning systems needed to sustain operations. For example, in December 2016, USPS approved ca capital spending project to replace the roof at a mail processing facility in Tulsa, Oklahoma. USPS had concluded that the roof was in a state of failure, and there were no economically feasible repair options. In addition, in 2017 USPS approved about a capital spending project to repair facilities in the U.S. Virgin Islands damaged during Hurricane Maria.", "Although most facilities spending is related to rehabilitation and repair, some USPS capital spending is on new facilities. According to USPS officials, new facilities projects are generally approved because of the need to completely replace an existing facility that is beyond repair or to construct a new facility that will replace multiple existing facilities. For example, in May 2017 USPS approved a capital spending project to construct a mail-processing facility in Nashville, Tennessee. The facility is intended to replace and close four existing facilities which will eliminate space deficiencies, reduce transportation costs, and improve operating efficiencies. In addition, according to USPS officials, USPS may need to make capital spending investments to facilities to accommodate growth in package volume, should that growth continue."], "subsections": []}, {"section_title": "Information Technology and Other: Spending Intended to Support USPS\u2019s Network and Cybersecurity Efforts", "paragraphs": ["USPS projects an annual average of about $541 million in capital spending for information technology and other capital projects, such as customer support equipment, from fiscal years 2018 through 2028. Information technology spending, which makes up an average of 98 percent of the projected spending in this category from fiscal years 2018 through 2028, is intended to maintain the infrastructure used to support USPS and provide security from cyber-threats, among other things.", "According to USPS officials, while it is difficult to project capital spending on information technology because future needs are uncertain, they can more accurately predict some future needs, such as hardware replacement. For example, there is a baseline of projected costs to replace servers because USPS knows the length of the technologies\u2019 useful lives and when they will need to be replaced. According to USPS officials, while much of its capital spending on information technology is intended to replace outdated servers and other hardware, some spending is for developing new information technology systems. For example, in March 2017 USPS approved a capital spending project to purchase 67 video conferencing systems intended to increase productivity and encourage collaboration among USPS offices. In addition, USPS officials told us that in recent years USPS has undertaken more capital spending than expected on cybersecurity, a trend that will likely continue for the next few years. According to a DAR for cybersecurity investments, USPS is undertaking such investments to proactively identify and respond to security threats that have the potential to cause financial or other damage to the organization\u2019s assets or employees, including threats that could disrupt or destroy information.", "Capital spending on information technology can also support USPS strategic goals and provide a positive return-on-investment. For example, in January 2017 USPS approved an additional capital spending to support development of its Informed Visibility program, which is a system that provides tracking and reporting of mail shipments for commercial mailers. According to the Informed Visibility DAR, these capabilities will provide users with access to valuable business information, helping improve operational efficiencies and marketing, among other things. According to the DAR, Informed Visibility will also provide a positive return-on-investment by eliminating some redundant costs and programs."], "subsections": []}, {"section_title": "Mail-Processing Equipment: Projected Spending Intended to Increase Automation and Efficiency", "paragraphs": ["USPS projects an annual average of about $464 million on capital spending for mail-processing equipment from fiscal years 2018 through 2028. USPS intends to maintain or replace existing aging equipment used to process mail and purchase new equipment that USPS expects will increase efficiency and provide other business benefits. According to USPS officials, equipment projects can also generate a positive return- on-investment in a number of ways, such as by increasing automation to reduce costs or by improving customer service. For example, in August 2017 USPS approved a capital spending project to provide new control systems for about 1,000 bar code sorter machines that USPS expects will decrease mail-processing costs.", "Some of USPS\u2019s mail-processing equipment investments may also specifically address the growing market for package shipments. For example, in July 2017 USPS approved a capital spending project for upgrades to automated package-processing machines\u2014upgrades intended to reduce package-handling costs and improve collection of data on when and where packages are processed. USPS first deployed these machines in 2004. According to the DAR, by 2017, the machines were nearing the end of their useful life, resulting in reduced reliability."], "subsections": []}, {"section_title": "USPS\u2019s Projected Capital Spending Will Likely Involve Prioritization Decisions", "paragraphs": ["Although USPS is projecting increased capital spending over the next 10 years, it has reported that it faces uncertainties, such as the level of future revenues, that could affect its ability to undertake planned and projected spending. USPS faces continuing declines in First Class Mail volume, and while it has experienced increased volume in packages, future increases in package volume are uncertain. Specifically, according to USPS, some of its major shipping customers are now building their own delivery capability that may enable them to divert some package shipments away from USPS. USPS has also stated that it faces challenges in ensuring that future operations generate sufficient revenues to support planned capital spending and that it is constrained in its ability to reduce costs.", "We have previously testified that USPS continues to face a serious financial situation with insufficient revenues to cover its expenses.", "This uncertain financial outlook may result in USPS changing its current capital-spending plans, including setting new priorities across its planned projects and other business needs. These prioritization decisions can involve tradeoffs among projects and between capital and operations spending. USPS has already faced these types of tradeoffs, as in fiscal year 2017, when it did not make $6.9 billion in required prefunding payments for retiree health and pension benefits, stating that it lacked sufficient cash to make those payments while ensuring it could continue to provide service, and stating that it required sufficient cash reserves for capital spending. While USPS officials noted that USPS must always make prioritization decisions regarding capital spending, its financial future may make such decisions more critical given its currently projected increased capital spending. For example, unless USPS increases its revenues or decreases other expenses, such prioritization decisions may involve USPS undertaking less future capital spending than it currently projects over the next 10 years. Further, even if USPS\u2019s financial situation were to dramatically improve, USPS may not necessarily undertake more capital spending than currently projected, because of significant other business needs, such as funding operating expenses. Should USPS have more resources than expected in the coming years, though, USPS may be able to make fewer tradeoffs regarding capital spending."], "subsections": []}]}, {"section_title": "Various Processes Support USPS\u2019s Ability to Address Uncertainties and Risks That Affect Capital Spending", "paragraphs": [], "subsections": [{"section_title": "USPS Has Processes Designed to Identify Uncertainties and Risks That Affect Capital Spending", "paragraphs": ["USPS has processes that can help it to identify uncertainties and risks that could affect its capital spending and adjust its spending to changing circumstances. USPS has adopted the Committee of Sponsoring Organizations of the Treadway Commission\u2019s (COSO) internal control framework, which includes how organizations should address uncertainties and risks. Specifically, this framework states that organizations should identify uncertainties and risks to the achievement of their objectives and analyze these uncertainties and risks to determine how they should be managed. Additionally, COSO\u2019s internal control framework asserts that organizations should not only identify and analyze uncertainties and risks but also assess any changes in conditions that could affect the organization including its capital spending."], "subsections": [{"section_title": "Identifying and Analyzing Organizational Uncertainties", "paragraphs": ["USPS has processes for identifying and analyzing organizational uncertainties, such as business and budgetary uncertainties, which can affect capital spending. These processes align with aspects of COSO\u2019s internal control framework. For example, according to USPS documentation on its strategic-planning process, USPS conducts a business environment assessment and an enterprise risk assessment every 3 years to identify its organizational uncertainties, such as the effect of changes in the number of delivery points or mail volume. Additionally, USPS has processes to analyze the effects of its organizational uncertainties. For example, some department managers analyze the potential effects of organizational uncertainty by modeling different scenarios to help inform their department\u2019s capital-spending decisions. For example, USPS officials stated that the vehicles department models the interactions among key variables\u2014such as stabilizing or declining mail volume, route structures, and vehicle cargo sizes\u2014as it considers various vehicle acquisition options. In addition, USPS facilities department officials told us that they plan to develop on a model to consider how key variables, such as mail volume, affect USPS\u2019s facility needs.", "In addition to identifying and analyzing the potential effects of organizational uncertainties, USPS also has processes for assessing changes in these organizational uncertainties. For example, USPS documentation shows that USPS leadership holds a monthly business review meeting in which officials discuss any changes in internal conditions, such as labor costs, or external conditions, such as mail volume, that could affect the organization and, when applicable, how these conditions could affect capital spending. Officials told us that USPS also distributes a survey every 18 months to internal and external stakeholders to obtain perspectives on changes, if any, in some of the conditions addressed by USPS\u2019s strategic plan. The survey also covers other conditions such as uncertainty about the extent to which USPS will have funds to maintain, repair, and replace infrastructure."], "subsections": []}, {"section_title": "Identifying and Analyzing Project Risks", "paragraphs": ["Individual capital projects face inherent risks\u2014such as technological, operational, and integration risks. We found that USPS\u2019s capital-spending processes align with aspects of COSO\u2019s internal control framework by incorporating processes to identify and analyze project-specific risks through the use of DARs. As discussed earlier, USPS\u2019s capital spending processes require DARs to justify proposed capital projects with total costs of $1 million or more. Specifically, internal USPS guidelines state that DARs should identify the technological, operational, and integration risks that could affect capital projects and any tradeoffs related to potential alternatives to the proposed capital project. For example, we reviewed one DAR for mail-processing equipment that explained that the project has a low level of operational risk noting that the new equipment will not require training for operators, thus avoiding potential costs and delays associated with training. Another DAR we reviewed for a project intending to improve the customer experience and reduce costs through more efficient staffing at retail locations identified integration risks and noted that the project's proposed deployment schedule might not allow time for delays. USPS leadership may also request additional analyses to verify, or support, information in a DAR before deciding whether to approve a project. For example, according to documentation we reviewed, USPS leadership recently requested that its Finance and Planning division review economic data, such as population growth rates, to confirm the economic growth projections used in support of a DAR for a new facility in Bismarck, North Dakota."], "subsections": []}]}, {"section_title": "USPS Has Processes Designed to Respond to Identified Uncertainties and Risks That Affect Capital Spending", "paragraphs": ["We found that USPS has processes that are designed to help it respond to identified organizational uncertainties, specifically future budgetary uncertainty. According to OMB\u2019s Capital Programming Guide, capital spending \u201c...should be consistent with the level of future budgetary resources that will be available.\u201d USPS officials said USPS seeks to minimize the budgetary uncertainty that capital spending will outpace available resources by developing its annual capital-spending budget as part of USPS\u2019s overall annual budget. As a result, USPS can determine an annual capital spending budget based on the most recent conditions, including the most recent revenue forecasts, and consider possible tradeoffs\u2014such as those between capital spending and other spending needs such as operating expenses. Further, while the creation of a capital-spending budget establishes capital-spending levels, the process does not commit capital spending on any particular project. Instead, USPS reviews and approves new capital projects throughout the fiscal year, allowing USPS to make capital spending-decisions based on its most current financial condition, which may have evolved during the fiscal year.", "After USPS has set the annual capital spending budget, USPS\u2019s capital- spending process also allows the organization to respond to any changes in its financial outlook, business environment, or other organizational uncertainties that might occur during the fiscal year. As stated previously, USPS\u2019s capital spending budget establishes capital spending levels for the fiscal year and does not include approvals for specific projects. Project sponsors must obtain approval from different groups within USPS to initiate capital projects. USPS may approve less capital spending for capital projects than budgeted for at the start of the year. Our analysis of capital-spending cash outlays from fiscal year 2007 through 2017 shows that on average, USPS spent about 18 percent less than was budgeted for at the start of each year. According to USPS officials, capital spending can be below budgeted levels for a variety of reasons. USPS may shift strategic priorities based on business conditions and cancel or delay some planned projects that it determines are no longer aligned with its priorities. For example, USPS canceled a previously approved centralized distribution facility project in Brooklyn, New York, and decided to look for less costly alternatives to support the area\u2019s increased package processing needs. Also, officials stated that projects could come in below budget because of a reduction in project scope or because a multi-year project falls behind schedule and has less cash outlays in a given year than were planned.", "In other instances, USPS\u2019s capital-spending approval process provides flexibility to re-allocate capital funds as USPS identifies and assesses changing conditions that affect the organization, or when contingencies or emergencies arise. For example, according to USPS officials, as USPS monitors the economic indicators that affect its business, the indicators may signal an increase in package volume. USPS might respond by allocating more capital toward additional purchases of package-sorting equipment. According to USPS officials, USPS\u2019s capital-spending process also allows USPS to respond to contingencies. In fiscal year 2017, USPS approved capital spending to repair facilities in the U.S. Virgin Islands damaged during Hurricane Maria. (See fig. 4.) In the event that such unplanned projects arise to repair damages or are required for safety, project sponsors can expedite the capital spending approval process, such as by submitting an advance funding request to USPS.", "In addition to having processes to respond to organizational uncertainties, we also found that USPS has processes for responding to the risks affecting individual capital projects. According to USPS documentation, capital projects with total costs of over $5 million are reviewed at certain stages in their implementation to assess any changes, including changes in the return-on-investment, timeline, and performance of the projects. USPS may alter project specifications or time frames to respond to these changes. During the implementation stage of some major capital projects, such as the installation of mail-processing equipment, departments may initially test a limited number of units with the option to request the purchase of additional units if the tests are successful. Additionally, some major capital projects, such as the replacement of USPS\u2019s delivery vehicles, require acquisitions over multiple years, which, USPS officials told us, can be used to limit risk. As mentioned earlier, USPS is planning to replace its fleet by purchasing vehicles over a number of years, potentially allowing it to capitalize on technological advances that may develop over the time period.", "After a capital project is complete, USPS has a process for reviewing the results as a way to inform and improve future capital-spending decisions, including better addressing project risks. USPS\u2019s capital-spending process requires USPS to evaluate capital projects with total costs over $25 million after project completion, reviewing the cost, schedule, and performance results of these projects. For example, in November 2017, USPS discussed the results of two package processing and sorting projects that experienced delays associated with accommodating new equipment at the facilities due to design issues. As a result, USPS recommended that project sponsors conduct more research about any site-specific risks before submitting a DAR for future package processing and sorting projects. In addition, USPS\u2019s Office of Inspector General prepares an annual capital-project-compliance report that evaluates the soundness of USPS\u2019s capital spending. According to USPS officials, the organization considers the results of these reports and seeks to address any resulting recommendations. For example, we reviewed documentation explaining that, in response to one recent Office of Inspector General recommendation, USPS stated it would revise its capital spending guidance to define review and approval procedures, validation, and compliance report requirements for all investments."], "subsections": []}]}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to USPS for review and comment. USPS provided a written letter (see appendix II) in which USPS provided no comments. Via email, USPS also provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to interested congressional committees and the Postmaster General. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2834 or rectanusl@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff that made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives for this report were to (1) describe the U.S. Postal Service\u2019s (USPS) projected capital spending over the next 10 years and (2) assess whether USPS\u2019s processes support its ability to address uncertainties and risks that affect its capital spending. For our second objective, our scope was limited to assessing whether USPS had designed processes; that is, we did not assess the quality of any analyses that USPS conducted regarding risks or any determinations that USPS made regarding capital-spending projects as this was beyond the scope of our review. Such assessments are routinely conducted by the USPS Office of Inspector General.", "To address USPS\u2019s planned capital spending over the next 10 years, we reviewed USPS data on capital spending from fiscal years 2007 through 2017 and USPS documentation on projected capital spending from fiscal years 2018 through 2028. In both cases, we focused on a fiscal year\u2019s actual or projected capital-spending cash outlays\u2014or the amount of cash spent on capital projects\u2014as opposed to capital-spending commitments made in that fiscal year. For historical data, we used data from USPS\u2019s annual budgets, known as Integrated Financial Plans, for fiscal years 2008 through 2018. Each annual budget contains data on actual capital spending levels from prior fiscal years. The annual budgets generally report capital spending in four broad categories: vehicles, facilities, information technology and other, and mail-processing equipment. Because the categories used in past annual budgets were not consistent, we recategorized some years\u2019 spending to be consistent. Specifically, we considered \u201cmail-processing equipment\u201d or \u201cequipment\u201d as part of \u201cmail- processing equipment.\u201d We considered \u201cinfrastructure and support,\u201d \u201cinformation technology and other,\u201d and \u201ccustomer service and support equipment\u201d as part of the \u201cinformation technology and other\u201d category. The past budgets consistently used \u201cfacilities\u201d and \u201cvehicles\u201d categories. We obtained input from USPS officials on our recategorizations. To determine the reliability of these data, we reviewed the data for any obvious errors, reviewed relevant documentation, and interviewed officials. We determined that these data were sufficiently reliable for the purposes of reporting on USPS\u2019s past capital spending.", "For information on USPS\u2019s projected capital spending from fiscal years 2018 through 2028 we reviewed USPS\u2019s 10-year capital-spending forecast for those years, which USPS created in 2017. This 10-year forecast is a projection of capital spending, but is not a commitment for any level of investment. The 10-year forecast categorizes capital spending projects into the following categories: construction and building purchases, building improvements, mail processing equipment, vehicles, capitalized software, customer service equipment, and postal support equipment. For our analysis, we combined \u201cpostal support equipment,\u201d \u201cinformation technology,\u201d and \u201ccustomer service equipment\u201d into one overall \u201cinformation technology and other\u201d category, and \u201cconstruction and building purchases\u201d and \u201cbuilding improvements\u201d into one overall \u201cfacilities\u201d category. USPS officials agreed with this approach. To determine the reliability of these data, we interviewed USPS officials, reviewed data for any obvious errors, and reviewed relevant documentation. We determined that these data were sufficiently reliable for the purposes of providing information on USPS\u2019s projected capital spending. In addition, we interviewed four USPS vice presidents in charge of the departments that correspond with the four broad categories of capital-spending investments about historic, ongoing, and projected capital spending.", "We also selected and reviewed a non-generalizable sample of 14 Decision Analysis Reports (DAR)\u2014internal USPS documents used to justify and obtain approval for some proposed capital-spending projects\u2014 of the 66 approved by USPS for fiscal year 2017 and part of fiscal year 2018. USPS requires DARs for all proposed capital spending projects with a total project cost of at least $1 million. The DARs contain information on, among other things, project specifications, purpose, risks and tradeoffs, and timeframes. We reviewed the DARs for this and other information; we did not review the quality of the analyses contained in the DARs. We obtained a list of all approved DARs for fiscal years 2017 and 2018 and selected DARs of the two largest and two smallest capital projects by total value in each of the four categories (i.e., vehicles, facilities, information technology and other, and mail processing equipment). Because the vehicles category had only two approved DARs at the time we received the list of approved DARs from USPS, we reviewed 14 DARs instead of 16. While the information from our reviews cannot be generalized to all DARs, the information provides insights into USPS\u2019s reasons for undertaking capital spending projects.", "To assess whether USPS has processes that support its ability to address uncertainties and risks that affect its capital spending, we reviewed USPS documentation, including USPS\u2019s policies and procedures for capital spending, internal guidance documents, and others related to processes that affect its capital spending. We identified criteria for addressing uncertainties and risks, including those specific to capital spending. Specifically, we identified criteria from the Committee of Sponsoring Organizations of the Treadway Commission\u2019s (COSO) Internal Control-Integrated Framework (the internal control standards adopted by USPS) and the Office of Management and Budget\u2019s Capital Programming Guide. COSO Principle 7 states, \u201cThe organization identifies risks to the achievement of its objectives across the entity and analyzes risks as a basis for determining how the risks should be managed.\u201d Further, COSO Principle 9 states, \u201cThe organization identifies and assesses changes that could significantly affect the system of control.\u201d The Office of Management and Budget\u2019s Capital Programming Guide element I.1.1 states, \u201cThe plan should also be consistent with the level of future budgetary resources that will be available.\u201d We evaluated USPS\u2019s processes that affect capital spending against these criteria to determine whether USPS had designed processes to address uncertainties and risks related to capital spending. We did not review the capital spending projects USPS has undertaken to determine, for example, if USPS made appropriate decisions regarding selected projects. We also interviewed USPS officials regarding USPS\u2019s capital- spending processes. Specifically, we interviewed officials with USPS\u2019s Capital Investment and Business Analysis Department; Finance and Planning Department; Technical Analysis, Accounting, and Finance Department; and the four vice presidents mentioned above about how they address uncertainties and risks related to capital spending within their departments.", "We conducted this performance audit from September 2017 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Postal Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact above, Kyle Browning and Faye Morrison (Assistant Directors); Matthew Rosenberg (Analyst in Charge); Amy Abramowitz; Sara Ann Moessbauer; Josh Ormond; Joshua Parr; Amy Rosewarne; and Crystal Wesco made key contributions to this report. Also contributing to this report were Carol Henn, Sabine Paul, and Carolyn Voltz."], "subsections": []}]}], "fastfact": ["USPS faces unsustainable financial challenges. It was structured to be self-supporting but First-Class Mail volume continues to drop and it has seen operating losses for 11 straight years.", "After years of reduced capital spending, USPS says it has critical capital spending needs. For example, to help it meet its statutory obligation for prompt, efficient and reliable services, it plans to replace delivery vehicles\u2014most of which are decades old.", "We found that USPS has processes in place to help it identify the uncertainties that may affect its capital spending plan, and flexibilities that allow it to adjust the plan accordingly."]} {"id": "GAO-18-81", "url": "https://www.gao.gov/products/GAO-18-81", "title": "Military Readiness: Actions Are Needed to Enhance Readiness of Global Response Force to Support Contingency Operations", "published_date": "2017-10-27T00:00:00", "released_date": "2017-10-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD must be able to rapidly deploy forces to respond to a range of worldwide contingencies, and in 2007 it established the GRF to enhance that capability. The GRF is a set, or \u201cmenu,\u201d of forces from the military services, each of which possesses unique capabilities, and which the Secretary of Defense can deploy rapidly anywhere in the world.", "House Report 114-537, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for GAO to evaluate challenges DOD may be facing regarding the GRF. GAO reviewed the extent to which (1) DOD has used the GRF, and assessed any risks associated with its use of the GRF; and (2) GRF-assigned units are trained to meet GRF missions individually and as a joint force. GAO reviewed GRF deployment information from 2010 to 2017 and the GRF Execute Order, observed a training exercise, and interviewed knowledgeable officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) Global Response Force (GRF) has two distinct uses: one is to enhance DOD's ability to rapidly deploy forces in response to a range of worldwide contingencies with a tailorable joint force; and the other is to provide a set, or \u201cmenu,\u201d of units that combatant commands can request to augment their capabilities in light of unexpected challenges when requirements exceed their capabilities. Since 2010, according to officials, DOD has used the GRF 35 times in support of worldwide contingencies, with 32 of those times involving deployment of individual GRF units to augment combatant commander needs, and 3 times involving their use as part of a joint task force. This predominant use of individual GRF units to augment combatant commanders' needs has diminished the set of units available for mission scenarios related to the GRF's use as a tailorable joint force. For example, when DOD deployed a ballistic missile defense unit as a part of the GRF to augment a combatant command's missile defense capabilities, the particular capability it supplied to the GRF was not available for participation in a tailorable joint force to respond quickly to a potential worldwide contingency, if such an event occurred. DOD does not know what risks it assumes to readiness for GRF mission scenarios due to its general reliance upon the GRF as an augmentation capability available to individual geographic combatant commands, because DOD has not assessed those risks. Without conducting a risk assessment and taking steps to address any identified risk to accomplishing the GRF's intended uses, DOD's attempt to satisfy one of the uses (that is, individual GRF-assigned units assisting combatant commands) may hamper the other use (that is, deployment of a joint task force for a contingency).", "GRF units train individually to meet GRF missions, but DOD does not conduct any GRF-specific joint training exercises, and the individual GRF units have limited opportunities to train as part of an integrated joint force, according to DOD officials. While the GRF Execute Order calls for integrating elements of the GRF into existing joint training, the military services lack the authority to direct other services to supply forces for joint training exercises, even when those forces are currently on a GRF rotation. Moreover, since the disestablishment in 2011 of U.S. Joint Forces Command\u2014which, among other things, was the lead agent for joint force training\u2014and because units designated for the GRF mission may be assigned to different combatant commands or may be service-retained, no single commander has the authority to require joint force training of GRF units. As a result, no joint training exercises are specifically designed to exercise GRF units as a joint task force. Army officials told GAO that joint exercises are important because they give individual units from different services the opportunity to identify challenges and develop solutions, thereby enhancing the GRF's joint task force capability. Without an entity having the responsibility and authority to plan, direct, and conduct joint training exercises focused on GRF-assigned units deploying as a joint task force as appropriate, DOD risks undermining the effectiveness of the rapid deployment of a GRF joint task force in response to unforeseen worldwide contingencies."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD (1) assess the risks assumed in its reliance upon the GRF as both an augmentation capability and a tailorable joint force; (2) design appropriate responses following the risk assessment; and (3) designate an authority to establish and enforce integrated joint training as appropriate for GRF-assigned units. DOD concurred with GAO's three recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["According to the 2012 Capstone Concept for Joint Operations: Joint Force 2020, after more than a decade of war, our nation and armed forces are transitioning to a future in which the world is trending toward greater stability overall, but is also potentially more dangerous than ever before due to destructive technologies available to a disparate range of adversaries. Consequently, the Department of Defense (DOD) needs the ability to rapidly deploy forces to respond to a range of worldwide contingencies. In 2007, DOD established the Global Response Force (GRF) with the objective of providing the Secretary of Defense with an array, or \u201cmenu,\u201d of rapidly deployable forces, and thereby enhancing DOD\u2019s ability to respond quickly to worldwide contingencies or augment the geographic combatant commands\u2019 capability to respond to unforeseen challenges.", "House Report 114-537, accompanying a bill for the National Defense Authorization Act for Fiscal Year 2017, included a provision for us to evaluate challenges that DOD may be facing regarding the GRF. This report reviewed the extent to which (1) DOD has used the GRF and assessed any risks associated with its use, and (2) GRF-assigned units are trained to meet GRF missions, both individually and as a joint force.", "For objective one, we reviewed the Chairman of the Joint Chiefs of Staff GRF Execute Order (EXORD) to identify the GRF\u2019s documented global missions, forces, and timelines. We reviewed the Joint Staff\u2019s GRF deployment information from 2010 to 2017 to understand the frequency of GRF deployments and identify specific instances in which the GRF\u2019s ability to accomplish its missions was affected. To identify the extent to which DOD has assessed any risks to mission readiness based on its reliance on the GRF to serve its two identified uses, we also interviewed senior officials from the Office of the Under Secretary of Defense for Personnel and Readiness; Joint Staff; and Army, Marine Corps, Navy, and Air Force headquarters; as well as conducted site visits to force providers at Army Forces Command, Marine Forces Command, Navy Fleet Forces Command, Air Force Air Combat Command, and U.S. Transportation Command. We also interviewed U.S. Africa Command, U.S. European Command, and U.S. Pacific Command officials, as well as visited U.S. Central Command and U.S. Southern Command. We compared DOD\u2019s effort to assess risks against criteria in the Standards for Internal Control in the Federal Government, which states that entities should identify and analyze risk and define objectives.", "For objective two, we reviewed the Chairman of the Joint Chiefs of Staff GRF EXORD and DOD\u2019s Guidance for the Defense Readiness Reporting System to understand how GRF readiness is developed, reported, and evaluated. We reviewed Standards for Internal Control in the Federal Government to identify criteria for how agencies should develop an organizational structure and assign responsibilities. We observed a Deployment Readiness Exercise at Fort Bragg, North Carolina, that demonstrated some potential benefits of training exercises for GRF units. We also interviewed senior officials from the Joint Staff, military service force providers, and geographic combatant commands to better understand training practices for the GRF and its assigned units. See appendix I for more details on our objectives, scope, and methodology.", "We conducted this performance audit from May 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The GRF EXORD generally establishes the GRF as a set, or \u201cmenu,\u201d of forces from the military services\u2014each of which possesses unique capabilities\u2014that the Secretary of Defense can deploy rapidly anywhere in the world. According to Joint Staff officials, deployment is for a duration that can range from a few weeks to several months. The GRF EXORD was first issued in 2007 and, according to DOD officials, has been revised several times to modify the number or types of assigned units. The current version, which was issued in 2015, continues to identify two uses for the GRF, described as follows:", "One is to enhance DOD\u2019s ability to respond quickly to a range of worldwide contingencies. In this scenario, the GRF would generally be used as a tailorable joint force. For example, in the event of a humanitarian crisis such as an earthquake, GRF units possessing the capabilities needed to meet the crisis can be combined into a joint force and rapidly deployed to the affected area. In this scenario, the GRF units selected would act together as a joint force under the GRF- supplied Joint Task Force headquarters or a preexisting one.", "The other identified use of the GRF is to augment the capabilities of geographic combatant commands in light of unexpected challenges. In this scenario, GRF units would generally be deployed as individual units or in groups. For example, a combatant command may on occasion require additional intelligence, surveillance, and reconnaissance capability, and accordingly a GRF unit possessing that requisite capability can be taken from the GRF and temporarily allocated to the combatant command for a certain period of time.", "Although the GRF EXORD identifies these two intended uses, the document does not prioritize one use over the other.", "To meet the range of capabilities delineated in the GRF EXORD, the services nominate and assign units to the GRF on a rotating basis for a certain period of time. Each nominated and assigned unit possesses a specific capability outlined in the GRF EXORD. These specific capabilities correspond to the operational requirements of eight global mission scenarios listed in the GRF EXORD. For example, the GRF includes a Marine Expeditionary Unit and an Airborne Brigade Combat Team because of the unique capabilities of those units. According to DOD officials, once a force is assigned to the GRF, it is on alert status for a period of typically 6 to 9 months, with a potential to be deployed. Accordingly, services rotate units onto and off of the GRF in order to maintain a high state of readiness, which, in turn, allows them to meet the rapid response timeframes required by the GRF EXORD.", "To gain access to units assigned to the GRF, according to Joint Staff officials, combatant commanders submit an emergent request for forces to the Joint Staff. Generally as part of the global force management process, when a combatant command identifies an emergent requirement for a force that cannot be met using units already assigned or allocated to the combatant command, the combatant command then submits a request for forces. If the Joint Staff, joint force providers, and military services determine that a GRF-assigned unit is the most appropriate solution for the combatant command\u2019s requirement, the Joint Staff will recommend it as the sourcing solution to the Secretary of Defense. Once approved, the GRF-assigned unit will be allocated to the combatant commander."], "subsections": []}, {"section_title": "DOD Has Generally Used the GRF to Augment Combatant Command Capabilities and Has Not Assessed the Risk on Its Ability to Respond as a Joint Force", "paragraphs": ["According to an official from the Joint Staff office responsible for managing the GRF across DOD, since 2010 DOD has used the GRF 35 times in support of worldwide contingencies\u2014with 32 of those uses involving individual GRF units being deployed in support of or to augment combatant commander needs. However, according to Joint Staff officials overseeing the management of the GRF, DOD has not assessed the extent to which it assumes risk associated with the potential unavailability of GRF units for a short-notice deployment as a joint force in response to a contingency, given the predominant use of the GRF as a resource for combatant commands to obtain individual units. According to an official from the Joint Staff, deployment of select GRF units as part of a joint task force has occurred three times: once to Haiti in support of an earthquake humanitarian response, and twice to Afghanistan in July 2010 and June 2011 in support of Operation Enduring Freedom. According to these officials, GRF capabilities in support of Haiti included command and control, security, and transportation and distribution of humanitarian supplies. GRF units in support of Operation Enduring Freedom provided force protection to coalition forces as well as train, advise, and assist capabilities.", "The predominant use\u201432 of 35 deployments\u2014of individual GRF units to augment a combatant commander\u2019s needs has, in turn, diminished the set of units available for mission scenarios related to the GRF\u2019s use as a tailorable joint force, and accordingly the capabilities available for inclusion under a GRF joint task force. For example, Joint Staff officials stated that DOD deployed a ballistic missile defense unit designated for the GRF to a geographic combatant commander\u2019s area of responsibility to augment that combatant command\u2019s missile defense capabilities. According to Joint Staff officials, the deployment of individual GRF- assigned units is intended to be a temporary solution for a specified period of time. According to these officials, the ballistic missile defense unit\u2019s deployment was extended beyond its original timeframe and it was not replaced on the GRF menu of forces with another such unit because there are not enough of these particular types of units to meet the requirements across the combatant commands. Therefore, during the ballistic missile defense unit\u2019s deployment, the particular capability that unit supplied to the GRF was not available as part of a tailorable joint force to respond quickly to a potential worldwide contingency\u2014the other broad intended use of the GRF. Given that DOD has not defined an acceptable level of risk\u2014relative to the length of time during which units remain committed to augmenting combatant commanders\u2019 needs\u2014DOD lacked reasonable assurance that extending the ballistic missile defense unit\u2019s deployment would not surpass an acceptable level of risk to mission for either of the GRF\u2019s uses.", "Two other units with capabilities particularly suited for use as part of a joint force have also been deployed individually to augment combatant command capabilities. One is U.S. Transportation Command\u2019s Joint Enabling Capabilities Command, which provides joint communications, planning, and public affairs support to a joint force or joint task force headquarters. A second is U.S. Transportation Command\u2019s Joint Task Force \u2013 Port Opening, which provides capabilities able to deploy within 12 to 36 hours to support the opening of a port, including the capability to rapidly establish and initially operate an aerial or sea port of debarkation, conduct cargo handling and movement operations to a forward distribution node, and facilitate port throughput in support of contingency operations. Like ballistic missile defense units, these two units are limited in number. According to officials from U.S. Transportation Command, because the units have been used primarily to augment geographic combatant command capabilities, they are at times unavailable for use as part of a tailorable joint force that can be used to respond quickly to unforeseen worldwide contingencies. Because DOD has not defined the risk it assumes in its use of GRF units, it cannot determine the likelihood that units used to augment combatant commanders\u2019 needs might be required to constitute a joint force composed of GRF units, nor has DOD defined the significance of the risk it incurs by not having a given capability available to the GRF. Further, although DOD has used the GRF primarily to augment combatant commanders\u2019 needs, risks for both uses should be identified and analyzed appropriately since neither use is prioritized over the other. While DOD did not encounter issues accessing GRF units that it required during any of the three instances in which the GRF was deployed as part of a joint force, Joint Staff officials have nonetheless raised an issue concerning the degree of risk that DOD continues to assume by using GRF capabilities to augment combatant commander needs that may be needed by the GRF to constitute a joint force.", "DOD officials stated that using GRF units to augment geographic combatant command requirements leaves them unavailable for use as part of a joint force ready to respond to an unforeseen worldwide contingency. They stated that this is largely due to the fact that some GRF units are limited in quantity but in high demand worldwide. For example, according to DOD officials, while intelligence, surveillance, and reconnaissance systems are in such high demand that they are consistently used to augment combatant commanders\u2019 requirements, they are also typically used as an essential part of a joint force. As such, there is a likelihood that a GRF joint force might require, but not have access to these capabilities, thus potentially increasing the risk of not accomplishing a given mission. DOD officials stated that in the event of a crisis requiring the employment of GRF units as part of a joint task force, GRF units currently employed elsewhere could be reassigned. It is uncertain, however, whether such reassignment would enable a GRF joint task force to meet its timeframes for deployment given that GRF units are expected to be ready for deployment on very short notice. Moreover, the potential effect of and risks associated with such an occurrence\u2014specifically, the unavailability of required forces to assemble GRF units as part of a joint force\u2014has not been assessed. The identification and analysis of risks provides the basis for developing appropriate risk responses, such as, in this case, further defining and prioritizing the GRF\u2019s intended uses and missions. Because DOD has not identified or analyzed risks associated with the uses of the GRF, it may lack reasonable assurance that this response will be sufficient to mitigate the risks. Further, without identifying risk, DOD is not well positioned to develop other risk-mitigating strategies, and to know when to activate them.", "Standards for Internal Control in the Federal Government establish that management should assess risks related to achieving defined objectives. Specifically, the standards state that management should analyze the identified risks to estimate their significance and define tolerances for levels of risk assumed, thereby providing a basis for responding to the risks. The standards also call for management to design responses such that risks are contained within the defined risk tolerance for the identified objective. DOD has not assessed the risks to readiness for mission scenarios that it might assume for both uses of the GRF because of its general reliance upon the GRF as an augmentation capability available to individual geographic combatant commands for response to unforeseen challenges or opportunities.", "Furthermore, we found that there are varying perspectives within DOD concerning the intended uses of the GRF, although the GRF EXORD generally identifies two overarching uses, as previously discussed. Specifically, officials from the Office of the Under Secretary of Defense for Personnel and Readiness and the Joint Staff stated the view that the GRF is a menu of forces, each unit possessing unique capabilities that can be used either individually to address geographic combatant command-identified capability gaps or collectively as a joint force to react to unforeseen worldwide contingencies. However, officials from U.S. Africa Command and U.S. Central Command view the GRF primarily as a pool from which they can draw forces, and it is these geographic combatant commands that have most often requested those capabilities provided by individual GRF units. Officials from the Army expressed another perspective, based in large part on the requirement for the Army to provide a joint task force headquarters for the GRF. Army officials said that, in their view, the GRF serves primarily as a pool of forces from which a joint task force can be created to meet unforeseen worldwide contingencies.", "Although the GRF EXORD generally identifies the two uses, it does not prioritize the use of GRF assets to meet either. Additionally, DOD has not defined the risk to meeting the objectives of either of the two uses, and, thus does not have the necessary knowledge to determine when to deploy units for one use or the other. As previously stated, DOD has used the GRF to augment combatant commanders\u2019 forces more frequently\u201432 out of 35 deployments\u2014rather than retaining the units assigned to the GRF to support a rapidly deploying joint force.", "Conducting a risk assessment that identifies any risks associated with the use of the GRF could help DOD to design responses, such as further defining and prioritizing the GRF\u2019s intended uses and missions in an effort to mitigate any identified risks. Without conducting a risk assessment and taking steps to address any identified risk to accomplishing either of the GRF\u2019s uses, DOD\u2019s attempt to satisfy one of the two intended uses of the GRF may inadvertently hamper the other intended use."], "subsections": []}, {"section_title": "GRF Units Have Trained Individually to Meet GRF Missions, but They Have Not Trained as Part of an Integrated Joint Force", "paragraphs": ["GRF units train individually to meet GRF missions, but there are no GRF- specific joint training exercises, and the individual GRF units have limited opportunities to train as part of an integrated joint force, according to DOD officials. Specifically, according to service officials, GRF readiness, and that of assigned units, is based on the assigned force\u2019s participation in their respective service training exercises and are generally focused on the respective units\u2019 core missions or functions. In addition to service- level training, GRF units can also participate in joint training exercises sponsored by one of the geographic combatant commands. These commands can give authoritative direction to subordinate commands and forces necessary to carry out missions assigned to the command, including over all aspects of joint training. However, if GRF units are service retained or assigned to different combatant commands, they would not all fall under the authority of a single commander that could direct joint training. According to military service officials, there are no GRF-specific joint training exercises. However, according to some combatant command officials, some joint training exercises have included units currently assigned to the GRF. Few, if any of these exercises, however, provide opportunities to conduct training for the GRF\u2019s joint task force headquarters in conjunction with GRF-assigned units. For example, according to U.S. Southern Command officials, the Joint Staff\u2019s 2017 Joint Task Force Forming Exercises will be held in U.S. Southern Command\u2019s area of responsibility, and will include the unit currently assigned as the GRF\u2019s Joint Task Force headquarters. However, the exercise will not include any other GRF-assigned units. Therefore, the training will not provide an opportunity for the GRF to demonstrate readiness, gain efficiencies, or identify deficiencies associated with deploying elements of the GRF as a tailorable joint task force.", "Chairman of the Joint Chiefs of Staff Instruction 3500.01H, Joint Training Policy for the Armed Forces of the United States, notes that U.S. forces may be employed across the range of military operations, and that DOD must support national security requirements with joint military capabilities designed to adapt and succeed in any operational environment. It further states that the department and its mission partners must prepare to operate in a joint, interagency, intergovernmental, and multinational environment. Finally, it notes that the joint training challenge is to be responsive to all emerging and extant mission requirements of the combatant commanders.", "The need for interoperability is especially important for units assigned to the GRF not only because the GRF EXORD requires that they be ready for eight global mission scenarios, but because the overall GRF concept suggests they need to be capable of integration into a tailorable joint force. Underscoring this need for interoperability and jointness, the GRF EXORD outlines that combatant commanders should integrate elements of the GRF into Joint Exercise Program events to help sustain the readiness and capabilities of those units to execute various mission capability requirements. It also notes that combatant commanders should conduct a training event with the GRF\u2019s Joint Task Force-capable headquarters at least once every 30 months in order to maintain the headquarters\u2019 readiness to support each geographic combatant command. While these requirements are important to ensure the GRF units receive the proper training and are integrated into combatant command joint exercises, there are no specific GRF joint training exercises that provide opportunities for individual units assigned to the GRF to train as a tailorable joint task force.", "Joint Staff and service officials told us that the GRF\u2019s assigned forces do not require additional or special training because they will perform the core missions for which they train regardless of whether they are deployed individually or as part of the GRF joint task force. These officials stated, therefore, that existing training is sufficient to develop and determine readiness of the GRF. However, the importance of exercising the GRF Joint Task Force headquarters and associated GRF-assigned units was demonstrated to us when we observed an Army-sponsored joint training event involving GRF-assigned forces during a January 2017 Deployment Readiness Exercise at Fort Bragg, North Carolina, during which several interoperability challenges arose. For example, the Army and Air Force faced a challenge in calculating the weight of Army heavy equipment being loaded onto Air Force aircraft preparatory to a simulated airdrop mission. Based on the Army\u2019s calculations, the equipment load was well under the specified weight limit for the aircraft, but the Air Force\u2019s onboard computers showed the load as being over the limit. While the cause of the difference in the two figures was not identified to us at the time, Army officials suspected that it could be attributed to a double-counting of the weight of the parachute. In another example, inclement weather at Fort Bragg during the exercise caused ice build-up on participating aircraft. This showed that the Air Force\u2019s de-icing capability was limited to a few aircraft at a time, which caused delays in loading and preparing the aircraft for take-off. According to Army officials, had the mission required more personnel, equipment, and aircraft, this issue would have created a risk to meeting the GRF\u2019s mission timelines.", "Despite the challenges encountered during the exercise, Army officials told us that exercises, such as the Deployment Readiness Exercise conducted at Fort Bragg, are important because they give units from different services the opportunity to identify challenges and develop solutions. As a result, these exercises can enhance the GRF\u2019s joint task force capability. Additionally, a senior official from the Office of the Under Secretary of Defense for Personnel and Readiness\u2019 Force Training Directorate told us that the ability to act jointly was very important in military operations and noted the need for joint training.", "Two studies conducted on behalf of DOD further underscore the importance of joint exercises for developing GRF force readiness. The first study, released by the Institute for Defense Analysis in 2015, reported that the current joint exercise program did not ensure a proficient and ready GRF. Specifically, the study identified three key issues associated with GRF training. First, realistic interoperability training of individual units assigned to the GRF was not sufficient to ensure overall GRF readiness. Second, while the then-current version of the GRF EXORD assigned joint training responsibilities to the services, according to the study, the service responsible for the Joint Task Force-capable headquarters element lacked the authority to direct the required level of joint training for GRF elements provided by other services. Third, the GRF, in its entirety, had not been exercised or deployed as a joint force since its inception and thus had not demonstrated the ability to rapidly deploy as an operationally coherent joint task force. The report recommended that DOD designate a single commander with authority to establish and enforce joint integrated training at the tactical level, make changes to improve training for the GRF\u2019s Joint Task Force headquarters, and implement a joint demonstration campaign for the GRF. According to Joint Staff officials, they are not aware of any actions taken in response to these recommendations. The second study, released by RAND in 2016, also emphasized that realistic exercises were key to ensuring and validating the GRF\u2019s readiness. The report added that current exercises rarely included full and realistic force packages and recommended that joint airborne exercises be designed explicitly to identify and assess the implications of possible challenges and validate planning assumptions about a GRF joint task force.", "According to Army officials, a major factor inhibiting joint training exercises focused at GRF-assigned units as a joint task force is the fact that it can be difficult to get other services to agree to participate in service-sponsored events because\u2014as the Institute for Defense Analysis study pointed out\u2014services lack the authority to direct other services to supply forces for joint training exercises, even when those forces are currently on a GRF rotation. Moreover, since the disestablishment of U.S. Joint Forces Command in 2011, which was responsible, among other things, for being the lead agent for joint force training, there is no single commander with the authority to require joint force training. As noted above, although geographic combatant commanders may direct joint training of forces under their command, units designated for the GRF mission may come from forces assigned to different geographic combatant commands or service-retained forces, according to officials.", "According to a senior Office of the Under Secretary of Defense for Personnel and Readiness\u2019 Force Training Directorate official, the challenge to conducting joint GRF training is that there is no entity having authority and responsibility for such training. He noted that because the GRF is department-wide and is not assigned to a single service or geographic combatant command, there is no single advocate for the GRF mission and training with the authority to direct the services and geographic combatant commands with GRF-dedicated units to prepare for the joint requirements inherent in the GRF mission. As a result, there are no joint training exercises specifically designed to exercise GRF units as a joint force. According to Standards for Internal Control in the Federal Government, management should develop an organizational structure with an understanding of the overall responsibilities, and assign these responsibilities to enable the organization to operate in an efficient and effective manner, comply with applicable laws and regulations, and reliably report quality information. To achieve this, management should assign responsibility and delegate authority to key roles throughout the entity.", "Without an entity having the responsibility and authority to plan, direct, and conduct joint training exercises focused on GRF-assigned units deploying as a joint task force as appropriate, DOD risks undermining the effectiveness of the rapid deployment of a GRF joint task force in response to unforeseen worldwide contingencies."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["DOD has developed the GRF as a rapid response force available to react to unforeseen contingencies or crises. While the GRF has responded to worldwide contingencies, GRF units have been primarily used to augment existing geographic combatant command capabilities. DOD has not assessed the risks it assumes by its reliance upon the GRF for augmenting combatant commanders\u2019 forces as opposed to having the GRF-assigned units available for allocation to a joint task force in response to a contingency. Without performing a risk assessment and, as appropriate, designing responses to mitigate any identified unacceptable risks to accomplishing either of the two GRF uses, DOD cannot ensure that the GRF is able to meet its mission. Additionally, without a designated authority to establish and enforce integrated joint training for GRF-assigned units as appropriate, DOD has not developed GRF- specific joint training exercises or fully integrated the GRF into existing joint exercises. Without making improvements in these areas, DOD risks the ability of the GRF to respond to unforeseen, worldwide contingencies as an integrated joint force in a timely fashion with all the resources it needs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to DOD:", "The Secretary of Defense, in conjunction with the Chairman of the Joint Chiefs of Staff, should assess the risks to accomplishing both of the GRF\u2019s uses: that is, its use as an augmentation capability available as needed to individual geographic combatant commands; and its use as a tailorable joint force available for rapid response to a specific threat. (Recommendation 1)", "The Secretary of Defense, in conjunction with the Chairman of the Joint Chiefs of Staff, should, as appropriate following the assessment of risk, design responses, such as further defining and prioritizing the GRF\u2019s intended uses and missions, to mitigate any identified risks. (Recommendation 2)", "The Secretary of Defense, in conjunction with the Chairman of the Joint Chiefs of Staff, should designate an authority to establish and enforce integrated joint training for GRF-assigned units, as appropriate. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In its written comments, DOD concurred with our three recommendations and noted planned actions to address them. DOD\u2019s comments are reprinted in their entirety in appendix II.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Under Secretary for Personnel and Readiness, the Chairman of the Joint Chiefs of Staff; the Secretaries of the Army, the Navy and the Air Force; and the Commandant of the Marine Corps. In addition, the report will be available at no charge on the GAO Web site at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-5431, or russellc@gao.gov. Contact points for our Offices of Congressional Relations and of Public Affairs may be found on the last page of this report. GAO staff who made major contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of our review were to examine the extent to which (1) Department of Defense (DOD) has used the Global Response Force (GRF) and assessed any risks associated with its use; and (2) GRF- assigned units are trained to meet GRF missions, both individually and as a joint force.", "For our objective of determining the extent to which DOD has used the GRF and assessed any risks associated with its use, we reviewed the Chairman of the Joint Chiefs of Staff GRF Execute Order (EXORD) to identify the GRF\u2019s overall uses and the global mission scenarios it is intended to meet, as well as the operational requirements and forces assigned to meet the requirements. We also interviewed the responsible DOD officials to understand how DOD selects, designates, and validates forces on the GRF, and the processes for making changes to the GRF EXORD, as well as how DOD decides when to use GRF forces for either of the two intended uses of the GRF. Also, we reviewed Standards for Internal Control in the Federal Government to identify relevant internal controls\u2014specifically, that management should assess risks related to achieving defined objectives, analyze the identified risks to estimate their significance, define tolerances for levels of risk assumed, and design responses such that risks are within the defined risk tolerance\u2014and compare them with DOD\u2019s risk assessment efforts for the GRF. Also, we reviewed the Joint Staff\u2019s GRF deployment information from 2010 to 2017 to understand the frequency of GRF deployments and identify specific instances in which the GRF\u2019s ability to accomplish its missions was affected\u2014specifically, instances in which GRF capabilities were unavailable for use during a GRF operation.", "For our objective of determining the extent to which GRF-assigned units are trained to meet GRF missions, both individually and as a joint force, we reviewed the Chairman of the Joint Chiefs of Staff GRF EXORD and DOD\u2019s Guidance for the Defense Readiness Reporting System to understand how GRF readiness is developed, reported, and evaluated. We also reviewed DOD\u2019s Joint Training Policy for the Armed Forces of the United States to identify existing requirements related to joint training, and documents related to GRF training to determine the extent to which the frequency and types of GRF training meet overall joint training requirements as well as training requirements established in the GRF EXORD. We observed a Deployment Readiness Exercise at Fort Bragg, North Carolina, to learn about the types of GRF training, as well as challenges and potential benefits of training exercises for GRF units. We also interviewed senior officials from the Joint Staff, military service force providers, and geographic combatant commands to better understand training practices for the GRF and its assigned units, as well as varying perspectives regarding the challenges and potential benefits of GRF training exercises for accomplishing GRF missions.", "We interviewed senior officials from the Office of the Under Secretary of Defense for Personnel and Readiness; Joint Staff; and Army, Marine Corps, Navy, and Air Force headquarters, and conducted site visits to force providers at Army Forces Command, Marine Forces Command, Navy Fleet Forces Command, Air Force Air Combat Command, and U.S. Transportation Command. We also interviewed officials from U.S. Africa Command, U.S. European Command, and U.S. Pacific Command, and visited U.S. Central Command and U.S. Southern Command. Our interviews focused on understanding the degree to which DOD organizations assess and maintain a consistent understanding of the risks entailed in using GRF forces and gaining an understanding of the challenges encountered in identifying, designating, and employing forces on the GRF, as well as the extent to which the GRF\u2019s ability to accomplish its intended missions has been affected.", "We conducted this performance audit from May 2016 to October 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals who made key contributions to this report include Guy LoFaro, Assistant Director; Adam Anguiano; Alberto Leff; Michael Shaughnessy; Michael Silver; Yong Song; and Cheryl Weissman."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-214", "url": "https://www.gao.gov/products/GAO-19-214", "title": "Foreign Military Sales: Observations on DOD's Approach to Developing Price and Availability Estimates for Foreign Customers", "published_date": "2019-02-06T00:00:00", "released_date": "2019-02-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD manages the procurement of billions of dollars in defense items and services on behalf of foreign customers through the FMS program. These sales help support the defense industrial base and are vital to U.S. foreign policy and national security interests.", "The FMS process generally begins with a request by a foreign government for information about a U.S. defense item or service. Requests for price and availability data are an optional step in the process. DOD guidance is to generally respond to such requests within 45 days.", "The fiscal year 2018 National Defense Authorization Act included a provision for GAO to review DOD's process for developing price and availability data for foreign customers. This report addresses, among other objectives, (1) price and availability requests DOD received from fiscal years 2014 through 2018, (2) how DOD develops price and availability data, and (3) the factors that can influence the timeliness of DOD's responses to foreign customers with price and availability data.", "GAO analyzed DOD price and availability data for fiscal years 2014 through 2018, the latest data available; and reviewed documents for a non-generalizable sample of five price and availability responses\u2014varying by estimate value\u2014provided to foreign customers by the Army, Navy, and Air Force. GAO also interviewed defense contractors and DOD officials.", "GAO is not making any recommendations at this time."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) reported receiving 3,038 requests for Foreign Military Sales (FMS) price and availability data in fiscal years 2014 through 2018 from 93 countries across six geographic regions, as shown in the figure. Foreign customer requests included services and items such as training and support services for weapon systems, missiles, aircraft, and communication equipment.", "Not all countries in each region submitted a price and availability request.", "DOD officials indicated they generally strove to offer price and availability data that reflected rough order of magnitude estimates of total anticipated costs for a complete and sustainable capability. Contractors often provide input to DOD for these cost and schedule estimates. In the five examples GAO reviewed, DOD officials considered factors such as possible production delays and included anticipated costs for support services, operations, and sustainment, when needed. DOD officials also included FMS administrative charges and, as applicable, nonrecurring and transportation costs. GAO found that when DOD considered these factors in developing the response to the customer, at times, they made adjustments to the estimates provided by contractors to more fully reflect expected costs if the items are purchased.", "Among the five examples, GAO found that response times ranged from 45 to 320 days and that a number of factors can affect timeliness. For example, the complexity of the system or capability the customer is interested in acquiring may require involvement from multiple program offices and defense contractors, requiring more time than the 45 days suggested by DOD's guidance."]}], "report": [{"section_title": "Letter", "paragraphs": ["Each year, the United States reports billions of dollars in sales of defense items and services to foreign governments or international organizations. Sales like these can occur through the Foreign Military Sales (FMS) program, wherein the Department of Defense (DOD) manages the procurement process on behalf of the foreign customer. Sales under FMS are vital to U.S. foreign policy and national security interests, and these types of sales also support U.S. defense contractors and suppliers. DOD reported sales totaling over $55 billion under the FMS program for fiscal year 2018. Further, according to DOD, the U.S. defense industry faces increasing competition from other countries that also produce and sell defense articles and services. U.S. defense contractors have also stated that maintaining a competitive edge even from the outset when foreign customers first request information to gauge the feasibility of a potential purchase of defense items and services is important. DOD is responsible for developing and providing responses to foreign customer requests for price and availability data, which DOD describes as rough order of magnitude estimates. When developing these data, DOD incorporates input from U.S. defense contractors that provide the defense items and services, as needed. However, questions have been raised about DOD\u2019s approach for providing estimates during the early stages of the FMS process.", "The fiscal year 2018 National Defense Authorization Act includes a provision for GAO to review DOD\u2019s process for developing price and availability data. This report (1) describes FMS price and availability requests DOD received from fiscal years 2014 through 2018, (2) assesses DOD\u2019s guidance on developing price and availability data, (3) describes how DOD develops price and availability data for the requested capability, and (4) identifies the factors that can influence the timeliness for DOD to provide price and availability data to the customer.", "To describe price and availability data requests DOD received, we collected and analyzed data from the Defense Security Assistance Management System for fiscal years 2014 through 2018, the latest data available. In addition, we obtained information from officials in the Defense Security Cooperation Agency (DSCA), responsible for managing the system and administering the FMS program. To gain insights about the system and the data produced, we also obtained information from security assistance offices in the three military departments\u2014Army, Navy, and Air Force, which account for the majority of FMS acquisitions. We assessed the reliability of FMS price and availability data by reviewing the data for issues such as missing data elements and duplicates, among other steps. We determined these data were sufficiently reliable for the purposes of reporting information about price and availability requests.", "To assess available guidance, we reviewed DSCA and Army, Navy, and Air Force guidance for developing preliminary estimates in response to requests for price and availability data. We compared the guidance to the Standards for Internal Control in the Federal Government, which call for agencies to use quality information to achieve their objectives. Specifically, we reviewed the guidance to determine if it contained attributes that contribute to quality information such as identifying the information requirements and relevant data sources needed to develop the price and availability data.", "To describe how DOD develops price and availability data and illustrate how these factors influence the process, we selected a non-generalizable sample of five responses using fiscal year 2017 data provided by the military departments. We generally selected the five responses to include a mix of dollar values. The sample includes price and availability data prepared by five offices\u2014referred to as program offices\u2014from the Army, Navy, and Air Force. Because the sample is not generalizable, we cannot report whether the five program offices\u2019 practices are consistently used across DOD for all price and availability responses. However, these examples provide useful insights about the process and the assumptions program offices considered when developing price and availability data. For each example, we collected and analyzed the letter of request from foreign customers, price and availability data, DOD\u2019s response to the customer, and available supporting documentation such as clarification of the customer\u2019s request, and data collected from defense contractors or other DOD program offices. We reviewed this information for the assumptions and factors used in developing the data and the various elements that make up the estimates, such as administrative charges and costs for training and spare parts. We interviewed cognizant DOD security assistance and program officials and defense contractor representatives to understand the context and decisions made in developing the price and availability data.", "To identify factors that can influence the timeliness of responses, we obtained information from security assistance and program offices within the military departments and DSCA on their approach to develop price and availability responses. We also obtained information from defense contractors and foreign customers who, as stakeholders in the FMS price and availability process, have broad insights and perspectives on the process. To gather input from foreign customers, we interviewed representatives from the Foreign Procurement Group who also solicited information from its members on our behalf. We received responses from 12 countries. To obtain contractor\u2019s perspectives, we gathered information from five companies through interviews and attended a meeting hosted by the National Defense Industrial Association. Three of the companies we obtained information from also provided cost and schedule data for four of the examples in our sample. The information we obtained from these foreign customers and defense contractors are not generalizable to all foreign customers and defense contractors but, nonetheless, provided insightful views on the FMS price and availability process. We did not assess the timeliness of when DOD provided responses to foreign customers because DOD does not consistently track information regarding when price and availability data responses are provided to customers, as discussed later in the report. However, information we gathered for the five examples in our sample provided some insight about how long it took DOD to provide a response to the customer. Appendix I contains additional detail on our objectives, scope, and methodology.", "We conducted this performance audit from June 2018 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The FMS program, which transfers defense articles and services to international partners and organizations, is essentially an acquisition process through which the U.S. government procures military equipment, training, and other services on behalf of foreign customers. Multiple organizations have a role in the FMS program. The Department of State has overall responsibility for the program, including approving what defense items and services can be sold to specific countries. DOD administers the FMS program and manages the procurements executed within the military departments on behalf of foreign governments. Within DOD, DSCA carries out key functions such as supporting development of policy for FMS. The military departments carry out the day-to-day implementation of FMS procurements which can include providing price and availability data at the customer\u2019s request.", "Typically, defense items\u2014such as weapon systems\u2014made available for transfer or sale to foreign customers are systems that have completed operational testing and are entering or have entered full rate production. In addition, DOD also sells non-standard items, which are defined as items that DOD does not currently manage and may include items that (1) are commercially available, (2) DOD previously purchased and have since been retired, or (3) were purchased in a different configuration for DOD components. For example, a customer may express interest in buying tanks that DOD no longer buys for its own needs. A customer may also express interest in buying a tank that DOD currently procures but with a radio communications configuration that is different from what DOD uses."], "subsections": [{"section_title": "FMS Price and Availability Process", "paragraphs": ["A single DOD entity may not have full responsibility for all aspects of responding to a foreign customer\u2019s request to purchase U.S. defense items and services. Under DSCA policy, FMS procurements must generally be managed at \u201cno cost\u201d or \u201cno profit\u201d to the U.S. government. DOD\u2019s work related to developing price and availability data and other FMS operations is generally paid for through the administrative charges collected from foreign customers. Depending on the complexity of the customer\u2019s request, coordination within and across DOD components may be necessary to obtain complete information on pricing and availability. DOD may also need to coordinate with defense contractors who ultimately develop and provide the equipment or services.", "The FMS process generally begins when a foreign government submits a letter of request to the Department of State or DOD to purchase defense articles or services. In the letter of request, the foreign customer may express interest in obtaining preliminary price and availability data for the capabilities it seeks. While DOD describes price and availability data as rough order of magnitude estimates, DSCA\u2019s guidance does not define the precision of these estimates. According to DOD, FMS price and availability data are non-binding estimates for the defense items and services and are not intended to be budget-quality estimates. Requests for price and availability data can signal to DOD and defense contractors the potential for future sales. DOD and contractors may also draw upon these requests to forecast staffing needs and production line availability.", "DOD security cooperation organizations working in U.S. embassies around the world can assist potential customers with defining and refining their requirements prior to submitting a request for price and availability data. The security cooperation organizations engage in this early coordination to help customers articulate their capability needs. This early coordination also gives DOD components advance notice of upcoming requests so they can initiate technology security and foreign disclosure processes for the timely release of information.", "Requests for price and availability data represent an optional step in the process. Customers may forgo the price and availability process and instead submit a formal assistance request for a letter of offer and acceptance, which when signed by the customer and U.S. government becomes an executable FMS case. Figure 1 illustrates where the option to request price and availability occurs in the overall FMS process."], "subsections": []}, {"section_title": "DOD Is Reconsidering Options to Implement Recent Legislative Change for FMS Price and Availability Process", "paragraphs": ["The National Defense Authorization Act for Fiscal Year 2017 required DOD to establish a process for defense contractors to provide input on any differences regarding the appropriateness of government price and availability data prior to delivery of formal responses to customers. In response, DSCA issued a policy memorandum in October 2018 that was rescinded 2 months later due to concerns about the sensitivity of information to be shared with contractors. The policy memorandum had instructed DOD components to formally request rough order of magnitude estimates from the prime defense contractor if (1) the total value of the primary article or service requested exceeds $50 million, and (2) the customer has a preference for a non-competitive sole source acquisition or only a single source exists for the primary defense item. Additionally, the memorandum stated that DOD components will allow the prime contractor 5 business days to provide feedback on the appropriateness of the estimate for its items that is included in the price and availability response prior to the customer receiving this response. The memorandum had established a formal process to obtain contractor feedback and resolve issues that may occur, such as differences between the program office\u2019s and prime contractors\u2019 estimates, and emphasized the importance of being aware of program deadlines when following the process to coordinate with contractors. According to a DSCA official, this new policy would have helped alleviate industry concerns about how DOD incorporates estimates provided by industry to develop price and availability responses provided to foreign customers. However, according to DSCA officials, when implementing the process, DOD found that the potential level of detail and precision in price and availability estimates could provide an unfair competitive advantage to contractors coordinating with DOD on price and availability responses to foreign customers. As discussed in further detail later in the report, in some instances we found price and availability estimates DOD offered included more precise information than rough order of magnitude estimates. According to DSCA officials, such information could offer the contractor insight into the government\u2019s pricing methodologies. DSCA subsequently rescinded the October 2018 policy memorandum. DSCA plans to conduct a 120-day review to reassess options to find a solution, if any, on what information can be shared with contractors to satisfy the legal requirement to obtain contractor input and feedback on price and availability estimates before DOD responds to customers."], "subsections": []}]}, {"section_title": "DOD Received about 3,000 Requests for Price and Availability Data over the Past 5 Years", "paragraphs": ["From fiscal years 2014 through 2018, DOD reported receiving 3,038 requests for price and availability data from foreign customers from 93 countries and the North Atlantic Treaty Organization. Foreign customer requests included services and items such as training and support services for weapon systems, missiles and ammunition, aircraft, and communication equipment. We found that most requests came from the same foreign customers. Specifically, 10 customers accounted for 56 percent of requests, with one customer accounting for 28 percent of all requests during the 5-year period within our review. Customers in the Indo-Pacific region accounted for the largest share of requests, as shown in figure 2.", "Among DOD components, the military departments\u2014Army, Navy, and Air Force\u2014received almost all price and availability requests, as shown in figure 3. The Army received slightly more requests over the 5-year period, closely followed by the Navy.", "Foreign customers we obtained information from noted that they request price and availability data to inform their acquisition strategy, obtain a sense of affordability, and for budget planning. For example, when considering potential acquisition strategies, some customers may request data for different options, variants, or quantities of similar items or services, resulting in multiple requests for price and availability data to inform a potential purchase. In cases when a customer is interested in procuring a specific item, the customer may request data to obtain information about prices and lead times to determine affordability. The customer may also request the data when considering whether to purchase from the United States or from foreign countries.", "Requesting price and availability data can also provide foreign customers with information on whether the U.S. government will make the requested defense item or service available for sale. While preliminary estimates are not an official acknowledgement that the item or service will be made available to the customer, the request can trigger a U.S. government review that includes application of policies that govern the release of certain technologies or systems and a discussion with the customer about the item or service. In some cases, customers can receive responses with partial information if some requested items are not available for release.", "DOD does not collect data on which customers\u2019 requests for price and availability data resulted in a formal request to purchase defense items or services under FMS. Army security assistance officials told us it can take years between when price and availability data are provided and when a customer submits a request for a letter of offer and acceptance, if at all. For their part, customers we obtained information from noted that there may be numerous reasons for why they might choose not to pursue a potential sale. For example, the item or service could not be made available within a timeframe to meet their needs; the overall capability was not affordable; or price and availability estimates were higher than estimates from other foreign sources.", "The military departments do not consistently track information on the status of responses sent to foreign customers. We found the Navy and Army generally captured the status of a response in the system, identifying when a response is in development, has been sent to the customer, or has been canceled but, according to security assistance officials, this information may not be entered consistently. In addition, the Air Force does not generally update the status of a response in the system. Further, Air Force security assistance officials told us the department does not update data in the system to reflect that the Air Force provided price and availability data to the customer. According to DSCA and military department officials, there is no requirement that DOD components record when a response is sent to a customer. A DSCA official told us that DSCA does not have a specific need to monitor the status of price and availability responses, in part because these are not formal offers, and DOD prioritizes data collection for formal FMS cases\u2014 cases for which a signed agreement between the U.S. government and foreign customer is in place."], "subsections": []}, {"section_title": "DOD\u2019s Guidance Allows for Flexibility in Developing Price and Availability Data and Reflects Leading Practices for Using Quality Information", "paragraphs": ["DSCA has established DOD-wide guidance\u2014the Security Assistance Management Manual\u2014for responding to foreign customers\u2019 requests for information on defense items and services available for purchase through the FMS program. The manual includes some guidance on developing, documenting, and communicating price and availability data to foreign customers, but largely pertains to a customer\u2019s request for a letter of offer and acceptance with the intent to buy. Security assistance officials from across the military departments told us they rely on the manual to guide their efforts throughout the price and availability process, and that DSCA\u2019s guidance provides a framework for the process and is not always prescriptive, allowing military departments latitude in how they implement it. DSCA and military department officials we spoke with said that a flexible process is needed to account for various circumstances specific to each request. The price and availability process outlined in guidance and described by DSCA and military department officials involves input from numerous organizations within and external to DOD, as shown in figure 4. The guidance states the process should be completed within 45 days.", "Generally, we found that DSCA\u2019s guidance reflected attributes conducive to using quality information as called for by federal internal control standards. For example, the standards call for agencies to define information requirements and obtain relevant data from reliable sources. DOD\u2019s guidance reflects this, stating that price and availability data should serve as rough order of magnitude estimates of the cost and availability of defense items or services and are for rough-order planning purposes. The guidance also instructs officials to assess whether a foreign customer\u2019s request contains the necessary information to develop price and availability data, such as the major item or service, quantity, anticipated delivery schedule, and other specifications; suggests that price and availability data also provide customers with information about costs for not only buying equipment but also the related operation and sustainment costs; assumes responses will include standard items\u2014nonstandard items identifies relevant data sources that the military departments can consult to develop price and availability data, such as last contract award, stock price, or information from defense contractors; states that military departments and DSCA should use the Defense Security Assistance Management System to prepare responses to price and availability requests; suggests that data should be itemized by separating main equipment from training, technical publication, transportation costs, and other elements, as applicable; and states that responses should be developed and communicated to customers within 45 days from when DOD receives the request."], "subsections": []}, {"section_title": "In Selected Examples, DOD Included Comprehensive Data on Ownership Costs When Developing Price and Availability Responses", "paragraphs": ["When selling defense items and services to foreign customers, military department officials indicated that they strive to offer a complete and sustainable capability, referred to as the total package approach. Using this approach, DOD takes into account the related support, such as training, logistics, spare parts, warranties, contractor support, and other considerations necessary for operating and sustaining the defense items or services being purchased. The total package approach represents the initial and follow-on cost of owning and supporting the capability. For example, a DOD program official may develop a cost estimate for the capability, including several years of technical support for maintaining it. DOD may also provide a customer with cost estimates for maintaining the capability over the course of its expected lifetime.", "Specifically, in the five examples we reviewed, we found that DOD officials generally used a total package approach when developing price and availability data. For example, military department officials developed price and availability data that not only included the items and services requested by the customer, but also included rough order of magnitude estimates for additional costs to reflect the expected ownership costs. Ownership costs may include development, procurement, operation, and sustainment costs for the defense item, as part of a total package approach. The timeframe of ownership costs provided may vary. According to a DSCA official, ownership costs generally cover the first 2 years. In four of the five cases we reviewed, the customer requested a capability and, in response, the program office provided estimates for not only the equipment but also the support needed to achieve the desired capability ranging from one week of training to five years of technical support. For example, in one case, a customer requested data for a complex naval weapon system that they had not previously used. Navy program officials provided estimates for the system, spare parts, training, and other items as requested by the customer. Program officials also included estimates on radio navigation equipment and software that are essential for the system to function as intended, but were not part of the customer\u2019s initial request. Officials stated that they included these additional costs to give the customer a comprehensive view of the costs to acquire, operate, and maintain the weapon system. In the fifth case, program officials told us they did not have to include training or support as this customer was replacing missiles in their inventory, previously purchased through FMS. However, in considering the foreign customer\u2019s ownership costs, the officials said they included costs for containers for storing the missiles.", "For the selected examples, program officials obtained data from defense contractors and previous sales, adjusting estimates from data sources to ensure the price and availability estimate reflected what the customer could expect to pay for the item or service\u2014initial and follow-on cost of owning and supporting the capability\u2014if the customer decided to proceed with the purchase. Defense contractors responsible for providing data for four of the five examples told us they consider the quantity and specific requirements of the request, such as training, spares, and support; as well as inflation and anticipated production and delivery schedules in some cases. We found that for the selected examples program officials adjusted estimates from contractors and other data sources for a number of reasons, such as to account for potential changes in production schedules and adding program management support provided by the U.S. government to administer system upgrades. By accounting for these likely costs, program officials stated that they were providing the customer with estimates that would more closely reflect expected costs if the customer proceeded with the sale. For example: In two of the responses we reviewed for missiles and communication systems, Navy and Air Force officials increased contractors\u2019 estimates, in part, to account for possible changes to production plans. In the Navy response, for example, program officials increased the contractor\u2019s estimate for the missiles by approximately 14 percent. Officials told us this was to account for possible changes in the production schedule and quantity. Contractor representatives told us that their estimate was based on a specific number of missiles being produced in a certain production lot. Program officials told us that the customer would not likely have a signed agreement in place to receive missiles from that specific production lot. According to program officials, this means the price per missile could be higher than forecasted in the contractor\u2019s initial estimate because there may be fewer quantities in production, resulting in fixed production costs spread among fewer missiles.", "In an Army response we reviewed for non-standard upgrades to several hundred tanks, the program official used estimates provided by the contractor to develop the price and availability data. These tank upgrades are considered non-standard because the U.S. government no longer uses these tanks. In light of this, the program official included costs for program management support provided by the U.S. government because he said the magnitude of the program would likely require an Army office to execute and manage the upgrades, which is projected to last up to 10 years.", "In an Air Force response we reviewed for a warning system, program officials considered historical data from similar DOD contracts. The program officials increased the price by $2.4 million dollars from past procurements based on the customer\u2019s request to add a new full-time onsite engineer to support the warning system. This price also included costs for housing, living allowance, and travel expenses.", "Further, in our review of selected cases, we found that program officials may include other charges in price and availability data, such as nonrecurring costs that are unique one-time program-wide expenditures for certain major defense equipment sold under the FMS program; a contract administration charge\u2014generally, 1.2 percent of the value of procured items\u2014for services such as quality assurance and inspection; transportation costs for delivery of the item, which are generally calculated based on rates established by DSCA; and an administrative charge\u2014currently set at 3.2 percent of the total value of the sale to recover civilian employee salaries and operational costs for administering the FMS acquisition."], "subsections": []}, {"section_title": "Various Factors Can Influence DOD\u2019s Approach and the Timeliness of DOD\u2019s Responses", "paragraphs": ["Military department officials told us that various factors influence the level of effort and information involved in developing price and availability data, some of which may also affect how long a response takes and whether the 45-day timeframe suggested by DSCA\u2019s guidance is achieved. When a foreign customer requests price and availability data, DOD and defense contractors, if involved, expend time and resources to provide a response, all without any certainty that a sale will materialize. As such, DOD officials and defense contractors determine what level of response is appropriate, given the nature of the customer\u2019s request and whether it includes non-standard items or items that require customization, among other things. DSCA and Navy program officials said customers are interested in receiving price and availability responses quickly and recognize that timeliness is an area of concern with the FMS process, in general. Over half of the 12 foreign customers we obtained information from noted that they are concerned with the length of time DOD\u2019s responses can take. Lengthy response times could result in customers missing opportunities to consider potential requests in upcoming budget cycles. Several customers communicated that some responses took considerably longer than 45 days, with some taking anywhere from 6 to 12 months. Among the five examples we reviewed, responses took from 45 to 320 days, as shown in table 1.", "Program and security assistance officials we interviewed told us they consider the following factors:", "Customer interest and commitment. Insight into the degree of customer commitment to purchase through FMS may influence the time and resources military departments expend on developing a price and availability response. For example, Air Force security assistance officials told us that they may develop a more detailed response if advised by in-country personnel that a request for price and availability data will likely become a request for an actual purchase.", "Clarity and completeness of customer\u2019s request. Customers may submit requests that lack the clarity and details needed to develop accurate data and estimate delivery timeframes. Several military department officials told us that when reviewing the customer\u2019s requests for price and availability data, they often have discussions with customers to clarify requirements and in some cases estimated delivery schedules before developing a response. Defining the customer\u2019s requirement\u2014even at this early stage\u2014can be an iterative process that requires multiple interactions between the foreign customer and DOD officials. In one of the examples we reviewed, the defense contractor was also involved. These discussions to clarify the customer\u2019s requirements can prolong the process, according to several program officials.", "Existing policy to release price and availability data. The U.S. government\u2019s relationship with the foreign customer and the type of defense item or service being requested\u2014such as a weapon system with protected critical technologies versus medical evacuation equipment\u2014can influence the length of time to obtain necessary approvals for the release of price and availability data, according to Navy program and Air Force security assistance officials. Requests for price and availability data may spur the U.S. government to review the current list of countries that have access to particular critical technologies, as shown in one Navy response to a request for a ballistic missile defense system. Initially, the Navy\u2019s Foreign Disclosure Office determined the system would not be available for potential release and the Navy program office excluded it from the price and availability data. About a year later, according to Navy officials, following a change in U.S. policy, the Foreign Disclosure Office approved the release of price and availability data for the system and the Navy included it in a subsequent price and availability response.", "Complexity of the request. Requests for a non-standard system, integration with foreign components, or a complex system may cause program offices to spend additional resources and time to develop price and availability data. For example, in response to a request for a complex weapon system to be integrated into a foreign customer\u2019s ship, Navy program officials said that they needed several months to develop price and availability data due to the complexity of this request, which required program officials to work with multiple contractors and DOD entities to develop price and availability data. In contrast, Army security assistance officials said that they generally aim to conserve resources and time by developing price and availability data based on standard items, even in instances when customers may request non-standard or complex systems.", "Existing workload. The volume of requests and competing priorities can also affect the timeliness and the level of effort applied to the response. For example, Army security assistance officials stated that they may prioritize a customer\u2019s request for a letter of offer and acceptance, which initiates an executable FMS case, over a request for price and availability data because there are not resources available to do both at the same time.", "Availability of requested item or service. When obtaining the items from defense contractors, for example, military department officials consider production schedule and quantity\u2014both of which require additional assumptions to estimate unknown costs. For items that are in DOD\u2019s inventory and will not be replaced, officials are to take into account the item\u2019s actual value when developing price and availability data, according to a DSCA publication.", "External factors. In cases where a customer is requesting price and availability data to decide whether to purchase defense items or services from the United States or another foreign government, military departments may expend additional resources to develop detailed price and availability data. For example, a Navy security assistance official stated that when officials are aware the customer plans to hold competitions between U.S. and foreign defense contractors, they solicit more detailed technical and cost information from defense contractors to present a competitive estimate.", "Individually and combined, these factors, as well as the overall process, can influence response times."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Defense (DOD) for comment. DOD\u2019s response letter is reproduced in appendix II. DOD separately provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees and the Acting Secretary of Defense. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["In this report, we (1) described foreign military sales (FMS) price and availability requests Department of Defense (DOD) received from fiscal years 2014 through 2018, (2) assessed DOD\u2019s guidance on developing price and availability data, (3) described how DOD develops price and availability data for the requested capability, and (4) identified factors that can influence the timeliness for DOD to provide price and availability data to the customer.", "To describe requests for price and availability data DOD received from foreign customers, we analyzed data from the Defense Security Cooperation Agency (DSCA). We reviewed data for fiscal years 2014 through 2018, the most recent 5-year period available. DSCA and other DOD components, including the military departments, use the Defense Security Assistance Management System as a workflow resource to process price and availability data requests, among other things. The system does not track which of the estimates result in a letter of offer and acceptance. To assess the reliability of Defense Security Assistance Management System data, we tested for missing data, duplicates, inconsistent coding, and compared data for five examples to price and availability documentation we received from the Army, Navy, and Air Force. We interviewed DSCA officials responsible for the data system to identify the quality controls in place to help ensure the data are accurate and reliable and discussed military department practices for using the system with security assistance officials. We found that generally the documentation for the five selected preliminary estimates matched the data DSCA provided and requests matched across multiple datasets we received from DSCA. Based on these steps, we determined the data were sufficiently reliable to report examples of the types of items and services requested and the number of requests DOD received by region, DOD component, and foreign customer. We did not report the number of responses DOD provided for these requests or how long it took DOD to provide a response to foreign customers using this data because military departments do not consistently update information in the Defense Security Assistance Management System to track the status of responses or dates when a response is provided to the customer.", "To assess available guidance, we reviewed DSCA and Army, Navy, and Air Force guidance for developing preliminary estimates in response to requests for price and availability data. We compared the DOD-wide guidance\u2014the Security Assistance Management Manual\u2014to the Standards for Internal Control in the Federal Government, which call for agencies to use quality information collected from relevant and reliable sources. Specifically, we reviewed the guidance to determine if it contained attributes that contribute to quality information such as identifying the information requirements and relevant data sources needed to develop the price and availability data.", "To describe factors that DOD considers when developing price and availability data and illustrate how these factors influence the process, we selected a non-generalizable sample of five responses from fiscal year 2017 data provided by the military departments. Fiscal year 2017 represented the last complete year of data available when we selected this sample. Because the sample is not generalizable, we cannot report whether practices used among the responses are used across DOD for all price and availability responses. However, these examples provide useful insight into the process and the assumptions used when developing price and availability data. We selected the five examples\u2014 one from Army, two from Navy, two from Air Force\u2014to obtain a variety of responses, including median and large case values and a median response time. We determined there were inconsistencies in the data provided, but that the data were sufficient for our purposes of selecting a non-generalizable sample from across the military departments.", "For each selected example, we collected and analyzed the letter of request, price and availability data, DOD\u2019s response to the customer, supporting documentation if provided such as clarification of the customer\u2019s request, and data collected from defense contractors or program offices. We reviewed the assumptions and factors used in developing the data and the various elements that make up the data, such as administrative charges and costs for training and spares. We interviewed relevant DOD security assistance and program officials, and defense contractor representatives to understand the context and decisions made in developing, documenting, and communicating the price and availability data.", "To identify the factors that can influence the timeliness of responses, we interviewed officials from DSCA and the Army, Navy, and Air Force. We also obtained information from defense contractors and foreign customers who, as stakeholders in the FMS price and availability process, have broad insights and perspectives on the process. To gather input from foreign customers, we interviewed representatives from the Foreign Procurement Group who also solicited information from its consortium of 46 member countries on our behalf. We received responses from 12 countries\u2014one of which was also a customer for one of the examples included in our review. To obtain contractor\u2019s perspectives, we gathered information from five companies through interviews and attended a meeting hosted by the National Defense Industrial Association. Three of the companies we obtained information from were involved in providing cost and schedule data for four of the examples in our sample. The information we obtained from these foreign customers and defense contractors is not generalizable to all foreign customers and defense contractors. As mentioned previously, we did not assess the timeliness of DOD\u2019s responses because DOD does not consistently track when price and availability data responses are provided to customers in the Defense Security Assistance Management System. However, the information we gathered for the five examples in our sample provided some insight about how long it took DOD to provide a response to the customer.", "We conducted this performance audit from June 2018 to February 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Candice Wright (Assistant Director) and Leslie Ashton (Analyst-in-Charge) managed this review. Bruna Oliveira, Carmen Yeung, Kurt Gurka, Robin Wilson, and Emily Bond made significant contributions to the work."], "subsections": []}]}], "fastfact": ["Foreign governments buy billions of dollars of defense equipment and services through the U.S. Defense Department's foreign military sales program. These sales can bolster U.S. national security interests.", "This report takes a look at one of the first steps in the sales process\u2014when a government asks about the price and availability of equipment or a service.", "From 2014 to 2018, DOD received about 3,000 such requests. Among other things, we looked at the timeliness of DOD's response process. In 5 cases we examined, responses took from 45 to 320 days. Sometimes responses can involve many contractors and DOD offices."]} {"id": "GAO-19-70", "url": "https://www.gao.gov/products/GAO-19-70", "title": "Information Security: Significant Progress Made, but CDC Needs to Take Further Action to Resolve Control Deficiencies and Improve Its Program", "published_date": "2018-12-20T00:00:00", "released_date": "2018-12-20T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["CDC is responsible for detecting and responding to emerging health threats and controlling dangerous substances. In carrying out its mission, CDC relies on information technology systems to receive, process, and maintain sensitive data. Accordingly, effective information security controls are essential to ensure that the agency's systems and information are protected from misuse and modification.", "GAO was asked to examine information security at CDC. In June 2018, GAO issued a limited official use only report on the extent to which CDC had effectively implemented technical controls and an information security program to protect the confidentiality, integrity, and availability of its information on selected information systems.", "This current report is a public version of the June 2018 report. In addition, for this public report, GAO determined the extent to which CDC has taken corrective actions to address the previously identified security program and technical control deficiencies and related recommendations for improvement. For this report, GAO reviewed supporting documents regarding CDC's actions on previously identified recommendations and interviewed personnel at CDC."]}, {"section_title": "What GAO Found", "paragraphs": ["As GAO reported in June 2018, the Centers for Disease Control and Prevention (CDC) implemented technical controls and an information security program that were intended to safeguard the confidentiality, integrity, and availability of its information systems and information. However, GAO identified control and program deficiencies in the core security functions related to identifying risk, protecting systems from threats and vulnerabilities, detecting and responding to cyber security events, and recovering system operations (see table below). GAO made 195 recommendations to address these deficiencies.", "As of August 2018, CDC had made significant progress in resolving many of the security deficiencies by implementing 102 of 184 (about 55 percent) technical control recommendations, and partially implementing 1 of 11 information security program recommendations made in the June 2018 report. The figure shows the status of CDC's efforts to implement the 195 recommendations.", "Additionally, CDC has created remedial action plans to implement the majority of the remaining open recommendations by September 2019. Until CDC implements these recommendations and resolves the associated deficiencies, its information systems and information will remain at increased risk of misuse, improper disclosure or modification, and destruction."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Centers for Disease Control and Prevention (CDC) is responsible for protecting America from both foreign and domestic health, safety, and security threats. Its roles include detecting and responding to new and emerging health threats, tackling the biggest health problems causing death and disability for Americans, putting science and advanced technology into action to prevent disease, and controlling dangerous and exotic substances that can cause incurable and deadly diseases. Performing these roles may involve tracking diseases and finding out what is making people sick and the most effective ways to prevent diseases.", "CDC confronts global disease threats through advanced computing and laboratory analysis of large amounts of data to find solutions, making use of computer systems critical to the process. However, cyber incidents at federal agencies demonstrate the damage that increasingly sophisticated threats can cause and underscore the importance of effectively protecting federal systems, including those used by CDC to achieve its mission.", "Since 1997, we have designated the security of information on federal systems (i.e., information security) to be a government-wide high-risk area. In 2003, we expanded the area to include securing the computerized systems supporting the nation\u2019s critical infrastructure and, in 2015, we included protecting the privacy of personally identifiable information.", "Given the critical role that CDC performs and concerns over the security of federal information systems, you requested that we examine the security controls over key CDC systems. Accordingly, our specific objective was to assess the extent to which CDC had effectively implemented an information security program and controls to protect the confidentiality, integrity, and availability of its information on selected information systems.", "In June 2018, we issued a report that addressed the extent to which CDC had effectively implemented an information security program and controls to protect the confidentiality, integrity, and availability of its information on selected information systems. In the report, we made 184 recommendations to CDC to resolve the technical security control deficiencies in the information systems we reviewed and 11 additional recommendations to improve its information security program. We designated that report as \u201climited official use only\u201d (LOUO) and did not release it to the general public because of the sensitive information it contained.", "This subsequent report publishes the findings discussed in our June 2018 report, but we have removed all references to the sensitive information. Specifically, we deleted the names of the information systems and computer networks that we examined, disassociated identified control deficiencies from named systems, deleted certain details about information security controls and control deficiencies, and omitted an appendix that was contained in the LOUO report. The appendix contained sensitive details about the technical security control deficiencies in CDC\u2019s information systems and computer networks that we reviewed, and the 184 recommendations we made to mitigate those deficiencies. We also provided a draft of this report to CDC officials to review and comment on the sensitivity of the information contained herein and to affirm that the report can be made available to the public without jeopardizing the security of CDC\u2019s information systems and networks.", "In addition, this report addresses a second objective that was not included in the June 2018 report. Specifically, this objective was to determine the extent to which CDC has taken corrective actions to address the previously identified security program and technical control deficiencies and related recommendations for improvement that we identified in the earlier report.", "As noted in our LOUO report, to accomplish the first objective\u2014to determine the extent to which CDC had effectively implemented an information security program and controls\u2014we had examined the agency\u2019s security policies, procedures, and practices, and evaluated the technical security controls over 24 CDC systems. These included 10 key systems, 8 of which were mission-essential, that (1) collect, process, and maintain private or potentially sensitive proprietary business, medical, and personally identifiable information; (2) are essential to CDC\u2019s mission; (3) could have a catastrophic or severe impact on operations if compromised; or (4) could be of particular interest to potential adversaries. We also selected 14 general support systems that were part of the network infrastructure supporting the 10 systems.", "To review CDC\u2019s information security program, we had examined security policies, procedures, and other documents; analyzed risk assessments, security plans, security control assessments, remedial action plans, and contingency plans for 8 selected mission-essential systems; and interviewed personnel at CDC headquarters. To review controls over the 10 key systems and 14 general support systems, we had examined the agency\u2019s network infrastructure and assessed the controls associated with system access, encryption, configuration management, and logging and monitoring. We conducted site visits to two CDC facilities located in Atlanta, Georgia.", "To accomplish our second objective\u2014on CDC\u2019s actions to address the previously identified security program and technical control deficiencies and related recommendations\u2014we requested that the agency provide a status report of its actions to implement each recommendation we made in the June 2018 report. For each recommendation that CDC indicated it had implemented as of August 3, 2018, we examined supporting documents, observed or tested the associated security control or procedure, and/or interviewed the responsible agency officials to assess the effectiveness of the actions taken to implement the recommendation or otherwise resolve the underlying control deficiency. Based on this assessment and CDC status reports, we categorized the status of each recommendation as being closed-implemented, open-partially implemented, or open-not implemented. Additional details on our objectives, scope, and methodology are provided in appendix I.", "We conducted this performance audit from December 2016 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["CDC\u2014an operating division of the Department of Health and Human Services (HHS)\u2014serves as the national focal point for disease prevention and control, environmental health, and promotion and education activities designed to improve the health of Americans. The agency is also responsible for leading national efforts to detect, respond to, and prevent illnesses and injuries that result from natural causes or the release of biological, chemical, or radiological agents.", "To achieve its mission and goals, the agency relies on an array of partners, including public health associations and state and local public health agencies. It collaborates with these partners on initiatives such as monitoring the public\u2019s health, investigating disease outbreaks, and implementing prevention strategies. The agency also uses its staff located in foreign countries to aid in international efforts, such as guarding against global diseases. Table 1 describes the organization of CDC.", "CDC is staffed by approximately 20,000 employees across the United States and around the world. For fiscal year 2017, according to agency officials, the agency\u2019s total appropriation was approximately $12 billion, of which it reported spending approximately $424 million on information technology. In addition, the officials stated that approximately $31 million (or about 7.3 percent of the amount spent on information technology) was for information security across all CDC information technology investments."], "subsections": [{"section_title": "CDC Relies on Information Systems to Help Achieve Its Mission", "paragraphs": ["CDC relies extensively on information technology to fulfill its mission and support related administrative needs. Among the approximately 750 systems reported in its inventory, the agency has systems dedicated to supporting public health science, practice, and administration. All of these systems rely on an information technology infrastructure that includes network components, critical servers, and data centers."], "subsections": []}, {"section_title": "CDC Has Defined Organizational Security Roles and Responsibilities", "paragraphs": ["At CDC, the chief information officer (CIO) is responsible for establishing and enforcing policies and procedures protecting information resources. The CIO is to lead the efforts to protect the confidentiality, integrity, and availability of the information and systems that support the agency and its operations, and is to report quarterly to the HHS CIO on the overall effectiveness of CDC\u2019s information security and privacy program, including the progress of remedial actions.", "The CIO designated a chief information security officer (CISO), who is to oversee compliance with applicable information security and privacy requirements of the agency. The CISO, among other things, is responsible for providing information security protections commensurate with the risk and magnitude of the harm resulting from unauthorized access, use, disclosure, and disruption of information and information systems that support the operations and assets of the agency.", "To further ensure information security compliance, information systems security officers (ISSO) are responsible for managing the information security program within their respective organizations and report on security program matters to the CISO, including computer security-related incidents. ISSO responsibilities include ensuring that vendor-issued security patches are expeditiously installed and that system owners establish processes for timely removal of access privileges when a user\u2019s system access is no longer necessary. In addition, security stewards are to perform operational security analyses supporting the efforts of the ISSO. Further, business stewards serve as program managers, accepting full accountability for the operations of the systems and ensuring that security is planned, documented, and properly resourced for each aspect of the information security program."], "subsections": []}, {"section_title": "Federal Laws and Guidance Establish Security Requirements to Protect Federal Information and Systems", "paragraphs": ["The Federal Information Security Modernization Act (FISMA) of 2014 provides a comprehensive framework for ensuring the effectiveness of information security controls over information resources that support federal operations and assets. FISMA assigns responsibility to the head of each agency for providing information security protections commensurate with the risk and magnitude of the harm resulting from unauthorized access, use, disclosure, disruption, modification, or destruction of information systems used or operated by an agency or by a contractor of an agency or other organization on behalf of an agency. The law also delegates to the agency CIO (or comparable official) the authority to ensure compliance with FISMA requirements. The CIO is responsible for designating a senior agency information security officer whose primary duty is information security.", "The law also requires each agency to develop, document, and implement an agency-wide information security program to provide risk-based protections for the information and information systems that support the operations and assets of the agency. In addition, FISMA requires agencies to comply with National Institute of Standards and Technology (NIST) standards, and the Office of Management and Budget (OMB) requires agencies to comply with NIST guidelines.", "NIST Federal Information Processing Standards (FIPS) Publication 199 requires agencies to categorize systems based on an assessment of the potential impact that a loss of confidentiality, integrity, or availability of such information or information system would have on organizational operations, organizational assets, individuals, other organizations, and the nation. NIST FIPS 200 requires agencies to meet minimum security requirements by selecting the appropriate security controls, as described in NIST Special Publication (SP) 800-53. This NIST publication provides a catalog of security and privacy controls for federal information systems and a process for selecting controls to protect organizational operations and assets. The publication provides baseline security controls for low-, moderate-, and high-impact systems, and agencies have the ability to tailor or supplement their security requirements and policies based on agency mission, business requirements, and operating environment.", "Further, in May 2017, the President issued an executive order requiring agencies to immediately begin using NIST\u2019s Cybersecurity Framework for managing their cybersecurity risks. The framework, which provides guidance for cybersecurity activities, is based on five core security functions: Identify: Develop the organizational understanding to manage cybersecurity risk to systems, assets, data, and capabilities.", "Protect: Develop and implement the appropriate safeguards to ensure delivery of critical infrastructure services.", "Detect: Develop and implement the appropriate activities to identify the occurrence of a cybersecurity event.", "Respond: Develop and implement the appropriate activities to take action regarding a detected cybersecurity event.", "Recover: Develop and implement the appropriate activities to maintain plans for resilience and to restore any capabilities or services that were impaired due to a cybersecurity event.", "According to NIST, these 5 functions occur concurrently and continuously, and provide a strategic view of the life cycle of an organization\u2019s management of cybersecurity risk. Within the 5 functions are 23 categories and 108 subcategories that include controls for achieving the intent of each function. Appendix II provides a description of the framework categories and subcategories of controls."], "subsections": []}]}, {"section_title": "Security Control Deficiencies Placed Selected CDC Systems at Risk", "paragraphs": ["We reported in June 2018 that CDC had implemented numerous controls over the 24 systems we reviewed, but had not always effectively implemented controls to protect the confidentiality, integrity, and availability of these systems and the information maintained on them. Deficiencies existed in the technical controls and agency-wide information security program that were intended to (1) identify risk, (2) protect systems from threats and vulnerabilities, (3) detect cybersecurity events, (4) respond to these events, and (5) recover system operations.", "These deficiencies increased the risk that sensitive personally identifiable and health-related information, including information regarding the transfer of biological agents and toxins dangerous to public health, could be disclosed or modified without authorization. As shown in table 2, deficiencies existed in all 5 core security function areas for the selected systems we reviewed."], "subsections": [{"section_title": "CDC Had Identified Risk and Developed Policies and Plans, but Shortcomings Existed", "paragraphs": ["Controls associated with the identify core security function are intended to help an agency develop an understanding of its resources and related cybersecurity risks to its systems, assets, data, and capabilities. These controls include identifying and assessing cybersecurity risk and establishing information security policies, procedures, and plans. We reported in June 2018 that, although CDC had taken steps to implement these controls, it had not (1) categorized the risk-related impact of a key system, identified threats, or reassessed risk for systems or facilities when needed; (2) sufficiently documented technical requirements in policies, procedures, and standards; and (3) described intended controls in facility security plans."], "subsections": [{"section_title": "CDC Did Not Appropriately Categorize at Least One Key System, but Assessed Risk to Some Extent at System and Entity-wide Levels", "paragraphs": ["CDC Categorized Systems Based on Potential Impact of Compromise, but Did Not Appropriately Categorize a Key General Support System As discussed earlier, FIPS Publication 199 requires agencies to categorize systems based on an assessment of the potential impact that a loss of confidentiality, integrity, or availability of such information or information system would have on organizational operations, organizational assets, individuals, other organizations, and the nation. For networks and other general support systems, NIST SP 800-60 notes that the categorization should be based on the high water mark of supported information systems, and on the information types processed, transmitted across the network, or stored on the network or support system. Further, CDC\u2019s architecture design principles state that high- impact systems are to be maintained on dedicated machinery and be physically and logically secured from lower-risk systems.", "CDC had categorized the 24 systems we reviewed, but the assigned impact level was not always appropriate. In this regard, the agency did not ensure that high-impact systems were logically secured from a lower- risk system. Specifically, seven selected high-impact systems relied on a general support system that the agency had categorized as a moderate- impact system (i.e., a lower-risk system). As a result, the high-impact systems were relying on controls in a less secure environment. Officials from the Office of the Chief Information Officer (OCIO) explained that the categorization of the supporting system was outdated based on changes to the agency\u2019s operating environment and that they planned to re- evaluate the assigned impact level.", "CDC Assessed Risk at the System Level, but Did Not Assess Threats, Document Risk-based Decisions, or Reassess Risk When Needed According to NIST SP 800-30, risk is determined by identifying potential threats to an organization and vulnerabilities in its systems, determining the likelihood that a particular threat may exploit vulnerabilities, and assessing the resulting impact on the organization\u2019s mission, including the effect on sensitive and critical systems and data. NIST also states that assessments should be monitored on an ongoing basis to keep current on risk-impacting changes to the operating environment.", "CDC had developed system-level risk assessments for the 8 selected mission-essential systems, and had summarized its risks in a risk assessment report. However, only two of the eight risk assessments had identified potential threats, and only one of these assessments determined the likelihood and impact of threats to that system.", "Further, CDC had not always documented risks associated with less secure configuration settings or monitored its assessments to address changes to the operating environment. For example, among the 94 technical control deficiencies that we identified for the 24 systems we reviewed, OCIO officials stated that the agency had not implemented controls for 20 deficiencies due to technical constraints. However, CDC did not address risks associated with decisions not to implement controls for these reasons in the system risk assessments.", "OCIO officials also partially attributed 5 of the 94 technical control deficiencies to new cybersecurity threats and to threat vectors that turned initially sound architecture decisions into vulnerabilities. However, CDC had not addressed such changes in the risk assessments for the affected systems. By not assessing threats or the likelihood of their occurrence and impact and by not documenting the risks, CDC cannot have assurance that appropriate controls are in place commensurate with the level of risk.", "CDC Had a Process in Place to Assess Risk to Systems from an Entity-wide Perspective Beyond the system level, newly discovered threats or vulnerabilities may require an agency to make risk decisions from an entity-wide perspective. An entity-wide perspective is needed because the threats and vulnerabilities may affect more than specific systems.", "CDC had a process in place to assess risk from an entity-wide perspective. This process included regular meetings among OCIO and program office staff to discuss policy, threats, and incidents. Specifically, ISSOs held monthly meetings as a continuous monitoring working group to discuss policy updates. In addition, an OCIO official held quarterly briefings that included presentations on incident response tools, incident statistics, and potential threats. OCIO officials also held ad hoc meetings, as necessary, regarding vulnerability and threat concerns when the agency received email alerts from the Federal Bureau of Investigation, the Department of Homeland Security (DHS), or HHS.", "CDC Had Not Updated Facility Risk Assessments In addition to assessing risks for systems, agencies are to assess the risk to their facilities. The Interagency Security Committee (ISC) requires agencies to determine the security level for federal facilities, and to conduct risk assessments at least once every 5 years for Level I and Level II facilities and at least once every 3 years for Level III, Level IV, and Level V facilities.", "However, the two facility risk assessments that we reviewed had not been updated in a timely manner. Specifically, the risk assessments, covering Level III and Level IV facilities that house the 24 reviewed systems, had been last updated in January 2009 and March 2014\u20148 years earlier and just over 3 years earlier, at the time of our review in July 2017.", "According to a CDC physical security official, the agency had previously relied on a third-party assessor to perform the assessments. The official also said that the agency planned to conduct its own facility risk assessments and had recently developed procedures for conducting these assessments. Until it performs these assessments, CDC may not be aware of new risks to its facilities or the controls needed to mitigate the risks."], "subsections": []}]}, {"section_title": "CDC Had Documented Controls in Policies, Procedures, and Standards, but Had Not Included Certain Technical Requirements", "paragraphs": ["FISMA requires each agency to develop, document, and implement an information security program that, among other things, includes policies and procedures that (1) are based on a risk assessment, (2) cost- effectively reduce information security risks to an acceptable level, (3) ensure that information security is addressed throughout the life cycle of each system, and (4) ensure compliance with applicable requirements. According to NIST SP 800-53, an agency should develop policies and procedures for each of the 18 NIST families of security controls to facilitate the implementation of the controls.", "CDC had documented numerous policies, procedures, and standards that addressed each of the 18 control families identified in NIST SP 800-53. For example, the agency had developed policies and procedures governing physical access to CDC facilities, role-based training of personnel with significant security responsibilities, security assessment and authorization of systems, and continuity of operations, in addition to standard operating procedures that covered numerous other controls.", "The agency had also developed the CDC IT Security Program Implementation Standards, which describes the agency\u2019s security program requirements and minimum mandatory standards for the implementation of information security and privacy controls. In addition, the agency had documented configuration standards, which specified minimum configuration settings, for devices such as firewalls, routers, switches, as well as Unix and Windows servers.", "However, these policies and standards sometimes lacked the technical specificity needed to ensure controls were in place. To illustrate, the agency had not sufficiently documented detailed guidance or instructions to address numerous technical control deficiencies we identified, such as insecure network devices, insecure database configurations, not blocking certain email attachments, and not deploying a data loss prevention capability.", "According to OCIO officials, the agency\u2019s periodic reviews and updates to existing cybersecurity policies and standards did not reveal and address these issues. Nevertheless, without clear and specific guidance or instructions for implementing technical controls, the agency had less assurance that controls were in place and operating as intended."], "subsections": []}, {"section_title": "CDC Had Identified and Updated Controls in System Security Plans Annually, but Had Not Developed Facility Security Plans", "paragraphs": ["FISMA requires each agency to develop, document, and implement an information security program that, among other things, includes subordinate plans for providing adequate information security for networks, facilities, and systems or a group of information systems, as appropriate. NIST states that plans should be reviewed and updated to ensure that they continue to reflect the correct information about the systems, such as changes in system owners, interconnections, and authorization status, among other things.", "HHS and CDC policies require that such plans be reviewed annually. In addition, the ISC requires that agencies develop and implement an operable and effective facility security plan. CDC standards require the organization to prepare a facility security plan (or similar document).", "CDC had developed security plans for the 8 selected mission-essential systems. With a few exceptions, the plans addressed the applicable security controls for those systems. The agency also had reviewed and updated the plans annually.", "However, CDC had not developed security plans for the facilities housing resources for the selected systems. Physical security officials stated that they had not developed security plans because they did not have a sufficient number of staff to develop them. Without comprehensive security plans for the facilities, CDC\u2019s information and systems would be at an increased risk that controls to address emergency situations would not be in place and personnel at the facilities would not be aware of their roles and responsibilities for implementing sound security practices to protect systems housed at these CDC locations."], "subsections": []}, {"section_title": "CDC Had Implemented Controls Intended to Protect Its Systems, but Deficiencies Existed", "paragraphs": ["The protect core security function is intended to help agencies develop and implement the appropriate safeguards for their systems to ensure achieving the agency\u2019s mission and to support the ability to limit or contain the impact of a potential cybersecurity event. Controls associated with this function include implementing controls to limit access to authorized users, processes or devices; encrypting data to protect its confidentiality and integrity; configuring devices securely and updating software to protect systems from known vulnerabilities; and providing training for cybersecurity awareness and performing security-related duties. Although CDC had implemented controls that were intended to protect its operating environment, we reported in June 2018 that the agency did not consistently (1) implement access controls effectively, (2) encrypt sensitive data, (3) configure devices securely or apply patches in a timely manner, or (4) ensure staff with significant security responsibilities received role-based training."], "subsections": [{"section_title": "CDC Did Not Consistently Implement Effective Access Controls", "paragraphs": ["A basic management objective for any agency is to protect the resources that support its critical operations from unauthorized access. Agencies accomplish this objective by designing and implementing controls that are intended to prevent, limit, and detect unauthorized access to computing resources, programs, information, and facilities. Access controls include those related to identifying and authenticating users, authorizing access needed to perform job duties, protecting system boundaries, and physically protecting information system assets. However, CDC had not consistently implemented these controls.", "CDC Implemented Enterprise-wide Identification and Authentication Controls, but Did Not Consistently and Securely Configure Password Controls for Certain Accounts on Devices and Systems NIST SP 800-53 states that agencies should implement multi-factor authentication for their users of information systems. Multi-factor authentication involves using two or more factors to achieve authentication. A factor is something you know (password or personal identification number), something you have (token and personal identity verification (PIV) card), or something you are (biometric). Also, NIST and CDC policy state that information systems shall have password management controls established to include minimum password complexity requirements, password lifetime restrictions, prohibitions on password reuse, and user accounts temporarily locked out after a certain number of failed login attempts during a specified period of time.", "CDC had applied enterprise-wide solutions to ensure appropriate identification and multi-factor authentication of its general user community through, for example, the use of PIV cards. However, instances of weak password management controls existed for certain accounts on network devices, servers, and database systems. According to OCIO officials, password control deficiencies existed primarily due to technical constraints, administrators not being aware of technical requirements, or administrators not adequately monitoring configuration settings. Without more secure password settings, CDC\u2019s information and systems are at an increased risk that unauthorized individuals could have guessed passwords and used them to obtain unauthorized access to agency systems and databases.", "CDC Authorized Users More Access than Needed to Perform Their Jobs NIST SP 800-53 states that agencies should employ the principle of least privilege, allowing only authorized access for users (or processes acting on behalf of users) that are necessary to accomplish assigned tasks. It also states that privileged accounts\u2014those with elevated access permissions\u2014should be strictly controlled and used only for their intended administrative purposes.", "CDC had implemented controls intended to ensure that users were granted the minimum level of access permissions necessary to perform their legitimate job-related functions. However, the agency had granted certain users more access than needed for their job functions, including excessive access permissions on a key server.", "According to OCIO officials, CDC systems had deficiencies related to restricting access primarily due to technical constraints or administrators not adequately monitoring configuration settings. By not appropriately restricting access, CDC\u2019s information and systems are at an increased risk that individuals could deliberately or inadvertently compromise database systems or gain inappropriate access to information resources.", "CDC Did Not Effectively Implement Boundary Controls to Ensure Network Integrity NIST SP 800-53 states that agencies should control communications at information systems\u2019 external boundaries. It states that, to manage risks, agencies should use boundary protection mechanisms to separate or partition computing systems and network infrastructures containing higher-risk systems from lower-risk systems.", "Although CDC had implemented multiple controls that were designed to protect system boundaries, the agency had not sufficiently separated higher-risk systems from lower-risk systems. According to OCIO officials, deficiencies in boundary protection controls existed due to new cybersecurity threats turning initially sound architecture decisions into vulnerabilities, technical constraints, and administrators not being aware of technical requirements or adequately monitoring configuration settings. Without stronger boundary controls, CDC\u2019s information and systems are at an increased risk that an attacker could have exploited these boundary deficiencies and leveraged them to compromise CDC\u2019s internal network.", "CDC Physically Protected Information System Assets, but Did Not Consistently Ensure Access Remained Appropriate NIST SP 800-53 states that agencies should implement physical access controls to protect employees and visitors, information systems, and the facilities in which they are located. In addition, NIST states that agencies should review access lists detailing authorized facility access by individuals at the agency-defined frequency. In its standards, CDC requires implementation of the NIST special publication and requires that access lists detailing authorized facility access by individuals be reviewed at least every 365 days.", "CDC had implemented physical security controls. The agency had implemented physical security measures to control access to certain areas and to ensure the safety and security of its employees, contractors, and visitors to CDC facilities. For example, CDC had issued PIV cards and Cardkey Proximity Cards to its employees and contractors, and had limited physical access to restricted areas based on the permissions it granted via these cards.", "However, the agency had not consistently reviewed authorized access lists. In this regard, CDC did not have a process in place for periodically reviewing the lists of individuals with access to rooms containing sensitive resources to ensure that such access remained appropriate. Without reviewing authorized access lists, CDC has reduced assurance that individual access to its computing resources and sensitive information is appropriate."], "subsections": []}, {"section_title": "CDC Had Not Consistently Encrypted Sensitive Authentication Data", "paragraphs": ["NIST SP 800-53 states that agencies should encrypt passwords both while stored and transmitted, and configure information systems to establish a trusted communication path between the user and the system. Additionally, NIST requires that, when agencies use encryption, they use an encryption algorithm that complies with FIPS 140-2.", "CDC had used FIPS-compliant encryption for its PIV card implementation, but had not effectively implemented encryption controls in other areas. According to OCIO officials, encryption control deficiencies existed primarily due to technical constraints, administrators not being aware of a technical solution, or configuration settings not being adequately monitored. By not using encryption effectively, CDC limits its ability to protect the confidentiality of sensitive information, such as passwords."], "subsections": []}, {"section_title": "CDC Had Not Consistently Configured Servers Securely or Applied Patches in a Timely Manner", "paragraphs": ["NIST SP 800-53 states that agencies should disable certain services with known security vulnerabilities. This includes configuring security control settings on operating systems in accordance with publicly available security checklists (or benchmarks) promulgated by NIST\u2019s National Checklist Program repository. This repository contains, for example, the security configuration benchmarks established by the Center for Internet Security (CIS) for Windows servers.", "NIST also states that agencies should test and install newly-released security patches, service packs, and hot fixes in a timely manner. In addition, CDC policy required that software patches for remediating vulnerabilities designated as critical or high risk be applied to servers within 45 days of being notified that a patch is available or within 7 days of when an exploit is known to exist. Further, agency policy specified that administrators configure Windows servers in accordance with the CDC- approved security benchmarks.", "CDC had documented security configuration baselines, but had not always securely configured its systems or applied patches. In addition, the agency had not consistently configured security settings in accordance with prescribed security benchmarks or applied patches in a timely manner. For example:", "CDC had configured Windows servers to run unnecessary services.", "CDC had configured only about 62 percent of the security settings in accordance with prescribed benchmark criteria on the Windows and infrastructure servers supporting five systems that we reviewed.", "During our site visit in April 2017, CDC had not installed 21 updates on about 20 percent of the network devices, including 17 updates that the vendor considered to be critical or high-risk. The oldest of the missing updates dated back to January 2015.", "CDC had not updated database software supporting two selected systems to a more recent version that addressed vulnerabilities with a medium severity rating.", "According to OCIO officials, CDC had deficiencies in configuration and patching primarily due to administrators not being aware that there was a technical solution or did not adequately monitor configuration settings. By not securely configuring devices and installing updates and patches in a timely manner, the agency is at increased risk that individuals could have exploited known vulnerabilities to gain unauthorized access to agency computing resources."], "subsections": []}, {"section_title": "Staff Received Security Awareness Training, but At Least 15 Percent of Those with Significant Security Responsibilities Did Not Receive Role-Based Training", "paragraphs": ["According to NIST SP 800-53, agencies should provide adequate security training to individuals in a role such as system/network administrator and to personnel conducting configuration management and auditing activities, tailoring the training to their specific roles. In addition, one of the cybersecurity cross-agency priority goals requires that agencies implement training that reduces the risk that individuals will introduce malware through email and malicious or compromised web sites.", "Consistent with NIST SP 800-53, CDC policy required network users to receive annual security awareness training. Accordingly, for fiscal year 2017, all CDC staff completed the required annual security awareness training.", "CDC policy also required that those staff identified as having significant security responsibilities receive role-based training every 3 years. However, not all staff with significant security responsibilities received role-based training within the defined time frames. The agency used a tracking system to monitor the status of role-based training for 377 individuals who had been identified as having significant security responsibilities. As of May 2017, 56 (about 15 percent) of the 377 individuals had not completed the training within the last 3 years, and 246 (about 65 percent) of them had not taken training within the last year.", "In addition, CDC had not identified at least 30 other staff with significant security responsibilities who required role-based training. Specifically, none of the 18 security and database administrators for four selected systems were included among the individuals being tracked, although these administrators had significant security responsibilities. Further, the agency provided us with a list of 42 individuals whose job series indicated that they required role-based training. However, 12 of the 42 were not included among the tracked individuals. Furthermore, given the number of deficiencies identified and the rapidly evolving nature of cyber threats, CDC\u2019s requirement that staff take role-based training only once every 3 years is not sufficient for individuals with significant cybersecurity responsibilities.", "According to OCIO officials, managers are responsible for identifying those individuals with significant security responsibilities. The process used to track training was manual and required an individual\u2019s manager to specify training requirements. The officials noted that the agency plans to implement a new HHS annual role-based training requirement in fiscal year 2018 and that they intend to work to enhance oversight as the new requirement is implemented.", "The officials also stated that at least 10 of the 94 technical control-related deficiencies identified in our June 2018 report had resulted, at least in part, from staff not being aware of control requirements or solutions to address the deficiencies. As a result, CDC\u2019s information and systems are at increased risk that staff may not have the knowledge or skills needed to appropriately protect them."], "subsections": []}]}, {"section_title": "CDC Had Not Effectively Implemented Controls Intended to Detect Incidents or Deficiencies", "paragraphs": ["The detect core security function is intended to allow for the timely discovery of cybersecurity events. Controls associated with this function include logging and monitoring system activities and configurations, assessing security controls in place, and implementing continuous monitoring. In June 2018, we reported that, although CDC had implemented controls intended to detect the occurrence of a cybersecurity event, it had not sufficiently implemented logging and monitoring capabilities or effectively assessed security controls."], "subsections": [{"section_title": "CDC Had Implemented Limited Logging and Monitoring Capabilities", "paragraphs": ["NIST SP 800-53 states that agencies should enable system logging features and retain sufficient audit logs to support the investigations of security incidents and the monitoring of select activities for significant security-related events. In addition, National Archives and Records Administration records retention guidance states that system files containing information requiring special accountability that may be needed for audit or investigative purposes should be retained for 6 years after user accounts have been terminated or passwords altered, or when an account is no longer needed for investigative or security purposes, whichever is later. NIST also states that agencies should monitor physical access to facilities where their information systems reside to detect physical security incidents. Further, NIST SP 800-53 states that agencies should monitor and control changes to configuration settings.", "Although CDC had implemented centralized logging and network traffic monitoring capabilities, the capabilities were limited. For example, the agency\u2019s centralized logging system used for security monitoring had a limited storage capacity and did not meet the National Archives and Records Administration requirements. In addition, CDC had not centrally collected and monitored security event data for many key assets connected to the network. As a result, increased risk existed that CDC would not have been able to detect anomalous activities that may have occurred from malware attacks over time. OCIO officials stated that, as a compensating measure, the agency prevents direct communications between workstations. However, such a measure does not allow the agency to detect potentially inconsistent activities that may have occurred from malware attacks within the same data center.", "CDC also had not consistently reviewed physical access logs to detect suspicious physical access activities, such as access outside of normal work hours and repeated access to areas not normally accessed. Program offices responsible for 7 of the 8 selected mission-essential systems did not conduct such a review. According to OCIO officials, the offices were not aware of the need for a review. However, without reviewing physical access logs, CDC has reduced assurance that the agency would detect suspicious physical access activities.", "Further, CDC had not routinely monitored the configuration settings of its systems to ensure that the configurations were securely set. For example, for at least 41 of 94 technical control deficiencies we identified, OCIO officials cited quality control gaps where the change management process or system administrators had not discovered deficiencies resulting from insecure configuration settings. Without an effective monitoring process in place for system configurations, the agency was not aware of insecure system configurations."], "subsections": []}, {"section_title": "CDC Did Not Effectively Test or Assess Controls to Detect Deficiencies", "paragraphs": ["FISMA requires each agency to periodically test and evaluate the effectiveness of its information security policies, procedures, and practices. The law also requires agencies to test the management, operational, and technical controls for every system identified in the agency\u2019s required inventory of major information systems at a frequency depending on risk, but no less than annually. In addition, NIST SP 800- 53A identifies three assessment methods\u2014interview, examine, and test\u2014 and describes the potential depth and coverage for each. Assessing a control\u2019s effectiveness based on an interview is likely less rigorous than examining a control; similarly, examining a control is likely less rigorous than testing the control\u2019s functionality.", "CDC had not sufficiently tested or assessed the effectiveness of the security controls for the 8 mission-essential systems that we reviewed. Although CDC annually assessed security controls of selected systems, the agency had only examined control descriptions in security plans to ensure accuracy. At least once every 3 years, the agency selected controls for a more in-depth assessment of the 8 mission-essential systems we reviewed. However, CDC had assessed only 191 (about 7 percent) of 2,818 controls described in the security plans for the selected systems. In addition, the agency used methods for assessing controls that were often not rigorous enough to identify the control deficiencies that we identified. For example, as depicted in figure 1, CDC relied exclusively on interviews\u2014a less rigorous method\u2014to assess 20 percent of the 191 controls it assessed for the selected systems.", "The security control tests and assessments were insufficient in part because CDC had not developed comprehensive security assessment plans or had not consistently implemented the plans for the 8 selected mission-essential systems we reviewed. For example, one system\u2019s assessment plan indicated that five controls should be assessed using a testing methodology; instead, however, the assessor conducted interviews to determine whether controls were effective or not.", "OCIO officials stated that the security control test and assessment process is manual and staffing is limited. They stated that the agency intends to rely increasingly on automated tools\u2014such as the tools implemented by the Continuous Diagnostics and Mitigation program\u2014for performing the assessments. Nevertheless, by not assessing controls in an in-depth and comprehensive manner, CDC has limited assurance that the security controls are in place and operating as intended. Further, without developing and implementing comprehensive assessment plans, assessments may not be performed with sufficient rigor to identify control deficiencies."], "subsections": []}]}, {"section_title": "CDC Had Implemented Processes for Responding to Incidents or Identified Deficiencies, but Did Not Always Take Timely Corrective Actions", "paragraphs": ["The respond core security function is intended to support the ability to contain the impact of a potential cybersecurity event. Controls associated with this function include implementing an incident response capability and remediating newly-identified deficiencies. Although CDC had implemented controls for incident response to detect cybersecurity events, we reported in June 2018 that the agency had not maintained adequate information to support its incident response capability or taken timely corrective actions to remediate identified control deficiencies."], "subsections": [{"section_title": "CDC Had Implemented Incident Response Capabilities, but Did Not Maintain Adequate Information", "paragraphs": ["NIST SP 800-53 and SP 800-61 state that agencies should develop and document an incident response policy with corresponding implementation procedures and an incident response plan, and keep them updated according to agency requirements. NIST also states that agencies should implement an incident handling capability, including an incident response team that consists of forensic/malicious code analysts. In addition, agencies are to provide incident response training for the team and test the incident response capability to determine the effectiveness of the response.", "Further, NIST states that agencies are to monitor incidents by tracking and documenting them and maintain records about each incident, including forensic analysis. Finally, National Archives and Records Administration guidance states that records and data relevant to security incident investigations should be retained for 3 years.", "CDC had implemented an incident response capability. The agency had developed policy, procedures, and a plan that addressed incident response, and updated them annually. CDC had an incident response team that managed all of the incident handling and response efforts for the agency, and conducted forensic analyses for reported security incidents. Team members had undergone training, such as an advanced network forensic and analysis course offered by a private firm. In addition, the agency had periodically tested its incident handling capability by conducting penetration testing exercises. These exercises allowed the team to test its real-time response capabilities.", "CDC\u2019s incident response procedures state that incident tickets should include a description of actions taken, response time, and whether actions have been completed or not. The agency\u2019s procedures also require that computers affected by an incident be removed from the network immediately.", "Nevertheless, CDC had shortcomings in implementing its incident response capability and monitoring procedures. For the 11 security incidents CDC considered most significant over a 19-month period ending in March 2017, the agency had not consistently described the actions taken, the response times, or whether remedial actions had been completed. The agency also had not maintained audit log records for its security incidents. For example, the agency described recommended actions for 10 of the 11 incidents, but did not describe the actions that had been taken.", "In addition, although incident response team officials told us that all incident ticket records had been saved, CDC had not retained system log data that supported incident resolution for at least five of the incidents. The agency\u2019s policy did not address record retention in accordance with National Archives and Records Administration guidance. Further, for two of the security incidents, the security incident tickets did not clearly indicate when two compromised workstations had been removed from the network. According to OCIO officials, shortcomings in fully documenting incidents resulted from the organization being understaffed, primarily due to budget limitations and the inability to hire qualified personnel. Without effectively tracking and documenting information system security incidents, CDC\u2019s systems are at increased risk that the impact of security incidents would not be fully addressed."], "subsections": []}, {"section_title": "CDC Had Remedial Action Plans to Address Identified Deficiencies for Selected Systems, but Did Not Always Take Timely Corrective Actions or Have Plans for Other Needed Corrective Actions", "paragraphs": ["FISMA requires each agency to develop, document, and implement an information security program that, among other things, includes a process for planning, implementing, evaluating, and documenting remedial actions to address any deficiencies in information security policies, procedures, or practices. NIST SP 800-53 states that agencies are to develop a plan of action and milestones (POA&M) for an information system to document the agency\u2019s planned remedial actions to correct identified deficiencies. CDC policy was consistent with the NIST guidelines.", "CDC had developed POA&Ms for deficiencies identified by its security control assessments, but had not remediated the deficiencies in a timely manner. For each of the 8 selected mission-essential systems, the agency had created plans for correcting control deficiencies. However, the agency did not implement several remedial actions by their due date. For example, expected completion dates had passed for correcting deficiencies associated with 4 of the 8 selected mission-essential systems. For these 4 systems, the completion dates were 1 to 8 months beyond the due dates at the time of our review in September 2017.", "According to Office of the Chief Information Security Officer officials, program offices that own the systems did not always communicate updates on the status of remedial actions for their respective systems, noting that deficiencies may have been corrected. Without effective communication to update its POA&Ms, CDC was not in a position to effectively manage its remedial actions and correct known deficiencies in a timely manner."], "subsections": []}]}, {"section_title": "CDC Had Developed and Tested Plans for System Recovery, but Had Not Assessed the Risk Associated with the Close Proximity of an Alternate Processing Site", "paragraphs": ["The recover core security function is intended to support timely recovery of normal operations to reduce the impact from a cybersecurity event. Controls associated with this function include developing and testing contingency plans to ensure that, when unexpected events occur, critical operations can continue without interruption or can be promptly resumed, and that information resources are protected. Losing the capability to process, retrieve, and protect electronically maintained information can significantly affect an agency\u2019s ability to accomplish its mission. If contingency planning is inadequate, even relatively minor interruptions can result in lost or incorrectly processed data, which can cause financial losses, expensive recovery efforts, and inaccurate or incomplete information.", "NIST SP 800-53 states that agency systems should have a contingency plan that includes the identification of key personnel and the systems\u2019 essential mission functions and addresses full information system restoration. For high-impact systems, NIST specifies that agencies test contingency plans at an alternate processing site that is separated from the primary processing site to reduce susceptibility to the same threats. In addition, NIST states that organizations should initiate corrective actions based on testing if they are needed.", "As we reported in June 2018, CDC had developed and fully tested contingency plans for each of the 8 selected mission-essential systems that we reviewed. Each plan identified key personnel and their contact information, essential mission functions of the systems, and instructions on how to fully restore the systems in the event of a disruption. Additionally, between January 2015 and May 2017, CDC had tested whether the 8 systems could be recovered at their respective alternate sites, and had initiated corrective actions based on the results of the tests.", "However, the alternate site for 6 of the 8 selected mission-essential systems was located in relatively close proximity to the main processing site. Although 2 systems had alternate sites located in another state, the alternate site for the other 6 systems was within the same metropolitan area. As a result, an event such as a natural disaster or substantial power outage could affect both the main and alternate sites for these systems, potentially rendering CDC unable to complete functions associated with its mission. Prompt restoration of service is necessary because the required recovery time for these systems ranged from 4 to 24 hours.", "Security plans for 3 of the systems recognized the hazards of having the sites within the same geographical region, but stated that CDC had accepted this risk. According to OCIO officials, having a site further away was cost prohibitive; however, the officials had not documented this analysis or the associated risk of having the agency\u2019s processing sites located within the same geographical area. Without documenting the analysis and associated risk, CDC had less assurance that senior leadership was aware of the risk of agency systems being unavailable. As a consequence, senior leadership may not agree whether acceptance of the risk was warranted."], "subsections": []}, {"section_title": "CDC Had Not Consistently or Effectively Implemented Elements of Its Information Security Program", "paragraphs": ["An underlying reason for the information security deficiencies in selected systems was that, although the agency had developed and documented an agency-wide information security program, it had not consistently or effectively implemented elements of the program. FISMA requires each agency to develop, document, and implement an information security program that, among other things, includes the following elements: periodic assessments of the risk and magnitude of the harm that could result from the unauthorized access, use, disclosure, disruption, modification, or destruction of information and information systems that support the operations and assets of the agency; policies and procedures that (1) are based on risk assessments, (2) cost-effectively reduce information security risks to an acceptable level, (3) ensure that information security is addressed throughout the life cycle of each system, and (4) ensure compliance with applicable requirements; plans for providing adequate information security for networks, facilities, and systems or group of information systems, as appropriate; security awareness training to inform personnel of information security risks and of their responsibilities in complying with agency policies and procedures, as well as training personnel with significant security responsibilities for information security; periodic testing and evaluation of the effectiveness of information security policies, procedures, and practices, to be performed with a frequency depending on risk, but no less than annually, and that includes testing of management, operational, and technical controls for every system identified in the agency\u2019s required inventory of major information systems; a process for planning, implementing, evaluating, and documenting remedial actions to address any deficiencies in the information security policies, procedures, or practices of the agency; and plans and procedures to ensure continuity of operations for information systems.", "As discussed previously in this report, CDC had implemented aspects of each of these elements. For example, the agency had conducted risk assessments, developed security plans, assessed security controls, developed remedial action plans, and developed and tested contingency plans for each of the 8 selected mission-essential systems. In addition, the agency had documented numerous policies and procedures and ensured that staff had completed annual security awareness training.", "However, CDC\u2019s program had shortcomings. For example, as discussed earlier in this report, CDC had not consistently or effectively: addressed threats, technical constraints, and the changing threat environment in its system risk assessments, or assessed the risk of having alternate processing sites within close proximity to each other; documented detailed technical requirements in policies and procedures, or facility controls in facility security plans; tracked and trained staff with significant security responsibilities; monitored configuration settings and comprehensively assessed remediated deficiencies in a timely manner; or documented its cost analysis and associated risk of having an alternate processing site within the same geographical region as its primary processing site.", "Until CDC addresses these shortcomings and consistently and effectively implements all elements of its information security program, the agency will lack reasonable assurance that its computing resources are protected from inadvertent or deliberate misuse."], "subsections": []}]}, {"section_title": "CDC Has Implemented Many of the Recommendations in Our June 2018 Report and Plans to Implement the Rest", "paragraphs": ["In our June 2018 report, we made 195 recommendations to CDC to strengthen its technical security controls and bolster its agency-wide information security program. Specifically, we recommended that the agency take 184 actions to resolve technical control deficiencies by implementing stronger access controls, encrypting sensitive data, configuring devices securely, applying patches in a timely manner, strengthening firewall rules, and implementing logging and monitoring controls more effectively, among other actions. We also made 11 recommendations for CDC to improve its information security program by, among other things, assessing risks as needed, documenting more detailed technical requirements, monitoring and assessing controls more comprehensively, and remediating deficiencies in a timely manner.", "Since the issuance of our June 2018 report, CDC has made significant progress in implementing the recommendations we made to resolve the technical security control deficiencies in the information systems we reviewed and to improve its information security program. In this regard, the agency has implemented many of the recommendations for improving technical security controls for the systems we reviewed and has developed plans to implement recommendations for enhancing its information security program.", "Specifically, as of August 3, 2018, CDC had fully implemented 102 (55 percent) of the 184 recommendations we made to fortify the technical security controls over the systems we reviewed. In addition, the agency had partially implemented 20 (11 percent) of the 184 recommendations. In these instances, CDC had made progress toward implementing the recommendations, but had not completed all of the necessary corrective actions for us to close the recommendations. Therefore, these recommendations remain open. Further, CDC did not provide any evidence that it had implemented the remaining 62 technical control- related recommendations.", "Table 3 summarizes the status of CDC\u2019s efforts to implement the 184 recommendations that we made to resolve the technical control deficiencies, as of August 3, 2018.", "By implementing 102 recommendations, CDC (as of August 3, 2018) reduced some of the risks associated with certain key activities. Specifically, these efforts included protecting network boundaries and logging and monitoring security events for indications of inappropriate or unusual activity on systems\u2014that we highlighted in our June 2018 report as being particularly vulnerable and requiring the agency\u2019s greater priority and attention. In addition, the agency had implemented several of our recommendations to rectify a number of the security control deficiencies. These efforts included strengthening firewall rules, implementing stronger access controls, configuring devices securely, and expanding its audit monitoring capabilities.", "In addition, CDC had developed a plan of action and milestones (POA&M) for each of the identified technical control deficiencies and related recommendations that remained open as of August 3, 2018. The POA&Ms assigned organization responsibilities, identified estimated costs, identified points of contact, and established time frames for resolving the deficiencies and closing the related recommendations. The agency\u2019s plans called for it to implement the majority of the remaining open technical control-related recommendations by September 2019, and all recommendations by September 2020, as shown in figure 2.", "Our June 2018 report also included 11 recommendations to CDC to improve its information security program. In particular, we recommended that the agency, among other things, evaluate system impact level categorizations to ensure they reflect the current operating environment; update risk assessments to identify threats and the likelihood of impact of the threat on the environment; and update the facility risk assessments. In addition, we recommended that the agency take the necessary steps to make sure staff with significant security roles and responsibilities are appropriately identified and receive role-based training; monitor the configuration settings of agency systems to ensure the settings are set as intended; update security control assessments to include an assessment of controls using an appropriate level of rigor; and remediate POA&Ms in a timely manner. Further, we recommended that the agency document the cost-benefit analysis with associated risk of having an alternate site within the same geographical region as the main site.", "As of August 3, 2018, the agency had partially implemented 1 of the 11 information security program-related recommendations, but had not provided any evidence that it had implemented the remaining 10 recommendations. Regarding the partially implemented recommendation, CDC had provided role-based training to all personnel performing significant security responsibilities. However, the agency still needed to establish and automate the identification process and the tracking of training records for individuals needing specialized security role-based training. CDC had developed plans to fully implement this recommendation and each of the remaining 10 information security program-related recommendations by July 2019. Fully implementing the open recommendations is essential to ensuring that the agency\u2019s systems and sensitive information are not at increased and unnecessary risk of unauthorized use, disclosure, modification, or disruption."], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We received written comments on a draft of this report from CDC. In its comments, which are reprinted in appendix III, the agency stated that it recognizes the risks associated with operating a large, global information technology enterprise and has implemented processes, procedures, and tools to better ensure the prevention, detection, and correction of potential incidents. CDC also said cybersecurity remains a high priority and that it takes the responsibilities for protecting public health information and data entrusted to it seriously. To strengthen its cybersecurity program, the agency stated that it is restructuring and streamlining the cyber program and IT infrastructure of its Office of the Chief Information Officer.", "Further, CDC stated that it has leveraged GAO\u2019s limited official use only report, issued in June 2018, to accelerate its implementation, infrastructure, and software deployments to complete phrases one and two of DHS\u2019s Continuous Diagnostics and Mitigation program. The agency also said it concurred with, and highlighted a number of actions that it had planned or begun taking to remediate, the 11 security program recommendations that we made to CDC in our June 2018 report.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and the department\u2019s Office of the Inspector General, the Director of CDC, and interested congressional parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Gregory C. Wilshusen at (202) 512-6244 or wilshuseng@gao.gov, or Dr. Nabajyoti Barkakati at (202) 512-4499 or barkakatin@gao.gov. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objective was to assess the extent to which CDC had effectively implemented an information security program and controls to protect the confidentiality, integrity, and availability of its information on selected information systems. In June 2018, we issued a report which detailed the findings from our work in response to this objective. In the report, we made 184 recommendations to CDC to resolve the technical security control deficiencies in the information systems we reviewed and 11 additional recommendations to improve its information security program. We designated that report as \u201climited official use only\u201d (LOUO) and did not release it to the general public because of the sensitive information it contained.", "This report publishes the findings discussed in our June 2018 report, but we have removed all references to the sensitive information. Specifically, we deleted the names of the information systems and computer networks that we examined, disassociated identified control deficiencies from named systems, deleted certain details about information security controls and control deficiencies, and omitted an appendix that was contained in the LOUO report. The appendix contained sensitive details about the technical security control deficiencies in the CDC\u2019s information systems and computer networks that we reviewed, and the 184 recommendations we made to mitigate those deficiencies. We also provided a draft of this report to CDC officials to review and comment on the sensitivity of the information contained herein and to affirm that the report can be made available to the public without jeopardizing the security of CDC\u2019s information systems and networks.", "In addition, this report addresses a second objective that was not included in the June 2018 report. Specifically, this objective was to determine the extent to which CDC had taken corrective actions to address the previously identified security program and technical control deficiencies and related recommendations for improvement that we identified in the earlier report.", "As noted in our June 2018 report, we determined the extent to which CDC had effectively implemented an information security program and controls to protect the confidentiality, integrity, and availability of its information on selected information systems. To do this, we initially gained an understanding of the overall network environment, identified interconnectivity and control points, and examined controls for the agency\u2019s networks and facilities. We conducted site visits at two CDC facilities in Atlanta, Georgia.", "To evaluate CDC\u2019s controls over its information systems, we used our Federal Information System Controls Audit Manual, which contains guidance for reviewing information system controls that affect the confidentiality, integrity, and availability of computerized information. We based our assessment of controls on requirements identified by the Federal Information Security Modernization Act of 2014 (FISMA), which establishes key elements for an effective agency-wide information security program; NIST guidelines and standards; Department of Health and Human Services and CDC policies, procedures, and standards; and standards and guidelines from relevant security organizations, such as the National Security Agency, the Center for Internet Security, and the Interagency Security Committee.", "We had reviewed a non-generalizable sample of the agency\u2019s information systems, focusing on those systems that (1) collect, process, and maintain private or potentially-sensitive proprietary business, medical, and personally identifiable information; (2) are essential to CDC\u2019s mission; and (3) were assigned a Federal Information Processing Standard rating of moderate or high impact. Based on these criteria, we had selected eight mission-essential systems for our review.", "Of these systems, the agency had categorized 7 as high-impact systems and 1 as a moderate-impact system. For these 8 selected mission- essential systems, we had reviewed information security program-related controls associated with risk assessments, security plans, security control assessments, remedial action plans, and contingency plans.", "To assess the safeguards CDC implemented for its systems, we had examined technical security controls for 24 CDC systems, including systems the agency designated as high-value assets. These included 10 key systems, 8 of which were high- and moderate-impact mission- essential systems just described, 1 additional high-impact system, 1 additional moderate-impact system, and 14 general support systems. We selected the additional high-impact system because the agency re- categorized it as a high-impact system during our review. We selected the additional moderate-impact system because the agency used it to control physical access to highly sensitive CDC biologic lab facilities, including facilities that handle dangerous and exotic substances that cause incurable and deadly diseases.", "We selected 10 key systems, 8 of which were mission-essential systems, for review that (1) collect, process, and maintain private or potentially sensitive proprietary business, medical, and personally identifiable information; (2) are essential to CDC\u2019s mission; (3) could have a catastrophic or severe impact on operations if compromised; or (4) could be of particular interest to potential adversaries. We also selected 14 general support systems that were part of the agency\u2019s network infrastructure supporting the 10 key systems.", "To review controls over the 10 key systems and 14 general support systems, we had examined the agency\u2019s network infrastructure and assessed the controls associated with system access, encryption, configuration management, and logging and monitoring. For reporting purposes, we had categorized the security controls that we assessed into the five core security functions described in the National Institute of Standards and Technology\u2019s (NIST) cybersecurity framework. The five core security functions are: Identify: Develop the organizational understanding to manage cybersecurity risk to systems, assets, data, and capabilities.", "Protect: Develop and implement the appropriate safeguards to ensure delivery of critical infrastructure services.", "Detect: Develop and implement the appropriate activities to identify the occurrence of a cybersecurity event.", "Respond: Develop and implement the appropriate activities to take action regarding a detected cybersecurity event.", "Recover: Develop and implement the appropriate activities to maintain plans for resilience and to restore any capabilities or services that were impaired due to a cybersecurity event.", "These core security functions are described in more detail in appendix II.", "For the identify core security function, we had examined CDC\u2019s reporting for its hardware and software assets; analyzed risk assessments for the eight selected mission-essential systems to determine whether threats and vulnerabilities were being identified; reviewed risk assessments for two facilities; analyzed CDC policies, procedures, and practices to determine their effectiveness in providing guidance to personnel responsible for securing information and information systems; and analyzed security plans for the eight selected systems to determine if those plans had been documented and updated according to federal guidance. We also evaluated the risk assessments for two facilities that housed the 8 mission-essential selected systems.", "For the protect core security function, we had examined access controls for the 24 systems. These controls included the complexity and expiration of password settings to determine if password management was being enforced; administrative users\u2019 system access permissions to determine whether their authorizations exceeded the access necessary to perform their assigned duties; firewall configurations, among other things, to determine whether system boundaries had been adequately protected; and physical security controls to determine if computer facilities and resources were being protected from espionage, sabotage, damage, and theft.", "We also had examined configurations for providing secure data transmissions across the network to determine whether sensitive data were being encrypted. In addition, we had examined configuration settings for routers, network management servers, switches, firewalls, and workstations to determine if settings adhered to configuration standards, and inspected key servers and workstations to determine if critical patches had been installed and/or were up-to-date. Further, we had examined training records to determine if employees and contractors had received security awareness training according to federal requirements, and whether personnel who have significant security responsibilities had received training commensurate with those responsibilities.", "For the detect core security function, we had analyzed centralized logging and network traffic monitoring capabilities for key assets connected to the network; analyzed CDC\u2019s procedures and results for assessing security controls to determine whether controls for the eight selected mission- essential systems had been sufficiently tested at least annually and based on risk. We also had reviewed the agency\u2019s implementation of continuous monitoring practices to determine whether the agency had developed and implemented a continuous monitoring strategy to manage its information technology assets and monitor the security configurations and vulnerabilities for those assets.", "For the respond core security function, we had reviewed CDC\u2019s implementation of incident response practices, including an examination of incident tickets for 11 incidents; and had examined the agency\u2019s process for correcting identified deficiencies for the eight selected mission-essential systems.", "For the recover core security function, we had examined contingency plans for eight selected mission-essential systems to determine whether those plans had been developed and tested. In assessing CDC\u2019s controls associated with this function, as well as the other four core functions, we had interviewed Office of the Chief Information Officer officials, as needed.", "Within the core security functions, as appropriate, we had evaluated the elements of CDC\u2019s information security program based on elements required by FISMA. For example, we analyzed risk assessments, security plans, security control assessments, and remedial action plans for each of the 8 selected mission-essential systems. In addition, we had assessed whether the agency had ensured staff had completed security awareness training and whether those with significant security responsibilities received commensurate training. We also had evaluated CDC\u2019s security policies and procedures.", "To determine the reliability of CDC\u2019s computer-processed data for training and incident response records, we had evaluated the materiality of the data to our audit objective and assessed the data by various means, including reviewing related documents, interviewing knowledgeable agency officials, and reviewing internal controls. Through a combination of methods, we concluded that the data were sufficiently reliable for the purposes of our work.", "To accomplish our second objective\u2014on CDC\u2019s actions to address the previously identified security program and technical control deficiencies and related recommendations\u2014we requested that the agency provide a status report of its actions to implement each of the recommendations. For each recommendation that CDC indicated it had implemented as of August 3, 2018, we examined supporting documents, observed or tested the associated security control or procedure, and/or interviewed the responsible agency officials to assess the effectiveness of the actions taken to implement the recommendation or otherwise resolve the underlying control deficiency. Based on this assessment and CDC status reports, we defined the status of each recommendation into the following 3 categories: closed-implemented\u2014CDC had implemented the recommendation; open-partially implemented\u2014CDC had made progress toward, but had not completed, implementing the recommendation; and open-not implemented\u2014CDC had not provided evidence that it had acted to implement the recommendation.", "We conducted this performance audit from December 2016 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: The National Institute of Standards and Technology Cybersecurity Framework", "paragraphs": ["The National Institute of Standards and Technology\u2019s cybersecurity framework consists of five core functions: identify, protect, detect, respond, and recover. Within the five functions are 23 categories and 108 subcategories, as described in the table."], "subsections": []}, {"section_title": "Appendix III: Comments from Department of Health and Human Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contacts and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contacts", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individuals named above, Gary Austin, Jennifer R. Franks, Jeffrey Knott, and Chris Warweg (assistant directors); Chibuikem Ajulu-Okeke, Angela Bell, Sa\u2019ar Dagani, Nancy Glover, Chaz Hubbard, George Kovachick, Sean Mays, Kevin Metcalf, Brandon Sanders, Michael Stevens, Daniel Swartz, and Angela Watson made key contributions to this report. Edward Alexander, Jr. and Duc Ngo (assistant directors); David Blanding, and Christopher Businsky also provided assistance."], "subsections": []}]}], "fastfact": ["IT systems at the Centers for Disease Control and Prevention are critical to securing sensitive data about the nation's health.", "In June 2018, we reported numerous deficiencies in CDC's information security program and controls that CDC used to identify risk, protect systems, detect and respond to cybersecurity events, and recover operations after such events. These deficiencies place sensitive information at higher risk of unauthorized disclosure, modification, or interruption.", "Since then, CDC has made significant progress bolstering its security by implementing 102 of our 195 recommendations and plans to address many more by September 2019."]} {"id": "GAO-18-389", "url": "https://www.gao.gov/products/GAO-18-389", "title": "Zika Supplemental Funding: Status of HHS Agencies' Obligations, Disbursements, and the Activities Funded", "published_date": "2018-05-14T00:00:00", "released_date": "2018-05-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Zika\u2014a virus primarily transmitted through mosquito bites\u2014can cause symptoms that include fever, rash, and joint and muscle pain. In pregnant women, the Zika virus can be passed to the fetus and cause severe brain defects. In response to an outbreak in the United States and its territories, Congress appropriated $932 million in September 2016 through the Zika Response and Preparedness Act to HHS and its agencies to prevent, prepare for, and respond to the Zika virus and its related health conditions, and conduct related research.", "The act also included a provision that GAO study the activities supported with the appropriated funds. This report describes (1) the status of funds obligated and disbursed from the Zika supplemental funding appropriated to HHS and its agencies; and (2) how selected awardees used their Zika supplemental funding, and their experiences with applying for and managing the funding. To do this work, GAO reviewed agency documents on Zika supplemental funding and activities, and interviewed officials from the HHS agencies and selected awardees. To select awardees, GAO identified states based on the amount of initial Zika supplemental funding they received from CDC, the Centers for Medicare & Medicaid Services, and the Health Resources and Services Administration; and selected states with the highest and lowest funding. In total, GAO selected 12 awardees: 10 states, as well as one county and one city from 2 of the 10 states.", "GAO provided a draft of this report to HHS. In response, HHS provided technical comments, which were incorporated as appropriate."]}, {"section_title": "What GAO Found", "paragraphs": ["As of September 30, 2017, Department of Health and Human Services\u2019 (HHS) agencies had obligated nearly all of the $932 million of Zika supplemental funding Congress appropriated in 2016 through the use of multiple funding mechanisms, including cooperative agreements, grants, and contracts. Four HHS agencies had small unobligated balances as of the September 30, 2017, obligation deadline; these balances cannot be used to incur new obligations, but may be used to adjust award amounts in future years. Disbursement of the obligated funds was ongoing, with about 21 percent of the Zika supplemental funding (approximately $195.5 million) disbursed as of December 31, 2017. The agencies have until September 30, 2022, to disburse the remainder.", "The 12 awardees GAO interviewed\u2014officials from 10 states and two local entities\u2014funded multiple activities with their Zika supplemental funding, and had varying experiences applying for and managing the funds.", "Awardees told GAO that they used their funding to support such activities as collection of information about individuals affected by the Zika virus (human surveillance), mosquito control activities, laboratory capacity building, public outreach, and health care services. For example, Florida used Zika supplemental funding in its state-run laboratories to purchase materials for testing Zika virus-related specimens.", "A majority of the awardees GAO spoke with reported positive experiences applying for and managing the Zika supplemental funding, including good communication with agency officials and awardees\u2019 familiarity with the mechanisms used to make the awards. However, some awardees noted challenges, such as time frames to use the funding that varied among multiple awards and identifying the activities that could be funded. These challenges added administrative burdens to applying for and managing the Zika supplemental funding while officials were responding to the outbreak, according to the awardees. In October 2017, the Centers for Disease Control and Prevention (CDC) issued a new notice of funding opportunity that agency officials said is intended to help minimize the administrative burden on states and certain localities during emergencies\u2014such as preparing applications\u2014by pre-approving public health departments in these jurisdictions to be eligible to rapidly receive future awards."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Zika virus outbreak in 2015 affected individuals infected with the virus in ways that had not been seen with other infectious disease outbreaks. Zika\u2014a virus primarily transmitted through mosquito bites\u2014can cause symptoms that include fever, rash, conjunctivitis (red eyes), and joint and muscle pain, though many infected individuals do not have symptoms or will only experience mild symptoms. However, in this outbreak, the Zika infection in pregnant women has been linked to adverse pregnancy and birth outcomes: the virus can be passed to the fetus and cause a birth defect of the brain called microcephaly and other severe brain defects, according to the Centers for Disease Control and Prevention (CDC). CDC officials note that this is the first time in more than 50 years that an infectious pathogen has been identified as the cause of birth defects. The virus is also linked to other problems, such as miscarriage, stillbirth, and other birth defects, as well as Guillain-Barr\u00e9 syndrome, an uncommon sickness of the nervous system. In the western hemisphere, the first cases of locally transmitted Zika virus disease were confirmed in Brazil in May 2015; in the continental United States, the first locally transmitted cases were confirmed in Florida during June to August 2016. The World Health Organization declared the Zika virus a Public Health Emergency of International Concern from February to November 2016, and maintains that it is a significant, enduring public health challenge.", "As of January 24, 2018, about 5,600 cases involving Zika virus disease have been reported in the United States and about 37,000 cases have been reported in the U.S. territories, primarily in Puerto Rico. In response to the outbreak, Congress appropriated $932 million in September 2016 through the Zika Response and Preparedness Act to the Department of Health and Human Services (HHS) and its agencies for activities such as responding to the Zika virus, developing vaccines, and reimbursement for health care costs related to the Zika virus. Specifically, the act appropriated $394 million to CDC, $152 million to the National Institutes of Health (NIH), and $387 million to HHS\u2019s Public Health and Social Services Emergency Fund (PHSSEF), of which $386 million was allocated to additional HHS agencies\u2014the Biomedical Advanced Research and Development Authority (BARDA) within the Office of the Assistant Secretary for Preparedness and Response, the Centers for Medicare & Medicaid Services (CMS), and the Health Resources and Services Administration (HRSA). The agencies had until September 30, 2017, to obligate the funding, for example, by awarding a contract or a grant to an entity (awardee). Agencies have until September 30, 2022, to disburse, or spend, the funding.", "The Zika Response and Preparedness Act included a provision that we study activities supported with funds appropriated by the act. In this report, we describe 1. the status of obligations and disbursements of Zika supplemental funding by HHS agencies; and 2. how selected awardees used their Zika supplemental funding, and their experiences with applying for and managing the funding.", "To describe the status of obligations and disbursements of Zika supplemental funding by HHS agencies, we analyzed BARDA, CDC, CMS, HRSA, and NIH obligation data as of September 30, 2017\u2014the date funding had to be obligated\u2014and disbursement data as of December 31, 2017\u2014the first full quarter of data available at the time of our review. Each agency provided tabulated data that included information such as the award title, awardee name and location, award amount, award time frame, and the funding mechanism the agency used to award the funding. We interviewed officials from each agency to discuss the status of the agencies\u2019 obligations and disbursements of the Zika supplemental funding, the different mechanisms used to award the funding, and the various factors that influenced the obligation and disbursement of the funding to awardees. We also reviewed documentation of the funding opportunity announcements to obtain information such as the activities allowed under each type of award. To determine the reliability of the data provided, we compared the tabulated award amounts received from CDC and HRSA to the actual notices of award provided by both agencies, and compared NIH award data to the amounts reported in NIH\u2019s online database. We also obtained information from BARDA, CMS, and NIH officials regarding the underlying financial data systems used to compile the data and the controls in place for recording and maintaining the data. We reviewed the data from each agency for data discrepancies and obtained the information necessary to resolve the discrepancies from relevant agency officials. Furthermore, we interviewed officials from HHS\u2019s Office of the Assistant Secretary for Financial Resources on the accuracy of the data and the steps the office takes to verify agencies\u2019 obligation and disbursement data. On this basis, we determined that the data were sufficiently reliable for the purposes of our reporting objectives.", "Additionally, to describe the various factors that can affect the disbursement of funding after obligation, we interviewed officials representing selected awardees. To select awardees, we first identified states that were awarded Zika supplemental funding from HHS agencies (45 states) based on our review of the amount of initial Zika supplemental funding they received from CDC, CMS, and HRSA. From those 45 states, we judgmentally selected 10 states\u20145 states with the highest funding and 5 states with the lowest funding\u2014which included the 2 states that experienced local Zika virus transmissions (Florida and Texas). Our selected states with the highest funding were Arizona, California, Florida, Louisiana, and Texas. Our selected states with the lowest funding were Alaska, Colorado, Iowa, Kansas, and Oklahoma. To obtain perspectives of awardees at the local level, we judgmentally selected two local awardees within 2 of the selected states\u2014Houston, Texas, and Los Angeles County, California. For each selected state or jurisdiction, we interviewed state, county, or city officials who could provide information about their Zika supplemental funding. The perspectives of the 12 awardees we interviewed cannot be generalized to other awardees.", "To describe how selected awardees used their Zika supplemental funding and gain their perspectives on applying for and managing this funding, we reviewed documentation from the 12 selected awardees to identify the activities they funded. We also interviewed officials from the selected awardees (state officials and officials from one county and one city) about their experiences with using the Zika supplemental funding and to obtain examples of awardees\u2019 Zika activities. We conducted site visits to Florida and Texas, because at the time of our work, they alone had reported local Zika virus transmissions. Additionally, we reviewed CDC and CMS documents to determine the amount of funding received and the purpose of the funding for each of the selected awardees. We also interviewed CDC officials regarding any changes the agency has made to its plans for awarding funding in the future.", "We conducted this performance audit from April 2017 to May 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["During a disease outbreak, including the Zika virus, HHS is the lead federal agency for public health and medical response, and it leverages national public health and medical resources to prepare for and respond to the outbreak."], "subsections": [{"section_title": "Zika Virus Transmission and Prevention", "paragraphs": ["The Zika virus is primarily transmitted to humans by infected mosquitoes, but can also be transmitted from mother to child during pregnancy or around the time of birth, or from person-to-person through sexual contact or blood transfusion. According to CDC, once an individual has been infected with the Zika virus, they are likely to be protected from future infections. The Aedes aegypti mosquitoes are reportedly the primary mosquito spreading the Zika virus, while the Aedes albopictus mosquitoes, which share many of the same traits as Aedes aegypti, also have the ability to spread the virus. Local transmission of the virus has occurred in American Samoa, Florida, Puerto Rico, Texas, and the U.S.", "Virgin Islands. Travel-associated cases of Zika virus infection have been reported in every state, with the largest numbers of cases reported in California, Florida, New York, and Texas.", "There is no vaccine to prevent the Zika virus, so CDC guidance recommends preventing the spread of the virus by protecting against mosquito bites by wearing protective clothing, using insect repellant, and staying in places with air conditioning and window and door screens to keep mosquitoes outside, among other actions. Mosquito control in the United States is implemented and overseen at the state and local levels by entities such as mosquito control districts and health agencies. Federal agencies support such control entities with funding and subject matter experts, and may regulate some control methods such as pesticides."], "subsections": []}, {"section_title": "Zika Funding Prior to September 2016", "paragraphs": ["In April 2016, the Office of Management and Budget and the Secretary of Health and Human Services announced that they had identified $589 million\u2014$510 million of it from existing Ebola virus disease resources within HHS, the Department of State, and the U.S. Agency for International Development\u2014that could quickly be redirected and spent on immediate efforts to control and respond to the spread of the Zika virus. According to HHS, out of the $589 million, $374 million was redirected to domestic Zika virus control activities. HHS reports that almost all of this funding ($354 million) was distributed to three HHS agencies, as follows:", "CDC received $222 million for various activities including field staff, state response teams, Zika virus testing, tracking of pregnant women who were infected with the Zika virus, and grants for mosquito control and other Zika prevention activities;", "BARDA received $85 million for private sector development of Zika vaccines, treatments, and technologies to protect the blood supply, and other countermeasures; and", "NIH received $47 million for Zika medical countermeasure development, including clinical trials on the leading Zika vaccine candidate.", "Additionally, according to HHS officials, in August 2016, the Secretary of Health and Human Services notified Congress of the department\u2019s intent to redirect an additional $81 million in unobligated HHS funds for Zika vaccine development activities. Of this amount, $34 million was drawn from accounts at NIH and $47 million was drawn from funds transferred from other HHS agencies and reprogrammed from within PHSSEF. From these redirected funds, $34 million (i.e., the amount drawn from other NIH accounts) was to be used by NIH to continue clinical trials on its lead Zika vaccine candidate. The remaining $47 million was to be used by BARDA for continued private sector Zika vaccine development."], "subsections": []}, {"section_title": "September 2016 Zika Supplemental Funding", "paragraphs": ["In September 2016, Congress appropriated $932 million to HHS and its agencies in the Zika Response and Preparedness Act. Of that amount, $394 million was appropriated directly to CDC and $152 million was appropriated directly to NIH. The remainder was appropriated to HHS\u2019s PHSSEF, from which HHS allocated $245 million to BARDA within the Office of the Assistant Secretary for Preparedness and Response, $75 million to CMS, and $66 million to HRSA. (See fig. 1.)", "The Zika supplemental funding remained available for obligation until September 30, 2017, for the following purposes:", "CDC: to prevent, prepare for, and respond to the Zika virus, health conditions related to the virus, and other vector-borne diseases, domestically and internationally.", "NIH: for research on the virology, natural history, and pathogenesis of the Zika virus infection, and preclinical and clinical development of vaccines and other medical countermeasures for the Zika virus and other vector-borne diseases, domestically and internationally.", "PHSSEF: for various activities, including to prevent, prepare for, and respond to the Zika virus, health conditions related to the virus and other vector-borne diseases, domestically and internationally; and to develop necessary countermeasures and vaccines, including the development and purchase of vaccines, therapeutics, diagnostics, necessary medical supplies, and administrative activities.", "BARDA: HHS allocated funding to BARDA to support further development of Zika vaccine candidates, diagnostics, and pathogen reduction technologies initiated in fiscal year 2016 to advance these projects toward licensure or approval by the Food and Drug Administration.", "CMS: HHS allocated funding to CMS for expenses to support states, territories, tribes, or tribal organizations with active or local transmission cases of the Zika virus, as confirmed by CDC. The funding was allocated to reimburse the costs of health care for health conditions related to the Zika virus, other than costs that are covered by private health insurance, of which not less than $60 million were for territories with the highest rates of Zika virus transmission.", "HRSA: HHS allocated $20 million for projects of regional and national significance in Puerto Rico and other U.S. territories, $40 million to expand the delivery of primary health services in Puerto Rico and the other territories, and $6 million to be used to assign National Health Service Corps members to Puerto Rico and the other territories to provide primary health services in areas affected by the Zika virus or other vector-borne diseases through the National Health Service Corps Loan Repayment Program.", "Agencies have until September 30, 2022, to disburse the Zika supplemental funding appropriated by the Zika Response and Preparedness Act."], "subsections": []}]}, {"section_title": "HHS Agencies Have Obligated Nearly All of the Zika Supplemental Funding; Disbursements Are Ongoing", "paragraphs": [], "subsections": [{"section_title": "Agencies Obligated Nearly All of Their Zika Supplemental Funding as of September 30, 2017, Primarily Through Cooperative Agreements, Grants, and Contracts", "paragraphs": ["We found that as of September 30, 2017\u2014the end of the Zika supplemental appropriation\u2019s period of availability\u2014nearly all Zika supplemental funding had been obligated, primarily through cooperative agreements, grants, and contracts. BARDA obligated 100 percent of its Zika supplemental funding, while CDC, CMS, HRSA, and NIH obligated over 99 percent of their funding. (See table 1.)", "Three of the five agencies had obligated over half of their Zika supplemental funding by January 31, 2017, 4 months after enactment of the appropriation. For example, according to CDC officials, using cooperative agreements with application processes familiar to the awardees helped enable the agency to obligate its funding soon after receiving the appropriation. Some agencies began obligating later in the one-year obligation time frame based on their approach to obligating the Zika supplemental funding. For example, CMS withheld a portion of its supplemental funds in the event additional awardees became eligible for funding within the obligation time frame\u2014eligibility included having active or local transmission of the Zika virus.", "Agency officials told us that they used cooperative agreements, grants, and contracts to award Zika supplemental funding to existing and new awardees. The agencies also used other mechanisms to obligate the Zika supplemental funding, such as interagency agreements, intramural research awards, and funding used within the agency for travel and other expenses. According to officials, agencies used these mechanisms to award Zika supplemental funding in the following ways.", "BARDA executed new contracts and modified existing contracts through the agency\u2019s typical contracting process, officials said, for research in the areas of Zika clinical diagnostics and vaccine development. BARDA did not use any Zika supplemental funding to support internal administrative or personnel costs. (See app. I for the contracts BARDA awarded with its Zika supplemental funding.)", "CDC generally obligated Zika supplemental funding to current awardees through existing cooperative agreements, according to agency officials. (See app. II through VII for the cooperative agreements CDC used to award Zika supplemental funding to existing awardees.) CDC also awarded funding through contracts and interagency agreements, and obligated about $24 million for internal CDC expenses, such as salaries and benefits, travel, supplies, and equipment. (See app. VIII for the contracts and interagency agreements CDC awarded with its Zika supplemental funding.)", "CMS created a new program\u2014the Zika Health Care Services Program\u2014to award its Zika supplemental funding through cooperative agreements, according to agency officials. The purpose of the 3-year program is to support prevention activities and treatment services for women (including pregnant women), children, and men adversely or potentially affected by the Zika virus. CMS awarded funding through the Zika Health Care Services Program to those states, territories, tribes, or tribal organizations with active or local transmission of the Zika virus, as confirmed by CDC. CMS awarded funding to the health departments in American Samoa, Florida, Puerto Rico, and the U.S. Virgin Islands in January 2017. In June 2017, CMS awarded funding to the health department in Texas, the only new state or territory with local transmission of the Zika virus. In both CMS award rounds, only states and territories received awards, because they were the only areas with active or local transmission of the Zika virus. CMS retained about $3.6 million of the Zika supplemental funding to use for administrative support services, as well as for travel for monitoring and oversight. (See app. IX for the awards CMS made with its Zika supplemental funding.)", "HRSA generally obligated Zika supplemental funding through grants to existing awardees, according to agency officials. HRSA did not retain any Zika supplemental funding for internal activities. (See app. X for the grants HRSA awarded.)", "NIH used grants and contracts to award its Zika supplemental funding to new and existing awardees. NIH also used about $95 million of the Zika supplemental funding for internal activities\u2014studies conducted by NIH researchers. According to NIH officials, the somewhat unique aspects of the Zika virus as an arbovirus infectious disease led NIH to focus on vaccines as a priority, along with development of diagnostics, therapeutics, vector control, and surveillance. (See app. XI for NIH\u2019s Zika supplemental awards.)", "For more information on the funding provided by CDC, CMS, and HRSA\u2014the only agencies that provided funding for states and territories\u2014and the number of reported Zika cases by state or territory, see an interactive graphic at https://www.gao.gov/products/GAO-18-389.", "Officials from all five agencies cited coordination initiatives through regular interagency or organizational teleconferences and participation in working groups. According to CMS officials, during the Zika virus response, CDC, CMS, HRSA, and other federal partners held interagency Zika coordination calls to discuss ongoing developments related to the Zika virus. Additionally, because CMS and HRSA were both awarding funding for perinatal health care services, officials said they collaborated to ensure that activities available through the CMS grants complemented the activities available through HRSA\u2019s Special Projects of Regional and National Significance. In addition, HRSA officials reported conducting joint site visits with CDC and CMS, as well as streamlining reporting requirements to reduce grantee reporting burden. Furthermore, BARDA officials said that they awarded and administered a contract for CDC on the development of a vector control product. CDC provided the funding and topical subject matter expertise for the award, and BARDA provided management services for the contract, because of BARDA\u2019s experience with these types of contracts. BARDA and NIH officials also reported collaborating on vaccine development. BARDA officials explained that while the vaccine development process requires that different agencies support multiple vaccine development candidates, the two agencies coordinated to avoid redundancy."], "subsections": []}, {"section_title": "Agencies Had Disbursed About 21 Percent of the Zika Supplemental Funding as of December 31, 2017", "paragraphs": ["We found that as of December 31, 2017, the HHS agencies had disbursed about 21 percent (approximately $195.5 million of $932 million) of the Zika supplemental funding. According to agency officials and selected awardees we spoke with, various factors can affect the disbursement of funding after obligation. These factors include time to draw down funding from the federal agencies, allowing for program implementation and a planning period, and awardees\u2019 internal administrative processes and unique characteristics, as described below.", "Drawdown procedures. CDC officials said that awardees draw down federal funding on their individual schedules based upon how they manage their federal funding. Some awardees draw down on a daily basis, as needed, while others draw down on a biweekly or monthly basis. Additionally, drawdowns for personnel costs coincide with payroll schedules, which could be biweekly or monthly. For example, in the case of monthly payroll, two awardees told us that the federal funding for a particular month\u2019s expenses would be drawn down the following month. Furthermore, selected awardees we spoke with said that they draw down federal funding after they have incurred an expense, such as when they receive an invoice. For example, Los Angeles County officials reported that in order to draw down the funds for the organization that is responsible for servicing their vector control activities, they have to first receive an invoice from the organization, which the county pays with its own funds. Only then can the county draw down the federal funding. This process usually results in at least a 3-month period between receiving the invoice and drawing down the federal funding, officials said.", "Program implementation and planning period. According to CMS officials, the agency awarded funding to health departments in American Samoa, Florida, Puerto Rico, Texas, and the U.S. Virgin Islands from the Zika Health Care Services Program, which was a new collaboration between CMS and these specific awardees. The officials said that the steps awardees needed to take to stand-up new programs\u2014such as budget review and approval processes, selection of key personnel to administer the grant, grant activities related to contracting, and hiring and procurement\u2014can delay start-up and implementation of the grant programs.", "Additionally, CMS gave awardees in the Zika Health Care Services Program a 3-month planning period after they received their notices of award to amend their activities. For example, Texas officials reported that they used the 3-month planning period to work on executing contracts with the local health departments in three counties bordering Mexico. Texas officials explained that collaborating with the local health departments entailed determining the greatest potential benefit of the use of the funds, because the award itself was not enough to cover all of the costs of direct health care services associated with the Zika virus.", "Awardees\u2019 processes and characteristics. Local administrative processes for spending federal supplemental funds can result in varied disbursement time frames. For example, California received Zika supplemental funding for an award that required an amendment to an administrative contract, which state officials said takes about 7 to 8 months for internal state approval. Additionally, certain awardees\u2019 characteristics affect disbursements. For example, Houston officials said the city was eligible for and was directly awarded a CDC cooperative agreement, but because it does not conduct vector control activities itself, the city had to negotiate a contract with the surrounding county to conduct these activities, adding additional time before it could begin disbursements.", "Officials also noted that awardees\u2019 personnel hiring issues can affect disbursement time frames. For example, CMS officials said that some territories experienced delays in carrying out activities due to provider shortages, particularly among specialists needed to care for children with developmental delays and birth defects caused by the Zika virus. CMS officials noted that island jurisdictions, such as the U.S. territories, can find hiring more difficult due to a shortage of health care professionals available within the territory, thus requiring individuals to be recruited from outside the territory, which adds time to the process and raises costs. In addition, Florida officials in Miami-Dade County reported that the necessary staff surge during the Zika response was challenging to fill, noting that it was particularly difficult to find phlebotomists and nurses, because they were in high demand.", "Standard vaccine development processes also influenced the rate of disbursement. Due to the long duration of the vaccine development process, BARDA officials said, disbursements to certain awardees have occurred at varying intervals. For example, some contract invoices are received on a monthly basis, or twice a month if the company is a small business. The invoices are then reviewed and if deemed acceptable, they are processed for payment.", "The 2017 hurricane season may have affected certain awardees\u2019 use of their Zika supplemental funding, which prompted agencies to respond by approving various types of short-term relief for administrative, financial management, and audit requirements for awardees affected by the hurricanes. Three agencies\u2014CDC, CMS, and HRSA\u2014awarded Zika supplemental funding to areas affected by hurricanes Harvey, Irma, and Maria in 2017: Florida, Puerto Rico, Texas, and the U.S. Virgin Islands. CDC officials told us, for example, that because of the hurricanes they granted extensions at the request of the awardees for submitting financial and progress reports, and continuation of activities. Similarly, CMS offered hurricane-affected awardees of the Zika Health Care Services Program the option to extend the deadline for deliverables, if necessary. CMS officials told us that grant activities had been affected by the hurricanes, and all grantees had communicated the intent to fully resume activities as soon as they are able to do so. Due to the 3-year project period for grantees, CMS officials said that the affected entities can still accomplish programmatic responsibilities, even if there is a temporary halt in project activities. Furthermore, HRSA officials said that they provided Puerto Rico and the U.S. Virgin Islands with extensions on required program, financial, and audit reports."], "subsections": []}]}, {"section_title": "Selected Awardees Undertook Multiple Activities with Zika Supplemental Funding, and Had Varying Experiences Applying for and Managing Funds", "paragraphs": [], "subsections": [{"section_title": "Selected Awardees Used Zika Supplemental Funding for Activities Including Surveillance, Vector Control, Laboratory Capacity, and Health Care Services", "paragraphs": ["Selected awardees we spoke with used Zika supplemental funding for a variety of activities. Collectively, the activities included four primary types: medical surveillance, vector control, laboratory capacity building, and providing health care services, as described below.", "Medical surveillance activities include identifying and reporting Zika virus disease cases to CDC, as well as reporting Zika virus infections in pregnant women and infants to the U.S. Zika Pregnancy Registry.", "Vector control activities include detecting and monitoring Aedes aegypti and Aedes albopictus mosquito distribution and mosquito control, and monitoring of insecticide resistance and management.", "Laboratory capacity building activities include developing laboratory capacity to perform Zika virus testing.", "Health care service activities for those selected awardees that received funding from CMS (Florida and Texas) included increasing access to contraceptive services for men and women; increasing access to and reducing barriers to diagnostic testing, screening, and counseling for pregnant women and newborns; and increasing access to appropriate specialized health care services for pregnant women, children born to mothers with maternal Zika virus infection, and their families.", "Table 2 provides examples of the types of activities funded by the selected awardees we interviewed. This table does not include a comprehensive list of all of the awardees\u2019 Zika activities\u2014see appendixes II through VI, and appendix IX for more information on the Zika supplemental funding CDC and CMS awarded to states, territories, and local jurisdictions.", "Of the awardees we spoke with, Florida and Texas were the only states that had experienced local mosquito-borne transmission of the Zika virus. Other selected awardees\u2014which included Arizona, Los Angeles County, and Louisiana\u2014were primarily responding to travel-related cases of Zika virus disease. The following are additional examples of activities funded using Zika supplemental funding. For more information on the types of activities authorized under each award, see appendixes II-VI and IX.", "Florida. Florida, which has a centralized health department with county- based offices, used Zika supplemental funding for laboratory capacity and vector control activities, among other activities. According to state officials, funding for state-run laboratories was used for purchasing materials, such as those used for testing urine for the Zika virus, and funding staff located in counties to assist with handling Zika samples and testing, data entry, and result reporting to surveillance networks. Additionally, Florida used Zika supplemental funding for local vector control activities. For example, Miami-Dade County officials said that they purchased mosquito traps and removed mosquito breeding grounds, including plants, tires, and other objects that can hold standing water. (See fig. 2 for examples of the mosquito control activities in Miami-Dade County.)", "Through CMS\u2019s Zika Health Care Services Program, Florida received funding for, among other things, two part-time advanced registered nurse practitioners to provide consultation and technical assistance in family planning clinics, and assist in the prescribing and management of various birth control methods. Florida also funded a health educator for Zika prevention and response duties, which included assisting local health care organizations in the development of educational programming to ensure that health care services are provided in accordance with CDC guidelines. The health educator\u2019s duties also included ensuring that pregnant women with the Zika virus and infants with congenital Zika infection are referred to proper care and other available programs and resources.", "Texas. Texas officials said that the state used a CDC award to rapidly identify cases and conduct data analysis of Zika-related birth defects, to enhance surveillance of Zika virus-related birth defects by improving the Texas Birth Defects Registry database, and to facilitate remote access to electronic records. Texas also disseminated prevention materials and interviewed mothers of children with Zika-related birth defects about their experience in dealing with the health system in order to help identify developmental outcomes of the children.", "Texas intends to use its CMS Zika Health Care Services Program funding\u2014awarded on June 30, 2017\u2014to increase clients\u2019 access to contraceptives; for care management, including counseling on Zika virus testing for pregnant women and their families; and for counseling to refer clients for services and support. State officials provided the following information on some of the activities intended for the program. 1. Increasing clients\u2019 access to contraceptives: Community health workers and case management staff will assist clinic providers with informing women and their partners about contraceptive availability and about the potential Zika virus risks during pregnancy. They will also work with the women to determine what messages work best with their partners regarding contraceptives. 2. Care management that includes pre- and post-test counseling on Zika virus testing for pregnant women and their families: Officials said that this activity is important because the CDC testing algorithm is complex, the results from various tests can be confusing, and there can be false positives from the tests. Generally, doctors do not have the time to go through the complexities of these issues with clients, such as how to understand the laboratory tests and results. 3. Counseling to refer clients for services and supports: This can include counseling about various types of resources to support clients pre- delivery, after delivery, and during the infant\u2019s first year of life.", "Arizona. According to state officials, Zika supplemental funding was used to create an action plan with counties, and increase the state\u2019s ability to raise public awareness about the threat of the Zika virus, its transmission routes, and prevention measures. Officials stated that Arizona\u2019s border with Mexico makes communicating about Zika more complex, because individuals frequently cross the border for a variety of reasons including work, school, and to visit family, and do not necessarily consider themselves to be travelers. Additionally, the state used funding to increase the amount of personal protective equipment for the vector surveillance staff, and set up vector control contracts that could be accessed if the Zika virus spread locally, and in the event that vector control could not be handled at the local level. However, this contracting mechanism was not used, because there was no local transmission of the Zika virus in Arizona. According to state officials, Arizona plans to ask for an extension to use the funding in the next mosquito season. The state health department also sponsored training on mosquito identification.", "Los Angeles County. County officials said that some funding was used to support personnel involved with Zika surveillance, testing, and case management. This included the detection of cases\u2014individuals diagnosed with Zika infection\u2014and also the dissemination of information to Los Angeles County\u2019s Maternal and Child Health group, which follows pregnant women through delivery and then transfers the cases to the county\u2019s Children\u2019s Medical Services group. For example, according to officials, once a case is identified, information is shared with the relevant vector control district about the location of the case, and the vector control district can then conduct inspection and abatement activities to reduce the risk of a local outbreak. Los Angeles County officials found that this process takes about one week from finding out about a case to completion of inspection and abatement. This included 1 day to get information to the vector control district and 1 to 5 days for completing inspection and abatement. The funding was also used to provide funds to the vector control districts to augment Aedes mosquito detection efforts and support outreach activities, according to county officials.", "Louisiana. Louisiana officials said they used a CDC award, in part, to provide equipment and mileage reimbursement for nurses, who served as clinical liaisons between the birth defects surveillance program and hospitals and physicians statewide, to help enable rapid surveillance activities.", "Awardees also funded other activities, such as outreach campaigns. See figure 3 for examples of outreach funded with Zika supplemental funding."], "subsections": []}, {"section_title": "Selected Awardees Had Mixed Experiences Applying for and Managing the Zika Supplemental Funding", "paragraphs": ["While a majority of the 12 selected awardees we spoke with reported positive experiences with the process of applying for and managing the Zika supplemental funding, some awardees cited aspects of the process that were challenging. The awardees we spoke with received much of their supplemental funding from CDC and noted that the process went well: there was good communication with CDC officials; CDC\u2019s Epidemiology and Laboratory Capacity for Infectious Diseases cooperative agreement process to apply for Zika supplemental funds was more streamlined than the regular application process; and awardees said they were familiar with the mechanisms, which helped them navigate the process.", "Awardees we spoke to also cited some challenges to applying for and managing the Zika supplemental funding. These awardees noted that various time frames among multiple awards and restrictions on authorized activities under the awards added administrative burdens that officials had to deal with while responding to the outbreak. Florida officials said that the state received funding from different federal agencies, from different cooperative agreement awards, with different deadlines, and different rules on what the funding could be used for. For example, CDC distributed Zika supplemental funds to states and certain localities and territories through five cooperative agreements\u2014some of which had multiple application rounds. Florida officials said that they had to track funding separately and identify the activities that could be funded under each award\u2014administrative requirements that were burdensome during an emergency response. Figure 4 presents the period of time Florida had to use the Zika supplemental funding from multiple awards received from CDC.", "In addition, awardees we spoke with cited challenges with adjusting their plans when federal funding was more or less than anticipated. For example, CDC officials said that they provided average award amount ranges as guidance for awardees as part of the application process for one of CDC\u2019s cooperative agreements. Los Angeles County officials said that they applied for an amount that was near the limit, and county officials said that they had to adjust the activities they planned to fund when they received less than what they applied for. Iowa officials said that without knowing exactly how much funding would be available it was difficult to know what to apply for and made staffing changes difficult. Iowa officials had to adjust their initial plan when they later received additional unexpected funding.", "In October 2017, CDC issued a new notice of funding opportunity that, according to agency officials, was intended to help minimize the administrative burden on these awardees (e.g., preparing applications and other paperwork) during significant public health emergencies by pre- approving public health departments in these jurisdictions to rapidly receive future awards. This new notice of funding opportunity will be used to establish a list of awardees, with existing emergency preparedness and response capacity, that would be pre-approved for funding by CDC when a public health threat occurs, including infectious disease threats. It requires that awardees have structures and plans in place to receive funding, as well as plans to respond to a public health threat. According to CDC officials, awards could potentially be provided within 2 weeks to pre-approved awardees after supplemental appropriations are enacted. According to CDC officials, as of February 2018, the agency had approved all 64 applicants for the notice of funding opportunity. This means that CDC will consider these approved applicants for future funding if an emergency occurs and funding becomes available."], "subsections": []}]}, {"section_title": "Agency and Third- Party Comments", "paragraphs": ["We provided a draft of this report to HHS for review and comment. HHS provided technical comments, which we incorporated as appropriate.", "We also provided relevant draft portions of this report to the Zika supplemental funding awardees we interviewed. Specifically, we provided the excerpts to officials in Alaska; Arizona; California; Colorado; Florida; Houston, Texas; Iowa; Kansas; Los Angeles County, California; Louisiana; Oklahoma; and Texas. All but one awardee responded. Awardees provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Health and Human Services, and to other interested parties. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-7114 or crossem@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix XII."], "subsections": []}]}, {"section_title": "Appendix I: Biomedical Advanced Research and Development Authority\u2019s Zika Supplemental Awards", "paragraphs": ["The Biomedical Advanced Research and Development Authority (BARDA), within the Department of Health and Human Services\u2019 Office of the Assistant Secretary for Preparedness and Response, executed contracts to obligate its Zika supplemental funding for research in the areas of (1) vaccine development, (2) diagnostic development, and (3) pathogen reduction systems.", "Table 3 presents information for each award as it was provided to us by BARDA."], "subsections": []}, {"section_title": "Appendix II: Centers for Disease Control and Prevention\u2014Epidemiology and Laboratory Capacity for Infectious Diseases Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through the Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) cooperative agreement. CDC awarded Zika supplemental funding for the ELC cooperative agreement for the following activities:", "Zika vector surveillance and control,", "Zika epidemiology and laboratory surveillance, and", "U.S. Zika Pregnancy Registry.", "The Zika supplemental funding awarded through the ELC cooperative agreement was to further support and strengthen activities to protect the public\u2019s health, especially pregnant women, through epidemiologic surveillance and investigation, improving mosquito control and monitoring, and strengthening laboratory capacity. The funding will also support participation in the U.S. Zika Pregnancy Registry to monitor pregnant women with the Zika virus disease and their infants.", "For each award, we present information as it was provided to us by CDC, as well as the activities funded. Table 4 provides information on ELC Zika supplemental funding awarded to states and territories, and table 5 presents information on awards to local health departments.", "In addition to states and territories, six large city and county local health departments\u2014Chicago, the District of Columbia, Houston, Los Angeles County, New York City, and Philadelphia\u2014received ELC Zika supplemental awards."], "subsections": []}, {"section_title": "Appendix III: Centers for Disease Control and Prevention\u2014Birth Defects Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through the Surveillance, Intervention, and Referral to Services Activities for Infants with Microcephaly or other Adverse Outcomes Linked with the Zika Virus (birth defects) cooperative agreement.", "The Zika supplemental funding awarded through the birth defects cooperative agreement was to provide additional resources to better establish, enhance, and maintain rapid population-based surveillance of microcephaly and other adverse outcomes (especially central nervous system defects) possibly linked to Zika virus infection during pregnancy using an active case-finding methodology; participation in centralized pooled clinical and surveillance data projects; ensuring affected infants and families are referred to services; and assessing health and developmental outcomes of these children.", "Table 6 presents information for each award as it was provided to us by CDC."], "subsections": []}, {"section_title": "Appendix IV: Centers for Disease Control and Prevention\u2014Behavioral Risk Factor Surveillance System Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through the Behavioral Risk Factor Surveillance System (BRFSS) cooperative agreement.", "The Zika supplemental funding awarded through the BRFSS cooperative agreement was to conduct a rapid population-based assessment of women and couples using or in need of contraceptives in order to provide comprehensive contraceptive services related to Zika virus exposure.", "Table 7 presents information for each award as it was provided to us by CDC."], "subsections": []}, {"section_title": "Appendix V: Centers for Disease Control and Prevention\u2014Pregnancy Risk Assessment Monitoring System Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through the Pregnancy Risk Assessment Monitoring System (PRAMS) cooperative agreement.", "The Zika supplemental funding awarded through the PRAMS cooperative agreement was to assess maternal behaviors and experiences related to Zika virus exposure among recently pregnant women who deliver a live- born infant in the United States.", "Table 8 presents information for each award as it was provided to us by CDC."], "subsections": []}, {"section_title": "Appendix VI: Centers for Disease Control and Prevention\u2014Public Health Preparedness and Response Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through the Public Health Preparedness and Response (PHPR) Cooperative Agreement for All-Hazards Public Health Emergencies.", "According to CDC officials, the Zika supplemental funding awarded through the PHPR cooperative agreement was to enable identified state, territorial, and local jurisdictions to address Zika virus disease planning and operational response gaps.", "Table 9 presents information for each award as it was provided to us by CDC."], "subsections": []}, {"section_title": "Appendix VII: Centers for Disease Control and Prevention\u2014Other Cooperative Agreements\u2019 Awardees", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through additional cooperative agreements.", "Tables 10-17 present information for each award as it was provided to us by CDC."], "subsections": [{"section_title": "Administrative Support for the Zika Supplemental for Sentinel Enhanced Dengue Surveillance System Project", "paragraphs": ["The Zika supplemental funding awarded through the Sentinel Enhanced Dengue Surveillance System Project cooperative agreement was to support sites working to provide new information on dengue and other acute febrile illnesses in Puerto Rico, which is located in the subtropics and where dengue epidemiology is similar to dengue endemic areas worldwide. The Zika supplemental funding was for two studies: (1) pregnant women with Zika infection, and (2) postnatal Zika infection by following 0-5 year old children."], "subsections": []}, {"section_title": "Vector-Borne Disease Regional Centers of Excellence", "paragraphs": ["The Zika supplemental funding awarded through the Vector-Borne Disease Regional Centers of Excellence cooperative agreement is to establish regional centers of excellence aimed at building the capacity to address the problem of emerging and exotic vector-borne diseases in the United States, including Zika virus infection."], "subsections": []}, {"section_title": "Enhancing Capacity for Vector Surveillance and Control to Prevent Zika, Dengue and Chikungunya Infection in Puerto Rico", "paragraphs": ["The Zika supplemental funding awarded through the Enhancing Capacity for Vector Surveillance and Control to Prevent Zika, Dengue and Chikungunya Infection in Puerto Rico cooperative agreement is to fund activities to increase the surveillance and control of vectors, specifically Aedes aegypti mosquitoes (the vector of dengue, chikungunya, and Zika). The purpose of the program is to establish a vector control unit to oversee and implement comprehensive vector control activities in Puerto Rico."], "subsections": []}, {"section_title": "Immunization Grants-CDC Partnership: Strengthening Public Health Laboratories", "paragraphs": ["The Zika supplemental funding awarded through the Immunization Grants-CDC Partnership: Strengthening Public Health Laboratories cooperative agreement is to promote quality and safe public health laboratory practice, improve public health laboratory infrastructure, strengthen the public health laboratory system, and develop a well-trained public health laboratory workforce."], "subsections": []}, {"section_title": "Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations", "paragraphs": ["According to CDC officials, the Zika supplemental funding awarded through the Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations cooperative agreement is to ensure national capacity for responding to the Zika outbreak and meeting the needs of those affected, such as by reaching out to specialized constituents to ensure they were informed on epidemiology and practice guidelines."], "subsections": []}, {"section_title": "Strengthening the Public Health System in the U.S.- Affiliated Pacific Islands", "paragraphs": ["The Zika supplemental funding awarded through the Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands cooperative agreement is to provide capacity building assistance through a regional, nonprofit organization to strengthen the U.S.-Affiliated Pacific Islands\u2019 public health leadership, workforce, and public health systems and infrastructure in response to Zika virus within the U.S. Pacific territories."], "subsections": []}, {"section_title": "Pan American Health Organization: Building Capacity and Networks to Address Emerging Infectious Diseases in the Americas", "paragraphs": ["The Zika supplemental funding awarded through the Pan American Health Organization: Building Capacity and Networks to Address Emerging Infectious Diseases in the Americas cooperative agreement is for various activities including technical assistance, such as to develop standard operating procedures for diagnostic and integrated surveillance activities, as well as to support the development, implementation, and evaluation of diagnostic and surveillance guidelines."], "subsections": []}, {"section_title": "Global Health Security Partner Engagement: Expanding Efforts and Strategies to Protect and Improve Public Health Globally", "paragraphs": ["According to CDC officials, the Zika supplemental funding awarded through the Global Health Security Partner Engagement: Expanding Efforts and Strategies to Protect and Improve Public Health Globally cooperative agreement is for enhanced surveillance for pregnant women in Colombia, including laboratory testing and case investigations."], "subsections": []}]}, {"section_title": "Appendix VIII: Centers for Disease Control and Prevention\u2014Contracts and Interagency Agreements", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Disease Control and Prevention (CDC) through additional contracts and interagency agreements.", "Tables 18 and 19 present information for each award as it was provided to us by CDC, as well as the activity funded."], "subsections": []}, {"section_title": "Appendix IX: Centers for Medicare & Medicaid Services\u2014Zika Health Care Services Program Awards", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Centers for Medicare & Medicaid Services (CMS) through the Zika Health Care Services Program. The Zika Health Care Services Program is aimed at supporting prevention activities and treatment services for women (including pregnant women), children, and men adversely or potentially affected by the Zika virus. According to CMS documentation, the Zika Health Care Service Program is intended to address four critical components of a comprehensive response to Zika: 1. Increase access to contraceptive services for women and men. 2. Increase access to and reduce barriers to diagnostic testing, screening, and counseling for pregnant women and newborns. 3. Increase access to appropriate specialized health care services for pregnant women, children born to mothers with maternal Zika virus infection, and their families. 4. Improve provider capacity and capability.", "CMS awarded funding through the Zika Health Care Services Program, in two award rounds, to states, territories, tribes, or tribal organizations with active or local transmission of the Zika virus, as confirmed by the Centers for Disease Control and Prevention. In January 2017, CMS awarded funding to American Samoa, Florida, Puerto Rico, and the U.S. Virgin Islands. In June 2017, CMS awarded funding to Texas, the only new area with local transmission of the Zika virus. Table 20 presents the awards CMS made through its Zika Health Care Services Program."], "subsections": []}, {"section_title": "Appendix X: Health Resources and Services Administration\u2019s Zika Supplemental Awards", "paragraphs": ["This appendix presents information on Zika supplemental funding awards made by the Health Resources and Services Administration (HRSA) to health centers and for Special Projects of Regional and National Significance.", "Health centers: HRSA provided awards to health centers through supplemental grant awards to support existing health centers in Puerto Rico and other territories in their efforts to expand the delivery of health care services, including the prevention of Zika and prevention and treatment of Zika-related illness. HRSA also provided supplemental grant awards to existing Health Center Program cooperative agreement awardees for efforts to provide training and technical assistance for Zika-related health center expansion activities.", "Special Projects of Regional and National Significance: HRSA provided awards for Special Projects of Regional and National Significance to support public health departments and other entities in Puerto Rico and other territories in efforts to ensure access to recommended services for pregnant women, infants, and children infected by the Zika virus in the prenatal, perinatal, and neonatal period. Activities include early identification through developmental screening, regular assessments and monitoring, telemedicine, care coordination, enabling services, family engagement and family-to- family support; purchasing of diagnostic equipment and health information technology; and the training of health care providers, care coordinators, and other health care and public health professionals to ensure delivery of comprehensive, interdisciplinary health and social services for this population.", "Tables 21 and 22 present information for each award as it was provided to us by HRSA."], "subsections": []}, {"section_title": "Appendix XI: National Institutes of Health Zika Supplemental Awards", "paragraphs": ["The National Institutes of Health (NIH) awarded Zika supplemental funding to support research to better understand Zika and its complications, and inform the development of new interventions. The three primary activities of funding include (1) vaccine development; (2) Zika in Infants and Pregnancy study; and (3) diagnostics, therapeutics, vector control, and other interventions. NIH used contracts, grants, intramural research awards, and other awards to provide funding for research on the Zika virus and its complications.", "Tables 23-26 present information for each award as it was provided to us by NIH."], "subsections": []}, {"section_title": "Appendix XII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Karen Doran (Assistant Director), Sarah Resavy (Analyst-in-Charge), and Hannah Grow made key contributions to this report. Also contributing were Muriel Brown, Christine Davis, and Drew Long."], "subsections": []}]}], "fastfact": ["The Zika virus outbreak that began in 2015 sickened adults, but also had another particularly tragic result\u2014brain defects and other problems in infected fetuses. It represented the first time in more than 50 years that an infectious pathogen had been found to cause birth defects. As the virus spread into the United States, Congress appropriated $932 million to address the growing threat.", "We reviewed how agencies have used this money. We found that they attacked the problem on a variety of fronts, including researching the virus, controlling mosquito populations, and raising public awareness about Zika and its prevention."]} {"id": "GAO-18-216", "url": "https://www.gao.gov/products/GAO-18-216", "title": "Intellectual Property: Agencies Can Improve Efforts to Address Risks Posed by Changing Counterfeits Market", "published_date": "2018-01-30T00:00:00", "released_date": "2018-02-27T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Infringement of IPR through the illegal importation and distribution of counterfeit goods harms the U.S. economy and can threaten the health and safety of U.S. consumers. CBP leads IPR enforcement at U.S. ports of entry by detecting and seizing counterfeit goods that enter the United States. CBP works with ICE, which investigates IPR violations and builds cases for prosecution.", "GAO was asked to review CBP's and ICE's IPR enforcement at U.S. borders. In this report, GAO examines (1) what is known about counterfeit goods entering the United States and the challenges they present, (2) efforts CBP and ICE have undertaken to enhance IPR enforcement and the extent to which they have assessed the results, and (3) the extent of CBP's and ICE's collaboration on IPR enforcement and ways they coordinate with the private sector. GAO reviewed agency data and documents, interviewed agency officials, and conducted field work at port locations selected on the basis of factors such as the volume of IPR seizures and variety of modes of transportation at each location. GAO also conducted undercover purchases of commonly counterfeited consumer goods on popular consumer websites, using investigative tools and techniques."]}, {"section_title": "What GAO Found", "paragraphs": ["Changes in the market for counterfeit goods entering the United States pose new challenges for consumers, the private sector, and U.S. agencies that enforce intellectual property rights (IPR). Specifically, growth in e-commerce has contributed to a shift in the sale of counterfeit goods in the United States, with consumers increasingly purchasing goods online and counterfeiters producing a wider variety of goods that may be sold on websites alongside authentic products. For example, 20 of 47 items GAO purchased from third-party sellers on popular consumer websites were counterfeit, according to testing by the products' rights holders (see table), highlighting potential risks to consumers. The changes in the market for counterfeit goods can also pose challenges to the private sector\u2014for example, the challenge of distinguishing counterfeit from authentic goods listed for sale online\u2014and complicate the enforcement efforts of U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE).", "CBP and ICE engage in a number of activities to enhance IPR enforcement; however, while ICE has assessed some of its efforts, CBP has taken limited steps to do so. CBP's and ICE's IPR enforcement activities broadly include detecting imports of potentially IPR-infringing goods, conducting special operations at U.S. ports, engaging with international partners, and undertaking localized pilot programs or port-led initiatives. CBP and ICE have collected some performance data for each of the eight activities GAO reviewed, and ICE has taken some steps to understand the impact of its efforts. However, CBP has conducted limited evaluation of its efforts to enhance IPR enforcement. Consequently, CBP may lack information needed to ensure it is investing its resources in the most efficient and effective activities.", "CBP and ICE generally collaborate on IPR enforcement, but according to private sector representatives, restrictions on CBP's information sharing limit private sector enforcement efforts. GAO found that CBP and ICE have undertaken efforts that align with selected key practices for interagency collaboration, such as participating in developing a national IPR enforcement strategy and agreeing on roles and responsibilities. However, sharing additional information about seized items with rights-holding companies and e-commerce websites could improve enforcement, according to private sector representatives. CBP officials said they share information to the extent allowed under current regulations, but CBP has not completed an assessment of what, if any, additional information would be beneficial to share with private sector entities. Without such an assessment, CBP will not know if sharing additional information requires regulatory or legal changes."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making two recommendations to CBP, recommending that it (1) evaluate its efforts to enhance IPR enforcement and (2) assess potential additional information sharing with the private sector. CBP agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Intellectual property (IP) is an important component of the U.S. economy, and the United States is an acknowledged global leader in its creation. Infringement of intellectual property rights (IPR) through the illegal importation and distribution of counterfeit goods harms the U.S. economy by stifling innovation, slowing economic growth, weakening the competitiveness of U.S. employers, and threatening American jobs. IPR infringement can also threaten the health and safety of American consumers. U.S. agencies and businesses have cited an expansion of IP crimes and an increasing use of Internet websites to facilitate the sale of counterfeit goods imported from overseas in recent years.", "The Department of Homeland Security\u2019s U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE)\u2014two of the many U.S. agencies involved in IPR enforcement\u2014are responsible for IPR enforcement at U.S. borders. CBP leads enforcement activity at the border by detecting and seizing counterfeit goods that enter the United States through its more than 300 ports of entry and by assessing penalties against IPR offenders. In fiscal year 2016, CBP processed over 32 million shipments and seized 31,560 shipments of IPR-infringing goods worth an estimated $1.38 billion. Sixteen percent of those seizures contained potential threats to consumer health and safety, according to CBP\u2019s analysis of its seizure data. CBP coordinates its efforts with ICE, which investigates IPR violations and builds cases for federal prosecution. In fiscal year 2016, ICE arrested 458 individuals, obtained 328 indictments, and received 276 convictions related to intellectual property crimes, according to ICE data.", "You asked us to review CBP\u2019s and ICE\u2019s IPR enforcement at U.S. borders. This report examines (1) what is known about counterfeit goods entering the United States and the challenges they present, (2) efforts CBP and ICE have undertaken to enhance IPR enforcement and the extent to which they have assessed the results of these efforts, and (3) the extent to which CBP and ICE collaborate on IPR enforcement as well as ways in which they coordinate with the private sector in enforcing IPR.", "To obtain information about IPR-infringing goods that enter the United States and the challenges they present, we analyzed CBP seizure data for fiscal years 2012 through 2016 and reviewed CBP and ICE documents and reports as well as reports from other U.S government entities and international organizations. We reviewed CBP\u2019s seizure data, conducted electronic tests of the data, and interviewed knowledgeable agency officials to determine that these data were sufficiently reliable for our purposes. We interviewed CBP and ICE officials in Washington, D.C., and at selected port locations in Chicago, Illinois; Los Angeles, California; Miami, Florida; and New York, New York. We also interviewed representatives of IP rights\u2013holding companies (rights holders) and popular consumer websites that offer platforms for third-party sellers. We used undercover identities to purchase selected products from third-party sellers on popular consumer websites and subsequently asked the rights holders for the selected products to test their authenticity. To examine the extent to which CBP and ICE have undertaken efforts to improve enforcement at the border and assessed the results of those efforts, we reviewed agency plans and documents and interviewed agency officials. To examine the extent to which CBP and ICE collaborate on IPR enforcement, we assessed their collaboration against selected interagency collaboration practices, reviewed agency documentation, and analyzed the results of our interviews with CBP and ICE officials in field and headquarters locations. To identify ways in which CBP and ICE collaborate with the private sector, we spoke with representatives of rights holders and popular consumer websites that offer platforms for third-party sellers, interviewed CBP and ICE officials, and reviewed agency documentation. (See app. I for more information about our objectives, scope, and methodology.)", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with investigation standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Recent Legislation Related to IPR Enforcement", "paragraphs": ["The Trade Facilitation and Trade Enforcement Act of 2015 (TFTEA) includes provisions related to IPR enforcement, among other things. According to CBP, the act codified existing CBP activities and supports CBP\u2019s efforts to protect U.S. economic security through trade enforcement, to collaborate with the private sector, and to streamline and modernize business processes to meet the demands and complexities of a changing global supply chain. The act defines trade enforcement as the enforcement of the customs and trade laws of the United States. TFTEA requires the development and implementation of Centers of Excellence and Expertise (Centers), which CBP began piloting in 2010, and centralizes CBP\u2019s trade enforcement and trade facilitation efforts. Among other things, TFTEA directs the CBP Commissioner to establish IPR as a priority trade provides CBP with explicit authority to share certain information with trademark and copyright owners prior to completing a seizure; directs the Secretary of the Department of Homeland Security to establish the government-wide National Intellectual Property Rights Coordination Center (IPR Center) within ICE; requires the Assistant Director of the IPR Center to coordinate with CBP and ICE, along with other agencies; and requires the Assistant Director of the IPR Center to work with CBP and other federal agencies to conduct outreach to the private sector.", "TFTEA also includes reporting requirements for CBP and ICE. Specifically, TFTEA requires CBP and ICE to submit a joint strategic plan every 2 years that, among other things, describes their efforts to enforce IPR and makes recommendations for the optimal allocation of resources to ensure adequate enforcement. TFTEA also requires the agencies to submit a joint report annually that includes specific IPR criminal and border enforcement metrics, a summary of outreach efforts, and a summary of efforts to address the challenges presented by Internet commerce and the transit of small packages."], "subsections": []}, {"section_title": "Roles of CBP and ICE in IPR Enforcement", "paragraphs": ["CBP and ICE both play critical roles in IPR enforcement. CBP\u2019s responsibilities include identifying and seizing IPR-infringing goods at the U.S. border, a function that also includes assessing penalties and denying entry to certain types of IPR-infringing goods. ICE\u2019s responsibilities include investigating IPR violations, building cases for federal prosecution, and serving as the lead agency for the IPR Center. CBP employs a risk-based approach that uses targeting and other tools to identify for further examination a selection of imported goods that have arrived at U.S. ports; when violations are found, CBP seizes infringing goods and may refer cases to ICE for criminal investigation. Figure 1 shows CBP\u2019s and ICE\u2019s roles in IPR enforcement at the U.S. border.", "CBP. CBP\u2019s trade policy, processing, and enforcement operations, including those related to IPR, are primarily carried out by two offices\u2014 the Office of Trade and the Office of Field Operations.", "The Office of Trade develops policies to guide trade enforcement efforts. The Office of Field Operations conducts a range of trade processing and enforcement activities at more than 300 ports, where people and goods enter the country by land, air, or sea. At these ports, CBP officers and import specialists target potentially IPR- infringing goods, conduct examinations, and detain items if officers suspect they are counterfeit.", "Import specialists working for the Office of Field Operations\u2019 10 Centers appraise and evaluate detained goods to identify any IPR violation. As we reported in June 2017, the creation of the Centers represented a shift in CBP\u2019s approach to trade operations, centralizing the processing of imported goods on a national scale through industry-focused Centers rather than individual ports of entry.", "In determining goods\u2019 authenticity, CBP relies on product information supplied by rights holders and prioritizes enforcement of IPR that rights holders have recorded with CBP, using the Intellectual Property Rights e- Recordation database. CBP also uses product identification manuals that are prepared by rights holders and linked to the database. In addition, CBP may consult with rights holders as part of the examination process. If CBP determines that a good is counterfeit, it seizes and destroys the good and may assess penalties if warranted.", "IPR enforcement is one of seven priority trade issues around which CBP focuses its activities and resources for trade facilitation and enforcement. Priority trade issues represent high-risk areas that can cause significant revenue loss, harm the U.S. economy, or threaten the health and safety of the American people, according to CBP. In 2017, we evaluated CBP\u2019s trade enforcement efforts and found that CBP\u2019s plans for its priority trade issues generally lacked performance targets that would enable it to assess the effectiveness of its enforcement activities. We recommended that CBP include performance targets in its plans for priority trade issues; CBP concurred with this recommendation.", "ICE. ICE\u2019s Homeland Security Investigations is responsible for a wide range of domestic and international criminal investigations arising from the illegal movement of people and goods into, within, and out of the United States, including the importation and exportation of counterfeit goods. ICE field agents work with CBP and various partners in their investigations of identified cases of IP crime. In addition, the ICE-led, multi-agency IPR Center coordinates with other federal agencies on IPR infringement investigations, law enforcement training, and private sector and public outreach. The IPR Center brings together many of the key domestic and foreign investigative agencies to leverage resources and promote a comprehensive response to IP crime."], "subsections": []}, {"section_title": "Risks Associated with the Counterfeit Goods Market", "paragraphs": ["Counterfeit goods may pose risks to the health and safety of consumers. CBP and ICE have seized and investigated counterfeit goods, such as health and personal care products and consumer electronics, that carried a number of health and safety risks. For example, CBP has seized counterfeit versions of personal care products such as contact lenses, perfume, hair removal devices, hair curlers and straighteners, skin cleansing devices, and condoms, which pose risks to the consumer that include damage to skin or eyes caused by dangerous chemicals and bacteria, burning or electrocution due to nonstandardized wiring, or ineffectual family planning protection. ICE has also investigated IP crimes involving counterfeit airbags, phone accessories, pharmaceuticals, and other items that present risks to the health and safety of consumers. Counterfeit electronics and batteries can also pose significant risks, including the risk of injury or death, according to CBP. For instance, in December 2015, CBP seized 1,378 hoverboards with counterfeit batteries that carried a risk of causing fires.", "In addition, the sale of counterfeit goods can pose a threat to national security. For example, CBP and ICE have seized and investigated counterfeit goods, such as integrated circuits, destined for Department of Defense supply chains. Additionally, counterfeiting has been linked to transnational organized crime and terrorist organizations. According to the United Nations Office of Drugs and Crime, the illicit trafficking of counterfeit goods is an increasingly attractive avenue for criminal organizations to diversify their product range. Criminal networks use similar routes and methods to move counterfeit goods as they use to smuggle drugs, firearms, and people, according to reports from U.S. law enforcement and international organizations. The high rate of return on investment and perceived low risk of prosecution associated with IP crimes make counterfeiting attractive to criminal organizations as a lucrative source of revenue, according to the IPR Center.", "In 2010, we reported that counterfeiting also posed a wide range of economic risks to consumers, industry, government, and the economy as a whole. Counterfeiting\u2019s economic effects on consumers include, for example, financial losses resulting from counterfeit products that fail due to inferior quality. In addition, counterfeiting may pose risks to industry and government by increasing IPR protection and enforcement costs, by affecting sales and brand value for the businesses whose products are counterfeited, and by potentially reducing tax revenue collected by the government. Finally, counterfeiting may harm the U.S. economy as a whole by slowing economic growth, resulting in the loss of jobs in IP- intensive industries, according to the Congressional Research Service."], "subsections": []}]}, {"section_title": "Accelerated by E- Commerce, Changes in the Counterfeits Market Present Challenges to U.S. Agencies, Consumers, and the Private Sector", "paragraphs": ["Driven in part by the rise of e-commerce, the market for counterfeit goods in the United States has shifted in recent years from one in which consumers often knowingly purchased counterfeits to one in which counterfeiters try to deceive consumers into buying goods they believe are authentic. According to CBP officials and seizure data, the volume, value, and variety of counterfeit goods entering the United States increased in fiscal years 2012 through 2016, and counterfeit goods were increasingly imported in smaller express-carrier or mail packages. The results of our undercover purchases from third-party sellers indicate that counterfeit goods are available on a variety of popular e-commerce websites frequented by U.S. consumers. These changes in the marketplace present a number of challenges for U.S. agencies, the private sector, and consumers."], "subsections": [{"section_title": "E-Commerce Has Contributed to a Shift in the Market for Counterfeit Goods", "paragraphs": ["The rise of e-commerce has contributed to a fundamental change in the market for counterfeit goods, according to our analysis of documents from CBP, ICE, and international organizations and our interviews with CBP and ICE officials. U.S. agencies and international organizations have observed a shift in the sale of counterfeit goods from \u201cunderground\u201d or secondary markets, such as flea markets or sidewalk vendors, to primary markets, including e-commerce websites, corporate and government supply chains, and traditional retail stores, where consumers typically believe they are purchasing authentic goods. This shift has been accompanied by changes in the ways in which counterfeit goods are sold, as shown in table 1.", "In the past, consumers could often rely on indicators such as appearance, price, or location of sale to identify counterfeit goods in the marketplace, but counterfeiters have adopted new ways to deceive consumers. Consumers may have difficulty differentiating between counterfeit and authentic goods in the primary market for several reasons:", "The physical appearance of counterfeit goods may no longer serve as a \u201cred flag\u201d for consumers that the good they are considering purchasing is not genuine. Counterfeit goods and their packaging are becoming more sophisticated and closely resemble genuine goods, making it difficult for consumers, law enforcement, and sometimes even manufacturers to identify counterfeit goods, according to CBP and ICE officials.", "When selling online, counterfeiters may post pictures of authentic goods on the websites where they are selling counterfeits and may post pseudonymous reviews of their products or businesses in order to appear legitimate.", "By setting the price of a counterfeit at, or close to, the retail price of a genuine good, counterfeiters are able to deceive consumers, who will pay the higher price because they believe the goods are real or who believe that they are getting a slight bargain on genuine goods.", "Counterfeiters exploit third-party online marketplaces to gain an appearance of legitimacy and access to consumers, according to the Federal Bureau of Investigation.", "The growth of e-commerce has provided additional opportunities for counterfeiters to deceive consumers, according to U.S. agencies and international organizations. In June 2000, approximately 22 percent of Americans reported having made a purchase online, but by December 2016 that portion of the population had risen to 79 percent, according to a study by Pew Research Center. Worldwide e-commerce sales are expected to reach over $4 trillion by 2020, and e-commerce retail sales are expected to reach nearly 15 percent of overall global retail spending in 2020, according to CBP\u2019s E-Commerce and Small Business Branch. CBP also has reported that e-commerce is increasing and altering global trade, as consumers import and export goods and services when they make purchases over the Internet, allowing for more cross-border transactions and giving counterfeiters direct access to consumers through the Internet."], "subsections": []}, {"section_title": "CBP Data Indicate Changes in Several Key Characteristics of Counterfeit Goods Seized", "paragraphs": ["According to CBP seizure data and CBP officials, the volume, value, and variety of counterfeit goods seized by CBP and ICE have increased. CBP reports indicate the number of IPR seizures increased by 38 percent in fiscal years 2012 through 2016, from approximately 22,850 seizures in fiscal year 2012 to an estimated 31,560 seizures in fiscal year 2016. The total estimated value of the seized goods, had they been genuine, increased by 10 percent, from about $1.26 billion in fiscal year 2012 to an estimated value of over $1.38 billion in fiscal year 2016. According to CBP data, most of the goods seized during this period were shipped from China and Hong Kong. Counterfeit goods originating in China accounted for approximately half of all IPR seizures in fiscal years 2012 through 2016, and counterfeit goods shipped from Hong Kong represented over one-third of all IPR seizures over the same time frame. As the number of IPR seizures increased from 2012 to 2016, the proportion of seizures shipped from China and Hong Kong remained fairly stable, ranging from 83 percent of all IPR seizures in 2014 and 2015 to 94 percent in 2013, as shown in figure 2.", "The variety of products being counterfeited has also increased, according to CBP officials. CBP and ICE noted that, while many consumers typically think of luxury handbags or watches as the most commonly counterfeited goods, counterfeiting occurs in nearly every industry and across a broad range of products. According to CBP officials we interviewed in headquarters and CBP and ICE port officials, almost any product can be counterfeited. For example, major seizure operations in fiscal year 2016 resulted in the confiscation of automobile parts, consumer electronics, pharmaceuticals, sports-related merchandise, semiconductor devices, furniture, and hoverboards. In fiscal year 2016, the commodity types with the highest number of seizures were apparel, consumer electronics, footwear, watches, and jewelry.", "In addition, according to CBP data and officials, the ways in which counterfeit goods are imported into the United States have changed in recent years. Specifically, express carriers and international mail have become the predominant forms of transportation for IPR-infringing goods entering the United States, constituting approximately 90 percent of all IPR seizures in fiscal years 2015 and 2016, according to CBP data and officials. The number of IPR seizures from express carrier shipments increased by 105 percent from fiscal year 2012 through fiscal year 2016, while the number of IPR seizures shipped by cargo increased by 6 percent over the same period. Similarly, the total value of express carrier seizures increased by 337 percent from fiscal year 2012 through fiscal year 2016, while the total value of cargo seizures decreased by 34 percent over the same period.", "CBP and ICE have attributed the increase in seizures of mail and express carrier shipments to three factors: continued growth of online counterfeit merchandise sales, which facilitate direct-to-consumer shipments of infringing goods; training by rights holders and coordination between CBP and ICE, which have helped CBP and ICE to focus more enforcement efforts on express carrier operations; and counterfeiters\u2019 response to enforcement efforts.", "According to an IPR Center report, counterfeiters may assume that multiple, smaller packages are more likely to elude seizure than a single large shipment and may view the seizure of a few packages as the cost of doing business."], "subsections": []}, {"section_title": "Twenty of 47 Items Purchased from Third- Party Sellers on Popular E-Commerce Websites Were Counterfeits, Highlighting Potential Risks to Consumers", "paragraphs": ["In an attempt to understand the frequency with which consumers may unknowingly encounter counterfeit products online, we purchased a nongeneralizable sample of four types of consumer products\u2014shoes, travel mugs, cosmetics, and phone chargers\u2014from third-party sellers on five popular e-commerce websites. According to CBP data and officials, CBP often seizes IPR-infringing counterfeits of these types of products. As table 2 shows, the rights holders for the four selected products determined 20 of the 47 items we purchased to be counterfeit.", "We did not identify any clear reasons for the variation among the counterfeit and authentic that we purchased based on the products they represented, the e-commerce websites from which they were purchased, or the third-party sellers from whom they were purchased. For three of the four product types, at least one item we purchased was determined to be counterfeit, with results varying considerably by product. Representatives of the rights holders could not provide a specific explanation for the variation among authentic and counterfeit goods that we received. They noted that the results of undercover purchases can fluctuate depending on enforcement activities and the variety of goods and sellers on a particular website on a given day. Rights-holder testing also showed that we purchased at least one counterfeit item and one authentic item from each of the five e-commerce websites. In addition, our analysis of the customer ratings of third-party sellers from whom we made purchases did not provide any clear indications that could warn consumers that a product marketed online may be counterfeit. For example, we received both counterfeit and authentic items from third-party sellers with ratings that were less than 70 percent positive as well as sellers with ratings that were up to 100 percent positive.", "Some counterfeit items we purchased were easily identifiable as likely counterfeit once we received them. Rights holders were able to determine that they were not authentic on the basis of inferior quality, incorrect markings or construction, and incorrect labeling. For example, one item contained misspellings of \u201cAustin, TX\u201d and \u201cMade in China,\u201d as figure 3 shows.", "Other items could be more difficult for a typical consumer to identify as counterfeit. For example, the rights holder for a cosmetic product we purchased identified one counterfeit item on the basis of discrepancies in the color, composition, and design of the authentic and counterfeit items\u2019 packaging, as figure 4 shows.", "Counterfeit goods may also lack key elements of certification markings and other identifiers. For example, on a counterfeit phone charger we purchased, the UL certification mark did not include all components of the authentic mark, as shown in figure 5.", "The risks associated with the types of counterfeit goods we purchased can extend beyond the infringement of a company\u2019s IPR. For example, a UL investigation of counterfeit iPhone adapters found a 99 percent failure rate in 400 counterfeit adapters tested for safety, fire, and shock hazards and found that 12 of the adapters posed a risk of lethal electrocution to the user. Similarly, counterfeits of common consumer goods, such as Yeti travel mugs, may contain higher-than-approved concentrations of dangerous chemicals such as lead, posing health risks to consumers. According to ICE, seized counterfeit cosmetics have been found to contain hazardous substances, including cyanide, arsenic, mercury, lead, urine, and rat droppings.", "Representatives of rights holders and e-commerce websites whom we interviewed reported taking independent action to try to protect IPR within their areas of responsibility. Both rights holders and e-commerce websites maintain IPR protection teams that work with one another and with law enforcement to address infringement issues. These teams may include global networks of investigators and contracted brand-protection companies. E-commerce websites may also take a variety of steps to block and remove counterfeit items listed by third-party sellers. These efforts rely on data collected through a variety of means, including consumer reporting of counterfeits, notification by rights holders of IPR infringement, and corporate efforts to vet potential third-party sellers, according to private sector representatives. According to these representatives, both rights holders and e-commerce websites have utilized technology to aid their efforts. For example, one rights holder uses search-engine \u201ccrawlers\u201d to find terms commonly associated with counterfeit sales, in an effort to identify illicit sites and the individuals behind them, while one e-commerce website maintains a large database of information on the history and activity of its sellers.", "According to representatives of rights holders, consumers can best protect themselves by buying directly from the manufacturer or its authorized retailers online, avoiding prices that look \u201ctoo good to be true,\u201d and reporting counterfeit purchases. For additional actions that consumer protection organizations, government agencies, and private companies have recommended consumers take to limit the risk of purchasing counterfeits online, see appendix II."], "subsections": []}, {"section_title": "Changes in the Marketplace Can Pose Challenges to U.S. Agencies and the Private Sector", "paragraphs": ["We identified a number of key challenges that the changes in the market for counterfeit goods can pose to CBP and ICE as well as to the private sector. First, the increasing sophistication of counterfeits can make it difficult for law enforcement officers to distinguish between legitimate and counterfeit goods. According to CBP officers, because the quality of counterfeits is improving, inspecting and processing a seizure can be time consuming and often requires working with private industry to test potential counterfeits.", "Second, the increased variety and quantity of counterfeit goods crossing the border complicate CBP and ICE enforcement efforts. As the range of counterfeit goods expands, CBP has a wider variety of goods to screen, which requires CBP officials to have in-depth knowledge of a broad range of products and of how to identify counterfeits. The overall volume of goods entering the country\u2014including more than 11 million maritime containers; 13 million containers carried over land borders by truck or rail; and 250 million cargo, mail, and express carrier packages annually\u2014can also be difficult to manage, according to CBP officials. CBP has responsibility for facilitating trade as well as preventing the importation of illicit goods\u2014missions that can conflict when attempts to identify illicit goods threaten to slow the movement of legitimate trade. Additionally, the increased volume of imports at specific locations can strain CBP resources. For example, CBP officials at one international mail facility noted that the volume of both incoming mail and counterfeit goods increased exponentially when some international mail shipments from China were rerouted to enter the United States through that port.", "Third, shifts in the mode of transportation of counterfeit goods to the United States pose additional challenges to CBP and ICE. According to CBP officials, seizure processing takes roughly the same amount of time and costs the same regardless of shipment size or value, which means that CBP must expend the same resources to seize an express carrier shipment that contains a few infringing goods as it would to seize a large cargo container with hundreds of infringing goods. Another effect of the shift in transportation mode is that seizures have become less of a deterrent for counterfeiters who break up large shipments into multiple smaller express carrier or mail packages. Each of these smaller packages includes fewer goods than a single large shipment, decreasing the counterfeiter\u2019s risk of losing significant quantities of merchandise to a single seizure. Furthermore, the shift in mode of transportation affects CBP\u2019s ability to target shipments in advance. For example, as we have previously reported, the mail environment generally does not provide CBP with access to advance information that can be used for targeting or package retrieval. In other shipping environments, CBP officials may have access to advance information that they can use to target potentially counterfeit goods.", "Fourth, counterfeiters may use a variety of methods to try to deceive law enforcement or evade detection. A large majority of infringing products are produced overseas and shipped to the United States, according to the Intellectual Property Enforcement Coordinator. According to CBP officials and CBP, IPR Center, and Intellectual Property Enforcement Coordinator reports, counterfeiters may try to evade detection in a number of ways. For example, counterfeiters sometimes separate IPR- infringing labels from counterfeit goods during the transportation process and then complete the labeling and packaging of the goods in the United States (see fig. 6). In fiscal year 2016, CBP seized 572 shipments containing counterfeit labels and tags intended to be applied to articles after importation to create non-genuine products, which CBP estimated would be worth more than $17 million if they were genuine.", "Finally, CBP and ICE officials noted that targeting the root causes of IPR infringement requires international cooperation to disrupt the networks that produce, sell, and ship counterfeit goods. IPR enforcement is a global issue, as counterfeit operations may cross several borders; however, officials said some countries are more receptive to working with U.S. agencies than others. For example, ICE officials noted that some countries, such as China, do not have stringent IP laws in place or do not enforce existing laws. Officials added that it can be difficult to convince some countries to take IP theft seriously when it constitutes a large part of their economy.", "The changing marketplace also presents challenges to the private sector, according to representatives from rights holders and e-commerce websites: It is more difficult for rights holders and e-commerce websites to identify and investigate individual counterfeit cases, as e-commerce websites face growing inventory from a larger registry of sellers. Tracking goods from known counterfeiters through various website fulfillment and delivery mechanisms is also a significant challenge for the private sector.", "The growth of e-commerce has accelerated the pace at which counterfeiters can gain access to consumers or reinvent themselves if shut down. E-commerce platforms on mobile devices, for example, represent the newest space in which counterfeiters can operate."], "subsections": []}]}, {"section_title": "CBP and ICE Engage in Activities to Enhance IPR Enforcement, but CBP Has Not Fully Evaluated the Results of Its Activities", "paragraphs": ["CBP and ICE engage in a number of activities to enhance IPR enforcement and have collected performance data on the activities we reviewed. However, CBP has conducted limited evaluation of its IPR enforcement, while ICE has taken some steps to evaluate the impact of its efforts."], "subsections": [{"section_title": "CBP and ICE Undertake Several Types of Activities to Enhance IPR Enforcement", "paragraphs": ["According to our analysis of CBP and ICE documents and interviews with CBP and ICE officials, CBP and ICE undertake a variety of activities to enforce IPR, including (1) detecting potentially infringing goods, (2) conducting special operations, (3) engaging with international partners, and (4) undertaking localized pilot programs or port-led initiatives.", "Detecting potentially IPR-infringing goods. CBP and ICE engage in a number of activities to detect imports of potentially IPR-infringing goods. For example, CBP officers at each port have responsibilities for targeting such goods, and CBP conducts targeting and trend analysis at the national level. As we observed during our port visits, CBP also uses its Automated Targeting System to review data on inbound and outbound shipments and to identify shipments of potential concern. CBP has created two IPR targeting models for the system. In addition, CBP and ICE both maintain online systems for reporting allegations of counterfeiting and other IPR infringements.", "Conducting special operations. CBP and ICE periodically conduct special operations\u2014such as operations focused on particular products or surge operations that provide additional manpower to examine a larger number of shipments\u2014at U.S. ports of entry. CBP\u2019s Mobile Intellectual Property Enforcement Team (MIPET) and ICE\u2019s national operations are examples of activities in this area of effort.", "Engaging with international partners. IPR enforcement requires coordination with international partners. The IPR Center includes representatives of the governments of Canada and Mexico, as well as international law enforcement entities like Interpol and Europol. CBP and ICE also work with the customs and law enforcement agencies in other countries to share information, provide training, and conduct joint operations.", "Undertaking localized pilots and port-led initiatives. CBP and ICE delegate much of the responsibility for day-to-day enforcement to ports, Centers, and field offices. This allows CBP\u2019s headquarters offices to test pilot programs in a small number of ports and allows ports and Centers to initiate their own activities to enhance IPR enforcement. CBP engaged in localized pilots or port-led initiatives to enhance IPR enforcement at each of the locations we visited.", "Within these areas of effort, CBP and ICE have undertaken activities to enhance their IPR enforcement. We selected and reviewed eight activities in these four categories, as shown in table 3."], "subsections": []}, {"section_title": "CBP and ICE Have Collected Some Performance Data on IPR Enforcement Activities", "paragraphs": ["Consistent with federal internal control standards, CBP and ICE have collected some data on the results of each of the eight activities we reviewed. Generally, the agencies collected information on the outputs of the selected activities, such as the number and value of seizures resulting from these activities (see table 4)."], "subsections": []}, {"section_title": "CBP Has Conducted Limited Evaluation of Its IPR Enforcement", "paragraphs": ["We found that CBP has conducted limited evaluation of the impact of its efforts to enhance IPR enforcement. In particular, (1) CBP\u2019s metrics for tracking the overall effectiveness of its IPR enforcement have limitations, (2) CBP has not systematically evaluated individual IPR enforcement activities, and (3) CBP lacks a defined process for assessing port-led initiatives and sharing information about effective practices.", "First, CBP\u2019s metrics for tracking the overall effectiveness of its IPR enforcement have limitations. When asked how they assess effectiveness of CBP\u2019s IPR enforcement, CBP officials in headquarters cited an increase in the number and value of IPR seizures as an indication of the effectiveness of CBP\u2019s IPR enforcement efforts. However, while seizure statistics provide important information about CBP activities, using seizure data to measure the effectiveness of CBP\u2019s IPR enforcement has limitations. For example, according to the U.S. Joint Strategic Plan on Intellectual Property Enforcement for fiscal years 2017 through 2019, it is difficult to determine whether an increase in the number of IPR seizures represents a result of more-effective IPR enforcement or reflects a higher volume of trade in counterfeits. Also, according to CBP officials, the increasing shift from seizures of large cargo shipments to seizures of smaller express carrier and mail shipments may partially explain the growth in the number of reported seizures. Further, while CBP officials in headquarters noted that the overall value of IPR seizures has increased, CBP officials in the field observed that presenting CBP seizure statistics in relation to the overall volume of trade could provide additional context on whether CBP is seizing a larger portion of overall shipments or whether increased seizures might be partially attributable to an increase in the volume of trade. Other CBP officials noted that, in theory, effective enforcement could cause the number of seizures to decrease as the number of counterfeits entering the country also decreases. Finally, given the volume of trade in counterfeits, CBP officials commented that CBP cannot \u201cseize its way out of\u201d the problem of IP theft.", "Second, CBP has not systematically evaluated its individual IPR enforcement activities and has not followed through on previous plans to conduct such evaluations. We identified one instance in which CBP evaluated an IPR enforcement activity. Specifically, CBP officials conducted an analysis of the fiscal year 2016 expedited seizure processing pilot and identified several benefits, including savings of frontline officer hours and time and cost savings, associated with seizure processing. While CBP has acknowledged the need to evaluate other IPR enforcement activities, it has not followed through on previous plans to conduct evaluations. For example, CBP\u2019s 2010 IPR Enforcement Strategy: 5-Year Plan laid out goals and corresponding activities that it planned to pursue. CBP outlined specific plans to evaluate all but one of these goals at least once over the course of the 5-year period covered by the strategy. In response to our questions about what activities had been undertaken and how they had been evaluated, CBP could not provide evidence that it had conducted evaluations of any of these activities as planned.", "CBP has more recently said that it plans to evaluate other IPR enforcement efforts to better understand their impact. For example, one goal of MIPET and other surge operations is to build the capacity of officers at participating ports. The U.S. Joint Strategic Plan on Intellectual Property Enforcement for fiscal years 2017 through 2019 notes that CBP intends to assess ports after surge operations to determine their effect on long-term interdiction rates. Additionally, although CBP tracks the accuracy of its Automated Targeting System\u2019s IPR targeting models, a CBP official stated that CBP has not evaluated the extent to which its officers use these models at ports of entry. Officials said that such evaluation would be beneficial for determining whether to continue using the models and, if so, whether policy changes are needed to improve their use. The U.S. Joint Strategic Plan on Intellectual Property Enforcement also states that CBP plans to evaluate the voluntary abandonments pilot, and CBP officials noted their intention to evaluate compliance rates in various e-commerce environments to inform future enforcement efforts.", "Finally, CBP does not have a standard process for collecting information about the results of port-led initiatives to enhance IPR enforcement and for sharing this information internally. We have previously noted that agencies can use pilots and demonstration projects to identify innovative ways to improve performance, because pilots and demonstration projects allow for experiences to be evaluated, shared systematically with others, and adjusted as appropriate. CBP\u2019s decentralized structure allows it to pilot new activities at individual ports. CBP officials stated that they currently collect information on special operations conducted at ports but that they do not have a standardized process for assessing port-led efforts and sharing information on process improvements. Officials also noted that they sometimes share information about port-led efforts during quarterly phone calls and stated that they had shared information about the expedited seizure processing initiative and the Special Operations Team in such calls. However, they were unable to provide examples of information about other port-led initiatives that had been shared through this process. Officials we interviewed in the field and in headquarters indicated that sharing of such information could be useful.", "Federal internal control standards state that agency management should use data it collects to make informed decisions and evaluate the agency\u2019s performance in achieving key objectives. According to federal program evaluation guidance, which articulates best practices for program evaluation, a program evaluation is a systematic study using research methods to collect and analyze data to assess how well a program is working and why. Program evaluation is closely related to performance measurement and reporting. Evaluations answer specific questions about program performance; may focus on assessing program operations or results; and can play a key role in strategic planning and program management, providing feedback on both program design and execution. CBP officials acknowledged that further steps to evaluate their IPR enforcement efforts would be useful. Without evaluations of, or more complete information about, the results of its efforts, CBP may not have the information it needs to direct its resources to the most effective enforcement activities."], "subsections": []}, {"section_title": "ICE Has Taken Some Steps to Assess Its Efforts", "paragraphs": ["While ICE officials identified a number of challenges that affect their ability to track the effectiveness of IPR enforcement activities, the agency has taken steps to understand the impacts of some of its efforts. ICE officials noted that evaluating the impacts of specific IPR enforcement activities, including those we reviewed, can be difficult, because these impacts ultimately rely on prosecutors\u2019 decisions to pursue criminal charges\u2014that is, decisions over which ICE has no control. ICE officials also noted factors that limit the usefulness of enforcement statistics, such as arrests or convictions for IPR-related offenses, as measures of the effectiveness of ICE\u2019s IPR enforcement activities. First, according to ICE officials, prosecutors for some cases that start as IPR investigations ultimately pursue money laundering or other, related charges, because they carry harsher penalties. Second, while ICE collects data on enforcement outcomes by fiscal year, the complicated nature of some investigations often causes a significant amount of time to elapse between an investigation\u2019s start and any results. Thus, various IPR enforcement statistics reported for a single fiscal year, such as the number of cases initiated, arrests made, or convictions secured, may be unrelated, making it sometimes difficult to link enforcement outcomes to ICE investigations.", "To address some of these challenges, ICE has created a process to track cases it deems significant, which, according to ICE officials, will allow it to better understand the impact of its efforts. ICE officials told us that ICE had developed a set of criteria for what constitutes a significant case and that a panel reviews proposals from the field to determine whether an investigation meets the criteria for a significant case. If a case is deemed significant, ICE tracks it until (1) the criminal activity is disrupted (i.e., actions taken as part of the investigation impede the operations of the target organization) or (2) a criminal organization is dismantled (i.e., the leadership, network, and financial base of the target organization are impeded to the point where it is unable to reconstitute itself). According to ICE, of the 115 IPR-related investigations that were deemed significant cases in fiscal years 2012 through 2016, 59 cases, or about 51 percent, had resulted in a disruption of criminal activity or dismantlement of a criminal organization as of January 2017."], "subsections": []}]}, {"section_title": "CBP and ICE Generally Collaborate on IPR Enforcement, but CBP Is Restricted in Sharing Information with the Private Sector", "paragraphs": ["Our analysis showed that CBP and ICE collaboration on IPR enforcement is generally consistent with selected key practices for interagency collaboration and that the agencies collaborated to address some challenges they have faced with the creation of the Centers. CBP and ICE also coordinate with the private sector in a variety of ways. However, according to private sector representatives we spoke to, restrictions on CBP\u2019s information sharing limit the ability of rights holders and e- commerce websites to protect IPR."], "subsections": [{"section_title": "Collaboration between CBP and ICE on IPR Enforcement Is Generally Consistent with Selected Key Practices", "paragraphs": ["CBP and ICE collaborate on IPR enforcement in ways that are generally consistent with the following selected key practices that we have previously identified as important for enhancing and sustaining collaboration among federal agencies: (1) define and articulate a common outcome; (2) establish mutually reinforcing or joint strategies; (3) identify and address needs by leveraging resources; (4) agree on roles and responsibilities; and (5) establish compatible policies, procedures, and other means to operate across agency boundaries."], "subsections": [{"section_title": "Define and Articulate a Common Outcome", "paragraphs": ["In developing the U.S. Joint Strategic Plan on Intellectual Property Enforcement, CBP and ICE, among other agencies, defined and articulated common IPR enforcement outcomes, and they continue to define common outcomes through interagency efforts. The plan\u2019s seven objectives, mandated by the Prioritizing Resources and Organization for Intellectual Property Act of 2008, include reducing counterfeit and infringing goods in domestic and international supply chains, among others. For example, through the IPR Center, CBP and ICE coordinate special interagency operations that target IPR violations for specific industries or product types, such as beauty products, pharmaceuticals, or automotive parts (e.g., airbags)."], "subsections": []}, {"section_title": "Establish Mutually Reinforcing or Joint Strategies", "paragraphs": ["CBP and ICE, among other agencies, participated in the development of the U.S. Joint Strategic Plan on Intellectual Property Enforcement for fiscal years 2017 through 2019 and completed a TFTEA-required joint strategic plan. The Prioritizing Resources and Organization for Intellectual Property Act of 2008 requires the U.S. Intellectual Property Enforcement Coordinator to coordinate the development of the Joint Strategic Plan on Intellectual Property Enforcement. This plan serves as a blueprint for the work CBP, ICE, and other federal agencies are to carry out in support of IPR enforcement. The joint strategic plan for fiscal years 2017 through 2019 notes that CBP and ICE will, among other things, engage in joint efforts, such as meeting at least annually with industry stakeholders to discuss potential new opportunities for employing technology to enhance identification and investigation of illicit trade. In addition, TFTEA required CBP and ICE to develop, by February 2017 and every 2 years thereafter, an interagency strategic plan for trade enforcement that includes information related to IPR enforcement. The agencies finalized this strategy in October 2017 and provided us with a copy after we had sent them our draft report for comment."], "subsections": []}, {"section_title": "Identify and Address Needs by Leveraging Resources", "paragraphs": ["CBP and ICE have leveraged IPR enforcement resources in a variety of ways. For example, according to a strategy issued by the IPR Center, ports and field offices may establish Trade Enforcement Coordination Centers and colocate CBP and ICE personnel to enhance information sharing and foster collaboration on enforcement actions. Officials in three of the locations we visited told us that colocating CBP and ICE staff or temporarily assigning some agency staff to the other agency improves the two agencies\u2019 ability to work together. In addition, ICE officials at two of the locations we visited said that CBP officers share their expertise in operating the Automated Targeting System, which CBP officers use more frequently. ICE officials in one location also told us that CBP officers sometimes accompany ICE agents on investigative operations and that the ICE agents without IPR backgrounds find the CBP officers\u2019 expertise helpful.", "Internally, CBP also has taken steps to leverage resources. For example, CBP conducts surge operations, such as MIPET operations, to temporarily focus resources on specific IPR violations. In addition, according to CBP, the agency created the Centers to increase CBP\u2019s industry knowledge."], "subsections": []}, {"section_title": "Agree on Roles and Responsibilities", "paragraphs": ["CBP and ICE have defined roles and responsibilities for a variety of interagency IPR enforcement efforts. For example, after CBP established the Centers, CBP and ICE jointly issued guidance that explained the Centers\u2019 role in CBP and clarified CBP\u2019s and ICE\u2019s roles and responsibilities in the case-referral process. This guidance describes the process by which CBP may refer IPR-infringement cases to ICE, which is then responsible for determining whether to initiate an investigation. CBP defines intra-agency roles and responsibilities in its Trade Special Operations Standard Operating Procedures, which provide CBP personnel with direction for initiating, developing, and executing national- level trade targeting operations. For example, the standard operating procedures define the targeting roles for three CBP targeting groups\u2014the National Targeting and Analysis Group, the Commercial Targeting and Analysis Center, and the Tactical Trade Targeting Unit\u2014as well as for the Centers."], "subsections": []}, {"section_title": "Establish Compatible Policies, Procedures, and Other Means to Operate across Agency Boundaries", "paragraphs": ["CBP and ICE have established compatible policies, procedures, and other means to operate across agency boundaries. For example, CBP and ICE developed standard operating procedures for the Commercial Enforcement Analysis Response (CEAR) process\u2014a process to ensure coordination between the agencies when violations are detected, agree on a response best suited to remedy the problem, and follow up on actions taken.", "CBP and ICE have also taken steps to address some challenges they encountered following the creation of the Centers. Both CBP and ICE officials noted that the creation of the Centers has posed communication challenges, but the agencies have taken steps to address some of the challenges posed by the new organizational structure. Officials at ports we visited and Centers we interviewed noted that there were challenges associated with integrating the Centers, which operate nationally, into local efforts, like the CEAR process. This is consistent with our June 2017 report, in which we noted that ICE officials have had to adjust to working in the new, nationwide environment of the Centers. For example, ICE officials in one city may be working on a case with an import specialist located in another city. This has diminished cooperation and communication between CBP and ICE and resulted in fewer investigations, according to ICE officials. CBP and ICE have initiated steps to address some of the challenges posed by the new organizational structure. For example, CBP and ICE issued joint guidance in December 2016 outlining how the two agencies would coordinate with one another in light of the creation of the Centers. Additionally, according to CBP officials, the CEAR process was revised in September 2017 with the Centers in a lead role.", "CBP officials also noted they have had to adapt to new ways of sharing information within the agency between officers and import specialists at Centers when processing a seizure. Officials at port locations we visited and at the Centers where we conducted interviews noted that the creation of the Centers has enhanced IPR enforcement. However, officials at the Centers and ports also noted challenges related to the sharing of information. For example, Center and port officials stated that sharing information about seizures via email and coordinating remotely\u2014often across time zones\u2014can extend the amount of time needed to process a seizure. Center officials also stated that ports may use different procedures for processing seizures, which can be challenging for the Centers because they operate on a national level and therefore may interact with a number of ports. CBP has initiated steps to address some challenges related to sharing information about seizures. For example, CBP is adding a function to upload photos and forms to its seizures database, allowing for enhanced information sharing across locations, according to CBP officials."], "subsections": []}]}, {"section_title": "CBP and ICE Coordinate with the Private Sector in Several Ways, but Restrictions on CBP Information Sharing Limit Private Sector IPR Enforcement", "paragraphs": [], "subsections": [{"section_title": "CBP and ICE Work with Various Private Sector Entities to Enforce IPR", "paragraphs": ["CBP and ICE work with a variety of private sector entities\u2014including rights holders, industry groups, importers, and e-commerce websites, among others\u2014to enforce IPR and prevent the sale of counterfeit goods on e-commerce websites, according to CBP and ICE documents and our interviews with CBP and ICE officials and private sector representatives. In particular, CBP and ICE work with the private sector to encourage rights holders to record trademarks and copyrights, make determinations on the authenticity of goods, conduct training, and collaborate with e- commerce websites.", "Recording trademarks and copyrights. CBP and ICE conduct outreach with rights holders to ensure recordation of trademarks and copyrights in CBP\u2019s online recordation system. According to CBP officials, business owners are often unaware of CBP\u2019s recordation process, and many may not recognize that CBP prioritizes enforcement of IP that has been recorded with CBP after it has been registered with the U.S. Patent and Trademark Office or the U.S. Copyright Office. CBP engages in efforts to enhance awareness of this process, such as meeting with industry groups, according to CBP. Representatives of one rights holder told us that increasing the number of trademarks recorded with CBP was an important component of the company\u2019s enhanced IPR enforcement efforts.", "Determining goods\u2019 authenticity. CBP officials noted that they often coordinate with rights holders to determine whether a detained item is counterfeit. ICE also works with rights holders during criminal investigations, according to ICE officials. When CBP officers and import specialists are uncertain about the authenticity of a particular item, they work with rights holders to evaluate the item, because rights holders have the most detailed knowledge of how a product is made and packaged and therefore can determine whether seemingly authentic goods are in fact counterfeit. Representatives of all of the rights holders we spoke with noted that this was an important part of their interaction with CBP. In addition, representatives of rights holders and e-commerce websites stated that they share information to assist with law enforcement and with potential criminal prosecution.", "Conducting training. CBP and ICE coordinate with rights holders, industry groups, and other private sector entities to receive training on topics like detection, supply chains, and packaging. For example, CBP officials said they work with rights holders to arrange trainings about specific products to help officers identify potentially counterfeit goods. CBP reported that in fiscal year 2016, rights holders conducted 11 \u201cwebinars\u201d and over 50 trainings for agency personnel to increase CBP expertise regarding their products. CBP also conducted three industry roundtables on IPR enforcement. In addition, to combat the illegal importation and distribution of counterfeit goods, the IPR Center engages in training and outreach to rights holders, manufacturers, importers, and others through its Operation Joint Venture initiative. The IPR Center reported that it reached out to more than 14,000 people at over 300 outreach and training events in fiscal year 2016 through Operation Joint Venture. Representatives of one rights holder we spoke with noted that the company hosts two large conferences every year to discuss issues in IPR enforcement with other private sector entities and U.S. and international law enforcement.", "Working with e-commerce websites. CBP and ICE officials noted that their agencies collaborate with e-commerce companies in a number of national and international working groups to better understand the challenges associated with IPR enforcement in e- commerce. In 2016, CBP created an E-Commerce and Small Business Branch within its Office of Trade, which, among other things, is charged with helping CBP understand the complexities resulting from the increasing volume of online trade. Representatives of one e- commerce website stated that the IPR Center, in particular, has been effective in private sector outreach. ICE officials noted that in November 2017, the IPR Center hosted a symposium on e-commerce with over 150 attendees from the private sector and government.", "Representatives from most rights holders and websites we spoke with stated that coordination with U.S. agencies is effective and that CBP and ICE work well with the private sector. Rights holders told us they are aware that, due to competing priorities, CBP and ICE are unable to focus as extensively on IPR enforcement as rights-holding companies would like, but they noted that the agencies are willing partners in enforcement as resources permit."], "subsections": []}, {"section_title": "Restrictions on CBP Information Sharing Reportedly Limit Private Sector IPR Enforcement", "paragraphs": ["Private sector representatives of rights holders and e-commerce websites stated that restrictions on the amount and type of information that CBP shares about seized goods impede their ability to protect IPR. CBP officials stated that they share information about identified counterfeits with e-commerce websites and rights holders to the extent possible under current regulations. However, the officials noted that there are legal limitations to the amount and type of information they can share, particularly if the e-commerce website is not listed as the importer on forms submitted to CBP. One rights holder representative stated that the information CBP provides, such as importer names from bills of lading, is sometimes not useful, because counterfeiters use fake identities or otherwise mask their identities.", "Several private sector representatives stated that receiving additional information from CBP would enhance their ability to protect IPR. Rights holders noted that additional identifying information about the counterfeiter would aid rights-holding companies in their own investigations and enforcement activities. One rights holder said that some European customs agencies are able to share more information than CBP, better enabling rights holders to take action following a seizure. Representatives of one website noted that information on the exterior of seized packages, such as business identifiers on packages destined for distribution centers, would be helpful for identifying groups of counterfeit merchandise from the same seller.", "However, according to CBP officials, CBP cannot provide such information to e-commerce websites. Without this information, websites may be unable to identify additional counterfeit goods from the same seller in their distribution centers. Representatives of one e-commerce website noted that ICE sometimes shares information when it relates to an investigation, but ICE\u2019s involvement in the enforcement process begins only after CBP has identified and seized counterfeit items. Representatives of two e-commerce websites stated that, because of the limited information shared by CBP, they may not be aware of IPR- infringing goods offered for sale on their website even if CBP has seized related items from the same seller. CBP officials stated that they have not yet determined whether changes to the amount and type of information provided to e-commerce websites would require regulatory changes or additional legal authorities. These officials noted that CBP is reviewing options for sharing additional information with rights holders and e- commerce websites and is assessing what, if any, additional information would be beneficial to share with private sector entities. They also said that they have discussed differences in CBP\u2019s and ICE\u2019s information sharing with ICE officials.", "Representatives of rights holders and e-commerce websites noted that information shared by law enforcement is critical to private sector IPR enforcement, such as pursuing civil action against a counterfeiter or removing counterfeit items from websites. Congress has also demonstrated an interest in CBP\u2019s sharing information with the private sector in certain instances. Specifically, in TFTEA, Congress provided CBP with explicit authority to share certain information with trademark and copyright owners prior to completing a seizure. However, CBP has not yet completed an assessment of additional information that would be beneficial to share with the private sector or determined whether it can share such information under current regulations and statutes. As a result, CBP does not know whether it needs to revise its regulations or seek additional authorities."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["Counterfeit goods provide a lucrative market for criminal activity and can pose serious risks to consumers. Growth in e-commerce has changed the way counterfeiters interact with consumers, and the accompanying increase in the volume and sophistication of counterfeit goods has created challenges for CBP and ICE enforcement. While CBP and ICE have undertaken activities to enhance IPR enforcement and collected some performance data on their activities, CBP has conducted limited evaluation of its efforts. Managing the huge volume of both legitimate and counterfeit goods entering the country requires efficient use of resources. Without better information on the effectiveness of its activities, CBP may not be able to focus its resources on the most efficient or effective efforts. Additionally, without collecting and disseminating effective practices resulting from port-led initiatives, CBP may be missing an opportunity to scale up or improve on existing efforts.", "With the growth of e-commerce, the private sector\u2014including rights holders and e-commerce websites\u2014can play an important role in helping to enforce IPR and protect consumers. Information shared by CBP plays an important role in facilitating private sector enforcement, but CBP has not determined what, if any, additional information would be beneficial to share with private sector entities. Until it completes an assessment of information sharing, CBP will not know whether sharing additional information requires regulatory or legal changes."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following two recommendations to CBP: The Commissioner of CBP should take steps to evaluate the effectiveness of CBP\u2019s IPR enforcement efforts, such as by improving its metrics to track the overall effectiveness of its IPR enforcement efforts, evaluating selected activities to enhance IPR enforcement, and developing a process to assess and share information on port-led initiatives to enhance IPR enforcement (Recommendation 1)", "The Commissioner of CBP, in consultation with ICE, should assess what, if any, additional information would be beneficial to share with the private sector and, as appropriate, take action to enhance information sharing, where possible, such as by proposing regulatory revisions or requesting additional legal authorities from Congress. (Recommendation 2)"], "subsections": []}, {"section_title": "Agency Comments", "paragraphs": ["We provided a draft of this report to the Department of Homeland Security for comment. In its comments, reproduced in appendix III, the department concurred with our recommendations to (1) take steps to evaluate the effectiveness of CBP\u2019s IPR enforcement efforts and (2) assess what, if any, additional information would be beneficial to share with the private sector. The department also described actions that CBP plans to take to implement our recommendations. CBP and ICE also provided technical comments, which we incorporated as appropriate. Our draft report also included recommendations to CBP and to ICE to complete a joint strategic plan, as required by TFTEA. After the agencies received our draft report, they notified us that this plan had been completed in October 2017, and they provided us with a copy of the plan. As a result, we removed these recommendations from the final report. We also provided relevant excerpts of the draft report to the private sector companies mentioned in it and incorporated their technical comments as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of Homeland Security. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov. If you or your staff has any questions about this report please contact me at (202) 512-8612 or gianopoulosk@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["We examined (1) what is known about counterfeit goods entering the United States and the challenges they present, (2) efforts U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE) have undertaken to enhance intellectual property rights (IPR) enforcement and the extent to which they have assessed the results of these efforts, and (3) the extent to which CBP and ICE collaborate on IPR enforcement as well as ways in which they coordinate with the private sector in enforcing IPR.", "To examine what is known about counterfeit goods that enter the United States and the challenges they present, we reviewed U.S. government reports and strategic plans, including those produced by CBP, ICE, the National Intellectual Property Rights Coordination Center (IPR Center), and the Office of the U.S. Intellectual Property Rights Enforcement Coordinator. We also reviewed reports on the counterfeits market and illicit trafficking from international organizations, including the Organisation for Economic Cooperation and Development and the United Nations Office on Drugs and Crime. In addition, we analyzed data from annual CBP public reports on IPR seizures from fiscal years 2012 through 2016 to identify the types of goods seized, the goods\u2019 countries\u2019 of origin, the modes of transportation used to import the goods, and the value of the goods. We analyzed data from CBP\u2019s public IPR reports because, according to CBP officials, those data are refined prior to the issuance of the reports and therefore are more accurate than data extracted directly from CBP\u2019s seizure database. We reviewed the data, conducted electronic tests of the data, and interviewed knowledgeable agency officials to determine that these data were sufficiently reliable for our purposes. We interviewed CBP and ICE officials in Washington, D.C., and in field locations in Chicago, Illinois; Los Angeles, California; Miami, Florida; and New York, New York, to discuss the composition of IPR- infringing goods and challenges the agencies face in enforcing IPR. We selected these locations on the basis of the number and composition of IP seizures in each location, the availability of multiple ports of entry covering different modes of transportation, and geographic diversity. We also interviewed representatives of IP rights\u2013holding companies and e- commerce websites to discuss the challenges counterfeit goods pose in online marketplaces.", "In addition, in an attempt to understand the frequency with which consumers may unknowingly encounter counterfeit products online, we used investigative tools and techniques to conduct nongeneralizable, undercover purchases of consumer goods from third-party sellers on popular consumer websites and asked the rights holders to test the goods to determine whether they were authentic or counterfeit.", "We selected four trademarked consumer products of which CBP often seizes counterfeits, according to CBP seizure data and CBP officials, and that represented a range of consumer goods: Nike Air Jordan shoes, Yeti travel mugs, Urban Decay cosmetics, and UL\u2013certified phone chargers.", "We selected five popular e-commerce websites that (1) were among the top 50 consumer shopping websites as of March 2017, according to Alexa, a data analytics company, and (2) received a rating of \u201cB\u201d or better from the Better Business Bureau. From the top 50 consumer shopping websites, we chose those that (1) offered platforms for third- party sales, (2) sold a variety of trademarked products to the public, and (3) offered a minimum of two items from at least two different third-party sellers.", "We purchased, and had rights holders test, a total of 47 items from third-party sellers on the five e-commerce websites. We selected items that were advertised as new, brand-name items, and we generally selected the lowest-priced items, factoring in both purchase price and shipping while also targeting a variety of sellers and product options. We did not select items whose cost exceeded the manufacturer\u2019s suggested retail price or exceeded that of an identical item sold and fulfilled by the host website. Where seller ratings were available, we selected items from third-party sellers with ratings of 60 percent (or the equivalent, such as 3 of 5 stars) or higher; on average, the sellers of the items we selected had customer ratings above 90 percent as of August 2017.", "For each selected product, we purchased a minimum of two items and a maximum of five items from different third-party sellers on any of the five e-commerce websites that listed the product. Across all the websites, we purchased a minimum of eight items for each product. On each website, we purchased a maximum of one item from any third-party seller.", "We contacted the companies that held the trademark or copyright for each of the four products, asking for their assistance in reviewing the items we purchased to determine whether they were authentic or counterfeit. These companies made their assessments with no knowledge of the websites or sellers from which we purchased the items. We discussed the results of these tests with representatives of the rights-holding companies and the e-commerce websites where we purchased the items.", "To examine the efforts CBP and ICE have undertaken to improve IPR enforcement and the extent to which they have assessed the results of those efforts, we reviewed agency and government-wide strategic plans for IPR enforcement, and we spoke with agency officials in headquarters and selected field locations. We reviewed a selection of eight CBP and ICE activities, which we grouped under four major areas of effort on the basis of the activities highlighted in these strategic plans and agency interviews. The list of activities we reviewed does not constitute the entirety of activities undertaken by CBP and ICE to enhance IPR enforcement and is intended to highlight significant efforts. We did not review activities that officials told us were in early stages, because it would not be reasonable to expect the agencies to have assessed the results of those activities. Our discussion of activities does not include activities related to private sector engagement, which we discuss elsewhere in the report. We reviewed documentation pertaining to the eight activities we reviewed, and we interviewed CBP and ICE officials about the activities and any efforts to assess their results. We reviewed federal internal control standards and prior GAO reports to identify good practices for assessing the results of activities, and we determined the extent to which CBP and ICE had followed those practices.", "To examine the extent to which CBP and ICE follow selected practices for effective interagency collaboration, we reviewed agency documentation and spoke with CBP and ICE officials in headquarters and in selected field locations. We reviewed prior GAO reports to identify effective practices for interagency collaboration and selected five of eight practices that we had identified in a fiscal year 2006 report. The five practices we selected as most relevant to the ways in which CBP and ICE coordinate with one another are (1) establish mutually reinforcing or joint strategies; (2) define and articulate a common outcome; (3) agree on roles and responsibilities; (4) identify and address needs by leveraging resources; and (5) establish compatible policies, procedures, and other means to operate across agency boundaries. We did not evaluate CBP and ICE\u2019s interagency collaboration against the remaining three practices identified in our fiscal year 2006 report. We also assessed CBP\u2019s intra-agency collaboration against three of the five selected practices on the basis of interviews with CBP officials in headquarters and selected field locations and reviews of CBP documentation. We did not evaluate internal CBP collaboration against the other two practices\u2014establish mutually reinforcing or joint strategies and define and articulate a common outcome\u2014because we determined that such practices were not applicable to intra-CBP collaboration. To determine the ways in which CBP and ICE collaborate with the private sector, we interviewed CBP and ICE officials in headquarters and selected field locations, reviewed CBP and ICE documentation, and interviewed representatives of rights-holding companies and e-commerce websites.", "We conducted this performance audit from September 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. We conducted our related investigative work in accordance with investigation standards prescribed by the Council of the Inspectors General on Integrity and Efficiency."], "subsections": []}, {"section_title": "Appendix II: Consumer Information and Advice for Avoiding Counterfeits Online", "paragraphs": ["According to consumer protection organizations and government agencies, consumers can take the following steps to try to limit the risks of buying counterfeit goods online. 1. Locate the listed retailer on the product page and determine whether it is a third party. \u201cFulfilled by\u201d does not mean \u201cSold by.\u201d 2. Look for external consumer trust\u2013building features, such as a mailing address or telephone number, real-time customer service, customer reviews, or third-party accreditation that can be verified through the accreditor. 3. Buy products only from authorized retailers, such as official brand stores. If uncertain whether a retailer acquired its product from a legitimate distributor, ask for verifiable information from the retailer about the source of the goods. 4. Be aware of pricing. While some counterfeiters may try to legitimize their merchandise with realistic prices, others may attract buyers with low prices. If a price seems too good to be true, it probably is. 5. During checkout, ensure your payments are submitted via a website beginning with https:// and look for a lock symbol in your web browser. 6. After receiving an item, look for signs that it may be counterfeit, such as irregular brand markings; missing \u201cuse by\u201d dates, safety seals, or markings; and missing warranty information. Verify the item\u2019s serial number by checking the manufacturer\u2019s website. 7. If you suspect that you have purchased a counterfeit product, notify the brand owner and contact the place of purchase. Also, report the counterfeit at http://www.iprcenter.gov/referral. To report an unsafe consumer product, visit http://www.SaferProducts.gov.", "According to the National Intellectual Property Rights Coordination Center, word-of-mouth is the best way to spread information about illegitimate products as well as sources of safe, affordable, and legal alternatives. For further information, consult http://www.stopfakes.gov."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Kimberly Gianopoulos, (202) 512-8612 or gianopoulosk@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgements", "paragraphs": ["In addition to the contact named above, Joyee Dasgupta (Assistant Director), Kara Marshall (Analyst-in-Charge), Kristen Timko, Katie Bassion, Reid Lowe, Sarah Collins, Neil Doherty, Ramon Rodriguez, Helina Wong, Julie Spetz, Kevin Loh, Wayne McElrath, Grace Lui, James Murphy, Mary Moutsos, Justin Fisher, Rachel Stoiko, and Sarah Veale made key contributions to this report."], "subsections": []}]}], "fastfact": ["From travel mugs to cosmetics, counterfeit goods harm the U.S. economy and can pose a threat to consumers.", "These products can be hard to spot and may be offered online next to authentic goods. For example, manufacturers determined 20 of 47 items we purchased from third-party sellers on popular sites were counterfeit.", "Customs and Border Protection leads efforts to stop imported counterfeit goods at the border, and Immigration and Customs Enforcement conducts investigations.", "We recommended that CBP improve evaluations of the effectiveness of its efforts and assess opportunities to enhance information sharing with the private sector."]} {"id": "GAO-18-194", "url": "https://www.gao.gov/products/GAO-18-194", "title": "Defense Management: DOD Needs to Take Additional Actions to Promote Department-Wide Collaboration", "published_date": "2018-02-28T00:00:00", "released_date": "2018-02-28T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["DOD continues to confront organizational challenges that hinder collaboration. To address these challenges, section 911 of the NDAA for Fiscal Year 2017 directed the Secretary of Defense to issue an organizational strategy that identifies critical objectives which span multiple functional boundaries and that would benefit from the use of cross-functional teams. Additionally, DOD is to establish cross-functional teams to support this strategy.", "The NDAA also included a provision for GAO to assess DOD's actions in response to section 911. This report evaluates the extent to which DOD, in accordance with statutory requirements and leading practices, has (1) developed and issued an organizational strategy, (2) established Secretary of Defense-empowered cross-functional teams, and (3) provided associated training for Office of the Secretary of Defense leaders. GAO analyzed DOD's draft organizational strategy, draft guidance on establishing cross-functional teams, and draft training curriculum. GAO also interviewed DOD officials and subject-matter experts and identified leading practices for effective cross-functional teams."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense (DOD) has implemented some of the statutory requirements outlined in section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 to address organizational challenges, but could do more to promote department-wide collaboration, as required under the NDAA. Specifically, DOD:", "Drafted an organizational strategy that includes the two required statutory elements, but does not outline how DOD will advance a more collaborative culture, as required by statute. Incorporating GAO's leading practices on mergers and organizational transformations, such as setting goals, would help DOD better advance a collaborative culture.", "Plans to coordinate review of the organizational strategy with some DOD offices, but has not followed GAO's leading practices for collaboration\u2014to coordinate with key stakeholders, such as the Secretary of Defense and the military departments\u2014in drafting the strategy. Without obtaining key stakeholder input, DOD may not be well positioned to improve collaboration across the department.", "Established one cross-functional team to address the backlog on security clearances and developed draft guidance for cross-functional teams that addresses six of seven required statutory elements and incorporates five of eight leading practices that GAO has identified for effective cross-functional teams (see figure). Fully incorporating all statutory elements and leading practices will help the teams consistently and effectively address DOD's strategic objectives.", "Developed a draft training curriculum for Presidential appointees in the Office of the Secretary of Defense. However, the curriculum addresses only one of four required statutory elements, and has not been provided to appointees. In addition, although the statute allows a waiver for this training, DOD has not developed criteria for such a waiver. Providing training for these officials or ensuring that appropriate criteria are used to waive training will improve DOD's ability to implement its new organizational strategy."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making four recommendations to DOD, including revising its organizational strategy, collaborating with key stakeholders on the development of its organizational strategy, revising cross-functional team guidance, and providing training. DOD concurred with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Although the Department of Defense (DOD) maintains military forces with unparalleled capabilities, it continues to confront organizational and management challenges that hinder collaboration and integration across the department. In particular, DOD\u2019s military departments and functional organizations have not always worked well together to accomplish departmental objectives. For example, in August 2017, we found that DOD\u2019s efforts to implement a hierarchical, portfolio-based approach to strategically acquire contracted services had not been successful. In part, we found that cultural barriers and military commanders\u2019 reluctance to give up certain responsibilities for determining how and which services were needed to meet their missions hindered DOD\u2019s efforts. We have highlighted these challenges in numerous additional products, including our High-Risk List, which calls attention to agencies and program areas that are high risk because of their vulnerabilities to fraud, waste, abuse, and mismanagement or are most in need of transformation. In an October 2017 memorandum, Secretary of Defense Mattis emphasized the need for DOD personnel to collaborate across components in order to maintain the department\u2019s capabilities.", "Section 911 of the National Defense Authorization Act (NDAA) for Fiscal Year 2017 directed the Secretary of Defense to, among other things, formulate and issue an organizational strategy for DOD. The organizational strategy should identify the critical objectives and other outputs that span multiple functional boundaries and would benefit from the use of cross-functional teams to ensure collaboration and integration across the department. The act also required DOD to establish cross- functional teams whose leaders report directly to the Secretary of Defense and that, among other things, address the critical objectives and outputs outlined in the department\u2019s organizational strategy. DOD refers to these teams as \u201cSecretary of Defense-empowered cross-functional teams.\u201d The act further required DOD to provide training on (1) leadership, modern organizational practice, collaboration, and the operation of cross-functional teams to individuals who have been appointed by the President and confirmed by the Senate to a position within the Office of the Secretary of Defense within 3 months of their appointment, and (2) elements of successful cross-functional teams to members of those established teams and their supervisors.", "Prior to February 2018, the Deputy Chief Management Officer (DCMO) led the department\u2019s efforts to implement section 911 of the NDAA for Fiscal Year 2017. However, section 910 of the NDAA for Fiscal Year 2018 disestablished the position of DCMO on February 1, 2018 and established the position of Chief Management Officer (CMO). The CMO will lead the department\u2019s future efforts to implement section 911. Because we conducted this work prior to February 2018, we primarily refer throughout this report to Office of the DCMO (ODCMO) officials. However, as of February 1, 2018, the ODCMO became the Office of the CMO (OCMO).", "Section 911 of the NDAA for Fiscal Year 2017 also included a provision for us, not later than 6 months after the date of enactment on December 23, 2016, and every 6 months thereafter through December 31, 2019, to submit to the Committees on Armed Services of the Senate and the House of Representatives a report setting forth a comprehensive assessment of the actions that DOD has taken pursuant to section 911 during each 6-month period and cumulatively since the NDAA\u2019s enactment. In June 2017, we issued our first report and found that DOD had taken steps in several areas to begin implementing the requirements of section 911 of the NDAA for Fiscal Year 2017. In this report, we evaluate the extent to which DOD has (1) developed and issued an organizational strategy in collaboration with relevant stakeholders that addresses required statutory elements and advances a collaborative culture; (2) established Secretary of Defense-empowered cross-functional teams and guidance for those teams that addresses required statutory elements and leading practices for effective cross-functional teams; and (3) provided training that addresses required statutory elements on cross- functional teams and related concepts for leaders in the Office of the Secretary of Defense and members of cross-functional teams. Appendix I lists the requirements of section 911 of the NDAA for Fiscal Year 2017, the corresponding due date, and the date completed for each requirement.", "For objective one, we reviewed the most recent version of DOD\u2019s draft organizational strategy, dated August 2017. In addition, we interviewed ODCMO officials on their efforts to collaborate with key stakeholders, such as the Secretary of Defense, military departments, and defense agencies, during the development of the organizational strategy. We evaluated DOD\u2019s efforts to develop and issue an organizational strategy against the required elements in section 911 of the NDAA for Fiscal Year 2017. Further, we reviewed leading practices from our prior work on mergers and organizational transformations and on collaboration to identify practices and implementation steps DOD could incorporate as it develops and issues its final organizational strategy.", "For objective two, we reviewed documentation, including DOD\u2019s internal and external studies on cross-functional teams, and interviewed ODCMO officials on DOD\u2019s steps to establish cross-functional teams. To identify leading practices for effective cross-functional teams, we reviewed literature from January 1990 through September 2017 that covered the use of these teams in both the private and public sectors as well as five case studies of cross-functional teams. In addition, we selected six academic and practitioner experts to interview based on their publications or research, prior testimony before the Senate Armed Services Committee on the implementation of cross-functional teams at DOD, and recommendations from DOD officials. Through this research, we identified eight broad categories of leading practices associated with effective cross-functional teams: (1) open and regular communication, (2) well-defined team goals, (3) inclusive team environment, (4) senior management support, (5) well-defined team structure, (6) autonomy, (7) committed cross-functional team members, and (8) an empowered cross- functional team leader. In appendix II, we describe in more detail how we identified these leading practices for effective cross-functional teams.", "For objective three, we reviewed documentation on the number of individuals appointed by the President and confirmed by the Senate to a position within the Office of the Secretary of Defense as of February 2018 (the latest month available at the time of our review). We also reviewed documentation from and interviewed ODCMO officials on DOD\u2019s efforts to provide training for these officials as well as cross-functional team members. We compared DOD\u2019s efforts against the requirements in section 911 of the NDAA for Fiscal Year 2017 and the attributes of a well- designed training program.", "We conducted this performance audit from June 2017 to February 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Congressional Actions Related to DOD\u2019s Organizational and Management Challenges", "paragraphs": ["DOD has historically faced organizational and management challenges that can limit effective and efficient coordination across the department to fulfill its mission, and Congress has taken steps to address these challenges through, among other things, legislation. For example, in the early 1980s, Congress expressed concern that DOD\u2019s structure primarily served the needs of the services and encouraged interservice rivalries that led to operational failures. In response, Congress passed the Goldwater-Nichols Department of Defense Reorganization Act of 1986 to improve the management and administration of the department, among other purposes. One of the changes emanating from this act included specifying the military department secretaries\u2019 responsibility for training and equipping forces, while making clear that the military service chiefs were not in the chain of command for military operations. The act also required that military personnel selected for promotion to brigadier general or rear admiral (lower half) to have joint duty experience unless waived by the Secretary of Defense or an authorized official. However, shortfalls in strategic integration at DOD\u2014how DOD and the military services align their efforts and resources across different regions, functions, and domains\u2014continue. Congress intended that section 911 of the NDAA for Fiscal Year 2017 improve strategic integration across the organizational and functional boundaries of DOD by, among other things, requiring the Secretary of Defense to develop an organizational strategy to advance a collaborative culture across DOD and create cross- functional teams to address critical objectives and outputs."], "subsections": []}, {"section_title": "DOD\u2019s External and Internal Cross-Functional Team Studies", "paragraphs": ["As required by section 911 of the NDAA for Fiscal Year 2017, DOD awarded a contract to study how best to implement effective cross- functional teams in DOD. The study, conducted by McKinsey & Company and completed in August 2017, presented findings on leading practices for implementing cross-functional teams that were drawn from a literature review, DOD and non-DOD case studies, and interviews. It identified seven critical factors for cross-functional team success: (1) mission; (2) objective; (3) delegated authorities; (4) team membership; (5) ways of working; (6) collaborative environment; and (7) an implementation plan. While not required by the contract, the study also contained a checklist for implementing cross-functional teams, which includes recommendations to assist DOD in assembling, initiating, and operating a team. The checklist distinguished action items by implementation phases: prelaunch, at launch, throughout the project, and at the project\u2019s close. For example, the checklist suggested that, at launch, DOD should onboard the team and tailor training to the team experience and timeframe. DOD transmitted the report to Congress in September 2017.", "ODCMO officials also began collecting information in March 2017 to conduct their own internal study of cross-functional teams within DOD to help inform their implementation of section 911. This internal study, completed in August 2017, evaluated four case studies of prior DOD cross-functional teams, including their structure, returns, and implementation costs. From the case studies, ODCMO officials identified lessons learned to inform establishing and monitoring cross- functional teams. The ODCMO\u2019s internal study found that cross-functional teams require significant senior leader attention. For example, the Secretary of Defense was directly involved in the sampled cross- functional teams, and he publicly stated his support for the teams, gave the teams precedence over other programs, and endorsed non-standard funding practices to accelerate their work. Further, the Secretary of Defense regularly engaged with teams. The study also found that DOD should provide team members with background information and the context behind the team\u2019s mission and goals. Finally, the internal study found that cross-functional teams had the most robust decision-making authority when it came to integration and implementation of the Secretary of Defense\u2019s priority initiatives."], "subsections": []}, {"section_title": "Leading Practices for Effective Cross-Functional Teams", "paragraphs": ["Through a review of literature and case studies as well as interviews with subject-matter experts, we identified eight leading practices for effective cross-functional teams, as shown in figure 1. These leading practices are similar to those identified by the McKinsey & Company contracted study and the ODCMO\u2019s internal study as well as leading practices for interagency collaboration that we previously identified.", "Further, we found that leading practices for implementing effective cross- functional teams include the key characteristics shown in table 1."], "subsections": []}]}, {"section_title": "DOD\u2019s Draft Organizational Strategy Addresses Statutory Elements, but DOD Has Not Outlined How It Will Advance a Collaborative Culture or Collaborated with Stakeholders", "paragraphs": ["The ODCMO developed a draft organizational strategy that addresses the two statutory elements required under section 911 of the NDAA for Fiscal Year 2017\u2014identifying critical objectives and outputs that would benefit from the use of cross-functional teams, and providing for the appropriate use of these teams\u2014but DOD has not issued that strategy as required by September 1, 2017. In addition, while the draft strategy contains the two required elements, it does not outline how DOD will achieve several future outcomes required under section 911 of the NDAA for Fiscal Year 2017 that are designed to advance a collaborative culture within the department. Further, ODCMO officials did not coordinate with key stakeholders, such as the Secretary of Defense, military departments, and defense agencies, in developing the organizational strategy. Our leading practices for collaboration highlight the value of agencies including stakeholders when defining and articulating a common outcome."], "subsections": [{"section_title": "DOD Has Developed, but Not Issued, a Draft Organizational Strategy That Includes Required Statutory Elements, but Has Not Outlined Its Approach for Advancing a Collaborative Culture", "paragraphs": ["The ODCMO developed a draft organizational strategy, but DOD did not issue the organizational strategy as required by September 1, 2017, and as of February 2018 has not issued the strategy. The August 2017 draft organizational strategy we reviewed is intended to be an organizational design that focuses on the responsibilities, functions, and authorities of\u2014 and relationships between\u2014the leaders of DOD components and those of cross-functional teams. It describes DOD\u2019s current organizational structure and processes and how they will change as a result of recent legislation and reform initiatives, and it describes best practices and lessons learned for implementing cross-functional teams, as well as areas that may benefit from the use of such teams. Although the act required the Secretary of Defense to issue the strategy by September 1, 2017, the Acting DCMO told us that other reform initiatives and organizational changes have a higher priority and that therefore he did not take steps to finalize the strategy. ODCMO officials told us that they plan to align the strategy with the revised National Defense Strategy, which was released in January 2018, and the Agency Strategic Plan, which was expected to be issued in February 2018.", "We found that DOD\u2019s draft organizational strategy contains the two elements required under section 911 of the NDAA for Fiscal Year 2017. According to the act, among other things, the organizational strategy must (1) identify the critical objectives and other organizational outputs for the department that span multiple functional boundaries and would benefit from the use of cross-functional teams to ensure collaboration and integration across organizations within the department; and (2) provide for the appropriate use of cross-functional teams to manage such objectives and outputs. To address the first statutory element, the draft organizational strategy identifies several mission-focused and business- operations areas that would benefit from the use of cross-functional teams. For example, the strategy identifies three primary candidates for business operations, including Military Health Systems reforms, financial auditability, and security clearance backlog mitigation. To address the second statutory element, the draft organizational strategy identifies considerations for the appropriate use of cross-functional teams. For example, the strategy states that cross-functional teams should be used only for the Secretary of Defense\u2019s highest-priority issues and that cross- functional teams require significant engagement with the Secretary of Defense and other top leadership.", "Section 911 of the NDAA for Fiscal Year 2017 also identifies several outcomes that DOD should achieve to advance a collaborative culture within the department; however, we found that DOD\u2019s draft organizational strategy does not clearly articulate how the department will achieve these outcomes. The act states that DOD\u2019s organizational strategy should, among other things: provide for the furtherance and advancement of a collaborative, team- oriented, results-driven, and innovative culture within the department that fosters an open debate of ideas and alternative courses of action, and supports cross-functional teaming and integration; improve the manner in which the department integrates the expertise and capacities of the functional components of the department for effective and efficient achievement of critical objectives and other organizational outputs that span multiple functional boundaries and would benefit from the use of cross-functional teams; improve the management of relationships and processes involving the Office of the Secretary of Defense, the Joint Staff, the combatant commands, the military departments, and the defense agencies with regard to such objectives and outputs; improve the ability of the department to work effectively in interagency processes with regard to such objectives and outputs in order to better serve the President; and achieve an organizational structure that enhances performance with regard to such objectives and outputs.", "We found that the draft strategy does not outline how the department will achieve these outcomes. For example, the draft organizational strategy notes that DOD leaders recognize the department must fully embrace and operationalize the cultural attributes set forth in section 911, including a more collaborative, team-oriented, results-driven, and innovative culture; however, it does not identify actions the department will take to help ensure that leaders embrace these attributes, such as through guidance or training. When we asked how the draft organizational strategy will help achieve these outcomes, ODCMO officials stated that the strategy contains references to cultural attributes for the department. For example, the draft organizational strategy describes cultural attributes of the department\u2019s management and business operations, such as visibility across components and collaboration. However, ODCMO officials stated that they agree that the strategy could do more to address collaboration. The ODCMO officials said they originally interpreted section 911 to mean that the organizational strategy should focus on DOD\u2019s organizational structure, processes, and leading practices for implementing cross- functional teams, rather than on how to transform the department\u2019s culture more broadly. Nonetheless, the outcomes called for under the act refer to the need to advance a collaborative culture across the department. These officials also stated that they plan to revise the draft organizational strategy to include additional information on collaboration and information-sharing processes and systems, among other things.", "While not required to do so, OCMO, which will now lead the department\u2019s efforts to implement section 911, could utilize our leading practices for mergers and organizational transformations to revise the organizational strategy to address how the department will advance a culture that is collaborative, team-oriented, results-driven, and innovative. We previously reported on leading practices and implementation steps for mergers and organizational transformations that can help agencies transform their cultures so that they are more results-oriented, customer- focused, and collaborative. The leading practices and implementation steps listed in table 2 were built on the lessons learned from large private and public sector organizational mergers, acquisitions, and transformations.", "These leading practices state that organizations should ensure that top leadership drives the transformation by defining and articulating a succinct and compelling reason for change. Doing so helps employees and stakeholders understand the expected outcomes of the transformation and engender not only their cooperation, but also their ownership of the outcomes. In addition, our leading practices state that organizations should establish a coherent mission and integrated strategic goals by adopting our leading practices for results-oriented strategic planning. Lastly, our leading practices state the organizations should include implementation goals and a timeline for achieving the transformation. By demonstrating progress toward these goals, the organization builds momentum and keeps employees excited about the opportunities change brings and helps to ensure the transformation\u2019s successful completion. The incorporation of these leading practices in its organizational strategy to better articulate how the department will achieve the outcomes that generally advance a collaborative culture across DOD\u2014as section 911 of the NDAA required\u2014would better position DOD to transform and meet its mission."], "subsections": []}, {"section_title": "ODCMO Did Not Collaborate with Key Stakeholders, Including the Secretary of Defense, on Its Organizational Strategy", "paragraphs": ["ODCMO did not collaborate with key stakeholders on the development of the organizational strategy. Specifically, as of November 2017, ODCMO officials had not collaborated with or obtained input from the Secretary of Defense on the development of DOD\u2019s organizational strategy. The Acting DCMO noted that the Secretary of Defense has multiple competing priorities related to reorganizing the department, such as creating a separate CMO position required in the NDAA for Fiscal Year 2017, as well as other reform initiatives.", "In addition, ODCMO officials told us that they did not collaborate with other stakeholders, such as the military departments and defense agencies, on the development of the organizational strategy. According to a draft memorandum from the Acting DCMO to the Deputy Secretary of Defense, the Acting DCMO plans to recommend that the Deputy Secretary of Defense coordinate the review and approval of the organizational strategy with stakeholders such as the Chairman of the Joint Chiefs of Staff, the Director of Cost Assessment and Program Evaluation, and DOD\u2019s General Counsel. However, the memorandum did not specify other stakeholders, such as the military departments, the combatant commands, and defense agencies. ODCMO officials stated that their office plans to coordinate the review and approval of the strategy with other stakeholders, such as the military departments and defense agencies. However, as of November 2017, the officials had not provided documentation, such as a revised memorandum, showing specific plans to do so.", "Section 911 of the NDAA for Fiscal Year 2017 states that the Secretary of Defense should formulate and issue an organizational strategy that identifies the critical objectives and other organizational outputs for the department that span multiple functional boundaries and would benefit from the use of cross-functional teams. In addition, the act states that the organizational strategy should, among other things, improve the management of relationships and processes involving the Office of the Secretary of Defense, the Joint Staff, the combatant commands, the military departments, and the defense agencies with regard to such objectives and outputs. Our leading practices for collaboration state that when defining and articulating a common outcome, where appropriate, agencies should include stakeholders. In doing so, agencies can better address their interests and expectations and gain their support in achieving the objectives of the collaboration. Without obtaining key stakeholder input on the development of the organizational strategy, such as from the Secretary of Defense, military departments, the combatant commands, and defense agencies, DOD may not be well positioned to issue an organizational strategy that reflects the Secretary of Defense\u2019s objectives and improves collaboration across the department."], "subsections": []}]}, {"section_title": "DOD Has Established One Secretary of Defense-Empowered Cross-Functional Team, and Draft Team Guidance Addresses Most Statutory Elements and Leading Practices", "paragraphs": [], "subsections": [{"section_title": "DOD Established One Secretary of Defense- Empowered Cross- Functional Team", "paragraphs": ["In August 2017, the Secretary of Defense issued a memorandum authorizing a cross-functional team to address challenges with personnel vetting and background investigation programs within DOD. Although the memorandum refers to section 951 of the NDAA for Fiscal Year 2017, which requires DOD to develop a plan to transfer responsibility for conducting DOD personnel background investigations to the Defense Security Service, ODCMO officials told us that the cross-functional team reviewing personnel vetting was established pursuant to section 911 requirements, as the team will report directly to the Secretary\u2019s office, among other things. Therefore, this team is considered a Secretary of Defense-empowered cross-functional team. The memorandum notes that a backlog of background investigations affects DOD\u2019s mission readiness, critical programs, and operations. According to the memorandum, this cross-functional team will conduct a full review of current personnel vetting processes to identify a redesigned process for DOD\u2019s security, suitability and fitness, and credential vetting. The cross-functional team\u2019s objectives are to develop options and recommendations to mitigate shortcomings, ensure necessary resourcing, and transform the personnel vetting enterprise. An ODCMO official told us that DOD had selected an interim leader for the team."], "subsections": []}, {"section_title": "DOD\u2019s Draft Guidance for Cross-Functional Teams Addresses Most Required Statutory Elements, but Could More Fully Incorporate Leading Practices", "paragraphs": ["ODCMO officials developed draft guidance for Secretary of Defense- empowered cross-functional teams. The draft guidance fully addresses six and partially addresses one of the section 911 required statutory elements. We also found that the draft guidance fully addresses five leading practices, partially addresses two leading practices, and does not address one leading practice for effective cross-functional teams.", "Table 3 shows our assessment of the extent to which DOD\u2019s draft guidance meets required statutory elements.", "The draft cross-functional team guidance briefly describes the characteristics of a cross-functional team and highlights the team\u2019s direct reporting line to the Secretary of Defense, the team\u2019s delegated authorities, and team leader and member selection. The guidance also states expectations for cross-functional team members\u2019 dedication to the team and for leaders of functional components to support their participating staff. Further, DOD\u2019s draft guidance discusses the role of the teams in addressing complex, enterprise-wide issues, and discusses training for and operations of the cross-functional teams. The guidance additionally describes DOD\u2019s commitment to collaboration and integration across the department. Finally, we found that the draft guidance partially addresses the required statutory element of identifying key practices on leadership, organizational practice, collaboration or functioning of cross- functional teams. The draft guidance discusses key practices for senior leaders on the functioning of cross-functional teams, but we found that it does not identify any practices on leadership, organizational practice, or collaboration.", "We also found that DOD\u2019s draft guidance for cross-functional teams could more fully incorporate leading practices for cross-functional teams, which are similar to those identified by the McKinsey & Company contracted study and the ODCMO\u2019s internal study as well as leading practices for interagency collaboration that we previously identified. Figure 2 shows our assessment of the extent to which DOD\u2019s draft cross-functional team guidance incorporates our leading practices for effective cross-functional teams.", "We found that the draft guidance fully incorporates five of the leading practices for effective cross-functional teams: well-defined team structure, autonomy, senior management support, committed cross-functional team members, and well-defined team goals. In addition, the draft guidance partially addresses the leading practice for open and regular communication, as it discusses that teams will update the Secretary of Defense and senior staff at regular staff meetings to reflect on progress and seek feedback. The draft guidance, however, does not address information sharing and communication within the cross-functional team. Also, the draft guidance partially addresses the leading practice for empowered cross-functional team leaders by indicating that team leaders should report directly to the Secretary of Defense, select team members, and seek feedback from other federal agencies. Further, the guidance states that cross-functional team leaders will contribute to the performance evaluations of their team members. The guidance states that the Secretary of Defense will select the team leaders, but does not elaborate on what qualities the team leader should possess. Finally, the draft guidance does not address the leading practice for an inclusive team environment. For example, the draft guidance does not contain any reference to developing a unified team culture and trust among team members.", "ODCMO officials told us that they anticipate the Secretary of Defense reviewing and approving this guidance, including a detailed terms of reference that addresses information on mechanics of team operations and guidance for each team. However, without initial guidance that fully addresses the required statutory elements in section 911 of the NDAA for Fiscal Year 2017 and incorporates leading practices, DOD\u2019s cross- functional teams may not be able to consistently and effectively approach the Secretary of Defense\u2019s strategic objectives or further promote a collaborative culture within the department."], "subsections": []}]}, {"section_title": "DOD Has Developed, but Not Provided, Training for Its Presidential Appointees and Cross-Functional Team Members, and It Does Not Address All Statutory Requirements", "paragraphs": [], "subsections": [{"section_title": "DOD Developed a Draft Training Curriculum for Presidential Appointees, but It Does Not Address All Required Statutory Elements and Has Not Been Provided to Appointees", "paragraphs": ["As of October 2017, the ODCMO developed a draft training curriculum on cross-functional teams for presidential appointees, but this curriculum does not address all statutory requirements. Furthermore, as of February 2018, 22 individuals have been nominated by the President, confirmed by the Senate, and appointed to positions within the Office of the Secretary of Defense, but none have received training required by section 911. Section 911 of the NDAA for Fiscal Year 2017 requires that, within 3 months of the appointment of an individual to a position in the Office of the Secretary of Defense appointable by and with the advice and consent of the Senate, the individual complete a course of instruction in leadership, modern organizational practice, collaboration, and the operation of cross-functional teams. The training requirement may be waived by the President upon a request by the Secretary of Defense if the Secretary of Defense determines in writing that the individual possesses, through training and experience, the skill and knowledge otherwise to be provided through a course of instruction. ODCMO officials stated that they intend to recommend that the Secretary of Defense seek such a waiver; however, this requirement had not been waived for any appointees as of November 2017. In addition, according to an ODCMO official, DOD has not developed criteria for determining who would be eligible for such a waiver and on what basis.", "We found that the draft curriculum addresses only one of four required elements in section 911 of the NDAA for Fiscal Year 2017. Specifically, the draft curriculum addresses the required statutory element for training on the operation of cross-functional teams by including information on elements of successful teams and when to use them. It does not, however, incorporate the required statutory elements for leadership, modern organizational practice, or collaboration. According to the Acting DCMO, these appointees do not need this type of training because they are already experts in their field, have considerable leadership experience, and have likely already received this type of training. However, our leading practices of a well-designed training program note that it is important for agencies to consider the need for continuous and lifelong learning, recognizing that learning is an investment in success rather than a cost to be minimized. In addition, our leading practices state that a core characteristic of a strategic training and development process is leadership commitment, meaning that agency leaders consistently demonstrate that they support and value continuous learning and set the expectation that effective training and development will improve individual and organizational performance. Further, as organizations are typically resistant to change and need top leadership to drive a successful organizational transformation, ensuring that senior officials receive this training will be important for DOD\u2019s overall organizational transformation to succeed in driving a more collaborative culture.", "Without the provision of training for top leadership within the Office of the Secretary of Defense that includes the required elements in section 911 of the NDAA for Fiscal Year 2017 or developing criteria for obtaining a waiver from providing the training, DOD may have difficulty implementing its new organizational strategy as top leadership commitment is a key element of an organizational transformation."], "subsections": []}, {"section_title": "DOD Developed Training for Team Members That Addresses Statutory Requirements and Plans to Provide the Training Once Team Members Are Announced", "paragraphs": ["We found that DOD has developed a draft training curriculum for cross- functional team members and their supervisors that addresses required statutory elements, including the element focused on collaboration. This training has not been provided since no team members have been named for the one Secretary of Defense-empowered cross-functional team to address challenges with personnel vetting and background investigation programs within DOD. Section 911 of the NDAA for Fiscal Year 2017 requires that team members and their supervisors of Secretary- empowered cross-functional teams receive training in elements of successful cross-functional teams, including teamwork, collaboration, conflict resolution, and in appropriately representing the views and expertise of their functional components. Table 4 summarizes the requirements of section 911 of the NDAA for Fiscal Year 2017 and shows our assessment of the draft training curriculum against these required statutory elements.", "According to ODCMO officials, this training should take place soon after team members have been announced. In addition, ODCMO officials stated that they considered having an expert from another federal agency lead the training, but were prepared to conduct the training themselves if that expert was unavailable."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Congress has been encouraging DOD to undertake transformative organizational change and improve collaboration and more effectively accomplish its missions across its military departments and functional organizations. While ODCMO officials drafted an organizational strategy that includes the two required statutory elements, the strategy does not address how the department will achieve several outcomes that advance a collaborative culture in the department, as required under section 911 of the NDAA for Fiscal Year 2017. A revised strategy that addresses how the department will achieve these outcomes and is consistent with our leading practices for mergers and organizational transformations would better position DOD to further a culture within the department that is collaborative, team oriented, results driven, and innovative.", "DOD could also address three other areas to improve the department\u2019s collaborative efforts. First, OCMO officials need to collaborate with key stakeholders across the department\u2014such as the Secretary of Defense, military departments, the combatant commands, and defense agencies\u2014 to strengthen the organizational strategy and ensure a more successful implementation. Without this stakeholder input, the organizational strategy may meet resistance and not result in the desired organizational change. Second, DOD\u2019s guidance for cross-functional teams is critical to their consistent and effective implementation across the department. This guidance would also help ensure that such teams are provided with the leadership support and resources, among other things, to address the Secretary of Defense\u2019s strategic objectives and further promote collaboration across the department. Third, without training for presidential appointees to positions within the Office of the Secretary of Defense that includes leadership, modern organizational practice, collaboration, and the operation of cross-functional teams or developing criteria for who could receive a waiver for this training and on what basis, DOD may have difficulty aligning the perspective of these leaders to most effectively bring about change when implementing its new organizational strategy."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of four recommendations to the Secretary of Defense and the Chief Management Officer (CMO).", "The Secretary of Defense should ensure that: The CMO, in its revisions to the draft organizational strategy, address how the department will promote and achieve a collaborative culture, as required under section 911 of the NDAA for Fiscal Year 2017. The CMO could accomplish this by incorporating our leading practices on mergers and organizational transformations. (Recommendation 1)", "The CMO obtain stakeholder input on the development of the organizational strategy from key stakeholders, including the Secretary of Defense, the military departments, the combatant commands, and defense agencies. (Recommendation 2)", "The CMO fully address all requirements in section 911 of the NDAA for Fiscal Year 2017 and incorporate leading practices for effective cross- functional teams in guidance on Secretary of Defense-empowered cross- functional teams. (Recommendation 3)", "The CMO either: (a) provide training for presidentially-appointed, Senate- confirmed individuals in the Office of the Secretary of Defense that includes the required elements\u2014leadership, modern organizational practice, and collaboration\u2014in section 911 of the NDAA for Fiscal Year 2017, or (b) develop criteria for obtaining a waiver and have the Secretary of Defense request such a waiver from the President for these required elements if the individual possesses\u2014through training and experience\u2014 the skill and knowledge otherwise to be provided through a course of instruction. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for review and comment. In written comments, DOD concurred with our recommendations. DOD also provided technical comments, which we incorporated where appropriate. DOD\u2019s comments are reprinted in their entirety in appendix III.", "We initially made our recommendations to the DCMO; however, because section 910 of the NDAA for Fiscal Year 2018 disestablished the position of DCMO on February 1, 2018 and established the position of CMO, we have updated our recommendations to be directed to the CMO.", "In response to our first recommendation, DOD emphasized the importance of collaboration across the department in pursuing DOD\u2019s goals. In response to our second recommendation, DOD stated that finalizing the organizational strategy has been dependent on finalizing the National Defense Strategy and the Agency Strategic Plan. DOD also mentioned the reform teams established by the Deputy Secretary of Defense being aligned with strategic guidance. While DOD\u2019s efforts to establish these reform teams are notable, as we discussed in our report, these reform teams do not meet the requirements for cross-functional teams established pursuant to section 911 of the NDAA for Fiscal Year 2017. Finally, DOD concurred with our third and fourth recommendations and stated that criteria for waiving training for presidentially-appointed, Senate-confirmed individuals will be completed and appropriate waivers submitted to the President for key personnel by March 30, 2018.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, and DOD\u2019s Chief Management Officer. In addition, the report is available at no charge on our website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-2775 or FieldE1@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Summary of Requirements in Section 911 of the National Defense Authorization Act for Fiscal Year 2017", "paragraphs": ["Section 911 of the National Defense Authorization Act for Fiscal Year 2017 requires the Secretary of Defense to take several actions. Table 5 below summarizes some of these requirements, the due date, and the date completed."], "subsections": []}, {"section_title": "Appendix II: Identification of Leading Practices for Effective Cross-Functional Teams", "paragraphs": ["We identified leading practices for effective cross-functional teams and compared the Department of Defense\u2019s (DOD) steps to establish cross- functional teams against these leading practices. To identify the leading practices, we reviewed literature as well as five case studies of cross- functional teams. In addition, we selected six academic and practitioner experts to interview based on their publications or research, prior testimony before the Senate Armed Services Committee on the implementation of cross-functional teams at DOD, and recommendations from DOD officials. We identified eight broad categories of leading practices associated with effective cross-functional teams: (1) open and regular communication, (2) well-defined team goals, (3) inclusive team environment, (4) senior management support, (5) well-defined team structure, (6) autonomy, (7) committed cross-functional team members, and (8) an empowered cross-functional team leader.", "To identify what is known from published research about factors contributing to effective cross-functional teams, we conducted a literature search among relevant articles published from January 1990 through September 2017. We conducted a search for relevant peer-reviewed articles in 19 databases, including JSTOR, Academic OneFile, and ProQuest. Key terms included various combinations of \u201ccross-functional team,\u201d \u201cbest practice,\u201d \u201ccharacteristics,\u201d \u201ceffective,\u201d and \u201csuccess.\u201d From all database sources, we identified 46 relevant articles. We first reviewed the abstracts for each of these articles for relevancy in identifying contributing factors related to effective cross-functional teams. For the 17 articles that we found relevant and based on empirical research, we reviewed the full article for methodological rigor. GAO social scientists read and assessed each study, using a standardized data collection instrument. The assessment focused on information such as the population examined, the research design and data sources used, and methods of data analysis. The assessment also focused on the quality of the data used in the studies as reported by the researchers, any limitations of data sources for the purposes for which they were used, and inconsistencies in reporting study results. A second GAO social scientist reviewed each completed data collection instrument to verify the accuracy of the information included. We determined that the studies were sufficiently sound to support their results and conclusions. We excluded articles that lacked enough information about their methodologies for us to evaluate them. We then reviewed the citations and literature reviews of the relevant articles for additional sources. After including these articles and excluding others, 14 articles remained, covering cross-functional teams in both the private and public sectors.", "We took several additional steps to identify leading practices. First, we reviewed five case studies developed by subject-matter experts on cross- functional teams and interagency task forces employing similar collaboration tactics for national security issues. We reviewed these studies for academic rigor and determined that we could use them to inform our leading practice development. Second, we reviewed three relevant congressional testimonies from a Senate Armed Services Committee hearing in June 2016 about the use of cross-functional teams for improving strategic integration within DOD and incorporated them as well into the identification of leading practices. Third, we interviewed six subject-matter experts on cross-functional teams, utilizing a semi- structured set of questions, and used their responses to inform our cross- functional team leading practices. These experts include current and former government officials involved with cross-functional teams and academic researchers, who are listed below.", "Honorable Michael B. Donley\u2014Former Secretary of the Air Force from 2008 to 2013, Dr. Amy Edmondson\u2014Novartis Professor of Leadership and Management, Harvard Business School, Chris Fussell\u2014Managing Partner at the McChrystal Group, former Navy SEAL and aide-de-camp to General Stanley McChrystal, Dr. Christopher J. Lamb\u2014Distinguished Research Fellow, Center for Strategic Research in the Institute of National Strategic Studies, National Defense University, Honorable James R. Locher III\u2014Former President and CEO, Project on National Security Reform, and Dr. Jeffrey Polzer\u2014UPS Foundation Professor of Human Resource Administration, Harvard Business School.", "We documented our interviews with the selected subject-matter experts in a record of interview. To determine appropriate subject-matter experts to interview, we received recommendations from the Senate Armed Services committee and DOD officials, and identified subject-matter experts who testified before Congress on the topic of cross-functional teams. We also solicited names of other cross-functional team experts during our initial subject-matter expert interviews. Additionally, we examined the top business programs and research institutes at universities in the country identified in the top five rankings by U.S. News & World Report and identified researchers with expertise in cross- functional teams. Finally, we identified subject-matter experts through reviewing the Academy of Management\u2019s Annual Meeting program from 2014 to 2016. The experts identified from this search were based in the United States and had papers in the program relating to cross-functional teams.", "We conducted a content analysis of cross-functional team practices identified in our literature review, the case studies, the congressional testimonies, and the subject-matter expert interviews. To do so, team members first reviewed: the results sections from the scholarly articles, the texts of the case studies, the transcripts of the testimonies, and the records of interview from the subject-matter interviews in order to identify characteristics of effective cross-functional teams. Then the team members independently reviewed the characteristics to identify themes. They subsequently compared the themes and developed a series of conceptual categories to be used as a coding structure for the content analysis. To conduct the content analysis of all identified characteristics, two analysts independently assigned each identified characteristic from the sources to one or more categories and sub-categories. Then, the team members met to compare their categorization decisions and to discuss the differences. Any disagreements regarding the categorizations of the characteristics were discussed and reconciled. The team members then tabulated the number of characteristics in each category and sub- category and reached agreement on the final set of categories and sub- categories. We assessed the outcome of our content analysis by comparing leading practices we identified to the contractor and internal DOD studies, as well as to our key considerations for implementing interagency collaborative mechanisms."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Tina Won Sherman (Assistant Director), Tracy Barnes, Leslie Bharadwaja, Arkelga Braxton, Adelle Dantzler, David Dornisch, Jessica Du, Michael Holland, Amie Lesser, Ned Malone, Judy McCloskey, Sheila Miller, Richard Powelson, Terry Richardson, Ron Schwenn, Jared Sippel, Pam Snedden, Sarah Veale, and Richard Zarrella made key contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-140", "url": "https://www.gao.gov/products/GAO-19-140", "title": "2020 Census: Additional Steps Needed to Finalize Readiness for Peak Field Operations", "published_date": "2018-12-10T00:00:00", "released_date": "2018-12-10T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The cost of the decennial census has steadily increased over the past several decades, with self-response rates declining over the same period. The largest and costliest operation that the Bureau undertakes, NRFU is the Bureau's attempt to enumerate households not initially self-responding to the census.", "GAO was asked to review NRFU implementation during the 2018 Census Test as well as the Bureau's overall readiness for peak field operations, which cover the actual enumeration of residents. This report examines (1) how peak field operations, including NRFU, were implemented during the test; and (2) the extent to which prior test implementation issues have been addressed. GAO reviewed test planning and training documentation, as well as production and payroll data. At the test site, GAO observed and interviewed enumerators, field supervisors, and managers conducting peak operations."]}, {"section_title": "What GAO Found", "paragraphs": ["In preparation for the 2020 census, the Census Bureau (Bureau) set out to enumerate over 140,000 housing units during the 2018 Census Test at a site in Providence County, Rhode Island. The 2018 Census Test marked the Bureau's last chance to test enumeration procedures for peak field operations under census-like conditions before 2020. Implementation of this test identified the following concerns:", "The Bureau experienced operational issues during implementation of the Non-Response Follow-Up (NRFU) as part of the 2018 Census Test. For example, the Bureau had not finalized procedures for data collection during late phases of NRFU (e.g., after multiple attempts to interview had been made) until after the work had already started. As a result, enumerators and their supervisors did not have standardized procedures during the test, which made it difficult to evaluate the effectiveness of the test procedures. GAO also observed a range of other NRFU implementation issues during the test, such as the Bureau's use of progress reporting that overstates the number of NRFU cases not needing any additional fieldwork and the Bureau having fewer of its enumerators work Saturdays, which can be among the most productive interview days. The Bureau is taking steps to assess and mitigate these and other issues that GAO identified.", "The Bureau's field workforce was not fully prepared to face all of the enumeration challenges that arose during the test. For instance, the Bureau expects census field supervisors to provide front-line coaching to enumerators but did not screen these employees to ensure they had the needed skills. Moreover, it did not provide them with the authorities and information that would have helped them serve that role. As a result, we believe that supervisors did not have the casework expertise, information, or authority to help enumerators with procedural questions, and higher-level census field managers ended up providing direct support to enumerators.", "While the Bureau provided extensive online and in-person training to enumerators prior to NRFU fieldwork for the 2018 Census Test, the Bureau lacked any standardized form of mid-operation training or guidance as new procedures were implemented. GAO observed that during the test some enumerators continued to have questions and were uncertain about procedures. Developing targeted, location-specific training could help ensure that, in 2020, enumerators receive the guidance they need to collect census data consistently and in accordance with NRFU procedures.", "The Bureau has made progress addressing prior test implementation issues but still faces challenges. For example, the Bureau improved its collection of enumerator case notes, which reflect real-time knowledge gained during enumeration. However, enumerators did not always report cases using flags built in to their interviewing device that would benefit from supervisory review, such as for language barriers. Moreover, supervisors were not systematically analyzing case notes to identify cases not flagged properly. As a result, critical data on fieldwork challenges were not being communicated effectively to those who could analyze and use them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that the Bureau (1) determine procedures for late-NRFU data collection; (2) align census field supervisor screening, authorities, and information flows; (3) prepare for targeted mid-operation training or guidance as needed; and (4) improve training on reporting cases that need supervisory attention and alternative ways to communicate these cases.", "The Department of Commerce agreed with GAO's findings and recommendations, and the Bureau provided technical comments that were incorporated as appropriate."]}], "report": [{"section_title": "Letter", "paragraphs": ["The cost of the decennial census has steadily increased over the past several decades, with enumeration costs rising from about $16 per household in 1970 to around $92 in 2010 (all in constant 2020 dollars). The Census Bureau (Bureau) estimates that overall decennial costs will increase by over $3 billion from the 2010 Census to $15.6 billion in 2020 (in current decennial time frame costs). During this period of increasing costs, the percentage of households self-responding to mailed census questionnaires has declined from 78 percent in 1970 to 63 percent in 2010. The Bureau anticipates that the self-response rate will further decline to roughly 60 percent in 2020, in part because, as the Bureau has noted, the population is overloaded with requests for information and has become increasingly concerned about sharing information.", "When a household does not initially respond to the census, the Bureau attempts to enumerate the residents through Non-Response Follow-Up (NRFU), an operation where enumerators personally visit to count the household. NRFU is labor intensive and is the largest and costliest operation that the Bureau undertakes. Another enumeration operation happening at about the same time is Group Quarters, when the Bureau counts residents of group facilities (such as skilled nursing facilities and correctional facilities).", "The Bureau planned its 2018 Census Test in Providence County, Rhode Island, to rehearse most of the operations, systems, and procedures that it will implement during the 2020 Census. Previously, the Bureau conducted operational tests from 2013 through 2017, as well as multiple small-scale tests designed to demonstrate specific functionalities (such as submitting census data over the Internet). The 2018 test is the last opportunity for the Bureau to demonstrate readiness for its major operations in 2020 and to apply lessons learned from prior tests.", "You asked us to review implementation of NRFU testing during the 2018 Census Test as well as the Bureau\u2019s overall readiness for peak operations, which cover the actual enumeration of residents. This report examines (1) the implementation of peak operations during the 2018 Census Test at the Providence County, Rhode Island, site; and (2) the extent to which implementation issues raised in prior 2020 Census tests have been addressed and what actions the Bureau could take to address these issues.", "To address both of these research objectives, we visited the test site in Rhode Island to observe implementation of the peak operations being tested between May and August 2018. These visits included nongeneralizable observations of door-to-door field enumeration and office clerical work, as well as interviews with local managers. We also observed debrief sessions held with multiple levels of the census field workforce after the operations. From each of these visits, we documented observations and provided feedback to Bureau managers in near real time so that the Bureau could mitigate and adapt to issues raised by the test\u2019s implementation in a timely manner. Implementation issues are a natural part of the testing environment and are what testing is intended to uncover. We also discussed any mitigation or evaluation strategies developed in response to our observations with the cognizant Bureau headquarters officials.", "In addition to our fieldwork, we collected real-time production data on the tested operations. These data included tallies of case outcomes, transactional case activity by enumerators, and hours worked by Bureau employees. After testing the case tallies and distributions and interviewing cognizant officials, we determined that these data were sufficiently reliable for our reporting purposes. We also received daily progress reports from the Bureau throughout the test, and we reviewed Bureau test-planning documentation and our work from prior tests to examine how, if at all, the Bureau planned to address prior implementation issues.", "We conducted this performance audit from April 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["NRFU is a field-based operation that the Bureau administers following the self-response period so that it can (1) determine the occupancy status of individual non-responsive housing units and (2) enumerate them. In most instances, the Bureau typically allows up to six enumeration attempts for each nonresponsive housing unit, or case. If the Bureau is unable to enumerate the housing unit in the field, it may have to impute attributes of the household based on the demographic characteristics of surrounding housing units as well as administrative records.", "Within the test site in Providence County, Rhode Island, the Bureau set up an area census office to administer field operations. Figure 1 provides an overview of the managerial hierarchy of the area census office. The area census office manager oversees day-to-day operations within the office and acts as a liaison with the Bureau\u2019s New York Regional Census Center, which is a Bureau regional office with jurisdiction over the Providence area census office. Census field managers are to monitor operational progress and performance indicators to understand any areas of concern and shift resources as needed within the test site. Census field supervisors are to act as front-line supervisors for individual performance and payroll processes and receive procedural questions from enumerators, who conduct the count.", "The Bureau has another operation\u2014Group Quarters\u2014to enumerate those living or staying in a group facility that provides housing or services. Such facilities can include skilled nursing facilities, college and university student housing, and correctional facilities. Within the Group Quarters enumeration, the Bureau also enumerates places such as soup kitchens, homeless shelters, and other service-based enumeration facilities.", "Prior to Group Quarters enumeration in the field, the Bureau attempts to establish the facilities\u2019 approximate population count and preferred enumeration method through the Advance Contact operation. These facilities can choose among methods including paper listing, where the facility provides a roster of residents as of census day to the Bureau, and in-person enumeration, where a team of enumerators count residents. For the 2020 cycle, the Bureau is also adding an \u201ceResponse\u201d option, tested on a small scale in 2016, whereby facility administrators can electronically submit enumeration data at a date of their choosing within operational time frames.", "The Bureau\u2019s testing of the peak operations that we observed during the 2018 Census Test was intended to test collection of census data from those either not responding themselves via paper, telephone, or over the Internet or those living in group quarters. Prior to the start of NRFU during the 2018 test, roughly 45 percent of anticipated housing units in the test area of Providence County, Rhode Island, self-responded, leaving more than 140,000 remaining housing units to be attempted by NRFU itself, which took place between May 9 and July 31, 2018. The Bureau conducted a test of its Group Quarters enumeration from July 25 through August 24, 2018, including service-based enumeration. Both portions of Group Quarters fieldwork were preceded by the Advance Contact activity. Dates for the peak operations we observed during the 2018 test are listed in table 1.", "The Bureau\u2019s operational plans for this phase of the fieldwork for the 2018 test incorporated two innovation areas that the Bureau hopes will produce savings for 2020.", "Reengineered field operations. For most of NRFU during the 2018 test, the Bureau relied on automated data collection methods, including a system-based, automated process for assigning work to enumerators, a smartphone-based application for collecting enumeration data in the field, and system-generated supervisory alerts.", "Use of administrative records. To help reduce costly NRFU visits during the 2018 test, the Bureau reviewed and, where appropriate, applied administrative records\u2014information already provided to the government as it administers other programs, such as Social Security, the Selective Service, or the Special Supplemental Nutrition Program for Women, Infants, and Children\u2014to determine the occupancy status of housing units and thus remove vacant housing units from the NRFU workload, as well as to provide population counts of households not responding.", "The Bureau also tested multiple operational features for the first time this decennial cycle under full census-like production conditions in 2018:", "NRFU Closeout. During the 2018 test, the Bureau tested how best to relax certain business rules and enumeration procedures late in the NRFU operation so that it can enumerate persistently non-responsive housing units. Examples of procedural modifications include increasing the maximum allowable number of enumeration attempts for each housing unit and manually assigning cases to the highest- performing enumerators.", "Office-Based Group Quarters Advance Contact. In the 2010 Census, the Bureau sent enumerator crews in person to each facility in advance of enumeration to establish the facility\u2019s preferred method of enumeration and to obtain an approximate population count. In the 2018 Census Test, the Bureau implemented a new method for 2020 that instead involved clerical staff contacting facilities by telephone and updating the group quarters address list and enumeration information remotely to reduce expenses associated with field visits for its enumerator crews."], "subsections": []}, {"section_title": "The Bureau Experienced Operational Planning, Workforce Management, and Other Issues during Its 2018 Test of Peak Operations", "paragraphs": [], "subsections": [{"section_title": "The Bureau Did Not Determine Procedures for Late-NRFU Data Collection until after It Started the Work", "paragraphs": ["The Bureau began the last phase of NRFU data collection in the 2018 test without having yet determined the procedures it would use for that critical phase. Bureau planning documentation from February 2018 described a late-operation \u201ccloseout\u201d phase of NRFU that would attempt to resolve cases that had not yet responded. However, we found that the Bureau had not determined the procedural modifications this phase would involve, either in terms of rules enumerators followed or business rules for how cases were to be assigned. By late May, nearly 3 weeks into the operation, the Bureau issued a set of closeout procedures to census areas where most cases had either been completed or where at least four of the six allowable enumeration attempt day assignments had been made. The Bureau also placed a priority on having high-performing enumerators\u2014in terms of their ability to complete cases\u2014available to work these cases during this phase of the NRFU testing.", "Table 2 summarizes the chronology for when the Bureau implemented and documented procedural changes governing the transition from early to late-NRFU data collection, as well as the nature of those changes.", "In late June 2018, the Bureau began testing the third phase of NRFU data collection, what it referred to as the \u201cfinal attempt\u201d phase, with officials citing a high incidence of non-interviews during prior phases as the reason. However, the Bureau had also begun this phase\u2019s data collection before it had established the procedural modifications it would be using. The modifications were intended to further increase the chances of enumerators completing cases in the field, such as by removing the limit on the number of attempts enumerators could make at each remaining case before NRFU ended.", "Standards for Internal Control in the Federal Government states that agencies should implement control activities by, for example, documenting policies. However, the Bureau did not determine procedures for the final attempt phase until after testing for this phase of NRFU had begun. Enumerators and census field supervisors thus began working closeout and final attempt cases without a standardized set of test procedures.", "Without determining the procedural changes the Bureau would be testing\u2014or the business rules guiding when to make those changes\u2014the Bureau was not well positioned to collect data to assess the alternatives it used during the test to inform planning for 2020. Bureau officials shared with us that they believed their automated case assignment approach is most effective during initial data collection but that it is less effective at targeting the toughest cases to resolve late in NRFU data collection. Yet, in part because the Bureau had not established when the transition from automated to manual case management would occur\u2014or the business rules for determining when\u2014some of the highest-performing enumerators were unavailable to receive assignments when the Bureau needed to begin the final attempt phase, according to the area census office manager. By not establishing the scope and timing of procedural changes for late-NRFU data collection in 2020, the Bureau may not be in a position to efficiently shift from its automated assignment approach to a manual one at the right time and position its most effective enumerators to receive assignments when needed.", "In November 2018, the Bureau provided a draft contact strategy for NRFU in 2020 that included an outline of a multi-phase strategy for late- NRFU data collection. By including multiple phases of (1) shifting away from a fully-automated case assignment process and (2) relaxing management controls to complete as much casework as possible in areas with continued high non-response rates, this strategy appears to follow what the Bureau ultimately implemented during the 2018 test. It will be important, however, for the Bureau to determine the business rules for procedural changes and their timing in advance so that it can maximize the value of NRFU in reducing the number of housing units that have to be imputed for the 2020 Census."], "subsections": []}, {"section_title": "The Bureau Did Not Fully Ready Its Field Workforce for Enumeration Challenges", "paragraphs": ["Census field supervisors were not integrated into casework management. As described in the Bureau\u2019s training and operational planning documents, census field supervisors were to be the primary points of contact in fielding and addressing enumerator questions. Census field managers\u2014the next step above census field supervisors\u2014 were to focus their efforts on monitoring progress in completing the caseload, reviewing cases flagged by enumerators as problematic in one of a small number of pre-defined ways (e.g., dangerous addresses), and resolving significant performance issues. Among field supervisors\u2019 key responsibilities, according to the Bureau\u2019s plan for NRFU, were providing guidance to help enumerators understand procedural matters and to offer coaching and problem-solving support to enumerators who may need it. They also led enumerator training prior to the beginning of NRFU and generally were to train their specific team of enumerators.", "However, census field managers and enumerators indicated that census field supervisors were often not the primary actors involved in fielding and addressing enumerator questions. Instead, enumerators and census field managers reported having direct contact with each other over procedural questions. Moreover, seven of the nine enumerators participating in the Bureau\u2019s operational debrief focus group who responded said they thought finding someone who could answer their questions was either difficult or very difficult.", "We found that census field supervisors went underutilized in part because the Bureau did not recruit and position them to assume front-line supervising and coaching responsibilities. As outlined in training documentation, the Bureau vested supervisory review authority (for special cases, such as resident refusals and language barrier issues) within census field managers, the area census office manager, clerks, and office operations supervisors instead of census field supervisors. Additionally, as part of the Bureau\u2019s reengineered field operations for 2020, census field supervisors are given automated tools to monitor enumerators, and enumerators we observed told us that they generally did not interact in person with their supervisors apart from training. We believe that the combination of these factors resulted in census field supervisors having limited exposure to NRFU casework and any problematic situations enumerators might encounter. Officials also told us that the Bureau did not screen census field supervisors for their supervisory or coaching skillsets, though officials noted that this has been the practice in prior censuses, too. Rather, they hired census field supervisors based on their scores on the online enumerator training and because they reported an interest in supervising.", "Additionally, census field supervisors lacked access to certain data streams from the test that could have helped them answer or troubleshoot enumerator questions. According to two census field managers, the Bureau did not regularly share consolidated records of procedural changes with census field supervisors. Information technology (IT) and census field managers also noted that the Bureau did not share or compare observations between the census field supervisor hotline and the decennial IT hotline, even though enumerators could potentially call either or both with technical or procedural questions. As a result, without sharing how best to respond to similar questions across support lines, enumerators could receive different answers for related questions depending on which hotline they contacted.", "Standards for Internal Control in the Federal Government states that agency management should demonstrate a commitment to recruit, develop, and retain competent individuals. Management should establish expectations for competence in key roles and should consider the level of assigned responsibility and delegated authority when establishing expectations. Yet, the role the Bureau envisioned census field supervisors having was not aligned with the authority supervisors were given, the skills for which the Bureau hired them, or the access to information that they had for the 2018 test.", "When we raised this issue related to using census field supervisors, Bureau officials agreed and cited feedback they had received that census field managers felt inundated with the combination of the volume of supervisory review cases that flowed to them and with troubleshooting day-to-day enumerator questions. In October 2018, the Bureau provided documentation to us proposing a set of questions that they could use in screening applicants for the census field supervisor position to identify supervisory skills. Officials also said they were still evaluating options for granting census field supervisors more supervisory review authority. As the Bureau continues to learn from the 2018 test as part of its planning for 2020, it will be important to align census field supervisor roles with their authorities, skills, and information flows so that the Bureau does not underutilize a key portion of its field management chain. Doing so could also lessen the operational burden on higher-level census field managers.", "Enumerators did not receive training to address mid-operation issues. Prior to the start of 2018 NRFU testing, the Bureau trained enumerators with a series of online training modules and assessments and one full day of in-person training facilitated by census field supervisors. The training included modules on data stewardship requirements, payroll responsibilities, and procedural directions for conducting respondent interviews. However, officials acknowledged that when the Bureau implemented its closeout and final attempt phases of NRFU, it did not provide standardized training to enumerators on the rollout of procedural changes. Five enumerators we observed during these stages said they relied on informal communications from their census field supervisors or census field managers for guidance. The initial practice had been for enumerators to receive daily assignments and follow pre-specified case sequencing and routing based on the Bureau\u2019s automated system. During the final attempt phase, enumerators were given discretion over the sequencing, routing, and number of attempts to make for cases that could be manually assigned, yet they were not given standardized training on how to handle this shift.", "During our field observations, some enumerators we spoke with said they were uncertain about core procedures. For example, enumerators were not consistently aware that they had some discretion in large multi-unit settings to deviate from the assigned sequence of their cases provided by the automated system. Enumerators we observed and spoke to were also not always clear on how to flag within their field enumeration application the commonly occurring cases with confusing address markings and numberings. For example, enumerators had the option of selecting a case outcome of \u201cmissing unit designation,\u201d but they were not always sure whether this selection would capture the nuances of what they were seeing on the ground or how it differed from other selection options.", "Standards for Control in the Federal Government states that agencies should demonstrate a commitment to competence by, for example, tailoring training based on employee needs and helping personnel adapt to an evolving environment. Targeted informational training would help the Bureau ensure that staff understand mid-operation procedural changes, and the training could be an opportunity for the Bureau to address commonly-observed and persistent implementation issues that may be arising. By developing brief, targeted mid-operation training, either as formal modules, guidance, or other standardized job aids, such as \u201cfrequently asked questions\u201d worksheets, the Bureau could better position itself to react nimbly to enumerator feedback.", "We have previously reported challenges the Bureau faces with its field work in other locations, such as connecting to the Internet during testing of address canvassing in rural West Virginia in 2017 and dealing with language barriers and other circumstances in unincorporated communities in southern Texas or with migrant and seasonal farmworkers in southern California during the 2000 Census. All challenges are not universal to all locations. Given that some of the enumeration challenges enumerators encountered in 2018 NRFU testing might not occur everywhere, and that some other areas of the country will have their own types of challenges, locally- or regionally-specific training or guidance may better address some needs. By relying solely on pre-NRFU training, the Bureau risks having little opportunity to course-correct with enumerators who may not have absorbed all of the training and are experiencing difficulty completing interviews or not collecting quality data."], "subsections": []}, {"section_title": "The Bureau Is Assessing Other Implementation Issues That Arose during the 2018 Test", "paragraphs": ["We observed and discussed with Bureau officials in real time several other implementation issues that occurred during the 2018 test. Bureau officials acknowledged these issues and, as of September 2018, were assessing them and developing mitigation strategies as part of their test evaluation process. These issues include: Training certification. Census field managers estimated that roughly 100 enumerators were unable to transmit their final test scores because the Bureau\u2019s online learning management system had an erroneous setting. According to Bureau officials, this problem delayed the start of unsupervised work for these otherwise-qualified enumerators by an average of 2 days per enumerator and resulted in the attrition of some who were able to quickly find other work. Bureau officials told us they have fixed the system setting and are considering an alternative means to certify training, such as by having the option of trainees taking and verifying their final assessment as part of their final capstone day of classroom training. According to Bureau officials, development of this backup strategy will begin in December 2018.", "Assigning cases manually in batches. During the 2018 test, the Bureau\u2019s automated case management system was not configured for non-Headquarters staff to manually assign multiple cases to an enumerator at once. Rather, according to officials, census field managers were faced with having to manually assign thousands of cases individually during latter stages of NRFU. According to field management, this problem presented an unexpected burden on them, delayed assignments of the hardest-to-count cases, and contributed to high- performing enumerators not receiving work timely and in some cases for days in a row. Officials told us that, as a work-around, the Bureau shifted responsibility for assigning cases to a headquarters official with access rights in the system to assign large numbers of cases at once. Bureau officials acknowledge the unsustainability of this work-around if needed at a national level and the importance of resolving this before the 2020 Census. As of October 2018, Bureau officials showed us system screenshots of how census field managers would be able to manually assign batches of cases and indicated that this functionality would be ready for the 2020 Census.", "Monitoring operational progress. The Bureau\u2019s reporting on its progress in completing the NRFU casework for the 2018 test emphasized a process-oriented measure that overstated the extent to which the NRFU efforts were resulting in completed workload. In planning documentation, the Bureau listed the outcomes of interview attempts that it considered complete and thus not in need of further enumeration assignments. These outcomes\u2014such as a full interview of the household or confirmation of a housing unit being vacant or nonexistent\u2014would also result directly in reduction in the number of incomplete cases needing to have some of their missing data imputed by the Bureau later.", "Yet the daily Bureau progress report and \u201cdashboard\u201d the Bureau provided us for the 2018 test, which decennial leadership also identified as their primary monitoring report, did not reflect these pre-planned definitions of completed workload. Rather, as officials acknowledged, it included cases that the Bureau had unsuccessfully attempted to enumerate the maximum number of allowable times for the initial phase of NRFU being tested, even though those cases could still\u2014and did\u2014 receive additional attempts during later phases of NRFU. Officials noted that the measure reported could be helpful during early stages of the operation in determining whether enough employees had been hired, or whether case assignments were being worked quickly enough.", "Figure 2 demonstrates the gap that arose during 2018 NRFU test implementation between the reported progress measure and the number of cases actually being completed. The totals reflected in the Bureau\u2019s reported measure include those that either have to be re-worked in the field during the final attempt phase as discussed or have their data imputed after fieldwork had ended. By contrast, an outcome-based measure of operational progress, like the one the Bureau designed, would capture only those cases where the Bureau had completed enumeration of the nonresponding housing units and thus be a more accurate representation of the operation\u2019s status.", "Bureau officials acknowledged the need to maintain measures that focus on process as well as outcomes\u2014such as avoiding having to impute data for cases after field work\u2014when measuring progress completing NRFU. They said that managers in the field and in Bureau headquarters had access to alternative measures and reports that more closely identified outcomes. The officials noted that the reporting mechanism expected to be used in 2020 was not fully available in time for the beginning of NRFU testing in 2018, so the reporting format and measures will likely differ. In addition, in October 2018, the Bureau provided a draft dashboard for 2020 that included greater detail on the number of cases that could still require work to enumerate. Such detail could help assist with determining when to transition to the final-attempt phase of the operation to address cases without sufficient information yet collected.", "Integrating key systems settings. At the beginning of NRFU test implementation, the Bureau\u2019s case assignment and case sequencing systems were operating as if they were on time zones 4 hours apart. Bureau officials said that this resulted in enumerators receiving mismatched case assignment times, which hampered early NRFU production, and census field supervisors having to process erroneous \u201cwork not started\u201d supervisory alerts. Bureau officials said they addressed the problem within the first week of the operation and that they would ensure that future updates and key settings would be coordinated across systems.", "Tracking employees and equipment. The Bureau used two different sets of employee identification numbers to track their payroll status and use of Bureau-issued equipment (e.g., smart phones), respectively, without cross-walking them. According to census field managers, this resulted in extra work when trying to monitor changes in enumerators\u2019 employment statuses and whether enumerators had returned their equipment to the Bureau. The managers noted that office staff had to spend extra time comparing different lists of staff, while one manager developed a spreadsheet listing all staff by their two different identification numbers. Bureau officials said they considered this a priority issue to be resolved during final systems development for 2020 and had already developed a fix within their case management system so that the cross- walk between the two systems would be integrated within their management system. This would eliminate the need for manually reconciling the differing identification numbers.", "Having more enumerators work weekends. Until the latter stages of 2018 NRFU testing, the Bureau assigned cases to enumerators based on the alignment of the Bureau\u2019s estimated probability of finding respondents at home at certain times and enumerator-reported work availability. Bureau officials told us that Saturdays are generally one of the best days to find a household member home to respond to the census. However, during the test, our analysis showed that Saturdays had the second- fewest number of enumerators assigned to cases of any day of the week. Bureau officials said that they would review whether the incentive structure for working on Saturdays should be altered and that they would examine ways to ensure that more enumerators are working on those days. This includes exploring the feasibility of hiring and assigning work to applicants who may only want to work weekends and being clearer with enumerators about what the expected peak enumeration hours are.", "Increasing electronic completion rates for Group Quarters. The Bureau hopes to reduce field costs for Group Quarters (such as skilled nursing homes, college and university student housing, and correctional facilities) by, for the first time, encouraging facilities to self-enumerate electronically, when possible. As previously discussed, clerical staff first establish facility enumeration preferences during Group Quarters Advance Contact, and enumeration (either in person or otherwise) takes place afterward. During the 2018 test, the Bureau reported that only 25 of the 75 facilities that selected the \u201ceResponse\u201d enumeration option during Advance Contact submitted responses by the enumeration deadline. As of September 2018, Bureau officials said they were still evaluating potential causes of the low response rate by Group Quarters facilities but noted that issues with the required format for the submission of response files may have prevented some submissions. Bureau officials also acknowledged the need to conduct more active follow-up with these facilities during the eResponse period to ensure a full and accurate count of Group Quarters facilities."], "subsections": []}]}, {"section_title": "The Bureau Has Made Progress but Continues to Face Challenges Addressing Implementation Issues Identified in Prior Tests", "paragraphs": [], "subsections": [{"section_title": "The Bureau Has Improved Its Collection of Case Notes, but Enumerators Remain Unclear on How to Report Fieldwork Issues", "paragraphs": ["We reported to the Bureau during the 2015 Census Test that information enumerators were typing into their case notes did not appear to be systematically used by their managers. We also reported that, during the 2016 Census Test, the Bureau was not reviewing case notes written by enumerators providing respondent information on better times-of-day for future NRFU visits to their housing unit, and enumerators did not always have this note-taking feature available. During the 2018 test, enumerators were trained to take notes and, when appropriate, identify special cases that would later require supervisory review. We also observed that enumerators appeared to be consulting case notes from prior enumerator visits when planning NRFU visits to the same housing unit. Enumerators can use markings within their automated interview instrument to describe certain types of cases (e.g., hearing barriers and dangerous situations), which the automated system would then route to receive supervisory review. Enumerators could select other case outcomes that the automated system would apply predetermined business rules to either reassign the cases (e.g., refusal, no one home) or treat them as completed (verified vacant or not a housing unit).", "However, we identified multiple scenarios in which enumerators had described cases in their case notes but for which the enumerators had not selected the corresponding case flag for the situation that would have resulted automatically in a supervisory review. One census field manager described discovering several dozen cases that had been inactive where enumerators had written case notes describing language barriers encountered but had not specifically marked the flag within the device for \u201clanguage barrier.\u201d Because these cases thus were not triggered for supervisory review, they were eligible to be reassigned by the Bureau\u2019s standard automated system. As a result, the Bureau was not controlling for the requisite language skills in assigning the cases for subsequent enumeration attempts.", "The Bureau\u2019s use of automated systems to apply business rules to efficiently manage field casework for 2020\u2014including identifying which cases receive supervisory review\u2014relies critically on field staff understanding how to reflect what they are seeing on the ground within the choices provided to them with which to flag cases in their interview device. The Bureau\u2019s use of remote management as part of reengineered field operations also relies on enumerators knowing when and how to report issues to their supervisors.", "We observed multiple field scenarios that called these conditions into question, however. For example, enumerators we observed during NRFU told us that they indicated address listing issues in their case notes, such as if the unit designation was missing or incorrectly marked. Yet, these enumerators did not know how to flag such cases in their interview instrument to trigger supervisory review. According to Bureau officials, this type of address listing issue turned out to be a broadly experienced challenge within the test area. Additionally, during Group Quarters, an enumerator we observed received supplemental information about the number of residents at a neighboring facility after that facility had been enumerated. The enumerator made note of this discrepancy and included the original facility\u2019s identifying information but was uncertain about how, if at all, to alert the supervisor about the discrepancy.", "Moreover, we saw little evidence that census field supervisors or managers were systematically reviewing case notes for the purpose of identifying either cases not being marked properly or for which the selected flags may not have been fully describing the case characteristics. For example, a census field manager confirmed that case notes recorded at Group Quarters facilities that were enumerated would not be reviewed during clerical processing, leaving the possibility\u2014such as we observed\u2014that if enumerators relied on case notes to communicate information about the accuracy of data collected, it would not be acted on. Bureau officials told us that reviewing all case notes could require more staff time than budgeted for, and changing the automation process to selectively present unflagged cases for supervisory review could necessitate requirements changes to systems whose development is already pressed for time.", "Standards for Internal Control in the Federal Government states that agencies should use quality information by, for example, processing reliable information to help it make informed decisions. Bureau enumerators can record useful local knowledge about their cases with their choice of case type flags and within their descriptive case notes. While the Bureau has anticipated a broad range of types of cases for enumerators to select from when documenting their casework, enumerators we observed did not uniformly understand those options, and the descriptors did not fully anticipate what enumerators were encountering. Improving training and guidance to field staff on the intended use of case notes and on alternative ways to communicate their concerns about cases, such as flags for different types of cases, can help ensure the Bureau has reliable data on the cases during its field operations relying on automated interviewing instruments."], "subsections": []}, {"section_title": "Leveraging Information on Enumerator-Reported Technical and Procedural Issues Remains a Challenge", "paragraphs": ["During the 2015 Census Test, we reported that certain technical and procedural problems that enumerators were encountering in the field were going unreported and that enumerators did not always know who to contact for assistance. We further noted that the Bureau was not systematically assessing or tracking the extent of these issues during testing, and we recommended that it enable such capture of information by training enumerators on where to record issues and whom to contact. The Bureau agreed with our recommendation.", "During the 2018 test, the Bureau had both an information technology (IT) hotline and a census-field-supervisor hotline established for technical and procedural questions, respectively. Yet, enumerators we observed told us they did not always report to their support lines the technical issues that they were easily able to resolve by, for example, turning their devices on and off to reset. This lack of reporting kept the Bureau from getting information on commonly-occurring challenges that might be useful real- time feedback in the testing environment. Moreover, a Bureau IT manager noted that the Bureau does not formally review and share observations and troubleshooting notes from IT hotline and census field supervisor hotline calls. Because enumerators may call either or both hotlines when having difficulty operating their Bureau-issued smart phone, operators of these hotlines could be unaware of the prevalence of or solutions to a given problem if the Bureau does not monitor troubleshooting information across the two operational silos. For the Bureau to be informed on any additional training needs or other operational decisions for 2020, it will need to continue to expand its efforts in collecting information on enumerator-reported problems per our 2015 recommendation."], "subsections": []}, {"section_title": "The Bureau Continues to Assess How to Ensure Efficient Staffing Levels for Group Quarters", "paragraphs": ["Depending on the size of a Group Quarters facility (e.g., skilled nursing facility, college and university student housing), the Bureau can use varying sizes of enumerator crews to conduct an onsite count. During the 2010 Census, we observed overstaffing during the service-based enumeration (e.g., homeless shelters and soup kitchens) portion of Group Quarters. While determining staffing levels at these facilities can be challenging, such overstaffing can lead to poor productivity and unnecessarily high labor costs. We recommended that the Bureau determine and address the factors that led to this overstaffing prior to 2020. The Bureau agreed with our recommendation.", "However, the Bureau has faced challenges determining the right staffing ratios in light of complications with the Advance Contact phase of Group Quarters. As previously noted, the Bureau used this phase to establish facilities\u2019 enumeration method preferences. For the 2018 test, most Group Quarters facilities selected the facility-provided paper listing and the eResponse enumeration options. Therefore, the Bureau allocated a large share of its enumerator and census field supervisor workforce in the test area to the 44 known service-based enumeration facilities, which were restricted in terms of the enumeration options they could select and tended to select in-person enumeration. However, only 11 of these facilities responded to initial inquiries, so the Bureau had less work than anticipated for its enumerator crews. At multiple sites we observed in the test area, enumerators appeared either idle or underutilized. Moreover, several of the Group Quarters facilities we observed had changed their initial choice of enumeration method on the day of enumeration.", "Enumerator crews thus ran the risk of either being overstaffed (in the case of switching to a facility-provided paper listing) or understaffed (in the case of switching to an in-person enumeration).", "The Bureau\u2019s Advance Contact activities have a potential benefit\u2014if the Bureau can get accurate information on the method of enumeration and approximate population within a facility ahead of time, Bureau managers and enumerator crews can more proactively allocate resources and prepare for the count. Bureau officials said they are still assessing outcomes of Advance Contact to see if these gains were realized and may have completed the assessment by as early as January 2019. Doing so will help the Bureau determine appropriate staffing sizes and thus address our prior recommendation."], "subsections": []}, {"section_title": "The Bureau Is Working to Determine the Causes of Elevated Non-Interview Rates", "paragraphs": ["According to preliminary data from the 2018 Census Test, the Bureau experienced similarly high rates of cases coded as non-interviews as it did during its last major field test of NRFU in 2016. Non-interviews are cases where enumerators collect no data or insufficient data from households either because enumerators made the maximum number of visits without a successful interview, or because of special circumstances like language barriers or dangerous situations. When this happens, the Bureau may have to impute the census data for the case, such as whether the housing unit is vacant or not, the population counts of the households, or demographic characteristics of their residents. In January 2017, we reported that, during the 2016 Census Test, the Bureau incurred what it considered high non-interview rates (31 and 22 percent across the two test sites, respectively, as the Bureau preliminarily reported at the time), and we recommended that the Bureau determine the causes of these rates.", "Using the same method to calculate the rate of non-interviews for the test as in 2016, the 2018 Census Test had similarly high non-interview rates\u2014 33 percent of all NRFU cases. Bureau officials said they are still examining causes of these elevated non-interview rates and whether final attempts helped to mitigate the non-interview rate and will report out on what they learn as part of their comprehensive assessment of the test, planned for December 2018. A draft of the Bureau\u2019s revised contact strategy for NRFU, provided in November 2018, indicates that as part of enumerator training in 2020 the Bureau will need to incorporate messaging that emphasizes the importance of obtaining sufficient data from interview attempts. Officials noted that any interim lessons learned from this assessment process would inform updates to the field enumeration contact strategies for 2020."], "subsections": []}, {"section_title": "The Bureau Experienced a Programming Error While Implementing Procedures for Proxy Interviews", "paragraphs": ["Enumerators are directed to try and complete a NRFU case by interviewing a proxy for a household respondent, like a neighbor, after multiple failed attempts have been made to contact someone in the household for that case. We previously observed in the 2016 Census Test that enumerators did not seem to understand the procedures for conducting these interviews and, as a result, underutilized the interviewing method. In our January 2017 report, we therefore recommended that, as part of determining the causes of its non-interview rate, the Bureau revise and test any needed changes to proxy procedures and associated training. The Bureau agreed with our recommendation and subsequently developed automated supervisory performance alerts for census field supervisors and census field managers that would inform them when an enumerator was not following prompts to conduct proxy interviews for eligible cases.", "However, in implementing proxy interview procedures for the 2018 Census Test, the Bureau experienced a technical glitch resulting in some confusion among some enumerators and their supervisors about related procedures. Early in NRFU data collection for the test, a programming error within the field enumeration application was prompting enumerators to make more than the allowable three attempts to interview a proxy respondent. The Bureau reported promptly implementing a technical fix to this issue; yet, enumerators we observed reported receiving varying guidance from their supervisors on whether to abide by the erroneous prompts. While some of these enumerators appeared to understand the importance of attempting proxy interviews, some did not appear to understand Bureau guidance that enumerators should make no more than three attempts to interview a proxy respondent, and some appeared conditioned to follow the erroneous prompts.", "Proxy interviews can be a substantial portion of completed interviews during the census. In 2018 NRFU testing, interviews of proxy respondents accounted for 27 percent of all successful interview-based enumerations of occupied housing units\u2014compared to 24 percent during the 2010 Census and 9 percent during the 2016 Census Test. Given the role that proxy interviews play in completing census data collection, it will be important for the Bureau to fully implement our recommendation so that enumerators are properly pursuing and conducting these interviews."], "subsections": []}, {"section_title": "Enumerators We Observed Were Uncertain of How to Proceed When Property Managers Were Unavailable", "paragraphs": ["Initial visits to property managers of multi-unit residences can help the Bureau identify vacant and occupied housing units before sending enumerators to individual units within the facilities. We have previously reported that property managers can also be a helpful source of information on respondents who are not at home, thereby making subsequent follow-up visits to individual units more productive. During the 2016 Census Test, we observed that enumerators were uncertain of how to handle individual cases within a multi-unit once they were unsuccessful in contacting a property manager initially. As a result, we recommended in January 2017 that the Bureau revise and test procedural and training modifications as needed to aid enumerators and their supervisors in these cases. The Bureau agreed with this recommendation and indicated that the evaluations of the 2018 test would inform its strategies for 2020.", "However, we observed a similar issue during the 2018 Census Test in that enumerators were unclear on what, if any, proxies to attempt if they were unsuccessful in finding the listed property manager. Additionally, we observed multiple enumerators leave voicemails with their contact information\u2014not a central number\u2014for the listed property manager, but it was unclear how these voicemails would produce a successful interview because, later, the automated system could reassign other enumerators to visit the manager. When we raised this concern with Bureau officials, they acknowledged that they need to continue to refine procedures for handling initial property manager visits for 2020."], "subsections": []}, {"section_title": "The Bureau Provided Enumerators Access to Incomplete Closed Cases, but Enumerators Were Not Consistently Aware They Had Access", "paragraphs": ["Previously, during the 2016 Census Test, we observed that enumerators were unable to re-open closed non-interview cases even if they happened upon the respondent in question soon after and nearby. We noted this inefficiency, since these cases would get re-assigned later, and in January 2017, we recommended that the Bureau revise and test procedures that would grant flexibility to enumerators to access cases in these circumstances. The Bureau agreed with our recommendation.", "For the 2018 Census Test, the Bureau provided a list in the field enumeration application of the cases that had been worked by the enumerator that day but that had not been submitted for processing or reassignment. Training for enumerators described this enumeration option, and enumerators were authorized to access these cases when needed, but not all enumerators we observed were consistently aware of how to do so. Enumerators we spoke with cited uncertainty over how to access these cases and whether enumerators were allowed to do so as considerations. Continuing to review the procedures and guidance to enumerators on this flexibility for completing interviews, consistent with our prior recommendation, will help the Bureau make better use of it in 2020."], "subsections": []}, {"section_title": "The Bureau May Add an Extra Check on NRFU Addresses Identified by Administrative Records as Vacant or Nonexistent", "paragraphs": ["As we reported in 2017, the Bureau previously modified how it would treat some of the households that did not respond to the 2020 Census and that the Bureau\u2019s use of administrative records had determined to be not occupied. The Bureau\u2019s earlier testing had determined that the Bureau should require two\u2014instead of just one\u2014notices from the United States Postal Service that mail could not be delivered to these households before removing their addresses from the NRFU workload. After we provided a draft of this report to the Department of Commerce to obtain agency comments, Bureau officials provided us with findings from an evaluation of the 2018 Census Test. In the evaluation, Bureau officials observed that there were households for which they had received multiple notices from the United States Postal Service that mail was undeliverable but that Bureau enumerators recorded as occupied. While Bureau officials believe, based on their follow-up research, that these addresses may likely be vacant or not housing units, they are concerned about possible undercounting from not enumerating people who may be at these addresses. As of November 2018, the Bureau was considering adding one physical visit for each of these cases. Bureau officials said they are continuing to analyze these evaluation results and expect to document and include changes within its final operational plan for the 2020 Census due in January 2019."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["The 2018 Census Test offered the Bureau its last opportunity to test key procedures, management approaches, and systems under decennial-like conditions prior to the 2020 Census. As the Bureau studies the results of its NRFU and Group Quarters testing to inform 2020, it will be important that it address key program management issues that arose during implementation of the test. Namely, by not establishing the intended procedural changes for late-NRFU data collection ahead of time, the Bureau risked not getting the most out of NRFU to minimize the number of housing units having to have their information imputed by the Bureau later. Additionally, by not aligning the skills, responsibilities, and information flows for census field supervisors, the Bureau limited their role in support of enumerators within the reengineered field operation. The Bureau also lacks mid-operation training or guidance, which, if implemented in a targeted, localized manner, could further help enumerators navigate procedural modifications and any commonly- encountered problems when enumerating. Finally, without enumerators understanding how to use case notes and flags for various types of cases in their enumeration device and to report enumeration challenges to supervisors and managers, the Bureau may be unaware of field work issues that could affect the efficiency of its operations and the quality of its data.", "We provided near real-time feedback to the Bureau across a range of test implementation issues. Some, such as those related to staffing ratios for the Group Quarters operation, build on long-standing implementation issues that, if addressed, can contribute to the efficiency and effectiveness of 2020 field operations. Others, like not having NRFU progress measures that provide true indications of completed workload, are issues specific to this test that the Bureau is assessing as part of its 2018 Census Test evaluations. It will be important for the Bureau to prioritize its mitigation strategies for these implementation issues so that it can maximize readiness for the 2020 Census."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making four recommendations to the Department of Commerce and the Census Bureau: The Secretary of Commerce should ensure that the Director of the Census Bureau determines in advance of Non-Response Follow-Up what the procedural changes will be for the last phases of its data collection and what the business rules will be for determining when to begin those phases, which cases to assign, and how to assign them. (Recommendation 1)", "The Secretary of Commerce should ensure that the Director of the Census Bureau identifies and implements changes to align census field supervisor screening, authorities, and information flows to allow greater use of the census field supervisor position to provide supervisory support to enumerators. (Recommendation 2)", "The Secretary of Commerce should ensure that the Director of the Census Bureau enables area census offices to prepare targeted, mid- operation training or guidance as needed to address procedural changes or implementation issues encountered locally during Non-Response Follow-Up. (Recommendation 3)", "The Secretary of Commerce should ensure that the Director of the Census Bureau improves training and guidance to field staff on the intended use of case notes and flags, as well as on alternative ways to alert supervisors and managers when case characteristics are not readily captured by those flags. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretary of Commerce. In its written comments, reproduced in appendix II, the Department of Commerce agreed with our findings and recommendations and said it would develop an action plan to address them. The Census Bureau also provided technical comments and an update on their evaluation of the test, which we incorporated as appropriate.", "We are sending copies of this report to the Secretary of Commerce, the Undersecretary of Economic Affairs, the Acting Director of the U.S. Census Bureau, and the appropriate congressional committees. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report please contact me at (202) 512-2757 or goldenkoffr@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Objectives Scope & Methodology", "paragraphs": ["This report examines (1) how peak field operations were implemented during the 2018 Census Test; and (2) the extent to which implementation issues raised in prior 2020 Census tests have been addressed, and what actions the Census Bureau (Bureau) is taking to address them.", "To address these objectives, we reviewed 2018 Census Test and 2020 Census operational planning and training documentation. We also reviewed our prior reports and documentation on prior census testing operations. Non-Response Follow-Up (NRFU) operations took place from May 8 through July 31, 2018, while Group Quarters took place from July 25, 2018 through August 24, 2018, with the service-based enumeration portion taking place July 25, 2018 through July 27, 2018.", "To review the Bureau\u2019s test implementation and mitigation strategies for previously-identified implementation issues for peak operations, we visited Providence, Rhode Island, multiple times between May and August 2018 to observe enumerators, census field supervisors, and management operations. NRFU visits took place between mid-May and late-July 2018, while we also conducted two iterations of visits of Group Quarters in late July and early-August 2018. These multiple iterations both across and within operations enabled us to see how, if at all, implementation of procedures varied over time. It also enabled us to get direct feedback from Bureau field managers on how various phases of test operations were proceeding. These visits consisted of non- generalizable observations of field enumeration and office clerical work, as well as interviews with local managers. For each of these visits, we developed data collection instruments to structure our interviews and to cover topics that were pertinent to the given phase of the operation we were observing. We also observed debrief sessions with multiple levels of the Bureau\u2019s field workforce following the field work.", "To translate our observations into actionable feedback for the Bureau, we shared high-level observations in near real-time to Bureau headquarters management overseeing the operations so that the Bureau could mitigate and adapt to known issues in a timely manner. We also discussed any mitigation or evaluation strategies developed in response to our observations with the cognizant Bureau headquarters officials. For objective two specifically, we reviewed Bureau test planning documentation and our work from prior tests to examine how, if at all, the Bureau planned to address known implementation issues.", "To gain insight into how implementation was proceeding when we were not directly observing test implementation, we received daily management progress reports from the Bureau throughout the NRFU operation testing that included information on the total number of NRFU cases, the final outcomes of each case, and the number of cases that the Bureau reported as completed for each day of the NRFU operation. We also received Periodic Management Reports that summarized high level outcomes of both the NRFU and Group Quarters workload.", "To fully understand the source of the Bureau\u2019s daily progress reports, we requested and received all transactional data collected during NRFU production. We reconciled case totals and outcomes with the final numbers in the NRFU progress reports and then used these data to analyze the Bureau\u2019s progress during NRFU production. We also received and analyzed Bureau payroll data on enumerator hours worked during NRFU operations. Specifically, we assessed the number of enumerators working each day, the number of enumerator\u2019 hours paid each day, and the days of the week that were worked the most by enumerators. We found the Bureau\u2019s transactional and payroll data sources to be sufficiently reliable for our reporting purposes.", "We conducted this performance audit from April to December of 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Ty Mitchell (Assistant Director), Devin Braun, Karen Cassidy, Joseph Fread, Robert Gebhart, Krista Loose, Kathleen Padulchick, Lisa Pearson, Kayla Robinson, Robert Robinson, and Cynthia Saunders made significant contributions to this report."], "subsections": []}]}], "fastfact": ["In 2010, less than 2/3 of households responded to the U.S. Census Bureau's mailed questionnaire. When there's no response, a census worker follows up with a visit\u2014a time-consuming and costly operation.", "The Bureau recently ran a full Census test, which included the operations, systems, and procedures needed to count households that didn't respond. Workers followed up with more than 140,000 households in Rhode Island.", "After reviewing plans, training, and part of the actual test, we recommended steps including making sure that field supervisors had the information and authority needed to help census workers with procedural questions."]} {"id": "GAO-18-502", "url": "https://www.gao.gov/products/GAO-18-502", "title": "Students with Disabilities: Additional Information from Education Could Help States Provide Pre-Employment Transition Services", "published_date": "2018-09-06T00:00:00", "released_date": "2018-10-09T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["WIOA requires states to reserve at least 15 percent of their total State Vocational Rehabilitation Services program funds to provide pre-employment transition services to help students with disabilities transition from school to work. GAO was asked to review how states were implementing these services.", "This report examines (1) steps states reported taking to implement pre-employment transition services, and (2) implementation challenges states reported and how Education has addressed them. GAO reviewed documents and funding data from Education, and federal laws and regulations; surveyed all 79 state VR agencies (74 responded); held discussion groups with representatives of 29 state VR agencies; and interviewed officials from Education and three states (Idaho, Illinois, and Maryland) GAO selected for variety in size and type of agencies, among other factors."]}, {"section_title": "What GAO Found", "paragraphs": ["Of the 74 state vocational rehabilitation (VR) agencies that responded to GAO's survey, most reported expanding services to help students with disabilities transition from school to work as required under the Workforce Innovation and Opportunity Act (WIOA), enacted in July 2014. Most state agencies reported serving more students and providing work-based learning experiences and other activities, referred to as pre-employment transition services (see figure).", "State VR agencies reported two key challenges with implementing pre-employment transition services for students as required by WIOA.", "Spending reserved funds : States reported spending about $357 million out of the $465 million reserved for these services in fiscal year 2016. Education officials said that states had difficulty determining what expenditures were allowable, and some state officials said they would like more detailed information from Education. Education officials said they plan to clarify guidance but have no timeframe for providing further information, which would help states to better plan their use of reserved funds.", "Finalizing interagency agreements : Fewer than half the state VR agencies that responded to GAO's survey (34 of 74) reported updating their interagency agreement with their state's educational agency. Interagency agreements can help promote collaboration by, for example, establishing roles and responsibilities of each agency. Although Education offers technical assistance on interagency agreements, without increased efforts to raise awareness about the importance of these agreements and provide assistance to states where needed, Education may miss opportunities to help state VR and educational agencies efficiently and effectively coordinate services.", "In addition, WIOA requires Education to highlight best state practices, and most VR agencies responding to GAO's survey (63 of 74) reported this would be useful. Education does not have a written plan or timeframe for identifying and disseminating best practices. As a result, Education may miss opportunities to help more students with disabilities successfully transition from school to work."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is recommending that Education (1) establish timeframes for providing additional information on allowable expenditures, (2) take additional steps to assist states that have not updated and finalized their interagency agreements, and (3) develop a written plan with specific timeframes and activities for identifying and disseminating best practices. Education agreed with the first recommendation and disagreed with the other two. GAO revised the second recommendation and maintains that specific information is needed for the third, as discussed in the report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The transition from high school to postsecondary education or the workforce can be a challenging time for students, and particularly for those with disabilities who may need additional services or guidance to achieve their goals. We have reported that students with disabilities are less likely than their peers to transition successfully. In addition, people with disabilities have historically experienced higher unemployment and poverty rates than those without disabilities. Students with disabilities who do not successfully transition from school to the workforce may face a lifetime of reliance on public assistance, potentially leading to substantial costs to the government and society. While states provide transition services through special education in schools and to some students who apply and are determined eligible for the State Vocational Rehabilitation Services program, the Workforce Innovation and Opportunity Act (WIOA) amended the Rehabilitation Act of 1973 (Rehabilitation Act) in 2014 to require states to additionally provide a defined set of activities called pre-employment transition services. These services are to be provided both to students who are eligible for the program as well as to those who are potentially eligible, greatly expanding the number of students who can be served. Pre-employment transition services are offered as an early start on job exploration and are designed to help these students identify their career interests. Specifically, states are required to offer job exploration counseling and work-based learning experiences, which may include internships, exposures to local employment, and other activities.", "In fiscal year 2017, the Department of Education (Education) awarded about $3.1 billion in grants to states for the State Vocational Rehabilitation Services program. WIOA requires states to reserve at least 15 percent of their vocational rehabilitation (VR) grants to provide pre- employment transition services to all eligible or potentially eligible students with disabilities who need them. That reserve amounted to about $468 million across all states in fiscal year 2017.", "You asked us to provide information on how states are implementing pre- employment transition services. This report examines (1) the steps states have reported taking to implement pre-employment transition services, and (2) the implementation challenges, if any, states have reported facing, and how Education has addressed them.", "To obtain information on both of these objectives, we used the following methodologies. We reviewed Education\u2019s guidance and technical assistance documents as well as federal laws and regulations. We reviewed expenditure data reported by state VR agencies to Education for fiscal years 2015 and 2016, the most recent full years of data available, and determined they were reliable for the purposes of this review by interviewing Education officials about the data\u2019s quality and by electronically testing the data for any obvious errors. We administered a web-based survey to all 79 state VR agencies from October through December 2017, with 74 agencies (94 percent) responding. We conducted interviews with state VR and educational officials in Idaho, Illinois, and Maryland. We selected these states based on variety in the size of the special education population, state agency organization, and whether the state had a separate agency for serving individuals who are blind or visually impaired. The information from these interviews is not generalizable. We interviewed representatives of other relevant organizations, including the Council of State Administrators of Vocational Rehabilitation (CSAVR) and the National Council of State Agencies for the Blind. In addition, we interviewed officials from Education\u2019s Office of Special Education and Rehabilitation Services, Rehabilitation Services Administration, Office of Special Education Programs, and the Workforce Innovation Technical Assistance Center and National Technical Assistance Center on Transition\u2014two technical assistance centers funded by Education. We also convened three discussion groups with state VR agency directors or their designated representatives, with a total of 39 participants from 29 separate agencies (10 to 12 agencies represented per discussion group). We invited all state VR agencies to participate through our survey and through the conference organizer (CSAVR). To assess how Education addressed challenges reported by state VR agencies, we compared actions taken by Education to standards for internal control in the federal government. For further details on our objectives, scope, and methodology, see appendix I.", "We conducted this performance audit from February 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["The Rehabilitation Act of 1973 (Rehabilitation Act), as amended by WIOA, authorizes a number of grant programs to support employment and independent living for persons with disabilities, including the State Vocational Rehabilitation Services program. This program is the primary federal government effort to help individuals with disabilities prepare for and obtain employment. An individual who is deemed eligible works with state VR agency staff to prepare an individualized plan for employment, which describes the employment goal and the specific services needed to achieve that goal. Education\u2019s Rehabilitation Services Administration (RSA) awards funds to state VR agencies through the program to help individuals with disabilities engage in gainful employment. States must provide a 21.3 percent nonfederal match of these funds. In fiscal year 2016, total program funds for VR\u2014including state match funds\u2014were $3.81 billion.", "States, territories, and the District of Columbia generally designate a single agency to administer the program, although, depending on state law, states may designate more than one agency. Twenty-three states have two separate agencies, one that exclusively serves blind and visually impaired individuals (known as agencies for the blind) and another that serves individuals who are not blind or visually impaired (known as general agencies). Twenty-seven states, the District of Columbia, and the five territories have a single combined agency that serves both blind and visually impaired individuals and individuals with other types of impairments (known as combined agencies). In total, there are 79 state VR agencies."], "subsections": [{"section_title": "Pre-employment Transition Services", "paragraphs": ["In 2014, WIOA amended the Rehabilitation Act to require state VR agencies to provide students with disabilities with pre-employment transition services. According to information Education provided with its regulations, WIOA emphasized the provision of services to students with disabilities to ensure that they have meaningful opportunities to receive training and other supports and services they need to achieve employment outcomes. WIOA requires states to make pre-employment transition services available statewide to all students with disabilities in need of such services, who are eligible or potentially eligible, regardless of whether a student has submitted an application for services from a state VR agency. In this context, students with disabilities include those with an individualized education program (IEP) for special education services through the school system, those receiving an accommodation for their disability, and others. In information provided with the regulations, Education stated that state VR agencies should work closely with school systems and others to identify these students.", "WIOA requires each state to reserve at least 15 percent of a state\u2019s VR allotment for a fiscal year for pre-employment transition services for students with disabilities. If a state cannot use or match all of its VR funding, it relinquishes funds to the federal government and the state\u2019s total award amount is then reduced. However, the state must still reserve 15 percent of what it did not relinquish for the provision of pre- employment transition services.", "WIOA established required activities under pre-employment transition services that states must make available to students with disabilities.", "Education has provided states with additional information about each of the activities (see table 1).", "After making the required pre-employment transition services available, if a state has funding remaining, WIOA lists nine other \u201cauthorized\u201d activities that a state may implement. For example, in providing the authorized activities, states may, among other things, provide training to local VR and educational service providers; coordinate transition services with local educational agencies; and disseminate information about innovative, effective, and efficient approaches to achieve the goals (see appendix II for a full listing of authorized activities). Education\u2019s guidance indicates that such authorized activities should improve the transition of students with disabilities from school to postsecondary education or an employment outcome and support the arrangement or provision of the required activities.", "WIOA also requires local offices of state VR agencies to conduct coordination responsibilities, which includes coordinating with state and local educational agencies to ensure the provision of pre-employment transition services. These can be conducted concurrently with the \u201crequired\u201d activities, and states can use the reserved funds for them. Examples of coordination responsibilities that local offices of state VR agencies must undertake are attending meetings, when invited, about IEPs; and working with the local public workforce system and employers to develop work opportunities for students with disabilities.", "In support of this coordination and in recognition that VR and educational agencies both offer transition services to students, WIOA requires that VR agencies establish or update their interagency agreements with states educational agencies. Interagency agreements between the state VR and educational agencies are intended to describe the steps each agency will take to implement pre-employment transition services and determine the roles and responsibilities of each agency, including financial responsibilities and procedures for identifying students in need of pre- employment transition services."], "subsections": []}, {"section_title": "Federal Guidance, Assistance, and Monitoring", "paragraphs": ["Following the passage of WIOA, Education, through its Rehabilitation Services Administration (RSA), issued regulations and guidance to implement pre-employment transition services requirements (see fig. 1).", "Education also provided technical assistance to state VR agencies through webinars, conference calls, and presentations at conferences. For example, Education presented information to state officials in a series of webinars about the new programmatic and financial processes and procedures related to pre-employment transition services just after the final regulations were issued in 2016. In addition, Education funded technical assistance centers to help state VR agencies and their partners answer questions and provide training about WIOA. Two of these centers are the Workforce Innovation Technical Assistance Center (WINTAC) and the National Technical Assistance Center on Transition (NTACT). Each center focuses its efforts on a specific set of issues: WINTAC on helping state VR agencies implement WIOA requirements, including pre- employment transition services; and NTACT on helping state VR and educational agencies improve outcomes for students receiving transition services.", "RSA is to conduct periodic monitoring visits to assess state VR agencies\u2019 implementation of the VR program, including pre-employment transition services. RSA is to monitor states for compliance with the administrative, financial, and performance requirements of the program, as well as identify technical assistance needs at individual state VR agencies. According to Education officials, RSA plans to follow a 5-year monitoring cycle that began in fiscal year 2017 and will generally include monitoring visits to 10 states per year through fiscal year 2021. In fiscal year 2017, Education visited 14 VR agencies in 10 states, and in fiscal year 2018, Education plans to visit 15 VR agencies in 12 states."], "subsections": []}]}, {"section_title": "Most States Reported Expanding Their Transition Services to Students and Developing Their Administrative Capacity to Provide These Services", "paragraphs": [], "subsections": [{"section_title": "Most State Vocational Rehabilitation Agencies Reported Expanding Their Services for Students with Disabilities", "paragraphs": ["Most state VR agencies that responded to our survey reported expanding services for students with disabilities since WIOA\u2019s enactment in July 2014 by either serving more students through pre-employment transition services or by initiating new or additional services. Most state VR agencies that responded to our survey reported that they provided the five required activities to more students with disabilities since WIOA\u2019s enactment (see fig. 2).", "State VR agencies indicated in their survey responses that they had previously provided and continue to provide transition services to students who apply and are eligible for the VR program, and many of the activities were not entirely new to state VR agencies. Most agencies that responded to our survey reported providing each of the required activities to students with disabilities before the enactment of WIOA, while fewer reported initiating these services since enactment (see fig. 3).", "Of the five required activities, instruction in self-advocacy saw the biggest expansion during this time. In information provided with the regulations, Education described instruction in self-advocacy as, for example, classroom lessons in which students learn about their rights, responsibilities, and how to request accommodations or services and supports needed during transition. In written comments on our survey, 10 state VR agencies reported partnering with other organizations, such as universities or centers for independent living, to provide instruction in self- advocacy. One agency reported on our survey that it offers peer mentoring as an additional component of self-advocacy services, and another reported providing self-advocacy and mentoring for deaf-blind students by deaf-blind adults. In October 2016, based on views of an expert panel that we convened on autism spectrum disorders and transitioning youth, we reported that it is critically important that all transitioning youth, regardless of their level of disability, be given the opportunity to state their own preferences to the extent of their capabilities to reach their maximum independence.", "State VR agencies reported developing additional programming as a result of WIOA\u2019s enactment, including expanding programs for more students, adding new opportunities and experiences, and creating new partnerships. Officials from all four of the state VR agencies we interviewed said they had programs in place prior to WIOA that offered activities similar to pre-employment transition services, but they have since expanded these services or created additional programs for students with disabilities. For example, an official we interviewed from the Idaho Division of Vocational Rehabilitation said the agency had previously worked to enroll students in the VR program prior to graduation, but has since begun developing new programming and instruction aimed at serving larger groups and providing other services, such as a paid work experience. An official from Maryland\u2019s Division of Rehabilitation Services said many of the services they previously offered were during school hours, and students had limited access to these services if they wanted to stay in class. The agency has since added services after school and during the summer, such as opportunities for students to meet with employers, according to Maryland officials. Officials from the Illinois Department of Human Services, Division of Rehabilitation Services, said that while the agency had previously provided work-based learning experiences, it has since expanded the number of spots available for students in an existing program and created a new work-based learning program that is a collaboration between school districts, a community rehabilitation partner, and businesses.", "Providing new services with specific requirements to an expanded population has been a significant change, according to officials in one of the state VR agencies we interviewed and in all three of our discussion groups. For example, officials from Maryland\u2019s Division of Rehabilitation Services said that, while they provided all five required activities before WIOA, they now provide the activities to a younger population and make the activities available statewide. State VR officials in all three of our discussion groups said that providing pre-employment transition services allows them to provide these services to more students with disabilities or at an earlier age, which will likely have positive effects on students\u2019 transition from school to work. For example, officials in one discussion group noted that the provision of pre-employment transition services is increasing awareness, enhancing services, and increasing the likelihood that VR program outcomes will improve. In another discussion group, officials said their agencies had already seen benefits from pre- employment transition services and the services have raised students\u2019 expectations for the types of jobs they might obtain.", "While 32 of the state VR agencies responding to our survey reported that they had identified all potentially eligible students, another 37 reported that they were currently in the process of identifying these students. State VR officials in all three of our discussion groups and who we interviewed in two of four state VR agencies said they have had challenges finding the population eligible for services. In written comments on our survey, one agency reported that while statewide information on students was not readily available, officials worked with the state educational agency to identify potentially eligible students, including more than 137,000 students with an IEP and an estimated 13,000 additional students that do not have an IEP. We previously reported on the difficulties state VR officials faced in obtaining data they could use to identify other youth with disabilities.", "Compared to combined and general agencies, more agencies for the blind reported in our survey that they did not provide the five required activities to more students with disabilities, and officials in some of these agencies said they can serve a much smaller population. For example, 57 percent (12 of 21) of agencies for the blind reported providing job exploration counseling to more students, compared to 83 percent (25 of 30) of combined agencies and 91 percent (20 of 22) of general agencies since WIOA enactment. Similarly, 67 percent (14 of 21) of agencies for the blind reported providing work-based learning experiences to more students, compared to 83 percent (25 of 30) for combined agencies and 86 percent (19 of 22) for general agencies. Officials in some of these agencies for the blind and from the National Council of State Agencies for the Blind (NCSAB) told us in interviews that agencies for the blind have far fewer potentially eligible students they could serve compared to other types of agencies. For example, officials we interviewed with Idaho\u2019s Commission for the Blind and Visually Impaired said that Idaho has only 40 students being provided pre-employment transition services. In contrast, the Idaho Division of Vocational Rehabilitation reportedly provided at least one pre-employment transition service to approximately 700 students in a one-year period.", "The ability of agencies for the blind to serve more students may also be restricted because they are not able to provide pre-employment transition services to younger students in some cases, according to officials with NCSAB and Idaho\u2019s Commission for the Blind and Visually Impaired. NCSAB officials told us that state VR agencies have traditionally provided VR services to youth who are blind or visually impaired at younger ages compared to general agencies that serve youth with other types of disabilities. The ages at which students may be provided pre-employment transition services varied by agency, based on responses to our survey, but the most common age range reported across all types of agencies was 14 to 21 years old. According to Education officials, as a result of WIOA, two agencies in the same state must agree on a common age range during which students can be provided pre-employment transition services. Most agencies in states with two VR agencies responding to our survey (35 of 44) reported agreeing on an age range for receiving pre- employment transition services. NCSAB officials said that in some cases agencies for the blind have had to raise the minimum age at which they would begin providing services to students. Officials with Idaho\u2019s Commission for the Blind and Visually Impaired, for example, said they would prefer to begin services at younger ages because their agency has the resources to do so. However, officials with Idaho\u2019s Division of Vocational Rehabilitation said they do not have the resources to provide pre-employment transition services to the relatively large number of students with disabilities at a younger age."], "subsections": []}, {"section_title": "Most State Vocational Rehabilitation Agencies Reported Building Administrative Capacity", "paragraphs": ["State VR agencies reported taking a range of actions to build their administrative capacity to implement pre-employment transition services. These actions included building staff capacity and expanding contracts with services providers.", "Building staff capacity. Most state VR agencies reported building staff capacity to facilitate and carry out the requirements of pre- employment transition services by:", "Establishing a new specialist position. More than half (45 of 74) of VR agencies reported in our survey establishing at least one new transition specialist position specifically for pre-employment transition services. For example, the Idaho Division of Vocational Rehabilitation reported establishing this position and officials told us that they hired a specialist who was previously the transition coordinator for the state\u2019s educational agency. In written comments on our survey, a respondent from another state commented that their agency has hired 20 pre-employment transition services specialists to provide the five required activities. Officials we interviewed from Maryland\u2019s Division of Rehabilitation Services said they added six salaried positions dedicated to providing pre-employment transition services. Another agency responding to our survey reported dedicating a supervisor and 15 percent of their counselors exclusively to this purpose.", "Training staff. All 74 state VR agencies reported providing training on pre-employment transition services to their staff. For example, in written comments, one agency reported developing training tools for its counselors, such as answers to frequently asked questions, posting guidance on its intranet, and having WINTAC provide training.", "Expanding contracts and agreements with service providers. In addition to being provided by state VR agency staff, pre-employment services can be offered through a variety of methods and service providers, and many state VR agencies reported entering into new or additional contracts with service providers or expanding contracts with existing providers. Pre-employment transition services can be provided directly by state VR agency staff or through agreements with third parties, such as community rehabilitation programs, independent living agencies, public colleges and universities, and school districts. In our survey, 62 of 74 agencies reported entering into new or additional contracts with third-party providers to provide pre- employment transition services. Officials we interviewed from three of four state VR agencies said they either established or expanded existing contracts and agreements. For example, officials from the Illinois Department of Human Service, Division of Rehabilitation Services told us that after the enactment of WIOA, they expanded arrangements with independent living centers and initiated a new program that provides students with work experiences.", "Agencies reported several examples of approaches using third parties: establishing contracts with community rehabilitation programs to partnering with independent living agencies to work with youth on entering into provider agreements with local workforce centers to assist with providing job preparation and a paid work experience, developing programs with public colleges and universities focused on financial literacy and self-advocacy, and contracting with individual school districts to deliver services in the school environment."], "subsections": []}]}, {"section_title": "States Reported Challenges Using Reserved Funds, Updating Interagency Agreements, Among Others, and Reported Needing More Assistance from Education", "paragraphs": [], "subsections": [{"section_title": "Fewer Than Half of States Reported Using All Reserved Funds, and Some Reported a Need for More Information on Allowable Costs", "paragraphs": ["Twenty-one of 56 states (50 states, 5 territories, and the District of Columbia) reported using the full amount of grant funds they reserved for pre-employment transition services for students with disabilities for fiscal year 2016, according to the most recent full year of data available from Education (see fig. 4).", "In aggregate, states reportedly expended approximately $357 million out of the approximately $465 million reserved (about $108 million less than the target) for fiscal year 2016. For fiscal year 2015, states reportedly expended approximately $324 million on pre-employment transition services out of the approximately $453 million reserved for that purpose (about $130 million less than the target).", "Results from our 2017 survey of state VR agencies revealed similar trends: Fewer than half the 74 agencies reported that they used at least 15 percent of their VR grant allotment each year. Thirty-two of the 74 agencies responding to our survey reported using the minimum required 15 percent of federal VR grant funds reserved for the provision of pre- employment transition services for fiscal years 2016 and 2017. For fiscal year 2015, 25 agencies reported using the required 15 percent minimum reserved funds.", "Officials we interviewed in two of four state VR agencies and officials in all three discussion groups explained that some of the services they generally provided to participants in the VR program are not allowable for the funds reserved for pre-employment transition services. These expenditures included transportation, tuition, and others associated with individualized services. For example, officials in Maryland\u2019s Division of Rehabilitation Services told us that transportation costs for students to get to the place where the services are provided are not covered. VR agency officials in two of our discussion groups told us that assistive technology, such as hearing aids, could not be paid for with the 15 percent of funds reserved for pre-employment transition services. In another group, participants said that some expenditures, such as tuition or for the services of a job coach to help students with the most significant disabilities, could not be paid with reserved funds. In information provided with the regulations, Education stated that it does not have the statutory authority to allow these expenditures to be paid for with the funds reserved for pre-employment transition services and these services must be paid with other VR funds.", "When it promulgated its final regulations, Education noted that state VR agencies would experience challenges in using their funds because many of the services provided to students with disabilities prior to WIOA\u2019s enactment would not qualify as pre-employment transition services. Education reviewed past expenditures for a subset of students and estimated that 82 percent of state VR agencies\u2019 reported purchases for those students would not meet the statutory definition of pre-employment services under WIOA. Education concluded that states would have to reach a larger number of students with disabilities in order to meet the spending requirement and that state VR agencies would need to develop and implement aggressive strategies to expend these funds in these initial years of implementation.", "According to WINTAC officials, state VR agency officials are commonly unclear about what kinds of activities they can provide using the funds reserved for pre-employment transition services. For instance, they said that states must make required activities (e.g. work-based learning experiences and self-advocacy) available to all students with disabilities before providing authorized activities (e.g. model projects, partnerships), in accordance with WIOA. However, state officials have commonly interpreted that to mean that all students must actually receive the required activities before the agency can begin providing other activities, according to WINTAC officials. WINTAC officials explained that states may have been conducting authorized or coordination activities without knowing these activities could be paid for with the reserved funds.", "None of the state VR agency officials we interviewed said they had yet moved beyond providing required activities to providing authorized activities. Officials from two of the agencies we interviewed told us they were in the process of planning authorized activities. For example, officials with the Idaho Division of Vocational Rehabilitation said they were completing an assessment of their needs, which would help them plan authorized activities. Officials we interviewed from the other two agencies\u2014the Idaho Commission for the Blind and Visually Impaired and the Illinois Division of Rehabilitation Services\u2014said they did not have the resources to provide authorized activities or were unsure about how to properly transition from required to authorized activities under the current guidance.", "Education communicated with states on broad requirements but provided little detailed information directly to states on the allowable use of funds reserved for pre-employment transition services. Education provided information when it promulgated final regulations, in grant award notifications, on its website, and in presentations at conferences. In each of these formats, Education described activities on which states could not spend funds, but provided little detailed information on what expenditures are allowed.", "Regulations: Education\u2019s final regulations restate many provisions in WIOA, including the prohibition on using any of the reserved funds for administrative costs. In responding to comments it received on its proposed regulations, Education provided examples of services that commenters requested would be considered pre-employment transition services, such as, postsecondary education, on-the-job supports, job coaching, travel expenses, and uniforms. In information provided with the regulations, Education explained that it had no statutory authority to expand or limit the pre-employment transition services listed in WIOA. Education stated that a state VR agency can allocate costs associated with staff time spent providing pre- employment transition services, including an employee\u2019s salary and fringe benefits, to the funds reserved for pre-employment transition services. However, Education did not provide additional information on what specific types of expenditures states were permitted to spend funds on in providing pre-employment transition services as required by WIOA.", "Grant award notification: The notification that accompanies each state\u2019s VR grant award lists the three sets of activities for which the reserved money can be used: required, authorized, and coordination; it lists each of the activities as they are listed in WIOA. It also discusses the prohibition on using any of the reserved funds for administrative costs. It does not list or describe what specific expenditures the reserved funds can be used for to undertake each of the listed activities.", "Education\u2019s website: A list of frequently asked questions on Education\u2019s website outlines the requirements of WIOA and explains that the reserved funds must only be used to provide pre-employment transition services as listed in WIOA. Similar to the regulations, the website explains that the total costs of an employee\u2019s salary and fringe benefits may be allocated to the reserved funds if that employee is providing only pre-employment transition services to students with disabilities but does not include additional detail for any other expenditures.", "Presentation materials: In one set of presentation materials, Education provided an example of a potential allowable expenditure for one of the required activities, work-based learning. It did not include information on allowable expenditures for the other four required activities, or any of the nine authorized activities. In another set of presentation materials, Education provided examples of services for each of the five required pre-employment transition services activities. According to Education officials, these examples would be allowable expenditures.", "Education, however, provided the most detailed information through WINTAC. WINTAC\u2019s website provided answers to some specific questions on the use of funds reserved for pre-employment transition services. In one set of frequently asked questions, WINTAC included a list of 28 questions with detailed answers, including what specific expenditures may be charged to the reserved funds. For example, based upon guidance issued by RSA, the website explains that reserved funds may be used to pay for auxiliary aids and services, such as interpreters, if they are directly related to one of the five required pre-employment transition services activities. However, the reserved funds may not be used to pay for the costs of foreign language interpreters because they are not an auxiliary aid or serve that is required due to the individual\u2019s disability. WINTAC\u2019s website also included answers provided by Education on 13 other frequently asked questions. Information included that reserved funds cannot be used to pay for the cost of an assessment to determine whether a student met the definition of a student with a disability; they can be used to pay for items required by an employer for work-based learning activities.", "Some state VR agencies we surveyed and those that participated in one of our three discussion groups said they would like more detailed information directly from Education. Seven survey respondents reported that they would like Education to provide answers to their specific questions. In one discussion group, participants noted that when states approach WINTAC with a new question, the technical assistance center sometimes needs to obtain the answer from Education. This process can be inefficient at times. In addition, the answer may not be broadly shared with all the states, limiting its benefit, whereas information issued directly from Education could help communicate the answer more efficiently and broadly. One survey respondent reported, for example, that guidance varied by source\u2014training, Education\u2019s RSA staff, or technical assistance center websites\u2014and said that Education should provide all state VR agencies with the same information at the same time.", "According to standards for federal internal control, management should communicate externally through reporting lines so that external parties can help the entity achieve its objectives and address related risks. Management should also periodically evaluate its methods of communication so it has the appropriate tools to communicate quality information throughout and outside of the entity on a timely basis. Education officials said that during fiscal years 2015 and 2016, states were unclear about allowable expenditures using reserved funds, and that they plan to clarify guidance as they learn about the issues from states during their monitoring. According to Education officials, they respond to issues that need clarification and provide answers to questions as part of formal monitoring visits or through other communications with state agencies. Education officials said they expect to complete a round of monitoring visits to all states by the end of fiscal year 2021. However, an Education official said they have no timeframe for providing further information on allowable costs to states. With better information on timeframes for when this information will be provided, states would be able to better plan their use of the remaining funds reserved for pre- employment transition services."], "subsections": []}, {"section_title": "State VR and Educational Agencies Have Begun Collaborating through Joint Training and Guidance, But Fewer Than Half Have Updated Their Interagency Agreements", "paragraphs": ["Most state VR agencies (61 of 74) that responded to our survey reported providing training on pre-employment transition services along with their state\u2019s educational agency since WIOA\u2019s enactment in 2014. Joint training may help coordination between state VR and educational agencies, as state VR officials participating in our discussion groups said that some educators were not familiar with pre-employment transition services. Similarly, an official we interviewed from Idaho\u2019s state educational agency said it was common in the past for teachers and VR counselors not to know one another. Joint trainings provided to VR staff and teachers have improved these relationships, and teachers can invite VR counselors to students\u2019 IEP meetings, the official said.", "Joint training includes staff presentations at conferences and participation in other training sessions. For example, officials we interviewed from the Idaho Division of Vocational Rehabilitation said their transition coordinator has given presentations to education directors around the state about changes resulting from WIOA and how the inclusion of pre-employment transition services can affect special education for the school districts. In written comments on our survey, one agency reported that it co-sponsors an annual conference with VR, special education, developmental services, and other public and private entities. During this conference, they plan how to improve services for students with disabilities.", "About one-third of state VR agencies (23 of 74) reported issuing joint guidance with their state\u2019s educational agency, a recommended practice according to WINTAC. The other two-thirds of survey respondents reported that joint guidance was either in progress (27 of 74) or that they had not issued such guidance (23 of 74). Joint guidance can include written policies and procedures that are created by and provided to state VR and educational agency staff. For example, in written comments on our survey, one agency reported developing written policies and guidance for transition counselors that the state educational agency endorses and provides to special education staff. In Maryland, VR and special education officials told us that they issued guidance through jointly created materials on pre-employment transition services.", "Less than half the state VR agencies that responded to our survey (34 of 74) reported updating their interagency agreement with their state\u2019s educational agency, which is intended to facilitate collaboration and coordination on delivery of pre-employment transition services. The majority of agencies reported that their agreement is either in progress (37 of 74) or not yet updated (3 of 74). These required agreements outline how VR agencies and schools will plan and coordinate service provision, provide for each agency\u2019s responsibilities, including financial responsibilities, and provide for student outreach procedures, among other things.", "Discussion group participants and CSAVR representatives emphasized the value of completing their interagency agreements with the state educational agency. In one group, officials whose agencies had completed their agreements said they are essential for state VR agencies to provide services in schools. Participants in another discussion group explained that once they have a state-level agreement in place, they can discuss what services school districts need for students and then determine how to provide those services. According to state educational agency officials we interviewed, Individuals with Disabilities Education Act (IDEA) requirements are similar to requirements for pre-employment transition services, and they need to coordinate with VR officials at both the state and local levels to agree on each agency\u2019s assigned tasks and expectations. These officials said state VR and educational agencies should coordinate funding to make services available where they are needed and to complement each other\u2019s transition efforts. Illinois\u2019s agreement, for example, specifies that the state educational agency is responsible for providing outreach, guidance, and coordination to local educational agencies regarding the provision of pre-employment transition services. According to the agreement, Illinois\u2019s VR agency is responsible for providing pre-employment transition services, both directly and through cooperative agreements with local educational agencies, and for providing written information to the state educational agency regarding services available to students with disabilities. Officials we interviewed with CSAVR said state VR agencies that have made progress in developing their interagency agreements with state educational agencies tend to be more successful in implementing pre-employment transition services.", "According to Education officials, Education provides guidance and technical assistance on interagency agreements to states as part of Education\u2019s monitoring or when asked by states. Education officials said they provide technical assistance during periodic monitoring visits, which are currently limited to about 10 states per year from fiscal years 2017- 2021; by helping state VR agencies develop policies and procedures; and by making sure pre-employment transition services are coordinated with the state educational agency and through interagency agreements. According to Education officials, there is no statutory provision authorizing Education to identify states that have not updated their interagency agreement. Education officials said they do not collect information from state VR agencies on the status of these agreements except when they conduct monitoring visits in specific states. In addition, Education officials said that when monitoring, they may meet with state educational agency partners to help them understand the new components of pre- employment transition services in an agreement, or they may refer the state agencies to WINTAC or NTACT resources. Providing assistance during monitoring may be helpful for some states. However, given that less than half of state VR agencies we surveyed reported updating and finalizing their agreements and Education officials say they will take another three years to complete this round of monitoring, additional action by Education may be needed to raise awareness among the remaining states about the importance of these agreements to help states coordinate services to students with disabilities. Additional action could include, for example, conducting earlier state outreach or monitoring to assess state progress on finalizing the interagency agreements and offering technical assistance when appropriate.", "However, Education officials said there is no requirement that state educational agencies provide pre-employment transition services to meet their obligations to IDEA-eligible students with disabilities under part B of the Individuals with Disabilities Education Act. As a result, WINTAC and participants in our discussion groups explained that it can be difficult to get state educational agencies to work with state VR agencies to update interagency agreements. Education officials said that WIOA requires state VR agencies to update these interagency agreements to include pre- employment transition services but they do not track their completion because states are not required to report when the agreements are finalized. Moreover, Education officials said they have heard from states that some reasons that interagency agreements are not specifically updated are that the agreements are written broadly enough so that they can remain in effect when there are additional changes to the law, the details of actual practices are rarely reflected in the high level of an interagency agreement, and that modifications to agreements are time- consuming and would not result in changes to the interagency coordination practice.", "Without an updated agreement between the state VR and educational agencies, efforts to collaborate on pre-employment transition services may be hindered. Officials with the National Technical Assistance Center on Transition (NTACT) told us that some of the state agencies for which they provided in-depth technical assistance were not working closely together. Officials from two of the three state educational agencies we interviewed said they viewed pre-employment transition services as primarily the responsibility of the VR agency. State VR officials in all three of our discussion groups said they have experienced coordination challenges, including difficulty determining each agency\u2019s responsibilities for providing pre-employment transition services, obtaining data needed to identify and provide services to students, and determining which agency will pay for which services, among other challenges. Interagency agreements can help to address these types of issues.", "Federal internal controls recommend that management communicate with and obtain information to identify, analyze, and respond to risks related to achieving defined objectives, such as those that can arise from new laws and regulations. Moreover, we found in prior work that it is important to establish ways to operate across agency boundaries, with measures such as developing common terminology and fostering open lines of communication. A lack of collaboration between state VR and educational agencies increases the risk that some students will not successfully transition from school to post-school activities. In addition, our prior work has identified lack of collaboration among and between federal agencies and state and local governments as a challenge to effective grant implementation. Interagency agreements are intended to serve as a mechanism related to collaboration practices, which include defining a common outcome, establishing joint strategies, and agreeing on roles and responsibilities of each agency. By taking additional steps, such as discussing the benefits of finalizing interagency agreements, and reminding states of existing technical assistance resources pertaining to updating and finalizing interagency agreements, Education would help raise awareness about the importance of the agreements and be better positioned to help states efficiently and effectively coordinate services to students with disabilities."], "subsections": []}, {"section_title": "States Reported That Best Practices Would Be Useful to Them in Implementing Services and Could Help Them Address Challenges", "paragraphs": ["Most state VR agencies (63 of 74) that responded to our survey reported that additional assistance with identifying best practices would be useful to their agencies. Similarly, state VR officials in all three of our discussion groups spoke to the need for Education to develop and disseminate best practices to help states, for example, comply with program requirements. WIOA requires Education to highlight best state practices on pre-employment transition services. Best practices may also help states address the challenges they reported facing in implementing and administering pre-employment transition services for students with disabilities, such as (1) coordinating with state educational agencies, (2) using VR resources more efficiently and effectively to help states balance providing pre-employment services with the full VR program, and (3) collecting data on services provided, and (4) updating data tracking systems.", "Coordinating service delivery with state educational agencies.", "Over half (41 of 74) of state VR agencies reported in our survey that additional assistance on coordinating with state educational agencies would be useful for them. Similarly, officials from all three state educational agencies we interviewed said they would like additional assistance on interagency collaboration. Officials with NTACT told us that some of the state agencies for which they provided in-depth technical assistance were not working closely together. Officials from two of the three state educational agencies we interviewed said they viewed pre-employment transition services as primarily the responsibility of the VR agency. State VR officials in all three of our discussion groups said they have experienced coordination challenges, including difficulty determining each agency\u2019s responsibilities for providing pre-employment transition services, obtaining data needed to identify and provide services to students, and determining which agency will pay for which services, among other challenges. An official we interviewed from the Idaho Department of Education said it would be helpful to have more clearly defined roles, obligations, and means of sharing data between the state-level agencies. In written responses to our survey, one respondent said having examples of highly successful collaborations between a state educational agency and state VR agencies would be helpful. According to Education\u2019s guidance, a student\u2019s transition from school to post-school activities is a shared responsibility and coordination and collaboration between the state VR and educational agencies is essential. However, according to information Education provided with the regulations, while some have sought clarification and additional guidance in this area, Education determined that decisions on agencies\u2019 responsibilities must be made at the state level to allow states maximum flexibility allowed under the law. In the absence of more specific guidelines for how state agencies should collaborate, best practices from other states could provide helpful examples.", "Balancing pre-employment transition services with VR services.", "Several state VR agencies in both our written survey responses and in discussion groups noted that by increasing services mandated for pre-employment transition services for students, they have had to reduce VR services to adults, which has made it difficult to balance the two programs. In issuing its final regulations, Education acknowledged that reserving funds would decrease amounts available for the full VR program, resulting in a transfer of benefits from individuals historically served by VR to students with disabilities in need of transition services. According to state VR directors with the National Council of State Agencies for the Blind (NCSAB), agencies for the blind have had to restrict VR services while also not being able to use all of the funds reserved for pre-employment transition services for students with disabilities because VR services cannot be paid with reserved funds. Most state VR agencies that completed our survey (50 of 74) reported that balancing pre-employment transition services with other vocational rehabilitation services was moderately difficult, very difficult, or extremely difficult during federal fiscal year 2017.", "Collecting data. Data collection was one of the top challenges identified by state VR agencies in our survey, with 48 of 74 reporting that collecting data on the provision of pre-employment transition services was moderately difficult, very difficult, or extremely difficult during fiscal year 2017. Prior to WIOA, agencies collected and reported data only on individuals who had applied and enrolled in the VR program. For pre-employment transition services, agencies now collect data on who provided and received each of the five required activities, including for individuals who have not submitted a VR application. State VR officials in two of our three discussion groups said that they have experienced challenges collecting sensitive information (such as social security numbers) for minors and collecting data on individuals for group services. Officials in one of the three discussion groups also said that these problems are particularly significant when trying to collect information on potentially eligible students for whom they do not have open VR cases. These students could include all those with an IEP and those that receive accommodations in school based on their disability, among others.", "Updating data tracking systems. Updating data systems was also one of the top challenges reported in our survey, and was cited as an additional administrative burden by state VR officials in our discussion groups. Specifically, 53 of 74 state VR agencies reported that it was moderately difficult, very difficult, or extremely difficult to update tracking systems to collect and report financial and service data on pre-employment transition services during fiscal year 2017. According to a state VR agency official we interviewed, updating that state\u2019s tracking system is difficult because data collected on pre-employment transition services\u2014such as the type of service provider and how the service was provided\u2014do not fit well into a case management system designed for the full VR program. Updating these tracking systems also created an additional administrative burden for VR agency staff, according to officials from all three discussion groups and three of the four state agencies that we interviewed. Officials in two of our three discussion groups said that they have one or more full-time staff members doing only administrative tasks or that they have had to hire additional staff to handle data tracking.", "Education officials said that they plan to document and share best practices with states; however, they said the agency does not have a final written plan for managing these efforts because plans are still under discussion in light of inquiries received. Education officials said they are collecting information on state VR agencies\u2019 practices through monitoring and they are sharing this information with WINTAC\u2014information that could be useful for sharing best practices across states\u2014but a comprehensive summary of states\u2019 efforts will not be available until after Education officials conduct monitoring visits of all states by the end of fiscal year 2021. In addition, in a 2015 technical assistance circular, Education recommended that state VR agencies consult with other federal, state, and local agencies to identify best practices for providing pre-employment transition services to students and youth with a variety of disabilities. Education officials also said that they are looking for opportunities, such as webinars and conferences, to share information with states. However, Education does not have set timeframes and has not detailed the specific steps and activities for fully leveraging knowledge to address common challenges, or for finalizing and disseminating best practices. By doing so, Education would be better positioned to provide best practices information to state VR agencies to better serve students with disabilities who are transitioning from high school."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Pre-employment transition services are designed to help students with disabilities begin to identify career interests and move from high school to post-secondary education or employment. Using federal funding, state VR agencies reported that they have generally enhanced their services and staff capacity and begun to coordinate with state educational agencies. As a result, state VR agencies generally reported serving an increased number of students. However, most states reported they have not used all the funds reserved for pre-employment transition services or updated interagency agreements between state VR and educational agencies. Education has developed multiple forms of guidance and made presentations, either directly or through its technical assistance centers. Education officials said they plan to issue additional guidance as needed. However, without clear timeframes for the issuance of this guidance, states do not know when information will become available to help them make decisions on allowable expenditures for pre-employment transition services. As a result, opportunities may be missed to identify and serve all students who might be eligible, and unserved students could continue to face difficulties preparing for a future of meaningful post-secondary education or employment. In addition, agreements between state VR and educational agencies can help facilitate the effective coordination of and financial responsibility for services. Finally, WIOA requires Education to highlight best state practices for implementing pre-employment transition services. Developing a written plan with specific timeframes would help Education provide states with information on best practices, such as balancing service delivery between pre-employment transition services and other VR services and collecting data that other states may have successfully addressed."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to Education: The Secretary of Education should establish timeframes for providing states with additional information on allowable expenditures of funds reserved for pre-employment transition services. (Recommendation 1)", "The Secretary of Education should take additional steps to provide states assistance on updating and finalizing their interagency agreements with state educational agencies to include pre-employment transition services. These steps could include, for example, accelerating their efforts to discuss the benefits of finalizing interagency agreements, and reminding states of existing technical assistance resources pertaining to updating and finalizing interagency agreements. (Recommendation 2)", "The Secretary of Education should develop a written plan with specific timeframes and activities for identifying and disseminating best practices that address, as appropriate, implementation challenges for pre- employment transition services, such as those identified in this report. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to Education for review and comment. Education\u2019s written comments are reproduced in appendix III. Education also provided technical comments, which we incorporated into our report where appropriate.", "Education concurred with recommendation 1 and disagreed with recommendations 2 and 3 in the draft report.", "With regard to recommendation 1, Education stated that it agreed and will establish projected timeframes for providing states with additional information on allowable expenditures for the provision of pre- employment transition services. Education also stated that it intends to provide states with additional information in at least two forums before the end of calendar year 2018 and to review and analyze previous guidance provided to states on allowable expenditures.", "With regard to the draft report\u2019s recommendation 2, which called for Education to identify states that have not updated and finalized their interagency agreements to include pre-employment transition services, Education stated that it disagreed, in large part, because there is no statutory provision authorizing the agency to identify such states. However, Education is taking some steps as part of its ongoing monitoring of the VR program to provide assistance to states that have not updated their interagency agreements, which is consistent with the intention of our recommendation, but more could be done. Education stated that it will continue to offer and provide technical assistance if it becomes known through the onsite monitoring of the VR program or through other means that states have not updated their interagency agreements between VR agencies and state educational agencies. It also noted that the Rehabilitation Services Administration (RSA) and its Office of Special Education Programs will provide information related to sources of technical assistance, as appropriate, to VR agencies and state educational agencies. While these steps may be helpful, given the number of states that have not updated and finalized their agreements and the length of time Education officials say they will take to complete this round of monitoring where Education asks state VR agencies about these agreements, additional action by Education may be needed to help states more efficiently and effectively coordinate services to students with disabilities.", "Education also wrote that while the Rehabilitation Act requires an interagency agreement, the Individuals with Disabilities Education Act does not contain a parallel requirement for state and local educational agencies with respect to the provision of pre-employment transition services or the incorporation of such discussion into the interagency agreement. In light of these differing requirements, as we state in our report, stakeholders with whom we spoke indicated it can be difficult to get state educational agencies to work with state VR agencies to update interagency agreements. Therefore, it is all the more important for Education to take additional action to engage with VR agencies regarding interagency agreements and to work closely with VR agencies as Education becomes aware of states that have not updated their agreements.", "Education suggested a modified recommendation that removed reference to Education identifying states that have not updated and finalized their agreements. We modified the recommendation and the report to address Education\u2019s concerns about its authority to identify states. By taking additional steps, such as discussing the benefits of finalizing interagency agreements, and reminding states of existing technical assistance resources pertaining to updating and finalizing interagency agreements, Education would help raise awareness about the importance of the interagency agreements and be better positioned to help states efficiently and effectively coordinate services to students with disabilities.", "With regard to recommendation 3, Education stated that it disagreed because it is premature to develop a timeline for the dissemination of best practices. Education stated that the identification of \u201cbest\u201d practices, meaning those that are clearly supported by a body of evidence derived from valid and reliable research findings, is still emerging as states implement the requirements. Education suggested a modified recommendation that included planning for the dissemination of best practices identified by states as they become available. Education stated in its comments that as RSA identifies best practices through its monitoring and technical assistance activities, it will, in collaboration with its Office of Special Education Programs, consider when and how best to disseminate this information to state VR and educational agencies. With regard to including specific timeframes and activities in a written plan, by detailing the specific steps Education is taking and plans to take along with the amount of time it expects them to take, Education would be better positioned to complete those steps in a timely manner and meet the statutory requirement that Education highlight best state practices and support state agencies.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees and the Secretary of Education. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact Elizabeth H. Curda at (202) 512-7215 or curdae@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report are to examine (1) the steps states have reported taking to implement pre-employment transition services, and (2) the implementation challenges, if any, states reported facing, and how the Department of Education (Education) has addressed them.", "To address these objectives, we reviewed federal laws and regulations, and Education\u2019s guidance and technical assistance documents, including circulars, policy directives, and transition guides. We also reviewed expenditure data reported by state vocational rehabilitation (VR) agencies to Education for fiscal years 2015 and 2016, the most recent full years of data available. To assess the reliability of the data, we interviewed Education officials about their collection of the data and their opinion of the data\u2019s quality, completeness, and accuracy. We also electronically tested the data for any obvious errors. We determined that the data were reliable for the purposes of our review. We interviewed representatives from the Council of State Administrators of Vocational Rehabilitation (CSAVR) and the National Council of State Agencies for the Blind. In addition, we interviewed officials from Education\u2019s Office of Special Education and Rehabilitation Services, Rehabilitation Services Administration, Office of Special Education Programs, and the Workforce Innovation Technical Assistance Center and National Technical Assistance Center on Transition\u2014two technical assistance centers funded by Education."], "subsections": [{"section_title": "Survey of State Vocational Rehabilitation (VR) Agencies", "paragraphs": ["To address both of the objectives, we conducted a survey of all 79 state VR agencies from October through December 2017. Seventy-four of the 79 agencies (94 percent) responded. The survey questionnaire included open-ended and closed-ended questions about agencies\u2019 efforts to train staff, update interagency agreements, expand services to students with disabilities, and other issues. We took steps to minimize the potential errors that may be introduced by the practical difficulties of conducting any survey. Because we selected the entire population of VR agencies for our survey, our estimates are not subject to sampling error. We conducted pretests of the draft questionnaire with three agencies in the population and made revisions to reduce the possibility of measurement error from differences in how questions were interpreted and the sources of information available to respondents.", "We reviewed state officials\u2019 submitted survey responses and conducted follow-up, as necessary, to determine that their responses were complete, reasonable, and sufficiently reliable for the purposes of this report. A second independent analyst checked the accuracy of all computer analyses we performed to minimize the likelihood of errors in data processing. We made multiple follow-up attempts during the survey with agencies that had not yet responded. The five agencies that did not respond had smaller values, on average, on three characteristics related to size, than those that did respond. The nonrespondents tended to be smaller than respondent agencies. The sums totals for each of these three characteristics across the five nonresponding agencies comprised less than 1 percent of the totals for the population, suggesting a lower possibility of material error in our results from nonresponse."], "subsections": []}, {"section_title": "Interviews and Discussion Groups with State VR Agencies", "paragraphs": ["For more in-depth information on both of the objectives, we conducted interviews and held discussion groups. We conducted interviews with officials in Idaho, Illinois, and Maryland. For each state, we interviewed state VR officials and state educational agency officials. We selected these states for variety using the following criteria: size of the special education population (large, medium, and small); state agency organization, for example, whether the VR agency was organized under the state\u2019s educational or other department; and whether the state had a second agency for serving individuals who are blind or visually impaired.", "We convened three discussion groups with state VR agency directors or their designated officials, with a total of 39 participants from 29 separate agencies (10 to 12 agencies represented per discussion group). These discussion groups took place during a conference of state VR directors in November 2017 in Greenville, South Carolina. To select participants, we worked with the conference organizer, CSAVR, to send invitations for our discussion groups to all conference attendees. We additionally included a question in our survey asking respondents whether they would like to participate in discussion groups at the conference, and contacted those who responded affirmatively via phone and email. We moderated each discussion to keep participants focused on the specified issues within discussion timeframes."], "subsections": []}, {"section_title": "Criteria Applied", "paragraphs": ["To assess Education\u2019s efforts to address state VR agencies\u2019 challenges in providing pre-employment transition services, we applied standards for internal control in the federal government. Specifically, we applied principle 15 related to communicating with external parties. In addition, regarding Education\u2019s assistance to state VR agencies\u2019 efforts to update interagency agreements with state educational agencies, we also applied key considerations for implementing interagency collaborative mechanisms that we have previously identified.", "We conducted this performance audit from February 2017 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}]}, {"section_title": "Appendix II: WIOA Authorized Activities for Pre-employment Transition Services", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the United States Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["Elizabeth H. Curda, (202) 512-7215 or curdae@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Sara Schibanoff Kelly (Assistant Director), Paul Schearf (Analyst-In-Charge), Matthew Rabe, and Paul Wright made key contributions to this report. Also contributing to this report were James Bennett, Kristy Kennedy, Sheila R. McCoy, Thomas James, Jessica Orr, Sam Portnow, Carl Ramirez, Monica Savoy, Kate Van Gelder, Adam Wendel, and James Whitcomb."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Workforce Innovation and Opportunity Act: States and Local Areas Report Progress in Meeting Youth Program Requirements. GAO-18-475. Washington, D.C.: June 15, 2018.", "Supplemental Security Income: SSA Could Strengthen Its Efforts to Encourage Employment for Transition-Age Youth. GAO-17-485. Washington, D.C.: May 17, 2017.", "Youth with Autism: Federal Agencies Should Take Additional Action to Support Transition-Age Youth. GAO-17-352. Washington, D.C.: May 4, 2017.", "Youth with Autism: Roundtable Views of Services Needed During the Transition into Adulthood. GAO-17-109. Washington, D.C.: October 18, 2016.", "Students with Disabilities: Better Federal Coordination Could Lessen Challenges in the Transition from High School. GAO-12-594. Washington, D.C.: July 12, 2012."], "subsections": []}], "fastfact": []} {"id": "GAO-19-93", "url": "https://www.gao.gov/products/GAO-19-93", "title": "2017 Disaster Contracting: Action Needed to Better Ensure More Effective Use and Management of Advance Contracts", "published_date": "2018-12-06T00:00:00", "released_date": "2018-12-06T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Following Hurricane Katrina, Congress required FEMA to establish advance contracts for goods and services to enable the government to quickly and effectively mobilize resources in the aftermath of a disaster, like those that affected the United States in 2017.", "GAO was asked to review the federal government's response to the three 2017 hurricanes and California wildfires. This report assesses, among other things, (1) FEMA and USACE's use of advance contracts, (2) FEMA's planning and reporting of selected advance contracts, and (3) challenges, if any, with FEMA's use of these contracts.", "GAO analyzed data from the Federal Procurement Data System-Next Generation through May 31, 2018; selected a non-generalizable sample of 14 FEMA and USACE advance contracts that were competed and obligated over $50 million, or non-competed and obligated over $10 million, in response to the 2017 disasters; and interviewed FEMA and USACE officials."]}, {"section_title": "What GAO Found", "paragraphs": ["In response to Hurricanes Harvey, Irma, and Maria, as well as the 2017 California wildfires, the Federal Emergency Management Agency (FEMA) and U.S. Army Corps of Engineers (USACE) relied heavily on advance contracts. As of May 31, 2018, FEMA and USACE obligated about $4.5 billion for various goods and services through these contracts, see figure below.", "GAO found limitations in FEMA's use of some advance contracts that provided critical goods and services to survivors, including", "an outdated strategy and unclear guidance on how contracting officers should use advance contracts during a disaster, and", "challenges performing acquisition planning.", "FEMA also did not always provide complete information in its reports to congressional committees. Specifically, GAO found 29 advance contract actions that were not included in recent reports due to shortcomings in FEMA's reporting methodology, limiting visibility into its disaster contract spending.", "FEMA identified challenges with advance contracts in 2017, including federal coordination with states and localities on their use. FEMA is required to coordinate with states and localities and encourage them to establish their own advance contracts with vendors. However, GAO found inconsistencies in that coordination and the information FEMA uses to coordinate with states and localities on advance contracts. Without consistent information and coordination with FEMA, states and localities may not have the tools needed to establish their own advance contracts for critical goods and services and quickly respond to future disasters."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making nine recommendations to FEMA, including that it update its strategy and guidance to clarify the use of advance contracts, improve the timeliness of its acquisition planning activities, revise its methodology for reporting disaster contracting actions to congressional committees, and provide more consistent guidance and information to contracting officers to coordinate with and encourage states and localities to establish advance contracts. FEMA concurred with our recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Post-Katrina Emergency Management Reform Act of 2006 (PKEMRA) required the Federal Emergency Management Agency (FEMA) to establish advance contracts\u2014those that are established prior to disasters and that are typically needed to quickly provide life-sustaining goods and services in the immediate aftermath of disasters. FEMA and the U.S. Army Corps of Engineers (USACE)\u2014components of the Department of Homeland Security (DHS) and the Department of Defense (DOD), respectively\u2014used advance contracts to procure goods and services provided in response to the catastrophic disasters the United States experienced in 2017: Hurricanes Harvey, Irma, and Maria; and the California wildfires.", "Contracts play a key role in immediate disaster response and longer-term community recovery. In February 2018, we found that early estimates for Hurricanes Harvey, Irma, and Maria placed them among the costliest hurricanes in terms of federal contract obligations since 2005, when tracking this information by hurricane began. We also found that DHS and DOD accounted for about 97 percent of those obligations. In September 2015, we found issues related to the use of advance contracts, specifically that FEMA\u2019s contracting officers had limited awareness about advance contract requirements and how to coordinate advance contracting efforts with state and local governments. We made several recommendations, including that FEMA provide guidance to contracting officers to make them aware of current information on the availability and use of advance contracts and the need to conduct outreach to state and local governments to support their use of advance contracts. FEMA agreed with our recommendations and has taken action to address them.", "You asked us to review the federal government\u2019s contracting efforts for preparedness, response, and recovery efforts related to the three 2017 hurricanes and California wildfires. This report specifically addresses the use of advance contracts, assessing the extent to which (1) FEMA and USACE used advance contracts, (2) the planning, management, and reporting of selected FEMA and USACE advance contracts met certain contracting requirements, and (3) FEMA and USACE identified any lessons learned and challenges with their use of these contracts. We also have an ongoing review on post-disaster contracting that is expected to be completed in early 2019.", "To identify the extent to which FEMA and USACE used advance contracts, we reviewed data on contract obligations for the 2017 disasters from the Federal Procurement Data System-Next Generation (FPDS-NG) through May 31, 2018. Data on obligations for the California wildfires are limited to contracts that FEMA and USACE identified as being used to respond to the events because some of this information was not able to be identified in FPDS-NG. To determine which obligations were made through the use of advance contracts, we reviewed documentation provided by FEMA and USACE identifying the advance contracts they have in place and that were used in support of the 2017 disasters. We assessed the reliability of FPDS-NG data by reviewing existing information about the FPDS-NG system and the data it collects\u2014 specifically, the data dictionary and data validation rules\u2014and performing electronic testing. We determined the FPDS-NG data were sufficiently reliable for the purposes of this report. We also reviewed FEMA contracting policies and guidance, to identify available guidance on the use and intent of advance contracts, and federal internal control standards. We identified examples of goods that FEMA had advance contracts in place for but experienced challenges using in response to the 2017 disasters, reviewed advance and post-disaster contract documentation and FPDS-NG data related to these examples, and interviewed contracting officials involved in the award and use of the contracts in 2017.", "To assess the extent to which the planning, management, and reporting of advance contracts used in response to the three hurricanes and California wildfires in 2017 met selected applicable contracting requirements, we reviewed relevant documentation, including PKEMRA, the Federal Acquisition Regulation (FAR), DHS, FEMA, and USACE contracting policies. We identified a non-generalizable sample of advance contracts to serve as case studies based on obligation data from FPDS- NG as of March 31, 2018. We analyzed the data to identify 10 competed and 4 non-competed contracts\u2014valued at above $50 million and above $10 million, respectively\u2014including 10 contracts from FEMA and 4 from USACE. For additional details on the contracts we selected, see appendix I. Findings based on information collected from the 14 contracts cannot be generalized to all advance contracts. To review our selected FEMA and USACE advance contracts, we developed a data collection instrument to gather selected contract information, such as period of performance, contract type, estimated contract value, and the presence of key contract documents, among others. To assess planning we reviewed our selected advance contracts, and determined that six of FEMA\u2019s contracts met GAO\u2019s definition of a bridge contract. We interviewed FEMA officials associated with these contracts on acquisition planning efforts and factors that affected their ability to award new contracts. To assess FEMA and USACE\u2019s management of selected advance contracts, we reviewed information gathered from our data collection instrument to confirm the contract files contained required acquisition documents, such as acquisition strategies and contract modifications, which typically provide the history of a contract file, and interviewed officials at FEMA and USACE headquarters on their record keeping policies, practices, and challenges. To assess the reporting of selected advance contracts, we compared advance contract action data identified in FPDS-NG in the fourth quarter of fiscal year 2017 and first quarter of fiscal year 2018 to data reported for the same time period in FEMA\u2019s mandated reports to congressional committees on disaster contracting to identify any unreported actions. We interviewed FEMA officials to discuss the methodology and data sources for the congressional committee reports and any limitations to the accuracy of the data reported.", "To assess what lessons learned and challenges FEMA and USACE identified with the use of advance contracts in 2017, we interviewed FEMA and USACE officials on what they identified as lessons learned and challenges specific to advance contracts, and any recommendations or actions planned by the agencies to address them. We reviewed PKEMRA advance contract requirements, including requirements that FEMA coordinate with state and local governments on the use of advance contracts, FEMA and USACE documentation on the use of advance contracts, after-action reports from 2017 and prior years, and federal internal control standards for information and communications. To identify challenges related to coordination with state and local officials on the use of advance contracts, we reviewed after action reports from 2017, and interviewed FEMA and USACE regional staff and state and local government officials on advance contracting efforts. We also analyzed information on available advance contracts from FEMA\u2019s June 2018 Prepositioned Contract List and FEMA\u2019s May 2018 training documentation identifying advance contracts to identify any differences in the information available to FEMA contracting officers, and their state and local contracting counterparts. Appendix I provides more information about our overall scope and methodology.", "We conducted this performance audit from March 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "The 2017 Hurricanes and California Wildfires", "paragraphs": ["In 2017, three major hurricanes made landfall in the United States and historic wildfires struck California. According to FEMA, the 2017 hurricanes and wildfires collectively affected 47 million people\u2014nearly 15 percent of the nation\u2019s population. See figure 1 for a timeline of these major disasters."], "subsections": []}, {"section_title": "Overview of Federal Disaster Response and Recovery", "paragraphs": ["When disasters hit, state and local entities are typically responsible for disaster response efforts. The Robert T. Stafford Disaster Relief and Emergency Assistance Act established a process by which a state may request a presidential disaster declaration to obtain federal assistance. According to the DHS National Response Framework\u2014a guide to how the federal government, states and localities, and other public and private sector institutions should respond to disasters and emergencies\u2014the Secretary of Homeland Security is responsible for ensuring that federal preparedness actions are coordinated to prevent gaps in the federal government\u2019s efforts to respond to all major disasters, among other emergencies. The framework also designates FEMA to lead the coordination of the federal disaster response efforts across federal agencies.", "The National Response Framework identifies 14 emergency support functions that serve as the federal government\u2019s primary coordinating structure for building, sustaining, and delivering disaster response efforts across more than 30 federal agencies. Each function addresses a specific need\u2014such as communication, transportation, and energy\u2014and designates a federal department or agency as the coordinating agency. For example, the emergency support function for public works and engineering assists DHS by coordinating engineering and construction services, such as temporary roofing or power, and USACE is the primary agency responsible for these functions during disaster response activities.", "FEMA coordinates disaster response efforts through mission assignments\u2014work orders that FEMA issues to direct other federal agencies to utilize the authorities and the resources granted to it under federal law. Mission assignments are authorized by the Robert T. Stafford Disaster Relief and Emergency Assistance Act and can consist of federal operations support or direct federal assistance, which includes federal contracts.", "FEMA\u2019s contracting efforts are supported by its Office of the Chief Procurement Officer and its contracting workforce. While the majority of FEMA\u2019s contracting workforce is located in headquarters, contracting officers are also located in each of FEMA\u2019s 10 regional offices. See appendix II for the location of FEMA\u2019s 10 regional offices as well as the states each one is responsible for coordinating with to address National Response Framework responsibilities."], "subsections": []}, {"section_title": "PKEMRA Requirements and the Use of Advance Contracts", "paragraphs": ["Congress enacted PKEMRA in 2006, which addressed various shortcomings identified in preparation for and response to Hurricane Katrina, which hit the Gulf Coast in 2005 and was one of the largest, most destructive natural disasters in U.S. history. Among the provisions included were requirements for FEMA to identify and establish advance contracts to ensure that goods and services are in place to help FEMA rapidly mobilize resources in immediate response to disasters. Examples of these goods and services are:", "Goods: construction supplies and tarps; food and water; cleaning and hygiene supplies; and power equipment and generators.", "Services: engineering; information technology and communication support; transportation of goods; and housing and lodging assistance.", "As of June 2018, FEMA reported having advance contracts in place for 56 different types of goods and services.", "Among other contracting requirements, PKEMRA requires FEMA to develop a contracting strategy that maximizes the use of advance contracts to the extent practical and cost effective; coordinate advance contracts with state and local governments; encourage state and local governments to engage in similar pre- planning and contracting; and submit quarterly reports to the appropriate committees of Congress on each disaster contract entered into by the agency using non- competitive procedures.", "According to FEMA\u2019s advance contracting strategy, the agency will maximize the use of advance contracts to the extent they are practical and cost-effective, which will help preclude the need to procure goods and services under unusual and compelling urgency. When disasters strike, contracting officers may use the unusual and compelling urgency exception to full and open competition to support non-competitive contract awards. FEMA\u2019s strategy also states that advance contracts will help to ensure that goods and services are in place to help FEMA rapidly mobilize resources in immediate response to disasters.", "USACE also has its own advance contracts in place as a preparedness measure. According to USACE officials, they established advance contract initiatives in 2003, two years prior to Hurricane Katrina, to help facilitate their emergency support function under the National Response Framework\u2014public works and engineering. As of September 2018, USACE reported having advance contracts in place for three services\u2014 debris removal, temporary roofing, and temporary power. Appendix III provides details on specific advance contracts established by FEMA and USACE.", "According to FEMA documentation, most of its advance contracts are indefinite delivery contracts, which can facilitate the goal of having contracts available if there is a disaster. One type of indefinite delivery contract\u2014an indefinite delivery, indefinite quantity contract\u2014can be awarded to single or multiple vendors and provides for an indefinite quantity, within stated limits, of supplies or services during a fixed period. Under these contracts, the government places orders for individual requirements. These contracts also require the government to order and the contractor to provide at least a stated minimum quantity of supplies and services. Additionally, the contracting officer should also establish a reasonable maximum quantity for the contract based on market research, trends in similar recent contracts, or any other rational basis. Minimum and maximum quantity limits can be stated as the number of units or as dollar values, and may also be referred to by contracting officers as minimum guarantees or contract ceilings, respectively.", "As part of its overall acquisition strategy, FEMA officials identified other vehicles aside from its own advance contracts through which they obtain goods and services.", "DHS strategic sourcing vehicles: When a disaster occurs, FEMA contracting officers are first required to use any available DHS strategic sourcing vehicles\u2014a broader, aggregate approach for procuring goods and services\u2014with limited exceptions.", "Blanket purchase agreements: FEMA also relies on blanket purchase agreements, such as those established through the General Service Administration Federal Supply Schedule program, to provide some commercial goods and services needed for disaster response.", "Interagency Agreements: FEMA may also leverage interagency agreements, by which it obtains needed supplies or services from another agency by an assisted or direct acquisition.", "FEMA and other agencies may also award new contracts to support disaster response efforts following a disaster declaration. According to FEMA officials, these post-disaster contract awards may be required, for example, if advance contracts reach their ceilings, or if goods and services that are not suitable for advance contracts are needed."], "subsections": []}, {"section_title": "FAR Requirements", "paragraphs": ["The FAR requires agencies to perform acquisition planning activities for all acquisitions to ensure that the government meets its needs in the most effective, economical, and timely manner possible. Generally, program and contracting officials share responsibility for the majority of acquisition planning activities, which include the following:", "Pre-Solicitation: The program office identifies a need, and develops key acquisition documents to summarize that need, such as market research, a statement of work defining requirements, cost estimates, and a written acquisition plan. The pre-solicitation process ends when the program office submits these documents, typically referred to as an acquisition package, to the contracting officer to determine what type of contract is appropriate to fulfill the requirements.", "Solicitation: The contracting officer develops a solicitation, in consultation with other agency stakeholders, to request bids or proposals from contractors. The acquisition planning process ends once a solicitation is issued.", "Contracting for disaster relief and recovery efforts can also present unique circumstances in which to solicit, award, and administer contracts. Under the FAR, agencies are generally required to use full and open competition when soliciting offers and awarding contracts. However, an agency may award contracts noncompetitively when the need for goods or services is of such unusual and compelling urgency that the federal government faces the risk of serious financial or other type of injury.", "When it becomes evident that a base contract period and any option periods will expire before a subsequent contract to meet the same need can be awarded, contracting officers may, for example, extend the existing contract, or award a short-term stand-alone contract to the incumbent contractor on a non-competitive basis to avoid a lapse in services, along with sufficient justification and approval.", "These extensions and new sole source contracts are informally referred to as bridge contracts by some in the acquisition community, and we use that terminology in this report. In October 2015, we established the following definitions related to bridge contracts:", "Bridge contract: An extension to an existing contract beyond the period of performance (including base and option years), and a new, short-term contract awarded on a sole-source basis to an incumbent contractor to avoid a lapse in service caused by a delay in awarding a follow-on contract.", "Predecessor contract: The contract that was in place prior to the award of a bridge contract.", "Follow-on contract: A longer-term contract that follows a bridge contract for the same or similar services. This contract can be competitively awarded or awarded on a sole-source basis.", "Contracts, orders, and extensions (both competitive and non-competitive) are included in our definition of a \u201cbridge contract\u201d because the focus of the definition is on the intent of the contract, order, or extension.", "However, the FAR does not formally define bridge contracts or require that they be tracked. We recommended that the Office of Federal Procurement Policy amend the FAR to incorporate a definition of bridge contracts. The Office of Federal Procurement Policy agreed with our recommendation to provide guidance to agencies on bridge contracts and has taken steps to develop that guidance, but has not yet implemented our recommendations.", "If a contracting officer opts to extend the existing contract in place\u2014often referred to as a predecessor contract\u2014the contracting officer may use a number of different mechanisms to do this. One of these is the \u201coption to extend services\u201d clause. If the contract includes this clause, the contracting officer may use it to extend the contract for up to six months. While this option may be exercised more than once, the total extension of performance shall not exceed 6 months."], "subsections": []}]}, {"section_title": "FEMA and USACE Relied on Advance Contracts to Respond to the 2017 Disasters, but FEMA Lacks an Updated Advance Contracting Strategy and Guidance", "paragraphs": ["FEMA and USACE obligations on advance contracts\u2014as of May 31, 2018\u2014accounted for about half of total federal contract obligations for the three hurricanes, and more than three quarters of the contract obligations identified by those agencies for the California wildfires. However, an outdated strategy and lack of guidance to contracting officers resulted in confusion about whether and how to prioritize and use advance contracts to quickly mobilize resources in response to the three 2017 hurricanes and the California wildfires."], "subsections": [{"section_title": "Advance Contracts Accounted for about Half of Government-wide Contract Obligations for the 2017 Hurricanes, and over Three-Quarters of FEMA and USACE\u2019s Obligations for the California Wildfires", "paragraphs": ["Government-wide contract obligations for the three hurricanes were about $8.2 billion as of May 31, 2018. FEMA and USACE obligated 46 percent, or about $3.8 billion, of the $8.2 billion spent government-wide on the three hurricanes through advance contracts. Data on government- wide contract obligations for the California wildfires were not able to be identified because national interest action codes were not established for them in FPDS-NG. However, FEMA and USACE provided information on their contracting activities related to the wildfires. Their use of advance contracts accounted for 86 percent, or about $667 million, of the contract obligations they identified. FEMA and USACE advance contract obligations for the three hurricanes and California wildfires totaled about $4.5 billion, about 56 percent of the total contract obligations made by these agencies for these disasters. See figure 2 for details on FEMA and USACE\u2019s advance and post-disaster contract obligations by event.", "The greatest proportion of FEMA and USACE\u2019s obligations on advance contracts supported Hurricane Maria disaster relief efforts\u201441 percent and 59 percent, respectively. About 39 percent of USACE\u2019s obligations on advance contracts were used in support of the California wildfires, compared to less than 1 percent of FEMA\u2019s obligations. FEMA awarded orders against 72 base advance contracts in response to the three 2017 hurricanes and California wildfires, and USACE awarded orders against 15 of its advance contracts. See figure 3 for FEMA and USACE\u2019s obligations on advance contracts by event."], "subsections": []}, {"section_title": "Advance Contracts Were Used Primarily for Services", "paragraphs": ["FEMA and USACE procured a variety of goods and services through advance contracts in response to the three hurricanes and wildfires, but about 86 percent of obligations, or $3.8 billion, were used to procure services. For example, all of USACE\u2019s $1.7 billion in advance contract obligations were for services, such as debris removal. FEMA obligated about $2.2 billion on services, such as architect and engineering services to rebuild roads and bridges. FEMA\u2019s obligations on goods totaled $624 million and included prefabricated buildings, such as manufactured housing units to provide lodging, and food and water. See figure 4 for examples of obligations on goods or services by event."], "subsections": []}, {"section_title": "FEMA Lacks an Updated Strategy and Guidance on the Use of Advance Contracts", "paragraphs": ["FEMA lacks an updated strategy and guidance on advance contract use, despite the PKEMRA requirement to develop a contracting strategy that maximizes their use to the extent practical and cost effective. As we found in May 2006 following Hurricane Katrina, and reiterated in our September 2015 report, agencies need to have competitively awarded contracts in place before a disaster to be effective in their response. Our current review found that FEMA has established advance contracts for goods and services to enable it to respond following a disaster. However, FEMA\u2019s lack of an updated strategy and guidance on advance contract use resulted in confusion about whether and how to maximize their use to the extent cost-effective and practical to facilitate a faster response when providing goods and services to survivors.", "PKEMRA required the FEMA Administrator to identify specific goods and services that the agency could contract for in advance of a natural disaster in a cost-effective manner. PKEMRA also required the FEMA Administrator to develop a contracting strategy that maximizes the use of advance contracts to the extent practical and cost-effective. Following the enactment of PKEMRA, in 2007 FEMA issued the Advance Contracting of Goods and Services Report to Congress, in part to address the requirement for an advance contracting strategy. In addition to the strategy, FEMA provides information on advance contracts in its Disaster Contracting Officer Desk Guide.", "The 2007 strategy notes that advance contracts will help to preclude the need to procure goods and services for disaster response under the unusual and compelling urgency exception to full and open competition, and allow FEMA to rapidly mobilize resources in immediate response to disasters. Several contracting officials we spoke with said that it is a requirement to use advance contracts before awarding new contracts. Moreover, a senior FEMA contracting official told us that advance contracts are intended to be used before awarding post-disaster contracts, even if the advance contract is not capable of fulfilling all of the requirements for a needed good or service. However, our review of the strategy found that it does not provide any specific direction on how contracting officers should award or use advance contracts to meet PKEMRA\u2019s objectives, or how they should be prioritized in relation to post-disaster contracts. Further, there is no mention in FEMA\u2019s 2017 Disaster Contracting Officer Desk Guide that advance contracts should be considered prior to the award of post-disaster contracts.", "In September 2015, we found shortfalls with the information available to contracting officers about advance contracts and recommended that FEMA provide new or updated guidance with information on how advance contracts should be used. FEMA agreed with this recommendation and stated that in 2015 it included information on advance contracts and their use in training documentation. However, our review of semi-annual training documentation provided in May 2018 found that it only lists some of the advance contracts that are available, and not guidance on their use.", "A report by the Senate Committee on Homeland Security and Governmental Affairs identified concerns about FEMA\u2019s use of advance contracts for self-help tarps in response to the 2017 hurricanes. Specifically, the report found that while FEMA ordered some tarps through one of its existing advance contracts, that order was placed after a post-disaster contract for tarps was signed, raising questions about whether FEMA\u2019s actions were informed by an overall strategy for using its advance contracts, in this case, for tarps. Our current review identified similar concerns, and found that the lack of an updated strategy and guidance on the use of advance contracts contributed to challenges in using these contracts to respond to the 2017 disasters.", "In our review of advance contracts for meals and tarps, we found the following:", "Meals: Prior to the 2017 disasters, FEMA had advance contracts in place to provide meals with specific nutritional requirements. According to FEMA contracting officials, the advance contract vendors were at capacity for these specific meals following the response to Hurricane Harvey, requiring FEMA to issue a new post-disaster competitive solicitation and award new contracts with less specific nutritional requirements following Hurricane Maria. Based on our review of contract documentation, two of the existing advance contract vendors were awarded these new post-disaster contracts, but at different prices than those negotiated through their advance contracts. FEMA officials told us that contracting officers will negotiate to ensure the price of the contract is fair and reasonable and may utilize historical information or current contract prices to inform this determination. Normally, adequate price competition establishes a fair and reasonable price. According to a contracting officer involved with the award, FEMA relied on competition and historical prices, but not the existing advance contract prices, to determine that the new post- disaster contract meal prices were fair and reasonable. Guidance on the extent to which advance contract prices should be considered when comparing proposed prices to historical prices paid could help to further inform contracting officers\u2019 decision-making during a disaster.", "Tarps: Our review of FEMA\u2019s use of contracts for tarps is another example of how FEMA lacked an updated advance contracting strategy and guidance to provide goods and services to facilitate a faster response to the 2017 disasters. For example, in September 2014, FEMA awarded multiple award indefinite delivery, indefinite quantity advance contracts to three small businesses for self-help tarps, which are used to cover small areas of roof damage. In November 2014, these contracts were modified by the contracting officer to include delivery requirements for providing tarps to replenish FEMA\u2019s stock during steady state operations or during emergency response operations, such as a natural disaster. The contract modification added that during an emergency response, vendors would be expected to deliver up to 150,000 tarps within 96 hours of being issued a task order. However, these small businesses were not required to meet the emergency response delivery time frames and amounts since they would not be expected to store tarps on FEMA\u2019s behalf, limiting the use of FEMA\u2019s advance tarp contracts for immediate disaster response needs. According to a contracting officer involved with these contracts, the tarp advance contracts are typically used only to replenish tarp stockpiles in FEMA\u2019s distribution centers. However, the contracting officer also noted that not being able to fully use the existing advance contracts for tarps to respond to the three 2017 hurricanes was a challenge and required FEMA to award post- disaster contracts to meet tarp requirements.", "Furthermore, we found that FEMA awarded post-disaster contracts for tarps before utilizing its advance contracts with the small businesses. Contract file documentation for the post-disaster contracts stated that FEMA\u2019s advance contract holders for tarps had reached their capacity, and that market research had confirmed that it would be difficult for small businesses to meet the urgent delivery timeframes for tarps. Yet, after the award of the post-disaster tarp contracts, FEMA awarded task orders to one of the advance contractors to provide tarps in response to Hurricane Maria. Another small business advance contractor, which according to FEMA\u2019s post-disaster contract documentation had reached its capacity, also submitted a proposal as part of the post-disaster contract solicitation. According to FEMA, neither of the post-disaster contract holders ultimately provided the required tarps. The timing and use of the existing tarp advance contracts raises questions about their ability to provide tarps immediately following a disaster, and whether an updated advance contracting strategy would have enabled FEMA to more quickly provide the needed tarps to survivors, considering the additional time and staff resources needed to award new post-disaster contracts.", "FEMA established advance contracts to provide critical goods, like meals and tarps, following a disaster; however FEMA\u2019s 2007 contracting strategy does not provide direction on the objectives of advance contracts or how to maximize their use to the extent practical and cost-effective, as required by PKEMRA. According to FEMA officials, they had not considered updating the 2007 advance contracting strategy because they believed the use of advance contracts following PKEMRA had been incorporated into their disaster contracting practices. FEMA has also not communicated specific guidance to program and contracting officials on whether and how advance contracts should be prioritized before issuing new post-disaster solicitations and awarding contracts for the same or similar requirements, or how to maximize their use to the extent practical and cost-effective following a disaster, as required by PKEMRA. FEMA officials also acknowledged that additional guidance regarding advance contracts, including their availability and use during a disaster, could be useful. Without an updated strategy\u2014and clear guidance that is incorporated into training\u2014on the use of advance contracts and how they should be prioritized and used in relation to new post-disaster contract awards, FEMA lacks reasonable assurance that it is maximizing the use of advance contracts to quickly and cost-effectively provide goods and services following a disaster. This places FEMA at risk of continued challenges in quickly responding to subsequent disasters."], "subsections": []}]}, {"section_title": "Improvements Needed in FEMA\u2019s Planning, Management, and Reporting of Advance Contracts", "paragraphs": ["While FEMA used a variety of advance contracts to respond to the 2017 disasters, we found weaknesses in the process of awarding and overseeing selected advance contracts in our review. These weaknesses were: (1) challenges in FEMA\u2019s acquisition planning; (2) limited record keeping or management of certain FEMA contracts; and (3) incomplete reporting on FEMA\u2019s advance contract actions to certain congressional committees. Related to USACE, we did not identify any planning or management challenges based on our review of its four selected contracts, and USACE is not required to report on its advance contract actions to the congressional committees."], "subsections": [{"section_title": "Challenges in FEMA\u2019s Acquisition Planning Resulted in Bridge Contracts", "paragraphs": ["FEMA has taken some steps since 2016 to improve competition and develop processes and guidance on the acquisition process for advance contracts, but shortfalls in acquisition planning have resulted in a number of bridge contracts. Bridge contracts can be a useful tool in certain circumstances to avoid a gap in providing products and services. We have previously reported that when non-competitive bridge contracts are used frequently or for prolonged periods, the government is at risk of paying more than it should for products and services.", "Based on our analysis, 63 of FEMA\u2019s 72 advance contracts used in response to the 2017 disasters were initially competed. All 15 of USACE\u2019s advance contracts used in responding to the three hurricanes and California wildfires in 2017 were initially competed. We found that at least 10 of FEMA\u2019s advance contracts used in 2017 were bridge contracts. Within the 10 FEMA advance contracts we identified as bridge contracts, 6 were part of our selected case studies. The six advance contracts with subsequent bridges in our review obligated roughly $778 million in response to the three hurricanes and California wildfires in 2017. These bridge contracts included five that are associated with two of FEMA\u2019s largest programs used in 2017\u2014the Individual Assistance Program and Public Assistance Program\u2014and one that is associated with a telecommunications program.", "Three of the six bridge advance contracts we reviewed were awarded to support FEMA\u2019s Individual Assistance Program, which provides mass care services such as food and water as well as financial and direct assistance, among other services, to survivors whose property has been damaged or destroyed and whose losses are not covered by insurance. In 2017, this assistance was supported through the Individual Assistance- Technical Assistance Contract (IA-TAC), known as IA-TAC III. The IA- TAC III predecessor contracts had an original period of performance from a base year starting in May 2009 with four 1-year options that ended in May 2014. However, FEMA program and contracting officials were unable to implement changes to the requirements\u2014recommended by FEMA senior leadership in 2010\u2014prior to expiration. According to FEMA officials, staffing shortfalls, operational tempo, and unrealistic contract requirements led to acquisition planning delays. These challenges, in turn, led to a series of extensions from May 2014 to November 2016 and a new non-competitive bridge contract (base with options) from November 2016 to May 2018. At that point new, competitive follow-on indefinite delivery indefinite quantity contracts\u2014the Individual Assistance Support Contract (IASC) and Logistics Housing Operations Unit Installation, Maintenance, and Deactivation (LOGHOUSE)\u2014were awarded. See figure 5.", "Two of our six selected advance contracts that were bridge contracts were awarded to support FEMA\u2019s Public Assistance Program, which provides supplemental federal assistance to state, tribal, territorial, and local governments for debris removal, life-saving emergency protective measures, and the repair, replacement, or restoration of damaged facilities. The predecessor Public Assistance-Technical Assistance Contract (PA-TAC) used in 2017, known as PA-TAC III, was awarded with an original period of performance from a base year in February 2012 with four 1-year options that ended in February 2017. FEMA officials noted that changes to the PA-TAC III contract requirements and acquisition strategy were identified in 2015. Yet due to the time needed to incorporate these changes, FEMA was unable to complete required acquisition planning activities, such as finalizing the acquisition plan, prior to the expiration of PA-TAC III. Following 11 months of extensions to complete these activities, FEMA competitively awarded new contracts in December 2017. These awards were protested to the GAO and the protests were denied and are currently under review at the Court of Federal Claims. According to FEMA officials, these events required PA- TAC III to be extended until January 2019, as shown in figure 6.", "The remaining bridge contract in our sample is associated with the Wireline Services Program, a telecommunication program that provides FEMA employees deployed to respond to a disaster with local and long- distance telephone, high-speed data, and cable television services. The 5 year wireline predecessor contract was awarded in 2003 and again in 2008, but FEMA was unable to award a competed contract when the 2008 contract expired in December 2013 due to the time it took to update program requirements. FEMA contracting officials extended the contract for 6 months before letting it expire altogether. Due to high staff turnover and inconsistent record keeping, at the time of our review FEMA officials were unable to determine the cause for this lapse of service, which occurred after the contract\u2019s expiration in June 2014. Starting in January 2015, FEMA contracting officials used a series of bridge contracts over more than three years to address changing contract requirements and delays in completing acquisition planning documentation, as shown in figure 7. FEMA contracting officials anticipated awarding a competitive contract by the end of fiscal year 2018, but the award has been delayed and the existing contract extended through January 2019.", "In one of the bridge contracts included in our review, FEMA improperly used FAR clause 52.217-8. According to that clause, an agency may extend a contract\u2019s period of performance for up to 6 months and is generally used in the event of circumstances outside of the contracting officer\u2019s control that prevent the new contract award, such as a bid protest. This clause may be used multiple times to extend the contract so long as the total extension of performance does not exceed 6 months. Our analysis found that FEMA used the clause for a total of 14 months to justify two 6-month extensions and one 2-month extension to the second bridge contract. The FEMA contracting official associated with the advance contract reported uncertainty over the proper use of this clause and what other authorities should have been used instead to extend the contract. FEMA\u2019s Office of Chief Counsel and contracting officials acknowledged this error.", "While not all bridge contracts that we identified during our review were non-competitive, FEMA officials acknowledged that the use of non- competitive bridge contracts is not an ideal practice as they cannot ensure the government is paying what it should for products and services. In October 2015 we identified delays in the completion of acquisition planning documentation as one of the leading causes of awarding bridge contracts. In an effort to decrease the need for non-competitive bridge contracts and provide ample time for acquisition planning, FEMA began implementing a 5-Year Master Acquisition Planning Schedule (MAPS) in 2016. MAPS is a tracking tool that monitors the status of and provides acquisition planning timeframes for certain FEMA acquisitions over $5 million, as well as for all advance contracts and any acquisition deemed by the agency to be mission critical, regardless of dollar value.", "As we previously noted, acquisition planning includes both the pre- solicitation and solicitation phases. Based on our review of MAPS documentation, the tool generates a timeline of discretionary acquisition milestones across these two phases, based on certain considerations like the type of acquisition and whether it will be competed. Using this timeline, MAPS sends email alerts to program and contracting staff when certain acquisition milestones should occur.", "Specific to the solicitation phase, FEMA\u2019s Office of the Chief Procurement Officer has developed annual lead time guidance for how long contracting officers should be given to award new contracts following the completion of the acquisition package, which is then conveyed through MAPS. For example, for acquisitions $150,000 and under, FEMA\u2019s 2018 lead time guidance states contracting officers should be given 60 days to award the contract following completion of the acquisition package. FEMA officials we spoke with acknowledged that these discretionary timeframes are frequently shortened when program office officials are delayed in completing acquisition packages. While FEMA has lead time guidance to establish timeframes for completing the solicitation phase, FEMA currently has no guidance establishing timeframes for the pre-solicitation phase, when program offices complete the acquisition packages. Figure 8 provides an example timeline of the major milestones tracked in MAPS.", "In its analysis of 12 fiscal year 2017 contracts tracked in MAPS that were awarded late, FEMA found that half were late because contracting officials were not given enough lead time to award a new contract following the program office\u2019s completion of the acquisition package. Not adhering to suggested timeframes can place a burden on contracting officers and increase the likelihood of not awarding the contract on schedule, requiring FEMA to non-competitively extend the existing contract. According to FEMA\u2019s lead time guidance, based on the contract values for the bridge contracts in our review contracting officers should have been given between 240 and 300 days to award a new contract once the acquisition package was completed. However, as we mention earlier, due to delays from changing program requirements and acquisition strategies we found that the acquisition plans for the follow-on contracts related to these bridge contracts were not completed until after the predecessor contract had already expired, as shown in figure 9 below.", "Timely completion of the acquisition package was a key challenge identified in the contracts we reviewed. However, according to officials from the Office of the Chief Procurement Officer, they do not have the authority to establish guidance for FEMA program officials on completing pre-solicitation phase activities. In August 2011, we identified challenges with acquisition planning across DHS. Specifically, we found that DHS and other agencies did not measure or incorporate into guidance the amount of time it takes to develop and obtain approvals of the acquisition planning documents required during the pre-solicitation phase. We recommended that DHS procurement offices collect information about the timeframes needed for the acquisition planning process to establish timeframes for when program officials should begin acquisition planning. DHS did not concur with this recommendation, stating that its acquisition manual already encourages early planning, and has not implemented the recommendation. At the time, we maintained that program officials needed more guidance to have a better understanding of how much time to allow for completing acquisition planning steps, and that the component procurement offices are best positioned to provide guidance on how long these planning processes may take. Given the current challenges we identified with FEMA\u2019s ability to complete acquisition planning activities in a timely manner and the resulting delays in awarding new contracts for critical advance contract goods and services, additional information and guidance on acquisition planning timeframes remains important.", "Additionally, while MAPS has been in place since 2016 and FEMA officials have instituted training to communicate the system\u2019s intent, program and contracting officials we spoke with varied in their familiarity with it. For example, officials responsible for MAPS stated that by March 2016, 90 percent of FEMA\u2019s contracting staff had attended an hour long training session and additional training sessions were held for all program office staff at various points in 2016 and 2017. However, most of the program office and contracting officials responsible for the bridge contracts in our review reported limited familiarity with MAPS.", "While FEMA has taken some positive steps to institute training and has guidance on timeframes for part of the acquisition planning process, program and contracting staff we spoke with were still uncertain how best to utilize MAPS to identify the time needed to effectively complete acquisition planning activities. According to federal internal control standards, agency management should internally communicate the necessary quality information to achieve their objectives. Given FEMA\u2019s emphasis on planning before a disaster and using advance contracts to help reduce the need to award non-competitive contracts during a disaster, establishing clear guidance on the factors that can affect acquisition planning activities, and requiring officials to follow the timeframes needed to complete them to meet the goal of awarding competitive contracts, is essential. Until FEMA provides detailed guidance about timeframes and considerations that affect the entire acquisition planning process\u2014both the pre-solicitation and solicitation phases\u2014to all officials responsible for acquisition planning, and clearly communicates the intent of MAPS, it cannot ensure that MAPS will be effective at reducing the number of non-competitively awarded bridge contracts, as is FEMA\u2019s intent."], "subsections": []}, {"section_title": "Current Record-Keeping Practices Limit Visibility into Advance Contract Management", "paragraphs": ["While FEMA has procedures regarding the documentation required for its contract files, current practices limited visibility into the advance contracts in our review. Specifically we found that acquisition plans and some other contract documents were unable to be located in certain cases. Acquisition plans provide the program and contract history as well as other information on which acquisition decisions, such as the type of contract required, are based.", "FEMA contracting officials were unable to locate acquisition plans for 4 of our 10 FEMA selected advance contracts despite FAR and DHS acquisition guidance requiring plans for these particular contracts to be completed and stored in the contract file. Three of these acquisition plans are associated with the IA-TAC bridge contract which, as previously noted, was associated with one of FEMA\u2019s largest programs used in 2017. FEMA contracting officials were also unable to locate the acquisition plans completed for the prior iteration of IA-TAC because they were not in the hard copy contract file or contract writing system, meaning that no acquisition plan guiding the IA-TACs since before its 2009 award could be found. In 2011, the DHS Office of the Inspector General conducted a review of FEMA\u2019s IA-TAC and identified, among other things, incomplete contract files as a problem. Not being able to locate acquisition plans can result in the loss of contract knowledge and lessons learned from prior awards.", "Additionally, we found instances of contract documentation for advance contracts related to our case studies that contract officials could not locate. For instance, FEMA was unable to confirm whether or not an option year for the last competed Wireline contract included in the contract was exercised due to a lack of documentation. In order to obtain this answer, FEMA officials had to reach out to the vendor for their records. Moreover, the modification exercising the first option year for one of the IA-TAC III predecessor contracts was missing, as were the determination and findings documents exercising the first option year for all three of the predecessor IA-TAC III contracts that were associated with the advance contracts in our review. After we made FEMA officials aware of the missing documentation, they subsequently added clarifying memos to the contract files.", "FEMA standard operating procedures state that the acquisition documents in the official contract file will be sufficient to constitute a complete history of the entire transaction for the purpose of providing a complete background, and as a basis for informed decisions at each step in the acquisition process. Additionally, these procedures require headquarters staff to place modifications to contracts and orders and associated supporting documentation in the contract file within 5 business days of awarding a contract or issuing an order. FEMA officials stated they are required to follow these procedures until DHS has fully transitioned to an electronic filing system. According to DHS officials, that system is currently in the testing phase and a timeframe for implementation has not yet been finalized. Furthermore, according to these officials, DHS has not yet decided which, if any, existing contracts will be required to be retroactively entered into the system. Until this decision has been made and implementation occurs, FEMA\u2019s official file of record for its advance contracts consists of a hardcopy file, which contracting officers at FEMA headquarters are required to add completed contract documentation to, per the standard operating procedures. A FEMA official told us that some documentation, including some of the missing documentation we identified, has been lost due to staff turnover and an office move in 2016.", "FEMA officials anticipate some of the challenges associated with managing the hard copy advance contract files will be alleviated after implementation of the Electronic Contract File System. However, DHS officials have not decided whether components will be required to retroactively enter contract information for any contract awarded prior to the implementation date. This would require FEMA and other DHS components to continue to maintain hardcopy files for some contracts\u2014 including large strategic sourcing vehicles and advance contracts\u2014for the foreseeable future. For example, FEMA\u2019s $2.7 billion LOGHOUSE, and $14 million IASC advance contracts were awarded in 2018 and have a period of performance lasting until 2023. Until FEMA adheres to existing contract file management requirements, whether the contract files will be transferred into the electronic system or remain in hard copy format, it is at continued risk of having incomplete contract files and a loss of institutional knowledge regarding these advance contracts."], "subsections": []}, {"section_title": "Information on Advance Contracts in FEMA\u2019s Disaster Contract Quarterly Reports to Congressional Committees Is Incomplete", "paragraphs": ["Since December 2007, FEMA has submitted quarterly reports to congressional committees that list all disaster contracting actions in the preceding three months. These quarterly reports also include details on contracts awarded by non-competitive means, as required by PKEMRA. However, our analysis shows that some reports from fiscal year 2017 and 2018 have been incomplete. In September 2015, we found that FEMA\u2019s quarterly reports to congressional committees in fiscal years 2013 and 2014 did not capture all of FEMA\u2019s noncompetitive orders. At that time, FEMA attributed this to an error in data compilation prior to mid-2013 and explained that it had updated its process for collecting these data and strengthened the review process, resulting in accurate reports starting in the fourth quarter of fiscal year 2013. Despite this change in the data collection process, our current analysis found that 29 contract actions associated with the 10 selected advance contracts in our review were not reported across FEMA\u2019s fourth quarter fiscal year 2017 and first quarter fiscal year 2018 reports. For example, FEMA\u2019s fourth quarter fiscal year 2017 report did not include 13 contract actions equaling about $83 million, or 15 percent, of the $558 million in total obligations associated with the 10 selected advance contracts in our review. Similarly, FEMA\u2019s first quarter fiscal year 2018 report did not include 16 contract actions equaling about $122 million, or 23 percent, of the $532 million in total obligations associated with the 10 selected advance contracts in our review. Figure 10 provides a breakdown of the total contract action obligations by extent of competition.", "To compile the quarterly reports, FEMA officials told us that their methodology is to pull contract action data that is documented in their contract writing system and FPDS-NG roughly one week after the end of each fiscal quarter. Once the data are pulled from these two sources, officials said they compare the data to ensure all reported actions are captured. However, according to officials, the data may not include all contract actions. Specifically, during disaster response efforts like those in 2017, FEMA policy allows contracting officers to execute what it refers to as \u201cnotice to proceed\u201d, which is a notice to a construction contractor to begin work under certain circumstances. FEMA officials responsible for the quarterly reports stated that if notice to proceed documentation is used, information on some contract actions that were issued during the fiscal quarter, but not entered into the systems until after the quarter ended, may be missed during the data compilation process.", "FEMA policy requires that contracting officers who execute the notice to proceed documentation complete the contract award documentation in the contract writing system within three days of when the contracting officer receivers the contractor\u2019s acceptance of the notice. However, a FEMA policy official acknowledged that during disaster response, this does not always occur. Further, FEMA officials responsible for compiling the reports stated that it is not part of their methodology to review data from prior fiscal quarters to see whether any contract actions have been entered that were not previously reported. By not adhering to FEMA policy that establishes timeframes for entering data in a disaster response scenario, FEMA risks reporting incomplete information. Moreover, without taking steps to ensure its reporting methodology provides complete information on all competed and not competed disaster contract actions, FEMA cannot be certain it is providing the congressional committees with visibility into all of its overall disaster contract awards or the extent of non- competitive contract obligations over time."], "subsections": [{"section_title": "No Challenges Identified with the Planning and Management of Selected USACE Advance Contracts", "paragraphs": ["The four selected USACE advance contracts in our review\u2014one supporting USACE\u2019s temporary power mission and three supporting its debris removal mission\u2014were awarded in 2014 with a period of performance lasting until 2019. Since these contracts have not reached the end of their period of performance, we were unable to assess the effectiveness of USACE planning activities. According to contracting officials, USACE is performing acquisition planning activities for both the temporary power and debris removal advance contracts and anticipates awarding the new contracts prior to the current contracts\u2019 expiration.", "Additionally, USACE was able to provide the acquisition plans for each of the four advance contracts in our review. Unlike FEMA, which retains hard copy files of its contract documentation, USACE uses three official systems of record to store contract file documentation electronically. Officials acknowledged that while moving between the three official systems to find documents may be time consuming, contract documents are typically able to be located."], "subsections": []}]}]}, {"section_title": "FEMA and USACE Identified Lessons Learned from the Use of Advance Contracts in 2017, but Reported Challenges with State and Local Coordination Remain", "paragraphs": ["Both FEMA and USACE have processes for identifying and assessing lessons learned following a disaster. Contracting officials from these agencies identified several lessons learned from the 2017 major hurricanes and the California wildfires that directly affected their use of advance contracts. These include the need for: (1) additional advance contracts for certain goods and services; (2) flexibility to increase contract ceilings; (3) use of USACE\u2019s debris removal advance contracts to respond to the California wildfires; and (4) federal coordination and information sharing with state and local governments on advance contracts. While officials identified some lessons learned, they also identified challenges related to FEMA\u2019s outreach with state and local governments on advance contracting efforts."], "subsections": [{"section_title": "FEMA and USACE Have Identified Lessons Learned and Actions to Address Them", "paragraphs": ["FEMA and USACE have processes for identifying and assessing lessons learned through after-action reviews and reports following major disasters. According to FEMA and USACE officials, they routinely perform these reviews and then compile after-action reports to identify lessons learned and proposed actions to address them. Due to the concurrent nature of hurricanes Harvey, Irma, and Maria, FEMA headquarters completed one combined after-action review for all three hurricanes in July 2018. The resulting report identified 18 strategic-level key findings across five focus areas, and recommendations for improvement. These recommendations included some that were specific to advance contracts, such as the need for additional advance contracts to support future disaster response efforts, and improved state and local coordination to support state and local contracting and logistics operations. In addition, USACE officials performed after-action reviews following disasters, and have a process in place to discuss challenges and recommendations for improvement on their use of advance contracts for temporary power, temporary roofing, and debris removal.", "While the scope of FEMA\u2019s and USACE\u2019s after-action reports are broader than just advance contracts, we identified, based on our review of reports and interviews with FEMA and USACE officials, several lessons learned related to advance contracts following the 2017 hurricanes and California wildfires, as shown in table 1."], "subsections": []}, {"section_title": "Challenges in Coordinating with and Providing Information to State and Local Governments on the Use of Advance Contracts Continued", "paragraphs": ["We also found that while FEMA has updated its guidance to reflect some requirements for state and local coordination over the use of advance contracts, inconsistencies in FEMA\u2019s outreach and information on the use of advance contracts remains a challenge. PKEMRA required that FEMA encourage state and local governments to establish their own advance contracts with vendors for goods and services in advance of natural disasters. In September 2015, we found that FEMA\u2019s outreach with state and local governments to encourage the establishment of advance contracts can result in more efficient contracting after a disaster. PKEMRA also required that FEMA establish a process to ensure that federal advance contracts are coordinated with state and local governments, as appropriate. In our September 2015 report, we also found that these efforts can ensure that states are aware of and can access certain federal advance contracts, such as General Services Administration schedule contracts.", "However, in the same report, we found that inconsistencies in whether and how the regions perform state and local outreach limited FEMA\u2019s ability to support advance contracting efforts. We recommended that FEMA provide new or updated guidance to ensure that all contracting officers are aware of requirements concerning the need to conduct outreach to state and local governments to support their use of advance contracts. DHS concurred with this recommendation and in 2017 FEMA updated its Disaster Contracting Desk Guide to state that contracting officers should inform their state and local counterparts of the availability and use of federal advance contracts established by FEMA. Our review of the guide found that it does remind contracting officers to coordinate with states and localities over the use of federal advance contracts, but does not provide any details on how often or what types of advance contract information should be shared with states and localities, or provide any instructions to contracting officers on PKEMRA\u2019s requirement to encourage states and localities to establish their own advance contracts for the types of goods and services needed during a disaster.", "Our current review also found inconsistencies with FEMA\u2019s efforts to encourage states and localities to establish their own advance contracts with vendors and ensure coordination with them on their use of federal advance contracts. For example, some regional FEMA officials explained that they regularly perform outreach, which can assist states and localities with establishing advance contracts for goods and services commonly needed during a disaster, like security, transportation, and office supplies. Regional officials we spoke with said more frequent coordination allows them to avoid overlap across state and federal contracting efforts, and know what resources the states have in place and how long states are capable of providing these resources following a disaster. However, other regional officials reported having less frequent coordination with state and local governments. For example, a FEMA official stated that one of the regions has less frequent meetings with state and local governments because the region is geographically dispersed and has fewer disasters. According to another regional official, coordination between some regional offices and state and local officials over advance contracting was minimal prior to Hurricane Harvey, and in some cases only occurred when FEMA and state and local officials were co-located during a disaster.", "Officials from some state and local governments and USACE reported examples where increased coordination between FEMA, states, and localities could have improved the use of advance contracts in 2017. For example, in September 2018 we found that some localities were relying on the same contractors to perform debris removal activities following Hurricanes Harvey in Texas and Irma in Florida. As a result, we reported that some contractors that were removing debris in Texas did not honor existing contracts in Florida, leading to delays in debris removal. Additional communication and coordination between FEMA and contracting officials in these states and localities about which contractors they had established advance contracts with could have helped to prevent this overlap and subsequent delay in removing debris. During our current review, USACE and California officials also reported miscommunications about state and local expectations for USACE\u2019s debris removal contracts following the wildfires. Specifically, USACE and state and local officials reported differing expectations about the work to be performed under USACE\u2019s debris removal contracts, such as what structures would be removed from private property and acceptable soil contamination levels. According to USACE officials, they relied on FEMA, as the lead for coordinating federal disaster response, to manage communication with states and localities and to identify and manage expectations about the scope of work to be performed using their advance debris removal contracts. While state and local officials we met with in California reported working closely with some FEMA officials not responsible for regional contracting during the response to the wildfires, FEMA regional contracting officials said that they had no direct coordination with California officials.", "We also identified inconsistencies in the information available to FEMA\u2019s contracting officials on existing advance contracts, which can be used to facilitate coordination with states and localities on the establishment and use of advance contracts. Our review of FEMA\u2019s advance contract list found that it does not include all of the advance contracts that FEMA has in place, and contracting officers we spoke with cited other resources they also use to identify advance contracts, like biannual training documentation provided to contracting staff. For example, while FEMA officials told us the advance contract list is updated on a monthly basis, our analysis found that 58 advance contracts identified on the June 2018 advance contract list were not included in the May 2018 biannual training documentation, including contracts for telecommunications services, generators, and manufactured housing units. Further, 26 of the contracts included in the May training documentation were not included on the June advance contract list, including contracts for foreign language interpretation services, hygiene items, and short-shelf life meals. Some contracting officers we spoke with said they referred to the advance contract list as the primary resource for identifying advance contracts, while others referenced the biannual training as their primary resource.", "FEMA has recognized some shortcomings in how it coordinated and communicated with state and local governments over the use of advance contracts following the 2017 disasters, and identified some action to address these issues moving forward. In the 2017 Hurricane Season FEMA After-Action Report, FEMA identified the need to expand its capabilities to support state, local, tribal, and territorial governments in improving their capabilities for advance contracting, among other issues. The report recommends that FEMA should continue efforts to develop a toolkit that will provide state and local governments with recommendations for advance contracts, emergency acquisition guidance, and solicitation templates.", "According to FEMA contracting officials, the development of the toolkit has been prioritized by FEMA\u2019s Administrator to help better prepare the states and localities and decrease their reliance on FEMA for assistance following a disaster. However, as of August 2018 the specific contents of the toolkit were still being decided. For example, officials familiar with the development of the toolkit originally said they intended for it to include FEMA\u2019s advance contract list, to provide states with recommendations on the types of advance contracts that may be useful. But in subsequent discussions these officials told us they did not plan to provide states and localities with a full list of advance contracts to avoid being overly prescriptive, and because not all of the contracts on the list are relevant for the types of disasters some states experience. Officials further stated that since it is the responsibility of the federal coordinator in each region to communicate available federal advance contracts to states and localities, providing a full list of advance contracts is unnecessary.", "Federal internal control standards state that agency management should use quality information to achieve their objectives. Agency management should also internally and externally communicate that information to achieve their objective. However, FEMA\u2019s guidance does not clearly communicate its objectives and requirements for contracting officers to encourage states and localities to enter into their own advance contracts, nor is there a consolidated resource listing available advance contracts that states and localities can use to inform their advance contracting efforts. According to FEMA officials, information on advance contracts is fluid, as new contracts are established or old contracts expire. Officials also told us that the advance contract list is updated monthly, yet as mentioned earlier, contracts identified in the May training documentation were not reflected in the list that was updated as of June. Ensuring that advance contract information is complete and updated regularly is important, because differences across FEMA\u2019s resources listing advance contracts could result in FEMA\u2019s contracting officers not being aware of the availability of certain contracts during a disaster, and states not receiving recommendations on what advance contracts may be helpful for them to establish. Without clear guidance on FEMA\u2019s expectations for coordination with states and localities on advance contracting efforts, and a centralized resource listing up to date information on FEMA\u2019s advance contracts, FEMA contracting officers and their state and local counterparts lack reasonable assurance they will have the tools needed to effectively communicate about advance contracts, and use them to respond to future disasters. Moreover, given FEMA\u2019s recent emphasis on the importance of states and localities having the capability to provide their own life-saving goods and services in the immediate aftermath of a disaster, clearly communicating consistent and up to date information on the availability and limitations of federal advance contracts through the toolkit, or other means, is critical to informing state and local disaster response efforts."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Contracting during a disaster can pose a unique set of challenges as officials face a significant amount of pressure to provide life-sustaining goods and services to survivors as quickly as possible. Advance contracts are a tool that FEMA and others within the federal government can leverage to rapidly and cost-effectively mobilize resources, while also helping to preclude the need to procure critical goods and services non- competitively after a disaster. Given the circumstances surrounding the 2017 disasters and the importance of preparedness for future disasters, it is critical to ensure that the federal government is positioned to maximize its advance contracts to the extent practical and cost-effective to provide immediate disaster response.", "Although FEMA has identified advance contracts for use during a disaster, without an updated strategy\u2014and guidance that is incorporated into training\u2014on how to maximize their use during a disaster, as well as the development of clear guidance on acquisition planning timeframes, FEMA is at risk of these contracts not being effectively planned and used. Furthermore, FEMA officials have not always maintained complete information on the advance contracts available for them to quickly respond to disasters, or completely reported competitively and non- competitively awarded advance contract information to better help congressional committees evaluate spending over time. Finally, without continued efforts to improve outreach with states and localities and centralize information on available advance contracts, FEMA\u2019s contracting officers and their state and local counterparts may not have the information needed to efficiently respond to a disaster."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making nine recommendations to FEMA.", "FEMA\u2019s Administrator should update the strategy identified in its 2007 Advance Contracting of Goods and Services Report to Congress to clearly define the objectives of advance contracts, how they contribute to FEMA\u2019s disaster response operations, and whether and how they should be prioritized in relation to new post-disaster contract awards. (Recommendation 1)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity updates the Disaster Contracting Desk Guide to include guidance for whether and under what circumstances contracting officers should consider using existing advance contracts prior to making new post- disaster contract awards, and include this guidance in existing semi- annual training given to contracting officers. (Recommendation 2)", "FEMA\u2019s Administrator should update and implement existing guidance for program office and contracting officer personnel to identify acquisition planning timeframes and considerations across the entire acquisition planning process, and clearly communicate the purpose and use of MAPS. (Recommendation 3)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity adheres to current hard copy contract file management requirements to ensure advance contract files are complete and up to date, whether they will be transferred into the new Electronic Contract Filing System or remain in hard copy format. (Recommendation 4)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity reminds contracting officers of the three day timeframe for entering completed award documentation into the contract writing system when executing notice to proceed documentation. (Recommendation 5)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity revises its reporting methodology to ensure that all disaster contracts are included in its quarterly reports to congressional committees on disaster contract actions. (Recommendation 6)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity revises the Disaster Contracting Officer Desk guide to provide specific guidance for contracting officers to perform outreach to state and local governments on the use and establishment of advance contracts. (Recommendation 7)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity identifies a single centralized resource listing its advance contracts and ensure that source is updated regularly to include all available advance contracts. (Recommendation 8)", "FEMA\u2019s Administrator should ensure the Head of the Contracting Activity communicates information on available advance contracts through the centralized resource to states and localities to inform their advance contracting efforts. (Recommendation 9)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD, DHS, and FEMA for review and comment. DOD did not provide any comments on the draft report. In its comments, reprinted in appendix IV, DHS and FEMA concurred with our nine recommendations. DHS and FEMA also provided technical comments, which we incorporated as appropriate.", "In its written comments, FEMA agreed to take actions to address our recommendations, such as updating guidance on advance contract use and management, adding an addendum to its quarterly report that captures the contract actions that were previously unreported, and better communicating information on advance contracts to states and localities. In its concurrence with two of our recommendations, FEMA requested that we consider these recommendations resolved and close as implemented based on our actions it had previously taken.", "For example, in its response to our third recommendation, FEMA agreed to update and implement existing guidance to identify acquisition timeframes and the purpose and use of its 5-Year MAPS program. In its response, FEMA reiterated that it has conducted training sessions for its contracting and program staff on the 5-Year MAPS program and provides notice to program managers when acquisition planning is set to begin, which the agency believes satisfies this recommendation. We acknowledge FEMA\u2019s training in this report; however, we noted that not all program and contracting staff we spoke with were familiar with 5-Year MAPS, and there is no formal guidance on timeframes for the entire acquisition planning process. We continue to believe this recommendation remains open and encourage FEMA to formalize guidance on the timeframes and considerations for planning various types of acquisitions across the entire acquisition planning process, and to document the purpose and use of the 5-Year MAPS program to ensure a uniform understanding of the program.", "Further, in its concurrence with our eighth recommendation, FEMA stated that it believes its current advance contract list satisfies our recommendation for internally communicating available advance contracts. We acknowledge in this report that the advance contract list is updated monthly; however, we found inconsistencies in the advance contract list and other documentation identifying advance contracts, which could result in FEMA\u2019s contracting officers not having full visibility into available advance contracts. We continue to believe the recommendation remains open and encourage FEMA to identify a centralized resource with all available advance contracts and ensure that it is regularly updated for contracting staff.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the U.S. Army Corps of Engineers Director of Contracting, the Secretary of Homeland Security, the Administrator of the Federal Emergency Management Agency, and the Federal Emergency Management Agency\u2019s Chief Procurement Officer. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4841 or makm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report reviews the federal government\u2019s contracting efforts for preparedness, response, and recovery efforts related to the three 2017 hurricanes and California wildfires. This report specifically addresses the use of advance contracts, assessing the extent to which (1) the Federal Emergency Management Agency (FEMA) and the U.S. Army Corps of Engineers (USACE) used advance contracts, (2) the planning, management, and reporting of selected FEMA and USACE advance contracts met certain contracting requirements, and (3) FEMA and USACE identified any lessons learned and challenges with their use of these contracts. We also have an ongoing review on post-disaster contracting that is expected to be completed in early 2019.", "To identify the extent to which FEMA and USACE used advance contracts, we reviewed data on contract obligations for the 2017 disasters from the Federal Procurement Data System-Next Generation (FPDS-NG) through May 31, 2018. We identified hurricane obligations using the national interest code, as well as the contract description. Data on obligations for the California wildfires is limited to those contracts that FEMA and USACE identified as being used to respond to those events because no national interest code was established in FPDS-NG. To determine which obligations were made through the use of advance contracts, we reviewed documentation provided by FEMA and USACE identifying the advance contracts they have in place and that were used in support of the 2017 disasters. We analyzed the FPDS-NG data to identify FEMA and USACE advance contract obligations compared to overall contract obligations by disaster, competition procedures used, and the types of goods and services procured. We assessed the reliability of FPDS-NG data by reviewing existing information about the FPDS-NG system and the data it collects\u2014specifically, the data dictionary and data validation rules\u2014and performing electronic testing. We determined the FPDS-NG data were sufficiently reliable for the purposes of this report.", "To assess the extent to which FEMA used its advance contracts, we reviewed FEMA contracting policies and guidance, such as FEMA\u2019s 2017 Disaster Contracting Desk Guide and FEMA\u2019s Advance Contracting of Goods and Services Report to Congress to identify available guidance on the use and intent of advance contracts. Based on our review of documentation, we identified examples of goods\u2014tarps and meals\u2014that FEMA had advance contracts in place for, but experienced challenges using in response the 2017 disasters. We reviewed FPDS-NG data to determine whether these goods were procured through post-disaster contracts rather than advance contracts, and selected advance and post- disaster contracts for further review. To identify limitations that affected the use of tarp and meal advance contracts, we gathered and reviewed advance and post-disaster contract documentation and interviewed contracting officials involved in the award and use of the contracts in 2017.", "To assess the extent to which the planning, management, and reporting of advance contracts used in response to the three hurricanes and California wildfires in 2017 met selected applicable contracting requirements, we reviewed relevant documentation, including the Post- Katrina Emergency Management Reform Act (PKEMRA), the Federal Acquisition Regulation (FAR), and Department of Homeland Security (DHS, FEMA, and USACE contracting policies. We identified a non- generalizable sample of advance contracts based on advance contract obligation data from FPDS-NG as of March 31, 2018. We analyzed the data to identify 10 competed and four h non-competed contracts. To obtain a range of competed contracts, we identified contracts used for goods and services with obligations above $50 million. All of the non- competed contracts used were for FEMA services; to obtain a range of non-competed contracts we identified contracts with obligations above $10 million. Our selected advance contracts included 10 from FEMA and four from USACE. Findings based on information collected from the 14 contracts cannot be generalized to all advance contracts. Additional details on our selected contracts can be found in table 2.", "To review our selected FEMA and USACE advance contracts, we developed a data collection instrument to gather selected contract information, such as period of performance, contract type, estimated contract value, and the presence of key contract documents, among others. To assess FEMA and USACE\u2019s planning of selected advance contracts, we reviewed information from our data collection instrument on advance contract award date and period of performance, and determined that six of FEMA\u2019s contracts met GAO\u2019s definition of a bridge contract. To identify any planning challenges that contributed to these extensions, we reviewed FEMA acquisition planning policies, timeframes and relevant contract file documentation, such as written acquisition strategies and justification and approval documents, to determine whether acquisition planning activities for the selected advance contracts were completed according to guidance. We interviewed FEMA officials associated with these contracts on acquisition planning efforts, and factors that affected their ability to award new contracts. We also reviewed documentation and interviewed officials on FEMA\u2019s acquisition planning system\u2014the 5 Year Master Acquisition Planning Schedule (MAPS).", "To assess FEMA and USACE\u2019s management of selected advance contracts, we reviewed information gathered from our data collection instrument on the presence of selected acquisition documents, such as acquisition strategies and contract modifications in the contract file, that typically provide the history of a contract. We reviewed relevant procurement regulations, the DHS Acquisition Manual, and other FEMA and USACE policies, to identify acquisition documentation requirements and record keeping processes. For contracts where documentation was not found in the contract file or system of record, we requested the missing documentation from FEMA and USACE officials to determine whether it had been completed. We also interviewed FEMA and USACE headquarters officials to supplement our understanding of FEMA and USACE\u2019s record keeping policies, practices, and challenges.", "To assess the reporting of selected advance contracts, we compared advance contract action data identified in FPDS-NG to data reported in FEMA\u2019s Disaster Contracts Quarterly Report Fourth Quarter, Fiscal Year 2017 and Disaster Contracts Quarterly Report First Quarter, Fiscal Year 2018 to congressional committees on disaster contracting to identify any unreported actions. We interviewed FEMA officials to discuss the methodology and data sources for the congressional committee reports, and any limitations to the accuracy of the data reported.", "To assess what challenges and lessons learned FEMA and USACE identified with the use of advance contracts in 2017, we reviewed PKEMRA advance contract requirements, FEMA and USACE documentation on the use of advance contracts, and after-action reports from 2017 and prior years, including the Hurricane Sandy FEMA After- Action Report, and the 2017 Hurricane Season FEMA After-Action Report, and federal internal control standards for information and communications. As part of our review, we identified FEMA and USACE\u2019s processes for documenting lessons learned following a disaster, lessons learned specific to advance contracts, and any recommendations or actions planned by the agencies to address them. We interviewed FEMA and USACE headquarters officials on reported lessons learned, any other challenges related to the use of advance contracts, and ongoing or completed actions to address them. To describe challenges related to coordination with state and local officials on the use of advance contracts, we interviewed FEMA and USACE regional staff. To obtain perspectives and examples from state and local government officials involved in disaster response efforts we interviewed officials in California on advance contracting efforts. The information gathered from these officials is not generalizable to all officials. We also analyzed information on available advance contracts from FEMA\u2019s June 2018 advance contract list and FEMA\u2019s May 2018 training documentation identifying advance contracts to identify any differences in the information available to FEMA regional contracting officers, and their state and local contracting counterparts.", "We conducted this performance audit from March 2018 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Federal Emergency Management Agency (FEMA) Regional Offices", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Federal Emergency Management Agency (FEMA) and U.S. Army Corps of Engineers (USACE)-Identified Advance Contracts", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Katherine Trimble (Assistant Director), Meghan Perez (Analyst in Charge), Erin Butkowski, and Suzanne Sterling were principal contributors. In addition, the following people made contributions to this report: Sonja Bensen, Emily Bond, Lorraine Ettaro, Suellen Foth, Julia Kennon, Elisha Matvay, Carol Petersen, Sylvia Schatz, Alyssa Weir, and Robin Wilson."], "subsections": []}]}], "fastfact": ["Following Hurricane Katrina, Congress required FEMA to establish contracts for goods and services in advance to enable quick and effective mobilization of resources in the aftermath of a disaster. FEMA and the Army Corps of Engineers used \"advance contracts\" for $4.5 billion in goods and services after Hurricanes Harvey, Irma, and Maria, and the California fires of 2017.", "We found FEMA's guidance on the use of these types of contracts was unclear, and that inconsistent information from FEMA could impair its efforts to help state and local governments use advance contracts.", "We made 9 recommendations, including that FEMA clarify its guidance."]} {"id": "GAO-19-124", "url": "https://www.gao.gov/products/GAO-19-124", "title": "Tobacco Exports: Agencies Have Implemented Restrictions on Promoting Tobacco Overseas but Additional Actions Could Strengthen Their Efforts", "published_date": "2018-12-06T00:00:00", "released_date": "2019-01-04T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The World Health Organization estimates that tobacco use kills over 7 million people each year, more than tuberculosis, HIV/AIDS, and malaria combined. Since the 1990s, Congress has enacted restrictions regarding the use of certain appropriated funds to promote U.S. tobacco exports.", "GAO was asked to review the implementation of these restrictions. This report examines (1) guidance select U.S. agencies have issued to implement these restrictions, (2) whether overseas officials from select U.S. agencies were aware of the restrictions and guidance, and (3) select U.S. agencies' implementation of the guidance overseas. GAO reviewed U.S. laws, agency guidance, and internal communications; analyzed Commerce data; and interviewed agency officials in Washington, D.C. and in 24 offices across 11 overseas posts in 9 countries. GAO selected these countries based on criteria that included U.S. tobacco export totals, smoking rates, and geographic dispersion."]}, {"section_title": "What GAO Found", "paragraphs": ["Congress has restricted the use of certain appropriated funding to promote tobacco exports and the Departments of State (State), Commerce (Commerce), and Agriculture (USDA) have issued interagency guidance through the cable system that they rely on to implement these restrictions. State collaborates with these and other agencies to periodically update this cable. The cable informs officials about the types of actions they should take\u2014such as providing routine business facilitation services to all U.S. companies\u2014and the types of actions they should not take\u2014such as attending events sponsored by tobacco companies.", "Most, but not all, officials overseas that GAO interviewed were aware of the restrictions and received some guidance concerning the restrictions. However, GAO found that some officials did not recall receiving the interagency guidance cable. In addition, State and USDA's current training materials do not address the restrictions. Federal internal control standards state that appropriate training is essential to an organization's operational success. Thus, providing officials overseas with training about the funding restrictions and related guidance would help to ensure that officials are aware of the restrictions.", "U.S. officials overseas have implemented restrictions on promoting tobacco, but some officials said that the interagency guidance lacks clarity. Officials said that they have not promoted tobacco by, for example, attending events sponsored solely by tobacco companies. However, officials identified three areas of the guidance that are unclear: (1) attendance at events not sponsored by U.S. tobacco companies but attended by representatives of these companies; (2) the types of services officials can provide tobacco companies; and (3) the description of tobacco products, such as whether component parts for electronic cigarettes are included. Federal standards for internal control state that management should clearly document internal controls in policies and guidance to prevent officials from failing to achieve an objective or address a risk. By providing more specific guidance, the agencies would help ensure that officials consistently implement the funding restrictions on promoting tobacco."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that (1) State and USDA include information about the funding restrictions and guidance in training materials for relevant employees and (2) State, in consultation with Commerce and USDA, assess and update the interagency guidance cable, as needed, on promoting tobacco in light of questions raised by officials at posts overseas. State and USDA concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The World Health Organization (WHO) estimates that tobacco use kills over 7 million people each year, more than tuberculosis, HIV/AIDS, and malaria combined. The U.S. National Cancer Institute and the WHO reported in 2016 that tobacco-related deaths are projected to increase to over 8 million by 2030, with the majority of those deaths occurring in low- and middle-income countries. As smoking rates have declined in developed markets, the global tobacco industry has shifted sales to emerging markets in Asia and Africa.", "Since the 1990s, Congress has annually enacted appropriation acts with restrictions on the use of certain appropriated funds to promote the sale or export of U.S. tobacco or tobacco products. Current law prohibits appropriated funds from being made available to the Secretary of Agriculture acting through the Foreign Agricultural Service to promote the sale or export of tobacco or tobacco products. Similarly, the acts annually appropriating funds for the Departments of State (State) and Commerce (Commerce) from fiscal year 1998 through fiscal year 2017 have prohibited the funds appropriated therein from being used to promote the sale or export of tobacco or tobacco products and to seek the reduction or removal by any foreign country of restrictions on the marketing of tobacco or tobacco products.", "You asked us to review the implementation of these restrictions at overseas posts. This report examines (1) the guidance select U.S. agencies have issued to implement funding restrictions on promoting tobacco overseas, (2) to what extent overseas officials from select U.S. agencies were aware of the restrictions and guidance, and (3) to what extent select U.S. agencies have implemented this guidance overseas.", "To address these objectives, we reviewed U.S. laws and guidance on tobacco promotion issued by State and Commerce. We also interviewed officials in headquarters from State, Commerce, the U.S. Department of Agriculture (USDA), and the Office of the U.S. Trade Representative (USTR) about the development of guidance on tobacco promotion and its implementation. In addition, we held structured interviews with 45 State, Commerce, and USDA officials overseas who were conducting promotion-related activities in 24 offices across 11 posts and in 9 countries, about tobacco promotion guidance, training, and their activities. When multiple officials from one agency attended a meeting, we reported their combined responses as one \u201coffice\u201d response. Thus, we are reporting the results from the 24 offices we interviewed\u20149 State, 8 Commerce, and 7 USDA offices. We selected this non-generalizable sample of countries based on criteria that included the countries\u2019 large or increasing amounts of U.S. tobacco imports, relatively high tobacco smoking prevalence rates, and geographic dispersion.", "We also analyzed Commerce\u2019s fee-based services data, reviewed State cables from six countries sent between January 2013 and December 2017 that named a tobacco company, and conducted a literature search to identify instances in which U.S. government officials may have conducted activities addressed by the interagency tobacco guidance cable. We determined that Commerce\u2019s fee-based services data were sufficiently reliable for the purposes of our reporting objectives. In addition, we analyzed Commerce email communications concerning tobacco-related issues sent between January 2015 and February 2018 to identify commonly asked questions or concerns about the existing guidance and actions the agencies should or should not take to support U.S. tobacco companies or the tobacco industry. We also interviewed representatives from the World Health Organization, the tobacco control community, and business associations. Our scope and methodology are described in detail in appendix I.", "We conducted this performance audit from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Roles and Responsibilities", "paragraphs": ["U.S. agencies perform a wide variety of activities that contribute to export promotion, and responsibility for these activities is widely dispersed. Some of the services these agencies provide are intended, at least in part, to assist U.S. companies in entering foreign markets or expanding their presence abroad. For example, the U.S. government distributes trade-related information to exporters, conducts foreign country market research, and provides counseling to U.S. companies throughout the export process. U.S. agencies may also use diplomatic tools to advocate on behalf of U.S. companies to help ensure they can compete on a level playing field in export markets.", "Three of these agencies\u2014State, Commerce, and USDA\u2014receive appropriations that are restricted from being used to promote the sale or export of U.S. tobacco or tobacco products. These agencies promote the growth of other U.S. exports through various activities, as discussed in table 1."], "subsections": []}, {"section_title": "Funding Restrictions on Promoting Tobacco", "paragraphs": ["Congress has restricted the use of funds that are generally appropriated for State, Commerce, and USDA from being used to promote the sale or export of U.S. tobacco and tobacco products since the 1990s. In 1990, we reported that U.S. policy and programs for assisting the export of tobacco and tobacco products worked at cross purposes to U.S. health policy and initiatives, both domestically and internationally. Congress later restricted the use of funds that are generally appropriated to State, Commerce, and USDA from being used to promote the sale or export of U.S. tobacco and tobacco products.", "During fiscal years 1994 through 2003, Congress prohibited funds generally appropriated for USDA through annual appropriations acts from being used to promote the sale or export of tobacco or tobacco products. In fiscal year 2004, Congress permanently prohibited funds appropriated for USDA from being used to promote the sale or export of tobacco or tobacco products. According to USDA officials, USDA stopped its efforts to gather and disseminate tobacco-related production and consumption information overseas in the early 2000s.", "Congress restricted the use of certain appropriated funds, including appropriations for Commerce and State, from being used to promote the sale or export of U.S. tobacco and tobacco products from fiscal years 1998 through 2017. Congress passed the Departments of Commerce, Justice, State, the Judiciary and Related Agencies Appropriations Act, 1998, which prohibited the funds provided by the act from being used to promote the sale or export of tobacco or tobacco products. This act also prohibited the funds provided by the act from being used to seek the reduction or removal of foreign country restrictions on the marketing of tobacco or tobacco products. The act provided an exception for the funds to be used to address foreign-country restrictions on tobacco marketing that are not applied equally to all tobacco or tobacco products of the same type. These restrictions have been enacted through annual appropriations acts through fiscal year 2018.", "In fiscal year 2018, Congress altered the restriction language on tobacco promotion in the act making appropriations for State, which, according to State, makes promotion activities permissive with respect to the use of State appropriations. Congress used the term \u201cshould\u201d in the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2018 (2018 State Appropriations Act) instead of the term \u201cshall\u201d as in prior acts making appropriations for State. Specifically, the 2018 State Appropriations Act states that \u201cNone of the funds made available by this Act should be available to promote the sale or export of tobacco or tobacco products. . . .\u201d In contrast, prior acts making appropriations for State stated \u201cNone of the funds made available by this Act shall be available to promote the sale or export of tobacco or tobacco products. . . .\u201d According to State officials, they interpreted the term \u201cshall\u201d in prior appropriations acts as a mandatory action, whereas the use of the term \u201cshould\u201d gives the agency more discretion in how it addresses the restrictions. However, State has not changed how it addresses the restrictions and does not plan to promote the sale or export of U.S. tobacco, according to State officials.", "The legislation restricting fiscal year 2018 appropriations provided to Commerce and USDA from being used to promote tobacco retains the mandatory \u201cshall\u201d language. According to Commerce and USDA officials, the change to State\u2019s restriction language does not affect the agencies\u2019 activities because Commerce and USDA are still subject to the mandatory restrictions outlined in their agencies\u2019 appropriations language."], "subsections": []}]}, {"section_title": "U.S. Agencies Have Issued Guidance to Implement Funding Restrictions on Promoting Tobacco", "paragraphs": ["State collaborates with Commerce, USDA, and other agencies to develop and periodically issue an interagency guidance cable to implement funding restrictions on promoting tobacco. According to officials, this cable serves as the primary source of guidance for implementing the restrictions on promoting tobacco for their officials at all posts overseas."], "subsections": [{"section_title": "State Periodically Issues an Interagency Guidance Cable to Implement Funding Restrictions", "paragraphs": ["State collaborates with Commerce, USDA, and other agencies to develop and periodically issue an interagency guidance cable to all posts overseas to facilitate their implementation of funding restrictions on promoting tobacco. State officials draft the updated cable and Commerce, USDA, and other agency officials have the opportunity to review and comment on it before State issues it through its cable system. This cable serves as the primary source of guidance for implementing the restrictions, according to officials at these agencies (see table 2).", "State has updated and issued the interagency guidance cable four times since 2013 to address changes in tobacco technology and other emerging issues, according to State officials. We identified two significant changes to the cable over the past 5 years.", "Addition of information concerning attendance at corporate social responsibility events: In May 2013, State added a provision that post officials should consult with headquarters before attending corporate social responsibility events involving U.S. tobacco companies. State officials in headquarters acknowledged that post officials may not link some activities, such as participating in corporate social responsibility events, to the promotion of or selling of products. They noted that this is why it is important to make post officials aware of the actions they should or should not take through the interagency guidance cable.", "Changes to the scope of tobacco products: In recent updates to the cable, State expanded the description of \u201ctobacco and tobacco products\u201d to address the emergence of new delivery systems for tobacco. Specifically, in 2014 State added the language \u201ctobacco delivering products, such as electronic cigarettes\u201d to provide an example of a tobacco product. In 2016, State changed the description to \u201celectronic nicotine delivery systems such as e-cigarettes.\u201d Then in 2018, State added \u201cnon-combustible products such as smokeless tobacco\u201d to the description of tobacco products.", "In response to the revised funding restriction language in the 2018 State Appropriations Act, State modified the 2018 cable stating that the changes make promotion activities permissive with respect to the use of State appropriations. However, State decided not to change the portion of the cable describing specific actions officials should or should not take in the version it issued in April 2018, because according to State officials, they do not plan to promote tobacco. In addition, Commerce and USDA officials said that the change to State\u2019s restriction language has not changed how they interpret the guidance."], "subsections": []}, {"section_title": "Commerce\u2019s Policy on Client Eligibility Implements Funding Restrictions", "paragraphs": ["Commerce relies on both the interagency guidance cable as well as its client eligibility policy to implement restrictions on promoting tobacco. Commerce\u2019s client eligibility policy applies to all export promotion services that Commerce provides and educates officials on how to effectively manage U.S. company requests for commercial assistance. The policy\u2019s section on exceptions and other bases for declining services to companies states that Commerce is prohibited by law from promoting the export of tobacco or tobacco-related products. Commerce issued its updated client eligibility policy in October 2018."], "subsections": []}, {"section_title": "USDA Relies on the Interagency Guidance Cable to Implement Funding Restrictions", "paragraphs": ["USDA relies on the interagency guidance cable to provide direction to its officials overseas, and does not have agency-specific guidance for implementing its permanent funding restrictions on promoting tobacco. USDA officials said that the cable sufficiently addresses the funding restrictions on the agency\u2019s promotion activities and helps to ensure that all officials serving at posts overseas conduct activities in a consistent manner."], "subsections": []}]}, {"section_title": "Most Post Officials Interviewed Were Aware of the Restrictions and Received Guidance but Many Did Not Receive Training", "paragraphs": ["Most State, Commerce, and USDA officials overseas we interviewed were aware of the restrictions on promoting tobacco. Most officials we interviewed had received some guidance concerning the restrictions, but several officials did not recall receiving the interagency guidance cable. Moreover, two of the agencies\u2019 current training courses do not address the restrictions."], "subsections": [{"section_title": "Most Post Officials Were Aware of the Restrictions", "paragraphs": ["Officials in 21 of the 24 offices overseas we interviewed were aware of the restrictions. The three offices that were not aware of the restrictions were from State. Although these officials were not aware of the restrictions, they said they had never provided services to U.S. tobacco companies.", "Commerce and USDA headquarters officials said that it is widely known within their agencies that staff should not promote tobacco. Commerce and USDA officials said the guidance concerning these restrictions has been consistent for many years and that staff in the field and in headquarters are very aware of the restrictions."], "subsections": []}, {"section_title": "Most Post Officials Received Some Guidance Concerning the Restrictions", "paragraphs": ["Most officials overseas had received some guidance concerning the restrictions on promoting tobacco. Officials in 21 of the 24 offices overseas we interviewed had received written or verbal guidance concerning the restrictions on promoting tobacco at some point in their career. For example, officials in 15 offices mentioned receiving the State-issued interagency guidance cable when we asked them what type of tobacco-related guidance they had received. In addition, officials in four of the eight Commerce offices recalled receiving agency-specific guidance. Some officials said that their supervisors had informed them they are not allowed to promote tobacco exports.", "Some officials did not recall receiving the interagency guidance cable, which agency officials said serves as the primary source of guidance for implementing the restrictions, and some were not aware that State periodically issues the cable. For example, one USDA official stated that he could not recall the last time he received guidance and noted that cables can easily be overlooked. He recommended that USDA improve its efforts to distribute the cable and have supervisors maintain an annual checklist to ensure staff have read and understand it or incorporate it into annual training. A State official told us that he was in Washington, D.C. when State issued the prior cable and he did not learn about it until he had been stationed at his next overseas post for several months. A Commerce official noted that some officials new to post may not receive the interagency guidance cable for several months.", "All officials working overseas can access the interagency guidance cable through the State cable database or access other resources if a tobacco- related issue arises. For example, the Commerce client eligibility policy and the interagency guidance cable are available on an internal Commerce website. USDA officials in headquarters stated that they do not remind officials overseas about the restrictions or available guidance, but that, in response to our audit work, they plan to send an annual reminder. Finally, many post officials we interviewed said that they are aware of the activities their colleagues are undertaking and would have the opportunity to educate their colleagues before they provided any services to a tobacco company."], "subsections": []}, {"section_title": "Many Post Officials Did Not Receive Training Concerning the Restrictions", "paragraphs": ["Officials in 15 of the 24 offices overseas we interviewed said they did not receive any training concerning restrictions on promoting tobacco. In the past, State, Commerce, and USDA did not include information about the funding restrictions or related guidance in training materials. State and USDA officials in headquarters confirmed that training materials for officials conducting export promotion activities overseas do not address funding restrictions on promoting tobacco. According to an official at State\u2019s Foreign Service Institute, tobacco products may be discussed in a trade-related course when describing those products officials should not advocate for, or in the 6-month economic studies course when examining the nexus between trade issues and public policy. However, State could not provide documentation of where this is specifically addressed in its curriculum. A USDA official stated that none of the Foreign Agricultural Service training courses explicitly discuss restrictions on promoting tobacco. According to Commerce officials, the training for new trade specialists did not include information about the restrictions on promoting tobacco when Commerce last provided the training in 2014. However, in response to our audit work, Commerce added this information into its training materials for new trade specialists in September 2018.", "Officials who do not receive training on the restrictions early in their careers may not be aware that they are prohibited from promoting tobacco. For example, one Commerce official told us he did not know about the restrictions while serving at his first post when he attended a meeting that involved representatives from the tobacco industry. He noted that he now questions whether he would have attended the meeting if he had known about the restrictions. Federal internal control standards state that appropriate training, aimed at developing employee knowledge, skills, and abilities, is essential to an organization\u2019s operational success. If agencies do not explicitly include information about the restrictions and related guidance in training materials for officials conducting export promotion activities overseas, officials may work at a post for several months, or longer, before learning about the restrictions."], "subsections": []}]}, {"section_title": "Post Officials Have Implemented Restrictions on Promoting Tobacco but Guidance Lacks Clarity", "paragraphs": ["The State, Commerce, and USDA officials we interviewed said they have implemented the funding restrictions on tobacco as outlined in the interagency guidance cable issued by State. For example, post officials said they have not promoted the sale or export of tobacco or tobacco products or attended events solely sponsored by tobacco companies, though many officials said they attended events at which officials from tobacco companies were present. Post officials identified three areas of the guidance that may benefit from additional clarification, according to interviews with agency officials and our review of agency emails."], "subsections": [{"section_title": "Post Officials Have Implemented Funding Restrictions on Promoting Tobacco", "paragraphs": ["Our interviews with State, Commerce, and USDA officials in 24 offices in nine countries and our review of agency documents, showed that posts have implemented the interagency guidance outlining actions they should not take (see table 3.)"], "subsections": []}, {"section_title": "Some Sections of the Interagency Guidance Cable Lack Clarity", "paragraphs": ["Post officials identified three areas of the guidance that may benefit from additional clarification, according to our interviews with agency officials and our review of agency emails: attendance at events, the types of permitted services, and the description of tobacco products."], "subsections": [{"section_title": "Officials Questioned When It is Permissible to Attend Certain Events", "paragraphs": ["Officials from all three agencies raised questions about whether and when it is permissible to attend events at which tobacco company representatives are present. The guidance does not specifically address attendance at events also attended by representatives of tobacco companies. State headquarters officials said the vast majority of questions received from posts concern whether personnel at a post may participate in an event when representatives from a company engaged in the tobacco industry are also expected to participate in that event. We also reviewed emails in which Commerce officials asked for additional guidance about attending events or meetings with tobacco companies. For example, one post official asked whether the embassy could invite a tobacco company to participate in an embassy-organized trade mission that would include meetings with the local governor and mayor. In this case, Commerce headquarters officials advised that the tobacco company\u2019s participation could be construed as U.S. government support for the company\u2019s commercial activities and recommended against including the tobacco company. A USDA official in headquarters also noted that attending events could, in some cases, be construed as supporting tobacco companies, and noted that this is an area where staff could use more guidance.", "Representatives from several tobacco control organizations expressed concern that interactions between U.S. government officials and representatives from tobacco companies at events organized by business associations created a perception that the U.S. government supported tobacco company sales in the country. For example, in 2017 a business association hosted a trade mission to one Southeast Asian country that included representatives from 30 U.S. companies, including a U.S. tobacco company. In response, two tobacco control organizations wrote to the U.S. ambassador in that country voicing their concern that U.S. government officials\u2019 attendance at meetings that included the tobacco company representatives violated the spirit of the interagency guidance cable and gave the appearance that the U.S. government supports the tobacco company. Subsequently, the Deputy Chief of Mission distributed guidance specific to that post stating that officials were not allowed to attend a trade mission\u2019s events or meetings if representatives from a tobacco company were scheduled to give a presentation.", "Several post officials said that attending events organized by business associations is a key function of their job. They attend these events to, among other things, exchange information about the local business climate and learn about the concerns of American companies."], "subsections": []}, {"section_title": "Officials Questioned the Types of Services They Can Provide", "paragraphs": ["Commerce and USDA officials identified ambiguities in the guidance concerning the types of services they are allowed to provide to tobacco companies or the tobacco industry. In 14 of the 21 Commerce emails we reviewed, officials at posts asked for additional guidance about the types of services they are permitted to provide to tobacco companies or the types of companies or products they can support. For example, some post officials asked whether they could engage with the host country government to obtain information about pending tobacco-related legislation at the request of a tobacco company. In one case, Commerce headquarters advised post officials that the restrictions did not prohibit them from raising concerns on a legislative proposal that would discriminate against foreign tobacco companies. They further noted that because of the sensitive nature of tobacco-related issues, any policy decision to engage should be weighed carefully. Commerce\u2019s client eligibility policy does not provide a description of the types of actions Commerce officials should and should not take with regards to tobacco companies and products. The interagency guidance cable also does not provide information about some types of services, such as whether officials should engage with host country government officials to learn about pending tobacco-related legislation. According to a USDA official, some officials overseas interpret \u201cpromotional\u201d activities differently and did not agree on whether both marketing and trade-related activities, such as enforcing trade agreements, are promotional activities."], "subsections": []}, {"section_title": "Officials Questioned the Description of Tobacco Products", "paragraphs": ["Commerce officials at post asked for additional guidance about whether they could provide export promotion services to companies exporting certain tobacco-related products in 3 of the 21 emails we reviewed. For example, some Commerce officials asked whether they could provide services to companies selling component parts for electronic nicotine delivery systems, such as e-liquids. Commerce\u2019s prior client eligibility policy, issued in May 2017, did not include a list of tobacco products covered by the policy; whereas, the interagency guidance cable issued in 2014 states that tobacco products include tobacco delivery systems, such as electronic cigarettes, and the updated version issued in 2018 added non-combustible products, such as smokeless tobacco, to this description. However, neither the interagency guidance cable nor Commerce\u2019s updated client eligibility policy specifically states whether the description includes component parts for electronic cigarettes and other tobacco products. GAO previously reported that electronic cigarettes include a wide range of products that share the same basic design and generally consist of three main parts: a power source, a heating element, and a cartridge or tank containing liquid solution, which is often sold separately.", "According to State officials in headquarters, the guidance on promoting tobacco was written for a broad audience and to make post officials mindful of the restrictions. They said they trust that officials overseas will use their professional judgment and in-country expertise to determine if post\u2019s support for an event or a company will be construed as promotion of a tobacco product. Moreover, State and Commerce officials said that they expect officials overseas to ask headquarters questions to clarify the interagency guidance cable. While federal standards for internal control state that management should clearly document internal controls in policies and guidance to prevent officials from failing to achieve an objective or address a risk, we found that the interagency guidance does not provide examples of the factors post officials should consider when attending business association events. The guidance also lacks sufficient examples of the types of services officials are allowed to provide to tobacco companies and a clear description of tobacco products. More specific guidance would help ensure that State, Commerce, and USDA officials consistently implement their agency-specific funding restrictions on promoting tobacco exports."], "subsections": []}]}]}, {"section_title": "Conclusions", "paragraphs": ["The United States exported over $2 billion in tobacco and tobacco-related products in 2017. Congress has enacted restrictions on the use of certain appropriated funds to promote the sale or export of U.S. tobacco or tobacco products since the 1990s, and State, Commerce, and USDA have developed and updated guidance to implement these restrictions. However, not all officials were aware of the restrictions and more than half had not received training about the restrictions. Including information about the restrictions in training materials would help make officials aware of the restrictions early in their careers and prompt them to seek guidance if a tobacco-related issue arises. If officials conducting export promotion activities are unaware of the funding restrictions on promoting tobacco sales and exports, they may also be unaware of the activities they should and should not undertake. Moreover, some officials said that the guidance is unclear in some areas. Although officials said they need to attend business association events to support all U.S. companies conducting business in a country, they were unsure whether they can attend events where representatives from U.S. tobacco companies may be present. In addition, some officials also indicated that the current guidance lacks clarity on the types of services officials are allowed to provide to tobacco interests and what constitutes a tobacco product. Although we did not identify any instances in which a State, Commerce, or USDA official directly promoted U.S. tobacco products, clearer guidance would help to ensure that officials will consistently implement their agency-specific funding restrictions."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making three recommendations, including two to State and one to USDA. Specifically: The Secretary of State should work with the Foreign Service Institute to include information about the funding restrictions and relevant guidance on promoting the sale or export of tobacco or tobacco products in its training materials for employees conducting export promotion activities overseas. (Recommendation 1)", "The Secretary of Agriculture should include information about the funding restrictions and relevant guidance on promoting the sale or export of tobacco or tobacco products in training materials for employees conducting export promotion activities overseas. (Recommendation 2)", "The Secretary of State, in consultation with the Secretary of Commerce and the Secretary of Agriculture, should assess the interagency guidance cable on promoting tobacco in light of questions raised by officials at posts overseas and update it to address ambiguities, as needed. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to State, Commerce, USDA, and USTR for review and comment. In their comments, reproduced in appendix III, State concurred with our recommendations and described planned actions to address them. USDA concurred with the recommendation and told us that they had no comments on the draft report. Commerce and USTR told us that they had no comments on the draft report.", "As agreed with your offices, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Department of State, the Secretary of the Department of Commerce, the Secretary of the U.S. Department of Agriculture, the U.S. Trade Representative, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3149 or gootnickd@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["This report examines (1) the guidance select U.S. agencies have issued to implement funding restrictions on promoting tobacco exports overseas, (2) to what extent overseas officials from select U.S. agencies were aware of the restrictions and guidance, and (3) to what extent select U.S. agencies have implemented this guidance overseas.", "To address our first objective, we reviewed U.S. appropriations laws that prohibited the funds appropriated therein from being used to promote the sale or export of tobacco or tobacco products. We also reviewed guidance issued by the Departments of State (State) and Commerce (Commerce) concerning the promotion of tobacco exports overseas. We also interviewed officials in headquarters from State, Commerce, the U.S. Department of Agriculture (USDA), and the Office of the U.S. Trade Representative (USTR) about the funding restrictions on promoting tobacco exports overseas and the development and revision of guidance on tobacco promotion.", "To address our second objective, we interviewed officials in headquarters from State, Commerce, and USDA about any training officials posted overseas receive concerning the funding restrictions on promoting tobacco exports. In addition, we held structured interviews with 35 State, Commerce, and USDA officials overseas conducting export promotion activities and reached out to an additional 10 officials to ask about activities associated with the solicitation of gifts and attendance at corporate social responsibility events. These officials were located across 11 posts and in 9 countries. We interviewed officials in Cambodia, Croatia, Dominican Republic, Honduras, Indonesia, Philippines, South Africa, Thailand, and Vietnam. Because multiple officials from one agency attended a meeting in some cases, we are reporting their combined responses as one \u201coffice\u201d response. Thus, we are reporting the results from the 24 offices we interviewed\u20149 State, 8 Commerce, and 7 USDA offices. We selected this non-generalizable sample of countries based on criteria that included the countries\u2019 large or increasing amounts of U.S. tobacco imports, relatively high tobacco smoking prevalence rates, and geographic dispersion. The information obtained from these interviews is neither generalizable nor reflects the experiences of all State, Commerce, and USDA officials serving at posts overseas, but it does provide insights into officials\u2019 experiences at post and illustrative examples across our sample on the topics discussed.", "To address our third objective, we interviewed officials in headquarters from State, Commerce, and USDA about post officials\u2019 implementation of guidance regarding the promotion of tobacco exports, the types of questions they receive from post officials about the funding restrictions and guidance, and the additional advice they provide to post officials overseas. We asked post officials about the clarity of guidance, whether they attended events sponsored or attended by representatives of U.S. tobacco companies, and whether they discussed tobacco-related issues with host country government officials during our structured interviews with the 24 State, Commerce, and USDA offices overseas.", "We also analyzed a Commerce database, agency emails, and State cables and conducted a literature search. Commerce documents all the fee-based services it provides to companies in a database. We obtained a list of approximately 30,000 fee-based services Commerce provided in fiscal years 2013 through 2017, which included the name of the companies to which Commerce provided these services. We then downloaded a list of 763 U.S. tobacco companies from Nexus using criteria such as industry classification codes related to tobacco and tobacco products and the location of company headquarters. We limited the list of U.S. tobacco companies to those with revenues greater than $5 million. We then compared the two lists to determine if Commerce provided any fee-based services to U.S. tobacco companies. To assess the reliability of the Commerce fee-based services data, we reviewed relevant documentation and interviewed knowledgeable officials about system controls. We determined that Commerce\u2019s fee-based services data were sufficiently reliable for the purposes of our reporting objectives.", "In addition, we requested State, Commerce, and USDA email communications concerning tobacco-related issues sent between January 2015 and February 2018 from post officials to headquarters. State was only able to provide one such email. USDA provided several emails, but the emails were not from USDA post officials to USDA officials in headquarters. Commerce provided us 21 emails that matched our request and an additional 20 emails from officials working throughout the United States. We analyzed the Commerce email communications to identify commonly asked questions or concerns about the existing guidance and actions the agencies should take to support U.S. tobacco companies or the tobacco industry. We also requested State cables from the eight countries in our sample sent between January 2013 and December 2017 that referenced at least 1 of the 10 U.S. tobacco companies with the highest revenues. We received and reviewed cables from six of these countries. We also conducted a literature search to identify instances in which U.S. government officials may have conducted activities addressed by the interagency tobacco guidance cable. To identify relevant articles, such as trade or industry articles, we searched various databases, including ProQuest and Nexus. From these sources, we identified one article relevant to our research objective. We performed these searches in December 2017 and searched for articles published from January 2013 to December 2017.", "We also interviewed representatives of the tobacco control community and business associations to obtain their perspectives concerning U.S. government support for tobacco exports and U.S. government interactions with U.S. tobacco companies. Specifically, we interviewed the World Health Organization (WHO), four global or regional tobacco control nongovernmental organizations, and several local nongovernmental organizations in two countries in our scope. In addition, we interviewed officials from the local American Chamber of Commerce and the U.S.- Association of Southeast Asian Nations Business Council in two countries. The information obtained from these interviews is neither generalizable nor reflects the experiences of all tobacco control organizations or business associations, but it does provide insights into these officials\u2019 experiences.", "We conducted this performance audit from November 2017 to December 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Trends in U.S. Tobacco Exports", "paragraphs": ["The United States exported over $2.1 billion in tobacco and tobacco products in 2017. Figure 1 shows how tobacco exports fluctuated from 2007 to 2017. Specifically, total tobacco exports have ranged from a high of approximately $2.4 billion in 2007 to a low of about $1.7 billion in 2012.", "U.S. tobacco exports to Asia have decreased by 68 percent over the past 11 years, whereas exports to North America have increased 10-fold (see fig. 2). Most of the decrease in exports to Asia is attributable to reduced exports to Japan, which fell 95 percent from 2007 to 2017. Most of the increases in exports to North America are attributable to Canada, which accounted for approximately 40 percent of total U.S. tobacco exports in 2017."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgements", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": ["David B. Gootnick, (202) 512-3149 or gootnickd@gao.gov."], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Cheryl Goodman (Assistant Director), Celia Thomas (Assistant Director), Amanda Bartine, Leah DeWolf, Jewel Conrad, Aldo Salerno, and Neil Doherty made key contributions to this report. Grace Lui, Justin Fisher, and Ming Chen provided technical assistance."], "subsections": []}]}], "fastfact": ["Worldwide, tobacco use kills more people annually than tuberculosis, malaria, and HIV/AIDS combined.", "Congress restricts the Departments of State, Commerce, and Agriculture's promotion of tobacco exports. We found that most, but not all, officials overseas were aware of the restrictions and didn't promote tobacco.", "However, officials told us that some of the guidance around the restrictions was unclear. For example, descriptions of restricted tobacco products didn't indicate whether the component parts of e-cigarettes were included.", "We made 3 recommendations to improve training and guidance."]} {"id": "GAO-19-180", "url": "https://www.gao.gov/products/GAO-19-180", "title": "Foreign Asset Reporting: Actions Needed to Enhance Compliance Efforts, Eliminate Overlapping Requirements, and Mitigate Burdens on U.S. Persons Abroad", "published_date": "2019-04-01T00:00:00", "released_date": "2019-04-01T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Concerns over efforts by U.S. taxpayers to use offshore accounts to hide income or evade taxes contributed to the passage of FATCA in 2010, which sought to create greater transparency and accountability over offshore assets held by U.S. taxpayers.", "House Report 114-624 included a provision for GAO to evaluate FATCA implementation and determine the effects of FATCA on U.S. citizens living abroad. GAO\u2014among other things\u2014(1) assessed IRS's efforts to use FATCA-related information to improve taxpayer compliance; (2) examined the extent to which Treasury administers overlapping reporting requirements on financial assets held overseas; and (3) examined the effects of FATCA implementation unique to U.S. persons living abroad.", "GAO reviewed applicable documentation; analyzed tax data; and interviewed officials from IRS, other federal agencies and organizations, selected tax practitioners, and more than 20 U.S. persons living overseas."]}, {"section_title": "What GAO Found", "paragraphs": ["Data quality and management issues have limited the effectiveness of the Internal Revenue Service's (IRS) efforts to improve taxpayer compliance using foreign financial asset data collected under the Foreign Account Tax Compliance Act (FATCA). Specifically, IRS has had difficulties matching the information reported by foreign financial institutions (FFI) with U.S. taxpayers' tax filings due to missing or inaccurate Taxpayer Identification Numbers provided by FFIs. Further, IRS lacks access to consistent and complete data on foreign financial assets and other data reported in tax filings by U.S. persons, in part, because some IRS databases do not store foreign asset data reported from paper filings. IRS has also stopped pursuing a comprehensive plan to leverage FATCA data to improve taxpayer compliance because, according to IRS officials, IRS moved away from updating broad strategy documents to focus on individual compliance campaigns. Ensuring access to consistent and complete data collected from U.S. persons\u2014and employing a plan to leverage such data\u2014would help IRS better leverage such campaigns and increase taxpayer compliance.", "Due to overlapping statutory reporting requirements, IRS and the Financial Crimes Enforcement Network (FinCEN)\u2014both within the Department of the Treasury (Treasury)\u2014collect duplicative foreign financial account and other asset information from U.S. persons. Consequently, in tax years 2015 and 2016, close to 75 percent of U.S. persons who reported information on foreign accounts and other assets on their tax returns also filed a separate form with FinCEN. The overlapping requirements increase the compliance burden on U.S. persons and add complexity that can create confusion, potentially resulting in inaccurate or unnecessary reporting. Modifying the statutes governing the requirements to allow for the sharing of FATCA information for the prevention and detection of financial crimes would eliminate the need for duplicative reporting. This is similar to other statutory allowances for IRS to disclose return information for other purposes, such as for determining Social Security income tax withholding.", "According to documents GAO reviewed, and focus groups and interviews GAO conducted, FFIs closed some U.S. persons' existing accounts or denied them opportunities to open new accounts after FATCA was enacted due to increased costs, and risks they pose under FATCA reporting requirements. According to Department of State (State) data, annual approvals of renunciations of U.S. citizenship increased from 1,601 to 4,449\u2014or nearly 178 percent\u2014from 2011 through 2016, attributable in part to the difficulties cited above.", "Treasury previously established joint strategies with State to address challenges U.S. persons faced in accessing foreign financial services. However, it lacks a collaborative mechanism to coordinate efforts with other agencies to address ongoing challenges in accessing such services or obtaining Social Security Numbers. Implementation of a formal means to collaboratively address burdens faced by Americans abroad from FATCA can help federal agencies develop more effective solutions to mitigate such burdens by monitoring and sharing information on such issues, and jointly developing and implementing steps to address them."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making one matter for congressional consideration to address overlap in foreign asset reporting requirements. GAO is making seven recommendations to IRS and other agencies to enhance IRS's ability to leverage FATCA data to enforce compliance, address unnecessary reporting, and better collaborate to mitigate burdens on U.S. persons living abroad. State and Social Security Administration agreed with GAO's recommendations. Treasury and IRS neither agreed nor disagreed with GAO's recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["By law, U.S. individuals\u2014regardless of whether they live in the United States or abroad\u2014are required to report and pay applicable taxes on worldwide income to the Internal Revenue Service (IRS), including income from offshore accounts and other assets. While taxpayers can hold offshore accounts for a number of legitimate reasons, some taxpayers have also used such accounts to hide income and evade taxes. IRS does not have an estimate of the revenue loss due to offshore noncompliance. However, international tax policy experts believe that the losses are in the billions of dollars annually. These losses contribute to the tax gap\u2014the difference between tax amounts that taxpayers should pay and what they actually pay voluntarily and on time\u2014that has been a problem for decades. In 2016, IRS estimated that the average annual gross tax gap for tax years 2008 to 2010 was $458 billion, of which $319 billion was from individual taxpayers.", "The passage of the Foreign Account Tax Compliance Act (FATCA) sought to reduce tax evasion by creating greater transparency and accountability with respect to offshore accounts and other assets held by U.S. taxpayers. However, since FATCA\u2019s enactment in 2010, we and others have identified compliance burdens and other challenges FATCA has created for U.S. persons living abroad, foreign financial institutions, and other stakeholders. For example, in our past work, we highlighted that some of the information reporting requirements for taxpayers subject to FATCA result in duplicative reporting to the Department of the Treasury (Treasury). This increases complexity and creates confusion for taxpayers.", "House Report 114-624 included a provision for us to evaluate IRS\u2019s implementation of FATCA and determine the effects of FATCA on U.S. citizens living abroad. To address House Report 114-624, this report (1) assesses IRS\u2019s efforts to use information collected under FATCA to improve taxpayer compliance; (2) examines available foreign financial asset reports submitted by U.S. persons, including submissions that were below required filing thresholds; (3) examines the extent to which Treasury administers overlapping reporting requirements on foreign financial assets; (4) describes similarities and differences between FATCA and Common Reporting Standard (CRS) reporting requirements; and (5) examines the effects of FATCA implementation that are unique to U.S. persons living abroad.", "For our first objective, we identified criteria from our prior work identifying key practices for risk management. We applied these criteria to assess steps IRS has taken to manage risks in not receiving complete and valid Taxpayer Identification Numbers (TIN) from foreign financial institutions (FFI). We also applied criteria from our prior work on use of documented frameworks to IRS documentation on FATCA compliance activities to determine the extent to which IRS implemented a comprehensive plan to maximize the use of collected data to enforce compliance with FATCA.", "For our second objective, we identified total maximum account values reported by individual filers of the Financial Crimes Enforcement Network (FinCEN) Form 114s (commonly known as the Report of Foreign Bank and Financial Accounts, or FBAR) in calendar year 2015 and 2016, using lower and upper bounds of foreign financial accounts reported for each year. See appendix III for more details on our methodology to evaluate these data. We summarized the numbers of IRS Forms 8938, Statement of Specified Foreign Financial Assets (Form 8938) filed in tax year 2016\u2014the most recent year for which data were available\u2014accounting for data limitations described in appendix I. We also identified Forms 8938 filed in tax year 2016 with available residency and asset information that reported specified foreign financial assets with aggregate values at or below end-of-year tax thresholds, which vary depending on the location of residence and filing status of such filers.", "For our third objective, we reviewed IRS and FinCEN documentation, and applied criteria from Fragmentation, Overlap, and Duplication: An Evaluation and Management Guide to identify the extent to which IRS and FinCEN were engaged in overlapping activities, and collecting duplicative foreign financial asset information held by U.S. persons. We assessed the extent to which individual filers who submitted a Form 8938 in 2015 and 2016 also submitted an FBAR for the same year.", "For the three objectives described above, we assessed the reliability of data submitted on Forms 8938 filed by individuals for tax years 2015 and 2016, and FBARs for calendar years 2015 and 2016.", "For our fourth objective, we reviewed documentation and interviewed officials from Treasury, IRS, and the Organisation for Economic Co- operation and Development (OECD) to compare and contrast FATCA and CRS reporting requirements.", "For our fifth objective, we collected documentation and conducted focus groups and semi-structured interviews with Treasury, IRS, Department of State (State), and Social Security Administration (SSA) officials, and more than 20 U.S. persons subject to FATCA requirements, tax practitioners and various organizations in the United States and five other countries (Canada, Japan, Singapore, Switzerland, and the United Kingdom). We selected these countries based on geography, relatively high numbers of U.S. expatriates and Form 8938 filers, and tax information sharing agreements and other tax treaties with the United States. The findings from the focus groups and interviews are not generalizable to other U.S. persons, tax practitioners, or organizations.", "We collected documentation from and interviewed Treasury, IRS, State, and SSA officials on steps to monitor and mitigate the effects of FATCA on U.S. persons living abroad. We also identified criteria from our prior work on key practices to enhance and sustain interagency collaboration and mechanisms to facilitate coordination. We applied the criteria to agencies\u2019 collaborative efforts addressing issues U.S. persons living abroad faced from FATCA\u2019s implementation, and identified the extent to which agencies established effective collaborative mechanisms to identify, assess, and implement cross-agency solutions to such issues.", "We conducted this performance audit from August 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. See appendix I for more detailed information on our objectives, scope, and methodology."], "subsections": [{"section_title": "Background", "paragraphs": ["The United States has many international agreements that require treaty partners to provide certain information to IRS, which can help prevent the use of foreign bank accounts to facilitate tax evasion. FATCA goes much further, requiring FFIs to report more detailed information to IRS about their U.S. customers annually. These provisions are important developments in efforts to combat tax evasion by U.S. persons holding investments in offshore accounts. FATCA generally requires certain taxpayers to report foreign financial accounts and other specified foreign financial assets whose aggregate value exceeds specified thresholds to IRS on Form 8938. These taxpayers must report these assets and income generated from such assets to IRS with their tax return on Form 8938. These thresholds vary by filing status\u2014such as single or married filing jointly\u2014and by domestic or foreign residency.", "FATCA also promotes third-party reporting of foreign financial assets by requiring a withholding agent to withhold 30 percent on certain payments to an FFI unless the FFI or the jurisdiction in which the FFI is located has entered into an agreement with the United States to report certain account information of their U.S. customers. Under such an agreement, participating FFIs report detailed information to IRS annually about accounts held by their U.S. customers using an IRS Form 8966, FATCA Report (Form 8966). According to IRS, FATCA improves visibility into taxable income from foreign sources, and enhances the agency\u2019s ability to identify and pursue taxpayer noncompliance. For example, FATCA allows IRS to compare information reported by FFIs on Forms 8966 to information reported by U.S. persons on Forms 8938. According to IRS, this comparison can be used to ensure taxpayers and FFIs are properly reporting foreign financial assets and income from international investments. This type of comparison is a common IRS enforcement technique. For example, IRS can directly compare information it receives from financial institutions\u2019 IRS Form 1099-INT, Interest Income, against a tax return to determine if the taxpayer reported income generated from interest earned.", "To facilitate FATCA implementation for FFIs operating in jurisdictions with laws that would prohibit FFIs from complying with the terms of the FFI agreement, Treasury developed two alternative intergovernmental agreements (IGA)\u2014Model 1 and Model 2\u2014to facilitate the effective and efficient implementation of FATCA by removing partner jurisdictions\u2019 legal impediments to comply with FATCA reporting requirements, and reducing burdens on FFIs located in partner jurisdictions. FFIs from countries with Model 1 IGAs report information on U.S. persons\u2019 accounts to their respective host country tax authorities (HCTAs). The HCTAs, in turn, compile the information from FFIs and transmit it to IRS. In contrast, FFIs from countries with Model 2 IGAs, or countries treated as not having an IGA in effect, directly report information on U.S. persons\u2019 accounts to IRS.", "Separate from the FATCA requirements, regulations implementing the Bank Secrecy Act of 1970 (BSA) also impose a separate self-reporting requirement for foreign accounts. Specifically, certain taxpayers and residents are required to file an FBAR with FinCEN annually if they have financial interest or signature or other authority over one or more foreign financial accounts with a total of more than $10,000, regardless of whether they reside within or outside the United States. Federal, state, and local law enforcement agencies can use information from these reports to combat financial crimes, including terrorist financing and tax evasion. Appendix IV provides a comparison of Form 8938 and FBAR reporting requirements.", "Figure 1 depicts the flow of foreign financial account information from U.S. persons and FFIs to IRS and FinCEN through the FATCA and FBAR reporting processes."], "subsections": []}, {"section_title": "FATCA Data Limitations and Lack of a Comprehensive Strategy Have Hampered IRS Efforts to Increase Compliance", "paragraphs": [], "subsections": [{"section_title": "Incomplete and Inaccurate Reporting of Taxpayer Identification Numbers by FFIs Has Limited IRS\u2019s Efforts to Match Account Information for Compliance Purposes", "paragraphs": ["As part of the FATCA reporting requirements, IRS collects information on financial accounts through forms and reports submitted by both taxpayers and FFIs. As part of this effort, IRS requires taxpayers to identify their TINs on Forms 8938 they submit. IRS also requires participating FFIs to report the TINs of each account holder who is a specified U.S. person on Forms 8966. IRS intends to use reported TINs to link Form 8938 data filed by taxpayers to Form 8966 data filed by the FFIs to ensure that taxpayers and FFIs are properly reporting foreign financial assets.", "However, IRS often could not link account information collected from FFIs to the account\u2019s owner because of incorrect or missing TINs. In July 2018, the Treasury Inspector General for Tax Administration (TIGTA) found that almost half of new Forms 8966 filed by FFIs did not include a TIN or included an invalid TIN. A consulting firm working with FFIs to implement FATCA reporting requirements told us that FFIs encountered significant challenges obtaining accurate TINs from U.S. persons as part of the self-certification process. For instance, FFIs encountered situations where U.S. persons provided incomplete or inaccurate TINs\u2014such as Social Security Numbers (SSN) with less than nine digits\u2014on forms used to self-certify their status as U.S. persons. FFIs also encountered situations where U.S. persons may not have obtained TINs or were unwilling to provide them to FFIs.", "Additionally, banking associations told us that it has taken time, effort, and expense for FFIs to report TINs, as they had to upgrade computer systems to collect and record TINs from U.S. customers. Finally, Treasury told us that jurisdictions that have an IGA with the United States but no legal requirement to collect TINs are not in compliance with the requirements of the IGA.", "Treasury and IRS determined that some FFIs reporting from countries with Model 1 IGAs needed additional time to implement procedures to obtain and report required U.S. TINs for preexisting accounts that are U.S. reportable accounts. Consequently, IRS provided a transition period, through the end of 2019, for compliance with the TIN requirements for FFIs under Model 1 IGAs. Specifically, in September 2017, IRS issued a notice modifying procedures for FFIs reporting from countries with Model 1 IGAs to become compliant with TIN reporting requirements for preexisting accounts. For calendar years 2017-2019, IRS will not determine that certain FFIs in countries with Model 1 IGAs are significantly noncompliant with their obligations under the IGA solely as a result of a failure to report U.S. TINs associated with the FFI\u2019s U.S. reportable accounts, providing they (1) obtain and report the date of birth of each account holder and controlling person whose TIN is not reported, (2) make annual requests for missing TINs from each account holder, and (3) search electronically searchable data maintained by such FFIs for missing required U.S. TINs before reporting information that relates to calendar year 2017 to a partner jurisdiction. As a result, even without any further extensions, calendar year 2020 is the earliest IRS will be enforcing requirements for FFIs from countries with Model 1 IGAs to provide accurate and complete information on U.S. account holders\u2019 TINs to IRS.", "Without valid TINs on Forms 8966 submitted by FFIs, according to IRS officials, IRS faces significant hurdles in matching accounts reported by FFIs to those reported by individual tax filers on their Forms 8938. As a result, IRS must rely on information such as names, dates of birth, and addresses that the filers and/or FFIs may not consistently report. Without data that can be reliably matched between Forms 8938 and 8966, IRS\u2019s ability to identify taxpayers not reporting accurate or complete information on specified foreign financial assets is hindered, interfering with its ability to enforce compliance with FATCA reporting requirements, and ensure taxpayers are paying taxes on income generated from such assets.", "In July 2018, TIGTA reported that IRS lacked success in matching FFI and individual taxpayer data because reports FFIs filed did not include or included invalid TINs. This, in turn, affected IRS\u2019s ability to identify and enforce requirements for individual taxpayers. TIGTA recommended, among other things, that IRS initiate compliance efforts to address and correct missing or invalid TINs on Form 8966 filings from FFIs from countries with Model 2 IGAs or without any IGAs with the United States. IRS management said it disagreed with this recommendation because a system to ensure validation of every TIN upon submission of a Form 8966 would be cost prohibitive. However, IRS management said that IRS would address invalid TINs as they are uncovered on other compliance efforts, such as initiating development of a data product to automate risk assessments across the FATCA filing population. IRS also said it continues efforts to systematically match Form 8966 and Form 8938 data to identify nonfilers and underreporting related to U.S. holders of foreign accounts. However, IRS management told us they are waiting until they have a full set of data, including TINs, before doing analysis to develop a compliance strategy. According to TIGTA, IRS management believed that having the FFI\u2019s Global Intermediary Identification Number (GIIN) on Form 8938, which is filed by the taxpayer, would help with matching records. However, Form 8938 instructions identify that the field is optional for taxpayers to complete. TIGTA recommended that to reduce taxpayer burden in obtaining GIINs from FFIs, IRS add guidance to Form 8938 instructions to inform taxpayers on how to use the FFI List Search and Download Tool on the IRS\u2019s website to obtain an FFI\u2019s GIIN. IRS agreed with this recommendation. However, even if an individual taxpayer provided GIINs, IRS may continue to have difficulty matching accounts with U.S. taxpayers if the TIN and name of the account holder reported on the Form 8966 do not match the TIN and name of the taxpayer on the Form 8938.", "IRS officials said they are aware of these difficulties and have attempted to match Forms 8938 and 8966 based on other criteria such as dates of birth. In its response to our draft report, IRS said that all financial institutions and foreign tax authorities that file required account information receive a notification listing administrative and other minor errors contained in their reporting. According to IRS, its Large Business and International division follows up with foreign tax authorities regarding these errors to ensure the tax authorities are working with financial institutions to correct these errors in compliance with the countries\u2019 IGAs. IRS added it has initiated a campaign addressing FFIs that do not meet their compliance responsibilities with respect to account opening requirements. Additionally, IRS drafted a risk acceptance form and tool addressing risks in implementing FATCA compliance and business process capabilities. This risk assessment focused on the limitations IRS faces due to budget constraints, but did not address the specific risks it faces from not receiving complete and valid TINs on U.S. account holders. We previously reported that risk management could help stakeholders make decisions about assessing risk, allocating resources, and taking actions under conditions of uncertainty. Key management practices for risk management we identified from our prior work include identifying, analyzing, and prioritizing risks; developing a mitigation plan to address identified risks; implementing the plan; and monitoring, reporting, and controlling risks. Without developing a risk mitigation plan to address risks IRS faces from not receiving complete and valid TINs moving forward, IRS may lose opportunities to adjust its compliance programs to better identify U.S. persons who are not fully reporting specified foreign financial assets as required under FATCA."], "subsections": []}, {"section_title": "IRS Databases Lack Consistent and Complete FATCA and Taxpayer Data Useful for Compliance Enforcement and Research", "paragraphs": ["Several IRS databases store data collected from individuals\u2019 electronic and paper filings of Form 8938 and/or elements of parent individual tax returns to which the Form 8938 is attached\u2014the filer\u2019s country of residence and filing status\u2014used to determine specified reporting thresholds for Form 8938 filers. Additionally, data from these databases and other sources are transferred downstream to IRS\u2019s Compliance Data Warehouse (CDW)\u2014a database used for research and analytical purposes.", "We extracted data from copies of Individual Return Transaction File (IRTF) and Modernized Tax Return Database (MTRDB) data copied into CDW to obtain information reported on Forms 8938 and relevant information from parent tax returns, such as filing status and filers\u2019 country of residence. We found that IRTF and MTRDB had inconsistent and incomplete data. For example, neither database had consistent and complete information on foreign financial account and other asset information submitted by Form 8938 filers. While IRS officials told us that IRTF is the authoritative source for filers of Form 8938, it does not store account and other asset information submitted on Forms 8938.", "Additionally, IRS officials said MTRDB is not designed to store information submitted on paper filings of Forms 8938 and parent tax returns. Officials from IRS\u2019s Research, Applied Analytics and Statistics (RAAS) division also noted that CDW did not have reliable information from Form 8938 paper filings. Because of the lack of foreign financial asset information from such filings, we could not report complete information on assets reported by Form 8938 filers.", "Further, IRS does not provide instructions to CDW users on how to extract appropriate data from CDW\u2014such as data copied from IRTF and MTRDB\u2014leading to confusion on which databases to use for extracting Form 8938 and relevant parent tax return data. For example, five distinct tables within CDW are required to identify the TIN, parent form, filing status, country of residence, and amount of foreign assets accurately. Without clear explanations of how data in each of these tables relate to each other and to the underlying filings, errors could be introduced into CDW users\u2019 analyses of foreign asset information.", "Standards for Internal Control in the Federal Government notes that management should use quality information to achieve the entity\u2019s objectives. One attribute of this principle includes processing data into quality information that is appropriate, current, complete, accurate, accessible, and provided on a timely basis. Additionally, the Internal Revenue Manual states that IRS needs to measure taxpayer compliance so that customer-focused programs and services can be enhanced or developed so that compliance information and tools can be improved.", "According to IRS officials, IRS researchers have been taking additional steps to obtain and review Form 8938 and parent tax return data stored in the Integrated Production Model (IPM) database. They said IPM is the only database that contains complete data from individuals\u2019 electronic and paper filings of Forms 8938 and relevant elements of parent tax returns. IRS officials said that RAAS has been working with IRS\u2019s information technology (IT) division to obtain read-only access to IPM, and import Forms 8938 and 8966 data from IPM into CDW for analysis. However, as of February 2019, this effort has been delayed due to budget constraints. In its response to our draft report, IRS said that obtaining read-only access would require a new technical process and plans to continue working with IT on the feasibility and timeframe for enabling this access. Enabling access to consistent and complete Form 8938 and parent tax return data for compliance staff and researchers from RAAS and other IRS business units would help IRS strengthen its efforts to enforce compliance with FATCA reporting requirements and conduct research to bolster enforcement efforts. However, such efforts may be hampered until IRS can ensure readily available access to such data."], "subsections": []}, {"section_title": "IRS Stopped Pursuing a Comprehensive Plan to Leverage FATCA Data to Improve Taxpayer Compliance", "paragraphs": ["We previously recommended that IRS develop a broad strategy, including a timeline and performance measures, for how IRS intends to use FATCA information to improve tax compliance. IRS agreed with this recommendation and developed a strategy for FATCA in July 2013. IRS updated the strategy in 2016 by creating the FATCA Compliance Roadmap as a comprehensive plan to articulate IRS\u2019s priorities to facilitate compliance with FATCA reporting requirements. The roadmap also provided an overview of compliance activities used solely for enforcing FATCA reporting requirements or enhancing existing compliance efforts. However, in July 2018, TIGTA reported that IRS had not updated the FATCA Compliance Roadmap since 2016, and had taken limited or no action on a majority of the planned activities outlined in it.", "We also found that IRS had not yet evaluated the effects of FATCA, including the effects on voluntary tax compliance. IRS documentation states that only 7 of 31 capabilities outlined in the FATCA Compliance Roadmap were delivered due to funding constraints. As of October 2018, IRS has stopped using the FATCA Compliance Roadmap and has not developed a revised comprehensive plan to manage efforts to leverage FATCA data to improve taxpayer compliance. According to IRS officials, IRS moved away from updating broad strategy documents, such as the FATCA Compliance Roadmap, to focus on individual compliance campaigns. These include a campaign to match individual tax filers to the reports from FFIs, and another campaign to identify FFIs with FATCA reporting requirements who are not meeting all of their obligations.", "According to what IRS told us, with the passage of time and as FATCA is becoming more integrated into agency operations, it has moved from updating the broad strategy documents focused on FATCA to working on compliance campaigns that incorporate FATCA into overall tax administration. Additionally, IRS and outside researchers plan to study the role of enforcement in driving overall patterns in reporting offshore assets and income generated from such assets. Though IRS maintains that FATCA is more integrated into its operations, TIGTA\u2019s 2018 report concluded that IRS was still unprepared to enforce compliance with FATCA in part because it took limited or no action on the majority of planned activities outlined in the FATCA Compliance Roadmap.", "Documenting a framework for using FATCA reporting requirements to improve taxpayer compliance and measure their effect is consistent with three steps we found leading public sector organizations take to increase the accountability of their initiatives: (1) define clear missions and desired outcomes; (2) measure performance to gauge progress; and (3) use performance information as a basis for decision-making. We also previously reported that it is important for IRS to use a documented framework that defines a clear strategy, timeline, and plans for assessment. Having such a framework in place can help IRS better allocate resources and avoid unnecessary costs resulting from not having the necessary or appropriate data available to execute its objectives. In light of the challenges IRS faces to collect, manage, and use FATCA data to improve compliance in a resource-constrained environment, employing a comprehensive plan would help IRS maximize the use of collected data and better leverage individual campaigns to increase taxpayer compliance. Without such a plan, IRS\u2019s ability to collect and leverage data collected under FATCA for compliance enforcement and other purposes is constrained."], "subsections": []}]}, {"section_title": "Analysis of FBAR and FATCA Data Provide Insights, Including the Possibility that Tens of Thousands of Forms 8938 May Have Been Filed Unnecessarily", "paragraphs": [], "subsections": [{"section_title": "More than 900,000 Individual FBAR Filers Reported about $1.5 Trillion or More in Foreign Accounts in Both Calendar Years 2015 and 2016", "paragraphs": ["We could not report on total values of foreign financial assets on Forms 8938 in tax years 2015 and 2016. However, we could provide a range of total maximum account values reported on FBARs during the same period. Specifically, we determined that more than 900,000 individuals filed FBARs in calendar years 2015 and 2016, and declared total maximum values of accounts ranging from about $1.5 trillion to more than $2 trillion each year.", "A little more than one in five\u2014or about 21.7 percent\u2014of the approximately 404,800 Forms 8938 filed with IRS in tax year 2016 were done so from U.S. persons living abroad, with the other 78.3 percent living in the United States. Table 1 shows that a higher proportion of Form 8938 filings from U.S. persons living abroad for tax year 2016 were filed on paper (43.3 percent) than Form 8938 filings from U.S. persons living in the United States during the same period (14.7 percent). We extracted these data from IRTF, which IRS officials said is the authoritative source for filers of Form 8938. However, we could not report complete information on foreign financial assets reported by Form 8938 filers because such data are incomplete; as noted above, IRS databases we used to extract Form 8938 data\u2014IRTF and MTRDB\u2014do not include asset information reported on paper filings of Forms 8938."], "subsections": []}, {"section_title": "Tens of Thousands of Forms 8938 May Have Been Filed Unnecessarily in Tax Year 2016", "paragraphs": ["Of the approximately 404,800 Forms 8938 filed by individuals for tax year 2016\u2014the most recent data available\u2014we could access information on residency of filers and reported foreign financial assets from about 277,600 Forms 8938 that did not indicate that foreign financial assets and values were declared on other forms besides the Form 8938. Of the subset of these Forms 8938, more than one quarter\u2014or about 73,500\u2014 reported foreign financial assets in amounts that indicate the Form 8938 may have been filed unnecessarily, since they reported specified foreign financial assets with aggregate values at or below reporting thresholds as of the last day of the tax year. Based on available Form 8938 data from tax year 2016, table 2 shows that about 61,900 filings from U.S. persons living in the United States and about 11,600 filings from U.S. persons living abroad during the same tax year reported specified foreign financial assets with aggregate values at or below end of tax year thresholds.", "These totals likely understate the total number of Forms 8938 that U.S. persons may have filed unnecessarily in tax year 2016; due to data limitations, these totals exclude Forms 8938 without asset information stored in IRS\u2019s databases, including most Forms 8938 filed on paper and Forms 8938 where filers identified that they declared foreign financial assets on other forms besides the Form 8938.", "There is no clear explanation as to why some U.S. persons may have filed Forms 8938 unnecessarily. However, we identified a number of potential reasons from focus groups and other interviews with stakeholder groups. In focus groups we conducted, participants expressed confusion about IRS\u2019s instructions for completing the Form 8938 and information provided on IRS\u2019s website. In the instructions for completing Form 8938, IRS described the specific types of foreign financial assets that are to be reported on Form 8938, and the asset value thresholds that must be met for required reporting, depending on the location of residence and filing status of the taxpayer. IRS also posted responses to frequently asked questions on meeting FATCA reporting requirements on its website, and established a separate page on its website comparing foreign financial assets that must be reported on Form 8938 and/or FBAR.", "Nonetheless, focus group participants reported confusion on whether and how to report investment and retirement accounts and compulsory savings plans managed by their country of residence. In a meeting we convened with an organization representing tax attorneys, they told us taxpayers are unsure about what account values to report on the Form 8938. Tax practitioners participating in another focus group added that they filed Forms 8938 regardless of the aggregate value of the assets because it was too cumbersome for them to identify whether the assets exceeded reporting thresholds as of the end of the year or at any time during the year.", "IRS officials also cited a number of possible reasons why U.S. persons may be filing Forms 8938 unnecessarily. For example, it may be easier for U.S. persons to report all specified foreign financial assets they hold on the Form 8938, rather than determine whether the value of such assets met applicable thresholds. IRS officials also said that U.S. persons might complete a Form 8938 for reasons besides meeting tax-filing requirements, such as providing evidence of assets for a loan application.", "IRS\u2019s Taxpayer Bill of Rights states that taxpayers are entitled to clear explanations of the laws and IRS procedures in all tax forms, instructions, publications, notices, and correspondence. Furthermore, one of IRS\u2019s strategic goals is to empower taxpayers by making it easier for them to understand and meet their filing, reporting, and payment obligations. IRS officials said they hosted sessions for tax practitioners at IRS Nationwide Tax Forums to address FATCA reporting requirements. However, they said IRS has not taken direct steps to identify or implement actions to further clarify instructions and related guidance on IRS\u2019s website for completing Form 8938, such as information on which foreign financial assets to report, how to calculate asset values, and determine whether such values exceed required reporting thresholds. Additionally, IRS officials said they have not conducted additional outreach to educate taxpayers on required reporting thresholds under FATCA, or notify Form 8938 filers of instances where aggregate values of specified foreign financial assets reported on Forms 8938 were below reporting thresholds.", "IRS officials said they have not made efforts to determine whether there is a pattern of unnecessary Form 8938 filings that they could address. Rather, they said they believed resources should be devoted to FATCA implementation in general. However, as shown above, we have identified many tens of thousands of instances where U.S. persons may have filed Forms 8938 unnecessarily. Without assessing factors contributing to unnecessary Form 8938 reporting\u2014and identifying or implementing actions to further clarify and educate taxpayers on FATCA reporting requirements\u2014IRS is missing opportunities to help taxpayers understand their filing and reporting obligations and minimize their compliance burdens while properly meeting their tax obligations. Additionally, IRS may be missing opportunities to reduce costs in processing forms that taxpayers did not need to file."], "subsections": []}]}, {"section_title": "Different Laws Established Overlapping Foreign Financial Asset Reporting Requirements and Compounded Taxpayer Compliance Burden", "paragraphs": ["Because of overlapping statutory reporting requirements, IRS and FinCEN\u2014both bureaus within Treasury\u2014collect duplicative foreign financial asset data using two different forms (Form 8938 and FBAR). Our evaluation and management guide for fragmentation, overlap, and duplication states that overlap occurs when multiple agencies or programs have similar goals, engage in similar activities or strategies to achieve them, or target similar beneficiaries. Table 3 shows that individuals required to report foreign financial assets on Form 8938, in many cases, also must meet FBAR reporting requirements. For example, specified individuals with foreign financial accounts exceeding $50,000 in aggregate value on the last day of the tax year must file both Form 8938 and FBAR if such values exceed the minimum Form 8938 thresholds; these thresholds depend on the filing status and address of specified individuals. Table 3 also shows that, in many cases, specified interests in foreign financial assets as defined in Form 8938 instructions are the same as the financial interest in such assets under FBAR. Further, as noted in table 3, the overlapping requirements lead to IRS and FinCEN collecting the same information on certain types of foreign financial assets. For example, both Form 8938 and FBAR collect information on foreign financial accounts for which a person has signature authority and a financial interest in the account. Form 8938 and FBAR also both collect duplicative information on several other types of foreign financial assets, such as foreign mutual funds and accounts at a foreign financial institution that include foreign stock or securities.", "Overlapping reporting requirements result in most Form 8938 filers also filing an FBAR during the same reporting year. Table 4 shows that close to 75 percent of Form 8938 filers in tax years 2015 and 2016 percent also filed an FBAR for the same year using the same TIN.", "Overlapping requirements to file both Form 8938 and FBAR increases the compliance burden on U.S. persons and adds complexity that can create confusion, potentially resulting in inaccurate or unnecessary reporting. Focus group participants in all five countries included in our study affirmed that U.S. persons experienced confusion and frustration with having to report duplicative foreign financial asset information on both forms. Focus group participants and others we interviewed also noted that U.S. persons incurred additional financial costs to complete and file both Form 8938 and FBAR. For instance, one tax practitioner in Canada said the charge was about $190 to report four-to-five accounts on an FBAR in addition to charging about $540 for basic tax return packages. An accounting firm based in Japan typically charged between $300 and $800 to complete a Form 8938 and between $150 and $500 to complete an FBAR, depending on the number of accounts reported on the forms. Proposed revisions to regulations implementing BSA proposed by FinCEN may also increase the number of duplicative foreign financial accounts reported on Form 8938 and FBAR. Currently, U.S. persons must report detailed information on all foreign financial accounts on Form 8938 if the value of such accounts and other specified foreign financial assets reaches applicable reporting thresholds. In contrast, U.S. persons are generally exempted from reporting detailed account information on FBARs if they report having signature or other authority over 25 or more foreign financial accounts. FinCEN\u2019s proposed revisions to BSA regulations would eliminate the exemption, requiring U.S. persons to report detailed information on all foreign financial accounts in which he or she has a financial interest if the value of such accounts exceed FBAR\u2019s $10,000 reporting threshold. FinCEN estimated that it will receive account information for the first time on about 5.4 million foreign financial accounts if it finalizes the proposed revisions. In turn, these revisions may lead to increased filings of duplicative asset data on both Form 8938 and FBAR, as U.S. persons may have to report detailed information on all foreign financial accounts using both forms.", "U.S. persons also face exposure to two different penalty regimes for any failures in accurately and completely reporting foreign financial asset information to two bureaus within Treasury\u2014IRS and FinCEN. Officials from one organization representing U.S. persons living abroad said penalties due to failure to report certain accounts on one or both forms can be significant, even if little or no taxes are owed on those accounts. The duplicative reporting of foreign financial asset data on two different forms also creates additional costs to the government to process and store the same or similar information twice, and enforce reporting compliance with both requirements.", "In 2012, we recommended that Treasury direct the Office of Tax Policy, IRS, and FinCEN to determine whether the benefits of implementing a less duplicative reporting process exceed the costs and, if so, implement that process. Treasury did not implement our recommendation. While we continue to believe that the agencies should have considered whether less duplicative reporting could have been implemented, we do recognize that FATCA and FBAR were enacted under two different statutes to serve different purposes. As mentioned above, according to IRS, FATCA improves visibility into taxable income from foreign sources and enhances the agency\u2019s ability to identify and pursue taxpayer noncompliance. In contrast, the information reported on the FBAR is collected to identify money laundering and other financial crimes; law enforcement agencies can use BSA information\u2014including information collected from FBARs\u2014 to aid regulatory and criminal investigations. Additionally, data collected from Form 8938 and FBAR are used in different systems for use by different bureaus within Treasury. Fully addressing issues stemming from overlapping reporting requirements and the resulting collection of duplicative information\u2014while at the same time ensuring that such information can be used for tax compliance and law enforcement purposes\u2014can only be done by modifying the statutes governing the requirements.", "Further, IRS and FinCEN have varying degrees of access to foreign financial asset information collected from Form 8938 and FBAR to enforce tax compliance and financial crime laws. FATCA was enacted, in part, to improve visibility into taxable income from foreign sources. However, information provided on Forms 8938 is taxpayer return information protected by section 6103 of the Internal Revenue Code (IRC), which generally prohibits IRS from disclosing information provided on Forms 8938. IRS can share return information with other government agencies and others when it is allowed by statute. For example, under section 6103, IRS may disclose return information related to taxes imposed under the IRC\u2014such as self-employment income tax, Social Security and Medicare tax and income tax withholding\u2014to the Social Security Administration (SSA) as needed to carry out its responsibilities under the Social Security Act. However, according to FinCEN officials, FinCEN, law enforcement, and regulators often cannot access information submitted on Forms 8938. While section 6103 provides other exceptions to disclosure prohibitions\u2014such as allowing IRS to share return information with law enforcement agencies for investigation and prosecution of nontax criminal laws\u2014such information is generally only accessible pursuant to a court order.", "As noted above, information reported on the FBAR can be used by law enforcement agencies to aid regulatory and criminal investigations. This includes IRS, which has been delegated responsibility from FinCEN to enforce compliance with FBAR reporting requirements. IRS has used FBAR information in addressing taxpayer noncompliance with reporting and paying taxes on foreign assets and income. For example, taxpayers accepted into one of IRS\u2019s offshore voluntary disclosure programs must have filed amended or late FBARs as part of their program applications. Investigators from IRS\u2019s Criminal Investigation division generally reviewed applications to determine if the taxpayer has made a complete and truthful disclosure. IRS examiners can also use information from case files of program participants\u2014such as information disclosed on FBARs\u2014 to identify new groups of taxpayers suspected of hiding income offshore. IRS can then choose to continue offering offshore programs and encourage these newly identified groups of taxpayers, as well as all taxpayers with unreported offshore accounts, to disclose their accounts voluntarily.", "In addition to eliminating overlapping reporting requirements, harmonizing statutes governing foreign financial asset reporting and use of information collected on such assets to make such statutes fully consistent could yield additional benefits to both IRS and the law enforcement community. Specifically, and as shown in appendix IV, there are specified foreign financial assets reported on Form 8938\u2014such as foreign hedge funds and foreign private equity funds\u2014that are not required to be reported on an FBAR. In contrast, there are other specified foreign financial assets reported on an FBAR\u2014such as indirect interests in foreign financial assets through an entity\u2014that are not required to be reported on Form 8938. Without congressional action to address overlap in foreign financial asset reporting requirements, IRS and FinCEN will neither be able to coordinate efforts to collect and use foreign financial asset information, nor reduce unnecessary burdens faced by U.S. persons in reporting duplicative foreign financial asset information."], "subsections": []}, {"section_title": "FFIs Face Overlapping Foreign Account Reporting Systems, but Alignment Would Entail Significant Changes in Law", "paragraphs": ["Two reporting systems for sharing foreign account information from foreign financial institutions are in operation globally\u2014FATCA and the Common Reporting Standard (CRS). According to officials from banking associations and a consulting firm, FFIs in the countries where we examined FATCA implementation encountered challenges implementing and now maintaining two overlapping reporting systems for collecting and transmitting account information to other countries for a seemingly similar purpose, and collecting sufficient information from customers to ensure they meet the requirements of both systems. As noted above, we previously identified overlap as occurring when multiple agencies or programs have similar goals, engage in similar activities or strategies to achieve them, or target similar beneficiaries.", "According to an IRS official, collecting account information under FATCA ushered in an era of greater transparency; as noted above, FATCA\u2019s passage sought to reduce tax evasion by creating greater transparency and accountability with respect to offshore accounts and other assets held by U.S. taxpayers. When FATCA was first introduced, there was no international platform to share account information between countries. The United States and other countries worked together to reach an agreement on the electronic formatting that would be used to share the information.", "Other countries tax authorities\u2019 became more interested in understanding the financial assets held abroad by their residents through an exchange of account information among themselves. In response, the Organisation for Economic Co-operation and Development (OECD) established the CRS reporting system for automatic exchange of information among member countries. According to the OECD, CRS was developed with a view to maximize efficiency and reduce cost for financial institutions. Thus, CRS drew extensively on the intergovernmental approach used to implement FATCA reporting requirements for FFIs. Countries participating in CRS exchange account information with each other using OECD\u2019s Common Transmission System, which was modeled on FATCA\u2019s International Data Exchange System. Figure 2 depicts the flow of account information between countries under FATCA and CRS.", "CRS reporting requirements are in many ways similar to FATCA, including required reporting of the account holders\u2019 name and address, taxpayer identification number, account number, account balance, and income and sales proceeds. However, the requirements differ in significant ways. The biggest differences in requirements are driven by the nature of the U.S. tax system. The United States, like many countries, generally taxes citizens and resident aliens on their worldwide income regardless of where that income is earned. However, the United States differs from other countries because it generally subjects U.S. citizens who reside abroad to U.S. taxation in the same manner as U.S. residents. In contrast to U.S. policy, most other countries do not tax their citizens if they reside in a country other than their country of citizenship. Further, IGAs implementing FATCA require FFIs to report the foreign-held accounts of U.S. citizens and residents\u2014including resident aliens\u2014while CRS requires financial institutions in jurisdictions participating in CRS to report on almost all accounts held by nonresidents of the reporting country. Appendix V provides more detailed information on differences in reporting requirements, due diligence requirements, and definitions under FATCA and CRS.", "These differences in tax systems drive variations in due diligence procedures between FATCA and CRS. For example, FATCA aims to identify whether an account holder at a foreign institution is a U.S. person based on citizenship and tax residency information. In contrast, CRS aims to identify the tax residency of all account holders of a financial institution, and does not consider citizenship. Due to the multilateral nature of CRS, if an account holder is determined on the basis of the due diligence procedures to have residency in two or more countries, information would be exchanged with all jurisdictions in which the account holder is determined a resident for tax purposes. Under CRS rules, information about foreign accounts held by a U.S. citizen with a tax residence abroad would not be reported to IRS, but rather to the jurisdiction in which they were a resident for tax purposes. Because the United States taxes the worldwide income of U.S. citizens, CRS rules would need to require identification of account holders\u2019 citizenship in member countries where they are residents if FATCA were to be aligned with CRS. Table 5 shows a comparison of individuals reported to IRS under FATCA and hypothetically under CRS.", "Treasury and IRS, as part of its 2017-2018 Priority Guidance Plan, are considering modifying certain elements of the existing FATCA regulations. For instance, Treasury and IRS are considering coordinating certain documentation requirements for participating FFIs with the requirements under IGAs. In December 2018, Treasury and IRS also proposed regulations intended, in part, to reduce the burdens of FATCA. The proposed regulations included a clarification of the definition of an investment entity that is similar to the guidance published by OECD interpreting the definition of a \u201cmanaged by\u201d investment entity under CRS.", "If the United States wanted to adopt CRS, some of the key differences between FATCA and CRS\u2014as outlined above and in appendix V\u2014could be aligned through regulation while others would require legislation. According to Treasury officials, to align FATCA and CRS, Congress would need to revise statutes to: provide for the collection of information for accounts that residents of partner jurisdictions maintain at U.S. financial institutions; require certain U.S. financial institutions to report the account balance (including, in the case of a cash value insurance contract or annuity contract, the cash value or surrender value) for all financial accounts maintained at a U.S. office and held by foreign residents; expand the current reporting required with respect to U.S. source income paid to accounts held by foreign residents to include similar non-U.S. source payments; require financial institutions to report the gross proceeds from the sale or redemption of property held in, or with respect to, a financial account; and require financial institutions to report information with respect to financial accounts held by certain passive entities with substantial foreign owners.", "While better aligning FATCA and CRS to some extent is possible, anything short of the United States fully adopting CRS would not fully eliminate the burdens of overlapping requirements that FFIs must currently meet under the two different systems. While having the United States adopt the CRS reporting system in lieu of FATCA could benefit FFIs that may otherwise have to operate two overlapping reporting systems, it would result in no additional benefit to IRS in terms of obtaining information on U.S. accounts. Additionally, it could generate additional costs and reporting burdens to U.S. financial institutions that would need to implement systems to meet CRS requirements. The extent of these costs is unknown. Further, adoption of CRS would create the circumstance where foreign accounts held by U.S. citizens with a tax residence in partner jurisdiction\u2014including U.S. citizens who have a U.S. tax obligation\u2014would not be reported to IRS."], "subsections": []}, {"section_title": "Agencies Coordinated Efforts to Address Challenges U.S. Persons Living Abroad Encountered from FATCA Implementation, but Opportunities Exist to Enhance Collaboration", "paragraphs": [], "subsections": [{"section_title": "Some U.S. Persons Living Abroad Encountered Reduced Access to Financial Services Due in Part to Costs and Risks FFIs Faced from Implementing FATCA", "paragraphs": ["Tax practitioners and others we interviewed said that U.S. persons living abroad\u2014whether or not they are required to complete a Form 8938\u2014risk being denied access to foreign financial services. U.S. persons and tax practitioners located in four of the five countries where we conducted focus groups and interviews reported that some U.S. persons and U.S.- owned businesses encountered difficulties opening bank accounts with FFIs after FATCA was enacted, with some FFIs closing U.S. persons\u2019 existing accounts or denying them opportunities to open new accounts. One focus group participant, for example, said that the financial institution closed down all accounts including business checking, savings, and money market accounts after FATCA was implemented, requiring this individual to find a local resident who could co-sign on a new account.", "Costs FFIs would incur from implementing FATCA were cited as a significant factor in increasing barriers faced by U.S. persons in accessing foreign financial services. Officials from one organization representing tax attorneys said that as a result of costs associated with FATCA implementation, FFIs have found it less burdensome to close accounts of U.S. persons or require the accounts to be moved to a Securities and Exchange Commission registered affiliate than comply with FATCA. Tax practitioners and an official from a bankers association added that because FFIs may gain only small margins of profit from U.S. persons, FFIs may believe it is too troublesome to do business with them. Additionally, officials from a foreign government agency told us that because FATCA is expensive for FFIs to continue implementing, banks in their country might charge U.S. persons seeking access to financial services additional fees to account for FATCA implementation costs. Tax practitioners, consultants working with FFIs to implement FATCA reporting requirements, and the National Taxpayer Advocate told us that FFIs with smaller asset sizes such as smaller trust companies were more prone to decline business with U.S persons. Officials from an advocacy group representing U.S. persons living abroad told the National Taxpayer Advocate that some smaller banks declined U.S. persons as customers as a business decision, believing it would cost more for them to comply with FATCA reporting requirements than maintain U.S. expatriates\u2019 accounts.", "Banking associations we interviewed said that decisions made by FFIs on whether to accept U.S. persons as customers also depends on the overall risks and benefits of taking on individual U.S. persons, shaped in part from risks in not meeting FATCA reporting requirements. Representatives of a banking association and an advocacy group told us that some FFIs decided to avoid doing business with U.S. persons after they became concerned about potential penalties for failure to comply\u2014either willfully or in error\u2014with FATCA reporting requirements. One banking association added that such errors could affect other aspects of FFIs\u2019 relationships with the U.S. government, such as nonprosecution agreements made with the U.S. Department of Justice.", "Officials from one consulting firm that helped FFIs meet FATCA reporting requirements added that FFIs\u2019 determination of risk depends on many layers, such as the value of clients\u2019 assets or the country in which clients reside or possess citizenship. After FATCA\u2019s implementation, according to officials from the consulting firm, FFIs decided to turn away U.S. persons in some cases because the benefits of doing business with U.S. persons were less than the potential risks. For example, if a U.S. person only maintained a payroll account, the FFI may determine it would not make enough money to account for risks in incorrectly identifying the status of the customer as a U.S. or non-U.S. person. However, focus group participants from two countries said that FFIs may agree to accept U.S persons as customers if they have higher account balances that offset risks from FATCA reporting requirements. One focus group participant, for instance, said banks in his country will do business with a U.S. person if he or she has more than $500,000 in assets. Additionally, U.S. persons and tax practitioners we interviewed said that other factors such as language barriers and U.S. regulations designed to prevent money laundering may also inhibit U.S. persons\u2019 access to brokerage accounts while overseas."], "subsections": []}, {"section_title": "Form 8938 Reporting Requirements for Individuals with Signature Authority on and Financial Interest in Accounts May Have Contributed to Employment and Promotion Denials Overseas", "paragraphs": ["Focus group participants and others we interviewed said that Form 8938 reporting requirements contributed to denials of employment and promotion opportunities for U.S. persons living abroad. Treasury officials noted that requirements imposed by FATCA do not directly hinder U.S. persons from gaining employment or promotion opportunities overseas. However, focus group participants, a consulting firm, and a foreign government agency noted that foreign-owned companies and nonprofit organizations such as churches did not want to hire or promote U.S. persons because they wanted to avoid exposing information to the U.S. government on their organizations\u2019 accounts and client trust accounts where the U.S. person would have signature authority. As noted above, a U.S. person is generally required to report on the Form 8938 foreign financial accounts for which the person has signature authority if he or she has a financial interest in the account.", "Focus group participants and others noted that such requirements have adversely affected the ability of U.S. persons to serve on a corporate board or in a nonprofit organization, or maintain business relationships. Treasury and Department of Commerce officials stationed in one country included in our review added that FATCA implementation has played a role in dissuading foreign-owned corporations in some Asian countries from considering U.S. persons for corporate leadership positions such as directorships. This is in part because FATCA has triggered additional paperwork burden and operating costs for onboarding U.S. employees since they have had to help them meet Form 8938 reporting requirements. Two advocacy groups representing U.S. persons living abroad added that it is also harder for U.S.-based companies to justify relocating U.S. persons overseas and paying for such relocations since they also have had to help their U.S. employees meet Form 8938 reporting requirements in addition to meeting other tax filing requirements."], "subsections": []}, {"section_title": "U.S. Persons Living Abroad Encounter Challenges Obtaining Social Security Numbers Necessary to Meet U.S. Tax Obligations and Obtain Financial Services", "paragraphs": ["U.S. embassy documents indicate there was increased demand for Social Security Numbers (SSN) since FATCA\u2019s passage in 2010, driven in part by U.S. citizens applying for an SSN to gain access to foreign financial services or resolve outstanding U.S. tax obligations before completing renunciation. However, officials from two organizations representing Americans living abroad cited significant challenges faced by some U.S. persons living abroad in obtaining SSNs required to meet their U.S. tax obligations or obtain financial services. U.S. persons living abroad might not possess an SSN because their parents did not obtain one for them as a minor. Often, this may have been due to the parents leaving the United States when the child was young. State officials also said that U.S. citizens applying for U.S. passports while overseas frequently forget their SSNs or do not know if their parents ever applied for an SSN on their behalf. Officials from organizations representing U.S. persons living abroad added that without an SSN, these persons are unable to claim refunds or other tax benefits when filing their tax returns, or participate in IRS programs to voluntarily disclose previously unreported tax liabilities and assets. Additionally, some might be unable to gain or maintain access to financial accounts or other assets in their countries of residence without an SSN. According to these officials and tax practitioners we interviewed, U.S. persons living abroad face greater challenges in obtaining SSNs than those living in the United States. For instance, they faced difficulties obtaining documentation from the United States that the Social Security Administration (SSA) requires with SSN applications; traveling to Social Security offices and U.S. embassies or consulates to certify documents or submit applications in person; and receiving valid SSNs from SSA in a timely manner to file tax returns or participate in offshore disclosure programs.", "SSA officials also identified several challenges U.S. persons experience when applying for an SSN from abroad. For instance, SSA officials said that efforts to authenticate documents submitted with SSN applications can cause delays for U.S. persons living abroad in obtaining an SSN. Additionally, SSN applicants living abroad face significantly longer wait times than applicants living in the United States once their applications are processed. According to SSA officials, after an application is processed, it can take 3 to 6 months\u2013-depending on the country\u2019s mail service\u2013-for an individual to receive a Social Security Card. This is significantly longer than the 2-week period it takes SSN applicants to receive a card after mailing in their applications from within the United States."], "subsections": []}, {"section_title": "FATCA Implementation Contributed to Increased Renunciations of U.S. Citizenship, but the Extent of the Effect is Unclear", "paragraphs": ["According to Department of State (State) data, the annual number of approvals of requests for renunciations of U.S. citizenships increased nearly 178 percent during a 6-year period, from 1,601 in 2011\u2014the year after FATCA was enacted\u2014to 4,449 in 2016, the most recent year to which full data on renunciations were available. According to U.S. embassy documents and information provided by focus group participants and interviewees across all the countries we examined, FATCA was the reason or a contributing factor in some of these decisions and the resulting increase in total renunciations. Specific effects of FATCA implementation contributing to decisions to renounce U.S. citizenship included reduced access to foreign financial services and employment or promotion opportunities in a foreign-owned company\u2014as identified above from our document reviews, focus groups, and interviews\u2014and burdens in meeting FATCA reporting requirements. However, the extent to which FATCA implementation contributed to increased renunciations is unclear. State officials said that data are unavailable to determine the extent to which these renunciation decisions were the direct result of FATCA because State has no legal obligation to collect information on the motivation behind renunciation of citizenship."], "subsections": []}, {"section_title": "Treasury, State, and SSA Initially Collaborated to Remedy FATCA-Related Issues for U.S. Persons Abroad, but Problems Persist without Cross- Agency Efforts to Address Them", "paragraphs": ["In response to concerns about the availability of foreign financial services, Treasury implemented regulations that allow certain low-risk local FFIs to be deemed compliant with FATCA, but only if the FFIs do not implement policies or practices that discriminate against opening or maintaining accounts for specified U.S. persons. Treasury and State also previously established joint strategies to address these challenges. For instance, Treasury and State developed guidance on FATCA that was posted on embassy websites to educate U.S. persons and others. Additionally, Treasury and State officials conducted outreach events and workshops through U.S. embassies and American chambers of commerce worldwide to provide information on FATCA and other tax filing requirements, According to State officials, the U.S. embassies in at least two countries\u2014Switzerland and France\u2014also worked with foreign officials and/or FFIs to increase access to financial services for U.S. citizens residing in those countries. For instance, Treasury and State officials reached agreements with FFIs in Switzerland to provide a wider range of financial services to U.S. persons. Similarly, in 2017, SSA and State implemented an interagency agreement to streamline processes for providing SSNs to U.S. persons living abroad after FATCA\u2019s implementation in 2010. SSA officials said they are also in discussions with State on improving SSA\u2019s website to include more transparent, specific information for SSN overseas applicants about SSA documentation requirements.", "Tax practitioners, advocacy groups, and Treasury officials we interviewed said FFIs have become more willing to accept U.S. persons as customers compared to when FATCA was enacted in 2010. However, U.S. persons living abroad continue to face issues gaining access to foreign financial services. For example, in a September 2018 letter sent by the Chair of the Finance Committee of the Netherlands House of Representatives to a member of Congress, U.S. citizens born outside the United States and who have never lived, studied, or worked in the United States are effectively being denied access to financial services in the Netherlands. Focus group participants added that some banks will reject U.S. clients or charge heavy fees for them to open an account.", "Agencies have ongoing efforts to address FATCA-related issues, as listed below, but some are ad hoc, fragmented, or otherwise not part of a broader effort between Treasury and other agencies such as State or SSA to use ongoing collaborative mechanisms to monitor and share information on such issues, and jointly develop and implement steps to address them:", "Treasury officials said they are participating in discussions with FFIs to address residual issues with access to foreign financial services. However, they said they have not involved other agencies in these discussions.", "IRS officials, in response to concerns from the French government, said they are developing a program to help streamline foreign asset- related tax compliance requirements for a small group of U.S. born citizens that have been French residents most of their lives without an SSN, and\u2014according to State officials\u2014did not wish to take the necessary steps to renounce their citizenship. However, no effort has been made to address these issues more broadly.", "State encouraged U.S. citizens to alert the nearest U.S. embassy of any practices they encounter with regard to the provision of financial services. State documents noted that some Americans have been turned away by banks or required to meet a higher deposit threshold in part because of FATCA reporting requirements. State documentation also noted that there have been cases of U.S. citizens with existing bank accounts who have been asked to close them. However, State documentation we reviewed does not highlight collaborative efforts currently underway with Treasury or other agencies to address banking access issues U.S. persons living abroad are presently encountering worldwide.", "As described above, SSA and State streamlined processes and policies for U.S. persons abroad seeking to obtain SSNs. However, SSA officials said they have not been involved in any ongoing efforts involving Treasury to identify systemic issues and related solutions involving SSNs for the purposes of tax compliance and citizenship renunciations. Treasury officials said they spoke with SSA officials about problems U.S. persons living abroad face in obtaining SSNs, but SSA believed that cycle times for processing SSN applications submitted by U.S. persons living abroad were not significantly greater than for applications submitted by U.S. persons living in the United States, although mailing times could vary significantly and take up to 3 to 6 months.", "We have previously identified key practices to enhance and sustain interagency collaboration, including defining and articulating a common outcome, establishing mutually reinforcing or joint strategies, and developing mechanisms to monitor, evaluate, and report on results.", "One goal in IRS\u2019s strategic plan is to collaborate with external partners proactively to improve tax administration, while objectives in SSA\u2019s strategic plan include improving service delivery and expanding service delivery options. Additionally, according to State\u2019s Bureau of Consular Affairs website, one of State\u2019s key priorities is to protect the interests of U.S. citizens overseas, such as through ensuring responsive and efficient provision of consular services overseas. As noted above, there are a host of ongoing issues and challenges for U.S. persons living abroad from implementation of FATCA, such as loss of access to foreign financial services, denial of employment and promotion opportunities overseas, and difficulty obtaining SSNs from abroad. However, Treasury currently lacks a collaborative mechanism to coordinate efforts with other agencies to address these issues, and Treasury officials said they do not plan to establish them. Without effective collaborative mechanisms to monitor and share information and implement cross-agency solutions, future efforts to address such issues will continue to be fragmented and less effective than they otherwise could be."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["In enacting FATCA, Congress sought to reduce tax evasion by creating greater transparency and accountability over offshore assets held by U.S. taxpayers. Because of FATCA, IRS receives information on foreign financial assets from hundreds of thousands of filers annually. IRS could use this information to help ensure taxpayers holding offshore assets report and pay taxes owed on income generated from such assets. However, to take full advantage of the information, IRS must address key challenges. Specifically, Taxpayer Identification Numbers (TIN) reported by FFIs are often inaccurate or incomplete, which makes it difficult for IRS to match information reported by FFIs to individual taxpayers. As such, IRS must develop a plan to mitigate the risks that these data issues pose to agency efforts to identify and combat taxpayer noncompliance.", "Lack of consistent, complete, and readily available Form 8938 and related parent individual tax return data also affects IRS\u2019s compliance activities, making it more difficult for IRS business units to extract and analyze FATCA data to improve tax compliance efforts and reduce tax revenue loss from income generated from offshore assets. At the same time, IRS has stopped following its FATCA Compliance Roadmap it developed in 2016 because, according to IRS officials, IRS moved away from updating broad strategy documents to focus on individual compliance campaigns. However, in light of the challenges IRS continues to face in fully integrating FATCA information into its compliance programs, it will not maximize use of such information and effectively leverage individual compliance campaigns unless it employs a comprehensive plan that enables IRS to better leverage such campaigns to improve taxpayer compliance.", "Our analysis of available data indicates that many of the Forms 8938 filed in tax year 2016 may have been filed unnecessarily. Factors that are contributing to this unnecessary reporting are unclear. While IRS has provided instructions and guidance on its website for completing Form 8938, focus group participants and tax practitioners reported confusion on whether and how to report investments in foreign accounts. Taking steps to identify and address factors contributing to unnecessary Form 8938 reporting would help reduce taxpayer burden and reduce processing costs for IRS.", "Reporting requirements for foreign financial assets under FATCA overlap with reporting requirements under FBAR. These overlapping requirements\u2014implemented under two different statutes\u2014have resulted in most taxpayers filing Forms 8938 also filing FBARs with FinCEN. Duplicative filings on foreign financial assets cause confusion, frustration, and compliance burdens for taxpayers. Duplicative filings also increased costs to the government to process and store the same or similar information. Modifying the statutes governing the requirements can fully address the issues outlined above, and can allow for the use of FATCA information for prevention and detection of financial crimes. This is similar to other statutory allowances for IRS to disclose return information for other purposes, such as for determining Social Security income tax withholding.", "Lastly, FATCA has created challenges for some U.S. persons living abroad that go beyond increasing their tax compliance burdens. Some U.S. persons living abroad are still facing issues accessing financial services and employment and obtaining SSNs. Treasury, State, and SSA have taken some steps to address these issues both separately and in coordination with each other. However, Treasury, as the agency ultimately responsible for effective administration of FATCA, currently lacks a collaborative mechanism with State and SSA to address ongoing issues. Establishing a formal means to collaboratively address burdens faced by Americans abroad from FATCA can help agencies develop effective solutions to mitigate such burdens."], "subsections": []}, {"section_title": "Matter for Congressional Consideration", "paragraphs": ["We are making the following matter for congressional consideration:", "Congress should consider amending the Internal Revenue Code, Bank Secrecy Act of 1970, and other statutes, as needed, to address overlap in foreign financial asset reporting requirements for the purposes of tax compliance and detection, and prevention of financial crimes, such as by aligning the types of assets to be reported and asset reporting thresholds, and ensuring appropriate access to the reported information."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to IRS:", "The Commissioner of Internal Revenue should develop a plan to mitigate risks with compliance activities due to the lack of accurate and complete TINs of U.S. account holders collected from FFIs. (Recommendation 1)", "The Commissioner of Internal Revenue should ensure that appropriate business units conducting compliance enforcement and research have access to consistent and complete data collected from individuals\u2019 electronic and paper filings of Form 8938 and elements of parent individual tax returns. As part of this effort, the Commissioner should ensure that IRS provides clear guidance to the business units for accessing such data in IRS\u2019s Compliance Data Warehouse. (Recommendation 2)", "The Commissioner of Internal Revenue should employ a comprehensive plan for managing efforts to leverage FATCA data in agency compliance efforts. The plan should document and track activities over time to ensure individuals and FFIs comply with FATCA reporting assess and mitigate data quality risks from FFIs; improve the quality, management, and accessibility of FATCA data for compliance, research, and other purposes; and establish, monitor, and evaluate compliance efforts involving FATCA data intended to improve voluntary compliance and address noncompliance with FATCA reporting requirements. (Recommendation 3)", "The Commissioner of Internal Revenue should assess factors contributing to unnecessary Form 8938 reporting and take steps, as appropriate, to address the issue. Depending on the results of the assessment, potential options may include: identifying and implementing steps to further clarify IRS Form 8938 instructions and related guidance on IRS\u2019s website on determining what foreign financial assets to report, and how to calculate and report asset values subject to reporting thresholds; and conducting additional outreach to educate taxpayers on required reporting thresholds, including notifying taxpayers that may have unnecessarily filed an IRS Form 8938 to reduce such filings. (Recommendation 4)", "We are also making the following recommendation to Treasury: The Secretary of the Treasury should lead efforts, in coordination with the Secretary of State and Commissioner of Social Security, to establish a formal means to collaboratively address ongoing issues\u2014 including issues accessing financial services and employment and obtaining SSNs\u2014that U.S. persons living abroad encounter from implementation of FATCA reporting requirements. (Recommendation 5)", "We are also making the following recommendation to State:", "The Secretary of State, in coordination with the Secretary of the Treasury and Commissioner of Social Security, should establish a formal means to collaboratively address ongoing issues\u2014including issues accessing financial services and employment and obtaining SSNs\u2014that U.S. persons living abroad encounter from implementation of FATCA reporting requirements. (Recommendation 6)", "We are also making the following recommendation to SSA:", "The Commissioner of Social Security, in coordination with the Secretaries of State and Treasury, should establish a formal means to collaboratively address ongoing issues\u2014including issues accessing financial services and employment and obtaining SSNs\u2014that U.S. persons living abroad encounter from implementation of FATCA reporting requirements. (Recommendation 7)"], "subsections": []}, {"section_title": "Agency Comments and our Evaluation", "paragraphs": ["We provided a draft of this report to the Secretaries of State and the Treasury, Commissioner of Internal Revenue, and Acting Commissioner of Social Security.", "IRS provided written comments that are summarized below and reprinted in appendix VI. IRS did not state whether it agreed or disagreed with our four recommendations but otherwise provided responses.", "Regarding our recommendation to develop a plan to mitigate risks with compliance activities due to the lack of accurate and complete TINs of U.S. account holders collected from FFIs (recommendation 1), IRS reiterated that it provided a transition period, through the end of 2019, for compliance with the TIN requirements for FFIs in countries with Model 1 IGAs with the United States. IRS also said that it continued to make progress on improving FATCA filing compliance, citing efforts such as initiating a campaign addressing FFIs that do not meet their compliance responsibilities. While these efforts may help IRS obtain more accurate and complete information from financial accounts, IRS did not specify how it will mitigate the ongoing hurdles it faces in matching accounts reported by FFIs without valid TINs to accounts reported by individual tax filers and ensure compliance.", "Regarding our recommendation that appropriate business units have access to consistent and complete data collected from Forms 8938 and tax returns filed by individuals (recommendation 2), IRS reiterated that RAAS has been working to obtain read-only access to the IPM database but that limited budgetary resources are delaying implementation. Enabling access to consistent and complete Form 8938 and tax return data would help IRS better target compliance initiatives and leverage limited available enforcement resources. While IRS continues to work on enabling access to IPM, it could still provide clear guidance to its business units for accessing Form 8938 and tax return data in IRS\u2019s Compliance Data Warehouse, as we recommended.", "Regarding our recommendation to employ a comprehensive plan for managing efforts to leverage FATCA data in agency compliance efforts (recommendation 3), IRS said the resources that would be required to develop a comprehensive plan would be better spent on enforcement activities. While implementing enforcement activities could increase compliance with FATCA reporting requirements, it risks not maximizing the value of such efforts without a comprehensive plan to manage and address the myriad of challenges discussed in this report. Further, it is our belief that IRS\u2019s failure to execute the FATCA roadmap is not justification for abandoning a strategic approach going forward.", "Regarding our recommendation to assess factors contributing to unnecessary Form 8938 reporting and take appropriate steps to address the issue (recommendation 4), IRS said it will continue to observe filings of Form 8938 and, to the extent that there are unnecessary filings, assess options to inform account holders to reduce reporting and filing burdens followed by appropriate steps to implement any selected options. Our analysis of available data indicates that many Forms 8938 may have been filed unnecessarily. Implementing our recommendation reduces the risk that taxpayers file\u2014and IRS processes\u2014forms unnecessarily.", "Treasury provided written comments but did not state whether it agreed or disagreed with our recommendation that it lead efforts, in coordination with State and SSA, to establish a formal means to collaboratively address ongoing issues that U.S. persons living abroad encounter from implementation of FATCA reporting requirements (recommendation 5). Treasury said it will work collaboratively with State and SSA to answer questions that Americans abroad have regarding their tax obligations and, where appropriate, to direct U.S. citizens to resources that will help them understand the procedures applied by SSA to apply for an SSN.", "However, Treasury said it is not the appropriate agency to lead coordination efforts involving foreign employment issues and issues regarding access to foreign financial services and obtaining SSNs. As we noted above, Treasury is ultimately responsible for effective administration of FATCA. As such, it is in a better position than State or SSA to adjust regulations and guidance implementing FATCA to address burdens FFIs and foreign employers face from FATCA implementation while ensuring tax compliance. Additionally, Treasury has an interest in helping U.S. persons receive valid SSNs from SSA in a timely manner to meet their tax obligations. Treasury\u2019s written response is reprinted in appendix VII.", "State and SSA also provided written comments in which they concurred with our recommendations to establish a formal means to address collaboratively together with Treasury ongoing issues that U.S. persons living abroad encounter with FATCA (recommendations 6 and 7). State and SSA\u2019s written comments are reprinted in appendices VIII and IX, respectively.", "Treasury, State, and SSA provided technical comments, which we incorporated as appropriate.", "We are sending copies of this report to the appropriate congressional committees, the Secretaries of State and the Treasury, Commissioner of Internal Revenue, Acting Commissioner of Social Security, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-9110 or mctiguej@gao.gov. Contact points for our offices of Congressional Relations and Public Affairs are on the last page of this report. GAO staff who contributed to this report are listed in appendix X."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["The objectives of this report are to (1) assess the Internal Revenue Service\u2019s (IRS) efforts to use information collected under the Foreign Account Tax Compliance Act (FATCA) to improve taxpayer compliance; (2) examine available foreign financial asset reports submitted by U.S. persons, including submissions that were below required filing thresholds; (3) examine the extent to which the Department of the Treasury (Treasury) administers overlapping reporting requirements on foreign financial assets; (4) describe similarities and differences between FATCA and Common Reporting Standard (CRS) reporting requirements; and (5) examine the effects of FATCA implementation that are unique to U.S. persons living abroad.", "For our first objective, we reviewed Treasury Inspector General for Tax Administration reports and collected information from Treasury and IRS to summarize efforts to collect complete and valid Taxpayer Identification Numbers (TIN) from foreign financial institutions (FFI). We identified criteria from our prior work identifying key practices for risk management. The key practices are derived from the Software Engineering Institute\u2019s Capability Maturity Model\u00ae Integration for Development and Office of Management and Budget guidance. We applied these criteria to assess steps IRS has taken to manage risks in not receiving complete and valid TIN information from FFIs. We also applied criteria from our prior work on use of documented frameworks to IRS documentation on FATCA compliance activities to determine the extent to which IRS implemented a comprehensive plan to maximize use of collected data to enforce compliance with FATCA.", "For our second objective, we identified total maximum account values reported by individual filers of Financial Crimes Enforcement Network (FinCEN) Form 114s (commonly known as the Report of Foreign Bank and Financial Accounts, or FBAR) in calendar years 2015 and 2016. See appendix III for more details on our methodology to evaluate these data. We also summarized the numbers of IRS Forms 8938, Statement of Specified Foreign Financial Assets (Form 8938) filed in tax year 2016, accounting for the data limitations described below. We also identified Forms 8938 filed in tax year 2016\u2014the most recent year for which data were available\u2014with available residency and asset information that reported specified foreign financial assets with aggregate values at or below end-of-year tax thresholds, which vary depending on the location of residence and filing status of such filers.", "For our third objective, we reviewed IRS and FinCEN documentation, and applied criteria from Fragmentation, Overlap, and Duplication: An Evaluation and Management Guide to identify the extent to which IRS and FinCEN were engaged in overlapping activities, and collecting duplicative information on foreign financial assets held by U.S. persons. We assessed the extent to which individual filers who submitted a Form 8938 in 2015 and 2016 also submitted an FBAR for the same year by determining the number and percentage of Forms 8938 with TINs that also match the TIN listed on the corresponding FBAR for the same year.", "For the three objectives described above, we assessed the reliability of data submitted on Forms 8938 filed by individuals for tax years 2015 and 2016, the most recent data available. These data were extracted from IRS\u2019s Individual Return Transaction File (IRTF) and Modernized Tax Return Database (MTRDB) through IRS\u2019s Compliance Data Warehouse (CDW). We also assessed the reliability of data from FBARs for calendar years 2015 and 2016 by (1) reviewing documentation about the data and the systems that produced them; (2) conducting electronic tests, such as identifying data with significant numbers of missing Form 8938 or FBAR records, or values of foreign financial assets reported outside an expected range; (3) tracing selections or random samples of data to source documents; and (4) interviewing IRS and FinCEN officials knowledgeable about the data. We also reviewed Form 8938 and relevant parent tax return data stored in IRS databases to determine whether IRS management is using quality information collected from Forms 8938 to achieve its objectives, as defined in our Standards for Internal Control in the Federal Government. We determined that data extracted from IRTF on characteristics of Form 8938 filers and from FBAR filings was sufficiently reliable for our purposes, subject to caveats identified in this report. However, we determined we could not obtain complete data on foreign financial assets reported on Forms 8938 filed on paper.", "For our fourth objective, we reviewed model international agreements and other documentation, and interviewed officials from Treasury, IRS, and the Organisation for Economic Co-operation and Development to compare and contrast FATCA and CRS reporting requirements. We also used the collected information to identify what changes, if any, the United States and other countries could implement to align FATCA and CRS reporting requirements.", "For our fifth objective, we collected documentation and conducted focus groups and semi-structured interviews with 21 U.S. persons living abroad that were subject to FATCA reporting requirements. We also conducted focus groups and interviews with tax practitioners, banking and CPA organizations, government agencies, advocacy groups representing Americans living abroad, and other organizations from the United States and five other countries (Canada, Japan, Singapore, Switzerland, and the United Kingdom). We selected these countries based on geography, relatively high numbers of U.S. expatriates and Form 8938 filers, tax information sharing agreements, and other tax treaties with the United States. The findings from the focus groups and interviews are not generalizable to other U.S. persons, tax practitioners or organizations, but were selected to represent the viewpoints of U.S. persons, FFIs, and host country tax authorities required to transmit information on foreign accounts and other specified foreign financial assets to IRS. We conducted a thematic analysis of the focus groups and interviews, and reviewed cables from U.S. embassies to identify the unique effects of FATCA implementation on U.S. persons living abroad. We collected documentation from and interviewed Treasury, IRS, Department of State, and Social Security Administration officials on steps to monitor and mitigate such effects. We also identified criteria from our prior work on key practices to enhance and sustain interagency collaboration and mechanisms to facilitate coordination. We applied the criteria to agencies\u2019 collaborative efforts addressing issues U.S. persons living abroad faced from FATCA\u2019s implementation, and identified the extent to which agencies established effective collaborative mechanisms to identify, assess, and implement cross-agency solutions to such issues.", "We conducted this performance audit from August 2017 to April 2019 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: IRS Data Management Systems Storing Data from IRS Forms 8938 and Related Elements of Individual Tax Returns", "paragraphs": ["The following IRS databases store data collected from individuals\u2019 electronic and paper filings of Forms 8938 and/or elements of individual parent tax returns\u2014the filer\u2019s address and filing status\u2014used to determine specified reporting thresholds for Form 8938 filers: Individual Master File (IMF), which serves as IRS\u2019s system for processing individual taxpayer account data. Using this system, accounts are updated, taxes are assessed, and refunds are generated as required during each tax-filing period.", "Individual Returns Transaction File (IRTF), which stores edited, transcribed, and error-corrected data from the Form 1040 series and related forms for the current processing year and two prior years.", "Modernized Tax Return Database (MTRDB), which serves as the official repository of all electronic returns processed through IRS\u2019s Modernized e-File system. Tax return data is stored immediately after returns are processed.", "International Compliance Management Model (ICMM)-FATCA International Returns (ICMM-FIR), which collects, parses, and stores data from incoming form reports\u2013such as Forms 8938 and 8966\u2013into the FATCA Database (FDB), which serves as the repository where ICMM-FIR stores data and from which downstream applications can pull data.", "Integrated Production Model (IPM), which is a downstream data repository that houses IMF data, information returns, and other data. According to IRS officials, data from IPM are consolidated and made available to a variety of downstream, security certified, systems for use in conducive analysis, case selection, and report preparation.", "Additionally, data from these and other IRS databases are copied to IRS\u2019s Compliance Data Warehouse (CDW) periodically, which captures data from multiple production systems and organizes the data in a way that is conductive to analysis.", "Table 6 highlights several problems with the consistency and completeness of Form 8938 and relevant parent tax return data stored across the listed databases.", "Inconsistent and incomplete data on address and filing status of Form 8938 filers: As noted above, elements of parent tax returns\u2014 specifically the filer\u2019s country of residence and filing status\u2014are used to determine specified reporting thresholds for Form 8938 filers. However, IRTF and MTRDB have inconsistent and incomplete data on addresses linked to Form 8938 filers, and report inconsistent numbers of Forms 8938 filed from a U.S. residence. For example, the variable identified as containing data on foreign countries of residence in IRTF shows approximately 8,100 foreign filers in tax years 2015 and 2016, whereas a similar variable in MTRDB shows approximately 89,000 foreign filers for those same years. Additionally, FDB does not contain country codes from paper filings of Form 8938. ICCM-FIR stores information from some elements from parent tax returns\u2014such as TINs and document locator numbers. According to IRS officials, however, ICMM-FIR lacks data on country codes and filing status of Form 8938 filers. IRS officials said that ICMM-FIR was not designed or intended to store data on Form 8938 filers; rather, it was designed to be a database for use in comparing Form 8938 and 8966 data. In general, IRS officials indicated that they would like to adjust the way ICMM-FIR stores data, but that would require modifying the way the database was established.", "Incomplete data on assets reported on Forms 8938: MTRDB contains detailed information on specified foreign financial assets submitted on electronic filings of Form 8938 and the country code from which the Form 8938 was filed. IRS officials said it is not designed to store information submitted on paper filings of Forms 8938 and parent tax returns. IRS officials said that while IMF processes information transcribed from individual income tax returns, there is no requirement to cross-reference information from the tax return with information submitted with an accompanying Form 8938. Additionally, while IRS officials told us that IRTF is the authoritative source for filers of Form 8938, it does not store account and other asset information submitted from Forms 8938. When asked whether there is any move to store account and other asset information collected from Forms 8938 into IRTF, IRS officials said that the decision on what returns or portions of returns are transcribed are subject to resource constraints and are prioritized from year to year."], "subsections": []}, {"section_title": "Appendix III: Methodology and Detailed Information on 2015 and 2016 Individual FBAR Filings", "paragraphs": ["Table 7 shows that more than 900,000 individuals filed Financial Crimes Enforcement Network (FinCEN) Form 114s (commonly known as the Report of Foreign Bank and Financial Accounts, or FBAR) in calendar years 2015 and 2016, and declared total maximum values of accounts ranging from about $1.5 trillion to more than $2 trillion each year. We are providing a range of estimates because we found a large number of filings made potentially in error. In some cases, for instance, FBAR filers reported more than $100 trillion in foreign financial accounts. We assume many of these filings are likely made in error, but have only limited means to determine which filings have errors, and which filings have accurate information. Because we cannot independently verify the accuracy of all self-reported FBAR data, we decided to present a range of data with (1) a lower bound discarding all FBAR filings reporting total values of reported foreign financial accounts at or above $1 billion; and (2) an upper bound discarding all filings reporting total values of such accounts at or above $5 billion. Table 2 excludes amended and duplicated FBAR filings. This table also excludes FBAR filings that reported a financial interest in 25 or more financial accounts, but reported total maximum account values of $0 from parts II and III of the FBAR. Although we identified problems with the data, we determined they were reliable enough to provide an estimated range of asset values to report the scale of foreign financial accounts held by U.S. persons.", "Table 8 shows a detailed breakdown of 2015 and 2016 FBAR filings by residence and categories of total maximum account values reported on the FBARs."], "subsections": []}, {"section_title": "Appendix IV: Detailed Comparison of Individual Foreign Financial Asset Reporting Requirements", "paragraphs": ["Appendix IV: Detailed Comparison of Individual Foreign Financial Asset Reporting Requirements 26 U.S.C. \u00a7 6038D; 26 C.F.R. \u00a7\u00a7 1.6038D-1 to 1.6038D-8. 26 C.F.R. \u00a7 1.6038D-2. Filers in this category include those who identify as single, married filing separately, \u201chead of household,\u201d or \u201cqualifying widow(er).\u201d Includes maximum value of specified foreign financial assets (Form 8938) or maximum value of financial accounts maintained by a financial institution physically located in a foreign country (FBAR).", "Under FATCA, any income, gains, losses, deductions, credits, gross proceeds, or distributions from holding or disposing of the account are or would be required to be reported, included, or otherwise reflected on a person\u2019s income tax return. Under FBAR reporting requirements, a person has signature or other authority if he or she has the authority (alone or in conjunction with another) to control the disposition of money, funds or other assets held in a financial account by direct communication (whether in writing or otherwise) to the person with whom the financial account is maintained. The account itself is subject to reporting, but the contents of the account do not have to be separately reported."], "subsections": []}, {"section_title": "Appendix V: Key Differences between FATCA Intergovernmental Agreements and CRS", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Internal Revenue Service", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Department of the Treasury", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from the Department of State", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: GAO Contact and Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Brian James (Assistant Director), Mark Ryan (Analyst-in-Charge), Ariana Graham, George Guttman, Krista Loose, Daniel Mahoney, Cynthia Saunders, A.J. Stephens, and Elwood White made key contributions to this report. Michael John Bechetti, Ted Burik, and Jacqueline Chapin also provided assistance."], "subsections": []}]}], "fastfact": ["How does the government prevent tax dodgers from hiding income in offshore accounts?", "A 2010 law requires Americans and foreign banks to report more information to IRS about Americans' foreign assets. Implementing the law, however, has raised some concerns.", "For example, close to 75% of taxpayers reporting foreign assets to IRS also reported them separately to Treasury\u2014indicating potential unnecessary duplication.", "Also, some Americans living abroad can't get services from foreign banks that find the law too burdensome.", "Our recommendations to Congress, Treasury, and other agencies address challenges related to foreign asset reporting."]} {"id": "GAO-18-466", "url": "https://www.gao.gov/products/GAO-18-466", "title": "Cybersecurity Workforce: Agencies Need to Improve Baseline Assessments and Procedures for Coding Positions", "published_date": "2018-06-14T00:00:00", "released_date": "2018-06-14T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["A key component of mitigating and responding to cyber threats is having a qualified, well-trained cybersecurity workforce. The Federal Cybersecurity Workforce Assessment Act of 2015 requires OPM and federal agencies to take several actions related to cybersecurity workforce planning.", "GAO is to monitor agencies' progress in implementing the act's requirements. For this report, GAO assessed whether: (1) OPM developed a coding structure and procedures for assigning codes to cybersecurity positions and submitted a progress report to Congress; (2) CFO Act agencies submitted complete, reliable baseline assessments of their cybersecurity workforces; and (3) CFO Act agencies established procedures to assign codes to cybersecurity positions. GAO examined OPM's coding procedures and progress report on the act's implementation, and baseline assessments and coding procedures from the 24 CFO Act agencies. GAO also interviewed relevant OPM and agency officials about efforts to address the act's requirements."]}, {"section_title": "What GAO Found", "paragraphs": ["As required by the Federal Cybersecurity Workforce Assessment Act of 2015 (act), the Office of Personnel Management (OPM) developed a cybersecurity coding structure under the National Initiative for Cybersecurity Education (NICE) as well as procedures for assigning codes to federal civilian cybersecurity positions. However, OPM issued the coding structure and procedures 5 and 4 months later than the act's deadlines because OPM was working with the National Institute of Standards and Technology (NIST) to align the structure and procedures with the draft NICE Cybersecurity Workforce Framework , which NIST issued later than planned. OPM also submitted a progress report to Congress on the implementation of the act 1 month after it was due. The delays in issuing the coding structure and procedures have extended the expected time frames for implementing subsequent provisions of the act.", "Most of the 24 agencies covered by the Chief Financial Officers (CFO) Act submitted baseline assessment reports to Congress but the results may not be reliable. As of March 2018, 21 of the 24 CFO Act agencies had conducted baseline assessments identifying the extent to which their cybersecurity employees held professional certifications and had submitted the assessment reports to Congress as required by the act. Three agencies had not conducted the assessments for various reasons, such as a lack of resources and tools to do so. Of the 21 agencies that did, 4 did not address all of the reportable information, such as the extent to which personnel without professional certifications were ready to obtain them or strategies for mitigating any gaps. Additionally, agencies were limited in their ability to obtain complete or consistent information about their cybersecurity employees and the certifications they held. This was because agencies had not yet fully identified all members of their cybersecurity workforces or did not have a consistent list of appropriate certifications for cybersecurity positions. As a result, the agencies had limited assurance that their assessment results accurately reflected all relevant employees or the extent to which those employees held appropriate certifications. This diminishes the usefulness of the assessments in determining the certification and training needs of these agencies' cybersecurity employees.", "Most of the 24 CFO Act agencies established coding procedures, but 6 agencies only partially addressed certain activities required by OPM in their procedures. Of the 24 agencies reviewed, 23 had established procedures to identify their civilian cybersecurity positions and assign the appropriate employment codes to the positions as called for by the act. However, 6 of the 23 agencies did not address one or more of 7 activities required by OPM in their procedures, such as the activities to review all filled and vacant positions and annotate reviewed position descriptions with the appropriate employment code. These 6 agencies cited a variety of reasons for not addressing all of the required activities in their coding procedures. For example, these agencies stated that they addressed the activities in existing guidance or did not include activities that their components did not have the responsibility to perform. By not addressing all of the required activities in their coding procedures, the 6 agencies lack assurance that the activities will be performed or performed consistently throughout their agency."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making 30 recommendations to 13 agencies to fully implement two of the act's requirements on baseline assessments and coding procedures. Of the 12 agencies to which we made recommendations that provided comments on the report, 7 agreed with the recommendations made to them, 4 did not state whether they agreed or disagreed, and 1 did not agree with one of two recommendations made to it. GAO continues to believe that the recommendation is valid as discussed in this report."]}], "report": [{"section_title": "Letter", "paragraphs": ["The security of federal information systems and data is vital to public confidence and the nation\u2019s safety, prosperity, and well-being. However, the federal government faces an ever-evolving array of cyber-based threats to its systems and information. Further, federal systems and networks are inherently at risk because of their complexity, technological diversity, and geographic dispersion, among other reasons.", "A key component of the government\u2019s ability to mitigate and respond to cyber threats is having a qualified, well-trained cybersecurity workforce. Cybersecurity professionals can help to prevent or mitigate the vulnerabilities that could allow malicious individuals and groups access to federal information technology (IT) systems. The ability to secure federal IT systems depends on the knowledge, skills, and abilities of the federal workforce that uses, implements, secures, and maintains these systems. This includes federal employees who use the systems in the course of their work, as well as the designers, developers, programmers, and administrators of the programs and systems.", "We and other organizations previously have reported that agencies faced challenges in ensuring that they have an effective cybersecurity workforce. In 1997, we designated the security of federal information systems as a government-wide high-risk area and cited the shortage of information security personnel with technical expertise required to manage controls in these systems. In 2001, we added strategic human capital management to our high-risk list. In our 2017 update to the high- risk list, we reported that the federal government continues to be challenged in addressing mission critical skills gaps, including cybersecurity skills gaps.", "To address these and other challenges, the Federal Cybersecurity Workforce Assessment Act of 2015 requires the Office of Personnel Management (OPM), the National Institute of Standards and Technology (NIST), and other federal agencies to take several actions related to cybersecurity workforce planning. Among other things, the act requires:", "OPM, in coordination with NIST, to develop an employment coding structure for cybersecurity positions.", "OPM, in coordination with NIST, the Department of Homeland Security (DHS), and the Office of the Director of National Intelligence (ODNI), to establish procedures to implement the coding structure for civilian cybersecurity positions.", "OPM to submit a progress report on the implementation of the act to the appropriate congressional committees.", "Agencies to report on the baseline assessments of their existing cybersecurity workforces and establish procedures for identifying cybersecurity positions and assigning codes to such positions.", "The Federal Cybersecurity Workforce Assessment Act of 2015 also includes a provision calling for us to analyze and monitor agencies\u2019 implementation of the act\u2019s requirements and report on this assessment to Congress no later than December 2018. Our objectives for this first report were to determine whether (1) OPM developed a coding structure and procedures for assigning codes to cybersecurity positions and submitted a progress report to Congress, (2) Chief Financial Officers (CFO) Act agencies submitted complete and reliable baseline assessment reports of their cybersecurity workforces, and (3) CFO Act agencies established procedures to identify and assign codes to cybersecurity positions.", "To address the first objective, we examined OPM guidance, memorandums, and reports to assess whether OPM had developed a coding structure and procedures for assigning codes to all federal civilian cybersecurity positions and submitted a progress report to Congress on the implementation of the act. We also interviewed OPM and NIST officials about their efforts to develop these documents and the reasons for any delays.", "To address the second objective, we reviewed and compared the contents of the 24 CFO Act agencies\u2019 baseline assessment reports to the reporting requirements defined in the act. We also interviewed cognizant officials at the 24 agencies to (1) identify the process by which agencies collected and reported baseline assessment information on the certifications held by their cybersecurity personnel and (2) obtain their views on the reliability of the information reported in their agency\u2019s baseline assessment.", "To address the third objective, we assessed the completeness of the 24 agencies\u2019 procedures for identifying and assigning codes to cybersecurity positions by determining whether the procedures addressed the required coding activities defined in OPM guidance. We also compared the issuance date of the procedures to the deadline established in OPM\u2019s coding guidance for agencies to issue the procedures, and interviewed agency officials about their efforts to complete the procedures by the required deadline and the reasons for any delays. A more complete description of our objectives, scope, and methodology is provided in appendix I.", "We conducted this performance audit from October 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Federal agencies and our nation\u2019s critical infrastructures\u2014such as energy, transportation systems, communications, and financial services\u2014 are dependent on computerized (cyber) information systems and electronic data to carry out operations and to process, maintain, and report essential information. The information systems and networks that support federal operations are highly complex and dynamic, technologically diverse, and often geographically dispersed. This complexity increases the difficulty in identifying, managing, and protecting the myriad of operating systems, applications, and devices comprising the systems and networks.", "Cybersecurity professionals can help to prevent or mitigate the vulnerabilities that could allow malicious individuals and groups access to federal IT systems. The ability to secure federal systems depends on the knowledge, skills, and abilities of the federal and contractor workforce that uses, implements, secures, and maintains these systems.", "Nevertheless, the Office of Management and Budget (OMB) has noted that the federal government and private industry face a persistent shortage of cybersecurity and IT talent to implement and oversee information security protections to combat cyber threats. In addition, the RAND Corporation and the Partnership for Public Service have reported that there is a nationwide shortage of cybersecurity experts, in particular, in the federal government. According to these reports, this shortage of cybersecurity professionals makes securing the nation\u2019s networks more challenging and may leave federal IT systems vulnerable to malicious attacks. The persistent shortage of cyber-related talent has given rise to efforts to identify and assess the federal cybersecurity workforce."], "subsections": [{"section_title": "The National Initiative for Cybersecurity Education (NICE) Created a Framework for Defining Cybersecurity Workforce Positions", "paragraphs": ["NICE, led by NIST, is a partnership among government, academia, and the private sector focused on cybersecurity education, training, and workforce development. The mission of NICE is to energize and promote a robust network and an ecosystem of cybersecurity education, training, and workforce development. NICE fulfills this mission by coordinating with government, academic, and industry partners to build on existing successful programs, facilitate change and innovation, and bring leadership and vision to increase the number of skilled cybersecurity professionals that are helping to keep our nation secure. NICE issued an initial draft of the National Cybersecurity Workforce Framework (National Framework) for public comment in September 2011 and the final version 1.0 in April 2013. The National Framework was intended to help identify, describe, and assess all cybersecurity roles within an organization. The National Framework organized cybersecurity job functions into 7 categories and 31 specialty areas:", "Category: a high-level grouping of common cybersecurity functions.", "Categories group together work and workers that share common major functions, regardless of job titles or other occupational terms.", "Specialty area: an area of concentrated work, or function, within cybersecurity and related work. Related specialty areas are grouped together into categories. In version 1.0 of the National Framework, each specialty area was also associated with a distinct set of cybersecurity related tasks and knowledges, skills, and abilities.", "In November 2016, NIST issued draft special publication 800-181 which revised and replaced earlier versions of the National Framework. The draft was co-authored by NIST, DOD, and DHS and was renamed the NICE Cybersecurity Workforce Framework (NICE Framework). In August 2017, NIST published the final version of the special publication.", "The NICE Framework is intended to help the federal government better identify cybersecurity workforce needs by enabling agencies to examine specific cybersecurity work roles, and identify personnel skills gaps, rather than merely examine the number of vacancies by job series. The NICE Framework added 2 additional specialty areas within the 7 categories. Figure 1 identifies the 7 categories and the 33 specialty areas in the NICE Framework.", "The NICE Framework also introduced the concept of work roles as the third component of cybersecurity job functions. Work roles provide a more detailed description of the roles and responsibilities of cybersecurity job functions than do the category and specialty area components of the NICE Framework. The NICE Framework defines one or more work roles within each specialty area. For example, as depicted in figure 2, the NICE Framework defined 11 work roles within the 7 specialty areas in the \u201cSecurely Provision\u201d category."], "subsections": []}, {"section_title": "OPM Has Led Several Efforts to Assess the Federal Cybersecurity Workforce", "paragraphs": ["In October 2012, in coordination with a NICE interagency working group, OPM published a cybersecurity employment coding structure that aligned with the initial draft version of the National Cybersecurity Workforce Framework. The coding structure assigned a unique 2-digit cybersecurity employment code to each category and specialty area in the NICE Framework. According to OPM, the coding of federal positions with cybersecurity functions was intended to enhance agencies\u2019 ability to identify critical cybersecurity workforce needs, recruit and hire employees with needed skills, and provide appropriate training and development opportunities to cybersecurity employees.", "In July 2013, OPM initiated the Special Cybersecurity Workforce Project to support federal efforts to reduce the cybersecurity workforce skills gaps across agencies. Agencies were to use the definitions of cybersecurity work, as described in the National Cybersecurity Workforce Framework, along with OPM\u2019s cybersecurity coding structure, to code positions performing cybersecurity work by the end of fiscal year 2014. The project was intended to enable agencies to identify and address their needs for cybersecurity skill sets to meet their missions.", "In July 2016, OPM and the Office of Management and Budget (OMB) issued the Federal Cybersecurity Workforce Strategy. The strategy details government-wide actions to identify, expand, recruit, develop, retain, and sustain a capable and competent workforce in key functional areas to address complex and ever-evolving cyber threats. The strategy identifies a number of actions intended to address cybersecurity workforce challenges in: (1) identifying cybersecurity workforce needs, (2) expanding the cybersecurity workforce through education and training, (3) recruiting and hiring highly skilled talent, and (4) retaining and developing highly skilled talent.", "The strategy states that OPM is to expand cybersecurity position coding and agencies are to conduct strategic workforce planning. These actions are related to the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015, under which OPM is to establish an employment coding structure and agencies are to identify and report on cybersecurity workforce critical needs.", "Figure 3 depicts a timeline of recent efforts to assess the federal cybersecurity workforce."], "subsections": []}]}, {"section_title": "OPM Issued a Cybersecurity Position Coding Structure, Procedures, and Progress Report Later Than the Deadlines Established in the Act OPM Developed a 3-digit Cybersecurity Coding Structure", "paragraphs": ["As required by the Federal Cybersecurity Workforce Assessment Act of 2015, OPM developed a cybersecurity coding structure under NICE, issued guidance to implement the coding structure to identify all federal civilian cybersecurity positions, and provided a progress report to Congress on the implementation of the act. However, the coding structure and procedures were issued later than the act\u2019s deadlines because OPM was working with the National Institute of Standards and Technology (NIST) to align the structure and procedures with the draft version of the NICE Cybersecurity Workforce Framework, which NIST issued later than planned. The delays in issuing the coding structure and procedures have extended the expected time frames for implementing subsequent provisions of the act.", "The Federal Cybersecurity Workforce Assessment Act of 2015 (the act) required OPM, in coordination with NIST, to develop a cybersecurity coding structure by June 15, 2016.", "OPM addressed this requirement by developing a 3-digit cybersecurity employment coding structure that fully aligns with the NICE Cybersecurity Workforce Framework. OPM issued version 1 of the coding structure on November 15, 2016, 5 months after the deadline established in the act.", "The coding structure assigns a unique 3-digit cybersecurity employment code to each work role outlined in the draft version of the NICE Cybersecurity Workforce Framework. Table 1 presents an example of the 3-digit employment codes associated with one category\u2014\u201dSecurely Provision\u201d\u2014and its component specialty areas and work roles.", "Although the act had called for the coding structure to be established by June 15, 2016, OPM officials explained that the coding structure was issued 5 months later than the established deadline because the structure was to be aligned with the NICE Cybersecurity Workforce Framework. However, the draft version of the NICE Framework was not issued until November 2, 2016.", "According to NIST officials, the issuance of the draft NICE Framework was delayed because some of the knowledge, skills, and abilities (KSA) and task statements that had been originally developed by the intelligence community were marked as sensitive. NIST delayed publication of the draft NICE Framework until officials in the intelligence community had removed any sensitivity designations on the KSAs and task statements."], "subsections": [{"section_title": "OPM Developed Government-wide Procedures for Assigning Codes to Civilian Cybersecurity Positions", "paragraphs": ["The act required OPM, in coordination with NIST, DHS, and ODNI to establish procedures to assist agencies in implementing the cybersecurity coding structure. OPM was to develop the procedures no later than September 18, 2016.", "In accordance with this requirement, OPM coordinated with NIST, DHS, and ODNI to develop its Guidance for Assigning New Cybersecurity Codes to Positions with Information Technology, Cybersecurity, and Cyber-Related Functions. The guidance provides instructions on how agencies are to assign the 3-digit cybersecurity employment codes to filled and vacant positions, including required activities for identifying and assigning codes to cybersecurity positions. The guidance also referenced additional updates and guidance that were to be posted on OMB\u2019s MAX website.", "OPM posted the guidance on the Chief Human Capital Officers Council website on January 4, 2017, 4 months after the deadline established in the act. OPM officials said they delayed issuance of the guidance so that it could be released in coordination with the cybersecurity coding structure, which was dependent on the release of the draft NICE Framework."], "subsections": []}, {"section_title": "OPM Submitted a Progress Report to Congress", "paragraphs": ["The act required OPM to report on the progress of agencies\u2019 implementation of the act\u2019s requirements, as well as OPM\u2019s efforts to develop a coding structure and government-wide coding procedures. OPM was to submit the progress report to the appropriate congressional committees no later than June 15, 2016.", "OPM prepared and submitted its progress report to the congressional committees identified in the act on July 12, 2016, about 1 month after the act\u2019s deadline. Among other things, the report stated the following:", "OPM was coordinating closely with NICE to revise the cybersecurity coding structure to align with the latest version of the NICE Framework, which was scheduled to be finalized in September 2016.", "OPM had begun an education campaign to inform the federal community of the act and its requirements and was collaborating with stakeholders and interagency partners on ideas for how to implement the requirements of the act.", "An official in OPM\u2019s Employee Services division stated that OPM was delayed in completing and submitting the report to congressional committees due to the agency\u2019s internal review process."], "subsections": []}, {"section_title": "OPM\u2019s Delays in Completing Required Activities Have Resulted in Later Implementation of Other Provisions of the Act", "paragraphs": ["Because the deadlines for agencies to implement certain provisions of the act are contingent on the completion of earlier activities, delays by OPM in issuing the revised cybersecurity coding structure and the government- wide coding procedures have extended the due dates for agencies to implement other provisions of the act by about 4 months. Specifically:", "The act required agencies to establish procedures for identifying all IT or cybersecurity positions and for assigning the appropriate employment code to each position no later than 3 months after OPM issued the government-wide coding procedures. If OPM had issued the coding procedures by September 2016 as the act required, agencies would have been required to establish their coding procedures by December 2016. However, because OPM did not issue the government-wide procedures until January 2017, agencies did not have to develop their coding procedures until April 2017.", "Similarly, agencies were to assign employment codes to all of their cybersecurity positions no later than 1 year after establishing their coding procedures. Had agencies been required to establish their procedures by December 2016, they would have been required to assign the employment codes by December 2017. However, because they did not have to develop coding procedures until April 2017, they were therefore required to complete the assignment of employment codes by April 2018.", "Further, agencies are required to identify and report on cybersecurity work roles of critical need beginning 1 year after the employment codes are assigned. If agencies had been required to assign employment codes by December 2017, they would have to begin reporting on their critical needs by December 2018. However, because they did not have to complete the assignment of employment codes until April 2018, they are therefore required to identify and begin reporting on critical needs by April 2019.", "Figure 4 depicts the delays in earlier activities which can result or have resulted in later implementation of subsequent provisions of the act."], "subsections": []}]}, {"section_title": "Most CFO Act Agencies Submitted Baseline Assessments, but the Results May Not Be Reliable", "paragraphs": ["Most of the 24 CFO Act agencies conducted baseline assessments identifying the extent to which their cybersecurity employees held certifications and submitted them to Congress as required by the act. However, 3 agencies did not complete the assessments for various reasons, such as a lack of resources and tools to do so. Further, of the 21 agencies that did complete the assessments, 4 agencies did not address all of the reportable information, such as the extent to which personnel without certifications were ready to obtain them or strategies for mitigating any gaps. In addition, the assessments conducted by the 21 agencies did not contain complete, comprehensive, or consistent information on the certifications held by agencies\u2019 cybersecurity employees due to limitations in the ability of the agencies to collect the needed information. As a result, the information collected and reported by most agencies about the certifications held by agency cybersecurity personnel may be of limited value for assessing the credentials and qualifications of their cybersecurity workforces."], "subsections": [{"section_title": "Most CFO Agencies Conducted Baseline Assessments but Several Agencies Did Not Include All Reportable Information", "paragraphs": ["The Federal Cybersecurity Workforce Assessment Act of 2015 required agencies to prepare baseline assessment reports identifying the extent to which their cybersecurity workforces held industry-recognized certifications as identified under NICE. OPM\u2019s August 2016 memorandum on the requirements and time frames of the act further stated that agencies were to report the results of the assessments to the appropriate congressional committees of jurisdiction by December 2016.", "In the absence of a NICE-defined list of appropriate industry-recognized certifications, 21 of the 24 agencies covered by the CFO Act had conducted baseline assessments of the certifications held by their cybersecurity workforces and submitted the baseline assessment reports to Congress as of March 2018. Table 2 shows the status of the agencies\u2019 submissions of the baseline assessments as of March 2018.", "Three agencies did not conduct baseline assessments: Instead of conducting a baseline assessment as called for by the act, DHS submitted its 2016 Comprehensive Cybersecurity Workforce Update to Congress in March 2017. However, this report did not include a baseline assessment of the department\u2019s workforce as called for by the act. The report noted that DHS\u2019s Office of the Chief Human Capital Officer lacked the ability to view or easily produce consolidated reports on employee certifications from all DHS components, and lacked consistent and detailed information about the readiness of additional employees to complete certification exams and specific certifications identified by components as being required for success in their positions. The report further noted that the department was working with cybersecurity subject matter experts from each component to revalidate the certifications most important to the work of their organizations and to organize the information according to the NICE Framework.", "The Department of Housing and Urban Development (HUD) prepared an assessment of IT specialist skills, but did not conduct a baseline assessment that identified the extent to which its cybersecurity workforce held industry-recognized certifications. Officials in HUD\u2019s Office of the Chief Information Officer (CIO) and Office of the Chief Human Capital Officer stated that the department intends to conduct a workforce assessment of its cybersecurity employees. The officials did not provide a time frame for when the assessment would be conducted.", "The CIO and Chief Human Capital Officer of the Small Business Administration (SBA) stated that the agency has been unable to complete a baseline assessment due to resource constraints. The officials added that the agency intends to conduct workforce planning efforts in the future. However, they did not provide a time frame for when the assessment would be conducted.", "By not conducting baseline assessments, DHS, HUD, and SBA lack valuable information about the knowledge and skills of their cybersecurity employees. This lack of information limits the agencies\u2019 ability to effectively gauge the competency of individuals who are charged with ensuring the confidentiality, integrity, and availability of federal information and information systems. Additionally, by not conducting or reporting on the assessment, the agencies have not provided Congress the information it required in the act regarding existing credentials and certifications of personnel with information technology, cybersecurity, or other cyber-related job functions."], "subsections": [{"section_title": "Not All Agencies That Prepared Baseline Assessment Reports Addressed Reportable Information", "paragraphs": ["The act required agencies\u2019 baseline assessment reports to identify the following: the percentage of personnel with cybersecurity job functions who held the appropriate industry-recognized certifications as identified under NICE; the level of preparedness of cybersecurity personnel without existing credentials to take certification exams; and a strategy for mitigating any gaps in (1) personnel holding industry- recognized certifications and (2) the preparedness of personnel without existing credentials to take certification exams.", "In September 2016, OPM provided a template that agencies could use in reporting on their baseline assessments. Using the template, agencies could report on the number and percentage of surveyed staff with current certifications and the number and percentage of staff without such certifications that were planning to obtain them within the next year. Human resource strategists and program management officials in OPM\u2019s Employee Services division stated that the template was a guide to help agencies with the reporting process; however, agencies were not required to use the template or report their results in the format described in the template.", "The 21 CFO agencies that prepared baseline assessment reports did not always address the reportable information in their baseline assessments. Specifically, of the 21 assessments that the CFO agencies had prepared, all of the assessments included information on the percentage of cybersecurity personnel holding certifications; 17 assessments discussed the level of preparedness for personnel without certifications to take certification exams; and 20 included strategies for mitigating certification gaps. Table 3 shows the extent to which the 21 agencies\u2019 assessments reported this information.", "Moreover, 4 of the 21 agencies did not address all reportable information in their baseline assessments. Specifically:", "The Department of Commerce did not assess and did not report information on (1) the level of preparedness for personnel who did not hold certifications to take certification exams or (2) strategies for mitigating gaps. Officials in Commerce\u2019s Office of Human Resources Management and Office of the CIO stated that information on the level of preparedness and gaps was not readily available because they have not fully identified and coded the department\u2019s cybersecurity workforce, and there is no federal requirement for cybersecurity personnel to hold certifications. The officials stated that they did not have the time or resources to assess these reporting requirements.", "Officials in the Department of Energy\u2019s Office of the Chief Human Capital Officer stated that they did not assess the level of preparedness for personnel without certifications to take certification exams because the department does not require its cybersecurity personnel to hold certifications. As a result, they did not have criteria for identifying personnel who are prepared to take certification exams.", "According to the Department of the Interior\u2019s Principal Deputy Assistant Secretary for Policy, Management, and Budget, the department did not assess the level of preparedness for personnel without certifications to take certification exams because neither OPM nor the department currently requires certifications for these cybersecurity positions. However, the department's Office of Human Resources and Office of the Chief Information Officer are exploring options to determine the level of preparedness across its IT workforce.", "According to the National Aeronautics and Space Administration\u2019s (NASA) baseline assessment report, the agency did not assess the level of preparedness for personnel without certifications to take certification exams because the agency does not require its cybersecurity personnel to maintain certifications. The agency did not know how many of its personnel were planning to seek certifications on their own.", "Data regarding the number of cybersecurity employees that hold certifications and the level of preparedness of personnel without certifications can be a useful indicator of the skills and knowledge of an agency\u2019s cybersecurity workforce. In addition, strategies for addressing gaps can help an agency increase the skills and knowledge of its cybersecurity workforce. By not including all reportable information in the assessments, these four agencies may lack valuable information that could help them identify and meet the certification and training needs of their cybersecurity employees who are charged with protecting federal information and information systems from cyberattacks. However, as discussed later in this report, the absence of NICE identified appropriate industry-recognized certifications may have also contributed to uncertainty for agencies in their efforts to comply with the requirements of the act."], "subsections": []}]}, {"section_title": "Limitations in Agency Baseline Assessments Raise Concerns About the Reliability of Information about Certifications Held by Agencies\u2019 Cybersecurity Employees", "paragraphs": ["Limitations in the 21 agencies\u2019 baseline assessments raise concerns about the reliability of the assessments, thus constraining the conclusions that can be drawn from their results about the federal cybersecurity workforce\u2019s certifications. The 21 agencies in our review that conducted assessments were not able to collect complete, comprehensive, or consistent information about the certifications held by their cybersecurity workforces for various reasons. As a result, these agencies had limited assurance that the certification information contained in their baseline assessment reports was reliable, thereby diminishing the usefulness of the assessments in determining the certification and training needs of their cybersecurity employees."], "subsections": [{"section_title": "Agencies Were Required to Assess Cyber Employees\u2019 Certifications before They Had Fully Defined Their Cybersecurity Workforces", "paragraphs": ["As previously noted, OPM\u2019s August 2016 memorandum on the requirements of the act stated that, agencies were to report their baseline assessments to Congress by December 2016. However, according to OPM\u2019s January 2017 coding guidance, agencies were not required to complete the assignment of the appropriate 3-digit employment codes to each position until April 2018. Consequently, agencies were required to submit their reports on the percentage of personnel performing cybersecurity functions who possessed certifications before the agencies had identified all members of their cybersecurity workforce and assigned the 3-digit cybersecurity employment codes to each position.", "Because the agencies had not yet fully defined their cybersecurity workforces using the NICE Framework and the 3-digit coding structure, the 21 agencies in our review that prepared assessments did not use consistent criteria to define the population of personnel with cybersecurity job functions that were included in their baseline assessments. Examples of the criteria that these agencies used to define the target populations for their assessments included: cybersecurity employees who had been coded with the 2-digit cybersecurity employment codes during the 2013 Special Cybersecurity Workforce Project; employees within certain occupational series, such as the 2210 Information Technology Management series; personnel within certain roles or organizations, such as the Office of Information Security or the Office of the CIO; or personnel who performed cybersecurity duties for a defined percentage of the time.", "As a result of not having fully defined their cybersecurity workforces prior to conducting their baseline assessments, the agencies have limited assurance that their baseline assessments reflected all relevant agency positions or personnel performing cybersecurity functions as defined by the NICE Framework."], "subsections": []}, {"section_title": "Agencies Were Not Always Able to Obtain Certification Information from All Relevant Employees", "paragraphs": ["Several agencies reported that they were not able to obtain information on certifications from all of the employees they surveyed when conducting their baseline assessments. Specifically, 6 of the 21 agencies that prepared assessments reported response rates of between 15 and 42 percent to their surveys or data calls to employees for such information. Also, officials from two agencies told us that employees\u2019 responses to their information requests were voluntary due to union and legal concerns. As a result, these agencies have limited assurance that their baseline assessment reports conveyed comprehensive information about all agency cybersecurity personnel and the certifications that they held because of the limited response from employees."], "subsections": []}, {"section_title": "NICE Had Not Defined Appropriate Industry- Recognized Certifications", "paragraphs": ["Although the act required agencies to report on the percentage of personnel who held appropriate industry-recognized certifications as identified under NICE, NICE had not defined such a list of certifications as of the agencies\u2019 reporting deadline of December 2016. In August 2017, a NICE official told us that the organization did not believe it was appropriate for NICE, which is led by NIST, to identify industry appropriate certifications because doing so may be perceived as endorsing certain private certifications over other certifications. Currently, the NICE website describes an effort under a NICE working group\u2014which includes representatives from government, academia, and the private sector\u2014to map industry-recognized certifications to work roles based on the updated NICE Framework. However, this effort has not yet been completed. According to NICE officials, the mapping of certifications to the NICE Framework is expected to be completed by November 2018.", "In the absence of a defined list of industry-recognized certifications, the agencies in our review developed their own approaches for determining the certifications on which they based their assessments. Examples of agencies\u2019 approaches included: asking that cybersecurity staff provide input on any or all certifications using a list of certifications developed by the DHS National Initiative for Cybersecurity Careers and Studies, which was referenced in OPM\u2019s reporting template; using certifications identified in the Department of Defense\u2019s (DOD)", "Information Assurance Workforce Improvement Program; or having the agency Office of the CIO or cybersecurity workforce- planning workgroup identify certifications to include in the assessment.", "Because the baseline assessments were not based on a defined list of certifications, there is limited assurance that the assessments consistently or accurately conveyed the extent to which federal cybersecurity professionals held industry-recognized certifications that are appropriate for their job functions."], "subsections": []}, {"section_title": "Most Agencies Did Not Require Cybersecurity Personnel to Hold Certifications", "paragraphs": ["In addition, no government-wide requirement exists for cybersecurity personnel to hold certifications, and most of the agencies in our review did not require certifications. Specifically:", "Although OPM guidance states that agencies may use certifications as a selective factor for some positions where specific qualifications are required, no government-wide requirement exists for positions performing cybersecurity related functions to hold certifications.", "Most agencies did not require IT or cybersecurity personnel to hold certifications. Only 6 of the 24 agencies reported that they had requirements for personnel to hold an industry-recognized certification, while only one agency\u2014DOD\u2014required certifications for all cybersecurity positions.", "As a result, the information collected by most agencies about the certifications held by agency cybersecurity personnel may be of limited value for assessing the qualifications and skills of their cybersecurity workforces."], "subsections": []}]}]}, {"section_title": "Most CFO Act Agencies Established Coding Procedures, but Six Agencies\u2019 Procedures Only Partially Addressed Activities Required by OPM", "paragraphs": ["Almost all of the CFO Act agencies established procedures to identify all of their civilian positions and assign the appropriate cybersecurity employment codes to the positions as called for by the act. However, 6 agencies\u2019 procedures did not fully address 1 or more of 7 activities required by OPM, such as the activities to review all encumbered and vacant positions and annotate reviewed position descriptions with the appropriate employment code. Additionally, DOD did not establish procedures for coding noncivilian cybersecurity positions. By not developing coding procedures that address all of the required activities in their procedures, these agencies may not have reasonable assurance that they will fully realize the benefits of (1) comprehensively identifying the cybersecurity workforce, and (2) applying the employment codes to meet the intended goal of defining the workforce and helping to address critical mission needs."], "subsections": [{"section_title": "Most Agencies Established Coding Procedures as Required by the Act", "paragraphs": ["The act required agencies to establish procedures for identifying cybersecurity positions and assigning employment codes to each position. In January 2017, OPM issued a memorandum that required agencies to establish their coding procedures by April 2017. The memorandum also required agencies to perform a number of activities to identify and assign codes to cybersecurity positions. Among others, the memorandum stated that agencies were to: use the updated cybersecurity coding structure to find the appropriate cybersecurity employment code(s); identify encumbered and vacant positions with cybersecurity functions; have their CIO staff, managers, and human resources (HR) and classification staff work together to identify cybersecurity positions; annotate reviewed position descriptions with the appropriate employment code(s); account for the fact that cybersecurity positions will extend beyond the Information Technology Management 2210 (GS-2210) occupational series; assign code \u201c000\u201d to positions that do not perform cybersecurity assign up to three employment codes to each position, in the order of the level of criticality.", "Most of the agencies in our review had established coding procedures. Specifically, of the 24 CFO Act agencies, 23 had established procedures. Fourteen of these 23 agencies established their procedures by April 2017 as OPM required, while the remaining 9 agencies established their procedures by March 2018.", "Officials from the 9 agencies that did not complete their procedures by April 2017 gave several reasons for their late development or completion of the procedures. For example:", "General Services Administration officials said that the procedures were delayed due to their internal review processes.", "DOD officials said that the procedures were delayed because of the size and complexity of the processes required to identify and code the large number of civilian cybersecurity positions across the department, and because of the length and complexity of the department\u2019s policy review processes.", "In October 2017, an official in DHS\u2019s Office of the Chief Human Capital Officer stated that the department did not plan to develop procedures until the National Finance Center (NFC) payroll systems were updated to accept the 3-digit cybersecurity codes. The NFC systems were updated to accept the new codes in December 2017, and DHS issued its procedures in March 2018.", "One agency\u2014the Department of Energy\u2014had not established coding procedures:", "An official in the Department of Energy\u2019s Office of the Chief Human Capital Officer stated that, because responsibility for IT is not centralized under the department-level CIO organization (but rather, is distributed throughout the component agencies), the official had not determined who had the authority to issue coding procedures for the entire department. By not establishing coding procedures, the Department of Energy faces increased risk that it will not fully identify its cybersecurity workforce or assign the appropriate employment codes to each position, limiting its ability to identify cybersecurity skills gaps or work roles of critical need."], "subsections": []}, {"section_title": "Agency Procedures Did Not Always Address Required Coding Activities", "paragraphs": ["The agencies that developed coding procedures generally, but did not always, address the seven required activities that we reviewed in their procedures. Specifically, 17 of the 23 agencies that developed procedures addressed all 7 activities in their procedures, while the remaining 6 agencies partially addressed or did not address 1 or more of the 7 activities. Table 4 describes the extent to which agency procedures addressed the activities required by OPM.", "The six agencies that did not address all activities required by OPM cited a variety of reasons for not including them in their coding procedures. For example:", "An official in the Department of Education\u2019s Office of Human Resources explained that it was not necessary for the coding procedures that were provided to each component to address assigning code \u201c000\u201d to noncybersecurity positions because the Office of Human Resources would assign the \u201c000\u201d code to any position that did not have an assigned code.", "An official from the National Science Foundation\u2019s Division of Human Resources Management stated that not addressing all activities may have been an oversight by the agency.", "Officials in NASA\u2019s Office of Human Capital Management and its Office of the CIO said they felt that it was unnecessary to address assigning code \u201c000\u201d to noncybersecurity positions in the agency\u2019s coding procedures because the agencies\u2019 existing guidance for assigning the old 2-digit codes specified that such positions should be coded with \u201c00.\u201d", "By not addressing all of the activities required by OPM in their procedures, these 6 agencies lack assurance that the activities will be performed or performed consistently throughout their organizations."], "subsections": []}, {"section_title": "DOD Did Not Establish Coding Procedures for Noncivilian Cybersecurity Positions", "paragraphs": ["In addition to developing procedures for civilian positions, the act required DOD to establish government-wide procedures for identifying and assigning employment codes to noncivilian (i.e., military) positions with cybersecurity job functions by June 2017. The act also required DOD to establish its internal departmental procedures for military positions by September 30, 2017.", "According to officials in the department\u2019s Office of the CIO and Office of the Chief Human Capital Officer, the only military personnel not currently within DOD are in the Coast Guard (which resides within DHS). Therefore, the department planned to fulfill its requirements to establish government-wide procedures and internal departmental procedures for identifying and coding military positions by establishing a single consolidated procedure. The officials added that the consolidated procedure is to include procedures for DHS to implement the coding structure for uniformed Coast Guard personnel along with the internal DOD procedures.", "However, as of February 2018, DOD had not finalized its consolidated coding procedures. An official in the department\u2019s Office of the CIO in February 2018 stated that, because the military services use multiple Human Resources systems that all have to be updated to accommodate the cybersecurity employment codes, the office was working with each of the military services on guidance to meet the act\u2019s deadlines while the services develop implementation plans for updating their human resources systems. Until DOD establishes both government-wide and DOD-specific procedures for identifying and coding noncivilian cybersecurity positions, increased risk exists that DOD and DHS will not be able to identify and code all positions in their noncivilian cybersecurity workforce, limiting the departments\u2019 ability to identify cybersecurity skills gaps or work roles of critical need in their noncivilian cybersecurity workforce."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["To implement the objectives of the Federal Cybersecurity Workforce Assessment Act of 2015, OPM and NIST, although delayed, have revised the coding structure and cybersecurity workforce framework, and developed coding procedures to support the identification and assignment of codes to federal cybersecurity positions. In addition, most CFO Act agencies have developed baseline assessments to identify cybersecurity personnel within their agencies that held certifications. Having information on the certifications held by cybersecurity employees can be a useful indicator of the skills and knowledge of an agency\u2019s cybersecurity workforce. However, because agencies have not consistently defined the workforce and NICE had not developed a list of appropriate certifications, efforts such as conducting the baseline assessment to determine the percentage of cybersecurity personnel that hold appropriate certifications have yielded inconsistent and potentially unreliable results. By not conducting assessments or including all required information in the assessments, some of these agencies may lack valuable information that could help them identify the certification and training needs of their cybersecurity employees that are charged with protecting federal information and information systems from cyberattacks.", "Lastly, while most CFO agencies have developed procedures for assigning cybersecurity codes to positions, several agencies did not address activities required by OPM. Unless those agencies address all of the activities, they may not have reasonable assurance that they are comprehensively identifying the cybersecurity workforce and applying the correct employment codes. As such, increased risk exists that the federal government will not meet its intended goal to define the cybersecurity workforce and address the critical mission needs for a qualified cybersecurity workforce."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making a total of 30 recommendations to 13 agencies in our review to develop and submit their baseline assessments and to fully address the required activities in OPM\u2019s guidance in their procedures for assigning employment codes to cybersecurity positions. Specifically: The Secretary of Commerce should evaluate the level of preparedness for cybersecurity personnel not currently holding certifications to take certification exams, identify strategies for mitigating any gaps identified, and report this information to Congress. (Recommendation 1)", "The Secretary of Defense should develop, document, and implement government-wide procedures for identifying IT, cybersecurity, and cyber- related noncivilian positions and assigning employment codes to those positions. (Recommendation 2)", "The Secretary of Defense should develop, document, and implement internal departmental procedures for identifying IT, cybersecurity, and cyber-related noncivilian positions and assigning employment codes to those positions. (Recommendation 3)", "The Secretary of Education should include requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions in departmental procedures. (Recommendation 4)", "The Secretary of Energy should evaluate the level of preparedness for cybersecurity personnel not currently holding certifications to take certification exams and report this information to Congress. (Recommendation 5)", "The Secretary of Energy should develop, document, and implement departmental procedures for identifying IT, cybersecurity, and cyber- related positions and assigning employment codes to those positions, taking into account the key elements described in OPM\u2019s instructions for agencies\u2019 procedures. (Recommendation 6)", "The Secretary of Homeland Security should conduct a baseline assessment of the department\u2019s cybersecurity workforce that includes (1) the percentage of personnel with IT, cybersecurity, or other cyber-related job functions who hold certifications; (2) the level of preparedness of other cyber personnel without existing credentials to take certification exams; and (3) a strategy for mitigating any gaps identified with appropriate training and certification for existing personnel. (Recommendation 7)", "The Secretary of Homeland Security should submit a report of the department\u2019s baseline assessment of its existing cybersecurity workforce to the appropriate congressional committees of jurisdiction. (Recommendation 8)", "The Secretary of Housing and Urban Development should conduct a baseline assessment of the department\u2019s cybersecurity workforce that includes (1) the percentage of personnel with IT, cybersecurity, or other cyber-related job functions who hold certifications; (2) the level of preparedness of other cyber personnel without existing credentials to take certification exams; and (3) a strategy for mitigating any gaps identified with appropriate training and certification for existing personnel. (Recommendation 9)", "The Secretary of Housing and Urban Development should submit a report of the department\u2019s baseline assessment of its existing cybersecurity workforce to the appropriate congressional committees of jurisdiction. (Recommendation 10)", "The Secretary of the Interior should evaluate the level of preparedness for cybersecurity personnel not currently holding certifications to take certification exams and report this information to Congress. (Recommendation 11)", "The Secretary of Labor should include requirements to annotate reviewed position descriptions with the appropriate cybersecurity data standard code(s) in departmental procedures. (Recommendation 12)", "The Secretary of Labor should ensure that departmental procedures fully account for the fact that IT, cybersecurity, and cyber-related positions will extend beyond the Information Technology Management 2210 occupational series. (Recommendation 13)", "The Secretary of Labor should fully clarify requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions in departmental procedures. (Recommendation 14)", "The Secretary of Labor should include requirements to assign up to three employment codes per position in order of their criticality in departmental procedures. (Recommendation 15)", "The Administrator of the National Aeronautics and Space Administration should evaluate the level of preparedness for cybersecurity personnel not currently holding certifications to take certification exams and report this information to Congress. (Recommendation 16)", "The Administrator of the National Aeronautics and Space Administration should include requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions in agency procedures. (Recommendation 17)", "The Director of the National Science Foundation should fully clarify requirements to review all encumbered and vacant positions performing IT, cybersecurity, and cyber-related functions in agency procedures. (Recommendation 18)", "The Director of the National Science Foundation should include requirements to annotate reviewed position descriptions with the appropriate cybersecurity data standard code(s) in agency procedures. (Recommendation 19)", "The Director of the National Science Foundation should ensure that agency procedures account for the fact that IT, cybersecurity, and cyber- related positions will extend beyond the Information Technology Management 2210 occupational series. (Recommendation 20)", "The Director of the National Science Foundation should include requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions in agency procedures. (Recommendation 21)", "The Director of the National Science Foundation should include requirements to assign up to three employment codes per position in order of their criticality in agency procedures. (Recommendation 22)", "The Chairman of the Nuclear Regulatory Commission should ensure that agency procedures account for the fact that IT, cybersecurity, and cyber- related positions will extend beyond the Information Technology Management 2210 occupational series. (Recommendation 23)", "The Chairman of the Nuclear Regulatory Commission should fully clarify requirements to assign up to three employment codes per position in order of their criticality in agency procedures. (Recommendation 24)", "The Administrator of the Small Business Administration should conduct a baseline assessment of the department\u2019s cybersecurity workforce that includes (1) the percentage of personnel with IT, cybersecurity, or other cyber-related job functions who hold certifications; (2) the level of preparedness of other cyber personnel without existing credentials to take certification exams; and (3) a strategy for mitigating any gaps identified with appropriate training and certification for existing personnel. (Recommendation 25)", "The Administrator of the Small Business Administration should submit a report of its baseline assessment of its existing cybersecurity workforce to the appropriate congressional committees of jurisdiction. (Recommendation 26)", "The Administrator of the U.S. Agency for International Development should fully clarify requirements to review all encumbered and vacant positions performing IT, cybersecurity, and cyber-related functions in agency procedures. (Recommendation 27)", "The Administrator of the U.S. Agency for International Development should fully clarify requirements to annotate reviewed position descriptions with the appropriate cybersecurity data standard code(s) in agency procedures. (Recommendation 28)", "The Administrator of the U.S. Agency for International Development should include requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions in agency procedures. (Recommendation 29)", "The Administrator of the U.S. Agency for International Development should include requirements to assign up to three employment codes per position in order of their criticality in agency procedures. (Recommendation 30)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to the 24 CFO Act agencies for their review and comment. Of the 13 agencies to which we made recommendations, 7 agencies stated that they agreed with all of the recommendations directed to them; 1 agency agreed with one and did not agree with one recommendation; 2 agencies provided comments but did not state whether they agreed or disagreed with the recommendations; 2 agencies stated that they had no comments; and 1 agency\u2014DOD\u2014did not respond to our request for comments on the report.", "In addition, of the 11 agencies to which we did not make recommendations, 2 provided comments on the report and 9 responded that they had no comments on the report. We also received technical comments from 2 agencies, which we have incorporated into the report as appropriate.", "The following seven agencies agreed with our recommendations: In its written comments (reprinted in appendix II), the Department of Commerce agreed with our recommendation. The department stated that it will evaluate the level of preparedness for cybersecurity personnel who do not hold certifications to take certification exams, identify strategies for mitigating any gaps identified, and report this information to Congress.", "In its written comments (reprinted in appendix III), the Department of Education agreed with our recommendation. The department stated that it had updated its coding guidance to require that positions that do not perform substantial work in information technology, cybersecurity, or cyber-related functions be assigned a code of \u201c000.\u201d", "In its written comments (reprinted in appendix IV), the Department of Energy agreed with our recommendations and stated that it has planned, or taken steps to address them. Specifically, with regard to our recommendation concerning cybersecurity certification, the department stated that it plans to conduct a department-wide evaluation of the level of preparedness for its cybersecurity personnel without existing credentials to take certification exams and will report the information to Congress.", "In addition, the department stated that it had developed and issued procedures for identifying and coding IT, cybersecurity, and cyber- related positions, as we recommended, and that it had since completed its coding of applicable positions across the department. The department also provided us its updated coding procedures, along with its written comments.", "In its written comments (reprinted in appendix V), the Department of Homeland Security agreed with our recommendations. Regarding the recommendation to conduct a baseline assessment of its cybersecurity workforce, the department stated that it is taking steps to collect data about certifications relevant to DHS cybersecurity work. The department also stated that it plans to identify the percentage of its cybersecurity workforce that holds certifications, the percentage prepared to take a relevant certification exam, and strategies for mitigating any gaps. The department added that it plans to provide this information to Congress, as we recommended. The department also provided technical comments, which we have incorporated into this report as appropriate.", "In its written comments (reprinted in appendix VI), the Department of the Interior stated that it agreed with our recommendation. The department also indicated that it is exploring options to determine the extent to which its cybersecurity employees who currently do not hold certifications are prepared to take certification exams.", "In its written comments (reprinted in appendix VII), the Small Business Administration agreed with our recommendations. The agency also stated that it had recently completed an assessment of its IT workforce and reported on existing skills gaps, and that it plans to execute its IT workforce plan to address the requirements of the Federal Cybersecurity Workforce Assessment Act of 2015.", "In comments on a draft of this report provided via email on May 15, 2018, a Program Analyst in the National Science Foundation\u2019s Office of Integrative Activities stated that the agency concurred with our recommendations.", "One agency did not agree with one of the two recommendations directed to it: In its written comments (reprinted in appendix VIII), the National Aeronautics and Space Administration did not agree with our first recommendation and agreed with the second. Specifically:", "NASA did not concur with our recommendation to evaluate the level of preparedness for cybersecurity personnel not currently holding certifications to take certification exams and report this information to Congress. The agency stated that there is no federal or NASA requirement for employees in cybersecurity positions to hold and/or maintain a certification, and therefore the agency has no plans to assess the readiness of its cybersecurity personnel to take certification exams.", "Nonetheless, we continue to believe our recommendation remains valid because the level of preparedness of personnel without certifications to take certification examinations can be a useful indicator of the skills and knowledge of an agency\u2019s cybersecurity workforce. In addition, this information could help the agency identify and meet the certification and training needs of its cybersecurity employees who are charged with protecting NASA\u2019s information and information systems from cyberattacks. Moreover, the act contains provisions that demonstrate congressional interest in assessing agency use of professional certifications.", "NASA concurred with our recommendation to include in the agency\u2019s coding procedures, requirements to assign code \u201c000\u201d to positions that do not perform IT, cybersecurity, and cyber-related functions. The agency stated that it planned to update its procedures to include this requirement, and indicated that supervisors and human resource specialists had been trained to assign cybersecurity codes to all positions, including code \u201c000.\u201d", "The following two agencies provided comments, but did not state whether they agreed or disagreed with our recommendations: In its written comments (reprinted in appendix IX), the Nuclear Regulatory Commission stated that it was in general agreement with the overall content of the draft report. However, the agency asked that we revise the final report to reflect that the Nuclear Regulatory Commission had updated its cybersecurity coding procedures to include language explaining that IT, cybersecurity, and cyber-related positions will extend beyond the GS-2210 occupational series, and to outline the requirement that positions can be assigned up to three different employment codes in order of criticality. The agency provided its updated coding procedures along with its written comments.", "In its written comments (reprinted in appendix X), the U.S. Agency for International Development stated that it had completed various actions related to coding its cybersecurity positions which addressed our four recommendations. For example, among other actions, the agency said it had updated its plan for coding cybersecurity positions to include procedures for assigning codes for multiple functional areas, with the predominant functional area being coded first.", "In addition, two agencies to which we made recommendations---the Departments of Housing and Urban Development and Labor\u2014stated via email that they did not have comments on the report. The agencies did not state whether they agreed or disagreed with our recommendations.", "Of the agencies to which we did not make recommendations, the Social Security Administration also provided a letter acknowledging its review of the report. The agency\u2019s letter is reprinted in appendix XI.", "The remaining nine agencies to which we did not make recommendations\u2014the Departments of Agriculture, Health and Human Services, Justice, State, Transportation, and Treasury; the Environmental Protection Agency; the General Services Administration; and the Office of Personnel Management\u2014stated that they did not have any comments on our report.", "We are sending copies of this report to interested congressional committees, the Director of the Office of Management and Budget, the secretaries and agency heads of the departments and agencies addressed in this report, and other interested parties. In addition, this report will be available at no charge on the GAO website at http://www.gao.gov.", "If you have any questions regarding this report, please contact me at (202) 512-6244 or wilshuseng@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix XII."], "subsections": []}]}, {"section_title": "Appendix I: Objectives, Scope, and Methodology", "paragraphs": ["Our objectives were to determine whether (1) OPM developed a coding structure and procedures for assigning codes to cybersecurity positions and submitted a progress report to Congress, (2) Chief Financial Officers (CFO) Act agencies submitted complete and reliable baseline assessment reports of their cybersecurity workforces, and (3) CFO Act agencies established procedures to identify and assign codes to cybersecurity positions.", "The scope of our review included the 24 departments and agencies (hereafter referred to as agencies) covered by the Chief Financial Officers Act of 1990. It also included OPM, DOD, DHS, and NIST in their roles related to the development of a cybersecurity coding structure and related guidance. Our work focused on the agencies\u2019 cybersecurity positions and on workforce planning actions that the act required the agencies to complete by November 2017.", "To address the first objective, we obtained and compared OPM\u2019s federal cybersecurity employment coding structure, issued in November 2016, to the work roles described in the National Initiative for Cybersecurity Education (NICE) Cybersecurity Workforce Framework, issued in draft form by NIST in November 2016. We also examined OPM memorandums to identify if and when OPM had issued procedures to agencies for identifying cybersecurity positions and assigning employment codes. Additionally, we reviewed any progress reports submitted by OPM to Congress on the implementation of the act. We compared the issuance date of each of these documents to the deadlines by which OPM was to issue them, as established in the act. Also, we interviewed OPM and NIST officials about their efforts to develop these documents and the reasons for any delays.", "To address the second objective, we obtained available baseline assessments from each of the 24 CFO Act agencies and evaluated them against the act\u2019s requirements to include information on (1) cybersecurity personnel holding certifications, (2) the level of preparedness of other personnel to take certification exams, and (3) strategies for mitigating any gaps identified. We also obtained agencies\u2019 letters transmitting their assessments to the relevant congressional committees and evaluated them against the reporting deadline established in OPM guidance. In addition, we analyzed other relevant agency documentation and interviewed cognizant agency officials about their efforts to identify the appropriate certifications, identify relevant personnel, and collect information on employee certifications. We obtained the officials\u2019 views on the reasons for any delays in agencies\u2019 submissions of the assessments and the reliability of assessment results.", "To address the third objective, we obtained and analyzed available cybersecurity coding procedures established by each of the 24 CFO Act agencies. We reviewed the required coding activities described in OPM\u2019s Guidance for Assigning New Cybersecurity Codes to Positions with Information Technology, Cybersecurity, and Cyber-Related Functions. We judgementally selected seven of the activities that we determined to be particularly important for effectively identifying and coding all relevant encumbered and vacant cybersecurity positions. We then evaluated each agency\u2019s procedures against these seven required coding activities. We also compared the issuance date of the procedures to the deadline established in OPM\u2019s coding guidance for agencies to issue the procedures. In addition, we interviewed agency officials about their efforts to complete the procedures by the required deadline and the reasons for any delays.", "Further, the Federal Cybersecurity Workforce Assessment Act of 2015 established a separate requirement and deadline for DOD to develop government-wide procedures for implementing the coding structure for federal noncivilian cyber positions. As such, we reviewed relevant documentation and interviewed cognizant officials from the Department of Defense\u2019s Office of the Chief Information Officer and Office of the Under Secretary for Personnel and Readiness about their efforts to establish coding procedures for both civilian and noncivilian positions by the deadlines set forth in the act.", "We conducted this performance audit from October 2016 to June 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Commerce", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Education", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: Comments from the Department of Energy", "paragraphs": [], "subsections": []}, {"section_title": "Appendix V: Comments from the Department of Homeland Security", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VI: Comments from the Department of the Interior", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VII: Comments from the Small Business Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix VIII: Comments from National Aeronautics and Space Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IX: Comments from the Nuclear Regulatory Commission", "paragraphs": [], "subsections": []}, {"section_title": "Appendix X: Comments from the United States Agency for International Development", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XI: Comments from the Social Security Administration", "paragraphs": [], "subsections": []}, {"section_title": "Appendix XII: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the individual named above, Nick Marinos (director), Tammi Kalugdan (assistant director), William Cook (analyst in charge), Chris Businsky, Virginia Chanley, Wayne Emilien, Lisa Maine, David Plocher, Priscilla Smith, Dwayne Staten, Daniel Wexler, and Merry Woo made significant contributions to this report."], "subsections": []}]}], "fastfact": []} {"id": "GAO-19-4", "url": "https://www.gao.gov/products/GAO-19-4", "title": "DOD Installation Services: Use of Intergovernmental Support Agreements Has Had Benefits, but Additional Information Would Inform Expansion", "published_date": "2018-10-23T00:00:00", "released_date": "2018-10-23T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The Department of Defense (DOD) budgets about $25 billion annually to operate and support its installations. GAO has designated DOD support infrastructure management as a high-risk area since 1997, in part because DOD has needed to reduce its installation support costs. In 2013, Congress authorized the military services to enter into IGSAs with local and state governments to receive installation services, if an agreement will provide financial benefits or enhance mission effectiveness. As of July 2018, the military services had approved 45 IGSAs at 33 installations.", "In this report, GAO, among other objectives, evaluated the extent to which the military services have (1) realized and monitored the benefits from IGSAs and (2) supported the use of IGSAs and monitored whether installations are evaluating opportunities to use IGSAs.", "GAO reviewed the IGSA statute and policies and procedures; evaluated a nongeneralizable sample of 8 IGSAs, selected based on factors including the military service involved, the amount of expected financial benefits, and the length of time in place; compared the services' processes and actions against standards for internal control; and interviewed service, installation, and local government officials."]}, {"section_title": "What GAO Found", "paragraphs": ["Based on analysis of 8 selected intergovernmental support agreements (IGSAs) and interviews with officials, GAO found that the military services have realized financial and nonfinancial benefits from using IGSAs with local or state governments to obtain installation services such as waste removal, grounds maintenance, and stray animal control.", "Financial benefits. Of the 8 selected IGSAs, 5 resulted in cost savings, in which the actual cost of each IGSA during its first year was lower than the expected cost of a contract the installation had previously used to obtain the installation service. For example, Moody Air Force Base realized an estimated cost savings of $270,000 by using an IGSA for water and wastewater treatment services, versus continuing to obtain this service via contract. Installation officials stated that the other 3 selected IGSAs resulted in cost avoidances, in which the installations used the IGSAs to obtain a service they were not previously paying for at a lower cost than other alternatives.", "Nonfinancial benefits. According to officials from all four services, IGSAs have provided nonfinancial benefits such as enhanced mission effectiveness and readiness, reduced administrative time, and improved relationships with local communities.", "However, the military services are not fully monitoring benefits being realized from implemented IGSAs because they have not established formal processes to do so. For example, Navy and Marine Corps officials stated that they are not monitoring the financial and nonfinancial performance of implemented IGSAs in part because they are in the early stages of using IGSAs. The Air Force monitors some information on realized IGSA financial benefits, but this information is not complete because reporting by installations is voluntary. Developing and documenting processes to monitor any realized benefits of implemented IGSAs would provide the services with useful information on IGSA performance as they make decisions on devoting resources to developing and implementing these agreements in other locations.", "The military services have developed various approaches for supporting the use of IGSAs to reduce costs or enhance mission effectiveness. For example, the services have issued policies and procedures for their installations to follow in order to develop, obtain approval for, and implement IGSAs. However, officials from each of the military services told us they are not fully monitoring whether installations are evaluating opportunities to use IGSAs. For example, Army policy states that installations are to review current, soon-to-expire contracts for possible transition to an IGSA, but Army officials said they are not yet monitoring whether installations are doing so. Without a process in place to monitor whether installations are evaluating opportunities to use IGSAs, the military services do not know the extent to which this is occurring and thus may be missing opportunities to further reduce costs or enhance mission effectiveness."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making eight recommendations to monitor both the benefits realized from implemented IGSAs and whether installations are evaluating IGSA opportunities. DOD concurred with six recommendations and non-concurred with two, but plans to implement them all."]}], "report": [{"section_title": "Letter", "paragraphs": ["The Department of Defense (DOD) budgets about $25 billion annually to operate and support its installations, which include over 160 active-duty installations in the United States. To operate and support their respective installations, the military services arrange for the provision of essential services that support the mission and preserve quality of life for installation personnel and their families\u2014for example, utility system operations, custodial services, waste management, equipment maintenance, and snow removal. Since 1997, we have designated DOD\u2019s support infrastructure management as a high-risk area. In our 2017 update to our High-Risk Series, we reported that DOD needed to show measurable and sustained progress in reducing installation support costs and achieving efficiencies in installation support.", "In 2013, Congress authorized the military services to enter into intergovernmental support agreements (IGSAs) with local and state governments to receive, provide, or share installation support services. According to the IGSA statute (10 U.S.C. \u00a7 2679), the military services may enter into an IGSA, on a sole source basis, for installation services if they determine that the agreement will serve the best interests of the department by enhancing mission effectiveness or by creating efficiencies or economies of scale, including by reducing costs.", "As of July 2018, the military services had approved 45 IGSAs at 33 installations in which local and state governments provide a variety of installation services, including waste removal, grounds maintenance, stray animal control, water treatment and testing, and road maintenance. The military services estimate that these IGSAs will lead to approximately $9 million in annual financial benefits, including cost savings or cost avoidances. A cost savings can occur when an installation uses an IGSA to obtain a needed service it was already paying for at a higher price through another means. A cost avoidance can occur when an installation, due to a change in circumstances, uses an IGSA to obtain a service it was not previously paying for at a lower cost than other alternatives.", "We performed our work under the authority of the Comptroller General to conduct evaluations in light of congressional interest in GAO\u2019s high-risk areas, including in DOD support infrastructure management. In this report, we (1) evaluate the extent to which the military services have realized and monitored the benefits from IGSAs; (2) evaluate the extent to which the military services have supported the use of IGSAs and monitored whether installations are evaluating opportunities to use IGSAs; and (3) describe any challenges the military services have identified to using IGSAs.", "For all three of our objectives in this report, we included the Army, the Navy, the Air Force, and the Marine Corps in our review and all 45 IGSAs that had been approved as of July 2018. For our first objective, we selected a nongeneralizable sample of 8 IGSAs chosen in rough proportion to the number of IGSAs implemented by each military service (see app. I for further details on the selected IGSAs). We chose IGSAs from among those the military services estimated would have the largest financial benefits, that had been in place long enough to provide information about actual costs and implementation, and that reflected a range of installation services. We reviewed the business case analysis and supporting documents for each IGSA in our sample, and included both cost savings and cost avoidances in our evaluation of financial benefits.", "For IGSAs in our sample that the military services expected would result in cost savings, we assessed the reliability of the installation\u2019s cost savings estimates by comparing the estimated cost of the least expensive non-IGSA alternative identified as feasible in the business case analysis with the prior contract or historical cost data upon which the estimate was based. We found the estimated cost of these non-IGSA alternatives to be sufficiently reliable to estimate realized financial benefits. For IGSAs expecting cost savings, we estimated the realized financial benefits of each by comparing the installation\u2019s estimated cost of the non-IGSA alternative with the actual first-year (or as many months as available) cost of the implemented IGSA, derived from our analysis of the local government\u2019s monthly IGSA invoices. For IGSAs in our sample that the military services expected to result in cost avoidance, we found that the installations\u2019 estimates included costs that we could not verify\u2014such as the cost of repairing or replacing facilities\u2014and thus we could not estimate total realized financial benefits for these agreements. Finally, we reviewed IGSA documentation and interviewed installation and local government officials about any nonfinancial benefits realized from implemented IGSAs, including those in our sample and other implemented IGSAs. We also evaluated the services\u2019 IGSA policies and guidance to identify any documented processes the services have for monitoring the benefits, if any, realized from implemented IGSAs. We assessed these policies and processes against federal internal control standards related to documenting policies used to collect and utilize quality information for evaluating program performance.", "For our second objective, to identify military service support to installations on implementing IGSAs and any actions taken to monitor whether installations have evaluated opportunities to use IGSAs, we reviewed military services\u2019 IGSA policies and procedures and interviewed headquarters and installation officials. We evaluated the services\u2019 actions against the services\u2019 IGSA policies and federal internal control standards. Those standards state that management should design control activities to achieve objectives, including monitoring actual performance and comparing it with established goals and objectives, and implement those control activities through policies.", "For our third objective, we interviewed officials from the military services, the installations and local governments for our 8 selected IGSAs, and installations that developed IGSA proposals that were not approved, to obtain information on any challenges related to using IGSAs and any actions to address them. Based on that information, we also reviewed statutory requirements for IGSAs to identify any restrictions or limitations on the military services\u2019 use of IGSAs and analyzed IGSA proposals that were not approved. We provide a list of organizations we met with during this review in appendix II.", "We conducted this performance audit from September 2017 to October 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "Statutory Provisions for Entering into IGSAs", "paragraphs": ["The IGSA statute (10 U.S.C. \u00a7 2679) authorizes such agreements based on a determination that the agreement will serve the best interests of the department by creating efficiencies or economies of scale, including by reducing costs, or by enhancing mission effectiveness. The law also states that IGSAs are not subject to other provisions of law governing the award of federal government contracts for goods and services. In addition, IGSAs may be entered into on a sole source basis with a state or local government and may use wage rates normally paid by that state or local government.", "At the same time, there are limitations on the use of IGSAs. Specifically, any installation services obtained through an IGSA must already be provided by the state or local government for its own use, and any contract awarded by the federal government or by a state or local government pursuant to an IGSA must be awarded competitively. In addition, IGSAs cannot be used to circumvent the requirements of Office of Management and Budget Circular A-76, which governs competitions to determine whether commercial activities should be performed by government employees or by private contractors. Finally, IGSAs are statutorily limited to a term of no more than 10 years, but the statute does not preclude their renewal after the initial agreement period ends."], "subsections": []}, {"section_title": "Process for Developing, Approving, and Implementing IGSAs", "paragraphs": ["The military services each have a process for developing, approving, and implementing IGSAs. These processes generally begin with meetings between installation and state or local government officials to discuss services the installation requires that the state or local government could provide. If there is agreement that an IGSA could be beneficial to both parties, installation officials put together an IGSA proposal for obtaining the service from the state or local government.", "Proposals are required to include a business case analysis showing the proposed IGSA is expected to provide a financial or nonfinancial benefit. For example, Army Regulation 5-9, Installation Agreements, states that an Army installation must submit a proposal and a cost benefit analysis that demonstrates the IGSA will bring financial benefits. Similarly, a memorandum from the Assistant Secretary of the Navy for Energy, Installations, and Environment requires that Navy and Marine Corps installations include material describing the IGSA\u2019s risks and benefits, including financial benefits and enhanced mission effectiveness. Air Force guidance requires that IGSA proposals include a business case analysis and meet the purpose of 10 U.S.C. \u00a7 2679 by either bringing financial benefits or enhancing mission effectiveness.", "Once an IGSA proposal is complete, installation commanders either approve it or submit it to a higher command for review and approval, according to certain dollar thresholds. Figure 1 shows the office within each military service that reviews the proposed IGSA for approval, based on the dollar thresholds.", "Once a proposed IGSA is approved, installation officials draft the agreement in coordination with state or local government officials. When finalized, representatives of the military service and the state or local government sign the agreement. For Army, Navy, and Marine Corps IGSAs, the installation commander has authority to sign the IGSA, while Air Force IGSAs must be signed by an installation contracting officer. The IGSA is then implemented."], "subsections": []}]}, {"section_title": "Military Services Have Benefitted from Selected IGSAs but Are Not Fully Monitoring the Benefits of Implemented IGSAs", "paragraphs": [], "subsections": [{"section_title": "Military Services Have Realized Financial and Nonfinancial Benefits from Selected IGSAs", "paragraphs": ["Our analysis of a sample of 8 implemented IGSAs, and interviews with officials about these and other IGSAs, found that the military services have realized financial (i.e., cost savings and cost avoidances) and nonfinancial (e.g., enhanced mission effectiveness) benefits from these agreements."], "subsections": [{"section_title": "Cost Savings", "paragraphs": ["In 5 of the 8 IGSAs in our sample, we found that the actual cost of each IGSA during its first year of implementation was lower than the expected cost of obtaining the installation service through an alternative contract, as shown in the respective business case analysis for each IGSA. Table 1 provides each installation\u2019s estimated cost for obtaining the installation service through an alternative contract and the estimated cost for obtaining the installation service through an IGSA; the actual cost paid by the installation to the local government for the first year of each IGSA, based on our analysis of monthly invoices; and our calculation of the estimated realized cost savings achieved from using the IGSA, relative to the alternative.", "Overall, we found that the estimated cost savings realized by these 5 IGSAs totaled about $2.4 million during the first year of implementation. For example:", "Fort Polk realized an estimated $1.9 million in cost savings by implementing an IGSA for waste removal with its local government. Specifically, installation officials estimated that a private contract would have cost the installation about $4.5 million from June 2017 through May 2018, while we found that the implemented IGSA cost about $2.6 million for the same period.", "Moody Air Force Base realized an estimated $270,000 in savings in fiscal year 2017 by implementing an IGSA for water and wastewater treatment. In the IGSA\u2019s business case analysis, officials estimated that continuing to obtain this service from their existing contractor would have cost about $642,000, while the implemented IGSA cost was about $372,000, according to our analysis.", "Marine Corps Logistics Base Barstow realized an estimated $68,000 in cost savings during the first 9 months of its IGSA for water testing and analysis with the local government. Specifically, installation officials estimated that renewing the previous contract would have cost about $153,000 for 1 year, or about $115,000 for 9 months, while we found that the actual cost under the implemented IGSA was about $47,000 for 9 months."], "subsections": []}, {"section_title": "Cost Avoidances", "paragraphs": ["The other 3 IGSAs in our sample resulted in cost avoidances, according to installation officials. First, officials at Fort Sill, Oklahoma, told us that the Army Medical Command and the Army Public Health Command had previously provided stray animal control without cost to the installation. When this arrangement ended, Fort Sill had to find an alternative. Officials stated that implementing an IGSA with the city of Lawton, Oklahoma, allowed the installation to avoid the higher costs of a private contractor or of renovating facilities and hiring civilians to perform these duties. Second, Fort Bragg, North Carolina, implemented an IGSA for stray animal control with Cumberland County, North Carolina, that, according to its proposal documentation, allowed the installation to avoid the cost of replacing its stray animal control facility, which was inadequate and sub-standard. Finally, after 2 years with no contract in place, Fort Bragg implemented an IGSA with the city of Fayetteville, North Carolina, for maintenance services at the Airborne and Special Operations Museum that allowed the installation to avoid the overhead costs and fee involved in securing the services through a contract with the Army Corps of Engineers."], "subsections": []}, {"section_title": "Nonfinancial Benefits", "paragraphs": ["According to officials from all four services, achieving financial benefits has been a primary purpose for utilizing IGSAs, but IGSAs can also provide nonfinancial benefits\u2014such as enhanced mission effectiveness and readiness, reduced administrative time, and greater flexibility.", "Enhanced mission effectiveness and readiness. Military service officials cited examples of IGSAs that led to enhanced mission effectiveness and readiness. For example, according to its IGSA proposal package, Fort Polk was using military personnel to conduct grounds maintenance, which was contrary to the Army\u2019s guidance that military personnel, while at Fort Polk, should be training for their mission. Officials told us that once the IGSA was implemented military personnel were no longer assigned to grounds maintenance duty, thus potentially enhancing mission effectiveness. In addition, an official in the Army Partnerships Office told us that the IGSA at the Presidio of Monterey, California, for various installation services enabled the installation to obtain a work order for flood damage to a satellite component within a matter of minutes. Direct contact between installation officials and the local government, he stated, provides a quicker response time and has a significant impact on installation readiness.", "Reduced administrative time and greater flexibility. Installation officials stated that IGSAs had reduced the time personnel spent on managing the services being provided. For example, Marine Corps Logistics Base Barstow officials stated that the installation\u2019s IGSA with the city of Barstow, California, for water testing and analysis had eliminated the time that installation personnel had to use to manage the previous contract. At the time of our review, they were considering further IGSAs, such as one for tree-trimming, that they said would likely not bring cost savings, but that would provide flexibility and ease of managing due to reduced administrative time and regular communication with city officials. Similarly, officials at Fort Polk and Fort Bragg stated that managing their IGSAs is easier than managing other contracts for services, as they can make any needed changes to the IGSA by working directly with the local government.", "Other benefits. Installation officials also cited benefits such as improved relations with the local government, better quality of service, and the local community\u2019s stronger commitment to working with the installation, compared with contractors. For example, Moody Air Force Base officials noted that the installation\u2019s IGSA for water and wastewater treatment has been positive because the local government cares about the overall good of the installation, due to its importance to the community."], "subsections": []}]}, {"section_title": "Military Services Are Not Fully Monitoring the Benefits of Implemented IGSAs", "paragraphs": ["As part of the approval process for IGSAs, the military services collect information on IGSAs\u2019 potential expected benefits, which are estimated prior to IGSA implementation. However, once IGSAs are implemented, the services do not fully monitor whether these IGSAs are resulting in actual financial and nonfinancial benefits. Standards for Internal Control in the Federal Government states that management should design processes, and document them in policy, to obtain relevant, accurate information that it can use to evaluate the entity\u2019s performance in achieving key objectives and make informed decisions about any needed changes. The standards also state that management communicates such information throughout the entity to support achieving those key objectives.", "Following are descriptions of the status of each military service\u2019s approach and plans for monitoring the benefits of implemented IGSAs.", "Army headquarters collects data on the expected financial benefits of IGSAs, based on information provided in the IGSAs\u2019 business case analyses. These data reflect the financial benefits that the installations expect to achieve by using IGSAs, which are estimated prior to IGSA implementation. Army headquarters does not, however, currently monitor whether financial or nonfinancial benefits are actually realized from IGSAs after implementation. Army officials told us in May 2018 that they were drafting guidance that likely will assign responsibility for tracking both the realized financial and nonfinancial benefits of IGSAs, on an annual basis, to the Army\u2019s four land-holding commands. They noted, however, that they have not yet decided what specifically to track or finalized a process for monitoring IGSA benefits and evaluating program performance, but stated that their goal was to have a process in place by the end of 2018.", "Navy headquarters collected information on the expected benefits of the IGSAs it has thus far approved. In addition, in May 2018, the Navy Installations Command chose 12 high-priority IGSA opportunities identified by its regional commands to focus on for implementation and monitoring. According to the Navy Installations Command official who oversees the Navy\u2019s IGSA efforts, this effort is in the very early stages. The official also stated that the expected financial benefits for these 12 will likely be tracked by the Navy Installations Command, but any monitoring of realized financial benefits after the IGSAs are implemented would be left to the regional commands. On the other hand, the official stated that nonfinancial benefits are very subjective and the Navy has not yet determined what information will be collected.", "Marine Corps headquarters officials stated that they collect information on the expected benefits of IGSAs, but they are not currently monitoring the actual performance of implemented IGSAs because few are in place and existing IGSAs are less than 2 years old. They added that the Marine Corps plans to establish a process to track and analyze the realized financial benefits of IGSAs, but the headquarters official with lead responsibility for IGSAs did not provide a timeline for doing so. He added that the process will likely task the regional installation commands with tracking cost savings, with headquarters officials collecting and maintaining consolidated regional data. In addition, he did not indicate that the Marine Corps plans to monitor whether nonfinancial benefits are realized by implemented IGSAs.", "In addition to collecting data on the expected benefits of IGSAs prior to their implementation, Air Force headquarters has taken some steps to monitor the benefits realized by the 8 implemented IGSAs it had in place as of July 2018. Specifically, Air Force Community Partnership Program officials have taken the initiative to request information at the beginning of each fiscal year from Air Force installations on any actual financial benefits realized from their implemented IGSAs, including cost savings and cost avoidance. However, officials stated that submitting information is voluntary for installations, and some installations do not always provide timely information. For example, two installations with IGSAs in place beginning in fiscal year 2015 did not provide information in response to the fiscal years 2016 and 2017 data requests. Officials with the partnerships office also noted that they plan to monitor nonfinancial benefits to use for lessons learned and program talking points, but that information on any nonfinancial benefits from implemented IGSAs was currently being collected anecdotally.", "The military services generally are not monitoring whether all of their IGSAs are bringing financial and nonfinancial benefits because they have not established formal processes to obtain this information and documented them in their policies or procedures, as called for in Standards for Internal Control in the Federal Government. Specifically, the Army, Navy, and Marine Corps IGSA policies do not include processes for monitoring the degree to which expected benefits from IGSAs were actually realized after implementation. The military services also differ in regard to the types of benefits they plan to monitor in the future. In addition, the informal process used by the Air Force to collect some data on realized IGSA benefits is not documented in Air Force policy or procedures.", "Officials from all four services stated that they are still in the early stages of developing their IGSA processes. In addition, officials from the Army and the Air Force told us that they believed that it may be premature to monitor IGSA performance because the authorization to use IGSAs has only been in use for 3 years and only a limited number of IGSAs have been approved. We recognize the use of IGSAs is relatively new, but developing and documenting formal processes to collect and monitor information on the benefits realized through implemented IGSAs now, as the services continue to refine their IGSA programs, could assist the services in at least two ways. First, it would provide the services with information they could use to assess the performance of IGSAs in comparison with the expected benefits outlined in the IGSAs\u2019 business case analyses. An accurate assessment of actual performance would provide decision makers with important context when reviewing individual IGSAs for possible renewal, and could inform the services\u2019 decisions on developing and implementing similar agreements in other locations. Second, developing formal processes to monitor the performance of implemented IGSAs would provide information that the military services could communicate internally to their installations as part of their outreach efforts to increase awareness of and, when beneficial, expand the use of IGSAs as a means of achieving financial benefits or enhancing mission effectiveness."], "subsections": []}]}, {"section_title": "Military Services Have Supported IGSA Use but Not Fully Monitored Whether Installations Are Evaluating IGSA Opportunities", "paragraphs": [], "subsections": [{"section_title": "Military Services Have Developed Approaches for Supporting Installations\u2019 Use of IGSAs", "paragraphs": ["The military services have developed various approaches for supporting their installations\u2019 use of IGSAs. These include issuing policies on the use of IGSAs; issuing procedures and templates for IGSA development and approval; and providing headquarters-level support, such as facilitating meetings between installation and state and local government officials. The following are descriptions of these approaches for supporting installations\u2019 use of IGSAs.", "Policies. The services have issued IGSA policies that, among other things, either direct their installations to evaluate opportunities for using IGSAs to obtain installation services or to implement mutually beneficial partnerships that include IGSAs. Army Installation Management Command policy states that installations are to explore opportunities to enter into IGSAs with state or local governments, and it directs installations to review current, soon-to-expire installation support contracts for possible transition to an IGSA. Similarly, Navy Installations Command and Marine Corps Installations Command policies direct regional commands and installations to investigate and identify existing and potential services that could be provided by the state or local governments surrounding their installations. While Air Force policy does not specifically direct its installations to evaluate opportunities for using IGSAs, it does direct Air Force installations to implement mutually beneficial partnerships with their local communities.", "Procedures and templates. Each of the military services has issued procedures for its installations to follow in order to develop, obtain approval for, and implement IGSAs. For example, the Marine Corps has issued an IGSA handbook that provides information on the roles and responsibilities of installation and headquarters officials in the IGSA process. The handbook also outlines a process installations can follow to develop an IGSA, which includes identifying a need that an IGSA could address, meeting with potential state and local partners, developing a draft and final IGSA, and signing and implementing the IGSA.", "Additionally, the Army and the Air Force have provided templates of required documents to help installations through the IGSA approval process. For example, Army Installation Management Command\u2019s IGSA procedures include templates and examples of documents installations are to develop, such as a memorandum from the installation commander describing the IGSA proposal; a business case analysis that demonstrates the benefits of the proposed IGSA; and the IGSA document to be signed by the installation and the state or local government. Similar to the Army and the Air Force, one of the Navy\u2019s regional commands has included templates along with their region-specific IGSA procedures, and a Navy Installation Command official told us that the Navy may adapt those procedures and templates for Navy-wide use.", "Headquarters support. The Army and the Air Force have established partnership offices within their headquarters that serve as resources to support installations interested in using IGSAs. Support includes facilitating meetings between installation and state and local government officials to identify IGSA opportunities. For example, the Army facilitated such meetings at Fort Polk in late 2016, during which officials identified the IGSA opportunity between Fort Polk and Vernon Parish, Louisiana, for waste removal that was implemented in June 2017. The Air Force partnership office also provides periodic training on IGSAs and other topics, as well as a website with various resources for installations to use in developing IGSAs. Marine Corps Installations Command officials stated that they provide headquarters support to installations for developing IGSAs\u2014to include facilitating meetings between installation and local and state officials\u2014but as a collateral duty to other responsibilities. Navy Installation Command officials said that their regions and installations are to take the lead on IGSA development but that they have offered assistance to regions, as needed. Service officials added that representatives from each military service meet quarterly to discuss their IGSA programs, including best practices and lessons learned."], "subsections": []}, {"section_title": "Military Services Have Not Fully Monitored Whether Installations Are Evaluating Opportunities to Use IGSAs", "paragraphs": ["Officials from all four military services told us that they are not fully monitoring whether all of the services\u2019 installations are complying with their respective service policies to evaluate opportunities to use IGSAs to reduce costs or enhance mission effectiveness.", "Army headquarters officials told us that their efforts to date have been focused on raising awareness of IGSAs at installations and removing any obstacles that prevent IGSAs from being approved. However, Army officials stated that they currently do not monitor whether Army installations are evaluating opportunities to use IGSAs, but they said that installations may need greater encouragement from higher headquarters to use IGSAs. Thus, Army officials said they are planning to revise Army IGSA policy to include a process for obtaining information from installation officials on whether they evaluated expiring contracts for transition to IGSAs, as well as any reasons for not doing so, and expect it to be complete by the end of 2018. Additionally, Army officials said they plan to review installation contracts for waste removal services to determine whether IGSAs can be used instead, and that additional installation services will be identified for review in the future.", "The Navy Installations Command has, as discussed previously, collected a list of IGSA opportunities from the Navy\u2019s regional commands and plans to focus on implementing 12 of them, according to the Navy Installation Command official who oversees the Navy\u2019s IGSA efforts. However, the official said that the Navy Installations Command does not know how the regions identified these IGSA opportunities, and it has not directed the Navy regions to monitor whether each of their installations are evaluating opportunities to use IGSAs going forward. The Navy official said that asking each installation whether it identified any IGSA opportunities would be a fair question in order to avoid missing any potential IGSA opportunities.", "Marine Corps Installation Command officials said they monitor the efforts of installations that are already in the process of developing an IGSA or that have already implemented an IGSA, but they do not monitor the efforts of other installations in the Marine Corps to identify IGSA opportunities. However, a Marine Corps Installation Command official said that such monitoring could help expand the use of IGSAs in the Marine Corps.", "Officials in the Air Force partnerships office told us that beginning in fiscal year 2018 they had begun to monitor whether some of their installations are evaluating IGSA opportunities for certain installation services that are needed at all Air Force installations\u2014specifically, waste management, grounds maintenance, and pavement maintenance. Air Force officials stated that they are in the process of contacting installations that have volunteered for the Air Force\u2019s community partnership program\u2014which includes most, but not all, installations for active-duty personnel\u2014to determine whether they have evaluated IGSAs as a means to obtain these services.", "As of July 2018, the military services had approved 45 IGSAs at 33 installations (see app. I). Opportunities for more IGSAs\u2014and thus opportunities to achieve more financial and nonfinancial benefits similar to those we found in our analysis of 8 selected IGSAs\u2014may exist at the services\u2019 installations, including their more than 160 active-duty installations. Recognizing this potential, the services have directed their installations to evaluate IGSA opportunities or to implement mutually beneficial partnerships with local communities, which can include IGSAs.", "However, the military services do not know the extent to which their installations are evaluating opportunities for IGSAs because service IGSA policies and procedures do not include a process for monitoring whether these evaluations are occurring or for obtaining information on the outcome of any such evaluations. Standards for Internal Control in the Federal Government states that management should design control activities to achieve objectives, such as monitoring actual performance and comparing it with established goals and objectives. Additionally, those standards state that management should implement those control activities by, for example, documenting responsibilities in policies.", "Army, Navy, and Marine Corps IGSA policies and procedures do not include a process for monitoring whether installations are complying with service directives to evaluate IGSA opportunities, or for obtaining information on the outcome of those evaluations. Additionally, the process that the Air Force is currently using to monitor whether some of its installations are evaluating opportunities to use IGSAs for specific types of installation services is not documented in Air Force policy or procedures. As a result, it is uncertain whether these and any other monitoring efforts will continue beyond the current leadership of the Air Force partnerships office.", "Without establishing, implementing, and documenting a process to monitor whether installations are evaluating opportunities to use IGSAs and obtain information on the outcome of those evaluations, which may also identify challenges that could hamper the ability to use IGSAs, the military services do not fully know whether their installations are conducting these evaluations, and thus may be missing opportunities to reduce costs or enhance mission effectiveness."], "subsections": []}]}, {"section_title": "Military Services Have Identified Statutory, Review Time, and Financial Incentive Challenges to Using IGSAs", "paragraphs": [], "subsections": [{"section_title": "Statutory-Related Challenges to Using IGSAs", "paragraphs": ["Air Force and Army officials identified instances in which they did not implement an IGSA because of provisions in the IGSA statute on the term limit for IGSAs\u2014which was originally 5 years and is currently 10 years\u2014 and on the prohibition against contracting for services that are designated for federal civilians to provide.", "Term limits. Buckley Air Force Base, Colorado, and Fairchild Air Force Base, Washington, did not use IGSAs to obtain firing range services because of the IGSA term limit, according to Air Force headquarters and installation officials. In both cases, the installations were considering using IGSAs in which local governments would construct new firing ranges that would be shared by the installation and those local governments. Air Force officials told us that in each case the local governments planned to fund the new construction costs with municipal bonds; however, the repayment periods for those bonds would have been longer than the IGSA term limit, and thus the Air Force would not have been able to sign an IGSA that would have covered the entire term of the repayment periods. For example, an official at Fairchild Air Force Base told us that the local government would not sign an IGSA with a term limit of fewer than 20 years because the local government wants to ensure they receive sufficient funding to repay their bond.", "As a result, that official from Fairchild Air Force Base told us that the Air Force has continued to use its existing firing range for training, but it needs to be replaced because of ventilation problems and limitations on the types of weapons that can be fired at the range. At Buckley Air Force Base, an official told us that the installation received military construction appropriation funding in fiscal year 2017 to build a new firing range at a cost of $10.5 million\u2014approximately $2 million more than the estimated cost of the IGSA. Air Force officials added that they had discussed increasing the IGSA term limit with Members of Congress.", "Prohibition against contracting for services designated for federal civilians. According to Army officials, two Army installations\u2014 Aberdeen Proving Ground, Maryland, and Fort Leonard Wood, Missouri\u2014decided not to use IGSAs for grounds maintenance because of legal concerns regarding the IGSA statute\u2019s prohibition on using IGSAs to circumvent the requirements of Office of Management and Budget Circular A-76 regarding public-private competitions. According to those requirements, public-private competitions must be performed to determine if government personnel should perform commercial activities that are required by an agency. Further, 10 U.S.C. \u00a7 2461 states that no function of DOD that is performed by civilian employees may be converted to performance by a contractor unless based on a public-private competition that follows a detailed list of requirements under that statute. Currently, however, DOD is prohibited from conducting such competitions.", "Army officials told us that Aberdeen Proving Ground submitted an IGSA proposal in 2016 for grounds maintenance that they expected to result in a cost savings of approximately $1 million annually. However, those services had previously been provided by temporary Army civilian employees. Because of this and based on the Army\u2019s interpretation of the IGSA statute, Army officials said the IGSA proposal was not approved. Additionally, Army officials told us that Fort Leonard Wood also considered using an IGSA for grounds maintenance services in 2017 because it had unfilled civilian positions and was using military personnel instead, which took those personnel away from their primary mission. However, officials said that the installation did not submit an IGSA proposal because officials did not think it would be approved, due to the existing civilian positions.", "Army officials told us they worked with the Office of the Secretary Defense to try to address some of the legal concerns within the Army regarding these types of IGSA proposals. Specifically, language was included in a May 2018 memorandum from the Assistant Secretary of Defense for Manpower and Reserve Affairs stating that even though DOD is prohibited from conducting Circular A-76 public-private competitions, this does not preclude the use of an IGSA as long as the IGSA is not used to circumvent Circular A-76 requirements. Although the memorandum does not provide any further details, an official with the Army Partnerships Office stated that the memorandum may provide more support for the use of IGSAs during internal legal reviews of IGSA proposals and could result in additional IGSAs being approved. If not, Army officials plan to communicate to Congress the effects of the current language in the IGSA statute and make any appropriate recommendations to address those effects."], "subsections": []}, {"section_title": "Review Time-Related Challenges to Using IGSAs", "paragraphs": ["Officials from each of the 6 installations we met with during our review told us that the length of time to review and approve IGSAs was a challenge, in part due to the multiple levels of review required before an IGSA is approved. For example:", "Marine Corps Logistics Base Barstow officials told us that their IGSA proposal for water testing and analysis took approximately 1 year to be reviewed and approved\u2014first at the installation level, then at Marine Corps Installation Command-West (a regional command), and finally at Marine Corps Installation Command headquarters. As a result, officials said they had to continue to pay their contractor for an additional year to perform those services, which they estimate cost them approximately $80,000 more than if the IGSA had been approved and in place. The officials added that IGSAs are a new way to obtain installation services within the Marine Corps, and this IGSA was the Marine Corps\u2019 first, which likely contributed to the long review time.", "In July 2017, Fort Polk submitted an IGSA proposal for both facility maintenance and repair services and also grounds maintenance services, which would be provided by a local government. However, Fort Polk officials said that approval of the proposal was delayed at Army headquarters because there was concern by those headquarters officials about replacing the existing AbilityOne contractor at Fort Polk, which was providing facility maintenance and repair services for the installation. As a result, Fort Polk re-submitted an IGSA proposal only for the grounds maintenance services, and this narrower IGSA was approved in March 2018\u20148 months after the original IGSA proposal was submitted.", "The military services have delegated responsibility to approve IGSAs to lower levels, which could decrease the review and approval time for IGSAs. For example, in January 2018 the Air Force delegated approval authority to installation commanders for IGSAs that cost less than $15 million over a 10-year time frame\u2014with the exception of any IGSAs that obtain installation services currently obtained from an AbilityOne contractor."], "subsections": []}, {"section_title": "Financial Incentive- Related Challenges to Using IGSAs", "paragraphs": ["An installation may lack a financial incentive to use IGSAs because that installation\u2019s military service may choose to use any realized cost savings for service-level priorities elsewhere. As discussed earlier, we found that 5 installations in our sample realized cost savings from their implemented IGSAs. Three of those installations\u2014Fort Polk, Luke Air Force Base, and Marine Corps Logistics Base Barstow\u2014were able to retain those savings to apply to other installation needs that were not funded, according to installation officials. For example, Fort Polk officials stated that they were able to reallocate savings from the waste removal IGSA to repair landing strips at the installation, and Luke Air Force Base officials told us that the ability to retain IGSA cost savings was an incentive for them to put in the effort to implement an IGSA. Officials at the other 2 installations with IGSA cost savings\u2014Moody Air Force Base and Fort Bragg\u2014told us that those savings were retained by the installations\u2019 higher headquarters.", "The military services are at various stages in deciding how IGSA cost savings are to be used, according to service officials. Air Force officials said they are considering letting their installations retain IGSA cost savings to incentivize the use of IGSAs. Army officials stated that they do not yet have a policy on using IGSA savings, but their commands are responsible for contributing resources to supporting readiness, which may include the use of IGSA cost savings. Marine Corps officials similarly told us that they have not yet developed a policy, but added that IGSA cost savings will be retained within Marine Corps Installation Command. Finally, Navy officials told us that they have not yet considered a policy that would allow installations to retain any cost savings, although they added that Navy Installations Command does not intend to recoup any IGSA cost savings achieved by an installation or a region."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["DOD budgets about $25 billion annually to operate and support its installations, and our analysis shows that IGSAs have provided opportunities for the military services to reduce some of those costs. However, the services could improve the visibility they have over the performance of IGSAs after implementation. Specifically, developing processes to monitor any benefits being realized from implemented IGSAs and documenting these processes in policies or procedures would enhance the military services\u2019 ability to evaluate the performance of these agreements and provide lessons learned that could inform their efforts to encourage greater use of IGSAs. In addition, the military services have already taken steps to direct and facilitate the use of IGSAs. However, without a process to monitor whether their installations are evaluating opportunities to use IGSAs and obtain explanations of the outcomes of such evaluations, the military services do not have visibility over whether their installations are considering the use of IGSAs, as directed in guidance. Consequently, the services may be missing opportunities to reduce costs or enhance mission effectiveness. Furthermore, by documenting their processes in policies or procedures, the military services will increase the likelihood that such oversight will endure beyond the initiatives of current leadership and officials. Taking these actions would support the military services\u2019 oversight of IGSAs and could potentially expand interest in and the use of IGSAs."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following eight recommendations to DOD: The Secretary of the Army should (a) finalize and implement a process to collect and monitor information on the extent to which all implemented IGSAs have resulted in financial and nonfinancial benefits and (b) complete documentation of that process in Army IGSA policy or procedures. (Recommendation 1)", "The Secretary of the Navy should (a) establish and implement a process to collect and monitor information on the extent to which all implemented IGSAs have resulted in financial and nonfinancial benefits and (b) document that process in Navy IGSA policy or procedures. (Recommendation 2)", "The Commandant of the Marine Corps should (a) establish and implement a process to collect and monitor information on the extent to which all implemented IGSAs have resulted in financial and nonfinancial benefits and (b) document that process in Marine Corps IGSA policy or procedures. (Recommendation 3)", "The Secretary of the Air Force should (a) establish and implement a formal process to collect and monitor information on the extent to which all implemented IGSAs have resulted in financial and nonfinancial benefits and (b) document that process in Air Force IGSA policy or procedures. (Recommendation 4)", "The Secretary of the Army should (a) finalize and implement a process to monitor whether Army installations are evaluating opportunities for using IGSAs and to obtain explanations from installations on the outcome of their evaluations and (b) complete documentation of that process in Army IGSA policy or procedures. (Recommendation 5)", "The Secretary of the Navy should (a) establish and implement a process to monitor whether Navy installations are evaluating opportunities for using IGSAs and to obtain explanations from installations on the outcome of their evaluations and (b) document that process in Navy IGSA policy or procedures. (Recommendation 6)", "The Commandant of the Marine Corps should (a) establish and implement a process to monitor whether Marine Corps installations are evaluating opportunities for using IGSAs and to obtain explanations from installations on the outcome of their evaluations and (b) document that process in Marine Corps IGSA policy or procedures. (Recommendation 7)", "The Secretary of the Air Force should document in Air Force IGSA policy or procedures its process for monitoring whether Air Force installations are evaluating opportunities for using IGSAs. (Recommendation 8)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD for comment. DOD provided written comments, which are reproduced in appendix III.", "DOD concurred with six recommendations and non-concurred with two recommendations, but DOD\u2019s response indicates that the department plans to implement all of the actions we recommend.", "DOD concurred with our six recommendations to the Army, the Navy, and the Air Force. DOD did not concur with our two recommendations to the Marine Corps, stating that the Marine Corps is one of two military services within the Department of the Navy and that the recommendations are unnecessary. While we understand that the Marine Corps is within the Department of the Navy, we made recommendations to the Marine Corps because we learned during the course of our review that the Marine Corps had developed service-specific IGSA processes. For our two recommendations to the Navy, DOD stated that the Deputy Assistant Secretary of the Navy (Installations and Facilities) will issue policy by November 30, 2018, directing the Chief of Naval Operations and the Commandant of the Marine Corps to implement our recommendations. We believe that implementing these actions will meet the intent of our recommendations to the Marine Corps.", "We are sending copies of this report to the appropriate congressional committees; the Secretary of Defense; the Secretaries of the Army, the Navy, and the Air Force; and the Commandant of the Marine Corps. In addition, the report is available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-4523 or leporeb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. Key contributors to this report are listed in appendix IV."], "subsections": []}]}, {"section_title": "Appendix I: Military Services\u2019 Intergovernmental Support Agreements Approved as of July 2018", "paragraphs": ["Table 2 shows the military service, installation, state or local government, and type of installation service for each of the 45 intergovernmental support agreements that have been approved within the military services as of July 25, 2018."], "subsections": []}, {"section_title": "Appendix II: Organizations We Met with During This Review", "paragraphs": ["We met with officials from the following offices, installations, and local governments during this review. Unless otherwise specified, these organizations are located in or near Washington, D.C."], "subsections": []}, {"section_title": "Appendix III: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix IV: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, individuals who made key contributions to this report include Maria Storts (Assistant Director), Whitney Allen, Vincent Buquicchio, Michele Fejfar, Mae Jones, Amie Lesser, Geoffrey Peck, Ophelia Robinson, Jack Wang, and Erik Wilkins- McKee."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-633", "url": "https://www.gao.gov/products/GAO-18-633", "title": "Reemployment Services: DOL Could Better Support States in Targeting Unemployment Insurance Claimants for Services", "published_date": "2018-09-04T00:00:00", "released_date": "2018-09-05T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["In 2017, the UI program provided about $30 billion in temporary income support to 5.7 million claimants who became unemployed through no fault of their own. The federal government provides various resources states can use to help UI claimants achieve reemployment. GAO was asked to review how states identify and serve claimants who need such assistance.", "This report examines, among other things, (1) what key federal programs and approaches states used to help UI claimants return to work, and (2) how states used profiling systems to identify claimants who are most likely to exhaust their benefits and need assistance returning to work. GAO reviewed relevant federal laws and guidance; analyzed the most recent available national data on UI claimant participation in key workforce programs, from July 2015 through June 2016; interviewed officials from DOL, six states with key reemployment practices, and three additional states with a variety of profiling practices; and reviewed national studies examining state profiling systems."]}, {"section_title": "What GAO Found", "paragraphs": ["Nationwide, four key federally funded workforce programs helped states provide reemployment services, such as career counseling and job search assistance, to millions of unemployment insurance (UI) claimants, according to data from July 2015 through June 2016, the most recent period available (see table). The six selected states GAO reviewed in-depth reported using these key programs to support their efforts to help claimants return to work. Selected state officials described skills assessments, job search assistance, and interview and resume workshops as the types of services they use to connect UI claimants to jobs quickly. Officials also described varying service delivery approaches, with some of the selected states emphasizing the use of online services, while others relied to a greater extent on in-person services.", "According to a 2014 national questionnaire to states, most states used a statistical system to identify UI claimants who are most likely to exhaust their benefits and need assistance returning to work (known as profiling). Six of the nine states GAO reviewed used statistical systems and three used non-statistical approaches. GAO identified several concerns with the Department of Labor's (DOL) oversight and support of state UI profiling systems:", "Although a 2007 DOL-commissioned study found that some statistical systems may not perform well, DOL has not collected the information needed to identify states at risk of poor profiling system performance.", "Some selected states have faced technical challenges in implementing and updating their statistical systems. However, DOL does not have a process for identifying and providing technical assistance to states at risk of poor system performance or those facing technical challenges. Instead, it only provides assistance to those states that request it.", "While states have latitude to choose their preferred profiling approach, DOL's 1994 guidance encourages all states to use statistical systems. Because DOL has not updated this guidance to ensure that it clearly communicates all available profiling system options, some states may not be aware that they have greater flexibility in choosing an option that best suits their needs."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOL (1) systematically collect sufficient information to identify states at risk of poor profiling system performance, (2) develop a process for providing risk-based technical assistance to such states, and (3) update guidance to clarify state profiling options. DOL agreed with these recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["The federal-state unemployment insurance (UI) program provides temporary income support to eligible workers who lose their jobs through no fault of their own. Overseen by the Department of Labor (DOL) and administered by states, the UI program paid approximately $30 billion in benefits to 5.7 million claimants in 2017. To receive benefits, UI claimants generally must be able to work, be available to work, and seek work actively. Claimants may access reemployment services from the public workforce system\u2014a network of federal, state, and local partners that administer and carry out an array of federal employment and training programs\u2014to help them return to work. These reemployment services, such as job search assistance and career counseling, are available at one-stop centers, also known as American Job Centers. However, technology has changed how UI claimants interact with the public workforce system. Many claimants now apply for UI benefits remotely, and may not visit one-stop centers to obtain reemployment services.", "Policymakers have encouraged states to strengthen the connection between the UI program and the public workforce system in a number of ways. For instance, the Workforce Innovation and Opportunity Act (WIOA) requires local workforce development boards to include in their plans strategies for strengthening linkages between the UI program and one-stop centers. In 2018, Congress also authorized up to approximately $3.9 billion in funding over the next 10 years for the Reemployment Services and Eligibility Assessment (RESEA) grant program. Participating states use a profiling system to identify UI claimants who are most likely to exhaust their benefits, meaning that they receive benefits for the maximum time period for which the state pays benefits. The state then selects these claimants, as well as certain military veterans, to receive services offered through the program. These services include a one-stop center orientation and meeting with a caseworker, who assesses each claimant\u2019s eligibility for UI benefits and helps the claimant develop an individualized reemployment plan, among other things.", "You asked us to review how states leverage resources from the public workforce system to meet UI claimants\u2019 reemployment needs. This report (1) describes some key approaches selected states use to support UI claimants who need assistance returning to work, (2) describes what is known about how often UI claimants receive services through key federally funded workforce programs and how states fund reemployment services for UI claimants, and (3) examines what is known about how states use profiling systems to identify UI claimants who are most likely to exhaust their benefits and need assistance returning to work, and how DOL supports and monitors these efforts.", "First, to identify some key approaches states use to support UI claimants who need assistance returning to work, we reviewed relevant reports and program evaluations, and interviewed officials from DOL, DOL\u2019s Office of Inspector General, and the National Association of State Workforce Agencies (NASWA). Using information from these sources, we selected six states cited in research or by stakeholders as having at least one noteworthy reemployment practice, such as an effective or well-designed reemployment program or commitment to using technology to improve service delivery, as well as other features of interest, such as use of state funds to help provide reemployment services. We visited four states (Massachusetts, Nebraska, Nevada, and Utah), where we interviewed state and local workforce officials, and had phone interviews with state workforce agency officials in two states (Texas and Wisconsin). Our selected states provided illustrative examples of the approaches they take to meet the reemployment needs of UI claimants; these examples are not representative of state practices nationwide.", "Second, to describe how often UI claimants receive services through key federally funded workforce programs, we interviewed DOL officials to identify which programs states typically use to serve UI claimants, and analyzed national data on UI claimant participation in those programs\u2014 the DOL-administered Wagner-Peyser Employment Service, RESEA, the WIOA Adult program, and the WIOA Dislocated Worker program\u2014for program year 2015 (July 2015 through June 2016), the most recent year available at the time of our review. We assessed the reliability of these data by reviewing data system documentation, conducting data checks, and interviewing knowledgeable DOL and selected state officials. We found the data sufficiently reliable to describe how many UI claimants states report serving through key federally funded workforce programs, and have included caveats regarding differences in state reporting practices and other limitations, as appropriate. To describe how states fund reemployment services for UI claimants, we analyzed summary reemployment program expenditure data provided by five of the six selected states for state fiscal year 2017, the most recent year available at the time of our review. We assessed the reliability of these data by interviewing knowledgeable state officials, and found them reliable for our purposes.", "Third, to obtain national information on how states use profiling systems to identify UI claimants who are most likely to exhaust their benefits and need assistance returning to work, we reviewed a 2007 national study of state profiling systems and analyzed state responses to a 2014 follow-up profiling system questionnaire. To obtain more in-depth information on the practices of individual states, we interviewed officials from our six selected states and three additional states (Connecticut, Kentucky, and Maryland), selected because they worked with external partners to develop their profiling systems or had systems DOL officials identified as innovative. Where available, we also reviewed documentation related to selected states\u2019 profiling systems. To obtain information about how DOL supports and monitors states\u2019 use of profiling systems, we interviewed DOL officials and reviewed DOL guidance and technical assistance materials. Lastly, we reviewed relevant federal laws and DOL guidance, and assessed DOL\u2019s efforts against standards for internal control in the federal government.", "We conducted this performance audit from December 2016 to September 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Enacted in July 2014, WIOA emphasizes the alignment and integration of workforce programs, primarily administered by the departments of Labor and Education, that provide education and training services to help job seekers obtain employment and advance in the labor market. WIOA also provides for state workforce development boards to help oversee a system of local workforce development boards that, in turn, deliver services through a network of one-stop centers. In its guidance on implementing WIOA, DOL states that this network is a shared responsibility of states, local boards, and other partners, including one- stop programs. It also encourages integration of services across one-stop programs to promote seamless service delivery.", "The public workforce system is available to all job seekers, including UI claimants, and through it claimants may access reemployment services from a variety of federally funded workforce programs. At one-stop centers, states make services such as job search assistance and career counseling available to UI claimants and other job seekers using programs including the DOL-administered Wagner-Peyser Employment Service, the WIOA Adult program, and the WIOA Dislocated Worker program. The WIOA Adult program and WIOA Dislocated Worker program may also be used to provide training (see table 1).", "UI claimants may also access services from other programs offered through the public workforce system. One such program, RESEA, is designated for the provision of reemployment services to UI claimants specifically. Established as a discretionary grant program in 2015, RESEA makes funding available to states for reemployment services to UI claimants identified by their state as most likely to exhaust their benefits, as well as veterans who receive UI benefits through the Unemployment Compensation for Ex-Servicemembers (UCX) program. During fiscal year 2017, 49 states and the District of Columbia participated in RESEA, and DOL made $115 million in grant funds available through the program. In February 2018, legislation was enacted that established RESEA as a formula grant program with incentive payments for states meeting or exceeding outcome goals, and authorized up to approximately $3.9 billion in funding for the program through fiscal year 2027. In July 2018, DOL announced that it was developing an implementation plan for the new RESEA program provisions, and would provide details on this plan in the coming months.", "RESEA aims to link UI claimants to the public workforce system, address their individual reemployment needs, and help states prevent and detect improper payments by conducting UI eligibility reviews. Once a UI claimant is selected for RESEA, the claimant is required to attend a one- stop orientation and meet one-on-one with a caseworker, who conducts a UI eligibility assessment, helps the claimant develop an individualized reemployment plan, and provides or refers the claimant to other reemployment services, as appropriate (see fig. 1). In some states, claimants participate in a second caseworker meeting to receive follow-up services, either in person or by phone."], "subsections": [{"section_title": "UI Claimant Profiling Requirements", "paragraphs": ["Since 1994, states have been required by law to develop and use profiling systems to identify UI claimants who are likely to exhaust their benefits, and to refer such claimants to reemployment services. In response to this legislation, DOL launched a Worker Profiling and Reemployment Services (WPRS) initiative in 1994. Currently, most states provide services to such claimants through their RESEA programs, using the profiling systems they developed under the WPRS initiative.", "DOL issued WPRS guidance in 1994 describing minimum profiling requirements for all states and listing two profiling options:", "Statistical profiling systems predict each UI claimant\u2019s likelihood of exhausting benefits based on claimant characteristics (such as education level, prior claims history, and industry or occupation) and other factors. The system produces a ranked list, and claimants with the highest predicted likelihood of exhausting benefits are selected for reemployment services.", "Non-statistical characteristic screens sort claimants into two groups, based on the presence of certain characteristics. Claimants with one or more of these characteristics are considered not likely to exhaust their benefits, and are excluded from selection for services. Remaining claimants are considered likely to exhaust their benefits, and a subset is randomly selected for reemployment services.", "This guidance also specifies characteristics that states must, may, and are forbidden to use in their profiling systems. Specifically, states are required to include certain characteristics to identify UI claimants who are permanently laid off and unlikely to return to their previous industry or occupation. States may also use a claimant\u2019s education, tenure at a previous job, and the state unemployment rate. States are prohibited from using claimant age, race or ethnic group, sex, disability, religion, political affiliation, and citizenship, among others. DOL determined that use of these characteristics could produce discriminatory effects, as UI claimants selected for reemployment services through the profiling process are required to attend services, or may lose their eligibility to receive UI benefits."], "subsections": []}, {"section_title": "Research on Effectiveness of Reemployment Services", "paragraphs": ["DOL-commissioned research suggests that reemployment services may help UI claimants find work more quickly and reduce UI program expenditures, though results have differed across states reviewed. A 2008 study found that the Reemployment and Eligibility Assessment (REA) program, the predecessor to RESEA, was effective in reducing the average duration of UI benefits in one of two states reviewed. Specifically, this study found that the REA program led to a statistically significant reduction in the duration of UI benefit claims of about a week for claimants with multiple caseworker meetings in Minnesota, but did not find statistically significant effects for claimants in North Dakota. A subsequent 2011 study found significant reductions in UI benefit duration and amount of benefits received among REA participants in three of four states reviewed, with the largest effects exhibited in Nevada. A more in- depth 2012 evaluation of Nevada\u2019s REA program during the 2007 to 2009 Great Recession found that, on average, REA participants exited the UI program about three weeks sooner and used $873 less in benefits than non-participants as a result. This impact on UI benefit duration and benefit amounts includes both reductions in regular UI benefits and in Emergency Unemployment Compensation (EUC) benefits. Additionally, REA participants were nearly 20 percent more likely to obtain employment in the first two quarters after entering the program."], "subsections": []}]}, {"section_title": "Selected States Provide Services to Help UI Claimants Find Work Using a Variety of Key Approaches Selected States All Provide Reemployment Services to Connect UI Claimants to Jobs Quickly", "paragraphs": ["Officials from all six of our selected states said they provide reemployment services designed to help UI claimants get back to work quickly. These services include assessing claimant skills and service needs, providing job search assistance and referrals, and conducting interviewing and resume workshops, among others. State officials said they may also refer claimants with more extensive needs to additional services, such as longer-term case management or retraining."], "subsections": [{"section_title": "Selected States Vary in How They Deliver Services through their Primary Reemployment Programs for UI Claimants", "paragraphs": ["Officials from all six of our selected states described operating reemployment programs that connect many UI claimants to the state\u2019s public workforce system; we refer to these as primary reemployment programs. While the services available through these programs are similar, state approaches to selecting participants for and delivering services through these programs vary. According to information from state officials, these selected states\u2019 primary reemployment programs generally follow the RESEA model of a one-stop center orientation and one-on-one meeting with a caseworker.", "Officials in all six of our selected states said they served UI claimants identified as most likely to exhaust their benefits, as required by law, through their primary reemployment programs, but some select additional claimants for these programs as well. Officials in two states, Massachusetts and Nebraska, said they believe it is important for all claimants to have access to reemployment services and that they require all claimants to report to a one-stop center for an orientation and meeting with a caseworker. (See text box.)", "State Spotlight: Service Goals In 2015, Nebraska expanded its primary reemployment program, called NEres, to all unemployment insurance claimants, with state officials noting that all claimants can benefit from the high-quality services it offers.", "In contrast, officials from three selected states said they prioritize claimants who are most likely to exhaust their benefits for reemployment services, and noted that these claimants have the greatest service needs. Officials from Wisconsin, for example, said claimants who are not selected for the state\u2019s RESEA program are considered job ready and typically do not need in-person services. In addition to prioritizing claimants who are most likely to exhaust their benefits, our sixth selected state, Nevada, randomly selects additional claimants to participate in a state-funded reemployment program that is similar to the state\u2019s RESEA program. Officials in Nevada said they believe their state-funded program allows them to serve claimants with less intensive needs more efficiently and builds upon the success of the state\u2019s prior REA program.", "Officials in the six selected states described varying approaches to providing reemployment services online versus in person. Officials in two states said their state strongly encourages the use of online services. For example, officials in Utah said all UI claimants are required to fill out an online needs assessment when filing a claim, and based on their responses, are required to complete up to five additional online workshops. These officials said leveraging online self-service options helps UI claimants adapt to using technology in the workplace and helps the state preserve limited financial resources (see text box). Similarly, officials in Wisconsin said claimants are required to complete an online needs assessment and orientation, and claimants can access various online workshops to address identified service needs. These officials believe this emphasis on online services will help claimants become more self-sufficient and in control of their job search.", "State Spotlight: Online Services Officials in Utah described the one-stop center\u2019s motto as \u201cself-directed.\u201d One-stop center staff encourage customers to access services independently through the state\u2019s online portal in the computer lab so that they feel empowered to use online services at home.", "In contrast, officials in three other selected states emphasized the benefits of in-person service provision. In Nebraska, officials said in- person meetings help one-stop center staff observe a claimant\u2019s potential employment barriers that might otherwise be hard to identify. Officials provided an example of a claimant who seemed well-positioned on paper to obtain employment, but in person clearly lacked good interviewing skills, prompting the caseworker to refer the claimant to additional interviewing support. In Texas, officials said in-person service provision, where possible, also helps promote program integrity as it enables caseworkers to more easily set the expectation that claimants must search for work to qualify for UI benefits. Additionally, officials in Nevada said establishing a personal connection with claimants can help one-stop staff encourage those struggling with the experience of applying for dozens of jobs online without receiving any feedback from prospective employers (see text box).", "Officials in the six selected states also described varying approaches in the extent to which they provide reemployment services in group settings or on an individual basis. In RESEA guidance, DOL has encouraged the use of group services as a way to enhance efficiency, and officials in four selected states said they conduct group orientations through their primary reemployment programs. For example, in Massachusetts, officials said that all UI claimants attend a group Career Center Seminar, where one- stop center staff provide an overview of available reemployment services and local labor market conditions, and UI claimants complete a needs assessment and career action plan. In Nebraska, a caseworker said the use of group orientations is a strength of the state\u2019s program because it provides an opportunity for claimants to discuss shared challenges and network with each other. In contrast, Nevada provides all services through its primary reemployment program individually, which officials said they believe is more effective than group service provision. Officials said that during these individual meetings, caseworkers identify each claimant\u2019s barriers to employment and assess whether the claimant needs ongoing individual case management or if additional service referrals would be appropriate."], "subsections": []}, {"section_title": "Selected States Leverage Technology and Integrate Program Resources to Help Improve Services", "paragraphs": ["Officials from all six selected states said they use technology and integrate resources from across federally funded workforce programs as strategies that help enhance efficiency and improve UI claimant customer experiences."], "subsections": [{"section_title": "Leveraging Technology", "paragraphs": ["To help provide services more cost-effectively and enhance service delivery capacity, officials in two selected states, Utah and Wisconsin, said they invested resources into expanding the array of online self- service options available to UI claimants. Utah officials said the state increased its use of technology to meet heightened service demand during the Great Recession, and continues to encourage online self- services as a cost-effective, fiscally sustainable means of maintaining service levels with fewer staff. Similarly, officials in Wisconsin said the state\u2019s enhanced self-service options are central to its strategy for meeting current UI claimant needs and prepare the state for potential increases in UI claimant demand in an economic downturn.", "Officials in five selected states said they have also used technology to help make services more customer-friendly, including the four selected states in which officials described improvements to their online job banks.", "One of these states, Nebraska, added a mobile job bank application that, according to officials, has made it easier for UI claimants to use job bank features on their mobile devices and allows them to search for postings within a certain radius of their physical location. Nevada and Wisconsin officials also described other investments in mobile technology. Nevada, for instance, plans to implement a tool that will allow UI claimants to communicate with caseworkers via text message, such as by sending a picture of their first paystub to document that they found a job. Additionally, Wisconsin implemented a self-scheduling feature for initial RESEA meetings as part of broader upgrades to the state\u2019s UI and workforce data systems.", "Officials in all six selected states said they use technology to help caseworkers maximize their time. For example, officials in four states said integrating their state UI and workforce data systems has enabled them to automate some caseworker responsibilities. In Massachusetts and Wisconsin, officials said data system integration allows caseworkers to instantly transfer relevant information from the workforce data system to the UI data system, enabling them, for instance, to automatically trigger UI adjudication proceedings after a UI claimant fails to meet RESEA requirements. Officials from Wisconsin, Massachusetts, and Utah said their online self-scheduling features help save time that caseworkers would otherwise spend scheduling and rescheduling missed appointments. (See text box.) Officials in four selected states said they also use technological tools to help caseworkers focus their time on providing individualized services. For example, Nebraska developed a series of orientation videos designed to deliver clear, standardized information on job search requirements and available resources for claimants. As a result, caseworkers who manage in-person orientation sessions are able to focus on answering participant questions and emphasizing key information.", "State Spotlight: Self-Scheduling Tool Wisconsin officials said their online self-scheduling tool for participants in the Reemployment Services and Eligibility Assessment (RESEA) program has both freed up staff time and increased RESEA attendance rates. According to data provided by state officials, the percentage of scheduled RESEA meetings attended by claimants increased from about 69 percent in 2014 to 87 percent in 2016. Officials attributed this increase to the implementation of the self-scheduling tool in March 2015."], "subsections": []}, {"section_title": "Program Integration", "paragraphs": ["Officials from all six selected states cited the benefits, such as improving UI claimant access to services, of enhancing program integration. Officials from four selected states said they aim to improve UI claimants\u2019 customer experience using a \u201cno wrong door\u201d service delivery framework in which one-stop center staff guide claimants and other job seekers to the services they need without requiring them to approach different siloed programs for services (see text box). Additionally, officials from three selected states said state workforce agencies work behind the scenes using integrated budgeting, or \u201cbraided funding,\u201d to align the appropriate federal resources so one-stop center staff can focus on service provision rather than funding source constraints. Officials in Utah and Wisconsin said integrated budgeting helped them support system-wide improvements, such as IT updates. For example, Wisconsin state officials said they strategically set aside funding from multiple programs to support the technology upgrades needed for a redesign of their reemployment program.", "State Spotlight: Program Integration Massachusetts cross-trains one-stop center staff on available workforce programs to increase collaboration and make the experiences of \u201cshared\u201d customers\u2014those who receive services from more than one program\u2014more seamless.", "Finally, officials from all six of our selected states said that the Wagner- Peyser Employment Service\u2014a federally funded workforce program that can be used to support any job seeker\u2014is a critical federal resource that they use in conjunction with other workforce programs to meet the needs of UI claimants specifically. These six selected states described using the Wagner-Peyser Employment Service for a wide range of functions, including expanding reemployment service provision to claimants, supporting one-stop center staff or computer labs, and maintaining continuity of RESEA operations in periods of funding uncertainty."], "subsections": []}]}]}, {"section_title": "States Served UI Claimants through Four Key Federally Funded Workforce Programs, but Data on Reemployment Service Expenditures Are Not Available States Report that They Most Often Served UI Claimants through the Wagner-Peyser Employment Service", "paragraphs": ["In program year 2015 (July 2015 through June 2016), states reported providing services to UI claimants through four key federally funded workforce programs, most often the Wagner-Peyser Employment Service, followed by RESEA, the WIOA Dislocated Worker program, and the WIOA Adult program (see fig. 2). (See appendix I for selected state participation data.)", "States likewise served the largest number of all job seekers through the federally funded Wagner-Peyser Employment Service in program year 2015, followed by RESEA, the WIOA Adult program, and the WIOA Dislocated Worker program. The proportion of service recipients who were UI claimants, and the amount of DOL funding provided to states under these programs, also varied (see fig. 3).", "The following sections discuss these programs in more detail."], "subsections": [{"section_title": "Selected States Do Not Track All Reemployment Service Spending on UI Claimants, and DOL Officials Said Such Tracking Would Be Burdensome", "paragraphs": ["Officials from all six of our selected states said their accounting systems did not generally track expenses by the UI claimant status of jobseekers served, and as a result, they could not isolate all reemployment service spending on UI claimants specifically. For instance, Utah officials said they allocated workforce system costs across multiple funding streams by surveying staff members about their activities at random moments in time. Officials said that while a jobseeker\u2019s UI claimant status may be relevant to some staff time charges (such as helping a jobseeker apply for UI benefits), it would not be relevant, or even known, in other cases (such as providing computer lab assistance).", "Officials from DOL said it would be burdensome for states to track and report workforce program expenditures on reemployment services provided to UI claimants specifically, as states have flexibility to use funds from multiple federal sources on services to both claimants and other jobseekers. DOL officials said they believe states mainly rely on RESEA, Wagner-Peyser, WIOA Dislocated Worker, and WIOA Adult funds to support UI claimant reemployment services. DOL has also reported that some states, including one of our selected states (Nevada), collect taxes designated for purposes that may include reemployment services.", "Our six selected states also provided some UI claimant reemployment services through their primary reemployment programs, and five of these states were able to provide us with summary expenditure data from these programs. These five states chiefly leveraged RESEA funds to support these programs in state fiscal year 2017, and three states supplemented RESEA funds with funds from other sources (see fig. 8).", "Of the three states that supplement RESEA funds with other sources, two (Nebraska and Wisconsin) used Wagner-Peyser funds, and one (Nevada) used state funds. Nebraska officials said they leveraged flexible Wagner- Peyser funds to enable the state to serve all UI claimants through its primary reemployment program. Wisconsin officials said that they, too, used Wagner-Peyser funds to expand the capacity of their state\u2019s primary reemployment program, but did not aim to serve all UI claimants. Nevada officials said they used state funds from an employer payroll tax to provide reemployment services to randomly selected UI claimants not already selected for RESEA."], "subsections": []}]}, {"section_title": "States Use Different Profiling Systems to Target UI Claimants for Services, but DOL Has Not Collected Needed Information or Fully Advised States about Profiling Options States Use a Range of Practices to Profile UI Claimants for Reemployment Services", "paragraphs": ["Past national studies and our review of information from nine selected states indicate that the practices used by states to profile, or identify, UI claimants who are most likely to exhaust their benefits and need assistance returning to work differ. A 2007 DOL-sponsored study and a 2014 follow-up questionnaire to states found that, nationally, a large majority of states reported using statistical profiling systems, while a few states used a type of non-statistical profiling system known as a characteristic screen. (See text boxes.) The 2007 study also found that the performance of states\u2019 profiling systems varied widely. Specifically, while some systems predicted claimants\u2019 likelihood of benefit exhaustion relatively well, others did not perform much better than random chance. Accepted statistical practices recommend that profiling systems be updated regularly, and DOL has recommended that states update their profiling systems every 2 to 4 years. However, more than half of states that responded to the 2014 questionnaire reported that they had not updated their systems since before 2008.", "Statistical Profiling Systems Statistical profiling systems predict each unemployment insurance (UI) claimant\u2019s likelihood of exhausting benefits based on claimant characteristics (see examples below), which are each assigned weights through a statistical process. The system produces a ranked list, and claimants with the highest predicted likelihood of exhausting benefits are selected for reemployment services.", "Sample Characteristics Used to Predict Benefit Exhaustion", "Weeks of UI benefits used in the past 3 years Non-Statistical Profiling Systems (example: Characteristic Screen) Non-statistical profiling systems select claimants for services using a process that does not rely on statistical analysis. One example of these, characteristic screens, sort unemployment insurance (UI) claimants into two groups, based on the presence of certain characteristics (see examples below). Claimants with one or more of these characteristics are considered not likely to exhaust their benefits, and are excluded from service requirements. Remaining claimants are considered likely to exhaust their benefits, and a subset is randomly selected for reemployment services.", "Of the nine selected states whose profiling systems we reviewed, six use statistical systems and three use non-statistical systems, and profiling practices vary widely, even among states using the same type of system. The six states with statistical systems have varying levels of system sophistication, and different system assessment and updating practices. For example, officials in one state said they invested substantial time and resources in building a sophisticated statistical profiling system and assessing its performance. To maintain the system, officials said they update it biannually through a yearlong, resource- intensive process. Officials described this process as important, noting that employer needs and the economy change over time, as do other factors that influence UI claimants\u2019 likelihood of exhausting their benefits. State officials further said that as part of a large umbrella agency with oversight of numerous federal workforce programs, they have the resources needed to sustain a centralized data office with the capacity to build and maintain a sophisticated statistical system.", "Officials in another state told us they had recently replaced their sophisticated statistical profiling system, which was based on the principles of machine learning, with a new, more straightforward, statistical system. While DOL officials said the state\u2019s prior system was innovative, state officials said that after the person who developed it left the agency, they did not know how to update it. The official charged with developing the state\u2019s new profiling system said he had to re-familiarize himself with statistical modeling practices in order to build it, and that it took months to complete. State officials said they had not yet established a performance assessment and updating process for the new system, and that they would need to gather additional data and determine how to address certain analytical challenges before doing so.", "Officials from a third state agency said they were using a statistical profiling system that had not been updated in over 25 years, and had asked DOL to help them develop a new statistical profiling system because they lacked the expertise to do so themselves. In March 2017, DOL provided the new system to the contractor that maintains the state\u2019s UI data system and will be responsible for running the new system. However, in June 2018, state officials told us they had delayed implementing the new system until the state completed a UI modernization project. Further, while state officials said they plan to keep the system up-to-date once implemented, they acknowledged that they do not have staff with the skills to do so, and will likely need continued DOL support.", "For the three selected states that use non-statistical profiling systems, state officials said that these systems generally require little effort to maintain. Officials in two of these states reported using characteristic screens, which sort claimants into two groups to identify and exempt from service requirements those claimants who meet certain conditions, such as being only temporarily unemployed or in an approved training program. An official from each state said they aim to serve all non-exempt claimants through their reemployment programs.", "The third state recently implemented a non-statistical claimant needs assessment that replaced the state\u2019s outdated statistical profiling system, which officials said had never been updated and was only used to comply with the federal profiling requirement. With the new needs assessment, claimant responses to questions such as, \u201cDo you have a resume?\u201d and \u201cHow many job interviews have you had in the last month?\u201d are scored to determine whether the claimant is job-ready or needs reemployment services. (See text box.) Caseworkers can also use these responses to make more effective service referrals during their appointments with claimants. For instance, if a claimant reported not having a current resume, a caseworker might refer the claimant to a resume workshop. In addition, officials said that program administrators can easily adjust the scoring and weights used in the assessment, and that they review it each year for potential updates.", "Sample Alternative Non-Statistical Profiling System (Needs Assessment) One selected state\u2019s claimant needs assessment scores claimant responses to a questionnaire about job readiness to determine if claimants need reemployment services. Those responses also provide caseworkers with direct information about claimant needs.", "How long have you been looking for work?", "Do you have a cover letter?", "Do you need help preparing for an interview?", "Do you have the computer skills needed to complete online job applications?"], "subsections": [{"section_title": "DOL Has Not Systematically Collected Information on State Profiling Systems that Could Inform Its Oversight and Technical Assistance Efforts", "paragraphs": ["Despite past research identifying weaknesses in state profiling systems, DOL has not systematically collected information on these systems, which limits its ability to oversee their performance. DOL officials said that they communicate with states about their profiling practices and gather some profiling system information in the course of their periodic UI and RESEA reviews. However, DOL technical staff do not review or maintain this profiling system information for oversight purposes, and DOL does not have a systematic method of tracking state profiling practices across states. DOL officials said that they view their primary role, related to profiling systems, as providing technical assistance; however, by law, DOL is also responsible for ensuring that states\u2019 profiling systems meet federal requirements. Further, GAO recommended in a 2007 report that DOL take a more active role in ensuring profiling system accuracy, and federal internal control standards state that agencies should obtain timely and relevant data to conduct effective monitoring. Without such data, DOL\u2019s ability to effectively oversee state profiling practices is limited.", "In addition, DOL provides technical assistance\u2014which can range from answering specific questions to developing a new statistical profiling system on a state\u2019s behalf\u2014to individual states only upon request, rather than identifying and providing assistance to states at higher risk of poor profiling system performance. This approach necessitates that states recognize when they need technical assistance and request it. However, states may not know that their profiling systems are performing poorly and may not request needed technical assistance as a result. For example, officials from four of our six selected states with statistical systems told us that they do not currently have a process to assess their systems\u2019 performance. As a result, these states may not be aware of potential issues they may need to address to improve their system performance. Additionally, officials responsible for maintaining another selected state\u2019s profiling system had incorrectly identified the system type. As a result, officials may have difficulty identifying problems and seeking support.", "DOL has an opportunity to use its new UI state self-assessment to systematically collect information that could inform its oversight of state profiling practices and technical assistance efforts. This questionnaire, which DOL designed to help states self-identify and correct UI system weaknesses, covers 15 functional areas. Self-assessment questions in one of these areas will collect some information on state profiling systems, such as system type and date of last update. However, as currently designed, the self-assessment will not solicit other information that could help DOL identify states at risk of poor system performance. For example, it does not ask whether states have experienced challenges maintaining their systems (for instance, due to staff turnover), or how states have assessed system performance. DOL officials told us regional staff will review state responses to the self-assessment, the first of which are due in March 2019, and which will be one piece of information used to identify states that DOL might prioritize for general UI program oversight.", "While DOL officials said it would make sense to use the information gathered to inform oversight of profiling systems as well, they did not have specific plans about how they would do so. Federal internal control standards state that agencies should identify, analyze, and respond to risks. Without collecting more detailed and consistent profiling system information and having a clearer plan for how to use it, DOL\u2019s ability to conduct effective monitoring and respond to risks will continue to be limited. More specifically, DOL may miss opportunities to help states at risk of poor profiling system performance better identify UI claimants most in need of reemployment services."], "subsections": []}, {"section_title": "DOL Guidance Does Not Fully Address State Options for Meeting Profiling System Requirements", "paragraphs": ["DOL\u2019s current profiling guidance does not clearly and comprehensively communicate the profiling system options available to states, which may prevent states from using the profiling systems that best suit their needs. While the law does not specify a particular type of profiling system states must use, DOL\u2019s only formal profiling guidance, issued in 1994, describes only two state options: statistical systems and characteristic screens, a type of non-statistical system. Further the guidance encourages states to use statistical systems, which it asserts are more efficient and precise, and easier to manage and adapt, than non-statistical systems. DOL officials who provide technical assistance to states told us they also encourage all states to use statistical profiling systems for the same reasons. However, DOL officials acknowledged that, in practice, not all statistical profiling systems predict benefits exhaustion well, particularly outdated systems. The 2007 DOL-sponsored study similarly found that some state profiling systems did not predict benefit exhaustion much more accurately than random chance.", "Additionally, statistical profiling systems may be more difficult for some states to develop and maintain than non-statistical systems. DOL officials acknowledged that states with technical capacity issues, such as staffing and data system limitations, may experience particular challenges. Officials we spoke to in four of our six selected states with statistical profiling systems told us that they have faced these challenges. In contrast, officials from all of our selected states with non-statistical profiling systems said their systems are easy to maintain. Officials from one state that uses a claimant needs assessment said this system also provides useful information that caseworkers can review prior to one-on- one meetings with claimants.", "DOL officials told us they are supportive of state experimentation with alternative profiling approaches. However, officials in our selected states had differing perspectives on DOL\u2019s views on state flexibility and options for pursuing experimentation. For example, an official in one state was interested in making a change to the outcome variable that the state\u2019s statistical system predicted, believing it could reduce UI program expenditures. As a result, the state consulted with regional DOL staff about the possible revision and made the change with DOL\u2019s support. In contrast, an official in another state who wanted to make a similar change to its statistical profiling system has not pursued the change or discussed it with DOL officials because he believes such a change would not be allowed.", "Further, some of our selected states differed in their understanding of state flexibility to use the type of profiling system that works best for them. For example, officials in one of our selected states said they are switching to a statistical system after longstanding encouragement by DOL to do so, even though a key official expressed concern that a statistical system may not be useful, given the state\u2019s goal of providing services to all UI claimants. In contrast, officials in another state said they had recently replaced their outdated statistical profiling system with a claimant needs assessment that differs from the options described in DOL\u2019s 1994 guidance, after requesting DOL review of their revised approach.", "The differences in states\u2019 perspectives on allowable options for profiling systems may in part be due to the fact that DOL\u2019s current profiling guidance is limited and outdated. The guidance was issued in 1994, and it does not clearly reflect all of the options available to states, such as using a different outcome variable in a statistical system, or implementing an alternative type of non-statistical system to meet worker profiling requirements. Further, while a key DOL official said they are open to reviewing alternative state profiling approaches, they do not have a formal process for doing so, nor does guidance address the option for DOL to review alternative approaches. DOL officials said they believe the existing guidance provides states relatively wide latitude in designing their profiling systems and, as a result, they have not found the need to change those guidelines. However, federal internal control standards emphasize the importance of periodically reviewing policy for continued relevance and effectiveness in achieving objectives. Without clearer, more current policy information from DOL on profiling requirements and available options, state officials may continue to have differing understandings of what they can do, and states may not pursue innovations that could improve their profiling systems, better suit their technical capacity, and, ultimately, better target claimants for reemployment services."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["With 5.7 million UI claimants receiving nearly $30 billion in unemployment benefits in 2017, reemployment services have the potential to substantially improve employment outcomes and conserve resources by shortening UI claimants\u2019 periods of unemployment. Earlier this year, Congress authorized up to approximately $3.9 billion in funding over the next decade for the RESEA program, which states use to provide services to UI claimants most likely to exhaust their benefits. However, DOL has not taken key steps to help states effectively identify and select such claimants for the program. DOL has the opportunity to collect more systematic information on state practices for profiling UI claimants through its new UI state self-assessment, but the information it is planning to collect is limited and may not enable DOL to identify states that are having trouble identifying claimants in need of services. Further, DOL does not have a process for how it can use information on state risks of poor profiling system performance to guide its oversight and technical assistance efforts, choosing largely to assist individual states only when asked. Some states may not be equipped to identify weaknesses in their profiling systems, and as a result may not request the assistance they need. In addition, DOL encourages all states to use statistical profiling systems despite acknowledging that some states\u2019 statistical systems, particularly outdated ones, may not perform well in practice. Moreover, its profiling guidance to states has not been updated since 1994, and may not reflect the flexibility afforded states to pursue alternative profiling options. Without clearer, more current information from DOL, states may not pursue innovations that could help them better identify the UI claimants who need reemployment services most."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following three recommendations to the Department of Labor:", "The Secretary of Labor should systematically collect sufficient information on state profiling systems, possibly through DOL\u2019s new UI state self-assessment process, to identify states at risk of poor profiling system performance. For instance, DOL could collect information on challenges states have experienced using and maintaining their profiling systems, planned changes to the systems, or state processes for assessing the systems\u2019 performance. (Recommendation 1)", "The Secretary of Labor should develop a process to use information on state risks of poor profiling system performance to provide technical assistance to states that need to improve their systems. DOL may also wish to tailor its technical assistance based on state service delivery goals and technical capacity. (Recommendation 2)", "The Secretary of Labor should update agency guidance to ensure that it clearly informs states about the range of allowable profiling approaches. (Recommendation 3)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this product to the Department of Labor for comment. In its comments, reproduced in appendix II, DOL agreed with our recommendations and stated that it would take action to address them. DOL reiterated its commitment to providing technical assistance to states and strengthening the connection between the UI program and the public workforce system. DOL also provided technical comments, which we incorporated as appropriate. Additionally, we provided relevant excerpts of the draft report to officials in the selected states we included in our review. We incorporated their technical comments as appropriate.", "As agreed with your office, unless you publicly announce the contents of this report earlier, we plan no further distribution until 30 days from the report date. At that time, we will send copies to the appropriate congressional committees, the Secretary of the Department of Labor, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at 202-512-7215 or brownbarnesc@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Selected State Program Participation Data", "paragraphs": ["We selected six states\u2014Massachusetts, Nebraska, Nevada, Texas, Utah, and Wisconsin\u2014for in-depth review. These six selected states all served unemployment insurance (UI) claimants through several key federally funded workforce programs in program year 2015 (July 2015 through June 2016). For the five states that confirmed the reliability of the data they reported to the Department of Labor (DOL) over this time period, the numbers of UI claimants served through each program and percent of all service recipients who were UI claimants varied. Summary data from each of these five states are presented in figures 9 through 13."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Labor", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Rebecca Woiwode (Assistant Director), Ellen Phelps Ranen (Analyst-In-Charge), Caitlin Croake, Margaret Hettinger, Efrain Magallan, and Amrita Sen made key contributions to this report. Also contributing to this report were Lilia Chaidez, Alex Galuten, Thomas James, Nicole Jarvis, Serena Lo, Mimi Nguyen, Jessica Orr, Karissa Robie, Almeta Spencer, and Jeff Tessin."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-646T", "url": "https://www.gao.gov/products/GAO-18-646T", "title": "Drug Discount Program: Improvements Needed in Federal Oversight of Compliance at 340B Contract Pharmacies", "published_date": "2018-07-11T00:00:00", "released_date": "2018-07-11T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["This testimony summarizes the information contained in GAO's June 2018 report, entitled Drug Discount Program: Federal Oversight of Compliance at 340B Contract Pharmacies Needs Improvement ( GAO-18-480 )."]}, {"section_title": "What GAO Found", "paragraphs": ["The 340B Drug Pricing Program (340B Program), which is administered by the U.S. Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA), requires drug manufacturers to sell outpatient drugs at a discount to covered entities so that their drugs can be covered by Medicaid. Covered entities include certain hospitals and federal grantees (such as federally qualified health centers). About one-third of the more than 12,000 covered entities contract with outside pharmacies--contract pharmacies--to dispense drugs on their behalf. GAO's review of 30 contracts found that all but one contract included provisions for the covered entity to pay the contract pharmacy a flat fee for each eligible prescription. The flat fees generally ranged from $6 to $15 per prescription, but varied by several factors, including the type of drug or patient's insurance status. Some covered entities also agreed to pay pharmacies a percentage of revenue generated by each prescription.", "Thirty of the 55 covered entities GAO reviewed reported providing low-income, uninsured patients discounts on 340B drugs at some or all of their contract pharmacies. Of the 30 covered entities that provided discounts, 23 indicated that they pass on the full 340B discount to patients, resulting in patients paying the 340B price or less for drugs. Additionally, 14 of the 30 covered entities said they determined patients' eligibility for discounts based on whether their income was below a specified level, 11 reported providing discounts to all patients, and 5 determined eligibility for discounts on a case-by-case basis.", "GAO found weaknesses in HRSA's oversight that impede its ability to ensure compliance with 340B Program requirements at contract pharmacies, such as:", "HRSA audits do not fully assess compliance with the 340B Program prohibition on duplicate discounts for drugs prescribed to Medicaid beneficiaries. Specifically, manufacturers cannot be required to provide both the 340B discount and a rebate through the Medicaid Drug Rebate Program. However, HRSA only assesses the potential for duplicate discounts in Medicaid fee-for-service and not Medicaid managed care. As a result, it cannot ensure compliance with this requirement for the majority of Medicaid prescriptions, which occur under managed care.", "HRSA requires covered entities that have noncompliance issues identified during an audit to assess the full extent of noncompliance. However, because HRSA does not require all the covered entities to explain the methodology they used for determining the extent of the noncompliance, it does not know the scope of the assessments and whether they are effective at identifying the full extent of noncompliance.", "HRSA does not require all covered entities to provide evidence that they have taken corrective action and are in compliance with program requirements prior to closing the audit. Instead, HRSA generally relies on each covered entity to self-attest that all audit findings have been addressed and that the entity came into compliance with 340B Program requirements.", "Given these weaknesses, HRSA does not have a reasonable assurance that covered entities have adequately identified and addressed noncompliance with 340B Program requirements."]}], "report": [{"section_title": "Letter", "paragraphs": ["I am pleased to be here today to discuss our June 2018 report on contract pharmacies in the 340B Drug Pricing Program (340B Program). As you know, the 340B Program, named for the statutory provision authorizing it in the Public Health Service Act, requires drug manufacturers to sell outpatient drugs at discounted prices to covered entities in order to have their drugs covered by Medicaid. Covered entities include 6 types of hospitals and 10 types of federal grantees, such as federally qualified health centers. A covered entity typically purchases and dispenses 340B drugs either through an in-house pharmacy; through the use of a contract pharmacy arrangement, in which the entity contracts with an outside pharmacy and pays it to dispense drugs on its behalf; or both.", "According to the Health Resources and Services Administration (HRSA), the agency within the Department of Health and Human Services (HHS) responsible for administering and overseeing the 340B Program, the purpose of the program is to enable covered entities to stretch scarce federal resources to reach more eligible patients and provide more comprehensive services. Participation in the 340B Program is voluntary for both covered entities and drug manufacturers, but there are strong incentives to do so. Covered entities can realize substantial savings through 340B price discounts\u2014an estimated 20 to 50 percent of the cost of the drugs, according to HRSA. In addition, covered entities can generate revenue when they purchase 340B drugs for eligible patients whose insurance reimbursement exceeds the 340B price paid for the drugs. The statute authorizing the 340B Program does not dictate how covered entities should use this revenue or require discounts received on the drugs to be passed along to patients. The ability to have their drugs covered by Medicaid provides incentives for manufacturers to participate in the 340B Program.", "Covered entities are required to meet certain conditions set forth both in law and interpretive agency guidance. For example, they are prohibited from diverting 340B drugs\u2014that is, transferring 340B drugs to individuals who are not eligible patients of the covered entities. They are also prohibited from subjecting manufacturers to \u201cduplicate discounts\u201d in which drugs prescribed to Medicaid beneficiaries are subject to both the 340B price and a rebate through the Medicaid Drug Rebate Program. Covered entities that use contract pharmacies are responsible for overseeing those pharmacies to ensure compliance with these 340B Program requirements. Some covered entities hire and pay private companies, referred to as third-party administrators (TPA), to help determine patient eligibility and ensure compliance at contract pharmacies.", "HRSA\u2019s original guidance permitting the use of contract pharmacies limited their use to entities that did not have in-house pharmacies and allowed each entity to contract with only one outside pharmacy. However, March 2010 guidance lifted these restrictions, thus allowing covered entities to have an unlimited number of contract pharmacies. Since that time, the number of contract pharmacies has increased significantly, from about 1,300 to around 20,000. Given the growth in the 340B Program, there has been interest in obtaining a better understanding of program oversight, and the impact of contract pharmacies on the integrity of the program.", "My testimony today summarizes the findings from our June 2018 report. Accordingly, this testimony addresses: 1) the extent to which covered entities contract with pharmacies to distribute 340B drugs, and characteristics of these pharmacies; 2) the financial arrangements selected covered entities have with contract pharmacies and TPAs related to the administration and dispensing of 340B drugs; 3) the extent to which selected covered entities provide discounts on 340B drugs dispensed by contract pharmacies to low-income, uninsured patients; and 4) HRSA\u2019s efforts to ensure compliance with 340B Program requirements at contract pharmacies.", "To conduct the work for our report, we analyzed HRSA\u2019s 340B Program database of covered entities and contract pharmacies; selected and reviewed a nongeneralizable sample of 30 contracts between covered entities and contract pharmacies; and received completed questionnaires from 55 of 60 covered entities about the discounts provided to patients on 340B drugs dispensed by contract pharmacies and how the entities reimburse TPAs. Additionally, we reviewed relevant program policies, procedures, and guidance; analyzed summaries of HRSA\u2019s audits of covered entities; and conducted an in-depth review of a nongeneralizable sample of 20 HRSA audits. We also interviewed officials from HRSA, two TPAs, and 10 of the covered entities that responded to our questionnaire. As part of our work, we assessed HRSA\u2019s guidance and oversight of covered entities against federal internal control standards related to control activities, information and communication, and monitoring. Additional information on our scope and methodology is included in our report. The work this statement is based on was performed in accordance with generally accepted government auditing standards."], "subsections": [{"section_title": "About One-Third of Covered Entities Had One or More Contract Pharmacies, and Pharmacy Characteristics Varied", "paragraphs": ["We found that as of July 1, 2017, about one-third of the more than 12,000 covered entities in the 340B Program had contract pharmacies. A higher percentage of hospitals (69.3 percent) had at least one contract pharmacy compared to federal grantees (22.8 percent). Among covered entities that had at least one contract pharmacy, the number of contract pharmacies ranged from 1 to 439, with an average of 12 contract pharmacies per entity. The number of contract pharmacies varied by covered entity type, with disproportionate share hospitals having the most on average (25 contract pharmacies), and critical access hospitals having the least (4 contract pharmacies).", "Across all covered entities, the distance between the entities and their contract pharmacies ranged from 0 miles (meaning that the contract pharmacy and entity were co-located) to more than 5,000 miles; the median distance was 4.2 miles. About half of the entities had all their contract pharmacies located within 30 miles, but this varied by entity type. Specifically, more than 60 percent of critical access hospitals and federally qualified health centers, a type of federal grantee, had all of their contract pharmacies within 30 miles. In contrast, 45 percent of disproportionate share hospitals had at least one pharmacy that was more than 1,000 miles away compared to 11 percent or less for critical access hospitals and grantees."], "subsections": []}, {"section_title": "Selected Covered Entities Used Various Methods to Pay Contract Pharmacies and TPAs", "paragraphs": ["Contracts we reviewed between selected covered entities and contract pharmacies showed that entities generally agreed to pay their contract pharmacies a flat fee per 340B prescription, with some entities also paying additional fees based on a percentage of revenue. The flat fees generally ranged from $6 to $15 per prescription, but varied by several factors, including the type of covered entity and drug, as well as the patient\u2019s insurance status. In addition to flat fees, many of the contracts we reviewed included provisions for the covered entity to pay the pharmacy a fee based on the percentage of revenue generated by each prescription. These percentage fees only applied to prescriptions provided to patients with insurance, and ranged from 12 to 20 percent of the revenue generated by the prescriptions.", "Selected covered entities and TPAs included in our review indicated two main methods entities use to pay for TPA services: 1) per prescription processed, or 2) per contract pharmacy. Officials with the two TPAs we interviewed and the covered entities that responded to our questionnaire reported that agreements between the parties most frequently involved covered entities compensating their TPAs with a fee for each prescription processed on behalf of the entity, but the exact method and the amount of the fee varied. For example, some covered entities reported paying their TPAs for each prescription regardless of whether it was determined to be 340B eligible, others limited the fees to prescriptions that were 340B eligible, and some reported paying TPAs for 340B-eligible prescriptions dispensed to an insured patient."], "subsections": []}, {"section_title": "About Half of the Covered Entities GAO Reviewed Provided Low- Income, Uninsured Patients Discounts on 340B Drugs at Some or All of Their Contract Pharmacies", "paragraphs": ["Thirty of the 55 covered entities responding to our questionnaire reported providing low-income, uninsured patients discounts on 340B drugs at some or all of their contract pharmacies. Federal grantees were more likely than hospitals to provide patients with discounts on the price of drugs and to provide them at all contract pharmacies. Of the 30 covered entities that provided discounts, 23 indicated that they pass on the full 340B discount to patients, resulting in patients paying the 340B price or less for drugs. In many cases, these covered entities indicated that patients received drugs at no cost.", "The 30 covered entities providing 340B discounts to low-income, uninsured patients, reported using a variety of methods to determine whether patients were eligible for these discounts. Fourteen of the covered entities said they determined eligibility for discounts based on whether a patient\u2019s income was below certain thresholds as a percentage of the federal poverty level, 11 reported providing discounts to all patients, and 5 said they determined eligibility for discounts on a case-by-case basis.", "Some covered entities that did not provide discounts on 340B drugs at their contract pharmacies reported assisting patients with drug costs through other mechanisms. For example, some covered entities reported providing charity care to low-income patients, including free or discounted prescriptions; and some reported providing discounts on drugs dispensed by their in-house pharmacies."], "subsections": []}, {"section_title": "Oversight Weaknesses Impede HRSA\u2019s Ability to Ensure Compliance at 340B Contract Pharmacies", "paragraphs": ["We found weaknesses in HRSA\u2019s oversight that impede its ability to ensure compliance with 340B Program requirements at contract pharmacies. Specifically: Incomplete Data. We found that HRSA does not have complete data on all contract pharmacy arrangements in the 340B Program to inform its oversight efforts, including its audits of covered entities\u2014the agency\u2019s primary method for assessing entity compliance with program requirements. Although HRSA requires covered entities to register their contract pharmacies with the agency, it does not require covered entities to separately register contract pharmacies to each site of the covered entity with which a contractual relationship exists. HRSA officials told us that the number of registered contract pharmacy arrangements increases a covered entity\u2019s chance of being randomly selected for a risk-based audit. Our analysis of HRSA data showed that the registration of contract pharmacies for 57 percent of covered entities with multiple sites only specified relationships between contract pharmacies and each entity\u2019s main site, as opposed to all sites contracted to distribute drugs on that entity\u2019s behalf. Thus, the likelihood of an entity being selected for an audit is dependent, at least in part, on how an entity registers its pharmacies as opposed to the entity\u2019s actual number of pharmacy arrangements. We concluded that without more complete information on covered entities\u2019 contract pharmacy arrangements, HRSA cannot ensure that it is optimally targeting the limited number of risk-based audits done each year to entities that are at a higher risk for compliance issues because they have more contract pharmacy arrangements.", "Limited Oversight of Duplicate Discounts. We found that HRSA audits do not fully assess compliance with the 340B Program prohibition on duplicate discounts for drugs prescribed to Medicaid beneficiaries. Specifically, covered entities are prohibited from subjecting manufacturers to \u201cduplicate discounts\u201d in which drugs prescribed to Medicaid beneficiaries are subject to both the 340B price and a rebate through the Medicaid Drug Rebate Program. However, HRSA only assesses the potential for duplicate discounts in Medicaid fee-for-service and not Medicaid managed care, despite the fact that the majority of Medicaid enrollees, prescriptions and spending for drugs were in managed care. HRSA officials told us that they do not assess the potential for duplicate discounts in Medicaid managed care as part of their audits because they have yet to issue guidance as to how covered entities should prevent these duplicate discounts. We concluded that until HRSA develops guidance and includes an assessment of the potential for duplicate discounts in Medicaid managed care as part of its audits, the agency does not have assurance that covered entities\u2019 efforts are effectively preventing noncompliance, and manufacturers are at risk of being required to erroneously provide duplicate discounts for Medicaid prescriptions.", "Lack of Information on Full Scope of Noncompliance. We found that HRSA requires covered entities for which it identifies issues of noncompliance during audits to assess the full extent of the noncompliance, but it does not provide guidance as to how entities should make these assessments. Specifically, HRSA does not specify the time period covered entities must review to see if any related noncompliance occurred and instead, relies on each entity to make this determination. Additionally, HRSA does not require most covered entities that were audited to communicate the methodology used to assess the full scope of noncompliance, or the findings of their assessments, including how many or which manufacturers were due repayment. As a result, we concluded that HRSA does not know the scope of covered entities\u2019 assessments and whether they were effective at identifying the full extent of the noncompliance identified in the audit.", "Lack of Evidence of Corrective Actions. We found that prior to closing an audit, HRSA\u2019s audit procedures do not require all covered entities to provide evidence that they have taken corrective action and are in compliance with program requirements. Instead, HRSA relies on the 90 percent of covered entities subject to risk-based audits to self-attest that all audit findings have been addressed and that the entity has come into compliance with 340B Program requirements. We concluded that HRSA, therefore, does not have reasonable assurance that the majority of covered entities audited have corrected the issues identified in the audit, and are not continuing practices that could lead to noncompliance, thus increasing the risk of diversions, duplicate discounts, and other violations of 340B Program requirements.", "Limited Guidance on Contract Pharmacy Oversight. We found that HRSA\u2019s contract pharmacy oversight guidance for covered entities lacks specificity and thus, provides entities with considerable discretion on the scope and frequency of their oversight practices. Specifically, HRSA\u2019s 2010 guidance on contract pharmacy services specifies that covered entities are responsible for overseeing their contract pharmacies to ensure that the drugs entities distribute through them comply with 340B Program requirements, but states that, \u201cthe exact method of ensuring compliance is left up to the covered entity.\u201d According to HRSA officials, if a covered entity indicates that it has performed oversight in the 12 months prior to a HRSA audit, then HRSA considers the entity to have met its standards for conducting contract pharmacy oversight, regardless of what the oversight encompassed. However, due, at least in part, to a lack of specific guidance, we found that some covered entities performed minimal contract pharmacy oversight. Additionally, the identified noncompliance at contract pharmacies raises questions about the effectiveness of covered entities\u2019 current oversight practices. For example, 66 percent of the 380 diversion findings in HRSA audits since 2012 involved drugs distributed at contract pharmacies, and 33 of the 813 audits for which results were available had findings for lack of contract pharmacy oversight. We concluded that as a result of the lack of specific guidance and the numerous HRSA audit findings of noncompliance occurring at contract pharmacies, HRSA does not have assurance that covered entities\u2019 contract pharmacy oversight practices are sufficiently identifying 340B noncompliance.", "Our June 2018 report contained seven recommendations to HRSA to strengthen its oversight of the 340B Program. HHS concurred with our four recommendations that HRSA should 1) issue guidance to covered entities on the prevention of duplicate discounts under Medicaid managed care; 2) incorporate an assessment of covered entities\u2019 compliance with the prohibition on duplicate discounts, as it relates to Medicaid managed care claims, into its audit process once the guidance is issued; 3) issue guidance on the length of time covered entities must look back following audits to identify the full scope of noncompliance identified during audits; and 4) provide more specific guidance to covered entities regarding contract pharmacy oversight, including the scope and frequency of such oversight.", "HHS did not concur with our three recommendations that HRSA should 1) require covered entities to register contract pharmacies for each site of the entity for which a contract exists; 2) require all covered entities to specify their methodology for determining the full scope of noncompliance identified during the audit as part of their corrective action plans, and incorporate reviews of covered entities\u2019 methodology into their audit process to ensure that entities are adequately assessing the full scope of noncompliance; and 3) require all covered entities to provide evidence that their corrective action plans have been successfully implemented prior to closing audits, including documentation of the results of the entities\u2019 assessments of the full scope of noncompliance identified during each audit. HHS cited concerns that implementing these recommendations would be burdensome on covered entities and HRSA. However, as explained in our report, we believe that these recommendations would only create limited additional burden on covered entities and the agency and are warranted to improve HRSA\u2019s oversight of the 340B Program.", "Chairman Burgess, Ranking Member Green, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to answer any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contacts and Staff Acknowledgments", "paragraphs": ["If you or your staff members have any questions concerning this testimony, please contact Debra A. Draper at (202) 512-7114 or draper@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. In addition to the contact named above, Michelle Rosenberg (Assistant Director), Amanda Cherrin (Analyst in Charge), Jennie Apter, George Bogart, and David Lichtenfeld made key contributions to this statement.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": ["To have their drugs covered under Medicaid, the \"340B\" program requires drug manufacturers to sell outpatient drugs to covered entities\u2014certain hospitals and clinics\u2014at a discount. These entities are increasingly contracting with pharmacies to dispense 340B drugs. Doing so can make it harder to ensure compliance with 340B rules. For example, contract pharmacies may also fill prescriptions for the general public, increasing the risk of dispensing 340B drugs to ineligible patients.", "We testified on our report's recommendations to improve federal oversight of covered entities to help ensure compliance with 340B requirements."]} {"id": "GAO-18-272", "url": "https://www.gao.gov/products/GAO-18-272", "title": "Food Safety: USDA Should Take Further Action to Reduce Pathogens in Meat and Poultry Products", "published_date": "2018-03-19T00:00:00", "released_date": "2018-04-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["The U.S. food supply is generally considered safe, but the Centers for Disease Control and Prevention (CDC) estimate that Salmonella and Campylobacter in food cause about 2 million human illnesses per year in the United States. In 2014, GAO identified challenges USDA faced in reducing pathogens in poultry products, including standards that were outdated or nonexistent and limited control over factors that affect pathogen contamination outside of meat and poultry slaughter and processing plants, such as practices on the farm.", "GAO was asked to review USDA's approach to reducing pathogens in meat and poultry products. This report examines (1) the extent to which USDA has developed standards for meat and poultry products and (2) any additional steps USDA has taken to address challenges GAO identified in 2014. GAO reviewed relevant regulations, documents, and data and interviewed officials from USDA and CDC, as well as 17 stakeholders representing industry, consumer groups, and researchers selected based on their knowledge of USDA's meat and poultry slaughter inspections and food safety."]}, {"section_title": "What GAO Found", "paragraphs": ["To help ensure the safety of our nation's food supply, the U.S. Department of Agriculture (USDA) has developed standards limiting the amount of Salmonella and Campylobacter \u2014pathogens that can cause foodborne illness in humans\u2014permitted in certain meat (beef and pork) and poultry (chicken and turkey) products, such as ground beef, pork carcasses, and chicken breasts. However, the agency has not developed standards for other products that are widely available, such as turkey breasts and pork chops. Further, its process for deciding which products to consider for new standards is unclear because it is not fully documented, which is not consistent with federal standards for internal control. For example, USDA has informed stakeholders that it will take into account factors including consumption and illness data, but the agency has not documented this process going forward. Previously, USDA had developed new standards after widespread outbreaks indicated the need. For example, in 2016, USDA concluded that new standards were needed for certain poultry products to reduce Salmonella after reviewing outbreaks from these products in 2011, 2013, and 2015\u2014outbreaks in which 794 people were sickened and 1 died. By documenting the agency's process for deciding which products to consider for new standards, USDA could better ensure that such decisions will be risk-based.", "USDA is taking steps to address challenges GAO identified in 2014 for reducing pathogens in poultry products, but these challenges are ongoing and could affect USDA's ability to reduce pathogens in meat as well. For example, one challenge GAO identified is that the level of pathogens in poultry products can be affected by practices on farms where poultry are raised. GAO recommended in 2014 that to help overcome this challenge, USDA guidelines on practices for controlling Salmonella and Campylobacter on farms include information on the effectiveness of each of the practices, consistent with a recommendation from a USDA advisory committee. Since GAO's 2014 report, USDA drafted revised guidelines to include information on the effectiveness of on-farm practices for controlling pathogens in poultry and beef cattle, in 2015 and 2017, respectively. However, USDA's draft guidelines for controlling Salmonella in hogs do not contain such information. By including such information as it finalizes its draft guidelines, USDA could better inform industry of the potential benefits of adopting on-farm practices included in the guidelines and encourage implementation of such practices."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO is making three recommendations, including that USDA document its process for deciding which products to consider for new standards and that it include information on the effectiveness of on-farm practices in its guidelines for Salmonella control in hogs. USDA agreed with GAO's recommendations and described actions it will take to implement them."]}], "report": [{"section_title": "Letter", "paragraphs": ["The U.S. food supply is generally considered safe, but foodborne illness remains a common, costly, yet largely preventable public health problem. The Centers for Disease Control and Prevention (CDC) estimated in 2011\u2014its most recent estimate\u2014that each year, one in six people in the United States gets sick from eating contaminated food. According to CDC, while the source of foodborne outbreaks is often unknown, certain pathogens in food cause more than 9 million human illnesses per year in the United States, 2 million of which are caused by Salmonella and Campylobacter. For example, according to a CDC outbreak investigation report, in 2015, 192 people in five states became ill from eating pork contaminated with Salmonella.", "The U.S. Department of Agriculture (USDA) is responsible for ensuring the safety and wholesomeness of meat and poultry products that enter commerce, as provided by the Federal Meat Inspection Act and the Poultry Products Inspection Act. Accordingly, USDA\u2019s Food Safety and Inspection Service (FSIS) inspects and regulates the production of domestic meat and poultry products sold for human consumption. For meat and poultry processing and slaughter plants (hereafter referred to as plants) under its jurisdiction, FSIS sets pathogen reduction performance standards (hereafter referred to as pathogen standards) limiting the allowable levels of Salmonella or Campylobacter. FSIS personnel perform inspection activities at nearly 6,500 plants nationwide, including testing samples of meat and poultry products to assess compliance with the pathogen standards, which vary by product. For fiscal year 2016, Congress appropriated more than $1 billion to FSIS for its activities, including its food safety inspection program, through the annual appropriations process.", "In September 2014, we found that USDA had taken a number of actions to reduce the levels of Salmonella and Campylobacter in poultry (chicken and turkey) products but that the agency needed to do more to assess the effects of these actions on the incidence of foodborne illnesses. As a result, we recommended that USDA develop performance measures to monitor whether its activities to reduce the levels of Salmonella and Campylobacter in domestic poultry products are meeting agency goals. USDA agreed with and implemented this recommendation. We also identified several challenges that could hinder USDA\u2019s ability to reduce levels of pathogens in poultry products; in particular, we found that pathogen standards for poultry products were outdated or nonexistent. Other challenges we identified included limited USDA control over factors that affect pathogen contamination outside of plants, plants not designating pathogens as hazards, and the complex nature of pathogens, among others. We recommended that FSIS include in its guidelines information on the effectiveness of on-farm practices to reduce the level of pathogens in live poultry. USDA agreed with and is taking steps to implement this recommendation.", "However, according to CDC data, consumption of poultry products continues to be associated with foodborne illness in the United States, as does the consumption of meat (such as beef and pork). Further, according to a 2016 CDC report, the United States is not on track to reach its public health goals for reducing foodborne illnesses caused by Salmonella and Campylobacter.", "You asked us to review USDA\u2019s approach to reducing the level of pathogens in domestic meat and poultry products, including its use of pathogen standards. This report examines (1) the extent to which USDA has developed pathogen standards for meat and poultry products and (2) any additional steps that USDA has taken to address challenges we identified in 2014 in reducing the level of pathogens.", "To examine the extent to which USDA has developed pathogen standards for meat and poultry products, we reviewed our prior findings and recommendations from September 2014 on pathogen standards for poultry products. We also reviewed relevant laws and regulations, FSIS strategic plans covering the period from 2011 through 2021, and FSIS annual performance plans from 2014 through 2018. We reviewed relevant Federal Register notices on specific pathogen standards for meat and poultry from 1996, when FSIS first established the standards, through 2016, when the agency set or revised the most recent pathogen standards. We identified relevant performance goals and measures in FSIS annual performance plans from 2012 through 2017. We reviewed FSIS reports on pathogens in meat and poultry products and annual sampling plans\u2014estimates of the type and number of products the agency will test for certain pathogens\u2014to understand the range of meat and poultry products FSIS monitors for pathogens. In addition, we interviewed current and former FSIS officials on the history of the 1996 Pathogen Reduction; Hazard Analysis and Critical Control Point (HACCP) regulations, related pathogen standards, and the process and criteria for developing new pathogen standards and revising existing ones. We reviewed documents and interviewed staff from USDA\u2019s Agricultural Marketing Service\u2014which purchases commodities, including meat and poultry products, for federal nutrition assistance programs such as the National School Lunch Program\u2014to determine any additional steps USDA takes to prevent pathogens in meat and poultry products used for school meals. We reviewed data FSIS collected on compliance rates for meat and poultry plants from 2014 through 2017 and data on foodborne illness rates from CDC from 1998 through 2016, the most recent data available. To assess the reliability of the data, we interviewed CDC officials about the steps they took to ensure the reliability of the data and determined that these data were sufficiently reliable for viewing trends in compliance rates and trends in foodborne illness rates.", "We identified an initial group of stakeholders from our prior work, specifically from those we interviewed in our 2013 report on USDA\u2019s changes to poultry and hog inspections and our 2014 report on poultry pathogens. In addition, we asked these groups for recommendations on other stakeholders we should consider contacting and expanded the list, as needed. We selected these stakeholders because they are knowledgeable about FSIS\u2019s food safety programs and provide a range of views on the topic. In the end, we identified a nongeneralizable sample of 17 stakeholders: 7 representatives from industry, 4 representatives from consumer advocacy groups, 4 food safety researchers, and 2 former federal food safety experts. Views from those we selected based on their knowledge cannot be generalized to all stakeholders who have knowledge about FSIS\u2019s food safety programs (i.e., those we did not interview), but they provide illustrative examples. We obtained information from agency documentation and interviews with FSIS officials regarding the process for developing new pathogen standards and compared this process with federal standards for internal control. We also obtained information from FSIS documentation and interviews with agency officials on the agency\u2019s plans to review or revise pathogen standards. We compared these plans with the Project Management Institute\u2019s standards and leading practices for project management.", "To examine any additional steps that USDA has taken to address the challenges we identified in 2014 that it faces in reducing the level of pathogens in meat and poultry, we reviewed agency documentation on the steps it has taken to address these challenges since 2014, including documentation on relevant laws and regulations; Federal Register notices; FSIS\u2019s 2017-2021 strategic plan, annual performance plans and related performance reports from 2015 through 2017, and 2016 Establishment-Specific Data Release Strategic Plan; and USDA and FSIS websites. We reviewed FSIS guidance regarding on-farm practices for reducing the level of pathogens in live animals before they enter plants and compared this information with recommendations on such practices made in 2011 by the USDA National Advisory Committee on Meat and Poultry Inspection. We also reviewed reports from the Interagency Food Safety Analytics Collaboration, USDA\u2019s Office of Inspector General, and the National Academy of Sciences.", "We obtained testing data from FSIS for the period from May 2016 through August 2017, the most recent data available, to determine the number of plants that did not meet the chicken carcass Salmonella and Campylobacter standards. To assess the reliability of FSIS\u2019s data, we interviewed FSIS officials about the steps they took to ensure the reliability of the data and determined that the data were sufficiently reliable for analyzing the number of plants that did not meet the pathogen standards during the reporting period. We reviewed CDC data on foodborne illness outbreaks from beef and pork from 2006 through 2016 and obtained recall documents from FSIS on plants that produced products involved in those outbreaks. We interviewed FSIS officials about any challenges the agency faces in reducing pathogens in meat and poultry and steps the agency has taken since 2014 to address previously identified challenges. Additionally, we interviewed FSIS and CDC officials on steps the agencies have taken to improve the methods used to estimate the burden of foodborne illness in the United States and the use of emerging technologies to detect the pathogen strains most harmful to human health. Further, we interviewed the stakeholder groups we identified for our first objective about USDA\u2019s efforts to address the challenges we identified in 2014.", "We conducted this performance audit from June 2016 to January 2018 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "Background", "paragraphs": ["Contact with infected animals or consumption of contaminated water and food\u2014including produce, meat, poultry, and processed products\u2014can cause foodborne illness. Many different pathogens can contaminate food, including harmful bacteria such as Salmonella and Campylobacter. CDC reported that in 2015 there were 902 foodborne disease outbreaks reported in the United States that resulted in 15,202 illnesses, 950 hospitalizations, 15 deaths, and 20 food product recalls. According to CDC, fish, chicken, and pork were the most common single food categories implicated in these outbreaks. More recently, in 2016, there were 233 foodborne illnesses from 10 outbreaks linked to beef, 426 foodborne illnesses from 17 outbreaks linked to pork, and 417 foodborne illnesses from 20 outbreaks linked to poultry, according to CDC\u2019s National Outbreak Reporting System (see fig. 1). Common symptoms of foodborne diseases include nausea, vomiting, stomach cramps, and diarrhea. Symptoms can sometimes be severe, and some foodborne illnesses can be life-threatening. Although anyone can get a foodborne illness, some people are more likely to have one. Those groups include young children, older adults, pregnant women, and people with immune systems weakened from medical conditions, such as diabetes, liver, and kidney disease. Patients receiving chemotherapy or radiation treatment are also more susceptible.", "We have previously reported that to improve its food safety approach, FSIS moved to an increasingly science-based, data-driven, risk-based approach by adopting the Pathogen Reduction; HACCP regulations in 1996. Under the HACCP approach, each plant is responsible for (1) identifying food safety hazards, such as fecal material, that are reasonably likely to occur and (2) establishing controls that prevent or reduce these hazards in its processes. As part of this approach, plants must develop plans that identify the point (known as the critical control point) where they will take steps to prevent, eliminate, or reduce each hazard identified. FSIS inspectors at slaughter and processing plants routinely check records to verify a plant\u2019s compliance with those plans. FSIS inspectors also observe operations at plants as part of their inspection activities. Under the 1996 HACCP regulations, the agency also established Salmonella pathogen standards used to assess the effectiveness of plants\u2019 controls in reducing levels of pathogens in meat and poultry products. According to the regulations, FSIS selected Salmonella for pathogen standards because, among other things, it was the most common bacterial cause of foodborne illness, and they believed that intervention strategies aimed at reducing fecal contamination and other sources of Salmonella on raw product should be effective against other pathogens. FSIS has a verification-testing program in which FSIS inspectors at plants collect samples of certain products and test them to determine whether plants meet the pathogen standards. Test results from this program help FSIS inspectors verify that plant HACCP plans are working and identify and assist plants whose process controls may be underperforming. FSIS also requires products to be labeled with instructions for safe handling.", "In contrast to Salmonella and Campylobacter, which are subject to pathogen standards, FSIS considers certain serotypes of Escherichia coli (E. coli), another type of disease-causing pathogen, adulterants under the definition of \u201cadulterated\u201d in the Meat Inspection Act and the Poultry Inspection Act. The acts define an adulterant in meat and poultry products to include, among other things, \u201cany poisonous or deleterious substance which may render it injurious to health.\u201d Meat and poultry products contaminated with any level of adulterants are not permitted to enter commerce\u2014a stricter standard than the pathogen standards, which allow certain levels of contamination. FSIS initially declared E. coli O157:H7 as an adulterant in ground beef following an outbreak from 1992 to 1993 that involved Jack-in-the-Box hamburgers and, in 2011, declared an additional six non-O157 Shiga-toxin-forming E. coli in certain raw beef products as adulterants.", "In the early 1990s, a strain of Escherichia coli (E. coli) bacteria linked to hamburger resulted in a deadly foodborne outbreak and led to changes in food regulations. E. coli are bacteria found in the environment, food, and intestines of people and animals. E. coli are a large and diverse group of bacteria. Most strains of E. coli are generally harmless, but others can cause diarrhea, urinary tract infections, respiratory illness and pneumonia, other illnesses, and death. From November 1992 through February 1993, more than 500 laboratory-confirmed infections with E. coli O157:H7 and four associated deaths occurred in four states\u2014Washington, Idaho, California, and Nevada. During the outbreak, contaminated hamburger patties were traced to a fast food restaurant chain and then ultimately to five slaughter plants in the United States and one in Canada as likely sources of carcasses used to produce the contaminated ground beef. No one slaughter plant or farm was identified as the source. In 1994, USDA\u2019s Food Safety and Inspection Service declared that any raw ground beef found contaminated with E. coli O157:H7 would be adulterated under the Federal Meat Inspection Act\u2014rendering the meat unlawful to sell in commerce.", "Meat and Poultry in the United States Beef: According to the U.S. Department of Agriculture (USDA), beef is a highly consumed meat in the United States, averaging 56 pounds per person per year. Beef comes from full-grown cattle that are about 2 years old and weigh about 1,000 pounds. There are at least 50 breeds of beef cattle, but fewer than 10 make up most cattle produced. Veal is meat from a calf (young cattle) that weighs about 150 pounds. Calves that are mainly milk-fed usually are less than 3 months old. Pork: According to the USDA, the United States is the world\u2019s third-largest producer and consumer of pork and pork products. Pork is meat from hogs, or domestic swine, and is from young animals (6 to 7 months old) that weigh from 175 to 240 pounds.", "FSIS coordinates with numerous federal agencies, state agencies, and local entities to help ensure the safety of meat and poultry products from the farm to the consumer (known as the farm-to-table continuum). FSIS coordinates with USDA\u2019s Animal and Plant Health Inspection Service (APHIS) to share information when investigating foodborne illnesses. FSIS also coordinates with the Department of Health and Human Services\u2019 Food and Drug Administration (FDA) and with CDC on a number of activities. For example, FSIS works collaboratively with FDA and CDC through the Interagency Food Safety Analytics Collaboration to, among other things, estimate foodborne illness source attribution. Attribution entails identifying which foods are the most important sources of selected major foodborne illnesses. According to FSIS officials, determining the sources of illness is an important part of identifying opportunities to improve food safety. FSIS also coordinates with CDC and state health departments to respond to foodborne illness outbreaks, including identifying the pathogen, the product, and where the product became contaminated along the farm-to-table continuum (see fig. 2).", "Poultry: According to USDA, consumption of poultry (chicken and turkey) in the United States is higher than beef or pork. Chicken includes broiler-fryer chickens and roaster chickens. Broiler-fryer chickens are young, tender chickens about 7 weeks old that weigh from 2 \u00bd to 4 \u00bd pounds. Roaster chickens are young chickens from 8 to 12 weeks old with a ready-to-cook carcass weight of 5 pounds or more. Turkey is a large, widely domesticated North American bird. They grow to full maturity in about 4 to 5 months, depending on the desired market weight.", "USDA\u2019s FSIS has developed or revised pathogen standards for assessing the effectiveness of plants\u2019 controls in reducing the level of pathogens in certain meat and poultry products. More specifically, the agency has developed pathogen standards for some beef, pork, chicken, and turkey products but not for other products that are widely available, and its basis for deciding which products to consider for new pathogen standards is unclear. In addition, as of 2011, the agency has revised pathogen standards for chicken and turkey products, but standards for other products are outdated, with no time frames for revision.", "FSIS has developed pathogen standards for beef, pork, chicken, and turkey carcasses; specific chicken parts (i.e., breasts, thighs, and legs); and ground beef, chicken, and turkey (see Figure 3). The initial pathogen standards FSIS developed in 1996 were all for Salmonella because, among other things, it was the most common bacterial cause of foodborne illness and intervention strategies aimed at reducing Salmonella in raw products might be effective against other pathogens, according to agency documents. Subsequently, in 2011, FSIS developed Campylobacter standards for chicken and turkey carcasses and in 2016 developed Salmonella and Campylobacter standards for chicken parts.", "FSIS has not developed pathogen standards for other widely available products, such as pork cuts (e.g., pork chops), turkey parts (e.g., turkey breasts), and ground pork. The agency is taking steps that may lead to the development of new pathogen standards for additional products. For example, according to FSIS documents, the agency is collecting information on the presence of Salmonella and other pathogens in pork cuts and ground pork, among other pork products. According to FSIS officials, this could lead to the development of new standards.", "However, the agency\u2019s process for deciding which products to consider for new pathogen standards is unclear because it is not fully documented. In December 2016, the agency documented a part of its process: who will make the decisions about which products to consider. According to the December 2016 document, certain agency officials are to meet as needed to discuss emerging food safety risks and propose related data collection efforts to senior management, who will decide which products to consider for new standards. However, the document does not explain the basis for management\u2019s decisions. FSIS has informed stakeholders that it will take into account factors including consumption and foodborne- illness data, as it did when setting standards for chicken parts, but the agency has not documented this process going forward. Several researchers and consumer advocacy representatives we interviewed questioned whether the agency\u2019s process proactively addresses food safety risks.", "Previously, FSIS developed new pathogen standards after the agency was directed to do so or after widespread outbreaks indicated the need. For example, in 2011, FSIS revised Salmonella standards for chicken and turkey carcasses and developed new standards for Campylobacter in these same products after being charged with doing so by the Presidential Food Safety Working Group. Additionally, in a 2016 Federal Register notice, FSIS, after reviewing outbreaks from these products in 2011, 2013, and 2015\u2014outbreaks in which 794 people were sickened and 1 died\u2014concluded that new pathogen standards were needed for comminuted (including ground and other mechanically separated) poultry and chicken parts.", "Under federal standards for internal control, federal entities are to design control activities to achieve objectives and respond to risks, including appropriate documentation of transactions and internal control. With appropriate documentation of internal control, management clearly documents internal control and allows the documentation to be readily available for examination; the documentation may appear in management directives, administrative policies, or operating manuals. Until FSIS clearly documents its process for deciding which products to consider for new pathogen standards, including the basis on which such decisions should be made, FSIS will not have assurance that its decisions are risk- based and that agency personnel will know the process when making such decisions."], "subsections": [{"section_title": "USDA Has Revised Some Existing Pathogen Standards but Has Not Revised Others in Decades and Has No Time Frames for Revision", "paragraphs": ["USDA\u2019s FSIS has revised Salmonella standards for chicken and turkey carcasses and for comminuted chicken and turkey but has not revised other Salmonella standards since 1996, and the agency has not set time frames for determining whether revisions are needed. Specifically, as noted above, FSIS revised Salmonella standards for chicken and turkey carcasses in 2011 in response to a charge from the President\u2019s Food Safety Working Group that the agency develop new or revised standards to reduce the prevalence of Salmonella in poultry products. The agency revised the pathogen standards for comminuted chicken and turkey in 2016 to help achieve public health goals for reducing human illness from Salmonella, among other things. The revisions have generally involved reductions in the maximum allowable percentage of products that test positive for this pathogen. For example, in 2016, when the agency revised the Salmonella standards for comminuted chicken, the allowable percentage changed from 44.6 to 25.0. (See table 1.)", "However, FSIS has not revised the Salmonella standards for beef and pork carcasses and ground beef since they were first developed in 1996. Although USDA announced in a 2014 Federal Register notice that it intended to propose new pathogen standards for ground beef, FSIS has not done so. Furthermore, FSIS set the pathogen standards for beef and pork carcasses and ground beef at industry-wide prevalence levels found at that time, not at levels intended to be protective of human health. In 2017, FSIS reviewed data on Salmonella in beef carcasses and ground beef and determined that the agency will not reach public health goals for reducing foodborne illness from Salmonella without further reduction in Salmonella contamination in beef. FSIS officials said that the agency is developing options for how it might move forward and could determine that revised or new standards are not needed and that other policies could suffice in addressing pathogens in beef. In the meantime, however, the agency in 2014 suspended monitoring against the existing Salmonella standards for ground beef until the agency develops a revised standard. The agency also suspended monitoring whether plants were meeting the pathogen standard for Salmonella on pork carcasses because, according to agency officials, the percentage of pork carcass samples that tested positive for Salmonella was consistently low. FSIS officials said that the agency is collecting data on pathogens in pork that could lead to new standards for pork products. In the absence of testing against the standards, the agency has other tools to ensure plants are controlling pathogens. For example, the agency continues to test beef for levels of E. coli, and FSIS inspectors at plants are to routinely check records to verify a plant\u2019s compliance with its HACCP plans. FSIS officials told us that they would begin monitoring against the Salmonella standards for these products if the standards are revised or determined to be sufficient (in the case of beef and pork carcasses and ground beef) or if the agency develops new standards (in the case of pork cuts and ground pork). Generally, FSIS begins monitoring against a standard once the agency announces a standard and after a phase-in period has ended. For example, when FSIS developed new Campylobacter and Salmonella standards for chicken parts in 2016, the agency began monitoring whether plants met the standard 5 months after the standards were announced in the Federal Register.", "Monitoring for compliance with pathogen standards is a key tool as envisioned by the 1996 Pathogen Reduction; HACCP Systems final rule for verifying the effectiveness of a plant\u2019s processing controls to prevent, eliminate, or reduce food safety hazards. It is unclear when FSIS plans to resume the use of this tool and complete the revisions of the Salmonella standards for beef carcasses or ground beef or develop new standards for additional pork products because the agency has not set time frames for doing so. According to FSIS officials, developing or revising pathogen standards takes time and resources, in part because the agency must first collect and analyze data to estimate the prevalence of pathogens in FSIS-regulated products, notify the public of proposed standards, and open a comment period, all of which can take years. However, according to FSIS officials, the agency has no time frames for determining what actions to take. Program schedule planning is recognized as a leading practice to ensure organizational activities are completed as planned, according to the Project Management Institute\u2019s Standard for Program Management. Such planning includes setting time frames for completing a project. By setting time frames for determining what pathogen standards or additional policies are needed to address pathogen levels in beef carcasses, ground beef, and pork products, FSIS could better ensure it completes these activities in a timely manner to protect human health."], "subsections": []}]}, {"section_title": "USDA Is Taking Additional Steps to Address Pathogen Reduction Challenges That We Identified in 2014, but These Challenges Are Ongoing", "paragraphs": ["In addition to taking steps to develop or revise pathogen standards, USDA\u2019s FSIS is addressing other challenges we identified in September 2014 with respect to poultry pathogens, but these challenges are ongoing and also apply to meat products. These challenges include FSIS\u2019s limited control over factors that affect the level of pathogens outside of plants, pathogens not designated as hazards, the complex nature of Salmonella, limited Campylobacter research and testing, limited enforcement authority, absence of mandatory recall authority, and insufficient prevalence estimates.", "Limited Control Outside of Plants In September 2014, we found that the U.S. Department of Agriculture\u2019s (USDA) Food Safety and Inspection Service (FSIS) faced a challenge in reducing levels of Salmonella and Campylobacter in poultry products in part because the agency did not have regulatory jurisdiction over farm practices to reduce contamination in poultry before they reach a plant for slaughter and processing. At the time, we noted that FSIS had worked to address the on-farm limitation by issuing guidelines that detailed, among other things, several on-farm practices to reduce Salmonella and Campylobacter in live poultry. We recommended that in future revisions of the guidelines, FSIS include information on the effectiveness of on-farm practices to explain the potential benefits of adopting such practices on poultry farms. USDA concurred with our recommendation. In addition, we found that once poultry products leave a plant, factors beyond FSIS\u2019s control may affect contamination of poultry products, such as cross-contamination from poultry products (i.e., when bacteria spread from a food to a surface, from a surface to another food, or from one food to another) that can occur at retail establishments, in restaurants, and in consumers\u2019 homes, according to a food safety researcher we interviewed.", "Pathogen Contamination after Products Leave the Plant According to the Centers for Disease Control and Prevention (CDC), even if meat and poultry products leave the processing or slaughter plant with no detectable pathogen, it does not ensure that the products are safe, as opportunities exist for them to become contaminated at any point along the farm-to- table continuum. To illustrate, frozen hamburger patties might be trucked from a plant to a supplier, stored in the supplier\u2019s warehouse for a few days, trucked again to a local distribution facility, and then delivered to a restaurant. According to CDC, if refrigerated food is left on a loading dock during transportation for an extended time in warm weather, the food could reach temperatures that allow pathogens to grow. among other things, on-farm practices to reduce levels of Salmonella contamination in hogs. The draft Salmonella guidelines are available on the agency\u2019s website. Even though the guidelines are not yet finalized, FSIS encourages producers to use them, according to agency officials we interviewed. However, unlike the poultry and beef cattle guidelines, the draft Salmonella guidelines do not contain information on the effectiveness of on-farm practices, as recommended in 2011 by USDA\u2019s National Advisory Committee on Meat and Poultry Inspection. According to the draft guidelines, when a plant makes changes at the appropriate processing location, process control should result in raw pork products that have less contamination with pathogens, including Salmonella. FSIS officials we interviewed told us that there is not as much research available for such practices for hogs as there is for beef cattle and poultry. However, the officials agreed that including available information would be beneficial. By including available information on the effectiveness of these practices to reduce the level of pathogens as it finalizes its guidelines for controlling Salmonella in hogs, FSIS would have better assurance that it is keeping industry informed of the potential benefits of adopting on-farm practices and encourage their implementation.", "Contamination can also occur during preparation in consumers\u2019 homes if food is not properly stored, prepared, heated, or served. For example, according to CDC, once contamination occurs, if meat and poultry are stored or cooked at unsafe temperatures, pathogens will grow quickly, which may lead to foodborne illness.", "With respect to reducing pathogens after slaughter, FSIS continues to update its guidance to consumers and work with federal partners to ensure the safety of meat and poultry products after they leave the plant. For example: In 2015, the agency developed the FoodKeeper mobile application to educate consumers on how to use food while at peak quality and store food properly. It updated the application in 2017 so users could receive automatic notifications when FDA or FSIS announces food safety recalls.", "In 2016, FSIS and FDA announced that they would work together to revise the FDA Food Code\u2014a model that local, state, tribal, and federal regulators use to ensure food safety at retail stores, restaurants, and institutions such as nursing homes, among others\u2014 to ensure consistency with FSIS regulations and guidance.", "In 2017, FSIS expanded the operating hours for its Meat and Poultry Hotline, through which consumers could speak with an agency representative or listen to recorded messages regarding food safety, such as the proper storage, handling, and preparation of meat and poultry products.", "Pathogens Not Designated as Hazards In September 2014, we found that the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service (FSIS) faced a challenge in reducing Salmonella and Campylobacter contamination in poultry products when plants do not designate these pathogens as hazards. Under the Hazard Analysis and Critical Control Point (HACCP) approach, plants have discretion about whether to include Salmonella or Campylobacter as a hazard \u201creasonably likely to occur\u201d in their HACCP plans and develop mitigation strategies to reduce these pathogens. FSIS\u2019s 2014 final rule for modernizing poultry slaughter inspection requires plants to develop, implement, and maintain written procedures to prevent contamination of carcasses and parts by enteric pathogens\u2014bacteria that normally reside in the intestines of many animals, including humans, such as Salmonella and Campylobacter\u2014as well as fecal material. Plants must incorporate these procedures into their HACCP plans, sanitation procedures, and other programs.", "Since our September 2014 report, FSIS has not required hog and beef plants to designate Salmonella or Campylobacter as hazards likely to occur, but it has taken other steps to reduce Salmonella and Campylobacter contamination when plants do not designate these pathogens as hazards. More specifically, in February 2018, FSIS proposed a rule to modernize hog slaughter inspections. The proposed rule would require plants to develop, implement, and maintain written procedures to prevent contamination by enteric pathogens in pork.", "Stakeholders we interviewed representing industry and consumer advocacy groups disagreed on whether plants should be required to designate specific pathogens as a hazard reasonably likely to occur. However, in response to instances in which inadequate validation of HACCP plans led to the production of adulterated food, and in some cases illnesses, FSIS released compliance guidance outlining best practices for designing and implementing adequate HACCP plans for all plants in 2015. According to FSIS, plants can use the guidance to properly design and execute HACCP plans and reduce the likelihood of contamination of the products they produce. Specifically, the guidance outlines, among other things, best practices for gathering scientific and technical support, as part of the HACCP plan validation process, to demonstrate that the plants\u2019 processes prevent, reduce, or eliminate the hazards identified.", "Complex Nature of Salmonella In September 2014, we found that the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service (FSIS) faced a challenge in reducing Salmonella contamination in poultry products because of the complex nature of this pathogen. The majority of the representatives from industry and consumer groups we interviewed at the time, as well as FSIS officials, agreed that Salmonella is difficult to control in poultry products because it is widespread in the natural environment. According to Centers for Disease Control and Prevention officials we interviewed for our past work, there are more than 2,500 serotypes of Salmonella (with different strains), some of which pose greater risk to human health than others. Therefore, it is important to understand the genetic makeup of each to determine which ones are more or less likely to cause human illness.", "FSIS officials said that, in the future, there may be opportunities to improve how the agency protects human health by focusing inspections on plants and products that have tested positive for the more dangerous strains of Salmonella in meat and poultry products. To this end, FSIS collaborates with USDA\u2019s Agricultural Research Service and APHIS, CDC, FDA, and local and state public health partners to develop new technologies that can more precisely determine if a strain of Salmonella detected is particularly dangerous to people. One such technology is whole genome sequencing, which allows the agency to determine the complete set of genes, or strain, within a Salmonella serotype.", "According to FSIS officials, it is more challenging to link the strain associated with an illness to a specific meat or poultry product that has sickened consumers; whole genome sequencing technology can more definitively identify the strain involved in an outbreak and help reduce incidents of illness or death due to foodborne pathogens. FSIS is currently planning how to integrate this technology into its food safety program. For example, current pathogen standards are based on the presence or absence of generic Salmonella, not on specific strains. FSIS held a public meeting in October 2017 to get input from state, federal, and international public health partners and other stakeholders on the use of this technology in a regulatory setting to improve food safety and public health.", "Limited Campylobacter Research and Testing In September 2014, we found that the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service faced a challenge in reducing levels of Campylobacter in poultry products in part because less was known about Campylobacter than about Salmonella. Specifically, technologies, such as clinical diagnostics, used to detect Campylobacter may have underdiagnosed cases of illness from this pathogen, and the methods used by many diagnostic laboratories to isolate Campylobacter from samples were not standardized, according to a 2012 World Health Organization report on illnesses from the pathogen. Additionally, the agency\u2019s ability to measure a reduction in Campylobacter illnesses depended on its ability to attribute Campylobacter illnesses to poultry and other food types, according to agency officials, and attribution analyses needed improvement.", "Since our report in September 2014, FSIS has had efforts under way with other agencies to improve foodborne illness source attribution to meat and poultry products and has independent data collection efforts under way to determine the presence of Campylobacter on these products. More specifically, in collaboration with CDC and FDA through the Interagency Food Safety Analytics Collaboration, FSIS has taken steps to improve and standardize methods to estimate the source attribution for Campylobacter foodborne illness. In 2015, this interagency collaboration improved the method for estimating the number of Campylobacter illnesses from meat and poultry products by standardizing the approach used by all three food safety agencies. The interagency collaboration\u2019s new estimates for the proportion of Campylobacter illnesses included all food products\u2014including beef, pork, and poultry. The interagency collaboration also released updated foodborne illness source attribution estimates in December 2017. According to FSIS officials, the three agencies are collaborating on multiple analytic projects, in line with the interagency collaboration\u2019s 2017\u20132021 strategic plan, to improve models to estimate foodborne illnesses from Campylobacter and other pathogens. These projects involve using new methods and whole genome sequencing and other data sources.", "In addition to this interagency effort, in 2015, FSIS tested about 200 samples of pork products for Campylobacter as part of an exploratory sampling effort, according to agency documents summarizing the efforts. FSIS found that about 1 percent of products tested were positive for Campylobacter and, therefore, chose not to continue testing pork products for this pathogen. For poultry, in 2016, FSIS revised a laboratory guidebook describing standard protocols for isolating and analyzing Campylobacter in raw products. In 2017, the agency concluded a literature review of Campylobacter contamination in beef and, as of October 2017, is discussing the development of an exploratory sampling project to test for Campylobacter in beef products, according to agency officials.", "Limited Enforcement Authority In September 2014, we found that the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service (FSIS) faced a potential challenge in reducing Salmonella contamination in poultry products, according to agency officials and representatives of some stakeholder groups we interviewed, because (1) a 2000 federal court ruling stated that FSIS could not withdraw inspectors, effectively shutting down the plant, solely because a plant did not meet Salmonella pathogen standards, and (2) FSIS has not classified Salmonella as an adulterant in raw poultry products, so products contaminated with this pathogen generally may be permitted to enter commerce.", "FSIS adopted the position that the court ruling did not affect its ability to use the Salmonella pathogen standards as part of verifying a plant\u2019s sanitation and Hazard Analysis and Critical Control Point plans and that it had tools, such as food safety assessments (an evaluation of a plant\u2019s food safety system), to prevent contaminated products from entering the market. Representatives from consumer groups we interviewed at the time said that even with these tools, the agency does not have sufficient authority to ensure plants comply with the standards because FSIS cannot shut down plants when they fail the Salmonella standards alone. Representatives from industry groups we interviewed at the time disagreed and stated that FSIS has sufficient authority to ensure plants comply with standards because the agency has broad statutory authority and oversight.", "Regarding FSIS not classifying Salmonella as an adulterant, representatives from consumer groups we interviewed for our previous work said that the agency should declare some serotypes of Salmonella as adulterants, such as those with specific antibiotic-resistant patterns. FSIS officials we interviewed for our previous work said they found no conclusive evidence that antibiotic-resistant strains of Salmonella or Campylobacter have a greater resistance to the interventions used in plants but that the agency would continue to review relevant scientific evidence to identify any potential challenges these serotypes may present to public health.", "Since our report in September 2014, FSIS continues to stand by the position that the 2000 court ruling does not affect its ability to use pathogen standards as a tool to prevent contaminated products from entering the market. FSIS reaffirmed its position in a 2016 Federal Register notice. Our review of FSIS data from 2016 through 2017 for poultry plants shows that some plants are still not meeting pathogen standards\u2014in some cases repeatedly not meeting the standards\u2014and are allowed to operate. We were unable to review similar data for beef or hog plants since, as noted above, FSIS suspended monitoring these plants against pathogen standards. FSIS stands by its assessment that its enforcement tools are sufficient. Moreover, in 2015, FSIS announced an additional tool to help FSIS identify and assess problems or trends that may be of concern. Specifically, FSIS investigators must now conduct a public health risk evaluation at every plant that does not meet a pathogen standard. This is a positive step for those products that have pathogen standards, such as chicken parts. However, as previously stated, FSIS does not test for whether plants producing beef carcasses, ground beef, and pork carcasses meet the pathogen standards for those products, and other products such as ground pork do not have pathogen standards. Representatives from consumer groups and industry we interviewed continue to disagree on whether FSIS\u2019 existing enforcement tools are sufficient to ensure that meat and poultry plants meet pathogen standards.", "Regarding antibiotic-resistant strains of Salmonella, FSIS officials continue to state that the pathogen does not meet the criteria for classifying it as an adulterant and that the agency will continue to examine options for regulating the presence of antibiotic-resistant strains of Salmonella in raw meat and poultry products. Agency officials told us that to classify a pathogen as an adulterant in raw meat and poultry products, FSIS must determine that the pathogen meets certain criteria established both in its authorizing statutes and by case law. Specifically, in American Public Health Association v. Butz, a federal appeals court in 1974 held that Salmonella did not adulterate raw poultry because ordinary consumer methods of preparing and cooking the product would eliminate the pathogen. In contrast, FSIS declared certain types of E. coli as adulterants in beef, as discussed above, because ordinary consumer cooking does not eliminate the pathogen. According to FSIS officials, the available data do not appear to indicate that Salmonella presents the same issues as E. coli or meets the necessary criteria, regardless of whether it is resistant or susceptible to antibiotics. This issue continues to be contentious among the stakeholders we interviewed. Six of the seven industry stakeholders we interviewed stated that FSIS\u2019s current enforcement authority is sufficient. Two of four food safety researchers we interviewed stated that the agency does not need additional authority to label Salmonella as an adulterant because FSIS has labeled other pathogens as adulterants when it made sense to do so, such as E. coli\u00b8 and there is no need to label naturally occurring bacteria as adulterants on raw product. In contrast, all four of the consumer advocacy groups and two of the four food safety researchers we interviewed stated that FSIS needs more authority to label Salmonella as an adulterant.", "No Mandatory Recall Authority In September 2014, we found that the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service (FSIS) faced a challenge in reducing Salmonella and Campylobacter contamination in poultry products because it did not have mandatory food recall authority similar to that of the Food and Drug Administration (FDA) for the food products FDA regulates, such as milk, seafood, fruits, and vegetables. In 2011, Congress passed the FDA Food Safety Modernization Act, giving FDA mandatory recall authority. We recommended in October 2004 that Congress consider legislation to increase FSIS\u2019s authority to include mandatory recalls, but the agency continues to not have such authority. Instead, to protect human health from potentially contaminated meat and poultry products, FSIS can issue public health alerts, which notify the public on specific actions to take to avoid illness, or request voluntary recalls, which are voluntary actions taken by plants, among other actions. Before requesting a voluntary recall, FSIS must gather sufficient evidence through its investigation and determine that a product is adulterated and mislabeled, among other things. In September 2014, we reported that this can be challenging to do. FSIS officials told us at the time that rather than focusing on the lack of mandatory recall authority, it was more productive to work aggressively with the tools they had, such as withdrawing inspectors, thus preventing products from entering commerce. According to FSIS officials, this can be as effective for keeping unsafe food from the marketplace as FDA\u2019s recall authority.", "To encourage poultry slaughter and processing plants to control for Salmonella and Campylobacter\u2014disease-causing pathogens that can sicken consumers\u2014USDA publicly releases information on individual plant performance for reducing these pathogens. According to the agency\u2019s 2017 annual plan, publishing plant-specific data allows consumers to make more informed choices, motivates individual plants to improve performance, and leads to industry-wide improvements in food safety. USDA\u2019s Economic Research Service found that publicly releasing the identities of plants with poor or mediocre performance on tests for Salmonella is strongly correlated with about a 60 percent decline of chicken carcass samples testing positive for Salmonella from 2006 to 2010. In 2016, USDA temporarily replaced posting information on individual plants\u2019 performance for chicken and turkey carcasses, chicken parts, and comminuted poultry (e.g., ground), with information on aggregate results to allow time for plants to update their food safety systems. In January 2018, FSIS began reposting individual plants\u2019 category status for poultry carcasses on a monthly basis. According to the agency\u2019s annual plan for fiscal year 2017, USDA intends to resume publicly releasing individual plant performance information for turkey carcasses and to add data for plants producing chicken parts and comminuted chicken and turkey. The agency also intends to release data for plants producing some beef products, according to its 2016 strategic plan on publicly releasing data.", "Since our September 2014 report, FSIS officials said that they continue to believe that mandatory recall authority is not necessary for the reasons previously mentioned. According to FSIS officials, the agency continues to refine and improve its procedures for requesting voluntary recalls of adulterated and misbranded meat and poultry products, confirming the effectiveness of these recalls, and alerting the public about adulterated and misbranded products that may remain in commerce. Therefore, FSIS officials stated that the agency does not see the lack of mandatory recall authority as an obstacle or hindrance to its efforts to protect public health and ensure that meat and poultry products are safe, wholesome, and properly labeled. In contrast, FDA officials told us that having mandatory recall authority protects human health from foodborne illness because the agency does not have to rely upon manufacturers\u2019 voluntary recall efforts or obtain a court order to remove contaminated or misbranded food, other than infant formula, from the food supply. In our review of FDA\u2019s annual reports to Congress on the use of mandatory recall authority from 2013 to 2016, the most recent available, the agency has used its mandatory recall authority twice. The majority (12 of 17) of the stakeholders we interviewed stated that the absence of mandatory recall authority is not a challenge for FSIS in reducing pathogen contamination of meat and poultry products. However, according to 3 of 4 stakeholders from consumer groups and 1 of 4 food safety researchers we interviewed, acquiring mandatory recall authority would enable FSIS to better protect human health because the agency would then have an additional tool to stop an outbreak of foodborne illness and address the level of pathogens in products once they leave the plant.", "Insufficient Prevalence Estimates In September 2014, we found that the U.S. Department of Agriculture\u2019s (USDA) Food Safety and Inspection Service (FSIS) faced a challenge in reducing Salmonella and Campylobacter contamination in poultry products as a result of not having sufficient prevalence estimates. Prevalence is the proportion of a product that would test positive for a pathogen if the entire population of that product was sampled and analyzed during a specific period of time. FSIS collects and analyzes data to estimate the prevalence of pathogens when the agency develops or revises pathogen standards for products it regulates. However, we reported that there were numerous problems with the data FSIS used to estimate prevalence. For example, assessing levels of poultry pathogens across the entire industry was difficult using data from FSIS\u2019s verification-testing program because the program was not designed to assess prevalence of pathogens industry-wide and the agency does not randomly select plants for inspection. According to USDA\u2019s National Advisory Committee on Microbiological Criteria for Food, estimating the prevalence of pathogens in food is critical to understanding and addressing the public health risk of foodborne illness, and these estimates provide a mechanism for measuring performance against public health goals, among other things. FSIS officials told us at that time that the agency had plans to propose a new testing approach for all of its poultry products, which would allow for more frequent data collection and improve prevalence estimates, among other things.", "In 2016, FSIS implemented this new testing approach for all poultry products for which there are pathogen standards and for some meat products, but according to officials, the agency did not do so for all products that it regulates because of resource constraints. Specifically, according to a 2016 Federal Register notice, FSIS now routinely samples chicken and turkey carcasses, chicken parts (legs, wings, and breasts), and comminuted chicken and turkey for Salmonella and Campylobacter pathogens over an entire year\u2014rather than a set period of time\u2014based on the volume of poultry products produced in plants. It also uses this approach to test for Salmonella in ground beef, beef manufacturing trimmings, and other ground beef components, according to a 2014 Federal Register notice. This new approach allows for better prevalence estimates and for monitoring changes in prevalence over time, according to agency officials. As discussed earlier, FSIS began exploratory sampling of pork products, including pork cuts and comminuted (including ground) pork, in 2015. According to a 2017 agency notice describing the sampling, FSIS collects and analyzes samples of pork products in a way that allows for prevalence estimates. FSIS does not use the same approach to sample other products, such as raw components used in ground beef (e.g., esophagus, head meat, cheek meat, and hearts), chicken half carcasses, and chicken necks, because of limited resources, according to agency officials. These officials stated that the agency first conducts exploratory sampling\u2014such as its current program for pork products\u2014to determine if FSIS should allocate resources for routine sampling of these products that would allow for prevalence estimates."], "subsections": []}, {"section_title": "Conclusions", "paragraphs": ["To help ensure the safety of meat and poultry products and protect against foodborne illness, USDA\u2019s FSIS has transitioned to an increasingly science-based, data-driven, risk-based approach. As part of this approach, FSIS has taken several actions to reduce levels of Salmonella and Campylobacter in poultry products, including strengthening existing pathogen standards for Salmonella in poultry carcasses and developing new Salmonella and Campylobacter standards for certain chicken parts. However, the agency has not set pathogen standards for many widely available products, such as pork cuts and ground pork, and the agency\u2019s process for deciding which products to consider for new pathogen standards is not fully documented. Previously, FSIS has developed new pathogen standards after the agency has been directed to do so or after widespread outbreaks indicated the need. Until FSIS clearly documents its process for deciding which products to consider for new pathogen standards, including the basis on which such decisions should be made, FSIS will not have assurance that its decisions will be risk-based and that agency personnel will know the process when making such decisions.", "As part of its new approach, FSIS is collecting data that could enable it to set new pathogen standards for pork cuts and ground pork, and the agency is analyzing data that could lead to revising the Salmonella standards for beef carcasses and ground beef\u2014which are decades old and not set at levels that are health protective. However, the agency has not set time frames for completing these efforts. In the absence of pathogen standards against which the agency tests, the agency is not using a valuable tool that could be used to help verify that plants\u2019 processing controls to prevent, eliminate, or reduce food safety hazards are working. By setting time frames for determining what pathogen standards or additional policies are needed to address pathogens in these products, FSIS could better ensure it completes these activities in a timely manner to better protect human health.", "In addition, FSIS continues to face several challenges that hinder its ability to reduce the level of pathogens in meat and poultry products. For example, practices outside the slaughter plant, such as conditions on cattle, hog, and poultry farms, can affect levels of pathogens on meat and poultry products. To help overcome this challenge, the agency has developed draft guidance on practices for controlling levels of Salmonella and Campylobacter on beef cattle, hog, and poultry farms, but the draft guidance for hogs does not include available information on the effectiveness for each practice, as an internal agency committee recommended. As FSIS finalizes this guidance, FSIS could better inform industry of the potential benefits of adopting on-farm practices and encourage implementation of these practices by including available information on their effectiveness."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making three recommendations to FSIS. Specifically: The Administrator of FSIS should document the agency\u2019s process for deciding which products to consider for new pathogen standards, including the basis on which such decisions should be made. (Recommendation 1).", "The Administrator of FSIS should set time frames for determining what pathogen standards or additional policies are needed to address pathogens in beef carcasses, ground beef, pork cuts, and ground pork. (Recommendation 2).", "The Administrator of FSIS should include available information on the effectiveness of on-farm practices to reduce the level of pathogens as it finalizes its guidelines for controlling Salmonella in hogs. (Recommendation 3)."], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to USDA and the Department of Health and Human Services. In written comments, reproduced in appendix II, USDA agreed with our three recommendations and described actions it will take to implement them.", "In particular, with respect to our first recommendation, USDA stated that FSIS will complete an internal document that delineates the agency\u2019s process for creating or updating pathogen standards. However, USDA stated that although it agrees it can take additional steps to document its process, it does not agree that FSIS does not have assurance its decisions are risk based. In particular, it cited a Federal Register notice indicating that it designed its pathogen standards for chicken parts and comminuted chicken and turkey to achieve certain reductions in illnesses from Salmonella and Campylobacter. USDA also stated that FSIS has consistently documented and published its process in the Federal Register, and it noted that agency personnel use these Federal Register notices as guidance and historical reference. While these notices can be a useful historical record and document the steps FSIS took to ensure that agency decisions were risk-based, we continue to believe that, until FSIS clearly documents its process for deciding which products to consider for new pathogen standards going forward\u2014including the basis on which such decisions should be made\u2014FSIS will not have assurance that its decisions will be risk-based and that agency personnel know the process when making such decisions in the future. Completing documentation of the agency\u2019s process would address our recommendation.", "Concerning our second recommendation, USDA stated that in 2018 FSIS will continue to assess data from sampling projects, along with baseline data and outbreak/illness data, to determine whether new or revised standards or additional policies are needed to address Salmonella in beef products. USDA further stated that in 2019, it will use data collected during its raw pork exploratory study to determine whether standards or additional policies (e.g., training, guidance to industry, or instructions to field personnel) are needed to address Salmonella in pork products. Finalizing analysis of these data and determining if additional standards or policies are needed to address Salmonella in beef in 2018 or pork in 2019 would address our recommendation.", "In response to our third recommendation, USDA stated that FSIS will include available scientific information on the effectiveness of each recommended farm practice in the guidelines for reducing Salmonella in market hogs. Doing so would address our recommendation.", "USDA also provided technical comments. We incorporated these comments as appropriate. The Department of Health and Human Services did not have any comments.", "As agreed with your offices, unless you publicly announce the contents earlier, we plan no further distribution of this report until 30 days from the report date. At that time, we will send copies of this report to the appropriate congressional committees, the Secretary of Agriculture, the Administrator of the Food Safety and Inspection Service, and other interested parties. In addition, the report will be available at no charge on the GAO website at http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3841 or morriss@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Salmonella Testing for Beef Purchased for the National School Lunch Program", "paragraphs": ["In addition to regulating meat and poultry sold in commerce, the U.S. Department of Agriculture (USDA) also purchases food and, in some cases, has additional food safety requirements for food it purchases.", "USDA\u2019s Agricultural Marketing Service (AMS) purchases beef and other food for various federal nutrition assistance programs, including the National School Lunch Program. USDA provides this food to states in support of about 100,000 public and private nonprofit schools that provide lunches to about 30 million children. Ground beef is a staple of school menus. For example, according to AMS officials, during fiscal year 2016, the agency purchased more than 110 million pounds of raw beef, over 90 percent of which was delivered to the National School Lunch Program. Further, according to AMS officials, about 41 million pounds (37 percent) were delivered raw while the rest was delivered to a federally inspected processing facility for cooking prior to delivery to school lunch program agencies.", "Beef to be delivered raw to the National School Lunch program is tested for pathogens (Salmonella and Shiga-toxin-producing E. coli, two pathogens that can cause foodborne illness in humans) and certain microorganisms such as aerobic plate count bacteria, coliform bacteria, and generic E. coli that serve as indicators of the effectiveness of slaughter and processing plants\u2019 process controls to limit pathogens.", "National School Lunch Program According to USDA, the National School Lunch Program is a federally assisted meal program operating in public and nonprofit private schools and residential childcare institutions. It provides nutritionally balanced, low-cost or free lunches to children each school day. The program was established under the National School Lunch Act, signed by President Harry Truman in 1946. USDA\u2019s Food and Nutrition Service administers the program at the federal level. At the state level, the program is administered by state agencies, operating through agreements with school food authorities. Participating school districts and independent schools receive cash subsidies and food. In exchange, participating institutions must serve lunches that meet federal nutrition requirements and offer the lunches at a free or reduced price to eligible children. USDA\u2019s Agricultural Marketing Service purchases beef and other food for various federal nutrition assistance programs, including the National School Lunch Program.", "According to AMS officials, these indicator microorganisms indicate the quality of the food safety controls at the plant. For raw beef products that AMS considers for purchase for its programs, the agency rejects any beef that tests positive for Salmonella, a pathogen that can cause foodborne illness in humans. According to AMS officials, this requirement that beef purchased for these programs not test positive for Salmonella differs from the regulatory standard for beef inspected by USDA\u2019s Food Safety and Inspection Service (FSIS). Further, according to AMS officials, AMS set this requirement because raw beef was considered the product with the most risk for recipients and enough plants were able to meet the requirement. AMS officials said that as a purchaser for various federal nutrition assistance programs, the agency has discretion to set requirements for qualified suppliers, and plants can choose whether to become qualified suppliers."], "subsections": []}, {"section_title": "Appendix II: Comments from the U.S. Department of Agriculture", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the contact named above, Mary Denigan-Macauley (Assistant Director); Thomas Cook (Assistant Director); James R. Jones, Jr. (Assistant Director); David Bennett (Analyst in Charge); Kevin Bray; Cindy Gilbert; Cynthia Norris; Gloria Ross; and Kiki Theodoropoulos made key contributions to this report."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Foot-and-Mouth Disease: USDA\u2019s Evaluations of Foreign Animal Health Systems Could Benefit from Better Guidance and Greater Transparency. GAO-17-373. Washington, D.C.: April 28, 2017.", "Antibiotic Resistance: More Information Needed to Oversee Use of Medically Important Drugs in Food Animals. GAO-17-192. Washington, D.C.: March 2, 2017.", "Food Safety: A National Strategy Is Needed to Address Fragmentation in Federal Oversight. GAO-17-74. Washington, D.C.: January 13, 2017.", "Seafood Safety: Status of Issues Related to Catfish Inspection. GAO-17-289T. Washington, D.C.: December 7, 2016.", "Imported Food Safety: FDA\u2019s Targeting Tool Has Enhanced Screening, but Further Improvements Are Possible. GAO-16-399. Washington, D.C.: May 26, 2016.", "Food Safety: FDA Coordinating with Stakeholders on New Rules but Challenges Remain and Greater Tribal Consultation Needed. GAO 16- 425. Washington, D.C.: May 19, 2016.", "Federal Food Safety Oversight: Additional Actions Needed to Improve Planning and Collaboration. GAO-15-180. Washington, D.C.: December 18, 2014.", "Food Safety: USDA Needs to Strengthen Its Approach to Protecting Human Health from Pathogens in Poultry Products. GAO-14-744. Washington, D.C.: September 30, 2014.", "Food Safety: More Disclosure and Data Needed to Clarify Impact of Changes to Poultry and Hog Inspections. GAO-13-775. Washington, D.C.: August 22, 2013."], "subsections": []}], "fastfact": ["The U.S. food supply is generally considered safe, but foodborne illness\u2014such as salmonella poisoning\u2014remains a common problem.", "For some meat and poultry products such as ground beef, there are standards for how much harmful bacteria USDA can find when testing. However, some common products such as turkey breasts and pork chops don't have such standards. It's unclear how USDA decides which products to consider for new standards.", "Also, we found that some of USDA's food safety standards are outdated, with no time frames for revision.", "We made recommendations to help USDA improve its standards in a timely manner to protect public health.", "(This page was changed for accuracy on the issue of time frames.)"]} {"id": "GAO-18-187T", "url": "https://www.gao.gov/products/GAO-18-187T", "title": "Firstnet: Efforts to Establish the Public-Safety Broadband Network", "published_date": "2017-10-12T00:00:00", "released_date": "2017-10-12T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["FirstNet is charged with establishing a nationwide public-safety broadband network that is reliable, secure, and interoperable. To inform this work, FirstNet is consulting with a variety of stakeholders. In March 2017, FirstNet awarded a 25-year contract to AT&T to build, operate, and maintain the network. FirstNet's oversight of AT&T's performance is important given the scope of the network and the duration of the contract.", "This testimony provides information on (1) FirstNet's efforts to establish the network; (2) stakeholder views on network reliability, security, and interoperability challenges FirstNet faces and its efforts to address them; and (3) FirstNet's plans to oversee its network contractor. This statement is based on GAO's June 2017 report ( GAO-17-569 ). For this report, GAO reviewed FirstNet documentation, key contract oversight practices identified in federal regulations and other sources, tribal communication practices identified by federal agencies, and assessed FirstNet's efforts and plans against these practices. GAO also interviewed FirstNet officials and a nongeneralizable selection of public safety, tribal, and other stakeholders selected to obtain a variety of viewpoints."]}, {"section_title": "What GAO Found", "paragraphs": ["In June 2017, GAO reported that the First Responder Network Authority (FirstNet) had conducted key efforts to establish the network, namely releasing the request for proposal (RFP) for the network and awarding the network contract to AT&T. As the contractor, AT&T will be responsible for the overall design, development, production, operation, and evolution of the network. Additionally, FirstNet consulted with state and local, federal, and tribal stakeholders. State officials GAO contacted were generally satisfied with FirstNet's efforts to engage them. However, tribal stakeholders GAO contacted expressed concern that FirstNet has not fully engaged in effective communication with tribes. FirstNet engaged tribes through a variety of mechanisms, such as through state points of contact and a working group, but tribes noted that individuals with first-hand knowledge of tribes' experiences are unable to represent tribal views directly among FirstNet's key decision makers. Although FirstNet is required to consult with tribes through state points of contact, a key principle of effective tribal communication is to seek full understanding of tribal concerns and reach consensus where possible. By fully exploring and proposing actions to address tribal stakeholders' concerns, FirstNet could help improve its relations with tribes and better meet stakeholders' needs.", "According to stakeholders GAO contacted, FirstNet faces various challenges to ensure the network's reliability, security, and interoperability. For example, stakeholders raised concerns related to:", "providing coverage to rural areas, in buildings, or underground;", "ensuring the network's overall resiliency and cybersecurity; and", "managing frameworks for user identity, credentialing of users, access management, and prioritization of users on the network.", "FirstNet has taken action to address these challenges, such as by opening a test lab to test public safety devices and applications before deploying them on the network. The majority of stakeholders GAO contacted were satisfied with FirstNet's efforts but many noted that much uncertainty remains about how the network will be implemented.", "FirstNet established offices to oversee its network contractor, developed policies and procedures to guide contract administration\u2014including management and oversight\u2014and is receiving assistance from another federal agency with contract administration experience, although FirstNet plans to assume full responsibility in the future. For example, FirstNet established the Network Program Office to oversee the contractor's performance and facilitate quality assurance of contract deliverables, among other things. Although this office will perform essential contract-administration functions, FirstNet had not conducted long-term projections of staffing needs for the office as of April 2017. As a result, FirstNet lacks reasonable assurance that it will have sufficient resources to handle increases in its responsibilities over time. Planning for and assigning adequate resources, including people, and assessing resource needs is a key practice for planning and executing effective contract oversight. By performing a long-term staffing assessment for the Network Program Office, FirstNet would be in a better position to fully understand its staffing needs and respond to staffing changes and risks as it assumes full responsibility of contract administration in the future."]}, {"section_title": "What GAO Recommends", "paragraphs": ["In June 2017, GAO recommended that FirstNet fully explore tribal stakeholders' concerns and assess its long-term staffing needs. FirstNet agreed with GAO's recommendations and described actions to address them."]}], "report": [{"section_title": "Letter", "paragraphs": ["Thank you for the opportunity to discuss our June 2017 report on the First Responder Network Authority (FirstNet). We have previously reported and testified on FirstNet, including most recently in a July 2017 hearing held by the Senate Committee on Commerce, Science, and Transportation\u2019s Subcommittee on Communications, Technology, Innovation, and the Internet. Whether conducting daily operations, overseeing planned events, or responding to emergencies, public safety officials\u2014especially first responders such as police officers and firefighters\u2014rely on communications systems to gather and share information and coordinate their efforts. However, first responders often have difficulty communicating with their counterparts in other agencies and jurisdictions because existing systems lack interoperability.", "The Middle Class Tax Relief and Job Creation Act of 2012 (the 2012 Act) created FirstNet and required it to establish a nationwide, interoperable public-safety broadband network (hereafter, the network)\u2014setting aside spectrum for the network to operate on and providing FirstNet with $7 billion to fund the network\u2019s initial build-out. FirstNet must be self-funding beyond this initial $7 billion. Key to the network\u2019s success, given its purpose, is its reliability, security, and interoperability. To inform its work, FirstNet must consult with state and local, federal, and tribal stakeholders. Since 2012, FirstNet has completed a number of tasks to plan for the build-out of the network, the most significant of which was the issuance of a request for proposal to solicit proposals from private companies to build, operate, and maintain the network. From these proposals, FirstNet selected AT&T as its network contractor and awarded it a multi-billion dollar, 25-year contract. Due to the size of the project and duration of the contract, the oversight mechanisms that FirstNet plans to use to monitor AT&T\u2019s progress and performance in building, operating, and maintaining the network are important.", "My remarks today are based on our June 2017 report and like the report, addresses (1) FirstNet\u2019s efforts to establish and finance the network; (2) stakeholder views on network reliability, security, and interoperability challenges FirstNet faces and its research and other efforts to address them; and (3) FirstNet\u2019s plans to oversee the deployment of the network by its network contractor. In our report, we recommended that FirstNet fully explore tribal stakeholders\u2019 concerns and assess its long-term staffing needs. FirstNet agreed with these recommendations and, in September 2017, reported to us on the actions it has taken to implement them.", "For our report, we reviewed the 2012 Act, FirstNet documentation, and documentation from other federal entities involved in FirstNet\u2019s efforts, such as FirstNet\u2019s key research partner, the Public Safety Communications Research (PSCR) program. We compared FirstNet\u2019s efforts to respond to tribal stakeholders\u2019 concerns with the applicable key principle of effective tribal communication on federal infrastructure decisions developed by several federal agencies. We assessed the PSCR\u2019s and FirstNet\u2019s research activities against our previously identified criteria on key phases of sound research programs. We assessed FirstNet\u2019s contract oversight plans against key acquisition and contract oversight practices and actions established in federal acquisition regulations, the Department of Commerce\u2019s (Commerce) acquisition manual, prior GAO reports, and other academic and industry sources. We also interviewed FirstNet and Commerce officials. To obtain stakeholder views on all our objectives\u2014particularly the challenges FirstNet faces\u2014we selected and contacted 33 stakeholders, including public safety, state and local government, and tribal associations and organizations; the Department of Homeland Security, the Federal Communications Commission, and the National Institute of Standards and Technology (NIST) and the National Telecommunications and Information Administration; and state government and public safety officials. We selected these stakeholders to obtain a variety of viewpoints from a cross section of interests and geographic locations; their views are not generalizable. Further details on our scope and methodology are included in our report. The work on which this statement is based was conducted in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": [{"section_title": "FirstNet\u2019s Progress Establishing and Financing the Network and Consulting Stakeholders", "paragraphs": ["In our June 2017 report, we found that FirstNet has conducted key efforts to establish the network, namely releasing the request for proposal for the network in January 2016 and awarding the network contract to AT&T in March 2017. As the contractor, AT&T will be responsible for the overall design, development, production, operation, and evolution of the network, as well as the marketing, product management, sales, distribution, and customer care. Further, we found that FirstNet has established a framework to meet the financial requirements established in the 2012 Act, as depicted in figure 1. This framework focuses on leveraging FirstNet\u2019s spectrum through the use of payments and fees with the aim of ensuring that the network is financially sustainable over the life of the contract and that FirstNet sustains self-funding operations.", "By establishing a single, dedicated network for public safety use, FirstNet\u2019s network is expected to foster greater interoperability and meet public safety officials\u2019 reliability and other needs. However, the actual use (or \u201cadoption\u201d) of the network by public safety users will be voluntary. Thus, even with the establishment of this framework, substantial unknowns remain regarding how many public safety users will adopt the network, the extent to which AT&T will be successful in monetizing the spectrum to retain revenue from commercial users, and the extent to which this revenue will be sufficient or appropriate in relation to the capital needed to build, operate, and maintain the network. Therefore, we noted that, at the time of our report, we could not assess the viability of this framework and whether FirstNet\u2019s structures for overseeing the contractor\u2019s use of the spectrum for commercial users will be appropriate.", "We also found that FirstNet has made progress consulting with state and local, federal, and tribal stakeholders through a variety of mechanisms. State officials we contacted were generally satisfied with FirstNet\u2019s efforts to engage them. However, tribal stakeholders we contacted expressed concern with FirstNet\u2019s efforts to consult with tribes per the 2012 Act\u2019s requirements. In particular, four of the five tribal organizations we contacted said that FirstNet has not fully engaged in effective communication or has relied on state points of contact too much as opposed to engaging directly with tribes; the other tribal organization was not aware of FirstNet or its mission at all. Further, tribes noted that individuals with first-hand knowledge of tribes\u2019 experiences are not able to represent tribal views directly among FirstNet\u2019s key decision makers. FirstNet has stated that, indeed, the 2012 Act requires that it consult with tribes through state points of contact. Nevertheless, several federal agencies have identified seeking a full understanding of tribal concerns\u2014 and reaching consensus where possible\u2014as a key principle of effective tribal communication, noting that agencies should adapt to changing circumstances, contemplate creative problem solving, identify options for addressing concerns, and exhaust alternatives to achieve mutually agreeable solutions.", "We concluded that, by fully exploring and proposing actions to address tribal stakeholders\u2019 concerns, FirstNet could help improve its relations with tribes and better meet stakeholders\u2019 needs. As such, we recommended in our report that FirstNet fully explore tribal concerns and propose actions, as needed, to address those concerns. FirstNet agreed with this recommendation and, in September 2017, described to us the actions it has taken to implement it. For example, according to FirstNet, in September 2017 it began a process to formally explore the tribal outreach concerns raised in our report and expects to propose improvements by the end of this year. FirstNet has also said that it adopted an organization-wide tribal consultation policy which it expects to take effect towards the end of this year. If implemented as planned, these actions should address the intent of the recommendation."], "subsections": []}, {"section_title": "FirstNet\u2019s Network Reliability, Security, and Interoperability Challenges and Efforts to Address Them", "paragraphs": ["In our report, we found that\u2014according to stakeholders we contacted\u2014 FirstNet faces various challenges to ensure the network\u2019s reliability, security, and interoperability. For example, stakeholders raised concerns related to: providing network coverage to rural areas, in buildings, or ensuring the network\u2019s overall resiliency and cybersecurity; and managing frameworks for user identity, credentialing of users, access management, and prioritization of users on the network.", "However, we also found that both FirstNet and the PSCR have begun research and other efforts to help ensure the reliability, security, and interoperability of the network and address the challenges raised by stakeholders. For example, in November 2016, FirstNet opened an Innovation and Test Lab at its technical headquarters in Boulder, Colorado. According to FirstNet documentation, FirstNet plans to use\u2014 and allow AT&T to use\u2014the lab to test public safety devices and applications before deploying them on the network. Additionally, the PSCR has conducted research on behalf of FirstNet and, using $300 million in funds provided to NIST by the 2012 Act, is also planning for and implementing other research activities to support FirstNet. For instance, in January 2016, PSCR launched its Public Safety Innovation Accelerator Program to support these research activities, and in December 2016, NIST issued a funding announcement to fund research in several areas.", "At the time of our report, we found that PSCR\u2019s research process generally aligned with key phases of sound research programs identified by leading national organizations, including the American Evaluation Association and the National Academy of Sciences. For example, PSCR has established a structured process for developing research priorities that includes both internal and external stakeholders, and has identified criteria it uses to help it select the research areas to fund and procedures to help it guide and monitor its research. Similarly, FirstNet has determined its research priorities to date based on its network- planning needs and in consultation with internal and external stakeholders, and worked with the PSCR to define criteria to help it select research areas.", "Further, we found that the majority of stakeholders we contacted were satisfied with the planning efforts to ensure the reliability, security, and interoperability of the network. However, many stakeholders also said that there is much remaining uncertainty about how this will be implemented in practice. Additionally, one public safety official we contacted told us that FirstNet and its contractor will have to balance the costs associated with implementing features that make the network reliable and secure with the need to establish compelling and competitively priced service packages and fees that will encourage user adoption of the network. Indeed, numerous stakeholders we contacted cited the cost of subscribing to the network as a key factor affecting user adoption, noting that the pricing must be comparable to what they pay for commercial service now, that budgets are constrained in the public safety community, or that local governments do not want costs to increase. Further, commercial carriers could choose to compete with FirstNet. FirstNet has stated that it expects AT&T to provide services at a competitive price and deliver affordable, high-quality services that will encourage public safety users to adopt the network. Ultimately\u2014because the network must be self-funding and FirstNet has stated that revenue from network users will be critical to this funding\u2014the success of the network depends on whether FirstNet and AT&T generate enough revenue to operate it over the long term and whether public safety users adopt it, no matter how reliable and secure it is."], "subsections": []}, {"section_title": "FirstNet\u2019s Contract Oversight Mechanisms", "paragraphs": ["FirstNet must manage and oversee the implementation of the network contract to build, operate, and maintain the network. Federal internal- control standards also state that an entity\u2019s management retains responsibility for the performance of processes assigned to service organizations (such as contractors) and that management should hold these organizations accountable for their performance.", "In our report, we found that FirstNet has taken a number of steps to establish contract oversight mechanisms, but has not fully assessed the staffing needs of its oversight workforce. FirstNet\u2019s oversight mechanisms include developing policies and procedures to guide contract administration and establishing offices to oversee its network contractor. In particular, FirstNet established the Network Program Office to oversee the contractor\u2019s performance and facilitate quality assurance of contract deliverables, among other things. FirstNet is also receiving assistance from the Department of the Interior, which has experience with contract administration, although FirstNet plans to assume full responsibility for contract administration in the future. We also found that FirstNet\u2019s efforts to develop contract oversight mechanisms aligned with several key actions that we identified as contributing to effective contract oversight. However, although FirstNet\u2019s Network Program Office will perform essential contract administration functions, FirstNet had not conducted long-term projections of staffing needs for the office as of April 2017. Planning for and assigning adequate resources, including people, and performing an assessment of the resources needed to oversee projects is one of the key actions we identified for planning and executing effective contract oversight.", "We concluded that FirstNet lacks reasonable assurance that it will have sufficient resources to handle increases in its responsibilities over time and that, by performing a long-term staffing assessment for the Network Program Office, FirstNet would be in a better position to fully understand its staffing needs and respond to staffing changes and risks as it assumes full responsibility of contract administration in the future. As such, we recommended in our report that FirstNet assess the long-term staffing needs in the Network Program Office prior to assuming full responsibility for administering the network contract. FirstNet agreed with this recommendation and, in September 2017, described the actions it has taken to implement it. According to FirstNet, in August 2017 the Network Program Office adopted a strategic workforce plan for fiscal years 2018 to 2022, which it expects to update annually. According to FirstNet, this plan provides a comprehensive view of current and future human capital needs required to support the implementation of the network and identifies strategies the office will employ to fill gaps between current and future needs, among other things. If implemented as planned, this action should address the intent of the recommendation.", "Chairman Donovan, Ranking Member Payne, and Members of the Subcommittee, this concludes my prepared statement. I would be pleased to respond to any questions that you may have at this time."], "subsections": []}, {"section_title": "GAO Contact and Staff Acknowledgments", "paragraphs": ["If you or your staff have any questions about this testimony, please contact Mark L. Goldstein, Director, Physical Infrastructure Issues at (202) 512-2834 or goldsteinm@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this statement. GAO staff who made key contributions to this testimony are Sally Moino and Nalylee Padilla. Other staff who made contributions to the report cited in this testimony are identified in the source product.", "This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately."], "subsections": []}]}], "fastfact": []} {"id": "GAO-18-33", "url": "https://www.gao.gov/products/GAO-18-33", "title": "Sexual Violence: Actions Needed to Improve DOD's Efforts to Address the Continuum of Unwanted Sexual Behaviors", "published_date": "2017-12-18T00:00:00", "released_date": "2017-12-18T00:00:00", "highlight": [{"section_title": "Why GAO Did This Study", "paragraphs": ["Unwanted sexual behaviors in the military\u2014including sexual harassment, sexual assault, and domestic violence involving sexual assault\u2014undermine core values, unit cohesion, combat readiness, and public goodwill. Recent studies suggest that these behaviors are part of a \u201ccontinuum of harm,\u201d which DOD defines as a range of interconnected, inappropriate behaviors that are connected to the occurrence of sexual assault and that support an environment that tolerates these behaviors.", "Senate Report 114-255 included a provision for GAO to review efforts by DOD to prevent unwanted sexual behaviors in the military. GAO assessed the extent to which DOD has (1) policies on sexual harassment that include CDC principles and relevant legislative elements; (2) processes for maintaining and reporting consistent data on incidents of unwanted sexual behaviors; and (3) overarching efforts, including a prevention strategy, to address unwanted sexual behaviors across the continuum of harm. GAO reviewed DOD policies and pertinent databases, and interviewed agency officials."]}, {"section_title": "What GAO Found", "paragraphs": ["The Department of Defense's (DOD) policies on sexual harassment include some but not all of the Centers for Disease Control's (CDC) principles for preventing sexual violence and include most relevant legislative elements. GAO identified six principles from CDC's framework for preventing sexual violence, which CDC defines as including sexual harassment. GAO found that Office of the Secretary of Defense (OSD) and military service policies generally include CDC's principles regarding prevention strategies, but none address risk and protective factors, which identify conditions or behaviors that might heighten or lower the risk of sexual harassment victimization or perpetration, respectively. Additionally, a statutory provision in fiscal year 2013 mandated that DOD, among other things, develop a comprehensive sexual harassment policy that includes prevention training, mechanisms for anonymous reporting, and mechanisms for resolving incidents of sexual harassment. OSD and service policies are generally consistent with those required elements except for the inclusion of anonymous reporting. DOD is developing a new department-wide policy that will address sexual harassment, but it is too early to determine how the policy will address these issues. Without policies that include CDC's principles and mechanisms for anonymous reporting, DOD may miss opportunities to address and potentially reduce incidents of unwanted sexual behaviors. Finally, a statutory change in fiscal year 2017 redefined sexual harassment for certain purposes so it is no longer defined solely as a form of sex discrimination but is recognized also as an adverse behavior on the spectrum of behavior that can contribute to an increase in the incidence of sexual assault. While officials indicated a need to update policies, they were unclear on the full implications, if any, of this change.", "DOD has processes for maintaining and reporting consistent data on incidents of unwanted sexual behaviors including sexual assault and incidents of domestic violence that involve sexual assault, but does not have similar processes for maintaining and reporting data on incidents of sexual harassment. Specifically, DOD uses centralized databases to maintain and report data on incidents of sexual assault and domestic violence that involve sexual assault, but relies on military service-specific databases for information on incidents of sexual harassment. DOD has not established standard data elements and definitions to guide the services in maintaining and reporting data on sexual harassment. Inconsistencies in data elements and definitions generally mean that one service may be maintaining data that is more or less detailed than, or that differs from, the data maintained by other services. Such inconsistencies may create difficulties in reporting department-wide sexual harassment data, since the individual service data must be adapted to fit reporting requirements.", "DOD has several overarching efforts to address unwanted sexual behaviors across the continuum of harm, including developing an overarching prevention strategy. However, it is unclear whether the strategy under development will contain key elements for long-term and results-oriented strategic planning such as long-term goals, strategies to achieve goals, and metrics to gauge progress. Without incorporating these elements into its overarching prevention strategy, DOD may not be in a position to effectively coordinate and integrate prevention activities and reduce instances of unwanted sexual behaviors."]}, {"section_title": "What GAO Recommends", "paragraphs": ["GAO recommends that DOD fully include in its new policy on sexual harassment CDC's principles for sexual violence prevention and mechanisms for anonymous reporting, develop standard data elements and definitions for reporting sexual harassment incidents, and incorporate in its overarching prevention strategy elements key for a long-term, results-oriented strategy. DOD generally concurred with the recommendations."]}], "report": [{"section_title": "Letter", "paragraphs": ["Unwanted sexual behaviors in the military\u2014including sexual harassment, sexual assault, and domestic violence involving sexual assault\u2014 undermine core values, unit cohesion, combat readiness, and public goodwill. Recent studies by the Department of Defense (DOD) and the RAND Corporation suggest that unwanted sexual behaviors do not exist in isolation but are part of a \u201ccontinuum of harm.\u201d DOD defines this continuum of harm as a range of interconnected, inappropriate behaviors that are connected to the occurrence of sexual assault and support an environment that tolerates these behaviors. According to RAND, servicemembers who experienced sexual harassment or gender discrimination also experienced higher rates of sexual assault, and approximately one-third of servicemembers who are sexually assaulted stated that the offender sexually harassed them before the assault.", "Concerned about the prevalence of unwanted sexual behaviors, Congress has taken a number of legislative actions. Among other provisions, Congress in 2008 mandated that DOD implement a centralized, case-level database for the collection and maintenance of information regarding sexual assaults. In 2011, Congress mandated that DOD publish annual reports on all sexual assaults involving servicemembers. In 2013, Congress mandated that DOD develop a comprehensive sexual harassment policy and a plan for data collection. Most recently, in 2016, Congress changed the definition of sexual harassment for purposes of investigations by commanding officers into complaints of harassment, and also mandated that DOD report on the annual number of incidents of domestic violence, including those involving sexual assault, whether substantiated or unsubstantiated. In 2016, Congress also took actions regarding hazing in the military\u2014 another problem behavior that may or may not have a sexual component\u2014by mandating that DOD establish a data collection system for hazing, improve hazing training, and issue annual reports on hazing.", "We have reported previously on DOD\u2019s efforts to prevent and respond to unwanted sexual behaviors in the military, as well as on other problem behaviors such as hazing. In 2016, we reported on DOD and Coast Guard efforts to prevent and track incidents of hazing in the military and recommended, among other things, that DOD and the Coast Guard issue guidance on the collection and tracking of hazing incident data and evaluate the prevalence of hazing. DOD and the Department of Homeland Security, which oversees the Coast Guard, concurred with all of our recommendations and have begun taking actions to address them. In 2015, we reported on our evaluation of DOD\u2019s sexual assault prevention strategy\u2014based Centers for Disease Control\u2019s (CDC) sexual violence framework\u2014and made five recommendations to improve upon and implement that strategy. DOD concurred with those five recommendations and is currently in the process of implementing them. This is one of several reviews we have conducted on sexual assaults in the military. We last reviewed DOD\u2019s sexual harassment program in 2011 and made five recommendations, including that DOD establish an oversight framework to help guide the department\u2019s efforts to prevent and address sexual harassment incidents and that DOD specify uniform data elements that the military services should use when collecting and reporting information on formal sexual harassment complaints. DOD concurred with our recommendations but did not implement them. In 2010, we reported on domestic abuse at DOD and recommended that DOD establish an oversight framework to guide its efforts in preventing and treating domestic abuse. DOD concurred and implemented this recommendation. Additional information on our prior related work is provided at the end of this report.", "Senate Report 114-255, accompanying a bill for the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017, included a provision that we review efforts by DOD to prevent unwanted sexual behaviors in the military. We assessed the extent to which DOD has (1) policies on sexual harassment that include CDC principles and relevant legislative elements; (2) processes for maintaining and reporting consistent data on incidents of unwanted sexual behaviors; and (3) overarching efforts, including a prevention strategy, to address unwanted sexual behaviors across the continuum of harm.", "For our first objective, we obtained and reviewed Office of the Secretary of Defense (OSD) and service-level sexual harassment policies. We compared the policies with a framework developed by CDC for preventing sexual violence, which CDC defines as including non-contact unwanted sexual behaviors, sexual harassment, and physical sexual assault. We reviewed CDC\u2019s framework for preventing sexual violence as well as our report on DOD\u2019s sexual assault prevention strategy to identify six principles that an organization can include in a sexual violence prevention strategy or policy. DOD previously used this framework to guide its strategy for preventing sexual assault. The socioecological model that underpins and informs CDC\u2019s prevention framework is based on the concept of addressing the health of a given population by identifying common risk and protective factors and applying effective, tested strategies. In addition, we reviewed DOD\u2019s sexual harassment policies to determine the extent to which they included three elements identified in section 579 of the NDAA for FY 2013, which directed, among other things, that DOD develop a comprehensive policy on sexual harassment. The three elements are (1) prevention training for members of the armed forces; (2) mechanisms for reporting sexual harassment, including mechanisms for anonymous reporting; and (3) mechanisms for resolving sexual harassment that include the prosecution of perpetrators. Two of our analysts independently reviewed the policies and determined the degree to which each element was included.", "For our second objective, we reviewed DOD reports to Congress that provide incident data regarding unwanted sexual behaviors, including DOD\u2019s most recent annual report on sexual assault in the military. We identified the databases that generate the reported data and reviewed the processes for assuring the consistency of data in those databases. In evaluating the reported data, we reviewed pertinent statutory provisions and DOD guidance. We also reviewed Standards for Internal Control in the Federal Government that address agencies\u2019 use of quality data and our prior reports evaluating sexual assault data.", "For our third objective, we obtained information on current efforts within OSD to develop an overarching strategy across the continuum of harm. We reviewed our prior work to identify key elements of strategic plans, which include (1) a mission statement, (2) long-term goals, (3) strategies to achieve goals, (4) external factors that could affect goals, (5) use of metrics to gauge progress, and (6) evaluations of the plan to monitor goals and objectives. We also identified collaborative efforts by OSD offices that guide and oversee programs for addressing unwanted sexual behaviors. We obtained information on the purpose and scope of each effort, as well as on the participating offices. We interviewed DOD officials in positions designed to integrate activities across the continuum of harm to determine current activities and initiatives that the department is undertaking to address coordination. In identifying DOD\u2019s collaborative efforts, we reviewed our prior work on collaboration among federal agencies but we did not assess the effectiveness of the department\u2019s collaborative efforts.", "We conducted this performance audit from August 2016 to December 2017, in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Further details on our scope and methodology are presented in appendix I."], "subsections": [{"section_title": "Background", "paragraphs": [], "subsections": [{"section_title": "DOD Definitions of Unwanted Sexual Behaviors", "paragraphs": ["DOD has defined various types of unwanted sexual behaviors, including sexual assault, sexual harassment, and domestic violence.", "Sexual assault: DOD defines sexual assault as intentional sexual contact, characterized by use of force, threats, intimidation, abuse of authority, or when the victim does not or cannot consent. The term includes a broad category of sexual offenses consisting of the following specific Uniform Code of Military Justice offenses: rape, sexual assault, aggravated sexual contact, abusive sexual contact, forcible sodomy (forced oral or anal sex), or attempts to commit these acts.", "Sexual harassment: DOD defines sexual harassment as a form of sex discrimination that involves unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when (1) submission to such conduct is made either explicitly or implicitly a term or condition of a person\u2019s job, pay, or career; (2) submission to or rejection of such conduct by a person is used as a basis for career or employment decisions affecting that person; or (3) such conduct has the purpose or effect of unreasonably interfering with an individual\u2019s work performance or creates an intimidating, hostile, or offensive working environment. However, as noted earlier, a provision of the NDAA for FY 2017 changed the definition of sexual harassment for the military for purposes of investigations by commanding officers so that it is no longer defined solely as a form of sex discrimination, but is recognized as an adverse behavior on the spectrum of behavior that can contribute to an increase in the incidence of sexual assault. We discuss this changed definition of sexual harassment later in this report.", "Domestic violence: DOD defines domestic violence as an offense under the United States Code, the Uniform Code of Military Justice, or state law involving the use, attempted use, or threatened use of force or violence against a person, or a violation of a lawful order issued for the protection of a person who is a current or former spouse, a person with whom the abuser shares a child in common or a current or former intimate partner with whom the abuser shares or has shared a common domicile. Sexual assault of spouses and intimate partners is a subset of domestic violence."], "subsections": []}, {"section_title": "DOD Entities with Key Roles and Responsibilities in Addressing Unwanted Sexual Behaviors", "paragraphs": ["Various offices and organizations within DOD play a role in addressing unwanted sexual behaviors in the military. The Under Secretary of Defense for Personnel and Readiness is responsible for developing the overall policy and guidance for the department\u2019s efforts to prevent and respond to instances of sexual assault, except for criminal investigative policy matters assigned to the DOD Inspector General and legal processes in the Uniform Code of Military Justice."], "subsections": [{"section_title": "DOD\u2019s Sexual Assault Prevention and Response Program", "paragraphs": ["The Under Secretary of Defense for Personnel and Readiness oversees the Sexual Assault Prevention and Response Office (SAPRO), which serves as the department\u2019s single point of authority, accountability, and oversight for its sexual assault prevention and response program. The responsibilities of the Under Secretary of Defense for Personnel and Readiness and SAPRO with regard to sexual assault prevention and response include providing the military services with guidance and technical support and facilitating the identification and resolution of issues; developing programs, policies, and training standards for the prevention of, reporting of, and response to sexual assault; developing strategic program guidance and joint planning objectives; overseeing the department\u2019s collection and maintenance of data on reported alleged sexual assaults involving servicemembers; establishing mechanisms to measure the effectiveness of the department\u2019s sexual assault prevention and response program; and preparing the department\u2019s mandated annual reports to Congress on sexual assaults involving servicemembers.", "The Secretaries of the military departments are responsible for establishing policies for preventing and responding to sexual assault within their respective military service, and for ensuring compliance with DOD\u2019s policy. Further, they are responsible for establishing policies that ensure commander accountability for program implementation and execution. Each military service has established an office that is responsible for overseeing and managing the military service\u2019s sexual assault prevention and response program. Each military service also maintains a primary policy document on its sexual assault prevention and response program. Much like DOD\u2019s directive and instruction on sexual assault prevention and response, the military service policies outline responsibilities of relevant stakeholders, including commanders, sexual assault response coordinators, and victim advocates and training requirements for all personnel."], "subsections": []}, {"section_title": "DOD\u2019s Military Equal Opportunity Program", "paragraphs": ["The Under Secretary of Defense for Personnel and Readiness has responsibility for developing the overall policy for DOD\u2019s military equal opportunity program and monitoring compliance with the department\u2019s policy. According to the policy, all servicemembers are afforded equal opportunity in an environment free from harassment, including sexual harassment, and unlawful discrimination on the basis of race, color, national origin, religion, sex (including gender), and sexual orientation. The chain of command is used as the primary and preferred channel to (1) identify and correct unlawful discrimination practices, (2) process and resolve complaints of unlawful discrimination or harassment, to include sexual, and (3) ensure that military equal opportunity matters are taken seriously and acted on as necessary. The Office of Diversity Management and Equal Opportunity (ODMEO) oversees the department\u2019s efforts to promote equal opportunity, diversity, and inclusion management, and to help prevent unlawful discrimination and harassment throughout DOD. The Defense Equal Opportunity Management Institute develops training and studies on equal opportunity. Behaviors under the purview of the military equal opportunity program include unlawful discrimination on the basis of color, national origin, race, religion, or sex.", "The Secretaries of the military departments are responsible for developing policies to prevent unlawful discrimination and harassment, (including sexual harassment), ensuring compliance with DOD\u2019s policy, and establishing both formal and informal means of resolving complaints. The chain of command is the primary and preferred channel for identifying and correcting discriminatory practices and resolving servicemembers\u2019 complaints of sexual harassment. The military services encourage servicemembers to resolve any complaints of sexual harassment they may have at the lowest possible level first.", "For servicemembers who wish to report a complaint of sexual harassment, DOD provides two complaint options\u2014formal and informal.", "A formal complaint is an allegation of sexual harassment that a complainant submits in writing to the authority designated for the receipt of such complaints in military service implementing guidance. Formal complaints require specific actions to be taken, are subject to timelines, and require documentation of the actions taken, in accordance with federal law. In contrast, an informal complaint is an allegation of sexual harassment, made either orally or in writing, which is not submitted as a formal complaint. Informal complaints may be resolved directly by the complainant, such as by confronting the individual or by involving another individual or the chain of command. Servicemembers who elect to resolve their complaints informally may submit a formal complaint if they are dissatisfied with the outcome of the informal process. In 2014, DOD directed the military services to develop implementing instructions and mechanisms for reporting instances of sexual harassment anonymously."], "subsections": []}, {"section_title": "DOD\u2019s Family Advocacy Program", "paragraphs": ["The Deputy Assistant Secretary of Defense for Military Community and Family Policy under the Under Secretary of Defense for Personnel and Readiness is responsible for the development and oversight of policy for the military departments to implement a coordinated community response approach to addressing domestic abuse. The DOD Family Advocacy Program (FAP) office provides guidance and technical assistance to the military departments and DOD components to support their efforts to address, among other things, domestic abuse.", "The Secretaries of the military departments are responsible for developing military service-wide policies, supplementary standards, and instructions to provide for the requirements within their respective installations FAPs. Each military service has established a FAP that is responsible for overseeing and managing, among other things, the installation-level FAPs and the military service\u2019s domestic violence and domestic abuse prevention and response programs. When domestic abuse does occur, the military service installation FAP conducts a risk assessment and works to ensure the safety of the victims and help military families overcome the effects as well as change destructive patterns."], "subsections": []}]}, {"section_title": "CDC and Its Sexual Violence Prevention Efforts", "paragraphs": ["CDC is one of the major operating components of the Department of Health and Human Services, which serves as the federal government\u2019s principal agency for protecting the health of U.S. citizens. As part of its health-related mission, CDC serves as the national focal point for developing and applying disease prevention and control, environmental health, and health promotion and education activities. CDC, among other things, conducts research to enhance prevention, develops and advocates public health policies, implements prevention strategies, promotes healthy behaviors, fosters safe and healthful environments, and provides associated training.", "In 1992, CDC established the National Center for Injury Prevention and Control as the lead federal organization for violence prevention. The center\u2019s Division of Violence Prevention focuses on stopping violence, including sexual violence, before it begins and works to achieve this by conducting research on the factors that put people at risk for violence, examining the effective adoption and dissemination of prevention strategies, and evaluating the effectiveness of violence prevention programs. In 2004, CDC published a framework for effective sexual violence prevention strategies. This framework includes prevention concepts and strategies, such as identifying risk and protective factors (i.e., factors that may put a person at risk for committing sexual assault or that, alternatively, may prevent harm). CDC\u2019s framework defines sexual violence as including non-contact unwanted sexual behaviors, sexual harassment, and physical sexual assault."], "subsections": []}, {"section_title": "Continuum of Harm", "paragraphs": ["DOD has acknowledged that connections exist across the continuum of unwanted sexual behaviors including sexual harassment and sexual assault and that this continuum of harm is reflected in key documents that guide prevention and response activities. For example, SAPRO has also reported that certain behavior and activities, such as hazing, can lead to sexual assault. Additionally, DOD\u2019s Prevention Roundtable and 2014- 2016 Sexual Assault Prevention Strategy have both adopted CDC\u2019s definition of \u201cprevention\u201d as it applies to sexual violence. CDC defines sexual violence to include sexual harassment and sexual assault.", "In 2014 and 2017, DOD contracted with RAND to conduct independent assessments of behaviors across the continuum of harm, including sexual assault and sexual harassment. In its 2014 report, RAND found that (1) 34 percent of male servicemembers who were surveyed reported that the sexual assault was part of a hazing incident, (2) servicemembers who experienced sexual harassment or gender discrimination in the past year also experienced higher rates of sexual assault, and (3) approximately one-third of servicemembers who are sexually assaulted stated the offender sexually harassed them before the assault. In its 2017 report, RAND found that (1) people are more likely to engage in problematic behaviors, such as sexual harassment, if that person perceives that peers and leaders condone those actions and (2) some organizations responsible for addressing unlawful discrimination and sexual harassment lack adequate policies, plans, information systems, and resources needed to establish a departmental approach to certain behavioral issues, inform senior leadership about these problems, and ensure that leadership\u2019s decisions about problematic behaviors are uniformly enforced.", "CDC research revealed that behaviors such as bullying and homophobic teasing in early adolescence are significant predictors of sexual harassment over time. According to the CDC, these youth are at an increased potential to perpetrate sexual violence and engage in sexually harassing behavior. In response, CDC recommends that communities work to prevent all types of violence from occurring and coordinate and integrate responses to violence in a way that recognizes these connections. CDC\u2019s research has also established that survivors of one form of violence are more likely to be victims of other forms of violence, that survivors of violence are at higher risk for behaving violently, and that people who behave violently are more likely to commit other forms of violence. Further, CDC states that violence prevention and intervention efforts that focus on only one form of violence can be broadened to address multiple, connected forms of violence to increase the public health impact."], "subsections": []}]}, {"section_title": "DOD\u2019s Policies on Sexual Harassment Include Some but Not All of CDC\u2019s Principles and Most Relevant Legislative Elements", "paragraphs": ["DOD\u2019s policies on sexual harassment include some but not all of CDC\u2019s principles and most relevant legislative elements. OSD and military service-specific sexual harassment policies generally include prevention strategies that CDC has identified in its principles for sexual violence prevention but leave out risk and protective factors, as well as risk domains. Additionally, DOD\u2019s sexual harassment policies include most elements identified in section 579 of the NDAA for FY 2013, but do not consistently include mechanisms for anonymous reporting. ODMEO officials stated that they plan to issue a new policy that is intended to focus on sexual harassment and other forms of harassment, but it is too early to know whether that policy will include all the CDC principles or mechanisms for anonymous reporting. We also noted during our review that most existing policies have not yet been updated to reflect a provision in the fiscal year 2017 NDAA that redefined sexual harassment for certain purposes so it is no longer defined solely as a form of sex discrimination but is recognized also as an adverse behavior on the spectrum of behaviors that can contribute to an increase in the incidence of sexual assault."], "subsections": [{"section_title": "DOD\u2019s Sexual Harassment Policies Include Some of CDC\u2019s Principles for Preventing Sexual Violence but Not Others", "paragraphs": ["DOD\u2019s sexual harassment policies include some of the principles that have been developed by CDC as part of a framework for preventing sexual violence, but other principles are not included. OSD includes sexual harassment as part of its broader military equal opportunity policy. It addresses, among other things, processes for preventing and responding to cases of discrimination, including sexual harassment; education and training in equal opportunity; and complaints processing. The military services\u2019 policies on sexual harassment cover similar topics, such as chain of command responsibilities, complaint processing, and definitions for sexual harassment; however, they have some differences. For example, while all policies include provisions on sexual harassment prevention training, the Army\u2019s and the Navy\u2019s policies include specific characteristics of effective training. Both policies also specify what should be included in trainings for different levels of the chain of command. The Marine Corps and Air Force policies simply state that commanders must conduct sexual harassment prevention training.", "CDC\u2019s framework defines sexual violence as including non-contact unwanted sexual behaviors, sexual harassment, and physical sexual assault. We applied six principles for sexual violence prevention from CDC\u2019s framework to DOD\u2019s sexual harassment policies. These principles are:", "Risk factors: Factors that may put people at risk for sexual violence perpetration or victimization, such as an organizational climate that either explicitly or implicitly condones sexual harassment.", "Protective factors: Factors that may protect high-risk people from harm, such as an organizational climate that promotes respect amongst personnel at all levels.", "Primary strategies for prevention: Strategies that occur before sexual violence takes place to prevent initial perpetration, such as sexual harassment prevention training.", "Secondary strategies for prevention: Immediate responses after sexual violence has occurred to address the early identification of victims and the short-term consequences of violence, such as mechanisms for reporting instances of sexual harassment and immediate interventions.", "Tertiary strategies for prevention: Long-term responses after sexual violence has occurred to address the lasting consequences of violence and sex-offender treatment interventions, such as long-term treatment of the victim and perpetrator.", "Risk domains: Levels at which risk and protective factors should be categorized, including: individual, relationship, community, and societal. In its sexual assault prevention strategy, DOD adapted risk domains to the military population, using the levels of: individual, relationship, leaders at all levels, military community, and society.", "Our comparison of DOD sexual harassment policies with CDC\u2019s framework for preventing sexual violence showed that the policies include some of the principles in the framework but not others (see table 1.)", "Our analysis showed that the OSD and the Air Force policies each include two of the six principles in CDC\u2019s framework, and the Army, the Navy, and the Marine Corps policies include three principles. Specifically, the policies generally identify sexual harassment prevention training for the armed forces, a primary strategy for prevention. In addition, the policies generally outline mechanisms for reporting and responding to sexual harassment, considered a secondary strategy for prevention. The Army, the Navy, and the Marine Corps policies outline counseling support and referral services, as well as specifying the options available for administrative or judicial punishment, including discharge from service for perpetrators, which can be considered to be tertiary strategies for prevention.", "Common elements missing from DOD\u2019s sexual harassment policies are risk factors and protective factors, which identify conditions or behaviors that might heighten or lower the risk of sexual harassment victimization or perpetration, respectively. Examples of risk factors for sexual violence identified by the CDC include, but are not limited to, alcohol and drug use, hypermasculinity, emotionally unsupportive family environments, general tolerance of sexual violence within the community, and societal norms that support male superiority and sexual entitlement. Examples of protective factors from the CDC include emotional health and connectedness, and empathy and concern for how one\u2019s actions affect others. Additionally, RAND identified an organizational climate that is oppositional to sexual violence as a protective factor. The policies also did not include risk domains, which would categorize risk and protective factors at the individual, relationship, community, and society levels. ODMEO officials told us that they are familiar with the CDC framework and are considering using it as a source of best practices for a new sexual harassment prevention strategy. DOD has previously used CDC\u2019s sexual violence prevention framework to guide its sexual assault prevention strategy.", "In the absence of more comprehensive policies on sexual harassment that fully include principles in the CDC framework for sexual violence prevention, DOD may be missing opportunities to address and potentially reduce incidents of sexual harassment in the military population based on risk and protective factors and effective, tested strategies. Specifically, DOD may be missing the opportunity to identify risk factors, which would help to recognize situations where individuals and populations may be at a higher risk of sexual harassment perpetration or victimization; identify protective factors to lower the risk of sexual harassment; develop mechanisms to address sexual harassment across risk domains\u2014at the individual, relationship, community, and society levels; and develop tertiary strategies, or long-term responses after sexual violence has occurred to address the lasting consequences of violence and sex- offender treatment interventions."], "subsections": []}, {"section_title": "DOD\u2019s Sexual Harassment Policies Include Most Elements Mandated in the NDAA for FY 2013, but Some Do Not Include Mechanisms for Anonymous Reporting", "paragraphs": ["DOD\u2019s sexual harassment policies include three elements required by section 579 of the NDAA for FY 2013 but some do not include one element involving the anonymous reporting of incidents. Section 579 mandated that DOD, among other things, develop a comprehensive sexual harassment policy that includes the following elements: (1) prevention training for members of the armed forces; (2) mechanisms for reporting sexual harassment, including mechanisms for anonymous reporting; and (3) mechanisms for resolving sexual harassment that include the prosecution of perpetrators. In 2014, the Office of the Undersecretary of Defense for Personnel and Readiness issued a policy memorandum addressing the provisions of Section 579 and directed the military services to develop implementing instructions that include mechanisms for anonymous reporting.", "We compared DOD\u2019s policies with the required elements in section 579 and found that OSD and military service policies generally include required elements except for the element focused on DOD including anonymous reporting in its policies for sexual harassment. The OSD, Army, and Marine Corps policies do not include anonymous reporting, while the Air Force policy and a new Navy policy do. Officials from ODMEO said that providing an option for anonymous reporting is important because it increases the odds that incidents will be reported. ODMEO officials also told us that the services have hotlines that servicemembers can use to anonymously report complaints of sexual harassment, and the Air Force and Navy policies note that their respective military servicemembers have options for anonymous reporting. While the military services may have mechanisms in place for anonymous reporting of sexual harassment, these mechanisms are not included in OSD\u2019s policy\u2014as required by section 579\u2014or the policies of two of the Services, those of the Army and the Marine Corps. Without including anonymous reporting of sexual harassment complaints in DOD\u2019s sexual harassment policies, the statutory requirement for anonymous reporting may be interpreted and applied inconsistently throughout the military services, or left unmet."], "subsections": []}, {"section_title": "Development of New OSD Harassment Policy May Provide Opportunities for Enhanced Oversight and More Consistent Approaches", "paragraphs": ["OSD is developing a new policy\u2014planned to be issued in fiscal year 2018\u2014that will specifically focus on various forms of harassment, including sexual harassment, hazing, and bullying. ODMEO officials who are developing the new policy stated that it is intended, among other things, to enhance oversight of sexual harassment prevention and response within the department. However, because the policy is under development, it is too early to determine how the policy will address the CDC principles and anonymous reporting, as discussed earlier. Further, it is unclear how OSD plans to improve oversight and whether it intends to include performance goals, objectives, milestones, and metrics as we previously recommended in 2011.", "Although OSD in 2014 directed the military services to improve their oversight of sexual harassment, none of the military services were able to demonstrate that they had implemented all the required elements.", "Specifically, DOD\u2019s 2014 policy memorandum addressing the provisions of section 579 also directs the military services to develop a sexual harassment oversight framework to be reviewed quarterly by a senior leadership forum that includes long-term goals, objectives, and milestones; criteria for measuring progress; results-oriented performance measures to assess effectiveness of service sexual harassment policies and programs; standards for holding leaders accountable for promoting, supporting, and enforcing policies, plans and programs; and strategies to implement the oversight framework.", "While some of the military services have included elements of the oversight framework directive from the 2014 policy memorandum, none of them were able to provide information that demonstrated that they had fulfilled all requirements set forth by that policy memorandum. For instance, when asked, none of the military services were able to provide details that they have senior leader forums that review their oversight efforts on a quarterly basis. Officials from the Air Force told us that they were waiting for ODMEO to release a new sexual harassment policy before establishing the oversight framework. Officials from the Navy referred us to their July 2017 sexual harassment policy, which instructs the Navy Sexual Harassment Prevention and Equal Opportunity Office to develop and implement standards for holding leaders accountable for promoting, supporting, and enforcing sexual harassment prevention and response policies, plans, and programs, and to develop results-oriented performance measures to assess the effectiveness of sexual harassment prevention and response policies and programs. Officials from the Army referred us to their SHARP Campaign Plan, which outlines methods to hold leaders accountable for taking appropriate action to address sexual harassment; goals and objectives for the program; and ways to measure program effectiveness. The Marine Corps did not respond to our request for information regarding an oversight framework for sexual harassment.", "A new department-wide policy on sexual harassment could be helpful to the military services as they review and update their respective policies. As noted earlier, military service policies have some differences in how they address aspects of sexual harassment. The Marine Corps told us that they have been waiting for additional guidance from OSD before updating their sexual harassment policies. However, following publicized incidents of Marines posting inappropriate photos on line of female servicemembers without their consent, the Marine Corps updated its guidance in May 2017 adding \u201cthe distribution or broadcasting of an intimate image, without consent\u201d to its list of sexual harassment incidents that mandate separation processing. Additionally, in May 2017, a Marine Corps official said the service was revising its sexual harassment policy. The Navy updated its sexual harassment policy in July 2017 without additional guidance from OSD.", "We also noted during our review that most existing policies have not yet been updated to reflect a provision in the fiscal year 2017 NDAA that redefined sexual harassment for certain purposes so it is no longer defined solely as a form of sex discrimination but is recognized also as an adverse behavior on the spectrum of behavior that can contribute to an increase in the incidence of sexual assault. We asked DOD officials from several offices about the implications of this change. They identified some actions they will take, but the full implications, if any, of the change are unclear. Officials from the Assistant Secretary of Defense for Readiness said that there are no significant implications of the sexual harassment definition change beyond making conforming revisions to policy documents and guidance. ODMEO officials said that adjusting to the new definition of sexual harassment would not significantly affect their work at the OSD level, since they are already updating their sexual harassment policy to reflect this change and since sexual harassment is expected to remain within the responsibilities of ODMEO. They added that the military services will likely have to adjust to the new definition of sexual harassment, but did not offer details in how they would have to adjust.", "The Navy\u2019s new policy dated July 2017 reflects the new definition, but the other military services have yet to incorporate the change. Officials from SAPRO said that they are working with ODMEO to revise surveys on unwanted sexual behaviors to reflect the new definition. SAPRO officials further stated that sexual harassment should remain under ODMEO\u2019s purview since ODMEO personnel are trained specifically in sexual harassment response. Officials from the Army\u2019s SHARP program said that the new definition means that sexual harassment will more often be considered misconduct, and taken more seriously.", "Since OSD is in the process of updating its policy, we are not making any recommendations. However, it will be important for OSD and the military services to address our prior recommendation regarding improving the oversight framework as well as incorporating the new definition of sexual harassment required by the fiscal year 2017 NDAA while updating their policies."], "subsections": []}]}, {"section_title": "DOD Has Processes for Maintaining and Reporting Consistent Data on Incidents of Sexual Assault and Domestic Abuse That Involves Sexual Assault, but Does Not Have Reasonable Assurance of Consistent Data on Sexual Harassment", "paragraphs": ["DOD has processes for maintaining and reporting consistent data on sexual assault incidents and domestic violence incidents that involve sexual assault, but the department does not have similar assurance of consistent data on incidents of sexual harassment. SAPRO and FAP each use centralized databases that enable them to maintain and report consistent data on those incidents that fall under their purview. In contrast, DOD relies on military service-specific databases on sexual harassment incidents and does not have assurance of consistent data from these databases because it has not established standard data elements and definitions to guide the military services in maintaining and reporting these data."], "subsections": [{"section_title": "DOD Has Developed and Plans to Further Improve Centralized Databases That Enable It to Maintain and Report Consistent Data on Sexual Assault Incidents and Domestic Violence Incidents That Involve Sexual Assault", "paragraphs": ["DOD uses centralized databases to maintain and report data on sexual assault incidents in the military and domestic violence incidents involving sexual assault. Specifically, SAPRO and the military services use the Defense Sexual Assault Incident Database (DSAID), and FAP uses the DOD Central Registry. These databases maintain data on incidents that are included in statutorily required annual reports to Congress on sexual assaults in the military. In 2011, Congress mandated that DOD provide annual reports that include: the number of sexual assaults committed against and by members of the armed forces that were reported to military officials, including unsubstantiated and substantiated reports with a synopsis of each substantiated case organized by offense and the action taken, including disciplinary actions; the policies, processes, and procedures implemented by the Secretary concerned during the year covered by the report in response to incidents of sexual assaults; the number of substantiated sexual assault cases in which the victim is deployed where the assailant is a foreign national; and a description of the implementation of the accessibility plan, including a description of the steps taken to ensure that trained personnel, appropriate supplies, and transportation resources are available to deployed units.", "The most recent DOD annual report on sexual assault was issued in May 2017 and covered fiscal year 2016. The report includes data on the number of both restricted and unrestricted reports of sexual assault involving servicemembers. The report also contains separate enclosures for the Army, the Navy (including the Marine Corps), the Air Force, and the National Guard, as well as annexes on the Workplace and Gender Relations Survey of Active Duty Members (WGRA) and the Military Investigation and Justice Experience Survey (MIJES). The WGRA annex discusses topics including the continuum of harm and the MIJES annex contains information on closed cases of sexual assault.", "SAPRO and FAP both contributed sexual assault incident data to the fiscal year 2016 report, and our review of the underlying databases found that data elements and definitions were defined and management was able to process the data into consistent information. Specifically, the two databases used are the:", "DSAID Data on Sexual Assault Incidents: DSAID captures DOD-wide data on certain incidents of sexual assault that involve a servicemember or in some cases, when a sexual assault involves a servicemember\u2019s spouse or adult family member or a DOD civilian or contractor. However, FAP-related sexual assault incidents are not captured in DSAID. Using information generated by DSAID, SAPRO includes both substantiated and unsubstantiated reports of sexual assault in its annual report.", "In 2017, we reviewed DSAID and found that DOD had taken steps to ensure the quality and consistency of data in DSAID as well as to monitor the data entered into the system. In addition, OSD had provided the military services with definitions for required data elements in the database, which include details on the incident, victim, and alleged offender. In addition, we identified several technical challenges with the system, including issues with the system\u2019s speed and ease of use; interfaces with other external DOD databases; and users\u2019 ability to query data and generate reports. At the time of the report\u2019s release, DOD had plans to modify DSAID. As of July 2017, DOD officials told us that they are still in the process of making modifications to DSAID to resolve or alleviate the technical challenges for users.", "DOD Central Registry Data on Domestic Abuse Incidents Involving Sexual Assault: The DOD Central Registry captures DOD-wide data on reports of domestic abuse on populations within FAP\u2019s purview, including on family members of servicemembers as well as on their intimate partners. The DOD Central Registry includes details of each case such as the status of cases, the demographics of the perpetrator and victim, the specific type of abuse, and other details surrounding the incident. FAP officials explained that they do not use the \u201csubstantiated\u201d and \u201cunsubstantiated\u201d terminology like SAPRO does. Rather, FAP, which is not responsible for determining criminal or legal disposition, uses the terms \u201cmet criteria\u201d and \u201cnot met criteria\u201d for maltreatment. This difference in terminology has to do with FAP\u2019s process for determining if an incident meets the clinical criteria to be classified as abuse for the purpose of developing an intervention/treatment plan for both the victim and the offenders involved in the allegations of domestic violence.", "Incidents that are determined as having met criteria are entered into the DOD Central Registry. We reviewed the DOD Central Registry and found that it includes well defined data elements and descriptions for collecting data on cases of domestic violence including those that involve sexual assault. The data in the DOD Central Registry includes 46 discrete data elements, including the relationship between the victim and perpetrator, the timeline of the case, and actions taken and treatments administered in response to the incident. The elements are defined and described in an OSD policy.", "In its annual reporting to Congress, FAP provides the number of domestic violence incidents involving sexual assault that met criteria and the total number of instances of domestic violence that did not meet criteria. However, FAP does not maintain or report data on the total number of reported domestic violence incidents that specifically involve sexual assault. That is because only the details of cases that meet criteria are recorded in the DOD Central Registry. A FAP official said that the military services likely have more detailed information about cases that did not meet the criteria, but it does not collect these data in the DOD Central Registry. A provision in the NDAA for FY 2017 requires DOD to submit an annual report on child abuse and domestic abuse incident data, including the number of incidents reported during the year involving the physical or sexual abuse of a spouse, intimate partner, or child. This report is to be submitted simultaneously with submission of DOD\u2019s annual sexual assault report to Congress. FAP officials told us that they are currently working with SAPRO to ensure that all reported incidents of domestic violence involving sexual assault, including those that did not meet the criteria, are included in the annual sexual assault report."], "subsections": []}, {"section_title": "DOD Reports Annually on Sexual Harassment, but Does Not Have Reasonable Assurance That the Military Services Maintain Consistent Data on Sexual Harassment Incidents", "paragraphs": ["Though not required to do so, DOD has included sexual harassment incident data in an appendix of its annual report on sexual assault in the military. The appendix provides information on the total number of sexual harassment reports over the fiscal year and the total number of substantiated sexual harassment reports. It also breaks down complaints by sex, service, and pay grade. ODMEO generates the reported data through annual data calls to each military service; however, it does not have assurance that the services maintain consistent data on sexual harassment incidents consistent with federal standards of internal control.", "The military services maintain sexual harassment incident data in military service-specific databases, and there is no centralized database similar to DSAID or the Central Registry. The military service databases are intended to collect data on formal complaints. According to the military services, the Army, the Air Force, and the Marine Corps use web-based systems, and the Navy tracks data using an Excel spreadsheet. Each service has a discrete process for entering and performing quality checks on sexual harassment incident data in its respective database, as shown in table 2.", "Although the military services perform some data quality checks as shown in table 2, ODMEO does not have assurance the military services are maintaining consistent data because it has not defined standard data elements and definitions for the information in their databases. Rather, the individual military services have established their own data elements and definitions. We compared data elements and definitions from each of the military services and found that there are several data elements that remain consistent throughout the services. For example, each military service records whether the complainant and offender are in the same unit, what their relationship is to each other, and the disposition of cases.", "However, we also found inconsistencies in data fields and their definitions across the military services, and some of the military services have data fields and definitions that do not exist in other databases. For example, the Marine Corps records whether or not the incident involves alcohol or drug use, which the rest of the military services do not record, and the military services record dates differently between their respective databases. For example, the Air Force records an initial date, the date the complaint form was signed, the date the general court martial was sent, the date the legal review was completed, and the final review date. The Marine Corps records the date the incident was reported, the date the incident occurred and whether the incident occurred over multiple dates; the dates associated with notifications and status updates to general courts martial proceedings; the dates associated with steps in the investigation, including any extensions; the dates associated with dispositions; and the dates associated with appeals. Additionally, the military services have different ways of categorizing sexual harassment incidents, as shown in table 3.", "As shown in table 3, while some data descriptions are similar\u2014for instance, each of the military services include crude/offensive behavior, unwanted sexual attention, and sexual coercion\u2014there are differences as well. The Air Force also categorizes sexual harassment into verbal, nonverbal, physical, and other, for example, whereas the other military services\u2019 top-level categories are different. The Navy has a \u201cnot applicable\u201d category that it describes as sexual harassment complaints that do not fall under sexual harassment, and only the Air Force has an \u201cother\u201d category. Because the military services have different descriptors for similar data fields, DOD cannot ensure that the services are categorizing similar types of sexual harassment in the same way.", "In addition, we found that the Army is more detailed in characterizing different types of sexual harassment. Specifically, as shown in table 4, the Army has an additional data field that provides more detailed descriptions of three types of sexual harassment; the other military services\u2019 respective databases do not have this level of detail.", "Because the Army has this additional data field, it can capture information on multiple types of harassment that may occur in a single incident. The other military services, in contrast, do not have this capability in their respective databases. To illustrate, if one case of sexual harassment involved both verbal and nonverbal forms of sexual harassment, the Army could choose a more specific characterization to describe the incident, while the other military services would characterize the incident in more general terms.", "ODMEO officials are considering adapting an existing system to track instances of sexual harassment department-wide. That system, called Force Risk Reduction (FR2), is currently used to track safety issues like military injuries, civilian workers\u2019 compensation claims, and casualty notifications at DOD. ODMEO recently completed a pilot of the system with the Marine Corps, the Navy, and the Army to test whether it would be useable for adaptation for sexual harassment data, and is planning a second pilot to include the Air Force and the National Guard Bureau.", "According to ODMEO officials, their adaptation of FR2 is intended to collect aggregate-level sexual harassment data from the military services, and the military services will continue to operate and rely on their individual databases to maintain more detailed case-level information on incidents. For example, ODMEO\u2019s adaptation of FR2 would not have details such as descriptions of specific incidents, or information on dates associated with investigations or appeals. These types of data will continue to be maintained in the service systems. ODMEO officials told us that their new data system, if implemented, is not designed to collect case-level details in order to avoid personally identifiable information.", "Federal internal control standards state that management should define the identified information requirements at the relevant level and requisite specificity for appropriate personnel. Management should also process the obtained data into quality information. Consistency of information meets the identified information requirements when relevant data from reliable sources are used. While DOD is exploring implementing a system to track instances of sexual harassment department-wide, as currently planned this system will not collect case-level details and individual military service systems will continue to be relied upon for this type of information.", "Inconsistencies in data elements and definitions among the military services generally mean that one military service may be maintaining sexual harassment data that are more or less detailed than sexual harassment data maintained by other military services, or that is simply different from the data maintained by other military services. Additionally, inconsistent data elements and definitions may create difficulties in reporting sexual harassment data from the military services to OSD for a department-wide report, since ODMEO has to adapt data from the services to fit reporting requirements. Without standard data elements and definitions for sexual harassment data, DOD will continue to lack assurance about the consistency of these data across the military services."], "subsections": []}]}, {"section_title": "DOD Has Several Overarching Efforts to Address Unwanted Sexual Behaviors across the Continuum of Harm", "paragraphs": ["DOD has several overarching efforts to address unwanted sexual behaviors across the continuum of harm. Specifically, the department established an office to oversee the integration and coordination of unwanted sexual behaviors in 2015 and is in the process of developing an overarching prevention strategy. However, because the strategy is under development, it is unclear whether it will contain key elements for long-term and results-oriented strategic planning. DOD also has ongoing collaborative efforts to address unwanted sexual behaviors along the continuum of harm. Specifically, we identified 15 collaborative efforts, including regular meetings, Integrated Product Teams, and working groups that involve multiple entities that address unwanted sexual behaviors."], "subsections": [{"section_title": "DOD Is Developing an Overarching Prevention Strategy to Address the Continuum of Harm, but It Is Unclear Whether DOD Will Include Key Elements of a Long-Term, Results- Oriented Strategy", "paragraphs": ["DOD has taken steps to integrate activities related to the continuum of harm and is in the process of developing an overarching prevention strategy. Based on its research, DOD has sought to understand and define the continuum of harm, including the shared characteristics that contribute to increased unwanted sexual behaviors along the continuum and implications for prevention and response efforts. Also, in November 2015, DOD established a new entity\u2014the Office of the Executive Director for Force Resiliency, within the Office of the Assistant Secretary of Defense for Readiness\u2014to oversee policies and initiatives related to the continuum of harm. Specifically, the Executive Director for Force Resiliency was expected to provide senior leader policy guidance and oversight on high visibility departments that include SAPRO and ODMEO. In November 2016, the Office of the Executive Director for Force Resiliency was absorbed under the Assistant Secretary of Defense for Readiness. According to the Assistant Secretary of Defense for Readiness, the functions of the Office of the Executive Director for Force Resiliency remain and coordination of the efforts of several offices that address the continuum of harm continues.", "Officials from the Assistant Secretary of Defense for Readiness and SAPRO told us that they are drafting an overarching prevention strategy to encompass behaviors along the continuum of harm. However, because the strategy is still under development, its contents and timelines are unclear. We have previously identified six elements of strategic management planning that are key for establishing a long-term, results- oriented strategic planning framework: (1) a mission statement, (2) long- term goals, (3) strategies to achieve goals, (4) external factors that could affect goals, (5) the use of metrics to gauge progress, and (6) evaluations of the plan to monitor goals and objectives.", "By incorporating the elements of a comprehensive and results-oriented strategy into its overarching prevention strategy, the department will be better positioned to effectively coordinate and integrate prevention activities and reduce unwanted sexual behaviors. A mission statement, along with long-term goals and strategies to achieve those goals, should help to focus efforts in integrating prevention activities, and metrics and evaluations will allow the department to gauge progress and make changes as necessary, while also accounting for external factors that may impact progress towards goals."], "subsections": []}, {"section_title": "DOD Has Ongoing Collaborative Efforts to Address Behaviors along the Continuum of Harm", "paragraphs": ["Our review identified 15 collaborative efforts that DOD has used to address behaviors along the continuum of harm, including sexual harassment, sexual assault, and domestic violence involving sexual assault. Three of these efforts are cross-cutting between all three of the key OSD stakeholders\u2014ODMEO, FAP, and SAPRO\u2014and five involve cross-cutting efforts by at least two of the key stakeholders. Figure 1 lists DOD\u2019s 15 collaborative efforts.", "Regarding the three cross-cutting efforts involving all three of the key stakeholders,", "The Sexual Assault Prevention and Response Integrated Product Team provides a forum for OSD, the military departments, and the National Guard Bureau to address sexual assault prevention efforts. The team meets bimonthly and serves as the implementation and oversight arm for DOD\u2019s Sexual Assault Prevention and Response (SAPR) program. The team also coordinates new policies; reviews existing SAPR policies and programs to ensure they are consistent with applicable instructions; and monitors the progress of program elements including DOD\u2019s SAPR strategic plan tasks, DOD\u2019s sexual assault prevention strategy tasks, and implementation of NDAA- related sexual assault issues. SAPRO leads this effort.", "The Prevention Collaboration Forum and working group develops coordinated prevention approaches that address factors impacting personnel readiness such as sexual harassment, sexual assault, and domestic violence involving sexual assault. According to its proposed charter, the focus of the forum is on enhancing the health of military unit and family climates as well as strengthening and promoting the resiliency and readiness of the total force through a coordinated effort around integrated policies, collaborative direction of research, alignment of resources, analysis of gaps, and synchronization of activities. The Assistant Secretary of Defense for Readiness leads this effort with SAPRO providing administrative and facilitation support.", "The Victim Assistance Leadership Council advises the Under Secretary of Defense for Personnel and Readiness on policies and practices related to victim assistance across DOD. According to its charter, the council provides a forum for senior leaders to exchange information and collaborate on issues affecting victims of all forms of crime and harassment within DOD, including but not limited to victims of sexual harassment, sexual assault, and domestic violence involving sexual abuse. Leadership rotates between SAPRO, FAP, and ODMEO and other offices.", "Regarding the cross-cutting efforts involving two of the three key stakeholders, the Sexual Harassment Prevention and Response Working Group is led by ODMEO and includes SAPRO. The group was established to evaluate how to best position sexual harassment prevention and response policy and oversight and to leverage technology to automate annual reporting requirements. The four other cross-cutting efforts are (1) the hazing and bullying working group, (2) retaliation working groups created under the SAPR Integrated Process Team, (3) domestic abuse rapid improvement events, and (4) ODMEO and SHARP meetings.", "The remaining collaborative efforts we identified are specific to FAP, SAPRO, and ODMEO. For example, the Sexual Assault Prevention Roundtable is a forum for representatives from OSD, the military departments, and the National Guard Bureau to share information on sexual assault prevention efforts and requirements. According to its charter, the roundtable\u2019s activities include, among other things, sharing promising practices and prevention updates; discussing challenges in prevention program implementation, including servicemember training, and identifying approaches to address them; identifying metrics to assess the impact and effectiveness of prevention efforts, and opportunities to collaborate on research projects; and tracking the implementation of prevention tasks identified in the DOD SAPR strategy. SAPRO leads this effort. The Defense Diversity Working Group is an ODMEO-specific group that collaborates with various OSD and military service offices on military and civilian diversity and inclusion issues and implements mandated diversity plans and programs."], "subsections": []}]}, {"section_title": "Conclusions", "paragraphs": ["Studies by DOD and others have shown that unwanted sexual behaviors do not exist in isolation but are part of a range of interconnected, inappropriate behaviors that are connected to the occurrence of a sexual assault. While DOD has policies and procedures to prevent and respond to these types of unwanted behaviors, some of the policies do not include key elements like anonymous reporting of sexual harassment and principles in the CDC framework for sexual violence prevention. Fully including these elements in the department\u2019s policies can help ensure that the military services are interpreting and applying prevention and response efforts consistently and may also decrease the risk of perpetration or victimization related to instances on unwanted sexual behaviors. Further, DOD has developed reliable data systems for collecting and reporting data on some of the unwanted sexual behaviors including sexual assault and instances of domestic violence with sexual assault. However, inconsistencies in sexual harassment data elements and definitions may be creating difficulties in developing department-wide reports on unwanted sexual behaviors. Improving and standardizing data collection efforts will not only improve the quality of data that DOD and the military services collect but may also increase the ability for DOD to further develop its understanding of the connection between unwanted sexual behaviors. Finally, DOD officials have stated that they are in the early stages of developing an overarching strategy to address the interconnected nature of the range of unwanted sexual behaviors. To ensure that the department is appropriately concentrating its efforts to prevent and respond to the full range of unwanted behaviors, it is important that DOD include elements of a long-term, results-oriented strategy into its overarching prevention strategy. In doing so, DOD will be in a better position to effectively coordinate and integrate prevention activities and ultimately reduce instances of unwanted sexual behaviors."], "subsections": []}, {"section_title": "Recommendations for Executive Action", "paragraphs": ["We are making the following four recommendations to DOD: The Under Secretary of Defense for Personnel and Readiness should fully include in the new policy for sexual harassment the principles in the Centers for Disease Control\u2019s framework for sexual violence prevention, including risk and protective factors, risk domains, and tertiary strategies. (Recommendation 1)", "The Under Secretary of Defense for Personnel and Readiness should include in the new policy for sexual harassment mechanisms for anonymous reporting of incidents consistent with section 579 of the National Defense Authorization Act for FY 2013. (Recommendation 2)", "The Under Secretary of Defense for Personnel and Readiness should (1) direct the Office of Diversity Management and Equal Opportunity to develop standard data elements and definitions for maintaining and reporting information on sexual harassment incidents at the military service level, and (2) direct the military services to incorporate these data elements and definitions into their military service-specific databases. (Recommendation 3)", "The Under Secretary of Defense for Personnel and Readiness should direct the Assistant Secretary of Defense for Readiness to incorporate in its continuum of harm prevention strategy all the elements that are key for establishing a long-term, results-oriented strategic planning framework. The elements are (1) a mission statement, (2) long-term goals, (3) strategies to achieve goals, (4) external factors that could affect goals, (5) use of metrics to gauge progress, and (6) evaluations of the plan to monitor goals and objectives. (Recommendation 4)"], "subsections": []}, {"section_title": "Agency Comments and Our Evaluation", "paragraphs": ["We provided a draft of this report to DOD and CDC for review and comment. In its written comments, DOD concurred with three recommendations and partially concurred with one, noting planned actions to address this recommendation. DOD\u2019s comments are reprinted in their entirety in appendix II. DOD and CDC also provided technical comments, which we incorporated into the report as appropriate.", "DOD concurred with our three recommendations that DOD fully include in the new policy for sexual harassment the principles in the CDC's framework for sexual violence prevention, that DOD also include in the new sexual harassment policy mechanisms for anonymous reporting, and that DOD incorporate in its continuum of harm strategy all the elements that are key for establishing a long-term, results-oriented strategic planning framework.", "With regard to our recommendation that DOD develop standard data elements and definitions for maintaining and reporting information on sexual harassment incidents and direct the military services to incorporate these into their databases, DOD partially concurred and stated that while a 2013 policy memorandum provides standard data elements and definitions, the services collect other data elements based on their unique needs. DOD stated that ODMEO will conduct a review to determine compliance with DOD reporting requirements and identify emerging policy modifications or changes/additions to standard definitions.", "We are sending copies of this report to the appropriate congressional committees, the Secretary of Defense, the Under Secretary of Defense for Personnel and Readiness, and the Director, Centers for Disease Control and Prevention. In addition, the report is available at no charge on the GAO website http://www.gao.gov.", "If you or your staff have any questions about this report, please contact me at (202) 512-3604 or farrellb@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix III."], "subsections": []}]}, {"section_title": "Appendix I: Scope and Methodology", "paragraphs": ["To determine the extent to which the Department of Defense (DOD) has policies on sexual harassment that include Centers for Disease Control and Prevention (CDC) principles and relevant legislative elements, we obtained and reviewed Office of the Secretary of Defense (OSD) and service-level sexual harassment policies. We compared the policies with a framework developed by the CDC for preventing sexual violence, which CDC defines as including non-contact unwanted sexual behaviors, sexual harassment, and physical sexual assault. CDC\u2019s model is based on the concept of addressing the health of a given population based on common risk and protective factors and effective, tested strategies. We reviewed CDC\u2019s framework for preventing sexual violence as well as our report on DOD\u2019s sexual assault prevention strategy to identify six principles that an organization can include in a sexual violence prevention strategy or policy:", "Risk factors: Factors that may put people at risk for sexual violence perpetration or victimization, such as an organizational climate that either explicitly or implicitly condones sexual harassment;", "Protective factors: Factors that may protect high-risk people from harm, such as an organizational climate that promotes respect among personnel at all levels;", "Primary strategies for prevention: Strategies that occur before sexual violence takes place to prevent initial perpetration, such as sexual harassment prevention training;", "Secondary strategies for prevention: Immediate responses after sexual violence has occurred to address the early identification of victims and the short-term consequences of violence, such as reporting mechanisms and immediate interventions;", "Tertiary strategies for prevention: Long-term responses after sexual violence has occurred to address the lasting consequences of violence and sex-offender treatment interventions, such as the long- term treatment of the victim and perpetrator; and", "Risk domains: Levels at which risk and protective factors should be categorized, including: individual, relationship, community, and society. DOD has previously adapted risk domains to the military population, using the levels of: individual, relationship, leaders at all levels, military community, and society.", "DOD previously used CDC\u2019s framework for preventing sexual violence in the department\u2019s 2014-2016 Sexual Assault Prevention Strategy. In addition, we reviewed the OSD and service-level sexual harassment policies to determine the extent to which they included three elements identified in the National Defense Authorization Act (NDAA) for FY 2013, which directed DOD to develop a comprehensive policy that includes sexual harassment prevention training for the armed forces; mechanisms for reporting incidents, including mechanisms for anonymous reporting; and mechanisms for responding to and resolving instances of sexual harassment, including for the prosecution of perpetrators. Two GAO analysts independently reviewed the policies and determined whether or not each element was included. Any discrepancies were resolved through discussion and consultation with a third analyst. We interviewed officials in the Under Secretary of Defense for Personnel and Readiness\u2019 Office of Diversity Management and Equal Opportunity, who oversee department- wide policy on sexual harassment, to obtain an understanding of their roles and processes regarding sexual harassment as well as the status of policy development in that area. We also interviewed officials from military equal opportunity offices in the Air Force, the Navy, and the Marine Corps, as well as officials from the Army\u2019s Sexual Harassment/Assault Response and Prevention Office to obtain an understanding of the service sexual harassment offices and roles, as well as the status of updates to their respective policies.", "To determine the extent to which DOD has processes for maintaining and reporting consistent data on incidents of unwanted sexual behaviors, we reviewed DOD reports to Congress that provide incident data regarding unwanted sexual behaviors, including DOD\u2019s most recent annual report on sexual assault in the military. We identified the databases that generate the reported data and evaluated the processes for assuring the quality and consistency of data in those databases\u2014including the Defense Sexual Assault Incident Database, which maintains sexual assault data; the Central Registry database, which maintains data on domestic violence involving sexual assault; and various military service- level databases that maintain sexual harassment data. To evaluate DOD\u2019s reported data we reviewed pertinent statutory provisions, DOD guidance, and the Standards for Internal Control in the Federal Government that address agencies\u2019 use of quality data and our prior reports evaluating sexual assault data. In evaluating the reported data, we obtained and reviewed statutory provisions with reporting requirements, as well as DOD guidance on data collection for sexual harassment, sexual assault, and domestic violence involving sexual abuse. With regard to DOD efforts to collect and maintain sexual assault data, we met with OSD, Navy, Air Force, and Marine Corps officials in their respective Sexual Assault Prevention and Response offices as well as officials in the Army\u2019s Sexual Harassment/Assault Response and Prevention office. We also reviewed our prior report on DOD\u2019s Defense Sexual Assault Incident Database and our prior report that evaluated sexual assault data across agencies. To determine whether DOD has processes for collecting and maintaining consistent data for domestic violence with sexual assault, we obtained and compared data elements and processes from DOD\u2019s Central Registry database, which contains data for domestic violence throughout the department. We also obtained and reviewed policies that outline processes for collecting and reporting domestic violence involving sexual abuse data, and interviewed officials from Family Advocacy Program offices in OSD and the Army, Navy, Marine Corps, and Air Force to determine data reliability and comprehensiveness. To determine the extent to which reports of sexual assault, including reports of sexual assault among servicemembers and reports of domestic abuse involving sexual assault, meet statutory requirements for reporting, we reviewed DOD reports to Congress that provide sexual assault incident data, including DOD\u2019s most recent annual report on sexual assault in the military and compared those reports with requirements in the NDAA for FY 2011, which directs DOD to report the total number of substantiated and unsubstantiated sexual assault incidents, among other things. With regard to sexual harassment data, we interviewed officials in the Under Secretary of Defense for Personnel and Readiness\u2019 Office of Diversity Management and Equal Opportunity, as well as officials from the Military Equal Opportunity offices in the Air Force, Marine Corps, and Navy, and officials from the Army Sexual Harassment/Assault Response and Prevention office. We collected and compared data fields and data definitions from the Army, Navy, Marine Corps, and Air Force offices that address sexual harassment. We compared the data elements to determine whether the data elements and definitions across the services are consistent.", "To identify the extent to which DOD has overarching efforts, including a prevention strategy, to address unwanted sexual behaviors across the continuum of harm, we met with officials in the Office of the Assistant Secretary of Defense for Readiness and DOD\u2019s Sexual Assault Prevention and Response office. We reviewed our prior work and provisions from the Government Performance and Results Act to identify key elements that should be included in strategic plans as well as standards for coordinating within agencies. Key elements include (1) mission statement, (2) long-term goals, (3) strategies to achieve goals, (4) external factors that could affect goals, (5) use of metrics to gauge progress, and (6) evaluations of the plan to monitor goals and objectives. We identified and reviewed coordinating mechanisms used by OSD and the service offices that guide and oversee efforts to address unwanted sexual behaviors. We reviewed DOD, RAND Corporation, and CDC reports that addressed the continuum of harm and the relationship between the various forms of unwanted sexual behaviors. We interviewed officials from OSD and service-level Sexual Assault Prevention and Response, Family Advocacy, and Military Equal Opportunity offices and the Army\u2019s Sexual Harassment/Assault Response and Prevention to identify the various efforts in which they participate. We also collected and reviewed charters and meeting notes for integrated product teams and working groups to identify their intended purposes, their activities, their membership, and whether they involved multiple offices addressing unwanted sexual behaviors. In identifying DOD\u2019s collaborative efforts, we also reviewed our prior work on collaboration among federal agencies but we did not assess the effectiveness of department\u2019s collaborative efforts.", "We conducted this performance audit from August 2016 to December 2017 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives."], "subsections": []}, {"section_title": "Appendix II: Comments from the Department of Defense", "paragraphs": [], "subsections": []}, {"section_title": "Appendix III: GAO Contact and Staff Acknowledgments", "paragraphs": [], "subsections": [{"section_title": "GAO Contact", "paragraphs": [], "subsections": []}, {"section_title": "Staff Acknowledgments", "paragraphs": ["In addition to the staff named above, key contributors to this report include Thomas Gosling (Assistant Director); Isabel Band; Matthew Bond; Vincent Buquicchio; Caroline DeCelles; Mae Jones; Kirsten Lauber; and Brian Pegram."], "subsections": []}]}, {"section_title": "Related GAO Products", "paragraphs": ["Sexual Assault: Better Resource Management Needed to Improve Prevention and Response in the Army National Guard and Army Reserve. GAO-17-217. Washington, D.C.: February 27, 2017.", "Military Personnel: DOD Has Processes for Operating and Managing Its Sexual Assault Incident Database. GAO-17-99. Washington, D.C.: January 10, 2017.", "Sexual Violence Data: Actions Needed to Improve Clarity and Address Differences Across Federal Data Collection Efforts. GAO-16-546. Washington, D.C.: July 19, 2016.", "DOD and Coast Guard: Actions Needed to Increase Oversight and Management Information on Hazing Incidents Involving Servicemembers. GAO-16-226. Washington, D.C.: February 9, 2016.", "Sexual Assault: Actions Needed to Improve DOD\u2019s Prevention Strategy and to Help Ensure It Is Effectively Implemented. GAO-16-61. Washington, D.C.: November 4, 2015.", "Military Personnel: Actions Needed to Address Sexual Assaults of Male Servicemembers. GAO-15-284. Washington, D.C.: March 19, 2015.", "Military Personnel: DOD Needs to Take Further Actions to Prevent Sexual Assault during Initial Military Training. GAO-14-806. Washington, D.C.: September 9, 2014.", "Military Personnel: DOD Has Taken Steps to Meet the Health Needs of Deployed Servicewomen, but Actions Are Needed to Enhance Care for Sexual Assault Victims. GAO-13-182. Washington, D.C.: January 29, 2013.", "Preventing Sexual Harassment: DOD Needs Greater Leadership Commitment and an Oversight Framework. GAO-11-809. Washington, D.C.: September 21, 2011.", "Military Justice: Oversight and Better Collaboration Needed for Sexual Assault Investigations and Adjudications. GAO-11-579. Washington, D.C.: June 22, 2011.", "Military Personnel: DOD\u2019s and the Coast Guard\u2019s Sexual Assault Prevention and Response Programs Need to Be Further Strengthened. GAO-10-405T. Washington, D.C.: February 24, 2010.", "Military Personnel: Additional Actions Are Needed to Strengthen DOD\u2019s and the Coast Guard\u2019s Sexual Assault Prevention and Response Programs. GAO-10-215. Washington, D.C.: February 3, 2010.", "Military Personnel: DOD\u2019s and the Coast Guard\u2019s Sexual Assault Prevention and Response Programs Face Implementation and Oversight Challenges. GAO-08-924. Washington, D.C.: August 29, 2008.", "Military Personnel: The DOD and Coast Guard Academies Have Taken Steps to Address Incidents of Sexual Harassment and Assault, but Greater Federal Oversight Is Needed. GAO-08-296. Washington, D.C.: January 17, 2008."], "subsections": []}], "fastfact": []}